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1.
Cardiovasc Ther ; 36(3): e12329, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29608244

RESUMO

AIM: Excess angiogenesis or neovascularization plays a key role in the pathophysiology of several ocular diseases such as retinopathy of prematurity, diabetic retinopathy, and exudative age-related macular degeneration. microRNA-181a (miR-181a) was found highly expressed in retina and choroidal tissues. This study intends to investigate the role of miR-181a in the regulation of ocular neovascularization in different pathophysiological conditions. METHOD: We performed the RNA sequence to identify the microRNAs components of anti-angiogenic lymphocyte-derived microparticles (LMPs). The effect of miR-181a on human retinal endothelial cells proliferation was assessed in vitro. The impact of miR-181a on angiogenesis was confirmed using in vitro angiogenesis assay, ex vivo choroidal explant, and in vivo retinal neovascularization. The expression of major angiogenic factors was assessed by real-time qPCR. RESULTS: RNA sequence revealed that miR-181a is selectively enriched in LMPs. Importantly, the inhibition of miR-181a significantly abrogated the effect of LMPs on endothelial viability, but overexpression of miR-181a reduced endothelial cell viability in a dose-dependent manner. miR-181a strongly inhibited in vitro angiogenesis and ex vivo choroidal neovascularization. The strong anti-angiogenic effect of miR-181a was also displayed on the retinal neovascularization of the in vivo mouse model of oxygen-induced retinopathy. In keeping with its effect, several angiogenesis-related genes were dysregulated in the miR-181a overexpressed endothelial cells. CONCLUSION: These data may open unexpected avenues for the development of miR-181a as a novel therapeutic strategy that would be particularly useful and relevant for the treatment of neovascular diseases.


Assuntos
Inibidores da Angiogênese/farmacologia , Neovascularização de Coroide/tratamento farmacológico , Olho/irrigação sanguínea , MicroRNAs/farmacologia , Neovascularização Retiniana/tratamento farmacológico , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Animais , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Micropartículas Derivadas de Células , Neovascularização de Coroide/induzido quimicamente , Neovascularização de Coroide/patologia , Células Endoteliais/efeitos dos fármacos , Olho/efeitos dos fármacos , Humanos , Camundongos , Oxigênio , Neovascularização Retiniana/induzido quimicamente , Neovascularização Retiniana/patologia , Fator A de Crescimento do Endotélio Vascular/biossíntese
2.
J Vis Exp ; (96): e52651, 2015 Feb 20.
Artigo em Inglês | MEDLINE | ID: mdl-25742309

RESUMO

Interest in the biological roles of cell membrane-derived vesicles in cell-cell communication has increased in recent years. Microparticles (MPs) are one such type of vesicles, ranging in diameter from 0.1 µm to 1 µm, and typically shed from the plasma membrane of eukaryotic cells undergoing activation or apoptosis. Here we describe the generation of T lymphocyte-derived microparticles (LMPs) from apoptotic CEM T cells stimulated with actinomycin D. LMPs are isolated through a multistep differential centrifugation process and characterized using flow cytometry. This protocol also presents an in situ cell death detection method for demonstrating the proapoptotic effect of LMPs on bronchial epithelial cells derived from mouse primary respiratory bronchial tissue explants. Methods described herein provide a reproducible procedure for isolating abundant quantities of LMPs from apoptotic lymphocytes in vitro. LMPs derived in this manner can be used to evaluate the characteristics of various disease models, and for pharmacology and toxicology testing. Given that the airway epithelium offers a protective physical and functional barrier between the external environment and underlying tissue, use of bronchial tissue explants rather than immortalized epithelial cell lines provides an effective model for investigations requiring airway tract tissue.


