Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 16 de 16
Filtrar
Mais filtros

País/Região como assunto
Tipo de documento
Intervalo de ano de publicação
1.
Molecules ; 28(12)2023 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-37375151

RESUMO

The adsorption characteristics of titanium dioxide nanoparticles (nano-TiO2) for the removal of Pb(II) from irrigation water were investigated in this work. To accomplish this, several adsorption factors, such as contact time and pH, were tested to assess adsorption efficiencies and mechanisms. Before and after the adsorption experiments, commercial nano-TiO2 was studied using X-ray diffraction (XRD), scanning and transmission electron microscopy (SEM and TEM), energy dispersive spectroscopy (EDS), and X-ray photoelectron spectroscopy (XPS). The outcomes showed that anatase nano-TiO2 was remarkably efficient in cleaning Pb(II) from water, with a removal efficiency of more than 99% after only one hour of contact time at a pH of 6.5. Adsorption isotherms and kinetic adsorption data matched the Langmuir and Sips models quite well, showing that the adsorption process occurred at homogenous sites on the surface of nano-TiO2 by forming a Pb(II) adsorbate monolayer. The XRD and TEM analysis of nano-TiO2 following the adsorption procedure revealed a non-affected single phase (anatase) with crystallite sizes of 9.9 nm and particle sizes of 22.46 nm, respectively. According to the XPS data and analyzed adsorption data, Pb ions accumulated on the surface of nano-TiO2 through a three-step mechanism involving ion exchange and hydrogen bonding mechanisms. Overall, the findings indicate that nano-TiO2 has the potential to be used as an effective and long-lasting mesoporous adsorbent in the treatment and cleaning of Pb(II) from water bodies.

2.
Ann Neurol ; 86(4): 582-592, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31340067

RESUMO

OBJECTIVE: To determine the contribution of acute infarcts, evidenced by diffusion-weighted imaging positive (DWI+) lesions, to progression of white matter hyperintensities (WMH) and other cerebral small vessel disease (SVD) markers. METHODS: We performed monthly 3T magnetic resonance imaging (MRI) for 10 consecutive months in 54 elderly individuals with SVD. MRI included high-resolution multishell DWI, and 3-dimensional fluid-attenuated inversion recovery, T1, and susceptibility-weighted imaging. We determined DWI+ lesion evolution, WMH progression rate (ml/mo), and number of incident lacunes and microbleeds, and calculated for each marker the proportion of progression explained by DWI+ lesions. RESULTS: We identified 39 DWI+ lesions on 21 of 472 DWI scans in 9 of 54 subjects. Of the 36 DWI+ lesions with follow-up MRI, 2 evolved into WMH, 4 evolved into a lacune (3 with cavity <3mm), 3 evolved into a microbleed, and 27 were not detectable on follow-up. WMH volume increased at a median rate of 0.027 ml/mo (interquartile range = 0.005-0.073), but was not significantly higher in subjects with DWI+ lesions compared to those without (p = 0.195). Of the 2 DWI+ lesions evolving into WMH on follow-up, one explained 23% of the total WMH volume increase in one subject, whereas the WMH regressed in the other subject. DWI+ lesions preceded 4 of 5 incident lacunes and 3 of 10 incident microbleeds. INTERPRETATION: DWI+ lesions explain only a small proportion of the total WMH progression. Hence, WMH progression seems to be mostly driven by factors other than acute infarcts. DWI+ lesions explain the majority of incident lacunes and small cavities, and almost one-third of incident microbleeds, confirming that WMH, lacunes, and microbleeds, although heterogeneous on MRI, can have a common initial appearance on MRI. ANN NEUROL 2019;86:582-592.


Assuntos
Infarto Encefálico/patologia , Doenças de Pequenos Vasos Cerebrais/patologia , Idoso , Idoso de 80 Anos ou mais , Infarto Encefálico/complicações , Doenças de Pequenos Vasos Cerebrais/complicações , Imagem de Difusão por Ressonância Magnética , Progressão da Doença , Feminino , Humanos , Incidência , Hemorragias Intracranianas/complicações , Hemorragias Intracranianas/patologia , Masculino , Neuroimagem , Acidente Vascular Cerebral Lacunar/complicações , Acidente Vascular Cerebral Lacunar/patologia , Substância Branca/irrigação sanguínea , Substância Branca/patologia
3.
Alzheimers Dement ; 16(4): 651-661, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32147939

