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1.
Radiother Oncol ; 190: 110021, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38000688

RESUMO

BACKGROUND AND PURPOSE: Lung cancers are highly resistant to radiotherapy, necessitating the use of high doses, which leads to radiation toxicities such as radiation pneumonitis and fibrosis. Caffeic Acid Phenethyl Ester (CAPE) has been suggested to have anti-proliferative and pro-apoptotic effects in tumour cells, while radioprotective anti-inflammatory and anti-oxidant effects in the normal tissue. We investigated the radiosensitizing and radioprotective effects of CAPE in lung cancer cell lines and normal tissue in vitro and ex vivo, respectively. MATERIALS AND METHODS: The cytotoxic and radiosensitizing effects of CAPE in lung cancer were investigated using viability and clonogenic survival assays. The radioprotective effects of CAPE were assessed in vitro and ex vivo using precision cut lung slices (PCLS). Potential underlying molecular mechanisms of CAPE focusing on cell cycle, cell metabolism, mitochondrial function and pro-inflammatory markers were investigated. RESULTS: Treatment with CAPE decreased cell viability in a dose-dependent manner (IC50 57.6 ± 16.6 µM). Clonogenic survival assays showed significant radiosensitization by CAPE in lung adenocarcinoma lines (p < 0.05), while no differences were found in non-adenocarcinoma lines (p ≥ 0.13). Cell cycle analysis showed an increased S-phase (p < 0.05) after incubation with CAPE in the majority of cell lines. Metabolic profiling showed that CAPE shifted cellular respiration towards glycolysis (p < 0.01), together with mitochondrial membrane depolarization (p < 0.01). CAPE induced a decrease in NF-κB activity in adenocarcinomas and decreased pro-inflammatory gene expression in PCLS. CONCLUSION: The combination of CAPE and radiotherapy may be a potentially effective approach to increase the therapeutic window in lung cancer patients.


Assuntos
Adenocarcinoma de Pulmão , Adenocarcinoma , Antineoplásicos , Neoplasias Pulmonares , Álcool Feniletílico/análogos & derivados , Humanos , Polifenóis , Adenocarcinoma de Pulmão/radioterapia , Antineoplásicos/farmacologia , Ácidos Cafeicos/farmacologia , Neoplasias Pulmonares/radioterapia , Neoplasias Pulmonares/patologia , Adenocarcinoma/radioterapia , Linhagem Celular Tumoral
2.
Eur J Histochem ; 46(3): 215-22, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12472116

RESUMO

Splenic germinal center reactions were measured during primary response to a plasmidic DNA intramuscular injection. Cardiotoxin-pretreated Balb/c mice were immunized with DNA plasmids encodmg or not the SAG1 protein, a membrane antigen of Toxoplasma gondii. Specific anti-SAG1 antibodies were detected on days 16 and 36 after injection of coding plasmids. The results of ELISAs showed that the SAG1-specific antibodies are of the IgG2a class. Morphometric analyses were done on serial immunostained cryosections of spleen and draining or non-draining lymph nodes. This new approach made it possible to evaluate the chronological changes induced by DNA immunisation in the germinal centres (in number and in size). Significant increases in the number of germinal centres were measured in the spleen and only in draining lymph nodes after plasmid injection, the measured changes of the germinal centers appeared to result from the adjuvant stimulatory effect of the plasmidic DNA since both the coding and the noncoding plasmid DNA induced them. No measurable changes were recorded in the T-dependent zone of lymph organs.


Assuntos
Antígenos de Protozoários , Carbono , DNA/imunologia , Imuno-Histoquímica/métodos , Animais , Anticorpos Monoclonais , Linfócitos B/imunologia , Biotina , Complexo CD3/imunologia , Antígenos CD8/imunologia , Corantes , Ensaio de Imunoadsorção Enzimática , Feminino , Citometria de Fluxo , Centro Germinativo/ultraestrutura , Injeções Intramusculares , Camundongos , Camundongos Endogâmicos BALB C , Plasmídeos/genética , Proteínas de Protozoários/metabolismo , Linfócitos T/imunologia
3.
Mol Biochem Parasitol ; 116(1): 35-44, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11463464

