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1.
Proc Natl Acad Sci U S A ; 115(22): 5798-5803, 2018 05 29.
Artículo en Inglés | MEDLINE | ID: mdl-29760072

RESUMEN

Injury to the enteric nervous system (ENS) can cause several gastrointestinal (GI) disorders including achalasia, irritable bowel syndrome, and gastroparesis. Recently, a subpopulation of enteric glial cells with neuronal stem/progenitor properties (ENSCs) has been identified in the adult ENS. ENSCs have the ability of reconstituting the enteric neuronal pool after damage of the myenteric plexus. Since the estrogen receptor ß (ERß) is expressed in enteric glial cells and neurons, we investigated whether a selective ERß agonist, LY3201, can influence neuronal and glial cell differentiation. Myenteric ganglia from the murine muscularis externa were isolated and cultured in either glial cell medium or neuronal medium. In glial cell medium, the number of glial progenitor cells (Sox10+) was increased by fourfold in the presence of LY3201. In the neuronal medium supplemented with an antimitotic agent to block glial cell proliferation, LY3201 elicited a 2.7-fold increase in the number of neurons (neurofilament+ or HuC/D+). In addition, the effect of LY3201 was evaluated in vivo in two murine models of enteric neuronal damage and loss, namely, high-fat diet and topical application of the cationic detergent benzalkonium chloride (BAC) on the intestinal serosa, respectively. In both models, treatment with LY3201 significantly increased the recovery of neurons after damage. Thus, LY3201 was able to stimulate glial-to-neuron cell differentiation in vitro and promoted neurogenesis in the damaged myenteric plexus in vivo. Overall, our study suggests that selective ERß agonists may represent a therapeutic tool to treat patients suffering from GI disorders, caused by excessive neuronal/glial cell damage.


Asunto(s)
Diferenciación Celular/fisiología , Proliferación Celular/fisiología , Receptor beta de Estrógeno/metabolismo , Plexo Mientérico/citología , Neuroglía/citología , Neuronas/citología , Animales , Dieta Alta en Grasa , Humanos , Masculino , Ratones , Ratones Endogámicos C57BL , Plexo Mientérico/lesiones , Neuroglía/metabolismo , Neuronas/metabolismo , Obesidad
2.
Colorectal Dis ; 20(12): 1078-1087, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-29956867

RESUMEN

AIM: Visceral obesity is associated with perioperative and postoperative complications in colorectal surgery. We aimed to investigate the association between the perirenal fat surface area (PRF) and postoperative complications. METHOD: Data on 610 patients undergoing curative, elective colon cancer resection between 2006 and 2016 at Stockholm South General Hospital were retrieved from a local quality register. We assessed perioperative and postoperative outcomes using a multinomial regression model adjusted for age, sex, American Society of Anesthesiologists classification and surgical approach (open/laparoscopy) in relation to PRF. RESULTS: PRF could be measured in 605 patients; the median area was 24 cm2 . Patients with PRF ≥ 40 cm2 had longer operation time (median 223 vs 184 min), more intra-operative bleeding (250 vs 125 ml), reoperations (11% vs 6%), surgical complications (27% vs 13%) and nonsurgical infectious complications (16% vs 9%) than patients with PRF < 40 cm2 , but there were no differences in the need for intensive care or duration of hospital stay. The multivariate analyses revealed an increased risk of any complication [OR 1.68 (95% CI 1.1-2.6)], which was even more pronounced for moderate complications [Clavien-Dindo II, OR 2.14 (CI 1.2-2.4]; Clavien-Dindo III, OR 2.35 (CI 1.0-5.5)] in patients with PRF ≥ 40 vs < 40 cm2 . The absolute risk of complications was similar in men and women with PRF ≥ 40 cm2 . CONCLUSION: PRF, an easily measured indirect marker of visceral obesity, was associated with overall and moderate complications in men and women and could serve as a useful tool in the assessment of preoperative risk.


Asunto(s)
Colectomía/efectos adversos , Neoplasias del Colon/cirugía , Grasa Intraabdominal/patología , Obesidad Abdominal/patología , Complicaciones Posoperatorias/etiología , Anciano , Anciano de 80 o más Años , Biomarcadores/análisis , Composición Corporal , Colectomía/métodos , Neoplasias del Colon/etiología , Neoplasias del Colon/patología , Procedimientos Quirúrgicos Electivos/efectos adversos , Femenino , Humanos , Grasa Intraabdominal/cirugía , Laparoscopía/efectos adversos , Masculino , Persona de Mediana Edad , Obesidad Abdominal/complicaciones , Periodo Preoperatorio , Sistema de Registros , Análisis de Regresión , Medición de Riesgo , Factores de Riesgo
3.
Acta Paediatr ; 107(12): 2152-2157, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-29791055

RESUMEN

AIM: This study investigated whether a high birth weight was associated with increased risk factors for cardiovascular disease when Swedish adults reached 34-40. METHODS: We studied 27 subjects born at Uppsala University Hospital in 1975-1979, weighing at least 4500 g, and compared them with 27 controls selected by the Swedish National Board of Welfare with birth weights within ±1 standard deviations scores and similar ages and gender. The study included body mass index (BMI), blood pressure, lipid profile, haemoglobin A1c (HbA1c), C-reactive protein (CRP) and high-frequency ultrasound measurements of intima-media thickness, intima thickness (IT) and intima:media ratio of the carotid and radial arteries. RESULTS: Subjects with a high birth weight did not differ from controls with regard to BMI, blood pressure, lipid profile, high-sensitivity CRP, HbA1c or carotid artery wall dimensions. However, their radial artery intima thickness was 37% greater than the control group and their intima:media ratio was 44% higher. CONCLUSION: Our findings indicate that a high birth weight was associated with increased radial artery intima thickness, but not with other investigated cardiovascular risk factors, at 34-40 years of age. The clinical implications of these findings should be investigated further, especially in subjects born with a very high birth weight.


