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1.
Eval Rev ; 25(5): 533-54, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11575028

RESUMO

The Intergovernmental Panel on Climate Change (IPCC) has published guidelines for the development of national greenhouse gas-emissions inventories and recommendations for collecting data necessary to calculate greenhouse gas emissions. Many regional and local jurisdictions will be performing inventories of greenhouse gas emissions and estimating the benefits of mitigation strategies to reduce emissions. This article advocates the development of relational databases to calculate and store emissions estimates based on IPCC guidelines and quantities of precursors of greenhouse gases. Specific examples of tables and queries are used to illustrate calculation methods and formulae, the choice of database keys, and the choice of methods for joining tables to construct queries.


Assuntos
Dióxido de Carbono/análise , Sistemas de Gerenciamento de Base de Dados , Bases de Dados Factuais , Combustíveis Fósseis , Efeito Estufa , Emissões de Veículos/análise , Coleta de Dados , Humanos , Armazenamento e Recuperação da Informação , Centrais Elétricas , Eliminação de Resíduos , Software , Estados Unidos , Interface Usuário-Computador , Washington
2.
Cancer Invest ; 19(3): 225-33, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11338878

RESUMO

This study evaluated mitoxantrone and paclitaxel combination chemotherapy in the treatment of patients with metastatic breast cancer. Thirty-seven patients who had developed progressive disease after prior chemotherapy were treated with mitoxantrone (14 mg/m2) and paclitaxel (150 mg/m2) every 21 days for a maximum of six cycles. The most frequent grade 3 or 4 nonhematological toxicities were fever and nausea. Grade 4 neutropenia occurred in 71% of patients. Cardiotoxicity occurred in 2 patients, both of whom had previously received doxorubicin. Objective response was achieved in 35% of patients (5% complete response and 30% partial response) and 41% had stable disease. Median time to disease progression and median survival were 6 and 12 months, respectively. The percent of patients with an objective response was not different for those who had received prior doxorubicin or had chemotherapy in the preceding 6 months. This regimen appears to be effective and well tolerated as salvage therapy and merits further evaluation.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias da Mama/tratamento farmacológico , Adulto , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Neoplasias da Mama/patologia , Progressão da Doença , Intervalo Livre de Doença , Feminino , Humanos , Infusões Intravenosas , Pessoa de Meia-Idade , Mitoxantrona/administração & dosagem , Metástase Neoplásica , Neutropenia/induzido quimicamente , Paclitaxel/administração & dosagem , Prognóstico , Resultado do Tratamento
3.
Free Radic Biol Med ; 29(7): 664-73, 2000 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-11033419

RESUMO

Two types of transgenic mice were generated to evaluate the role of hydrogen peroxide in the formation of nuclear DNA damage. One set of lines overexpresses wild-type human catalase cDNA, which is localized to peroxisomes. The other set overexpresses a human catalase construct that is targeted to the nucleus. Expression of the wild-type human catalase transgene was found in liver, kidney, skeletal muscle, heart, spleen, and brain with muscle and heart exhibiting the highest levels. Animals containing the nuclear-targeted construct had a similar pattern of expression with the highest levels in muscle and heart, but with lower levels in liver and spleen. In these animals, immunofluorescence detected catalase present in the nuclei of kidney, muscle, heart, and brain. Both types of transgenic animals had significant increases of catalase activities compared to littermate controls in most tissues examined. Despite enhanced activities of catalase, and its presence in the nucleus, there were no changes in levels of 8OHdG, a marker of oxidative damage to DNA. Nor were there differences in mutant frequencies at a Lac Z reporter transgene. This result suggests that in vivo levels of H(2)O(2) may not generate 8OHdG or other types of DNA damage. Alternatively, antioxidant defenses may be optimized such that additional catalase is unable to further protect nuclear DNA against oxidative damage.


Assuntos
Catalase/metabolismo , Núcleo Celular/enzimologia , Dano ao DNA , Desoxiguanosina/análogos & derivados , 8-Hidroxi-2'-Desoxiguanosina , Animais , Biomarcadores/análise , Encéfalo/enzimologia , Catalase/genética , Cruzamentos Genéticos , DNA Complementar , Desoxiguanosina/análise , Humanos , Rim/enzimologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Endogâmicos , Camundongos Transgênicos , Músculo Esquelético/enzimologia , Miocárdio/enzimologia , Estresse Oxidativo , Peroxissomos/enzimologia
4.
J Biol Chem ; 275(42): 33134-41, 2000 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-10924524

