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1.
Mol Ther ; 31(12): 3441-3456, 2023 Dec 06.
Artículo en Inglés | MEDLINE | ID: mdl-37814449

RESUMEN

Adeno-associated virus (AAV) continues to be the gold standard vector for therapeutic gene delivery and has proven especially useful for treating ocular disease. Intravitreal injection (IVtI) is a promising delivery route because it increases accessibility of gene therapies to larger patient populations. However, data from clinical and non-human primate (NHP) studies utilizing currently available capsids indicate that anatomical barriers to AAV and pre-existing neutralizing antibodies can restrict gene expression to levels that are "sub-therapeutic" in a substantial proportion of patients. Here, we performed a combination of directed evolution in NHPs of an AAV2-based capsid library with simultaneous mutations across six surface-exposed variable regions and rational design to identify novel capsid variants with improved retinal transduction following IVtI. Following two rounds of screening in NHP, enriched variants were characterized in intravitreally injected mice and NHPs and shown to have increased transduction relative to AAV2. Lead capsid variant, P2-V1, demonstrated an increased ability to evade neutralizing antibodies in human vitreous samples relative to AAV2 and AAV2.7m8. Taken together, this study further contributed to our understanding of the selective pressures associated with retinal transduction via the vitreous and identified promising novel AAV capsid variants for clinical consideration.


Asunto(s)
Anticuerpos Neutralizantes , Cápside , Humanos , Ratones , Animales , Dependovirus , Inyecciones Intravítreas , Transducción Genética , Primates/genética , Proteínas de la Cápside/genética , Proteínas de la Cápside/metabolismo , Vectores Genéticos/genética
2.
J Virol ; 90(8): 4215-4231, 2016 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-26865709

RESUMEN

UNLABELLED: Adeno-associated viruses (AAVs) currently are being developed to efficiently transduce the retina following noninvasive, intravitreal (Ivt) injection. However, a major barrier encountered by intravitreally delivered AAVs is the inner limiting membrane (ILM), a basement membrane rich in heparan sulfate (HS) proteoglycan. The goal of this study was to determine the impact of HS binding on retinal transduction by Ivt-delivered AAVs. The heparin affinities of AAV2-based tyrosine-to-phenylalanine (Y-F) and threonine-to-valine (T-V) capsid mutants, designed to avoid proteasomal degradation during cellular trafficking, were established. In addition, the impact of grafting HS binding residues onto AAV1, AAV5, and AAV8(Y733F) as well as ablation of HS binding by AAV2-based vectors on retinal transduction was investigated. Finally, the potential relationship between thermal stability of AAV2-based capsids and Ivt-mediated transduction was explored. The results show that the Y-F and T-V AAV2 capsid mutants bind heparin but with slightly reduced affinity relative to that of AAV2. The grafting of HS binding increased Ivt transduction by AAV1 but not by AAV5 or AAV8(Y733F). The substitution of any canonical HS binding residues ablated Ivt-mediated transduction by AAV2-based vectors. However, these same HS variant vectors displayed efficient retinal transduction when delivered subretinally. Notably, a variant devoid of canonical HS binding residues, AAV2(4pMut)ΔHS, was remarkably efficient at transducing photoreceptors. The disparate AAV phenotypes indicate that HS binding, while critical for AAV2-based vectors, is not the sole determinant for transduction via the Ivt route. Finally, Y-F and T-V mutations alter capsid stability, with a potential relationship existing between stability and improvements in retinal transduction by Ivt injection. IMPORTANCE: AAV has emerged as the vector of choice for gene delivery to the retina, with attention focused on developing vectors that can mediate transduction following noninvasive, intravitreal injection. HS binding has been postulated to play a role in intravitreally mediated transduction of retina. Our evaluation of the HS binding of AAV2-based variants and other AAV serotype vectors and the correlation of this property with transduction points to HS affinity as a factor controlling retinal transduction following Ivt delivery. However, HS binding is not the only requirement for improved Ivt-mediated transduction. We show that AAV2-based vectors lacking heparin binding transduce retina by subretinal injection and display a remarkable ability to transduce photoreceptors, indicating that other receptors are involved in this phenotype.