Asunto(s)
Peso al Nacer , Enfermedades Cardiovasculares/etiología , Grosor Intima-Media Carotídeo , Arteria Radial/diagnóstico por imagen , Adulto , Estudios de Casos y Controles , Femenino , Humanos , Masculino , Factores de Riesgo
4.
Mol Psychiatry ; 21(6): 844-56, 2016 06.
Artículo en Inglés | MEDLINE | ID: mdl-26324101

RESUMEN

Of the two isoforms of Liver X receptor (LXR), LXRß has been shown to have major effects in the central nervous system (CNS) and on the regulation of aquaporins while LXRα has its most marked effects on cholesterol homeostasis. Both receptors have immunomodulatory functions. In LXRαß knockout (ko) mice, the CNS phenotype is much more severe than in the LXRß ko mice, suggesting a contribution of LXRα in CNS functions. One of the most striking abnormalities in the brains of LXRαß ko mice is the occlusion of the lateral ventricles with age. In the present study, we have found by immunohistochemical staining that both LXRα and LXRß are expressed in the cell nuclei of the epithelium of the choroid plexus and in the ependymal cells surrounding the lateral ventricles. The two receptors regulate several genes and can compensate for each other on expression of genes involved in structural integrity (E-cadherin, P-cadherin and ß-catenin) and function (aquaporin 1 and carbonic anhydrase IX). Aquaporin 4 (AQ4) is not expressed in the choroid plexus but is expressed in the astrocytic end feet and ependymal cells. AQP4 expression was increased in white matter around lateral ventricles but not in neurons of LXRαß ko mice. The data show that LXR is a regulator of cerebrospinal fluid (CSF) both at the choroid plexus and at the astrocytic end feet and defects in the synthesis of cerebrospinal fluid may be targeted by LXR agonists to facilitate CSF production, turnover and clearance in CNS diseases.


Asunto(s)
Líquido Cefalorraquídeo/metabolismo , Receptores X del Hígado/metabolismo , Animales , Acuaporina 4/metabolismo , Acuaporinas/metabolismo , Cadherinas/metabolismo , Líquido Cefalorraquídeo/fisiología , Plexo Coroideo , Homeostasis/fisiología , Metabolismo de los Lípidos/genética , Receptores X del Hígado/agonistas , Receptores X del Hígado/genética , Ratones , Ratones Noqueados , Receptores Nucleares Huérfanos/agonistas , Isoformas de Proteínas/metabolismo , beta Catenina/metabolismo
5.
Scand J Rheumatol ; 46(6): 474-483, 2017 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-28293972

RESUMEN

OBJECTIVES: We compared patients' assessments of systemic lupus erythematosus (SLE) disease activity by a Swedish version of the Systemic Lupus Activity Questionnaire (SLAQ) with physicians' assessments by the Systemic Lupus Activity Measure (SLAM) and Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K). We also explored the performance of the SLAQ in patients with short (< 1 year) versus long (≥ 1 year) disease duration. METHOD: Patients filled out the SLAQ before physicians' assessments. Correlations between SLAQ total, subscales (Symptom score, Flares, Patients global) and SLAM and SLEDAI-2K, as well as between the corresponding items in SLAQ and SLAM, were evaluated using Spearman's ρ. Comparisons between patients with different disease durations were performed with Mann-Whitney U or chi-squared tests. RESULTS: We included 203 patients (79% women), with a median age of 45 years [interquartile range (IQR) 33-57 years] and disease duration of 5 years (IQR 0-14 years). Correlations between physicians' SLAM without laboratory items (SLAM-nolab) and patients' assessments were: SLAQ total, ρ = 0.685, Symptom score, ρ = 0.651, Flares, ρ = 0.547, and Patients global, ρ = 0.600. Of the symptom items, fatigue (ρ = 0.640), seizures (ρ = 0.635), and headache (ρ = 0.604) correlated most closely. Neurology/stroke syndrome, skin, and lymphadenopathy correlated less well (ρ < 0.24). Patients' and physicians' assessments were notably more discordant for patients with short disease durations. CONCLUSION: We confirm that the SLAQ can be used to monitor disease activity. However, the discrepancy between patients' and physicians' assessments was greater for patients with short versus long disease duration. We encourage further use of the SLAQ, but would like to develop a shorter version which would be valuable in modern, partly web-based, clinical care.


