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1.
Eng. sanit. ambient ; Eng. sanit. ambient;15(4): 357-366, out.-dez. 2010. ilus, graf, tab
Artículo en Portugués | LILACS | ID: lil-578701

RESUMEN

O objetivo deste trabalho foi caracterizar os efluentes gerados em cabines de pintura de uma indústria moveleira e avaliar a eficiência de sistemas biológicos (anaeróbio e aeróbio) para o seu tratamento. O efluente industrial apresentou elevado teor de matéria orgânica (DQO total de 634 a 2.790 mg.L-1; DBO5 total de 360 a 972 mg.L-1) e baixos teores de macronutrientes (NTK de 1,9 mg.L-1 e Ptotal de 0,5 mg.L-) e metais tóxicos. Os ensaios de tratabilidade em reator UASB (~25ºC e tempo de detenção hidráulica - TDH = 10 horas), indicaram uma eficiência máxima de remoção de matéria orgânica de 90 por cento na composição volumétrica 70:30 (efluente industrial:esgoto sanitário). A alimentação do reator UASB só com efluente industrial resultou em acúmulo de ácidos graxos voláteis e inibição microbiana, mas o uso de pós-tratamento aeróbio (TDH = 96h) garantiu elevada eficiência global (~88 por cento) de remoção de matéria orgânica.


The main objective of this work was to characterize the wastewater from the dying hood of a woven furniture industry, and to assess the efficiency of biological processes (anaerobic and aerobic) for its treatment. The physical-chemical characterization of the industrial wastewater showed a high organic matter content (total COD from 634 to 2,790 mg.L-1; total BOD5 from 360 to 972 mg.L-1), low content of macronutrients (NTK of 1.9 mg.L-1 and P of 0.5 mg.L-1) and toxic metals. The anaerobic degradation tests in a bench-scale UASB reactor (25ºC and hydraulic retention time - HRT = 10 hours) showed that a maximum removal efficiency of 90 percent was obtained when the reactor was fed with 30 percent raw sewage and 70 percent industrial wastewater. The feeding of UASB reactor with only industrial wastewater resulted in volatile fatty acids accumulation and microbial inhibition; however, the use of aerobic post-treatment (HRT = 96 hours) granted a high (~88 percent) organic matter removal efficiency.

2.
Neurology ; 74(14): 1118-26, 2010 Apr 06.
Artículo en Inglés | MEDLINE | ID: mdl-20368632

RESUMEN

BACKGROUND: Genetic and environmental factors are thought to contribute to the etiology of the autoimmune disease myasthenia gravis (MG). Viral involvement has long been suspected, but direct evidence of involvement has not been found. We recently reported that Toll-like receptor 4 (TLR4)-a key activator of innate immunity-was overexpressed in the thymus of some patients with MG, suggesting that thymic infection by pathogens might be involved in MG pathogenesis. We searched for evidence of intrathymic infection in patients with MG. METHODS: Twenty-seven MG thymuses (6 involuted, 7 hyperplastic, 5 thymitis, and 9 thymoma) previously tested for TLR4 expression, 18 nonpathologic control thymuses, and 10 pathologic control thymuses from patients without MG (8 thymoma and 2 hyperplastic) were analyzed for cytomegalovirus, varicella-zoster virus, herpes simplex virus types 1 and 2, eubacteria, respiratory syncytial virus, and enteroviruses using PCR techniques. Immunohistochemistry and double immunofluorescence were used to detect enterovirus capsid protein VP1 in thymic specimens and analyze TLR4 expression in VP1-positive cells. RESULTS: Poliovirus was detected in 4 MG thymuses (14.8%; 2 thymitis and 2 thymoma). No virus was detected in any control thymus. A linear correlation between plus and minus strand poliovirus RNA levels was observed in all 4 thymuses, suggesting persistent thymic infection. VP1 protein was detected in the cytoplasm of CD68-positive macrophages scattered through thymic medulla in all PV-positive thymuses. VP1 and TLR4 colocalized in infected cells. CONCLUSIONS: Poliovirus-infected macrophages are present in thymus of some patients with myasthenia gravis, suggesting a viral contribution to the intrathymic alterations leading to the disease.