RESUMO

Hairpin and tetrahelical structures of a d(CGG)(n) sequence in the FMR1 gene have been implicated in its expansion in fragile X syndrome. The identification of tetraplex d(CGG)(n) destabilizing proteins (Fry, M., and Loeb, L. A.(1999) J. Biol. Chem. 274, 12797-12803; Weisman-Shomer, P., Naot, Y., and Fry, M. (2000) J. Biol. Chem. 275, 2231-2238) suggested that proteins might modulate d(CGG)(n) folding and aggregation. We assayed human TK-6 lymphoblastoid cell extracts for d(CGG)(8) oligomer binding proteins. The principal binding protein was identified as Ku antigen by its partial amino acid sequence and antigenicity. The purified 88/75-kDa heterodimeric Ku bound with similar affinities (K(d) approximately 1. 8-10.2 x 10(-9) mol/liter) to double-stranded d(CGG)(8).d(CCG)(8), hairpin d(CGG)(8), single-stranded d(CII)(8), or tetraplex structures of telomeric or IgG switch region sequences. However, Ku associated more tightly with bimolecular G'2 tetraplex d(CGG)(8) (K(d) approximately 0.35 x 10(-9) mol/liter). Binding to Ku protected G'2 d(CGG)(8) against nuclease digestion and impeded its unwinding by the tetraplex destabilizing protein qTBP42. Stabilization of d(CGG)(n) tetraplex domains in FMR1 by Ku or other proteins might promote d(CGG) expansion and FMR1 silencing.


Assuntos
Antígenos Nucleares , DNA Helicases , Proteínas de Ligação a DNA/metabolismo , DNA/química , DNA/genética , Síndrome do Cromossomo X Frágil/genética , Proteínas Nucleares/metabolismo , Conformação de Ácido Nucleico , Expansão das Repetições de Trinucleotídeos , Sequência de Aminoácidos , Sequência de Bases , Sítios de Ligação , Proteínas de Ligação a DNA/química , Humanos , Cinética , Autoantígeno Ku , Dados de Sequência Molecular , Proteínas Nucleares/química , Oligodesoxirribonucleotídeos/química , Oligodesoxirribonucleotídeos/metabolismo , Fatores de Transcrição/metabolismo
5.
Mutat Res ; 427(1): 21-30, 1999 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-10354498

RESUMO

DNA lesions caused by reactive oxygen species (ROS) are considered to be one of the major contributors to DNA damage and mutagenesis. In this study, we developed a modification of allele-specific PCR to detect CC-->TT mutations caused by oxidative damage. These tandem mutations have been previously demonstrated to be indicative of oxygen damage in the absence of UV-irradiation. Using a CC target site in the rat DNA polymerase beta (pol beta) gene and a thermostable restriction enzyme that cuts the wild type sequence but not the TT mutation, we demonstrate that the TT mutation can be preferentially amplified from plasmid DNA damaged by oxygen radicals but not other DNA-damaging agents. We evaluated the potential utility of this assay in screening for mutations in cells and in analyzing those that arise during clonal proliferation in carcinogenesis.


Assuntos
Radicais Livres/toxicidade , Mutação/genética , Reação em Cadeia da Polimerase/métodos , Dano ao DNA , Análise Mutacional de DNA , DNA Polimerase beta/genética , Primers do DNA , Células HeLa , Humanos , Peróxido de Hidrogênio/toxicidade , Plasmídeos/efeitos dos fármacos , Espécies Reativas de Oxigênio
6.
Toxicol Appl Pharmacol ; 155(2): 107-16, 1999 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-10053165

RESUMO

Transgenic mice that express the viral coat proteins of hepatitis B virus (HBV) in the liver display hepatocellular damage, inflammation, regeneration, hyperplasia, and, eventually, neoplasia that is similar to that of people with chronic, active hepatitis caused by HBV infection. Hepatocellular regeneration, in the context of chronic injury and inflammation, is thought to expose dividing cells to excessive oxygen radicals, which are believed to lead to DNA damage and, ultimately, neoplasia. Because metallothioneins scavenge free radicals in vitro, we generated mice that express excess (>10-fold) metallothionein I (MT-I* mice) and the HBV surface antigens (HBsAg) to ascertain whether MT-I* would ameliorate aspects of the pathology induced by HBsAg. Markers of hepatocyte injury and tumorigenesis in HBsAg mice were compared to those in double transgenic (HBsAg and MT-I*) mice. Hepatic hyperplasia, histology, aneuploidy, and accumulation of an oxidative DNA adduct, 8-oxo-2'-deoxyguanosine, were examined. Although hepatitis and neoplasia were not prevented by MT-I* expression in the HBsAg mice, there was less hyperplasia and less aneuploidy. We conclude that MT-I produces a beneficial effect in this in vivo model of HBV-induced hepatitis.


