Your browser doesn't support javascript.
loading
Montrer: 20 | 50 | 100
Résultats 1 - 20 de 137
Filtrer
1.
Br J Pharmacol ; 170(4): 919-32, 2013 Oct.
Article de Anglais | MEDLINE | ID: mdl-23957253

RÉSUMÉ

BACKGROUND AND PURPOSE: Explorations into the heterogeneous population of native GABA type A receptors (GABAA Rs) and the physiological functions governed by the multiple GABAA R subtypes have for decades been hampered by the lack of subtype-selective ligands. EXPERIMENTAL APPROACH: The functional properties of the orthosteric GABAA receptor ligand 5-(4-piperidyl)-3-isothiazolol (Thio-4-PIOL) have been investigated in vitro, ex vivo and in vivo. KEY RESULTS: Thio-4-PIOL displayed substantial partial agonist activity at the human extrasynaptic GABAA R subtypes expressed in Xenopus oocytes, eliciting maximal responses of up to ∼30% of that of GABA at α5 ß3 γ2S , α4 ß3 δ and α6 ß3 δ and somewhat lower efficacies at the corresponding α5 ß2 γ2S , α4 ß2 δ and α6 ß2 δ subtypes (maximal responses of 4-12%). In contrast, it was an extremely low efficacious agonist at the α1 ß3 γ2S , α1 ß2 γ2S , α2 ß2 γ2S , α2 ß3 γ2S , α3 ß2 γ2S and α3 ß3 γ2S GABAA Rs (maximal responses of 0-4%). In concordance with its agonism at extrasynaptic GABAA Rs and its de facto antagonism at the synaptic receptors, Thio-4-PIOL elicited robust tonic currents in electrophysiological recordings on slices from rat CA1 hippocampus and ventrobasal thalamus and antagonized phasic currents in hippocampal neurons. Finally, the observed effects of Thio-4-PIOL in rat tests of anxiety, locomotion, nociception and spatial memory were overall in good agreement with its in vitro and ex vivo properties. CONCLUSION AND IMPLICATIONS: The diverse signalling characteristics of Thio-4-PIOL at GABAA Rs represent one of the few examples of a functionally subtype-selective orthosteric GABAA R ligand reported to date. We propose that Thio-4-PIOL could be a useful pharmacological tool in future studies exploring the physiological roles of native synaptic and extrasynaptic GABAA Rs.


Sujet(s)
Encéphale/effets des médicaments et des substances chimiques , Agonistes du récepteur GABA-A/pharmacologie , Pipéridines/pharmacologie , Récepteurs GABA/effets des médicaments et des substances chimiques , Synapses/effets des médicaments et des substances chimiques , Thiazoles/pharmacologie , Animaux , Anxiété/traitement médicamenteux , Anxiété/métabolisme , Anxiété/psychologie , Comportement animal/effets des médicaments et des substances chimiques , Encéphale/métabolisme , Modèles animaux de maladie humaine , Relation dose-effet des médicaments , Agonisme partiel des médicaments , Cellules HEK293 , Humains , Ligands , Mâle , Potentiels de membrane , Mémoire/effets des médicaments et des substances chimiques , Activité motrice/effets des médicaments et des substances chimiques , Nociception/effets des médicaments et des substances chimiques , Rats , Rat Sprague-Dawley , Récepteurs GABA/génétique , Récepteurs GABA/métabolisme , Synapses/métabolisme , Facteurs temps , Transfection , Xenopus laevis
2.
Leukemia ; 27(9): 1832-40, 2013 Sep.
Article de Anglais | MEDLINE | ID: mdl-23765228

RÉSUMÉ

Recent studies have implicated the innate immunity system in the pathogenesis of myelodysplastic syndromes (MDS). Toll-like receptor (TLR) genes encode key innate immunity signal initiators. We recently identified multiple genes, known to be regulated by TLRs, to be overexpressed in MDS bone marrow (BM) CD34+ cells, and hypothesized that TLR signaling is abnormally activated in MDS. We analyzed a large cohort of MDS cases and identified TLR1, TLR2 and TLR6 to be significantly overexpressed in MDS BM CD34+ cells. Deep sequencing followed by Sanger resequencing of TLR1, TLR2, TLR4 and TLR6 genes uncovered a recurrent genetic variant, TLR2-F217S, in 11% of 149 patients. Functionally, TLR2-F217S results in enhanced activation of downstream signaling including NF-κB activity after TLR2 agonist treatment. In cultured primary BM CD34+ cells of normal donors, TLR2 agonists induced histone demethylase JMJD3 and interleukin-8 gene expression. Inhibition of TLR2 in BM CD34+ cells from patients with lower-risk MDS using short hairpin RNA resulted in increased erythroid colony formation. Finally, RNA expression levels of TLR2 and TLR6, as well as presence of TLR2-F217S, are associated with distinct prognosis and clinical characteristics. These findings indicate that TLR2-centered signaling is deregulated in MDS, and that its targeting may have potential therapeutic benefit in MDS.


