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1.
Cell Oncol (Dordr) ; 45(4): 689-708, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35870050

RESUMO

PURPOSE: This study aimed to investigate the efficiency of our chemically synthesized TT-00420, a novel spectrum-selective multiple protein kinase inhibitor, in cultured cells and animal models of gallbladder cancer (GBC) and explore its potential mechanism. METHODS: Multiple GBC models were established to assess the anti-tumor efficiency, toxicity, and pharmacokinetics of TT-00420. Integrated transcriptomic, proteomic and phosphoproteomic analysis was conducted to identify potential downstream effectors of TT-00420. Western blotting, qRT-PCR, nuclear-cytoplasm separation, and immunofluorescence were performed to confirm the multi-omic results and explore the molecular mechanism of TT-00420. Immunohistochemistry was used to detect FGFR1 and p-FGFR1 expression levels in GBC samples. Autodock software was utilized to investigate the potential binding mode between the TT-00420 and the human FGFR1. RESULTS: We found that TT-00420 exerted potent growth inhibition of GBC cell lines and multiple xenograft models. Treatment of mice with 15 mg/kg TT-00420 via gavage displayed a half-life of 1.8 h in the blood and rapid distribution to the liver, kidneys, lungs, spleen, and tumors at 0.25 h, but no toxicity to these organs over 2 weeks. Multi-omic analysis revealed c-Jun as a potential downstream effector after TT-00420 treatment. Mechanistically, TT-00420 showed rigorous ability to block FGFR1 and its downstream JNK-JUN (S63/S73) signaling pathway, and induce c-Jun S243-dependent MEK/ERK reactivation, leading to FASLG-dependent tumor cell death. Finally, we found that FGFR1 and p-FGFR1 expression was elevated in GBC patients and these levels correlated with decreased patient survival. CONCLUSIONS: TT-00420 shows potent antitumor efficacy and may serve as a novel agent to improve GBC prognosis.


Assuntos
Neoplasias da Vesícula Biliar , Animais , Apoptose , Linhagem Celular Tumoral , Proliferação de Células , Neoplasias da Vesícula Biliar/metabolismo , Humanos , Camundongos , Inibidores de Proteínas Quinases/farmacologia , Proteômica , Transdução de Sinais
2.
Autophagy ; 18(6): 1385-1400, 2022 06.
Artigo em Inglês | MEDLINE | ID: mdl-34632918

RESUMO

Macrophages rapidly undergo glycolytic reprogramming in response to macroautophagy/autophagy, inflammasome activation and pyroptosis for the clearance of bacteria. Identification the key molecules involved in these three events will provide critical potential therapeutic applications. Upon S. typhimurium infection, FLT4/VEGFR3 and its ligand VEGFC were inducibly expressed in macrophages, and FLT4 signaling inhibited CASP1 (caspase 1)-dependent inflammasome activation and pyroptosis but enhanced MAP1LC3/LC3 activation for elimination of the bacteria. Consistently, FLT4 mutants lacking the extracellular ligand-binding domain increased production of the proinflammatory metabolites such as succinate and lactate, and reduced antimicrobial metabolites including citrate and NAD(P)H in macrophages and liver upon infection. Mechanistically, FLT4 recruited AMP-activated protein kinase (AMPK) and phosphorylated Y247 and Y441/442 in the PRKAA/alpha subunit for AMPK activation. The AMPK agonist AICAR could rescue glycolytic reprogramming and inflammasome activation in macrophages expressing the mutant FLT4, which has potential translational application in patients carrying Flt4 mutations to prevent recurrent infections. Collectively, we have elucidated that the FLT4-AMPK module in macrophages coordinates glycolytic reprogramming, autophagy, inflammasome activation and pyroptosis to eliminate invading bacteria.Abbreviations: 3-MA: 3-methyladenine; AICAR: 5-aminoimidazole-4-carboxamide1-ß-D-ribofuranoside; AMP: adenosine monophosphate; AMPK: AMP-activated protein kinase; ATP: adenosine triphosphate; BMDM: bone marrow-derived macrophage; CASP1: caspase 1; CFUs: colony-forming units; FLT4/VEGFR3: FMS-like tyrosine kinase 4; GFP: green fluorescent protein; LDH: lactate dehydrogenase; LPS: lipopolysaccharide; MAP1LC3/LC3: microtubule-associated protein 1 light chain 3; PEM: peritoneal exudate macrophage; PRKAA1/AMPKα1: protein kinase, AMP-activated, alpha 1 catalytic subunit; PYCARD/ASC: PYD and CARD domain containing; ROS: reactive oxygen species; SQSTM1/p62: sequestosome 1; TLR4: toll-like receptor 4; ULK1: unc-51 like autophagy activating kinase 1; VEGFC: vascular endothelial growth factor C; WT: wild type.


