CBQF - Contribuições em Revistas Científicas / Contribution to Journals
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- Advancing diabetes treatment: from human beta cell technology to bioartificial pancreas developmentPublication . Sá, Joana; Sá, Simone; Leménager, Hélène; Costa, Raquel; Onteniente, Brigitte; Soares, Raquel; Ribeiro, Viviana P.; Oliveira, Ana L.In 2021, approximately 537 million people worldwide, primarily in low- and middle-income countries, were affected by diabetes, leading to approximately 6.7 million deaths annually or severe secondary complications including life-threatening hyperglycemia. For nearly 50 years, current therapeutic approaches include full pancreas transplantation and isolated pancreatic islets, more recently, cell therapy such as in vitro generated islets and stem cell derived. The transplantation of pancreatic islet cells can be less invasive than full organ transplantation, however, does not achieve the same rate of functional success due to the low survival of the engrafted cells. Tissue-engineered bioartificial pancreas has been designed to address such issues, improving cell engraftment, survival, and immune rejection problems, with the added advantage that the tissue produced in vitro has an unlimited source of material.
- A case study on the microbiological consequences of short supply chains in high-income countries—the consequences of good handling practices (GHPs) in vegetable outlets in PortugalPublication . Macieira, Ariana; Brandão, Teresa R. S.; Teixeira, PaulaVegetables are commodities frequently sold in local markets and have been associated with foodborne outbreaks in short and local supply outlets worldwide. These outbreaks could potentially be mitigated through the implementation of good handling practices (GHPs) at points of sale. Numerous studies have assessed microbiological contamination in small-scale vegetable outlets in developing countries. In contrast, research on these risks in developed countries is comparatively scarce. However, with the increasing demand for vegetables, along with the increasing popularity of local markets, there is potential for an increase in foodborne outbreaks in developed countries. This study aimed to perform a microbiological assessment in local and short supply chain outlets of farmers in Portugal, as a case study, and to observe behaviors regarding GHPs in these outlets. The study was performed before and after the implementation of improved GHPs. This research employed quantitative analysis to measure the microbial load on vegetables, bench surfaces, and vendors’ hands. Additionally, a qualitative analysis was conducted to understand farmers’ behavior regarding GHPs using observational methods. Microbial hazards were detected in vegetables, on surfaces, and on hands both before and after the implementation of these practices, although the implementation of GHPs reduced the number of contaminations potentially associated with the practices used at the outlets. The results of this study highlight the importance of implementing GHPs in local and short supply chain markets for vegetables and fruits in developed countries, not only to protect consumers’ health, but also the farmers’ businesses.
- Correction to: Endothelial dysfunction in cardiovascular diseases: mechanisms and in vitro modelsPublication . Grego, Ana; Fernandes, Cristiana; Fonseca, Ivo; Dias-Neto, Marina; Costa, Raquel; Leite-Moreira, Adelino; Oliveira, Sandra Marisa; Trindade, Fabio; Nogueira-Ferreira, Rita
- Effects of dietary polyphenols on vasculogenic erectile dysfunction: a systematic review of pre-clinical studiesPublication . Geraldo, Rafaela; Castro, Catarina; Pinto, Elisabete; Vasconcelos, Marta W.; Neves, DelmindaErectile dysfunction (ED) is a medical condition characterized by the inability to achieve or maintain a satisfactory erection, primarily treated with oral phosphodiesterase type 5 inhibitors. Treatment effectiveness is diminished in severe vasculogenic ED, particularly in patients with diabetes mellitus, highlighting the need for exploring alternative/complementary interventions. Among them, dietary phenolic compounds are known for their antioxidant and anti-inflammatory properties. This systematic review focuses on catechin (EGCG), quercetin, resveratrol, and curcumin and their influence on the pathophysiology of ED. Following PRISMA 2020 guidelines (PROSPERO registration number CRD42023402016) searches across PubMed, Scopus, and Web of Science until October 2024 were conducted using relevant keywords. Inclusion criteria required original articles in English, while in silico studies, review articles, editorials, and original studies lacking essential polyphenol administration information were excluded. After an initial search that located 409, 445, and 285 publications in each database respectively, rigorous screening resulted in 26 publications comprising animal, ex vivo, and in vitro studies. Their quality was assessed using GRADE and SYRCLE ROB tools, revealing an overall “medium-high” or “high quality.” These polyphenols consistently demonstrated improvements in erectile function, encompassing behavioral, functional, molecular, and hormonal aspects. However, limitations were identified, such as the predominant reliance on animal models and in vitro trials, which may not precisely reflect human physiological responses. Further clinical investigations are needed to ascertain data translational potential, standardize dosages, and establish safe and effective prescription recommendations. Prioritizing clinical trials is essential for validating the widespread applicability and efficacy of polyphenols in managing ED.
