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1.
Lupus ; 25(2): 162-76, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26391610

RESUMO

Patients with antiphospholipid syndrome (APS) produce antiphospholipid antibodies (aPL) and develop vascular thrombosis that may occur in large or small vessels in the arterial or venous beds. On the other hand, many individuals produce aPL and yet never develop thrombotic events. Toll-like receptor 4 (TLR4) appears to be necessary for aPL-mediated prothrombotic effects in venous and microvascular models of thrombosis, but its role in arterial thrombosis has not been studied. Here, we propose that aPL alone are insufficient to cause thrombotic events in an arterial model of APS, and that a concomitant trigger of innate immunity (e.g. TLR4 activation) is required. We show specifically that anti-ß2-glycoprotein I (anti-ß2GPI) antibodies, a subset of aPL, accelerated thrombus formation in C57BL/6 wild-type, but not TLR4-deficient, mice in a ferric chloride-induced carotid artery injury model. These aPL bound to arterial and venous endothelial cells, particularly in the presence of ß2GPI, and to human TLR4 by enzyme-linked immunoassay. Arterial endothelium from aPL-treated mice had enhanced leukocyte adhesion, compared to control IgG-treated mice. In addition, aPL treatment of mice enhanced expression of tissue factor (TF) in leukocytes induced by the TLR4 ligand lipopolysaccharide (LPS). aPL also enhanced LPS-induced TF expression in human leukocytes in vitro. Our findings support a mechanism in which aPL enhance TF expression by leukocytes, as well as augment adhesion of leukocytes to the arterial endothelium. The activation of TLR4 in aPL-positive individuals may be required to trigger thrombotic events.


Assuntos
Anticorpos Antifosfolipídeos/imunologia , Trombose/imunologia , Receptor 4 Toll-Like/imunologia , Animais , Anticorpos Monoclonais Murinos/imunologia , Síndrome Antifosfolipídica/imunologia , Adesão Celular/fisiologia , Endotélio Vascular/metabolismo , Feminino , Humanos , Imunidade Inata , Leucócitos/imunologia , Lipopolissacarídeos/imunologia , Camundongos , Camundongos Endogâmicos C57BL , Modelos Biológicos , Tromboplastina/imunologia , beta 2-Glicoproteína I/antagonistas & inibidores , beta 2-Glicoproteína I/imunologia
2.
Lupus ; 23(12): 1327-31, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25228740

RESUMO

Antiphospholipid syndrome (APS), as a primary disease or a secondary syndrome in systemic lupus erythematosus (SLE), is characterized by the presence of antiphospholipid antibodies (aPL) and a clinical event. It is likely that both genetic and environmental factors lead to the development of aPL and progression to disease. However, the precise mechanisms are not known. We hypothesize that innate immune activation plays a dual role in APS and SLE, both in the production of aPL (i.e. "initiation" phase) and in the development of a clinical event (i.e. "effector" phase). We have shown that mice immunized with certain phospholipid-binding proteins (e.g. ß2-glycoprotein I (ß2GPI)), plus a concomitant trigger of innate immunity (e.g. a toll-like receptor 4 (TLR4) ligand), produce a strong ß2GPI-reactive T cell response, resulting in high levels of aPL as well as other SLE autoantibodies. We propose that ß2GPI, through its interaction with apoptotic cells, permits B cell epitope spread to multiple SLE autoantibodies. Innate immune activation is also implicated in a murine model of aPL-enhanced thrombus formation. This dual role of innate immune activation provides new insight into the mechanisms involved in the initiation of aPL and other SLE-related autoantibodies, as well as the development of aPL-mediated disease.


Assuntos
Síndrome Antifosfolipídica/imunologia , Imunidade Inata/fisiologia , Lúpus Eritematoso Sistêmico/imunologia , Animais , Anticorpos Antifosfolipídeos/sangue , Apoptose , Camundongos , Protrombina/fisiologia , Trombose/etiologia , beta 2-Glicoproteína I/imunologia
3.
Lupus ; 23(8): 752-68, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24695867

