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1.
J Biol Chem ; 276(35): 33257-64, 2001 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-11413146

RESUMO

Repressor activator protein 1 (RAP1) assists GCN4-mediated HIS4 activation by overcoming some repressive aspect of chromatin structure to facilitate GCN4 binding. RAP1 also participates in other nuclear processes, and discrete domains of RAP1 have been shown to have specific properties including DNA binding, DNA bending, transcriptional activation, and silencing and telomere functions. To investigate whether specific domains of RAP1 are required to "open" chromatin and help GCN4 to activate the HIS4 gene, we examined the abilities of different truncated RAP1 proteins to perturb positioned nucleosomes via a nucleosomal RAP1 site in a yeast episome in vivo, and we tested HIS4 activation in yeast strains harboring truncated RAP1 mutants. We found that neither the DNA bending domain nor the putative activation domain of RAP1 is required for its ability to perturb the chromatin structure of a plasmid containing a RAP1 site. Similarly, neither the putative activation domain nor the N-terminal DNA-bending domain was required for GCN4-mediated activation of HIS4. We also used a rap1(ts) mutant to show that continuous occupancy of the HIS4 promoter by RAP1 is required for GCN4-mediated gene activation.


Assuntos
Cromatina/metabolismo , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Regulação Fúngica da Expressão Gênica , Proteínas Quinases/metabolismo , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Fatores de Transcrição/genética , Proteínas rap1 de Ligação ao GTP/química , Proteínas rap1 de Ligação ao GTP/metabolismo , Oxirredutases do Álcool , Aminoidrolases , Sítios de Ligação , Cromatina/genética , Proteínas de Ligação a DNA/metabolismo , Regulação Enzimológica da Expressão Gênica , Genótipo , Cinética , Complexos Multienzimáticos/genética , Nucleossomos/genética , Nucleossomos/metabolismo , Plasmídeos , Pirofosfatases , Deleção de Sequência , Fatores de Tempo , Ativação Transcricional
2.
Mol Cell Biol ; 21(14): 4568-78, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11416135

RESUMO

Chromatin-modifying enzymes such as the histone acetyltransferase GCN5 can contribute to transcriptional activation at steps subsequent to the initial binding of transcriptional activators. However, few studies have directly examined dependence of chromatin remodeling in vivo on GCN5 or other acetyltransferases, and none have examined remodeling via nucleosomal activator binding sites. In this study, we have monitored chromatin perturbation via nucleosomal binding sites in the yeast episome TALS by GAL4 derivatives in GCN5(+) and gcn5Delta yeast cells. The strong activator GAL4 shows no dependence on GCN5 for remodeling TALS chromatin, whereas GAL4-estrogen receptor-VP16 shows substantial, albeit not complete, GCN5 dependence. Mini-GAL4 derivatives having weakened interactions with TATA-binding protein and TFIIB exhibit a strong dependence on GCN5 for both transcriptional activation and TALS remodeling not seen for native GAL4. These results indicate that GCN5 can contribute to chromatin remodeling at activator binding sites and that dependence on coactivator function for a given activator can vary according to the type and strength of contacts that it makes with other factors. We also found a weaker dependence for chromatin remodeling on SPT7 than on GCN5, indicating that GCN5 can function via pathways independent of the SAGA complex. Finally, we examine dependence on GCN5 and SWI-SNF at two model promoters and find that although these two chromatin-remodeling and/or modification activities may sometimes work together, in other instances they act in complementary fashion.


Assuntos
Acetiltransferases/metabolismo , Cromatina/fisiologia , Proteínas de Ligação a DNA , Proteínas Fúngicas/metabolismo , Proteína Vmw65 do Vírus do Herpes Simples/metabolismo , Proteínas Quinases/metabolismo , Proteínas de Saccharomyces cerevisiae , Fatores de Transcrição/metabolismo , Ativação Transcricional , Acetiltransferases/genética , Sítios de Ligação , Proteínas Fúngicas/genética , Proteína Vmw65 do Vírus do Herpes Simples/genética , Histona Acetiltransferases , Nucleossomos/metabolismo , Regiões Promotoras Genéticas , Proteínas Quinases/genética , Receptores de Estrogênio/genética , Receptores de Estrogênio/metabolismo , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Fatores de Transcrição/genética
3.
J Neuroimmunol ; 116(1): 107-15, 2001 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-11311336

