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1.
J Neurochem ; 123 Suppl 2: 98-107, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23050647

RESUMEN

Diphenyleneiodonium (DPI), a NADPH oxidase inhibitor, reduces production of reactive oxygen species (ROS) and confers neuroprotection to focal cerebral ischemia. Our objective was to investigate whether the neuroprotective action of DPI extends to averting the immune response. DPI-induced gene changes were analyzed by microarray analysis from rat brains subjected to 90 min of middle cerebral artery occlusion, treated with NaCl (ischemia), dimethylsulfoxide (DMSO), or DMSO and DPI (DPI), and reperfused for 48 h. The genomic expression profile was compared between groups using ingenuity pathway analysis at the pathway and network level. DPI selectively up-regulated 23 genes and down-regulated 75 genes more than twofold compared with both DMSO and ischemia. It significantly suppressed inducible nitric oxide synthase signaling and increased the expression of methionine adenosyltransferasesynthetase 2A and adenosylmethionine decarboxylase 1 genes, which are involved in increasing the production of the antioxidant glutathione. The most significantly affected gene network comprised genes implicated in the inflammatory response with an expression change indicating an overall suppression. Both integrin- and interleukin-17A-signaling pathways were also significantly associated and suppressed. In conclusion, the neuroprotective effects of DPI are mediated not only by suppressing ischemia-triggered oxidative stress but also by limiting leukocyte migration and infiltration.


Asunto(s)
Antiinflamatorios/uso terapéutico , Regulación de la Expresión Génica/efectos de los fármacos , Infarto de la Arteria Cerebral Media/complicaciones , Inflamación/tratamiento farmacológico , Inflamación/etiología , Compuestos Onio/uso terapéutico , Análisis de Varianza , Animales , Antiinflamatorios/farmacología , Citocinas/genética , Citocinas/metabolismo , Perfilación de la Expresión Génica , Integrinas/genética , Integrinas/metabolismo , Modelos Lineales , Imagen por Resonancia Magnética , Masculino , Enfermedades del Sistema Nervioso/etiología , Enfermedades del Sistema Nervioso/metabolismo , Enfermedades del Sistema Nervioso/prevención & control , Análisis de Secuencia por Matrices de Oligonucleótidos , Estrés Oxidativo/efectos de los fármacos , ARN Mensajero/metabolismo , Ratas , Ratas Wistar , Transducción de Señal/efectos de los fármacos , Transducción de Señal/genética
2.
Int Psychogeriatr ; 22(6): 966-72, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20561382

RESUMEN

BACKGROUND: Deposition of amyloid beta in senile plaques and in cerebral blood vessels is one hallmark of the pathogenesis of Alzheimer's disease (AD). The ability of several matrix metalloproteinases (MMPs) to degrade amyloid precursor protein leading to aggregation of amyloid beta, as well as the increased expression of MMPs in post mortem brain tissue of Alzheimer's patients, indicate that MMPs play an important role in the pathogenesis of AD. METHODS: We investigated levels of MMP-2,-3,-9 and -10 in plasma and cerebrospinal fluid (CSF) of AD patients (n = 14) by gelatin and casein zymography. Comparisons between AD patients and controls relative to levels of MMP-2, MMP-3, MMP-9, and MMP-10 were made with Wilcoxon rank statistics. Pearson correlations were computed as measures of association. RESULTS: MMP-3 in AD was significantly elevated in plasma (p = 0.006) and there was a trend towards increase in CSF (p = 0.05). MMP-2 in CSF of AD patients was significantly decreased (p = 0.02) while levels in plasma remained unchanged. MMP-9 and MMP-10 could not be detected in CSF; MMP-10 was unchanged in plasma, but MMP-9 was significantly decreased (p = 0.02). CONCLUSIONS: These findings constitute further evidence for the important role of MMPs in the pathogenesis of AD.


Asunto(s)
Enfermedad de Alzheimer/fisiopatología , Metaloproteinasas de la Matriz/metabolismo , Anciano , Péptidos beta-Amiloides/metabolismo , Angiopatía Amiloide Cerebral/fisiopatología , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Metaloproteinasa 1 de la Matriz/metabolismo , Metaloproteinasa 10 de la Matriz/metabolismo , Metaloproteinasa 2 de la Matriz/metabolismo , Metaloproteinasa 3 de la Matriz/metabolismo , Metaloproteinasa 9 de la Matriz/metabolismo , Escala del Estado Mental , Persona de Mediana Edad , Valores de Referencia
3.
Eur Neurol ; 62(1): 30-9, 2009.
Artículo en Inglés | MEDLINE | ID: mdl-19407453

RESUMEN

BACKGROUND/AIMS: Inflammation plays an important role in atherosclerosis and stroke. Acute infections are recognized as trigger factors for ischemic stroke. METHODS: In this whole genome expression profile study of 15 patients and 15 control subjects, we tested the hypothesis that patients with a history of atherothrombotic stroke show enhanced transcription of inflammatory genes in circulating leukocytes. RNA from unstimulated or lipopolysaccharide (LPS)-stimulated peripheral blood mononuclear cells (PBMCs) was analyzed with Affymetrix U133A GeneChips using a pooling design. Expression of single genes and functional groups of genes was analyzed by global statistical tests. RESULTS: A total of 10,197 probe sets showed positive calls. After correction for multiple testing no single probe set revealed significant differences either without or with LPS stimulation. However, significant global expression differences were found upon LPS stimulation for the group of genes that are involved in cell-cell signaling. CONCLUSION: LPS stimulation of PBMCs, a condition mimicking bacterial infection, induces differential expression of a group of cell-cell signaling genes in patients with previous atherothrombotic stroke. This finding can be caused by genetic differences between both groups, but acquired risk factors, medication and technical factors may also have contributed to the result.