Asunto(s)
Macrófagos/virología , Miastenia Gravis/inmunología , Miastenia Gravis/virología , Poliomielitis/complicaciones , Poliovirus/inmunología , Timo/virología , Antígenos CD/análisis , Antígenos CD/metabolismo , Antígenos de Diferenciación Mielomonocítica/análisis , Antígenos de Diferenciación Mielomonocítica/metabolismo , Proteínas de la Cápside/análisis , Proteínas de la Cápside/metabolismo , Técnica del Anticuerpo Fluorescente , Inmunohistoquímica , Macrófagos/patología , Miastenia Gravis/fisiopatología , Poliovirus/genética , Valor Predictivo de las Pruebas , ARN Viral/genética , Timo/citología , Receptor Toll-Like 4/análisis , Receptor Toll-Like 4/metabolismo
3.
Eng. sanit. ambient ; Eng. sanit. ambient;13(3): 271-277, jul.-set. 2008. ilus, tab
Artículo en Portugués | LILACS | ID: lil-493945

RESUMEN

O presente trabalho caracterizou e avaliou a tratabilidade dos efluentes líquidos produzidos no campus da Universidade Federal de Ouro Preto. Os parâmetros físico-químicos mostraram que o efluente do campus possui uma característica típica a dos esgotos domésticos, com valores médios de DBO5 total, DQO total, NTK e P total de 300 mg.L-1, 670 mg.L-1, 56 mg.L-1 e 6 mg.L-1 respectivamente. Dos metais monitorados somente o Fe (0,847 mg/L), Al (0,355 mg/L) e Zn (0,389 mg/L) estavam presentes em maiores concentrações, mais ainda assim, tais concentrações eram inferiores aos va-lores considerados tóxicos para microrganismos. Os testes de biodegradabilidade mostraram que, a despeito da potencial presença de compostos orgânicos tóxicos, o efluente final pode ser biodegradado aerobiamente (97 por cento de eficiência, K1app = 1,73 d-1) e anaerobiamente (50 por cento de eficiência, AME = 0,0579 gDQO CH4/gSSV.d).


The aim of this study was to characterize and evaluate the tratability of wastewater produced in the campus of the Federal University of Ouro Preto (UFOP). The physical-chemical parameters showed the wastewater from the campus had characteristics of typical domestic wastewater, with average values of total BOD, total COD, Kjeldahl Nitrogen and total phosphorus of 300 mg.L-1, 670 mg.L-1, 56 mg.L-1 e 6 mg.L-1 respectively. Only the metals Fe (0,847 mg/L), Al (0,355 mg/L) and Zn (0,389 mg/L) were present in higher concentration, nonetheless, such concentrations were below the thresholds limits for microbial toxicity. The biodegradability tests showed that despite the potential presence of toxic organic compounds, the wastewater could be degraded aerobically (97 percent efficiency, K1app = 1,73 d-1) and anaerobically (50 percent efficiency, AME = 0,0579 gDQO CH4/gSSV.d).

5.
Neurology ; 64(7): 1290-3, 2005 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-15824370

RESUMEN

A patient with thymoma-associated neuromyotonia and voltage-gated potassium channel (Kv1.2 and Kv1.6) antibodies by immunoprecipitation and rat brain immunolabeling was treated successfully with immunoadsorption and cyclophosphamide. Curiously, glutamic acid decarboxylase antibodies, absent at onset, appeared later. Stiff-person syndrome was absent, but fast blink reflex recovery suggested enhanced brainstem excitability. The range of antibodies produced in thymoma-associated neuromyotonia is richer, and the timing of antibody appearance more complex, than previously suspected.


