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1.
J Evol Biol ; 31(2): 314-322, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-29266576

RESUMO

The virulence levels attained by serial passage of pathogens through similar host genotypes are much higher than observed in natural systems; however, it is unknown what keeps natural virulence levels below these empirically demonstrated maximum levels. One hypothesis suggests that host diversity impedes pathogen virulence, because adaptation to one host genotype carries trade-offs in the ability to replicate and cause disease in other host genotypes. To test this hypothesis, with the simplest level of population diversity within the loci of the major histocompatibility complex (MHC), we serially passaged Friend virus complex (FVC) through two rounds, in hosts with either the same MHC genotypes (pure passage) or hosts with different MHC genotypes (alternated passage). Alternated passages showed a significant overall reduction in viral titre (31%) and virulence (54%) when compared to pure passages. Furthermore, a resistant host genotype initially dominated any effects due to MHC diversity; however, when FVC was allowed to adapt to the resistant host genotype, predicted MHC effects emerged; that is, alternated lines show reduced virulence. These data indicate serial exposure to diverse MHC genotypes is an impediment to pathogen adaptation, suggesting genetic variation at MHC loci is important for limiting virulence in a rapidly evolving pathogen and supports negative frequency-dependent selection as a force maintaining MHC diversity in host populations.


Assuntos
Evolução Biológica , Vírus da Leucemia Murina de Friend/patogenicidade , Complexo Principal de Histocompatibilidade , Vírus Formadores de Foco no Baço/patogenicidade , Animais , Variação Genética , Camundongos , Camundongos Endogâmicos BALB C
2.
J Fish Biol ; 92(4): 1163-1176, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29492972

RESUMO

The genus Diplodus presents multiple cases of taxonomic conjecture. Among these the D. cervinus complex was previously described as comprising three subspecies that are now regarded as separate species: Diplodus cervinus, Diplodus hottentotus and Diplodus omanensis. Diplodus hottentotus exhibits a clear break in its distribution around the Benguela Current system, prompting speculation that Angolan and South African populations flanking this area may be isolated and warrant formal taxonomic distinction. This study reports the first integrated genetic [mitochondrial (mt)DNA and nuclear microsatellite] and morphological (morphometric, meristic and colouration) study to assess patterns of divergence between populations in the two regions. High levels of cytonuclear divergence between the populations support a prolonged period of genetic isolation, with the sharing of only one mtDNA haplotype (12 haplotypes were fully sorted between regions) attributed to retention of ancestral polymorphism. Fish from the two regions were significantly differentiated at a number of morphometric (69·5%) and meristic (46%) characters. In addition, Angolan and South African fish exhibited reciprocally diagnostic colouration patterns that were more similar to Mediterranean and Indian Ocean congeners, respectively. Based on the congruent genetic and phenotypic diversity we suggest that the use of hottentotus, whether for full species or subspecies status, should be restricted to South African D. cervinus to reflect their status as a distinct species-like unit, while the relationship between Angolan and Atlantic-Mediterranean D. cervinus will require further demo-genetic analysis. This study highlights the utility of integrated genetic and morphological approaches to assess taxonomic diversity within the biogeographically dynamic Benguela Current region.


Assuntos
Evolução Biológica , Genética Populacional , Perciformes/genética , Angola , Animais , Oceano Atlântico , DNA Mitocondrial/genética , Variação Genética , Haplótipos , Repetições de Microssatélites , Fenótipo , Filogenia , Polimorfismo Genético , África do Sul
3.
Heredity (Edinb) ; 117(5): 307-315, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27436525

