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1.
J Cell Biol ; 151(6): 1269-80, 2000 Dec 11.
Artículo en Inglés | MEDLINE | ID: mdl-11121441

RESUMEN

The directed movement of fibroblasts towards locally released platelet-derived growth factor (PDGF) is a critical event in wound healing. Although recent studies have implicated polarized activation of phosphoinositide (PI) 3-kinase in G protein-mediated chemotaxis, the role of 3' PI lipids in tyrosine kinase-triggered chemotaxis is not well understood. Using evanescent wave microscopy and green fluorescent protein-tagged Akt pleckstrin homology domain (GFP-AktPH) as a molecular sensor, we show that application of a shallow PDGF gradient triggers a markedly steeper gradient in 3' PI lipids in the adhesion zone of fibroblasts. Polar GFP-AktPH gradients, as well as a new type of radial gradient, were measured from front to rear and from the periphery to the center of the adhesion zone, respectively. A strong spatial correlation between polarized 3' PI production and rapid membrane spreading implicates 3' PI lipids as a direct mediator of polarized migration. Analysis of the temporal changes of 3' PI gradients in the adhesion zone revealed a fast diffusion coefficient (0.5 microm(2)/s) and short lifetime of 3' PIs of <1 min. Together, this study suggests that the tyrosine kinase-coupled directional movement of fibroblasts and their radial membrane activity are controlled by local generation and rapid degradation of 3' PI second messengers.


Asunto(s)
Quimiotaxis/fisiología , Fibroblastos/fisiología , Fosfatidilinositoles/metabolismo , Factor de Crecimiento Derivado de Plaquetas/metabolismo , Células 3T3 , Animales , Adhesión Celular , Proteínas Fluorescentes Verdes , Proteínas Luminiscentes , Ratones , Microscopía Confocal , Microscopía Fluorescente , Modelos Teóricos , Fosfatidilinositol 3-Quinasas/metabolismo , Transporte de Proteínas , Proteínas Tirosina Quinasas Receptoras/metabolismo , Proteínas Recombinantes de Fusión , Sistemas de Mensajero Secundario , Cicatrización de Heridas/fisiología
2.
J Cell Biol ; 129(3): 797-804, 1995 May.
Artículo en Inglés | MEDLINE | ID: mdl-7730413

RESUMEN

Spatial and temporal aspects of Ca2+ signaling were investigated in PC12 cells differentiated with nerve growth factor, the well known nerve cell model. Activation of receptors coupled to polyphosphoinositide hydrolysis gave rise in a high proportion of the cells to Ca2+ waves propagating non decrementally and at constant speed (2-4 microns/s at 18 degrees C and approximately 10-fold faster at 37 degrees C) along the neurites. These waves relied entirely on the release of Ca2+ from intracellular stores since they could be generated even when the cells were incubated in Ca(2+)-free medium. In contrast, when the cells were depolarized with high K+ in Ca(2+)-containing medium, increases of cytosolic Ca2+ occurred in the neurites but failed to evolve into waves. Depending on the receptor agonist employed (bradykinin and carbachol versus ATP) the orientation of the waves could be opposite, from the neurite tip to the cell body or vice versa, suggesting different and specific distribution of the responsible surface receptors. Cytosolic Ca2+ imaging results, together with studies of inositol 1,4,5-trisphosphate generation in intact cells and inositol 1,4,5-trisphosphate-induced Ca2+ release from microsomes, revealed the sustaining process of the waves to be discharge of Ca2+ from the inositol 1,4,5-trisphosphate- (and not the ryanodine-) sensitive stores distributed along the neurites. The activation of the cognate receptor appears to result from the coordinate action of the second messenger and Ca2+. Because of their properties and orientation, the waves could participate in the control of not only conventional cell activities, but also excitability and differential processing of inputs, and thus of electrochemical computation in nerve cells.