Asunto(s)
Isquemia Encefálica/genética , Expresión Génica , Inflamación/genética , Leucocitos Mononucleares/fisiología , Transducción de Señal/genética , Accidente Cerebrovascular/genética , Anciano , Anciano de 80 o más Años , Isquemia Encefálica/sangre , Femenino , Genoma , Humanos/genética , Leucocitos Mononucleares/efectos de los fármacos , Lipopolisacáridos/toxicidad , Masculino , Persona de Mediana Edad , Análisis Multivariante , Análisis de Secuencia por Matrices de Oligonucleótidos , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Accidente Cerebrovascular/sangre
4.
Thromb Haemost ; 100(4): 614-7, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18841283

RESUMEN

Variation in the gene that encodes the vitamin K epoxide reductase subunit 1 (VKORC1) was recently proposed as a genetic risk factor for stroke in a Chinese population. In this ethnic group, only two common haplotypes were observed, with the C-allele of the polymorphism rs2359612 (VKORC1: c.283+837C>T) associated with stroke and other cardiovascular diseases. Recently, the influence of VKORC1 haplotypes on venous thrombosis and coronary heart disease was analyzed in study populations from France and Northern Germany. We studied the frequencies of the VKORC1 haplotypes in a series of young (<50 years, n = 158) patients with ischemic stroke from Southern Germany. The data were compared with findings from age-matched healthy control subjects from the same population (n = 213). In a replica study we also analysed older stroke patients (>50 years, n = 135) and matched control subjects (n = 113). Neither in the young population, nor in the replica study, we observed significant differences in VKORC1 haplotype distributions between healthy control subjects and patients with ischemic stroke. Our data do not confirm the association between polymorphism in the VKORC1 gene and stroke in the German population.


Asunto(s)
Oxigenasas de Función Mixta/genética , Polimorfismo de Nucleótido Simple , Accidente Cerebrovascular/epidemiología , Accidente Cerebrovascular/genética , Adulto , Distribución por Edad , Anciano , Isquemia Encefálica/epidemiología , Isquemia Encefálica/genética , Femenino , Alemania/epidemiología , Haplotipos , Humanos , Masculino , Persona de Mediana Edad , Factores de Riesgo , Vitamina K Epóxido Reductasas
5.
Brain Res ; 1188: 198-206, 2008 Jan 10.
Artículo en Inglés | MEDLINE | ID: mdl-18031717

RESUMEN

Reperfusion injury is a complication of recanalization therapies after focal cerebral ischemia. The disruption of the blood-brain barrier (BBB) caused by up-regulated metalloproteinases (MMPs) can lead to edema and hemorrhage. Middle cerebral artery occlusion (MCAO=90 min) and reperfusion (R=24 h vs. 5 days) was induced in male Wistar rats. Rats were randomized in four groups: (1) control (C), (2) twice daily minocycline (30 mg/kg bodyweight) every day (M), (3) hypothermia (33 degrees C) for 4 h starting 60 min after occlusion (H), (4) combination of groups 2 and 3 (MH). Serial MRI was performed regarding infarct evolution and BBB disruption, MMP-2 and MMP-9 were assessed by zymography of serum and ischemic brain tissue, and a functional neuroscore was done at 24 h and 5 days. M and H reduced both infarct sizes, volume and signal intensity of BBB breakdown and improved neuroscore at all points in time to the same extent. This was most likely due to inhibition of MMP-2 and MMP-9. The presence of MMP-9 at 24 h or MMP-2 at 5 days in brain tissue correlated with BBB breakdown whereas serum MMP-2- and -9 showed no relationship with BBB breakdown. The combination MH had a small but not significantly additional effect over the single treatments. Minocycline seems to be as neuroprotective as hypothermia in the acute and subacute phase after cerebral ischemia. One essential mechanism is the inhibition of MMPs. The combination therapy is only slightly superior. The net effect of MMPs inhibition up to 5 days after focal cerebral ischemia is still beneficial.


