Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 29
Filtrar
1.
Gene ; 767: 145185, 2021 Jan 30.
Artigo em Inglês | MEDLINE | ID: mdl-32998049

RESUMO

A key advance in our understanding of gene regulation came with the finding that the genome undergoes three-dimensional nuclear folding in a genetically determined process. This 3D conformation directly influences the association between enhancers and their target promoters. This complex interplay has been proven to be essential for gene regulation, and genetic variants affecting this process have been associated to human diseases. The development of new technologies that quantify these DNA interactions represented a revolution in the field. High throughput techniques like HiC provide a general picture of chromatin topology. However, they often lack resolution to evidence subtle effects that single nucleotide polymorphisms exert over the contacts between cis-regulatory regions and target promoters. Here we propose a cost-efficient approach to perform allele-specific chromatin conformation analysis. As a proof of concept, we analyzed the impact of a common deletion mapping between SIRPB1 promoter and one of its downstream enhancers.


Assuntos
Cromatina/metabolismo , Cromatina/fisiologia , Reação em Cadeia da Polimerase/métodos , Alelos , Animais , DNA/genética , Variações do Número de Cópias de DNA/genética , Bases de Dados Genéticas , Elementos Facilitadores Genéticos/genética , Humanos , Camundongos , Conformação de Ácido Nucleico , Polimorfismo de Nucleotídeo Único/genética , Regiões Promotoras Genéticas/genética , Locos de Características Quantitativas/genética , Receptores de Superfície Celular/genética
2.
BMC Res Notes ; 13(1): 503, 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33138858

RESUMO

OBJECTIVES: The Brown trout is a salmonid species with a high commercial value in Europe. Life history and spawning behaviour include resident (Salmo trutta m. fario) and migratory (Salmo trutta m. trutta) ecotypes. The main objective is to apply RNA-seq technology in order to obtain a reference transcriptome of two key tissues, brain and muscle, of the riverine trout Salmo trutta m. fario. Having a reference transcriptome of the resident form will complement genomic resources of salmonid species. DATA DESCRIPTION: We generate two cDNA libraries from pooled RNA samples, isolated from muscle and brain tissues of adult individuals of Salmo trutta m. fario, which were sequenced by Illumina technology. Raw reads were subjected to de-novo transcriptome assembly using Trinity, and coding regions were predicted by TransDecoder. A final set of 35,049 non-redundant ORF unigenes were annotated. Tissue differential expression analysis was evaluated by Cuffdiff. A False Discovery Rate (FDR) ≤ 0.01 was considered for significant differential expression, allowing to identify key differentially expressed unigenes. Finally, we have identified SNP variants that will be useful tools for population genomic studies.


Assuntos
Transcriptoma , Truta , Animais , Encéfalo , Músculos , Transcriptoma/genética , Truta/genética
3.
Lung Cancer ; 135: 230-233, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31235316

RESUMO

OBJECTIVES: To investigate the capacity of a trained dog to identify LC in patients with malignant SPN. METHODS: We collected 90 exhaled gas samples from 30 patients with SPN (3 samples/patient). As controls we used 61 healthy volunteers and 18 COPD patients without SNP or LC, in each of whom we collected 5 exhaled gas samples (n = 395). The dog (Blat, a 4-year-old crossbreed between a Labrador Retriever and a Pitbull) and the methodology used were the same as previously reported by our group (see: https://drive.google.com/open?id=1R4mOtOtuZkTeb5iOEEv0K9r2kHKlPhWd). RESULTS: Of 30 patients with SPN, Blat recognized 27 of them as positive for LC and 3 as negative for LC. These results fully matched post-surgical pathological results. Sensibility was 0.97, Specificity 0.99, Positive Predictive value 0.97 and negative predictive value 0.99. The AUC of the ROC curve was 0.985. CONCLUSIONS: Trained dogs can identify accurately the malignant origin of SPN. It is now time to develop technology that can match canine olfaction and facilitate the implementation of this diagnostic approach in the clinic.