Assuntos
Antígenos de Superfície da Hepatite B/toxicidade , Fígado/metabolismo , Fígado/patologia , Metalotioneína/fisiologia , Animais , Cádmio/metabolismo , Radioisótopos de Cádmio , Cobre/metabolismo , Antígenos de Superfície da Hepatite B/biossíntese , Antígenos de Superfície da Hepatite B/genética , Hepatite B Crônica/genética , Hepatite B Crônica/metabolismo , Hepatite B Crônica/patologia , Hiperplasia , Masculino , Metalotioneína/biossíntese , Metalotioneína/genética , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , RNA Mensageiro/metabolismo , Zinco/metabolismo
8.
Eval Rev ; 22(6): 792-815, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10345199

RESUMO

Evaluation of policies designed to reduce emissions of global warming gases will require valid data about in-use quantities of these gases' precursors. This article assesses the quality of available data for many significant precursors of CO2 and methane in King County, Washington, which is an area with minimal variations in climate as well as rapid population growth and development. Available data support an estimate of 21,000,000 metric tons of CO2-equivalent gases emitted in 1990 from selected precursors. There is also evidence that electricity conservation programs and recycling both reduce CO2 emissions. Requirements for adequate baseline data include constant and valid data definitions as well as monthly time series. To evaluate policies over periods of years, databases must be designed to withstand frequent and rapid changes in national economies; they must also permit analysis of consumer choices affecting fossil fuels and other precursors of warming gases. In almost every case, current data do not satisfy these requirements.


Assuntos
Dióxido de Carbono/análise , Monitoramento Ambiental/métodos , Poluentes Ambientais/análise , Poluição Ambiental/prevenção & controle , Efeito Estufa , Metano/análise , Coleta de Dados , Interpretação Estatística de Dados , Poluentes Ambientais/efeitos adversos , Humanos , Washington
9.
Proc Natl Acad Sci U S A ; 93(8): 3525-9, 1996 Apr 16.
Artigo em Inglês | MEDLINE | ID: mdl-8622970

RESUMO

Herpes simplex virus type 1 (HSV-1) thymidine kinase is currently used as a suicide agent in the gene therapy of cancer. This therapy is based on the preferential phosphorylation of nucleoside analogs by tumor cells expressing HSV-1 thymidine kinase. However, the use of HSV-1 thymidine kinase is limited in part by the toxicity of the nucleoside analogs. We have used random sequence mutagenesis to create new HSV-1 thymidine kinases that, compared with wild-type thymidine kinase, render cells much more sensitive to specific nucleoside analogs. A segment of the HSV-1 thymidine kinase gene at the putative nucleoside binding site was substituted with random nucleotide sequences. Mutant enzymes that demonstrate preferential phosphorylation of the nucleoside analogs, ganciclovir or acyclovir, were selected from more than one million Escherichia coli transformants. Among the 426 active mutants we have isolated, 26 demonstrated enhanced sensitivity to ganciclovir, and 54 were more sensitive to acyclovir. Only 6 mutant enzymes displayed sensitivity to both ganciclovir and acyclovir when expressed in E. coli. Analysis of 3 drug-sensitive enzymes demonstrated that 1 produced stable mammalian cell transfectants that are 43-fold more sensitive to ganciclovir and 20-fold more sensitive to acyclovir.


Assuntos
Terapia Genética/métodos , Herpesvirus Humano 1/enzimologia , Herpesvirus Humano 1/genética , Mutação , Timidina Quinase/genética , Aciclovir/farmacologia , Sequência de Aminoácidos , Animais , Sequência de Bases , Linhagem Celular , DNA/genética , Resistência Microbiana a Medicamentos/genética , Escherichia coli/genética , Ganciclovir/farmacologia , Herpesvirus Humano 1/efeitos dos fármacos , Humanos , Dados de Sequência Molecular , Mutagênese , Transfecção
10.
Prev Med ; 24(4): 329-32, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7479621

RESUMO

Increasing evidence indicates that most human cancers contain multiple chromosomal alterations. These aberrations are the result of mutations produced not only during the initiation of cancer but also during tumor progression. Since the rates of spontaneous mutations exhibited by normal human cells cannot account for the large numbers of mutations routinely reported in human cancers, we argued that cancer cells are genetically unstable; i.e., they express a mutator phenotype. In this review, we consider potential endogenous sources of these mutations and the recent evidence demonstrating that multiple mutations are present in human cancers. These studies, which connect mismatch repair, genomic instability, and cancer, support the mutator phenotype hypothesis. We conclude that, if multiple mutations are necessary for the progression of cancer, then agents designed to delay their accumulation could significantly reduce cancer deaths.