Assuntos
Autofagia , Inflamassomos , Proteínas Quinases Ativadas por AMP/metabolismo , Monofosfato de Adenosina , Autofagia/fisiologia , Bactérias/metabolismo , Caspase 1 , Humanos , Inflamassomos/metabolismo , Ligantes , Lipopolissacarídeos , Fator C de Crescimento do Endotélio Vascular , Receptor 3 de Fatores de Crescimento do Endotélio Vascular
3.
J Biol Chem ; 297(2): 100948, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34252459

RESUMO

Scavenger receptor class A (SR-A) proteins are type II transmembrane glycoproteins that form homotrimers on the cell surface. This family has five known members (SCARA1 to 5, or SR-A1 to A5) that recognize a variety of ligands and are involved in multiple biological pathways. Previous reports have shown that some SR-A family members can bind modified low-density lipoproteins (LDLs); however, the mechanisms of the interactions between the SR-A members and these lipoproteins are not fully understood. Here, we systematically characterize the recognition of SR-A receptors with lipoproteins and report that SCARA1 (SR-A1, CD204), MARCO (SCARA2), and SCARA5 recognize acetylated or oxidized LDL and very-low-density lipoprotein in a Ca2+-dependent manner through their C-terminal scavenger receptor cysteine-rich (SRCR) domains. These interactions occur specifically between the SRCR domains and the modified apolipoprotein B component of the lipoproteins, suggesting that they might share a similar mechanism for lipoprotein recognition. Meanwhile, SCARA4, a SR-A member with a carbohydrate recognition domain instead of the SRCR domain at the C terminus, shows low affinity for modified LDL and very-low-density lipoprotein but binds in a Ca2+-independent manner. SCARA3, which does not have a globular domain at the C terminus, was found to have no detectable binding with these lipoproteins. Taken together, these results provide mechanistic insights into the interactions between SR-A family members and lipoproteins that may help us understand the roles of SR-A receptors in lipid transport and related diseases such as atherosclerosis.


Assuntos
Lipoproteínas , Receptores Depuradores Classe A , Animais , Células CHO , Cricetulus
4.
PLoS Pathog ; 17(7): e1009746, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-34297778

RESUMO

HCV cell-culture system uses hepatoma-derived cell lines for efficient virus propagation. Tumor cells cultured in glucose undergo active aerobic glycolysis, but switch to oxidative phosphorylation for energy production when cultured in galactose. Here, we investigated whether modulation of glycolysis in hepatocytes affects HCV infection. We showed HCV release, but not entry, genome replication or virion assembly, is significantly blocked when cells are cultured in galactose, leading to accumulation of intracellular infectious virions within multivesicular body (MVB). Blockade of the MVB-lysosome fusion or treatment with pro-inflammatory cytokines promotes HCV release in galactose. Furthermore, we found this glycometabolic regulation of HCV release is mediated by MAPK-p38 phosphorylation. Finally, we showed HCV cell-to-cell transmission is not affected by glycometabolism, suggesting that HCV cell-to-supernatant release and cell-to-cell transmission are two mechanistically distinct pathways. In summary, we demonstrated glycometabolism regulates the efficiency and route of HCV release. We proposed HCV may exploit the metabolic state in hepatocytes to favor its spread through the cell-to-cell transmission in vivo to evade immune response.


