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1.
Oncogene ; 31(34): 3889-900, 2012 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-22139075

RESUMEN

Analysis of patient tumors suggests that multiple MAP3 kinases (MAP3Ks) are critical for growth and metastasis of cancer cells. MAP3Ks selectively control the activation of extracellular signal-regulated kinase 1/2 (ERK1/2), Jun N-terminal kinase (JNK), p38 and ERK5 in response to receptor tyrosine kinases and GTPases. We used MDA-MB-231 cells because of their ability to metastasize from the breast fat pad to distant lymph nodes for an orthotopic xenograft model to screen the function of seven MAP3Ks in controlling tumor growth and metastasis. Stable short hairpin RNA (shRNA) knockdown was used to inhibit the expression of each of the seven MAP3Ks, which were selected for their differential regulation of the MAPK network. The screen identified two MAP3Ks, MEKK2 and MLK3, whose shRNA knockdown caused significant inhibition of both tumor growth and metastasis. Neither MEKK2 nor MLK3 have been previously shown to regulate tumor growth and metastasis in vivo. These results demonstrated that MAP3Ks, which differentially activate JNK, p38 and ERK5, are necessary for xenograft tumor growth and metastasis of MDA-MB-231 tumors. The requirement for MAP3Ks signaling through multiple MAPK pathways explains why several members of the MAPK network are activated in cancer. MEKK2 was required for epidermal growth factor receptor and Her2/Neu activation of ERK5, with ERK5 being required for metastasis. Loss of MLK3 expression increased mitotic infidelity and apoptosis in vitro. Knockdown of MEKK2 and MLK3 resulted in increased apoptosis in orthotopic xenografts relative to control tumors in mice, inhibiting both tumor growth and metastasis; MEKK2 and MLK3 represent untargeted kinases in tumor biology for potential therapeutic development.


Asunto(s)
Neoplasias de la Mama/genética , Neoplasias Mamarias Experimentales/genética , Quinasas de Proteína Quinasa Activadas por Mitógenos/genética , Interferencia de ARN , Animales , Apoptosis/genética , Western Blotting , Neoplasias de la Mama/enzimología , Neoplasias de la Mama/patología , Línea Celular Tumoral , Supervivencia Celular/genética , Células HEK293 , Humanos , Isoenzimas/genética , Isoenzimas/metabolismo , MAP Quinasa Quinasa Quinasa 2/genética , MAP Quinasa Quinasa Quinasa 2/metabolismo , Quinasas Quinasa Quinasa PAM/genética , Quinasas Quinasa Quinasa PAM/metabolismo , Neoplasias Mamarias Experimentales/enzimología , Neoplasias Mamarias Experimentales/patología , Ratones , Ratones SCID , Quinasas de Proteína Quinasa Activadas por Mitógenos/metabolismo , Metástasis de la Neoplasia , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Trasplante Heterólogo , Carga Tumoral/genética , Proteina Quinasa Quinasa Quinasa 11 Activada por Mitógeno
2.
Artículo en Inglés | MEDLINE | ID: mdl-19164016

RESUMEN

A blind watermarking algorithm for polysomnography (PSG) data in European Data Format (EDF) has been developed for the identification and attribution of shared data. This is accomplished by hiding a unique identifier in the phase spectrum of each PSG epoch using an undisclosed key so that a third party cannot retrieve the watermark without knowledge of the key. A pattern discovery algorithm is developed to find the watermark pattern even though the data may have been altered. The method is evaluated using 25 PSG studies from the Sleep Heart Health Study database. The integrity of the signal data was determined using time series measures of both the original and watermarked signals, and by determining its effect on scoring sleep stages from the PSG data. The results of the analysis indicate that the proposed watermarking method for PSG data is an effective and efficient way to identify shared data without compromising its intended use.


