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1.
Eur Rev Med Pharmacol Sci ; 28(1): 342-349, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38235885

RESUMEN

OBJECTIVE: The aim of our study was to analyze the factors influencing the occurrence of hyperuricemia and poor cardiac and renal outcomes in chronic kidney disease (CKD). PATIENTS AND METHODS: One hundred and sixteen patients with CKD admitted to our hospital from January 2022 to September 2022 were picked as the subjects. Fasting venous blood of these subjects was collected to value the serum uric acid (SUA) levels on an automatic biochemical analyzer. Patients were then grouped as the CKD-only group (n=80) and hyperuricemia group (n=36), according to the SUA results, or the good prognosis group (n=88) and poor prognosis group (n=28), according to the presence of cardiovascular diseases. The changes in laboratory indexes and clinical data were analyzed and compared. Multivariate logistic regression analysis was used to analyze the risk factors for combined hyperuricemia and the risk factors for poor cardiac and renal outcomes in patients with CKD. The correlation between SUA level and cardiac and renal indexes was analyzed by Pearson analysis. RESULTS: Patients in the CKD hyperuricemia group had markedly higher content of systolic blood pressure (SBP), diastolic blood pressure (DBP), B-type natriuretic peptide (BNP), urinary retinol-binding protein (RBP), urinary N-acetyl-ß-D glucosidase (NAG), much higher proportion of heart failure episodes history, and much lower content of total cholesterol (TC), albumin (Alb), hemoglobin (Hb), urinary α1-microglobulin (α1-MG), and glomerular filtration rate (eGFR) than the CKD-only group (p < 0.05). SUA, BNP, SBP, and history of heart failure episodes were independent risk factors for combined hyperuricemia in CKD patients (p < 0.05). Besides, eGFR, albumin, and hemoglobin were independent protective factors for combined hyperuricemia in CKD patients (p < 0.05). Compared with the good prognosis group, the content of BNP, SBP, DBP, urinary RBP, urinary NAG, and SUA was much higher, the proportion of heart failure episodes history was obviously higher, and the levels of Alb, Hb, TC, eGFR, and urinary α1-MG were sharply lower in the poor prognosis group (p < 0.05). SUA, BNP, SBP, and history of heart failure episodes were independent risk factors for poor cardiac and renal outcomes (p < 0.05), and eGFR was an independent protective factor for poor cardiac and renal outcomes in patients with CKD (p < 0.05). The SUA level in CKD patients was positively correlated with BNP and SBP (r=0.463, 0.215, p < 0.05), but negatively correlated with eGFR (r=0.463, 0.215, p < 0.05). CONCLUSIONS: The serum SUA level was elevated with the aggravation of the CKD stage. High serum SUA level is a risk factor for the development of hyperuricemia and poor cardio-renal outcomes in CKD patients, suggesting that early monitoring of changes in SUA levels may help assess the risk of cardio-renal outcomes in CKD patients.


Asunto(s)
Insuficiencia Cardíaca , Hiperuricemia , Insuficiencia Renal Crónica , Humanos , Hiperuricemia/complicaciones , Ácido Úrico , Insuficiencia Renal Crónica/complicaciones , Factores de Riesgo , Insuficiencia Cardíaca/complicaciones , Tasa de Filtración Glomerular , Albúminas , Hemoglobinas
2.
Hum Exp Toxicol ; 38(1): 65-81, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-29792338

RESUMEN

It is known that women develop alcoholic liver injury more rapidly and have a lower alcohol toxic threshold than men. However, the detailed molecular mechanisms remain unclear. The precise mechanism responsible for the sex difference needs to be determined. Female and male mice were given ethanol by intragastric infusion every day for 4 weeks. The pathological changes were detected by hematoxylin-eosin, Sirius red, oil red O, periodic acid-Schiff, and Hochest33258 staining in the liver of female and male mice. The related gene and protein expression of hepatocytes stress, proliferation and apoptosis, glycogen synthesis, lipid metabolism, and hepatic fibrosis were also systematically analyzed in the female and male mice. Livers from ethanol-treated female mice had more serious hepatocyte necrosis, liver fibrosis ( P < 0.01), substantial micro/macrovesicular steatosis ( p < 0.01), glycogen consumption ( p < 0.05), and hepatocytes apoptosis ( p < 0.05) than ethanol-treated male mice. The expression of heat shock protein 27 (HSP27), HSP70, proliferating cell nuclear antigen, B-cell lymphoma/leukemia-2 (Bcl-2), and phosphorylated signal transducer and activators of transcription 3 (p-STAT3) was higher in ethanol-treated male mice than ethanol-treated female mice ( P < 0.05 or P < 0.01). But, the expression of Bax (Bcl-2-associated X protein), Caspase 3, CYP2E1 (cytochrome P4502E1), and transforming growth factor ßl had the contrary results. Our study suggested that ethanol treatment induced more expression of HSP27 and HSP70, faster hepatocyte proliferation, higher level of glycogen, and interleukin-6 signaling pathway activation, but less hepatocyte apoptosis and CYP2E1 expression in male mice than female mice, which could be helpful to understand the molecular mechanism for the influence of sex difference on alcoholic liver injury.


