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1.
Osteoporos Int ; 23(2): 599-606, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21359669

RESUMO

SUMMARY: In older men, both lower and higher total osteocalcin levels predict increased all-cause mortality, with comparable associations for cardiovascular and non-cardiovascular deaths. Differences in osteocalcin levels might influence glucose metabolism and thereby cardiovascular risk, or reflect changes in bone turnover thus representing a marker for poorer health outcomes. INTRODUCTION: Reduced levels of total osteocalcin (TOC) are associated with adiposity, insulin resistance and type 2 diabetes, implying this bone-derived peptide might modulate cardiovascular risk. However, there are few longitudinal data relating TOC levels to survival. We examined associations of TOC level with all-cause and cardiovascular mortality in older men. METHODS: We conducted a prospective cohort study of community-dwelling men aged 70-89 years. Aliquots of plasma collected at baseline (2001-2004) were assayed for TOC. Incidence and causes of death to 31 December 2008 were ascertained using data linkage. Cox regression analyses were performed with adjustment for conventional cardiovascular risk factors. RESULTS: From 3,542 men followed for median 5.2 years there were 572 deaths (16.1%). Mortality was lowest in men with TOC levels in the second quintile (12.6%). In multivariate analyses, men with TOC in the lowest and highest quintiles of values had increased all-cause mortality (Q1 vs Q2: hazard ratio [HR], 1.36; 95% confidence interval 1.02-1.80 and Q5 vs Q2: HR, 1.53, 95% CI 1.18-1.98). Men with low TOC levels had similar HR for cardiovascular and non-cardiovascular deaths (Q1 vs Q2: HR, 1.35 and 1.30 respectively). Higher TOC levels predicted cardiovascular disease (CVD)-related mortality (Q5 vs Q2, HR, 1.69, 95% CI 1.09-2.64). CONCLUSIONS: TOC predicts all-cause and CVD-related mortality in community-dwelling older men. However, the relationship is U shaped with men at both ends of the distribution at increased risk. Further investigation is required to clarify whether the underlying mechanisms involve altered bone turnover or relate specifically to the biological activity of osteocalcin.


Assuntos
Doenças Cardiovasculares/sangue , Mortalidade , Osteocalcina/sangue , Idoso , Idoso de 80 Anos ou mais , Antropometria/métodos , Biomarcadores/sangue , Doenças Cardiovasculares/etiologia , Doenças Cardiovasculares/mortalidade , Métodos Epidemiológicos , Humanos , Masculino , Austrália Ocidental/epidemiologia
2.
Diabetologia ; 52(1): 106-14, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19018513

RESUMO

AIMS/HYPOTHESIS: Common genetic variants influence plasma triacylglycerol, HDL-cholesterol (HDL-C) and glucose levels in cross-sectional studies. However, the longitudinal effects of these established variants have not been studied. Our aim was to examine the longitudinal associations of four such variants in the apolipoprotein A-V (APOA5), lipoprotein lipase (LPL), and glucokinase (GCK) genes with fasting glucose or lipid levels. METHODS: The individuals analysed were participants in the Busselton Health Survey (n = 4,554). Cross-sectional analyses of family data used the total association test. Longitudinal association analyses of unrelated participant data (n = 2,864) used linear mixed-effects models. RESULTS: The findings of cross-sectional association analyses replicated those of previous studies. We observed associations of the G and C alleles at the APOA5 single nucleotide polymorphisms (SNPs) rs662799 and rs3135506 with raised triacylglycerol levels (p = 0.0003 and p < 0.0001, respectively), the 447X allele at the LPL SNP rs328 with reduced triacylglycerol levels (p = 0.0004) and raised HDL-C levels (p = 0.0004), and the A allele of the GCK SNP rs1799884 with raised fasting glucose level (p = 0.015). Longitudinal association analyses showed that most of these associations did not change in the same individuals over an average follow-up time of 17.4 years, though there was some evidence that the association of the 447X allele of rs328 with raised HDL-C level significantly increased with age (p = 0.01), and that the association of the C allele of rs3135506 with raised triacylglycerol level significantly increased over time (p = 0.0007). CONCLUSIONS/INTERPRETATION: The current study suggests that the effects of established gene variants on lipid and glucose traits do not tend to alter with age during adulthood or over time.


