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1.
Exp Cell Res ; 320(1): 33-45, 2014 Jan 01.
Article in English | MEDLINE | ID: mdl-23899627

ABSTRACT

Green fluorescent protein (GFP) is the most commonly used reporter of expression in cell biology despite evidence that it affects the cell physiology. The molecular mechanism of GFP-associated modifications has been largely unexplored. In this paper we investigated the proteome modifications following stable expression of GFP in breast cancer cells (MDA-MB-231). A combination of three different proteome analysis methods (2-DE, iTRAQ, label-free) was used to maximise proteome coverage. We found that GFP expression induces changes in expression of proteins that are associated with protein folding, cytoskeletal organisation and cellular immune response. In view of these findings, the use of GFP as a cell reporter should be carefully monitored.


Subject(s)
Artifacts , Breast Neoplasms/metabolism , Green Fluorescent Proteins/metabolism , Proteome/metabolism , Electrophoresis, Gel, Two-Dimensional , Female , Green Fluorescent Proteins/biosynthesis , Green Fluorescent Proteins/genetics , Humans , Tumor Cells, Cultured
2.
Environ Microbiol ; 13(3): 576-88, 2011 Mar.
Article in English | MEDLINE | ID: mdl-20977570

ABSTRACT

Thielaviopsis basicola, a soil-borne pathogen with a broad host range and a cosmopolitan distribution, is emerging as a major risk to sustainable cotton production in Australia. Previous studies suggested that host specialization has occurred making T. basicola an ideal model for a comparative proteomic analysis of strains isolated from different hosts. Elucidation of the genomic diversity and investigation of the functional differences in the Australian population could provide valuable information towards disease control. In this study, isolates of T. basicola were investigated for genomic (internal transcribed spacers region), proteomic and cotton virulence level variations. Internal transcribed spacers sequence analysis revealed that isolates are grouped based on host of origin irrespective of geographical origin. At the proteome level a degree of diversity was apparent and hierarchical clustering analysis of the data also demonstrated a close correlation between the proteome and the host of origin. LC-MS/MS analysis and identification using cross-species similarity searching and de novo sequencing of host-specific differentially expressed proteins and the virulence-correlated proteome allowed successful identification of 43 spots. The majority were found to be involved in metabolism. Spots that were correlated with host and virulence differences included a hypothetical protein with a Rossman-fold NAD(P)(+)-binding protein domain, glyceraldehyde-3-phosphate dehydrogenase, arginase and tetrahydroxynaphthalene reductase.


Subject(s)
Ascomycota/metabolism , Fungal Proteins/analysis , Proteome/analysis , Ascomycota/genetics , Ascomycota/pathogenicity , Australia , Biological Evolution , Host-Pathogen Interactions , Mass Spectrometry , Proteome/chemistry , Proteome/metabolism , Proteomics , Virulence
3.
Sci Rep ; 6: 34639, 2016 10 06.
Article in English | MEDLINE | ID: mdl-27708407

ABSTRACT

No systems have been reported for genetic manipulation of cold-adapted Archaea. Halorubrum lacusprofundi is an important member of Deep Lake, Antarctica (~10% of the population), and is amendable to laboratory cultivation. Here we report the development of a shuttle-vector and targeted gene-knockout system for this species. To investigate the function of acetamidase/formamidase genes, a class of genes not experimentally studied in Archaea, the acetamidase gene, amd3, was disrupted. The wild-type grew on acetamide as a sole source of carbon and nitrogen, but the mutant did not. Acetamidase/formamidase genes were found to form three distinct clades within a broad distribution of Archaea and Bacteria. Genes were present within lineages characterized by aerobic growth in low nutrient environments (e.g. haloarchaea, Starkeya) but absent from lineages containing anaerobes or facultative anaerobes (e.g. methanogens, Epsilonproteobacteria) or parasites of animals and plants (e.g. Chlamydiae). While acetamide is not a well characterized natural substrate, the build-up of plastic pollutants in the environment provides a potential source of introduced acetamide. In view of the extent and pattern of distribution of acetamidase/formamidase sequences within Archaea and Bacteria, we speculate that acetamide from plastics may promote the selection of amd/fmd genes in an increasing number of environmental microorganisms.


