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1.
Eur J Clin Microbiol Infect Dis ; 36(10): 1839-1845, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28477235

RESUMO

Daptomycin (DAP) is widely used in the treatment of methicillin-resistant Staphylococcus aureus (MRSA) infection. The emergence of DAP non-susceptible MRSA strains during therapy is a major concern in clinical settings. Recent studies revealed that MRSA spontaneously reverts to a subsequent methicillin-susceptible S. aureus (MSSA) strain. However, it is not clear whether DAP non-susceptible MRSA has the ability to revert to a susceptible strain. We obtained an MRSA strain pair, DAP non-susceptible strain and subsequent DAP susceptible strain, from a patient. To understand the underlying mechanism by which DAP non-susceptible MRSA reverts to a susceptible strain, we performed genetic and phenotypic analysis in the strain pair. Although whole-genome analysis revealed four missense mutations, including L826F in mprF, in both strains, the net cell-surface charge was similar between the DAP non-susceptible and susceptible strains. However, the thickness of the cell wall was higher in the DAP non-susceptible strain, which was decreased to the same level as the control after reversion to the DAP susceptible strain. Moreover, the non-susceptible strain showed higher mRNA expression of the two-component system (TCS), such as VraSR, yycG and GraS, with the up-regulated transcription levels of cell-wall biosynthesis-related genes. The expression levels of those genes were decreased after reversion to the susceptible strain. These results indicated that DAP non-susceptibility due to up-regulation of the TCS and cell-wall biosynthesis-related genes may be reversible by the discontinuation of DAP, leading to reversion to the DAP susceptible phenotype.


Assuntos
Antibacterianos/farmacologia , Parede Celular/metabolismo , Daptomicina/farmacologia , Regulação Bacteriana da Expressão Gênica , Staphylococcus aureus Resistente à Meticilina/efeitos dos fármacos , Idoso , Análise Mutacional de DNA , Feminino , Perfilação da Expressão Gênica , Genótipo , Humanos , Staphylococcus aureus Resistente à Meticilina/genética , Staphylococcus aureus Resistente à Meticilina/isolamento & purificação , Mutação de Sentido Incorreto , Fenótipo
2.
Appl Environ Microbiol ; 83(7)2017 04 01.
Artigo em Inglês | MEDLINE | ID: mdl-28087537

RESUMO

Studies on the health-promoting effects of lactic acid bacteria (LAB) are numerous, but few provide examples of the relationship between LAB function and culture conditions. We verified the effect of differences in culture conditions on Lactobacillus plantarum OLL2712 functionality; this strain exhibits anti-inflammatory activity and preventive effects against metabolic disorders. We measured interleukin-10 (IL-10) and IL-12 production in murine immune cells treated with OLL2712 cells prepared under various culture conditions. The results showed that the IL-10-inducing activities of OLL2712 cells on murine immune cells differed dramatically between OLL2712 groups at different culture phases and using different culture medium components, temperatures, and neutralizing pHs. In particular, exponential-phase cells had much more IL-10-inducing activity than stationary-phase cells. We confirmed that the Toll-like receptor 2 (TLR2) stimulation activity of OLL2712 cells depended on culture conditions in conjunction with IL-10-inducing activity. We also demonstrated functional differences by culture phases in vivo; OLL2712 cells at exponential phase had more anti-inflammatory activity and anti-metabolic-disorder effects on obese and diabetic mice than those by their stationary-phase counterparts. These results suggest that culture conditions affect the functionality of anti-inflammatory LAB.IMPORTANCE While previous studies demonstrated that culture conditions affected the immunomodulatory properties of lactic acid bacteria (LAB), few have comprehensively investigated the relationship between culture conditions and LAB functionality. In this study, we demonstrated several culture conditions of Lactobacillus plantarum OLL2712 for higher anti-inflammatory activity. We also showed that culture conditions concretely influenced the health-promoting functions of OLL2712 in vivo, particularly against metabolic disorders. Further, we characterized a novel mechanism by which changing LAB culture conditions affected immunomodulatory properties. Our results suggest that culture condition optimization is important for the production of LAB with anti-inflammatory activity.


