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1.
J Evol Biol ; 27(3): 616-27, 2014 03.
Artigo em Inglês | MEDLINE | ID: mdl-26227899

RESUMO

Admixture, the mixing of historically isolated gene pools, can have immediate consequences for the genetic architecture of fitness traits. Admixture may be especially important for newly colonized populations, such as during range expansion and species invasions, by generating heterozygosity that can boost fitness through heterosis. Despite widespread evidence for admixture during species invasions, few studies have examined the demographic history leading to admixture, how admixture affects the heterozygosity and fitness of invasive genotypes, and whether such fitness effects are maintained through time. We address these questions using the invasive plant Silene vulgaris, which shows evidence of admixture in both its native Europe and in North America where it has invaded. Using multilocus genotype data in conjunction with approximate Bayesian computation analysis of demographic history, we showed that admixture during the invasion of North America was independent from and much younger than admixture in the native range of Europe. We tested for fitness consequences of admixture in each range and detected a significant positive heterozygosity-fitness correlation (HFC) in North America; in contrast, no HFC was present in Europe. The lack of HFC in Europe may reflect the longer time since admixture in the native range, dissipating associations between heterozygosity at markers and fitness loci. Our results support a key short-term role for admixture during the early stages of invasion by generating HFCs that carry populations past the threat of extinction from inbreeding and demographic stochasticity.


Assuntos
Heterozigoto , Espécies Introduzidas , Teorema de Bayes
2.
Heredity (Edinb) ; 112(2): 99-104, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24002238

RESUMO

Non-random association of alleles in the nucleus and cytoplasmic organelles, or cyto-nuclear linkage disequilibrium (LD), is both an important component of a number of evolutionary processes and a statistical indicator of others. The evolutionary significance of cyto-nuclear LD will depend on both its magnitude and how stable those associations are through time. Here, we use a longitudinal population genetic data set to explore the magnitude and temporal dynamics of cyto-nuclear disequilibria through time. We genotyped 135 and 170 individuals from 16 and 17 patches of the plant species Silene latifolia in Southwestern VA, sampled in 1993 and 2008, respectively. Individuals were genotyped at 14 highly polymorphic microsatellite markers and a single-nucleotide polymorphism (SNP) in the mitochondrial gene, atp1. Normalized LD (D') between nuclear and cytoplasmic loci varied considerably depending on which nuclear locus was considered (ranging from 0.005-0.632). Four of the 14 cyto-nuclear associations showed a statistically significant shift over approximately seven generations. However, the overall magnitude of this disequilibrium was largely stable over time. The observed origin and stability of cyto-nuclear LD is most likely caused by the slow admixture between anciently diverged lineages within the species' newly invaded range, and the local spatial structure and metapopulation dynamics that are known to structure genetic variation in this system.


Assuntos
Núcleo Celular/genética , Citoplasma/genética , Genoma de Planta , Desequilíbrio de Ligação , Silene/genética , Genes Mitocondriais , Heterogeneidade Genética , Genética Populacional , Polimorfismo de Nucleotídeo Único , Locos de Características Quantitativas
3.
Clin Exp Allergy ; 43(11): 1217-25, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-24152154

RESUMO

BACKGROUND: Exhaled breath contains disease-dependent volatile organic compounds (VOCs), which may serve as biomarkers distinguishing clinical phenotypes in asthma. Their measurement may be particularly beneficial in relation to treatment response. OBJECTIVE: Our aim was to compare the performance of electronic nose (eNose) breath analysis with previously investigated techniques (sputum eosinophils, exhaled nitric oxide (FeNO) and airway hyperresponsiveness) to discriminate asthma from controls and identify steroid responsiveness in steroid-free patients. Trial registration ACTRN12613000038796. METHODS: Twenty-five patients with mild/moderate asthma had their inhaled steroid treatment discontinued until loss of control or 28 days. They were subsequently treated with oral prednisone 30 mg/day for 14 days. Steroid responsiveness was defined as an increase of either > 12% FEV1 or > 2 doubling doses PC20 AMP. Steroid-free assessment of sputum eosinophils, FeNO and exhaled breath VOCs were used to construct algorithms predicting steroid responsiveness. Performance characteristics were compared by ROC analysis. RESULTS: The eNose discriminated between asthma and controls (area under the curve = 0.766 ± 0.14; P = 0.002) with similar accuracy to FeNO (0.862 ± 0.12; P < 0.001) and sputum eosinophils (0.814 ± 0.15; P < 0.001). Steroid responsiveness was predicted with greater accuracy by VOC-analysis (AUC = 0.883 ± 0.16; P = 0.008) than FeNO (0.545 ± 0.28; P = 0.751) or sputum eosinophils (0.610 ± 0.29; P = 0.441). CONCLUSIONS AND CLINICAL RELEVANCE: Breath analysis by eNose can identify asthmatic patients and may be used to predict their response to steroids with greater accuracy than sputum eosinophils or FeNO. This implies a potential role for breath analysis in the tailoring of treatment for asthma patients.


