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1.
PLoS One ; 18(10): e0292400, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37812600

RESUMO

The rice GA biosynthetic gene OsGA3ox1 has been proposed to regulate pollen development through the gametophytic manner, but cellular characterization of its mutant pollen is lacking. In this study, three heterozygotic biallelic variants, "-3/-19", "-3/-2" and "-3/-10", each containing one null and one 3bp-deletion allele, were obtained by the CRISPR/Cas9 technique for the functional study of OsGA3ox1. The three homozygotes, "-19/-19", "-2/-2" and "-10/-10", derived from heterozygotic variants, did not affect the development of most vegetative and floral organs but showed a significant reduction in seed-setting rate and in pollen viability. Anatomic characterizations of these mutated osga3ox1 pollens revealed defects in starch granule accumulation and pollen wall development. Additional molecular characterization suggests that abnormal pollen development in the osga3ox1 mutants might be linked to the regulation of transcription factors OsGAMYB, OsTDR and OsbHLH142 during late pollen development. In brief, the rice GA3ox1 is a crucial gene that modulates pollen starch granule accumulation and pollen wall development at the gametophytic phase.


Assuntos
Oryza , Proteínas de Plantas/metabolismo , Sementes , Pólen/metabolismo , Amido , Regulação da Expressão Gênica de Plantas
2.
Oxid Med Cell Longev ; 2022: 7255413, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36092166

RESUMO

Purpose: This systematic review and meta-analysis aim at elucidating the heterogeneity in beneficial effects of antioxidant supplementation in obese adults by exploring the differential effects of antioxidant supplementation on basic indicators of obesity, lipid metabolism, systemic antioxidant capacity, inflammatory biomarkers, and liver function. Methods: The inclusion criteria specified randomized controlled trials with antioxidant intervention for adults (mean body mass index (BMI) > 30), from inception to Aug. 8, 2021, in the PubMed, Embase, The Cochrane Library, Web of Science, and Scopus databases. Meta-analysis and publication bias were performed using RevMan 5.4 software. Stata16 software was used to detect publication bias with Egger's and Begg's methods being mainly used. The data of basic indicators of obesity, lipid metabolism index, oxidative stress index, inflammatory biomarkers, and liver function index were collected to analyze the beneficial effects of antioxidant supplementation in obese patients. Results: A total of 30 studies were included in this study with a sample of 845 obese patients from the antioxidant supplementation group and 766 obese patients from the placebo control group. The meta-analysis showed that obese patients with antioxidant supplementation had lower BMI (mean difference (MD): - 0.44 [95%confidence interval (CI): - 0.84, -0.04], p = 0.03), waist circumference (MD : -0.78 [95%CI:-1.45, -0.11], p = 0.02), fasting blood glucose (FBG) level (standardized mean difference (SMD): - 4.92 [95%CI:-6.87, -2.98], p < 0.001) and homeostasis model assessment of insulin resistance (MD : -0.45 [95%CI:-0.61, -0.3], p < 0.001) when compared to the placebo group. Obese patients on antioxidant supplementation had lower levels of total cholesterol (SMD : -0.43 [95%CI:-0.84, -0.02], p = 0.04), triglycerides (SMD : -0.17 [95%CI:-0.31, -0.04], p = 0.01), low-density lipoprotein (SMD : -0.15 [95%CI:-0.29, -0.01], p = 0.03), malondialdehyde (SMD : -1.67 [95%CI:-2.69, -0.65], p = 0.001), and tumor necrosis factor-alpha (SMD : -0.29 [95%CI:-0.56, -0.02], p = 0.03), respectively, when compared to the placebo group. In addition, obese patients with antioxidant supplementation had higher levels of high-density lipoprotein (SMD : 0.25 [95%CI : 0.03, 0.46], p = 0.03) and superoxide dismutase (SMD : 1.09 [95%CI : 0.52, 1.65], p < 0.001) when compared to the placebo group. Antioxidant supplementation had no effects on other analyzed parameters including waist-hip ratio, leptin, fat mass, interleukin-6, C-reactive protein, alanine transaminase, and aspartate transaminase in obese patients. Conclusion: The meta-analysis results indicated that antioxidant supplementation exerted potential beneficial effects in obese patients by regulating FBG, oxidative stress, and inflammation, whilst more high-quality studies are required to confirm these effects. The present study may provide important insights for the treatment of clinical obesity and obesity-associated complications.


