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1.
Science ; 282(5392): 1327-32, 1998 Nov 13.
Artigo em Inglês | MEDLINE | ID: mdl-9812899

RESUMO

Many cell surface proteins are marked for endocytosis by a cytoplasmic sequence motif, tyrosine-X-X-(hydrophobic residue), that is recognized by the mu2 subunit of AP2 adaptors. Crystal structures of the internalization signal binding domain of mu2 complexed with the internalization signal peptides of epidermal growth factor receptor and the trans-Golgi network protein TGN38 have been determined at 2.7 angstrom resolution. The signal peptides adopted an extended conformation rather than the expected tight turn. Specificity was conferred by hydrophobic pockets that bind the tyrosine and leucine in the peptide. In the crystal, the protein forms dimers that could increase the strength and specificity of binding to dimeric receptors.


Assuntos
Complexo 1 de Proteínas Adaptadoras , Complexo 3 de Proteínas Adaptadoras , Subunidades mu do Complexo de Proteínas Adaptadoras , Endocitose , Receptores ErbB/química , Glicoproteínas , Glicoproteínas de Membrana/química , Proteínas de Membrana/química , Sinais Direcionadores de Proteínas/química , Complexo 2 de Proteínas Adaptadoras , Subunidades alfa do Complexo de Proteínas Adaptadoras , Proteínas Adaptadoras de Transporte Vesicular , Sequência de Aminoácidos , Animais , Sítios de Ligação , Cristalografia por Raios X , Dimerização , Receptores ErbB/metabolismo , Humanos , Ligação de Hidrogênio , Glicoproteínas de Membrana/metabolismo , Proteínas de Membrana/metabolismo , Modelos Moleculares , Dados de Sequência Molecular , Fosforilação , Conformação Proteica , Sinais Direcionadores de Proteínas/metabolismo , Estrutura Secundária de Proteína , Tirosina/química , Tirosina/metabolismo
2.
Science ; 291(5506): 1051-5, 2001 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-11161218

RESUMO

Adaptor protein 180 (AP180) and its homolog, clathrin assembly lymphoid myeloid leukemia protein (CALM), are closely related proteins that play important roles in clathrin-mediated endocytosis. Here, we present the structure of the NH2-terminal domain of CALM bound to phosphatidylinositol-4,5- bisphosphate [PtdIns(4,5)P2] via a lysine-rich motif. This motif is found in other proteins predicted to have domains of similar structure (for example, Huntingtin interacting protein 1). The structure is in part similar to the epsin NH2-terminal (ENTH) domain, but epsin lacks the PtdIns(4,5)P2-binding site. Because AP180 could bind to PtdIns(4,5)P2 and clathrin simultaneously, it may serve to tether clathrin to the membrane. This was shown by using purified components and a budding assay on preformed lipid monolayers. In the presence of AP180, clathrin lattices formed on the monolayer. When AP2 was also present, coated pits were formed.


Assuntos
Membrana Celular/metabolismo , Clatrina/metabolismo , Proteínas Monoméricas de Montagem de Clatrina , Proteínas do Tecido Nervoso/metabolismo , Fosfatidilinositol 4,5-Difosfato/metabolismo , Fosfoproteínas/metabolismo , Proteínas de Transporte Vesicular , Complexo 2 de Proteínas Adaptadoras , Proteínas Adaptadoras de Transporte Vesicular , Motivos de Aminoácidos , Sequência de Aminoácidos , Animais , Sítios de Ligação , Células COS , Proteínas de Transporte/química , Chlorocebus aethiops , Vesículas Revestidas por Clatrina/metabolismo , Invaginações Revestidas da Membrana Celular/metabolismo , Cristalografia por Raios X , Lipossomos , Modelos Moleculares , Dados de Sequência Molecular , Proteínas do Tecido Nervoso/química , Neuropeptídeos/química , Fosfoproteínas/química , Conformação Proteica , Dobramento de Proteína , Estrutura Secundária de Proteína , Estrutura Terciária de Proteína
3.
J Microsc ; 229(Pt 3): 415-20, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18331488

RESUMO

The nonlinear optical properties of gold nanorod arrays have been studied with a two-colour continuously working (CW) pump-probe spectroscopy. The hybridization of the nanorod arrays with a nonlinear polymer (poly-3BCMU) has been investigated for the purposes of active photonic component design. The sensitivity of the plasmonic resonances of the hybrid nanostructured system to pump-induced changes in the refractive index of the polymer surroundings has been used to control the optical extinction of the array. Both reversible and non-reversible behaviour has been observed reflecting the combined effects from the third-order nonlinear response of the hybrid metallo-dielectric system and post-photopolymerization triggered reactions in the polymer.

