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1.
Adv Skin Wound Care ; 37(7): 387-391, 2024 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-38899821

RESUMO

ABSTRACT: Intravenous plasminogen replacement therapy for patients with plasminogen deficiency type 1 (hypoplasminogenemia) was recently approved for marketing in the US. In this case report, the authors describe a 33-year-old man with hypoplasminogenemia who developed nonhealing postsurgical wounds following trauma to his right hand despite receiving standard treatment for 4 months. The patient was enrolled in a compassionate-use protocol with intravenous plasminogen replacement therapy and experienced prompt resolution of surgical wounds. He was the first human patient to receive replacement therapy with plasminogen, human-tvmh in the US and first to demonstrate cutaneous wound healing in addition to resolution of ligneous lesions attributable to plasminogen deficiency type 1.


Assuntos
Plasminogênio , Cicatrização , Humanos , Masculino , Adulto , Cicatrização/efeitos dos fármacos , Plasminogênio/deficiência , Plasminogênio/uso terapêutico , Administração Intravenosa , Resultado do Tratamento , Traumatismos da Mão/complicações , Traumatismos da Mão/cirurgia , Ferida Cirúrgica/tratamento farmacológico , Ferida Cirúrgica/complicações , Conjuntivite , Dermatopatias Genéticas
2.
Opt Lett ; 47(5): 1174-1177, 2022 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-35230320

RESUMO

We show theoretically that stable dark solitons can exist in the presence of pure quartic dispersion, and also in the presence of both quadratic and quartic dispersive effects, displaying a much greater variety of possible solutions and dynamics than for pure quadratic dispersion. The interplay of the two dispersion orders may lead to oscillatory non-vanishing tails, which enables the possibility of bound, potentially stable, multi-soliton states. Dark soliton-like states that connect to low-amplitude oscillations are also shown to be possible. Dynamical evolution results corroborate the stability picture obtained, and possible avenues for dark soliton generation are explored.

3.
Acta Neuropathol ; 139(4): 773-789, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31925534

RESUMO

Genome-wide association studies (GWAS) have identified PICALM as one of the most significant susceptibility loci for late-onset Alzheimer's disease (AD) after APOE and BIN1. PICALM is a clathrin-adaptor protein and plays critical roles in clathrin-mediated endocytosis and in autophagy. PICALM modulates brain amyloid ß (Aß) pathology and tau accumulation. We have previously reported that soluble PICALM protein level is reduced in correlation with abnormalities of autophagy markers in the affected brain areas of neurodegenerative diseases including AD, sporadic tauopathies and familial cases of frontotemporal lobar degeneration with tau-immunoreactive inclusions (FTLD-tau) with mutations in the microtubule-associated protein tau (MAPT) gene. It remains unclarified whether in vivo PICALM reduction could either trigger or influence tau pathology progression in the brain. In this study, we confirmed a significant reduction of soluble PICALM protein and autophagy deficits in the post-mortem human brains of FTLD-tau-MAPT (P301L, S364S and L266V). We generated a novel transgenic mouse line named Tg30xPicalm+/- by crossing Tg30 tau transgenic mice with Picalm-haploinsufficient mice to test whether Picalm reduction may modulate tau pathology. While Picalm haploinsufficiency did not lead to any motor phenotype or detectable tau pathology in mouse brains, Tg30xPicalm+/- mice developed markedly more severe motor deficits than Tg30 by the age of 9 months. Tg30xPicalm+/- had significantly higher pathological tau levels in the brain, an increased density of neurofibrillary tangles compared to Tg30 mice and increased abnormalities of autophagy markers. Our results demonstrate that Picalm haploinsufficiency in transgenic Tg30 mice significantly aggravated tau pathologies and tau-mediated neurodegeneration, supporting a role for changes in Picalm expression as a risk/sensitizing factor for development of tau pathology and as a mechanism underlying the AD risk associated to PICALM.