Assuntos
Antioxidantes , Doenças Metabólicas , Antioxidantes/uso terapêutico , Biomarcadores , Suplementos Nutricionais , Humanos , Doenças Metabólicas/metabolismo , Obesidade/complicações , Obesidade/tratamento farmacológico , Ensaios Clínicos Controlados Aleatórios como Assunto
3.
Carbohydr Polym ; 276: 118730, 2022 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-34823766

RESUMO

Achyranthes bidentata is a traditional Chinese medicine used to treat osteoporosis. AB90, a crude saccharide from A. bidentata, showed excellent osteoprotective effects in ovariectomized rats, and ABW90-1, an oligosaccharide purified from AB90, stimulated significant differentiation of osteoblasts. However, the osteogenic effects and underlying mechanisms of ABW90-1 have remained unknown. In the present study, we found that ABW90-1 significantly promoted ALP activity, mineralization, and the expression of osteogenic markers in MC3T3-E1 cells. ABW90-1 showed strong binding with the WNT signaling complex and BMP2 based on number of interactions, hydrogen bond length, and binding energy in silico. ABW90-1 significantly increased the expression of active-ß-catenin, p-GSK-3ß, LEF-1, BMP2, and p-SMAD1. Importantly, the osteogenic effects of ABW90-1 were partially suppressed by DKK-1 and Noggin, which are specific inhibitors of the WNT and BMP signaling pathways, respectively. Collectively, these findings suggest that ABW90-1 has osteogenic effects through crosstalk between WNT/ß-catenin and BMP2/SMAD1 signaling pathways.


Assuntos
Achyranthes/química , Frutanos/farmacologia , Osteogênese/efeitos dos fármacos , Osteoporose/metabolismo , Animais , Proteína Morfogenética Óssea 2/metabolismo , Diferenciação Celular/efeitos dos fármacos , Linhagem Celular , Proliferação de Células/efeitos dos fármacos , Frutanos/análise , Camundongos , Simulação de Acoplamento Molecular/métodos , Osteoblastos/efeitos dos fármacos , Ratos , Proteína Smad1/metabolismo , Via de Sinalização Wnt/efeitos dos fármacos , beta Catenina/metabolismo
4.
Carbohydr Polym ; 210: 110-118, 2019 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-30732743

RESUMO

Achyranthes bidentata is used as a medicinal herb prescribed for the treatment of osteoporosis in China. The anti-osteoporosis activity of the crude polysaccharide from A. bidentata, AB50, was evaluated by ovariectomized rats. The results indicated that AB50 has prominent osteoprotective effects, which was comparable to positive control. To further explore which ingredients are responsible for these effects, a novel fructan, ABW50-1 (1260 Da), was purified for the first time and characterized by chemical methods and nuclear magnetic resonance. The results revealed that ABW50-1 was composed of →2)-ß-D-Fruf-(1→, →2)-ß-D-Fruf-(1, 6→ and →2)-ß-D-Fruf-(6→, terminated with Glu and Fru residues. Morphological analyses indicated that ABW50-1 was fragmented and contained a branched structure. Furthermore, ABW50-1 significantly increased the relative fluorescence intensity of bone mass, without side effects, in a zebrafish model of glucocorticoid-induced osteoporosis (GIOP). Thus, ABW50-1 shows potential for developing new anti-osteoporosis agents for osteoporosis therapy.


