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1.
Appl Clin Inform ; 4(2): 276-92, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23874364

RESUMEN

OBJECTIVE: Self-administered computer-assisted interviewing (SACAI) gathers accurate information from patients and could facilitate Emergency Department (ED) diagnosis. As part of an ongoing research effort whose long-range goal is to develop automated medical interviewing for diagnostic decision support, we explored usability attributes of SACAI in the ED. METHODS: Cross-sectional study at two urban, academic EDs. Convenience sample recruited daily over six weeks. Adult, non-level I trauma patients were eligible. We collected data on ease of use (self-reported difficulty, researcher documented need for help), efficiency (mean time-per-click on a standardized interview segment), and error (self-report age mismatched with age derived from electronic health records) when using SACAI on three different instruments: Elo TouchSystems ESY15A2 (finger touch), Toshiba M200 (with digitizer pen), and Motion C5 (with digitizer pen). We calculated descriptive statistics and used regression analysis to evaluate the impact of patient and computer factors on time-per-click. RESULTS: 841 participants completed all SACAI questions. Few (<1%) thought using the touch computer to ascertain medical information was difficult. Most (86%) required no assistance. Participants needing help were older (54 ± 19 vs. 40 ± 15 years, p<0.001) and more often lacked internet at home (13.4% vs. 7.3%, p = 0.004). On multivariate analysis, female sex (p<0.001), White (p<0.001) and other (p = 0.05) race (vs. Black race), younger age (p<0.001), internet access at home (p<0.001), high school graduation (p = 0.04), and touch screen entry (vs. digitizer pen) (p = 0.01) were independent predictors of decreased time-per-click. Participant misclick errors were infrequent, but, in our sample, occurred only during interviews using a digitizer pen rather than a finger touch-screen interface (1.9% vs. 0%, p = 0.09). DISCUSSION: Our results support the facility of interactions between ED patients and SACAI. Demographic factors associated with need for assistance or slower interviews could serve as important triggers to offering human support for SACAI interviews during implementation. CONCLUSION: Understanding human-computer interactions in real-world clinical settings is essential to implementing automated interviewing as means to a larger long-term goal of enhancing clinical care, diagnostic accuracy, and patient safety.


Asunto(s)
Computadores , Servicio de Urgencia en Hospital , Entrevistas como Asunto/métodos , Anamnesis/métodos , Informática Médica/métodos , Proyectos de Investigación/estadística & datos numéricos , Autoinforme , Adolescente , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores de Tiempo , Adulto Joven
2.
J Epidemiol Community Health ; 62(8): 734-9, 2008 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-18621960

RESUMEN

OBJECTIVES: To empirically test the impact of dietary intake at several time points in childhood on children's school attainment and to investigate whether any differences in school attainment between children who ate packed lunches or school meals was due to who these children were, their pre-school dietary patterns, or to what they ate at school. DESIGN: Using longitudinal data available in the Avon Longitudinal Study of Parents and Children (ALSPAC), multivariate linear regression was used to assess the relative importance of diet at different ages for school attainment. MAIN OUTCOME MEASURES: Three indicators of school attainment were used: at ages 4-5 entry assessments to school, at ages 6-7 Key Stage 1 national tests and at ages 10-11 Key Stage 2 national tests. These outcome variables were measured in levels as well as in changes from the previous educational stage. RESULTS: The key finding at age 3 was that "junk food" dietary pattern had a negative association with the level of school attainment. A weak association remained after controlling for the impact of other dietary patterns at age 3, dietary patterns at ages 4 and 7 and other confounding factors. The authors did not find evidence that eating packed lunches or eating school meals affected children's attainment, once the impact of junk food dietary pattern at age 3 was accounted for in the model. CONCLUSIONS: Early eating patterns have implications for attainment that appear to persist over time, regardless of subsequent changes in diet.


Asunto(s)
Desarrollo Infantil/fisiología , Fenómenos Fisiológicos Nutricionales Infantiles/fisiología , Conducta Alimentaria , Niño , Preescolar , Factores de Confusión Epidemiológicos , Dieta/estadística & datos numéricos , Escolaridad , Métodos Epidemiológicos , Femenino , Preferencias Alimentarias , Humanos , Estilo de Vida , Masculino , Instituciones Académicas , Factores Socioeconómicos
3.
Allergy ; 62(1): 25-32, 2007 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-17156338