Assuntos
Diabetes Mellitus Tipo 2/imunologia , Diabetes Mellitus Tipo 2/microbiologia , Lactobacillus plantarum/fisiologia , Obesidade/imunologia , Obesidade/microbiologia , Animais , Meios de Cultura/química , Células Dendríticas/imunologia , Concentração de Íons de Hidrogênio , Imunomodulação , Interleucina-10/análise , Interleucina-10/biossíntese , Interleucina-10/imunologia , Interleucina-12/análise , Interleucina-12/biossíntese , Interleucina-12/imunologia , Lactobacillus plantarum/crescimento & desenvolvimento , Macrófagos/imunologia , Camundongos , Probióticos/uso terapêutico , Temperatura , Receptor 2 Toll-Like/biossíntese
3.
AJNR Am J Neuroradiol ; 33(11): 2167-70, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22595898

RESUMO

BACKGROUND AND PURPOSE: Restenosis after CAS is a postoperative problem, with a reported frequency of approximately 2%-8%. However differences in stent design, procedure, and the antiplatelet agent appear to affect the incidence of restenosis. We assessed the frequency of restenosis and the effect of the antiplatelet agent CLZ in preventing restenosis after CAS by the standard procedure using the CWS. MATERIALS AND METHODS: Between May 2010 and October 2011, 62 lesions in 60 consecutive patients underwent CAS using the CWS at 4 medical institutions, and all patients were followed clinically and assessed by sonography, 3D-CTA, or angiography at 3 and 6 months postoperatively. Restenosis was defined as ≥50% stenosis. The incidence of restenosis and the variation in the incidence of restenosis by the difference in type of antiplatelet agent between the CLZ group (n = 30; aspirin, 100 mg, and CLZ, 200 mg) and the non-CLZ group (n = 32; aspirin, 100 mg, and clopidogrel, 75 mg [n = 29]; or ticlopidine, 100 mg [n = 2] or 200 mg [n = 1]) were retrospectively investigated. Two antiplatelet agents were given starting 1 week preoperatively until at least 3 months postoperatively. RESULTS: Restenosis occurred in 5 patients (8.3%), but all were cases of asymptomatic lesions in the follow-up period. All 5 patients with restenosis were in the non-CLZ group, with no cases of restenosis in the CLZ group; the difference was significant (P = .0239). CONCLUSIONS: The restenosis rate after CAS by using the CWS was 8.3%. CLZ was associated with significant inhibition of restenosis.


Assuntos
Doenças das Artérias Carótidas/cirurgia , Oclusão de Enxerto Vascular/etiologia , Oclusão de Enxerto Vascular/prevenção & controle , Pré-Medicação/métodos , Stents/efeitos adversos , Tetrazóis/administração & dosagem , Idoso , Idoso de 80 Anos ou mais , Doenças das Artérias Carótidas/complicações , Cilostazol , Feminino , Humanos , Japão , Masculino , Pessoa de Meia-Idade , Desenho de Prótese , Estudos Retrospectivos , Resultado do Tratamento , Vasodilatadores/administração & dosagem
4.
Kidney Int ; 69(11): 1986-95, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16641924

RESUMO

Vascular endothelial growth factor (VEGF) is a potent angiogenic factor that maintains the glomerular and peritubular capillary (PTC) network in the kidney. The soluble form of the VEGF receptor-1 (soluble fms-like tyrosine kinase 1 (sFlt-1)) is known to regulate VEGF activity by binding VEGF in the circulation. We hypothesized that VEGF may be beneficial for maintaining glomerular filtration barrier and vascular network in rats with progressive glomerulonephritis (GN). For blockade of VEGF activity in vivo, rats were transfected twice with plasmid DNA encoding the murine sFlt-1 gene into femoral muscle 3 days before and 2 weeks after the induction of antiglomerular basement membrane antibody-induced GN. Inhibition of VEGF with sFlt-1 resulted in massive urinary protein excretion, concomitantly with downregulated expression of nephrin in nephritic rats. Further, blockade of VEGF induced mild proteinuria in normal rats. Administration of sFlt-1 affected neither the infiltration of macrophages nor crescentic formation. In contrast, treatment of sFlt-1 accelerated the progression of glomerulosclerosis and interstitial fibrosis accompanied with renal dysfunction and PTC loss at day 56. VEGF may play a role in maintaining the podocyte function as well as renal vasculature, thereby protecting glomeruli and interstitium from progressive renal insults.


Assuntos
Glomerulonefrite/complicações , Proteínas de Membrana/biossíntese , Proteinúria/etiologia , Fator A de Crescimento do Endotélio Vascular/antagonistas & inibidores , Fator A de Crescimento do Endotélio Vascular/fisiologia , Animais , Progressão da Doença , Glomerulonefrite/patologia , Masculino , Ratos , Ratos Endogâmicos WKY , Fatores de Tempo
5.
Methods ; 37(1): 94-102, 2005 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16199169

RESUMO

The light-addressable potentiometric sensor (LAPS) is a semiconductor-based chemical sensor with an electrolyte-insulator-semiconductor structure. The LAPS can have many measuring points integrated on the sensing surface, which are individually accessed by a light beam. By modifying the measuring points with different materials, a single sensor plate can be used as a multi-analyte sensor. In this paper, instrumentation and application of LAPS to multi-ion sensing and imaging are described. As a new application of LAPS, potentiometric imaging of a microfluidic channel is proposed.


