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1.
Plant Cell Rep ; 34(10): 1717-33, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26070410

RESUMO

KEY MESSAGE: The novel sunflower gene HaGLP1 is the first germin-like protein characterized from the family Asteraceae. It alters the host redox status and confers protection against Sclerotinia sclerotiorum and Rhizoctonia solani. Germin-like proteins (GLPs) are a large, diverse and ubiquitous family of plant glycoproteins belonging to the Cupin super family. These proteins have been widely studied because of their diverse roles in important plant processes, including defence. The novel sunflower gene HaGLP1 encodes the first germin-like protein characterized from the family Asteraceae. To analyse whether constitutive in vivo expression of the HaGLP1 gene may lead to disease tolerance, we developed transgenic Arabidopsis plants that were molecularly characterized and biologically assessed after inoculation with Sclerotinia sclerotiorum or Rhizoctonia solani. HaGLP1 expression in Arabidopsis plants conferred tolerance to S. sclerotiorum at the first stages of disease and interfered with R. solani infection, thus giving rise to significant protection against the latter. Furthermore, HaGLP1 expression in Arabidopsis plants elevated endogenous ROS levels. HaGLP1-induced tolerance does not appear to be related to a constitutive induction of the plant defence or the ROS-related genes examined here. In conclusion, our data suggest that HaGLP1 is an interesting candidate for the engineering of plants with increased fungal tolerance and that this gene could also be useful for the selection of naturally overexpressing sunflower genotypes for conventional breeding purposes.


Assuntos
Arabidopsis/metabolismo , Arabidopsis/microbiologia , Ascomicetos/fisiologia , Glicoproteínas/metabolismo , Helianthus/metabolismo , Proteínas de Plantas/metabolismo , Plantas Geneticamente Modificadas/microbiologia , Espécies Reativas de Oxigênio/metabolismo , Arabidopsis/genética , Regulação da Expressão Gênica de Plantas/genética , Regulação da Expressão Gênica de Plantas/fisiologia , Glicoproteínas/genética , Helianthus/genética , Doenças das Plantas/genética , Doenças das Plantas/microbiologia , Proteínas de Plantas/genética , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo
2.
Pharmacol Res ; 61(3): 226-33, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20036742

RESUMO

Populations of Western countries are severely deficient in omega-3 intake, both in the form of alpha-linolenic acid (ALA) and the Long Chain derivatives (LC-n-3), Eicosa-Pentaenoic-Acid and Docosa-Hexaenoic-Acid. Omega-3 insufficiency is a risk factor for cardiovascular and cerebral diseases such as coronary heart disease and stroke. Stroke is a major cause of mortality and morbidity, and induces a significant socioeconomic cost and a marked increase in patient/family burden. To date, preventive treatments and neuroprotective drugs identified in preclinical studies failed in clinical trials, in part because of an inability to tolerate drugs at neuroprotective concentrations. Therefore testing alternative protective strategies, such as functional foods/nutraceuticals, are of considerable interest. We have previously demonstrated that a single injection of ALA reduced ischemic damage by limiting glutamate-mediated neuronal death, whereas repeated injections displayed additive protective benefits as a result of increased neurogenesis, synaptogenesis and neurotrophin expression. Because intravenous injections are not a suitable long-term strategy in humans, the present study investigated the effect of ALA supplementation by an experimental diet containing rapeseed oil (RSO, a rich source of ALA) as the only source of lipids for stroke prevention. We tested several experimental diets which included 5, 10, and 20% RSO-enriched diet and feeding paradigms (fresh diet was provided once or twice a week for 4 or 6 weeks). Our results showed that ALA supplemented diets are more sensitive to lipid peroxidation than a regular chow diet. Because the diet affected feeding behavior and animal growth, we defined concrete guidelines to investigate the effect of omega-3 supplementation on neuropathology. Among the different sets of experiments, animals fed with 10% and 20% RSO-enriched diet displayed a reduced mortality rate, infarct size and increased probability of spontaneous reperfusion in the post-ischemic period. In addition, a drastic reduction of lipid peroxidation levels was observed in the ischemic brain of RSO-fed animals. Overall, our findings provide new insights into the potential of employing rapeseed oil as a functional food/nutraceutical aiding in stroke prevention and protection.