RESUMO

We have previously shown that immunization of nonautoimmune mice with the phospholipid-binding protein ß2-glycoprotein I (ß2GPI), in combination with lipopolysaccharide (LPS), induces a murine model of systemic lupus erythematosus (SLE), with sequential emergence of autoantibodies and glomerulonephritis. Here, we determine whether the paradigm for induction of murine SLE extends to other phospholipid-binding proteins. Mice were immunized with a phospholipid-binding protein (prothrombin (PT), protein S, or ß2GPI), or a nonphospholipid-binding protein (glu-plasminogen), in the presence of LPS. The breadth and degree of the autoantibody response, and the frequency of glomerulonephritis, varied among the three proteins, with ß2GPI being the most effective in inducing SLE-like disease. The phospholipid-binding proteins also differed in the pattern of serum cytokines they elicited. The most apparent difference between ß2GPI and the other phospholipid-binding proteins was in their ability to bind to LPS: ß2GPI bound to LPS, while PT and protein S did not. Our data suggest that binding to phospholipid(s) is a necessary, but not sufficient, condition for full induction of murine SLE. We propose that other properties, such as physiologic function, avidity for anionic phospholipids, and degree of interaction with other cell surface and/or circulating molecules (particularly LPS) may determine the range and severity of disease.


Assuntos
Autoanticorpos/imunologia , Modelos Animais de Doenças , Lúpus Eritematoso Sistêmico/imunologia , Protrombina/fisiologia , beta 2-Glicoproteína I/fisiologia , Animais , Feminino , Camundongos , Camundongos Endogâmicos C57BL
4.
J Viral Hepat ; 20(6): 404-13, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23647957

RESUMO

Chemokines and cytokines play a vital role in directing and regulating immune responses to viral infections. Persistent hepatitis C virus (HCV) infection is characterized by the loss of anti-HCV cellular immune responses, while control of HCV infection is associated with maintenance of anti-HCV cellular immune responses. To determine whether plasma concentrations of 19 chemokines and cytokines controlling T-cell trafficking and function differed based on infection outcome, we compared them in at-risk subjects followed prospectively for HCV infection. Levels were compared over time in subjects who controlled HCV infection (Clearance) and subjects who developed persistent HCV infection (Persistence) at two time points during acute infection: (i) first viraemic sample (initial viraemia) and (ii) last viraemic sample in Clearance subjects and time-matched samples in Persistence subjects. At initial viraemia, increased pro-inflammatory tumour necrosis factor α (TNFα) plasma concentrations were observed in the Clearance group, while the plasma levels of anti-inflammatory interleukin (IL)-2, IL-10 and IL-13 were higher in the Persistence group. IL-13 was positively correlated with IL-2 and IL-10 at initial viraemia in the Persistence group. At the time of last viraemia, plasma levels of eotaxin, macrophage chemoattractant protein-4 (MCP-4), IL-5 and IL-10 were higher in the Persistence group and IL-10 and IL-5 levels were positively correlated. Collectively, these results suggest that the development of persistent infection is associated with an anti-inflammatory and pro-fibrogenic chemokine and cytokine profile that is evident at the onset of infection and maintained throughout acute infection.


Assuntos
Hepatite C/imunologia , Interleucina-10/sangue , Interleucina-5/sangue , Proteínas Quimioatraentes de Monócitos/sangue , Fator de Necrose Tumoral alfa/sangue , Doença Aguda , Adulto , Movimento Celular , Quimiocina CCL11/sangue , Feminino , Hepacivirus , Hepatite C/patologia , Humanos , Estudos Longitudinais , Masculino , Estudos Prospectivos , Fatores de Tempo , Viremia/imunologia
5.
J Exp Med ; 184(6): 2231-41, 1996 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-8976178

RESUMO

The pathogenic role of antineutrophil cytoplasmic autoantibodies (ANCA) remains controversial because of the difficulty in explaining how extracellular ANCA can interact with intracellular primary granule constituents. It has been postulated that cytokine priming of neutrophils (PMN), as may occur during a prodromal infection, is an important trigger for mobilization of granules to the cell surface, where they may interact with ANCA. We show by electron microscopy that apoptosis of unprimed PMN is also associated with the translocation of cytoplasmic granules to the cell surface and alignment just beneath an intact cell membrane. Immunofluorescent microscopy and FACS analysis demonstrate reactivity of ANCA-positive sera and antimyeloperoxidase antibodies with apoptotic PMN, but not with viable PMN. Moreover, we show that apoptotic PMN may be divided into two subsets, based on the presence or absence of granular translocation, and that surface immunogold labeling of myeloperoxidase occurs only in the subset of PMN showing translocation. These results provide a novel mechanism that is independent of priming, by which ANCA may gain access to PMN granule components during ANCA-associated vasculitis.


