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1.
Nat Med ; 5(2): 176-82, 1999 Feb.
Article in English | MEDLINE | ID: mdl-9930865

ABSTRACT

Closure of the ductus arteriosus requires prenatal formation of intimal cushions, which occlude the vessel lumen at birth. Survival of newborns with severe congenital heart defects, however, depends on ductal patency. We used a gene transfer approach to create a patent ductus arteriosus by targeting the fibronectin-dependent smooth muscle cell migration required for intimal cushion formation. Fetal lamb ductus arteriosus was transfected in utero with hemagglutinating virus of Japan liposomes containing plasmid encoding 'decoy' RNA to sequester the fibronectin mRNA binding protein. Fibronectin translation was inhibited and intimal cushion formation was prevented. We thus established the essential role of fibronectin-dependent smooth muscle cell migration in intimal cushion formation in the intact animal and the feasibility of incorporating biological engineering in the management of congenital heart disease.


Subject(s)
Ductus Arteriosus, Patent/genetics , Fibronectins/genetics , Fibronectins/physiology , Genetic Therapy/methods , Transfection/methods , Animals , Cell Movement/genetics , Disease Models, Animal , Ductus Arteriosus, Patent/embryology , Ductus Arteriosus, Patent/surgery , Female , Genetic Vectors , Heart Defects, Congenital/mortality , Heart Defects, Congenital/pathology , Heart Defects, Congenital/therapy , Liposomes , Muscle, Smooth, Vascular/cytology , Plasmids , Pregnancy , Protein Biosynthesis , RNA, Messenger/metabolism , RNA-Binding Proteins/genetics , RNA-Binding Proteins/metabolism , Respirovirus , Sheep
2.
J Exp Med ; 188(7): 1211-21, 1998 Oct 05.
Article in English | MEDLINE | ID: mdl-9763600

ABSTRACT

Scrape loading Clostridium botulinum C3 exoenzyme into primary peripheral blood human T lymphocytes (PB T cells) efficiently adenosine diphosphate (ADP)-ribosylates and thus inactivates the guanosine triphosphatase (GTPase) Rho. Basal adhesion of PB T cells to the beta1 integrin substrate fibronectin (Fn) was not inhibited by inactivation of Rho, nor was upregulation of adhesion using phorbol myristate acetate (PMA; 10 ng/ml) or Mn++ (1 mM) affected. Whereas untreated PB T cells adherent to Fn remain spherical, C3-treated PB T cells extend F-actin-containing pseudopodia. Inactivation of Rho delayed the kinetics of PMA-dependent PB T cell homotypic aggregation, a process involving integrin alphaLbeta2. Although C3 treatment of PB T cells did not prevent adhesion to the beta1 integrin substrate Fn, it did inhibit beta1 integrin/CD3-mediated costimulation of proliferation. Analysis of intracellular cytokine production at the single cell level demonstrated that ADP-ribosylation of Rho inhibited beta1 integrin/ CD3 and CD28/CD3 costimulation of IL-2 production within 6 h of activation. Strikingly, IL-2 production induced by PMA and ionomycin was unaffected by C3 treatment. Thus, the GTPase Rho is a novel regulator of T lymphocyte cytoarchitecture, and functional Rho is required for very early events regulating costimulation of IL-2 production in PB T cells.


Subject(s)
Adenosine Diphosphate/metabolism , Botulinum Toxins , GTP Phosphohydrolases/metabolism , Ribose/metabolism , T-Lymphocytes/metabolism , ADP Ribose Transferases/pharmacology , Actins/metabolism , CD18 Antigens/metabolism , CD28 Antigens/metabolism , CD3 Complex/metabolism , Cell Adhesion , Cell Division , Cell Line , Cells, Cultured , Down-Regulation , GTP-Binding Proteins , Humans , Integrin beta1/metabolism , Interleukin-2/biosynthesis , Lymphocyte Activation , Receptors, Antigen, T-Cell, alpha-beta/metabolism , T-Lymphocytes/drug effects , rhoA GTP-Binding Protein
3.
Am J Physiol Lung Cell Mol Physiol ; 297(6): L1170-8, 2009 Dec.
Article in English | MEDLINE | ID: mdl-19820034

