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1.
Vet Pathol ; 52(4): 692-5, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-25428407

RESUMEN

A 7-year-old Afghan hound presented with a history of disorientation, loss of vision, and seizures. Magnetic resonance imaging helped identify a mass at the level of the main olfactory bulb that compressed and displaced adjacent tissues in the cribriform plate into the nasal cavity and nasopharynx. Bony structures were osteolytic. After removing almost 80% of the mass, the tumor recurred a few months later. Due to severe respiratory distress and subsequent to an ultrasound diagnosis of a liver tumor, the dog was euthanized. In addition to the nasal mass, a single nodule in the liver and multiple nodules in the lung were present. All masses had similar cell morphology and were diagnosed as metastasizing esthesioneuroblastoma. The neoplastic cells expressed neuron-specific enolase and chromogranin A, and a few cells within the nasal mass were positive for cytokeratin. This is the first description of a canine esthesioneuroblastoma with distant metastases.


Asunto(s)
Enfermedades de los Perros/patología , Estesioneuroblastoma Olfatorio/veterinaria , Neoplasias Hepáticas/veterinaria , Neoplasias Pulmonares/veterinaria , Cavidad Nasal/patología , Neoplasias Nasales/veterinaria , Animales , Cerebro/patología , Cromogranina A/metabolismo , Enfermedades de los Perros/metabolismo , Perros , Estesioneuroblastoma Olfatorio/patología , Estesioneuroblastoma Olfatorio/secundario , Queratinas/metabolismo , Hígado/patología , Neoplasias Hepáticas/patología , Neoplasias Hepáticas/secundario , Pulmón/patología , Neoplasias Pulmonares/patología , Neoplasias Pulmonares/secundario , Masculino , Recurrencia Local de Neoplasia , Neoplasias Nasales/patología , Fosfopiruvato Hidratasa/metabolismo
2.
J Oral Rehabil ; 41(8): 573-80, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24766672

RESUMEN

The aim was to determine predictors for the development of complaints of temporomandibular disorders (TMD) in a large sample of Dutch scuba divers who were free of any TMD complaints before they started diving actively. Five-hundred and thirty-six scuba divers (mean ± SD age = 40.4 ± 11.9 years; 34.1% women) completed a specifically developed questionnaire, either online or on paper. Stepwise forward logistic regression analysis was performed to predict the presence of TMD pain, with several potential risk factors as predictors. Four hundred and eighty-five of the 536 respondents were free of any TMD pain before they started diving actively. In this sample, TMD pain was present in 214 persons (44.1%). Four predictors contributed significantly to the presence of TMD pain, viz., clenching (OR = 2.466), warm water (OR = 1.685), biting on the mouthpiece (OR = 1.598), and the quality rating of the mouthpiece (OR = 0.887, that is, a higher rating means a smaller odds of having TMD pain). TMD pain is a common complaint among scuba divers who were free of such complaints before they started diving actively. Clenching, biting on the mouthpiece, and a low rating of the mouthpiece are predictors for the presence of TMD pain in scuba divers, while diving in cold water serves as a protective factor for TMD pain.


Asunto(s)
Fuerza de la Mordida , Buceo/efectos adversos , Trastornos de la Articulación Temporomandibular/etiología , Adulto , Diseño de Equipo , Femenino , Humanos , Masculino , Estudios Prospectivos , Factores de Riesgo , Equipo Deportivo , Encuestas y Cuestionarios , Trastornos de la Articulación Temporomandibular/epidemiología , Trastornos de la Articulación Temporomandibular/fisiopatología
3.
Ann Nutr Metab ; 60 Suppl 3: 8-17, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22614814

RESUMEN

Sufficient nutritional supply with polyunsaturated fatty acids (PUFAs) has long been considered as beneficial for child health, especially in regard to neuronal development and allergic diseases. In recent years, genetic association studies showed that in addition to nutritional influences, the genetic background is highly important for PUFA composition in human tissues. Specifically, polymorphisms in the fatty acid desaturase genes or FADS determine the efficiency of how PUFAs are processed endogenously. Recent gene-nutrition interaction studies suggest that these polymorphisms modulate the effect of nutritional fatty acid intake on complex phenotypes such as cognitive outcomes and asthma risk in children. These early results may provide the basis for future well-specified dietary recommendations to achieve optimal health benefit for all children. This article presents results from recent gene-nutrition interaction studies, discusses its implications for child health, and gives an outlook how this association might translate into clinical practice in the future.


