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1.
Nat Neurosci ; 2(6): 555-62, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10448221

RESUMEN

Functional magnetic resonance imaging (fMRI) has become an essential tool for studying human brain function. Here we describe the application of this technique to anesthetized monkeys. We present spatially resolved functional images of the monkey cortex based on blood oxygenation level dependent (BOLD) contrast. Checkerboard patterns or pictures of primates were used to study stimulus-induced activation of the visual cortex, in a 4.7-Tesla magnetic field, using optimized multi-slice, gradient-recalled, echo-planar imaging (EPI) sequences to image the entire brain. Under our anesthesia protocol, visual stimulation yielded robust, reproducible, focal activation of the lateral geniculate nucleus (LGN), the primary visual area (V1) and a number of extrastriate visual areas, including areas in the superior temporal sulcus. Similar responses were obtained in alert, behaving monkeys performing a discrimination task.


Asunto(s)
Encéfalo/fisiología , Macaca mulatta/fisiología , Imagen por Resonancia Magnética , Animales , Encéfalo/irrigación sanguínea , Discriminación en Psicología/fisiología , Cuerpos Geniculados/fisiología , Oxígeno/sangre , Estimulación Luminosa/métodos , Factores de Tiempo , Corteza Visual/fisiología , Vías Visuales/fisiología
2.
Acta Crystallogr Sect E Struct Rep Online ; 64(Pt 7): o1200, 2008 Jun 07.
Artículo en Inglés | MEDLINE | ID: mdl-21202841

RESUMEN

The title compound, C(22)H(19)NO(2), has potential for use as a new nonlinear optical material. Mol-ecules are almost planar. One C atom of the heterocyclic ring system is disordered over two positions; the site occupancy factors are 0.6 and 0.4.

3.
Curr Biol ; 5(5): 552-63, 1995 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-7583105

RESUMEN

BACKGROUND: The inferior temporal cortex (IT) of the monkey has long been known to play an essential role in visual object recognition. Damage to this area results in severe deficits in perceptual learning and object recognition, without significantly affecting basic visual capacities. Consistent with these ablation studies is the discovery of IT neurons that respond to complex two-dimensional visual patterns, or objects such as faces or body parts. What is the role of these neurons in object recognition? Is such a complex configurational selectivity specific to biologically meaningful objects, or does it develop as a result of extensive exposure to any objects whose identification relies on subtle shape differences? If so, would IT neurons respond selectively to recently learned views of features of novel objects? The present study addresses this question by using combined psychophysical and electrophysiological experiments, in which monkeys learned to classify and recognize computer-generated three-dimensional objects. RESULTS: A population of IT neurons was found that responded selectively to views of previously unfamiliar objects. The cells discharged maximally to one view of an object, and their response declined gradually as the object was rotated away from this preferred view. No selective responses were ever encountered for views that the animal systematically failed to recognize. Most neurons also exhibited orientation-dependent responses during view-plane rotations. Some neurons were found to be tuned around two views of the same object, and a very small number of cells responded in a view-invariant manner. For the five different objects that were used extensively during the training of the animals, and for which behavioral performance became view-independent, multiple cells were found that were tuned around different views of the same object. A number of view-selective units showed response invariance for changes in the size of the object or the position of its image within the parafovea. CONCLUSION: Our results suggest that IT neurons can develop a complex receptive field organization as a consequence of extensive training in the discrimination and recognition of objects. None of these objects had any prior meaning for the animal, nor did they resemble anything familiar in the monkey's environment. Simple geometric features did not appear to account for the neurons' selective responses. These findings support the idea that a population of neurons--each tuned to a different object aspect, and each showing a certain degree of invariance to image transformations--may, as an ensemble, encode at least some types of complex three-dimensional objects. In such a system, several neurons may be active for any given vantage point, with a single unit acting like a blurred template for a limited neighborhood of a single view.