ABSTRACT

Endoglin is a TGF-beta superfamily receptor critical for endothelial cell function. Mutations in this gene are associated with hereditary hemorrhagic telangiectasia type I (HHT1), and clinical signs of disease are generally more evident later in life. We previously showed that systemic vessels of adult Eng heterozygous (Eng(+/-)) mice exhibit increased vasorelaxation due to uncoupling of endothelial nitric oxide synthase (eNOS). We postulated that these changes may develop with age and evaluated pulmonary arteries from newborn and adult Eng(+/-) mice for eNOS-dependent, acetylcholine (ACh-induced) vasorelaxation, compared with that of age-matched littermate controls. While ACh-induced vasorelaxation was similar in all newborn mice, it was significantly increased in the adult Eng(+/-) vs. control vessels. The vasodilatory responses were inhibited by l-NAME suggesting eNOS dependence. eNOS uncoupling was observed in lung tissues of adult, but not newborn, heterozygous mice and was associated with increased production of reactive O(2) species (ROS) in adult Eng(+/-) vs. control lungs. Interestingly, ROS generation was higher in adult than newborn mice and so were the levels of NADPH oxidase 4 and SOD 1, 2, 3 isoforms. However, enzyme protein levels and NADPH activity were normal in adult Eng(+/-) lungs indicating that the developmental maturation of ROS generation and scavenging cannot account for the increased vasodilatation observed in adult Eng(+/-) mice. Our data suggest that eNOS-dependent H(2)O(2) generation in Eng(+/-) lungs accounts for the heightened pulmonary vasorelaxation. To the extent that these mice mimic human HHT1, age-associated pulmonary vascular eNOS uncoupling may explain the late childhood and adult onset of clinical lung manifestations.


Subject(s)
Aging/metabolism , Heterozygote , Intracellular Signaling Peptides and Proteins/genetics , Nitric Oxide Synthase Type III/metabolism , Pulmonary Artery/enzymology , Aging/drug effects , Animals , Animals, Newborn , Biomechanical Phenomena/drug effects , Endoglin , Endothelial Cells/drug effects , Endothelial Cells/enzymology , HSP90 Heat-Shock Proteins/metabolism , Hydrogen Peroxide/metabolism , Hydrogen Peroxide/pharmacology , Immunoprecipitation , Intracellular Signaling Peptides and Proteins/deficiency , Intracellular Signaling Peptides and Proteins/metabolism , Lung/drug effects , Lung/enzymology , Mice , NADPH Oxidases/metabolism , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/drug effects , Superoxide Dismutase/metabolism , Tomography, X-Ray Computed , Vasodilation/drug effects
4.
Ann Oncol ; 20(10): 1682-7, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19541791

ABSTRACT

BACKGROUND: To correlate serum cytokine and angiogenic factor (CAF) levels with overall survival (OS) in metastatic renal cell carcinoma (mRCC) treated with interferon-alpha (IFN-alpha). PATIENTS AND METHODS: Serum CAF levels were measured in 103 patients treated on a randomized trial with IFN-alpha 0.5 million units (MU) twice daily or 5 MU daily. Concentrations of 17 analytes were determined by multiplex bead immunoassays [vascular endothelial growth factor A (VEGF(A)) and several cytokines] or enzyme-linked immunosorbent assay (basic fibroblast growth factor). We used proportional hazards models to evaluate the effect of CAF levels and clinical factors on OS. RESULTS: Pretreatment serum interleukin (IL) 5, IL-12 p40, VEGF(A), and IL-6 levels and Memorial Sloan-Kettering Cancer Center risk grouping independently correlated with OS, with hazard ratios of 2.33, 2.00, 2.07, 1.82, and 0.39, respectively (concordance index = 0.69 for the combined model versus 0.60 for the CAF model versus 0.52 for the clinical model). Based on an index derived from these five risk factors (RFs), patients with 0-2 RF had a median OS time of 32 months versus 9 months for patients with 3-5 RF (P < 0.0001). CONCLUSIONS: Serum CAF profiling contributes to prognostic evaluation in mRCC and helps to identify a subset of patients with 20% 5-year OS.


Subject(s)
Angiogenesis Inducing Agents/therapeutic use , Carcinoma, Renal Cell/drug therapy , Carcinoma, Renal Cell/secondary , Cytokines/therapeutic use , Interferon-alpha/therapeutic use , Angiogenesis Inducing Agents/blood , Carcinoma, Renal Cell/pathology , Chi-Square Distribution , Cytokines/blood , Dose-Response Relationship, Drug , Enzyme-Linked Immunosorbent Assay , Female , Fibroblast Growth Factor 2/blood , Follow-Up Studies , Humans , Immunoassay , Interleukin-12 Subunit p40/blood , Interleukin-12 Subunit p40/therapeutic use , Interleukin-5/blood , Interleukin-5/therapeutic use , Interleukin-6/blood , Interleukin-6/therapeutic use , Kaplan-Meier Estimate , Male , Proportional Hazards Models , Randomized Controlled Trials as Topic , Risk Factors , Survival Analysis , Time Factors , Treatment Outcome , Vascular Endothelial Growth Factor A/blood , Vascular Endothelial Growth Factor A/therapeutic use
5.
Science ; 265(5177): 1415-8, 1994 Sep 02.
Article in English | MEDLINE | ID: mdl-17833813

ABSTRACT

The platinum-rhodium tip of a scanning tunneling microscope that operates inside of an atmospheric-pressure chemical reactor cell has been used to locally rehydrogenate carbonaceous fragments deposited on the (111) surface of platinum. The carbon fragments were produced by partial dehydrogenation of propylene. The reactant gas environment inside the cell consisted of pure H(2) or a 1:9 mixture of CH(3)CHCH(2) and H(2) at 300 kelvin. The platinum-rhodium tip acted as a catalyst after activation by short voltage pulses. In this active state, the clusters in the area scanned by the tip were reacted away with very high spatial resolution.