Assuntos
Gorduras Insaturadas na Dieta/administração & dosagem , Suplementos Nutricionais , Óleos de Plantas/administração & dosagem , Acidente Vascular Cerebral/prevenção & controle , Ácido alfa-Linolênico/administração & dosagem , Animais , Ácidos Graxos Monoinsaturados , Peroxidação de Lipídeos/efeitos dos fármacos , Peroxidação de Lipídeos/fisiologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Óleo de Brassica napus , Acidente Vascular Cerebral/metabolismo , Acidente Vascular Cerebral/patologia
3.
J Biotechnol ; 324: 99-102, 2020 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-32998033

RESUMO

Citrus canker is a major disease caused by Xanthomonas citri pv. citri. Snakin-1 is an antimicrobial peptide, which was previously shown to be effective against different bacterial and fungal diseases in potato, wheat and lettuce when expressed in transgenic plants. We generated transgenic Citrange Troyer citrus rootstocks constitutively expressing this peptide and 5 different transgenic lines were challenged against virulent X. citri isolates. Challenge assays conducted in vitro using detached leaves and in planta by infiltration revealed a significant reduction of the number and size of canker lesions in some of the transgenic lines.


Assuntos
Anti-Infecciosos , Citrus , Solanum tuberosum , Xanthomonas , Doenças das Plantas , Solanum tuberosum/genética , Xanthomonas/genética
4.
Eur J Neurosci ; 28(5): 862-70, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18671738

RESUMO

Dopaminergic neurons of the substantia nigra constitutively express the CXCR4 receptor for the chemokine stromal-cell-derived factor 1alpha (CXCL12) but, to date, no direct effect of CXCR4 activation by CXCL12 on membrane conductance of dopaminergic neurons has been demonstrated. We tested the effects of CXCL12 on whole-cell currents of dopaminergic neurons recorded in patch clamp in substantia nigra slices and showed that CXCL12 (0.01-10 nm) increased the amplitude of total high-voltage-activated (HVA) Ca currents through CXCR4 activation. This effect was reversibly reduced by varpi-conotoxin-GVIA, suggesting that CXCL12 acted on N-type Ca currents, known to be involved in dopamine (DA) release. We therefore investigated the effects of CXCL12 on DA release from cultured dopaminergic neurons from the rat mesencephalon. In basal conditions, CXCL12 alone had no effect on DA release. When neurons were depolarized with KCl (20 mm), and thus when HVA Ca currents were activated, low CXCL12 concentrations (1-50 nm) increased DA release via CXCR4 stimulation. These data strongly suggest that the chemokine CXCL12 can act directly as a neuromodulator of dopaminergic neuronal electrical activity through the modulation of HVA currents.


Assuntos
Sinalização do Cálcio/fisiologia , Quimiocina CXCL12/metabolismo , Dopamina/metabolismo , Neurônios/metabolismo , Substância Negra/metabolismo , Animais , Canais de Cálcio Tipo N/efeitos dos fármacos , Canais de Cálcio Tipo N/metabolismo , Sinalização do Cálcio/efeitos dos fármacos , Células Cultivadas , Quimiocina CXCL12/farmacologia , Conotoxinas/farmacologia , Relação Dose-Resposta a Droga , Masculino , Potenciais da Membrana/efeitos dos fármacos , Potenciais da Membrana/fisiologia , Neurônios/efeitos dos fármacos , Técnicas de Patch-Clamp , Terminações Pré-Sinápticas/efeitos dos fármacos , Terminações Pré-Sinápticas/fisiologia , Ratos , Ratos Wistar , Substância Negra/citologia , Substância Negra/efeitos dos fármacos , Transmissão Sináptica/efeitos dos fármacos , Transmissão Sináptica/fisiologia
5.
Acta Chir Belg ; 105(6): 670-2, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-16438085

RESUMO

We report an asymptomatic case of diffuse intestinal diverticulosis simultaneously affecting duodenum, jejunum and colon. The patient presented signs of progressive systemic sclerosis, which supports the hypothesis in the literature of an aetiological link.