Sujet(s)
Syndromes myélodysplasiques/génétique , Récepteurs de type Toll/génétique , Séquence d'acides aminés , Substitution d'acide aminé , Antigènes CD34/métabolisme , Séquence nucléotidique , Cellules de la moelle osseuse/métabolisme , Différenciation cellulaire/génétique , Cellules érythroïdes/cytologie , Cellules érythroïdes/métabolisme , Expression des gènes , Ordre des gènes , Humains , Immunité innée/génétique , Interleukine-8/génétique , Interleukine-8/métabolisme , Jumonji Domain-Containing Histone Demethylases/génétique , Jumonji Domain-Containing Histone Demethylases/métabolisme , Modèles biologiques , Données de séquences moléculaires , Mutation , Syndromes myélodysplasiques/immunologie , Syndromes myélodysplasiques/métabolisme , Syndromes myélodysplasiques/mortalité , Transduction du signal , Récepteur de type Toll-1/génétique , Récepteur de type Toll-1/métabolisme , Récepteur de type Toll-2/génétique , Récepteur de type Toll-2/métabolisme , Récepteur de type Toll-6/génétique , Récepteur de type Toll-6/métabolisme , Récepteurs de type Toll/métabolisme
4.
Leukemia ; 27(11): 2177-86, 2013 Nov.
Article de Anglais | MEDLINE | ID: mdl-23538751

RÉSUMÉ

The molecular bases of myelodysplastic syndromes (MDS) are not fully understood. Trimethylated histone 3 lysine 4 (H3K4me3) is present in promoters of actively transcribed genes and has been shown to be involved in hematopoietic differentiation. We performed a genome-wide H3K4me3 CHIP-Seq (chromatin immunoprecipitation coupled with whole genome sequencing) analysis of primary MDS bone marrow (BM) CD34+ cells. This resulted in the identification of 36 genes marked by distinct higher levels of promoter H3K4me3 in MDS. A majority of these genes are involved in nuclear factor (NF)-κB activation and innate immunity signaling. We then analyzed expression of histone demethylases and observed significant overexpression of the JmjC-domain histone demethylase JMJD3 (KDM6b) in MDS CD34+ cells. Furthermore, we demonstrate that JMJD3 has a positive effect on transcription of multiple CHIP-Seq identified genes involved in NF-κB activation. Inhibition of JMJD3 using shRNA in primary BM MDS CD34+ cells resulted in an increased number of erythroid colonies in samples isolated from patients with lower-risk MDS. Taken together, these data indicate the deregulation of H3K4me3 and associated abnormal activation of innate immunity signals have a role in the pathogenesis of MDS and that targeting these signals may have potential therapeutic value in MDS.


Sujet(s)
Antigènes CD34/métabolisme , Cartographie chromosomique , Histone/génétique , Immunité innée/immunologie , Jumonji Domain-Containing Histone Demethylases/génétique , Lysine/génétique , Syndromes myélodysplasiques/immunologie , Technique de Western , Moelle osseuse/métabolisme , Moelle osseuse/anatomopathologie , Immunoprécipitation de la chromatine , Humains , Techniques immunoenzymatiques , Jumonji Domain-Containing Histone Demethylases/métabolisme , Syndromes myélodysplasiques/génétique , Syndromes myélodysplasiques/anatomopathologie , Facteur de transcription NF-kappa B/génétique , Facteur de transcription NF-kappa B/métabolisme , Régions promotrices (génétique)/génétique , ARN messager/génétique , Réaction de polymérisation en chaine en temps réel , RT-PCR , Cellules cancéreuses en culture
5.
Leukemia ; 27(2): 344-52, 2013 Feb.
Article de Anglais | MEDLINE | ID: mdl-22864358

RÉSUMÉ

BCR-ABL-negative myeloproliferative neoplasms (MPNs) are most frequently characterized by the JAK2V617F gain-of-function mutation, but several studies showed that JAK2V617F may not be the initiating event in MPN development, and recent publications indicate that additional alterations such as chromatin modification and microRNA (miRNA) deregulation may have an important role in MPN pathogenesis. Here we report that 61 miRNAs were significantly deregulated in CD34+ cells from MPN patients compared with controls (P<0.01). Global miRNA analysis also revealed that polycythemia vera (JAKV617F) and essential thrombocythemia (JAK2 wild type) patients have significantly different miRNA expression profiles from each other. Among the deregulated miRNAs, expression of miR-134, -214 and -433 was not affected by changes in JAK2 activity, suggesting that additional signaling pathways are responsible for the deregulation of these miRNAs in MPN. Despite its upregulation in MPN CD34+ and during normal erythropoiesis, both overexpression and knockdown studies suggest that miR-433 negatively regulates CD34+ proliferation and differentiation ex vivo. Its novel target GBP2 is downregulated during normal erythropoiesis and regulates proliferation and erythroid differentiation in TF-1 cells, indicating that miR-433 negatively regulates hematopoietic cell proliferation and erythropoiesis by directly targeting GBP2.


