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1.
PLoS Biol ; 17(9): e3000414, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31479441

RESUMO

Bardet-Biedl syndrome (BBS), a ciliopathy, is a rare genetic condition characterised by retinal degeneration, obesity, kidney failure, and cognitive impairment. In spite of progress made in our general understanding of BBS aetiology, the molecular and cellular mechanisms underlying cognitive impairment in BBS remain elusive. Here, we report that the loss of BBS proteins causes synaptic dysfunction in principal neurons, providing a possible explanation for the cognitive impairment phenotype observed in BBS patients. Using synaptosomal proteomics and immunocytochemistry, we demonstrate the presence of Bbs proteins in the postsynaptic density (PSD) of hippocampal neurons. Loss of Bbs results in a significant reduction of dendritic spines in principal neurons of Bbs mouse models. Furthermore, we show that spine deficiency correlates with events that destabilise spine architecture, such as impaired spine membrane receptor signalling, known to be involved in the maintenance of dendritic spines. Our findings suggest a role for BBS proteins in dendritic spine homeostasis that may be linked to the cognitive phenotype observed in BBS.


Assuntos
Síndrome de Bardet-Biedl/patologia , Proteínas do Citoesqueleto/metabolismo , Espinhas Dendríticas/patologia , Animais , Ansiedade , Síndrome de Bardet-Biedl/metabolismo , Síndrome de Bardet-Biedl/fisiopatologia , Síndrome de Bardet-Biedl/psicologia , Giro Denteado/fisiopatologia , Modelos Animais de Doenças , Potenciais Pós-Sinápticos Excitadores , Feminino , Masculino , Memória , Camundongos , Receptor IGF Tipo 1/metabolismo , Sinaptossomos/metabolismo
2.
Catheter Cardiovasc Interv ; 92(6): 1090-1096, 2018 11 15.
Artigo em Inglês | MEDLINE | ID: mdl-29683558

RESUMO

BACKGROUND: Simplification of functional stenosis assessment with pressure guidewires may facilitate adoption of physiology-guided revascularization. An important step in this regard is the avoidance of hyperemic agents, required for fractional flow reserve (FFR) calculation. We evaluate the merits of a hybrid algorithms that combines the translesional pressure ratio (Pd/Pa) obtained at rest, after contrast medium injection (cFFR) and after adenosine administration (FFR). METHODS AND RESULTS: Eighty-six patients with 108 de novo intermediate coronary stenoses were included in this prospective, multicenter study. Using prespecified cut-off values that correctly identified stenosis with a 95% of agreement (<0.89 and >0.96 for Pd/Pa; <0.84 and > 0.87 for cFFR) we tested the efficiency of three different multi-step strategies combining the three indices to classify stenosis severity, using FFR-only measurement as reference. All three different hybrid algorithms (Pd/Pa-FFR; cFFR-FFR; Pd/Pa-cFFR-FFR) have more than 95% of agreement with FFR. Yet, the novel Pd/Pa-cFFR-FFR hybrid strategy demonstrated the best performance, avoiding the need of adenosine and medium contrast in 90% and 48% of cases, respectively. CONCLUSIONS: A hybrid Pd/Pa-cFFR-FFR decision-making algorithm could be an alternative and valuable strategy to increase the adoption of a physiology-guided PCI using conventional pressure guidewires and consoles.


Assuntos
Algoritmos , Cateterismo Cardíaco/instrumentação , Cateteres Cardíacos , Estenose Coronária/diagnóstico , Reserva Fracionada de Fluxo Miocárdico , Processamento de Sinais Assistido por Computador , Transdutores de Pressão , Adenosina/administração & dosagem , Idoso , Tomada de Decisão Clínica , Meios de Contraste/administração & dosagem , Angiografia Coronária , Estenose Coronária/fisiopatologia , Estenose Coronária/terapia , Europa (Continente) , Feminino , Humanos , Hiperemia/fisiopatologia , Iopamidol/administração & dosagem , Iopamidol/análogos & derivados , Masculino , Pessoa de Meia-Idade , Seleção de Pacientes , Intervenção Coronária Percutânea , Valor Preditivo dos Testes , Prognóstico , Estudos Prospectivos , Índice de Gravidade de Doença , Vasodilatadores/administração & dosagem
3.
Int J Obes (Lond) ; 41(5): 750-758, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28163315

