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1.
Structure ; 9(5): 439-50, 2001 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-11377204

RESUMO

BACKGROUND: Pantothenate synthetase (EC 6.3.2.1) is the last enzyme of the pathway of pantothenate (vitamin B(5)) synthesis. It catalyzes the condensation of pantoate with beta-alanine in an ATP-dependent reaction. RESULTS: We describe the overexpression, purification, and crystal structure of recombinant pantothenate synthetase from E. coli. The structure was solved by a selenomethionine multiwavelength anomalous dispersion experiment and refined against native data to a final R(cryst) of 22.6% (R(free) = 24.9%) at 1.7 A resolution. The enzyme is dimeric, with two well-defined domains per protomer: the N-terminal domain, a Rossmann fold, contains the active site cavity, with the C-terminal domain forming a hinged lid. CONCLUSIONS: The N-terminal domain is structurally very similar to class I aminoacyl-tRNA synthetases and is thus a member of the cytidylyltransferase superfamily. This relationship has been used to suggest the location of the ATP and pantoate binding sites and the nature of hinge bending that leads to the ternary enzyme-pantoate-ATP complex.


Assuntos
Escherichia coli/enzimologia , Peptídeo Sintases/química , Trifosfato de Adenosina/metabolismo , Cristalografia por Raios X , Dimerização , Expressão Gênica , Peptídeo Sintases/classificação , Peptídeo Sintases/genética , Peptídeo Sintases/isolamento & purificação , Estrutura Secundária de Proteína , Soluções , Especificidade por Substrato
2.
Structure ; 7(2): 227-36, 1999 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-10368289

RESUMO

BACKGROUND: Six-stranded beta barrels with a pseudo-twofold axis are found in several proteins. One group comprises a Greek-key structure with all strands antiparallel; an example is the N-terminal domain of ferredoxin reductase. Others involve parallel strands forming two psi structures (the double-psi beta barrel). A recently discovered example of the latter class is aspartate-alpha-decarboxylase (ADC) from Escherichia coli, a pyruvoyl-dependent tetrameric enzyme involved in the synthesis of pantothenate. RESULTS: Visual inspection and automated database searches identified the six-stranded double-psi beta barrel in ADC, Rhodobacter sphaeroides dimethylsulfoxide (DMSO) reductase, E. coli formate dehydrogenase H (FDHH), the plant defense protein barwin, Humicola insolens endoglucanase V (EGV) and, with a circular permutation, in the aspartic proteinases. Structure-based sequence alignments revealed several interactions including hydrophobic contacts or sidechain-mainchain hydrogen bonds that position the middle beta strand under a psi loop, which may significantly contribute to stabilizing the fold. The identification of key interactions allowed the filtering of weak sequence similarities to some of these proteins, which had been detected by sequence database searches. This led to the prediction of the double-psi beta-barrel domain in several families of proteins in eukaryotes and archaea. CONCLUSIONS: The structure comparison and clustering study of double-psi beta barrels suggests that there could be a common homodimeric ancestor to ADC, FDHH and DMSO reductase, and also to barwin and EGV. There are other protein families with unknown structure that are likely to adopt the same fold. In the known structures, the protein active sites cluster around the psi loop, indicating that its rigidity, protrusion and free mainchain functional groups may be well suited to providing a framework for catalysis.


Assuntos
Proteínas Ferro-Enxofre , Estrutura Secundária de Proteína , Sequência de Aminoácidos , Celulase/química , Formiato Desidrogenases/química , Glutamato Descarboxilase/química , Hidrogenase/química , Modelos Moleculares , Dados de Sequência Molecular , Complexos Multienzimáticos/química , Oxirredutases/química , Proteínas de Plantas/química , Alinhamento de Sequência
3.
Structure ; 4(4): 375-86, 1996 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-8740360

