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1.
Clin Rheumatol ; 36(11): 2455-2460, 2017 Nov.
Article En | MEDLINE | ID: mdl-28913747

The use of hydroxychloroquine (HCQ) in Primary Sjögren's Syndrome (pSS) has been assessed in different studies over the last years, with conflicting results regarding its efficacy in sicca syndrome and extraglandular manifestations (EGM). The goal of this study was to compare the incidence rate of EGM in pSS patients with and without HCQ therapy.We performed a multicenter retrospective study, including patients with pSS (European classification criteria) with at least 1 year of follow-up. Subjects with concomitant fibromyalgia, autoimmune hepatitis, primary biliary cirrhosis, and primary sclerosing cholangitis were excluded. Demographics and pSS characteristics were recorded. The EGM were defined by EULAR-SS disease activity index (ESSDAI). Patients were divided into two groups according to their use or not of HCQ therapy. We evaluated the use of HCQ and its relationship to EGM. HCQ therapy was defined as the continuous use of the drug for at least 3 months. A descriptive analysis of demographics and pSS characteristics was performed. We compared the incidence of EGM between groups defined by HCQ therapy using chi2 test or Fisher's exact test. A total of 221 patients were included (97.3% women), mean age, 55.7 years (SD 14). Mean age at diagnosis, 48.8 years (SD 15); median disease duration, 60 months (IQR 35-84). One hundred and seventy patients (77%) received HCQ. About half of the patients had at least one EGM during the course of the disease, 20% of them developed an EGM before the onset of the sicca syndrome and 26% simultaneously with dryness symptom. Overall, EGM were less frequent in those on HCQ therapy (36.5% vs 63.5%, p < 0.001). Considering each EGM individually, the following manifestations were more frequent in the non-treated group: arthritis (p < 0.001), fatigue (p < 0.001), purpura (p = 0.01), Raynaud phenomenon (p = 0.003), and hypergammaglobulinemia (p = 0.006). Immunosuppressive treatment was indicated on 28 patients (12.7%), 13 of which were receiving also HCQ. The first reason for those treatments was the presence of arthritis in 12/28 patients (42.8%), and the drug used in all the cases was methotrexate. Only three patients required immunosuppressive therapy with cyclophosphamide, due to the presence of glomerulonephritis, vasculitis, and interstitial lung disease. None of the patients received biologic therapy. The lower incidence of EGM was observed in patients on HCQ therapy supports its efficacy in pSS. However, further large scale prospective studies are needed to confirm these findings.


Antirheumatic Agents/therapeutic use , Hydroxychloroquine/therapeutic use , Sjogren's Syndrome/complications , Sjogren's Syndrome/drug therapy , Adult , Fatigue/epidemiology , Fatigue/etiology , Female , Humans , Hypergammaglobulinemia/epidemiology , Hypergammaglobulinemia/etiology , Incidence , Male , Middle Aged , Purpura/epidemiology , Purpura/etiology , Raynaud Disease/epidemiology , Raynaud Disease/etiology , Retrospective Studies
2.
BMC Microbiol ; 15: 207, 2015 Oct 09.
Article En | MEDLINE | ID: mdl-26453184

BACKGROUND: The use of indwelling medical devices is associated with a significant risk of infections by Staphylococcus aureus (S. aureus) which possesses a variety of virulence factors including many toxins and the ability to invade eukaryotic cells or to form biofilm on biotic and abiotic surfaces. The virulence factors above described are often related to proteins exposed on the bacterial surface. Blocking S. aureus colonization may reduce the incidence of invasive infectious diseases. Previously reports evaluated the anti-infective properties of serratiopeptidase (Spep), an extracellular metalloprotease produced by Serratia marcescens ATCC 21074 (E-15), in impairing virulence-related staphylococcal properties, such as attachment to inert surfaces and adhesion/invasion on eukaryotic cells. However, to date its mechanism of action is unknown. METHODS: Spep gene was PCR amplified and cloned into expression vector pET28b(+). The mutant EspepA was constructed from plasmid pET28b-Spep applying the one-step overlap extension PCR strategy. There sulting plasmids were costransformed in EcBL21(DE3) cells with the plasmid pRuW4inh1 harboring the Erwinia chrysanthemi secretion system. Bacterial pellets and supernatants were collected and analyzed by SDS-PAGE and zymography. The unambiguous identification and a detailed structure characterization of both the wild type and the mutant Spep were obtained by mass spectrometric analyses. The resultant supernatants sterilized by filtration were separately used to condition biofilm formation of S. aureus. Quantification was based on crystal violet method. RESULTS: In this work we constructed Spep mutant by substituting the glutamic acid in the catalytic site with a residue of alanine. In this manner we were able to evaluate the anti-biofilm activity of Spep mutant in absence of proteolytic activity. As expected, this mutant did not display protease activity but it retained its anti-biofilm properties, suggesting that this action is independent by enzymatic activity. CONCLUSIONS: New knowledge obtained from data reported in this paper calls attention to a novel mechanism of action of Spep. This protein could be developed as a potential "antipathogenic agent" capable to impair the ability of S. aureus to form biofilm on prostheses, catheters and medical devices, exploiting a mechanism different from the proteolytic activity.