RESUMEN

BACKGROUND: In mice, androgens downregulate Th2 cytokine responses, but whether androgen levels during pregnancy might influence the development of allergy in the offspring has not been studied. METHODS: In the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based birth cohort of 14 541 pregnancies, we related maternal blood total testosterone during pregnancy, measured in a subset of the cohort, to allergic outcomes in the offspring, including asthma, hayfever, eczema (n=543) and wheezing (n=532) at 69-81 months, and atopy (positive skin prick test to Dermatophagoides pteronyssinus, cat or grass, n=386) and blood total immunoglobulin E (IgE; n=314) at 7 years. We used logistic and linear regression to analyse binary outcomes and log-transformed IgE, respectively, controlling for potential confounders. RESULTS: Maternal testosterone was negatively associated with total IgE in boys [adjusted geometric mean ratio (GMR), per doubling of testosterone, 0.33 (0.20-0.55), P=0.000038 (n=168)], but not in girls [GMR 1.04 (0.53-2.06), P=0.91 (n=146)], P-value interaction 0.0086. The effect in boys was even stronger in the absence of maternal atopic disease. Testosterone was not associated with skin test positivity or atopic disease in either sex. CONCLUSIONS: Higher testosterone levels in pregnancy are associated with lower IgE production in boys.


Asunto(s)
Hipersensibilidad Inmediata/etiología , Efectos Tardíos de la Exposición Prenatal , Testosterona/sangre , Adolescente , Adulto , Niño , Femenino , Humanos , Hipersensibilidad Inmediata/epidemiología , Inmunoglobulina E/sangre , Estudios Longitudinales , Masculino , Embarazo , Globulina de Unión a Hormona Sexual/análisis , Pruebas Cutáneas
5.
Ann Hum Genet ; 70(Pt 2): 170-80, 2006 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16626328

RESUMEN

The FRAXA trinucleotide repeat at Xq27.3 gives rise to fragile X syndrome when fully expanded, and both premature ovarian failure (POF) and fragile X tremor and ataxia syndrome (FXTAS) when in the premutation range. Reports of phenotypic effects extending into the intermediate repeat range are inconsistent but some studies suggest that these smaller expansions predispose to special educational needs (SEN). This study utilises the Avon Longitudinal Study of Parents and Children (ALSPAC) cohort to investigate cognitive and behavioural variables that might be associated with FRAXA intermediate alleles. The current study failed to find any strong evidence of association of FRAXA intermediate alleles with SEN, behavioural problems or cognitive difficulties. However, our findings illustrate some of the difficulties encountered in identifying individuals with SEN. The power to identify specific components of cognitive and behavioural difficulties was reduced due to elective drop-out, which is characteristic of longitudinal studies. Our findings demonstrate the non-random loss of participants from this cohort and highlight problems that may arise when such data are used in genetic association studies.


Asunto(s)
Alelos , Proteína de la Discapacidad Intelectual del Síndrome del Cromosoma X Frágil/genética , Humanos , Estudios Longitudinales , Masculino , Fenotipo
6.
Arch Biochem Biophys ; 395(1): 103-12, 2001 Nov 01.
Artículo en Inglés | MEDLINE | ID: mdl-11673871

RESUMEN

It is possible that many of the fibrogenic effects of transforming growth factor-beta (TGF-beta) are mediated by connective tissue growth factor (CTGF). In the present work, we show that TGF-beta1 produces a 5- to 6-fold increase in CTGF expression by cultured human lung fibroblasts that is due mainly to increased transcription. The half-life of CTGF mRNA is 1.96 h, consistent with its role as a cytokine. In addition to requiring Smad activity, based upon the effects of specific inhibitors, the TGF-beta intracellular signaling pathway requires the activity of a phosphatidylcholine-specific phospholipase C, a protein kinase C, and one or more tyrosine kinases. It is also likely that the pathway requires a member of the Ras superfamily of small GTPases, but not trimeric G proteins. Pharmacologic inhibition of TGF-beta stimulation of CTGF expression may be an effective therapeutic approach to a variety of undesirable fibrotic reactions.


Asunto(s)
Fibroblastos/metabolismo , Sustancias de Crecimiento/biosíntesis , Proteínas Inmediatas-Precoces/biosíntesis , Péptidos y Proteínas de Señalización Intercelular , Pulmón/metabolismo , Transducción de Señal/fisiología , Factor de Crecimiento Transformador beta/farmacología , Células Cultivadas , Toxina del Cólera/farmacología , Factor de Crecimiento del Tejido Conjuntivo , Proteínas de Unión al ADN/metabolismo , Relación Dosis-Respuesta a Droga , Inhibidores Enzimáticos/farmacología , Fibroblastos/citología , Fibroblastos/efectos de los fármacos , Sustancias de Crecimiento/genética , Humanos , Proteínas Inmediatas-Precoces/genética , Pulmón/citología , Pulmón/efectos de los fármacos , Proteínas Quinasas Activadas por Mitógenos/antagonistas & inhibidores , Proteínas Quinasas Activadas por Mitógenos/metabolismo , Proteína Quinasa C/antagonistas & inhibidores , Proteína Quinasa C/metabolismo , Prenilación de Proteína/efectos de los fármacos , Proteínas Tirosina Quinasas/antagonistas & inhibidores , Proteínas Tirosina Quinasas/metabolismo , ARN Mensajero/genética , Transducción de Señal/efectos de los fármacos , Transactivadores/metabolismo , Factor de Crecimiento Transformador beta1 , Fosfolipasas de Tipo C/antagonistas & inhibidores , Fosfolipasas de Tipo C/metabolismo , Factores de Virulencia de Bordetella/farmacología , Proteínas ras/metabolismo
7.
J Cell Biochem ; 79(2): 261-73, 2000 Aug 02.
Artículo en Inglés | MEDLINE | ID: mdl-10967553

