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1.
J Appl Microbiol ; 131(5): 2416-2432, 2021 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33884699

RESUMO

AIMS: Since most phosphate solubilizing bacteria (PSB) also produce 1-aminocyclopropane-1-carboxylate (ACC) deaminase, we investigated if there was an association between these two plant growth-promoting properties under in vitro conditions. METHODS AND RESULTS: A total of 841 bacterial isolates were obtained using selective and enrichment isolation methods. ACC deaminase was investigated using in vitro methods and by sequencing the acdS gene. The effect of ACC deaminase on P solubilization was investigated further using five efficient PSB. ACC deaminase production ability was found amongst a wide range of bacteria belonging to the genera Bacillus, Burkholderia, Pseudomonas and Variovorax. The amount of ACC deaminase produced by PSB was significantly associated with the liberation of Pi from Ca-P when ACC was the sole N source. Ca-P solubilization was associated with the degree of acidification of the medium. Additionally, the P solubilization potential of PSB with (NH4 )2 SO4 was determined by the type of carboxylates produced. An in-planta experiment was conducted using Burkholderia sp. 12F on chickpea cv. Genesis-863 in sand : vermiculite (1 : 1 v/v) amended with rock phosphate and inoculation of this efficient PSB significantly increased growth, nodulation and P uptake of chickpea fertilized with rock phosphate. CONCLUSION: ACC deaminase activity influenced the capacity of PSB to solubilize P from Ca-P when ACC was the sole N source and Burkholderia sp. 12F promoted the chickpea-Mesorhizobium symbiosis. SIGNIFICANCE AND IMPACT OF THE STUDY: ACC deaminase activity could enhance the P solubilizing activity of rhizobacteria that improve plant growth.


Assuntos
Burkholderia , Cicer , Carbono-Carbono Liases/genética , Fosfatos , Raízes de Plantas
2.
J Appl Microbiol ; 129(5): 1133-1156, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32592603

RESUMO

Nitrogen fixation is an important biological process in terrestrial ecosystems and for global crop production. Legume nodulation and N2 fixation have been improved using nodule-enhancing rhizobacteria (NER) under both regular and stressed conditions. The positive effect of NER on legume-rhizobia symbiosis can be facilitated by plant growth-promoting (PGP) mechanisms, some of which remain to be identified. NER that produce aminocyclopropane-1-carboxylic acid deaminase and indole acetic acid enhance the legume-rhizobia symbiosis through (i) enhancing the nodule induction, (ii) improving the competitiveness of rhizobia for nodulation, (iii) prolonging functional nodules by suppressing nodule senescence and (iv) upregulating genes associated with legume-rhizobia symbiosis. The means by which these processes enhance the legume-rhizobia symbiosis is the focus of this review. A better understanding of the mechanisms by which PGP rhizobacteria operate, and how they can be altered, will provide opportunities to enhance legume-rhizobial interactions, to provide new advances in plant growth promotion and N2 fixation.


Assuntos
Bactérias/metabolismo , Fabaceae/crescimento & desenvolvimento , Fabaceae/microbiologia , Simbiose/fisiologia , Carbono-Carbono Liases/metabolismo , Ácidos Indolacéticos/metabolismo , Fixação de Nitrogênio , Nodulação , Nódulos Radiculares de Plantas/microbiologia , Nódulos Radiculares de Plantas/fisiologia
3.
J Appl Microbiol ; 129(2): 389-399, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32011051

RESUMO

AIMS: Compatibility of seed-applied pesticides and rhizobial inoculants is an important consideration for farmers when sowing legumes. Some of the seed-applied pesticides may influence rhizobial growth and nodulation, but there is currently little available information on the potential inhibitory effects. Therefore, common seed fungicidal and insecticidal treatments were assessed to determine adverse impacts on rhizobial inoculants both in vitro, on treated seed, and in the field. METHODS AND RESULTS: Initially, the in vitro toxicity of the seed-applied fungicides Thiram 600, P-Pickel T (PPT), their active ingredients (thiram and thiabendazole) and the insecticide Gaucho to rhizobia was measured with filter discs containing varying concentrations of the pesticides. Pea and chickpea seed was then coated with the same pesticides and inoculated with rhizobia in different inoculant substrates to determine bacterial survival and nodulation. Finally, a field trial using the fungicide PPT and commercial inoculants was conducted. Some seed fungicide treatments were found to be inhibitory to rhizobia and reduce nodulation under monoxenic conditions and in the field. SIGNIFICANCE AND IMPACT OF THE STUDY: These data provide more detailed information on the compatibility of specific rhizobial inoculants with common seed-applied pesticides. This research will provide information on the compatibility of rhizobia and seed-applied pesticides, and assist farmers to select sowing practices which reduce the risk of crop nodulation failures.