Asunto(s)
Percepción de Forma/fisiología , Lóbulo Temporal/fisiología , Animales , Procesamiento de Imagen Asistido por Computador , Macaca mulatta , Neuronas/fisiología
4.
Curr Biol ; 4(5): 401-14, 1994 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-7922354

RESUMEN

BACKGROUND: How do we recognize visually perceived three-dimensional objects, particularly when they are seen from novel view-points? Recent psychophysical studies have suggested that the human visual system may store a relatively small number of two-dimensional views of a three-dimensional object, recognizing novel views of the object by interpolation between the stored sample views. In order to investigate the neural mechanisms underlying this process, physiological experiments are required and, as a prelude to such experiments, we have been interested to know whether the observations made with human observers extend to monkeys. RESULTS: We trained monkeys to recognize computer-generated images of objects presented from an arbitrarily chosen training view and containing sufficient three-dimensional information to specify the object's structure. We subsequently tested the trained monkeys' ability to generalize recognition of the object to views generated by rotation of the target object around any arbitrary axis. The monkeys recognized as the target only those two-dimensional views that were close to the familiar, training view. Recognition became increasingly difficult for the monkeys as the stimulus was rotated away from the experienced viewpoint, and failed for views farther than about 40 degrees from the training view. This suggests that, in the early stages of learning to recognize a previously unfamiliar object, the monkeys build two-dimensional, viewer-centered object representations, rather than a three-dimensional model of the object. When the animals were trained with as few as three views of the object, 120 degrees apart, they could often recognize all the views of the object resulting from rotations around the same axis. CONCLUSION: Our experiments show that recognition of three-dimensional novel objects is a function of the object's retinal projection. This suggests that non-human primates, like humans, may accomplish view-invariant recognition of familiar objects by a viewer-centered system that interpolates between a small number of stored views. The measures of recognition performance can be simulated by a regularization network that stores a few familiar views, and is endowed with the ability to interpolate between these views. Our results provide the basis for physiological studies of object-recognition by monkeys and suggest that the insights gained from such studies should apply also to humans.


Asunto(s)
Percepción de Forma/fisiología , Animales , Condicionamiento Operante , Humanos , Macaca mulatta , Modelos Psicológicos , Reconocimiento Visual de Modelos/fisiología , Estimulación Luminosa , Psicometría , Curva ROC , Refuerzo en Psicología
5.
Arch Intern Med ; 159(4): 401-5, 1999 Feb 22.
Artículo en Inglés | MEDLINE | ID: mdl-10030315

RESUMEN

Within the general category of mastocytosis lies an array of clinical presentations with differing prognostic implications. We report 3 cases of systemic mastocytosis distinguished by novel aspects of the disease. Case 1 documents the first successful orthotopic liver transplantation in a patient with mastocytosis; case 2 depicts a potential hereditary component of mastocytosis; and case 3 documents the progression of mastocytosis with hematologic abnormality to mast cell leukemia. Future investigations, such as the early definition of c-kit receptor mutations, may provide additional insight as to the molecular basis for this heterogeneous disease and guidance for prognostic implications and targeted therapies.


Asunto(s)
Mastocitosis , Adulto , Femenino , Humanos , Mastocitosis/clasificación , Mastocitosis/diagnóstico , Mastocitosis/terapia , Persona de Mediana Edad , Resultado del Tratamiento
6.
Mol Immunol ; 27(8): 701-11, 1990 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-1698256

RESUMEN

The antigenic domains of histone 5 (H5), a highly conserved variant of histone 1 (H1), were studied in relation to their reactivity with autoantibodies found in the sera of patients with systemic lupus erythematosus (SLE) and drug-induced lupus (DIL). While some H5 antibodies cross-react with H1, adsorption and immunoblotting studies have identified H5-specific antibodies as well. After proteolytic cleavage of H5 peptides, the reactivity of sera from these patients was tested by Western immunoblotting. All SLE (9/9) and DIL (7/7) sera bound an antigenic determinant in the carboxyl (C) terminus of H5 while none of the sera bound to the amino (N) terminus or the central hydrophobic domain. Although the reactivity of DIL sera with the purified H5 peptides was weaker than that of SLE sera, the antigenic domains bound by both groups of sera were the same. These observations demonstrate that the H5 domains reacting with DIL sera are restricted to the carboxyl terminus and are therefore no less restricted than those reacting with SLE sera. Further, the potential epitopes in the carboxyl terminus of H5 do not have a high degree of sequence identity with known mammalian peptides.