Subject(s)
Amidohydrolases/genetics , Archaeal Proteins/genetics , Gene Expression Regulation, Archaeal , Genetic Vectors/chemistry , Halorubrum/genetics , Amidohydrolases/deficiency , Antarctic Regions , Archaeal Proteins/metabolism , Biodegradation, Environmental , Culture Media/chemistry , Culture Media/pharmacology , Gene Deletion , Genetic Engineering , Genetic Vectors/metabolism , Halorubrum/classification , Halorubrum/drug effects , Halorubrum/enzymology , Humans , Phylogeny , Plastics/metabolism , Restriction Mapping , Transformation, Genetic , Water Pollutants, Chemical/metabolism
4.
Sci Rep ; 6: 35391, 2016 10 20.
Article in English | MEDLINE | ID: mdl-27762282

ABSTRACT

Sirtuin proteins have a variety of intracellular targets, thereby regulating multiple biological pathways including neurodegeneration. However, relatively little is currently known about the role or expression of the 7 mammalian sirtuins in the central nervous system. Western blotting, PCR and ELISA are the main techniques currently used to measure sirtuin levels. To achieve sufficient sensitivity and selectivity in a multiplex-format, a targeted mass spectrometric assay was developed and validated for the quantification of all seven mammalian sirtuins (SIRT1-7). Quantification of all peptides was by multiple reaction monitoring (MRM) using three mass transitions per protein-specific peptide, two specific peptides for each sirtuin and a stable isotope labelled internal standard. The assay was applied to a variety of samples including cultured brain cells, mammalian brain tissue, CSF and plasma. All sirtuin peptides were detected in the human brain, with SIRT2 being the most abundant. Sirtuins were also detected in human CSF and plasma, and guinea pig and mouse tissues. In conclusion, we have successfully applied MRM mass spectrometry for the detection and quantification of sirtuin proteins in the central nervous system, paving the way for more quantitative and functional studies.


Subject(s)
Biological Assay/standards , Central Nervous System/enzymology , Mass Spectrometry/methods , Sirtuins/genetics , Animals , Central Nervous System/chemistry , Gene Expression , Guinea Pigs , Humans , Kidney/chemistry , Kidney/enzymology , Liver/chemistry , Liver/enzymology , Mice , Myocardium/chemistry , Myocardium/enzymology , Neural Stem Cells/cytology , Neural Stem Cells/enzymology , Polymorphism, Genetic , Primary Cell Culture , Sirtuins/blood , Sirtuins/cerebrospinal fluid , Sirtuins/classification
5.
Sci Rep ; 6: 37454, 2016 11 22.
Article in English | MEDLINE | ID: mdl-27874045

ABSTRACT

Biofilms enhance rates of gene exchange, access to specific nutrients, and cell survivability. Haloarchaea in Deep Lake, Antarctica, are characterized by high rates of intergenera gene exchange, metabolic specialization that promotes niche adaptation, and are exposed to high levels of UV-irradiation in summer. Halorubrum lacusprofundi from Deep Lake has previously been reported to form biofilms. Here we defined growth conditions that promoted the formation of biofilms and used microscopy and enzymatic digestion of extracellular material to characterize biofilm structures. Extracellular DNA was found to be critical to biofilms, with cell surface proteins and quorum sensing also implicated in biofilm formation. Quantitative proteomics was used to define pathways and cellular processes involved in forming biofilms; these included enhanced purine synthesis and specific cell surface proteins involved in DNA metabolism; post-translational modification of cell surface proteins; specific pathways of carbon metabolism involving acetyl-CoA; and specific responses to oxidative stress. The study provides a new level of understanding about the molecular mechanisms involved in biofilm formation of this important member of the Deep Lake community.


