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1.
Science ; 271(5250): 778-84, 1996 Feb 09.
Artigo em Inglês | MEDLINE | ID: mdl-8628992

RESUMO

Biological processes involved in the control and regulation of transcription are dependent on protein-induced distortions in DNA structure that enhance the recruitment of proteins to their specific DNA targets. This function is often accomplished by accessory factors that bind sequence specifically and locally bend or kink the DNA. The recent determination of the three-dimensional structures of several protein-DNA complexes, involving proteins that perform such architectural tasks, brings to light a common theme of side chain intercalation as a mechanism capable of driving the deformation of the DNA helix. The protein scaffolds orienting the intercalating side chain (or side chains) are structurally diverse, presently comprising four distinct topologies that can accomplish the same task. The intercalating side chain (or side chains), however, is exclusively hydrophobic. Intercalation can either kink or bend the DNA, unstacking one or more adjacent base pairs and locally unwinding the DNA over as much as a full turn of helix. Despite these distortions, the return to B-DNA helical parameters generally occurs within the adjacent half-turns of DNA.


Assuntos
Proteínas de Ligação a DNA/metabolismo , DNA/química , Substâncias Intercalantes/metabolismo , Conformação de Ácido Nucleico , Fatores de Transcrição/metabolismo , Transcrição Gênica , Composição de Bases , Sequência de Bases , DNA/metabolismo , DNA Helicases/química , DNA Helicases/metabolismo , Proteínas de Ligação a DNA/química , Ligação de Hidrogênio , Substâncias Intercalantes/química , Modelos Moleculares , Dados de Sequência Molecular , Fatores de Transcrição/química
2.
Science ; 265(5178): 1596-9, 1994 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-8079174

RESUMO

The role of the low-affinity neurotrophin receptor (p75NTR) in signal transduction is undefined. Nerve growth factor can activate the sphingomyelin cycle, generating the putative-lipid second messenger ceramide. In T9 glioma cells, addition of a cell-permeable ceramide analog mimicked the effects of nerve growth factor on cell growth inhibition and process formation. This signaling pathway appears to be mediated by p75NTR in T9 cells and NIH 3T3 cells overexpressing p75NTR. Expression of an epidermal growth factor receptor-p75NTR chimera in T9 cells imparted to epidermal growth factor the ability to activate the sphingomyelin cycle. These data demonstrate that p75NTR is capable of signaling independently of the trk neurotrophin receptor (p140trk) and that ceramide may be a mediator in neurotrophin biology.


Assuntos
Astrócitos/metabolismo , Receptores de Fator de Crescimento Neural/metabolismo , Transdução de Sinais , Esfingomielinas/metabolismo , Células 3T3 , Animais , Astrócitos/citologia , Ceramidas/metabolismo , Ceramidas/farmacologia , Fator de Crescimento Epidérmico/farmacologia , Receptores ErbB/metabolismo , Glioblastoma , Camundongos , Fatores de Crescimento Neural/farmacologia , Proteínas Proto-Oncogênicas/metabolismo , Ratos , Receptores Proteína Tirosina Quinases/metabolismo , Receptor trkA , Proteínas Recombinantes de Fusão/metabolismo , Células Tumorais Cultivadas
3.
Artigo em Alemão | MEDLINE | ID: mdl-19330272

RESUMO

Public health frequently raises moral questions. In the face of moral controversies and dissent about values, one may hope for guidance by ethical reflection. However, the topic and methods of ethics are also subject to fundamental disagreement. This article illustrates this by using the example of different approaches to the definition of morality and the controversy about general methods of justification. It also examines some of the implications of these controversies.


Assuntos
Diversidade Cultural , Princípios Morais , Saúde Pública/ética , Alemanha , Promoção da Saúde/ética , Humanos , Política
4.
Trends Biochem Sci ; 21(8): 302-8, 1996 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8772384

RESUMO

Mammalian male sex determination is controlled by a complex hierarchy of gene regulatory proteins and hormones, which promote male gonadal development and regression of the female primordia. At the core of this pathway lies the SRY protein, the master developmental switch for testicular differentiation and hence, the male sex. The three-dimensional structure of the SRY-DNA complex suggests a model of developmental gene regulation in which proteins that alter DNA structure and promote the assembly of higher-order nucleoprotein complexes play an essential role in the timing of cell specialization events.


Assuntos
Diferenciação Celular , Regulação da Expressão Gênica no Desenvolvimento , Modelos Genéticos , Proteínas Nucleares , Análise para Determinação do Sexo , Animais , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Proteínas de Ligação a DNA/fisiologia , Feminino , Gônadas/citologia , Gônadas/embriologia , Proteínas de Grupo de Alta Mobilidade/genética , Humanos , Masculino , Mamíferos , Camundongos , Conformação Proteica , Receptores Androgênicos/fisiologia , Fatores de Transcrição SOX9 , Caracteres Sexuais , Proteína da Região Y Determinante do Sexo , Testículo/citologia , Testículo/embriologia , Fatores de Transcrição/genética , Transcrição Gênica , Proteínas WT1
5.
Oncogene ; 25(9): 1349-57, 2006 Mar 02.
Artigo em Inglês | MEDLINE | ID: mdl-16247445

RESUMO

A 117 bp fragment of the human ELA2 promoter has been characterized that can act as a minimal promoter for the expression of neutrophil elastase. Chromatin immunoprecipitation and siRNAs revealed that expression of ELA2 is regulated by the acute myeloid human leukemia 1 protein (AML1), C/EBPalpha, PU.1 and c-Myb transcription factors. ELA2 has also been investigated as a possible target of the leukemic fusion protein AML1-ETO resulting from the t(8;21) chromosomal translocation. AML1-ETO, like AML1, binds the ELA2 promoter in the myeloid cell lines Kasumi-1 and U937, but unexpectedly fails to significantly alter expression of ELA2. Although AML1-ETO downregulates the expression of C/EBPalpha, changes in C/EBPalpha expression do not correlate with changes in the expression of ELA2. Our observations indicate that AML1-ETO may not be a constitutive repressor of gene expression in every case in which it can associate with DNA, either on its own or in conjunction with C/EBPalpha. Since neither ETO nor AML1-ETO are typically expressed in hematopoietic progenitors, we hypothesize that it is the interactions between AML1-ETO and regulatory cofactors in disease-state cells that alter gene expression programs during hematopoiesis. These protein-protein interactions may not require simultaneous DNA binding by AML1-ETO for the deleterious effects of the fusion protein to be realized.


Assuntos
Subunidade alfa 2 de Fator de Ligação ao Core/fisiologia , Regulação Neoplásica da Expressão Gênica , Proteínas de Fusão Oncogênica/fisiologia , RNA Interferente Pequeno , Serina Endopeptidases/biossíntese , Fatores de Transcrição/fisiologia , Doença Aguda , Imunoprecipitação da Cromatina , Proteínas de Ligação a DNA , Hematopoese/genética , Humanos , Leucemia Mieloide/genética , Regiões Promotoras Genéticas , Proteína 1 Parceira de Translocação de RUNX1 , Serina Endopeptidases/genética
6.
Cell Death Differ ; 13(12): 2052-61, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16710361

RESUMO

Receptor-mediated programmed cell death proceeds through an activated receptor to which the death adaptor FADD and the initiator procaspases 8 and/or 10 are recruited following receptor stimulation. The adaptor FADD is responsible for both receptor binding and recruitment of the procaspases into the death-inducing signaling complex. Biochemical dissection of the FADD death effector domain and functional replacement with a coiled-coil motif demonstrates that there is an obligatory FADD self-association via the DED during assembly of the death-inducing signaling complex. Using engineered oligomerization motifs with defined stoichiometries, the requirement for FADD self-association through the DED can be separated from the caspase-recruitment function of the domain. Disruption of FADD self-association precludes formation of a competent signaling complex. On this basis, we propose an alternative architecture for the FADD signaling complex in which FADD acts as a molecular bridge to stitch together an array of activated death receptors.


Assuntos
Proteína de Domínio de Morte Associada a Fas/metabolismo , Receptores de Morte Celular/metabolismo , Transdução de Sinais/fisiologia , Caspase 10/genética , Caspase 10/metabolismo , Caspase 8/genética , Caspase 8/metabolismo , Linhagem Celular Tumoral , Proteínas Adaptadoras de Sinalização de Receptores de Domínio de Morte/genética , Proteínas Adaptadoras de Sinalização de Receptores de Domínio de Morte/metabolismo , Proteína de Domínio de Morte Associada a Fas/genética , Regulação da Expressão Gênica , Humanos , Células Jurkat , Substâncias Macromoleculares , Mutação , Ligação Proteica , Receptores de Morte Celular/genética
7.
Curr Biol ; 4(6): 477-87, 1994 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-7922368

RESUMO

BACKGROUND: Escherichia coli integration host factor (IHF) is a DNA-binding protein that participates in a wide variety of biochemical functions. In many of its activities, IHF appears to act as an architectural element, dramatically distorting the conformation of bound DNA. IHF is a dimer of non-identical subunits, each about 90 amino acids long. One dimer interacts specifically with a 30 base pair (bp) target, but well-conserved sequences are found in only half of this binding site. Thus, the IHF-DNA system has long been viewed as a paradigm of asymmetry in a protein-DNA interaction. RESULTS: We have isolated the subunits of IHF and show that either subunit is capable of specifically recognizing natural IHF-binding sites and supporting lambda site-specific recombination in vitro. Mobility shift and footprinting data indicate that the isolated subunits interact with DNA as homodimers. We also describe the design of symmetric duplexes to which heterodimeric and homodimeric IHFs can bind by recognizing specific sequences. CONCLUSIONS: Our in vitro manipulation of the IHF system demonstrates that binding and bending of target DNA can be accomplished symmetrically. The prevalence of asymmetry found for this system in nature suggests that additional selective forces may operate. We suggest that these follow from the disparity between the size of the DNA that IHF protects (30 bp) and the length of DNA that the protein can initially contact (10 bp). This disparity implies that an IHF target is recognized in stages and may dispose the part of the protein-DNA system used for initial recognition to evolve distinctly from the remainder of the interaction surface. We suggest that a limitation in the length of DNA that can be initially contacted is a general property of DNA-binding proteins. In that case, many proteins can be expected to identify complex targets by step-wise, rather than simultaneous, contact between sequence elements and DNA-binding domains.


Assuntos
Proteínas de Bactérias/metabolismo , Proteínas de Ligação a DNA/metabolismo , Escherichia coli/metabolismo , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Sequência de Bases , Sítios de Ligação , DNA Bacteriano/genética , DNA Bacteriano/metabolismo , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Escherichia coli/genética , Fatores Hospedeiros de Integração , Dados de Sequência Molecular , Conformação Proteica , Recombinação Genética
10.
Cancer Res ; 48(8): 2231-8, 1988 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-3258189

RESUMO

Xenografts from eight malignant human gliomas were established in athymic mice and were used to study amplification and expression of the epidermal growth factor receptor (EGFR) gene. Tissue identity between biopsy and xenografts was confirmed by karyotypic profiles, which showed that each glioma xenograft retained structural abnormalities, including double minute chromosomes, present in the parent glioma. EGFR gene amplification was found in six of the eight glioma biopsies and their corresponding xenografts. Expression of the EGFR gene was measured by Scatchard analysis, affinity reactions, immunoprecipitations, Western immunoblots, and immunocytochemistry; significant expression of the EGFR gene was only detectable in xenografts with EGFR gene amplification. Moreover, five of the six xenografts with EGFR gene amplification demonstrated structural alterations of the EGFR gene, which was associated with low-molecular-weight EGFR proteins. These xenografts represent an excellent tissue source and in vivo model system for characterizing the epidermal growth factor receptor in malignant human gliomas.


Assuntos
Receptores ErbB/genética , Amplificação de Genes , Glioma/genética , Animais , Fator de Crescimento Epidérmico/metabolismo , Receptores ErbB/análise , Feminino , Glicosilação , Humanos , Imuno-Histoquímica , Radioisótopos do Iodo , Cariotipagem , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Peso Molecular , Transplante de Neoplasias , Transplante Heterólogo
11.
J Mol Biol ; 225(3): 873-89, 1992 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-1602487

RESUMO

The binding surface of soybean trypsin/chymotrypsin Bowman-Birk inhibitor in contact with alpha-chymotrypsin has been identified by measurement of the change in amide hydrogen-exchange rates between free and chymotrypsin-bound inhibitor. Exchange measurements were made for the enzyme-bound form of the inhibitor at pH 7.3, 25 degrees C using fast-flow affinity chromatography and direct measurement of exchange rates in the protein complex from one-dimensional and two-dimensional nuclear magnetic resonance spectra. The interface is characterized by a broad surface of contact involving residues 39 through 48 of the anti-chymotryptic domain beta-hairpin as well as residues 32, 33 and 37 in the anti-chymotryptic domain loop of the inhibitor. A number of residues in the anti-tryptic domain of the protein also have an altered exchange rate, suggesting that there are changes in the protein conformation upon binding to chymotrypsin. These changes in amide exchange behavior are discussed in light of a model of the complex based on the X-ray crystallographic structure of turkey ovomucoid inhibitor third domain bound to a alpha-chymotrypsin, and the structure of free Bowman-Birk inhibitor determined in solution by two-dimensional nuclear magnetic resonance spectroscopy. The chymotrypsin-binding loop of Bowman-Birk inhibitor in the model is remarkably similar to the binding loop conformation in crystal structures of enzyme-bound polypeptide chymotrypsin inhibitor-I from potatoes, turkey ovomucoid inhibitor third domain, and chymotrypsin inhibitor-II from barley seeds.


Assuntos
Inibidor da Tripsina de Soja de Bowman-Birk/química , Amidas/química , Sítios de Ligação , Quimotripsina/química , Quimotripsina/ultraestrutura , Ligação de Hidrogênio , Substâncias Macromoleculares , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Ligação Proteica , Conformação Proteica , Análise Espectral , Inibidor da Tripsina de Soja de Bowman-Birk/ultraestrutura
12.
J Mol Biol ; 308(2): 191-203, 2001 Apr 27.
Artigo em Inglês | MEDLINE | ID: mdl-11327761

RESUMO

The Runt domain family of transcription factors play key roles in transcriptional regulation of definitive hematopoiesis and osteogenesis. This transcription factor family is characterized by a DNA-binding alpha-subunit harboring the Runt domain and a secondary subunit, beta, which binds to the Runt domain and enhances its interaction with DNA. Missense mutations in the Runt domain from either the blood or bone-related gene product are associated with the onset of acute human leukemia as well as a disease of skeletal patterning known as cleidocranial dysplasia. NMR "footprinting" analysis of Runt domain/beta/DNA ternary complexes in solution previously identified the likely residues that form the heterodimerization and DNA-binding surfaces of the Runt domain. Functional mutagenesis at 37 positions in the Runt domain or beta confirms the original identification of these interaction surfaces and reveals that the heterodimerization and DNA-binding surfaces of the Runt domain occur at distinct, non-overlapping sites within the domain. The analysis of an additional 21 disease-related missense mutations identified from patients with either blood or bone disease demonstrates that the primary defect in these patients is a failure in DNA-recognition by the Runt domain. The molecular basis for the DNA-binding defect is analyzed in the context of the three-dimensional structure of the Runt domain in binary and ternary protein/DNA complexes.


Assuntos
Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/metabolismo , DNA/metabolismo , Mutação Puntual/genética , Proteínas Proto-Oncogênicas , Fatores de Transcrição/química , Fatores de Transcrição/metabolismo , Substituição de Aminoácidos/genética , Sítios de Ligação , Dicroísmo Circular , Displasia Cleidocraniana/genética , Subunidade alfa 2 de Fator de Ligação ao Core , Subunidade beta de Fator de Ligação ao Core , DNA/genética , Proteínas de Ligação a DNA/genética , Dimerização , Proteínas de Drosophila , Humanos , Leucemia Mieloide/genética , Espectroscopia de Ressonância Magnética , Modelos Moleculares , Mutagênese/genética , Proteínas Nucleares , Fenótipo , Ligação Proteica , Estrutura Terciária de Proteína , Subunidades Proteicas , Fator de Transcrição AP-2 , Fatores de Transcrição/genética
13.
J Neuropathol Exp Neurol ; 47(3): 191-205, 1988 May.
Artigo em Inglês | MEDLINE | ID: mdl-3367154

RESUMO

Gene amplification occurs in 45-50% of malignant human gliomas (MHG). In the present study, 64 genetically characterized gliomas were evaluated to determine if tumors with amplification of the epidermal growth factor receptor (EGFR), N-myc, c-myc, or gli genes had distinctive histopathologic features. There was no significant difference in age (p = 0.10) or gender (p = 0.78) between patients whose tumors contained amplified genes and those whose tumors did not exhibit this characteristic. Although the patients with amplified genes in their tumors survived slightly longer than patients whose tumors had no detectable gene amplification, these differences were not statistically significant (p = 0.21). The 28 tumors with amplification included 24/48 (50%) glioblastoma multiforme, 2/6 (33%) anaplastic astrocytomas and 2/5 (40%) gliosarcomas. No amplification was seen in one oligodendroglioma, three anaplastic mixed gliomas or one giant cell glioblastoma multiforme. Necrosis and endothelial proliferation were equally prevalent among tumors with and without amplification. Comparison of tumors with gene amplification and tumors without this characteristic revealed similar distributions of most morphologic cells types. Although prominent perivascular lymphocytic infiltrates were more frequent in tumors without amplification, this association was of borderline significance statistically. In situ hybridization of tumors with amplification using an EGFR mRNA probe showed intense labeling of different neoplastic cell types including fibrillary and protoplasmic astrocytes, gemistocytes, anaplastic cells, and multinucleated giant cells. Non-neoplastic cells such as hyperplastic endothelium within the tumors did not express detectable EGFR mRNA. These studies demonstrate that (a) cells with quite different morphology within the same tumor can contain the same genetic alteration; (b) tumors of identical histological appearance may have arisen and evolved by different molecular mechanisms; and (c) molecular analyses are necessary to evaluate gene amplification in MHG since this characteristic cannot be accurately predicted by the morphologic or clinical criteria used in this study.


Assuntos
Neoplasias Encefálicas/genética , Amplificação de Genes , Glioma/genética , Adulto , Idoso , Neoplasias Encefálicas/patologia , Feminino , Glioma/patologia , Humanos , Masculino , Pessoa de Meia-Idade
14.
FEBS Lett ; 345(2-3): 125-30, 1994 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-8200443

RESUMO

We have developed a facile means for the refolding of milligram quantities of purified proteins that employs gel filtration chromatography. We demonstrate by electrophoretic mobility shift and NMR spectroscopy that human ETS-1 protein, bovine ribonuclease A and E. coli integration host factor can be refolded into the native conformation using this technique. We have extended this strategy to the preparation of milligram quantities of macromolecular complexes suitable for structural analysis by NMR spectroscopy or X-ray crystallography. The diverse challenges to overcome in refolding these proteins illustrates the potential of this technique as a general approach for recovery of recombinant proteins produced as insoluble inclusion bodies.


Assuntos
Proteínas de Bactérias/química , Cromatografia em Gel/métodos , Conformação Proteica , Dobramento de Proteína , Proteínas Proto-Oncogênicas/química , Ribonuclease Pancreático/química , Animais , Proteínas de Bactérias/metabolismo , Sequência de Bases , Bovinos , Linhagem Celular , Proteínas de Ligação a DNA/química , Escherichia coli/metabolismo , Humanos , Fatores Hospedeiros de Integração , Espectroscopia de Ressonância Magnética , Dados de Sequência Molecular , Sondas de Oligonucleotídeos , Proteína Proto-Oncogênica c-ets-1 , Proteínas Proto-Oncogênicas/metabolismo , Proteínas Proto-Oncogênicas c-ets , Ribonuclease Pancreático/metabolismo , Fatores de Transcrição/química
15.
Neurology ; 38(7): 1158-60, 1988 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-3386838

RESUMO

We describe a case of severe intracranial atherosclerosis in a young man who had received therapeutic radiation for a presumed brain neoplasm. Since there was no evidence of vascular disease outside the radiation ports, we speculate that accelerated atherosclerosis was induced by radiation and that hyperlipidemia may have predisposed him to this effect.


Assuntos
Arteriosclerose/etiologia , Neoplasias Encefálicas/radioterapia , Artérias Cerebrais/efeitos da radiação , Ventrículos Cerebrais/efeitos da radiação , Lesões por Radiação/etiologia , Radioterapia/efeitos adversos , Artérias Cerebrais/patologia , Criança , Humanos , Masculino
16.
Methods Enzymol ; 338: 283-304, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11460553

RESUMO

An optimized procedure has been described for the large-scale production of stable isotopeenriched duplex oligonucleotides of designed sequence. Large-scale production of labeled nucleotide triphosphates can be produced in this procedure simultaneously with labeled proteins, thereby providing synthetic dNMP precursors at no additional cost. The procedure is robust, with a minimum product:template yield of 800:1 overall, and produces > 99% single-length product. Tandem repeat PCR amplification is a general approach to large scale synthesis of duplex oligonucleotides and may have applications to both NMR and X-ray methods, particularly for product lengths in excess of 25 base pairs where failed sequences from solid-phase synthesis can be difficult to remove chromatographically. A drawback of the present approach is that the product is a duplex of two equal-length strands, making single-stranded products more difficult to prepare. For this reason, it could be preferable to produce single-stranded products by the [figure: see text] method of Zimmer and Crothers. Although a single base type can be selectively enriched in this approach, chemical synthesis will provide greater flexibility for labeled DNAs requiring site-specific labels at only one or a small number of nucleotide positions in the sequence. Therefore, maximum flexibility in labeling patterns can be realized by judicious choice of labeling method appropriate to the type of DNA product and extent of isotopic enrichment desired.


Assuntos
DNA Bacteriano/biossíntese , DNA Bacteriano/química , Ressonância Magnética Nuclear Biomolecular , Sequência de Bases , Isótopos de Carbono , DNA Bacteriano/genética , Deutério , Escherichia coli/genética , Escherichia coli/metabolismo , Fermentação , Amplificação de Genes , Substâncias Macromoleculares , Isótopos de Nitrogênio , Reação em Cadeia da Polimerase/métodos , Sequências de Repetição em Tandem
17.
J Histochem Cytochem ; 36(1): 81-6, 1988 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-3275713

RESUMO

Epidermal growth factor is a well-defined peptide which stimulates cell growth and elicits cell responses in a variety of tissues by binding to specific receptors, EGF-R. A specific antiserum against the EGF receptor, which has previously been used to characterize EGF-R in human skin, fibroblasts, and smooth muscle, was used to survey the distribution of EGF-R in human nervous system. Portions of formalin-fixed, paraffin-embedded autopsy specimens were examined by use of immunohistochemical staining (PAP technique) with EGF-R antiserum. Many types of nerve cells, e.g., cerebral cortical pyramidal cells, hippocampal pyramidal cells, Purkinje cells, anterior horn cells, and dorsal root ganglion neurons, contained immunoreactive EGF-R. However, immunoreactive EGF-R were not detected in astrocytes, oligodendrogliocytes, and other small neurons such as granule cells. Intense immunostaining for EGF-R was also detected in ependymal cells from choroidal and extrachoroidal locations. Although immunoreactive EGF-R is widely distributed in human nervous system, the functional role of EGF and its receptor in the nervous system remains unknown.


Assuntos
Receptores ErbB/análise , Sistema Nervoso/análise , Envelhecimento , Astrócitos/análise , Encéfalo/irrigação sanguínea , Cerebelo/análise , Córtex Cerebral/análise , Gânglios Espinais/análise , Hipocampo/análise , Histocitoquímica , Humanos , Técnicas Imunoenzimáticas , Músculo Liso Vascular/análise , Oligodendroglia/análise , Células de Purkinje/análise , Células de Schwann/análise , Distribuição Tecidual
19.
J Neuroimaging ; 5(4): 233-6, 1995 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-7579752

RESUMO

Neoplastic meningitis, an unusual complication of systemic cancer, is becoming more common as cancer patients live longer. Although leptomeningeal metastases from solid tumors are usually associated with multifocal neurological signs, the authors report on 4 patients who presented with normal findings on neurological examination. One man had severe headache and complex partial seizures. Magnetic resonance imaging (MRI) of the brain revealed gadolinium enhancement of multiple cranial nerves. Cerebrospinal fluid (CSF) cytology was positive for melanoma. One woman presented with severe migratory retroorbital headaches. MRIs of the brain with and without gadolinium appeared normal. CSF cytology was positive for pulmonary adenocarcinoma. One man presented with morning headache, and a woman presented with back pain. Both had CSF cytologies positive for lymphoma. Neoplastic meningitis can occur without abnormalities on neurological or MRI examinations. Lumbar punctures should be performed on cancer patients with severe, unusual, or prolonged headaches.


Assuntos
Neoplasias Meníngeas/diagnóstico , Neoplasias Meníngeas/secundário , Adenocarcinoma/diagnóstico , Adenocarcinoma/secundário , Idoso , Encéfalo/patologia , Feminino , Humanos , Imageamento por Ressonância Magnética , Masculino , Melanoma/diagnóstico , Melanoma/secundário , Pessoa de Meia-Idade , Exame Neurológico , Leucemia-Linfoma Linfoblástico de Células Precursoras/diagnóstico , Punção Espinal
20.
Clin Geriatr Med ; 3(4): 765-79, 1987 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-3315167

RESUMO

The most common forms of brain tumor in the elderly are metastasis, glioma, meningioma, pituitary adenoma, and acoustic neuroma. They produce a variety of neurologic symptoms and usually can be readily diagnosed by CT scan. Most of the tumors can be effectively treated with some combination of corticosteroids, surgery, radiation, and chemotherapy. The prognosis of a patient with a brain tumor depends on the tumor's histology, its location, and the patient's ability to tolerate therapy. Early diagnosis is important for successful treatment.


Assuntos
Neoplasias Encefálicas , Idoso , Neoplasias Encefálicas/diagnóstico , Neoplasias Encefálicas/patologia , Neoplasias Encefálicas/terapia , Diagnóstico Diferencial , Glioma/diagnóstico , Humanos , Neoplasias Meníngeas/diagnóstico , Neoplasias Meníngeas/terapia , Meningioma/diagnóstico , Pessoa de Meia-Idade , Neoplasias Hipofisárias/diagnóstico , Neoplasias Hipofisárias/terapia , Tomografia Computadorizada por Raios X
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