Assuntos
Neoplasias Pulmonares/diagnóstico , Nódulo Pulmonar Solitário/diagnóstico , Idoso , Animais , Estudos de Casos e Controles , Diagnóstico Diferencial , Modelos Animais de Doenças , Cães , Feminino , Humanos , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Gradação de Tumores/métodos , Curva ROC , Reprodutibilidade dos Testes , Nódulo Pulmonar Solitário/patologia
4.
Ann Oncol ; 27(5): 850-5, 2016 05.
Artigo em Inglês | MEDLINE | ID: mdl-27113270

RESUMO

BACKGROUND: Patients with pulmonary metastases from colorectal cancer (CRC) may benefit from aggressive surgical therapy. The objective of this study was to determine the role of major anatomic resection for pulmonary metastasectomy to improve survival when compared with limited pulmonary resection. PATIENTS AND METHODS: Data of 522 patients (64.2% men, mean age 64.5 years) who underwent pulmonary resections with curative intent for CRC metastases over a 2-year period were reviewed. All patients were followed for a minimum of 3 years. Disease-specific survival (DSS) and disease-free survival (DFS) were assessed with the Kaplan-Meier method. Factors associated with DSS and DFS were analyzed using a Cox proportional hazards regression model. RESULTS: A total of 394 (75.6%) patients underwent wedge resection, 19 (3.6%) anatomic segmentectomy, 5 (0.9%) lesser resections not described, 100 (19.3%) lobectomy, and 4 (0.8%) pneumonectomy. Accordingly, 104 (19.9%) patients were treated with major anatomic resection and 418 (80.1%) with lesser resection. Operations were carried out with video-assisted thoracoscopic surgery (VATS) in 93 patients. The overall DSS and DFS were 55 and 28.3 months, respectively. Significant differences in DSS and DFS in favor of major resection versus lesser resection (DSS median not reached versus 52.2 months, P = 0.03; DFS median not reached versus 23.9 months, P < 0.001) were found. In the multivariate analysis, major resection appeared to be a protective factor in DSS [hazard ratio (HR) 0.6, 95% confidence interval (CI) 0.41-0.96, P = 0.031] and DFS (HR 0.5, 95% CI 0.36-0.75, P < 0.001). The surgical approach (VATS versus open surgical resection) had no effect on outcome. CONCLUSION: Major anatomic resection with lymphadenectomy for pulmonary metastasectomy can be considered in selected CRC patient with sufficient functional reserve to improve the DSS and DFS. Further prospective randomized studies are needed to confirm the present results.


Assuntos
Neoplasias Colorretais/cirurgia , Neoplasias Pulmonares/cirurgia , Metastasectomia , Recidiva Local de Neoplasia/cirurgia , Idoso , Neoplasias Colorretais/patologia , Intervalo Livre de Doença , Feminino , Humanos , Neoplasias Pulmonares/patologia , Neoplasias Pulmonares/secundário , Excisão de Linfonodo/métodos , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia/patologia , Pneumonectomia/métodos , Modelos de Riscos Proporcionais , Espanha , Cirurgia Torácica Vídeoassistida/métodos
5.
Physiol Behav ; 147: 91-6, 2015 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-25890275

RESUMO

Impulsive personality phenotype has been extensively related with genetic and hormonal factors. This study has two objectives: a) to analyse the interactions between testosterone levels and CAG repeat length polymorphism as a modulator of androgen receptor (AR) sensitivity with regard to impulsiveness traits, and b) to evaluate the contribution of other biological variables as Luteinising Hormone, Follicle Stimulating Hormone, Sex Hormone Binding Globulin (LF, FSH, SHBG) and albumin in the relationship between testosterone levels and AR CAG length polymorphism with impulsiveness. A sample of 105 healthy males (mean age 26.71±9.68 SEM) was analysed resulting in three groups of subjects according to CAG repeat lengths. Impulsiveness was measured through the Barratt's Impulsiveness Personality Scale, including three components: Motor Impulsiveness, Cognitive Impulsiveness and Non-Planning Impulsiveness. A series of ANOVAS and linear regression models predicting impulsiveness scales were conducted. Age, hormones, CAG repeat length and hormone×CAG repeat interactions were included in the regression models as independent variables. Results show that subjects with short or medium CAG repeat length tended to show higher impulsiveness phenotypes compared to long CAG repeat. The interaction between Free Testosterone and CAG, and between SHBG and CAG accounted for differences on impulsiveness (R: .47, R(2): .22 and R: .43; R(2): .18, respectively).This pattern was especially observed for the short CAG repeat group and Motor Impulsiveness.


