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1.
Sci Rep ; 9(1): 10180, 2019 07 15.
Artículo en Inglés | MEDLINE | ID: mdl-31308440

RESUMEN

Pesticides are commonly used in food crop production systems to control crop pests and diseases and ensure maximum yield with high market value. However, the accumulation of these chemical inputs in crop fields increases risks to biodiversity and human health. In addition, people are increasingly seeking foods in which pesticide residues are low or absent and that have been produced in a sustainable fashion. More than half of the world's human population is dependent on rice as a staple food and chemical pesticides to control pests is the dominant paradigm in rice production. In contrast, the use of natural enemies to suppress crop pests has the potential to reduce chemical pesticide inputs in rice production systems. Currently, predators and parasitoids often do not persist in rice production landscapes due to the absence of shelter or nutritional sources. In this study, we modified the existing rice landscape through an eco-engineering technique that aims to increase natural biocontrol agents for crop protection. In this system, planting nectar-rich flowering plants on rice bunds provides food and shelter to enhance biocontrol agent activity and reduce pest numbers, while maintaining grain yield. The abundance of predators and parasitoids and parasitism rates increased significantly in the eco-engineering plots compared to the insecticide-treated and control plots. Moreover, a significantly lower number of principal insect pests and damage symptoms were found in treatments where flowering plants were grown on bunds than in plots where such plants were not grown. This study indicates that manipulating habitat for natural enemies in rice landscapes enhances pest suppression and maintains equal yields while reducing the need for insecticide use in crop fields.


Asunto(s)
Agricultura/métodos , Control Biológico de Vectores/métodos , Animales , Biodiversidad , Producción de Cultivos , Productos Agrícolas , Ecosistema , Insectos , Insecticidas , Oryza
2.
Oecologia ; 186(2): 323-338, 2018 02.
Artículo en Inglés | MEDLINE | ID: mdl-29147779

RESUMEN

Historic and current land-use changes have altered the landscape for grassland biota, with over 90% of grasslands and savannas converted to agriculture or some other use in north temperate regions. Reintegrating grasslands into agricultural landscapes can increase biodiversity while also providing valuable ecosystem services. In contrast to their well-known importance in tropical and subtropical ecosystems, the role of ants in temperate grasslands is often underappreciated. As consumers and ecosystem engineers, ants in temperate grasslands influence invertebrate, plant, and soil microbial diversity and potentially alter grassland productivity. As common and numerically dominant invertebrates in grasslands, ants can also serve as important indicator species to monitor conservation and management practices. Drawing on examples largely from mesic, north temperate studies, and from other temperate regions where necessary, we review the roles of ants as consumers and ecosystem engineers in grasslands. We also identify five avenues for future research to improve our understanding of the roles of ants in grasslands. This includes identifying how grassland fragmentation may influence ant community assembly, quantifying how ant communities impact ecosystem functions and soil processes, and understanding how ant communities and their associated interactions are impacted by climate change. In synthesizing the role of ants in temperate grasslands and identifying knowledge gaps, we hope this and future work will help inform how land managers maximize grassland conservation value while increasing multiple ecosystem services and minimizing disservices.


Asunto(s)
Hormigas , Animales , Biodiversidad , Ecosistema , Pradera , Suelo
3.
J Chem Phys ; 131(1): 014101, 2009 Jul 07.
Artículo en Inglés | MEDLINE | ID: mdl-19586090

RESUMEN

We present a computational screening study of ternary metal borohydrides for reversible hydrogen storage based on density functional theory. We investigate the stability and decomposition of alloys containing 1 alkali metal atom, Li, Na, or K (M(1)); and 1 alkali, alkaline earth or 3d/4d transition metal atom (M(2)) plus two to five (BH(4))(-) groups, i.e., M(1)M(2)(BH(4))(2-5), using a number of model structures with trigonal, tetrahedral, octahedral, and free coordination of the metal borohydride complexes. Of the over 700 investigated structures, about 20 were predicted to form potentially stable alloys with promising decomposition energies. The M(1)(Al/Mn/Fe)(BH(4))(4), (Li/Na)Zn(BH(4))(3), and (Na/K)(Ni/Co)(BH(4))(3) alloys are found to be the most promising, followed by selected M(1)(Nb/Rh)(BH(4))(4) alloys.