Assuntos
Técnicas Biossensoriais/métodos , Íons/análise , Semicondutores , Técnicas Biossensoriais/instrumentação , Concentração de Íons de Hidrogênio , Luz , Lítio/análise , Potássio/análise , Potenciometria
6.
J Membr Biol ; 191(3): 201-7, 2003 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-12571754

RESUMO

The response to intracellular ADP-ribose in the rat CRI-G1 insulinoma cell line was studied using a patch-clamp method. Dialysis of ADP-ribose into cells induced a response in a dose-dependent manner. The reversal potentials in various solutions showed that the ADP-ribose-gated channel was a Ca2+-permeable nonselective cation channel. In inside-out recordings, ADP-ribose and b-NAD induced responses in the same patch. The single-channel current-voltage relationships for ADP-ribose- and b-NAD-induced responses were almost identical, indicating that ADP-ribose and b-NAD activated the same channel. The physiological properties of the ADP-ribose-gated channel are similar to those we reported previously for the cloned transient receptor potential channel TRPM2. Moreover, RT-PCR analysis showed that TRPM2 was abundantly expressed in CRI-G1 cells, suggesting that the ADP-ribose-gated channel represents the native TRPM2 channel in CRI-G1 cells. These results suggest that ADP-ribose can be an endogenous modulator of Ca2+ influx through the TRPM2 channel into CRI-G1 cells.


Assuntos
Adenosina Difosfato Ribose/farmacologia , Canais de Cálcio/efeitos dos fármacos , Canais de Cálcio/fisiologia , Insulinoma/fisiopatologia , Canais Iônicos , Proteínas de Membrana , Canais de Cálcio/genética , Clonagem Molecular , Relação Dose-Resposta a Droga , Ativação do Canal Iônico/efeitos dos fármacos , Ativação do Canal Iônico/fisiologia , Proteínas Recombinantes/efeitos dos fármacos , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Canais de Cátion TRPM , Células Tumorais Cultivadas
7.
Talanta ; 59(4): 785-95, 2003 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-18968966

RESUMO

In the present work a double ion sensor based on a laser scanned semiconductor transducer (LSST) for the simultaneous determination of K(+)- and Ca(2+)-ions in solutions has been developed. Specially elaborated ion-sensitive membrane compositions based on valinomycin and calcium ionophore calcium bis[4-(1,1,3,3-tetramethylbutyl)phenyl] phosphate (t-HDOPP-Ca) were deposited as separate layers on a silanized surface of the Si/SiO(2)/Si(3)N(4)-transducer. The proposed multi-sensor exhibits theoretical sensitivities and the detection limits of the sensor were found to be 2 x 10(-6) mol l(-1) for K(+) and 5 x 10(-6) mol l(-1) for Ca(2+). The elaborated double sensor is proposed for the first time as a prototype of a new type of multi-sensor systems for chemical analysis.

8.
Am J Kidney Dis ; 38(6): 1169-77, 2001 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11728947

RESUMO

p38 Mitogen-activated protein kinase (MAPK) is involved in the production and signal transduction of interleukin-1beta (IL-1beta), tumor necrosis factor-alpha, and chemokines in vitro. However, the crucial role of p38 MAPK in the inflammatory processes of crescentic glomerulonephritis in vivo remains to be investigated. We showed a dramatic decrease in IL-1beta-induced phosphorylation of p38 MAPK, not extracellular signal-regulated kinases 1/2 or jun NH2-terminal kinase, in rat cultured mesangial cells by FR167653. We explored the effects of FR167653 as a specific inhibitor of p38 MAPK on renal injury and subsequent renal expression of chemokines in a progressive experimental crescentic glomerulonephritis model in Wistar-Kyoto rats. Rats developed crescentic glomerulonephritis leading to glomerulosclerosis and interstitial fibrosis by 56 days after the administration of nephrotoxic sera. The number of phosphorylated p38 MAPK-positive cells, detected mainly in crescents, correlated well with the percentage of crescents and number of ED-1-positive cells. Phosphorylated p38 MAPK-positive cells were downregulated in glomeruli in rats with the daily subcutaneous administration of FR167653 for 6 days. Concomitantly, renal expression of macrophage inflammatory protein-1alpha and monocyte chemoattractant protein-1/monocyte chemotactic and activating factor was markedly reduced by day 6. The severity of glomerulosclerosis and interstitial fibrosis significantly decreased by day 56, and renal function was preserved. These results suggest that p38 MAPK phosphorylation is pivotal for crescentic glomerulonephritis, followed by the subsequent expression of renal chemokines. This study provides evidence that regulation of p38 MAPK is a novel appealing therapeutic target for crescentic glomerulonephritis.


