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1.
Nature ; 565(7741): 618-621, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30617315

RESUMO

Massive stars inject mechanical and radiative energy into the surrounding environment, which stirs it up, heats the gas, produces cloud and intercloud phases in the interstellar medium, and disrupts molecular clouds (the birth sites of new stars1,2). Stellar winds, supernova explosions and ionization by ultraviolet photons control the lifetimes of molecular clouds3-7. Theoretical studies predict that momentum injection by radiation should dominate that by stellar winds8, but this has been difficult to assess observationally. Velocity-resolved large-scale images in the fine-structure line of ionized carbon ([C II]) provide an observational diagnostic for the radiative energy input and the dynamics of the interstellar medium around massive stars. Here we report observations of a one-square-degree region (about 7 parsecs in diameter) of Orion molecular core 1-the region nearest to Earth that exhibits massive-star formation-at a resolution of 16 arcseconds (0.03 parsecs) in the [C II] line at 1.9 terahertz (158 micrometres). The results reveal that the stellar wind originating from the massive star θ1 Orionis C has swept up the surrounding material to create a 'bubble' roughly four parsecs in diameter with a 2,600-solar-mass shell, which is expanding at 13 kilometres per second. This finding demonstrates that the mechanical energy from the stellar wind is converted very efficiently into kinetic energy of the shell and causes more disruption of the Orion molecular core 1 than do photo-ionization and evaporation or future supernova explosions.

2.
Arch Gynecol Obstet ; 309(5): 1699-1705, 2024 05.
Artigo em Inglês | MEDLINE | ID: mdl-38180566

RESUMO

BACKGROUND: Obesity is an increasing problem, even in young women of reproductive age. Obesity has a negative impact on conception, the course of pregnancy, and neonatal outcomes. Caring for obese pregnant women has becoming an important aspect of standard prenatal care. The Guideline "Obesity and Pregnancy" of the German Society of Gynecology and Obstetrics aims to create evidence-based recommendations which can be used to improve the care of obese pregnant women. As obesity is a worldwide problem, many societies for obstetrics and gynecology have created national guidelines. METHODS: We reviewed the following guidelines for obesity and pregnancy: American College of Obstetricians and Gynecologists (ACOG) 2021, Royal College of Obstetrics and Gynecology (RCOG) 2018; AND Society of Obstetricians and Gynecologists of Canada (SOGC) 2019. These guidelines were compared to the German guideline. RESULTS: There are some variations between the guidelines, though no major contradictions exist. Disparities were found regarding the recommendations for substitution of high folic acid and Vitamin D. Furthermore, the recommended time for screening for gestational diabetes and the methods to control fetal growth differ between the guidelines. Regarding place of birth, RCOG allows delivery in midwifery-led units in the absence of other high-risk circumstances, while others request facility of care by neonatologists and medical staff trained in care of obese women. Induction of labor at term due to increased risk of intrauterine demise is mostly limited to women with a body mass index of 40 kg/m2. Only one guideline considers induction of all obese women. For intrapartum management, the majority allows tolerating of longer labor times to delivery if fetal monitoring is sufficient and fetal stress is excluded. Special encouragement of breastfeeding and healthy lifestyle is commonly recommended; only in the Canadian guideline, postpartum depression evaluation is requested due to the overall high prevalence of depression and anxiety in obese women. CONCLUSION: All guidelines consider pregnancies in obese women as high-risk pregnancies and emphasize the need for preconception counseling. There are special needs in pregnancy care and in the intrapartum and postpartum management to be observed.


Assuntos
Trabalho de Parto , Obstetrícia , Recém-Nascido , Gravidez , Feminino , Humanos , Canadá/epidemiologia , Cuidado Pré-Natal , Obesidade/complicações , Obesidade/epidemiologia
3.
Diabet Med ; 37(9): 1490-1498, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32583455

