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1.
Biochim Biophys Acta ; 1863(1): 166-77, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26522918

RESUMEN

The Notch signalling pathway is widely utilised during embryogenesis in situations where cell-cell interactions are important for cell fate specification and differentiation. DSL ligand endocytosis into the ligand-expressing cell is an important aspect of Notch signalling because it is thought to supply the force needed to separate the Notch heterodimer to initiate signal transduction. A functional role for receptor endocytosis during Notch signal transduction is more controversial. Here we have used live-cell imaging to examine trafficking of the Notch1 receptor in response to ligand binding. Contact with cells expressing ligands induced internalisation and intracellular trafficking of Notch1. Notch1 endocytosis was accompanied by transendocytosis of ligand into the Notch1-expressing signal-receiving cell. Ligand caused Notch1 endocytosis into SARA-positive endosomes in a manner dependent on clathrin and dynamin function. Moreover, inhibition of endocytosis in the receptor-expressing cell impaired ligand-induced Notch1 signalling. Our findings resolve conflicting observations from mammalian and Drosophila studies by demonstrating that ligand-dependent activation of Notch1 signalling requires receptor endocytosis. Endocytosis of Notch1 may provide a force on the ligand:receptor complex that is important for potent signal transduction.


Asunto(s)
Receptor Notch1/agonistas , Receptor Notch1/metabolismo , Transducción de Señal , Transcitosis , Animales , Células HEK293 , Humanos , Ligandos , Ratones , Células 3T3 NIH , Transporte de Proteínas , Receptor Notch1/genética
2.
Prog Urol ; 27(12): 626-631, 2017 Oct.
Artículo en Francés | MEDLINE | ID: mdl-28651992

RESUMEN

INTRODUCTION: Prostate cancer brachytherapy can be used as an alternative to the radical prostatectomy and radiotherapy. In the low-risk group, specific survivals are up to 95% after 10years. The aim of the study is to describe the practices in brachytherapy in France. MATERIALS AND METHODS: A survey made by AFU (French Urologic Association) and SFRO (French Society Of Oncological Radiotherapy) assessing the practices in brachytherapy in France was sent to all the urologists and radiotherapists even if they did not practice it. RESULTS: In total, 1417 surveys were sent, 285 were received coming from 211 urologists (74%) and 74 radiotherapists (26%). Sixty (21%) practiced brachytherapy (31 urologists, 29 radiotherapists). Low dose rate with permanent implants was used in 83,3%. Brachytherapy was advised for low-risk group by 90% who responded the survey, 73% used it in intermediate risk and only 13% in high risk. CONCLUSION: Brachytherapy is hardly used in low risk prostate cancer. It probably needs a reconsideration of recommendations due to the good results in association with a good picking. The urologist-radiotherapist couple is essential in the overall care of the patient. LEVEL OF EVIDENCE: 4.


Asunto(s)
Braquiterapia , Pautas de la Práctica en Medicina , Neoplasias de la Próstata/radioterapia , Urología , Francia , Encuestas de Atención de la Salud , Humanos , Masculino
3.
Mol Psychiatry ; 20(5): 621-31, 2015 May.
Artículo en Inglés | MEDLINE | ID: mdl-25092246

RESUMEN

Traumatic stress in early-life increases the risk for cognitive and neuropsychiatric disorders later in life. Such early stress can also impact the progeny even if not directly exposed, likely through epigenetic mechanisms. Here, we report in mice that the offspring of males subjected to postnatal traumatic stress have decreased gene expression in molecular pathways necessary for neuronal signaling, and altered synaptic plasticity when adult. Long-term potentiation is abolished and long-term depression is enhanced in the hippocampus, and these defects are associated with impaired long-term memory in both the exposed fathers and their offspring. The brain-specific gamma isoform of protein kinase C (Prkcc) is one of the affected signaling components in the hippocampus. Its expression is reduced in the offspring, and DNA methylation at its promoter is altered both in the hippocampus of the offspring and the sperm of fathers. These results suggest that postnatal traumatic stress in males can affect brain plasticity and cognitive functions in the adult progeny, possibly through epigenetic alterations in the male germline.


Asunto(s)
Encéfalo/patología , Trastornos del Conocimiento/etiología , Plasticidad Neuronal/fisiología , Trastornos de Estrés Traumático/complicaciones , Trastornos de Estrés Traumático/patología , Animales , Animales Recién Nacidos , Condicionamiento Psicológico , Metilación de ADN/genética , Epigénesis Genética , Miedo/psicología , Femenino , Expresión Génica , Hipocampo/citología , Técnicas In Vitro , Potenciación a Largo Plazo/fisiología , Masculino , Ratones , Ratones Endogámicos C57BL , Proteína Quinasa C/genética , Proteína Quinasa C/metabolismo , Reconocimiento en Psicología , Natación/psicología
4.
Mol Psychiatry ; 18(5): 543-56, 2013 May.
Artículo en Inglés | MEDLINE | ID: mdl-22641180