Anti-Infective Agents/metabolism , Biofilms/drug effects , Metalloproteases/metabolism , Peptide Hydrolases/metabolism , Staphylococcus aureus/physiology , Amino Acid Substitution , Cloning, Molecular , Escherichia coli/genetics , Gene Expression , Mass Spectrometry , Metalloproteases/chemistry , Metalloproteases/genetics , Mutagenesis, Site-Directed , Mutant Proteins/chemistry , Mutant Proteins/genetics , Mutant Proteins/isolation & purification , Mutant Proteins/metabolism , Peptide Hydrolases/chemistry , Peptide Hydrolases/genetics , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Recombinant Proteins/isolation & purification , Recombinant Proteins/metabolism , Staphylococcus aureus/drug effects
3.
Plant Physiol Biochem ; 85: 51-62, 2014 Dec.
Article En | MEDLINE | ID: mdl-25394800

Plants lack the adaptive immunity mechanisms of jawed vertebrates, so they rely on innate immune responses to defense themselves from pathogens. The plant immune system perceives the presence of pathogens by recognition of molecules known as pathogen-associated molecular patterns (PAMPs). PAMPs have several common characteristics, including highly conserved structures, essential for the microorganism but absent in host organisms. Plants can specifically recognize PAMPs using a large set of receptors and can respond with appropriate defenses by activating a multicomponent and multilayered response. Lipopolysaccharides (LPSs) and lipooligosaccharides (LOSs) are major components of the cell surface of Gram-negative bacteria with diverse roles in bacterial pathogenesis of animals and plants that include elicitation of host defenses. Little is known on the mechanisms of perception of these molecules by plants and the associated signal transduction pathways that trigger plant immunity.Here we addressed the question whether the defense signaling pathway in Arabidopsis thaliana was triggered by LOS from Xanthomonas campestris pv. campestris (Xcc), using proteomic and transcriptomic approaches. By using affinity capture strategies with immobilized LOS and LC-MS/MS analyses, we identified 8 putative LOS protein ligands. Further investigation of these interactors led to the definition that LOS challenge is able to activate a signal transduction pathway that uses nodal regulators in common with salicylic acid-mediated pathway. Moreover, we proved evidence that Xcc LOS are responsible for oxidative burst in Arabidopsis either in infiltrated or systemic leaves. In addition, gene expression studies highlighted the presence of gene network involved in reactive oxygen species transduction pathway.


Arabidopsis/immunology , Immunity, Innate , Lipopolysaccharides/metabolism , Respiratory Burst , Xanthomonas campestris/metabolism , Arabidopsis/genetics , Arabidopsis/metabolism , Gene Expression Profiling , Reactive Oxygen Species/metabolism , Transcriptome
4.
J Appl Microbiol ; 114(1): 266-77, 2013 Jan.
Article En | MEDLINE | ID: mdl-23057709

AIMS: The purpose of this study was to evaluate the antimicrobial efficacy of five different proteases belonging to two different families on Staphylococcus aureus and Staphylococcus epidermidis strains. METHODS AND RESULTS: We used three serine proteases and two metalloproteases in single species biofilm formation assays and in human cell invasion processes. Following each protease incubation with bacterial cells, surface protein patterns were analysed by SDS-PAGE and zymography. Some differently expressed proteins were identified by mass spectrometry. CONCLUSIONS: The effect of tested proteases on biofilm formation was not related to the protease category but was strain-dependent and was related to the biofilm formation capacity of each staphylococcal strain. Some proteases showed a nonspecific and indiscriminate effect on surface proteins, while others induced a discrete and reproducible action on protein profiles. SIGNIFICANCE AND IMPACT OF THE STUDY: The inhibition of the surface-related virulence factors is a promising avenue to overcome persistent infections caused by bacterial biofilms. To this end, we show here that proteases, in particular the metalloprotease serratiopeptidase, can interfere with adhesion and invasion of eukaryotic cells and biofilm formation in staphylococci and their use could represent a viable treatment for the development of novel combination therapies.