Assuntos
Achyranthes/química , Oligossacarídeos/farmacologia , Osteogênese/efeitos dos fármacos , Animais , Densidade Óssea/efeitos dos fármacos , Feminino , Fêmur/efeitos dos fármacos , Fêmur/fisiologia , Peso Molecular , Monossacarídeos/análise , Oligossacarídeos/toxicidade , Ratos , Peixe-Zebra
5.
Artigo em Inglês | MEDLINE | ID: mdl-30445291

RESUMO

Salvia miltiorrhiza has been widely used in Asia for medicinal purposes for >1000 years due to the high levels of bioactive constituents it contains. In this study, a simple and rapid ultrasound-assisted liquid extraction (5 min) was applied for the extraction of these bioactive constituents. The extracts were analyzed by using rapid ultrahigh performance liquid chromatography-tandem mass spectrometry (UHPLC-MS/MS) with simultaneous positive and negative electrospray ionization in a single analytical run. Eight analytes were separated within 2.2 min during 6 min of run time with UHPLC-MS/MS operated in multiple reaction monitoring (MRM) mode. The concentration of salvianolic acids and tanshinones in the different organs of different varieties of Salvia miltiorrhiza ranged from 6.4 to 382.1 mg/g and 0.03 to 31.7 mg/g, respectively. To the best of our knowledge, this is the first report to characterize the tanshinone compounds found in the flower and stem/leaf of Salvia miltiorrhiza by UHPLC-MS/MS.


Assuntos
Ácidos Cafeicos/análise , Fenantrenos/análise , Componentes Aéreos da Planta/química , Salvia miltiorrhiza/química , Cromatografia Líquida de Alta Pressão/métodos , Limite de Detecção , Modelos Lineares , Extratos Vegetais/análise , Extratos Vegetais/química , Reprodutibilidade dos Testes , Sonicação , Espectrometria de Massas em Tandem/métodos
6.
J Pharm Biomed Anal ; 161: 94-100, 2018 Nov 30.
Artigo em Inglês | MEDLINE | ID: mdl-30145454

RESUMO

The dried root of Danshen (Salvia miltiorrhiza) is a Chinese medicine that has been used in traditional treatments for more than 2000 years in Asia. It has also been used to treat cardiovascular diseases for decades. The goal of this study was to develop a new, fast, and simple ultrahigh-performance liquid chromatography tandem mass spectrometry (UPLC-MS/MS) analytical method for the analysis of phenolic acids and tanshinones in Danshen. The samples were separated on a Kinetex F5 column (2.1 x 100 mm, 1.7 µm, pentafluorophenyl) using 78% acetonitrile with 0.1% formic acid as the mobile phase with isocratic elution while the flow rate was set at 0.45 mL/min. The analysis was performed in a Waters Xevo TQ mass spectrometer via multiple reaction monitoring (MRM) in polarity switching mode. The linearity values of the calibration curves of eight compounds were in the range from 3 to 3200 ng/mL (r2 > 0.99). Method validation was performed in terms of linearity, the relative standard deviations (RSDs) of the intra-day and inter-day, and it was found that precisions were within 15% and the accuracy ranged from 93% to 118%. The recovery was more than 87%. The limit of detection (LOD) and limit of quantification (LOQ) values of the eight analytes varied between 0.023 to 0.75 ng/mL and 0.375 to 1.5 ng/mL, respectively. This approach has the shortest analysis time for the separation of phenolic acids and tanshinones in Danshen using a UPLC core-shell column with F5 stationary phase. Meanwhile, this robust and high-throughput method not only has a short run time (2 min) but also reduce the consumption of organic solvents.