Assuntos
Fabaceae/fisiologia , Fungicidas Industriais/farmacologia , Nodulação/efeitos dos fármacos , Rhizobium/efeitos dos fármacos , Agricultura , Fabaceae/microbiologia , Viabilidade Microbiana/efeitos dos fármacos , Sementes/efeitos dos fármacos , Sementes/microbiologia
4.
J Exp Med ; 190(4): 555-66, 1999 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-10449526

RESUMO

Activated vascular endothelial cells (ECs) express major histocompatibility complex (MHC) class II molecules in vitro and in vivo in acute and chronic allograft rejection. However, human ECs may be limited in their ability to effectively activate CD4(+) T cells, because they do not express members of the B7 family (CD80 and CD86) of costimulatory molecules. In this study, we show that ECs promote the full activation of CD4(+) T cells via trans-costimulatory interactions. By reverse transcriptase polymerase chain reaction, Western blot, and FACS((R)) analysis, we could not detect the expression of CD80 and CD86 on activated ECs and found minimal expression on purified CD4(+) T cells. In contrast, both CD80 and CD86 were expressed in allogeneic CD4(+) T cell-EC cocultures. Expression of CD86 peaked at early times between 12 and 24 h after coculture, whereas CD80 was not expressed until 72 h. Addition of anti-CD86 but not anti-CD80 monoclonal antibodies to cocultures inhibited IL-2 production and the proliferation of CD4(+) T cells to allogeneic donor human umbilical vein ECs (HUVECs), as well as to skin and lung microvascular ECs. Furthermore, we found that interferon gamma-activated ECs but not untreated ECs induced mRNA and cell surface expression of CD80 and CD86 on CD4(+) T cells, and these T cells were functional to provide a trans-costimulatory signal to autologous CD4(+) T cells. Blockade of MHC class II and lymphocyte function-associated antigen 3 but not other EC cell surface molecules on IFN-gamma-activated ECs inhibited the induction of CD86 on CD4(+) T cells. Transmigration of purified populations of monocytes across EC monolayers similarly resulted in the induction of functional CD86, but also induced the de novo expression of the cytokines interleukin (IL)-1alpha and IL-12. In addition, EC-modified monocytes supported enhanced proliferation of allogeneic and autologous CD4(+) T cells. Taken together, these data define the ability of the endothelium to modify CD4(+) T cells and monocytes for trans-costimulatory events. This unique function of the endothelium in alloimmune T cell activation has functional consequences for the direct and the indirect pathways of allorecognition.


Assuntos
Antígenos CD28/imunologia , Linfócitos T CD4-Positivos/imunologia , Endotélio Vascular/imunologia , Ativação Linfocitária , Monócitos/imunologia , Antígenos CD/imunologia , Antígeno B7-1/imunologia , Antígeno B7-2 , Complexo CD3/imunologia , Comunicação Celular , Movimento Celular , Técnicas de Cocultura , Rejeição de Enxerto/imunologia , Antígenos de Histocompatibilidade Classe II/imunologia , Humanos , Interferon gama/imunologia , Interleucina-1/biossíntese , Interleucina-12/biossíntese , Glicoproteínas de Membrana/imunologia , Cordão Umbilical/irrigação sanguínea
5.
Transplantation ; 63(10): 1400-4, 1997 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-9175800