Biofilms/drug effects , Metalloproteases/pharmacology , Serine Proteases/pharmacology , Staphylococcus aureus/pathogenicity , Staphylococcus epidermidis/pathogenicity , Bacterial Adhesion , Bacterial Proteins/analysis , Biofilms/growth & development , Genes, Bacterial , HeLa Cells , Humans , Membrane Proteins/analysis , Peptide Hydrolases/pharmacology , Staphylococcus aureus/drug effects , Staphylococcus aureus/genetics , Staphylococcus epidermidis/drug effects , Staphylococcus epidermidis/genetics , Virulence
5.
Int J Immunopathol Pharmacol ; 24(3): 661-72, 2011.
Article En | MEDLINE | ID: mdl-21978698

Staphylococcus aureus is a flexible microbial pathogen frequently isolated from community-acquired and nosocomial infections. The use of indwelling medical devices is associated with a significant risk of infection by this bacterium which possesses a variety of virulence factors, including many toxins, and the ability to invade eukaryotic cells or to form biofilm on biotic and abiotic surfaces. The present study evaluates the anti-infective properties of serratiopeptidase, a secreted protein of Serratia marcescens, in impairing virulence-related staphylococcal properties, such as attachment to inert surfaces and adhesion/invasion on eukaryotic cells. SPEP seems to exert its action by modulating specific proteins. Proteomic studies performed on surface proteins extracted from SPEP-treated S. aureus cultures revealed that a number of proteins are affected by the treatment. Among these we found the adhesin/autolysin Atl, FnBP-A, SecA1, Sbi, EF-Tu, EF-G, and alpha-enolase. EF-Tu, EF-G and alpha-enolase are known to perform a variety of functions, depending on their cytoplasmic or surface localization. All these factors can facilitate bacterial colonization, persistence and invasion of host tissues. Our results suggest that SPEP could be developed as a potential anti-infective agent capable to hinder the entry of S. aureus into human tissues, and also impair the ability of this pathogen to form biofilm on prostheses, catheters and medical devices.


Anti-Bacterial Agents/pharmacology , Anti-Bacterial Agents/therapeutic use , Bacterial Adhesion/drug effects , Membrane Proteins/metabolism , Staphylococcus aureus/drug effects , Bacterial Proteins/metabolism , Biofilms/drug effects , Blotting, Western , Electrophoresis, Polyacrylamide Gel , HeLa Cells , Humans , Microscopy, Electron, Scanning , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization , Staphylococcus aureus/pathogenicity , Virulence Factors/genetics
6.
Rev. argent. mastología ; 31(110): 54-62, 2011. ilus
Article Es | LILACS | ID: lil-685744

Los objetivos de este trabajo son: 1) Enfatizar el estudio del hueco axilar como rutina en la evaluación de la mama a través de la mamografía, ecografía y resonancia magnética. 2) Describir la patología del hueco axilar. 3) Describir los hallazgos de cada método en cada caso. 4) Correlacionar los hallazgos con la anatomía patológica (citológica o histológica) a través de punciones guiadas por ecografía para establecer un diagnóstico final. Se incluyen en este trabajo las pacientes que presentaron alteraciones imaginológicas ganglionares entre los años 2005 y 2010, en un total de 276 pacientes punzadas. La conclusión de este trabajo es que el método de elección para el estudio imaginológico de los ganglios axilares es la ecografía junto al Power Doppler, debido a que es sensible, rápida, de bajo costo y confiable.


Axilla , Breast Neoplasms , Ganglia , Magnetic Resonance Spectroscopy , Mammography , Ultrasonography
7.
Cell Mol Life Sci ; 66(5): 933-47, 2009 Mar.
Article En | MEDLINE | ID: mdl-19205622

In this study, a proteomic approach that combines selective labelling of proteins containing reduced cysteine residues with two-dimensional electrophoresis/mass spectrometry was used to evaluate the redox state of protein cysteines during chronological ageing in Saccharomyces cerevisiae. The procedure was developed on the grounds that biotin-conjugated iodoacetamide (BIAM) specifically reacts with reduced cysteine residues. BIAM-labelled proteins can then be selectively isolated by streptavidin affinity capture. We compared cells grown on 2% glucose in the exponential phase and during chronological ageing and we found that many proteins undergo cysteine oxidation. The target proteins include enzymes involved in glucose metabolism. Both caloric restriction and growth on glycerol resulted in a decrease in the oxidative modification. Furthermore, in these conditions a reduced production of ROS and a more negative glutathione half cell redox potential were observed.


Carbon/metabolism , Saccharomyces cerevisiae Proteins/metabolism , Saccharomyces cerevisiae/physiology , Amino Acid Sequence , Caloric Restriction , Cysteine/metabolism , Cytochromes/metabolism , Glucose/metabolism , Glutathione/metabolism , Glycerol/metabolism , Mitochondria/metabolism , Mitochondria/ultrastructure , Molecular Sequence Data , Oxidation-Reduction , Oxygen Consumption , Proteomics/methods , Reactive Oxygen Species/metabolism , Saccharomyces cerevisiae/cytology , Saccharomyces cerevisiae Proteins/genetics , Saccharomyces cerevisiae Proteins/isolation & purification , Time Factors
8.
Microbiology (Reading) ; 152(Pt 8): 2421-2431, 2006 Aug.
Article En | MEDLINE | ID: mdl-16849805

