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1.
Nature ; 554(7692): 351-355, 2018 02 15.
Artigo em Inglês | MEDLINE | ID: mdl-29400700

RESUMO

The presence of large Northern Hemisphere ice sheets and reduced greenhouse gas concentrations during the Last Glacial Maximum fundamentally altered global ocean-atmosphere climate dynamics. Model simulations and palaeoclimate records suggest that glacial boundary conditions affected the El Niño-Southern Oscillation, a dominant source of short-term global climate variability. Yet little is known about changes in short-term climate variability at mid- to high latitudes. Here we use a high-resolution water isotope record from West Antarctica to demonstrate that interannual to decadal climate variability at high southern latitudes was almost twice as large at the Last Glacial Maximum as during the ensuing Holocene epoch (the past 11,700 years). Climate model simulations indicate that this increased variability reflects an increase in the teleconnection strength between the tropical Pacific and West Antarctica, owing to a shift in the mean location of tropical convection. This shift, in turn, can be attributed to the influence of topography and albedo of the North American ice sheets on atmospheric circulation. As the planet deglaciated, the largest and most abrupt decline in teleconnection strength occurred between approximately 16,000 years and 15,000 years ago, followed by a slower decline into the early Holocene.

2.
J Microsc ; 256(3): 231-6, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25228240

RESUMO

The presence of systematic noise in images in high-throughput microscopy experiments can significantly impact the accuracy of downstream results. Among the most common sources of systematic noise is non-homogeneous illumination across the image field. This often adds an unacceptable level of noise, obscures true quantitative differences and precludes biological experiments that rely on accurate fluorescence intensity measurements. In this paper, we seek to quantify the improvement in the quality of high-content screen readouts due to software-based illumination correction. We present a straightforward illumination correction pipeline that has been used by our group across many experiments. We test the pipeline on real-world high-throughput image sets and evaluate the performance of the pipeline at two levels: (a) Z'-factor to evaluate the effect of the image correction on a univariate readout, representative of a typical high-content screen, and (b) classification accuracy on phenotypic signatures derived from the images, representative of an experiment involving more complex data mining. We find that applying the proposed post-hoc correction method improves performance in both experiments, even when illumination correction has already been applied using software associated with the instrument. To facilitate the ready application and future development of illumination correction methods, we have made our complete test data sets as well as open-source image analysis pipelines publicly available. This software-based solution has the potential to improve outcomes for a wide-variety of image-based HTS experiments.


Assuntos
Ensaios de Triagem em Larga Escala/métodos , Iluminação/métodos , Microscopia/métodos , Estatística como Assunto/métodos , Ruído , Software
3.
Nat Med ; 5(9): 1039-43, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10470081

RESUMO

Human cytomegalovirus (HCMV) is a ubiquitous herpesvirus that causes life-threatening disease in patients who are immunosuppressed for bone marrow or tissue transplantation or who have AIDS (ref. 1). HCMV establishes lifelong latent infections and, after periodic reactivation from latency, uses a panel of immune evasion proteins to survive and replicate in the face of robust, fully primed host immunity. Monocyte/macrophages are important host cells for HCMV, serving as a latent reservoir and as a means of dissemination throughout the body. Macrophages and other HCMV-permissive cells, such as endothelial and glial cells, can express MHC class II proteins and present antigens to CD4+ T lymphocytes. Here, we show that the HCMV protein US2 causes degradation of two essential proteins in the MHC class II antigen presentation pathway: HLA-DR-alpha and DM-alpha. This was unexpected, as US2 has been shown to cause degradation of MHC class I (refs. 5,6), which has only limited homology with class II proteins. Expression of US2 in cells reduced or abolished their ability to present antigen to CD4+ T lymphocytes. Thus, US2 may allow HCMV-infected macrophages to remain relatively 'invisible' to CD4+ T cells, a property that would be important after virus reactivation.


Assuntos
Apresentação de Antígeno/imunologia , Linfócitos T CD4-Positivos/imunologia , Citomegalovirus/fisiologia , Antígenos de Histocompatibilidade Classe II/imunologia , Proteínas do Envelope Viral/metabolismo , Adenoviridae/genética , Citomegalovirus/genética , Vetores Genéticos , Glioblastoma , Antígenos HLA-D/imunologia , Antígenos HLA-D/metabolismo , Antígenos HLA-DR/imunologia , Antígenos HLA-DR/metabolismo , Antígenos de Histocompatibilidade Classe II/metabolismo , Humanos , Macrófagos/imunologia , Macrófagos/metabolismo , Macrófagos/virologia , Testes de Precipitina , Frações Subcelulares , Células Tumorais Cultivadas , Proteínas do Envelope Viral/genética , Latência Viral
4.
Nat Med ; 4(8): 929-33, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9701245