Asunto(s)
Calcio/fisiología , Conducción Nerviosa/fisiología , Neuritas/fisiología , Receptores de Superficie Celular/fisiología , Transducción de Señal/fisiología , Animales , Bradiquinina/farmacología , Carbacol/farmacología , Diferenciación Celular , Polaridad Celular/fisiología , Activación Enzimática , Inositol 1,4,5-Trifosfato/metabolismo , Fosfatos de Inositol/metabolismo , Microscopía Fluorescente , Microscopía por Video , Microsomas/metabolismo , Neuritas/efectos de los fármacos , Células PC12 , Ratas , Factores de Tiempo , Fosfolipasas de Tipo C/análisis
3.
J Cell Biol ; 130(4): 847-55, 1995 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-7642702

RESUMEN

A molecularly tagged form of calreticulin (CR), a low affinity-high capacity Ca2+ binding protein that resides in the ER lumen, was transiently transfected into HeLa cells to specifically modify the Ca2+ buffering capacity of the intracellular Ca2+ stores. Fluorescence and confocal microscope immunocytochemistry revealed the tagged protein to be expressed by over 40% of the cells and to overlap in its distribution the endogenous CR yielding a delicate cytoplasmic network, i.e., the typical pattern of ER. In contrast, no signal was observed associated with the plasmalemma (marked by ConA) and within the nucleus. One- and two-dimensional Western blots revealed the transfected to exceed the endogenous CR of approximately 3.5-fold and to maintain its Ca2+ binding ability, whereas the expression of other ER proteins was unchanged. Ca2+ homeostasis in the transfected cells was investigated by three parallel approaches: (a) 45Ca equilibrium loading of cell populations; (b) [Ca2+]c measurement with fura-2 followed by quantitative immunocytochemistry of single cells and iii) [Ca2+]c measurement of cell population upon cotransfection with the Ca(2+)-sensitive photoprotein, aequorin. The three approaches revealed different aspects of Ca2+ homeostasis, yielding results which were largely complementary. In particular, the following conclusions were established: (a) both endogenous and transfected CR participate in Ca2+ buffering within the IP3-sensitive, rapidly exchanging, Ca2+ stores; the other pools of the cells were in contrast unaffected by CR transfection; (b) the Ca2+ capacity of the stores is not the main limiting factor of individual IP3-mediated Ca2+ release responses triggered by receptor agonists; (c) in control cells, the contribution of CR to Ca2+ buffering within the IP3-sensitive stores accounts for approximately 45% of the total, the rest being probably contributed by the other lumenal (and also membrane) Ca2+ binding proteins; (d) the free [Ca2+] within the lumen of the IP3-sensitive stores, revealed by the degree of Ca2+ binding to the transfected CR protein, amounts to values in (or approaching) the millimolar range; and (e) Ca2+ influx across the plasmalemma activated by depletion of the stores is directly dependent on the lumenal [Ca2+].


Asunto(s)
Proteínas de Unión al Calcio/metabolismo , Calcio/metabolismo , Retículo Endoplásmico/metabolismo , Ribonucleoproteínas/metabolismo , Secuencia de Aminoácidos , Secuencia de Bases , Transporte Biológico , Biomarcadores , Western Blotting , Radioisótopos de Calcio , Proteínas de Unión al Calcio/biosíntesis , Proteínas de Unión al Calcio/genética , Proteínas de Unión al Calcio/aislamiento & purificación , Calreticulina , Electroforesis en Gel de Poliacrilamida , Retículo Endoplásmico/química , Técnica del Anticuerpo Fluorescente , Células HeLa , Humanos , Datos de Secuencia Molecular , Ingeniería de Proteínas , Proteínas Recombinantes/biosíntesis , Proteínas Recombinantes/aislamiento & purificación , Proteínas Recombinantes/metabolismo , Ribonucleoproteínas/biosíntesis , Ribonucleoproteínas/genética , Ribonucleoproteínas/aislamiento & purificación , Transfección
4.
Curr Biol ; 11(14): 1089-97, 2001 Jul 24.
Artículo en Inglés | MEDLINE | ID: mdl-11509231

