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1.
Biol Pharm Bull ; 46(5): 713-717, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37121697

RESUMEN

A loop-mediated isothermal amplification (LAMP)-mediated screening detection method for genetically modified (GM) papaya was developed targeting the 35S promoter (P35S) of the cauliflower mosaic virus. LAMP products were detected using a Genie II real-time fluorometer. The limit of detection (LOD) was evaluated and found to be ≤0.05% for papaya seeds. We also designed a primer set for the detection of the papaya endogenous reference sequence, chymopapain, and the species-specificity was confirmed. To improve cost-effectiveness, single-stranded tag hybridization (STH) on a chromatography printed-array strip (C-PAS) system, which is a lateral flow DNA chromatography technology, was applied. LAMP amplification was clearly detected by the system at the LOD level, and a duplex detection of P35S and chymopapain was successfully applied. This simple and quick method for the screening of GM papaya will be useful for the prevention of environmental contamination of unauthorized GM crops.


Asunto(s)
Carica , Quimopapaína , Carica/genética , Plantas Modificadas Genéticamente/genética , Técnicas de Amplificación de Ácido Nucleico/métodos , Verduras , Sensibilidad y Especificidad
2.
Mol Immunol ; 137: 42-51, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34214828

RESUMEN

Papaya is reported to trigger food and respiratory allergy. Here, we identified chymopapain Cari p 2 as an allergen that can sensitize atopic individuals through fruit consumption followed by respiratory hazards through pollen exposure. Recombinant Cari p 2 displayed IgE-reactivity with 78% of papaya allergic sera. rCari p 2 also displayed allergenic activity through basophil degranulation. rCari p 2 is correctly folded and showed irreversible denaturation in the melting curve. rCari p 2 displayed IgE-cross-reactivity with homologous cysteine proteases from kiwi and pineapple. Cari p 2 transcript was also detected in papaya pulps. rCari p 2 was resistant to pepsin digestion and retained IgE-reactivity after 60 minutes of pepsin digestion. In mouse model, rCari p 2 was found to elicit inflammatory responses in the lung and gastrointestinal epithelium. Hence, Cari p 2 is a newly characterized allergen with diagnostic and immunotherapeutic potential for managing allergic disorders in papaya sensitized individuals.


Asunto(s)
Alérgenos/inmunología , Quimopapaína/inmunología , Reacciones Cruzadas/inmunología , Frutas/inmunología , Polen/inmunología , Proteínas Recombinantes/inmunología , Adulto , Animales , Clonación Molecular/métodos , Proteasas de Cisteína/inmunología , Femenino , Hipersensibilidad a los Alimentos/inmunología , Humanos , Inmunoglobulina E/inmunología , Masculino , Ratones , Persona de Mediana Edad , Adulto Joven
3.
Front Immunol ; 12: 609406, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33746953

RESUMEN

Background: Chronic low-grade inflammation and alterations in innate and adaptive immunity were reported in Type 2 diabetes (T2D). Here, we investigated the abundance and activation of T cells in the bone marrow (BM) of patients with T2D. We then verified the human data in a murine model and tested if the activation of T cells can be rescued by treating mice with abatacept, an immunomodulatory drug employed for the treatment of rheumatoid arthritis. Clinical evidence indicated abatacept can slow the decline in beta-cell function. Methods: A cohort of 24 patients (12 with T2D) undergoing hip replacement surgery was enrolled in the study. Flow cytometry and cytokine analyses were performed on BM leftovers from surgery. We next compared the immune profile of db/db and control wt/db mice. In an additional study, db/db mice were randomized to receive abatacept or vehicle for 4 weeks, with endpoints being immune cell profile, indices of insulin sensitivity, and heart performance. Results: Patients with T2D showed increased frequencies of BM CD4+ (2.8-fold, p = 0.001) and CD8+ T cells (1.8-fold, p = 0.01), with the upregulation of the activation marker CD69 and the homing receptor CCR7 in CD4+ (1.64-fold, p = 0.003 and 2.27-fold, p = 0.01, respectively) and CD8+ fractions (1.79-fold, p = 0.05 and 1.69-fold, p = 0.02, respectively). These differences were confirmed in a multivariable regression model. CCL19 (CCR7 receptor ligand) and CXCL10/11 (CXCR3 receptor ligands), implicated in T-cell migration and activation, were the most differentially modulated chemokines. Studies in mice confirmed the activation of adaptive immunity in T2D. Abatacept reduced the activation of T cells and the levels of proinflammatory cytokines and improved cardiac function but not insulin sensitivity. Conclusions: Results provide proof-of-concept evidence for the activation of BM adaptive immunity in T2D. In mice, treatment with abatacept dampens the activation of adaptive immunity and protects from cardiac damage.


