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1.
New Phytol ; 196(3): 937-944, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22943455

RESUMEN

Pollen is among the most ubiquitous of terrestrial fossils, preserving an extended record of vegetation change. However, this temporal continuity comes with a taxonomic tradeoff. Analytical methods that improve the taxonomic precision of pollen identifications would expand the research questions that could be addressed by pollen, in fields such as paleoecology, paleoclimatology, biostratigraphy, melissopalynology, and forensics. We developed a supervised, layered, instance-based machine-learning classification system that uses leave-one-out bias optimization and discriminates among small variations in pollen shape, size, and texture. We tested our system on black and white spruce, two paleoclimatically significant taxa in the North American Quaternary. We achieved > 93% grain-to-grain classification accuracies in a series of experiments with both fossil and reference material. More significantly, when applied to Quaternary samples, the learning system was able to replicate the count proportions of a human expert (R(2) = 0.78, P = 0.007), with one key difference - the machine achieved these ratios by including larger numbers of grains with low-confidence identifications. Our results demonstrate the capability of machine-learning systems to solve the most challenging palynological classification problem, the discrimination of congeneric species, extending the capabilities of the pollen analyst and improving the taxonomic resolution of the palynological record.


Asunto(s)
Inteligencia Artificial , Fósiles , Picea/fisiología , Polen/clasificación , Programas Informáticos , Procesamiento de Imagen Asistido por Computador/métodos , Internet , Picea/anatomía & histología , Polen/anatomía & histología , Polen/fisiología , Reproducibilidad de los Resultados
2.
Br J Pharmacol ; 177(13): 2889-2903, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32335915

RESUMEN

Immune checkpoint inhibitors have revolutionized cancer therapy leading to exceptional success. However, there is still the need to improve their efficacy in non-responder patients. Natural killer (NK) cells represent the first line of defence against tumours, due to their ability to release immunomodulatory cytokines and kill target cells that have undergone malignant transformation. Harnessing NK cell response will open new possibilities to improve control of tumour growth. In this respect inhibitory checkpoints expressed on these innate lymphocytes represents a promising target for next-generation immunotherapy. In this review, we will summarize recent evidences on the expression of NK cells receptors in cancer, with a focus on the inhibitory checkpoint programmed cell death protein 1 (PD-1). We will also highlight the strength and limitations of the blockade of PD-1 inhibitory pathway and suggest new combination strategies that may help to unleash more efficiently NK cell anti-tumour response.


Asunto(s)
Células Asesinas Naturales , Neoplasias , Humanos , Inmunoterapia , Neoplasias/tratamiento farmacológico
3.
J Cell Biol ; 70(1): 33-46, 1976 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-180034

RESUMEN

The capacity of the isolated perfused rat lung to metabolize the protein moieties of serum lipoproteins was assessed using homologous (rat) and heterologous (human) plasma lipoproteins. The protein and lipid moieties of the plasma lipoproteins were labeled in vivo with Na[125I]. In selected cases the lipoprotein peptides were labeled in vivo with 14C- or 3H-labeled amino acids. Uptake of lipoprotein label during perfusion was monitored by measure of losses in perfusate label and by rises in pulmonary tissue labeling as shown by radioassay and by light and electron microscope radioautography. Lipoprotein degradation was assessed by fractionation of perfusate and lung tissue radioactive material into trichloroacetic acid (TCA)-isoluble, TCA-soluble, and ether-ethanol-soluble fractions. When heparin was included in the perfusion medium, there was selective degradation of the protein portion of very low density lipoprotein (VLDL) in the perfusate and concomitant uptake of radioactive label by the lungs. Low density lipoprotein (LDL)) was neither taken up nor catabolized by the isolated rat lung in the absence or presence of heparin. By light and electron microscopy, the label was localized over the interalveolar septa, predominantly the capillary endothelium. Disappearance of TCA-insoluble radioactivity from the perfusate was associated with the generation of both TCA-soluble iodide and noniodide radioactivity. Greater than 50% of the radioactive label taken up by the lungs was found in the delipidated TCA-insoluble fraction. This study provides in vitro evidence for pulmonary catabolism of VLDL apolipoproteins and uptake of peptide catabolic products of VLDL by the lung.