RESUMO

BACKGROUND: Hypoestrogenic (HE) women are one of the most vulnerable groups for the development of obesity and its complications. Capsaicin and exercise have demonstrated to reduce body weight and to improve insulin sensitivity in different animal models, but it is unknown whether their combination could be useful in HE obese females. METHODS: We investigated whether topical capsaicin, exercise or their combination had better therapeutic effects in an obesity-hypoestrogenism model. Ovariectomized Wistar rats were given a 30% sucrose solution (HE-Obese (HEOb)) or purified water (HE) during 28 weeks ad libitum; four experimental groups per each condition. After shaving the abdominal skin, cold cream vehicle was applied to the Sedentary groups (Sed) and capsaicin cream 0.075% (0.6 mg kg-1 per day) to the Capsaicin groups (Cap). Exercise (Ex) groups ran on a treadmill every day for 20 min at speeds from 9 to 18 m per min increased every 10 days; combination groups (Cap+Ex) were given topical capsaicin 90 min before exercise. The treatments were performed for 6 weeks, and caloric intake and body weight were monitored. At the end of the experimental protocol, glucose tolerance tests were performed, the animals were killed by decapitation; blood and organs were obtained to perform oxidative profile, histology, biochemical analyses and Western blot. RESULTS: In HEOb rats, the combined therapy reduced caloric intake, body weight and abdominal fat in a higher proportion than the individual treatments; it also decreased insulin resistance (IR), oxidative stress and pancreatic islet size. It was the only treatment that significantly increased p-AMPK levels in the soleus muscle. In HE rats, topical capsaicin was the only treatment that reduced glucose intolerance and improved the oxidative profile in a higher proportion than the combined therapy or Ex alone. CONCLUSIONS: Capsaicin per se or its combination with moderate exercise could be a useful therapy against complications linked to obesity-IR in HE females.


Assuntos
Peso Corporal/efeitos dos fármacos , Capsaicina/administração & dosagem , Capsaicina/farmacologia , Estrogênios/deficiência , Resistência à Insulina/fisiologia , Obesidade/metabolismo , Estresse Oxidativo/efeitos dos fármacos , Condicionamento Físico Animal/fisiologia , Administração Tópica , Animais , Modelos Animais de Doenças , Estrogênios/metabolismo , Feminino , Ovariectomia , Ratos , Ratos Wistar
4.
J Fish Biol ; 87(4): 1072-9, 2015 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-26283180

RESUMO

A specimen of angular roughshark Oxynotus centrina has been kept successfully in captivity for the first time. Over a period of 24 months, the specimen preyed exclusively on the contents of elasmobranch egg cases, suggesting a specialized trophic niche.


Assuntos
Comportamento Alimentar , Tubarões/fisiologia , Animais , Cadeia Alimentar , Masculino
5.
Eur Respir J ; 37(3): 624-31, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-20595147

RESUMO

Median survival of patients with brain metastases from nonsmall cell lung cancer (NSCLC) is poor and more effective treatments are urgently needed. We have evaluated the efficacy of erlotinib in this setting and its association with activating mutations in the epidermal growth factor receptor (EGFR) gene. We retrospectively identified patients with NSCLC and brain metastases treated with erlotinib. EGFR mutations in exons 19 and 21 were analysed by direct sequencing. Efficacy and tolerability were compared according to EGFR mutational status. 69 NSCLC patients with brain metastases were identified, 17 of whom harboured EGFR mutations. Objective response rate in patients with EGFR mutations was 82.4%; no responses were observed in unselected patients (p<0.001). Median (95% CI) time to progression within the brain for patients harbouring EGFR mutations was 11.7 (7.9-15.5) months, compared to 5.8 (5.2-6.4) months for control patients whose EGFR mutational status had not been assessed (p<0.05). Overall survival was 12.9 (6.2-19.7) months and 3.1 (2.5-3.9) months (p<0.001), respectively. The toxicity of erlotinib was as expected and no differences between cohorts were observed. Erlotinib is active in brain metastases from NSCLC; this clinical benefit is related to the presence of activating mutations in exons 19 or 21 of the EGFR gene.


Assuntos
Neoplasias Encefálicas/secundário , Carcinoma Pulmonar de Células não Pequenas/metabolismo , Receptores ErbB/genética , Neoplasias Pulmonares/patologia , Mutação , Quinazolinas/farmacologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Neoplasias Encefálicas/metabolismo , Estudos de Coortes , Receptores ErbB/metabolismo , Cloridrato de Erlotinib , Éxons , Feminino , Humanos , Neoplasias Pulmonares/metabolismo , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica , Inibidores de Proteínas Quinases/farmacologia , Estudos Retrospectivos , Resultado do Tratamento
6.
Rev Chilena Infectol ; 27(5): 407-10, 2010 Oct.
Artigo em Espanhol | MEDLINE | ID: mdl-21186505

RESUMO

During the latest Latin American epidemic of cholera (1991), more than 70,000 cases were identified and over 6,000 deaths occurred. Cholera started in Peru and expanded to the rest of Latin American countries, including Chile. Compared to Peru, the epidemic in Chile had minor consequences due to the strategies adopted by the National System of Health Services, together with other public institutions. These strategies included the establishment of a National Committee for Cholera, strategic planning of health services, strengthening of epidemiologic surveillance systems and of clinical and environmental laboratories, education of the population, and preventive strategies, among others. Maintenance of environmental health measures and the population's collaboration are essential to avoid future emergence of this disease.