RESUMO

AIM: Poor glucose control is associated with adverse outcomes in pregnancies with pre-existing diabetes. However, strict glucose control increases the risk of severe hypoglycaemia, particularly in the first trimester. Therefore, we aimed to investigate whether less tight glucose control in the first trimester determines adverse outcomes or can be compensated for by good control in late pregnancy. METHODS: Retrospective data were collected from 517 singleton pregnancies complicated by pre-existing diabetes delivering between 2010 and 2017. Three hundred and thirty-six pregnancies fulfilled the inclusion criteria of having available HbA1c values either pre-conception or in the first trimester (65% type 1 diabetes, 35% type 2 diabetes). RESULTS: Higher HbA1c values in the first trimester were associated with increasing rates of large for gestational age (LGA) neonates, preterm delivery or neonatal intensive care unit admissions. Multiple regression analysis demonstrated third trimester HbA1c , type 1 diabetes, multiparity and excess weight gain, but not first trimester HbA1c , to be independently predictive for LGA. Pre-eclampsia and third trimester HbA1c increased the risk for preterm delivery. If HbA1c was ≤ 42 mmol/mol (6.0%) in the third trimester, rates of adverse outcomes were not significantly higher even if HbA1c targets of ≤ 48 mmol/mol (6.5%) had not been met in the first trimester. Good first trimester glucose control did not modify the rates of adverse outcomes if HbA1c was > 42 mmol/mol (6.0%) in the third trimester. CONCLUSIONS: Less tight glycaemic control, for example due to high frequency of severe hypoglycaemia in the first trimester, does not lead to increased adverse neonatal events if followed by tight control in the third trimester. Besides glycaemic control, excess weight gain is a modifiable predictor of adverse outcome.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 2/tratamento farmacológico , Controle Glicêmico/métodos , Hipoglicemia/induzido quimicamente , Hipoglicemiantes/uso terapêutico , Gravidez em Diabéticas/tratamento farmacológico , Adulto , Estudos de Coortes , Diabetes Mellitus Tipo 1/metabolismo , Diabetes Mellitus Tipo 2/metabolismo , Desenvolvimento Embrionário , Feminino , Macrossomia Fetal/epidemiologia , Ganho de Peso na Gestação , Hemoglobinas Glicadas/metabolismo , Humanos , Unidades de Terapia Intensiva Neonatal/estatística & dados numéricos , Paridade , Pré-Eclâmpsia/epidemiologia , Gravidez , Primeiro Trimestre da Gravidez/metabolismo , Terceiro Trimestre da Gravidez/metabolismo , Gravidez em Diabéticas/metabolismo , Nascimento Prematuro/epidemiologia , Estudos Retrospectivos
4.
Diabet Med ; 36(2): 158-166, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30698863

RESUMO

AIMS: To compare glycaemic control, maternal and neonatal outcomes in pregnancies with Type 1 diabetes, managed either by continuous subcutaneous insulin infusion, multiple daily insulin injection or switch from multiple daily insulin injection (MDI) to continuous subcutaneous insulin infusion (CSII) in early pregnancy. RESEARCH DESIGN AND METHODS: Data from 339 singleton pregnancies were retrospectively reviewed. HbA1c values were measured preconception and in each trimester. In a secondary analysis, use of CSII pre-pregnancy was compared with initiation of CSII during pregnancy. RESULTS: MDI was used in 140 pregnancies (41.3%) and CSII was used in 199 (58.7%), including 34 pregnancies (10.0%) during which the women switched to CSII. In pregnancies during which CSII was used duration of diabetes [median (interquartile range) 16.0 (8.0-23.0) years vs 11.0 (5.5-17.5) years; P<0.001] was longer, and the Institute of Medicine recommendations for appropriate weight gain were exceeded more often (64.8% vs. 50.8%; P=0.01). CSII use and pre-pregnancy BMI were independent predictors of excess weight gain. There was no difference in glucose control, but CSII was associated with higher birth weight [median (interquartile range) 3720 (3365-4100) g vs 3360 (3365-4100) g; P<0.001] and higher large-for-gestational-age (LGA) rate (44.7% vs. 33.6%; P=0.04) than MDI. HbA1c concentration in the third trimester and excess weight gain were predictive of LGA infants [odds ratio 2.33 (95% CI 1.54-3.51); P<0.001 and 1.89 (95% CI 1.02-3.51); P=0.04]. In pregnancies where CSII therapy was initiated in the first trimester and in those with pre-pregnancy use, similar glucose control and outcome was achieved. CONCLUSIONS: There was no advantage of CSII with respect to glycaemic control and neonatal outcomes. The rate of LGA neonates was higher in the CSII group, possibly mediated by excess maternal weight gain, which was more frequent than in women treated with MDI.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Macrossomia Fetal/etiologia , Hipoglicemiantes/administração & dosagem , Insulina/administração & dosagem , Gravidez em Diabéticas/tratamento farmacológico , Adulto , Peso ao Nascer , Diabetes Mellitus Tipo 1/complicações , Feminino , Ganho de Peso na Gestação/fisiologia , Hemoglobinas Glicadas/metabolismo , Humanos , Recém-Nascido , Injeções Subcutâneas , Sistemas de Infusão de Insulina , Idade Materna , Cuidado Pré-Concepcional , Gravidez , Trimestres da Gravidez , Estudos Retrospectivos
5.
Phys Chem Chem Phys ; 20(8): 5530-5544, 2018 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-29168510

