Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 59
Filtrar
1.
Appl Environ Microbiol ; 87(21): e0029921, 2021 10 14.
Artigo em Inglês | MEDLINE | ID: mdl-34647819

RESUMO

Escherichia coli is a Gram-negative bacterium that is a workhorse for biotechnology. The organism naturally performs a mixed-acid fermentation under anaerobic conditions where it synthesizes formate hydrogenlyase (FHL-1). The physiological role of the enzyme is the disproportionation of formate into H2 and CO2. However, the enzyme has been observed to catalyze hydrogenation of CO2 given the correct conditions, and so it has possibilities in bio-based carbon capture and storage if it can be harnessed as a hydrogen-dependent CO2 reductase (HDCR). In this study, an E. coli host strain was engineered for the continuous production of formic acid from H2 and CO2 during bacterial growth in a pressurized batch bioreactor. Incorporation of tungsten, in place of molybdenum, in FHL-1 helped to impose a degree of catalytic bias on the enzyme. This work demonstrates that it is possible to couple cell growth to simultaneous, unidirectional formate production from carbon dioxide and develops a process for growth under pressurized gases. IMPORTANCE Greenhouse gas emissions, including waste carbon dioxide, are contributing to global climate change. A basket of solutions is needed to steadily reduce emissions, and one approach is bio-based carbon capture and storage. Here, we present our latest work on harnessing a novel biological solution for carbon capture. The Escherichia coli formate hydrogenlyase (FHL-1) was engineered to be constitutively expressed. Anaerobic growth under pressurized H2 and CO2 gases was established, and aqueous formic acid was produced as a result. Incorporation of tungsten into the enzyme in place of molybdenum proved useful in poising FHL-1 as a hydrogen-dependent CO2 reductase (HDCR).


Assuntos
Escherichia coli , Formiato Desidrogenases , Formiatos/metabolismo , Reatores Biológicos , Dióxido de Carbono , Deutério , Escherichia coli/genética , Formiato Desidrogenases/genética , Gases , Molibdênio , Tungstênio
2.
Am J Transplant ; 17(3): 813-818, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27647675

RESUMO

We report a lung transplant recipient who developed BK polyoma virus (BKPyV) DNAemia and BKPyV nephropathy. With careful management of his immunosuppression he achieved significant reduction in BKPyV DNAemia and stabilization of his kidney function. He later developed a high-grade bladder cancer and shortly thereafter he experienced a major upsurge in the level of BKPyV DNAemia that coincided with the discovery of hepatic metastasis. Retrospectively, the bladder cancer and the hepatic secondary tumor stained uniformly for SV40 large T antigen, and the BKPyV DNA sequences identified in plasma corresponded to BKPyV DNA within hepatic tissue, indicating that the spike in BKPyV load was likely derived from the circulating tumor cells or cell-free tumor DNA following metastases of a BKV-associated cancer. To the best of our knowledge, this is the first description of a surge in BKPyV load in a patient with controlled BKPyVN that heralded the appearance of a metastatic urothelial malignancy. This report discusses the literature on BKPyV-associated malignancies and the possibility that unexplained increases in BKPyV DNAemia may be a biomarker for metastatic BKPyV-related urothelial cancer.


Assuntos
Vírus BK/patogenicidade , Rejeição de Enxerto/etiologia , Transplante de Pulmão/efeitos adversos , Infecções por Polyomavirus/complicações , Doença Pulmonar Obstrutiva Crônica/cirurgia , Infecções Tumorais por Vírus/complicações , Neoplasias da Bexiga Urinária/etiologia , Idoso , Rejeição de Enxerto/patologia , Sobrevivência de Enxerto , Humanos , Terapia de Imunossupressão , Masculino , Infecções por Polyomavirus/virologia , Prognóstico , Doença Pulmonar Obstrutiva Crônica/virologia , Fatores de Risco , Transplantados , Infecções Tumorais por Vírus/virologia , Neoplasias da Bexiga Urinária/patologia , Carga Viral , Replicação Viral
3.
Am J Transplant ; 17(2): 401-410, 2017 02.
Artigo em Inglês | MEDLINE | ID: mdl-27434427

RESUMO

Related living kidney donors (LKDs) are at higher risk of end-stage renal disease (ESRD) compared with unrelated LKDs. A genetic panel was developed to screen 115 genes associated with renal diseases. We used this panel to screen six negative controls, four transplant candidates with presumed genetic renal disease and six related LKDs. After removing common variants, pathogenicity was predicted using six algorithms to score genetic variants based on conservation and function. All variants were evaluated in the context of patient phenotype and clinical data. We identified causal variants in three of the four transplant candidates. Two patients with a family history of autosomal dominant polycystic kidney disease segregated variants in PKD1. These findings excluded genetic risk in three of four relatives accepted as potential LKDs. A third patient with an atypical history for Alport syndrome had a splice site mutation in COL4A5. This pathogenic variant was excluded in a sibling accepted as an LKD. In another patient with a strong family history of ESRD, a negative genetic screen combined with negative comparative genomic hybridization in the recipient facilitated counseling of the related donor. This genetic renal disease panel will allow rapid, efficient and cost-effective evaluation of related LKDs.


