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1.
Org Biomol Chem ; 13(41): 10303-9, 2015 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-26371420

RESUMO

Nicotinamide adenine dinucleotide (NAD) is a pivotal redox cofactor of primary metabolism. Its redox reactivity is based on the nicotinamide mononucleotide (NMN) moiety. We investigated whether NMN(+) can engage in pairing interactions, when incorporated into an oligonucleotide. Here we describe the incorporation of NMN(+) at the 3'-terminus of an oligodeoxynucleotide via a phosphoramidate coupling in solution. The stability of duplexes and triplexes with the NMN(+)-containing strand was measured in UV-melting curves. While the melting points of duplexes with different bases facing the nicotinamide were similar, triplex stabilities varied greatly between different base combinations, suggesting specific pairing. The most stable triplexes were found when a guanine and an adenine were facing the NMN(+) residue. Their triplex melting points were higher than those of the corresponding triplexes with a thymidine residue at the same position. These results show that NMN(+) residues can be recognized selectively in DNA helices and are thus compatible with the molecular recognition in nucleic acids.


Assuntos
DNA/química , Mononucleotídeo de Nicotinamida/química , Oligonucleotídeos/síntese química , Conformação Molecular , Oligonucleotídeos/química
2.
Org Biomol Chem ; 13(20): 5734-42, 2015 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-25902412

RESUMO

Triplexes with a gap in the purine strand have been shown to bind adenosine or guanosine derivatives through a combination of Watson-Crick and Hoogsteen base pairing. Rigidifying the binding site should be advantageous for affinity. Here we report that clamps delimiting the binding site have a modest effect on affinity, while bridging the gap of the purine strand can strongly increase affinity for ATP, cAMP, and FAD. The lowest dissociation constants were measured for two-strand triple helical motifs with a propylene bridge or an abasic nucleoside analog, with Kd values as low as 30 nM for cAMP in the latter case. Taken together, our data suggest that improving preorganization through covalent bridges increases the affinity for nucleotide ligands. But, a bulky bridge may also block one of two alternative binding modes for the adenine base. The results may help to design new receptors, switches, or storage motifs for purine-containing ligands.


Assuntos
Adenina/metabolismo , Trifosfato de Adenosina/metabolismo , AMP Cíclico/metabolismo , DNA/química , DNA/metabolismo , Flavina-Adenina Dinucleotídeo/metabolismo , Purinas/química , Adenina/química , Motivos de Aminoácidos , Pareamento de Bases , Sítios de Ligação , Humanos , Ligação de Hidrogênio , Modelos Moleculares , Conformação de Ácido Nucleico , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Termodinâmica
4.
Nucleic Acids Res ; 29(17): 3674-84, 2001 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-11522839

RESUMO

A total of 16 oligodeoxyribonucleotides of general sequence 5'-TCTTCTZTCTTTCT-3', where Z denotes an N-acyl-N-(2-hydroxyethyl)glycine residue, were prepared via solid phase synthesis. The ability of these oligonucleotides to form triplexes with the duplex 5'-AGAAGATAGAAAGA-HEG-TCTTTCTATCTTCT-3', where HEG is a hexaethylene glycol linker, was tested. In these triplexes, an 'interrupting' T:A base pair faces the Z residue in the third strand. Among the acyl moieties of Z tested, an anthraquinone carboxylic acid residue linked via a glycinyl group gave the most stable triplex, whose UV melting point was 8.4 degrees C higher than that of the triplex with 5'-TCTTCTGTCTTTCT-3' as the third strand. The results from exploratory nuclease selection experiments suggest that a combinatorial search for strands capable of recognizing mixed sequences by triple helix formation is feasible.


