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1.
Science ; 286(5439): 552-5, 1999 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-10521354

RESUMO

Covalent intermediates between topoisomerase I and DNA can become dead-end complexes that lead to cell death. Here, the isolation of the gene for an enzyme that can hydrolyze the bond between this protein and DNA is described. Enzyme-defective mutants of yeast are hypersensitive to treatments that increase the amount of covalent complexes, indicative of enzyme involvement in repair. The gene is conserved in eukaryotes and identifies a family of enzymes that has not been previously recognized. The presence of this gene in humans may have implications for the effectiveness of topoisomerase I poisons, such as the camptothecins, in chemotherapy.


Assuntos
Reparo do DNA , DNA Topoisomerases Tipo I/metabolismo , DNA Fúngico/metabolismo , Diester Fosfórico Hidrolases/genética , Saccharomyces cerevisiae/genética , Sequência de Aminoácidos , Animais , Camptotecina/farmacologia , DNA Topoisomerases Tipo I/genética , Etiquetas de Sequências Expressas , Genes Fúngicos , Humanos , Dados de Sequência Molecular , Mutação , Diester Fosfórico Hidrolases/química , Diester Fosfórico Hidrolases/metabolismo , Saccharomyces cerevisiae/efeitos dos fármacos , Saccharomyces cerevisiae/enzimologia , Alinhamento de Sequência
2.
Trends Biochem Sci ; 15(6): 222-7, 1990 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2166364

RESUMO

Integration of the DNA of bacteriophage lambda into the chromosome of E. coli depends on the formation of a complex nucleoprotein array at a specific locus on the phage genome, the attachment site. Recent work shows how bending of this DNA (induced by a specific DNA-binding protein), and strain in this DNA (induced by supercoiling) contribute to the formation of the nucleoprotein structure. Further, there are new insights into the way this structure directs critical events during recombination.


Assuntos
Sítios de Ligação Microbiológicos , Bacteriófago lambda/genética , DNA Nucleotidiltransferases/genética , DNA Super-Helicoidal/fisiologia , DNA Viral/fisiologia , Lisogenia , Proteínas de Bactérias/genética , Bacteriófago lambda/enzimologia , DNA Nucleotidiltransferases/metabolismo , Elementos de DNA Transponíveis , Escherichia coli , Integrases , Fatores Hospedeiros de Integração , Modelos Moleculares , Conformação de Ácido Nucleico
3.
Curr Biol ; 5(11): 1312-21, 1995 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-8574589

RESUMO

BACKGROUND: A fundamental feature of bacteriophage lambda site-specific recombination is the strict requirement for a region of sequence identity between recombining DNA duplexes. It has been difficult to understand how the recombination machinery identifies and responds to nonhomologies as subtle as a single base-pair substitution, because the reaction intermediates are transient and there are likely to be several different homology-dependent steps. In order to understand better how the recombination machinery compares parental sequences, we have used the recently developed 'suicide substances'--DNA containing 5'-bridging phosphorothioate linkages--to monitor the timing of homology-sensing relative to the strand cleavage reactions. RESULTS: The cleavage reactions for the two different strands of attB, the bacterial recombination locus for lambda integration, show very different degrees of dependence on homology with the partner locus, attP. Strand cleavage at the B binding site for Int recombinase is insensitive to homology. In contrast, cleavage at the B' binding site strongly depends on homology in the three base pairs adjacent to the B site. Strand cleavage at the B site is apparently required for the readout of this homology but, surprisingly, joining of the cleaved B site to a partner is not. CONCLUSIONS: Our finding that cleavage at the B site is insensitive to homology shows that effective synapsis between partners does not depend on sequence matching. Cleavage at the B' site provides the earliest positive signal for a homology-dependent switch in the lambda recombination machinery. Because this switch can occur in the absence of strand joining, the results argue against models that invoke strand ligation as the critical element of homology-sensing. Alternative mechanisms are presented that involve varieties of non-covalent strand swapping. A synthesis of the present results and other recent experiments highlights the importance of the disannealing of complementary strands and their reannealing to new partners, a process traditionally described as branch migration. The reversibility of branch migration and its bias away from mismatched combinations are proposed to be the major mechanisms of homology-sensing during lambda integration.