Asunto(s)
Dependovirus/fisiología , Vectores Genéticos , Heparitina Sulfato/farmacología , Retina/metabolismo , Transducción Genética , Animales , Cápside/metabolismo , Dependovirus/efectos de los fármacos , Dependovirus/genética , Vectores Genéticos/efectos de los fármacos , Vectores Genéticos/genética , Vectores Genéticos/metabolismo , Células HEK293 , Humanos , Inyecciones Intraoculares , Inyecciones Intravenosas , Hígado/metabolismo , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Mutación , Células Fotorreceptoras de Vertebrados/metabolismo , Virus Reordenados/efectos de los fármacos , Virus Reordenados/genética , Virus Reordenados/fisiología , Cuerpo Vítreo/metabolismo
3.
Mol Vis ; 22: 1342-1351, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27881908

RESUMEN

PURPOSE: To test, in living photoreceptors, two mutations, S248W and R1091x, in the GUCY2D gene linked to Leber congenital amaurosis 1 (LCA1) that fail to inactivate the catalytic activity of a heterologously expressed retinal membrane guanylyl cyclase 1 (RetGC1). METHODS: GUC2YD cDNA constructs coding for wild-type human (hWT), R1091x, and S248W GUCY2D under the control of the human rhodopsin kinase promoter were expressed in Gucy2e-/-Gucy2f-/- knockout (GCdKO) mouse retinas, which lack endogenous RetGC activity. The constructs were delivered via subretinally injected adenoassociated virus (AAV) vector in one eye, leaving the opposite eye as the non-injected negative control. After testing with electroretinography (ERG), the retinas extracted from the AAV-treated and control eyes were used in guanylyl cyclase activity assays, immunoblotting, and anti-RetGC1 immunofluorescence staining. RESULTS: Cyclase activity in retinas treated with either hWT or R1091x GUCY2D transgenes was similar but was undetectable in the S248W GUCY2D-treated retinas, which starkly contrasts their relative activities when heterologously expressed in human embryonic kidney (HEK293) cells. Rod and cone ERGs, absent in GCdKO, appeared in the hWT and R1091x GUCY2D-injected eyes, while the S248W mutant failed to restore scotopic ERG response and enabled only rudimentary photopic ERG response. The hWT and R1091x GUCY2D immunofluorescence was robust in the rod and cone outer segments, whereas the S248W was detectable only in the sparse cone outer segments and sporadic photoreceptor cell bodies. Robust RetGC1 expression was detected with immunoblotting in the hWT and R1091x-treated retinas but was marginal at best in the S248W GUCY2D retinas, despite the confirmed presence of the S248W GUCY2D transcripts. CONCLUSIONS: The phenotype of S248W GUCY2D in living retinas did not correlate with the previously described normal biochemical activity of this mutant when heterologously expressed in non-photoreceptor cell culture. This result suggests that the S248W mutation contributes to LCA1 by hampering the expression, processing, and/or cellular transport of GUCY2D, rather than its enzymatic properties. In contrast, the effective restoration of rod and cone function by R1091x GUCY2D is paradoxical and does not explain the severe loss of vision typical for LCA1 associated with that mutant allele.


Asunto(s)
Dependovirus/metabolismo , Vectores Genéticos/metabolismo , Guanilato Ciclasa/genética , Mutación/genética , Receptores de Superficie Celular/genética , Retina/metabolismo , Animales , Electrorretinografía , Proteínas del Ojo/metabolismo , Células HEK293 , Humanos , Amaurosis Congénita de Leber/genética , Ratones , Ratones Noqueados
4.
Neurobiol Learn Mem ; 135: 27-39, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27470092

RESUMEN

Fear and anxiety-related disorders are remarkably common and debilitating, and are often characterized by dysregulated fear responses. Rodent models of fear learning and memory have taken great strides towards elucidating the specific neuronal circuitries underlying the learning of fear responses. The present review addresses recent research utilizing optogenetic approaches to parse circuitries underlying fear behaviors. It also highlights the powerful advances made when optogenetic techniques are utilized in a genetically defined, cell-type specific, manner. The application of next-generation genetic and sequencing approaches in a cell-type specific context will be essential for a mechanistic understanding of the neural circuitry underlying fear behavior and for the rational design of targeted, circuit specific, pharmacologic interventions for the treatment and prevention of fear-related disorders.


Asunto(s)
Amígdala del Cerebelo/fisiopatología , Conducta Animal/fisiología , Condicionamiento Clásico/fisiología , Miedo/fisiología , Optogenética/métodos , Animales
5.
J Dairy Sci ; 98(8): 5304-12, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-26074226