RESUMEN

Schizophrenia is a chronic, severe and highly complex mental illness. Current treatments manage the positive symptoms, yet have minimal effects on the negative and cognitive symptoms, two prominent features of the disease with critical impact on the long-term morbidity. In addition, antipsychotic treatments trigger serious side effects that precipitate treatment discontinuation. Here, we show that activation of the trace amine-associated receptor 1 (TAAR1), a modulator of monoaminergic neurotransmission, represents a novel therapeutic option. In rodents, activation of TAAR1 by two novel and pharmacologically distinct compounds, the full agonist RO5256390 and the partial agonist RO5263397, blocks psychostimulant-induced hyperactivity and produces a brain activation pattern reminiscent of the antipsychotic drug olanzapine, suggesting antipsychotic-like properties. TAAR1 agonists do not induce catalepsy or weight gain; RO5263397 even reduced haloperidol-induced catalepsy and prevented olanzapine from increasing body weight and fat accumulation. Finally, TAAR1 activation promotes vigilance in rats and shows pro-cognitive and antidepressant-like properties in rodent and primate models. These data suggest that TAAR1 agonists may provide a novel and differentiated treatment of schizophrenia as compared with current medication standards: TAAR1 agonists may improve not only the positive symptoms but also the negative symptoms and cognitive deficits, without causing adverse effects such as motor impairments or weight gain.


Asunto(s)
Antipsicóticos/uso terapéutico , Peso Corporal/efectos de los fármacos , Depresión/tratamiento farmacológico , Receptores Acoplados a Proteínas G/agonistas , Esquizofrenia/complicaciones , Esquizofrenia/tratamiento farmacológico , Análisis de Varianza , Animales , Antipsicóticos/farmacología , Atención/efectos de los fármacos , Atención/fisiología , Benzodiazepinas/uso terapéutico , Cocaína/administración & dosificación , Condicionamiento Operante/efectos de los fármacos , Depresión/etiología , Modelos Animales de Enfermedad , Inhibidores de Captación de Dopamina/administración & dosificación , Electroencefalografía , Alucinógenos/toxicidad , Haloperidol/efectos adversos , Humanos , Macaca fascicularis , Imagen por Resonancia Magnética , Masculino , Recuerdo Mental/efectos de los fármacos , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Microinyecciones , Actividad Motora/efectos de los fármacos , Actividad Motora/genética , Mutación , Olanzapina , Oocitos , Oxazoles/farmacocinética , Fenciclidina/toxicidad , Fenetilaminas/farmacocinética , Unión Proteica/efectos de los fármacos , Unión Proteica/genética , Pirrolidinonas/administración & dosificación , Ratas , Ratas Wistar , Receptores Acoplados a Proteínas G/genética , Refuerzo en Psicología , Esquizofrenia/etiología , Esquizofrenia/genética , Natación/psicología , Telemetría , Tritio/farmacocinética , Xenopus
5.
Prog Urol ; 22(2): 120-6, 2012 Feb.
Artículo en Francés | MEDLINE | ID: mdl-22284597

RESUMEN

BACKGROUND: The physician's well-being at work is more and more evaluated, but so far few studies have concerned the specialty of urology. The objective of this survey CAPURO was to explore the quality of the professional life of French urologists, to get their position about on going reforms and information about their extra professional activities. METHODS: The duration of this survey conducted in 2009 was one month with a questionnaire of 25 questions available at the AFU congress and on the Internet site www.cap-uro.com. RESULTS: Two hundred and ninety-six urologists have answered the questionnaire. More than two of three urologists declared being satisfied of their work, especially private urologists. The mean duration of weekly work was 57hours with much time spent for activities not directly related to the care of patients, but judged useful to develop quality of care and evaluation of practices. Ninety percent of urologists declared not to have an easy access to the new techniques and 60% of them were interested by clinical research, but most of them didn't have the necessary resources. They declared to be satisfied by the continuous medical training, but they affirmed lacking of help to get accreditation. Oncology, benign hyperplasias of prostate, lithiasis and endourology were the main urological specialities exercised by urologists. A majority of French urologists seemed to be very anxious about the future, mainly because of on going reforms. A few numbers of urologists had extra professional activities. CONCLUSION: In 2009, French urologists who participated in the survey CAPURO were mostly satisfied or very satisfied with their conditions of practice, but with some dissatisfaction justifying a real dialogue between health authorities and professionals.


