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1.
Plant Biol (Stuttg) ; 17(4): 775-86, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25683604

RESUMO

Plant genome size evolution is a very dynamic process: the ancestral genome of angiosperms was initially most likely small, which led to a tendency towards genome increase during evolution. However, findings in several angiosperm lineages demonstrate mechanisms that also led to genome size contraction. Recent molecular investigations on the Asteraceae genus Crepis suggest that several genomic reduction events have occurred during the evolution of the genus. This study focuses on the Mediterranean Crepis sect. Neglectoides, which includes three species with some of the smallest genomes within the whole genus. Crepis neglecta has the largest genome in sect. Neglectoides, approximately twice the size of the two species Crepis cretica and Crepis hellenica. Whereas C. cretica and C. hellencia are more closely related to each other than to C. neglecta the karyotypes of the latter species and C. cretica are similar, while that of C. hellenica differs considerably. Here, the karyotypic organisation of the three species is investigated with fluorescence in-situ hybridisation and studied in a molecular phylogenetic framework based on the nuclear markers Actin, CHR12, CPN60B, GPCR1 and XTH23. Our findings further corroborate the occurrence of genome size contraction in Crepis, and suggest that the difference in genome size between C. neglecta and C. cretica is mostly due to elimination of dispersed repetitive elements, whereas chromosomal reorganisation was involved in the karyotype formation of C. hellenica.


Assuntos
Cromossomos de Plantas/genética , Crepis/genética , Evolução Molecular , Tamanho do Genoma , Genoma de Planta/genética , Sequência de Bases , Bandeamento Cromossômico , Crepis/citologia , DNA de Plantas/química , DNA de Plantas/genética , DNA Ribossômico/química , DNA Ribossômico/genética , Marcadores Genéticos/genética , Hibridização in Situ Fluorescente , Cariótipo , Dados de Sequência Molecular , Filogenia , Análise de Sequência de DNA
2.
Scand J Immunol ; 75(5): 524-30, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22260197

RESUMO

Although primary causes of Alzheimer's and vascular dementia are unknown, the importance of preceding vascular lesions is widely accepted. Furthermore, there is strong evidence for the involvement of autoimmune mechanisms. Here, we report the presence of agonistic autoantibodies directed at adrenergic receptors in the circulation of patients with mild to moderate Alzheimer's and vascular dementia. In 59% of these patients, agonistic autoantibodies against the α(1) -adrenergic receptor and the ß(2) -adrenergic receptor were identified. The majority of positive patients (66%) contained both types of autoantibodies in combination. In a control group of patients with neurological impairments others than Alzheimer's and vascular dementia, only 17% were found to harbour these autoantibodies. The autoantibodies to the α(1) -adrenergic receptor interacted preferably with the extracellular loop1 of the receptor. They were further studied in IgG preparations from the column regenerate of a patient who underwent immunoadsorption. The α(1) -adrenergic receptor autoantibodies specifically bound to the extracellular loop1 peptide of the receptor with an apparent EC(50) value of 30 nm. They mobilized intracellular calcium in a clonal cell line expressing the human form of the α(1) -adrenergic receptor. Our data support the notion that autoimmune mechanisms play a significant role in the pathogenesis of Alzheimer's and vascular dementia. We suggest that agonistic autoantibodies to the α(1) -adrenergic and the ß(2) -adrenergic receptor may contribute to vascular lesions and increased plaque formation.


Assuntos
Doença de Alzheimer/imunologia , Autoanticorpos/imunologia , Demência Vascular/imunologia , Receptores Adrenérgicos alfa 1/imunologia , Receptores Adrenérgicos beta 2/imunologia , Idoso , Idoso de 80 Anos ou mais , Animais , Cálcio/sangue , Cálcio/metabolismo , Células Cultivadas , Feminino , Humanos , Imunoglobulina G/análise , Imunoglobulina G/sangue , Masculino , Pessoa de Meia-Idade , Placa Aterosclerótica/imunologia , Placa Aterosclerótica/patologia , Ratos
3.
Plant Biol (Stuttg) ; 12 Suppl 1: 140-52, 2010 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-20712629