Assuntos
Antiasmáticos/uso terapêutico , Asma/diagnóstico , Asma/tratamento farmacológico , Esteroides/uso terapêutico , Administração Oral , Adolescente , Adulto , Antiasmáticos/administração & dosagem , Asma/fisiopatologia , Biomarcadores , Estudos de Casos e Controles , Expiração , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Curva ROC , Testes de Função Respiratória , Esteroides/administração & dosagem , Resultado do Tratamento , Compostos Orgânicos Voláteis/química , Adulto Jovem
4.
Vox Sang ; 103(2): 99-106, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22404907

RESUMO

BACKGROUND AND OBJECTIVES: Current nucleic acid tests (NAT) for blood donor screening use plasma as the test sample and, consequently, cannot detect virions bound to blood cells of infected donors. Hepatitis C virus (HCV) RNA and infectious virions have been detected in association with the cellular components of blood of patients with active liver disease; however, studies comparing HCV viral loads in whole blood and plasma have generated contradictory results. The aim of this study was to investigate the distribution of HCV in different compartments of the peripheral blood from HCV-infected blood donors, which may differ from that observed in patients with HCV-associated liver disease. MATERIALS AND METHODS: Hepatitis C virus-positive donor specimens were identified by NAT and antibody testing. HCV RNA was extracted from samples of whole blood and their corresponding components (RBC and plasma). Viral RNA was quantified by real-time qRT-PCR. RESULTS: Hepatitis C virus was present in all blood components from infected donors from which RNA could be amplified. For the majority of samples, plasma (34/46) had the highest detectable concentration of HCV RNA, and RBC (37/46) had the lowest. Specimens with negative NAT and positive antibody assays also produced qRT-PCR negative results. CONCLUSION: These results indicate that including the RBC fraction in the tested sample will not increase assay sensitivity. Although 10% of the specimens had a higher viral load in whole blood, there was no significant overall increase in sensitivity to justify changes in the specimen format. Thus, plasma specimens are well suited for blood donor screening for HCV.


Assuntos
Doadores de Sangue , Patógenos Transmitidos pelo Sangue , Seleção do Doador/métodos , Hepacivirus , Hepatite C/sangue , RNA Viral/sangue , Feminino , Hepatite C/transmissão , Humanos , Masculino , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos
5.
J Exp Med ; 183(5): 2303-12, 1996 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-8642339

RESUMO

Immunoglobulin (Ig) class switch recombination is associated with the production and splicing of germline IgCH messenger RNA transcripts. Levels of gamma 1 transcripts in mouse spleen sections were assessed by semiquantitative analysis of reverse transcriptase polymerase chain reaction (PCR) products during primary and secondary antibody responses to chicken gamma globulin (CGG). This was correlated with the appearance of CGG-specific B cells and their growth and differentiation to plasma cells. After primary immunization with CGG, gamma 1 switch transcripts appeared after 4 d, peaked at a median of six times starting levels between 10 and 18 d after immunization, and returned to background levels before secondary immunization at 5 wk. By contrast, after secondary challenge with CGG, a sevenfold increase in transcripts occurs during the first d. The level again doubles by day 3, when it is six times that which is seen at the peak of the primary response. After day 4, there was a gradual decline over the next 2-3 wk. Within 12 h of secondary immunization, antigen-specific memory B cells appeared in the outer I zone and by 24 h entered S phase, presumably as a result of cognate interaction with primed T cells. Over the next few hours, they migrated to the edge of the red pulp, where they grew exponentially until the fourth day, when they synchronously differentiated to become plasma cells. The same pattern was seen for the migration, growth, and differentiation of virgin hapten-specific B cells when CGG-primed mice were challenged with hapten protein. The continued production of transcripts after day 3 indicates that switching also occurs in germinal centers, but in a relatively small proportion of their B cells. The impressive early production of switch transcripts during T cell-dependent antibody responses occurs in cells that are about to undergo massive clonal expansion. It is argued that Ig class switching at this time, which is associated with cognate T cell-B cell interaction in the T zone, has a major impact on the class and subclasses of Ig produced during the response.


