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1.
Leukemia ; 22(5): 1026-34, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18256683

RESUMO

We have developed a potent, histone deacetylase 8 (HDAC8)-specific inhibitor PCI-34051 with >200-fold selectivity over the other HDAC isoforms. PCI-34051 induces caspase-dependent apoptosis in cell lines derived from T-cell lymphomas or leukemias, but not in other hematopoietic or solid tumor lines. Unlike broad-spectrum HDAC inhibitors, PCI-34051 does not cause detectable histone or tubulin acetylation. Cells defective in T-cell receptor signaling were still sensitive to PCI-34051-induced apoptosis, whereas a phospholipase C-gamma1 (PLCgamma1)-defective line was resistant. Jurkat cells showed a dose-dependent decrease in PCI-34051-induced apoptosis upon treatment with a PLC inhibitor U73122, but not with an inactive analog. We found that rapid intracellular calcium mobilization from endoplasmic reticulum (ER) and later cytochrome c release from mitochondria are essential for the apoptotic mechanism. The rapid Ca(2+) flux was dependent on PCI-34051 concentration, and was blocked by the PLC inhibitor U73122. Further, apoptosis was blocked by Ca(2+) chelators (BAPTA) and enhanced by Ca(2+) effectors (thapsigargin), supporting this model. These studies show that HDAC8-selective inhibitors have a unique mechanism of action involving PLCgamma1 activation and calcium-induced apoptosis, and could offer benefits including a greater therapeutic index for treating T-cell malignancies.


Assuntos
Apoptose/efeitos dos fármacos , Inibidores de Histona Desacetilases , Indóis/farmacologia , Linfoma de Células T/tratamento farmacológico , Proteínas Repressoras/antagonistas & inibidores , Cálcio/metabolismo , Linhagem Celular Tumoral , Histona Desacetilases , Humanos , Ácidos Hidroxâmicos , Linfoma de Células T/patologia , Fosfolipase C gama/metabolismo
2.
Chem Biol ; 8(11): 1107-21, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11731301

RESUMO

BACKGROUND: Involved or implicated in a wide spectrum of diseases, trypsin-like serine proteases comprise well studied drug targets and anti-targets that can be subdivided into two major classes. In one class there is a serine at position 190 at the S1 site, as in urokinase type plasminogen activator (urokinase or uPA) and factor VIIa, and in the other there is an alanine at 190, as in tissue type plasminogen activator (tPA) and factor Xa. A hydrogen bond unique to Ser190 protease-arylamidine complexes between O gamma(Ser190) and the inhibitor amidine confers an intrinsic preference for such inhibitors toward Ser190 proteases over Ala190 counterparts. RESULTS: Based on the structural differences between the S1 sites of Ser190 and Ala190 protease-arylamidine complexes, we amplified the selectivity of amidine inhibitors toward uPA and against tPA, by factors as high as 220-fold, by incorporating a halo group ortho to the amidine of a lead inhibitor scaffold. Comparison of K(i) values of such halo-substituted and parent inhibitors toward a panel of Ser190 and Ala190 proteases demonstrates pronounced selectivity of the halo analogs for Ser190 proteases over Ala190 counterparts. Crystal structures of Ser190 proteases, uPA and trypsin, and of an Ala190 counterpart, thrombin, bound by a set of ortho (halo, amidino) aryl inhibitors and of non-halo parents reveal the structural basis of the exquisite selectivity and validate the design principle. CONCLUSIONS: Remarkable selectivity enhancements of exceptionally small inhibitors are achieved toward the uPA target over the highly similar tPA anti-target through a single atom substitution on an otherwise relatively non-selective scaffold. Overall selectivities for uPA over tPA as high as 980-fold at physiological pH were realized. The increase in selectivity results from the displacement of a single bound water molecule common to the S1 site of both the uPA target and the tPA anti-target because of the ensuing deficit in hydrogen bonding of the arylamidine inhibitor when bound in the Ala190 protease anti-target.