RESUMEN

The objective of the present study was to assess the effect of parturition on behavioral activity [steps, standing time, lying time, lying bouts (LB), and duration of LB] 4 d before calving using electronic data loggers. Animals (n=132) from 3 herds were housed in similar freestall barns using a prepartum pen 21 d before the expected calving date and were moved into a contiguous individual maternity pen for parturition. Electronic data loggers were placed on a hind leg of prepartum heifers (heifers, n=33) and cows (cows, n=99) at 7±3 d before the expected calving date and removed at 14±3 d in milk. Calving ease (scale 1-4), parity, calving date and time, and stillbirth (born dead or died within 24h) were recorded. The number of steps (no./d), standing time (min/d), lying time (min/d), number of LB (no./d), and duration of LB (min/b) were recorded. Data were analyzed using MIXED procedures of SAS, adjusting for the herd effect. Only cows experiencing unassisted births (calving ease=1) were included in the study. An activity index was developed to predict calving time. Heifers and cows with unassisted births had significantly higher number of steps and longer standing time, decreased lying time, and more LB of shorter duration 24h before calving compared with d -4, -3, and -2. Additionally, the number of LB increased as both heifers and cows approached labor starting on d -2 and peaked at the day of calving. The time since the activity index increased over 50% to parturition did not differ between heifers and cows, and the activity index revealed the shift in activity on average 6h 14min (range from 2h to 14h 15min) before calf birth. This study provided evidence that heifers and cows approaching parturition showed a similar, but distinct, behavioral pattern that can be observed on average 6h before calf birth. The potential benefits of electronic data loggers as predictors of parturition along with proactive management practices should improve the overall survival and welfare of both the dam and calf.


Asunto(s)
Parto Obstétrico/veterinaria , Parto , Animales , Conducta Animal , Bovinos , Femenino , Paridad , Postura , Embarazo , Factores de Tiempo
6.
Int J Obes (Lond) ; 37(10): 1391-8, 2013 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-23337772

RESUMEN

BACKGROUND: Glucagon and glucagon-like peptide-1 (GLP-1) are evolutionarily related anorectic hormones. Glucagon also increases energy expenditure. The combination of glucagon and GLP-1 could cause weight loss through a simultaneous reduction in food intake and increased energy expenditure. However, the effect of combined administration of glucagon and GLP-1 on food intake and neuronal activation has not previously been studied. Furthermore, the effect of glucagon on neuronal activation in appetite regulating centres has not been assessed. Characterisation of the effects of glucagon when administered singly and in combination with GLP-1 on neuronal activation will be important for determining the mechanism of action of related potential antiobesity therapies. OBJECTIVES: To investigate the effects of peripherally administered GLP-1 and glucagon on food intake, neuronal activation and blood glucose in mice when administered individually and in combination. METHODOLOGY: Food intake, blood glucose and c-fos expression in the hypothalamus, amygdala and brainstem were measured in response to GLP-1 and glucagon, alone and in combination. RESULTS: Peripherally administered GLP-1 and glucagon decreased food intake and increased c-fos expression in the brainstem and amygdala. Doses of GLP-1 and glucagon that individually did not significantly affect feeding, in combination were anorectic and stimulated neuronal activation in the area postrema (AP) and central nucleus of the amygdala. Combined administration of GLP-1 and glucagon prevented the acute hyperglycemic effect of glucagon alone. CONCLUSION: Anorectic doses of glucagon and GLP-1 induced similar patterns of c-fos expression. Combined administration of low dose GLP-1 and glucagon inhibited food intake and induced c-fos expression in the AP and amygdala. The combination of both hormones may offer the opportunity to utilise the beneficial effects of reduced food intake and increased energy expenditure, and may therefore be a potential treatment for obesity.


Asunto(s)
Amígdala del Cerebelo/metabolismo , Apetito/fisiología , Tronco Encefálico/metabolismo , Péptido 1 Similar al Glucagón/metabolismo , Glucagón/metabolismo , Proteínas Proto-Oncogénicas c-fos/metabolismo , Animales , Apetito/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Ingestión de Alimentos/efectos de los fármacos , Metabolismo Energético , Glucagón/farmacología , Péptido 1 Similar al Glucagón/farmacología , Inyecciones Intraperitoneales , Masculino , Ratones , Proteínas Proto-Oncogénicas c-fos/efectos de los fármacos
7.
Mol Ther Methods Clin Dev ; 28: 129-145, 2023 Mar 09.
Artículo en Inglés | MEDLINE | ID: mdl-36654798

RESUMEN

Mutations in GUCY2D are associated with severe early-onset retinal dystrophy, Leber congenital amaurosis type 1 (LCA1), a leading cause of blindness in children. Despite a high degree of visual disturbance stemming from photoreceptor dysfunction, patients with LCA1 largely retain normal photoreceptor structure, suggesting that they are good candidates for gene replacement therapy. The purpose of this study was to conduct the preclinical and IND-enabling experiments required to support clinical application of AAV5-hGRK1-GUCY2D in patients harboring biallelic recessive mutations in GUCY2D. Preclinical studies were conducted in mice to evaluate the effect of vector manufacturing platforms and transgene species on the therapeutic response. Dose-ranging studies were conducted in cynomolgus monkeys to establish the minimum dose required for efficient photoreceptor transduction. Good laboratory practice (GLP) studies evaluated systemic biodistribution in rats and toxicology in non-human primates (NHPs). These results expanded our knowledge of dose response for an AAV5-vectored transgene under control of the human rhodopsin kinase (hGRK1) promoter in NHPs with respect to photoreceptor transduction and safety and, in combination with the rat biodistribution and mouse efficacy studies, informed the design of a first-in-human clinical study in patients with LCA1.

