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1.
J Appl Microbiol ; 130(6): 1972-1980, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33064909

RESUMEN

AIM: Aspergillus niger S17-5 produces two alkylitaconic acids, 9-hydroxyhexylitaconic acid (9-HHIA) and 10-hydroxyhexylitaconic acid (10-HHIA), which have cytotoxic and polymer building block properties. In this study, we characterized the production of 9-HHIA and 10-HHIA by addition of their expected precursor, caprylic acid, to a culture of A. niger S17-5, and demonstrated batch fermentation of 9-HHIA and 10-HHIA in a jar fermenter with DO-stat. METHODS AND RESULTS: Production titres of 9-HHIA and 10-HHIA from 3% glucose in a flask after 25 days cultivation were 0·35 and 1·01 g l-1 respectively. Addition of 0·22 g l-1 of caprylic acid to a suspension of resting cells of A. niger S17-5 led to 32% enhancement of total 9-HHIA and 10-HHIA production compared to no addition. No enhancement of the production of 9-HHIA or 10-HHIA by the addition of oxaloacetic acid was observed. Addition of caprylic acid to the culture at mid-growth phase was more suitable for 9-HHIA and 10-HHIA production due to less cell growth inhibition by caprylic acid. DO-stat batch fermentation with 3% glucose and 14·4 g l-1 of caprylic acid in a 1·5 l jar fermenter resulted in the production titres of 9-HHIA and 10-HHIA being 0·48 and 1·54 g l-1 respectively after 10 days of cultivation. CONCLUSIONS: Addition of caprylic acid to the culture of A. niger S17-5 enhances 9-HHIA and 10-HHIA production. SIGNIFICANCE AND IMPACT OF THE STUDY: These results suggest that 9-HHIA and 10-HHIA are synthesized with octanoyl-CoA derived from caprylic acid, and that the supply of octanoyl-CoA is a rate-limiting step in 9-HHIA and 10-HHIA production. To the best of our knowledge, this is the first report regarding the fermentation of naturally occurring itaconic acid derivatives in a jar fermenter.


Asunto(s)
Aspergillus niger/metabolismo , Caprilatos/metabolismo , Succinatos/metabolismo , Aspergillus niger/efectos de los fármacos , Aspergillus niger/crecimiento & desarrollo , Reactores Biológicos , Caprilatos/análisis , Caprilatos/farmacología , Fermentación , Glucosa/análisis , Glucosa/metabolismo , Succinatos/análisis , Succinatos/química
2.
Lett Appl Microbiol ; 72(1): 68-73, 2021 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-32964453

RESUMEN

Engineered Escherichia coli has recently been applied to produce 1,3-propanediol (1,3-PDO) from glucose. A metabolic intermediate in the production pathway, glycerol, is partially secreted into the extracellular of E. coli through a glycerol facilitator encoded by glpF, and this secretion consequently decreases 1,3-PDO production. Therefore, we aimed to determine whether disrupting the glpF gene would improve 1,3-PDO production in E. coli. The intracellular glycerol concentration in a glpF-disruptant was 7·5 times higher than in a non-disruptant. The glpF-disrupted and non-disrupted E. coli strains produced 0·26 and 0·09 g l-1 of 1,3-PDO, respectively, from 1% glucose after 72 h of cultivation. The specific growth rate (µ) and the 1,3-PDO yield from glucose (YP/S ) in the disruptant were higher than those in the non-disruptant (ΔglpF, µ = 0·08 ± 0·00 h-1 , YP/S  = 0·06 mol mol-glucose-1 ; BW25113, µ = 0·06 ± 0·00 h-1 , YP/S  = 0·02 mol mol-glucose-1 ). Disruption of the glpF gene decreased the production of the by-product, acetic acid. These results indicated that disruption of glpF increased the intracellular concentration of glycerol and consequently increased 1,3-PDO production in E. coli.


Asunto(s)
Acuaporinas/metabolismo , Proteínas de Escherichia coli/metabolismo , Escherichia coli/metabolismo , Glicerol/metabolismo , Glicoles de Propileno/metabolismo , Acuaporinas/genética , Escherichia coli/genética , Proteínas de Escherichia coli/genética , Glucosa/metabolismo
3.
Anal Biochem ; 600: 113700, 2020 07 01.
Artículo en Inglés | MEDLINE | ID: mdl-32335062

RESUMEN

Assembling proteins in close vicinity to each other provides an opportunity to gain unique function because collaborative and even synergistic functionalities can be expected in an assembled form. There have been a variety of strategies to synthesize functional protein assemblies but site-specific covalent assembly of monomeric protein units without impairing their intrinsic function remains challenging. Herein we report a powerful strategy to design protein assemblies by using microbial transglutaminase (MTG). A serendipitous discovery of self-crosslinking of enhanced green fluorescent protein (EGFP) fused with StrepTag I at the C-terminus revealed that EGFP was assembled through the crosslinking of the Lys (K) residue in the C-terminus of EGFP and the Gln (Q) residue in StrepTag I (AWRHPQFGG). Site-directed mutagenesis of the residues next to the K and Q yielded EGFP assemblies with higher molecular weights. An optimized peptide tag comprised of both K and Q residues (HKRWRHYQRGG) enabled the assembly of different types of proteins of interest (POI) when it was fused to either the N- or C-terminus. The peptide tag that enabled the self-polymerization of the functional POI without a scaffold was designated as a 'PolyTag'.