Assuntos
Formação de Anticorpos , Antígenos/farmacologia , Linfócitos B/imunologia , Switching de Imunoglobulina , Imunoglobulina G/biossíntese , Ativação Linfocitária , Plasmócitos/imunologia , Transcrição Gênica , Animais , Linfócitos B/citologia , Sequência de Bases , Diferenciação Celular , Movimento Celular , Galinhas , Primers do DNA , Feminino , Imunoglobulina G/classificação , Íntrons , Cinética , Camundongos , Camundongos Endogâmicos , Dados de Sequência Molecular , Reação em Cadeia da Polimerase , Baço/citologia , Baço/imunologia , Fatores de Tempo , Transcrição Gênica/efeitos dos fármacos , gama-Globulinas/imunologia , gama-Globulinas/farmacologia
6.
J Exp Med ; 192(6): 813-21, 2000 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-10993912

RESUMO

B cells recruited into splenic antibody responses grow exponentially, either in extrafollicular foci as plasmablasts, or in follicles where they form germinal centers. Both responses yield plasma cells. Although many splenic plasma cells survive <3 d, some live much longer. This study shows that early plasma cell death relates to a finite capacity of the spleen to sustain plasma cells rather than a life span endowed by the cell's origin or the quality of antibody it produces. Antibody responses were compared where the peak numbers of plasma cells in spleen sections varied between 100 and 5,000 cells/mm(2). In each response, plasmablast clones divided some five times, with the peak numbers of plasma cells produced relating directly to the number of B cells recruited into the response. The spleen seems to have the capacity to sustain between 20 and 100 plasma cells/mm(2). When this number is exceeded, there is a loss of excess cells. Immunoglobulin variable region gene sequencing, and 5-bromo-2'-deoxyuridine pulse-chase studies indicate that long-lived splenic plasma cells are a mixture of cells derived from the extrafollicular and germinal center responses and cells derived from virgin and memory B cells. Only a proportion has switched immunoglobulin class.


Assuntos
Sobrevivência Celular/fisiologia , Plasmócitos/citologia , Plasmócitos/imunologia , Baço/imunologia , Animais , Formação de Anticorpos , Linfócitos B/citologia , Linfócitos B/imunologia , Galinhas , Feminino , Regulação da Expressão Gênica/imunologia , Genes de Imunoglobulinas , Haptenos , Região Variável de Imunoglobulina/genética , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos , Baço/citologia , Fatores de Tempo , gama-Globulinas/imunologia
7.
J Exp Med ; 187(8): 1193-204, 1998 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-9547331

RESUMO

The respective production of specific immunoglobulin (Ig)G2a or IgG1 within 5 d of primary immunization with Swiss type mouse mammary tumor virus [MMTV(SW)] or haptenated protein provides a model for the development of T helper 1 (Th1) and Th2 responses. The antibody-producing cells arise from cognate T cell B cell interaction, revealed by the respective induction of Cgamma2a and Cgamma1 switch transcript production, on the third day after immunization. T cell proliferation and upregulation of mRNA for interferon gamma in response to MMTV(SW) and interleukin 4 in response to haptenated protein also starts during this day. It follows that there is minimal delay in these responses between T cell priming and the onset of cognate interaction between T and B cells leading to class switching and exponential growth. The Th1 or Th2 profile is at least partially established at the time of the first cognate T cell interaction with B cells in the T zone. The addition of killed Bordetella pertussis to the hapten-protein induces nonhapten-specific IgG2a and IgG1 plasma cells, whereas the anti-hapten response continues to be IgG1 dominated. This indicates that a Th2 response to hapten-protein can proceed in a node where there is substantial Th1 activity.