Asunto(s)
Proteínas Sanguíneas/metabolismo , Lipoproteínas VLDL/metabolismo , Pulmón/metabolismo , Animales , Heparina/farmacología , Humanos , Radioisótopos de Yodo , Lipoproteínas LDL/sangre , Lipoproteínas LDL/metabolismo , Lipoproteínas VLDL/sangre , Masculino , Ratas , Albúmina Sérica/metabolismo
4.
Science ; 166(3913): 1643-6, 1969 Dec 26.
Artículo en Inglés | MEDLINE | ID: mdl-5360588

RESUMEN

Stroma-free hemoglobin is an electron-opaque molecule useful as a tracer for the ultrastructural stuty of pulmonary capillary permeability. After this tracer was infused into the isolated pulmonary lobe of the dog, the endothelial junctions of the capillaries, as revealed by electron microscopy, act like distensible pores, thus allowing the tracer to escape when the pulmonary artery pressure was raised above 50 millimeters of mercury.


Asunto(s)
Permeabilidad Capilar , Hemodinámica , Edema Pulmonar/fisiopatología , Animales , Perros , Histocitoquímica , Microscopía Electrónica , Perfusión , Pinocitosis , Circulación Pulmonar
5.
J Immunol Methods ; 322(1-2): 128-36, 2007 Apr 30.
Artículo en Inglés | MEDLINE | ID: mdl-17331531

RESUMEN

A new method for isolation and characterization of peptides presented in the context of the nonclassical human leukocytes antigen (HLA) class I molecule HLA-E was developed. A combination of different chromatographic steps coupled with electrospray mass spectrometry allowed us to detect the presence of small amounts of a naturally processed human Cytomegalovirus (HCMV)-derived peptide isolated from the HEK-293T/HLA-E+/UL40+ transfected cells of from HELA cell line. The peptide sequence was confirmed by tandem mass spectrometry (MS/MS). This approach provides a versatile and sensitive method for direct identification of MHC class I-binding peptides that might be derive from different pathogen or tumor-associated proteins.


Asunto(s)
Cromatografía Líquida de Alta Presión/métodos , Antígenos HLA/inmunología , Antígenos de Histocompatibilidad Clase I/inmunología , Espectrometría de Masas/métodos , Péptidos/inmunología , Péptidos/aislamiento & purificación , Secuencia de Aminoácidos , Membrana Celular/química , Células Cultivadas , Citomegalovirus , Antígenos HLA/química , Células HeLa , Antígenos de Histocompatibilidad Clase I/química , Humanos , Datos de Secuencia Molecular , Péptidos/química , Sensibilidad y Especificidad , Espectrometría de Masas en Tándem , Transfección , Antígenos HLA-E
6.
Cancer Res ; 61(22): 8218-26, 2001 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-11719453

RESUMEN

In this study, we investigated whether maturation of monocyte-derived myeloid dendritic cells (DCs) is differentially affected by the uptake of dying human melanoma cells in distinct phases of apoptosis. Maturation of monocyte-derived DCs, as documented by phenotype analysis and T-cell immunostimulatory activity, was inhibited by phagocytosis of dying melanoma cells containing a large fraction of cells in early apoptosis (Annexin-V+ and propidium iodide-) but promoted by the same tumors when in late apoptosis/secondary necrosis (Annexin-V+ and propidium iodide+) or when dying by primary necrosis. These opposite effects on DC maturation were observed after the uptake of early or late apoptotic cells from most vertical growth phase primary tumors and all metastases but not after the uptake of dying cells from a radial growth phase primary tumor or normal adult melanocytes. Inhibition of DC maturation by early apoptotic melanoma cells correlated with expression of interleukin-10 in neoplastic cells and was prevented by preincubating the tumor cells with a neutralizing antibody to interleukin-10 before tumor uptake by DCs. Cross-presentation of the melanoma-associated antigen gp100(209-217) to peptide-specific CTLs by HLA-A*0201+ DCs was achieved 48-72 h after phagocytosis of HLA-A*0201- melanoma cells in apoptosis, or primary necrosis, but only when tumor necrosis factor-alpha was added to DCs 4 h after the initiation of tumor phagocytosis. These results suggest that phases of apoptosis and neoplastic transformation affect maturation of myeloid DCs that take up dying cells of the melanocyte lineage. However, neoplastic cells in late apoptosis, or even in primary necrosis, induce only a partial DC differentiation not sufficient to achieve cross-presentation of tumor antigens to CTLs unless further DC maturation is promoted by additional signals. These results suggest a novel mechanism of tumor escape that may prevent the development of antitumor immunity through the maturation block induced in DCs by neoplastic cells in the early phase of apoptosis.


