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1.
Nature ; 575(7783): 459-463, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31748725

RESUMO

Long-duration γ-ray bursts (GRBs) originate from ultra-relativistic jets launched from the collapsing cores of dying massive stars. They are characterized by an initial phase of bright and highly variable radiation in the kiloelectronvolt-to-megaelectronvolt band, which is probably produced within the jet and lasts from milliseconds to minutes, known as the prompt emission1,2. Subsequently, the interaction of the jet with the surrounding medium generates shock waves that are responsible for the afterglow emission, which lasts from days to months and occurs over a broad energy range from the radio to the gigaelectronvolt bands1-6. The afterglow emission is generally well explained as synchrotron radiation emitted by electrons accelerated by the external shock7-9. Recently, intense long-lasting emission between 0.2 and 1 teraelectronvolts was observed from GRB 190114C10,11. Here we report multi-frequency observations of GRB 190114C, and study the evolution in time of the GRB emission across 17 orders of magnitude in energy, from 5 × 10-6 to 1012 electronvolts. We find that the broadband spectral energy distribution is double-peaked, with the teraelectronvolt emission constituting a distinct spectral component with power comparable to the synchrotron component. This component is associated with the afterglow and is satisfactorily explained by inverse Compton up-scattering of synchrotron photons by high-energy electrons. We find that the conditions required to account for the observed teraelectronvolt component are typical for GRBs, supporting the possibility that inverse Compton emission is commonly produced in GRBs.

2.
Geophys Res Lett ; 42(21): 9481-9487, 2015 11 16.
Artigo em Inglês | MEDLINE | ID: mdl-27773951

RESUMO

At the end of March 2015 the onboard software configuration of the Astrorivelatore Gamma a Immagini Leggero (AGILE) satellite was modified in order to disable the veto signal of the anticoincidence shield for the minicalorimeter instrument. The motivation for such a change was the understanding that the dead time induced by the anticoincidence prevented the detection of a large fraction of Terrestrial Gamma-Ray Flashes (TGFs). The configuration change was highly successful resulting in an increase of one order of magnitude in TGF detection rate. As expected, the largest fraction of the new events has short duration (<100 µs), and part of them has simultaneous association with lightning sferics detected by the World Wide Lightning Location Network. The new configuration provides the largest TGF detection rate surface density (TGFs/km2/yr) to date, opening prospects for improved correlation studies with lightning and atmospheric parameters on short spatial and temporal scales along the equatorial region.

3.
Ann Rheum Dis ; 71(1): 150-4, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-22039170

RESUMO

OBJECTIVES: Interleukin (IL) 34 is a new cytokine implicated in macrophage differentiation and osteoclastogenesis. This study assessed IL-34 expression in the tissue of patients with rheumatoid arthritis (RA). METHODS: Immunohistochemistry was performed in synovial biopsies from patients with RA (n=20), osteoarthritis (n=3) or other inflammatory arthritis (n=4). IL-34 was detected in the synovial fluid by ELISA and its messenger RNA expression was studied by quantitative PCR in rheumatoid synovial fibroblasts after stimulation by tumour necrosis factor α (TNFα) and IL-1ß. Wild-type, jnk1(-/-)-jnk2(-/-) and nemo(-/-) murine fibroblasts and pharmacological inhibition were used to determine the involvement of nuclear factor kappa B (NF-κB) and JNK in that effect. RESULTS: IL-34 was expressed in 24/27 biopsies, with three samples from RA patients being negative. A significant association was found between IL-34 expression and synovitis severity. Levels of IL-34 and the total leucocyte count in synovial fluid were correlated. TNFα and IL-1ß stimulated IL-34 expression by synovial fibroblasts in a dose/time-dependent manner through the NF-κB and JNK pathway. CONCLUSION: This work for the first time identifies IL-34 expression in the synovial tissue of patients with arthritis. This cytokine, as a downstream effector of TNFα and IL-1ß, may contribute to inflammation and bone erosions in RA.