RESUMO

In a screen for senescence-associated genes in Arabidopsis thaliana, a novel, highly up-regulated membrane protein was identified. It is a member of an uncharacterised, strictly plant-specific gene family and was named AtDMP1 (Arabidopsis thaliana DUF679 domain membrane protein 1). The AtDMP proteins are predicted to have four transmembrane spans, with cytosolic amino- and carboxy-termini. In this study, we investigated the phylogenetic distribution of DMP proteins, their tissue-specific expression and subcellular localisation in A. thaliana. The Chlamydomonas reinhardtii and Physcomitrella patens genomes in dicots contain only a single DMP gene copy, whereas there are five to 13 DMP genes and 11-16 in monocots, many of which supposedly result from recent gene duplications. The ubiquitous occurrence of DMP proteins in green plants and their absence from other kingdoms suggest a role in plant-specific processes. In A. thaliana, expression of nine out of ten DMP genes was detected. The expression patterns were found to be markedly tissue- and development-specific; thus, functional redundancy of most proteins is unlikely. The occurrence of several AtDMPs in tissues undergoing senescence (AtDMP1, -3, -4), dehiscence (AtDMP7) or abscission (AtDMP2, -4, -7) suggests involvement of DMPs in different types of programmed cell death. AtDMP-eGFP fusion proteins were found to localise either to the endoplasmic reticulum, the tonoplast or, under certain conditions, to both membrane systems. Further investigations are in progress to elucidate functions of the AtDMP proteins.


Assuntos
Proteínas de Arabidopsis/metabolismo , Arabidopsis/genética , Proteínas de Membrana/metabolismo , Família Multigênica , Filogenia , Sequência de Aminoácidos , Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Perfilação da Expressão Gênica , Regulação da Expressão Gênica de Plantas , Proteínas de Membrana/genética , Dados de Sequência Molecular , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo , Alinhamento de Sequência
5.
Unfallchirurg ; 112(6): 565-74, 2009 Jun.
Artigo em Alemão | MEDLINE | ID: mdl-19436981

RESUMO

BACKGROUND: In Hannover and in nationwide contingency plans there are clear instructions for the medical care of mass casualties which are designed to cope with 50 to a maximum of 200 patients. Disaster simulations and practical exercises in Hannover regarding EXPO 2000 and the FIFA World Cup 2006 showed a very good and effective prehospital treatment and management up to a number of about 200 patients. Due to infrastructural settings a scenario with up to 1,000 (MANV IV) patients in the region of Hannover was beyond the capacity of existing concepts for the management of mass casualties, which comprised initial medical care at the on-site treatment area and subsequent transport to local or regional hospitals for definitive management. A new practicable and well trained model was necessary to improve the hospital admission and primary treatment capacity (Erstversorgungsklinik--EVK). In the case of MANV IV it was proposed that the tasks of on-site treatment area should be concentrated on triage and the stabilization of severely injured victims with immediate transport to special primary care hospitals. The main task of these hospitals was further stabilization of patients for inhospital care or further transport to other special facilities. METHODS: The main aim of the study was, after the initial trauma scenario, to provide the logistical and personal background for the fastest possible advanced life support and the further treatment of more than 60 severely injured patients at a city hospital with trauma centre level I experience. The timescale from the first alarm until the hospital was ready for action was approximately 60 min. To gain knowledge about the regional implementation of the whole logistic scenario in the case of MANV IV and to practice detailed questioning, a major casualty training was needed. This resulted in a large targeted disaster medical training with a realistic situation simulation on the 25.03.2006 including the Diakoniekrankenhaus Friederikenstift under the aspect of a special primary care hospital (EVK) working at full capacity. RESULTS: The AWD arena in Hannover was the site of a simulated major casualty event resulting in 620 patients with various penetrating or blunt trauma injuries. Within 60 min of the first alarm call the admission and casualty treatment capacity at the Diakoniekrankenhaus Friederikenstift was increased up to approximately 60 patients including 30 ventilated patients. After initial inspection of 78 patients according to the ATLS criteria advanced life support was performed (airway management, volume resuscitation, basic diagnostic and surgical techniques) by flexible treatment teams (including physicians of all other faculties) in 3 treatment corridors within 135 min. Of the patients 69 were admitted to the wards and intensive care units, 5 were discharged after ambulant treatment and 3 patients were transferred to an eye and ENT hospital. Of the patients 10 had already been intubated on arrival, another 6 patients were intubated in the treatment corridors. Simulations of 4 urgent laparatomies, 2 trepanations, 1 artery seam, osteosynthesis of 3 perforating fractures was performed in the operating theatre. A total of 6 extremity fractures were immobilized by a fixateur externe, 7 chest tubes were placed and 43 surgical wound dressings were performed in the treatment corridors. There was no significant shortage of logistical or personal resources. CONCLUSION: In a major disaster with more than 200 seriously injured patients the EVK model is a practicable and regional well tried solution that could increase the capacity of hospital admissions and advanced trauma life support, regardless of the type of casualty, season or weather conditions. It is possible to reduce the interval to advanced trauma life support, temporary fracture stabilization (damage control) and definitive surgical care by means of rapid and targeted utilization of resources and manpower. Physicians involved in the initial treatment play a key role and have to be highly trained (ATLS). The EVK model is variable and can easily be established and adapted to regional conditions at basic regional hospitals as well as at level I trauma centers.


