RESUMEN
Microtubule severing enzymes implement a diverse range of tissue-specific molecular functions throughout development and into adulthood. Although microtubule severing is fundamental to many dynamic neural processes, little is known regarding the role of the family member Katanin p60 subunit A-like 1, KATNAL1, in central nervous system (CNS) function. Recent studies reporting that microdeletions incorporating the KATNAL1 locus in humans result in intellectual disability and microcephaly suggest that KATNAL1 may play a prominent role in the CNS; however, such associations lack the functional data required to highlight potential mechanisms which link the gene to disease symptoms. Here we identify and characterise a mouse line carrying a loss of function allele in Katnal1. We show that mutants express behavioural deficits including in circadian rhythms, sleep, anxiety and learning/memory. Furthermore, in the brains of Katnal1 mutant mice we reveal numerous morphological abnormalities and defects in neuronal migration and morphology. Furthermore we demonstrate defects in the motile cilia of the ventricular ependymal cells of mutants, suggesting a role for Katnal1 in the development of ciliary function. We believe the data we present here are the first to associate KATNAL1 with such phenotypes, demonstrating that the protein plays keys roles in a number of processes integral to the development of neuronal function and behaviour.
Asunto(s)
Katanina/genética , Katanina/metabolismo , Adenosina Trifosfatasas/metabolismo , Animales , Cilios/genética , Cilios/fisiología , Ritmo Circadiano/genética , Epéndimo/metabolismo , Humanos , Ratones , Ratones Endogámicos C57BL , Microcefalia , Microtúbulos/metabolismo , Mutación , Mutación Missense , Neuronas/metabolismo , Neuronas/patología , Fenotipo , Sueño/genéticaRESUMEN
Obsessive-compulsive disorder (OCD) affects 2-3% of the population. One-third of patients are poorly responsive to conventional therapies, and for a subgroup, gamma knife capsulotomy (GKC) is an option. We examined lesion characteristics in patients previously treated with GKC through well-established programs in Providence, RI (Butler Hospital/Rhode Island Hospital/Alpert Medical School of Brown University) and São Paulo, Brazil (University of São Paolo). Lesions were traced on T1 images from 26 patients who had received GKC targeting the ventral half of the anterior limb of the internal capsule (ALIC), and the masks were transformed into MNI space. Voxel-wise lesion-symptom mapping was performed to assess the influence of lesion location on Y-BOCS ratings. General linear models were built to compare the relationship between lesion size/location along different axes of the ALIC and above or below-average change in Y-BOCS ratings. Sixty-nine percent of this sample were full responders (≥35% improvement in OCD). Lesion occurrence anywhere within the targeted region was associated with clinical improvement, but modeling results demonstrated that lesions occurring posteriorly (closer to the anterior commissure) and dorsally (closer to the mid-ALIC) were associated with the greatest Y-BOCS reduction. No association was found between Y-BOCS reduction and overall lesion volume. GKC remains an effective treatment for refractory OCD. Our data suggest that continuing to target the bottom half of the ALIC in the coronal plane is likely to provide the dorsal-ventral height required to achieve optimal outcomes, as it will cover the white matter pathways relevant to change. Further analysis of individual variability will be essential for improving targeting and clinical outcomes, and potentially further reducing the lesion size necessary for beneficial outcomes.
