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1.
J Neuroinflammation ; 21(1): 216, 2024 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-39218899

RESUMO

Parkinson's disease (PD) is characterized by neuroinflammation, progressive loss of dopaminergic neurons, and accumulation of α-synuclein (α-Syn) into insoluble aggregates called Lewy pathology. The Line 61 α-Syn mouse is an established preclinical model of PD; Thy-1 is used to promote human α-Syn expression, and features of sporadic PD develop at 9-18 months of age. To accelerate the PD phenotypes, we injected sonicated human α-Syn preformed fibrils (PFFs) into the striatum, which produced phospho-Syn (p-α-Syn) inclusions in the substantia nigra pars compacta and significantly increased MHC Class II-positive immune cells. Additionally, there was enhanced infiltration and activation of innate and adaptive immune cells in the midbrain. We then used this new model, Line 61-PFF, to investigate the effect of inhibiting the JAK/STAT signaling pathway, which is critical for regulation of innate and adaptive immune responses. After administration of the JAK1/2 inhibitor AZD1480, immunofluorescence staining showed a significant decrease in p-α-Syn inclusions and MHC Class II expression. Flow cytometry showed reduced infiltration of CD4+ T-cells, CD8+ T-cells, CD19+ B-cells, dendritic cells, macrophages, and endogenous microglia into the midbrain. Importantly, single-cell RNA-Sequencing analysis of CD45+ cells from the midbrain identified 9 microglia clusters, 5 monocyte/macrophage (MM) clusters, and 5 T-cell (T) clusters, in which potentially pathogenic MM4 and T3 clusters were associated with neuroinflammatory responses in Line 61-PFF mice. AZD1480 treatment reduced cell numbers and cluster-specific expression of the antigen-presentation genes H2-Eb1, H2-Aa, H2-Ab1, and Cd74 in the MM4 cluster and proinflammatory genes such as Tnf, Il1b, C1qa, and C1qc in the T3 cluster. Together, these results indicate that inhibiting the JAK/STAT pathway suppresses the activation and infiltration of innate and adaptive cells, reducing neuroinflammation in the Line 61-PFF mouse model.


Assuntos
Modelos Animais de Doenças , Doenças Neuroinflamatórias , Doença de Parkinson , Fatores de Transcrição STAT , Transdução de Sinais , alfa-Sinucleína , Animais , Camundongos , Doenças Neuroinflamatórias/metabolismo , Doenças Neuroinflamatórias/tratamento farmacológico , alfa-Sinucleína/metabolismo , alfa-Sinucleína/genética , Transdução de Sinais/efeitos dos fármacos , Transdução de Sinais/fisiologia , Fatores de Transcrição STAT/metabolismo , Fatores de Transcrição STAT/antagonistas & inibidores , Fatores de Transcrição STAT/genética , Doença de Parkinson/metabolismo , Doença de Parkinson/patologia , Doença de Parkinson/imunologia , Humanos , Camundongos Transgênicos , Camundongos Endogâmicos C57BL , Janus Quinases/metabolismo , Janus Quinases/antagonistas & inibidores , Transtornos Parkinsonianos/metabolismo , Transtornos Parkinsonianos/patologia , Transtornos Parkinsonianos/imunologia , Pirimidinas/farmacologia
2.
J Immunol ; 209(5): 896-906, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-35914835

RESUMO

Protein kinase CK2 is a serine/threonine kinase composed of two catalytic subunits (CK2α and/or CK2α') and two regulatory subunits (CK2ß). CK2 promotes cancer progression by activating the NF-κB, PI3K/AKT/mTOR, and JAK/STAT pathways, and also is critical for immune cell development and function. The potential involvement of CK2 in CD8+ T cell function has not been explored. We demonstrate that CK2 protein levels and kinase activity are enhanced upon mouse CD8+ T cell activation. CK2α deficiency results in impaired CD8+ T cell activation and proliferation upon TCR stimulation. Furthermore, CK2α is involved in CD8+ T cell metabolic reprogramming through regulating the AKT/mTOR pathway. Lastly, using a mouse Listeria monocytogenes infection model, we demonstrate that CK2α is required for CD8+ T cell expansion, maintenance, and effector function in both primary and memory immune responses. Collectively, our study implicates CK2α as an important regulator of mouse CD8+ T cell activation, metabolic reprogramming, and differentiation both in vitro and in vivo.


