WILSON JACOB FILHO
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Clínica Médica, Faculdade de Medicina - Docente
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/66, Hospital das Clínicas, Faculdade de Medicina - Líder
Instituto Central, Hospital das Clínicas, Faculdade de Medicina
LIM/66, Hospital das Clínicas, Faculdade de Medicina - Líder
4 resultados
Resultados de Busca
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- Prevalence of transactive response DNA-binding protein 43 (TDP-43) proteinopathy in cognitively normal older adults: systematic review and meta-analysis(2018) NASCIMENTO, C.; ALHO, A. T. Di Lorenzo; AMARAL, C. Bazan Conceicao; LEITE, R. E. P.; NITRINI, R.; JACOB-FILHO, W.; PASQUALUCCI, C. A.; HOKKANEN, S. R. K.; HUNTER, S.; KEAGE, H.; KOVACS, G. G.; GRINBERG, L. T.; SUEMOTO, C. K.ObjectiveTo perform a systematic review and meta-analysis on the prevalence of transactive response DNA-binding protein 43 (TDP-43) proteinopathy in cognitively normal older adults. MethodsWe systematically reviewed and performed a meta-analysis on the prevalence of TDP-43 proteinopathy in older adults with normal cognition, evaluated by the Mini-Mental State Examination or the Clinical Dementia Rating. We estimated the overall prevalence of TDP-43 using random-effect models, and stratified by age, sex, sample size, study quality, antibody used to assess TDP-43 aggregates, analysed brain regions, Braak stage, Consortium to Establish a Registry for Alzheimer's Disease score, hippocampal sclerosis and geographic location. ResultsA total of 505 articles were identified in the systematic review, and 7 were included in the meta-analysis with 1196 cognitively normal older adults. We found an overall prevalence of TDP-43 proteinopathy of 24%. Prevalence of TDP-43 proteinopathy varied widely across geographic location (North America: 37%, Asia: 29%, Europe: 14%, and Latin America: 11%). Estimated prevalence of TDP-43 proteinopathy also varied according to study quality (quality score >7: 22% vs. quality score <7: 42%), antibody used to assess TDP-43 proteinopathy (native: 18% vs. hyperphosphorylated: 24%) and presence of hippocampal sclerosis (without 24% vs. with hippocampal sclerosis: 48%). Other stratified analyses by age, sex, analysed brain regions, sample size and severity of AD neuropathology showed similar pooled TDP-43 prevalence. ConclusionsDifferent methodology to access TDP-43, and also differences in lifestyle and genetic factors across different populations could explain our results. Standardization of TDP-43 measurement, and future studies about the impact of genetic and lifestyle characteristics on the development of neurodegenerative diseases are needed.
- Neuropathological correlates of neuropsychiatric symptoms in dementia(2023) GIBSON, Lucy L.; GRINBERG, Lea T.; FFYTCHE, Dominic; LEITE, Renata E. P.; RODRIGUEZ, Roberta D.; FERRETTI-REBUSTINI, Renata E. L.; PASQUALUCCI, Carlos A.; NITRINI, Ricardo; JACOB-FILHO, Wilson; AARSLAND, Dag; SUEMOTO, Claudia K.Introduction Neuropsychiatric symptoms (NPS) are common in Lewy body disease (LBD), but their etiology is poorly understood. Methods In a population-based post mortem study neuropathological data was collected for Lewy body (LB) neuropathology, neurofibrillary tangles (NFT), amyloid beta burden, TDP-43, lacunar infarcts, cerebral amyloid angiopathy (CAA), and hyaline atherosclerosis. Post mortem interviews collected systematic information regarding NPS and cognitive status. A total of 1038 cases were included: no pathology (NP; n = 761), Alzheimer's disease (AD; n = 189), LBD (n = 60), and AD+LBD (n = 28). Results Hallucinations were associated with higher LB Braak stages, while higher NFT Braak staging was associated with depression, agitation, and greater number of symptoms in the Neuropsychiatric Inventory. Cases with dual AD+LBD pathology had the highest risk of hallucinations, agitation, apathy, and total symptoms but a multiplicative interaction between these pathologies was not significant. Discussion LB and AD pathology contribute differentially to NPS likely with an additive process contributing to the increased burden of NPS.