Subject(s)
Biofilms , Halorubrum/metabolism , Halorubrum/physiology , Proteomics/methods , Antarctic Regions , Biofilms/growth & development , Deoxyribonuclease I/metabolism , Endopeptidase K/metabolism , Halorubrum/cytology , Halorubrum/ultrastructure , Metabolic Networks and Pathways , Microscopy, Fluorescence , Plankton/metabolism , Quorum Sensing
6.
J Clin Endocrinol Metab ; 100(11): 4082-91, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26378474

ABSTRACT

CONTEXT: Whereas insulin resistance and obesity coexist, some obese individuals remain insulin sensitive. OBJECTIVE: We examined phenotypic and metabolic factors associated with insulin sensitivity in both muscle and liver in obese individuals. DESIGN AND PARTICIPANTS: Sixty-four nondiabetic obese adults (29 males) underwent hyperinsulinemic (15 and 80 mU/m(2) · min)-euglycemic clamps with deuterated glucose. Top tertile subjects for glucose infusion rate during the high-dose insulin clamp were assigned Musclesen and those in the lower two tertiles were assigned Muscleres. Secondarily, top tertile subjects for endogenous glucose production suppression during the low-dose insulin clamp were deemed Liversen and the remainder Liverres. MAIN OUTCOMES MEASURES: Clinical and laboratory parameters and visceral, subcutaneous, liver, and pancreatic fat were compared. RESULTS: Musclesen and Muscleres had similar body mass index and total fat (P > .16), but Musclesen had lower glycated hemoglobin (P < .001) and systolic (P = .01) and diastolic (P = .03) blood pressure (BP). Despite similar sc fat (P = 1), Musclesen had lower visceral (P < .001) and liver (P < .001) fat. Liversen had lower visceral (P < .01) and liver (P < .01) fat and C-reactive protein (P = .02) than Liverres. When subjects were grouped by both glucose infusion rate during the high-dose insulin clamp and endogenous glucose production suppression, insulin sensitivity at either muscle or liver conferred apparent protection from the adverse metabolic features that characterized subjects insulin resistant at both sites. High-density lipoprotein-cholesterol, 1-hour glucose, systolic BP, and triglycerides explained 54% of the variance in muscle insulin sensitivity. CONCLUSIONS: Obese subjects who were insulin sensitive at muscle and/or liver exhibited favorable metabolic features, including lower BP, liver and visceral adiposity. This study identifies factors associated with, and possibly contributing to, insulin sensitivity in obesity.


Subject(s)
Insulin Resistance , Obesity/physiopathology , Adipocytes/pathology , Adipocytes/ultrastructure , Adolescent , Adult , Aged , Blood Pressure , Body Mass Index , C-Reactive Protein/metabolism , Cholesterol, HDL/blood , Female , Glucose Clamp Technique , Humans , Hyperinsulinism/metabolism , Liver/metabolism , Male , Middle Aged , Muscles/metabolism , Pancreas/metabolism , Phenotype , Subcutaneous Fat/metabolism , Triglycerides/blood , Young Adult
7.
Endocrinology ; 132(1): 351-6, 1993 Jan.
Article in English | MEDLINE | ID: mdl-8419133

ABSTRACT

Recombinant human FSH (rhFSH) was obtained by expressing the human FSH alpha- and beta-subunit complementary DNAs in the chinese hamster ovary cell line. Isoforms of rhFSH were resolved into specific isoelectric (pI) fractions by chromatofocusing. rhFSH isoforms ranged from pI 3.0-5.5 with a modal value of pI 4.2. Analysis of the biological activity of specific pI isoforms of rhFSH was undertaken using both the rat granulosa cell aromatase (in vitro) bioassay and a RRA. More acidic isoforms (e.g. pI 3.5) showed significantly lower affinity (P < 0.05) for rat testicular FSH receptors than did the less acidic isoforms (e.g. pI 4.8). Consistent with the receptor binding affinity data, the more acidic fractions resulted in significantly less activation (P < 0.05) of rat granulosa cell aromatase activity, as measured by estrogen production, than did the less acidic isoforms. The observed bioactivities and their correlation with the pI values of the rhFSH isoforms are consistent with observations of differing bioactivities seen in both pituitary and urinary FSH isoforms. These results demonstrate that rhFSH, made in the chinese hamster ovary cell line, is both biologically active and has isoform profiles, and presumably carbohydrate structures, that closely resemble those seen in natural hFSH.