Assuntos
Serina Endopeptidases/química , Inibidores de Serina Proteinase/síntese química , Animais , Sítios de Ligação , Cristalografia por Raios X , Desenho de Fármacos , Humanos , Ligação de Hidrogênio , Ligação Proteica , Serina Endopeptidases/metabolismo , Inibidores de Serina Proteinase/química , Inibidores de Serina Proteinase/farmacologia , Relação Estrutura-Atividade , Ativador de Plasminogênio Tecidual/antagonistas & inibidores , Ativador de Plasminogênio Tecidual/química , Ativador de Plasminogênio Tipo Uroquinase/antagonistas & inibidores , Ativador de Plasminogênio Tipo Uroquinase/química , Água/química , Água/metabolismo
3.
J Med Chem ; 44(23): 3856-71, 2001 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-11689072

RESUMO

A nonselective inhibitor of trypsin-like serine proteases, 2-(2-hydroxybiphenyl-3-yl)-1H-indole-5-carboxamidine (1) (Verner, E.; Katz, B. A.; Spencer, J.; Allen, D.; Hataye, J.; Hruzewicz, W.; Hui, H. C.; Kolesnikov, A.; Li, Y.; Luong, C.; Martelli, A.; Radika. K.; Rai, R.; She, M.; Shrader, W.; Sprengeler, P. A.; Trapp, S.; Wang, J.; Young, W. B.; Mackman, R. L. J. Med. Chem. 2001, 44, 2753-2771) has been optimized through minor structural changes on the S1 binding group to afford remarkably selective and potent inhibitors of urokinase-type plasminogen activator (uPA). The trypsin-like serine proteases(1) that comprise drug targets can be broadly categorized into two subfamilies, those with Ser190 and those with Ala190. A single-atom modification, for example, replacement of hydrogen for chlorine at the 6-position of the 5-amidinoindole P1 group on 1, generated up to 6700-fold selectivity toward the Ser190 enzymes and against the Ala190 enzymes. The larger chlorine atom displaces a water molecule (H(2)O1(S1)) that binds near residue 190 in all the complexes of 1, and related inhibitors, in uPA, thrombin, and trypsin. The water molecule, H(2)O1(S1), in both the Ser190 or Ala190 enzymes, hydrogen bonds with the amidine N1 nitrogen of the inhibitor. When it is displaced, a reduction in affinity toward the Ala190 enzymes is observed due to the amidine N1 nitrogen of the bound inhibitor being deprived of a key hydrogen-bonding partner. In the Ser190 enzymes the affinity is maintained since the serine hydroxyl oxygen O gamma(Ser190) compensates for the displaced water molecule. High-resolution crystallography provided evidence for the displacement of the water molecule and validated the design rationale. In summation, a novel and powerful method for engineering selectivity toward Ser190 proteases and against Ala190 proteases without substantially increasing molecular weight is described.


Assuntos
Amidinas/síntese química , Indóis/síntese química , Inibidores de Proteases/síntese química , Serina Endopeptidases/química , Ativador de Plasminogênio Tipo Uroquinase/antagonistas & inibidores , Amidinas/química , Amidinas/farmacocinética , Amidinas/farmacologia , Sequência de Aminoácidos , Animais , Cristalografia por Raios X , Ligação de Hidrogênio , Indóis/química , Indóis/farmacocinética , Indóis/farmacologia , Masculino , Modelos Moleculares , Dados de Sequência Molecular , Inibidores de Proteases/química , Inibidores de Proteases/farmacocinética , Ligação Proteica , Ratos , Ratos Sprague-Dawley , Relação Estrutura-Atividade , Ativador de Plasminogênio Tipo Uroquinase/química , Água/química
4.
J Med Chem ; 44(17): 2753-71, 2001 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-11495587