Sujet(s)
Marqueurs biologiques tumoraux/génétique , Différenciation cellulaire , Prolifération cellulaire , Cellules érythroïdes/cytologie , microARN/génétique , Syndromes myéloprolifératifs/génétique , Antigènes CD34/métabolisme , Cellules cultivées , Cellules érythroïdes/métabolisme , Érythropoïèse/physiologie , Protéines G/antagonistes et inhibiteurs , Protéines G/génétique , Protéines G/métabolisme , Analyse de profil d'expression de gènes , Humains , Kinase Janus-2/génétique , Luciferases/métabolisme , Mutation/génétique , Syndromes myéloprolifératifs/métabolisme , Syndromes myéloprolifératifs/anatomopathologie , Séquençage par oligonucléotides en batterie , ARN messager/génétique , Petit ARN interférent/génétique , Réaction de polymérisation en chaine en temps réel , RT-PCR
6.
Blood Cancer J ; 1(11): e40, 2011 Nov.
Article de Anglais | MEDLINE | ID: mdl-22829077

RÉSUMÉ

Polycythemia vera (PV), essential thrombocythemia and primary myelofibrosis, are myeloproliferative neoplasms (MPNs) with distinct clinical features and are associated with the JAK2V617F mutation. To identify genomic anomalies involved in the pathogenesis of these disorders, we profiled 87 MPN patients using Affymetrix 250K single-nucleotide polymorphism (SNP) arrays. Aberrations affecting chr9 were the most frequently observed and included 9pLOH (n=16), trisomy 9 (n=6) and amplifications of 9p13.3-23.3 (n=1), 9q33.1-34.13 (n=1) and 9q34.13 (n=6). Patients with trisomy 9 were associated with elevated JAK2V617F mutant allele burden, suggesting that gain of chr9 represents an alternative mechanism for increasing JAK2V617F dosage. Gene expression profiling of patients with and without chr9 abnormalities (+9, 9pLOH), identified genes potentially involved in disease pathogenesis including JAK2, STAT5B and MAPK14. We also observed recurrent gains of 1p36.31-36.33 (n=6), 17q21.2-q21.31 (n=5) and 17q25.1-25.3 (n=5) and deletions affecting 18p11.31-11.32 (n=8). Combined SNP and gene expression analysis identified aberrations affecting components of a non-canonical PRC2 complex (EZH1, SUZ12 and JARID2) and genes comprising a 'HSC signature' (MLLT3, SMARCA2 and PBX1). We show that NFIB, which is amplified in 7/87 MPN patients and upregulated in PV CD34+ cells, protects cells from apoptosis induced by cytokine withdrawal.

7.
Neuropharmacology ; 58(4-5): 702-11, 2010.
Article de Anglais | MEDLINE | ID: mdl-20060846

RÉSUMÉ

The in vitro and in vivo pharmacological effects of [2-amino-4-(2,4,6-trimethylbenzylamino)-phenyl]-carbamic acid ethyl ester (AA29504), which is a close analogue of retigabine, have been investigated. AA29504 induced a rightward shift of the activation threshold at cloned KCNQ2, 2/3 and 4 channels expressed in Xenopus oocytes, with a potency 3-4fold lower than retigabine. AA29504 (1 muM) had no agonist activity when tested at alpha(1)beta(3)gamma(2s) or alpha(4)beta(3)delta GABA(A) receptors expressed in Xenopus oocytes, but left-shifted the EC(50) for GABA and gaboxadol (THIP) at both receptors. The maximum GABA response at alpha(1)beta(3)gamma(2s) receptors was unchanged by AA29504 (1 muM), but increased 3-fold at alpha(4)beta(3)delta receptors. In slices prepared from the prefrontal cortex of adult rats AA29504 had no effect alone on the average IPSC or the tonic current in layer II/III pyramidal neurons, but potentiated the effect of gaboxadol on both phasic and tonic currents. Thus, the effects of gaboxadol could be positively modulated by AA29504. Systemic administration of AA29504 at doses relevant for modulating GABA transmission produced anxiolytic effects and reduced motor coordination consistent with activity at GABA(A) receptors. We conclude that AA29504 exerts a major action via alpha(4)beta(3)delta-containing GABA(A) receptors, which will be important for interpreting its effect in vivo.


Sujet(s)
Modulateurs GABA/pharmacologie , Sous-unités de protéines/métabolisme , Récepteurs GABA-A/métabolisme , Synapses/effets des médicaments et des substances chimiques , Synapses/métabolisme , Animaux , Relation dose-effet des médicaments , Peur/effets des médicaments et des substances chimiques , Peur/physiologie , Peur/psychologie , Femelle , Modulateurs GABA/composition chimique , Humains , Mâle , Isoformes de protéines/métabolisme , Rats , Rat Sprague-Dawley , Rat Wistar , Xenopus laevis , Acide gamma-amino-butyrique/biosynthèse
8.
Leukemia ; 23(7): 1252-6, 2009 Jul.
Article de Anglais | MEDLINE | ID: mdl-19322210

RÉSUMÉ

Hemizygous deletions are common molecular abnormalities in cancer. In some cases, these deletions highlight chromosomal loci containing tumor suppressor genes that undergo homozygous inactivation. In other cases, hemizygous deletions cause disease by allelic insufficiency for one or more genes. As the intact allele has no identifiable lesions, functional approaches are critical for the identification of pathogenic genes within large deletions. Hemizygous, interstitial deletion of chromosome 5q is the most common cytogenetic abnormality in myelodysplastic syndrome (MDS) and has been the focus of functional analysis. Some patients with this molecular lesion have the 5q- syndrome, a disorder with a highly consistent clinical phenotype. A systematic RNA interference screen to interrogate the function of each gene in the common deleted region (CDR) for the 5q- syndrome identified RPS14 as a critical haploinsufficiency disease gene for the erythroid failure, which is a characteristic of this syndrome. Genes located in an adjacent deleted region have also been implicated in MDS. The full clinical phenotype is likely caused by the integration of effects from allelic insufficiency for multiple genes. With the identification and characterization of these genes, the 5q deletion is becoming a model for understanding hemizygous chromosomal deletions in cancer.