Assuntos
Planejamento em Desastres/organização & administração , Serviço Hospitalar de Emergência/organização & administração , Incidentes com Feridos em Massa , Atenção Primária à Saúde/organização & administração , Triagem/organização & administração , Alemanha
6.
Theor Appl Genet ; 105(2-3): 423-430, 2002 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-12582547

RESUMO

DNA mismatch repair proteins play an important role in maintaining the integrity of the genetic information during replication and homologous recombination. The MutS-homologous (MSH) and MutL-homologous (MLH) proteins are highly conserved among all prokaryotes and eukaryotes. We have isolated two mutS homologous genes from Zea mays, named Mus1 and Mus2. Phylogenetic analysis identifies Mus1 as a member of the MSH2 protein family. Mus2 is an ortholog of the Arabidopsis thaliana MSH7 protein and belongs to a subgroup of MSH proteins that is possibly plant-specific. Mus1 and Mus2 are expressed at very low levels. Mus1 is located on chromosome 7L near locus b32B, and mus2 maps on chromosome 3S.

7.
Arzneimittelforschung ; 51(8): 690-7, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11556131

RESUMO

Autovaccines are prepared from autologous, human, non-pathogenic, "rough" variants of E. coli derived from the stool flora of individuals according to a highly standardized procedure. As a fundamental concept within microbiological therapy, these autovaccines are mainly used to treat chronic inflammatory disorders associated with impaired immune reactions resistant to standard therapeutic treatments. Generally, immunomodulatory effects of outer membrane components or cell wall fragments of gram-negative bacteria on innate or adaptive immunity are widely accepted but nevertheless mechanisms of actions of these autovaccines remained obscure, despite some recent publication about other autovaccine preparations of different origin. Hence, immunomodulating properties of autovaccine were investigated in a pilot study with 78 outpatients with variable disorders ranging from recurrent respiratory infections to diffuse gastrointestinal complaints. Patients received their autologous bacteria parenterally in increasing doses. Before application and 4 to 6 weeks after application of autovaccine, blood samples of the patients were taken to investigate a range of immunological parameters such as acute phase proteins, serum antibodies and cytokines. The results revealed that autovaccines were able to modulate significantly the release of three potent immunoregulatory cytokines e.g. interferon-gamma, granulocyte-macrophage-colony stimulating factor and interleukin-1 beta, whereas specific humoral immunity remained largely unaffected. From these results it may be concluded that the autovaccine mainly act antigen non-specifically on the cytokine level rather than inducing a specific vaccination. Further studies with more detailed kinetic measurements of cytokines will have to verify these results.


Assuntos
Adjuvantes Imunológicos/farmacologia , Vacinas Bacterianas/farmacologia , Escherichia coli/imunologia , Reação de Fase Aguda/imunologia , Adolescente , Adulto , Idoso , Anticorpos Antibacterianos/biossíntese , Citocinas/biossíntese , Ensaio de Imunoadsorção Enzimática , Fezes/microbiologia , Feminino , Humanos , Imunoglobulinas/biossíntese , Imunoglobulinas/imunologia , Leucócitos/imunologia , Masculino , Pessoa de Meia-Idade , Projetos Piloto
8.
J Am Coll Cardiol ; 38(1): 178-83, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11451270

RESUMO

OBJECTIVES: In a substudy to a recently reported investigation that demonstrated the benefit of immunoglobulin adsorption (immunoadsorption) for patients with idiopathic dilated cardiomyopathy (IDC), we tested whether this benefit is associated with a reduction of oxidative stress. BACKGROUND: The progression of cardiomyopathy is believed to be related to the increase of oxidative stress. Therefore, reduction of oxidative stress could be one of the effects of immunoadsorption for improvement of cardiac performance and clinical status. METHODS: Plasma markers for oxidative stress-thiobarbituric acid-reactive substances (TBARS), lipid peroxides (LPO), anti-oxidized low-density lipoprotein-autoantibodies (anti-oxLDL-AB), thiol groups and vitamin E-were compared in 31 patients, of whom 16 underwent immunoadsorption and 15 received conventional treatment (controls). All patients received a daily supplement of vitamins, minerals and trace elements. RESULTS: After one year, TBARS (p = 0.026), LPO (p = 0.026) and anti-oxLD