RESUMO

The adult heart lacks reserve cardiocytes and cannot regenerate. Therefore, a large acute myocardial infarction often develops into congestive heart failure. To attempt to prevent this progression, we transplanted skeletal myoblasts into cryoinfarcted myocardium of the same rabbits (autologous transfer), monitored cardiac function in vivo for two to six weeks and examined serial sections of the hearts by light and electron microscopy. Islands of different sizes comprising elongated, striated cells that retained characteristics of both skeletal and cardiac cells were found in the cryoinfarct. In rabbits in which myoblasts were incorporated, myocardial performance was improved. The ability to regenerate functioning muscle after autologous myoblast transplantation could have a important effect on patients after acute myocardial infarction.


Assuntos
Transplante de Células , Coração/fisiologia , Músculo Esquelético/citologia , Infarto do Miocárdio/cirurgia , Miocárdio/citologia , Regeneração , Animais , Células Cultivadas , Congelamento , Microscopia Eletrônica , Músculo Esquelético/ultraestrutura , Infarto do Miocárdio/patologia , Miocárdio/ultraestrutura , Coelhos
5.
J Appl Microbiol ; 110(4): 962-70, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21255210

RESUMO

AIMS: To investigate the prevalence and temporal patterns of antimicrobial resistance in wild rodents with no apparent exposure to antimicrobials. METHODS AND RESULTS: Two sympatric populations of bank voles and wood mice were trapped and individually monitored over a 2- year period for faecal carriage of antimicrobial-resistant Escherichia coli. High prevalences of ampicillin-, chloramphenicol-, tetracycline- and trimethoprim-resistant E. coli were observed. A markedly higher prevalence of antimicrobial-resistant E. coli was found in wood mice than in bank voles, with the prevalence in both increasing over time. Superimposed on this trend was a seasonal cycle with a peak prevalence of resistant E. coli in mice in early- to mid-summer and in voles in late summer and early autumn. CONCLUSIONS: These sympatric rodent species had no obvious contact with antimicrobials, and the difference in resistance profiles between rodent species and seasons suggests that factors present in their environment are unlikely to be drivers of such resistance. SIGNIFICANCE AND IMPACT OF THE STUDY: These findings suggest that rodents may represent a reservoir of antimicrobial-resistant bacteria, transmissible to livestock and man. Furthermore, such findings have implications for human and veterinary medicine regarding antimicrobial usage and subsequent selection of antimicrobial-resistant organisms.


Assuntos
Farmacorresistência Bacteriana , Escherichia coli/efeitos dos fármacos , Ampicilina/farmacologia , Animais , Antibacterianos/farmacologia , Arvicolinae/microbiologia , Fezes/microbiologia , Feminino , Masculino , Murinae/microbiologia , Estações do Ano , Simpatria
6.
J Exp Med ; 185(2): 363-6, 1997 Jan 20.
Artigo em Inglês | MEDLINE | ID: mdl-9016885

RESUMO

Human cytomegalovirus downregulates the expression of human class I major histocompatibility complex (MHC) molecules by accelerating destruction of newly synthesized class I heavy chains. The HCMV genome contains at least two genes, US11 and US2, each of which encode a product sufficient for causing the dislocation of newly synthesized class I heavy chains from the lumen of the endoplasmic reticulum to the cytosol. Based on a comparison of their abilities to degrade the murine class I molecules H-2Kb, Kd, Db, Dd, and Ld, the US11 and US2 gene products have non-identical specificities for class I molecules. Specifically, in human astrocytoma cells (U373-MG) transfected with the US11 gene, the Kb, Db, Dd, and Ld molecules expressed via recombinant vaccinia virus are rapidly degraded, whereas in US2-transfected cells, only Db and Dd are significantly destabilized. The diversity in HCMV-encoded functions that interfere with class I-restricted presentation likely evolved in response to the polymorphism of the MHC.


