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1.
Int J Biol Macromol ; 262(Pt 1): 129781, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38296131

RESUMO

Thioredoxins (TRXs) are ubiquitous small, globular proteins involved in cell redox processes. In this work, we report the solution structure of TRX m from Pisum sativum (pea), which has been determined on the basis of 1444 nuclear Overhauser effect- (NOE-) derived distance constraints. The average pairwise root-mean-square deviation (RMSD) for the 20 best structures for the backbone residues (Val7-Glu102) was 1.42 ± 0.15 Å, and 1.97 ± 0.15 Å when all heavy atoms were considered. The structure corresponds to the typical fold of TRXs, with a central five-stranded ß-sheet flanked by four α-helices. Some residues had an important exchange dynamic contribution: those around the active site; at the C terminus of ß-strand 3; and in the loop preceding α-helix 4. Smaller NOE values were observed at the N and C-terminal residues forming the elements of the secondary structure or, alternatively, in the residues belonging to the loops between those elements. A peptide derived from pea fructose-1,6-biphosphatase (FBPase), comprising the preceding region to the regulatory sequence of FBPase (residues Glu152 to Gln179), was bound to TRX m with an affinity in the low micromolar range, as measured by fluorescence and NMR titration experiments. Upon peptide addition, the intensities of the cross-peaks of all the residues of TRX m were affected, as shown by NMR. The value of the dissociation constant of the peptide from TRX m was larger than that of the intact FBPase, indicating that there are additional factors in other regions of the polypeptide chain of the latter protein affecting the binding to thioredoxin.


Assuntos
Tiorredoxinas de Cloroplastos , Pisum sativum , Tiorredoxinas de Cloroplastos/metabolismo , Sequência de Aminoácidos , Espectroscopia de Ressonância Magnética , Peptídeos
3.
Urol Int ; 100(2): 146-154, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29346783

RESUMO

INTRODUCTION: To assess whether [-2]pro-prostate-specific antigen (p2PSA) meets the criteria to justify its inclusion in a predictive model of prostate cancer (PCa) diagnosis and in the clinical decision-making process. MATERIALS AND METHODS: A total 172 men with total prostate-specific antigen of 2-10 ng/mL underwent measurement of free PSA and p2PSA before prostate biopsy in an observational and prospective study. From these measurements, the Prostate Health Index (PHI) was calculated. Clinical and analytical predictive models were created incorporating PHI. RESULTS: Of 172 men, 72 (42%) were diagnosed with PCa, 33 (46%) of whom were found to be with high-grade disease. PHI score was the most predictive of biopsy outcomes in terms of discriminative ability (area under the curve = 0.79), with an added gain in predictive accuracy of 17%. All the models that incorporated PHI worked better in terms of calibration close to 45° on the slope. In the decision curve analysis, at a threshold probability of 40% we could prevent 82 biopsies, missing only 16 tumors and 5 high-grade tumors. CONCLUSIONS: PHI score is a more discriminant biomarker, has superior calibration and superior net benefit, and provides a higher rate of avoided biopsies; thus, it can be useful for aiding in making a more informed decision for each patient.


Assuntos
Tomada de Decisão Clínica , Técnicas de Apoio para a Decisão , Calicreínas/sangue , Antígeno Prostático Específico/sangue , Neoplasias da Próstata/sangue , Precursores de Proteínas/sangue , Idoso , Área Sob a Curva , Biópsia , Humanos , Masculino , Pessoa de Meia-Idade , Gradação de Tumores , Valor Preditivo dos Testes , Estudos Prospectivos , Neoplasias da Próstata/patologia , Neoplasias da Próstata/terapia , Curva ROC , Reprodutibilidade dos Testes
4.
Front Plant Sci ; 4: 463, 2013 Nov 21.
Artigo em Inglês | MEDLINE | ID: mdl-24319449

RESUMO

The sessile nature of plants forces them to face an ever-changing environment instead of escape from hostile conditions as animals do. In order to overcome this survival challenge, a fine monitoring and controlling of the status of the photosynthetic electron transport chain and the general metabolism is vital for these organisms. Frequently, evolutionary plant adaptation has consisted in the appearance of multigenic families, comprising an array of enzymes, structural components, or sensing, and signaling elements, in numerous occasions with highly conserved primary sequences that sometimes make it difficult to discern between redundancy and specificity among the members of a same family. However, all this gene diversity is aimed to sort environment-derived plant signals to efficiently channel the external incoming information inducing a right physiological answer. Oxygenic photosynthesis is a powerful source of reactive oxygen species (ROS), molecules with a dual oxidative/signaling nature. In response to ROS, one of the most frequent post-translational modifications occurring in redox signaling proteins is the formation of disulfide bridges (from Cys oxidation). This review is focused on the role of plastid thioredoxins (pTRXs), proteins containing two Cys in their active site and largely known as part of the plant redox-signaling network. Several pTRXs types have been described so far, namely, TRX f, m, x, y, and z. In recent years, improvements in proteomic techniques and the study of loss-of-function mutants have enabled us to grasp the importance of TRXs for the plastid physiology. We will analyze the specific signaling function of each TRX type and discuss about the emerging role in non-photosynthetic plastids of these redox switchers.