Assuntos
Proteínas Monoméricas de Montagem de Clatrina/genética , Tauopatias/genética , Tauopatias/patologia , Animais , Encéfalo/patologia , Modelos Animais de Doenças , Feminino , Demência Frontotemporal/metabolismo , Haploinsuficiência , Humanos , Masculino , Camundongos , Camundongos Transgênicos , Pessoa de Meia-Idade , Proteínas Monoméricas de Montagem de Clatrina/metabolismo , Tauopatias/metabolismo , Proteínas tau/genética
4.
Acta Neuropathol ; 137(3): 397-412, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30599077

RESUMO

Neuropathological analysis in Alzheimer's disease (AD) and experimental evidence in transgenic models overexpressing frontotemporal dementia with Parkinsonism linked to chromosome 17 (FTDP-17) mutant tau suggest that amyloid-ß pathology enhances the development of tau pathology. In this work, we analyzed this interaction independently of the overexpression of an FTDP-17 mutant tau, by analyzing tau pathology in wild-type (WT), 5xFAD, APP-/- and tau-/- mice after stereotaxic injection in the somatosensory cortex of short-length native human AD-PHF. Gallyas and phosphotau-positive tau inclusions developed in WT, 5xFAD, and APP-/- but not in tau-/- mice. Ultrastructural analysis demonstrated their intracellular localization and that they were composed of straight filaments. These seeded tau inclusions were composed only of endogenous murine tau exhibiting a tau antigenic profile similar to tau aggregates in AD. Insoluble tau level was higher and ipsilateral anteroposterior and contralateral cortical spreading of tau inclusions was more important in AD-PHF-injected 5xFAD mice than in WT mice. The formation of large plaque-associated dystrophic neurites positive for oligomeric and phosphotau was observed in 5xFAD mice injected with AD-PHF but never in control-injected or in non-injected 5xFAD mice. An increased level of the p25 activator of CDK5 kinase was found in AD-PHF-injected 5xFAD mice. These data demonstrate in vivo that the presence of Aß pathology enhances experimentally induced tau seeding of endogenous, wild-type tau expressed at physiological level, and demonstrate the fibrillar nature of heterotopically seeded endogenous tau. These observations further support the hypothesis that Aß enhances tau pathology development in AD through increased pathological tau spreading.


Assuntos
Doença de Alzheimer/patologia , Peptídeos beta-Amiloides/metabolismo , Emaranhados Neurofibrilares/patologia , Proteínas tau/metabolismo , Animais , Humanos , Camundongos , Camundongos Knockout
5.
Phys Rev Lett ; 122(17): 171601, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31107090

RESUMO

In this Letter, we address the long-range interaction between kinks and antikinks, as well as kinks and kinks, in φ^{2n+4} field theories for n>1. The kink-antikink interaction is generically attractive, while the kink-kink interaction is generically repulsive. We find that the force of interaction decays with the 2n/(n-1)th power of their separation, and we identify the general prefactor for arbitrary n. Importantly, we test the resulting mathematical prediction with detailed numerical simulations of the dynamic field equation, and obtain good agreement between theory and numerics for the cases of n=2 (φ^{8} model), n=3 (φ^{10} model), and n=4 (φ^{12} model).

6.
Nature ; 489(7414): 124-7, 2012 Sep 06.
Artigo em Inglês | MEDLINE | ID: mdl-22955623

RESUMO

Over a two-year period, Voyager 1 observed a gradual slowing-down of radial plasma flow in the heliosheath to near-zero velocity after April 2010 at a distance of 113.5 astronomical units from the Sun (1 astronomical unit equals 1.5 × 10(8) kilometres). Voyager 1 was then about 20 astronomical units beyond the shock that terminates the free expansion of the solar wind and was immersed in the heated non-thermal plasma region called the heliosheath. The expectation from contemporary simulations was that the heliosheath plasma would be deflected from radial flow to meridional flow (in solar heliospheric coordinates), which at Voyager 1 would lie mainly on the (locally spherical) surface called the heliopause. This surface is supposed to separate the heliosheath plasma, which is of solar origin, from the interstellar plasma, which is of local Galactic origin. In 2011, the Voyager project began occasional temporary re-orientations of the spacecraft (totalling about 10-25 hours every 2 months) to re-align the Low-Energy Charged Particle instrument on board Voyager 1 so that it could measure meridional flow. Here we report that, contrary to expectations, these observations yielded a meridional flow velocity of +3 ± 11 km s(-1), that is, one consistent with zero within statistical uncertainties.

7.
J Cell Mol Med ; 21(9): 2223-2235, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28402037

RESUMO

Obstructive sleep apnoea (OSA) affects 9-24% of the adult population. OSA is associated with atrial disease, including atrial enlargement, fibrosis and arrhythmias. Despite the link between OSA and cardiac disease, the molecular changes in the heart which occur with OSA remain elusive. To study OSA-induced cardiac changes, we utilized a recently developed rat model which closely recapitulates the characteristics of OSA. Male Sprague Dawley rats, aged 50-70 days, received surgically implanted tracheal balloons which were inflated to cause transient airway obstructions. Rats were given 60 apnoeas per hour of either 13 sec. (moderate apnoea) or 23 sec. (severe apnoea), 8 hrs per day for 2 weeks. Controls received implants, but no inflations were made. Pulse oximetry measurements were taken at regular intervals, and post-apnoea ECGs were recorded. Rats had longer P wave durations and increased T wave amplitudes following chronic OSA. Proteomic analysis of the atrial tissue homogenates revealed that three of the nine enzymes in glycolysis, and two proteins related to oxidative phosphorylation, were down regulated in the severe apnoea group. Several sarcomeric and pro-hypertrophic proteins were also up regulated with OSA. Chronic OSA causes proteins changes in the atria which suggest impairment of energy metabolism and enhancement of hypertrophy.


