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1.
Trends Parasitol ; 36(4): 337-355, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32191849

RESUMO

Trypanosoma brucei spp. cause African human and animal trypanosomiasis, a burden on health and economy in Africa. These hemoflagellates are distinguished by a kinetoplast nucleoid containing mitochondrial DNAs of two kinds: maxicircles encoding ribosomal RNAs (rRNAs) and proteins and minicircles bearing guide RNAs (gRNAs) for mRNA editing. All RNAs are produced by a phage-type RNA polymerase as 3' extended precursors, which undergo exonucleolytic trimming. Most pre-mRNAs proceed through 3' adenylation, uridine insertion/deletion editing, and 3' A/U-tailing. The rRNAs and gRNAs are 3' uridylated. Historically, RNA editing has attracted major research effort, and recently essential pre- and postediting processing events have been discovered. Here, we classify the key players that transform primary transcripts into mature molecules and regulate their function and turnover.


Assuntos
Edição de RNA/fisiologia , RNA Mitocondrial/metabolismo , RNA de Protozoário/metabolismo , Trypanosoma brucei brucei/metabolismo , Animais , RNA Mitocondrial/genética , RNA de Protozoário/genética , Trypanosoma brucei brucei/genética
2.
PLoS Negl Trop Dis ; 13(7): e0007424, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31344033

RESUMO

In this review, we summarize the current knowledge concerning the eukaryotic protozoan parasite Leishmania tarentolae, with a main focus on its potential for biotechnological applications. We will also discuss the genus, subgenus, and species-level classification of this parasite, its life cycle and geographical distribution, and similarities and differences to human-pathogenic species, as these aspects are relevant for the evaluation of biosafety aspects of L. tarentolae as host for recombinant DNA/protein applications. Studies indicate that strain LEM-125 but not strain TARII/UC of L. tarentolae might also be capable of infecting mammals, at least transiently. This could raise the question of whether the current biosafety level of this strain should be reevaluated. In addition, we will summarize the current state of biotechnological research involving L. tarentolae and explain why this eukaryotic parasite is an advantageous and promising human recombinant protein expression host. This summary includes overall biotechnological applications, insights into its protein expression machinery (especially on glycoprotein and antibody fragment expression), available expression vectors, cell culture conditions, and its potential as an immunotherapy agent for human leishmaniasis treatment. Furthermore, we will highlight useful online tools and, finally, discuss possible future applications such as the humanization of the glycosylation profile of L. tarentolae or the expression of mammalian recombinant proteins in amastigote-like cells of this species or in amastigotes of avirulent human-pathogenic Leishmania species.


Assuntos
Biotecnologia/métodos , Leishmania/classificação , Proteínas Recombinantes/biossíntese , Animais , Glicosilação , Humanos , Leishmania/patogenicidade , Leishmaniose , Processamento de Proteína Pós-Traducional
3.
Protist ; 169(2): 231-234, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-30905351
4.
Mitochondrion ; 25: 76-86, 2015 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-26462764

RESUMO

We studied the intramitochondrial localization of several multiprotein complexes involved in U-insertion/deletion RNA editing in trypanosome mitochondria. The editing complexes are located in one or two antipodal nodes adjacent to the kinetoplast DNA (kDNA) disk, which are distinct from but associated with the minicircle catenation nodes. In some cases the proteins are in a bilateral sheet configuration. We also found that mitoribosomes have a nodal configuration. This type of organization is consistent with evidence for protein and RNA interactions of multiple editing complexes to form an ~40S editosome and also an interaction of editosomes with mitochondrial ribosomes.