Subject(s)
Follicle Stimulating Hormone/chemistry , Animals , Aromatase/metabolism , Blotting, Western , CHO Cells , Cricetinae , Drug Stability , Female , Follicle Stimulating Hormone/genetics , Follicle Stimulating Hormone/pharmacology , Gene Expression , Granulosa Cells/drug effects , Humans , Isoelectric Focusing , Isoelectric Point , Male , Radioligand Assay , Rats , Rats, Wistar , Recombinant Proteins/chemistry , Transfection
8.
Free Radic Biol Med ; 31(2): 181-90, 2001 Jul 15.
Article in English | MEDLINE | ID: mdl-11440830

ABSTRACT

Mitochondrial bioenergetic function is often reported to decline with age and the accumulation of oxidative damage is thought to contribute. However, there are considerable uncertainties about the amount and significance of mitochondrial oxidative damage in aging. We hypothesized that, as radical production in mitochondria is greater than the rest of the cell, protein oxidative damage should accumulate more in mitochondria than the cytoplasm, and that this relative accumulation should increase with age. To test these hypotheses we measured the accumulation of three markers of protein oxidative damage in liver, brain, and heart from young and old rats. Ortho- and meta-tyrosine levels in protein hydrolysates were measured by a gas chromatography/mass spectrometry assay, and protein carbonyl content was determined by ELISA. Using these assays we found no evidence for increased protein oxidative damage in mitochondria relative to the cytosol. Most increases found in protein oxidative damage on aging were modest for all three tissues and there was no consistent pattern of increased oxidative damage in mitochondrial proteins on aging. Mitochondrial oxidative phosphorylation complex activities were also assessed revealing 39-42% decreases in F0F1--ATP synthase activity in liver and heart on aging, but not in other oxidative phosphorylation complexes. These findings have implications for the contribution of mitochondrial oxidative damage and dysfunction to aging.


Subject(s)
Aging/metabolism , Mitochondria/metabolism , Proteins/chemistry , Proteins/metabolism , Animals , Brain/metabolism , Energy Metabolism , Female , Free Radicals/metabolism , Mitochondria, Heart/metabolism , Mitochondria, Liver/metabolism , Oxidative Phosphorylation , Rats , Rats, Wistar , Tyrosine/analysis
9.
Int J Radiat Oncol Biol Phys ; 20(4): 689-96, 1991 Apr.
Article in English | MEDLINE | ID: mdl-2004945

ABSTRACT

Magnetic resonance imaging (MRI) and positron emission tomography (PET) techniques were used to obtain in vivo scans of delayed (30 GyE helium ion, 230 MeV/u) radiation injury in rabbit brain. T2-weighted (T2W) MRI scans demonstrated alterations that were restricted primarily to the white matter tracts and the deep perithalamic and thalamic regions. Quantitative measurements of T2 and T1 values demonstrated wide variations in absolute values. However, paired comparisons in hemibrain-irradiated rabbits revealed significant increases in T2 (p less than 0.001) and T1 (p less than 0.01) in irradiated versus unirradiated brain. Gadolinium DTPA (GdDTPA) enhanced MRI and 82Rubidium (82Rb) PET detected focal regions of blood-brain barrier (BBB) disruption restricted to the deep white matter and thalamic regions. Sequential GdDTPA enhanced MRI scans showed the spreading of the tracer from the initial site of contrast enhancement. 18Fluorodeoxyglucose (18FDG) PET studies demonstrated the markedly depressed metabolic profiles of irradiated brain. Histological findings of tissue edema and necrosis correlated well with the in vivo imaging abnormalities. These initial studies demonstrate that the irradiated rabbit brain is a suitable animal model for examining the delayed effects of radiation injury in the brain.


