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1.
J Nat Prod ; 84(7): 2035-2042, 2021 07 23.
Artículo en Inglés | MEDLINE | ID: mdl-34170700

RESUMEN

Pinnatoxin G is a cyclic imine neurotoxin produced by dinoflagellates that has been reported in shellfish. Like other members of the pinnatoxin family, it has been shown to have its effects via antagonism of the nicotinic acetylcholine receptors, with preferential binding to the α7 subunit often upregulated in cancer. Because increased activity of α7 nicotinic acetylcholine receptors contributes to increased growth and resistance to apoptosis, the effect of pinnatoxin G on cancer cell viability was tested. In a panel of six cancer cell lines, all cell types lost viability, but HT29 colon cancer and LN18 and U373 glioma cell lines were more sensitive than MDA-MB-231 breast cancer cells, PC3 prostate cancer cells, and U87 glioma cells, correlating with expression levels of α7, α4, and α9 nicotinic acetylcholine receptors. Some loss of cell viability could be attributed to cell cycle arrest, but significant levels of classical apoptosis were found, characterized by caspase activity, phosphatidylserine exposure, mitochondrial membrane permeability, and fragmented DNA. Intracellular Ca2+ levels also dropped immediately upon pinnatoxin G treatment, which may relate to antagonism of nicotinic acetylcholine receptor-mediated Ca2+ inflow. In conclusion, pinnatoxin G can decrease cancer cell viability, with both cytostatic and cytotoxic effects.


Asunto(s)
Alcaloides/farmacología , Antineoplásicos/farmacología , Apoptosis/efectos de los fármacos , Iminas/farmacología , Antagonistas Nicotínicos/farmacología , Compuestos de Espiro/farmacología , Calcio , Línea Celular Tumoral , Humanos , Toxinas Marinas/farmacología , Estructura Molecular , Receptores Nicotínicos
2.
Apoptosis ; 21(12): 1447-1452, 2016 12.
Artículo en Inglés | MEDLINE | ID: mdl-27738771

RESUMEN

Portimine is a recently discovered member of a class of marine micro-algal toxins called cyclic imines. In dramatic contrast to related compounds in this toxin class, portimine has very low acute toxicity to mice but is highly cytotoxic to cultured cells. In this study we show that portimine kills human Jurkat T-lymphoma cells and mouse embryonic fibroblasts (MEFs), with LC50 values of 6 and 2.5 nM respectively. Treated cells displayed rapid caspase activation and phosphatidylserine exposure, indicative of apoptotic cell death. Jurkat cells overexpressing the anti-apoptotic protein Bcl-2 or Bax/Bak knockout MEFs were completely protected from portimine. This protection was apparent even at high concentrations of portimine, with no evidence of necrotic cell death, indicating that portimine is a selective chemical inducer of apoptosis. Treatment of the Bcl-2-overexpressing cells with both portimine and the Bcl-2 inhibitor ABT-737 proved a powerful combination, causing >90 % death. We conclude that portimine is one of the most potent naturally derived inducers of apoptosis to be discovered, and it displays strong selectivity for the induction of apoptotic pathways.


Asunto(s)
Apoptosis/efectos de los fármacos , Citotoxinas/toxicidad , Iminas/toxicidad , Toxinas Marinas/toxicidad , Animales , Proteínas Reguladoras de la Apoptosis/genética , Proteínas Reguladoras de la Apoptosis/metabolismo , Línea Celular , Citotoxinas/química , Fibroblastos/citología , Fibroblastos/efectos de los fármacos , Fibroblastos/metabolismo , Humanos , Iminas/química , Células Jurkat , Toxinas Marinas/química , Ratones , Estructura Molecular
3.
Commun Dis Intell Q Rep ; 40(1): E1-6, 2016 Mar 31.
Artículo en Inglés | MEDLINE | ID: mdl-27080020