Asunto(s)
Inmunidad Adaptativa , Médula Ósea/inmunología , Médula Ósea/metabolismo , Diabetes Mellitus Tipo 2/etiología , Diabetes Mellitus Tipo 2/metabolismo , Abatacept/farmacología , Anciano , Animales , Biomarcadores , Médula Ósea/patología , Quimopapaína/metabolismo , Citocinas/metabolismo , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/terapia , Modelos Animales de Enfermedad , Susceptibilidad a Enfermedades , Metabolismo Energético/efectos de los fármacos , Femenino , Expresión Génica , Humanos , Memoria Inmunológica , Inmunofenotipificación , Inmunosupresores/farmacología , Activación de Linfocitos/inmunología , Recuento de Linfocitos , Masculino , Ratones , Persona de Mediana Edad , Receptores CCR7/genética , Receptores CCR7/metabolismo , Subgrupos de Linfocitos T/inmunología , Subgrupos de Linfocitos T/metabolismo
4.
Toxicol Pathol ; 48(5): 656-668, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32633701

RESUMEN

Selective chemonucleolytic effects of condoliase, a glycosaminoglycan degrading enzyme, was investigated histopathologically in cynomolgus monkeys. Condoliase was administered once into the lumber intervertebral disc (IVD), and as a comparative control, chymopapain, a proteolytic enzyme, was administered in a similar manner. Histopathological changes of the IVD and the adjacent vertebral body (VB) were examined at 1 to 26 weeks after administration. Major changes induced by condoliase in the IVD were degenerative and necrotic changes in the nucleus pulposus, annulus fibrosus, cartilaginous endplate (CEP), and epiphyseal growth plate (EGP); focal disappearance of the EGP; and neovascularization and ossification of the CEP. Decreased/necrosis of bone marrow cells with new bone formation was observed in the VB. Cellular regeneration in the IVD was observed as a recovery changes on and after week 4. The changes in the IVD and VB subsided at week 26. Chymopapain induced qualitatively similar but more widely extended changes. The degrees of the changes in the IVD and VB were more severe than those of condoliase, and the changes were exacerbated even at week 26. These results indicated that histopathological changes caused by condoliase were less severe and more selective than those by chymopapain.


Asunto(s)
Condroitina ABC Liasa/farmacología , Quimiólisis del Disco Intervertebral , Disco Intervertebral/efectos de los fármacos , Animales , Quimopapaína , Macaca fascicularis
5.
Microb Pathog ; 132: 215-221, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-31075431

RESUMEN

Enterovirus 71 (EV71) and coxsackievirus A16 (CA16) are common causative agents of mild and self-limiting symptoms of childhood hand, foot, and mouth disease (HFMD). However, some EV71-infected HFMD patients can develop severe neurological and/or fatal cardiopulmonary complications. In Thailand, HFMD associated with the EV71 subgenotypes C4a and B5 were reported to be associated with diverse outcomes. However, variations in enterovirus subgenotypes and virulence factors have not been fully elucidated; this study elucidated these variations in peripheral blood mononuclear cells (PBMCs) exposed to different subgenotypes of isolated enteroviruses for 24 and 48 h. Following infection, viral titers were determined by plaque assay. Infected cells and intracellular cytokines were quantified using flow cytometry, and multiplex assay was used to examine cytokine release. All isolated subgenotypes showed replication capability in PBMCs; specifically, the replication titer of EV71 C4a tended to be higher than titers of EV71 B5 and CA16. Additionally, the infectivity of EV71 B5 was higher in monocytes than in lymphocytes. Compared with EV71 B5, EV71 C4a and CA16 had greater ability to induce intra- and extracellular cytokine responses. These findings provide new insights into variations in cellular immune responses to different EV71 subgenotypes isolated from Thai patients, which should be considered for the development of vaccines and therapeutic agents.