RESUMO

We present first results on a newly built broadband emission spectrometer for the laboratory making use of a double sideband (DSB) heterodyne receiver. The new spectrometer is perfectly suited for high-resolution emission spectroscopy of molecules of astrophysical importance. The current SIS receiver operates at RF frequencies between 270 and 390 GHz, coincident with Band 7 of the ALMA telescope. The instantaneous bandwidth is 5 GHz (DSB). In this work the full spectrometer and its components are described. Its performance, in particular its sensitivity, stability, reproducibility and systematic errors, is characterized in detail. For this purpose very broad band emission spectra of methyl cyanide have been recorded and compared to theoretical spectra. Isotopic variants are found in natural abundance and features attributed to vibrationally excited species are all recorded in the same spectrum. The performance of the new spectrometer is compared extensively to that of a traditional FM-absorption spectrometer and to recent versions of chirped-pulse spectrometers operated in the mm-wave regime. Further applications and future advancements of the current instrument are discussed.

6.
Crit Rev Food Sci Nutr ; 56(1): 82-91, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-24628089

RESUMO

Pregnancy is a complex period of human growth, development, and imprinting. Nutrition and metabolism play a crucial role for the health and well-being of both mother and fetus, as well as for the long-term health of the offspring. Nevertheless, several biological and physiological mechanisms related to nutritive requirements together with their transfer and utilization across the placenta are still poorly understood. In February 2009, the Child Health Foundation invited leading experts of this field to a workshop to critically review and discuss current knowledge, with the aim to highlight priorities for future research. This paper summarizes our main conclusions with regards to maternal preconceptional body mass index, gestational weight gain, placental and fetal requirements in relation to adverse pregnancy and long-term outcomes of the fetus (nutritional programming). We conclude that there is an urgent need to develop further human investigations aimed at better understanding of the basis of biochemical mechanisms and pathophysiological events related to maternal-fetal nutrition and offspring health. An improved knowledge would help to optimize nutritional recommendations for pregnancy.


Assuntos
Saúde Global , Transtornos da Nutrição do Lactente/prevenção & controle , Fenômenos Fisiológicos da Nutrição Materna , Modelos Biológicos , Política Nutricional , Cooperação do Paciente , Complicações na Gravidez/prevenção & controle , Adulto , Desenvolvimento Infantil , Feminino , Desenvolvimento Fetal , Humanos , Transtornos da Nutrição do Lactente/epidemiologia , Recém-Nascido , Estado Nutricional , Gravidez , Complicações na Gravidez/epidemiologia , Resultado da Gravidez , Risco , Aumento de Peso
7.
Rev Sci Instrum ; 94(3): 034705, 2023 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-37012769

RESUMO

We present a home-built chirped-pulse Fourier transform millimeter wave (CP-FTMMW) spectrometer. The setup is devoted to the sensitive recording of high-resolution molecular spectroscopy in the W band between 75 and 110 GHz. We describe the experimental setup in detail, including a characterization of the chirp excitation source, the optical beam path, and the receiver. The receiver is a further development of our 100 GHz emission spectrometer. The spectrometer is equipped with a pulsed jet expansion and a DC discharge. Spectra of methyl cyanide as well as hydrogen cyanide (HCN) and hydrogen isocyanide (HNC) products from the DC discharge of this molecule are recorded to characterize the performance of the CP-FTMMW instrument. The formation of the HCN isomer is favored by a factor of 63 with respect to HNC. Hot/cold calibration measurements enable a direct comparison of the signal and noise levels of the CP-FTMMW spectra to those of the emission spectrometer. For the CP-FTMMW instrument, we find many orders of magnitude of signal enhancement and a much stronger noise reduction due to the coherent detection scheme.