Assuntos
Fenômenos Eletrofisiológicos , Átrios do Coração/fisiopatologia , Apneia Obstrutiva do Sono/fisiopatologia , Animais , Eletrocardiografia , Átrios do Coração/diagnóstico por imagem , Masculino , Oximetria , Oxigênio/metabolismo , Ratos Sprague-Dawley , Apneia Obstrutiva do Sono/diagnóstico por imagem
8.
Am J Pathol ; 186(10): 2709-22, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27497324

RESUMO

In Alzheimer disease, the development of tau pathology follows neuroanatomically connected pathways, suggesting that abnormal tau species might recruit normal tau by passage from cell to cell. Herein, we analyzed the effect of stereotaxic brain injection of human Alzheimer high-molecular-weight paired helical filaments (PHFs) in the dentate gyrus of wild-type and mutant tau THY-Tau22 mice. After 3 months of incubation, wild-type and THY-Tau22 mice developed an atrophy of the dentate gyrus and a tau pathology characterized by Gallyas and tau-positive grain-like inclusions into granule cells that extended in the hippocampal hilus and eventually away into the alveus, and the fimbria. Gallyas-positive neuropil threads and oligodendroglial coiled bodies were also observed. These tau inclusions were composed only of mouse tau, and were immunoreactive with antibodies to 4R tau, phosphotau, misfolded tau, ubiquitin, and p62. Although local hyperphosphorylation of tau was increased in the dentate gyrus in THY-Tau22 mice, the development of neurofibrillary tangles made of mutant human tau was not accelerated in the hippocampus, indicating that wild-type human PHFs were inefficient in seeding tau aggregates made of G272V/P301S mutant human tau. Our results indicate thus that injection of human wild-type Alzheimer PHF seeded aggregation of wild-type murine tau into an argyrophilic 4R tau pathology, and constitutes an interesting model independent of expression of a mutant tau protein.


Assuntos
Doença de Alzheimer/patologia , Citoesqueleto/patologia , Emaranhados Neurofibrilares/patologia , Proteínas tau/metabolismo , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/metabolismo , Animais , Comportamento Animal , Encéfalo/metabolismo , Encéfalo/patologia , Células CHO , Cricetulus , Citoesqueleto/metabolismo , Modelos Animais de Doenças , Feminino , Hipocampo/metabolismo , Hipocampo/patologia , Humanos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Emaranhados Neurofibrilares/metabolismo , Isoformas de Proteínas , Proteínas tau/genética
9.
Nature ; 474(7351): 359-61, 2011 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-21677754

RESUMO

Voyager 1 has been in the reservoir of energetic ions and electrons that constitutes the heliosheath since it crossed the solar wind termination shock on 16 December 2004 at a distance from the Sun of 94 astronomical units (1 AU = 1.5 × 10(8) km). It is now ∼22 AU past the termination shock crossing. The bulk velocity of the plasma in the radial-transverse plane has been determined using measurements of the anisotropy of the convected energetic ion distribution. Here we report that the radial component of the velocity has been decreasing almost linearly over the past three years, from ∼70 km s(-1) to ∼0 km s(-1), where it has remained for the past eight months. It now seems that Voyager 1 has entered a finite transition layer of zero-radial-velocity plasma flow, indicating that the spacecraft may be close to the heliopause, the border between the heliosheath and the interstellar plasma. The existence of a flow transition layer in the heliosheath contradicts current predictions--generally assumed by conceptual models--of a sharp discontinuity at the heliopause.