Assuntos
Hepacivirus/fisiologia , Hepatite C/virologia , Hepatócitos/metabolismo , Hepatócitos/virologia , Liberação de Vírus/fisiologia , Linhagem Celular Tumoral , Humanos
5.
J Biol Chem ; 295(46): 15727-15741, 2020 11 13.
Artigo em Inglês | MEDLINE | ID: mdl-32907880

RESUMO

Scavenger receptors are a superfamily of membrane-bound receptors that recognize both self and nonself targets. Scavenger receptor class A (SR-A) has five known members (SCARA1 to -5 or SR-A1 to -A5), which are type II transmembrane proteins that form homotrimers on the cell surface. SR-A members recognize various ligands and are involved in multiple biological pathways. Among them, SCARA5 can function as a ferritin receptor; however, the interaction between SCARA5 and ferritin has not been fully characterized. Here, we determine the crystal structures of the C-terminal scavenger receptor cysteine-rich (SRCR) domain of both human and mouse SCARA5 at 1.7 and 2.5 Å resolution, respectively, revealing three Ca2+-binding sites on the surface. Using biochemical assays, we show that the SRCR domain of SCARA5 recognizes ferritin in a Ca2+-dependent manner, and both L- and H-ferritin can be recognized by SCARA5 through the SRCR domain. Furthermore, the potential binding region of SCARA5 on the surface of ferritin is explored by mutagenesis studies. We also examine the interactions of ferritin with other SR-A members and find that SCARA1 (SR-A1, CD204) and MARCO (SR-A2, SCARA2), which are highly expressed on macrophages, also interact with ferritin. By contrast, SCARA3 and SCARA4, the two SR-A members without the SRCR domain, have no detectable binding with ferritin. Overall, these results provide a mechanistic view regarding the interactions between the SR-A members and ferritin that may help to understand the regulation of ferritin homeostasis by scavenger receptors.


Assuntos
Ferritinas/metabolismo , Receptores Depuradores Classe A/metabolismo , Animais , Sítios de Ligação , Cálcio/química , Cálcio/metabolismo , Cristalografia por Raios X , Humanos , Cinética , Macrófagos/citologia , Macrófagos/metabolismo , Camundongos , Simulação de Dinâmica Molecular , Mutagênese Sítio-Dirigida , Ligação Proteica , Domínios Proteicos , Estrutura Terciária de Proteína , Receptores Depuradores Classe A/química , Receptores Depuradores Classe A/genética
6.
J Infect Dis ; 221(8): 1304-1314, 2020 03 28.
Artigo em Inglês | MEDLINE | ID: mdl-31074790

RESUMO

Despite the emergence of new direct-acting antivirals, hepatitis C virus (HCV) chronic infection and its consequent fibrosis and hepatocarcinoma remain a significant burden for public health, thus requiring an effective preventive vaccine. Our group previously showed that a subunit vaccine based on recombinant soluble E2 (sE2) can induce broadly neutralizing antibodies. To improve the immunogenicity of sE2, we designed and produced a fusion protein (sE2-ferritin) comprising sE2 and a ferritin unit in Drosophila S2 cells, which self-assembled into a nanoparticle with sE2 displayed on the surface. The sE2 moiety on the sE2-ferritin nanoparticle not only had nearly natural conformation but also had better affinities than the unfused sE2 to neutralizing antibodies, receptor, and patient serum. Mouse immunization studies showed that sE2-ferritin was more potent than sE2 in inducing anti-HCV broadly neutralizing antibodies. Our results demonstrate that sE2-ferritin is a vaccine candidate superior to previously developed sE2, providing a new possibility for controlling HCV.