Assuntos
Artrite Reumatoide/metabolismo , Interleucinas/metabolismo , Sinovite/metabolismo , Adulto , Idoso , Idoso de 80 Anos ou mais , Artrite Reumatoide/complicações , Artrite Reumatoide/genética , Células Cultivadas , Relação Dose-Resposta a Droga , Feminino , Fibroblastos/efeitos dos fármacos , Fibroblastos/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Humanos , Interleucina-1beta/farmacologia , Interleucinas/genética , Sistema de Sinalização das MAP Quinases/fisiologia , Masculino , Pessoa de Meia-Idade , NF-kappa B/fisiologia , Osteoartrite/genética , Osteoartrite/metabolismo , RNA Mensageiro/genética , Líquido Sinovial/metabolismo , Sinovite/etiologia , Sinovite/genética , Fator de Necrose Tumoral alfa/farmacologia
4.
Pathol Biol (Paris) ; 60(2): 127-39, 2012 Apr.
Artigo em Francês | MEDLINE | ID: mdl-20116938

RESUMO

The balance in the production and release of cytokines "Th1/Th2" or "Th17" or "regulatory T" is one of the key events in the pathogenesis of systemic sclerosis (SSc). Specifically, the Th2 cytokine response, characterized by the production of IL-4, IL-10 and TGF-ß, leads to tissue fibrosis in patients with SSc. Many studies have shown the importance of analyzing the levels of cytokines as diagnostic or prognostic markers in the blood or in situ in patients with SSc. The restoration of the Th1/Th2/Th17/Treg balance will contribute to the effectiveness of treatment and the use of cytokine modulators may therefore be considered in developing new therapeutic approaches.


Assuntos
Citocinas/metabolismo , Escleroderma Sistêmico/metabolismo , Comunicação Celular/fisiologia , Citocinas/sangue , Citocinas/classificação , Citocinas/fisiologia , Humanos , Modelos Biológicos , Escleroderma Sistêmico/sangue , Escleroderma Sistêmico/etiologia , Escleroderma Sistêmico/imunologia , Células Th1/metabolismo , Células Th1/fisiologia , Equilíbrio Th1-Th2 , Células Th2/metabolismo , Células Th2/fisiologia
5.
Phys Rev Lett ; 106(1): 018501, 2011 Jan 07.
Artigo em Inglês | MEDLINE | ID: mdl-21231775

RESUMO

Strong electric discharges associated with thunderstorms can produce terrestrial gamma-ray flashes (TGFs), i.e., intense bursts of x rays and γ rays lasting a few milliseconds or less. We present in this Letter new TGF timing and spectral data based on the observations of the Italian Space Agency AGILE satellite. We determine that the TGF emission above 10 MeV has a significant power-law spectral component reaching energies up to 100 MeV. These results challenge TGF theoretical models based on runaway electron acceleration. The TGF discharge electric field accelerates particles over the large distances for which maximal voltages of hundreds of megavolts can be established. The combination of huge potentials and large electric fields in TGFs can efficiently accelerate particles in large numbers, and we reconsider here the photon spectrum and the neutron production by photonuclear reactions in the atmosphere.

6.
Diabetes Metab ; 35(2): 85-93, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19230736

RESUMO

Mesenchymal stem cells (MSCs) are multipotent non-haematopoietic progenitor cells that are being explored as a promising new treatment for tissue regeneration. Although their immunomodulatory properties are not yet completely understood, their low immunogenic potential together with their effects on immune response make them a promising therapeutic tool for severe refractory autoimmune diseases. Type 1 diabetes is characterized by T cell-mediated autoimmune destruction of pancreatic beta cells. While insulin replacement represents the current therapy for type 1 diabetes, its metabolic control remains difficult, as exogenous insulin cannot exactly mimic the physiology of insulin secretion. Pancreatic or islet transplantation can provide exogenous insulin independence, but is limited by its intrinsic complications and the scarcity of organ donors. In this context, stem cell therapy, based on the generation of insulin-producing cells (IPCs) derived from MSCs, represents an attractive possibility. In this review, we provide a brief characterization of MSC immunomodulatory effects, and present the current experimental evidence for the potential therapeutic efficacy of MSC transplantation in diabetes.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Células Secretoras de Insulina/citologia , Transplante de Células-Tronco Mesenquimais , Células-Tronco Mesenquimais/fisiologia , Animais , Diferenciação Celular , Modelos Animais de Doenças , Humanos , Terapia de Imunossupressão , Células Secretoras de Insulina/fisiologia , Células-Tronco Mesenquimais/imunologia
7.
Int J Mol Med ; 23(4): 513-20, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19288028