- Chemical Composition of Quasi-ultrafine Particles and their Sources in Elderly Residences of Sao Paulo Megacity(2020) SEGALIN, Bruna; FORNARO, Adalgiza; KUMAR, Prashant; KLEMM, Otto; ANDRADE, Maria F.; TREZZA, Beatriz Maria; BUSSE, Alexandre; FILHO, Wilson J.; GONCALVES, Fabio L. T.Atmospheric quasi-ultrafine particles (qUFP; PM<0.25) can cause harmful effects to human health, mainly to elderly people. Although not always considered, these effects can be mostly due to its chemical composition. The scope of this work is (i) to quantify the abundance of ions and trace elements in qUFP in elderly residences, (ii) to identify the sources of these qUFP and (iii) to estimate the respiratory deposition doses (RDD) of qUFP and black carbon (rBC), which is an important component of qUFP, to various parts of the respiratory tract. In order to evaluate the qUFP chemical composition in elderly residences in the Metropolitan Area of Sao Paulo (MASP), we collected qUFP by using a Personal Cascade Impactor Sampler (PCIS). We analysed ions by chromatography and trace elements by Energy Dispersive X-Ray Fluorescence. We identified the sources of qUFP by applying Positive Matrix Factorization. We calculated the RDD through an equation, which use the tidal volume of lung, the typical breath frequency, the deposition fraction and the mass concentration of different size fractions of a PM. We collected 60 samples from 59 residences between May 2014 and July 2015. The major of ions concentrations in qUFP were found to be SO42- and NH4+, and the major trace elements were Si and Fe. Some residences have a high concentration of the toxic heavy metals Cu, Ni, Pb and Cr. We found six dominant sources of the indoor qUFP: vehicular emission (57%), secondary inorganic aerosol (21%), soil and construction (7%), wall painting (7%), cooking (5%) and industry (3%). The maximum RDD of qUFP and rBC are in the tracheobronchial part. Our results show that vehicular emissions dominate the indoor qUFP concentrations and uptake in elderly residences in the MASP.
- Posturographic measures did not improve the predictive power to identify recurrent falls in community-dwelling elderly fallers(2020) CABRAL, Kelem de Negreiros; BRECH, Guilherme Carlos; ALONSO, Angelica Castilho; SOARES, Aline Thomaz; OPALEYE, Davi Camara; GREVE, Julia Maria D'Andrea; JACOB-FILHO, WilsonOBJECTIVE: This study aimed to evaluate if posturography can be considered a recurrent fall predictor in elderly individuals. METHODS: This was a cross-sectional study. A total of 124 subjects aged 60 to 88 years were evaluated and divided into two groups-the recurrent fallers (89) and single fallers (35) groups. Patients' sociodemographic characteristics were assessed, and clinical testing was performed. The functional test assessment instruments used were timed up and go test (TUGT), Berg Balance Scale (BBS), five times sit-to-stand test, and Falls Efficacy Scale (to measure fear of falling). Static posturography was performed in a force platform in the following three different situations-eyes open (EO), eyes closed (EC), and EO dual task. RESULTS: There were significant differences between the single and recurrent fallers groups regarding the fear of falling, the Geriatric Depression Scale score, the mean speed calculated from the total displacement of the center point of pressure (COP) in all directions with EO, and the root mean square of the displacement from the COP in the mediolateral axis with EC. Based on the hierarchical logistic regression model, none of the studied posturographic variables was capable of significantly increasing the power of differentiation between the recurrent and single fallers groups. Only TUGT with a cognitive distractor (p <0.05) and the BBS (p <0.01) presented with significant independent predictive power. CONCLUSION: TUGT with a cognitive distractor and the BBS were considered recurrent fall predictors in elderly fallers.