4.
Ecol Appl ; 19(1): 143-54, 2009 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19323179

RESUMEN

Arthropod predators and parasitoids provide valuable ecosystem services in agricultural crops by suppressing populations of insect herbivores. Many natural enemies are influenced by non-crop habitat surrounding agricultural fields, and understanding if, and at what scales, land use patterns influence natural enemies is essential to predicting how landscape alters biological control services. Here we focus on biological control of soybean aphid, Aphis glycines Matumura, a specialist crop pest recently introduced to the north-central United States. We measured the amount of biological control service supplied to soybean in 26 replicate fields across Michigan, Wisconsin, Iowa, and Minnesota across two years (2005-2006). We measured the impact of natural enemies by experimentally excluding or allowing access to soybean aphid infested plants and comparing aphid population growth over 14 days. We also monitored aphid and natural enemy populations at large in each field. Predators, principally coccinellid beetles, dominated the natural enemy community of soybean in both years. In the absence of aphid predators, A. glycines increased significantly, with 5.3-fold higher aphid populations on plants in exclusion cages vs. the open field after 14 days. We calculated a biological control services index (BSI) based on relative suppression of aphid populations and related it to landscape diversity and composition at multiple spatial scales surrounding each site. We found that BSI values increased with landscape diversity, measured as Simpson's D. Landscapes dominated by corn and soybean fields provided less biocontrol service to soybean compared with landscapes with an abundance of crop and non-crop habitats. The abundance of Coccinellidae was related to landscape composition, with beetles being more abundant in landscapes with an abundance of forest and grassland compared with landscapes dominated by agricultural crops. Landscape diversity and composition at a scale of 1.5 km surrounding the focal field explained the greatest proportion of the variation in BSI and Coccinellidae abundance. This study indicates that natural enemies provide a regionally important ecosystem service by suppressing a key soybean pest, reducing the need for insecticide applications. Furthermore, it suggests that management to maintain or enhance landscape diversity has the potential to stabilize or increase biocontrol services.


Asunto(s)
Áfidos/fisiología , Productos Agrícolas/parasitología , Ecosistema , Control Biológico de Vectores/métodos , Animales , Escarabajos/fisiología , Conducta Predatoria , Estados Unidos
5.
Environ Entomol ; 36(4): 751-65, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17716466

RESUMEN

The use of plants to provide nectar and pollen resources to natural enemies through habitat management is a growing focus of conservation biological control. Current guidelines frequently recommend use of annual plants exotic to the management area, but native perennial plants are likely to provide similar resources and may have several advantages over exotics. We compared a set of 43 native Michigan perennial plants and 5 frequently recommended exotic annual plants for their attractiveness to natural enemies and herbivores for 2 yr. Plant species differed significantly in their attractiveness to natural enemies. In year 1, the exotic annual plants outperformed many of the newly established native perennial plants. In year 2, however, many native perennial plants attracted higher numbers of natural enemies than exotic plants. In year 2, we compared each flowering plant against the background vegetation (grass) for their attractiveness to natural enemies and herbivores. Screening individual plant species allowed rapid assessment of attractiveness to natural enemies. We identified 24 native perennial plants that attracted high numbers of natural enemies with promise for habitat management. Among the most attractive are Eupatorium perfoliatum L., Monarda punctata L., Silphium perfoliatum L., Potentilla fruticosa auct. non L., Coreopsis lanceolata L., Spiraea alba Duroi, Agastache nepetoides (L.) Kuntze, Anemone canadensis L., and Angelica atropurpurea L. Subsets of these plants can now be tested to develop a community of native plant species that attracts diverse natural enemy taxa and provides nectar and pollen throughout the growing season.


