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1.
Cereb Cortex ; 29(8): 3655-3665, 2019 07 22.
Artículo en Inglés | MEDLINE | ID: mdl-30272146

RESUMEN

22q11.2 Deletion Syndrome (22q11.2DS) is a genetic condition associated with a high prevalence of neuropsychiatric conditions that include autism spectrum disorder (ASD). While evidence suggests that clinical phenotypes represent distinct neurodevelopmental outcomes, it remains unknown whether this translates to the level of neurobiology. To fractionate the 22q11.2DS phenotype on the level of neuroanatomy, we examined differences in vertex-wise estimates of cortical volume, surface area, and cortical thickness between 1) individuals with 22q11.2DS (n = 62) and neurotypical controls (n = 57) and 2) 22q11.2DS individuals with ASD symptomatology (n = 30) and those without (n = 25). We firstly observed significant differences in surface anatomy between 22q11.2DS individuals and controls for all 3 neuroanatomical features, predominantly in parietotemporal regions, cingulate and dorsolateral prefrontal cortices. We also established that 22q11.2DS individuals with ASD symptomatology were neuroanatomically distinct from 22q11.2DS individuals without ASD symptoms, particularly in brain regions that have previously been linked to ASD (e.g., dorsolateral prefrontal cortices and the entorhinal cortex). Our findings indicate that different clinical 22q11.2DS phenotypes, including those with ASD symptomatology, may represent different neurobiological subgroups. The spatially distributed patterns of neuroanatomical differences associated with ASD symptomatology in 22q11.2DS may thus provide useful information for patient stratification and the prediction of clinical outcomes.


Asunto(s)
Trastorno del Espectro Autista/diagnóstico por imagen , Encéfalo/diagnóstico por imagen , Síndrome de DiGeorge/diagnóstico por imagen , Adolescente , Adulto , Trastorno del Espectro Autista/etiología , Trastorno del Espectro Autista/patología , Trastorno del Espectro Autista/psicología , Encéfalo/patología , Estudios de Casos y Controles , Niño , Síndrome de DiGeorge/complicaciones , Síndrome de DiGeorge/patología , Síndrome de DiGeorge/psicología , Corteza Entorrinal/diagnóstico por imagen , Corteza Entorrinal/patología , Femenino , Giro del Cíngulo/diagnóstico por imagen , Giro del Cíngulo/patología , Humanos , Masculino , Tamaño de los Órganos , Lóbulo Parietal/diagnóstico por imagen , Lóbulo Parietal/patología , Corteza Prefrontal/diagnóstico por imagen , Corteza Prefrontal/patología , Lóbulo Temporal/diagnóstico por imagen , Lóbulo Temporal/patología , Adulto Joven
2.
Psychol Med ; 47(14): 2513-2527, 2017 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-28436342

RESUMEN

BACKGROUND: Autism spectrum disorder (ASD) and obsessive-compulsive disorder (OCD) share abnormalities in hot executive functions such as reward-based decision-making, as measured in the temporal discounting task (TD). No studies, however, have directly compared these disorders to investigate common/distinct neural profiles underlying such abnormalities. We wanted to test whether reward-based decision-making is a shared transdiagnostic feature of both disorders with similar neurofunctional substrates or whether it is a shared phenotype with disorder-differential neurofunctional underpinnings. METHODS: Age and IQ-matched boys with ASD (N = 20), with OCD (N = 20) and 20 healthy controls, performed an individually-adjusted functional magnetic resonance imaging (fMRI) TD task. Brain activation and performance were compared between groups. RESULTS: Boys with ASD showed greater choice-impulsivity than OCD and control boys. Whole-brain between-group comparison revealed shared reductions in ASD and OCD relative to control boys for delayed-immediate choices in right ventromedial/lateral orbitofrontal cortex extending into medial/inferior prefrontal cortex, and in cerebellum, posterior cingulate and precuneus. For immediate-delayed choices, patients relative to controls showed reduced activation in anterior cingulate/ventromedial prefrontal cortex reaching into left caudate, which, at a trend level, was more decreased in ASD than OCD patients, and in bilateral temporal and inferior parietal regions. CONCLUSIONS: This first fMRI comparison between youth with ASD and with OCD, using a reward-based decision-making task, shows predominantly shared neurofunctional abnormalities during TD in key ventromedial, orbital- and inferior fronto-striatal, temporo-parietal and cerebellar regions of temporal foresight and reward processing, suggesting trans-diagnostic neurofunctional deficits.