Assuntos
Cardiomiopatia Dilatada/fisiopatologia , Imunoglobulinas/sangue , Estresse Oxidativo , Adsorção , Adulto , Autoanticorpos/sangue , Cardiomiopatia Dilatada/terapia , Feminino , Humanos , Técnicas de Imunoadsorção , Peróxidos Lipídicos/sangue , Masculino , Pessoa de Meia-Idade , Substâncias Reativas com Ácido Tiobarbitúrico
9.
Genetics ; 157(4): 1723-33, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11290726

RESUMO

In maize the transposable elements Activator/Dissociation (Ac/Ds) transpose shortly after replication from one of the two resulting chromatids ("chromatid selectivity"). A model has been suggested that explains this phenomenon as a consequence of different affinity for Ac transposase binding to holo-, hemi-, and unmethylated transposon ends. Here we demonstrate that in petunia cells a holomethylated Ds is unable to excise from a nonreplicating vector and that replication restores excision. A Ds element hemi-methylated on one DNA strand transposes in the absence of replication, whereas hemi-methylation of the complementary strand causes a >6.3-fold inhibition of Ds excision. Consistently in the active hemi-methylated state, the Ds ends have a high binding affinity for the transposase, whereas binding to inactive ends is strongly reduced. These results provide strong evidence for the above-mentioned model. Moreover, in the absence of DNA methylation, replication enhances Ds transposition in petunia protoplasts >8-fold and promotes formation of a predominant excision footprint. Accordingly, replication also has a methylation-independent regulatory effect on transposition.


Assuntos
Metilação de DNA , Replicação do DNA , Elementos de DNA Transponíveis , DNA de Plantas , Transposases , Zea mays/genética , Dano ao DNA , Pegada de DNA
10.
Arzneimittelforschung ; 51(2): 180-7, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11258049

RESUMO

Pharmaceuticals of biological origin consisting of bacterial culture suspensions (BCS) as active ingredients have long been used for the treatment of hemorrhoidal diseases and chronic anal pruritogenic eczemas. However, some of these pharmaceuticals often contain glucocorticoids such as hydrocortisone as an anti-inflammatory supplement. Therefore, the question arises whether the claimed immunostimulatory capacity of the bacterial culture suspension might be altered by the steroid. Up to now, numerous reports support the evidence that the stimulation of the different Fc-receptor subtypes on leucocytes result in profound immunoregulatory activities influencing phagocytosis and antigen processing, antibody-dependent cytotoxicity or secretory functions thereby enhancing the overall activities of the immune system towards foreign antigens/pathogens. With these findings in mind it was investigated whether the immunomodulatory capacity(s) of the BCS in the presence of hydrocortisone will be modified by solid-phase bound immunoglobulins (Igs). For this purpose freshly prepared human peripheral blood leucocytes (PBLs) were incubated with different concentrations of the BCS (0.1, 1, 10 micrograms/ml), either with or without fixed human immunoglobulins in the presence of increasing concentrations of hydrocortisone. As a parameter of PBL activation the secretion of different cytokines was measured, e.g. tumor necrosis factor alpha (TNF-alpha), interleukin-10 (IL-10) and granulocyte-macrophage colony stimulating factor (GM-CSF). Cytokines were determined with specific sandwich ELISAs. With this modified cell culture system it was demonstrated that the immunosuppressive activities, normally caused by hydrocortisone, were partially antagonized by the combination of BCS plus fixed Igs. TNF-alpha and GM-CSF were significantly more produced, even in the presence of hydrocortisone, whereas the synthesis of IL-10 was diminished by fixed Igs. However, this effect could be reversed with increasing concentrations of hydrocortisone. These results raise the possibility that in the natural environment, e.g. the rectal mucosa, antigens derived from the BCS are bound by specific Igs, thereby modifying secretory and effector functions of locally present leucocytes in another way as free antigens. The biological relevance of these in vitro data with respect to the therapeutic benefit of the BCS preparations with hydrocortisone will be discussed considering recent findings in the literature.