4.
Curr Biol ; 9(5): 257-60, 1999 Mar 11.
Artigo em Inglês | MEDLINE | ID: mdl-10074456

RESUMO

The GTPase dynamin plays an essential role in clathrin-mediated endocytosis [1] [2] [3]. Substantial evidence suggests that dynamin oligomerisation around the necks of endocytosing vesicles and subsequent dynamin-catalysed GTP hydrolysis is responsible for membrane fission [4] [5]. The pleckstrin homology (PH) domain of dynamin has previously been shown to interact with phosphoinositides, but it has not been determined whether this interaction is essential for dynamin's function in endocytosis [6] [7] [8] [9]. In this study, we address the in vivo function of the PH domain of dynamin by assaying the effects of deletions and point mutations in this region on transferrin uptake in COS-7 fibroblasts. Overexpression of a dynamin construct lacking its entire PH domain potently blocked transferrin uptake, as did overexpression of a dynamin construct containing a mutation in the first variable loop of the PH domain. Structural modelling of this latter mutant suggested that the lysine residue at position 535 (Lys535) may be critical in the coordination of phosphoinositides, and indeed, the purified mutant no longer interacted with lipid nanotubes. Interestingly, the inhibitory phenotype of cells expressing this dynamin mutant was partially relieved by a second mutation in the carboxy-terminal proline-rich domain (PRD), one that prevents dynamin from binding to the Src homology 3 (SH3) domain of amphiphysin. These data demonstrate that dynamin's interaction with phosphoinositides through its PH domain is essential for endocytosis. These findings also support our hypothesis that PRD-SH3 domain interactions are important in the recruitment of dynamin to sites of endocytosis.


Assuntos
Proteínas Sanguíneas/metabolismo , Clatrina/metabolismo , Endocitose/fisiologia , GTP Fosfo-Hidrolases/metabolismo , Fosfoproteínas , Animais , Sítios de Ligação , Células COS , Dinaminas , GTP Fosfo-Hidrolases/genética , GTP Fosfo-Hidrolases/fisiologia , Expressão Gênica , Lipídeos , Lisina , Mutagênese , Proteínas do Tecido Nervoso/metabolismo , Fosfatidilinositol 4,5-Difosfato/metabolismo
5.
Structure ; 6(6): 711-20, 1998 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-9655823

RESUMO

BACKGROUND: Methylmalonyl CoA mutase catalyses the interconversion of succinyl CoA and methylmalonyl CoA via a free radical mechanism. The enzyme belongs to a family of enzymes that catalyse intramolecular rearrangement reactions in which a group and a hydrogen atom on adjacent carbons are exchanged. These enzymes use the cofactor adenosylcobalamin (coenzyme B12) which breaks to form an adenosyl radical, thus initiating the reaction. Determination of the structure of substrate-free methylmalonyl CoA mutase was initiated to provide further insight into the mechanism of radical formation. RESULTS: We report here two structures of methylmalonyl CoA mutase from Propionibacterium shermanii. The first structure is of the enzyme in a nonproductive complex with CoA at 2.5 A resolution. This structure serves as a model for the substrate-free conformation of the enzyme, as it is very similar to the second much poorer 2.7 A resolution structure derived from a truly substrate-free crystal. The true substrate-free structure also shows the adenosyl group bound to the cobalt atom. Comparison of this structure with that of the previously reported complex of the enzyme with a substrate analogue shows that major conformational changes occur upon substrate binding. The substrate-binding site of the enzyme is located within a (beta alpha)8 TIM-barrel domain. In the absence of substrate, this TIM-barrel domain is split apart and the active site is accessible to solvent. When substrate binds, the barrel closes up with the substrate along its axis and the active site becomes completely buried. CONCLUSIONS: The closure of the active-site cavity upon substrate binding displaces the adenosyl group of the cofactor from the central cobalt atom into the active-site cavity. This triggers the formation of the free radical that initiates the rearrangement reaction. The TIM-barrel domain is substantially different from all others yet reported: in its unliganded form it is broken open, exposing the small hydrophilic sidechains which fill the centre. The typical barrel structure is only formed when substrate is bound.