Sujet(s)
Délétion de segment de chromosome , Chromosomes humains de la paire 5 , Syndromes myélodysplasiques/génétique , Humains , Interférence par ARN
9.
Mol Cell Endocrinol ; 301(1-2): 104-8, 2009 Mar 25.
Article de Anglais | MEDLINE | ID: mdl-19022342

RÉSUMÉ

Inflammatory bowel diseases such as Crohn's disease (CD) and ulcerative colitis (UC) are characterized by an increase in pro-inflammatory cytokines. On the other hand, endogenous cortisol is regarded as physiological compound to combat inflammation. The local activation of glucocorticoids is mediated by 11beta-hydroxysteroid dehydrogenase type 1 (11beta-HSD1) which increases cortisol, and 11beta-HSD2 which decreases cortisol concentrations. We hypothesized that in inflamed tissues of patients suffering from inflammatory bowel diseases 11beta-HSD1 is upregulated whereas 11beta-HSD2 is downregulated. By using quantitative real-time PCR, we investigated the transcription levels of 11beta-HSD1 and 11beta-HSD2 in patients diagnosed with CD or UC. Expression of 11beta-HSD1 was significantly elevated in inflamed tissue compared to non-inflamed colonic tissue in both, CD (2.7-fold) and UC (3.8-fold), whereas 11beta-HSD2 expression was decreased in the same samples. In both diseases, male patients showed a more pronounced upregulation of 11beta-HSD1 (CD: 4.8-fold, UC: 6.5-fold) compared to females (CD: 1.8-fold, UC: 1.8-fold), a fact which might be due to the higher levels of circulating anti-inflammatory estrogens in women. Our data support the hypothesis that both enzymes play a crucial role in inflammation by affecting local tissue ratios between active and inactive glucocorticoids.


Sujet(s)
11-beta-Hydroxysteroid dehydrogenase type 2/génétique , Analyse de profil d'expression de gènes , Maladies inflammatoires intestinales/enzymologie , Maladies inflammatoires intestinales/génétique , 11-beta-Hydroxysteroid dehydrogenase type 1/génétique , 11-beta-Hydroxysteroid dehydrogenase type 1/métabolisme , 11-beta-Hydroxysteroid dehydrogenase type 2/métabolisme , Adulte , Sujet âgé , Rectocolite hémorragique/enzymologie , Rectocolite hémorragique/génétique , Cortisone/composition chimique , Cortisone/métabolisme , Maladie de Crohn/enzymologie , Maladie de Crohn/génétique , Femelle , Régulation de l'expression des gènes codant pour des enzymes , Humains , Hydrocortisone/composition chimique , Hydrocortisone/métabolisme , Mâle , Adulte d'âge moyen , Modèles biologiques , ARN messager/génétique , ARN messager/métabolisme , Caractères sexuels
10.
Ultrasound Obstet Gynecol ; 28(3): 335-40, 2006 Sep.
Article de Anglais | MEDLINE | ID: mdl-16909438

RÉSUMÉ

OBJECTIVES: To evaluate whether real-time elastography, a new, non-invasive method for the diagnosis of breast cancer, improves the differentiation and characterization of benign and malignant breast lesions. METHODS: Real-time elastography was carried out in 108 potential breast tumor patients with cytologically or histologically confirmed focal breast lesions (59 benign, 49 malignant; median age, 53.9 years; range, 16-84 years). Tumor and healthy tissue were differentiated by measurement of elasticity based on the correlation between tissue properties and elasticity modulus. Evaluation was performed using the three-dimensional (3D) finite element method, in which the information is color-coded and superimposed on the B-mode ultrasound image. A second observer evaluated the elastography images, in order to improve the objectivity of the method. The results of B-mode scan and elastography were compared with those of histology and previous sonographic findings. Sensitivities and specificities were calculated, taking histology as the gold standard. RESULTS: B-mode ultrasound had a sensitivity of 91.8% and a specificity of 78%, compared with sensitivities of 77.6% and 79.6% and specificities of 91.5% and 84.7%, respectively, for the two observers evaluating elastography. Agreement between B-mode ultrasound and elastography was good, yielding a weighted kappa of 0.67. CONCLUSIONS: Our initial clinical results suggest that real-time elastography improves the specificity of breast lesion diagnosis and is a promising new approach for the diagnosis of breast cancer. Elastography provides additional information for differentiating malignant BI-RADS (breast imaging reporting and data system) category IV lesions.


Sujet(s)
Tumeurs du sein/imagerie diagnostique , Traitement d'image par ordinateur/méthodes , Mammographie/méthodes , Adolescent , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Tumeurs du sein/anatomopathologie , Diagnostic différentiel , Élasticité , Femelle , Analyse des éléments finis , Humains , Adulte d'âge moyen , Valeur prédictive des tests , Sensibilité et spécificité , Échographie
11.
J Fluoresc ; 15(3): 337-62, 2005 May.
Article de Anglais | MEDLINE | ID: mdl-15986157

RÉSUMÉ

The scope of this paper is to illustrate the need for an improved quality assurance in fluorometry. For this purpose, instrumental sources of error and their influences on the reliability and comparability of fluorescence data are highlighted for frequently used photoluminescence techniques ranging from conventional macro- and microfluorometry over fluorescence microscopy and flow cytometry to microarray technology as well as in vivo fluorescence imaging. Particularly, the need for and requirements on fluorescence standards for the characterization and performance validation of fluorescence instruments, to enhance the comparability of fluorescence data, and to enable quantitative fluorescence analysis are discussed. Special emphasis is dedicated to spectral fluorescence standards and fluorescence intensity standards.