Asunto(s)
Trastorno Obsesivo Compulsivo , Radiocirugia , Humanos , Brasil , Trastorno Obsesivo Compulsivo/diagnóstico por imagen , Trastorno Obsesivo Compulsivo/cirugía , Radiocirugia/métodos , Resultado del Tratamiento , Cápsula Interna/diagnóstico por imagen , Cápsula Interna/cirugíaRESUMEN
A reliable physiological biomarker for Major Depressive Disorder (MDD) is necessary to improve treatment success rates by shoring up variability in outcome measures. In this study, we establish a passive biomarker that tracks with changes in mood on the order of minutes to hours. We record from intracranial electrodes implanted deep in the brain - a surgical setting providing exquisite temporal and spatial sensitivity to detect this relationship in a difficult-to-measure brain area, the ventromedial prefrontal cortex (VMPFC). The aperiodic slope of the power spectral density captures the balance of activity across all frequency bands and is construed as a putative proxy for excitatory/inhibitory balance in the brain. This study demonstrates how shifts in aperiodic slope correlate with depression severity in a clinical trial of deep brain stimulation for treatment-resistant depression (TRD). The correlation between depression severity scores and aperiodic slope is significant in N=5 subjects, indicating that flatter (less negative) slopes correspond to reduced depression severity, especially in the ventromedial prefrontal cortex. This biomarker offers a new way to track patient response to MDD treatment, facilitating individualized therapies in both intracranial and non-invasive monitoring scenarios.
RESUMEN
Aging, often considered a result of random cellular damage, can be accurately estimated using DNA methylation profiles, the foundation of pan-tissue epigenetic clocks. Here, we demonstrate the development of universal pan-mammalian clocks, using 11,754 methylation arrays from our Mammalian Methylation Consortium, which encompass 59 tissue types across 185 mammalian species. These predictive models estimate mammalian tissue age with high accuracy (r > 0.96). Age deviations correlate with human mortality risk, mouse somatotropic axis mutations and caloric restriction. We identified specific cytosines with methylation levels that change with age across numerous species. These sites, highly enriched in polycomb repressive complex 2-binding locations, are near genes implicated in mammalian development, cancer, obesity and longevity. Our findings offer new evidence suggesting that aging is evolutionarily conserved and intertwined with developmental processes across all mammals.
Asunto(s)
Metilación de ADN , Epigénesis Genética , Humanos , Ratones , Animales , Metilación de ADN/genética , Envejecimiento/genética , Longevidad/genética , Mamíferos/genéticaRESUMEN
The Ustilago maydis PYR3 gene encoding dihydroorotase activity was cloned by direct complementation of Escherichia coli pyrC mutations. PYR3 transformants of E. coli pyrC mutants expressed homologous transcripts of a variety of sizes and regained dihydroorotase activity. PYR3 also complemented Saccharomyces cerevisiae ura4 mutations, and again multiple transcripts were expressed in transformants, and enzyme activity was regained. A 1.25-kilobase poly(rA)+ PYR3 transcript was detected in U. maydis itself. Linear DNA carrying the PYR3 gene transformed a U. maydis pyr3-1 pyrimidine auxotroph to prototrophy. Hybridization analysis revealed that three different types of transformants could be generated, depending on the structure of the transforming DNA used. The first type involved exchange of chromosomal mutant gene sequences with the cloned wild-type plasmid sequences. A second type had integrated linear transforming DNA at the chromosomal PYR3 locus, probably via a single crossover event. The third type had integrated transforming DNA sequences at multiple sites in the U. maydis genome. In the last two types, tandemly reiterated copies of the transforming DNA were found to have been integrated. All three types had lost the sensitivity of the parental pyr3-1 mutant to UV irradiation. They had also regained dihydroorotase activity, although its level did not correlate with the PYR3 gene copy number.
Asunto(s)
Amidohidrolasas/genética , Basidiomycota/genética , Clonación Molecular , Dihidroorotasa/genética , Genes Fúngicos , Genes , Transformación Genética , Ustilago/genética , Escherichia coli/enzimología , Escherichia coli/genética , Prueba de Complementación Genética , Rayos Ultravioleta , Ustilago/enzimología , Ustilago/efectos de la radiaciónRESUMEN
Transcriptional activation of the mouse mammary tumor virus (MMTV) promoter by ligand-bound glucocorticoid receptor (GR) is transient. Previously, we demonstrated that prolonged hormone exposure results in displacement of the transcription factor nuclear factor 1 (NF1) and the basal transcription complex from the promoter, the dephosphorylation of histone H1, and the establishment of a repressive chromatin structure. We have explored the mechanistic link between histone H1 dephosphorylation and silencing of the MMTV promoter by describing the putative kinase responsible for H1 phosphorylation. Both in vitro kinase assays and in vivo protein expression studies suggest that in hormone-treated cells the ability of cdk2 to phosphorylate histone H1 is decreased and the cdk2 inhibitory p21 protein level is increased. To address the role of cdk2 and histone H1 dephosphorylation in the silencing of the MMTV promoter, we used potent cdk2 inhibitors, Roscovitine and CVT-313, to generate an MMTV promoter which is associated predominantly with the dephosphorylated form of histone H1. Both Roscovitine and CVT-313 block phosphorylation of histone H1 and, under these conditions, the GR is unable to remodel chromatin, recruit transcription factors to the promoter, or stimulate MMTV mRNA accumulation. These results suggest a model where cdk2-directed histone H1 phosphorylation is a necessary condition to permit GR-mediated chromatin remodeling and activation of the MMTV promoter in vivo.
Asunto(s)
Quinasas CDC2-CDC28 , Quinasas Ciclina-Dependientes/fisiología , Histonas/fisiología , Virus del Tumor Mamario del Ratón/fisiología , Proteínas Serina-Treonina Quinasas/fisiología , Animales , Cromatina/fisiología , Quinasa 2 Dependiente de la Ciclina , Ratones , Fosforilación , Regiones Promotoras Genéticas/fisiología , Transcripción Genética , Replicación ViralRESUMEN
The Chinese hamster ovary cell line xrs-1 is hypersensitive to gamma-radiation. This sensitivity has been attributed to an inability of this cell line to efficiently repair gamma-ray induced double-strand breaks (DSBs). We have recently reported that xrs-1 is also sensitive to topoisomerase II inhibitors that stabilize the cleavable complex. In this study, we have investigated the basis of this sensitivity by monitoring cleavable complex formation and loss in xrs-1 and its parent CHO-KI following treatment with the topoisomerase II inhibitors etoposide and 4'-(9-acridinylamino)methanesulfon-m-anisidide. Our studies indicate that xrs and CHO-K1 cells accumulate drug-induced cleavable complexes at equal rates and to an equal extent. However, studies on the loss of cleavable complexes after drug removal suggest that protein-free DSBs arise in cells treated with topoisomerase II inhibitors. Furthermore, a larger number of these DSBs persist in repair-deficient xrs cells than in repair-proficient Chinese hamster ovary-KI cells. The persistence of DSBs appears to account for the cytotoxic effects of topoisomerase II inhibitors that stabilize the cleavable complex. These results suggest that the xrs repair pathway is required for efficient removal of potentially cytotoxic DSBs that arise in cells treated with topoisomerase II inhibitors.
Asunto(s)
Amsacrina/farmacología , Daño del ADN , Reparación del ADN , Etopósido/farmacología , Inhibidores de Topoisomerasa II , Animales , Línea Celular , Supervivencia Celular/efectos de los fármacos , Cricetinae , ADN/metabolismo , Tolerancia a Medicamentos , Radicales Libres , Proteínas/metabolismoRESUMEN
xrs-1 is an ionizing radiation sensitive Chinese hamster ovary (CHO) strain and has a defect in double strand break rejoining. It is also highly sensitive to topoisomerase II inhibiting anticancer drugs. Sensitivity is specific for those drugs that inhibit the breakage/reunion mechanism of topoisomerase II. xrs-1 and its parent strain CHO-K1 have equal levels of topoisomerase II activity, assayed by their ability to unknot complex knotted P4 head DNA. Drug stimulated protein-DNA complex formation was similar in xrs-1 and CHO-K1, showing that they accrued equal levels of drug induced lesions. Thus sensitivity most likely results from subsequent differences in the processing of these lesions rather than the rate of formation. Drug sensitivity is directly related to the xrs phenotype since drug and gamma-ray resistance are coordinately reactivated by azacytidine treatment. All six members of the xrs complementation group are hypersensitive to etoposide. Sensitivity is not a feature common to all X-ray sensitive mutants but is shown by another complementation group, which also has a defect in double strand break rejoining. These results thus demonstrate a correlation between an inability to rejoin double strand breaks and sensitivity to topoisomerase II targeting antitumor drugs.
Asunto(s)
Daño del ADN , Reparación del ADN , ADN/genética , Mutación , Inhibidores de Topoisomerasa II , Animales , Azacitidina/farmacología , Línea Celular , Supervivencia Celular/efectos de los fármacos , Supervivencia Celular/efectos de la radiación , Cricetinae , Cricetulus , ADN/efectos de los fármacos , Proteínas de Unión al ADN/metabolismo , Electroforesis en Gel de Agar , Femenino , Novobiocina/farmacologíaRESUMEN
Yeast DNA ligase is radioactively labelled in vitro by incubating a crude cell extract with [alpha-32P]ATP. The product of this reaction is the stable covalent ligase-AMP adduct, which can be characterized by its reactivity with either pyrophosphate or nicked DNA and visualized by gel electrophoresis and autoradiography. The Saccharomyces cerevisiae DNA ligase was identified as an 89 kDa polypeptide by exploiting the fact that transformants with multiple copies of the plasmid-encoded DNA ligase (CDC9) gene overproduce the enzyme by two orders of magnitude. A similar strategy has been used to identify the Schizosaccharomyces pombe DNA ligase as an 87 kDa polypeptide. Both values agree well with the coding capacities of the respective cloned gene sequences. When the S. cerevisiae ligase is greatly overproduced with respect to wild-type levels, a second polypeptide of 78.5 kDa is also labelled and has the same properties as the 89 kDa adduct. We suggest that this polypeptide is generated by proteolysis.
Asunto(s)
Adenosina Monofosfato/metabolismo , ADN Ligasas/genética , Genes Fúngicos , Genes , Polinucleótido Ligasas/genética , Saccharomyces cerevisiae/genética , Adenosina Trifosfato/metabolismo , ADN Ligasas/aislamiento & purificación , ADN Ligasas/metabolismo , Radioisótopos de Fósforo , Plásmidos , Unión Proteica , Saccharomyces cerevisiae/enzimologíaRESUMEN
The structural and functional organisation of Swi6, a transcriptional regulator of the budding yeast cell cycle has been analysed by a combination of biochemical, biophysical and genetic methods. Limited proteolysis indicates the presence of a approximately 15 kDa N-terminal domain which is dispensable for Swi6 activity in vivo and which is separated from the rest of the molecule by an extended linker of at least 43 residues. Within the central region, a 141 residue segment that is capable of transcriptional activation encompasses a structural domain of approximately 85 residues. In turn, this is tightly associated with an adjacent 28 kDa domain containing at least four ankyrin-repeat (ANK) motifs. A second protease sensitive region connects the ANK domain to the remaining 30 kDa C-terminal portion of Swi6 which contains a second transcriptional activator and sequences required for heteromerisation with Swi4 or Mbp1. Transactivation by the activating regions of Swi6 is antagonised when either are combined with the central ankyrin repeat motifs. Hydrodynamic measurements indicate that an N-terminal 62 kDa fragment comprising the first three domains is monomeric in solution and exhibits an unusually high frictional coefficient consistent with the extended, multi-domain structure suggested by proteolytic analysis.