Asunto(s)
Enfermedades Autoinmunes del Sistema Nervioso/inmunología , Glutamato Descarboxilasa/inmunología , Síndrome de Isaacs/inmunología , Canales de Potasio con Entrada de Voltaje/inmunología , Timoma/complicaciones , Neoplasias del Timo/complicaciones , Adulto , Animales , Autoanticuerpos/inmunología , Enfermedades Autoinmunes del Sistema Nervioso/fisiopatología , Parpadeo/inmunología , Tronco Encefálico/inmunología , Tronco Encefálico/fisiopatología , Ciclofosfamida/uso terapéutico , Humanos , Técnicas de Inmunoadsorción , Inmunosupresores/uso terapéutico , Síndrome de Isaacs/fisiopatología , Canal de Potasio Kv.1.2/inmunología , Canal de Potasio Kv1.6/inmunología , Masculino , Ratas , Reflejo Anormal/inmunología , Timoma/inmunología , Timoma/fisiopatología , Neoplasias del Timo/inmunología , Neoplasias del Timo/fisiopatología , Resultado del Tratamiento , Ácido gamma-Aminobutírico/biosíntesis
6.
Gene Ther ; 10(9): 750-7, 2003 May.
Artículo en Inglés | MEDLINE | ID: mdl-12704413

RESUMEN

Utrophin is highly homologous and structurally similar to dystrophin, and in gene delivery experiments in mdx mice was able to functionally replace dystrophin. We performed mini-utrophin gene transfer in Golden Retriever dogs with canine muscular dystrophy (CXMD). Unlike the mouse model, the clinicopathological phenotype of CXMD is similar to that of Duchenne muscular dystrophy (DMD). We injected an adenoviral vector expressing a synthetic utrophin into tibialis anterior muscles of newborn dogs affected with CXMD and examined transgene expression by RNA and protein analysis at 10, 30 and 60 days postinjection in cyclosporin-treated and -untreated animals. Immunosuppression by cyclosporin was required to mitigate the immune response to viral and transgene antigens. RT-PCR analysis showed the presence of the exogenous transcript in the muscle of cyclosporin-treated and -untreated animals. The transgenic utrophin was efficiently expressed at the extrajunctional membrane in immunosuppressed dogs and this expression was stable for at least 60 days. We found reduced fibrosis and increased expression of dystrophin-associated proteins (DAPs) in association with muscle areas expressing the utrophin minigene, indicating that mini-utrophin can functionally compensate for lack of dystrophin in injected muscles. For this reason, utrophin transfer to dystrophin-deficient muscle appears as a promising therapeutic approach to DMD.


Asunto(s)
Proteínas del Citoesqueleto/genética , Enfermedades de los Perros/terapia , Terapia Genética/métodos , Proteínas de la Membrana/genética , Distrofia Muscular Animal/terapia , Distrofia Muscular de Duchenne/terapia , Adenoviridae/genética , Animales , Recuento de Linfocito CD4 , Ciclosporina/uso terapéutico , Enfermedades de los Perros/inmunología , Enfermedades de los Perros/patología , Perros , Distrofina/metabolismo , Femenino , Fibrosis , Expresión Génica , Vectores Genéticos/administración & dosificación , Vectores Genéticos/genética , Inmunohistoquímica/métodos , Inmunosupresores/uso terapéutico , Masculino , Modelos Animales , Músculo Esquelético/metabolismo , Músculo Esquelético/patología , Distrofia Muscular Animal/inmunología , Distrofia Muscular Animal/patología , Distrofia Muscular de Duchenne/inmunología , Distrofia Muscular de Duchenne/patología , Transducción Genética/métodos , Transgenes , Utrofina
7.
Brain ; 124(Pt 4): 698-704, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11287370

RESUMEN

Nonsense mutations outside the splicing consensus sequence have been reported to cause skipping of the nonsense-containing exon in several human diseases. We describe, for the first time, nonsense-mediated exon skipping in the laminin alpha2 (LAMA2) gene. Two siblings from a consanguineous family had altered expression of the laminin alpha2 chain and moderate clinical manifestations. In both we identified the new nonsense mutation Arg744Stop, which we expected to result in a totally non-functional polypeptide. However, analysis of the transcript revealed skipping of exon 15, containing the mutation, even though the consensus sequences for splicing at both ends of the exon and the beginning of intron 15 were unaltered. Exon skipping restored the open reading frame of the mutant transcript and resulted in a truncated protein. In cases where the genetic findings do not elucidate the phenotype, mRNA analysis is necessary to clarify the primary effect of mutations. Our findings also point to the necessity of immunochemical screening for expression of laminin alpha2 chain in atypical dystrophic adults as well as children.


