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1.
Sci Signal ; 14(710): eabj2807, 2021 Nov 23.
Artículo en Inglés | MEDLINE | ID: mdl-34813359

RESUMEN

Obesity and metabolic diseases, such as insulin resistance and type 2 diabetes (T2D), are associated with metastatic breast cancer in postmenopausal women. Here, we investigated the critical cellular and molecular factors behind this link. We found that primary human adipocytes shed extracellular vesicles, specifically exosomes, that induced the expression of genes associated with epithelial-to-mesenchymal transition (EMT) and cancer stem­like cell (CSC) traits in cocultured breast cancer cell lines. Transcription of these genes was further increased in cells exposed to exosomes shed from T2D patient­derived adipocytes or insulin-resistant adipocytes and required the epigenetic reader proteins BRD2 and BRD4 in recipient cells. The thrombospondin family protein TSP5, which is associated with cancer, was more abundant in exosomes from T2D or insulin-resistant adipocytes and partially contributed to EMT in recipient cells. Bioinformatic analysis of breast cancer patient tissue showed that greater coexpression of COMP (which encodes TSP5) and BRD2 or BRD3 correlated with poorer prognosis, specifically decreased distant metastasis­free survival. Our findings reveal a mechanism of exosome-mediated cross-talk between metabolically abnormal adipocytes and breast cancer cells that may promote tumor aggressiveness in patients with T2D.


Asunto(s)
Neoplasias de la Mama , Diabetes Mellitus Tipo 2 , Exosomas , Adipocitos , Mama , Femenino , Humanos
2.
J Extracell Vesicles ; 10(7): e12082, 2021 05.
Artículo en Inglés | MEDLINE | ID: mdl-34012515

RESUMEN

Tetraspanins are often used as Extracellular Vesicle (EV) detection markers because of their abundance on these secreted vesicles. However, data on their function on EV biogenesis are controversial and compensatory mechanisms often occur upon gene deletion. To overcome this handicap, we have compared the effects of tetraspanin CD9 gene deletion with those elicited by cytopermeable peptides with blocking properties against tetraspanin CD9. Both CD9 peptide or gene deletion reduced the number of early endosomes. CD9 peptide induced an increase in lysosome numbers, while CD9 deletion augmented the number of MVB and EV secretion, probably because of compensatory CD63 expression upregulation. In vivo, CD9 peptide delayed primary tumour cell growth and reduced metastasis size. These effects on cell proliferation were shown to be concomitant with an impairment in mitochondrial quality control. CD9 KO cells were able to compensate the mitochondrial malfunction by increasing total mitochondrial mass reducing mitophagy. Our data thus provide the first evidence for a functional connection of tetraspanin CD9 with mitophagy in melanoma cells.


Asunto(s)
Vesículas Extracelulares/metabolismo , Melanoma/metabolismo , Tetraspanina 29/metabolismo , Línea Celular , Humanos , Melanoma/genética , Mitofagia/genética , Mitofagia/fisiología , Vesículas Secretoras/metabolismo , Tetraspanina 29/análisis , Tetraspanina 29/antagonistas & inhibidores , Tetraspanina 30/análisis , Tetraspaninas/análisis , Tetraspaninas/genética , Tetraspaninas/metabolismo
3.
Eur J Nutr ; 60(4): 1999-2011, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-32979076

RESUMEN

PURPOSE: Epidemiological studies and clinical trials support the association of nut consumption with a lower risk of prevalent non-communicable diseases, particularly cardiovascular disease. However, the molecular mechanisms underlying nut benefits remain to be fully described. MicroRNAs (miRNAs) are post-transcriptional regulators of gene expression and play a pivotal role in health and disease. Exosomes are extracellular vesicles released from cells and mediate intercellular communication. Whether nut consumption modulates circulating miRNAs (c-miRNAs) transported in exosomes is poorly described. METHODS: Cognitively healthy elderly subjects were randomized to either control (n = 110, abstaining from walnuts) or daily supplementation with walnuts (15% of their total energy, ≈30-60 g/day, n = 101) for 1-year. C-miRNAs were screened in exosomes isolated from 10 samples, before and after supplementation, and identified c-miRNA candidates were validated in the whole cohort. In addition, nanoparticle tracking analysis and lipidomics were assessed in pooled exosomes from the whole cohort. RESULTS: Exosomal hsa-miR-32-5p and hsa-miR-29b-3p were consistently induced by walnut consumption. No major changes in exosomal lipids, nanoparticle concentration or size were found. CONCLUSION: Our results provide novel evidence that certain c-miRNAs transported in exosomes are modulated by walnut consumption. The extent to which this finding contributes to the benefits of walnuts deserves further research.