RESUMO

Advanced glycation end products (AGEs) may play a role in the pathogenesis of diabetic nephropathy, by modulating extracellular matrix turnover. AGEs are known to activate specific membrane receptors, including the receptor for AGE (RAGE). In the present study, we analyzed the various receptors for AGEs expressed by human mesangial cells and we studied the effects of glycated albumin and of carboxymethyl lysine on matrix protein and remodelling enzyme synthesis. Membrane RAGE expression was confirmed by FACS analysis. Microarray methods, RT-PCR, and Northern blot analysis were used to detect and confirm specific gene induction. Zymographic analysis and ELISA were used to measure the induction of tPA and PAI-1. We show herein that cultured human mesangial cells express AGE receptor type 1, type 2 and type 3 and RAGE. AGEs (200 microg/ml) induced at least a 2-fold increase in mRNA for 10 genes involved in ECM remodelling, including tPA, PAI-1 and TIMP-3. The increase in tPA synthesis was confirmed by fibrin zymography. The stimulation of PAI-1 synthesis was confirmed by ELISA. AGEs increased PAI-1 mRNA through a signalling pathway involving reactive oxygen species, the MAP kinases ERK-1/ERK-2 and the nuclear transcription factor NF-kappaB, but not AP-1. Carboxymethyl lysine (CML, 5 microM), which is a RAGE ligand, also stimulated PAI-1 synthesis by mesangial cells. In addition, a blocking anti-RAGE antibody partially inhibited the AGE-stimulated gene expression and decreased the PAI-1 accumulation induced by AGEs and by CML. Inhibition of AGE receptors or neutralization of the protease inhibitors TIMP-3 and PAI-1 could represent an important new therapeutic strategy for diabetic nephropathy.


Assuntos
Proteínas da Matriz Extracelular/genética , Produtos Finais de Glicação Avançada/farmacologia , Metaloproteinase 2 da Matriz/genética , Células Mesangiais/efeitos dos fármacos , Anticorpos/farmacologia , Northern Blotting , Células Cultivadas , Ensaio de Imunoadsorção Enzimática , Proteínas da Matriz Extracelular/metabolismo , Flavonoides/farmacologia , Citometria de Fluxo , Expressão Gênica/efeitos dos fármacos , Humanos , Lisina/análogos & derivados , Lisina/farmacologia , Metaloproteinase 2 da Matriz/metabolismo , Células Mesangiais/citologia , Células Mesangiais/metabolismo , Norleucina/farmacologia , Análise de Sequência com Séries de Oligonucleotídeos , Inibidor 1 de Ativador de Plasminogênio/genética , Inibidor 1 de Ativador de Plasminogênio/metabolismo , Receptor para Produtos Finais de Glicação Avançada , Receptores Imunológicos/genética , Receptores Imunológicos/imunologia , Receptores Imunológicos/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Inibidor Tecidual de Metaloproteinase-3/genética , Inibidor Tecidual de Metaloproteinase-3/metabolismo , Ativador de Plasminogênio Tecidual/genética , Ativador de Plasminogênio Tecidual/metabolismo , alfa-Macroglobulinas/genética , alfa-Macroglobulinas/metabolismo
9.
Rev Med Interne ; 30(3): 287-99, 2009 Mar.
Artigo em Francês | MEDLINE | ID: mdl-18930338

RESUMO

Mesenchymal stem cells (MSC) represent a population of the bone marrow microenvironment, which participates in the regulation of haematopoietic stem cells (HSC) self-renewal and differentiation. MSC are multipotent non-haematopoietic progenitors, which have been explored as a promising treatment in tissue regeneration. Both in vitro and in vivo, the MSC inhibit the T, B, NK and dendritic cell functions. Although MSC immunomodulating properties are not yet completely understood, their low immunogenic potential can be used as a therapeutic tool not only for regenerative medicine, but also for the treatment of graft-versus-host disease (GVHD) after bone marrow transplantation as well as for specific cases of severe refractory autoimmune diseases. Experimental and clinical data gave encouraging results, showing that MSC injection allowed controlling refractory GVHD, restoring bone development in children with osteogenesis imperfecta or improving heart function after myocardial infarction. Phase I-II studies are in progress in various countries to investigate the potential benefit from MSC due to their immunosuppressive properties, as an adjunctive therapy for severe refractory autoimmune disease.