Asunto(s)
Trastorno del Espectro Autista/fisiopatología , Mapeo Encefálico/métodos , Núcleo Caudado/fisiopatología , Cerebelo/fisiopatología , Corteza Cerebral/fisiopatología , Descuento por Demora/fisiología , Conducta Impulsiva/fisiología , Trastorno Obsesivo Compulsivo/fisiopatología , Recompensa , Adolescente , Trastorno del Espectro Autista/diagnóstico por imagen , Núcleo Caudado/diagnóstico por imagen , Cerebelo/diagnóstico por imagen , Corteza Cerebral/diagnóstico por imagen , Niño , Giro del Cíngulo/diagnóstico por imagen , Giro del Cíngulo/fisiopatología , Humanos , Imagen por Resonancia Magnética , Masculino , Trastorno Obsesivo Compulsivo/diagnóstico por imagen , Corteza Prefrontal/diagnóstico por imagen , Corteza Prefrontal/fisiopatología
3.
Psychol Med ; 46(12): 2595-604, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-27353452

RESUMEN

BACKGROUND: Many adults with autism spectrum disorder (ASD) remain undiagnosed. Specialist assessment clinics enable the detection of these cases, but such services are often overstretched. It has been proposed that unnecessary referrals to these services could be reduced by prioritizing individuals who score highly on the Autism-Spectrum Quotient (AQ), a self-report questionnaire measure of autistic traits. However, the ability of the AQ to predict who will go on to receive a diagnosis of ASD in adults is unclear. METHOD: We studied 476 adults, seen consecutively at a national ASD diagnostic referral service for suspected ASD. We tested AQ scores as predictors of ASD diagnosis made by expert clinicians according to International Classification of Diseases (ICD)-10 criteria, informed by the Autism Diagnostic Observation Schedule-Generic (ADOS-G) and Autism Diagnostic Interview-Revised (ADI-R) assessments. RESULTS: Of the participants, 73% received a clinical diagnosis of ASD. Self-report AQ scores did not significantly predict receipt of a diagnosis. While AQ scores provided high sensitivity of 0.77 [95% confidence interval (CI) 0.72-0.82] and positive predictive value of 0.76 (95% CI 0.70-0.80), the specificity of 0.29 (95% CI 0.20-0.38) and negative predictive value of 0.36 (95% CI 0.22-0.40) were low. Thus, 64% of those who scored below the AQ cut-off were 'false negatives' who did in fact have ASD. Co-morbidity data revealed that generalized anxiety disorder may 'mimic' ASD and inflate AQ scores, leading to false positives. CONCLUSIONS: The AQ's utility for screening referrals was limited in this sample. Recommendations supporting the AQ's role in the assessment of adult ASD, e.g. UK NICE guidelines, may need to be reconsidered.


Asunto(s)
Trastorno del Espectro Autista/diagnóstico , Escalas de Valoración Psiquiátrica/normas , Autoinforme/normas , Encuestas y Cuestionarios/normas , Adulto , Trastorno del Espectro Autista/epidemiología , Comorbilidad , Femenino , Humanos , Masculino , Valor Predictivo de las Pruebas , Sensibilidad y Especificidad , Adulto Joven
4.
J Public Health (Oxf) ; 38(3): 450-458, 2016 09.
Artículo en Inglés | MEDLINE | ID: mdl-25922371

RESUMEN

BACKGROUND: To assess the prevalence, awareness, treatment and control of hypertension among adults in Ireland and to describe the determinants of awareness, treatment and control in order to inform public health policy. METHODS: A cross-sectional study of a nationally representative sample of community living adults aged 50 years and older using data collected from 2009 to 2011 for the first wave of the Irish Longitudinal Study on Ageing (TILDA) (n = 5857). Hypertension was defined as systolic blood pressure (BP) ≥140 mmHg or diastolic BP ≥90 mmHg and/or currently taking antihypertensive medications. RESULTS: The prevalence of hypertension was 63.7% [95% confidence interval (CI) 62.3-65.1%]. Among those with hypertension, 54.5% (95% CI 52.6-56.2%) were aware of their hypertensive status and 58.9% (95% CI 57.1-60.4%) were on antihypertensive medication. Among those on treatment, 51.6% (95% CI 49.3-53.9%) had their BP controlled to below 140/90 mmHg. Respondents facing financial barriers to primary care and medication were less likely to be on antihypertensive treatment compared with those without financial barriers. CONCLUSIONS: A high prevalence of hypertension was identified in this cohort, with low levels of awareness, treatment and control. Population and primary care interventions are required to reduce prevalence and to improve awareness, detection and management of hypertension.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Hipertensión/epidemiología , Anciano , Anciano de 80 o más Años , Antihipertensivos/uso terapéutico , Estudios Transversales , Femenino , Humanos , Hipertensión/tratamiento farmacológico , Hipertensión/prevención & control , Hipertensión/psicología , Irlanda/epidemiología , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Prevalencia
5.
Eur Cell Mater ; 27: 98-109; discussion 109-111, 2014 Jan 31.
Artículo en Inglés | MEDLINE | ID: mdl-24488823