Assuntos
Divertículo/diagnóstico , Enteropatias/diagnóstico , Idoso de 80 Anos ou mais , Colecistectomia , Divertículo/complicações , Divertículo/cirurgia , Febre/complicações , Humanos , Hiperbilirrubinemia/complicações , Enteropatias/complicações , Enteropatias/cirurgia , Masculino , Manometria , Doença de Raynaud/complicações
6.
Cell Death Dis ; 6: e1879, 2015 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-26355342

RESUMO

The incidence of chronic liver disease is constantly increasing, owing to the obesity epidemic. However, the causes and mechanisms of inflammation-mediated liver damage remain poorly understood. Endoplasmic reticulum (ER) stress is an initiator of cell death and inflammatory mechanisms. Although obesity induces ER stress, the interplay between hepatic ER stress, NLRP3 inflammasome activation and hepatocyte death signaling has not yet been explored during the etiology of chronic liver diseases. Steatosis is a common disorder affecting obese patients; moreover, 25% of these patients develop steatohepatitis with an inherent risk for progression to hepatocarcinoma. Increased plasma LPS levels have been detected in the serum of patients with steatohepatitis. We hypothesized that, as a consequence of increased plasma LPS, ER stress could be induced and lead to NLRP3 inflammasome activation and hepatocyte death associated with steatohepatitis progression. In livers from obese mice, administration of LPS or tunicamycin results in IRE1α and PERK activation, leading to the overexpression of CHOP. This, in turn, activates the NLRP3 inflammasome, subsequently initiating hepatocyte pyroptosis (caspase-1, -11, interleukin-1ß secretion) and apoptosis (caspase-3, BH3-only proteins). In contrast, the LPS challenge is blocked by the ER stress inhibitor TUDCA, resulting in: CHOP downregulation, reduced caspase-1, caspase-11, caspase-3 activities, lowered interleukin-1ß secretion and rescue from cell death. The central role of CHOP in mediating the activation of proinflammatory caspases and cell death was characterized by performing knockdown experiments in primary mouse hepatocytes. Finally, the analysis of human steatohepatitis liver biopsies showed a correlation between the upregulation of inflammasome and ER stress markers, as well as liver injury. We demonstrate here that ER stress leads to hepatic NLRP3 inflammasome pyroptotic death, thus contributing as a novel mechanism of inflammation-mediated liver injury in chronic liver diseases. Inhibition of ER-dependent inflammasome activation and cell death pathways may represent a potential therapeutic approach in chronic liver diseases.


Assuntos
Proteínas de Transporte/genética , Proteínas de Transporte/metabolismo , Estresse do Retículo Endoplasmático/genética , Hepatócitos/metabolismo , Inflamassomos/metabolismo , Lipopolissacarídeos/metabolismo , Hepatopatias/genética , Obesidade/complicações , Animais , Morte Celular , Doença Crônica , Humanos , Hepatopatias/metabolismo , Camundongos , Proteína 3 que Contém Domínio de Pirina da Família NLR , Transdução de Sinais
7.
Endocrinology ; 137(7): 2954-8, 1996 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8770919

RESUMO

Mice homozygous for the fat mutation exhibit marked hyperpro-insulinemia and develop late onset obesity. The fat mutation was recently mapped to the gene encoding carboxypeptidase E (CpE), a processing enzyme involved in trimming C-terminal paired basic residues from prohormone-derived peptides. The mutation resulted in a loss of CpE activity that correlated with aberrant proinsulin processing. Neurotensin (NT) and melanin-concentrating hormone (MCH) are two neuropeptides that, among other central effects, inhibit food intake. Here, using RIA techniques coupled to reverse phase HPLC, we analyzed the processing products derived from the NT and MCH precursors in the brain of +/fat and fat/fat mice. Compared to control hypothalamic and brain extracts, fat/fat extracts had markedly reduced levels (>80%) of NT and neuromedin N (NN), another active pro-NT-derived peptide. In contrast, they exhibited high concentrations of biologically inactive NT-KR and NN-KR (NT and NN with a C-terminal Lys-Arg extension), two peptides that were undetectable in control extracts. MCH, which is located at the C-terminus of its precursor, was present in 2- to 3-fold higher amounts in fat/fat than in +/fat hypothalamus. Neuropeptide-Glu-Ile, another pro-MCH-derived neuropeptide separated from MCH by an Arg-Arg sequence, was present in amounts similar to those of MCH in control extracts. In contrast, neuropeptide-Glu-Ile was more than 10 times less abundant than MCH in extracts from obese mice. Our data are consistent with a deficit in CpE activity affecting the maturation of both pro-NT and pro-MCH. This suggests that abnormal neuropeptide and hormone precursor processing is a general phenomenon in fat/fat mice and supports the idea that defects in the production of neuropeptide involved in the control of feeding might lead to the development of obesity in these animals.