Assuntos
Comportamento Impulsivo/fisiologia , Receptores Androgênicos/genética , Globulina de Ligação a Hormônio Sexual/metabolismo , Testosterona/sangue , Expansão das Repetições de Trinucleotídeos/genética , Adolescente , Adulto , Análise de Variância , Humanos , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade , Adulto Jovem
6.
Genes Immun ; 16(2): 134-41, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25569262

RESUMO

HIV-1 induces activation of complement through the classical and lectin pathways. However, the virus incorporates several membrane-bound or soluble regulators of complement activation (RCA) that inactivate complement. HIV-1 can also use the complement receptors (CRs) for complement-mediated antibody-dependent enhancement of infection (C-ADE). We hypothesize that hypofunctional polymorphisms in RCA or CRs may protect from HIV-1 infection. For this purpose, 139 SNPs located in 19 RCA and CRs genes were genotyped in a population of 201 Spanish HIV-1-exposed seronegative individuals (HESN) and 250 HIV-1-infected patients. Two SNPs were associated with infection susceptibility, rs1567190 in CR2 (odds ratio (OR) = 2.27, P = 1 × 10(-4)) and rs2842704 in C4BPA (OR = 2.11, P = 2 × 10(-4)). To replicate this finding, we analyzed a cohort of Italian, sexually HESN individuals. Although not significant (P = 0.25, OR = 1.57), similar genotypic proportions were obtained for the CR2 marker rs1567190. The results of the two association analyses were combined through a random effect meta-analysis, with a significant P-value of 2.6 x 10(-5) (OR = 2.07). Furthermore, we found that the protective CR2 genotype is correlated with lower levels CR2 mRNA as well as differences in the ratio of the long and short CR2 isoforms.


Assuntos
Infecções por HIV/genética , Infecções por HIV/imunologia , HIV-1/imunologia , Receptores de Complemento 3d/genética , Receptores de Complemento 3d/imunologia , Estudos de Coortes , Suscetibilidade a Doenças/imunologia , Anticorpos Anti-HIV/genética , Haplótipos , Humanos , Imunidade Inata/genética , Masculino , Polimorfismo de Nucleotídeo Único
7.
Genes Brain Behav ; 13(7): 653-62, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25039969

RESUMO

Impulsive-disinhibited personality (IDP) is a behavioral trait mainly characterized by seeking immediate gratification at the expense of more enduring or long-term gains. This trait has a major role in the development of several disinhibitory behaviors and syndromes, including psychopathy, attention-deficit and hyperactivity disorder, cluster-B personality disorders, criminality and alcoholism. Available data consistently support a strong heritable component, accounting for 30-60% of the observed variance in personality traits. A genome-wide analysis of copy-number variants was designed to identify novel genetic pathways associated with the IDP trait, using a series of 261 male participants with maximized opposite IDP scores. Quantitative trait locus analysis of candidate copy-number variants (CNVs) was conducted across the entire IDP continuum. Functional effects of associated variants were evaluated in zebrafish embryos. A common CNV mapping to the immune-related gene SIRPB1 was significantly associated with IDP scores in a dose-dependent manner (ß=-0.172, P<0.017). Expression quantitative trait locus analysis of the critical region revealed higher SIRPB1 mRNA levels associated with the haplotype containing the deleted allele (P<0.0007). Epigenetic marks highlighted the presence of two potential insulators within the deleted region, confirmed by functional assays in zebrafish embryos, which suggests that SIRPB1 expression rates are affected by the presence/absence of the insulator regions. Upregulation of SIRPB1 has been described in prefrontal cortex of patients with schizophrenia, providing a link between SIRPB1 and diseases involving disinhibition and failure to control impulsivity. We propose SIRPB1 as a novel candidate gene to account for phenotypic differences observed in the IDP trait.


Assuntos
Variações do Número de Cópias de DNA , Comportamento Impulsivo , Inibição Psicológica , Locos de Características Quantitativas , Receptores de Superfície Celular/genética , Adulto , Animais , Estudos de Casos e Controles , Criminosos , Haplótipos , Humanos , Elementos Isolantes , Masculino , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Receptores de Superfície Celular/metabolismo , Peixe-Zebra
8.
Ecol Evol ; 2(8): 2018-26, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22957202

RESUMO

Across altitudinal and latitudinal gradients, the proportion of suitable habitats varies, influencing the individual dispersal that ultimately can produce differentiation among populations. The natterjack toad (Bufo calamita) is distributed across a wide geographic range that qualifies the species as interesting for a geographic analysis of its genetic variability. Five populations of B. calamita in the Sierra de Gredos (Spain) were studied in an altitudinal gradient ranging from 750 to 2270 m using microsatellite markers. In addition, we analyzed the latitudinal genetic variation in B. calamita within a global European distribution using genetic diversity parameters (mean number of alleles per locus [M(a)] and expected heterozygosity [H(E)]) obtained from our results and those published in the literature. The low level of genetic differentiation found between populations of B. calamita (F(st) ranging from 0.0115 to 0.1018) and the decreases in genetic diversity with altitude (M(a) from 13.6 to 8.3, H(E) from 0.82 to 0.74) can be interpreted by the combined effects of discontinuous habitat, produced mainly by the high slopes barriers and geographic distance. In the latitudinal gradient, genetic diversity decreases from south to north as a consequence of the colonization of the species from the Pleistocene refugium. We conclude that the genetic variability in B. calamita along its wide altitudinal and latitudinal geographic distribution mainly reflects the colonization history of the species after the last glacial period.

