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1.
Diabet Med ; 33(8): 1118-24, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-26173591

RESUMEN

AIMS: To examine if a simple biomarker can identify people with diabetes who are at high risk of atrial fibrillation. METHODS: A retrospective cohort study was conducted at a single centre in people with Type 2 diabetes referred to our department between January 2000 and December 2007. In 517 consecutive people without any history, signs or symptoms of atrial fibrillation at baseline, the association between baseline B-type natriuretic peptide level and future atrial fibrillation incidence was examined, with adjustments for other potentially confounding factors. RESULTS: A total of 28 people were diagnosed with new-onset atrial fibrillation during a median 6-year follow-up. When people were categorized into three groups according to B-type natriuretic peptide clinical thresholds (20 and 100 pg/ml), hazard ratios for the development of atrial fibrillation in the middle and highest B-type natriuretic peptide groups were 2.8 and 9.4, respectively, compared with the lowest B-type natriuretic peptide group. Time-dependent receiver-operating curve analysis identified a threshold for B-type natriuretic peptide to detect atrial fibrillation development of 52.8 pg/ml (sensitivity 75.2%, specificity 68.8%). The B-type natriuretic peptide predictive value was independent of and similar to that of left atrial size and ventricular dimension. CONCLUSION: In people with Type 2 diabetes, high baseline B-type natriuretic peptide levels were significantly associated with future atrial fibrillation development.


Asunto(s)
Fibrilación Atrial/sangre , Diabetes Mellitus Tipo 2/sangre , Péptido Natriurético Encefálico/sangre , Anciano , Fibrilación Atrial/epidemiología , Estudios de Cohortes , Diabetes Mellitus Tipo 2/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Modelos de Riesgos Proporcionales , Estudios Retrospectivos
2.
Br J Cancer ; 111(12): 2229-34, 2014 Dec 09.
Artículo en Inglés | MEDLINE | ID: mdl-25255100

RESUMEN

BACKGROUND: The most significant problem of intra-arterial chemotherapy for advanced paranasal sinus carcinomas and residual cancers supplied by internal carotid artery (ICA) and involving the skull base is the lack of salvage therapies. OBJECTIVE: The objective of the study was to evaluate the usefulness of intra-arterial chemotherapy including ICA infusion for treating advanced paranasal sinus carcinomas, which have invaded the skull base. METHODS: Forty-six patients with advanced paranasal sinus carcinomas supplied by ICA were treated by intra-arterial chemotherapy using CDDP and sodium thiosulphate (STS) as a neutraliser of CDDP toxicity. After evaluating CT angiography, 150 mg m(-2) of CDDP was superselectively administered weekly to each feeding artery including ICA four times. RESULTS: The 10-year overall survival rate and progression-free survival rate were 70.7 and 60.2%, respectively. Compared with control group without infusing ICA, recurrences at anterior skullbase or anterior ethomoid sinus were significantly diminished. Of 32 patients in which the orbital apex had been invaded, 29 patients were treated with successful preservation of orbital contents. The CT angiography could efficiently determine all feeding arteries supplying the cancers. Consequently, chemotherapy could be administered on schedule, and side effects were minimal and acceptable. CONCLUSIONS: This new method has promising applications in the treatment of advanced paranasal sinus carcinomas involving the skull base.


Asunto(s)
Antineoplásicos/administración & dosificación , Cisplatino/administración & dosificación , Neoplasias de los Senos Paranasales/tratamiento farmacológico , Adulto , Anciano , Anciano de 80 o más Años , Arteria Carótida Interna , Supervivencia sin Enfermedad , Femenino , Humanos , Infusiones Intraarteriales , Masculino , Persona de Mediana Edad
3.
Vet Rec ; 162(15): 471-4, 2008 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-18408194

RESUMEN

The reactivity of the proline-glutamic acid-proline-lysine (PEPK) repetition peptide antigen in 3176 serum samples was investigated to evaluate its utility as an antigen for the serological diagnosis of strangles. The reactivity of the sera of horses infected with Streptococcus equi subspecies equi was high when the peptide had several PEPK repetitions. However, as the number of PEPK repetitions increased, the reactivity of the antigen with the sera of horses infected with Streptococcus equi subspecies zooepidemicus also increased. In horses infected experimentally with S equi, the reactivity of the PEPK antigen with five repetitions increased one week after inoculation and continued to increase during the following four weeks. The optical density (OD) values of test sera from horses infected experimentally with S equi and sera from horses that had recovered from strangles were high. The od values of sera from horses that had recovered from an experimental infection with S zooepidemicus and of sera from healthy horses were comparatively low.


