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1.
Int J Obes (Lond) ; 39(6): 910-9, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25783037

RESUMO

BACKGROUND/OBJECTIVES: Obese subjects have increased number of enlarged fat cells that are reduced in size but not in number in post-obesity. We performed DNA methylation profiling in fat cells with the aim of identifying differentially methylated DNA sites (DMS) linked to adipose hyperplasia (many small fat cells) in post-obesity. SUBJECTS/METHODS: Genome-wide DNA methylation was analyzed in abdominal subcutaneous fat cells from 16 women examined 2 years after gastric bypass surgery at a post-obese state (body mass index (BMI) 26±2 kg m(-2), mean±s.d.) and from 14 never-obese women (BMI 25±2 kg m(-2)). Gene expression was analyzed in subcutaneous adipose tissue from nine women in each group. In a secondary analysis, we examined DNA methylation and expression of adipogenesis genes in 15 and 11 obese women, respectively. RESULTS: The average degree of DNA methylation of all analyzed CpG sites was lower in fat cells from post-obese as compared with never-obese women (P=0.014). A total of 8504 CpG sites were differentially methylated in fat cells from post-obese versus never-obese women (false discovery rate 1%). DMS were under-represented in CpG islands and surrounding shores. The 8504 DMS mapped to 3717 unique genes; these genes were over-represented in cell differentiation pathways. Notably, 27% of the genes linked to adipogenesis (that is, 35 of 130) displayed DMS (adjusted P=10(-8)) in post-obese versus never-obese women. Next, we explored DNA methylation and expression of genes linked to adipogenesis in more detail in adipose tissue samples. DMS annotated to adipogenesis genes were not accompanied by differential gene expression in post-obese compared with never-obese women. In contrast, adipogenesis genes displayed differential DNA methylation accompanied by altered expression in obese women. CONCLUSIONS: Global CpG hypomethylation and over-representation of DMS in adipogenesis genes in fat cells may contribute to adipose hyperplasia in post-obese women.


Assuntos
Adipócitos/metabolismo , Adipogenia/genética , Metilação de DNA/genética , Derivação Gástrica , Obesidade/metabolismo , Gordura Subcutânea/metabolismo , Aumento de Peso , Redução de Peso , Adulto , Biomarcadores/metabolismo , Índice de Massa Corporal , Ilhas de CpG , Feminino , Seguimentos , Regulação da Expressão Gênica , Estudo de Associação Genômica Ampla , Humanos , Pessoa de Meia-Idade , Obesidade/genética , Obesidade/cirurgia , Regiões Promotoras Genéticas , Reprodutibilidade dos Testes , Suécia/epidemiologia , Aumento de Peso/genética
2.
Scand J Med Sci Sports ; 25(3): 372-81, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24840312

RESUMO

There are relatively few studies on female athletes examining cardiac size and function and how these measures relate to maximal oxygen uptake (VO2max). When determining sports eligibility, it is important to know what physiological adaptations and characteristics may be expected in female athletes, taking body and cardiac size into account. The purposes of this study were (a) to compare right and left heart dimensions and function in female endurance athletes (ATH) and in non-athletic female controls of similar age (CON); and (b) to explore how these measures related to VO2max. Forty-six ATH and 48 CON underwent a maximal bicycle exercise test and an echocardiographic examination at rest, including standard and color tissue Doppler investigation. All heart dimensions indexed for body size were larger in ATH (all P < 0.01). The diastolic mitral E/A ratio was 27% higher in ATH (P < 0.001) while systolic left and right atrio-ventricular longitudinal displacement was 7% (P = 0.002) and 15% (P < 0.001) larger in ATH, respectively. Half (50.3%) of the variability in VO2max could be explained by left ventricular end-diastolic volume. Our results could be useful in evaluating female endurance athletes with suspected cardiac disease and contribute to understanding differences between female athletes and non-athletes.


Assuntos
Adaptação Fisiológica/fisiologia , Atletas , Diástole/fisiologia , Coração/fisiologia , Consumo de Oxigênio/fisiologia , Sístole/fisiologia , Adolescente , Adulto , Função Atrial/fisiologia , Estudos de Casos e Controles , Ecocardiografia , Ecocardiografia Doppler em Cores , Teste de Esforço , Feminino , Humanos , Função Ventricular/fisiologia , Adulto Jovem
3.
Br J Anaesth ; 107(3): 409-24, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21693469