Assuntos
Switching de Imunoglobulina , Ativação Linfocitária , Células Th1 , Células Th2 , Vacinação , Animais , Bordetella pertussis/imunologia , Centro Germinativo/imunologia , Haptenos/imunologia , Interferon gama/biossíntese , Interleucina-4/biossíntese , Linfonodos/citologia , Linfonodos/imunologia , Vírus do Tumor Mamário do Camundongo/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Plasmócitos , Baço/citologia , Baço/imunologia , gama-Globulinas/imunologia
8.
Eur Respir J ; 35(1): 42-7, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19679602

RESUMO

The effects of cannabis on lung function remain unclear and may be different from those of tobacco. We compared the associations between use of these substances and lung function in a population-based cohort (n = 1,037). Cannabis and tobacco use were reported at ages 18, 21, 26 and 32 yrs. Spirometry, plethysmography and carbon monoxide transfer factor were measured at 32 yrs. Associations between lung function and exposure to each substance were adjusted for exposure to the other substance. Cumulative cannabis use was associated with higher forced vital capacity, total lung capacity, functional residual capacity and residual volume. Cannabis was also associated with higher airway resistance but not with forced expiratory volume in 1 s, forced expiratory ratio or transfer factor. These findings were similar among those who did not smoke tobacco. In contrast, tobacco use was associated with lower forced expiratory volume in 1 s, lower forced expiratory ratio, lower transfer factor and higher static lung volumes, but not with airway resistance. Cannabis appears to have different effects on lung function from those of tobacco. Cannabis use was associated with higher lung volumes, suggesting hyperinflation and increased large-airways resistance, but there was little evidence for airflow obstruction or impairment of gas transfer.


Assuntos
Fumar Maconha/fisiopatologia , Fumar/fisiopatologia , Capacidade Pulmonar Total , Adolescente , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Adulto Jovem
9.
J Evol Biol ; 23(8): 1720-31, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20626546

RESUMO

During biological invasions, multiple introductions can provide opportunities for admixture among genetically distinct lineages. Admixture is predicted to contribute to invasion success by directly increasing fitness through hybrid vigour or by enhancing evolutionary potential within populations. Here, we demonstrate genome-wide admixture during an invasion that substantially boosted fitness in the cosmopolitan weed, Silene vulgaris. We identified three divergent demes in the native European range that expanded from glacial refugia and experienced historical admixture in a well-known suture zone. During recent invasion of North America, multiple introductions created additional opportunities for admixture. In common garden experiments, recombinant genotypes from North America experienced a two-fold increase in fitness relative to nonrecombinants, whereas recombinant genotypes from Europe showed no lasting fitness benefits. This contrast implicates hybrid vigour behind the boost in fitness and supports the hypothesis that admixture can lead to fitness increases that may catapult invasion into a new range.


Assuntos
Variação Genética , Genoma de Planta/genética , Hibridização Genética/fisiologia , Silene/fisiologia , Europa (Continente) , Genótipo , América do Norte , Dinâmica Populacional , Silene/genética
10.
Thorax ; 64(3): 261-4, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19252021

RESUMO

There is an increasing literature on the pathological and clinical significance of "inflammatory" biomarkers in asthma and chronic obstructive pulmonary disease (COPD). Their potential role includes risk assessment, but this is somewhat different for the two conditions. In asthma the aim is to identify future risk of poor asthma control or exacerbations. Although induced sputum eosinophils and exhaled nitric oxide are the most widely investigated candidates for use in the clinical arena, there is scope for a great deal of improvement in their application and other biomarkers may prove to be better. For COPD, risk assessment is somewhat different. There is the potential to use biomarkers such as C-reactive protein, fibrinogen or interleukin 6, along with other conventional demographic and physiological measurements, to assess longer term risk of decline in lung function, hospitalisations and mortality. The well-tried model used in cardiovascular disease to assess absolute risk might possibly be adapted for use in COPD, and this should be actively explored.


