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1.
Nature ; 577(7788): 39-41, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31894143

RESUMO

Galaxy clusters are the most massive virialized structures in the Universe and are formed through the gravitational accretion of matter over cosmic time1. The discovery2 of an evolved galaxy cluster at redshift z = 2, corresponding to a look-back time of 10.4 billion years, provides an opportunity to study its properties. The galaxy cluster XLSSC 122 was originally detected as a faint, extended X-ray source in the XMM Large Scale Structure survey and was revealed to be coincident with a compact over-density of galaxies2 with photometric redshifts of 1.9 ± 0.2. Subsequent observations3 at millimetre wavelengths detected a Sunyaev-Zel'dovich decrement along the line of sight to XLSSC 122, thus confirming the existence of hot intracluster gas, while deep imaging spectroscopy from the European Space Agency's X-ray Multi-Mirror Mission (XMM-Newton) revealed4 an extended, X-ray-bright gaseous atmosphere with a virial temperature of 60 million Kelvin, enriched with metals to the same extent as are local clusters. Here we report optical spectroscopic observations of XLSSC 122 and identify 37 member galaxies at a mean redshift of 1.98, corresponding to a look-back time of 10.4 billion years. We use photometry to determine a mean, dust-free stellar age of 2.98 billion years, indicating that star formation commenced in these galaxies at a mean redshift of 12, when the Universe was only 370 million years old. The full range of inferred formation redshifts, including the effects of dust, covers the interval from 7 to 13. These observations confirm that XLSSC 122 is a remarkably mature galaxy cluster with both evolved stellar populations in the member galaxies and a hot, metal-rich gas composing the intracluster medium.

2.
J Chem Phys ; 160(2)2024 Jan 14.
Artigo em Inglês | MEDLINE | ID: mdl-38193556

RESUMO

The phase behavior of binary blends of AB diblock copolymers of compositions f and 1 - f is examined using field-theoretic simulations. Highly asymmetric compositions (i.e., f ≈ 0) behave like homopolymer blends macrophase separating into coexisting A- and B-rich phases as the segregation is increased, whereas more symmetric diblocks (i.e., f ≈ 0.5) microphase separate into an ordered lamellar phase. In self-consistent field theory, these behaviors are separated by a Lifshitz critical point at f = 0.2113. However, its lower critical dimension is believed to be four, which implies that the Lifshitz point should be destroyed by fluctuations. Consistent with this, it is found to transform into a tricritical point. Furthermore, the highly swollen lamellar phase near the mean-field Lifshitz point disorders into a bicontinuous microemulsion (BµE), consisting of large interpenetrating A- and B-rich microdomains. BµE has been previously reported in ternary blends of AB diblock copolymer with its parent A- and B-type homopolymers, but in that system the homopolymers have a tendency to macrophase separate. Our alternative system for creating BµE is free of this macrophase separation.

3.
J Chem Phys ; 158(4): 044904, 2023 Jan 28.
Artigo em Inglês | MEDLINE | ID: mdl-36725530

RESUMO

This study examines the ultraviolet (UV) divergence in field-theoretic simulations (FTSs) of block copolymer melts, which causes an unphysical dependence on the grid resolution, Δ, used to represent the fields. Our FTSs use the discrete Gaussian-chain model and a partial saddle-point approximation to enforce incompressibility. Previous work has demonstrated that the UV divergence can be accounted for by defining an effective interaction parameter, χ=z∞χb+c2χb 2+c3χb 3+⋯, in terms of the bare interaction parameter, χb, used in the FTSs, where the coefficients of the expansion are determined by a Morse calibration. However, the need to use different grid resolutions for different ordered phases generally restricts the calibration to the linear approximation, χ ≈ z∞χb, and prevents the calculation of order-order transitions. Here, we resolve these two issues by showing how the nonlinear calibration can be translated between different grids and how the UV divergence can be removed from free energy calculations. By doing so, we confirm previous observations from particle-based simulations. In particular, we show that the free energy closely matches self-consistent field theory (SCFT) predictions, even in the region where fluctuations disorder the periodic morphologies, and similarly, the periods of the ordered phases match SCFT predictions, provided the SCFT is evaluated with the nonlinear χ.