Asunto(s)
Citocinas/metabolismo , Enterovirus Humano A/inmunología , Enterovirus Humano A/patogenicidad , Infecciones por Enterovirus/inmunología , Adulto , Animales , Anticuerpos Monoclonales , Chlorocebus aethiops , Quimopapaína/metabolismo , Enterovirus/inmunología , Enterovirus/aislamiento & purificación , Enterovirus Humano A/aislamiento & purificación , Infecciones por Enterovirus/virología , Femenino , Humanos , Inmunidad Celular/inmunología , Leucocitos Mononucleares , Masculino , Tailandia , Células Vero , Virulencia , Adulto Joven
6.
Drugs Today (Barc) ; 55(1): 17-23, 2019 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-30740609

RESUMEN

Lumbar disc herniation (LDH) is generally treated with a conservative therapy, and surgery is the only therapeutic option currently available for patients unresponsive to the conservative therapy. In the 1980s, chemonucleolysis with chymopapain, a protease, was widely used as the intermediate treatment between conservative therapy and surgical therapy in the Western countries. However, since chymopapain was withdrawn from the market in 2002 for non-scientific commercial reasons, chemonucleolysis has not been a therapeutic option for LDH. Condoliase (chondroitin sulfate ABC endolyase), a glycosaminoglycan-degrading enzyme, was approved by the drug regulatory authority in Japan as a newer intradiscal therapy for LDH after clinical studies conducted in Japan demonstrated efficacy and safety for patients with LDH. This review will focus on the preclinical pharmacology, pharmacokinetics, efficacy and safety of condoliase as a new option for treatment of LDH.


Asunto(s)
Glucuronidasa/uso terapéutico , Desplazamiento del Disco Intervertebral/terapia , Liasas/uso terapéutico , Quimopapaína , Glucuronidasa/farmacocinética , Humanos , Quimiólisis del Disco Intervertebral , Japón , Liasas/farmacocinética
7.
Bull Exp Biol Med ; 165(5): 629-634, 2018 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-30225711

RESUMEN

Enzymatic hydrolysis of biopolymers of the cartilage tissue was studied for obtaining a complex of type II collagen peptides and glycosaminoglycan oligosaccharides. Hydrothermal hydrolysis in a high pressure homogenizer followed by enzymatic hydrolysis of the cartilage tissue biopolymers with proteolytic enzyme preparation Karipazim yielded a complex of collagen peptides and glycosaminoglycan oligosaccharides with molecular weights of 240-720 Da. Low molecular weight of the components increases their bioavailability. Entering into the cells (chondrocytes), low-molecular-weight peptides, disaccharides, and oligosaccharides as structural elements of the matrix can participate in the formation of fibrils of collagen and proteoglycans. Exogenous substances replenish deficient components of the matrix and/or their concentrations, affect the formation and strengthen the cartilage tissue. Thus, using cattle and porcine hyaline cartilages, we prepared a complex of biopolymers with lower molecular weights in comparison with previously developed nutraceuticals.


Asunto(s)
Colágeno Tipo II/química , Glicosaminoglicanos/química , Cartílago Hialino/química , Péptidos/química , Proteoglicanos/química , Aminopeptidasas/química , Animales , Transporte Biológico , Bovinos , Condrocitos/efectos de los fármacos , Condrocitos/metabolismo , Quimopapaína/química , Dipeptidasas/química , Dipeptidil-Peptidasas y Tripeptidil-Peptidasas/química , Glicosaminoglicanos/farmacología , Hidrólisis , Peso Molecular , Muramidasa/química , Papaína/química , Péptidos/farmacología , Proteoglicanos/farmacología , Porcinos
8.
J Orthop Res ; 34(8): 1382-8, 2016 08.
Artículo en Inglés | MEDLINE | ID: mdl-27105019

RESUMEN

Improved diagnostic measures for intervertebral disc degeneration are necessary to facilitate early detection and treatment. The aim of this study was to correlate changes in mechanical and biochemical properties with the quantitative MRI parameters T2 and T1ρ in rabbit lumbar discs using an ex vivo chymopapain digestion model. Rabbit lumbar spinal motion segments from animals less than 6 months of age were injected with 100 µl of saline (control) or chymopapain at 3, 15, or 100 U/ml (n = 5 per group). T2 and T1ρ MRI series were obtained at 4.7T. Specimens were mechanically tested in tension-compression and creep. Normalized nucleus pulposus (NP) water and GAG contents were quantified. Stepwise multiple linear regression was performed to determine which parameters contributed significantly to changes in NP T2 and T1ρ. When all groups were included, multiple regression yielded a model with GAG, compressive modulus, and the creep time constants as variables significantly impacting T2 (multiple r(2) = 0.64, p = 0.006). GAG and neutral zone (NZ) modulus were identified as variables contributing to T1ρ (multiple r(2) = 0.28, p = 0.08). When specimens with advanced degeneration were excluded from the multiple regression analysis, T2 was significantly predicted by compressive modulus, τ1, and water content (multiple r(2) = 0.71, p = 0.009), while no variables were significant predictors in the model for T1ρ. These results indicate that quantitative MRI can detect changes in the mechanical and biochemical properties of the degenerated disc. T2 may be more sensitive to early stage degenerative changes than T1ρ, while both quantitative MRI parameters are sensitive to advanced degeneration. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1382-1388, 2016.