Assuntos
Bacteriófago lambda/genética , DNA Nucleotidiltransferases/metabolismo , DNA Viral/metabolismo , Integração Viral , Sequência de Bases , Sítios de Ligação , Integrases , Dados de Sequência Molecular , Recombinação Genética
4.
Curr Biol ; 4(6): 477-87, 1994 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-7922368

RESUMO

BACKGROUND: Escherichia coli integration host factor (IHF) is a DNA-binding protein that participates in a wide variety of biochemical functions. In many of its activities, IHF appears to act as an architectural element, dramatically distorting the conformation of bound DNA. IHF is a dimer of non-identical subunits, each about 90 amino acids long. One dimer interacts specifically with a 30 base pair (bp) target, but well-conserved sequences are found in only half of this binding site. Thus, the IHF-DNA system has long been viewed as a paradigm of asymmetry in a protein-DNA interaction. RESULTS: We have isolated the subunits of IHF and show that either subunit is capable of specifically recognizing natural IHF-binding sites and supporting lambda site-specific recombination in vitro. Mobility shift and footprinting data indicate that the isolated subunits interact with DNA as homodimers. We also describe the design of symmetric duplexes to which heterodimeric and homodimeric IHFs can bind by recognizing specific sequences. CONCLUSIONS: Our in vitro manipulation of the IHF system demonstrates that binding and bending of target DNA can be accomplished symmetrically. The prevalence of asymmetry found for this system in nature suggests that additional selective forces may operate. We suggest that these follow from the disparity between the size of the DNA that IHF protects (30 bp) and the length of DNA that the protein can initially contact (10 bp). This disparity implies that an IHF target is recognized in stages and may dispose the part of the protein-DNA system used for initial recognition to evolve distinctly from the remainder of the interaction surface. We suggest that a limitation in the length of DNA that can be initially contacted is a general property of DNA-binding proteins. In that case, many proteins can be expected to identify complex targets by step-wise, rather than simultaneous, contact between sequence elements and DNA-binding domains.


Assuntos
Proteínas de Bactérias/metabolismo , Proteínas de Ligação a DNA/metabolismo , Escherichia coli/metabolismo , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Sequência de Bases , Sítios de Ligação , DNA Bacteriano/genética , DNA Bacteriano/metabolismo , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Escherichia coli/genética , Fatores Hospedeiros de Integração , Dados de Sequência Molecular , Conformação Proteica , Recombinação Genética
5.
J Mol Biol ; 204(1): 95-107, 1988 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-2975338

RESUMO

Previous work has established that integration of the genome of bacteriophage lambda into the chromosome of its bacterial host proceeds via two independent strand exchanges, which make and then resolve a Holliday-structure intermediate. We find that a phosphorothioate substitution at the site of exchange in one strand of a recombination site depresses the yield of Holliday structures much more than a similar substitution in the other strand. Furthermore, we show that the Holliday structures that accumulate in unblocked reactions have all been made by recombination of one particular pair of strands. We conclude that there is a strong bias in the choice of strands that initiate crossing-over. Excision, the recombination reaction that excises the integrated prophage, exhibits the same bias as integration. This proves, at least at the level of strand exchange, that excision is not the simple reversal of integration. We have altered the relative orientation of parts of the phage attachment site, attP, to demonstrate that the strand-exchange bias is determined not by the local environment around the point of exchange in the core of attP but by more distant elements in its arms. This suggests that the order of the strand exchanges is dictated by an asymmetry in the way that the nucleosome-like structure that forms at attP brings the bacterial site, attB, into juxtaposition prior to strand exchange. Finally, we use the altered attP to show that homology between attP and attB is most critical when it is adjacent to the point of strand exchange.