Asunto(s)
Calidad de Vida , Encuestas y Cuestionarios , Urología , Francia
6.
Prog Urol ; 22 Suppl 2: S39-47, 2012 Sep.
Artículo en Francés | MEDLINE | ID: mdl-23098789

RESUMEN

Because of the low mortality rates associated with prostate cancer, treatments long-term adverse effects constitute an important parameter in the management of patients. In particular, androgen deprivation has been shown to be linked to several metabolic disorders which are already frequent in men after age 60, such as weight and fat gain, insulin resistance likely to evolve into diabetes, and dyslipidemia. So far no consensus guidelines have been published regarding the screening and treatment of metabolic disorders in men with prostate cancer. It is essential to detect and manage these metabolic disorders, all the more so as they seem to be associated with an increased aggressiveness of prostate cancer. Here we report the development of a new questionnaire, which might contribute to the systematic management, and potentially the screening and treatment or the prevention of these metabolic disorders in patients with prostate cancer. In accordance with recent reviews and on the basis of experience, our French board of experts also recommends systematic screening and selective treatment for diabetes, regular follow-up of fasting glucose rates, lipid profile and blood pressure in all patients under long-term androgen deprivation treatment, as well as lifestyle changes (practice of exercise, nutritional habits).


Asunto(s)
Antagonistas de Andrógenos/efectos adversos , Enfermedades Metabólicas/inducido químicamente , Neoplasias de la Próstata/tratamiento farmacológico , Antagonistas de Andrógenos/uso terapéutico , Humanos , Masculino , Enfermedades Metabólicas/epidemiología , Factores de Riesgo , Encuestas y Cuestionarios
7.
Prog Urol ; 22(16): 989-98, 2012 Dec.
Artículo en Francés | MEDLINE | ID: mdl-23178094

RESUMEN

INTRODUCTION: Intravesical BCG immuno-therapy with maintenance therapy is considered as the standard treatment for non-muscle invasive bladder cancer with high risk of recurrence and progression. In practice, adverse events (AEs) of BCG therapy could restrict its prescription by urologists. The aim of this article was to present a review of these AEs and of their management. MATERIALS AND METHODS: A bibliographic research in French and English using Medline(®) and Embase(®) with the keywords "BCG", "bladder", "complication", "toxicity", "adverse reaction", "prevention" and "treatment" was performed. RESULTS: The main mechanism of AEs of BCG are infectious (cystitis, fever), immuno-allergic (granulomatous prostatitis, epididymo-orchitis, and granulomatous reactions) and auto-immune (arthralgies, rash). Management of AEs is based on their pathophysiological mechanisms. Classifications of BCG therapy AEs based on clinical features allow to adapt their treatments. CONCLUSION: The combination of antibiotics directed against BCG, steroid or non-steroidal anti-inflammatory medication and symptomatic treatment is currently the triad on which is set up the appropriate treatment of severe AEs. Reductions of BCG doses and ofloxacin medication after instillation decrease the frequency and severity of minor and moderate AEs. Severe or more than 7 days long infectious AEs, immuno-allergic AEs or auto-immune during more than 7 days impose cessation of BCG immuno-therapy.


Asunto(s)
Adyuvantes Inmunológicos/efectos adversos , Antiinfecciosos Urinarios/uso terapéutico , Vacuna BCG/efectos adversos , Cistitis/diagnóstico , Ofloxacino/uso terapéutico , Prostatitis/diagnóstico , Neoplasias de la Vejiga Urinaria/tratamiento farmacológico , Adyuvantes Inmunológicos/administración & dosificación , Administración Intravesical , Artralgia/diagnóstico , Artralgia/inmunología , Vacuna BCG/administración & dosificación , Cistitis/tratamiento farmacológico , Cistitis/inmunología , Esquema de Medicación , Epididimitis/diagnóstico , Epididimitis/tratamiento farmacológico , Epididimitis/inmunología , Fiebre/inmunología , Francia , Granuloma/diagnóstico , Granuloma/inmunología , Humanos , Masculino , Invasividad Neoplásica , Orquitis/diagnóstico , Orquitis/tratamiento farmacológico , Orquitis/inmunología , Guías de Práctica Clínica como Asunto , Prostatitis/tratamiento farmacológico , Prostatitis/inmunología , Prostatitis/patología , Sociedades Médicas , Neoplasias de la Vejiga Urinaria/inmunología , Neoplasias de la Vejiga Urinaria/patología , Urología
8.
Prog Urol ; 21(7): 479-85, 2011 Jul.
Artículo en Francés | MEDLINE | ID: mdl-21693360

RESUMEN

OBJECTIVES: To describe and evaluate prescriptions of sick leave by urology surgeons for different kinds of interventions. METHODS: Between January and April 2006, a web-based survey was completed by urology surgeons on a voluntary basis. The analyzed data pertained to personal characteristics of the surgeons, mean duration of sick leave for 15 interventions and the type of job of the patient (strenuous or not). Analyses were performed with software SAS™ version 9.2. Descriptive analyses were performed and Kruskal-Wallis test was used to search for statistically significant differences between variables (p<0,05). RESULTS: One hundred and forty-eight surgeons were involved and 145 answers could be analyzed. Mean age of the surgeons was 46,3±9,4years. Urology surgeons were in the public sector (n=73/140; 52%), in private practice (n=43/140; 31%) or both (n=24/140; 17%). Kruskal-Wallis test showed that all patients who had a job considered as strenuous had significantly longer sick leave prescriptions. Younger surgeons (under 40) used to prescribe shorter sick leaves than their older counterparts. CONCLUSION: Sick leave prescriptions of the urology surgeons were globally homogeneous in this survey. Only a few interventions were the occasion of discordant prescriptions depending upon the age or practice (public/private) of the surgeons. Several hypotheses could be further explored as regard the source of variation in sick leave prescriptions. These results are usable for those stakeholders who are interested in continuous medical education and evaluation.


