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1.
J Theor Biol ; 358: 208-31, 2014 Oct 07.
Artículo en Inglés | MEDLINE | ID: mdl-24928152

RESUMEN

One of the great challenges of the scientific community on theories of genetic information, genetic communication and genetic coding is to determine a mathematical structure related to DNA sequences. In this paper we propose a model of an intra-cellular transmission system of genetic information similar to a model of a power and bandwidth efficient digital communication system in order to identify a mathematical structure in DNA sequences where such sequences are biologically relevant. The model of a transmission system of genetic information is concerned with the identification, reproduction and mathematical classification of the nucleotide sequence of single stranded DNA by the genetic encoder. Hence, a genetic encoder is devised where labelings and cyclic codes are established. The establishment of the algebraic structure of the corresponding codes alphabets, mappings, labelings, primitive polynomials (p(x)) and code generator polynomials (g(x)) are quite important in characterizing error-correcting codes subclasses of G-linear codes. These latter codes are useful for the identification, reproduction and mathematical classification of DNA sequences. The characterization of this model may contribute to the development of a methodology that can be applied in mutational analysis and polymorphisms, production of new drugs and genetic improvement, among other things, resulting in the reduction of time and laboratory costs.


Asunto(s)
Modelos Genéticos , Análisis de Secuencia de ADN , Algoritmos
2.
Ageing Res Rev ; 58: 101006, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-31891813

RESUMEN

Alzheimer's Disease (AD) is characterized by progressive loss of cognitive abilities; senile plaques represent the major histopathological findings. Amyloid precursor protein (APP) processing machinery, and its product amyloid-beta (Aß) peptide, have been found in extracellular vesicles (EVs), specifically exosomes, which allows for Aß peptide aggregation and subsequent senile plaques deposition. We review the APP processing imbalance in EVs, autophagic and endosomal pathways in AD. Increased intraluminal vesicle (ILV) production and exosome release appear to counteract the endosomal dysfunction of APP processing; however, this process results in elevated amyloidogenic processing of APP and augmented senile plaque deposition. Several players related to APP processing and dysfunctional endosomal-lysosomal-exosomal (and other EVs) pathway are described, and the interconnected systems are discussed. The components Arc, p75, Rab11 and retromer complex emerge as candidates for key convergent mechanisms that lead to increased EVs loaded with APP machinery and Aß levels, in atrophy and damage of basal forebrain cholinergic neurons in AD.


Asunto(s)
Enfermedad de Alzheimer , Precursor de Proteína beta-Amiloide , Exosomas , Enfermedad de Alzheimer/metabolismo , Péptidos beta-Amiloides , Humanos , Lisosomas , Placa Amiloide
3.
Sci Rep ; 10(1): 5851, 2020 04 03.
Artículo en Inglés | MEDLINE | ID: mdl-32245990

RESUMEN

LL37 exerts a dual pathogenic role in psoriasis. Bound to self-DNA/RNA, LL37 licenses autoreactivity by stimulating plasmacytoid dendritic cells-(pDCs)-Type I interferon (IFN-I) and acts as autoantigen for pathogenic Th17-cells. In systemic lupus erythematosus (SLE), LL37 also triggers IFN-I in pDCs and is target of pathogenic autoantibodies. However, whether LL37 activates T-cells in SLE and how the latter differ from psoriasis LL37-specific T-cells is unknown. Here we found that 45% SLE patients had circulating T-cells strongly responding to LL37, which correlate with anti-LL37 antibodies/disease activity. In contrast to psoriatic Th17-cells, these LL37-specific SLE T-cells displayed a T-follicular helper-(TFH)-like phenotype, with CXCR5/Bcl-6 and IL-21 expression, implicating a role in stimulation of pathogenic autoantibodies. Accordingly, SLE LL37-specific T-cells promoted B-cell secretion of pathogenic anti-LL37 antibodies in vitro. Importantly, we identified abundant citrullinated LL37 (cit-LL37) in SLE tissues (skin and kidney) and observed very pronounced reactivity of LL37-specific SLE T-cells to cit-LL37, compared to native-LL37, which was much more occasional in psoriasis. Thus, in SLE, we identified LL37-specific T-cells with a distinct functional specialization and antigenic specificity. This suggests that autoantigenic specificity is independent from the nature of the autoantigen, but rather relies on the disease-specific milieu driving T-cell subset polarization and autoantigen modifications.