Assuntos
Sítios de Ligação Microbiológicos , Bacteriófago lambda/genética , Lisogenia , Recombinação Genética , DNA Bacteriano/genética , DNA Viral/genética , Escherichia coli
6.
J Mol Biol ; 170(1): 1-18, 1983 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-6226803

RESUMO

Intramolecular recombination between two attachment sites on a circular substrate can invert one segment of the circle with respect to the other. We have studied the topological form of the products of such site-specific inversion as a function of two parameters of the substrate circle: the degree of supercoiling and the distance between the recombining sites. For both integrative and excisive recombination, supercoiled substrates produced knotted recombinants; the complexity of the knots reflects the distance separating the sites. This confirms and extends earlier observations and supports the hypothesis that random interwrapping of segments of the double-helical substrate persists during recombination. For integrative recombination, we find that even at conditions that should limit random interwrapping, absence of supercoiling and very short separation between attachment sites, only about one-half of the recombinant products are simple circles and the rest are knotted. Under the same conditions, excisive recombination yields only simple circular inverted recombinants. We propose that the excess knotting that characterizes integrative recombination reflects the requirement for wrapping of one attachment site, presumably attP, into a nucleosome-like structure. This hypothesis accounts for both the frequency of knots and the observation that the extra knots are trefoils rather than more complex forms.


Assuntos
Bacteriófago lambda/genética , DNA Recombinante , DNA Viral , Sítios de Ligação Microbiológicos , Composição de Bases , Inversão Cromossômica , DNA Super-Helicoidal , Eletroforese em Gel de Ágar , Modelos Genéticos , Nucleossomos
7.
J Mol Biol ; 170(1): 19-38, 1983 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-6313937

RESUMO

The changes in supercoiling that accompany site-specific recombination have been measured. In each experiment, the substrate was a circle that contained two attachment sites oriented as an inverted repeat; recombination between the sites inverts one segment of the circle with respect to the other. Using conditions developed in the accompanying work, a measurable amount of the recombinant is in the form of unknotted, simple circles. The difference between the topological linking number of this product relative to that of the substrate can be determined directly from the change in mobility during agarose gel electrophoresis. With partially supercoiled substrates, both integrative and excisive recombination are characterized by a unique change in linking number, a relaxation of two topological turns. For excisive recombination, it has been possible to study closed circular substrates that lack supercoils. In this case, changes in linking number of both +2 and -2 are observed. These results are used to evaluate various proposals for synapsis and strand exchange in bacteriophage lambda site-specific recombination.


Assuntos
Bacteriófago lambda/genética , DNA Recombinante , DNA Viral , Sítios de Ligação Microbiológicos , DNA Topoisomerases Tipo I/metabolismo , DNA Super-Helicoidal , Eletroforese em Gel de Poliacrilamida , Modelos Genéticos
8.
J Mol Biol ; 191(2): 181-9, 1986 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-2949082

RESUMO

The phage lambda attachment site, attP, contains three binding sites for an Escherichia coli protein, IHF, that is needed for efficient integrative recombination. We have used synthetic oligodeoxyribonucleotides to direct multiple base changes at each of these three sites. Alteration by two base-pairs of the consensus sequence for the leftmost binding site specifically interferes with IHF binding to that site and modestly depresses recombination in vitro. For each of the three binding sites, alteration of the consensus sequence by four base-pairs strongly depresses recombination in vitro, indicating that all three sites are important for attP function. The mutated attP sites are also depressed for recombination in vivo but some of the mutants are less affected than they are in vitro. The disparity between effects in vivo and in vitro for some mutants but not others suggests that the three binding sites are not functionally equivalent and that at some sites additional E. coli factors may replace or assist IHF. The non-equivalence of the three IHF sites is also indicated by the behavior of prophage attachment sites carrying mutations in the binding sites.


Assuntos
Proteínas de Bactérias/genética , Bacteriófago lambda/genética , Recombinação Genética , Sítios de Ligação Microbiológicos , Sítios de Ligação , DNA Viral , Escherichia coli/genética , Fatores Hospedeiros de Integração , Mutação
9.
J Mol Biol ; 234(1): 45-59, 1993 Nov 05.
Artigo em Inglês | MEDLINE | ID: mdl-8230206