6.
Science ; 249(4972): 1030-3, 1990 Aug 31.
Article in English | MEDLINE | ID: mdl-1697696

ABSTRACT

Human B lymphocytes localize and differentiate within the microenvironment of lymphoid germinal centers. A frozen section binding assay was developed for the identification of those molecules involved in the adhesive interactions between B cells and lymphoid follicles. Activated human B cells and B cell lines were found to selectively adhere to germinal centers. The VLA-4 molecule on the lymphocyte and the adhesion molecule INCAM-110, expressed on follicular dendritic cells, supported this interaction. This cellular interaction model can be used for the study of how B cells differentiate.


Subject(s)
B-Lymphocytes/immunology , Cell Adhesion Molecules/immunology , Receptors, Very Late Antigen/immunology , Antibodies, Monoclonal , Antigens, CD/analysis , B-Lymphocytes/cytology , B-Lymphocytes/ultrastructure , Cell Adhesion , Cells, Cultured , Humans , Palatine Tonsil/cytology , Palatine Tonsil/immunology , Spleen/immunology , Vascular Cell Adhesion Molecule-1
7.
Article in English | MEDLINE | ID: mdl-29849727

ABSTRACT

Evidence regarding opinions on integrative modalities by patients and physicians is lacking. Methods. A survey study was conducted assessing how integrative modalities were valued among hematology/oncology patients and hematologists and oncologists at a major tertiary medical center. Results. 1008 patients and 55 physicians were surveyed. With the exception of support groups, patients valued nutrition services, exercise therapy, spiritual/religious counseling, supplement/herbal advice, support groups, music therapy, and other complimentary medicine services significantly more than physicians (P ≤ 0.05). Conclusion. With the exception of support groups, patients value integrative modalities more than physicians. Perhaps with increasing education, awareness, and acceptance by providers and traditional institutions, integrative modalities could be equally valued between patients and providers. It is possible that increased availability and utilization of integrative oncology modalities at tertiary hospital sites could improve patient satisfaction, quality of life, and other clinical endpoints.

8.
J Clin Invest ; 104(4): 419-30, 1999 Aug.
Article in English | MEDLINE | ID: mdl-10449434

ABSTRACT

To identify the mechanisms that cause monocyte localization in infarcted myocardium, we studied the impact of ischemia-reperfusion injury on the surface expression and function of the monocyte fibronectin (FN) receptor VLA-5 (alpha(5)beta(1) integrin, CD49e/CD29). Myocardial infarction was associated with the release of FN fragments into cardiac extracellular fluids. Incubating monocytes with postreperfusion cardiac lymph that contained these FN fragments selectively reduced expression of VLA-5, an effect suppressed by specific immunoadsorption of the fragments. Treating monocytes with purified, 120-kDa cell-binding FN fragments (FN120) likewise decreased VLA-5 expression, and did so by inducing a serine proteinase-dependent proteolysis of this beta(1) integrin. We postulated that changes in VLA-5 expression, which were induced by interactions with cell-binding FN fragments, may alter monocyte migration into tissue FN, a prominent component of the cardiac extracellular matrix. Support for this hypothesis came from experiments showing that FN120 treatment significantly reduced both spontaneous and MCP-1-induced monocyte migration on an FN-impregnated collagen matrix. In vivo, it is likely that contact with cell-binding FN fragments also modulates VLA-5/FN adhesive interactions, and this causes monocytes to accumulate at sites where the fragment concentration is sufficient to ensure proteolytic degradation of VLA-5.


Subject(s)
Fibronectins/physiology , Monocytes/drug effects , Peptide Fragments/pharmacology , Receptors, Fibronectin/metabolism , Amino Acid Sequence , Animals , Cell Movement/drug effects , Dogs , Extracellular Matrix/physiology , Fibronectins/chemistry , Humans , In Vitro Techniques , Lymph/physiology , Molecular Sequence Data , Monocytes/pathology , Monocytes/physiology , Myocardial Reperfusion Injury/pathology , Myocardial Reperfusion Injury/physiopathology , Peptide Fragments/chemistry
9.
J Hum Hypertens ; 31(3): 212-219, 2017 03.
Article in English | MEDLINE | ID: mdl-27604657