Assuntos
Proteínas de Transporte/metabolismo , Quimiocina CCL2/metabolismo , Glomerulonefrite/metabolismo , Proteínas Inflamatórias de Macrófagos/metabolismo , Proteínas Quinases Ativadas por Mitógeno/metabolismo , Animais , Células Cultivadas , Quimiocina CCL4 , Glomerulonefrite/patologia , Masculino , Proteínas Quinases Ativadas por Mitógeno/efeitos dos fármacos , Fosforilação , Proteinúria/fisiopatologia , Pirazóis/farmacologia , Piridinas/farmacologia , Ratos , Ratos Endogâmicos WKY , Ratos Sprague-Dawley , Proteínas Quinases p38 Ativadas por Mitógeno
9.
Biochem Biophys Res Commun ; 287(5): 1088-92, 2001 Oct 12.
Artigo em Inglês | MEDLINE | ID: mdl-11587533

RESUMO

Cysteinyl leukotrienes (LTC(4), LTD(4), and LTE(4)) are a class of biologically active lipids that exert potent effects on the heart. To assess their roles, we investigated the distribution of their receptors, CysLT(1) and CysLT(2), in the cardiovascular system. CysLT(2) mRNA was detected at high levels in the human atrium and ventricle and at intermediate levels in the coronary artery, whereas CysLT(1) mRNA was barely detected. Further analysis by in situ hybridization revealed that CysLT(2) mRNA was expressed in myocytes, fibroblasts, and vascular smooth muscle cells, but not in endothelial cells. When human coronary smooth muscle cells were stimulated with LTC(4), the intracellular calcium concentration increased in a dose-dependent manner, and this action was partially inhibited by nicardipine. Additionally, these cells showed chemotactic responses to LTC(4). This is the first report on the physiological role of CysLT(2), and the findings suggest that CysLT(2) has biological significance in the cardiovascular system.


Assuntos
Artérias/fisiologia , Vasos Coronários/fisiologia , Proteínas de Membrana , Músculo Liso Vascular/fisiologia , Receptores de Leucotrienos/fisiologia , Artérias/citologia , Fenômenos Fisiológicos Cardiovasculares , Quimiotaxia , Vasos Coronários/citologia , Humanos , Leucotrieno C4/farmacologia , Músculo Liso Vascular/citologia , Receptores de Leucotrienos/isolamento & purificação , Distribuição Tecidual
10.
Mol Pharmacol ; 60(3): 432-9, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11502873

RESUMO

Platelet activation plays an essential role in thrombosis. ADP-induced platelet aggregation is mediated by two distinct G protein-coupled ADP receptors, Gq-linked P2Y(1), and Gi-linked P2T(AC), which has not been cloned. The cDNA encoding a novel G protein-coupled receptor, termed HORK3, was isolated. The HORK3 gene and P2Y(1) gene were mapped to chromosome 3q21-q25. HORK3, when transfected in the rat glioma cell subline (C6-15), responded to 2-methylthio-ADP (2MeSADP) (EC(50) = 0.08 nM) and ADP (EC(50) = 42 nM) with inhibition of forskolin-stimulated cAMP accumulation. 2MeSADP (EC(50) = 1.3 nM) and ADP (EC(50) = 18 nM) also induced intracellular calcium mobilization in P2Y(1)-expressing cells. These results show that HORK3 is a Gi/o-coupled receptor and that its natural ligand is ADP. AR-C69931 MX and 2MeSAMP, P2T(AC) antagonists, selectively inhibited 2MeSADP-induced adenylyl cyclase inhibition in HORK3-expressing cells. On the other hand, A3P5PS, a P2Y(1) antagonist, blocked only 2MeSADP-induced calcium mobilization in P2Y(1)-expressing cells. HORK3 mRNA was detected in human platelets and the expression level of HORK3 was equivalent to that of P2Y(1). These observations indicate that HORK3 has the characteristics of the proposed P2T(AC) receptor. We have also determined that [(3)H]2MeSADP binds to cloned HORK3 and P2Y(1). Competition binding experiments revealed a similarity in the rank orders of potency of agonists and the selectivity of antagonists as obtained in the functional assay. These results support the view that P2Y(1) functions as a high-affinity ADP receptor and P2T(AC) as a low-affinity ADP receptor in platelets.