RESUMEN

The extracellular matrix (ECM) plays an essential role in bladder structure and function. In this study, expression of beta ig-h3, a recently identified extracellular matrix protein, was investigated in human bladder tissue, and human bladder smooth-muscle (SMC) and fibroblast cells in vitro. SMCs secreted greater than three times the level of this protein compared with fibroblasts. The relative levels of beta ig-h3 mRNA in the two cell types reflected the protein expression. Immunohistochemical analysis demonstrated protein deposition in the ECM as well as cytoplasmic localization and, unexpectedly, nuclei. Anti-beta ig-h3 antibodies also stained the matrix surrounding the detrusor SMCs and nuclei of bladder fibroblasts, SMCs, and urothelium in intact bladder tissue. Western blot analyses of medium and matrix fractions obtained from cells in vitro revealed protein of approximately 70-74 kDa, whereas nuclear extracts contained a 65-kDa reactive protein band. We propose that although this protein is a structural component of bladder ECM, its nuclear localization suggests that it has other regulatory and/or structural functions.


Asunto(s)
Núcleo Celular/metabolismo , Proteínas de la Matriz Extracelular , Matriz Extracelular/metabolismo , Músculo Liso/metabolismo , Proteínas de Neoplasias/metabolismo , Factor de Crecimiento Transformador beta , Vejiga Urinaria/metabolismo , Secuencia de Aminoácidos , Células Cultivadas , Fibroblastos/metabolismo , Humanos , Inmunohistoquímica , Datos de Secuencia Molecular , Músculo Liso/citología , Proteínas de Neoplasias/genética , ARN Mensajero/genética , ARN Mensajero/metabolismo , Vejiga Urinaria/citología
8.
Am J Respir Cell Mol Biol ; 22(3): 352-9, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10696072

RESUMEN

Bronchial smooth muscle cells play a central role in normal lung physiology by controlling airway tone. In addition, airway smooth muscle hyperplasia and hypertrophy are important factors in the pathophysiology of asthma. In this study, expression of betaig-h3, a recently identified component of the extracellular matrix (ECM), was investigated in primary human bronchial smooth muscle (HBSM) cells. Northern blot analysis demonstrated that treatment of cultured HBSM cells with transforming growth factor-beta1 resulted in a 4- to 5-fold increase in the steady-state level of betaig-h3 messenger RNA. Western blot analysis of secreted proteins using monospecific antibodies generated against peptide sequences found in the N- and C-terminal regions of the protein identified several isoforms having apparent mass of 70-74 kD. Immunohistochemical analysis of human lung localized betaig-h3 to the vascular and airway ECM, and particularly to the septal tips of alveolar ducts and alveoli, suggesting that it may have a morphogenetic role. Analysis of cultured HBSM cells identified betaig-h3 in both the ECM as well as the cytoplasm, and surprisingly also in the nucleus. These results demonstrate that betaig-h3 is produced by resident lung cells, is a component of lung ECM, and may play an important role in lung structure and function. The presence of this protein in nuclei suggests that it may have regulatory functions in addition to its role as a structural component of lung ECM.


Asunto(s)
Bronquios/fisiología , Proteínas de la Matriz Extracelular , Músculo Liso/fisiología , Proteínas de Neoplasias/análisis , Proteínas de Neoplasias/genética , Factor de Crecimiento Transformador beta , Secuencia de Aminoácidos , Northern Blotting , Western Blotting , Bronquios/química , Bronquios/citología , Núcleo Celular/química , Células Cultivadas , Matriz Extracelular/química , Técnica del Anticuerpo Fluorescente , Expresión Génica/fisiología , Humanos , Datos de Secuencia Molecular , Músculo Liso/química , Músculo Liso/citología , ARN Mensajero/análisis
9.
Am J Physiol Lung Cell Mol Physiol ; 278(3): L545-51, 2000 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-10710527