Asunto(s)
Autoanticuerpos/sangre , Histonas/inmunología , Lupus Eritematoso Sistémico/inmunología , Secuencia de Aminoácidos , Animales , Pollos , Reacciones Cruzadas , Epítopos/inmunología , Humanos , Hidralazina/efectos adversos , Immunoblotting , Lupus Eritematoso Sistémico/inducido químicamente , Datos de Secuencia Molecular , Péptidos/inmunología , Procainamida/efectos adversos
7.
Mol Immunol ; 30(8): 709-19, 1993 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7684819

RESUMEN

To define the linear epitopes on H5 that react with systemic lupus erythematosus (SLE) and drug-induced lupus (DIL) sera, concurrent overlapping hexameric peptides corresponding to the sequence of H5 were synthesized by stepwise elongation of the polypeptide chains on polyethylene supports. The hexapeptides were tested for reactivity with 8 SLE and 8 DIL sera using an enzyme linked immunosorbent assay (ELISA). SLE and hydralazine-induced lupus (HIL) antibodies were most reactive with peptide 45 (SSRQSI) and patients with procainamide-induced lupus (PIL) were most reactive with peptide 24 (SHPTYS). The epitopes of highest reactivity were in the globular domain of H5. Low reactivity was observed with carboxyl terminal peptides. These findings differ from immunoblotting studies of protease cleaved peptides which have previously shown that the H5 determinants are in the carboxyl terminus.


Asunto(s)
Autoanticuerpos/inmunología , Histonas/inmunología , Lupus Eritematoso Sistémico/inmunología , Secuencia de Aminoácidos , Especificidad de Anticuerpos , Western Blotting , Epítopos , Humanos , Hidralazina/farmacología , Lupus Eritematoso Sistémico/inducido químicamente , Datos de Secuencia Molecular , Procainamida/farmacología , Conformación Proteica
8.
Am J Psychiatry ; 157(3): 454-6, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10698825

RESUMEN

OBJECTIVE: Documentation of hypothalamic-pituitary-adrenal (HPA) axis disturbance in panic disorder has been inconsistent. Increased cortisol levels have been associated with altered HPA function due to stress. The authors examined salivary cortisol levels in spontaneously occurring, unprovoked panic attacks. METHOD: Patients with panic disorder (N=25) collected saliva samples when panic attacks occurred. Levels of cortisol in the saliva samples were determined and were compared with levels in comparison samples of saliva obtained 24 hours after the panic attack occurred. RESULTS: During spontaneous panic attacks there was a subtle but significant elevation of cortisol levels, compared with levels obtained 24 hours later. No significant correlations were found between the cortisol elevations during panic attacks and the severity of the attack as measured by using the Acute Panic Inventory or the severity of illness as measured by using the Panic and Agoraphobia Scale. CONCLUSIONS: Saliva sampling may be a useful method for investigating neuroendocrine parameters during spontaneously occurring panic attacks.


Asunto(s)
Hidrocortisona/análisis , Trastorno de Pánico/diagnóstico , Saliva/química , Adulto , Atención Ambulatoria , Área Bajo la Curva , Ritmo Circadiano/fisiología , Femenino , Humanos , Masculino , Inventario de Personalidad , Escalas de Valoración Psiquiátrica/estadística & datos numéricos , Índice de Severidad de la Enfermedad
9.
Am J Med Genet ; 105(1): 120-9, 2001 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-11424982

RESUMEN

Eight extended dyslexic families with at least four affected individuals were genotyped with twelve genetic markers spanning the Rh (rhesus factor) locus. Eleven of these markers were located on the short arm and the other was on the long arm of chromosome 1. Five theoretically derived phenotypes were used in the linkage analyses: 1) phonemic awareness; 2) phonological decoding; 3) rapid automatized naming; 4) single word reading; and 5) vocabulary. In addition, a lifetime diagnosis of dyslexia was used as a phenotype. Both parametric and non-parametric genetic analyses were completed. The results supported the importance of a putative locus on 1p. In addition, two-locus analyses assuming the interaction between a 1p locus and a 6p locus, previously shown to be of interest for dyslexia, were conducted. As a result, the nonparametric linkage (NPL) scores for rapid automatized naming and phonological decoding were significantly increased. In particular, the NPL scores for rapid automatized naming exceeded 5.0 for certain markers. These results provide strong evidence for separate but jointly acting contributions of the 1p and 6p loci to the reading impairments associated with rapid naming and suggestive evidence for a similar mechanism involving phonological decoding.