Asunto(s)
Pautas de la Práctica en Medicina , Ausencia por Enfermedad/estadística & datos numéricos , Urología , Francia , Humanos , Persona de Mediana Edad , Encuestas y Cuestionarios
9.
J Exp Med ; 191(3): 529-40, 2000 Feb 07.
Artículo en Inglés | MEDLINE | ID: mdl-10662798

RESUMEN

Interleukin (IL)-2 interacts with two types of functional receptors (IL-2Ralphabetagamma and IL-2Rbetagamma) and acts on a broad range of target cells involved in inflammatory reactions and immune responses. For the first time, we show that a chemically synthesized fragment of the IL-2 sequence can fold into a molecule mimicking the quaternary structure of a hemopoietin. Indeed, peptide p1-30 (containing amino acids 1-30, covering the entire alpha helix A of IL-2) spontaneously folds into an alpha-helical homotetramer and stimulates the growth of T cell lines expressing human IL-2Rbeta, whereas shorter versions of the peptide lack helical structure and are inactive. We also demonstrate that this neocytokine interacts with a previously undescribed dimeric form of IL-2Rbeta. In agreement with its binding to IL-2Rbeta, p1-30 activates Shc and p56(lck) but unlike IL-2, fails to activate Janus kinase (Jak)1, Jak3, and signal transducer and activator of transcription 5 (STAT5). Unexpectedly, we also show that p1-30 activates Tyk2, thus suggesting that IL-2Rbeta may bind to different Jaks depending on its oligomerization. At the cellular level, p1-30 induces lymphokine-activated killer (LAK) cells and preferentially activates CD8(low) lymphocytes and natural killer cells, which constitutively express IL-2Rbeta. A significant interferon gamma production is also detected after p1-30 stimulation. A mutant form of p1-30 (Asp20-->Lys), which is likely unable to induce vascular leak syndrome, remains capable of generating LAK cells, like the original p1-30 peptide. Altogether, our data suggest that p1-30 has therapeutic potential.


Asunto(s)
Interleucina-2/farmacología , Células Asesinas Activadas por Linfocinas/metabolismo , Receptores de Interleucina-2/agonistas , Secuencia de Aminoácidos , Animales , Sitios de Unión , Linfocitos T CD8-positivos/metabolismo , Línea Celular , Activación Enzimática/efectos de los fármacos , Humanos , Interferón gamma/análisis , Interleucina-2/química , Interleucina-2/genética , Activación de Linfocitos/efectos de los fármacos , Proteína Tirosina Quinasa p56(lck) Específica de Linfocito/metabolismo , Subgrupos Linfocitarios/metabolismo , Ratones , Datos de Secuencia Molecular , Monocitos/efectos de los fármacos , Fragmentos de Péptidos/química , Fragmentos de Péptidos/farmacología , Pliegue de Proteína , Receptores de Interleucina-2/antagonistas & inhibidores , Receptores de Interleucina-2/metabolismo , Transducción de Señal , Dominios Homologos src
10.
Prog Urol ; 19(11): 810-7, 2009 Dec.
Artículo en Francés | MEDLINE | ID: mdl-19945664

RESUMEN

The increase in life expectancy combined with the increase in the global incidence of cancers will probably results in an increase in the number of cancers observed in the elderly. The increase in the incidence of prostate cancers in geriatric patients (45% of prostate cancers are diagnosed after 75 years old) is in sharp contrast with the lack of strong scientific data on the topic. By the meantime, oncogeriatrics has been developing for some years now under the guidance of the International Society of Oncogeriatrics. Such an approach aims at palliating the low quality of care of cancers in geriatric patients. The reasons for the low quality of care come from the characteristics of these patients and from the training of the care providers. The authors recall the principles of oncogeriatric evaluation and the classification of patients as it is actually proposed. They describe the main treatments and their results in the geriatric population and they describe the decision process concerning the choice of the treatment. They also suggest some guidelines on the diagnosis of prostate cancer, evaluation of the patients and the treatments of the disease in the elderly. Prostate cancer is almost the perfect model for oncogeriatrics. Urologists should remain the corner stone of its management, whatever the age of their patient.