Assuntos
Coenzima A/química , Metilmalonil-CoA Mutase/química , Propionibacterium/enzimologia , Adenosina/química , Proteínas de Bactérias/química , Sítios de Ligação , Radicais Livres , Modelos Moleculares , Conformação Proteica
6.
Structure ; 4(3): 339-50, 1996 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-8805541

RESUMO

BACKGROUND: The enzyme methylmalonyl-coenzyme A (CoA) mutase, an alphabeta heterodimer of 150 kDa, is a member of a class of enzymes that uses coenzyme B12 (adenosylcobalamin) as a cofactor. The enzyme induces the formation of an adenosyl radical from the cofactor. This radical then initiates a free-radical rearrangement of its substrate, succinyl-CoA, to methylmalonyl-CoA. RESULTS: Reported here is the crystal structure at 2 A resolution of methylmalonyl-CoA mutase from Propionibacterium shermanii in complex with coenzyme B12 and with the partial substrate desulpho-CoA (lacking the succinyl group and the sulphur atom of the substrate). The coenzyme is bound by a domain which shares a similar fold to those of flavodoxin and the B12-binding domain of methylcobalamin-dependent methionine synthase. The cobalt atom is coordinated, via a long bond, to a histidine from the protein. The partial substrate is bound along the axis of a (beta/alpha)8 TIM barrel domain. CONCLUSIONS: The histidine-cobalt distance is very long (2.5 A compared with 1.95-2.2 A in free cobalamins), suggesting that the enzyme positions the histidine in order to weaken the metal-carbon bond of the cofactor and favour the formation of the initial radical species. The active site is deeply buried, and the only access to it is through a narrow tunnel along the axis of the TIM barrel domain.


Assuntos
Cobamidas/metabolismo , Metilmalonil-CoA Mutase/química , Sítios de Ligação , Cristalização , Cristalografia por Raios X , Radicais Livres/metabolismo , Ligantes , Modelos Moleculares , Propionibacterium/enzimologia , Estrutura Secundária de Proteína , Especificidade por Substrato
7.
J Mol Biol ; 204(4): 973-94, 1988 Dec 20.
Artigo em Inglês | MEDLINE | ID: mdl-2975709

RESUMO

The crystal structure of Escherichia coli phosphofructokinase complexed with its reaction products fructose 1,6-bisphosphate (Fru1,6P) and ADP/Mg2+, and the allosteric activator ADP/Mg2+, has been determined at 2.4 A resolution. The structure was solved by molecular replacement using the known structure of Bacillus stearothermophilus phosphofructokinase, and has been refined to a crystallographic R-factor of 0.165 for all data. The crystallization mixture contained the substrate fructose 6-phosphate, but the electron density maps showed clearly the presence of the product fructose 1,6-bisphosphate, presumably formed by the enzyme reaction with contaminating ATP. The crystal consists of tetrameric molecules with subunits in two different conformations despite their chemical identity. The magnesium ion in the "closed" subunit bridges the phosphate groups of the two products. In the "open" subunit, the products are about 1.5 A further apart, with the Mg2+ bound only to ADP. These two conformations probably represent two successive stages along the reaction pathway, in which the closure of the subunit is required to bring the substrates sufficiently close to react. This conformational change within the subunit is distinct from the quaternary structure change seen previously in the inactive T-state conformation. It is probably not involved in the co-operativity or allosteric control of the enzyme, since the co-operative product fructose 1,6-bisphosphate is not moved, nor are the subunit interfaces changed. The structure of the enzyme is similar to that of B. stearothermophilus phosphofructokinase, and confirms the location of the sites for the two reaction products (or substrates), and of the effector site binding the activator ADP/Mg2+. However, this structure gives a clearer picture of the active site, and of the interactions between the enzyme and its reaction products.