Assuntos
Cólera/epidemiologia , Cólera/prevenção & controle , Epidemias , Planejamento em Saúde/organização & administração , Administração de Serviços de Saúde , Vigilância da População , Chile/epidemiologia , Meio Ambiente , Educação em Saúde/organização & administração , Humanos , América Latina/epidemiologia , Peru/epidemiologia , Saúde Pública , Fatores de Risco
7.
J Cell Biol ; 151(1): 83-94, 2000 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-11018055

RESUMO

Dishevelled has been implicated in the regulation of cell fate decisions, cell polarity, and neuronal function. However, the mechanism of Dishevelled action remains poorly understood. Here we examine the cellular localization and function of the mouse Dishevelled protein, DVL-1. Endogenous DVL-1 colocalizes with axonal microtubules and sediments with brain microtubules. Expression of DVL-1 protects stable microtubules from depolymerization by nocodazole in both dividing cells and differentiated neuroblastoma cells. Deletion analyses reveal that the PDZ domain, but not the DEP domain, of DVL-1 is required for microtubule stabilization. The microtubule stabilizing function of DVL-1 is mimicked by lithium-mediated inhibition of glycogen synthase kinase-3beta (GSK-3beta) and blocked by expression of GSK-3beta. These findings suggest that DVL-1, through GSK-3beta, can regulate microtubule dynamics. This new function of DVL-1 in controlling microtubule stability may have important implications for Dishevelled proteins in regulating cell polarity.


Assuntos
Proteínas Quinases Dependentes de Cálcio-Calmodulina/isolamento & purificação , Microtúbulos/química , Proteínas do Tecido Nervoso/isolamento & purificação , Neurônios/química , Fosfoproteínas/isolamento & purificação , Proteínas Adaptadoras de Transdução de Sinal , Animais , Axônios/química , Axônios/ultraestrutura , Encéfalo/crescimento & desenvolvimento , Movimento Celular , Polaridade Celular , Proteínas Desgrenhadas , Imunofluorescência , Quinase 3 da Glicogênio Sintase , Quinases da Glicogênio Sintase , Camundongos , Microtúbulos/ultraestrutura , Neurônios/ultraestrutura
8.
Neurocirugia (Astur) ; 20(3): 288-93, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19575135

RESUMO

Aneurysm embolization using Guglielmi detachable coils (GDC) is gaining acceptance as a viable alternative for surgery in the treatment of aneurysms. Recent reports describe a significant rate of thromboembolic complications. Thalamic and midbrain blood supply can arise from complex anatomical variations. The rare variation: "artery of Percheron", is a solitary arterial trunk arising from one of the proximal segments of a posterior cerebral artery and supplies the paramedian thalami and rostral midbrain bilaterally. We describe a patient that underwent elective endovascular treatment for a basilar tip aneurysm using GDC and stents in each PCA; 12 hours later patient was comatose and not following commands. Sequential magnetic resonance imaging (MRI) of brain showed bilateral paramedian thalamic and mesencephalic infarcts presumably secondary to artery of Percheron occlusion. Thromboembolic event related to the use of the GDC embolization and stents is a rare clinical sequelae, but catastrophic. The use of antiplatelets agents should be reinforced in the scenario. When bilateral medial thalamic and midbrain infarcts are found, occlusion of the artery of Percheron should be considered. Angiography may not b helpful and lack of visualization of the artery does not exclude its presence. In this case the MRI findings confirmed the presence of the infarction based on the anatomical distribution.


Assuntos
Infarto Encefálico , Circulação Cerebrovascular , Embolização Terapêutica , Aneurisma Intracraniano/cirurgia , Mesencéfalo/patologia , Tálamo/patologia , Idoso , Infarto Encefálico/etiologia , Infarto Encefálico/patologia , Embolização Terapêutica/efeitos adversos , Embolização Terapêutica/métodos , Humanos , Aneurisma Intracraniano/complicações , Aneurisma Intracraniano/patologia , Masculino , Stents
9.
Neurocirugia (Astur) ; 20(1): 57-61, 2009 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19266134

RESUMO

We report the case of an eighteen year-old pregnant female with preeclampsia and florid signs and symptoms of posterior reversible encephalopathy syndrome (PRES) in whom intracerebral hemorrhage was evidenced following delivery. Management included blood pressure control, external ventricular drainage and lumboperitoneal shunt. To our knowledge this is the first report of intracranial hemorrhage occurring concurrently with peripartum acute PRES. This case was successfully treated with good outcome upon conclusion of management, thus making awareness of this potentially fatal complication and its suggested management for successful outcome necessary for neurosurgeons, neurologists and intensivists alike.