Asunto(s)
Etanol/toxicidad , Hígado Graso Alcohólico/metabolismo , Caracteres Sexuales , Animales , Apoptosis/efectos de los fármacos , Proteínas Reguladoras de la Apoptosis/metabolismo , Citocromo P-450 CYP2E1/metabolismo , Hígado Graso Alcohólico/patología , Femenino , Glucógeno/metabolismo , Proteínas de Choque Térmico HSP27/metabolismo , Proteínas HSP70 de Choque Térmico/metabolismo , Hígado/efectos de los fármacos , Hígado/metabolismo , Hígado/patología , Masculino , Ratones Endogámicos BALB C , Factor de Transcripción STAT3/metabolismo , Factor de Crecimiento Transformador beta1/metabolismo
3.
Zhonghua Liu Xing Bing Xue Za Zhi ; 39(2): 194-198, 2018 Feb 10.
Artículo en Chino | MEDLINE | ID: mdl-29495204

RESUMEN

Objective: To investigate the association between three single nucleotide polymorphism (SNP) genes DRD2 (rs1800497, rs6275, and rs1799978) and the dosage used on methadone maintenance treatment (MMT). Methods: From the methadone maintenance treatment centers, 257 MMT patients were recruited to participate in a case-control study and divided into two groups-control groups under low dosage (n=89) and case (n=168) group with high dosage. Quanto software was used to estimate the sample size as 180. Information related to social-demographic status, history on drug use and medication were collected. And DRD2 SNPs were genotyped to explore the relationship between polymorphism of DRD2 gene and the dosage of methadone maintenance treatment. Results: Distributions of DRD2 rs6275 between different groups were significantly different. Patients carrying TC genotype needed lower dose of methadone when compared to the patients that carrying CC genotype counterparts (OR=0.338, 95% CI: 0.115-0.986). Patients that carrying C allele at rs6275 needed lower methadone dose than those that carrying genotype TT (OR=0.352, 95% CI: 0.127-0.975). Distributions of genotypes, alles in the other two SNPs (rs1800497, rs1799978) were not significantly different between groups under different dosages. Conclusion: DRD2 rs6275 was associated with dosage of methadone used for the MMT patients. However, no significant associations were found between rs1800497, rs1799978 and the dosage of methadone.


Asunto(s)
Metadona/administración & dosificación , Tratamiento de Sustitución de Opiáceos , Trastornos Relacionados con Opioides/genética , Trastornos Relacionados con Opioides/rehabilitación , Polimorfismo de Nucleótido Simple/genética , Receptores de Dopamina D2/genética , Alelos , Estudios de Casos y Controles , Cálculo de Dosificación de Drogas , Genotipo , Humanos , Metadona/uso terapéutico
4.
Artículo en Chino | MEDLINE | ID: mdl-29771041

RESUMEN

Objective:The aim of this study is to retrospective analysis the clinic features of 118 cases of benign paroxysmal positional vertigo after trauma. Method:Analyzes clinic features of injury in 118 cases of benign paroxysmal positional vertigo after trauma, and classified and localized the craniocerebral trauma. The 118 cases were tested with different positioning tests in the sequence of Dix hallpike test and rolling test. Then, proper otolith manual reduction was given. Result:In 118 cases of BPPV after trauma including 35 cases of skull fracture, 6 cases of concussion, 17 cases of scalp hematoma, 28 cases of scalp laceration, 14 cases of mild brain contusion and 18 cases of head combined injury. The distributions of head injury were 57 at front temporal, 24 at top, 22 at occipital and 15 at maxillofacial region. The latency of BPPV after head injury varies from 1day to 1month. The incidence of 3-7 day after head injury was the highest, followed by 7-14 days, 0-3 days, and the lowest incidence rate of 14 day to 1 month. Canal type 118 BPPV patients after head injury accounting for up to 57.6% of the horizontal semicircular canal accounted for 33.1%, mixed 9.3%. Conclusion:The patients with front temporal trauma and skull fracture were prone to have BPPV. The peak incidence of BPPV was 3-14 days after head injury. The most common type of BPPV was PC BPPV, and the HC BPPV was the second type. A good curative effect can be manipulative reduction after trauma BPPV..