Assuntos
Caseína Quinase II , NF-kappa B , Linfócitos T CD8-Positivos/metabolismo , Caseína Quinase II/metabolismo , Fosfatidilinositol 3-Quinases , Proteínas Serina-Treonina Quinases , Proteínas Proto-Oncogênicas c-akt , Receptores de Antígenos de Linfócitos T , Serina , Linfócitos T/metabolismo , Serina-Treonina Quinases TOR
3.
Clin Immunol ; 189: 4-13, 2018 04.
Artigo em Inglês | MEDLINE | ID: mdl-27713030

RESUMO

The Janus Kinase/Signal Transducers and Activators of Transcription (JAK/STAT) signaling pathway is utilized by numerous cytokines and interferons, and is essential for the development and function of both innate and adaptive immunity. Aberrant activation of the JAK/STAT pathway is evident in neuroinflammatory diseases such as Multiple Sclerosis and Parkinson's Disease. Innate immunity is the front line defender of the immune system and is composed of various cell types, including microglia, macrophages and neutrophils. Innate immune responses have both pathogenic and protective roles in neuroinflammation, depending on disease context and the microenvironment in the central nervous system. In this review, we discuss the role of innate immunity in the pathogenesis of neuroinflammatory diseases, how the JAK/STAT signaling pathway regulates the innate immune response, and finally, the potential for ameliorating neuroinflammation by utilization of JAK/STAT inhibitors.


Assuntos
Imunidade Inata/imunologia , Janus Quinases/imunologia , Esclerose Múltipla/imunologia , Doença de Parkinson/imunologia , Fatores de Transcrição STAT/imunologia , Transdução de Sinais/imunologia , Humanos , Janus Quinases/metabolismo , Macrófagos/imunologia , Macrófagos/metabolismo , Microglia/imunologia , Microglia/metabolismo , Modelos Imunológicos , Esclerose Múltipla/metabolismo , Doença de Parkinson/metabolismo , Fatores de Transcrição STAT/metabolismo
4.
J Neurosci ; 36(18): 5144-59, 2016 05 04.
Artigo em Inglês | MEDLINE | ID: mdl-27147665

RESUMO

UNLABELLED: Parkinson's Disease (PD) is an age-related, chronic neurodegenerative disorder. At present, there are no disease-modifying therapies to prevent PD progression. Activated microglia and neuroinflammation are associated with the pathogenesis and progression of PD. Accumulation of α-synuclein (α-SYN) in the brain is a core feature of PD and leads to microglial activation, inflammatory cytokine/chemokine production, and ultimately to neurodegeneration. Given the importance of the JAK/STAT pathway in activating microglia and inducing cytokine/chemokine expression, we investigated the therapeutic potential of inhibiting the JAK/STAT pathway using the JAK1/2 inhibitor, AZD1480. In vitro, α-SYN exposure activated the JAK/STAT pathway in microglia and macrophages, and treatment with AZD1480 inhibited α-SYN-induced major histocompatibility complex Class II and inflammatory gene expression in microglia and macrophages by reducing STAT1 and STAT3 activation. For in vivo studies, we used a rat model of PD induced by viral overexpression of α-SYN. AZD1480 treatment inhibited α-SYN-induced neuroinflammation by suppressing microglial activation, macrophage and CD4(+) T-cell infiltration and production of proinflammatory cytokines/chemokines. Numerous genes involved in cell-cell signaling, nervous system development and function, inflammatory diseases/processes, and neurological diseases are enhanced in the substantia nigra of rats with α-SYN overexpression, and inhibited upon treatment with AZD1480. Importantly, inhibition of the JAK/STAT pathway prevented the degeneration of dopaminergic neurons in vivo These results indicate that inhibiting the JAK/STAT pathway can prevent neuroinflammation and neurodegeneration by suppressing activation of innate and adaptive immune responses to α-SYN. Furthermore, this suggests the feasibility of targeting the JAK/STAT pathway as a neuroprotective therapy for neurodegenerative diseases. SIGNIFICANCE STATEMENT: α-SYN plays a central role in the pathophysiology of PD through initiation of neuroinflammatory responses. Using an α-SYN overexpression PD model, we demonstrate a beneficial therapeutic effect of AZD1480, a specific inhibitor of JAK1/2, in suppressing neuroinflammation and neurodegeneration. Our findings document that inhibition of the JAK/STAT pathway influences both innate and adaptive immune responses by suppressing α-SYN-induced microglia and macrophage activation and CD4(+) T-cell recruitment into the CNS, ultimately suppressing neurodegeneration. These findings are the first documentation that suppression of the JAK/STAT pathway disrupts the circuitry of neuroinflammation and neurodegeneration, thus attenuating PD pathogenesis. JAK inhibitors may be a viable therapeutic option for the treatment of PD patients.