Asunto(s)
Desarrollo Infantil , Ácido Graso Desaturasas/genética , Ácidos Grasos Insaturados/metabolismo , Promoción de la Salud , Polimorfismo Genético , Asma/genética , Asma/metabolismo , Asma/prevención & control , Niño , Trastornos del Conocimiento/genética , Trastornos del Conocimiento/metabolismo , Trastornos del Conocimiento/prevención & control , Grasas de la Dieta/administración & dosificación , Grasas de la Dieta/efectos adversos , Ácido Graso Desaturasas/metabolismo , Ácidos Grasos Insaturados/administración & dosificación , Predisposición Genética a la Enfermedad , Promoción de la Salud/tendencias , Humanos , Nutrigenómica/tendencias , Medicina de Precisión/tendencias
4.
Sustain Sci ; 17(5): 2013-2029, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35340343

RESUMEN

Forests are key components of European multifunctional landscapes and supply numerous forest ecosystem services (FES) fundamental to human well-being. The sustainable provision of FES has the potential to provide responses to major societal challenges, such as climate change, biodiversity loss, or rural development. To identify suitable strategies for the future sustenance of FES, we performed a solution scanning exercise with a group of transdisciplinary forest and FES experts from different European regions. We identified and prioritized fifteen major challenges hindering the balanced provision of multiple FES and identified a series of potential solutions to tackle each of them. The most prominent challenges referred to the increased frequency and impacts of extreme weather events and the normative mindset regarding forest management. The respective solutions pointed to the promotion of forest resilience via climate-smart forestry and mainstreaming FES-oriented management through a threefold strategy focusing on education, awareness raising, and networking. In a subsequent survey, most solutions were assessed as highly effective, transferable, monitorable, and with potential for being economically efficient. The implementation of the solutions could have synergistic effects when applying the notion of leverage points. Seven emerging pathways towards the sustainable supply of FES have been identified. These pathways build on each other and are organized based on their potential for transformation: (1) shifting forest management paradigms towards pluralistic ecosystem valuation; (2) using integrated landscape approaches; (3) increasing forest resilience; (4) coordinating actions between forest-related actors; (5) increasing participation in forest planning and management; (6) continuous, open, and transparent knowledge integration; and (7) using incentive-based instruments to support regulating and cultural FES. These pathways can contribute to the implementation of the new EU Forestry Strategy to support the balanced supply of multiple FES. Supplementary Information: The online version contains supplementary material available at 10.1007/s11625-022-01111-4.

5.
Science ; 248(4954): 495-8, 1990 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-2158673

RESUMEN

In Drosophila three maternal pattern organizing activities, the anterior, the posterior, and the terminal, establish the anterior-posterior body pattern of the embryo by initiating the spatially restricted activities of the gap class of zygotic segmentation genes. The activities of tailless (tll) and the newly identified gap gene huckebein (hkb) are specifically involved in mediating the maternal terminal information at the posterior end of the blastoderm embryo.


Asunto(s)
Blastodermo/fisiología , Drosophila/genética , Genes/fisiología , Animales , Diferenciación Celular , Drosophila/embriología , Femenino , Expresión Génica , Genotipo , Mutación , Fenotipo , Proteínas Tirosina Quinasas/genética , Receptores de Superficie Celular/genética , Supresión Genética
6.
Genetics ; 154(1): 273-84, 2000 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10628987

RESUMEN

The specific functions of gene products frequently depend on the developmental context in which they are expressed. Thus, studies on gene function will benefit from systems that allow for manipulation of gene expression within model systems where the developmental context is well defined. Here we describe a system that allows for genetically controlled overexpression of any gene of interest under normal physiological conditions in the early Drosophila embryo. This regulated expression is achieved through the use of Drosophila lines that express a maternal mRNA for the yeast transcription factor GAL4. Embryos derived from females that express GAL4 maternally activate GAL4-dependent UAS transgenes at uniform levels throughout the embryo during the blastoderm stage of embryogenesis. The expression levels can be quantitatively manipulated through the use of lines that have different levels of maternal GAL4 activity. Specific phenotypes are produced by expression of a number of different developmental regulators with this system, including genes that normally do not function during Drosophila embryogenesis. Analysis of the response to overexpression of runt provides evidence that this pair-rule segmentation gene has a direct role in repressing transcription of the segment-polarity gene engrailed. The maternal GAL4 system will have applications both for the measurement of gene activity in reverse genetic experiments as well as for the identification of genetic factors that have quantitative effects on gene function in vivo.