Assuntos
Alelos , Citomegalovirus/genética , Complexo Principal de Histocompatibilidade/genética , Proteínas de Ligação a RNA/metabolismo , Proteínas Virais/metabolismo , Animais , Glicosilação , Antígenos H-2/metabolismo , Hidrólise , Camundongos , Proteínas de Ligação a RNA/genética , Células Tumorais Cultivadas , Proteínas Virais/genética
7.
J Exp Med ; 188(5): 855-66, 1998 Sep 07.
Artigo em Inglês | MEDLINE | ID: mdl-9730887

RESUMO

Human cytomegalovirus (HCMV), a betaherpesvirus, has developed several ways to evade the immune system, notably downregulation of cell surface expression of major histocompatibility complex class I heavy chains. Here we report that HCMV has devised another means to compromise immune surveillance mechanisms. Extracellular accumulation of both constitutively produced monocyte chemoattractant protein (MCP)-1 and tumor necrosis factor-superinduced RANTES (regulated on activation, normal T cell expressed and secreted) was downregulated in HCMV-infected fibroblasts in the absence of transcriptional repression or the expression of polyadenylated RNA for the cellular chemokine receptors CCR-1, CCR-3, and CCR-5. Competitive binding experiments demonstrated that HCMV-infected cells bind RANTES, MCP-1, macrophage inflammatory protein (MIP)-1beta, and MCP-3, but not MCP-2, to the same receptor as does MIP-1alpha, which is not expressed in uninfected cells. HCMV encodes three proteins with homology to CC chemokine receptors: US27, US28, and UL33. Cells infected with HCMV mutants deleted of US28, or both US27 and US28 genes, failed to downregulate extracellular accumulation of either RANTES or MCP-1. In contrast, cells infected with a mutant deleted of US27 continues to bind and downregulate those chemokines. Depletion of chemokines from the culture medium was at least partially due to continuous internalization of extracellular chemokine, since exogenously added, biotinylated RANTES accumulated in HCMV-infected cells. Thus, HCMV can modify the chemokine environment of infected cells through intense sequestering of CC chemokines, mediated principally by expression of the US28-encoded chemokine receptor.


Assuntos
Quimiocinas CC/metabolismo , Citomegalovirus/fisiologia , Receptores de Quimiocinas/metabolismo , Receptores Virais/metabolismo , Replicação Viral/imunologia , Sítios de Ligação , Células Cultivadas , Quimiocina CCL2/biossíntese , Quimiocina CCL2/metabolismo , Quimiocina CCL5/biossíntese , Quimiocina CCL5/metabolismo , Quimiocinas CC/genética , Meios de Cultura/metabolismo , Citomegalovirus/genética , Fibroblastos/metabolismo , Fibroblastos/virologia , Deleção de Genes , Humanos , Líquido Intracelular/metabolismo , Receptores CCR2 , Receptores de Quimiocinas/genética , Fator de Necrose Tumoral alfa/farmacologia
8.
Appl Environ Microbiol ; 76(21): 7318-21, 2010 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-20851991

RESUMO

Campylobacter jejuni can be isolated from different animal hosts. Various studies have used multilocus sequence typing to look for associations between particular clones of C. jejuni and specific hosts. Here, we describe the isolation of a novel clone (sequence type 3704 [ST-3704]) of C. jejuni associated with the bank vole (Myodes glareolus).


Assuntos
Arvicolinae/microbiologia , Campylobacter jejuni/isolamento & purificação , Animais , Técnicas de Tipagem Bacteriana , Infecções por Campylobacter/microbiologia , Infecções por Campylobacter/veterinária , Campylobacter fetus/genética , Campylobacter fetus/isolamento & purificação , Campylobacter jejuni/genética , Campylobacter jejuni/fisiologia , Bovinos/microbiologia , Eletroforese em Gel de Campo Pulsado , Fezes/microbiologia , Dados de Sequência Molecular , Tipagem de Sequências Multilocus , Filogenia , Reação em Cadeia da Polimerase , Reino Unido
9.
J Cell Biol ; 142(2): 365-76, 1998 Jul 27.
Artigo em Inglês | MEDLINE | ID: mdl-9679137

RESUMO

The human cytomegalovirus (HCMV) gene products US2 and US11 dislocate major histocompatibility class I heavy chains from the ER and target them for proteasomal degradation in the cytosol. The dislocation reaction is inhibited by agents that affect intracellular redox potential and/or free thiol status, such as diamide and N-ethylmaleimide. Subcellular fractionation experiments indicate that this inhibition occurs at the stage of discharge from the ER into the cytosol. The T cell receptor alpha (TCR alpha) chain is also degraded by a similar set of reactions, yet in a manner independent of virally encoded gene products. Diamide and N-ethylmaleimide likewise inhibit the dislocation of the full-length TCR alpha chain from the ER, as well as a truncated, mutant version of TCR alpha chain that lacks cysteine residues. Cytosolic destruction of glycosylated, ER-resident type I membrane proteins, therefore, requires maintenance of a proper redox potential for the initial step of removal of the substrate from the ER environment.


