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1.
Behav Genet ; 52(2): 141-153, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-35032285

RESUMEN

The reactive type of aggression is regulated mostly by the brain's prefrontal cortex; however, the molecular changes underlying aggressiveness in adults have not been fully characterized. We used an RNA-seq approach to investigate differential gene expression in the prefrontal cortex of bovines from the aggressive Lidia breed at different ages: young three-year old and adult four-year-old bulls. A total of 50 up and 193 down-regulated genes in the adult group were identified. Furthermore, a cross-species comparative analysis retrieved 29 genes in common with previous studies on aggressive behaviors, representing an above-chance overlap with the differentially expressed genes in adult bulls. We detected changes in the regulation of networks such as synaptogenesis, involved in maintenance and refinement of synapses, and the glutamate receptor pathway, which acts as excitatory driver in aggressive responses. The reduced reactive aggression typical of domestication has been proposed to form part of a retention of juvenile traits as adults (neoteny).


Asunto(s)
Agresión , Domesticación , Agresión/fisiología , Animales , Bovinos/genética , Masculino , Corteza Prefrontal , RNA-Seq , Secuenciación del Exoma
2.
BMC Genomics ; 22(1): 245, 2021 Apr 07.
Artículo en Inglés | MEDLINE | ID: mdl-33827428

RESUMEN

BACKGROUND: Aggressive behavior is an ancient and conserved trait, habitual for most animals in order to eat, protect themselves, compete for mating and defend their territories. Genetic factors have been shown to play an important role in the development of aggression both in animals and humans, displaying moderate to high heritability estimates. Although such types of behaviors have been studied in different animal models, the molecular architecture of aggressiveness remains poorly understood. This study compared gene expression profiles of 16 prefrontal cortex (PFC) samples from aggressive and non-aggressive cattle breeds: Lidia, selected for agonistic responses, and Wagyu, selected for tameness. RESULTS: A total of 918 up-regulated and 278 down-regulated differentially expressed genes (DEG) were identified, representing above-chance overlap with genes previously identified in studies of aggression across species, as well as those implicated in recent human evolution. The functional interpretation of the up-regulated genes in the aggressive cohort revealed enrichment of pathways such as Alzheimer disease-presenilin, integrins and the ERK/MAPK signaling cascade, all implicated in the development of abnormal aggressive behaviors and neurophysiological disorders. Moreover, gonadotropins, are up-regulated as natural mechanisms enhancing aggression. Concomitantly, heterotrimeric G-protein pathways, associated with low reactivity mental states, and the GAD2 gene, a repressor of agonistic reactions associated with PFC activity, are down-regulated, promoting the development of the aggressive responses selected for in Lidia cattle. We also identified six upstream regulators, whose functional activity fits with the etiology of abnormal behavioral responses associated with aggression. CONCLUSIONS: These transcriptional correlates of aggression, resulting, at least in part, from controlled artificial selection, can provide valuable insights into the complex architecture that underlies naturally developed agonistic behaviors. This analysis constitutes a first important step towards the identification of the genes and metabolic pathways that promote aggression in cattle and, providing a novel model species to disentangle the mechanisms underlying variability in aggressive behavior.


Asunto(s)
Agresión , Transcriptoma , Animales , Conducta Animal , Cruzamiento , Bovinos , Fenotipo , Corteza Prefrontal
4.
J Biol Chem ; 288(4): 2111-7, 2013 Jan 25.
Artículo en Inglés | MEDLINE | ID: mdl-23192344

RESUMEN

Nab3 is an RNA-binding protein whose function is important for terminating transcription by RNA polymerase II. It co-assembles with Nrd1, and the resulting heterodimer of these heterogeneous nuclear ribonucleoprotein-C (hnRNP)-like proteins interacts with the nascent transcript and RNA polymerase II. Previous genetic analysis showed that a short carboxyl-terminal region of Nab3 is functionally important for termination and is located far from the Nab3 RNA recognition domain in the primary sequence. The domain is structurally homologous to hnRNP-C from higher organisms. Here we provide biochemical evidence that this short region is sufficient to enable self-assembly of Nab3 into a tetrameric form in a manner similar to the cognate region of human hnRNP-C. Within this region, there is a stretch of low complexity protein sequence (16 glutamines) adjacent to a putative α-helix that potentiates the ability of the conserved region to self-assemble. The glutamine stretch and the final 18 amino acids of Nab3 are both important for termination in living yeast cells. The findings herein describe an additional avenue by which these hnRNP-like proteins can polymerize on target transcripts. This process is independent of, but acts in concert with, the interactions of the proteins with RNA and RNA polymerase and extends the relationship of Nab3 as a functional orthologue of a higher eukaryotic hnRNP.