8.
Mol Ther Methods Clin Dev ; 30: 48-64, 2023 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-37361352

RESUMEN

Cone-rod dystrophy 6 (CORD6) is caused by gain-of-function mutations in the GUCY2D gene, which encodes retinal guanylate cyclase-1 (RetGC1). There are currently no treatments available for this autosomal dominant disease, which is characterized by severe, early-onset visual impairment. The purpose of our study was to develop an adeno-associated virus (AAV)-CRISPR-Cas9-based approach referred to as "ablate and replace" and evaluate its therapeutic potential in mouse models of CORD6. This two-vector system delivers (1) CRISPR-Cas9 targeted to the early coding sequence of the wild-type and mutant GUCY2D alleles and (2) a CRISPR-Cas9-resistant cDNA copy of GUCY2D ("hardened" GUCY2D). Together, these vectors knock out ("ablate") expression of endogenous RetGC1 in photoreceptors and supplement ("replace") a healthy copy of exogenous GUCY2D. First, we confirmed that ablation of mutant R838S GUCY2D was therapeutic in a transgenic mouse model of CORD6. Next, we established a proof of concept for "ablate and replace" and optimized vector doses in Gucy2e+/-:Gucy2f-/- and Gucy2f-/- mice, respectively. Finally, we confirmed that the "ablate and replace" approach stably preserved retinal structure and function in a novel knockin mouse model of CORD6, the RetGC1 (hR838S, hWT) mouse. Taken together, our results support further development of the "ablate and replace" approach for treatment of CORD6.

9.
Rural Remote Health ; 12: 1972, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22563671

RESUMEN

INTRODUCTION: Remote Area Nurses (RANs) in Australia frequently encounter hazards that contribute to violence in the work place. Resources to deal with this problem are limited. METHODS: Adopting a risk management approach and using the Delphi method, a panel of expert RANs (n=10) from geographically diverse communities across Australia, identified and prioritised hazards that increase the risk of violence to nurses. RESULTS: This descriptive study found that RANs encounter a wide variety of hazards from a variety of sources. Environmental hazards are complicated by living in remote areas and practicing in different locations. Relationships between the nurse and the community can be complex and lack of experience and organisational support may contribute to an increased risk of violence. Hazards prioritised as 'major' or 'extreme' risks included: clinic maintenance and security features, attending to patients at staff residences, RAN inexperience and lack of knowledge about the community, as well as intoxicated clients with mental health issues. A work culture that accepts verbal abuse as 'part of the job' was identified as a significant organisational risk to RANs. A lack of action from management when hazards are identified by clinic staff and insufficient recognition of the risk of violence by employers were also significant hazards. CONCLUSIONS: Further consideration of the hazards described in this study following the risk management process, may provide opportunities to reduce the risk of violence towards RANs. Proposed control measures should be developed in consultation with RANs and the remote communities they work in.


Asunto(s)
Competencia Clínica/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Relaciones Enfermero-Paciente , Personal de Enfermería/psicología , Gestión de Riesgos/normas , Servicios de Salud Rural , Violencia , Lugar de Trabajo , Australia , Competencia Clínica/normas , Competencia Cultural , Técnica Delphi , Femenino , Servicios de Salud del Indígena/organización & administración , Humanos , Masculino , Área sin Atención Médica , Servicios de Salud Mental/normas , Personal de Enfermería/estadística & datos numéricos , Personal de Enfermería/provisión & distribución , Cultura Organizacional , Reorganización del Personal , Gestión de Riesgos/métodos , Servicios de Salud Rural/organización & administración , Medidas de Seguridad , Estrés Psicológico , Encuestas y Cuestionarios , Violencia/prevención & control , Violencia/psicología , Recursos Humanos , Lugar de Trabajo/psicología
10.
Parasite Immunol ; 33(2): 81-94, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-21226721