4.
Philos Trans A Math Phys Eng Sci ; 377(2156): 20190099, 2019 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-31474204

RESUMO

The Hashin-Shtrikman formalism for the static response of a composite is first summarized, in a form applicable to anisotropic media and arbitrary two-point correlations. Its extension to dynamic response is then explained and in particular the extra coupling, for stress with velocity as well as strain, and momentum density with strain as well as velocity that inevitably follows, is highlighted. The more recent dynamical formulations which incorporate extra flexibility through the use of a weighted mean displacement also receive mention. The article is concluded with an explicit analysis of a simple model random composite and some lessons are drawn from the solution, which exposes at least one clear gap in existing knowledge and requires further research. This article is part of the theme issue 'Modelling of dynamic phenomena and localization in structured media (part 1)'.

5.
J Chem Phys ; 150(20): 204906, 2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31153196

RESUMO

The Morse calibration is applied to a lattice model designed for efficient simulations of two-component polymer melts of high molecular weight. The model allows multiple occupancy per site, which results in high invariant polymerization indices, and interactions are limited to monomers within the same site, which enhances the computational speed. The calibration maps the interaction parameter of the lattice model, α, onto the Flory-Huggins χ parameter of the standard Gaussian-chain model, by matching the disordered-state structure function, S(k), of symmetric diblock copolymers to renormalized one-loop predictions. The quantitative accuracy of the calibration is tested by comparing the order-disorder transition of symmetric diblock copolymer melts to the universal prediction obtained from previous simulations. The model is then used to confirm the universality of fluctuation corrections to the critical point of symmetric binary homopolymer blends.

6.
Ann Oncol ; 29(10): 2061-2067, 2018 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-30412224

RESUMO

Background: Gene expression-based profiling of colorectal cancer (CRC) can be used to identify four molecularly homogeneous consensus molecular subtype (CMS) groups with unique biologic features. However, its applicability to colorectal premalignant lesions remains unknown. Patients and methods: We assembled the largest transcriptomic premalignancy dataset by integrating different public and proprietary cohorts of adenomatous and serrated polyps from sporadic (N = 311) and hereditary (N = 78) patient populations and carried out a comprehensive analysis of carcinogenesis pathways using the CMS random forest (RF) classifier. Results: Overall, transcriptomic subtyping of sporadic and hereditary polyps revealed CMS2 and CMS1 subgroups as the predominant molecular subtypes in premalignancy. Pathway enrichment analysis showed that adenomatous polyps from sporadic or hereditary cases (including Lynch syndrome) displayed a CMS2-like phenotype with WNT and MYC activation, whereas hyperplastic and serrated polyps with CMS1-like phenotype harbored prominent immune activation. Rare adenomas with CMS4-like phenotype showed significant enrichment for stromal signatures along with transforming growth factor-ß activation. There was a strong association of CMS1-like polyps with serrated pathology, right-sided anatomic location and BRAF mutations. Conclusions: Based on our observations made in premalignancy, we propose a model of pathway activation associated with CMS classification in colorectal carcinogenesis. Specifically, while adenomatous polyps are largely CMS2, most hyperplastic and serrated polyps are CMS1 and may transition into other CMS groups during evolution into carcinomas. Our findings shed light on the transcriptional landscape of premalignant colonic polyps and may help guide the development of future biomarkers or preventive treatments for CRC.