Asunto(s)
Regulación Fúngica de la Expresión Génica , Ribonucleoproteína Heterogénea-Nuclear Grupo C/química , Proteínas Nucleares/química , Proteínas Nucleares/metabolismo , Proteínas de Unión al ARN/química , Proteínas de Unión al ARN/metabolismo , Proteínas de Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/metabolismo , Transcripción Genética , Secuencia de Bases , Cromatografía en Gel , Reactivos de Enlaces Cruzados/química , ARN Polimerasas Dirigidas por ADN/metabolismo , Humanos , Modelos Biológicos , Datos de Secuencia Molecular , Oligonucleótidos/genética , Péptidos/química , Estructura Secundaria de Proteína , Estructura Terciaria de Proteína , ARN/metabolismo , ARN Polimerasa II/metabolismo
5.
J Biol Chem ; 288(47): 34158-34167, 2013 Nov 22.
Artículo en Inglés | MEDLINE | ID: mdl-24100036

RESUMEN

Nab3 and Nrd1 are yeast heterogeneous nuclear ribonucleoprotein (hnRNP)-like proteins that heterodimerize and bind RNA. Genetic and biochemical evidence reveals that they are integral to the termination of transcription of short non-coding RNAs by RNA polymerase II. Here we define a Nab3 mutation (nab3Δ134) that removes an essential part of the protein's C terminus but nevertheless can rescue, in trans, the phenotype resulting from a mutation in the RNA recognition motif of Nab3. This low complexity region of Nab3 appears intrinsically unstructured and can form a hydrogel in vitro. These data support a model in which multiple Nrd1-Nab3 heterodimers polymerize onto substrate RNA to effect termination, allowing complementation of one mutant Nab3 molecule by another lacking a different function. The self-association property of Nab3 adds to the previously documented interactions between these hnRNP-like proteins, RNA polymerase II, and the nascent transcript, leading to a network of nucleoprotein interactions that define a higher order Nrd1-Nab3 complex. This was underscored from the synthetic phenotypes of yeast strains with pairwise combinations of Nrd1 and Nab3 mutations known to affect their distinct biochemical activities. The mutations included a Nab3 self-association defect, a Nab3-Nrd1 heterodimerization defect, a Nrd1-polymerase II binding defect, and an Nab3-RNA recognition motif mutation. Although no single mutation was lethal, cells with any two mutations were not viable for four such pairings, and a fifth displayed a synthetic growth defect. These data strengthen the idea that a multiplicity of interactions is needed to assemble a higher order Nrd1-Nab3 complex that coats specific nascent RNAs in preparation for termination.


Asunto(s)
Complejos Multiproteicos/metabolismo , Proteínas Nucleares/metabolismo , ARN de Hongos/biosíntesis , Proteínas de Unión al ARN/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo , Saccharomyces cerevisiae/metabolismo , Terminación de la Transcripción Genética/fisiología , Secuencias de Aminoácidos , Complejos Multiproteicos/genética , Mutación , Proteínas Nucleares/genética , Multimerización de Proteína/fisiología , ARN Polimerasa II/genética , ARN Polimerasa II/metabolismo , ARN de Hongos/genética , Proteínas de Unión al ARN/genética , Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/genética
6.
Nucleic Acids Res ; 40(15): 7476-91, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22564898