RESUMO

Integration host factor, IHF, is a sequence-specific DNA-binding and DNA-bending protein composed of two related but non-identical subunits. We report the isolation and characterization of hydroxylamine-induced loss-of-function mutations in the genes encoding the IHF subunits. To screen for mutants that preserve proper folding of IHF, clarified extracts were prepared from each mutant and were assayed for production of each subunit by immunoblotting and for formation of heterodimers by chemical cross-linking and subsequent immunoblotting. Extracts from mutants that met these criteria were found to bind a specific IHF site weakly if at all. These alleles therefore identify candidates for residues that may affect the DNA-binding surfaces of IHF. When projected onto the known tertiary structure of the closely related HU protein, these residues are found at the surface; however, with the exception of a single residue, different regions of the protein are implicated in each subunit. This suggests that, despite their homology, each subunit of IHF directs DNA recognition and binding in a distinct manner. To confirm the significance of the differential location of these mutations, we introduced in each subunit alterations that had been isolated as loss-of-function mutations at the corresponding position in the other subunit. In general, the engineered mutants have phenotypes that are strikingly different from those of their hydroxylamine-induced counterparts. In particular, most of the site-directed mutant IHF proteins form or maintain IHF:DNA complexes more readily than mutants that have the same change in the other subunit and were isolated as loss-of-function mutants. We discuss the positions of the mutant amino acid residues as they relate to a proposed molecular model of an IHF:DNA complex.


Assuntos
Proteínas de Bactérias/metabolismo , Proteínas de Ligação a DNA/metabolismo , Sequência de Aminoácidos , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Sequência de Bases , Primers do DNA/química , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Teste de Complementação Genética , Fatores Hospedeiros de Integração , Substâncias Macromoleculares , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Ligação Proteica , Conformação Proteica , Relação Estrutura-Atividade
10.
J Mol Biol ; 220(3): 621-9, 1991 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-1831237

RESUMO

Integrative recombination of bacteriophage lambda requires perfect homology between partners over a short segment of DNA, the overlap region, that separates the positions of top and bottom strand exchange. We constructed a specific cross-link between complementary strands in the overlap region of one partner, using a method designed to introduce minimal distortion of DNA. The modified attachment site could initiate recombination, forming a Holliday junction, but could not resolve this junction so as to complete the recombination. This demonstrates that the ability of complementary base-pairs to dissociate is important for overlap region function and strongly supports the view that branch migration across this region is the way homology is sensed during integrative recombination.


Assuntos
Bacteriófago lambda/genética , DNA Viral/genética , Escherichia coli/genética , Recombinação Genética , Proteínas de Bactérias/isolamento & purificação , Proteínas de Bactérias/metabolismo , Composição de Bases , Sequência de Bases , Sítios de Ligação , DNA Super-Helicoidal/genética , Fatores Hospedeiros de Integração , Modelos Genéticos , Dados de Sequência Molecular , Conformação de Ácido Nucleico , Plasmídeos
11.
J Reprod Immunol ; 7(2): 139-49, 1985 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3981487

RESUMO

The antibody response obtained after vaccinating rabbits with the beta-subunit of human chorionic gonadotropin (beta-hCG) linked to several protein and polysaccharide carriers was measured. In all but one preparation, carbodiimide was used to couple the beta-hCG to the carrier. Tetanus toxoid (TT) and cholera vaccine proved the most effective carriers among those examined. TT from different manufacturers proved to be greatly different in free amino group content and differed in ability to participate in the coupling reaction. Reasonably good replication of the coupling reaction was obtained with different production lots from the same manufacturer. Inferior antigenic response was obtained with the products of coupling beta-hCG to H. pertussis, influenza vaccine, polylysine, pneumococcus polysaccharide, or E. coli polysaccharide. The findings indicate TT and cholera vaccine to be especially effective in enhancing the antigenicity of a weakly antigenic peptide but point to significant differences in the TT from different manufacturers.