RESUMO

BACKGROUND: Stromelysin belongs to a family of zinc-dependent endopeptidases referred to as matrix metalloproteinases (MMPs, matrixins) because of their capacity for selective degradation of various components of the extracellular matrix. Matrixins play key roles in diseases as diverse as arthritis and cancer and hence are important targets for therapeutic intervention. RESULTS: The crystal structure of the stromelysin catalytic domain (SCD) with bound hydroxamate inhibitor, solved by multiple isomorphous replacement, shows deep S1' specificity pocket which explains differences in inhibitors binding between the collagenases and stromelysin. The binding of calcium ions by loops at the two ends of a beta-strand which marks the boundary of the active site provides a structural rationale for the importance of these cations for stability and catalytic activity. Major differences between the matrixins are clustered in two regions forming the entrance to the active site and hence may be determinants of substrate selectivity. CONCLUSIONS: Structural comparisons of SCD with representative members of the metalloproteinase superfamily clearly highlight the conservation of key secondary structural elements, in spite of major variations in the sequences including insertions and deletions of functional domains. However, the three-dimensional structure of SCD, which is generally closely related to the collagenases, shows significant differences not only in the peripheral regions but also in the specificity pockets; these latter differences should facilitate the rational design of specific inhibitors.


Assuntos
Inibidores Enzimáticos/química , Metaloproteinase 3 da Matriz/química , Inibidores de Metaloproteinases de Matriz , Sequência de Aminoácidos , Sítios de Ligação , Colagenases/química , Cristalografia por Raios X , Inibidores Enzimáticos/metabolismo , Ácidos Hidroxâmicos/química , Espectroscopia de Ressonância Magnética , Metaloproteinase 3 da Matriz/metabolismo , Metaloendopeptidases/química , Modelos Moleculares , Dados de Sequência Molecular , Conformação Proteica , Homologia de Sequência de Aminoácidos , Zinco/química , Zinco/metabolismo
4.
Biochim Biophys Acta ; 924(1): 135-46, 1987 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-3828393

RESUMO

The hydrated 1:1 complex of meclofenamic acid with choline crystallizes in the orthorhombic space group Pna2(1) with a = 9.637(1), b = 12.962(5), c = 33.099(4) A and Z = 8. Crystals of the corresponding anhydrous complex with ethanolamine are triclinic, space group P1, with a = 9.232(3), b = 12.287(5), c = 17.033(3) A, alpha = 70.21(2), beta = 76.72(2), gamma = 68.21(3) degrees and Z = 4. The structures have been solved by direct methods and refined to R values of 0.062 and 0.079, respectively for 1942 and 2852 observed reflections. The four crystallographically independent meclofenamate anions in the complexes have nearly the same molecular geometry which in turn is very similar to that found in the crystal structure of free meclofenamic acid. The choline and ethanolamine molecules assume a gauche conformation with respect to the central C-C bond. The invariant structural features observed in the crystals of the free fenamates are retained by the meclofenamate ions in the complexes. These features are the rigid coplanar geometry of the six-membered ring carrying the carboxyl group, the carboxyl group and the imino nitrogen atom, and the internal hydrogen bond connecting the imino and the carboxyl groups. The crystal structures are stabilised by ionic interactions between the carboxylate groups of meclofenamate ions and choline or ethanolamine cations, and hydrogen bonds. The choline complex exhibits pseudosymmetry and the distribution of molecules in it is nearly centrosymmetric although the space group is noncentrosymmetric. The packing of molecules in the crystals is such that the polar columns are surrounded by non-polar regions. The core of each column in the choline complex is made up of water molecules connected by hydrogen bonds involving disordered protons. The results of the X-ray structure analysis of fenamates and their crystalline complexes provide some insights into structure-function relationships in this family of drugs.