Asunto(s)
Degeneración del Disco Intervertebral/diagnóstico por imagen , Vértebras Lumbares/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Animales , Fenómenos Biomecánicos , Quimopapaína , Modelos Animales de Enfermedad , Vértebras Lumbares/química , Conejos
9.
Artículo en Inglés | WPRIM (Pacífico Occidental) | ID: wpr-77204

RESUMEN

Papain is a proteolytic enzyme which is widely used in food industry, pharmaceuticals, and cosmetics. Occupational and non-occupational papain allergies have previously been documented; however, there are limited publications about papain allergy with its relative fruit allergy. Here, we present a case of occupational, IgE-mediated papain allergy with kiwi fruit and fig fruit allergy. A 53-year-old man suffered from rhinitis for several years, with the onset of his symptoms coinciding with the time he started to work at a sausage processing plant where papain is often used as a meat tenderizer. He began to experience symptoms of chest tightness, shortness of breath and wheezing shortly after starting work 5 years ago. Furthermore, he experienced several episodes of oral itching, and tongue and oropharyngeal angioedema after injestion of kiwi fruit and fig fruit. The patient had a lifelong history of allergic conjunctivitis, allergic rhinitis, and childhood asthma. Specific IgE was positive to kiwi fruit, papain and chymopapain (2.95 kUA/L, >100 kUA/L, and 95.0 kUA/L, respectively). Similar bands at 10-15 kDa in blotting with papain and kiwi fruit extracts were found. This patient showed a potential association between papain allergy and sensitization to kiwi fruit. We also reviewed 13 patients with papain allergy published in the literature, with 85% (11/13) of the patients sensitized through the respiratory tract, and 40% (4/11) having atopy. Further studies should focus on the determination of cross-reactive allergens between papain and its fruit relatives, and the prevalence of food allergy in patients with papain allergy should be investigated in a relatively large cohort.


Asunto(s)
Humanos , Persona de Mediana Edad , Alérgenos , Angioedema , Asma , Asma Ocupacional , Quimopapaína , Estudios de Cohortes , Conjuntivitis Alérgica , Disnea , Hipersensibilidad a los Alimentos , Industria de Alimentos , Frutas , Hipersensibilidad , Inmunoglobulina E , Carne , Papaína , Plantas , Prevalencia , Prurito , Ruidos Respiratorios , Sistema Respiratorio , Rinitis , Tórax , Lengua
10.
Protein Pept Lett ; 22(3): 239-47, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25426863

RESUMEN

Cysteine proteinases are involved in many aspects of physiological regulation. In humans, some cathepsins have shown another function in addition to their role as lysosomal proteases in intracellular protein degradation; they have been implicated in the pathogenesis of several heart and blood vessel diseases and in cancer development. In this work, we present a fluorometric and computational study of the binding of one representative plant cysteine proteinase, chymopapain, to one of the most studied inhibitors of these proteinases: chicken cystatin. The binding equilibrium constant, Kb, was determined in the pH range between 3.5 and 10.0, revealing a maximum in the affinity at pH 9.0. We constructed an atomic model for the chymopapain-cystatin dimer by docking the individual 3D protein structures; subsequently, the model was refined using a 100 ns NPT molecular dynamics simulation in explicit water. Upon scrutiny of this model, we identified 14 ionizing residues at the interface of the complex using a cutoff distance of 5.0 Å. Using the pKa values predicted with PROPKA and a modified proton-linkage model, we performed a regression analysis on our data to obtain the composite pKavalues for three isoacidic residues. We also calculated the electrostatic component of the binding energy (ΔGb,elec) at different pH values using an implicit solvent model and APBS software. The pH profile of this calculated energy compares well with the experimentally obtained binding energy, ΔGb. We propose that the residues that form an interchain ionic pair, Lys139A from chymopapain and Glu19B from cystatin, as well as Tyr61A and Tyr67A from chymopapain are the main residues responsible for the observed pH dependence in the chymopapain- cystatin affinity.