Assuntos
Gonadotropina Coriônica/imunologia , Anticoncepção Imunológica/métodos , Anticoncepção/métodos , Vacinas/administração & dosagem , Adjuvantes Imunológicos/administração & dosagem , Animais , Formação de Anticorpos , Vacinas contra Cólera/administração & dosagem , Humanos , Coelhos , Toxoide Tetânico/administração & dosagem
12.
J Reprod Immunol ; 7(2): 151-62, 1985 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3981488

RESUMO

Earlier tests of an antipregnancy vaccine consisting of the beta-subunit of human chorionic gonadotropin (beta-hCG) linked by reaction with a carbodiimide reagent to tetanus toxoid (TT) and adsorbed on Al(OH)3 resulted in antibody responses that were judged inadequate in some women. Experiments were therefore conducted to evaluate the effectiveness of additional adjuvants in increasing the antibody response. Muramyl dipeptide (MDP) and several of its analogs were formulated with the vaccine and tested in rabbits. Some of the analogs, and notably N-acetyl-normuramyl-L-alanyl-D-isoglutamine, elicited substantial increments in the ability of the antisera to bind [125I]hCG and in its ability to neutralize hCG in the rat uterine weight assay. The effectiveness of these peptides was greatest when formulated in a water-in-oil emulsion. Increments of 10 fold were attained using a vegetable oil as the oil component. The MDP analogs were much less effective as adjuvants when formulated in oil-in-water emulsions or in aqueous suspensions of the antigen. It is concluded that selected MDP analogs incorporated in a water-in-vegetable oil emulsion can markedly increase the circulating antibody response to the beta-hCG-TT vaccine.


Assuntos
Acetilmuramil-Alanil-Isoglutamina/administração & dosagem , Gonadotropina Coriônica/imunologia , Anticoncepção Imunológica/métodos , Anticoncepção/métodos , Vacinas/administração & dosagem , Acetilmuramil-Alanil-Isoglutamina/análogos & derivados , Acetilmuramil-Alanil-Isoglutamina/imunologia , Adjuvantes Imunológicos/administração & dosagem , Animais , Formação de Anticorpos , Humanos , Coelhos , Toxoide Tetânico/administração & dosagem
13.
J Reprod Immunol ; 7(2): 163-9, 1985 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-3981489

RESUMO

Rabbits were used to test the efficacy of several materials as supplementary adjuvants when administered as part of a vaccine formulation consisting of the beta-subunit of human chorionic gonadotropin linked to tetanus toxoid (beta-hCG-TT) and adsorbed on Al(OH)3. In the amounts used, Corynebacterium parvum, levamisole, thymic factor, and N,N-dioctadecyl-N',N'-bis(2-hydroxyethyl)propanediamine exhibited little adjuvant activity although the latter material elicited marginal increments when incorporated in liposomes. A Salmonella lipopolysaccharide preparation (SPLPS) and a streptococcal preparation (OK-432) each gave approximately 7-fold increments in titer. The SPLPS preparation was pyrogenic at the doses used. OK-432 was nonpyrogenic and did not cause other evident undesirable effects. It may therefore prove to be a useful adjuvant. It gave a nearly flat dose response curve over the range of 0.5 to 4.0 mg per rabbit. Incorporation of beta-hCG-TT on Al(OH)3 in a water-in-oil emulsion caused a moderate increase in titers. Incorporation into liposomes or an oil-in-water emulsion was not effective.


Assuntos
Adjuvantes Imunológicos/administração & dosagem , Gonadotropina Coriônica/imunologia , Anticoncepção Imunológica/métodos , Anticoncepção/métodos , Vacinas/administração & dosagem , Animais , Formação de Anticorpos , Estudos de Avaliação como Assunto , Humanos , Veículos Farmacêuticos , Coelhos , Toxoide Tetânico/administração & dosagem
14.
J Reprod Immunol ; 9(4): 327-37, 1986 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-2434651

RESUMO

Experiments were conducted in rabbits to determine the effect of adjuvant use on the antibody response following booster injections. The antigen used was in all cases the beta-subunit of human chorionic gonadotropin linked to tetanus toxoid (beta-hCG-TT). Adjuvants used were Al(OH)3, MDP analogs, and a streptococcus preparation, OK432. Primary vaccinations included Al(OH)3 adjuvant with or without supplementary adjuvants. In general, the greater the antibody response following primary vaccination, the greater the response following booster vaccination whether or not adjuvant was used in the booster. No increment in antibody titers was found by reason of including MDP analogs in booster vaccinations. OK432, in contrast, gave increased responses in booster injections which were in several cases statistically significant. The value of including Al(OH)3 in booster injections is not clear from the experimental data. In no case was the increment due to its inclusion large.