The physiological changes induced by indoleacetic acid (IAA) treatment were investigated in the totally sequenced Escherichia coli K-12 MG1655. DNA macroarrays were used to measure the mRNA levels for all the 4290 E. coli protein-coding genes; 50 genes (1.1 %) exhibited significantly different expression profiles. In particular, genes involved in the tricarboxylic acid cycle, the glyoxylate shunt and amino acid biosynthesis (leucine, isoleucine, valine and proline) were up-regulated, whereas the fermentative adhE gene was down-regulated. To confirm the indications obtained from the macroarray analysis the activity of 34 enzymes involved in central metabolism was measured; this showed an activation of the tricarboxylic acid cycle and the glyoxylate shunt. The malic enzyme, involved in the production of pyruvate, and pyruvate dehydrogenase, required for the channelling of pyruvate into acetyl-CoA, were also induced in IAA-treated cells. Moreover, it was shown that the enhanced production of acetyl-CoA and the decrease of NADH/NAD+ ratio are connected with the molecular process of the IAA response. The results demonstrate that IAA treatment is a stimulus capable of inducing changes in gene expression, enzyme activity and metabolite level involved in central metabolic pathways in E. coli.


Escherichia coli/metabolism , Indoleacetic Acids/pharmacology , Amino Acids/biosynthesis , Carbon/metabolism , Citric Acid Cycle , Energy Metabolism , Escherichia coli/drug effects , Gene Expression Profiling , NAD/biosynthesis , Polymerase Chain Reaction
9.
Int J Biol Macromol ; 39(1-3): 122-6, 2006 Aug 15.
Article En | MEDLINE | ID: mdl-16580720

UN1 is a membrane glycoprotein that is expressed in immature human thymocytes, a subpopulation of peripheral T lymphocytes, the HPB acute lymphoblastic leukemia (ALL) T-cell line and fetal thymus. We previously reported the isolation of a monoclonal antibody (UN1 mAb) recognizing the UN1 protein that was classified as "unclustered" at the 5th and 6th International Workshop and Conference on Human Leukocyte Differentiation Antigens. UN1 was highly expressed in breast cancer tissues and was undetected in non-proliferative lesions and in normal breast tissues, indicating a role for UN1 in the development of a tumorigenic phenotype of breast cancer cells. In this study, we report a partial purification of the UN1 protein from HPB-ALL T cells by anion-exchange chromatography followed by immunoprecipitation with the UN1 mAb and MALDI-TOF MS analysis. This analysis should assist in identifying the amino acid sequence of UN1.


Antigens, Neoplasm/isolation & purification , Glycoproteins/isolation & purification , Membrane Proteins/isolation & purification , Sialoglycoproteins/isolation & purification , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization , Antigens, Neoplasm/chemistry , Antigens, Neoplasm/metabolism , Breast Neoplasms/chemistry , Breast Neoplasms/metabolism , Cell Line, Tumor , Female , Fetus/chemistry , Fetus/metabolism , Glycoproteins/chemistry , Glycoproteins/metabolism , Humans , Leukosialin , Membrane Proteins/chemistry , Membrane Proteins/metabolism , Sialoglycoproteins/chemistry , Sialoglycoproteins/metabolism , Thymus Gland/chemistry , Thymus Gland/metabolism
10.
Arch Microbiol ; 185(5): 373-82, 2006 Jun.
Article En | MEDLINE | ID: mdl-16555073

Indole-3-acetic acid (IAA) is a ubiquitous molecule playing regulatory roles in many living organisms. To elucidate the physiological changes induced by IAA treatment, we used Escherichia coli K-12 as a model system. By microarray analysis we found that 16 genes showed an altered expression level in IAA-treated cells. One-third of these genes encode cell envelope components, or proteins involved in bacterial adaptation to unfavourable environmental conditions. We thus investigated the effect of IAA treatment on some of the structural components of the envelope that may be involved in cellular response to stresses. This showed that IAA-treated cells had increased the production of trehalose, lipopolysaccharide (LPS), exopolysaccharide (EPS) and biofilm. We demonstrated further that IAA triggers an increased tolerance to several stress conditions (heat and cold shock, UV-irradiation, osmotic and acid shock and oxidative stress) and different toxic compounds (antibiotics, detergents and dyes) and this correlates with higher levels of the heat shock protein DnaK. We suggest that IAA triggers an increased level of alert and protection against external adverse conditions by coordinately enhancing different cellular defence systems.