Assuntos
Lesões Encefálicas/complicações , Hemorragia Cerebral/etiologia , Acidente Vascular Cerebral/etiologia , Adolescente , Lesões Encefálicas/patologia , Lesões Encefálicas/fisiopatologia , Hemorragia Cerebral/patologia , Feminino , Humanos , Pré-Eclâmpsia/patologia , Pré-Eclâmpsia/fisiopatologia , Gravidez , Complicações na Gravidez , Acidente Vascular Cerebral/patologia , Síndrome
10.
Neurocirugia (Astur) ; 20(6): 550-4, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19967320

RESUMO

OBJECTIVE: Epithelioid glioblastoma is a rare morphologic subtype of glioblastoma that closely mimics metastatic carcinoma or metastatic melanoma histologically. All previous case reports of this unusual glioblastoma variant have been solitary lesions. We report here the first case to our knowledge of multifocal epithelioid glioblastoma mimicking cerebral metastasis. CLINICAL PRESENTATION: A 67-year-old man with a prior history of mycosis fungoides, a common form of cutaneous T-cell lymphoma, presented with memory loss and impaired peripheral vision. Two discrete brain lesions highly suspicious for metastases were identified by magnetic resonance imaging (MRI). INTERVENTION: The patient underwent two separate craniotomies; both lesions were successfully resected in toto with an excellent post-surgical outcome. CONCLUSION: Epithelioid glioblastoma is one of the rarest morphologic subtypes of glioblastoma. Here we describe the first case to our knowledge of multifocal epithelioid glioblastoma that convincingly mimicked a secondary metastatic process. Multifocal epithelioid glioblastoma should be included in the differential diagnosis of patients who present with multiple discrete brain lesions. An attempt at gross total resection is recommended when anatomically feasible for definitive histopathological diagnosis and to improve progression free survival of patients who present with similarly ambiguous and potentially misleading multiple lesions.


Assuntos
Neoplasias Encefálicas/patologia , Glioblastoma/patologia , Idoso , Neoplasias Encefálicas/cirurgia , Diagnóstico Diferencial , Glioblastoma/cirurgia , Humanos , Imageamento por Ressonância Magnética , Masculino , Metástase Neoplásica
11.
Transplant Proc ; 40(9): 3229-36, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-19010241

RESUMO

Humoral rejection is an important cause of early and late graft loss. The late variant is difficult to diagnose and treat. There is a close correlation between sclerosing nephropathy and anti-HLA antibodies. We analyzed 113 renal allograft recipients between August 2004 and April 2007. Acute humoral rejection was defined as acute graft dysfunction in presence of donor-specific antibodies (DSA) detected by flow panel reactive antibodies (PRA) and/or C4d positive pericapilary tubules (PTC) detected histopathologically by immunofluorescent or immunoperoxidase at less than 3 months postransplantation. Late humoral rejection was defined as dysfunction occurring after 3 months postransplantation with histopathologic glomerulopathy or vasculopathy and positive C4d PTC. We included all patients who were diagnosed with early or late graft dysfunction and underwent biopsy, all of which were examined for C4d. Four patients had acute humoral rejection treated with IVIG or plasmapheresis. The patient and graft survivals were 100% and serum creatinine averaged 1.7 mg/dL. Three recipients experienced late humoral rejection at 3 to 10 years posttransplantation All received high-dose IVIG; one also was treated with thymoglobulin. Immunosuppression was switched to tacrolimus, mycophenolate mofetil, and steroids. Only one patient recovered renal function; the others returned to dialysis. Among seven patients only one had an actual PRA (>20%) and three showed 10% to 20%. However, six had a positive historical PRA of 10% to 50%. In conclusion, Recognition of acute humoral rejection has contributed to graft rescue by controlling alloantibody production through new specific immunosuppressive therapies in contrast with the clinical response to acute therapy, treatment of a chronic entity has shown poor outcomes, probably because antibody mediated chronic graft damage is already present when the late diagnosis is established by biopsy.