Assuntos
Colina , Etanolaminas , Ácido Meclofenâmico , ortoaminobenzoatos , Cristalização , Etanolamina , Ligação de Hidrogênio , Modelos Moleculares , Conformação Molecular , Difração de Raios X
5.
J Mol Biol ; 221(3): 773-6, 1991 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-1942030

RESUMO

Four new crystal forms of the anti-T lectin from jackfruit (Artocarpus integrifolia) have been prepared and characterized. Three of them, two monoclinic (P21, a = 59.4 A, b = 83.3 A, c = 63.5 A, beta = 107.7 degrees; C2, a = 106.1 A, b = 53.9 A, c = 128.0 A, beta = 95.0 A) and one orthorhombic (C222(1), a = 98.1 A, b = 67.3 A, c = 95.1 A) were grown with 2-methylpentan-2,4-diol (MPD) as the precipitant while the fourth, an hexagonal form (P6(1)22, a = b = 129.6 A, c = 157.9 A), was obtained in the presence of methyl-alpha-D-galactopyranoside with polyethylene glycol 4000 as the precipitant. The reported relative molecular mass (Mr) of the lectin was found to be inconsistent with the solvent content of the crystals estimated using measured densities. The Mr was redetermined using size-exclusion chromatography in the presence of methyl-alpha-D-galactopyranoside and Ferguson-plot analysis of mobilities in polyacrylamide gel electrophoresis. The redetermined Mr (66,000) is consistent with the measured crystal densities. The orthorhombic and the hexagonal forms, which have one half molecule and one molecule, respectively, in the asymmetric unit, are suitable for high-resolution X-ray analysis.


Assuntos
Lectinas/química , Lectinas de Plantas , Plantas , Difração de Raios X
6.
J Mol Biol ; 248(4): 856-66, 1995 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-7752246

RESUMO

The 3-D structure of the N-terminal SH3 domain of the regulatory protein Grb2 has been determined by X-ray analysis at 2.8 A resolution and refined to a crystallographic R factor of 21.5%. The structure, which is very similar to those of other SH3 domains, consists of two orthogonal, antiparallel up-down beta-sheets, with three variable loops and a 3(10) helix. Docking of the proline-rich peptide, 3BP1 on Grb2-N SH3, shows that the polyproline type II helix can bind the SH3 domain forming conserved hydrogen bonds between the main-chain carbonyl oxygens of Met4 and Pro7 of the proline-rich peptide and the reoriented side-chains of Trp36 and Asn51, respectively, and a hydrogen bond between the main-chain carbonyl of Leu8 of the proline rich peptide with the side-chain OH of Tyr52 of the Grb2-N SH3. The peptide side-chain binding occurs on the surface of SH3 domain at three major sites involving the side-chains of the residues in the hydrophobic patch (Tyr7, Phe9, Trp36, Phe47, Pro49 and Tyr52) and the RT-Src and n-Src loops of the SH3 domain. The proline-rich peptides could bind the Grb2-N SH3 in either orientation and maintain the key hydrogen bonds because of the pseudo-symmetry of the polyproline type II helix. However, for the mSos1 peptide a salt bridge can be formed between the arginine of the proline-rich peptide and the protein at Asp15, Glu16 and Glu31 only in one direction; this orientation seems to be strongly preferred. The conservatively varied RGD sequence motif (sometimes KGE or KGD) in SH3 domains might be involved in interactions at the cell membrane.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal , Modelos Moleculares , Estrutura Terciária de Proteína , Proteínas/química , Sequência de Aminoácidos , Sítios de Ligação , Cristalografia por Raios X , Proteína Adaptadora GRB2 , Ligação de Hidrogênio , Dados de Sequência Molecular , Peptídeos , Dobramento de Proteína , Proteínas/genética , Proteínas Recombinantes de Fusão/biossíntese , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos
7.
J Mol Biol ; 223(2): 447-53, 1992 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-1738157

RESUMO

Inhibitor-complexed crystals of mouse and human renins suitable for X-ray analysis have been prepared. The mouse renin is complexed with a non-hydrolysable decapeptide analogue of rat angiotensinogen containing a hydroxyethylene isostere in place of the scissile bond. The crystals are monoclinic, space group P2(1) with cell dimensions a = 78.3 A, b = 117.8 A, c = 85.9 A, beta = 101.18 degrees containing four molecules per asymmetric unit. The human renin is fully glycosylated and complexed with a tetrapeptide containing norstatine. The complex crystallises in the cubic space group P2(1)3 with a = 143.1 A and has two molecules in the asymmetric unit. The rotation function of the mouse renin complex indicates pseudo 222 symmetry while that of human renin indicates a pseudo 2-fold axis. Full structural analyses of the two complexes are underway.