RESUMO

The attachment of Toxoplasma gondii to target cells is mediated by recognition of cellular heparan sulfate proteoglycans (HSPGs). The present study was performed to determine whether SAG1 and SAG3, two of the parasite surface antigens anchored to the membrane via glycosylphosphatidylinositol groups (GPIs), are involved in the tachyzoite binding to proteoglycans. The use of recombinant soluble forms of these proteins allowed us to demonstrate that SAG3, but not SAG1, interacts specifically with cellular HSPGs. Indeed, soluble recombinant SAG3 protein (recSAG3) was found to bind to immobilized heparin, whereas recSAG1 did not interact with this glycoaminoglycan. The specific adherence of recSAG3 to CHO cells was inhibited by soluble glycoconjugates, of which heparin, fucoidan and dextran sulfate were the most effective. Moreover, binding of recSAG3 to two HSPGs-deficient cell mutants was reduced by up to 80%. Proteoglycan sulfation was critical for SAG3 adherence to HSPGs as incubation of cells in the presence of sodium chlorate drastically reduced the recSAG3 binding. Finally, preincubation of CHO cells with recSAG3 blocked the adsorption of radiolabelled Toxoplasma tachyzoites. Taken together, these results indicate that SAG3 is a first glycoaminoglycan-binding protein associated with Toxoplasma, and SAG3-HSPGs interactions are involved in the parasite attachment to target cells.


Assuntos
Antígenos de Protozoários , Antígenos de Superfície/metabolismo , Glicoproteínas de Membrana/metabolismo , Proteínas de Membrana/metabolismo , Proteoglicanas/metabolismo , Toxoplasma/patogenicidade , Animais , Antígenos de Superfície/genética , Células CHO/parasitologia , Adesão Celular , Cricetinae , Glicoproteínas de Membrana/genética , Proteínas de Protozoários/genética , Proteínas de Protozoários/metabolismo , Proteínas Recombinantes/metabolismo , Ésteres do Ácido Sulfúrico/metabolismo , Toxoplasma/metabolismo
4.
Infect Immun ; 68(9): 4948-53, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10948109

RESUMO

Primary infection with Toxoplasma gondii during pregnancy can induce fetal pathology and abortion in both humans and animals. The present study describes the development of an experimental model of congenital toxoplasmosis in the guinea pig. In this animal model, we evaluated the protective effect of vaccination with a recombinant form of SAG1 against maternofetal transmission of tachyzoites. The presence of parasites in fetuses was determined by nested PCRs and by an in vivo readout after fetal brain homogenate injections in mice. The absence of parasites was demonstrated in 66 to 86% of fetuses derived from adult guinea pigs immunized with SAG1 and challenged with the mildly virulent T. gondii strain C56. In contrast, more than 80% of fetuses from mock-immunized guinea pigs were infected. The protection was not correlated with titers of antibody to SAG1. Our results indicated that this experimental model constitutes a relevant model for evaluation of vaccine candidates against congenital toxoplasmosis and that SAG1 elicits significant protection against maternofetal transmission.


Assuntos
Antígenos de Protozoários , Proteínas de Protozoários/imunologia , Vacinas Protozoárias/imunologia , Toxoplasma/imunologia , Toxoplasmose Congênita/prevenção & controle , Vacinas Sintéticas/imunologia , Animais , Anticorpos Antiprotozoários/sangue , Feminino , Cobaias , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Masculino , Proteínas Recombinantes/imunologia , Vacinação
5.
Acta Crystallogr D Biol Crystallogr ; 56(Pt 3): 363-5, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10713528

RESUMO

Cinnamomin (CIN) belongs to a family of 10 kDa proteins designated as elicitins. Some of these proteins induce a hypersensitive response in diverse plant species, leading to resistance against fungal and bacterial plant pathogens. CIN was crystallized by the vapour-diffusion method using either ammonium sulfate or polyethyleneglycol (PEG) as precipitants in solutions buffered at around pH 7. These crystals are isomorphous and belong to the triclinic space group, with unit-cell parameters a = 31.69, b = 36. 99, c = 44.09 A, alpha = 76.86, beta = 84.41, gamma = 80.26 degrees. A frozen crystal diffracted X-rays beyond 1.45 A resolution on a synchrotron-radiation source.