ABSTRACT

Left atrial enlargement (LAE) has adverse prognostic implications in hypertension. We sought to determine the accuracy of five electrocardiogram (ECG) criteria for LAE in hypertension relative to cardiac magnetic resonance (CMR) gold standard and investigate the effect of concomitant obesity. One hundred and thirty consecutive patients (age: 51.4±15.1 years, 47% male, 51% obese, systolic blood pressure (BP): 171±29 mm Hg, diastolic BP: 97±15 mm Hg) referred for CMR (1.5 T) from a tertiary hypertension clinic were included. Patients with concomitant cardiac pathology were excluded. ECGs were assessed blindly for the following: (1) P-wave >110 ms, (2) P-mitrale, (3) P-wave axis <30°, (4) area of negative P-terminal force in V1 >40 ms.mm and (5) positive P-terminal force in augmented vector left (aVL) >0.5 mm. Left atrial volume ≥55 ml m-2, measured blindly by CMR, was defined as LAE. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy and area under the receiver operator curve were calculated. The prevalence of LAE by CMR was 26%. All the individual ECG LAE criteria were more specific than sensitive, with specificities ranging from 70% (P-axis <30o) to 99% (P-mitrale). Obesity attenuated the specificity of most of the individual ECG LAE criteria. Obesity correlated with significant lower specificity (48% vs 65%, P<0.05) and a trend towards lower sensitivity (59 vs 43%, P=0.119) when ≥1 ECG LAE criteria were present. Individual ECG criteria of LAE in hypertension are specific, but not sensitive, at identifying LAE. The ECG should not be used to excluded LAE in hypertension, particularly in obese subjects.


Subject(s)
Electrocardiography , Heart Atria/pathology , Hypertension/pathology , Obesity/complications , Adult , Aged , Cardiac Imaging Techniques , Female , Heart Atria/diagnostic imaging , Humans , Hypertension/complications , Hypertension/diagnostic imaging , Magnetic Resonance Imaging , Male , Middle Aged , Obesity/diagnostic imaging
10.
Cancer Res ; 44(8): 3576-83, 1984 Aug.
Article in English | MEDLINE | ID: mdl-6378372

ABSTRACT

Hematopoietic-lymphoid membrane antigens that are related to cell differentiation and development, referred to as chicken fetal antigen (CFA) and chicken adult antigen (CAA) were immunochemically characterized; Mr 220,000; Mr 170,000; Mr 130,000; Mr 99,000; Mr 88,000; Mr 50,000; and Mr 24,000 CFA molecules are detected on embryonic RBC, and Mr 210,000; Mr 130,000; Mr 102,000; Mr 56,000; Mr 48,000; and Mr 43,000 CAA molecules are detected on adult RBC. Limited peptide mapping analyses showed all of the CFA and CAA molecules to be distinct entities. Both the Mr 50,000 CFA and the Mr 43,000 CAA molecules exhibited multiple isomorphic variants when analyzed by 2-dimensional electrophoresis. Analyses involving neuraminidase treatments and limited peptide mapping showed the Mr 50,000 CFA isomorphic variants to be chemically identical with the isoelectric point variations being due to sialic acid differences. In addition to multiple isomorphic variants, the molecular weight and charge differences of which were diminished by neuraminidase treatments, the Mr 43,000 CAA molecules exhibited a doublet pattern suggesting that the polyclonal antisera may be detecting chicken major histocompatibility complex products. Analyses of the Mr 50,000 CFA molecules immunoprecipitated with monoclonal antibody 190-4 confirmed that the monoclonal antibody recognizes a serological subset of the Mr 50,000 CFA molecules but showed that it did not recognize a unique molecularly detectable subset among the 18 isomorphic variants discernable by 2-dimensional electrophoretic analyses. Cocapping analyses with splenic lymphocytes showed CFA and CAA to occur as distinct membrane entities on lymphocytes.


Subject(s)
Antigens, Surface/analysis , Erythrocyte Aging , Erythrocyte Membrane/immunology , Animals , Antibodies , Antibodies, Monoclonal , Antigen-Antibody Complex , Cell Differentiation , Chickens , Electrophoresis, Polyacrylamide Gel , Immunoenzyme Techniques , Major Histocompatibility Complex , Molecular Weight , Neuraminidase , Peptide Fragments/analysis
11.
Cancer Res ; 49(1): 38-43, 1989 Jan 01.
Article in English | MEDLINE | ID: mdl-2783244

ABSTRACT

Tumors induced in mice by UV radiation often express highly immunogenic tumor-specific transplantation antigens (TSTA). The 216 gene, which encodes a TSTA of the C3H tumor UV-1591, has been cloned and characterized as a novel major histocompatibility complex Class I antigen. The purpose of this study was to determine whether the 216 gene-encoded TSTA can function as a tumor rejection antigen when expressed on unrelated, nonantigenic murine tumor cells or whether its function is restricted to UV-induced tumors. A cell line (10T-1) derived from a spontaneous transformant of C3H 10T1/2 cells was cotransfected with DNA from p216 and pSV2-neo plasmids. About 2 wk after transfection, G418-resistant colonies were isolated randomly and tested for cell surface expression of the 216 gene product using a monoclonal antibody specific for 216 gene-encoded TSTA. Of 20 clones tested, four expressed high levels of 216 gene-encoded TSTA. These four clones were highly antigenic in that they were completely rejected in normal mice but grew progressively in nude mice. Furthermore, the 216-positive clones were immunologically cross-reactive with UV-1591, as determined by in vitro cytotoxic T-lymphocyte and in vivo immunization and challenge assays. Surprisingly, 216-positive 10T-1 transfectants also cross-reacted with 10T-1 cells, both in vitro and in vivo. These results demonstrate that the product of a cloned TSTA gene from a UV-induced murine tumor is capable of functioning as a tumor rejection antigen when expressed on unrelated, nonantigenic tumor cells. In addition, these results indicate that this approach could be used to augment the immune response against poorly antigenic tumors.