Assuntos
Marcadores Genéticos , Testes Genéticos/métodos , Glomerulosclerose Segmentar e Focal/diagnóstico , Doadores Vivos , Programas de Rastreamento , Rim Policístico Autossômico Dominante/diagnóstico , Insuficiência Renal Crônica/diagnóstico , Adulto , Feminino , Glomerulosclerose Segmentar e Focal/genética , Sequenciamento de Nucleotídeos em Larga Escala/métodos , Humanos , Transplante de Rim , Masculino , Pessoa de Meia-Idade , Mutação , Linhagem , Rim Policístico Autossômico Dominante/genética , Insuficiência Renal Crônica/genética , Adulto Jovem
4.
Transpl Infect Dis ; 17(1): 66-72, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25582442

RESUMO

BACKGROUND: BK viral nephropathy is an increasingly recognized cause of early allograft loss in kidney transplantation. This study aimed to determine whether a sirolimus (Sir)-based calcineurin inhibitor-sparing regimen is associated with a lower incidence of BK viremia. METHODS: This was a single-center retrospective study. Patients were either on tacrolimus (Tac)-based or on Sir-based immunosuppression. Conversion from Tac to Sir occurred at or after 3 months if patients were <62 years of age, had calculated panel reactive antibodies of <20%, and did not have acute early rejection. RESULTS: Incidence of clinically significant BK viremia was 17.9% in the Tac group and 4.3% in the Sir group. Cox regression multivariate analysis showed that male gender (hazard ratio [HR] = 2.87) and switch to Sir (HR = 0.333) impacted the incidence of BK viremia. Kaplan-Meier analysis showed a higher BK-free survival in the Sir group. A trend was seen toward shorter time to resolution of BK viremia and lower peak viremia in the Sir group. Patients on Sir had a higher estimated glomerular filtration rate at each time point; 34% of patients discontinued Sir because of side effects. CONCLUSION: Conversion to Sir-based maintenance immunosuppression at or about 3 months after kidney transplantation correlates with a lower incidence of BK viremia.


Assuntos
Vírus BK/efeitos dos fármacos , Imunossupressores/uso terapêutico , Transplante de Rim/efeitos adversos , Infecções por Polyomavirus/prevenção & controle , Sirolimo/uso terapêutico , Tacrolimo/uso terapêutico , Infecções Tumorais por Vírus/prevenção & controle , Adulto , Idoso , Feminino , Humanos , Terapia de Imunossupressão , Incidência , Masculino , Pessoa de Meia-Idade , Infecções por Polyomavirus/tratamento farmacológico , Estudos Retrospectivos , Transplantados , Infecções Tumorais por Vírus/tratamento farmacológico , Viremia
5.
NMR Biomed ; 25(4): 620-31, 2012 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22447732

RESUMO

The purpose of the present study was to use magnetic resonance imaging (MRI) as a tool for monitoring transplant-mediated repair of the adult rat visual pathway. We labelled rat olfactory ensheathing cells (OECs) using micron-sized particles of iron oxide (MPIO) and transplanted them by: i) intravitreal injection (ivit) and ii) intra-optic nerve (ON) injection (iON) in adult rats with ON crush (ONC) injury. We applied T(2)-weighted MRI and manganese-enhanced MRI (MEMRI) to visualise transplanted cells and ON axons at specific times after injury and cell engraftment. Our findings demonstrate that ivit MPIO-labelled OECs are unequivocally detected by T(2)-weighted MRI in vivo and that the T(1)-weighted 3D FLASH sequence applied for MEMRI facilitates simultaneous visualisation of Mn(2+-) enhanced regenerating retinal ganglion cell (RGC) axons and MPIO-labelled OEC grafts. Furthermore, analysis of MRI data and ultrastructural findings supports the hypothesis that iON OEC transplants mediate regeneration and remyelination of RGC axons post injury.