Assuntos
Encéfalo/metabolismo , Hormônios Hipotalâmicos/biossíntese , Hormônios Hipotalâmicos/metabolismo , Hipotálamo/metabolismo , Melaninas/biossíntese , Neurotensina/biossíntese , Obesidade/metabolismo , Hormônios Hipofisários/biossíntese , Precursores de Proteínas/metabolismo , Processamento de Proteína Pós-Traducional , Sequência de Aminoácidos , Animais , Carboxipeptidase H , Carboxipeptidases/genética , Carboxipeptidases/metabolismo , Homozigoto , Hormônios Hipotalâmicos/química , Hipotálamo/química , Soros Imunes , Camundongos , Camundongos Obesos , Dados de Sequência Molecular , Obesidade/genética , Fragmentos de Peptídeos/síntese química , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/imunologia , Proinsulina/metabolismo , Precursores de Proteínas/química , Radioimunoensaio
8.
Endocrinology ; 132(4): 1614-20, 1993 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-8462460

RESUMO

Neurotensin (NT) and Neuromedin N (NN) are two biologically active peptides present in one copy each in the C-terminal region of a 169-residue precursor. Four basic Lys-Arg doublets occur within the precursor and represent putative processing sites. We investigated the effects of dexamethasone on the biosynthesis and the posttranslational processing of the NT/NN precursor in the rat medullary thyroid carcinoma 6-23 cell line (rMTC 6-23). Western blot analysis and RIA coupled to HPLC and arginine-directed tryptic cleavage of precursor forms were performed with antisera specific for precursor sequences adjacent to the four basic doublets. These studies revealed that rMTC 6-23 cells synthesized the NT/NN precursor in response to dexamethasone and had the capability to process this precursor at the three Lys-Arg doublets that flank and separate NT and NN, thus yielding authentic NT, NN, and several larger products. The most N-terminal Lys-Arg doublet was not processed in this system. Dexamethasone increased in a concentration- and time-dependent manner the levels of all the NT/NN precursor-derived products. This increase did not affect the relative proportion of the different products. We also showed by Northern blot analysis that both the 1.1-kilobase and 1.5-kilobase NT/NN precursor messenger RNAs were present in the rMTC 6-23 cell line and that the time course and dose response of dexamethasone-induced messenger RNA synthesis were in good agreement with those observed for dexamethasone-induced increase in processing products. The rMTC 6-23 cell line represents a good model to elucidate the steps involved in the posttranslational processing of the NT/NN precursor.


Assuntos
Carcinoma/metabolismo , Dexametasona/farmacologia , Neurotensina/metabolismo , Fragmentos de Peptídeos/metabolismo , Precursores de Proteínas/biossíntese , Processamento de Proteína Pós-Traducional/efeitos dos fármacos , Neoplasias da Glândula Tireoide/metabolismo , Sequência de Aminoácidos , Animais , Western Blotting , Carcinoma/patologia , Cromatografia Líquida de Alta Pressão/métodos , Dados de Sequência Molecular , Mapeamento de Peptídeos , Precursores de Proteínas/genética , RNA Mensageiro/metabolismo , Ratos , Neoplasias da Glândula Tireoide/patologia , Tripsina , Células Tumorais Cultivadas
9.
J Comp Neurol ; 424(3): 439-60, 2000 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-10906712

RESUMO

PC1 and PC2 are two major enzymes involved in the processing of protein precursors directed to the regulated secretory pathway. Whereas transcripts encoding both enzymes are widely distributed in the central nervous system, information regarding the localization of proteins themselves is still lacking. In an attempt to gain insight into the neurobiologic roles of PC1 and PC2, both enzymes were immunolocalized in the rat brain by using C-terminally directed antibodies, which respectively recognize the 87-kDa PC1 and the 75 and 68-kDa PC2 forms. Adjacent sections immunoreacted with PC1 or PC2 antibodies exhibited selective patterns of immunostaining in regions well characterized with respect to their biosynthesis of multiple neuropeptides such as the cerebral cortex, hippocampus, and hypothalamus. PC1 signal intensity was generally weaker than that of PC2, although both enzymes displayed extensive overlapping patterns of expression. As assessed by double-labeling experiments at the cellular level, PC1 and PC2 immunoreactive signals were localized within the trans-Golgi network and nerve terminals, in keeping with the biosynthetic pathways of neuropeptides. Immunoreactive fibers were detected in many areas throughout the brain but were particularly densely distributed in the hypothalamus and the brainstem. Both enzymes were also localized within dendrites of numerous neurons, supporting the hypothesis that dendritic neuropeptide maturation and release may occur in a large number of brain regions. Taken together, our results provide new evidence that both convertases are efficiently targeted to the neuronal regulated secretory pathway and are well poised to process protein precursors in biologically active end-products within the mammalian brain.