Assuntos
Apoptose/fisiologia , Brônquios/citologia , Comunicação Celular/fisiologia , Micropartículas Derivadas de Células/fisiologia , Células Epiteliais/citologia , Linfócitos T/citologia , Animais , Linhagem Celular , Masculino , Camundongos , Camundongos Endogâmicos C57BL
3.
Free Radic Biol Med ; 33(4): 512-20, 2002 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-12160933

RESUMO

BACKGROUND: Photo-exposed intravenous multivitamin solutions (MVP) carry a peroxide load. Peroxidation induces gene expression of procollagen. We hypothesized that photo exposure of the MVP solution might promote pulmonary fibrosis. The aim of the study was to assess the potential for MVP to increase procollagen mRNA. METHODS: Three day old guinea pigs were assigned to the following intravenous regimens, either: Control (C): 5% dextrose + 0.45% NaCl; C + 200 or 500 microM H(2)O(2); C + 500 microM H(2)O(2) + 10 microM GSSG; [C + 1% MVP +/- [amino acids + lipids]] +/- photoprotected. After 4 d, levels of pulmonary alpha1(I) procollagen mRNA and glutathione were determined. Results were compared by ANOVA. RESULTS: Photoprotection of MVP or TPN prevents light induction of procollagen mRNA. The effect of MVP + light was associated with a peroxide load coupled with a low glutathione level. This was also observed with the 500 microM H(2)O(2) group. The addition of GSSG prevented the increase of procollagen mRNA caused by H(2)O(2). CONCLUSION: An oxidant stress caused by the infusion of peroxides in an organism with a weak antiperoxide capacity induces the transcription of the gene encoding for procollagen alpha1(I). The results confirm the antiperoxide activity of lung glutathione. Parenteral nutrition could be a clinical condition favoring the initiation of lung fibrosis, especially in premature newborn infants who have low glutathione levels.


Assuntos
Displasia Broncopulmonar/prevenção & controle , Colágeno Tipo I/genética , Regulação da Expressão Gênica/efeitos dos fármacos , Pulmão/metabolismo , Nutrição Parenteral Total/efeitos adversos , Peróxidos/toxicidade , Pró-Colágeno/genética , RNA Mensageiro/biossíntese , Vitaminas/efeitos da radiação , Sequência de Aminoácidos , Animais , Animais Recém-Nascidos , Sequência de Bases , Displasia Broncopulmonar/induzido quimicamente , Displasia Broncopulmonar/genética , Colágeno Tipo I/biossíntese , Estabilidade de Medicamentos , Armazenamento de Medicamentos , Fibrose , Glutationa/metabolismo , Cobaias , Humanos , Peróxido de Hidrogênio/toxicidade , Recém-Nascido , Luz/efeitos adversos , Dados de Sequência Molecular , Oxirredução , Fotoquímica , Pró-Colágeno/biossíntese , Alinhamento de Sequência , Homologia de Sequência , Soluções/efeitos da radiação
5.
Semin Perinatol ; 28(4): 312-6, 2004 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-15565792

RESUMO

S-nitrosohemoglobin (HbSNO), where hemoglobin (Hb) is nitrosated at Cysbeta93, presumably controls delivery of the vasorelaxant nitric oxide (NO) to hypoxic tissues in an oxygen-sensitive manner. Little is known about how Hb regulates NO bioavailability during fetal development. A study was planned to determine the levels of HbSNO and HbFe(II)NO (NO bound to FeII of heme) in the cord blood of newborn infants of different gestational ages and establish their relationship with the levels of fetal Hb (HbF). Blood samples were collected from umbilical cord obtained from normal newborns between 24 and 41 weeks of gestation. Determinations of HbSNO and HbFe(II)NO were performed using chemiluminescence. The proportion of HbF was determined by HPLC. There were 11 preterm (24-34 weeks of gestation) and 11 term infants (37-41 weeks of gestation). The levels of HbSNO varied from 0.37 to 1.72 x 10(-5) mol/mol heme. There was a significant correlation with gestational age (r2 = 0.46, P = 0.0005) due to the effect of the decrease in the amount of HbF (r2 = 0.81, P < 0.0001). The relationship of HbFe(II)NO was not affected by gestational age or the level of HbF (mean 1.68+/-1.15 x 10(-5) mol/mol heme). Under physiological in utero conditions, fetal erythrocytes have lower levels of HbSNO, which increase in the later stage of fetal development. The levels of HbSNO in the fetal red cell are dependent on the level of adult Hb (HbA). The low HbSNO levels at physiological fetal O2 saturations during early development could protect the fetal circulation from an excess release of NO and O2.