RESUMEN

Both insulin-like growth factor binding protein-3 (IGFBP-3) and transforming growth factor-beta (TGF-beta) have been separately shown to have cell-specific growth-inhibiting or growth-potentiating effects. TGF-beta stimulates IGFBP-3 mRNA and peptide expression in several cell types, and TGF-beta-induced growth inhibition and apoptosis have been shown to be mediated through the induction of IGFBP-3. However, a link between the growth stimulatory effects of TGF-beta and IGFBP-3-induction has not been shown. In this study, we investigated the role of IGFBP-3 in mediating TGF-beta1-induced cell growth using human airway smooth muscle (ASM) cells as our model. TGF-beta1 (1 ng/ml) treatment induced a 10- to 20-fold increase in the levels of expression of IGFBP-3 mRNA and protein. Addition of either IGFBP-3 or TGF-beta1 to the growth medium resulted in an approximately twofold increase in cell proliferation. Coincubation of ASM cells with IGFBP-3 antisense (but not sense) oligomers as well as with an IGFBP-3 neutralizing antibody (but not with control IgG) blocked the growth induced by TGF-beta1 (P < 0.001). Several IGFBP-3-associated proteins were observed in ASM cell lysates, which may have a role in the cellular responses to IGFBP-3. These findings demonstrate that IGFBP-3 is capable of mediating the growth stimulatory effect of TGF-beta in ASM cells.


Asunto(s)
Bronquios/citología , Proteína 3 de Unión a Factor de Crecimiento Similar a la Insulina/fisiología , Músculo Liso/citología , Factor de Crecimiento Transformador beta/farmacología , Adolescente , Adulto , Bronquios/metabolismo , División Celular/efectos de los fármacos , División Celular/fisiología , Humanos , Proteína 3 de Unión a Factor de Crecimiento Similar a la Insulina/genética , Proteína 3 de Unión a Factor de Crecimiento Similar a la Insulina/metabolismo , Proteína 3 de Unión a Factor de Crecimiento Similar a la Insulina/farmacología , Proteínas de Unión a Factor de Crecimiento Similar a la Insulina/metabolismo , Masculino , Músculo Liso/metabolismo , Oligonucleótidos Antisentido/farmacología , ARN Mensajero/metabolismo , Receptores de Superficie Celular/metabolismo
10.
J Clin Invest ; 99(1): 117-24, 1997 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-9011565

RESUMEN

The role of IL-1beta in regulating altered airway responsiveness in the atopic/asthmatic sensitized state was examined in isolated rabbit tracheal smooth muscle (TSM) tissue and cultured cells passively sensitized with sera from atopic asthmatic patients or nonatopic/nonasthmatic (control) subjects. During half-maximal isometric contraction of the tissues with acetylcholine, relative to control TSM, the atopic sensitized TSM exhibited significant attenuation of both their maximal relaxation (P < 0.001) and sensitivity (i.e., -log dose producing 50% maximal relaxation) to isoproterenol and PGE2 (P < 0.05), whereas the relaxation responses to direct stimulation of adenylate cyclase with forskolin were similar in both tissue groups. The impaired relaxation responses to isoproterenol and PGE2 were ablated in sensitized TSM that were pretreated with either the IL-1 recombinant human receptor antagonist or an IL-1beta-neutralizing antibody. Moreover, extended studies demonstrated that, in contrast to their respective controls, both passively sensitized rabbit TSM tissue and cultured cells exhibited markedly induced expression of IL-1beta mRNA at 6 h after exposure to the sensitizing serum, a finding similar to that also obtained in passively sensitized human bronchial smooth muscle tissue. Finally, unlike their respective controls, passively sensitized TSM tissue and cultured cells also displayed progressively enhanced release of IL-1beta protein into the culture media for up to 24 h after exposure to atopic/asthmatic serum. Collectively, these observations provide new evidence demonstrating that the altered responsiveness of atopic/asthmatic sensitized airway smooth muscle is largely attributed to its autologously induced expression and autocrine action of IL-1beta.


Asunto(s)
Asma/inmunología , Interleucina-1/fisiología , Músculo Liso/inmunología , Músculo Liso/fisiología , Acetilcolina/farmacología , Adenilil Ciclasas/farmacología , Animales , Anticuerpos Bloqueadores/inmunología , Asma/sangre , Northern Blotting , Células Cultivadas , Colforsina/farmacología , Técnicas de Cultivo , Dinoprostona/farmacología , Humanos , Inmunización Pasiva , Interleucina-1/biosíntesis , Interleucina-1/inmunología , Isoproterenol/farmacología , Reacción en Cadena de la Polimerasa , ARN Mensajero/análisis , ARN Mensajero/biosíntesis , Conejos , Radioinmunoensayo , Ratas , Receptores de Interleucina-1/antagonistas & inhibidores , Tráquea/inmunología , Tráquea/fisiología
11.
Am J Physiol ; 271(6 Pt 1): L1014-22, 1996 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-8997273