Assuntos
Ácido Aspártico Endopeptidases/metabolismo , Encéfalo/enzimologia , Neurônios/enzimologia , Sistemas Neurossecretores/enzimologia , Ratos/metabolismo , Subtilisinas/metabolismo , Animais , Encéfalo/citologia , Masculino , Neurônios/citologia , Sistemas Neurossecretores/citologia , Hipófise/citologia , Hipófise/enzimologia , Pró-Proteína Convertase 2 , Pró-Proteína Convertases , Ratos/anatomia & histologia , Ratos Sprague-Dawley
10.
Neuroscience ; 60(1): 159-66, 1994 May.
Artigo em Inglês | MEDLINE | ID: mdl-8052409

RESUMO

Neurotensin and neuromedin N are two biologically active related peptides which are encoded in the same precursor molecule. In the rat, the precursor consists of a 169-residue polypeptide containing in its C-terminal region one copy each of neurotensin and neuromedin N. Four Lys-Arg sequences which are thought to represent putative processing sites occur in the precursor molecule. Of these sites, the three that are closest to the C-terminus flank and separate neurotensin and neuromedin N. The fourth precedes a neuromedin N-like sequence. The present studies were aimed at determining the extent to which each of these four dibasic sites is cleaved and at identifying and quantifying the intermediate and mature products to which this cleavage gives rise in extracts from whole rat brain, hippocampus and globus pallidus. This was achieved by means of radioimmunoassays specific for sequences of the neurotensin/neuromedin N precursor that are adjacent to the dibasic processing sites used in combination with high pressure liquid chromatography and arginine-directed trypsin digestion of tissue extracts. In all tissue extracts, it was found that the three most C-terminal dibasic processing sites in the neurotensin/neuromedin N precursor are processed to a similar extent, whereas the dibasic site that precedes the neuromedin N-like sequence is processed to a lesser extent. As reported previously, the globus pallidus was shown to contain proportionally lower levels of neuromedin N than other brain regions.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Química Encefálica/fisiologia , Neurotensina/metabolismo , Fragmentos de Peptídeos/metabolismo , Precursores de Proteínas/biossíntese , Processamento de Proteína Pós-Traducional/fisiologia , Sequência de Aminoácidos , Animais , Encéfalo/crescimento & desenvolvimento , Cromatografia Líquida de Alta Pressão , Hidrólise , Imuno-Histoquímica , Dados de Sequência Molecular , Neurotensina/imunologia , Fragmentos de Peptídeos/imunologia , Radioimunoensaio , Ratos , Ratos Sprague-Dawley
11.
Peptides ; 14(5): 983-9, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8284274

RESUMO

Neurotensin and neuromedin N are two biologically active, related peptides that are encoded in the same precursor molecule. In the rat, the precursor consists of a 169-residue polypeptide containing in its C-terminal region one copy each of neurotensin and neuromedin N. Four Lys-Arg sequences, which are thought to represent putative processing sites, occur in the precursor molecule. Studies by others have shown that rat pheochromocytoma PC12 cells produced neurotensin and dramatically increased their neurotensin/neuromedin N precursor mRNA content in response to a combination of nerve growth factor, dexamethasone, forskolin, and Li+. Here, we investigated the effects of this combination of inducers on the posttranslational processing of the neurotensin/neuromedin N precursor in PC12 cells. Radioimmunoassays coupled to HPLC and arginine-directed tryptic cleavage of cell extracts were performed with five antisera specific for precursor sequences adjacent to basic doublets. Thus, mature neurotensin and neuromedin N represented less than 1% of the total precursor content in PC12 cells. The PC12 cell line may represent an interesting model with which one could transfect the recently cloned prohormone convertases PC1 and PC2, thereby allowing the study of the role of these enzymes in the processing of the neurotensin/neuromedin N precursor.