Assuntos
Formação de Anticorpos , Rejeição de Enxerto/imunologia , Rejeição de Enxerto/patologia , Transplante de Rim/imunologia , Transplante de Rim/patologia , Anticorpos Monoclonais/imunologia , Anticorpos Monoclonais/uso terapêutico , Antígenos CD/imunologia , Antígenos CD20/imunologia , Soro Antilinfocitário , Biópsia , Linfócitos T CD4-Positivos/imunologia , Creatinina/sangue , Seguimentos , Rejeição de Enxerto/tratamento farmacológico , Humanos , Imunoglobulinas Intravenosas/uso terapêutico , Imunossupressores/uso terapêutico , Plasmaferese , Fatores de Tempo , Transplante Homólogo/imunologia , Transplante Homólogo/patologia
12.
Theriogenology ; 95: 105-112, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28460663

RESUMO

This article describes the effects of MPA use on the canine uterus using stereological methods. Entire reproductive tracts were removed from normal healthy canine bitches (Canis lupus familiaris) and grouped as: nulliparous (n = 11), multiparous (n = 11) and MPA-treated (n = 11; nulliparous; two treatments; 5 mg/kg). 1 cm samples were cut from the corpus, horn and uterine tube and fixed in 10% formaldehyde. Sections of each were mounted on slides and stained with hematoxylin-eosin. We assessed the fraction area for components of endometrium and myometrium and VV (volume density) and SV (surface density) of the gland and stroma using the M36 test system provided by the STEPanizer Stereological Tool. No gross histological differences were observed between study groups in the uterine tube, uterine corpus and horn. The wall of the uterine corpus and horn in MPA-treated bitches was characterized as being thicker than in the other groups. A cross-section of the uterine corpus revealed no differences between components of uterine wall in the corpus and horn; however, differences were observed in the volume density [VV; %] in variables such as: VV[str.vasc/uterus] (nulliparous vs. multiparous; p = 0.0019) and VV[str.supravasc/uterus] (multiparous vs. nulliparous and MPA; p = 0.0035). In the endometrial gland, differences were detected in SV[gland/endom] (multiparous vs. MPA, p = 0.0442). In the uterine horn, differences were only observed in the variable VV[lumen.gland/endom] (multiparous vs. MPA; p = 0.0019). This study shows quantitative changes in the architecture of the endometrium and myometrium in all the uterine segments, mainly morphological endometrial gland changes of the uterine corpus, increasing the surface area per unit of volume; however, these changes usually do not differ quantitatively from those observed in the uterus of multiparous bitches.


Assuntos
Anticoncepcionais Femininos/farmacologia , Acetato de Medroxiprogesterona/farmacologia , Útero/efeitos dos fármacos , Animais , Cães , Endométrio/anatomia & histologia , Endométrio/efeitos dos fármacos , Feminino , Miométrio/anatomia & histologia , Miométrio/efeitos dos fármacos , Paridade , Útero/anatomia & histologia
13.
Theriogenology ; 99: 36-40, 2017 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-28708497

RESUMO

Long term storage of canine frozen semen is conventionally performed in liquid nitrogen (LN2). However, previous works in freezing canine semen using a -80 °C ultra-freezer (-80°C-UF) showed no differences on sperm quality after thawing. The main objective of this study was to compare the effects of the freezing techniques using LN2 or -80°C-UF on sperm function and in vivo fertility of frozen-thawed dog semen. The sperm-rich fraction of the ejaculate was collected separately from five Chihuahua breed, and each one divided into two aliquots, and frozen and stored in LN2 or -80°C-UF. Sperm function was analyzed for motility and viability, acrosome integrity, mitochondrial function and phosphatidylserine translocation by flow cytometry before and after cryopreservation. A total of 10 bitches were intravaginal inseminated (IVAI; LN2 frozen-thawed semen = 5 and -80°C-UF frozen-thawed semen = 5). Pregnancy status was confirmed 30 d after IVAI by transabdominal ultrasonography and live born puppies at term were recorded. Sperm function parameters were affected for both freezing protocols. Differences (P < 0.05) were found between freezing and storage methods in most of the parameters of sperm function analyzed, except in the phosphatidylserine translocation. The percentages of pregnancies were not different between the two freezing and storage protocols used. Semen freezing and storage using -80 °C UF is an effective technique for long-term preservation of canine spermatozoa.


Assuntos
Criopreservação/veterinária , Cães/fisiologia , Inseminação Artificial/veterinária , Preservação do Sêmen/veterinária , Espermatozoides/fisiologia , Animais , Criopreservação/métodos , Feminino , Congelamento , Masculino , Gravidez , Preservação do Sêmen/métodos , Motilidade dos Espermatozoides
14.
J Neurointerv Surg ; 9(11): 1098-1102, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-27789790