Assuntos
Aberrações Cromossômicas/fisiologia , Mutagênese/fisiologia , Neoplasias/genética , Replicação do DNA , DNA de Neoplasias , Progressão da Doença , Humanos , Mutação/fisiologia , Proto-Oncogenes/genética
11.
Lipids ; 29(8): 535-9, 1994 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-7990659

RESUMO

Arachidonic acid and its leukotriene metabolites have been shown to stimulate surfactant secretion by alveolar type II cells. The present study was undertaken to determine the effects of various unsaturated fatty acids, including eicosapentaenoic acid, on surfactant secretion. Surfactant secretion was expressed as the percent of [3H]choline-derived phospholipids released into culture medium by type II pneumocytes of adult rats. Consistent with the earlier findings, arachidonic acid stimulated secretion in a concentration-dependent fashion (3.5-21 microM), doubling baseline secretion at 21 microM. Eicosapentaenoic acid was found to be equally effective as arachidonic acid in stimulating secretion. A comparison with palmitic, oleic and linoleic acids revealed that highly unsaturated fatty acids stimulated secretion to the greatest extent. This was supported by a positive correlation between degree of unsaturation (i.e., 0, 1, 2, 4 and 5 double bonds) and stimulation of surfactant secretion. In the present study, exogenous leukotriene E4 (10(-13)-10(-6) did not stimulate surfactant secretion. Neither nordihydroguairetic acid (0.1 microM) nor indomethacin (0.1 microM) affected arachidonic acid-stimulated secretion. The stimulatory effects of arachidonic acid and eicosapentaenoic acid on surfactant secretion were related to the highly unsaturated nature of the fatty acids and were not mediated by increased levels of cyclic adenosine monophosphate or calcium.


Assuntos
Ácido Araquidônico/farmacologia , Ácido Eicosapentaenoico/farmacologia , Alvéolos Pulmonares/efeitos dos fármacos , Surfactantes Pulmonares/metabolismo , Animais , Cálcio/fisiologia , Células Cultivadas , AMP Cíclico/fisiologia , Ácidos Graxos/farmacologia , Masculino , Alvéolos Pulmonares/citologia , Alvéolos Pulmonares/metabolismo , Ratos , Ratos Sprague-Dawley , Estimulação Química
12.
Neurobiol Aging ; 14(5): 447-55, 1993.
Artigo em Inglês | MEDLINE | ID: mdl-8247227

RESUMO

The calcium-sensitive photoprotein, aequorin, was used to examine serum- and bradykinin-induced transient increases in free cytosolic calcium ions in skin fibroblasts from 10 individuals with early onset familial AD (FAD), including four who were biopsied before their clinical symptoms would allow a diagnosis of AD, 2 individuals with late onset FAD, 8 at-risk but nonsymptomatic individuals, and 13 controls. The data show that (a) among controls, the peaks of the calcium transients increase in height as a function of donor age; (b) transients induced by 10% serum, 10 nM bradykinin (BK) or 100 nM BK were generally lower in FAD fibroblasts, including those from donors in the early stages of the disease, than in age-matched control cells; (c) such transients are reduced in cells from a proportion of the nonsymptomatic, at-risk individuals. Thus, serum- and BK-induced calcium transients are reduced in fibroblasts from both early and more advanced stage FAD donors and perhaps even from donors who are presymptomatic carriers of the defective gene. The data also suggest that changes in calcium transients in FAD fibroblasts neither mimic nor exaggerate the effects of normal aging.


