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2.
Oncogene ; 7(2): 363-9, 1992 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1549354

RESUMEN

Microinjection of purified calcium phospholipid-dependent protein kinase (C-kinase) resulted in the rapid and transient induction of c-fos in quiescent rat embryo fibroblats. This C-kinase-induced expression of c-fos was prevented by in vivo competition using co-injection of oligonucleotides corresponding to the sequence of either the serum response element (SRE) or the fos AP-1 binding sequence (FAP) adjacent to SRE. This indicates that both these sequences must be involved in the binding/activation of protein factors required for the induction of c-fos by C-kinase. In contrast, the induction of c-fos by serum or by casein kinase II microinjection, which is also inhibited by injection of SRE oligonucleotides, is only delayed and then markedly prolonged by injecting TRE/FAP sequence, demonstrating that the FAP site plays a prominent role in vivo in the down-regulation of the endogenous c-fos gene expression.


Asunto(s)
Genes fos , Proteína Quinasa C/metabolismo , Proteínas Proto-Oncogénicas c-fos/genética , Proteínas Proto-Oncogénicas c-jun/metabolismo , Secuencias Reguladoras de Ácidos Nucleicos , Animales , Secuencia de Bases , Sangre , Células Cultivadas , Medios de Cultivo , Regulación hacia Abajo , Técnica del Anticuerpo Fluorescente , Regulación de la Expresión Génica , Técnicas In Vitro , Microinyecciones , Datos de Secuencia Molecular , Oligodesoxirribonucleótidos/administración & dosificación , Oligodesoxirribonucleótidos/química , Proteínas Proto-Oncogénicas c-fos/metabolismo , Ratas
3.
Biochim Biophys Acta ; 491(2): 434-46, 1977 Apr 25.
Artículo en Inglés | MEDLINE | ID: mdl-192309

RESUMEN

The interaction of bovine serum albumin with dihydrotestosterone bearing a spin label at C-3 was studied using electron spin resonance (ESR) spectroscopy. Quantitative binding parameters (Ka approximately 10(5) M-1; maximum binding capacity; two sites/mol albumin) obtained by ESR were in good agreement with those given by equilibrium dialysis. ESR study at various temperatures allowed the calculation of the thermodynamic parameters of the steroid-protein interaction: deltaG=-6.8 kcal/mol; deltaH=-7.9 kcal/mol; deltaS=-3.2 cal/mol per degree and confirmed a transition temperature of about 65 degrees C for albumin. Na, Liland Ca salts had a generally favorable effect on the interaction whereas other ions (e.g. Hg, Cu) impaired the binding process. Study of the width of the ESR spectra of the protein-bound spin-labelled steroid and extrapolation of a 2 T value to infinite viscosity (Azz coupling constant) indicated a non-polar binding site, which became increasingly hydrophobic as the temperature was raised. Since this methodology can give both pertinent quantitative and qualitative data, ESR spectroscopy should be of value in the study of steroid-protein interactions of biological significance.


Asunto(s)
Dihidrotestosterona , Albúmina Sérica Bovina , Sitios de Unión , Espectroscopía de Resonancia por Spin del Electrón , Unión Proteica , Conformación Proteica , Marcadores de Spin , Temperatura , Termodinámica
4.
Biochim Biophys Acta ; 623(2): 280-94, 1980 Jun 26.
Artículo en Inglés | MEDLINE | ID: mdl-6249379

RESUMEN

A series of cortisol analogs bearing a nitroxide free radical on C-17 side chains with a variation of distance between the steroid D-ring and the spin label from 7.4 to 17.6 A has been synthesized. These analogs were found to retain a good affinity for the specific corticosteroid binding site of purified human transcortin. The spin-labeled cortisol analogs were used to probe the human transcortin binding site structure by electron spin resonance (ESR) spectroscopy. A total depth of approx. 25 A was estimated for the binding site crevice. Use of sulfhydryl reagents (N-ethylmaleimide, p-chloromercuribenzoate) showed that a maximum of two sulfhydryl groups were titratable after reduction and denaturation of the protein. One of these thiol groups appeared to be involved in the cortisol binding site and could not be detected in the presence of bound steroid. ESR study of its environment, using spin-labeled N-ethylmaleimide reagents of various side-chain lengths, led to the conclusion that this thiol was at a depth of approx. 15 A or more in the binding site cavity. The second sulfhydryl group may be present in an oxidized form in the purified native transcortin, since it became titratable only after reductive treatment of the protein. ESR study showed that this thiol may be located in a crevice at approx. 15 A from the protein surface. These findings are compatible with a structural organization of the transcortin cortisol binding site, taking into account tentative models previously proposed by others.