12.
Article de Allemand | MEDLINE | ID: mdl-15650907

RÉSUMÉ

At the end of the twentieth century, tropical infectious diseases increased despite earlier successes of eradication campaigns. As a global warming of 1.4-5.8 degrees C is anticipated to occur by 2100, mainly the vector-borne tropical diseases that are particularly sensitive to climate are expected to spread. Although biological reasons seemingly support this hypothesis, ecological and socioeconomic factors have in the past proven to be stronger driving forces for the spread of infectious disease than climate.


Sujet(s)
Maladies transmissibles/transmission , Effet de serre , Animaux , Vecteurs de maladies , Maladies endémiques , Humains , Appréciation des risques , Climat tropical , Médecine tropicale , Zoonoses/transmission
13.
Biochim Biophys Acta ; 1681(1): 38-46, 2004 Nov 24.
Article de Anglais | MEDLINE | ID: mdl-15566942

RÉSUMÉ

It was shown recently that in epithelial Caco-2 cells the food contaminant benzo[a]pyrene (B[a]P) is metabolized and B[a]P-sulfate metabolites were transported out of the cells. The aim of this study was to investigate whether B[a]P and other polycyclic aromatic hydrocarbons (PAH) such as chrysene, phenanthrene, benzo[k]fluoranthene (B[k]F), dibenzo[a,l]pyrene (DB[a,l]P), and pyrene alone or in a mixture in a ratio as they occur in tobacco smoke have effects on gene expression of intestinal cytochrome P450 enzymes (CYP), Phase II enzymes and ATP-binding cassette (ABC)-transport proteins in the human Caco-2 cells. B[a]P induced its own metabolism. Treatment of the Caco-2 cells with B[a]P, chrysene, B[k]F, or DB[a,l]P induced mRNA expression of CYP1A1 and CYP1B1 specifically as measured by RT-PCR. In contrast, the mRNA expression of the microsomal epoxide hydrolase (mEH) was not affected by PAH. The gene expression of the Phase II enzymes UDP-glucuronosyltransferase 1A6 (UGT1A6) and UGT1A7 was also induced by these PAH but treatment with them had no effect on gene expression of sulfotransferases (SULT) at all. Of the ABC-transport proteins, MDR1 mRNA expression was induced by treatment with carcinogenic PAH, whereas MRP2 mRNA expression was not changed. The mixture of PAH also induced CYP1A1, CYP1B1, UGT1A6, and UGT1A7 mRNA expression. We conclude that B[a]P, chrysene, B[k]F, and DB[a,l]P have specific effects on intestinal CYP1A1, CYP1B1, UGT1A6, and UDP1A7 mRNA expression but no effects on the expression of SULT.


Sujet(s)
Transporteurs ABC/génétique , Aryl hydrocarbon hydroxylases/génétique , Cytochrome P-450 CYP1A1/génétique , Induction enzymatique/effets des médicaments et des substances chimiques , Epoxide hydrolase/génétique , Régulation de l'expression des gènes codant pour des enzymes/effets des médicaments et des substances chimiques , Hydrocarbures aromatiques polycycliques/pharmacologie , Sulfotransferases/génétique , Transporteurs ABC/métabolisme , Aryl hydrocarbon hydroxylases/métabolisme , Cellules Caco-2/enzymologie , Cellules cultivées , Cytochrome P-450 CYP1A1/métabolisme , Cytochrome P-450 CYP1B1 , Epoxide hydrolase/métabolisme , Glucuronosyltransferase/génétique , Glucuronosyltransferase/métabolisme , Humains , RT-PCR , Sulfotransferases/métabolisme
14.
Gut ; 52(1): 28-33, 2003 Jan.
Article de Anglais | MEDLINE | ID: mdl-12477755

RÉSUMÉ

BACKGROUND AND AIMS: Specialised intestinal metaplasia and its dysplastic transformation, which precedes cancer in Barrett's oesophagus cannot be differentiated in standard gastroscopy. The aim of this study was to investigate whether laser induced protoporphyrin IX fluorescence permits the detection of specialised intestinal metaplasia and dysplasia during endoscopy and to take biopsy specimens in a guided rather than random manner. METHODS: In 53 patients with Barrett's oesophagus 5-aminolaevulinic acid was sprayed on the mucosa. Approximately 60 to 120 minutes later, biopsy specimens were taken based on point-like measurements of delayed fluorescence intensity ratios of protoporphyrin IX in vivo. Two independent pathologists examined the 596 biopsy specimens taken, 168 of which were selected to be investigated by a third pathologist. Among these specimens only those (n=141) with a consensus diagnosis by at least two pathologists and p53 expression as additional marker were included in the analysis. RESULTS: The median of normalised fluorescence intensity (ratio of delayed PpIX fluorescence intensity to immediate autofluorescence intensity) in non-dysplastic specialised intestinal metaplasia (0.51, 68% CI 0.09 to 1.92) and low grade dysplasia (1.89, 68% CI 0.55 to 3.92) differed significantly (p<0.005). Dysplasia was detected at a rate 2.8-fold higher compared with screening endoscopy despite taking fewer specimens. In addition, three early cancers were detected for the first time. Moreover, this method permitted differentiation of specialised intestinal metaplasia from junctional or gastric-fundic type epithelium (p<0.013). CONCLUSIONS: For the first time it was possible to differentiate low grade dysplasia from non-dysplastic Barrett's mucosa during endoscopy based on delayed laser induced fluorescence endoscopy of PpIX. Furthermore, the method helps to detect specialised intestinal metaplasia in short Barrett's oesophagus.