Assuntos
Doenças Autoimunes/terapia , Terapia de Imunossupressão , Transplante de Células-Tronco Mesenquimais , Células-Tronco Mesenquimais , Adulto , Animais , Artrite Reumatoide/terapia , Transplante de Medula Óssea/imunologia , Terapia Baseada em Transplante de Células e Tecidos , Células Cultivadas , Criança , Ensaios Clínicos como Assunto , Ensaios Clínicos Fase I como Assunto , Ensaios Clínicos Fase II como Assunto , Modelos Animais de Doenças , Doença Enxerto-Hospedeiro/terapia , Humanos , Lúpus Eritematoso Sistêmico/terapia , Células-Tronco Mesenquimais/imunologia , Células-Tronco Mesenquimais/fisiologia , Camundongos , Camundongos Endogâmicos NOD , Esclerose Múltipla/terapia , Infarto do Miocárdio/terapia , Osteogênese Imperfeita/terapia , Papio , Estudos Prospectivos , Escleroderma Sistêmico/terapia
10.
Ann Rheum Dis ; 67(4): 443-9, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17526552

RESUMO

BACKGROUND: Mesenchymal stem cells (MSCs) have a potential immunomodulatory role in autoimmune disease; however, the qualitative properties and haematopoietic support capacity of MSCs derived from patients with autoimmune disease is unclear. OBJECTIVES: To further characterise phenotypically and functionally bone marrow (BM)-derived MSCs from patients with systemic sclerosis (SSc). METHODS: Key parameters of BM-derived MSC function and phenotype were assessed in 12 patients with SSc and compared with 13 healthy normal controls. The parameters included the ability to: form colony-forming unit fibroblasts (CFU-F), differentiate along the adipogenic and osteogenic lineages, express cell surface antigens defining the MSCs population, support normal haematopoiesis and suppress in vitro lymphocyte proliferation induced by either anti-CD3epsilon plus anti-CD28 monoclonal antibodies or the mixed lymphocyte reaction. RESULTS: SSc MSCs were shown to have a similar characteristic phenotype, capacities to form CFU-F and to differentiate along adipogenic and osteogenic lineages as those of healthy donor MSCs. The ability of SSc MSCs to support long-term haematopoiesis was also identical to that of controls. Both healthy donor and SSc BM MSCs reduced the proliferation of autologous and allogeneic peripheral blood mononuclear cells in a cell number dependent fashion. CONCLUSIONS: These results show that BM-derived MSCs from patients with SSc under the described culture conditions exhibit the same phenotypic, proliferative, differentiation potential and immunosuppressive properties as their healthy counterparts and could therefore be considered in an autologous setting. Further studies are needed to ensure the quality and safety of large-scale expansion of patient MSCs prior to their potential use in clinical trials.


Assuntos
Doenças Autoimunes/imunologia , Células da Medula Óssea/imunologia , Células-Tronco Mesenquimais/imunologia , Escleroderma Sistêmico/imunologia , Adulto , Doenças Autoimunes/terapia , Diferenciação Celular , Proliferação de Células , Células Cultivadas , Ensaio de Unidades Formadoras de Colônias , Feminino , Fibroblastos/patologia , Hematopoese , Transplante de Células-Tronco Hematopoéticas , Humanos , Imunofenotipagem , Teste de Cultura Mista de Linfócitos , Masculino , Pessoa de Meia-Idade , Escleroderma Sistêmico/terapia
13.
Rev Med Interne ; 27(1): 46-9, 2006 Jan.
Artigo em Francês | MEDLINE | ID: mdl-16330131

RESUMO

INTRODUCTION: Transforming Growth Factor beta 1 (TGFbeta1) is a key cytokine in the development of fibrotic diseases which are characterized by a pathological excess of extracellular matrix involving multiple organs. EXEGESIS: To induce its biological effects, TGFbeta1 interacts with Ser/Thr kinase receptor complexes. The polypeptide binding to the receptors induces TGFbeta intracellular mediator phosphorylation and namely Smad proteins. Upon phosphorylation the latter form protein complexes which are then translocated to the nucleus where they participate to matrix gene regulation. CONCLUSION: We will summarize the literature on the involvement of TGFbeta1 through the Smad proteins in fibrotic diseases.