Assuntos
DNA de Cinetoplasto/metabolismo , Leishmania/enzimologia , Mitocôndrias/enzimologia , Ribossomos Mitocondriais/metabolismo , Complexos Multiproteicos/metabolismo , Edição de RNA , Leishmania/metabolismo , Mitocôndrias/metabolismo
5.
PLoS Negl Trop Dis ; 9(7): e0003841, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26204118

RESUMO

U-insertion/deletion RNA editing is a post-transcriptional mitochondrial RNA modification phenomenon required for viability of trypanosomatid parasites. Small guide RNAs encoded mainly by the thousands of catenated minicircles contain the information for this editing. We analyzed by NGS technology the mitochondrial genomes and transcriptomes of two strains, the old lab UC strain and the recently isolated LEM125 strain. PacBio sequencing provided complete minicircle sequences which avoided the assembly problem of short reads caused by the conserved regions. Minicircles were identified by a characteristic size, the presence of three short conserved sequences, a region of inherently bent DNA and the presence of single gRNA genes at a fairly defined location. The LEM125 strain contained over 114 minicircles encoding different gRNAs and the UC strain only ~24 minicircles. Some LEM125 minicircles contained no identifiable gRNAs. Approximate copy numbers of the different minicircle classes in the network were determined by the number of PacBio CCS reads that assembled to each class. Mitochondrial RNA libraries from both strains were mapped against the minicircle and maxicircle sequences. Small RNA reads mapped to the putative gRNA genes but also to multiple regions outside the genes on both strands and large RNA reads mapped in many cases over almost the entire minicircle on both strands. These data suggest that minicircle transcription is complete and bidirectional, with 3' processing yielding the mature gRNAs. Steady state RNAs in varying abundances are derived from all maxicircle genes, including portions of the repetitive divergent region. The relative extents of editing in both strains correlated with the presence of a cascade of cognate gRNAs. These data should provide the foundation for a deeper understanding of this dynamic genetic system as well as the evolutionary variation of editing in different strains.


Assuntos
Genoma Mitocondrial/genética , Leishmania/genética , Leishmania/metabolismo , RNA de Protozoário/metabolismo , Transcriptoma/genética , Sequência de Bases , Sequência Conservada , DNA de Cinetoplasto/genética , DNA de Protozoário , Leishmania/classificação , Dados de Sequência Molecular , RNA/genética , Edição de RNA , RNA Mitocondrial , RNA de Protozoário/genética
6.
RNA ; 21(4): 740-1, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25780216
7.
Biol Chem ; 393(6): 513-24, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22628314

RESUMO

Mitochondrial protein import (MPI) is essential for the biogenesis of mitochondria in all eukaryotes. Current models of MPI are predominantly based on experiments with one group of eukaryotes, the opisthokonts. Although fascinating genome database-driven hypotheses on the evolution of the MPI machineries have been published, previous experimental research on non-opisthokonts usually focused on the analysis of single pathways or components in, for example, plants and parasites. In this study, we have established the kinetoplastid parasite Leishmania tarentolae as a model organism for the comprehensive analysis of non-opisthokont MPI into all four mitochondrial compartments. We found that opisthokont marker proteins are efficiently imported into isolated L. tarentolae mitochondria. Vice versa, L. tarentolae marker proteins of all compartments are also imported into mitochondria from yeast. The results are remarkable because only a few of the more than 25 classical components of the opisthokont MPI machineries are found in parasite genome databases. Our results demonstrate that different MPI pathways are functionally conserved among eukaryotes despite significant compositional differences of the MPI machineries. Moreover, our model system could lead to the identification of significantly altered or even novel MPI components in non-opisthokonts. Such differences might serve as starting points for drug development against parasitic protists.


Assuntos
Biologia Computacional , Leishmania/citologia , Leishmania/metabolismo , Mitocôndrias/metabolismo , Proteínas Mitocondriais/metabolismo , Proteínas de Protozoários/metabolismo , Membranas Mitocondriais/metabolismo , Transporte Proteico , Análise de Sequência
8.
Proc Natl Acad Sci U S A ; 108(9): 3542-7, 2011 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-21321231

