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1.
Appl Microbiol Biotechnol ; 104(14): 6067-6077, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32418126

RESUMO

Bacteriocins are peptides of ribosomal synthesis that are active against bacteria related to the producing strain. They have been widely used in the food industry as biopreservatives. The generation of hybrid peptides by combining the genes that encode two different bacteriocins has made it possible to study the mechanisms of action of the bacteriocins that compose them and also develop new peptides with improved biotechnological applications. Hybrid bacteriocins may be obtained in several ways. In our laboratory, by combining enterocin CRL35 and microcin V (Ent35-MccV), we obtained a broad-spectrum peptide that is active against both Gram-positive and Gram-negative bacteria. Ent35-MccV is sensitive to the action of intestinal proteases and is heat resistant, which makes it a good candidate for use as a biopreservative. For this reason, the peptide was tested in skim milk and beef burgers as food models. We also obtained more potent variants of the hybrid by modifying the central amino acid of the hinge region that connects the two bacteriocins. This review also discusses future applications and perspectives regarding the Ent35-MccV and other hybrid peptides.Key Points• Ent35-MccV is a new broad-spectrum bacteriocin.• The mechanism of action of bacteriocins can be studied using hybrid peptides.• Genetic engineering allows obtaining improved bacteriocin derivatives.• Hybrid peptides can be used in the food, pharmaceutical, and veterinary applications.


Assuntos
Antibacterianos/farmacologia , Bacteriocinas/farmacologia , Sequência de Aminoácidos , Antibacterianos/química , Bacteriocinas/química , Bacteriocinas/genética , Conservantes de Alimentos/química , Conservantes de Alimentos/farmacologia , Engenharia Genética , Peptídeos/química , Peptídeos/farmacologia , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo , Proteínas Recombinantes de Fusão/farmacologia
2.
Appl Microbiol Biotechnol ; 103(23-24): 9607-9618, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31713671

RESUMO

The present paper describes the generation of derivatives from the hybrid peptide called Ent35-MccV, active against Gram-positive and Gram-negative bacteria. This peptide has a triple glycine hinge region between enterocin CRL35 and microcin V. In order to obtain variants of Ent35-MccV with greater biotechnological potential, a saturation mutagenesis was carried out in the hinge region. As a result, we obtained a bank of E. coli strains expressing different mutated hybrid bacteriocins in the central position of the hinge region. From all these variants, we found that the one bearing a tyrosine in the central region of the hinge (Ent35-GYG-MccV) is 2-fold more active against E. coli and 4-fold more active against Listeria than the original peptide Ent35-MccV. This derivative was purified and characterized. The development and evaluation of alternative hinges for Ent35-MccV represents a step forward in the bioengineering of antimicrobial peptides. This approach fosters the rational design of peptides with enhanced antimicrobial activity.


Assuntos
Anti-Infecciosos/química , Anti-Infecciosos/farmacologia , Bacteriocinas/farmacologia , Escherichia coli/efeitos dos fármacos , Listeria monocytogenes/efeitos dos fármacos , Sequência de Aminoácidos , Anti-Infecciosos/metabolismo , Bacteriocinas/genética , Bacteriocinas/metabolismo , Viabilidade Microbiana/efeitos dos fármacos , Mutagênese Sítio-Dirigida , Mutação , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo , Proteínas Recombinantes de Fusão/farmacologia
3.
Water Sci Technol ; 65(10): 1745-52, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22546787

RESUMO

The analysis of counting and catching errors of both catching and non-catching types of rain intensity gauges was recently possible over a wide variety of measuring principles and instrument design solutions, based on the work performed during the recent Field Intercomparison of Rainfall Intensity Gauges promoted by World Meteorological Organization (WMO). The analysis reported here concerns the assessment of accuracy and precision of various types of instruments based on extensive calibration tests performed in the laboratory during the first phase of this WMO Intercomparison. The non-parametric analysis of relative errors allowed us to conclude that the accuracy of the investigated RI gauges is generally high, after assuming that it should be at least contained within the limits set forth by WMO in this respect. The measuring principle exploited by the instrument is generally not very decisive in obtaining such good results in the laboratory. Rather, the attention paid by the manufacturer to suitably accounting and correcting for systematic errors and time-constant related effects was demonstrated to be influential. The analysis of precision showed that the observed frequency distribution of relative errors around their mean value is not indicative of an underlying Gaussian population, being much more peaked in most cases than can be expected from samples extracted from a Gaussian distribution. The analysis of variance (one-way ANOVA), assuming the instrument model as the only potentially affecting factor, does not confirm the hypothesis of a single common underlying distribution for all instruments. Pair-wise multiple comparison analysis revealed cases in which significant differences could be observed.