10.
Neurobiol Dis ; 62: 100-12, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24076100

RESUMO

Neurofibrillary degeneration in transgenic models of tauopathies has been observed to be enhanced when these models are crossed with transgenic models developing an Aß pathology. The mechanisms leading to this enhanced tau pathology are not well understood. We have performed a detailed analysis of tau misprocessing in a new transgenic mouse model combining APP, PS1 and tau mutations (5xFAD×Tg30 mice) by comparison with littermates expressing only a FTD mutant tau (Tg30 mice). These 5xFAD×Tg30 mice showed a more severe deficient motor phenotype than Tg30 mice and developed with age a dramatically accelerated NFT load in the brain compared to Tg30 mice. Insoluble tau in 5xFAD×Tg30 mice compared to insoluble tau in Tg30 mice showed increased phosphorylation, enhanced misfolding and truncation changes mimicking more closely the post-translational changes characteristic of PHF-tau in Alzheimer's disease. Endogenous wild-type mouse tau was recruited at much higher levels in insoluble tau in 5xFAD×Tg30 than in Tg30 mice. Extracellular amyloid load, Aß40 and Aß42, ß-CTFs and ß-CTF phosphorylation levels were lower in 5xFAD×Tg30 mice than in 5xFAD mice. Despite this reduction of Aß, a significant hippocampal neuronal loss was observed in 5xFAD×Tg30 but not in 5xFAD mice indicating its closer association with increased tau pathology. This 5xFAD×Tg30 model thus mimics more faithfully tau pathology and neuronal loss observed in AD and suggests that additional post-translational changes in tau and self-recruitment of endogenous tau drive the enhanced tau pathology developing in the presence of Aß pathology.


Assuntos
Precursor de Proteína beta-Amiloide/genética , Córtex Cerebral/ultraestrutura , Placa Amiloide/ultraestrutura , Presenilina-1/genética , Proteínas tau/genética , Proteínas tau/metabolismo , Fatores Etários , Precursor de Proteína beta-Amiloide/metabolismo , Animais , Hipocampo/ultraestrutura , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Mutantes , Camundongos Transgênicos , Fosforilação , Presenilina-1/metabolismo , Dobramento de Proteína , Células Piramidais/patologia , Medula Espinal/metabolismo , Medula Espinal/patologia , Taxa de Sobrevida , Proteínas tau/química
11.
Gut ; 62(3): 416-22, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22628494

RESUMO

OBJECTIVE: Heterocyclic amines (HAA) are animal carcinogens that are present in meat cooked at high temperature and in tobacco smoke. These compounds require activation by cytochrome P450 1A2 (CYP1A2) and N-acetyltransferase-2 (NAT2) before they can damage DNA. This study tested the hypotheses that well-done meat and cigarette smoking increase the risk of adenoma, the precursor to most colorectal cancers, especially in individuals with rapid CYP1A2 and rapid NAT2 activities. DESIGN: An endoscopy-based case-control study of adenoma was conducted among Caucasians, Japanese and native Hawaiians to test this hypothesis. The overall diet and consumption of well-done meat cooked by various high-temperature methods were assessed by interview in 1016 patients with a first adenoma and 1355 controls with a normal endoscopy. A caffeine test was used to assess CYP1A2 and NAT2 activities in 635 cases and 845 controls. Logistic regression was used to account for matching factors and potential confounders. RESULTS: Smoking was associated with an increased risk of adenoma. Weak non-significant elevated OR were observed for the main effects of HAA intakes or NAT2 activity. However, the combined effects of HAA intakes and NAT2 activity were statistically significant. Subjects in both the upper tertiles of NAT2 activity and HAA intake were at increased risk of adenoma compared with subjects in the lower tertiles of NAT2 activity and exposure (2-amino-3,4,8-dimethylimidazo[4,5-f]quinoxaline intake OR 1.70, 95% CI I 1.06 to 2.75; 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline intake OR 1.91, 95% CI 1.16 to 3.16; and 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine intake OR 2.14, 95% CI 1.31 to 3.49). CONCLUSION: The data suggest that rapid N-acetylators with high HAA intake may be at increased risk of adenoma.


Assuntos
Adenoma/etnologia , Arilamina N-Acetiltransferase/metabolismo , Neoplasias Colorretais/etnologia , Citocromo P-450 CYP1A2/metabolismo , Compostos Heterocíclicos/metabolismo , Fumar/efeitos adversos , Adenoma/metabolismo , Idoso , Aminas/administração & dosagem , Arilamina N-Acetiltransferase/genética , Carcinógenos , Estudos de Casos e Controles , Cromatografia Líquida de Alta Pressão , Neoplasias Colorretais/metabolismo , Citocromo P-450 CYP1A2/genética , Dieta , Etnicidade , Feminino , Havaí/epidemiologia , Humanos , Masculino , Carne , Pessoa de Meia-Idade , Razão de Chances , Fenótipo , Fatores de Risco , Inquéritos e Questionários
12.
J Mol Cell Cardiol ; 52(5): 1145-54, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22281395