Assuntos
Abietanos/análise , Cromatografia Líquida de Alta Pressão/métodos , Medicamentos de Ervas Chinesas/química , Hidroxibenzoatos/análise , Salvia miltiorrhiza/química , Espectrometria de Massas em Tandem/métodos , Ensaios de Triagem em Larga Escala/métodos , Limite de Detecção
7.
Int J Biol Macromol ; 112: 433-441, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29410058

RESUMO

Osteoporosis is a frequent disease among the elderly especially in postmenopausal women. Achyranthes bidentata is a traditional Chinese medicine used to strengthen bones. Here, A. bidentata polysaccharides (ABPs) were confirmed to have anti-osteoporosis effects. This study discovered biomarkers by comparing normal and osteoporosis rats and evaluated the effects of ABPs on osteoporosis based on the UPLC/Q-TOF-MS-based metabolomics analysis. We could then predict the underlying mechanisms from the perspective of metabolomics. Osteoporotic rats were treated with ABPs, and serum was then sampled for metabolic analysis. Glutarylcarnitine, lysoPC (18:1) and 9-cis-retinoic acid were identified as biomarkers. The ABPs could significantly increase these biomarkers, and this indicated that ABPs curing osteoporosis regulated lipid metabolism. The UPLC/Q-TOF-MS-based metabolomics analysis offered a potential strategy to evaluate the anti-osteoporosis effects of ABPs and to explain the relative mechanisms. Furthermore, the ABPs have good potential for treating osteoporosis.


Assuntos
Achyranthes/química , Biomarcadores/sangue , Osteoporose/tratamento farmacológico , Polissacarídeos/administração & dosagem , Alitretinoína , Animais , Carnitina/análogos & derivados , Carnitina/sangue , Ácidos Docosa-Hexaenoicos/sangue , Humanos , Lisofosfatidilcolinas/sangue , Metabolômica , Osteoporose/sangue , Osteoporose/metabolismo , Osteoporose/patologia , Ovariectomia , Polissacarídeos/química , Ratos , Tretinoína/sangue
8.
Carbohydr Polym ; 184: 288-298, 2018 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-29352921

RESUMO

Achyranthes bidentata is an important Traditional Chinese Medicine for the treatment of osteoporosis. In this study, A. bidentata polysaccharide (ABPB), which was extracted with alkali from the root of A. bidentata at room temperature, significantly increased the bone mineral density, bone mineral content, trabecular thickness, trabecular number and biomechanical properties of ovariectomized (OVX) rats, indicating that ABPB had prominent curative effects on osteoporosis in OVX rats. A novel polysaccharide (ABPB-3) was purified from ABPB, and its structure was characterized as a repeating unit consisting of →4)-α-d-GalpA-(1→, →2,4)-α-l-Rhap-(1→, →5)-α-l-Araf-(1→, →2,3,5)-α-l-Araf-(1→, →3)-ß-d-Galp-(1→, →3,4,6)-ß-d-Galp-(1→, terminated with α-l-Araf, α-l-Rhap and ß-d-Galp. Up to now, there were no literature reports relevant to the structure of ABPB-3. In the zebrafish model of glucocorticoid-induced osteoporosis (GIOP), ABPB-3 significantly increased the relative fluorescence intensity of the skull bone mass in a concentration-dependent manner, indicating that it stimulated bone formation activity. Thus, ABPB and ABPB-3 have the potential to be used for the anti-osteoporosis medicine.


Assuntos
Achyranthes/química , Polissacarídeos/química , Animais , Densidade Óssea/efeitos dos fármacos , Feminino , Osteogênese/efeitos dos fármacos , Osteoporose , Ovariectomia , Polissacarídeos/farmacologia , Ratos , Peixe-Zebra
9.
Zhongguo Zhong Yao Za Zhi ; 40(9): 1825-30, 2015 May.
Artigo em Chinês | MEDLINE | ID: mdl-26323157

