Trends in corneal transplantation from 2001 to 2016 in Brazil

Almeida, Hirlana Gomes; Hida, Richard Y; Kara-Júnior, Newton

doi:10.5935/0004-2749.20180096

Cited by 7 publications

(6 citation statements)

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“…Cornea has been the most transplanted tissue in Brazil since the late 1990s, with KC among the main etiologies. [39,40] Molecular and linkage studies have suggested multiple candidate genes that might underlie the development of KC. [32] In the present work, we found two nonsynonymous mutations in LOX, namely Arg158Gln and Thr392Pro, and an intronic SOD1 deletion previously associated with KC development.…”

Section: Discussionmentioning

confidence: 99%

Screening for Novel LOX and SOD1 Variants in Keratoconus Patients from Brazil

Gadelha¹,

Feitosa²,

Silva³

et al. 2020

JOVR

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Purpose: To investigate the presence of the variants of lysyl oxygenase (LOX) and superoxide dismutase 1 (SOD1) genes in Brazilian patients with advanced keratoconus. Methods: Donor genomic DNA extracted from blood samples was screened for 5’UTR, exonic LOX, and SOD1 variants in a subset of 26 patients presenting with advanced keratoconus (KISA > 1000% and I–S > 2.0) by Sanger sequencing. The impact of non-synonymous amino acid changes was evaluated by SIFT, PMUT, and PolyPhen algorithms. The Mutation Taster tool was used to evaluate the potential impact of formation of new donor and acceptor splice sites in the promoter region of affected volunteers carrying sequence variants. A 7-base SOD1 deletion (IVS2 + 50del7bp) previously associated with keratoconus was screened in 140 patients presenting classical keratoconus by gel fragment analysis, and positive samples were sequenced for confirmation. Results: We found an unreported missense variant in LOX exon 6 in one heterozygous patient, leading to substitution of proline with threonine at residue 392 (p. Thr392Pro) of LOX protein sequence. This mutation was predicted to be potentially damaging to LOX protein. Another LOX variant, Arg158Gln, was also detected in another patient but predicted to be non-pathogenic. Two additional new polymorphisms in LOX 5’UTR region (–116C > T and –58C > T) were found in two patients presenting with advanced keratoconus and were predicted to modulate or create donor/acceptor splice sites in LOX transcripts. Additionally, SOD1 deletion was detected in one patient presenting with severe keratoconus, not in control samples. Conclusion: We described three novel LOX polymorphisms identified for the first time in Brazilian patients with advanced keratoconus, as well as a previously described SOD1 deletion strongly associated with keratoconus. A possible role of these variants in modulating transcript levels in the cornea of affected individual requires further investigation.

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Section: Discussionmentioning

confidence: 99%

Screening for Novel LOX and SOD1 Variants in Keratoconus Patients from Brazil

Gadelha¹,

Feitosa²,

Silva³

et al. 2020

JOVR

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“…No período situado entre 2001 e 2016, houve um aumento de 2,4 vezes transplantes de córnea, e de 50,7% na eficácia em atender as demandas por este tecido para transplante na população. (8) No entanto, mesmo diante das melhorias evidenciadas, a necessidade da população por transplantes de córnea segue maior que a oferta, e uma possível causa para isto é a recusa familiar da doação de córneas para transplante. (8) Estudo indica que esse cenário de defasagem se repete em diversos locais do mundo.…”

Section: Introductionunclassified

“…(8) No entanto, mesmo diante das melhorias evidenciadas, a necessidade da população por transplantes de córnea segue maior que a oferta, e uma possível causa para isto é a recusa familiar da doação de córneas para transplante. (8) Estudo indica que esse cenário de defasagem se repete em diversos locais do mundo. (3) Sabe-se que, no mês de março do ano de 2020, a OMS declarou pandemia de Covid-19, em decorrência do vírus Sars-Cov-2, vírus altamente transmissível e infeccioso, afetando gravemente os índices de doação e transplante de órgãos e tecidos por diversos fatores, principalmente a suspensão de cirurgias eletivas.…”

Section: Introductionunclassified

Recusa familiar para doação de córneas para transplante: fatores associados e tendência