Assuntos
Apolipoproteínas A/genética , Glicemia/análise , Variação Genética , Glucoquinase/genética , Lipídeos/sangue , Lipase Lipoproteica/genética , Polimorfismo de Nucleotídeo Único , Adolescente , Adulto , Apolipoproteína A-V , Austrália , DNA/sangue , DNA/genética , DNA/isolamento & purificação , Inquéritos Epidemiológicos , Humanos , Estudos Longitudinais , Pessoa de Meia-Idade , Triglicerídeos/sangue , Adulto Jovem
3.
Thorax ; 64(7): 620-5, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19386584

RESUMO

BACKGROUND: Numerous areas of the human genome have previously been associated with asthma and asthma-related phenotypes, but few positive findings have been successfully replicated in independent populations. Initial studies have reported strong associations of variants in the plant homeodomain zinc finger protein 11 (PHF11) gene with serum IgE levels, asthma, airway hyper-responsiveness and childhood atopic dermatitis. OBJECTIVES: To investigate the association of variants in the PHF11 gene with asthma and associated intermediate phenotypes in two independent Western Australian population-based samples. METHODS: A linkage-disequilibrium (LD)-tagging set of 20 single nucleotide polymorphisms (SNPs) was genotyped in PHF11 in two separate populations (total n = 2315), a family-based twin study consisting of 230 families (n = 992 subjects) and a population-based nested case-control study consisting of 617 asthma cases and 706 controls. Information regarding asthma, respiratory physiology, atopy and environmental exposures was collected. Transmission disequilibrium tests, variance components models and generalised linear models were used to test for association between PHF11 SNPs and selected asthma outcomes (including longitudinal change in lung function). RESULTS: After correction for multiple testing, no statistically significant (p < 0.05) associations were found between PHF11 and either asthma or total serum IgE levels in either population. No statistically significant associations were found with any other asthma-associated phenotypes in either population. CONCLUSIONS: Previously reported associations of PHF11 with asthma outcomes were not replicated in this study. This study suggests that PHF11 is unlikely to contain polymorphic loci that have a major impact on asthma susceptibility in our populations.


Assuntos
Asma/genética , Proteínas de Ligação a DNA/genética , Fatores de Transcrição/genética , Adolescente , Adulto , Idoso , Asma/imunologia , Estudos de Casos e Controles , Criança , Doenças em Gêmeos/genética , Feminino , Predisposição Genética para Doença , Genótipo , Humanos , Imunoglobulina E/sangue , Desequilíbrio de Ligação , Masculino , Pessoa de Meia-Idade , Fenótipo , Polimorfismo de Nucleotídeo Único , Adulto Jovem
4.
Int J Obes (Lond) ; 32(5): 772-9, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18253163

RESUMO

BACKGROUND: Adiponectin is an abundantly expressed adipocyte-specific protein, whose level is decreased in obesity, and which appears to be a key participant in developing inflammation, insulin resistance and metabolic syndrome (MetS). We examined whether the relationship between adiponectin and inflammatory markers, insulin resistance and MetS was independent of obesity. METHODS AND RESULTS: The study was performed in 1094 men and women, aged 27-77 years, from a representative community population. We measured serum inflammatory markers, homoeostasis model assessment of insulin resistance (HOMA-IR) and prevalent MetS using National Cholesterol Education Program ATPIII criteria. Sex- and age-adjusted plasma adiponectin concentration was inversely correlated with body mass index (BMI), waist-hip ratio, diastolic blood pressure, triglycerides, glucose and fasting insulin, and positively correlated with HDL cholesterol (all P<0.005). Log plasma adiponectin was a significant negative correlate of the levels of C-reactive protein, interleukin-6, interleukin-18, fibrinogen and white cell count independent of level of obesity. Log plasma adiponectin was also an inverse associate of log HOMA-IR (P<0.001) independent of obesity. Subjects in the top compared to bottom sex-specific plasma adiponectin quartile had a multivariate-adjusted odds ratio (OR) of 0.21 (95% CI, 0.11-0.42; P<0.001) for prevalent MetS, and the association was independent of age, sex, BMI, log insulin and log interleukin-18 levels. CONCLUSION: Our findings suggest that higher circulating adiponectin levels may mitigate against adipose-related inflammation, insulin resistance and MetS as much in lean as obese persons. At any rate circulating adiponectin level is a strong risk marker for MetS, which is independent of measures of adiposity, insulin resistance and inflammatory markers.


Assuntos
Adiponectina/sangue , Tecido Adiposo/metabolismo , Resistência à Insulina/fisiologia , Síndrome Metabólica/sangue , Obesidade/sangue , Adulto , Biomarcadores/sangue , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Masculino , Obesidade/complicações , Valor Preditivo dos Testes , Relação Cintura-Quadril
5.
Circulation ; 99(18): 2383-8, 1999 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-10318658