Assuntos
Eritrócitos/metabolismo , Sangue Fetal/citologia , Hemoglobina Fetal/análise , Hemoglobinas/metabolismo , Recém-Nascido Prematuro , Óxido Nítrico/sangue , Disponibilidade Biológica , Estudos de Casos e Controles , Células Cultivadas , Feminino , Idade Gestacional , Humanos , Recém-Nascido , Modelos Lineares , Masculino , Consumo de Oxigênio , Probabilidade , Estudos de Amostragem , Nascimento a Termo
6.
Semin Perinatol ; 26(6): 411-5, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12537312

RESUMO

A study was conducted during the first week of life to determine the changes in P50 (PO2 required to achieve a saturation of 50% at pH 7.4 and 37 degrees C) and the proportions of fetal hemoglobin (HbF) and adult hemoglobin (HbA) prior to and after transfusion in very early preterm infants. Eleven infants with a gestational age < or = 27 weeks have been included in study. The hemoglobin dissociation curve and the P50 was determined by Hemox-analyser. Liquid chromatography was also performed to determine the proportions of HbF and HbA. The mean gestational age of the 11 infants was 25.1 weeks (+/- 1 weeks) and their mean birth weight was 736 g (+/- 125 g). They received 26.9 mL/kg of packed red cells. The mean P50 prior and after transfusion was 18.5 +/- 0.8 and 21.0 +/- 1 mm Hg (P = .0003) while the mean percentage of HbF was 92.9 +/- 1.1 and 42.6 +/- 5.7%, respectively. The data of this study show a decrease of hemoglobin oxygen affinity as a result of blood transfusion in very early preterm infants prone to O2 toxicity. The shift in HbO2 curve after transfusion should be taken into consideration when oxygen therapy is being regulated for these infants.


Assuntos
Transfusão de Sangue , Hemoglobina Fetal/metabolismo , Hemoglobina A/metabolismo , Recém-Nascido Prematuro/fisiologia , Oxigênio/sangue , Síndrome do Desconforto Respiratório do Recém-Nascido/terapia , Humanos , Recém-Nascido
7.
Nat Genet ; 46(11): 1245-9, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25282101

RESUMO

The pacemaking activity of specialized tissues in the heart and gut results in lifelong rhythmic contractions. Here we describe a new syndrome characterized by Chronic Atrial and Intestinal Dysrhythmia, termed CAID syndrome, in 16 French Canadians and 1 Swede. We show that a single shared homozygous founder mutation in SGOL1, a component of the cohesin complex, causes CAID syndrome. Cultured dermal fibroblasts from affected individuals showed accelerated cell cycle progression, a higher rate of senescence and enhanced activation of TGF-ß signaling. Karyotypes showed the typical railroad appearance of a centromeric cohesion defect. Tissues derived from affected individuals displayed pathological changes in both the enteric nervous system and smooth muscle. Morpholino-induced knockdown of sgol1 in zebrafish recapitulated the abnormalities seen in humans with CAID syndrome. Our findings identify CAID syndrome as a novel generalized dysrhythmia, suggesting a new role for SGOL1 and the cohesin complex in mediating the integrity of human cardiac and gut rhythm.