Subject(s)
Antigens, Neoplasm/genetics , Histocompatibility Antigens/genetics , Neoplasms, Experimental/immunology , Transfection , Animals , Antigens, Neoplasm/immunology , Cross Reactions , Female , Histocompatibility Antigens/immunology , Mice , Mice, Inbred C3H , Neoplasms, Radiation-Induced/immunology , T-Lymphocytes, Cytotoxic/immunology , Tumor Cells, Cultured
12.
Cancer Res ; 49(15): 4274-81, 1989 Aug 01.
Article in English | MEDLINE | ID: mdl-2663141

ABSTRACT

We sought to determine whether the transfection of tumorigenic but not metastatic cells with the activated c-Ha-ras oncogene was invariably associated with acquisition of the metastatic phenotype. Three clonally derived lines of the K-1735 murine melanoma, characterized as nonmetastatic or poorly metastatic, were transfected with plasmids containing the 6.6-kilobase BamHI fragment of the mutant human c-Ha-ras gene and the neo gene, that confers resistance to neomycin (pSV2neoEJ). Cells transfected with pSV2neo, a plasmid containing the neo gene, served as controls for the procedure of Polybrene-mediated transfection. All cell lines were injected into syngeneic C3H/HeN and into athymic mice, and the results were compared with those produced by highly metastatic K-1735 M-2 cells. Although the pSV2neoEJ-transfected cells produced more rapidly growing s.c. tumors than the control cell lines did, the incidence of spontaneous metastasis was not increased. Following i.v. inoculation, the c-Ha-ras transfectants were retained in lung vasculature in greater proportions than pSV2neo counterpart transfectants were. The c-Ha-ras transfectants also produced significantly more lung tumor colonies, which grew faster than the few lung tumor colonies in mice given injections of control melanoma cells. We concluded that transfection of the activated c-Ha-ras oncogene into nonmetastatic K-1735 melanoma cells leads to accelerated tumor growth in vivo and can confer the ability to form lung colonies after i.v. injection but not the ability to metastasize from a primary s.c. tumor.


Subject(s)
Genes, ras , Melanoma, Experimental/pathology , Neoplasm Metastasis , Transfection , Animals , Blotting, Southern , Idoxuridine/metabolism , Male , Mice , Mice, Inbred C3H , Neoplasm Transplantation , Plasmids , Tumor Cells, Cultured
13.
J Hum Hypertens ; 30(3): 197-203, 2016 Mar.
Article in English | MEDLINE | ID: mdl-26040440

ABSTRACT

Electrocardiograph (ECG) criteria for left ventricular hypertrophy (LVH) are a widely used clinical tool. We recalibrated six ECG criteria for LVH against gold-standard cardiac magnetic resonance (CMR) and assessed the impact of obesity. One hundred and fifty consecutive tertiary hypertension clinic referrals for CMR (1.5 T) were reviewed. Patients with cardiac pathology potentially confounding hypertensive LVH were excluded (n=22). The final sample size was 128 (age: 51.0±15.2 years, 48% male). LVH was defined by CMR. From a 12-lead ECG, Sokolow-Lyon voltage and product, Cornell voltage and product, Gubner-Ungerleidger voltage and Romhilt-Estes score were evaluated, blinded to the CMR. ECG diagnostic performance was calculated. LVH by CMR was present in 37% and obesity in 51%. Obesity significantly reduced ECG sensitivity, because of significant attenuation in mean ECG values for Cornell voltage (22.2±5.7 vs 26.4±9.4 mm, P<0.05), Cornell product (2540±942 vs 3023±1185 mm • ms, P<0.05) and for Gubner-Ungerleider voltage (18.2±7.1 vs 23.3±1.2 mm, P<0.05). Obesity also significantly reduced ECG specificity, because of significantly higher prevalence of LV remodeling (no LVH but increased mass-to-volume ratio) in obese subjects without LVH (36% vs 16%, P<0.05), which correlated with higher mean ECG LVH criteria values. Obesity-specific partition values were generated at fixed 95% specificity; Cornell voltage had highest sensitivity in non-obese (56%) and Sokolow-Lyon product in obese patients (24%). Obesity significantly lowers ECG sensitivity at detecting LVH, by attenuating ECG LVH values, and lowers ECG specificity through changes associated with LV remodeling. Our obesity-specific ECG partition values could improve the diagnostic performance in obese patients with hypertension.