Asunto(s)
Anticuerpos Antibacterianos/sangre , Antígenos Bacterianos/inmunología , Enfermedades de los Caballos/diagnóstico , Infecciones Estreptocócicas/veterinaria , Streptococcus equi/inmunología , Análisis de Varianza , Animales , Ensayo de Inmunoadsorción Enzimática , Ácido Glutámico/inmunología , Enfermedades de los Caballos/sangre , Enfermedades de los Caballos/microbiología , Caballos , Sueros Inmunes/inmunología , Japón , Lisina/inmunología , Péptidos/inmunología , Prolina/inmunología , Infecciones Estreptocócicas/sangre , Infecciones Estreptocócicas/diagnóstico , Streptococcus equi/aislamiento & purificación
4.
Mol Cell Biol ; 21(1): 100-8, 2001 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-11113185

RESUMEN

The telomere of the silkworm Bombyx mori consists of (TTAGG/CCTAA)(n) repeats and harbors a large number of telomeric repeat-specific non-long terminal repeat retrotransposons, such as TRAS1 and SART1. To understand how these retrotransposons recognize and integrate into the telomeric repeat in a sequence-specific manner, we expressed the apurinic-apryrimidinic endonuclease-like endonuclease domain of TRAS1 (TRAS1 EN), which is supposed to digest the target DNA, and characterized its enzymatic properties. Purified TRAS1 EN could generate specific nicks on both strands of the telomeric repeat sequence between T and A of the (TTAGG)(n) strand (bottom strand) and between C and T of the (CCTAA)(n) strand (top strand). These sites are consistent with insertion sites expected from the genomic structure of boundary regions of TRAS1. Time course studies of nicking activities on both strands revealed that the cleavages on the bottom strand preceded those on the top strand, supporting the target-primed reverse transcription model. TRAS1 EN could cleave the telomeric repeats specifically even if it was flanked by longer tracts of nontelomeric sequence, indicating that the target site specificity of the TRAS1 element was mainly determined by its EN domain. Based on mutation analyses, TRAS1 EN recognizes less than 10 bp around the initial cleavage site (upstream 7 bp and downstream 3 bp), and the GTTAG sequence especially is essential for the cleavage reaction on the bottom strand (5'. TTAGGTT downward arrow AGG. 3'). TRAS1 EN, the first identified endonuclease digesting telomeric repeats, may be used as a genetic tool to shorten the telomere in insects and some other organisms.


Asunto(s)
Bombyx/enzimología , Endonucleasas/metabolismo , Secuencias Repetitivas de Ácidos Nucleicos/genética , Retroelementos , Telómero/genética , Telómero/metabolismo , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Bombyx/genética , Clonación Molecular , ADN/genética , ADN/metabolismo , Endonucleasas/química , Endonucleasas/genética , Escherichia coli/genética , Cinética , Datos de Secuencia Molecular , Mutación , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Especificidad por Sustrato , Secuencias Repetidas Terminales
5.
Vet Rec ; 161(10): 342-6, 2007 Sep 08.
Artículo en Inglés | MEDLINE | ID: mdl-17827474

RESUMEN

An eight-year-old thoroughbred mare with no previous history of illness aborted a fetus at 196 days of gestation, and its internal tissues were examined immunohistologically and bacteriologically. The placenta was not examined, but specimens of the intrauterine fluids and the dam's faeces were collected four days after the abortion and examined bacteriologically. No significant histological lesions were found in the fetus but the amnion and the umbilical cord were oedematous and had petechial haemorrhages. Rhodococcus equi was isolated in pure culture from the lung, heart and stomach contents of the fetus and from an intrauterine specimen and faeces of the dam. The anti-R equi antibody titre of the mare was high after the abortion. The diagnosis was confirmed in the lung of the fetus by immunohistochemical staining with R equi-specific antibodies. Isolates from the fetus and mare were identified as avirulent R equi by pcr and the mouse pathogenicity test. The avirulent isolates were characterised by pulsed-field gel electrophoresis, which yielded only one VspI profile in all the isolates from the fetus and its dam.


Asunto(s)
Aborto Veterinario/microbiología , Infecciones por Actinomycetales/veterinaria , Anticuerpos Antibacterianos/sangre , Enfermedades de los Caballos/microbiología , Complicaciones Infecciosas del Embarazo/veterinaria , Rhodococcus equi/aislamiento & purificación , Feto Abortado/microbiología , Aborto Veterinario/patología , Animales , Heces/microbiología , Femenino , Enfermedades de los Caballos/patología , Caballos , Inmunohistoquímica/veterinaria , Embarazo , Rhodococcus equi/inmunología , Rhodococcus equi/patogenicidad
6.
Circ Res ; 88(6): 578-86, 2001 Mar 30.
Artículo en Inglés | MEDLINE | ID: mdl-11282891