Asunto(s)
Péptidos Catiónicos Antimicrobianos/inmunología , Autoanticuerpos/inmunología , Lupus Eritematoso Sistémico/inmunología , Linfocitos T/inmunología , Anticuerpos Antiproteína Citrulinada/inmunología , Anticuerpos Antinucleares/inmunología , Formación de Anticuerpos/inmunología , ADN/inmunología , Células Dendríticas/inmunología , Femenino , Humanos , Lupus Eritematoso Sistémico/etiología , Masculino , Psoriasis/etiología , Psoriasis/inmunología , Células Th17/inmunología , Catelicidinas
4.
J Cell Biol ; 137(1): 193-202, 1997 Apr 07.
Artículo en Inglés | MEDLINE | ID: mdl-9105047

RESUMEN

Centrosome-dependent microtubule nucleation involves the interaction of tubulin subunits with pericentriolar material. To study the biochemical and structural basis of centrosome-dependent microtubule nucleation, centrosomes capable of organizing microtubules into astral arrays were isolated from parthenogenetically activated Spisula solidissima oocytes. Intermediate voltage electron microscopy tomography revealed that each centrosome was composed of a single centriole surrounded by pericentriolar material that was studded with ring-shaped structures approximately 25 nm in diameter and <25 nm in length. A number of proteins copurified with centrosomes including: (a) proteins that contained M-phase-specific phosphoepitopes (MPM-2), (b) alpha-, beta-, and gamma-tubulins, (c) actin, and (d) three low molecular weight proteins of <20 kD. gamma-Tubulin was not an MPM-2 phosphoprotein and was the most abundant form of tubulin in centrosomes. Relatively little alpha- or beta-tubulin copurified with centrosomes, and the ratio of alpha- to beta-tubulin in centrosomes was not 1:1 as expected, but rather 1:4.6, suggesting that centrosomes contain beta-tubulin that is not dimerized with alpha-tubulin.


Asunto(s)
Bivalvos/química , Centrosoma/química , Oocitos/química , Tubulina (Proteína)/análisis , Animales , Centrosoma/fisiología , Electroforesis en Gel de Poliacrilamida , Femenino , Tubulina (Proteína)/aislamiento & purificación
5.
Science ; 256(5054): 219-21, 1992 Apr 10.
Artículo en Inglés | MEDLINE | ID: mdl-1566068

RESUMEN

A cell-free system has been developed that executes centriole duplication. Surf clam (Spisula solidissima) oocytes, arrested at late prophase of meiosis I, do not contain centrioles, centrosomes, or asters. Serial section high-voltage electron microscopy (HVEM) of asters and spindles isolated from potassium chloride-activated oocytes indicates that within 4 minutes oocytes assemble a single centriole that is duplicated by 15 minutes when assembly of the first meiotic spindle is complete. A mixture of lysates from unactivated oocytes and potassium chloride-activated oocytes induces centriole formation and duplication. Astral microtubule content in these lysate mixtures increases with time.


Asunto(s)
Centriolos/ultraestructura , Oocitos/ultraestructura , Animales , Bivalvos , Sistema Libre de Células , Femenino , Meiosis , Microscopía Electrónica , Oocitos/citología , Profase , Tubulina (Proteína)/análisis
7.
Biosystems ; 163: 47-58, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29233730