Assuntos
Proteínas de Membrana , Receptores Purinérgicos P2/química , Receptores Purinérgicos P2/genética , Trifosfato de Adenosina/análogos & derivados , Trifosfato de Adenosina/farmacologia , Sequência de Aminoácidos , Animais , Ligação Competitiva , Células Cultivadas , Clonagem Molecular , Humanos , Dados de Sequência Molecular , Ratos , Receptores Purinérgicos P2/efeitos dos fármacos , Receptores Purinérgicos P2/metabolismo , Receptores Purinérgicos P2Y1 , Receptores Purinérgicos P2Y12 , Homologia de Sequência de Aminoácidos , Tionucleotídeos/farmacologia , Distribuição Tecidual , Trítio
11.
Science ; 293(5533): 1327-30, 2001 Aug 17.
Artigo em Inglês | MEDLINE | ID: mdl-11509734

RESUMO

We characterized an activation mechanism of the human LTRPC2 protein, a member of the transient receptor potential family of ion channels, and demonstrated that LTRPC2 mediates Ca2+ influx into immunocytes. Intracellular pyrimidine nucleotides, adenosine 5'-diphosphoribose (ADPR), and nicotinamide adenine dinucleotide (NAD), directly activated LTRPC2, which functioned as a Ca2+-permeable nonselective cation channel and enabled Ca2+ influx into cells. This activation was suppressed by intracellular adenosine triphosphate. These results reveal that ADPR and NAD act as intracellular messengers and may have an important role in Ca2+ influx by activating LTRPC2 in immunocytes.


Assuntos
Antígenos CD , Canais de Cálcio/metabolismo , Cálcio/metabolismo , Eosinófilos/metabolismo , Canais Iônicos , Proteínas de Membrana , Monócitos/metabolismo , Linfócitos T/metabolismo , ADP-Ribosil Ciclase , ADP-Ribosil Ciclase 1 , Adenosina Difosfato Ribose/metabolismo , Adenosina Difosfato Ribose/farmacologia , Trifosfato de Adenosina/metabolismo , Trifosfato de Adenosina/farmacologia , Antígenos de Diferenciação/metabolismo , Apoptose , Linhagem Celular , Humanos , Células Jurkat , Glicoproteínas de Membrana , Potenciais da Membrana , NAD/metabolismo , NAD/farmacologia , NAD+ Nucleosidase/metabolismo , Técnicas de Patch-Clamp , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Canais de Cátion TRPM
12.
Nephron ; 87(4): 314-20, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11287774

RESUMO

BACKGROUND/AIM: To evaluate the importance of fractalkine, a novel member of the CX3C chemokine, and natural killer (NK) cells in human crescentic glomerulonephritis, we determined the presence of fractalkine in the diseased kidneys immunohistochemically, and the correlation among fractalkine, NK cells and the degree of renal damage. METHODS: Twenty-three patients (13 males and 10 females) with primary or secondary crescentic glomerular disease were evaluated in this study. Fractalkine and CD16-positive cells including NK cells were detected immunohistochemically. RESULTS: Fractalkine-positive cells were detected in the interstitium of 23 patients with crescentic glomerulonephritis, while they were not detected in the glomeruli. In addition, CD16-positive cells were detected in both the glomeruli (1.3 +/- 0.2/glomerulus) and interstitium (1.3 +/- 0.2/visual field). The number of fractalkine-positive cells in the interstitium correlated with the number of CD16-positive cells before glucocorticoid therapy (r = 0.43, p = 0.047, n = 23). The number of fractalkine-positive cells in the interstitium before glucocorticoid therapy (0.2 +/- 0.1/visual field) decreased after therapy (0.1 +/- 0.1/visual field, p = 0.050) in 11 cases tested. The number of CD16-positive cells in the diseased kidneys did not change after glucocorticoid therapy. CONCLUSION: These results suggest that the local production of fractalkine may explain the presence of CD16-positive cells including NK cells, which may participate in the interstitial lesions of human crescentic glomerulonephritis before corticoid therapy.


Assuntos
Quimiocinas CX3C/análise , Glomerulonefrite/patologia , Glomérulos Renais/patologia , Proteínas de Membrana/análise , Urotélio/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia , Quimiocina CX3CL1 , Feminino , Glomerulonefrite/classificação , Glomerulonefrite/tratamento farmacológico , Glucocorticoides/uso terapêutico , Humanos , Imuno-Histoquímica , Masculino , Pessoa de Meia-Idade , Síndrome Nefrótica/patologia , Receptores de IgG/análise , Análise de Regressão
13.
Radiographics ; 21(2): 341-55, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11259698