RESUMEN

Although immunoapheresis removing autoantibodies against the second extracellular domain of beta(1)-adrenergic receptors (ARs) improves cardiac function in patients with cardiomyopathy, the underlying mechanisms have not been defined. We examined the role of autoimmunity against the domain in the development of cardiac dysfunction in vivo. Japanese white rabbits were immunized with a synthetic peptide corresponding to the second extracellular loop of beta(1)-AR once a month with (beta+biso rabbits, n=10) or without (beta rabbits, n=13) bisoprolol treatment (2 mg/kg per day). Control rabbits received vehicle without bisoprolol treatment (n=13). Autoantibodies of IgG isotype against the domain were persistently detected in beta and beta+biso rabbits. Purified IgG from sera of beta and beta+biso rabbits increased cAMP production in a rabbit cardiac membrane preparation, which was blocked by bisoprolol. At 3 months, beta-AR uncoupling with increased G protein-coupled receptor kinase 5 (GRK5) expression was found in beta rabbits. At 6 months, left ventricular hypertrophy was noted with hemodynamic derangements in beta rabbits. This was accompanied by decreased beta(1)-AR density and increased inhibitory G protein and GRK5 expression, which were related to marked decrease in membrane cAMP production. These changes in beta rabbits at 6 months were prevented in beta+biso rabbits. There was no difference in the plasma norepinephrine concentration in the 3 groups over the observation period. Thus, autoimmunity against the second extracellular loop of beta(1)-ARs induced profound beta-AR desensitization and myocardial hypertrophy in vivo, associated with cardiac dysfunction. Sustained sympathomimetic-like actions of autoantibodies against the domain may be partly responsible for these changes.


Asunto(s)
Cardiomegalia/fisiopatología , Fragmentos de Péptidos/inmunología , Receptores Adrenérgicos beta 1/inmunología , Agonistas Adrenérgicos beta/farmacología , Secuencia de Aminoácidos , Animales , Unión Competitiva/genética , Western Blotting , Cardiomegalia/inmunología , AMP Cíclico/metabolismo , Proteínas Quinasas Dependientes de AMP Cíclico/metabolismo , Relación Dosis-Respuesta a Droga , Ecocardiografía , Quinasa 5 del Receptor Acoplado a Proteína-G , Proteínas de Unión al GTP/metabolismo , Ventrículos Cardíacos/inmunología , Ventrículos Cardíacos/patología , Ventrículos Cardíacos/fisiopatología , Inmunoglobulina G/administración & dosificación , Inmunoglobulina G/sangre , Inmunoglobulina G/inmunología , Isoproterenol/farmacología , Masculino , Membranas/efectos de los fármacos , Membranas/metabolismo , Datos de Secuencia Molecular , Fragmentos de Péptidos/administración & dosificación , Fragmentos de Péptidos/sangre , Proteínas Serina-Treonina Quinasas/metabolismo , Conejos , Ensayo de Unión Radioligante , Receptores Adrenérgicos beta 1/química , Quinasas de Receptores Adrenérgicos beta
7.
J Natl Cancer Inst ; 54(5): 1051-9, 1975 May.
Artículo en Inglés | MEDLINE | ID: mdl-165303

RESUMEN

Sera obtained from 15 patients with cervical cancer, 10 patients with breast cancer, and 15 control women, individually matched with the cervical cancer patients, were examined for antibodies to early proteins synthesized in herpes simplex virus type 2 (HSV-2)-infected cells. The method used was an indirect radioimmune precipitation test followed by polyacrylamide gel electrophoretic analysis of immune precipitates. The relative reactivity to a major early nonstructural protein (VP134) was used to compare these selected sera. The results obtained suggest that cervical cancer patients possess sera with a higher reactivity to VP134 than breast cancer patients or matched healthy women,and that serum reactivity is independent of the level of neutralizing antibodies to HSV-2.


Asunto(s)
Anticuerpos Antivirales/análisis , Simplexvirus/inmunología , Neoplasias del Cuello Uterino/inmunología , Proteínas Virales/inmunología , Neoplasias de la Mama/inmunología , Ensayos Clínicos como Asunto , Electroforesis en Gel de Poliacrilamida , Femenino , Humanos , Pruebas de Neutralización , Pruebas de Precipitina , Radioinmunoensayo
8.
Vet Rec ; 159(19): 629-32, 2006 Nov 04.
Artículo en Inglés | MEDLINE | ID: mdl-17088298