RESUMO

INTRODUCTION: Both beta-amyloid (Ab) deposition and decline in white matter integrity, are brain alterations observed in Alzheimer's disease (AD) and start to occur by the fourth and fifth decades. However, the association between both brain alterations in asymptomatic subjects is unclear. METHODS: Amyloid positron emission tomography (PET) and diffusion tensor imaging (DTI) were obtained in 282 cognitively normal subjects (age 30-89 years). We assessed the interaction of age by abnormal amyloid PET status (Florbetapir F-18 PET >1.2 standard uptake value ratio [SUVR]) on regional mean diffusivity (MD) and global white matter hyperintensity (WMH) volume, controlled for sex, education, and hypertension. RESULTS: Subjects with abnormal amyloid PET (n = 87) showed stronger age-related increase in global WMH and regional MD, particularly within the posterior parietal regions of the white matter. DISCUSSION: Sporadic Aß deposition is associated with white matter alterations in AD predilection areas in an age-dependent manner in cognitively normal individuals.


Assuntos
Peptídeos beta-Amiloides/metabolismo , Cognição/fisiologia , Voluntários Saudáveis , Longevidade , Substância Branca/metabolismo , Adulto , Idoso , Doença de Alzheimer , Imagem de Tensor de Difusão , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes Neuropsicológicos , Tomografia por Emissão de Pósitrons
4.
Alzheimers Dement ; 16(11): 1504-1514, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32808747

RESUMO

INTRODUCTION: Microstructural alterations as assessed by diffusion tensor imaging (DTI) are key findings in both Alzheimer's disease (AD) and small vessel disease (SVD). We determined the contribution of each of these conditions to diffusion alterations. METHODS: We studied six samples (N = 365 participants) covering the spectrum of AD and SVD, including genetically defined samples. We calculated diffusion measures from DTI and free water imaging. Simple linear, multivariable random forest, and voxel-based regressions were used to evaluate associations between AD biomarkers (amyloid beta, tau), SVD imaging markers, and diffusion measures. RESULTS: SVD markers were strongly associated with diffusion measures and showed a higher contribution than AD biomarkers in multivariable analysis across all memory clinic samples. Voxel-wise analyses between tau and diffusion measures were not significant. DISCUSSION: In memory clinic patients, the effect of SVD on diffusion alterations largely exceeds the effect of AD, supporting the value of diffusion measures as markers of SVD.


Assuntos
Doença de Alzheimer/diagnóstico por imagem , Doença de Alzheimer/patologia , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Doenças de Pequenos Vasos Cerebrais/diagnóstico por imagem , Doenças de Pequenos Vasos Cerebrais/patologia , Adulto , Idoso , Imagem de Difusão por Ressonância Magnética , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
5.
Alzheimers Dement ; 13(3): 225-235, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-27432800

RESUMO

INTRODUCTION: White matter hyperintensities (WMHs) increase the risk of Alzheimer's disease (AD). Whether WMHs are associated with the decline of functional neural networks in AD is debated. METHOD: Resting-state functional magnetic resonance imaging and WMH were assessed in 78 subjects with increased amyloid levels on AV-45 positron emission tomography (PET) in different clinical stages of AD. We tested the association between WMH volume in major atlas-based fiber tract regions of interest (ROIs) and changes in functional connectivity (FC) between the tracts' projection areas within the default mode network (DMN). RESULTS: WMH volume within the inferior fronto-occipital fasciculus (IFOF) was the highest among all tract ROIs and associated with reduced FC in IFOF-connected DMN areas, independently of global AV-45 PET. Higher AV-45 PET contributed to reduced FC in IFOF-connected, temporal, and parietal DMN areas. CONCLUSIONS: High fiber tract WMH burden is associated with reduced FC in connected areas, thus adding to the effects of amyloid pathology on neuronal network function.


Assuntos
Doença de Alzheimer/patologia , Doença de Alzheimer/fisiopatologia , Mapeamento Encefálico , Rede Nervosa/patologia , Substância Branca/patologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/diagnóstico por imagem , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Rede Nervosa/diagnóstico por imagem , Testes Neuropsicológicos , Tomografia por Emissão de Pósitrons , Substância Branca/diagnóstico por imagem
6.
ACS Appl Mater Interfaces ; 14(19): 22476-22488, 2022 May 18.
Artigo em Inglês | MEDLINE | ID: mdl-35507695