Assuntos
Anormalidades Múltiplas/genética , Arritmias Cardíacas/genética , Proteínas de Ciclo Celular/genética , Proteínas Cromossômicas não Histona/genética , Enteropatias/genética , Contração Muscular/fisiologia , Transdução de Sinais/genética , Animais , Arritmias Cardíacas/patologia , Ciclo Celular/genética , Sistema Nervoso Entérico/patologia , Fibroblastos , Efeito Fundador , Trato Gastrointestinal/fisiopatologia , Técnicas de Silenciamento de Genes , Humanos , Enteropatias/fisiopatologia , Cariotipagem , Contração Muscular/genética , Músculo Liso Vascular/patologia , Mutação/genética , Quebeque , Síndrome , Fator de Crescimento Transformador beta/metabolismo , Peixe-Zebra , Coesinas
8.
Mol Immunol ; 55(3-4): 220-30, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23517738

RESUMO

OBJECTIVE: The aim of this study was to determine if human CEM (human lymphoblastoma) T cell-derived microparticles (LMPs) could directly induce human bronchial epithelial cells (BECs) apoptosis and cytokine production. We also tested if LMPs phagocytosis by BECs played a role in mediating these effects. METHODS: We generated LMPs from CEM (human lymphoblastoma) T cells to investigate their effects on a human BEC cell line (16HBE) in vitro. RESULTS: BECs (16HBE cells) incubation with LMPs resulted in significant production of inflammation-associated cytokines, including tumor necrosis factor-alpha (TNF-α), interleukin (IL)-6, and IL-8, in a dose- and time-dependent manner. LMPs also induced increased activities of caspase-3, caspase-8, and caspase-9 in BECS, which resulted in increased BECs apoptosis as assessed by flow cytometry (Annexin V and propidium iodide staining) and transmission electronic microscopy (TEM). Interestingly, LMPs effects on BECS were inhibited by the phagocytosis inhibitors cytochalasin D and chloroquine. CONCLUSIONS: These results suggest that phagocytosis plays an important role in mediating the effects of LMPs on BECs. Thus, increased LMP concentrations may contribute to increased respiratory inflammatory responses and innate immune response maintenance in airway epithelium after LMPs engulfment by endothelial cells.


Assuntos
Apoptose/imunologia , Brônquios/citologia , Brônquios/imunologia , Micropartículas Derivadas de Células/imunologia , Citocinas/biossíntese , Mucosa Respiratória/imunologia , Linfócitos T/imunologia , Brônquios/patologia , Linhagem Celular , Proliferação de Células , Micropartículas Derivadas de Células/ultraestrutura , Citocinas/fisiologia , Humanos , Imunidade Inata , Inflamação/imunologia , Inflamação/metabolismo , Inflamação/patologia , Fagocitose/imunologia , Mucosa Respiratória/citologia , Mucosa Respiratória/patologia , Linfócitos T/ultraestrutura
9.
Cancer Biol Ther ; 10(5): 448-56, 2010 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-20603610

RESUMO

Nonstop proliferation and vigorous neovascularization are two prominent characteristics of cancer. Antiangiogenic therapy has emerged as an important modality in treatment of solid tumors. Our previous work demonstrated that microparticles derived from apoptotic T-lymphocytes (LMPs) not only reduced the viabilities of high-proliferating cells, but also exhibited potent antiangiogenic effects through inhibition of the vascular endothelial growth factor (VEGF)/VEGF receptor 2 signalling pathway. In the present study, we extended these studies to explore the anticancer potential of LMPs using a murine model of Lewis lung carcinoma (LLC). Results show that intratumoral injection of LMPs (2.5 mg/kg) decreased tumor size by more than 50% relative to control. Tumor microvessel density and VEGF-A levels were also markedly reduced upon LMPs treatment. To elucidate the underlying mechanisms of LMPs-mediated antitumor activity, LLC cells were utilized in in vitro experiments. LMPs suppressed VEGF-A protein levels in LLC cells and led to inhibition of LLC cell viability and proliferation. In addition, knockdown of the low-density lipoprotein receptor (LDLR) expression reduced the uptake of LMPs into LLC cells and attenuated the inhibitory effects of LMPs on cell growth and VEGF-A expression. Our findings demonstrate that LMPs exert antiangiogenic and proapoptotic effects that lead to inhibition of lung carcinoma by reducing VEGF-A levels and LDLR mediates the anti-VEGF effect of LMPs through translocating LMPs into LLC cells. These results suggest that LMPs are promising antiangiogenic therapeutic agent and represent a new therapeutic strategy for treating lung carcinomas.