RESUMEN

The reactivity of synthesised peptide sets for the M-like proteins SeM and SzPSe with sera from horses infected with Streptococcus equi or Streptococcus zooepidemicus, or control horses, was investigated by an ELISA. Seventeen horses were infected experimentally with S equi or S zooepidemicus, convalescent sera were obtained from 25 horses and control sera were obtained from 1945 horses. The serum antibody responses of individual horses to the peptide sets were highly variable. Some of the peptide sets for SeM reacted strongly with the sera from the horses infected experimentally with S equi, but also reacted with sera from some of the horses infected experimentally with S zooepidemicus. However, the proline-glutamic acid-proline-lysine (PEPK) repeats peptide set, synthesised from the PEPK repeats areas of SzPSe, reacted most strongly with the sera from the horses infected experimentally with S equi and the horses convalescing from strangles, and reacted only minimally with the sera from the horses infected experimentally with S zooepidemicus and the control horses.


Asunto(s)
Antígenos Bacterianos/inmunología , Enfermedades de los Caballos/diagnóstico , Infecciones Estreptocócicas/veterinaria , Streptococcus equi/inmunología , Animales , Antígenos Bacterianos/sangre , Proteínas de la Membrana Bacteriana Externa , Proteínas Bacterianas/inmunología , Convalecencia , Ensayo de Inmunoadsorción Enzimática/métodos , Ensayo de Inmunoadsorción Enzimática/veterinaria , Enfermedades de los Caballos/sangre , Caballos , Infecciones Estreptocócicas/sangre , Infecciones Estreptocócicas/diagnóstico , Factores de Tiempo
9.
Cancer Res ; 36(2 pt 2): 845-56, 1976 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-175946

RESUMEN

Virus-induced polypeptides of cells infected by herpes simplex virus (HSV) types 1 and 2 were investigated by analysis on polyacrylamide gels and by determination of their antigenicity. Some polypeptides, VP154 and VP134, had immunological reactivity common to both virus types, while others (VP175 and VP123) were type specific. Only the glycosylated polypeptides were able to induce neutralizing antibody. The expression of viral genetic information was studied in newborn mice infected with wild-type and ts mutant viruses; some mutants had become attenuated and had lost pathogenicity for newborn mice while others had not. From induction experiments in HSV=transformed hamster cells, it appears that detection of enhanced replication of ts mutants in human cancer cells would be an indication of resident HSV genetic information. Sera obtained from cancer patients were examined for antibodies to early proteins synthesized in HSV-infected cells. The method used was an indirect radioimmune precipitation test followed by polyacrylamide gel electrophoretic analysis of immune precipitates. Cervical cancer patients had sera with a higher reactivity to early nonstructural polypeptides than to breast cancer patients or to matched healthy women. In contrast to the results with early polypeptides, little difference was detectable between the matched sera in their reactivity with a major capsid polypeptide, which is synthesized late in the infectious cycle.


Asunto(s)
Simplexvirus , Neoplasias del Cuello Uterino/etiología , Proteínas Virales/análisis , Animales , Anticuerpos Antivirales/análisis , Antígenos Virales/análisis , Transformación Celular Neoplásica , Femenino , Humanos , Ratones , Mutación , Fenotipo , Pruebas de Precipitina , Biosíntesis de Proteínas , Radioinmunoensayo , Simplexvirus/patogenicidad , Neoplasias del Cuello Uterino/inmunología , Virulencia , Replicación Viral
10.
Kyobu Geka ; 59(3): 225-8, 2006 Mar.
Artículo en Japonés | MEDLINE | ID: mdl-16528996

RESUMEN

A 71-year-old man was admitted to our hospital with acute myocardial infarction and cardiac tamponade. After pericardial drainage, his hemodynamics was improved. Because more than 3 days had been passed after the onset of myocardial infarction and he had severe renal dysfunction, emergent coronary angiography (CAG) was not performed. After improvement of his general status, coronary angiography and percutaneous catheter intervention was carried out, and his course was uneventful. But transthoracic echocardiography before discharge revealed a giant posterior psudoaneurysm. Patch closure and coronary artery bypass grafting was carried out under cardiopulmonary bypass, and postoperative course was uneventful. Postoperative left ventriculogram revealed disappearance of pseudoaneurysm, but relatively large akinetic area of posterior-inferior wall was left around a patch. Pseudo-false aneurysm was diagnosed by histological examination.