RESUMO

BACKGROUND: The aim was to characterize ropivacaine and 2',6'-pipecoloxylidide (PPX) pharmacokinetics and factors affecting them in paediatric anaesthesia. METHODS: Population pharmacokinetics of ropivacaine and its active metabolite PPX were estimated after single and continuous ropivacaine blocks in 192 patients aged 0-12 yr from six pooled published studies. Unbound and total ropivacaine and PPX plasma concentration and PPX urinary excretion data were used for non-linear mixed-effects modelling by NONMEM. Covariates included age, body weight, gender, ethnic origin, ASA, site and method of administration, and total dose. RESULTS: One-compartment first-order pharmacokinetic models incorporating linear binding of ropivacaine and PPX to α(1)-acid glycoprotein were used. After accounting for the effect of body weight, clearance of unbound ropivacaine and PPX reached 41% and 89% of their mature values, respectively, at the age of 6 months. Ropivacaine half-life decreased with age from 13 h in the newborn to 3 h beyond 1 yr. PPX half-life differed from 19 h in the newborn to 8-11 h between 1 and 12 months to 17 h after 1 yr. Simulations indicate that for a single caudal block, the recommended dose could be increased by a factor of 2.9 (0-1 month group) and 6.3 (1-12 yr group) before the unbound plasma concentrations would cross the threshold for systemic toxicity. Corresponding factors for continuous epidural infusion are 1.8 and 4.9. CONCLUSIONS: Ropivacaine and PPX unbound clearance depends on body weight and age. The results support approved dose recommendations of ropivacaine for the paediatric population.


Assuntos
Amidas/farmacocinética , Anestésicos Locais/farmacocinética , Bupivacaína/análogos & derivados , Fatores Etários , Peso Corporal , Bupivacaína/farmacocinética , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Taxa de Depuração Metabólica , Modelos Biológicos , Orosomucoide/metabolismo , Ligação Proteica , Ropivacaina
4.
Br J Anaesth ; 106(4): 512-21, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-21307007

RESUMO

BACKGROUND: As ropivacaine and its metabolites are excreted by the kidneys, we studied their disposition in subjects with renal dysfunction. METHODS: Twenty patients with moderate or severe renal insufficiency and 10 healthy volunteers received ropivacaine 1 mg kg(-1) i.v. over 30 min. The concentrations of ropivacaine and its main metabolites, pipecoloxylidide (PPX) and 3-hydroxy-ropivacaine, were measured in plasma and urine for 16-48 h. The relationship between pharmacokinetic parameters and creatinine clearance (CL(CR)) was assessed. A model for estimating non-renal clearance of a metabolite of ropivacaine is described. RESULTS: Renal dysfunction had little or no influence on the pharmacokinetics of ropivacaine. The median plasma concentrations of unbound ropivacaine were similar in uraemic and non-uraemic subjects. Renal clearance of PPX correlated significantly with CL(CR) (R(2)=0.81). Lack of correlation between total PPX exposure, expressed as area under the total plasma concentration-time curve from zero to infinity, and CL(CR) suggests that the clearance of PPX also includes non-renal elimination. However, in two uraemic patients, there was increased exposure to PPX resulting from low non-renal elimination. CONCLUSIONS: The pharmacokinetics of ropivacaine is not affected by renal failure. Although the renal clearance of PPX correlates with CL(CR), non-renal elimination seems to compensate for reduced renal clearance in most patients. PPX may accumulate in plasma during long-term postoperative infusions, in particular in patients with co-existing low non-renal elimination. Systemic toxicity is still unlikely because PPX is markedly less toxic than ropivacaine.


Assuntos
Amidas/farmacocinética , Anestésicos Locais/farmacocinética , Falência Renal Crônica/metabolismo , Adulto , Idoso , Bupivacaína/análogos & derivados , Bupivacaína/farmacocinética , Creatinina/sangue , Feminino , Seguimentos , Humanos , Falência Renal Crônica/sangue , Falência Renal Crônica/urina , Masculino , Pessoa de Meia-Idade , Orosomucoide/metabolismo , Ropivacaina
5.
Acta Physiol (Oxf) ; 223(2): e13041, 2018 06.
Artigo em Inglês | MEDLINE | ID: mdl-29359513

RESUMO

AIM: To explore whether high-level endurance training in early age has an influence on the arterial wall properties in young women. METHODS: Forty-seven athletes (ATH) and 52 controls (CTR), all 17-25 years of age, were further divided into runners (RUN), whole-body endurance athletes (WBA), sedentary controls (SC) and normally active controls (AC). Two-dimensional ultrasound scanning of the carotid arteries was conducted to determine local common carotid artery (CCA) geometry and wall distensibility. Pulse waves were recorded with a tonometer to determine regional pulse wave velocity (PWV) and pulse pressure waveform. RESULTS: Carotid-radial PWV was lower in WBA than in RUN (P < .05), indicating higher arterial distensibility along the arm. Mean arterial pressure was lower in ATH than in CTR and in RUN than in WBA (P < .05). Synthesized aortic augmentation index (AI@75) was lower among ATH than among CTR (-12.8 ± 1.6 vs -2.6 ± 1.2%, P < .001) and in WBA than in RUN (-16.4 ± 2.5 vs -10.7 ± 2.0%, P < .05), suggesting a diminished return of reflection waves to the aorta during systole. Carotid-femoral PWV and intima-media thickness (IMT), lumen diameter and radial distensibility of the CCA were similar in ATH and CTR. CONCLUSION: Elastic artery distensibility and carotid artery IMT are not different in young women with extensive endurance training over several years and in those with sedentary lifestyle. On the other hand, our data suggest that long-term endurance training is associated with potentially favourable peripheral artery adaptation, especially in sports where upper body work is added. This adaptation, if persisting later in life, could contribute to lower cardiovascular risk.