RESUMO

BACKGROUND: The use of kidneys from non-heartbeating donors (NHB) remains controversial. An increased incidence of delayed primary function and primary nonfunction is common. We report a characteristic syndrome of transaminitis and thrombocytopenia after NHB renal transplantation, which may be predictive of graft outcome. METHODS: Two case histories are presented, followed by a retrospective analysis of 38 NHB renal grafts performed at Guy's Hospital from 1988 to 1994. Changes in alanine aminotransferase (ALT) and platelet count were compared between recipients of kidneys from NHB and heartbeating donors (HB). To control for possible effects of antilymphocyte globulin (ALG), two matched control groups receiving HB kidneys with (n=32) and without (n=32) ALG were also compared. RESULTS: ALT was elevated in 32 of 38 (84%) of NHB recipients and 19 of 64 (30%) controls (P<0.001). Mean peak ALT was 172+/-20 U/L in NHB and 42+/-6 U/L in HB kidneys (P<0.001). Use of ALG did not influence mean peak ALT. Elevated ALT predicted impaired graft function (P<0.02) and was associated with an increased length of delayed primary function (P<0.001) and risk of transplant nephrectomy (P<0.05). Thrombocytopenia (<100 x 10(9) cells/L) occurred in 18 of 38 (47%) NHB recipients and in 20 of 64 (31%) controls (P<0.05). Mean nadir platelet count (x 10(9) cells/L) was 113+/-10 in NHB, 128+/-9 in HB with ALG, and 164+/-9 in HB without ALG (both P<0.05 vs. NHB). Patients who underwent graft nephrectomy (n=9) had a disproportionate fall in platelet count (mean nadir, 80+/-11 x 10(9) cells/L; P<0.05). CONCLUSIONS: Transaminitis and thrombocytopenia occur commonly after NHB kidney transplantation and are predictive of graft outcome. Recognition of these changes may assist the early management of NHB renal recipients, and also reduce investigation of "anomalous" results in this setting.


Assuntos
Parada Cardíaca , Transplante de Rim/fisiologia , Doadores de Tecidos , Alanina Transaminase/sangue , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Contagem de Plaquetas , Estudos Retrospectivos , Síndrome , Trombocitopenia/sangue , Transplante Homólogo/fisiologia
6.
Transplantation ; 67(6): 909-14, 1999 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-10199742

RESUMO

BACKGROUND: CD44 is an important leukocyte cell surface glycoprotein with diverse functions including cell adhesion, homing, migration, and activation. METHODS: Because administration of the principal ligand of CD44, hyaluronate (HA), in soluble form, can inhibit CD44-HA interaction, we tested the effects of HA in vivo in an established model of chronic allograft rejection. Control F344 recipients of LEW hearts received either no treatment or low-dose cyclosporine (CsA) for 30 days from the day of transplantation. Experimental animals received 30 days of CsA in combination with 30 or 90 days of low molecular weight HA (LMW-HA). RESULTS: CsA therapy alone resulted in approximately 40% long-term (>100 days) graft survival, whereas CsA + LMW-HA (30-day and 90-day protocols) significantly increased long-term graft survival to 60% and 92%, respectively. Light microscopy and immunohistology of CsA-treated and CsA + LMW-HA-treated grafts harvested at day 30 after transplantation demonstrated that LMW-HA + CsA therapy decreased mononuclear cell infiltration and afforded better preservation of myocardial architecture. In addition, LMW-HA + CsA-treated grafts exhibited decreased expression of interferon-gamma and the growth factors transforming growth factor-beta, platelet-derived growth factor, and fibrogenic growth factor-beta. Long-term surviving grafts were assessed for arteriosclerosis, the sine qua non of chronic rejection in this model. Using a standardized scoring system, significantly less arteriosclerosis was seen in grafts from LMW-HA + CsA-treated animals at 120 days after transplantation compared with CsA alone-treated grafts. This difference was not significant, however, in grafts harvested at >150 days. CONCLUSION: This is the first report indicating that CD44-HA interactions play an important role in chronic allograft rejection.


Assuntos
Rejeição de Enxerto/etiologia , Transplante de Coração/imunologia , Receptores de Hialuronatos/fisiologia , Ácido Hialurônico/farmacologia , Animais , Arteriosclerose/etiologia , Ciclosporina/farmacologia , Imuno-Histoquímica , Masculino , Ratos , Ratos Endogâmicos F344 , Ratos Endogâmicos Lew , Transplante Homólogo
7.
Transplantation ; 64(12): 1765-74, 1997 Dec 27.
Artigo em Inglês | MEDLINE | ID: mdl-9422418