Asunto(s)
Fatiga/fisiopatología , Cefalea/fisiopatología , Lupus Eritematoso Sistémico/fisiopatología , Convulsiones/fisiopatología , Adulto , Progresión de la Enfermedad , Fatiga/etiología , Femenino , Cefalea/etiología , Humanos , Lupus Eritematoso Cutáneo/etiología , Lupus Eritematoso Cutáneo/fisiopatología , Lupus Eritematoso Sistémico/complicaciones , Vasculitis por Lupus del Sistema Nervioso Central/complicaciones , Vasculitis por Lupus del Sistema Nervioso Central/fisiopatología , Linfadenopatía/etiología , Linfadenopatía/fisiopatología , Masculino , Persona de Mediana Edad , Medición de Resultados Informados por el Paciente , Convulsiones/etiología , Índice de Severidad de la Enfermedad , Accidente Cerebrovascular/etiología , Accidente Cerebrovascular/fisiopatología , Encuestas y Cuestionarios , Suecia
6.
Mol Psychiatry ; 20(1): 18-22, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-24662928

RESUMEN

In the last decade of the twentieth century, two nuclear receptors were discovered in our laboratory and, very surprisingly, were found to have key roles in the central nervous system. These receptors have provided some novel insights into the etiology and progression of neurodegenerative diseases and anxiety disorders. The two receptors are estrogen receptor beta (ERß) and liver X receptor beta (LXRß). Both ERß and LXRß have potent anti-inflammatory activities and, in addition, LXRß is involved in the genesis of dopaminergic neurons during development and protection of these neurons against neurodegeneration in adult life. ERß is involved in migration of cortical neurons and calretinin-positive GABAergic interneurons during development and maintenance of serotonergic neurons in adults. Both receptors are present in magnocellular neurons of the hypothalamic preoptic area including those expressing vasopressin and oxytocin. As both ERß and LXRß are ligand-activated transcription factors, their ligands hold great potential in the treatment of diseases of the CNS.


Asunto(s)
Enfermedades del Sistema Nervioso Central/terapia , Receptor beta de Estrógeno/metabolismo , Receptores Nucleares Huérfanos/metabolismo , Animales , Movimiento Celular/efectos de los fármacos , Movimiento Celular/fisiología , Enfermedades del Sistema Nervioso Central/genética , Enfermedades del Sistema Nervioso Central/metabolismo , Corteza Cerebral/patología , Receptor beta de Estrógeno/agonistas , Receptor beta de Estrógeno/genética , Humanos , Ligandos , Receptores X del Hígado , Neuronas/fisiología , Receptores Nucleares Huérfanos/agonistas , Receptores Nucleares Huérfanos/genética
7.
Mol Psychiatry ; 19(8): 947-57, 2014 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-24934178

RESUMEN

Several psychiatric disorders are associated with aberrant white matter development, suggesting oligodendrocyte and myelin dysfunction in these diseases. There are indications that radial glial cells (RGCs) are involved in initiating myelination, and may contribute to the production of oligodendrocyte progenitor cells (OPCs) in the dorsal cortex. Liver X receptors (LXRs) are involved in maintaining normal myelin in the central nervous system (CNS), however, their function in oligodendrogenesis and myelination is not well understood. Here, we demonstrate that loss of LXRß function leads to abnormality in locomotor activity and exploratory behavior, signs of anxiety and hypomyelination in the corpus callosum and optic nerve, providing in vivo evidence that LXRß deletion delays both oligodendrocyte differentiation and maturation. Remarkably, along the germinal ventricular zone-subventricular zone and corpus callosum there is reduced OPC production from RGCs in LXRß(-/-) mice. Conversely, in cultured RGC an LXR agonist led to increased differentiation into OPCs. Collectively, these results suggest that LXRß, by driving RGCs to become OPCs in the dorsal cortex, is critical for white matter development and CNS myelination, and point to the involvement of LXRß in psychiatric disorders.


Asunto(s)
Diferenciación Celular , Corteza Cerebral/fisiología , Células Ependimogliales/citología , Células Ependimogliales/metabolismo , Conducta Exploratoria/fisiología , Oligodendroglía/citología , Receptores Nucleares Huérfanos/fisiología , Animales , Técnicas de Cultivo de Célula , Diferenciación Celular/efectos de los fármacos , Corteza Cerebral/citología , Corteza Cerebral/efectos de los fármacos , Corteza Cerebral/microbiología , Colesterol , Cuerpo Calloso/fisiología , Cuerpo Calloso/ultraestructura , Expresión Génica/genética , Expresión Génica/fisiología , Hidrocarburos Fluorados/farmacología , Ventrículos Laterales/metabolismo , Ventrículos Laterales/fisiología , Receptores X del Hígado , Masculino , Aprendizaje por Laberinto/fisiología , Ratones , Ratones Noqueados , Actividad Motora/fisiología , Vaina de Mielina/efectos de los fármacos , Vaina de Mielina/fisiología , Oligodendroglía/metabolismo , Nervio Óptico/fisiología , Nervio Óptico/ultraestructura , Receptores Nucleares Huérfanos/agonistas , Receptores Nucleares Huérfanos/biosíntesis , Receptores Nucleares Huérfanos/genética , Sulfonamidas/farmacología
8.
J Inherit Metab Dis ; 38(2): 315-22, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25141826

RESUMEN

Children with long-chain 3-hydroxyacyl-CoA dehydrogenase deficiency (LCHAD) have a defect in the degradation of long-chain fatty acids and are at risk of hypoketotic hypoglycemia and insufficient energy production as well as accumulation of toxic fatty acid intermediates. Knowledge on substrate metabolism in children with LCHAD deficiency during fasting is limited. Treatment guidelines differ between centers, both as far as length of fasting periods and need for night feeds are concerned. To increase the understanding of fasting intolerance and improve treatment recommendations, children with LCHAD deficiency were investigated with stable isotope technique, microdialysis, and indirect calometry, in order to assess lipolysis and glucose production during 6 h of fasting. We found an early and increased lipolysis and accumulation of long chain acylcarnitines after 4 h of fasting, albeit no patients developed hypoglycemia. The rate of glycerol production, reflecting lipolysis, averaged 7.7 ± 1.6 µmol/kg/min, which is higher compared to that of peers. The rate of glucose production was normal for age; 19.6 ± 3.4 µmol/kg/min (3.5 ± 0.6 mg/kg/min). Resting energy expenditure was also normal, even though the respiratory quotient was increased indicating mainly glucose oxidation. The results show that lipolysis and accumulation of long chain acylcarnitines occurs before hypoglycemia in fasting children with LCHAD, which may indicate more limited fasting tolerance than previously suggested.