RESUMO

Cardiac myosin binding protein C (cMyBP-C) is a myofibrillar protein important for normal myocardial contractility and stability. In mutated form it can cause cardiomyopathy and heart failure. cMyBP-C appears to have separate regions for different functions. Three phosphorylation sites near the N terminus modulate contractility by their effect on both the kinetics of contraction and the binding site of the N-terminus. The C terminal region binds to myosin rods and stabilizes thick filament structure. The aim of the study reported here was to test whether cMyBPC is important in producing the structural and functional changes that result from ischemia/reperfusion. In this study the sequential changes in cMyBP-C, contractility, and thick filament structure following dephosphorylation of cMyBP-C associated with ischemia and reperfusion have been studied in biopsied specimens from chronically instrumented dogs. One and two dimensional electrophoresis, electron microscopy and immunocytochemistry with multiple antibodies generated against different domains in cMyBP-C have been used to follow structural changes in cMyBP-C. Ischemia produced dephosphorylation of cMyBP-C. Subsequent reperfusion released the dephosphorylated cMyBP-C from myofibrils and activated proteolysis of the cytoplasmic cMyBP-C. This in turn leads to increased vulnerability of cMyBP-C to proteolysis and increased degradation of thick filaments. The state of cMyBP-C appears to be closely related to phosphorylation and dephosphorylation of serine 282. In the absence of the stabilizing action of cMyBP-C either as a consequence of genetic mutation or dephosphorylation, premature degradation of thick filaments occurs and is accompanied by persistent contractile dysfunction.


Assuntos
Proteínas de Transporte/fisiologia , Contração Miocárdica , Isquemia Miocárdica/metabolismo , Animais , Proteínas de Transporte/metabolismo , Cães , Feminino , Coração/fisiopatologia , Hemodinâmica , Masculino , Miocárdio/metabolismo , Miocárdio/patologia , Miofibrilas/metabolismo , Fosforilação , Transporte Proteico , Proteólise , Reperfusão
13.
Am J Pathol ; 178(2): 803-16, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21281813

RESUMO

Many models of human tauopathies have been generated in mice by expression of a human mutant tau with maintained expression of mouse endogenous tau. Because murine tau might interfere with the toxic effects of human mutant tau, we generated a model in which a pathogenic human tau protein is expressed in the absence of wild-type tau protein, with the aim of facilitating the study of the pathogenic role of the mutant tau and to reproduce more faithfully a human tauopathy. The Tg30 line is a tau transgenic mouse model overexpressing human 1N4R double-mutant tau (P301S and G272V) that develops Alzheimer's disease-like neurofibrillary tangles in an age-dependent manner. By crossing Tg30 mice with mice invalidated for their endogenous tau gene, we obtained Tg30xtau(-/-) mice that express only exogenous human double-mutant 1N4R tau. Although Tg30xtau(-/-) mice express less tau protein compared with Tg30, they exhibit signs of decreased survival, increased proportion of sarkosyl-insoluble tau in the brain and in the spinal cord, increased number of Gallyas-positive neurofibrillary tangles in the hippocampus, increased number of inclusions in the spinal cord, and a more severe motor phenotype. Deletion of murine tau accelerated tau aggregation during aging of this mutant tau transgenic model, suggesting that murine tau could interfere with the development of tau pathology in transgenic models of human tauopathies.


Assuntos
Técnicas de Inativação de Genes , Proteínas Associadas aos Microtúbulos/metabolismo , Proteínas Mutantes/química , Proteínas Mutantes/metabolismo , Proteínas tau/metabolismo , Animais , Contagem de Células , Quinase 3 da Glicogênio Sintase/metabolismo , Glicogênio Sintase Quinase 3 beta , Hipocampo/efeitos dos fármacos , Hipocampo/metabolismo , Hipocampo/patologia , Humanos , Corpos de Inclusão Intranuclear/efeitos dos fármacos , Corpos de Inclusão Intranuclear/patologia , Corpos de Inclusão Intranuclear/ultraestrutura , Memória de Curto Prazo/efeitos dos fármacos , Camundongos , Camundongos Transgênicos , Modelos Animais , Atividade Motora/efeitos dos fármacos , Emaranhados Neurofibrilares/efeitos dos fármacos , Emaranhados Neurofibrilares/metabolismo , Emaranhados Neurofibrilares/patologia , Emaranhados Neurofibrilares/ultraestrutura , Fosforilação/efeitos dos fármacos , Processamento de Proteína Pós-Traducional/efeitos dos fármacos , Estrutura Quaternária de Proteína , Sarcosina/análogos & derivados , Sarcosina/farmacologia , Nervo Isquiático/efeitos dos fármacos , Nervo Isquiático/patologia , Solubilidade/efeitos dos fármacos , Medula Espinal/efeitos dos fármacos , Medula Espinal/metabolismo , Medula Espinal/patologia , Análise de Sobrevida , Proteínas tau/química
14.
Pediatr Phys Ther ; 24(4): 353-60, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22965211