RESUMO

Although considered an autoimmune disease, the mechanisms underlying oligodendrocyte (OL)/myelin injury in multiple sclerosis (MS) remain to be established. We utilized in vitro assays to demonstrate that human OLs, as well as other glial elements (astrocytes, microglia), were susceptible to injury mediated by peripheral blood-derived mononuclear cell preparations (MNCs) enriched for natural killer (NK cells) by depleting CD3(+) +/- CD19(+) cells through use of either magnetic beads or cell sorting. Cytotoxic effects of the NK cell-enriched effectors were dependent on pre-exposure of these cells to IL-2. Furthermore, we found that autologous OLs were as susceptible to injury mediated by IL-2 activated NK cells as were heterologous OLs. In context of the tissue injury that occurs in MS, our results suggest that the inflammatory milieu in MS lesions could provide conditions required for NK cell activation and that such effector cells can bypass the putative protective effects of self-MHC class I molecules that may be expressed on OLs.


Assuntos
Citotoxicidade Imunológica , Células Matadoras Naturais/fisiologia , Oligodendroglia/fisiologia , Complexo CD3/análise , Células Cultivadas , Citotoxicidade Imunológica/efeitos dos fármacos , Humanos , Interleucina-2/farmacologia , Monócitos/fisiologia , Proteínas Recombinantes/farmacologia
4.
Mol Cell Biol ; 20(16): 5847-57, 2000 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10913168

RESUMO

Transcriptional activators are believed to work in part by recruiting general transcription factors, such as TATA-binding protein (TBP) and the RNA polymerase II holoenzyme. Activation domains also contribute to remodeling of chromatin in vivo. To determine whether these two activities represent distinct functions of activation domains, we have examined transcriptional activation and chromatin remodeling accompanying artificial recruitment of TBP in yeast (Saccharomyces cerevisiae). We measured transcription of reporter genes with defined chromatin structure by artificial recruitment of TBP and found that a reporter gene whose TATA element was relatively accessible could be activated by artificially recruited TBP, whereas two promoters, GAL10 and CHA1, that have accessible activator binding sites, but nucleosomal TATA elements, could not. A third reporter gene containing the HIS4 promoter could be activated by GAL4-TBP only when a RAP1 binding site was present, although RAP1 alone could not activate the reporter, suggesting that RAP1 was needed to open the chromatin structure to allow activation. Consistent with this interpretation, artificially recruited TBP was unable to perturb nucleosome positioning via a nucleosomal binding site, in contrast to a true activator such as GAL4, or to perturb the TATA-containing nucleosome at the CHA1 promoter. Finally, we show that activation of the GAL10 promoter by GAL4, which requires chromatin remodeling, can occur even in swi gcn5 yeast, implying that remodeling pathways independent of GCN5, the SWI-SNF complex, and TFIID can operate during transcriptional activation in vivo.


Assuntos
Cromatina/genética , Proteínas de Ligação a DNA/genética , Fatores de Transcrição/genética , Cromatina/química , Regiões Promotoras Genéticas , Saccharomyces cerevisiae/genética , TATA Box , Proteína de Ligação a TATA-Box , Ativação Transcricional
5.
Trends Genet ; 16(2): 51-3, 2000 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10652526

RESUMO

RAP1 (repressor/activator protein 1) from budding yeast is well known for its involvement in gene activation and repression, telomere structure and function, and replication. Recent studies have examined additional roles for RAP1 in heterochromatin boundary-element formation, creation of hotspots for meiotic recombination, and chromatin opening. These studies provide new insight into the ability of this abundant DNA-binding protein to participate in a diverse array of functions taking place in a chromatin environment.