RESUMO

With recent technologic developments, the role of computed tomography (CT) in the diagnosis of bowel obstruction has expanded. CT is recommended when clinical and initial radiographic findings remain indeterminate or strangulation is suspected. This modality clearly demonstrates pathologic processes involving the bowel wall as well as the mesentery, mesenteric vessels, and peritoneal cavity. CT should be performed with intravenous injection of contrast material, and use of thin sections is recommended to evaluate a particular region of interest. CT is reported to have a sensitivity of 78%-100% for the detection of complete or high-grade small bowel obstruction but may not allow accurate diagnosis in cases involving incomplete obstruction. In such cases, the use of adjunct enteroclysis is indicated. Furthermore, multiplanar reformatted imaging may help identify the site, level, and cause of obstruction when axial CT findings are indeterminate. CT can also demonstrate findings that indicate the presence of closed-loop obstruction or strangulation, both of which necessitate emergency exploratory laparotomy. Unfortunately, these pathologic conditions may be missed, and patients with suspected severe obstruction or bowel ischemia in whom CT and clinical findings are widely disparate must also undergo laparotomy. In general, however, CT allows appropriate and timely management of these emergency cases.


Assuntos
Obstrução Intestinal/diagnóstico por imagem , Intestino Delgado/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Diagnóstico Diferencial , Humanos , Obstrução Intestinal/etiologia , Intensificação de Imagem Radiográfica
14.
Nihon Jinzo Gakkai Shi ; 43(2): 76-81, 2001.
Artigo em Japonês | MEDLINE | ID: mdl-11280214

RESUMO

We experienced a 24-year-old Japanese man, who was a hepatitis B virus carrier with nephrotic syndrome. Liver biopsy showed that he was suffering from chronic hepatitis (activity 2, fibrosis 2). Renal biopsy revealed membranous nephropathy(MN) with focal segmental glomerulosclerosis(FGS). Immunofluorescentic findings revealed the presence of HBe antigen along the glomerular capillaries as well as HBe antigenemia in circulation. Therefore, we diagnosed this case as HB virus-related membranous nephropathy associated with FGS lesions. He was treated with interferon(IFN) alpha-2b for over a month and angiotensin converting enzyme inhibitor. These therapies reduced urinary protein excretion from 4-6 g/day to 1-2 g/day, in accordance with a decrease in the titer of HBV DNA polymerase. The second renal biopsy revealed that the histological change from MN to membranoproliferative glomerulonephritis Type III after IFN therapy. These results suggest that IFN therapy might be effective for HB virus-related MN associated with FGS.


Assuntos
Portador Sadio , Glomerulonefrite Membranosa/tratamento farmacológico , Glomerulonefrite Membranosa/virologia , Glomerulosclerose Segmentar e Focal/tratamento farmacológico , Glomerulosclerose Segmentar e Focal/virologia , Hepatite B , Interferon-alfa/uso terapêutico , Adulto , Humanos , Interferon alfa-2 , Masculino , Proteínas Recombinantes
15.
Intern Med ; 40(11): 1093-7, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11757762

RESUMO

OBJECTIVE: KL-6 is reported to be excreted from the lung alveolar and bronchial epithelial cells and may be a good marker for monitoring disease activity of interstitial pneumonia. This study was designed to ascertain the clinical significance of serum KL-6 levels in interstitial pneumonia associated with anti-neutrophil cytoplasmic antibody (ANCA)-related vasculitis. METHODS: Serum KL-6 levels were determined by an enzyme-linked immunosorbent assay. PATIENTS: We examined 20 healthy subjects, 13 patients with perinuclear (myeloperoxidase, MPO) ANCA-related vasculitis and 12 dermatomyositis (DM)/polymyositis (PM) patients as disease controls in this study. Six out of 13 patients with ANCA-related vasculitis had interstitial pneumonia. RESULTS: Serum levels of KL-6 in ANCA-positive patients with interstitial pneumonia were significantly elevated, while they remained as low as those of healthy subjects in ANCA-positive patients without interstitial pneumonia. Similarly, KL-6 levels in sera were higher in 12 dermatomyositis/polymyositis patients with interstitial pneumonia, while they remained low in DM/PM patients without interstitial pneumonia. Moreover, the elevated serum KL-6 level was reduced during the convalescence induced by glucocorticoid therapy and reflected the disease activity of interstitial pneumonia associated with ANCA-related vasculitis. CONCLUSION: These data suggest that the measurement of serum KL-6 levels may be a good monitoring system for the diagnosis and follow-up of interstitial pneumonia of patients with ANCA-related vasculitis.