Assuntos
Adenoma/diagnóstico , Biomarcadores Tumorais/genética , Pólipos do Colo/diagnóstico , Neoplasias Colorretais/classificação , Neoplasias Colorretais/diagnóstico , Mutação , Lesões Pré-Cancerosas/diagnóstico , Adenoma/genética , Pólipos do Colo/genética , Neoplasias Colorretais/genética , Feminino , Seguimentos , Perfilação da Expressão Gênica , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Fenótipo , Lesões Pré-Cancerosas/genética , Valor Preditivo dos Testes , Prognóstico , Transcriptoma
7.
Mol Pharmacol ; 87(2): 251-62, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25468882

RESUMO

Chemokines and chemokine receptors are key modulators in inflammatory diseases and malignancies. Here, we describe the identification and pharmacologic characterization of nanobodies selectively blocking CXCR2, the most promiscuous of all chemokine receptors. Two classes of selective monovalent nanobodies were identified, and detailed epitope mapping showed that these bind to distinct, nonoverlapping epitopes on the CXCR2 receptor. The N-terminal-binding or class 1 monovalent nanobodies possessed potencies in the single-digit nanomolar range but lacked complete efficacy at high agonist concentrations. In contrast, the extracellular loop-binding or class 2 monovalent nanobodies were of lower potency but were more efficacious and competitively inhibited the CXCR2-mediated functional response in both recombinant and neutrophil in vitro assays. In addition to blocking CXCR2 signaling mediated by CXCL1 (growth-related oncogene α) and CXCL8 (interleukin-8), both classes of nanobodies displayed inverse agonist behavior. Bivalent and biparatopic nanobodies were generated, respectively combining nanobodies from the same or different classes via glycine/serine linkers. Interestingly, receptor mutation and competition studies demonstrated that the biparatopic nanobodies were able to avidly bind epitopes within one or across two CXCR2 receptor molecules. Most importantly, the biparatopic nanobodies were superior over their monovalent and bivalent counterparts in terms of potency and efficacy.


Assuntos
Receptores de Interleucina-8B/antagonistas & inibidores , Receptores de Interleucina-8B/metabolismo , Transdução de Sinais/fisiologia , Anticorpos de Domínio Único/metabolismo , Anticorpos de Domínio Único/farmacologia , Sequência de Aminoácidos , Animais , Sítios de Ligação/fisiologia , Células CHO , Camelídeos Americanos , Cricetinae , Cricetulus , Humanos , Dados de Sequência Molecular , Receptores de Interleucina-8B/genética , Transdução de Sinais/efeitos dos fármacos , Anticorpos de Domínio Único/genética
8.
J Hum Nutr Diet ; 28(1): 72-84, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24527991

RESUMO

BACKGROUND: Accurate assessment of energy expenditure and anthropometry in older people is important for targeted nutritional support. The present study aimed to compare measured and calculated resting metabolic rate (m-RMR and c-RMR) and measured, calculated and estimated weight and height in older people aged ≥70 years. METHODS: Participants were healthy older people aged ≥70 years. Indirect calorimetry using a ventilated hood calorimeter was performed for 30 min on fasted participants, and was compared with c-RMR, as calculated using six commonly used equations. Measured, calculated and estimated height and weight were compared. RESULTS: Subjects comprised 14 males and 20 females and mean (SD) m-RMR was 5243 (845) kJ day(-1) [1253 (202) kcal day(-1) ]. The Mifflin St-Jeor equation was the most consistently accurate, with the smallest mean difference between m-RMR and c-RMR of 58 (553) kJ day(-1) [14 (132) kcal day(-1) ] and c-RMR was within 10% of m-RMR in the greatest number of participants (n = 24; 70%). The Schofield equation was among the least accurate in this age group. In older males, self-reported height and weight were accurate, whereas, in females or those unable to self-report height, ulna length was the most accurate alternative to measured height. CONCLUSIONS: Current equations used to calculate RMR in older people have inaccuracies, although the Mifflin St-Jeor equation was most accurate. Future studies should investigate the validity, reliability, cost and practicality of using fat free mass as an item in novel equations to calculate RMR in this age group. Self-reported height and weight in males, and height calculated from ulna length in females, were the most accurate alternatives to measured values in the present study.