5.
J Exp Bot ; 63(13): 4887-900, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22791824

RESUMO

Thioredoxins (TRXs) f and m are key components in the light regulation of photosynthetic metabolism via thiol-dithiol modulation in chloroplasts of leaves; however, little is known about the factors modulating the expression of these proteins. To investigate the effect of sugars as photosynthetic products on the expression of PsTRX f and m1 genes, sucrose and glucose were externally supplied to pea plants during the day. There was an increase in the mRNA levels of PsTRX f and m1 genes in response mainly to glucose. When leaf discs were incubated for up to 4h in the dark, glucose also led to an increase in both mRNA and protein levels of TRXs f and m, while sucrose had no substantial effect. Expression of PsDOF7, a carbon metabolism-related transcription factor gene, was also induced by glucose. Protein-DNA interaction showed that PsDOF7 binds specifically to the DOF core located in PsTRX f and m1 gene promoters. Transient expression in agroinfiltrated pea leaves demonstrated that PsDOF7 activated transcription of both promoters. The incubation of leaf discs in dithiotreitol (DTT) to increase the redox status led to a marked increase in the mRNA and protein levels of both TRXs within 4h. The increase in TRX protein levels occurred after 1h DTT feeding, implying a rapid effect of the thiol status on TRX f and m1 protein turnover rates, while transcriptional regulation took 3h to proceed. These results show that the protein levels of both TRXs are under short-term control of the sugar and thiol status in plants.


Assuntos
Carboidratos/farmacologia , Tiorredoxinas de Cloroplastos/metabolismo , Pisum sativum/metabolismo , Proteínas de Plantas/metabolismo , Compostos de Sulfidrila/metabolismo , Sequência de Aminoácidos , Metabolismo dos Carboidratos , Carboidratos/análise , Tiorredoxinas de Cloroplastos/genética , Cloroplastos/metabolismo , Frutose/análise , Frutose/metabolismo , Frutose/farmacologia , Expressão Gênica , Glucose/análise , Glucose/metabolismo , Glucose/farmacologia , Dados de Sequência Molecular , Pisum sativum/efeitos dos fármacos , Pisum sativum/genética , Folhas de Planta/efeitos dos fármacos , Folhas de Planta/genética , Folhas de Planta/metabolismo , Proteínas de Plantas/genética , Raízes de Plantas/efeitos dos fármacos , Raízes de Plantas/genética , Raízes de Plantas/metabolismo , Regiões Promotoras Genéticas/genética , Estrutura Terciária de Proteína , RNA Mensageiro/genética , RNA de Plantas/genética , Transdução de Sinais , Sacarose/análise , Sacarose/metabolismo , Sacarose/farmacologia
6.
Plant Sci ; 188-189: 82-8, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22525247

RESUMO

Plastid thioredoxins (TRXs) f and m have long been considered to regulate almost exclusively photosynthesis-related processes. Nonetheless, some years ago, we found that type-f and m TRXs were also present in non-photosynthetic organs such as roots and flowers of adult pea plants. In the present work, using pea seedlings 2-5 days old, we have determined the mRNA expression profile of the plastid PsTRX f, m1, and m2, together with the ferredoxin NADP reductase (FNR). Our results show that these TRX isoforms are expressed in cotyledons, underlying similar expression levels in roots for PsTRX m2. We have also noted plastid TRX expression in cotyledons of etiolated seedlings of Arabidopsis thaliana lines carrying constructs corresponding to PsTRX f and m1 promoters fused to the reporter gene GUS, pointing to a role in reserve mobilization. Furthermore, the response of plastid TRXs to NaCl and their capacity in restoring the growth of a TRX-deficient yeast under saline conditions suggest a role in the tolerance to salinity. We propose that these redox enzymes take part of the reserve mobilization in seedling cotyledons and we suggest additional physiological functions of PsTRX m2 in roots and PsTRX m1 in the salinity-stress response during germination.