Subject(s)
Brain/radiation effects , Radiation Injuries, Experimental/pathology , Animals , Brain/diagnostic imaging , Brain/pathology , Contrast Media , Gadolinium , Gadolinium DTPA , Magnetic Resonance Imaging/methods , Male , Organometallic Compounds , Pentetic Acid , Rabbits , Radiation Injuries, Experimental/diagnostic imaging , Rubidium Radioisotopes , Tomography, Emission-Computed/methods
10.
J Mass Spectrom ; 32(4): 370-8, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9130395

ABSTRACT

Two-dimensional gel electrophoresis of any biological system presently resolves a plethora of highly purified proteins for which no function or identity has been determined. Theoretical and experimental data were used to demonstrate that peptide-mass fingerprinting (PMF) could aid in the recognition of conserved motifs across species boundaries, and thereby assist in attributing putative function to some of these molecules. Amino acids residue substitutions produced by biological diversity and phylogenetic distance combine to highlight regions of functional significance within proteins. Using 10 prokaryotic and two eukaryotic elongation factors (EF), up to 25 peptide fragments (> 800 Da) per molecule were compared across species boundaries within a 12 x 12 contingency table (66 cross-species comparisons), based upon the degree of molecular mass and amino acid sequence identity. Total amino acid sequence identity ranged from 29.4-80.9% for these molecules. Peptide fragments with homologous sequence across three or more EF were defined as containing, or being near to, conserved functional motifs. Twelve such fragments (> 800 Da) were found in this group of proteins. In addition, an 808.9 Da peptide of unknown functional significance was seen to occur in three of the 12 molecules studied and in another three EF-Tu molecules. At the 83% (five of six residues) identity level, this fragment was found in a further 35 EF-Tu molecules and in 14 unrelated proteins. Further investigation should reveal a role for this fragment (motif) in structural integrity or protein function. A FASTA search conducted on a peptide fragment containing a conserved GTP-binding motif (GHVDHGK) of EF-Tu from Euglena gracilis was used as an example to putatively attribute partial function to three hypothetical proteins derived from DNA sequencing initiatives.


Subject(s)
Peptides/analysis , Proteins/analysis , Amino Acid Sequence , Computer Communication Networks , Conserved Sequence , Hydrolysis , Mass Spectrometry , Molecular Sequence Data , Peptide Elongation Factor Tu/analysis , Trypsin
11.
Brain Res ; 504(1): 168-72, 1989 Dec 11.
Article in English | MEDLINE | ID: mdl-2598014

ABSTRACT

Focal heavy charged particle irradiation of the rabbit brain created defined lesions which were observable by nuclear magnetic resonance (NMR) and positron emission tomography (PET) imaging techniques. The lesions appeared approximately 9-11 months after left partial hemibrain irradiation with 30 Gy (230 MeV/u helium ions), and were restricted to the white matter tracts and deep perithalamic and thalamic regions. 82Rubidium PET and Gadolinium DTPA enhanced NMR imaging were used to detect blood-brain barrier perturbations. 18Fluordeoxyglucose PET studies demonstrated widespread decreases in cerebral glucose uptake in the cortex and thalamus of the irradiated hemisphere. NMR and PET imaging results correlated well with histological findings. Rabbits irradiated with 15 Gy did not demonstrate any abnormalities in the brain with sequential NMR scans through 14 months post-irradiation.


Subject(s)
Blood-Brain Barrier/radiation effects , Brain/metabolism , Glucose/metabolism , Magnetic Resonance Imaging , Radiation Injuries, Experimental/physiopathology , Animals , Brain/diagnostic imaging , Brain/radiation effects , Male , Rabbits , Radiation Injuries, Experimental/diagnosis , Radiation Injuries, Experimental/metabolism , Tomography, Emission-Computed
12.
Neurosci Lett ; 133(2): 225-8, 1991 Dec 09.
Article in English | MEDLINE | ID: mdl-1816501

ABSTRACT

The effects of the N-methyl-D-aspartate (NMDA) antagonist dextromethorphan (DM) on regional cerebral blood flow (rCBF) and cerebral injury were studied in a rabbit model of transient focal ischemia. Anesthetized rabbits underwent 2 h occlusion of the left internal carotid, middle cerebral and anterior cerebral artery, followed by 4 h of reperfusion. Ten minutes after the onset of ischemia they were treated with either i.v. DM 20 mg/kg followed by 10 mg/kg/h (n = 6) or normal saline (NS, n = 5). Control rabbits received DM (n = 3) or NS (n = 2) infusion without arterial occlusion. DM attenuated the sharp, post-ischemic rise in rCBF seen during reperfusion within the ischemic core of NS controls (DM 31% pre-ischemic value, NS 92%). DM also improved the delayed post-ischemic hypoperfusion compared with controls. DM infusion without arterial occlusion did not change rCBF values. Compared with NS controls, DM treated animals demonstrated recovery of the somatosensory evoked potential (DM 96% pre-ischemic values, NS 24%), 76% reduction in cortical edema and 92% decrease in cortical ischemic neuronal damage. We conclude that DM's effect on CBF may contribute to its neuroprotective action.