Assuntos
DNA/química , Oligonucleotídeos/metabolismo , Purinas/metabolismo , Pirimidinas/metabolismo , Pareamento de Bases/genética , Ligação Competitiva , DNA/genética , DNA/metabolismo , Desoxirribonucleases/metabolismo , Cinética , Conformação de Ácido Nucleico , Desnaturação de Ácido Nucleico , Oligonucleotídeos/síntese química , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Temperatura
5.
J Comb Chem ; 3(4): 374-86, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11442395

RESUMO

Reported here are the results of a search for modified oligodeoxynucleotides with a 5'-terminal cytidine residue whose affinity for target strands is enhanced by 5'-acylamido groups. These acylamido groups were envisioned to act as molecular caps that bind to the exposed terminal base pair of the duplex with the target strand. A total of 52 capped oligonucleotides of the sequence R-CGGTTGAC, where R denotes the 5'-appendage and C a 5'-amino-2',5'-dideoxycytidine residue, were tested. Among the building blocks employed to modify the 5'-amino group of the DNA strand were carboxylic acid residues, either appended directly or via an amino acid residue, and aromatic aldehydes, coupled via reductive amination. The carboxylic acids employed ranged from Fmoc-glycine to (Fmoc)(2)-vancomycin and included a number of aromatic acids and bile acids. Small libraries were subjected to MALDI-monitored nuclease selection experiments, and selected compounds were tested in UV-melting assays with target strands. Cholic acid appendages stabilized terminal C:G base pairs to the greatest extent, with melting point increases of up to 10 degrees C. Further, the cholic acid residue enhanced base pairing fidelity at the terminus, as determined in melting analyses with target strands containing a mismatched nucleobase at the 3'-terminus.


Assuntos
DNA/química , Oligonucleotídeos/química , Pareamento de Bases , Cromatografia Líquida de Alta Pressão , Hibridização de Ácido Nucleico , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Espectrofotometria Ultravioleta
6.
Bioorg Med Chem Lett ; 11(13): 1733-6, 2001 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-11425548

RESUMO

Hybrids of oligonucleotides and trilysyl-dendrimers with terminal acyl groups were prepared via solid-phase synthesis, including a DNA hexamer bearing an additional 3'-appendage. These were shown to be degraded more slowly by nuclease S1 than control strands, particularly at low pH, and, in one case, to form a duplex with a complementary strand whose melting point at pH 7 was higher than that of the control duplex.


Assuntos
Lisina/química , Oligodesoxirribonucleotídeos/síntese química , Concentração de Íons de Hidrogênio , Cinética , Oligodesoxirribonucleotídeos/química
7.
Org Lett ; 3(7): 987-90, 2001 Apr 05.
Artigo em Inglês | MEDLINE | ID: mdl-11277776

RESUMO

[structure: see text]. Reported here is the synthesis of oligonucleotides containing a 2'-acylamido-2'-deoxyuridine residue at their 3'-terminus. Compared to control sequences bearing a thymidine residue, the quinolone-capped duplexes give higher UV melting points. In the case of (5'-ACGCGU-NA-2')2, where NA denotes a nalidixic acid residue, the melting point increase is up to 22 degrees C over that of (ACGCGT)2.


Assuntos
Desoxiuridina/análogos & derivados , Ácido Nalidíxico/química , Hibridização de Ácido Nucleico , Oligonucleotídeos/síntese química , Quinolonas/química , Anti-Infecciosos/química , Pareamento de Bases , Desoxiuridina/química , Estrutura Molecular , Conformação de Ácido Nucleico , Oligonucleotídeos/química , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Temperatura , Raios Ultravioleta
8.
Nat Biotechnol ; 18(11): 1213-6, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11062445