Asunto(s)
Artrópodos/fisiología , Conducta Alimentaria/fisiología , Magnoliopsida/parasitología , Animales , Conservación de los Recursos Naturales , Ecosistema , Michigan , Estaciones del Año , Factores de Tiempo
6.
Environ Entomol ; 36(4): 878-86, 2007 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-17716479

RESUMEN

Habitat management is a type of conservation biological control that focuses on increasing natural enemy populations by providing them with plant resources such as pollen and nectar. Insects are known to respond to a variety of plant characteristics in their search for plant-provided resources. A better understanding of the specific characteristics used by natural enemy insects in selecting these resources could greatly improve efficiency in screening plants for habitat management. We examined 5 previously tested and widely recommended resource plants and 43 candidate plants to test whether the number and type of natural enemies and herbivores at each plant were predicted by plant characteristics including: period of peak bloom, floral area, maximum flower height, hue, chroma, and corolla size. Natural enemy abundance increased with week of peak bloom and greater floral area across all plants tested. Ordination of plant characteristics indicated that increasing floral area, period of peak bloom, maximum flower height, and decreasing corolla width grouped together into a single principal component. Both natural enemy and herbivore abundance increased significantly with the principal component for this set of characteristics, but the relationship with herbivore abundance was weaker. These results indicate that, for a given time of the season, selection of plants with the largest floral area has potential to increase natural enemy abundance in habitat management plantings and streamline plant selection for habitat management.


Asunto(s)
Insectos/fisiología , Plantas/parasitología , Animales , Conservación de los Recursos Energéticos , Ecosistema , Flores/parasitología , Michigan , Dinámica Poblacional , Estaciones del Año , Factores de Tiempo
7.
Neuroradiology ; 46(1): 49-53, 2004 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-14655032

RESUMEN

We reviewed 1440 MRA studies to identify patients with middle cerebral artery stenosis (MCAS). We identified 99 cases, and after reviewing the clinical records, classified 28 as asymptomatic MCAS (AMCAS), a prevalence of 2%. Suspected stroke was the most frequent indication for MRA. Follow-up was available for 21, mean 46.7 months (range 2.4-75.6 months). One stroke occurred in the AMCAS territory (5%), other strokes in five patients (24%). There were five deaths in patients with MCAS; age > 69 (P = 0.045) was the only associated risk factor. This study suggests that patients in whom MRA is performed and shows AMCAS may be at increased risk of strokes in any vascular distribution or of death.


Asunto(s)
Enfermedades Arteriales Cerebrales/diagnóstico , Infarto de la Arteria Cerebral Media/diagnóstico , Angiografía por Resonancia Magnética , Accidente Cerebrovascular/etiología , Factores de Edad , Anciano , Anciano de 80 o más Años , Constricción Patológica/diagnóstico , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Pronóstico , Factores de Riesgo
8.
AJNR Am J Neuroradiol ; 22(5): 915-21, 2001 May.
Artículo en Inglés | MEDLINE | ID: mdl-11337337