RESUMO

BACKGROUND: CD40 is expressed by a wide variety of cells in the immune system, including endothelial cells. It binds to CD40 ligand ([CD40L] CD154), which was originally reported to be restricted in its expression to early-activated T cells. We report here the expression of CD40 and CD40L in human cardiac allografts. METHODS: A total of 123 consecutive biopsies from 11 human cardiac allograft recipients were analyzed by immunohistochemistry for the expression of CD40 and CD40L. The expression of CD40L was also examined in vitro in homogeneous cultures of umbilical vein endothelial cells by reverse transcriptase-polymerase chain reaction and by flow cytometry. RESULTS: CD40 was expressed at low levels, and CD40L was minimal or absent in histologically normal biopsies in the absence of CD3+ T-cell infiltrates. In rejection, the expression of CD40 increased on vascular endothelial cells and on graft-infiltrating leukocytes throughout biopsy specimens. Induced expression of CD40 was strongly associated with the presence of CD3+ T-cell infiltrates, acute rejection, and ischemic injury (P<0.05). CD40L was expressed in biopsies with rejection and was prominent on a subset of infiltrating leukocytes as well as on microvascular endothelial cells. In contrast to CD40, staining of endothelial CD40L was focal in most biopsies. Overall, the expression of CD40L correlated with the presence of CD3+ T-cell infiltrates and rejection (P<0.05), but not ischemic injury (P=0.9). To confirm that the endothelium can synthesize CD40L, we also evaluated the expression of endothelial CD40L in vitro. Cultured endothelial cells were found to express little constitutive CD40L that markedly increased after 24 hr of treatment with supernatants from phytohemagglutinin-activated peripheral blood mononuclear cells or by the cytokines tumor necrosis factor-alpha, interleukin-1a, interleukin-4, or interferon-gamma. CONCLUSION: Both CD40 and CD40L are expressed in vivo on infiltrating leukocytes and on microvascular endothelium in human cardiac allograft rejection. We suggest that endothelial cell CD40 and CD40L play a role in human cell-mediated immune responses such as cardiac allograft rejection.


Assuntos
Antígenos CD40/metabolismo , Rejeição de Enxerto/imunologia , Transplante de Coração/imunologia , Glicoproteínas de Membrana/metabolismo , Biópsia , Antígenos CD40/genética , Ligante de CD40 , Células Cultivadas , Endotélio Vascular/metabolismo , Expressão Gênica , Humanos , Técnicas Imunoenzimáticas , Glicoproteínas de Membrana/genética , Microcirculação , RNA Mensageiro/genética
8.
Semin Nephrol ; 20(2): 164-75, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10746858

RESUMO

Glomerulonephritis is a major cause of end-stage renal disease (ESRD) and is the primary disease in over a third of patients undergoing renal transplantation. An understanding of the incidence and clinical significance of recurrent glomerulonephritis posttransplantation is therefore essential. Indeed, all forms of glomerulonephritis have been reported to recur histologically after renal transplantation, but the incidence and severity of clinical recurrence varies greatly according to the type of glomerular disease. Large registries report that between 5% to 10% of allografts fail secondary to recurrence of primary disease. This review attempts to clarify some of the salient clinical features of recurrent glomerulonephritis from a body of literature full of anecdotal reports and retrospective studies. There are several excellent reviews on recurrent glomerulonephritis; this review aims to complement these by focusing on more recent developments in the field. Development of de novo glomerulonephritis in the transplant will also be discussed. The recurrence of metabolic diseases such as diabetes mellitus, cystinosis, Fabry's disease, and primary hyperoxaluria will not be discussed.


Assuntos
Glomerulonefrite , Transplante de Rim , Glomerulonefrite/epidemiologia , Glomerulonefrite/imunologia , Humanos , Incidência , Transplante de Rim/imunologia , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/imunologia , Recidiva
9.
J Hosp Infect ; 9(1): 76-80, 1987 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-2880904

RESUMO

We describe an outbreak of rotavirus infection in a geriatric hospital. The outbreak lasted for 6 weeks, and affected 14 patients of 68 at risk. Diarrhoea was the main symptom, lasting only 1 day in most patients. Rising or high rotavirus antibody titres were demonstrated in six patients. Of 96 staff only one member was infected.