RESUMEN

We have previously demonstrated that the asthma-associated proinflammatory eicosanoid leukotriene D4 (LTD4) is comitogenic with insulin-like growth factors (IGF) in airway smooth muscle (ASM) cells. This synergistic effect of LTD4 and IGF on ASM cell growth involves proteolysis of ASM-produced inhibitory IGF-binding proteins (IGFBP). In this report, we analyzed the conditioned media (CM) from LTD4-treated human ASM cells (ASM-LTD4-CM) by Western ligand blotting and demonstrated a marked LTD4-induced reduction in the levels of the intact IGFBP (predominantly IGFBP-2) secreted by these cells. The IGFBP-2 in the ASM-LTD4-CM was identified as lower-molecular-weight fragments by Western immunoblotting. Incubation with 125I-labeled IGFBP demonstrated that an IGFBP protease was induced in the ASM cells in response to LTD4 treatment. Immunodepletion of ASM-LTD4-CM with anti-matrix metalloproteinase (MMP)-1 antibodies demonstrated a dose-dependent reduction of IGFBP proteolysis. Tissue inhibitor of MMP-1 and Batimastat (synthetic) inhibited proteolysis of IGFBP. Immunoblotting the ASM-LTD4-CM with anti-MMP-1 demonstrated a dose-dependent increase in MMP-1 protein. Similar results were also obtained by immunocytochemistry. Collectively, these observations demonstrate that MMP-1 is an IGFBP protease induced by leukotrienes that plays a significant role in modulating IGF action in ASM cells. A similar mechanism may be applicable in vivo in the airways of patients with asthma.


Asunto(s)
Colagenasas/metabolismo , Endopeptidasas/metabolismo , Leucotrieno D4/farmacología , Músculo Liso/metabolismo , Bronquios/metabolismo , División Celular/efectos de los fármacos , Células Cultivadas , Medios de Cultivo Condicionados , Humanos , Factor I del Crecimiento Similar a la Insulina/farmacología , Metaloproteinasa 1 de la Matriz , Músculo Liso/citología
12.
J Clin Invest ; 97(11): 2593-600, 1996 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-8647953

RESUMEN

To elucidate the role of specific proinflammatory cytokines in regulating airway responsiveness, we examined the effects and mechanisms of action of IL-1beta, TNF-alpha, and IL-2 on the beta-adrenoceptor- and postreceptor-coupled transmembrane signaling mechanisms regulating relaxation in isolated rabbit tracheal smooth muscle (TSM) segments. During half-maximal isometric contraction of the tissues with acetylcholine, relaxation responses to isoproterenol, PGE2, and forskolin were separately compared in control (untreated) TSM and tissues incubated for 18 h with IL-1beta (10 ng/ml), TNF-(alpha (100 ng/ml), or IL-2 (200 ng/ml). Relative to controls, IL-1beta- and TNF-alpha-treated TSM, but not IL-2-treated tissues, depicted significant attenuation of their maximal relaxation and sensitivity (i.e., -log dose producing 50% maximal relaxation) to isoproterenol (P < 0.001) and PGE2 (P < 0.05); whereas the relaxation responses to direct stimulation of adenylate cyclase with forskolin were similar in the control and cytokine-treated tissues. Further, the attenuated relaxation to isoproterenol and PGE2 was ablated in the IL-1beta-treated TSM that were pretreated with either the muscarinic M2-receptor antagonist, methoctramine (10(-6) M), or pertussis toxin (100 ng/ml). Moreover, Western immunoblot analysis demonstrated that: (a) Gi protein expression was significantly enhanced in membrane fractions isolated from IL-1beta-treated TSM; and (b) the latter was largely attributed to induced enhanced expression of the Gi alpha2 and Gi alpha3 subunits. Collectively, these observations provide new evidence demonstrating that IL-lbeta and TNF-alpha induce impaired receptor-coupled airway relaxation in naive TSM, and that the latter effect is associated with increased muscarinic M2-receptor/Gi protein-coupled expression and function.


Asunto(s)
Citocinas/farmacología , Músculo Liso/fisiología , Receptores Adrenérgicos beta/fisiología , Tráquea/fisiología , Acetilcolina/farmacología , Toxina de Adenilato Ciclasa , Animales , Membrana Celular/fisiología , Colforsina/farmacología , Diaminas/farmacología , Dinoprostona/farmacología , Relación Dosis-Respuesta a Droga , Proteínas de Unión al GTP/biosíntesis , Expresión Génica/efectos de los fármacos , Técnicas In Vitro , Interleucina-1/farmacología , Interleucina-2/farmacología , Contracción Isométrica/efectos de los fármacos , Isoproterenol/farmacología , Cinética , Relajación Muscular/efectos de los fármacos , Músculo Liso/efectos de los fármacos , Parasimpatolíticos/farmacología , Toxina del Pertussis , Conejos , Receptores Adrenérgicos beta/efectos de los fármacos , Transducción de Señal , Tráquea/efectos de los fármacos , Factor de Necrosis Tumoral alfa/farmacología , Factores de Virulencia de Bordetella/farmacología
13.
Am J Physiol ; 269(5 Pt 1): L645-52, 1995 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-7491984