Assuntos
Velocidade do Fluxo Sanguíneo/fisiologia , Pressão Sanguínea/fisiologia , Artéria Carótida Primitiva/patologia , Espessura Intima-Media Carotídea , Estilo de Vida , Adolescente , Adulto , Treino Aeróbico/métodos , Feminino , Humanos , Análise de Onda de Pulso , Comportamento Sedentário , Adulto Jovem
6.
Cell Transplant ; 27(11): 1692-1704, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30261751

RESUMO

Adoptive transfer of alloantigen-specific immunomodulatory cells generated ex vivo with anti-CD80/CD86 mAbs (2D10.4/IT2.2) holds promise for operational tolerance after transplantation. However, good manufacturing practice is required to allow widespread clinical application. Belatacept, a clinically approved cytotoxic T-lymphocyte antigen 4-immunoglobulin that also binds CD80/CD86, could be an alternative agent for 2D10.4/IT2.2. With the goal of generating an optimal cell treatment with clinically approved reagents, we evaluated the donor-specific immunomodulatory effects of belatacept- and 2D10.4/IT2.2-generated immunomodulatory cells. Immunomodulatory cells were generated by coculturing responder human peripheral blood mononuclear cells (PBMCs) (50 × 106 cells) with irradiated donor PBMCs (20 × 106 cells) from eight human leukocyte antigen-mismatched responder-donor pairs in the presence of either 2D10.4/IT2.2 (3 µg/106 cells) or belatacept (40 µg/106 cells). After 14 days of coculture, the frequencies of CD4+ T cells, CD8+ T cells, and natural killer cells as well as interferon gamma (IFN-γ) production in the 2D10.4/IT2.2- and belatacept-treated groups were lower than those in the control group. The percentage of CD19+ B cells was higher in the 2D10.4/IT2.2- and belatacept-treated groups than in the control group. The frequency of CD4+CD25+CD127lowFOXP3+ T cells increased from 4.1±1.0% (preculture) to 7.1±2.6% and 7.3±2.6% (day 14) in the 2D10.4/IT2.2- and belatacept-treated groups, respectively (p<0.05). Concurrently, delta-2 FOXP3 mRNA expression increased significantly. Compared with cells derived from the no-antibody treated control group, cells generated from both the 2D10.4/IT2.2- and belatacept-treated groups produced lower IFN-γ and higher interleukin-10 levels in response to donor-antigens, as detected by enzyme-linked immunospot. Most importantly, 2D10.4/IT2.2- and belatacept-generated cells effectively impeded the proliferative responses of freshly isolated responder PBMCs against donor-antigens. Our results indicate that belatacept-generated donor-specific immunomodulatory cells possess comparable phenotypes and immunomodulatory efficacies to those generated with 2D10.4/IT2.2. We suggest that belatacept could be used for ex vivo generation of clinical grade alloantigen-specific immunomodulatory cells for tolerance induction after transplantation.

7.
J Clin Invest ; 92(4): 1623-31, 1993 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-8408617

RESUMO

UNLABELLED: We examined the mechanisms of enhanced insulin sensitivity in 9 male healthy athletes (age, 25 +/- 1 yr; maximal aerobic power [VO2max], 57.6 +/- 1.0 ml/kg per min) as compared with 10 sedentary control subjects (age, 28 +/- 2 yr; VO2max, 44.1 +/- 2.3 ml/kg per min). In the athletes, whole body glucose disposal (240-min insulin clamp) was 32% (P < 0.01) and nonoxidative glucose disposal (indirect calorimetry) was 62% higher (P < 0.01) than in the controls. Muscle glycogen content increased by 39% in the athletes (P < 0.05) but did not change in the controls during insulin clamp. VO2max correlated with whole body (r = 0.60, P < 0.01) and nonoxidative glucose disposal (r = 0.64, P < 0.001). In the athletes forearm blood flow was 64% greater (P < 0.05) than in the controls, whereas their muscle capillary density was normal. Basal blood flow was related to VO2max (r = 0.63, P < 0.05) and glucose disposal during insulin infusion (r = 0.65, P < 0.05). The forearm glucose uptake in the athletes was increased by 3.3-fold (P < 0.01) in the basal state and by 73% (P < 0.05) during insulin infusion. Muscle glucose transport protein (GLUT-4) concentration was 93% greater in the athletes than controls (P < 0.01) and it was related to VO2max (r = 0.61, P < 0.01) and to whole body glucose disposal (r = 0.60, P < 0.01). Muscle glycogen synthase activity was 33% greater in the athletes than in the controls (P < 0.05), and the basal glycogen synthase fractional activity was closely related to blood flow (r = 0.88, P < 0.001). IN CONCLUSION: (a) athletes are characterized by enhanced muscle blood flow and glucose uptake. (b) The cellular mechanisms of glucose uptake are increased GLUT-4 protein content, glycogen synthase activity, and glucose storage as glycogen. (c) A close correlation between glycogen synthase fractional activity and blood flow suggests that they are causally related in promoting glucose disposal.