Assuntos
Proteínas rap1 de Ligação ao GTP/genética , Proteínas rap1 de Ligação ao GTP/fisiologia , Cromatina/fisiologia , Heterocromatina/fisiologia , Meiose/fisiologia , Modelos Genéticos , Recombinação Genética , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/fisiologia
6.
Mol Cell Biol ; 19(8): 5279-88, 1999 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-10409719

RESUMO

Transcriptional activators function in vivo via binding sites that may be packaged into chromatin. Here we show that whereas the transcriptional activator GAL4 is strongly able to perturb chromatin structure via a nucleosomal binding site in yeast, GCN4 does so poorly. Correspondingly, GCN4 requires assistance from an accessory protein, RAP1, for activation of the HIS4 promoter, whereas GAL4 does not. The requirement for RAP1 for GCN4-mediated HIS4 activation is dictated by the DNA-binding domain of GCN4 and not the activation domain, suggesting that RAP1 assists GCN4 in gaining access to its binding site. Consistent with this, overexpression of GCN4 partially alleviates the requirement for RAP1, whereas HIS4 activation via a weak GAL4 binding site requires RAP1. RAP1 is extremely effective at interfering with positioning of a nucleosome containing its binding site, consistent with a role in opening chromatin at the HIS4 promoter. Furthermore, increasing the spacing between binding sites for RAP1 and GCN4 by 5 or 10 bp does not impair HIS4 activation, indicating that cooperative protein-protein interactions are not involved in transcriptional facilitation by RAP1. We conclude that an important role of RAP1 is to assist activator binding by opening chromatin.


Assuntos
Cromatina/metabolismo , DNA Fúngico/genética , Proteínas de Ligação a DNA/fisiologia , Proteínas Fúngicas/fisiologia , Regulação Fúngica da Expressão Gênica , Regiões Promotoras Genéticas , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/genética , Ativação Transcricional , Oxirredutases do Álcool , Aminoidrolases , Cromatina/ultraestrutura , DNA Fúngico/metabolismo , Proteínas de Drosophila , Proteínas Fúngicas/genética , Proteínas de Homeodomínio/metabolismo , Ligação Proteica , Proteínas Quinases/fisiologia , Pirofosfatases , Saccharomyces cerevisiae/metabolismo , Transativadores/metabolismo , Fatores de Transcrição/genética , Fatores de Transcrição/fisiologia
8.
Mol Cell Biol ; 19(4): 2977-85, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10082565

RESUMO

The yeast transcriptional activator Gal4p can bind to sites in nucleosomal DNA in vivo which it is unable to access in vitro. One event which could allow proteins to bind to otherwise inaccessible sites in chromatin in living cells is DNA replication. To determine whether replication is required for Gal4p to bind to nucleosomal sites in yeast, we have used previously characterized chromatin reporters in which Gal4p binding sites are incorporated into nucleosomes. We find that Gal4p is able to perturb nucleosome positioning via nucleosomal binding sites in yeast arrested either in G1, with alpha-factor, or in G2/M, with nocodazole. Similar results were obtained whether Gal4p synthesis was induced from the endogenous promoter by growth in galactose medium or by an artificial, hormone-inducible system. We also examined binding of the Drosophila transcriptional activator Bicoid, which belongs to the homeodomain class of transcription factors. We show that Bicoid, like Gal4p, can bind to nucleosomal sites in SWI+ and swi1Delta yeast and in the absence of replication. Our results indicate that some feature of the intracellular environment other than DNA replication or the SWI-SNF complex permits factor access to nucleosomal sites.


Assuntos
Proteínas Fúngicas/metabolismo , Proteínas de Homeodomínio/metabolismo , Nucleossomos/metabolismo , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/genética , Transativadores/metabolismo , Fatores de Transcrição/metabolismo , Antineoplásicos/farmacologia , Proteínas Cromossômicas não Histona , Replicação do DNA , Proteínas de Ligação a DNA , Proteínas de Drosophila , Proteínas Fúngicas/biossíntese , Fase G1 , Fase G2 , Genes Fúngicos , Fator de Acasalamento , Mitose , Modelos Genéticos , Nocodazol/farmacologia , Peptídeos/farmacologia , Ligação Proteica , Fatores de Transcrição/biossíntese , Fatores de Transcrição/genética
10.
J Biol Chem ; 273(51): 34240-6, 1998 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-9852087

RESUMO

GAL4.estrogen receptor.VP16 (GAL4.ER.VP16), which contains the GAL4 DNA-binding domain, the human ER hormone binding (AF-2) domain, and the VP16 activation domain, functions as a hormone-dependent transcriptional activator in yeast (Louvion, J.-F., Havaux-Copf, B., and Picard, D. (1993) Gene (Amst.) 131, 129-134). Previously, we showed that this activator can remodel chromatin in yeast in a hormone-dependent manner. In this work, we show that a weakened VP16 activation domain in GAL4.ER.VP16 still allows hormone-dependent chromatin remodeling, but mutations in the AF-2 domain that abolish activity in the native ER also eliminate the ability of GAL4.ER.VP16 to activate transcription and to remodel chromatin. These findings suggest that an important role of the AF-2 domain in the native ER is to mask the activation potential of the AF-1 activation domain in the unliganded state; upon ligand activation, a conformational change releases AF-2-mediated repression and transcriptional activation ensues. We also show that the AF-2 domain, although inactive at simple promoters on its own in yeast, can enhance transcription by the MCM1 activator in hormone-dependent manner, consistent with its having a role in activation as well as repression in the native ER.