RESUMO

BACKGROUND: The Low-profile Visualized Intraluminal Support (LVIS) Junior stent is newly approved for the treatment of wide-necked intracranial aneurysms. OBJECTIVE: To report our multicenter experience with use of the LVIS Jr device. METHODS: The neurointerventional databases of the participating institutions were retrospectively reviewed for aneurysms treated with LVIS Jr from the time of Food and Drug Administration approval until February 2016. All patients in the study period were included. Clinical presentation, aneurysm location, aneurysm size, vessel size, procedural complications, clinical and imaging follow-up were included in the analysis. RESULTS: Eighty-five patients (54 female and 31 male) met the inclusion criteria for the study. Sixty-eight (80%) of the aneurysms were unruptured and the remainder were ruptured. The most common location of the treated aneurysms was anterior communicating artery (36%), middle cerebral artery bifurcation (22%), and basilar terminus (15%). The mean aneurysm size was 6.1 mm. The mean minimum parent vessel size was 2.3 mm. The LVIS Jr was successfully deployed in all but one case (99%). Initial angiographic results demonstrated Roy-Raymond class 1-2 occlusions in 61/84 patients (73%). At 6 months, 85% of the patients seen at follow-up had Roy-Raymond class 1-2 aneurysm occlusion. No procedure-related deaths occurred. Two cases of procedure-related complications (intraprocedural rupture and delayed rupture at day 2) were seen, leading to permanent neurologic morbidity. Both these cases were in patients with ruptured aneurysms. CONCLUSIONS: The LVIS Jr is a technically feasible, safe, and effective treatment for wide-necked intracranial aneurysms. Early results are promising but will need to be corroborated with longer-term follow-up.


Assuntos
Aneurisma Roto/diagnóstico por imagem , Aneurisma Roto/cirurgia , Procedimentos Endovasculares/métodos , Aneurisma Intracraniano/diagnóstico por imagem , Aneurisma Intracraniano/cirurgia , Stents Metálicos Autoexpansíveis , Adulto , Idoso , Embolização Terapêutica/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Stents , Resultado do Tratamento
15.
Curr Opin Neurobiol ; 9(1): 54-64, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10072365

RESUMO

Recent studies have elucidated both the mechanism of early formation of diverse muscle fibre types and the matching of diverse populations of motoneurons to their appropriate muscle targets. Highlights include the demonstration that distinct signals are necessary for the formation of several distinct myoblast populations in the vertebrate somite, the identification of motoneuron subtypes, studies of how motoneurons target appropriate muscles, and rapid progress on the Drosophila neuromuscular system. We propose a model in which four classes of decision control the patterning of both motoneurons and muscles.


Assuntos
Regulação da Expressão Gênica no Desenvolvimento , Neurônios Motores , Fibras Musculares de Contração Rápida , Fibras Musculares de Contração Lenta , Animais , Drosophila , Camundongos , Camundongos Transgênicos , Peixe-Zebra
16.
Neuroscience ; 334: 245-258, 2016 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-27531857

RESUMO

Using an immunohistochemical technique, we mapped the immunoreactive structures containing methionine-enkephalin-Arg6-Gly7-Leu8 (Met-8) (a marker for the pro-enkephalin system) in the human diencephalon. Compared with previous studies, we observed a more widespread distribution of Met-8 in the human diencephalon. Met-8-immunoreactive cell bodies and fibers exhibited a more widespread distribution in the hypothalamus than in the thalamus. We observed six populations of Met-8-immunoreactive cell bodies. These perikarya were observed in the paratenial thalamic nucleus, ventromedial and dorsomedial hypothalamic nuclei, lateral hypothalamic area, pallidohypothalamic nucleus and in the paraventricular hypothalamic nucleus (posterior part). In the thalamus, Met-8-immunoreactive fibers were primarily observed in the midline region, whereas in the hypothalamus, these fibers were widely distributed. In general, a moderate/low density of Met-8-immunoreactive fibers was observed in the diencephalic nuclei. A moderate density was observed in the paraventricular thalamic nucleus, reuniens thalamic nucleus, lateral and medial geniculate nuclei, dorsomedial hypothalamic nucleus, paraventricular hypothalamic nucleus (posterior part) and ventromedial hypothalamic nucleus. The present study is the first to demonstrate the presence of clusters of Met-8-immunoreactive cell bodies in the human thalamus and hypothalamus, the distribution of fibers containing neuropeptides in the hypothalamus and the presence of these fibers in several thalamic nuclei. This neuroanatomical study will serve to elucidate the physiological roles of Met-8 in future studies of the human diencephalon.