Escherichia coli K12/physiology , Indoleacetic Acids/pharmacology , Adaptation, Physiological/genetics , Anti-Bacterial Agents/pharmacology , Biofilms/growth & development , Cold Temperature , Drug Resistance, Bacterial , Escherichia coli K12/drug effects , Escherichia coli K12/genetics , Escherichia coli K12/radiation effects , Escherichia coli Proteins/metabolism , Gene Expression Profiling , HSP70 Heat-Shock Proteins/metabolism , Hot Temperature , Hydrogen-Ion Concentration , Lipopolysaccharides/biosynthesis , Microbial Viability , Oligonucleotide Array Sequence Analysis , Osmotic Pressure , Polysaccharides, Bacterial/biosynthesis , Trehalose/biosynthesis
11.
Rapid Commun Mass Spectrom ; 20(7): 1104-8, 2006.
Article En | MEDLINE | ID: mdl-16521166

The partial contribution of polycyclic aromatic hydrocarbons (PAH), capable of being detected by gas chromatography (GC-PAH), both to the total mass of the extractable organic fraction of flame-formed carbon particulates and to its UV-visible absorption and fluorescence spectra, has been determined by previous work. This contribution indicates the presence of PAH of molecular weight (MW) greater than 400 Da not accessible to conventional analysis. The detection of species in this higher MW range is important for both their potential toxicology and their possible role in soot formation. In the present work extracts of soots have been analyzed by linear mode laser desorption/ionization time-of-flight mass spectrometry (LDI-TOF-MS) to extend the MW range that can be analyzed beyond the GC-PAH. The results have been compared with both analysis by reflector mode LDI-TOF-MS and the MW evaluation obtained by SEC analysis, as the shortcomings and advantages of both techniques appear to be complementary. Matching the results from the two techniques could give interesting insights in the molecular mass range between GC-PAH and the first soot particles (of mass > 2000 Da). Mass spectra in this molecular mass range have been obtained with a main ion sequence spacing of 24 Th and a minor ion sequence also with a spacing of 24 Th but off-set by 12 Th with respect to the main sequence. The two ion progressions have been interpreted by attributing the predominant peaks mainly to PAH with even-carbon numbers and the smaller ones to cyclopenta-fused ring PAH. These distributions indicate the occurrence of two competitive mechanisms in the growth of PAH and soot nucleation, i.e. the addition of acetylene (HACA mechanism) and the incorporation of pentagons by large polycyclic aromatic molecules into their aromatic bonding network.


Carbon/analysis , Carbon/chemistry , Chromatography, Gel/methods , Polycyclic Aromatic Hydrocarbons/analysis , Polycyclic Aromatic Hydrocarbons/chemistry , Spectrometry, Mass, Electrospray Ionization/methods , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization/methods , Environmental Pollution/analysis , Molecular Weight
12.
Biochim Biophys Acta ; 1753(1): 44-50, 2005 Nov 10.
Article En | MEDLINE | ID: mdl-16213198

Amyloid fibrils of patients treated with regular haemodialysis essentially consists of beta2-microglobulin (beta2-m) and its truncated species DeltaN6beta2-m lacking six residues at the amino terminus. The truncated fragment shows a higher propensity to self-aggregate and constitutes an excellent candidate for the analysis of a protein in the amyloidogenic conformation. The surface topology and the conformational analysis of native beta2-m and the truncated DeltaN6beta2-m species both in the soluble and in the fibrillar forms were investigated by the limited proteolysis/mass spectrometry strategy. The conformation in solution of a further truncated mutant DeltaN3beta2-m lacking three residues at the N-terminus was also examined. This approach appeared particularly suited to investigate the regions that are solvent-exposed, or flexible enough to be accessible to protein-protein interactions and to describe the conformation of transient intermediates. Moreover, proteolysis experiments can also be tailored to investigate amyloid fibrils by discriminating the protein regions constituting the unaccessible core of the fibrils and those still flexible and exposed to the solvent. Although native beta2-m and DeltaN3beta2-m shared essentially the same conformation, significative structural differences exist between the native and the DeltaN6beta2-m proteins in solution with major differences located at the end moiety of strand V and subsequent loop with strand VI and at both the N- and C-termini of the proteins. On the contrary, an identical distribution of preferential proteolytic sites was observed in both proteins in the fibrillar state, which was nearly superimposible to that observed for the soluble form of DeltaN6beta2-m. These data revealed that synthetic fibrils essentially consists of an unaccessible core comprising residues 20-87 of the beta2-m protein with exposed and flexible N- and C-terminal ends. Moreover, proteolytic cleavages observed in vitro at Lys 6 and Lys 19 reproduce specific cleavages that have to take place in vivo to generate the truncated forms of beta2-m occurring in natural fibrils. On the basis of these results, a molecular mechanism for fibril formation has been proposed.