Assuntos
Anticorpos Anticitoplasma de Neutrófilos/sangue , Doenças Pulmonares Intersticiais/sangue , Doenças Pulmonares Intersticiais/complicações , Vasculite/sangue , Vasculite/complicações , Idoso , Idoso de 80 Anos ou mais , Antígenos , Antígenos de Neoplasias , Biomarcadores/sangue , Feminino , Glicoproteínas , Humanos , Masculino , Pessoa de Meia-Idade , Mucina-1 , Mucinas , Peroxidase/imunologia , Valor Preditivo dos Testes , Índice de Gravidade de Doença , Vasculite/imunologia
16.
Kidney Int ; 58(4): 1492-9, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11012884

RESUMO

BACKGROUND: We previously described that monocyte chemoattractant protein-1 (MCP-1) plays an important role in progressive glomerular and interstitial damage in inflammatory renal diseases. However, the expression of MCP-1 in diabetic nephropathy remains to be investigated. METHODS: We examined whether locally expressed MCP-1 participates in human diabetic nephropathy via recruiting and activating monocytes/macrophages (Mphi). Urinary and serum MCP-1 levels were measured by enzyme-linked immunosorbent assay in 45 patients with diabetic nephropathy. The presence of MCP-1 in diseased kidneys was determined by immunohistochemical and in situ hybridization analyses. RESULTS: Urinary MCP-1 levels were significantly elevated in patients with diabetic nephrotic syndrome and advanced tubulointerstitial lesions. Moreover, urinary levels of MCP-1 were well correlated with the number of CD68-positive infiltrating cells in the interstitium. In contrast, serum MCP-1 levels remained similar to those of healthy volunteers. Furthermore, we detected the MCP-1-positive cells in the interstitium of diabetic nephropathy via both immunohistochemical and in situ hybridization analyses. CONCLUSION: These observations suggest that locally produced MCP-1 may be involved in the development of advanced diabetic nephropathy, especially in the formation of tubulointerstitial lesions possibly through Mphi recruitment and activation. Moreover, up-regulation of MCP-1 may be a common pathway involved in the progressive tubulointerstitial damage in diabetic nephropathy as well as inflammatory renal diseases.


Assuntos
Quimiocina CCL2/genética , Quimiocina CCL2/urina , Nefropatias Diabéticas/fisiopatologia , Nefrite Intersticial/fisiopatologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Movimento Celular/imunologia , Nefropatias Diabéticas/patologia , Nefropatias Diabéticas/urina , Feminino , Expressão Gênica/fisiologia , Humanos , Hibridização In Situ , Macrófagos/citologia , Macrófagos/metabolismo , Masculino , Pessoa de Meia-Idade , Monócitos/citologia , Monócitos/metabolismo , Nefrite Intersticial/patologia , Nefrite Intersticial/urina , RNA Mensageiro/análise , Transcrição Gênica/fisiologia , Fator de Crescimento Transformador beta/metabolismo , Regulação para Cima/genética
17.
Am J Nephrol ; 20(4): 291-9, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10970982

RESUMO

We investigated the presence of CCR1- and CCR5-positive cells immunohistochemically in the kidneys of 38 patients with several renal diseases, including 13 crescentic glomerulonephritis patients. In addition, we determined cell phenotypes of CCR1- and CCR5-positive cells using a dual immunostaining technique. Urinary levels of their ligands, for CCR1 and CCR5; macrophage inflammatory protein (MIP)-1alpha, MIP-1beta and regulated upon activation in normal T cells expressed and secreted (RANTES) were evaluated by enzyme-linked immunosorbent assay. CCR1- and CCR5-positive cells were detected in both glomeruli and interstitium of the diseased kidneys. Using a dual immunostaining technique, these positive cells were CD68-positive macrophages (MPhi) and CD3-positive T cells. The number of CCR1-positive cells in glomeruli was correlated with urinary levels of MIP-1alpha. The number of CCR1-positive cells in the interstitium was correlated with both urinary MIP-1alpha and RANTES levels. CCR1-positive cells in the interstitium remained after glucocorticoid therapy, most of which were MPhi, and were correlated with the intensity of interstitial fibrosis and tubular atrophy. Glomerular CCR5-positive cells were well correlated with extracapillary lesions and urinary MIP-1alpha levels, while interstitial CCR5-positive cells, mainly CD3-positive T cells, were correlated with interstitial lesions and urinary RANTES levels. Renal CCR5-positive cells were dramatically decreased during convalescence induced by glucocorticoids. These results suggest that chemokine receptor signaling may be pivotal for human renal diseases through the recruitment and activation of MPhi and T cells; CCR5-positive cells may participate in glomerular lesions including extracapillary lesions via MIP-1alpha and in interstitial lesions via RANTES. CCR1 may be involved in interstitial lesions in resolving phase after glucocorticoid therapy.