RESUMO

The combination of oceanographic barriers and habitat heterogeneity are known to reduce connectivity and leave specific genetic signatures in the demographic history of marine species. However, barriers to gene flow in the marine environment are almost never impermeable which inevitably allows secondary contact to occur. In this study, eight sampling sites (five along the South African coastline, one each in Angola, Senegal and Portugal) were chosen to examine the population genetic structure and phylogeographic history of the cosmopolitan bluefish (Pomatomus saltatrix), distributed across a large South-east Atlantic upwelling zone. Molecular analyses were applied to mtDNA cytochrome b, intron AM2B1 and 15 microsatellite loci. We detected uncharacteristically high genetic differentiation (FST 0.15-0.20; P<0.001) between the fish sampled from South Africa and the other sites, strongly influenced by five outlier microsatellite loci located in conserved intergenic regions. In addition, differentiation among the remaining East Atlantic sites was detected, although mtDNA indicated past isolation with subsequent secondary contact between these East Atlantic populations. We further identified secondary contact, with unidirectional gene flow from South Africa to Angola. The directional contact is likely explained by a combination of the northward flowing offshore current and endogenous incompatibilities restricting integration of certain regions of the genome and limiting gene flow to the south. The results confirm that the dynamic system associated with the Benguela current upwelling zone influences species distributions and population processes in the South-east Atlantic.


Assuntos
Fluxo Gênico , Genética Populacional , Perciformes/genética , Angola , Animais , Oceano Atlântico , DNA Mitocondrial/genética , Ecossistema , Variação Genética , Haplótipos , Repetições de Microssatélites , Filogeografia , Portugal , Senegal , Análise de Sequência de DNA , África do Sul
4.
J Evol Biol ; 28(6): 1213-24, 2015 06.
Artigo em Inglês | MEDLINE | ID: mdl-25867293

RESUMO

Communication signals are key regulators of social networks and are thought to be under selective pressure to honestly reflect social status, including dominance status. The odours of dominants and nondominants differentially influence behaviour, and identification of the specific pheromones associated with, and predictive of, dominance status is essential for understanding the mechanisms of network formation and maintenance. In mice, major urinary proteins (MUPs) are excreted in extraordinary large quantities and expression level has been hypothesized to provide an honest signal of dominance status. Here, we evaluate whether MUPs are associated with dominance in wild-derived mice by analysing expression levels before, during and after competition for reproductive resources over 3 days. During competition, dominant males have 24% greater urinary MUP expression than nondominants. The MUP darcin, a pheromone that stimulates female attraction, is predictive of dominance status: dominant males have higher darcin expression before competition. Dominants also have a higher ratio of darcin to other MUPs before and during competition. These differences appear transient, because there are no differences in MUPs or darcin after competition. We also find MUP expression is affected by sire dominance status: socially naive sons of dominant males have lower MUP expression, but this apparent repression is released during competition. A requisite condition for the evolution of communication signals is honesty, and we provide novel insight into pheromones and social networks by showing that MUP and darcin expression is a reliable signal of dominance status, a primary determinant of male fitness in many species.


Assuntos
Regulação da Expressão Gênica/fisiologia , Feromônios/metabolismo , Predomínio Social , Comunicação Animal , Animais , Comportamento Competitivo , Creatinina , Eletroforese em Gel de Poliacrilamida , Feminino , Masculino , Camundongos , Proteinúria
5.
Genes Immun ; 14(6): 365-72, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23698707

RESUMO

Using an experimental evolution approach, we recently demonstrated that the mouse-specific pathogen Friend virus (FV) complex adapted to specific major histocompatibility complex (MHC) genotypes, which resulted in fitness tradeoffs when viruses were exposed to hosts possessing novel MHC polymorphisms. Here we report the analysis of patterns of pathogen adaptation and virulence evolution from viruses adapting to one of three hosts that differ across the entire genome (A/WySn, DBA/2J and BALB/c). We found that serial passage of FV complex through these mouse genotypes resulted in significant increases in pathogen fitness (156-fold) and virulence (11-fold). Adaptive responses by post-passage viruses also resulted in host-genotype-specific patterns of adaptation. To evaluate the relative importance of MHC versus non-MHC polymorphisms as factors influencing pathogen adaptation and virulence, we compared the magnitude of fitness tradeoffs incurred by post-passage viruses when infecting hosts possessing either novel MHC polymorphisms alone or hosts possessing novel MHC and non-MHC polymorphisms. MHC polymorphisms alone accounted for 71% and 83% of the total observed reductions in viral fitness and virulence in unfamiliar host genotypes, respectively. Strikingly, these data suggest that genetic polymorphisms within the MHC, a gene region representing only -0.1% of the genome, are major host factors influencing pathogen adaptation and virulence evolution.


