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1.
Nat Chem Biol ; 20(5): 646-655, 2024 May.
Artículo en Inglés | MEDLINE | ID: mdl-38347213

RESUMEN

Amyloid-forming proteins such α-synuclein and tau, which are implicated in Alzheimer's and Parkinson's disease, can form different fibril structures or strains with distinct toxic properties, seeding activities and pathology. Understanding the determinants contributing to the formation of different amyloid features could open new avenues for developing disease-specific diagnostics and therapies. Here we report that O-GlcNAc modification of α-synuclein monomers results in the formation of amyloid fibril with distinct core structure, as revealed by cryogenic electron microscopy, and diminished seeding activity in seeding-based neuronal and rodent models of Parkinson's disease. Although the mechanisms underpinning the seeding neutralization activity of the O-GlcNAc-modified fibrils remain unclear, our in vitro mechanistic studies indicate that heat shock proteins interactions with O-GlcNAc fibril inhibit their seeding activity, suggesting that the O-GlcNAc modification may alter the interactome of the α-synuclein fibrils in ways that lead to reduce seeding activity in vivo. Our results show that posttranslational modifications, such as O-GlcNAc modification, of α-synuclein are key determinants of α-synuclein amyloid strains and pathogenicity.


Asunto(s)
Amiloide , alfa-Sinucleína , alfa-Sinucleína/metabolismo , alfa-Sinucleína/química , Amiloide/metabolismo , Humanos , Animales , Ratones , Enfermedad de Parkinson/metabolismo , Enfermedad de Parkinson/patología , Acetilglucosamina/metabolismo , Acetilglucosamina/química , Procesamiento Proteico-Postraduccional , Microscopía por Crioelectrón , Neuronas/metabolismo , Neuronas/patología
2.
J Environ Manage ; 327: 116898, 2023 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-36459783

RESUMEN

Hybrid anaerobic-aerobic biological systems are an environmentally sustainable way of recovering bioenergy during the treatment of high-strength wastewaters and landfill leachate. This study provides a critical review of three major categories of anaerobic-aerobic processes such as conventional wetland, high-rate and integrated bioreactor systems applied for treatment of wastewaters and leachate. A comparative assessment of treatment mechanisms, critical operating parameters, bioreactor configurations, process control strategies, efficacies, and microbial dynamics of anaerobic-aerobic systems is provided. The review also explores the influence of wastewater composition on treatment performance, ammonium nitrogen removal efficacy, impact of mixing leachate, energy consumption, coupled bioenergy production and economic aspects of anaerobic-aerobic systems. Furthermore, the operational challenges, prospective modifications, and key future research directions are discussed. This review will provide in-depth understanding to develop sustainable engineering applications of anaerobic-aerobic processes for effective co-treatment of wastewaters and leachate.


Asunto(s)
Aguas Residuales , Contaminantes Químicos del Agua , Anaerobiosis , Estudios Prospectivos , Integración de Sistemas , Reactores Biológicos , Contaminantes Químicos del Agua/análisis , Nitrógeno
3.
Beilstein J Org Chem ; 19: 231-244, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-36895429

RESUMEN

An operationally simple and metal-free approach is described for the synthesis of pyrazole-tethered thioamide and amide conjugates. The thioamides were generated by employing a three-component reaction of diverse pyrazole C-3/4/5 carbaldehydes, secondary amines, and elemental sulfur in a single synthetic operation. The advantages of this developed protocol refer to the broad substrate scope, metal-free and easy to perform reaction conditions. Moreover, the pyrazole C-3/5-linked amide conjugates were also synthesized via an oxidative amination of pyrazole carbaldehydes and 2-aminopyridines using hydrogen peroxide as an oxidant.

4.
Beilstein J Org Chem ; 18: 926-934, 2022.
Artículo en Inglés | MEDLINE | ID: mdl-35957752

RESUMEN

ß-Carboline is a privileged class of the alkaloid family and is associated with a broad spectrum of biological properties. 3-Formyl-9H-pyrido[3,4-b]indole is a such potent precursor belonging to this family which can be tailored for installing diversity at various positions of ß-carboline to generate unique molecular hybrids of biological importance. The present work is a step towards this and assimilates the results related to the exploration of 3-formyl-9H-ß-carbolines for the synthesis of ß-carboline C-3 substituted MBH adducts followed by evaluation of their fluorescent characteristic. The effect of contact time, solvent system, concentration and substituents was also studied during investigation of fluorescence properties of these derivatives.