8.
Diabet Med ; 28(9): 1053-9, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21658120

RESUMO

AIMS: To evaluate the potential contribution of maternal glucose and lipids to fetal metabolic variables and growth in pregnancies with normal glucose tolerance in comparison with pregnancies with well-controlled gestational diabetes previously reported by us. METHODS: In 190 pregnancies with normal oral glucose tolerance tests (controls), insulin, glucose and lipid components were determined in maternal and arterial cord blood serum. Birthweight and neonatal fat mass were obtained after delivery. Values were adjusted for maternal pre-pregnancy BMI, Caesarean section and gestational age. Measurements were compared with those of gestational diabetes previously reported. RESULTS: Maternal serum glucose, triacylglycerol, free fatty acid and cholesterol levels did not differ between control pregnancies and those with gestational diabetes, whereas insulin, homeostasis model assessment and glycerol values were significantly lower in the former (2.6 vs. 5.6 µmol/l and 176 vs. 193 µmol/l, respectively). In contrast, cord blood glucose and free fatty acids were significantly lower in control pregnancies than in those with gestational diabetes (3.9 vs. 4.4 mmol/l and 80.7 vs. 137 µmol/l, respectively); the same was valid for insulin (0.03 vs. 0.05 nmol/l) and homeostasis model assessment (1.0 vs. 1.87). In control pregnancies, maternal serum glucose, free fatty acids and glycerol correlated with those in cord blood, but not with neonatal weight and fat mass, as seen for free fatty acids in those with gestational diabetes. The negative correlation between cord blood triacylglycerols and neonatal weight or fat mass previously reported in gestational diabetes could not be confirmed in control pregnancies, where all fetal lipids showed a positive correlation to neonatal anthropometrics. CONCLUSION: In normal pregnancies, in contrast to those with gestational diabetes, maternal lipids do not influence neonatal weight. Similar levels of maternal lipids in pregnancies with gestational diabetes and control pregnancies, but higher free fatty acids in the cord blood of those with gestational diabetes, indicate their enhanced placental transport and/or enhanced lipolysis as a result of decreased fetal insulin responsiveness.


Assuntos
Diabetes Gestacional/metabolismo , Ácidos Graxos não Esterificados/metabolismo , Sangue Fetal/metabolismo , Hemoglobinas Glicadas/metabolismo , Lipídeos/sangue , Troca Materno-Fetal , Triglicerídeos/metabolismo , Adulto , Berlim , Peso ao Nascer , Feminino , Desenvolvimento Fetal , Teste de Tolerância a Glucose , Humanos , Gravidez
9.
Phys Rev Lett ; 105(24): 243902, 2010 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-21231527

RESUMO

We demonstrate generation of coherent microjoule-scale, low-order harmonic supercontinua in the deep and vacuum ultraviolet (4-9 eV), resulting from the nonlinear transformations of near-single-cycle laser pulses in a gas cell. We show theoretically that their formation is connected to a novel nonlinear regime, holding promise for the generation of powerful deep-UV and vacuum ultraviolet subfemtosecond pulses. Our work opens the route to pump-probe spectroscopy of subfemtosecond-scale valence-shell phenomena in atoms, molecules, and condensed matter.

10.
Opt Express ; 17(3): 1159-68, 2009 Feb 02.
Artigo em Inglês | MEDLINE | ID: mdl-19188942

RESUMO

We demonstrate for the first time the closure of an electronic phase lock loop for a continuous-wave quantum cascade laser (QCL) at 1.5 THz. The QCL is operated in a closed cycle cryo cooler. We achieved a frequency stability of better than 100 Hz, limited by the resolution bandwidth of the spectrum analyser. The PLL electronics make use of the intermediate frequency (IF) obtained from a hot electron bolometer (HEB) which is downconverted to a PLL IF of 125 MHz. The coarse selection of the longitudinal mode and the fine tuning is achieved via the bias voltage of the QCL. Within a QCL cavity mode, the free-running QCL shows frequency fluctuations of about 5 MHz, which the PLL circuit is able to control via the Stark-shift of the QCL gain material. Temperature dependent tuning is shown to be nonlinear, and of the order of -16 MHz/K. Additionally we have used the QCL as local oscillator (LO) to pump an HEB and perform, again for the first time at 1.5 THz, a heterodyne experiment, and obtain a receiver noise temperature of 1741 K.