Asunto(s)
Algoritmos , Seguridad Computacional , Confidencialidad , Compresión de Datos/métodos , Almacenamiento y Recuperación de la Información/métodos , Sistemas de Registros Médicos Computarizados , Polisomnografía/métodos , Ohio , Procesamiento de Señales Asistido por Computador
3.
Oncogene ; 25(36): 4998-5010, 2006 Aug 17.
Artículo en Inglés | MEDLINE | ID: mdl-16568086

RESUMEN

Mammary tumor cells are required to degrade the surrounding matrix and disseminate in order to metastasize, and both of these processes are controlled by a tumor cell-signaling network that remains poorly defined. MEKK1 is a MAPKKK that regulates both the extracellular signal regulated kinase (ERK1/2) and the c-Jun amino terminal kinase (JNK) signaling pathways. MEKK1 signaling regulates migration through control of cell adhesion and is required for inducible expression of urokinase-type plasminogen activator (uPA). MEKK1-deficient mice with mammary gland-targeted expression of the polyoma middle T antigen (PyMT) transgene develop primary mammary tumors at a rate and frequency similar to wild-type littermates, indicating that MEKK1 deficiency does not affect PyMT-mediated transformation. However, MEKK1-/- mice display significantly delayed tumor cell dissemination and lung metastasis. Delayed MEKK1-dependent tumor dissemination is associated with markedly reduced tumor uPA expression, gelatinase activity, and prolonged tumor basement membrane integrity. siRNA-mediated MEKK1 knockdown inhibits uPA activity, cell migration and invasion in MDA-MB-231 human breast cancer cells. Thus MEKK1 controls tumor progression by regulating both the migration and proteolysis aspects of tumor cell invasiveness. To our knowledge, this is the first example of a MAPKKK that regulates metastasis through control of tumor invasiveness.


Asunto(s)
Antígenos Transformadores de Poliomavirus/fisiología , Quinasa 1 de Quinasa de Quinasa MAP/fisiología , Neoplasias Mamarias Experimentales/patología , Metástasis de la Neoplasia , Animales , Secuencia de Bases , Cartilla de ADN , Progresión de la Enfermedad , Neoplasias Pulmonares/secundario , Quinasa 1 de Quinasa de Quinasa MAP/genética , Ratones , Ratones Noqueados , ARN Interferente Pequeño
4.
Science ; 311(5759): 340-1, 2006 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-16424326
5.
J Phys Chem A ; 109(20): 4540-51, 2005 May 26.
Artículo en Inglés | MEDLINE | ID: mdl-16833790

RESUMEN

Vibrationally activated CF(3)CH(2)CH(2)Cl molecules were prepared with 94 kcal mol(-1) of vibrational energy by the combination of CF(3)CH(2) and CH(2)Cl radicals and with 101 kcal mol(-1) of energy by the combination of CF(3) and CH(2)CH(2)Cl radicals at room temperature. The unimolecular rate constants for elimination of HCl from CF(3)CH(2)CH(2)Cl were 1.2 x 10(7) and 0.24 x 10(7) s(-1) with 101 and 94 kcal mol(-1), respectively. The product branching ratio, k(HCl)/k(HF), was 80 +/- 25. Activated CH(3)CH(2)CH(2)Cl and CD(3)CD(2)CH(2)Cl molecules with 90 kcal mol(-1) of energy were prepared by recombination of C(2)H(5) (or C(2)D(5)) radicals with CH(2)Cl radicals. The unimolecular rate constant for HCl elimination was 8.7 x 10(7) s(-1), and the kinetic isotope effect was 4.0. Unified transition-state models obtained from density-functional theory calculations, with treatment of torsions as hindered internal rotors for the molecules and the transition states, were employed in the calculation of the RRKM rate constants for CF(3)CH(2)CH(2)Cl and CH(3)CH(2)CH(2)Cl. Fitting the calculated rate constants from RRKM theory to the experimental values provided threshold energies, E(0), of 58 and 71 kcal mol(-1) for the elimination of HCl or HF, respectively, from CF(3)CH(2)CH(2)Cl and 54 kcal mol(-1) for HCl elimination from CH(3)CH(2)CH(2)Cl. Using the hindered-rotor model, threshold energies for HF elimination also were reassigned from previously published chemical activation data for CF(3)CH(2)CH(3,) CF(3)CH(2)CF(3), CH(3)CH(2)CH(2)F, CH(3)CHFCH(3), and CH(3)CF(2)CH(3). In an appendix, the method used to assign threshold energies was tested and verified using the combined thermal and chemical activation data for C(2)H(5)Cl, C(2)H(5)F, and CH(3)CF(3).