RESUMEN

The yeast IMD2 gene encodes an enzyme involved in GTP synthesis. Its expression is controlled by guanine nucleotides through a set of alternate start sites and an intervening transcriptional terminator. In the off state, transcription results in a short non-coding RNA that starts upstream of the gene. Transcription terminates via the Nrd1-Nab3-Sen1 complex and is degraded by the nuclear exosome. Using a sensitive terminator read-through assay, we identified trans-acting Terminator Override (TOV) genes that operate this terminator. Four genes were identified: the RNA polymerase II phosphatase SSU72, the RNA polymerase II binding protein PCF11, the TRAMP subunit TRF4 and the hnRNP-like, NAB3. The TOV phenotype can be explained by the loss of function of these gene products as described in models in which termination and RNA degradation are coupled to the phosphorylation state of RNA polymerase II's repeat domain. The most interesting mutations were those found in NAB3, which led to the finding that the removal of merely three carboxy-terminal amino acids compromised Nab3's function. This region of previously unknown function is distant from the protein's well-known RNA binding and Nrd1 binding domains. Structural homology modeling suggests this Nab3 'tail' forms an α-helical multimerization domain that helps assemble it onto an RNA substrate.


Asunto(s)
Proteínas Nucleares/química , Proteínas de Unión al ARN/química , Proteínas de Saccharomyces cerevisiae/química , Transcripción Genética , Alelos , Secuencia de Aminoácidos , Separación Celular , ADN Polimerasa Dirigida por ADN/genética , Citometría de Flujo , IMP Deshidrogenasa/genética , Datos de Secuencia Molecular , Mutación , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Estructura Terciaria de Proteína , ARN/metabolismo , ARN Polimerasa II/química , ARN Polimerasa II/metabolismo , Proteínas de Unión al ARN/genética , Proteínas de Unión al ARN/metabolismo , Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Alineación de Secuencia , Regiones Terminadoras Genéticas
7.
J Public Health Manag Pract ; 19(6): 575-81, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23446875

RESUMEN

CONTEXT: This study examines a model of performance measurement in public health on the basis of logic model constructs focusing upon explanatory variables (inputs) within the realm of control of the local public health agency (LPHA), and their subsequent effect on LPHA functions (outputs). METHODS: Study protocol was reviewed and approved by an institutional review board, and informed consent was obtained from all participants. The investigation included measuring the human, informational, organizational and fiscal resources of the LPHAs (inputs) to determine the effect upon LPHA performance of the assessment, policy development, and assurance functions of public health (outputs), commonly referred to as the 3 core functions of public health. RESULTS: Study participants included the lead health officials (termed "administrators") representing the LPHAs within the state of Illinois. Forty-three of the 46 LPHAs selected participated in the study for a response rate of 93%. Analysis to identify the presence of any relationship between the explanatory variables (LPHA inputs or resources) and the dependent variables (LPHA outputs or core functions) was undertaken utilizing multiple regression analysis. CONCLUSIONS: Results concluded that higher-level performance in areas noted as LPHA inputs or resources were associated with higher-level performance of the core functions of public health.


Asunto(s)
Eficiencia Organizacional , Administración en Salud Pública , Práctica de Salud Pública , Humanos , Illinois , Gobierno Local , Análisis de Regresión , Encuestas y Cuestionarios
8.
Cureus ; 15(12): e50145, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38186431

RESUMEN

The rhabdoid subtype of undifferentiated pancreatic carcinoma is rarely reported. The clinical course of this disease is therefore poorly understood, although it is apparently an aggressive malignancy. We herein discuss the case of a 69-year-old man presenting with a rapidly enlarging mass of the pancreatic body and tail who was diagnosed with locally advanced SMARCB1-deficient undifferentiated pancreatic carcinoma with rhabdoid features, treated with radical resection and adjuvant chemotherapy, and has achieved 18-month disease-free survival ongoing at the time of article publication. We identify and contrast our case with 15 similar tumors reported in the English literature, briefly discuss the biology of this tumor, its relationship to malignant rhabdoid tumors of childhood, the role of SMARCB1 and its parent complex switch/sucrose-non-fermentable chromatin remodeling complex (SWI/SNF) in modulating the behavior of pancreatic malignancy, and the potential therapeutic avenues available for SWI/SNF-mutated malignancies.