RESUMO

Currently in the marketplace, we can find clothing items able to release skin-friendly ingredients while wearing them. These innovative products with high-added value are based on microencapsulation technology. In this work, due to its lightness, flexibility, porosity, chemical affinity and adsorption capacity, metal-organic framework (MOF) MIL-53(Al) was the selected microcapsule to be synthesized at a large scale and subsequent caffeine encapsulation. The synthesis conditions (molar ratio of reactants, solvents used, reaction time, temperature, pressure reached in the reactor and activation treatment to enhance the encapsulation capacity) were optimized by screening various scaling-up reactor volumes (from lab-scale of 40 mL to pilot plant production of 3.75 L). Two types of Al salts (Al(NO3)3·9H2O from the original recipe and Al2(SO4)3 as commercial SUFAL 8.2) were employed. The liporeductor cosmetic caffeine was selected as the active molecule for encapsulation. Caffeine (38 wt %) was incorporated in CAF@MIL-53(Al) microcapsules, as analyzed by TGA and corroborated by GC/MS and UV-vis after additive extraction. CAF@MIL-53(Al) microcapsules showed a controlled release of caffeine during 6 days at 25 °C (up to 22% of the initial caffeine). These capsules were incorporated through an industrial spinning process (with temperatures up to 260 °C) to manufacture PA-6 fibers with cosmetic properties. Up to 0.7 wt % of capsules were successfully incorporated into the fibers hosting 1700 ppm of caffeine. Fabrics were submitted to scouring, staining, and washing processes, detecting the presence of caffeine in the cosmetic fiber.


Assuntos
Cosméticos , Estruturas Metalorgânicas , Cafeína , Cápsulas , Estruturas Metalorgânicas/química , Nylons , Têxteis
7.
J Cereb Blood Flow Metab ; 40(7): 1482-1491, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-31342832

RESUMO

The fate of subcortical diffusion-weighted imaging (DWI) lesions in stroke patients is highly variable, ranging from complete tissue loss to no visible lesion on follow-up. Little is known about within-lesion heterogeneity and its relevance for stroke outcome. Patients with subcortical stroke and recruited through the prospective DEDEMAS study (NCT01334749) were examined at baseline (n = 45), six months (n = 45), and three years (n = 28) post-stroke. We performed high-resolution structural MRI including DWI. Tissue fate was determined voxel-wise using fully automated tissue segmentation. Within-lesion heterogeneity at baseline was assessed by free water diffusion imaging measures. The majority of DWI lesions (66%) showed cavitation on six months follow-up but the proportion of tissue turning into a cavity was small (9 ± 13.5% of the DWI lesion). On average, 69 ± 25% of the initial lesion resolved without any visually apparent signal abnormality. The extent of cavitation at six months post-stroke was independently associated with clinical outcome, i.e. modified Rankin scale score at six months (OR = 4.71, p = 0.005). DWI lesion size and the free water-corrected tissue mean diffusivity at baseline independently predicted cavitation. In conclusion, the proportion of cavitating tissue is typically small, but relevant for clinical outcome. Within-lesion heterogeneity at baseline on advanced diffusion imaging is predictive of tissue fate.


Assuntos
Interpretação de Imagem Assistida por Computador/métodos , Recuperação de Função Fisiológica , Acidente Vascular Cerebral/diagnóstico por imagem , Acidente Vascular Cerebral/patologia , Idoso , Idoso de 80 Anos ou mais , Imagem de Difusão por Ressonância Magnética/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neuroimagem/métodos
8.
Alzheimers Dement (Amst) ; 11: 310-326, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31011619

RESUMO

INTRODUCTION: The Meta VCI Map consortium performs meta-analyses on strategic lesion locations for vascular cognitive impairment using lesion-symptom mapping. Integration of data from different cohorts will increase sample sizes, to improve brain lesion coverage and support comprehensive lesion-symptom mapping studies. METHODS: Cohorts with available imaging on white matter hyperintensities or infarcts and cognitive testing were invited. We performed a pilot study to test the feasibility of multicenter data processing and analysis and determine the benefits to lesion coverage. RESULTS: Forty-seven groups have joined Meta VCI Map (stroke n = 7800 patients; memory clinic n = 4900; population-based n = 14,400). The pilot study (six ischemic stroke cohorts, n = 878) demonstrated feasibility of multicenter data integration (computed tomography/magnetic resonance imaging) and achieved marked improvement of lesion coverage. DISCUSSION: Meta VCI Map will provide new insights into the relevance of vascular lesion location for cognitive dysfunction. After the successful pilot study, further projects are being prepared. Other investigators are welcome to join.