Amyloid/chemistry , Peptide Hydrolases/metabolism , Protein Conformation , beta 2-Microglobulin/chemistry , Amyloidosis/etiology , Chromatography, High Pressure Liquid , Chymotrypsin/metabolism , Humans , Metalloendopeptidases/metabolism , Peptide Fragments/isolation & purification , Protein Structure, Quaternary , Renal Dialysis/adverse effects , Spectrometry, Mass, Electrospray Ionization/methods , Trypsin/metabolism
13.
Arch Gerontol Geriatr ; 38(1): 27-36, 2004.
Article En | MEDLINE | ID: mdl-14599701

The clinical features and the laboratory aspects of the amiodarone-induced hypothyroidism (AIH) in the elderly as well as the effects of amiodarone treatment in aged AIH people have not yet been well clarified. In the present paper, we evaluated 18 subjects of both sexes (7 females, 11 males), aged 65-83 years, affected by AIH, recruited in Central Tuscany, Italy. The patients were divided in two subsets on the basis of thyroid stimulating hormone (TSH) values: mild (TSH < 20 mU/l; Group A, n=11) and severe (TSH > 20 mU/l; Group B, n=7) hypothyroid patients. On the basis of clinical features, hypothyroidism was diagnosed only in two patients (out of Group B). Concerning the hormonal pattern, we found that free tetraiodothyronine (fT4) levels were significantly lower than the normal range only in Group B subjects; TSH and thyroglobulin were higher than normal in both groups; free triiodothyronine (fT3) were always in the normal range. Thyroid autoantibodies were found positive only in one patient out of Group A and in two patients out of Group B. In 5/18 patients T4 substitutive therapy was rapidly assigned, because of severe degree of hypothyroidism. In the remaining 13/18 patients, we evaluated the clinical behavior of AIH. After additional cardiac evaluation, amiodarone was withdrawn in 5/13 patients: during follow-up period (4-10 months) four patients became quickly euthyroid while one worsened. In 8/13 patients, amiodarone treatment had to be carried on; during follow-up (2-48 months), four patients remained mildly hypothyroid, while other four patients became severely hypothyroid. In conclusion, in amiodarone treated elderly people, diagnosis of hypothyroidism is reliable only on the basis of high values of TSH; clinical features and fT3 serum levels never enable diagnosis.


Amiodarone/adverse effects , Anti-Arrhythmia Agents/adverse effects , Arrhythmias, Cardiac/drug therapy , Hypothyroidism/chemically induced , Aged , Aged, 80 and over , Autoantibodies/blood , Female , Follow-Up Studies , Humans , Hypothyroidism/blood , Hypothyroidism/diagnosis , Italy , Male , Thyroglobulin/blood , Thyroid Gland/immunology , Thyrotropin/blood , Thyroxine/blood , Triiodothyronine/blood
14.
Biochemistry ; 42(35): 10437-44, 2003 Sep 09.
Article En | MEDLINE | ID: mdl-12950170

Fragile X syndrome, the most common cause of inherited mental retardation, is caused by the absence of the fragile X mental retardation protein (FMRP). The emerging picture is that FMRP is involved in repression of translation through a complex network of protein-protein and protein-RNA interactions. Very little structural information is, however, available for FMRP that could help to understand its function. In particular, no structural studies are available about the N-terminus of the protein, a highly conserved region which is involved in several molecular interactions. Here, we explore systematically the ability of the FMRP N-terminus to form independently folded units (domains). We produced deletion mutants and tested their fold and functional properties by mutually complementary biophysical and biochemical techniques. On the basis of our data, we conclude that the N-terminus contains a domain, that we named NDF, comprising the first 134 amino acids. Most interestingly, NDF comprises two copies of a newly identified Agenet motif. NDF is thermally stable and has a high content of beta structure. In addition to being able to bind to RNA and to recognize some of the FMRP interacting proteins, NDF forms stable dimers and is able to interact, although weakly, with the full-length protein. Our data provide conclusive evidence that NDF is a novel motif for protein-protein and protein-RNA interactions and contains a previously unidentified dimerization site.


Nerve Tissue Proteins/metabolism , Protein Structure, Tertiary , RNA-Binding Proteins/metabolism , RNA/metabolism , Amino Acid Sequence , Dimerization , Fragile X Mental Retardation Protein , Fragile X Syndrome/genetics , Fragile X Syndrome/metabolism , Humans , Molecular Sequence Data , Mutation , Nerve Tissue Proteins/chemistry , Nerve Tissue Proteins/genetics , Protein Folding , Protein Structure, Secondary , RNA-Binding Proteins/genetics , Sequence Alignment
15.
FEBS Lett ; 534(1-3): 93-100, 2003 Jan 16.
Article En | MEDLINE | ID: mdl-12527367

The interaction between the negative cis-element (AldA-NRE) and p97 repressor nuclear protein is a key step in modulating transcription of the human and mouse aldolase A (AldA) gene during the cell cycle and differentiation. In an attempt to clarify the role of transcriptional repression in regulating gene expression, we purified, from HeLa cells, the nuclear protein that specifically binds to the AldA negative regulatory element (NRE). Matrix-assisted laser desorption ionization-time of flight analysis and examination of protein profiles from the SwissProt database revealed that the previously defined p97 repressor is ZNF224, a zinc finger protein. We demonstrate that ZNF224, a Kruppel-like zinc finger transcription factor, is the repressor protein that specifically binds to the negative cis-element AldA-NRE and affects the AldA-NRE-mediated transcription.