Asunto(s)
3-Hidroxiacil-CoA Deshidrogenasas/deficiencia , Cardiomiopatías/enzimología , Metabolismo Energético , Ayuno/sangre , Errores Innatos del Metabolismo Lipídico/enzimología , Lipólisis , Miopatías Mitocondriales/enzimología , Enfermedades del Sistema Nervioso/enzimología , Rabdomiólisis/enzimología , 3-Hidroxiacil-CoA Deshidrogenasas/sangre , Factores de Edad , Biomarcadores/sangre , Glucemia/metabolismo , Calorimetría Indirecta , Cardiomiopatías/sangre , Cardiomiopatías/diagnóstico , Cardiomiopatías/dietoterapia , Carnitina/análogos & derivados , Carnitina/sangre , Niño , Preescolar , Femenino , Glicerol/sangre , Humanos , Hiperglucemia/sangre , Hiperglucemia/diagnóstico , Hiperglucemia/enzimología , Marcaje Isotópico , Errores Innatos del Metabolismo Lipídico/sangre , Errores Innatos del Metabolismo Lipídico/diagnóstico , Errores Innatos del Metabolismo Lipídico/dietoterapia , Masculino , Microdiálisis , Miopatías Mitocondriales/sangre , Miopatías Mitocondriales/diagnóstico , Miopatías Mitocondriales/dietoterapia , Proteína Trifuncional Mitocondrial/deficiencia , Enfermedades del Sistema Nervioso/sangre , Enfermedades del Sistema Nervioso/diagnóstico , Enfermedades del Sistema Nervioso/dietoterapia , Periodo Posprandial , Rabdomiólisis/sangre , Rabdomiólisis/diagnóstico , Rabdomiólisis/dietoterapia , Factores de Tiempo
9.
Ecotoxicol Environ Saf ; 114: 143-9, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25637749

RESUMEN

The Water Framework Directive (WFD) in Europe calls for an improved aquatic ecological status. Biotic ligand models (BLM) have been suggested as a possible tool assisting in the regulatory process. The aim of this study was therefore to investigate the applicability of BLM under the WFD to set environmental quality standards (EQS), in particular regarding copper in Swedish freshwaters of which many are softer than those used for model calibration. Three different BLMs, one acute and two chronic, were applied to water chemistry data from 926 lakes and 51 rivers (1530 data entries) and evaluated with respect to their calibration range for input parameters. In addition, the predicted no-effect concentration (PNEC) for copper was calculated. From the 1530 data entries, 750 ended up outside of the BLM calibration range, when looking at the chemical parameters Ca(2+), alkalinity, pH and DOC, primarily due to low carbonate alkalinity. Furthermore, the calculated Cu PNECs were higher than the suggested Swedish limit for Cu (4µgL(-1)) in surface waters for 98% and 99% of the cases concerning lakes and rivers, respectively. To conclude, our findings show that water chemical characteristics outside of the calibration ranges are quite common in Sweden and that the investigated models differ in how they calculate toxicity concerning Cu under these conditions. As a consequence, additional work is required to validate the BLMs by use of bioassays with representative species of soft waters. Such results will show if these models can be used outside of their calibration ranges and also which of the models that gives the most reliable results.


Asunto(s)
Cobre/normas , Agua Dulce/química , Contaminantes Químicos del Agua/normas , Cobre/análisis , Cobre/toxicidad , Europa (Continente) , Lagos/química , Ligandos , Modelos Biológicos , Ríos/química , Suecia , Contaminantes Químicos del Agua/análisis , Contaminantes Químicos del Agua/toxicidad , Contaminación Química del Agua/legislación & jurisprudencia
10.
Mol Psychiatry ; 18(6): 674-80, 2013 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-22665260

RESUMEN

The serotonergic neurons of the dorsal raphe (DR) nucleus in the CNS are involved in fear, anxiety and depression. Depression and anxiety occur quite frequently in postmenopausal women, but estrogen replacement to correct these CNS disorders is at present not favored because estrogen carries with it an increased risk for breast cancer. Serotonin synthesis, release and reuptake in the DR are targets of pharmaceuticals in the treatment of depression. In the present study we have examined by immunohistochemistry, the expression of two nuclear receptors, that is, the estrogen receptors ERα and ERß. We found that ERß but not ERα is strongly expressed in the DR and there is no sex difference and no change with ageing in the number of tryptophan hydroxylase (TPH)-positive neurons in the DR of wild-type (WT) mice. However, in ovariectomized (OVX) WT and in ERß(-/-) mice, there was a marked reduction in the number of TPH-positive normal-looking neurons and a marked increase in TPH-positive spindle-shaped cells. These neuronal changes were prevented in mice 1-3 weeks (but not 10 weeks) after OVX by the selective ERß agonist, LY3201, given as continuous release pellets for 3 days. The ERß agonist had no effects on glucose homeostasis. Thus, the onset of action of the ERß agonist is rapid but there is a limited window in time after estrogen loss when the drug is useful. We conclude that, rather than estradiol, ERß agonists could be useful pharmaceuticals in maintaining functional DR neurons to treat postmenopausal depression.