11.
Endoscopy ; 41(2): 123-8, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19214890

RESUMO

UNLABELLED: SPECIFIC AUTHOR CONTRIBUTIONS: Andreas Vécsei, MD, and Ulrike Graf wrote the manuscript. All authors contributed to study design, data collection and analysis, and approved the final draft for submission. The corresponding author declares that the manuscript is submitted on behalf of all authors. BACKGROUND AND STUDY AIMS: The best mode of follow-up in celiac disease has not yet been established. The intention of this study was to clarify which noninvasive follow-up investigation - serological tests or intestinal permeability test (IPT) - correlates best with histology and whether the interval between diagnosis and follow-up affects the accuracy of these tests. PATIENTS AND METHODS: Data from adult patients with celiac disease (diagnosed between December 1989 and July 2006) followed up with biopsy, IPT, and serological tests [IgG anti-gliadin antibodies (AGA-IgG), AGA-IgA, and endomysial antibodies (EMA)] were retrieved from a computerized database. Results of noninvasive tests were compared with the persistence of villous atrophy on biopsy. Patients were divided into groups A, which comprised patients followed up within 2 years after diagnosis, and B, comprising patients followed up later than 2 years. RESULTS: Forty-seven patients were evaluable. The lactulose/mannitol (L/M) ratio had a sensitivity of 85 % and a specificity of 46.2 % for mucosal atrophy, whereas saccharose excretion showed a sensitivity of 60 % and a specificity of 52.6 %. The sensitivities of AGA-IgA and AGA-IgG were 15 % and 20 %, respectively, while specificity was 100 % for both. Validity of AGA was limited due to low number of positive results. EMA assay was 50 % sensitive and 77.8 % specific. In group A (n = 23) L/M ratio performed best in terms of sensitivity (88.9 %), whereas EMA achieved a higher specificity (71.4 %). In group B, the sensitivity of the L/M ratio decreased to 85.7 %, while the specificity of EMA increased to 91.7 %. CONCLUSIONS: In this study, none of the noninvasive tests was an accurate substitute for follow-up biopsy in detecting severe mucosal damage.


Assuntos
Doença Celíaca/patologia , Imunoglobulina A/sangue , Imunoglobulina G/sangue , Absorção Intestinal/fisiologia , Mucosa Intestinal/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Doença Celíaca/sangue , Doença Celíaca/dietoterapia , Feminino , Seguimentos , Gliadina/imunologia , Humanos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Testes Sorológicos , Fatores de Tempo , Adulto Jovem
12.
Opt Express ; 16(23): 18956-63, 2008 Nov 10.
Artigo em Inglês | MEDLINE | ID: mdl-19581987

RESUMO

We demonstrate that nonlinear frequency upconversion of few-cycle near-infrared (NIR) laser pulses, by means of harmonic generation in noble gases, is a promising approach for extending cutting-edge, few-cycle ultrafast technology into the deep ultraviolet and beyond, without the need for UV dispersion control. In our experiment, we generate 3.7-fs pulses in the deep UV (approximately 4.6 eV) with adjustable polarization and gigawatt-scale peak power. We demonstrate that the implementation of this concept with a quasi-monocycle driver offers the potential for advancing UV pulse generation towards the 1-fs frontier.


Assuntos
Lasers , Processamento de Sinais Assistido por Computador/instrumentação , Transdutores , Desenho Assistido por Computador , Desenho de Equipamento , Análise de Falha de Equipamento , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Raios Ultravioleta
13.
Food Chem Toxicol ; 46(3): 1103-10, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18160198

RESUMO

Propolis is a substance produced by honeybees (Apis mellifera L.). Its components are strong antioxidants and free radical scavengers. The aim of this study was to evaluate the protective effects of a water extract of Brazilian green propolis (WEP) combined with the antitumor agent doxorubicin (DXR) on Drosophila melanogaster wing cells through the somatic mutation and recombination test (SMART). Two different crosses were used: The standard (ST) cross and the high bioactivation (HB) cross. The HB cross is characterized by a constitutively enhanced level of cytochrome P450 which leads to an increased sensitivity to a number of promutagens and procarcinogens. Larvae obtained from these two crosses were chronically treated with different concentrations of WEP (12.5,25.0 and 50.0 mg/mL) alone or combined with DXR (0.125 mg/mL). The results obtained with the two different crosses were rather similar. Neither toxicity nor genotoxicity were observed in WEP treated series. Simultaneous treatment with different concentrations of WEP and DXR led to a reduction in the frequency of recombination compared to the treatment with DXR alone. This anti-recombinogenic effect was proportional to the concentrations applied, indicating a dose-response correlation and can be attributed to the powerful scavenger ability of WEP.