Asunto(s)
Aneurisma Falso/etiología , Aneurisma Cardíaco/etiología , Infarto del Miocardio/complicaciones , Anciano , Aneurisma Falso/diagnóstico , Aneurisma Falso/cirugía , Procedimientos Quirúrgicos Cardíacos , Taponamiento Cardíaco/complicaciones , Aneurisma Cardíaco/diagnóstico , Aneurisma Cardíaco/cirugía , Ventrículos Cardíacos , Humanos , Masculino
11.
J Clin Oncol ; 3(8): 1101-4, 1985 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-3874932

RESUMEN

A randomized two-arm study was undertaken to determine relative tumoricidal effects of intra-arterial cis-diamminedichloroplatinum II (I/A-CDP) and high-dose methotrexate with citrovorum factor rescue (MTX-CF) in the treatment of the primary tumor in patients with osteosarcoma. Responses were evaluated by clinical, radiographic, angiographic, and pathologic parameters. Fifteen patients were randomized to receive MTX-CF and 15 to I/A-CDP. In the MTX-CF arm there were four responses (three complete responses, one partial response) whereas in the I/A CDP arm there were nine responses (seven complete responses, two partial responses). Two patients who failed MTX-CF and requested alternative treatment with I/A-CDP also responded. The total I/A-CDP response was 11/17.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Cisplatino/uso terapéutico , Osteosarcoma/tratamiento farmacológico , Adolescente , Protocolos de Quimioterapia Combinada Antineoplásica/efectos adversos , Neoplasias Óseas/tratamiento farmacológico , Neoplasias Óseas/cirugía , Niño , Preescolar , Cisplatino/administración & dosificación , Cisplatino/efectos adversos , Humanos , Infusiones Intraarteriales , Leucovorina/administración & dosificación , Neoplasias Pulmonares/secundario , Metotrexato/administración & dosificación , Osteosarcoma/secundario , Osteosarcoma/cirugía , Distribución Aleatoria
12.
J Am Coll Cardiol ; 37(2): 418-24, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11216956

RESUMEN

OBJECTIVES: We sought to define the clinical and long-term prognostic implications of autoantibodies that act against the second extracellular loop of beta1-adrenergic receptors (ARs) in patients with idiopathic dilated cardiomyopathy (IDC). BACKGROUND: Although autoantibodies directed against various domains of beta-ARs are found in patients with IDC, only a subgroup against the second extracellular domain of beta1-ARs exerts intrinsic sympathomimetic-like actions on human beta-ARs. It is suggested that the autoantibodies take part in the pathophysiology of IDC and may affect long-term prognosis of patients with this disorder. METHODS: Sera from 104 patients with IDC were screened for autoantibodies that act against the second extracellular loop of beta1-ARs by enzyme-linked immunosorbent assay, using a synthetic peptide corresponding to the domain. Relations of the autoantibodies to clinical variables and long-term prognosis were assessed by multivariate analysis. RESULTS: Autoantibodies were detected in 40 patients (38%). Multifocal ventricular premature contractions (p < 0.01) and ventricular tachycardia (VT; p < 0.01) were more common in autoantibody-positive than in autoantibody-negative patients, although no differences in cardiac function or neurohormonal levels were demonstrated. The presence of autoantibodies (p = 0.001) and a low left ventricular ejection fraction (LVEF <30%; p = 0.02) were independent predictors of VT. Sudden death was independently predicted by the presence of autoantibodies (p = 0.03), as well as by LVEF <30% (p = 0.01), whereas total mortality was predicted only by LVEF <30% (p = 0.001). CONCLUSIONS: Autoantibodies directed against the second extracellular loop of beta1-ARs were closely related to serious ventricular arrhythmias in patients with IDC, and the presence of autoantibodies independently predicted sudden death. These autoantibodies may contribute to electrical instability in patients with IDC.


Asunto(s)
Autoanticuerpos/sangre , Cardiomiopatía Dilatada/inmunología , Muerte Súbita Cardíaca/etiología , Receptores Adrenérgicos beta 1/inmunología , Taquicardia Ventricular/inmunología , Adulto , Anciano , Cardiomiopatía Dilatada/epidemiología , Muerte Súbita Cardíaca/epidemiología , Matriz Extracelular/inmunología , Femenino , Ventrículos Cardíacos/inmunología , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Pronóstico , Taquicardia Ventricular/mortalidad
13.
J Am Coll Cardiol ; 26(2): 319-27, 1995 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-7608430