Assuntos
Monitoramento Ambiental/instrumentação , Chuva , Calibragem , Monitoramento Ambiental/normas , Modelos Teóricos
4.
Water Sci Technol ; 64(3): 766-73, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22097059

RESUMO

The objectives of this study are to provide detailed information about green roof performance in the Mediterranean climate (retained volume, peak flow reduction, runoff delay) and to identify a suitable modelling approach for describing the associated hydrologic response. Data collected during a 13-month monitoring campaign and a seasonal monitoring campaign (September-December 2008) at the green roof experimental site of the University of Genova (Italy) are presented together with results obtained in quantifying the green roof hydrologic performance. In order to examine the green roof hydrologic response, the SWMS_2D model, that solves the Richards' equation for two-dimensional saturated-unsaturated water flow, has been implemented. Modelling results confirm the suitability of the SWMS_2D model to properly describe the hydrologic response of the green roofs. The model adequately reproduces the hydrographs; furthermore, the predicted soil water content profile generally matches the observed values along a vertical profile where measurements are available.


Assuntos
Conservação dos Recursos Naturais , Água Doce , Movimentos da Água
5.
Toxicon ; 51(7): 1197-206, 2008 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-18397797

RESUMO

The venom of the spider Phoneutria nigriventer contains several toxins that have bioactivity in mammals and insects. Accidents involving humans are characterized by various symptoms including penile erection. Here we investigated the action of Tx2-6, a toxin purified from the P. nigriventer spider venom that causes priapism in rats and mice. Erectile function was evaluated through changes in intracavernosal pressure/mean arterial pressure ratio (ICP/MAP) during electrical stimulation of the major pelvic ganglion (MPG) of normotensive and deoxycorticosterone-acetate (DOCA)-salt hypertensive rats. Nitric oxide (NO) release was detected in cavernosum slices with fluorescent dye (DAF-FM) and confocal microscopy. The effect of Tx2-6 was also characterized after intracavernosal injection of a non-selective nitric oxide synthase (NOS) inhibitor, L-NAME. Subcutaneous or intravenous injection of Tx2-6 potentiated the elevation of ICP/MAP induced by ganglionic stimulation. L-NAME inhibited penile erection and treatment with Tx2-6 was unable to reverse this inhibition. Tx2-6 treatment induced a significant increase of NO release in cavernosum tissue. Attenuated erectile function of DOCA-salt hypertensive rats was fully restored after toxin injection. Tx2-6 enhanced erectile function in normotensive and DOCA-salt hypertensive rats, via the NO pathway. Our studies suggest that Tx2-6 could be important for development of new pharmacological agents for treatment of erectile dysfunction.


Assuntos
Neuropeptídeos/farmacologia , Neurotoxinas/farmacologia , Ereção Peniana/efeitos dos fármacos , Pênis/efeitos dos fármacos , Venenos de Aranha/farmacologia , Aranhas , Animais , Modelos Animais de Doenças , Sinergismo Farmacológico , Estimulação Elétrica , Disfunção Erétil/complicações , Disfunção Erétil/tratamento farmacológico , Disfunção Erétil/fisiopatologia , Hipertensão/induzido quimicamente , Hipertensão/complicações , Hipertensão/fisiopatologia , Masculino , NG-Nitroarginina Metil Éster/farmacologia , Neuropeptídeos/isolamento & purificação , Neurotoxinas/isolamento & purificação , Óxido Nítrico/metabolismo , Ereção Peniana/fisiologia , Pênis/inervação , Pênis/metabolismo , Ratos , Ratos Wistar
6.
Oper Dent ; 43(3): E102-E109, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29676971

RESUMO

Crown-root fracture is one of the most challenging fracture types in the dental traumatology literature. Traumatized anterior teeth require quick functional and esthetic repair. In the case of a complex crown fracture of the maxillary left central incisor, requiring endodontic treatment, a fiber-reinforced post was used to create a central support stump to restore the dental morphology. This report describes the clinical procedures involved in the treatment. After two years of follow-up, the clinical and radiographic findings demonstrated that the adopted clinical protocol was successful and yielded healthy periodontal tissues with no signs of periradicular pathology.