RESUMEN

Ciguatera fish poisoning is common in tropical and sub-tropical areas and larger fish (> 10 kg) are more susceptible to toxin accumulation with age. Although the coastal climate of northern New South Wales is considered sub-tropical, prior to 2014 there has only been 1 documented outbreak of ciguatera fish poisoning from fish caught in the region. During February and March 2014, 2 outbreaks of ciguatera fish poisoning involved 4 and 9 individuals, respectively, both following consumption of Spanish mackerel from northern New South Wales coastal waters (Evans Head and Scotts Head). Affected individuals suffered a combination of gastrointestinal and neurological symptoms requiring hospital treatment. At least 1 individual was symptomatic up to 7 months later. Liquid chromatography-tandem mass spectrometry detected the compound Pacific ciguatoxin-1B at levels up to 1.0 µg kg(-1) in fish tissue from both outbreaks. During April 2015, another outbreak of ciguatera fish poisoning was reported in 4 individuals. The fish implicated in the outbreak was caught further south than the 2014 outbreaks (South West Rocks). Fish tissue was unavailable for analysis; however, symptoms were consistent with ciguatera fish poisoning. To our knowledge, these cases are the southernmost confirmed sources of ciguatera fish poisoning in Australia. Educational outreach to the fishing community, in particular recreational fishers was undertaken after the Evans Head outbreak. This highlighted the outbreak, species of fish involved and the range of symptoms associated with ciguatera fish poisoning. Further assessment of the potential for ciguatoxins to occur in previously unaffected locations need to be considered in terms of food safety.


Asunto(s)
Intoxicación por Ciguatera/diagnóstico , Intoxicación por Ciguatera/epidemiología , Ciguatoxinas/aislamiento & purificación , Brotes de Enfermedades , Productos Pesqueros/toxicidad , Animales , Cromatografía Liquida , Intoxicación por Ciguatera/inducido químicamente , Intoxicación por Ciguatera/fisiopatología , Productos Pesqueros/análisis , Humanos , Nueva Gales del Sur/epidemiología , Perciformes , Espectrometría de Masas en Tándem , Factores de Tiempo
4.
J AOAC Int ; 98(3): 609-621, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-26024657

RESUMEN

A single-laboratory validation study was conducted for the hydrophilic interaction-LC-MS/MS analysis of paralytic shellfish toxins (PSTs) in bivalve shellfish. The method was developed as an alternative to the precolumn oxidation AOAC 2005.06 and postcolumn oxidation AOAC 2011.02 LC with fluorescence detection methods, receptor binding assay AOAC 2011.27, as well as the mouse bioassay AOAC 959.08. PSTs assessed were saxitoxin, neosaxitoxin, deoxydecarbamoylsaxitoxin, decarbamoylsaxitoxin, decarbamoylneosaxitoxin, gonyautoxins 1-6, decarbamoylgonyautoxins 2-3, and N-sulfocarbamoyl gonyautoxins 2&3. The method also included the determination of decarbamoylgonyautoxins 1&4, N-sulfocarbamoyl gonyautoxins 1&4, and M toxins. Twelve commercially produced bivalve species from both New Zealand and the United Kingdom were assessed, including mussels, oysters, scallops, and clams. Validation studies demonstrated acceptable method performance characteristics for specificity, linearity, recovery, repeatability, and within-laboratory reproducibility. LOD and LOQ were significantly improved in comparison to current fluorescence-based detection methods, and the method was shown to be rugged. The method performed well in comparison to AOAC 2005.06, with evidence obtained from both comparative analysis of 1141 PST-contaminated samples and successful participation in proficiency testing schemes. The method is suitable for use in regulatory testing and will be submitted for an AOAC collaborative study.


Asunto(s)
Bivalvos/química , Toxinas Marinas/análisis , Intoxicación por Mariscos , Mariscos/análisis , Animales , Cromatografía Líquida de Alta Presión , Residuos de Medicamentos/análisis , Límite de Detección , Estándares de Referencia , Reproducibilidad de los Resultados , Espectrometría de Masas en Tándem
5.
J AOAC Int ; 97(2): 325-33, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24830143

RESUMEN

Two methods for the determination of tetrodotoxin (TTX) in marine biota have been developed and validated using ultra-performance LC coupled to triple quadrupole MS. The direct analysis of TTX is completed in one method, while the other method detects the dehydration product of TTX after reaction with base. The methods were validated in a single-laboratory trial and used to test Paphies australis (pipi) samples collected from Whangapoua, New Zealand during April 2011. Pa. australis is a commonly eaten species of bivalve that was found to contain TTX at levels up to 0.80 mg/kg in this study. The methods exhibited recoveries ranging from 94 to 120%, and the within laboratory reproducibility ranged from 6 to 27% for Pleurobranchaea maculata (grey-side gilled sea slug) and bivalve matrixes. Use of the method using a dehydration step showed no evidence of TTX analogs in any of the samples.