Subject(s)
Electrocardiography/standards , Hypertension/complications , Hypertrophy, Left Ventricular/diagnostic imaging , Obesity/complications , Adult , Aged , Female , Humans , Hypertrophy, Left Ventricular/etiology , Magnetic Resonance Imaging , Male , Middle Aged , Prospective Studies
14.
Biochim Biophys Acta ; 1517(3): 464-7, 2001 Feb 16.
Article in English | MEDLINE | ID: mdl-11342228

ABSTRACT

Truncating mutations in the CCM1 gene encoding KRIT1 were recently found in patients affected by inherited cerebral capillary malformations, lesions that cause a wide variety of neurologic problems. However, CCM1 mutations have not been identified in all the families linked to CCM1. Here we demonstrate that the CCM1 gene contains eight additional exons which may thus encompass the missing mutations.


Subject(s)
Central Nervous System Vascular Malformations/genetics , Exons , Microtubule-Associated Proteins , Proto-Oncogene Proteins/genetics , Alternative Splicing , Amino Acid Sequence , Animals , Base Sequence , DNA Primers/genetics , DNA, Complementary/genetics , Expressed Sequence Tags , Humans , KRIT1 Protein , Mice , Molecular Sequence Data , Mutation , Rats , Sequence Homology, Nucleic Acid
15.
Circulation ; 102(19 Suppl 3): III289-95, 2000 Nov 07.
Article in English | MEDLINE | ID: mdl-11082403

ABSTRACT

BACKGROUND: Leukocyte infiltration and serine elastase activity lead to smooth muscle cell proliferation in association with posttransplant coronary arteriopathy and may also be involved in vein graft neointimal formation. A number of therapies have targeted cellular proliferation, but the inhibition of serine elastase-mediated extracellular matrix remodeling has not been investigated as a potential strategy to prevent neointimal formation and subsequent atherosclerotic degeneration in vein grafts. METHODS AND RESULTS: We studied jugular vein grafts 48 hours after interposition into the carotid arteries of rabbits and demonstrated inflammatory cell infiltration and elevated serine elastase activity, a stimulus for matrix remodeling and deposition of elastin. Therefore, elastolytic activity in vein grafts was targeted through transient expression of the selective serine elastase inhibitor elafin with hemagglutinating virus of Japan liposome-mediated gene transfer. Elafin transfection reduced inflammation by 60% at 48 hours and neointimal formation by approximately 50% at 4 weeks after implantation. At 3 months, a 74% decrease in neointimal elastin deposition correlated with protection against cholesterol-induced macrophage infiltration and lipid accumulation, which were both reduced by approximately 50% in elafin-transfected grafts relative to controls. CONCLUSIONS: Gene transfer of the selective serine elastase inhibitor elafin in vein grafts is effective in reducing the early inflammatory response. Although transient expression of elafin delays neointimal formation, it is also sufficient to cause an alteration in elastin content of the extracellular matrix, making it relatively resistant to atherosclerotic degeneration.


Subject(s)
Graft Occlusion, Vascular/prevention & control , Jugular Veins/transplantation , Proteins/administration & dosage , Proteins/genetics , Serine Proteinase Inhibitors/administration & dosage , Serine Proteinase Inhibitors/genetics , Animals , Arteriosclerosis/enzymology , Arteriosclerosis/pathology , Arteriosclerosis/prevention & control , Carotid Arteries/surgery , Disease Models, Animal , Elastin/metabolism , Extracellular Matrix/enzymology , Gene Transfer Techniques , Graft Occlusion, Vascular/enzymology , Graft Occlusion, Vascular/pathology , Immunohistochemistry , Jugular Veins/drug effects , Jugular Veins/enzymology , Liposomes , Proteinase Inhibitory Proteins, Secretory , Proteins/metabolism , Rabbits , Respirovirus/genetics , Serine Proteinase Inhibitors/metabolism , Transfection , Tunica Intima/drug effects , Tunica Intima/metabolism , Tunica Intima/pathology
16.
Cell Death Differ ; 8(7): 665-78, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11464211

ABSTRACT

STAD cells are the adherent parental apoptotic line from which two sublines were cloned that differed in their response to suspended culturing conditions, one clone STAD.APO is apoptotic and the other STAD.ARR goes into cell cycle arrest. Using this system we have found that the addition of soluble collagen can rescue STAD and STAD.APO cells from anoikis, and it can also affect STAD.ARR cells by overcoming the suspension induced cell cycle arrest. In contrast, when cells were cultured with a soluble anti-beta1 integrin mAb 33B6, the apoptotic clones again were rescued from anoikis, but the cell cycle arresting clone remained quiescent. This result was somewhat surprising as it is generally accepted that cytoskeletal rearrangements that accompany integrin mediated adhesion and cell shape changes are required for the abrogation of anoikis, and it was unexpected that differences in the mechanism used for integrin triggering would yield variable results on growth regulation. This observation led us to further examine whether the addition of a monovalent anti-beta1 integrin agent could produce similar results as intact mAb. Therefore we employed Fab fragments of 33B6 in our culturing assay and found that indeed monovalent binding was capable of saving STAD and STAD.APO cells from anoikis but did not have an effect on STAD.ARR cells. Therefore in this study we have observed that integrin mediated dependent survival can occur by mere ligation of the beta1 integrin subunit, but that cell cycle arrest due to suspended conditions can not. Thus integrins can play differential roles in cell fate decisions and mediate these effects by different mechanisms.