Assuntos
Angiotensinogênio/análogos & derivados , Glicoproteínas/química , Fragmentos de Peptídeos/química , Renina/química , Glândula Submandibular/química , Sequência de Aminoácidos , Animais , Cristalografia , Humanos , Substâncias Macromoleculares , Camundongos , Dados de Sequência Molecular , Conformação Proteica , Proteínas Recombinantes/química , Renina/antagonistas & inibidores
8.
Protein Sci ; 8(7): 1455-62, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10422833

RESUMO

Effective inhibitors of matrix metalloproteinases (MMPs), a family of connective tissue-degrading enzymes, could be useful for the treatment of diseases such as cancer, multiple sclerosis, and arthritis. Many of the known MMP inhibitors are derived from peptide substrates, with high potency in vitro but little selectivity among MMPs and poor bioavailability. We have discovered nonpeptidic MMP inhibitors with improved properties, and report here the crystal structures of human stromelysin-1 catalytic domain (SCD) complexed with four of these inhibitors. The structures were determined and refined at resolutions ranging from 1.64 to 2.0 A. Each inhibitor binds in the active site of SCD such that a bulky diphenyl piperidine moiety penetrates a deep, predominantly hydrophobic S'1 pocket. The active site structure of the SCD is similar in all four inhibitor complexes, but differs substantially from the peptide hydroxamate complex, which has a smaller side chain bound in the S'1 pocket. The largest differences occur in the loop forming the "top" of this pocket. The occupation of these nonpeptidic inhibitors in the S'1 pocket provides a structural basis to explain their selectivity among MMPs. An analysis of the unique binding mode predicts structural modifications to design improved MMP inhibitors.


Assuntos
Metaloproteinase 3 da Matriz/química , Inibidores de Proteases/química , Sítios de Ligação , Domínio Catalítico , Cristalografia por Raios X , Humanos , Metaloproteinase 3 da Matriz/metabolismo , Inibidores de Metaloproteinases de Matriz , Modelos Moleculares , Inibidores de Proteases/metabolismo , Ligação Proteica
9.
Adv Exp Med Biol ; 362: 155-66, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-8540315

RESUMO

The crystal structures of complexes of the aspartic proteinases, human and mouse renins, yeast proteinase A and cathepsin D, with peptide analogue inhibitors are compared. Differences occur in the relative positions of the domain comprising residues 190-302 (pepsin numbering) compared to the remaining structure and in the nature and position of the irregular regions joining the beta-strands and alpha-helices. The first three of the five residues of the oligosaccharide structures attached to Asn 67 of yeast proteinase and cathepsin D cover the same region of the protein surface. All enzymes have an unusual, proline-rich region (292-297) which acts as a second flap (in addition to that involving residues 72-81). This covers the active site cleft, but can be very close to the substrate/inhibitor at P3' and P4' only in the renins.


Assuntos
Ácido Aspártico Endopeptidases/química , Catepsina D/química , Estrutura Secundária de Proteína , Renina/química , Renina/metabolismo , Sequência de Aminoácidos , Animais , Ácido Aspártico Endopeptidases/metabolismo , Sítios de Ligação , Catepsina D/metabolismo , Bovinos , Cristalografia por Raios X , Glicosilação , Humanos , Ligação de Hidrogênio , Camundongos , Modelos Estruturais , Dados de Sequência Molecular , Oligopeptídeos/farmacologia , Oligossacarídeos/química , Oligossacarídeos/isolamento & purificação , Filogenia , Inibidores de Proteases/farmacologia , Saccharomyces cerevisiae/enzimologia , Homologia de Sequência de Aminoácidos , Especificidade por Substrato
10.
Artigo em Inglês | MEDLINE | ID: mdl-1455178