Assuntos
Antimutagênicos/farmacologia , Doxorrubicina/toxicidade , Drosophila melanogaster/genética , Mutação , Própole/química , Recombinação Genética , Animais , Água/química
14.
Radiat Res ; 164(2): 157-62, 2005 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-16038586

RESUMO

This paper describes the observation of a direct relationship between the absorbed doses of neutrons and the frequencies of somatic mutation and recombination using the wing somatic mutation and recombination test (SMART) of Drosophila melanogaster. This test was used for evaluating the biological effects induced by neutrons from the Triga Mark III reactor of Mexico. Two different reactor power levels were used, 300 and 1000 kW, and two absorbed doses were tested for each power level: 1.6 and 3.2 Gy for 300 kW and 0.84 and 1.7 Gy for 1000 kW. A linear relationship was observed between the absorbed dose and the somatic mutation and recombination frequencies. Furthermore, these frequencies were dependent on larval age: In 96-h-old larvae, the frequencies were increased considerably but the sizes of the spots were smaller than in 72-h-old larvae. The analysis of the balancer-heterozygous progeny showed a linear absorbed dose- response relationship, although the responses were clearly lower than found in the marker-trans-heterozygous flies. Approximately 65% of the genotoxicity observed is due to recombinational events. The results of the study indicate that thermal and fast neutrons are both mutagenic and recombinagenic in the D. melanogaster wing SMART, and that the frequencies are dependent on neutron dose, reactor power, and the age of the treated larvae.


Assuntos
Mutação , Nêutrons/efeitos adversos , Recombinação Genética , Animais , Relação Dose-Resposta à Radiação , Drosophila melanogaster
15.
Diabetes Care ; 24(11): 1904-10, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11679455

RESUMO

OBJECTIVE: To compare management based on maternal glycemic criteria with management based on relaxed glycemic criteria and fetal abdominal circumference (AC) measurements in order to select patients for insulin treatment of gestational diabetes mellitus (GDM) with fasting hyperglycemia. RESEARCH DESIGN AND METHODS: In a pilot study, 98 women with fasting plasma glucose (FPG) concentrations of 105-120 mg/dl were randomized. The standard group received insulin treatment. The experimental group received insulin if the AC, measured monthly, was > or =70th percentile and/or if any venous FPG measurement was >120 mg/dl. Power was projected to detect a 250-g difference in birth weights. RESULTS: Gestational ages, maternal glycemia, and AC percentiles were similar at randomization. After initiation of protocol, venous FPG (P = 0.003) and capillary blood glucose levels (P = 0.049) were significantly lower in the standard group. Birth weights (3,271 +/- 458 vs. 3,369 +/- 461 g), frequencies of birth weights >90th percentile (6.3 vs 8.3%), and neonatal morbidity (25 vs. 25%) did not differ significantly between the standard and experimental groups, respectively. The cesarean delivery rate was significantly lower (14.6 vs. 33.3%, P = 0.03) in the standard group; this difference was not explained by birth weights. In the experimental group, infants of women who did not receive insulin had lower birth weights than infants of mothers treated with insulin (3,180 +/- 425 vs. 3,482 +/- 451 g, P = 0.03). CONCLUSIONS: In women with GDM and fasting hyperglycemia, glucose plus fetal AC measurements identified pregnancies at low risk for macrosomia and resulted in the avoidance of insulin therapy in 38% of patients without increasing rates of neonatal morbidity.


Assuntos
Glicemia/metabolismo , Diabetes Gestacional/tratamento farmacológico , Hiperglicemia/sangue , Insulina/uso terapêutico , Ultrassonografia Pré-Natal , Adulto , Antropometria , Peso ao Nascer , Índice de Massa Corporal , Diabetes Mellitus/sangue , Diabetes Mellitus/tratamento farmacológico , Diabetes Gestacional/sangue , Diabetes Gestacional/reabilitação , Jejum , Feminino , Idade Gestacional , Teste de Tolerância a Glucose , Humanos , Hipoglicemiantes/uso terapêutico , Recém-Nascido , Doenças do Recém-Nascido/classificação , Doenças do Recém-Nascido/epidemiologia , Recém-Nascido Pequeno para a Idade Gestacional , Unidades de Terapia Intensiva Neonatal , Masculino , Obesidade , Paridade , Educação de Pacientes como Assunto , Projetos Piloto , Gravidez , Dobras Cutâneas
16.
FEBS Lett ; 302(2): 121-5, 1992 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-1633842

RESUMO

We have cloned and analysed the second mouse MHC-linked proteasome subunit, designated MC13, which appears to be homologous to the human RING10 proteasome protein. The isolated cDNA has an ORF encoding a protein of 276 amino acids with a molecular weight of ca. 30 kDa. Sequence alignment reveals that the subunit MC13 and several other mammalian proteasome subunits are encoded by a second proteasome gene family. This second gene family encodes subunits of the beta-type, reveals striking sequence similarities with the beta-subunit of archaebacterial proteasomes and is related to, but distinct from, the genes encoding the so-called alpha-type subunits.