- Evaluation of leaf extracts of Moringa oleifera Lam. On testosterone enanthate-induced polycystic ovary syndrome (PCOS) in micePublication . Khalid, Shakeela; Arshad, Muhammad; Siddque, Farzana; Arshad, Muhammad Sajid; Sajid, Marina; Khalid, Waseem; Aziz, Zaira; Khalid, Muhammad Zubair; Alharbi, Sulaiman Ali; Ansari, Mohammad Javed; Zinedine, Abdellah; Bartkiene, Elena; Rocha, João MiguelPolycystic ovary syndrome (PCOS) is a multifactorial endocrinological and metabolic disorder that affects women of reproductive age. It is often associated with hyperandrogenism, obesity, anovulation, infertility and insulin resistance. In this study, the imminent efficacy of MoLP (Moringa oleifera leaf powder) and MoLE (M. oleifera leaf extract) in treating PCOS in female albino mice was explored. Female albino mice were injected with testosterone enanthate [1.0 mg/100 g body weight (b.w.)] for 35-days to induce PCOS. For the treatment, mice were administered with M. oleifera leaf powder (250 and 500 mg/kg b.w.), M. oleifera leaf extract (250 and 500 mg/kg b.w.), and metformin (250 mg/kg b.w.) for 14 days. Following the intervention, body weight, blood glucose, c-peptide, testosterone, follicle-stimulating hormone (FSH) and luteinizing hormone (LH) levels and stages of the estrus cycle were measured at 0, 7 and 14 days. The ovaries were examined stereologically to determine the number and diameter of follicles. Results indicated that MoLP, MoLE (500 mg/kg b.w.) and metformin (250 mg/kg b.w.) significantly decreased body weight, blood glucose, c-peptide, testosterone and LH levels while increasing FSH levels and ovary weight over time compared to PCOS-induced mice. Additionally, regulation of the estrus cycle and folliculogenesis in PCOS-induced mice was observed. Overall, the present study revealed that M. oleifera may have the potential as a therapeutic intervention for PCOS.
- Global, regional, and national prevalence of adult overweight and obesity, 1990-2021, with forecasts to 2050: a forecasting study for the Global Burden of Disease Study 2021Publication . GBD 2021 Adult BMI; Ng, Marie; Gakidou, Emmanuela; Lo, Justin; Abate, Yohannes Habtegiorgis; Abbafati, Cristiana; Abbas, Nasir; Abbasian, Mohammadreza; ElHafeez, Samar Abd; Abdel-Rahman, Wael M.; Abd-Elsalam, Sherief; Abdollahi, Arash; Abdoun, Meriem; Abdulah, Deldar Morad; Abdulkader, Rizwan Suliankatchi; Abdullahi, Auwal; Abedi, Armita; Abeywickrama, Hansani Madushika; Abie, Alemwork; Aboagye, Richard Gyan; Abohashem, Shady; Abtahi, Dariush; Abualruz, Hasan; Abubakar, Bilyaminu; Farha, Rana Kamal Abu; Abukhadijah, Hana J.; Abu-Rmeileh, Niveen M. E.; Aburuz, Salahdein; Abu-Zaid, Ahmed; Adams, Lisa C.; Adane, Mesafint Molla; Addo, Isaac Yeboah; Adedokun, Kamoru Ademola; Adegoke, Nurudeen A.; Adepoju, Abiola Victor Victor; Adesola, Ridwan Olamilekan; Adeyeoluwa, Temitayo Esther; Adiga, Usha; Adnani, Qorinah Estiningtyas Sakilah; Afaghi, Siamak; Afzal, Saira; Afzal, Muhammad Sohail; Agampodi, Thilini Chanchala; Aghamiri, Shahin; Sobrinho, Cesar Agostinis; Agyemang-Duah, Williams; Ahlstrom, Austin J.; Ahmad, Danish; Ahmad, Sajjad; Fernandes, João C.; Ferreira, NunoBackground Overweight and obesity is a global epidemic. Forecasting future trajectories of the epidemic is crucial for providing an evidence base for policy change. In this study, we examine the historical trends of the global, regional, and national prevalence of adult overweight and obesity from 1990 to 2021 and forecast the future trajectories to 2050. Methods Leveraging established methodology from the Global Burden of Diseases, Injuries, and Risk Factors Study, we estimated the prevalence of overweight and obesity among individuals aged 25 years and older by age and sex for 204 countries and territories from 1990 to 2050. Retrospective and current prevalence trends were derived based on both self-reported and measured anthropometric data extracted from 1350 unique sources, which include survey microdata and reports, as well as published literature. Specific adjustment was applied to correct for self-report bias. Spatiotemporal Gaussian process regression models were used to synthesise data, leveraging both spatial and temporal correlation in epidemiological trends, to optimise the comparability of results across time and geographies. To generate forecast estimates, we used forecasts of the Socio-demographic Index and temporal correlation patterns presented as annualised rate of change to inform future trajectories. We considered a reference scenario assuming the continuation of historical trends. Findings Rates of overweight and obesity increased at the global and regional levels, and in all nations, between 1990 and 2021. In 2021, an estimated 1·00 billion (95% uncertainty interval [UI] 0·989–1·01) adult males and 1·11 billion (1·10–1·12) adult females had overweight and obesity. China had the largest population of adults with overweight and obesity (402 million [397–407] individuals), followed by India (180 million [167–194]) and the USA (172 million [169–174]). The highest age-standardised prevalence of overweight and obesity was observed in countries in Oceania and north Africa and the Middle East, with many of these countries reporting prevalence of more than 80% in adults. Compared with 1990, the global prevalence of obesity had increased by 155·1% (149·8–160·3) in males and 104·9% (95% UI 100·9–108·8) in females. The most rapid rise in obesity prevalence was observed in the north Africa and the Middle East super-region, where age-standardised prevalence rates in males more than tripled and in females more than doubled. Assuming the continuation of historical trends, by 2050, we forecast that the total number of adults living with overweight and obesity will reach 3·80 billion (95% UI 3·39–4·04), over half of the likely global adult population at that time. While China, India, and the USA will continue to constitute a large proportion of the global population with overweight and obesity, the number in the sub-Saharan Africa super-region is forecasted to increase by 254·8% (234·4–269·5). In Nigeria specifically, the number of adults with overweight and obesity is forecasted to rise to 141 million (121–162) by 2050, making it the country with the fourth-largest population with overweight and obesity. Interpretation No country to date has successfully curbed the rising rates of adult overweight and obesity. Without immediate and effective intervention, overweight and obesity will continue to increase globally. Particularly in Asia and Africa, driven by growing populations, the number of individuals with overweight and obesity is forecast to rise substantially. These regions will face a considerable increase in obesity-related disease burden. Merely acknowledging obesity as a global health issue would be negligent on the part of global health and public health practitioners; more aggressive and targeted measures are required to address this crisis, as obesity is one of the foremost avertible risks to health now and in the future and poses an unparalleled threat of premature disease and death at local, national, and global levels.
- Microvascular, biochemical, and clinical impact of hyperbaric oxygen therapy in recalcitrant diabetic foot ulcersPublication . Martins-Mendes, Daniela; Costa, Raquel; Rodrigues, Ilda; Camacho, Óscar; Coelho, Pedro Barata; Paixão-Dias, Vítor; Luís, Carla; Pereira, Ana Cláudia; Fernandes, Rúben; Lima, Jorge; Soares, RaquelBackground: Diabetic foot ulcers (DFUs) are a serious complication of diabetes and are often difficult to treat. Hyperbaric oxygen therapy (HBOT) has been proposed as an adjunctive treatment to promote healing, but its long-term clinical and biological effects remain insufficiently characterized. This study aimed to evaluate the impact of HBOT on systemic biomarkers, local microvasculature, and clinical outcomes in patients with DFUs. Methods: In this non-randomized prospective study, 20 patients with ischemic DFUs were followed over a 36-month period. Fourteen received HBOT in addition to standard care, while six received standard care alone. Clinical outcomes—including DFU resolution, recurrence, lower extremity amputation (LEA), and mortality—were assessed alongside systemic inflammatory and angiogenic biomarkers and wound characteristics at baseline and at 3, 6, 12, and 36 months. CD31 immunostaining was performed on available tissue samples. Results: The two groups were comparable at baseline (mean age 62 ± 12 years; diabetes duration 18 ± 9 years). At 3 months, the HBOT group showed significant reductions in erythrocyte sedimentation rate and DFU size (p < 0.05), with downward trends observed in C-reactive protein (CRP), vascular endothelial growth factor (VEGF), and placental growth factor (PlGF), and an increase in stromal-derived factor-1 alpha (SDF1-?). No significant changes were observed in the control group. CD31+ microvessel density appeared to increase in HBOT-treated DFU tissue after one month, although the sample size was limited. Patients receiving HBOT had lower rates of LEA and mortality, improved wound healing, and sustained outcomes over three years. DFU recurrence rates were similar between groups. Conclusions: HBOT was associated with improved wound healing and favorable biomarker profiles in patients with treatment-resistant ischemic DFUs. While these findings are encouraging, the small sample size and non-randomized design limit their generalizability, highlighting the need for larger, controlled studies.
- Multimodal machine learning framework for cardiovascular risk stratification in adult obesity: a cross-sectional studyPublication . Ribeiro, Pedro; Marques, João Alexandre Lobo; Brandão, Marconi Pereira; Neto, Octávio Barbosa; Leite, Camila Ferreira; Rodrigues, Pedro MiguelBackground and objectives: Cardiovascular diseases account for approximately 80% of all deaths caused by known medical conditions, making them the leading cause of mortality worldwide. The resent study investigates the use of electrocardiogram (ECG) non-linear features and different topological medical features (heart rate, anthropometry, blood, glucose, and lipid profile, and heart rate variability) to discriminate between different Framingham Cardiovascular Risk Scale status groups in adult obesity using machine learning. Methods: We conducted a cross-sectional study between November 2023 and May 2024 in Fortaleza, Ceará, Brazil. Based on the Framingham Cardiovascular Risk Scale, patients were categorized into three cardiovascular risk groups: Low (22 participants), Moderate (14 participants), and High (17 participants). From ECG signals at two different positions (ECG_Down and ECG_UP), 27 non-linear features were extracted using multi-band analysis. Additionally, 42 medical features provided by physicians were included. From a pool of 19 machine learning classifiers, models were trained and tested within a nested leave-one-out cross-validation procedure using information solely from ECG, solely from medical features, and combining both (multimodal), respectively, to distinguish between Low vs. Moderate, Low vs. High, Moderate vs. High, and All vs. All. Results: The multimodal model resented the best results for every comparison group, reaching (1) 88.89% Accuracy and 0.8831 area under the curve (AUC) for Low vs. Moderate; (2) 97.44% Accuracy and 0.9706 AUC for Low vs. High; (3) 93.55% Accuracy and an AUC of 0.9412 for Moderate vs. High; (4) 86.79% Accuracy and 0.9346 AUC for All vs. All. Conclusions: The multimodal model outperformed single-source models in cardiovascular risk classification. ECG-derived non-linear features, especially from ECG_Down, were key drivers, with medical features adding complementary value. The results support its potential use in clinical triage and diagnosis.
- Omega-3 and conjugated fatty acids impact on human microbiota modulation using an in vitro fecal fermentation modelPublication . Salsinha, Ana Sofia; Araújo-Rodrigues, Helena; Dias, Cindy; Cima, André; Rodríguez-Alcalá, Luís Miguel; Relvas, João B.; Pintado, ManuelaBackground& aims: Gut microbiota has been gaining increasing attention and itsimportant role in the maintenance of a general good health condition is alreadyestablished. The potential of gut microbiota modulation through diet is animportant research focus to be considered. Lipids, as omega-3 fatty acids, arewell known for their beneficial role on organs and corresponding diseases.However, their impact on gut microbiota is still poorly defined, and studies onthe role of other polyunsaturated fatty acids, such as conjugated linoleic andlinolenic acids, are even scarcer. Methods: By using an in vitro humanfermentation model, we assessed the effect of omega-3, CLA iso mers, andpunicic acid on microbiota modulation. Results: Fish oil, Omega-3, and CLAsamples positively impact Akkermansia spp. and Bifidobacterium spp. growth.Moreover, all the samples supported Roseburia spp. growth after 24 h offermentation and, importantly, they were able to maintain the Firmicutes:Bacteroidetes ratio near 1. All the bioactive fatty acid samples, exceptPomegranate oil, were able to significantly increase butyrate levels comparedto those found in the positive control (FOS) sample. Moreover, Fish oil andOmega-3 samples were able to increase the concentration of GABA, alanine,tyrosine, phenylalanine, isoleucine, and leucine between 12 and 24 h offermentation. Conclusions: The impact of the assessed polyunsaturated fattyacids in gut microbiota has been observed in its impact on key bacteria(Akkermansia, Bifidobacterium, and Roseburia) as well as their metabolic byproducts,including butyrate and amino acids, which could potentially play a role inmodulating the gut-brain axis.
- Organic acids in food preservation: exploring synergies, molecular insights, and sustainable applicationsPublication . Sorathiya, Kavita Bhavin; Melo, Adma; Hogg, Maria Conceição; Pintado, ManuelaFood safety is a critical global health concern, as the consumption of unsafe food can lead to various acute and chronic diseases. While various preservation methods are employed to prevent food spoilage, it remains a significant issue for the food industry, resulting not only in food waste but also significant economic losses for manufacturers and consumers alike. Furthermore, there is growing consumer concern regarding food quality and safety, leading to the rejection of chemical additives due to their associated health risks. Organic acids, naturally occurring compounds of plants and animals, and produced by various beneficial microorganisms, play an important role in enhancing food flavor, preserving nutritional quality, and extending the shelf life of food products. Recognized for their antimicrobial potential, organic acids are commonly utilized as food preservatives, thus contributing to food safety. This review focuses on organic acids as natural preservatives within the food industry. It delves into their chemical structures, mode of action in cells, the types commonly used in preservation along with their general properties, and their antimicrobial activity against bacteria, yeasts, and fungi. These insights are drawn from the published literature, providing comprehensive understanding of the role organic acids play in ensuring food safety and maintaining food quality.