RESUMEN

Current clinical delivery of recombinant human bone morphogenetic proteins (rhBMPs) utilises freeze-dried collagen. Despite effective new bone generation, rhBMP via collagen can be limited by significant complications due to inflammation and uncontrolled bone formation. This study aimed to produce an alternative rhBMP local delivery system to permit more controllable and superior rhBMP-induced bone formation. Cylindrical porous poly(lactic-co-glycolic acid) (PLGA) scaffolds were manufactured by thermally-induced phase separation. Scaffolds were encapsulated with anabolic rhBMP-2 (20 µg) ± anti-resorptive agents: zoledronic acid (5 µg ZA), ZA pre-adsorbed onto hydroxyapatite microparticles, (5 µg ZA/2% HA) or IkappaB kinase (IKK) inhibitor (10 µg PS-1145). Scaffolds were inserted in a 6-mm critical-sized femoral defect in Wistar rats, and compared against rhBMP-2 via collagen. The regenerate region was examined at 6 weeks by 3D microCT and descriptive histology. MicroCT and histology revealed rhBMP-induced bone was more restricted in the PLGA scaffolds than collagen scaffolds (-92.3% TV, p < 0.01). The regenerate formed by PLGA + rhBMP-2/ZA/HA showed comparable bone volume to rhBMP-2 via collagen, and bone mineral density was +9.1% higher (p < 0.01). Local adjunct ZA/HA or PS-1145 significantly enhanced PLGA + rhBMP-induced bone formation by +78.2% and +52.0%, respectively (p ≤ 0.01). Mechanistically, MG-63 human osteoblast-like cells showed cellular invasion and proliferation within PLGA scaffolds. In conclusion, PLGA scaffolds enabled superior spatial control of rhBMP-induced bone formation over clinically-used collagen. The PLGA scaffold has the potential to avoid uncontrollable bone formation-related safety issues and to customise bone shape by scaffold design. Moreover, local treatment with anti-resorptive agents incorporated within the scaffold further augmented rhBMP-induced bone formation.


Asunto(s)
Conservadores de la Densidad Ósea/farmacología , Proteína Morfogenética Ósea 2/metabolismo , Regeneración Ósea , Difosfonatos/farmacología , Regeneración Tisular Dirigida , Imidazoles/farmacología , Andamios del Tejido/química , Animales , Proteína Morfogenética Ósea 2/genética , Línea Celular , Fémur/efectos de los fármacos , Fémur/cirugía , Humanos , Quinasa I-kappa B/antagonistas & inhibidores , Ácido Láctico/farmacología , Masculino , Osteoblastos/efectos de los fármacos , Osteoblastos/metabolismo , Ácido Poliglicólico/farmacología , Copolímero de Ácido Poliláctico-Ácido Poliglicólico , Ratas , Ratas Wistar , Ácido Zoledrónico
6.
Mol Psychiatry ; 18(2): 236-44, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22290121

RESUMEN

Attention Deficit Hyperactivity Disorder (ADHD) and Autism Spectrum Disorder (ASD) are often comorbid and share behavioural-cognitive abnormalities in sustained attention. A key question is whether this shared cognitive phenotype is based on common or different underlying pathophysiologies. To elucidate this question, we compared 20 boys with ADHD to 20 age and IQ matched ASD and 20 healthy boys using functional magnetic resonance imaging (fMRI) during a parametrically modulated vigilance task with a progressively increasing load of sustained attention. ADHD and ASD boys had significantly reduced activation relative to controls in bilateral striato-thalamic regions, left dorsolateral prefrontal cortex (DLPFC) and superior parietal cortex. Both groups also displayed significantly increased precuneus activation relative to controls. Precuneus was negatively correlated with the DLPFC activation, and progressively more deactivated with increasing attention load in controls, but not patients, suggesting problems with deactivation of a task-related default mode network in both disorders. However, left DLPFC underactivation was significantly more pronounced in ADHD relative to ASD boys, which furthermore was associated with sustained performance measures that were only impaired in ADHD patients. ASD boys, on the other hand, had disorder-specific enhanced cerebellar activation relative to both ADHD and control boys, presumably reflecting compensation. The findings show that ADHD and ASD boys have both shared and disorder-specific abnormalities in brain function during sustained attention. Shared deficits were in fronto-striato-parietal activation and default mode suppression. Differences were a more severe DLPFC dysfunction in ADHD and a disorder-specific fronto-striato-cerebellar dysregulation in ASD.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/patología , Atención/fisiología , Trastorno Autístico/patología , Corteza Cerebral/patología , Análisis de Varianza , Mapeo Encefálico , Estudios de Casos y Controles , Corteza Cerebral/irrigación sanguínea , Niño , Lateralidad Funcional , Humanos , Procesamiento de Imagen Asistido por Computador , Imagen por Resonancia Magnética , Masculino , Movimiento/fisiología , Pruebas Neuropsicológicas , Oxígeno/sangre , Estimulación Luminosa , Desempeño Psicomotor , Tiempo de Reacción/fisiología , Encuestas y Cuestionarios
7.
Eur Cell Mater ; 26: 208-21; discussion 220-1, 2013 Oct 22.
Artículo en Inglés | MEDLINE | ID: mdl-24146213