Assuntos
Estradiol/metabolismo , Proteínas Fúngicas/metabolismo , Receptores de Estrogênio/química , Receptores de Estrogênio/metabolismo , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Transativadores/metabolismo , Ativação Transcricional , Substituição de Aminoácidos , Sítios de Ligação , Cromatina/genética , Cromatina/metabolismo , Proteínas Fúngicas/química , Proteínas Fúngicas/genética , Genes Reporter , Humanos , Mutagênese Sítio-Dirigida , Nucleossomos/genética , Nucleossomos/metabolismo , Plasmídeos , Reação em Cadeia da Polimerase , Receptores de Estrogênio/genética , Proteínas Recombinantes de Fusão/metabolismo , Transativadores/química , Transativadores/genética , beta-Galactosidase/biossíntese , beta-Galactosidase/genética
11.
Clin J Pain ; 14(3): 270-1, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9758079
12.
Mol Cell Biol ; 18(4): 1774-82, 1998 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-9528749

RESUMO

The SWI-SNF complex in yeast and related complexes in higher eukaryotes have been implicated in assisting gene activation by overcoming the repressive effects of chromatin. We show that the ability of the transcriptional activator GAL4 to bind to a site in a positioned nucleosome is not appreciably impaired in swi mutant yeast cells. However, chromatin remodeling that depends on a transcriptional activation domain shows a considerable, although not complete, SWI-SNF dependence, suggesting that the SWI-SNF complex exerts its major effect at a step subsequent to activator binding. We tested this idea further by comparing the SWI-SNF dependence of a reporter gene based on the GAL10 promoter, which has an accessible upstream activating sequence and a nucleosomal TATA element, with that of a CYC1-lacZ reporter, which has a relatively accessible TATA element. We found that the GAL10-based reporter gene showed a much stronger SWI-SNF dependence than did the CYC1-lacZ reporter with several different activators. Remarkably, transcription of the GAL10-based reporter by a GAL4-GAL11 fusion protein showed a nearly complete requirement for the SWI-SNF complex, strongly suggesting that SWI-SNF is needed to allow access of TFIID or the RNA polymerase II holoenzyme. Taken together, our results demonstrate that chromatin remodeling in vivo can occur by both SWI-SNF-dependent and -independent avenues and suggest that the SWI-SNF complex exerts its major effect in transcriptional activation at a step subsequent to transcriptional activator-promoter recognition.


Assuntos
Proteínas de Ligação a DNA/fisiologia , Proteínas Fúngicas/fisiologia , Regulação Fúngica da Expressão Gênica , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/genética , Transativadores/fisiologia , Fatores de Transcrição , Ativação Transcricional , Cromatina/metabolismo , Proteínas de Ligação a DNA/metabolismo , Proteínas Fúngicas/metabolismo , Genes Reporter , Nucleossomos/metabolismo , Regiões Promotoras Genéticas , TATA Box , Transativadores/metabolismo
13.
J Biol Chem ; 272(17): 11526-34, 1997 Apr 25.
Artigo em Inglês | MEDLINE | ID: mdl-9111067