Assuntos
Diencéfalo/citologia , Diencéfalo/metabolismo , Encefalina Metionina/análogos & derivados , Idoso de 80 Anos ou mais , Encefalina Metionina/metabolismo , Encefalinas/metabolismo , Feminino , Humanos , Imuno-Histoquímica , Masculino , Precursores de Proteínas/metabolismo
17.
Rev. Hosp. Clin. Univ. Chile ; 32(3): 258-268, 2021.
Artigo em Espanhol | LILACS | ID: biblio-1353226

RESUMO

Hysterectomy is the most common gynecological surgery in non-pregnant women. There are different surgical approaches for total hysterectomy, abdominal, vaginal, laparoscopic and robotic routes. The choice is determined by different factors such as uterine size, malformations, surgical risks, skill of the surgeon, expected postoperative quality of life, and monetary costs. The surgical technique is well described in the literature, however, there are certain anatomical and functional considerations that must be known before performing the hysterectomy to avoid complications. The most frequent complications are hemorrhage, infections, thromboembolism, urinary and gastrointestinal tract injuries. Majority can be avoided with an adequate procedure and management of pre-existing comorbidities. (AU)


Assuntos
Humanos , Feminino , Histerectomia/efeitos adversos , Histerectomia/métodos , Procedimentos Cirúrgicos em Ginecologia/métodos , Histerectomia/tendências
18.
Mech Dev ; 39(3): 151-60, 1992 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-1363370

RESUMO

During early vertebrate development, a series of neuromeres divides the central nervous system from the forebrain to the spinal cord. Here we examine in more detail the expression of Wnt-3, a member of the Wnt gene family of secreted proteins, in the developing diencephalon, in comparison to the expression of the homeobox gene Dlx-1. In 9.5-day mouse embryos, Wnt-3 is expressed in a restricted area of the diencephalon before any morphological signs of subdivisions appear. Around embryonic day 11.5, Wnt-3 expression becomes restricted to one of the neuromeres of the diencephalon, the dorsal thalamus. Dlx-1 is expressed in a non-overlapping area immediately anterior to and abutting the Wnt-3 expressing domain, corresponding to the ventral thalamus. In addition, Wnt-3 is expressed in the midbrain-hindbrain region. In the adult mouse, Wnt-3 and Dlx-1 are expressed in subsets of neural cells derived from the original areas of expression in the diencephalon. Taken together, our results suggest that Wnt-3 and Dlx-1 provide positional information for the regional specification of neuromeres in the forebrain. The continued expression of these genes in the adult mouse brain suggests a distinct role in the mature CNS.


Assuntos
Diencéfalo/embriologia , Genes/fisiologia , Camundongos Endogâmicos/embriologia , Proteínas de Neoplasias/biossíntese , Biossíntese de Proteínas , Proteínas , Envelhecimento/fisiologia , Animais , Proteínas de Ligação a DNA/biossíntese , Diencéfalo/metabolismo , Genes Homeobox , Hibridização In Situ , Mesencéfalo/metabolismo , Camundongos , Proteínas do Tecido Nervoso/biossíntese , Rombencéfalo/metabolismo , Proteínas Wnt , Proteína Wnt3
19.
Chem Biol ; 7(1): 51-63, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10662688

RESUMO

BACKGROUND: Over 2000 protein kinases regulate cellular functions. Screening for inhibitors of some of these kinases has already yielded some potent and selective compounds with promising potential for the treatment of human diseases. RESULTS: The marine sponge constituent hymenialdisine is a potent inhibitor of cyclin-dependent kinases, glycogen synthase kinase-3beta and casein kinase 1. Hymenialdisine competes with ATP for binding to these kinases. A CDK2-hymenialdisine complex crystal structure shows that three hydrogen bonds link hymenialdisine to the Glu81 and Leu83 residues of CDK2, as observed with other inhibitors. Hymenialdisine inhibits CDK5/p35 in vivo as demonstrated by the lack of phosphorylation/down-regulation of Pak1 kinase in E18 rat cortical neurons, and also inhibits GSK-3 in vivo as shown by the inhibition of MAP-1B phosphorylation. Hymenialdisine also blocks the in vivo phosphorylation of the microtubule-binding protein tau at sites that are hyperphosphorylated by GSK-3 and CDK5/p35 in Alzheimer's disease (cross-reacting with Alzheimer's-specific AT100 antibodies). CONCLUSIONS: The natural product hymenialdisine is a new kinase inhibitor with promising potential applications for treating neurodegenerative disorders.