RESUMEN

BACKGROUND AND PURPOSE: The development of thrombolytic agents for use with compromised cerebral blood flow has made it critical to quickly identify those patients to best treat. We hypothesized that combined diffusion and perfusion MR imaging adds vital diagnostic value for patients for whom the greatest potential benefits exist and far exceeds the diagnostic value of diffusion MR imaging alone. METHODS: The cases of patients with neurologic symptoms of acute ischemic stroke who underwent ultra-fast emergent MR imaging within 6 hours were reviewed. In all cases, automatic processing yielded isotropic diffusion images and perfusion time-to-peak maps. Images with large vessel distribution ischemia and with mismatched perfusion abnormalities were correlated with patient records. All follow-up images were reviewed and compared with outcomes resulting from hyperacute therapies. RESULTS: For 16 (26%) of 62 patients, hypoperfusion was the best MR imaging evidence of disease distribution, and for 15 of the 16, hypoperfusion (not abnormal diffusion) comprised the only imaging evidence for disease involving large vessels. For seven patients, diffusion imaging findings were entirely normal, and for nine, diffusion imaging delineated abnormal signal in either small vessel distributions or in a notably smaller cortical branch in one case. In all cases, perfusion maps were predictive of eventual lesions, as confirmed by angiography, CT, or subsequent MR imaging. CONCLUSION: If only diffusion MR imaging is used in assessing patients with hyperacute stroke, nearly one quarter of the cases may be incorrectly categorized with respect to the distribution of ischemic at-risk tissue. Addition of perfusion information further enables better categorizing of vascular distribution to allow the best selection among therapeutic options and to improve patient outcomes.


Asunto(s)
Circulación Cerebrovascular , Imagen por Resonancia Magnética/métodos , Imagen por Resonancia Magnética/normas , Accidente Cerebrovascular/diagnóstico , Accidente Cerebrovascular/terapia , Anciano , Anciano de 80 o más Años , Difusión , Femenino , Humanos , Masculino , Valor Predictivo de las Pruebas , Accidente Cerebrovascular/fisiopatología
9.
Phys Rev E Stat Nonlin Soft Matter Phys ; 63(4 Pt 2): 046409, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11308958

RESUMEN

Spectra of highly charged Kr ions, produced in an electron-beam ion trap (EBIT), have been recorded in a broad x-ray energy band (0.3 keV to 4 keV) with a microcalorimeter detector. Most of the spectral lines have been identified as transitions of B- to Al-like Kr. The transition energies have been determined with 0.2% uncertainty. A semi-empirical EBIT plasma model has been created to calculate a synthetic spectrum of highly charged Kr and to determine a charge state distribution of Kr ions inside the EBIT.

10.
Cancer Res ; 61(2): 666-72, 2001 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-11212266

RESUMEN

Thymidylate synthase catalyzes the reductive methylation of dUMP to dTMP and is essential for the synthesis of DNA. Fluoropyrimidines, such as 5-fluorouracil (5-FU), are used extensively in cancer therapy. In the cell, 5-FU is metabolized to 5-fluoro-2'-deoxyuridine 5'-monophosphate, a tight binding covalent inhibitor of thymidylate synthase. Recent studies have identified 5-fluoro-2'-deoxyuridine (5-FdUR) and antifolate-resistant mutants of human thymidylate synthase (TS) that contain single residue substitutions within the highly conserved Arg50-loop, which binds the pyrimidine substrate (Y. Tong et al., J. Biol. Chem. 273: 11611-11618, 1998). We have used random sequence mutagenesis to gain structure-function information about the TS and to create novel drug-resistant mutants for gene therapy. A library of 1.5 million mutants of the Arg50-loop and the nearby residue Tyr 33 was selected to identify mutants of the human enzyme with the ability to complement a thymidylate synthase-deficient Escherichia coli strain and form colonies in the presence of 5-FdUR. E. coli-harboring plasmids that were encoding TS with single, double, and triple amino acid substitutions were identified that survive at dosages of 5-FdUR clearly lethal to E. coli harboring either wild-type thymidylate synthase or constructs encoding previously characterized drug resistant mutants. Four 5-FdUR-resistant mutants were purified to apparent homogeneity. Kinetic studies indicate that these enzymes are highly efficient. Inhibition constants (Ki) for the double mutant K47Q;D48E and the triple mutant D48E;T51S;G52C in the presence of 5-fluoro-2'-deoxyuridine 5'-monophosphate were determined to be 75 to 100 times higher, respectively, than that of the wild-type enzyme. These mutant TSs, or others similarly created and selected, could be used to protect bone marrow cells from the cytotoxic side effects of 5-FU chemotherapy.


