III. Unidades de Investigação, Desenvolvimento e Outras
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Percorrer III. Unidades de Investigação, Desenvolvimento e Outras por Objetivos de Desenvolvimento Sustentável (ODS) "03:Saúde de Qualidade"
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- 2024 Annual meeting of the international network on ectopic calcification (INTEC)—abstract proceedingsPublication . Cancela, M. Leonor; Alouane, Ahmed; Bertelli, Pietro M.; Camacho, Antonio; Derudder, Robbe; Forlino, Antonella; Harris, Matthew P.; Jacinto, Marta; Lengyel, Imre; Link, Wolfgang; Murshed, Monzur; Pasch, Andreas; Kaliya-Perumal, Arun-Kumar; Quaglino, Daniela; Qin, Zihan; Sabbagh, Yves; Seminari, Elena; Villar, Marcos M.; Winkler, Christoph; Vanakker, Olivier M.The 3rd Annual Meeting of the International Network on Ectopic Calcification (INTEC) was held in Faro, Portugal on 12–13 September 2024. This hybrid meeting brought together researchers and clinicians focused on the molecular, (patho)physiological, and clinical aspects of ectopic calcification in hereditary and acquired conditions, as well as in aging. The findings presented in this year’s meeting emphasised the complexity of the field, offering new insights into both mechanistic pathways and translational hurdles. The abstracts of this year’s meeting are collected in this conference paper, with permission from the corresponding authors.
- Activity induced genes expression is impaired in polyglutamine spinocerebellar ataxiasPublication . Torquato Afonso, Inês; Vilhena Catarino Brito, David; Bading, Hilmar; Nóbrega, ClévioPolyglutamine Spinocerebellar ataxias (SCAs) are a group of 6 incurable genetic disorders, caused by an expansion of the trinucleotide cytosine-adenine-guanine in their causative genes, which produces a protein with an expanded glutamine region. This project focuses on the study of Spinocerebellar ataxia type 2 (SCA2) and type 3 (SCA3) (1), which are rare dominantly inherited disorders that primarily impair the cerebellum therefore leading to motor ataxia. Activity-induced inhibitor of death (AID), are a group of pro-survival 9 genes which were found to be neuroprotector in several neurological disorders, including stroke, glaucoma, AD, HD, and ALS (2). In this project, we aim to investigate about the relevance of the expression of AID genes for cerebellum function and whether their expression levels are impaired in SCA2 and SCA3
- A bibliometric analysis on designing urban green and blue spaces related to environmental and public health benefitsPublication . de Sousa Silva, Catarina; Bell, Simon; Lackóová, Lenka; Panagopoulos, ThomasAbstract: Humans and nature have always been connected. Meanwhile, with the industrial revolution, landscapes have become more artificial, reducing the human–nature relationship. Urban design should follow biophilic principles to reconnect people with nature, mitigate climate change, improve air quality, restore biodiversity loss, and solve social problems. Poor air quality affects people’s health, and vegetation plays a crucial role in purifying the air. Similarly, contact with nature benefits physical and mental health and well-being. However, there is no consensus on how urban design can be beneficial for improving air quality and human health. This review paper aims to provide a comprehensive evaluation of evidence linking nature-based solutions (NBSs), air quality, carbon neutrality, and human health and well-being. Five hundred articles published between 2000 and 2024 were analysed. A number of publications studied the benefits of green infrastructure in improving air quality, carbon sequestration, or the influence of green spaces on human health. The topic of NBSs has recently emerged related to air quality, health, and promoting physical activity, as has accessibility to green spaces and mental health, also associated with blue spaces and residential gardens. The results revealed the gaps in the literature on how to design green and blue spaces to tackle environmental and public health crises simultaneously.
- Bioprospecting of natural products from medicinal plantsPublication . Rodrigues, Maria JoãoThe exploration of natural products derived from medicinal plants that provide an abundance of bioactive compounds has long been a cornerstone of scientific discovery, revolutionizing fields such as medicine, agriculture, and biotechnology [1]. Notable examples include artemisinin, a life-saving antimalarial derived from Artemisia annua [2], and taxol, a chemotherapeutic agent sourced from the Pacific yew tree [3], both of which highlight the immense potential of medicinal plants to address global health challenges. Over the past decade, rapid advancements in analytical techniques, omics technologies, and bioinformatics have significantly improved our ability to uncover and characterize these natural products. Despite these strides, critical challenges persist in the field, including the sustainable utilization of plant resources, the discovery of novel compounds with unique modes of action, and the translation of these findings into practical, real-world applications.
- Delays in the stroke care pathway in a low-income setting: an audit study from MozambiquePublication . Buque, Helena Agostinho; Smith, Lee; Lopes, Dino; Pizzol, Damiano; Lorenzo, Elder; Arroz, Nachan; Bacallau, Lazara; Sidat, Mohsin; Bauaze, Evangelina Namburete; Nzwalo, HipólitoBackground: The burden of stroke is on the rise in low-income countries (LICs). Organized stroke care (OSC) is crucial for improving outcomes in LICs and is the very first step to reducing delays in diagnosis and treatment. We aim to evaluate delay times (DT) in accessing OSC at the national reference hospital of Mozambique, a LIC from southern Africa. Methods: An observational study based on consecutive case series of 59 stroke patients confirmed by computed tomography (CT) scans over a period of 3 months (May–July 2023). The total DT (from stroke onset to inward hospitalization) was the main outcome. Other specific DTs were analyzed including initial symptoms to arrival and admission (DT0), arrival to CT scans (DT1), arrival of laboratory results (DT2), and arrival to inward hospitalization (DT3). Results: The mean age was 61.9 (min 30–max 90) and 45.8% were female. The median total DT was 20 h. The median time DT0 was 10.6 h (interquartile range (IQR): 16.48). The median DT1 and DT2 were 4 h (IQR: 3.5) and 5 h (IQR: 2.6), respectively. The median DT3 was 10 h (IQR: 4). None of the patients were treated under a stroke code. Conclusions: This study reveals an unacceptable prehospital and in-hospital DT. Waiting for the CT scan contributed to a large proportion of the total DT, which among other factors can be explained by the absence of a stroke code and limited imaging capacity. These findings mirror disparities in stroke care seen in other LICs, where late presentation, scarce imaging, and limited specialized protocols are common. The urgent implementation of organized prehospital and in-hospital stroke pathways is needed in Maputo to improve outcomes.
- Drug-related glomerular phenotypes: a global pharmacovigilance perspectivePublication . Baptista, Alexandre; Macedo, Ana; Marreiros, Ana; Coelho, André; Perazella, Mark A.Abstract: Introduction: Adverse drug reactions are a significant problem in modern society, stemming from the increase in prescribed medications, over-the-counter drugs, and overall polypharmacy. Glomerular disorders are one of the frequently reported renal conditions associated with medication use. VigiBase is a significant tool for evaluating events associated with drug use, and, to the authors’ knowledge, no study has yet assessed this database to identify the primary medications associated with glomerular disorders. Materials and Methods: We collected data from VigiBase for 54 years and evaluated data based on global frequencies, disproportionality (IC025 values), nephrotoxic potential, and physiopathological mechanisms. Results: Over the evaluation period, 33.932.051 spontaneous notifications of adverse drug reactions reported in VigiBase were assessed, from which 106.775 notifications of drug-associated glomerular disorders were extracted. The isolated medications were classified as ‘potential nephrotoxins’ (47.0%), with 40% of the medications lacking scientific references to report any association with the development of glomerular disorders. Among the evaluated medications, Inotersen (IC025 of 8.3), Penicillamine (IC025 6.8), Bevacizumab (IC025 5.9) and Lenvatinib (IC025 5.4) were identified as having the strongest association with these glomerular disorders. For medications classified as ‘non-nephrotoxic’, a high disproportionality index was observed, suggesting drugs that might be considered as new potential nephrotoxins. Conclusions: Drug-induced glomerular disorders were significantly associated with medications that had no established nephrotoxic role but demonstrated a high disproportionality index in VigiBase. These newly alleged nephrotoxic drugs warrant further evaluation in dedicated studies to assess their true nephrotoxic potential.