5.
J Biol Chem ; 295(37): 12851-12867, 2020 09 11.
Artículo en Inglés | MEDLINE | ID: mdl-32719004

RESUMEN

Bacterial Rel proteins synthesize hyperphosphorylated guanosine nucleotides, denoted as (p)ppGpp, which by inhibiting energy requiring molecular pathways help bacteria to overcome the depletion of nutrients in its surroundings. (p)ppGpp synthesis by Rel involves transferring a pyrophosphate from ATP to the oxygen of 3'-OH of GTP/GDP. Initially, a conserved glutamate at the active site was believed to generate the nucleophile necessary to accomplish the reaction. Later this role was alluded to a Mg2+ ion. However, no study has unequivocally established a catalytic mechanism for (p)ppGpp synthesis. Here we present a revised mechanism, wherein for the first time we explore a role for 2'-OH of GTP and show how it is important in generating the nucleophile. Through a careful comparison of substrate-bound structures of Rel, we illustrate that the active site does not discriminate GTP from dGTP, for a substrate. Using biochemical studies, we demonstrate that both GTP and dGTP bind to Rel, but only GTP (but not dGTP) can form the product. Reactions performed using GTP analogs substituted with different chemical moieties at the 2' position suggest a clear role for 2'-OH in catalysis by providing an indispensable hydrogen bond; preliminary computational analysis further supports this view. This study elucidating a catalytic role for 2'-OH of GTP in (p)ppGpp synthesis allows us to propose different mechanistic possibilities by which it generates the nucleophile for the synthesis reaction. This study underscores the selection of ribose nucleotides as second messengers and finds its roots in the old RNA world hypothesis.


Asunto(s)
Proteínas Bacterianas/metabolismo , Regulación Bacteriana de la Expresión Génica , Guanosina Pentafosfato/biosíntesis , Guanosina Trifosfato/metabolismo , Ligasas/metabolismo , Streptococcus/metabolismo , Proteínas Bacterianas/genética , Guanosina Pentafosfato/genética , Guanosina Trifosfato/genética , Ligasas/genética , Magnesio/metabolismo , Streptococcus/genética
6.
J Biol Chem ; 295(18): 5850-5856, 2020 05 01.
Artículo en Inglés | MEDLINE | ID: mdl-32229582

RESUMEN

Tau is a microtubule-associated protein that plays a major role in Alzheimer's disease (AD) and other tauopathies. Recent reports indicate that, in the presence of crowding agents, tau can undergo liquid-liquid phase separation (LLPS), forming highly dynamic liquid droplets. Here, using recombinantly expressed proteins, turbidimetry, fluorescence microscopy imaging, and fluorescence recovery after photobleaching (FRAP) assays, we show that the divalent transition metal zinc strongly promotes this process, shifting the equilibrium phase boundary to lower protein or crowding agent concentrations. We observed no tau LLPS-promoting effect for any other divalent transition metal ions tested, including Mn2+, Fe2+, Co2+, Ni2+, and Cu2+ We also demonstrate that multiple zinc-binding sites on tau are involved in the LLPS-promoting effect and provide insights into the mechanism of this process. Zinc concentration is highly elevated in AD brains, and this metal ion is believed to be an important player in the pathogenesis of this disease. Thus, the present findings bring a new dimension to understanding the relationship between zinc homeostasis and the pathogenic process in AD and related neurodegenerative disorders.


Asunto(s)
Zinc/farmacología , Proteínas tau/química , Enfermedad de Alzheimer/metabolismo , Encéfalo/metabolismo , Relación Dosis-Respuesta a Droga , Humanos , Proteínas tau/metabolismo
8.
J Org Chem ; 86(21): 14597-14607, 2021 11 05.
Artículo en Inglés | MEDLINE | ID: mdl-34662119

RESUMEN

This report describes an efficient transition-metal-free process toward the transfer hydrogenative cascade reaction between nitroarenes and amines or alcohols. The developed redox-economical approach was realized using a combination of KOtBu and Et3SiH as reagents, which allows the synthesis of benzimidazole derivatives via σ-bond metathesis. The reaction conditions hold well over a wide range of substrates embedded with diverse functional groups to deliver the desired products in good to excellent yields. The mechanistic proposal has been depicted on the basis of a series of control experiments, mass spectroscopic evidence which is well supported by density functional theory (DFT) calculations with a feasible energy profile.