Asunto(s)
Bivalvos/química , Cromatografía Liquida/métodos , Espectrometría de Masas/métodos , Tetrodotoxina/química , Animales , Análisis de los Alimentos , Estructura Molecular , Nueva Zelanda , Reproducibilidad de los Resultados
6.
Mar Drugs ; 12(1): 1-16, 2013 Dec 24.
Artículo en Inglés | MEDLINE | ID: mdl-24368566

RESUMEN

The origin of tetrodotoxin (TTX) is highly debated; researchers have postulated either an endogenous or exogenous source with the host accumulating TTX symbiotically or via food chain transmission. The aim of this study was to determine whether the grey side-gilled sea slug (Pleurobranchaea maculata) could obtain TTX from a dietary source, and to attempt to identify this source through environmental surveys. Eighteen non-toxic P. maculata were maintained in aquariums and twelve were fed a TTX-containing diet. Three P. maculata were harvested after 1 h, 24 h, 17 days and 39 days and TTX concentrations in their stomach, gonad, mantle and remaining tissue/fluids determined using liquid chromatography-mass spectrometry. Tetrodotoxin was detected in all organs/tissue after 1 h with an average uptake of 32%. This decreased throughout the experiment (21%, 15% and 9%, respectively). Benthic surveys at sites with dense populations of toxic P. maculata detected very low or no TTX in other organisms. This study demonstrates that P. maculata can accumulate TTX through their diet. However, based on the absence of an identifiable TTX source in the environment, in concert with the extremely high TTX concentrations and short life spans of P. maculata, it is unlikely to be the sole TTX source for this species.


Asunto(s)
Dieta , Pleurobranchaea/metabolismo , Tetrodotoxina/análisis , Animales , Cromatografía Líquida de Alta Presión , Ambiente , Liofilización , Nueva Zelanda , Pleurobranchaea/química , Espectrometría de Masas en Tándem , Tetrodotoxina/farmacocinética , Distribución Tisular
7.
Anal Chem ; 84(1): 478-80; discussion 481-3, 2012 Jan 03.
Artículo en Inglés | MEDLINE | ID: mdl-22011344

RESUMEN

This recent paper by Otero and co-workers presents some data from analysis of okadaic acid group toxins by liquid chromatography-tandem mass spectrometry (LC-MS/MS) using different instruments, operating parameters, and solvent conditions. They question the suitability of this tool for quantitative analysis. This paper reveals a lack of understanding of critical factors for the successful use of LC-MS methodology in general as well as some specific proficiency issues with the work reported on the three toxins. We show that there are problems with the conduct and reporting of the experiments, including possible injector carry-over and lack of quality assurance/quality control (QA/QC) controls. Therefore the specific conclusions they draw from their data are considered invalid.


Asunto(s)
Cromatografía Líquida de Alta Presión/métodos , Toxinas Marinas/análisis , Espectrometría de Masas en Tándem/métodos
8.
J Chem Ecol ; 38(11): 1342-50, 2012 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-23151964

RESUMEN

Depuration of tetrodotoxin (TTX) was investigated in adult grey side-gilled sea slugs, Pleurobranchaea maculata, maintained in captivity on a TTX-free diet. Three adults were harvested every 21 days for 126 days, and TTX concentrations were measured in organs/tissues and egg masses. Automated rRNA intergenic spacer analysis (ARISA) was used to investigate bacterial community structure in selected samples. Linear modeling of adult data demonstrated a decline (P<0.001) in average total TTX concentrations over time. Temporal data obtained from a wild population showed similar depuration rates, indicating that once adults reach a certain size, or sexual maturity, TTX is no longer produced or acquired substantially. Depuration rates differed among organs, with concentrations in the heart declining the fastest. The gonads had the slowest and least significant depuration rate indicating, at most, weak depuration of this tissue. There was a strong correlation (R(2)=0.66) between TTX concentrations in the first-laid egg masses and total TTX in the corresponding adult. These data suggest that adult P. maculata transfer TTX to their offspring, and presumably that functions as a chemical defense. ARISA data showed a shift in bacterial community structure within 3 weeks of introduction to captivity. Based on the combined data, the exact origin of TTX in P. maculata is unclear, with evidence both in favor and against a dietary source, and endogenous or bacterial production.