RESUMO

We examine the generality of transcription factor-mediated chromatin remodeling by monitoring changes in chromatin structure in a yeast (Saccharomyces cerevisiae) episome outside of the context of a natural promoter. The episome has a well defined chromatin structure and a binding site for the transcription factor GAL4 but lacks a nearby functional TATA element or transcription start site, so that changes in chromatin structure are unlikely to be caused by transcription. To separate changes caused by binding and by activation domains, we use both GAL4 and a chimeric, hormone-dependent activator consisting of the GAL4 DNA-binding domain, an estrogen receptor (ER) hormone-binding domain, and a VP16 activation domain (Louvion, J.-F., Havaux-Copf, B. and Picard, D. (1993) Gene (Amst.) 131, 129-134). Both GAL4 and GAL4.ER.VP16 show very little perturbation of chromatin structure in their nonactivating configurations. Substantial additional perturbation occurs upon activation. This additional perturbation is marked by changes in micrococcal nuclease cleavage patterns, restriction endonuclease accessibility, and DNA topology and is not seen with the nonactivating derivative GAL4.ER. Remodeling by GAL4.ER.VP16 is detectable within 15 min following hormone addition and is complete within 45 min, suggesting that replication is not required. We conclude that activation domains can exert a major influence on chromatin remodeling by increasing binding affinity and/or by recruitment of other chromatin remodeling activities and that this remodeling can occur outside the context of a bona fide promoter.


Assuntos
Cromatina/metabolismo , Plasmídeos/genética , Sequências Reguladoras de Ácido Nucleico , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/genética , Transcrição Gênica , Cromatina/ultraestrutura , Proteínas de Ligação a DNA , Estradiol/farmacologia , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Proteína Vmw65 do Vírus do Herpes Simples/genética , Proteína Vmw65 do Vírus do Herpes Simples/metabolismo , Modelos Genéticos , Conformação Molecular , Nucleossomos/metabolismo , Nucleossomos/ultraestrutura , Ligação Proteica , Receptores de Estrogênio/genética , Receptores de Estrogênio/metabolismo , Fatores de Transcrição
15.
Science ; 262(5139): 1563-6, 1993 Dec 03.
Artigo em Inglês | MEDLINE | ID: mdl-8248805

RESUMO

Studies in vivo and in vitro have shown that the packaging of DNA into chromatin can affect gene expression. Here, binding of the yeast transcriptional activator GAL4 to DNA in chromatin has been investigated in vivo with a yeast episome. A positioned nucleosome that is present in cells grown in glucose and contains a single GAL4 binding site is disrupted by GAL4 binding in galactose. GAL4 can also bind to DNA in chromatin when the carboxyl-terminal activation domain of GAL4 is either masked by GAL80 or is absent. These results show that a transcription factor can bind to its site in vivo in what would appear to be a repressive chromatin structure.


Assuntos
Proteínas de Ligação a DNA/metabolismo , Proteínas Fúngicas/metabolismo , Nucleossomos/metabolismo , Proteínas de Saccharomyces cerevisiae , Saccharomyces cerevisiae/metabolismo , Fatores de Transcrição/metabolismo , Sequência de Bases , Sítios de Ligação , Galactose/metabolismo , Glucose/metabolismo , Dados de Sequência Molecular , Plasmídeos , Proteínas Recombinantes de Fusão/metabolismo
17.
Mol Cell Biol ; 12(9): 4015-25, 1992 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-1508199

RESUMO

Incorporation into a positioned nucleosome of a cis-acting element essential for replication in Saccharomyces cerevisiae disrupts the function of the element in vivo [R. T. Simpson, Nature (London) 343:387-389, 1990]. Furthermore, nucleosome positioning has been implicated in repression of transcription by RNA polymerase II in yeast cells. We have now asked whether the function of cis-acting elements essential for transcription of a gene transcribed by RNA polymerase III can be similarly affected. A tRNA gene was fused to either of two nucleosome positioning signals such that the predicted nucleosome would incorporate near its center the tRNA start site and essential A-box element. These constructs were then introduced into yeast cells on stably maintained, multicopy plasmids. Competent tRNA genes were transcribed in vivo and were not incorporated into positioned nucleosomes. Mutated, inactive tRNA genes were incorporated into nucleosomes whose positions were as predicted. This finding demonstrates that the transcriptional competence of the tRNA gene determined its ability to override a nucleosome positioning signal in vivo and establishes that a hierarchy exists between cis-acting elements and nucleosome positioning signals.