Asunto(s)
Cromosomas Humanos Par 1 , Dislexia/genética , Ligamiento Genético , Adolescente , Adulto , Niño , Cromosomas Humanos Par 1/genética , Simulación por Computador , Femenino , Marcadores Genéticos , Predisposición Genética a la Enfermedad , Pruebas Genéticas , Genotipo , Humanos , Escala de Lod , Masculino , Fenotipo , Reacción en Cadena de la Polimerasa , Polimorfismo Genético , Sistema del Grupo Sanguíneo Rh-Hr/genética , Análisis de Secuencia de ADN
10.
Psychiatry Res ; 95(3): 245-50, 2000 Sep 11.
Artículo en Inglés | MEDLINE | ID: mdl-10974363

RESUMEN

In patients with panic disorder (n=23), daytime salivary cortisol levels were determined in 2-h spans on 3 consecutive days and compared with 23 age- and sex-matched healthy controls. Additionally, nocturnal urinary free cortisol levels were measured. Daytime salivary cortisol levels were numerically higher in the patients, although the difference did not reach statistical significance. In a subgroup of 14 patients with higher illness severity (as expressed by a score >/=22 on the Panic and Agoraphobia Scale), salivary cortisol levels were significantly higher than in the controls. Mean nocturnal urinary cortisol levels were significantly higher in the whole group of patients and also in the more severely ill subgroup when compared with controls. Cortisol elevations seem to be more pronounced during the night and occurred mainly in more severely ill panic patients.


Asunto(s)
Ritmo Circadiano , Hidrocortisona/metabolismo , Trastorno de Pánico/metabolismo , Adulto , Análisis de Varianza , Estudios de Casos y Controles , Femenino , Humanos , Hidrocortisona/orina , Masculino , Persona de Mediana Edad , Trastorno de Pánico/orina , Saliva/metabolismo , Índice de Severidad de la Enfermedad
11.
Phys Ther ; 68(11): 1699-702, 1988 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-3054943

RESUMEN

The purpose of this article is to review the literature regarding physical therapy services for pregnant women. Specific services discussed are 1) posture evaluation, 2) treatment of musculoskeletal dysfunction, 3) stress management through relaxation training, and 4) exercise physiology application. Increased education of physical therapists about the specific needs of pregnant women will enhance the quality of physical therapy that obstetrical patients receive.


Asunto(s)
Artropatías/rehabilitación , Enfermedades Musculares/rehabilitación , Modalidades de Fisioterapia , Complicaciones del Embarazo/rehabilitación , Estrés Fisiológico/rehabilitación , Actividades Cotidianas , Ejercicio Físico , Femenino , Humanos , Postura , Embarazo , Terapia por Relajación
14.
Inorg Chem ; 40(1): 121-4, 2001 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-11195369

RESUMEN

The amidohydridometalates [Li(THF)4][HAl(NPh2)3] (1), [Li(DME)3][HAl(N(CH2Ph)2)3] (2), and [((THF)3Li)-(H2Al(NcHex2)2)].0.5toluene (3.0.5toluene; cHex = C6H11) have been prepared by reaction of the corresponding amines with LiAlH4 in THF. For 2 recrystallization from DME is required to obtain crystals, suitable for X-ray diffraction. The new compounds have been characterized by elemental analyses, IR, NMR, and MS techniques, and X-ray structure analyses. According to this the anions of 1, 2, and 3x0.5toluene possess distorted tetrahedral coordination spheres. In 3x0.5toluene a Li...H contact of 184(4) pm was detected to complete the tetrahedral coordination of the Li+ center.