Assuntos
Doença de Alzheimer/metabolismo , Bradicinina/farmacologia , Cálcio/metabolismo , Adulto , Equorina , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/metabolismo , Agonistas dos Canais de Cálcio/farmacologia , Criança , Pré-Escolar , Meios de Cultura Livres de Soro , Feminino , Fibroblastos/efeitos dos fármacos , Fibroblastos/metabolismo , Fura-2 , Humanos , Masculino , Pessoa de Meia-Idade
13.
Cell Calcium ; 14(7): 539-49, 1993 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8402837

RESUMO

Calcium homeostasis has long been thought to be altered in transformed cells but mechanisms have not been established. In this study, the photoprotein, aequorin, was used to examine calcium regulation in 3T3 and SV40-transformed 3T3 cells. It was found that calcium transients induced by bradykinin or serum in serum-starved cells are lower and delayed in the transformed cells and decay kinetics are altered. These changes are not related to differences in cell cycle distribution. Though the serum transient is insensitive to nifedipine, verapamil, or lanthanum, removal of extracellular calcium accelerates transient decay in both cell types. Treatment of unstimulated cells with the ER Ca(2+)-ATPase inhibitor, thapsigargin, causes a 4-5-fold greater increase in [Ca2+]i in the transformed than in the nontransformed cells. Following serum stimulation, transformed cells still exhibit a large thapsigargin-induced increase in [Ca2+]i whereas the response in nontransformed cells is nearly abolished. When the 3T3 or SV3T3 cells are exposed to serum or thapsigargin in the absence of extracellular calcium and subsequently exposed to 11.8 mM Ca2+, a much greater influx of calcium again occurs in the SV3T3 cells. The observed changes in SV3T3 cells are most likely due to an alteration in a capacitative mechanism which regulates influx of calcium through the plasma membrane.


Assuntos
Células 3T3/metabolismo , Cálcio/metabolismo , Transformação Celular Viral , Animais , Bradicinina/farmacologia , Bloqueadores dos Canais de Cálcio/farmacologia , ATPases Transportadoras de Cálcio/antagonistas & inibidores , Compartimento Celular/efeitos dos fármacos , Ciclo Celular , Linhagem Celular Transformada , Ativação do Canal Iônico/efeitos dos fármacos , Cinética , Camundongos , Vírus 40 dos Símios/fisiologia , Terpenos/farmacologia , Tapsigargina
14.
Thromb Res ; 55(1): 57-68, 1989 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-2571199

RESUMO

The physiologic function of the monocyte transglutaminases is not known. In this study, we detected Factor XIII A-subunit antigen and "tissue" transglutaminase antigen in human monocytes by polyacrylamide gel electrophoresis and immunoblotting techniques. Flow cytometric analysis demonstrated that 27% and 49% of the total Factor XIII antigen in monocytes and human peritoneal macrophages, respectively, are expressed on the surface of the cells. Monocytes maintained in culture for 8 days had a 4-fold increase in Factor XIIIa activity and a 3.2-fold increase in the amount of Factor XIII antigen/mg cell protein. However, there was no increase in the "tissue" transglutaminase activity or antigen levels in cultured monocytes. In addition, we identified a Factor XIII deficient individual who does not express Factor XIII activity or antigen in plasma, platelets, monocytes, lymphocytes or erythrocytes. Intact monocytes from normal donors were able to cross-link fibrin formed in the plasma from the Factor XIII deficient individual. This suggests that transglutaminase activity expressed by peripheral blood monocytes may play a physiologic role in cross-linking fibrin during blood clotting or inflammation.


Assuntos
Fibrina/metabolismo , Monócitos/enzimologia , Transglutaminases/metabolismo , Antígenos de Superfície/análise , Plaquetas/análise , Células Cultivadas , Eletroforese em Gel de Poliacrilamida , Eritrócitos/análise , Deficiência do Fator XIII/sangue , Humanos , Immunoblotting , Linfócitos/análise , Macrófagos/enzimologia
15.
Bone Marrow Transplant ; 2(2): 165-73, 1987 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-3332164

RESUMO

CFU-GEMM, multipotent progenitor cells, give rise to erythroid, granulocyte-macrophage and megakaryocytic cells. We have examined the utility of this assay for predicting hematologic recovery in patients treated with high-dose chemotherapy and autologous marrow rescue with cryopreserved marrow. In marrow samples from 50 patients CFU-E, BFU-E and CFU-GEMM significantly decreased following cryopreservation. The median value for CFU-E declined from 132,659 to 10,648, BFU-E decreased from 36,112 to 3345 and CFU-GEMM decreased from 3242 to 260 colonies per ml of marrow frozen. Once cryopreserved, the number of CFU-E, BFU-E and CFU-GEMM remained stable with prolonged storage in liquid nitrogen. In 48 patients uniformly treated with high-dose melphalan (180 mg/m2) and rescued with cryopreserved autologous marrow, univariate analyses showed that the time to platelet recovery (greater than 50 x 10(9)/l) was correlated with the number of CFU-E, BFU-E and CFU-GEMM infused (p less than 0.05). The time to neutrophil recovery was only correlated with the number of BFU-E and CFU-GEMM infused (p less than 0.01). However, by multivariate analyses, only the number of CFU-GEMM, and not CFU-E and BFU-E, infused correlated both with the time to neutrophil and platelet recovery. These data indicate that the CFU-GEMM assay may be useful for determining the repopulating ability of cryopreserved bone marrow.