Asunto(s)
Aminoácidos/metabolismo , Quimopapaína/química , Quimopapaína/metabolismo , Cistatinas/metabolismo , Inhibidores de Cisteína Proteinasa/metabolismo , Animales , Pollos , Biología Computacional , Cistatinas/química , Inhibidores de Cisteína Proteinasa/química , Humanos , Concentración de Iones de Hidrógeno , Simulación del Acoplamiento Molecular , Proteínas de Plantas/química , Proteínas de Plantas/metabolismo , Unión Proteica , Electricidad Estática
11.
J Agric Food Chem ; 61(47): 11363-70, 2013 Nov 27.
Artículo en Inglés | MEDLINE | ID: mdl-24206192

RESUMEN

The papaya (Carica papaya L.) Chymopapain (CHY) gene has been reported as a suitable endogenous reference gene for genetically modified (GM) papaya detection in previous studies. Herein, we further validated the use of the CHY gene and its qualitative and quantitative polymerase chain reaction (PCR) assays through an interlaboratory collaborative ring trial. A total of 12 laboratories working on detection of genetically modified organisms participated in the ring trial and returned test results. Statistical analysis of the returned results confirmed the species specificity, low heterogeneity, and single-copy number of the CHY gene among different papaya varieties. The limit of detection of the CHY qualitative PCR assay was 0.1%, while the limit of quantification of the quantitative PCR assay was ∼25 copies of haploid papaya genome with acceptable PCR efficiency and linearity. The differences between the tested and true values of papaya content in 10 blind samples ranged from 0.84 to 6.58%. These results indicated that the CHY gene was suitable as an endogenous reference gene for the identification and quantification of GM papaya.


Asunto(s)
Carica/genética , Plantas Modificadas Genéticamente/genética , Reacción en Cadena de la Polimerasa/métodos , Quimopapaína/genética , Dosificación de Gen , Límite de Detección , Reacción en Cadena de la Polimerasa/normas , Reproducibilidad de los Resultados , Especificidad de la Especie
12.
Spine (Phila Pa 1976) ; 38(17): E1058-64, 2013 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-23649216

RESUMEN

STUDY DESIGN: A prospective consecutive series of 100 patients computer randomized into 2 groups to have treatment by either chemonucleolysis or surgery. OBJECTIVE: To compare the radiological findings preoperatively with the clinical outcome between the groups at 1 year, 10 to 13, and 24 to 27 years of follow-up. SUMMARY OF BACKGROUND DATA: Chemonucleolysis was introduced in 1964 and became widely used. Its efficacy was proven by several randomized studies when compared with a placebo and surgery. However, it ceased to be manufactured in 2001. METHODS: One hundred consecutive patients were enrolled for the study and randomized according to age, sex, and disc level. Preoperatively, their anteroposterior, lateral lumbar spine, and lateral lumbosacral angle radiographs were obtained, and a myelogram was performed. At 10 to 13 years, 32 of the original patients (18 chemonucleolysis and 14 surgery) and at 24 to 27 years, 45 patients (24 chemonucleolysis and 21 surgery) were assessed by lateral lumbosacral angle radiographs. RESULTS: Using the myelographical findings, small, medium, and large herniations were digested by chymopapain with more of the failures being the larger ones. There was an equal degree of degenerative change as measured by disc height loss in the young and older age groups and the degree of degenerative change did not relate to outcome. The size of the defect did not relate to the degree of disc height loss. There was a slight loss of disc height over time in both groups. There was no difference in the loss of disc height between the treatments at any of the follow-up time points. CONCLUSION: Chemonucleolysis is as effective as surgery when assessed according to intention-to-treat analysis. The loss of disc height over time is the same in both groups. The authors think that restoration of its availability would be beneficial to patients. LEVEL OF EVIDENCE: 1.


Asunto(s)
Quimopapaína/uso terapéutico , Discectomía/métodos , Quimiólisis del Disco Intervertebral/métodos , Desplazamiento del Disco Intervertebral/cirugía , Adolescente , Adulto , Anciano , Quimopapaína/administración & dosificación , Discectomía/efectos adversos , Femenino , Estudios de Seguimiento , Humanos , Disco Intervertebral/diagnóstico por imagen , Disco Intervertebral/cirugía , Quimiólisis del Disco Intervertebral/efectos adversos , Vértebras Lumbares/efectos de la radiación , Vértebras Lumbares/cirugía , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Radiografía , Sacro/efectos de la radiación , Sacro/cirugía , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
13.
Int J Biol Macromol ; 58: 245-52, 2013 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-23603083

RESUMEN

We herein report the anti-arthritic and immunosuppressive activities of some synthesized substituted terpenoidal structure. Forty-four triterpenoid derivatives 1-21 containing a carboxylic, ester, amide and ketone groups attached to a triterpene moiety were conveniently synthesized and screened for their anti-arthritic and immunosuppressive activities. Synthetic triterpenoidal structures linked to a different function groups seem to be a promising approach in the search for novel leads for potent anti-arthritic and immunosuppressive agents. The detailed synthetic pathways of obtained compounds and anti-arthritic and immunosuppressive activities were reported.