RESUMEN

The organization of the genetic information and its ability to be conserved and translated to proteins with low error rates have been the subject of study by scientists from different disciplines. Recently, it has been proposed that living organisms display an intra-cellular transmission system of genetic information, similar to a model of digital communication system, in which there is the ability to detect and correct errors. In this work, the concept of Concatenated Genetic Encoder is introduced and applied to the analysis of protein sequences as a tool for exploring evolutionary relationships. For such purposes Error Correcting Codes (ECCs) are used to represent proteins. A methodology for representing or identifying proteins by use of BCH codes over ℤ20 and F4×ℤ5 is proposed and cytochrome b6-f complex subunit 6-OS sequences, corresponding to different plants species, are analyzed according to the proposed methodology and results are contrasted to phylogenetic and taxonomic analyses. Through the analyses, it was observed that using BCH codes only some sequences are identified, all of which differ in one amino acid from the original sequence. In addition, mathematical relationships among identified sequences are established by considering minimal polynomials, where such sequences showed a close relationship as revealed in the phylogenetic reconstruction. Results, here shown, point out that communication theory may provide biology of interesting and useful tools to identify biological relationships among proteins, however the proposed methodology needs to be improved and rigorously tested in order to become into an applicable tool for biological analysis.


Asunto(s)
Secuencia de Aminoácidos/fisiología , Evolución Molecular , Código Genético/fisiología , Modelos Teóricos , Filogenia
8.
Int J Immunopathol Pharmacol ; 19(1): 97-104, 2006.
Artículo en Inglés | MEDLINE | ID: mdl-16569347

RESUMEN

T cell responses are involved in vaccine-induced immunity to pertussis but no easy-to-monitor, serological markers are available to assess these responses. The lymphocyte activation gene-3 (CD223) molecule is present on, and released by, activated T helper (Th) 1 cells, whereas CD30 molecules have been associated with Th2 immune responses. Starting from the recent knowledge of the cytokine profile induced by pertussis vaccination, we examined the levels of soluble (s)CD223 and sCD30 proteins in child recipients of acellular pertussis (aP) and diphtheria-tetanus (DT) vaccines and in children receiving DT vaccine only, as control. The correlation of the two proteins with specific antibody and T cell responses was assessed. The main findings are: i) sCD223 and sCD30 levels are inversely related, suggesting that the two markers are the expression of different and counter-regulated T-cell responses; ii) sCD30 level correlated with induction of T cell proliferation to pertussis vaccine antigens and antibody response to pertussis toxin. Overall, sCD30 and sCD223 levels seem to be promising candidate markers to assess the induction of Th-type responses in vaccine recipients.


Asunto(s)
Antígenos CD/metabolismo , Citocinas/biosíntesis , Antígeno Ki-1/metabolismo , Vacuna contra la Tos Ferina/farmacología , Células TH1/inmunología , Células Th2/inmunología , Anticuerpos Antibacterianos/análisis , Anticuerpos Antibacterianos/biosíntesis , Antígenos CD/análisis , Biomarcadores , Niño , Método Doble Ciego , Humanos , Inmunidad Celular/efectos de los fármacos , Antígeno Ki-1/análisis , Células TH1/metabolismo , Vacunas Acelulares/farmacología , Proteína del Gen 3 de Activación de Linfocitos
9.
Prostate Cancer Prostatic Dis ; 8(4): 344-8, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16130012

RESUMEN

Prostasomes, prostatic secretory vesicles found in human ejaculates, were analyzed to verify the existence at their surfaces of enzymes involved in the degradation of the extracellular matrix. Findings were compared with those of prostasomes isolated from two human adenocarcinoma cell lines that reflect clinical features and molecular pathways of androgen-insensitive and hormone-responsive prostate cancer. Our aim was to determine whether neoplastic transformation is accompanied by changes of glycosidase and protease activities. Our results show that decreases of dipeptidyl peptidase IV and increases of urokinase plasminogen activator and cathepsin B are consistent with the clinical features of the cell lines, whereas increases of glycosidase activities seem to be of scarce biological significance.