RESUMEN

OBJECTIVES: The purpose of this study was to assess the prognostic significance of preinfarction angina after a first Q wave myocardial infarction. Patients with anterior or inferior myocardial infarction were compared. BACKGROUND: The effect of preinfarction angina on prognosis after anterior and inferior myocardial infarction remains unclear. METHODS: A total of 291 patients with a first Q wave anterior (n = 171) or inferior (n = 120) myocardial infarction were examined to assess the effect of preinfarction angina on short- and long-term prognosis. The relation between predischarge left ventriculographic findings and preinfarction angina was also examined. RESULTS: The presence of preinfarction angina was associated with lower peak creatine kinase activity, a lower in-hospital incidence of sustained ventricular tachycardia and fibrillation and a lower incidence of pump failure and cardiac mortality in patients with either anterior or inferior infarction. Among patients with anterior infarction, preinfarction angina was associated with a lower incidence of cardiac rupture and less need for readmission for heart failure within 1 year after the onset of infarction. In this subgroup it was also associated with a higher ejection fraction, a smaller end-diastolic volume and a lower incidence of aneurysm formation noted on ventriculography during convalescence. In patients with inferior infarction, these variables did not differ significantly in the presence or absence of preinfarction angina. Multivariate analysis confirmed that the presence of preinfarction angina was an independent predictor of development of ventricular aneurysm, late phase heart failure and 1-year cardiac mortality. CONCLUSIONS: The presence of preinfarction angina has a favorable effect on infarct expansion and late phase left ventricular function, especially in patients with anterior myocardial infarction. The mechanisms responsible for this phenomenon are not known but may be secondary to limitations of infarct size through unidentified mechanisms other than collateralization (e.g., ischemic preconditioning).


Asunto(s)
Angina Inestable/fisiopatología , Infarto del Miocardio/fisiopatología , Función Ventricular Izquierda/fisiología , Adulto , Anciano , Anciano de 80 o más Años , Distribución de Chi-Cuadrado , Factores de Confusión Epidemiológicos , Angiografía Coronaria , Femenino , Mortalidad Hospitalaria , Humanos , Modelos Logísticos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/complicaciones , Infarto del Miocardio/mortalidad , Infarto del Miocardio/patología , Valor Predictivo de las Pruebas , Pronóstico
14.
J Am Coll Cardiol ; 28(5): 1314-22, 1996 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-8890832

RESUMEN

OBJECTIVES: The purpose of this study was to assess the effect of myocardial sympathetic denervation on the chamber-specific alteration of beta-adrenergic signaling in left ventricular failure in rabbits. BACKGROUND: Local abnormalities in sympathetic nerve terminals, including the neuronal reuptake of norepinephrine, are thought to be responsible for the chamber-specific regulation of beta-adrenergic signaling in heart failure. METHODS: Sixteen rabbits were given 6-hydroxydopamine, 25 mg/kg body weight intravenously on days 1 and 2 and 50 mg/kg intravenously on days 7 and 8. Another 16 rabbits received vehicle. Aortic regurgitation was induced in eight of the 6-hydroxydopamine-treated and eight of the vehicle-treated rabbits on day 14. Another eight of the 6-hydroxydopamine-treated and eight of the vehicle-treated rabbits underwent a sham operation. The hearts were excised for biochemical analysis on day 21. RESULTS: Hemodynamic characteristics on day 21 showed left ventricular failure in both the aortic regurgitation groups. The plasma norepinephrine concentration on day 21 was higher in both the aortic regurgitation groups than in the sham groups. The beta-adrenoceptor densities and isoproterenol plus 5'-guanylylimidodiphosphate-, 5'-guanylylimidodiphosphate- and sodium fluoride-stimulated adenylyl cyclase activities were decreased only in the failing left ventricle of the vehicle-pretreated aortic regurgitation group, but in both ventricles of the 6-hydroxydopamine-pretreated aortic regurgitation group. The basal and forskolin-stimulated adenylyl cyclase activities were similar in both the aortic regurgitation groups and in the sham groups. CONCLUSIONS: Sympathetic denervation prevented chamber-specific alterations in beta-adrenergic signaling in acute left ventricular failure. Local loss of sympathetic nerve endings, and especially the defective neuronal norepinephrine reuptake, are likely to be responsible for the chamber-specific alteration of the beta-adrenoceptor-G protein-adenylyl cyclase system in heart failure in rabbits.


Asunto(s)
Insuficiencia de la Válvula Aórtica/complicaciones , Gasto Cardíaco Bajo/fisiopatología , Sistema de Conducción Cardíaco/fisiopatología , Receptores Adrenérgicos beta/fisiología , Transducción de Señal , Adenilil Ciclasas/metabolismo , Animales , Gasto Cardíaco Bajo/etiología , Femenino , Hemodinámica , Miocardio/metabolismo , Norepinefrina/sangre , Norepinefrina/metabolismo , Conejos , Receptores Adrenérgicos beta/metabolismo , Simpatectomía , Función Ventricular Izquierda
15.
Cytogenet Genome Res ; 110(1-4): 181-92, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16093671