RESUMO

Data on five single-nucleotide polymorphisms (SNPs) per gene are estimated to allow association of disease risks or pharmacogenetic parameters with individual genes. Efficient technologies for rapidly detecting SNPs will therefore facilitate the mining of genomic information. Known methods for SNP analysis include restriction-fragment-length polymorphism polymerase chain reaction (PCR), allele-specific oligomer hybridization, oligomer-specific ligation assays, minisequencing, direct sequencing, fluorescence-detected 5'-exonuclease assays, and hybridization with PNA probes. Detection by mass spectrometry (MS) offers speed and high resolution. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI TOF MS) can detect primer extension products, mass-tagged oligonucleotides, DNA created by restriction endonuclease cleavage, and genomic DNA. We have previously reported MALDI-TOF-monitored nuclease selections of modified oligonucleotides with increased affinity for targets. Here we use nuclease selections for genotyping by treating DNA to be analyzed with oligonucleotide probes representing known genotypes and digesting probes that are not complementary to the DNA. With phosphodiesterase I, the target-bound, complementary probe is largely refractory to nuclease attack and its peak persists in mass spectra (Fig. 1A). In optimized assays, both alleles of a heterozygote were genotyped with six nonamer DNA probes (> or = 125 fmol each) and asymmetrically amplified DNA from exon 10 of the cystic fibrosis transmembrane regulatory gene (CFTR).


Assuntos
Análise de Sequência de DNA/métodos , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos , Alelos , Sequência de Bases , Regulador de Condutância Transmembrana em Fibrose Cística/genética , Éxons , Biblioteca Gênica , Genótipo , Heterozigoto , Humanos , Dados de Sequência Molecular , Hibridização de Ácido Nucleico , Sondas de Oligonucleotídeos/genética , Fosfodiesterase I , Diester Fosfórico Hidrolases/genética , Reação em Cadeia da Polimerase
9.
Nucleic Acids Res ; 28(21): 4254-65, 2000 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-11058125

RESUMO

Oligodeoxynucleotides bearing 5'-appendages consisting of a nucleobase and an amide linkage were prepared from 5'-amino-5'-deoxyoligonucleotides, amino acid building blocks and thymine or uracil derivatives. Small chemical libraries of 5'-modified oligonucleotides bearing the nucleobase moieties via five, three or two atom linkages were subjected to spectrometrically monitored nuclease selections to identify members with high affinity for target strands. The smallest of the appendages tested, a uracil acetic acid substituent, was found to convey the greatest duplex stabilizing effect on the octamer 5'-T*GGTTGAC-3', where T* denotes the 5'-amino-5'-deoxythymidine residue. Compared to 5'-TTGGTTGAC-3', the modified sequence 5'-u-T*GGTTGAC-3' gives a duplex with 5'-GTCAACCAA-3' that melts 4 degrees C higher. The duplex-stabilizing effect of this 5'-substituent does not require a specific residue at the 3'-terminus of the complement and the available data suggest that the uracil moiety is located in the major groove of the duplex.


Assuntos
Engenharia Genética , Oligodesoxirribonucleotídeos/síntese química , Oligodesoxirribonucleotídeos/metabolismo , Timina/análogos & derivados , Timina/metabolismo , Uracila/análogos & derivados , Uracila/metabolismo , Ácido Acético/metabolismo , Sequência de Bases , Cinética , Modelos Moleculares , Ressonância Magnética Nuclear Biomolecular , Ensaios de Proteção de Nucleases , Conformação de Ácido Nucleico , Desnaturação de Ácido Nucleico , Oligodesoxirribonucleotídeos/química , Oligodesoxirribonucleotídeos/genética , Fosfodiesterase I , Diester Fosfórico Hidrolases/metabolismo , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Temperatura , Termodinâmica , Timina/química , Raios Ultravioleta , Uracila/química
10.
Org Lett ; 2(12): 1697-700, 2000 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-10880204

RESUMO

[reaction: see text] A methodology for preparing cyclic peptide-DNA hybrids on controlled pore glass in high yield is reported. This methodology employs Fmoc/Alloc-protected amino acid and nucleoside phosphoramidites on an omega-hydroxylauric acid-derivatized support and is suitable for library synthesis. A cyclic hybrid of the sequence Glu-Leu-TT-DP-Lys, where Glu and Lys are linked and T denotes a 5'-amino-5'-deoxynucleotide, exhibited high resistance to exo- and endonucleases.