Assuntos
Neurotensina/biossíntese , Precursores de Proteínas/biossíntese , Processamento de Proteína Pós-Traducional/fisiologia , Sequência de Aminoácidos , Animais , Especificidade de Anticorpos , Colforsina/farmacologia , Dexametasona/farmacologia , Lítio/farmacologia , Dados de Sequência Molecular , Fatores de Crescimento Neural/farmacologia , Neurotensina/efeitos dos fármacos , Oligopeptídeos/efeitos dos fármacos , Células PC12 , Fragmentos de Peptídeos/efeitos dos fármacos , Radioimunoensaio
12.
Minerva Chir ; 50(4): 359-65, 1995 Apr.
Artigo em Italiano | MEDLINE | ID: mdl-7675284

RESUMO

Techniques and indications for lung transplantation evolved significantly in the past few decades, at present there is a resurgence of interest in single- and double-lung transplantation for end-stage disease. The surgical procedure has been recently simplified and complications at the tracheal anastomosis have been significantly decreased. Many problems, common to organ transplantation, remain to be solved including availability of suitable donor organs, the ability to effectively treat organ rejection and improve the immunosuppressive regimens. The authors report a review of the international literature of the last three years, carrying on a critical analysis with the aim of identifying the problems related to this organ transplantation, progress in the research filed, complications and results.


Assuntos
Transplante de Pulmão/métodos , Anastomose Cirúrgica , Brônquios/cirurgia , Humanos , Obtenção de Tecidos e Órgãos
13.
G Chir ; 18(1-2): 55-60, 1997.
Artigo em Italiano | MEDLINE | ID: mdl-9206484

RESUMO

In this paper the Authors reviewed the recent literature for a more comprehensive and clear vision of the epidemiological and pathological aspects of retroperitoneal sarcomas. The most effective procedures for a an early and accurate diagnosis were identified. Moreover, the different therapeutic choices were taken into account focusing on those provided of the major potential in terms of oncologically valid treatment.


Assuntos
Neoplasias Retroperitoneais , Sarcoma , Adulto , Idoso , Quimioterapia Adjuvante , Terapia Combinada , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Radioterapia Adjuvante , Neoplasias Retroperitoneais/diagnóstico , Neoplasias Retroperitoneais/cirurgia , Sarcoma/diagnóstico , Sarcoma/cirurgia , Fatores de Tempo , Tomografia Computadorizada por Raios X
14.
G Chir ; 19(5): 215-8, 1998 May.
Artigo em Italiano | MEDLINE | ID: mdl-9677773

RESUMO

The Authors report a particular case and make a careful international literature regarding etiopathogenesis and surgical treatment of oesophageal achalasia. First they consider the infection mechanisms as the cause of underlying motor disturbances of the oesophagus. Afterwards holding as parameters of reference for the evaluation of effectiveness of the therapy both the relief of dysphagia and the appearance of postoperative RGE, the various surgical options are then examined: pneumatic dilatation as opposed to surgery; the approach to thoracic and abdominal surgery and the possible assembly of a reflux protection mechanism. Finally, they propose the discussion on the challenge that the new technological systems have opened to the international surgical scene: the minimal-access surgery.


Assuntos
Acalasia Esofágica/etiologia , Acalasia Esofágica/cirurgia , Adulto , Humanos , Masculino
15.
G Chir ; 17(11-12): 614-9, 1996.
Artigo em Italiano | MEDLINE | ID: mdl-9162188

RESUMO

The Nd-YAG laser is widely used in endoscopy. Laser therapy either by contact or non-contact method, can be considered the best palliative option for patients affected by airway obstruction due to endoluminal malignant tumours. It aims at the improvement of breathing conditions and symptomatology. In patients affected by benign obstructions, it often allows to obtain curative results avoiding the use of traditional surgery. From 1988 to 1993 at the First Department of Surgery of the University of Rome "La Sapienza", 163 treatments out of 111 clinical cases affected by airway obstruction, caused by malignant tumours considered inoperable or relapsed after operation, or by vegetating benign tumours, or granulomas or fibrous diaphragms were performed. The symptomatological improvement and beneficial changes in functional breathing tests, haemogasanalysis, and X-ray findings were registered 24-48 hours after each treatment. The results showed an improvement in functional breathing values especially after treatment of the main airways such as trachea and main bronchi. The therapy offered an acceptable quality of life. A fairly good number of patients may also return to radio and chemotherapy, if previously interrupted.