Assuntos
Carcinoma Pulmonar de Lewis/terapia , Micropartículas Derivadas de Células , Receptores de LDL/metabolismo , Linfócitos T , Fator A de Crescimento do Endotélio Vascular/metabolismo , Inibidores da Angiogênese , Animais , Antineoplásicos/imunologia , Carcinoma Pulmonar de Lewis/irrigação sanguínea , Carcinoma Pulmonar de Lewis/metabolismo , Carcinoma Pulmonar de Lewis/patologia , Micropartículas Derivadas de Células/metabolismo , Regulação Neoplásica da Expressão Gênica , Técnicas de Silenciamento de Genes , Camundongos , Camundongos Endogâmicos C57BL , Microscopia de Fluorescência , Neovascularização Patológica/terapia , Interferência de RNA , RNA Interferente Pequeno/farmacologia , Receptores de LDL/genética , Espectrometria de Fluorescência , Células Tumorais Cultivadas
10.
Invest Ophthalmol Vis Sci ; 50(3): 1290-8, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18978343

RESUMO

PURPOSE: Although previous studies have demonstrated that hypoxia induces retinal ganglion cell (RGC) apoptosis and that transient retinal ischemia upregulates the expression of lysophosphatidic acid (LPA) receptors, it remains to be determined whether LPA(1) receptor mediates RGC degeneration during retinopathy of prematurity (ROP). By using an immortalized RGC line (RGC-5), primary neonatal RGC cultures, and oxygen-induced retinopathy (OIR) to model ROP, the authors explored whether LPA(1) receptor induces RGC degeneration and the potential mechanisms thereof. METHODS: OIR was induced by exposing rat pups to alternating cycles of hyperoxia/hypoxia from postnatal day (P) 0 to P14. RGC viability was evaluated by Fluorogold labeling. Effects of hyperoxia or hypoxia on LPA(1) expression were determined in the RGC-5 line by Western blot. Roles of hypoxia, LPA(1) receptor (with agonist, stearoyl-LPA; antagonist, THG1603; LPA(1) knock-down, shRNA-LPA(1)), and Rho kinase (with inhibitor Y-27632) in mediating RGC survival and neurite outgrowth were assessed by MTT assay and phase-contrast microscopy, respectively. Expression of GFP-LPA(1) in RGC-5 under hypoxia was examined by confocal microscopy. RESULTS: OIR caused pronounced RGC loss in the retina. LPA(1) receptor was expressed by RGCs in retinal tissue, whereas oxygen stress induced its expression in RGC-5. Exposure to stearoyl-LPA or hypoxia substantially reduced the viability of RGCs; this was abrogated by THG1603 and shRNA-LPA(1). THG1603 and Y-27632 treatment also attenuated the adverse effects of hypoxia on RGC-5 neurite outgrowth, and their intravitreal administration prevented OIR-induced RGC loss. Interestingly, overexpression of LPA(1) increased RGC-5 susceptibility to hypoxia-induced cell loss. CONCLUSIONS: Current data strongly support a critical role for LPA(1) receptor in mediating RGC degeneration during OIR.


Assuntos
Receptores de Ácidos Lisofosfatídicos/fisiologia , Degeneração Retiniana/metabolismo , Células Ganglionares da Retina/metabolismo , Retinopatia da Prematuridade/metabolismo , Amidas/farmacologia , Animais , Animais Recém-Nascidos , Western Blotting , Técnicas de Cultura de Células , Sobrevivência Celular , Modelos Animais de Doenças , Inibidores Enzimáticos/farmacologia , Proteínas de Fluorescência Verde/genética , Humanos , Hipóxia/metabolismo , Recém-Nascido , Microscopia de Fluorescência , Estresse Oxidativo , Oxigênio/toxicidade , Plasmídeos/genética , Piridinas/farmacologia , Ratos , Ratos Long-Evans , Células Ganglionares da Retina/patologia , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transfecção , Quinases Associadas a rho/antagonistas & inibidores , Quinases Associadas a rho/fisiologia
11.
Am J Physiol Regul Integr Comp Physiol ; 294(2): R467-76, 2008 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-18046016

RESUMO

Recent studies have demonstrated that lymphocyte-derived microparticles (LMPs) impair endothelial cell function. However, no data currently exist regarding the contribution of LMPs in the regulation of angiogenesis. In the present study, we investigated the effects of LMPs on angiogenesis in vivo and in vitro and demonstrated that LMPs strongly suppressed aortic ring microvessel sprouting and in vivo corneal neovascularization. In vitro, LMPs considerably diminished human umbilical vein endothelial cell survival and proliferation in a concentration-dependent manner. Mechanistically, the antioxidants U-74389G and U-83836E were partially protective against the antiproliferative effects of LMPs, whereas the NADPH oxidase (NOX) inhibitors apocynin and diphenyleneiodonium significantly abrogated these effects. Moreover, LMPs increased not only the expression of the NOX subunits gp91(phox), p22(phox), and p47(phox), but also the production of ROS and NOX-derived superoxide (O(2)(-)). Importantly, LMPs caused a pronounced augmentation in the protein expression of the CD36 antiangiogenic receptor while significantly downregulating the protein levels of VEGF receptor type 2 and its downstream signaling mediator, phosphorylated ERK1/2. In summary, LMPs potently suppress neovascularization in vivo and in vitro by augmenting ROS generation via NOX and interfering with the VEGF signaling pathway.


Assuntos
Linfócitos/imunologia , Neovascularização Fisiológica/imunologia , Estresse Oxidativo/imunologia , Transdução de Sinais/imunologia , Fator A de Crescimento do Endotélio Vascular/metabolismo , Animais , Antioxidantes/farmacologia , Aorta Torácica/citologia , Aorta Torácica/imunologia , Aorta Torácica/metabolismo , Antígenos CD36/metabolismo , Divisão Celular/fisiologia , Linhagem Celular Transformada , Movimento Celular/fisiologia , Sobrevivência Celular/fisiologia , Grupo dos Citocromos b/metabolismo , Células Endoteliais/citologia , Células Endoteliais/imunologia , Células Endoteliais/metabolismo , Humanos , Membranas Intracelulares/fisiologia , Linfócitos/ultraestrutura , Masculino , Glicoproteínas de Membrana/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , NADPH Oxidase 2 , NADPH Oxidases/metabolismo , Estresse Oxidativo/efeitos dos fármacos , Veias Umbilicais/citologia , Receptor 2 de Fatores de Crescimento do Endotélio Vascular/metabolismo
12.
Acta Paediatr ; 96(8): 1139-41, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17590188

RESUMO

AIM: To determine the levels of RBC HbSNO and HbFe(II)NO using chemiluminescence in very low birth weight infants breathing room air, during the first 2 days of life. METHOD: RBC NO values were compared to the levels obtained in cord blood at birth from infants of similar gestational age. Five infants ranging from 25 to 27 weeks of gestation were sampled between 12 and 24 h after birth. These infants were considered as the postnatal group and had normal blood gases at room air. RESULTS: The HbSNO levels were increased in the postnatal group from 49.0 +/- 17.4 nm to 152.3 +/- 54.3 nm (p = 0.0006). There was no difference in HbFe(II)NO levels between the two groups (mean of 267.6 +/- 186.5 nm in cord blood and 180.3 +/- 89.2 nm in the postnatal sample. CONCLUSION: The increase in HbSNO postnatally could be an important mechanism for the neonatal pulmonary adaptation to extra-uterine life.