RESUMEN

The genomic sequences within the alpha-block (approximately 288-310 kb) of the human and chimpanzee MHC class I region contains ten MHC class I genes and three MIC gene fragments grouped together within alternating duplicated genomic segments or duplicons. In this study, the chimpanzee and human genomic sequences were analyzed in order to determine whether the remnants of the ERVK9 and other retrotransposon sequences are useful genomic markers for reconstructing the evolutionary history of the duplicated MHC gene families within the alpha-block. A variety of genes, pseudogenes, autologous DNA transposons and retrotransposons such as Alu and ERVK9 were used to categorize the ten duplicons into four distinct structural groups. The phylogenetic relationship of the ten duplicons was examined by using the neighbour joining method to analyze transposon sequence topologies of selected Alu members, LTR16B and Charlie9. On the basis of these structural groups and the phylogeny of the duplicated transposon sequences, a duplication model was reconstructed involving four multipartite tandem duplication steps to explain the organization and evolution of the ten duplicons within the alpha-block of the chimpanzee and human. The phylogenetic analysis and inferred duplication history suggests that the Patr/HLA-F was the first MHC class I gene to have been fixed and not required as a precursor for further duplication within the alpha-block of the ancestral species.


Asunto(s)
Elementos Transponibles de ADN , Evolución Molecular , Antígenos de Histocompatibilidad Clase I/genética , Complejo Mayor de Histocompatibilidad , Retroelementos , Animales , Centrómero/genética , Mapeo Cromosómico , Duplicación de Gen , Genes Duplicados , Antígenos HLA/genética , Humanos , Familia de Multigenes , Pan troglodytes , Filogenia , Telómero/genética
16.
Am J Cardiol ; 74(8): 755-9, 1994 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-7942543

RESUMEN

The prognostic significance of angina pectoris before the development of first Q-wave anterior wall acute myocardial infarction (AMI) was assessed in 153 patients. A total of 100 patients in this study had angina before Q-wave AMI, whereas 53 patients had no antecedent symptoms of angina. The presence of angina before AMI was associated with a lower incidence of complications including sustained ventricular tachycardia or fibrillation (7% vs 25%, p = 0.0022), pump failure (24% vs 47%, p = 0.0035), cardiac rupture (1% vs 17%, p = 0.0001), and a lower in-hospital mortality rate (11% vs 28%, p = 0.0067). The peak creatine phosphokinase activity was lower in patients with than without antecedent angina (1,727 +/- 1,238 vs 2,675 +/- 2,569 IU/liter, respectively, p = 0.023). There was no difference in the prevalence of multivessel coronary artery disease or the presence of collateral circulation between the 2 groups. Left ventriculography revealed a higher left ventricular ejection fraction (54 +/- 13% vs 46 +/- 11%, p = 0.034) and smaller left ventricular end-diastolic volumes (75 +/- 15 vs 86 +/- 18 ml/m2, p = 0.017) in patients with than without antecedent angina. These findings suggest that the presence of angina before AMI may be associated with a protective effect on left ventricular function during anterior wall AMI. Although the precise mechanisms underlying the beneficial effects are unknown, they may be related to the development of collateral channels or ischemic preconditioning.


Asunto(s)
Angina de Pecho/complicaciones , Infarto del Miocardio/fisiopatología , Función Ventricular Izquierda , Adulto , Anciano , Anciano de 80 o más Años , Angina de Pecho/fisiopatología , Circulación Colateral , Electrocardiografía , Femenino , Mortalidad Hospitalaria , Humanos , Masculino , Persona de Mediana Edad , Infarto del Miocardio/etiología , Infarto del Miocardio/mortalidad , Pronóstico
17.
Biomaterials ; 21(14): 1471-81, 2000 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-10872776

RESUMEN

Platelet adhesion and spreading is suppressed when a poly(2-methoxyethylacrylate) (PMEA) surface is used, compared with other polymer surfaces. To clarify the reason for this suppression, the relationship among the amount of the plasma protein adsorbed onto PMEA, its secondary structure and platelet adhesion was investigated. Poly(2-hydroxyethylmethacrylate) (PHEMA) and polyacrylate analogous were used as references. The amount of protein adsorbed onto PMEA was very low and similar to that absorbed onto PHEMA. Circular dichroism (CD) spectroscopy was applied to examine changes in the secondary structure of the proteins after adsorption onto the polymer surface. The conformation of the proteins adsorbed onto PHEMA changed considerably, but that of proteins adsorbed onto PMEA differed only a little from the native one. These results suggest that low platelet adhesion and spreading are closely related to the low degree of the denaturation of the protein adsorbed onto PMEA. PMEA could be developed as a promising material to produce a useful blood-contacting surface for medical devices.


Asunto(s)
Acrilatos/química , Acrilatos/metabolismo , Materiales Biocompatibles , Proteínas Sanguíneas/metabolismo , Adhesividad Plaquetaria , Polímeros/química , Polímeros/metabolismo , Adsorción , Materiales Biocompatibles/química , Plaquetas/fisiología , Plaquetas/ultraestructura , Proteínas Sanguíneas/química , Dicroismo Circular , Humanos , Técnicas In Vitro , Cinética , Microscopía Electrónica de Rastreo , Polihidroxietil Metacrilato/química , Unión Proteica , Estructura Secundaria de Proteína , Albúmina Sérica Bovina/química , Albúmina Sérica Bovina/metabolismo
18.
Arch Dermatol ; 125(4): 531-5, 1989 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-2930210

RESUMEN

A newly recognized disorder of black scalp hair is characterized by the irregularly alternating segmentation of hair into dark and light bands. A 15-year-old girl had segmented heterochromic scalp hair in association with iron-deficiency anemia. The clinical and laboratory investigations support the view that low serum iron levels play a critical role in reducing eumelanogenesis and in the possible failure of melanin transfer. The segmented heterochromic hair recovered completely after iron supplementation, which coincided with increased eumelanogenesis in the recovered hair. This clinical experience indicated participation of iron in the kinetics of melanogenesis within the follicular melanocytes.


Asunto(s)
Anemia Hipocrómica/complicaciones , Color del Cabello , Enfermedades del Cabello/etiología , Adolescente , Anemia Hipocrómica/tratamiento farmacológico , Microanálisis por Sonda Electrónica , Femenino , Cabello/metabolismo , Cabello/patología , Cabello/ultraestructura , Enfermedades del Cabello/metabolismo , Enfermedades del Cabello/patología , Humanos , Melaninas/metabolismo , Microscopía/métodos
19.
Int J Cardiol ; 75(2-3): 253-60, 2000 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-11077143

RESUMEN

BACKGROUND: No-reflow phenomenon after primary coronary angioplasty is associated with poorer left ventricular (LV) function and prognosis after acute myocardial infarction (AMI). The purpose of this study was to determine the clinical significance of preinfarction angina in the no-reflow phenomenon. METHODS AND RESULTS: A total of 40 patients with first anterior AMI were examined. All patients underwent primary balloon angioplasty or stenting within 12 h of the onset of AMI. No-reflow, defined as TIMI grade 2 flow or less without residual stenosis after angioplasty, was observed in 15 patients. Patients with no-reflow were older (67+/-9 vs. 58+/-10 years, P=0.006) and had a lower incidence of preinfarction angina (7% vs. 48%, P=0.01) than those without no-reflow. Patients with no-reflow had poorer LV function at predischarge and a higher incidence of pump failure, LV aneurysm, malignant ventricular arrhythmias or cardiac death during the hospital course in association with higher peak serum C-reactive protein levels (12.7+/-8.0 vs. 7.1+/-5.5 mg/dl, P=0.02). Multivariate analysis showed that the absence of preinfarction angina was a major independent determinant of no-reflow (RR=17.1, P=0.02). CONCLUSIONS: The absence of preinfarction angina is more frequently observed in patients with no-reflow. The beneficial effect of preinfarction angina on LV function may be explained, at least in part, by prevention of no-reflow after reperfusion.


Asunto(s)
Angina de Pecho/fisiopatología , Angioplastia Coronaria con Balón , Circulación Coronaria , Infarto del Miocardio/fisiopatología , Infarto del Miocardio/terapia , Función Ventricular Izquierda , Adulto , Anciano , Anciano de 80 o más Años , Angiografía Coronaria , Humanos , Persona de Mediana Edad , Infarto del Miocardio/diagnóstico por imagen , Pronóstico
20.
Vet Microbiol ; 68(3-4): 265-72, 1999 Aug 31.
Artículo en Inglés | MEDLINE | ID: mdl-10510045

RESUMEN

Most Salmonella choleraesuis subsp. choleraesuis serovar Abortusequi strains of equine origin harbor a 95kb plasmid, pSA95. Results of PCR and Southern blot analysis suggest that pSA95 contains spv genes. A pSA95-cured strain of S. Abortusequi was 48 times less virulent to mice than its parental strain. Virulence was restored by reintroduction of pSA95. These results provide clear evidence that pSA95 confers virulence on S. Abortusequi in mice. This is the first report describing a virulence plasmid of S. Abortusequi.


Asunto(s)
Enfermedades de los Caballos/microbiología , Plásmidos/química , Salmonelosis Animal/microbiología , Salmonella/patogenicidad , Animales , Bioensayo/veterinaria , Southern Blotting/veterinaria , Cartilla de ADN/química , ADN Bacteriano/química , Electroforesis en Gel de Agar/veterinaria , Femenino , Caballos , Ratones , Ratones Endogámicos ICR , Plásmidos/genética , Reacción en Cadena de la Polimerasa/veterinaria , Salmonella/química , Salmonella/genética , Virulencia
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