Asunto(s)
Alcoholes , Elementos de Transición , Aminas , Bencimidazoles , Oxidación-Reducción
9.
J Assoc Physicians India ; 69(4): 11-12, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34470195

RESUMEN

We report a case with serologically (MAC ELISA) proven acute dengue virus infection and variable atrio-ventricular (AV) conduction block (2:1 with Mobitz type I second degree). A 23 years old boy was referred to the hospital on the 7th day of the illness for thrombocytopenia (19000/cmm) with fever and body aches. On day 11th of the illness, during recovery phase he developed variable AV conduction block. There was no other abnormality in the 12-lead electrocardiogram (ECG) except occasional VPCs and echocardiogram showed normal ventricular systolic function. CPK-MB, serum electrolytes were normal. Trop-T was negative. The pulse and rhythm resolved to normal on day 13th. AV block during recovery from dengue fever may be a transient functional phenomenon, in which altered autonomic tone may play a role and conservative but vigilant management may be justified.


Asunto(s)
Bloqueo Atrioventricular , Dengue , Adulto , Bloqueo Atrioventricular/diagnóstico , Dengue/complicaciones , Dengue/diagnóstico , Ecocardiografía , Electrocardiografía , Frecuencia Cardíaca , Humanos , Masculino , Adulto Joven
10.
Org Biomol Chem ; 2020 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-32490470

RESUMEN

A transition metal-free, convenient, and efficient practical approach has been devised for the synthesis of substituted 2-(2'-aminophenyl)benzothiazoles via a sulfur insertion strategy using isatin derivatives as 2-aminobenzaldehyde surrogates. KI assisted one-pot operation of isatin, arylamines and elemental sulfur resulted in the formation of a C-N and two C-S bonds and cascade cleavage of the isatin ring resulting in the formation of 2-(2'-aminophenyl)benzothiazoles. The significant features of this strategy are the readily available and inexpensive starting materials, broad substrate scope, sustainable reaction conditions and high yield of products. Importantly, the strategy was found to be appropriate for gram scale synthesis (>10 g) of 2-(2'-aminophenyl)benzothiazole derivatives. Moreover, the excellent photophysical properties (ΦF up to 60%) of 2-(2'-aminophenyl)benzothiazole derivatives provide huge scope in materials science.

11.
Beilstein J Org Chem ; 16: 1740-1753, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32765794

RESUMEN

A robust transition-metal-free strategy is presented to access novel ß-carboline-tethered benzothiophenone derivatives from 1(3)-formyl-ß-carbolines using elemental sulfur activated by Et3N/DMSO. This expeditious catalyst-free reaction proceeds through the formation of ß-carboline-based 2-nitrochalcones followed by an incorporation of sulfur to generate multifunctional ß-carboline-linked benzothiophenones in good to excellent yields. The synthetic strategy could also be extended towards the synthesis of ß-carboline-linked benzothiophenes. Moreover, the afforded products emerged as promising fluorophores and displayed excellent light-emitting properties with quantum yields (ΦF) up to 47%.

12.
J Exp Ther Oncol ; 13(1): 1-7, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30658020

RESUMEN

BACKGOUND: The histogenesis process of pleomorphic adenoma (PA) of salivary gland continues to remain a controversial subject. In this neoplasm, transition occurs from an epithelial or myoepithelial cell to a stromal element and is called an epithelial-mesenchymal transition (EMT) resulting in heterogeneity. The present research was aimed to study the morphological characteristics of varied components and epithelial-mesenchymal transitions in PA using histopathological and immunohistochemical (IHC) analysis. MATERIALS & METHODS: For this purpose 15 PAs cases were selected from the archives and from each case of PA and 5 cases of normal salivary gland, five additional sections were cut from each for immunohistochemical analysis using E- cadherin, vimentin and a-actin. The numbers of immunoreactive cells were semi- quantitatively measured and also determined the intensity of the immunostaining reaction. RESULT: Immunohistochemically, as the cells transitioned from the lumial cells to descrete/detached cells of ductal structures, the percentage of positive cells tends to decrease for E- cadherin and increases for vimentin and actin. Additionally, neoplastic cells towards the periphery of ducal-cystic structures or completely detached cells in the stroma showed intense to moderate positivity for vimentin and alpha smooth muscle actin (a-SMA). Chondroid/ hyalinized or myxoid stroma showed variable staining with these markers. CONCLUSION: Our study provides the evidence that epithelial-mesenchymal transition process represent the basic principle of the tisuse heterogeneity in pleomorphic adenomas.