Asunto(s)
Vértigo Posicional Paroxístico Benigno/etiología , Heridas y Lesiones/complicaciones , Vértigo Posicional Paroxístico Benigno/fisiopatología , Humanos , Membrana Otolítica/lesiones , Estudios Retrospectivos , Cuero Cabelludo , Canales Semicirculares/lesiones
5.
Gene Ther ; 8(5): 408-18, 2001 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-11313818

RESUMEN

CXCR4 is the major co-receptor used by X4 strains of human immunodeficiency virus type I (HIV-1). In HIV-1-infected patients, the appearance of X4 strains (T cell line-tropic) correlates with disease progression. Since its discovery, the CXCR4 co-receptor has been a major target for different agents which block its function, such as stromal-derived factor 1alpha (SDF-1alpha) and the anti-CXCR4 monoclonal antibody, 12G5. In the present studies, the 12G5 hybridoma was used to construct a single-chain variable antibody fragment (SFv). Murine leukemia virus (MLV) and simian virus 40 (SV(40)) were utilized as delivery vehicles for the anti-CXCR4 SFv. Intracellular expression of the anti-CXCR4 SFv led to down-regulation of this critical co-receptor, as demonstrated by immunostaining. This effect significantly and specifically protected transduced cells from challenge with HIV-1, as measured by HIV-1 p24 antigen expression. Inhibition of HIV-1 replication was specific for X4 HIV-1 strains as demonstrated by MAGI assays. HeLa-CD4/betagal-CCR5 cells expressing the anti-CXCR4 SFv showed significant inhibition of infectivity by the X4 HIV-1 strain NL4-3, but not with the R5 HIV-1 strain Bal. Thus, this anti-HIV-1 molecular therapy has the potential to inhibit HIV-1 replication and virion spread. Targeting CXCR4 by intracellular immunization could be of additional benefit to certain HIV-1-infected patients on highly active antiretroviral therapy (HAART).


Asunto(s)
Regulación hacia Abajo , Terapia Genética/métodos , Infecciones por VIH/terapia , VIH-1 , Receptores CXCR4/metabolismo , Animales , Línea Celular , Vectores Genéticos , Infecciones por VIH/metabolismo , VIH-1/fisiología , Humanos , Región Variable de Inmunoglobulina/genética , Virus de la Leucemia Murina/genética , Receptores CXCR4/genética , Virus 40 de los Simios/genética , Linfocitos T/virología , Replicación Viral
6.
J Hum Virol ; 3(1): 6-15, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10774802

RESUMEN

OBJECTIVES: To deliver antiretroviral agents or other foreign proteins into progeny virions and evaluate their inhibitory effect on human immunodeficiency virus type 1 (HIV-1) replication. STUDY DESIGN/METHODS: HIV-1 encodes proteins in addition to gag, pol, and env, some of which are packaged into virus particles. One essential retroviral enzyme is integrase (IN), which has been used as a target for developing agents that inhibit virus replication. In previous studies, we demonstrated that intracellular expression of single-chain variable antibody fragments (SFvs), which bind to IN, results in resistance to productive HIV-1 infection in T-lymphocytic cells. Because the highly conserved accessory HIV-1 Vpr protein can be packaged within virions in quantities similar to those of the major structural proteins, this primate lentiviral protein may be used as a fusion partner to deliver antiviral agents or other foreign proteins into progeny virions. In these studies, the fusion proteins Vpr-chloramphenicol acetyl transferase (CAT) and Vpr-SFv-IN have been developed. Stable transfectants expressing these fusion proteins were generated from PA317 cells and SupT1 T-lymphocytic cells and analyzed using immunofluorescence microscopy. After challenge of SupT1 cells with HIV-1, p24 antigen expression was evaluated. The incorporation of these fusion proteins were evaluated by immunoprecipitation of virions using a Vpr antibody. RESULTS: Expression of the fusion proteins was confirmed by immunofluorescent staining in PA317 cells transfected with the plasmids expressing Vpr-CAT and Vpr-SFv-IN proteins. Stable transfectants expressing these fusion proteins were generated from SupT1 T-lymphocytic cells. When challenged, HIV-1 replication, as measured by HIV-1 p24 antigen expression, was inhibited in cells expressing Vpr-SFv-IN. It was demonstrated that Vpr-chloramphenicol acetyl transferase (Vpr-CAT and Vpr-SFv-IN proteins can be efficiently packaged into the virions and that Vpr-SFv-IN also decreases the infectivity of virions into which it is encapsidated. CONCLUSIONS: An anti-integrase single-chain variable fragment moiety can be delivered into HIV-1 virions by fusing it to Vpr. Vpr-SFv-IN decreases HIV-1 production in human T-lymphocytic cells. The benefits of "intravirion" gene therapy include immunization of target cells as well as decreasing infectivity of HIV-1 virions harboring the fusion construct. Thus, this approach to anti-HIV-1 molecular therapies has the potential to increase inhibitory effects against HIV-1 replication and virion spread.