Assuntos
Resinas Compostas/uso terapêutico , Restauração Dentária Permanente/métodos , Incisivo/lesões , Coroa do Dente/lesões , Fraturas dos Dentes/cirurgia , Raiz Dentária/lesões , Seguimentos , Humanos , Incisivo/cirurgia , Masculino , Técnica para Retentor Intrarradicular , Coroa do Dente/cirurgia , Raiz Dentária/cirurgia , Adulto Jovem
7.
Water Sci Technol ; 56(12): 77-84, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18075182

RESUMO

The relationship between the parameters of the wash-off function and the controlling hydrologic variables are investigated in this paper, assuming that the pollutant generation process basically depends on the watershed rainfall-runoff response characteristics. Data collected during an intense monitoring program carried out by the Department of Environmental Engineering of the University of Genova (Italy) within a residential area, an auto dismantler facility, a tourism terminal and a urban waste truck depot are used to this aim. The observed runoff events are classified into different TSS mass delivery processes and the occurrence of the first flush phenomenon is also investigated. The correlation between the mathematical parameters describing the exponential process and the hydrological parameters of the corresponding rainfall-runoff event is analysed: runoff parameters and in particular the maximum flow discharge over the time of concentration of the drainage network are proposed as the controlling factor for the total mass of pollutant that is made available for wash-off during each runoff event.


Assuntos
Cidades , Monitoramento Ambiental/métodos , Movimentos da Água , Poluição da Água/análise , Itália
8.
Water Sci Technol ; 54(6-7): 177-84, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-17120648

RESUMO

In order to investigate stormwater pollutant loads associated with different anthropic activities and the related pollutant build-up and wash-off processes, two pilot sites have been equipped in the Liguria Region (Italy) for monitoring first flush water quality in a gas station and an auto dismantler facility. TSS, COD, HCtot and heavy metals in dissolved form (Zn, Pb, Cu, Ni, Cd, Cr) have been analyzed during the monitoring campaign (started in February 2004). Stormwater flow and quality data collected in both production sites confirm that EMC values are significantly higher than those observed in an urban site. In the auto dismantler site, the EMC values for TSS, COD and HC largely exceed the standard values (EC 91/271). Contrary to urban surface runoff, scarce correlation between TSS and COD concentrations is observed in runoff from both production sites. The occurrence and nature of the pollutant load connected to first flush flows is discussed by inspection of the M(V)-curves that are provided for all monitored water quality parameters. Significant first flush phenomenon is evidenced for TSS and HC, while such clear behavior doesn't emerge for heavy metals. Hydrologic and climatic characteristics (ADWP, rainfall intensity/depth) appear to scarcely affect the build-up and wash-off processes.


Assuntos
Monitoramento Ambiental , Chuva , Movimentos da Água , Poluentes da Água/análise , Cidades , Substâncias Perigosas/análise , Metais Pesados/análise , Emissões de Veículos
9.
Arch Intern Med ; 155(13): 1371-7, 1995 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-7794085