Assuntos
Citosol/metabolismo , Retículo Endoplasmático/metabolismo , Antígenos de Histocompatibilidade Classe I/metabolismo , Proteínas de Membrana/metabolismo , Linhagem Celular , Citomegalovirus/genética , Citomegalovirus/imunologia , Citomegalovirus/metabolismo , Citosol/imunologia , Citosol/virologia , Diamida/farmacologia , Retículo Endoplasmático/imunologia , Retículo Endoplasmático/virologia , Etilmaleimida/farmacologia , Glicosilação , Antígenos de Histocompatibilidade Classe I/química , Humanos , Proteínas de Membrana/química , Oxirredução , Dobramento de Proteína , Proteínas de Ligação a RNA/genética , Proteínas de Ligação a RNA/metabolismo , Receptores de Antígenos de Linfócitos T alfa-beta/genética , Receptores de Antígenos de Linfócitos T alfa-beta/metabolismo , Deleção de Sequência , Proteínas Virais/genética , Proteínas Virais/metabolismo
10.
Science ; 251(4994): 668-71, 1991 Feb 08.
Artigo em Inglês | MEDLINE | ID: mdl-1704150

RESUMO

Saimiri monkeys immunized with a recombinant protein containing 20 copies of the nine amino acid repeat of the Plasmodium vivax circumsporozoite (CS) protein developed high concentrations of antibodies to the repeat sequence and to sporozoites, but were not protected against challenge. After intravenous injection of an immunoglobulin G3 monoclonal antibody (NVS3) against irradiated P. vivax sporozoites, four of six monkeys were protected against sporozoite-induced malaria, and the remaining two animals took significantly longer to become parasitemic. Epitope mapping demonstrated that NVS3 recognizes only four (AGDR) of the nine amino acids within the repeat region of the P. vivax CS protein. The monkeys immunized with (DRAADGQPAG)20 did not produce antibodies to the protective epitope AGDR. Thus, determination of the fine specificity of protective immune responses may be critical to the construction of successful subunit vaccines.


Assuntos
Anticorpos Antiprotozoários/imunologia , Antígenos de Protozoários/imunologia , Malária/prevenção & controle , Plasmodium vivax/imunologia , Proteínas de Protozoários , Sequência de Aminoácidos , Animais , Anticorpos Monoclonais/imunologia , Epitopos , Imunização Passiva , Malária/imunologia , Dados de Sequência Molecular , Fragmentos de Peptídeos/imunologia , Saimiri , Vacinas Sintéticas/imunologia
11.
Science ; 282(5388): 476-80, 1998 Oct 16.
Artigo em Inglês | MEDLINE | ID: mdl-9774275

RESUMO

CD8+ cytotoxic T lymphocytes (CTLs) are critical for protection against intracellular pathogens but often have been difficult to induce by subunit vaccines in animals. DNA vaccines elicit protective CD8+ T cell responses. Malaria-naïve volunteers who were vaccinated with plasmid DNA encoding a malaria protein developed antigen-specific, genetically restricted, CD8+ T cell-dependent CTLs. Responses were directed against all 10 peptides tested and were restricted by six human lymphocyte antigen (HLA) class I alleles. This first demonstration in healthy naïve humans of the induction of CD8+ CTLs by DNA vaccines, including CTLs that were restricted by multiple HLA alleles in the same individual, provides a foundation for further human testing of this potentially revolutionary vaccine technology.


Assuntos
Vacinas Antimaláricas/imunologia , Plasmodium falciparum/imunologia , Proteínas de Protozoários/genética , Proteínas de Protozoários/imunologia , Linfócitos T Citotóxicos/imunologia , Vacinas de DNA/imunologia , Adulto , Animais , Antígenos de Protozoários/genética , Antígenos de Protozoários/imunologia , Feminino , Genes MHC Classe I , Antígenos HLA/genética , Humanos , Esquemas de Imunização , Vacinas Antimaláricas/genética , Masculino , Plasmodium falciparum/genética , Vacinação
12.
Epidemiol Infect ; 137(11): 1574-82, 2009 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19327201

RESUMO

Shiga toxin-producing Escherichia coli (STEC) can cause serious disease in human beings. Ruminants are considered to be the main reservoir of human STEC infections. However, STEC have also been isolated from other domestic animals, wild mammals and birds. We describe a cross-sectional study of wild birds in northern England to determine the prevalence of E. coli-containing genes that encode Shiga toxins (stx1 and stx2) and intimin (eae), important virulence determinants of STEC associated with human disease. Multivariable logistic regression analysis identified unique risk factors for the occurrence of each virulence gene in wild bird populations. The results of our study indicate that while wild birds are unlikely to be direct sources of STEC infections, they do represent a potential reservoir of virulence genes. This, coupled with their ability to act as long-distance vectors of STEC, means that wild birds have the potential to influence the spread and evolution of STEC.