Assuntos
Metabolismo Basal , Peso Corporal , Idoso , Idoso de 80 Anos ou mais , Estatura , Índice de Massa Corporal , Calorimetria Indireta/métodos , Metabolismo Energético , Feminino , Humanos , Masculino , Valor Preditivo dos Testes , Reprodutibilidade dos Testes , Autorrelato
9.
Heredity (Edinb) ; 112(5): 562-8, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24398885

RESUMO

Changes in chromosome number and structure are important contributors to adaptation, speciation and macroevolution. In flowering plants, polyploidy and subsequent reductions in chromosome number by fusion are major sources of chromosomal evolution, but chromosome number increase by fission has been relatively unexplored. Here, we use comparative linkage mapping with gene-based markers to reconstruct chromosomal synteny within the model flowering plant genus Mimulus (monkeyflowers). Two sections of the genus with haploid numbers ≥ 14 have been inferred to be relatively recent polyploids because they are phylogenetically nested within numerous taxa with low base numbers (n=8-10). We combined multiple data sets to build integrated genetic maps of the M. guttatus species complex (section Simiolus, n=14) and the M. lewisii group (section Erythranthe; n=8), and then aligned the two integrated maps using >100 shared markers. We observed strong segmental synteny between M. lewisii and M. guttatus maps, with essentially 1-to-1 correspondence across each of 16 chromosomal blocks. Assuming that the M. lewisii (and widespread) base number of 8 is ancestral, reconstruction of 14 M. guttatus chromosomes requires at least eight fission events (likely shared by Simiolus and sister section Paradanthus (n=16)), plus two fusion events. This apparent burst of fission in the yellow monkeyflower lineages raises new questions about mechanisms and consequences of chromosomal fission in plants. Our comparative maps also provide insight into the origins of a chromosome exhibiting centromere-associated female meiotic drive and create a framework for transferring M. guttatus genome resources across the entire genus.


Assuntos
Aneuploidia , Mapeamento Cromossômico/métodos , Cromossomos de Plantas/genética , Mimulus/genética , Poliploidia , Centrômero/genética , Evolução Molecular , Haploidia , Mimulus/classificação , Especificidade da Espécie , Sintenia
10.
J Community Health ; 39(4): 712-8, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-24390740

RESUMO

China is experiencing one of the fastest growing human immunodeficiency virus (HIV) epidemics in the world. Condom use is consistently low among Chinese college students. The purpose of this study was to identify the predictors that determine the intention to use condoms among Chinese college students applying the theory of planned behavior (TPB). A non-probability convenience sample of 433 participants was drawn from three universities in Central, Eastern, and Southwestern China, respectively. An anonymous written questionnaire was self-administered. Data were collected and analyzed descriptively and statistically using Predictive Analytical Software 19.0. Multiple linear regression was performed to identify the predictors among 402 participants with non-missing data. Eighteen percent (78/433) of the participants reported being sexually active in the past 6 months. The percentage of times these individuals reported using condoms during intercourse was 38.19%. Intention to use condoms was statistically significantly (R(2) = 50.4%) predicted by attitudes (ß = 0.213), subjective norms (ß = 0.259), and perceived behavior control (PBC) (ß = 0.332). All predictors were statistically significant at the 0.001 level (p < 0.001). PBC was the strongest predictor of intention to use condoms. The study findings indicated that the TPB could be used as a framework to determine the predictors of intention to use condoms among the Chinese college students. It is recommended that the HIV education programs should increase the intention to use condoms through promoting positive attitudes, subjective norms and PBC of condom use in Chinese college students.