Asunto(s)
Adenoma Pleomórfico , Adenoma , Neoplasias de las Glándulas Salivales , Actinas , Adenoma/diagnóstico , Adenoma Pleomórfico/diagnóstico , Transición Epitelial-Mesenquimal , Humanos , Inmunohistoquímica , Neoplasias de las Glándulas Salivales/diagnóstico , Glándulas Salivales
13.
Org Biomol Chem ; 17(4): 835-844, 2019 01 23.
Artículo en Inglés | MEDLINE | ID: mdl-30620351

RESUMEN

An AcOH-mediated concise, atom-economical and environmentally sustainable tandem strategy has been formulated to access highly fluorescent (ΦF up to 40%) N-fused bis-carbolines, imidazopyrido[3,4-b]indoles and imidazo[1,5-a]pyridines via the formation of three C-N bonds in a single operation. The multicomponent character of the reaction, easy to execute reaction conditions, simple purification procedure and excellent light emitting properties of the product afforded thereof provide a huge scope.

14.
Mol Pharm ; 15(8): 3356-3368, 2018 08 06.
Artículo en Inglés | MEDLINE | ID: mdl-29979597

RESUMEN

Huntington's disease (HD) is a genetic disorder caused by a CAG expansion mutation in Huntingtin gene leading to polyglutamine (polyQ) expansion in the N-terminus side of Huntingtin (Httex1) protein. Neurodegeneration in HD is linked to aggregates formed by Httex1 bearing an expanded polyQ. Initiation and elongation steps of Httex1 aggregation are potential target steps for the discovery of therapeutic molecules for HD, which is currently untreatable. Here we report Httex1 aggregation inhibition by calmidazolium chloride (CLC) by acting on the initial aggregation event. Because it is hydrophobic, CLC was adsorbed to the vial surface and could not sustain an inhibition effect for a longer duration. The use of bovine serum albumin (BSA) prevented CLC adsorption by forming a BSA-CLC complex. This complex showed improved Httex1 aggregation inhibition by interacting with the aggregation initiator, the NT17 part of Httex1. Furthermore, biocompatible CLC-loaded BSA nanoparticles were made which reduced the polyQ aggregates in HD-150Q cells.


Asunto(s)
Proteína Huntingtina/metabolismo , Enfermedad de Huntington/tratamiento farmacológico , Imidazoles/farmacología , Agregado de Proteínas/efectos de los fármacos , Agregación Patológica de Proteínas/tratamiento farmacológico , Animales , Bioensayo/métodos , Línea Celular , Proteína Huntingtina/química , Enfermedad de Huntington/patología , Imidazoles/química , Imidazoles/uso terapéutico , Ratones , Simulación del Acoplamiento Molecular , Nanopartículas/química , Nanopartículas/metabolismo , Péptidos/química , Péptidos/metabolismo , Agregación Patológica de Proteínas/patología , Albúmina Sérica Bovina/química , Albúmina Sérica Bovina/metabolismo , Albúmina Sérica Humana/química , Albúmina Sérica Humana/metabolismo
15.
Soft Matter ; 14(12): 2234-2244, 2018 Mar 28.
Artículo en Inglés | MEDLINE | ID: mdl-29517792

RESUMEN

In the quest for new antimicrobial materials, hydrogels of Fmoc-protected peptides and amino acids have gained momentum due to their ease of synthesis and cost effectiveness; however, their repertoire is currently limited, and the mechanistic details of their function are not well understood. Herein, we report the antibacterial activity of the hydrogel and solution phases of Fmoc-phenylalanine (Fmoc-F) against a variety of Gram-positive bacteria including methicillin-resistant Staphylococcus aureus (MRSA). Fmoc-F, a small molecule hydrogelator, reduces the bacterial load both in vitro and in the skin wound infections of mice. The antibacterial activity of Fmoc-F is predominantly due to its release from the hydrogel. Fmoc-F shows surfactant-like properties with critical micelle concentration nearly equivalent to its minimum bactericidal concentration. Similar to Fmoc-F, some Fmoc-conjugated amino acids (Fmoc-AA) have also shown antibacterial effects that are linearly correlated with their surfactant properties. At low concentrations, where Fmoc-F does not form micelles, it inhibits bacterial growth by entering the cell and reducing the glutathione levels. However, at higher concentrations, Fmoc-F triggers oxidative and osmotic stress and, alters the membrane permeabilization and integrity, which kills Gram-positive bacteria. Herein, we proposed the use of the Fmoc-F hydrogel and its solution for several biomedical applications. This study will open up new avenues to enhance the repertoire of Fmoc-AA to act as antimicrobial agents and improve their structure-activity relationship.