Regulatory Sequences, Nucleic Acid , Repressor Proteins/genetics , Repressor Proteins/metabolism , Zinc Fingers , Amino Acid Sequence , Animals , Base Sequence , COS Cells , DNA-Binding Proteins , Fructose-Bisphosphate Aldolase/genetics , Gene Expression Regulation , Humans , Molecular Sequence Data , Promoter Regions, Genetic , Repressor Proteins/chemistry , Transcription, Genetic
16.
Biochemistry ; 40(50): 15257-66, 2001 Dec 18.
Article En | MEDLINE | ID: mdl-11735408

Snake neurotoxins are short all-beta proteins that display a complex organization of the disulfide bonds: two bonds connect consecutive cysteine residues (C43-C54, C55-C60), and two bonds intersect when bridging (C3-C24, C17-C41) to form a particular structure classified as "disulfide beta-cross". We investigated the oxidative folding of a neurotoxin variant, named alpha62, to define the chemical nature of the three-disulfide intermediates that accumulate during the process in order to describe in detail its folding pathway. These folding intermediates were separated by reverse-phase HPLC, and their disulfide bonds were identified using a combination of tryptic hydrolysis, manual Edman degradation, and mass spectrometry. Two dominant intermediates containing three native disulfide bonds were identified, lacking the C43-C54 and C17-C41 pairing and therefore named des-[43-54] and des-[17-41], respectively. Both species were individually allowed to reoxidize under folding conditions, showing that des-[17-41] was a fast-forming nonproductive intermediate that had to interconvert into the des-[43-54] isomer before forming the native protein. Conversely, the des-[43-54] intermediate appeared to be the immediate precursor of the oxidized neurotoxin. A kinetic model for the folding of neurotoxin alpha62 which fits with the observed time-course accumulation of des-[17-41] and des-[43-54] is proposed. The effect of turn 2, located between residues 17 and 24, on the overall kinetics is discussed in view of this model.


Neurotoxins/chemistry , Amino Acid Sequence , Animals , Cysteine/chemistry , Disulfides/chemistry , Kinetics , Models, Molecular , Molecular Sequence Data , Neurotoxins/genetics , Oxidation-Reduction , Protein Folding , Protein Structure, Secondary , Snake Venoms/chemistry , Snake Venoms/genetics , Spectrometry, Mass, Electrospray Ionization , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
17.
J Am Coll Cardiol ; 37(3): 793-9, 2001 Mar 01.
Article En | MEDLINE | ID: mdl-11693754

OBJECTIVES: We sought to assess the relative prognostic role of a restrictive left ventricular (LV) filling pattern after a first anterior acute myocardial infarction (AMI) in patients treated with primary percutaneous transluminal coronary angioplasty (PTCA). BACKGROUND: In thrombolized patients, a short Doppler-derived mitral deceleration time (DT) of early filling is a powerful independent predictor of heart failure and death. However, it is still unknown whether the outcome of patients with AMI with a short DT may be improved by a more aggressive treatment. METHODS: In 104 patients, two-dimensional and Doppler echocardiograms were obtained three days after the index AMI. Coronary angiography was performed in all patients one and six months after PTCA. The patients were classified into two groups according to the DT duration: group 1 (n = 34) with DT < or = 130 ms and group 2 (n = 70) with DT >130 ms. All patients were followed-up for a mean (+/- SD) period of 32 +/- 10 months. RESULTS: During the follow-up period, 14 patients (13%) were admitted to the hospital for congestive heart failure, and 9 patients (9%) died. All cardiac deaths (n = 7) occurred in group 1. The survival rate at mean follow-up was 79% in group 1 and 97.2% in group 2 (p = 0.003). Multivariate Cox analysis showed that only age and restrictive filling were independent predictors of event-free survival. Furthermore, when survival with no cardiovascular events was analyzed, a short DT still emerged as the most powerful independent predictor. CONCLUSIONS: Patients with a restrictive LV filling pattern early after anterior AMI have a poor clinical outcome, even if treated with primary PTCA.