Assuntos
Escherichia coli/enzimologia , Fosfofrutoquinase-1/metabolismo , Difosfato de Adenosina/metabolismo , Sequência de Bases , Sítios de Ligação , DNA Bacteriano/genética , Frutosedifosfatos/metabolismo , Geobacillus stearothermophilus , Substâncias Macromoleculares , Magnésio/metabolismo , Modelos Moleculares , Modelos Estruturais , Dados de Sequência Molecular , Conformação Proteica , Difração de Raios X
8.
J Mol Biol ; 207(4): 805-21, 1989 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-2527305

RESUMO

In an attempt to characterize the mechanism of co-operativity in the allosteric enzyme phosphofructokinase from Escherichia coli, crystals were grown in the absence of activating ligands. The crystal structure was determined to a resolution of 2.4 A by the method of molecular replacement, using the known structure of the liganded active state as a starting model, and has been refined to a crystallographic R-factor of 0.168 for all data. Although the crystallization solution would be expected to contain the enzyme in its inactive conformation, with a low affinity for the co-operative substrate fructose 6-phosphate, the structure in these crystals does not show the change in quaternary structure seen in the inactive form of the Bacillus stearothermophilus enzyme (previously determined at low resolution), nor does it show any substantial change in the fructose 6-phosphate site from the structure seen in the liganded form. Compared to the liganded form, there are considerable changes around the allosteric effector site, including the disordering of the last 19 residues of the chain. It seems likely that the observed conformation corresponds an active unliganded form, in which the absence of ligand in the effector site induces structural changes that spread through much of the subunit, but cause only minor changes in the active site. It is not clear why the crystals should contain the enzyme in a high-affinity conformation, which presumably represents only a small fraction of the molecules in the crystallizing solution. However, this structure does identify the conformational changes involved in binding of the allosteric effectors.


Assuntos
Escherichia coli/enzimologia , Fosfofrutoquinase-1 , Sítios de Ligação , Ligantes , Modelos Moleculares , Modelos Estruturais , Dados de Sequência Molecular , Conformação Proteica , Difração de Raios X
9.
J Mol Biol ; 200(2): 421-2, 1988 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-2897473

RESUMO

Pink crystals of methylmalonyl-CoA mutase from Propionibacterium shermanii, a coenzyme B12 (5'-deoxyadenosylcobalamin)-dependent enzyme, have been obtained by the hanging-drop method in two different forms. One form lies in the space group P21, with unit cell dimensions a = 122 A, b = 160 A and c = 90 A, with beta = 104 degrees (1 A = 0.1 nm). There are two alpha beta dimers in the asymmetric unit. The crystals diffract to 3.2 A resolution and are suitable for high resolution X-ray diffraction studies.


Assuntos
Isomerases , Metilmalonil-CoA Mutase , Propionibacterium/enzimologia , Cristalização , Difração de Raios X
10.
J Mol Biol ; 191(4): 713-20, 1986 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-2949086

RESUMO

The structure of the allosterically inhibited form of phosphofructokinase from Bacillus stearothermophilus has been determined by X-ray crystallography to 7 A resolution by molecular replacement using the known structure of the active state as a starting model. Comparing the inhibited state with the active state, the tetramer is twisted about its long axis such that one pair of subunits in the tetramer rotates relative to the other pair by about 8 degrees around one of the molecular dyad axes. This rotation partly closes the binding site for the co-operative substrate fructose-6-phosphate, explaining its weaker binding to this conformational state. Within the subunit, one domain rotates relative to the other by 4.5 degrees, which further closes the fructose-6-phosphate site, without closing the cleft between the domains of the same subunit: this motion causes little change to the catalytic site. This T-state model is consistent with the simple allosteric kinetic scheme in which the active and the inhibited conformations differ in their affinities for fructose-6-phosphate, but not in their catalytic rates. It does not explain the heterotropic allosteric effects.