Assuntos
Fibrose/fisiopatologia , Proteínas Smad/fisiologia , Fator de Crescimento Transformador beta/fisiologia , Humanos , Cinética , Fator de Crescimento Transformador beta1
14.
Oncogene ; 20(18): 2205-11, 2001 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-11402315

RESUMO

Smad proteins transduce signals from TGF-beta receptors and regulate transcription of target genes. Among the latter are c-jun and junB, which encode members of the AP-1 family of transcription factors. In this study, we have investigated the functional interactions of the Smad and AP-1 transcription factors in the context of Smad-specific gene transactivation in both fibroblasts and keratinocytes. We demonstrate that overexpression of either junB or c-jun prevents TGF-beta- or Smad3-induced transactivation of the Smad-specific promoter construct (SBE)(4)-Lux. Inversely, Smad-driven promoter transactivation by TGF-beta/Smad is significantly enhanced when c-jun expression is abolished in HaCaT keratinocytes, and when junB expression is prevented in fibroblasts, consistent with the cell-type specific induction of jun members by TGF-beta. We also demonstrate that Smad-specific gene transactivation in junB(-/-) mouse embryonic fibroblasts is significantly higher than in embryonic fibroblasts from the control parental mouse line, and that this difference is abolished by rescuing junB expression in junB(-/-) cells. Finally, we have determined that off-DNA interactions between Smad3 and both c-Jun and JunB result in the reduction of Smad3/DNA interactions. From these results, we provide a model in which jun expression in response to the initial Smad cascade represents a negative feed-back mechanism counteracting Smad-driven gene transactivation.


Assuntos
Proteínas de Ligação a DNA/fisiologia , Proteínas Proto-Oncogênicas c-jun/biossíntese , Transativadores/fisiologia , Fator de Transcrição AP-1/biossíntese , Ativação Transcricional/fisiologia , Fator de Crescimento Transformador beta/fisiologia , Animais , Células COS , DNA/genética , DNA/metabolismo , DNA Antissenso/genética , Proteínas de Ligação a DNA/antagonistas & inibidores , Proteínas de Ligação a DNA/genética , Fibroblastos/fisiologia , Genes jun/genética , Humanos , Queratinócitos/fisiologia , Camundongos , Proteínas Proto-Oncogênicas c-jun/genética , Proteína Smad3 , Transativadores/antagonistas & inibidores , Transativadores/genética , Fator de Transcrição AP-1/genética , Fator de Transcrição AP-1/fisiologia , Transfecção , Fator de Crescimento Transformador beta/antagonistas & inibidores
15.
Oncogene ; 20(26): 3332-40, 2001 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-11423983

RESUMO

Smad proteins transduce signals from TGF-beta receptors and regulate transcription of target genes either directly or in combination with other sequence-specific transcription factors. AP-1 sites and their cognate transcription factors also play important roles in the gene regulatory activities of TGF-beta. In this report, we have investigated the functional interactions of the Smad and AP-1 transcription factors. We demonstrate that Smad and AP-1 complexes specifically bind to their cognate cis-elements and do not interact with each other on-DNA, whereas off-DNA interactions occur between Smad3 and both c-Jun and JunB. Using both artificial constructs specific for either the Smad or AP-1 signaling pathways or natural promoters known to be TGF-beta-responsive, we have determined that Jun family members downregulate Smad3-mediated gene transactivation whereas AP-1-dependent promoters are synergistically activated by Smad3 and Jun proteins. We propose a model where the presence of Smad- and/or AP-1-specific cis-elements within TGF-beta-responsive genes allows dynamic modulation of gene expression, in contrast to the existing model where interactions between Smad and AP-1 proteins are merely an on/off mechanism to regulate TGF-beta/Smad targets.