RESUMEN

BACKGROUND: Glutamate-induced Ca2+ oscillations and waves coordinate astrocyte signaling responses, which in turn regulate neuronal excitability. Recent studies have suggested that the generation of these Ca2+ oscillations requires a negative feedback that involves the activation of conventional protein kinase C (cPKC). Here, we use total internal reflection fluorescence (TIRF) microscopy to investigate if and how periodic plasma membrane translocation of cPKC is used to generate Ca2+ oscillations and waves. RESULTS: Glutamate stimulation of astrocytes triggered highly localized GFP-PKCgamma plasma membrane translocation events, induced rapid oscillations in GFP-PKCgamma translocation, and generated GFP-PKCgamma translocation waves that propagated across and between cells. These translocation responses were primarily mediated by the Ca2+-sensitive C2 domains of PKCgamma and were driven by localized Ca2+ spikes, by oscillations in Ca2+ concentration, and by propagating Ca(2+) waves, respectively. Interestingly, GFP-conjugated C1 domains from PKCgamma or PKCdelta that have been shown to bind diacylglycerol (DAG) also oscillated between the cytosol and the plasma membrane after glutamate stimulation, suggesting that PKC is repetitively activated by combined oscillating increases in Ca(2+) and DAG concentrations. The expression of C1 domains, which increases the DAG buffering capacity and thereby delays changes in DAG concentrations, led to a marked prolongation of Ca(2+) spikes, suggesting that PKC activation is involved in terminating individual Ca(2+) spikes and waves and in defining the time period between Ca(2+) spikes. CONCLUSIONS: Our study suggests that cPKCs have a negative feedback role on Ca(2+) oscillations and waves that is mediated by their repetitive activation by oscillating DAG and Ca(2+) concentrations. Periodic translocation and activation of cPKC can be a rapid and markedly localized signaling event that can limit the duration of individual Ca(2+) spikes and waves and can define the Ca(2+) spike and wave frequencies.


Asunto(s)
Astrocitos/metabolismo , Señalización del Calcio/fisiología , Isoenzimas/metabolismo , Proteína Quinasa C/metabolismo , Animales , Astrocitos/efectos de los fármacos , Sitios de Unión , Transporte Biológico Activo/efectos de los fármacos , Señalización del Calcio/efectos de los fármacos , Membrana Celular/efectos de los fármacos , Membrana Celular/enzimología , Células Cultivadas , Diglicéridos/metabolismo , Activación Enzimática/efectos de los fármacos , Retroalimentación , Ácido Glutámico/efectos de los fármacos , Isoenzimas/química , Isoenzimas/genética , Modelos Neurológicos , Proteína Quinasa C/química , Proteína Quinasa C/genética , Estructura Terciaria de Proteína , Ratas , Proteínas Recombinantes de Fusión/química , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo
5.
Diabetes ; 48(10): 1971-8, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10512361

RESUMEN

Within pancreatic islet cells, rhythmic changes in the cytosolic Ca2+ concentration have been reported to occur in response to stimulatory glucose concentrations and to be synchronous with pulsatile release of insulin. We explored the possible mechanisms responsible for Ca2+ signal propagation within islet cells, with particular regard to gap junction communication, the pathway widely credited with being responsible for coordination of the secretory activity. Using fura-2 imaging, we found that multiple mechanisms control Ca2+ signaling in pancreatic islet cells. Gap junction blockade by 18 alpha-glycyrrhetinic acid greatly restricted the propagation of Ca2+ waves induced by mechanical stimulation of cells but affected neither Ca2+ signals nor insulin secretion elicited by glucose elevation. The source of Ca2+ elevation was also different under the two experimental conditions, the first being sustained by release from inner stores and the second by nifedipine-sensitive Ca2+ influx. Furthermore, glucose-induced Ca2+ waves were able to propagate across cell-free clefts, indicating that diffusible factors can control Ca2+ signal coordination. Our results provide evidence that multiple mechanisms of Ca2+ signaling operate in beta-cells and that gap junctions are not required for intercellular Ca2+ wave propagation or insulin secretion in response to glucose.


Asunto(s)
Calcio/fisiología , Islotes Pancreáticos/fisiología , Transducción de Señal , Animales , Células Cultivadas , Uniones Comunicantes/efectos de los fármacos , Glucosa/farmacología , Ácido Glicirretínico/análogos & derivados , Ácido Glicirretínico/metabolismo , Islotes Pancreáticos/efectos de los fármacos , Ratones , Transducción de Señal/efectos de los fármacos
6.
FEBS Lett ; 384(2): 135-7, 1996 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-8612809

RESUMEN

Cultures of rat brain cortex astrocytes were exposed to 10(-10)-10(-9)M of the HIV-1 envelope glycoprotein, gp120. No specific binding was revealed by the iodinated protein, suggesting expression of only a few sites onto the cells. In contrast, two transduction signals were rapidly induced by gp120: increased tyrosine phosphorylation of a approximately 56 kDa protein and increased [Ca2+]i. This latter effect, present in 1/3 of the investigated astrocytes, consisted in: discrete or biphasic peaks; slowly rising plateaus; and various types of oscillations. Moreover, in apparently unresponsive cells [Ca2+]i rose slowly (45 min) to double the resting levels. Rat brain cortex astrocytes thus appear highly sensitive to gp120. The induced array of signals might contribute to neurotoxicity during HIV infection.


Asunto(s)
Astrocitos/efectos de los fármacos , Calcio/metabolismo , Corteza Cerebral/citología , Proteína gp120 de Envoltorio del VIH/farmacología , VIH-1/fisiología , Proteínas del Tejido Nervioso/metabolismo , Procesamiento Proteico-Postraduccional/efectos de los fármacos , Transducción de Señal/efectos de los fármacos , Animales , Astrocitos/fisiología , Transporte Biológico/efectos de los fármacos , Células Cultivadas , Quelantes/farmacología , Ácido Egtácico/análogos & derivados , Ácido Egtácico/farmacología , Fosforilación , Ratas
7.
Eur J Neurosci ; 7(6): 1333-41, 1995 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-7582107

RESUMEN

Cultures of cerebellar cortex cells were exposed to the HIV-1 envelope glycoprotein, gp120, and investigated for cytosolic Ca2+ ion concentration ([Ca2+]i) changes by the fura-2 ratio videoimaging technique while bathed in complete, Na(+)-free or Mg(2+)-free Krebs-Ringer media. At the end of the [Ca2+]i experiments the cells were fixed and immunoidentified through the revelation of markers specific for neurons (microtubule associated protein-2), type-2 (A2B5) or all (glial fibrillary acidic protein) astrocytes, oligodendrocytes (galactocerebroside) or microglia (F4/80 antibody). In complete medium, rapid biphasic (spike-plateau) responses induced by gp120 (0.1-1 nM) were observed in a subpopulation of type-2 astrocytes. In addition, slow but progressive responses were observed in other type-2 cells and oligodendrocytes, whereas type-1 astrocytes showed small responses, if any, and granule neurons did not respond at all. Use of Na(+)-free medium (a condition that blocked another gp120-induced response, cytosolic alkalinization) resulted in an increase in [Ca2+]i response that was appreciable not only in type-2 but also in most type-1 astrocytes, possibly because of the inhibition of the Na+/Ca2+ exchanger and the ensuing decrease in Ca2+ extrusion. Granule neurons, including those in direct contact with responsive astrocytes, remained unresponsive, even when the experiments were carried out in Mg(2+)-free medium supplemented with glycine, a condition that favors activation of the glutamatergic N-methyl-D-aspartate (NMDA) receptor.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Astrocitos/metabolismo , Calcio/metabolismo , Cerebelo/metabolismo , Proteína gp120 de Envoltorio del VIH/farmacología , VIH-1 , Oligodendroglía/metabolismo , Animales , Astrocitos/clasificación , Células Cultivadas , Cerebelo/citología , Citosol/metabolismo , Inmunohistoquímica , Concentración Osmolar , Ratas , Ratas Sprague-Dawley
8.
Biochem Biophys Res Commun ; 205(2): 1264-9, 1994 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-7528499

RESUMEN

Rat chromaffin cells in primary culture have a high tendency to exhibit [Ca2+]i oscillations, spontaneously or after moderate stimulation with treatments that induce polyphosphoinositide hydrolysis or mild depolarization. Previous studies in a variety of cell systems had shown that strengthening of the above treatments increases the frequency and not the amplitude of the oscillations. We now demonstrate that in cultured chromaffin cells either one of these oscillation reinforcements can be elicited, depending on whether the Ca2+ influx induced by the applied stimulus is asynchronous with or timed by the [Ca2+]i spikes of the oscillations. In excitable cells the encoding of the oscillation activity appears therefore to operate according to not only digital (modulation in frequency) but also analog (modulation in amplitude) models.


Asunto(s)
Médula Suprarrenal/metabolismo , Calcio/metabolismo , Ácido 3-piridinacarboxílico, 1,4-dihidro-2,6-dimetil-5-nitro-4-(2-(trifluorometil)fenil)-, Éster Metílico/farmacología , Ciclos de Actividad , Médula Suprarrenal/efectos de los fármacos , Animales , Apamina/farmacología , Bradiquinina/farmacología , Bloqueadores de los Canales de Calcio/farmacología , Células Cultivadas , Citosol/efectos de los fármacos , Citosol/metabolismo , Femenino , Cinética , Microscopía Fluorescente , Oscilometría , Cloruro de Potasio/farmacología , Ratas , Ratas Endogámicas F344 , Tetraetilamonio , Compuestos de Tetraetilamonio/farmacología , Tetrodotoxina/farmacología
9.
Eur Radiol ; 10(5): 820-5, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10823641

RESUMEN

Congenital absence of the portal vein is a very rare anomaly. The intestinal and splenic venous drainage bypasses the liver and drain into the inferior vena cava (IVC). Two cases of such anomaly are described. Both cases were investigated by US coupled with echo-colour Doppler examination, CT and MR imaging, followed by digital subtraction angiography (DSA) and liver biopsy. In the first case the splenic and superior mesenteric vein formed a venous trunk which emptied directly into the IVC; in the second case, the splanchnic blood flowed into a dilated hepatofugal inferior mesenteric vein which connected to the left internal iliac vein. In both cases nodular regenerative hyperplasia of the liver was present, presumably due to an abnormal hepatic cell response to the absent portal flow. The particular contribution of MR imaging to the diagnosis of both vascular abnormalities and liver parenchyma derangement and its advantages over the other diagnostic techniques is emphasized. The clinical and radiological features of 17 previously reported cases are reviewed.


Asunto(s)
Diagnóstico por Imagen , Hígado/patología , Vena Porta/anomalías , Adolescente , Angiografía de Substracción Digital , Biopsia , Niño , Femenino , Humanos , Hiperplasia , Vena Ilíaca/patología , Intestinos/irrigación sanguínea , Regeneración Hepática , Imagen por Resonancia Magnética , Masculino , Venas Mesentéricas/patología , Circulación Esplácnica , Bazo/irrigación sanguínea , Tomografía Computarizada por Rayos X , Ultrasonografía Doppler en Color , Vena Cava Inferior/patología
10.
Proc Natl Acad Sci U S A ; 96(8): 4686-91, 1999 Apr 13.
Artículo en Inglés | MEDLINE | ID: mdl-10200323

RESUMEN

Estrogens and growth factors such as epidermal growth factor (EGF) act as mitogens promoting cellular proliferation in the breast and in the reproductive tract. Although it was considered originally that these agents manifested their mitogenic actions through separate pathways, there is a growing body of evidence suggesting that the EGF and estrogen-mediated signaling pathways are intertwined. Indeed, it has been demonstrated recently that 17beta-estradiol (E2) can induce a rapid activation of mitogen-activated protein kinase (MAPK) in mammalian cells, an event that is independent of both transcription and protein synthesis. In this study, we have used a pharmacological approach to dissect this novel pathway in MCF-7 breast cancer cells and have determined that in the presence of endogenous estrogen receptor, activation of MAPK by E2 is preceded by a rapid increase in cytosolic calcium. The involvement of intracellular calcium in this process was supported by the finding that the presence of EGTA and Ca2+-free medium did not affect the activation of MAPK by E2 and, additionally, that this response was blocked by the addition of the intracellular calcium chelator 1,2-bis(2-aminophenoxy)ethane-N,N,N',N'-tetraacetate. Cumulatively, these data indicate that the estrogen receptor, in addition to functioning as a transcription factor, is also involved, through a nongenomic mechanism, in the regulation of both intracellular calcium homeostasis and MAPK-signaling pathways. Although nongenomic actions of estrogens have been suggested by numerous studies in the past, the ability to link estradiol and the estrogen receptor to a well defined signaling pathway strongly supports a physiological role for this activity.


Asunto(s)
Calcimicina/farmacología , Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Calcio/metabolismo , Estradiol/farmacología , Proteínas Quinasas Activadas por Mitógenos , Neoplasias de la Mama , Núcleo Celular/enzimología , Citoplasma/enzimología , Ácido Egtácico/farmacología , Activación Enzimática/efectos de los fármacos , Factor de Crecimiento Epidérmico/farmacología , Estradiol/análogos & derivados , Estradiol/fisiología , Antagonistas de Estrógenos/farmacología , Femenino , Fulvestrant , Células HeLa , Humanos , Proteína Quinasa 1 Activada por Mitógenos/metabolismo , Proteína Quinasa 3 Activada por Mitógenos , Proteínas Recombinantes/farmacología , Células Tumorales Cultivadas
11.
Ann Neurol ; 43(3): 340-9, 1998 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-9506551

RESUMEN

Central nervous system (CNS) lesions typical of multiple sclerosis (MS) are characterized by demyelinating inflammatory infiltrates that contain few CNS antigen-specific autoreactive T cells and a multitude of pathogenic non-antigen-specific mononuclear cells. Here, we report that in patients with MS the combined action of interferon-gamma (IFN-gamma), tumor necrosis factor-alpha (TNFalpha), interleukin (IL)-2, and IL-6 leads to the activation of most peripheral T cells (mainly CD4 memory) by promoting a persistent intracellular calcium increase via two independent signaling pathways. The activation of these pathways, one activated by IFNgamma and the other by the combination TNFalpha/IL-2/IL-6, is independent from myelin antigens and precedes by 2 weeks phases of disease activity (eg, clinical relapses and/or appearance of gadolinium-enhancing lesions on brain magnetic resonance imaging scans during 1 year of follow-up). Our results indicate that an appropriate combination of the four cytokines, three with a proinflammatory profile and one necessary for T-cell growth and differentiation, can activate in an antigen-independent fashion most peripheral T cells from MS patients. This mechanism is likely to contribute to the recruitment of nonspecific lymphocytes into the cellular activation processes leading to CNS demyelination and may represent a major target for immune intervention in MS.


Asunto(s)
Calcio/fisiología , Citocinas/fisiología , Mediadores de Inflamación/fisiología , Esclerosis Múltiple/fisiopatología , Transducción de Señal/fisiología , Linfocitos T/fisiología , Antígenos/fisiología , Células Sanguíneas/metabolismo , Calcio/metabolismo , División Celular/efectos de los fármacos , División Celular/fisiología , Estudios Transversales , Citocinas/farmacología , Sinergismo Farmacológico , Humanos , Mediadores de Inflamación/farmacología , Membranas Intracelulares/metabolismo , Activación de Linfocitos/fisiología , Esclerosis Múltiple/sangre , Vaina de Mielina/inmunología , Concentración Osmolar , Linfocitos T/efectos de los fármacos
12.
Ital J Gastroenterol Hepatol ; 31(4): 295-300, 1999 May.
Artículo en Inglés | MEDLINE | ID: mdl-10425574

RESUMEN

BACKGROUND: Portal lymphadenopathy is frequently found in inflammatory liver diseases. However, the mechanisms underlying portal lymphadenopathy are unknown. AIMS: To evaluate the prevalence of portal lymphadenopathy in patients with serum anti-hepatitis C Virus antibody reactivity and its relationship to clinical parameters. PATIENTS AND METHODS: The presence of portal lymphadenopathy was evaluated by upper abdominal Ultrasound by the same examiner in 114 patients with anti-hepatitis C Virus reactivity: 56 patients with normal liver enzyme activity and 58 randomly selected patients with increased liver enzyme activity undergoing liver biopsy. Laboratory tests were then performed in all patients the following day. RESULTS: Portal lymph nodes were found in a significantly higher percentage of patients with increased liver enzymes (74%) than in patients with persistently normal liver enzymes (29%: p < 0.01). Aminotransferases, gamma glutamyl transpeptidase levels and the percentage of patients with HCVRNA in serum and histological scores for piecemeal and lobular necrosis were significantly higher in patients showing hepatic lymph nodes. Multivariate analysis showed that only alanine aminotransferase and lobular necrosis were independently related to the presence of hepatic lymph nodes. A significant correlation was found between lymph node size, aminotransferase activity and lobular necrosis. CONCLUSION: Ultrasound-proven portal lymph node enlargement is an indirect sign of hepatocellular damage in patients with positive serum anti-hepatitis C Virus antibodies.


Asunto(s)
Anticuerpos contra la Hepatitis C/análisis , Hepatitis C/diagnóstico por imagen , Ganglios Linfáticos/diagnóstico por imagen , Adulto , Pruebas Enzimáticas Clínicas , Estudios Transversales , Femenino , Hepatitis C/diagnóstico , Humanos , Hígado , Masculino , Persona de Mediana Edad , Ultrasonografía
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