Asunto(s)
Antibacterianos/química , Antibacterianos/farmacología , Fluorenos/química , Bacterias Grampositivas/efectos de los fármacos , Fenilalanina/química , Fenilalanina/farmacología , Permeabilidad de la Membrana Celular/efectos de los fármacos , Geles , Bacterias Grampositivas/citología , Bacterias Grampositivas/metabolismo , Estrés Oxidativo/efectos de los fármacos , Soluciones , Relación Estructura-Actividad , Tensión Superficial
16.
J Pept Sci ; 24(8-9): e3115, 2018 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-30062707

RESUMEN

Osmolytes stabilize protein structure and suppress protein aggregation. The mechanism of how osmolytes impact polyglutamine (polyQ) aggregation implicated in Huntington's disease was studied. By using a reverse-phase chromatography assay, we show that methylamines-trimethylamine N-oxide and betaine are generic in enhancing polyQ aggregation, while a disaccharide trehalose and an amino acid citrulline moderately retard polyQ aggregation in a sequence specific manner. Despite the altered kinetics, the fundamental nucleation mechanism of polyQ aggregation and the nature of end stage aggregates remains unaffected. These results highlight the importance of using osmolytes as modulatory agents of polyQ aggregation.


Asunto(s)
Péptidos/química , Agregado de Proteínas , Humanos , Cinética , Concentración Osmolar , Estabilidad Proteica
17.
J Proteome Res ; 16(10): 3863-3872, 2017 10 06.
Artículo en Inglés | MEDLINE | ID: mdl-28871787

RESUMEN

Huntington's disease (HD) is a neurodegenerative disorder induced by aggregation of the pathological form of Huntingtin protein that has expanded polyglutamine (polyQ) repeats. In the Drosophila model, for instance, expression of transgenes with polyQ repeats induces HD-like pathologies, progressively correlating with the increasing lengths of these repeats. Previous studies on both animal models and clinical samples have revealed metabolite imbalances during HD progression. To further explore the physiological processes linked to metabolite imbalances during HD, we have investigated the 1D 1H NMR spectroscopy-based metabolomics profile of Drosophila HD model. Using multivariate analysis (PCA and PLS-DA) of metabolites obtained from methanolic extracts of fly heads displaying retinal deformations due to polyQ overexpression, we show that the metabolite imbalance during HD is likely to affect cell energetics. Six out of the 35 metabolites analyzed, namely, nicotinamide adenine dinucleotide (NAD), lactate, pyruvate, succinate, sarcosine, and acetoin, displayed segregation with progressive severity of HD. Specifically, HD progression was seen to be associated with reduction in NAD and increase in lactate-to-pyruvate ratio. Furthermore, comparative analysis of fly HD metabolome with those of mouse HD model and HD human patients revealed comparable metabolite imbalances, suggesting altered cellular energy homeostasis. These findings thus raise the possibility of therapeutic interventions for HD via modulation of cellular energetics.


Asunto(s)
Metabolismo Energético/genética , Proteína Huntingtina/metabolismo , Enfermedad de Huntington/metabolismo , Metabolómica , Animales , Modelos Animales de Enfermedad , Drosophila melanogaster/genética , Drosophila melanogaster/metabolismo , Humanos , Proteína Huntingtina/genética , Enfermedad de Huntington/genética , Enfermedad de Huntington/patología , Espectroscopía de Resonancia Magnética , NAD/genética , Neuronas/metabolismo , Neuronas/patología , Péptidos/genética , Péptidos/metabolismo
18.
Bioorg Chem ; 71: 30-54, 2017 04.
Artículo en Inglés | MEDLINE | ID: mdl-28126288

RESUMEN

1,2,3-Triazoles are important five-membered heterocyclic scaffold due to their extensive biological activities. This framework can be readily obtained in good to excellent yields on the multigram scale through click chemistry via reaction of aryl/alkyl halides, alkynes and NaN3 under ambient conditions. It has been an emerging area of interest for many researchers throughout the globe owing to its immense pharmacological scope. The present work aims to summarize the current approaches adopted for the synthesis of the 1,2,3-triazole and medicinal significance of these architectures as a lead structure for the discovery of drug molecules such as COX-1/COX-2 inhibitors (celecoxib, pyrazofurin), HIV protease inhibitors, CB1 cannabinoid receptor antagonist and much more which are in the pipeline of clinical trials. The emphasis has been given on the major advancements in the medicinal prospectus of this pharmacophore for the period during 2008-2016.