Asunto(s)
Barrera Hematoencefálica/efectos de los fármacos , Isquemia Encefálica/terapia , Hipotermia Inducida/métodos , Metaloproteasas/metabolismo , Minociclina/farmacología , Daño por Reperfusión/terapia , Enfermedad Aguda , Animales , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Barrera Hematoencefálica/metabolismo , Barrera Hematoencefálica/fisiopatología , Edema Encefálico/fisiopatología , Edema Encefálico/prevención & control , Edema Encefálico/terapia , Isquemia Encefálica/enzimología , Isquemia Encefálica/fisiopatología , Modelos Animales de Enfermedad , Progresión de la Enfermedad , Infarto de la Arteria Cerebral Media/enzimología , Infarto de la Arteria Cerebral Media/fisiopatología , Infarto de la Arteria Cerebral Media/terapia , Hemorragias Intracraneales/fisiopatología , Hemorragias Intracraneales/prevención & control , Hemorragias Intracraneales/terapia , Imagen por Resonancia Magnética , Masculino , Metaloproteinasa 2 de la Matriz/metabolismo , Metaloproteinasa 9 de la Matriz/metabolismo , Minociclina/uso terapéutico , Fármacos Neuroprotectores/farmacología , Fármacos Neuroprotectores/uso terapéutico , Ratas , Ratas Wistar , Daño por Reperfusión/enzimología , Daño por Reperfusión/fisiopatología , Factores de Tiempo
6.
Brain Res ; 1132(1): 210-7, 2007 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-17184751

RESUMEN

Diphenyleneiodonium (DPI) is an inhibitor of the free radical producing NAD(P)H-oxidase. We tested whether DPI shows neuroprotective properties after focal cerebral ischemia and we used dimethylsulfoxide (DMSO), a nonspecific free radical scavenger, as a solvent. In male Wistar rats middle cerebral artery occlusion (1.5 h) and subsequent reperfusion (48 h) (MCAO/R) was induced with the filament model. Immediately after reperfusion the animals received either 0.25 ml normal saline, DMSO, or a combination of DMSO and DPI; each group consisted of 10 animals. MRI was performed at different times after reperfusion. Gelatine zymography of brain tissue for MMP-2 and MMP-9 was performed. The infarct sizes and BBB damage showed a significant difference between controls and the DPI/DMSO group for almost all points in time in all sequences. The activity of MMP-2 and MMP-9 was significantly reduced by DPI/DMSO but not by DMSO alone. DMSO treatment alone resulted in a protective effect with reduced lesion sizes measured by MRI at selected points of time, consistent with its known free radical scavenger effect. The combination of DMSO with DPI partly augmented this effect, presumably due to the additional inhibition of MMP-2 and MMP-9 by DPI. Moreover, the neurological outcome in both therapeutic groups was improved compared to controls with a significant difference between the therapeutic groups in favour of DPI and DMSO. The combination of DPI and DMSO reduced the activity of MMP-2 and MMP-9, attenuated the postischemic blood-brain barrier damage and improved neurological outcome. This was most likely due to reduced oxidative stress.


Asunto(s)
Barrera Hematoencefálica/efectos de los fármacos , Isquemia Encefálica/tratamiento farmacológico , Infarto Cerebral/tratamiento farmacológico , Dimetilsulfóxido/farmacología , Compuestos Onio/farmacología , Daño por Reperfusión/tratamiento farmacológico , Animales , Barrera Hematoencefálica/enzimología , Barrera Hematoencefálica/fisiopatología , Encéfalo/irrigación sanguínea , Encéfalo/efectos de los fármacos , Encéfalo/fisiopatología , Isquemia Encefálica/enzimología , Isquemia Encefálica/fisiopatología , Infarto Cerebral/enzimología , Infarto Cerebral/fisiopatología , Dimetilsulfóxido/uso terapéutico , Modelos Animales de Enfermedad , Combinación de Medicamentos , Inhibidores Enzimáticos/farmacología , Inhibidores Enzimáticos/uso terapéutico , Depuradores de Radicales Libres/farmacología , Depuradores de Radicales Libres/uso terapéutico , Infarto de la Arteria Cerebral Media/tratamiento farmacológico , Infarto de la Arteria Cerebral Media/metabolismo , Infarto de la Arteria Cerebral Media/fisiopatología , Imagen por Resonancia Magnética , Masculino , Metaloproteinasa 2 de la Matriz/efectos de los fármacos , Metaloproteinasa 2 de la Matriz/metabolismo , Metaloproteinasa 9 de la Matriz/efectos de los fármacos , Metaloproteinasa 9 de la Matriz/metabolismo , Compuestos Onio/uso terapéutico , Estrés Oxidativo/efectos de los fármacos , Estrés Oxidativo/fisiología , Ratas , Ratas Wistar , Daño por Reperfusión/enzimología , Daño por Reperfusión/fisiopatología , Resultado del Tratamiento
7.
Mol Nutr Food Res ; 61(5)2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28012242

RESUMEN

SCOPE: A bolus administration of 0.15 mg nonivamide has previously been demonstrated to reduce energy intake in moderately overweight men. This 12-week intervention investigated whether a daily consumption of nonivamide in a protein-based product formulation promotes a reduction in body weight in healthy overweight subjects and affects outcome measures associated with mechanisms regulating food intake, e.g. plasma concentrations of (an)orexigenic hormones, energy substrates as well as changes in fecal microbiota. METHODS AND RESULTS: Nineteen overweight subjects were randomly assigned to either a control (C) or a nonivamide (NV) group. Changes in the body composition and plasma concentrations of satiating hormones were determined at fasting and 15, 30, 60, 90, and 120 min after a glucose load. Participants were instructed to consume 0.15 mg nonivamide per day in 450 mL of a milk shake additionally to their habitual diet. After treatment, a group difference in body fat mass change (-0.61 ± 0.36% in NV and +1.36 ± 0.38% in C) and an increase in postprandial plasma serotonin were demonstrated. Plasma metabolome and fecal microbiome read outs were not affected. CONCLUSIONS: A daily intake of 0.15 mg nonivamide helps to support to maintain a healthy body composition.