Assuntos
Axônios/patologia , Imageamento por Ressonância Magnética/métodos , Regeneração Nervosa , Bulbo Olfatório/patologia , Bulbo Olfatório/transplante , Traumatismos do Nervo Óptico/patologia , Traumatismos do Nervo Óptico/cirurgia , Animais , Rastreamento de Células/métodos , Feminino , Traumatismos do Nervo Óptico/fisiopatologia , Ratos , Ratos Endogâmicos F344 , Resultado do Tratamento
6.
Mol Pain ; 7: 76, 2011 Sep 29.
Artigo em Inglês | MEDLINE | ID: mdl-21958458

RESUMO

BACKGROUND: The opioid peptide dynorphin is expressed by certain neurons in the superficial dorsal horn of the spinal cord, but little is known about the types of cell that contain dynorphin. In this study, we have used an antibody against the dynorphin precursor preprodynorphin (PPD), to reveal the cell bodies and axons of dynorphin-expressing neurons in the rat spinal cord. The main aims were to estimate the proportion of neurons in each of laminae I-III that express dynorphin and to determine whether they are excitatory or inhibitory neurons. RESULTS: PPD-immunoreactive cells were concentrated in lamina I and the outer part of lamina II (IIo), where they constituted 17% and 8%, respectively, of all neurons. Around half of those in lamina I and 80% of those in lamina II were GABA-immunoreactive. We have previously identified four non-overlapping neurochemical populations of inhibitory interneurons in this region, defined by the presence of neuropeptide Y, galanin, parvalbumin and neuronal nitric oxide synthase. PPD co-localised extensively with galanin in both cell bodies and axons, but rarely or not at all with the other three markers. PPD was present in around 4% of GABAergic boutons (identified by the presence of the vesicular GABA transporter) in laminae I-II. CONCLUSIONS: These results show that most dynorphin-expressing cells in the superficial dorsal horn are inhibitory interneurons, and that they largely correspond to the population that is defined by the presence of galanin. We estimate that dynorphin is present in ~32% of inhibitory interneurons in lamina I and 11% of those in lamina II. Since the proportion of GABAergic boutons that contain PPD in these laminae was considerably lower than this, our findings suggest that these neurons may generate relatively small axonal arborisations.


Assuntos
Dinorfinas/metabolismo , Neurônios GABAérgicos/metabolismo , Animais , Galanina/metabolismo , Interneurônios/metabolismo , Masculino , Células do Corno Posterior/metabolismo , Precursores de Proteínas/metabolismo , Ratos , Ratos Wistar , Medula Espinal/citologia , Medula Espinal/metabolismo
7.
Photoacoustics ; 17: 100153, 2020 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-32154103

RESUMO

To date, the vast majority of intra-vital neuroimaging systems applied in clinic and diagnostics is stationary with a rigid scanning element, requires specialized facilities and costly infrastructure. Here, we describe a simple yet radical approach for optoacoustic (photoacoustic) brain imaging in vivo using a light-weight handheld probe. It enables multispectral video-rate visualization of hemoglobin gradient changes in the cortex of adult rats induced by whisker and forelimb sensory inputs, as well as by optogenetic stimulation of intra-cortical connections. With superb penetration and molecular specificity, described here in method holds major promises for future applications in research, routine ambulatory neuroimaging, and diagnostics.

8.
Am J Transplant ; 9(7): 1685-9, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19519817

RESUMO

Acute phosphate nephropathy following a large phosphate load is a potentially irreversible cause of kidney failure. Here, we report on the unfavorable graft outcome in two recipients of deceased donor kidneys from a donor who had evolving acute phosphate nephropathy at the time of organ procurement. The donor, a 30-year-old with cerebral infarction, developed hypophosphatemia associated with diabetic ketoacidosis and was treated with intravenous phosphate resulting in a rise in serum phosphorus from 0.9 to 6.1 mg/dL. Renal biopsies performed on both recipients for suboptimal kidney function revealed acute tubular injury and diffuse calcium phosphate microcrystal deposits in the tubules, which were persistent in subsequent biopsies. A retrospective review of preimplantation biopsies performed on both kidneys revealed similar findings. Even though initial renal histology in both recipients was negative for BK virus, they eventually developed BK viremia with nephropathy but both had a substantive virologic response with therapy. The first patient returned to dialysis at 6 months, while the other has an estimated glomerular filtration rate of 12 mL/min, 17 months following his transplant. We conclude that unrecognized acute phosphate nephropathy in a deceased donor contributed substantially to poor graft outcome in the two recipients.