Asunto(s)
Ciclo Celular/fisiología , Proteínas Fúngicas/química , Proteínas de Saccharomyces cerevisiae , Saccharomyces/química , Factores de Transcripción/química , Ancirinas/química , Quimotripsina/metabolismo , Proteínas de Unión al ADN/química , Proteínas Fúngicas/metabolismo , Peso Molecular , Fragmentos de Péptidos/química , Unión Proteica/genética , Conformación Proteica , Análisis de Secuencia , Eliminación de Secuencia/genética , Factores de Transcripción/metabolismo , Activación Transcripcional/genética , Tripsina/metabolismo , UltracentrifugaciónRESUMEN
We report the first case of two Cu/Zn Sod genes (ccSod1 and ccSod2) that have been cloned and sequenced from an insect, the medfly, Ceratitis capitata. Biochemical evidence suggested the presence of two Sod genes in the medfly. The two genes are isolated using different molecular strategies: ccSod1 via cross-hybridization to a genomic library using a heterologous probe and ccSod2 from cDNA using a homologous probe generated by PCR. Sequence analysis shows that ccSod1 and ccSod2 are different genes. The inferred amino sequences show that all essential residues of the active site are strictly conserved, which suggests both genes encode functional Cu/Zn superoxide dismutase (SOD). Phylogenetic analysis by the maximum parsimony method with bootstrap resampling of previously known Cu/Zn SOD reveals two monophyletic groups, vertebrates and insects. The position of ccSOD2 in this phylogeny is undefined with respect to dipteran ccSOD1, vertebrate, plant, fungal, and extracellular Cu/Zn SOD, which suggests that the duplication detected in Ceratitis is ancient, perhaps as old as the origins of the arthropod phylum in the Cambrian more than 500 million years ago. In situ hybridization to polytene chromosomes places the genes on different chromosomes, which is consistent with an ancient gene duplication.
Asunto(s)
Dípteros/genética , Superóxido Dismutasa/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Southern Blotting , Cromosomas/ultraestructura , Cartilla de ADN , Dípteros/enzimología , Datos de Secuencia Molecular , Filogenia , Reacción en Cadena de la Polimerasa , Alineación de SecuenciaRESUMEN
Down syndrome is a common disorder associated with intellectual disability in humans. Among a variety of severe health problems, patients with Down syndrome exhibit disrupted sleep and abnormal 24-h rest/activity patterns. The transchromosomic mouse model of Down syndrome, Tc1, is a trans-species mouse model for Down syndrome, carrying most of human chromosome 21 in addition to the normal complement of mouse chromosomes and expresses many of the phenotypes characteristic of Down syndrome. To date, however, sleep and circadian rhythms have not been characterized in Tc1 mice. Using both circadian wheel-running analysis and video-based sleep scoring, we showed that these mice exhibited fragmented patterns of sleep-like behaviour during the light phase of a 12:12-h light/dark (LD) cycle with an extended period of continuous wakefulness at the beginning of the dark phase. Moreover, an acute light pulse during night-time was less effective in inducing sleep-like behaviour in Tc1 animals than in wild-type controls. In wheel-running analysis, free running in constant light (LL) or constant darkness (DD) showed no changes in the circadian period of Tc1 animals although they did express subtle behavioural differences including a reduction in total distance travelled on the wheel and differences in the acrophase of activity in LD and in DD. Our data confirm that Tc1 mice express sleep-related phenotypes that are comparable with those seen in Down syndrome patients with moderate disruptions in rest/activity patterns and hyperactive episodes, while circadian period under constant lighting conditions is essentially unaffected.
Asunto(s)
Ritmo Circadiano/genética , Síndrome de Down/genética , Actividad Motora/genética , Proteínas de Neoplasias/deficiencia , Sueño/genética , Animales , Oscuridad , Modelos Animales de Enfermedad , Luz , Ratones Transgénicos , VigiliaRESUMEN
The pyr3 gene of Ustilago maydis encodes a 391-amino acid (aa) polypeptide. The sequence has identifies with dihydro-orotases (DHOases) from other organisms, but is most related to sequences of other monofunctional enzymes. The polypeptide contains the three domains conserved in other DHOases. The polypeptide encoded by the pyr3-1 allele has an aa change seven residues away from the C-terminal conserved domain. Transcription start point (tsp) is 58 nucleotides upstream from the start codon, and is in a region characterised by CTTT and CATC motifs. In the absence of TATA and CAAT boxes, these motifs might be important in transcriptional regulation. Gene disruption experiments suggest that the pyr3 gene product might have another function in addition to that in pyrimidine biosynthesis.