Assuntos
Anti-Inflamatórios/farmacologia , Citocinas/metabolismo , Escherichia coli/química , Hidrocortisona/farmacologia , Imunoglobulinas/farmacologia , Leucócitos/efeitos dos fármacos , Lipopolissacarídeos/farmacologia , Meios de Cultura/química , Ensaio de Imunoadsorção Enzimática , Fator Estimulador de Colônias de Granulócitos e Macrófagos/farmacologia , Humanos , Imunoglobulina G/imunologia , Técnicas In Vitro , Interleucina-10/biossíntese , Leucócitos/metabolismo , Estimulação Química , Fator de Necrose Tumoral alfa/metabolismo
11.
Arzneimittelforschung ; 51(11): 931-7, 2001 Nov.
Artigo em Alemão | MEDLINE | ID: mdl-11765597

RESUMO

The following double-blind, placebo-controlled, multicenter study investigated the influence of a bacterial immunostimulant (Symbioflor 1, cells and autolysate of human Enterococcus faecalis) on the occurrence of relapses in patients with chronic recurrent bronchitis (n = 136; placebo n = 66, verum n = 70) in a 6 months treatment period and a follow-up period of 8 months, compared to placebo. Under verum 39 incidents of relapses were recorded, which was about 60% the number observed among the patients treated with placebo (66 incidents). The verum preparation exhibited superior clinical efficacy compared to placebo (p = 0.001) in the Kaplan-Meier test. This better clinical efficiency of the test preparation was particularly observed during the treatment period, with 12 vs. 27 relapses (p = 0.013), but less during the follow-up observation period, with 27 vs. 39 relapses (p = 0.127). In addition, the time span until occurrence of the first relapse was clearly longer under verum (699 days) than under placebo (334 days) and after the end of the observation period 91% of patients under verum experienced only one relapse compared to 62% in the placebo group (p = 0.01). Severity of relapses under verum was also reduced significantly (chi 2; p = 0.001. Only 4 patients under verum required antibiotic therapy compared to 13 patients under placebo. Verum was equally well tolerated as placebo, with no serious side effects in either group. No changes in laboratory tests--haematology and clinical chemistry--were observed. It can be concluded, that previously demonstrated immunomodifying effects of the test preparation have clinical relevance for the treatment of chronic recurrent bronchitis because not only the number but also the severity of acute relapses could be clearly reduced. This is discussed in view of the current literature.


Assuntos
Adjuvantes Imunológicos/uso terapêutico , Bronquite/prevenção & controle , Enterococcus faecalis/imunologia , Adulto , Idoso , Bronquite/imunologia , Doença Crônica , Método Duplo-Cego , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Recidiva , Escarro/microbiologia
12.
Neuroimmunomodulation ; 9(4): 203-8, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11847482

RESUMO

OBJECTIVE: Recently, therapy with nicotinamide adenine dinucleotide (NADH) revealed positive effects on neurodegenerative disorders associated with inflammation of the CNS, such as Parkinson's disease or Alzheimer's disease. Pathophysiologically, focal CNS inflammation seems to be accompanied by an unbalanced cytokine production, pointing to an involvement of the immune system. Therefore, the aim of our study was to investigate whether NADH could influence cytokine release of peripheral blood leukocytes (PBLs) with special reference to interleukin-6 (IL-6). METHODS: PBLs from 18 healthy donors were incubated in vitro with different concentrations of NADH to generate dose-response curves. As a control, mitogen-treated cells and unstimulated cells were included. RESULTS: In PBLs from the 18 healthy donors, NADH significantly stimulated the dose-dependent release of IL-6, ranging from 6.25 to 400 microg/ml, compared to medium-treated cells (p < 0.001). An amount of 1,000 pg/ml IL-6 was induced by NADH concentrations ranging from 3.1 to >25 microg/ml. CONCLUSIONS: It is concluded that NADH possesses cytokine-modulating effects on peripheral blood cells. The biological relevance of these data is discussed in the context of the recent use of NADH for the treatment of several neurodegenerative disorders.


Assuntos
Interleucina-6/biossíntese , Leucócitos/efeitos dos fármacos , NAD/farmacologia , Adulto , Relação Dose-Resposta a Droga , Regulação da Expressão Gênica/efeitos dos fármacos , Humanos , Interferon gama/farmacologia , Interleucina-6/metabolismo , Interleucinas/farmacologia , Leucócitos/metabolismo , Ativação Linfocitária/efeitos dos fármacos , NAD/administração & dosagem , NAD/uso terapêutico , Estimulação Química , Fator de Necrose Tumoral alfa/farmacologia
13.
Nat Genet ; 26(2): 187-90, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11017074