RESUMO

Novel scaffolds that bind to serine proteases through a unique network of short hydrogen bonds to the catalytic Ser195 have been developed. The resulting potent serine protease inhibitors were designed from lead molecule 2-(2-hydroxyphenyl)1H-benzoimidazole-5-carboxamidine, 6b, which is known to display several modes of binding. For instance, 6b can recruit zinc and bind in a manner similar to that reported by bis(5-amidino-2-benzimidazolyl)methane (BABIM) (Nature 1998, 391, 608-612).(1) Alternatively, 6b can bind in the absence of zinc through a multicentered network of short (<2.3 A) hydrogen bonds. The lead structure was optimized in the zinc-independent binding mode toward a panel of six human serine proteases to yield optimized inhibitors such as 2-(3-bromo-2-hydroxy-5-methylphenyl)-1H-indole-5-carboxamidine, 22a, and 2-(2-hydroxybiphenyl-3-yl)-1H-indole-5-carboxamidine, 22f. Structure-activity relationships determined that, apart from the amidine function, an indole or benzimidazole and an ortho substituted phenol group were also essential components for optimal potency. The affinities (K(i)) of 22a and 22f, for example, bearing these groups ranged from 8 to 600 nM toward a panel of six human serine proteases. High-resolution crystal structures revealed that the binding mode of these molecules in several of the enzymes was identical to that of 6b and involved short (<2.3 A) hydrogen bonds among the inhibitor hydroxyl oxygen, Ser195, and a water molecule trapped in the oxyanion hole. In summation, novel and potent trypsin-like serine protease inhibitors possessing a unique mode of binding have been discovered.


Assuntos
Amidinas/síntese química , Inibidores do Fator Xa , Indóis/síntese química , Inibidores de Serina Proteinase/síntese química , Ativador de Plasminogênio Tipo Uroquinase/antagonistas & inibidores , Amidinas/química , Sítios de Ligação , Cristalografia por Raios X , Humanos , Ligação de Hidrogênio , Indóis/química , Modelos Moleculares , Inibidores de Serina Proteinase/química , Espectrometria de Fluorescência , Espectrofotometria Ultravioleta , Relação Estrutura-Atividade
6.
J Mol Biol ; 307(5): 1451-86, 2001 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-11292354

RESUMO

We describe a new serine protease inhibition motif in which binding is mediated by a cluster of very short hydrogen bonds (<2.3 A) at the active site. This protease-inhibitor binding paradigm is observed at high resolution in a large set of crystal structures of trypsin, thrombin, and urokinase-type plasminogen activator (uPA) bound with a series of small molecule inhibitors (2-(2-phenol)indoles and 2-(2-phenol)benzimidazoles). In each complex there are eight enzyme-inhibitor or enzyme-water-inhibitor hydrogen bonds at the active site, three of which are very short. These short hydrogen bonds connect a triangle of oxygen atoms comprising O(gamma)(Ser195), a water molecule co-bound in the oxyanion hole (H(2)O(oxy)), and the phenolate oxygen atom of the inhibitor (O6'). Two of the other hydrogen bonds between the inhibitor and active site of the trypsin and uPA complexes become short in the thrombin counterparts, extending the three-centered short hydrogen-bonding array into a tetrahedral array of atoms (three oxygen and one nitrogen) involved in short hydrogen bonds. In the uPA complexes, the extensive hydrogen-bonding interactions at the active site prevent the inhibitor S1 amidine from forming direct hydrogen bonds with Asp189 because the S1 site is deeper in uPA than in trypsin or thrombin. Ionization equilibria at the active site associated with inhibitor binding are probed through determination and comparison of structures over a wide range of pH (3.5 to 11.4) of thrombin complexes and of trypsin complexes in three different crystal forms. The high-pH trypsin-inhibitor structures suggest that His57 is protonated at pH values as high as 9.5. The pH-dependent inhibition of trypsin, thrombin, uPA and factor Xa by 2-(2-phenol)benzimidazole analogs in which the pK(a) of the phenol group is modulated is shown to be consistent with a binding process involving ionization of both the inhibitor and the enzyme. These data further suggest that the pK(a) of His57 of each protease in the unbound state in solution is about the same, approximately 6.8. By comparing inhibition constants (K(i) values), inhibitor solubilities, inhibitor conformational energies and corresponding structures of short and normal hydrogen bond-mediated complexes, we have estimated the contribution of the short hydrogen bond networks to inhibitor affinity ( approximately 1.7 kcal/mol). The structures and K(i) values associated with the short hydrogen-bonding motif are compared with those corresponding to an alternate, Zn(2+)-mediated inhibition motif at the active site. Structural differences among apo-enzymes, enzyme-inhibitor and enzyme-inhibitor-Zn(2+) complexes are discussed in the context of affinity determinants, selectivity development, and structure-based inhibitor design.