Subject(s)
Adenocarcinoma/metabolism , Adenocarcinoma/pathology , Anoikis , Cell Cycle , Integrin beta1/metabolism , Integrins/metabolism , Stomach Neoplasms/metabolism , Stomach Neoplasms/pathology , Actins/metabolism , Anoikis/drug effects , Antibodies, Monoclonal/immunology , Antibodies, Monoclonal/pharmacology , Cell Adhesion , Cell Cycle/drug effects , Cell Division , Cell Size , Collagen/metabolism , Collagen/pharmacology , Extracellular Matrix/metabolism , Focal Adhesion Kinase 1 , Focal Adhesion Protein-Tyrosine Kinases , Gene Expression , Humans , Immunoglobulin Fab Fragments/immunology , Immunoglobulin Fab Fragments/pharmacology , Integrin beta1/immunology , Integrins/immunology , Kinetics , Microscopy, Fluorescence , Phenotype , Protein-Tyrosine Kinases/metabolism , Tumor Cells, Cultured
17.
Leukemia ; 13(11): 1696-707, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10557041

ABSTRACT

T cell acute lymphocytic leukemia (T-ALL) and B-precursor ALL differ significantly in the clinical characteristics of the patients at presentation and in laboratory-defined characteristics of the leukemic cells. We assessed for pediatric patients with T-ALL the relative importance of prognostic factors previously demonstrated to predict outcome in B-precursor ALL. Presenting clinical and laboratory features were correlated with outcome for 441 children 12 months to 21 years of age with previously untreated T-ALL, registered on the Pediatric Oncology Group (POG) T3 protocol between 1986 and 1992. These T-ALL prognostic factor analyses were then compared to similar analyses for 1993 patients with B-precursor ALL enrolled during the same time period on the POG ALinC 14 protocol. Quantitative interaction between phenotype and each prognostic factor was studied to determine the relative importance of the prognostic factor for each of the two major immunophenotypes. We also analyzed the importance of maturational stage as a T-ALL prognostic factor, using a modified Ludwig definition of maturational stage. We conclude that several of the clinical and laboratory prognostic factors, which are used reliably for B-precursor ALL, are much less predictive in T-ALL (ie age, WBC, consensus risk group, hyperdiploidy, presence of trans- locations and CALLA expression). There was no significant difference between the phenotypes in the prognostic importance of race or gender. Our data demonstrate a significant difference in outcome among the three maturational stages of T-cell ALL, with the intermediate group faring best. Using traditional risk group criteria to stratify patients with T-ALL for therapy may not be appropriate.


Subject(s)
Burkitt Lymphoma/diagnosis , Membrane Glycoproteins , Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Adolescent , Adult , Age Factors , Antigens, CD/analysis , Burkitt Lymphoma/metabolism , Burkitt Lymphoma/pathology , Burkitt Lymphoma/therapy , CD24 Antigen , Central Nervous System/pathology , Child , Child, Preschool , Humans , Immunophenotyping , Infant , Leukocyte Count , Ploidies , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/diagnosis , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/genetics , Precursor B-Cell Lymphoblastic Leukemia-Lymphoma/pathology , Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/classification , Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/pathology , Precursor T-Cell Lymphoblastic Leukemia-Lymphoma/therapy , Prognosis , Racial Groups , Risk Factors , Sex Factors , Survival Rate , T-Lymphocytes/metabolism , T-Lymphocytes/pathology , Translocation, Genetic/genetics , Treatment Outcome
18.
J Leukoc Biol ; 65(1): 127-36, 1999 Jan.
Article in English | MEDLINE | ID: mdl-9886255

ABSTRACT

In normal lymphocytes an inside-out signal up-regulating integrin adhesion is followed by a ligand-mediated outside-in cell spreading signal. Protein kinase C (PKC) inhibition blocks lymphocyte adherence to and spreading on fibronectin. In contrast, putative PLC inhibitors yield distinct differences with respect to adhesion and morphology. The phosphatidylinositol-specific phospholipase C (PLC) inhibitor neomycin blocked spreading of CD3/CD28-activated T cells on fibronectin by disrupting adhesion. Furthermore, when an additional inside-out signal for fibronectin adhesion is unnecessary such as with HPB-ALL T leukemic or phorbol-myristate-acetate-treated normal T cells, neomycin treatment does not alter adhesion or morphology. However, the phosphatidylcholine-specific PLC inhibitor D609 abrogates cell spreading without affecting adhesion to fibronectin in these cells as well as the CD3/CD28-activated T cells. These results strongly suggest that inside-out signaling for the integrin alpha4beta1 in lymphocytes proceeds through phosphatidylinositol-specific PLC and PKC, whereas the outside-in signal utilizes phosphatidylcholine-specific PLC and PKC.