9.
Front Aging Neurosci ; 10: 362, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30467476

RESUMO

Resting-state fMRI studies demonstrated temporally synchronous fluctuations in brain activity among ensembles of brain regions, suggesting the existence of intrinsic functional networks. A spatial match between some of the resting-state networks and regional brain activation during cognitive tasks has been noted, suggesting that resting-state networks support particular cognitive abilities. However, the spatial match and predictive value of any resting-state network and regional brain activation during episodic memory is only poorly understood. In order to address this research gap, we obtained fMRI acquired both during rest and a face-name association task in 38 healthy elderly subjects. In separate independent component analyses, networks of correlated brain activity during rest or the episodic memory task were identified. For the independent components identified for task-based fMRI, the design matrix of successful encoding or retrieval trials was regressed against the time course of each of the component to identify significantly activated networks. Spatial regression was used to assess the match of resting-state networks against those related to successful memory encoding or retrieval. We found that resting-state networks covering the medial temporal, middle temporal, and frontal areas showed increased activity during successful encoding. Resting-state networks located within posterior brain regions showed increased activity during successful recognition. However, the level of resting-state network connectivity was not predictive of the task-related activity in these networks. These results suggest that a circumscribed number of functional networks detectable during rest become engaged during successful episodic memory. However, higher intrinsic connectivity at rest may not translate into higher network expression during episodic memory.

10.
Alzheimers Res Ther ; 10(1): 28, 2018 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-29510747

RESUMO

BACKGROUND: Recent evidence derived from functional magnetic resonance imaging (fMRI) studies suggests that functional hubs (i.e., highly connected brain regions) are important for mental health. We found recently that global connectivity of a hub in the left frontal cortex (LFC connectivity) is associated with relatively preserved memory abilities and higher levels of protective factors (education, IQ) in normal aging and Alzheimer's disease. These results suggest that LFC connectivity supports reserve capacity, alleviating memory decline. An open question, however, is why LFC connectivity is beneficial and supports memory function in the face of neurodegeneration. We hypothesized that higher LFC connectivity is associated with enhanced efficiency in connected major networks involved in episodic memory. We further hypothesized that higher LFC-related network efficiency predicts higher memory abilities. METHODS: We assessed fMRI during a face-name association learning task performed by 26 healthy, cognitively normal elderly participants. Using beta-series correlation analysis, we computed task-related LFC connectivity to key memory networks, including the default mode network (DMN) and dorsal attention network (DAN). Network efficiency within the DMN and DAN was estimated by the graph theoretical small-worldness statistic. We applied linear regression analyses to test the association between LFC connectivity with the DMN/DAN and small-worldness of these networks. Mediation analysis was applied to test LFC connectivity to the DMN and DAN as a mediator of the association between education and higher DMN and DAN small-worldness. Last, we tested network small-worldness as a predictor of memory performance. RESULTS: We found that higher LFC connectivity to the DMN and DAN during successful memory encoding and recognition was associated with higher small-worldness of those networks. Higher task-related LFC connectivity mediated the association between education and higher small-worldness in the DMN and DAN. Further, higher small-worldness of these networks predicted better performance in the memory task. CONCLUSIONS: The present results suggest that higher education-related LFC connectivity to key memory networks during a memory task is associated with higher network efficiency and thus enhanced reserve of memory abilities in aging.


Assuntos
Envelhecimento/patologia , Mapeamento Encefálico , Lobo Frontal/diagnóstico por imagem , Lateralidade Funcional/fisiologia , Vias Neurais/diagnóstico por imagem , Idoso , Idoso de 80 Anos ou mais , Aprendizagem por Associação/fisiologia , Atenção/fisiologia , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Modelos Neurológicos , Oxigênio/sangue , Estimulação Luminosa
11.
J Chromatogr Sci ; 45(8): 524-30, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18019563

RESUMO

Gel permeation chromatography with differential refractometry is used to obtain molecular weight distributions (MWD) of poly-(epsilon-caprolactams). Elution is carried out using an m-cresolchlorobenzene mixture (50:50, v/v) at 50 degrees C. MW values are obtained by a Hamielec-based calibration method, using broad-MWD poly-(epsilon-caprolactam) standards with the same chemical nature and similar MWD to the samples. Relative errors for the number-average MW (Mn) using this calibration method range from 0.4% (in the low polyamide MW range) to 20% (in the high polyamide MW range). These values are much lower than those obtained from narrow-MWD polystyrene calibration, which range from 39% to 78%. Similar values have been obtained for the other usual average MW parameters. The ability to obtain repeatability parameters for a given confidence interval and the utilization of statistical criteria for chromatogram rejection allow this method to be used in quality control for MWD of poly-(epsilon-caprolactams). Thus, production variables are related to polyamide-6 behavior in its ulterior treatment. Typical relative standard deviation percentages (for n=6) of a polyamide sample range from 1.9% (for Mn) to 3.3% (for M(z+1)).