Asunto(s)
Matriz Extracelular/metabolismo , Vesículas Secretoras/enzimología , Semen/citología , Semen/enzimología , Catepsina B/metabolismo , Línea Celular Tumoral , Dipeptidil Peptidasa 4/metabolismo , Glicósido Hidrolasas/metabolismo , Humanos , Masculino , Péptido Hidrolasas/metabolismo , Peptidoglicano/metabolismo , Activador de Plasminógeno de Tipo Uroquinasa/metabolismo
10.
J Biol Regul Homeost Agents ; 19(3-4): 136-40, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16602628

RESUMEN

Inflammatory processes contribute to the pathogenesis and complications of atherosclerosis and coronary heart disease (CHD). Several findings indicate that chlamydial heat shock proteins (HSP) may represent a particularly strong antigenic stimulus, able to induce specific humoral (Ab) and T-cell-mediated immune responses (CMI) linking infection by Chlamydia pneumoniae (CP) to immuno-pathological sequelae such as atherosclerosis and CHD. We have here evaluated the ability of chlamydial recombinant (r) HSP60 and rHSP10 to induce specific immune responses in human peripheral blood lymphocytes and in murine models. rHSP60, but not rHSP10, was shown to induce proliferation and Interferon-gamma secretion in lymphocytes of randomly selected blood donors, as well as to generate and detect delayed-type hypersensitivity response in HSP60-vaccinated mice. Overall, the present study provides new hints to evaluate a previous exposition to CP using rHSP60 in humans. Thus the evaluation of specific HSP60 CMI response in healthy subject could be useful to monitor the reactivity to Chlamydia pneumoniae possibly providing a link to CHD pathologies.


Asunto(s)
Proteínas Bacterianas/inmunología , Chaperonina 60/inmunología , Chlamydophila pneumoniae/inmunología , Linfocitos T/inmunología , Animales , Antígenos Bacterianos/genética , Aterosclerosis/etiología , Linfocitos B/inmunología , Proteínas Bacterianas/genética , Chaperonina 60/genética , Chlamydophila pneumoniae/genética , Chlamydophila pneumoniae/patogenicidad , Enfermedad Coronaria/etiología , Humanos , Inmunización , Técnicas In Vitro , Inflamación/etiología , Ratones , Proteínas Recombinantes/genética , Proteínas Recombinantes/inmunología
11.
J Thorac Cardiovasc Surg ; 106(6): 1024-35, 1993 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8246534

RESUMEN

Spinal cord ischemia with resultant paraplegia or paraparesis remains an important clinical problem after operations on the thoracoabdominal aorta. Because hypothermia has a protective effect on ischemic neural tissue, we developed a baboon model of spinal cord ischemia to simulate the situation encountered clinically for resection of aneurysms of the thoracoabdominal aorta and to determine whether profound hypothermia produced by hypothermic cardiopulmonary bypass has a protective effect on spinal cord function. After cardiopulmonary bypass was established, the aorta was clamped distal to the left subclavian artery and proximal to the renal arteries for 60 minutes. Group I animals (n = 9) underwent aortic clamping at normothermia (37 degrees C), and group II animals (n = 9) were cooled to a rectal temperature of 15 degrees C before aortic clamping and underwent cardiopulmonary bypass at this temperature until the aorta was unclamped. Of the eight operative survivors in group I, six animals were paraplegic and two were paraparetic, whereas all six group II animals that survived the procedure were neurologically intact (p = 0.0002). The protective effect of hypothermia was associated with blunting of the hyperemic response of spinal cord blood flow (determined by the radioactive microsphere technique) in the lower thoracic and the lumbar segments of the spinal cord after unclamping of the aorta. Profound hypothermia produced by hypothermic cardiopulmonary bypass may be an effective method of protection of the spinal cord in patients undergoing repair of aneurysms of the thoracoabdominal aorta and may reduce the prevalence of ischemic injury to the spinal cord.