RESUMEN

Decreased airway relaxation to beta-adrenoceptor stimulation has been hypothesized as a potential mechanism leading to enhanced bronchoconstrictor responsiveness in asthma. In addressing potential mechanisms underlying this phenomenon, the relative contributions of beta-adrenoceptor-coupled transmembrane signaling mechanisms were examined in isolated rabbit tracheal smooth muscle (TSM) passively sensitized with serum from atopic asthmatic patients and in TSM comparably exposed to non-atopic (control) human serum. During half-maximal isometric contraction of the tissues with acetylcholine, relative to control TSM, the sensitized tissues exhibited significant attenuation of both their maximal relaxation (Rmax) and sensitivity (i.e., -log 50% Rmax) to cumulative administration of isoproterenol (P < 0.001) or prostaglandin (PG)E2 (P < 0.001). In contrast, the relaxation responses to forskolin, a diterpene that directly activates adenylate cyclase, were similar in both tissue groups. Extended studies demonstrated that the attenuated relaxation to isoproterenol and PGE2 in sensitized TSM was 1) ablated by pretreatment with the muscarinic M2-receptor antagonists methoctramine (10(-6) M) or gallamine (10(-4) M); 2) also inhibited by pretreatment with pertussis toxin (100 ng/ml), which ADP ribosylates the inhibitory G protein (G(i)) negatively coupled to adenylate cyclase activation; and 3) associated with diminished adenosine 3',5'-cyclic monophosphate accumulation in response to isoproterenol administration. Moreover, based on Western immunoblot analysis, we found that G(i) protein expression was increased in membrane fractions from sensitized TSM, related to enhanced expression of the G(i) alpha 3 subunit. Collectively, these observations provide new evidence that the impaired beta-adrenoceptor-mediated relaxation in atopic sensitized airways is associated with increased muscarinic M2 receptor/G(i) protein-coupled expression and function.


Asunto(s)
Hipersensibilidad/fisiopatología , Músculo Liso/fisiopatología , Receptores Adrenérgicos beta/fisiología , Tráquea/fisiopatología , Acetilcolina/farmacología , Agonistas Adrenérgicos beta/farmacología , Animales , AMP Cíclico/metabolismo , Proteínas de Unión al GTP/metabolismo , Humanos , Contracción Muscular/efectos de los fármacos , Músculo Liso/efectos de los fármacos , Conejos , Receptores Muscarínicos/metabolismo , Tráquea/efectos de los fármacos
14.
Am J Physiol ; 269(2 Pt 1): L151-7, 1995 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-7544535

RESUMEN

The insulin-like growth factor (IGF) axis is involved in regulating proliferation in a variety of cell types, including airway smooth muscle. Because airway hyperplasia is a characteristic feature of asthma and other lung diseases, we examined the interaction of the potent proinflammatory eicosanoid leukotriene D4 (LTD4) with the IGF axis in regulating airway smooth muscle cell mitogenesis. In cultured rabbit airway smooth muscle cells, IGF-I but not LTD4 was mitogenic at submaximal concentrations. The combination of the two agents exerted a significant synergistic effect on airway smooth muscle cell mitogenesis. Analysis of airway smooth muscle cell conditioned medium by Western ligand blotting demonstrated a marked LTD4-induced reduction in the levels of the predominant IGF binding protein IGFBP-2, which is elaborated into the conditioned medium. The latter effect on IGFBP-2 release was not associated with a reduction in IGFBP-2 mRNA levels; however, LTD4-treated airway smooth muscle conditioned medium demonstrated the presence of a lower molecular weight form of IGFBP-2 by cross-linking to IGFs and specific proteolysis of radiolabeled IGFBP-2. IGFBP-2 was also noted to be associated with airway smooth muscle cell membranes, where it was protected from LTD4-induced proteolysis. Finally, exogenous administration of IGFBP-2 was found to inhibit the promitogenic effect of IGF-I in a dose-dependent manner.(ABSTRACT TRUNCATED AT 250 WORDS)


Asunto(s)
Leucotrieno D4/farmacología , Músculo Liso/citología , Somatomedinas/fisiología , Tráquea/citología , Animales , Proteínas Portadoras/genética , Proteínas Portadoras/metabolismo , Proteínas Portadoras/farmacología , División Celular/efectos de los fármacos , Membrana Celular/metabolismo , Medios de Cultivo Condicionados , Sinergismo Farmacológico , Endopeptidasas/metabolismo , Proteína 2 de Unión a Factor de Crecimiento Similar a la Insulina , Factor I del Crecimiento Similar a la Insulina/farmacología , Peso Molecular , Músculo Liso/metabolismo , Fragmentos de Péptidos/metabolismo , ARN Mensajero/metabolismo , Conejos , Tráquea/metabolismo
15.
Mol Cell Biol ; 14(3): 2119-28, 1994 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-8114742