Assuntos
Receptores de Ativinas Tipo I , Proteínas de Ligação a DNA/metabolismo , Regiões Promotoras Genéticas/efeitos dos fármacos , Proteínas Serina-Treonina Quinases/efeitos dos fármacos , Receptores de Fatores de Crescimento Transformadores beta/efeitos dos fármacos , Transativadores/metabolismo , Fator de Transcrição AP-1/metabolismo , Transcrição Gênica/efeitos dos fármacos , Fator de Crescimento Transformador beta/farmacologia , Animais , Sequência de Bases , Células COS , Células Cultivadas , Chlorocebus aethiops , Sequência Consenso , DNA/metabolismo , Fibroblastos/citologia , Humanos , Substâncias Macromoleculares , Dados de Sequência Molecular , Oligodesoxirribonucleotídeos/metabolismo , Oligopeptídeos , Peptídeos/imunologia , Proteínas Serina-Treonina Quinases/fisiologia , Proteínas Proto-Oncogênicas c-jun/metabolismo , Receptor do Fator de Crescimento Transformador beta Tipo I , Receptores de Fatores de Crescimento Transformadores beta/fisiologia , Sequências Reguladoras de Ácido Nucleico , Transdução de Sinais/efeitos dos fármacos , Proteína Smad3 , Especificidade por Substrato , Ativação Transcricional , Transfecção
16.
FASEB J ; 17(13): 1919-21, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14519668

RESUMO

Nephroblastoma overexpressed gene (NOV) is highly expressed in the nervous system. We investigated its biological activity by expressing the human NOV gene (NOVH) in a human glioblastoma cell line that is negative for NOVH and by analyzing four clones with different levels of NOVH expression. There was no difference in cell proliferation between the NOVH-expressing cell lines, but there was increased cell adhesion and migration that correlated with increasing NOVH expression. Gene expression profiling was used to investigate the mechanisms by which NOVH expression regulated cell activity. We identified two induced genes in NOVH-expressing cells that are involved in cell migration: matrix metalloprotease (MMP)3 and platelet-derived growth factor receptor (PDGFR)-alpha. Our studies show that PDGFR-alpha induced MMP3 gene expression and increased cell proliferation and cell migration upon stimulation by platelet-derived growth factor (PDGF)-AA. We also show that the induction of MMP3 in cells expressing NOVH is potentiated by either cell density, serum, or PDGF-BB. Thus, expression of NOVH in glioblastoma cells triggers a cascade of gene expression resulting in increased cell adhesion and migration.


Assuntos
Neoplasias Encefálicas/fisiopatologia , Movimento Celular , Glioblastoma/fisiopatologia , Proteínas Imediatamente Precoces/farmacologia , Peptídeos e Proteínas de Sinalização Intercelular/farmacologia , Metaloproteinase 3 da Matriz/biossíntese , Becaplermina , Neoplasias Encefálicas/enzimologia , Neoplasias Encefálicas/metabolismo , Adesão Celular/efeitos dos fármacos , Movimento Celular/efeitos dos fármacos , Fator de Crescimento do Tecido Conjuntivo , Regulação da Expressão Gênica , Glioblastoma/enzimologia , Glioblastoma/metabolismo , Humanos , Metaloproteinase 3 da Matriz/genética , Modelos Biológicos , Proteína Sobre-Expressa em Nefroblastoma , Fator de Crescimento Derivado de Plaquetas/farmacologia , Proteínas Proto-Oncogênicas c-sis , Receptor alfa de Fator de Crescimento Derivado de Plaquetas/genética , Receptor alfa de Fator de Crescimento Derivado de Plaquetas/metabolismo , Células Tumorais Cultivadas
17.
Eur J Surg Oncol ; 41(7): 823-9, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25800935