Asunto(s)
Capsaicina/análogos & derivados , Grasas de la Dieta/efectos adversos , Sobrepeso/tratamiento farmacológico , Serotonina/sangre , Canales Catiónicos TRPV/agonistas , Aumento de Peso/efectos de los fármacos , Adiponectina/sangre , Adiposidad/efectos de los fármacos , Adulto , Glucemia/metabolismo , Composición Corporal , Índice de Masa Corporal , Peso Corporal , Capsaicina/administración & dosificación , Colesterol/sangre , Dieta , Femenino , Hormonas Gastrointestinales/sangre , Microbioma Gastrointestinal/efectos de los fármacos , Humanos , Insulina/sangre , Leptina/sangre , Masculino , Periodo Posprandial , Saciedad , Fármacos del Sistema Sensorial/administración & dosificación , Triglicéridos/sangre , Adulto Joven
8.
Brain Res ; 1076(1): 231-7, 2006 Mar 03.
Artículo en Inglés | MEDLINE | ID: mdl-16480689

RESUMEN

Hyperbaric oxygen (HBO) has been shown to preserve the integrity of the blood-brain barrier after cerebral ischemia. However, the underlying molecular mechanisms are currently unknown. We examined the effect of HBO on postischemic expression of the basal laminar component laminin-5 and on plasma matrix metalloproteinase-9 (MMP) levels. Wistar rats underwent occlusion of the middle cerebral artery (MCAO) for 2 h. With a delay of 45 min after filament introduction, animals breathed either 100% O2 at 1.0 atmosphere absolute (ata; NBO) or at 3.0 ata (HBO) for 1 h in an HBO chamber. Laminin-5 expression was quantified on immunohistochemical sections after 24 h of reperfusion. Plasma MMP-9 levels were measured using gelatin zymography before MCAO as well as 0, 6 and 24 h after reperfusion. Immunohistochemistry 24 h after ischemia revealed a decrease of vascular laminin-5 staining in the ischemic striatum to 43 +/- 26% of the contralateral hemisphere in the NBO group which was significantly attenuated to 73 +/- 31% in the HBO group. Densitometric analysis of zymography bands yielded significantly larger plasma MMP-9 levels in the NBO group compared to the HBO group 24 h after ischemia. In conclusion, HBO therapy attenuates ischemic degradation of cerebral microvascular laminin-5 and blocks postischemic plasma MMP-9 upregulation.


Asunto(s)
Moléculas de Adhesión Celular/metabolismo , Oxigenoterapia Hiperbárica , Ataque Isquémico Transitorio/metabolismo , Ataque Isquémico Transitorio/terapia , Metaloproteinasa 9 de la Matriz/sangre , Animales , Modelos Animales de Enfermedad , Lateralidad Funcional , Inmunohistoquímica/métodos , Ataque Isquémico Transitorio/patología , Imagen por Resonancia Magnética/métodos , Masculino , Ratas , Ratas Wistar , Reperfusión/métodos , Factores de Tiempo , Kalinina
9.
J Neurol Sci ; 251(1-2): 82-6, 2006 Dec 21.
Artículo en Inglés | MEDLINE | ID: mdl-17087971

RESUMEN

MMPs play an important role in ischemic and hemorrhagic stroke. We analyzed replicate serum samples from 20 normal healthy individuals to assess reproducibility of MMP determinations, and found that MMP-2 and MMP-9 determinations were quite consistent. We then studied the serum levels of MMP-2 and MMP-9 in patients suffering from subarachnoid hemorrhage (SAH), another stroke subtype. Serum MMP-2 and MMP-9 levels from SAH patients were measured sequentially using gelatine zymography in 11 patients after acute SAH. The occurrence of intracerebral aneurysms and vasospasms and the initial Hunt and Hess score were analysed in relation to MMP-levels. MMP-2 levels are significantly decreased while MMP-9 levels are increased in SAH patients relative to controls. MMP-2 levels remain depressed out to day 12 post SAH, but MMP-9 levels may recover by day 12.