Assuntos
Infecção Hospitalar/epidemiologia , Diarreia/epidemiologia , Surtos de Doenças , Geriatria , Infecções por Rotavirus/epidemiologia , Idoso , Idoso de 80 Anos ou mais , Infecção Hospitalar/transmissão , Diarreia/transmissão , Ensaio de Imunoadsorção Enzimática , Fezes/microbiologia , Feminino , Humanos , Masculino , Microscopia Eletrônica , Rotavirus/isolamento & purificação , Rotavirus/ultraestrutura , Infecções por Rotavirus/transmissão , Reino Unido
10.
Adv Exp Med Biol ; 314: 347-59, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-1818493

RESUMO

Our results suggest that leukotrienes promote rapid PMN adhesion to glomerular mesangial cells via actions on PMN (LTB4) and mesangial cells (LTD4). Leukotriene-induced adhesion appeared to be mediated by a CD11/CD18-dependent (LTB4) and -independent (LTD4) mechanisms. The specific epitopes mediating LTD4-induced adhesion remain to be defined. Lipoxins did not influence basal adhesion. In contrast, lipoxins markedly inhibited LTD4-, but not LTB4-induced responses. Further elucidation of the components of these adhesion processes, of the pathways for leukotriene and lipoxin biosynthesis in the inflamed glomerulus, and of the counterregulatory actions of lipoxins and leukotrienes may reveal sites for therapeutic intervention in GN. (graph; see text) Data are mean +/- SE of 3 experiments, each conducted in quadruplicate. Leukotriene-induced adhesion was not inhibited by vehicle alone.


Assuntos
Adesão Celular , Eicosanoides/fisiologia , Mesângio Glomerular/fisiologia , Leucotrienos/farmacologia , Lipoxigenase/metabolismo , Neutrófilos/fisiologia , Análise de Variância , Agregação Celular , Células Cultivadas , Mesângio Glomerular/efeitos dos fármacos , Mesângio Glomerular/fisiopatologia , Glomerulonefrite/fisiopatologia , Humanos , Neutrófilos/efeitos dos fármacos
11.
Hosp Med ; 60(5): 364-9, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10396414

RESUMO

This article reviews current and future immunosuppressive strategies in organ transplantation. Recently introduced drugs are lowering the rates of acute rejection and allowing more individualized management of transplanted patients.


Assuntos
Rejeição de Enxerto/prevenção & controle , Imunossupressores/uso terapêutico , Inibidores de Calcineurina , Ciclosporinas/uso terapêutico , Humanos , Transplante de Órgãos , Tacrolimo/uso terapêutico
12.
Ir J Med Sci ; 180(1): 135-8, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20960237

RESUMO

INTRODUCTION: H1N1 influenza A, was first described in April 2009. A significant cohort of patients from this outbreak developed acute respiratory distress syndrome or pneumonia. H1N1 has since been transmitted across the world. Little has been described on the renal complications of this illness. METHODS: A retrospective review of all patients admitted to our institution with H1N1 infection was carried out from July to November 2009. Renal biochemistry, need for renal replacement therapy and hospital outcome was recorded. RESULTS: Thirty-four patients with H1N1 were admitted. Average length of admission was 10 days (3-84). Eleven patients (32%) developed acute kidney injury (AKI) as defined by the RIFLE criteria (creatinine range 120-610). Four patients required renal replacement therapy, for a range of 10-52 days. Seven patients developed AKI that responded to volume resuscitation. The commonest cause of AKI was sepsis with acute tubular necrosis. CONCLUSION: This study highlights the significance and frequency of renal complications associated with this illness.


Assuntos
Injúria Renal Aguda/etiologia , Vírus da Influenza A Subtipo H1N1 , Influenza Humana/complicações , Injúria Renal Aguda/terapia , Injúria Renal Aguda/virologia , Adolescente , Adulto , Idoso , Feminino , Humanos , Irlanda , Masculino , Pessoa de Meia-Idade , Insuficiência de Múltiplos Órgãos , Terapia de Substituição Renal , Estudos Retrospectivos , Adulto Jovem
14.
Biomed Mass Spectrom ; 6(12): 546-53, 1979 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-526567

RESUMO

Clinical studies were conducted by gas chromatography mass spectrometry selected ion monitoring of urinary dicarboxylic acids as dicyclohexyl esters. The dicyclohexyl esters of the dicarboxylic acids give characteristic electron impact mass spectra suitable for selected ion monitoring. The mass spectra exhibit a prominent acid + 1H ion and an (acid + 1H)-H2O ion for use as quantitating and confirming ions. The cyclohexyl esters are stable for days at room temperature and have excellent chromatographic properties. Dicarboxylic acid quantitation is performed within one hour using only 50 microliter of unpurified urine. A rapid method specifically for methylmalonic acid quantitation is described which has assisted physicians in the diagnosis of pernicious anemia and methylmalonic aciduria. This procedure is applicable for screening urinary organic acids for detection of inborn errors of metabolism. The detection of a child with elevated medium length dicarboxylic acids in the terminal urine specimen is reported. This condition, previously described as an inborn error, is attributed to a terminal event. Finally, an increase in urinary succinic acid paralleling putrescine levels is described during a response to cancer chemotherapy.