RESUMO

INTRODUCTION: The optimal extent of the groin lymph node (LN) dissection for melanoma patients with positive sentinel LN biopsy is still debated and no agreement exist on dissection of pelvic LN. This study aimed at investigating predictors of pelvic LN metastasis and prognostic significance of having metastasis in the pelvic LNs. METHODS: Clinicopathologic data of 740 patients with positive groin sentinel LN who underwent ilioinguinal completion LN dissection at four Italian centre were analysed. Multivariable logistic and Cox regression analysis was used to identify independent predictors of pelvic LN metastasis and to adjust prognostic significance of pelvic LN metastasis. RESULTS: More than a quarter (26%) of patients had positive non-SLNs after inguinal and pelvic lymphadenectomy, which were located in their pelvis in the 12% of cases. Older patients [(OR) 1.69; 95% confidence interval (CI) 1.02-2.78] having thick primary (OR 1.6; 95% CI, 1.01-2.53) and ≥ 2 positive SLNs (OR 2.5; 95% CI, 1.4-4.47) were more likely to harbour pelvic LN metastasis. Interestingly, 4% of all patients (34% of patients with positive pelvic LNs) had pelvic LN metastasis with negative inguinal LNs. Pelvic LN metastasis was independently associated with higher risk of recurrence and lower survival. 5-year disease free and overall survival was 30% and 50%, respectively, for patients with pelvic LN metastasis. CONCLUSIONS: Pelvic LNs are frequently positive after ilioinguinal lymphadenectomy and it should be considered for all patients, especially those who are older, have thick primary and ≥ 2 positive SLN. Patients with pelvic LN metastasis have worse prognosis.


Assuntos
Excisão de Linfonodo , Linfonodos/patologia , Melanoma/secundário , Melanoma/cirurgia , Biópsia de Linfonodo Sentinela , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgia , Adulto , Idoso , Intervalo Livre de Doença , Feminino , Humanos , Canal Inguinal , Itália , Estimativa de Kaplan-Meier , Linfonodos/cirurgia , Metástase Linfática/diagnóstico , Masculino , Melanoma/mortalidade , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/patologia , Estadiamento de Neoplasias , Razão de Chances , Pelve , Valor Preditivo dos Testes , Prognóstico , Estudos Retrospectivos , Neoplasias Cutâneas/mortalidade , Resultado do Tratamento
18.
J Invest Dermatol ; 116(5): 755-63, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11348466

RESUMO

Fibrosis is a consequence of injury characterized by accumulation of excess collagen and other extracellular matrix components, resulting in the destruction of normal tissue architecture and loss of function. Sp1 was originally described as a ubiquitous transcription factor. It is involved in the basal expression of extracellular matrix genes and may, therefore, be important in fibrotic processes. To evaluate the effect of Sp1 blockade on the expression of extracellular matrix genes, clones of NIH 3T3 fibroblasts stably transfected with an anti-sense Sp1 expression vector. Simultaneously reduced expression of several extracellular matrix genes as compared with mock-transfected clones was noted using differential hybridization of cDNA microarrays, without significant alteration in cell growth. Transfection of human dermal fibroblasts with several extracellular matrix gene (COL1A1, COL1A2, COL3A1, COL5A2, COL7A1, TIMP-1, and decorin) promoter/reporter constructs demonstrated that anti-sense Sp1-induced reduction of extracellular matrix gene mRNA steady-state levels results from transcriptional repression, consistent with the role of Sp1 as a transcription factor. Decoy Sp1 binding oligonucleotides inhibited COL1A2 promoter activity both in cultured fibroblasts and in vivo, in the skin of transgenic mice, which have integrated a mouse COL1A2 promoter/luciferase reporter gene construct. These results indicate that targeting Sp1 efficiently blocks extracellular matrix gene expression, and suggest that such an approach may represent an interesting therapeutic alternative toward the treatment of fibrotic disorders.


Assuntos
Matriz Extracelular/genética , Fibroblastos/patologia , Expressão Gênica/fisiologia , Fator de Transcrição Sp1/antagonistas & inibidores , Células 3T3 , Animais , Elementos Antissenso (Genética)/farmacologia , Sítios de Ligação , Células Cultivadas , Colágeno/genética , Colágeno Tipo I , DNA Complementar/genética , Matriz Extracelular/efeitos dos fármacos , Matriz Extracelular/fisiologia , Fibroblastos/fisiologia , Fibrose , Expressão Gênica/efeitos dos fármacos , Genes Reporter/efeitos dos fármacos , Genes Reporter/fisiologia , Humanos , Camundongos , Análise de Sequência com Séries de Oligonucleotídeos , Regiões Promotoras Genéticas/efeitos dos fármacos , Regiões Promotoras Genéticas/fisiologia , Fator de Transcrição Sp1/genética , Fator de Transcrição Sp1/metabolismo , Transfecção
19.
Eur J Pharmacol ; 313(3): 243-55, 1996 Oct 17.
Artigo em Inglês | MEDLINE | ID: mdl-8911921