Assuntos
Adesinas Bacterianas/genética , Aves/microbiologia , Reservatórios de Doenças/veterinária , Proteínas de Escherichia coli/genética , Toxina Shiga I/genética , Toxina Shiga II/genética , Escherichia coli Shiga Toxigênica/genética , Animais , Estudos Transversais , Inglaterra/epidemiologia , Fezes/microbiologia , Razão de Chances , Vigilância da População , Fatores de Risco , Estações do Ano , Escherichia coli Shiga Toxigênica/isolamento & purificação , Fatores de Virulência/genética , Fatores de Virulência/isolamento & purificação
13.
J Geophys Res Atmos ; 124(6): 2932-2945, 2019 Mar 27.
Artigo em Inglês | MEDLINE | ID: mdl-31218150

RESUMO

Several recent studies from both Greenland and Antarctica have reported significant changes in the water isotopic composition of near-surface snow between precipitation events. These changes have been linked to isotopic exchange with atmospheric water vapor and sublimation-induced fractionation, but the processes are poorly constrained by observations. Understanding and quantifying these processes are crucial to both the interpretation of ice core climate proxies and the formulation of isotope-enabled general circulation models. Here, we present continuous measurements of the water isotopic composition in surface snow and atmospheric vapor together with near-surface atmospheric turbulence and snow-air latent and sensible heat fluxes, obtained at the East Greenland Ice-Core Project drilling site in summer 2016. For two 4-day-long time periods, significant diurnal variations in atmospheric water isotopologues are observed. A model is developed to explore the impact of this variability on the surface snow isotopic composition. Our model suggests that the snow isotopic composition in the upper subcentimeter of the snow exhibits a diurnal variation with amplitudes in δ18O and δD of ~2.5‰ and ~13‰, respectively. As comparison, such changes correspond to 10-20% of the magnitude of seasonal changes in interior Greenland snow pack isotopes and of the change across a glacial-interglacial transition. Importantly, our observation and model results suggest, that sublimation-induced fractionation needs to be included in simulations of exchanges between the vapor and the snow surface on diurnal timescales during summer cloud-free conditions in northeast Greenland.

14.
Mol Cell Biol ; 7(12): 4513-21, 1987 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-3325826

RESUMO

Expression of the c-myc gene can be controlled by transcriptional or posttranscriptional mechanisms (or both), depending on the cell type and the growth conditions. An important mechanism of posttranscriptional regulation is modulation of cytoplasmic c-myc mRNA stability; normal human and murine c-myc mRNAs have cytoplasmic half-lives of 30 min or less. To elucidate the c-myc sequences which impart this unusually high rate of cytoplasmic transcript turnover, we have constructed various deletion and hybrid c-myc genes and analyzed the cytoplasmic stability of the mRNAs produced from them in stably transfected murine fibroblasts. The results indicate that sequences contained within the 5' and 3' ends of the c-myc transcript can affect cytoplasmic stability. Specifically, the 3' untranslated sequences of c-myc exon 3 are required for, but do not ensure, a high rate of transcript turnover in the cytoplasm. Exon 2 coding sequences do not seem to be involved, and exon 1 sequences at the 5' end of the transcript have only a small effect on cytoplasmic transcript stability. The sequences that are primarily responsible for the short c-myc RNA half-life were localized to a region of 140 bases in the 3' untranslated region.


Assuntos
Citoplasma/metabolismo , Proteínas Proto-Oncogênicas/genética , Proto-Oncogenes , RNA Mensageiro/metabolismo , Sequências Reguladoras de Ácido Nucleico , Animais , Sequência de Bases , Linhagem Celular , DNA Recombinante , Éxons , Meia-Vida , Humanos , Camundongos , Dados de Sequência Molecular , Regiões Promotoras Genéticas , Proteínas Proto-Oncogênicas c-myc , Transcrição Gênica , Transfecção
15.
Cancer Res ; 61(1): 81-7, 2001 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-11196203

RESUMO

To study the temporal expression of motile structures and protease activity during colon cancer cell invasion by heregulin-beta1 (HRG) and prostaglandin E2 (PGE2), we have developed a three-dimensional spatial model system. HRG and PGE2 each induced the formation of well-organized, three-dimensional structures with empty spaces in the center and stimulated the expression of urokinase plasminogen activator (uPA) with differential localization of membrane-bound uPA at the focal adhesion points and leading edges of the motile cells. A specific cyclooxygenase-2 inhibitor blocked the formation of three-dimensional luminal glandular structures induced by HRG but did not block those induced by PGE2. A specific antagonist of uPA receptor completely blocked the formation of these luminal glandular structures induced by PGE2 and HRG. These findings suggest that HRG-mediated increased invasiveness of colon cancer cells is augmented at least in part by induction of PGE2 and uPA, and this augmentation may involve the formation of three-dimensional invasive structures via the uPA pathway. In addition, the three-dimensional model system presented here may have a wider application to screen the effects of therapeutic compounds and biomolecules on different spatial aspects of colonic biology, including cell growth, motility, invasion, survival, and apoptosis.