Asunto(s)
Fenómenos Fisiológicos Bacterianos , Óvulo/microbiología , Pleurobranchaea/metabolismo , Pleurobranchaea/microbiología , Tetrodotoxina/análisis , Animales , Bacterias/genética , Cromatografía Líquida de Alta Presión , Gónadas/metabolismo , Espectrometría de Masas , Miocardio/metabolismo , Óvulo/metabolismo , Pleurobranchaea/crecimiento & desarrollo , Reacción en Cadena de la Polimerasa , ARN Ribosómico/análisis
9.
Mar Drugs ; 10(1): 163-176, 2012 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-22363228

RESUMEN

Tetrodotoxin (TTX) is a potent neurotoxin that has been identified in a range of phylogenetically unrelated marine and terrestrial organisms. Tetrodotoxin was recently detected in New Zealand in Pleurobranchaea maculata (the grey side-gilled sea slug). From June 2010 to June 2011 wild specimens were collected from 10 locations around New Zealand. At one site (Narrow Neck Beach, Auckland) up to 10 individuals were collected monthly for 6 months. Attempts were also made to rear P. maculata in captivity. Tetrodotoxin was detected in samples from eight of the ten sites. The highest average (368.7 mg kg⁻¹) and maximum (1414.0 mg kg⁻¹) concentrations were measured in samples from Illiomama Rock (Auckland). Of the toxic populations tested there was significant variability in TTX concentrations among individuals, with the highest difference (62 fold) measured at Illiomama Rock. Tetrodotoxin concentrations in samples from Narrow Neck Beach varied temporally, ranging from an average of 184 mg kg⁻¹ in June 2010 to 17.5 mg kg⁻¹ by December 2010. There was no correlation between TTX levels and mass. The highest levels correspond with the egg laying season (June-August) and this, in concert with the detection of high levels of TTX in eggs and early larval stages, suggests that TTX may have a defensive function in P. maculata. Only one larva was successfully reared to full maturation and no TTX was detected.


Asunto(s)
Pleurobranchaea/química , Tetrodotoxina/análisis , Animales , Larva/química , Nueva Zelanda , Óvulo/química , Pleurobranchaea/crecimiento & desarrollo
10.
J AOAC Int ; 95(4): 1097-105, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-22970578

RESUMEN

A single-laboratory validation is reported for an LC/MS/MS quantification of six brevetoxins in four matrixes (Greenshell mussel, eastern oyster, hard clam, and Pacific oyster). Recovery and precision data were collected from seven analytical batches using shellfish flesh at 0.05 mg/kg. Method recoveries and within-laboratory reproducibility ranged from 73 to 112%, with an RSD between 14 and 18% for brevetoxin-3, brevetoxin B5, brevetoxin B2, and S-desoxy brevetoxin B2. The recovery and within-laboratory reproducibility for brevetoxin-2 was 61%, with an RSD of 27%. Brevetoxin B1 gave an RSD of 12%, but no reference material was available and this toxin was only recorded in a hard clam sample naturally contaminated with brevetoxins. One naturally contaminated sample of each shellfish matrix, with brevetoxin levels ranging from 0.012 to 9.9 mg/kg, was tested in multiple batches, and the RSDs were similar to those for fortified samples at 0.05 mg/kg. Comparisons with limited data for the neurotoxic shellfish poisoning mouse bioassay for four naturally contaminated shellfish samples showed that the regulatory action limit of 0.8 mg/kg is conservative with respect to the bioassay regulatory limit of 20 mouse units/100 g.


Asunto(s)
Bioensayo/métodos , Cromatografía Liquida/métodos , Análisis de los Alimentos/métodos , Toxinas Marinas/análisis , Oxocinas/análisis , Espectrometría de Masas en Tándem/métodos , Animales , Bivalvos , Contaminación de Alimentos , Laboratorios , Ratones , Ostreidae , Valores de Referencia , Reproducibilidad de los Resultados , Mariscos , Intoxicación por Mariscos/prevención & control , Toxinas Biológicas/análisis
12.
J AOAC Int ; 103(2): 533-562, 2020 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-31645237