Assuntos
Sítio Alostérico , Sítios de Ligação , Geobacillus stearothermophilus/enzimologia , Fosfofrutoquinase-1 , Sítio Alostérico/efeitos dos fármacos , Sítios de Ligação/efeitos dos fármacos , Simulação por Computador , Cristalografia , Glicolatos/farmacologia , Substâncias Macromoleculares , Modelos Moleculares , Conformação Proteica
11.
Pain ; 1(1): 73-79, 1975 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-1235977

RESUMO

The threshold at which noxious stimulation with a pressure algometer gives rise to a complaint of pain has been studied in neurological and psychiatric patients with pain and in two patients with fluctuating pain of organic origin. A correlation of r = 0.69 (P less than 0.0025) was demonstrated between two observers using the pressure algometer independently. Patients with organic causes for their pain had higher pain complaint thresholds. The threshold was also raised, outside the affected areas, in the two patients with fluctuating pain when the latter was more severe. Some requirements for an improved technique of pressure algometry are discussed.


Assuntos
Transtornos Mentais/complicações , Doenças do Sistema Nervoso/complicações , Dor , Adulto , Idoso , Limiar Diferencial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Dor/etiologia , Pressão
12.
J Immunol Methods ; 197(1-2): 1-5, 1996 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-8890889

RESUMO

An increasing demand for HLA-B27 typing as one of the tests used in the diagnosis of ankylosing spondylitis had led us to develop a rapid, automated, flow cytometric assay using whole blood and an HLA-B27 specific monoclonal antibody FD705. This article shows the data from 2093 samples tested during a 2 year period of routine HLA-B27 typing. 21.6% were clearly HLA-B27 positive whilst 73.2% were HLA-B27 negative, the remaining 5.2% required further testing before assignment of HLA-B27 status. Additional work was carried out on blood samples from individuals positive for the newly described subtype HLA-B2708.


Assuntos
Antígeno HLA-B27/análise , Espondilite Anquilosante/diagnóstico , Anticorpos Monoclonais , Automação , Citometria de Fluxo/métodos , Humanos , Sorotipagem/métodos , Espondilite Anquilosante/imunologia , População Branca
13.
Transplantation ; 46(6): 844-52, 1988 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-3061080

RESUMO

We have investigated retrospectively sera from 70 renal allograft recipients for the presence of antibodies binding to a preanastomosis biopsy of the donor kidney by an indirect immunoperoxidase technique. All recipients had a negative T cell lymphocytotoxic crossmatch. A positive immunoperoxidase crossmatch for kidney-reactive antibodies was seen in 13/70 (18.6%) recipients--6 reacting with endothelium, 4 with epithelium, and 3 with both cell types. Neither the presence of these antibodies nor their pattern of staining correlated with recipient graft outcome. Following transplantation endothelial reactive antibodies developed in 15/43 (35%) patients, whereas tubular epithelial antibodies occurred in 5/43 (12%). The antibodies were persistent and accompanied graft failure in 10/14 (71%) patients, while transient antibodies were only associated with graft failure in 2/12 (17%) recipients. Development of lymphocytotoxic antibodies did not correlate with the presence of renal reactive antibodies or eventual graft outcome. Smooth muscle and antinuclear antibodies in recipient sera prior to transplantation were associated with improved graft survival. Eluates of 8/14 rejected grafts confirmed the presence of renal reactive antibodies, with patterns of staining similar to those observed in recipient sera. Antibodies in 7/8 recipients were shown by absorption studies to have HLA class I and/or II specificity, the remaining recipient having proximal tubular brush border antibodies.


Assuntos
Antígenos HLA/análise , Antígenos HLA-DR/análise , Transplante de Rim , Adolescente , Adulto , Idoso , Anticorpos Antinucleares/análise , Biópsia , Endotélio/imunologia , Epitélio/imunologia , Feminino , Teste de Histocompatibilidade , Humanos , Técnicas Imunoenzimáticas , Rim/imunologia , Masculino , Pessoa de Meia-Idade , Músculo Liso/imunologia , Nefrectomia , Período Pós-Operatório
14.
Transplantation ; 61(7): 1108-11, 1996 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-8623194

RESUMO

The flow cytometric crossmatch is a technique that is increasingly being used by clinical transplant laboratories. In this multicenter study by the British Society for Histocompatibility and Immunogenetics Flow Cytometry Group, a series of crossmatches were carried out to determine whether different centers obtained same results when performing the same crossmatch. There was greater than 80% agreement among participating laboratories on the results of 35/54 tests. There was no clear agreement in the remaining 20 cases. Quantitative analysis, estimating the number of cell-bound fluorescein molecules, demonstrated that differences in the criteria used by each center to define a positive crossmatch were responsible for some discordant results. When applied, definition of positivity based on the molecules of fluorescein increased concordance from 57.5% to 81.4%.l. These results suggest that a criterion for the interpretation of results based on quantitative analysis of bound antibody may be more reliable than methods in current routine use.