6.
J Biol Chem ; 276(7): 5093-100, 2001 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-11073940

RESUMEN

MEKK2 and MEKK3 are two closely related mitogen-activated protein kinase (MAPK) kinase kinases. The kinase domains of MEKK2 and MEKK3 are nearly identical, although their N-terminal regulatory domains are significantly divergent. By yeast two-hybrid library screening, we have identified MEK5, the MAPK kinase in the big mitogen-activated protein kinase 1 (BMK1)/ERK5 pathway, as a binding partner for MEKK2. MEKK2 expression stimulates BMK1/ERK5 activity, the downstream substrate for MEK5. Compared with MEKK3, MEKK2 activated BMK1/ERK5 to a greater extent, which might correlate with a higher affinity MEKK2-MEK5 interaction. A dominant negative form of MEK5 blocked the activation of BMK1/ERK5 by MEKK2, whereas activation of c-Jun N-terminal kinase (JNK) was unaffected, showing that MEK5 is a specific downstream effector of MEKK2 in the BMK1/ERK5 pathway. Activation of BMK1/ERK5 by epidermal growth factor and H2O2 in Cos7 and HEK293 cells was completely blocked by a kinase-inactive MEKK3 (MEKK3kin(-)), whereas MEKK2kin(-) had no effect. However, in D10 T cells, expression of MEKK2kin(-) but not MEKK3kin(-) inhibited BMK1/ERK5 activity. Two-hybrid screening also identified Lck-associated adapter/Rlk- and Itk-binding protein (Lad/RIBP), a T cell adapter protein, as a binding partner for MEKK2. MEKK2 and Lad/RIBP colocalize at the T cell contact site with antigen-loaded presenting cells, demonstrating cotranslocation of MEKK2 and Lad/RIBP during T cell activation. MEKK3 neither binds Lad/RIBP nor is recruited to the T cell contact with antigen presenting cell. MEKK2 and MEKK3 are differentially associated with signaling from specific upstream receptor systems, whereas both activate the MEK5-BMK1/ERK5 pathway.


Asunto(s)
Proteínas Adaptadoras Transductoras de Señales , Proteínas Portadoras/metabolismo , Quinasas Quinasa Quinasa PAM/fisiología , Sistema de Señalización de MAP Quinasas , Quinasas de Proteína Quinasa Activadas por Mitógenos/metabolismo , Proteínas Quinasas Activadas por Mitógenos/metabolismo , Linfocitos T/inmunología , Animales , Células Presentadoras de Antígenos/inmunología , Células COS , Línea Celular , Factor de Crecimiento Epidérmico/farmacología , Humanos , Peróxido de Hidrógeno/farmacología , Activación de Linfocitos , MAP Quinasa Quinasa 5 , MAP Quinasa Quinasa Quinasa 2 , MAP Quinasa Quinasa Quinasa 3 , Quinasas Quinasa Quinasa PAM/metabolismo , Proteína Quinasa 7 Activada por Mitógenos , Quinasas de Proteína Quinasa Activadas por Mitógenos/genética , Mutación , Oxidantes/farmacología , Linfocitos T/efectos de los fármacos , Transfección , Técnicas del Sistema de Dos Híbridos
7.
Ann N Y Acad Sci ; 901: 54-66, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10818557

RESUMEN

To better understand selection processes in evolutionary systems (ecological to economic to social to artificial systems), the origins and role of diversity are examined in two systems that show increased group functionality (better performance, efficiency, robustness, adaptability, stability, etc.). Diversity was chosen as a clarifying concept, because it appears to have been largely ignored, or misunderstood. One system is a model of group selection within an ecosystem. The other is the group solution of a sequential problem using self-organizing dynamics in the absence of any selection. A comparison of the two systems show that while diversity is essential to both, improvement by natural selection is derived from consuming diversity, whereas improvement by noncompetitive self-organization is decreased by any reduction in diversity. The resulting perspective is that natural selection is a mechanism that increases the functionality of the individual (or groups within a larger system); noncompetitive self-organization of the system, without need for selection, increases the functionality of the whole above that of the individual or group. The two extreme roles for diversity are reconciled if natural selection is not strongly expressed in these systems--"survival of the fittest" becomes "survival of the adequate"--so that noncompetitive processes can occur. The resulting view of a mature ecosystem is an elastic web of interactions in which natural selection is dormant or retains the status quo. The processes of natural selection for individual or group improvement are activated only if environment changes are sufficient to break the elastic interconnections, as might occur in punctuated equilibria.


Asunto(s)
Variación Genética , Selección Genética , Animales , Ecosistema , Humanos , Aprendizaje
8.
Mol Cell Biol ; 18(4): 2416-29, 1998 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9528810

RESUMEN

MEK kinase 1 (MEKK1) is a 196-kDa protein that, in response to genotoxic agents, was found to undergo phosphorylation-dependent activation. The expression of kinase-inactive MEKK1 inhibited genotoxin-induced apoptosis. Following activation by genotoxins, MEKK1 was cleaved in a caspase-dependent manner into an active 91-kDa kinase fragment. Expression of MEKK1 stimulated DEVD-directed caspase activity and induced apoptosis. MEKK1 is itself a substrate for CPP32 (caspase-3). A mutant MEKK1 that is resistant to caspase cleavage was impaired in its ability to induce apoptosis. These findings demonstrate that MEKK1 contributes to the apoptotic response to genotoxins. The regulation of MEKK1 by genotoxins involves its activation, which may be part of survival pathways, followed by its cleavage, which generates a proapoptotic kinase fragment able to activate caspases. MEKK1 and caspases are predicted to be part of an amplification loop to increase caspase activity during apoptosis.


Asunto(s)
Apoptosis , Caspasas , Cisteína Endopeptidasas/metabolismo , Quinasa 1 de Quinasa de Quinasa MAP , Proteínas Quinasas Activadas por Mitógenos , Mutágenos/farmacología , Proteínas Serina-Treonina Quinasas/metabolismo , Proteínas Tirosina Quinasas/metabolismo , Animales , Apoptosis/efectos de los fármacos , Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Caspasa 3 , Línea Celular , Inhibidores de Cisteína Proteinasa/farmacología , Daño del ADN , Fragmentación del ADN , Activación Enzimática , Humanos , Proteínas Inhibidoras de la Apoptosis , Proteínas Quinasas JNK Activadas por Mitógenos , Ratones , Mutación , Oligopéptidos/metabolismo , Fragmentos de Péptidos/metabolismo , Fosforilación , Proteínas Serina-Treonina Quinasas/genética , Proteínas Serina-Treonina Quinasas/efectos de la radiación , Proteínas Tirosina Quinasas/genética , Proteínas Tirosina Quinasas/efectos de la radiación , Serpinas/farmacología , Especificidad por Sustrato , Transfección , Rayos Ultravioleta , Proteínas Virales/farmacología
9.
Oncogene ; 15(20): 2439-47, 1997 Nov 13.
Artículo en Inglés | MEDLINE | ID: mdl-9395240