Asunto(s)
Puente Cardiopulmonar , Hipotermia Inducida , Isquemia/prevención & control , Médula Espinal/irrigación sanguínea , Animales , Modelos Animales de Enfermedad , Hemodinámica , Masculino , Papio , Paraplejía/fisiopatología , Flujo Sanguíneo Regional , Médula Espinal/fisiología
12.
J Appl Physiol (1985) ; 73(5): 1881-7, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-1474064

RESUMEN

The alveolar epithelium is the major barrier to solute and protein flux between the pulmonary vascular bed and the airspaces. Hyperoxic exposure increases epithelial permeability, and during recovery, normal permeability must be regained. To determine the time course for recovery of this function, we exposed hamsters to > 95% O2 for 4.5 days and returned them to room air. After recovery periods of 0.5, 1, 3, 7, and 14 days, alveolar epithelial permeability x surface area (PS) values for [14C]sucrose and fluorescein isothiocyanate-Dextran 20 were measured with isolated perfused lung techniques. Eighty-five percent of the exposed animals survived in room air. Control PS values for sucrose and Dextran 20 were 5.76 x 10(-5) and 0.29 x 10(-5) cm3/s, respectively. After hyperoxia both values were increased by a factor of five. After 0.5 days of recovery, PS remained elevated, but after 1 day they were decreased. Normal PS values were achieved after 3 days for sucrose and 7 days for Dextran 20. During both acute injury and recovery, epithelial selectivity was unchanged and no ultrastructural changes in the alveolar epithelium were observed.


Asunto(s)
Oxígeno/toxicidad , Alveolos Pulmonares/metabolismo , Animales , Presión Sanguínea/fisiología , Peso Corporal/fisiología , Cricetinae , Epitelio/efectos de los fármacos , Epitelio/fisiología , Epitelio/ultraestructura , Femenino , Técnicas In Vitro , Mesocricetus , Permeabilidad , Alveolos Pulmonares/ultraestructura , Circulación Pulmonar/fisiología
13.
J Appl Physiol (1985) ; 73(5): 2112-9, 1992 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-1474092

RESUMEN

We used an intact in vivo canine model of pulmonary ischemia-reperfusion (IR) injury to evaluate the differential effects of alveolar hypoxia and ventilation during 2 h of unilateral warm lung ischemia. Serial measurements of regional pulmonary blood flow, extravascular density (EVD), and transcapillary protein flux were made after reperfusion with the quantitative imaging technique of positron emission tomography. Twenty-seven animals were divided into five experimental groups: VENT O2 (n = 5) in which the left lung was ventilated with 40% O2 during ischemia, STATIC O2 (n = 4) in which the left lung was statically inflated with 40% O2 during ischemia, VENT N2 (n = 5) in which the left lung was ventilated with 100% N2 during ischemia, VENT N2/CO2 (n = 5) in which the left lung was ventilated with 95% N2-5% CO2 during ischemia, and STATIC N2 (n = 8) in which the left lung was statically inflated with 100% N2 during ischemia. These groups were compared with a control group (CONT, = 3) that was studied previously. Protein flux was significantly increased in the previous ischemic lung only for the STATIC N2 group [median 175 x 10(-4) min-1 (range 53-1,217) for the STATIC N2 group vs. 50 x 10(-4) min-1 (range 40-56) for the CONT group] 0.25 h after reperfusion and did not change over 3 h. EVD also increased but not significantly. Protein flux and EVD in the other groups were not different from CONT.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Isquemia/fisiopatología , Circulación Pulmonar/fisiología , Daño por Reperfusión/fisiopatología , Mecánica Respiratoria/fisiología , Equilibrio Ácido-Base , Animales , Análisis de los Gases de la Sangre , Temperatura Corporal , Permeabilidad Capilar , Perros , Hemodinámica/fisiología , Pulmón/química , Pulmón/metabolismo , Alveolos Pulmonares/fisiología , Especies Reactivas de Oxígeno/metabolismo , Tomografía Computarizada de Emisión
14.
J Appl Physiol (1985) ; 72(2): 612-20, 1992 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1559939