Asunto(s)
Apoptosis/inmunología , Diferenciación Celular/inmunología , Células Dendríticas/inmunología , Melanocitos/inmunología , Melanoma/inmunología , Adulto , Presentación de Antígeno , Antígenos de Neoplasias/inmunología , Apoptosis/efectos de la radiación , Comunicación Celular/inmunología , Transformación Celular Neoplásica/inmunología , Transformación Celular Neoplásica/patología , Células Dendríticas/citología , Humanos , Interleucina-10/inmunología , Melanocitos/citología , Melanoma/patología , Necrosis , Transducción de Señal/inmunología , Linfocitos T Citotóxicos/inmunología , Rayos Ultravioleta
7.
Biochim Biophys Acta ; 995(1): 64-9, 1989 Mar 16.
Artículo en Inglés | MEDLINE | ID: mdl-2923916

RESUMEN

A single-step separation of calf lens gamma-crystallin into six protein components is described. UV absorption spectra, characterized by the presence of high absorbance in the 240-250 nm and 310-360 nm spectral regions as well as by fluorescence emission above 400 nm, are shown by six components. alpha-, beta and beta S crystallins have been compared with the gamma-fraction for the presence of non-tryptophan fluorescence. The chromophores responsible for this non-tryptophan fluorescence were found to be associated with gamma-crystallin components only. The spectral features of one selected gamma-crystallin component (characterized by an isoelectric point of 7.68) have been examined. Results seem to suggest the presence of oxidative products of tryptophan. Implications of these findings for the expression of human and bovine genes are also considered.


Asunto(s)
Cristalinas , Cristalino/análisis , Animales , Bovinos , Punto Isoeléctrico , Peso Molecular , Espectrometría de Fluorescencia , Espectrofotometría Ultravioleta , Triptófano
8.
Biochim Biophys Acta ; 529(1): 123-30, 1978 Apr 28.
Artículo en Inglés | MEDLINE | ID: mdl-205255

RESUMEN

Perfusion of homologous 125I-labeled rat very low density lipoprotein through isolated rat lungs in the presence of heparin resulted in apoprotein proteolysis. At least the apoprotein C was degraded into two peptides smaller than 7500 daltons as measured by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. The lung uptake of radioactivity was small and due mainly to the presence of the larger of the two peptides. The lung protease was not active against an 125-I-labeled albumin substrate and was not released into the medium by heparin.


Asunto(s)
Apolipoproteínas/metabolismo , Lipoproteínas VLDL/metabolismo , Pulmón/metabolismo , Animales , Hidrólisis , Pulmón/enzimología , Masculino , Péptido Hidrolasas/metabolismo , Ratas
9.
Arch Intern Med ; 155(21): 2350-4, 1995 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-7487262

RESUMEN

We report two cases of human immunodeficiency virus (HIV) seropositivity and pulmonary hypertension seen at our institution and present a comprehensive literature review and available histopathologic findings of the association between HIV seropositivity and pulmonary hypertension. Studies and reviews pertaining to HIV seropositivity and pulmonary hypertension were identified through a MEDLINE search and reference citations. All studies and series found in the MEDLINE search were reviewed and are discussed in this article. Where data were available, comparisons and analyses were made between groups of reported cases of HIV seropositivity and pulmonary hypertension with regard to the following parameters: sex distribution, mode of acquiring HIV infection, presence or absence of the acquired immunodeficiency syndrome, CD4 cell counts, PO2 or oxygen saturation by pulse oximetry, concurrent lower respiratory tract infection, and histopathologic features. We conclude that there is strong evidence for pulmonary hypertension associated with HIV infection that is histologically indistinguishable from primary pulmonary hypertension. Consequently, HIV-seropositive patients with unexplained dyspnea should be evaluated for primary pulmonary hypertension. Prospective studies in HIV-positive patients are indicated.