Assuntos
Arabidopsis/fisiologia , Tiorredoxinas de Cloroplastos/metabolismo , Pisum sativum/fisiologia , Estresse Fisiológico/fisiologia , Sequência de Aminoácidos , Arabidopsis/genética , Arabidopsis/metabolismo , Tiorredoxinas de Cloroplastos/química , Tiorredoxinas de Cloroplastos/genética , Cotilédone/genética , Cotilédone/metabolismo , Cotilédone/fisiologia , Flores/genética , Flores/metabolismo , Flores/fisiologia , Regulação da Expressão Gênica de Plantas/fisiologia , Germinação , Dados de Sequência Molecular , Oxirredução , Pisum sativum/genética , Pisum sativum/metabolismo , Fotossíntese , Raízes de Plantas/genética , Raízes de Plantas/metabolismo , Raízes de Plantas/fisiologia , Plastídeos/metabolismo , Regiões Promotoras Genéticas/genética , Isoformas de Proteínas , RNA de Plantas/metabolismo , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/crescimento & desenvolvimento , Salinidade , Plântula/genética , Plântula/metabolismo , Plântula/fisiologia , Alinhamento de Sequência , Transgenes
7.
Gynecol Endocrinol ; 28(9): 678-81, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22304627

RESUMO

The aim of this study is to compare two r-hCG doses to trigger ovulation (250 µg vs. 500 µg of r-hCG) in an oocyte donation program. A prospective, randomized study was conducted in 118 oocyte donors. Group DI received 250 µg and Group DII received 500 µg of r-hCG. Both the groups were homogeneous. No significant differences were found in the total dose of gonadotropins, duration of the treatment, total number of oocytes, or Metaphase II (MII)oocytes. The pregnancy rate per embryo transfer in the corresponding recipients was similar for both the groups (58.2% for DII recipients and 56.1% for DI recipients). Mild hyperstimulation was observed in 17 donors in Group DI (29%) and in 23 donors in Group DII (39%). No cases of severe ovarian hyperstimulation syndrome (SOHSS) were observed. In conclusion, a double dose of r-hCG in oocyte donors to trigger ovulation after stimulation with r-FSH and antagonist does not translate into a higher number of MII oocytes retrieved or into higher pregnancy rates among recipients. Our results confirm that the optimal dose to induce the final oocyte maturation with r-hCG is 250 µg, and that a higher dose does not add any benefit.


Assuntos
Gonadotropina Coriônica/administração & dosagem , Recuperação de Oócitos/métodos , Oócitos/efeitos dos fármacos , Indução da Ovulação/métodos , Adolescente , Adulto , Transferência Embrionária , Feminino , Humanos , Gravidez , Taxa de Gravidez
8.
PLoS One ; 6(2): e17068, 2011 Feb 22.
Artigo em Inglês | MEDLINE | ID: mdl-21364950

RESUMO

Thioredoxins (TRXs) are ubiquitous proteins involved in redox processes. About forty genes encode TRX or TRX-related proteins in plants, grouped in different families according to their subcellular localization. For instance, the h-type TRXs are located in cytoplasm or mitochondria, whereas f-type TRXs have a plastidial origin, although both types of proteins have an eukaryotic origin as opposed to other TRXs. Herein, we study the conformational and the biophysical features of TRXh1, TRXh2 and TRXf from Pisum sativum. The modelled structures of the three proteins show the well-known TRX fold. While sharing similar pH-denaturations features, the chemical and thermal stabilities are different, being PsTRXh1 (Pisum sativum thioredoxin h1) the most stable isoform; moreover, the three proteins follow a three-state denaturation model, during the chemical-denaturations. These differences in the thermal- and chemical-denaturations result from changes, in a broad sense, of the several ASAs (accessible surface areas) of the proteins. Thus, although a strong relationship can be found between the primary amino acid sequence and the structure among TRXs, that between the residue sequence and the conformational stability and biophysical properties is not. We discuss how these differences in the biophysical properties of TRXs determine their unique functions in pea, and we show how residues involved in the biophysical features described (pH-titrations, dimerizations and chemical-denaturations) belong to regions involved in interaction with other proteins. Our results suggest that the sequence demands of protein-protein function are relatively rigid, with different protein-binding pockets (some in common) for each of the three proteins, but the demands of structure and conformational stability per se (as long as there is a maintained core), are less so.