RESUMEN

We developed an in vivo intact canine model to study pulmonary ischemia-reperfusion (IR) injury. The surgical approach simulates that of unilateral lung transplantation but is free of technical difficulties and other factors related to lung preservation. Serial measurements of regional pulmonary blood flow (rPBF), extravascular density (EVD), and transcapillary protein flux were made with the quantitative imaging technique of positron emission tomography. Eleven experimental and six control animals were studied. After 2 h of warm ischemia followed by reperfusion, no significant change occurred in rPBF despite significantly increased EVD, which was greater on the ischemic than on the nonischemic side. Protein flux, measured as a rate constant, was also greater on the ischemic than on the nonischemic side (median 181 x 10(-4)/min, range 104-619, vs. median 90, range 33-132) immediately after reperfusion. Both sides were also significantly different from control values (median 37, range 21-57). On both sides, protein flux decreased over time and at 5 h after reperfusion was not different from that of controls. Data from the control animals showed that these findings in the experimental animals were not due to surgical technique, deterioration in the surgical preparation, or hyperperfusion of the nonischemic lung. Thus IR injury of one lung can lead to similar, but less severe, injury in the contralateral lung. Because injury in the nonischemic lung develops only after reperfusion of the ischemic lung, injury to the nonischemic lung is probably humorally mediated. The model is a useful and relevant method for studying the physiological consequences of pulmonary IR injury.


Asunto(s)
Lesión Pulmonar , Daño por Reperfusión/etiología , Animales , Agua Corporal/metabolismo , Permeabilidad Capilar/fisiología , Modelos Animales de Enfermedad , Perros , Hemodinámica/fisiología , Pulmón/irrigación sanguínea , Pulmón/diagnóstico por imagen , Circulación Pulmonar/fisiología , Daño por Reperfusión/diagnóstico por imagen , Daño por Reperfusión/fisiopatología , Tomografía Computarizada de Emisión
15.
J Appl Physiol (1985) ; 72(2): 621-8, 1992 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-1559940

RESUMEN

In a companion study, we showed that 2 h of warm unilateral lung ischemia followed by reperfusion resulted in bilateral tissue injury, indicated by increases in extravascular density (EVD) and permeability, measured as the pulmonary transcapillary escape rate (PTCER) for radiolabeled transferrin. EVD and PTCER measurements were obtained with the quantitative imaging technique of positron emission tomography (PET). In the current study, we evaluated this increase in EVD histologically and correlated EVD and PTCER with measurements of oxidant-reactive sulfhydryls (RSH) in plasma as a marker of oxygen free radical (OFR) formation. Histologically edema, leukocyte infiltration, and hemorrhage were all present on the ischemic side, but only after reperfusion, whereas only neutrophil infiltration was observed on the nonischemic side. Histology scores correlated with EVD (r = 0.81) and PTCER (r = 0.75), but permeability was abnormal at times even in the absence of neutrophil infiltration. Plasma RSH concentration from the ischemic lung decreased significantly (P less than 0.05) during pulmonary ischemia (i.e., before reperfusion) and returned to baseline on reperfusion. The degree of RSH oxidation did not correlate with the severity of injury as measured by PET or histology. Thus pulmonary ischemia-reperfusion injury is characterized by inflammation, hemorrhage, edema, and OFR formation. Injury occurred after reperfusion, not after ischemia alone. In addition, injury to the contralateral nonischemic lung suggests a neutrophil-independent circulating mediator of injury.


Asunto(s)
Inflamación/etiología , Lesión Pulmonar , Oxígeno/metabolismo , Daño por Reperfusión/etiología , Animales , Perros , Radicales Libres , Pulmón/irrigación sanguínea , Pulmón/metabolismo , Edema Pulmonar/etiología , Daño por Reperfusión/diagnóstico por imagen , Daño por Reperfusión/metabolismo , Compuestos de Sulfhidrilo/sangre , Tomografía Computarizada de Emisión
16.
Ann Thorac Surg ; 69(2): 637-9, 2000 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10735723

RESUMEN

Congenital anomalies of the aortic valve can be associated with other cardiac anomalies. In this report, we present a patient with an aortic valve anomaly associated with occlusion of left coronary ostia. In addition, we reviewed the literature and found 10 similar cases. Although compatible with life, this anomaly can lead to significant symptoms. Preoperative diagnosis as well as proper therapeutic planning should be tailored to correct valvular competence and restore coronary blood flow.


