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1.
J Agric Food Chem ; 71(25): 9644-9655, 2023 Jun 28.
Artículo en Inglés | MEDLINE | ID: mdl-37321591

RESUMEN

Nanoparticles (NPs) have been shown to deliver micronutrients to plants to improve health, increase biomass, and suppress disease. Nanoscale properties such as morphology, size, composition, and surface chemistry have all been shown to impact nanomaterial interactions with plant systems. An organic-ligand-free synthesis method was used to prepare positively charged copper oxide (CuO) nanospikes, negatively charged CuO nanospikes, and negatively charged CuO nanosheets with exposed (001) crystal faces. X-ray photoelectron spectroscopy measurements show that the negative charge correlates to increased surface concentration of O on the NP surface, whereas relatively higher Cu concentrations are observed on the positively charged surfaces. The NPs were then used to treat tomato (Solanum lycopersicum) grown in soil infested with Fusarium oxysporum f. sp. lycopersici under greenhouse conditions. The negatively charged CuO significantly reduced disease progression and increased biomass, while the positively charged NPs and a CuSO4 salt control had little impact on the plants. Self-assembled monolayers were used to mimic the leaf surface to understand the intermolecular interactions between the NPs and the plant leaf; the data demonstrate that NP electrostatics and hydrogen-bonding interactions play an important role in adsorption onto leaf surfaces. These findings have important implications for the tunable design of materials as a strategy for the use of nano-enabled agriculture to increase food production.


Asunto(s)
Nanopartículas del Metal , Nanopartículas , Solanum lycopersicum , Cobre/análisis , Nanopartículas/química , Agricultura , Suelo , Nanopartículas del Metal/química
2.
Environ Toxicol Chem ; 42(7): 1451-1462, 2023 07.
Artículo en Inglés | MEDLINE | ID: mdl-37036253

RESUMEN

Complex metal oxide nanomaterials, like lithiated cobalt oxide (LCO) nanosheets, are among the most widespread classes of nanomaterials on the market. Their ubiquitous application in battery storage technology drives their production to rates of environmental significance without sufficient infrastructure for proper disposal/recycling, thus posing a risk to ecosystem health and sustainability. The present study assesses the general toxicological impacts of LCO when exposed to Raphidocelis subcapitata; physiological endpoints relating to growth and energy production are considered. Algal growth inhibition was significantly increased at concentrations as low as 0.1 µg ml-1 , while exhibiting a median effect concentration of 0.057 µg ml-1 . The average biovolume of cells was significantly enlarged at 0.01 µg ml-1 , thus indicating increased instances of cell cycle arrest in LCO-treated cells. In addition, LCO-treated cells produced significantly less carbon biomass while significantly overproducing neutral lipid content starting at 0.1 µg ml-1 , thus indicating interference with CO2 assimilation chemistry and/or carbon partitioning. However, the relative abundance of chlorophyll was significantly increased, likely to maximize light harvesting and compensate for photosynthetic interference. Cells that were treated with dissolved Li+ /Co2+ ions did not significantly impact any of the endpoints tested, suggesting that LCO phytotoxicity is mainly induced through nano-specific mechanisms rather than ion-specific ones. These results indicate that this type of nanomaterial can significantly impact the way this alga proliferates, as well as the way it produces and stores its energy, even at lower, sublethal, concentrations. Furthermore, impairments to crucial cellular pathways, like carbon assimilation, could potentially cause implications at the ecosystem level. Thus, in future work, it will be important to characterize the molecular mechanisms of LCO at the nano-bio interface. Environ Toxicol Chem 2023;42:1451-1462. © 2023 SETAC.


Asunto(s)
Nanoestructuras , Contaminantes Químicos del Agua , Ecosistema , Cobalto/toxicidad , Óxidos/toxicidad , Nanoestructuras/toxicidad , Contaminantes Químicos del Agua/toxicidad
3.
Plant Ecol ; 223(3): 339-351, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-34849090

RESUMEN

The longleaf pine (LLP) savanna ecosystem once covered ~ 92 million acres of the Southeast USA, but due to anthropogenic activities such as logging and fire suppression, only 3% of its once widespread historic range remains. While many restoration efforts are underway to conserve this biodiverse ecosystem, restoration must be done in the context of climate change. In the last few decades, heatwaves have increased in frequency and intensity across the Southeastern USA with further increases predicted. To expand our understanding of LLP savanna restoration in light of these changes, we ran a series of three simulated heatwave greenhouse experiments through a Course-based Undergraduate Research Experience (CURE) incorporating ~ 150 undergraduate researchers per experiment. We measured plant growth metrics for four understory grasses commonly used in LLP savanna restoration efforts. We found that while most grass plug individuals survived heatwave conditions, aboveground production was reduced due to heatwaves. This productivity decrease could result in less biomass available for the essential vegetation fire feedback loop, where fire increases grass biomass, and in turn, more grass provides more fuel for fire. These results imply that land managers can proactively compensate for biomass loss due to heatwaves by planting more grass plugs during initial restoration. Supplementary Information: The online version contains supplementary material available at 10.1007/s11258-021-01212-7.