Asunto(s)
Receptor beta de Estrógeno/metabolismo , Regulación de la Expresión Génica/genética , Núcleos del Rafe/citología , Neuronas Serotoninérgicas/fisiología , Animales , Área Bajo la Curva , Benzopiranos/farmacología , Recuento de Células , Estradiol/farmacología , Receptor alfa de Estrógeno/deficiencia , Receptor beta de Estrógeno/agonistas , Receptor beta de Estrógeno/deficiencia , Femenino , Regulación de la Expresión Génica/efectos de los fármacos , Prueba de Tolerancia a la Glucosa , Transportador de Glucosa de Tipo 4/metabolismo , Masculino , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Músculo Esquelético/metabolismo , Ovariectomía , Serotonina/metabolismo , Caracteres Sexuales , Factores de Tiempo , Triptófano Hidroxilasa/metabolismo
11.
Lupus ; 22(5): 477-85, 2013 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-23554036

RESUMEN

The Ro52 protein of the Ro/SSA antigen was recently defined as an E3 ligase controlling cytokine production. Autoantibodies from systemic lupus erythematosus (SLE) patients targeting the Ro52-RING domain, containing the E3 ligase activity, have been shown to inhibit the E3 ligase activity of Ro52. The objective of the present study was to investigate correlations between clinical parameters in patients with SLE and levels of Ro/SSA (Ro52 and Ro60) and La/SSB autoantibodies, including autoantibodies directed towards the functional RING and B-box domains of the Ro52 protein. SLE patients (n=232) were clinically examined and disease activity indices collected concurrently to blood sampling. The samples were analyzed for immunological parameters including autoantibodies. Ro52 autoantibody levels were associated with more variables than the other analyzed antibodies and were significantly associated with several individual items related to sSS and the diagnosis of sSS itself (p=0.004). Other associated variables were high sedimentation rate (p=0.0003), levels of immunoglobulins (p=0.0003), and an inverse correlation with levels of lymphocytes (p=0.003) and leukocytes (p=0.01). Antibodies to the RING domain of Ro52, which is the functionally active domain with E3 ligase activity, were significantly correlated with disease activity as measured by the SLAM score. We conclude that autoantibodies against Ro52 and in particular its functional RING domain are important in lupus patients and associated with several clinical and laboratory features of the disease. The impact on disease activity of Ro52-RING specific antibodies was especially noted, and could imply a functional role for these autoantibodies in inhibiting Ro52 activity, which is important for the control of proinflammatory cytokine production, including type 1 interferons.


Asunto(s)
Autoanticuerpos/fisiología , Autoantígenos/inmunología , Lupus Eritematoso Sistémico/inmunología , Ribonucleoproteínas/inmunología , Adulto , Autoanticuerpos/biosíntesis , Femenino , Humanos , Inmunoglobulina G/biosíntesis , Inmunoglobulina G/fisiología , Lupus Eritematoso Sistémico/fisiopatología , Masculino , Persona de Mediana Edad , Antígeno SS-B
12.
Cell Death Dis ; 14(2): 129, 2023 02 15.
Artículo en Inglés | MEDLINE | ID: mdl-36792589

RESUMEN

Lipid and cholesterol metabolism play a crucial role in tumor cell behavior and in shaping the tumor microenvironment. In particular, enzymatic and non-enzymatic cholesterol metabolism, and derived metabolites control dendritic cell (DC) functions, ultimately impacting tumor antigen presentation within and outside the tumor mass, dampening tumor immunity and immunotherapeutic attempts. The mechanisms accounting for such events remain largely to be defined. Here we perturbed (oxy)sterol metabolism genetically and pharmacologically and analyzed the tumor lipidome landscape in relation to the tumor-infiltrating immune cells. We report that perturbing the lipidome of tumor microenvironment by the expression of sulfotransferase 2B1b crucial in cholesterol and oxysterol sulfate synthesis, favored intratumoral representation of monocyte-derived antigen-presenting cells, including monocyte-DCs. We also found that treating mice with a newly developed antagonist of the oxysterol receptors Liver X Receptors (LXRs), promoted intratumoral monocyte-DC differentiation, delayed tumor growth and synergized with anti-PD-1 immunotherapy and adoptive T cell therapy. Of note, looking at LXR/cholesterol gene signature in melanoma patients treated with anti-PD-1-based immunotherapy predicted diverse clinical outcomes. Indeed, patients whose tumors were poorly infiltrated by monocytes/macrophages expressing LXR target genes showed improved survival over the course of therapy. Thus, our data support a role for (oxy)sterol metabolism in shaping monocyte-to-DC differentiation, and in tumor antigen presentation critical for responsiveness to immunotherapy. The identification of a new LXR antagonist opens new treatment avenues for cancer patients.