Assuntos
Neoplasias do Colo/patologia , Dinoprostona/farmacologia , Neuregulina-1/farmacologia , Movimento Celular/efeitos dos fármacos , Neoplasias do Colo/metabolismo , Citoesqueleto/efeitos dos fármacos , Citoesqueleto/patologia , Dinoprostona/biossíntese , Dinoprostona/fisiologia , Humanos , Microscopia de Contraste de Fase , Invasividade Neoplásica , Neuregulina-1/fisiologia , Receptores de Superfície Celular/metabolismo , Receptores de Ativador de Plasminogênio Tipo Uroquinase , Células Tumorais Cultivadas/efeitos dos fármacos , Regulação para Cima/efeitos dos fármacos , Ativador de Plasminogênio Tipo Uroquinase/biossíntese , Ativador de Plasminogênio Tipo Uroquinase/metabolismo
16.
J Clin Oncol ; 4(8): 1245-52, 1986 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3734849

RESUMO

CB3717 is a quinazoline antifolate whose cytotoxic activity is mediated by inhibition of thymidylate synthase (TS). A phase I clinical trial commenced in September 1981 and 99 patients have received 296 treatments. Doses were dissolved in 0.15 mol/L NaHCO3 (pH 9.0) at a concentration of 4 mg/mL infused over one hour or in a total volume of 1 L infused over 12 hours. Doses were repeated every 3 weeks. The starting dose of 140 mg/m2 was escalated to 600 mg/m2. Renal toxicity, detected by a decrease in the 51Cr EDTA clearance, was dose-related and occurred in seven of ten patients receiving greater than 450 mg/m2. Reversible hepatic toxicity often associated with malaise occurred in 223 of 288 assessable courses (77%). Fifty-nine courses (20%) were associated with increases in alanine transaminase (ALT) levels to greater than 2.5 times the upper limit of the normal laboratory range. Increases in alkaline phosphatase levels also occurred, but were less marked. The severity and prevalence of these elevations were unaffected by the duration of the infusion. A self-limiting rash appeared in 12 patients and a radiation recall reaction was seen in two. Leukopenia developed in 17 patients (WBC less than 3 X 10(9)/L), and thrombocytopenia occurred in six patients (platelets less than 100 X 10(9)/L). The mean leucocyte nadir occurred on day 10 and was followed by recovery at 11 to 19 days. Neither the incidence nor the severity of any of these latter toxicities was dose related. The maximum tolerated dose was in the region of 600 mg/m2 with renal toxicity being dose limiting, although the inter-patient variation did not allow a precise definition. Seventy-six patients were evaluable for response. Responses occurred at doses greater than or equal to 200 mg/m2 and were ovary, one complete response (CR), one partial response (PR), seven minor responses (MR) in 30 cases; breast, two PRs and one MR in eight cases; adenocarcinoma of the lung, one MR in 5 cases; mesothelioma, one PR in five cases; and colon, two MRs in four cases. CB3717 has activity in heavily pretreated patients. The recommended phase II dose for good-risk patients is 400 mg/m2 using the one-hour infusion schedule of administration.


Assuntos
Antineoplásicos/uso terapêutico , Antagonistas do Ácido Fólico/uso terapêutico , Ácido Fólico/análogos & derivados , Neoplasias/tratamento farmacológico , Quinazolinas/uso terapêutico , Timidilato Sintase/antagonistas & inibidores , Acetilglucosaminidase/urina , Fosfatase Ácida/sangue , Alanina Transaminase/sangue , Antineoplásicos/administração & dosagem , Doença Hepática Induzida por Substâncias e Drogas , Relação Dose-Resposta a Droga , Esquema de Medicação , Avaliação de Medicamentos , Antagonistas do Ácido Fólico/administração & dosagem , Taxa de Filtração Glomerular/efeitos dos fármacos , Doenças Hematológicas/induzido quimicamente , Hiperbilirrubinemia/induzido quimicamente , Nefropatias/induzido quimicamente , Leucil Aminopeptidase/urina , Neoplasias/sangue , Neoplasias/fisiopatologia , Quinazolinas/administração & dosagem , Dermatopatias/induzido quimicamente
17.
Vaccine ; 33(43): 5854-5860, 2015 Oct 26.
Artigo em Inglês | MEDLINE | ID: mdl-26362099