Assuntos
Anticorpos Anticitoplasma de Neutrófilos/imunologia , Apoptose , Grânulos Citoplasmáticos/imunologia , Neutrófilos/imunologia , Neutrófilos/fisiologia , Anticorpos Anticitoplasma de Neutrófilos/sangue , Especificidade de Anticorpos , Antígenos CD/análise , Autoanticorpos , Membrana Celular/imunologia , Membrana Celular/ultraestrutura , Sobrevivência Celular , Grânulos Citoplasmáticos/ultraestrutura , Citometria de Fluxo , Humanos , Técnicas In Vitro , Microscopia Eletrônica , Microscopia Imunoeletrônica , Neutrófilos/ultraestrutura
6.
Lupus ; 19(4): 347-53, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20353968

RESUMO

The antiphospholipid syndrome (APS), as both a primary syndrome and a syndrome in association with systemic lupus erythematosus (SLE), can be a devastating disease. It is unclear what factors (genetic and/or environmental) lead to the generation of antiphospholipid antibodies (aPL). It is equally unclear why only certain individuals with aPL develop clinical events. We hypothesize that innate immune activation plays a critical role at two distinct stages of APS, namely, the initiation phase, in which aPL first appear, and the effector phase, in which aPL precipitate a thrombotic event. According to the model we propose, aPL alone are insufficient to cause thrombosis and a concomitant trigger of innate immunity, e.g. a toll-like receptor (TLR) ligand, must be present for thrombosis to occur. Here, we discuss our findings that mice immunized with beta(2)-glycoprotein I (beta(2)GPI) and lipopolysaccharide (LPS), a TLR ligand, produce high levels of aPL and other SLE-associated autoantibodies, and develop lupus-like glomerulonephritis. We also discuss our data showing that autoantibodies to heat shock protein 60 (HSP60), an 'endogenous TLR ligand', promote thrombus generation in a murine model of arterial injury. Thus, both pathogen-derived TLR ligands (e.g. LPS) and endogenous TLR ligands (e.g. HSP60) may contribute to the pathogenesis of APS. This putative dual role of innate immunity provides new insight into the generation of aPL as well as the enigma of why some individuals with aPL develop APS, while others do not.


Assuntos
Anticorpos Antifosfolipídeos/imunologia , Síndrome Antifosfolipídica/imunologia , Imunidade Inata , Animais , Síndrome Antifosfolipídica/complicações , Modelos Animais de Doenças , Humanos , Lúpus Eritematoso Sistêmico/complicações , Lúpus Eritematoso Sistêmico/imunologia , Camundongos , Trombose/etiologia , Trombose/imunologia , Receptores Toll-Like/metabolismo
7.
J Cell Biol ; 90(3): 644-55, 1981 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-7287818

RESUMO

The human gastric parietal cell synthesizes and secretes intrinsic factor (IF) and acid. In contrast to the cellular mechanisms of acid secretion, little is known about the mechanisms of IF secretion. To elucidate these mechanisms we obtained gastric secretions and sequential fundic biopsies from three subjects before and after pentagastrin stimulation (6 microgram/Kg s.c.). IF was localized in the biopsies using an ultrastructural immunoperoxidase technique using a well-characterized, monospecific antibody to human IF. IF output was quantified using a specific radioimmunoassay in concurrently obtained gastric secretions. Before stimulation, IF was associated with tubulovesicles scattered throughout the cytoplasm and with some in rough endoplasmic reticulum (RER). The tubulovesicles associated with IF migrated to the periphery of the secretory canaliculi within 8 min of stimulation. IF was present on secretory microvilli between 8 and 30 min when IF output in gastric juice was at its maximum. The cessation of IF secretion coincided with the depletion of IF associated with tubulovesicles. IF appeared in the perinuclear space and RER as the IF associated with tubulovesicles was secreted. These observations indicate that IF secretion depends upon membrane-associated vesicular transport and provides support for a membrane translocation-fusion hypothesis to explain the morphologic changes that occur in the parietal cell during secretion.


Assuntos
Mucosa Gástrica/metabolismo , Fator Intrínseco/metabolismo , Adulto , Biópsia , Feminino , Mucosa Gástrica/citologia , Mucosa Gástrica/ultraestrutura , Histocitoquímica , Humanos , Imunoquímica , Masculino , Pentagastrina/farmacologia
8.
J Cell Biol ; 98(3): 1111-8, 1984 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-6321516