Myocardial Infarction/mortality , Ventricular Function, Left , Aged , Angioplasty, Balloon, Coronary , Female , Humans , Male , Middle Aged , Myocardial Infarction/therapy , Prognosis , Proportional Hazards Models , Prospective Studies , Survival Analysis
18.
Biol Chem ; 382(6): 961-8, 2001 Jun.
Article En | MEDLINE | ID: mdl-11501762

The chemical assessment of the complete disulphide bridge pattern in the beta-chain of human recombinant follicotropin (betaFSH) was accomplished by integrating classical biochemical methodologies with mass spectrometric procedures. A proteolytic strategy consisting of a double digestion of native betaFSH using the broad-specificity protease subtilisin first, followed by trypsin, was employed. The resulting peptide mixture was directly analysed by FAB-MS, leading to the assignment of the first three disulphide bridges. The remaining S-S bridges were determined by HPLC fractionation of the proteolytic digest followed by ESMS analysis of the individual fractions. The pattern of cysteine couplings in betaFSH was determined as: Cys3-Cys5l, Cys17-Cys66, Cys20-Cys104, Cys28-Cys82, Cys32-Cys84 and Cys87-Cys94, confirming the arrangement inferred from the crystal structure of the homologous betaCG. A subset of the S-S bridge pattern comprising Cys3-Cys51, Cys28-Cys82 and Cys32-Cys84 constitutes a cysteine knot motif similar to that found in the growth factor superfamily.


Disulfides/chemistry , Follicle Stimulating Hormone/chemistry , Sequence Analysis, Protein/methods , Amino Acid Sequence , Chromatography, High Pressure Liquid , Follicle Stimulating Hormone, beta Subunit , Humans , Molecular Sequence Data , Recombinant Proteins/chemistry , Spectrometry, Mass, Electrospray Ionization
19.
Protein Sci ; 10(3): 482-90, 2001 Mar.
Article En | MEDLINE | ID: mdl-11344317

A gene cluster isolated from Pseudomonas stutzeri OX1 genomic DNA and containing six ORFs codes for toluene/o-xylene-monooxygenase. The putative regulatory D subunit was expressed in Escherichia coli and purified. Its protein sequence was verified by mass spectrometry mapping and found to be identical to the sequence predicted on the basis of the DNA sequence. The surface topology of subunit D in solution was probed by limited proteolysis carried out under strictly controlled conditions using several proteases as proteolytic probes. The same experiments were carried out on the homologous P2 component of the multicomponent phenol hydroxylase from Pseudomonas putida CF600. The proteolytic fragments released from both proteins in their native state were analyzed by electrospray mass spectrometry, and the preferential cleavage sites were assessed. The results indicated that despite the relatively high similarity between the sequences of the two proteins, some differences in the distribution of preferential proteolytic cleavages were detected, and a much higher conformational flexibility of subunit D was inferred. Moreover, automatic modeling of subunit D was attempted, based on the known three-dimensional structure of P2. Our results indicate that, at least in this case, standard modeling procedures based on automatic alignment on the structure of P2 fail to produce a model consistent with limited proteolysis experimental data. Thus, it is our opinion that reliable techniques such as limited proteolysis can be employed to test three-dimensional models and highlight problems in automatic model building.


Bacterial Proteins , Models, Molecular , Oxygenases/chemistry , Protein Subunits , Pseudomonas/enzymology , Recombinant Proteins/chemistry , Trans-Activators/chemistry , Amino Acid Sequence , Genes, Regulator/genetics , Genes, Regulator/physiology , Hydrolysis , Models, Chemical , Oxygenases/metabolism , Protein Conformation , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Trans-Activators/metabolism
20.
Hemoglobin ; 25(1): 67-78, 2001 Feb.
Article En | MEDLINE | ID: mdl-11300351

Hb Villejuif [beta123(H1)Thr-->Ile] is a silent and asymptomatic variant described in 1989 in an 87-year-old woman of French origin suffering from coincidental polycythemia vera. This paper reports the second observation of Hb Villejuif in three related subjects from Montesarchio, Southern Italy. All routine techniques for hemoglobin analysis yielded normal results with the exception of a slight increase in the Hb A2 value. The occurrence of a variant beta-globin was rapidly assessed by liquid chromatography mass spectrometric analysis and the abnormal chain purified by high performance liquid chromatography. The amino acid replacement Thr-->Ile at beta123 was determined by tandem electrospray mass spectrometric analysis of the tryptic digest of the variant beta chain. The corresponding DNA mutation was established as C-->T at the second position of codon 123 (ACC-->ATC) by polymerase chain reaction amplification techniques.


Hemoglobins, Abnormal/analysis , Adult , Amino Acid Sequence , Amino Acid Substitution , Child , Child, Preschool , Chromatography, High Pressure Liquid , Codon/genetics , DNA Mutational Analysis , Diagnosis, Differential , Female , Globins/genetics , Haplotypes/genetics , Hemoglobins, Abnormal/genetics , Humans , Italy/epidemiology , Male , Mass Spectrometry , Molecular Sequence Data , Mutation, Missense , Pedigree , Polycythemia Vera/blood , Polymerase Chain Reaction , Polymorphism, Restriction Fragment Length , beta-Thalassemia/diagnosis
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