Assuntos
Fenômenos Biofísicos/fisiologia , Sequência Conservada , Pisum sativum/metabolismo , Tiorredoxinas/química , Tiorredoxinas/metabolismo , Ácidos/farmacologia , Sequência de Aminoácidos , Sequência Conservada/fisiologia , Células Eucarióticas/metabolismo , Hidrodinâmica , Dados de Sequência Molecular , Família Multigênica , Pisum sativum/química , Pisum sativum/genética , Conformação Proteica/efeitos dos fármacos , Desnaturação Proteica/efeitos dos fármacos , Multimerização Proteica , Estabilidade Proteica/efeitos dos fármacos , Homologia de Sequência de Aminoácidos , Tiorredoxinas/genética , Tiorredoxinas/fisiologia
9.
J Exp Bot ; 62(6): 2039-51, 2011 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-21196476

RESUMO

Chloroplastic thioredoxins f and m (TRX f and TRX m) mediate light regulation of carbon metabolism through the activation of Calvin cycle enzymes. The role of TRX f and m in the activation of Calvin cycle enzymes is best known among the TRX family. However, the discoveries of new potential targets extend the functions of chloroplastic TRXs to other processes in non-photosynthetic tissues. As occurs with numerous chloroplast proteins, their expression comes under light regulation. Here, the focus is on the light regulation of TRX f and TRX m in pea and Arabidopsis during the day/night cycle that is maintained during the subjective night. In pea (Pisum sativum), TRX f and TRX m1 expression is shown to be governed by a circadian oscillation exerted at both the transcriptional and protein levels. Binding shift assays indicate that this control probably involves the interaction of the CCA1 transcription factor and an evening element (EE) located in the PsTRX f and PsTRX m1 promoters. In Arabidopsis, among the multigene family of TRX f and TRX m, AtTRX f2 and AtTRX m2 mRNA showed similar circadian oscillatory regulation, suggesting that such regulation is conserved in plants. However, this oscillation was disrupted in plants overexpressing CCA1 (cca1-ox) or repressing CCA1 and LHY (cca1-lhy). The physiological role of the oscillatory regulation of chloroplastic TRX f and TRX m in plants during the day/night cycle is discussed.


Assuntos
Proteínas de Arabidopsis/metabolismo , Arabidopsis/metabolismo , Tiorredoxinas de Cloroplastos/metabolismo , Ritmo Circadiano , Pisum sativum/metabolismo , Fatores de Transcrição/metabolismo , Arabidopsis/genética , Cloroplastos/metabolismo , Regulação da Expressão Gênica de Plantas , Genes Reporter , Glucuronidase , Folhas de Planta/metabolismo , Plantas Geneticamente Modificadas/metabolismo , Regiões Promotoras Genéticas , RNA Mensageiro/metabolismo
10.
J Plant Physiol ; 167(6): 423-9, 2010 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-20005595

RESUMO

The largest group of plant thioredoxins (TRXs) consists of the so-called h-type; their great number raises questions about their specific or redundant roles in plant cells. Pisum sativum thioredoxin h1 (PsTRXh1) and Pisum sativum thioredoxin h2 (PsTRXh2) are both h-type TRXs from pea (Pisum sativum) previously identified and biochemically characterized. While both are involved in redox regulation and show a high-sequence identity (60%), they display different behavior during in vitro and in vivo assays. In this work, we show that these two proteins display different specificity in the capturing of protein targets in vitro, by the use of a new stringent method. PsTRXh2 interacted with classical antioxidant proteins, whereas PsTRXh1 showed a completely different pattern of targeted proteins, and was able to capture a transcription factor. We also showed that the two proteins display very different thermal and chemical stabilities. We suggest that the differences in thermal and chemical stability point to a distinct and characteristic pattern of protein specificity.


Assuntos
Pisum sativum/metabolismo , Proteínas de Plantas/metabolismo , Tiorredoxinas/metabolismo , Cromatografia de Afinidade , Dicroísmo Circular , Pisum sativum/genética , Proteínas de Plantas/genética , Proteômica/métodos , Tiorredoxinas/genética
11.
Nat Struct Mol Biol ; 16(8): 890-6, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19597482

RESUMO

Thioredoxins (Trxs) are oxidoreductase enzymes, present in all organisms, that catalyze the reduction of disulfide bonds in proteins. By applying a calibrated force to a substrate disulfide, the chemical mechanisms of Trx catalysis can be examined in detail at the single-molecule level. Here we use single-molecule force-clamp spectroscopy to explore the chemical evolution of Trx catalysis by probing the chemistry of eight different Trx enzymes. All Trxs show a characteristic Michaelis-Menten mechanism that is detected when the disulfide bond is stretched at low forces, but at high forces, two different chemical behaviors distinguish bacterial-origin from eukaryotic-origin Trxs. Eukaryotic-origin Trxs reduce disulfide bonds through a single-electron transfer reaction (SET), whereas bacterial-origin Trxs show both nucleophilic substitution (S(N)2) and SET reactions. A computational analysis of Trx structures identifies the evolution of the binding groove as an important factor controlling the chemistry of Trx catalysis.