Assuntos
Hiperfosfatemia/induzido quimicamente , Nefropatias/induzido quimicamente , Transplante de Rim/efeitos adversos , Fosfatos/efeitos adversos , Doadores de Tecidos , Doença Aguda , Adulto , Idoso , Fosfatos de Cálcio/metabolismo , Função Retardada do Enxerto/etiologia , Função Retardada do Enxerto/patologia , Função Retardada do Enxerto/fisiopatologia , Feminino , Humanos , Hiperfosfatemia/complicações , Nefropatias/patologia , Transplante de Rim/patologia , Transplante de Rim/fisiologia , Túbulos Renais/metabolismo , Túbulos Renais/patologia , Masculino , Pessoa de Meia-Idade , Fósforo/sangue
9.
Clin Exp Allergy ; 39(10): 1597-610, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19545261

RESUMO

BACKGROUND: Inhaled house dust mite (HDM) results in T-helper (TH) 2 type pathology in unsensitized mice, in conjunction with airway hyperreactivity and airway remodelling. However, the pulmonary cytokine and chemokine profile has not been reported. METHODS: We have performed a time course analysis of the characteristic molecular mediators and cellular influx in the bronchoalveolar lavage (BAL) and lung in order to define the pulmonary inflammatory response to inhaled HDM extract. Mice were exposed five times a week to soluble HDM extract for 3 weeks. Lung function was measured in groups of mice at intervals following the final HDM challenge. Recruitment of inflammatory cells and inflammatory mediator production was then assessed in BAL and lungs of individual mice. RESULTS: We found that Th2 cytokines were significantly increased in BAL and lung after HDM challenge from as early as 2 h post-final challenge. The levels of cytokines and chemokines correlated with the influx of eosinophils and Th2 cells to the different compartments of the lung. However, the production of key cytokines such as IL-4, IL-5 and IL-13 preceded the increase in airways resistance. CONCLUSION: Inhaled HDM challenge induces a classical Th2 inflammatory mediator profile in the BAL and lung. These data are important for studies determining the efficacy of novel treatment strategies for allergic airways disease.


Assuntos
Antígenos de Dermatophagoides/imunologia , Citocinas/imunologia , Mediadores da Inflamação/imunologia , Pulmão/imunologia , Pyroglyphidae/imunologia , Células Th2/imunologia , Animais , Antígenos de Dermatophagoides/farmacologia , Citocinas/metabolismo , Feminino , Inflamação , Mediadores da Inflamação/metabolismo , Pulmão/metabolismo , Camundongos , Células Th2/metabolismo , Fatores de Tempo
10.
Cell Death Differ ; 14(12): 2085-94, 2007 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-17932503

RESUMO

Androgen receptor (AR) is a critical factor in the development and progression of prostate cancer. We and others recently demonstrated that eliminating AR expression leads to apoptotic cell death in AR-positive prostate cancer cells. To understand the mechanisms of AR-dependent survival, we performed a genome-wide search for AR-regulated survival genes. We found that serum/glucocorticoid-induced protein kinase-1 (SGK-1) mRNA levels were significantly upregulated after androgen stimulation, which was confirmed to be AR dependent. Promoter analysis revealed that the AR interacted with the proximal and distal regions of the sgk1 promoter, leading to sgk-1 promoter activation after androgen stimulation. Functional assays demonstrated that SGK-1 was indispensable for the protective effect of androgens on cell death induced by serum starvation. SGK-1 overexpression not only rescued cells from AR small-interfering RNA (siRNA)-induced apoptosis, but also enhanced AR transactivation, even in the absence of androgen. Additionally, SGK-1 siRNA reduced AR transactivation, indicating a positive feedback effect of SGK-1 expression on AR-mediated gene expression and cellular survival. Taken together, our data suggest that SGK-1 is an androgen-regulated gene that plays a pivotal role in AR-dependent survival and gene expression.


Assuntos
Proteínas Imediatamente Precoces/metabolismo , Proteínas Serina-Treonina Quinases/metabolismo , Receptores Androgênicos/metabolismo , Androgênios/farmacologia , Linhagem Celular Tumoral , Sobrevivência Celular , Ativação Enzimática/efeitos dos fármacos , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Humanos , Proteínas Imediatamente Precoces/genética , Modelos Biológicos , Análise de Sequência com Séries de Oligonucleotídeos , Regiões Promotoras Genéticas , Proteínas Serina-Treonina Quinases/genética , RNA Interferente Pequeno/metabolismo , Ativação Transcricional/efeitos dos fármacos
11.
BMC Res Notes ; 10(1): 93, 2017 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-28193287