RESUMO

Uridine insertion/deletion RNA editing in kinetoplastid mitochondria corrects encoded frameshifts in mRNAs. The genetic information for editing resides in small guide RNAs (gRNAs), which form anchor duplexes just downstream of an editing site and mediate editing within a single editing "block." Many mRNAs require multiple gRNAs; the observed overall 3' to 5' polarity of editing is determined by the formation of upstream mRNA anchors by downstream editing. Hel61, a mitochondrial DEAD-box protein, was previously shown to be involved in RNA editing, but the functional role was not clear. Here we report that down-regulation of Hel61 [renamed REH1 (RNA editing helicase 1)] expression in Trypanosoma brucei selectively affects editing mediated by two or more overlapping gRNAs but has no effect on editing within a single block. Down-regulation produces an increased abundance of the gRNA/edited mRNA duplex for the first editing block of the A6 mRNA. Recombinant REH1 has an ATP-dependent double strand RNA unwinding activity in vitro with a model gRNA-mRNA duplex. These data indicate that REH1 is involved in gRNA displacement either directly by unwinding the gRNA/edited mRNA duplex or indirectly, to allow the 5' adjacent upstream gRNA to form an anchor duplex with the edited mRNA to initiate another block of editing. Purified tagged REH1 is associated with the RNA editing core complex by RNA linkers and a colocalization of REH1, REL1, and two kinetoplast ribosomal proteins with the kinetoplast DNA was observed by immunofluorescence, suggesting that editing, transcription, and translation may be functionally linked.


Assuntos
Mutação INDEL/genética , Proteínas de Protozoários/metabolismo , Edição de RNA/genética , RNA Helicases/metabolismo , RNA Guia de Cinetoplastídeos/metabolismo , Trypanosoma brucei brucei/enzimologia , Uridina/genética , Adenosina Trifosfatases/metabolismo , Proteínas de Transporte/metabolismo , Regulação para Baixo/genética , Espaço Intracelular/metabolismo , Mitocôndrias/metabolismo , Transporte Proteico , Interferência de RNA , RNA de Cadeia Dupla/metabolismo , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , RNA de Protozoário/metabolismo , Proteínas Recombinantes/isolamento & purificação , Proteínas Recombinantes/metabolismo , Proteínas Ribossômicas/metabolismo , Trypanosoma brucei brucei/genética
9.
Protist ; 162(1): 188-206, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20970376
10.
Protist ; 161(3): 489-96, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20138580

RESUMO

U-insertion/deletion RNA editing of mitochondrial mRNAs in trypanosome mitochondria is mediated by a core complex (RECC) containing around 16-20 proteins which is linked to several other multiprotein complexes by RNA. There are two known subcomplexes in the RECC: the REL1 subcomplex which contains the REL1 RNA ligase, the MP63 zinc finger-containing protein and the REX2 U-specific 3'-5' exonuclease; and the REL2 subcomplex which contains the REL2 RNA ligase, the RET2 3' TUTase and the MP81 zinc finger-containing protein. In this study we have affinity isolated recombinant TAP-tagged Leishmania major RET2 and Leishmania tarentolae MP63, REL1 and REL2 proteins after expression in baculovirus-infected insect cells. Recombinant MP63 protein was found to stimulate several in vitro activities of recombinant REL1; these activities include autoadenylation, bridged ligation and even pre-cleaved gRNA-mediated U-insertion editing with RET2 which is in the REL2 subcomplex. There was no effect of recombinant MP63 on similar REL2 ligation activities. The specificity for REL1 is consistent with MP63 being a component of the REL1 subcomplex. These results suggest that in vivo the interaction of MP63 with REL1 may play a role in regulating the overall activity of RNA editing.


Assuntos
Carbono-Oxigênio Ligases/metabolismo , Leishmania/metabolismo , Mitocôndrias/metabolismo , Proteínas de Protozoários/metabolismo , Edição de RNA , Proteínas de Ligação a RNA/metabolismo , Uridina/metabolismo , Animais , Baculoviridae , Vetores Genéticos , Leishmania/enzimologia , Mitocôndrias/enzimologia , Modelos Biológicos , Modelos Químicos , Mapeamento de Interação de Proteínas , Estrutura Quaternária de Proteína , Proteínas de Protozoários/genética , RNA Mensageiro/metabolismo , Proteínas de Ligação a RNA/genética , Proteínas Recombinantes/isolamento & purificação , Proteínas Recombinantes/metabolismo , Dedos de Zinco
11.
J Appl Clin Med Phys ; 12(1): 3365, 2010 Dec 08.
Artigo em Inglês | MEDLINE | ID: mdl-21330986