Asunto(s)
Antimetabolitos Antineoplásicos/farmacología , Arginina/genética , Resistencia a Medicamentos , Floxuridina/farmacología , Mutación , Timidilato Sintasa/genética , Clonación Molecular , Relación Dosis-Respuesta a Droga , Escherichia coli/efectos de los fármacos , Escherichia coli/genética , Escherichia coli/crecimiento & desarrollo , Biblioteca de Genes , Prueba de Complementación Genética , Humanos , Cinética , Mutagénesis , Timidilato Sintasa/química , Timidilato Sintasa/metabolismo
11.
J Public Health Manag Pract ; 7(2): 53-60, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-12174400

RESUMEN

Although youth involvement in health promotion efforts is not a new concept, projects that actively involve youths in planning research, collecting data, and making research design decisions are rare. This article describes the evaluation process and outcomes for a youth-directed data collection initiative. Eleven youth researchers conducted 112 personal in-depth interviews and 22 focus groups involving 206 youths in 5th through 12th grade. Youth researchers felt confident they could conduct focus groups and in-depth interviews and staff ratings of youths' effectiveness in moderating focus groups indicated they were successful in carrying out the qualitative research.


Asunto(s)
Consumo de Bebidas Alcohólicas/prevención & control , Promoción de la Salud , Grupo Paritario , Investigadores , Prevención del Hábito de Fumar , Adolescente , Niño , Femenino , Florida , Grupos Focales , Humanos , Capacitación en Servicio , Entrevistas como Asunto , Masculino , Recursos Humanos
12.
Annu Rev Entomol ; 45: 175-201, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10761575

RESUMEN

Many agroecosystems are unfavorable environments for natural enemies due to high levels of disturbance. Habitat management, a form of conservation biological control, is an ecologically based approach aimed at favoring natural enemies and enhancing biological control in agricultural systems. The goal of habitat management is to create a suitable ecological infrastructure within the agricultural landscape to provide resources such as food for adult natural enemies, alternative prey or hosts, and shelter from adverse conditions. These resources must be integrated into the landscape in a way that is spatially and temporally favorable to natural enemies and practical for producers to implement. The rapidly expanding literature on habitat management is reviewed with attention to practices for favoring predators and parasitoids, implementation of habitat management, and the contributions of modeling and ecological theory to this developing area of conservation biological control. The potential to integrate the goals of habitat management for natural enemies and nature conservation is discussed.


Asunto(s)
Artrópodos , Control Biológico de Vectores/métodos , Agricultura , Animales , Parásitos , Conducta Predatoria
14.
Stroke ; 30(10): 2094-100, 1999 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-10512912

RESUMEN

BACKGROUND AND PURPOSE: We sought to evaluate predictors of clinical outcome, angiographic success, and adverse effects after intra-arterial administration of urokinase for acute ischemic stroke. METHODS: We designed a Brain Attack program at University Hospitals of Cleveland for diagnosis and treatment of patients presenting within 6 hours of onset of neurological deficit. Patients with ischemia referable to the carotid circulation were treated with intra-arterial urokinase. Angiographic recanalization was assessed at the end of medication infusion. Intracerebral hemorrhage was investigated immediately after and 24 hours after treatment. Stroke severity was determined, followed by long-term outcome. RESULTS: Fifty-four patients were treated. There was improvement of >/=4 points on the National Institutes of Health Stroke Scale from presentation to 24 hours after onset in 43% of the treated patients, and this was related to the severity of the initial deficit. Forty-eight percent of patients had a Barthel Index score of 95 to 100 at 90 days, and total mortality was 24%. Cranial CT scans revealed intracerebral hemorrhage in 17% of patients in the first 24 hours, and these patients had more severe deficits at presentation. Eighty-seven percent of patients received intravenous heparin after thrombolysis, and 9% of them developed a hemorrhage into infarction. Angiographic recanalization was the rule in complete occlusions of the horizontal portion of the middle cerebral artery, but distal carotid occlusions responded less well to thrombolysis. CONCLUSIONS: The intra-arterial route for thrombolysis allows for greater diagnostic precision and achievement of a higher concentration of the thrombolytic agent in the vicinity of the clot. Disadvantages of this therapy lie in the cost and delay. Severity of stroke and site of angiographic occlusion may be important predictors of successful treatment.