RESUMO

BACKGROUND: Nonsteroidal anti-inflammatory drugs (NSAIDs) are associated with an elevated risk of peptic ulcer and upper gastrointestinal hemorrhage, but published reports have lacked information on rates of outpatient disease, have concentrated on the elderly, and have not provided comparisons of rates for specific types of NSAIDs. METHODS: We compared incidence rates of peptic ulcer and upper gastrointestinal hemorrhage in 68 028 people younger than 65 years who used diclofenac sodium, naproxen, piroxicam, or sulindac, and who were members of a network of health maintenance organizations. We reviewed automated insurance claims data and medical records to ascertain cases and included conditions treated on an outpatient basis. RESULTS: Medical claims data were adequate for crude identification of potential cases, but review of medical records led to rejection of 63% of these, representing either no abnormality or diseases other than peptic ulcer or upper gastrointestinal hemorrhage. Of the total 112 cases, 64 (57%) were treated as outpatients. The crude incidence rate per 1000 person-years in users of any current, recent, or past NSAID was 2.2 and in distant-past users of NSAIDs was 0.75. For diclofenac, naproxen, piroxicam, and sulindac, we found a consistent pattern of decreasing NSAID effects from current to recent to past exposure. The risk of peptic ulcer or upper gastrointestinal hemorrhage was 1.6 cases per 1000 people using NSAIDs. CONCLUSIONS: Combining use of automated claims records with review of medical records promotes efficiency while maintaining specificity of case ascertainment. This study, with 57% of cases treated as outpatients, had results consistent with other published reports that were based on hospitalized patients. Within the limits of statistical error, the incidence rates of peptic ulcer and upper gastrointestinal hemorrhage appeared to be similar for the various NSAIDs studied.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Hemorragia Gastrointestinal/induzido quimicamente , Úlcera Péptica/induzido quimicamente , Adulto , Estudos de Casos e Controles , Estudos de Coortes , Feminino , Sistemas Pré-Pagos de Saúde , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Fatores de Tempo
10.
J Clin Endocrinol Metab ; 77(5): 1329-33, 1993 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8077328

RESUMO

In order to determine the possible interactions between histocompatibility leukocyte antigen (HLA) -class I antigens and beta-adrenergic receptors, we evaluated the effects of anti-HLA class I monoclonal antibodies on beta-adrenoceptor-mediated intracellular production of cAMP in human mononuclear leukocytes. Moreover, we studied whether anti-HLA class I monoclonal antibodies inhibit the binding of a specific radioligand to the beta-adrenoceptors, and, conversely, whether both isoproterenol and propranolol interfere with the binding (evaluated by a cytofluorometric assay) of the anti-HLA class I monoclonal antibodies to the cell membrane. Our results showed that anti-HLA class I monoclonal antibodies induced a significant beta-adrenergic-dependent increase in intracellular cAMP whereas anti-HLA class II and antimelanoma monoclonal antibodies were ineffective. Moreover anti-HLA class I monoclonal antibodies inhibited, in part, the specific binding of a beta-adrenergic radioligand, although they did not induce the internalization of the beta-adrenoceptors. On the other hand, both isoproterenol and propranolol induced a significant decrease in the peripheral blood mononuclear cell expression of HLA-class I molecules. Our data suggest that important interactions between major histocompatibility complex gene products and the beta-adrenergic receptors may occur in human cells.


Assuntos
Antígenos de Histocompatibilidade Classe II/fisiologia , Monócitos/fisiologia , Receptores Adrenérgicos beta/fisiologia , Adulto , Anticorpos Monoclonais/metabolismo , Membrana Celular/metabolismo , AMP Cíclico/biossíntese , Humanos , Immunoblotting , Isoproterenol/farmacologia , Pindolol/metabolismo , Testes de Precipitina , Propranolol/farmacologia
11.
Am J Med ; 107(4): 356-62, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10527038

RESUMO

PURPOSE: Serious, although rare, ventricular arrhythmias and deaths have been reported in patients taking cisapride monohydrate. Without quantification of the risk involved, it is impossible to develop rational therapeutic guidelines. SUBJECTS AND METHODS: Arrhythmic events (sudden deaths and other events compatible with serious ventricular arrhythmias) were sought among 36,743 patients prescribed cisapride in the United Kingdom and Saskatchewan, Canada. Prescriptions and cases were identified from computerized medical claims data and physicians' office records. We compared rates of events between periods of recent cisapride use and nonrecent use, using cohort analysis. Potential confounding factors, including concomitant treatment with agents that inhibit CYP3A4 metabolism or that prolong the QT interval, were assessed in a nested case-control study. RESULTS: In the cohort analysis, the incidence of the arrhythmic events was 1.6 times greater (95% confidence interval [CI]: 0.9 to 2.9) in periods of recent use. With adjustment for clinical history, use of CYP3A4 inhibitors, and use of drugs that prolong the QT interval, the odds ratio for cisapride and cardiac outcomes was 1.0 (95% CI: 0.3 to 3.7). There was no identifiable increase in risk when cisapride was dispensed at about the same time as QT-prolonging drugs or CYP3A4 inhibitors. QT-prolonging agents were associated with a 2.5-fold increase in the risk of arrhythmic events (95% CI: 1.1 to 5.8). CONCLUSIONS: Serious rhythm disorders were not associated with cisapride use, although the upper confidence bounds do not rule out an increase in risk.