RESUMEN

Bone tissue engineering approaches commonly involve the delivery of recombinant human bone morphogenetic proteins (rhBMPs). However, there are limitations associated with the currently used carriers, including the need for surgical implantation and the associated increase in infection risk. As an alternative to traditional porous collagen sponge, we have adopted a solution of the injectable sucrose acetate isobutyrate (SAIB) as a carrier for rhBMP-2. The ability to deliver rhBMP-2 and other agents by injection reduces the infection risk and lesion size whilst in surgery, with the potential to avoid open surgery altogether in some indications. The primary methodology used for this in vivo study was a C57BL6/J mouse ectopic bone formation model. Specimens were examined by x-ray, microCT, and histology at 3 weeks. SAIB was delivered non-invasively and produced up to 3-fold greater bone volume compared to collagen. To further refine and improve upon the formulation, SAIB containing rhBMP-2 was admixed with candidate compounds including ceramic microparticles, anti-resorptives, and cell signalling inhibitors and further tested in vivo. The formulation combining SAIB/rhBMP-2, the bisphosphonate zoledronic acid (ZA), and hydroxyapatite (HA) microparticles yielded a 10-fold greater bone volume than SAIB/rhBMP-2 alone. To investigate the mechanism underlying the synergy between ZA and HA, we used in vitro binding assays and in vivo fluorescent biodistribution studies to demonstrate that ceramic particles could bind and sequester the bisphosphonate. These data show the utility of SAIB as a non-invasive rhBMP delivery system as well as describing an optimised formulation for bone tissue engineering.


Asunto(s)
Regeneración Ósea , Sistemas de Liberación de Medicamentos/métodos , Sacarosa/análogos & derivados , Ingeniería de Tejidos , Animales , Proteína Morfogenética Ósea 2/administración & dosificación , Técnicas de Cultivo de Célula , Colágeno/uso terapéutico , Difosfonatos/farmacocinética , Difosfonatos/uso terapéutico , Hidroxiapatitas/farmacocinética , Hidroxiapatitas/uso terapéutico , Imidazoles/farmacocinética , Imidazoles/uso terapéutico , Ratones , Ratones Endogámicos C57BL , Sacarosa/farmacocinética , Sacarosa/uso terapéutico , Distribución Tisular , Ácido Zoledrónico
8.
Heliyon ; 9(7): e17893, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37449168

RESUMEN

There is a growing interest in using models to predict foodborne pathogen inactivation as a way to validate or verify preventive controls. Unlike liquid foods, solid, low water activity foods (LWAF) are heterogenous in composition and structure and do not transfer heat uniformly. Using models constructed from one food to predict pathogen inactivation on another LWAF is complex and may not always be possible, even if the foods have similar composition. Using models constructed from inactivation kinetics of three foodborne pathogens and a surrogate from vacuum-steam-pasteurized (72 and 82 °C) whole macadamia nuts and dried apricot halves, 3-log reductions were predicted for the same pathogens and foods of reduced size. Model fits (First-order, Weibull, and Gompertz) were significantly impacted by the food type regardless of particle size. Despite the foods being identical in composition with particle size as the only altered characteristic, best-fit models accurately predicted the 3-log reductions only 50% of the time, but the surrogate inactivation models provided conservative predictions for pathogen reductions, highlighting that a surrogate's model may be a suitable tool for predicting pathogen reduction on LWAFs.

9.
Appl Environ Microbiol ; 78(1): 194-203, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22057871

RESUMEN

A significant number of microorganisms from the human oral cavity remain uncultivated. This is a major impediment to the study of human health since some of the uncultivated species may be involved in a variety of systemic diseases. We used a range of innovations previously developed to cultivate microorganisms from the human oral cavity, focusing on anaerobic species. These innovations include (i) in vivo cultivation to specifically enrich for species actively growing in the oral cavity (the "minitrap" method), (ii) single-cell long-term cultivation to minimize the effect of fast-growing microorganisms, and (iii) modifications of conventional enrichment techniques, using media that did not contain sugar, including glucose. To enable cultivation of obligate anaerobes, we maintained strict anaerobic conditions in most of our cultivation experiments. We report that, on a per cell basis, the most successful recovery was achieved using minitrap enrichment (11%), followed by single-cell cultivation (3%) and conventional plating (1%). Taxonomically, the richest collection was obtained using the single-cell cultivation method, followed by minitrap and conventional enrichment, comprising representatives of 13, 9, and 4 genera, respectively. Interestingly, no single species was isolated by all three methods, indicating method complementarity. An important result is the isolation and maintenance in pure culture of 10 strains previously only known by their molecular signatures, as well as representatives of what are likely to be three new microbial genera. We conclude that the ensemble of new methods we introduced will likely help close the gap between cultivated and uncultivated species from the human oral cavity.