RESUMO

PURPOSE: Childhood obesity rates are increasing globally. Physical activity is one behavioral variable that influences weight status. Participation in physical activity requires basic gross motor proficiency in early childhood. The purpose of this study was to examine the relationship between gross motor skill level and weight status in a large national representative sample of kindergarten-aged children. METHODS: Body mass index percentile ranking was calculated for 4650 children from the Early Childhood Longitudinal Study-Birth Cohort. Children were classified into underweight, healthy, overweight, or obese categories according to the Centers for Disease Control and Prevention criteria. The Early Screening Inventory Revised was used to evaluate gross motor skill level. RESULTS: Children with obesity displayed lower gross motor skill levels compared with peers of healthy weight. Largest differences were seen in locomotor and balance skills. CONCLUSIONS: Clinicians should consider adjusting gross motor expectations for locomotor or stability tasks in young children with obesity.


Assuntos
Peso Corporal/fisiologia , Atividade Motora/fisiologia , Destreza Motora/fisiologia , Obesidade/patologia , Proteção da Criança , Pré-Escolar , Intervalos de Confiança , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Obesidade/epidemiologia , Razão de Chances , Pediatria , Fatores Sexuais , Estados Unidos/epidemiologia
15.
Carcinogenesis ; 32(2): 203-9, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21081473

RESUMO

Animal work implicates chemical carcinogens, such as polycyclic aromatic hydrocarbons (PAHs) and heterocyclic aromatic amines (HAAs) as contributing to the development of colorectal cancer (CRC). The epidemiologic evidence, however, remains inconsistent possibly due to intra-individual variation in bioactivation of these compounds. We conducted a case-control study of colorectal adenoma (914 cases, 1185 controls) and CRC (496 cases, 607 controls) among Japanese Americans, European Americans and Native Hawaiians to investigate the association of genetic variation in the PAH and HAA bioactivation pathway (CYP1A1, CYP1A2, CYP1B1, AHR and ARNT) identified through sequencing with risk of colorectal neoplasia, as well as their interactions with smoking and intakes of red meat and HAAs. The A allele for ARNT rs12410394 was significantly inversely associated with CRC [odds ratios (ORs) and 95% confidence intervals (CIs) for GG, AG and AA genotypes: 1.00, 0.66 (0.48-0.89), 0.54 (0.37-0.78), P(trend) = 0.0008] after multiple comparison adjustment. CYP1A2 rs11072508 was marginally significantly associated with CRC, where each copy of the T allele was associated with reduced risk (OR: 0.72, 95% CI: 0.58-0.88, P(trend) = 0.0017). No heterogeneity of genetic effects across racial/ethnic groups was detected. In addition, no significant interaction was observed after adjusting for multiple testing between genetic variants and pack-years of smoking, intake of red meat or HAAs (PhIP, MeIQx, Di-MeIQx or total HAAs) or NAT2 genotype (Rapid versus Slow or Intermediate). This study suggests that the genomic region around ARNT rs12410394 may harbor variants associated with CRC.


Assuntos
Aminas/metabolismo , Carcinógenos/farmacocinética , Neoplasias Colorretais/etiologia , Hidrocarbonetos Policíclicos Aromáticos/farmacocinética , Polimorfismo de Nucleotídeo Único , Idoso , Aminas/toxicidade , Translocador Nuclear Receptor Aril Hidrocarboneto/genética , Arilamina N-Acetiltransferase/genética , Biotransformação , Estudos de Casos e Controles , Neoplasias Colorretais/genética , Feminino , Variação Genética , Genótipo , Humanos , Imidazóis/metabolismo , Masculino , Pessoa de Meia-Idade , Hidrocarbonetos Policíclicos Aromáticos/toxicidade , Quinoxalinas/metabolismo , Fatores de Risco
16.
Cancer Causes Control ; 22(6): 929-36, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21437631