RESUMO

The specificity and pH profile of aspartic proteinases have evolved to include not only pepsin with a broad specificity and an optimal activity in acid media, but also renin, with high specificity for angiotensinogen and activity close to neutral pH. Comparisons of the structures and catalytic activities of aspartic proteinases provide helpful clues for engineering new activity profiles. We illustrate an approach that involves recombinant DNA techniques, biochemistry, structure determination and biocomputing. We use the 3-D structures of inhibitor complexes of several aspartic proteinases to define likely intermediates and specificity sub-sites. The multidisciplinary research is organised as cycles, in which each cycle tests a design hypothesis proposed in the previous cycle. We use one member of the aspartic proteinase family, chymosin, to illustrate these ideas in engineering enzymes with altered pH optima and specificities.


Assuntos
Ácido Aspártico Endopeptidases/química , Mutagênese Sítio-Dirigida , Engenharia de Proteínas , Sequência de Aminoácidos , Animais , Ácido Aspártico Endopeptidases/genética , Sequência de Bases , Humanos , Concentração de Íons de Hidrogênio , Dados de Sequência Molecular , Estrutura Molecular , Difração de Raios X
15.
Acta Crystallogr B ; 44 ( Pt 4): 406-12, 1988 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-3271554

RESUMO

A theoretical conformational analysis of fenamates, which are N-arylated derivatives of anthranilic acid or 2-aminonicotinic acid with different substituents on the aryl (phenyl) group, is reported. The analysis of these analgesics, which are believed to act through the inhibition of prostaglandin biosynthesis, was carried out using semi-empirical potential functions. The results and available crystallographic observations have been critically examined in terms of their relevance to drug action. Crystallographic studies of these drugs and their complexes have revealed that the fenamate molecules share a striking invariant feature, namely, the six-membered ring bearing the carboxyl group is coplanar with the carboxyl group and the bridging imino group, the coplanarity being stabilized by resonance interactions and an internal hydrogen bond between the imino and carboxyl groups. The results of the theoretical analysis provide a conformational rationale for the observed invariant coplanarity. The second six-membered ring, which provides hydrophobicity in a substantial part of the molecule, has limited conformational flexibility in meclofenamic, mefenamic and flufenamic acids. Comparison of the conformational energy maps of these acids shows that they could all assume the same conformation when bound to the relevant enzyme. The present study provides a structural explanation for the difference in the activity of niflumic acid, which can assume a conformation in which the whole molecule is nearly planar. The main role of the carboxyl group appears to be to provide a site for intermolecular interactions in addition to helping in stabilizing the invariant coplanar feature and providing hydrophilicity at one end of the molecule. The fenamates thus provide a good example of conformation-dependent molecular asymmetry.


Assuntos
Analgésicos , Anti-Inflamatórios não Esteroides , ortoaminobenzoatos , Modelos Moleculares , Modelos Teóricos , Conformação Molecular , Estrutura Molecular , Relação Estrutura-Atividade
16.
Br J Anaesth ; 80(5): 581-7, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9691858

RESUMO

There are situations in which "light" anaesthesia combined with neuromuscular block is the only anaesthetic regimen that can be tolerated safely by the patient. Benzodiazepines have hypnotic and specific amnesic effects. Therefore, we have examined the interaction of midazolam with a subanaesthetic dose of isoflurane (0.2% end-expired concentration) in 28 healthy volunteers. Thereafter, 15 subjects received midazolam 0.03 mg kg-1 i.v. and 13 subjects received midazolam 0.06 mg kg-1 in a random, double-blind manner. Word lists were administered and response to commands was tested before and after administration of midazolam. After 1 h of recovery, memory for word lists was tested by word completion, free recall and forced choice recognition tasks. After administration of midazolam, recall and, to a lesser degree, implicit memory were absent. Recognition was also absent after administration of midazolam 0.06 mg kg-1 and at the 3-min and 15-min assessments after administration of midazolam 0.03 mg kg-1. Responsiveness was more frequent with midazolam 0.03 mg kg-1 than with 0.06 mg kg-1 and increased over time. We conclude that a larger dose of midazolam or isoflurane, or both, may be necessary to abolish responsiveness.