Asunto(s)
Bacterias Anaerobias/aislamiento & purificación , Técnicas de Cultivo de Célula/métodos , Boca/microbiología , Bacterias Anaerobias/genética , Técnicas Bacteriológicas , Secuencia de Bases , Técnicas de Cultivo de Célula/instrumentación , Medios de Cultivo , ADN Bacteriano/análisis , ADN Bacteriano/genética , Humanos , Datos de Secuencia Molecular , Análisis de Secuencia por Matrices de Oligonucleótidos , Filogenia
10.
Sci Rep ; 10(1): 18845, 2020 11 02.
Artículo en Inglés | MEDLINE | ID: mdl-33139857

RESUMEN

22q11.2 Deletion Syndrome (22q11.2DS) is the most common microdeletion in humans, with a heterogenous clinical presentation including medical, behavioural and psychiatric conditions. Previous neuroimaging studies examining the neuroanatomical underpinnings of 22q11.2DS show alterations in cortical volume (CV), cortical thickness (CT) and surface area (SA). The aim of this study was to identify (1) the spatially distributed networks of differences in CT and SA in 22q11.2DS compared to controls, (2) their unique and spatial overlap, as well as (3) their relative contribution to observed differences in CV. Structural MRI scans were obtained from 62 individuals with 22q11.2DS and 57 age-and-gender-matched controls (aged 6-31). Using FreeSurfer, we examined differences in vertex-wise estimates of CV, CT and SA at each vertex, and compared the frequencies of vertices with a unique or overlapping difference for each morphometric feature. Our findings indicate that CT and SA make both common and unique contributions to volumetric differences in 22q11.2DS, and in some areas, their strong opposite effects mask differences in CV. By identifying the neuroanatomic variability in 22q11.2DS, and the separate contributions of CT and SA, we can start exploring the shared and distinct mechanisms that mediate neuropsychiatric symptoms across disorders, e.g. 22q11.2DS-related ASD and/or psychosis/schizophrenia.


Asunto(s)
Grosor de la Corteza Cerebral , Encéfalo/fisiopatología , Síndrome de DiGeorge/fisiopatología , Esquizofrenia/fisiopatología , Adolescente , Adulto , Encéfalo/diagnóstico por imagen , Corteza Cerebral/diagnóstico por imagen , Corteza Cerebral/fisiopatología , Niño , Síndrome de DiGeorge/diagnóstico por imagen , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Escalas de Valoración Psiquiátrica , Esquizofrenia/diagnóstico por imagen , Propiedades de Superficie , Adulto Joven
11.
Microbiome ; 6(1): 100, 2018 05 31.
Artículo en Inglés | MEDLINE | ID: mdl-29855347

RESUMEN

BACKGROUND: Microbially mediated oral diseases can signal underlying HIV/AIDS progression in HIV-infected adults. The role of the oral microbiota in HIV-infected youth is not known. The Adolescent Master Protocol of the Pediatric HIV/AIDS Cohort Study is a longitudinal study of perinatally HIV-infected (PHIV) and HIV-exposed, uninfected (PHEU) youth. We compared oral microbiome levels and associations with caries or periodontitis in 154 PHIV and 100 PHEU youth. RESULTS: Species richness and alpha diversity differed little between PHIV and PHEU youth. Group differences in average counts met the significance threshold for six taxa; two Corynebacterium species were lower in PHIV and met thresholds for noteworthiness. Several known periodontitis-associated organisms (Prevotella nigrescens, Tannerella forsythia, Aggregatibacter actinomycetemcomitans, and Filifactor alocis) exhibited expected associations with periodontitis in PHEU youth, associations not observed in PHIV youth. In both groups, odds of caries increased with counts of taxa in four genera, Streptococcus, Scardovia, Bifidobacterium, and Lactobacillus. CONCLUSIONS: The microbiomes of PHIV and PHEU youth were similar, although PHIV youth seemed to have fewer "health"-associated taxa such as Corynebacterium species. These results are consistent with the hypothesis that HIV infection, or its treatment, may contribute to oral dysbiosis.


