Molecular analysis of oral bacteria in dental biofilm and atherosclerotic plaques of patients with vascular disease
Identifieur interne : 002068 ( Main/Exploration ); précédent : 002067; suivant : 002069Molecular analysis of oral bacteria in dental biofilm and atherosclerotic plaques of patients with vascular disease
Auteurs : Clarissa Pessoa Fernandes [Brésil] ; Francisco Artur Forte Oliveira [Brésil] ; Paulo Goberlânio De Barros Silva [Brésil] ; Ana Paula Negreiros Nunes Alves [Brésil] ; Mário Rogério Lima Mota [Brésil] ; Raquel Carvalho Montenegro [Brésil] ; Rommel Mario Rodriguez Burbano [Brésil] ; Aline Damasceno Seabra [Brésil] ; José Filho Glauco Lobo [Brésil] ; Danilo Lopes Ferreira Lima [Brésil] ; Antônio Wilon Filho Evelin Soares [Brésil] ; Fabrício Bitu Sousa [Brésil]Source :
- International journal of cardiology [ 0167-5273 ] ; 2014.
Descripteurs français
- Pascal (Inist)
- Plaque dentaire, Plaque d'athérosclérose, Pathologie des vaisseaux sanguins, Athérosclérose, Bactériémie, Pathologie de l'appareil circulatoire, Biologie moléculaire, Cavité buccale, Voie orale, Bactérie, Biofilm, Homme, Malade, Salive, Liquide biologique, Streptococcus mutans, Cardiologie, Réaction chaîne polymérase en temps réel.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
Background: Oral bacteria have been detected in atherosclerotic plaques at a variable frequency; however, the connection between oral health and vascular and oral bacterial profiles of patients with vascular disease is not clearly established. The aim of this study was to evaluate the presence of oral bacterial DNA in the mouth and atherosclerotic plaques, in addition to assessing the patients' caries and periodontal disease history. Methods: Thirty samples of supragingival and subgingival plaque, saliva and atherosclerotic plaques of 13 patients with carotid stenosis or aortic aneurysm were evaluated, through real-time polymerase chain reaction, for the presence of Streptococcus mutans (SM), Prevotella intermedia (PI), Porphyromonas gingivalis (PG) and Treponema denticola (TD). All patients were submitted to oral examination using the DMFT (decayed, missing and filled teeth) and PSR (Periodontal Screening and Recording) indexes. Histopathological analysis of the atherosclerotic plaques was performed. Results: Most of the patients were edentulous (76.9%). SM, PI, PG and TD were detected in 100.0%, 92.0%, 15.3% and 30.7% of the oral samples, respectively. SM was the most prevalent targeted bacteria in atherosclerotic plaques, detected in 100% of the samples, followed by PI (7.1%). The vascular samples were negative for PG and TD. There was a statistically significant difference (p < 0.05) between the presence of PG and TD in the oral cavity and vascular samples. Conclusion: SM was found at a high frequency in oral and vascular samples, even in edentulous patients, and its presence in atherosclerotic plaques suggests the possible involvement of this bacterium in the disease progression.