Assuntos
Anestésicos Inalatórios/farmacologia , Ansiolíticos/farmacologia , Isoflurano/farmacologia , Memória/efeitos dos fármacos , Midazolam/farmacologia , Adulto , Conscientização/efeitos dos fármacos , Relação Dose-Resposta a Droga , Método Duplo-Cego , Interações Medicamentosas , Feminino , Humanos , Aprendizagem/efeitos dos fármacos , Masculino , Rememoração Mental/efeitos dos fármacos , Fatores de Tempo
17.
Acta Crystallogr D Biol Crystallogr ; 60(Pt 4): 770-2, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15039581

RESUMO

Y75N mutant Mucor pusillus pepsin has been overexpressed in yeast, purified and cocrystallized with the iodine-containing human renin inhibitor CP-113972 [(2R,3S]-isopropyl 3-[(L-prolyl-p-iodo-L-phenylalanyl-S-methyl-cysteinyl)amino-4]-cyclohexyl-2-hydroxybutanoate] for X-ray crystallography. Tetragonal complex crystals with space group P4(3)2(1)2 were produced by the hanging-drop vapour-diffusion method and diffracted to 3.0 A. The crystals exhibited unit-cell parameters a = b = 182.5, c = 99.1 A and contained four molecules in the asymmetric unit. A 96% complete data set was collected at 298 K using Cu Kalpha X-rays from a rotating-anode generator. Solution of the crystal structure of Y75N mutant M. pusillus pepsin is under way by molecular replacement using the molecular coordinates of wild-type M. pusillus pepsin as a model.


Assuntos
Cristalização , Mutação de Sentido Incorreto , Pepsina A/química , Butiratos/química , Clonagem Molecular , Cristalografia por Raios X , Cisteína/química , Mucor , Pepsina A/antagonistas & inibidores , Pepsina A/genética , Ligação Proteica
18.
Br J Anaesth ; 47(4): 516-9, 1975 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-1138763

RESUMO

Serum potassium concentrations were measured after administration of suxamethonium (1 mg/kg body wt.) in 101 patients in whom anaesthesia was induced by one of five different techniques. There was a maximum increase in serum potassium of 21.4% following induction with trichloroethylene compared with 4.4% with nitrous oxide/oxygen. There was only small increases in serum potassium with halothane and chloroform. In an additional 10 patients who received tubocurarine (3 mg) before induction of anaesthesia with thiopentone, the maximum increase in serum potassium was 10.6% following suxamethonium. It is concluded that the increase in serum potassium following induction of anaesthesia is the result of a combined effect of the anaesthetic agent and suxamethonium.


Assuntos
Potássio/sangue , Succinilcolina/farmacologia , Adolescente , Adulto , Idoso , Anestesia Geral , Criança , Pré-Escolar , Clorofórmio , Éter , Feminino , Halotano , Humanos , Masculino , Pessoa de Meia-Idade , Óxido Nitroso , Oxigênio , Tiopental , Tricloroetileno , Tubocurarina
19.
Acta Anaesthesiol Scand ; 44(2): 133-43, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10695905