4.
Nat Commun ; 10(1): 5808, 2019 12 20.
Artículo en Inglés | MEDLINE | ID: mdl-31862890

RESUMEN

The causes of impaired skeletal muscle mass and strength during aging are well-studied in healthy populations. Less is known on pathological age-related muscle wasting and weakness termed sarcopenia, which directly impacts physical autonomy and survival. Here, we compare genome-wide transcriptional changes of sarcopenia versus age-matched controls in muscle biopsies from 119 older men from Singapore, Hertfordshire UK and Jamaica. Individuals with sarcopenia reproducibly demonstrate a prominent transcriptional signature of mitochondrial bioenergetic dysfunction in skeletal muscle, with low PGC-1α/ERRα signalling, and downregulation of oxidative phosphorylation and mitochondrial proteostasis genes. These changes translate functionally into fewer mitochondria, reduced mitochondrial respiratory complex expression and activity, and low NAD+ levels through perturbed NAD+ biosynthesis and salvage in sarcopenic muscle. We provide an integrated molecular profile of human sarcopenia across ethnicities, demonstrating a fundamental role of altered mitochondrial metabolism in the pathological loss of skeletal muscle mass and function in older people.


Asunto(s)
Envejecimiento/fisiología , Mitocondrias/patología , Músculo Esquelético/patología , NAD/biosíntesis , Sarcopenia/patología , Anciano , Anciano de 80 o más Años , Biopsia , Estudios de Casos y Controles , Metabolismo Energético/fisiología , Humanos , Jamaica , Masculino , Persona de Mediana Edad , Mitocondrias/metabolismo , Músculo Esquelético/citología , Músculo Esquelético/metabolismo , Oxidación-Reducción , Fosforilación Oxidativa , Estrés Oxidativo/fisiología , Proteostasis , Sarcopenia/etnología , Singapur , Reino Unido
5.
Langmuir ; 35(50): 16640-16649, 2019 12 17.
Artículo en Inglés | MEDLINE | ID: mdl-31751510

RESUMEN

Adsorption of small ions such as phosphates to the surfaces of metal oxides can significantly alter the behavior of these materials, especially when present in the nanoscale form. Lithium cobalt oxide is a good model system for understanding small-molecule interactions with emerging nanomaterials because of its widespread use in lithium ion batteries and its known activity as a water oxidation catalyst. Here, we present a thermodynamic analysis of phosphate adsorption to LiCoO2 and corroborate the results with additional in situ techniques, including zeta potential measurements and attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy, at pH values relevant to potential environmental release scenarios. Flow microcalorimetry measurements of phosphate interaction with LiCoO2 at pH 7.4 show that there are two distinct exothermic processes taking place. Time-sequence in situ ATR-FTIR with two-dimensional correlation analysis reveals the spectroscopic signatures of these processes. We interpret the data as an interaction of phosphate with LiCoO2 that occurs through the release of two water molecules and is therefore, best described as a condensation process rather than a simple adsorption, consistent with prior studies, demonstrating that phosphate interaction with LiCoO2 is highly irreversible. Additional measurements for over longer times of 5 months show that phosphate adsorption terminates with one surface layer and that continued transformation over longer periods of time arises from H+/Li+ exchange and slow transformation to a cobalt hydroxide, with phosphate adsorbed to the surface only. To the best of our knowledge, this is the first time that flow microcalorimetry and two-dimensional correlation spectroscopy have been applied in tandem to clarify the specific chemical reactions that occur at the interface of solids and adsorbates.