Asunto(s)
Neoplasias de la Próstata/terapia , Factores de Edad , Anciano , Humanos , Masculino , Neoplasias de la Próstata/epidemiología
11.
Neuropharmacology ; 54(2): 405-16, 2008 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18054053

RESUMEN

Aripiprazole (OPC-14597) is an antipsychotic with a unique pharmacology as a dopamine D2 receptor partial agonist, which has been demonstrated to reduce symptoms of schizophrenia. To further profile this compound in preclinical models, we examined aripiprazole-induced activity changes as measured by pharmacological magnetic resonance imaging (MRI) and characterized the drug in several rodent models of motor behaviors and of psychosis. Continuous arterial spin labeling MRI measuring blood perfusion (as an indirect measure of activity) reveals that aripiprazole dose-dependently decreased brain activity in the entorhinal piriform cortex, perirhinal cortex, nucleus accumbens shell, and basolateral amygdala. While no deficits were observed in the rotarod test for motor coordination in the simpler (8 RPM) version, in the more challenging condition (16 RPM) doses of 10 and 30mg/kg i.p. produced deficits. Catalepsy was seen only at the highest dose tested (30mg/kg i.p.) and only at the 3 and 6h time points, not at the 1h time point. In pharmacological models of psychosis, 1-30mg/kg aripiprazole i.p. effectively reduced locomotor activity induced by dopamine agonists (amphetamine and apomorphine), NMDA antagonists (MK-801 and phencyclidine (PCP)), and a serotonin agonist (2,5-dimethoxy-4-iodoamphetamine (DOI)). However, aripiprazole reversed prepulse inhibition deficits induced by amphetamine, but not by any of the other agents tested. Aripiprazole alters brain activity in regions relevant to schizophrenia, and furthermore, has a pharmacological profile that differs for the two psychosis models tested and does not match the typical or atypical psychotics. Thus, D2 partial agonists may constitute a new group of antipsychotics.


Asunto(s)
Antipsicóticos/farmacología , Encéfalo/efectos de los fármacos , Actividad Motora/efectos de los fármacos , Piperazinas/farmacología , Psicosis Inducidas por Sustancias/psicología , Quinolonas/farmacología , Animales , Apomorfina/farmacología , Aripiprazol , Catalepsia/inducido químicamente , Catalepsia/psicología , Interpretación Estadística de Datos , Agonistas de Dopamina/farmacología , Alucinógenos/farmacología , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , N-Metilaspartato/antagonistas & inhibidores , Equilibrio Postural/efectos de los fármacos , Ratas , Ratas Sprague-Dawley , Reflejo de Sobresalto/efectos de los fármacos , Agonistas de Receptores de Serotonina/farmacología
12.
Prog Urol ; 18(3): 137-44, 2008 Mar.
Artículo en Francés | MEDLINE | ID: mdl-18472065

RESUMEN

A first serum total PSA assay is recommended during the first three months after treatment. When PSA is detectable, PSA assay should be repeated three months later to confirm this elevation and to estimate the PSA doubling time (PSADT). In the absence of residual cancer, PSA becomes undetectable by the first month after total prostatectomy: less than 0.1 ng/ml (or less than 0.07 ng/ml) for the ultrasensitive assay method and less than 0.2 ng/ml for the other methods. In the presence of residual cancer, PSA either does not become undetectable or increases after an initial undetectable period. A consensus has been reached to define recurrence as PSA greater than 0.2 ng/ml confirmed on two successive assays. After external beam radiotherapy, PSA can decrease after a mean interval of one to two years to a value less than 1 ng/ml (predictive of recurrence-free survival). Biochemical recurrence after radiotherapy is defined by an increase of PSA by 2 ng or more above the PSA nadir, whether or not it is associated with endocrine therapy. After endocrine therapy, the PSA nadir is correlated with recurrence-free survival. PSA is decreased for a mean of 18 to 24 months followed by a rise in PSA, corresponding to hormone-independence. The time to recurrence or the time to reach the nadir and the PSA doubling time after local therapy with surgery or radiotherapy have a diagnostic value in terms of the site of recurrence, local or metastatic and a prognostic value for survival and response to complementary radiotherapy or endocrine therapy. A PSADT less than eight to 12 months is correlated with a high risk of metastatic recurrence and 10-year mortality. The histological and biochemical characteristics in favour of local recurrence are Gleason score less or equal to seven (3+4), elevation of PSA after a period greater than 12 months and PSADT greater than 10 months. In other cases, recurrence is predominantly metastatic. The risk of demonstrating metastasis in the case of biochemical recurrence after total prostatectomy and before endocrine therapy depends on the PSA level and the PSADT. No consensus has been reached concerning the indication for complementary investigations by bone scan and abdominopelvic CT in patients with biochemical recurrence after treatment of localized cancer without endocrine therapy. However, when PSADT greater than six months, the risk of metastasis is less than 3% even for PSA greater than 30 ng/ml. When PSADT less than six months and PSA greater than 10 ng/ml, the risk of metastasis is close to 50%.