RESUMO

Excision by transposons is associated with chromosome breaks; generally, host-cell proteins repair this damage, often introducing mutations. Many transposons also use host proteins in the transposition mechanism or in regulation. Transposition in systems lacking host factors that influence the behaviour of these transpositions is useful in determining what those factors are and how they work. In addition, features of transposition and regulation intrinsic to the element itself can be determined. Maize Activator/Dissociation (Ac/Ds) elements transpose in a wide variety of heterologous plants, but their characteristics in these other systems differ from those in maize, including their response to increasing genetic dosage and the types of repair products recovered following excision. Two Arabidopsis thaliana mutants (iae1 and iae2) show increased Ac transposition frequencies. These mutants, and the differences mentioned above, suggest the involvement of host proteins in Ac/Ds activity and potential differences between these proteins among plant species. Here we report that Ac/Ds elements, members of the hAT (hobo, Ac, Tam3) superfamily, transpose in the yeast Saccharomyces cerevisiae, an organism lacking class II ('cut and paste') transposons. This demonstrates that plant-specific proteins are not essential for Ac/Ds transposition. The yeast system is valuable for dissecting the Ac/Ds transposition mechanism and identifying host factors that can influence transposition and the repair of DNA damage induced by Ac/Ds. Mutations caused by Ds excision in yeast suggest formation of a DNA-hairpin intermediate, and reinsertions occur throughout the genome with a frequency similar to that in plants. The high proportion of Ac/Ds reinsertions also makes this system an in vivo mutagenesis and reverse genetics tool in yeast and, presumably, other eukaryotic systems.


Assuntos
Elementos de DNA Transponíveis , Saccharomyces cerevisiae/genética , Zea mays/genética , Sequência de Bases , Reparo do DNA , Dados de Sequência Molecular , Mutagênese Insercional , Conformação de Ácido Nucleico , Oligodesoxirribonucleotídeos , Plasmídeos , Saccharomyces cerevisiae/enzimologia , Zea mays/enzimologia
14.
Z Gastroenterol ; 38(5): 349-55, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10875143

RESUMO

BACKGROUND AND STUDY AIMS: Attempts to standardize Helicobacter pylori (Hp) diagnosis and therapy have led to the publication of guidelines by various national gastroenterological societies in Europe and the USA. However, little information is available either regarding the compliance of gastroenterologists and referring physicians with these guidelines, or regarding the patients' perspective. PATIENTS AND METHODS: A retrospective analysis was conducted of all outpatient upper gastrointestinal endoscopy reports for a one-month period in eleven different centers (two university hospitals and nine private practice gastroenterology offices) with a total of 24 gastroenterologists. Endoscopy reports from patients wit the indications of reflux, diarrhea, and tumors were excluded. Diagnoses and treatment recommendations given by gastroenterologists were recorded. Questionnaires concerning Hp diagnosis, treatment indications and performance, and follow-up were sent to referring physicians and patients. RESULTS: A total of 772 endoscopy reports were included in the study; analyzable questionnaires were returned by 287 referring physicians (47%) and by 265 patients (59%). Gastroenterologists recommended Hp eradication in all ulcers and in 29% of gastritis/nonulcer dyspepsia (NUD) cases. Referring physicians thought that 94% of ulcers should be treated by Hp eradication, which was also considered to be an absolute and relative indication in NUD by 15% and 53% of the referring physicians, respectively. Among the patients who replied, 52% had received Hp eradication regimens; ulcers were found in 22% of the total patient group. Check-up examinations after Hp therapy were considered necessary by 75% of the referring physicians, but only 22% of the responding patients actually underwent some form of check-up (upper gastrointestinal endoscopy in 91%). CONCLUSIONS: Gastroenterologists and (to a somewhat lesser extent) referring physician appear to be following the current guidelines for Hp treatment. As expected, two thirds of referring physicians consider NUD to be absolute or relative indication for Hp eradication. Check-up examinations are apparently being performed less frequently than recommended.


Assuntos
Gastroenterologia , Infecções por Helicobacter/diagnóstico , Helicobacter pylori , Guias de Prática Clínica como Assunto , Encaminhamento e Consulta , Gastropatias/diagnóstico , População Urbana , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Quimioterapia Combinada , Feminino , Gastroenterologia/estatística & dados numéricos , Alemanha , Infecções por Helicobacter/tratamento farmacológico , Humanos , Masculino , Pessoa de Meia-Idade , Encaminhamento e Consulta/estatística & dados numéricos , Estudos Retrospectivos , Gastropatias/tratamento farmacológico , Inquéritos e Questionários , População Urbana/estatística & dados numéricos
15.
Circulation ; 101(4): 385-91, 2000 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-10653829