Asunto(s)
Angiografía Cerebral/métodos , Hemorragias Intracraneales/inducido químicamente , Ataque Isquémico Transitorio/terapia , Terapia Trombolítica/métodos , Activador de Plasminógeno de Tipo Uroquinasa/uso terapéutico , Adulto , Anciano , Enfermedades de las Arterias Carótidas/terapia , Humanos , Inyecciones Intraarteriales , Ataque Isquémico Transitorio/complicaciones , Persona de Mediana Edad , Arteria Cerebral Media , Valor Predictivo de las Pruebas , Pronóstico , Estudios Retrospectivos , Resultado del Tratamiento , Activador de Plasminógeno de Tipo Uroquinasa/efectos adversos
15.
Nucleic Acids Res ; 27(18): 3702-11, 1999 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-10471740

RESUMEN

Fluoropyrimidines, such as 5-fluorouracil (5-FU), are used extensively in cancer therapy. In the cell, 5-FU is metabolized to 5-fluorodeoxyuridylate (5-FdUMP), a tight binding covalent inhibitor of thymidylate synthase (TS). In order to create 5-FdUMP resistant enzymes to protect chemosensitive normal cells and further understand mechanisms of 5-FdUMP resistance, we have randomized four residues within the active site of TS. Our previous studies identified alterations in residues which produce active TS with enhanced resistance to 5-fluorouridine (5-FdUR). By remutagenizing a subset of the 13 previously targeted residues (A197, L198, C199 and V204), an unbiased random library can be created allowing for extensive testing of all possible amino acid substitutions at each of the sites. Using genetic complementation and selection in Escherichia coli, we identified the spectrum of substitutions that yield active TS as well as those that resulted in 5-FdUR resistant mutants of TS. The 5-FdUR resistant TS were found to share several structural features including hydrophobic substitutions at residue 197, retention of the wild-type leucine 198, the alteration C199L (present in 64% of the drug-resistant library), and polar alterations of valine 204. The catalytic activity of mutants with these features was approximately equal to that of the wild-type TS.


Asunto(s)
Sustitución de Aminoácidos , Antimetabolitos Antineoplásicos/farmacología , Floxuridina/farmacología , Mutagénesis , Timidilato Sintasa/genética , Timidilato Sintasa/metabolismo , Antimetabolitos Antineoplásicos/metabolismo , Sitios de Unión , Catálisis , Clonación Molecular , Relación Dosis-Respuesta a Droga , Resistencia a Medicamentos , Escherichia coli/efectos de los fármacos , Escherichia coli/enzimología , Escherichia coli/genética , Escherichia coli/crecimiento & desarrollo , Floxuridina/metabolismo , Biblioteca de Genes , Prueba de Complementación Genética , Humanos , Modelos Moleculares , Mutación , Selección Genética , Análisis de Secuencia de ADN , Distribuciones Estadísticas , Timidilato Sintasa/antagonistas & inhibidores , Timidilato Sintasa/química
18.
Clin Neurosurg ; 45: 135-9, 1999.
Artículo en Inglés | MEDLINE | ID: mdl-10461510