Assuntos
Obstrução das Vias Respiratórias/cirurgia , Broncoscopia/métodos , Terapia a Laser/métodos , Obstrução das Vias Respiratórias/diagnóstico , Obstrução das Vias Respiratórias/etiologia , Neoplasias Brônquicas/complicações , Broncoscópios , Dispneia/diagnóstico , Dispneia/etiologia , Dispneia/cirurgia , Tecnologia de Fibra Óptica/instrumentação , Humanos , Terapia a Laser/instrumentação , Neoplasias Pulmonares/complicações
16.
G Chir ; 18(3): 135-9, 1997 Mar.
Artigo em Italiano | MEDLINE | ID: mdl-9206496

RESUMO

In patients affected by benign or malignant inoperable airway obstructions, therapeutical options include endoscopic treatment by Nd-YAG laser therapy, tracheobronchial dilatations with rigid or flexible bronchoscope, and inflating balloon dilators. Metal self-expanding or silicone stents allow to obtain stable results. Our experience is based on the use of 14 stents (10 Dumon and 4 Wallstent) in 13 cases of stenosis either due to vegetating malignant tumours not amenable to surgery or benign stenosis. In the following 24-48 hours both subjective and objective changes of the pulmonary function, blood gas analysis and radiologic aspects were observed. The results showed an improvement in the respiratory parameters and a sensible improvement in the quality of life.


Assuntos
Pneumopatias Obstrutivas/cirurgia , Stents , Estenose Traqueal/cirurgia , Idoso , Dióxido de Carbono/sangue , Constrição Patológica/cirurgia , Dispneia/etiologia , Feminino , Seguimentos , Hemodinâmica , Humanos , Pneumopatias Obstrutivas/etiologia , Neoplasias Pulmonares/complicações , Masculino , Metais , Pessoa de Meia-Idade , Oxigênio/sangue , Silicones , Fatores de Tempo , Estenose Traqueal/etiologia
17.
Int J Obes Suppl ; 4(Suppl 1): S31-6, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27152164

RESUMO

Melanin-concentrating hormone (MCH) is a cyclic peptide highly conserved in vertebrates and was originally identified as a skin-paling factor in Teleosts. In fishes, MCH also participates in the regulation of the stress-response and feeding behaviour. Mammalian MCH is a hypothalamic neuropeptide that displays multiple functions, mostly controlling feeding behaviour and energy homeostasis. Transgenic mouse models and pharmacological studies have shown the importance of the MCH system as a potential target in the treatment of appetite disorders and obesity as well as anxiety and psychiatric diseases. Two G-protein-coupled receptors (GPCRs) binding MCH have been characterized so far. The first, named MCH-R1 and also called SLC1, was identified through reverse pharmacology strategies by several groups as a cognate receptor of MCH. This receptor is expressed at high levels in many brain areas of rodents and primates and is also expressed in peripheral organs, albeit at a lower rate. A second receptor, designated MCH-R2, exhibited 38% identity to MCH-R1 and was identified by sequence analysis of the human genome. Interestingly, although MCH-R2 orthologues were also found in fishes, dogs, ferrets and non-human primates, this MCH receptor gene appeared either lacking or non-functional in rodents and lagomorphs. Both receptors are class I GPCRs, whose main roles are to mediate the actions of peptides and neurotransmitters in the central nervous system. However, examples of action of MCH on neuronal and non-neuronal cells are emerging that illustrate novel MCH functions. In particular, the functionality of endogenously expressed MCH-R1 has been explored in human neuroblastoma cells, SK-N-SH and SH-SY5Y cells, and in non-neuronal cell types such as the ependymocytes. Indeed, we have identified mitogen-activated protein kinase (MAPK)-dependent or calcium-dependent signalling cascades that ultimately contributed to neurite outgrowth in neuroblastoma cells or to modulation of ciliary beating in ependymal cells. The putative role of MCH on cellular shaping and plasticity on one side and volume transmission on the other must be now considered.

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