Assuntos
Hepacivirus/imunologia , Hepatite C Crônica/microbiologia , Nanopartículas/química , Vacinas contra Hepatite Viral/imunologia , Animais , Anticorpos Neutralizantes/imunologia , Drosophila/imunologia , Genótipo , Anticorpos Anti-Hepatite C/imunologia , Hepatite C Crônica/virologia , Imunização/métodos , Camundongos , Proteínas Recombinantes/imunologia , Vacinas de Subunidades Antigênicas/imunologia , Proteínas do Envelope Viral/imunologia , Vacinas contra Hepatite Viral/química
7.
Nat Microbiol ; 4(12): 2331-2346, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31477895

RESUMO

The special organelle-located MAVS, STING and TLR3 are important for clearing viral infections. Although TLR4 triggers NF-κB activation to produce pro-inflammatory cytokines for bacterial clearance, effectors with special organelle localization have not been identified. Here, we screened more than 280 E3 ubiquitin ligases and discovered that the endoplasmic reticulum-located Hrd1 regulates TLR4-induced inflammation during bacterial infection. Hrd1 interacts directly with the deubiquitinating enzyme Usp15. Unlike the classical function of Hrd1 in endoplasmic reticulum-associated degradation, Usp15 is not degraded but loses its deubiquitinating activity for IκBα deubiquitination, resulting in excessive NF-κB activation. Importantly, Hrd1 deficiency in macrophages protects mice against lipopolysaccharide-induced septic shock, and knockdown of Usp15 in Hrd1-knockout macrophages restores the reduced IL-6 production. This study proposes that there is crosstalk between Hrd1 and TLR4, thereby linking the endoplasmic reticulum-plasma membrane function during bacterial infection.


Assuntos
Infecções Bacterianas/imunologia , Retículo Endoplasmático/metabolismo , Inflamação/metabolismo , Receptor 4 Toll-Like/metabolismo , Ubiquitina-Proteína Ligases/metabolismo , Proteases Específicas de Ubiquitina/metabolismo , Ubiquitinação , Animais , Retículo Endoplasmático/patologia , Degradação Associada com o Retículo Endoplasmático , Técnicas de Silenciamento de Genes , Células HEK293 , Humanos , Lipopolissacarídeos/efeitos adversos , Macrófagos/metabolismo , Camundongos , Camundongos Knockout , Proteólise , Salmonella typhimurium , Choque Séptico/induzido quimicamente , Ubiquitina-Proteína Ligases/genética , Proteases Específicas de Ubiquitina/genética
8.
Nat Commun ; 10(1): 4206, 2019 09 27.
Artigo em Inglês | MEDLINE | ID: mdl-31562320

RESUMO

Human immunoglobulin G (IgG) agonistic antibodies targeting costimulatory immunoreceptors represent promising cancer immunotherapies yet to be developed. Whether, and how, human IgG hinge and Fc impact on their agonistic functions have been disputed. Here, we show that different natural human IgGs confer divergent agonistic anti-CD40 immunostimulatory and antitumour activities in FcγR-humanized mice, including inactive IgG3 and superior IgG2. This divergence is primarily due to their CH1-hinges despite all human IgGs requiring Fc-FcγR binding for optimal agonistic activities. Unexpectedly, biophysical flexibility of these CH1-hinges inversely correlates with, and can modulate, their agonistic potency. Furthermore, IgG Fcs optimized for selective FcγR binding synergize with and still require IgG hinge, selected for rigidity, to confer improved anti-CD40 immunostimulatory and antitumour activities. These findings highlight the importance of both hinge rigidity and selective FcγR binding in antibody agonistic function, and the need for newer strategies to modulate antibody agonism for improved clinical application.