Assuntos
Adaptação Fisiológica/genética , Evolução Molecular , Vírus da Leucemia Murina de Friend/patogenicidade , Interações Hospedeiro-Parasita , Complexo Principal de Histocompatibilidade/genética , Polimorfismo Genético , Animais , Vírus da Leucemia Murina de Friend/genética , Aptidão Genética , Genótipo , Especificidade de Hospedeiro , Camundongos , Camundongos Endogâmicos , Virulência/genética
6.
J Exp Med ; 171(1): 49-62, 1990 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-2295881

RESUMO

We have examined TCR V beta expression in a collection of wild mice. Many of the mice were homozygous for a large deletion at the V beta locus, and many animals also suppressed expression of several V betas using self superantigens. Expression of V beta 8.2 was unexpectedly suppressed by a self superantigen in some wild mice, which was due to the presence in these animals of a variant V beta 8.2 gene. The amino acid changes in this gene product suggest contact sites between V beta and the superantigen. Although all V betas are expressed within each wild mouse population, individual mice have a limited and variable V beta repertoire. The independent origin of multiple V beta deletions and the presence of polymorphic self superantigens suggest that this variation may be maintained by balancing selection.


Assuntos
Genes , Camundongos/imunologia , Receptores de Antígenos de Linfócitos T/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Linhagem Celular , Deleção Cromossômica , Expressão Gênica , Haplótipos , Camundongos Endogâmicos/imunologia , Dados de Sequência Molecular , Sondas de Oligonucleotídeos , Homologia de Sequência do Ácido Nucleico , Especificidade da Espécie , Linfócitos T/imunologia
7.
Science ; 266(5187): 1030-2, 1994 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-7973654

RESUMO

Long-tailed manakins mate in leks and cooperate in multiyear male-male partnerships. An alpha male is responsible for virtually all mating, whereas a beta male assists in the courtship displays. Such altruism by the beta male poses a problem for evolutionary theory because most theoretical treatments and empirical examples of cooperative behavior involve kin selection or reciprocity. Here it is shown that alpha and beta partners are not relatives and that reciprocity is not involved. Instead, direct, though long-delayed benefits to beta males are demonstrated, which include rare copulations, ascension to alpha status, and female lek fidelity. These benefits maintain this unusual form of male-male cooperation.


Assuntos
Aves/fisiologia , Comportamento Cooperativo , Comportamento Sexual Animal , Alelos , Animais , Sequência de Bases , Aves/genética , Copulação , Feminino , Heterozigoto , Masculino , Dados de Sequência Molecular , Reação em Cadeia da Polimerase
8.
J Evol Biol ; 21(3): 834-41, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18312317

RESUMO

It is often assumed that inbreeding reduces resistance to pathogens, yet there are few experimental tests of this idea in vertebrates, and no tests for the effects of moderate levels of inbreeding more commonly found in nature. We mated wild-derived mice with siblings or first cousins and compared the resistance of their offspring to Salmonella infection with outbred controls under laboratory and seminatural conditions. In the laboratory, full-sib inbreeding reduced resistance to Salmonella and survivorship, whereas first-cousin inbreeding had no detectable effects. In competitive population enclosures, we found that first-cousin inbreeding reduced male fitness by 57% in infected vs. only 34% in noninfected control populations. Our study provides experimental evidence that inbreeding reduces resistance and ability to survive pathogenic infection, and moreover, it shows that even moderate inbreeding can cause significant fitness declines under naturalistic conditions of social stress, and especially with exposure to infectious agents.


Assuntos
Endogamia , Doenças dos Roedores/genética , Doenças dos Roedores/microbiologia , Salmonelose Animal/patologia , Animais , Feminino , Masculino , Camundongos
9.
Trends Genet ; 9(12): 408-12, 1993 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-8122307

RESUMO

Evidence from the house mouse (Mus) suggests that the extreme diversity of genes of the major histocompatibility complex (MHC) results from three different forms of selection involving infectious disease (pestilence), inbreeding (incest) and MHC-based mating (sexual) preferences. MHC-based disassortative mating preferences are presumed to have evolved because they reduce homozygosity throughout the genome, and particularly within loci linked to the MHC. Progeny derived from such disassortative matings would enjoy increased fitness because of both reduced levels of inbreeding depression and increased resistance to infectious disease arising from their increased MHC heterozygosity.