RESUMEN

BACKGROUND: An ultrahigh-performance LC (UHPLC)-tandem MS (MS/MS) method for determination of paralytic shellfish poisoning toxins and tetrodotoxin (TTX) in bivalve molluscs was developed. To be used for regulatory testing, it needed to be validated through collaborative study. OBJECTIVE: The aim was to conduct a collaborative study with 21 laboratories, using results to assess method performance. METHODS: Study materials incorporated shellfish species mussels, oysters, cockles, scallops, and clams and were assessed to demonstrate stability and homogeneity. Mean concentrations determined by participants for blind duplicate samples were used to assess reproducibility, repeatability, and trueness. RESULTS: Method performance characteristics were excellent following statistical assessment of participant data, with method trueness showing excellent method accuracy against expected values. No significant difference was found in the trueness results determined by different chromatographic column types. Acceptability of the between-laboratory reproducibility for individual analytes was evidenced by >99% of valid Horwitz ratio values being less than the 2.0 limit of acceptability. With excellent linearity and sensitivity fit-for-purpose over a range of mass spectrometer instruments, the UHPLC-MS/MS method compared well against other detection methods. It includes additional paralytic shellfish toxin (PST) analogues as well as TTX, which, to date, have not been incorporated into any other hydrophilic marine toxin official method of analysis. CONCLUSIONS: The results from this study demonstrate that the method is suitable for the analysis of PST analogues and TTX in shellfish tissues and is recommended as an official alternative method of analysis for regulatory control. HIGHLIGHTS: A new mass spectrometric method for PST and TTX has been validated successfully through collaborative study.


Asunto(s)
Bivalvos , Cardiidae , Ostreidae , Pectinidae , Intoxicación por Mariscos , Animales , Cromatografía Liquida , Humanos , Interacciones Hidrofóbicas e Hidrofílicas , Reproducibilidad de los Resultados , Mariscos/análisis , Espectrometría de Masas en Tándem , Tetrodotoxina/análisis
13.
Toxicon ; 52(8): 954-6, 2008 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-18977379

RESUMEN

Seafood in many parts of the world may become contaminated with high levels of domoic acid and domoic acid isomers, and such seafood has been shown to cause toxic effects in humans and in marine animals. Domoic acid itself has been held responsible for the observed effects, although the possible contribution of the isomers to toxicity has not been investigated. In the present study, the acute intraperitoneal toxicity of isodomoic acid C in mice was found to be lower than that of domoic acid. Furthermore, the severities of the behavioural changes induced by isodomoic acids A, B and C were all much lower than that of domoic acid itself, suggesting that these substances pose relatively little risk to human or animal health.


Asunto(s)
Ácidos Heptanoicos/toxicidad , Ácido Kaínico/análogos & derivados , Toxinas Marinas/toxicidad , Animales , Conducta/efectos de los fármacos , Femenino , Ácidos Heptanoicos/aislamiento & purificación , Inyecciones Intraperitoneales , Isomerismo , Ácido Kaínico/toxicidad , Dosificación Letal Mediana , Toxinas Marinas/aislamiento & purificación , Ratones , Modelos Moleculares , Mytilus edulis/metabolismo , Pectinidae/química , Algas Marinas/química
14.
Chest ; 154(3): 628-635, 2018 09.
Artículo en Inglés | MEDLINE | ID: mdl-29859184

RESUMEN

BACKGROUND: Adults hospitalized with community-acquired pneumonia (CAP) are at high risk for short-term mortality. However, it is unclear whether improvements in in-hospital pneumonia care could substantially lower this risk. We extensively reviewed all in-hospital deaths in a large prospective CAP study to assess the cause of each death and assess the extent of potentially preventable mortality. METHODS: We enrolled adults hospitalized with CAP at five tertiary-care hospitals in the United States. Five physician investigators reviewed the medical record and study database for each patient who died to identify the cause of death, the contribution of CAP to death, and any preventable factors potentially contributing to death. RESULTS: Among 2,320 enrolled patients, 52 (2.2%) died during initial hospitalization. Among these 52 patients, 33 (63.4%) were ≥ 65 years old, and 32 (61.5%) had ≥ two chronic comorbidities. CAP was judged to be the direct cause of death in 27 patients (51.9%). Ten patients (19.2%) had do-not-resuscitate orders prior to admission. Four patients were identified in whom a lapse in quality of care potentially contributed to death; preexisting end-of-life limitations were present in two of these patients. Two patients seeking full medical care experienced a lapse in in-hospital quality of pneumonia care that potentially contributed to death. CONCLUSIONS: In this study of adults with CAP at tertiary-care hospitals with a low mortality rate, most in-hospital deaths did not appear to be preventable with improvements in in-hospital pneumonia care. Preexisting end-of-life limitations in care, advanced age, and high comorbidity burden were common among those who died.