RESUMEN

c-myc mRNA contains at least two discrete sequence elements that account for its short half-life, one in the 3' untranslated region and the other in the carboxy-terminal coding region (coding-region determinant). To investigate the function of each determinant, one or both were fused in frame to portions of a gene encoding long-lived beta-globin mRNA. Each chimeric gene was stably transfected into HeLa and NIH 3T3 cells and was transcribed from a constitutive cytomegalovirus promoter or from a serum-regulated c-fos promoter, respectively. The steady-state levels of the chimeric mRNAs in exponentially growing HeLa cells were compared, and their half-lives were measured by two independent methods: (i) in actinomycin D-treated HeLa cells and (ii) after serum addition to starved 3T3 cells. By each method, mRNAs containing either instability determinant were less stable than beta-globin mRNA. mRNA containing only the c-myc 3' untranslated region was not significantly more stable than mRNA with both determinants. In a cell-free mRNA decay system containing polysomes from transfected HeLa cells, mRNA containing the coding-region determinant was destabilized by addition of a specific RNA competitor, whereas mRNA containing only the 3' untranslated region was unaffected. When a stop codon was inserted upstream of the coding-region determinant, the chimeric mRNA was stabilized approximately twofold. These and other data suggest that degradation involving the coding-region determinant occurs most efficiently when ribosomes are translating the determinant.


Asunto(s)
Ciclo Celular , Regulación de la Expresión Génica , Genes myc , ARN Mensajero/metabolismo , Ribosomas/metabolismo , Células 3T3 , Animales , Dactinomicina/farmacología , Globinas/genética , Gliceraldehído-3-Fosfato Deshidrogenasas/genética , Células HeLa , Humanos , Técnicas In Vitro , Ratones , Terminación de la Cadena Péptídica Traduccional , Biosíntesis de Proteínas , ARN Mensajero/genética , Transfección
16.
J Biol Chem ; 269(12): 9261-9, 1994 Mar 25.
Artículo en Inglés | MEDLINE | ID: mdl-8132663

RESUMEN

The short half-life of c-myc mRNA is influenced by sequences in the 3'-untranslated region and the C-terminal part of the coding region. In cell-free extracts, a polysomal protein binds to RNA corresponding to the coding region stability determinant. This and other observations suggest that the protein is bound to polysome-associated c-myc mRNA and protects the mRNA from a ribosome-associated endoribonuclease (Bernstein, P.L., Herrick, D.J., Prokipcak, R.D., and Ross, J. (1992) Genes & Dev. 6, 642-654). Here, we describe a four-step purification of the binding protein: solubilization from ribosomes, ammonium sulfate precipitation, RNA affinity chromatography, and reverse-phase high performance liquid chromatography. The 70-kDa protein can be renatured from solutions containing sodium dodecyl sulfate or organic solvents, greatly facilitating its purification. Protein binding to c-myc coding region RNA is blocked by diamide and N-ethylmaleimide, indicating a requirement for sulfhydryl groups. The protein also binds to N-myc coding region RNA but with approximately 5-fold lower affinity than to the comparable c-myc region. Excess c-myc competitor RNA induces 8-fold destabilization of c-myc mRNA in cell-free mRNA decay extracts. In contrast, N-myc coding region competitor RNA has no effect on c-myc mRNA half-life. Therefore, the protein we have purified probably affects c-myc mRNA metabolism with high specificity.


Asunto(s)
Proteínas Proto-Oncogénicas c-myc/genética , ARN Mensajero/metabolismo , Proteínas de Unión al ARN/aislamiento & purificación , Sitios de Unión , Unión Competitiva , Regulación de la Expresión Génica , Genes myc , Humanos , Peso Molecular , Polirribosomas/metabolismo , Proteínas de Unión al ARN/metabolismo , Ribonucleoproteínas/química , Reactivos de Sulfhidrilo/farmacología
17.
Gene ; 114(1): 35-41, 1992 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-1587483

RESUMEN

In Saccharomyces cerevisiae, the HIS3 (encoding imidazoleglycerolphosphate dehydratase) mRNA is unstable (t1/2 = 7 min), whereas the ACT1 (encoding actin) mRNA is more stable (t1/2 = 30 min). To define determinants responsible for rapid mRNA decay, hybrid genes comprised of various regions of these two mRNAs were constructed, transformed into yeast on centromere-containing vectors, and the half-lives of the resultant chimeric mRNAs were measured. To examine whether the 3'-untranslated region (3'-UTR) of HIS3 can confer instability to the ACT1 mRNA, DNA encoding the 3'-UTR of ACT1 was replaced with the corresponding region of HIS3. The hybrid mRNA containing the HIS3 3'-UTR decayed at a rate similar to the endogenous ACT1 mRNA. The mRNA containing the HIS3 5'-UTR and most of the HIS3 coding region fused to an ACT1 3'-fragment was unstable, indicating that HIS3 instability determinants are located within the HIS3 5'-UTR or coding sequence. Deleting 411 nucleotides (nt) from the coding region of either HIS3 or the 5'-HIS3-ACT1-3' chimeric gene resulted in a three- to fourfold stabilization of the respective mRNAs. However, insertion of this 411-nt fragment in-frame into the entire ACT1 gene had no destabilizing effect on the resultant hybrid mRNA. We conclude that the instability determinants of HIS3 mRNA are complex, involving a coding region segment and, possibly, the 5'-UTR.


Asunto(s)
Actinas/genética , Proteínas Fúngicas/genética , Hidroliasas/genética , ARN Mensajero/metabolismo , Saccharomyces cerevisiae/enzimología , Análisis Mutacional de ADN , Regulación Fúngica de la Expresión Génica/genética , ARN Mensajero/genética , Proteínas Recombinantes de Fusión/genética , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/metabolismo , Transcripción Genética/genética
18.
Genes Dev ; 6(4): 642-54, 1992 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1559612

RESUMEN

Polysome-associated c-myc mRNA is degraded relatively rapidly in cells and in an in vitro mRNA decay system containing extracts from cultured mammalian cells. Using this system, a competition/screening assay was devised to search for factors that bind to specific regions of polysome-associated c-myc mRNA and thereby alter its half-life. mRNA stability was first assayed in reactions containing exogenous competitor RNAs corresponding to portions of c-myc mRNA itself. The addition of a 182-nucleotide sense strand fragment from the carboxy-terminal portion of the c-myc-coding region destabilized c-myc mRNA by at least eightfold. This RNA fragment had no effect on the stability of other mRNAs tested. Moreover, c-myc mRNA was not destabilized in reactions containing unrelated competitor RNAs or sense strand RNA from the c-myc 5' region. Polysome-associated globin mRNA containing the c-myc-coding region segment in-frame was also destabilized in vitro by the 182-nucleotide RNA. As determined by UV-cross-linking experiments, the 182-nucleotide RNA fragment was recognized by and bound to an approximately 75-kD polysome-associated protein. On the basis of these data plus Northern blotting analyses of c-myc mRNA decay products, we suggest that the approximately 75-kD protein is normally bound to a c-myc-coding region determinant and protects that region of the mRNA from endonuclease attack. Possible links between the protective protein, translation, ribosome pausing, and c-myc mRNA turnover are discussed.


Asunto(s)
Genes myc , ARN Mensajero/metabolismo , Secuencia de Bases , Quimera , Electroforesis en Gel de Poliacrilamida , Globinas/genética , Semivida , Humanos , Datos de Secuencia Molecular , Plásmidos , Polirribosomas , ARN Mensajero/genética , ARN Mensajero/efectos de la radiación , Células Tumorales Cultivadas , Rayos Ultravioleta
20.
Mol Cell Biol ; 10(5): 2269-84, 1990 May.
Artículo en Inglés | MEDLINE | ID: mdl-2183028

RESUMEN

We developed a procedure to measure mRNA decay rates in the yeast Saccharomyces cerevisiae and applied it to the determination of half-lives for 20 mRNAs encoded by well-characterized genes. The procedure utilizes Northern (RNA) or dot blotting to quantitate the levels of individual mRNAs after thermal inactivation of RNA polymerase II in an rpb1-1 temperature-sensitive mutant. We compared the results of this procedure with results obtained by two other procedures (approach to steady-state labeling and inhibition of transcription with Thiolutin) and also evaluated whether heat shock alter mRNA decay rates. We found that there are no significant differences in the mRNA decay rates measured in heat-shocked and non-heat-shocked cells and that, for most mRNAs, different procedures yield comparable relative decay rates. Of the 20 mRNAs studied, 11, including those encoded by HIS3, STE2, STE3, and MAT alpha 1, were unstable (t1/2 less than 7 min) and 4, including those encoded by ACT1 and PGK1, were stable (t1/2 greater than 25 min). We have begun to assess the basis and significance of such differences in the decay rates of these two classes of mRNA. Our results indicate that (i) stable and unstable mRNAs do not differ significantly in their poly(A) metabolism; (ii) deadenylation does not destabilize stable mRNAs; (iii) there is no correlation between mRNA decay rate and mRNA size; (iv) the degradation of both stable and unstable mRNAs depends on concomitant translational elongation; and (v) the percentage of rare codons present in most unstable mRNAs is significantly higher than in stable mRNAs.


Asunto(s)
Regulación Fúngica de la Expresión Génica , ARN Mensajero/metabolismo , Saccharomyces cerevisiae/genética , Northern Blotting , Codón , Cicloheximida/farmacología , Regulación Fúngica de la Expresión Génica/efectos de los fármacos , Genes Fúngicos , Calor , Peso Molecular , Poli A/genética , Biosíntesis de Proteínas , Pirrolidinonas/farmacología , ARN Polimerasa II/metabolismo , ARN de Hongos/genética , ARN Mensajero/genética , Saccharomyces cerevisiae/metabolismo
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