Asunto(s)
Metaloproteinasa 2 de la Matriz/sangre , Metaloproteinasa 9 de la Matriz/sangre , Hemorragia Subaracnoidea/sangre , Adulto , Anciano , Área Bajo la Curva , Electroforesis en Gel de Poliacrilamida , Femenino , Humanos , Masculino , Persona de Mediana Edad , Valores de Referencia , Factores de Tiempo
10.
Brain Res ; 1056(1): 43-50, 2005 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-16112096

RESUMEN

INTRODUCTION: To test the hypothesis that matrix metalloprotease-13 (MMP-13) and aggrecan may play roles in post-ischemic neuronal pathophysiology, we examined the impact of middle cerebral artery occlusion/reperfusion (MCAO/R) on the abundance of these proteins in different regions of the infarct by immunohistochemistry (IHC) and Western blotting (WB). METHODS: The effect of MCAO/R on the abundance of MMP-13 and aggrecan was examined in 23 Wistar rats using antibodies against MMP-13 and aggrecan. BrdU was administered the last 2 days of the experiment. The cellular source of the respective antigens was examined with fluorescent double labeling using the neuronal marker NeuN. Sections were also stained for BrdU. The ischemic zone was defined by MRI on T2-weighted images and also on the tissue sections with the help of H and E counterstain. WB was performed for MMP-13. RESULTS: MMP-13 protein is highly induced in ischemic brain and is associated with neurons, whereas aggrecan is associated with the perineuronal matrix in non-ischemic brain. After 3 days of cerebral ischemia, the number of MMP-13 positive neurons in the periphery of the ischemic lesion increased compared to the respective area in the non-ischemic brain with a peak on day 7. A stronger staining for aggrecan was observed around MMP-13 positive neurons compared with other neurons. The majority of the MMP-13 positive neurons in normal non-ischemic brain were also NeuN positive. BrdU was incorporated into MMP-13 positive neurons in the periphery of the infarct. WB confirmed this results by detecting MMP-13 bands in ischemic brains and activated MMP-13 up to 14 days after ischemia. CONCLUSIONS: There is a close spatial association of MMP-13 and aggrecan around individual neurons. Both MMP-13 and aggrecan appear to be involved in perineuronal matrix remodeling suggesting a role in neuronal reorganization after cerebral ischemia.


Asunto(s)
Isquemia Encefálica/metabolismo , Isquemia Encefálica/patología , Colagenasas/metabolismo , Proteínas de la Matriz Extracelular/metabolismo , Lectinas Tipo C/metabolismo , Neuronas/metabolismo , Proteoglicanos/metabolismo , Agrecanos , Animales , Western Blotting/métodos , Isquemia Encefálica/etiología , Bromodesoxiuridina/metabolismo , Recuento de Células , Modelos Animales de Enfermedad , Inmunohistoquímica/métodos , Infarto de la Arteria Cerebral Media/complicaciones , Imagen por Resonancia Magnética/métodos , Masculino , Metaloproteinasa 13 de la Matriz , Ratas , Ratas Wistar , Factores de Tiempo
11.
J Clin Neurosci ; 12(8): 895-901, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16249086

RESUMEN

Magnetic resonance imaging (MRI) is the most important paraclinical test in the diagnosis of multiple sclerosis (MS) and for delineating its natural history. We investigate MRIs from a longitudinal study of 24 relapsing-remitting MS patients who had monthly MRI examinations for one year, and were not receiving active MS therapy during this period. We hypothesized that lesions occur randomly throughout the brain, and that patients are homogeneous with regard to spatial patterns of lesion presentation. We recorded the numbers and locations of enhancing lesions and hypointense lesions (black holes) in all scans, and found asymmetrical patterns of lesions about the mid-transaxial, mid-coronal, and mid-sagittal planes. Furthermore, in distinct subsets of patients, enhancing lesions and black holes tend to occur in the same locations. Clustering in lesion locations may be of functional significance, with consequent therapeutic implications.


Asunto(s)
Encéfalo/patología , Esclerosis Múltiple Recurrente-Remitente/patología , Adulto , Encéfalo/diagnóstico por imagen , Cladribina/uso terapéutico , Método Doble Ciego , Femenino , Humanos , Inmunosupresores/uso terapéutico , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Esclerosis Múltiple Recurrente-Remitente/diagnóstico por imagen , Radiografía
12.
Stroke ; 34(9): 2165-70, 2003 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-12907822

RESUMEN

BACKGROUND AND PURPOSE: The goal of this study was to determine the temporal profile of several matrix metalloproteinases (MMPs), tissue inhibitors of MMPs (TIMPs), and laminin (an MMP substrate) in human stroke under different treatment paradigms, including thrombolysis and hypothermia. METHODS: We serially measured the serum levels of MMP-2, MMP-3, MMP-9, MMP-13, TIMP-1, TIMP-2, and laminin in 50 patients with acute ischemic stroke using zymography or enzyme-linked immunosorbent assay. Patients were treated with heparin, therapeutic thrombolysis, or hypothermia. Scandinavian Stroke Scale scores were obtained at baseline. Infarct volume was measured with CT scanning on day 4 after stroke onset. Healthy persons were used as control subjects. RESULTS: MMP-2 and MMP-9 increased during the course of ischemia, whereas intact laminin and TIMP-2 decreased significantly (P<0.05). MMP-9 and laminin levels varied significantly by infarct size (P=0.001) and therapy (P=0.0005). MMP-9 levels were significantly higher in patients treated with tissue plasminogen activator (tPA) compared with patients treated with hypothermia. The cleaved form of MMP-9 was found solely in 4 patients treated with tPA. Intact laminin levels were significantly lower in the tPA group than in the hypothermia group. CONCLUSIONS: Selected MMPs and TIMPs are involved in the pathophysiology of acute stroke. This is also reflected by changes in laminin. Treatment paradigms differentially influence levels of MMP-9 and laminin. Combination therapies explicitly involving MMP inhibition could be of value in future treatment strategies.