Asunto(s)
Inmunosupresores/farmacología , Osteoartritis de la Rodilla/tratamiento farmacológico , Triterpenos/farmacología , Animales , Bovinos , Proliferación Celular/efectos de los fármacos , Células Cultivadas , Quimopapaína , Relación Dosis-Respuesta a Droga , Evaluación Preclínica de Medicamentos , Cobayas , Liberación de Histamina/efectos de los fármacos , Inmunosupresores/uso terapéutico , Masculino , Osteoartritis de la Rodilla/inducido químicamente , Osteoartritis de la Rodilla/inmunología , Conejos , Ratas , Ratas Wistar , Linfocitos T/efectos de los fármacos , Linfocitos T/fisiología , Triterpenos/uso terapéutico
14.
Spine (Phila Pa 1976) ; 38(17): E1051-7, 2013 Aug 01.
Artículo en Inglés | MEDLINE | ID: mdl-23609203

RESUMEN

STUDY DESIGN: A prospective consecutive series of 100 patients computer randomized into 2 groups to have treatment by either chemonucleolysis or surgery. OBJECTIVE: To compare the complications and clinical outcome between the groups at 1 year, and at 10 to 13 and 24 to 27 years. SUMMARY OF BACKGROUND DATA: Chemonucleolysis was introduced in 1964 and became widely used. Its efficacy was proven by several randomized studies when compared with a placebo and surgery. The manufacturing of Chemonucleolysis was ceased in 2001. METHODS: One hundred consecutive patients were enrolled for the study and randomized according to age, sex, and disc level. They were followed up at 1 year with self-assessment questionnaires to establish if they were completely better, improved, the same or worse. At 10 to 13 years, 61 patients (32 chemonuceolysis and 29 surgery) and at 24 to 27 years, 45 patients (24 chemonucleolysis and 21 surgery) were self-assessed by questionnaire according to the Macnab criteria. RESULTS: Forty-eight patients were treated by chemonucleolysis and 52 by surgery. Ten patients treated by chemonucleolysis underwent surgery within 8 weeks. At 1 year, 10 to 13 years, and 24 to 27 years, 94%, 72%, and 63% of patients treated by chemonucleolysis had good or excellent results compared with 96%, 72%, and 67% of patients who underwent surgery, respectively. There was no difference in the clinical outcome between the treatments at any of the follow-up time points. There were 2 serious complications, 1in each treatment group. CONCLUSION: Chemonucleolysis is as effective as surgery when assessed according to intention-to-treat analysis, with reduced complications, and age has no bearing on the outcome. The authors think that restoration of its availability would be beneficial to patients. LEVEL OF EVIDENCE: 1.


Asunto(s)
Quimopapaína/uso terapéutico , Discectomía/métodos , Quimiólisis del Disco Intervertebral/métodos , Desplazamiento del Disco Intervertebral/cirugía , Adolescente , Adulto , Anciano , Dolor de Espalda/diagnóstico , Dolor de Espalda/etiología , Quimopapaína/administración & dosificación , Discectomía/efectos adversos , Femenino , Estudios de Seguimiento , Humanos , Quimiólisis del Disco Intervertebral/efectos adversos , Pierna/fisiopatología , Vértebras Lumbares/cirugía , Masculino , Persona de Mediana Edad , Dolor/diagnóstico , Dolor/etiología , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/etiología , Estudios Prospectivos , Sacro/cirugía , Encuestas y Cuestionarios , Factores de Tiempo , Resultado del Tratamiento , Adulto Joven
15.
PLoS One ; 7(11): e50633, 2012.
Artículo en Inglés | MEDLINE | ID: mdl-23209794