Asunto(s)
Transcortina , Sitios de Unión , Corticosterona , Ácido Ditionitrobenzoico , Espectroscopía de Resonancia por Spin del Electrón , Etilmaleimida , Humanos , Hidrocortisona/análogos & derivados , Unión Proteica , Conformación Proteica , Marcadores de Spin , Compuestos de Sulfhidrilo/análisis
5.
Biochim Biophys Acta ; 769(1): 79-84, 1984 Jan 11.
Artículo en Inglés | MEDLINE | ID: mdl-6318826

RESUMEN

The uptake and subcellular processing of radiolabelled prolactin has been studied in male and female rats. Analytical subcellular fractionation of liver homogenates from rats injected with 125I-prolactin showed that in female rats the prolactin was primarily internalised to low density (1.12 g X cm-3) membranes. Approx. 10-15% of the total label was found in high density membranes, similar in distribution to lysosomal marker enzymes. In the normal male rat, prolactin was internalised solely to lysosomal type membranes. However, in male rats treated with estrogen, the distribution of prolactin was very similar to that seem in the female, indicating that internalisation to low density membrane is dependent on the presence of prolactin receptors. Gel exclusion chromatography showed that the prolactin internalised to the lysosomal membranes was extensively degraded whereas that associated with the low density membrane remained intact. Use of digitonin, to establish the identity of the low density membrane gave inconclusive results, but suggested that the prolactin was associated with membrane bearing NADH pyrophosphatase rather than the classical Golgi marker, galactosyltransferase.


Asunto(s)
Hígado/metabolismo , Prolactina/metabolismo , Animales , Transporte Biológico , Compartimento Celular , Femenino , Lisosomas/metabolismo , Masculino , Ratas , Receptores de Superficie Celular/metabolismo , Receptores de Prolactina
6.
Cell Signal ; 3(1): 11-23, 1991.
Artículo en Inglés | MEDLINE | ID: mdl-1903636

RESUMEN

Retinoic acid, a derivative of vitamin A, is shown to inhibit the levels of inositol phosphates and diacylglycerol by 25-30% when added to intact HL-60 cells at concentrations which induce differentiation. The onset of inhibition occurs after 10 min and reaches a maximum at 45 min. To study the mechanism and the site of action of retinoic acid, the activity of the phosphatidylinositol bisphosphate-specific phospholipase C was studied in cells permeabilized with streptolysin O and in membrane preparations. Phospholipase C activity was stimulated either via the guanine nucleotide regulatory protein (G-protein) or directly by Ca2+. Retinoic acid treatment, in a time- and concentration-dependent manner, led to a decrease in phospholipase C activity when stimulated with either GTP gamma S or NaF, both of which activate the enzyme via the G-protein. By contrast, it had no effect on the enzyme activity when stimulated with Ca2+ alone. This indicates that retinoic acid interferes with the coupling of the G-protein and phospholipase C. A relationship between the inhibition of phospholipase C activity and the induction of differentiation by retinoic acid was investigated. Only a small inhibition of GTP gamma S-stimulated phospholipase C activity was observed when an analogue of retinoic acid, etretine or Ro10-1670, with low differentiating activity, was used. Moreover, no inhibition of the GTP gamma S-stimulated phospholipase C activity was observed in an HL-60 sub-line resistant to retinoic acid. These results suggest that phospholipase C inhibition is an important step in the induction of differentiation.


Asunto(s)
Tretinoina/farmacología , Fosfolipasas de Tipo C/antagonistas & inhibidores , Proteínas Bacterianas , Calcio/farmacología , Diferenciación Celular/efectos de los fármacos , Permeabilidad de la Membrana Celular , Diglicéridos/metabolismo , Proteínas de Unión al GTP/metabolismo , Humanos , Fosfatos de Inositol/metabolismo , Cinética , Leucemia , Proteína Quinasa C/metabolismo , Estreptolisinas/farmacología , Células Tumorales Cultivadas , Fosfolipasas de Tipo C/metabolismo
7.
FEBS Lett ; 233(2): 239-43, 1988 Jun 20.
Artículo en Inglés | MEDLINE | ID: mdl-3164278