Asunto(s)
Escherichia coli/enzimología , Proteínas Fluorescentes Verdes/biosíntesis , Péptidos/metabolismo , Transglutaminasas/metabolismo , Biocatálisis , Proteínas Fluorescentes Verdes/química , Péptidos/química , Transglutaminasas/química
4.
Appl Opt ; 59(13): D104-D110, 2020 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-32400630

RESUMEN

We report the application of cyclic voltammetry and absorption spectroscopy to the characterization and study of the stability of silver colloids in water. The samples are prepared via chemical reduction and the reactions are catalyzed by irradiation with white light. The electrochemical response is related to the characteristic sample surface plasmon resonance (SPR) in the UV-visible absorption spectra. Cyclic voltammetry shows a characteristic reduction peak whose position is specific to each analyzed sample. Optical analysis of a colloid precursor during a 12 h time span, under low-power white-light irradiation, shows that nanoparticles undergo change in size and surface state (absorption bands splitting and inversion) to attain the "stable" colloidal form. While the absorption spectrum bands of the precursor return almost periodically to similar positions, the cyclic voltammogram characteristic reduction peak is displaced as a function of time. Finally, we follow the SPR changes of one "stable" colloid being subjected to electrolysis, heating, and sunlight irradiation, for environmental remediation purposes. Sunlight exposure produces the most significant SPR intensity drop, but the electrochemical technique shows itself promising as well.

5.
Clin Genet ; 93(2): 242-247, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-28594066

RESUMEN

Recent studies suggest that impaired transcription or mitochondrial translation of small RNAs can cause abnormal myelination. A polynucleotide phosphorylase (PNPase) encoded by PNPT1 facilitates the import of small RNAs into mitochondria. PNPT1 mutations have been reported in patients with neurodevelopmental diseases with mitochondrial dysfunction. We report here 2 siblings with PNPT1 mutations who presented delayed myelination as well as mitochondrial dysfunction. We identified compound heterozygous mutations (c.227G>A; p.Gly76Asp and c.574C>T; p.Arg192*) in PNPT1 by quartet whole-exome sequencing. Analyses of skin fibroblasts from the patient showed that PNPase expression was markedly decreased and that import of the small RNA RNaseP into mitochondria was impaired. Exogenous expression of wild-type PNPT1, but not mutants, rescued ATP production in patient skin fibroblasts, suggesting the pathogenicity of the identified mutations. Our cases expand the phenotypic spectrum of PNPT1 mutations that can cause delayed myelination.


Asunto(s)
Exorribonucleasas/genética , Enfermedades Mitocondriales/genética , Vaina de Mielina/genética , Trastornos del Neurodesarrollo/genética , Encéfalo/diagnóstico por imagen , Encéfalo/metabolismo , Encéfalo/patología , Preescolar , Hibridación Genómica Comparativa , Femenino , Regulación de la Expresión Génica , Humanos , Masculino , Mitocondrias/metabolismo , Mitocondrias/patología , Enfermedades Mitocondriales/diagnóstico por imagen , Enfermedades Mitocondriales/metabolismo , Enfermedades Mitocondriales/patología , Mutación , Vaina de Mielina/metabolismo , Vaina de Mielina/patología , Trastornos del Neurodesarrollo/diagnóstico por imagen , Trastornos del Neurodesarrollo/metabolismo , Trastornos del Neurodesarrollo/patología , ARN/genética , Secuenciación del Exoma
6.
Br J Dermatol ; 172(3): 729-38, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25272088

RESUMEN

BACKGROUND: Pemphigus vulgaris (PV) is a potentially fatal autoimmune blistering skin disease. It is known that individuals with autoimmune diseases such as PV, as well as their family members, are at increased risk of developing other autoimmune diseases. However, it is unknown whether there are specific autoimmune diseases that cluster with PV. OBJECTIVES: To investigate the frequency of coexisting autoimmune diseases in patients with PV and their relatives, to determine the prevalence of specific autoimmune diseases in patients with PV vs. the general population and to identify statistically significant clinical clusters linking PV with other autoimmune disorders. METHODS: We performed a cross-sectional study and meta-analysis of patient data from our own patient database (n = 230), an anonymous online survey conducted by our laboratory (n = 171) and the International Pemphigus & Pemphigoid Foundation registry (n = 393). RESULTS: We found that the prevalences of autoimmune thyroid disease (AITD), rheumatoid arthritis and type 1 diabetes were significantly increased in patients with PV compared with the general population. These diseases were also among the most frequent in family members of patients with PV, in addition to systemic lupus erythematosus (SLE). Descriptive cluster analysis using basic principle components methods revealed that PV forms a distinct cluster with AITD, rheumatoid arthritis and type 1 diabetes, and another cluster with SLE, AITD and rheumatoid arthritis. CONCLUSIONS: PV belongs to an established autoimmune disease cluster that includes AITD, rheumatoid arthritis and type 1 diabetes. Our data suggest the possibility of common genetic elements across clinically distinct diseases that might underlie autoimmune susceptibility.