Assuntos
Tiorredoxinas/química , Tiorredoxinas/metabolismo , Sequência de Aminoácidos , Animais , Proteínas de Bactérias/química , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Sítios de Ligação , Catálise , Simulação por Computador , Cristalografia por Raios X , Dissulfetos/química , Dissulfetos/metabolismo , Células Eucarióticas/metabolismo , Evolução Molecular , Variação Genética , Humanos , Isoenzimas/química , Isoenzimas/genética , Isoenzimas/metabolismo , Cinética , Espectroscopia de Ressonância Magnética/métodos , Modelos Moleculares , Dados de Sequência Molecular , Oxirredutases/classificação , Oxirredutases/genética , Oxirredutases/metabolismo , Filogenia , Estrutura Terciária de Proteína , Homologia de Sequência de Aminoácidos , Especificidade da Espécie , Tiorredoxinas/genética
12.
Rev Calid Asist ; 24(1): 32-5, 2009 Feb.
Artigo em Espanhol | MEDLINE | ID: mdl-19369140

RESUMO

INTRODUCTION: On some occasions, patients admitted to Spanish public hospitals, do not have a specific physician responsible for them and this can have a negative impact on the quality of health care. The aim of this work is to measure the level of knowledge of the physician responsible for a hospitalised patient. MATERIAL AND METHODS: It is a transverse prospective study on the discharges from a public general hospital. Personal surveys were carried out on patients who were discharged and on their nurses, asking them separately the name of the responsible physician. The name of the responsible physician who appeared in the minimum basic data set (MBDS) was also recorded. The percentages of coincidence were obtained by comparing the responsible physician that the patient, the nurse and the MBDS identified with the physician who signed the discharge being taken as the reference value. RESULTS: The physician who signed the discharge report was identified by 26.5% of the patients, 48.8% of the nurses and 72.1% of the MBDS as the responsible physician. CONCLUSIONS: The identification of the physician responsible for a in-patient by the patient, as well as the nurse is low and variable depending on the different medical services. In the future, the use of the physician responsible variable in the MBDS to obtain quality and efficiency indicators for each physician will improve the assignment of a physician to every in-patient, as well being recorded in the MBDS.


Assuntos
Corpo Clínico Hospitalar , Papel do Profissional de Enfermagem , Papel do Médico , Garantia da Qualidade dos Cuidados de Saúde , Responsabilidade Social , Adulto , Idoso , Estudos Transversais , Coleta de Dados , Feminino , Registros Hospitalares , Hospitais Gerais/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Humanos , Masculino , Corpo Clínico Hospitalar/estatística & dados numéricos , Pessoa de Meia-Idade , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem Hospitalar/estatística & dados numéricos , Alta do Paciente/estatística & dados numéricos , Relações Médico-Paciente , Estudos Prospectivos
13.
J Exp Bot ; 60(10): 2923-31, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19325167

RESUMO

This review offers an overview of the current state of our knowledge concerning the role of fructose-1,6-bisphosphatase (FBPase) in sugar partitioning and biosynthesis, through the analysis of genetically manipulated plants. The existence of two well-characterized isoforms is a consequence of the subcellular compartmentalization of photosynthetic eukaryotes, conditioning their respective regulatory mechanisms and their influence over plant metabolism and photosynthesis. Both isoforms are important, as has been deduced from previous work with different plant species, although there is still much to be done in order to gain a definitive vision of this issue. Despite that, alteration of the FBPase content follows a general pattern, there are some differences that could be considered species-specific. Modifications lead to profound changes in the carbohydrate content and carbon allocation, raising questions as to whether flux of some sugars or sugar precursors from one side to the other of the chloroplast envelope occurs to rebalance carbohydrate metabolism or whether other compensatory, though not fully efficient, enzymatic activities come into play. Due to the pleiotropic nature of modifying the core carbon metabolism, an answer to the above questions would require an exhaustive study involving diverse aspects of plant physiology.