15.
Cereb Cortex ; 5(3): 270-88, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7613082

RESUMEN

A key question concerning the perception of 3D objects is the spatial reference frame used by the brain to represent them. The celerity of the recognition process could be explained by the visual system's ability to quickly transform stored models of familiar 3D objects, or by its ability to specify the relationship among viewpoint-invariant features or volumetric primitives that can be used to accomplish a structural description of an image. Alternatively, viewpoint-invariant recognition could be realized by a system endowed with the ability to perform an interpolation between a set of stored 2D templates, created for each experienced viewpoint. In the present study we set out to examine the nature of object representation in the primate in combined psychophysical-electrophysiological experiments. Monkeys were trained to recognize novel objects from a given viewpoint and subsequently were tested for their ability to generalize recognition for views generated by mathematically rotating the objects around any arbitrary axis. The perception of 3D novel objects was found to be a function of the object's retinal projection at the time of the recognition encounter. Recognition became increasingly difficult for the monkeys as the stimulus was rotated away from its familiar attitude. The generalization field for novel wire-like and spheroidal objects extended to about +/- 40 degrees around an experienced viewpoint. When the animals were trained with as few as three views of the object, 120 degrees apart, they could often interpolate recognition for all views resulting from rotations around the same axis. Recordings from inferotemporal cortex during the psychophysical testing showed a number of neurons with remarkable selectivity for individual views of those objects that the monkey had learned to recognize. Plotting the response of neurons as a function of rotation angle revealed systematic view-tuning curves for rotations in depth. A small percentage of the view-selective cells responded strongly for a particular view and its mirror-symmetrical view. For some of the tested objects, different neurons were found to be tuned to different views of the same object; the peaks of the view-tuning curves were 40-50 degrees apart. Neurons were also found that responded to the sight of unfamiliar objects or distractors. Such cells, however, gave nonspecific responses to a variety of other patterns presented while the monkey performed a simple fixation task.


Asunto(s)
Percepción de Profundidad , Percepción de Forma , Animales , Percepción de Profundidad/fisiología , Percepción de Forma/fisiología , Macaca mulatta , Modelos Neurológicos , Modelos Psicológicos , Psicofísica , Análisis y Desempeño de Tareas , Corteza Visual/fisiología
16.
Eur J Pediatr ; 157(5): 416-21, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9625341

RESUMEN

UNLABELLED: No body weight curves are available for preterm infants < 1000 g birth weight receiving early enteral and parenteral nutrition. Postnatal weight changes of 136 infants with a birth weight < 1000 g were analysed retrospectively. Body weight curves for the first 30 days of life were generated for five separate birth weight groups (430-599 g, 600-699 g, 700-799 g, 800-899 g, 900-999 g). All infants had received intravenous glucose and amino acids from day 1 and intravenous lipids from day 2. Enteral feeding was started on day 1. Thus caloric intake (+/-SD) was advanced to 384+/-46 kJ/kg per day (92+/-11 kcal/kg/day) in the 1st week of life. In 136 preterm infants mean postnatal weight loss was 10.1%+/-4.6% of birth weight, birth weight was regained at a mean postnatal age of 11+/-3.7 days, but significantly earlier (7.8+/-3.5 days) in the lowest compared to the highest weight group. Mean subsequent weight gain was 15.7+/-7.2 g/ kg per day. This was accomplished by exclusive enteral nutrition from day 20 (median). CONCLUSION: Our body weight curves are more adequate to evaluate growth of preterm infants than older published reference values because they are based on infants treated according to current nutritional standards.


Asunto(s)
Nutrición Enteral , Recién Nacido de muy Bajo Peso/crecimiento & desarrollo , Nutrición Parenteral , Aumento de Peso , Humanos , Lactante , Recién Nacido , Recien Nacido Prematuro , Estudios Retrospectivos
17.
J Autoimmun ; 4(4): 665-79, 1991 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-1777013

RESUMEN

Systemic lupus erythematosus (SLE) and other autoimmune diseases are characterized by immune responses to intracellular, highly conserved antigens such as DNA and histone. In this study, peripheral blood lymphocytes (PBL) from a patient with histone autoantibodies were used to prepare IgM human-human hybridoma cell lines. Indirect immunofluorescence (IIF) was used to identify monoclonal antibodies that bound to cytoskeletal and other cytoplasmic constituents. These supernatants did not bind double-stranded or single-stranded DNA. However, immunoblotting revealed that 7/20 hybridomas selected for their binding to cytoskeletal components produced antibodies that also bound mammalian and avian histones. When peptide fragments of histone were used in immunoblotting experiments, it was found that the monoclonal antibodies bound to the carboxyl terminus of H1, a region previously shown to bind autoantibodies from sera of patients with SLE and drug-induced lupus (DIL). When the amino acid sequences of histones and cytoskeletal components were compared using the Swiss-Prot protein data bank, it was confirmed that there are eight regions of similarity. While the significance of polyreactive human monoclonal antibodies to cytoskeletal components and histones is not understood at present, it is possible that the human histone antibodies represent polyreactive antibodies that arise through the mechanism of molecular mimicry.