RESUMO

A quantitative analytical method of ultra-high performance liquid chromatography (UPLC) was developed for simultaneously determining twelve components in Tibetan medicine Zuozhu Daxi. SIMPCA 12.0 software was used a principal component analysis PCA) and partial small squares analysis (PLSD-DA) on the twelve components in 10 batches from four pharmaceutical factories. Acquity UPLC BEH C15 column (2.1 mm x 100 mm, 1.7 µm) was adopted at the column temperature of 35 °C and eluted with acetonitrile (A) -0.05% phosphate acid solution (B) as the mobile phase with a flow rate of 0. 3 mL · min(-1). The injection volume was 1 µL. The detection wavelengths were set at 210 nm for alantolactone, isoalantolactone and oleanolic; 260 nm for trychnine and brucine; 288 nm for protopine; 306 nm for protopine, resveratrol and piperine; 370 nm for quercetin and isorhamnetin. The results showed a good separation among index components, with a good linearity relationship (R2 = 0.999 6) within the selected concentration range. The average sample recovery rates ranged between 99.44%-101.8%, with RSD between 0.37%-1.7%, indicating the method is rapid and accurate with a good repeatability and stability. The PCA and PLSD-DA analysis on the sample determination results revealed a great difference among samples from different pharmaceutical factories. The twelve components included in this study contributed significantly to the quantitative determination of intrinsic quality of Zuozhu Daxi. The UPLC established for to the quantitative determination of the twelve components can provide scientific basis for the comprehensive quality evaluation of Zuozhu Daxi.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Medicamentos de Ervas Chinesas/química , Plantas Medicinais/química , Medicamentos de Ervas Chinesas/isolamento & purificação , Controle de Qualidade , Tibet
10.
J Agric Food Chem ; 58(8): 5166-73, 2010 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-20345096

RESUMO

The purpose of this study is to determine the growth performance and immune characteristics of early weaned piglets receiving rice bran expressing porcine lactoferrin as a feed additive. Full-length cDNA encoding porcine lactoferrin (LF) driven by a rice actin promoter was transformed into rice plants, and its integration into the rice genome was verified by Southern blot analysis. The expression of recombinant LF (rLF) in whole grains and rice bran was also confirmed, and the amount of rLF accumulated in rice bran was estimated by immunoblot assay to be approximately 0.1% of rice bran weight. An iron-binding assay showed that the rLF retained iron-binding activity and the binding capacity of 1 mg/mL rLF would be saturated by 100 microM of FeCl(3). Thirty-six early weaned piglets at 21 days old were randomly selected into two groups and fed a diet containing 5% transgenic rice bran containing 50 mg/kg rLF (rLF group) and 5% rice bran (control group) to investigate the piglets' growth performance and immune characteristics. The results showed no significant difference in growth performance between the groups during the feeding period. However, the aerobic bacteria, anaerobic bacteria, and coliform counts in the cecal contents of the rLF-fed group were significantly lower than those of the control group. Additional immune characteristics such as the IgG concentration in the rLF group was higher than the control group at the 28th day, but leukocyte counts and the peripheral lymphocyte ratio remained similar. In summary, porcine LF expressed in rice bran, a byproduct of rice, can be used as a functional additive to improve antimicrobial capabilities and IgG concentration of early weaned piglets.


Assuntos
Lactoferrina/genética , Oryza/genética , Desmame , Animais , Sequência de Bases , Contagem de Colônia Microbiana , Primers do DNA , DNA Complementar , Hidrólise , Plantas Geneticamente Modificadas , Suínos
11.
Plant Physiol Biochem ; 48(2-3): 81-9, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20074972

RESUMO

Expression of OLE16 and OLE18, two oleosin isoforms in oil bodies of rice seeds, was suppressed by RNA interference. Electron microscopy revealed a few large, irregular oil clusters in 35S::ole16i transgenic seed cells, whereas accumulated oil bodies in 35S::ole18i transgenic seed cells were comparable to or slightly larger than those in wild-type seed cells. Large and irregular oil clusters were observed in cells of double mutant seeds. These unexpected differences observed in oil bodies of 35S::ole16i and 35S::ole18i transgenic seeds were further analyzed. In comparison to wild-type plants, OLE18 levels were reduced to approximately 40% when OLE16 was completely eliminated in 35S::ole16i transgenic plants. In contrast, OLE16 was reduced to only 80% of wild-type levels when OLE18 was completely eliminated in 35S::ole18i transgenic plants. While the triacylglycerol content of crude seed extracts of 35S::ole16i and 35S::ole18i transgenic seeds was reduced to approximately 60% and 80%, respectively, triacylglycerol in isolated oil bodies was respectively reduced to 45% and 80% in accordance with the reduction of their oleosin contents. Oil bodies isolated from both 35S::ole16i and 35S::ole18i transgenic seeds were found to be of comparable size and stability to those isolated from wild-type rice seeds, although they were merely sheltered by a single oleosin isoform. The drastic difference between the triacylglycerol contents of crude seed extracts and isolated oil bodies from 35S::ole16i transgenic plants could be attributed to the presence of large, unstable oil clusters that were sheltered by insufficient amounts of oleosin and therefore could not be isolated together with stable oil bodies.