Assuntos
Preservativos/estatística & dados numéricos , Infecções por HIV/prevenção & controle , Conhecimentos, Atitudes e Prática em Saúde , Comportamento Sexual/estatística & dados numéricos , Estudantes/psicologia , Adolescente , Adulto , China/epidemiologia , Feminino , Previsões , Infecções por HIV/epidemiologia , Infecções por HIV/transmissão , Humanos , Intenção , Modelos Lineares , Masculino , Estado Civil , Normas Sociais , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , Universidades , Adulto Jovem
11.
Echo Res Pract ; 11(1): 7, 2024 Feb 29.
Artigo em Inglês | MEDLINE | ID: mdl-38424646

RESUMO

INTRODUCTION: Athletic training can result in electrical and structural changes of the right ventricle that may mimic phenotypical features of arrhythmogenic right ventricular cardiomyopathy (ARVC), such as T-wave inversion and right heart dilatation. An erroneous interpretation may have consequences ranging from false reassurance in an athlete vulnerable to cardiac arrhythmias, to unnecessary sports restriction in a healthy individual. The primary aim of this study was to define normal RV dimension reference ranges for academy adolescent footballers of different ethnicities. Secondary aims include analysis of potential overlap between this adolescent group with ARVC criteria and comparison with normal adult ranges. RESULTS: Electrocardiographic (ECG) and echocardiographic data of 1087 academy male footballers aged between 13 and 18 years old (mean age 16.0 ± 0.5 years), attending mandatory cardiac screening were analysed. Ethnicity was categorised as white (n = 826), black (African/Caribbean; n = 166) and mixed-race (one parent white and one parent black; n = 95). Arrhythmogenic right ventricular cardiomyopathy major criteria for T-wave inversion was seen in 3.3% of the cohort. This was more prevalent in black footballers (12%) when compared to mixed race footballers (6.3%) or white footballers (1%), P < 0.05. Up to 59% of the cohort exceeded adult reference ranges for some of the right ventricular parameters, although values were similar to those seen in adult footballers. There were no differences in right ventricular dimensions between ethnicities. In particular, the right ventricular outflow tract diameter would fulfil major criteria for ARVC dimension in 12% of footballers. Overall, 0.2% of the cohort would fulfil diagnosis for 'definite' arrhythmogenic right ventricular cardiomyopathy and 2.2% would fulfil diagnosis for 'borderline' arrhythmogenic right ventricular cardiomyopathy for RV dimensions and ECG changes. This was seen more frequently in black footballers (9.9%) than mixed race footballers (3.9%) or white footballer (0.6%), P < 0.05. Among athletes meeting definite or borderline arrhythmogenic right ventricular cardiomyopathy criteria, no cardiomyopathy was identified after comprehensive clinical assessment, including with cardiac magnetic resonance imaging, exercise testing, ambulatory electrocardiograms and familial evaluation. CONCLUSION: Right heart sizes in excess of accepted adult ranges occurred in as many as one in two adolescent footballers. Structural adaptations in conjunction with anterior T-wave inversion may raise concern for ARVC, highlighting the need for evaluation in expert settings.

13.
Nat Genet ; 26(1): 16-7, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10973239

RESUMO

Aberrant promoter methylation and the associated loss of gene expression is a common accompaniment of human cancers. Nonetheless, it has been challenging to demonstrate in any given tumour that methylation of a specific gene was causal and not consequent to malignant transformation. In this regard, our attention was drawn to the genesis of gastric cancers in individuals with hereditary diffuse gastric cancer (HDGC). These individuals harbour germline mutations in the gene encoding E-cadherin, CDH1, but their cancers have consistently demonstrated absence of loss of heterozygosity at the CDH1 locus. These findings suggested the hypothesis that CDH1 promoter methylation might function as the 'second genetic hit' in the genesis of these cancers.