12.
J Alzheimers Dis ; 59(4): 1381-1392, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28731448

RESUMO

Reserve in aging and Alzheimer's disease (AD) is defined as maintaining cognition at a relatively high level in the presence of neurodegeneration, an ability often associated with higher education among other life factors. Recent evidence suggests that higher resting-state functional connectivity within the frontoparietal control network, specifically the left frontal cortex (LFC) hub, contributes to higher reserve. Following up these previous resting-state fMRI findings, we probed memory-task related functional connectivity of the LFC hub as a neural substrate of reserve. In elderly controls (CN, n = 37) and patients with mild cognitive impairment (MCI, n = 17), we assessed global connectivity of the LFC hub during successful face-name association learning, using generalized psychophysiological interaction analyses. Reserve was quantified as residualized memory performance, accounted for gender and proxies of neurodegeneration (age, hippocampus atrophy, and APOE genotype). We found that greater education was associated with higher LFC-connectivity in both CN and MCI during successful memory. Furthermore, higher LFC-connectivity predicted higher residualized memory (i.e., reserve). These results suggest that higher LFC-connectivity contributes to reserve in both healthy and pathological aging.


Assuntos
Envelhecimento/patologia , Disfunção Cognitiva/patologia , Lobo Frontal/patologia , Lateralidade Funcional/fisiologia , Memória/fisiologia , Rede Nervosa/patologia , Idoso , Idoso de 80 Anos ou mais , Apolipoproteínas E/genética , Mapeamento Encefálico , Disfunção Cognitiva/diagnóstico por imagem , Disfunção Cognitiva/genética , Face , Feminino , Lobo Frontal/diagnóstico por imagem , Humanos , Processamento de Imagem Assistida por Computador , Imageamento por Ressonância Magnética , Masculino , Nomes , Rede Nervosa/diagnóstico por imagem , Vias Neurais/diagnóstico por imagem , Reconhecimento Visual de Modelos/fisiologia , Fatores Sexuais
13.
Front Aging Neurosci ; 9: 264, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28824423

RESUMO

Reserve refers to the phenomenon of relatively preserved cognition in disproportion to the extent of neuropathology, e.g., in Alzheimer's disease. A putative functional neural substrate underlying reserve is global functional connectivity of the left lateral frontal cortex (LFC, Brodmann Area 6/44). Resting-state fMRI-assessed global LFC-connectivity is associated with protective factors (education) and better maintenance of memory in mild cognitive impairment (MCI). Since the LFC is a hub of the fronto-parietal control network that regulates the activity of other networks, the question arises whether LFC-connectivity to specific networks rather than the whole-brain may underlie reserve. We assessed resting-state fMRI in 24 MCI and 16 healthy controls (HC) and in an independent validation sample (23 MCI/32 HC). Seed-based LFC-connectivity to seven major resting-state networks (i.e., fronto-parietal, limbic, dorsal-attention, somatomotor, default-mode, ventral-attention, visual) was computed, reserve was quantified as residualized memory performance after accounting for age and hippocampal atrophy. In both samples of MCI, LFC-activity was anti-correlated with the default-mode network (DMN), but positively correlated with the dorsal-attention network (DAN). Greater education predicted stronger LFC-DMN-connectivity (anti-correlation) and LFC-DAN-connectivity. Stronger LFC-DMN and LFC-DAN-connectivity each predicted higher reserve, consistently in both MCI samples. No associations were detected for LFC-connectivity to other networks. These novel results extend our previous findings on global functional connectivity of the LFC, showing that LFC-connectivity specifically to the DAN and DMN, two core memory networks, enhances reserve in the memory domain in MCI.