Asunto(s)
Seropositividad para VIH/complicaciones , Hipertensión Pulmonar/complicaciones , Adulto , Recuento de Linfocito CD4 , Femenino , Seropositividad para VIH/sangre , Seropositividad para VIH/transmisión , Humanos , Hipertensión Pulmonar/sangre , Hipertensión Pulmonar/patología , Oximetría , Oxígeno/sangre , Infecciones del Sistema Respiratorio/virología , Distribución por Sexo
10.
Environ Health Perspect ; 35: 191-8, 1980 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-7408797

RESUMEN

Lungs accumulate 5-hydroxytryptamine (serotonin, 5-HT) from the perfusate by a sodium-dependent, energy-requiring, saturable process. The rate-limiting step for uptake is the transport of 5-HT and not its subsequent metabolism to 5-hydroxyindoleacetic acid. Autoradiographic studies indicate that the pulmonary endothelium is the cellular site of uptake. The effect of hyperoxia on lung clearance of 5-HT was studied with isolated perfused and ventilated lungs from rats that were previously exposed to hyperoxia. Lungs were perfused with recirculating electrolyte solution and initial [5-HT] of 0.24 microM. The calculated fractional 5-HT clearance (fracion of 5-HT removed in a single pass) ws 0.77 +/- 0.02 (mean +/- SE: n = 44) for control rats. Mean fractional clearance decreased by 20% in rats exposed to 1 atm O2 for 18 hr and 30% after 4 atmospheres absolute (ata) O2 for 1 hr (p < 0.05). The effects of O2 at 4 ata were in part reversed by exposure to air for 3.5 hr and in part prevented by injection of superoxide dismutase (60 nmole/kg body weight). This degree of O2 exposure at either 1 or 4 ata had no effect on lung content of adenine nucleotides or the distribution of 3H-5HT on autoradiography. Rats maintained for 6 weeks on a vitamin E-deficient diet showed an increased effect of hyperoxia on 5-HT clearance and did not show reversal of changes after 24 hr of air breathing. The results indicate that exposure to elevatd po2 results in reversible depression of pulmonary 5-HT clearance that is potentiated by vitamin E deficiency. This suggests alteration of pulmonary endothelial membrane transport properties due to O2 toxicity.


Asunto(s)
Aminas/metabolismo , Pulmón/metabolismo , Oxígeno/envenenamiento , Serotonina/metabolismo , Animales , Cámaras de Exposición Atmosférica , Transporte Biológico Activo , Oxigenoterapia Hiperbárica , Imipramina/metabolismo , Pulmón/ultraestructura , Norepinefrina/metabolismo , Perfusión , Ratas , Deficiencia de Vitamina E/metabolismo
11.
Int J Oncol ; 5(5): 1069-75, 1994 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-21559682

RESUMEN

A new cell line from a neoplastic ascites was established. This strain, designated PAT-206, was characterized by plastic adherence and a high proliferative potential without any specific growth factor requirement. Karyotype analysis showed that the line was of human chromosomal constitution and aneuploid. Surface marker analysis showed that CD45, CD33 and CD15 were positive. In addition, the presence of human cytokeratins was detected by cytoplasmic immunofluorescence. Interestingly, the cell line did not express major hystocompatibility complex (MHC) class I and II, and was more sensitive than the 'classic' K562 cell line, to killing mediated by fresh uncultured peripheral blood lymphocytes. Following differentiation with interferon-gamma, the cell line expressed MHC class I antigens and resulted resistant to natural killing mediated lysis. This novel NK cell target seems to be suitable for further studies on NK cell specificities.