RESUMEN

Phorbol 12-myristate 13-acetate (PMA) induces the differentiation of the human promyelocytic cell line, HL60, towards adherent macrophage-like cells within 2 days. We have examined the early effects of PMA on inositol phosphates and on diacylglycerol production, two second messengers derived from inositol lipids. In proliferating HL60 cells, PMA induced a time- and concentration-dependent decrease in inositol phosphate levels. Maximal effects were seen after 1 h at 10 nM PMA. PMA also induced the translocation of protein kinase C from the cytosol to the membrane. Comparison between the differentiating effects of several phorbol esters and of 1-oleoyl-2-acetylglycerol with their ability to inhibit inositol phosphate formation suggests that the two effects are correlated.


Asunto(s)
Diglicéridos/biosíntesis , Glicéridos/biosíntesis , Fosfatos de Inositol/biosíntesis , Ésteres del Forbol/farmacología , Fosfatos de Azúcar/biosíntesis , Acetato de Tetradecanoilforbol/farmacología , Diferenciación Celular/efectos de los fármacos , Línea Celular , Diglicéridos/antagonistas & inhibidores , Humanos , Fosfatos de Inositol/antagonistas & inhibidores , Cinética , Leucemia Mieloide Aguda , Relación Estructura-Actividad
8.
FEBS Lett ; 226(2): 324-30, 1988 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-3338563

RESUMEN

It has been described that phosphorylation, and dephosphorylation, of specific proteins is associated with key events of the cell cycle and is likely to be due to activation of kinase(s). From our results, the presence of calcium-phospholipid-dependent protein kinase (PKC) was clearly demonstrated in both the cytosolic and particulate fractions of immature Xenopus laevis oocytes and in the cytosolic fraction of mature oocytes. However, it was less active in metaphase II- than in prophase I-arrested oocytes. The enzyme was partially purified by DEAE-cellulose and phenyl-Sepharose chromatography. It was activated in vitro by the tumor-promoting phorbol ester, 12-O-tetradecanoyl phorbol 13-acetate (TPA) as already described for PKC from other tissues. On the other hand, a calcium-phospholipid-independent histone kinase activity 4-fold higher in metaphase II- than in prophase I-arrested oocytes was detected. The possible role of PKC and phospholipid-independent histone kinase in the maturation process is discussed.


Asunto(s)
Oocitos/citología , Proteína Quinasa C/metabolismo , Animales , Activación Enzimática , Femenino , Cinética , Oocitos/enzimología , Proteína Quinasa C/aislamiento & purificación , Fracciones Subcelulares/enzimología , Acetato de Tetradecanoilforbol/farmacología , Xenopus laevis
9.
Artículo en Inglés | MEDLINE | ID: mdl-1972189

RESUMEN

To define the impact of human immunodeficiency virus (HIV) infection in Africa, clinical and laboratory investigations were conducted on 265 HIV-seropositive outpatients in Zimbabwe. Twenty-four of the study subjects were asymptomatic (ASX), 124 had persistent generalized lymphadenopathy (PGL), and 117 had AIDS-related complex (ARC). HIV infection was assessed by commercial ELISA, Western blots, synthetic peptide ELISA, and measurement of p24 antigen. Serum immunoglobulins, lymphocyte mitogen responses, and CD4+ cell numbers were obtained in 54 sequential patients. Compared to seronegative subjects, mean CD4+ cell numbers were decreased and serum immunoglobulins, particularly IgM and IgG, were increased in all groups of seropositive subjects. Lymphocyte proliferative responses to phytohemagglutinin and concanavalin A decreased progressively in ASX, PGL, and ARC patients and were significantly lower in PGL and ARC patients compared to seronegative controls. Generalized lymphadenopathy was present in 234/265 (88%) of patients. Lymph node biopsies in 100 patients demonstrated follicular hyperplasia in 97 and Mycobacterium tuberculosis in 3. Of 165 patients followed for a median of 6 months, 5 developed the acquired immune deficiency syndrome (AIDS). Symptoms of ARC, low CD4+ cell number, and p24 antigen were predictive of the development of AIDS in Zimbabwe.