RESUMEN

The effects of nanogel encapsulation of recombinant NcPDI (recNcPDI) following vaccination of mice by intranasal or intraperitoneal routes and challenge infection with Neospora caninum tachyzoites were investigated. Nanogels were chitosan based, with an alginate or alginate-mannose surface. None of the mice receiving recNcPDI intraperitoneal (i.p.) (without nanogels) survived, whereas intranasal (i.n.) application protected 9 of 10 mice from disease. Association of recNcPDI with nanogels improved survival of i.p. vaccinated mice, but nanogels without recNcPDI gave similar protection levels. When nanogels were inoculated via the i.n. route, 80% of the mice were protected. Association of recNcPDI with the alginate-coated nanogels protected all mice against disease. Quantification of the cerebral parasite burden showed a significant reduction of parasite numbers in most experimental groups vaccinated i.n., except those vaccinated with alginate-mannose nanogels with or without recNcPDI. For i.p. vaccinated groups, no significant differences in cerebral infection densities were measured, but there was a reduction in the groups vaccinated with recNcPDI associated with both types of nanogels. Analysis of the immune responses of infected mice indicated that association of recNcPDI with nanogels altered the patterns of cytokine mRNA expression profiles, but had no major impact on the antibody subtype responses. Nevertheless, this did not necessarily relate to the protection.


Asunto(s)
Quitosano/administración & dosificación , Coccidiosis/prevención & control , Portadores de Fármacos/administración & dosificación , Neospora/inmunología , Polietilenglicoles/administración & dosificación , Polietileneimina/administración & dosificación , Proteína Disulfuro Isomerasas/inmunología , Vacunas Antiprotozoos/inmunología , Administración Intranasal , Animales , Encéfalo/parasitología , Coccidiosis/inmunología , Modelos Animales de Enfermedad , Femenino , Inyecciones Intraperitoneales , Ratones , Ratones Endogámicos BALB C , Nanogeles , Neospora/enzimología , Proteína Disulfuro Isomerasas/administración & dosificación , Vacunas Antiprotozoos/administración & dosificación , Análisis de Supervivencia , Vacunación/métodos , Vacunas Sintéticas/administración & dosificación , Vacunas Sintéticas/inmunología
11.
Am J Transplant ; 10(4 Pt 2): 987-1002, 2010 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-20420648

RESUMEN

The waiting list for kidney transplantation continued to grow between 1999 and 2008, from 41 177 to 76 089 candidates. However, active candidates represented the minority of this increase (36 951-50 624, a 37% change), while inactive candidates increased over 500% (4226-25 465). There were 5966 living donor (LD) and 10 551 deceased donor (DD) kidney transplants performed in 2008. The total number of pancreas transplants peaked at 1484 in 2004 and has declined to 1273. Although the number of LD transplants increased by 26% from 1999 to 2008, the total number peaked in 2004 at 6647 before declining 10% by 2008. The rate of LD transplantation continues to vary significantly as a function of demographic and geographic factors, including waiting time for DD transplant. Posttransplant survival remains excellent, and there appears to be greater use of induction agents and reduced use of corticosteroids in LD recipients. Significant changes occurred in the pediatric population, with a dramatic reduction in the use of LD organs after passage of the Share 35 rule. Many strategies have been adopted to reverse the decline in LD transplant rates for all age groups, including expansion of kidney paired donation, adoption of laparoscopic donor nephrectomy and use of incompatible LD.


Asunto(s)
Trasplante de Riñón/mortalidad , Donadores Vivos/provisión & distribución , Trasplante de Páncreas/estadística & datos numéricos , Donantes de Tejidos/provisión & distribución , Niño , Humanos , Riñón/cirugía , Donadores Vivos/estadística & datos numéricos , Nefrectomía , Trasplante de Páncreas/tendencias , Donantes de Tejidos/estadística & datos numéricos , Estados Unidos/epidemiología , Listas de Espera
12.
Am J Transplant ; 9(7): 1523-7, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19656143

RESUMEN

'Life years from transplant' (LYFT) is the extra years of life that a candidate can expect to achieve with a kidney transplant as compared to never receiving a kidney transplant at all. The LYFT component survival models (patient lifetimes with and without transplant, and graft lifetime) are comparable to or better predictors of long-term survival than are other predictive equations currently in use for organ allocation. Furthermore, these models are progressively more successful at predicting which of two patients will live longer as their medical characteristics (and thus predicted lifetimes) diverge. The C-statistics and the correlations for the three LYFT component equations have been validated using independent, nonoverlapping split-half random samples. Allocation policies based on these survival models could lead to substantial increases in the number of life years gained from the current donor pool.