RESUMO

BACKGROUND: Hyperhomocysteinemia has been identified as a potential risk factor for atherosclerosis. This study examined whether a modest elevation of plasma total homocysteine (tHcy) was an independent risk factor for increased carotid artery intimal-medial wall thickness (IMT) and focal plaque formation in a large, randomly selected community population. We also examined whether vitamin cofactors and the C677T genetic mutation of the methylenetetrahydrofolate reductase (MTHFR) enzyme were major contributors to elevated plasma tHcy and carotid vascular disease. METHODS AND RESULTS: In 1111 subjects (558 men, 553 women) 52+/-13 years old (mean+/-SD; range, 27 to 77 years) recruited from a random electoral roll survey, we measured fasting tHcy and performed bilateral carotid B-mode ultrasound. For the total population, mean tHcy was 12.1+/-4.0 micromol/L. Plasma tHcy levels were correlated with IMT (Spearman rank rs=0.31, P=0.0001). After adjustment for age, sex, and other conventional risk factors, subjects in the highest versus the lowest quartile of tHcy had an odds ratio of 2.60 (95% CI, 1.51 to 4.45) for increased IMT and 1.76 (95% CI, 1.10 to 2.82) for plaque. Serum and dietary folate levels and the C677T mutation in MTHFR were independent determinants of tHcy (all P=0.0001). The mutant homozygotes (10% of the population) had higher mean tHcy than heterozygotes or those without the mutation (14.2 versus 12.3 versus 11.6 micromol/L, respectively, P=0.0001). The inverse association of folate levels with tHcy was steeper in the mutant homozygotes. Despite this, the C677T MTHFR mutation was not independently predictive of increased carotid IMT or plaque formation. CONCLUSIONS: Mild hyperhomocysteinemia is an independent risk factor for increased carotid artery wall thickness and plaque formation in a general population. Lower levels of dietary folate intake and the C677T mutation in MTHFR are important causes of mild hyperhomocysteinemia and may therefore contribute to vascular disease in the community.


Assuntos
Substituição de Aminoácidos , Arteriosclerose/epidemiologia , Estenose das Carótidas/epidemiologia , Hiper-Homocisteinemia/epidemiologia , Mutação de Sentido Incorreto , Oxirredutases atuantes sobre Doadores de Grupo CH-NH/genética , Mutação Puntual , Adulto , Idoso , Arteriosclerose/diagnóstico por imagem , Arteriosclerose/etiologia , Artérias Carótidas/diagnóstico por imagem , Artérias Carótidas/patologia , Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/etiologia , Comorbidade , Dieta , Feminino , Ácido Fólico/sangue , Frequência do Gene , Predisposição Genética para Doença , Genótipo , Inquéritos Epidemiológicos , Homocisteína/sangue , Humanos , Hiper-Homocisteinemia/complicações , Hiper-Homocisteinemia/genética , Hiperlipidemias/epidemiologia , Masculino , Metilenotetra-Hidrofolato Redutase (NADPH2) , Pessoa de Meia-Idade , Obesidade/epidemiologia , Razão de Chances , Piridoxina/sangue , Fatores de Risco , Fumar/epidemiologia , Túnica Íntima/diagnóstico por imagem , Túnica Íntima/patologia , Ultrassonografia , Vitamina B 12/sangue , Austrália Ocidental/epidemiologia
6.
J Am Coll Cardiol ; 38(7): 1788-94, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11738275

RESUMO

OBJECTIVES: This study examined whether dietary intake or plasma levels of antioxidant vitamins were independently associated with common carotid artery intima-media (wall) thickness (IMT) or focal plaque, or both, in a large, randomly selected community population. BACKGROUND: Oxidation of low-density lipoprotein (LDL) cholesterol is thought to be important in early atherogenesis. Antioxidant micronutrients may therefore protect against lipid peroxidation and atherosclerotic vascular disease. METHODS: We studied 1,111 subjects (558 men and 553 women; age 52 +/- 13 years [mean +/- SD], range 27 to 77). We measured dietary vitamin intake and fasting plasma levels of vitamins A, C and E, lycopene and alpha- and beta-carotene and performed bilateral carotid artery B-mode ultrasound imaging. RESULTS; After adjustment for age and conventional risk factors, there was a progressive decrease in mean IMT, with increasing quartiles of dietary vitamin E intake in men (p = 0.02) and a nonsignificant trend in women (p = 0.10). Dietary vitamin E levels accounted for 1% of the variance in measured IMT in men. For plasma antioxidant vitamins, there was an inverse association between carotid artery mean IMT and plasma lycopene in women (p = 0.047), but not in men. None of the other dietary or plasma antioxidant vitamins, nor antioxidant vitamin supplements, were associated with carotid artery IMT or focal carotid artery plaque. CONCLUSIONS: This study provides limited support for the hypothesis that increased dietary intake of vitamin E and increased plasma lycopene may decrease the risk of atherosclerosis. No benefit was demonstrated for supplemental antioxidant vitamin use.