RESUMO

BACKGROUND: Based on the success of vaccination with pneumococcal conjugate vaccines (PCVs) in children, recent studies have focused on PCVs in adults. Data from a randomized, double-blind study comparing the immunogenicity, tolerability, and safety of the 13-valent PCV (PCV13) and the 23-valent pneumococcal polysaccharide vaccine (PPSV23) in PPSV23-naive adults 60-64 years of age have been published. The same study also included a cohort of adults aged 18-49 years that received open-label PCV13. The purpose of this cohort was to examine the immunogenicity, safety, and tolerability of PCV13 in adult subjects 18-49 years of age compared with adults 60-64 years of age for whom PCV13 is approved. METHODS: Adults naive to PPSV23 were grouped by age into 2 cohorts: 18-49 years (n=899; further stratified by age into 3 subgroups 18-29, 30-39, and 40-49 years) and 60-64 years (n=417). All subjects received 1 dose of PCV13. In both age groups, immunogenicity was assessed by antipneumococcal opsonophagocytic activity (OPA) geometric mean titers (GMTs) and IgG geometric mean concentrations (GMCs) 1 month after vaccination. Safety and tolerability were evaluated. RESULTS: In adults aged 18-49 years, OPA GMTs and IgG GMCs were noninferior for all 13 serotypes and statistically significantly higher for all except 1 serotype (OPA GMT) and 5 serotypes (IgG GMCs) compared with adults 60-64 years. Immune responses were highest in the youngest age subgroup (18-29 years). Local reactions and systemic events were more common in adults 18-49 years compared with 60-64 years and were self-limited. CONCLUSION: Immune responses to PCV13 are robust in adults ≥18 years of age, with highest responses observed in the youngest subgroup. Based on its safety and immunologic profile, PCV13 may serve an important therapeutic role in younger adults, particularly those with underlying medical conditions who have an increased risk of serious pneumococcal infections.


Assuntos
Vacinas Pneumocócicas/efeitos adversos , Vacinas Pneumocócicas/imunologia , Adolescente , Adulto , Anticorpos Antibacterianos/sangue , Estudos de Coortes , Método Duplo-Cego , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/patologia , Feminino , Humanos , Imunoglobulina G/sangue , Masculino , Pessoa de Meia-Idade , Proteínas Opsonizantes/sangue , Fagocitose , Vacinas Pneumocócicas/administração & dosagem , Resultado do Tratamento , Adulto Jovem
18.
J Neuropathol Exp Neurol ; 41(5): 479-89, 1982 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-6286891

RESUMO

The sarcomatous components of most glioma-sarcomas are thought to arise from the neoplastic transformation of hyperplastic endothelial and adventitial vascular cells in a preexisting glioblastoma multiforme. The expression of factor VIII/von Willebrand factor (FVIII/vWF), a marker for endothelial cells, and of glial fibrillary acidic protein (GFAP), a marker for glial cells, was examined in 10 glioblastomas and seven mixed glioma-sarcomas using the peroxidase-antiperoxidase immunohistochemical technique. Hyperplasia of small blood vessels was observed in all 10 glioblastomas; in five, the vascular proliferation had resulted in the formation of prominent glomeruloid structures. FVIII/vWF was detected in the endothelial cells in these vascular structures, but not in the adventitial cells. In the mixed glioma-sarcomas. FVIII/vWF was detected only in endothelial cells; there was no staining for FVIII/vWF in the neoplastic mesenchymal cells. The gliomatous components of the mixed tumors stained intensely for GFAP. These observations indicate that both endothelial and nonendothelial cell types contribute to the small vessel hyperplasia in glioblastomas, and that the sarcomatous components of mixed glioma-sarcomas are derived from either non-endothelial cells or endothelial cells that have undergone antigenic loss following transformation.


Assuntos
Fatores de Coagulação Sanguínea/análise , Neoplasias Encefálicas/análise , Glioblastoma/análise , Glioma/análise , Sarcoma/análise , Fator de von Willebrand/análise , Neoplasias Encefálicas/patologia , Transformação Celular Neoplásica , Endotélio , Feminino , Proteína Glial Fibrilar Ácida , Glioblastoma/patologia , Glioma/patologia , Humanos , Hiperplasia , Masculino , Pessoa de Meia-Idade , Proteínas do Tecido Nervoso/análise , Sarcoma/patologia
19.
Clin Infect Dis ; 33(12): 1990-7, 2001 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-11712091