Assuntos
Neurônios Dopaminérgicos/efeitos dos fármacos , Inflamação/prevenção & controle , Janus Quinases/antagonistas & inibidores , Doenças Neurodegenerativas/prevenção & controle , Fármacos Neuroprotetores/farmacologia , Pirazóis/farmacologia , Pirimidinas/farmacologia , Fatores de Transcrição STAT/antagonistas & inibidores , alfa-Sinucleína/antagonistas & inibidores , alfa-Sinucleína/toxicidade , Animais , Inflamação/induzido quimicamente , Macrófagos/efeitos dos fármacos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Microglia/efeitos dos fármacos , Doença de Parkinson/patologia , Ratos , Ratos Sprague-Dawley
5.
J Immunol ; 195(3): 841-52, 2015 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-26085687

RESUMO

The JAK/STAT pathway is critical for development, regulation, and termination of immune responses, and dysregulation of the JAK/STAT pathway, that is, hyperactivation, has pathological implications in autoimmune and neuroinflammatory diseases. Suppressor of cytokine signaling 3 (SOCS3) regulates STAT3 activation in response to cytokines that play important roles in the pathogenesis of neuroinflammatory diseases, including IL-6 and IL-23. We previously demonstrated that myeloid lineage-specific deletion of SOCS3 resulted in a severe, nonresolving atypical form of experimental autoimmune encephalomyelitis (EAE), characterized by lesions, inflammatory infiltrates, elevated STAT activation, and elevated cytokine and chemokine expression in the cerebellum. Clinically, these mice exhibit ataxia and tremors. In this study, we provide a detailed analysis of this model, demonstrating that the atypical EAE observed in LysMCre-SOCS3(fl/fl) mice is characterized by extensive neutrophil infiltration into the cerebellum and brainstem, increased inducible NO synthase levels in the cerebellum and brainstem, and prominent axonal damage. Importantly, infiltrating SOCS3-deficient neutrophils produce high levels of CXCL2, CCL2, CXCL10, NO, TNF-α, and IL-1ß. Kinetic studies demonstrate that neutrophil infiltration into the cerebellum and brainstem of LysMCre-SOCS3(fl/fl) mice closely correlates with atypical EAE clinical symptoms. Ab-mediated depletion of neutrophils converts the atypical phenotype to the classical EAE phenotype and, in some cases, a mixed atypical/classical phenotype. Blocking CXCR2 signaling ameliorates atypical EAE development by reducing neutrophil infiltration into the cerebellum/brainstem. Thus, neutrophils lacking SOCS3 display elevated STAT3 activation and expression of proinflammatory mediators and play a critical role in the development of atypical EAE.


Assuntos
Tronco Encefálico/imunologia , Cerebelo/imunologia , Encefalomielite Autoimune Experimental/imunologia , Infiltração de Neutrófilos/imunologia , Neutrófilos/imunologia , Proteínas Supressoras da Sinalização de Citocina/imunologia , Animais , Tronco Encefálico/citologia , Cerebelo/citologia , Quimiocinas/biossíntese , Ativação Enzimática/imunologia , Interleucina-1beta/biossíntese , Interleucina-23/imunologia , Interleucina-6/imunologia , Camundongos , Camundongos Knockout , Infiltração de Neutrófilos/genética , Óxido Nítrico/biossíntese , Óxido Nítrico Sintase Tipo II/metabolismo , Receptores de Interleucina-8B/antagonistas & inibidores , Fator de Transcrição STAT3/metabolismo , Proteína 3 Supressora da Sinalização de Citocinas , Proteínas Supressoras da Sinalização de Citocina/genética , Fator de Necrose Tumoral alfa/biossíntese
6.
RNA ; 18(6): 1210-21, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22543865