Asunto(s)
Dihidroorotasa/genética , Proteínas Fúngicas/genética , Genes Fúngicos , Ustilago/genética , Alelos , Secuencia de Aminoácidos , Secuencia de Bases , ADN de Hongos , Exones , Intrones , Datos de Secuencia Molecular , Mapeo Restrictivo , Alineación de Secuencia , Transcripción Genética , Transformación Genética , Ustilago/enzimologíaRESUMEN
The nar1 gene was cloned from Ustilago maydis and the 908-amino-acid (aa) sequence of the encoded protein found to have strong identities with other nitrate reductases from fungi and plants. This was especially so in three domains which define enzyme cofactor-binding sites. The gene was isolated alone and in association with the nir1 gene, suggesting that the two genes are closely linked on the chromosome. The phenotype of a strain in which nar1 had been disrupted was consistent with the only role of nar1 being in nitrate reduction. Nitrate ions induced a 90-fold increase in nar1 transcript levels, while ammonium ions repressed transcript levels.
Asunto(s)
Genes Fúngicos , Nitrato Reductasas/química , Nitrato Reductasas/genética , Nitrito Reductasas/genética , Ustilago/enzimología , Ustilago/genética , Secuencia de Aminoácidos , Apoenzimas/genética , Secuencia de Bases , Cromosomas Fúngicos , Cósmidos , ADN de Hongos/análisis , Proteínas Fúngicas/química , Datos de Secuencia Molecular , Nitrato-Reductasa , Nitrito Reductasas/química , Sistemas de Lectura Abierta , Factores de Transcripción , Transcripción Genética , Regulación hacia ArribaRESUMEN
Measurements of DNA polymerase protein levels and polymerase activity through the naturally synchronous mitotic cycle of Physarum polycephalum show that active DNA polymerase-alpha is synthesized throughout the G2 phase, in step with the profile of general protein biosynthesis. Three main components of P. poly-cephalum DNA polymerase of 200, 112 and 70 kDa were found to be immunologically related.
Asunto(s)
ADN Polimerasa II/biosíntesis , Physarum/enzimología , Electroforesis en Gel de Poliacrilamida , Inmunoensayo , Interfase , Mitosis , Peso Molecular , Péptido Hidrolasas/metabolismo , RadioinmunoensayoRESUMEN
Inhibition of programmed cell death of motoneurons during embryonic development requires the presence of their target muscle and coincides with the initial stages of synaptogenesis. To evaluate the role of synapse formation on motoneuron survival during embryonic development, we counted the number of motoneurons in rapsyn-deficient mice. Rapsyn is a 43 kDa protein needed for the formation of postsynaptic specialisations at vertebrate neuromuscular synapses. Here we show that the rapsyn-deficient mice have a significant increase in the number of motoneurons in the brachial lateral motor column during the period of naturally occurring programmed cell death compared to their wild-type littermates. In addition, we observed an increase in intramuscular axonal branching in the rapsyn-deficient diaphragms compared to their wild-type littermates at embryonic day 18.5. These results suggest that deficits in the formation of the postsynaptic specialisation at the neuromuscular synapse, brought about by the absence of rapsyn, are sufficient to induce increases in both axonal branching and the survival of the innervating motoneuron. Moreover, these results support the idea that skeletal muscle activity through effective synaptic transmission and intramuscular axonal branching are major mechanisms that regulate motoneuron survival during development.