Assuntos
Antioxidantes/administração & dosagem , Doenças das Artérias Carótidas/diagnóstico por imagem , Vitaminas/administração & dosagem , Antioxidantes/farmacocinética , Ácido Ascórbico/administração & dosagem , Ácido Ascórbico/sangue , Carotenoides/administração & dosagem , Carotenoides/sangue , Doenças das Artérias Carótidas/sangue , Doenças das Artérias Carótidas/prevenção & controle , Inquéritos Epidemiológicos , Humanos , Licopeno , Necessidades Nutricionais , Risco , Ultrassonografia , Vitamina A/administração & dosagem , Vitamina A/sangue , Vitamina E/administração & dosagem , Vitamina E/sangue , Vitaminas/sangue , Austrália Ocidental , beta Caroteno/administração & dosagem , beta Caroteno/sangue
7.
Physiol Genomics ; 1(2): 71-3, 1999 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-11015563

RESUMO

We have developed a highly accurate, low-cost, single-step, mutagenically separated polymerase chain reaction (MS-PCR) method for the determination of angiotensin II type-1 receptor (AT(1)) A1166C gene polymorphism. The genotypes are determined using the microtiter array diagonal gel electrophoresis (MADGE) system. We have compared the MS-PCR method with allele-specific oligonucleotide hybridization and Dde I digestion techniques for determining the AT(1) A1166C genotype. The combination of MS-PCR and MADGE serves as a model for high-throughput single-nucleotide polymorphism genotyping in large population studies.


Assuntos
Eletroforese em Gel de Poliacrilamida/métodos , Reação em Cadeia da Polimerase/métodos , Polimorfismo de Nucleotídeo Único , Receptores de Angiotensina/genética , Alelos , DNA/genética , Primers do DNA , Genótipo , Humanos , Mutagênese , Hibridização de Ácido Nucleico , Receptor Tipo 1 de Angiotensina , Receptor Tipo 2 de Angiotensina , Reprodutibilidade dos Testes
8.
Stroke ; 31(12): 3015-20, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11108765

RESUMO

BACKGROUND AND PURPOSE: Serum ferritin and heterozygosity for the C282Y mutation of the hemochromatosis gene have both been associated with an increased risk of cardiovascular events. The purpose of the study was to test whether either is a risk predictor for asymptomatic carotid atherosclerosis. METHODS: We assessed carotid intima-media wall thickness (IMT) and focal plaque formation by high-resolution B-mode ultrasound, conventional risk factors, serum ferritin levels, and the C282Y mutation of the hemochromatosis gene in a randomly selected community population of 1098 subjects (545 women and 553 men) aged 27 to 77 years. RESULTS: After adjustment for conventional risk factors, serum ferritin was not associated with carotid mean IMT. Women with ferritin values over the first quartile (>34 microg/L) had an adjusted odds ratio of 2.1 (95% CI, 1. 3 to 3.4; P:=0.0016) for carotid plaque compared with the first quartile. Ferritin was not associated with carotid plaque in men. Subjects who were heterozygous for the C282Y mutation constituted 11. 4% of the population, and there was no independent association of this genotype with either carotid IMT or focal plaque formation. CONCLUSIONS: We conclude that in our community population, C282Y genotype status was not a risk predictor for either carotid mean IMT or plaque formation. Serum ferritin values in women were independently associated with carotid plaque.


Assuntos
Doenças das Artérias Carótidas/diagnóstico , Ferritinas/sangue , Hemocromatose/genética , Adulto , Idoso , Austrália/epidemiologia , Doenças das Artérias Carótidas/sangue , Doenças das Artérias Carótidas/epidemiologia , Estenose das Carótidas/sangue , Estenose das Carótidas/diagnóstico , Estenose das Carótidas/epidemiologia , Feminino , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Mutação , Prevalência , Fatores de Risco , Estudos de Amostragem , Ultrassonografia Doppler Transcraniana/estatística & dados numéricos
9.
Atherosclerosis ; 159(1): 209-17, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11689223

RESUMO

BACKGROUND: Polymorphisms within genes of the renin-angiotensin system have been associated with an increased risk of cardiovascular disease. We investigated the association of polymorphisms in the angiotensinogen (AGT) and angiotensin II receptor type 1 (AGTR1) genes with increased intima-media thickness (IMT) and the presence of plaques in carotid arteries. METHODS: Subjects (1111) from the Perth Carotid Ultrasound Disease Assessment Study (CUDAS) were genotyped for three polymorphisms: two in the promoter of the AGT gene, G-6A and A-20C; and one in the AGTR1 gene, A1166C. RESULTS: Using multivariate generalised linear models, the AGT-6A allele (P<0.001) and the AGT-20C allele (P<0.03) were significantly associated with increased mean carotid IMT in females but not in males when adjusted for conventional risk factors. The AGTR1 A1166C polymorphism did not show any significant relationship to mean IMT. Results suggest that the I allele of the angiotensin converting enzyme insertion/deletion polymorphism may interact with the AGT-6G allele to increase mean carotid IMT in the population as a whole. None of the polymorphisms investigated were significantly associated with the presence of carotid plaques. CONCLUSION: This study shows that polymorphisms in the angiotensinogen gene are associated with an increased risk of carotid intimal-medial wall thickening in females.