6.
Chem Sci ; 10(42): 9768-9781, 2019 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-32055346

RESUMEN

Engineered nanoparticles are incorporated into numerous emerging technologies because of their unique physical and chemical properties. Many of these properties facilitate novel interactions, including both intentional and accidental effects on biological systems. Silver-containing particles are widely used as antimicrobial agents and recent evidence indicates that bacteria rapidly become resistant to these nanoparticles. Much less studied is the chronic exposure of bacteria to particles that were not designed to interact with microorganisms. For example, previous work has demonstrated that the lithium intercalated battery cathode nanosheet, nickel manganese cobalt oxide (NMC), is cytotoxic and causes a significant delay in growth of Shewanella oneidensis MR-1 upon acute exposure. Here, we report that S. oneidensis MR-1 rapidly adapts to chronic NMC exposure and is subsequently able to survive in much higher concentrations of these particles, providing the first evidence of permanent bacterial resistance following exposure to nanoparticles that were not intended as antibacterial agents. We also found that when NMC-adapted bacteria were subjected to only the metal ions released from this material, their specific growth rates were higher than when exposed to the nanoparticle. As such, we provide here the first demonstration of bacterial resistance to complex metal oxide nanoparticles with an adaptation mechanism that cannot be fully explained by multi-metal adaptation. Importantly, this adaptation persists even after the organism has been grown in pristine media for multiple generations, indicating that S. oneidensis MR-1 has developed permanent resistance to NMC.

7.
Environ Sci Technol ; 52(17): 10186-10195, 2018 09 04.
Artículo en Inglés | MEDLINE | ID: mdl-30078331

RESUMEN

A commonly overlooked and largely unknown aspect of assessing the environmental and biological safety of engineered nanomaterials is their transformation in aqueous systems. Complex metal oxides are an important class of materials for catalysis, energy storage, and water purification. However, the potential impact of nano complex metal oxides on the environment upon improper disposal is not well understood. We present a comprehensive analysis of the interaction of an environmentally relevant oxyanion, phosphate, with a complex metal oxide nanomaterial, lithium cobalt oxide. Our results show that adsorption of phosphate to the surface of these materials drastically impacts their surface charge, rendering them more stable in aqueous systems. The adsorbed phosphate remains on the surface over significant periods of time, suggesting that desorption is not kinetically favored. The implications of this interaction may be increased dispersibility and bioavailability of these materials in environmental water systems.


Asunto(s)
Nanopartículas , Fosfatos , Adsorción , Cobalto , Óxidos
8.
Analyst ; 141(6): 1958-65, 2016 Mar 21.
Artículo en Inglés | MEDLINE | ID: mdl-26907673

RESUMEN

We report development of a mobile and easy-to-fabricate theta pipette microfluidic device for segmented flow sampling. The theta pipettes were also used as electrospray emitters for analysis of sub-nanoliter segments, which resulted in delivery of analyte to the vacuum inlet of the mass spectrometer without multiple transfer steps. Theta pipette probes enable sample collection with high spatial resolution due to micron or smaller sized probe inlets and can be used to manipulate aqueous segments in the range of 200 pL to tens of nanoliters. Optimized conditions can enable sampling with high spatial and temporal resolution, suitable for chemical monitoring in biological samples and studies of sample heterogeneity. Intercellular heterogeneity among Allium cepa cells was studied by collecting cytoplasm from multiple cells using a single probe. Extracted cytoplasm was analyzed in a fast and high throughput manner by direct electrospray mass spectrometry of segmented sample from the probe tip.


Asunto(s)
Técnicas Citológicas/instrumentación , Dispositivos Laboratorio en un Chip , Espacio Extracelular/metabolismo , Cebollas/citología
9.
Am J Clin Nutr ; 99(5): 1052-8, 2014 May.
Artículo en Inglés | MEDLINE | ID: mdl-24598154

RESUMEN

BACKGROUND: We have shown that a low glutathione concentration and synthesis rate in erythrocytes are associated with a shortage of protein-derived cysteine in children with edematous severe acute malnutrition (SAM). OBJECTIVE: We tested the hypothesis that methionine supplementation may increase protein-derived cysteine and upregulate cysteine synthesis, thereby improving glutathione synthesis during the early treatment of edematous SAM. DESIGN: The cysteine flux, its de novo synthesis and release from protein breakdown, and erythrocyte glutathione synthesis rate were measured in 12 children with edematous SAM in the fed state by using stable isotope tracers at 3 clinical phases as follows: 3 ± 1 d (±SE) [clinical phase 1 (CP1)], 8 ± 1 d [clinical phase 2 (CP2)], and 14 ± 2 d (clinical phase 3) after admission. Subjects were randomly assigned to receive equimolar supplements (0.5 mmol ⋅ kg(-1) ⋅ d(-1)) of methionine or alanine (control) immediately after CP1. RESULTS: In the methionine compared with the alanine group, cysteine flux derived from protein breakdown was faster at CP2 than CP1 (P < 0.05), and the change in plasma cysteine concentration from CP1 to CP2 was greater (P < 0.05). However, there was no evidence of a difference in cysteine de novo synthesis and its total flux or erythrocyte glutathione synthesis rate and concentration between groups. CONCLUSIONS: Methionine supplementation increased cysteine flux from body protein but had no significant effect on glutathione synthesis rates. Although cysteine is made from methionine, increased dietary cysteine may be necessary to partially fulfill its demand in edematous SAM because glutathione synthesis rates and concentrations were less than previous values shown at full recovery. This study was registered at clinicaltrials.gov as NCT00473031.