Asunto(s)
Bacterias/clasificación , Bacterias/aislamiento & purificación , Caries Dental/microbiología , Infecciones por VIH/patología , Mucosa Bucal/microbiología , Periodontitis/microbiología , Saliva/microbiología , Adolescente , Adulto , Bacterias/genética , Niño , Estudios Transversales , Femenino , Humanos , Estudios Longitudinales , Masculino , Microbiota , ARN Ribosómico 16S/genética , Adulto Joven
12.
Physiol Meas ; 28(12): 1451-64, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-18057511

RESUMEN

This paper explores the potential of isotope V/Q lung scans to quantify lung disease. Areas of restricted perfusion in subjects with a pulmonary embolus (PE) were identified in 3D reconstructions of V/Q images achieved using anatomical data from the Visible Human Project. From these, the extent of lung damage was quantified. Significant differences in the values of both LogSD V and LogSD Q (p > 0.05) obtained from plots of V and Q against Log(V/Q) were found between normal subjects and subjects with a PE, but no correlation was found between either of these parameters and the degree of lung damage in subjects with a PE (p > 0.05). Whilst V/Q values were log normally distributed, the V/Q distributions from the subjects with a PE failed to show the bimodal distribution predicted from theoretical considerations and MIGET measurements previously reported. There was a statistically significant difference in the mean and standard deviation values of the V/Q distributions between normal subject and subjects with a PE (p < 0.05) but not in the median values (p > 0.05). There was no correlation between the mean, median and standard deviation of the distributions from the subjects with a PE and the percentage of damage present (p > 0.05).


Asunto(s)
Pulmón/fisiopatología , Embolia Pulmonar/fisiopatología , Relación Ventilacion-Perfusión/fisiología , Interpretación Estadística de Datos , Humanos , Imagenología Tridimensional , Pulmón/irrigación sanguínea , Pulmón/diagnóstico por imagen , Embolia Pulmonar/sangre , Embolia Pulmonar/diagnóstico por imagen , Ventilación Pulmonar , Cintigrafía , Radiofármacos/farmacocinética , Respiración , Sensibilidad y Especificidad , Distribuciones Estadísticas , Compuestos de Tecnecio/farmacocinética , Agregado de Albúmina Marcado con Tecnecio Tc 99m/farmacocinética
13.
J Hosp Infect ; 96(1): 63-66, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28215625

RESUMEN

Staphylococcus aureus cultures from name badge lanyards were phenotypically and genotypically indistinguishable from the wearer's nasal carrier strains by pulsed-field gel electrophoresis and antibiogram. Lanyards had a mean age of 22 months and hygiene was poor with only 9% ever having been laundered. Molecular analysis showed that 26% of S. aureus nasal carriers shared an indistinguishable strain on their lanyard. Lanyards should not be recommended for staff in frontline clinical care.


Asunto(s)
Infección Hospitalaria/microbiología , Mucosa Nasal/microbiología , Infecciones Estafilocócicas/genética , Staphylococcus aureus/genética , Infección Hospitalaria/epidemiología , Infección Hospitalaria/transmisión , Estudios Transversales , Electroforesis en Gel de Campo Pulsado/métodos , Microbiología Ambiental , Genotipo , Personal de Salud/educación , Humanos , Higiene/educación , Control de Infecciones/métodos , Irlanda/epidemiología , Pruebas de Sensibilidad Microbiana/métodos , Biología Molecular/métodos , Fenotipo , Riesgo , Infecciones Estafilocócicas/epidemiología , Staphylococcus aureus/crecimiento & desarrollo
14.
Transl Psychiatry ; 7(5): e1137, 2017 05 23.
Artículo en Inglés | MEDLINE | ID: mdl-28534874

RESUMEN

Currently, there are no effective pharmacologic treatments for the core symptoms of autism spectrum disorder (ASD). There is, nevertheless, potential for progress. For example, recent evidence suggests that the excitatory (E) glutamate and inhibitory (I) GABA systems may be altered in ASD. However, no prior studies of ASD have examined the 'responsivity' of the E-I system to pharmacologic challenge; or whether E-I modulation alters abnormalities in functional connectivity of brain regions implicated in the disorder. Therefore, we used magnetic resonance spectroscopy ([1H]MRS) to measure prefrontal E-I flux in response to the glutamate and GABA acting drug riluzole in adult men with and without ASD. We compared the change in prefrontal 'Inhibitory Index'-the GABA fraction within the pool of glutamate plus GABA metabolites-post riluzole challenge; and the impact of riluzole on differences in resting-state functional connectivity. Despite no baseline differences in E-I balance, there was a significant group difference in response to pharmacologic challenge. Riluzole increased the prefrontal cortex inhibitory index in ASD but decreased it in controls. There was also a significant group difference in prefrontal functional connectivity at baseline, which was abolished by riluzole within the ASD group. Our results also show, for we believe the first time in ASD, that E-I flux can be 'shifted' with a pharmacologic challenge, but that responsivity is significantly different from controls. Further, our initial evidence suggests that abnormalities in functional connectivity can be 'normalised' by targeting E-I, even in adults.