Asunto(s)
Infecciones por VIH/inmunología , VIH-1/inmunología , Síndrome de Inmunodeficiencia Adquirida/inmunología , Adolescente , Adulto , Western Blotting , Linfocitos T CD4-Positivos , Ensayo de Inmunoadsorción Enzimática , Femenino , Productos del Gen gag/análisis , Anticuerpos Anti-VIH/análisis , Antígenos VIH/análisis , Proteína p24 del Núcleo del VIH , Infecciones por VIH/sangre , Seropositividad para VIH/inmunología , Humanos , Inmunoglobulinas/biosíntesis , Recuento de Leucocitos , Estudios Longitudinales , Ganglios Linfáticos/patología , Activación de Linfocitos , Masculino , Persona de Mediana Edad , Proteínas del Núcleo Viral/análisis , Zimbabwe
10.
Biochimie ; 60(8): 715-24, 1978.
Artículo en Francés | MEDLINE | ID: mdl-83166

RESUMEN

Interaction of a spin labeled corticosteroid (desoxycorticosterone nitroxyde: DOC -NO) with three purified proteins (albumin, transcortin, progesterone binding protein: PBG) was studied by electron spin resonance (ESR) spectroscopy. DOC-NO was competitive with natural corticosteroids and therefore bound at the same site to specific binding proteins. ESR spectra in the presence of each of the proteins showed an immobilized (bound) form of the spin labeled steroid and allowed the calculation of the corresponding association constant (Ka) at equilibrium. The three binding proteins could be characterized by the ESR parameters of the DOC-NO bound form. The thermodynamic parameters (deltaH, deltaS) of the steroid-protein interactions were calculated from the ESR data obtained within a wide temperature range (3--40 degrees C). The ESR spectra width (2T) was used to evaluate the polarity of the spin label environment within the steroid binding site: a hydrophobic character was observed for transcortin whereas PBG exhibited a more hydrophilic steroid binding sits. The rotational correlation time of the three protein DOC-NO complexes at equilibrium were calculated from ESR data; the results were correlated with the protein molecular size and suggested a non spherical shape for the binding macromolecule in solution. Spin labelling of biologically active steroids thus provides a novel approach for the study of the interaction of these hormones with their binding protein. Providing a suitable spin label, the ESR parameters may allow the characterization of several types of binding sites of different biological significance for the same hormone, in biological fluids as well as in target tissues.


Asunto(s)
Proteínas Portadoras/metabolismo , Desoxicorticosterona/metabolismo , alfa-Globulinas/metabolismo , Animales , Sitios de Unión , Unión Competitiva , Espectroscopía de Resonancia por Spin del Electrón/métodos , Hormonas/metabolismo , Humanos , Conformación Proteica , Rotación , Albúmina Sérica Bovina/metabolismo , Temperatura , Termodinámica , Transcortina/metabolismo
11.
Chem Biol Interact ; 46(1): 1-9, 1983 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-6193895

RESUMEN

The binding site topography of progesterone-binding globulin (PBG) purified from pregnant guinea pig serum was examined using synthesized spin-labeled ligands and electron spin resonance (ESR) spectroscopy. A series of deoxycorticosterone-nitroxide (DOC-NO) derivatives were prepared, bearing the free radical on the side chain at increasing distance (d) from the steroid nucleus. The ability of the spin-labeled steroids to specifically bind to PBG was assessed by measurement of their relative binding affinity as compared to progesterone. ESR spectra of the bound steroid nitroxide radical were used to calculate the rotational correlation times tau c for the nitroxides as a function of their distance d to the protein-bound steroid nucleus. The data showed that the side chain nitroxide exhibited an unrestrained rotation in a water-like environment when d reached about 18 A. This would correspond to a PBG steroid binding site depth of about 28 A and suggests that the bound steroid in the PBG site is oriented with the side chain at C-17 directed toward the outside of the protein binding crevice.


Asunto(s)
alfa-Globulinas/metabolismo , Globulina de Unión a Progesterona/metabolismo , Animales , Sitios de Unión , Unión Competitiva , Desoxicorticosterona/análogos & derivados , Desoxicorticosterona/metabolismo , Espectroscopía de Resonancia por Spin del Electrón , Femenino , Cobayas , Cinética , Embarazo , Globulina de Unión a Progesterona/aislamiento & purificación , Marcadores de Spin/metabolismo
12.
Chem Biol Interact ; 28(2-3): 323-31, 1979 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-232996