9.
Rev Port Pneumol ; 17(5): 225-7, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-21680137

RESUMO

Since digital thoracic drainage system (DTDS) came onto the market, a number of its advantages have become clear, for example that of eliminating the differences between observers. The withdrawal of thoracic drainage has been found to be comfortable, safe and well tolerated by patients; it helps to reduce or eliminate the cost of hospital stay, because, according to the different series published in recent months, it is possible to withdraw drainage sooner and thus discharge patients earlier. Prospective studies are underway, but as yet nothing has been written about the possible benefits in outpatient surgery programmes. In this report we present our findings of 3 cases of patients undergoing pulmonary resection who were treated with continuous intra-domiciliary DTDS. Pending the results of a prospective study now underway our observation is that with properly selected patients this is a safe method.


Assuntos
Assistência Ambulatorial , Drenagem/instrumentação , Pneumonectomia , Adulto , Desenho de Equipamento , Feminino , Humanos , Pessoa de Meia-Idade
10.
Environ Entomol ; 40(4): 931-8, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22251694

RESUMO

The adult body size of the Mediterranean fruit fly, Ceratitis capitata (Wiedemann) (Diptera: Tephritidae), varies in natural conditions. Body size is an important fitness indicator in the Mediterranean fruit fly; larger individuals are more competitive at mating and have a greater dispersion capacity and fertility. Both temperature during larval development and host fruit quality have been cited as possible causes for this variation. We studied the influence of host fruit and temperature during larval development on adult body size (wing area) in the laboratory, and determined body size variation in field populations of the Mediterannean fruit fly in eastern Spain. Field flies measured had two origins: 1) flies periodically collected throughout the year in field traps from 32 citrus groves, during the period 2003-2007; and 2) flies evolved from different fruit species collected between June and December in 2003 and 2004. In the lab, wing area of male and female adults varied significantly with temperature during larval development, being larger at the lowest temperature. Adult size also was significantly different depending on the host fruit in which larvae developed. The size of the flies captured at the field, either from traps or from fruits, varied seasonally showing a gradual pattern of change along the year. The largest individuals were obtained during winter and early spring and the smallest during late summer. In field conditions, the size of the adult Mediterannean fruit fly seems apparently more related with air temperature than with host fruit. The implications of this adult size pattern on the biology of C. capitata and on the application of the sterile insect technique are discussed.


Assuntos
Tamanho Corporal , Citrus/parasitologia , Prunus/parasitologia , Temperatura , Tephritidae/crescimento & desenvolvimento , Animais , Feminino , Interações Hospedeiro-Patógeno , Larva/crescimento & desenvolvimento , Masculino
15.
Arch Bronconeumol ; 38(2): 64-6, 2002 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-11844436

RESUMO

Preliminary results from the Spanish cooperative group for the treatment of palmar hyperhidrosis by video-assisted thoracoscopic surgery are presented in this paper. We have reviewed the cases of all patients with this disease treated by the group, especially noting the technique, the early results and complications. Video-assisted thoracoscopy emerges as the treatment of choice, given the ease with which the thoracic sympathetic chain can be resected, its safety, the lack of observed complications, and the good short-term results.


Assuntos
Hiperidrose/cirurgia , Simpatectomia , Cirurgia Torácica Vídeoassistida , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Espanha
17.
Am J Kidney Dis ; 38(5): 965-74, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11684548