Assuntos
Antiulcerosos/efeitos adversos , Arritmias Cardíacas/induzido quimicamente , Cisaprida/efeitos adversos , Fármacos Gastrointestinais/efeitos adversos , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Risco , Saskatchewan/epidemiologia , Distribuição por Sexo , Reino Unido/epidemiologia
12.
Hum Immunol ; 54(1): 54-62, 1997 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-9154458

RESUMO

Increased concentrations of soluble HLA class I and class II molecules (sHLA-I and sHLA-II) have been observed in infectious, inflammatory, and autoimmune diseases. Because autoimmune mechanisms are considered to play a role in the pathogenesis of multiple sclerosis (MS), we decided to dose sHLA-I and sHLA-II in serum and cerebrospinal fluid (CSF) of MS patients comparing their concentrations with those observed in serum and CSF of patients with other neurologic diseases (OND) without evidence of neuroradiologic involvement of central nervous system (CNS) and in serum of healthy donors. The serum concentrations of sHLA-I were higher in both MS and OND patients than in healthy donors (P < 0.05) whereas sHLA-II serum concentrations were lower in MS patients than in both OND patients and healthy donors (P < 0.01). Detectable amounts of sHLA-II were observed in the CSF of 45% of MS patients and in CSF of only 6% of OND patients (P < 0.001). In MS patients a significant correlation between sHLA-I serum and CSF concentrations was observed (P < 0.01), whereas sHLA-II serum and CSF levels did not correlate. In conclusion, alterations of sHLA-I and sHLA-II serum and CSF concentrations are present in MS patients and could be involved in the induction of enhanced susceptibility to develop MS or in MS pathogenesis.


Assuntos
Antígenos de Histocompatibilidade Classe II/sangue , Antígenos de Histocompatibilidade Classe II/líquido cefalorraquidiano , Antígenos de Histocompatibilidade Classe I/sangue , Antígenos de Histocompatibilidade Classe I/líquido cefalorraquidiano , Esclerose Múltipla/sangue , Esclerose Múltipla/líquido cefalorraquidiano , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Esclerose Múltipla/imunologia , Doenças do Sistema Nervoso/sangue , Doenças do Sistema Nervoso/líquido cefalorraquidiano , Doenças do Sistema Nervoso/imunologia , Solubilidade
13.
Hum Immunol ; 40(4): 259-66, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8002375

RESUMO

Analysis of (sHLA-I) antigens in a large number of HIV-positive subjects found a significant increase of their level, but did not detect any change in their molecular profile. Monitoring at yearly intervals for four years of the sHLA-I antigen level in 14 HIV-positive subjects with a normal sHLA-I antigen level at study entry showed a significant correlation between progressive increase of sHLA-I antigen level and disease progression. Furthermore, a Kaplan-Meier plot of the frequency of development of AIDS in 34 patients whose cases were followed for 7 years showed that sHLA-I antigen level is a strong predictor of progression to AIDS. Its predictive value is comparable to that of serum beta 2-mu level, greater than that of serum neopterin, and lower than that of CD4+ T-cell percentage. The predictive value of sHLA-I antigen level in combination with serum beta 2-mu level, neopterin level, or CD4+ T-cell percentage is greater than that of each individual variable. These results suggest that measurement of the sHLA-I antigen level may provide useful prognostic information in HIV-positive subjects.