Assuntos
Glicemia/metabolismo , Glicogênio Sintase/metabolismo , Insulina/farmacologia , Proteínas de Transporte de Monossacarídeos/metabolismo , Proteínas Musculares , Músculos/metabolismo , Músculos/fisiologia , Esportes , Adulto , Aerobiose , Glicemia/efeitos dos fármacos , Calorimetria , DNA/metabolismo , Técnica Clamp de Glucose , Transportador de Glucose Tipo 4 , Glicogênio/metabolismo , Glicogênio Sintase/biossíntese , Humanos , Masculino , Proteínas de Transporte de Monossacarídeos/biossíntese , Músculos/irrigação sanguínea , Músculos/efeitos dos fármacos , Consumo de Oxigênio/efeitos dos fármacos , RNA Mensageiro/metabolismo , Valores de Referência , Fluxo Sanguíneo Regional/efeitos dos fármacos
8.
Diabetes ; 43(11): 1340-4, 1994 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-7926309

RESUMO

The mechanism behind hyperemia in skeletal muscle during insulin-induced hypoglycemia was investigated in 42 anesthetized male Wistar rats using the microdialysis ethanol technique of monitoring nutritive blood flow. Microdialysis probes were inserted bilaterally into the gastrocnemius muscle and perfused with a modified Krebs-Henseleit buffer containing 20 mmol/l ethanol and one or more of the following compounds: propranolol (10(-6) mol/l), phentolamine (10(-6) mol/l), and calyculin A (1.0 mumol/l). Muscle blood flow increased, as indicated by a decrease in the ethanol outflow:inflow ratio (P < 0.001, n = 6), during hypoglycemia induced by a bolus intravenous infusion of insulin (680 mU/kg body wt). This increase was not present during normoglycemia or during hypoglycemia and local beta-adrenergic blockade via propranolol. However, the hyperemic response was potentiated during hypoglycemia and local alpha-adrenergic blockade via phentolamine. A normal hyperemic response to hypoglycemia was detected during simultaneous alpha- and beta-adrenergic blockade. This response was eliminated on further supplementation of the microdialysis perfusion medium with calyculin A. Therefore, although stimulation of the alpha- and beta-adrenergic receptors does occur during insulin-induced hypoglycemia, it is not essential for the induction of hyperemia in this state. It may be concluded that hyperinsulinemia results in vasodilatation during hypoglycemia, although hyperinsulinemia does not have an effect on skeletal muscle blood flow under normoglycemic conditions.


Assuntos
Hipoglicemia/fisiopatologia , Músculo Esquelético/irrigação sanguínea , Doença Aguda , Análise de Variância , Animais , Velocidade do Fluxo Sanguíneo/fisiologia , Etanol , Hipoglicemia/induzido quimicamente , Insulina , Masculino , Microdiálise , Ratos , Ratos Wistar , Fatores de Tempo
9.
Diabetes ; 38(7): 906-10, 1989 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2567684

RESUMO

The role of an increased sympathetic activation in the development of insulin resistance in diabetic skeletal muscle was investigated. Epitrochlearis muscles from rats with streptozocin-induced diabetes and from controls were incubated in vitro for 0.5-12.0 h. Diabetes decreased maximal insulin-stimulated (20 mU/ml) glucose transport capacity by 60% (P less than .001), but this decreased insulin responsiveness returned to normal on in vitro incubation (3.79 +/- 0.59 before vs. 8.92 +/- 0.64 mumol.ml-1.h-1 after 12 h of incubation). The reversal of decreased insulin responsiveness in diabetic muscles did not require the presence of insulin and was not affected by the presence of 5.0 x 10(-8) M of epinephrine. However, it was possible to partially prevent the development of insulin resistance with regard to glucose transport by treating the rats with the beta-adrenergic antagonist propranolol (0.5 mg/kg) every 12 h during the entire 72-h period in which the animals were kept diabetic (insulin responsiveness was 3.16 +/- 0.40 mumol.ml-1.h-1 for saline-injected group vs. 5.55 +/- 0.46 mumol.ml-1.h-1 for propranolol-treated group). This effect was not present after a single injection of the drug 2 h before the experiment or when propranolol treatment was withdrawn 12 h before the experiment. The beta-adrenergic blockade markedly reduced the plasma concentration of free fatty acids (0.5 +/- 0.01 mumol/ml for propranolol-treated rats vs. 1.1 +/- 0.1 mumol/ml for saline-treated rats; P less than .001).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Catecolaminas/farmacologia , Diabetes Mellitus Experimental/fisiopatologia , Resistência à Insulina , Insulina/farmacologia , Músculos/efeitos dos fármacos , Antagonistas Adrenérgicos beta/farmacologia , Animais , Transporte Biológico/efeitos dos fármacos , Glicemia/análise , Epinefrina/farmacologia , Ácidos Graxos não Esterificados/sangue , Glucagon/sangue , Glucose/farmacocinética , Glicogênio/análise , Masculino , Músculos/análise , Propranolol/farmacologia , Ratos , Ratos Endogâmicos , Estreptozocina
10.
Diabetes ; 33(9): 851-7, 1984 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-6468766