RESUMO

The Stereotactic Alignment for Linear Accelerator (S. A. Linac) system is developed to conveniently improve the alignment accuracy of a conventional linac equipped with stereotactic cones. From the Winston-Lutz test, the SAlinac system performs three-dimensional (3D) reconstruction of the quality assurance (QA) ball coordinates with respect to the radiation isocenter, and combines this information with digital images of the laser target to determine the absolute position of the room lasers. A handheld device provides near-real-time repositioning advice to enable the user to align the QA ball and room lasers to within 0.25 mm of the centroid of the radiation isocenter. The results of 37 Winston-Lutz tests over 68 days showed that the median 3D QA ball alignment error was 0.09 mm, and 97% of the time the 3D error was ≤ 0.25 mm. All 3D isocentric errors in the study were 0.3 mm or less. The median x and y laser alignment coordinate error was 0.09 mm, and 94% of the time the x and y laser error was ≤ 0.25 mm. A phantom test showed that the system can make submillimeter end-to-end accuracy achievable, making a conventional linac a "Submillimeter Knife".


Assuntos
Radiocirurgia/métodos , Técnicas Estereotáxicas , Humanos , Processamento de Imagem Assistida por Computador , Lasers , Controle de Qualidade , Radiocirurgia/instrumentação , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
13.
Proc Natl Acad Sci U S A ; 106(30): 12306-10, 2009 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-19590014

RESUMO

Uridine insertion/deletion RNA editing is a unique form of posttranscriptional RNA processing that occurs in mitochondria of kinetoplastid protists. We have carried out 3D structural analyses of the core editing complex or "L (ligase)-complex" from Leishmania tarentolae mitochondria isolated by the tandem affinity purification procedure (TAP). The purified material, sedimented at 20-25S, migrated in a blue native gel at 1 MDa and exhibited both precleaved and full-cycle gRNA-mediated U-insertion and U-deletion in vitro activities. The purified L-complex was analyzed by electron tomography to determine the extent of heterogeneity. Three-dimensional structural comparisons of individual particles in the tomograms revealed that a majority of the complexes have a similar shape of a slender triangle. An independent single-particle reconstruction, using a featureless Gaussian ball as the initial model, converged to a similar triangular structure. Another single-particle reconstruction, using the averaged tomography structure as the initial model, yielded a similar structure. The REL1 ligase was localized on the model to the base of the apex by decoration with REL1-specific IgG. This structure should prove useful for a detailed analysis of the editing reaction.


Assuntos
Leishmania/genética , Mitocôndrias/metabolismo , Edição de RNA , Uridina/genética , Animais , Western Blotting , Carbono-Oxigênio Ligases/química , Carbono-Oxigênio Ligases/metabolismo , Carbono-Oxigênio Ligases/ultraestrutura , Tomografia com Microscopia Eletrônica , Leishmania/metabolismo , Microscopia Eletrônica , Proteínas Mitocondriais/química , Proteínas Mitocondriais/metabolismo , Proteínas Mitocondriais/ultraestrutura , Modelos Moleculares , Conformação Proteica , Proteínas de Protozoários/química , Proteínas de Protozoários/metabolismo , Proteínas de Protozoários/ultraestrutura , RNA de Protozoário/genética , RNA de Protozoário/metabolismo , Uridina/metabolismo
14.
Proc Natl Acad Sci U S A ; 106(24): 9637-42, 2009 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-19497863

RESUMO

The Leishmania tarentolae mitochondrial ribosome (Lmr) is a minimal ribosomal RNA (rRNA)-containing ribosome. We have obtained a cryo-EM map of the Lmr. The map reveals several features that have not been seen in previously-determined structures of eubacterial or eukaryotic (cytoplasmic or organellar) ribosomes to our knowledge. Comparisons of the Lmr map with X-ray crystallographic and cryo-EM maps of the eubacterial ribosomes and a cryo-EM map of the mammalian mitochondrial ribosome show that (i) the overall structure of the Lmr is considerably more porous, (ii) the topology of the intersubunit space is significantly different, with fewer intersubunit bridges, but more tunnels, and (iii) several of the functionally-important rRNA regions, including the alpha-sarcin-ricin loop, have different relative positions within the structure. Furthermore, the major portions of the mRNA channel, the tRNA passage, and the nascent polypeptide exit tunnel contain Lmr-specific proteins, suggesting that the mechanisms for mRNA recruitment, tRNA interaction, and exiting of the nascent polypeptide in Lmr must differ markedly from the mechanisms deduced for ribosomes in other organisms. Our study identifies certain structural features that are characteristic solely of mitochondrial ribosomes and other features that are characteristic of both mitochondrial and chloroplast ribosomes (i.e., organellar ribosomes).