Assuntos
DNA/química , Peptídeos/química , Animais , Exonucleases/metabolismo , Compostos Heterocíclicos , Modelos Moleculares , Oligonucleotídeos/síntese química , Oligonucleotídeos/química , Oligonucleotídeos/metabolismo , Biblioteca de Peptídeos , Peptídeos/síntese química , Fosfodiesterase I , Diester Fosfórico Hidrolases/metabolismo , Endonucleases Específicas para DNA e RNA de Cadeia Simples/metabolismo
12.
Biochemistry ; 38(39): 12597-606, 1999 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-10504228

RESUMO

Reported here is the solution structure of the aminoacyl-DNA duplex (W-TGCGCAC)(2). This duplex forms a continuously pi-stacked helix consisting of both nucleobases and amino acid side chains. According to NMR and UV analyses, the duplex melts in a cooperative transition and with 1.3-1.8% greater hyperchromicity than the control duplex (TGCGCAC)(2). A van't Hoff analysis of UV melting points at different concentrations shows that the two tryptophan residues contribute 4.8 kcal/mol to the DeltaH degrees of complex formation at 10 mM salt concentration and less than 1 kcal/mol at 150 mM salt. The entropic cost for duplex association in the presence of the amino acid residues is 13 cal/molK greater than that for the control at 10 mM salt concentration, and 3 cal/molK lower than that of the control at 0.15 ionic strength. The conformation of W-TGCGCAC in duplex form, determined via restrained torsion angle molecular dynamics, shows an undisturbed B-form DNA duplex with dangling 3'-termini. The tryptophanyl residue at the 5'-terminus packs tightly against T2 and the proximal part of adenine, without engaging in hydrogen bonding. While not providing strong enthalpic net stabilization of the duplex, the tryptophan "cap" on the duplex does seem to reduce the fraying at the termini, indicating a subtle balance of entropic and enthalpic factors contributing to the molecular dynamics. The structure also shows that, at least in the present sequence context, stacking on the terminal base pair is more favorable than intercalation, probably because the enthalpic cost associated with breaking up the stacking between DNA base pairs cannot be paid for by favorable pi-stacking interactions with the indole ring of tryptophan. These results are of importance for understanding stacking interactions in protein-DNA complexes, particularly those in enzyme-substrate complexes involving exposed nucleobases.


Assuntos
Conformação de Ácido Nucleico , Oligodesoxirribonucleotídeos/química , Sequência de Bases , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Soluções , Termodinâmica , Raios Ultravioleta
13.
J Comb Chem ; 1(6): 493-508, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10748727

RESUMO

Reported here is how modified oligonucleotides with increased affinity for DNA or RNA target strands can be selected from small combinatorial libraries via spectrometrically monitored selection experiments (SMOSE). The extent to which target strands retard the degradation of 5'-acyl-, 5'-aminoacyl-, and 5'-dipeptidyl-oligodeoxyribonucleotides by phosphodiesterase I (EC 3.1.4.1) was measured via quantitative MALDI-TOF mass spectrometry. Oligonucleotide hybrids were prepared on solid support, and nuclease selections were performed with up to 10 modified oligonucleotides in one solution. The mass spectrometrically monitored experiments required between 120 and 300 pmol of each modified oligonucleotide, depending on whether HPLC-purified or crude compounds were employed. Data acquisition and analysis were optimized to proceed in semiautomated fashion, and functions correcting for incomplete degradation during the monitoring time were developed. Integration of the degradation kinetics provided "protection factors" that correlate well with melting points obtained with traditional UV melting curves employing single, pure compounds. Among the components of the five libraries tested, three were found to contain 5'-substituents that strongly stabilize Watson--Crick duplexes. Selecting and optimizing modified oligonucleotides via monitored nuclease assays may offer a more efficient way to search for new antisense agents, hybridization probes, and biochemical tools.