Asunto(s)
Fármacos Anti-VIH/farmacología , Productos del Gen rev/farmacología , Productos del Gen vpr/farmacología , Infecciones por VIH/prevención & control , VIH-1/efectos de los fármacos , Inhibidores de Integrasa/farmacología , Replicación Viral/efectos de los fármacos , Western Blotting , Línea Celular , Cloranfenicol O-Acetiltransferasa/farmacología , Clonación Molecular , Ensayo de Inmunoadsorción Enzimática , Técnica del Anticuerpo Fluorescente , Productos del Gen rev/genética , Productos del Gen vpr/genética , Vectores Genéticos , Antígenos VIH/análisis , Proteína p24 del Núcleo del VIH/análisis , VIH-1/patogenicidad , VIH-1/fisiología , Células HeLa , Humanos , Región Variable de Inmunoglobulina , Proteínas Recombinantes de Fusión/biosíntesis , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/farmacología , Proteínas Recombinantes , Anticuerpos de Cadena Única , Productos del Gen rev del Virus de la Inmunodeficiencia Humana , Productos del Gen vpr del Virus de la Inmunodeficiencia Humana
7.
Gene Ther ; 6(4): 660-6, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10476226

RESUMEN

Human immunodeficiency virus type 1 (HIV-1) encodes several proteins that are packaged into virus particles. Integrase (IN) is an essential retroviral enzyme, which has been a target for developing agents to inhibit virus replication. In previous studies, we showed that intracellular expression of single-chain variable antibody fragments (SFvs) that bind IN, delivered via retroviral expression vectors, provided resistance to productive HIV-1 infection in T-lymphocytic cells. In the current studies, we evaluated simian-virus 40 (SV40) as a delivery vehicle for anti-IN therapy of HIV-1 infection. Prior work suggested that delivery using SV40 might provide a high enough level of transduction that selection of transduced cells might be unnecessary. In these studies, an SV40 expression vector was developed to deliver SFv-IN (SV(Aw)). Expression of the SFv-IN was confirmed by Western blotting and immunofluorescence staining, which showed that > 90% of SupT1 T-lymphocytic cells treated with SV(Aw) expressed the SFv-IN protein without selection. When challenged, HIV-1 replication, as measured by HIV-1 p24 antigen expression and syncytium formation, was potently inhibited in cells expressing SV40-delivered SFv-IN. Levels of inhibition of HIV-1 infection achieved using this approach were comparable to those achieved using murine leukemia virus (MLV) as a transduction vector, the major difference being that transduction using SV40 did not require selection in culture whereas transduction with MLV did require selection. Therefore, the SV40 vector as gene delivery system represents a novel therapeutic strategy for gene therapy to target HIV-1 proteins and interfere with HIV-1 replication.


Asunto(s)
Terapia Genética/métodos , Vectores Genéticos/administración & dosificación , Infecciones por VIH/terapia , VIH-1 , Virus 40 de los Simios/genética , Western Blotting , Células Cultivadas , Integrasa de VIH/análisis , Integrasa de VIH/inmunología , Humanos , Fragmentos de Inmunoglobulinas/administración & dosificación , Fragmentos de Inmunoglobulinas/inmunología , Virus de la Leucemia Murina/genética , Linfocitos T/inmunología , Transfección/métodos , Replicación Viral
8.
J Infect Dis ; 178(6): 1623-34, 1998 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-9815214

RESUMEN

There exist at least two major coreceptors for human immunodeficiency virus (HIV)-1 entry into target cells, the CXCR-4 and CCR-5 chemokine receptors for T lymphocyte-tropic and macrophage-tropic strains of HIV-1, respectively. Highly purified human CD34 cells derived from umbilical cord blood were shown not to express CD4, CXCR-4, and CCR-5 on their cell membranes, as analyzed by immunofluorescent staining and flow cytometric analyses. However, expression of these molecules was inducible when highly purified CD34 cells underwent proliferation and differentiation along myeloid cell lineages, in the presence of suitable cocktails of hematopoietic growth factors. HIV-1 infectivity studies showed that macrophage-tropic strains of HIV-1 could efficiently infect differentiated CD34 cells. T lymphocyte-tropic strains could not infect CD34 cells before or after induction of receptors and coreceptors. These data suggest that HIV-1 infection of CD34 cells and their progeny depends on membrane expression of the critical CD4 receptor, as well as certain chemokine coreceptors.