Assuntos
Gonadotropina Coriônica/imunologia , Anticoncepção Imunológica/métodos , Anticoncepção/métodos , Imunização Secundária , Fragmentos de Peptídeos/imunologia , Vacinas/administração & dosagem , Adjuvantes Imunológicos , Animais , Formação de Anticorpos , Gonadotropina Coriônica Humana Subunidade beta , Feminino , Masculino , Tamanho do Órgão , Gravidez , Coelhos/imunologia , Toxoide Tetânico/imunologia , Útero/anatomia & histologia
16.
Fertil Steril ; 47(6): 1010-8, 1987 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-3109954

RESUMO

The influence of two types of steroidal contraception on the extent of coronary, aortic, carotid, and iliaco-femoral atherosclerosis was assessed in 57 cynomolgus macaques with moderate diet-induced hyperlipoproteinemia. Thirteen animals were treated with an intravaginal ring that released 17 beta-estradiol and levonorgestrel. Fifteen females were treated with an oral contraceptive (OC) composed of ethinyl estradiol and norgestrel. Fifteen females received placebo vaginal rings, and 14 males were untreated. The contraceptive treatments resulted in similar large reductions in plasma high-density lipoprotein (HDL) cholesterol concentrations. Neither treatment influenced the prevalence of coronary artery atherosclerosis. However, treatment with the contraceptive vaginal ring was associated with increased extent of coronary artery atherosclerosis (plaque size) relative to untreated females, whereas treatment with the OC was not. The contrasting effects of the two treatments could not be explained by differences in total plasma cholesterol, HDL cholesterol, or blood pressure. The results suggest that the greater estrogenic influence associated with the ethinyl estradiol-containing OC resulted in inhibition of coronary artery atherosclerosis despite a pronounced progestin-induced lowering of plasma HDL cholesterol concentration and, further, that hormonal balance may have a marked influence on the relationship between plasma lipids and atherogenesis.


Assuntos
Arteriosclerose/induzido quimicamente , Anticoncepcionais Femininos/toxicidade , Anticoncepcionais Orais Hormonais/toxicidade , Doença da Artéria Coronariana/induzido quimicamente , Animais , Pressão Sanguínea , HDL-Colesterol/sangue , Estradiol/administração & dosagem , Estradiol/sangue , Feminino , Levanogestrel , Lipídeos/sangue , Lipoproteínas/sangue , Lipoproteínas HDL/sangue , Lipoproteínas HDL2 , Macaca fascicularis , Masculino , Norgestrel/administração & dosagem , Norgestrel/sangue
17.
Maturitas ; 26(1): 27-33, 1997 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9032744

RESUMO

OBJECTIVES: To determine if delivery of estradiol from elastomeric vaginal rings gives estradiol blood levels in the range associated with effective estrogen replacement therapy and to determine the relation between in vitro estradiol release from the rings and blood levels in vivo. Secondary objectives related to changes in lipoprotein cholesterol, changes in climacteric symptoms, and evaluation of acceptability to users. METHODS: Three ring variants releasing approximately 100, 150 and 200 micrograms/day of estradiol in vitro were used through 22 days in 21 postmenopausal women, 7 on each dose levels. Blood samples for measurement of estradiol were taken at 3-4 day intervals. Lipoprotein cholesterol was measured before and at the end of treatment. Women were questioned about climacteric symptoms and about their satisfaction with the ring. RESULTS: Mean serum estradiol levels for the three groups of rings were 63 +/- 6, 94 +/- 5 and 136 +/- 13 pg/ml for the 100, 150 and 200 micrograms/day rings, respectively. FSH levels declined during ring use and the maturation values of cells collected on vaginal swabs markedly increased. Total and LDL cholesterol were significantly reduced and HDL cholesterol was not significantly changed. All women reported relief of postmenopausal symptoms. Vaginal discomfort during the first 3 days of use was reported by 12 women but overall satisfaction with the method was high. CONCLUSIONS: Women using the vaginal rings attained estradiol blood levels compatible with control of climacteric symptoms and bone loss. The relation between in vitro estradiol release and blood levels in vivo was essentially identical for all 3 doses. The use of vaginal rings to deliver estradiol for hormone replacement therapy is judged to merit further evaluation.