Assuntos
Caderinas/genética , Metilação de DNA , Regiões Promotoras Genéticas , Neoplasias Gástricas/genética , Alelos , Caderinas/biossíntese , Membrana Celular/metabolismo , Citoplasma/metabolismo , Saúde da Família , Feminino , Mucosa Gástrica/metabolismo , Mutação em Linhagem Germinativa , Humanos , Imuno-Histoquímica , Perda de Heterozigosidade , Masculino , Repetições de Microssatélites/genética , Polimorfismo Genético , Neoplasias Gástricas/metabolismo
14.
Water Sci Technol ; 67(1): 174-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23128636

RESUMO

The objective of the study was to identify the impact of co-digesting clarifier skimmings on the overall methane generation from the treatment plant and additional energy value of the increased methane production. Biogas production from co-digesting clarifier skimmings and sewage sludge in pilot-scale fed-batch mesophilic anaerobic digesters has been evaluated. The digester was fed with increasing quantities of clarifier skimmings loads: 1.5, 2.6, 3.5 and 7.0 g COD equivalent/(L·d) (COD: chemical oxygen demand). Average volatile solids reduction of 65% was achieved in the scum-fed digester, compared with 51% in the control digester. Average 69% COD removal was achieved at highest scum loading (7 g COD eq/(L·d)) with approximate methane yield of 250 L CH(4)/kg COD fed (4 ft(3)/lb COD fed). The results show that scum as co-substrate in anaerobic digestion systems improves biogas yields while a 29% increase in specific CH(4) yield could be achieved when scum load is 7 g COD eq/(L·d). Based on the pilot-scale study results and full-scale data from South East Water Pollution Control Plant and Northeast Water Pollution Control Plant the expected annual energy recovery would be approximately 1.7 billion BTUs or nearly 0.5 million kWh.


Assuntos
Biocombustíveis , Esgotos/química , Eliminação de Resíduos Líquidos/métodos , Anaerobiose , Metano/química , Metano/metabolismo , Purificação da Água/métodos
15.
Genes Immun ; 13(7): 523-9, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22717702

RESUMO

Following the initial diversity generated by V(D)J recombination, somatic hypermutation is the principal mechanism for producing further antibody repertoire diversity in antigen-experienced B cells. While somatic hypermutation typically results in single-nucleotide substitutions, the infrequent incorporation of genetic insertions and deletions has also been associated with the somatic hypermutation process. We used high-throughput antibody sequencing to determine the sequence of thousands of antibody genes containing somatic hypermutation-associated insertions and deletions (SHA indels), which revealed significant differences between the location of SHA indels and somatic mutations. Further, we identified a cluster of insertions and deletions in the antibody framework 3 region, which corresponds to the hypervariable region 4 (HV4) in T-cell receptors. We propose that this HV4-like region, identified by SHA indel analysis, represents a region of under-appreciated affinity maturation potential. Finally, through the analysis of both location and length distribution of SHA indels, we have determined regions of structural plasticity within the antibody protein.


Assuntos
Mutação INDEL/genética , Hipermutação Somática de Imunoglobulina/genética , Sítios de Ligação , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Imunoglobulina G/química , Imunoglobulina G/genética , Imunoglobulina M/química , Imunoglobulina M/genética , Estrutura Terciária de Proteína , Análise de Sequência de DNA
16.
Genes Immun ; 13(6): 469-73, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22622198

RESUMO

Vast diversity in the antibody repertoire is a key component of the adaptive immune response. This diversity is generated centrally through the assembly of variable, diversity and joining gene segments, and peripherally by somatic hypermutation and class-switch recombination. The peripheral diversification process is thought to only occur in response to antigenic stimulus, producing antigen-selected memory B cells. Surprisingly, analyses of the variable, diversity and joining gene segments have revealed that the naïve and memory subsets are composed of similar proportions of these elements. Lacking, however, is a more detailed study, analyzing the repertoires of naïve and memory subsets at the level of the complete V(D)J recombinant. This report presents a thorough examination of V(D)J recombinants in the human peripheral blood repertoire, revealing surprisingly large repertoire differences between circulating B-cell subsets and providing genetic evidence for global control of repertoire diversity in naïve and memory circulating B-cell subsets.