Asunto(s)
Infecciones Comunitarias Adquiridas/mortalidad , Mortalidad Hospitalaria , Neumonía/mortalidad , Adulto , Anciano , Anciano de 80 o más Años , Causas de Muerte , Femenino , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Factores de Riesgo , Estados Unidos/epidemiología
15.
J AOAC Int ; 90(4): 1011-27, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17760339

RESUMEN

A collaborative study was conducted on the Biosense amnesic shellfish poisoning (ASP) enzyme-linked immunosorbent assay (ELISA) for the determination of domoic acid (DA) toxins in shellfish in order to obtain interlaboratory validation data for the method. In addition, a method comparison study was performed to evaluate the ASP ELISA as an alternative to the current liquid chromatography (LC) reference method for DA determination. The study material comprised 16 shellfish samples, including blue mussels, Pacific oysters, and king scallops, spiked with contaminated mussel homogenates to contain 0.1-20 mg DA/kg shellfish flesh. The shellfish samples were extracted with 50% aqueous methanol, and the supernatants were directly analyzed. Sixteen participating laboratories in 10 countries reported data from the ASP ELISA, and 4 of these laboratories also reported data from instrumental LC analysis. The participating laboratories achieved interlaboratory precision estimates for the 8 Youden paired shellfish samples in the range of 10-20% for RSD(r) (mean 14.8 +/- 4%), and 13-29% for RSDR (mean 22.7 +/- 6%). The precision estimates for the ELISA data did not show a strong dependence on the DA concentration in the study samples, and the overall precision achieved was within the acceptable range of the Horwitz guideline with HorRat values ranging from 1.1 to 2.4 (mean HorRat 1.7 +/- 0.5). The analysis of shellfish samples spiked with certified reference material (CRM)-ASP-MUS-b gave recoveries in the range of 88-122%, with an average recovery of 104 +/- 10%. The estimate on method accuracy was supported by a correlation slope of 1.015 (R2 = 0.992) for the determined versus the expected DA values. Furthermore, the correlation of the ASP ELISA results with those for the instrumental LC analyses of the same sample extracts gave a correlation slope of 1.29 (R2 = 0.984). This indicates some overestimation of DA levels in shellfish by the ELISA, but it is also a result of apparent low recoveries for the LC methods. This interlaboratory study demonstrates that the ASP ELISA is suitable for the routine determination and monitoring of DA toxins in shellfish, and that it offers a rapid and cost-effective methodology with high sample throughput.


Asunto(s)
Técnicas Biosensibles , Técnicas de Química Analítica/métodos , Química Farmacéutica/métodos , Ensayo de Inmunoadsorción Enzimática/métodos , Ácido Kaínico/análogos & derivados , Toxinas Marinas/química , Animales , Bivalvos/metabolismo , Calibración , Relación Dosis-Respuesta a Droga , Análisis de los Alimentos , Contaminación de Alimentos , Ácido Kaínico/química , Pectinidae/metabolismo , Reproducibilidad de los Resultados , Mariscos
16.
J Community Hosp Intern Med Perspect ; 7(3): 175-177, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28808511

RESUMEN

Rheumatoid nodules occur frequently in patients with rheumatoid arthritis and are the most common cutaneous manifestation of the disease. Although uncommon, rheumatoid nodules may also occur on cardiac valves, where they may be large and clinically significant. They may embolize and cause stroke. They may cause regurgitant murmurs, or they may result in valvular destruction. Echocardiographically, they may mimic an atrial myxoma or appear as a vegetation. We present a patient with seronegative rheumatoid arthritis who developed an acute embolic stroke; he had peripheral stigmata of infective endocarditis on physical examination and echocardiography revealed a mitral valve vegetation. We illustrate that these findings were due to a large, highly destructive mitral valve rheumatoid nodule. We review the literature on macroscopic endocardial nodules and emphasize their diverse clinical behavior.