RESUMEN

The interaction of human alpha 1-acid glycoprotein (AAG) with a corticosteroid was studied using nitroxide labeled deoxycorticosterone and electron spin resonance (ESR) spectroscopy. The ESR spectra of the spin labeled steroid in the presence of AAG could be used to characterize the ligand-protein interaction at equilibrium without the need of a separation between bound and free species. An association constant Ka of 6.10(5) M-1 at 20 degrees C and a binding capacity of one site per mole protein were found. ESR spectra recorded at equilibrium at various temperatures allowed the calculation of enthalpy and entropy variations for the steroid-protein interaction; these thermodynamic parameters exhibited a rapid change above 45 degrees C which may be related to a protein conformational modification above this temperature, as detected by circular dichroism study. The ESR spectra width could be used to define a polar character for the spin label environment in the steroid binding site of AAG and to calculate an apparent rotational correlation time of 2.8 x 10(-8) sec for the steroid-protein complex in aqueous solution at 20 degrees C. It can be concluded that spin labeling and ESR methodology is of value in the study of steroid-protein interactions of biological significance above all because it can provide direct physico-chemical information concerning the local environment of the ligand in its binding site at equilibrium.


Asunto(s)
Corticosterona , Desoxicorticosterona , Hidrocortisona , Orosomucoide , Sitios de Unión/efectos de los fármacos , Dicroismo Circular , Corticosterona/análogos & derivados , Desoxicorticosterona/análogos & derivados , Espectroscopía de Resonancia por Spin del Electrón/métodos , Humanos , Rotación , Marcadores de Spin , Termodinámica
13.
Artículo en Inglés | MEDLINE | ID: mdl-11991152

RESUMEN

A new synthesis of glycosylthioureas containing a quinazolinone nucleus is described utilizing per-O-acetylglycopyranosylisothiocyanates and several aminoquinazolinones as starting compounds. Structural proofs of these compounds are provided from elemental analyses, IR, 1H and 13C NMR spectra and mass spectra. The biological activity of these compounds has been studied.


Asunto(s)
Antivirales/síntesis química , Quinazolinas/metabolismo , Tiourea/síntesis química , Antivirales/farmacología , Isótopos de Carbono/química , Isótopos de Carbono/metabolismo , VIH/efectos de los fármacos , Espectroscopía de Resonancia Magnética , Virus Oncogénicos/efectos de los fármacos , Espectrofotometría Infrarroja , Tiourea/análogos & derivados , Tiourea/farmacología
14.
Ann Dermatol Venereol ; 106(3): 259-64, 1979 Mar.
Artículo en Francés | MEDLINE | ID: mdl-485023

RESUMEN

The median rhomboid glossitis is generally considered as a developmental anomaly of the tongue. Recent clinical, biological and experimental studies provide support for a fongous etiology: this lesion of the midline of the tongue is a chronic hyperplastic oral candidiasis, occurring sometimes in association with candidal commissural leukoplakias and palatine kissing lesions. The yeasts--mainly Candida albicans-- invade the upper parakeratotic layers of the epithelium inducing a proliferating acanthosis of the deeper epithelial ridges; superficial micro-pustules closely related to the candidal hyphae were found in most cases. Antifungal specific therapy appear effective in early lesions; later the condition becomes permanent and, in a few cases, may go further to malignant change. Fourteen cases are presented in this paper: the clinical, histopathological and therapeutic features are obviously in accord with this fongous infectious etiology (already suggested and demonstrated in 1965 by French stomatologists) and with the more recent experimental data published by Cawson, Sohnel and Kirkpatrick, Jones and Russell.


Asunto(s)
Candidiasis Bucal/diagnóstico , Glositis/patología , Antifúngicos/uso terapéutico , Candidiasis Bucal/patología , Preescolar , Glositis/tratamiento farmacológico , Glositis/etiología , Humanos , Lactante , Mucosa Bucal/patología , Lengua/anomalías , Lengua/patología
15.
Ann Dermatol Venereol ; 105(2): 133-8, 1978 Feb.
Artículo en Francés | MEDLINE | ID: mdl-677682

RESUMEN

Pityrosporum folliculitis occurs mainly among adult males on the back and may result from antibiotic and steroid administration. The lipophilic yeasts are numerous in the papulo-pustular lesions and can easily be demonstrated in the perifollicular inflammation on histological slides. 8 new cases with typical clinicopathological features are recorded by the authors. The best results are obtained with topically applied amphotericin B or econazol.