Asunto(s)
Alanina/administración & dosificación , Cisteína/biosíntesis , Suplementos Dietéticos , Glutatión/biosíntesis , Kwashiorkor/tratamiento farmacológico , Metionina/administración & dosificación , Cisteína/sangre , Dieta , Eritrocitos/metabolismo , Glutatión/sangre , Humanos , Lactante , Isótopos/metabolismo , Kwashiorkor/sangre , Kwashiorkor/complicaciones , Regulación hacia Arriba
10.
Food Chem Toxicol ; 51: 306-9, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23099503

RESUMEN

The primary aim of this study was to investigate the effects of Ortanique peel polymethoxylated flavones extract (PMF(ort)) on organ function parameters in the serum of hypercholesterolemic and normal rats. Thirty Sprague-Dawley rats were fed high cholesterol diets supplemented with 1.5% PMF(ort) and niacin respectively for 49days. Hypercholesterolemic rats fed PMF(ort) had significant reductions in the activities of aspartate aminotransferase and alkaline phosphatase (69.12±3.34 and 87.22±8.42U/L respectively) compared to the untreated hypercholesterolemic group (118.61±4.85 and 132.62±10.62U/L respectively, p<0.05). Supplementation of the diet with niacin or PMF(ort) resulted in no significant differences in the serum levels of creatinine or urea in any of the groups. Total bilirubin was highest in the untreated hypercholesterolemic group. Supplementation of the diets of hypercholesterolemic rats with PMF(ort) resulted in significant reductions in the activities of serum creatine kinase and lactate dehydrogenase (119.3±25.3; 222.5±50.3U/L, p<0.05) respectively relative to the untreated hypercholesterolemic group (257.2±48.3; 648.8±103U/L, p<0.05). The results would suggest that PMF(ort) modulates hypercholesterolemia-associated organ injury in rats. PMF(ort) could therefore be a suitable candidate for prophylactic and therapeutic treatment of hypercholesterolemia-associated organ injury.


Asunto(s)
Colesterol/efectos adversos , Citrus/química , Flavonas/farmacología , Corazón/efectos de los fármacos , Hipercolesterolemia/tratamiento farmacológico , Hígado/efectos de los fármacos , Extractos Vegetales/farmacología , Fosfatasa Alcalina/sangre , Animales , Aspartato Aminotransferasas/sangre , Bilirrubina/sangre , Creatina Quinasa/sangre , Creatinina/sangre , Dieta , Flavonas/química , Corazón/fisiología , Hipercolesterolemia/etiología , Hipercolesterolemia/fisiopatología , L-Lactato Deshidrogenasa/sangre , Hígado/fisiología , Fitoterapia/métodos , Extractos Vegetales/química , Ratas , Ratas Sprague-Dawley
11.
PLoS One ; 7(4): e35907, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22558267

RESUMEN

BACKGROUND: Severe acute malnutrition in childhood manifests as oedematous (kwashiorkor, marasmic kwashiorkor) and non-oedematous (marasmus) syndromes with very different prognoses. Kwashiorkor differs from marasmus in the patterns of protein, amino acid and lipid metabolism when patients are acutely ill as well as after rehabilitation to ideal weight for height. Metabolic patterns among marasmic patients define them as metabolically thrifty, while kwashiorkor patients function as metabolically profligate. Such differences might underlie syndromic presentation and prognosis. However, no fundamental explanation exists for these differences in metabolism, nor clinical pictures, given similar exposures to undernutrition. We hypothesized that different developmental trajectories underlie these clinical-metabolic phenotypes: if so this would be strong evidence in support of predictive adaptation model of developmental plasticity. METHODOLOGY/PRINCIPAL FINDINGS: We reviewed the records of all children admitted with severe acute malnutrition to the Tropical Metabolism Research Unit Ward of the University Hospital of the West Indies, Kingston, Jamaica during 1962-1992. We used Wellcome criteria to establish the diagnoses of kwashiorkor (n = 391), marasmus (n = 383), and marasmic-kwashiorkor (n = 375). We recorded participants' birth weights, as determined from maternal recall at the time of admission. Those who developed kwashiorkor had 333 g (95% confidence interval 217 to 449, p<0.001) higher mean birthweight than those who developed marasmus. CONCLUSIONS/SIGNIFICANCE: These data are consistent with a model suggesting that plastic mechanisms operative in utero induce potential marasmics to develop with a metabolic physiology more able to adapt to postnatal undernutrition than those of higher birthweight. Given the different mortality risks of these different syndromes, this observation is supportive of the predictive adaptive response hypothesis and is the first empirical demonstration of the advantageous effects of such a response in humans. The study has implications for understanding pathways to obesity and its cardio-metabolic co-morbidities in poor countries and for famine intervention programs.


Asunto(s)
Adaptación Fisiológica , Kwashiorkor/diagnóstico , Kwashiorkor/epidemiología , Modelos Biológicos , Diagnóstico Prenatal , Peso al Nacer , Femenino , Humanos , Lactante , Jamaica/epidemiología , Kwashiorkor/mortalidad , Masculino , Análisis de Supervivencia
12.
Am J Clin Nutr ; 95(1): 84-90, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22170355

RESUMEN

BACKGROUND: Children with edematous severe acute malnutrition (SAM) produce less cysteine than do their nonedematous counterparts. They also have marked glutathione (GSH) depletion, hair loss, skin erosion, gut mucosal atrophy, and depletion of mucins. Because GSH, skin, hair, mucosal, and mucin proteins are rich in cysteine, we hypothesized that splanchnic extraction and the efficiency of cysteine utilization would be greater in edematous than in nonedematous SAM. OBJECTIVE: We aimed to measure cysteine kinetics in childhood edematous and nonedematous SAM. DESIGN: Cysteine flux, oxidation, balance, and splanchnic uptake (SPU) were measured in 2 groups of children with edematous (n = 9) and nonedematous (n = 10) SAM at 4.4 ± 1.1 d after admission (stage 1) and at 20.5 ± 1.6 d after admission (stage 2) when they had replenished 50% of their weight deficit. RESULTS: In comparison with the nonedematous group, the edematous group had slower cysteine flux at stage 1 but not at stage 2; furthermore, they oxidized less cysteine at both stages, resulting in better cysteine balance and therefore better efficiency of utilization of dietary cysteine. Cysteine SPU was not different between groups but was ∼45% in both groups at the 2 stages. CONCLUSION: These findings suggest that children with edematous SAM may have a greater requirement for cysteine during early and mid-nutritional rehabilitation because they used dietary cysteine more efficiently than did their nonedematous counterparts and because the splanchnic tissues of all children with SAM have a relatively high requirement for cysteine. This trial was registered at clinicaltrials.gov as NCT00069134.


Asunto(s)
Cisteína/metabolismo , Dieta , Edema/metabolismo , Trastornos del Crecimiento/metabolismo , Trastornos de la Nutrición del Lactante/metabolismo , Desnutrición Proteico-Calórica/metabolismo , Aumento de Peso/fisiología , Cisteína/uso terapéutico , Edema/etiología , Femenino , Trastornos del Crecimiento/dietoterapia , Trastornos del Crecimiento/etiología , Humanos , Lactante , Trastornos de la Nutrición del Lactante/complicaciones , Trastornos de la Nutrición del Lactante/dietoterapia , Masculino , Desnutrición Proteico-Calórica/complicaciones , Desnutrición Proteico-Calórica/dietoterapia
13.
Am J Cardiol ; 99(2): 175-81, 2007 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-17223414

RESUMEN

Coronary angiographic studies performed with 16-channel multidetector computer tomographic scanners have demonstrated accurate detection of coronary vessel stenosis but are limited by a significant number of non-evaluable segments. To date, only single-center experience with multidetector computer tomography has been reported. We performed a prospective, blinded study at 2 institutions to determine the feasibility and diagnostic accuracy of coronary angiography using 40-channel multidetector computer tomography with multi-segment reconstruction for the detection of obstructive coronary artery disease (CAD). Multidetector computer tomographic studies were performed in 85 patients who were referred for invasive coronary angiography with clinically suspected CAD. Datasets were analyzed by blinded, independent review. Of 1,145 segments that were suitable for analysis as determined by angiography, 1,045 (91.3%) were evaluable on multidetector computer tomography. Segment-based sensitivity, specificity, and positive and negative predictive values for detecting > or =50% luminal stenoses were 86%, 97%, 75%, and 97%, respectively. The area under the receiver-operating characteristic curves for the detection of > or =50% angiographic stenosis by multidetector computer tomography was 0.94. In a patient-based analysis, the sensitivity, specificity, and positive and negative predictive values for detecting subjects with > or =1 segment with > or =50% stenosis were 98%, 93%, 94% and 93%, respectively. In conclusion, coronary angiography using 40-channel multidetector computer tomography with multi-segment reconstruction accurately detects coronary segments and patients with obstructive CAD, with a small number of non-evaluable cases.