RESUMO

BACKGROUND: Stress levels and psychological morbidity are high among undergraduate medical students (UGs), but there is a lack of research into the psychological health of UK graduate-entry medical students (GEs). GEs are likely to experience different (perhaps more severe) stressors and to cope with stress differently. We compared stress levels, psychological morbidity and coping styles in GE versus UG medical students studying at the same UK medical school in the same academic year. A cross-sectional self-rated questionnaire study of all first- and second-year GE and UG medical students was conducted. Perceived stress, psychological morbidity, recent adverse life events, stress-related personality traits and coping styles were assessed using standard questionnaires. RESULTS: 75% GEs and 46% UGs responded to the questionnaire. Both groups reported equally high levels, and similar profiles of, perceived stress and psychological morbidity. Levels of recent adverse life events and stress-related personality traits were similar in both groups. Compared to UGs, GEs were more likely to use active coping (p = 0.02) and positive reframing (p = 0.03), but were also more likely to use substances (alcohol and other drugs; p < 0.001) to help them cope. Unlike UGs, second-year GEs showed less perceived stress (p = 0.007) and psychological morbidity (p = 0.006) than first-year GEs although levels of both were still high. CONCLUSION: Our results show that both GE students and their younger UG counterparts on a traditional medical course have similar profiles of stress symptoms. They do, however, cope with stress differently. GEs are more likely to use active problem-focused coping strategies, and they are also more likely to cope by using substances (alcohol or other drugs). GE students need interventions to prevent maladaptive coping styles and encourage adaptive coping that are tailored to their needs. Such interventions should be targeted at first-year students. It is vital that these students develop positive coping skills to benefit them during training and in a future career that is inherently stressful.


Assuntos
Adaptação Psicológica/fisiologia , Educação de Pós-Graduação em Medicina/estatística & dados numéricos , Educação de Graduação em Medicina/estatística & dados numéricos , Estresse Psicológico/psicologia , Estudantes de Medicina/psicologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Estresse Psicológico/epidemiologia , Estudantes de Medicina/estatística & dados numéricos , Reino Unido/epidemiologia , Adulto Jovem
13.
Transplant Proc ; 48(1): 255-8, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26915878

RESUMO

Light Chain Deposition Disease (LCDD) is a monoclonal immunoglobulin deposition disease that commonly affects kidneys among other organs. It leads to end-stage renal disease and has a high disease recurrence rate after kidney transplantation. This has led some authors to advise against transplantation in view of the poor long-term graft and patient outcomes. Recent literature has shown improvement/stabilization of native kidney disease following the use of bortezomib. We present 2 cases of LCDD after transplantation with graft dysfunction. They were both treated with different therapeutic agents to induce remission. Because sustained remission was not achieved they received bortezomib following which they have experienced a prolonged period of stable renal function with no clinically detectable disease. These unique cases highlight the possibility to achieve long-term stable graft function and disease remission after renal transplantation for LCDD.


Assuntos
Cadeias Leves de Imunoglobulina , Falência Renal Crônica/complicações , Transplante de Rim , Paraproteinemias/etiologia , Complicações Pós-Operatórias , Adulto , Antineoplásicos/uso terapêutico , Bortezomib/uso terapêutico , Sobrevivência de Enxerto , Humanos , Rim/fisiopatologia , Rim/cirurgia , Falência Renal Crônica/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Paraproteinemias/tratamento farmacológico , Indução de Remissão/métodos , Transplantes/fisiopatologia
14.
J Invest Dermatol ; 136(4): 753-761, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26743603

RESUMO

Visualizing anatomical and functional features of hair follicle development in their unperturbed environment is key in understanding complex mechanisms of hair pathophysiology and in discovery of novel therapies. Of particular interest is in vivo visualization of the intact pilosebaceous unit, vascularization of the hair bulb, and evaluation of the hair cycle, particularly in humans. Furthermore, noninvasive visualization of the sebaceous glands could offer crucial insight into the pathophysiology of follicle-related diseases and dry or seborrheic skin, in particular by combining in vivo imaging with other phenotyping, genotyping, and microbial analyses. The available imaging techniques are limited in their ability for deep tissue in vivo imaging of hair follicles and lipid-rich sebaceous glands in their entirety without biopsy. We developed a noninvasive, painless, and risk-free volumetric multispectral optoacoustic tomography method for deep tissue three-dimensional visualization of whole hair follicles and surrounding structures with high spatial resolution below 80 µm. Herein we demonstrate on-the-fly assessment of key morphometric parameters of follicles and lipid content as well as functional oxygenation parameters of the associated capillary bed. The ease of handheld operation and versatility of the newly developed approach poise it as an indispensable tool for early diagnosis of disorders of the pilosebaceous unit and surrounding structures, and for monitoring the efficacy of cosmetic and therapeutic interventions.