12.
Hum Pathol ; 18(10): 997-1001, 1987 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-2820864

RESUMEN

Using immunohistochemical tests and monoclonal antibodies specific for phosphorylated isoforms of the high-molecular-weight human neurofilament subunit (NF-H) or for nonphosphorylated isoforms of NF-H and the middle-molecular-weight NF protein, we detected phosphorylated and nonphosphorylated NF protein isoforms in typical central bronchial carcinoids but not in atypical or peripheral carcinoids or in small cell undifferentiated carcinomas of the lung. Immunoreactive NF protein was seen largely in juxtanuclear globular aggregates which may correspond to cytoplasmic whorls of intermediate filaments observed in one of the tumors by electron microscopy. A monoclonal antibody to low-molecular-weight keratin polypeptides immunostained similar aggregates in central bronchial carcinoids. The precursor cells of human pulmonary carcinoids and the mechanisms leading to abnormal aggregates of NF and keratin immunoreactivity are unknown. However, the preponderance of phosphorylated NF epitopes as compared with nonphosphorylated forms in the cell bodies of carcinoid tumor cells implicates abnormal phosphorylation states in the formation of these intermediate filament aggregates. Our data do not confirm that antibodies to NF-H are helpful for the diagnosis of undifferentiated lung carcinomas, but they can distinguish subsets of bronchial carcinoids with different biological behaviors and growth potentials.


Asunto(s)
Neoplasias de los Bronquios/ultraestructura , Carcinoma Adenoide Quístico/ultraestructura , Carcinoma de Células Pequeñas/ultraestructura , Citoesqueleto/ultraestructura , Filamentos Intermedios/ultraestructura , Neoplasias Pulmonares/ultraestructura , Adulto , Anciano , Anticuerpos Monoclonales , Femenino , Humanos , Inmunohistoquímica , Filamentos Intermedios/inmunología , Filamentos Intermedios/metabolismo , Masculino , Persona de Mediana Edad , Peso Molecular , Fosforilación
13.
Hum Pathol ; 27(9): 989-92, 1996 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-8816899

RESUMEN

We report a case of malignant mesothelioma with unusual clinical and histological findings. The patient presented with recurrent hydropneumothorax and minimal pleural thickening on chest computed tomography (CT). Histologically, the pleura was involved by the malignant mesothelioma, albeit to a limited degree. Unexpectedly, the lung parenchyma from two different lobes showed focal nests of mesothelioma cells filling the alveolar spaces and growing on the luminal surface of the alveolar septa, closely resembling the multicentric growth pattern of bronchioloalveolar adenocarcinoma. Immunohistochemical and ultrastructural studies confirmed that the pulmonary lesions were an extension of the malignant mesothelioma. This case illustrates clinically, the importance of a high index of suspicion for malignancy in older patients with unexplained recurrent hydropneumothorax; and histologically the potential of malignant mesothelioma to invade the lung at an early stage of growth.


Asunto(s)
Hidroneumotórax/diagnóstico , Neoplasias Pulmonares/patología , Mesotelioma/patología , Neoplasias Pleurales/patología , Anciano , Diagnóstico Diferencial , Humanos , Neoplasias Pulmonares/diagnóstico , Masculino , Mesotelioma/diagnóstico , Neoplasias Pleurales/diagnóstico , Recurrencia
14.
Hum Pathol ; 30(2): 228-36, 1999 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10029454

RESUMEN

Anaplastic large cell lymphomas (ALCL) are a heterogeneous group of CD30+ large cell lymphomas; the most characteristic type have a T or null cell phenotype, often express epithelial membrane antigen (EMA) and cytolytic lymphocyte markers, and often possess a nonrandom t(2;5)(p23;q35) chromosomal translocation. We studied 22 (19 T, 1 null, 2 B cell) ALCL, including four primary cutaneous ALCL (PC-ALCL), for the expression of TIA-1, the cytotoxic T lymphocyte (CTL) or natural killer (NK) cell-associated antigens CD4, CD8, betaF1, TCRdelta1, CD56, and CD57, the ALCL-associated antigens p80 and EMA, and the Hodgkin's disease-associated marker CD15 to better define the relationship of these markers to histological subtype, primary site, and patient clinical characteristics. TIA-1 expression was seen in 12 of 20 (60%) T or null cell ALCLs with a cytoplasmic, granular distribution. Ultrastructural studies showed cytotoxic-type granules (dense core, multivesicular, and intermediate types) with TIA-1 localized to granules on immunogold labeling. TIA-1 staining strongly correlated with young patient age (< or = 32 years, P < .05) and EMA expression (P < .05). Excluding the four PC-ALCL cases, TIA-1 staining also correlated with p80 expression (P < .05) in all of the T cell cases. Three CD15+ cases were TIA-1-. TIA-1 expression in T or null cell ALCL was seen in all morphological subtypes (2 of 2 small cell variant, 3 of 4 monomorphic variant, and 7 of 14 pleomorphic variant) and primary tumor sites (6 of 14 nodal, 2 of 4 primary cutaneous, 2 of 2 bone, and 2 of 2 soft tissue). TIA-1+ granules were seen in all subsets: 5 of 6 CD4+, 1 of 2 CD8+, 4 of 8 CD56+, and 1 of 2 CD57+ ALCL. Of note, 4 of 10 T or null cell ALCL expressed gammadelta T-cell receptors (TCR), whereas only 1 of 10 T or null cell ALCL was alphabeta TCR+; TCR were not detected in five cases. TIA-1 was expressed by 3 of 4 gammadelta TCR+ ALCL and 1 of 1 alphabeta TCR+ ALCL. These data support a cytotoxic lymphocyte phenotype in most T or null cell ALCL and suggest that some T cell ALCL are derived from cytolytic CD4+ T cells, gammadelta T cells, or NK-like (CD56+ or CD57+) T cells.