Asunto(s)
Continuidad de la Atención al Paciente , Antígeno Prostático Específico/sangre , Neoplasias de la Próstata/sangre , Neoplasias de la Próstata/terapia , Biomarcadores de Tumor/sangre , Quimioterapia Adyuvante , Humanos , Masculino , Metástasis de la Neoplasia , Recurrencia Local de Neoplasia/sangre , Recurrencia Local de Neoplasia/diagnóstico , Prostatectomía , Radioterapia Adyuvante
13.
Brachytherapy ; 17(6): 888-894, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30172752

RESUMEN

PURPOSE: The only prognostic factor of prostate-specific antigen (PSA) bounce in prostate cancer found in several studies is young age but has never been specifically studied in this subset of patients for long-term results. Bounce characteristics, histological, clinical, and dosimetric data in young patients were analyzed, as well as their impact on toxicity and survival. MATERIAL AND METHODS: This retrospective study included patients aged ≤60 years treated with exclusive iodine 125 brachytherapy with low or intermediary prostate adenocarcinoma during 1999-2014. Exclusion criteria were a follow-up of ≤24 months. PSA bounce was defined as a ≥0.2-ng/mL increase above the interval PSA nadir, followed by a decrease to nadir or below. RESULTS: This study analyzed 179 patients. Median age was 56 years (46-59 years). The median follow-up was 79 months (54; 123). The bounce incidence was 56.8% (49.6%; 64.2%) at 5 years, inversely proportional to positive/total biopsies ratio (HR 0.98, 95% CI [0.97, 0.99]). Incidence of biochemical failure was 1.2%, 95% CI (0.3%; 4.7%), at 5 years with no difference between the bounce and no-bounce group (HR 0.96, 95% CI [0.25; 3.58]). Bounce is an unfavorable prognostic factor for grade two and three urinary toxicities 6.67 (4.14; 10.76) (p < 0.001). CONCLUSIONS: PSA bounce is common in young people after brachytherapy. It should be monitored without starting an inadequate and sometimes invasive relapse checkup or a relapse treatment.


Asunto(s)
Adenocarcinoma/radioterapia , Braquiterapia/efectos adversos , Antígeno Prostático Específico/análisis , Neoplasias de la Próstata/radioterapia , Adenocarcinoma/sangre , Adenocarcinoma/mortalidad , Factores de Edad , Braquiterapia/métodos , Estudios de Seguimiento , Humanos , Incidencia , Radioisótopos de Yodo/administración & dosificación , Radioisótopos de Yodo/efectos adversos , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia/epidemiología , Pronóstico , Neoplasias de la Próstata/sangre , Neoplasias de la Próstata/mortalidad , Estudios Retrospectivos , Análisis de Supervivencia , Insuficiencia del Tratamiento
14.
Biochimie ; 88(11): 1787-92, 2006 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16935407

RESUMEN

Metallothioneins (MTs) are low-molecular-weight, cysteine-rich metal-binding proteins found in a wide variety of organisms including bacteria, fungi and all eukaryotic plant and animal species. MTs bind essential and non-essential heavy metals. In mammalian cells MT genes are highly inducible by many heavy metals including Zn, Cd, Hg, and Cu. Aquatic systems are contaminated by different pollutants, including metals, as a result of man's activities. Bivalve molluscs are known to accumulate high concentrations of heavy metals in their tissue and are widely used as bioindicators for pollution in marine and freshwater environments, with MTs frequently used as a valuable marker of metal contamination. We here describe the MT isoform gene expression patterns of marine and freshwater molluscs and fish species after Cd or Zn contamination. Contamination was carried out at a river site polluted by a zinc ore extraction plant or in the laboratory at low, environmentally relevant metal concentrations. A comparison for each species based on the accumulated MT protein levels often shows discrepancies between gene expression and protein level. In addition, several differences observed in the pattern of MT gene expression between mollusc and mammalian species enable us to discuss and challenge a model for the induction of MT gene expression.


Asunto(s)
Regulación de la Expresión Génica , Metalotioneína/genética , Animales , Cadmio/metabolismo , Peces , Modelos Genéticos , Moluscos/metabolismo , Plantas/genética , Zinc/metabolismo
15.
J Neurosci ; 20(11): 4037-49, 2000 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-10818139