RESUMO

Absorption of cobalamin is facilitated by the binding of the intrinsic factor-cobalamin complex (IF-cbl) to specific receptors in the ileum. The physical and biochemical characteristics of this ligand-receptor binding reaction have been extensively studied, but little is known about the cellular mechanisms or receptor synthesis, intracellular transport, and expression on the microvillus surface membrane. We attempted to delineate these mechanisms by using ultrastructural immunocytochemistry to localize the IF-cbl receptor in the crypt, mid-villus, and villus tip regions of mucosal biopsies obtained from the ileum of anesthetized dogs. Prior to initiating the ileal localization studies, the antisera to purified canine IF-cbl receptor that was employed in our studies was shown to have specificity for site (e.g., ileal enterocytes vs. other cells within the gastrointestinal tract) and immunohistochemical specificity. Receptor synthesis in endoplasmic reticulum begins in crypt enterocytes, but continues in cells throughout the villus. In the mid-villus region synthesized receptor translocates vectorially to the microvillus surface associated with membranous vesicles and then inserts into the microvillus pit. Receptor remains fixed to the microvillus pit and does not distribute uniformly over the brush border membrane. All villus tip enterocytes contained IF-cbl receptor in microvillus pits, vesicles, and endoplasmic reticulum, but in addition extensive perinuclear membrane staining was evident as well as re-internalized receptor associated with multivesicular bodies. Basolateral membranes contained no receptor at any level of the villus. These observations suggest that the IF-cbl receptor (a) translocates to the apical cell surface at the mid-villus region by transport in vesicles, (b) directly inserts into and then remains fixed in microvillus pits, (c) is elaborated on the luminal surface most extensively in villus tip cells, and (d) although reinternalized, does not move IF and/or cbl to the basolateral cell surface.


Assuntos
Íleo/metabolismo , Receptores de Superfície Celular/metabolismo , Animais , Compartimento Celular , Diferenciação Celular , Cães , Mucosa Intestinal/metabolismo , Microscopia Eletrônica , Microvilosidades/metabolismo , Receptores de Superfície Celular/imunologia , Vitamina B 12/metabolismo
9.
Science ; 200(4345): 1048-51, 1978 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-17740696

RESUMO

The Copernicus Orbiting Astronomical Observatory was used to obtain measurements of Mars Lyman-alpha (1215.671-angstrom) emission at the solar minimum, which has resulted in the first information on atomic hydrogen concentrations in the upper atmosphere of Mars at the solar minimum. The Copernicus measurements, coupled with the Viking in situ measurements of the temperature (170 degrees +/- 30 degrees K) of the upper atmosphere of Mars, indicate that the atomic hydrogen number density at the exobase of Mars (250 kilometers) is about 60 times greater than that deduced from Mariner 6 and 7 Lyman-alpha measurements obtained during a period of high solar activity. The Copernicus results are consistent with Hunten's hypothesis of the diffusion-limited escape of atomic hydrogen from Mars.

10.
Science ; 204(4392): 523-6, 1979 May 04.
Artigo em Inglês | MEDLINE | ID: mdl-432658

RESUMO

Microspectrophotometric investigations of visual pigments in the teleost family Cichlidae determined that morphological "twin cones" need not be "pigment twins" as well. In each species there were two pigments that could be found in these cells; a "longwave" and a "shortwave" type whose precise spectral location varies for each species, making the terms red and green inadequate to describe them. Studies of the receptor mosaic with the nitro-blue tetrazolium chloride reduction technique permitted the sampling of larger receptor populations and confirmed that twin cones in several cichlid species could be either longwave-longwave, longwave-shortwave, or shortwave-shortwave pairs, and that the relative proportions of these twin cone types vary in different parts of the retinas. Nonuniform distribution of pigment types was also evident in the eyes of several other species from a variety of piscine taxa.


Assuntos
Peixes/anatomia & histologia , Células Fotorreceptoras/ultraestrutura , Pigmentos da Retina/metabolismo , Animais , Percepção de Cores/fisiologia , Meio Ambiente , Peixes/fisiologia , Nitroazul de Tetrazólio , Células Fotorreceptoras/metabolismo
11.
Science ; 200(4341): 549-52, 1978 May 05.
Artigo em Inglês | MEDLINE | ID: mdl-644317

RESUMO

Ellipsosomes are dense spherical bodies containing a very large concentration of a heme pigment spectroscopically resembling pure cytochrome c. They are located at the outer ends of the inner segments of the cones of certain fishes. Although, superficially, they resemble the similarly located oil droplets in the cones of birds and reptiles, their ultrastructure and staining properties resemble those of the neighboring mitochondria. However, like the oil droplets, they may serve as intracellular color filters.


Assuntos
Citocromos/análise , Peixes/fisiologia , Células Fotorreceptoras/análise , Animais , Mitocôndrias/análise , Organoides/análise , Organoides/enzimologia , Células Fotorreceptoras/ultraestrutura , Pigmentos Biológicos/análise , Succinato Desidrogenase/metabolismo
12.
J Clin Invest ; 102(4): 716-27, 1998 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-9710440

RESUMO

Lysophosphatidic acid (LPA) is the smallest and structurally simplest of all the glycerophospholipids. It occurs normally in serum and binds with high affinity to albumin, while retaining its biological activity. The effects of LPA are pleiotropic and range from mitogenesis to stress fiber formation. We show a novel role for LPA: as a macrophage survival factor with potency equivalent to serum. Administration of LPA protects macrophages from apoptosis induced by serum deprivation, and protection is equivalent to that with conventional survival factors such as macrophage colony stimulating factor. The ability of LPA to act as a survival factor is mediated by the lipid kinase phosphatidylinositol 3-kinase (PI3K), since LPA activated both the p85-p110 and p110gamma isoforms of PI3K and macrophage survival was blocked completely by wortmannin or LY294002, two mechanistically dissimilar inhibitors of PI3K. pp70(s6k), a downstream kinase activated by PI3K, also contributes to survival, because inhibitors of pp70(s6k), such as rapamycin, blocked macrophage survival in the presence of LPA. Modified forms of LPA and phospholipids, such as phosphatidylcholine and phosphatidylethanolamine, had no survival effect, thereby showing the specificity of LPA. These results show that LPA acts as a potent macrophage survival factor. Based on striking similarities between our LPA and serum data, we suggest that LPA is a major noncytokine survival factor in serum.


Assuntos
Lisofosfolipídeos/farmacologia , Macrófagos Peritoneais/efeitos dos fármacos , Fosfatidilinositol 3-Quinases/metabolismo , Androstadienos/farmacologia , Animais , Apoptose/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Células Cultivadas , Cromonas/farmacologia , Meios de Cultura Livres de Soro , Lisofosfolipídeos/sangue , Macrófagos Peritoneais/citologia , Camundongos , Camundongos Endogâmicos BALB C , Morfolinas/farmacologia , Inibidores de Fosfoinositídeo-3 Quinase , Polienos/farmacologia , Proteínas Quinases S6 Ribossômicas/antagonistas & inibidores , Transdução de Sinais/efeitos dos fármacos , Sirolimo , Suramina/farmacologia , Wortmanina
13.
J Clin Invest ; 76(6): 2057-65, 1985 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-3908480

RESUMO

Three siblings presented in their second year of life with megaloblastic anemia that responded to parenteral cobalamin (Cbl). Schilling tests were less than 1%, correcting to 5 to 15% after addition of hog intrinsic factor (IF). Gastric acid analysis and gastric biopsies were normal by light and electron microscopy. Gastric juice contained less than 3 pmol/ml of Cbl-binding ability due to IF (normal, 10-34 pmol/ml) and less than 2 pmol/ml of IF when measured with a radioimmunoassay (RIA) using normal human IF-[57Co]Cbl and rabbit anti-human IF serum (normal, 17-66 pmol/ml). However, RIA employing rabbit anti-hog IF serum gave values of 4-13 pmol/ml of IF (normal, 11-33 pmol/ml). This material had an apparent molecular weight of 40,000 (normal IF = 70,000). The IF from gastric biopsies appeared normal in terms of Cbl-binding ability, ileal binding, molecular weight, and both RIAs. This IF differed from normal mucosal IF, in that it lost its Cbl-binding ability when incubated at 37 degrees C at acid pH or in the presence of pepsin or trypsin. This loss was retarded when [57Co]Cbl was bound to the IF before these incubations. The stabilizing effects of neutralization and Cbl were also demonstrated in vivo. Schilling tests for the siblings of 0.4, 0.5, and 1.0% increased to 2.7, 5.7, and 4.3% (P less than 0.05), respectively, when the Schilling tests were repeated with the addition of NaHCO3 and cobinamide (which allows Cbl to bind immediately to IF). We conclude that Cbl malabsorption in these children is due to an abnormal IF that is markedly susceptible to acid and proteolytic enzymes which cause a decrease in its molecular weight and Cbl-binding ability and a loss of antigenic determinants that are recognized by the anti-human IF serum.


Assuntos
Fator Intrínseco/metabolismo , Vitamina B 12/metabolismo , Anemia Megaloblástica/etiologia , Anemia Megaloblástica/genética , Criança , Pré-Escolar , Suco Gástrico/metabolismo , Mucosa Gástrica/metabolismo , Humanos , Concentração de Íons de Hidrogênio , Absorção Intestinal , Fator Intrínseco/deficiência , Peso Molecular , Peptídeo Hidrolases/metabolismo , Vitamina B 12/genética
14.
Mol Immunol ; 32(10): 743-51, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7544869

RESUMO

We have reported that, when compared to macrophages from normal strains, macrophages from the autoimmune-prone MRL and NZB mouse strains demonstrate dramatically reduced IL-1 expression in response to LPS. In MRL mice, this is an intrinsic defect which is unmodified by age, the progression of disease, or the presence of the Ipr gene. Here we report that the key events leading to aberrant IL-1 expression appear to be transcriptional, based on the following three sets of findings. (1) Nuclear run-on analysis demonstrates that the patterns of IL-1 transcription in MRL/+ and BALB/c macrophages are distinct, as the former is clearly more transient. The reduction in MRL/+ IL-1 transcription coincides with a reduction in the levels of nuclear NF-KB and precedes a drop in IL-1 mRNA steady-state levels. (2) Reduced levels of IL-1 transcripts are found in both nuclear and cytosolic fractions of MRL/+ macrophages, arguing against faculty IL-1 mRNA transport into the cytosol as a contributing factor in the establishment of this defect. (3) In the presence of actinomycin D, the rate of RNA degradation is similar in MRL/+ and BALB/c macrophages. Moreover, in vitro RNA decay assays demonstrate that even in the absence of metabolic inhibitors, there is no evidence for an accelerated decay of IL-1 mRNA during exposure to lysates isolated from MRL/+ vs BALB/c macrophages. Taken together, these findings argue that transcription is the predominant level at which this striking example of cytokine dysregulation is controlled.


Assuntos
Autoimunidade , Interleucina-1/biossíntese , Macrófagos Peritoneais/imunologia , Animais , Sequência de Bases , Núcleo Celular/metabolismo , Células Cultivadas , Interleucina-1/genética , Interleucina-1/imunologia , Camundongos , Camundongos Endogâmicos BALB C , Dados de Sequência Molecular , RNA/análise , Transcrição Gênica
15.
Am J Kidney Dis ; 34(3): e11, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10471757

RESUMO

The manifestations of polyarteritis nodosa (PAN) are varied, but urological abnormalities other than ureteric stenosis and orchitis have not been described. We report a case of hepatitis B-associated PAN with bilateral hydronephrosis without obstruction. Retrograde urography conclusively demonstrated the absence of obstruction. Vasculitis-related myopathy, or neuropathy of the ureter, is the most likely cause of this finding. The patient was treated with high-dose steroids, cyclophosphamide, and plasmapheresis with resolution of hydronephrosis. Although the patient required dialysis at initiation of therapy, she went on to recover sufficient renal function to discontinue dialysis. We review the literature on the treatment of hepatitis B-associated PAN and discuss the pitfalls in diagnosis of this condition.


Assuntos
Hepatite B/complicações , Hidronefrose/etiologia , Poliarterite Nodosa/complicações , Adulto , Ciclofosfamida/uso terapêutico , Feminino , Humanos , Hidronefrose/terapia , Imunossupressores/uso terapêutico , Rim/patologia , Plasmaferese , Poliarterite Nodosa/diagnóstico , Poliarterite Nodosa/terapia , Diálise Renal , Ureter/diagnóstico por imagem , Urografia
16.
Semin Nephrol ; 19(1): 34-47, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9952279

RESUMO

The immunologic basis of systemic autoimmune diseases such as systemic lupus erythematosus (SLE) is complex and multifaceted. Recent advances in the field of apoptosis have suggested new paradigms for the development of autoimmunity. This review examines the role that apoptosis plays in maintaining immunologic tolerance to self-antigens, and how abnormalities in the regulation of apoptosis can lead to a breakdown in self-tolerance. This article also examines the increasing recognition of apoptotic cell antigens as the targets of autoantibodies and discusses the possibility that the autoimmune response characteristic of SLE is specifically directed against apoptotic cells. In addition, we will describe some of the features that distinguish nonpathogenic anti-DNA autoantibodies from those which deposit in the kidney and lead to lupus nephritis. Finally, we will attempt to synthesize the vast body of data connecting apoptosis and SLE into a single hypothesis in which we suggest that apoptotic cells are a primary source of immunogen, and that abnormalities in the handling of apoptotic cells can lead to a breakdown in self-tolerance.


Assuntos
Apoptose/imunologia , Autoanticorpos/imunologia , Autoantígenos/imunologia , Autoimunidade/imunologia , Lúpus Eritematoso Sistêmico/imunologia , Animais , Autoantígenos/fisiologia , Humanos , Tolerância Imunológica/imunologia , Imunidade Celular/imunologia , Sensibilidade e Especificidade
17.
Semin Nephrol ; 18(5): 505-18, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9754603

RESUMO

Renal tubular cells that are lethally injured after an acute ischemic or nephrotoxic insult to the kidney can die by necrosis or apoptosis. Necrosis is usually the result of overwhelming and severe cellular ATP depletion. In contrast, there are many potential causes of apoptosis in acute renal failure (ARF). These include cytotoxic events not severe enough to induce necrosis, a relative deficiency of renal growth factors, and loss of cell-matrix or cell-cell adhesive interactions. In some situations, receptor-mediated events induced by tumor necrosis factor-alpha (TNF-alpha) or Fas (CD95) may play a role in apoptosis in ARF. Necrosis and apoptosis are distinct morphologically and biochemically. Necrosis results in an early loss of plasma membrane integrity, the release of injurious substances from the cytosol, and an inflammatory reaction in the surrounding tissue that is readily detected morphologically. In contrast, apoptosis is characterized by progressive cell shrinkage with condensation and fragmentation of nuclear chromatin. Apoptotic cells ultimately break up into plasma membrane-bound vesicles called "apoptotic bodies" that are rapidly phagocytosed by macrophages and neighboring epithelial cells. In experimental models of ARF in vivo, apoptosis of renal tubular cells has been shown to occur in two distinct phases. The first phase of apoptosis occurs early on, between 12 and 48 hours after the acute ischemic or nephrotoxic insult. The second phase of apoptosis occurs many days later, during the recovery phase of ARF. Tubular cell apoptosis occurring shortly after the acute insult probably contributes to tubular cell loss and the tubular dysfunction associated with ARF. In contrast, the apoptosis associated with the recovery phase has been postulated to contribute to the remodeling of injured tubules and to facilitate their return to a normal structural and functional state. Therapeutic interventions that inhibit or promote apoptosis of renal tubular cells have the potential for minimizing renal dysfunction and accelerating recovery after ARF.


Assuntos
Injúria Renal Aguda/patologia , Apoptose , Injúria Renal Aguda/etiologia , Animais , Antígenos CD36/fisiologia , Caspases/fisiologia , Dano ao DNA , Fragmentação do DNA , Humanos , Necrose , Proteínas Proto-Oncogênicas c-bcl-2/fisiologia , Receptores de Vitronectina/fisiologia
18.
Autoimmunity ; 23(4): 217-29, 1996.
Artigo em Inglês | MEDLINE | ID: mdl-8915029

RESUMO

Macrophages (mø) from prediseased autoimmune-prone MRL/ + and MRL/lpr mice produce markedly decreased levels of IL-1 in vitro in response to LPS. In contrast, tissues from diseased MRL/lpr mice overexpress IL-1 in vivo. To determine whether IL-1 underproduction in the MRL strains is solely an in vitro phenomenon, we compared in vivo cytokine mRNA expression from prediseased age-matched MRL/ + and MRL/lpr mice to that from normal BALB/c and C3HeB/FeJ mice. Like mø in vitro, whole organ RNA from the spleen, liver, and kidney of MRL/ + and MRL/lpr mice showed down-regulation of IL-1 RNA following intraperitoneal injection of LPS. This abnormality in inducible IL-1 expression was present in all MRL mice, irrespective of disease stage or the presence of the lpr gene. On the other hand, only diseased MRL/lpr mice displayed elevated and constitutive expression of IL-1 in their livers and kidneys. We suggest that inducible expression is most indicative of the intrinsic, or genetic, capacity of cells to produce cytokine, whereas constitutive expression reflects extracellular disease-related inflammatory stimuli present only in the diseased MRL/lpr strains. By restricting our studies to prediseased MRL mice, we have tried to eliminate the effects of disease and to focus on the predisposing genetic background. The existence both in vitro and in vivo of a defect in inducible IL-1 expression by prediseased MRL mice suggests that the molecular abnormality underlying this defect may be a part of this predisposing background to autoimmunity.


Assuntos
Doenças Autoimunes/metabolismo , Doenças Autoimunes/patologia , Interleucina-1/biossíntese , Interleucina-1/genética , Animais , Doenças Autoimunes/genética , Regulação da Expressão Gênica/imunologia , Injeções Intraperitoneais , Interleucina-6/biossíntese , Interleucina-6/genética , Rim/metabolismo , Lipopolissacarídeos/administração & dosagem , Lipopolissacarídeos/toxicidade , Fígado/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C3H , Camundongos Endogâmicos MRL lpr , RNA Mensageiro/análise , Baço/metabolismo , Fator de Necrose Tumoral alfa/biossíntese , Fator de Necrose Tumoral alfa/genética
19.
Vision Res ; 23(10): 1031-41, 1983.
Artigo em Inglês | MEDLINE | ID: mdl-6649420

RESUMO

Electrophysiological recording and microspectrophotometry were used to analyze retinal function in representatives of the two surviving genera of holostean grade fish--the bowfin (Amia calva) and gars (Lepisosteus sp.). The properties of the cone photopigments, horizontal cells and ganglion cells show that these holostean retinas have cellular mechanisms for color vision which are fundamentally similar to those previously described for teleosts, turtle and mammals. These findings suggest that trichromatic receptor systems and opponent color-coding mechanisms may have evolved in primitive Neopterygii or more ancient fish, before the advent of teleosts. In conjunction with other recent data on living representatives of primitive fishes, these findings also add renewed plausibility for the view that vertebrate color vision could have taken a common origin some 400 million years ago from an ancestral aquatic jawed vertebrate.


Assuntos
Percepção de Cores/fisiologia , Peixes/fisiologia , Retina/fisiologia , Potenciais de Ação , Animais , Técnicas In Vitro , Neurônios/fisiologia , Células Fotorreceptoras/fisiologia , Retina/citologia , Células Ganglionares da Retina/fisiologia , Pigmentos da Retina/fisiologia , Espectrofotometria
20.
J Geophys Res ; 96(D8): 15523-40, 1991 Aug 20.
Artigo em Inglês | MEDLINE | ID: mdl-11538646

RESUMO

Series of high-resolution (approximately 0.01 cm-1) solar absorption spectra recorded with the McMath Fourier transform spectrometer on Kitt Peak (altitude 2.09 km, 31.9 degrees N, 111.6 degrees W) have been analyzed to deduce total column amounts of HF on 93 different days and HCl on 35 different days between May 1977 and June 1990. The results are based on the analysis of the HF and H35Cl (1-0) vibration-rotation band R(1) lines which are located at 4038.9625 and 2925.8970 cm-1, respectively. All of the data were analyzed using a multilayer, nonlinear least squares spectral fitting procedure and a consistent set of spectroscopic line parameters. The results indicate a rapid increase in total HF and a more gradual increase in total HCl with both trends superimposed on short-term variability. In addition, the total columns of both gases undergo a seasonal cycle with an early spring maximum and an early fall minimum, with peak-to-peak amplitudes equal to 25% for HF and 13% for HCl. In the case of HF, the changes over the 13 years of measurement are sufficiently large to determine that a better fit is obtained assuming a linear rather than an exponential increase with time. For HCl, linear and exponential models fit the data equally well. Referenced to calendar year 1981.0 and assuming a sinusoidal seasonal cycle superimposed on a linear total column increase with time, HF and HCl increase rates of (10.9 +/- 1.1)% yr-1 and (5.1 +/- 0.7)% yr-1 and total columns of (3.17 +/- 0.11) x 10(14) and (1.92 +/- 0.06) x 10(15) molecules cm-2 (2 sigma) are derived, respectively; the corresponding best fit mean exponential increase rates are equal to (7.6 +/- 0.6)% yr-1 and (4.2 +/- 0.5)% yr-1 (2 sigma). Over the 13-year observing period, the HF and HCl total columns increased by factors of 3.2 and 1.8, respectively. Based on HF and HCl total columns deduced from measurements on the same day, the HF/HCl total columns ratio increased from 0.14 in May 1977 to 0.23 in June 1990. Short-term temporal variations in the HF and HCl total columns are highly correlated; these fluctuations are believed to be caused by dynamical variability in the lower stratosphere. The results of this investigation are compared with previously reported measurements and with time-dependent, two-dimensional model calculations of HF and HCl total columns based on emission histories and photo-oxidation rates for the source molecules.


Assuntos
Atmosfera , Planeta Terra , Ácido Clorídrico/análise , Ácido Fluorídrico/análise , Modelos Químicos , Estações do Ano , Fenômenos Astronômicos , Astronomia , Sistema Solar , Espectroscopia de Infravermelho com Transformada de Fourier , Fatores de Tempo
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