Assuntos
Citometria de Fluxo , Teste de Histocompatibilidade , Humanos
15.
Aliment Pharmacol Ther ; 10(5): 787-93, 1996 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8899088

RESUMO

BACKGROUND AND AIM: Despite its widespread use in irritable bowel syndrome (IBS), limited clinical data exist on the effects of mebeverine hydrochloride on gastrointestinal motility. Human motor activity in the small bowel is more reproducible than that in the large bowel; therefore the aim of this study was to determine in the small bowel the effects of oral mebeverine in both IBS patients and in healthy controls. METHODS: Twelve IBS patients (11 females/1 male, 46 +/- 13 years old)-predominant constipation (IBS-C, n = 6) and predominant diarrhoea (IBS-D, n = 6)-and six healthy controls, underwent continuous 48 h ambulant recording of small bowel motor activity. One low energy (400 kcal) and one high energy (800 kcal) standard meal were administered in each consecutive 24-h period. Subjects received, in blinded fashion, placebo tablets in the first 24 h then mebeverine 135 mg q.d.s. in the second 24 h. RESULTS: Mebeverine had no effect on parameters of small bowel motility in controls. In contrast, in both IBS-C (P = 0.01) and IBS-D (P < 0.05) patients, phase 2 motility index was increased during mebeverine administration. Also, after mebeverine the proportion of the migrating motor complex cycle occupied by phase 2 was reduced in IBS-D (P = 0.01), while phase 2 burst frequency was reduced in IBS-C (P < 0.05). For phase 3 motor activity in IBS-C patients, the propagation velocity was decreased (P < 0.01), and the duration increased (P < 0.01). CONCLUSIONS: These findings suggest that mebeverine, in the initial dosing period, has a normalizing effect in the small bowel in IBS, enhancing contractile activity in a similar fashion to 'prokinetic' agents, as well as producing alterations in motor activity consistent with an 'antispasmodic' effect.


Assuntos
Doenças Funcionais do Colo/tratamento farmacológico , Motilidade Gastrointestinal/efeitos dos fármacos , Parassimpatolíticos/uso terapêutico , Fenetilaminas/uso terapêutico , Administração Oral , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Parassimpatolíticos/administração & dosagem , Parassimpatolíticos/farmacologia , Fenetilaminas/administração & dosagem , Fenetilaminas/farmacologia , Período Pós-Prandial , Software , Resultado do Tratamento
16.
Aliment Pharmacol Ther ; 11(5): 837-44, 1997 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-9354190

RESUMO

BACKGROUND: Cisapride has been reported to improve symptoms in patients with constipation-predominant irritable bowel syndrome. AIM: To compare the effects of a 24-h oral dose regimen of cisapride on interdigestive and post-prandial small bowel motor activity in irritable bowel syndrome patients with predominant constipation, irritable bowel syndrome patients with predominant diarrhoea and healthy subjects. METHODS: In 12 irritable bowel syndrome patients (11 females, aged 44 +/- 12 years)--constipation-predominant (irritable bowel syndrome-C, n = 5) and diarrhoea-predominant (irritable bowel syndrome-D, n = 7)--and six healthy subjects, small bowel motor activity was continuously recorded using an ambulatory technique over a 48-h period. Subjects received, in single-blind fashion, placebo tablets q.d.s. in the first 24 h then cisapride 10 mg q.d.s. in the second 24 h. Additional control groups were 13 healthy subjects (eight females, aged 39 +/- 13 years) and 10 irritable bowel syndrome patients (10 females, aged 49 +/- 14 years) who were studied in identical fashion but who did not receive cisapride. RESULTS: Cisapride increased migrating motor complex phase 2 motility index in both irritable bowel syndrome-D (P < 0.01) and irritable bowel syndrome-C (P < 0.05) patients, as well as in healthy subjects (P < 0.01). An increase in fasting discrete clustered contractions occurred in irritable bowel syndrome-D patients (P < 0.001) and in healthy subjects (P < 0.01), but not in irritable bowel syndrome-C patients; the proportion of discrete clustered contractions that were propagated, however, increased only in irritable bowel syndrome-D patients (P < 0.001). In addition, cisapride resulted in an increase in post-prandial motility index in irritable bowel syndrome patients (P < 0.05). Such motor alterations were not observed during the 48-h recording period in the healthy or irritable bowel syndrome patient control groups who did not receive cisapride. CONCLUSIONS: Oral cisapride influences interdigestive and post-prandial small bowel motor activity in both irritable bowel syndrome patients and healthy subjects; the effects of cisapride may be more marked in patients with predominant diarrhoea than in patients with predominant constipation.