Asunto(s)
Diferenciación Celular/genética , Supervivencia Celular/genética , Neuronas Motoras/metabolismo , Proteínas Musculares/deficiencia , Unión Neuromuscular/embriología , Médula Espinal/embriología , Membranas Sinápticas/metabolismo , Animales , Apoptosis/genética , Axones/metabolismo , Axones/ultraestructura , Recuento de Células/estadística & datos numéricos , Tamaño de la Célula/genética , Diafragma/citología , Diafragma/inervación , Diafragma/metabolismo , Femenino , Ratones , Ratones Noqueados , Neuronas Motoras/citología , Proteínas Musculares/genética , Unión Neuromuscular/citología , Unión Neuromuscular/metabolismo , Receptores Colinérgicos/genética , Receptores Colinérgicos/metabolismo , Médula Espinal/citología , Médula Espinal/metabolismo , Membranas Sinápticas/ultraestructuraRESUMEN
Two patients had automatonlike movements of their left hands and arms (alien hand syndrome) following damage to the brain. Autopsy findings in one patient demonstrated gunshot wound damage to the medial frontal white matter bilaterally, as well as the corpus callosum, right basal ganglia, internal capsule, and thalamus. The other patient had a ruptured anterior communicating aneurysm, with subsequent resection of the right frontal gyrus rectus. We postulate that this syndrome is due to the combination of a partial callosectomy and mesial frontal lesions.
Asunto(s)
Brazo , Lesiones Encefálicas/complicaciones , Mano , Aneurisma Intracraneal/complicaciones , Trastornos del Movimiento/etiología , Heridas por Arma de Fuego/complicaciones , Adulto , Encéfalo/patología , Lesiones Encefálicas/diagnóstico por imagen , Lesiones Encefálicas/patología , Femenino , Lóbulo Frontal/patología , Lóbulo Frontal/fisiopatología , Humanos , Aneurisma Intracraneal/patología , Aneurisma Intracraneal/fisiopatología , Aneurisma Intracraneal/cirugía , Masculino , Complicaciones Posoperatorias , Tomografía Computarizada por Rayos X , Volición , Heridas por Arma de Fuego/diagnóstico por imagen , Heridas por Arma de Fuego/patologíaRESUMEN
Thirteen patients displayed neurologic complications of intravenous abuse of "T's and Blues" (pentazocine and tripelennamine). In six, the major presentation was seizures. Three patients had strokes, and three had CNS infections, two fungal and one related to subacute bacterial endocarditis. One patient had hepatic failure and an unusual encephalopathy. Foreign body embolization is common; the materials enter the cerebral circulation because of pulmonary arteriovenous shunts. Emboli may cause seizures, which also occur as a toxic effect of the drugs. Infection is due to unsterile injections. Enzyme elevations and diffuse vasculopathy raise the possibility of immune mechanisms.
Asunto(s)
Enfermedades del Sistema Nervioso Central/inducido químicamente , Pentazocina/efectos adversos , Trastornos Relacionados con Sustancias/complicaciones , Tripelenamina/efectos adversos , Adulto , Infecciones Bacterianas/etiología , Trastornos Cerebrovasculares/inducido químicamente , Femenino , Cuerpos Extraños , Humanos , Enfermedades Pulmonares/inducido químicamente , Masculino , Convulsiones/inducido químicamenteRESUMEN
We examined the clinical characteristics of six right-handed patients who developed speech motor control disorders after human immunodeficiency virus (HIV) infection. They exhibited an ataxic dysarthria, characterized by irregular articulatory breakdowns in consonant and vowel timing; were slow in timed decision-making tasks; and had impaired procedural learning. Other aspects of the neurologic examination revealed signs of diffuse CNS involvement including action-intention tremors, ataxic gait, and release signs. None developed HIV-associated dementia during 1 year of follow-up. Motor speech control disorder appears to be related to a cerebellar dysfunction.