Assuntos
Folículo Piloso/fisiologia , Glândulas Sebáceas/fisiologia , Tomografia Óptica/métodos , Acústica , Adulto , Genótipo , Hemoglobinas/química , Humanos , Imageamento Tridimensional/métodos , Lipídeos/química , Masculino , Melaninas/química , Pessoa de Meia-Idade , Fenótipo , Processamento de Sinais Assistido por Computador
15.
Mol Endocrinol ; 15(4): 575-88, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11266509

RESUMO

Aldosterone stimulates Na(+) reabsorption in the collecting ducts by increasing the activity of the epithelial sodium channel, ENaC. Systemic administration of aldosterone increases alpha ENaC mRNA expression in mammalian kidney, suggesting that the alpha ENaC gene is a target for aldosterone action in the distal nephron. To determine whether aldosterone increases alpha ENaC gene transcription, a portion of the alpha ENaC 5'- flanking region coupled to luciferase was transfected into MDCK-C7 cells, a collecting duct cell line with aldosterone-stimulated Na(+) transport. Both dexamethasone and aldosterone stimulated alpha ENaC-coupled reporter gene activity via the glucocorticoid receptor (GR), and this response correlated with the effect of these hormones on endogenous alpha ENaC expression. The aldosterone-stimulated alpha ENaC expression was blocked by actinomycin D, and aldosterone had no effect on alpha ENaC mRNA decay, confirming a transcriptional effect. In HT-29 cells, a GR/mineralocorticoid receptor (MR)-deficient colonic cell line with constitutive alpha ENaC expression, cotransfection with GR or MR restored aldosterone-stimulated alpha ENaC gene transcription, although aldosterone had a functional preference for MR. Analysis of deletion constructs confirmed that a single imperfect glucocorticoid response element (GRE) is necessary and sufficient to confer the aldosterone responsiveness to the alpha ENaC gene promoter in MDCK-C7 and HT-29 cells. These results confirm that alpha ENaC is an aldosterone-induced transcript in the collecting duct and delineates the molecular mechanism for this effect.


Assuntos
Aldosterona/metabolismo , Túbulos Renais Coletores/fisiologia , Sequências Reguladoras de Ácido Nucleico , Canais de Sódio/genética , Transcrição Gênica , Aldosterona/farmacologia , Animais , Sequência de Bases , Sítios de Ligação , Células Cultivadas , Clonagem Molecular , Dactinomicina/farmacologia , Dexametasona/farmacologia , Cães , Canais Epiteliais de Sódio , Gonanos/farmacologia , Humanos , Túbulos Renais Coletores/citologia , Camundongos , Mifepristona/farmacologia , Dados de Sequência Molecular , Regiões Promotoras Genéticas , Subunidades Proteicas , Receptores de Glucocorticoides/antagonistas & inibidores , Receptores de Glucocorticoides/efeitos dos fármacos , Receptores de Glucocorticoides/metabolismo , Receptores de Mineralocorticoides/efeitos dos fármacos , Receptores de Mineralocorticoides/metabolismo , Elementos de Resposta , Canais de Sódio/metabolismo
16.
Placenta ; 36(4): 446-53, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25638730

RESUMO

INTRODUCTION: Elevated circulating soluble FLT1 (sFLT1) levels seen in preeclampsia may play a role in its development. Aspirin is recommended for prevention of preeclampsia. We hypothesized that aspirin may inhibit the production of sFlt1. METHODS: Placentas from women with and without preeclampsia were collected. Primary cytotrophoblasts (CTBs) were cultured from normal placentas and treated with aspirin, sc-560, a COX1 inhibitor or celecoxib, a COX2 inhibitor. The expression of sFLT1, FLT1, COX1 and COX2 was studied. The effect of aspirin on sFlt1 expression was also studied in HEK293 cells and in HTR-8/SVNeo cells. RESULTS: The expression of sFLT1 was increased in preeclamptic placentas compared to control placentas and the expression and release of sFLT1 increased in CTBs exposed to 2% O2 compared to controls. Aspirin at 3 and 12 mM concentration reduced the expression and release of sFLT1 in CTBs. Aspirin also inhibited sFlt1 expression from HTR-8/SVNeo and HEK293 cells. Sc-560, but not celecoxib, reduced sFLT1 expression and release from CTBs. Aspirin and sc-560 also reduced hypoxia-induced FLT1 mRNA expression and inhibited COX1 mRNA in CTBs. DISCUSSION: This study confirms that sFLT1 expression is increased in preeclamptic placentas and in CTBs exposed to hypoxia. Aspirin inhibits the production sFLT1 in CTBs and in HTR-8/SVNeo. Sc-560 recapitulated the effects of aspirin on sFLT1 expression and release in CTBs suggesting that the aspirin effect may be mediated via inhibition of COX1. The study increases our understanding of the mechanisms regulating sFlt1 expression and provides a plausible explanation for the effect of aspirin to prevent preeclampsia.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Aspirina/farmacologia , Ciclo-Oxigenase 1/metabolismo , Inibidores de Ciclo-Oxigenase/farmacologia , Pré-Eclâmpsia/tratamento farmacológico , Trofoblastos/efeitos dos fármacos , Receptor 1 de Fatores de Crescimento do Endotélio Vascular/metabolismo , Adulto , Animais , Células COS , Celecoxib/farmacologia , Hipóxia Celular , Linhagem Celular , Células Cultivadas , Chlorocebus aethiops , Ciclo-Oxigenase 1/química , Feminino , Regulação da Expressão Gênica no Desenvolvimento/efeitos dos fármacos , Humanos , Pré-Eclâmpsia/metabolismo , Pré-Eclâmpsia/patologia , Gravidez , Pirazóis/farmacologia , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Solubilidade , Trofoblastos/metabolismo , Trofoblastos/patologia , Receptor 1 de Fatores de Crescimento do Endotélio Vascular/química , Receptor 1 de Fatores de Crescimento do Endotélio Vascular/genética
17.
Int J Antimicrob Agents ; 46(2): 150-6, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25979640