Asunto(s)
Antígenos CD/biosíntesis , Linfoma Anaplásico de Células Grandes/metabolismo , Proteínas de la Membrana/biosíntesis , Proteínas , Proteínas de Unión al ARN/biosíntesis , Receptores de Antígenos de Linfocitos T/biosíntesis , Adolescente , Adulto , Anciano , Niño , Femenino , Humanos , Inmunofenotipificación , Lactante , Linfoma Anaplásico de Células Grandes/patología , Linfoma Anaplásico de Células Grandes/ultraestructura , Masculino , Microscopía Inmunoelectrónica , Persona de Mediana Edad , Mucina-1/biosíntesis , Proteínas de Fusión Oncogénica/biosíntesis , Proteínas de Unión a Poli(A) , Proteínas Tirosina Quinasas/biosíntesis , Antígeno Intracelular 1 de las Células T
15.
Hum Pathol ; 29(8): 876-82, 1998 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-9712432

RESUMEN

Desmin myopathy is a rare idiopathic disorder characterized by abnormal aggregates of desmin-type intermediate filaments, which affects cardiac and skeletal muscle, and rarely the intestinal smooth muscle. We report a 42-year-old woman with atrial fibrillation and progressive restrictive cardiomyopathy. Left ventricular biopsy, cardiac explant, and subsequent autopsy study of skeletal muscle revealed cytoplasmic granulo-filamentous inclusions that were continuous with Z-lines and were immunoreactive for desmin filaments both at the light immunohistochemical and electron microscopic level. In addition, we report the presence of characteristic inclusions within the smooth muscle of intramural coronary blood vessels. This is the first description of desmin inclusions within vascular smooth muscle, and underscores the systemic nature of this rare myopathy.


Asunto(s)
Cardiomiopatías/metabolismo , Desmina/metabolismo , Músculo Esquelético/metabolismo , Músculo Liso Vascular/metabolismo , Enfermedades Musculares/metabolismo , Miocardio/metabolismo , Adulto , Fibrilación Atrial/complicaciones , Cardiomiopatías/etiología , Cardiomiopatías/patología , Vasos Coronarios/metabolismo , Vasos Coronarios/ultraestructura , Desmina/ultraestructura , Femenino , Ventrículos Cardíacos/metabolismo , Ventrículos Cardíacos/ultraestructura , Humanos , Técnicas para Inmunoenzimas , Microscopía Inmunoelectrónica , Músculo Esquelético/ultraestructura , Músculo Liso Vascular/ultraestructura , Enfermedades Musculares/etiología , Enfermedades Musculares/patología , Miocardio/ultraestructura , Ubiquitinas/metabolismo
16.
Chest ; 97(3): 674-8, 1990 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-2407452

RESUMEN

Although commonly found at autopsy, leukemic infiltration of the lung is rarely recognized as a cause of respiratory symptoms or roentgenographic densities. Previously reported cases of patients who had symptomatic or roentgenographic acute leukemic lung diseases invariably presented with diffuse pulmonary infiltrates. We describe three patients with leukemic involvement of the lung who presented with cough, fever, and localized roentgenographic infiltrates suggestive of bacterial pneumonia. In each case, the diagnosis was made by transbronchial biopsy specimen and confirmed by complete response to chemotherapy. In common with the other reported cases, all of our patients had peripheral blast counts above 40 percent (greater than 6,000 blasts per ml3) at the time the pulmonary diagnosis was made. Leukemic invasion of the lung should be considered in patients with acute leukemia who develop lung infiltrates--whether diffuse or focal--in association with a high peripheral blast count.