Asunto(s)
Codón sin Sentido , Exones/genética , Laminina/genética , Distrofias Musculares/diagnóstico , Distrofias Musculares/genética , Adulto , Empalme Alternativo/genética , Consanguinidad , Contractura/etiología , Análisis Mutacional de ADN , Electromiografía , Femenino , Humanos , Inmunohistoquímica , Masculino , Debilidad Muscular/etiología , Músculo Esquelético/patología , Distrofias Musculares/fisiopatología , Linaje , Fenotipo , ARN Mensajero/genética
8.
J Clin Invest ; 104(9): 1287-95, 1999 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-10545527

RESUMEN

The mucosal administration of the native antigen or peptide fragments corresponding to immunodominant regions is effective in preventing or treating several T cell-dependent models of autoimmune disease. No data are yet available on oral tolerance with immunodominant T-cell peptides in experimental autoimmune myasthenia gravis (EAMG), an animal model of B cell-dependent disease. We report that oral administration of the T-cell epitope alpha146-162 of the Torpedo californica acetylcholine receptor (TAChR) alpha-subunit suppressed T-cell responses to AChR and ameliorated the disease in C57Bl/6 (B6) mice. Protection from EAMG was associated with reduced serum Ab's to mouse AChR and reduced AChR loss in muscle. The effect of Talpha146-162 feeding was specific; treatment with a control peptide did not affect EAMG manifestations. The protective effect induced by peptide Talpha146-162 was mediated by reduced production of IFN-gamma, IL-2, and IL-10 by TAChR-reactive cells, suggesting T-cell anergy. TGF-beta-secreting Th3 cells did not seem to be involved in tolerance induction. We therefore demonstrate that feeding a single immunodominant epitope can prevent an Ab-mediated experimental model of autoimmune disease.


Asunto(s)
Citocinas/metabolismo , Epítopos de Linfocito T/administración & dosificación , Miastenia Gravis/prevención & control , Células TH1/efectos de los fármacos , Células Th2/efectos de los fármacos , Administración Oral , Animales , Relación Dosis-Respuesta a Droga , Regulación hacia Abajo , Epítopos de Linfocito T/farmacología , Ratones , Miastenia Gravis/inmunología , Péptidos/farmacología , Receptores Colinérgicos/inmunología , Células TH1/inmunología , Células Th2/inmunología , Transcripción Genética/efectos de los fármacos , Factor de Crecimiento Transformador beta/genética
9.
Arch Neurol ; 56(2): 209-15, 1999 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10025426

RESUMEN

BACKGROUND: Many patients with classic congenital muscular dystrophy have been found to have partial or total deficiency of the alpha2 chain of laminin 2 (merosin). This deficiency has mostly been studied using only 1 antibody against a fragment of the protein. OBJECTIVES: To characterize the expression of laminin alpha2 in the skeletal muscle of patients with laminin alpha2 deficiency using antibodies against 2 different portions of the protein and to correlate the immunochemical findings with clinical phenotype. METHODS: We studied 4 patients with total lack of laminin alpha2 and 12 with partial laminin alpha2 deficiency with immunohistochemical techniques and Western blot analysis. We used antibodies recognizing an 80-kd fragment toward the C-terminus and a 300-kd fragment toward the amino-terminal. Patient characteristics examined were functional compromise, magnetic resonance imaging or computed tomography of the brain, electromyography, evoked potentials, and creatine kinase levels. RESULTS: In 4 patients, immunohistochemical analysis revealed no reactivity to either antibody; in 2 patients, the 300-kd fragment alone was partially expressed; in 2 patients, the 80-kd fragment alone was partially expressed; and in 8 patients, both fragments were partially expressed. Immunoblot analysis revealed bands of reduced intensity and normal molecular weight generally corresponding to the immunohistochemical findings. Absence of both fragments or of one with reduction of the other always produced a severe clinical phenotype, while a milder clinical phenotype was observed when both fragments were partially expressed. CONCLUSIONS: Extent of laminin alpha2 deficiency in most cases correlates with clinical phenotype but not with peripheral and central white matter abnormalities. Skin biopsy specimens may reveal laminin alpha2 deficiency in patients who have normal laminin alpha2 levels in muscle biopsy specimens.