Assuntos
Genes de Plantas , Organelas/metabolismo , Oryza/metabolismo , Óleos de Plantas/metabolismo , Proteínas de Plantas/genética , Sementes/metabolismo , Triglicerídeos/metabolismo , Organelas/genética , Oryza/genética , Extratos Vegetais/química , Proteínas de Plantas/metabolismo , Plantas Geneticamente Modificadas , Isoformas de Proteínas , Interferência de RNA
12.
J Agric Food Chem ; 57(22): 10740-8, 2009 Nov 25.
Artigo em Inglês | MEDLINE | ID: mdl-19860437

RESUMO

The effects of polyphenol removal from common buckwheat seed flours with cold aqueous organic solvents (including 95% ethanol, 70% 2-propanol, and 80% methanol, v/v) on the physicochemical and conformational properties of their protein isolates (BPI) were investigated. The extraction resulted in considerable reduction in its polyphenol content, especially protein-bound polyphenol content, and concomitant increase in its protein content. The efficiency of the removal of the polyphenols was much better in the 2-propanol case than in other two cases. The surface hydrophobicity of the proteins changed slightly, while the disulfide bond contents remarkably increased, partially at the expense of free sulfhydryl group contents. The protein solubility in the pH range of 7.0-11.0 and the proportion of undenatured globulins in BPI products were variably improved by the organic solvent extraction, and the extent of the improvements was highest in the 2-propanol case. Intrinsic emission fluorescence and far-UV and/or near-UV CD spectra showed that polyphenol removal resulted in significant changes in tertiary and/or secondary conformations of the proteins in BPI, and the changes were also related to the efficiency of the removal of the polyphenols. These results suggest that the physicochemical and conformational properties of BPI are closely related to its polyphenol level, and there is also a close relationship between its physicochemical properties and tertiary and/or secondary conformations.


Assuntos
Temperatura Baixa , Fagopyrum/química , Flavonoides/isolamento & purificação , Manipulação de Alimentos/métodos , Fenóis/isolamento & purificação , Proteínas de Plantas/química , Sementes/química , Fenômenos Químicos , Flavonoides/análise , Fenóis/análise , Proteínas de Plantas/isolamento & purificação , Polifenóis , Conformação Proteica , Solventes
13.
Planta Med ; 74(7): 780-6, 2008 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18500684

RESUMO

The study of functional genomics has paved the way for directed approaches to the generation of genetically modified plants that produce novel and/or improved yields of pharmaceuticals. In the present study, an activation tagging mutagenesis (ATM) population of Salvia miltiorrhiza Bunge, a medicinal plant, was established by Agrobacterium-mediated transformation. The optimum conditions for Agrobacterium transformation were determined by the expression of green fluorescent protein. Under these optimized conditions, we isolated 1435 ATM cell lines with our initial antibiotic selection. Of these 1435 ATM cell lines, six lines (T1-T6) showed a red color on a selective medium containing 4.5 microM 2,4-dichlorophenoxyacetic acid (2,4-D), which is used as a phenotypic model system to identify the accumulation of tanshinones. 700 out of 1435 ATM cell lines were tested with a beta-glucuronidase (GUS) assay, 35 showed GUS activity. Southern blotting analysis revealed that the T1-T7 ATM cell lines have a single copy of the T-DNA insertion. Comparative analysis by high-performance liquid chromatography of the tanshinones expressed by non-transformed and ATM-transformed calli revealed varying quantities of tanshinones. There were negligible tanshinones in non-transformed white calli induced with 2,4-D. ATM lines T1-T6 showed significant increases in the yields of tanshinone-I (up to 43-fold), tanshinone-IIA (up to 26-fold) and cryptotanshinone (up to 104-fold) compared with those of the non-transgenic lines on 2,4-D medium. Interestingly, the yield of cryptotanshinone from line T4 on 2,4-D medium was two times higher than that of the non-transgenic lines on Trans-zeatin riboside medium. To the best of our knowledge, this is the first report of a quantitative and qualitative improvement in quinoid diterpene production achieved in a medicinally important plant species by activation tagging.