RESUMO

BACKGROUND: Idiopathic dilated cardiomyopathy (IDC) frequently is a progressive disease without causative therapy options. Following the hypothesis that in certain patients autoantibodies against cardiac structures may induce, maintain, or promote the progression of the disease, we investigated whether the elimination of these autoantibodies through immunoadsorption would improve cardiac function. METHODS AND RESULTS: This prospective case-control study included 34 patients with IDC. Each patient presented with moderate to severe heart failure and evidence of autoantibodies directed against beta(1)-adrenoceptors (beta(1)-AABs). Seventeen patients received standard medical therapy (control group), whereas 17 were also treated with immunoadsorption (treatment group) to eliminate beta(1)-AABs. A 1-year follow-up included echocardiographic assessment of left ventricular ejection fraction and internal diameters, beta(1)-AAB levels, and clinical status every 3 months. Within 1 year, the mean+/-SD left ventricular ejection fraction rose from 22.3+/-3.3% to 37.9+/-7.9% (P=0.0001) in the treatment group, with a relative increase of 69.9%. However, in the control group, no overall increase was seen (from 23.8+/-3.0% to 25.2+/-5.9%, P=0. 3154). Left ventricular diameter in diastole decreased by 14.5% from 74.5+/-7.1 to 63.7+/-6.0 mm in the treatment group (P=0.0001) and by 3.8% (P=0.2342) in the control group. In the treatment group, the NYHA functional rating improved after immunoadsorption (P=0.0001). beta(1)-AABs did not increase anew. CONCLUSIONS: In IDC, the use of immunoadsorption is superior to the use of standard medical therapy. It significantly improves cardiac performance and clinical status.


Assuntos
Autoanticorpos/sangue , Cardiomiopatia Dilatada/imunologia , Cardiomiopatia Dilatada/terapia , Imunoglobulina G/sangue , Receptores Adrenérgicos beta 1/imunologia , Autoanticorpos/isolamento & purificação , Cardiomiopatia Dilatada/fisiopatologia , Estudos de Casos e Controles , Ecocardiografia , Feminino , Seguimentos , Humanos , Imunoglobulina A/sangue , Imunoglobulina E/sangue , Imunoglobulina G/isolamento & purificação , Imunoglobulina M/sangue , Técnicas de Imunoadsorção , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Função Ventricular Esquerda
16.
Plant Cell ; 12(2): 211-24, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10662858

RESUMO

Previous studies have presented indirect evidence that the transposase of the maize transposable element Activator (TPase) is active as an oligomer and forms inactive macromolecular complexes expressed in large amounts. Here, we have identified and characterized a dimerization domain at the C terminus of the protein. This domain is the most highly conserved region in the transposases of elements belonging to the Activator superfamily (hAT element superfamily) and contains a characteristic signature motif. The isolated dimerization domain forms extremely stable dimers in vitro. Interestingly, mutations in five of the six conserved residues of the signature motif do not affect in vitro dimerization, whereas mutations in other, less strictly conserved residues of the signature motif do. Loss of dimerization in vitro correlates with loss of TPase activity in vivo. As revealed by in situ immunofluorescence staining of mutant TPase proteins, the dimerization domain also is involved in forming inactive macromolecular aggregates when overexpressed, and the TPase contains one or more additional interaction functions.


Assuntos
Transposases/metabolismo , Zea mays/enzimologia , Sequência de Aminoácidos , Sequência Conservada , Dimerização , Imunofluorescência , Dados de Sequência Molecular , Mutação , Homologia de Sequência de Aminoácidos , Transposases/química , Transposases/genética
17.
Mycoses ; 42(9-10): 529-38, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10592696

RESUMO

Besides the activation of phagocytes, the release of cytokines is the most important immunological defence mechanism of an organism against infection with Candida albicans. On the other hand cytokines induced in the organism by the yeast itself are able to modulate the immune responses of the host. We investigated whether eight clinically isolated strains of C. albicans inactivated by formalin as well as a laboratory strain were able to induce proinflammatory and regulatory cytokines in peripheral blood mononuclear cells (PBMC) of four different donors. Under our assay conditions the yeast strains induced the cytokines interleukin-1 beta (IL-1 beta), interferon-gamma (IFN-gamma) and interleukin-10 (IL-10) in PBMC to varying extents, but not the cytokine interleukin-4 (IL-4). We observed a difference in the reaction of the individual donors to the stimulus C. albicans but on the other hand the extent of the cytokine signal seemed to be dependent on the yeast strain as well. No correlation was found between the ability of the individual C. albicans strains to induce cytokines in PBMC and their ability to adhere to buccal epithelial cells. Determination of the cytokine induction potential of C. albicans strains possibly may contribute to the detection of new virulence factors of this yeast.