Asunto(s)
Laminina/sangre , Metaloproteinasas de la Matriz/sangre , Accidente Cerebrovascular/sangre , Inhibidor Tisular de Metaloproteinasa-1/sangre , Inhibidor Tisular de Metaloproteinasa-2/sangre , Adulto , Anciano , Isquemia Encefálica/sangre , Isquemia Encefálica/diagnóstico por imagen , Isquemia Encefálica/terapia , Infarto Cerebral/sangre , Infarto Cerebral/diagnóstico por imagen , Infarto Cerebral/terapia , Colagenasas/sangre , Progresión de la Enfermedad , Femenino , Heparina/uso terapéutico , Humanos , Hipotermia Inducida , Masculino , Metaloproteinasa 13 de la Matriz , Metaloproteinasa 2 de la Matriz/sangre , Metaloproteinasa 3 de la Matriz/sangre , Metaloproteinasa 9 de la Matriz/sangre , Persona de Mediana Edad , Valores de Referencia , Accidente Cerebrovascular/diagnóstico por imagen , Accidente Cerebrovascular/terapia , Terapia Trombolítica , Tomografía Computarizada por Rayos X
13.
Stroke ; 35(3): e62-4, 2004 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-14963289

RESUMEN

BACKGROUND AND PURPOSE: Cervical artery dissection (CAD) is a common cause of ischemic stroke in young adults. Alteration in the structure of the vascular extracellular matrix has been described in CAD. Matrix metalloproteinases (MMPs) degrade extracellular matrix proteins and can lead to vascular damage. METHODS: We tested 2 different MMP-9 DNA polymorphisms, a CA repeat and a cytosine to thymidine transition in the promotor sequence, for frequency in 52 patients with CAD. We compared the results with those of 52 healthy controls. RESULTS: No differences were found in the allelic distribution of either polymorphism. CONCLUSIONS: Alleles of these well-characterized functional polymorphisms of MMP-9 gene are not associated with structural alterations in the matrix of vessels of patients with CAD.


Asunto(s)
Disección de la Arteria Carótida Interna/genética , Metaloproteinasa 9 de la Matriz/genética , Repeticiones de Microsatélite/genética , Polimorfismo Genético , Disección de la Arteria Vertebral/genética , Adulto , Femenino , Frecuencia de los Genes/genética , Genotipo , Humanos , Masculino , Valores de Referencia
14.
Brain Res ; 984(1-2): 63-75, 2003 Sep 12.
Artículo en Inglés | MEDLINE | ID: mdl-12932840

RESUMEN

To test the hypothesis that presence of metalloproteases (MMPs), their inhibitors (TIMPs) and their substrate laminin-5 differs between the ischemic core and the surrounding tissue, we examined the impact of middle cerebral artery occlusion/reperfusion (MCA:O/R) on these molecules in different regions of the infarct. We also investigated the influence of hypothermia on the progression of the ischemic lesion and MMP activity. Brain sections from 64 Wistar rats subjected to MCA:O/R were examined by means of cytohistochemistry and zymography. The artery was occluded for 2 h followed by 3, 5, 8 and 12 h of reperfusion. Well characterized antibodies against laminin-5, MMPs and TIMP-2 were used. A total of 32 rats were treated with hypothermia. The presence of each antigen was related to the following regions of interest: ischemic core with BBB breakdown (I(c)), surrounding ischemic tissue without BBB breakdown (I(r)), and the contralateral non-ischemic region (N). Regions of interest were defined by MRI. The I(c) increased over time at the cost of the I(r). BBB breakdown occurred early in the ischemic core and increased over time. Hypothermia reduced the BBB breakdown at all time points. A graded decreased presence of laminin-5 was observed with 16.5+/-3.7(N)>10+/-2.8(I(r))>4+/-1.4(I(c)) immunopositive microvessels/mm(2) at 3 h of reperfusion. MMP-9 showed a reverse pattern with 0 (N)<4+/-0.8(I(r))<10+/-1.5(I(c)) immunopositive microvessels/mm(2). Hypothermia decreased the MMP activity measured by zymography. Laminin-5 and MMP presence relate directly to the degree of postischemic injury. Hypothermia reduces the conversion from the I(r) to ischemic core and the degree of BBB as well as MMP abundance.


Asunto(s)
Isquemia Encefálica/enzimología , Encéfalo/enzimología , Hipotermia/enzimología , Metaloproteasas/biosíntesis , Animales , Isquemia Encefálica/prevención & control , Moléculas de Adhesión Celular/metabolismo , Regulación de la Expresión Génica/fisiología , Masculino , Metaloproteasas/antagonistas & inhibidores , Ratas , Ratas Wistar , Kalinina
15.
Neurosci Lett ; 368(3): 274-8, 2004 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-15364410

RESUMEN

Herpes simplex virus encephalitis (HSVE) causes elevated morbidity and mortality despite antiviral treatment. Virus-independent mechanisms may perpetuate brain damage. Matrix metalloproteinases (MMPs) target extracellular matrix components. This study describes the protein and mRNA expression of MMP2 and MMP9 in experimental HSVE in the short and long term. Ten SJL-NBOM mice were infected with neurovirulent HSV-1 and compared with nine controls. The presence of MMP2 and MMP9 in brain tissue was analyzed with sodium-dodecyl-sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) gelatin zymography and mRNA expression of MMP2 and MMP9 with quantitative real-time PCR at days 7, 21 and 180 post-inoculation. Infected animals had a significantly elevated gelatinolytic activity of MMP2 at all time points, and of MMP9 at days 21 and 180. Increased presence of MMP2 and MMP9 in chronic HSVE may contribute to ongoing damage. Inhibition of MMP2 and MMP9 might be a suitable target for therapeutic intervention.


Asunto(s)
Encefalitis por Herpes Simple/enzimología , Herpesvirus Humano 1/enzimología , Metaloproteinasa 2 de la Matriz/biosíntesis , Metaloproteinasa 9 de la Matriz/biosíntesis , Animales , Encéfalo/enzimología , Encéfalo/virología , Modelos Animales de Enfermedad , Encefalitis por Herpes Simple/genética , Encefalitis por Herpes Simple/patología , Femenino , Herpesvirus Humano 1/genética , Metaloproteinasa 2 de la Matriz/genética , Metaloproteinasa 9 de la Matriz/genética , Ratones , ARN Mensajero/biosíntesis , ARN Mensajero/genética , Factores de Tiempo
16.
J Neurol Sci ; 202(1-2): 75-6, 2002 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-12220696

RESUMEN

Edema formation is a major problem in large ischemic infarcts, and the underlying breakdown of the blood-brain barrier is only incompletely understood. Here, we report that the tissue kallikrein-kinin system, which influences the permeability of the blood-brain barrier, is activated in stroke. In 22 patients with large infarcts in the territory of the middle cerebral artery, we found elevated plasma concentrations of the tissue kinin kallidin. The data suggest that further studies on a possible role of kinin receptor antagonists on edema after stroke are warranted.


Asunto(s)
Infarto de la Arteria Cerebral Media/metabolismo , Calidina/sangre , Sistema Calicreína-Quinina , Calicreínas de Tejido/metabolismo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Calicreína Plasmática/metabolismo
17.
Toxicon ; 41(7): 737-45, 2003 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12782073

RESUMEN

In the present study Tityus fasciolatus crude venom toxicity was evaluated and we also report the purification and characterization of a 6.6 kDa neurotoxin isolated from T. fasciolatus venom. This new toxin, named Tf4, has a molecular mass of 6614Da and its primary structure is homologous to TbIT-I from T. bahiensis and TsTX-VI and TsNTxP from T. serrulatus. Tf4 delays frog sodium channel inactivation reversibly, but it is non-toxic to mammals or crustaceans. An attempt to identify the residues responsible for the partial loss of toxicity in Tf4 was carried out based on homology modeling and sequence comparison.


Asunto(s)
Potenciales de Acción/efectos de los fármacos , Neurotoxinas/análisis , Neurotoxinas/toxicidad , Venenos de Escorpión/análisis , Venenos de Escorpión/toxicidad , Secuencia de Aminoácidos , Animales , Crustáceos , Ratones , Datos de Secuencia Molecular , Neurotoxinas/química , Rana catesbeiana , Ratas , Nervio Ciático/efectos de los fármacos , Venenos de Escorpión/química , Escorpiones , Alineación de Secuencia , Homología de Secuencia de Aminoácido , Especificidad de la Especie
18.
Brain Res Brain Res Protoc ; 12(3): 172-9, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15013468

RESUMEN

Magnetic resonance imaging (MRI) is applied in many studies on experimental cerebral ischemia in rodents to monitor the temporal evolution of ischemic damage. We report a protocol to evaluate the infarct size after middle cerebral artery occlusion with reperfusion (MCAO/R) in male Wistar rats. Imaging was performed with a 2.35 T scanner and we focused on diffusion-weighted imaging (DWI), T2-weighted imaging (T2WI) and postcontrast T1-weighted imaging (T1WI). We show the detailed procedure of volumetry, the contrast-to-noise ratio (CNR) and the intraindividual variability of infarct and hemispheric volumes at different reperfusion times. The presented method is of low variability if image contrast between ischemic and nonischemic tissue is very high, which is the case not only for all sequences at 8 and 12 h of reperfusion but also for DWI after 3 and 5 h of reperfusion. Furthermore, we describe the so-called mismatch region of lesion sizes depicted on DWI and postcontrast T1WI that suffers from cytotoxic edema but lacks contrast enhancement.