Assuntos
Evolução Biológica , Variação Genética , Complexo Principal de Histocompatibilidade/genética , Seleção Genética , Animais , Endogamia , Infecções/genética , Camundongos , Comportamento Sexual Animal/fisiologia
10.
Crit Rev Immunol ; 17(2): 179-224, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9094452

RESUMO

Only natural selection can account for the extreme genetic diversity of genes of the major histocompatibility complex (MHC). Although the structure and function of classic MHC genes is well understood at the molecular and cellular levels, there is controversy about how MHC diversity is selectively maintained. The diversifying selection can be driven by pathogen interactions and inbreeding avoidance mechanisms. Pathogen-driven selection can maintain MHC polymorphism based on heterozygote advantage or frequency-dependent selection due to pathogen evasion of MHC-dependent immune recognition. Empirical evidence demonstrates that specific MHC haplotypes are resistant to certain infectious agents, while susceptible to others. These data are consistent with both heterozygote advantage and frequency-dependent models. Additional research is needed to discriminate between these mechanisms. Infectious agents can precipitate autoimmunity and can potentially contribute to MHC diversity through molecular mimicry and by favoring immunodominance. MHC-dependent abortion and mate choice, based on olfaction, can also maintain MHC diversity and probably functions both to avoid genome-wide inbreeding and produce MHC-heterozygous offspring with increased immune responsiveness. Although this diverse set of hypotheses are often treated as competing alternatives, we believe that they all fit into a coherent, internally consistent thesis. It is likely that at least in some species, all of these mechanisms operate, leading to the extreme diversification found in MHC genes.


Assuntos
Complexo Principal de Histocompatibilidade/genética , Complexo Principal de Histocompatibilidade/imunologia , Polimorfismo Genético/imunologia , Polimorfismo Genético/fisiologia , Seleção Genética , Animais , Doenças Autoimunes/genética , Doenças Autoimunes/imunologia , Autoimunidade/fisiologia , Feminino , Antígenos de Histocompatibilidade Classe I/imunologia , Antígenos de Histocompatibilidade Classe II/imunologia , Humanos , Imunidade Inata/genética , Imunidade Inata/imunologia , Imunogenética , Infecções/genética , Infecções/imunologia , Mimetismo Molecular , Gravidez
11.
Evolution ; 55(11): 2333-41, 2001 Nov 11.
Artigo em Inglês | MEDLINE | ID: mdl-11794791

RESUMO

Fluctuating asymmetry (FA), a ubiquitous type of asymmetry of bilateral characters, often has been used as a measure of developmental instability in populations. FA is expected to increase in populations subjected to genetic stressors such as inbreeding or environmental stressors such as toxins or parasites, although results have not always been consistent. We tested whether FA in four skeletal size characters and mandible shape was greater in a population of wild-derived mice reared in the laboratory and subjected to one generation of inbreeding (F = 0.25) versus that in an outbred group (F = 0.00). FA did not significantly differ between the inbred and outbred groups, despite the fact that these two groups differed dramatically in fitness under seminatural population conditions. As far as we know, this is the first study to evaluate the relationship between FA and inbreeding in wild house mice, and our general conclusion is opposite that of earlier work on laboratory inbred strains of mice and their hybrids. Size for two of the characters was significantly less in inbreds than in outbreds, however, and there was a significant difference between inbreds and outbreds in the signed differences of right and left sides in one character (humerus length). Some of the mice in both groups also were heterozygous or homozygous carriers of the t-complex. Because mice carrying this chromosome 17 variant are known to have reduced fitness, we also tested whether they had greater FA than mice carrying non-t-haplotypes. The overall level of a composite FA index calculated from all four characters was in fact significantly higher in the t-bearing mice. These combined results suggest that FA is not a generally sensitive proxy measure for fitness, but can be associated with fitness reductions for certain genetic stressors.