Asunto(s)
Exosomas , Juglans , MicroARNs , Suplementos Dietéticos , Nueces
4.
Blood ; 135(25): 2286-2291, 2020 06 18.
Artículo en Inglés | MEDLINE | ID: mdl-32294178

RESUMEN

Excessive accumulation of extracellular matrix (ECM) is a hallmark of bone marrow (BM) milieu in primary myelofibrosis (PMF). Because cells have the ability to adhere to the surrounding ECM through integrin receptors, we examined the hypothesis that an abnormal ECM-integrin receptor axis contributes to BM megakaryocytosis in JAK2V617F+ PMF. Secretion of ECM protein fibronectin (FN) by BM stromal cells from PMF patients correlates with fibrosis and disease severity. Here, we show that Vav1-hJAK2V617F transgenic mice (JAK2V617F+) have high BM FN content associated with megakaryocytosis and fibrosis. Further, megakaryocytes from JAK2V617F+ mice have increased cell surface expression of the α5 subunit of the α5ß1 integrin, the major FN receptor in megakaryocytes, and augmented adhesion to FN compared with wild-type controls. Reducing adhesion to FN by an inhibitory antibody to the α5 subunit effectively reduces the percentage of CD41+ JAK2V617F+ megakaryocytes in vitro and in vivo. Corroborating our findings in mice, JAK2V617F+ megakaryocytes from patients showed elevated expression of α5 subunit, and a neutralizing antibody to α5 subunit reduced adhesion to FN and megakaryocyte number derived from CD34+ cells. Our findings reveal a previously unappreciated contribution of FN-α5ß1 integrin to megakaryocytosis in JAK2V617F+ PMF.


Asunto(s)
Integrina alfa5beta1/fisiología , Megacariocitos/patología , Mielofibrosis Primaria/patología , Animales , Médula Ósea/metabolismo , Adhesión Celular , Células Cultivadas , Matriz Extracelular/metabolismo , Femenino , Humanos , Integrina alfa5/biosíntesis , Integrina alfa5/genética , Integrina alfa5/inmunología , Integrina alfa5beta1/antagonistas & inhibidores , Janus Quinasa 2/genética , Masculino , Megacariocitos/metabolismo , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Mutación Missense , Mielofibrosis Primaria/genética
5.
J Leukoc Biol ; 101(5): 1191-1199, 2017 05.
Artículo en Inglés | MEDLINE | ID: mdl-28096299

RESUMEN

Eosinophils are able to secrete exosomes that have an undefined role in asthma pathogenesis. We hypothesized that exosomes released by eosinophils autoregulate and promote eosinophil function. Eosinophils of patients with asthma (n = 58) and healthy volunteers (n = 16) were purified from peripheral blood, and exosomes were isolated and quantified from eosinophils of the asthmatic and healthy populations. Apoptosis, adhesion, adhesion molecules expression, and migration assays were performed with eosinophils in the presence or absence of exosomes from healthy and asthmatic individuals. Reactive oxygen species (ROS) were evaluated by flow cytometry with an intracellular fluorescent probe and nitric oxide (NO) and a colorimetric kit. In addition, exosomal proteins were analyzed by mass spectrometry. Eosinophil-derived exosomes induced an increase in NO and ROS production on eosinophils. Moreover, exosomes could act as a chemotactic factor on eosinophils, and they produced an increase in cell adhesion, giving rise to a specific augmentation of adhesion molecules, such as ICAM-1 and integrin α2. Protein content between exosomes from healthy and asthmatic individuals seems to be similar in both groups. In conclusion, we found that exosomes from the eosinophils of patients with asthma could modify several specific eosinophil functions related to asthma pathogenesis and that they could contribute fundamentally to the development and maintenance of asthma.


