CLOVIS EDUARDO SANTOS GALVAO
Projetos de Pesquisa
Unidades Organizacionais
Instituto Central, Hospital das Clínicas, Faculdade de Medicina - Médico
LIM/60 - Laboratório de Imunologia Clínica e Alergia, Hospital das Clínicas, Faculdade de Medicina
LIM/60 - Laboratório de Imunologia Clínica e Alergia, Hospital das Clínicas, Faculdade de Medicina
5 resultados
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- Work-related asthma (WRA) has worst socioeconomic status, quality of life and asthma control: a brazilian study(2019) ROIO, Lavinia Clara Del; TERRA-FILHO, Mario; ALGRANTI, Eduardo; GALVAO, Clovis Eduardo Santos; FREITAS, Jefferson Benedito Pires De; SANTOS, Ubiratan Paula
- Anaphylaxis triggered by prick test with latex extract: a case report(2019) MENDONCA, Leonardo Oliveira; LIMA, Cynthia Mafra Fonseca de; MACEDO, Priscilla Rios Cordeiro; CUNHA, Victor do Espirito Santo; HAHNSTADT, Ruppert Ludwig; KALIL, Jorge; GALVAO, Clovis Eduardo SantosCONTEXT: Adverse reactions associated with prick tests are rare but may be present as serious systemic reactions. CASE REPORT: A 38-year-old female nursing technician complained of three episodes of anaphylaxis in one year, all in the workplace. To investigate latex allergy, the patient underwent the prick test with latex, and immediately developed a rash, itchy skin, hoarseness, dyspnea and dry cough. Her condition improved promptly after appropriate measures were established for controlling her anaphylaxis. CONCLUSION:The skin test must be performed under medical supervision, since complications that can lead to life-threatening reactions, if support measures are not readily implemented, have been attributed to this test.
- Cashew Tree Pollen: An Unknown Source of IgE-Reactive Molecules(2019) FIGO, Daniele Danella; AMICIS, Karine De; AQUINO, Denise Neiva Santos de; POMIECINSKI, Fabiane; GADERMAIER, Gabriele; BRIZA, Peter; GALVAO, Clovis Eduardo Santos; AMARAL, Jonatas Bussador do; MARTINS, Carlo de Oliveira; CASTRO, Fabio Fernandes Morato; KALIL, Jorge; SANTOS, Keity SouzaPollinosis is sub-diagnosed and rarely studied in tropical countries. Cashew tree pollen has been reported as an allergen source although the knowledge of its immunoglobulin E (IgE)-reactive molecules is lacking. Therefore, this work aimed to identify IgE-reactive molecules and provide a proteomic profile of this pollen. From the 830 proteins identified by shotgun analysis, 163 were annotated to gene ontology, and a list of 39 proteins filtered for high confidence was submitted to the Allfam database where nine were assigned to allergenic families. Thus, 12 patients from the northeast of Brazil with persistent allergic rhinitis and aggravation of symptoms during cashew flowering season were selected. Using a 2D-based approach, we identified 20 IgE-reactive proteins, four already recognized as allergens, including a homolog of the birch isoflavone-reductase (Bet v 6). IgE-reactivity against the extract in native form was confirmed for five patients in ELISA, with three being positive for Bet v 6. Herein, we present a group of patients with rhinitis exposed to cashew tree pollen with the first description of IgE-binding proteins and a proteomic profile of the whole pollen. Cashew tree pollen is considered an important trigger of rhinitis symptoms in clinical practice in the northeast of Brazil, and the elucidation of its allergenic molecules can improve the diagnostics and treatment for allergic patients.
conferenceObject Comparative Evaluation Of Pulmonary Function Tests In Professional Cleaners While Exposed To The Occupational Workplace And After The Vacation Period(2019) LIMA, Cynthia Mafra Fonseca de; HERNANDES, Giovanna Hernandes y; ALGRANTI, Eduardo; MACAIRA, Elayne de Fatima; KALIL, Jorge; CASTRO, Fabio M.; GALVO, Clovis E. S.- Increased gene expression of inflammatory markers in nasal turbinate of patients with persistent allergic rhinitis and chronic obstruction(2019) CAMPOS, Lucila de; GALVAO, Clovis Eduardo Santos; MAIRENA, Eliane Conti; VOEGELS, Richard; KALIL, Jorge; CASTRO, Fabio Morato; CUNHA-NETO, EdecioPurpose The pathogenesis of persistent allergic rhinitis with chronic and refractory nasal obstruction is still unknown. Inflammation and tissue remodeling are known to play a role, but this has not been studied thoroughly. The purpose of this study is to identify the profile of gene expression of inflammatory and remodeling markers in nasal mucosa of patients with PAR and chronic obstruction. Methods After informed consent, we obtained nasal mucosa tissue from five aeroallergen-sensitized PAR patients undergoing anterior turbinectomy, and control non-sensitized individuals undergoing cerebrospinal fluid fistula repair or rhinoplasty. We assessed the expression of 34 genes related to inflammation and tissue remodeling using the real-time polymerase chain reaction (qPCR) to quantify each mRNA. Results IL-4 mRNA was upregulated in nasal mucosa of all five patients; CCR3, CCR8 and Eotaxin-2 were upregulated in four out of five patient samples; while IL-5 and IL-13 were upregulated in two of them. TGF-beta 1 was not upregulated in PAR samples. mRNA from metalloproteinases MMP-7, MMP13 and MMP15 were upregulated in three out of five samples. Our results indicate a typical mRNA expression profile of the infiltrating inflammatory Th2 cells and eosinophils, combined with altered gene expression of remodeling-related proteins in stromal cells from the mucosa. Conclusion Prolonged allergen challenge can lead to persistent upregulation of genes for inflammatory mediators such as IL-4 Th2/eosinophil cytokines, chemokines and receptors, which may play an important role in maintaining PAR with chronic nasal obstruction. Our findings may have therapeutic implications, including the use of anti-IL4, -CCR3 or -MMP therapy to ameliorate the condition.