Assuntos
Asma/diagnóstico , Biomarcadores/sangue , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Humanos , Medição de Risco
11.
Eur Respir J ; 33(3): 486-93, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19010983

RESUMO

The response to beta(2)-agonists differs between asthmatics and has been linked to subsequent adverse events, even death. Possible determinants include beta(2)-adrenoceptor genotype at position 16, lung function and airway hyperresponsiveness. Fluctuation analysis provides a simple parameter alpha measuring the complex correlation properties of day-to-day peak expiratory flow. The present study investigated whether alpha predicts clinical response to beta(2)-agonist treatment, taking into account other conventional predictors. Analysis was performed on previously published twice-daily peak expiratory flow measurements in 66 asthmatic adults over three 6-month randomised order treatment periods: placebo, salbutamol and salmeterol. Multiple linear regression was used to determine the association between alpha during the placebo period and response to treatment (change in the number of days with symptoms), taking into account other predictors namely beta(2)-adrenoceptor genotype, lung function and its variability, and airway hyperresponsiveness. The current authors found that alpha measured during the placebo period considerably improved the prediction of response to salmeterol treatment, taking into account genotype, lung function or its variability, or airway hyperresponsiveness. The present study provides further evidence that response to beta(2)-agonists is related to the time correlation properties of lung function in asthma. The current authors conclude that fluctuation analysis of lung function offers a novel predictor to identify patients who may respond well or poorly to treatment.


Assuntos
Agonistas Adrenérgicos beta/uso terapêutico , Pneumopatias Obstrutivas/tratamento farmacológico , Pulmão/metabolismo , Adulto , Albuterol/análogos & derivados , Albuterol/uso terapêutico , Feminino , Genótipo , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Biológicos , Pneumologia/métodos , Análise de Regressão , Xinafoato de Salmeterol , Fatores de Tempo , Resultado do Tratamento
12.
Science ; 207(4432): 763-5, 1980 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-7352284

RESUMO

Polycyclic aromatic hydrocarbons adsorbed onto coal fly ash were found to be stabilized against photochemical decomposition. However, a number of adsorbed polycyclic aromatic hydrocarbons will spontaneously oxidize in the absence of light, with those compounds containing a benzylic carbon being particularly susceptible. The decomposition rate appears to be fly ash-dependent.


Assuntos
Poluentes Atmosféricos , Carvão Mineral , Compostos Policíclicos , Modelos Químicos , Mutagênicos , Oxirredução , Fotoquímica , Centrais Elétricas , Raios Ultravioleta
13.
Science ; 285(5424): 107-10, 1999 Jul 02.
Artigo em Inglês | MEDLINE | ID: mdl-10390359

RESUMO

Most isolates of hepatitis C virus (HCV) infections are resistant to interferon, the only available therapy, but the mechanism underlying this resistance has not been defined. Here it is shown that the HCV envelope protein E2 contains a sequence identical with phosphorylation sites of the interferon-inducible protein kinase PKR and the translation initiation factor eIF2alpha, a target of PKR. E2 inhibited the kinase activity of PKR and blocked its inhibitory effect on protein synthesis and cell growth. This interaction of E2 and PKR may be one mechanism by which HCV circumvents the antiviral effect of interferon.


Assuntos
Hepacivirus , Interferon-alfa/farmacologia , Proteínas do Envelope Viral/fisiologia , eIF-2 Quinase/antagonistas & inibidores , Linhagem Celular , Cloranfenicol O-Acetiltransferase/biossíntese , Resistência Microbiana a Medicamentos , Retículo Endoplasmático/metabolismo , Indução Enzimática , Fator de Iniciação 2 em Eucariotos/química , Fator de Iniciação 2 em Eucariotos/metabolismo , Células HeLa , Hepacivirus/efeitos dos fármacos , Humanos , Fosforilação , Biossíntese de Proteínas , Proteínas Recombinantes de Fusão/metabolismo , Proteínas Recombinantes de Fusão/farmacologia , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/crescimento & desenvolvimento , Saccharomyces cerevisiae/metabolismo , Transfecção , Transformação Genética , Proteínas do Envelope Viral/química , Proteínas do Envelope Viral/metabolismo , Proteínas do Envelope Viral/farmacologia , eIF-2 Quinase/química , eIF-2 Quinase/metabolismo
14.
Equine Vet J ; 41(4): 401-5, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19562904