14.
Neurobiol Aging ; 45: 43-49, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27459924

RESUMO

Resting-state functional connectivity (FC) is altered in Alzheimer's disease (AD) but its predictive value for episodic memory impairment is debated. Here, we aimed to assess whether resting-state FC in core brain regions activated during memory-task functional magnetic resonance imaging is altered and predictive of memory performance in AD and amnestic mild cognitive impairment (aMCI). Twenty-three elderly cognitively healthy controls (HC), 76 aMCI subjects, and 19 AD dementia patients were included. We computed resting-state FC between 18 meta-analytically determined peak coordinates of brain activation during successful memory retrieval. Higher FC between the parahippocampus, parietal cortex, and the middle frontal gyrus was observed in both AD and mild cognitive impairment compared to HC (false-discovery rate-corrected p < 0.05). The increase in FC between the parahippocampus and middle frontal gyrus was associated with reduced episodic memory in aMCI, independent of amyloid-beta positron emission tomography binding and apolipoprotein E ε4-carrier status. In conclusion, increased parahippocampal-prefrontal FC is predictive of impaired episodic memory in aMCI and may reflect a dysfunctional change within the episodic memory-related neural network.


Assuntos
Disfunção Cognitiva/psicologia , Memória/fisiologia , Descanso/fisiologia , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/psicologia , Encéfalo/diagnóstico por imagem , Encéfalo/fisiopatologia , Cognição/fisiologia , Disfunção Cognitiva/diagnóstico por imagem , Feminino , Neuroimagem Funcional , Humanos , Imageamento por Ressonância Magnética , Masculino , Memória Episódica , Rede Nervosa/diagnóstico por imagem , Rede Nervosa/fisiopatologia , Valor Preditivo dos Testes
15.
Arch. med. interna (Montevideo) ; 17(2): 53-7, jun. 1995. ilus, tab
Artigo em Espanhol | LILACS | ID: lil-203500

RESUMO

Es de interés para el farmacólogo clínico general el estudio de los factores genéticos que determinan la respuesta a los medicamentos. El polimorfismo genético de la debrisoquina/sparteína ha sido descrito en la década del 70 y ha tomado gran relevancia dado que un número significativo de fármacos utilizados en terapéutica clínica se oxidan por la misma vía metabólica que éstos. El dextrometorfan es un antitusígeno que cosegrega con la debrisoquina y su uso es más seguro. En el presente estudio se caracterizó la distribución de la O-demetilación del dextrometorfan en la población uruguaya (fenotipificación) mediante el cociente metabólico (CM). El objetivo del estudio fue conocer el comportamiento farmacogenético de nuestra población para esta vía metabólica. Se fenotipificaron 165 voluntarios en condiciones basales y se encontró un 6,3 por ciento de metabolizadores lentos. El histograma de frecuencia del CM muestra algunas peculiaridades que se discuten en el texto


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Dextrometorfano/metabolismo , Polimorfismo Genético , Dextrometorfano/urina , Fenótipo , Uruguai
16.
Rev. méd. Urug ; 13(2): 93-100, ago. 1997. tab, graf
Artigo em Espanhol | LILACS | ID: lil-275559

RESUMO

El estudio de los factores genéticos que determinan la respuesta a los medicamentos se denomina farmacogenética. En la década del 70 se describió el polimorfismo genético de la debrisoquina-hidroxilasa, un hallazgo de gran relevancia dado que muchos fármacos utilizados en terapéutica se oxidan por la misma vía metabólica. Esto explica gran parte de la variabilidad individual que se observa en las concentraciones plasmáticas de estos agentes terapéuticos lo cual determina tanto la falta de efecto como las reacciones adversas, tóxicas o ambas. El dextrometorfano es un derivado opiáceo sintético que se metaboliza por la misma vía que la debrisoquina siendo su uso más seguro, por lo cual se lo utilizó como sonda farmacogenética para explorar la vía metabólica oxidativa del citocromo P-450 2D6 mediante su metabolito O-demetilado, el dextrorfano. En el presente artículo se estudia la distribución fenotípica de la O-demetilación del dextrometorfano en la población uruguaya mediante el cociente metabólico (CM). Este se calcula dividiendo la concentración urinaria el dextrometorfano sobre la concentración urinaria del dextrofano (metabolito O-demetilado). Se caracterizaron fenotípicamente 302 voluntarios en condiciones casi basales y se encontró una variabilidad interindividual diez veces superior a la intraindividual. El examen del fenotipo muestra una distribución trimodal con 13,9 por ciento de metabolizadores rápidos, 78,8 por ciento de metabolizadores intermedios y 7,3 por ciento de metabolizadores lentos. El histograma de frecuencias del CM maestra algunas peculiaridades que se discuten en el texto


Assuntos
Humanos , Masculino , Feminino , Citocromo P-450 CYP2D6/metabolismo , Dextrometorfano/metabolismo , Polimorfismo Genético , Uruguai
SELEÇÃO DE REFERÊNCIAS
Detalhe da pesquisa