RESUMEN

MEK kinases (MEKKs) are serine-threonine kinases that regulate sequential protein phosphorylation pathways involving mitogen-activated protein kinases (MAPKs), including members of the Jun kinase (JNK) family. MEKK1 is a 196 kDa protein that when cleaved by caspase-3-like proteases generates an active COOH-terminal kinase domain. Expression of the MEKK1 kinase domain is sufficient to induce apoptosis. Mutation of MEKK1 to prevent its proteolytic cleavage protects cells from MEKK1-mediated cell death even though the JNK pathway is still activated, indicating that JNK activation is not sufficient to induce cell death. The inducible acute expression at modest levels of the activated MEKK1 kinase domain can be used to potentiate the apoptotic response to low dose ultraviolet irradiation and cisplatin. Similarly, in L929 fibrosarcoma cells inducible acute expression of the kinase domain of MEKK1 markedly increased the cell death response to tumor necrosis factor alpha (TNF alpha). The findings demonstrate that acute expression of an active form of MEKK1 can potentiate the cell death response to external stress stimuli. Manipulation of MEKK1 proteolysis and its regulation of signal pathways involved in apoptosis has significant potential for anticancer therapies when used in combination with therapeutic agents at doses that alone have little or modest effects on cell viability.


Asunto(s)
Apoptosis/fisiología , Proteínas Quinasas JNK Activadas por Mitógenos , Quinasa 1 de Quinasa de Quinasa MAP , Quinasas de Proteína Quinasa Activadas por Mitógenos , Proteínas Serina-Treonina Quinasas/fisiología , Proteínas Tirosina Quinasas/fisiología , Transducción de Señal , Células 3T3 , Animales , Apoptosis/efectos de los fármacos , Apoptosis/efectos de la radiación , Línea Celular Transformada , Cisplatino/farmacología , Activación Enzimática , Inducción Enzimática , Fibrosarcoma/patología , Humanos , Isopropil Tiogalactósido/farmacología , Riñón , Células L , MAP Quinasa Quinasa 4 , Ratones , Fosforilación , Proteínas Quinasas/fisiología , Procesamiento Proteico-Postraduccional , Proteínas Serina-Treonina Quinasas/biosíntesis , Proteínas Serina-Treonina Quinasas/genética , Proteínas Tirosina Quinasas/biosíntesis , Proteínas Tirosina Quinasas/genética , Proteínas Recombinantes de Fusión/fisiología , Estrés Fisiológico/genética , Transfección , Células Tumorales Cultivadas , Rayos Ultravioleta
10.
EMBO J ; 16(16): 4961-72, 1997 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-9305638

RESUMEN

MEK kinases (MEKKs) 1, 2, 3 and 4 are members of sequential kinase pathways that regulate MAP kinases including c-Jun NH2-terminal kinases (JNKs) and extracellular regulated kinases (ERKs). Confocal immunofluorescence microscopy of COS cells demonstrated differential MEKK subcellular localization: MEKK1 was nuclear and in post-Golgi vesicular-like structures; MEKK2 and 4 were localized to distinct Golgi-associated vesicles that were dispersed by brefeldin A. MEKK1 and 2 were activated by EGF, and kinase-inactive mutants of each MEKK partially inhibited EGF-stimulated JNK activity. Kinase-inactive MEKK1, but not MEKK2, 3 or 4, strongly inhibited EGF-stimulated ERK activity. In contrast to MEKK2 and 3, MEKK1 and 4 specifically associated with Rac and Cdc42 and kinase-inactive mutants blocked Rac/Cdc42 stimulation of JNK activity. Inhibitory mutants of MEKK1-4 did not affect p21-activated kinase (PAK) activation of JNK, indicating that the PAK-regulated JNK pathway is independent of MEKKs. Thus, in different cellular locations, specific MEKKs are required for the regulation of MAPK family members, and MEKK1 and 4 are involved in the regulation of JNK activation by Rac/Cdc42 independent of PAK. Differential MEKK subcellular distribution and interaction with small GTP-binding proteins provides a mechanism to regulate MAP kinase responses in localized regions of the cell and to different upstream stimuli.


Asunto(s)
Proteínas de Ciclo Celular/metabolismo , Factor de Crecimiento Epidérmico/metabolismo , Proteínas de Unión al GTP/metabolismo , Proteínas Quinasas JNK Activadas por Mitógenos , MAP Quinasa Quinasa 4 , Quinasa 1 de Quinasa de Quinasa MAP , Quinasas de Proteína Quinasa Activadas por Mitógenos , Proteínas Serina-Treonina Quinasas/metabolismo , Animales , Western Blotting , Brefeldino A , Células CHO , Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Clonación Molecular , Cricetinae , Ciclopentanos/farmacología , Activación Enzimática , Factor de Crecimiento Epidérmico/farmacología , MAP Quinasa Quinasa 3 , Microscopía Fluorescente , Proteína Quinasa 1 Activada por Mitógenos , Modelos Biológicos , Proteínas Quinasas/metabolismo , Proteínas Serina-Treonina Quinasas/genética , Proteínas Serina-Treonina Quinasas/inmunología , Proteínas Tirosina Quinasas/metabolismo , Transducción de Señal/fisiología , Proteína de Unión al GTP cdc42
11.
J Biol Chem ; 271(6): 3229-37, 1996 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-8621725

RESUMEN

Mitogen-activated/extracellular response kinase kinase (MEK) kinase (MEKK) is a serine-threonine kinase that regulates sequential protein phosphorylation pathways, leading to the activation of mitogen-activated protein kinases (MAPK), including members of the Jun kinase (JNK)/stress-activated protein kinase (SAPK) family. In Swiss 3T3 and REF52 fibroblasts, activated MEKK induces cell death involving cytoplasmic shrinkage, nuclear condensation, and DNA fragmentation characteristic of apoptosis. Expression of activated MEKK enhanced the apoptotic response to ultraviolet irradiation, indicating that MEKK-regulated pathways sensitize cells to apoptotic stimuli. Inducible expression of activated MEKK stimulated the transactivation of c-Myc and Elk-1. Activated Raf, the serine-threonine protein kinase that activates the ERK members of the MAPK family, stimulated Elk-1 transactivation but not c-Myc; expression of activated Raf does not induce any of the cellular changes associated with MEKK-mediated cell death. Thus, MEKK selectively regulates signal transduction pathways that contribute to the apoptotic response.


Asunto(s)
Apoptosis , Proteínas de Unión al ADN , Quinasa 1 de Quinasa de Quinasa MAP , Proteínas Serina-Treonina Quinasas/metabolismo , Transducción de Señal , Células 3T3 , Secuencia de Aminoácidos , Animales , Apoptosis/efectos de la radiación , Unión Competitiva , Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , Línea Celular , ADN/análisis , Activación Enzimática , Cinética , Ratones , Datos de Secuencia Molecular , Proteínas Proto-Oncogénicas/metabolismo , Proteínas Proto-Oncogénicas c-myc/metabolismo , Proteínas Recombinantes/metabolismo , Factores de Transcripción/metabolismo , Activación Transcripcional , Rayos Ultravioleta , Proteína Elk-1 con Dominio ets
12.
J Biol Chem ; 270(42): 24631-4, 1995 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-7559569