Asunto(s)
Drosophila/genética , Embrión no Mamífero , Proteínas de Saccharomyces cerevisiae , Animales , Proteínas de Unión al ADN , Drosophila/embriología , Proteínas Fúngicas/genética , Regulación de la Expresión Génica , Vectores Genéticos , Impresión Genómica , Fenotipo , Regiones Promotoras Genéticas , ARN Mensajero/genética , Factores de Transcripción/genética , Transgenes
7.
Mech Dev ; 43(1): 3-19, 1993 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8240970

RESUMEN

The runt gene plays an important role in the genetic hierarchy that generates the segmented body pattern during the early stages of Drosophila embryogenesis. We studied mRNA expression in mutant embryos in order to investigate the regulation of runt transcription during these stages. We used sensitive whole-mount in situ hybridization procedures to identify the earliest, and therefore most likely direct regulatory effects. There are several distinct phases of runt expression in the early embryo. We find that each phase depends on a different set of regulators. The first phase of expression is a broad-field of mRNA accumulation in the central regions of syncytial blastoderm stage embryos. This pattern is due to terminal repression by the anterior and terminal maternal systems. The effect of the terminal system, even at this early stage, is mediated by two zygotic gap genes, tailless and huckebein. A 7 stripe pattern of runt mRNA accumulation emerges during the process of cellularization. The initial formation of this pattern depends on position-specific repression by zygotic gap genes. Examination of the early RNA patterns of the pair-rule genes even-skipped, hairy, and fushi tarazu indicate that they are also regulated in a similar manner. Three pair-rule genes, hairy, even-skipped, and runt itself, also affect runt's 7 stripe pattern. The effects of runt are stripe specific; the effects of hairy are more uniform; and the patterns obtained in even-skipped mutant embryos show a combination of both stripe specific and uniform regulatory effects. A third distinct phase of expression occurs at the onset of gastrulation when runt becomes expressed in 14 stripes. fushi tarazu plays a negative regulatory role in generating this pattern, whereas the pair-rule genes paired and odd-paired are required for activating or maintaining runt expression during these stages.


Asunto(s)
Proteínas de Unión al ADN/fisiología , Drosophila melanogaster/genética , Regulación de la Expresión Génica , Genes de Insecto , Genes Reguladores , Transcripción Genética , Alelos , Animales , Proteínas de Unión al ADN/genética , Proteínas de Drosophila , Drosophila melanogaster/embriología , Embrión no Mamífero/metabolismo , Embrión no Mamífero/ultraestructura , Desarrollo Embrionario , Hibridación in Situ , Morfogénesis/genética , Proteínas Nucleares , ARN Mensajero/análisis , ARN Mensajero/genética , Factores de Transcripción , Cigoto/metabolismo
8.
Mech Dev ; 80(1): 87-99, 1999 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10096066

RESUMEN

Pair-rule genes serve two important functions during Drosophila development: they first initiate periodic patterns, and subsequently interact with each other to refine these patterns to the precision required for definition of segmental compartments. Previously, we described a pair-rule input region of the runt gene. Here we further characterize this region through the use of reporter gene constructs and by comparison with corresponding sequences from Drosophila virilis. We find that many but not all regulatory properties of this '7-stripe region' are functionally conserved. Moreover, the similarity between these homologous sequences is surprisingly low. When compared to similar data for gap gene input element, our data suggest that pair-rule target sequences are less constrained during evolution, and that functional elements mediating pair-rule interactions can be dispersed over many kilobases.


Asunto(s)
Tipificación del Cuerpo , Proteínas de Unión al ADN/genética , Proteínas de Drosophila , Drosophila melanogaster/embriología , Drosophila/embriología , Secuencias Reguladoras de Ácidos Nucleicos , Animales , Secuencia de Bases , Factores de Transcripción con Motivo Hélice-Asa-Hélice Básico , Secuencia Conservada , Genes Reporteros , Proteínas de Homeodominio/metabolismo , Hibridación in Situ , Proteínas de Insectos/metabolismo , Modelos Genéticos , Datos de Secuencia Molecular , Proteínas Nucleares , Proteínas Represoras/metabolismo , Análisis de Secuencia de ADN , Homología de Secuencia de Ácido Nucleico , Transactivadores/metabolismo , Factores de Transcripción
9.
Lipids ; 38(5): 561-6, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12880113