RESUMO

This study aimed to forecast the incidence rate of carbapenem resistance and to assess the impact of an antimicrobial stewardship intervention using routine antimicrobial consumption surveillance data. Following an outbreak of OXA-48-producing Klebsiella pneumoniae (January 2008-April 2010) in a renal cohort in London, a forecasting ARIMA model was derived using meropenem consumption data [defined daily dose per 100 occupied bed-days (DDD/100OBD)] from 2005-2014 as a predictor of the incidence rate of OXA-48-producing organisms (number of new cases/year/100,000OBD). Interrupted times series assessed the impact of meropenem consumption restriction as part of the outbreak control. Meropenem consumption at lag -1 year (the preceding year), highly correlated with the incidence of OXA-48-producing organisms (r=0.71; P=0.005), was included as a predictor within the forecasting model. The number of cases/100,000OBD for 2014-2015 was estimated to be 4.96 (95% CI 2.53-7.39). Analysis of meropenem consumption pre- and post-intervention demonstrated an increase of 7.12 DDD/100OBD/year (95% CI 2.97-11.27; P<0.001) in the 4 years preceding the intervention, but a decrease thereafter. The change in slope was -9.11 DDD/100OBD/year (95% CI -13.82 to -4.39). Analysis of alternative antimicrobials showed a significant increase in amikacin consumption post-intervention from 0.54 to 3.41 DDD/100OBD/year (slope +0.72, 95% CI 0.29-1.15; P=0.01). Total antimicrobials significantly decreased from 176.21 to 126.24 DDD/100OBD/year (P=0.05). Surveillance of routinely collected antimicrobial consumption data may provide a key warning indicator to anticipate increased incidence of carbapenem-resistant organisms. Further validation using real-time data is needed.


Assuntos
Antibacterianos/uso terapêutico , Surtos de Doenças , Uso de Medicamentos , Infecções por Klebsiella/epidemiologia , Klebsiella pneumoniae/enzimologia , Tienamicinas/uso terapêutico , beta-Lactamases/metabolismo , Monitoramento Epidemiológico , Previsões , Hospitais , Humanos , Incidência , Infecções por Klebsiella/tratamento farmacológico , Infecções por Klebsiella/microbiologia , Klebsiella pneumoniae/efeitos dos fármacos , Klebsiella pneumoniae/isolamento & purificação , Londres/epidemiologia , Meropeném , Modelos Estatísticos , Estudos Retrospectivos , Resistência beta-Lactâmica
18.
Sci Transl Med ; 7(317): 317ra199, 2015 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-26659573

RESUMO

Sentinel lymph node (SLN) excision is included in various cancer guidelines to identify microscopic metastatic disease. Although effective, SLN excision is an invasive procedure requiring radioactive tracing. Novel imaging approaches assessing SLN metastatic status could improve or replace conventional lymph node excision protocols. In our first-in-human study, we used noninvasive multispectral optoacoustic tomography (MSOT) to image SLNs ex vivo and in vivo in patients with melanoma, to determine metastatic status. MSOT significantly improved the tumor metastasis detection rate in excised SLN (506 SLNs from 214 melanoma patients) compared with the conventional EORTC (European Organisation for Research and Treatment of Cancer) Melanoma Group protocol (22.9% versus 14.2%). MSOT combined with the near-infrared fluorophore indocyanine green reliably visualized SLNs in vivo in 20 patients, up to 5-cm penetration and with 100% concordance with (99m)Tc-marked SLN lymphoscintigraphy. MSOT identified cancer-free SLNs in vivo and ex vivo without a single false negative (189 total lymph nodes), with 100% sensitivity and 48 to 62% specificity. Our findings indicate that a noninvasive, nonradioactive MSOT-based approach can identify and determine SLN status and confidently rule out the presence of metastasis. The study further demonstrates that optoacoustic imaging strategies can improve the identification of SLN metastasis as an alternative to current invasive SLN excision protocols.