Assuntos
Angiotensinogênio/genética , Artérias Carótidas/patologia , Doenças das Artérias Carótidas/genética , Polimorfismo Genético , Túnica Íntima/patologia , Túnica Média/patologia , Adulto , Idoso , Artérias Carótidas/diagnóstico por imagem , Doenças das Artérias Carótidas/diagnóstico por imagem , Doenças das Artérias Carótidas/patologia , Feminino , Frequência do Gene , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Receptores de Angiotensina/genética , Fatores de Risco , Túnica Íntima/diagnóstico por imagem , Túnica Média/diagnóstico por imagem , Ultrassonografia
10.
Eur J Endocrinol ; 144(3): 277-82, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11248748

RESUMO

OBJECTIVE: Peroxisome proliferator-activated receptor-gamma 2 (PPAR gamma 2) is an important regulator of adipose tissue metabolism and insulin sensitivity. The aim of this investigation was to determine whether a PPAR gamma 2 Pro12Ala polymorphism was associated with cardiovascular risk factors (obesity, blood pressure, diabetes and blood lipids) in Western Australian Caucasians (n=663). DESIGN: Subjects were selected from two population studies (the Carotid Ultrasound Disease Assessment Study (CUDAS) and Busselton Population Health Survey) on the basis of body mass index (BMI). 292 obese (BMI > or =30 kg/m) and 371 lean (BMI <25 kg /m) subjects were studied. METHODS: Blood pressure and anthropometric measurements were collected from all participants, as well as a fasting venous blood sample. Biochemical measurements (high-density lipoprotein (HDL)- and low-density lipoprotein-cholesterol, triglycerides) and PPAR gamma 2 Pro12Ala genotype were also determined. RESULTS: Obese Pro/Ala and Ala/Ala subjects had lower levels of HDL-cholesterol (P=0.032) and a trend towards higher levels of triglycerides (P=0.055) compared with obese Pro/Pro subjects. In the obese group, the Ala allele was significantly associated with the presence of combined hyperlipidaemia (odds ratio = 2.33, P=0.042). There was no significant difference in the frequency of the polymorphism between lean and obese groups (P=0.069). No association was observed between Pro12Ala genotype and obesity, blood pressure or diabetes in either group. CONCLUSIONS: Obese carriers of the Pro12Ala polymorphism have a greater risk of developing combined hyperlipidaemia, possibly due to impaired activation of PPAR gamma target genes. The Pro12Ala polymorphism is not directly associated with obesity, hypertension or diabetes in this population.


Assuntos
Predisposição Genética para Doença , Hiperlipidemias/complicações , Hiperlipidemias/genética , Obesidade/complicações , Obesidade/genética , Polimorfismo Genético/genética , Receptores Citoplasmáticos e Nucleares/genética , Fatores de Transcrição/genética , Envelhecimento/fisiologia , Alanina/genética , Alanina/metabolismo , Alelos , Substituição de Aminoácidos/genética , Antropometria , Austrália , Pressão Sanguínea , HDL-Colesterol/sangue , Diabetes Mellitus/genética , Feminino , Genótipo , Humanos , Hiperlipidemias/sangue , Hiperlipidemias/fisiopatologia , Masculino , Pessoa de Meia-Idade , Obesidade/sangue , Obesidade/fisiopatologia , Razão de Chances , Prolina/genética , Prolina/metabolismo , Caracteres Sexuais , Fumar , Magreza/sangue , Magreza/genética , Magreza/fisiopatologia , Triglicerídeos/sangue , População Branca/genética
11.
Clin Chim Acta ; 133(1): 51-63, 1983 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-6414740

RESUMO

Addition of 125I-thyroxine to serum allows autoradiography for thyroxine-binding globulin microheterogeneity to be carried out after isoelectric focusing has been performed to display (by protein stain) the heterogeneous bands of the alpha 1-antitrypsin (PI) system. Comparison of the protein stain for PI with the autoradiograph for thyroxine-binding globulin indicates that these two systems are interrelated with the major bands of the PI system corresponding to the bands on the autoradiograph. This correspondence holds for PI variants other than the common M type and in particular it holds for the deficient Z type in which the autoradiograph for thyroxine-binding globulin is strikingly different from normal. We conclude that the major cause of microheterogeneity of TBG is due to an association with the PI system under the conditions of isoelectric focusing as normally performed. Precipitation experiments with antisera to PI and TBG suggest that the complex between these biologically important globulins may occur under conditions other than isoelectric focusing, but further work will be needed to examine this possibility.


Assuntos
Proteínas de Ligação a Tiroxina , alfa 1-Antitripsina , Fenômenos Químicos , Química , Densitometria , Humanos , Focalização Isoelétrica , Fenótipo , Proteínas de Ligação a Tiroxina/deficiência , Proteínas de Ligação a Tiroxina/genética , Proteínas de Ligação a Tiroxina/imunologia , alfa 1-Antitripsina/genética , alfa 1-Antitripsina/imunologia , Deficiência de alfa 1-Antitripsina
12.
Ann Clin Biochem ; 36 ( Pt 1): 56-61, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10370761

RESUMO

We determined the intra-individual biological variability of plasma homocysteine in 20 healthy subjects. The intra-individual coefficient of variation was relatively low (8.3%), indicating that a single measurement can be used to characterize the average homocysteine concentration. A population study measuring plasma homocysteine and serum folate levels was conducted on serum samples collected from 1109 randomly selected, fasting adults with a wide age range. We determined age- and gender-specific central 0.95 intervals and found that subjects in the highest quartile of serum folate had significantly lower (P = 0.0001) mean plasma homocysteine concentrations than did those in the lowest quartile of folate values. An 'ideal' homocysteine reference range, based on targeting those subjects who are likely to be folate replete, is preferable to the population-based range using the central 0.95 interval.


Assuntos
Homocisteína/sangue , Adulto , Cromatografia Líquida de Alta Pressão , Feminino , Ácido Fólico/sangue , Humanos , Masculino , Pessoa de Meia-Idade , Valores de Referência , Fatores Sexuais
13.
Ann Clin Biochem ; 27 ( Pt 4): 345-52, 1990 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2403233

RESUMO

As part of an evaluation of a Synchron CX5 analyser (Beckman Instruments Inc, Brea, USA) we examined a range of tests for interference from haemolysis, bilirubin and lipaemia. Tests investigated were urea, creatinine, urate, total protein, albumin, calcium, total bilirubin, alkaline phosphatase (ALP), aspartate transaminase (AST), gamma-glutamyl transferase (GGT) and inorganic phosphate. Two types of interferences were found. One type is found on other analysers and represents analytical difficulties with the measurement of that particular analyte. The other type of interference was a consequence of the bichromatic optical system used on the CX-5. This latter group includes haemoglobin interference in the measurement of total protein and inorganic phosphate, and bilirubin interference with the measurement of total protein, glucose and inorganic phosphate. Lipaemia interfered with total protein, total bilirubin, inorganic phosphate, urate and glucose. Alternative and modified methods are proposed to improve the measurement of total protein, glucose, total bilirubin and inorganic phosphate. The use of the modified methods for glucose, inorganic phosphate and total bilirubin are limited, at this time, by an error in the calculation algorithm used by the analyser for two step or triggered chemistries, and to a lesser extent, by a reduction in sample throughput.


Assuntos
Bilirrubina , Análise Química do Sangue , Análise Química do Sangue/métodos , Proteínas Sanguíneas/metabolismo , Hemólise , Lipídeos/sangue , Automação , Análise Química do Sangue/normas , Glicemia/análise , Reações Falso-Negativas , Hemoglobinas/análise , Humanos , Fosfatos/sangue , Valor Preditivo dos Testes , Análise Espectral
14.
Ann Clin Biochem ; 34 ( Pt 5): 511-6, 1997 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9293304

RESUMO

Cardiac troponin I (cTnI) has been reported to be a highly specific marker for cardiac injury. We investigated the performance of this assay in patients admitted to a coronary care unit for suspected acute myocardial infarction (AMI), patients with extensive skeletal muscle damage, marathon runners and as a routine diagnostic test over a four week period. cTnI proved to be as sensitive a marker for AMI as creatine kinase/MB isoenzyme (CKMB) in patients admitted to the coronary care unit. In 10 patients with a proven AMI, the cTnI remained elevated from 69 to 183 h with a median time of 127 h. Cardiac troponin I had superior specificity to CKMB in patients with skeletal muscle damage. It was very useful in these patients to confirm or exclude concurrent myocardial damage. In routine diagnostic use, cTnI had greater efficiency than CKMB to classify patients as having an AMI. Consequently cTnI should replace CKMB as a marker for AMI.


Assuntos
Creatina Quinase/sangue , Infarto do Miocárdio/diagnóstico , Miocárdio/metabolismo , Troponina I/sangue , Unidades de Cuidados Coronarianos , Humanos , Imunoensaio/métodos , Isoenzimas , Músculo Esquelético/fisiopatologia , Corrida , Esportes
16.
Diabetologia ; 50(5): 965-71, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17333108

RESUMO

AIMS/HYPOTHESIS: Genetic factors may account for familial clustering related to diabetes complications. Studies have shown a significant relationship between the presence of the deletion (D) allele of the gene encoding ACE and risk of severe hypoglycaemia. This large prospective cohort study assesses this relationship in a large sample of children and adolescents with type 1 diabetes. SUBJECTS AND METHODS: We studied 585 children and adolescents (mean age 11.9 +/- 4 years, 48.4% males). The frequency of severe hypoglycaemia (an event leading to loss of consciousness or seizure) was prospectively assessed over the 13-year period 1992-2004. Patients were seen with their parents every 3 months and data recorded at each visit. The ACE gene was detected using PCR. RESULTS: In our cohort of 585 children, 186 (31.8%) had at least one episode of severe hypoglycaemia, and of these 28.0% had the II genotype, 48.9% had the ID genotype and 23.1% had the DD genotype. This was in agreement with the Hardy-Weinberg proportion. A total of 477 severe hypoglycaemic episodes was recorded with a total of 3,404 person-years of follow-up, giving a total incidence of 14 per 100 patient-years. No significant increase in risk for DD genotype (incidence rate ratio = 0.97, 95% CI 0.61-1.55) relative to II genotype was observed. CONCLUSIONS/INTERPRETATION: This large prospective study concludes that the presence of the D allele of the ACE gene does not predict a significantly higher risk of severe hypoglycaemia in type 1 diabetic children and adolescents.


Assuntos
Diabetes Mellitus Tipo 1/sangue , Hipoglicemia/genética , Peptidil Dipeptidase A/genética , Adolescente , Austrália/epidemiologia , Criança , Estudos de Coortes , Feminino , Genótipo , Humanos , Hipoglicemia/enzimologia , Hipoglicemia/epidemiologia , Masculino , Reação em Cadeia da Polimerase , Medição de Risco , Convulsões/etiologia
17.
Clin Exp Allergy ; 36(6): 728-34, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16776673

RESUMO

AIM: To examine the association between the Alu dimorphism within the first intron of the MICB gene and asthma and airflow obstruction. Background The highly polymorphic non-classical MHC class I polypeptide-related (MIC) genes, MICA and MICB, encode stress inducible glycoproteins, which are expressed on a variety of epithelial cells, including those of the lungs. METHODS: AluyMICB genotyping was performed on 1109 subjects from the Busselton Health Study. From a standard questionnaire, 359 individuals indicated that they had been diagnosed by a doctor with asthma. Lung function was assessed by the forced expired volume in 1 second (FEV1) and expressed as a percent of the predicted value. Airflow obstruction was defined as FEV1<80% predicted. RESULTS: In men, a dominant relationship was found between the AluyMICB DD genotype and asthma (P=0.006; chi2(2)=7.65). Furthermore, multivariate analysis adjusted for age, height, weight and body mass index (BMI) showed a relationship between DD genotype and asthma in men in a dominant model (odds ratio (OR)=1.97; 95% confidence interval (CI)=1.11-3.51; P=0.021). In women, an association was found between the AluyMICB II genotype and FEV1 percent predicted as a continuous variable (P=0.001). When adjusted for age and BMI, it showed a significant relationship between AluyMICB and airflow obstruction in a dominant model (OR=14.11%, 95% CI 3.29-60.57, P<0.001). However, no association was found between the AluyMICB II genotypes and airflow obstruction in men. CONCLUSION: These findings suggest the possible involvement of a MHC class I gene in abnormal airway structure in women and airway function in men.


Assuntos
Asma/genética , Asma/imunologia , Antígenos de Histocompatibilidade Classe I/genética , Pneumopatias Obstrutivas/genética , Pneumopatias Obstrutivas/imunologia , Polimorfismo Genético , Adulto , Idoso , Sequência de Bases , Estudos de Casos e Controles , Europa (Continente)/etnologia , Feminino , Volume Expiratório Forçado , Genótipo , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Dados de Sequência Molecular , Análise Multivariada , Fatores Sexuais , Testes Cutâneos , Austrália Ocidental
18.
Clin Genet ; 70(2): 114-21, 2006 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16879193

RESUMO

High-density lipoprotein cholesterol (HDL-C) is a known predictor of coronary heart disease (CHD). Studies have shown that the C-480T polymorphism of the hepatic lipase (HL) gene is predictive of HDL-C; however, its observed relationship with the risk of CHD has been inconsistent. We analysed four biallelic polymorphisms in the HL gene in participants from three independent Western Australian populations. Samples were collected from two cross-sectional studies of 1111 and 4822 community-based subjects assessed for cardiovascular risk factors, and a third sample of 556 subjects with physician-diagnosed CHD. Genotypes were tested for association with plasma lipids and the risk of CHD. All polymorphisms were highly correlated (D' > 0.97, r(2) > 0.90); therefore, only C-480T was analysed. The -480T allele was significantly associated with an increase in HDL-C of between 0.08 and 0.16 mmol/l in all three populations (p < 0.001). No associations with other lipids were observed, nor was an association with CHD in a case-control study of males. The TT genotype was however associated with decreased risk of myocardial infarction among cases (odds ratio = 0.39, 95% confidence interval = 0.19-0.78, p = 0.008). These findings replicate those of previous studies in three independent populations and suggest that the genetic determinants of CHD are complex and cannot be entirely explained through intermediate phenotypes.


Assuntos
HDL-Colesterol/genética , Doença das Coronárias/genética , Lipase/genética , Adulto , Idoso , Doença das Coronárias/etiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polimorfismo de Nucleotídeo Único , Risco
19.
Can J Microbiol ; 29(5): 596-601, 1983 May.
Artigo em Inglês | MEDLINE | ID: mdl-6883219

RESUMO

The incorporation of isotopically labelled precursors, [1-14C]leucine, [2-14C]uracil and [1-14C]acetate, by germinating spores of the vesicular-arbuscular mycorrhizal fungus Glomus caledonium was investigated after prior incubation with several metabolic inhibitors. Inhibition of isotope incorporation was greatest with ethidium bromide and cycloheximide and least with chloramphenicol and actinomycin D. The incorporation of [1-14C]leucine into protein was reduced by 92% within 60 min of incubation in either ethidium bromide at 5 micrograms/mL or cycloheximide at 100 micrograms/mL. For these studies time zero was coincident with dry quiescent spores being first wet. Lipid synthesis during germination of the spores was detected at 120 min by following the incorporation of [1-14C]acetate. At 51 h, incorporation was greater in the triacylglycerides and diacylglycerides than in the free sterols, phospholipids, or free fatty acid. Spores exposed to cycloheximide for 60 min after imbibition showed very little phospholipid synthesis and no free fatty acid synthesis. The synthesis of RNA after spore imbibition is also discussed.


Assuntos
Proteínas Fúngicas/biossíntese , Fungos/metabolismo , Lipídeos/biossíntese , RNA Fúngico/biossíntese , Cloranfenicol/farmacologia , Cicloeximida/farmacologia , Dactinomicina/farmacologia , Etídio/farmacologia , Fungos/efeitos dos fármacos , Esporos Fúngicos/metabolismo
20.
J Lipid Res ; 21(6): 739-50, 1980 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7419985

RESUMO

Neutral and polar spore lipids of the vesicular-arbuscular (VA) endophyte Glomus caledonius, were identified and quantitatively determined during spore germination, germ tube growth, and germ tube senescence. There are no previous reports detailing the spore lipid components of any member of the Endogenaceae, which is in the Zygomycotina. The fungus contained 45 to 72% total lipid depending upon its stage of growth. The concentration of neutral lipids decreased during germination while the polar lipids increased. Triacylglycerides were the most abundant neutral lipid, and lesser amounts of diacylglycerides, monoacylglycerides, free fatty acids, bound fatty acids, hydrocarbons, and sterols. The major fatty acids identified by gas--liquid chromatography and mass spectrometry were 16:1, 16:0, and 18:1. The minor fatty acids identified were n-3 and n-6 polyunsaturates. The n-3 polyunsaturated fatty acids have not been reported before in Zygomycetes. The fatty acid composition of the individual lipid classes was examined. The major phospholipids were phosphatidylserine, phosphatidylethanolamine and phosphatidylcholine, with smaller amounts of diphosphatidylglycerol and phosphatidic acid. The free sterol fraction was in greater quantity than sterol esters during germination and germ tube elongation. The capacity to synthesize sterols was demonstrated. Approximate net rates of change in the different lipid components were calculated. During spore germination and early germ tube growth, there was a net synthesis of lipids, with a large production of free fatty acids, in the germinating spore. Later in the growth period there was a net degradation of lipid, characterized by a large conversion of free fatty acids to unidentified compounds. During this period net free sterol synthesis ceased and sterol ester synthesis continued using the existing free sterol.


Assuntos
Metabolismo dos Lipídeos , Mucorales/metabolismo , Diglicerídeos/metabolismo , Ácidos Graxos não Esterificados/metabolismo , Ácidos Graxos Insaturados/metabolismo , Glicerídeos/metabolismo , Fosfolipídeos/metabolismo , Esporos Fúngicos/crescimento & desenvolvimento , Esporos Fúngicos/metabolismo , Esteróis/metabolismo , Triglicerídeos/metabolismo
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