Assuntos
Diversidade de Anticorpos/genética , Memória Imunológica/genética , Adulto , Subpopulações de Linfócitos B/imunologia , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , Imunoglobulina G/genética , Imunoglobulina M/genética , Recombinação V(D)J
18.
Br J Cancer ; 104(1): 51-9, 2011 Jan 04.
Artigo em Inglês | MEDLINE | ID: mdl-21081932

RESUMO

BACKGROUND: This study investigated the relationship of obesity, insulin resistance, inflammation and angiogenesis with cancer progression and survival in a colorectal cancer cohort. METHODS: Clinical and pathological data, along with anthropometric and follow-up data, were collected from 344 consecutive colorectal cancer patients. Serum samples at diagnosis were analysed by immunoassay for adiponectin, C-reactive protein (CRP), vascular endothelial growth factor-A (VEGF-A), angiopoietin-2 (Ang-2), insulin-like growth factor-1 (IGF-1), insulin and C-peptide. RESULTS: Serum Ang-2 and VEGF-A levels increased with tumour T stage (P=0.007 and P=0.025, respectively) and N stage (P=0.02 and P=0.03, respectively), and correlated with CRP levels (r=0.43, P<0.001 and r=0.23, P<0.001, respectively). Angiopoietin-2 correlated with C-peptide (r=0.14, P=0.007) and VEGF-A with IGF-1 in males (r=0.25, P=0.001). Kaplan-Meier analysis showed that patients with high serum levels of CRP and Ang-2 had significantly reduced survival (both P≤0.001). After adjusting for tumour stage and age, Ang-2 remained a significant predictor of survival. The CRP levels were inversely associated with survival in American Joint Committee on Cancer stage II patients (P=0.038), suggesting that CRP could be used to support treatment decisions in this subgroup. Serum markers and anthropometric measures of obesity correlated with each other, but not with survival. CONCLUSION: Our study supports the concept that obesity-related inflammation, rather than obesity itself, is associated with colorectal cancer progression and survival. The study confirms serum Ang-2 as a predictive marker for outcome of colorectal cancer.


Assuntos
Adenocarcinoma/mortalidade , Angiopoietina-2/sangue , Biomarcadores/metabolismo , Proteína C-Reativa/metabolismo , Neoplasias Colorretais/mortalidade , Resistência à Insulina , Obesidade/sangue , Adenocarcinoma/sangue , Adenocarcinoma/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Peptídeo C/sangue , Neoplasias Colorretais/sangue , Neoplasias Colorretais/patologia , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Insulina/sangue , Fator de Crescimento Insulin-Like I/metabolismo , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Taxa de Sobrevida , Resultado do Tratamento , Fator A de Crescimento do Endotélio Vascular/sangue
19.
Anesthesiology ; 114(2): 374-9, 2011 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-21245734

RESUMO

BACKGROUND: Salvinorin A is a nonopioid, selective κ opioid-receptor agonist. Despite its high potential for clinical application, its pharmacologic profile is not well known. In the current study, we hypothesized that salvinorin A dilates pial arteries via activation of nitric oxide synthase, adenosine triphosphate-sensitive potassium channels, and opioid receptors. METHODS: Cerebral artery diameters and cyclic guanosine monophosphate in cortical periarachnoid cerebrospinal fluid were monitored in piglets equipped with closed cranial windows. Observation took place before and after salvinorin A administration in the presence or absence of an opioid antagonist (naloxone), a κ opioid receptor-selective antagonist (norbinaltorphimine), nitric oxide synthase inhibitors (N(G)-nitro-L-arginine and 7-nitroindazole), a dopamine receptor D2 antagonist (sulpiride), and adenosine triphosphate-sensitive potassium and Ca-activated K channel antagonists (glibenclamide and iberiotoxin). The effects of salvinorin A on the constricted cerebral artery induced by hypocarbia and endothelin were investigated. Data were analyzed by repeated measures ANOVA (n = 5) with statistical significance set at a P value of less than 0.05. RESULTS: Salvinorin A induced immediate but brief vasodilatation that was sustained for 30 min via continual administration every 2 min. Vasodilatation and the associated cyclic guanosine monophosphate elevation in cerebrospinal fluid were abolished by preadministration N(G)-nitro-L-arginine, but not 7-nitroindazole. Although naloxone, norbinaltorphimine, and glibenclamide abolished salvinorin A-induced cerebrovasodilation, this response was unchanged by iberiotoxin and sulpiride. Hypocarbia and endothelin-constricted pial arteries responded similarly to salvinorin A, to the extent observed under resting tone. CONCLUSIONS: Salvinorin A dilates cerebral arteries via activation of nitric oxide synthase, adenosine triphosphate-sensitive potassium channel, and the κ opioid receptor.