Assuntos
Anticorpos Monoclonais/imunologia , Antígenos CD40/imunologia , Imunoglobulina G/imunologia , Neoplasias/imunologia , Receptores de IgG/imunologia , Animais , Anticorpos Monoclonais/farmacologia , Humanos , Fragmentos Fc das Imunoglobulinas/imunologia , Fragmentos Fc das Imunoglobulinas/metabolismo , Imunoterapia/métodos , Camundongos Knockout , Camundongos Transgênicos , Neoplasias/metabolismo , Neoplasias/terapia , Ligação Proteica , Receptores de IgG/agonistas , Receptores de IgG/genética
9.
PLoS Pathog ; 15(5): e1007759, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-31116791

RESUMO

Hepatitis C virus (HCV) is a member of Hepacivirus and belongs to the family of Flaviviridae. HCV infects millions of people worldwide and may lead to cirrhosis and hepatocellular carcinoma. HCV envelope proteins, E1 and E2, play critical roles in viral cell entry and act as major epitopes for neutralizing antibodies. However, unlike other known flaviviruses, it has been challenging to study HCV envelope proteins E1E2 in the past decades as the in vitro expressed E1E2 heterodimers are usually of poor quality, making the structural and functional characterization difficult. Here we express the ectodomains of HCV E1E2 heterodimer with either an Fc-tag or a de novo designed heterodimeric tag and are able to isolate soluble E1E2 heterodimer suitable for functional and structural studies. Then we characterize the E1E2 heterodimer by electron microscopy and model the structure by the coevolution based modeling strategy with Rosetta, revealing the potential interactions between E1 and E2. Moreover, the E1E2 heterodimer is applied to examine the interactions with the known HCV receptors, neutralizing antibodies as well as the inhibition of HCV infection, confirming the functionality of the E1E2 heterodimer and the binding profiles of E1E2 with the cellular receptors. Therefore, the expressed E1E2 heterodimer would be a valuable target for both viral studies and vaccination against HCV.


Assuntos
Hepacivirus/fisiologia , Proteínas Recombinantes de Fusão/química , Proteínas Recombinantes de Fusão/metabolismo , Proteínas do Envelope Viral/química , Proteínas do Envelope Viral/metabolismo , Anticorpos Neutralizantes/metabolismo , Células HEK293 , Hepatite C/genética , Hepatite C/metabolismo , Hepatite C/virologia , Humanos , Conformação Proteica , Multimerização Proteica , Receptores de Superfície Celular/metabolismo , Proteínas Recombinantes de Fusão/genética , Proteínas do Envelope Viral/genética , Internalização do Vírus
10.
J Hepatol ; 71(1): 52-61, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30880226

RESUMO

BACKGROUND & AIMS: Assembly of infectious hepatitis C virus (HCV) particles is known to involve host lipoproteins, giving rise to unique lipo-viro-particles (LVPs), but proteome studies now suggest that additional cellular proteins are associated with HCV virions or other particles containing the viral envelope glycoprotein E2. Many of these host cell proteins are common markers of exosomes, most notably the intracellular adaptor protein syntenin, which is required for exosome biogenesis. We aimed to elucidate the role of syntenin/E2 in HCV infection. METHODS: Using cell culture-derived HCV, we studied the biogenesis and function of E2-coated exosomes in both hepatoma cells and primary human hepatocytes (PHHs). RESULTS: Knockout of syntenin had a negligible impact on HCV replication and virus production, whereas ectopic expression of syntenin at physiological levels reduced intracellular E2 abundance, while concomitantly increasing the secretion of E2-coated exosomes. Importantly, cells expressing syntenin and HCV structural proteins efficiently released exosomes containing E2 but lacking the core protein. Furthermore, infectivity of HCV released from syntenin-expressing hepatoma cells and PHHs was more resistant to neutralization by E2-specific antibodies and chronic-phase patient serum. We also found that high E2/syntenin levels in sera correlate with lower serum neutralization capability. CONCLUSIONS: E2- and syntenin-containing exosomes are a major type of particle released from cells expressing high levels of syntenin. Efficient production of E2-coated exosomes renders HCV infectivity less susceptible to antibody neutralization in hepatoma cells and PHHs. LAY SUMMARY: This study identifies a key role for syntenin in the regulation of E2 secretion via exosomes. Efficient production of E2-coated exosomes was shown to make hepatitis C virus less sensitive to antibody neutralization. These results may have implications for the development of a hepatitis C virus vaccine.