RESUMEN

Rho, a member of the Ras superfamily of GTP-binding proteins, regulates actin polymerization resulting in the formation of stress fibers and the assembly of focal adhesions. In Swiss 3T3 cells, heterotrimeric G protein-coupled receptors for lysophosphatidic acid and gastrin releasing peptide stimulate Rho-dependent stress fiber and focal adhesion formation. The specific heterotrimeric G protein subunits mediating Rho-dependent stress fiber and focal adhesion formation have not been defined previously. We have expressed GTPase-deficient, constitutively activated G protein alpha subunits and mixtures of beta and gamma subunits in Swiss 3T3 cells. Measurement of actin polymerization and focal adhesion formation indicated that GTPase-deficient alpha 12 and alpha 13, but not the activated forms of alpha 12 or alpha q stimulated stress fiber and focal adhesion assembly. Combinations of beta and gamma subunits were unable to stimulate stress fiber or focal adhesion formation. G alpha 12- and alpha 13-mediated stress fiber and focal adhesion assembly was inhibited by botulinum C3 exoenzyme, which ADP-ribosylates and inactivates Rho, indicating that alpha 12 and alpha 13, but not other G protein alpha subunits or beta gamma complexes, regulate Rho-dependent responses. The results define the integration of G12 and G13 with the regulation of the actin cytoskeleton.


Asunto(s)
Actinas/metabolismo , Toxinas Botulínicas , Proteínas de Unión al GTP/fisiología , Células 3T3 , ADP Ribosa Transferasas/farmacología , Animales , Adhesión Celular , Citoesqueleto/metabolismo , Ratones , Proteína de Unión al GTP rhoA
13.
Med Interface ; 7(1): 67-70, 1994 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10131627

RESUMEN

The author identifies a variety of arrangements being implemented between nursing homes and HMOs using, in particular, the experience of an LTC provider, Walker Methodist, Inc. These arrangements range from becoming an HMO-preferred nursing home provider to HMO ownership of nursing homes. The benefits and risks of each arrangement from the LTC provider's perspective are highlighted.


Asunto(s)
Sistemas Prepagos de Salud/organización & administración , Casas de Salud/organización & administración , Afiliación Organizacional/tendencias , Anciano , Análisis Costo-Beneficio , Sistemas Prepagos de Salud/economía , Sistemas Prepagos de Salud/tendencias , Servicios de Salud para Ancianos/tendencias , Humanos , Medicaid , Casas de Salud/economía , Casas de Salud/tendencias , Técnicas de Planificación , Estados Unidos
14.
Nurs Econ ; 10(5): 317-24, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1306066

RESUMEN

In the U.S. Congress--440 members in the House and 100 members in the Senate--only 31 are women (29 House and 2 Senate members). This year over 100 women are seeking seats in the Congress, many are campaigning for governor, and still others are running for state and local offices. Women candidates are generally seen as outsiders who symbolize change and inspire a new vision for the future. This interview highlights two incumbent members of the House of Representatives, Nancy L. Johnson (R-CT) and Patricia Schroeder (D-CO), and their views on women's health, family medical leave, and future changes in the U.S. health care system.


Asunto(s)
Política de Salud , Política , Salud de la Mujer , Humanos , Estados Unidos
15.
J Clin Apher ; 7(3): 138-44, 1992.
Artículo en Inglés | MEDLINE | ID: mdl-1363102

RESUMEN

Bone marrow transplantation is an increasingly important therapeutic procedure. As more laboratories have become involved in the processing of hematopoietic progenitor cells from marrow or blood, it has been recognized that standards are required for hematopoietic progenitor processing, storage, and handling. Quality assurance is the process of monitoring whether laboratory procedures, equipment, and personnel fulfill their expected functions, and the aim of quality assurance is to ensure compliance with standards. Some standards for hematopoietic progenitor processing have recently been issued by professional organizations. Although these standards are not comprehensive, where applicable they should be met or exceeded. In the absence of published standards, principles of good laboratory practice should guide quality assurance programs. This article presents concepts of quality assurance in hematopoietic progenitor processing, based on standard laboratory practice and published standards.