RESUMO

Circulating level of vitamin B6 has been inversely associated with colorectal cancer (CRC) risk but, unlike for folate, few studies have examined the relationship of vitamin B6 to colorectal adenoma, the precursor lesion to most CRCs. We measured plasma levels of folate, vitamin B6, and vitamin B12 in 241 patients with pathologically confirmed first occurrence of colorectal adenoma and 280 controls among Caucasians, Japanese Americans, and Native Hawaiians undergoing flexible sigmoidoscopy screening in Hawaii. High plasma level of vitamin B6 was independently inversely associated with risk of colorectal adenoma [multivariate odds ratios (95% confidence intervals): 1.0, 0.71 (0.45-1.13) and 0.44 (0.26-0.74) from the lowest to the highest tertile, respectively, p (trend) = 0.002]. Plasma folate was not associated with adenoma after adjustment for plasma vitamin B6 (p (trend) > 0.3). No association was observed with plasma vitamin B12. No significant interaction was detected between the three B vitamins and alcohol intake, multivitamin use or MTHFR C677T. The results provide evidence for an inverse association of plasma vitamin B6 levels with risk of colorectal adenoma. This study expands previous findings and suggests that vitamin B6 may be protective against the early stages of colorectal carcinogenesis.


Assuntos
Adenoma/etiologia , Neoplasias Colorretais/etiologia , Etnicidade , Vitamina B 6/sangue , Adenoma/sangue , Adenoma/epidemiologia , Adenoma/etnologia , Idoso , Asiático/estatística & dados numéricos , Estudos de Casos e Controles , Neoplasias Colorretais/sangue , Neoplasias Colorretais/epidemiologia , Neoplasias Colorretais/etnologia , Etnicidade/estatística & dados numéricos , Feminino , Havaí/epidemiologia , Havaí/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , População Branca/estatística & dados numéricos
17.
PLoS One ; 16(9): e0257687, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34543355

RESUMO

BACKGROUND: Thrombophilia workup is typically inappropriate in the inpatient setting as testing may be skewed by anticoagulation, acute thrombosis, or acute illness. OBJECTIVE: To determine adherence of inpatient thrombophilia testing with institutional guidelines. PATIENTS AND METHODS: A retrospective study to evaluate thrombophilia testing practices of adult patients who were admitted to Lehigh Valley Hospital at Cedar Crest with either venous thromboembolism or ischemic stroke in 2019. Testing included inherited and acquired thrombophilia. Patient charts were individually reviewed for three measured outcomes: 1) the number of appropriate thrombophilia testing in the inpatient setting; 2) the indications used for thrombophilia testing; 3) the proportion of positive thrombophilia tests with change in clinical management. RESULTS: 201 patients were included in our study. 26 patients (13%) were tested appropriately in accordance with institution guidelines and 175 (87%) patients were tested inappropriately. The most common reason for the inappropriate testing was testing during acute thrombosis. 28 of the 201 patients had positive thrombophilia tests, but the reviewers only noted 7 patients with change in clinical management-involving anticoagulation change. CONCLUSION: Our study revealed that a majority of inpatient thrombophilia testing did not follow institutional guidelines for appropriate testing and did not change patient management. These thrombophilia tests are often overutilized and have minimal clinical utility in the inpatient setting.


Assuntos
Pacientes Internados , Trombofilia , Adulto , Coagulação Sanguínea , Hospitalização , Humanos , Estudos Retrospectivos , Acidente Vascular Cerebral , Tromboembolia Venosa
18.
Cancers (Basel) ; 13(15)2021 Jul 29.
Artigo em Inglês | MEDLINE | ID: mdl-34359718

RESUMO

Early-onset colorectal cancer has been on the rise in Western populations. Here, we compare patient characteristics between those with early- (<50 years) vs. late-onset (≥50 years) disease in a large multinational cohort of colorectal cancer patients (n = 2193). We calculated descriptive statistics and assessed associations of clinicodemographic factors with age of onset using mutually-adjusted logistic regression models. Patients were on average 60 years old, with BMI of 29 kg/m2, 52% colon cancers, 21% early-onset, and presented with stage II or III (60%) disease. Early-onset patients presented with more advanced disease (stages III-IV: 63% vs. 51%, respectively), and received more neo and adjuvant treatment compared to late-onset patients, after controlling for stage (odds ratio (OR) (95% confidence interval (CI)) = 2.30 (1.82-3.83) and 2.00 (1.43-2.81), respectively). Early-onset rectal cancer patients across all stages more commonly received neoadjuvant treatment, even when not indicated as the standard of care, e.g., during stage I disease. The odds of early-onset disease were higher among never smokers and lower among overweight patients (1.55 (1.21-1.98) and 0.56 (0.41-0.76), respectively). Patients with early-onset colorectal cancer were more likely to be diagnosed with advanced stage disease, to have received systemic treatments regardless of stage at diagnosis, and were less likely to be ever smokers or overweight.