Sujet(s)
Adénocarcinome/anatomopathologie , Oesophage de Barrett/anatomopathologie , Tumeurs de l'oesophage/anatomopathologie , Oesophage/anatomopathologie , États précancéreux/anatomopathologie , Adénocarcinome/métabolisme , Adulte , Sujet âgé , Sujet âgé de 80 ans ou plus , Acide amino-lévulinique , Oesophage de Barrett/métabolisme , Marqueurs biologiques tumoraux/analyse , Biopsie/méthodes , Diagnostic différentiel , Tumeurs de l'oesophage/métabolisme , Oesophage/composition chimique , Femelle , Humains , Intestins/anatomopathologie , Mâle , Métaplasie/anatomopathologie , Adulte d'âge moyen , Photosensibilisants , États précancéreux/métabolisme , Protoporphyrines/analyse , Traitement du signal assisté par ordinateur , Spectrométrie de fluorescence/instrumentation , Spectrométrie de fluorescence/méthodes , Protéine p53 suppresseur de tumeur/analyse
15.
Br J Pharmacol ; 137(1): 1-8, 2002 Sep.
Article de Anglais | MEDLINE | ID: mdl-12183325

RÉSUMÉ

1. GABA(A) receptor agonists have previously been characterized at human GABA(A) receptors expressed in Xenopus oocytes. The correlation between these data and functional in vivo data of 4,5,6,7-tetrahydroisoxazolo[5,4-c]pyridin-3-ol (THIP) has shown that THIP is 100 fold more potent in clinical studies than in oocytes. 2. THIP and a series of agonists (GABA, Isoguvacine), partial agonists (Imidazole acetic acid; P4S, 4-PIOL, thio-4-PIOL) and one antagonist (SR95531) were characterized in the rat cortical wedge preparation using inhibition of spontaneous activity in Mg(++) free medium as the measurable parameter. 3. Agonists were in general 40 times more potent in the wedge preparation than at alpha(1)beta(3)gamma(2s) containing receptors expressed in Xenopus oocytes, whereas the antagonist was equipotent under these two conditions. 4. Partial agonists with responses above 6% at alpha(1)beta(3)gamma(2s) containing receptors were full agonists in the rat cortical wedge preparation, whereas partial agonists with maximum responses below 6% behaved as partial agonists in the rat cortical wedge preparation. 5. These data suggest that only a small fraction of the GABA(A) receptors in the rat cortical wedge needs to be activated by GABA(A) agonists in order to obtain a maximum response. Results therefore indicate a significant contribution of extrasynaptic receptors to pharmacological activity of exogenous applied GABA(A) agonists in this system.


Sujet(s)
Cortex cérébral/métabolisme , Agonistes GABA/pharmacologie , Antagonistes GABA/pharmacologie , Isoxazoles/pharmacologie , Récepteurs GABA-A/physiologie , Synapses/métabolisme , Animaux , Relation dose-effet des médicaments , Électrophysiologie , Agonistes GABA/composition chimique , Antagonistes GABA/composition chimique , Agonistes du récepteur GABA-A , Antagonistes du récepteur GABA-A , Techniques in vitro , Mâle , Sous-unités de protéines , Rats , Rat Sprague-Dawley , Relation structure-activité
16.
Endoscopy ; 34(8): 611-6, 2002 Aug.
Article de Anglais | MEDLINE | ID: mdl-12173080

RÉSUMÉ

BACKGROUND AND STUDY AIMS: The methods of endoscopic ablation of metaplastic and dysplastic areas in Barrett's esophagus so far described, are not satisfactory with respect to efficacy and safety. Therefore we investigated whether photodynamic therapy (PDT) with topical delta-aminolevulinic acid (delta-ALA) leads to ablation of specialized columnar epithelium and eradication of low-grade dysplasia while not producing phototoxicity and systemic side effects. PATIENTS AND METHODS: 14 patients with histologically proven Barrett's esophagus, seven of whom had evidence of low-grade dysplasia, underwent endoscopic treatment with topical delta-ALA. Photoactivation (wavelength, 632 nm) was performed at 1.5 - 2 hours after drug administration using an argon dye laser. Patients received omeprazole 80 mg daily for 2 months; thereafter; maintenance therapy depended on reflux symptoms. Patients were endoscopically re-evaluated after 7 days, and subsequently at 3, 6, 12 and up to 48 months (mean follow up 33 months). Re-treatment with high-dose topical delta-ALA was offered to the 11 patients with remaining metaplasia and was carried out in five of them. RESULTS: Low-grade dysplasia was eradicated in all patients. One patient with no dysplasia before PDT developed a high-grade dysplasia after PDT. Complete ablation of Barrett's metaplasia was observed in 21 % of the patients after the first treatment session and in 20 % after the second treatment session. The mean reduction in the length of Barrett's metaplasia was 1.54 +/- 1.29 cm after the first PDT session and 1.02 +/- 0.80 cm after the second PDT session. Post-endoscopic pain and photosensitivity reactions were less frequent with low-dose delta-ALA PDT than with high-dose PDT (pain 15 %, 100 %, respectively; P = 0.001 by Fisher's exact test; phototoxicity, 0 %, 50 %, respectively; P = 0.021 by Fisher's exact test). CONCLUSION: Low-dose topical administration of delta-ALA provides ablation of low-grade dysplasia in the range obtained with oral delta-ALA. In addition, it is safe and well tolerated. Since, however, topical administration of delta-ALA is not able to consistently eradicate Barrett's esophagus, alternative methods will have to be developed.