Asunto(s)
Laminina/deficiencia , Fragmentos de Péptidos/inmunología , Adolescente , Anticuerpos Monoclonales , Niño , Humanos , Inmunohistoquímica , Lactante , Recién Nacido , Fenotipo
14.
J Neurol ; 245(5): 289-93, 1998 May.
Artículo en Inglés | MEDLINE | ID: mdl-9617710

RESUMEN

Myotonic dystrophy (DM) is an autosomal dominant neuromuscular disease with an estimated incidence of 1 in 8000 and is the most common form of muscular dystrophy affecting adults. An unstable, untranslated part of the myotonic dystrophy protein kinase gene on the long arm of chromosome 19, composed of CTG repeats, is a genetic marker for DM. We have developed a fast non-radioactive polymerase chain reaction (PCR) procedure to detect the (CTG)n repeat expansion in DM patients and their relatives. Genomic DNA extracted from peripheral blood lymphocytes was amplified by PCR using specific primers to flank the region containing the triplets. To improve the amplification of this CG-rich region, either 10% glycerol or rTth DNA polymerase XL (extra long) was added to the reaction mixture, allowing amplification of huge expansions otherwise not polymerized by PCR. The PCR products were Southern blotted and the expansion revealed using a fluorescein-labelled (CTG)10 probe. We compared our results with those obtained in 24 patients and relatives using genomic digestion followed by radioactive Southern blot; in all cases the results overlapped. The same technique was used for prenatal diagnosis in pregnant DM mothers. We conclude that this new method is reliable for the genetic testing of DM patients.


Asunto(s)
Tamizaje Masivo/métodos , Distrofia Miotónica/diagnóstico , Diagnóstico Prenatal , Repeticiones de Trinucleótidos , Adulto , Southern Blotting , Femenino , Fluoresceína , Genoma Humano , Humanos , Masculino , Linaje , Valor Predictivo de las Pruebas , Embarazo
15.
Ann Neurol ; 42(2): 249-53, 1997 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-9266737

RESUMEN

We have raised an anti-emerin polyclonal antibody against a fusion protein encompassing most of the hydrophilic portion of emerin. Using this antibody, we have analyzed emerin expression in Emery-Dreifuss muscular dystrophy (EDMD) patients and controls, by immunocytochemistry, in skeletal muscle and skin, and by immunoblot, in peripheral blood mononuclear cells and lymphoblasts. Emerin was localized on the surfaces of nuclei in control skeletal muscle and skin but was absent or reduced in patient skeletal muscle, was absent from the skin of patients, and was expressed only in a few nuclei in a patient's mother. Immunoblot of peripheral blood cells from EDMD patients showed absence of the emerin band, altered-size emerin, or a protein of normal molecular mass but slightly reduced quantity. The diagnosis of X-linked EDMD is normally confirmed by genetic analysis of the STA gene coding for emerin. We propose immunocytochemical evaluation of emerin expression in skin biopsies as a sensitive and more convenient tool for diagnosing X-linked EDMD and, in particular, for distinguishing it from the autosomal dominant form. This technique may be applied to suspected EDMD patients, especially sporadic cases or those with incomplete clinical phenotype, and also suspected carriers. Immunoblot of peripheral blood cells is also useful, but it may not unequivocally identify carriers and some patients.


Asunto(s)
Leucocitos Mononucleares/metabolismo , Linfocitos/metabolismo , Proteínas de la Membrana/análisis , Distrofias Musculares/diagnóstico , Distrofias Musculares/genética , Piel/patología , Timopoyetinas/análisis , Cromosoma X , Adolescente , Adulto , Biomarcadores , Biopsia , Preescolar , Femenino , Humanos , Inmunohistoquímica , Laminas , Leucocitos Mononucleares/patología , Linfocitos/patología , Masculino , Proteínas de la Membrana/biosíntesis , Músculo Esquelético/metabolismo , Distrofias Musculares/sangre , Distrofias Musculares/patología , Distrofia Muscular de Emery-Dreifuss , Proteínas Nucleares/análisis , Valores de Referencia , Piel/citología , Piel/metabolismo , Timopoyetinas/biosíntesis
16.
J Neurol ; 244(5): 277-87, 1997 May.
Artículo en Inglés | MEDLINE | ID: mdl-9178151