Assuntos
Osso e Ossos/anatomia & histologia , Haplótipos/genética , Endogamia , Camundongos/genética , Análise de Variância , Animais , Feminino , Masculino , Camundongos/anatomia & histologia
12.
Am J Clin Nutr ; 64(5): 726-30, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8901792

RESUMO

Suggestions that carotenoid-containing foods are beneficial in maintaining health have led to several studies of circulating carotenoid concentrations of adults. Because few data are available for children, we report serum carotenoid concentrations of 493 children in Belize. Carotenoid concentrations were determined as part of a survey of vitamin A status of children, most between 65 and 89 mo of age. Reproducibility was tested by collecting a second blood sample 2 wk after the first collection from a subset of children (n = 23) who consumed their habitual diet with no treatment during the interim. Predominant serum carotenoids were lutein/zeaxanthin and beta-carotene, which accounted for 26% and 24% of median total carotenoids, respectively. The three provitamin A carotenoids, alpha- and beta-carotene and beta-cryptoxanthin, constituted 51% of median total carotenoid concentrations. Partial correlations of each carotenoid with fasting retinol concentration indicated that beta-carotene had the highest correlation. Concordance correlation coefficients (rc) for fasting carotenoid concentrations determined 2 wk apart were > or = 0.89 for lycopene, beta-cryptoxanthin, and alpha- and beta-carotene. The rc for lutein/zeaxanthin and total carotenoids was lower, 0.59 and 0.68, respectively, because of higher lutein/zeaxanthin concentrations at the second sampling than at the first. The reproducibility of the concentrations suggests both that individuals have characteristic profiles and that serum carotenoid concentrations can be measured randomly over > or = 2 wk without significant bias.


Assuntos
Carotenoides/sangue , Belize/epidemiologia , Criança , Pré-Escolar , Cromatografia Líquida de Alta Pressão , Criptoxantinas , Dieta/normas , Humanos , Luteína/sangue , Licopeno , Reprodutibilidade dos Testes , Vitamina A/sangue , Vitamina A/uso terapêutico , Deficiência de Vitamina A/sangue , Deficiência de Vitamina A/tratamento farmacológico , Deficiência de Vitamina A/epidemiologia , Xantofilas , beta Caroteno/análogos & derivados , beta Caroteno/sangue
13.
J Immunol Methods ; 257(1-2): 137-43, 2001 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-11687247

RESUMO

Many commercially and privately available congenic strains of laboratory animals were founded decades ago and are likely to differ from one another by dozens of fixed mutational differences at background loci. This problem is often ignored despite growing evidence that such background variation exists. Eliminating this confounding variation can be largely accomplished by crossing congenic strains to produce F2 segregants that are homozygous (or heterozygous) for relevant genes. Discriminating F2 homozygotes can be difficult when strain differences are minor, as are mutant mouse strains differing at single major histocompatibility loci (H2 mutant congenics). Here, we describe a two-step polymerase chain reaction (PCR) method utilizing heteroduplex analysis and sequence specific primers (SSP-PCR) that efficiently discriminates the F2 progeny of two such H2 mutant congenic mice crosses (bm1xB6 and bm1xbm3). A third H2 mutant cross cannot be resolved by heteroduplexing, but is discriminated (albeit less efficiently) with SSP-PCR alone. This sensitive application can be extended to any congenic mutant strains.


Assuntos
Variação Genética , Antígenos H-2/genética , Camundongos Congênicos/genética , Camundongos Congênicos/imunologia , Camundongos Mutantes/genética , Camundongos Mutantes/imunologia , Alelos , Animais , Sequência de Bases , Cruzamentos Genéticos , Primers do DNA/genética , Feminino , Haplótipos , Heterozigoto , Homozigoto , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Reação em Cadeia da Polimerase
14.
Proc Biol Sci ; 265(1403): 1299-306, 1998 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-9718737