RESUMEN

Zack Hall, Director of the NINDS, succinctly described the present situation: "This is the golden age of neuroscience research" (verbal presentation at the annual meeting of the American Neurological Association, 1997). Recent trials in clinical research have demonstrated the power of thrombolytic therapy in acute ischemic stroke, and investigators across the country are now refining that therapy. The advantages of thrombolytic intervention can be provided to a much larger proportion of the population as we defined techniques to slow the rate of neuronal cell death after ischemia. However, the most exciting future opportunities for care of individuals of acute ischemic stroke arises from two somewhat unsuspected avenues. First, neuroscientists are learning in an extraordinarily rapid fashion the potentials of replacement of neural cell populations using progenitor cells. Second, the incredible explosion of genetic information has created an opportunity to identify genes responsible for atherosclerosis and other cerebrovascular disease. This, in turn, could lead to precise therapies that prevent or diminish the disease. Exploiting these opportunities requires that neural clinicians continue their cooperative efforts and, also, learn to work together with neuroscientists and geneticists. With such cooperation, we are poised to translate the golden age of neuroscience research into a genuine benefit for individuals with cerebrovascular disorders.


Asunto(s)
Trastornos Cerebrovasculares/terapia , Supervivencia Celular/fisiología , Trastornos Cerebrovasculares/etiología , Trastornos Cerebrovasculares/patología , Predicción , Humanos , Neuronas/patología , Terapia Trombolítica , Estados Unidos
19.
Radiology ; 212(2): 325-32, 1999 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-10429686

RESUMEN

PURPOSE: To test diffusion- and perfusion-weighted MR imaging techniques within the extreme time constraints of stroke evaluation before therapy, and then, with MR imaging, stratify patients into those without ischemia, those with noncortical ischemia, and those with cortical ischemia. MATERIALS AND METHODS: T2-weighted turbo gradient- and spin-echo images and echo-planar diffusion- and perfusion-weighted images were obtained. Trace diffusion-weighted images and time-to-peak perfusion maps were automatically postprocessed and immediately available for interpretation. RESULTS: Forty-one patients with acute stroke symptoms underwent imaging within 6 hours of symptom onset; 35 were eligible for the therapy protocol. The mean time from entering the emergency department to beginning MR imaging was 45 minutes; the mean total MR imaging time was less than 15 minutes. Immediate image analysis directly affected individual clinical management. Four patients showed evidence of no infarct; seven, of lacunar infarct; and 24, of acute cortical infarct. Sixteen patients underwent angiography, thirteen had large-vessel occlusion, eleven were treated intraarterially, and in seven, recanalization was achieved. CONCLUSION: Echo-planar diffusion- and perfusion-weighted MR imaging for acute stroke is feasible and applicable before therapy decisions. Ultrafast MR imaging permitted immediate triage of 35 patients with symptoms of hyperacute stroke and thus helped avoid the risks from angiography and thrombolytic agents in some or spurred the judicious use of more aggressive intervention in others.


Asunto(s)
Isquemia Encefálica/diagnóstico , Encéfalo/patología , Imagen Eco-Planar , Imagen por Resonancia Magnética/métodos , Enfermedad Aguda , Encéfalo/irrigación sanguínea , Isquemia Encefálica/tratamiento farmacológico , Medios de Contraste , Gadolinio DTPA , Humanos , Terapia Trombolítica , Factores de Tiempo , Triaje/métodos
20.
Nat Biotechnol ; 17(2): 143-7, 1999 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10052349

RESUMEN

New techniques now make it feasible to tailor enzymes for cancer gene therapy. Novel enzymes with desired properties can be created and selected from vast libraries of mutants containing random substitutions within catalytic domains. In this review, we first consider genes for the ablation of tumors, namely, genes that have been mutated (or potentially can be mutated) to afford enhanced activation of prodrugs and increased sensitization of tumors to specific chemotherapeutic agents. We then consider genes that have been mutated to provide better protection of normal host tissues, such as bone marrow, against the toxicity of specific chemotherapeutic agents. Expression of the mutant enzyme could render sensitive tissues, such as bone marrow, more resistant to specific cytotoxic agents.


Asunto(s)
Terapia Enzimática , Terapia Genética , Neoplasias/terapia , Médula Ósea , Evolución Molecular Dirigida , Enzimas/genética , Humanos , Profármacos/metabolismo
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