Assuntos
Cisteína Endopeptidases/genética , DNA/isolamento & purificação , Complexo Principal de Histocompatibilidade/genética , Complexos Multienzimáticos/genética , Sequência de Aminoácidos , Animais , Archaea/química , Sequência de Bases , Clonagem Molecular , Cisteína Endopeptidases/química , DNA/química , Humanos , Substâncias Macromoleculares , Camundongos , Camundongos Endogâmicos BALB C , Dados de Sequência Molecular , Peso Molecular , Complexos Multienzimáticos/química , Complexo de Endopeptidases do Proteassoma , Homologia de Sequência do Ácido Nucleico
17.
Environ Mol Mutagen ; 27(3): 219-26, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8625958

RESUMO

A groups of six chemical compounds was tested in parallel in two different somatic genotoxicity assays in Drosophila melanogaster, the wing somatic mutation and recombination test (SMART) and the white-ivory eye spot test. The wing spot test makes use of the wing cell markers multiple wing hairs (mwh) and flare (flr) and detects both mitotic recombination and various types of mutational events. The white-ivory eye spot test makes use of the white-ivory (wi) quadruplication and detects the somatic reversion of the recessive eye color mutation wi to the wild-type (w+). Three- or two-day-old larvae were fed chronically with the compounds ethylnitrosourea (ENU), N-nitrosopyrrolidine (NNP), caffeine (CAF), chromium (VI) oxide (CRO), potassium chromate (POC), and 2,4-dichlorophenoxyacetic acid (2,4-D). All six compounds are genotoxic to various degrees in the wing spot test. The percentage of the genotoxic activity that is due to mitotic recombination was between 84% and 91% for the hexavalent chromium compounds CRO and POC and about 68% for 2,4-D. In contrast, ENU and NNP showed only 46% and 25% recombinagenic activity, respectively. In the white-ivory eye spot test, the three compounds (CRO, POC, and 2,4-D) with high recombinagenic activity and CAF were clearly nongenotoxic, whereas only ENU and NNP gave a positive response. From these results, it is concluded that the spectrum of genotoxic events detected by the two assays is different. In particular, the white-ivory eye spot test appears not to detect mitotic recombination the way the wing spot test does.


Assuntos
Transportadores de Cassetes de Ligação de ATP , Proteínas de Drosophila , Drosophila melanogaster/efeitos dos fármacos , Cor de Olho/genética , Proteínas do Olho , Genes de Insetos/efeitos dos fármacos , Hormônios de Inseto/genética , Testes de Mutagenicidade , Recombinação Genética/efeitos dos fármacos , Asas de Animais/ultraestrutura , Ácido 2,4-Diclorofenoxiacético/toxicidade , Animais , Cafeína/toxicidade , Cromatos/toxicidade , Compostos de Cromo/toxicidade , Drosophila melanogaster/genética , Drosophila melanogaster/crescimento & desenvolvimento , Etilnitrosoureia/toxicidade , Feminino , Regulação da Expressão Gênica no Desenvolvimento , Larva , Masculino , Mitose , Morfogênese/efeitos dos fármacos , Morfogênese/genética , Mutagênicos/toxicidade , N-Nitrosopirrolidina/toxicidade , Compostos de Potássio/toxicidade
18.
Environ Mol Mutagen ; 16(4): 225-37, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2123787

RESUMO

Ten chemical mutagens were tested in the wing somatic mutation and recombination test in Drosophila melanogaster. This assay makes use of genetic markers expressed on the wing of adult flies. Larvae which are trans-heterozygous for mwh (multiple wing hairs) and flr (flare) were fed with the compounds either acutely (2, 4, or 6 hr) or chronically (48 or 72 hr), or were treated by inhalation (1 hr). Genetic changes induced in the somatic cells of the wing imaginal discs lead to the formation of mutant clones on the wing (mwh and/or flr). Single spots are produced by point mutation, chromosome breakage, and mitotic recombination; twin spots are produced exclusively by mitotic recombination. All 10 mutagens belonging to different chemical classes were clearly positive in this assay. However, the choice of the optimal treatment conditions (concentration of compound, duration of treatment, age of larvae at treatment) is essential. Eight of the compounds were also tested in excision repair defective cells by introducing the mei-9L1 mutation into the test system. This seems not to improve the detection capacity of the assay, mainly because only small spots are found in excision repair defective wings. In addition, the frequencies of spots in these wings are enhanced four to five times, which makes the scoring more tedious. For these and other practical reasons the use of this specific cross is not recommended in the wing spot test for routine screening purposes.