RESUMEN

The inflammatory myopathies are a heterogeneous group of muscle diseases characterized by muscle degeneration mediated by inflammatory processes. They may be idiopathic, as in polymyositis, dermatomyositis and inclusion body myositis, or associated with systemic disorders such as malignancies, overlap syndromes, and retroviral infection. The pathogenesis of each disease is discussed together with more recent molecular and cellular immunology findings. Salient diagnostic, clinical and pharmacological features are also reviewed.


Asunto(s)
Miositis/inmunología , Miositis/patología , Dermatomiositis/inmunología , Dermatomiositis/patología , Diagnóstico Diferencial , Humanos , Miositis por Cuerpos de Inclusión/inmunología , Miositis por Cuerpos de Inclusión/patología , Polimiositis/inmunología , Polimiositis/patología
17.
Am J Pathol ; 150(1): 341-8, 1997 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-9006349

RESUMEN

A central role of the thymus in autosensitization to the acetylcholine receptor has been proposed to explain the immunopathogenetic processes in myasthenia gravis (MG). Two isoforms of the alpha-subunit of the acetylcholine receptor are known; they differ by a 25-amino-acid insertion coded by the P3A exon. We investigated the expression of the P3A exon by RNA polymerase chain reaction in fetal and adult human myoblasts and TE671 cells; both isoforms were expressed. Muscle biopsies from patients with MG, Duchenne muscular dystrophy, and polymyositis were also studied and it was again found that both isoforms were expressed, indicating that the P3A exon is not associated with autoimmune, degenerative, and inflammatory muscle diseases. When P3A expression was studied in thymus samples from normal subjects and from thymectomized MG patients, the P3A+ subunit was absent in 75% of patients with involuted thymus and in all patients with thymomas but was present in normal thymuses and in patients with hyperplasia. Differential expression of the alpha-subunit isoforms of the acetylcholine receptor within the thymus may play a role in the immune pathogenesis of MG.


Asunto(s)
Acetilcolina/metabolismo , Miastenia Gravis/metabolismo , Miastenia Gravis/patología , Receptores Nicotínicos/biosíntesis , Timo/metabolismo , Adulto , Línea Celular , Femenino , Humanos , Masculino , Músculo Esquelético/citología , Músculo Esquelético/metabolismo , Distrofias Musculares/metabolismo , Distrofias Musculares/patología , Polimiositis/metabolismo , Polimiositis/patología , Timo/patología
18.
J Neuroimmunol ; 68(1-2): 53-60, 1996 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-8784260

RESUMEN

Major histocompatibility complex (MHC) class II molecules are expressed on myoblasts after interferon-gamma (IFN-gamma) treatment, suggesting a muscle cell involvement in antigen presentation in inflammatory myopathies. However, they were not observed on normal or pathological myofibers. This discrepancy might be related to different responsiveness of developmentally differentiated muscle cells to IFN-gamma. Myoblasts expressed class II transcripts and proteins after IFN-gamma, while myotubes and innervated contracting muscle cells did not show staining for class II molecules. At all cell stages no loss of IFN-gamma receptor was detected indicating that myofiber maturation blocks their capacity to express MHC class II molecules. This suggests that completely differentiated myofibers cannot participate in class II restricted immunological reactions.