RESUMO

The BsmI polymorphism of the vitamin D receptor (VDR) gene influences mineral metabolism and the course of cancers and infections. The poly-A polymorphism is in linkage disequilibrium with BsmI and could be responsible for clinical associations attributed to BsmI. The objective of this work is to study the influence of VDR polymorphisms on survival of 143 prevalent hemodialysis (HD) patients followed up for 4 years. Chi-square test was used to study the association between survival and these polymorphisms. Cox analysis was performed, adjusting for comorbid conditions in the entire HD population, groups of patients on HD therapy for less than 5 and 3 years before entering 4 years of observation, patients without diabetes, and patients treated with calcitriol. Survival was analyzed by means of Kaplan-Meier according to BsmI genotypes. Results showed a strong influence of the BsmI polymorphism on survival. The bb genotype was overrepresented among survivors (45.7%) compared with nonsurvivors (21.6%), and Cox analysis showed a significant influence of age, diabetes, calcitriol treatment, and BsmI polymorphism in all groups (in the entire population, Exp(B): BB, 3.9; and Bb, 3 with respect to bb), and also of phosphorus in patients without diabetes and calcitriol-treated patients. Survival means by Kaplan-Meier were as follows: BB, 983 days; Bb, 1,152 days; and bb, 1,290 days (log-rank P = 0.01). The BsmI polymorphism influences survival in HD patients, whereas the poly-A and FokI polymorphisms do not.


Assuntos
Nefropatias/genética , Receptores de Calcitriol/genética , Diálise Renal , Alelos , DNA/genética , DNA/metabolismo , Desoxirribonucleases de Sítio Específico do Tipo II/metabolismo , Feminino , Seguimentos , Frequência do Gene , Genótipo , Haplótipos , Humanos , Nefropatias/mortalidade , Nefropatias/terapia , Masculino , Pessoa de Meia-Idade , Poli A/genética , Polimorfismo Genético , Estudos Prospectivos , Análise de Sobrevida , Taxa de Sobrevida
18.
J Infect Dis ; 184(10): 1279-88, 2001 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-11679916

RESUMO

The effect of polymorphisms on genes encoding the CCR5 chemokine receptor and vitamin D receptor (VDR) in human immunodeficiency virus (HIV) type 1 disease progression was analyzed in a cohort of 185 HIV-seropositive injection drug users. Results confirmed a lack of association in patients with HIV disease between CCR5 wtDelta32 heterozygosity and a slow progression to AIDS and to a CD4 cell count <200 cells/microL. In contrast, a more rapid disease progression was associated with the VDR-BB genotype. A higher proportion of this genotype was found in patients with <200 CD4 cells/microL (P=.009; odds ratio [OR], 2.4; 95% confidence interval [CI], 1.3-4.7), as well as a faster progression both to AIDS (1993 CDC classification [CDC 1993]) and to a CD4 cell count <200 cells/microL. When the analysis was restricted to patients with a VDR-bb genetic background, patients with CCR5 wtDelta32 heterozygosity were overrepresented in CDC 1993 nonprogressors (P=.033; OR, 0.28; 95% CI, 0.08-0.92) and in those with >200 CD4 cells/microL (P=.062; OR, 0.26; 95% CI, 0.06-1.08). Also, patients with CCR5 wtDelta32 heterozygosity showed a slow progression both to AIDS CDC 1993 and to a CD4 cell count <200 cells/microL.


Assuntos
Síndrome da Imunodeficiência Adquirida/genética , Infecções por HIV/fisiopatologia , Soropositividade para HIV/fisiopatologia , HIV-1 , Receptores CCR5/genética , Receptores de Calcitriol/genética , Abuso de Substâncias por Via Intravenosa/fisiopatologia , Síndrome da Imunodeficiência Adquirida/epidemiologia , Adulto , Estudos de Coortes , Intervalos de Confiança , Progressão da Doença , Feminino , Infecções por HIV/epidemiologia , Infecções por HIV/genética , Soropositividade para HIV/epidemiologia , Soropositividade para HIV/genética , Heterozigoto , Humanos , Masculino , Razão de Chances , Polimorfismo Genético , Abuso de Substâncias por Via Intravenosa/epidemiologia
19.
Eur J Biochem ; 267(12): 3613-22, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10848978

RESUMO

Drosophila melanogaster alcohol dehydrogenase (ADH), a paradigm for gene-enzyme molecular evolution and natural selection studies, presents three main alleloforms (ADHS, ADHF and ADHUF) differing by one or two substitutions that render different biochemical properties to the allelozymes. A three-dimensional molecular model of the three allozymes was built by homology modeling using as a template the available crystal structure of the orthologous D. lebanonensis ADH, which shares a sequence identity of 82.2%. Comparison between D. lebanonensis and D. melanogaster structures showed that there is almost no amino-acid change near the substrate or coenzyme binding sites and that the hydrophobic active site cavity is strictly conserved. Nevertheless, substitutions are not distributed at random in nonconstricted positions, or located in external loops, but they appear clustered mainly in secondary structure elements. From comparisons between D. melanogaster allozymes and with D. simulans, a very closely related species, a model based on changes in the electrostatic potential distribution is presented to explain their differential behavior. The depth of knowledge on Drosophila ADH genetics and kinetics, together with the recently obtained structural information, could provide a better understanding of the mechanisms underlying molecular evolution and population genetics.