- Methylation status of the telomerase reverse transcriptase promoter in parotid tumours and adjacent parotid gland tissue: a pilot study on the implications for recurrence and development of malignancyPublication . Paiva Correia, Antonio; Apolónio, Joana; Nadal, Alfons; Brandão, José Ricardo; Silva, Nádia; Machado, Bianca; Archilla, Ivan; Castelo-Branco, Pedro; Hellquist, HenrikBackground/Objectives: The methylation of the hypermethylated oncological region (THOR) of human telomerase reverse transcriptase (hTERT) may forecast tumour aggressiveness. This pilot study aimed to evaluate THOR methylation as a potential biomarker for recurrence/malignant transformation in salivary gland pleomorphic adenomas (PA). Methods: THOR methylation was assessed by quantitative pyrosequencing in 96 parotid tissue samples (benign and malignant), including non-neoplastic parotid tissue, PA, recurrent PA (rPA), and carcinomas, along with their adjacent tissues. TERT promoter mutations (TPMs) were analysed by Sanger sequencing. Results: THOR methylation significantly differed across the seven groups. Malignant tissues showed higher THOR methylation than non-neoplastic tissues, whereas benign tumours showed no significant difference from non-neoplastic tissue. THOR methylation in rPA was closer to carcinoma than to normal tissue, similar in rPA and tissues adjacent to rPA, and higher in tissues adjacent to carcinomas than in non-neoplastic tissues. A subset of PA-adjacent tissues showed epigenetic alterations, suggesting an increased risk of recurrence or malignant transformation (5–15%). No TPMs were detected. Conclusions: THOR methylation may add information to differentiate normal from carcinogenic tissues and, as such, may be included in a biomarkers panel. Epigenetic alterations in PA-adjacent tissues with normal histology highlight the need for improved diagnostic markers.
- Minute city concept for healthy tourism during the COVID-19 pandemic crisis. who for? The city of Lagos, PortugalPublication . Pires Rosa, Manuela; Lopes, Ana; Aghaeizadeh, Esmaeil; Gomes, André; Andraz, JorgeUrban spatial organization provided an important contribution for healthy tourism in the first COVID-19 pandemic period. The 15-Minute City concept promotes walking which is essential for the development of outdoor activities for a healthier tourism. The tourist city of Lagos (Portugal) is a pilot city of the Interreg Med SuSTowns Project which aims to promote sustainable and resilient territories. This study presents an analysis of the pedestrian accessibility through a specific geographical indicator: the percentage of short-term rentals existing in the surrounding tourist attractions. Ideal standard distances, studied internationally, were considered to assess this close proximity. Different walking speeds were considered to address human diversity and their implications on the 15-Minute City concept. The functionalities of the geographic information systems, in particular the assessment of distances over the pedestrian network were used. The results indicate that in the city of Lagos there is a trend towards an effective 15-Minute City for healthy tourists, promoting walking which could enhance tourism attraction. For tourists with reduced mobility, the use of accessible public transportation is required and needs to be integrated in the 15-Minute City concept.
- Optimization of stroke management workflow in the emergency department of Maputo central hospital: implementation proposalPublication . Buque, H.; Bauaze, E. Namburete; Lorenzo, E.; Nzwalo, HipólitoStroke is a leading cause of morbidity and mortality in Mozambique, with a high incidence among young adults. Maputo Central Hospital (HCM) receives a substantial number of stroke patients daily, but lacks a dedicated Stoke Unit, facing challenges that delay timely and effective care.
- Selected papers from the XXI SPB national congress of biochemistry 2021Publication . Aureliano, Manuel; Cancela, M. Leonor; Costa, Ana R.; Antunes, Célia M.The XXI SPB National Congress of Biochemistry 2021 was held at the University of Évora in Portugal on 14–16 October 2021. Under challenging conditions, due to the COVID-19 pandemic, we managed to organize the National Congress of Biochemistry in a hybrid format, where at least 2/3 of the participants (130) came to Évora in person. With the pandemic under control, we carried out the Congress both successfully and safely. This was the main meeting point for Portuguese Biochemistry Society (SPB), fostering the discussion and dissemination of high-quality research in biochemistry, both fundamental and applied, taking place in Portugal. The scientific program under the title “Tuning Biochemistry with Life Sciences and Society” covered a broad range of boundaries, ranging from molecular mechanisms of diseases to drug discovery, as well as innovative biochemistry projects. Science and innovation were promoted through dialogue, sharing, and healthy confraternization.