Assuntos
Diagnóstico por Imagem , Linfonodos/patologia , Metástase Linfática/diagnóstico , Melanoma/patologia , Técnicas Fotoacústicas/métodos , Estudos de Coortes , Humanos , Verde de Indocianina/metabolismo , Metástase Linfática/patologia , Melaninas/metabolismo , Imagens de Fantasmas , Cuidados Pré-Operatórios
19.
Gene ; 228(1-2): 111-22, 1999 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-10072764

RESUMO

Prolonged dietary Na+ depletion and chronic administration of adrenal steroids increase steady-state mRNA levels of the gamma subunit of the epithelial sodium channel (gammaENaC) in rat colon. This increase correlates with a marked increase in transepithelial Na+ transport and is thought to occur via transcriptional regulation. To begin to evaluate these mechanisms in detail, we determined the organization of the rat gammaENaC gene. A rat genomic library was screened and overlapping lambda clones that together span the gene (approximately 36 kb) and contain at least 1 kb of 5' flanking genomic DNA were isolated. As in the human gene, the rat gammaENaC gene contains 13 exons and a CpG island at the 5' end of the gene. A single transcription start site was identified in rat kidney by nuclease protection assay defining a 5' untranslated region of 126 nt. The translation initiation codon was identified within the second exon and the entire 3' UTR (approximately 1 kb) was within the last exon. 800 bp of 5' flanking sequence, as well as the 3.4 kb first intron, were sequenced and analyzed for transcriptional regulatory motifs. Analogous to the human gammaENaC gene [Thomas, C.P., Doggett, N.A., Fisher, R., Stokes J.B., 1996. Genomic organization and the 5' flanking region of the gamma subunit of the human amiloride-sensitive epithelial sodium channel. J. Biol. Chem. 271, 26 062--26 066], two GC boxes were seen at -30 and -61 to the transcription start site. In addition, putative AP-1, AP-2, CRE, Sp1 and GATA-1 and GRE motifs were identified elsewhere in the 5' flanking region or the first intron. Two mammalian-wide interspersed repeats and a rodent-specific B1 repeat were also identified within the first intron. Fragments containing the putative GRE motifs coupled to luciferase did not confer a glucocorticoid-stimulated response in two cell lines that contained a functional glucocorticoid receptor. However, a 76 nt rat gammaENaC 5' flanking fragment (-76 to +68) directed expression of luciferase in the epithelial cell lines H441 and FRTL5, suggesting that this minimal region that contained both GC boxes was sufficient for promoter activity.


Assuntos
Genes/genética , Regiões Promotoras Genéticas/genética , Canais de Sódio/genética , Animais , Sequência de Bases , Linhagem Celular , DNA/química , DNA/genética , Canais Epiteliais de Sódio , Éxons , Regulação da Expressão Gênica , Genes Reporter/genética , Humanos , Íntrons , Luciferases/genética , Dados de Sequência Molecular , Ratos , Proteínas Recombinantes de Fusão/genética , Análise de Sequência de DNA , Homologia de Sequência do Ácido Nucleico , Transcrição Gênica
20.
Cancer Lett ; 88(2): 221-5, 1995 Jan 27.
Artigo em Inglês | MEDLINE | ID: mdl-7874696

RESUMO

With an experimental model of spontaneous lung metastases of human melanoma in immunosuppressed newborn rats, a large panel of clones and variants with different metastatic potential were derived from a single human melanoma parental cell line (M4Be). Seven clones and variants from M4Be were selected, respectively, for their low (parental, clone 1), intermediate (clones 2 and 3, subvariant 1-) and high (variant 1, subvariant 1+, clone 4) metastatic potential. This paper investigates the relationship between the in vivo metastatic potential of the eight cell lines and their sensitivity to ionizing radiation in vitro (range 0.05-7 Gy). The radiosensitivity was estimated from the mean inactivation dose, a parameter equal to the area under the survival curve plotted in linear coordinates. Examination of the eight survival curves, obtained with cells cultured for no more than five passages after defrost, shows that clone 1, subvariant 1- and the M4be parental line are the most radioresistant cells, clone 4 and subvariant 1+ are the most radiosensitive cells, while clones 2 and 3 and variant 1 showed an intermediate response to radiation. The metastatic potential in vivo of the parental line and the seven sublines is significantly correlated to their radiosensitivity in vitro: the higher the metastatic potential, the higher the radiosensitivity.


Assuntos
Neoplasias Pulmonares/secundário , Melanoma/patologia , Melanoma/radioterapia , Tolerância a Radiação , Animais , Sobrevivência Celular/efeitos da radiação , Células Clonais , Humanos , Melanoma/secundário , Transplante de Neoplasias , Ratos , Ratos Wistar , Células Tumorais Cultivadas/efeitos da radiação
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA