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1.
Reprod Biol Endocrinol ; 19(1): 119, 2021 Aug 03.
Artículo en Inglés | MEDLINE | ID: mdl-34344364

RESUMEN

BACKGROUND: Exposure to endocrine-disrupting chemicals, such as Bisphenol A (BPA) and Bisphenol S (BPS), is widespread and has negative implications on embryonic development. Preliminary evidence revealed that in women undergoing IVF treatment, urinary BPA levels were associated with low serum anti-Mullerian hormone, however a definitive relationship between the two has not yet been characterized. METHODS: This study aimed to evaluate BPA and BPS effects on in vitro oocyte maturation and early preimplantation embryo development through i) analysis of anti-Mullerian hormone (AMH) and anti-Mullerian hormone receptor II (AMHRII), ii) investigation of developmental parameters, such as cleavage, blastocyst rates and developmental arrest, iii) detection of apoptosis and iv) assessment of possible sex ratio skew. An in vitro bovine model was used as a translational model for human early embryonic development. We first assessed AMH and AMHRII levels after bisphenol exposure during oocyte maturation. Zygotes were also analyzed during cleavage and blastocysts stages. Techniques used include in vitro fertilization, quantitative polymerase chain reaction (qPCR), western blotting, TUNEL and immunofluorescence. RESULTS: Our findings show that BPA significantly decreased cleavage (p < 0.001), blastocyst (p < 0.005) and overall developmental rates as well as significantly increased embryonic arrest at the 2-4 cell stage (p < 0.05). Additionally, both BPA and BPS significantly increased DNA fragmentation in 2-4 cells, 8-16 cells and blastocyst embryos (p < 0.05). Furthermore, BPA and BPS alter AMH and AMHRII at the mRNA and protein level in both oocytes and blastocysts. BPA, but not BPS, also significantly skews sex ratios towards female blastocysts (p < 0.05). CONCLUSION: This study shows that BPA affects AMH and AMHRII expression during oocyte maturation and that BPS exerts its effects to a greater extent after fertilization and therefore may not be a safer alternative to BPA. Our data lay the foundation for future functional studies, such as receptor kinetics, downstream effectors, and promoter activation/inhibition to prove a functional relationship between bisphenols and the AMH signalling system.


Asunto(s)
Hormona Antimülleriana/metabolismo , Compuestos de Bencidrilo/toxicidad , Blastocisto/efectos de los fármacos , Desarrollo Embrionario/efectos de los fármacos , Disruptores Endocrinos/toxicidad , Oocitos/efectos de los fármacos , Fenoles/toxicidad , Sulfonas/toxicidad , Animales , Hormona Antimülleriana/genética , Apoptosis/efectos de los fármacos , Bovinos , Femenino , Técnicas de Maduración In Vitro de los Oocitos , ARN Mensajero/efectos de los fármacos , ARN Mensajero/metabolismo , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/genética , Receptores de Péptidos/metabolismo , Receptores de Factores de Crecimiento Transformadores beta/efectos de los fármacos , Receptores de Factores de Crecimiento Transformadores beta/genética , Receptores de Factores de Crecimiento Transformadores beta/metabolismo , Cigoto/efectos de los fármacos
2.
FASEB J ; 34(1): 706-719, 2020 01.
Artículo en Inglés | MEDLINE | ID: mdl-31914642

RESUMEN

Anti-Müllerian hormone (Amh) is a peptide factor that is known to regulate sexual differentiation and gonadal function in mammals. Although Amh is also suggested to be associated with cognitive development and function in the postnatal brain, little is known about its expression or direct effects on neuronal activities in the hippocampus. Therefore, we assessed Amh and its receptor expression in the hippocampus of male and female mice using PCR, Western blot, and immunofluorescence staining. While Amh-specific receptor expression was comparable between males and females, mRNA and protein levels of Amh were higher in females than those of males. Electrophysiological recordings on acute hippocampal slices showed that exogenous Amh protein addition increased synaptic transmission and long-term synaptic plasticity at the Cornu Ammonis (CA) 3-CA1 synapses. Amh exposure also increased the excitatory postsynaptic potential at CA1 synapses. Our findings support direct and rapid actions of Amh as a paracrine and/or autocrine factor in regulating hippocampal neuronal activities. Data provide functional evidence of Amh-mediated postsynaptic modulation of synaptic transmission and Amh-regulated long-term synaptic plasticity in the hippocampus. These results suggest a potential role of Amh in learning and memory, and a possible cause of the sex differences in cognitive development and function.


Asunto(s)
Hormona Antimülleriana/farmacología , Potenciales Postsinápticos Excitadores/fisiología , Plasticidad Neuronal/fisiología , Receptores de Péptidos/metabolismo , Receptores de Factores de Crecimiento Transformadores beta/metabolismo , Transmisión Sináptica/fisiología , Animales , Potenciales Postsinápticos Excitadores/efectos de los fármacos , Femenino , Hipocampo/efectos de los fármacos , Hipocampo/fisiología , Aprendizaje/efectos de los fármacos , Aprendizaje/fisiología , Masculino , Memoria/efectos de los fármacos , Memoria/fisiología , Ratones , Plasticidad Neuronal/efectos de los fármacos , Neuronas/metabolismo , Neuronas/fisiología , Receptores de Péptidos/efectos de los fármacos , Receptores de Factores de Crecimiento Transformadores beta/efectos de los fármacos , Caracteres Sexuales , Transmisión Sináptica/efectos de los fármacos
3.
Physiol Rev ; 93(1): 405-80, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23303914

RESUMEN

There are seven relaxin family peptides that are all structurally related to insulin. Relaxin has many roles in female and male reproduction, as a neuropeptide in the central nervous system, as a vasodilator and cardiac stimulant in the cardiovascular system, and as an antifibrotic agent. Insulin-like peptide-3 (INSL3) has clearly defined specialist roles in male and female reproduction, relaxin-3 is primarily a neuropeptide involved in stress and metabolic control, and INSL5 is widely distributed particularly in the gastrointestinal tract. Although they are structurally related to insulin, the relaxin family peptides produce their physiological effects by activating a group of four G protein-coupled receptors (GPCRs), relaxin family peptide receptors 1-4 (RXFP1-4). Relaxin and INSL3 are the cognate ligands for RXFP1 and RXFP2, respectively, that are leucine-rich repeat containing GPCRs. RXFP1 activates a wide spectrum of signaling pathways to generate second messengers that include cAMP and nitric oxide, whereas RXFP2 activates a subset of these pathways. Relaxin-3 and INSL5 are the cognate ligands for RXFP3 and RXFP4 that are closely related to small peptide receptors that when activated inhibit cAMP production and activate MAP kinases. Although there are still many unanswered questions regarding the mode of action of relaxin family peptides, it is clear that they have important physiological roles that could be exploited for therapeutic benefit.


Asunto(s)
Receptores Acoplados a Proteínas G/metabolismo , Receptores de Péptidos/metabolismo , Relaxina/metabolismo , Transducción de Señal , Secuencia de Aminoácidos , Animales , Regulación de la Expresión Génica , Humanos , Ligandos , Modelos Moleculares , Datos de Secuencia Molecular , Conformación Proteica , Estructura Terciaria de Proteína , Receptores Acoplados a Proteínas G/química , Receptores Acoplados a Proteínas G/efectos de los fármacos , Receptores Acoplados a Proteínas G/genética , Receptores de Péptidos/química , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/genética , Relaxina/química , Relaxina/genética , Transducción de Señal/efectos de los fármacos , Relación Estructura-Actividad
4.
Neuroendocrinology ; 108(3): 256-264, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30352433

RESUMEN

Neuroendocrine tumours (NETs) are being seen increasingly frequently, but to date only complete surgical resection is curative. However, among the various therapeutic options, peptide receptor radionuclide therapy, linking a radioactive moiety to an octreotide derivative, has been shown to be highly efficacious and a well-tolerated therapy, improving progression-free survival and probably overall survival. Nevertheless, the current radionuclides in use are beta particle emitters with non-optimal radiobiological properties. A new generation of alpha particle-emitting radionuclides is being developed, with advantages in terms of very high energy and a short path length, which should theoretically show higher efficacy. We survey the current developments in this field, emphasising the exciting potential of this novel form of therapy for NETs.


Asunto(s)
Partículas alfa/uso terapéutico , Tumores Neuroendocrinos/radioterapia , Radioisótopos/uso terapéutico , Receptores de Péptidos/efectos de los fármacos , Animales , Humanos
5.
Am J Physiol Renal Physiol ; 310(1): F10-4, 2016 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-26511649

RESUMEN

The renal thiazide-sensitive NaCl cotransporter, NCC, is the major pathway for salt reabsorption in the distal convoluted tubule. The activity of this cotransporter is critical for regulation of several physiological variables such as blood pressure, serum potassium, acid base metabolism, and urinary calcium excretion. Therefore, it is not surprising that numerous hormone-signaling pathways regulate NCC activity to maintain homeostasis. In this review, we will provide an overview of the most recent evidence on NCC modulation by aldosterone, angiotensin II, vasopressin, glucocorticoids, insulin, norepinephrine, estradiol, progesterone, prolactin, and parathyroid hormone.


Asunto(s)
Hormonas/metabolismo , Túbulos Renales Distales/metabolismo , Miembro 3 de la Familia de Transportadores de Soluto 12/metabolismo , Animales , Hormonas Esteroides Gonadales/metabolismo , Hormonas/farmacología , Humanos , Túbulos Renales Distales/efectos de los fármacos , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/metabolismo , Sistema Renina-Angiotensina , Miembro 3 de la Familia de Transportadores de Soluto 12/efectos de los fármacos
6.
Am J Pathol ; 185(11): 2898-906, 2015 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-26348578

RESUMEN

Despite the described clear epigenetic effects of smoking, the effect of smoking on genome-wide gene expression in the blood is obscure. We therefore studied the smoking-induced changes in the gene-expression profile of the peripheral blood. RNA was extracted from the whole blood of 48 individuals with a detailed smoking history (24 never-smokers, 16 smokers, and 8 ex-smokers). Gene-expression profiles were evaluated with RNA sequencing, and results were analyzed separately in 24 men and 24 women. In the male smokers, 13 genes were statistically significantly (false-discovery rate <0.1) differentially expressed; in female smokers, 5 genes. Although most of the differentially expressed genes were different between the male and female smokers, the G-protein-coupled receptor 15 gene (GPR15) was differentially expressed in both male and female smokers compared with never-smokers. Analysis of GPR15 methylation identified significantly greater hypomethylation in smokers compared with that in never-smokers. GPR15 is the chemoattractant receptor that regulates T-cell migration and immunity. Up-regulation of GPR15 could explain to some extent the health hazards of smoking with regard to chronic inflammatory diseases.


Asunto(s)
Regulación de la Expresión Génica , Inflamación/genética , Receptores Acoplados a Proteínas G/genética , Receptores de Péptidos/genética , Fumar/efectos adversos , Adulto , Anciano , Movimiento Celular , Enfermedad Crónica , Biología Computacional , Metilación de ADN , Femenino , Biblioteca de Genes , Humanos , Inmunidad , Inflamación/inducido químicamente , Inflamación/patología , Masculino , Persona de Mediana Edad , Receptores de Formil Péptido/efectos de los fármacos , Receptores de Formil Péptido/genética , Receptores Acoplados a Proteínas G/efectos de los fármacos , Receptores de Péptidos/efectos de los fármacos , Análisis de Secuencia de ARN , Regulación hacia Arriba
7.
Cardiovasc Drugs Ther ; 28(3): 221-8, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24852484

RESUMEN

PURPOSE: Relaxin, a new drug for heart failure therapy, exerts its cardiac actions through relaxin family peptide receptor 1 (RXFP1). Factors regulating RXFP1 expression remain unknown. We have investigated effects of activation of adrenoceptors (AR), an important modulator in the development and prognosis of heart failure, on expression of RXFP1 in rat cardiomyocytes and mouse left ventricles (LV). METHODS: Expression of RXFP1 at mRNA (real-time PCR) and protein levels (immunoblotting) was measured in cardiomyocytes treated with α- and ß-AR agonists or antagonists. RXFP1 expression was also determined in the LV of transgenic mouse strains with cardiac-restricted overexpression of α1A-, α1B- or ß2-AR. Specific inhibitors were used to explore signal pathways involved in α1-AR mediated regulation of RXFP1 in cardiomyocytes. RESULTS: In cultured cardiomyocytes, α1-AR stimulation resulted in 2-3 fold increase in RXFP1 mRNA (P < 0.001), which was blocked by specific inhibitors for protein kinase C (PKC) or mitogen-activated protein kinases/extracellular signal-regulated kinases (MAPK/ERK). Activation of ß1-, but not ß2-AR, significantly inhibited RXFP1 expression (P < 0.001). Relative to respective wild-type controls, RXFP1 mRNA levels in the LV of mice overexpressing α1A- or α1B-AR were increased by 3- or 10-fold, respectively, but unchanged in ß2-AR transgenic hearts. Upregulation by α1-AR stimulation RXFP1 expression was confirmed at protein levels both in vitro and in vivo. CONCLUSIONS: Expression of RXFP1 was up-regulated by α1-AR but suppressed by ß-AR, mainly ß1-AR subtype, in cardiomyocytes. Future studies are warranted to characterize the functional significance of such regulation, especially in the setting of heart failure.


Asunto(s)
Miocitos Cardíacos/efectos de los fármacos , Receptores Adrenérgicos alfa 1/metabolismo , Receptores Adrenérgicos beta 1/metabolismo , Receptores Acoplados a Proteínas G/efectos de los fármacos , Receptores de Péptidos/efectos de los fármacos , Agonistas alfa-Adrenérgicos/farmacología , Antagonistas Adrenérgicos alfa/farmacología , Agonistas Adrenérgicos beta/farmacología , Antagonistas Adrenérgicos beta/farmacología , Animales , Femenino , Ventrículos Cardíacos/efectos de los fármacos , Ventrículos Cardíacos/metabolismo , Masculino , Ratones , Ratones Transgénicos , Miocitos Cardíacos/metabolismo , ARN Mensajero/metabolismo , Ratas , Ratas Sprague-Dawley , Reacción en Cadena en Tiempo Real de la Polimerasa , Receptores Adrenérgicos alfa 1/efectos de los fármacos , Receptores Adrenérgicos beta 1/efectos de los fármacos , Receptores Acoplados a Proteínas G/genética , Receptores de Péptidos/genética , Regulación hacia Arriba/efectos de los fármacos
8.
Pituitary ; 17(3): 227-31, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-23740146

RESUMEN

Non-functioning pituitary adenoma (NFPA) with higher proliferation index (WHO II) are often a therapeutical challenge. Low somatostatin receptor expression in these tumors usually prevents a treatment with somatostatin analogs. In 1996, a 55-year-old patient was referred due to right-sided headache. A pituitary macroadenoma with infiltration into the right cavernous sinus was diagnosed. There was no visual field deficit and the clinical and biochemical work up was consistent with a NFPA. The patient underwent transsphenoidal surgery. Residual adenoma remained in the right cavernous sinus. Histologically, a null-cell adenoma with a high proliferation index was documented (MIB-1: 11.6%, WHO II). Somatostatin receptor autoradiography was performed in the surgical specimen showing a homogenous expression of sst2 receptors. Radiosurgery was completed with stable disease for 8 years. In 2004, the patient was diagnosed with an incomplete palsy of the right oculomotorius nerve and a significant increase in the volume of the adenoma in the right cavernous sinus. After a positive Octreoscan(®) the patient consented to an experimental therapy approach using Lutetium DOTATOC (3 × 200 mCi). The palsy of the oculomotorius nerve improved and remained stable until today (March 2013), the follow-up MRI scans demonstrated stable disease. This is the first case of a patient with a NFPA (WHO II) in whom PRRT successfully improved the local complications of the tumor for more than 8 years after ineffective surgery and gamma knife therapy. The determination of sst2 in vitro using autoradiography and in vivo by Octreoscan was instrumental to administer this therapy in a challenging situation.


Asunto(s)
Neoplasias Hipofisarias/radioterapia , Radiofármacos/uso terapéutico , Receptores de Péptidos/efectos de los fármacos , Adulto , Terapia Combinada , Humanos , Masculino , Octreótido/análogos & derivados , Octreótido/uso terapéutico , Oftalmoplejía/etiología , Oftalmoplejía/radioterapia , Neoplasias Hipofisarias/cirugía , Receptores de Somatostatina/efectos de los fármacos , Receptores de Somatostatina/efectos de la radiación , Somatostatina/análogos & derivados
9.
Orv Hetil ; 154(39): 1549-55, 2013 Sep 29.
Artículo en Húngaro | MEDLINE | ID: mdl-24058100

RESUMEN

Neuroendocrine neoplasms belong to the group of rare tumours. Their clinical importance may be highlighted by their high prevalence despite low incidence. Since survival rate is similar to other progressive neoplastic diseases in metastatic cases, early recognition and appropriate therapy of these neoplasms are equally important. Classification of neuroendocrine tumours is based on their pathologic characteristics according to the 2010 WHO recommendation. Non-functioning tumours cause local symptoms due to their mass effect, while functioning tumours produce well-defined endocrine syndromes. Among laboratory tests, serum chromogranin-A is considered the most important biomarker of both non-functioning and functioning neuroendocrine tumours. Localization of these tumours includes the use of conventional diagnostic imaging, endoscopic examinations, and functional imaging studies. With respect to treatment, elimination of the primary tumour remains one of the most important issues. In advanced cases of the disease metastasectomy, interventional radiologic methods, medical treatment and endoradiotherapy can be used. The aim of this review is to summarize briefly the symptoms, diagnostic methods and treatment options of neuroendocrine tumours.


Asunto(s)
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Biomarcadores de Tumor/sangre , Cromogranina A/sangre , Tumores Neuroendocrinos/diagnóstico , Tumores Neuroendocrinos/terapia , 3-Yodobencilguanidina/uso terapéutico , Antineoplásicos Hormonales/uso terapéutico , Quimioterapia Adyuvante , Diagnóstico Diferencial , Diagnóstico por Imagen/métodos , Humanos , Tumores Neuroendocrinos/sangre , Tumores Neuroendocrinos/metabolismo , Tumores Neuroendocrinos/patología , Pronóstico , Radioterapia Adyuvante , Receptores de Péptidos/efectos de los fármacos
10.
Exp Parasitol ; 132(1): 40-6, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21910990

RESUMEN

Nematode parasites infect humans and domestic animals; treatment and prophylaxis require anthelmintic drugs because vaccination and sanitation is limited. Emodepside is a more recently introduced cyclooctadepsipeptide drug that has actions against GI nematodes, lungworm, and microfilaria. It has a novel mode of action which breaks resistance to the classical anthelmintics (benzimidazoles, macrocyclic lactones and cholinergic agonists). Here we review studies on its mode of action which suggest that it acts to inhibit neuronal and muscle activity of nematodes by increasing the opening of calcium-activated potassium (SLO-1) channels.


Asunto(s)
Antihelmínticos/farmacología , Depsipéptidos/farmacología , Canales de Potasio de Gran Conductancia Activados por el Calcio/efectos de los fármacos , Nematodos/efectos de los fármacos , Infecciones por Nematodos/tratamiento farmacológico , Animales , Antihelmínticos/uso terapéutico , Caenorhabditis elegans/efectos de los fármacos , Caenorhabditis elegans/metabolismo , Caenorhabditis elegans/fisiología , Depsipéptidos/uso terapéutico , Resistencia a Medicamentos , Humanos , Canales de Potasio de Gran Conductancia Activados por el Calcio/metabolismo , Potenciales de la Membrana/efectos de los fármacos , Potenciales de la Membrana/fisiología , Contracción Muscular/efectos de los fármacos , Contracción Muscular/fisiología , Nematodos/metabolismo , Nematodos/fisiología , Infecciones por Nematodos/parasitología , Infecciones por Nematodos/prevención & control , Unión Neuromuscular/efectos de los fármacos , Unión Neuromuscular/metabolismo , Neuropéptidos/metabolismo , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/metabolismo
11.
Orv Hetil ; 152(10): 379-91, 2011 Mar 06.
Artículo en Húngaro | MEDLINE | ID: mdl-21354954

RESUMEN

Neuroendocrine tumours are heterogeneous and rare malignancies arising from endocrine cells located in various anatomical locations. Neuroendocrine tumours can be functional and may produce a wide variety of mediators, however, the majority of neuroendocrine tumours do not produce biologically active hormones (non-functioning tumours). On the basis of their pathological and biological characteristics they can be well differentiated as low malignant and poorly differentiated highly malignant tumours. In the case of the advanced low malignant tumours the application of somatostatin analogues not only may control symptoms but they also have direct anti-tumour effect. The use of higher doses of somatostatin analogues or new subtype selective agonists, and chimeric or pan-somatostatin analogues will probably improve the clinical management of the patients who fail to respond to standard somatostatin analogue treatment. Data show that somatostatin analogues and interferon have a synergistic effect. The currently used chemotherapy in progressive neuroendocrine tumors is mainly devoted to poorly differentiated tumours, but also to well differentiated carcinomas which are either not eligible or resistant to other therapies. However, the new anti-tumoural agents, could eventually replace these old recipes in the near future. Clinical trials show that telozomide with capecitabine result in more favorable toxic profile and higher and longer response rate in the case of well-differentiated tumours. Targeted therapy became a new possibility in neuroendocrine tumours too. The monoclonal antibody bevacizumab, which affects the vascular endothelial growth factor receptors, has beneficial effects both in monotherapies and in combination with somatostatin analogues or with oxaliplatine and capecitabine. Recently, the low molecular multikinase inhibitor, sunitinib has demonstrated efficacy in pancreas neuroendocrine tumors, which was proven in a phase 3 trial. The mammalian target of the rapamycin inhibitor everolimus, currently investigated in phase 3 trials, was also efficient in the same subtype. Further trials are needed to determine that in the case of other types of neuroendocrine tumours which targeted therapy could be efficient. Radioisotope-labeled peptide receptor therapy with ¹³¹I-MIBG, 9°Y-DOTA-TOC or ¹77Lu-DOTA-TOC may offer a highly effective option for patients with progressive and advanced stage of neuroendocrine tumours. The purpose of this review is to review and analyze data available regarding contemporary chemotherapeutic management of neuroendocrine tumours in order to determine which therapy should be applied in the therapeutic arsenal.


Asunto(s)
Antineoplásicos/uso terapéutico , Tumores Neuroendocrinos/tratamiento farmacológico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapéutico , Quimioterapia Adyuvante , Inhibidores Enzimáticos/uso terapéutico , Humanos , Interferones/uso terapéutico , Terapia Molecular Dirigida/métodos , Tumores Neuroendocrinos/metabolismo , Tumores Neuroendocrinos/cirugía , Proteínas Tirosina Quinasas/antagonistas & inhibidores , Receptores de Péptidos/efectos de los fármacos , Somatostatina/análogos & derivados , Somatostatina/uso terapéutico , Serina-Treonina Quinasas TOR/antagonistas & inhibidores , Resultado del Tratamiento
12.
J Clin Endocrinol Metab ; 106(9): e3665-e3672, 2021 08 18.
Artículo en Inglés | MEDLINE | ID: mdl-33942075

RESUMEN

CONTEXT: Peptide receptor radionuclide therapy (PRRT) with [Lutetium-177-DOTA0-Tyr3]octreotate (177Lu-DOTATATE) results in an increase of progression-free survival and quality of life in patients with progressive, well-differentiated neuroendocrine neoplasms (NENs). OBJECTIVE: To study the effect of 177Lu-DOTATATE in patients with carcinoid syndrome and radiologically stable or newly diagnosed disease treated solely for the purpose of symptom reduction. DESIGN: Retrospective cohort study. SETTING: Tertiary care hospital. PATIENTS: Twenty-two patients with a metastatic midgut NEN, elevated urinary 5-hydroxyindolacetic acid excretion, and flushing and/or diarrhea despite treatment with a somatostatin analog, without documented disease progression. INTERVENTION: PRRT with 177Lu-DOTATATE (intended cumulative dose: 29.6 GBq) with a primary aim to reduce symptoms. RESULTS: After PRRT, mean bowel movement frequency (BMF) decreased from 6.1 ± 3.4 to 4.6 ± 3.6 per day (P = 0.009). Flushes decreased from 4.3 ± 2.9 to 2.4 ± 2.7 flushes per day (P = 0.002). A decrease of BMF of more than 30% occurred in 47% of patients with baseline BMF of 4 or more (n = 17). In patients with ≥2 episodes of flushing a day (n = 15), 67% of patients had more than 50% decrease of daily flushing. A decrease in urinary 5-hydroxyindolacetic acid excretion of more than 30% was seen in 56% of patients. The European Organization for Research and Treatment of Cancer-Core Module diarrhea subscale score showed a trend toward improvement by an average of 16.7 ± 33.3 points (P = 0.11). CONCLUSION: PRRT with 177Lu-DOTATATE effectively reduced diarrhea and flushing in patients with carcinoid syndrome and can be considered for symptomatic treatment of carcinoid syndrome insufficiently controlled with somatostatin analogs.


Asunto(s)
Síndrome Carcinoide Maligno/radioterapia , Tumores Neuroendocrinos/radioterapia , Octreótido/análogos & derivados , Compuestos Organometálicos/uso terapéutico , Radioisótopos/uso terapéutico , Receptores de Péptidos/efectos de los fármacos , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Diarrea/etiología , Diarrea/radioterapia , Resistencia a Antineoplásicos , Femenino , Humanos , Ácido Hidroxiindolacético/orina , Masculino , Persona de Mediana Edad , Octreótido/uso terapéutico , Tomografía Computarizada por Tomografía de Emisión de Positrones , Supervivencia sin Progresión , Calidad de Vida , Estudios Retrospectivos , Somatostatina/análogos & derivados , Somatostatina/uso terapéutico , Resultado del Tratamiento
13.
Nat Nanotechnol ; 16(4): 466-477, 2021 04.
Artículo en Inglés | MEDLINE | ID: mdl-33495618

RESUMEN

Relaxin is an antifibrotic peptide hormone previously assumed to directly reverse the activation of hepatic stellate cells for liver fibrosis resolution. Using nanoparticle-mediated delivery, here we show that, although relaxin gene therapy reduces liver fibrosis in vivo, in vitro treatment fails to induce quiescence of the activated hepatic stellate cells. We show that hepatic macrophages express the primary relaxin receptor, and that, on relaxin binding, they switch from the profibrogenic to the pro-resolution phenotype. The latter releases exosomes that promote the relaxin-mediated quiescence of activated hepatic stellate cells through miR-30a-5p. Building on these results, we developed lipid nanoparticles that preferentially target activated hepatic stellate cells in the fibrotic liver and encapsulate the relaxin gene and miR-30a-5p mimic. The combinatorial gene therapy achieves synergistic antifibrosis effects in models of mouse liver fibrosis. Collectively, our findings highlight the key role that macrophages play in the relaxin-primed alleviation of liver fibrosis and demonstrate a proof-of-concept approach to devise antifibrotic strategies through the complementary application of nanotechnology and basic science.


Asunto(s)
Cirrosis Hepática/terapia , MicroARNs/genética , Nanopartículas/química , Receptores Acoplados a Proteínas G/genética , Receptores de Péptidos/genética , Relaxina/genética , Animales , Sistemas de Liberación de Medicamentos , Regulación de la Expresión Génica/efectos de los fármacos , Células Estrelladas Hepáticas/efectos de los fármacos , Humanos , Hígado/efectos de los fármacos , Hígado/patología , Cirrosis Hepática/genética , Macrófagos/efectos de los fármacos , Ratones , Receptores Acoplados a Proteínas G/efectos de los fármacos , Receptores de Péptidos/efectos de los fármacos , Relaxina/química , Relaxina/farmacología
14.
J Exp Med ; 190(5): 741-7, 1999 Sep 06.
Artículo en Inglés | MEDLINE | ID: mdl-10477558

RESUMEN

The N-formylpeptide receptor (FPR) is a G protein-coupled receptor that mediates mammalian phagocyte chemotactic responses to bacterial N-formylpeptides. Here we show that a mouse gene named Fpr-rs2 encodes a second N-formylpeptide receptor subtype selective for neutrophils which we have provisionally named FPR2. The prototype N-formylpeptide fMLF induced calcium flux and chemotaxis in human embryonic kidney (HEK) 293 cells stably transfected with FPR2. The EC(50)s, approximately 5 microM for calcium flux and chemotaxis, were approximately 100-fold greater than the corresponding values for mouse FPR-transfected HEK 293 cells. Consistent with this, fMLF induced two distinct concentration optima for chemotaxis of normal mouse neutrophils, but only the high concentration optimum for chemotaxis of neutrophils from FPR knockout mice. Based on these data, we hypothesize that high- and low-affinity N-formylpeptide receptors, FPR and FPR2, respectively, may function in vivo as a relay mediating neutrophil migration through the high and low concentration portions of N-formylpeptide gradients.


Asunto(s)
Quimiotaxis de Leucocito/efectos de los fármacos , Quimiotaxis de Leucocito/fisiología , N-Formilmetionina Leucil-Fenilalanina/farmacología , Neutrófilos/efectos de los fármacos , Neutrófilos/fisiología , Receptores Inmunológicos/efectos de los fármacos , Receptores Inmunológicos/fisiología , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/fisiología , Animales , Secuencia de Bases , Calcio/metabolismo , Línea Celular , Cartilla de ADN/genética , Proteínas de Unión al GTP/metabolismo , Humanos , Transporte Iónico/efectos de los fármacos , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , ARN Mensajero/genética , ARN Mensajero/metabolismo , Receptores de Formil Péptido , Receptores Inmunológicos/genética , Receptores de Péptidos/genética , Transfección
15.
J Sex Med ; 7(11): 3610-9, 2010 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-20102442

RESUMEN

INTRODUCTION: Receptors for natriuretic peptides have been demonstrated as potential targets for the treatment of male erectile dysfunction. AIM: This study investigates the relaxant effects of the atrial natriuretic peptide (ANP) and uroguanylin (UGN), and expression of natriuretic peptide receptors on strips of human corpora cavernosa (HCC). MAIN OUTCOME MEASURES: Quantitative analysis of natriuretic receptor expression and relaxation of precontracted strips were used to assess the membrane-bound guanylate cyclase-cyclic guanosine monophosphate (cGMP) pathway in HCC strips. METHODS: HCC was obtained from a cadaver donor at the time of collection of organs for transplantation (14-47 years) and strips were mounted in organ baths for isometric studies. RESULTS: ANP and UGN both induced concentration-dependent relaxation on HCC strips with a maximal response attained at 300 nM, corresponding to 45.4±4.0% and 49±4.8%, respectively. The relaxation is not affected by 30 µM 1H-[1,2,4]oxaolodiazolo[4,3-a]quinoxalin-1-one (ODQ) (a soluble guanylate cyclase inhibitor), but it is significantly blocked by 10 µM isatin, a nonspecific particulate guanylate cyclase (pGC) inhibitor. UGN was unable to potentiate electrical field stimulation (EFS) or acetylcholine-induced relaxations. The potential role of pGC activation and cGMP generation in this effect is reinforced by the potentiation of this effect by phosphodiesterase-5 inhibitor vardenafil (55.0±7.5-UGN vs. 98.6±1.4%-UGN+vardenafil; P<0.05). The relaxant effect was also partially (37.6%) blocked by the combination iberitoxin-apamin but was insensitive to glybenclamide. The expression of guanylate cyclase receptors (GC-A, GC-B, GC-C) and the expression of the natriuretic peptide "clearance" receptor (NPR-C) were confirmed by real-time polymerase chain reaction. The exposure of HCC strips to ANP (1 µM) and UGN (10 µM) significantly increased cGMP, but not cyclic adenosine monophosphate (cAMP) levels. CONCLUSIONS: UGN relaxes HCC strips by a guanylate cyclase and K(ca)-channel-dependent mechanism. These findings obtained in HCC reveal that the natriuretic peptide receptors are potential targets for the development of new drugs for the treatment of erectile dysfunction.


Asunto(s)
Factor Natriurético Atrial/metabolismo , Disfunción Eréctil/tratamiento farmacológico , Péptidos Natriuréticos/farmacología , Pene/cirugía , Adolescente , Adulto , Factor Natriurético Atrial/efectos de los fármacos , Cadáver , AMP Cíclico/metabolismo , GMP Cíclico/metabolismo , Fosfodiesterasas de Nucleótidos Cíclicos Tipo 5/metabolismo , Disfunción Eréctil/enzimología , Disfunción Eréctil/metabolismo , Guanilato Ciclasa/metabolismo , Humanos , Masculino , Persona de Mediana Edad , Relajación Muscular/efectos de los fármacos , Relajación Muscular/fisiología , Músculo Liso/efectos de los fármacos , Músculo Liso/fisiología , Péptidos Natriuréticos/metabolismo , Pene/efectos de los fármacos , Receptores del Factor Natriurético Atrial , Receptores Citoplasmáticos y Nucleares/metabolismo , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/metabolismo , Guanilil Ciclasa Soluble , Adulto Joven
16.
Eur Rev Med Pharmacol Sci ; 14(4): 347-51, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20496546

RESUMEN

BACKGROUND: Clinical experience with the radiolabeled somatostatin analogues 90Y-DOTATOC and, more recently, 177Lu-DOTATATE, is ongoing since more than a decade in few centers. Dosimetric studies demonstrated that 90Y-DOTATOC and 177Lu-DOTATATE are able to deliver high doses to somatostatin receptor sst2-expressing tumors and low doses to normal organs. RESULTS AND CONCLUSIONS: Clinical studies demonstrated that partial and complete objective responses in up to 30% of patients can be obtained, with a great survival benefit in treated patients. Side effects may involve the kidney and the bone marrow and are usually mild. Renal protection is used to minimize the risk of a late decrease of renal function.


Asunto(s)
Antineoplásicos/uso terapéutico , Tumores Neuroendocrinos/radioterapia , Radioisótopos/uso terapéutico , Receptores de Péptidos/efectos de los fármacos , Somatostatina/análogos & derivados , Somatostatina/uso terapéutico , Antineoplásicos/efectos adversos , Humanos , Lutecio/uso terapéutico , Octreótido/análogos & derivados , Octreótido/uso terapéutico , Radioisótopos/efectos adversos , Radiofármacos/uso terapéutico , Somatostatina/efectos adversos , Radioisótopos de Itrio/uso terapéutico
17.
Adv Exp Med Biol ; 692: 10-26, 2010.
Artículo en Inglés | MEDLINE | ID: mdl-21189672

RESUMEN

Neuropeptides play essential roles in many physiological systems in vertebrates and invertebrates. Peptides per se are difficult to use as therapeutic agents, as they are generally very unstable in biological fluid environments and cross biological membranes poorly. Recognition that nonpeptide ligands for peptide receptors have clinical utility came from the discovery that opiates (such as morphine) act by binding to G protein-coupled receptors (GPCRs) for which the endogenous ligands are a family of neuropeptides (enkephalins and endorphins). Basic research has revealed a very large number of distinct neuropeptides that influence virtually every aspect of mammalian physiology and considerable effort has been expended in the pursuit of new drugs that act through peptidergic signaling systems. Although useful drugs have been found to affect various aspects ofneuropeptide biology, most work has been devoted to the discovery of nonpeptide ligands that act as agonists or antagonists at peptidergic GPCRs. Similar opportunities are apparent for the discovery of nonpeptide ligands that act on invertebrate GPCRs. A consideration of the knowledge gained from the process as conducted for mammalian peptidergic systems can inform and illuminate promising strategies for the discovery of new drugs for the treatment and control of pests and parasites.


Asunto(s)
Receptores Acoplados a Proteínas G/fisiología , Descubrimiento de Drogas/tendencias , Ligandos , Neuropéptidos/genética , Neuropéptidos/farmacología , Neuropéptidos/fisiología , Receptores de Droga/efectos de los fármacos , Receptores de Droga/fisiología , Receptores Acoplados a Proteínas G/efectos de los fármacos , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/fisiología , Transducción de Señal/efectos de los fármacos , Transducción de Señal/fisiología
18.
J Cell Biol ; 160(3): 321-8, 2003 Feb 03.
Artículo en Inglés | MEDLINE | ID: mdl-12551953

RESUMEN

The protective antigen (PA) of the anthrax toxin binds to a cell surface receptor and thereby allows lethal factor (LF) to be taken up and exert its toxic effect in the cytoplasm. Here, we report that clustering of the anthrax toxin receptor (ATR) with heptameric PA or with an antibody sandwich causes its association to specialized cholesterol and glycosphingolipid-rich microdomains of the plasma membrane (lipid rafts). We find that although endocytosis of ATR is slow, clustering it into rafts either via PA heptamerization or using an antibody sandwich is necessary and sufficient to trigger efficient internalization and allow delivery of LF to the cytoplasm. Importantly, altering raft integrity using drugs prevented LF delivery and cleavage of cytosolic MAPK kinases, suggesting that lipid rafts could be therapeutic targets for drugs against anthrax. Moreover, we show that internalization of PA is dynamin and Eps15 dependent, indicating that the clathrin-dependent pathway is the major route of anthrax toxin entry into the cell. The present work illustrates that although the physiological role of the ATR is unknown, its trafficking properties, i.e., slow endocytosis as a monomer and rapid clathrin-mediated uptake on clustering, make it an ideal anthrax toxin receptor.


Asunto(s)
Carbunco/metabolismo , Antígenos Bacterianos , Toxinas Bacterianas/metabolismo , Clatrina/metabolismo , Endocitosis/fisiología , Células Eucariotas/metabolismo , Células Eucariotas/microbiología , Microdominios de Membrana/metabolismo , Receptores de Péptidos/metabolismo , Animales , Carbunco/fisiopatología , Anticuerpos , Células CHO , Proteínas de Unión al Calcio/metabolismo , Proteínas Portadoras/metabolismo , Caveolina 1 , Caveolinas/metabolismo , Cricetinae , Dinaminas/metabolismo , Endocitosis/efectos de los fármacos , Células Eucariotas/efectos de los fármacos , MAP Quinasa Quinasa 1 , Sustancias Macromoleculares , Microdominios de Membrana/efectos de los fármacos , Microdominios de Membrana/ultraestructura , Microscopía Electrónica , Quinasas de Proteína Quinasa Activadas por Mitógenos/efectos de los fármacos , Quinasas de Proteína Quinasa Activadas por Mitógenos/metabolismo , Fosfoproteínas/metabolismo , Proteínas Serina-Treonina Quinasas/efectos de los fármacos , Proteínas Serina-Treonina Quinasas/metabolismo , Receptores de Péptidos/efectos de los fármacos , Vesículas Transportadoras/efectos de los fármacos , Vesículas Transportadoras/metabolismo , Vesículas Transportadoras/ultraestructura
19.
Mol Cell Endocrinol ; 279(1-2): 52-62, 2007 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-17950991

RESUMEN

The present study was designed to investigate the dose-dependent direct effect of corticosterone on the expression of peptide hormone receptors, 11 beta-hydroxysteroid dehydrogenase (11 beta-HSD) and glucose oxidation in cultured adult rat Leydig cells. Leydig cells were isolated from the testis of normal adult male albino rats, purified on discontinuous Percoll gradient and plated in culture plates/flasks overnight at 34 degrees C in a CO(2) incubator under 95% air and 5% CO(2) using DME/F12 medium containing 1% fetal bovine serum. After the attachment of cells, serum containing medium was removed and cells were exposed to different doses (0, 50, 100, 200, 400 and 800 nM) of corticosterone using serum-free fresh medium for 24h at 34 degrees C. At the end of exposure period, cells were utilized for the quantification of cell-surface LH, prolactin, insulin receptors and their mRNA expression, the activity and mRNA expression of 11 beta-HSD and glucose oxidation. Testosterone production was estimated in cell pellets and in culture media. At all doses employed, corticosterone significantly decreased the production of testosterone by Leydig cells. The concentration of cell-surface LH and prolactin receptors were significantly reduced after corticosterone exposure whereas the concentration of insulin receptor was diminished only at 200-800 nM doses of corticosterone. The levels of LH and prolactin receptor mRNAs were significantly decreased after corticosterone (100-800 nM) exposure whereas the mRNA level of insulin receptor was significantly reduced only at 800 nM dose of corticosterone. 11 beta-HSD mRNA expression as well as the activity was significantly inhibited by corticosterone treatment. Glucose oxidation was markedly inhibited by corticosterone exposure in a dose-dependent manner. It is concluded from this in vitro study that corticosterone induces steroidogenic lesion in testicular Leydig cells by decreasing the number of cell-surface LH, prolactin and insulin receptors, the activity of 11 beta-HSD and their mRNA levels and glucose oxidation.


Asunto(s)
11-beta-Hidroxiesteroide Deshidrogenasas/efectos de los fármacos , Corticosterona/farmacología , Glucosa/metabolismo , Células Intersticiales del Testículo/metabolismo , Receptores de Péptidos/efectos de los fármacos , 11-beta-Hidroxiesteroide Deshidrogenasas/antagonistas & inhibidores , 11-beta-Hidroxiesteroide Deshidrogenasas/metabolismo , Animales , Secuencia de Bases , Células Cultivadas , Relación Dosis-Respuesta a Droga , Células Intersticiales del Testículo/efectos de los fármacos , Masculino , Datos de Secuencia Molecular , Oxidación-Reducción , Ratas , Receptores de Péptidos/antagonistas & inhibidores , Receptores de Péptidos/metabolismo , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
20.
Brain Res ; 1147: 66-76, 2007 May 25.
Artículo en Inglés | MEDLINE | ID: mdl-17362886

RESUMEN

NgR is a common receptor for three myelin-associated inhibitors and mediates their inhibitory activities on neurite outgrowth. In the present study, we investigated whether a DNA vaccine targeting NgR could play a beneficial role in improving recovery from spinal cord injury (SCI). We demonstrated that a DNA vaccine against NgR was successfully constructed and expressed efficiently in vitro and in vivo. After immunization with anti-NgR DNA vaccine, a low level of antibody response and a T cell-mediated immune response were induced in the vaccinated rats. And the antisera taken from the anti-NgR DNA vaccinated rats could partly reverse the inhibition of MAG on neurite outgrowth. When the rats were subjected to a contusive SCI, the vaccinated rats showed much better functional recovery than the controls. In those vaccinated rats that induced a T cell response and generated antibodies against NgR, functional improvements were even better. Histological assessments by three-dimensional reconstruction further demonstrated that the total lesion volume in the vaccinated rats was reduced by 30.8% compared to the controls. These results collectively suggest that DNA vaccine against NgR can significantly improve functional recovery in rats that received contusive SCI and that the vaccination approach may provide a promising strategy for promoting SCI repair.


Asunto(s)
Linfocitos T CD8-positivos/inmunología , Receptores de Péptidos/metabolismo , Recuperación de la Función/fisiología , Traumatismos de la Médula Espinal/metabolismo , Vacunas de ADN/uso terapéutico , Análisis de Varianza , Animales , Femenino , Proteínas Ligadas a GPI , Inmunidad Celular/fisiología , Actividad Motora/fisiología , Proteínas de la Mielina , Receptor Nogo 1 , Ratas , Ratas Sprague-Dawley , Receptores de Superficie Celular , Receptores de Péptidos/efectos de los fármacos , Receptores de Péptidos/inmunología , Recuperación de la Función/efectos de los fármacos , Recuperación de la Función/inmunología , Traumatismos de la Médula Espinal/tratamiento farmacológico , Traumatismos de la Médula Espinal/inmunología , Resultado del Tratamiento , Vacunas de ADN/inmunología
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