Subject(s)
Brain Edema/prevention & control , Cerebrovascular Circulation/drug effects , Dextromethorphan/pharmacology , Ischemic Attack, Transient/physiopathology , Animals , Brain/drug effects , Brain/pathology , Brain/physiopathology , Brain Edema/pathology , Dextromethorphan/therapeutic use , Electric Stimulation , Evoked Potentials, Somatosensory/drug effects , Ischemic Attack, Transient/drug therapy , Ischemic Attack, Transient/pathology , Magnetic Resonance Imaging , Male , Neurons/drug effects , Neurons/pathology , Rabbits , Reperfusion
13.
Article in English | MEDLINE | ID: mdl-12554133

ABSTRACT

Mass spectrometric analyses of the recombinant proteins in Eprex and Aranesp were undertaken with the goal of producing reference mass spectra and evaluating strategies to improve its applicability as a method for equine and canine doping control of these substances. A simple, low chemical noise deglycosylation reaction removed microheterogeneity due to post-translational carbohydrate attachment and both proteins were detectable using MALDI-TOF-MS. Deglycosylated human erythropoietin (hEPO) was also detected using HPLC-ESI-MS. This is the first time that spectra of deglycosylated Eprex and Aranesp have been published. Eight synthetic reference standards, which match peptides produced by endoproteinase Glu-C enzymatic cleavage of Aranesp and/or Eprex, were analysed by ESI-MS and ESI-MS-MS. The E12 Glu-C peptide, common to both proteins, was detected at the low femtomole-level using gradient nano-HPLC-ESI-MS-MS in the positive ion mode.


Subject(s)
Erythropoietin/analogs & derivatives , Erythropoietin/analysis , Caffeic Acids/analysis , Carbohydrates , Chromatography, High Pressure Liquid , Darbepoetin alfa , Disulfides/analysis , Doping in Sports , Glycosylation , Humans , Hydrolysis , Indicators and Reagents , Nanotechnology , Recombinant Proteins , Reference Standards , Spectrometry, Mass, Electrospray Ionization , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
14.
Neurol Res ; 15(3): 174-80, 1993 Jun.
Article in English | MEDLINE | ID: mdl-8103583

ABSTRACT

Although N-methyl-D-Aspartate (NMDA) antagonists protect against focal cerebral ischaemia, there is concern that the high doses necessary for neuroprotection may cause unacceptable adverse effects. We studied the dose response characteristics of the clinically available NMDA antagonist dextromethorphan in a rabbit model of transient focal ischaemia. Thirty-three anaesthetized rabbits underwent occlusion of the left internal carotid and anterior cerebral arteries for 1 h followed by 4.5 h of reperfusion. One hour after the onset of ischaemia, they were treated with an i.v. infusion of varying doses of dextromethorphan or normal saline. Seventeen additional unanaesthetized, nonischaemic rabbits received similar infusions of dextromethorphan to correlate brain with blood levels and to evaluate adverse effects. Rabbits with plasma dextromethorphan levels 500-1500 ng ml-1 had a 64% reduction in ischaemic neuronal damage (p < 0.05); those with levels > 1500 ng ml-1 showed 92% attenuation of neuronal damage and 65% decrease in ischaemic oedema (p < 0.01). Drug levels suggest that dextromethorphan's neuroprotection is not mediated by its active metabolite dextrorphan. Unanaesthetized rabbits with plasma levels > 2500 ng ml-1 demonstrated severe gait ataxia. These results demonstrate that systemic treatment with dextromethorphan after 1 h of focal ischaemia can significantly protect against cerebral damage if adequate plasma and brain levels are achieved. Dextromethorphan was concentrated 7-30 x in brain compared with plasma, and brain levels were highly correlated with plasma levels (r = 0.89). Neuroprotective doses of dextromethorphan were tolerated with only transient side effects.