Assuntos
Doenças Funcionais do Colo/tratamento farmacológico , Fármacos Gastrointestinais/uso terapêutico , Motilidade Gastrointestinal/efeitos dos fármacos , Intestino Delgado/efeitos dos fármacos , Piperidinas/uso terapêutico , Adulto , Cisaprida , Doenças Funcionais do Colo/fisiopatologia , Constipação Intestinal/tratamento farmacológico , Diarreia/tratamento farmacológico , Ingestão de Alimentos/fisiologia , Feminino , Humanos , Intestino Delgado/fisiopatologia , Masculino , Manometria , Pessoa de Meia-Idade , Período Pós-Prandial
17.
Bone Marrow Transplant ; 4(1): 63-8, 1989 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2522330

RESUMO

Serological, cellular and DNA-RFLP (restriction fragment length polymorphism) methods of determining HLA compatibility between 10 leukaemic patients and potential related bone marrow donors were systematically compared. DR beta/DQ alpha/DQ beta/DNA-RFLP typing of these families gave results in agreement with those obtained by serological methods (matching for HLA-A, -B and -DR), supported by mixed lymphocyte culture (MLC) data, indicating the validity and accuracy of DNA-RFLP matching in transplantation. However, a significant minority of four leukaemic patients plus two healthy individuals were not clearly HLA-DR typable by serology, but all such individuals were easily typable by DNA-RFLP. These results were supported by MLC data, where available. In addition, all data were in agreement with previously reported correlations between DNA-RFLPs and HLA-DR serology, allowing unambiguous assignment of HLA-DR types where these were previously in doubt. These results demonstrate the value of DNA-RFLP HLA class II DR and DQ typing in leukaemic patients requiring marrow transplantation who are not clearly typable by traditional methods and suggest that this approach should constitute an important element of future HLA matching programmes for bone marrow transplantation.


Assuntos
Transplante de Medula Óssea , Antígenos HLA/análise , Teste de Histocompatibilidade/métodos , Mapeamento por Restrição , Linhagem Celular , Testes Imunológicos de Citotoxicidade , DNA/análise , Estudos de Avaliação como Assunto , Antígenos HLA/genética , Antígenos HLA-DR/análise , Antígenos HLA-DR/genética , Humanos , Leucemia/genética , Leucemia/imunologia , Leucemia/cirurgia , Teste de Cultura Mista de Linfócitos
18.
Transpl Immunol ; 8(4): 259-65, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11316069

RESUMO

Cytokines are key immune mediators and it has been suggested that cytokine gene polymorphisms affecting expression influence rejection or tolerance. This study sought to examine this hypothesis with the aim of identifying predictive genotype markers for rejection. The study group consisted of 120 consecutive first cadaveric recipient-donor pairs transplanted at a single centre, between 1994 and 1997. PCR utilising sequence-specific primers (SSP) methodology was optimised for genotyping recipient and donor DNA for the following polymorphisms: tumour necrosis factor (TNF) -alpha (-308, G/A), interleukin (IL)-10 (-1082, G/A), IL-4 (-590, C/T), transforming growth factor (TGF) -beta1 (+915, G/C). Recipient-donor pairs were divided into rejectors (n = 28) and non-rejectors (n = 92). Each group was further stratified according to number of rejection episodes and HLA-DR mismatching. Recipient-donor pairs both lacking the IL-4*T allele (recipient low producer/donor low producer) were significantly increased in the rejector group (P = 0.02). Also, the combination of recipient IL-10*A negative/donor IL-10*A positive (recipient high producer/donor low producer), was significantly decreased in multiple rejectors (P = 0.04). No significant associations were detected between TNF-alpha and TGF-beta1, and rejection. This study suggests that the combination of recipient-donor IL-4 and IL-10 genotypes may be important in renal transplantation outcome. The results appear to corroborate the protective role of both of these cytokines, possibly due to their ability to suppress inflammation. However, due to conflicting results from this and other studies, a multi-centre collaborative study may be required to determine whether cytokine genotypes are significant, independent predictors of renal allograft rejection.