9.
J Med Imaging Radiat Oncol ; 67(3): 299-307, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36825762

RESUMEN

BACKGROUND: Stereotactic body radiotherapy (SBRT) has been established as a safe and effective treatment for hepatocellular carcinoma (HCC). Currently, there are no consensus guidelines to advise optimal patient selection and radiotherapy planning parameters to minimise the risk of surgical and medical complications after liver transplant (LT) in patients who have had prior SBRT for HCC, whilst optimising treatment benefit. METHODS: We performed a retrospective analysis of all adult patients who received liver SBRT as a bridge to LT at a tertiary institution between 2017 and 2019. RESULTS: Nine patients received SBRT as bridging therapy to LT. HCC location varied from peripheral to central/hilar regions and HCC diameter was 13-54 mm. Median time between SBRT and LT was 141 days (range 27-461 days). Median operating time was 360 min (range 270-480 min). Four patients (44%) had visible SBRT reaction or fibrosis at the time of LT. SBRT reaction resulted in clinical impact in one patient (11%) only, where vascular clamping of the IVC was required for 10 min. CONCLUSION: SBRT is a safe and effective treatment for HCC enabling patients to remain within LT criteria, even for lesions not amenable to other more conventional bridging therapies. We describe a preliminary decision pathway to guide the optimal use of SBRT as a bridge to LT developed in our institution.


Asunto(s)
Carcinoma Hepatocelular , Neoplasias Hepáticas , Radiocirugia , Adulto , Humanos , Carcinoma Hepatocelular/radioterapia , Carcinoma Hepatocelular/cirugía , Carcinoma Hepatocelular/patología , Neoplasias Hepáticas/radioterapia , Neoplasias Hepáticas/cirugía , Neoplasias Hepáticas/patología , Radiocirugia/métodos , Estudios Retrospectivos , Resultado del Tratamiento
10.
JACC Case Rep ; 4(11): 645-648, 2022 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-35677797

RESUMEN

Radiofrequency cardiac ablation is increasingly performed for the management of dysrhythmias. Bleeding is a well-known complication of this procedure. We present a rare case of a near-fatal iatrogenic hepatic hemorrhage after cardiac catheter ablation. (Level of Difficulty: Advanced.).

11.
ANZ J Surg ; 92(3): 526-530, 2022 03.
Artículo en Inglés | MEDLINE | ID: mdl-34927324

RESUMEN

BACKGROUND: Liver resection is sometimes used as a graft saving procedure following orthotopic liver transplantation. METHODS: In this single centre retrospective cohort study, 12 adult patients underwent resection over a 20 year period, including recipients of split livers and second grafts. RESULTS: Indications for resection were vascular (portal vein obstruction and hepatic artery thrombus), biliary (ischaemic cholangiopathy, chronic biliary obstruction, biliary-vascular fistula and biloma) and recurrence of disease (primary sclerosing cholangitis [PSC] and hepatocellular carcinoma [HCC]). There was no perioperative mortality. Median follow up was 89 months. At the completion of the study 40% of patients had functioning grafts. One third required retransplantation with a median 1 year 6 months post resection. Three patients were deceased (recurrent HCC n = 1, PSC n = 1 and unspecified causes n = 1). Total graft survival was 91.7% at 1 year, 73.3% at 5 years and 64.2% at 10 years. CONCLUSIONS: Liver resection following liver transplant in select patients may salvage the graft or delay the need for retransplantation.


Asunto(s)
Carcinoma Hepatocelular , Neoplasias Hepáticas , Trasplante de Hígado , Adulto , Carcinoma Hepatocelular/cirugía , Humanos , Neoplasias Hepáticas/cirugía , Trasplante de Hígado/métodos , Estudios Retrospectivos
12.
Trends Cogn Sci ; 25(6): 462-474, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33810982

RESUMEN

Domesticated and vocal learning species can serve as informative model organisms for the reduction of reactive aggression and emergence of speech in our lineage. Amidst mounting evidence that domestication modifies vocal repertoires across different species, we focus on the domesticated Bengalese finch, which has a more complex song than the wild-type white-rumped munia. Our explanation for this effect revolves around the glutamate neurotransmitter system. Glutamate signaling (i) is implicated in birdsong learning, (ii) controls dopamine activity in neural circuits crucial for vocal learning, (iii) is disproportionately targeted in the evolution of domesticates, and (iv) regulates stress responses and aggressive behaviors attenuated under domestication. We propose that attenuated excitation of stress-related neural circuits potentiates vocal learning via altered dopaminergic signaling.