17.
J AOAC Int ; 88(3): 761-72, 2005.
Artículo en Inglés | MEDLINE | ID: mdl-16001850

RESUMEN

A method that uses liquid chromatography with tandem mass spectrometry (LC/MS/MS) has been developed for the highly sensitive and specific determination of amnesic shellfish poisoning toxins, diarrhetic shellfish poisoning toxins, and other lipophilic algal toxins and metabolites in shellfish. The method was subjected to a full single-laboratory validation and a limited interlaboratory study. Tissue homogenates are blended with methanol-water (9 + 1), and the centrifuged extract is cleaned up with a hexane wash. LC/MS/MS (triple quadrupole) is used for quantitative analysis with reversed-phase gradient elution (acidic buffer), electrospray ionization (positive and negative ion switching), and multiple-reaction monitoring. Ester forms of dinophysis toxins are detected as the parent toxins after hydrolysis of the methanolic extract. The method is quantitative for 6 key toxins when reference standards are available: azaspiracid-1 (AZA1), domoic acid (DA), gymnodimine (GYM), okadaic acid (OA), pectenotoxin-2 (PTX2), and yessotoxin (YTX). Relative response factors are used to estimate the concentrations of other toxins: azaspiracid-2 and -3 (AZA2 and AZA3), dinophysis toxin-1 and -2 (DTX1 and DTX2), other pectenotoxins (PTX1, PTX6, and PTX11), pectenotoxin secoacid metabolites (PTX2-SA and PTX11-SA) and their 7-epimers, spirolides, and homoYTX and YTX metabolites (45-OHYTX and carboxyYTX). Validation data have been gathered for Greenshell mussel, Pacific oyster, cockle, and scallop roe via fortification and natural contamination. For the 6 key toxins at fortification levels of 0.05-0.20 mg/kg, recoveries were 71-99% and single laboratory reproducibilities, relative standard deviations (RSDs), were 10-24%. Limits of detection were <0.02 mg/kg. Extractability data were also obtained for several toxins by using successive extractions of naturally contaminated mussel samples. A preliminary interlaboratory study was conducted with a set of toxin standards and 4 mussel extracts. The data sets from 8 laboratories for the 6 key toxins plus DTX1 and DTX2 gave within-laboratories repeatability (RSD(R)) of 8-12%, except for PTX-2. Between-laboratories reproducibility (RSDR) values were compared with the Horwitz criterion and ranged from good to adequate for 7 key toxins (HorRat values of 0.8-2.0).


Asunto(s)
Cromatografía Liquida/métodos , Análisis de los Alimentos/métodos , Espectrometría de Masas/métodos , Toxinas Biológicas/análisis , Animales , Bioensayo , Éteres Cíclicos/análisis , Furanos/análisis , Furanos/metabolismo , Compuestos Heterocíclicos con 3 Anillos/análisis , Hidrocarburos Cíclicos/análisis , Hidrólisis , Iminas/análisis , Ácido Kaínico/análogos & derivados , Ácido Kaínico/análisis , Macrólidos , Toxinas Marinas/análisis , Metanol/química , Ratones , Moluscos , Venenos de Moluscos , Ácido Ocadaico/análisis , Oxocinas/análisis , Piranos/análisis , Piranos/metabolismo , Reproducibilidad de los Resultados , Sensibilidad y Especificidad , Mariscos , Compuestos de Espiro/análisis , Factores de Tiempo
18.
Toxins (Basel) ; 7(2): 255-73, 2015 Jan 28.
Artículo en Inglés | MEDLINE | ID: mdl-25635464

RESUMEN

Tetrodotoxin (TTX) is a potent neurotoxin found in the tissues of many taxonomically diverse organisms. Its origin has been the topic of much debate, with suggestions including endogenous production, acquisition through diet, and symbiotic bacterial synthesis. Bacterial production of TTX has been reported in isolates from marine biota, but at lower than expected concentrations. In this study, 102 strains were isolated from Pleurobranchaea maculata (Opisthobranchia) and Stylochoplana sp. (Platyhelminthes). Tetrodotoxin production was tested utilizing a recently developed sensitive method to detect the C9 base of TTX via liquid chromatography-mass spectrometry. Bacterial strains were characterized by sequencing a region of the 16S ribosomal RNA gene. To account for the possibility that TTX is produced by a consortium of bacteria, a series of experiments using marine broth spiked with various P. maculata tissues were undertaken. Sixteen unique strains from P. maculata and one from Stylochoplana sp. were isolated, representing eight different genera; Pseudomonadales, Actinomycetales, Oceanospirillales, Thiotrichales, Rhodobacterales, Sphingomonadales, Bacillales, and Vibrionales. Molecular fingerprinting of bacterial communities from broth experiments showed little change over the first four days. No C9 base or TTX was detected in isolates or broth experiments (past day 0), suggesting a culturable microbial source of TTX in P. maculata and Stylochoplana sp. is unlikely.