Asunto(s)
Enfermedades del Tejido Conjuntivo/inmunología , Citoesqueleto/inmunología , Histonas/inmunología , Secuencia de Aminoácidos , Anticuerpos Monoclonales , Autoinmunidad , Western Blotting , Reacciones Cruzadas , Humanos , Hibridomas , Inmunoglobulina M , Filamentos Intermedios/inmunología , Linfocitos/inmunología , Microscopía Fluorescente , Datos de Secuencia Molecular , Alineación de Secuencia
18.
J Neural Transm (Vienna) ; 107(11): 1361-6, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-11145009

RESUMEN

The insertion/deletion polymorphism of the gene of angiotensin-converting enzyme (ACE) was investigated in a case-control study including 169 patients with suffering from either bipolar disorder type I or unipolar recurrent major depression (DSM-IV) and 169 healthy controls. No significant association was found with bipolar disorder type I or unipolar recurrent depression and the polymorphism of the ACE gene. A previously reported genetic association (Arinami et al., 1996) was not confirmed by the present study.


Asunto(s)
Trastornos del Humor/genética , Peptidil-Dipeptidasa A/genética , Polimorfismo Genético , Adulto , Anciano , Alelos , Elementos Transponibles de ADN , Femenino , Eliminación de Gen , Genotipo , Humanos , Masculino , Persona de Mediana Edad
19.
J Chromatogr ; 502(1): 47-57, 1990 Feb 21.
Artículo en Inglés | MEDLINE | ID: mdl-2324227

RESUMEN

Calf thymus histone 1 (H1) was cleaved by chemical and enzymatic methods and the resulting polypeptides were fractionated by high-performance cation-exchange. Up to 1 mg of H1 polypeptides were loaded onto a 50 x 5 mm I.D. cation-exchange column and fractionated to greater than 95% purity in less than 30 min. This is the first report on the separation of H1 polypeptides by a strong cation-exchange matrix. In addition, the high-performance cation-exchange chromatography protocol represents a significant decrease in fractionation time when compared to conventional ion-exchange and gel filtration chromatography. The utility of this procedure is shown when the H1 peptides purified by the protocol were used to define antigenic domains of H1 band by procainamide-induced lupus and idiopathic systemic lupus erythematosus. The majority of the sera tested by enzyme-linked immunoassay (ELISA) reacted to the C-terminal peptides of H1 indicating this to be the major antigenic domain of H1.


Asunto(s)
Cromatografía Liquida/métodos , Histonas/aislamiento & purificación , Animales , Bromosuccinimida/farmacología , Bovinos , Quimotripsina/farmacología , Ensayo de Inmunoadsorción Enzimática , Histonas/análisis , Histonas/efectos de los fármacos , Histonas/inmunología , Lupus Eritematoso Sistémico/sangre , Lupus Eritematoso Sistémico/inmunología , Procainamida , Cloruro de Sodio , Trombina/farmacología , Timo/análisis
20.
Ann Rheum Dis ; 52(11): 780-4, 1993 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-8250609

RESUMEN

OBJECTIVES: The role of autoantibodies in the investigation and management of rheumatic diseases is well recognised. The objective of this study was to determine the clinical significance of the co-occurrence of antibodies to centromere and histone in serum samples from patients investigated for systemic rheumatic diseases. METHODS: Serum samples from 1316 consecutive patients were screened for antinuclear antibodies and the clinical findings in patients with antibodies to centromere alone were compared with those with antibodies to both centromere and histone. RESULTS: Twenty six patients had antibodies to centromere. Fourteen patients had antibodies to centromere alone and 12 patients had antibodies to centromere and histone. Four of the 12 patients with antibodies to centromere and histone had diffuse scleroderma with severe pulmonary or vascular disease. CONCLUSIONS: A subset of patients with scleroderma with antibodies to centromere and histone has been identified retrospectively, who have severe pulmonary or vascular disease. It will be of interest to follow up the clinical course of other patients with scleroderma who have both antibodies for the development of pulmonary or vascular disease.


Asunto(s)
Autoanticuerpos/análisis , Centrómero/inmunología , Histonas/inmunología , Esclerodermia Sistémica/inmunología , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Immunoblotting , Enfermedades Pulmonares/complicaciones , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Esclerodermia Sistémica/complicaciones , Enfermedades Vasculares/complicaciones
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