Assuntos
Serina Endopeptidases/química , Serina Endopeptidases/metabolismo , Inibidores de Serina Proteinase/química , Inibidores de Serina Proteinase/metabolismo , Motivos de Aminoácidos , Ânions , Apoproteínas/química , Apoproteínas/metabolismo , Sítios de Ligação , Cristalografia por Raios X , Desenho de Fármacos , Fator Xa/química , Fator Xa/metabolismo , Ligação de Hidrogênio , Concentração de Íons de Hidrogênio , Modelos Moleculares , Fenóis/metabolismo , Conformação Proteica , Solubilidade , Eletricidade Estática , Especificidade por Substrato , Temperatura , Termodinâmica , Trombina/química , Trombina/metabolismo , Tripsina/química , Tripsina/metabolismo , Ativador de Plasminogênio Tipo Uroquinase/química , Ativador de Plasminogênio Tipo Uroquinase/metabolismo , Água/química , Água/metabolismo , Zinco/metabolismo
7.
Plant Mol Biol ; 43(4): 459-71, 2000 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11052198

RESUMO

Based on phylogeny of DNA-binding domains and the organization of hydrophobic repeats, two families of heat shock transcription factors (HSFs) exist in plants. Class A HSFs are involved in the activation of the heat shock response, but the role of class B HSFs is not clear. When transcriptional activities of full-length HSFs were monitored in tobacco protoplasts, no class B HSFs from soybean or Arabidopsis showed activity under control or heat stress conditions. Additional assays confirmed the finding that the class B HSFs lacked the capacity to activate transcription. Fusion of a heterologous activation domain from human HSF1 (AD2) to the C-terminus of GmHSFB1-34 gave no evidence of synergistic enhancement of AD2 activity, which would be expected if weak activation domains were present. Furthermore, activity of AtHSFB1-4 (class B) was not rescued by coexpression with AtHSFA4-21 (class A) indicating that the class A HSF was not able to provide a missing function required for class B activity. The transcriptional activation potential of Arabidopsis AtHSFA4-21 was mapped primarily to a 39 amino acid fragment in the C-terminus enriched in bulky hydrophobic and acidic residues. Deletion mutagenesis of the C-terminal activator regions of tomato and Arabidopsis HSFs indicated that these plant HSFs lack heat-inducible regulatory regions analogous to those of mammalian HSF1. These findings suggest that heat shock regulation in plants may differ from metazoans by partitioning negative and positive functional domains onto separate HSF proteins. Class A HSFs are primarily responsible for stress-inducible activation of heat shock genes whereas some of the inert class B HSFs may be specialized for repression, or down-regulation, of the heat shock response.


Assuntos
Proteínas de Ligação a DNA/genética , Plantas/genética , Sequência de Aminoácidos , Arabidopsis/genética , Sítios de Ligação , Proteínas de Ligação a DNA/classificação , Glucuronidase/genética , Glucuronidase/metabolismo , Fatores de Transcrição de Choque Térmico , Dados de Sequência Molecular , Plantas Tóxicas , Protoplastos/metabolismo , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo , Homologia de Sequência de Aminoácidos , Glycine max/genética , Nicotiana/genética , Transativadores , Fatores de Transcrição , Transcrição Gênica , Transformação Genética
8.
Plant Cell ; 12(1): 125-36, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10634912

RESUMO

The TATA binding protein (TBP) and transcription factor IIB (TFIIB) play crucial roles in transcription of class II genes. The requirement for TBP-TFIIB interactions was evaluated in maize cells by introducing mutations into the Arabidopsis TBP (AtTBP2) within the C-terminal stirrup. Protein binding experiments indicated that amino acid residues E-144 and E-146 of AtTBP2 are both essential for TFIIB binding in vitro. Activation domains derived from herpes simplex viral protein VP16, the Drosophila fushi tarazu glutamine-rich domain (ftzQ), and yeast Gal4 were tested in transient assays. TBP-TFIIB interactions were dispensable for basal transcription but were required for activated transcription. In general, activated transcription was more severely inhibited by TBP mutation E-146R than by mutation E-144R. However, these TBP mutations had little effect on activity of the full-length cauliflower mosaic virus 35S and maize ubiquitin promoters, thus demonstrating that strong TBP-TFIIB contacts are not always required for transcription driven by complex promoters.