Asunto(s)
Angiografía Coronaria/métodos , Estenosis Coronaria/diagnóstico por imagen , Tomografía Computarizada por Rayos X/métodos , Estudios de Factibilidad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
14.
Biomed Chromatogr ; 21(1): 48-54, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17080505

RESUMEN

The concentrations of the polymethoxylated flavones (PMFs) in peels of selected citrus cultivars grown in Jamaica and Mexico were determined. The PMFs were extracted from sun-dried citrus peels with reagent-grade methanol. Analyses were carried out by reverse-phase HPLC and UV detection. The column used was a C(18) 5 microm (150 x 4.6 mm) Discovery column. Elution was in the gradient mode, using a ternary mobile phase. The results showed that all the citrus cultivars used contained at least three of the six major PMFs quantified. Ortanique peel contained the highest quantity of PMFs (34,393 +/- 272 ppm), followed by tangerine (28,389 +/- 343 ppm) and Mexican sweet orange (sample 1; 21,627 +/- 494 ppm). The major PMFs, i.e. sinensetin, nobiletin, tangeretin, heptamethoxyflavone, tetramethylscutellarein and hexamethyl-o-quercetagetin, present in the peels of 20 citrus cultivars, was quantified. The results were compared with those of Florida citrus peels. A large amount of citrus peels and byproducts are produced in the Caribbean which could provide a cheap and convenient source of PMFs.


Asunto(s)
Citrus/química , Flavonas/análisis , Flavonas/química , Calibración , Cromatografía Líquida de Alta Presión , Citrus/clasificación , Flavonoides/análisis , Florida , Jamaica , México , Microscopía Ultravioleta , Estructura Molecular , Especificidad de la Especie
15.
Radiographics ; 22(3): 673-89, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-12006696

RESUMEN

Eighty-six cardiac myxomas were reviewed retrospectively for the clinical, pathologic, and radiologic findings. In this series, 83 patients (47 female and 36 male; age range, 2-78 years; mean age, 48 years) had 49 left atrial (60%), 23 right atrial (28%), seven right ventricular (8%), two biatrial, and two cases of multifocal myxomas. Seventy-one (88%) patients were symptomatic. Radiographs of 38 patients with left atrial myxoma showed evidence of mitral valve obstruction in 53%; radiographs of 16 patients with right atrial myxoma demonstrated calcification and cardiomegaly in 56% and 50%, respectively. Computed tomographic (CT) scans of 21 myxomas demonstrated 20 (95%) spherical or ovoid lesions, 16 (76%) with lobular borders. Seventeen (81%) were hypoattenuated; 14 (67%) were heterogeneous. Twenty-eight magnetic resonance (MR) imaging studies of 30 myxomas showed 29 (97%) spherical or ovoid lesions; 26 (87%) had lobular contours and 26 (90%) of 29 had heterogeneous signal intensity on T1-weighted images. Point of attachment was visible in 15 (83%) cases. Cine gradient recalled echo (GRE) MR images of 10 lesions showed low signal intensity in all cases. Most patients with cardiac myxomas have abnormal but usually nonspecific radiographic findings. CT demonstrates intracavitary heterogeneous, hypoattenuated lobular masses. MR imaging shows heterogeneous lobular lesions and usually allows visualization of the point of attachment. Radiologic imaging of these lesions, particularly with multiplanar and cine GRE MR imaging, can provide accurate assessment of the size, location, and point of attachment of these lesions and should assist in surgical planning.


Asunto(s)
Neoplasias Cardíacas/diagnóstico , Imagen por Resonancia Magnética , Mixoma/diagnóstico , Tomografía Computarizada por Rayos X , Femenino , Atrios Cardíacos , Ventrículos Cardíacos , Humanos , Masculino , Persona de Mediana Edad , Miocardio/patología , Estudios Retrospectivos
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