RESUMEN

The molten globule (MG) state of proteins is widely detected through binding with 1-anilino-8-naphthalene sulphonate (ANS), a fluorescent dye. This strategy is based upon the assumption that when in molten globule state, the exposed hydrophobic clusters of protein are readily bound by the nonpolar anilino-naphthalene moiety of ANS molecules which then produce brilliant fluorescence. In this work, we explored the acid-induced unfolding pathway of chymopapain, a cysteine proteases from Carica papaya, by monitoring the conformational changes over a pH range 1.0-7.4 by circular dichroism, intrinsic fluorescence, ANS binding, acrylamide quenching, isothermal titration calorimetry (ITC) and dynamic light scattering (DLS). The spectroscopic measurements showed that although maximum ANS fluorescence intensity was observed at pH 1.0, however protein exhibited ∼80% loss of secondary structure which does not comply with the characteristics of a typical MG-state. In contrast at pH 1.5, chymopapain retains substantial amount of secondary structure, disrupted side chain interactions, increased hydrodynamic radii and nearly 30-fold increase in ANS fluorescence with respect to the native state, indicating that MG-state exists at pH 1.5 and not at pH 1.0. ITC measurements revealed that ANS molecules bound to chymopapain via hydrophobic interaction were more at pH 1.5 than at pH 1.0. However, a large number of ANS molecules were also involved in electrostatic interaction with protein at pH 1.0 which, together with hydrophobically interacted molecules, may be responsible for maximum ANS fluorescence. We conclude that maximum ANS-fluorescence alone may not be the criteria for determining the MG of chymopapain. Hence a comprehensive structural analysis of the intermediate is essentially required.


Asunto(s)
Naftalenosulfonatos de Anilina/química , Quimopapaína/química , Calorimetría , Concentración de Iones de Hidrógeno , Modelos Teóricos , Pliegue de Proteína , Estructura Secundaria de Proteína
16.
Folia Histochem Cytobiol ; 50(1): 130-6, 2012 Apr 24.
Artículo en Inglés | MEDLINE | ID: mdl-22532148

RESUMEN

A Surface Plasmon Resonance Imaging (SPRI) sensor based on bromelain or chymopapain or ficin has been developed for specific cystatin determination. Cystatin was captured from a solution by immobilized bromelain or chymopapain or ficin due to the formation of an enzyme-inhibitor complex on the biosensor surface. The influence of bromelain, chymopapain or ficin concentration, as well as the pH of the interaction on the SPRI signal, was investigated and optimized. Sensor dynamic response range is between 0-0.6 µg/ml and the detection limit is equal to 0.1 µg/ml. In order to demonstrate the sensor potential, cystatin was determined in blood plasma, urine and saliva, showing good agreement with the data reported in the literature.


Asunto(s)
Técnicas Biosensibles , Bromelaínas/metabolismo , Quimopapaína/metabolismo , Cistatinas/análisis , Ficaína/metabolismo , Resonancia por Plasmón de Superficie , Bromelaínas/química , Quimopapaína/química , Cistatinas/sangre , Cistatinas/orina , Ficaína/química , Humanos , Concentración de Iones de Hidrógeno , Proteínas Inmovilizadas/química , Proteínas Inmovilizadas/metabolismo
17.
Anal Chim Acta ; 723: 101-7, 2012 Apr 20.
Artículo en Inglés | MEDLINE | ID: mdl-22444580

RESUMEN

N,N'-diBoc-dityrosine (DBDY), which was synthesized by the oxidative C-C coupling of 2 N-Boc-L-tyrosine molecules, was conjugated with two isoniazid (INH) molecules. Due to the quenching effect of INH, DBDY-(INH)(2) lacks the fluorescence of DBDY. As such, it was tested for use in the detection of proteases by measuring fluorescence recovery. In this study, serine proteases (chymotrypsin, trypsin, subtilisin, and proteinase K), metalloproteases (thermolysin and carboxypeptidase A, dispase, and collagenase), aspartic proteases (pepsin and aspergillopepsin) and cysteine proteases (papain and chymopapain) were chosen. Reported optimum assay conditions were chosen for each enzyme. Only papain and chymopapain catalyzed the hydrolysis of DBDY-(INH)(2) and led to fluorescence recovery, possibly due to their extensive binding sites and the INH-mediated inhibition of metalloproteases and aspartic proteases.


Asunto(s)
Quimopapaína/metabolismo , Pruebas de Enzimas , Papaína/metabolismo , Tirosina/análogos & derivados , Biocatálisis , Concentración de Iones de Hidrógeno , Hidrólisis , Espectrometría de Fluorescencia , Especificidad por Sustrato , Temperatura , Tirosina/síntesis química , Tirosina/química
18.
Eur Spine J ; 19(9): 1425-49, 2010 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-20424870