Asunto(s)
Válvula Aórtica/anomalías , Anomalías de los Vasos Coronarios/cirugía , Adulto , Puente Cardiopulmonar , Circulación Colateral , Circulación Coronaria , Femenino , Humanos
17.
Ann Thorac Surg ; 68(4): 1433-7, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10543534

RESUMEN

Aneurysm of reverse aortocoronary saphenous vein graft is a known complication of coronary artery bypass grafting. In this report we present a case of a 60-year-old man who presented 12 years after coronary artery bypass grafting with a giant graft aneurysm of the reverse aortocoronary saphenous vein graft to the right coronary artery, compressing the right atrium. Spiral computed tomography was used to identify the aneurysm measuring 7 x 6 x 7 cm. We also reviewed the English-language literature and found reports of 50 patients with similar aneurysms of which 30 (61%) were identified as true aneurysms and 17 (33%) were identified as pseudoaneurysms. Three patients could not be identified into either group. We reviewed the presenting symptoms, diagnostic tools, and treatment options for this rare entity. An understanding of the pathophysiology of reverse aortocoronary saphenous vein graft aneurysm is important to prevent the possibility of aneurysm rupture, embolization, myocardial infarction, or death.


Asunto(s)
Aneurisma Coronario/cirugía , Puente de Arteria Coronaria , Oclusión de Injerto Vascular/cirugía , Atrios Cardíacos , Complicaciones Posoperatorias/cirugía , Venas/trasplante , Aneurisma Coronario/diagnóstico por imagen , Oclusión de Injerto Vascular/diagnóstico por imagen , Atrios Cardíacos/diagnóstico por imagen , Atrios Cardíacos/cirugía , Humanos , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico por imagen , Falla de Prótesis , Reoperación , Síndrome de la Vena Cava Superior/diagnóstico por imagen , Síndrome de la Vena Cava Superior/cirugía , Tomografía Computarizada por Rayos X
18.
Ann Thorac Surg ; 57(5): 1311-8, 1994 May.
Artículo en Inglés | MEDLINE | ID: mdl-8179406

RESUMEN

Pulmonary hypertension and transient graft dysfunction may complicate the postoperative course of patients undergoing lung transplantation. We report the acute effect of inhaled nitric oxide (80 ppm) on hemodynamics and gas exchange in 6 patients (median age, 14 years; range, 5 to 21 years) after lung transplantation as well as the effect of extended treatment over 40 to 69 hours in 2 patients. In 5 patients with pulmonary hypertension nitric oxide lowered mean pulmonary artery pressure (from 38.4 +/- 1.6 to 29.4 +/- 3.1 mm Hg; p < 0.05), pulmonary vascular resistance index (from 9.3 +/- 1.4 to 6.4 +/- 1.3 Um2; p < 0.05), and intrapulmonary shunt fraction (from 28.6% +/- 8.3% to 21.0% +/- 5.7%; p < 0.05). There was a 28.4% +/- 7.2% reduction in transpulmonary pressure gradient with only minor accompanying effects on the systemic circulation. Mean arterial pressure decreased only 2.7% +/- 5% (from 76.4 +/- 2.2 to 74 +/- 2.3 mm Hg; p = not significant), and systemic vascular resistance index by 4.2% +/- 9.7% (from 21.7 +/- 3.1 to 20.6 +/- 3.6 Um2; p = not significant). Cardiac index was unchanged (from 3.5 +/- 0.8 to 3.6 +/- 0.7 L.min-1.m-2; p = not significant). Nitric oxide caused a sustained improvement in oxygenation and pulmonary artery pressure during extended therapy at doses of 10 ppm. There were no major side effects. However, transient methemoglobinemia (9%) developed in 1 patient after 10 hours of nitric oxide treatment. Nitric oxide may be useful in the treatment of pulmonary hypertension and the impaired gas exchange that occurs after lung transplantation.