Asunto(s)
Domesticación , Pinzones , Agresión , Animales , Humanos , Aprendizaje , Vocalización Animal
13.
Mol Cell Biol ; 27(8): 2821-9, 2007 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-17296737

RESUMEN

Transcriptional regulation of IMD2 in yeast (Saccharomyces cerevisiae) is governed by the concentration of intracellular guanine nucleotide pools. The mechanism by which pool size is measured and transduced to the transcriptional apparatus is unknown. Here we show that DNA sequences surrounding the IMD2 initiation site constitute a repressive element (RE) involved in guanine regulation that contains a novel transcription-blocking activity. When this regulatory region is placed downstream of a heterologous promoter, short poly(A)(+) transcripts are generated. The element is orientation dependent, and sequences within the normally transcribed and nontranscribed regions of the element are required for its activity. The promoter-proximal short RNAs are unstable and serve as substrates for the nuclear exosome. These findings support a model in which intergenic short transcripts emanating from upstream of the IMD2 promoter are terminated by a polyadenylation/terminator-like signal embedded within the IMD2 transcription start site.


Asunto(s)
ADN de Hongos/genética , IMP Deshidrogenasa/genética , Secuencias Reguladoras de Ácidos Nucleicos/genética , Proteínas de Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Transcripción Genética , Secuencia de Bases , Exorribonucleasas/genética , Complejo Multienzimático de Ribonucleasas del Exosoma , Eliminación de Gen , Guanina/farmacología , Datos de Secuencia Molecular , Mutación/genética , Poli A/genética , Regiones Promotoras Genéticas/efectos de los fármacos , Regiones Promotoras Genéticas/genética , Estabilidad del ARN/efectos de los fármacos , ARN Mensajero/genética , ARN Mensajero/metabolismo , Secuencias Reguladoras de Ácidos Nucleicos/efectos de los fármacos , Saccharomyces cerevisiae/efectos de los fármacos , Proteínas de Saccharomyces cerevisiae/metabolismo , Transcripción Genética/efectos de los fármacos , Factores de Escisión y Poliadenilación de ARNm/metabolismo
14.
Neurosci Biobehav Rev ; 108: 341-357, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31743726

RESUMEN

There has been a recent resurgence of interest in the hypothesis that anatomically modern humans and domesticated species have followed convergent evolutionary paths. Here, we review results from domestication and modern-human evolutionary studies in order to evaluate evidence for shared changes to neurotransmission across these species. We compare genomic and, where available, brain-expression differences across 488 neurotransmitter receptor genes in 14 domesticated species and modern humans relative to their wild and archaic counterparts. This analysis highlights prevalent changes to glutamate - most notably kainate and metabotropic - receptor genes. We review evidence for these genes' expression and their respective receptor functions in the central nervous system, as well as phenotypes commonly associated with alterations to them. This evidence suggests an important role for kainate and metabotropic receptors in regulating hypothalamic-pituitary-adrenal axis excitation, and we provide a mechanistic account of their actions in attenuating the stress response. We assess the explanatory potential of such actions in contributing to the emergence of the (self-)domesticated phenotype, in particular to reduced reactive aggression.


Asunto(s)
Evolución Biológica , Sistema Nervioso Central/metabolismo , Domesticación , Sistema Hipotálamo-Hipofisario/metabolismo , Receptores de Ácido Kaínico/genética , Receptores de Glutamato Metabotrópico/genética , Estrés Psicológico/metabolismo , Animales , Humanos
15.
Neurosci Biobehav Rev ; 108: 308-321, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31734171

RESUMEN

The ability to pick out a unique entity with a proper name is an important component of human language. It has been a primary focus of research in the philosophy of language since the nineteenth century. Brain-based evidence has shed new light on this capacity, and an extensive literature indicates the involvement of distinct fronto-temporal and temporo-occipito-parietal association cortices in proper-name retrieval. However, comparatively few efforts have sought to explain how memory encoding processes lead to the later recruitment of these distinct regions at retrieval. Here, we provide a unified account of proper-name encoding and retrieval, reviewing evidence that socio-emotional and unitized encoding subserve the retrieval of proper names via anterior-temporal-prefrontal activations. Meanwhile, non-unitized item-item and item-context encoding support subsequent retrieval, largely dependent on the temporo-occipito-parietal cortex. We contend that this well-established divergence in encoding systems can explain how proper names are later retrieved from distinct neural structures. Furthermore, we explore how evidence reviewed here can inform a century-and-a-half-old debate about proper names and the meanings they pick out.