Asunto(s)
Encéfalo/patología , Infarto Cerebral/diagnóstico , Infarto de la Arteria Cerebral Media/diagnóstico , Ataque Isquémico Transitorio/diagnóstico , Imagen por Resonancia Magnética/métodos , Animales , Encéfalo/fisiopatología , Edema Encefálico/diagnóstico , Edema Encefálico/fisiopatología , Infarto Cerebral/fisiopatología , Medios de Contraste/administración & dosificación , Imagen de Difusión por Resonancia Magnética/métodos , Modelos Animales de Enfermedad , Progresión de la Enfermedad , Gadolinio DTPA , Aumento de la Imagen/métodos , Infarto de la Arteria Cerebral Media/fisiopatología , Ataque Isquémico Transitorio/fisiopatología , Masculino , Valor Predictivo de las Pruebas , Ratas , Ratas Wistar , Daño por Reperfusión/diagnóstico , Daño por Reperfusión/fisiopatología , Reproducibilidad de los Resultados , Sensibilidad y Especificidad
19.
Arthritis Res Ther ; 14(3): R148, 2012 Jun 18.
Artículo en Inglés | MEDLINE | ID: mdl-22709477

RESUMEN

INTRODUCTION: The objective of this prospective study was to assess short- and long-term efficacy of exercise training (ET) as add-on to medical therapy in patients with connective tissue disease-associated pulmonary arterial hypertension (CTD-APAH). METHODS: Patients with invasively confirmed CTD-APAH received ET in-hospital for 3 weeks and continued at home for 12 weeks. Efficacy parameters have been evaluated at baseline and after 15 weeks by blinded-observers. Survival rate has been evaluated in a follow-up period of 2.9 ± 1.9 years. RESULTS: Twenty-one consecutive patients were included and assessed at baseline, and after 3 weeks, 14 after 15 weeks. Patients significantly improved the mean distance walked in 6 minutes compared to baseline by 67 ± 52 meters after 3 weeks (p < 0.001) and by 71 ± 35 meters after 15 weeks (p = 0.003), scores of quality of life (p < 0.05), heart rate at rest, peak oxygen consumption, oxygen saturation and maximal workload. Systolic pulmonary artery pressure and diastolic systemic blood pressure improved significantly after 3 weeks of ET. The 1- and 2-year overall-survival rates were 100%, the 3-year survival 73%. In one patient lung transplantation was performed 6 months after ET. CONCLUSION: ET as add-on to medical therapy is highly effective in patients with CTD-APAH to improve work capacity, quality of life and further prognostic relevant parameters and possibly improves the 1-, 2- and 3-year survival rate. Further randomized controlled studies are needed to confirm these results. TRIAL REGISTRATION: ClinicalTrials.gov: NCT00491309.


Asunto(s)
Enfermedades del Tejido Conjuntivo/rehabilitación , Terapia por Ejercicio/métodos , Hipertensión Pulmonar/rehabilitación , Enfermedades del Tejido Conjuntivo/complicaciones , Enfermedades del Tejido Conjuntivo/mortalidad , Hipertensión Pulmonar Primaria Familiar , Femenino , Humanos , Hipertensión Pulmonar/etiología , Hipertensión Pulmonar/mortalidad , Estimación de Kaplan-Meier , Masculino , Persona de Mediana Edad , Pruebas de Función Respiratoria , Método Simple Ciego
20.
Microsc Res Tech ; 72(5): 385-97, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-19115332

RESUMEN

Insect glial cells serve functions for the formation, maintenance, and performance of the central nervous system in ways similar to their vertebrate counterparts. Characterization of physiological mechanisms that underlie the roles of glia in invertebrates is largely incomplete, partly due to the lack of markers that universally label all types of glia throughout all developmental stages in various species. Studies on primary cell cultures from brains of Locusta migratoria demonstrated that the absence of anti-HRP immunoreactivity, which has previously been used to identify glial cells in undissociated brains, can also serve as a reliable glial marker in vitro, but only in combination with a viability test. As cytoplasmic membranes of cultured cells are prone to degradation when they lose viability, only cells that are both anti-HRP immunonegative and viable should be regarded as glial cells, whereas the lack of anti-HRP immunoreactivity alone is not sufficient. Cell viability can be assessed by the pattern of nuclear staining with DAPI (4',6-diamidino-2-phenylindole), a convenient, sensitive labeling method that can be used in combination with other immunocytochemical cellular markers. We determined the glia-to-neuron ratio in central brains of fourth nymphal stage of Locusta migratoria to be 1:2 both in situ and in dissociated primary cell cultures. Analysis of primary cell cultures revealed a progressive reduction of glial cells and indicated that dead cells detach from the substrate and vanish from the analysis. Such changes in the composition of cell cultures should be considered in future physiological studies on cell cultures from insect nervous systems.


Asunto(s)
Locusta migratoria/anatomía & histología , Locusta migratoria/fisiología , Neuroglía/fisiología , Animales , Encéfalo/anatomía & histología , Encéfalo/fisiología , Supervivencia Celular , Células Cultivadas
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