Assuntos
Proteínas Fúngicas/química , Phytophthora/química , Proteínas/química , Proteínas de Algas , Cristalização , Cristalografia por Raios X , Proteínas Fúngicas/isolamento & purificação , Modelos Moleculares , Pichia , Conformação Proteica , Proteínas/isolamento & purificação , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/isolamento & purificação , Proteínas Inativadoras de Ribossomos Tipo 2
6.
Protein Expr Purif ; 17(3): 392-400, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10600457

RESUMO

A 268-amino-acid-residue carboxy-terminal antigenic fragment of the Toxoplasma gondii rhoptry protein ROP2 (recROP2(t), residues 196-464) was expressed in Escherichia coli. This recombinant fragment was produced at low concentration and in a highly insoluble form. By contrast, the level of recROP2(t) production was drastically greater when the same coding sequence was fused to the C-terminus of thioredoxin (TRX) or to the maltose-binding protein (MBP) gene. While both fusion proteins were found to be mainly insoluble, solubilization could be achieved without significant degradation. MBP was more efficient than TRX in increasing the recovery of soluble protein with more than 10% of total MBP-recROP2(t) being readily expressed in a soluble form. Moreover, the insoluble form of MBP-recROP2(t) could be correctly refolded with a recovery of more than 80%. Both forms of MBP-recROP2(t) were purified to homogeneity by amylose chromatography. In contrast, the refolding of TRX-recROP2(t) promoted aggregation of the protein, which was prevented by the use of zwitterionic detergent during the one-step purification by gel filtration. Subsequent proteolytic cleavages of purified TRX-recROP2(t) and of MBP-recROP2(t) led respectively to the complete degradation or to the truncation of the recROP2(t) moiety. However, recROP2(t), despite the presence of the fusion partners, adopted a suitable conformation recognized by human serum-derived antibodies from T. gondii-seropositive individuals. Finally, both fusion proteins were able to induce specific humoral and cell-mediated immune response to the ROP2 fragment. Such fusions could represent an alternative to study the immunogenicity of T. gondii proteins which are difficult to produce because of insolubility and degradation.


Assuntos
Transportadores de Cassetes de Ligação de ATP , Antígenos de Protozoários/biossíntese , Proteínas de Escherichia coli , Escherichia coli/metabolismo , Proteínas de Membrana/biossíntese , Proteínas de Transporte de Monossacarídeos , Proteínas de Protozoários/biossíntese , Proteínas Recombinantes de Fusão/biossíntese , Toxoplasma/metabolismo , Animais , Anticorpos/sangue , Antígenos de Protozoários/química , Antígenos de Protozoários/genética , Antígenos de Protozoários/imunologia , Proteínas de Transporte/genética , Divisão Celular/imunologia , Enteropeptidase/química , Ensaio de Imunoadsorção Enzimática , Fator Xa/química , Feminino , Vetores Genéticos , Humanos , Linfócitos/citologia , Linfócitos/imunologia , Proteínas Ligantes de Maltose , Proteínas de Membrana/química , Proteínas de Membrana/genética , Proteínas de Membrana/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Fragmentos de Peptídeos/química , Fragmentos de Peptídeos/metabolismo , Proteínas de Protozoários/química , Proteínas de Protozoários/genética , Proteínas de Protozoários/imunologia , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/imunologia , Análise de Sequência de Proteína , Baço/citologia , Baço/imunologia , Tiorredoxinas/genética
7.
J Biotechnol ; 66(2-3): 137-46, 1998 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-9866865

RESUMO

A truncated form of SAG1, the immunodominant surface antigen of Toxoplasma gondii, has been produced in the methylotrophic yeast, Pichia pastoris. By construction, the recombinant protein lacks C-terminal residues 308-336 which, in native SAG1, encompass the glycosylphosphatidylinositol anchorage site. Secretion of anchor-less SAG1 proceeded via the yeast prepro alpha-mating factor signal peptide and yielded two immunoreactive protein species having apparent molecular masses of 31.5 and 34.5 kDa, respectively, and differing only by N-glycosylation of the single Asn-X-Ser site present in the molecule. Purification of the anchor-less SAG1 was achieved by a combination of ion-exchange and size-exclusion chromatographies. N-terminal amino acid sequencing of the products indicated the presence of additional residues glutamic acid--alanine at the N-terminal end of the products. Despite incomplete processing and unnatural glycosylation, anchor-less SAG1 proteins apparently adopted a suitable conformation recognized by monoclonal and human serum-derived antibodies, specific for the native SAG1. In addition, the recombinant anchor-less SAG1 proved competent for inducing proliferation, in vitro, of mononuclear cells from seropositive individuals. Finally, properly adjuvanted anchor-less SAG1 was able to induce protection of mice against a lethal challenge with T. gondii tachyzoites.


Assuntos
Pichia/genética , Proteínas de Protozoários/imunologia , Proteínas de Protozoários/isolamento & purificação , Toxoplasma/imunologia , Sequência de Aminoácidos , Animais , Antígenos de Protozoários/genética , Antígenos de Protozoários/imunologia , Antígenos de Protozoários/isolamento & purificação , Antígenos de Protozoários/farmacologia , Divisão Celular/efeitos dos fármacos , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Leucócitos Mononucleares/efeitos dos fármacos , Camundongos , Camundongos Endogâmicos BALB C , Dados de Sequência Molecular , Pichia/química , Engenharia de Proteínas/métodos , Dobramento de Proteína , Proteínas de Protozoários/genética , Proteínas de Protozoários/farmacologia , Coelhos , Taxa de Sobrevida , Células Th1/imunologia , Toxoplasmose/diagnóstico , Toxoplasmose/tratamento farmacológico , Toxoplasmose/imunologia , Toxoplasmose Animal/imunologia , Toxoplasmose Animal/mortalidade , Toxoplasmose Animal/parasitologia , Transformação Genética
8.
DNA Cell Biol ; 11(8): 621-6, 1992 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1388733

RESUMO

The major surface protein of hepatitis B virus produced in Saccharomyces cerevisiae can be recovered from cell lysates in the form of 22-mm lipoprotein particles. Immunoelectron microscopy was applied to investigate site and time of particle assembly. Thin sections of yeast cells revealed that production of the S protein provoked a dilation of the endoplasmic reticulum. Dilated areas were specifically labeled with a polyclonal antibody raised against glutaraldehyde-treated yeast-derived HBsAg particles. In contrast to previous postulates of particle formation during cell lysis and extract preparation, these results suggest that particle formation in yeast occurs in the endoplasmic reticulum and that transport of particles along the secretion pathway is blocked.


Assuntos
Retículo Endoplasmático/ultraestrutura , Antígenos de Superfície da Hepatite B/ultraestrutura , Corpos de Inclusão Viral/ultraestrutura , Replicação Viral , Transformação Celular Viral , Microscopia Imunoeletrônica , Saccharomyces cerevisiae , Vírion/ultraestrutura
9.
AIDS ; 6(6): 541-6, 1992 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-1388874

RESUMO

OBJECTIVE: To determine signals contained in the HIV-1 Gag precursor implicated in protein transport. DESIGN: To study the localization of truncated Gag proteins expressed in Saccharomyces cerevisiae. METHODS: Thin-section immunoelectron microscopy studies were performed on S. cerevisiae cells producing myristoylated or non-myristoylated Pr55gag, the core protein (p24) and several truncated Gag proteins. RESULTS: Pr55gag and the carboxy-terminal truncated Gag proteins were myristoylated and localized at the plasma membrane. p24 was localized in the nucleus or perinuclear membrane. However, addition of a myristoyl group to p24 targeted this molecule to the plasma membrane. CONCLUSIONS: The myristoylated amino-terminal 214 amino acids are sufficient to target Pr55gag to the plasma membrane. Subcellular signals implicated in protein transport are present in the core p24 polypeptide which may become dominant or accessible in the absence of the amino-myristoyl group.


Assuntos
Produtos do Gene gag/metabolismo , HIV-1/metabolismo , Precursores de Proteínas/metabolismo , Sequência de Bases , Membrana Celular/metabolismo , Núcleo Celular/metabolismo , DNA Viral/genética , Produtos do Gene gag/genética , Vetores Genéticos , Proteína do Núcleo p24 do HIV/genética , Proteína do Núcleo p24 do HIV/metabolismo , HIV-1/genética , Microscopia Imunoeletrônica , Dados de Sequência Molecular , Precursores de Proteínas/genética , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Saccharomyces cerevisiae/ultraestrutura , Frações Subcelulares/metabolismo
10.
DNA Cell Biol ; 10(3): 191-200, 1991 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-2012679

RESUMO

The coding sequences for each of the three envelope proteins of hepatitis B virus (HBV), the major (S), middle (M), and large (L) surface proteins, were expressed in Saccharomyces cerevisiae. Analysis by immunoelectron microscopy of thin sections of yeast cells showed that production of L protein but not of M or S protein provoked morphological changes in the yeast endoplasmic reticulum. A large accumulation of membranous structures connected with the perinuclear cysternae and specifically labeled by a monoclonal antibody directed against the amino-terminal (preS1) sequence of the L protein, was observed. The L protein was post-translationally modified by N- and O-linked glycosylation, indicative of its entry into the yeast secretory pathway and by N-myristoylation of its amino-terminal glycine residue. Deletion of this glycine residue resulted in the synthesis of a nonmyristoylated L protein. Proliferation of the endoplasmic reticulum was comparable in cells producing either the myristoylated or nonmyristoylated L protein, indicating that myristoylation alone is not responsible for the induction of the abnormal membrane morphology.


Assuntos
Retículo Endoplasmático/química , Vírus da Hepatite B/metabolismo , Saccharomyces cerevisiae/genética , Proteínas do Envelope Viral/genética , Western Blotting , Regulação Fúngica da Expressão Gênica , Genes Fúngicos , Glicosilação , Microscopia Eletrônica , Fases de Leitura Aberta , Plasmídeos , Testes de Precipitina , Saccharomyces cerevisiae/efeitos dos fármacos , Saccharomyces cerevisiae/ultraestrutura , Tunicamicina/farmacologia , Proteínas do Envelope Viral/metabolismo
11.
J Cardiovasc Surg (Torino) ; 29(5): 522-9, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3182919

RESUMO

A new technique for managing abdominal aortic aneurysms is described. This so called "subtotal mesh-wrapping" may be considered for high-risk patients with large or growing aneurysms even those extending proximally to the renal arteries. The results in 19 patients, treated by this method, are discussed. Poor general condition renders peri-operative mortality high. But long-term prognosis is improved and with the abandoning of appendectomy will benefit still more.


Assuntos
Aneurisma Aórtico/cirurgia , Telas Cirúrgicas , Idoso , Idoso de 80 Anos ou mais , Aorta Abdominal , Aneurisma Aórtico/mortalidade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco
12.
J Cardiovasc Surg (Torino) ; 29(3): 290-5, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3379089

RESUMO

Forty-four patients with an unilateral iliac obstruction were treated with a cross-over bypass. The ASPI at rest in the recipient leg was 0.53 +/- 0.16 pre-operatively and had increased to 0.82 +/- 0.13 3 months after operation (p less than 0.001). One patient died within 30 days of operation and in another graft thrombosis occurred within this period. In 2 patients above-knee amputation had to be performed owing to graft failure. During the follow-up period (3 months to 10 years) 9 patients died and 8 late graft failures (30 days) occurred without limb loss. The cumulative patency rate amounted to 73.7% after 5 years. A significant steal effect could not be demonstrated. The cross-over bypass is a procedure justified in unilateral iliac occlusion in high- and moderate risk patients with intermittent claudication and pain at rest or gangrene.


Assuntos
Arteriopatias Oclusivas/cirurgia , Artéria Femoral/cirurgia , Artéria Ilíaca/cirurgia , Idoso , Idoso de 80 Anos ou mais , Arteriopatias Oclusivas/complicações , Prótese Vascular , Feminino , Artéria Femoral/fisiologia , Oclusão de Enxerto Vascular , Humanos , Artéria Ilíaca/fisiologia , Masculino , Pessoa de Meia-Idade , Fluxo Sanguíneo Regional , Fatores de Risco , Grau de Desobstrução Vascular , Veias/transplante
13.
Gene ; 59(1): 55-61, 1987.
Artigo em Inglês | MEDLINE | ID: mdl-2893757

RESUMO

Oligodeoxynucleotide probes derived from the published amino acid (aa) sequence for D-amino acid oxidase (DAO) [Ronchi et al. J. Biol. Chem. 259 (1982) 8824-8834] were used to screen cDNA libraries made from porcine kidney cortex and liver. Whereas no clones were obtained from kidney mRNAs, 20 independent ones were isolated from the liver library. Surprisingly, all of them carried only partial cDNAs for DAO starting around aa 100 in the coding sequence and extending for up to 250 bp in the 3'-noncoding sequence. One of these clones, pULB9103, was used to screen a porcine genomic library and allowed the isolation of DAO gene clone phULB001. Four exons encoding aa 1-151 were identified and sequenced, as well as the relevant exon-intron junctions. The mRNA sequence coding for DAO has been reconstituted from the genomic and cDNA sequences; its analysis by computer did not reveal any significant secondary structure, or particular feature, which could explain the failure to obtain full-length cDNAs.


Assuntos
D-Aminoácido Oxidase/genética , DNA/genética , RNA Mensageiro/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Mapeamento Cromossômico , Clonagem Molecular , Dados de Sequência Molecular , Suínos
14.
Clin Neurol Neurosurg ; 87(3): 219-22, 1985.
Artigo em Inglês | MEDLINE | ID: mdl-4053476

RESUMO

A 73-year-old female with severe sciatica suffered from an aneurysm of the left internal iliac artery. At first minimal caudographic abnormalities suggested intervertebral disc herniation and lumbar root compression but at exploratory surgery the diagnosis had to be rejected. Once the correct diagnosis was established by echography, CT-scanning and angiography surgical treatment of the aneurysm resulted in complete recovery. Because sciatic nerve lesions due to aneurysms in the pelvic region very seldom occur and may be the cause of diagnostic confusion, symptoms and treatment of these aneurysms are discussed.


Assuntos
Aneurisma/complicações , Artéria Ilíaca , Síndromes de Compressão Nervosa/etiologia , Nervo Isquiático , Idoso , Feminino , Humanos
15.
Neth J Surg ; 36(4): 103-6, 1984 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6493565

RESUMO

In eight patients a diagnosis of entrapment of the brachial artery in the cubital fossa was established. All were muscular middle-aged men, who had performed heavy work with their arms for many years. For no immediately apparent reason they began to complain of weakness of the musculature of forearm and hand. The clinical details, diagnosis and simple treatment, which resulted in every case in complete relief of symptoms, are described.


Assuntos
Artéria Braquial , Síndromes Compartimentais/etiologia , Músculos/patologia , Adulto , Angiografia , Síndromes Compartimentais/diagnóstico , Síndromes Compartimentais/patologia , Humanos , Hipertrofia , Masculino , Pessoa de Meia-Idade , Músculos/cirurgia , Palpação , Terminologia como Assunto
16.
J Cardiovasc Surg (Torino) ; 18(4): 367-71, 1977.
Artigo em Inglês | MEDLINE | ID: mdl-885898

RESUMO

A description is given of an entrapment syndrome of the brachial artery in a thirty-nine-year-old muscular man. The diagnosis was made with the help of angiography. The intermittent compression was not caused by a congenital anomaly, but exclusively by muscular hypertrophy. By cutting the lacertus fibrosus the complaints and symptoms completely disappeared. No previous record of this clinical picture can be found in the world literature, but it can be assumed that this is not an isolated observation.


Assuntos
Artéria Braquial , Isquemia/etiologia , Contração Muscular , Músculos/patologia , Adulto , Artéria Braquial/diagnóstico por imagem , Artéria Braquial/cirurgia , Criança , Constrição Patológica/etiologia , Constrição Patológica/cirurgia , Antebraço/irrigação sanguínea , Humanos , Hipertrofia , Masculino , Músculos/irrigação sanguínea , Músculos/cirurgia , Radiografia
18.
Arch Chir Neerl ; 28(4): 251-60, 1976.
Artigo em Inglês | MEDLINE | ID: mdl-1023822

RESUMO

We report four patients who presented early in life with intermittent claudication, caused by popliteal artery entrapment. In three of them this was the result of an abnormality in the anatomy of the popliteal fossa. In the fourth, however, muscular hypertrophy alone led to arterial entrapment. Three patients were successfully treated by simple myotomy. In the fourth arteriography showed a total occlusion of the popliteal artery. An arteriotomy was performed. In was then seen that the vessel was still patent, and the opening was closed with a vein patch. The result of this procedure was also satisfactory. It is the authors' opinion, based on their own experience and that of other workers as reported in the literature, that vascular reconstruction is only indicated when irreversible vascular changes have occurred, or where other lesions have complicated the condition.


Assuntos
Claudicação Intermitente/cirurgia , Adolescente , Adulto , Feminino , Humanos , Masculino , Artéria Poplítea/cirurgia
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