Subject(s)
Brain Ischemia/drug therapy , Dextromethorphan/therapeutic use , Receptors, N-Methyl-D-Aspartate/antagonists & inhibitors , Animals , Ataxia/chemically induced , Brain Chemistry , Brain Edema/etiology , Brain Edema/prevention & control , Brain Ischemia/pathology , Dextromethorphan/pharmacokinetics , Dextromethorphan/pharmacology , Dextromethorphan/toxicity , Drug Evaluation, Preclinical , Magnetic Resonance Imaging , Male , Rabbits , Respiration Disorders/chemically induced
15.
Methods Inf Med ; 43(3): 247-55, 2004.
Article in English | MEDLINE | ID: mdl-15227554

ABSTRACT

OBJECTIVES: Sound medical decisions are easier for clinicians who have essential patient data in the right place at the right time. Our goal was to develop a usable form to guide clinical decisions and then test it using actual cases. METHODS: The authors designed a form to represent data from patients with chest pain; it was revised several times. We incorporated opinions from clinician-users as well as evidence from the literature to improve usability. To test the design, we filled out forms with actual patient data derived from Emergency Department charts of patients who presented with chest pain. We then validated the design by having house officer reviewers make the decision to admit, observe in the ER for one day, or discharge subjects based entirely on a one-page form. RESULTS: Thirty-three house officers reviewed our initial design and made suggestions. Our literature search yielded a number of factors discriminating ischemic from non-ischemic chest pain. Sixteen factors were included on a finalized form in the rank order assigned by reviewing physicians. Over 4 days, data from 29 subjects were used to fill out copies of the form. Based purely on the completed forms, house officers made decisions to admit, discharge, or observe all 29 subjects in less than 30 minutes. CONCLUSIONS: Forms have traditionally been employed to record and organize data. Here we show how principles of usability engineering can be used to create a form to meet the needs of users and even encourage evidence-based practice.


Subject(s)
Chest Pain/diagnosis , Decision Support Systems, Clinical , Emergency Service, Hospital , Hospital Information Systems , Medical Records Systems, Computerized , Medical Records, Problem-Oriented , Connecticut , Evidence-Based Medicine , Hospitals, University , Humans , Pain Measurement
16.
Transl Psychiatry ; 4: e477, 2014 Nov 04.
Article in English | MEDLINE | ID: mdl-25369144

ABSTRACT

Delirium is a common cause and complication of hospitalization in older people, being associated with higher risk of future dementia and progression of existing dementia. However relatively little data are available on which biochemical pathways are dysregulated in the brain during delirium episodes, whether there are protein expression changes common among delirium subjects and whether there are any changes which correlate with the severity of delirium. We now present the first proteomic analysis of delirium cerebrospinal fluid (CSF), and one of few studies exploring protein expression changes in delirium. More than 270 proteins were identified in two delirium cohorts, 16 of which were dysregulated in at least 8 of 17 delirium subjects compared with a mild Alzheimer's disease neurological control group, and 31 proteins were significantly correlated with cognitive scores (mini-mental state exam and acute physiology and chronic health evaluation III). Bioinformatics analyses revealed expression changes in several protein family groups, including apolipoproteins, secretogranins/chromogranins, clotting/fibrinolysis factors, serine protease inhibitors and acute-phase response elements. These data not only provide confirmatory evidence that the inflammatory response is a component of delirium, but also reveal dysregulation of protein expression in a number of novel and unexpected clusters of proteins, in particular the granins. Another surprising outcome of this work is the level of similarity of CSF protein profiles in delirium patients, given the diversity of causes of this syndrome. These data provide additional elements for consideration in the pathophysiology of delirium as well as potential biomarker candidates for delirium diagnosis.