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Molecular analysis of oral bacteria in dental biofilm and atherosclerotic plaques of patients with vascular disease</title><author><name sortKey="Fernandes, Clarissa Pessoa" sort="Fernandes, Clarissa Pessoa" uniqKey="Fernandes C" first="Clarissa Pessoa" last="Fernandes">Clarissa Pessoa Fernandes</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Forte Oliveira, Francisco Artur" sort="Forte Oliveira, Francisco Artur" uniqKey="Forte Oliveira F" first="Francisco Artur" last="Forte Oliveira">Francisco Artur Forte Oliveira</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="De Barros Silva, Paulo Goberlanio" sort="De Barros Silva, Paulo Goberlanio" uniqKey="De Barros Silva P" first="Paulo Goberlânio" last="De Barros Silva">Paulo Goberlânio De Barros Silva</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 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i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Montenegro, Raquel Carvalho" sort="Montenegro, Raquel Carvalho" uniqKey="Montenegro R" first="Raquel Carvalho" last="Montenegro">Raquel Carvalho Montenegro</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Human Cytogenetics Laboratory, Institute of Biological Sciences, Federal University of Para</s1><s2>Belem, Pard</s2><s3>BRA</s3><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Belem, Pard</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Burbano, Rommel Mario" sort="Rodriguez Burbano, Rommel Mario" uniqKey="Rodriguez Burbano R" first="Rommel Mario" last="Rodriguez Burbano">Rommel Mario Rodriguez Burbano</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Human Cytogenetics Laboratory, Institute of Biological Sciences, Federal University of Para</s1><s2>Belem, Pard</s2><s3>BRA</s3><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Belem, Pard</wicri:noRegion></affiliation></author><author><name sortKey="Damasceno Seabra, Aline" sort="Damasceno Seabra, Aline" uniqKey="Damasceno Seabra A" first="Aline" last="Damasceno Seabra">Aline Damasceno Seabra</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Institute of Biological Sciences, Federal University of Para</s1><s2>Belém, Pará</s2><s3>BRA</s3><sZ>8 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pará</region></placeName></affiliation></author><author><name sortKey="Glauco Lobo, Jose Filho" sort="Glauco Lobo, Jose Filho" uniqKey="Glauco Lobo J" first="José Filho" last="Glauco Lobo">José Filho Glauco Lobo</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>School of Medicine, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Ferreira Lima, Danilo Lopes" sort="Ferreira Lima, Danilo Lopes" uniqKey="Ferreira Lima D" first="Danilo Lopes" last="Ferreira Lima">Danilo Lopes Ferreira Lima</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>School of Dentistry, University of Fortaleza</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>10 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName></affiliation></author><author><name sortKey="Evelin Soares, Antonio Wilon Filho" sort="Evelin Soares, Antonio Wilon Filho" uniqKey="Evelin Soares A" first="Antônio Wilon Filho" last="Evelin Soares">Antônio Wilon Filho Evelin Soares</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Hospital de Messejana Dr. Carlos Alberto Studart Gomes</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName></affiliation></author><author><name sortKey="Bitu Sousa, Fabricio" sort="Bitu Sousa, Fabricio" uniqKey="Bitu Sousa F" first="Fabrício" last="Bitu Sousa">Fabrício Bitu Sousa</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du 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sortKey="Fernandes, Clarissa Pessoa" sort="Fernandes, Clarissa Pessoa" uniqKey="Fernandes C" first="Clarissa Pessoa" last="Fernandes">Clarissa Pessoa Fernandes</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Forte Oliveira, Francisco Artur" sort="Forte Oliveira, Francisco Artur" uniqKey="Forte Oliveira F" first="Francisco Artur" last="Forte Oliveira">Francisco Artur Forte Oliveira</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="De Barros Silva, Paulo Goberlanio" sort="De Barros Silva, Paulo Goberlanio" uniqKey="De Barros Silva P" first="Paulo Goberlânio" last="De Barros Silva">Paulo Goberlânio De Barros Silva</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Nunes Alves, Ana Paula Negreiros" sort="Nunes Alves, Ana Paula Negreiros" uniqKey="Nunes Alves A" first="Ana Paula Negreiros" last="Nunes Alves">Ana Paula Negreiros Nunes Alves</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Department of Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>4 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Lima Mota, Mario Rogerio" sort="Lima Mota, Mario Rogerio" uniqKey="Lima Mota M" first="Mário Rogério" last="Lima Mota">Mário Rogério Lima Mota</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Montenegro, Raquel Carvalho" sort="Montenegro, Raquel Carvalho" uniqKey="Montenegro R" first="Raquel Carvalho" last="Montenegro">Raquel Carvalho Montenegro</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Human Cytogenetics Laboratory, Institute of Biological Sciences, Federal University of Para</s1><s2>Belem, Pard</s2><s3>BRA</s3><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Belem, Pard</wicri:noRegion></affiliation></author><author><name sortKey="Rodriguez Burbano, Rommel Mario" sort="Rodriguez Burbano, Rommel Mario" uniqKey="Rodriguez Burbano R" first="Rommel Mario" last="Rodriguez Burbano">Rommel Mario Rodriguez Burbano</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Human Cytogenetics Laboratory, Institute of Biological Sciences, Federal University of Para</s1><s2>Belem, Pard</s2><s3>BRA</s3><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Brésil</country><wicri:noRegion>Belem, Pard</wicri:noRegion></affiliation></author><author><name sortKey="Damasceno Seabra, Aline" sort="Damasceno Seabra, Aline" uniqKey="Damasceno Seabra A" first="Aline" last="Damasceno Seabra">Aline Damasceno Seabra</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Institute of Biological Sciences, Federal University of Para</s1><s2>Belém, Pará</s2><s3>BRA</s3><sZ>8 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Pará</region></placeName></affiliation></author><author><name sortKey="Glauco Lobo, Jose Filho" sort="Glauco Lobo, Jose Filho" uniqKey="Glauco Lobo J" first="José Filho" last="Glauco Lobo">José Filho Glauco Lobo</name><affiliation wicri:level="4"><inist:fA14 i1="05"><s1>School of Medicine, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>9 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author><author><name sortKey="Ferreira Lima, Danilo Lopes" sort="Ferreira Lima, Danilo Lopes" uniqKey="Ferreira Lima D" first="Danilo Lopes" last="Ferreira Lima">Danilo Lopes Ferreira Lima</name><affiliation wicri:level="2"><inist:fA14 i1="06"><s1>School of Dentistry, University of Fortaleza</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>10 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName></affiliation></author><author><name sortKey="Evelin Soares, Antonio Wilon Filho" sort="Evelin Soares, Antonio Wilon Filho" uniqKey="Evelin Soares A" first="Antônio Wilon Filho" last="Evelin Soares">Antônio Wilon Filho Evelin Soares</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Hospital de Messejana Dr. Carlos Alberto Studart Gomes</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>11 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName></affiliation></author><author><name sortKey="Bitu Sousa, Fabricio" sort="Bitu Sousa, Fabricio" uniqKey="Bitu Sousa F" first="Fabrício" last="Bitu Sousa">Fabrício Bitu Sousa</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Department of Stomatology and Oral Pathology, School of Dentistry, Federal University of Ceará</s1><s2>Fortaleza, Ceará</s2><s3>BRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>5 aut.</sZ><sZ>12 aut.</sZ></inist:fA14><country>Brésil</country><placeName><region type="state">Ceará</region></placeName><orgName type="university">Université fédérale du Ceará</orgName></affiliation></author></analytic><series><title level="j" type="main">International journal of cardiology</title><title level="j" type="abbreviated">Int. j. cardiol.</title><idno type="ISSN">0167-5273</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of cardiology</title><title level="j" type="abbreviated">Int. j. cardiol.</title><idno type="ISSN">0167-5273</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Atherosclerosis</term><term>Atherosclerotic plaque</term><term>Bacteremia</term><term>Bacteria</term><term>Biofilm</term><term>Biological fluid</term><term>Cardiology</term><term>Cardiovascular disease</term><term>Dental plaque</term><term>Human</term><term>Molecular biology</term><term>Oral administration</term><term>Oral cavity</term><term>Patient</term><term>Real time polymerase chain reaction</term><term>Saliva</term><term>Streptococcus mutans</term><term>Vascular disease</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Plaque dentaire</term><term>Plaque d'athérosclérose</term><term>Pathologie des vaisseaux sanguins</term><term>Athérosclérose</term><term>Bactériémie</term><term>Pathologie de