Asunto(s)
VIH-1/fisiología , Células Madre Hematopoyéticas/fisiología , Células Madre Hematopoyéticas/virología , Receptores CCR5/genética , Receptores CXCR4/genética , Antígenos CD/fisiología , Antígenos CD34/fisiología , Diferenciación Celular , División Celular , Membrana Celular/fisiología , Células Cultivadas , Cartilla de ADN , Sangre Fetal/citología , Citometría de Flujo , Células Madre Hematopoyéticas/citología , Humanos , Recién Nacido , Macrófagos/fisiología , Macrófagos/virología , Receptores CCR5/fisiología , Receptores CXCR4/fisiología , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa
9.
J Biol Chem ; 273(14): 8009-16, 1998 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-9525900

RESUMEN

Targeting protein or RNA moieties to specific cellular compartments may enhance their desired functions and specificities. Human immunodeficiency virus type I (HIV-1) encodes proteins in addition to Gag, Pol, and Env that are packaged into virus particles. One such retroviral-incorporated protein is Vpr, which is present in all primate lentiviruses. Vpr has been implicated in different roles within the HIV-1 life cycle. In testing a new hypothesis in which viral proteins are utilized as docking sites to incorporate protein moieties into virions, we used the peptide phage display approach to search for Vpr-specific binding peptides. In the present studies, we demonstrate that most of the peptides that bind to Vpr have a common motif, WXXF. More importantly, we demonstrate that the WXXF motif of uracil DNA glycosylase is implicated in the interaction of uracil DNA glycosylase with Vpr intracellularly. Finally, a dimer of the WXXF motif was fused to the chloramphenicol acetyl transferase (CAT) gene, and it was demonstrated that the WXXF dimer-CAT fusion protein construct produces CAT activity within virions in the presence of Vpr as a docking protein. This study provides a novel potential strategy in the targeting of anti-viral agents to interfere with HIV-1 replication.


Asunto(s)
Productos del Gen vpr/fisiología , VIH-1/fisiología , Proteínas/metabolismo , Secuencia de Aminoácidos , Secuencia de Bases , Sitios de Unión , Humanos , Datos de Secuencia Molecular , Unión Proteica , Proteínas/genética , Análisis de Secuencia , Replicación Viral , Productos del Gen vpr del Virus de la Inmunodeficiencia Humana
10.
Am J Pathol ; 150(4): 1141-57, 1997 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-9094970

RESUMEN

Chronic infection with hepatitis B virus is associated with a high incidence of liver diseases, including hepatocellular carcinoma. Hepatitis-B-virus-encoded X antigen (HBxAg) stimulates virus gene expression and replication, which may be important for the establishment and maintenance of the chronic carrier state. Integration of viral DNA encoding HBxAg during chronic infection results in increased X antigen expression. HBxAg overexpression may alter signal transduction pathways important for the regulation of cell growth during hepatocellular regeneration. The finding that HBxAg binds to and inactivates negative growth-regulatory molecules, such as the tumor suppressor p53, suggests additional ways that HBxAg may act in hepatocarcinogenesis. HBxAg may also stimulate the expression of positive growth regulators, such as insulin-like growth factor II and the insulin-like growth factor I receptor. The finding that HBxAg may compromise DNA repair and that it may effect the normal turnover of growth-regulatory molecules in the proteasome may also contribute to its carcinogenic properties. Hence, HBxAg may contribute to the pathogenesis of chronic infection and development of hepatocellular carcinoma in a variety of ways.


Asunto(s)
Carcinoma Hepatocelular/etiología , Antígenos de la Hepatitis B/fisiología , Hepatitis B/etiología , Hepatitis Crónica/etiología , Neoplasias Hepáticas/etiología , Transactivadores/fisiología , Animales , Carcinoma Hepatocelular/virología , Hepatitis B/virología , Virus de la Hepatitis B/patogenicidad , Hepatitis Crónica/virología , Humanos , Neoplasias Hepáticas/virología , Proteínas Reguladoras y Accesorias Virales
12.
Gene Ther ; 4(3): 219-25, 1997 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-9135735