Assuntos
Nucleossomos/fisiologia , RNA de Transferência/genética , Saccharomyces cerevisiae/genética , Transcrição Gênica , Sequência de Bases , Northern Blotting , DNA Fúngico , Regulação Fúngica da Expressão Gênica , Dados de Sequência Molecular , Mutação , Regiões Operadoras Genéticas , Sequências Repetitivas de Ácido Nucleico , Replicon , Saccharomyces cerevisiae/metabolismo
18.
Trends Biochem Sci ; 17(1): 23-6, 1992 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-1585452

RESUMO

In eukaryotes, DNA that is transcribed is packaged first into nucleosomes and then into chromatin fibres. How does transcription proceed through chromatin? Studies of transcription through nucleosomes in vitro suggest that the intracellular environment may provide factors which alleviate the inhibitory effect that nucleosomes have on transcription, possibly via positive supercoiling induced by the migrating polymerase. Stable changes in nucleosome structure have been correlated with transcriptionally active chromatin, but the precise mechanism by which RNA polymerase transcribes through nucleosomal DNA remains unknown.


Assuntos
Cromatina/fisiologia , Transcrição Gênica , Animais , DNA/genética , RNA Polimerases Dirigidas por DNA/fisiologia , Drosophila , Células Eucarióticas , Histonas/fisiologia , Nucleossomos/fisiologia
19.
J Mol Biol ; 222(2): 133-7, 1991 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-1960716

RESUMO

Previous investigations of topoisomer distributions of simian virus 40 (SV40) DNA from monkey cells have revealed that these circular mini-chromosomes, like relaxed, naked, closed circular DNA, exist as a Gaussian distribution of topoisomers. I have extended this comparison by measuring topoisomer distributions for a variety of plasmid episomes that are stably propagated in cells of the yeast Saccharomyces cerevisiae. The breadth of the topoisomer distributions for plasmid chromatin, including SV40, is approximately constant when normalized for DNA length, as is the breadth of distribution for naked DNA. However, the distributions for plasmid chromatin are substantially broader than those for the corresponding relaxed, naked DNAs. The breath is constant for plasmids differing in transcriptional activity, and varies only slightly between synchronized and unsynchronized populations of yeast cells, suggesting that variation in plasmid linking number with transcription or replication does not account for the observed heterogeneity in linking number. Topoisomer heterogeneity for plasmid chromatin in vivo may be due to heterogeneity in the number of nucleosomes on each plasmid, which could reflect either the nature of the assembly process or the dynamics of nucleosomes within the cell.


Assuntos
Cromatina/ultraestrutura , DNA Super-Helicoidal/ultraestrutura , Ciclo Celular , DNA Fúngico/ultraestrutura , Conformação de Ácido Nucleico , Nucleossomos/ultraestrutura , Plasmídeos , Saccharomyces cerevisiae/ultraestrutura
20.
Int J Radiat Oncol Biol Phys ; 19(6): 1455-62, 1990 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-2262370

RESUMO

The vast majority of patients treated for malignant gliomas with surgery, conventional radiation therapy, and systemic chemotherapy recur within 2 cm of their original disease site as documented by CT scanning. We have analyzed the clinical patterns of failure in patients treated with stereotactic interstitial irradiation (brachytherapy) for malignant gliomas in order to determine if this modality has altered the recurrence pattern in this disease. Between December 1985 and December 1989, 53 patients with malignant glioma were treated with stereotactic interstitial irradiation using temporary high activity iodine-125. Thirty-three patients were treated as part of a primary treatment protocol that included 5940 cGy external beam prior to implantation. Twenty patients were treated at time of recurrence. The median dose of radiation given at implantation was 5040 cGy for the primary lesions and 5450 cGy for the recurrent lesions. Twenty-two patients have suffered relapse as documented by clinical and radiographic studies. The predominant patterns of failure in these 22 patients were in the margins of the implant volume (8) and distant sites (10) within the CNS (distant ipsilateral or contralateral hemisphere, spinal axis) or extraneural. Thus, marginal and distant recurrences accounted for 82% of the relapses in our patients. We conclude stereotactic interstitial irradiation has changed the recurrence pattern in patients with malignant glioma with true local recurrence no longer being the predominant pattern of failure as is seen with conventional therapy.


Assuntos
Braquiterapia , Neoplasias Encefálicas/radioterapia , Glioma/radioterapia , Adolescente , Adulto , Idoso , Braquiterapia/métodos , Neoplasias Encefálicas/diagnóstico por imagem , Criança , Glioma/diagnóstico por imagem , Humanos , Pessoa de Meia-Idade , Metástase Neoplásica , Recidiva Local de Neoplasia , Tomografia Computadorizada por Raios X
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