Assuntos
Candida albicans/fisiologia , Interferon gama/metabolismo , Interleucinas/metabolismo , Leucócitos Mononucleares/metabolismo , Candida albicans/efeitos dos fármacos , Adesão Celular , Ensaio de Imunoadsorção Enzimática , Células Epiteliais/metabolismo , Fixadores/farmacologia , Formaldeído/farmacologia , Humanos , Leucócitos Mononucleares/microbiologia , Especificidade da Espécie , Estatísticas não Paramétricas
18.
Mol Gen Genet ; 262(4-5): 633-42, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10628846

RESUMO

DNA mismatch repair systems play an essential role in the maintenance of genetic information in living organisms and are also implicated in genetic recombination and genome stability. Using degenerate primers, we have cloned the first plant homologue of the E. coli MutL gene, which we have called AtMLH1 for Arabidopsis thaliana MutL-homologue 1. AtMLH1 is present as a single-copy gene in the Arabidopsis genome and is located on the top arm of chromosome 4. Sequence analysis revealed that the product of this gene shows extensive sequence homology with other eukaryotic MLH1 proteins. As mlh1-deficient lines would be useful for studying the biological function of this gene, several populations that had been mutagenized using T-DNA and transposon insertions were screened to identify such mutants. One line that carries a T-DNA insertion in the promoter region of the AtMLH1 gene was isolated. Surprisingly, although the insertion occurred only approximately 80 bp upstream of the putative transcription start site, Northern analyses revealed very low but similar amounts of AtMLH1 transcript in both the wild type and the T-DNA insertion lines. RT-PCR analyses suggest, however, that transcription is initiated further upstream in the insertion line and that the T-DNA may supply this novel initiation site. Finally, no increase in microsatellite instability - a phenotype often associated with mutations in mismatch repair genes - was observed in plants homozygous for this insertion.


Assuntos
Adenosina Trifosfatases , Proteínas de Arabidopsis , Arabidopsis/genética , Proteínas de Bactérias/genética , Proteínas de Escherichia coli , Genes de Plantas , Sequência de Aminoácidos , Pareamento Incorreto de Bases , Sequência de Bases , Clonagem Molecular , Reparo do DNA/genética , DNA Complementar , Escherichia coli/genética , Dados de Sequência Molecular , Proteína 1 Homóloga a MutL , Proteínas MutL , Filogenia , Homologia de Sequência de Aminoácidos
19.
Genome ; 42(6): 1255-7, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10659795

RESUMO

The efficiency of homeologous recombination is influenced by mismatch repair genes in bacteria, yeast, and mammals. To elucidate a possible role of these genes in homeologous pairing and cross-compatibility in plants, gene probes of wheat (Triticum aestivum) specific for the mismatch repair gene homologues MSH2, MSH3, and MSH6 were used to map them to their genomic positions in rye (Secale cereale). Whereas MSH2 was mapped to the short arm of chromosome 1R, MSH3 was mapped to the long arm of chromosome 2R and MSH6 to the long arm of chromosome 5R. Southern blots with nullisomic-tetrasomic (NT) lines of wheat indicated the presence of the sequences on the respective homeologous group of wheat chromosomes. Additionally, an MSH6-specific homologue could also be detected on homoeologous group 3 of wheat. However, in the well-known, highly homoeologous pairing wheat mutant ph1b the MSH6-specific sequence is not within the deleted part of chromosome 5BL, indicating that the pairing phenotype is not due to a loss of one of the mismatch repair genes tested.

20.
Berl Munch Tierarztl Wochenschr ; 111(9): 321-5, 1998 Sep.
Artigo em Alemão | MEDLINE | ID: mdl-9789368

RESUMO

The parameters C-reactive protein (CRP) and neopterin, which are associated with immunological reactions, were investigated in serum of healthy, diseased and with Haemophilus parasuis infected pigs. When comparing diseased young pigs with healthy young pigs significant increases of the CRP- and neopterin concentrations can be seen. The increase of the CRP-concentration was most remarkable. After the infection of SPF-piglets with Haemophilus parasuis, significantly decreased neopterin concentrations and increased CRP concentrations were determined in comparison with non-infected animals. The animals with the symptoms of arthritis and disorders of the central nervous system showed the lowest neopterin concentrations and the highest concentrations of CRP. It seems that CRP and neopterin are interesting serum parameters in pigs with regard to the recognition of immunological reactions after illness or infection.


Assuntos
Proteína C-Reativa/análise , Infecções por Haemophilus/veterinária , Neopterina/sangue , Doenças dos Suínos/sangue , Animais , Infecções por Haemophilus/sangue , Valores de Referência , Suínos , Doenças dos Suínos/microbiologia
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