Assuntos
Ácidos Dicarboxílicos/urina , Cromatografia Gasosa-Espectrometria de Massas/métodos , Humanos , Erros Inatos do Metabolismo/urina , Neoplasias/tratamento farmacológico , Neoplasias/urina , Succinatos/urina
15.
Med Microbiol Immunol ; 162(3-4): 217-26, 1976 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-1004375

RESUMO

Hamsters were used to examine the role of serum antibody in protection against influenza virus infection. Following intranasal instillation, influenza viruses replicated well in these animals, and high, reproducible amounts of virus could be subsequently recovered from nasal washings and lung suspensions. A specific serum antibody response to the infecting virus was also observed; but no local antibody production was detected. The passive transfer of serum antibody gave some measurable protection, against homologous influenza virus challenge, to recipient hamsters. However, evidence that protection can occur in the absence of detectable serum antibody in individual hamsters, is also presented.


Assuntos
Anticorpos Antivirais/biossíntese , Vírus da Influenza A/imunologia , Infecções por Orthomyxoviridae/imunologia , Animais , Cricetinae , Modelos Animais de Doenças , Testes de Inibição da Hemaglutinação , Imunidade Materno-Adquirida , Imunização , Vírus da Influenza A/crescimento & desenvolvimento , Vírus da Influenza A/isolamento & purificação , Pulmão/microbiologia , Mesocricetus , Mucosa Nasal/microbiologia , Infecções por Orthomyxoviridae/microbiologia , Replicação Viral
16.
Blood ; 59(6): 1128-31, 1982 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7082819

RESUMO

A study was made to assess the value of cobalamin deficiency detection through quantitation of urinary methylmalonic acid (MMA). Urinary MMA was measured in 1118 patients suffering from megaloblastic anemia, other anemias, elevated red cell mean corpuscular volume, or unexplained neurologic disorders. Patients without proven cobalamin deficiency had urinary MMA levels less than 20 micrograms/ml. All patients (n = 27) confirmed to have cobalamin deficiency showed MMA levels greater than 20 micrograms/ml. Data are presented showing the Schilling test results, the comparison of serum cobalamin to urinary MMA levels, and other basic hematologic data. MMA levels are a good indication of cobalamin distribution and function since they are directly related to a cobalamin-dependent metabolic pathway. With rapid, reliable quantitation by mass spectrometry, urinary MMA can now be a useful clinical test.


Assuntos
Malonatos/urina , Ácido Metilmalônico/urina , Deficiência de Vitamina B 12/diagnóstico , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Vitamina B 12/sangue , Deficiência de Vitamina B 12/sangue , Deficiência de Vitamina B 12/urina
17.
Clin Chem ; 28(1): 137-40, 1982 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7055897

RESUMO

Gas chromatography/mass spectrometry was used for the detection of 3-hydroxy-3-methylglutaryl-CoA lyase (EC 4.1.3.4) deficiency in double first cousins. This enzyme is in the last step of leucine catabolism and is also involved in ketogenesis. Quantitation of urinary organic acids as their cyclohexyl esters demonstrated increased concentrations of 3-hydroxy-3-methylglutaric acid, 3-methylglutaconic acid, 3-methylglutaric acid, and 3-hydroxyisovaleric acid. The procedure is more rapid, sensitive, and specific than previously reported gas-chromatographic methods for acid quantitation. The affected children initially presented with symptoms similar to Reye's syndrome; the acids were quantitated during periods of altered intake of protein and fat. Both leucine and fat intake contributed to increased acid excretion. These studies suggest that life-threatening episodes of hypoglycemia are best prevented with a low-protein, low-fat diet.