RESUMO

House mice (Mus musculus domesticus) avoid mating with individuals that are genetically similar at the major histocompatibility complex (MHC). Mice are able recognize MHC-similar individuals through specific odour cues. However, to mate disassortatively for MHC genes, individuals must have a referent, either themselves (self-inspection) or close kin (familial imprinting), with which to compare the MHC identity of potential mates. Although studies on MHC-dependent mating preferences often assume that individuals use self-inspection, laboratory experiments with male mice indicate that they use familial imprinting, i.e. males learn the MHC identity of their family and then avoid mating with females carrying 'familial' MHC alleles. To determine if female mice use familial imprinting, we cross-fostered wild-derived female mouse pups into MHC-dissimilar families, and then tested if this procedure reversed their mating preferences compared with in-fostered controls. Our observations of the female's mating behaviour in seminatural social conditions and the genetic typing of their progeny both indicated that females avoided mating with males carrying MHC genes of their foster family, supporting the familial imprinting hypothesis. We show that MHC-dependent familial imprinting potentially provides a more effective mechanism for avoiding kin matings and reducing inbreeding than self-inspection.


Assuntos
Complexo Principal de Histocompatibilidade , Comportamento Sexual Animal/fisiologia , Animais , Feminino , Genótipo , Haplótipos , Endogamia , Masculino , Camundongos , Odorantes , Gravidez
15.
Am J Med Genet ; 30(1-2): 641-54, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3177476

RESUMO

Individuals in South Carolina with the Fragile X [fra(X)] or Martin-Bell syndrome have been ascertained by referral for evaluation of facial abnormalities, macroorchidism or mental deficit; by screening patients in residential and day programs for the mentally retarded; and by family follow up after an index case has been identified. Between 1982 and 1987, 100 positive fra(X) males were diagnosed. Of these, 35 were residents of residential facilities for the mentally retarded representing 2.5% of the population of institutionalized males. Another 23 were found in community day programs for the mentally retarded. Of these 58 cases, 28 (48%) were ascertained by screening for the craniofacial characteristics of the Martin-Bell syndrome, namely long face, midface hypoplasia, prominent forehead, large mandible and large simple pinnae. Although this screening procedure proved to be productive, it was found that the craniofacial traits of long face, midface hypoplasia, large jaw and simple pinnae were found less frequently in black fra(X) positive males and in prepubertal boys of both races.


Assuntos
Síndrome do Cromossomo X Frágil/epidemiologia , Aberrações dos Cromossomos Sexuais/epidemiologia , População Negra/genética , Métodos Epidemiológicos , Face/anormalidades , Ossos Faciais/anormalidades , Síndrome do Cromossomo X Frágil/diagnóstico , Síndrome do Cromossomo X Frágil/prevenção & controle , Humanos , Masculino , Programas de Rastreamento , Crânio/anormalidades , South Carolina , População Branca/genética
16.
Microsc Res Tech ; 24(2): 168-72, 1993 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-8457728

RESUMO

It has been determined that, in the normal range of aluminium coating thicknesses used to remove charge from non-conducting specimens in the electron microscope, no detectable influence on the elemental signals obtained in X-ray microanalysis is observed. This is in contrast to a previous report (Hopkins et al., J. Electron Microsc. Tech., 18:176-182, 1991) of a reduction in elemental signal with increasing aluminium coating thickness. An explanation of errors in the previous interpretation is provided.


Assuntos
Alumínio , Microanálise por Sonda Eletrônica/métodos , Cátions/análise , Microscopia Eletrônica de Varredura/métodos
17.
Microsc Res Tech ; 22(2): 207-11, 1992 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-1504352

RESUMO

A technique, using Nuclepore polycarbonate membrane filters as a containing medium for very small volumes of ionic standard solutions, to produce homogeneous ice standards is described. The standards are suitable for use in a scanning electron microscope. The relationship between elemental X-ray counts and ionic concentration is found to be linear. The method is rapid and simple. Minimum detectable concentrations are given.