Sujet(s)
Acide amino-lévulinique/usage thérapeutique , Oesophage de Barrett/traitement médicamenteux , Tumeurs de l'oesophage/traitement médicamenteux , Photothérapie dynamique , Photosensibilisants/usage thérapeutique , États précancéreux/traitement médicamenteux , Oesophage de Barrett/anatomopathologie , Tumeurs de l'oesophage/anatomopathologie , Femelle , Humains , Mâle , Adulte d'âge moyen , Projets pilotes , États précancéreux/anatomopathologie , Résultat thérapeutique
17.
Bioorg Med Chem Lett ; 11(12): 1573-7, 2001 Jun 18.
Article de Anglais | MEDLINE | ID: mdl-11412984

RÉSUMÉ

The potency and efficacy of a series of bioisosterically modified GABA analogues were determined electrophysiologically using heteromeric GABA(A) receptors expressed in Xenopus oocytes. These agonist parameters were shown to be strongly dependent on the receptor subunit combination. On the other hand, the antagonist potencies of the classical GABA(A) antagonists SR 95531 (7) and BMC (8) and also of 5g and the phosphinic acid bioisosteres of 5a, compounds 5f and 6, were essentially independent of the receptor subunit combinations.


Sujet(s)
Récepteurs GABA-A/composition chimique , Récepteurs GABA-A/métabolisme , Animaux , Agonistes GABA/métabolisme , Antagonistes GABA/métabolisme , Humains , Concentration inhibitrice 50 , Ligands , Ovocytes , Sous-unités de protéines , Transfection , Xenopus
18.
J Anat ; 198(Pt 5): 591-602, 2001 May.
Article de Anglais | MEDLINE | ID: mdl-11430698

RÉSUMÉ

Both the fetal and maternal microvasculature of bovine placentomes was examined by scanning electron microscopy of vascular casts. So far the development of the vascular architecture of the bovine placentome in early gestation has only been studied 2-dimensionally due to technical difficulties arising from the fragility of the early placental blood vessels. Repeated experiments led to the selection of the microvascular corrosion casts presented here. The vasculature of the maternal compartment is supplied by large caruncular stalk or spiral arteries, which release short maternal stem arteries. In the 3rd month of gestation, these arteries branch into several arterioles at their base, thus providing the vascular framework for the lower part of the septal walls of the primary crypts. In the 4th month, due to progressive longitudinal growth of the stem arteries, branching into arterioles occurs not only at the base, but over the whole length of the stem arteries. These arterioles supply the capillary complexes of the septa which resemble the major part of the septal vasculature and face the secondary crypts. Further indentation results in the formation of tertiary crypt capillary complexes, encircling the earlier secondary unit. From the 6th month of gestation the architecture resembles the fully developed maternal placenta with stem arteries running directly to the fetal side to branch into 4 to 6 arterioles, which turn back to enter secondary and tertiary septa. Maternal venules, collecting the blood from the capillary bed of secondary and tertiary septa, converge onto stem veins leaving the caruncle via branches of the uterine vein. The fetal part of the placentome is supplied by the cotyledonary arteries, which branch into fetal stem arteries that are the tributary to single villous trees. Over their whole course towards the maternal side, these give off arterioles entering secondary villi. The tertiary or terminal villous vasculature consists of capillaries, which are organised in serial capillary loops. This system is progressively elaborated in the course of gestation. In the 4th month there are only finger-like loops, whereas from the 6th month large fan-like structures can be observed. In early gestation the maternal and fetal blood vessels meet predominantly in a countercurrent fashion, changing to the less efficient crosscurrent exchange when the tertiary unit develops. These results indicate the development of a highly elaborated fetomaternal villous-crypt exchange system, already established in the 1st half of gestation, thus meeting the increasing needs of the fetus.


Sujet(s)
Bovins/physiologie , Endomètre/vascularisation , Membranes extraembryonnaires/vascularisation , Foetus/vascularisation , Placenta/vascularisation , Animaux , Artères/anatomie et histologie , Vaisseaux capillaires/anatomie et histologie , Moulage par corrosion , Femelle , Âge gestationnel , Microscopie électronique à balayage , Grossesse , Veines/anatomie et histologie
19.
Synapse ; 41(3): 203-11, 2001 Sep 01.
Article de Anglais | MEDLINE | ID: mdl-11391781