Assuntos
Reparo do DNA , Drosophila melanogaster/genética , Testes de Mutagenicidade , Mutagênicos , Animais , Cruzamentos Genéticos , Drosophila melanogaster/efeitos dos fármacos , Feminino , Marcadores Genéticos , Masculino , Mutação , Fenótipo , Recombinação Genética
19.
Environ Mol Mutagen ; 36(3): 195-200, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11044900

RESUMO

The modulating effects of tannic acid (TA) on somatic mutation and mitotic recombination induced by methylmethanesulfonate (MMS), nitrogen mustard (HN2), and mitomycin C (MMC) were evaluated in the standard (ST) cross of the wing spot test in Drosophila melanogaster using co- and posttreatment protocols. It was shown that TA alone did not modify the spontaneous frequencies of single and twin spots, which means that this polyphenol neither acts as a genotoxin nor exerts any antigenotoxic effect over spontaneous DNA lesions. However, the simultaneous administration of genotoxins with TA can lead to considerable alterations of the frequencies of induced wing spots in comparison to those with administration of the genotoxins alone. In fact, TA produced a significant increase in HN2-induced wing spots with enhancements between 90 and 160%. For MMS, the enhancement was 38% in the highest TA concentration tested. In contrast, a significant protective action of this polyphenol was observed in combined treatments with MMC (64 to 99% inhibition). Moreover, the data from TA posttreatments demonstrated that this agent is not effective in exerting protective or enhancing effects on the genotoxicity of MMS, HN2, or MMC. One feasible mechanism of TA action is its interaction with the enzyme systems catalyzing the metabolic detoxification of MMS and HN2, which may also be involved in the bioactivation of MMC.


Assuntos
Drosophila melanogaster/genética , Taninos Hidrolisáveis/farmacologia , Mecloretamina/toxicidade , Metanossulfonato de Metila/toxicidade , Mitomicina/toxicidade , Mutagênicos/toxicidade , Animais , Cruzamentos Genéticos , Drosophila melanogaster/efeitos dos fármacos , Feminino , Larva , Masculino , Testes de Mutagenicidade , Oviposição , Asas de Animais
20.
Environ Mol Mutagen ; 29(1): 91-7, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9020312

RESUMO

Integerrimine (ITR), a pyrrolizidine alkaloid from Senecio brasiliensis, was tested for genotoxicity using the wing somatic mutation and recombination test (SMART) in Drosophila melanogaster. The compound was administered by chronic feeding (48 hours) of 3-day-old larvae. Two different crosses involving the markers flare (flr) and multiple wing hairs (mwh) were used, that is, the standard (ST) cross and the high bioactivation (HB) cross, which has a high cytochrome P450-dependent bioactivation capacity. In both crosses, the wings of two types of progeny were analyzed, that is, inversion-free marker heterozygotes and balancer heterozygotes carrying multiple inversions. ITR was found to be equally potent in inducing spots in a dose-related manner in the marker heterozygotes of both crosses. This indicates that the bioactivation capacity present in larvae of the ST cross is sufficient to reveal the genotoxic activity of ITR. In the balancer heterozygotes of both crosses, where all recombinational events are eliminated due to the inversions, the frequencies of induced spots were considerably reduced which documents the recombinagenic activity of ITR. Linear regression analysis of the dose response relationships for both genotypes shows that 85% to 90% of the wing spots are due to mitotic recombination.


Assuntos
Drosophila melanogaster/genética , Testes de Mutagenicidade/métodos , Plantas Tóxicas , Alcaloides de Pirrolizidina/toxicidade , Recombinação Genética/efeitos dos fármacos , Senécio/química , Animais , Antineoplásicos Fitogênicos/toxicidade , Inversão Cromossômica , Cruzamentos Genéticos , Drosophila melanogaster/efeitos dos fármacos , Feminino , Heterozigoto , Larva , Masculino , Mitose , Mutação , Sensibilidade e Especificidade , Asas de Animais/efeitos dos fármacos
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