Assuntos
Azepinas/farmacologia , Proteínas Quinases Dependentes de Cálcio-Calmodulina/antagonistas & inibidores , Quinases Ciclina-Dependentes/antagonistas & inibidores , Poríferos/química , Inibidores de Proteínas Quinases , Pirróis/farmacologia , Trifosfato de Adenosina/antagonistas & inibidores , Animais , Proteínas Quinases Dependentes de Cálcio-Calmodulina/química , Caseína Quinases , Cerebelo/citologia , Cerebelo/efeitos dos fármacos , Cerebelo/metabolismo , Cristalização , Cristalografia por Raios X , Quinase 3 da Glicogênio Sintase , Quinases da Glicogênio Sintase , Proteínas Associadas aos Microtúbulos/metabolismo , Conformação Molecular , Neurônios/efeitos dos fármacos , Neurônios/enzimologia , Neurônios/metabolismo , Fosforilação , Proteínas Quinases/química , Proteínas tau/metabolismo
20.
Int. j. morphol ; 38(3): 677-682, June 2020. graf
Artigo em Inglês | LILACS | ID: biblio-1098306

RESUMO

Given the importance of the Golden kingklip (Genypterus blacodes) as an alternative to the production of salmonid species for worldwide diversification of aquaculture this study researched the morpho-histology of the digestive canal, providing a uniform nomenclature and basic information to support their nutritional management in captive conditions. The objective was to describe the normal morphology of the digestive canal. Twelve wild specimens were collected and dissected. Samples of the esophagus, stomach, liver, pyloric blind and intestines were obtained. An anatomical and histological description was performed. The digestive canal presented a short tubular esophagus, a slightly dilated, J-shaped stomach and thick walls. The stomach had a cardiac region that ended in a pyloric sphincter from which the intestine of thin walls. The intestine presented an anterior, middle and posterior segment. The anterior region of the first segment of the middle intestine presented 4-5 pairs of pyloric cecum. The middle intestine represented approximately 30 % of the total length of the digestive canal, with a smaller diameter compared to the first segment. The posterior intestine was separated from the middle intestine by a thick and powerful sphincter. The liver was large and elongated, and located in the peritoneal cavity located to the left plane and ventral to the swim bladder. The gallbladder was located lateral to the hepatic anterior wolf. The bile duct led to the duodenal region of the anterior intestine. Ventrally, the rectum ended in the anus, located in front of the anal fin. In general, the histological structures were variable according to the segment studied, a mucous tunic was recognized that presented a simple columnar epithelium, a lamina propria composed of loose connective tissue, a muscular layer of the mucosa composed of smooth muscle tissue and a submucosal layer composed of loose connective tissue, a circular and longitudinal stratum of muscular tunic, which had striated musculature and an adventitial tunic composed of a simple squamous epithelium. In conclusion, Golden kingklip (Genypterus blacodes) presents a digestive system typical of a carnivorous benthic fish adapted to feed on fish and crustaceans.


Dada la importancia del Congrio colorado (Genypterus blacodes) como alternativa a la producción de especies salmonídeas para la diversificación mundial de la acuicultura, el objetivo del presente estudio es describir la morfología normal del canal digestivo de esta especie, proporcionando una nomenclatura uniforme e información básica para apoyar su manejo nutricional en condiciones de cautiverio. Doce especímenes silvestres fueron colectados y disecados. Se obtuvo muestras del esófago, estómago, hígado, ciego pilórico e intestinos. Se realizó una descripción anatómica e histológica. El canal digestivo presentó un esófago tubular corto, un estómago ligeramente dilatado, con forma de J y paredes gruesas. El estómago presentaba una región cardíaca que terminaba en un esfínter pilórico desde el cual el intestino de paredes delgadas. El intestino presentaba un segmento anterior, medio y posterior. La región anterior del primer segmento del intestino medio presentó 4-5 pares de ciegos pilóricos. El intestino medio representó aproximadamente el 30 % de la longitud total del canal digestivo, con un diámetro menor en comparación con el primer segmento. El intestino posterior estaba separado del intestino medio por un esfínter grueso y poderoso. El hígado era grande y alargado, y ubicado en la cavidad peritoneal ubicado al plano izquierdo y ventral a la vejiga natatoria. La vesícula biliar se ubicó lateral al lobo anterior hepático. El ducto biliar desembocó en la región duodenal del intestino anterior. Ventralmente, el recto terminó en el ano, ubicado frente a la aleta anal. En general, las estructuras histológicas fueron variables según el segmento estudiado, se reconoció una túnica mucosa que presentaba un epitelio columnar simple, una lámina propia de la mucosa compuesta por tejido conectivo laxo, una capa muscular de la mucosa compuesta por músculo liso tejido y una capa submucosa compuesta de tejido conectivo laxo, un estrato circular y longitudinal de túnica muscular, que tenía musculatura estriada y una túnica adventicia compuesta por un epitelio plano simple. En conclusión, Congrio colorado (Genypterus blacodes) presenta un sistema digestivo típico de un pez bentónico carnívoro adaptado para alimentarse de peces y crustáceos.


Assuntos
Animais , Sistema Digestório/anatomia & histologia , Peixes/anatomia & histologia , Estômago/anatomia & histologia , Intestinos/anatomia & histologia
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