RESUMO

The effects of physical training on skeletal muscle morphology and enzyme activities were compared in 10 male, type I diabetic subjects and 10 healthy, male, control subjects. The training program consisted of running for 45 min, three times per week for 8 wk. Muscle biopsies were obtained before and after the training period from the lateral portion of the gastrocnemius muscle. Pretraining maximal oxygen uptake was similar in the two groups (diabetic subjects 42 +/- 1 versus control subjects 43 +/- 2 ml X kg-1 X min-1), and the training resulted in an identical increase (+ 13%, P less than 0.01). Muscle capillarization (number of capillaries per muscle fiber) increased on the average in the control group (+ 14 +/- 4%, P less than 0.01), but was unchanged in the diabetic group (0 +/- 4%). Capillary density, expressed as number of capillaries per unit muscle cross sectional area, also increased on the average in controls (8 +/- 4%, P less than 0.05) but failed to do so in the diabetic patients (-8 +/- 6%, NS). The activities of the mitochondrial enzymes citrate synthase (+ 26-27%, P less than 0.01-0.05) and succinate dehydrogenase (+ 24-25%, P less than 0.05) increased significantly and similarly in the two groups, whereas training did not result in significant changes in the activities of the glycolytic enzymes 6-phosphofructokinase and glyceraldehyde-phosphate dehydrogenase. Glycemic control in the diabetic group did not improve with the training, as evaluated from hemoglobin A1 and home-monitored blood glucose.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Diabetes Mellitus Tipo 1/fisiopatologia , Músculos/irrigação sanguínea , Educação Física e Treinamento , Adulto , Glicemia/metabolismo , Capilares/patologia , Diabetes Mellitus Tipo 1/enzimologia , Diabetes Mellitus Tipo 1/patologia , Histocitoquímica , Humanos , Masculino , Músculos/enzimologia , Músculos/patologia , Oxigênio/fisiologia , Testes de Função Respiratória
11.
Diabetes ; 47(8): 1296-301, 1998 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9703331

RESUMO

The effect of an euglycemic-hyperinsulinemic glucose clamp (94 +/- 5 microU/ml) on blood flow and glucose extraction fraction in human skeletal muscle and adipose tissue was investigated. Limb blood flow was measured by venous occlusion pletysmography and tissue blood flow by the microdialysis ethanol technique. Insulin infusion resulted in an increased blood flow in the calf and forearm (64 and 36%, respectively; P < 0.01) but not in the studied muscles of these limbs (ethanol outflow-to-inflow ratio: m. gastrocnemius 0.144 +/- 0.009 to 0.140 +/- 0.011, NS; m. brachioradialis 0.159 +/- 0.025 to 0.168 +/- 0.027, NS). This was accompanied by an increased extraction fraction of glucose, as measured by an increased arteriovenous difference over the forearm (0.16 +/- 0.04 to 0.70 +/- 0.10 mmol/l; P < 0.001) and by an increase in the estimated arterial-interstitial glucose difference in the gastrocnemius (0.82-1.42 mmol/l) and brachioradialis muscle (0.82-1.97 mmol/l). The blood flow in adipose tissue was significantly increased during insulin infusion, as evidenced by a decreased ethanol outflow-to-inflow ratio (0.369 +/- 0.048 to 0.325 +/- 0.046; P < 0.01). This was accompanied by an unchanged concentration of glucose in the dialysate (-2.6%, NS). In summary, during physiological hyperinsulinemia 1) a blood flow increase was detected in the calf and forearm, but not in the studied muscles of these limbs; 2) the blood flow increased in the subcutaneous adipose tissue; and 3) the estimated arterial-interstitial glucose difference increased in both muscles studied and was larger in the forearm muscle than the arteriovenous glucose difference over the forearm. The present study shows that microdialysis is a useful tool to obtain tissue-specific information about the effect of insulin on blood flow and glucose extraction in human skeletal muscle and adipose tissue.


Assuntos
Tecido Adiposo/irrigação sanguínea , Tecido Adiposo/metabolismo , Glucose/metabolismo , Hiperinsulinismo/fisiopatologia , Músculo Esquelético/irrigação sanguínea , Músculo Esquelético/metabolismo , Adulto , Feminino , Antebraço/irrigação sanguínea , Glicerol/metabolismo , Humanos , Insulina/farmacologia , Ácido Láctico/metabolismo , Perna (Membro)/irrigação sanguínea , Masculino , Microdiálise , Concentração Osmolar , Fluxo Sanguíneo Regional/efeitos dos fármacos , Fluxo Sanguíneo Regional/fisiologia
12.
Diabetes ; 31(12): 1044-50, 1982 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-6757018

RESUMO

Nine male, insulin-dependent diabetic patients participated in a 16-wk training program consisting of 1 h of jogging, running, ball games, and gymnastics, performed 2-3 times/wk. The training resulted in an 8% increase of maximal oxygen uptake (P less than 0.01). Insulin sensitivity as determined by the insulin clamp technique increased 20% (P less than 0.05). Glycosylated hemoglobin showed no change (10.4 +/- 0.7% versus 11.3 +/- 0.5%), 24-h urinary glucose excretion was not reduced, and home-monitored urine tests were unchanged. The frequency of hypoglycemic attacks did not change during the training period and body weight remained constant. There was a 14% fall in plasma cholesterol (P less than 0.01) and a rise in the proportion of HDL-cholesterol from 24 +/- 2% to 30 +/- 3% (P less than 0.01). Thigh muscle oxidative capacity increased, as indicated by a 24% increase in succinate dehydrogenase activity (P less than 0.05). The number of capillaries/muscle fiber increased 15% (P less than 0.01). However, as the mean muscle fiber cross-sectional area increased to a similar extent (11%, P less than 0.05), capillary density (cap x mm-2) was unchanged. In conclusion, this study demonstrates that physical training in insulin-dependent diabetics results in increased peripheral insulin sensitivity, a rise in muscle mitochondrial enzyme activities, decreased total plasma cholesterol levels, and unchanged blood glucose control. The findings suggest that in the absence of efforts to alter dietary regulation and insulin administration, physical training consisting of 2-3 weekly bouts of moderate exercise may not of itself improve blood glucose control in type I diabetes.


Assuntos
Glicemia/análise , Diabetes Mellitus/metabolismo , Insulina/metabolismo , Mitocôndrias Musculares/enzimologia , Aptidão Física , Adulto , Colesterol/sangue , Citrato (si)-Sintase/metabolismo , Diabetes Mellitus/sangue , Diabetes Mellitus/enzimologia , Humanos , Masculino , Pessoa de Meia-Idade , Succinato Desidrogenase/metabolismo , Coxa da Perna
13.
Life Sci ; 76(20): 2329-38, 2005 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-15748626

RESUMO

The aim of this study was to investigate the local effect of the insulin-mimetic agent vanadate on glucose metabolism in human skeletal muscle in vivo. Interstitial concentrations of glucose and lactate were determined by microdialysis at a low flow rate in the quadriceps femoris muscle of 18 men. In the same leg two microdialysis catheters were inserted. In one catheter, the perfusion medium was supplemented with sodium metavanadate (10-100 mM) after a basal period, the other catheter served as control. In the catheter perfused with metavanadate, the interstitial glucose concentration was decreased by 13-50% compared to the control catheter (p<0.05). The lactate concentration was higher in the 50 mM and 100 mM metavanadate catheters compared to control (39-89%, p<0.05). There was no difference between control and metavanadate catheters in urea concentrations. Five of the subjects were insulin-resistant and for them the results were similar, although the effect was somewhat smaller. The decreased interstitial glucose concentration, and the increased lactate concentration, in the vicinity of the microdialysis catheter most likely reflects an increased cellular glucose uptake. The present study thus indicates that vanadate mimics the effect of insulin in human skeletal muscle in vivo.


Assuntos
Glucose/metabolismo , Resistência à Insulina/fisiologia , Ácido Láctico/metabolismo , Músculo Esquelético/metabolismo , Vanadatos/administração & dosagem , Adulto , Idoso , Cateterismo , Humanos , Insulina/metabolismo , Perna (Membro)/fisiologia , Masculino , Microdiálise , Pessoa de Meia-Idade , Ureia/metabolismo
14.
Diabetes Care ; 15(11): 1701-11, 1992 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1468304

RESUMO

With moderate training (30-60 min daily at 70-80% of VO2 max, 3-5 times weekly), the trained muscles display a 40-50% increase in the content of mitochondrial oxidative enzymes. Concomitantly, the total number of muscle capillaries may increase by 50%, whereas the content of glycolytic enzymes is not, or only marginally, affected. The oxidative enzyme increase, which occurs over 6-8 wk, is lost in 4-6 wk if training is stopped. This loss occurs faster than the decrease in muscle capillarization and in the whole-body VO2 max. Trained muscles of athletes have 3-4 times higher oxidative enzyme levels and two- to threefold more capillaries per muscle fiber than untrained muscle. Extensive endurance training results in an enhanced percentage of slow-twitch fibers, but the time course of this change is not known. More extensive changes are observed in chronically stimulated rabbit muscle. In this case, enzymes of oxidation display large increases (6- to 12-fold), whereas there is a decrease of 70-90% in enzymes of glycolysis, glycogenolysis, gluconeogenesis, and high-energy phosphate transfer. There is a normal training response in mitochondrial enzyme activities in individuals with insulin-dependent and non-insulin-dependent diabetes, but the ability to form new skeletal muscle capillaries in response to physical training may be deficient in insulin-dependent diabetes. Training-induced changes in the metabolic character of skeletal muscle leads to an increased reliance on fat metabolism during exercise, with a lowered blood lactate concentration and a sparing of muscle glycogen.


Assuntos
Diabetes Mellitus Tipo 1/fisiopatologia , Exercício Físico , Mitocôndrias Musculares/metabolismo , Músculos/fisiologia , Condicionamento Físico Animal , Animais , Capilares/fisiologia , Capilares/fisiopatologia , Diabetes Mellitus Tipo 1/enzimologia , Estimulação Elétrica , Glicólise , Humanos , Músculo Liso Vascular/fisiologia , Músculo Liso Vascular/fisiopatologia , Músculos/irrigação sanguínea , Músculos/metabolismo , Fluxo Sanguíneo Regional
15.
Atherosclerosis ; 49(2): 203-7, 1983 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-6667282

RESUMO

The effect of regular physical training on skeletal muscle lipoprotein lipase activity (LPLA) was investigated in 16 healthy men of normal body weight. They trained on cycle ergometers for 8 weeks. During the training period half the group were given the beta-adrenergic receptor blocker propanolol (160 mg/day) and the other half placebo tablets. Muscle tissue samples were taken before the training period and 4 days after the last training session and drug intake to ensure that there were no acute effects of either training or drug treatment. The maximal oxygen uptake (Vo2max, 1/min) increased by 8% with training. LPLA increased by 47% and 31% in the placebo and beta-blockade group, respectively. Capillary density increased by 19% and 17%. The statistical analysis revealed a significant effect of training but not of beta-blockade on these changes. The present longitudinal training study in healthy men confirms the results of cross-sectional studies showing higher muscle LPLA in well-trained than in sedentary men.


Assuntos
Lipase Lipoproteica/metabolismo , Músculos/metabolismo , Educação Física e Treinamento , Adulto , Capilares , Humanos , Estudos Longitudinais , Masculino , Músculos/irrigação sanguínea , Consumo de Oxigênio , Resistência Física , Propranolol/farmacologia
16.
Mol Biochem Parasitol ; 65(2): 317-30, 1994 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-7969272

RESUMO

A gene family encoding a set of histone H1 proteins in Trypanosoma cruzi is described. The sequence of 3 genomic and 4 cDNA clones revealed the presence of several motifs characteristic of histone H1, although heterogeneity at the polypeptide level was evident. The clones encode histone H1 proteins of an unusually small size (74-97 amino acids), which lack the globular domain found in histone H1 of higher eukaryotes. All histone H1 mRNAs from T. cruzi are polyadenylated, although no typical polyadenylation signal was found. Furthermore, the genes encoding the histone H1 proteins in T. cruzi are found in a tandem array containing 15-20 gene copies per haploid genome. This tandem array is located on a large chromosome of 2.2 Mb.


Assuntos
Histonas/genética , Trypanosoma cruzi/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Clonagem Molecular , DNA de Protozoário/análise , Regulação da Expressão Gênica , Dados de Sequência Molecular , Nucleossomos , Reação em Cadeia da Polimerase , RNA Mensageiro/genética , RNA de Protozoário/análise , Trypanosoma cruzi/química
17.
Mol Biochem Parasitol ; 50(2): 225-34, 1992 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-1311053

RESUMO

We demonstrate that cruzipain, the major cysteine proteinase of Trypanosoma cruzi epimastigotes, is encoded by a large number of tandemly arranged genes. Restriction enzyme analysis of 20 clones containing complete repeat units of the gene, as well as sequencing of 2 of these clones, and comparison with previously published partial sequences, indicated that the sequence is conserved among the repeat units, although polymorphisms clearly exist. The repeat units contain an intergenic region of 528 bp and coding regions for pre- and pro-enzyme, a central domain and a C-terminal extension. The predicted amino acid sequences of these regions indicated a sequence identity of 30, 60, 70 and 36%, respectively, when the T. cruzi sequence was compared with the sequence of a similar cysteine proteinase from Trypanosoma brucei. Studies by pulsed field gel electrophoresis, complemented with restriction analysis, indicated that the clusters are located on 2-4 different chromosomes in several parasite isolates.


Assuntos
Cisteína Endopeptidases/genética , Polimorfismo Genético/genética , Sequências Repetitivas de Ácido Nucleico/genética , Trypanosoma cruzi/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Northern Blotting , Southern Blotting , Mapeamento Cromossômico , Clonagem Molecular , DNA/genética , Enzimas de Restrição do DNA , Eletroforese em Gel de Campo Pulsado , Dados de Sequência Molecular , Família Multigênica , Proteínas de Protozoários , RNA Mensageiro , Trypanosoma cruzi/enzimologia
18.
Mol Biochem Parasitol ; 59(2): 253-62, 1993 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-8101971

RESUMO

The complete sequence of a gene encoding a 46-kDa protein of Trypanosoma cruzi is presented. The first ATG complies with the consensus sequence for initiation of translation. A single band of 2 kb was highlighted by hybridizing a probe from the 46-kDa protein gene to a Northern filter containing total T. cruzi RNA. The gene is present in 50-80 copies per cell and most of them are contained in 2 tandem arrays on large T. cruzi chromosomes (> 2000 kb). A strong homology with rat and human tyrosine aminotransferase was detected. Homology with a Trypanosoma brucei retrotransposon was found in the nonsense strand of the intergenic region.


Assuntos
DNA de Protozoário/genética , Genes de Protozoários , Proteínas de Protozoários/genética , Trypanosoma cruzi/genética , Tirosina Transaminase/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , DNA de Protozoário/isolamento & purificação , Biblioteca Gênica , Humanos , Dados de Sequência Molecular , Peso Molecular , RNA de Protozoário/genética , RNA de Protozoário/isolamento & purificação , Ratos , Mapeamento por Restrição , Homologia de Sequência de Aminoácidos , Trypanosoma cruzi/enzimologia
19.
Mol Biochem Parasitol ; 73(1-2): 63-74, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8577348

RESUMO

The karyotypes of three cloned stocks, CL Brener (CL), CA I/72 (CA) and Sylvio X10/7 (X10), of Trypanosoma cruzi were studied by pulsed-field gel electrophoresis followed by ethidium bromide staining and hybridization with 35 different probes, 30 of which identified single chromosomes. The chromosome-specific probes identified between 26 and 31 chromosomal bands in the three cloned stocks, corresponding to 20 unique chromosomes in CL and 19 in CA and X10. Considering the DNA content of the parasite, it was predicted that the markers recognise at least half of all T. cruzi chromosomes. A majority of identified chromosomes showed large differences in size among different strains, in some cases by up to 50%. Interestingly, CL had in general larger chromosomes than the two other studied cloned stocks. Several of the markers showed linkage and nine different linkage groups were identified, each comprising 2-4 markers. The linkage between the markers was maintained in 8 of the 9 linkage groups when a panel comprising 26 different T. cruzi strains representing major T. cruzi populations was tested. One linkage group was found to be maintained in some strains but not in others. This result shows that chromosomal rearrangements occur in the T. cruzi genome, albeit with a low frequency. Repetitive DNA, both non-coding and in one case coding, was more abundant in the cloned stock CL Brener than in CA and X10. The information presented will make it possible to select chromosomes for the construction of physical chromosomal maps required for the T. cruzi genome project.


Assuntos
Cromossomos/genética , Ligação Genética , Variação Genética , Trypanosoma brucei brucei/genética , Animais , Mapeamento Cromossômico , DNA de Protozoário/genética , Eletroforese em Gel de Campo Pulsado , Marcadores Genéticos , Cariotipagem , Dados de Sequência Molecular , Hibridização de Ácido Nucleico
20.
Mol Biochem Parasitol ; 42(2): 213-23, 1990.
Artigo em Inglês | MEDLINE | ID: mdl-2270104

RESUMO

The karyotype of Trypanosoma cruzi was studied by pulsed field gel electrophoresis (PFGE) in conditions that allowed 20-25 chromosome bands to be detected. However, several of these bands were present in non-equimolar amounts, suggesting that the total chromosome number is considerably higher. The patterns obtained with the different cloned and uncloned strains were unique, suggesting that the karyotype of T. cruzi is highly variable. The chromosomal localizations of seven cloned genes were determined by Southern blotting of PFGE-separated chromosomes. Three of the clones gave rise to similar patterns and mapped on a chromosome or a family of chromosomes larger than 1.6 Mb. Two clones mapped on either single or pairs of chromosomes, which in some cases differed considerably in size between the different strains tested, suggesting that extensive chromosome rearrangements occur in T. cruzi. Another clone hybridized to several chromosomes in most strains and probably represents a family of genes. Lastly, one clone hybridized to nearly all chromosomes. Many of the clones hybridized to pairs of restriction fragments in the different strains, suggesting that they are allelic. For one of the clones it was possible to provide further evidence for the allelic nature of the fragments by establishing detailed restriction maps around them and by showing that the two fragments in a pair hybridized to chromosomes which differed slightly in size. Taken together, the results infer that the genome of T. cruzi epimastigotes is diploid.


Assuntos
Antígenos de Protozoários/genética , Cromossomos/química , Diploide , Trypanosoma cruzi/genética , Animais , Clonagem Molecular , Eletroforese em Gel de Poliacrilamida , Variação Genética , Cariotipagem , Mapeamento por Restrição , Trypanosoma cruzi/imunologia
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