Assuntos
Proteínas de Ligação a DNA/metabolismo , Plantas/genética , Plantas/metabolismo , Fatores de Transcrição/metabolismo , Animais , Arabidopsis/genética , Arabidopsis/metabolismo , Sítios de Ligação/genética , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Substâncias Macromoleculares , Modelos Moleculares , Mutação , Plantas Geneticamente Modificadas , Regiões Promotoras Genéticas , Ligação Proteica , Conformação Proteica , Proteína de Ligação a TATA-Box , Fator de Transcrição TFIIB , Fatores de Transcrição/química , Fatores de Transcrição/genética , Transcrição Gênica , Zea mays/genética , Zea mays/metabolismo
9.
Bioorg Med Chem ; 6(12): 2301-16, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9925292

RESUMO

The systematic modification of the ETA selective N-(5-isoxazolyl)benzene-sulfonamide endothelin antagonists to give ETB selective antagonists is reported. The reversal in selectivity was brought about by substitution of the 4-position with aryl and substituted aryl groups. Of all the aromatic substituents studied, the para-tolyl group gave rise to the most active and selective ETB antagonist. Larger substituents caused a decrease in both ETB activity and selectivity. A similar trend was observed by substitution at the 5-position of the N-(5-isoxazolyl)-2-thiophenesulfonamide ETA receptor antagonists. The para-tolyl group was again found to be optimal for the ETB activity and selectivity. The structural features that were found to be favorable for binding to the ETB receptor, that is, the presence of a linear, conjugated pi-system of definite shape and size, have been successfully incorporated into the design of ETB selective polycyclic aromatic sulfonamides antagonists.


Assuntos
Derivados de Benzeno/síntese química , Antagonistas dos Receptores de Endotelina , Isoxazóis/síntese química , Sulfonamidas/síntese química , Animais , Derivados de Benzeno/química , Derivados de Benzeno/farmacologia , Células COS , Humanos , Indicadores e Reagentes , Isoxazóis/química , Isoxazóis/farmacologia , Estrutura Molecular , Peso Molecular , Fosfatidilinositóis/metabolismo , Ensaio Radioligante , Receptor de Endotelina A , Receptor de Endotelina B , Receptores de Endotelina/fisiologia , Proteínas Recombinantes/antagonistas & inibidores , Proteínas Recombinantes/metabolismo , Relação Estrutura-Atividade , Sulfonamidas/química , Sulfonamidas/farmacologia , Transfecção
10.
Cell Stress Chaperones ; 2(4): 263-75, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9495283

RESUMO

We have examined reporter gene (beta-gal) expression directed by human heat shock transcription factors 1 and 2 (HSF1 and HSF2) in HeLa cells and in yeast (Saccharomyces cerevisiae). Transcriptional activation domains of both HSFs were mapped to the C-termini using chimeric proteins containing the GAL4 DNA binding domain (GAL4-DBD). Deletion analysis of HSF1 largely confirmed the mapping and expression pattern of activation domain 2 (AD2) previously reported by Green et al (1995) with the exception of the contribution of the oligomerization domain (hydrophobic region A) to basal repression in yeast, but not in HeLa cells. In addition, a C-terminal activation domain for HSF2 (amino acids 397 to 536) was identified by analysis in yeast. In contrast to HSF1, full length HSF2 and the isolated activation domain of HSF2 showed little activity in HeLa cells. Analysis of point mutations generated by low fidelity PCR within AD2 of HSF1 indicated that hydrophobic and charged amino acids in addition to proline, serine and threonine make critical contributions to transcriptional activity. Co-expression of GAL4-DBD fusions with AD2 of HSF1 and the C-terminal activation domain of HSF2 showed no evidence of synergism in the activation of transcription. Wild-type human HSF1 and HSF2 were both able to substitute for the endogenous yeast HSF under normal growth conditions.