RESUMO

REASONS FOR PERFORMING STUDY: Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging veterinary and zoonotic pathogen, associated with increasing reports of disease in horses. OBJECTIVES: To provide an overview of the characteristics of clinical MRSA infections in horses. METHODS: A retrospective case study was performed on 115 horses admitted to 6 participating veterinary teaching hospitals in Canada and the United States between 2000 and 2006, and diagnosed with clinical MRSA infection. Descriptive statistics, univariate and multivariable analyses for community- (CA) vs. hospital-associated (HA) MRSA infections, and survival vs. nonsurvival at discharge were performed. RESULTS: The age range of MRSA-infected horses was zero (born in hospital) to 31 years. HA (58/114, 50.9%) and CA infections (56/114, 49.1%) were equally common. Infection of surgical incisions was most frequently reported (44/115, 38.0%). Overall 93/111 (83.8%) cases survived to discharge. Previous hospitalisation and treatment with gentamicin were associated significantly with CA-MRSA, whereas infected incision sites were associated significantly with HA-MRSA. Factors significantly associated with nonsurvival included i.v. catheterisation, CA-MRSA infection and dissemination of infection to other body sites. CONCLUSIONS: Equine MRSA infections have a broad range of clinical presentations, appear to be primarily opportunistic and the overall prognosis for survival to discharge is good. POTENTIAL RELEVANCE: These results should help direct future research with regard to investigation of risk factors for equine MRSA infection in community and hospital populations.


Assuntos
Doenças dos Cavalos/microbiologia , Staphylococcus aureus Resistente à Meticilina , Infecções Estafilocócicas/veterinária , Animais , Infecções Comunitárias Adquiridas/microbiologia , Infecções Comunitárias Adquiridas/veterinária , Infecção Hospitalar/microbiologia , Infecção Hospitalar/veterinária , Doenças dos Cavalos/epidemiologia , Doenças dos Cavalos/mortalidade , Cavalos , Estudos Retrospectivos , Infecções Estafilocócicas/epidemiologia , Infecções Estafilocócicas/microbiologia , Infecções Estafilocócicas/mortalidade
15.
Eur Respir J ; 32(1): 85-91, 2008 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-18353855

RESUMO

Respiratory function is impaired in obesity but there are limitations with body mass index and skin-fold thickness in assessing this effect. The present authors hypothesised that the regional distribution of body fat and lean mass, as measured by dual-energy X-ray absorptiometry (DXA), might be more informative than conventional measurements of total body fat. In total, 107 subjects (55 female, 51.4%) aged 20-50 yrs with no respiratory disease were recruited. Respiratory function tests, anthropometric measurements and a DXA scan were performed. Partial correlation and linear regression analyses were used to explore the effect of adiposity and lean body mass on respiratory function. The majority of respiratory function parameters were significantly correlated with DXA and non-DXA measurements of body fat. Neither thoracic nor abdominal fat had a greater effect. There were some differences in the effect of adiposity between the sexes. Respiratory function was negatively associated with lean body mass in females but positively associated in males. This disappeared after adjustment in females but remained in males. The effects of thoracic and abdominal body fat on respiratory function are comparable but cannot be separated from one another.


Assuntos
Adiposidade/fisiologia , Ventilação Pulmonar/fisiologia , Absorciometria de Fóton , Adulto , Estudos de Coortes , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
16.
Eur Respir J ; 32(6): 1583-90, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-18715877