Asunto(s)
Asma/inmunología , Eosinófilos/inmunología , Exosomas/inmunología , Óxido Nítrico/inmunología , Especies Reactivas de Oxígeno/inmunología , Adolescente , Adulto , Apoptosis/inmunología , Asma/sangre , Asma/patología , Estudios de Casos y Controles , Adhesión Celular/inmunología , Quimiotaxis de Leucocito , Eosinófilos/metabolismo , Eosinófilos/patología , Exosomas/química , Exosomas/patología , Femenino , Regulación de la Expresión Génica , Humanos , Inmunoglobulina E/sangre , Integrina alfa2/genética , Integrina alfa2/inmunología , Molécula 1 de Adhesión Intercelular/genética , Molécula 1 de Adhesión Intercelular/inmunología , Masculino , Persona de Mediana Edad , Óxido Nítrico/biosíntesis , Especies Reactivas de Oxígeno/metabolismo
6.
Cell Metab ; 22(3): 485-98, 2015 Sep 01.
Artículo en Inglés | MEDLINE | ID: mdl-26299452

RESUMEN

The endolysosomal system is critical for the maintenance of cellular homeostasis. However, how endolysosomal compartment is regulated by mitochondrial function is largely unknown. We have generated a mouse model with defective mitochondrial function in CD4(+) T lymphocytes by genetic deletion of the mitochondrial transcription factor A (Tfam). Mitochondrial respiration deficiency impairs lysosome function, promotes p62 and sphingomyelin accumulation, and disrupts endolysosomal trafficking pathways and autophagy, thus linking a primary mitochondrial dysfunction to a lysosomal storage disorder. The impaired lysosome function in Tfam-deficient cells subverts T cell differentiation toward proinflammatory subsets and exacerbates the in vivo inflammatory response. Restoration of NAD(+) levels improves lysosome function and corrects the inflammatory defects in Tfam-deficient T cells. Our results uncover a mechanism by which mitochondria regulate lysosome function to preserve T cell differentiation and effector functions, and identify strategies for intervention in mitochondrial-related diseases.


Asunto(s)
Proteínas de Unión al ADN/inmunología , Enfermedades por Almacenamiento Lisosomal/inmunología , Lisosomas/inmunología , Mitocondrias/inmunología , Proteínas Mitocondriales/inmunología , Esfingolipidosis/inmunología , Linfocitos T/inmunología , Factores de Transcripción/inmunología , Animales , Linfocitos T CD4-Positivos/inmunología , Linfocitos T CD4-Positivos/metabolismo , Linfocitos T CD4-Positivos/patología , Respiración de la Célula , Proteínas de Unión al ADN/genética , Eliminación de Gen , Inmunidad Celular , Enfermedades por Almacenamiento Lisosomal/genética , Enfermedades por Almacenamiento Lisosomal/patología , Lisosomas/genética , Lisosomas/patología , Ratones , Mitocondrias/genética , Mitocondrias/patología , Proteínas Mitocondriales/genética , Esfingolipidosis/genética , Esfingolipidosis/patología , Linfocitos T/metabolismo , Linfocitos T/patología , Factores de Transcripción/genética
7.
Int J Mol Sci ; 16(3): 5434-51, 2015 Mar 10.
Artículo en Inglés | MEDLINE | ID: mdl-25764157

RESUMEN

Eosinophils are one of the key inflammatory cells in asthma. Eosinophils can exert a wide variety of actions through expression and secretion of multiple molecules. Previously, we have demonstrated that eosinophils purified from peripheral blood from asthma patients express high levels of suppressor of cytokine signaling 3 (SOCS3). In this article, SOCS3 gene silencing in eosinophils from asthmatics has been carried out to achieve a better understanding of the suppressor function in eosinophils. SOCS3 siRNA treatment drastically reduced SOCS3 expression in eosinophils, leading to an inhibition of the regulatory transcription factors GATA-3 and FoxP3, also interleukin (IL)-10; in turn, an increased STAT3 phosphorilation was observed. Moreover, SOCS3 abrogation in eosinophils produced impaired migration, adhesion and degranulation. Therefore, SOCS3 might be regarded as an important regulator implicated in eosinophil mobilization from the bone marrow to the lungs during the asthmatic process.


Asunto(s)
Asma/metabolismo , Eosinófilos/metabolismo , Proteínas Supresoras de la Señalización de Citocinas/metabolismo , Adulto , Anciano , Anciano de 80 o más Años , Asma/patología , Estudios de Casos y Controles , Adhesión Celular , Movimiento Celular , Células Cultivadas , Eosinófilos/fisiología , Femenino , Factores de Transcripción Forkhead/metabolismo , Factor de Transcripción GATA3/metabolismo , Silenciador del Gen , Humanos , Interleucina-10/genética , Interleucina-10/metabolismo , Masculino , Persona de Mediana Edad , Factor de Transcripción STAT3/metabolismo , Proteína 3 Supresora de la Señalización de Citocinas , Proteínas Supresoras de la Señalización de Citocinas/genética
8.
J Allergy Clin Immunol ; 135(6): 1603-13, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25617225