RESUMO

Gossypol (a polycyclic lipophilic agent naturally present in cottonseed, known as a potent non-steroid antifertility agent and a non-specific enzyme inhibitor) irreversibly impaired the intercellular communication between homologous pairs of various cultured cells, from man or rat, involved (Sertoli or trophoblastic cells) or not involved (ventricular myocytes) in steroidogenesis, in a dose-dependent manner. In serum-free assays, a rapid junctional uncoupling occurred in non-cytotoxic conditions. At 5 microM (approximately twice the peak plasma concentration measured in human patients during chronic administration), gap junctional communication was interrupted within 4 to 10 min, without concomitant rise in the intracellular Ca2+ concentration. The latter importantly increased when gossypol treatment was prolonged (cytotoxic effect). The short term uncoupling effect of gossypol was prevented by serum proteins, but long-lasting treatments (48 h) with moderate concentrations (3 microM) elicited junctional uncoupling and impeded the in vitro differentiation of human trophoblasts.


Assuntos
Comunicação Celular/efeitos dos fármacos , Anticoncepcionais/farmacologia , Gossipol/farmacologia , Animais , Cálcio/metabolismo , Cálcio/farmacologia , Permeabilidade da Membrana Celular , Células Cultivadas , Anticoncepcionais/toxicidade , Meios de Cultura Livres de Soro , Feminino , Corantes Fluorescentes/farmacocinética , Junções Comunicantes/efeitos dos fármacos , Junções Comunicantes/fisiologia , Gossipol/toxicidade , Coração/efeitos dos fármacos , Humanos , Cinética , Masculino , Miocárdio/citologia , Miocárdio/metabolismo , Ratos , Células de Sertoli/citologia , Células de Sertoli/efeitos dos fármacos , Células de Sertoli/metabolismo , Trofoblastos/citologia , Trofoblastos/efeitos dos fármacos , Trofoblastos/metabolismo
20.
Can J Cardiol ; 13(11): 1093-100, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9413243

RESUMO

BACKGROUND: Electrical coupling between cardiac muscle cells is mediated by specialized sites of plasma membrane termed 'gap junctions', which consist of clusters of transmembrane channels that directly link the cytoplasmic compartments of neighbouring cells and allow direct transfer of small ions and molecules. These structures provide low resistance electrical pathways between cardiac cells, necessary for rapid impulse propagation and, thus, coordinate contraction of the myocardium. OBJECTIVE: To investigate the effects of derivatives of sex steroid hormones and of some of their antagonists on junctional communication in pairs of cultured ventricular myocytes of neonatal rats. MAIN RESULTS: Short term (15 min) exposures to some of these lipophilic compounds led, in a concentration range 1 to 22 microM, to a reversible inhibition of cell to cell communication. None of these uncoupling treatments altered the cytosolic calcium concentration, examined by means of a fluorescence indicator. The uncoupling effect of sex hormones persisted in the presence of blockers of their respective nuclear receptors (eg, cyproterone acetate for testosterone and tamoxifen for 17-beta-estradiol). Some of these blockers (tamoxifen, clomiphene) were able to impair gap junctional communication, whereas others (nafoxidine and cyproterone acetate) had no effect. None of protein kinase C, cAMP-dependent protein kinase and protein tyrosine kinase pathways seemed to be involved in these effects. CONCLUSIONS: Several lipophilic compounds able to hinder cell to cell communication have also been seen to affect voltage-activated or ligand-activated ionic channels. Lipophilic molecules with an appropriate molecular skeleton could insert into the membrane, with resulting destabilization and unspecific closure of membrane channels.


Assuntos
Contração Miocárdica/efeitos dos fármacos , Miocárdio/citologia , Antagonistas de Androgênios/farmacologia , Animais , Técnicas de Cultura , Estradiol/farmacologia , Antagonistas de Estrogênios/farmacologia , Ratos , Esteroides/farmacologia , Tamoxifeno/farmacologia , Testosterona/farmacologia
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