RESUMO

Pseudomonas aeruginosa is an important pathogen in cystic fibrosis (CF). Although most patients harbour unique P. aeruginosa isolates, some clinics report patients sharing common strains. The overall importance of person-to-person transmission in P. aeruginosa acquisition and whether routine patient segregation is necessary remains uncertain. The present authors therefore investigated the extent of P. aeruginosa transmission in New Zealand CF clinics. New Zealand's seven major CF centres were assessed, combining epidemiological data with computer-assisted SalI DNA fingerprinting of 496 isolates from 102 patients. One cluster of related isolates was significantly more prevalent in the largest clinic than expected by chance. The seven patients with isolates belonging to this cluster had more contact with each other than the remaining patients attending this centre. No other convincing evidence of transmission was found in any of the other smaller clinics. Three P. aeruginosa strains believed to be transmissible between patients in Australian and British CF clinics are present in New Zealand, but there was no definite evidence they had spread. Pseudomonas aeruginosa transmission is currently infrequent in New Zealand cystic fibrosis clinics. This situation could change rapidly and ongoing surveillance is required. The current results confirm that computer-assisted SalI DNA fingerprinting is ideally suited for such surveillance.


Assuntos
Fibrose Cística/complicações , Infecções por Pseudomonas/transmissão , Pseudomonas aeruginosa/metabolismo , Adolescente , Adulto , Idoso , Técnicas de Tipagem Bacteriana , Criança , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/transmissão , Fibrose Cística/microbiologia , Impressões Digitais de DNA/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Infecções por Pseudomonas/epidemiologia
17.
Eur Respir J ; 32(3): 545-54, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18757695

RESUMO

Concepts of asthma severity and control are important in the evaluation of patients and their response to treatment but the terminology is not standardised and the terms are often used interchangeably. This review, arising from the work of an American Thoracic Society/European Respiratory Society Task Force, identifies the need for separate concepts of control and severity, describes their evolution in asthma guidelines and provides a framework for understanding the relationship between current concepts of asthma phenotype, severity and control. "Asthma control" refers to the extent to which the manifestations of asthma have been reduced or removed by treatment. Its assessment should incorporate the dual components of current clinical control (e.g. symptoms, reliever use and lung function) and future risk (e.g. exacerbations and lung function decline). The most clinically useful concept of asthma severity is based on the intensity of treatment required to achieve good asthma control, i.e. severity is assessed during treatment. Severe asthma is defined as the requirement for (not necessarily just prescription or use of) high-intensity treatment. Asthma severity may be influenced by the underlying disease activity and by the patient's phenotype, both of which may be further described using pathological and physiological markers. These markers can also act as surrogate measures for future risk.


Assuntos
Antiasmáticos/uso terapêutico , Asma/tratamento farmacológico , Asma/fisiopatologia , Guias de Prática Clínica como Assunto , Ensaios Clínicos como Assunto , Resistência a Medicamentos , Humanos , Testes de Função Respiratória
18.
Postgrad Med J ; 84(998): 628-34; quiz 633, 2008 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19201936

RESUMO

A plethora of biomarkers are becoming available in the field of respiratory medicine, but their application in clinical practice has been limited. This is changing. There is increasing scope for biomarkers to be used to define pathological as well as treatment responder phenotypes in asthma and chronic obstructive pulmonary disease. In some situations, conventional diagnostic labelling is being superseded by this approach and clinical outcomes are improved. Biomarkers are potentially very important in the development and assessment of new therapeutic agents, particularly for the treatment of severe asthma. They also have a potential role in monitoring disease activity and predicting future clinical outcomes for asthma and chronic obstructive pulmonary disease. Current evidence in relation to these issues is explored in this review.


Assuntos
Biomarcadores/análise , Doença Pulmonar Obstrutiva Crônica/diagnóstico , Doença Pulmonar Obstrutiva Crônica/terapia , Asma/diagnóstico , Asma/terapia , Previsões , Humanos , Fenótipo , Fatores de Risco
19.
Mol Cell Biol ; 16(11): 6295-302, 1996 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-8887659

RESUMO

The interferon-induced RNA-dependent protein kinase PKR is found in cells in a latent state. In response to the binding of double-stranded RNA, the enzyme becomes activated and autophosphorylated on several serine and threonine residues. Consequently, it has been postulated that autophosphorylation is a prerequisite for activation of the kinase. We report the identification of PKR sites that are autophosphorylated in vitro concomitantly with activation and examine their roles in the activation of PKR. Mutation of one site, threonine 258, results in a kinase that is less efficient in autophosphorylation and in phosphorylating its substrate, the initiation factor eIF2, in vitro. The mutant kinase is also impaired in vivo, displaying reduced ability to inhibit protein synthesis in yeast and mammalian cells and to induce a slow-growth phenotype in Saccharomyces cerevisiae. Mutations at two neighboring sites, serine 242 and threonine 255, exacerbated the effect. Taken together with earlier results (S. B. Lee, S. R. Green, M. B. Mathews, and M. Esteban, Proc. Natl. Acad. Sci. USA 91:10551-10555, 1994), these data suggest that the central part of the PKR molecule, lying between its RNA-binding and catalytic domains, regulates kinase activity via autophosphorylation.