Assuntos
Infecções por HIV/imunologia , Antígenos HLA/sangue , Antígenos de Histocompatibilidade Classe I/sangue , Contagem de Linfócito CD4 , Células Cultivadas , Progressão da Doença , Humanos , Immunoblotting , Testes de Precipitina
14.
AIDS Res Hum Retroviruses ; 13(17): 1509-16, 1997 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-9390750

RESUMO

The expression of HLA class I antigens is downregulated in CD4+ T cells following in vitro HIV-1 infection. We determined whether the expression of HLA class I antigens is downmodulated in peripheral blood lymphocytes (PBLs) of HIV-1-positive subjects and whether this defect correlates with disease progression. A cohort of 62 HIV-1-seropositive individuals in different stages of disease was studied. Among these, four subjects were evaluated at yearly intervals for 6 years. The expression of HLA class I, HLA class II, and CD38 antigens was analyzed in PBLs and in CD4+ and CD8+ T lymphocyte subpopulations. The percentage of HLA class I-positive cells and the membrane density of HLA class I antigens were significantly lower in PBLs from HIV-1-positive individuals than in PBLs from HIV-negative controls, proportionally decreased with disease progression, and significantly correlated with the decrease in CD4+ T lymphocytes. Furthermore, the percentage of HLA class I-positive cells and the membrane density of HLA class I antigens were significantly lower in CD4+ T lymphocytes from AIDS patients with respect to CD4+ T lymphocytes from HIV-negative controls and to CD8+ T lymphocytes from HIV-negative controls and AIDS patients. By contrast, the expression of HLA class II and CD38 antigens was upregulated in CD4+ and CD8+ T lymphocytes from HIV-1-positive subjects. The defective expression of HLA class I antigens could impair the lysis of HIV-infected CD4+ cells by virus-specific HLA class I-restricted cytotoxic T lymphocytes and contribute to the progression of disease.


Assuntos
Linfócitos T CD4-Positivos/imunologia , Regulação para Baixo , Infecções por HIV/imunologia , Antígenos de Histocompatibilidade Classe I/genética , Adulto , Progressão da Doença , Feminino , HIV-1 , Humanos , Masculino
15.
J Thorac Cardiovasc Surg ; 94(2): 181-7, 1987 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3613615

RESUMO

We have investigated the role of resection in the treatment of patients with isolated pulmonary metastases from Ewing's sarcoma. In a retrospective review, 19 patients with the diagnosis of Ewing's sarcoma treated at the National Cancer Institute from 1965 to 1985 who underwent chest exploration for resection of pulmonary nodules were evaluated. Ten patients (53%) were made disease free by resection of pulmonary metastases, six patients (32%) were found to have unresectable disease, and three patients (16%) were found to have benign pulmonary disease. The actuarial 5 year survival rate of the 10 patients successfully made disease free by resection was 15%, and the median survival of this group was 28 months. In contrast, the median survival of the six patients not made disease free was 12 months, and no patient with residual disease was alive 22 months after thoracotomy (p2 = 0.0047). There were no postoperative deaths and only three minor postoperative complications for 25 operative procedures. Various prognostic variables were analyzed to determine their influence on postmetastasectomy survival. There was no difference in postmetastasectomy survival between patients who underwent resection of synchronous versus metachronous pulmonary metastases (p2 = 0.90). Patients who underwent resection of fewer than four malignant nodules had a significantly longer postmetastasectomy disease-free survival (p2 = 0.0019) and overall survival (p2 = 0.06) than those undergoing resection of four or more nodules. Patients who underwent resection of metastases that developed during chemotherapy had a significantly shorter postmetastasectomy survival that those who underwent resection of metastases that developed after chemotherapy (p2 = 0.0295). Our data show that selected patients with Ewing's sarcoma metastatic to the lungs may benefit from an aggressive surgical approach. Also, a significant proportion of these patients will have benign pulmonary disease and can thus avoid additional intensive systemic therapy.


Assuntos
Neoplasias Ósseas , Neoplasias Pulmonares/cirurgia , Sarcoma de Ewing/secundário , Adolescente , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Ósseas/mortalidade , Criança , Terapia Combinada , Feminino , Humanos , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/secundário , Masculino , Prognóstico , Estudos Retrospectivos , Sarcoma de Ewing/mortalidade , Sarcoma de Ewing/cirurgia
16.
Chest ; 108(1): 68-72, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7606994