Asunto(s)
Asociación , Corteza Cerebral/fisiología , Recuerdo Mental/fisiología , Nombres , Reconocimiento en Psicología/fisiología , Humanos
16.
Bridge (Wash D C) ; 49(2): 34-42, 2019 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38495783

RESUMEN

The concept of community resilience is complex and multidimensional, relying on engineering and other disciplines to help communities break the cycle of destruction and recovery and reduce the impacts of earthquakes and other hazards. This article presents proposed prioritized actions to improve lifeline infrastructure resilience based on an assessment of lifeline infrastructure performance commissioned and funded by the National Institute of Standards and Technology (NIST).

17.
Sci Adv ; 5(12): eaaw7908, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31840056

RESUMEN

We undertook a functional dissection of chromatin remodeler BAZ1B in neural crest (NC) stem cells (NCSCs) from a uniquely informative cohort of typical and atypical patients harboring 7q11.23 copy number variants. Our results reveal a key contribution of BAZ1B to NCSC in vitro induction and migration, coupled with a crucial involvement in NC-specific transcriptional circuits and distal regulation. By intersecting our experimental data with new paleogenetic analyses comparing modern and archaic humans, we found a modern-specific enrichment for regulatory changes both in BAZ1B and its experimentally defined downstream targets, thereby providing the first empirical validation of the human self-domestication hypothesis and positioning BAZ1B as a master regulator of the modern human face. In so doing, we provide experimental evidence that the craniofacial and cognitive/behavioral phenotypes caused by alterations of the Williams-Beuren syndrome critical region can serve as a powerful entry point into the evolution of the modern human face and prosociality.


Asunto(s)
Cromosomas Humanos Par 7/genética , Domesticación , Dosificación de Gen , Factores de Transcripción/genética , Síndrome de Williams/genética , Línea Celular , Movimiento Celular , Bases de Datos Genéticas , Epigenoma , Evolución Molecular , Cara , Redes Reguladoras de Genes , Código de Histonas , Humanos , Células Madre Pluripotentes Inducidas/metabolismo , Células-Madre Neurales/metabolismo
18.
Emerg Infect Dis ; 14(11): 1715-21, 2008 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-18976554

RESUMEN

In January 2005, tuberculosis (TB), including multidrug-resistant TB (MDR TB), was reported among Hmong refugees who were living in or had recently immigrated to the United States from a camp in Thailand. We investigated TB and drug resistance, enhanced TB screenings, and expanded treatment capacity in the camp. In February 2005, 272 patients with TB (24 MDR TB) remained in the camp. Among 17 MDR TB patients interviewed, 13 were found to be linked socially. Of 23 MDR TB isolates genotyped, 20 were similar according to 3 molecular typing methods. Before enhanced screening was implemented, 46 TB cases (6 MDR TB) were diagnosed in the United States among 9,455 resettled refugees. After enhanced screening had begun, only 4 TB cases (1 MDR TB), were found among 5,705 resettled refugees. An MDR TB outbreak among US-bound refugees led to importation of disease; enhanced pre-immigration TB screening and treatment decreased subsequent importation.


Asunto(s)
Brotes de Enfermedades , Farmacorresistencia Bacteriana Múltiple , Tuberculosis Resistente a Múltiples Medicamentos/epidemiología , Antituberculosos/farmacología , Antituberculosos/uso terapéutico , Técnicas de Tipificación Bacteriana , ADN Bacteriano/análisis , Humanos , Tamizaje Masivo , Mycobacterium tuberculosis/clasificación , Mycobacterium tuberculosis/efectos de los fármacos , Mycobacterium tuberculosis/aislamiento & purificación , Refugiados , Esputo/microbiología , Tailandia/etnología , Tuberculosis Resistente a Múltiples Medicamentos/tratamiento farmacológico , Tuberculosis Resistente a Múltiples Medicamentos/microbiología , Estados Unidos/epidemiología
19.
Ann Surg Oncol ; 15(1): 207-18, 2008 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17963007