RESUMEN

We have used site-directed mutagenesis in conjunction with homologous recombination to generate two mouse lines carrying point mutations in the glycine binding site of the NMDAR1 subunit (Grin1). Glycine concentration-response curves from acutely dissociated hippocampal neurons revealed a 5- and 86-fold reduction in receptor glycine affinity in mice carrying Grin1(D481N) and Grin1(K483Q) mutations, respectively, whereas receptor glutamate affinity remained unaffected. Homozygous mutant Grin1(D481N) animals are viable and fertile and appear to develop normally. However, homozygous mutant Grin1(K483Q) animals are significantly lighter at birth, do not feed, and die within a few days. No gross abnormalities in CNS anatomy were detected in either Grin1(D481N) or Grin1(K483Q) mice. Interestingly, in situ hybridization and Western blot analysis revealed changes in the expression levels of NMDA receptor subunits in Grin1(D481N) mice relative to wild type that may represent a compensatory response to the reduction in receptor glycine affinity. Grin1(D481N) mice exhibited deficits in hippocampal theta burst-induced long-term potentiation (LTP) and spatial learning and also a reduction in sensitivity to NMDA-induced seizures relative to wild-type controls, consistent with a reduced activation of NMDA receptors. Mutant mice exhibited normal prepulse inhibition but showed increased startle reactivity. Preliminary analysis indicated that the mice exhibit a decreased natural aversion to an exposed environment. The lethal phenotype of Grin1(K483Q) animals confirms the critical role of NMDA receptor activation in neonatal survival. A milder reduction in receptor glycine affinity results in an impairment of LTP and spatial learning and alterations in anxiety-related behavior, providing further evidence for the role of NMDA receptor activation in these processes.


Asunto(s)
Glicina/fisiología , Mutación Puntual/fisiología , Receptores de Glicina/genética , Receptores de Glicina/fisiología , Receptores de N-Metil-D-Aspartato/genética , Receptores de N-Metil-D-Aspartato/fisiología , Animales , Autorradiografía , Conducta Animal/fisiología , Southern Blotting , Western Blotting , Calcio/fisiología , Corteza Cerebral/citología , Corteza Cerebral/metabolismo , Marcación de Gen , Hipocampo/citología , Hipocampo/metabolismo , Homocigoto , Interpretación de Imagen Asistida por Computador , Hibridación in Situ , Potenciación a Largo Plazo/fisiología , Ratones , Técnicas de Placa-Clamp , Mutación Puntual/genética , Reflejo de Sobresalto/fisiología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Convulsiones/inducido químicamente , Convulsiones/genética , Convulsiones/fisiopatología
16.
Biochim Biophys Acta ; 1414(1-2): 51-64, 1998 Nov 11.
Artículo en Inglés | MEDLINE | ID: mdl-9804890

RESUMEN

A phosphatidylcholine-like phospholipid expressed in the outer leaflet of the cell membrane shortly after mitogenic activation of T-cells is described, based on the binding of monoclonal antibody 90. 60.3. Expression of the 90.60.3 phospholipid antigen in T-cells is activation-dependent. Once expressed, the 90.60.3 phospholipid is in direct physical association with the interleukin-2 (IL-2) binding domain of IL-2 receptor alpha subunits, but does not affect IL-2 binding. The association is specific, because the 90.60.3 phospholipid is not found in association with other domains of IL-2 receptor alpha subunits, or near IL-2 receptor beta or gamma subunits. Culturing cytokine-dependent cell lines in the presence of monoclonal antibody 90.60.3 potentiates IL-2-dependent cell survival and proliferation in a dose-dependent manner. In contrast, IL-4-dependent responses are not potentiated. Taken together, the data suggest that specific plasma membrane phospholipids expressed in the outer leaflet after T-cell activation associate with the IL-2 binding domain of IL-2 receptor alpha subunits (and perhaps other cytokine receptors), and may play a role in regulating receptor mobility or signal transduction.


Asunto(s)
Membrana Celular/metabolismo , Fosfolípidos/metabolismo , Receptores de Interleucina-2/metabolismo , Linfocitos T/metabolismo , Animales , Anticuerpos Monoclonales/inmunología , Epítopos/inmunología , Activación de Linfocitos , Ratones , Mitógenos , Fosfolípidos/química , Fosfolípidos/inmunología , Receptores de Interleucina-2/química , Receptores de Interleucina-2/inmunología , Transducción de Señal
17.
Mol Immunol ; 25(1): 57-61, 1988 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-2449607

RESUMEN

Three new rat monoclonal antibodies (MAbs) (5A2, 125A8 and 135D5) directed against the mouse interleukin-2 receptor (IL-2R) were isolated. They were obtained after immunization of LOU rats with 14.1.6 T helper cell clones. These three MAbs recognize the p55 subunit of the IL-2R and compete with the binding of previously characterized MAbs AMT13 and 3C7 specific for this p55 subunit [Moreau et al. (1987) Eur. J. Immun. 15, 723-727]. They recognize the same (or closely related epitopes) since they reciprocally compete with each other's binding. Scatchard plot analysis of the data from inhibition experiments clearly indicate that they recognize with very high affinity the ligand binding site area of the p55 subunit of the IL-2R. The properties of the Fab fragment prepared from 5A2 and 135D5 indicate that at saturation one intact IgG molecule binds two IL-2R molecules.