Assuntos
Artérias Cerebrais/efeitos dos fármacos , Diterpenos Clerodânicos/farmacologia , Óxido Nítrico Sintase/metabolismo , Canais de Potássio/metabolismo , Receptores Opioides kappa/metabolismo , Vasodilatação/efeitos dos fármacos , Trifosfato de Adenosina/metabolismo , Animais , Artérias Cerebrais/metabolismo , Feminino , Masculino , Óxido Nítrico Sintase/efeitos dos fármacos , Canais de Potássio/efeitos dos fármacos , Receptores Opioides kappa/efeitos dos fármacos , Suínos , Vasodilatadores/farmacologia
20.
J Dent Res ; 100(2): 163-170, 2021 02.
Artigo em Inglês | MEDLINE | ID: mdl-33030089

RESUMO

Propranolol is a nonselective ß-adrenergic receptor antagonist that is efficacious in reducing facial pain. There is evidence that its analgesic efficacy might be modified by variants of the catechol-O-methyltransferase (COMT) gene. We tested the hypothesis in a subset of 143 non-Hispanic Whites from a randomized controlled trial of patients with painful temporomandibular disorder (TMD). Patients were genotyped for rs4680, a single nucleotide polymorphism of COMT, and randomly allocated to either propranolol 60 mg twice daily or placebo. During the 9-wk follow-up period, patients recorded daily ratings of facial pain intensity and duration; the product was computed as an index of facial pain. Postbaseline change in the index at week 9 (the primary endpoint) was analyzed as a continuous variable and dichotomized at thresholds of ≥30% and ≥50% reduction. Mixed models for repeated measures tested for the genotype × treatment group interaction and estimated means, odds ratios (ORs), and 95% confidence limits (95% CLs) of efficacy within COMT genotypes assuming an additive genetic model. In secondary analysis, the cumulative response curves were plotted for dichotomized reductions ranging from ≥20% to ≥70%, and genotype differences in area under the curve percentages (%AUC) were calculated to signify efficacy. Mean index reduction did not differ significantly (P = 0.277) according to genotype, whereas the dichotomized ≥30% reduction revealed greater efficacy among G:G homozygotes (OR = 10.9, 95%CL = 2.4, 50.7) than among A:A homozygotes (OR = 0.8, 95%CL = 0.2, 3.2) with statistically significant interaction (P = 0.035). Cumulative response curves confirmed greater (P = 0.003) efficacy for G:G homozygotes (%AUC difference = 43.7, 95%CL = 15.4, 72.1) than for A:A homozygotes (%AUC difference = 6.5, 95%CL = -30.2, 43.2). The observed antagonistic effect of the A allele on propranolol's efficacy was opposite the synergistic effect hypothesized a priori. This unexpected result highlights the need for better knowledge of COMT's role in pain pathogenesis if the gene is to be used for precision-medicine treatment of TMD (ClinicalTrials.gov NCT02437383).


Assuntos
Catecol O-Metiltransferase , Transtornos da Articulação Temporomandibular , Catecol O-Metiltransferase/genética , Dor Facial/tratamento farmacológico , Dor Facial/genética , Genótipo , Humanos , Polimorfismo de Nucleotídeo Único/genética , Propranolol/uso terapêutico , Transtornos da Articulação Temporomandibular/tratamento farmacológico , Transtornos da Articulação Temporomandibular/genética
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