l'appareil circulatoire</term><term>Biologie moléculaire</term><term>Cavité buccale</term><term>Voie orale</term><term>Bactérie</term><term>Biofilm</term><term>Homme</term><term>Malade</term><term>Salive</term><term>Liquide biologique</term><term>Streptococcus mutans</term><term>Cardiologie</term><term>Réaction chaîne polymérase en temps réel</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: Oral bacteria have been detected in atherosclerotic plaques at a variable frequency; however, the connection between oral health and vascular and oral bacterial profiles of patients with vascular disease is not clearly established. The aim of this study was to evaluate the presence of oral bacterial DNA in the mouth and atherosclerotic plaques, in addition to assessing the patients' caries and periodontal disease history. Methods: Thirty samples of supragingival and subgingival plaque, saliva and atherosclerotic plaques of 13 patients with carotid stenosis or aortic aneurysm were evaluated, through real-time polymerase chain reaction, for the presence of Streptococcus mutans (SM), Prevotella intermedia (PI), Porphyromonas gingivalis (PG) and Treponema denticola (TD). All patients were submitted to oral examination using the DMFT (decayed, missing and filled teeth) and PSR (Periodontal Screening and Recording) indexes. Histopathological analysis of the atherosclerotic plaques was performed. Results: Most of the patients were edentulous (76.9%). SM, PI, PG and TD were detected in 100.0%, 92.0%, 15.3% and 30.7% of the oral samples, respectively. SM was the most prevalent targeted bacteria in atherosclerotic plaques, detected in 100% of the samples, followed by PI (7.1%). The vascular samples were negative for PG and TD. There was a statistically significant difference (p < 0.05) between the presence of PG and TD in the oral cavity and vascular samples. Conclusion: SM was found at a high frequency in oral and vascular samples, even in edentulous patients, and its presence in atherosclerotic plaques suggests the possible involvement of this bacterium in the disease progression.</div></front></TEI><affiliations><list><country><li>Brésil</li></country><region><li>Ceará</li><li>Pará</li></region><orgName><li>Université fédérale du Ceará</li></orgName></list><tree><country name="Brésil"><region name="Ceará"><name sortKey="Fernandes, Clarissa Pessoa" sort="Fernandes, Clarissa Pessoa" uniqKey="Fernandes C" first="Clarissa Pessoa" last="Fernandes">Clarissa Pessoa Fernandes</name></region><name sortKey="Bitu Sousa, Fabricio" sort="Bitu Sousa, Fabricio" uniqKey="Bitu Sousa F" first="Fabrício" last="Bitu Sousa">Fabrício Bitu Sousa</name><name sortKey="Damasceno Seabra, Aline" sort="Damasceno Seabra, Aline" uniqKey="Damasceno Seabra A" first="Aline" last="Damasceno Seabra">Aline Damasceno Seabra</name><name sortKey="De Barros Silva, Paulo Goberlanio" sort="De Barros Silva, Paulo Goberlanio" uniqKey="De Barros Silva P" first="Paulo Goberlânio" last="De Barros Silva">Paulo Goberlânio De Barros Silva</name><name sortKey="Evelin Soares, Antonio Wilon Filho" sort="Evelin Soares, Antonio Wilon Filho" uniqKey="Evelin Soares A" first="Antônio Wilon Filho" last="Evelin Soares">Antônio Wilon Filho Evelin Soares</name><name sortKey="Ferreira Lima, Danilo Lopes" sort="Ferreira Lima, Danilo Lopes" uniqKey="Ferreira Lima D" first="Danilo Lopes" last="Ferreira Lima">Danilo Lopes Ferreira Lima</name><name sortKey="Forte Oliveira, Francisco Artur" sort="Forte Oliveira, Francisco Artur" uniqKey="Forte Oliveira F" first="Francisco Artur" last="Forte Oliveira">Francisco Artur Forte Oliveira</name><name sortKey="Glauco Lobo, Jose Filho" sort="Glauco Lobo, Jose Filho" uniqKey="Glauco Lobo J" first="José Filho" last="Glauco Lobo">José Filho Glauco Lobo</name><name sortKey="Lima Mota, Mario Rogerio" sort="Lima Mota, Mario Rogerio" uniqKey="Lima Mota M" first="Mário Rogério" last="Lima Mota">Mário Rogério Lima Mota</name><name sortKey="Montenegro, Raquel Carvalho" sort="Montenegro, Raquel Carvalho" uniqKey="Montenegro R" first="Raquel Carvalho" last="Montenegro">Raquel Carvalho Montenegro</name><name sortKey="Nunes Alves, Ana Paula Negreiros" sort="Nunes Alves, Ana Paula Negreiros" uniqKey="Nunes Alves A" first="Ana Paula Negreiros" last="Nunes Alves">Ana Paula Negreiros Nunes Alves</name><name sortKey="Rodriguez Burbano, Rommel Mario" sort="Rodriguez Burbano, Rommel Mario" uniqKey="Rodriguez Burbano R" first="Rommel Mario" last="Rodriguez Burbano">Rommel Mario Rodriguez Burbano</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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