Asunto(s)
Artritis Reumatoide/complicaciones , Diabetes Mellitus Tipo 1/complicaciones , Pénfigo/complicaciones , Enfermedades de la Tiroides/complicaciones , Enfermedades Autoinmunes/complicaciones , Análisis por Conglomerados , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Linaje , Factores de Riesgo
7.
Pharmazie ; 70(11): 716-9, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26790187

RESUMEN

In this study, we compared patients whose activated partial thromboplastin time (APTT) was prolonged excessively with those whose APTT was controlled within the normal range after dabigatran administration. We analyzed the factors for the APTT prolongation. We divided the patients into two groups: those whose APTTs prolonged to more than 65 s and those whose APTTs were less than 65 s after dabigatran administration. There were 130 patients from March 2011 to July 2013, and we analyzed the background features and laboratory data of these patients. Results showed that there were no significant differences in the patients' background and laboratory data except for the high-density lipoprotein cholesterol (HDL-C) level. However, details of the relationship between the APTT prolongation and the HDL-C level are currently unknown. We hypothesize that the reason for the APTT prolongation is the variability in such parameters as the time of blood drawing, internal time of dabigatran, individual variability, and blood concentration. Therefore, we consider that these parameters need to be carefully evaluated even if APTT does not show prolongation.


Asunto(s)
Antitrombinas/efectos adversos , Dabigatrán/efectos adversos , Tiempo de Tromboplastina Parcial , Anciano , Antitrombinas/uso terapéutico , Recuento de Células Sanguíneas , Análisis Químico de la Sangre , HDL-Colesterol/sangre , Dabigatrán/uso terapéutico , Femenino , Humanos , Pruebas de Función Hepática , Masculino , Persona de Mediana Edad
8.
Plant Biol (Stuttg) ; 2024 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-39230438

RESUMEN

While most flowering plants engage in mutualistic interactions with their pollinators, Arisaema species employ a unique, seemingly antagonistic strategy by imprisoning and causing the pollinators to perish within their spathes. Recent studies have revealed that Arisaema thunbergii primarily relies on a fungus gnat, Leia ishitanii, with some individuals possibly escaping female spathes after oviposition. We investigated interactions between A. urashima and its pollinating fungus gnats, given that A. urashima is closely related to A. thunbergii. Specifically, we tested whether decaying A. urashima serve as brood-sites for some pollinators and whether these pollinators can escape seemingly lethal floral traps. We retrieved A. urashima spathes together with adult insect corpses trapped within the spathes and incubated the spathes to see if conspecific insects emerged. In addition, under laboratory conditions, we observed the escape behaviour of Sciophila yokoyamai, whose next-generation adults most frequently emerge from the decaying spathes. Our findings indicate that S. yokoyamai almost always escapes from the female spathe after oviposition while using the inflorescence as a nursery. In contrast, other pollinators of A. urashima, including Mycetophila spp., remain trapped and perished within the spathes. This study demonstrates that A. urashima spathes can function both as lethal traps and mutualistic nurseries, with outcomes differing among pollinator species. Our results also suggest that the contribution of certain pollinators to Arisaema reproduction is underestimated or even neglected, given that information on their pollinator assemblages has been based on floral visitors trapped within the inflorescences.

9.
J Appl Microbiol ; 115(1): 282-9, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23551813

RESUMEN

AIMS: To determine the herd prevalence of Enterobacteriaceae producing CTX-M-type extended-spectrum ß-lactamases (ESBLs) among 381 dairy farms in Japan. METHODS AND RESULTS: Between 2007 and 2009, we screened 897 faecal samples using BTB lactose agar plates containing cefotaxime (2 µg ml(-1)). Positive isolates were tested using ESBL confirmatory tests, PCR and sequencing for CTX-M, AmpC, TEM and SHV. The incidence of Enterobacteriaceae producing CTX-M-15 (n = 7), CTX-M-2 (n = 12), CTX-M-14 (n = 3), CMY-2 (n = 2) or CTX-M-15/2/14 and CMY-2 (n = 4) in bovine faeces was 28/897 (3·1%) faecal samples. These genes had spread to Escherichia coli (n = 23) and three genera of Enterobacteriaceae (n = 5). Herd prevalence was found to be 20/381 (5·2%) dairy farms. The 23 E. coli isolates showed clonal diversity, as assessed by multilocus sequence typing and pulsed-field gel electrophoresis. The pandemic E. coli strain ST131 producing CTX-M-15 or CTX-M-27 was not detected. CONCLUSIONS: Three clusters of CTX-M (CTX-M-15, CTX-M-2, CTX-M-14) had spread among Japanese dairy farms. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first report on the prevalence of multidrug-resistant CTX-M-15-producing E. coli among Japanese dairy farms.