Asunto(s)
Hemodinámica/efectos de los fármacos , Hipertensión Pulmonar/tratamiento farmacológico , Trasplante de Pulmón/efectos adversos , Óxido Nítrico/administración & dosificación , Intercambio Gaseoso Pulmonar/efectos de los fármacos , Acetilcolina/administración & dosificación , Administración por Inhalación , Adolescente , Adulto , Pruebas Respiratorias , Niño , Preescolar , Femenino , Humanos , Hipertensión Pulmonar/etiología , Hipertensión Pulmonar/fisiopatología , Infusiones Intraarteriales , Masculino , Metahemoglobina/análisis , Dióxido de Nitrógeno/análisis , Circulación Pulmonar/efectos de los fármacos
19.
J Pharmacol Toxicol Methods ; 38(3): 151-6, 1997 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-9523768

RESUMEN

The apparent redox potentials (Em) of plasma as a marker of oxidant injury during coronary artery bypass graft (CABG) is determined, and their clinical significance is discussed. We measured plasma Em of normal volunteers (n = 20) and samples drawn at different time points from patients undergoing elective CABG (n = 60) directly and by adding 5 microl (20 mM) oxidants or reductants with known redox potential to plasma (95 microl), using a micro Pt/AgCl combination redox electrode. The Em value stays elevated up to 30 min during the surgery, after the administration of protamine it came down toward a more reduced state. Similar changes are seen with the lactate pyruvate ratio. Smaller changes of Em than normal are observed in plasma samples from patients treated with Aprotinin (antiprotease), Carmeda (heparin-coated) circuit and aspirin reflecting their protective effect. Redox potential (Em) measurements appear to be effective and useful in monitoring redox shifts wherever oxidative stress needs to be monitored.


Asunto(s)
Puente de Arteria Coronaria , Complicaciones Intraoperatorias/prevención & control , Estrés Oxidativo , Plasma/química , Anticoagulantes/farmacología , Aprotinina/farmacología , Aspirina/farmacología , Electrofisiología , Heparina/farmacología , Antagonistas de Heparina/farmacología , Homeostasis/efectos de los fármacos , Humanos , Complicaciones Intraoperatorias/sangre , Ácido Láctico/sangre , Oxidantes/farmacología , Oxidación-Reducción , Protaminas/farmacología , Ácido Pirúvico/sangre , Inhibidores de Serina Proteinasa/farmacología
20.
Biol Bull ; 191(1): 5-16, 1996 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-8776840

RESUMEN

Accumulating evidence from several systems suggests that nuclear envelope breakdown (NEB) is triggered by an endogenous transient of free calcium. Using h- and f-semisynthetic aequorins as cytosolic calcium indicators, we have clearly and regularly visualized a single large, global calcium transient just before first NEB in normally developing, monospermic Lytechinus eggs. Although similar transients were not observed at NEB in subsequent cell cycles, microinjection of the calcium buffer BAPTA into one blastomere of the two-celled embryo resulted in the inhibition of NEB. The NEB transient in the first cell cycle was some five-fold smaller than the one associated with egg activation. Our data suggest that this transient takes the form of a calcium wave that spreads inwards from the periphery of the egg toward the nucleus. We confirmed that these NEB transients did not require extracellular Ca2+. In polyspermic eggs, NEB-associated transients were four-fold larger than in monospermic eggs and were periodically repeated. Examination of the distribution of fluorescein-conjugated aequorins with a laser scanning confocal microscope indicated that aequorin both enters the nucleus and is evenly distributed within the cytosol of the egg. The use of h- and f-aequorins did not reveal any NEB transients during subsequent cell cycles, nor did we detect transients associated with other cell cycle events. However, a complex train of calcium transients in the form of both localized pulses and propagated waves was detected from embryos beginning at about the morula-to-blastula transition and continuing through to hatching.


Asunto(s)
Calcio/metabolismo , Ciclo Celular/fisiología , Membrana Nuclear/metabolismo , Óvulo/citología , Erizos de Mar/crecimiento & desarrollo , Aequorina/metabolismo , Animales , División Celular/fisiología , Ácido Egtácico/análogos & derivados , Ácido Egtácico/farmacología , Membrana Nuclear/efectos de los fármacos
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