Assuntos
Fenantrenos/metabolismo , Plantas Medicinais/genética , Salvia miltiorrhiza/genética , Abietanos , Cromatografia Líquida de Alta Pressão , DNA Bacteriano/metabolismo , Mutagênese Insercional , Fenótipo , Plantas Medicinais/metabolismo , Rhizobium/genética , Salvia miltiorrhiza/metabolismo , Transformação Genética
14.
Stroke ; 39(3): 785-93, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18258824

RESUMO

BACKGROUND AND PURPOSE: Patients with ischemic stroke are at risk for developing vascular cognitive impairment ranging from mild impairments to dementia. MRI findings of infarction, white matter hyperintensities, and global cerebral atrophy have been implicated in the development of vascular cognitive impairment. The present study investigated regional gray matter volume differences between patients with ischemic stroke with no cognitive impairment and those with impairment in at least one domain of cognitive function. METHODS: Ninety-one patients with ischemic stroke participated. Detailed neuropsychological testing was used to characterize cognitive functioning in 7 domains: orientation, attention, working memory, language, visuospatial ability, psychomotor speed, and memory. High-resolution T1-weighted 3-dimensional fast-spoiled gradient recalled structural MRIs were processed using optimized voxel-based morphometry techniques while controlling for lesions. Whole brain voxelwise regional differences in gray matter volume were assessed between patients with stroke with no impaired cognitive domains and patients with stroke with at least one impaired cognitive domain. Logistic regression models were used to assess the contribution of demographic variables, stroke-related variables, and voxel-based morphometry results to classification of cognitive impairment group membership. RESULTS: Fifty-one patients had no impairments in any cognitive domain and 40 patients were impaired in at least one cognitive domain. Logistic regression identified significant contributions to cognitive impairment groups for demographic variables, stroke-related variables, and cognitive domain performance. Voxel-based morphology results demonstrated significant gray matter volume reductions in patients with stroke with one or more cognitive domain impairment compared with patients with stroke without cognitive impairment that was seen mostly in the thalamus with smaller reductions found in the cingulate gyrus and frontal, temporal, parietal, and occipital lobes. These reductions were present after controlling for group differences in age, education, stroke volume, and laterality of stroke. The addition of voxel-based morphometry-derived thalamic volume significantly improved a logistic regression model predicting cognitive impairment group membership when added to demographic variables, stroke-related variables, and cognitive domain performance. CONCLUSIONS: These results suggest a central role for the thalamus and lesser roles for other cortical regions in the development of cognitive impairment after ischemic stroke. Indeed, consideration of thalamic volumes adds significant information to the classification of cognitive impaired versus nonimpaired groups beyond information provided by demographic, stroke-related, and cognitive performance measures.


Assuntos
Isquemia Encefálica/complicações , Transtornos Cognitivos/etiologia , Imageamento por Ressonância Magnética , Substância Cinzenta Periaquedutal/patologia , Acidente Vascular Cerebral/patologia , Acidente Vascular Cerebral/psicologia , Córtex Cerebral/patologia , Transtornos Cognitivos/diagnóstico , Humanos , Processamento de Imagem Assistida por Computador , Modelos Logísticos , Pessoa de Meia-Idade , Testes Neuropsicológicos , Acidente Vascular Cerebral/etiologia , Tálamo/patologia
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