RESUMEN

Stable, efficient gene transfer to normal human peripheral blood mononuclear cells (PBMC) is a prerequisite for therapy of a number of diseases, both hereditary and acquired, affecting these cells. Current approaches to gene transfer to PBMC entail ex vivo mitogenic stimulation and multiple transduction steps followed by selection, usually of progenitor populations. Thus, the ability to transfer gene expression to normal, resting PBMC could complement gene transfer strategies that target dividing precursor cells. We report successful short-term transduction of human PBMC using two different SV40-derived viral vectors SV40-derivative viruses were constructed by cloning cDNAs for firefly luciferase (luc), or hepatitis B surface antigen (HBSAg), into shuttle plasmids to create the SV40 derivative viruses SVluc and SV(HBS) respectively. Both genes were cloned downstream from SV40 early promoter. Normal, resting, human PBMC were exposed to these viruses, and unselected cultured cells were assayed 24 to 48 h later for expression of transduced genes by immunochemistry and Northern blot analysis. Expression of both luciferase and HBSAg was detected using both approaches. Levels of expression of luciferase were slightly higher in PBMC which were stimulated with concanavalin A (con A). Conversely, expression of HBSAg was less in con A-stimulation did not alter infectivity of PBMC by SV40-derivative virus. While longevity and stability of expression in vitro are as yet unknown, this demonstration of successful gene transfer to resting, normal human PBMC, assayed on unselected cells, suggests that SV40-based transduction systems may be potential candidates for use in transient gene transfer to mononuclear blood cells.


Asunto(s)
Técnicas de Transferencia de Gen , Vectores Genéticos , Antígenos de Superficie de la Hepatitis B/genética , Leucocitos Mononucleares , Luciferasas/genética , Virus 40 de los Simios/genética , Northern Blotting , Células Cultivadas , Concanavalina A/farmacología , ADN Complementario , Expresión Génica , Antígenos de Superficie de la Hepatitis B/análisis , Humanos , Inmunohistoquímica , Leucocitos Mononucleares/efectos de los fármacos , Luciferasas/análisis , Plásmidos , Estimulación Química
13.
J Infect Dis ; 172(3): 713-22, 1995 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-7658063

RESUMEN

The etiology of non-A, non-B hepatitis (NANBH) in renal dialysis patients was determined. Hepatitis C virus was present in many, but its appearance did not correlate with elevated alanine aminotransaminase. When sera from these patients were tested for antibodies against hepatitis B virus (HBV) X antigen and polymerase, 70% were positive. HBV infection was confirmed by polymerase chain reaction using several HBV-specific primer pairs. However, amplification with X region primers failed to yield products in many patients. Cloning and sequencing of these products demonstrated deletions within the X region. Hence, X-deletion variants of HBV are strongly associated with NANBH in renal dialysis patients.


Asunto(s)
Antígenos de Superficie de la Hepatitis B/sangre , Virus de la Hepatitis B/aislamiento & purificación , Hepatitis C/virología , Eliminación de Secuencia , Transactivadores/genética , Alanina Transaminasa/sangre , Secuencia de Bases , Clonación Molecular , Cartilla de ADN , ADN Viral/sangre , Genes Virales , Antígenos de la Hepatitis B/genética , Virus de la Hepatitis B/genética , Hepatitis C/sangre , Humanos , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa , Valores de Referencia , Diálisis Renal , Transactivadores/sangre , Proteínas Reguladoras y Accesorias Virales
14.
J Virol ; 69(6): 3929-32, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7538178

RESUMEN

Reverse transcription of retroviral genomic RNA in a target cell is influenced by cellular factors, including the concentration of deoxyribonucleoside triphosphates (dNTPs). In addition, recent data have demonstrated that reverse transcription can be driven within human immunodeficiency virus type 1 virions, prior to infection of a cell, by increasing extracellular concentrations of dNTPs. In attempts to increase the transduction efficiency of recombinant murine leukemia virus vectors, endogenous reverse transcription was initiated within cell-free, recombinant murine leukemia virus virions in the presence of relatively high concentrations of dNTPs. As a result, the expression of transduced genes via these retroviral vectors was increased approximately 10-fold by treatment of virions with dNTPs. Combined with our previous data, these observations suggest that virion-associated DNA synthesis can occur in diverse groups of retroviruses and positively alter retroviral infectivity. As such, these manipulations may be useful for increasing the efficiency of retrovirus-mediated gene delivery.


Asunto(s)
Terapia Genética , Vectores Genéticos , Virus de la Leucemia Murina/genética , Transcripción Genética , Transducción Genética , Animales , Secuencia de Bases , Cartilla de ADN , ADN Viral/genética , Ratones , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa , ARN Viral/genética , ADN Polimerasa Dirigida por ARN , Recombinación Genética , Virión/genética
15.
Gastroenterology ; 108(6): 1810-9, 1995 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-7768387

RESUMEN

BACKGROUND/AIMS: The finding of antibodies against the polymerase of hepatitis B virus in renal dialysis patients before the incubation phase of infection implies underlying virus replication. Hence, the aim of the study was to test for virus during infection. METHODS: Viremia was assayed in virus-infected and control patients using the polymerase chain reaction and Southern blotting. RESULTS: Six months before the appearance of surface antigen, most patients had detectable core region, but few patients were X region positive. Three months after surface antigen appeared, most carriers had detectable core and X products. Three years after surface antigen appeared, 5 of 8 carriers with persistent hepatitis B e antigen and 1 of 8 carriers with corresponding antibody had these products. Cloning and sequencing showed deletions within the X/precore region of viral DNA. CONCLUSIONS: Infection with X region mutants precedes that of wild-type virus, and they reappear after wild-type virus is eliminated in carriers.