Asunto(s)
Anticuerpos Monoclonales/inmunología , Sitios de Unión de Anticuerpos , Receptores Inmunológicos/inmunología , Animales , Unión Competitiva , Epítopos/análisis , Fragmentos Fab de Inmunoglobulinas/inmunología , Ratones , Ratones Endogámicos BALB C , Ratas , Ratas Endogámicas , Receptores Inmunológicos/metabolismo , Receptores de Interleucina-2
18.
Mol Immunol ; 32(14-15): 1047-56, 1995 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-8544854

RESUMEN

An anti-human IL-2 mAb (19B11/beta) was found to selectively block the binding of IL-2 to TS1 beta cells expressing the interleukin-2 receptor beta (IL-2R beta) without affecting binding to TS1 alpha cells expressing the IL-2R alpha receptor. It also specifically inhibits the IL-2 driven cell proliferation in TS1 beta cells. These observations have lead to the hypothesis that its epitope is related to an IL-2 area involved in binding with IL-2R beta chain. This epitope was identified using various peptides covering the N-terminal half (including alpha helix A) of the 133 amino acids of IL-2. MAb 19B11/beta does not recognize peptides 30-54 and 44-54 but recognizes peptides 1-22 and 1-30 with a good affinity. Furthermore, threonine in position no. 3 was found to be critical for the binding of mAb 19B11/beta. A relationship between the epitope of mAb 19B11/beta and the glycosylation of the IL-2 molecule was observed. This further demonstrates that the NH2 terminal area of IL-2 is critical for IL-2/IL-2R beta interactions. Two other mAbs were studied during the course of this work. They served as control for the study of mAb 19B11/beta and provide some additional insight concerning the question of IL-2/IL-2R structure-function. MAb 16F11/alpha selectively blocks the IL-2 binding to TS1 alpha cells. The epitope of mAb 16F11 is conformational and it was not possible to study the corresponding IL-2/IL-2R alpha region of interaction. Epitope of mAb 3H9 is localized between residues 30 and 54 and does not affect the binding of IL-2 to IL-2R alpha.


Asunto(s)
Anticuerpos Monoclonales/química , Especificidad de Anticuerpos , Epítopos/inmunología , Interleucina-2/inmunología , Receptores de Interleucina-2/metabolismo , Secuencia de Aminoácidos , Animales , Anticuerpos Monoclonales/farmacología , Afinidad de Anticuerpos , Sitios de Unión de Anticuerpos , Unión Competitiva/inmunología , Línea Celular , Disulfuros/farmacología , Epítopos/química , Humanos , Interleucina-2/química , Activación de Linfocitos , Ratones , Ratones Endogámicos BALB C , Datos de Secuencia Molecular , Receptores de Interleucina-2/inmunología , Treonina/química
19.
Mol Immunol ; 19(8): 1011-9, 1982 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-6813679

RESUMEN

The contribution of the H- and L-chains to the structure of the main idiotype of anti-poly (Glu60-Ala30-Tyr10) (GAT) antibodies has been studied. This idiotype has been previously divided into four types of specificity: (1) the highly conserved idiotypic specificity (h.c. GAT) is expressed by anti-GAT antibodies from the guinea-pig, rat and mice; (2) the public specificity (p. GAT) is expressed in an identical form by all anti-GAT antibodies from all strains of mice tested and by all hybridoma products (HP) with anti-GAT activity; (3) the strain-restricted specificity (s.r. GAT-1) is only expressed by anti-GAT antibodies from strains with Ig-1a, Ig-1c and Ig-1c allotypic markers; and finally (4) the individual specificity i1-GAT defined on HP G5 is also expressed by most of the hybridoma protein with anti-poly (Glu50-Tyr50) (GT) activity. In this paper we show that h.c.GAT, p.GAT and i1-GAT require the interaction of H- and L-chains to be expressed: (1) isolated H- and L-chains from HP G5 did not express these specificities; and (2) recombinant molecules composed of H- and L-chains from HP with anti-GAT activity and an irrelevant myeloma protein (MOPC21) never expressed h.c.GAT, p.GAT and i1-GAT. We next investigated the relationship between the GAT binding site and the p.GAT, h.c.GAT and s.r.GAT-1 idiotypic specificities. GAT and GT were not able to inhibit the binding to s.r.GAT-1 while they inhibit the idiotypic binding to p.GAT and h.c.GAT. A GAT fragment of mol. wt 3000 was also shown to inhibit the binding of p.GAT and h.c.GAT to the appropriate sera. Thus p.GAT and h.c.GAT are very close to the GAT combining site while s.r.GAT-1 represents an idiotypic specificity located outside the GAT binding site.


Asunto(s)
Especificidad de Anticuerpos , Cadenas Pesadas de Inmunoglobulina/inmunología , Idiotipos de Inmunoglobulinas/inmunología , Cadenas Ligeras de Inmunoglobulina/inmunología , Animales , Sitios de Unión de Anticuerpos , Unión Competitiva , Línea Celular , Hibridomas/inmunología , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Radioinmunoensayo , Ratas
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