Assuntos
Leishmania/genética , Mitocôndrias/química , Ribossomos/química , Animais , Microscopia Crioeletrônica , Mitocôndrias/metabolismo , Modelos Moleculares , RNA Mensageiro/metabolismo , RNA de Transferência/metabolismo , Ribossomos/metabolismo , Ribossomos/ultraestrutura
16.
RNA ; 15(7): 1338-44, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19447916

RESUMO

The RNA ligase-containing or L-complex is the core complex involved in uridine insertion/deletion RNA editing in trypanosome mitochondria. Blue native gels of glycerol gradient-separated fractions of mitochondrial lysate from cells transfected with the TAP-tagged editing protein, LC-8 (TbMP44/KREPB5), show a approximately 1 MDa L-complex band and, in addition, two minor higher molecular weight REL1-containing complexes: one (L*a) co-sedimenting with the L-complex and running in the gel at around 1.2 MDa; the other (L*b) showing a continuous increase in molecular weight from 1 MDa to particles sedimenting over 70S. The L*b-complexes appear to be mainly composed of L-complex components, since polypeptide profiles of L- and L*b-complex gradient fractions were similar in composition and L*b-complex bands often degraded to L-complex bands after manipulation or freeze-thaw cycles. The L*a-complex may be artifactual since this gel shift can be produced by various experimental manipulations. However, the nature of the change and any cellular role remain to be determined. The L*b-complexes from both lysate and TAP pull-down were sensitive to RNase A digestion, suggesting that RNA is involved with the stability of the L*b-complexes. The MRP1/2 RNA binding complex is localized mainly in the L*b-complexes in substoichiometric amounts and this association is RNase sensitive. We suggest that the L*b-complexes may provide a scaffold for dynamic interaction with other editing factors during the editing process to form the active holoenzyme or "editosome."


Assuntos
Mitocôndrias/metabolismo , Proteínas de Protozoários/metabolismo , Edição de RNA , RNA Mensageiro/metabolismo , RNA de Protozoário/genética , Trypanosoma brucei brucei/metabolismo , Uridina/genética , Animais , Carbono-Oxigênio Ligases/genética , Carbono-Oxigênio Ligases/metabolismo , Proteínas Mitocondriais/genética , Proteínas Mitocondriais/metabolismo , Proteínas de Protozoários/genética , RNA/genética , RNA/metabolismo , RNA Mensageiro/genética , RNA Mitocondrial , Proteínas de Ligação a RNA/genética , Proteínas de Ligação a RNA/metabolismo , Frações Subcelulares , Trypanosoma brucei brucei/genética , Uridina/metabolismo
17.
Int J Parasitol ; 39(6): 635-44, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19109964

RESUMO

Kinetoplast maxicircle DNA sequence organisation was investigated in Leishmania donovani, strain 1S LdBob. Gene arrangement in the coding (conserved) region of the maxicircle is collinear with that of most trypanosomatids, with individual genes showing 80-90% nucleotide identity to Leishmania tarentolae, strain UC. The notable exception was an integration of a full-size minicircle sequence in the ND1 gene coding region found in L. donovani. Editing patterns of the mitochondrial mRNAs investigated also followed L. tarentolae UC patterns, including productive editing of the components of respiratory complexes III-V, and ribosomal protein S12 (RPS12), as well as the lack of productive editing in five out of six pan-edited cryptogenes (ND3, ND8, ND9, G3, G4) found in these species. Several guide RNAs for the editing events were localised in minicircles and maxicircles in the locations that are conserved between the species. Mitochondrial activity, including rates of oxygen consumption, the presence and the levels of respiratory complexes and their individual subunits and the steady-state levels of several mitochondrial-encoded mRNAs were essentially the same in axenically grown amastigotes and in promastigotes of L. donovani. However, some modulation of mitochondrial activity between these developmental stages was suggested by the finding of an amastigote-specific component in complex IV, a down-regulation of mitochondrial RNA-binding proteins (MRP) and MRP-associated protein (MRP-AP) in amastigotes, and by variations in the levels of RPS12, ND3, ND9, G3 and G4 pre-edited transcripts.