Asunto(s)
Eliminación de Gen , Antígenos de la Hepatitis B/genética , Virus de la Hepatitis B/genética , Hepatitis B/virología , Transactivadores/genética , Secuencia de Bases , Clonación Molecular , ADN Viral/análisis , Antígenos de Superficie de la Hepatitis B/análisis , Humanos , Datos de Secuencia Molecular , Mutación , Sistemas de Lectura Abierta , Proteínas Reguladoras y Accesorias Virales
16.
J Viral Hepat ; 2(1): 19-31, 1995.
Artículo en Inglés | MEDLINE | ID: mdl-7493291

RESUMEN

Hepatitis B virus (HBV) variants containing mutations within the X and the precore regions of the viral genome were demonstrated by polymerase chain reaction (PCR) amplification and DNA sequencing in renal dialysis patients with different serological patterns of HBV infection. Among carriers, X region deletion mutants predominated in patients who lost hepatitis B e antigen (HBeAg), or developed anti-HBe, but not in persistently HBeAg-positive patients. The precore region remained wild type in all carriers whether or not they seroconverted from HBeAg to anti-HBe. The frequency of precore and X region mutants was greatest among non-carrier patients with viral antibodies as the only indication of infection and among patients with non-A, non-B hepatitis (NANBH), suggesting an inverse relationship between the presence of wild type HBV markers and the presence of HBV mutants. Furthermore, the detection of one but not the other mutation in many serum samples suggests that these mutations are independently selected for during infection. Finally, the absence of HBV DNA in 21 'uninfected' dialysis patients with normal transaminases and no viral serology, suggests that replication of these mutants is associated with hepatitis. These results have important implications for HBV screening and treatment, as well as for the pathogenesis of chronic infection.


Asunto(s)
Virus de la Hepatitis B/genética , Hepatitis B/genética , Diálisis Renal/efectos adversos , Biomarcadores , Clonación Molecular , Eliminación de Gen , Genoma Viral , Hepatitis B/etiología , Hepatitis B/virología , Humanos , Reacción en Cadena de la Polimerasa
17.
Int J Cancer ; 55(4): 571-6, 1993 Oct 21.
Artículo en Inglés | MEDLINE | ID: mdl-8406983

RESUMEN

Chronic infection with hepatitis-B virus (HBV) is associated with high risk for the development of hepatocellular carcinoma (HCC). Several studies have implicated that the X gene product(s) of HBV are important to the pathogenesis of HCC. This study tests the hypothesis that immunohistochemical detection of hepatitis B x antigen (HBxAg) is closely associated with HCC. The patterns of HBxAg were determined by staining in tumor and non-tumor liver sections from 30 Chinese patients with HBV-associated HCC, and the results were compared with other markers of infection. HBxAg was the most prevalent marker of HBV infection both in tumor and in non-tumor tissues of HCC patients, as compared with the hepatitis-B surface and core antigens. This pattern was observed among carriers as well as several patients who were HBsAG- in serum. The HBxAg staining results were validated by Southern blotting with an X-region probe and by Western blotting with anti-HBx. These results suggest that the persistence of HBxAg is important to the pathogenesis of early HCC and that HBxAg expression in the liver during chronic HBV infection may be an important prognostic marker for the development of HCC.


Asunto(s)
Carcinoma Hepatocelular/inmunología , Antígenos de la Hepatitis B/análisis , Neoplasias Hepáticas/inmunología , Adulto , Anciano , Biomarcadores de Tumor , Southern Blotting , Western Blotting , Femenino , Hepatitis B/complicaciones , Humanos , Inmunohistoquímica , Persona de Mediana Edad , Pronóstico
18.
Oncogene ; 8(5): 1109-17, 1993 May.
Artículo en Inglés | MEDLINE | ID: mdl-8386823