Asunto(s)
Dermatomicosis/patología , Foliculitis/microbiología , Malassezia/aislamiento & purificación , Adulto , Anfotericina B/uso terapéutico , Dermatomicosis/tratamiento farmacológico , Econazol/uso terapéutico , Femenino , Foliculitis/tratamiento farmacológico , Foliculitis/metabolismo , Foliculitis/patología , Humanos , Masculino , Persona de Mediana Edad , Sebo/metabolismo
16.
Ann Otolaryngol Chir Cervicofac ; 95(12): 755-68, 1978 Dec.
Artículo en Francés | MEDLINE | ID: mdl-751562

RESUMEN

The authors present a computerized study of the prognosis of 132 cases of carcinoma of the glottis treated by vertical, partial surgery and seen over a period of 1 to 15 years at the Laennec Hospital. After defining the percentage survival at 3.5 in 10 years, the authors studied the causes of death and showed that, after 5 years, it is still deaths due to malignant recurrence which influenced the vital prognosis. These local, lymphnode and metastatic oncological failures are subsequently analyzed on the basis of clinical, surgical and histological parameters as well as in terms of the course of the disease. Such analysis makes it possible to draw the distinction between local recurrence and a second local tumor localization, and pulmonary metastases from a second pulmonary localization. Finally, the prevention of rare lymphnode recurrences is considered in terms of specific surgery for this purpose.


Asunto(s)
Glotis/cirugía , Neoplasias Laríngeas/cirugía , Enfermedad Crónica , Humanos , Neoplasias Laríngeas/patología , Laringectomía , Laringitis/fisiopatología , Ganglios Linfáticos/cirugía , Metástasis Linfática , Metástasis de la Neoplasia , Recurrencia Local de Neoplasia , Pronóstico , Factores de Tiempo , Pliegues Vocales/cirugía
17.
ISA Trans ; 53(6): 1881-91, 2014 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-25200116

RESUMEN

This paper aims with the mathematical modelling of an active inflatable device. This device is composed of a compressor, an Electro-pneumatic Pressure Converter (EPC) and an Inflatable Textile fabric Pocket (ITP). The later has interesting mechanical properties and is fabricated using Jacquard knitting technique which allows automatic production of unlimited varieties of pattern weaving without any mould. Thanks to these features, these ITPs have provided a better alternative to the classical airbags made by stretchable polymer material. The proposed mathematical model is obtained by combining sub-models of two main parts of the whole system. In this way, a generalised and flexible model is obtained which can easily take into consideration the ITPs of different shapes. The pressure dynamics inside the ITP are considered by taking into account the air flow rate, variation of the volume of ITP and the length of pneumatic lines joining ITP with compressed air source. The parameters of the whole mathematical model are obtained via identification techniques. The effectiveness of the model is assessed through several experimental tests with the help of a servo hydraulic fatigue testing machine.

18.
Leukemia ; 28(12): 2311-6, 2014 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-25059496

RESUMEN

Oral melphalan and dexamethasone (MDex) is a standard treatment for patients with AL amyloidosis who are not eligible for stem cell transplantation at many referral centers. However, following encouraging reports on the activity of bortezomib combined with alkylators and dexamethasone, these combinations are being moved to frontline therapy. We compared the outcome of 87 patients treated with bortezomib plus MDex (BMDex) with that of 87 controls treated with MDex. Patients and controls were matched for age, cardiac and renal function and free light chain burden. A higher rate of complete responses was observed with BMDex (42 vs 19%), but this did not result in a survival improvement in the overall population. However, a significant survival advantage for BMDex was observed in patients without severe (New York Heart Association class III or IV) heart failure and with N-terminal pro-natriuretic peptide type-B <8500 ng/l. Patients treated with full-dose dexamethasone had similar response rates and survival whether they received bortezomib or not. Intermediate-risk patients who are not fit enough to receive high-dose dexamethasone are likely to take the greatest advantage from the addition of bortezomib to MDex.


Asunto(s)
Amiloidosis/tratamiento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Anciano , Amiloidosis/diagnóstico , Amiloidosis/metabolismo , Amiloidosis/mortalidad , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Ácidos Borónicos/administración & dosificación , Bortezomib , Estudios de Casos y Controles , Dexametasona/administración & dosificación , Humanos , Cadenas Ligeras de Inmunoglobulina/metabolismo , Melfalán/administración & dosificación , Persona de Mediana Edad , Pirazinas/administración & dosificación , Resultado del Tratamiento
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