Asunto(s)
Melanoma , Monocitos , Ratones , Animales , Monocitos/metabolismo , Diferenciación Celular , Colesterol/metabolismo , Presentación de Antígeno , Células Dendríticas/metabolismo , Microambiente Tumoral
13.
Diabetologia ; 55(9): 2469-78, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22739758

RESUMEN

AIMS/HYPOTHESIS: Liver X receptor (LXR)α regulates the genes involved in cholesterol, fatty acid and glucose metabolism. Soy protein (SP) consumption reduces the hepatic accumulation of cholesterol and triacylglycerol, and improves insulin sensitivity. However, it is not known whether these effects are mediated via LXRα. We therefore investigated whether the consumption of SP regulates metabolic changes in cholesterol metabolism and insulin sensitivity via LXRα. METHODS: Wild-type (WT) and Lxrα(-/-) (Lxrα, also known as Nr1h3) mice were fed an SP diet with or without cholesterol for 28 days. The expression of LXRα target genes was measured in liver and intestine, as were hepatic lipid content and faecal bile acid concentration. Oral glucose and insulin tolerance tests were also performed. Hepatocytes were used to study the effect of isoflavones on LXR activity. RESULTS: The livers of WT and Lxrα(-/-) mice fed an SP high-cholesterol diet showed less steatosis than those fed casein. The SP diet increased the expression of the ATP-binding cassette (ABC) sub-family genes Abca1, Abcg5 and Abcg8 in the liver and intestine, as well as increasing total faecal bile acid excretion and insulin sensitivity in WT mice compared with mice fed a casein diet. However, these effects of SP were not observed in Lxrα(-/-) mice. The SP isoflavone, genistein, repressed the activation of LXRα target genes by T0901317, whereas it stimulated the activation of LXRß target genes. The AMP-activated protein kinase inhibitor, compound C, had the opposite effects to those of genistein. CONCLUSIONS/INTERPRETATION: Our results suggest that SP isoflavones stimulate the phosphorylation of LXRα or LXRß, resulting in different biological effects for each LXR isoform.


Asunto(s)
Hepatocitos/metabolismo , Mucosa Intestinal/metabolismo , Metabolismo de los Lípidos , Hígado/metabolismo , Receptores Nucleares Huérfanos , Proteínas de Soja/farmacología , Animales , Ácidos y Sales Biliares/metabolismo , Transporte Biológico , Dieta Alta en Grasa , Regulación de la Expresión Génica , Hepatocitos/efectos de los fármacos , Resistencia a la Insulina , Isoflavonas/metabolismo , Metabolismo de los Lípidos/efectos de los fármacos , Receptores X del Hígado , Masculino , Ratones , Ratones Transgénicos , Receptores Nucleares Huérfanos/efectos de los fármacos , Receptores Nucleares Huérfanos/metabolismo , Isoformas de Proteínas/metabolismo
14.
Biochem Biophys Res Commun ; 424(4): 710-6, 2012 Aug 10.
Artículo en Inglés | MEDLINE | ID: mdl-22800760

RESUMEN

Estrogen receptor alpha (ERα) is a nuclear receptor that regulates a range of physiological processes in response to estrogens. In order to study its biological role, we generated a floxed ERα mouse line that can be used to knock out ERα in selected tissues by using the Cre/LoxP system. In this study, we established a new ERα knockout mouse line by crossing the floxed ERα mice with Cre deleter mice. Here we show that genetic disruption of the ERα gene in all tissues results in sterility in both male and female mice. Histological examination of uterus and ovaries revealed a dramatically atrophic uterus and hemorrhagic cysts in the ovary. These results suggest that infertility in female mice is the result of functional defects of the reproductive tract. Moreover, female knockout mice are hyperglycemic, develop obesity and at the age of 4 months the body weight of these mice was more than 20% higher compared to wild type littermates and this difference increased over time. Our results demonstrate that ERα is necessary for reproductive tract development and has important functions as a regulator of metabolism in females.


Asunto(s)
Receptor alfa de Estrógeno/genética , Infertilidad Femenina/genética , Infertilidad Masculina/genética , Animales , Peso Corporal/genética , Cuerpo Lúteo/anomalías , Femenino , Integrasas , Masculino , Glándulas Mamarias Animales/anomalías , Ratones , Ratones Noqueados , Ovario/anomalías , Síndrome del Ovario Poliquístico/genética , Síndrome del Ovario Poliquístico/patología , Útero/anomalías
15.
J Intern Med ; 272(5): 452-64, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-22329358

RESUMEN

OBJECTIVES: Liver X receptors (LXRs) are essential for the regulation of intestinal cholesterol absorption. Because two isoforms exist, LXRα and LXRß, with overlapping but not identical functions, we investigated whether LXRα and LXRß exert different effects on intestinal cholesterol absorption. DESIGN: Wild-type (WT), LXRα(-/-) and LXRß(-/-) mice were fed control diet, 0.2% cholesterol-enriched diet or 0.2% cholesterol-enriched diet plus the LXR agonist GW3965. RESULTS: When fed a control diet, all three genotypes showed similar levels of cholesterol absorption. Of interest, a significant increase in cholesterol absorption was found in the LXRα(-/-) mice, but not in the WT or LXRß(-/-) animals, when fed a diet enriched with 0.2% cholesterol or 0.2% cholesterol + GW3965. Reduced faecal neutral sterol excretion and a hydrophobic bile acid profile were also observed in LXRα(-/-) mice. Greater increases in the apolipoprotein (apo)B-containing lipoproteins in serum were seen in the LXRα(-/-) mice. A 0.2% cholesterol +GW3965 diet suppressed intestinal Npc1l1 protein expression to the same extent for all genotypes, while Abca1 and Abcg5 were elevated to the same degree. CONCLUSIONS: In the intestine, LXRα and LXRß seem to exert similar effects on expression of cholesterol-transporting proteins such as Npc1l1. Selective activation of LXRß may generate effects such as increased cholesterol absorption and elevated serum levels of apoB-containing lipoproteins, which seem to be counteracted by LXRα. Therefore, an intestinal LXRß-specific pathway might exist in terms of cholesterol transportation in addition to the main pathway.