RESUMEN

To test the hypothesis that hepatitis B x antigen (HBxAg) binds to the tumor-suppressor protein p53, immunoprecipitation was carried out with monoclonal anti-x or monoclonal anti-p53 using radiolabeled HBxAg and p53 made by in vitro translation. The results showed that anti-p53 specifically immunoprecipitates HBxAg only in the presence of p53 and that anti-x specifically immunoprecipitates p53 only in the presence of HBxAg. to determine whether HBxAg binds p53 in vivo, immunoprecipitation and Western blot analysis of liver samples from 10 hepatitis B virus (HBV)-infected patients with primary hepatocellular carcinoma (PHC) were carried out. A protein band at 53,000 daltons that specifically immunoprecipitated with a monoclonal anti-x was identified as p53 by Western blotting with a monoclonal anti-p53. Anti-p53 specifically immunoprecipitated bands of 28,000, 17,000 and 13,000 daltons, which were identified as HBxAg polypeptides by Western blotting with anti-HBx. These findings suggest that HBxAg binds to p53 and that this association is important to the development of PHC.


Asunto(s)
Carcinoma Hepatocelular/química , Antígenos de la Hepatitis B/metabolismo , Neoplasias Hepáticas/química , Hígado/química , Transactivadores/metabolismo , Proteína p53 Supresora de Tumor/metabolismo , Antígenos de la Hepatitis B/análisis , Antígenos de la Hepatitis B/inmunología , Humanos , Inmunohistoquímica , Pruebas de Precipitina , Transactivadores/análisis , Transactivadores/inmunología , Proteína p53 Supresora de Tumor/análisis , Proteína p53 Supresora de Tumor/inmunología , Proteínas Reguladoras y Accesorias Virales
19.
J Hepatol ; 17 Suppl 3: S24-34, 1993.
Artículo en Inglés | MEDLINE | ID: mdl-8509636

RESUMEN

This study tests the hypothesis that woodchuck hepatitis virus encoded X-antigen expression correlates with viral replication, with hepatitis, or with both. Paired liver and serum samples from each of 55 infected woodchucks were used. Seven of 8 carriers with high levels of viral DNA in serum also had X-antigen in serum. In contrast, the frequency of X-antigen in serum was low among infected woodchucks that did not have viral surface antigen in the serum. Statistical analysis showed a significant relationship between X-antigen in serum and markers of viral replication. Woodchuck hepatitis X-antigen (WHxAg) expression in liver but not serum of carriers closely correlated with the presence of hepatitis. The finding of X-antigen in the liver of infected animals with hepatitis that cleared the virus surface antigen from serum also suggests that X-antigen is associated with ongoing hepatitis. Hence, the persistence of WHxAg in serum may signal continuing viral replication and, in liver, may contribute to the pathogenesis of chronic infection.


Asunto(s)
Antígenos de la Hepatitis B/análisis , Hepatitis B/inmunología , Hígado/inmunología , Marmota/inmunología , Transactivadores/inmunología , Animales , Antígenos de la Hepatitis B/sangre , Inmunohistoquímica , Proteínas Reguladoras y Accesorias Virales
20.
Virology ; 180(1): 430-3, 1991 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-1984662

RESUMEN

The woodchuck hepatitis virus (WHV) polymerase (pol)-encoded polypeptide(s), obtained from purified virus nucleocapsid particles, have been characterized by Western blotting. Peptide antibodies to amino-terminal (residues 32-45, WHV pol-6) and carboxy-terminal (residues 861-879, WHV pol-1) sequences were used, in addition to monoclonal antibodies made from purified woodchuck hepatitis core antigen (WHcAg) particles. One of the monoclonal antibodies, WC pol-11, specifically bound WHV pol-1. Both peptide and monoclonal anti-WHV pol-1 also bound a recombinant DNA-produced WHV polymerase polypeptide. These antibodies specifically detected WHcAg-associated polymerase polypeptides at 65,000 (p65) and 31,000 (p31) Da by Western blotting. These results support the conclusion that WHV pol-11 has anti-pol reactivity and that it binds the carboxyl-terminal sequences of the WHV polymerase. The finding that these reagents also specifically bind to corresponding sequences from the carboxy terminus of the hepatitis B virus polymerase suggests that these viral polymerases are cross reactive. Finally, anti-WHV pol-6 did not bind either WHcAg p65 or p31, suggesting that both of these polypeptides have different amino-terminal but the same carboxy-terminal sequences.


Asunto(s)
Antígenos Virales/inmunología , Productos del Gen pol/inmunología , Hepadnaviridae/inmunología , Proteínas del Núcleo Viral/inmunología , Secuencia de Aminoácidos , Animales , Anticuerpos Monoclonales/inmunología , Antígenos Virales/genética , Western Blotting , Femenino , Productos del Gen pol/genética , Hepadnaviridae/genética , Marmota , Ratones , Ratones Endogámicos BALB C , Datos de Secuencia Molecular , Proteínas del Núcleo Viral/genética
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