Assuntos
Transplante de Medula Óssea , Melfalan/administração & dosagem , Neoplasias/terapia , Medula Óssea/fisiologia , Células da Medula Óssea , Ensaio de Unidades Formadoras de Colônias , Eritropoese , Congelamento , Granulócitos/citologia , Hematopoese , Macrófagos/citologia , Megacariócitos/citologia , Fatores de Tempo , Preservação de Tecido , Transplante Autólogo
16.
Scand J Haematol ; 24(2): 142-8, 1980 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7375813

RESUMO

The role of Factor XIII in clot retraction was studied using the plasma from Factor XIII-deficient patients. Time course experiments revealed no significant difference in clot retraction between a plasma deficient in Factor XIII and one to which purified Factor XIII had been added. Using Factor XIII-free fibrinogen and Factor XIII-deficient platelets, it is shown that there is no significant difference in clot retraction with or without added Factor XIII.


Assuntos
Retração do Coágulo , Fator XIII/fisiologia , Eletroforese em Gel de Poliacrilamida , Fator XIII/isolamento & purificação , Deficiência do Fator XIII/sangue , Fibrina/análise , Fibrinogênio/análise , Humanos , Contagem de Plaquetas , Trombina/análise
17.
Medicine (Baltimore) ; 58(6): 413-29, 1979 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-514066

RESUMO

1. Activated factor XIII is the enzyme that covalently cross-links fibrin monomers into fibrin polymers and results in increased clot strength and resistance of the clot to fibrinolysis. 2. Small amounts (greater than 1% of normal) of factor XIII are necessary for normal in vitro and in vivo activity. 3. Factor XIII deficiency is a rare autosomal recessive illness in which a hemorrhagic diathesis is caused by the virtual absence of the active a subunit of factor XIII. Approximately 100 cases have been described. 4. The disease in homozygotes is characterized by umbilical stump bleeding, a high incidence of fetal wastage, delayed soft tissue hemorrhage, and a high incidence of intracranial bleeding. The heterozygote is asymptomatic. 5. This paper calls attention to the apparent high incidence of oligospermia and small testes seen in homozygote males. Otherwise secondary sex characterics are normal. 6. Because there is no abnormality in thrombin generation and conversion of fibrinogen to fibrin, route coagulation tests (prothrombin time, partial thromboplastin time, thrombin time, etc.) are normal. Platelet function tests are normal. 7. Clots made from recalcified plasma severely deficient in factor XIII are soluble in 5 M urea or 1% monochloroacetic acid. These screening tests are simple and nearly pathognomonic of the illness. 8. More sophisticated and quantitative tests (e.g., dansylcadaverine incorporation) are available for definitive diagnosis and heterozygote detection. 9. Replacement treatment of the illness is simple, effective, and relatively inexpensive. Due to the long half-life of infused factor XIII and the small amounts necessary for normal hemostasis, prophylaxis is feasible and encouraged.


Assuntos
Deficiência do Fator XIII/diagnóstico , Fator XIII , Adulto , Ativação Enzimática , Fator XIII/análise , Deficiência do Fator XIII/complicações , Deficiência do Fator XIII/genética , Deficiência do Fator XIII/terapia , Feminino , Humanos , Infertilidade Masculina/etiologia , Masculino , Linhagem
20.
N Engl J Med ; 274(14): 772-5, 1966 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-17926884

RESUMO

A case of pyridoxine-responsive anemia with hypolipidemia and hypocholesterolemia responsive to pyridoxine is presented. It is suggested that abnormalities of the serum lipids are common but often unrecognized in patients with pyridoxine-responsive anemia. A mechanism to explain their occurrence is postulated.


Assuntos
Anemia Sideroblástica/sangue , Colesterol/sangue , Hipolipoproteinemias/tratamento farmacológico , Lipídeos/sangue , Piridoxina/uso terapêutico , Complexo Vitamínico B/uso terapêutico , Adulto , Anemia Sideroblástica/complicações , Anemia Sideroblástica/tratamento farmacológico , Evolução Fatal , Hematócrito , Humanos , Hipolipoproteinemias/sangue , Ferro/análise , Masculino
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