Assuntos
Técnicas de Química Combinatória/métodos , DNA/química , Oligonucleotídeos/química , Oligonucleotídeos/síntese química , Diester Fosfórico Hidrolases/metabolismo , RNA/química , Automação , Desnaturação de Ácido Nucleico , Oligonucleotídeos/metabolismo , Fosfodiesterase I , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz/métodos
14.
Rapid Commun Mass Spectrom ; 12(22): 1737-43, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9853383

RESUMO

Reported here is how the hybridization of individual components of oligonucleotide mixtures to solid-phase bound complementary strands can be monitored simultaneously by quantitative matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOFMS). Three oligonucleotides, a DNA heptamer, a DNA octamer and a DNA octamer with a terminal cholic acid appendage were used as the test mixture. Upon cooling in the presence of a complementary undecamer on controlled pore glass, depletion of the components from the solution was observed. The resulting hybridization curves show the same relative affinities as traditional UV melting curves with single components and their complement. Assays of the kind described here may be used to select high affinity binders from combinatorial libraries of modified antisense oligonucleotides.


Assuntos
DNA Complementar/análise , Oligodesoxirribonucleotídeos/análise , Calibragem , DNA Complementar/efeitos da radiação , Hibridização de Ácido Nucleico , Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz , Espectrofotometria Ultravioleta
15.
Brain Pathol ; 8(3): 587-8, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9669716

RESUMO

An 82 year old man with a recurrent prolactin-secreting pituitary adenoma had clinically asymptomaptic fungal growth in necrotic tissue adjacent to the tumor. This fungus was characterized by clumps of basophilic hyphae with pigment production. Ascus formation containing nucleated conidiopores was present. The asci had tapered and cylindrical beaks making Microascus sp. the most likely diagnosis, however, without cultures, Pseudoallesheria boydii could not eliminated. The patient was treated with Amphotericin B and there was no evidence of intracranial extension 4 months later.


Assuntos
Adenoma/microbiologia , Micoses/diagnóstico , Neoplasias Hipofisárias/microbiologia , Transtornos da Visão/microbiologia , Adenoma/diagnóstico , Adenoma/patologia , Idoso , Idoso de 80 Anos ou mais , Humanos , Imageamento por Ressonância Magnética , Masculino , Micoses/complicações , Neoplasias Hipofisárias/diagnóstico , Neoplasias Hipofisárias/patologia
16.
Pure Appl Chem ; 70(2): 263-6, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11542721

RESUMO

A research program has applied the tools of synthetic organic chemistry to systematically modify the structure of DNA and RNA oligonucleotides to learn more about the chemical principles underlying their ability to store and transmit genetic information. Oligonucleotides (as opposed to nucleosides) have long been overlooked by synthetic organic chemists as targets for structural modification. Synthetic chemistry has now yielded oligonucleotides with 12 replicatable letters, modified backbones, and new insight into why Nature chose the oligonucleotide structures that she did.


Assuntos
DNA/química , Biologia Molecular/tendências , Ácidos Nucleicos/química , Oligonucleotídeos/síntese química , Catálise , Códon , Estrutura Molecular , Ácidos Nucleicos/síntese química , Oligonucleotídeos/química , Fosfatos/química , Sulfonas/química
17.
Bioorg Med Chem Lett ; 8(18): 2511-6, 1998 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-9873571

RESUMO

The affinity of amide-linked 5'-aminoacyl and 5'-dipeptidyl DNA octamers for two RNA undecamers with 3'-overhangs was measured via UV melting analysis. A sequence-dependent increase in melting points was observed. At low ionic strength, two appended lysine residues elevate melting points more than two additional A:U base pairs.


Assuntos
Dipeptídeos/metabolismo , Oligodesoxirribonucleotídeos/metabolismo , RNA/metabolismo , Dicroísmo Circular , DNA/química , DNA/metabolismo , Dipeptídeos/química , Espectroscopia de Ressonância Magnética , Conformação de Ácido Nucleico , Oligodesoxirribonucleotídeos/química , Concentração Osmolar , RNA/química , Espectrofotometria Ultravioleta
18.
Biotechnol Bioeng ; 61(2): 107-18, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-10099504