Assuntos
Microanálise por Sonda Eletrônica/normas , Gelo/análise , Microscopia Eletrônica de Varredura , Temperatura
18.
Ann Thorac Surg ; 64(5): 1287-95, 1997 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9386692

RESUMO

BACKGROUND: Third coronary artery bypass operations are technically difficult and are associated with increased risk. METHODS: We reviewed the cases of 469 patients who had undergone a third isolated coronary artery bypass operation and used univariate and multivariate testing to examine the effect of preoperative and operative variables on outcome and costs. RESULTS: The in-hospital mortality was 7.0% (33 patients). Advanced age and severe symptoms were found to increase risk (both p < 0.05): the mortality was 14% (n = 74) in patients 70 years old or older who had severe symptoms. However, the overall mortality for 1993 through 1995 was 4.3% (5/117) and only one death (1.3%) occurred among the 79 patients who were less than 70 years old. The late survival rate was 94%, 84%, and 66% at 1, 5, and 10 postoperative years, respectively, and predictors of decreased late survival were advanced age, abnormal left ventricular function, and diabetes (all p < 0.05). Again, age of 70 years or more was a predictor of a poor outcome. Only 52% of patients in that subgroup (including both early and late mortality) were alive 5 years after operation. Analysis of direct hospital costs showed that the mean costs of third coronary artery bypass operations were 21% higher than the mean costs of primary operations but that the elevation in the mean costs for third operations was related to very high costs in 4 patients. Sex was found to influence the cost of both primary and third operations (increased cost for women). CONCLUSIONS: Unfavorable outcomes after third coronary artery bypass operations have been associated with preoperatively definable variables, particularly age of 70 years or more. The in-hospital mortality in patients younger than 70 was low, and long-term survival in this group has been favorable. The increased hospital costs associated with third operations are related to high costs in only a few patients and have been unpredictable.


Assuntos
Ponte de Artéria Coronária , Fatores Etários , Idoso , Análise de Variância , Ponte de Artéria Coronária/economia , Ponte de Artéria Coronária/mortalidade , Análise Custo-Benefício , Feminino , Custos de Cuidados de Saúde , Custos Hospitalares , Mortalidade Hospitalar , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Resultados em Cuidados de Saúde , Reoperação , Fatores de Risco , Taxa de Sobrevida , Resultado do Tratamento , Função Ventricular Esquerda
19.
Urology ; 41(5): 494-8, 1993 May.
Artigo em Inglês | MEDLINE | ID: mdl-8488622

RESUMO

With the routine use of computed tomographic imaging, intrinsic involvement of the genitourinary tract in newly diagnosed non-Hodgkin's lymphoma is seen in as many as 10 percent of patients. Incidental discovery of an extranodal, extra-lymphatic lesion in the genitourinary tract without clinical or radiographic evidence of disease elsewhere, however, is an uncommon occurrence. The clinical presentation and imaging findings in 4 patients with initial manifestation of lymphoma isolated to the kidney, ureter, bladder, and adrenals, respectively, are presented. These patients had no evidence of lymphoma elsewhere, and imaging studies mimicked the more common neoplasms affecting these organs.


Assuntos
Neoplasias das Glândulas Suprarrenais/diagnóstico , Linfoma não Hodgkin/diagnóstico , Neoplasias Urológicas/diagnóstico , Neoplasias das Glândulas Suprarrenais/epidemiologia , Idoso , Diagnóstico Diferencial , Feminino , Humanos , Linfoma não Hodgkin/epidemiologia , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Tomografia Computadorizada por Raios X , Neoplasias Urológicas/epidemiologia
20.
J Exp Biol ; 198(Pt 5): 1229-32, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-9319084

RESUMO

Exposure of brown trout (Salmo trutta) in fresh water to 0.15 mmol l-1 external thiocyanate for 1 h resulted in a significant decrease in chlorine concentration in the branchial mitochondria-rich (MR) cells from 37 mmol l-1 to 22 mmol l-1. The intracellular sodium concentration in these cells decreased by a similar amount, whilst the intracellular phosphorus concentration increased significantly. In contrast to the MR cells, 0.15 mmol l-1 external thiocyanate had no effect on the intracellular ion concentrations in the pavement epithelial cells. Thiocyanate is known to inhibit chloride uptake in a number of freshwater animals and therefore these data suggest that it is only the MR cells that are involved in the uptake of Cl- in brown trout.

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