RESUMO
Patients expressing estradiol receptors in melanoma cells have been reported to have a better prognosis. We therefore decided to investigate the in vitro effects of á-estradiol and tamoxifen on the growth and tyrosinase activity of SK-Mel 23 human melanoma cells. Twenty-four-hour treatment with 0.4 nM á-estradiol inhibited cell proliferation in 30 percent (0.70 ñ 0.03 x 10(5) cells) and increased tyrosinase activity in 50 percent (7130.5 ñ 376.5 cpm/10(5) cells), as compared to untreated cells (1.0 ñ 0.05 x 10(5) cells and 4769 ñ 25.5 cpm/10(5) cells, respectively). Both responses were completely (100 percent) blocked by 1 æM tamoxifen. Higher concentrations (up to 1.6 nM) or longer treatments (up to 72 h) did not result in a larger effect of the hormone on proliferation or tyrosinase activity. Competition binding assays demonstrated the presence of binding sites to [2,4,6,7- H]-á-estradiol, and that the tritiated analogue was displaced by the unlabeled hormone (1 nM to 100 æM, Kd = 0.14 æM, maximal displacement of 93 percent) or by 10 æM tamoxifen (displacement of 60 percent). á-estradiol also increased the phosphorylated state of two proteins of 16 and 46 kDa, after 4-h treatment, as determined by Western blot. The absorbance of each band was 1.9- and 4-fold the controls, respectively, as determined with Image-Pro Plus software. Shorter incubation periods with á-estradiol did not enhance phosporylation; after 6-h treatment with the hormone, the two proteins returned to the control phosphorylation levels. The growth inhibition promoted by estradiol may explain the better prognosis of melanoma-bearing women as compared to men, and open new perspectives for drug therapy.
Assuntos
Humanos , Antineoplásicos Hormonais , Estradiol , Melanoma , Monofenol Mono-Oxigenase , Tamoxifeno , Ligação Competitiva , Western Blotting , Fatores de Tempo , Células Tumorais CultivadasRESUMO
El Síndrome del Bebé Sacudido (SBS) es una patología que plantea dificultades para su diagnóstico correcto y seguro. El subdiagnóstico y el subregistro son habituales. Presentamos dos casos de SBS en su forma clínica clásica que tuvieron los signos característicos: lactantes sanos hasta el momento de la consulta, que bruscamente presentaron un cuadro neurológico agudo, severo y polimorfo asociado a hemorragias intracraneales e intraoculares. Se recomiendan los procedimientos y estudios para arribar al diagnóstico en forma concluyente y aplicar un tratamiento adecuado