Assuntos
Anticorpos Neutralizantes/imunologia , Exossomos/metabolismo , Hepacivirus/fisiologia , Hepatite C , Sinteninas/metabolismo , Proteínas do Envelope Viral/biossíntese , Células Cultivadas , Hepatite C/imunologia , Hepatite C/virologia , Anticorpos Anti-Hepatite C/imunologia , Humanos , Vírion/fisiologia
11.
Proc Natl Acad Sci U S A ; 112(23): 7237-42, 2015 Jun 09.
Artigo em Inglês | MEDLINE | ID: mdl-26039988

RESUMO

Dendritic cells play important roles in regulating innate and adaptive immune responses. DEC205 (CD205) is one of the major endocytotic receptors on dendritic cells and has been widely used for vaccine generation against viruses and tumors. However, little is known about its structure and functional mechanism. Here we determine the structure of the human DEC205 ectodomain by cryoelectron microscopy. The structure shows that the 12 extracellular domains form a compact double ring-shaped conformation at acidic pH and become extended at basic pH. Biochemical data indicate that the pH-dependent conformational change of DEC205 is correlated with ligand binding and release. DEC205 only binds to apoptotic and necrotic cells at acidic pH, whereas live cells cannot be recognized by DEC205 at either acidic or basic conditions. These results suggest that DEC205 is an immune receptor that recognizes apoptotic and necrotic cells specifically through a pH-dependent mechanism.


Assuntos
Antígenos CD/fisiologia , Células Dendríticas/citologia , Concentração de Íons de Hidrogênio , Lectinas Tipo C/fisiologia , Receptores de Superfície Celular/fisiologia , Antígenos CD/química , Antígenos CD/ultraestrutura , Microscopia Crioeletrônica , Células HEK293 , Humanos , Lectinas Tipo C/química , Lectinas Tipo C/ultraestrutura , Antígenos de Histocompatibilidade Menor , Mutagênese , Necrose , Conformação Proteica , Receptores de Superfície Celular/química , Receptores de Superfície Celular/ultraestrutura
12.
Proc Natl Acad Sci U S A ; 108(30): 12431-6, 2011 Jul 26.
Artigo em Inglês | MEDLINE | ID: mdl-21746914

RESUMO

Fc receptors transport maternal antibodies across epithelial cell barriers to passively immunize newborns. FcRY, the functional counterpart of mammalian FcRn (a major histocompatibility complex homolog), transfers IgY across the avian yolk sac, and represents a new class of Fc receptor related to the mammalian mannose receptor family. FcRY and FcRn bind immunoglobulins at pH ≤6.5, but not pH ≥7, allowing receptor-ligand association inside intracellular vesicles and release at the pH of blood. We obtained structures of monomeric and dimeric FcRY and an FcRY-IgY complex and explored FcRY's pH-dependent binding mechanism using electron cryomicroscopy (cryoEM) and small-angle X-ray scattering. The cryoEM structure of FcRY at pH 6 revealed a compact double-ring "head," in which the N-terminal cysteine-rich and fibronectin II domains were folded back to contact C-type lectin-like domains 1-6, and a "tail" comprising C-type lectin-like domains 7-8. Conformational changes at pH 8 created a more elongated structure that cannot bind IgY. CryoEM reconstruction of FcRY dimers at pH 6 and small-angle X-ray scattering analysis at both pH values confirmed both structures. The cryoEM structure of the FcRY-IgY revealed symmetric binding of two FcRY heads to the dimeric FcY, each head contacting the C(H)4 domain of one FcY chain. FcRY shares structural properties with mannose receptor family members, including a head and tail domain organization, multimerization that may regulate ligand binding, and pH-dependent conformational changes. Our results facilitate understanding of immune recognition by the structurally related mannose receptor family and comparison of diverse methods of Ig transport across evolution.