Asunto(s)
Química Clic/métodos , Descubrimiento de Drogas/métodos , Triazoles/síntesis química , Triazoles/farmacología , Alquinos/química , Animales , Antiinfecciosos/síntesis química , Antiinfecciosos/química , Antiinfecciosos/farmacología , Antiinflamatorios/síntesis química , Antiinflamatorios/química , Antiinflamatorios/farmacología , Antineoplásicos/síntesis química , Antineoplásicos/química , Antineoplásicos/farmacología , Azidas/química , Reacción de Cicloadición/métodos , Inhibidores de la Ciclooxigenasa/síntesis química , Inhibidores de la Ciclooxigenasa/química , Inhibidores de la Ciclooxigenasa/farmacología , Inhibidores de la Proteasa del VIH/síntesis química , Inhibidores de la Proteasa del VIH/química , Inhibidores de la Proteasa del VIH/farmacología , Humanos , Modelos Moleculares , Receptor Cannabinoide CB1/antagonistas & inhibidores , Triazoles/química
19.
Bioorg Chem ; 75: 406-423, 2017 12.
Artículo en Inglés | MEDLINE | ID: mdl-29102723

RESUMEN

In the modern scenario, thiazolidinone scaffold has emerged as a very potent scaffold as per its clinical significance concerned. It has attracted the keen interest of the researchers due to its great diversity in biological activities. Thiazolidinones are the saturated form of thiazole, called thiazolidine with a carbonyl group. The 1,3-thiazolidin-4-ones possess wide range of pharmacological activities such as anti-cancer, anti-diabetic, anti-microbial, anti-viral, anti-inflammatory and anti-convulsant. In the past few years, various newer synthetic approaches have been designed to synthesize diverse scaffolds to explore the various types of biological activities. In this review, an attempt has been made by the authors to summarize various synthetic strategies for thiazolidinone derivatives as well as their biological significance.


Asunto(s)
Tiazolidinas/farmacología , Tiazolidinas/uso terapéutico , Animales , Antiinfecciosos/síntesis química , Antiinfecciosos/farmacología , Antiinflamatorios/síntesis química , Antiinflamatorios/química , Antiinflamatorios/uso terapéutico , Antineoplásicos/síntesis química , Antineoplásicos/química , Antineoplásicos/farmacología , Bacterias/efectos de los fármacos , Supervivencia Celular/efectos de los fármacos , Edema/inducido químicamente , Edema/tratamiento farmacológico , Hongos/efectos de los fármacos , Humanos , Hipoglucemiantes/síntesis química , Hipoglucemiantes/química , Hipoglucemiantes/metabolismo , Convulsiones/tratamiento farmacológico , Convulsiones/veterinaria , Tiazolidinas/síntesis química , Tiazolidinas/química , Virus/efectos de los fármacos
20.
Iran J Med Sci ; 42(2): 205-209, 2017 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-28360448

RESUMEN

Tumefactive fibroinflammatory lesions (TFLs) are rare idiopathic benign fibrosclerosing lesions that clinically simulate a malignancy. TFLs are seen more frequently in males between 10 and 74 years of age. The usual site of involvement is the head and neck region, but rarely the extremities may be involved. Coexisting fibrosclerotic processes have been reported including retroperitoneal fibrosis, sclerosing cholangitis, sclerosing mediastinal fibrosis, and orbital pseudotumors. The etiology of this poorly understood entity remains unknown. Possible suggestions include exaggerated responses or autoimmune reactions to any chronic infection. The clinical and radiological appearance of TFLs is that of malignancy, but histopathology reveals them to be a benign process broadly classified under non-neoplastic, fibroinflammatory proliferations. The treatment strategies for these lesions are not well defined and variable and include steroids, surgery, and radiotherapy either alone or in combination. TFLs, albeit not fatal, have a high recurrence rate; patients should, therefore, be kept on long-term follow-up. We describe a young female patient presenting with a rapidly developing cheek swelling, which was diagnosed histopathologically as a TFLs.

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