RÉSUMÉ

When developing ligands for emission tomography studies, one of the major obstacles lies in the selection of ligand candidates. A previously unattended factor such as the influence of temperature on candidate ligand affinity is likely to play a role. By use of rat brain homogenates, the binding characteristics of [(3)H]-(S)-citalopram and [(3)H]-(+)-McN5652 and the receptor-ligand interaction at the serotonin transporter of 17 selective serotonin reuptake inhibitors were compared at 21 degrees C and 37 degrees C, respectively. Ligand logP values were also calculated. The ratios for K(i) at 37 degrees C vs. 21 degrees C varied between 0.2 and 2.2 for the selective serotonin reuptake inhibitors considered in this study, with most of the ligands displaying an inverse relationship between K(i) and temperature. Ten of the 17 selective serotonin reuptake inhibitors were found to have pK(i) values statistically significantly different at 21 degrees C compared to 37 degrees C (P < 0.05). The logP values ranged between 3.6 and 4.8, except for DASB, 5-iodo-6-nitroquipazine, and paroxetine where logP was 1.9, 2.2, and 5.0, respectively. K(d) was 0.71 nM at 37 degrees C and 0.31 nM at 21 degrees C for [(3)H]-(S)-citalopram. For [(3)H]-(+)-McN5652 K(d) was 0.11 nM at 37 degrees C and 0.08 nM at 21 degrees C. The association and dissociation was much faster for [(3)H]-(S)-citalopram as compared to [(3)H]-(+)-McN5652. It is concluded that temperature may affect K(d) differently and that in vitro dissociation may help to predict whether a given ligand may be useful in PET studies. LogP values do not per se predict the potential of a given ligand as an emission tomography tracer.


Sujet(s)
Citalopram/pharmacocinétique , Inbiteurs sélectifs de la recapture de la sérotonine/pharmacocinétique , Tomographie par émission monophotonique , Tomoscintigraphie , Animaux , Température du corps , Encéphale/imagerie diagnostique , Encéphale/métabolisme , Membrane cellulaire/métabolisme , Isoquinoléines/pharmacocinétique , Rats , Antisérotonines/pharmacocinétique , Tritium
20.
Br J Pharmacol ; 133(4): 539-49, 2001 Jun.
Article de Anglais | MEDLINE | ID: mdl-11399671

RÉSUMÉ

Based on an unexpected high maximum response to piperidine-4-sulphonic acid (P4S) at human alpha1alpha6beta2gamma2 GABA(A) receptors expressed in Xenopus oocytes attempts to correlate this finding with the pharmacological profile of P4S and other GABA(A) receptor ligands in neuronal cultures from rat cerebellar granule cells and rat cerebral cortex were carried out. GABA and isoguvacine acted as full and piperidine-4-sulphonic acid (P4S) as partial agonists, respectively, at alpha1beta2gamma2, alpha6beta2gamma2 and alpha1alpha6beta2gamma2 GABA receptors expressed in Xenopus oocytes with differences in potency. Whole-cell patch-clamp recordings were used to investigate the pharmacological profile of the partial GABA(A) receptor agonists 4,5,6,7-tetrahydroisoxazolo-(5,4-c)pyridin-3-ol (THIP), P4S, 5-(4-piperidyl)isoxazol-3-ol (4-PIOL), and 3-(4-piperidyl)isoxazol-5-ol (iso-4-PIOL), and the competitive GABA(A) receptor antagonists Bicuculline Methbromide (BMB) and 2-(3-carboxypropyl)-3-amino-6-methoxyphenyl-pyridazinium bromide (SR95531) on cerebral cortical and cerebellar granule neurons. In agreement with findings in oocytes, GABA, isoguvacine and P4S showed similar pharmacological profiles in cultured cortical and cerebellar neurones, which are known to express mainly alpha1, alpha2, alpha3, and alpha5 containing receptors and alpha1, alpha6 and alpha1alpha6 containing receptors, respectively. 4-PIOL and iso-4-PIOL, which at GABA(A) receptors expressed in oocytes were weak antagonists, showed cell type dependent potency as inhibitors of GABA mediated responses. Thus, 4-PIOL was slightly more potent at cortical neurones than at granule neurones and iso-4-PIOL was more potent in inhibiting isoguvacine-evoked currents at cortical than at granule neurons. Furthermore the maximum response to 4-PIOL corresponded to that of a partial agonist, whereas that of iso-4-PIOL gave a maximum response close to zero. It is concluded that the pharmacological profile of partial agonists is highly dependent on the receptor composition, and that small structural changes of a ligand can alter the selectivity towards different subunit compositions. Moreover, this study shows that pharmacological actions determined in oocytes are generally in agreement with data obtained from cultured neurons.


Sujet(s)
Bicuculline/analogues et dérivés , Cervelet/effets des médicaments et des substances chimiques , Cortex cérébral/effets des médicaments et des substances chimiques , Agonistes GABA/pharmacologie , Agonistes du récepteur GABA-A , Neurones/effets des médicaments et des substances chimiques , Animaux , Bicuculline/pharmacologie , Cellules cultivées , Cervelet/cytologie , Cortex cérébral/cytologie , Électrophysiologie , Acides isonicotiniques/pharmacologie , Isoxazoles/pharmacologie , Souris , Neurones/physiologie , Ovocytes/effets des médicaments et des substances chimiques , Ovocytes/métabolisme , Techniques de patch-clamp , Pipéridines/pharmacologie , Pyridazines/pharmacologie , Récepteurs GABA-A/métabolisme , Xenopus laevis
SÉLECTION CITATIONS
DÉTAIL DE RECHERCHE
...