Assuntos
Proteínas Aviárias/química , Proteínas Aviárias/metabolismo , Imunoglobulinas/química , Imunoglobulinas/metabolismo , Receptores Fc/química , Receptores Fc/metabolismo , Substituição de Aminoácidos , Animais , Proteínas Aviárias/genética , Galinhas , Microscopia Crioeletrônica , Concentração de Íons de Hidrogênio , Imageamento Tridimensional , Imunização Passiva , Lectinas Tipo C/química , Lectinas Tipo C/metabolismo , Receptor de Manose , Lectinas de Ligação a Manose/química , Lectinas de Ligação a Manose/metabolismo , Modelos Moleculares , Complexos Multiproteicos , Mutagênese Sítio-Dirigida , Receptores de Superfície Celular/química , Receptores de Superfície Celular/metabolismo , Receptores Fc/genética , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Espalhamento a Baixo Ângulo , Eletricidade Estática , Difração de Raios X , Saco Vitelino/imunologia , Saco Vitelino/metabolismo
13.
Ophthalmic Physiol Opt ; 30(3): 310-4, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20444139

RESUMO

PURPOSE: To investigate the distribution pattern of the strabismus surgery undertaken at an eye centre in Beijing, China. METHODS: A retrospective analysis was conducted including the data of all strabismus surgeries performed in Beijing Tongren hospital for the 4 year period from 2003 to 2006. The proportions of different surgery types and their association with patients' age and gender were analyzed. RESULT: During the study period, 8997 strabismus surgeries were performed. The number of the surgeries increased progressively each year from 1507 in 2003 to 2769 in 2006 (p < 0.05). Intermittent exotropia was the most common of all strabismus surgeries (27.9%). Superior oblique palsy was the most common type among the paralytic strabismus surgeries. The proportions of different types of strabismus showed no significant change between successive years. Among the patients, the number of surgeries performed in the population aged 0-12 years was significantly higher than other age groups and increased from 35.37% in 2003 to 42.80% in 2006 (p < 0.05). CONCLUSION: There has been a continuous increase in the number of strabismus operations in our eye centre in Beijing, and this pattern is especially obvious in children. The distribution of surgery type remained relatively constant each year. Surgery for intermittent exotropia is the most common type of procedure.


Assuntos
Estrabismo/etiologia , Estrabismo/cirurgia , Adolescente , Adulto , Criança , Pré-Escolar , China/epidemiologia , Esotropia/epidemiologia , Exotropia/epidemiologia , Feminino , Humanos , Masculino , Estudos Retrospectivos , Adulto Jovem
14.
Trends Microbiol ; 10(7): 324-31, 2002 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-12110211

RESUMO

Many picornaviruses use cell-surface molecules belonging to the immunoglobulin superfamily (IgSF) as their cellular receptors. These molecules usually consist of tandem repeats of between two and five Ig-like domains whose amino-terminal domains (D1) interact with invading viruses, with their carboxy-terminal sections comprising a transmembrane and a short cytoplasmic region. Most rhino- and enteroviruses, belonging to the Picornavirus family, use a canyon-like feature on their surface to attach to cellular receptors. Binding into the canyon destabilizes the virus and thus initiates the uncoating process. By contrast, non-IgSF molecules, when used by picornaviruses as receptors, bind outside the canyon and do not cause viral instability.


Assuntos
Picornaviridae/metabolismo , Receptores Virais/metabolismo , Animais , Proteína de Membrana Semelhante a Receptor de Coxsackie e Adenovirus , Enterovirus Humano B/metabolismo , Humanos , Imunoglobulinas/metabolismo , Molécula 1 de Adesão Intercelular/metabolismo
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