RESUMEN

BACKGROUND: Eosinophils secrete several granules that are involved in the propagation of inflammatory responses in patients with pathologies such as asthma. OBJECTIVE: We hypothesized that some of these granules are exosomes, which, when transferred to the recipient cells, could modulate asthma progression. METHODS: Eosinophils were purified from peripheral blood and cultured with or without IFN-γ or eotaxin. Multivesicular bodies (MVBs) in eosinophils were studied by using fluorescence microscopy, transmission electron microscopy (TEM), and flow cytometry. Exosome secretion was measured and exosome characterization was performed with TEM, Western blotting, and NanoSight analysis. RESULTS: Generation of MVBs in eosinophils was confirmed by using fluorescence microscopy and flow cytometry and corroborated by means of TEM. Having established that eosinophils contain MVBs, our aim was to demonstrate that eosinophils secrete exosomes. To do this, we purified exosomes from culture medium of eosinophils and characterized them. Using Western blot analysis, we demonstrated that eosinophils secreted exosomes and that the discharge of exosomes to extracellular media increases after IFN-γ stimulation. We measured exosome size and quantified exosome production from healthy and asthmatic subjects using nanotracking analysis. We found that exosome production was augmented in asthmatic patients. CONCLUSION: Our findings are the first to demonstrate that eosinophils contain functional MVBs and secrete exosomes and that their secretion is increased in asthmatic patients. Thus exosomes might play an important role in the progression of asthma and eventually be considered a biomarker.


Asunto(s)
Asma/diagnóstico , Eosinófilos/metabolismo , Exosomas/metabolismo , Cuerpos Multivesiculares/metabolismo , Asma/inmunología , Asma/metabolismo , Asma/patología , Biomarcadores/análisis , Biomarcadores/metabolismo , Estudios de Casos y Controles , Fraccionamiento Celular , Separación Celular , Quimiocina CCL11/farmacología , Eosinófilos/efectos de los fármacos , Eosinófilos/inmunología , Eosinófilos/ultraestructura , Exosomas/inmunología , Exosomas/ultraestructura , Humanos , Interferón gamma/farmacología , Microscopía Electrónica de Transmisión , Cuerpos Multivesiculares/inmunología , Cuerpos Multivesiculares/ultraestructura , Tamaño de los Orgánulos , Cultivo Primario de Células
9.
Food Chem ; 173: 475-81, 2015 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-25466048

RESUMEN

Shrimp are highly allergenic foods. Current management are limited to the avoidance of foods. Therefore, there is an unmet need for a safe and effective therapy using modified allergens. This study focuses on assessing the potential for modification of the allergenicity of shrimp proteins following heat treatment or simulated gastric digestion. Shrimp proteins do not reduce their IgE reactivity after heat treatment but it is reduced by simulated gastric digestion in a time- and dose-dependent manner. Tropomyosin in shrimp extract is worse digested than purified tropomyosin. After 60 min of 10 U/µg pepsin digestion, a strong inhibition was produced in the in vivo skin reactivity of shrimp extracts and in activation of basophils from allergic patients. Immunisation experiments performed in rabbits demonstrated that digested boiled shrimp extract is able to induce IgG antibodies that block the IgE binding to the untreated boiled shrimp extract in shrimp-allergic patients. Building on our observations, digestion treatment could be an effective method for reducing shrimp allergenicity while maintaining the immunogenicity.


Asunto(s)
Hipersensibilidad a los Alimentos/inmunología , Mucosa Gástrica/metabolismo , Penaeidae/inmunología , Tropomiosina/inmunología , Alérgenos/inmunología , Alérgenos/metabolismo , Animales , Digestión , Femenino , Humanos , Inmunoglobulina E/inmunología , Masculino , Conejos
10.
Mol Nutr Food Res ; 58(9): 1915-25, 2014 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-24978201