Asunto(s)
Bovinos/microbiología , Enterobacteriaceae/enzimología , beta-Lactamasas/análisis , Animales , Antibacterianos/farmacología , Industria Lechera , Electroforesis en Gel de Campo Pulsado , Enterobacteriaceae/efectos de los fármacos , Enterobacteriaceae/aislamiento & purificación , Escherichia coli/clasificación , Escherichia coli/genética , Escherichia coli/aislamiento & purificación , Heces/microbiología , Japón , Tipificación de Secuencias Multilocus
10.
Clin Exp Immunol ; 170(1): 86-93, 2012 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-22943204

RESUMEN

We investigated the non-genomic effects of glucocorticoids (GCs) on inhibition of plasma membrane lipid raft formation in activated human basophils. Human basophils obtained from house dust mite (HDM)-sensitive volunteers were pretreated with hydrocortisone (CORT) or dexamethasone (Dex) for 30 min and then primed with phorbol 12-myristate 13-acetate (PMA, 10 ng/ml) or HDM (10 µg/ml). The expression of CD63, a basophil activation marker, was assessed by flow cytometry. Membrane-bound GC receptors (mGCRs) were analysed by flow cytometry and confocal laser microscopy. Lipid rafts were assessed using a GM1 ganglioside probe and visualization by confocal laser microscopy. Pretreatment of basophils with CORT (10(-4) M and 10(-5) M) and Dex (10(-7) M) significantly inhibited CD63 expression 20 min after addition of PMA or HDM. The inhibitory effects of GCs were not altered by the nuclear GC receptor (GCR) antagonist RU486 (10(-5) M) or the protein synthesis inhibitor cycloheximide (10(-4) M) (P < 0·05). CORT coupled to bovine serum albumin (BSA-CORT) mimicked the rapid inhibitory effects of CORT, suggesting the involvement of mGCRs. mGCRs were detectable on the plasma membrane of resting basophils and formed nanoclusters following treatment with PMA or HDM. Pretreatment of cells with BSA-CORT inhibited the expression of mGCRs and nanoclustering of ganglioside GM1 in lipid rafts. The study provides evidence that non-genomic mechanisms are involved in the rapid inhibitory effect of GCs on the formation of lipid raft nanoclusters, through binding to mGCRs on the plasma membrane of activated basophils.


Asunto(s)
Basófilos/efectos de los fármacos , Glucocorticoides/farmacología , Microdominios de Membrana/efectos de los fármacos , Pyroglyphidae/metabolismo , Receptores de Glucocorticoides/metabolismo , Animales , Basófilos/inmunología , Basófilos/metabolismo , Bovinos , Membrana Celular/inmunología , Membrana Celular/metabolismo , Células Cultivadas , Cicloheximida/farmacología , Dexametasona/inmunología , Dexametasona/farmacología , Citometría de Flujo , Gangliósido G(M1)/metabolismo , Regulación de la Expresión Génica , Glucocorticoides/inmunología , Humanos , Hidrocortisona/inmunología , Hidrocortisona/farmacología , Leucocitos Mononucleares/citología , Microdominios de Membrana/inmunología , Microdominios de Membrana/metabolismo , Microscopía Confocal , Mifepristona/farmacología , Pyroglyphidae/inmunología , Receptores de Glucocorticoides/análisis , Receptores de Glucocorticoides/antagonistas & inhibidores , Albúmina Sérica Bovina/metabolismo , Acetato de Tetradecanoilforbol/inmunología , Acetato de Tetradecanoilforbol/farmacología , Tetraspanina 30/análisis , Tetraspanina 30/antagonistas & inhibidores
11.
Nature ; 440(7081): 184-6, 2006 Mar 09.
Artículo en Inglés | MEDLINE | ID: mdl-16525466

RESUMEN

The prompt gamma-ray emission from gamma-ray bursts (GRBs) should be detectable out to distances of z > 10 (ref. 1), and should therefore provide an excellent probe of the evolution of cosmic star formation, reionization of the intergalactic medium, and the metal enrichment history of the Universe. Hitherto, the highest measured redshift for a GRB has been z = 4.50 (ref. 5). Here we report the optical spectrum of the afterglow of GRB 050904 obtained 3.4 days after the burst; the spectrum shows a clear continuum at the long-wavelength end of the spectrum with a sharp cut-off at around 9,000 A due to Lyman alpha absorption at z approximately 6.3 (with a damping wing). A system of absorption lines of heavy elements at z = 6.295 +/- 0.002 was also detected, yielding the precise measurement of the redshift. The Si ii fine-structure lines suggest a dense, metal-enriched environment around the progenitor of the GRB.

12.
Lett Appl Microbiol ; 54(6): 572-6, 2012 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22443137

RESUMEN

AIMS: To evaluate the antimicrobial susceptibility and genetic relatedness of 11 Stenotrophomonas maltophilia isolates from an outbreak of bovine clinical mastitis in one herd and two isolates from two separate mastitis cases in two other herds. METHODS AND RESULTS: Thirteen S. maltophilia isolates were obtained from milk samples from 11 cows from three dairy herds in Japan during 2008. We tested their susceptibility to 14 antimicrobials by broth microdilution and identified their genotypes by enterobacterial repetitive intergenic consensus 2 (ERIC2)-PCR. Every cow had acute mild mastitis (slightly watery foremilk with flakes) without systemic symptoms and all resolved within 3-5 weeks of diagnosis. Eleven of the 13 isolates derived from nine cows in one herd over a 7-month period exhibited a closely related ERIC2 type (A). The remaining two isolates derived from two cows from two other herds exhibited two distinct ERIC2 types (B and C). Most of the 13 isolates exhibited susceptibility to trimethoprim-sulfamethoxazole, chloramphenicol, minocycline and levofloxacin; however, they were resistant to four ß-lactams, kanamycin, gentamicin and oxytetracycline. They were intermediate to enrofloxacin. CONCLUSIONS: Eleven closely related S. maltophilia isolates were involved in a herd outbreak of mastitis to some extent. Bovine S. maltophilia isolates exhibited resistance to many classes of antimicrobials. SIGNIFICANCE AND IMPACT OF STUDY: This is a rare report of a herd outbreak of bovine mastitis involving closely related S. maltophilia isolates.


Asunto(s)
Antibacterianos/farmacología , Brotes de Enfermedades/veterinaria , Mastitis Bovina/microbiología , Stenotrophomonas maltophilia/efectos de los fármacos , Stenotrophomonas maltophilia/genética , Animales , Técnicas de Tipificación Bacteriana , Bovinos/microbiología , Femenino , Japón , Pruebas de Sensibilidad Microbiana , Leche/microbiología , Reacción en Cadena de la Polimerasa , Stenotrophomonas maltophilia/clasificación , Stenotrophomonas maltophilia/aislamiento & purificación
13.
Endoscopy ; 43(10): 862-8, 2011 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-21732270

RESUMEN

BACKGROUND AND STUDY AIMS: Conventional colonoscopy can result in unnecessary biopsy or endoscopic resection due to its inability to distinguish adenomas from hyperplastic polyps. This study therefore evaluated the efficacy of high-resolution endoscopy (HRE), autofluorescence imaging (AFI), and narrow-band imaging (NBI) in discriminating colon adenoma from hyperplastic polyps. PATIENTS AND METHODS: This was a prospective multicenter study in patients undergoing AFI and NBI examinations. HRE, AFI, and NBI images were classified into two groups based on morphological characteristics, the predominant color intensities, and the visibility of meshed capillary vessels, respectively. Each of the endoscopic photographs were independently evaluated by a single endoscopist. The images were then assessed by three specialists and three residents, the latter having performed < 500 colonoscopies and < 30 NBI and AFI examinations. Diagnostic test statistics were calculated to compare the accuracy in differentiating colon adenoma from hyperplastic polyps for each method. RESULTS: A total of 183 patients were enrolled in the study and 339 adenomas and 85 hyperplastic polyps were identified. AFI and NBI could distinguish adenoma from hyperplastic polyps with an accuracy of 84.9 % and 88.4 %, respectively, whereas HRE exhibited an accuracy of 75.9 %. In the 358 lesions in which the AFI diagnosis was consistent with that of NBI, the accuracy, sensitivity, and specificity were high, at 91.9 %, 92.7 %, and 92.9 %, respectively. During the study comparing specialists and residents, AFI and NBI dramatically improved the diagnostic accuracy of residents from 69.1 % to 86.1 % and 84.7 %, respectively. CONCLUSIONS: Both AFI and NBI are considered to be feasible tools that can discriminate colon adenoma from hyperplastic polyps, and their use may be particularly beneficial for less-experienced endoscopists.


Asunto(s)
Adenoma/diagnóstico , Neoplasias del Colon/diagnóstico , Pólipos del Colon/diagnóstico , Colonoscopía/métodos , Aumento de la Imagen/métodos , Anciano , Diagnóstico Diferencial , Femenino , Fluorescencia , Humanos , Luz , Masculino , Persona de Mediana Edad , Variaciones Dependientes del Observador , Sensibilidad y Especificidad , Estadísticas no Paramétricas
14.
Clin Exp Dermatol ; 36(1): 24-8, 2011 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-20569255

RESUMEN

BACKGROUND: Healthcare resource utilization (HCRU) by patients with plaque psoriasis increases with skin lesion severity; however, the relationship between patient quality of life (QoL), which correlates only weakly with clinical severity, and HCRU is less understood. AIM: To evaluate the relationship between QoL, HCRU and employment in European patients with plaque psoriasis. METHODS: Patients (n = 897) were recruited in five European countries. Data were analysed by group according to the Dermatology Life Quality Index (DLQI): ≤ 10 (better QoL) and > 10 (worse QoL). RESULTS: Mean numbers of primary dermatologist visits and hospitalizations were significantly higher for patients with DLQI > 10. Likewise, significantly more patients with worse QoL reported employment disadvantages. Significant differences were maintained even after adjusting for age, gender and body surface area affected. CONCLUSIONS: In patients with plaque psoriasis, poorer QoL is associated with increased HCRU, independent of clinical severity. This suggests that QoL, in addition to skin lesion severity, should be considered in predicting the economic burden of disease.


Asunto(s)
Necesidades y Demandas de Servicios de Salud/estadística & datos numéricos , Psoriasis/fisiopatología , Índice de Severidad de la Enfermedad , Adulto , Europa (Continente) , Femenino , Necesidades y Demandas de Servicios de Salud/economía , Humanos , Masculino , Persona de Mediana Edad , Psoriasis/psicología , Calidad de Vida , Análisis de Regresión , Encuestas y Cuestionarios , Población Blanca , Adulto Joven
15.
J Exp Med ; 164(5): 1455-69, 1986 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-2945890

RESUMEN

The expression of Fc epsilon R on human lymphocytes was studied with the anti-Fc epsilon R mAbs. Fc epsilon R was expressed on most mu+,delta+ circulating B cells, whereas T cells did not express Fc epsilon R even in patients with hyper-IgE syndrome. B cells with gamma, alpha, or epsilon phenotype did not express Fc epsilon R, moreover its expression could not be induced, suggesting that the Fc epsilon R expression was correlated with isotype switching. mu+delta+ B cells in bone marrow did not express Fc epsilon R, but PHA-sup (supernatant from PHA-stimulated cell cultures) could induce its expression, and the addition of IgE augmented this induction. Recombinant IL-2, IL-1, IFN-gamma or -beta, or purified B cell differentiation factor (BSF-2 B cell-stimulatory factor 2) could not induce Fc epsilon R expression in bone marrow B cells. IFN-gamma inhibited the Fc epsilon R expression induced by PHA-sup, suggesting that the human counterpart of BSF-1 may be responsible for Fc epsilon R expression in bone marrow B cells. B cells from patients with common variable immunodeficiency and ataxia telangiectasia did not express Fc epsilon R, but PHA-sup could induce its expression, indicating that circulating B cells of these patients are at a differentiation stage similar to B cells in bone marrow. The study showed that Fc epsilon R is a B cell-specific differentiation marker, the expression of which is restricted to a defined stage of B cell differentiation.


Asunto(s)
Linfocitos B/análisis , Isotipos de Inmunoglobulinas/análisis , Receptores Fc/análisis , Linfocitos B/inmunología , Médula Ósea/análisis , Diferenciación Celular , Humanos , Inmunoglobulina E/inmunología , Síndromes de Inmunodeficiencia/metabolismo , Linfocinas/farmacología , Tonsila Palatina/análisis , Fitohemaglutininas/farmacología , Receptores Fc/biosíntesis , Receptores de IgE
16.
Ann Rheum Dis ; 69(1): 222-5, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19293160

RESUMEN

OBJECTIVES: To compare the effects of etanercept (ETN) 50 mg once weekly plus methotrexate (MTX) versus MTX alone on patient-reported outcomes (PROs) and the relationship between remission and PRO improvement. METHODS: In this double-blind, randomised clinical trial (COMET), PROs included: the Health Assessment Questionnaire (HAQ), EuroQoL health status, fatigue and pain visual analogue scales, Hospital Anxiety and Depression Scale, and Medical Outcomes Short-Form-36. Mean changes from baseline were analysed by analysis of covariance using the last observation carried forward method. Results from week 52 are presented. RESULTS: Most PROs demonstrated significantly greater improvements with ETN+MTX than MTX alone, including physical functioning, pain, fatigue and overall health status. A significantly greater improvement in HAQ score was observed in the ETN+MTX than the MTX group (-1.02 vs -0.72; p<0.001) and a greater proportion reached the minimal clinically important difference of 0.22 (88% vs 78%; p<0.006). The relationship between PRO score and clinical status indicated that improvement was greatest among patients achieving remission. CONCLUSIONS: Early treatment with ETN+MTX leads to significantly greater improvements in multiple dimensions of PROs than MTX alone. The close relationship between disease activity and PRO improvement suggests that early treatment, with remission as a goal, should maximise the chance of restoring normal functioning and HRQoL.


Asunto(s)
Antirreumáticos/uso terapéutico , Artritis Reumatoide/tratamiento farmacológico , Inmunoglobulina G/uso terapéutico , Metotrexato/uso terapéutico , Receptores del Factor de Necrosis Tumoral/uso terapéutico , Método Doble Ciego , Quimioterapia Combinada , Etanercept , Femenino , Humanos , Masculino , Persona de Mediana Edad , Inducción de Remisión , Índice de Severidad de la Enfermedad , Resultado del Tratamiento
17.
J Eur Acad Dermatol Venereol ; 24(5): 548-54, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-19874432

RESUMEN

BACKGROUND: Estimates of psoriatic arthritis (PsA) prevalence among psoriasis patients vary widely (5-40%). The time to development of PsA in patients with plaque psoriasis also remains unclear. OBJECTIVES: To examine whether length of time since diagnosis of psoriasis affects risk of developing PsA, and to assess differences in quality of life (QoL), work-related issues, comorbidities and healthcare resource utilization (HCRU) for patients with PsA vs. psoriasis. METHODS: This large cross-sectional observational study was conducted in the UK, Italy, France, Spain and Germany in 2006. Dermatologists who actively treated patients with psoriasis recruited 10 consecutive patients with psoriasis. Presence of PsA, body surface area (BSA) affected with psoriasis and HCRU were recorded; patients completed EUROQoL (EQ5D) and employment disadvantages questionnaires. RESULTS: Patients with psoriasis (n = 1560) included 126 with PsA. Ninety per cent of these patients with PsA were seen by dermatologists who involved a rheumatologist in the care of their patients with PsA. Survival analysis indicated that the incidence of PsA among psoriasis patients remained constant (74 per 1000 person-years), while the prevalence increased with time since diagnosis of psoriasis, reaching 20.5% after 30 years. In addition, those with high BSA currently affected by psoriasis were more likely to have developed PsA (P < 0.028). PsA patients reported reduced QoL compared with psoriasis patients (EQ5D score: 0.56 vs. 0.82: P < 0.0005), as well as more work problems. PsA patients were more likely to be hospitalized (0.27 +/- 0.84 vs. 0.14 +/- 0.71 per year; P < 0.0005) and have additional comorbidities than those without PsA. CONCLUSIONS: The incidence of PsA was constant after initial diagnosis of psoriasis, leading to a higher prevalence of concomitant PsA over time. PsA is associated with decreased QoL and increased work-related problems, HCRU and comorbidities. Dermatologists should screen for PsA in their patients, especially long-standing patients who did not initially present with PsA.


Asunto(s)
Artritis Psoriásica/epidemiología , Artritis Psoriásica/complicaciones , Estudios Transversales , Europa (Continente) , Humanos , Calidad de Vida
18.
J Dairy Sci ; 93(5): 1861-7, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20412899

RESUMEN

Parathyroid hormone-related protein (PTHrP), which causes hypercalcemia associated with malignant tumors, is known to be present in milk. Gene expression of PTHrP in the mammary gland increases markedly during parturition and with the onset of lactation. Even when circulating PTHrP levels are extremely low or below the detection limit, milk PTHrP levels are remarkably high. Parathyroid hormone-related protein derived from the mammary gland is assumed to play a role in maintaining the maternal calcium homeostasis and calcium transport from blood to milk. In previous studies that determined the PTHrP concentrations in milk, the pretreatments and diluent composition were not standardized. Here, we investigated the effect of various pretreatment procedures and diluent constitutions and the consequent PTHrP concentrations in commercial milk and milk products in Japan. Significant differences were found in PTHrP concentrations in raw milk samples subjected to different combinations of pretreatments (mixing, centrifugation, acidification, and heating) and diluents (0pM standard solution of PTHrP, plasma treated with protease inhibitors, and original diluent). We measured the PTHrP concentrations in normal liquid milk, processed milk, milk drinks, formulated milk powders, and skim milk powder by using the appropriate combination of pretreatment (acidification) and diluent (plasma treated with protease inhibitors). The PTHrP concentration in normal liquid milk, processed milk, and skim milk powder was as high as that in raw milk (>5nM), whereas that in milk drinks differed considerably. The PTHrP concentration in infant formulas (<2nM) was lower than that in the other milk products. These results indicate that a certain amount of PTHrP is ingested when milk and milk products are consumed.