RESUMO

The initiation and elongation stages of translation are directed by codon-anticodon interactions. In contrast, a release factor protein mediates stop codon recognition prior to polypeptide chain release. Previous studies have identified specific regions of eukaryotic release factor one (eRF1) that are important for decoding each stop codon. The cavity model for eukaryotic stop codon recognition suggests that three binding pockets/cavities located on the surface of eRF1's domain one are key elements in stop codon recognition. Thus, the model predicts that amino acid changes in or near these cavities should influence termination in a stop codon-dependent manner. Previous studies have suggested that the TASNIKS and YCF motifs within eRF1 domain one play important roles in stop codon recognition. These motifs are highly conserved in standard code organisms that use UAA, UAG, and UGA as stop codons, but are more divergent in variant code organisms that have reassigned a subset of stop codons to sense codons. In the current study, we separately introduced TASNIKS and YCF motifs from six variant code organisms into eRF1 of Saccharomyces cerevisiae to determine their effect on stop codon recognition in vivo. We also examined the consequences of additional changes at residues located between the TASNIKS and YCF motifs. Overall, our results indicate that changes near cavities two and three frequently mediated significant effects on stop codon selectivity. In particular, changes in the YCF motif, rather than the TASNIKS motif, correlated most consistently with variant code stop codon selectivity.


Assuntos
Códon de Terminação/genética , Fatores de Terminação de Peptídeos/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo , Motivos de Aminoácidos , Sequência de Aminoácidos , Dados de Sequência Molecular , Fatores de Terminação de Peptídeos/química , Fatores de Terminação de Peptídeos/genética , Estrutura Terciária de Proteína , Proteínas de Saccharomyces cerevisiae/química , Proteínas de Saccharomyces cerevisiae/genética
7.
N Z Med J ; 137(1597): 67-78, 2024 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-38901050

RESUMO

AIM: To quantify and characterise patients with coexistent septic arthritis (SA) and crystal arthritis (CA) (SACA) in an emergency department (ED) setting. METHODS: A single-centre, retrospective, 10-year observational study was conducted at a major referral centre. Patients with a positive joint aspirate for CA or SA carried out in ED, were included. The Newman criteria were utilised to define SA. RESULTS: Of the 567 patients included in the final analysis, 427 had CA and 140 had a final diagnosis of SA. Twenty-three point six percent of patients diagnosed with SA had concomitant CA, while 7.2% of patients diagnosed with CA had concomitant SA. The greatest predisposing factors for SACA were previous history of gout, rheumatoid arthritis, being immunocompromised or having joint metalware. Synovial fluid (SF) white cell count (WCC) showed excellent predictive capability for joint infection with the area under the receiver operating characteristic curves (AUROCs) of 0.81 and 0.87 for SA and SACA respectively. The receiver operating characteristic curves (ROCs) reported a SF WCC cutoff of 32,000/mm3 allowed for 100% sensitivity and approximately 50% specificity. CONCLUSIONS: SACA remains a small but important sub-group of patients at risk of misdiagnosis of CA alone. SF WCC of 32,000/mm3 may be a better cutoff than the traditionally accepted 50,000/mm3, possibly warranting inpatient admission for investigation and management of presumed SA.


Assuntos
Artrite Infecciosa , Artropatias por Cristais , Humanos , Artrite Infecciosa/diagnóstico , Artrite Infecciosa/epidemiologia , Estudos Retrospectivos , Masculino , Feminino , Nova Zelândia/epidemiologia , Idoso , Pessoa de Meia-Idade , Artropatias por Cristais/diagnóstico , Artropatias por Cristais/epidemiologia , Líquido Sinovial/microbiologia , Serviço Hospitalar de Emergência/estatística & dados numéricos , Idoso de 80 Anos ou mais , Fatores de Risco , Adulto , Contagem de Leucócitos , Gota/epidemiologia , Gota/diagnóstico , Gota/complicações
8.
Res Sq ; 2024 May 07.
Artigo em Inglês | MEDLINE | ID: mdl-38766241

RESUMO

Parkinson's disease (PD) is characterized by neuroinflammation, progressive loss of dopaminergic neurons, and accumulation of a-synuclein (a-Syn) into insoluble aggregates called Lewy pathology. The Line 61 a-Syn mouse is an established preclinical model of PD; Thy-1 is used to promote human a-Syn expression, and features of sporadic PD develop at 9-18 months of age. To accelerate the PD phenotypes, we injected sonicated human a-Syn preformed fibrils (PFFs) into the striatum, which produced phospho-Syn (p-a-Syn) inclusions in the substantia nigra pars compacta and significantly increased MHC Class II-positive immune cells. Additionally, there was enhanced infiltration and activation of innate and adaptive immune cells in the midbrain. We then used this new model, Line 61-PFF, to investigate the effect of inhibiting the JAK/STAT signaling pathway, which is critical for regulation of innate and adaptive immune responses. After administration of the JAK1/2 inhibitor AZD1480, immunofluorescence staining showed a significant decrease in p-a-Syn inclusions and MHC Class II expression. Flow cytometry showed reduced infiltration of CD4+ T-cells, CD8+ T-cells, CD19+ B-cells, dendritic cells, macrophages, and endogenous microglia into the midbrain. Importantly, single-cell RNA-Sequencing analysis of CD45+ cells from the midbrain identified 9 microglia clusters, 5 monocyte/macrophage (MM) clusters, and 5 T-cell (T) clusters, in which potentially pathogenic MM4 and T3 clusters were associated with neuroinflammatory responses in Line 61-PFF mice. AZD1480 treatment reduced cell numbers and cluster-specific expression of the antigen-presentation genes H2-Eb1, H2-Aa, H2-Ab1, and Cd74 in the MM4 cluster and proinflammatory genes such as Tnf, Il1b, C1qa, and C1qc in the T3 cluster. Together, these results indicate that inhibiting the JAK/STAT pathway suppresses the activation and infiltration of innate and adaptive cells, reducing neuroinflammation in the Line 61-PFF mouse model.

9.
New Dir Stud Leadersh ; 2023(179): 43-57, 2023 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-37830286

RESUMO

In this article, we outline the work of using the Sustainable Development Goals (SDGs) in graduate leadership education for sustainability (GLES). We identify how the SDGs can serve as an effective operationalization of the concept of sustainability, propose a framework of GLES, provide specific examples of the use of the SDGs in graduate education, and share recommendations for fostering GLES.


Assuntos
Liderança , Desenvolvimento Sustentável , Humanos , Saúde Global
10.
Front Immunol ; 14: 1163987, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37283760

RESUMO

Introduction: Myeloid cells play a critical role in the pathogenesis of Inflammatory Bowel Diseases (IBDs), including Ulcerative Colitis (UC) and Crohn's Disease (CD). Dysregulation of the JAK/STAT pathway is associated with many pathological conditions, including IBD. Suppressors Of Cytokine Signaling (SOCS) are a family of proteins that negatively regulate the JAK/STAT pathway. Our previous studies identified that mice lacking Socs3 in myeloid cells developed a hyper-activated phenotype of macrophages and neutrophils in a pre-clinical model of Multiple Sclerosis. Methods: To better understand the function of myeloid cell Socs3 in the pathogenesis of colitis, mice with Socs3 deletion in myeloid cells (Socs3 ΔLysM) were utilized in a DSS-induced colitis model. Results: Our results indicate that Socs3 deficiency in myeloid cells leads to more severe colitis induced by DSS, which correlates with increased infiltration of monocytes and neutrophils in the colon and increased numbers of monocytes and neutrophils in the spleen. Furthermore, our results demonstrate that the expression of genes related to the pathogenesis and diagnosis of colitis such as Il1ß, Lcn2, S100a8 and S100a9 were specifically enhanced in Socs3-deficient neutrophils localized to the colon and spleen. Conversely, there were no observable differences in gene expression in Ly6C+ monocytes. Depletion of neutrophils using a neutralizing antibody to Ly6G significantly improved the disease severity of DSS-induced colitis in Socs3-deficient mice. Discussion: Thus, our results suggest that deficiency of Socs3 in myeloid cells exacerbates DSS-induced colitis and that Socs3 prevents overt activation of the immune system in IBD. This study may provide novel therapeutic strategies to IBD patients with hyperactivated neutrophils.


Assuntos
Colite , Doenças Inflamatórias Intestinais , Camundongos , Animais , Sulfato de Dextrana/toxicidade , Janus Quinases/metabolismo , Transdução de Sinais , Fatores de Transcrição STAT/metabolismo , Proteínas Supressoras da Sinalização de Citocina/genética , Células Mieloides/metabolismo , Proteína 3 Supressora da Sinalização de Citocinas/genética , Proteína 3 Supressora da Sinalização de Citocinas/metabolismo
11.
New Dir Stud Leadersh ; 2020(168): 85-95, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33258238

RESUMO

In this chapter, the authors review the factors that contribute to sociocultural conversations, their outcomes, and potential new directions for research and practice. They also provide ways to incorporate sociocultural conversations in practice.


Assuntos
Comunicação , Cultura , Liderança , Fatores Sociais , Estudantes , Universidades , Adulto , Humanos , Adulto Jovem
12.
J Appl Behav Anal ; 53(4): 2081-2089, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32320076

RESUMO

We describe intervention with 2 adolescent male students who had autism spectrum disorder (ASD) and resisted haircutting performed by care providers at a residential school. The students were exposed to a graduated hierarchy of steps including the presence of hair clippers, and increased duration of hair clippers against their scalp and hair. Edible reinforcement was presented contingent on completion of a step without interfering behavior. Both students learned to tolerate all of the steps in the graduated hierarchy and a full haircut with maintenance at 2-, 4-, and 6-month follow-up. The study supports previous tolerance-training research with children and youth who have intellectual and developmental disabilities and resist personal care and hygiene routines.


Assuntos
Transtorno do Espectro Autista/psicologia , Terapia Comportamental , Cabelo , Higiene , Adolescente , Humanos , Masculino , Comportamento Problema/psicologia , Reforço Psicológico , Instituições Acadêmicas , Estudantes/psicologia
13.
Infect Control Hosp Epidemiol ; 28(11): 1308-10, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17926284

RESUMO

We conducted a retrospective cohort study of children with catheter-associated bloodstream infections (BSIs) due to Escherichia coli and/or Klebsiella. Risk factors for poor outcome (ie, death or recurrence of infection) were receipt of mechanical ventilation (adjusted odds ratio [aOR], 4.6 [95% confidence interval {CI}, 1.39-16.30]) and receipt of total parenteral nutrition (aOR, 3.5 [95% CI, 1.1-10.8]). A significant proportion of children with catheter-associated BSI were treated successfully without catheter removal.


Assuntos
Antibacterianos/uso terapêutico , Cateterismo Venoso Central/efeitos adversos , Infecções por Escherichia coli/etiologia , Escherichia coli , Infecções por Klebsiella/etiologia , Sepse/etiologia , Criança , Pré-Escolar , Estudos de Coortes , Infecções por Escherichia coli/sangue , Infecções por Escherichia coli/terapia , Feminino , Mortalidade Hospitalar , Humanos , Lactente , Recém-Nascido , Infecções por Klebsiella/sangue , Infecções por Klebsiella/terapia , Masculino , Nutrição Parenteral Total , Recidiva , Respiração Artificial , Sepse/microbiologia , Sepse/terapia , Resultado do Tratamento
14.
Circ Res ; 91(6): 547-52, 2002 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-12242274

RESUMO

The present experiments were carried out to further test the hypothesis that arterial calcification is linked to bone resorption by determining whether the selective inhibition of bone resorption with SB 242784, a specific inhibitor of the osteoclastic V-H+-ATPase, will inhibit arterial calcification. Treatment for 96 hours with toxic doses of vitamin D caused widespread calcification in the aorta and in the femoral, mesenteric, hepatic, renal, and carotid arteries, and treatment with SB 242784 completely prevented the vitamin D-induced calcification of each of these arteries at a dose of 40 mg/kg per day and significantly reduced calcification at a dose of 10 mg/kg per day. Treatment with vitamin D also caused extensive calcification in the lungs, tracheal cartilage, and kidneys, and treatment with SB 242784 prevented or reduced calcification at each of these sites. Measurement of serum levels of cross-linked N-telopeptides, a specific measure of bone resorption activity, showed that treatment with vitamin D alone produced the expected 2.4-fold increase in bone resorption activity and that concurrent treatment with the 40-mg dose of SB 242784 reduced bone resorption activity to below control levels. With the inclusion of the present results, there are now three types of bone resorption inhibitors (each with an entirely different mode of action on the osteoclast) that share the ability to potently inhibit arterial calcification in the rat, the V-H+-ATPase inhibitor SB 242784, the cytokine osteoprotegerin, and the amino bisphosphonates alendronate and ibandronate.


Assuntos
Artérias/efeitos dos fármacos , Calcinose/prevenção & controle , Indóis/farmacologia , Piperidinas/farmacologia , ATPases Vacuolares Próton-Translocadoras/antagonistas & inibidores , Animais , Artérias/enzimologia , Artérias/patologia , Reabsorção Óssea/prevenção & controle , Calcinose/induzido quimicamente , Relação Dose-Resposta a Droga , Masculino , Osteoblastos/enzimologia , Ratos , Ratos Sprague-Dawley , Vitamina D/toxicidade
15.
Psychol Psychother ; 79(Pt 1): 137-44, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16611427

RESUMO

OBJECTIVE: To compare the effect of clinician type on the outcome for adult mental health clients treated by trainee and qualified clinical psychologists. DESIGN: Naturalistic, non-random between-participants group design: a group of 60 adult mental health out-patients treated by trainees and a matched group of 60 patients treated by qualified clinical psychologists. METHOD: Participants completed a range of established measures at assessment and outcome of their treatment during routine clinical practice. RESULTS: Significant improvements in mental health were made for both groups from assessment to outcome; however, no significant effect of clinician type was evident. CONCLUSIONS: A variety of factors (e.g. quantity of supervision) contributing to trainee effectiveness are identified and discussed.


Assuntos
Internato não Médico , Transtornos Mentais/terapia , Avaliação de Resultados em Cuidados de Saúde , Psicologia Clínica/educação , Psicoterapia/educação , Adulto , Assistência Ambulatorial , Serviços Comunitários de Saúde Mental , Feminino , Humanos , Masculino , Transtornos Mentais/psicologia , Organização e Administração , Inventário de Personalidade , Psicometria , Resultado do Tratamento
16.
Neurol Neuroimmunol Neuroinflamm ; 2(3): e102, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25884012

RESUMO

OBJECTIVE: Increasing evidence indicates that the thalamus may be a location of early neurodegeneration in multiple sclerosis (MS). Our objective was to identify the presence of gray matter volume loss and thinning in patients with radiologically isolated syndrome (RIS). METHODS: Sixty-three participants were included in this case-control study. Twenty-one patients with RIS were age- and sex-matched to 42 healthy controls in a 1:2 ratio. All participants underwent brain MRIs on a single 3T scanner. After lesion segmentation and inpainting, 1 mm(3)-isometric T1-weighted images were submitted to FreeSurfer (v5.2). Normalized cortical and deep gray matter volumes were compared between patients with RIS and controls using t tests, and thalamic volumes were correlated with white matter lesion volumes using Pearson correlation. Exploratory cortical thickness maps were created. RESULTS: Although traditional normalized total gray and white matter volumes were not statistically different between patients with RIS and controls, normalized left (0.0046 ± 0.0005 vs 0.0049 ± 0.0004, p = 0.006), right (0.0045 ± 0.0005 vs 0.0048 ± 0.0004, p = 0.008), and mean (0.0045 ± 0.0005 vs 0.0049 ± 0.0004, p = 0.004) thalamic volumes were significantly lower in patients with RIS (n = 21, mean age 41.9 ± 12.7 years) than in controls (n = 42, mean age 41.4 ± 11.2 years). Thalamic volumes correlated modestly with white matter lesion volumes (range: r = -0.35 to -0.47). CONCLUSION: Our data provide novel evidence of thalamic atrophy in RIS and are consistent with previous reports in early MS stages. Thalamic volume loss is present early in CNS demyelinating disease and should be further investigated as a metric associated with neurodegeneration.

17.
Psychopharmacology (Berl) ; 231(10): 2159-70, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24398820

RESUMO

RATIONALE: Cannabinoid antagonists purportedly have greater effects in reducing the intake of highly palatable food compared to less palatable food. However, this assertion is based on free-feeding studies in which the amount of palatable food eaten under baseline conditions is often confounded with other variables, such as unequal access to both food options and differences in qualitative features of the foods. OBJECTIVE: We attempted to reduce these confounds by using a model of choice that programmed the delivery rates of sucrose and carrot-flavored pellets. METHODS: Lever pressing of ten lean (Fa/Fa or Fa/fa) and ten obese (fa/fa) Zucker rats was placed under three conditions in which programmed ratios for food pellets on two levers were 5:1, 1:1, and 1:5. In phase 1, responses on the two levers produced one type of pellet (sucrose or carrot); in phase 2, responses on one lever produced sucrose pellets and on the other lever produced carrot pellets. After responses stabilized under each food ratio, acute doses of rimonabant (0, 3, and 10 mg/kg) were administered before experimental sessions. The number of reinforcers and responses earned per session under each ratio and from each lever was compared. RESULTS AND CONCLUSIONS: Rimonabant reduced reinforcers in 1:5 and 5:1 food ratios in phase 1, and across all ratios in phase 2. Rimonabant reduced sucrose and carrot-flavored pellet consumption similarly; rimonabant did not affect bias toward sucrose, but increased sensitivity to amount differences in lean rats. This suggests that relative amount of food, not palatability, may be an important behavioral mechanism in the effects of rimonabant.


Assuntos
Ingestão de Alimentos/efeitos dos fármacos , Comportamento Alimentar/efeitos dos fármacos , Preferências Alimentares/efeitos dos fármacos , Piperidinas/farmacologia , Pirazóis/farmacologia , Reforço Psicológico , Animais , Comportamento Animal/efeitos dos fármacos , Comportamento de Escolha/efeitos dos fármacos , Masculino , Obesidade , Ratos , Ratos Zucker , Esquema de Reforço , Rimonabanto
18.
Physiol Behav ; 108: 19-27, 2012 Dec 25.
Artigo em Inglês | MEDLINE | ID: mdl-23046726

RESUMO

The obese Zucker rat carries two recessive fa alleles that result in the expression of an obese phenotype. Obese Zuckers have higher food intake than lean controls in free-feed studies in which rats have ready access to a large amount of one type of food. The present study examined differences in obese and lean Zucker rats using concurrent schedules of reinforcement, which more ecologically models food selection using two food choices that have limited, but generally predictable availability. Lever-pressing of ten lean (Fa/Fa or Fa/fa) and ten obese (fa/fa) Zucker rats was placed under three concurrent variable interval variable interval (conc VI VI) schedules of sucrose and carrot reinforcement, in which the programmed reinforcer ratios for 45-mg food pellets were 5:1, 1:1, and 1:5. Allocation of responses to the two food alternatives was characterized using the generalized matching equation, which allows sensitivity to reinforcer rates (a) and bias toward one alternative (log k) to be quantified. All rats showed a bias toward sucrose, though there were no differences between lean and obese Zucker rats. In addition, obese Zucker rats exhibited higher sensitivity to reinforcement rates than lean rats. This efficient pattern of responding was related to overall higher deliveries of food pellets. Effective matching for food, then, may be another behavioral pattern that contributes to an obese phenotype.


Assuntos
Comportamento de Escolha/fisiologia , Condicionamento Operante/fisiologia , Preferências Alimentares/psicologia , Obesidade/fisiopatologia , Reforço Psicológico , Análise de Variância , Animais , Ingestão de Alimentos , Modelos Lineares , Masculino , Obesidade/genética , Ratos , Ratos Zucker , Esquema de Reforço , Sacarose/administração & dosagem , Edulcorantes/administração & dosagem
19.
Physiol Behav ; 105(3): 734-41, 2012 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-22019829

RESUMO

Research on free-food intake suggests that cannabinoids are implicated in the regulation of feeding. Few studies, however, have characterized how environmental factors that affect food procurement interact with cannabinoid drugs that reduce food intake. Demand analysis provides a framework to understand how cannabinoid blockers, such as rimonabant, interact with effort in reducing demand for food. The present study examined the effects rimonabant had on demand for sucrose in obese Zucker rats when effort to obtain food varied and characterized the data using the exponential ("essential value") model of demand. Twenty-nine male (15 lean, 14 obese) Zucker rats lever-pressed under eight fixed ratio (FR) schedules of sucrose reinforcement, in which the number of lever-presses to gain access to a single sucrose pellet varied between 1 and 300. After behavior stabilized under each FR schedule, acute doses of rimonabant (1-10mg/kg) were administered prior to some sessions. The number of food reinforcers and responses in each condition was averaged and the exponential and linear demand equations were fit to the data. These demand equations quantify the value of a reinforcer by its sensitivity to price (FR) increases. Under vehicle conditions, obese Zucker rats consumed more sucrose pellets than leans at smaller fixed ratios; however, they were equally sensitive to price increases with both models of demand. Rimonabant dose-dependently reduced reinforcers and responses for lean and obese rats across all FR schedules. Data from the exponential analysis suggest that rimonabant dose-dependently increased elasticity, i.e., reduced the essential value of sucrose, a finding that is consistent with graphical depictions of normalized demand curves.


Assuntos
Canabinoides/antagonistas & inibidores , Obesidade/tratamento farmacológico , Piperidinas/uso terapêutico , Pirazóis/uso terapêutico , Análise de Variância , Animais , Condicionamento Operante/efeitos dos fármacos , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Esquema de Medicação , Ingestão de Alimentos/efeitos dos fármacos , Comportamento Alimentar/efeitos dos fármacos , Comportamento Alimentar/psicologia , Masculino , Obesidade/genética , Piperidinas/farmacologia , Pirazóis/farmacologia , Ratos , Ratos Zucker , Esquema de Reforço , Rimonabanto
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