Assuntos
Proteínas de Ligação a DNA/biossíntese , Células HeLa/metabolismo , Proteínas de Choque Térmico/biossíntese , Proteínas Recombinantes/biossíntese , Saccharomyces cerevisiae/genética , Fatores de Transcrição/biossíntese , Linhagem Celular , Proteínas de Ligação a DNA/genética , Fatores de Transcrição de Choque Térmico , Proteínas de Choque Térmico/genética , Resposta ao Choque Térmico/genética , Humanos , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida/genética , Mapeamento de Peptídeos , Estrutura Terciária de Proteína , Proteínas Recombinantes de Fusão/biossíntese , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes/metabolismo , Alinhamento de Sequência , Temperatura , Fatores de Transcrição/genética
11.
Cell Stress Chaperones ; 1(4): 215-23, 1996 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9222607

RESUMO

Based on the partial or complete sequences of 14 plant heat stress transcription factors (Hsfs) from tomato, soybean, Arabidopsis and maize we propose a general nomenclature with two basic classes, i.e. classes A and B each containing two or more types of Hsfs (HsfA1, HsfA2 etc.). Despite some plant-specific peculiarities, essential functional domains and modules of these proteins are conserved among plants, yeast, Drosophila and vertebrates. A revised terminology of these parts follows recommendations agreed upon among the authors and representatives from other laboratories working in this field (see legend to Fig. 1). Similar to the situation with the small heat shock proteins (sHsps), the complexity of the hsf gene family in plants appears to be higher than in other eukaryotic organisms.


Assuntos
Proteínas de Choque Térmico , Proteínas de Plantas , Fatores de Transcrição , Sequência de Aminoácidos , Animais , Proteínas de Choque Térmico/química , Proteínas de Choque Térmico/classificação , Proteínas de Choque Térmico/genética , Humanos , Dados de Sequência Molecular , Proteínas de Plantas/química , Proteínas de Plantas/classificação , Proteínas de Plantas/genética , Fatores de Transcrição/química , Fatores de Transcrição/classificação , Fatores de Transcrição/genética
12.
Plant Mol Biol ; 29(1): 37-51, 1995 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7579166

RESUMO

Thermal stress in soybean seedlings causes the activation of pre-existing heat shock transcription factor proteins (HSFs). Activation results in the induction of DNA binding activity which leads to the transcription of heat shock genes. From a soybean cDNA library we have isolated cDNA clones corresponding to six HSF genes. Two HSF genes are expressed constitutively at the transcriptional level, and the remaining four are heat-inducible. Two of the heat inducible genes are also responsive to cadmium stress. Comparative analysis of HSF sequences indicated higher conservation of the DNA binding domain among plant HSFs than those from yeast or other higher eukaryotes. The putative plant HSF oligomerization domain contains hydrophobic heptapeptide repeats characteristic of coiled coils and seems to exist in two structural variants. The carboxy-terminal domains are reduced in size and the C-terminal heptad repeat is degenerate.


Assuntos
Glycine max/genética , Proteínas de Choque Térmico/genética , Fatores de Transcrição/genética , Sequência de Aminoácidos , Sequência de Bases , Biopolímeros , Núcleo Celular/metabolismo , Clonagem Molecular , DNA Complementar , Regulação da Expressão Gênica de Plantas , Proteínas de Choque Térmico/química , Dados de Sequência Molecular , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Homologia de Sequência de Aminoácidos , Glycine max/química , Fatores de Transcrição/química , Triptofano/química
13.
J Am Acad Dermatol ; 21(3 Pt 1): 544-6, 1989 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2789236

RESUMO

During a 10-month period, skin culture specimens were taken from 1680 healthy outpatients with a variety of community-acquired skin infections. Staphylococcus aureus was found in 1035 (61.6%) of these patients. In vitro resistance to methicillin and erythromycin was 1.0% and 42.9%, respectively. Resistance rates to erythromycin in patients with furunculosis and impetigo were 51.5% and 26.2%, respectively (p less than 0.001). The emergence of erythromycin-resistant strains may be the result of widespread use of this drug in our geographic area. There is also the possibility that certain bacteriologic features associated with erythromycin resistance may foster the development of furunculosis.