RESUMO

OBJECTIVE: Our aim was to determine the effect of lung resection on spirometric lung function and to evaluate the accuracy of simple calculation in predicting postoperative pulmonary function in patients undergoing lung resection. DESIGN: We reviewed preoperative and postoperative pulmonary function test results on patients who were followed in the multidisciplinary lung cancer clinic between July 1991 and March 1994 and who underwent lung resection. The predicted postoperative FEV1 and FVC were calculated based on the number of segments resected and were compared with the actual postoperative FEV1 and FVC. SETTING: This study was conducted at a university, tertiary referral hospital. PATIENTS: All patients were evaluated at a multidisciplinary lung cancer clinic and underwent lung resection by one surgeon (L.A.L.). MEASUREMENTS AND MAIN RESULTS: Sixty patients undergoing 62 pulmonary resections were reviewed. The predicted postoperative FEV1 and FVC were calculated using the following formula: predicted postoperative FEV1 (or FVC) = preoperative FEV1 (or FVC) x (1-(S x 0.0526)); where S = number of segments resected. The actual postoperative FEV1 and FVC correlated well with the predicted postoperative FEV1 and FVC for patients undergoing lobectomy (r = 0.867 and r = 0.832, respectively); however, the predicted postoperative FEV1 consistently underestimated the actual postoperative FEV1 by approximately 250 mL. For patients undergoing pneumonectomy, the actual postoperative FEV1 and FVC did not correlate as well with the predicted postoperative FEV1 and FVC (r = 0.677 and r = 0.741, respectively). Although there was considerable variability, the predicted postoperative FEV1 consistently underestimated the actual postoperative FEV1 by nearly 500 mL. Of the patients undergoing lobectomy, eight also received postoperative radiation therapy. When analyzed separately, patients receiving combined therapy lost an average of 5.47% of FEV1 per segment resected. This contrasts with a 2.84% per segment reduction in FEV1 for patients who did not receive radiation therapy. CONCLUSIONS: This simple calculation of predicted postoperative FEV1 and FVC correlates well with the actual postoperative FEV1 and FVC in patients undergoing lobectomy. The predicted postoperative FEV1 consistently underestimated the actual postoperative FEV1 by approximately 250 mL. The postoperative FEV1 and FVC for patients undergoing pneumonectomy is not accurately predicted using this equation. The predicted postoperative FEV1 for patients undergoing pneumonectomy was underestimated by an average of 500 mL and by greater than 250 mL in 12 of our 13 patients. Thus, by adding 250 mL to the above calculation of predicted postoperative FEV1, we improve our ability to we identify a minimal postoperative FEV1 for patients undergoing pneumonectomy. Finally, combined modality treatment with surgery followed by radiation therapy may result in additive lung function loss.


Assuntos
Neoplasias Pulmonares/fisiopatologia , Neoplasias Pulmonares/cirurgia , Pneumonectomia , Mecânica Respiratória , Adulto , Idoso , Carcinoma de Células Escamosas/fisiopatologia , Carcinoma de Células Escamosas/cirurgia , Feminino , Volume Expiratório Forçado , Humanos , Pneumopatias/fisiopatologia , Pneumopatias/cirurgia , Neoplasias Pulmonares/radioterapia , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias , Valor Preditivo dos Testes , Estudos Retrospectivos , Espirometria , Capacidade Vital
17.
Bone Marrow Transplant ; 11(6): 493-6, 1993 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8392887

RESUMO

This report describes a 6-year-old girl with pre-B ALL who developed systemic aspergillosis following BMT. She was successfully treated with a combination of amphotericin B, itraconazole and surgery. This report emphasizes the importance of surgical resection in the management of disseminated aspergillosis.


Assuntos
Anfotericina B/uso terapêutico , Antifúngicos/uso terapêutico , Aspergilose/cirurgia , Transplante de Medula Óssea , Cetoconazol/análogos & derivados , Leucemia-Linfoma Linfoblástico de Células Precursoras/terapia , Aspergilose/diagnóstico por imagem , Aspergilose/tratamento farmacológico , Aspergilose/microbiologia , Criança , Feminino , Humanos , Itraconazol , Cetoconazol/uso terapêutico , Tomografia Computadorizada por Raios X
18.
Int Arch Allergy Immunol ; 99(2-4): 295-301, 1992.
Artigo em Inglês | MEDLINE | ID: mdl-34167222

RESUMO

The effects of the glucocorticoid hormones prednisone (PDN) and deflazacort (DFC) on MHC gene products membrane expression and mRNA level were evaluated on peripheral blood lymphocytes and on the melanoma M14 cell line. The modulatory effect of the association of PDN and DFC with interferon-γ was also evaluated. PDN and DFC inhibited MHC gene expression in lymphocytes and M14 cells both on the cell membrane and at the mRNA level. Interferon-γ was able to counteract this inhibitory effect. These results may contribute to clarify the role played by glucocorticoid hormones in the modulation of immune responses.