RESUMO

Malaria causes illness or death in unprotected travelers. Primaquine prevents malaria by attacking liver-stage parasites, a property distinguishing it from most chemoprophylactics and obviating 4-week postexposure dosing. A daily adult regimen of 30 mg primaquine prevented malaria caused by Plasmodium falciparum and P. vivax for 20 weeks in 95 of 97 glucose-6-phosphate dehydrogenase (G6PD)-normal Javanese transmigrants in Papua, Indonesia. In comparison, 37 of 149 subjects taking placebo in a parallel trial became parasitemic. The protective efficacy of primaquine against malaria was 93% (95% confidence interval [CI] 71%-98%); against P. falciparum it was 88% (95% CI 48%-97%), and >92% for P. vivax (95% CI >37%-99%). Primaquine was as well tolerated as placebo. Mild methemoglobinemia (mean of 3.4%) returned to normal within 2 weeks. Blood chemistry and hematological parameters revealed no evidence of toxicity. Good safety, tolerance, and efficacy, along with key advantages in dosing requirements, make primaquine an excellent drug for preventing malaria in nonpregnant, G6PD-normal travelers.


Assuntos
Antimaláricos/uso terapêutico , Malária Falciparum/prevenção & controle , Primaquina/uso terapêutico , Adolescente , Adulto , Animais , Atovaquona , Quimioprevenção , Criança , Combinação de Medicamentos , Feminino , Humanos , Indonésia , Malária Falciparum/sangue , Masculino , Metemoglobinemia/metabolismo , Pessoa de Meia-Idade , Naftoquinonas/uso terapêutico , Cooperação do Paciente , Plasmodium falciparum/efeitos dos fármacos , Proguanil/uso terapêutico , Resultado do Tratamento
20.
J Med Chem ; 37(8): 1153-64, 1994 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-8164257

RESUMO

Leukotriene biosynthesis inhibitors have potential as new therapies for asthma and inflammatory diseases. The recently disclosed thiopyrano[2,3,4-cd]indole class of 5-lipoxygenase (5-LO) inhibitors has been investigated with particular emphasis on the side chain bearing the acidic functionality. The SAR studies have shown that the inclusion of a heteroatom (O or S) in conjunction with an alpha-ethyl substituted acid leads to inhibitors of improved potency. The most potent inhibitor prepared contains a 2-ethoxybutanoic acid side chain. This compound, 14d (2-[2-[1-(4-chlorobenzyl)-4-methyl-6-[(5-phenylpyridin-2-yl)methox y]- 4,5-dihydro-1H-thiopyrano[2,3,4-cd]indol-2-yl]ethoxy]-butanoic acid, L-699,333), inhibits 5-HPETE production by human 5-LO and LTB4 biosynthesis by human PMN leukocytes and human whole blood (IC50s of 22 nM, 7 nM and 3.8 microM, respectively). The racemic acid 14d has been shown to be functionally active in a rat pleurisy model (inhibition of LTB4, ED50 = 0.65 mg/kg, 6 h pretreatment) and in the hyperreactive rat model of antigen-induced dyspnea (50% inhibition at 2 and 4 h pretreatment; 0.5 mg/kg po). In addition, 14d shows excellent functional activity against antigen-induced bronchoconstriction in the conscious squirrel monkey [89% inhibition of the increase in RL and 68% inhibition in the decrease in Cdyn (0.1 mg/kg, n = 3)] and in the conscious sheep models of asthma (iv infusion at 2.5 micrograms/kg/min). Acid 14d is highly selective as an inhibitor of 5-LO activity when compared to the inhibition of human 15-LO, porcine 12-LO and ram seminal vesicle cyclooxygenase (IC50 > 5 microM) or competition in a FLAP binding assay (IC50 > 10 microM). Resolution of 14d affords 14g, the most potent diastereomer, which inhibits the 5-HPETE production of human 5-LO and LTB4 biosynthesis of human PMN leukocytes and human whole blood with IC50s of 8 nM, 4 nM, and 1 microM respectively. The in vitro and in vivo profile of 14d is comparable to that of MK-0591, which has showed biochemical efficacy in inhibiting ex vivo LTB4 biosynthesis and urinary LTE4 excretion in clinical trials.


Assuntos
Indóis/síntese química , Inibidores de Lipoxigenase , Piridinas/síntese química , Animais , Broncoconstrição/efeitos dos fármacos , Calcimicina/farmacologia , Cromatografia Líquida de Alta Pressão , Humanos , Indóis/química , Indóis/farmacologia , Leucotrieno B4/biossíntese , Leucotrienos/biossíntese , Inibidores de Lipoxigenase/farmacologia , Masculino , Estrutura Molecular , Piridinas/química , Piridinas/farmacologia , Ratos , Ratos Sprague-Dawley , Saimiri , Ovinos , Estereoisomerismo , Relação Estrutura-Atividade , Suínos
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