Assuntos
Citocinas/genética , Rejeição de Enxerto/genética , Transplante de Rim/imunologia , Doadores de Tecidos , Substituição de Aminoácidos , Biomarcadores , Citocinas/fisiologia , Primers do DNA , Seguimentos , Predisposição Genética para Doença , Genótipo , Rejeição de Enxerto/epidemiologia , Antígenos HLA/genética , Histocompatibilidade , Humanos , Interleucina-10/genética , Interleucina-4/genética , Mutação de Sentido Incorreto , Mutação Puntual , Reação em Cadeia da Polimerase , Polimorfismo Conformacional de Fita Simples , Regiões Promotoras Genéticas/genética , Estudos Prospectivos , Fator de Crescimento Transformador beta/genética , Fator de Crescimento Transformador beta1 , Fator de Necrose Tumoral alfa/genética
19.
Fertil Steril ; 33(1): 52-3, 1980 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7351257

RESUMO

Semen was cultured prior to vasectomy for voluntary sterilization. Postvasectomy infectious complications occurred only in patients with positive preoperative semen cultures. The offending pathogen was the same organism found in the semen culture. This evidence for an endogenous cause of postoperative vasectomy infections suggests that a semen culture and antimicrobial sensitivity be obtained prior to vasectomy. In this manner the correct antimicrobial agent can be instituted as an aid to rapid resolution of a postvasectomy infection.


PIP: Semen from 134 fertile prevasectomy patients was obtained and cultured to determine any relationship between prevasectomy culture and development of postvasectomy infection. Significant bacterial growth was found in the semen of 5 of 134 patients. Postvasectomy complications occurred in 6 patients (4.5%), and 3 of these were infectious complications (bacterial epididymitis and superficial wound infection). The infectious complications were associated with enterococci in the wound (n=1), escherichia coli in urine (n=1), and proteus mirabilis in urine (n=1). The same offending pathogen was found in semen culture. Only those patients with prevasectomy positive cultures encountered infectious complications postvasectomy; therefore, endogenous genital tract infection prevascetomy is associated with postvasectomy infection. Semen cultures prevasectomy are recommended so that appropriate antimicrobial therapy may be instituted at sterilization.


Assuntos
Infecções Bacterianas/etiologia , Vasectomia/efeitos adversos , Epididimite/etiologia , Humanos , Masculino , Sêmen/microbiologia , Urina/microbiologia , Infecção dos Ferimentos/etiologia
20.
Fertil Steril ; 30(4): 436-8, 1978 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30653

RESUMO

The previous demonstration that sperm kept at body temperature (37 degrees C) had a marked deterioration in motility accompanied by an overgrowth of bacteria in the semen and a concomitant decrease in pH led to this study to test the hypothesis that the decrease in motility was caused by the bacteria or by bacterial alteration of seminal pH. Semen specimens from fertile prevasectomy patients with and without added antibiotics were maintained at 20 degrees C and 37 degrees C and evaluated at 3, 12, and 18 hours after collection. There was still a significant deterioration in spermatozoal motility in the samples kept at 37 degrees C even when bacterial growth and change in pH were prevented by buffered antibiotics. Although the decrease in spermatozoal motility at body temperature may in part be attributed to bacterial growth or the products of bacterial metabolism, clearly another factor is present related to time and temperature and independent of the presence of bacteria.


Assuntos
Sêmen/microbiologia , Motilidade dos Espermatozoides , Humanos , Concentração de Íons de Hidrogênio , Masculino , Temperatura
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