RESUMEN

Data on FA contents in the human placenta are limited. Different methods have been used for the FA analysis, and only percentage results have been presented. We developed and evaluated a method for the determination of FA concentrations in placental tissue. Lipids were extracted from placental tissue with a chloroform/methanol mixture; and phospholipids (PL), nonesterified FA (NEFA), TG, and cholesterol esters (CE) were isolated by TLC. Individual lipid fractions were derivatized with methanolic hydrochloric acid, and the FAME were quantified by GC with FID. The CV of intra-assay (n = 8) of absolute concentrations were evaluated for FA showing a tissue content > 0.01 mg/g. CV ranges were 4.6-11.0% for PL, 6.4-9.3% for NEFA, 6.1-8.9% for TG, and 11.4-16.3% for CE. The relative FA composition across a term placenta indicated no differences between samples of central and peripheral locations of maternal and fetal site (CV 0.5-9.9%), whereas the absolute FA concentrations were only reproducible in the PL fraction (CV 7.0-12.8%). The method shows a reasonably high precision that is well suited for physiological and nutritional studies.


Asunto(s)
Ácidos Grasos/análisis , Lípidos/química , Placenta/química , Hidroxitolueno Butilado/farmacología , Técnicas de Química Analítica/métodos , Ésteres del Colesterol/química , Ácidos Grasos Monoinsaturados/análisis , Ácidos Grasos no Esterificados/química , Ácidos Grasos Insaturados/análisis , Femenino , Humanos , Lípidos/aislamiento & purificación , Oxidación-Reducción/efectos de los fármacos , Fosfolípidos/química , Embarazo , Reproducibilidad de los Resultados , Triglicéridos/química
13.
Semin Cell Biol ; 1(3): 151-60, 1990 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-2103886

RESUMEN

The components specifying the spatial coordinates of the Drosophila embryo are deposited in the egg during oogenesis. Three maternal pathways control the pattern of the embryo along its antero-posterior axis. Genetic and molecular analysis has identified the key-genes in each of these pathways: (1) the bicoid gene encodes an anterior signal in the embryo that directs head and thorax formation via transcriptional activation of anteriorly expressed zygotic genes. (2) A posterior signal, the nanos gene product, antagonizes an inhibitor of abdominal development, hunchback, by translational regulation. (3) A terminal signal controls development at both poles of the embryo. It is probably induced by the somatic follicle cells and transmitted to the embryo via a membrane bound receptor encoded by the gene torso. Other maternal genes function in the localization of these signals or in signal transduction.


Asunto(s)
Drosophila/embriología , Proteínas de Homeodominio , Transactivadores , Animales , Drosophila/genética , Proteínas de Drosophila , Genes , Hormonas de Insectos/genética , Morfogénesis/genética
14.
Dev Genes Evol ; 208(10): 558-68, 1998 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9811974

RESUMEN

Early pattern formation in the Drosophila embryo occurs in a syncytial blastoderm where communication between nuclei is unimpeded by cell walls. During the development of other insects, similar gene expression patterns are generated in a cellular environment. In Tribolium, for instance, pair-rule stripes are transiently expressed near the posterior end of the growing germ band. To elucidate how pattern formation in such a situation deviates from that of Drosophila, functional data about the genes involved are essential. In a genetic screen for Tribolium mutants affecting the larval cuticle pattern, we isolated 4 mutants (from a total of 30) which disrupt segmentation in the thorax and abdomen. Two of these mutants display clear pair-rule phenotypes. This demonstrates that not only the expression, but also the function of pair-rule genes in this short-germ insect is in principle similar to Drosophila. The other two mutants appear to identify gap genes. They provide the first evidence for the involvement of gap genes in abdominal segmentation of short-germ embryos. However, significant differences between the phenotypes of these mutants and those of known Drosophila gap mutants exist which indicates that evolutionary changes occurred in either the regulation or action of these genes.