Assuntos
Eritromicina/farmacologia , Meticilina/farmacologia , Infecções Cutâneas Estafilocócicas/microbiologia , Staphylococcus aureus/efeitos dos fármacos , Adolescente , Adulto , Idoso , Criança , Pré-Escolar , Estudos de Coortes , Resistência Microbiana a Medicamentos , Feminino , Humanos , Lactente , Israel , Masculino , Pessoa de Meia-Idade , Resistência às Penicilinas , Infecções Cutâneas Estafilocócicas/epidemiologia , Infecções Cutâneas Estafilocócicas/transmissão , Staphylococcus aureus/isolamento & purificação
14.
Isr J Med Sci ; 24(3): 151-5, 1988 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-3372222

RESUMO

Serologic tests for syphilis are frequently positive in Ethiopian Jewish immigrants in Israel. Forty-three of 358 adults (greater than 15 years of age) examined were found to have positive treponemal tests. Of the 418 children (1 to 15 years of age) none were found to have positive treponemal serology. Forty seropositive adults were examined for signs of tertiary syphilis and underwent lumbar puncture. No evidence of skin or cardiovascular involvement of tertiary syphilis was found. In three patients whose cerebrospinal fluid (CSF) was reactive in treponemal tests, there was no evidence of neuropsychiatric involvement. CSF cell count and protein content were normal in all three, and VDRL in the CSF was negative. None of the subjects was found to have stigmata of congenital syphilis. Negative serological findings in all the children led us to hypothesize whether the disease in question is venereal syphilis with an unusual course rather than endemic syphilis or yaws, both of which are known to exist in Africa. Due to the apparent benign course of syphilis in this ethnic group and recent evidence that lumbar puncture is not mandatory in patients with latent syphilis or asymptomatic neurosyphilis, we suggest that CSF should not be routinely examined in these patients. In view of the recommendations in the literature and the data that we have collected, we strongly feel that treatment with weekly i.m. injections of 2.4 x 10(6) u benzathine penicillin for a 3-week period is sufficient.


Assuntos
Emigração e Imigração , Penicilina G Benzatina/uso terapêutico , Penicilina G/uso terapêutico , Sorodiagnóstico da Sífilis , Sífilis/tratamento farmacológico , Adolescente , Adulto , Criança , Pré-Escolar , Etiópia/etnologia , Humanos , Lactente , Israel , Pessoa de Meia-Idade , Neurossífilis/diagnóstico , Neurossífilis/tratamento farmacológico , Penicilina G Benzatina/administração & dosagem , Punção Espinal , Sífilis/etnologia , Sífilis Congênita/diagnóstico , Sífilis Latente/diagnóstico
18.
J Pediatr Gastroenterol Nutr ; 5(6): 980-6, 1986.
Artigo em Inglês | MEDLINE | ID: mdl-2878987

RESUMO

Renal gastrinoma has not been previously reported. A 12-year-old boy with Zollinger-Ellison syndrome was found to have a renal tumor. No other tumor was detectable by imaging techniques, and selective venous sampling for gastrin showed a significant renal vein to vena cava gradient. Nephrectomy was performed, and examination of the tumor showed typical histologic features of an endocrine tumor. G cells were apparent by electron microscopy, and immunoperoxidase staining for gastrin, neuron-specific enolase, and chromogranin were positive. The gastrin content was unusually low for gastrinomas: 128 pg/g. Following nephrectomy, fasting gastrin and secretin stimulation testing were normal. Basal acidity was reduced by 60% but remained elevated at 39 mmol H +/h (hydrogen ion per hour). We speculate that renal gastrinoma may be characterized by uniquely poor gastrin storage and that curative resection of all gastrinoma tissue may not necessarily be associated with immediate complete suppression of hyperacidity.


Assuntos
Neoplasias Renais/patologia , Neoplasia Endócrina Múltipla/patologia , Síndrome de Zollinger-Ellison/patologia , Criança , Gastrinas/metabolismo , Humanos , Neoplasias Renais/metabolismo , Masculino , Neoplasia Endócrina Múltipla/metabolismo , Síndrome de Zollinger-Ellison/metabolismo
20.
Cutis ; 38(3): 198-9, 1986 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-3769557

RESUMO

Ketoconazole failed to cure cutaneous lesions caused by Leishmania braziliensis in two patients. A prior study had suggested that ketoconazole was efficacious against this form of leishmaniasis.


Assuntos
Cetoconazol/uso terapêutico , Leishmaniose/tratamento farmacológico , Úlcera Cutânea/tratamento farmacológico , Administração Oral , Adulto , Feminino , Humanos , Cetoconazol/administração & dosagem , Leishmania braziliensis , Leishmaniose/complicações , Masculino , Úlcera Cutânea/etiologia
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