Asunto(s)
Tecnología de Alimentos/métodos , Leche/química , Proteína Relacionada con la Hormona Paratiroidea/análisis , Animales , Calor , Humanos , Técnicas de Dilución del Indicador , Fórmulas Infantiles/química , Recién Nacido , Japón
19.
J Cell Biol ; 40(1): 179-89, 1969 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-4972813

RESUMEN

Digestion of rabbit liver microsomal smooth vesicles with Bacillus subtilis protease released proteins and peptide fragments from the vesicles, without solubilizing phospholipids and cholesterol. The proteolysis was, however, limited when about 30% of the protein had been solubilized. The same limitation was observed when the vesicles were treated with trypsin, chymotrypsin, or their combinations with the bacterial protease. The limited proteolysis was accompanied by selective solubilization of cytochrome b(5) and microsomal NADPH-specific flavoprotein, leaving the CO-binding hemoprotein and some other enzymes still attached to the vesicular membranes. Sucrose density gradient centrifugation of protease-treated vesicles indicated that all the vesicles had been attacked by the protease to similar extents. The behavior of intact and digested vesicles in dextran density gradient centrifugation suggested that the vesicles, even after proteolytic digestion, existed in the form of closed sacs which were impermeable to macromolecules such as dextran and proteases. It was concluded that only the outside surface of the vesicles is susceptible to the proteolytic action and that cytochrome b(5) and the NADPH-specific flavoprotein are located in the susceptible area.


Asunto(s)
Hígado/citología , Microsomas/efectos de los fármacos , Péptido Hidrolasas/farmacología , Animales , Bacillus subtilis , Sitios de Unión , Centrifugación por Gradiente de Densidad , Colesterol/análisis , Cromatografía en Gel , Quimotripsina/farmacología , Membranas/efectos de los fármacos , Microsomas/análisis , Ácidos Neuramínicos/análisis , Fosfolípidos/análisis , Proteínas/análisis , ARN/análisis , Conejos , Tripsina/farmacología
20.
Clin Exp Rheumatol ; 27(3): 430-8, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19604435

RESUMEN

OBJECTIVE: To investigate the histopathological and immunohistochemical properties of degenerative changes in the ligamentum flavum of the cervical spine with calcium crystal deposition. METHODS: Sections of the calcified ligamentum flavum harvested from 26 patients who required cervical decompression were examined by scanning electron microscopy (SEM), energy dispersive X-ray microanalysis, immunohistochemical staining [for transforming growth factor (TGF)-Beta, vascular endothelial growth factor (VEGF), Sox9, and Msx2] and terminal deoxynucleotidyl transferase (TdT)-mediated dUTP-biotin nick end labelling (TUNEL) method (for cell apoptosis). RESULTS: Energy dispersive x-ray microanalysis and SEM confirmed the deposited calcium to be calcium pyrophosphate dihydrate (CPPD) crystals. The calcified ligamentum flavum showed disorganisation of the elastic fibre bundles together with increased collagen fibrils in the matrix. Abundant hypertrophic chondrocytes were noted around the calcified lesions, which were strongly immunoreactive to TGF-Beta and VEGF. Staining for Sox9 was positive in metaplastic chondrocytes but negative in hypertrophic chondrocytes. Both chondrocytes and mesenchymal cells were positive for Msx2. TUNEL-positive hypertrophic chondrocytes were significantly more noticeable in nodular than diffusely scattered type of CPPD deposition. CONCLUSIONS: Calcium crystal deposition in the cervical ligamentum flavum seems to progress with reduction in elastic fibres, increase in collagen fibrils in the matrix, and migration of metaplastic hypertrophic chondrocytes, whose differentiation is controlled by cytokines and transcriptional factors, and potentially regulate crystal formation. The presence of abundant TUNEL-positive hypertrophic chondrocytes around CPPD deposition suggests that materials from apoptotic cells play some role in crystal deposition.


Asunto(s)
Pirofosfato de Calcio/metabolismo , Vértebras Cervicales/metabolismo , Ligamento Amarillo/metabolismo , Compresión de la Médula Espinal/metabolismo , Anciano , Anciano de 80 o más Años , Vértebras Cervicales/diagnóstico por imagen , Vértebras Cervicales/patología , Condrocitos/diagnóstico por imagen , Condrocitos/metabolismo , Condrocitos/patología , Cristalización , Descompresión Quirúrgica , Tejido Elástico/ultraestructura , Microanálisis por Sonda Electrónica , Femenino , Proteínas de Homeodominio/metabolismo , Humanos , Ligamento Amarillo/diagnóstico por imagen , Ligamento Amarillo/patología , Masculino , Microscopía Electrónica de Rastreo , Persona de Mediana Edad , Radiografía , Estudios Retrospectivos , Factor de Transcripción SOX9/metabolismo , Compresión de la Médula Espinal/patología , Compresión de la Médula Espinal/cirugía , Factor de Crecimiento Transformador beta/metabolismo , Factor A de Crecimiento Endotelial Vascular/metabolismo
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