Assuntos
Metabolismo dos Carboidratos , Frutose-Bifosfatase/metabolismo , Proteínas de Plantas/metabolismo , Plantas/enzimologia , Plantas/genética , Transporte Biológico , Carboidratos/biossíntese , Frutose-Bifosfatase/genética , Proteínas de Plantas/genética , Plantas/metabolismo , Plantas Geneticamente Modificadas/enzimologia , Plantas Geneticamente Modificadas/genética , Plantas Geneticamente Modificadas/metabolismo , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo
14.
Plant Cell Environ ; 32(7): 811-27, 2009 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19220782

RESUMO

A full-length FBPase cDNA has been isolated from Fragaria x ananassa (strawberry) corresponding to a novel putative chloroplastic FBPase but lacking the regulatory redox domain, a characteristic of the plastidial isoenzyme (cpFBPaseI). Another outstanding feature of this novel isoform, called cpFBPaseII, is the absence of the canonical active site. Enzymatic assays with cpFBPaseII evidenced clear Mg(2+)-dependent FBPase activity and a K(m) for fructose-1,6-bisphosphate (FBP) of 1.3 mM. Immunolocalization experiments and chloroplast isolation confirmed that the new isoenzyme is located in the stroma. Nevertheless, unlike cpFBPaseI, which is redox activated, cpFBPaseII did not increase its activity in the presence of either DTT or thioredoxin f (TRX f) and is resistant to H(2)O(2) inactivation. Additionally, the novel isoform was able to complement the growth deficiency of the yeast FBP1 deletion fed with a non-fermentable carbon source. Furthermore, orthologues are restricted to land plants, suggesting that cpFBPaseII is a novel and an intriguing chloroplastic FBPase that emerged late in the evolution of photosynthetic organisms, possibly because of a pressing need of land plants.


Assuntos
Cloroplastos/enzimologia , Fragaria/enzimologia , Frutose-Bifosfatase/metabolismo , Sequência de Aminoácidos , Arabidopsis/enzimologia , Arabidopsis/genética , Biologia Computacional , DNA Complementar , DNA de Plantas/genética , Fragaria/genética , Frutose-Bifosfatase/genética , Genes de Plantas , Teste de Complementação Genética , Isoenzimas/genética , Isoenzimas/metabolismo , Dados de Sequência Molecular , Alinhamento de Sequência , Análise de Sequência de DNA , Especificidade por Substrato
15.
Rev. calid. asist ; 24(1): 32-35, ene. 2009. tab
Artigo em Es | IBECS | ID: ibc-71678

RESUMO

Introducción: En los hospitales públicos españoles, en algunas ocasiones, el paciente hospitalizado no tiene un médico responsable específico lo que puede tener implicaciones negativas para la calidad de la asistencia. El objetivo de este trabajo es medir el grado de conocimiento de quién es el médico responsable de un paciente ingresado. Material y métodos: Es un estudio transversal prospectivo sobre las altas de un hospital general público. Se realizaron encuestas personales a los pacientes que se iban de alta y a su enfermera, a quienes se preguntó, por separado, el nombre del médico responsable. También se registró el nombre del médico responsable que figuraba en el conjunto mínimo básico de datos (CMBD) y se obtuvieron los porcentajes de coincidencia entre el medico que identificó el paciente, la enfermera y el CMBD comparado con el que firmaba el informe de alta, que se tomó como patrón de comparación por su valor legal. Resultados: El 26,5% de los pacientes, el 48,8% de las enfermeras y el 72,1% del CMBD identificaron como médico responsable al que firmaba el informe de alta. Conclusiones: La identificación del médico responsable de un paciente ingresado por parte del paciente y de la enfermera es baja y hay variabilidad según los diferentes servicios médicos. En el futuro, la utilización de la variable médico responsable del CMBD para obtener indicadores de calidad y eficiencia por cada médico producirá efectos beneficiosos: mejorará la asignación clara de cada uno de los pacientes ingresados a un médico, así como su registro en el CMBD


Introduction: On some occasions, patients admitted to Spanish public hospitals, do not have a specific physician responsible for them and this can have a negative impact on the quality of health care. The aim of this work is to measure the level of knowledge of the physician responsible for a hospitalised patient. Material and methods: It is a transverse prospective study on the discharges from a public general hospital. Personal surveys were carried out on patients who were discharged and on their nurses, asking them separately the name of the responsible physician. The name of the responsible physician who appeared in the minimum basic data set (MBDS) was also recorded. The percentages of coincidence were obtained by comparing the responsible physician that the patient, the nurse and the MBDS identified with the physician who signed the discharge being taken as the reference value. Results: The physician who signed the discharge report was identified by 26.5% of the patients, 48.8% of the nurses and 72.1% of the MBDS as the responsible physician. Conclusions: The identification of the physician responsible for a in-patient by the patient, as well as the nurse is low and variable depending on the different medical services. In the future, the use of the physician responsible variable in the MBDS to obtain quality and efficiency indicators for each physician will improve the assignment of a physician to every in-patient, as well being recorded in the MBDS (AU)