Asunto(s)
Trasplante de Riñón , Años de Vida Ajustados por Calidad de Vida , Análisis de Supervivencia , Humanos , Modelos Estadísticos , Obtención de Tejidos y Órganos , Estados Unidos , Listas de Espera
13.
Am J Transplant ; 9(4 Pt 2): 894-906, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19341414

RESUMEN

Although the number of candidates on the kidney transplant waiting list at year-end rose from 40 825 to 76 070 (86%) between 1998 and 2007, recent growth principally reflects increases in the number of patients in inactive status. The number of active patients increased by 'only' 4510 between 2002 and 2007, from 44 263 to 48 773. There were 6037 living donor and 10 082 deceased donor kidney transplants in 2007. Patient and allograft survival was best for recipients of living donor kidneys, least for expanded criteria donor (ECD) deceased donor kidneys, and intermediate for non-ECD deceased donor kidneys. The total number of pancreas transplants peaked at 1484 in 2004 and has since declined to 1331. Among pancreas recipients, those with simultaneous pancreas-kidney (SPK) transplants experienced the best pancreas graft survival rates: 86% at 1 year and 53% at 10 years. Between 1998 and 2006, among diabetic patients with end-stage renal disease (ESRD) who were under the age of 50 years, 23% of all and 62% of those waitlisted received a kidney-alone or SPK transplant. In contrast, 6% of diabetic patients aged 50-75 years with ESRD were transplanted, representing 46% of those waitlisted from this cohort. Access to kidney-alone or SPK transplantation varies widely by state.


Asunto(s)
Nefropatías Diabéticas/cirugía , Fallo Renal Crónico/cirugía , Trasplante de Riñón/estadística & datos numéricos , Trasplante de Páncreas/estadística & datos numéricos , Listas de Espera , Adulto , Anciano , Cadáver , Estudios de Cohortes , Familia , Humanos , Donadores Vivos/estadística & datos numéricos , Persona de Mediana Edad , Selección de Paciente , Grupos Raciales , Donantes de Tejidos/estadística & datos numéricos , Trasplante Homólogo/estadística & datos numéricos , Estados Unidos
14.
Hum Gene Ther ; 30(5): 571-589, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-30358434

RESUMEN

Mutations in GUCY2D, the gene encoding retinal guanylate cyclase-1 (retGC1), are the leading cause of autosomal dominant cone-rod dystrophy (CORD6). Significant progress toward clinical application of gene replacement therapy for Leber congenital amaurosis (LCA) due to recessive mutations in GUCY2D (LCA1) has been made, but a different approach is needed to treat CORD6 where gain of function mutations cause dysfunction and dystrophy. The CRISPR/Cas9 gene editing system efficiently disrupts genes at desired loci, enabling complete gene knockout or homology directed repair. Here, adeno-associated virus (AAV)-delivered CRISPR/Cas9 was used specifically to edit/disrupt this gene's early coding sequence in mouse and macaque photoreceptors in vivo, thereby knocking out retGC1 expression and demonstrably altering retinal function and structure. Neither preexisting nor induced Cas9-specific T-cell responses resulted in ocular inflammation in macaques, nor did it limit GUCY2D editing. The results show, for the first time, the ability to perform somatic gene editing in primates using AAV-CRISPR/Cas9 and demonstrate the viability this approach for treating inherited retinal diseases in general and CORD6 in particular.


Asunto(s)
Sistemas CRISPR-Cas , Dependovirus/genética , Edición Génica , Guanilato Ciclasa/genética , Receptores de Superficie Celular/genética , Retina/metabolismo , Animales , Secuencia de Bases , Electrorretinografía , Genes Reporteros , Vectores Genéticos/genética , Guanilato Ciclasa/metabolismo , Macaca , Ratones , Ratones Noqueados , Imagen Molecular/métodos , Regiones Promotoras Genéticas , ARN Guía de Kinetoplastida/química , ARN Guía de Kinetoplastida/genética , Receptores de Superficie Celular/metabolismo , Retina/patología
15.
Am J Transplant ; 8(4 Pt 2): 997-1011, 2008 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-18336702

RESUMEN

The Organ Procurement and Transplantation Network (OPTN) Kidney Committee is considering a proposal for a new deceased donor kidney allocation system. Among the components under consideration is a strategy to rank candidates in part by the estimated incremental years of life that are expected to be achieved with a transplant from a specific available deceased donor, computed as the difference in expected median lifespan with that transplant compared with remaining on dialysis. This concept has been termed life years from transplant or LYFT. Median lifespans could be calculated, based on objective medical criteria, for each candidate when a deceased donor kidney becomes available, based on Cox regression models using current candidate and donor medical information. The distribution of the calculated LYFT scores for an average nonexpanded criteria donor kidney is similar across candidate sex, race/ethnicity, insurance status and, with the exception of diabetes, diagnosis. LYFT scores tend to be higher for younger candidates and lower for diabetics receiving a kidney-alone rather than a simultaneous kidney-pancreas transplant. Prioritizing candidates with higher LYFT scores for each available kidney could substantially increase total years of life among both transplant candidates and recipients. LYFT is also a powerful metric for assessing trends in allocation outcomes and for comparing alternative allocation systems.


Asunto(s)
Trasplante de Riñón/fisiología , Esperanza de Vida , Trasplante de Hígado/fisiología , Obtención de Tejidos y Órganos/estadística & datos numéricos , Cadáver , Supervivencia de Injerto , Humanos , Fallo Renal Crónico/cirugía , Fallo Renal Crónico/terapia , Modelos Estadísticos , Modelos Teóricos , Terapia de Reemplazo Renal/estadística & datos numéricos , Factores de Tiempo , Donantes de Tejidos , Estados Unidos
16.
Mol Cell Biol ; 21(4): 1249-59, 2001 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-11158311

RESUMEN

gadd153, also known as chop, is a highly stress-inducible gene that is robustly expressed following disruption of homeostasis in the endoplasmic reticulum (ER) (so-called ER stress). Although all reported types of ER stress induce expression of Gadd153, its role in the stress response has remained largely undefined. Several studies have correlated Gadd153 expression with cell death, but a mechanistic link between Gadd153 and apoptosis has never been demonstrated. To address this issue we employed a cell model system in which Gadd153 is constitutively overexpressed, as well as two cell lines in which Gadd153 expression is conditional. In all cell lines, overexpression of Gadd153 sensitized cells to ER stress. Investigation of the mechanisms contributing to this effect revealed that elevated Gadd153 expression results in the down-regulation of Bcl2 expression, depletion of cellular glutathione, and exaggerated production of reactive oxygen species. Restoration of Bcl2 expression in Gadd153-overexpressing cells led to replenishment of glutathione and a reduction in levels of reactive oxygen species, and it protected cells from ER stress-induced cell death. We conclude that Gadd153 sensitizes cells to ER stress through mechanisms that involve down-regulation of Bcl2 and enhanced oxidant injury.


Asunto(s)
Proteínas Potenciadoras de Unión a CCAAT/genética , Proteínas Potenciadoras de Unión a CCAAT/metabolismo , Retículo Endoplásmico/metabolismo , Proteínas Proto-Oncogénicas c-bcl-2/metabolismo , Factores de Transcripción/genética , Factores de Transcripción/metabolismo , Animales , Secuencia de Bases , Línea Celular , Cartilla de ADN/genética , Regulación hacia Abajo , Expresión Génica , Genes bcl-2 , Glutatión/metabolismo , Células HeLa , Humanos , Ratones , Mutagénesis Sitio-Dirigida , Oxidación-Reducción , Estrés Oxidativo , Proteínas Proto-Oncogénicas c-bcl-2/genética , Factor de Transcripción CHOP
17.
J Interferon Cytokine Res ; 26(4): 248-55, 2006 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-16704301

RESUMEN

During the acute phase of the viral hemorrhagic disease, classical swine fever (CSF), a severe hematologic depletion in primary lymphoid organs and depletion of peripheral blood T and B lymphocytes are observed. The onset of these pathologic events is before viremia and independent of leukocyte infection, indicating a host-mediated effect possibly through a cytokine storm. Here, we show that high serum levels of interferon- alpha (IFN-alpha) were found during this phase of CSF, detectable as early as 2 days postinfection and reaching maximum levels 3-5 days postinfection (250-1300 U/mL). This IFN-alpha response was related to the virulence of the viral strain used, with avirulent virus not inducing any detectable serum IFN-alpha. A progressive depletion of natural IFN-producing cells/plasmacytoid dendritic cells (pDC), the likely in vivo source of IFN-alpha, was also induced by the viral infection. An important finding was that the onset of severe lymphopenia was concomitant with the IFN-alpha responses, and all animals with serum IFN-alpha had depleted B and T lymphocytes. A statistically significant correlation between lymphocyte depletion and serum IFN-alpha indicates a relationship between the two events, which is supported by the known hematologic effects of high IFN-alpha doses in vivo.