Assuntos
Proteínas Serina-Treonina Quinases/química , Proteínas Serina-Treonina Quinases/metabolismo , Sequência de Aminoácidos , Animais , Linhagem Celular , Clonagem Molecular , Indução Enzimática , Haplorrinos , Humanos , Interferon-alfa/farmacologia , Rim , Mutagênese Sítio-Dirigida , Mapeamento de Peptídeos , Fosfopeptídeos/química , Fosfopeptídeos/isolamento & purificação , Fosforilação , Fosfosserina , Fosfotreonina , Mutação Puntual , Proteínas Serina-Treonina Quinases/biossíntese , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Saccharomyces cerevisiae/crescimento & desenvolvimento , Saccharomyces cerevisiae/metabolismo , Transfecção , eIF-2 Quinase
20.
Mol Cell Biol ; 18(4): 2282-97, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9528799

RESUMO

The human double-stranded RNA-dependent protein kinase (PKR) is an important component of the interferon response to virus infection. The activation of PKR is accompanied by autophosphorylation at multiple sites, including one in the N-terminal regulatory region (Thr-258) that is required for full kinase activity. Several protein kinases are activated by phosphorylation in the region between kinase subdomains VII and VIII, referred to as the activation loop. We show that Thr-446 and Thr-451 in the PKR activation loop are required in vivo and in vitro for high-level kinase activity. Mutation of either residue to Ala impaired translational control by PKR in yeast cells and COS1 cells and led to tumor formation in mice. These mutations also impaired autophosphorylation and eukaryotic initiation factor 2 subunit alpha (eIF2alpha) phosphorylation by PKR in vitro. Whereas the Ala-446 substitution substantially reduced PKR function, the mutant kinase containing Ala-451 was completely inactive. PKR specifically phosphorylated Thr-446 and Thr-451 in synthetic peptides in vitro, and mass spectrometry analysis of PKR phosphopeptides confirmed that Thr-446 is an autophosphorylation site in vivo. Substitution of Glu-490 in subdomain X of PKR partially restored kinase activity when combined with the Ala-451 mutation. This finding suggests that the interaction between subdomain X and the activation loop, described previously for MAP kinase, is a regulatory feature conserved in PKR. We found that the yeast eIF2alpha kinase GCN2 autophosphorylates at Thr-882 and Thr-887, located in the activation loop at exactly the same positions as Thr-446 and Thr-451 in PKR. Thr-887 was more critically required than was Thr-882 for GCN2 kinase activity, paralleling the relative importance of Thr-446 and Thr-451 in PKR. These results indicate striking similarities between GCN2 and PKR in the importance of autophosphorylation and the conserved Thr residues in the activation loop.


Assuntos
Proteínas de Ligação a DNA , Proteínas Fúngicas/metabolismo , Fatores de Iniciação de Peptídeos/metabolismo , Proteínas Quinases/metabolismo , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/enzimologia , eIF-2 Quinase/metabolismo , Células 3T3 , Sequência de Aminoácidos , Substituição de Aminoácidos , Animais , Sítios de Ligação , Células COS , Sequência Conservada , Ativação Enzimática , Proteínas Fúngicas/genética , Regulação Enzimológica da Expressão Gênica , Humanos , Espectrometria de Massas , Camundongos , Camundongos Nus , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Neoplasias Experimentais/etiologia , Fatores de Iniciação de Peptídeos/genética , Peptídeos/síntese química , Peptídeos/metabolismo , Fosforilação , Biossíntese de Proteínas , Proteínas Quinases/genética , Saccharomyces cerevisiae/genética , Especificidade por Substrato , Treonina/metabolismo , eIF-2 Quinase/genética
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