Asunto(s)
Broncoscopía , Leucemia Mieloide Aguda/patología , Leucemia Mielomonocítica Aguda/patología , Neoplasias Pulmonares/patología , Leucemia-Linfoma Linfoblástico de Células Precursoras/patología , Adulto , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Biopsia , Líquido del Lavado Bronquioalveolar/patología , Femenino , Humanos , Leucemia Mieloide Aguda/tratamiento farmacológico , Leucemia Mielomonocítica Aguda/tratamiento farmacológico , Neoplasias Pulmonares/tratamiento farmacológico , Masculino , Persona de Mediana Edad , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamiento farmacológico
17.
Lung Cancer ; 21(1): 27-36, 1998 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-9792051

RESUMEN

It has recently been shown that the infusion of tumor infiltrating lymphocytes (TIL) and recombinant interleukin-2 (rIL-2) in patients operated on for advanced non-small-cell lung cancer (NSCLC), has significant effects in terms of the survival time and control of local relapses. Despite the evident clinical effects, the treatment is unavailable for patients in which TIL have lost their proliferative potential. In an attempt to identify new sources of effector cells using mixed lymphocyte/tumor cultures (MLTC), populations of peripheral blood (PB) lymphoid cells, which have the capability of lysing autologous NSCLC, were studied at the clonal level. Specific cytolytic lymphocytes were detected at very low frequencies in two out of four patients, whereas non-MHC restricted cytolytic T cells were frequently detected. Cytolytic CD4+ belonged to the Th0 or Th2 subsets and were characterized by cytokine secretion patterns suggestive of a lymphokine cascade that could be involved in cancer control. The identification of different efficient effector mechanisms at the clonal level strongly supports the use of in vitro activated lymphocytes, derived from PB, in protocols of adoptive immunotherapy in patients with advanced NSCLC in which TIL are unavailable.


Asunto(s)
Carcinoma de Pulmón de Células no Pequeñas/terapia , Citocinas/metabolismo , Neoplasias Pulmonares/terapia , Linfocitos/metabolismo , Anciano , Animales , Carcinoma de Pulmón de Células no Pequeñas/inmunología , Humanos , Técnicas de Dilución del Indicador , Neoplasias Pulmonares/inmunología , Masculino , Ratones , Ratones SCID , Persona de Mediana Edad , Células Tumorales Cultivadas
18.
Lung Cancer ; 33(1): 27-39, 2001 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-11429193

RESUMEN

Integration of chemotherapy and radiation is the standard practice in the management of locally advanced inoperable NSCLC. To assess the biological interaction between third generation chemotherapeutic agents and radiation in non-small cell lung cancer (NSCLC) in vitro, we tested a number of different drugs (paclitaxel, docetaxel, gemcitabine, topotecan, SN-38 and cisplatin) combined with radiation, in lung cancer cell lines. Cellular chemosensitivity was determined, using the semi-automated colorimetric MTT assay, after 48, 72 and 96 h of exposure to increasing drug concentrations, (0.001-100 microM) and radiation doses (100-400 cGy). Cell lines used were the adenocarcinoma (ADK), A-549, and the squamous-cell carcinoma (SCC), LX-1. Cells were pre-treated with anticancer agents at 24, 12 and 0 h before irradiation. Cytofluorimetric cell cycle analysis was performed. A significant S-phase block or a G(2)/M block was seen with gemcitabine and topotecan or paclitaxel pre-treatment, respectively. Apoptosis was seen only after paclitaxel exposure in the A-549 cell line. Despite a similar pattern of cell-kinetic changes induced by chemotherapy pre-treatment in all cell lines, the adenocarcinoma A-549 cell line was not radiosensitized by any of the anticancer agents tested, whereas synergism was observed in the LX-1 squamous carcinoma cell line, when exposed to gemcitabine, SN-38, topotecan and cisplatin. Paclitaxel, despite a favourable cell cycle effect, was not found to be synergistic with radiotherapy in our experimental model. In conclusion, the observed synergism appears to be dose- and timing-independent and seems to be related to the histological subtype being present in SCC only. Favourable perturbation of the cell cycle is evident with all the new agents tested in both cell types, but was not sufficient to produce synergism with radiation.