Assuntos
Humanos , Corpo Clínico Hospitalar/organização & administração , Médicos de Família/organização & administração , Assistência ao Paciente/tendências , Garantia da Qualidade dos Cuidados de Saúde/tendências , Atenção Primária à Saúde , Indicadores de Qualidade em Assistência à Saúde/tendências
16.
J Exp Bot ; 59(6): 1267-77, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18356145

RESUMO

Plants are the organisms containing the most complex multigenic family for thioredoxins (TRX). Several types of TRXs are targeted to chloroplasts, which have been classified into four subgroups: m, f, x, and y. Among them, TRXs f and m were the first plastidial TRXs characterized, and their function as redox modulators of enzymes involved in carbon assimilation in the chloroplast has been well-established. Both TRXs, f and m, were named according to their ability to reduce plastidial fructose-1,6-bisphosphatase (FBPase) and malate dehydrogenase (MDH), respectively. Evidence is presented here based on the immunocytochemistry of the localization of f and m-type TRXs from Pisum sativum in non-photosynthetic tissues. Both TRXs showed a different spatial pattern. Whilst PsTRXm was localized to vascular tissues of all the organs analysed (leaves, stems, and roots), PsTRXf was localized to more specific cells next to xylem vessels and vascular cambium. Heterologous complementation analysis of the yeast mutant EMY63, deficient in both yeast TRXs, by the pea plastidial TRXs suggests that PsTRXm, but not PsTRXf, is involved in the mechanism of reactive oxygen species (ROS) detoxification. In agreement with this function, the PsTRXm gene was induced in roots of pea plants in response to hydrogen peroxide.


Assuntos
Pisum sativum/química , Pisum sativum/metabolismo , Tiorredoxinas/análise , Tiorredoxinas/metabolismo , Expressão Gênica/efeitos dos fármacos , Teste de Complementação Genética , Peróxido de Hidrogênio/farmacologia , Família Multigênica , Estresse Oxidativo , Pisum sativum/genética , Estruturas Vegetais/citologia , Estruturas Vegetais/genética , Estruturas Vegetais/metabolismo , Isoformas de Proteínas/análise , Isoformas de Proteínas/genética , Isoformas de Proteínas/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Tiorredoxinas/genética , Leveduras/genética
17.
Plant Physiol ; 145(3): 946-60, 2007 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-17885084

RESUMO

Plant thioredoxins (TRXs) are involved in redox regulation of a wide variety processes and usually exhibit organ specificity. We report strong evidence that chloroplastic TRXs are localized in heterotrophic tissues and suggest some ways in which they might participate in several metabolic and developmental processes. The promoter regions of the chloroplastic f and m1 TRX genes were isolated from a pea (Pisum sativum) plant genomic bank. Histochemical staining for beta-glucuronidase (GUS) in transgenic homozygous Arabidopsis (Arabidopsis thaliana) plants showed preferential expression of the 444-bp PsTRXf1 promoter in early seedlings, stems, leaves, and roots, as well as in flowers, stigma, pollen grains, and filaments. GUS activity under the control of the 1,874-bp PsTRXm1 promoter was restricted to the leaves, roots, seeds, and flowers. To gain insight into the translational regulation of these genes, a series of deletions of 5' elements in both TRX promoters were analyzed. The results revealed that a 126-bp construct of the PsTRXf2 promoter was unable to reproduce the expression pattern observed with the full promoter. The differences in expression and tissue specificity between PsTRXm1 and the deleted promoters PsTRXm2 and PsTRXm3 suggest the existence of upstream positive or negative regulatory regions that affect tissue specificity, sucrose metabolism, and light regulation. PsTRXm1 expression is finely regulated by light and possibly by other metabolic factors. In situ hybridization experiments confirmed new localizations of these chloroplastic TRX transcripts in vascular tissues and flowers, and therefore suggest possible new functions in heterotrophic tissues related to cell division, germination, and plant reproduction.


Assuntos
Proteínas de Arabidopsis/metabolismo , Tiorredoxinas de Cloroplastos/metabolismo , Flores/metabolismo , Fotossíntese/fisiologia , Pisum sativum/metabolismo , Raízes de Plantas/metabolismo , Arabidopsis/genética , Arabidopsis/metabolismo , Proteínas de Arabidopsis/genética , Sequência de Bases , Tiorredoxinas de Cloroplastos/genética , Clonagem Molecular , DNA de Plantas , Regulação da Expressão Gênica de Plantas , Hibridização In Situ , Dados de Sequência Molecular , Raízes de Plantas/genética , Plantas Geneticamente Modificadas , Reação em Cadeia da Polimerase , Regiões Promotoras Genéticas , Transporte Proteico , Proteínas Recombinantes
18.
Plant Physiol ; 143(1): 300-11, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17098852