19.
Cancer Causes Control ; 21(7): 1131-8, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20333461

RESUMO

Chronic inflammation, which is suspected to play a role in the development of colorectal cancer (CRC), has rarely been studied in colorectal adenoma. We investigated the inter-relationships of serum levels of the inflammatory proteins CRP and in IL-6, single nucleotide polymorphisms (SNPs) in the CRP (rs1205, rs1130864, rs1800947) and IL6 (rs1800795) genes, and lifestyle factors with colorectal adenoma in a sigmoidoscopy-based case-control study of 271 adenoma cases and 539 age-, sex-, and race/ethnicity-matched controls in Hawaii. We found no association of serum CRP or IL-6 levels with the risk of adenoma. A multiple regression with stepwise selection identified elevated BMI, Caucasian and Native Hawaiian versus Japanese race/ethnicity, and current smoking as being associated with significantly higher serum CRP and IL-6 levels. Female versus male gender was also associated with higher CRP levels and older age with higher IL-6 levels. The C allele of rs1205 and the A allele of rs1130864 were significantly associated with higher serum CRP levels (p (trend): 0.0002 and 0.01, respectively), as well as with a decreased adenoma risk [rs1205: OR for CT and CC vs. TT = 0.69 (95% CI: 0.48-0.98) and 0.53 (0.34-0.83), respectively, p (trend) = 0.008; rs1130864: OR for GA and AA versus GG = 0.65 (0.45-0.93) and 0.74 (0.31-1.76), respectively, p (trend) = 0.04]. The findings of lower serum CRP and IL-6 levels in Japanese (a group with a high CRC risk) and of a decreased adenoma risk observed for alleles associated with higher circulating CRP levels suggest a protective effect for CRP in early colorectal neoplasia that warrants further study.


Assuntos
Adenoma/sangue , Proteína C-Reativa/análise , Neoplasias Colorretais/sangue , Interleucina-6/sangue , Adenoma/etnologia , Adenoma/genética , Fatores Etários , Idoso , Povo Asiático/genética , Povo Asiático/estatística & dados numéricos , Índice de Massa Corporal , Proteína C-Reativa/genética , Estudos de Casos e Controles , Neoplasias Colorretais/etnologia , Neoplasias Colorretais/genética , Feminino , Frequência do Gene , Predisposição Genética para Doença , Genótipo , Havaí/epidemiologia , Humanos , Interleucina-6/genética , Masculino , Pessoa de Meia-Idade , Havaiano Nativo ou Outro Ilhéu do Pacífico/genética , Havaiano Nativo ou Outro Ilhéu do Pacífico/estatística & dados numéricos , Polimorfismo de Nucleotídeo Único , Análise de Regressão , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Fatores Sexuais , Sigmoidoscopia , População Branca/genética , População Branca/estatística & dados numéricos
20.
Biochem Soc Trans ; 38(4): 1001-5, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20658993

RESUMO

We have reported previously a tau transgenic mouse model (Tg30tau) overexpressing human 4R1N double-mutant tau (P301S and G272V) and that develops AD (Alzheimer's disease)-like NFTs (neurofibrillary tangles) in an age-dependent manner. Since murine tau might interfere with the toxic effects of human mutant tau, we set out to analyse the phenotype of our Tg30tau model in the absence of endogenous murine tau with the aim to reproduce more faithfully a model of human tauopathy. By crossing the Tg30tau line with TauKO (tau-knockout) mice, we have obtained a new mouse line called Tg30xTauKO that expresses only exogenous human double-mutant 4R1N tau. Whereas Tg30xTauKO mice express fewer tau proteins compared with Tg30tau, they exhibit augmented sarkosyl-insoluble tau in the brain and an increased number of Gallyas-positive NFTs in the hippocampus. Taken together, exclusion of murine tau causes accelerated tau aggregation during aging of this mutant tau transgenic model.


Assuntos
Modelos Animais de Doenças , Deleção de Genes , Tauopatias/patologia , Proteínas tau/genética , Proteínas tau/metabolismo , Doença de Alzheimer/genética , Doença de Alzheimer/metabolismo , Animais , Precipitação Química , Humanos , Camundongos , Camundongos Transgênicos , Proteínas Mutantes/metabolismo , Proteínas Mutantes/fisiologia , Multimerização Proteica/genética , Multimerização Proteica/fisiologia , Tauopatias/genética , Tauopatias/metabolismo , Regulação para Cima
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