RESUMEN

Injection therapy and denervation procedures are commonly used in the management of chronic low-back pain (LBP) despite uncertainty regarding their effectiveness and safety. To provide an evaluation of the current evidence associated with the use of these procedures, a systematic review was performed. Existing systematic reviews were screened, and the Cochrane Back Review Group trial register was searched for randomized controlled trials (RCTs) fulfilling the inclusion criteria. Studies were included if they recruited adults with chronic LBP, evaluated the use of injection therapy or denervation procedures and measured at least one clinically relevant outcome (such as pain or functional status). Two review authors independently assessed studies for eligibility and risk of bias (RoB). A meta-analysis was performed with clinically homogeneous studies, and the GRADE approach was used to determine the quality of evidence. In total, 27 RCTs were included, 14 on injection therapy and 13 on denervation procedures. 18 (66%) of the studies were determined to have a low RoB. Because of clinical heterogeneity, only two comparisons could be pooled. Overall, there is only low to very low quality evidence to support the use of injection therapy and denervation procedures over placebo or other treatments for patients with chronic LBP. However, it cannot be ruled out that in carefully selected patients, some injection therapy or denervation procedures may be of benefit.


Asunto(s)
Dolor de la Región Lumbar/tratamiento farmacológico , Dolor de la Región Lumbar/cirugía , Corticoesteroides/administración & dosificación , Anestésicos Locales/administración & dosificación , Enfermedad Crónica , Quimopapaína/administración & dosificación , Desnervación/métodos , Humanos , Inyecciones Epidurales , Inyecciones Intraarticulares , Inyecciones Intramusculares , Ensayos Clínicos Controlados Aleatorios como Asunto
19.
Amino Acids ; 38(1): 155-65, 2010 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-19156482

RESUMEN

Assay of fractions obtained from ion exchange chromatography of papaya latex on CM Sephadex-C50, size exclusion chromatography on Sephacryl S-300 and size exclusion HPLC have provided an insight into the relative contributions of the gluten-detoxifying enzymes present. This outcome has been achieved by the use of the above chromatographic techniques, coupled with assays of lysosomal activity, protease activity using benzylarginine ethyl ester (BAEE) as substrate, prolyl endopeptidase (PEP) using glycylprolylnitroanilide and a prolidase assay using acetylprolylglycine. These procedures have shown that the activity in papaya latex is due largely to caricain and to a lesser extent, chymopapain and glutamine cyclotransferase. The presence of caricain and these other enzymes was confirmed by mass spectrometry of trypsin digests of the most active fraction obtained by CM Sephadex-C50 chromatography and size exclusion HPLC. Fractions rich in caricain would be suitable for enzyme therapy in gluten intolerance and appear to have synergistic action with porcine intestinal extracts.


Asunto(s)
Aminoaciltransferasas/química , Carica/enzimología , Quimopapaína/química , Cisteína Endopeptidasas/química , Gliadina/química , Látex/química , Proteínas de Plantas/química , Aminoaciltransferasas/aislamiento & purificación , Carica/química , Catálisis , Enfermedad Celíaca/metabolismo , Quimopapaína/aislamiento & purificación , Cisteína Endopeptidasas/aislamiento & purificación , Gliadina/toxicidad , Humanos , Cinética , Proteínas de Plantas/aislamiento & purificación
20.
J Agric Food Chem ; 57(15): 6502-9, 2009 Aug 12.
Artículo en Inglés | MEDLINE | ID: mdl-19722561

RESUMEN

The virus-resistant papaya (Carica papaya L.), Huanong no. 1, was the genetically modified (GM) fruit approved for growing in China in 2006. To implement the labeling regulation of GM papaya and its derivates, the development of papaya endogenous reference gene is very necessary for GM papaya detection. Herein, we reported one papaya specific gene, Chymopapain (CHY), as one suitable endogenous reference gene, used for GM papaya identification. Thereafter, we established the conventional and real-time quantitative PCR assays of the CHY gene. In the CHY conventional PCR assay, the limit of detection (LOD) was 25 copies of haploid papaya genome. In the CHY real-time quantitative PCR assay, both the LOD and the limit of quantification (LOQ) were as low as 12.5 copies of haploid papaya genome. Furthermore, we revealed the construct-specific sequence of Chinese GM papaya Huanong no. 1 and developed its conventional and quantitative PCR systems employing the CHY gene as endogenous reference gene. This work is useful for papaya specific identification and GM papaya detection.


Asunto(s)
Carica/genética , Quimopapaína/genética , Proteínas de Plantas/genética , Plantas Modificadas Genéticamente/genética , Reacción en Cadena de la Polimerasa/normas , Secuencia de Bases , Datos de Secuencia Molecular , Reacción en Cadena de la Polimerasa/métodos , Estándares de Referencia
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