19.
Ann N Y Acad Sci ; 876: 164-79, 1999 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-10415607

RESUMO

Glucocorticoid hormones (GCH) induce apoptosis in PHA-primed peripheral blood T lymphocytes (PBL) and down-regulate membrane-bound proteins involved in the immune response. We have analyzed whether GCH are able to affect the expression of the TCR-associated molecules CD3, CD4, and CD8 on PBL-PHA, and whether the modulation of those receptors is related to the GCH-driven apoptosis of the PBL-PHA. Lymphocytes were cultured with PHA or with PHA plus prednisone (PDN) 10(-3), 10(-6), and 10(-9) M. Then expression of CD2, CD3, CD4, CD8, and CD56 antigens was studied by cytofluorimetric assay using propidium iodide (PI) staining and annexin procedure, and by gel electrophoresis of low molecular weight DNA. PDN, at a pharmacological concentration (10(-6) M), was able to inhibit the CD3 expression on T cells. The kinetics of CD3 decrement and of apoptosis show that the down-regulation of CD3 molecules precedes DNA fragmentation and that the cells lacking CD3 are those prone to PDN-induced apoptosis. The inhibition of CD3 is not related to a transcriptional or posttranscriptional phenomenon, because both PBL-PHA and PBL-PHA-PDN expressed the same amount of intracytoplasmic CD3 molecule. PDN also induced a down-regulation of the CD4 and CD8 molecules that resulted sooner in more intense CD8. In vitro PDN is able to induce apoptosis in PBL-PHA through a down-regulation of CD3 molecules.


Assuntos
Corticosteroides/fisiologia , Apoptose/fisiologia , Complexo CD3/análise , Glucocorticoides/farmacologia , Sistema Imunitário/fisiologia , Prednisona/farmacologia , Linfócitos T/efeitos dos fármacos , Antígenos CD4/análise , Antígenos CD8/análise , Humanos , Fenótipo , Fito-Hemaglutininas/farmacologia , Linfócitos T/imunologia , Linfócitos T/fisiologia
20.
Ann N Y Acad Sci ; 876: 193-7, 1999 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-10415609

RESUMO

Different glucocorticoid hormones (GCH) show differences in the intensity and in the kinetics of their immunomodulating activity. The mechanism(s) of action of GCH is under investigation, but is has been noted that they exert immune activity via the genomic pathway. We have studied the effects of prednisone (PDN), deflazacort (DFC), and dexamethasone (DXM) on the production of cytokines (IL-2, IL-6, TNF-alpha, IL-10) by peripheral T lymphocytes, and the effects on the inhibition of NF-kB DNA binding activity by activated Jurkat cell line. The data obtained show that the three GCH molecules exert an immunosuppression on cytokine production by T lymphocytes and a strong decrease in the nuclear translocation of NF-kB in Jurkat cells; moreover, (a) not all the cytokines investigated were affected, and not with the same intensity, by the three GCH and (b) DXM inhibited the binding activity of NF-kB less than that of DFC and PDN. These data are in agreement with the concept that different GCH compounds might differ in their binding and affinity properties, tissue-specific metabolism, and interaction with transcription factor.


Assuntos
Dexametasona/farmacologia , Glucocorticoides/farmacologia , Imunossupressores/farmacologia , Prednisona/farmacologia , Pregnenodionas/farmacologia , Adulto , Citocinas/antagonistas & inibidores , Citocinas/biossíntese , DNA/metabolismo , Expressão Gênica/efeitos dos fármacos , Humanos , NF-kappa B/antagonistas & inibidores , NF-kappa B/genética , Linfócitos T/efeitos dos fármacos , Linfócitos T/metabolismo
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