RESUMO

Thioredoxins (TRXs) are small ubiquitous oxidoreductases involved in disulfide bond reduction of a large panel of target proteins. The most complex cluster in the family of plant TRXs is formed by h-type TRXs. In Arabidopsis (Arabidopsis thaliana), nine members of this subgroup were described, which are less well known than their plastidial counterparts. The functional study of type-h TRXs is difficult because of the high number of isoforms and their similar biochemical characteristics, thus raising the question whether they have specific or redundant functions. Type-h TRXs are involved in seed germination and self incompatibility in pollen-pistil interaction. Their function as antioxidants has recently been proposed, but further work is needed to clarify this function in plants. In this study, we describe two new h-type TRXs from pea (Pisum sativum; stated PsTRXh1 and PsTRXh2). By functional complementation of a yeast (Saccharomyces cerevisiae) trx1Delta trx2Delta double mutant, we demonstrate that PsTRXh1 is involved in the redox-imbalance control, possibly through its interaction with peroxiredoxins. In contrast, PsTRXh2 provokes a phenotype of hypersensitivity to hydrogen peroxide in the yeast mutant. Furthermore, we show differential gene expression and protein accumulation of the two isoforms, PsTRXh1 protein being abundantly detected in vascular tissue and flowers, whereas PsTRXh2 gene expression was hardly detectable. By comparison with previous data of additional PsTRXh isoforms, our results indicate specific functions for the pea h-type TRXs so far described.


Assuntos
Oxirredução , Pisum sativum/metabolismo , Proteínas de Plantas/fisiologia , Tiorredoxinas/metabolismo , Sequência de Aminoácidos , Teste de Complementação Genética , Dados de Sequência Molecular , Mutação , Estresse Oxidativo , Pisum sativum/anatomia & histologia , Filogenia , Proteínas de Plantas/química , Proteínas de Plantas/genética , Saccharomyces cerevisiae/genética , Alinhamento de Sequência , Tiorredoxinas/química , Tiorredoxinas/genética
19.
Plant Signal Behav ; 2(5): 426-7, 2007 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-19704622

RESUMO

During the last decade, plant thioredoxins (TRX) h-type have been shown to be implicated in several new roles like the protection against the oxidative stress by their ability to reduce some antioxidant proteins as peroxiredoxins (PRX) or methionine-sulphoxide-reductases (MSR). However, the concept of the oxidative stress is changing and this fact raises the question of the TRX roles in this new context. In the January issue of Plant Physiology, we have presented two TRXsh from Pisum sativum differently involved in the control of the redox status. PsTRXh1 is an h-type TRX that acts by reducing classical antioxidant proteins. PsTRXh2 seems to be also involved in redox control, however it could act contrary to its counterpart h1. Both proteins may play antagonistic roles in pea in order to lead a better control of the redox status.

20.
J Exp Bot ; 55(408): 2495-503, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15448173

RESUMO

The pea chloroplastic fructose-1,6-bisphosphatase (FBPase) antisense construct reduced the endogenous level of expression of the corresponding Arabidopsis thaliana gene. The reduction of foliar FBPase activity in the transformants T(2) and T(3) generation ranged from 20% to 42%, and correlated with lower levels of FBPase protein. FBPase antisense plants displayed different phenotypes with a clear increase in leaf fresh weight. Measurements of photosynthesis revealed a higher carbon-assimilation rate. Decreased FBPase activity boosted the foliar carbohydrate contents, with a shift in the sucrose:starch ratio, which reached a maximum of 0.99 when the activity loss was 41%. Nitrate reductase activity decreased simultaneously with an increase in glutamine synthetase activity, which could be explained in terms of ammonium assimilation regulation by sugar content. These results suggest the role of FBPase as a key enzyme in CO(2) assimilation, and also in co-ordinating carbon and nitrogen metabolism.


Assuntos
Arabidopsis/metabolismo , Frutose-Bifosfatase/metabolismo , Nitrogênio/metabolismo , Sacarose/metabolismo , Elementos Antissenso (Genética)/genética , Elementos Antissenso (Genética)/metabolismo , Arabidopsis/genética , Metabolismo dos Carboidratos , Cloroplastos/enzimologia , Frutose-Bifosfatase/genética , Glutamato-Amônia Ligase/metabolismo , Nitrato Redutase , Nitrato Redutases/metabolismo , Pisum sativum/enzimologia , Pisum sativum/genética , Fenótipo , Folhas de Planta/anatomia & histologia , Plantas Geneticamente Modificadas
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