Assuntos
Eritrócitos/metabolismo , Sangue Fetal/citologia , Recém-Nascido de muito Baixo Peso/sangue , Óxido Nítrico/sangue , Idade Gestacional , Humanos , Recém-Nascido , Recém-Nascido Prematuro
13.
Biol Neonate ; 87(3): 203-6, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15627729

RESUMO

OBJECTIVE: To compare the levels of S-nitrosohemoglobin (HbSNO) at different gestational ages in newborn infants and correlate the levels of HbSNO with HbA and HbF. METHOD: Cord blood samples of 22 newborn infants of different gestational ages (25-41 weeks) were analyzed. The levels of HbF and HbA were determined by HPLC and of HbSNO by chemiluminescence. RESULTS: The level of HbSNO varied from 28.1 to 145.3 nM. There was a significant correlation with gestational age (r(2) = 0.5469, p < 0.0001) and with the relative amount of HbA (r(2) = 0.8144, p < 0.0001). CONCLUSION: The increases in HbSNO in fetal red cells is directly related to the relative amount of HbA.


Assuntos
Eritrócitos/metabolismo , Sangue Fetal , Desenvolvimento Fetal , Hemoglobina Fetal/metabolismo , Hemoglobina A/metabolismo , Hemoglobinas/metabolismo , Cromatografia Líquida de Alta Pressão , Humanos , Recém-Nascido , Medições Luminescentes
14.
Pediatrics ; 112(4): e285, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14523213

RESUMO

OBJECTIVE: Fetal hemoglobin (HbF) levels in the hemolysates obtained from infants who died from sudden infant death syndrome (SIDS) are reported to be markedly increased compared with controls. This finding could have been explained by increased HbF synthesis caused by episodes of hypoxemia in the SIDS infants. A prospective study in a group of infants being monitored at home after an apparent life-threatening event (ALTE) and considered at increased risk for SIDS was conducted with an improved ribonuclease protection assay. The ribonuclease protection assay allowed for the quantitation of [gamma/(gamma+beta)]-globin mRNAs, which has a highly significant correlation with the levels of HbF synthesis. METHODS: Thirty-five infants who were admitted for an ALTE were included in the study. All infants were at home under surveillance with a cardiorespiratory monitor and followed in an apnea clinic with monthly appointments. Seventy-three blood samples were obtained between 38 and 61 weeks of postconceptional age. For control purposes, a similar group of 37 normal infants (99 samples) whose HbF synthesis was previously determined were included. RESULTS: Mean [gamma/(gamma+beta)]-globin mRNAs were increased in the ALTE group at 42 to 45 and 46 to 49 weeks of postconceptional age (mean: 55.2 +/- 17.4% and 33.9 +/- 14%) in comparison with HbF synthesis in controls (mean: 42.6 +/- 13.7% and 23.6 +/- 9.8%). CONCLUSIONS: The data obtained in this report from infants who were considered at risk for SIDS show that HbF synthesis is increased between 42 and 49 weeks of postconceptional age. Determining HbF synthesis as described in this study may have value as a marker for episodes of hypoxemia for certain infants who are at risk for SIDS.


Assuntos
Apneia/sangue , Hemoglobina Fetal/biossíntese , Globinas/genética , RNA Mensageiro/sangue , Morte Súbita do Lactente/prevenção & controle , Apneia/complicações , Biomarcadores , Suscetibilidade a Doenças , Feminino , Hemoglobina Fetal/genética , Perfilação da Expressão Gênica , Assistência Domiciliar , Humanos , Hipóxia/etiologia , Hipóxia/genética , Lactente , Masculino , Monitorização Ambulatorial , Estudos Prospectivos , Recidiva , Morte Súbita do Lactente/sangue
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