Navegando por Autor "Lira, George A."
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Artigo Lifestyle and family history influence cancer prognosis in Brazilian individuals(Elsevier, 2013) Araújo, Aurigena Antunes de; Araújo Jr, Raimundo F.; Lira, George A.; Guedes, Hugo G.; Cardoso, Marília A.; Cavalcante, Francisco J.; Araújo, Ana Lucia M.; Ramos, Carlos César O.The aim of this research was to study prognostic parameters of CRC by analyzing clinical and pathological variables associated with cancer patients at a northeastern Brazilian Hospital. This was a retrospective study evaluating CRC-diagnosed patients across a 10-year period (1995–2005) at Dr. Luiz Antônio Hospital in Natal, RN, Brazil. Data were collected from patients’ medical files. A total of 358 patients were included over the 10-year period. The average age at diagnosis was 58.8 years (S.D. = 15.26), 48.3% of the patients were males and 51.7% were females. Alcohol consumption significantly increased the chance of dying (p < 0.023) from colorectal cancer; this increased risk of death was approximately 71%, compared to 52.2% of the non-alcoholics. In addition, tobacco increased the chance of developing high TNM stage tumors (level III, IV; p < 0.001). Another risk factor for increased mortality was a family history for colorectal cancer (p < 0.002). Our analysis found that patients with an unhealthy lifestyle and/or family history of colorectal cancer were more likely to develop advanced stage colorectal cancer and to have a poor disease prognosis compared to patients with healthy lifestyle and/or sporadic colorectal cancer. These data suggest that a mass screening program should be implemented in northeastern Brazil in order to better prevent and treat colorectal cancer.Artigo Telmisartan decreases inflammation by modulating TNF-a, IL-10, and RANK/RANKL in a rat model of ulcerative colitis(Pharmacological Reports, 2015-06) Silva, Késia Karina de Oliveira Souto; Guerra, Gerlane Coelho Bernardo; Araujo, Aurigena Antunes de; Lira, George A.; Melo, Maryanne N.; Fernandes, Daline; Silva, Arthur L.; Araujo Junior, Raimundo Fernandes deBackground: Telmisartan is an antihypertensive angiotensin II receptor blocker. This antihypertensive shows antiinflammatory activity. Purpose: In this study, the antiinflammatory activity of telmisartan was tested in an acetic acid (10%) model of ulcerative colitis (UC) in rats. Methods: Rats were given 1, 3, and 5 mg/kg/day of telmisartan orally for 3 days before induction of UC. The same doses were also administered 2 and 24 h after induction. Rats from the non-colitis and non- treated colitis groups were administered vehicle (saline, 5 ml/kg) orally and another group received sulfasalazine (50 mg/kg/day). Colons tissue was analyzed by macroscopic, by histopathology, by the immunohistochemical examination of RANKL/RANK pathway; by ELISA analysis of the levels of IL-10, TNF-a, myeloperoxidase (MPO) and malonaldehyde (MDA). Results: Telmisartan at 5 mg/kg reduced levels of MPO, MDA, TNF-a and increased of IL-10 (p < 0.05). Additionally, telmisartan reduced macroscopic damage, number of ulcers, and inflammatory and histopathological processes such as neutrophil infiltration, changes in cytoarchitecture, and necrosis. Immunohistochemistry revealed down-regulation of nuclear factor-kappaB receptor/nuclear factor- kappaB ligand (RANK/RANKL) in groups treated with sulfasalazine or telmisartan. Conclusion: Telmisartan exerts beneficial effects in an acetic acid model of colitis in rats. These effects may be due to accelerated termination of the acute inflammatory phase, indicated by decreased TNF-a and increased production of IL-10 and low expression of RANKL and RANK. 2014 Institute of Pharmacology, Polish Academy of Sciences. Published by Elsevier Urban & Partner Sp.