Asunto(s)
Trastorno del Espectro Autista/fisiopatología , Encéfalo/fisiopatología , Antagonistas de Aminoácidos Excitadores/farmacología , Corteza Prefrontal/fisiopatología , Riluzol/farmacología , Adulto , Trastorno del Espectro Autista/diagnóstico por imagen , Trastorno del Espectro Autista/tratamiento farmacológico , Encéfalo/diagnóstico por imagen , Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Mapeo Encefálico/métodos , Antagonistas de Aminoácidos Excitadores/administración & dosificación , Antagonistas de Aminoácidos Excitadores/metabolismo , Neuroimagen Funcional/métodos , Ácido Glutámico/metabolismo , Ácido Glutámico/fisiología , Humanos , Espectroscopía de Resonancia Magnética/métodos , Masculino , Vías Nerviosas/fisiopatología , Corteza Prefrontal/diagnóstico por imagen , Corteza Prefrontal/efectos de los fármacos , Corteza Prefrontal/metabolismo , Riluzol/administración & dosificación , Riluzol/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Ácido gamma-Aminobutírico/fisiología
15.
J Microbiol Methods ; 122: 8-12, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26769557

RESUMEN

To efficiently and accurately quantify the interactions of bacteria with mammalian cells, a reliable fluorescence microscopy assay was developed. Bacteria were engineered to become rapidly and stably fluorescent using Green Fluorescent Protein (GFP) expressed from an inducible Tet promoter. Upon application of the fluorescent bacteria onto a monolayer, extracellular bacteria could be discriminated from intracellular bacteria by antibody staining and microscopy. All bacteria could be detected by GFP expression. External bacteria stained orange, whereas internalised bacteria did not. Internalised bacteria could thus be discriminated from external bacteria by virtue of being green but not orange fluorescent. Image acquisition and counting of various fluorophore-stained entities were accomplished with a high-content screening platform. This allowed for semi-automated and accurate counting of intracellular and extracellular bacteria.


Asunto(s)
Bacterias/citología , Técnicas Bacteriológicas/métodos , Células CHO/microbiología , Proteínas Fluorescentes Verdes/química , Microscopía Fluorescente/métodos , Animales , Bacterias/química , Bacterias/genética , Línea Celular , Cricetulus , Escherichia coli/química , Escherichia coli/citología , Escherichia coli/genética , Fluorescencia , Colorantes Fluorescentes/química , Expresión Génica , Proteínas Fluorescentes Verdes/genética , Interacciones Huésped-Patógeno , Procesamiento de Imagen Asistido por Computador/métodos , Regiones Promotoras Genéticas , Salmonella typhimurium/química , Salmonella typhimurium/citología , Salmonella typhimurium/genética , Coloración y Etiquetado/métodos
16.
Biochim Biophys Acta ; 1074(2): 230-6, 1991 Jul 08.
Artículo en Inglés | MEDLINE | ID: mdl-2065077

RESUMEN

Cadmium-induced metallothionein in a mollusc, the oyster Crassostrea virginica, occurs in both blocked and unblocked forms (Roesijadi, G., Kielland, S.L. and Klerks, P. (1989) Arch. Biochem. Biophys. 273, 403-413). The block, which is the sole difference in the structure of the two proteins, was identified as an acetyl group with use of tandem mass spectrometry. The blocked and unblocked proteins carried N-acetylserine and serine, respectively, at the N-terminus and were designated CvNAcMT and CvMT. Only CvNAcMT was detected under basal conditions. Both forms were induced by Cd. Pulse-labeling with [35S]cyteine at specified times during exposure showed that the rate of CvNAcMT synthesis in gills increased rapidly, initially exceeding that of CvMT, then declined to the rate attained by CvMT. Turnover rates for Cd-induced CvMT and CvNAcMT were similar to each other. They appeared to be faster when measured in the absence of Cd in the external medium (k = 0.18 and 0.16/day, respectively), than in its presence (k = 0.03 and 0.06/day, respectively).


Asunto(s)
Metalotioneína/metabolismo , Moluscos/metabolismo , Acetilación , Secuencia de Aminoácidos , Animales , Cadmio/farmacología , Branquias/metabolismo , Isoenzimas/aislamiento & purificación , Isoenzimas/metabolismo , Espectrometría de Masas , Metalotioneína/aislamiento & purificación , Datos de Secuencia Molecular , Moluscos/efectos de los fármacos , Ostreidae/análisis , Fragmentos de Péptidos/análisis , Relación Estructura-Actividad , Tripsina
17.
Biochim Biophys Acta ; 1074(3): 371-7, 1991 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-1888750