Asunto(s)
Aterosclerosis/metabolismo , Colesterol/sangre , Absorción Intestinal , Lipoproteínas/metabolismo , Hígado/metabolismo , Receptores Nucleares Huérfanos/metabolismo , Transportador de Casetes de Unión a ATP, Subfamilia G, Miembro 5 , Transportadoras de Casetes de Unión a ATP/genética , Análisis de Varianza , Animales , Benzoatos/administración & dosificación , Bencilaminas/administración & dosificación , Bilis/metabolismo , Colesterol en la Dieta/administración & dosificación , Intestino Delgado/metabolismo , Metabolismo de los Lípidos , Lipoproteínas/genética , Receptores X del Hígado , Masculino , Proteínas de Transporte de Membrana/genética , Ratones , Ratones Noqueados , Modelos Animales , Isoformas de Proteínas , ARN Mensajero/metabolismo , Reacción en Cadena en Tiempo Real de la Polimerasa/métodos
16.
Scand J Rheumatol ; 41(4): 290-7, 2012 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-22651371

RESUMEN

BACKGROUND: As physical activity reduces cardiovascular disease (CVD) in the general population, studies concerning the frequency of physical activity in patients with systemic lupus erythematosus (SLE) are needed. Earlier studies indicate that patients with SLE are physically inactive but there are few studies that compare physical activity in SLE to that in the general population. The aim of this study was to examine different aspects of physical activity in patients with SLE and population controls and to investigate how they relate to disease activity and organ damage. METHODS: Two hundred and seventy-two patients with SLE and 272 population controls, individually matched for age, gender, and living region, were investigated clinically. For patients, the investigation included assessment of disease activity using the SLE Disease Activity Index (SLEDAI) and organ damage using the Systemic Lupus International Collaborating Clinics/American College of Rheumatology (SLICC) Damage Index. All participants filled out an extensive questionnaire concerning physical activity, exercise capacity, and sedentary behaviour. RESULTS: The mean age of the patients was 47 (SD 15) years. Patients reported lower (p < 0.001) capacity for walking, jogging, and running and more limiting factors for these activities than controls (p < 0.001). Patients exercised less often than controls (p < 0.01) and patients with SLICC ≥ 2 points reported less physical activity on 'low to moderate' intensity compared to their controls (p < 0.05). Sedentary behaviour was reported by 18% of the patients and 26% of the controls (ns). CONCLUSION: Patients with SLE reported lower exercise capacity and less frequent exercise than controls. Additionally, patients with more organ damage reported less physical activity, and these, together with patients who have a sedentary behaviour, should be the focus of intervention programmes to support increased physical activity and exercise in SLE.


Asunto(s)
Ejercicio Físico/fisiología , Lupus Eritematoso Sistémico/fisiopatología , Actividad Motora/fisiología , Adulto , Estudios de Casos y Controles , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Calidad de Vida , Carrera/fisiología , Índice de Severidad de la Enfermedad , Caminata/fisiología
17.
Scand J Immunol ; 73(2): 147-53, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-21198756

RESUMEN

Autoimmune polyendocrine syndrome type 1 (APS1) is a rare monogenic autoimmune disorder caused by mutations in the autoimmune regulator (AIRE) gene. High-titre autoantibodies are a characteristic feature of APS1 and are often associated with particular disease manifestations. Pituitary deficits are reported in approximately 7% of APS1 patients, with immunoreactivity to pituitary tissue frequently described. Using APS1 patient serum to immunoscreen a pituitary cDNA expression library, testis specific, 10 (TSGA10) was isolated. Immunoreactivity against TSGA10 was detected in 5/99 (5.05%) patients with APS1, but also in 5/135 (3.70%) systemic lupus erythematosus (SLE) patients and 1/188 (0.53%) healthy controls. TSGA10 autoantibodies were not detected in the serum from patients with any other autoimmune disease. Autoantibodies against TSGA10 were detectable from a young age in 4/5 positive APS1 patients with autoantibody titres remaining relatively constant over time. Furthermore, real-time PCR confirmed TSGA10 mRNA to be most abundantly expressed in the testis and also showed moderate and low expression levels throughout the entire body. TSGA10 should be considered as an autoantigen in a subset of APS1 patients and also in a minority of SLE patients. No recognizable clinical phenotype could be found to correlate with positive autoantibody reactivity.


Asunto(s)
Autoanticuerpos/inmunología , Lupus Eritematoso Sistémico/inmunología , Proteínas/inmunología , Proteínas del Citoesqueleto , Femenino , Regulación de la Expresión Génica , Humanos , Lupus Eritematoso Sistémico/genética , Masculino , Poliendocrinopatías Autoinmunes/genética , Poliendocrinopatías Autoinmunes/inmunología , Proteínas/genética , ARN Mensajero/genética
18.
Chemosphere ; 282: 131063, 2021 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-34111636