Asunto(s)
Bacterias/metabolismo , Consorcios Microbianos/fisiología , Platelmintos/microbiología , Pleurobranchaea/microbiología , Tetrodotoxina/biosíntesis , Animales , Bacterias/clasificación , Bacterias/genética , Cromatografía Liquida , Espectrometría de Masas , Consorcios Microbianos/genética , Filogenia , ARN Ribosómico 16S/genética , Tetrodotoxina/análisis
19.
Toxicon ; 95: 23-9, 2015 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-25557071

RESUMEN

High concentrations of the neurotoxin tetrodotoxin (TTX) were detected by liquid chromatography-mass spectrometry (LC-MS) in the Platyhelminthes Stylochoplana sp. from Pilot Bay (Tauranga, New Zealand). This is the first detection of TTX in this genus. Concentrations were monitored from March to November (2013) and found to significantly decrease from a peak in July (avg. 551 mg kg(-1)) to November (avg. 140 mg kg(-1)). Stylochoplana sp. co-occurred with TTX-containing Pleurobranchaea maculata (Opisthobranchia). A Stylochoplana sp.-specific real-time PCR assay was developed targeting the mitochondrial cytochrome c oxidase subunit I gene to determine if P. maculata consumed Stylochoplana sp. Positive Stylochoplana sp. signals were obtained for 7 of 19 P. maculata tested. Mass calculations indicate Stylochoplana sp. could supply Pilot Bay P. maculata with the TTX required to account for the concentrations reported in previous studies (ca. 1.04 mg TTX per individual) based on an ingestion rate of one individual every 2-3 days throughout their lifetime. However, due to the lack of Stylochoplana sp. in areas with dense P. maculata populations, and high concentration (ca. 1400 mg kg(-1)) of TTX detected in some individuals, it is unlikely that Stylochoplana sp. represent the sole source of TTX in P. maculata.


Asunto(s)
Platelmintos/química , Pleurobranchaea , Tetrodotoxina/aislamiento & purificación , Animales , Cromatografía Liquida , ADN de Helmintos/genética , Genes de Helminto , Espectrometría de Masas , Nueva Zelanda , Proyectos Piloto , Platelmintos/genética , ARN Ribosómico 18S/genética , Reacción en Cadena en Tiempo Real de la Polimerasa , Manejo de Especímenes
20.
J Chromatogr A ; 1387: 1-12, 2015 Mar 27.
Artículo en Inglés | MEDLINE | ID: mdl-25704772

RESUMEN

Routine regulatory monitoring of paralytic shellfish toxins (PST) commonly employs oxidative derivitisation and complex liquid chromatography fluorescence detection methods (LC-FL). The pre-column oxidation LC-FL method is currently implemented in New Zealand and the United Kingdom. When using this method positive samples are fractionated and two different oxidations are required to confirm the identity and quantity of each PST analogue present. There is a need for alternative methods that are simpler, provide faster turnaround times and have improved detection limits. Hydrophilic interaction liquid chromatography (HILIC) HPLC-MS/MS analysis of PST has been used for research purposes, but high detection limits and substantial sample matrix issues have prevented it from becoming a viable alternative for routine monitoring purposes. We have developed a HILIC UPLC-MS/MS method for paralytic shellfish toxins with an optimised desalting clean-up procedure on inexpensive carbon solid phase extraction cartridges for reduction of matrix interferences. This represents a major technical breakthrough and allows sensitive, selective and rapid analysis of paralytic shellfish toxins from a variety of sample types, including many commercially produced bivalve molluscan shellfish species. Additionally, this analytical approach avoids the need for complex calculations to determine sample toxicity, as unlike other methods each PST analogue is able to be quantified as a single resolved peak. This article presents the method development and optimisation information. A thorough single laboratory validation study has subsequently been performed and this data will be presented elsewhere.


Asunto(s)
Bivalvos/química , Técnicas de Química Analítica/métodos , Cromatografía Liquida , Tecnología de Alimentos/métodos , Toxinas Marinas/análisis , Mariscos/análisis , Espectrometría de Masas en Tándem , Animales , Carbono/química , Tecnología de Alimentos/instrumentación , Límite de Detección , Intoxicación por Mariscos/prevención & control , Extracción en Fase Sólida
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