RESUMEN

INTRODUCTION: The safety and efficacy of liver resection for colorectal and neuroendocrine liver metastases is well established. However, there is lack of consensus regarding long-term effectiveness of hepatic resection for non-colorectal, non-neuroendocrine (NCNN) liver metastases. METHODS: A review of prospectively collected data of patients undergoing hepatic resection for NCNN liver metastases at two tertiary referral centres in the UK and Australia was undertaken. Survival analysis was used to evaluate the clinical, demographic and operative factors associated with long-term survival. RESULTS: A total of 114 hepatic resections in 102 patients were performed between 1986 and 2006. Postoperative mortality and morbidity was 0.8% and 21.1%, respectively. At 3 and 5 years overall survival was 56.1% and 38.5%, whereas disease-free survival was 37.2% and 26.5%, respectively. On multivariate analysis, factors associated with poor overall survival were diameter of liver metastasis [<5 cm versus >5 cm: hazard ratio (HR) = 2.83, p = 0.001] and the presence of extrahepatic nodal disease (HR = 3.58, p = 0.001). The type of tumor, the presence of distant extra-hepatic metastases, tumor-free interval, number and distribution of metastases did not effect long-term survival. CONCLUSION: These results of the present study suggest that liver resection is an effective management option in selected patients with NCNN metastases confined to the liver.


Asunto(s)
Neoplasias Gastrointestinales/cirugía , Hepatectomía , Neoplasias Hepáticas/cirugía , Neoplasias de los Tejidos Blandos/cirugía , Neoplasias Urogenitales/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Neoplasias Gastrointestinales/patología , Humanos , Neoplasias Hepáticas/mortalidad , Neoplasias Hepáticas/secundario , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Prospectivos , Neoplasias de los Tejidos Blandos/patología , Tasa de Supervivencia , Neoplasias Urogenitales/patología
20.
Mol Biol Cell ; 16(6): 3010-8, 2005 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15829566

RESUMEN

How mitochondrial DNA (mtDNA) copy number is determined and modulated according to cellular demands is largely unknown. Our previous investigations of the related DNA helicases Pif1p and Rrm3p uncovered a role for these factors and the conserved Mec1/Rad53 nuclear checkpoint pathway in mtDNA mutagenesis and stability in Saccharomyces cerevisiae. Here, we demonstrate another novel function of this pathway in the regulation of mtDNA copy number. Deletion of RRM3 or SML1, or overexpression of RNR1, which recapitulates Mec1/Rad53 pathway activation, resulted in an approximately twofold increase in mtDNA content relative to the corresponding wild-type yeast strains. In addition, deletion of RRM3 or SML1 fully rescued the approximately 50% depletion of mtDNA observed in a pif1 null strain. Furthermore, deletion of SML1 was shown to be epistatic to both a rad53 and an rrm3 null mutation, placing these three genes in the same genetic pathway of mtDNA copy number regulation. Finally, increased mtDNA copy number via the Mec1/Rad53 pathway could occur independently of Abf2p, an mtDNA-binding protein that, like its metazoan homologues, is implicated in mtDNA copy number control. Together, these results indicate that signaling through the Mec1/Rad53 pathway increases mtDNA copy number by altering deoxyribonucleoside triphosphate pools through the activity of ribonucleotide reductase. This comprises the first linkage of a conserved signaling pathway to the regulation of mitochondrial genome copy number and suggests that homologous pathways in humans may likewise regulate mtDNA content under physiological conditions.


Asunto(s)
Proteínas de Ciclo Celular/genética , ADN Mitocondrial/genética , Proteínas Fúngicas/genética , Dosificación de Gen , Proteínas Serina-Treonina Quinasas/genética , Proteínas de Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/genética , Proteínas de Ciclo Celular/metabolismo , Quinasa de Punto de Control 2 , Proteínas Fúngicas/metabolismo , Regulación Fúngica de la Expresión Génica , Genes Fúngicos , Péptidos y Proteínas de Señalización Intracelular , Modelos Biológicos , Proteínas Serina-Treonina Quinasas/metabolismo , Saccharomyces cerevisiae/crecimiento & desarrollo , Saccharomyces cerevisiae/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo , Factor Trefoil-2
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