RESUMEN

SCOPE: Shrimp is a seafood consumed worldwide and the main cause of severe allergenic reactions to crustaceans. Seafood allergy has been related to mite sensitization, mainly mediated by tropomyosin, but other proteins could be involved. The aim of the study was to identify new shrimp allergens implicated in mite-seafood cross-reactivity (CR) in two different climate populations: dry and humid climates. METHODS AND RESULTS: Shrimp and mite IgE-binding profiles of patients from continental dry and humid climates were analyzed by immunoblotting, and the most frequently recognized Solenocera melantho shrimp proteins were identified by MS as α-actinin, ß-actin, fructose biphosphate aldolase, arginine kinase, sarcoplasmic calcium-binding protein, and ubiquitin. Using inhibition immunoblot assays, we demonstrate that tropomyosin and ubiquitin were responsible for mite-seafood CR from both climates; but also α-actinin and arginine kinase are implicated in dry- and humid-climate populations, respectively. Reciprocal inhibition assays demonstrated that mites are the primary sensitizer in humid-climate, as shrimp is in continental dry-climate population. CONCLUSION: Several new shrimp allergens have been identified and should be considered in the diagnosis and treatment of shrimp allergy and mite-seafood CR. Differences in mite-seafood CR were founded to be based on the climate.


Asunto(s)
Alérgenos/análisis , Reacciones Cruzadas/inmunología , Hipersensibilidad a los Alimentos/inmunología , Galectina 3/inmunología , Ácaros/inmunología , Mariscos , Adolescente , Adulto , Alérgenos/inmunología , Secuencia de Aminoácidos , Animales , Niño , Preescolar , Clima , Dermatophagoides pteronyssinus/inmunología , Femenino , Humanos , Sueros Inmunes , Inmunoglobulina E/análisis , Masculino , Persona de Mediana Edad , Datos de Secuencia Molecular , España , Tropomiosina/inmunología
11.
PLoS One ; 9(3): e91996, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24637581

RESUMEN

Suppresors of cytokine signaling (SOCS) proteins regulate cytokine responses and control immune balance. Several studies have confirmed that SOCS3 is increased in asthmatic patients, and SOCS3 expression is correlated with disease severity. The objective of this study was to evaluate if delivering of SOCS3 short interfering RNA (siRNA) intranasally in lungs could be a good therapeutic approach in an asthma chronic mouse model. Our results showed that intranasal treatment with SOCS3-siRNA led to an improvement in the eosinophil count and the normalization of hyperresponsiveness to methacholine. Concomitantly, this treatment resulted in an improvement in mucus secretion, a reduction in lung collagen, which are prominent features of airway remodeling. The mechanism implies JAK/STAT and RhoA/Rho-kinase signaling pathway, because we found a decreasing in STAT3 phosphorylation status and down regulation of RhoA/Rho-kinase protein expression. These results might lead to a new therapy for the treatment of chronic asthma.


Asunto(s)
Asma/genética , Silenciador del Gen , ARN Interferente Pequeño/genética , Proteínas Supresoras de la Señalización de Citocinas/genética , Animales , Asma/diagnóstico , Asma/inmunología , Asma/metabolismo , Colágeno/metabolismo , Citocinas/genética , Citocinas/metabolismo , Modelos Animales de Enfermedad , Perfilación de la Expresión Génica , Regulación de la Expresión Génica , Técnicas de Silenciamiento del Gen , Técnicas de Transferencia de Gen , Inmunidad Humoral , Pulmón/inmunología , Pulmón/metabolismo , Pulmón/patología , Masculino , Ratones , MicroARNs/genética , Fenotipo , ARN Interferente Pequeño/administración & dosificación , Mucosa Respiratoria/metabolismo , Mucosa Respiratoria/patología , Transducción de Señal , Proteína 3 Supresora de la Señalización de Citocinas , Proteínas Supresoras de la Señalización de Citocinas/metabolismo , Microtomografía por Rayos X
12.
Biochimie ; 89(2): 213-21, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-16989932

RESUMEN

Exosomes are small membrane vesicles that intracellularly accumulate into late or multivesicular endosomes (multivesicular bodies, MVB). Exosomes have a particular lipid and protein content, reflecting their origin as intraluminal vesicles of late endosomes. The stimulation of several hematopoietic cells induces the fusion of the limiting membrane of the MVB with the plasma membrane, leading to the release of exosomes towards the extracellular environment. In T lymphocytes, stimulation of the T cell receptor (TCR) induces the fusion of the MVBs with the plasma membrane and exosomes carrying several bio-active proteins are secreted. Among these proteins, the pro-apoptotic protein Fas ligand (FasL) is released as a non-proteolysed form (mFasL), associated to the exosomes. These mFasL-bearing exosomes may trigger the apoptosis of T lymphocytes. Here, we present evidences supporting a role of diacylglycerol kinase alpha (DGKalpha), a diacylglycerol (DAG)-consuming enzyme, on the secretion of exosomes carrying mFasL, and the subsequent activation-induced cell death (AICD) on a T cell line and primary T lymphoblasts.