Asunto(s)
Genes de Insecto , Mutación , Tribolium/embriología , Tribolium/genética , Animales , Tipificación del Cuerpo/genética , Drosophila/embriología , Drosophila/genética , Drosophila/crecimiento & desarrollo , Regulación del Desarrollo de la Expresión Génica , Fenotipo , Especificidad de la Especie , Tribolium/crecimiento & desarrollo
15.
Nature ; 335(6187): 275-7, 1988 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-3412488

RESUMEN

The formation of the unsegmented terminal regions of the Drosophila larva, acron and telson requires the function of at least five maternal genes (terminal genes class). In their absence, the telson and acron are not formed. One of them, torso (tor), has gain-of-function alleles which have an opposite phenotype to the lack-of-function (tor-) alleles: the segmented regions of the larval body, thorax and abdomen, are missing, whereas the acron is not affected and the telson is enlarged. In strong gain-of-function mutants, the pair-rule gene fushi tarazu (ftz) is not expressed, demonstrating the suppression of the segmentation process in an early stage of development. The tor gain-of-function effect is neutralized, and segmentation is restored in double mutants with the zygotic gene tailless (tll), which has a phenotype similar (but not identical) to that of tor-. This suggests that tor acts through tll, and that in the gain-of-function alleles of tor, the tll gene product is ectopically expressed at middle positions of the embryo, where it inhibits the expression of segmentation genes like ftz.


Asunto(s)
Drosophila/genética , Animales , Drosophila/embriología , Genes , Morfogénesis , Mutación
16.
Dev Biol ; 177(1): 73-84, 1996 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-8660878

RESUMEN

The segmented body pattern of the Drosophila embryo is established through a hierarchical network of interacting genes. At each successive step in this pathway, transcriptional regulation is used to convert coarse positional information into finer patterns of gene expression. Central to this process are the cis-regulatory regions that drive the dynamic spatial expression of the different segmentation genes. Here we describe the cis-regulatory region of the runt gene. As found for both other primary pair-rule genes, hairy and even-skipped, there are stripe-specific elements which mediate the initial regulation of runt stripes by gap genes. We did not find autoregulatory elements as described for even-skipped and fushi tarazu. The regulation of runt by other pair-rule genes is mediated by a large region, extending over 5 kb upstream and downstream of the transcription start site. This "disperse" element cannot be subdivided into functionally independent subelements or minimal elements. Such disperse elements mediating pair-rule gene interactions may have escaped detection in other segmentation genes and may involve molecular mechanisms different from those mediating regulation by gap genes.


Asunto(s)
Proteínas de Unión al ADN/genética , Drosophila/embriología , Regulación del Desarrollo de la Expresión Génica/genética , Animales , Conexinas/genética , Drosophila/genética , Proteínas de Drosophila , Embrión no Mamífero/embriología , Uniones Comunicantes/genética , Genes de Insecto , Genes Reporteros/genética , Hibridación in Situ , Proteínas Nucleares , Regiones Promotoras Genéticas , ARN Mensajero/análisis , Secuencias Reguladoras de Ácidos Nucleicos , Factores de Transcripción/genética
17.
Infect Immun ; 67(10): 5083-90, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10496881

RESUMEN

The Clostridium botulinum C2 toxin ADP-ribosylates monomeric actin, thereby inducing disassembly of actin filaments, alteration of focal adhesions, and rounding of cells. After treatment with C2 toxin, cells stop to proliferate but remain viable for about 2 days. In view of reported correlations between the structure of the actin cytoskeleton and cell cycle transition, the effects of C2 toxin on the G(2)/M phase transition of the cell division cycle were studied. Since C2 toxin delayed entry into mitosis in HeLa cells, those enzymes which control entry into mitosis, the cyclin-dependent protein kinase mitosis-promoting factor (MPF) and the phosphatase cdc25-C were examined after treatment of synchronized cells with C2 toxin. MPF is composed of the regulatory cyclin B and the enzymatic p34cdc2 kinase subunits. For its activation at the G2/M border, p34cdc2 needs to be associated with cyclin B and additionally dephosphorylated at Tyr-15 by the specific phosphatase cdc25-C. Treatment of synchronized cells in S or G2 phase with C. botulinum C2 toxin prevented p34cdc2 protein kinase activation by inhibiting its tyrosine dephosphorylation at the G2/M border. Furthermore, the activity of cdc25-C phosphatase was decreased after treatment of cells with C2 toxin. Our results suggest that the prevented activation of the mitotic inducers p34cdc2 kinase and cdc25-C phosphatase represents the final downstream events in the action of C2 toxin resulting in a G(2) phase cell cycle delay in synchronized HeLa cells.