RESUMO

Reported here is the preparation of tetraphenylporphyrin libraries via efficient combinatorial solution-phase syntheses, their purification, and preliminary results from a bioorganic study on their uptake in liposome membranes. Libraries with up to 666 components were prepared with substituents including Br, CF3, Cl, CN, CO2Me, Et, F, OAc, and Ph. Further, a first example for the synthesis of more diverse libraries via a "latent libraries" approach is presented. This involves masking polar groups with lipophilic protecting groups. After purification of the latent library, the masking protecting groups are removed in a quantitative reaction that produces the library compounds as the only non-volatile components. Libraries were characterized by laser desorption time-of-flight mass spectrometry, NMR, and UV-vis spectroscopy. In vitro uptake into membranes of small sonicated liposomes was measured, both in terms of total porphyrin incorporation and in terms of structure-incorporation relationships. The latter were determined from isotopically-resolved laser-desorption mass spectra under conditions that yield quantitative results. Smaller libraries showed increased uptake of porphyrins bearing OH and CF3 substituents and lower uptake of ester-, alkyl-, and halide-bearing porphyrins. This structure-dependent selectivity disappears for larger libraries, however, where uniformly high uptake is observed, i.e., at a constant lipid:porphyrin ratio the total porphyrin incorporation is higher for libraries than for single compounds of similar polarity. We propose that the decreased concentration of individual compounds in large libraries is responsible for this effect. Membrane incorporation has previously been shown to correlate with photodynamic activity in vitro and in vivo.16 Therefore, these results may help to explain why photodynamic therapy of tumors, a modern anti-cancer treatment modality, is successfully performed with a complex mixture of porphyrins.


Assuntos
Antineoplásicos/uso terapêutico , Biblioteca de Peptídeos , Fotoquimioterapia , Porfirinas/uso terapêutico , Tecnologia Farmacêutica/métodos , Éter de Diematoporfirina/química , Lipossomos/metabolismo , Espectrometria de Massas , Membranas/metabolismo , Porfirinas/química
19.
Arch Pathol Lab Med ; 121(6): 641-5, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9199635

RESUMO

OBJECTIVE: To present interactive online continuing medical education (CME) over the World Wide Web as a more efficient alternative to traditional modes of CME delivery. DESIGN: A departmental Web site available to those with access to the Internet. SETTING: A tertiary-care teaching hospital in the United States. RESULTS: Comprehensive case studies have been developed and are complete with images, text, and questions, including explanations for correct and incorrect responses. The images are linked to pertinent text to maximize their educational value. The cases are easily accessible, user friendly, and fully referenced. The system became operational in January 1996, and the first CME certificate was awarded to a participant shortly thereafter. CONCLUSIONS: Continuing medical education over the World Wide Web is an efficient means of delivering CME to the community at large; it allows participating physicians the latitude to obtain convenient CME credit at their leisure, in contrast to the regimented experience of formal CME conferences or symposiums. The interactive format of the CME cases allows the participant to submit immediate comments or criticism to case authors and receive instant feedback on their own performance, features unavailable in comparable educational software packages. The dynamic environment of the World Wide Web lends itself to the production and dissemination of such flexible forms of CME for the physician and will continue to expand in this capacity into the foreseeable future.


Assuntos
Redes de Comunicação de Computadores , Instrução por Computador , Educação Médica Continuada , Patologia/educação , Certificação , Hospitais de Ensino , Estados Unidos , Interface Usuário-Computador
20.
Dermatol Online J ; 3(1): 5, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9141366

RESUMO

This is a case report of malignant melanoma presenting with both clinical and histopathologic features of a seborrheic keratosis. Not a rare phenomenon, this report emphasizes the importance of biopsy to evaluate apparent seborrheic keratoses. We believe that this phenomenon is best considered a presentation of melanoma. Diminished routine histopathologic evaluation of apparent seborrheic keratoses may well increase the number of mistaken diagnoses in such cases.


Assuntos
Ceratose Seborreica/patologia , Melanoma/patologia , Neoplasias Cutâneas/patologia , Idoso , Biópsia , Diagnóstico Diferencial , Feminino , Humanos
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