Subject(s)
Integrins/physiology , T-Lymphocytes/physiology , Type C Phospholipases/metabolism , Alkaloids , Benzophenanthridines , Bridged-Ring Compounds/pharmacology , Cell Adhesion/drug effects , Cell Adhesion/physiology , Enzyme Inhibitors/pharmacology , Fibronectins/metabolism , Humans , Leukemia, T-Cell/pathology , Lymphocyte Activation/drug effects , Lymphocyte Activation/physiology , Neomycin/pharmacology , Norbornanes , Phenanthridines/pharmacology , Phosphodiesterase Inhibitors/pharmacology , Protein Kinase C/antagonists & inhibitors , Protein Synthesis Inhibitors/pharmacology , Sensitivity and Specificity , Signal Transduction/drug effects , Signal Transduction/physiology , Substrate Specificity , T-Lymphocytes/cytology , T-Lymphocytes/enzymology , Thiocarbamates , Thiones/pharmacology , Tumor Cells, Cultured , Type C Phospholipases/antagonists & inhibitors
19.
J Leukoc Biol ; 59(6): 872-82, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8691073

ABSTRACT

Intercellular adhesion of Jurkat lymphocytic cells was investigated by use of monoclonal antibodies 33B6 and 18D3, which bind to the beta1 integrin receptor. 33B6 induced homotypic aggregation of Jurkat cells, whereas 18D3 inhibited this aggregation. Jurkat cells could he induced to aggregate at low 33B6 concentrations corresponding to 5% beta1 integrin site occupancy, and the rate of aggregation was maximum at 30% occupancy. Simultaneous addition of mAb 18D3 and 33B6 demonstrated that the two antibodies mediate changes in the beta1 integrin activation state that are competitive in nature. Aggregation through beta1 integrin induced by 33B6 was reversed by subsequent addition of 18D3. To further examine the mechanism by which 33B6 and 18D3 affect cell adhesion function, we explored the binding of monoclonal antibody (mAb) 15/7. This mAb recognizes an activation epitope of the beta1 integrin and has been shown to sustain cell adhesion to vascular cell adhesion molecule 1 (VCAM-1) and fibronectin. Activation of Jurkat cells with Mn2+ caused a 2.5-fold increase in 15/7 binding but did not increase binding of 33B6. 33B6 partially blocked 15/7 binding to beta1 integrin on unstimulated and Mn2+-activated Jurkat cells. 18D3 did not affect mAb 15/7 binding. These results indicate that 33B6 and 18D3 modulated homotypic aggregation by inducing a novel activation state of the very late activation integrin distinct from the state recognized by 15/7, which supports cell binding to VCAM-1 and fibronectin.


Subject(s)
Integrin beta1/physiology , T-Lymphocytes/physiology , Antibodies, Monoclonal/immunology , Cell Aggregation , Cell Line , Epitopes , Flow Cytometry , Humans , Integrin beta1/immunology
20.
J Leukoc Biol ; 52(4): 456-62, 1992 Oct.
Article in English | MEDLINE | ID: mdl-1383369

ABSTRACT

The beta 1 integrin VLA-4 (alpha 4 beta 1, CD49d/CD29), which is expressed on a large subpopulation of peripheral blood T lymphocytes, functions as a receptor for the endothelial adhesion protein VCAM-1 and the extracellular matrix protein fibronectin. Previous studies showed that immobilized fibronectin enhanced anti-CD3 monoclonal antibody (mAb)-induced T cell proliferation through binding to the integrins VLA-4 and VLA-5 (alpha 5 beta 1, CD49e/CD29). We studied the ability of the anti-CD49d mAb L25 to potentiate proliferation. T cell proliferation was induced by subthreshold concentrations of anti-CD3 mAb (mAb OKT3) coimmobilized with mAb L25 but not with coimmobilized anti-CD29 (beta 1) mAb. Soluble anti-CD29 mAb inhibited the proliferation induced by coimmobilized mAb OKT3 and L25 but not proliferation induced by mAb OKT3 with PMA or coimmobilized anti-CD26 mAb.


Subject(s)
Antigens, CD/immunology , Integrin alpha Chains , Integrins/immunology , Lymphocyte Activation/physiology , Receptors, Very Late Antigen/immunology , CD3 Complex/immunology , Cell Adhesion/physiology , Fibronectins/pharmacology , Humans , Integrin beta1 , Lymphocyte Activation/immunology , Macromolecular Substances , T-Lymphocytes/immunology , T-Lymphocytes/physiology
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