Assuntos
Erros Inatos do Metabolismo dos Aminoácidos/urina , Leucina/metabolismo , Meglutol/análogos & derivados , Oxo-Ácido-Liases/deficiência , Erros Inatos do Metabolismo dos Aminoácidos/dietoterapia , Feminino , Cromatografia Gasosa-Espectrometria de Massas/métodos , Glutaratos/urina , Humanos , Hidroxiácidos/urina , Lactente , Masculino , Oxo-Ácido-Liases/urina , Valeratos/urina
18.
Am J Nephrol ; 21(4): 289-93, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11509800

RESUMO

Skin ulceration is a well-characterized thrombotic complication of the heparin-induced thrombocytopenia (HIT) syndrome. We present the case of a 73-year-old diabetic woman nearing end-stage renal failure who developed extensive upper thigh, abdominal and buttock ulceration following initiation of subcutaneous heparin for prophylaxis against deep vein thrombosis. A preliminary diagnosis of calciphylaxis was made based on the classical distribution and macroscopic appearance of the ulceration in a patient with end-stage renal failure and secondary hyperparathyroidism. However skin biopsy showed complete absence of calcium deposits in the dermal microvasculature. The presence of extensive microthrombi within dermal vessels prompted serologic testing to detect a prothrombotic state. We identified the combined presence of heparin-dependent platelet activating (HIT) antibodies and functional protein S deficiency. To our knowledge this is the first reported case of a dialysis patient presenting with skin ulceration induced by heparin and protein S deficiency. This case highlights the importance of a skin biopsy and testing for a hypercoaguable state in patients with end-stage renal disease and skin ulceration. We suggest that HIT antibodies should be requested in all dialysis patients presenting with skin ulceration.


Assuntos
Heparina/efeitos adversos , Falência Renal Crônica/complicações , Deficiência de Proteína S/complicações , Úlcera Cutânea/induzido quimicamente , Idoso , Feminino , Heparina/uso terapêutico , Humanos , Falência Renal Crônica/terapia , Necrose , Pele/patologia , Úlcera Cutânea/patologia , Trombocitopenia/induzido quimicamente
19.
Calcif Tissue Int ; 56(3): 201-5, 1995 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-7750024

RESUMO

Bone mineral density (BMD) was measured in 353 healthy white women using dual-energy X-ray absorptiometry (DXA). Measurements were made of both the posterior-anterior (PA) and lateral spine, as well as the proximal femur (neck and Ward's triangle). From age 50 to 80 years, the BMD of the PA spine and femur neck BMD had an 18% diminution (0.6%/year), and BMD of the lateral spine showed about a 35-40% decline (1.4%/year). The Ward's triangle region of the femur was not quite as decreased (30% or 1.1%/year). The BMD decrease associated with aging did not differ as much among sites when expressed relative to the intrapopulation variation rather than as a percentage. The Z-score for PA spine and femur neck BMD (-1.1) was significantly different than that for lateral spine BMD (-1.6); Ward's triangle was intermediate (-1.3), i.e., the lateral spine still showed the highest sensitivity to aging. However, the ability to detect age changes in an individual subject can be increased only if the precision error for lateral spine BMD is not increased to a greater extent than the sensitivity.


Assuntos
Envelhecimento/patologia , Densidade Óssea/fisiologia , Coluna Vertebral/fisiologia , Absorciometria de Fóton , Adulto , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Peso Corporal , Estudos Transversais , Feminino , Fêmur/fisiologia , Colo do Fêmur/fisiologia , Humanos , Pessoa de Meia-Idade , Análise de Regressão , População Branca
20.
Med Microbiol Immunol ; 162(3-4): 227-37, 1976 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-1004376

RESUMO

Hamsters previously infected by influenza viruses, have been shown to have a cell-mediated immune response, as measured by the macrophage migration inhibition test. The participation of spleen cells in the protection of recipients against homologous influenza virus infection was also demonstrated using adoptive transfer experiments. However, the protection achieved by spleen cell transfer was marginal and not observed in every animal. The time at which the spleen cells were transferred following infection, and their number, affected the outcome. Evidence suggesting that transferred spleen cells protected recipient hamsters through specific antibody is presented.


Assuntos
Imunidade Celular , Vírus da Influenza A/imunologia , Infecções por Orthomyxoviridae/imunologia , Baço/imunologia , Animais , Anticorpos Antivirais/biossíntese , Antígenos Virais , Inibição de Migração Celular , Células Cultivadas , Cricetinae , Modelos Animais de Doenças , Testes de Inibição da Hemaglutinação , Imunidade Celular/efeitos da radiação , Imunização Passiva , Macrófagos/imunologia , Mesocricetus , Quimera por Radiação
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