Silva,

Pimentel,

Moraes

et al. 2023

Acta Paulista De Enfermagem

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Conflitos de interesse: nada a declarar. ResumoObjetivo: Analisar a recusa familiar de doação de córnea para transplante em uma Organização de Procura de Órgãos. Métodos: Estudo quantitativo do tipo transversal sobre as recusas de córnea de doadores em situação de morte encefálica. A fonte de dados foi constituída pelos Termos de Autorização de Doação de Órgãos e Tecidos firmados entre janeiro de 2001 a dezembro de 2020 em uma Organização de Procura de Órgãos. Os dados foram coletados, tabulados e analisados de forma descritiva e inferencial. O presente estudo foi aprovado pelo Comitê de Ética em Pesquisa. Resultados: Dos 2.447 Termos de Autorização de Doação de Órgãos e Tecidos firmados no período, 620 (25.34%) recusaram a doação de córneas. Com relação à tendência temporal de recusas de doação de córneas, o único período que apresentou significância foi de 2001 a 2009, quando as faixas etárias de zero a 11 anos e 12 a 19 anos demonstraram tendência decrescente, e a faixa etária maior ou igual a 60 anos, mostrou-se crescente. No período total de 2001 a 2020, as faixas etárias dos 20 a 40 anos, 41 a 59 anos e maior ou igual a 60 anos apresentaram, 48%, 59% e 73%, respectivamente, menores chances de recusa da doação de córneas. Conclusão: A faixa etária apresentou associação com a recusa, tendo em vista que os indivíduos de maior idade apresentaram maiores índices.

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“…Organ and tissue distributions are controlled by the Brazilian National Transplant System, part of the Ministry of Health. 48,49 From a global perspective, Brazil is considered a self-sufficient country (with nationally procured corneas equivalent to its CT rates, without tissue importation demand) and is the third leading country in absolute CT numbers, only after the United States and India. 50 There are 356 services throughout the country that are authorized by the Brazilian National Transplant System to perform CTs.…”

mentioning

confidence: 99%

“…50 There are 356 services throughout the country that are authorized by the Brazilian National Transplant System to perform CTs. 49 Statistics are published annually by the Brazilian Registry of Transplants. Data have shown a relatively steady CT rate over the past years, ranging from 15,280 in 2012 to 14,493 in 2019.…”

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confidence: 99%

Trends in Corneal Transplantation in a Tertiary Hospital in Brazil

Moriyama

Forseto

Pereira

et al. 2021

Cornea

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Purpose:The purpose of this study was to analyze the evolving trends of surgical techniques and indications of corneal transplantation (CT) at a tertiary hospital in Brazil.Methods:The medical records of all patients who underwent CT at the Hospital Oftalmológico de Sorocaba (Sorocaba Eye Hospital) from the Banco de Olhos de Sorocaba (Sorocaba Eye Bank) group in Sorocaba, Brazil, from January 1, 2012, to December 31, 2019, were analyzed. Data regarding age, sex, transplant indication, and surgical technique were collected.Results:A total of 16,250 CTs were performed. There was a statistically significant decreasing trend of keratoconus-related CT (P < 0.0001), with rates dropping from 41.7% among all CTs in 2012 to 25.5% in 2019. Penetrating keratoplasty, anterior lamellar keratoplasty, and endothelial keratoplasty (EK) accounted for 59.3%, 27.1%, and 7.8% of the CTs performed in 2012 and 33.3%, 16.4%, and 39.9% in 2019, respectively. A statistically significant decreasing trend was observed for penetrating keratoplasty (P < 0.0001) and anterior lamellar keratoplasty (P < 0.0001), whereas EK showed a statistically significant increasing trend during the period (P < 0.0001). Among EKs, Descemet membrane EK increased statistically significantly from 12.8% in 2012 to 74.4% in 2019 (P < 0.0001).Conclusions:This study shows relevant evolving trends in indications and preferred CT techniques in a tertiary hospital in Brazil.

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Trends in corneal transplantation from 2001 to 2016 in Brazil

Cited by 7 publications

References 0 publications

Screening for Novel LOX and SOD1 Variants in Keratoconus Patients from Brazil

Screening for Novel LOX and SOD1 Variants in Keratoconus Patients from Brazil

Recusa familiar para doação de córneas para transplante: fatores associados e tendência

Trends in Corneal Transplantation in a Tertiary Hospital in Brazil

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