Subject(s)
Alzheimer Disease/cerebrospinal fluid , Cerebrospinal Fluid Proteins/analysis , Delirium/cerebrospinal fluid , Proteomics/methods , Aged , Aged, 80 and over , Biomarkers/cerebrospinal fluid , Female , Humans , Male
17.
Ageing Res Rev ; 12(4): 867-83, 2013 Sep.
Article in English | MEDLINE | ID: mdl-23831960

ABSTRACT

Alzheimer's disease (AD) is characterised by extracellular amyloid deposits, neurofibrillary tangles, synaptic loss, inflammation and extensive oxidative stress. Polyphenols, which include resveratrol, epigallocatechin gallate and curcumin, have gained considerable interest for their ability to reduce these hallmarks of disease and their potential to slow down cognitive decline. Although their antioxidant and free radical scavenging properties are well established, more recently polyphenols have been shown to produce other important effects including anti-amyloidogenic activity, cell signalling modulation, effects on telomere length and modulation of the sirtuin proteins. Brain accessible polyphenols with multiple effects on pathways involved in neurodegeneration and ageing may therefore prove efficacious in the treatment of age-related diseases such as AD, although the evidence for this so far is limited. This review aims to explore the known effects of polyphenols from various natural and synthetic sources on brain ageing and neurodegeneration, and to examine their multiple mechanisms of action, with an emphasis on the role that the sirtuin pathway may play and the implications this may have for the treatment of AD.


Subject(s)
Alzheimer Disease/metabolism , Polyphenols/physiology , Polyphenols/therapeutic use , Signal Transduction/physiology , Sirtuins/physiology , Alzheimer Disease/drug therapy , Alzheimer Disease/pathology , Amyloid beta-Peptides/metabolism , Animals , Humans , Longevity/drug effects , Longevity/physiology , Polyphenols/pharmacology , Signal Transduction/drug effects
19.
Anal Chem ; 70(5): 890-6, 1998 Mar 01.
Article in English | MEDLINE | ID: mdl-21644620

ABSTRACT

Amino acid analysis (AAA) is a useful aid in protein chemistry, but its routine application is limited by a modest limit of detection. Typically, 10 pmol of material is required, but even at this level the reproducibility can be poor. We have employed isotope dilution gas chromatography electron capture negative ionization mass spectrometry (GC/ECNI/MS) to provide accurate and reliable data on less than 100 fmol of material. Precision and accuracy are good, and all 20 non-hydrolyzed amino acids can be determined in this manner. The protein is hydrolyzed (HCl), and then a cocktail, composed of all 20 amino acids as stable isotope-labeled forms (i.e., (13)C and (2)H), is added. The mixture of protein-derived and stable isotope-labeled amino acids is then converted to volatile electron-capturing derivatives with a multistep approach employing heptafluorobutyric anhydride (HFBA), pentafluorobenzyl bromide (PFBBr), and N,O-bis(trimethylsilyl)trifluoroacetamide (BSTFA). These derivatives are then injected directly into the GC/MS system. Groups of selected ions, characteristic of each derivatized amino acid, are thereafter monitored at appropriate time intervals. The ratios of the ion current for the selected ions for the native amino acid and its labeled form are determined and converted to absolute amounts of the native amino acids in the protein hydrolyzate by reference to standard samples prepared at the time of the analysis.

20.
J Ultrasound Med ; 10(11): 625-8, 1991 Nov.
Article in English | MEDLINE | ID: mdl-1811080

ABSTRACT

The presence of gas within the appendix on plain abdominal radiographs is nonspecific and may or may not be associated with acute appendicitis. This finding, however, has not previously been reported with graded compression sonography of the right lower quadrant. Gas within the appendix was identified in four of 154 patients with a visualized appendix. All four patients had surgically confirmed acute appendicitis. Diagnostic difficulties were encountered in three of these four patients. In two patients, the findings were misinterpreted as an extraluminal gas-forming periappendiceal abscess. In an additional patient, the gas-filled appendix was initially mistaken for a segment of normal terminal ileum. The gas-filled appendix is a potential pitfall in the sonographic diagnosis of acute appendicitis. However, if other diagnostic criteria are met, gas within the appendix should not preclude establishing a sonographic diagnosis of appendicitis.


Subject(s)
Appendicitis/diagnostic imaging , Gases , Acute Disease , Appendicitis/physiopathology , Appendicitis/surgery , Appendix/physiopathology , Diagnostic Errors , Humans , Retrospective Studies , Ultrasonography
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