Assuntos
Climatério/efeitos dos fármacos , Estradiol/administração & dosagem , Terapia de Reposição de Estrogênios , Administração Intravaginal , Relação Dose-Resposta a Droga , Esquema de Medicação , Sistemas de Liberação de Medicamentos , Estradiol/efeitos adversos , Estradiol/sangue , Feminino , Humanos , Pessoa de Meia-Idade
18.
Contraception ; 21(2): 115-20, 1980 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-7371407

RESUMO

PIP: A 2-day workshop was held at the National Institute of Health during May 1979 in an effort to assess the current status of the interrelationships between high density lipoprotein (HDL) levels and the incidence of ischemic heart disease and to delineate immediate needs for further research aimed at improved steroid contraceptive safety. Review of older and recent data gave little doubt as to the association between lipoprotein patterns and the incidence of heart disease. Less clear was the relationship between lipoprotein patterns and coronary heart disease (CHD) then is the relationship between oral contraceptive (OC) usage and lipoprotein patterns. Workshop participants did provide strong evidence that OC usage can modify these patterns. The final interrelationship discussed was that of OC usage and cardiovascular disease, particularly atherosclerosis. Along with considering the interactions among OCs, serum lipoproteins, and cardiovascular disease by epidemiologic approaches, workshop participants also considered the status of current studies bearing on the mechanisms by which these interactions may be mediated and the status of methodology for evaluating the interactions. During the general discussion at the end of the workshop, participants agreed that the apparent association between HDL levels and the incidence of cardiovascular disease dictates the need for vigorous research. It was agreed that at least some OC pills do lower serum HDL levels.^ieng


Assuntos
Anticoncepcionais Orais Sintéticos/efeitos adversos , Anticoncepcionais Orais/efeitos adversos , Doença das Coronárias/induzido quimicamente , Lipoproteínas HDL/sangue , Feminino , Humanos , Lipoproteínas/sangue
19.
Contraception ; 44(4): 385-92, 1991 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-1756626

RESUMO

The rate of copper loss from bright and tarnished collars from Copper T Model TCu 380A IUDs has been investigated in amino acid solutions of pH 5.5 and 7.4 and in serum. In all three media, the tarnished collars quickly became bright and lost copper at the same rate as the initially bright collars. The single exception was when a high ratio of copper surface to serum was used. Under those conditions the tarnished collars initially became bright but after two days a black precipitate appeared on both the initially bright and tarnished collars and weight loss ceased. When a higher ratio of serum to copper surface was used, the pattern was one of continuing loss although at a lower rate than in the amino acid solutions. It is concluded that tarnish does not compromise the oxidation and dissolution of copper even in serum. Serum is considered a surrogate for uterine fluid.


Assuntos
Cobre/metabolismo , Dispositivos Intrauterinos de Cobre/efeitos adversos , Aminoácidos , Cobre/sangue , Feminino , Humanos , Concentração de Íons de Hidrogênio , Oxirredução
20.
Contraception ; 18(4): 395-409, 1978 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-720073

RESUMO

The correlations of plasma levels of levonorgestrel, megestrol acetate and norgestrienone with the doses delivered from subdermal implants and contraceptive rings have been examined. Differences in plasma levels as large as three-fold between different subjects receiving nearly identical doses were observed with all three steroids. The relative plasma levels seen from one subject to another showed high consistency over time. Part of the explanation may lie in differing levels of sex hormone binding globulin, but additional factors must be operative since megestrol acetate binds only weakly with this carrier.


Assuntos
Megestrol/administração & dosagem , Norgestrel/administração & dosagem , Norgestrienona/administração & dosagem , Norpregnatrienos/administração & dosagem , Dispositivos Anticoncepcionais Femininos , Relação Dose-Resposta a Droga , Feminino , Humanos , Megestrol/sangue , Norgestrel/sangue , Norgestrienona/sangue , Fatores de Tempo
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