Asunto(s)
Enfermedades Autoinmunes/inmunología , Antígenos de Histocompatibilidad Clase II/genética , Antígenos de Histocompatibilidad Clase II/inmunología , Músculo Esquelético/inmunología , Enfermedades Musculares/inmunología , Actinas/genética , Antígenos CD/genética , Antígenos de Diferenciación de Linfocitos B/genética , Secuencia de Bases , Diferenciación Celular/inmunología , Fusión Celular/inmunología , Células Cultivadas/química , Células Cultivadas/efectos de los fármacos , Células Cultivadas/inmunología , Expresión Génica/inmunología , Humanos , Interferón gamma/farmacología , Datos de Secuencia Molecular , Fibras Musculares Esqueléticas/citología , Fibras Musculares Esqueléticas/efectos de los fármacos , Fibras Musculares Esqueléticas/inmunología , Músculo Esquelético/química , Músculo Esquelético/citología , Miosinas/genética , ARN Mensajero/inmunología , Receptores de Interferón/genética , Transcripción Genética/inmunología
19.
Brain Res Dev Brain Res ; 91(1): 70-82, 1996 Jan 22.
Artículo en Inglés | MEDLINE | ID: mdl-8821479

RESUMEN

Dystrophin, utrophin and the dystrophin-associated glycoproteins, beta-dystroglycan and adhalin, were analyzed, together with the membrane cytoskeletal proteins beta-spectrin, vinculin and talin, and adult and fetal myosin heavy chains, in 25 normal human fetuses from 8 to 24 weeks of gestation. Dystrophin was present in heart and skeletal muscle from 8 weeks although in the latter was mainly in the cytoplasm at this stage. Utrophin expression increased until around gestational weeks 19/21, but by 24 weeks immunostaining and immunoblot band intensities had reduced. Beta-dystroglycan was scarce in skeletal muscle at 8 weeks, increased with maturation and was more abundant in heart of the same age. Adhalin appeared later than beta-dystroglycan on skeletal muscle fiber surfaces, positivity became more intense as the fibers matured. In heart adhalin was detectable only in groups of cells at 12-16 weeks. From 8 weeks all fetal myotubes expressed beta-spectrin on their surfaces, while vinculin and talin positivity was mainly at the periphery of the fascicles, increasing with age. Adult slow myosin was seen in most myotubes at 10 weeks. Secondary myotubes then formed which increasingly expressed adult fast myosin, while still retaining fetal myosin. By 24 weeks most fibers expressing adult slow myosin had lost fetal myosin and were more mature in the expression of most membrane proteins. Muscle membrane organization during human fetal development is a complex process and takes place earlier in heart than skeletal muscle.


Asunto(s)
Proteínas del Citoesqueleto/biosíntesis , Distrofina/biosíntesis , Glicoproteínas/biosíntesis , Corazón/crecimiento & desarrollo , Proteínas de la Membrana , Desarrollo de Músculos , Músculo Esquelético/crecimiento & desarrollo , Músculo Esquelético/metabolismo , Miocardio/metabolismo , Western Blotting , Proteínas del Citoesqueleto/metabolismo , Femenino , Humanos , Inmunohistoquímica , Membranas/metabolismo , Miosinas/metabolismo , Embarazo , Utrofina
20.
Int Surg ; 81(1): 14-7, 1996.
Artículo en Inglés | MEDLINE | ID: mdl-8803698

RESUMEN

Thymectomy is often an extremely useful therapeutic procedure in myasthenia gravis (MG) and is usually indicated for adult patients with generalized disease. Because remnants of thymus may remain in extrathymic fat, an extended thymectomy is recommended. A new surgical approach without sternotomy: video-assisted thoracoscopic extended thymectomy (VATET) was performed in 30 MG patients. The weight of removed thymus ranged from 10.8 to 113 grams. The weight of fatty tissue removed from pretracheal, anterior mediastinal and costophrenic areas ranged from 6.3 to 74.8 grams. Histological examination revealed thymic remnants in 14.8% of pretracheal fat samples and in 33.3% of samples from anterior mediastinal plus costophrenic areas. These findings indicate that VATET is a radical procedure and may be the first choice surgery for young female MG patients, since aesthetic sequelae are reduced compared to procedures involving sternotomy.


Asunto(s)
Endoscopía/métodos , Miastenia Gravis/cirugía , Timectomía/métodos , Timoma/cirugía , Hiperplasia del Timo/cirugía , Neoplasias del Timo/cirugía , Tejido Adiposo/patología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Miastenia Gravis/etiología , Toracoscopía , Timoma/complicaciones , Timo/patología , Hiperplasia del Timo/complicaciones , Neoplasias del Timo/complicaciones , Grabación en Video
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