Assuntos
Leishmania donovani/fisiologia , Mitocôndrias/fisiologia , Edição de RNA , RNA Mensageiro/metabolismo , RNA/metabolismo , Sequência de Aminoácidos , Animais , Sequência de Bases , DNA de Cinetoplasto/química , DNA de Cinetoplasto/genética , DNA de Protozoário/química , DNA de Protozoário/genética , Transporte de Elétrons , Eletroforese em Gel Bidimensional , Ordem dos Genes , Leishmania donovani/química , Leishmania donovani/genética , Leishmania donovani/metabolismo , Mitocôndrias/química , Mitocôndrias/metabolismo , Proteínas Mitocondriais/análise , Dados de Sequência Molecular , Consumo de Oxigênio , RNA Mitocondrial , Análise de Sequência de DNA , Sintenia
18.
Protist ; 160(1): 3, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19097935
19.
Trends Parasitol ; 24(10): 428-31, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18715829

RESUMO

Julius Lukes and co-workers evaluated the evolutionary origin of Trypanosoma equiperdum and Trypanosoma evansi, parasites that cause horse and camel diseases. Although similar to T. brucei, the sleeping-sickness parasite, these trypanosomes do not cycle through the tsetse fly and have been able to spread beyond Africa. Transmission occurs sexually, or via blood-sucking flies or vampire bats. They concluded that these parasites, which resemble yeast petite mutants, are T. brucei sub-species, which have evolved recently through changes in mitochondrial DNA.


Assuntos
Adaptação Fisiológica/genética , DNA de Cinetoplasto/genética , Potencial da Membrana Mitocondrial/fisiologia , Trypanosoma brucei brucei/genética , Trypanosoma brucei brucei/fisiologia , Animais , DNA Mitocondrial , Genes de Protozoários , Mutação
20.
Int J Radiat Oncol Biol Phys ; 72(3): 820-7, 2008 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-18455325

RESUMO

PURPOSE: To perform an independent validation of an anatomy-based inverse planning simulated annealing (IPSA) algorithm in obtaining superior target coverage and reducing the dose to the organs at risk. METHOD AND MATERIALS: In a recent prostate high-dose-rate brachytherapy protocol study by the Radiation Therapy Oncology Group (0321), our institution treated 20 patients between June 1, 2005 and November 30, 2006. These patients had received a high-dose-rate boost dose of 19 Gy to the prostate, in addition to an external beam radiotherapy dose of 45 Gy with intensity-modulated radiotherapy. Three-dimensional dosimetry was obtained for the following optimization schemes in the Plato Brachytherapy Planning System, version 14.3.2, using the same dose constraints for all the patients treated during this period: anatomy-based IPSA optimization, geometric optimization, and dose point optimization. Dose-volume histograms were generated for the planning target volume and organs at risk for each optimization method, from which the volume receiving at least 75% of the dose (V(75%)) for the rectum and bladder, volume receiving at least 125% of the dose (V(125%)) for the urethra, and total volume receiving the reference dose (V(100%)) and volume receiving 150% of the dose (V(150%)) for the planning target volume were determined. The dose homogeneity index and conformal index for the planning target volume for each optimization technique were compared. RESULTS: Despite suboptimal needle position in some implants, the IPSA algorithm was able to comply with the tight Radiation Therapy Oncology Group dose constraints for 90% of the patients in this study. In contrast, the compliance was only 30% for dose point optimization and only 5% for geometric optimization. CONCLUSIONS: Anatomy-based IPSA optimization proved to be the superior technique and also the fastest for reducing the dose to the organs at risk without compromising the target coverage.


Assuntos
Braquiterapia/métodos , Próstata/anatomia & histologia , Neoplasias da Próstata/radioterapia , Planejamento da Radioterapia Assistida por Computador/métodos , Algoritmos , Simulação por Computador , Humanos , Masculino , Próstata/efeitos da radiação , Radiometria
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