Assuntos
Álcool Desidrogenase/química , Álcool Desidrogenase/metabolismo , Drosophila melanogaster/enzimologia , Álcool Desidrogenase/imunologia , Substituição de Aminoácidos , Animais , Anticorpos Monoclonais/farmacologia , Domínio Catalítico , Mapeamento de Epitopos , Isoenzimas/química , Modelos Moleculares , Oxirredução , Conformação Proteica , Dobramento de Proteína , Relação Estrutura-Atividade
20.
Kidney Int ; 56(4): 1349-53, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10504487

RESUMO

BACKGROUND: BsmI vitamin D receptor (VDR) gene polymorphism has been associated with the severity of hyperparathyroidism in patients on hemodialysis. The aim of this study was to analyze the influence of this polymorphism on parathyroid function and serum calcitriol levels in patients with different degrees of chronic renal failure (CRF) before dialysis. METHODS: A total of 248 CRF patients, divided into three groups according to creatinine clearance (CCr; mild CRF group> 60 to 35 to 10 to 2.5 mmol/liter and serum phosphorus levels of> 1.6 mmol/liter or who needed phosphorus binding agents were excluded. The statistical analysis was done with the general factorial analysis of variance entering first PTH and then calcitriol as the dependent variable; the genotype (BB, Bb and bb), sex and CCr group were defined as factors; and covariables included serum calcium, serum phosphorus, 1/creatinine versus time slope, PTH when calcitriol was the dependent variable, and calcitriol when PTH was the dependent variable. RESULTS: When serum PTH levels were entered as the dependent variable, serum calcium, CCr group, and the interaction of genotype with the CCr group were found to be significant factors (P = 0.025, P <0.001 and P = 0.039, respectively). When serum calcitriol levels were entered as the dependent variable, genotype, the interaction of genotype with CCr, the CCr group, and the 1/creatine versus time slope were found to be significant (P = 0.027, P = 0.028, P <0.001 and P = 0.044, respectively). The marginal means of PTH, adjusted with the general factorial analysis of variance across the three groups were: (a) mild CRF group, BB 5.3 pmol/liter (CI 0 to 13.8), Bb 5.5 pmol/liter (CI 2 to 9), bb 5.4 pmol/liter (CI 0.6 to 10.2); (b) moderate CRF group, BB 6.2 pmol/liter (CI 1.5 to 10.9), Bb 7.8 pmol/liter (CI 5.3 to 10.3), bb 7.5 pmol/liter (CI 4.8 to 10.1); (c) severe CRF group, BB 9.3 pmol/liter (CI 4.2 to 14.3), Bb 17.1 pmol/liter (CI 13.9 to 20.2), bb 21.9 pmol/liter (CI 18.7 to 25.2). The marginal means of calcitriol adjusted with the general factorial analysis of variance across the three groups were: (a) mild CRF group, BB 47 pg/ml (CI 37 to 57), Bb 40.9 pg/ml (CI 37 to 44.8), bb 32.6 pg/ml (CI 26.8 to 38. 4); (b) moderate CRF group, BB 24.1 pg/ml (CI 18.3 to 29.8), Bb 26.6 pg/ml (CI 23.5 to 29.7), bb 25.3 pg/ml (CI 22 to 28.6); (c) severe CRF group, BB 27.4 pg/ml (CI 21.3 to 33.5), Bb 19.4 pg/ml (CI 15.5 to 23.2), bb 20.4 pg/ml (CI 16.1 to 24.7). CONCLUSION: The progression of hyperparathyroidism is slower in predialysis patients with BB genotypes than in the other genotypes. Also, calcitriol levels are less reduced in the BB genotype, which may act to lessen the severity of secondary hyperparathyroidism.


Assuntos
Calcitriol/sangue , Falência Renal Crônica/sangue , Falência Renal Crônica/genética , Hormônio Paratireóideo/sangue , Receptores de Calcitriol/genética , Idoso , Feminino , Frequência do Gene , Genótipo , Humanos , Hiperparatireoidismo Secundário/sangue , Hiperparatireoidismo Secundário/genética , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Polimorfismo Genético , Diálise Renal
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA