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1.
Methods Mol Biol ; 2059: 145-154, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31435919

RESUMEN

Peptide-drug conjugates (PDCs) are being developed for the targeted delivery of drugs to cancer cells. Several approaches are being followed to enhance their stability in biological solutions. Here we describe an effective method to easily couple PDCs to polyethylene-coated gold nanoparticles. We also outline analytical methods to validate the coupling and assays to measure the stability and cytotoxic efficacy of the conjugates.


Asunto(s)
Antineoplásicos/farmacología , Sistemas de Liberación de Medicamentos/métodos , Oro/química , Nanopartículas del Metal/química , Péptidos/química , Animales , Antineoplásicos/farmacocinética , Línea Celular Tumoral , Proliferación Celular/efectos de los fármacos , Cromatografía Liquida , Humanos , Espectrometría de Masas , Nanopartículas del Metal/ultraestructura , Ratones , Microscopía Electrónica de Transmisión , Péptidos/genética , Polietilenglicoles/química
2.
J Immunother Cancer ; 7(1): 301, 2019 11 14.
Artículo en Inglés | MEDLINE | ID: mdl-31727148

RESUMEN

BACKGROUND: Despite chemo-induction therapy and autologous stem cell transplantation (ASCT), the vast majority of patients with Multiple Myeloma (MM) relapse within 7 years and the disease remains incurable. Adoptive Allogeneic T-cell therapy (ATCT) might be curative for MM, however current ATCT protocols often lead to graft versus host disease (GvHD). Transplanting only tumor reactive donor T cells that mediate a graft-versus-myeloma (GvM) but not GvHD may overcome this problem. METHODS: We used an MHC-matched/miHA-disparate B10.D2 → Balb/c bone marrow transplantation (BMT) murine model and MOPC315.BM MM cells to develop an ATCT protocol consisting of total body irradiation, autologous-BMT and infusion of selective, myeloma-reactive lymphocytes of T cell receptor (TCR) Vß 2, 3 and 8.3 families (MM-auto BMT ATCT). RESULTS: Pre-stimulation ex vivo of allogeneic T cells by exposure to MOPC315.BM MM cells in the presence of IL-2, anti-CD3 and anti-CD28 resulted in expansion of the myeloma-reactive T cell TCRVß 2, 3 and 8.3 subfamilies. Their isolation and infusion into MM-bearing mice resulted in a vigorous GvM response without induction GvHD and long-term survival. Repeated infusion of naïve myeloma-reactive T cell TCRVß 2, 3 and 8.3 subfamilies was also effective. CONCLUSIONS: These data demonstrate that a transplantation protocol involving only selective tumor-reactive donor T cell families is an effective immunotherapy and results in long-term survival in a mouse model of human MM. The results highlight the need to develop similar ATCT strategies for MM patients that result in enhanced survival without symptoms of GvHD.


Asunto(s)
Traslado Adoptivo , Trasplante de Médula Ósea , Mieloma Múltiple/terapia , Linfocitos T/trasplante , Animales , Línea Celular Tumoral , Enfermedad Injerto contra Huésped , Masculino , Ratones Endogámicos BALB C
3.
Bioorg Med Chem ; 26(13): 3825-3836, 2018 07 30.
Artículo en Inglés | MEDLINE | ID: mdl-30017114

RESUMEN

Pancreatic cancer poorly responds to available drugs, and finding novel approaches to target this cancer type is of high significance. Here, based on a common property of pancreatic cancer cells to express somatostatin receptors (SSTR), we designed drug conjugates with novel somatostatin-derived cyclic peptides (SSTp) with broad selectivity towards SSTR types to facilitate drug targeting of the pancreatic cancer cells specifically. Uptake of our newly designed SSTps was facilitated by SSTRs expressed in the pancreatic cancers, including SSTR2, SSTR3, SSTR4 and SSTR5. Three major drugs were conjugated to our best SSTps that served as delivery vehicles, including Camptothecin (CPT), Combretastatin-4A (COMB) and Azatoxin (AZA). All designed drug conjugates demonstrated penetration to pancreatic cancer cell lines, and significant toxicity towards them. Furthermore, the drug conjugates specifically accumulated in tumors in the animal xenograft model, though some accumulation was also seen in kidney. Overall these findings lay the basis for development of novel drug series that could target the fatal pancreatic cancer.


Asunto(s)
Antineoplásicos/síntesis química , Péptidos Cíclicos/química , Somatostatina/química , Animales , Antineoplásicos/metabolismo , Antineoplásicos/farmacología , Antineoplásicos/uso terapéutico , Camptotecina/química , Línea Celular Tumoral , Supervivencia Celular/efectos de los fármacos , Humanos , Indoles/química , Riñón/metabolismo , Neoplasias Pancreáticas/tratamiento farmacológico , Neoplasias Pancreáticas/metabolismo , Neoplasias Pancreáticas/patología , Péptidos Cíclicos/síntesis química , Receptores de Somatostatina/antagonistas & inhibidores , Receptores de Somatostatina/genética , Receptores de Somatostatina/metabolismo , Estilbenos/química , Distribución Tisular , Ensayos Antitumor por Modelo de Xenoinjerto
4.
Cancer Lett ; 408: 164-173, 2017 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-28888997

RESUMEN

Metastatic castration-resistant prostate cancer (mCRPC) remains essentially incurable. Targeted Drug Delivery (TDD) systems may overcome the limitations of current mCRPC therapies. We describe the use of strict criteria to isolate novel prostate cancer cell targeting peptides that specifically deliver drugs into target cells. Phage from a libraries displaying 7mer peptides were exposed to PC-3 cells and only internalized phage were recovered. The ability of these phage to internalize into other prostate cancer cells (LNCaP, DU-145) was validated. The displayed peptides of selected phage clones were synthesized and their specificity for target cells was validated in vitro and in vivo. One peptide (P12) which specifically targeted PC-3 tumors in vivo was incorporated into mono-drug (Chlorambucil, Combretastatin or Camptothecin) and dual-drug (Chlorambucil/Combretastatin or Chlorambucil/Camptothecin) PDCs and the cytotoxic efficacy of these conjugates for target cells was tested. Conjugation of P12 into dual-drug PDCs allowed discovery of new drug combinations with synergistic effects. The use of strict selection criteria can lead to discovery of novel peptides for use as drug carriers for TDD. PDCs represent an effective alternative to current modes of free drug chemotherapy for prostate cancer.


Asunto(s)
Antineoplásicos/administración & dosificación , Apoptosis/efectos de los fármacos , Bacteriófagos/metabolismo , Portadores de Fármacos/química , Sistemas de Liberación de Medicamentos , Fragmentos de Péptidos/administración & dosificación , Neoplasias de la Próstata/tratamiento farmacológico , Antineoplásicos/farmacología , Proliferación Celular/efectos de los fármacos , Humanos , Masculino , Fragmentos de Péptidos/farmacología , Biblioteca de Péptidos , Neoplasias de la Próstata/metabolismo , Neoplasias de la Próstata/patología , Células Tumorales Cultivadas
5.
Eur J Med Chem ; 138: 602-615, 2017 Sep 29.
Artículo en Inglés | MEDLINE | ID: mdl-28710962

RESUMEN

The resistance of cancer cells to chemotherapeutic agents, whether through intrinsic mechanisms or developed resistance, motivates the search for new chemotherapeutic strategies. In the present report, we demonstrate a facile synthetic strategy towards the discovery of new anti-cancer substances. This strategy is based on simple covalent coupling between known anti-cancer drugs, which results in novel 'chimeric' small molecules. One of these novel compounds, CM358, is the product of an amide bond formation between the known Topoisomerase II (Topo II) inhibitor amonafide (AM) and the known DNA mustard alkylator chlorambucil (CLB). It demonstrates significant enhanced cytotoxicity over an equimolar mixture of AM and CLB in various cancer cell lines and in a xenograft model of human metastatic melanoma. Topo II inhibition as well as in silico docking studies suggest that CM358 is a stronger Topo II binder than AM. This may be attributed, at least partially, to the placement of the CLB moiety in a favorable orientation with respect to DNA cross-linking with nearby guanines. In a human metastatic melanoma (WM 266-4) xenograft model, this compound was profoundly superior to a mixture of AM and CLB in reduction of tumor growth, maintenance of body weight and extension of overall survival.


Asunto(s)
Antineoplásicos/farmacología , Descubrimiento de Drogas , Compuestos Heterocíclicos con 3 Anillos/farmacología , Melanoma/tratamiento farmacológico , Pirimidinonas/farmacología , Inhibidores de Topoisomerasa II/farmacología , Animales , Antineoplásicos/síntesis química , Antineoplásicos/química , Proliferación Celular/efectos de los fármacos , ADN-Topoisomerasas de Tipo II/metabolismo , Relación Dosis-Respuesta a Droga , Ensayos de Selección de Medicamentos Antitumorales , Compuestos Heterocíclicos con 3 Anillos/síntesis química , Compuestos Heterocíclicos con 3 Anillos/química , Humanos , Melanoma/patología , Ratones , Ratones Desnudos , Modelos Moleculares , Estructura Molecular , Neoplasias Experimentales/tratamiento farmacológico , Neoplasias Experimentales/patología , Pirimidinonas/síntesis química , Pirimidinonas/química , Relación Estructura-Actividad , Inhibidores de Topoisomerasa II/síntesis química , Inhibidores de Topoisomerasa II/química
6.
Bioorg Med Chem ; 24(2): 294-303, 2016 Jan 15.
Artículo en Inglés | MEDLINE | ID: mdl-26719208

RESUMEN

New cyclic RGD peptide-anticancer agent conjugates, with different chemical functionalities attached to the parent peptide were synthesized in order to evaluate their biological activities and to provide a comparative study of their drug release profiles. The Integrin binding c(RGDfK) penta-peptide was used for the synthesis of Camptothecin (CPT) carbamate and Chlorambucil (CLB) amide conjugates. Substitution of the amino acid Lys with Ser resulted in a modified c(RGDfS) with a new attachment site, which enabled the synthesis of an ester CLB conjugate. Functional versatility of the conjugates was reflected in the variability of their drug release profiles, while the conserved RGD sequence of a selective binding to the αv integrin family, likely preserved their recognition by the Integrin and consequently their favorable toxicity towards targeted cancer cells. This hypothesis was supported by a computational analysis suggesting that all conjugates occupy conformational spaces similar to that of the Integrin bound bio-active parent peptide.


Asunto(s)
Antineoplásicos/farmacología , Camptotecina/farmacología , Carbamatos/farmacología , Clorambucilo/farmacología , Sistemas de Liberación de Medicamentos , Simulación de Dinámica Molecular , Péptidos Cíclicos/farmacología , Animales , Antineoplásicos/síntesis química , Antineoplásicos/química , Camptotecina/química , Carbamatos/química , Línea Celular Tumoral , Proliferación Celular/efectos de los fármacos , Clorambucilo/química , Relación Dosis-Respuesta a Droga , Ensayos de Selección de Medicamentos Antitumorales , Humanos , Hígado/química , Hígado/metabolismo , Ratones , Estructura Molecular , Péptidos Cíclicos/química , Relación Estructura-Actividad
7.
Biopolymers ; 106(2): 160-171, 2016 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-26715008

RESUMEN

To enhance the efficacy of targeted drug delivery, four new peptide-ligand conjugates were synthesized, each consisting of a cyclic RGDfK penta-peptide loaded with two anticancer drugs. The drug release profiles in different media of these new compounds and their cytotoxic activity against melanoma and non-small lung cancer cell lines were evaluated and compared with those of their singly loaded analogs. The cyclic RGDfK penta-peptide was selected as a targeting moiety because of its high affinity and selectivity to the αv ß3 integrin receptor, which is frequently over-expressed in various types of cancer cells. The peptide's core was modified at the side chain of its Lys residue by coupling it with a sixth amino acid (AA) - either Lys (5a) or Ser (5b) (Lys/Ser splitter), resulting in two functional sites which enabled the loading of two therapeutic equivalents onto a single targeting carrier. Using Lys as a splitter resulted in two primary amines. Consequently, conjugates 1a and 1b were synthesized by coupling of 2 Chlorambucils (CLBs) or 2 Camptothecins (CPTs), respectively, to the primary amines of 5a. Conjugate 1c was synthesized from 5b by loading two equivalents of CLB on the amine and the hydroxyl of the Ser splitter, resulting in a homodimeric system with two distinct conjugation sites - amide and ester. The heterodimeric conjugate 1d of CLB and CPT was synthesized by loading each one of the primary amines of 5a with two different drugs - CLB and CPT. The doubling of drug equivalents loaded onto the targeting peptide correlated with enhanced cytotoxic efficacy of the conjugates towards cancer cells. The versatility of chemical linkages of the drugs to the peptides resulted in conjugates with different drug release profiles. Molecular dynamics simulations performed on conjugate 1d demonstrated that this compound occupies a conformational space similar to the bio-active conformation of an integrin-bound cyclic RGD peptide reference peptide (c(RGDf(NMe)V). The modified position in 1d (relative to the reference peptide) points away from the integrin, leading us to hypothesize that this peptide binds the integrin in a manner similar to that of the reference peptide thereby fulfilling a crucial requirement for targeted delivery. The strategy of dual drug loading on a single peptide carrier, gives rise to drugs with different mechanisms of action and release profiles, thus substantially increasing the efficacy of selective killing of tumor cells and while reducing the risk of the development of drug resistance. © 2015 Wiley Periodicals, Inc. Biopolymers (Pept Sci) 106: 160-171, 2016.

8.
Bioelectromagnetics ; 30(3): 167-75, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19051324

RESUMEN

Equipment that generates microwave radiation (MWR) spanning the frequency range of 300 MHz-100 GHz is becoming more common. While MWR lacks sufficient energy to break chemical bonds, the disagreement as to whether MWR exposure is detrimental to cellular dysfunction may be difficult to clarify using complex systems such as whole animals, cells, or cell extracts. Recently, the high frequency range of terahertz (THz) radiation has been explored and sources of radiation and its detectors have been developed. THz radiation is associated with the frequency interval from 100 GHz to 20 THz and constitutes the next frontier in imaging science and technology. In the present study, we investigated the effect of radiation in the low frequency THz range (100 GHz) on two defined molecular interactions. First, the interaction of soluble or immobilized calf alkaline phosphatase with the substrate p-nitrophenylphosphate and second, the interaction between an antibody (mouse monoclonal anti-DNP) and its antigen (DNP). Irradiation of enzyme either prior to addition of substrate or during the enzymatic reaction resulted in small but significant reductions in enzyme activity. These differences were not observed if the enzyme had previously been immobilized onto plastic microwells. Exposure of immobilized antigen to radiation did not influence the ability of the antigen to interact with antibody. However, irradiation appeared to decrease the stability of previously formed antigen-antibody complexes. Our data suggest that 100 GHz radiation can induce small but statistically significant alterations in the characteristics of these two types of biomolecular interactions.


Asunto(s)
Fosfatasa Alcalina/metabolismo , Fosfatasa Alcalina/efectos de la radiación , Reacciones Antígeno-Anticuerpo/efectos de la radiación , Radiación Terahertz , Animales , Complejo Antígeno-Anticuerpo/efectos de la radiación , Bovinos , Dinitrofenoles/inmunología , Enzimas Inmovilizadas/efectos de la radiación , Cinética , Ratones
9.
Br J Cancer ; 95(2): 189-96, 2006 Jul 17.
Artículo en Inglés | MEDLINE | ID: mdl-16819545

RESUMEN

Photodynamic therapy (PDT) involves a two-stage process. A light-absorbing photosensitiser (Ps) is endocytosed and then stimulated by light, inducing transfer of energy to a cytoplasmic acceptor molecule and the generation of reactive oxygen species that initiate damage to cellular membrane components and cytolysis. The expanded use of PDT in the clinic is hindered by the lack of Ps target-cell specificity and the limited tissue penetration by external light radiation. This study demonstrates that bioconjugates composed of transferrin and haematoporphyrin (Tf-Hp), significantly improve the specificity and efficiency of PDT for erythroleukemic cells by a factor of almost seven-fold. Fluorescence microscopy showed that the conjugates accumulate in intracellular vesicles whereas free Hp was mostly membrane bound. Experiments with cells deliberately exposed to Tf-Hp at

Asunto(s)
Hematoporfirinas/farmacología , Luminol/farmacología , Fotoquimioterapia/métodos , Fármacos Fotosensibilizantes/farmacología , Transferrina/farmacología , Línea Celular Tumoral , Membrana Celular/efectos de los fármacos , Membrana Celular/metabolismo , Supervivencia Celular/efectos de los fármacos , Vesículas Citoplasmáticas/efectos de los fármacos , Vesículas Citoplasmáticas/metabolismo , Relación Dosis-Respuesta a Droga , Ensayos de Selección de Medicamentos Antitumorales , Hematoporfirinas/aislamiento & purificación , Humanos , Mediciones Luminiscentes , Microscopía Fluorescente , Fármacos Fotosensibilizantes/aislamiento & purificación , Sensibilidad y Especificidad , Factores de Tiempo , Transferrina/aislamiento & purificación
10.
J Biochem Biophys Methods ; 49(1-3): 433-42, 2001 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-11694292

RESUMEN

Many elution buffers are in use for the retrieval of proteins from affinity columns. While the aim of these buffers is to dissociate the various chemical bonds that make up protein-protein interactions and return the target protein to the mobile phase in active form, there is considerable difference of opinion as to which buffer is more suitable for particular applications. This review examines the chemical effect of various elution buffers on protein-protein interactions in the context of affinity chromatography and examines strategies that may be used for selection of an appropriate buffer.


Asunto(s)
Proteínas/aislamiento & purificación , Tampones (Química) , Cromatografía de Afinidad/métodos , Ensayo de Inmunoadsorción Enzimática , Ingeniería Genética/métodos , Humanos , Inmunoglobulina G/aislamiento & purificación , Indicadores y Reactivos , Reproducibilidad de los Resultados
11.
J Biochem Biophys Methods ; 49(1-3): 467-80, 2001 Oct 30.
Artículo en Inglés | MEDLINE | ID: mdl-11694295

RESUMEN

Antibodies (Ab) are commonly used in affinity chromatography (AC) as a versatile and specific means of isolating target molecules from complex mixtures. A number of procedures have been developed to immobilize antibodies on the solid matrix. Some of these methods couple the antibody via chemical groups that may be important for specific recognition of antigen, resulting in loss of functionality in a proportion of the antibodies. In other methods, the outcome of immobilization is coupling via unique sites in the Fc region of the antibody molecule, ensuring orientation of the antibody combining sites (Fab) towards the mobile phase. This review discusses the advantages and disadvantages of the various methods available for immobilization and outlines protocols for site-directed, covalent coupling of the antibody to the solid phase that essentially retains the activity of the antibody.


Asunto(s)
Anticuerpos/aislamiento & purificación , Antígenos/aislamiento & purificación , Antígenos/química , Sitios de Unión de Anticuerpos , Cromatografía de Afinidad/métodos , Quimotripsina/inmunología , Quimotripsina/aislamiento & purificación , Fragmentos Fab de Inmunoglobulinas , Fragmentos Fc de Inmunoglobulinas , Inmunoglobulina G/aislamiento & purificación , Indicadores y Reactivos
12.
Med Hypotheses ; 54(1): 107-14, 2000 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-10791703

RESUMEN

Only a limited number of erythroid cell surface markers have been described in the literature. Ag-Eb was originally described as an erythroid-specific cell surface glycoprotein and could be used as an erythroid differentiation marker, but more recent studies suggest this localization is more widespread. From the data summarized in this review, it is hypothesized that Ag-Eb is a member of a subset of the transferrin receptor family and that it functions together with these receptors in the uptake and metabolism of iron, particularly at histo-hematic barriers.


Asunto(s)
Antígenos/metabolismo , Eritroblastos/inmunología , Proteínas de la Membrana/metabolismo , Receptores de Transferrina/metabolismo , Animales , Anticuerpos Monoclonales/inmunología , Embrión de Mamíferos/inmunología , Embrión de Mamíferos/metabolismo , Eritroblastos/metabolismo , Humanos , Ratones
13.
J Chromatogr B Biomed Sci Appl ; 738(2): 217-23, 2000 Feb 11.
Artículo en Inglés | MEDLINE | ID: mdl-10718639

RESUMEN

The immobilization of antibodies onto solid phases in an efficient and activity-retaining form is an important goal for both research and industry. Methods have been developed for the site-directed attachment of antibodies to agarose by oxidation of the carbohydrate moieties in their Fc region. Similar attachment to silianized supports have not been as successful. Here we describe a novel combination protocol for the site-directed attachment of periodate oxidized, goat polyclonal antibodies to glass wool fibers activated with 3-aminopropyltriethoxysilane. The study demonstrates that this procedure results in effective immobilization of polyclonal antibodies that retain their antigen-binding capacity. This protocol should prove useful in the development of more efficient and effective glass-based immunosupports.


Asunto(s)
Anticuerpos , Vidrio , Ensayo de Inmunoadsorción Enzimática
14.
Ontogenez ; 30(3): 165-75, 1999.
Artículo en Ruso | MEDLINE | ID: mdl-10505306

RESUMEN

An interspecific marker of mammalian erythroid cells, which was called the erythroblast antigen, was identified in 1974, using polyclonal monospecific antibodies. Further studies have demonstrated the expression of this antigen in a variety of nonhemopoietic organs and tissues, which have the following common feature: they have a barrier location; that is, they are located at the boundary. It has been proposed that the erythroblast antigen participates directly or indirectly in the transport of various substances and specifically transport of iron. The present review deals with this topic.


Asunto(s)
Antígenos/sangre , Eritroblastos/inmunología , Células Precursoras Eritroides/inmunología , Proteínas de la Membrana/sangre , Receptores de Transferrina/inmunología , Animales , Antígenos de Superficie/sangre , Epítopos/sangre , Eritropoyesis/inmunología , Humanos , Unión Proteica
16.
Biol Psychiatry ; 33(6): 450-5, 1993 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-8490072

RESUMEN

In an attempt to define the autoimmune status of members of multicase families with schizophrenia, sera of both patients and healthy relatives from 28 such cases were tested for antinuclear antibodies, anti-double-stranded DNA, and anti-single-stranded DNA autoantibodies. These autoantibodies were significantly more frequent in both schizophrenic patients and healthy relatives than in normal subjects. Immunoglobulin (Ig) M anti-DNA antibodies were more common in patients, whereas in healthy relatives, IgG anti-DNA antibodies were more common. No significant differences were found between schizophrenic patients and their healthy relatives. The data indicate that an autoimmune process may be involved in the etiology of a subset of patients with schizophrenia.


Asunto(s)
Anticuerpos Antinucleares/análisis , Enfermedades Autoinmunes/genética , ADN/inmunología , Esquizofrenia/genética , Psicología del Esquizofrénico , Adolescente , Adulto , Anciano , Especificidad de Anticuerpos/inmunología , Enfermedades Autoinmunes/inmunología , ADN de Cadena Simple/inmunología , Femenino , Humanos , Inmunoglobulina G/análisis , Isotipos de Inmunoglobulinas/análisis , Inmunoglobulina M/análisis , Masculino , Persona de Mediana Edad , Esquizofrenia/inmunología
17.
Clin Exp Allergy ; 23(2): 124-31, 1993 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-8448679

RESUMEN

In this investigation 98 children (median age 24 months) with cows' milk allergy (CMA) were studied over a median period of 2 years to see whether acquisition of clinical tolerance to cows' milk was associated with the changes in levels of IgG and IgE anti-cows' milk antibodies, and skin test reactivity to a cows' milk extract. Two groups of CMA patients were examined. The first were IgE sensitized and responded rapidly to small volumes of cows' milk with urticaria, and/or exacerbations of eczema, and/or wheeze, and/or vomiting (n = 69). The second, a late reacting group (n = 29) demonstrated coughing, diarrhoea, eczematoid rashes, and/or a combination of these which developed more than 20 hr after commencing normal volumes of cows' milk. Significant immunological changes were confined to the 69 IgE sensitized immediate-reacting-group of patients. Of these, there were 15 children who achieved clinical tolerance to cows' milk and they showed a significant fall in the levels of skin test reactivity to cows' milk over the study period (P < 0.01). In addition, these 15 children had lower serum IgE antibodies to cows' milk proteins both at the outset and the final follow-up compared with the 54 patients whose CMA persisted. No consistent change in the IgG antibody responses to cows' milk proteins was seen in either group of patients over the study period. The findings suggest patients with immediate type hypersensitivity to cows' milk proteins whose disease persists for more than 2 years have a more severe dysregulation of IgE synthesis to cows' milk proteins from the outset.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Hipersensibilidad a la Leche/inmunología , Animales , Niño , Preescolar , Femenino , Estudios de Seguimiento , Humanos , Tolerancia Inmunológica , Inmunoglobulina E/análisis , Inmunoglobulina G/análisis , Lactante , Masculino , Proteínas de la Leche/inmunología , Prueba de Radioalergoadsorción , Pruebas Cutáneas
18.
J Immunol Methods ; 143(1): 31-9, 1991 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-1919034

RESUMEN

Many laboratories have established ELISAs for the the routine detection of anti-cardiolipin antibodies (ACA). Earlier studies had indicated that assay incubation at 37 degrees C may interfere with the antigen binding capacity of these antibodies. We have reexamined this phenomenon by comparing ACA titers obtained when incubations are performed at either 37 degrees C or at room temperature (RT). In addition, the effect of coating antigen in aqueous or organic solution was compared. The sera tested included a set of recognized ACA standards and samples from 19 patients with SLE, two with primary anti-phospholipid syndrome, 71 patients with a variety of autoimmune and non-autoimmune disorders and 210 blood bank controls. The results show that while some sera do perform better under either incubation temperature there was no correlation between ACA titers and incubation temperature on a population basis either for IgG or IgM isotypes. This was seen both for positive standards and patient sera. For IgG ACA a similar phenomenon was seen if the microplates were coated with cardiolipin either in sodium carbonate or ethanol. For IgM ACA there was a significant increase in ACA titers at RT when cardiolipin was coated in ethanol. The data suggest that for most sera neither the antigen coating medium nor the assay incubation temperature are important variables in the determination of IgG ACA. Factors contributing to the influence of either variable in individual sera could not be identified.


Asunto(s)
Autoanticuerpos/análisis , Cardiolipinas/inmunología , Ensayo de Inmunoadsorción Enzimática/métodos , Análisis de Varianza , Reacciones Antígeno-Anticuerpo , Etanol/farmacología , Calor/efectos adversos , Humanos , Inmunoglobulina G/metabolismo , Inmunoglobulina M/metabolismo , Estándares de Referencia , Análisis de Regresión , Solventes
19.
J Pediatr ; 114(5): 761-6, 1989 May.
Artículo en Inglés | MEDLINE | ID: mdl-2715889

RESUMEN

We assessed the relationships of clinical symptoms and serum antibody levels during follow-up of 47 patients, aged 3 to 66 months, who were shown by formal milk challenge to have cow milk allergy. Three groups of patients were identified. Group 1 patients (n = 15) were sensitized to IgE and responded rapidly to small volumes of milk with urticaria, an exacerbation of eczema, wheeze, or vomiting. In the second group (n = 24), symptoms of milk enteropathy (vomiting and diarrhea) developed between 1 and 20 hours after milk ingestion. In the group 3 patients (n = 8), coughing, diarrhea, eczematoid rashes, or a combination of these developed more than 20 hours after normal volumes of milk were given. Serum levels of IgG, IgA, IgM, and IgE and of milk-specific anti-cow milk antibodies of these isotypes were measured initially and then at a median follow-up time of 16 months (range 6 to 39 months). In this investigation, changes in these immunologic measures during the study period were related to whether or not clinical tolerance to cow milk was achieved. At follow-up, six patients from group 1, ten from group 2, and two from group 3 were milk tolerant. No consistent change in any of the immunologic measurements was associated with remission of the disease. These findings raise the question of whether acquisition of clinical tolerance to cow milk in cow milk allergy can be attributed solely to immunologic events.


Asunto(s)
Hipersensibilidad a los Alimentos/inmunología , Inmunoglobulinas/análisis , Leche/efectos adversos , Animales , Preescolar , Femenino , Hipersensibilidad a los Alimentos/clasificación , Hipersensibilidad a los Alimentos/etiología , Humanos , Hipersensibilidad Tardía/inmunología , Hipersensibilidad Inmediata/inmunología , Lactante , Masculino , Leche/inmunología
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