Asunto(s)
Virus de la Fiebre Porcina Clásica/patogenicidad , Peste Porcina Clásica/inmunología , Interferón-alfa/sangre , Linfopenia/veterinaria , Animales , Peste Porcina Clásica/virología , Células Dendríticas/inmunología , Fiebre/inmunología , Fiebre/virología , Interferón-alfa/metabolismo , Subgrupos Linfocitarios/inmunología , Linfopenia/inmunología , Linfopenia/virología , Células Plasmáticas/inmunología , Porcinos , Viremia/inmunología , Virulencia
18.
Cancer Res ; 57(9): 1807-13, 1997 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-9135026

RESUMEN

Age is the biggest risk factor associated with the development of cancer. Whereas the incidence of neoplastic disease increases dramatically in aging humans and experimental animals, the effects of aging on tumorigenesis are poorly understood. Using a rodent model, we have previously shown that the microenvironment of the hepatic parenchyma regulates hepatic tumor formation from transplanted neoplastic cells in an age-dependent manner. In the current study, we have investigated the mechanistic basis for the age-dependent suppression of tumor formation by transplanted BAG2-GN6TF rat liver epithelial tumor cells. Examination of liver tissue at 7 and 14 days after transplantation of liver tumor cells revealed the presence of injection-site tumors in both young and old animals. With time, these tumors spontaneously regressed from young adult livers, leaving no tumor remnant and without evidence of injury to the parenchyma. In contrast, tumors detected in old animals at early time points after transplantation persisted for the remainder of the life of the host. Reduced cell proliferation and increased apoptotic cell death were detected in hepatic tumors in young rats relative to hepatic tumors in old rats. These observations suggest that the regression of hepatic tumors from young rats was the direct result of an increased ratio of cell death to cell birth, whereas the persistence and expansion of hepatic tumors in old rats was related to increased cell proliferation relative to cell death. Because young adult rats developed persistent (nonregressing) tumors after transplantation of BAG2-GN6TF cells to extrahepatic sites, the consistent regression of BAG2-GN6TF tumors from livers of young rats seemed to be largely a result of interactions between tumor cells and factors specific to the liver microenvironment. These data indicate that the hepatic microenvironment of young rats can negatively regulate the growth of transformed liver epithelial cells, but with increasing age, the ability of the hepatic microenvironment to suppress the growth of neoplastic tissue deteriorates. Age-associated alterations in tissue microenvironments may thus permit the development of tumors late in life.


Asunto(s)
Neoplasias Hepáticas Experimentales/patología , Neoplasias Hepáticas/patología , Hígado/citología , Factores de Edad , Animales , Apoptosis , Comunicación Celular , Diferenciación Celular , División Celular , Supervivencia Celular , Trasplante de Neoplasias , Ratas , Ratas Endogámicas F344
19.
Cancer Res ; 54(14): 3668-71, 1994 Jul 15.
Artículo en Inglés | MEDLINE | ID: mdl-8033081

RESUMEN

Neoplastically transformed rat liver epithelial cell lines (GN6TF and GP7TB), which form tumors with short latency at s.c. or i.p. transplantation sites of syngeneic rats, did not form tumors or were weakly tumorigenic following transplantation into the livers of young adult rats and expressed increasing tumorigenicity in livers of increasingly aged rats. These results suggest that progressive alterations in the hepatic parenchyma with increasing age enabled tumor formation by providing a less suppressive microenvironment for expression of the tumorigenic phenotype. Age is widely recognized as a significant risk factor in the development of neoplasia; this study describes a model for investigation of the influence of age-dependent changes in the hepatic microenvironment on the development of hepatic cancer.


Asunto(s)
Transformación Celular Neoplásica , Neoplasias Hepáticas Experimentales/etiología , Hígado/patología , Factores de Edad , Animales , Línea Celular , Epitelio/patología , Masculino , Trasplante de Neoplasias , Ratas , Ratas Endogámicas F344
20.
J Anim Sci ; 94(11): 4911-4920, 2016 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-27898933

RESUMEN

The objective of this study was to identify the maximum time of refrigerated storage before aerobic psychrotrophic bacteria (APB) grew to a level indicative of spoilage (7 log cfu/g) or other indicators of spoilage were observed for whole muscle beef and ground beef packaged using FreshCase technology. Storage life for beef steaks stored in FreshCase packages at 4°C was 36 d, with ground beef stored in FreshCase packages at 4°C lasting 10 d. Additionally, greater ( < 0.05) a* (redness) values were detected in FreshCase packaged samples of both beef steaks and ground beef over storage time. At the point of spoilage, off-odors were detected at very low levels in all samples along with low thiobarbituric acid values (< 2 mg malonaldehyde/kg). Therefore, use of FreshCase technology in whole muscle beef and ground beef is a viable option to extend storage life.


Asunto(s)
Bacterias Aerobias/crecimiento & desarrollo , Microbiología de Alimentos , Embalaje de Alimentos/métodos , Almacenamiento de Alimentos/métodos , Carne Roja/microbiología , Animales , Bovinos , Color , Oxidación-Reducción , Refrigeración , Factores de Tiempo
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