Asunto(s)
Antineoplásicos/farmacología , Carcinoma de Pulmón de Células no Pequeñas/patología , Ciclo Celular/efectos de los fármacos , Ciclo Celular/efectos de la radiación , Neoplasias Pulmonares , Terapia Combinada , Humanos , Cinética , Radioterapia , Células Tumorales Cultivadas
19.
Bone Marrow Transplant ; 9(1): 71-5, 1992 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1543954

RESUMEN

Pneumonopathies in association with graft-versus-host disease (GVHD) are known, but the evolution of biopsy-proven interstitial pneumonitis (IP) to pulmonary fibrosis as a major pulmonary manifestation in an individual patient with chronic GVHD has not been previously reported. We present a patient with chronic GVHD who developed IP and then pulmonary fibrosis. We suggest that IP with evolution to pulmonary fibrosis was a major pulmonary manifestation of chronic GVHD in this patient.


Asunto(s)
Trasplante de Médula Ósea/efectos adversos , Enfermedad Injerto contra Huésped/etiología , Fibrosis Pulmonar/etiología , Adolescente , Enfermedad Crónica , Humanos , Leucemia Mieloide Aguda/cirugía , Masculino , Fibrosis Pulmonar/patología
20.
BMC Cancer ; 4: 46, 2004 Aug 09.
Artículo en Inglés | MEDLINE | ID: mdl-15301691

RESUMEN

BACKGROUND: We studied the expression of DMBT1 (deleted in malignant brain tumor 1), a putative tumor suppressor gene, in normal, proliferative, and malignant breast epithelium and its possible relation to cell cycle. METHODS: Sections from 17 benign lesions and 55 carcinomas were immunostained with anti DMBT1 antibody (DMBTh12) and sections from 36 samples, were double-stained also with anti MCM5, one of the 6 pre-replicative complex proteins with cell proliferation-licensing functions. DMBT1 gene expression at mRNA level was assessed by RT-PCR in frozen tissues samples from 39 patients. RESULTS: Normal glands and hyperplastic epithelium in benign lesions displayed a luminal polarized DMBTh12 immunoreactivity. Normal and hyperplastic epithelium adjacent to carcinomas showed a loss of polarization, with immunostaining present in basal and perinuclear cytoplasmic compartments. DMBT1 protein expression was down-regulated in the cancerous lesions compared to the normal and/or hyperplastic epithelium adjacent to carcinomas (3/55 positive carcinomas versus 33/42 positive normal/hyperplastic epithelia; p = 0.0001). In 72% of cases RT-PCR confirmed immunohistochemical results. Most of normal and hyperplastic mammary cells positive with DMBTh12 were also MCM5-positive. CONCLUSIONS: The redistribution and up-regulation of DMBT1 in normal and hyperplastic tissues flanking malignant tumours and its down-regulation in carcinomas suggests a potential role in breast cancer. Moreover, the concomitant expression of DMTB1 and MCM5 suggests its possible association with the cell-cycle regulation.


Asunto(s)
Aglutininas/metabolismo , Neoplasias de la Mama/genética , Carcinoma/genética , Receptores de Superficie Celular/metabolismo , Mama/patología , Neoplasias de la Mama/patología , Proteínas de Unión al Calcio , Carcinoma/patología , Ciclo Celular/genética , Proteínas de Ciclo Celular/metabolismo , Línea Celular Tumoral , Citoplasma/metabolismo , Citoplasma/patología , Proteínas de Unión al ADN , Regulación hacia Abajo , Epitelio/patología , Humanos , Hiperplasia/genética , Hiperplasia/patología , Inmunohistoquímica , ARN Mensajero/análisis , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Proteínas Supresoras de Tumor
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