RESUMO

BACKGROUND: There is a major distinction between conscious and unconscious learning. Monitoring the mid-latency auditory evoked responses (AER) has been proposed as a measure to ascertain the adequacy of the hypnotic state during surgery. In the present study, we investigated the presence of explicit and implicit memories after anesthesia and examined the relationships of such memories to the AER. METHODS: We studied 180 patients scheduled for elective surgical procedures. After a thiopental induction, one of four anesthetics were studied: Opioid bolus: 7.5 microg x kg(-1) fentanyl, 70% N2O, with 2.5 microg x kg(-1) supplements as needed (n=100); Opioid infusion: Alfentanil 50 microg x kg(-1) bolus, 1-1.5 microg x kg(-1) x min(-1) infusion, 70% N2O (n=40); Isoflurane 0.3%: Fentanyl 1 microg x kg(-1), 70% N2O, isoflurane 0.3% expired (n=16); Isoflurane 0.7%: Fentanyl 1 microg x kg(-1), 70% N2O, isoflurane 0.7% expired (n=23). AER were recorded before anesthesia, 5 min after surgical incision and then every 30 min until the end of surgery. A tape of either the story of the "Three Little Pigs" or the "Wizard of Oz" was played continuously between the recordings. Explicit memory was assessed postoperatively by tests of recall and recognition, and implicit memory was assessed by the frequency of story-related free associations to target words from the stories, which were solicited twice during a structured interview. RESULTS: Six patients showed explicit recall of intraoperative events: All received the opioid bolus regimen. About 7% of patients reported dreaming during anesthesia. The incidence of picking the correct story that had been presented during anesthesia averaged 49%, i.e., very close to chance level. Overall, priming occurred only at the second association tests for the opioid bolus regimen, for which the frequency of an association to the presented story among those not giving an association to the control story was 26%, which was double the frequency (13%) of an association to the control story among those not giving an association to the presented story. This was significant by McNemar's test, P=0.02. There were significant associations between awareness, priming and AER, e.g., recall was associated with higher Nb amplitudes during anesthesia and priming was associated with shorter wave latencies. CONCLUSIONS: The incidence of awareness in patients anesthetized with nitrous oxide and bolus supplementation was 6%. Thus, this anesthetic technique did not reduce the risk of awareness compared with the use of nitrous oxide alone. Implicit memory occurred during nitrous oxide and bolus supplementation. Recording AER during anesthesia may help to predict awareness and implicit memory, particularly the former. The short contents of most of the dreams which were recalled could hamper future studies in this area.


Assuntos
Anestesia Geral , Conscientização , Potenciais Evocados Auditivos , Aprendizagem , Adolescente , Adulto , Sonhos , Feminino , Humanos , Masculino , Rememoração Mental , Pessoa de Meia-Idade
20.
J Allergy Clin Immunol ; 106(3): 409-18, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10984358

RESUMO

Many of the problems associated with using natural allergenic products for allergy diagnosis and treatment can be overcome with use of genetically engineered recombinant allergens. Over the past 10 years, the most important allergens from mites, pollens, animal dander, insects, and foods have been cloned, sequenced, and expressed. In many cases the three-dimensional allergen structure has been determined and B-cell and T-cell epitopes have been mapped. These studies show that allergens have diverse biologic functions (they may be enzymes, enzyme inhibitors, lipocalins, or structural proteins) and that as a rule the allergen function is unrelated to its ability to cause IgE antibody responses. High-level expression systems have been developed to produce recombinant allergens in bacteria, yeast, or insect cells. Recombinant allergens show comparable IgE antibody binding to their natural counterparts (where available) and show excellent reactivity on skin testing and in in vitro diagnostic tests. Cocktails of recombinant allergens can be formulated with predetermined and uniform allergen levels, which could replace natural allergens and result in the development of innovative, patient-based tests for allergy diagnosis. Recombinant allergens also offer the exciting possibility of developing new forms of allergen immunotherapy, including the use of hypoallergens, allergens coupled to IgE suppressive adjuvants, and peptide-based therapies. The production of recombinant allergens as defined molecular entities makes it feasible to consider the possibility of developing prophylactic allergen vaccines. The introduction of recombinant allergens in research and in clinical trials should lead to significant improvements in allergy diagnosis and treatment.


Assuntos
Alérgenos/uso terapêutico , Hipersensibilidade/diagnóstico , Hipersensibilidade/tratamento farmacológico , Humanos , Proteínas Recombinantes/uso terapêutico
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