Asunto(s)
Separación Celular/normas , Células Madre Hematopoyéticas , Garantía de la Calidad de Atención de Salud , Sangre/microbiología , Conservación de la Sangre , Transfusión de Sangre Autóloga , Trasplante de Médula Ósea , Recuento de Células , Separación Celular/instrumentación , Separación Celular/métodos , Supervivencia Celular , Criopreservación , Control de Formularios y Registros , Trasplante de Células Madre Hematopoyéticas , Humanos , Consentimiento Informado , Registros Médicos , Conservación de Tejido , Trasplante Autólogo , Trasplante Homólogo , Transportes , Resultado del Tratamiento
16.
Internist ; 32(6): 20-3, 1991 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-10111364

RESUMEN

Rep. Johnson (R-Conn.), a five-term congresswoman and co-chairman of the House Republican Task Force on Health Policy, talks about concerns in Congress today over access to care, medical malpractice and effectiveness research.


Asunto(s)
Política de Salud/legislación & jurisprudencia , Accesibilidad a los Servicios de Salud/legislación & jurisprudencia , Connecticut , Mala Praxis/legislación & jurisprudencia , Evaluación de Procesos y Resultados en Atención de Salud/legislación & jurisprudencia , Estados Unidos
17.
Brain Res ; 519(1-2): 23-8, 1990 Jun 11.
Artículo en Inglés | MEDLINE | ID: mdl-2118820

RESUMEN

To determine the respiratory effects of inhibiting carbonic anhydrase in brain tissue, we infused acetazolamide (ACZ) into the cisterna magna in anesthetized rats. Three concentrations, 4.5, 45 and 450 microM in artificial cerebrospinal fluid, were infused continuously at 2 microliter/min for 20 min and the responses to CO2 rebreathing trials were compared to sham CSF infusions without ACZ. Baseline, steady-state respiration during room air breathing was not affected by these doses of ACZ, but the two higher doses increased the minute ventilation rebreathing response. We conclude that inhibition of carbonic anhydrase in brain tissue increases the respiratory response to rebreathing CO2.


Asunto(s)
Acetazolamida/farmacología , Encéfalo/fisiología , Inhibidores de Anhidrasa Carbónica/farmacología , Respiración/efectos de los fármacos , Animales , Encéfalo/efectos de los fármacos , Encéfalo/enzimología , Dióxido de Carbono/sangre , Relación Dosis-Respuesta a Droga , Presión Parcial , Ratas , Ratas Endogámicas , Valores de Referencia , Factores de Tiempo
18.
J Appl Physiol (1985) ; 65(4): 1611-6, 1988 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-3141360

RESUMEN

In 11 anesthetized rats, we tested the hypothesis that carrier-mediated anion transport in part determines the medullary chemoreceptor response to acute hypercapnia by infusing the transport inhibitor 4,4'-diisothiocyanostilbene-2,2'-disulfonic acid (DIDS) in mock cerebrospinal fluid (CSF) into the cisterna magna. In five additional rats with sham CSF infusion, we found no effect of mock CSF on the response to rebreathing CO2. Dye infused into the cistern stained the putative chemoreceptor areas on the ventral surface of the medulla. DIDS, at 10 to 1,000 nM, increased the respiratory response to CO2 in a dose-related manner but had no effect on arterial pressure or heart rate. At 1,000 nM, the hypercapnic minute ventilation response was almost doubled because of both volume and rate of breathing. We conclude that the net effect of anion transport is to mitigate the stimulus to the medullary chemoreceptors during acute hypercapnia.


Asunto(s)
Ácido 4-Acetamido-4'-isotiocianatostilbeno-2,2'-disulfónico/farmacología , Hipercapnia/fisiopatología , Respiración/efectos de los fármacos , Estilbenos/farmacología , Ácido 4,4'-Diisotiocianostilbeno-2,2'-Disulfónico , Ácido 4-Acetamido-4'-isotiocianatostilbeno-2,2'-disulfónico/análogos & derivados , Animales , Presión Sanguínea/efectos de los fármacos , Dióxido de Carbono/administración & dosificación , Líquido Cefalorraquídeo/fisiología , Frecuencia Cardíaca/efectos de los fármacos , Ratas , Ratas Endogámicas , Volumen de Ventilación Pulmonar
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