Asunto(s)
Apoptosis , Vesículas Citoplasmáticas/metabolismo , Diacilglicerol Quinasa/metabolismo , Proteína Ligando Fas/metabolismo , Linfocitos T/metabolismo , Western Blotting , Línea Celular , Células Cultivadas , Diacilglicerol Quinasa/genética , Proteínas Fluorescentes Verdes/genética , Proteínas Fluorescentes Verdes/metabolismo , Humanos , Células Jurkat , Microscopía Confocal , Modelos Biológicos , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo , Linfocitos T/citología , Transfección
13.
Bol. Acad. Nac. Med. B.Aires ; 77(2): 275-83, jul.-dic. 1999. tab
Artículo en Español | BINACIS | ID: bin-12522

RESUMEN

Uno de los eventos moleculares que participa en la secuencia adenoma-carcinoma colorrectal es la presencia de mutaciones en el antioncogen p53, cuyo producto proteico regula el ciclo celular. Asimismo, el análisis de microsatélites es un indicador indirecto de inestabilidad génica en tejido tumoral, permitiendo realizar un screening rápido de todo el genoma. En tejidos frescos y mucosa normal de ocho pacientes, se analizaron molecularmente por PCR-SSCP los exones 4 a 8 del gen p53 y microsatélites. Estos datos fueron correlacionados con el diagnóstico morfológico-inmunohistoquímico (IHQ). Fueron observadas alteraciones del gen p53 en el tejido tumoral en tres de ellos; se encontraron mutaciones puntuales en el exón 6 en dos pacientes: uno portador de un adenoma tubular y otro con un adenoma mixto (túbulo-velloso) ambos con displasia de alto grado y p53+IHQ tenía ua mutación en el exón 7. En un adenocarcinoma con sobreexpresión de p53 por IHQ no se detectaron alteraciones de dicho gen. La presencia de mutación sería un indicador de transformación tumoral y corroboraría el seguimiento más estricto en pacientes con lesiones de alto grado. El análisis de microsatélites en los 8 pacientes no determinó la existencia de anomalías génicas. (AU)


Asunto(s)
Humanos , Neoplasias del Colon/genética , Neoplasias del Colon/diagnóstico , Mutación/genética , Inmunohistoquímica/métodos , Adenoma/genética , Neoplasias Esofágicas/genética , Endoscopía/métodos , Biología Molecular , Repeticiones de Microsatélite , Estudios de Seguimiento , Pronóstico , Exones/genética
14.
Bol. Acad. Nac. Med. B.Aires ; 77(2): 275-83, ene.-jun. 1999. tab
Artículo en Español | LILACS | ID: lil-262113

RESUMEN

Uno de los eventos moleculares que participa en la secuencia adenoma-carcinoma colorrectal es la presencia de mutaciones en el antioncogen p53, cuyo producto proteico regula el ciclo celular. Asimismo, el análisis de microsatélites es un indicador indirecto de inestabilidad génica en tejido tumoral, permitiendo realizar un screening rápido de todo el genoma. En tejidos frescos y mucosa normal de ocho pacientes, se analizaron molecularmente por PCR-SSCP los exones 4 a 8 del gen p53 y microsatélites. Estos datos fueron correlacionados con el diagnóstico morfológico-inmunohistoquímico (IHQ). Fueron observadas alteraciones del gen p53 en el tejido tumoral en tres de ellos; se encontraron mutaciones puntuales en el exón 6 en dos pacientes: uno portador de un adenoma tubular y otro con un adenoma mixto (túbulo-velloso) ambos con displasia de alto grado y p53+IHQ tenía ua mutación en el exón 7. En un adenocarcinoma con sobreexpresión de p53 por IHQ no se detectaron alteraciones de dicho gen. La presencia de mutación sería un indicador de transformación tumoral y corroboraría el seguimiento más estricto en pacientes con lesiones de alto grado. El análisis de microsatélites en los 8 pacientes no determinó la existencia de anomalías génicas.


Asunto(s)
Humanos , Adenoma/genética , Neoplasias del Colon/diagnóstico , Neoplasias del Colon/genética , Endoscopía , Neoplasias Esofágicas/genética , Inmunohistoquímica/métodos , Repeticiones de Microsatélite , Biología Molecular , Mutación/genética , Exones/genética , Estudios de Seguimiento , Pronóstico
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