Asunto(s)
Toxinas Botulínicas/toxicidad , Proteína Quinasa CDC2/metabolismo , Proteínas de Ciclo Celular/metabolismo , Mitosis/efectos de los fármacos , Fosfoproteínas Fosfatasas/metabolismo , Fosfatasas cdc25 , Activación Enzimática/efectos de los fármacos , Fase G2/efectos de los fármacos , Células HeLa , Humanos , Fosforilación , Tirosina/metabolismo
18.
Dev Genes Evol ; 209(6): 382-9, 1999 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10370121

RESUMEN

Due to its small size, short life cycle, and easy maintenance, the flour beetle Tribolium castaneum is well suited for the genetic analysis of development. One drawback of Tribolium as a genetic system is, however, the difficulty of keeping embryonic lethal lines. Presently, only few lethal mutations can be kept as balanced stocks. Therefore, heterozygous carriers must be identified anew in every generation in order to maintain a recessive embryonic mutation. To alleviate this problem we have devised a block system that allows the simultaneous processing of many mutant lines or test crosses for visual inspection of larval cuticle phenotypes. Using this technique, one person can maintain about 100 embryonic lethal stocks, which makes feasible the thorough genetic analysis of embryogenesis in this species.


Asunto(s)
Genes Letales/genética , Tribolium/genética , Animales , Cruzamientos Genéticos , Embrión no Mamífero , Femenino , Heterocigoto , Masculino , Métodos , Mutación , Selección Genética , Tribolium/embriología
19.
Nature ; 346(6285): 660-3, 1990 Aug 16.
Artículo en Inglés | MEDLINE | ID: mdl-2385293

RESUMEN

The torso (tor) gene, one of six identified maternal genes essential for the development of the anterior and posterior terminal structures in the Drosophila embryo, is likely to function as a transmembrane receptor tyrosine kinase. Although tor protein is uniformly distributed in the membrane of the egg cell and syncytial embryo, genetic and molecular data suggest that tor is locally activated at the ends of the embryo by a ligand present in the perivitelline space. Local activation of tor could be achieved if the ligand were expressed by a subpopulation of the follicle cells that surround the developing oocyte. Here we describe torso-like (tsl), the sixth member of the terminal gene class, and show that it is unique among these genes in that its expression is required in the somatic follicle cells rather than in the germ line. Moreover, mosaic analysis demonstrates that tsl expression is necessary only in subpopulations of follicle cells located at the poles of the oocyte. Thus, the spatially regulated expression of tsl in the follicle cell layer may generate a localized signal that is transduced by tor, ultimately resulting in the formation of the terminal structures of the embryo.


Asunto(s)
Drosophila/embriología , Regulación de la Expresión Génica , Genes , Animales , Corion/anatomía & histología , Drosophila/anatomía & histología , Drosophila/genética , Femenino , Larva/anatomía & histología , Mosaicismo , Mutación , Ovario/citología , Ovario/metabolismo , Fenotipo , Transducción de Señal
20.
Eur J Pediatr ; 151(10): 775-8, 1992 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-1425802

RESUMEN

Therapy of steroid-dependent idiopathic nephrotic syndrome is often unsatisfactory. Since 1986 we have treated nine children (six male and three female), aged 3-16 years, with cyclosporin A (CsA) during 2.0-5.2 (median 3.1) years. All had minimal change disease on renal biopsy and had previously received cyclophosphamide. Mean daily dosage of CsA was 4.1 mg/kg (range 2.7-5.8) and mean whole blood trough level was 220 ng/ml (range 141-271). The relapse rate decreased from 3.4/patient year before CsA to 0.55 on CsA. Discontinuation of CsA or reduction below 2 mg/kg daily was always followed by a relapse. The overall relapse rate, including the period with very low-dose CsA, was 0.95/patient year. Four patients required additional low-dose alternate-day prednisone. Repeat renal biopsy showed minimal change disease in eight patients and focal segmental glomerulosclerosis in one; CsA-toxicity was mild in two and moderate in one. The latter was the only patient with slightly reduced glomerular filtration rate. Two boys with delayed puberty spontaneously matured and reached expected final height. We conclude that long-term low-dose CsA is very effective and steroid-sparing. Its use is justified in selected patients, particularly in those with numerous relapses and in male patients before and during puberty, as long as renal function and CsA-toxicity are carefully monitored.


Asunto(s)
Ciclosporina/administración & dosificación , Síndrome Nefrótico/tratamiento farmacológico , Adolescente , Niño , Preescolar , Ciclosporina/uso terapéutico , Esquema de Medicación , Femenino , Estudios de Seguimiento , Humanos , Masculino , Síndrome Nefrótico/metabolismo , Prednisona/uso terapéutico , Recurrencia
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