RESUMEN

The primary structure of metallothioneins (MT) of a mollusc, the oyster Crassostrea virginica, was determined by molecular cloning and mass spectrometry of purified proteins. The cloning strategy included PCR amplification of the responsible cDNAs from total cDNA using completely degenerate oligonucleotides (derived from the N-terminal amino acid sequence) and oligo(dT)20 as primers. Primer extension off mRNA was used as an independent determination of the nucleotide sequence represented by the degenerate PCR primers. The deduced amino acid sequence was consistent with characteristics of class I MT. Twenty-one cysteine residues, were arranged in nine Cys-X-Cys motifs, five as Cys-Lys-Cys. A single Cys-X-X-Cys motif was also observed. Two MTs that differ only in the presence or absence of an N-acetyl group exist in this organism. Masses of tryptic peptides of purified MTs corresponded with those of peptides predicted from tryptic cleavages of the deduced amino acid sequence. Allowing for known N-terminal modifications, 96% of the deduced sequence was confirmed by mass spectrometry. Comparison (FASTA algorithm) of the primary structure of the oyster MTs with those of other species indicated a higher similarity with vertebrate MTs than with those of other invertebrates.


Asunto(s)
ADN , Metalotioneína/química , Ostreidae/enzimología , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Southern Blotting , Espectrometría de Masas , Metalotioneína/aislamiento & purificación , Datos de Secuencia Molecular , Mapeo Peptídico , Reacción en Cadena de la Polimerasa , Alineación de Secuencia , Homología de Secuencia de Ácido Nucleico , Tripsina
18.
Transl Psychiatry ; 5: e544, 2015 Apr 07.
Artículo en Inglés | MEDLINE | ID: mdl-25849983

RESUMEN

Cue-elicited craving for alcohol is well established but extinction-based treatment to extinguish this response has generated only modest positive outcomes in clinical trials. Basic and clinical research suggests that D-cycloserine (DCS) enhances extinction to fear cues under certain conditions. However, it remains unclear whether DCS would also accelerate extinction of cue-elicited craving for alcohol. The goal of the current study was to examine whether, compared with placebo (PBO), DCS enhanced extinction of cue-elicited craving among treatment-seeking individuals with alcohol use disorders (AUDs). Participants were administered DCS (50 mg) or PBO 1 h before an alcohol extinction paradigm in a simulated bar environment on two occasions. The extinction procedures occurred 1 week apart and were fully integrated into outpatient treatment. Subjective craving for alcohol was the primary variable of interest. Follow-up cue reactivity sessions were conducted 1 week and 3 weeks later to ascertain persisting DCS effects. Drinking outcomes and tolerability were also examined. DCS was associated with augmented reductions in alcohol craving to alcohol cues during the first extinction session and these effects persisted through all subsequent sessions, suggesting facilitation of extinction. Participants in the DCS condition reported significant short-term reductions in drinking, although these did not persist to follow-up, and found the medication highly tolerable. These findings provide evidence that DCS enhances extinction of cue-elicited craving for alcohol in individuals with AUDs in the context of outpatient treatment. The potential clinical utility of DCS is discussed, including methodological considerations and context-dependent learning.


Asunto(s)
Trastornos Relacionados con Alcohol/tratamiento farmacológico , Ansia/efectos de los fármacos , Señales (Psicología) , Cicloserina/uso terapéutico , Extinción Psicológica/efectos de los fármacos , Investigación Biomédica Traslacional , Adulto , Anciano , Trastornos Relacionados con Alcohol/psicología , Antimetabolitos/uso terapéutico , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Pacientes Ambulatorios/psicología , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
19.
J Am Soc Mass Spectrom ; 1(4): 336-40, 1990 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-24248828

RESUMEN

Spectra were recorded of all fragment ions formed by elimination of 28-u neutral fragments in fast atom bombardment spectra of peptides in the mass range 1000-1800 u, This approach can provide less complex spectra than either conventionally scanned spectra or product ion scans from collisionaIly activated four-sector experiments, and spectra that contain information that is both overlapping and complementary to those from the other techniques. Constant neutral loss spectra may provide a reading frame for distinguishing sequence ion series in tandem or single analyzer spectra.

20.
J Am Soc Mass Spectrom ; 3(8): 815-22, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-24234704

RESUMEN

Product ion spectra of fifteen monoglutathione and diglutathione conjugates have been measured using activation by 6000-eV collisions with helium in the third field-free region of a four-sector tandem mass spectrometer of EBEB configuration. Fragmentation patterns in the cation spectra have been analyzed for decompositions of the glutathione moiety that would permit recognition of an unknown as a glutathione conjugate. Five spectra from an earlier study of high-energy collisional activation on a BEEB four-sector instrument have also been included in this analysis. A suite of appropriate ions was found to occur consistently,, including ions of m/z 307 comprising the glutathione tripeptide and the complementary ion [MH-307](+) or the ion radical [MH-306](+).

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