RESUMEN

The complex chemistry of copper (Cu) in freshwater sediments at low concentrations is not well understood. We evaluated the transformation processes of Cu added to freshwater sediments under suboxic and anoxic conditions. Freshwater sediments from three sources in Michigan with different characteristics (Spring Creek, River Raisin, and Maple Lake) were spiked with 30 or 60 mg kg-1 Cu and incubated under a nitrogen atmosphere. After 28-d, each treatment subset was amended with organic matter (OM) to promote anoxic conditions and evaluate its effects on Cu speciation. OM addition triggered a shift from suboxic to anoxic conditions, and sequential extractions showed that Cu accordingly shifted from acid-soluble to oxidizable fractions. Extended X-ray absorption fine-structure (EXAFS) spectroscopy revealed that Cu sulfides dominated all anoxic samples except for Spring Creek 30 mg kg-1, where Cu(I) was predominantly complexed to thiol groups of OM. Covellite and chalcopyrite (CuFeS2) were the predominant Cu species in nearly all anoxic samples, as determined by Raman spectroscopy, scanning electron microscopy, and X-ray absorption near-edge structure (XANES) spectroscopy. Copper reduction also occurred under suboxic conditions: for two of three sediments, around 80% had been reduced to Cu(I), while the remaining 20% persisted as Cu(II) complexed to OM. However, in the third coarsest (i.e., Spring Creek), around 50% of the Cu had been reduced, forming Cu(I)-OM complexes, while the remainder was Cu(II)-OM complexes. Toxicity tests showed that survival of H. azteca and D. magna were significantly lower in suboxic treatments. Anoxic sediments triggered a near-complete transformation of Cu to sulfide minerals, reducing its toxicity.


Asunto(s)
Cobre , Minerales , Cobre/análisis , Agua Dulce , Sedimentos Geológicos , Sulfuros/análisis , Espectroscopía de Absorción de Rayos X
19.
Mol Psychiatry ; 14(2): 223-32, 117, 2009 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-18982005

RESUMEN

This study reports on the spatiotemporal dynamics of the expression of estrogen receptors (ERs) in the mouse central nervous system (CNS) during the early postnatal and the peripubertal period. At postnatal day 7 (P7), neurons with strong nuclear immunostaining for both ERalpha and ERbeta1 were widely distributed throughout the brain. Sucrose density gradient sedimentation followed by western blotting supported the histochemical evidence for high levels of both ERs at P7. Over the following 2 days, there was a rapid downregulation of ERs. At P9, ERalpha expression was visible only in the hypothalamic area. Decline in ERbeta1 expression was slower than that of ERalpha, and ERalpha-negative, ERbeta1-positive cells were observed in the dentate gyrus and walls of third ventricle. Between P14 and P35, ERs were undetectable except for the hypothalamic area. As before P7, the ovary does not produce estrogen but does produce 5alpha-androstane-3beta, 17beta-diol (3betaAdiol), an estrogenic metabolite of dihydrotestosterone, we examined the effects of high levels of 3betaAdiol in the postnatal period. We used CYP7B1 knockout mice which cannot hydroxylate and inactivate 3betaAdiol. The brains of these mice are abnormally large with reduced apoptosis. In the early postnatal period, there was 1-week delay in the timing of the reduction in ER expression in the brain. These data reveal that the time when ERs might be activated in the brain is limited to the first 8 postnatal days. In addition, the importance of aromatase has to be reconsidered as the alternative estrogen, 3betaAdiol, is important in neuronal function in the postnatal brain.


Asunto(s)
Encéfalo/crecimiento & desarrollo , Encéfalo/metabolismo , Regulación del Desarrollo de la Expresión Génica/fisiología , Receptores de Estrógenos/genética , Receptores de Estrógenos/metabolismo , Factores de Edad , Análisis de Varianza , Animales , Animales Recién Nacidos , Apoptosis , Familia 7 del Citocromo P450 , Estradiol/metabolismo , Receptor alfa de Estrógeno/genética , Receptor alfa de Estrógeno/metabolismo , Receptor beta de Estrógeno/genética , Receptor beta de Estrógeno/metabolismo , Etiquetado Corte-Fin in Situ/métodos , Ratones , Ratones Endogámicos C57BL , Ratones Noqueados , Tamaño de los Órganos/genética , ARN Mensajero/metabolismo , Esteroide Hidroxilasas/deficiencia
20.
Int J Androl ; 33(2): 288-97, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20050941

RESUMEN

Endocrine disruptive chemicals (EDCs) circulating in the environment constitute a risk to ecosystems, wildlife and human health. Oestrogen receptor (ER) alpha and beta are targeted by various kinds of EDCs but the molecular mechanisms and long-term consequences of exposure are largely unknown. Some biological effects of EDCs are mediated by the aryl hydrocarbon receptor (AhR), which is a key player in the cellular defence against xenobiotic substances. Adding complexity to the picture, there is also accumulating evidence that AhR-ER pathways have an intricate interplay at multiple levels. In this review, we discuss some EDCs that affect the oestrogen pathway by targeting ERbeta. Furthermore, we describe some effects of AhR activities on the oestrogen system. Mechanisms as well as potential adverse effects on human health are discussed.


Asunto(s)
Disruptores Endocrinos/toxicidad , Receptor beta de Estrógeno/efectos de los fármacos , Receptor beta de Estrógeno/fisiología , Animales , Translocador Nuclear del Receptor de Aril Hidrocarburo/fisiología , Compuestos de Bencidrilo , Sistema Endocrino/efectos de los fármacos , Exposición a Riesgos Ambientales , Contaminantes Ambientales/toxicidad , Moduladores de los Receptores de Estrógeno/farmacología , Femenino , Retardadores de Llama/toxicidad , Éteres Difenilos Halogenados/toxicidad , Humanos , Metoxicloro/toxicidad , Fenoles/toxicidad , Bifenilos Policlorados/toxicidad , Dibenzodioxinas Policloradas/análogos & derivados , Dibenzodioxinas Policloradas/farmacología , Dibenzodioxinas Policloradas/toxicidad , Receptores de Hidrocarburo de Aril/fisiología , Transducción de Señal/efectos de los fármacos
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