Assuntos
Nefropatias/metabolismo , Nefropatias/patologia , Glomérulos Renais/metabolismo , Glomérulos Renais/patologia , Receptores CCR5/metabolismo , Receptores de Quimiocinas/metabolismo , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Quimiocina CCL3 , Quimiocina CCL4 , Quimiocina CCL5/fisiologia , Feminino , Glucocorticoides/uso terapêutico , Humanos , Imuno-Histoquímica , Nefropatias/tratamento farmacológico , Glomérulos Renais/efeitos dos fármacos , Nefrite Lúpica/metabolismo , Proteínas Inflamatórias de Macrófagos/fisiologia , Macrófagos/metabolismo , Masculino , Pessoa de Meia-Idade , Receptores CCR1 , Linfócitos T/metabolismo
18.
Eur J Pharmacol ; 401(3): 289-96, 2000 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-10936486

RESUMO

Vasopressin V(2) receptors at high-density and V(1B) receptors are candidates for the V(2)-like receptor, which evokes an increase in [Ca(2+)](i) when stimulated by the vasopressin V(2) receptor agonist 1-desamino-8-D-arginine vasopressin (dDAVP) in kidney inner medullary collecting duct. We compared the pharmacological characteristics of vasopressin V(2) and V(1B) receptors in Chinese hamster ovary (CHO) cells to those of vasopressin V(2)-like receptors in rat inner medullary collecting duct cells. The vasopressin V(1B) receptor-selective agonist [deamino-Cys(1), D-3-(Pyridyl)-Ala(2), Arg(8)]vasopressin (D3PVP) did not stimulate the [Ca(2+)](i) increase in high-density vasopressin V(2) receptor-expressing CHO cells, but did in inner medullary collecting duct cells. Moreover, the vasopressin V(1A)/V(2) receptor dual antagonist 4'-[(2-methyl-1,4,5,6-tetrahydroimidazo[4,5-d][1] benzazepin-6-yl)carbonyl] 2-phenylbenzanilide (YM087), which has no effect on vasopressin V(1B) receptors, did not block the [Ca(2+)](i) increase in inner medullary collecting duct cells when stimulated by dDAVP and D3PVP. On reverse transcription-polymerase chain reaction (RT-PCR) analysis of kidney, vasopressin V(1B) receptor mRNA was detected only in the medulla. We propose that the true nature of the vasopressin V(2)-like receptor in the inner medullary collecting duct is the vasopressin V(1B) receptor, rather than the vasopressin V(2) receptor expressed at high-density.


Assuntos
Medula Renal/metabolismo , Receptores de Vasopressinas/metabolismo , Animais , Benzazepinas/farmacologia , Células CHO , Cálcio/metabolismo , Cricetinae , Desamino Arginina Vasopressina/farmacologia , Relação Dose-Resposta a Droga , Humanos , Indóis/farmacologia , Fosfatos de Inositol/metabolismo , Medula Renal/efeitos dos fármacos , Morfolinas/farmacologia , Pirrolidinas/farmacologia , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Ratos , Receptores de Vasopressinas/efeitos dos fármacos , Receptores de Vasopressinas/genética , Fármacos Renais/farmacologia , Compostos de Espiro/farmacologia , Vasopressinas/farmacologia
19.
Eur J Pharmacol ; 399(2-3): 97-106, 2000 Jul 07.
Artigo em Inglês | MEDLINE | ID: mdl-10884508

RESUMO

Ferrets (Mustela putorius furo) are useful animals for determining anti-emetic activity via 5-HT(3) receptors in vivo. We isolated a cDNA encoding the 5-hydroxytryptamine (5-HT) type 3A receptor subunit (5-HT(3A)) from ferret colon, expressed it in a human embryonic kidney cell line and determined its pharmacological properties. The open reading frame of the isolated cDNA encoded a 483-amino acid protein, corresponding to the shorter splice variant of 5-HT(3A) receptors. Splice variants were no longer detected by reverse transcriptase-polymerase chain reaction. The ferret 5-HT(3A) receptor exhibits a high degree of amino acid sequence identity (>/=80%) to that of other species. Binding studies demonstrated the following rank order of potency for agonists: meta-chlorophenylbiguanide (mCPBG)>2-methyl-5-hydroxytryptamine (2-Me-5-HT)=5-HT, and for antagonists: ondansetron=tropisetron>(+)-tubocurarine>metoclopramide. Electrophysiological studies revealed that mCPBG was a partial agonist and 2-Me-5-HT was an almost fully effective agonist compared to 5-HT.


Assuntos
Proteínas Proto-Oncogênicas , Receptores de Serotonina/genética , Serotonina/análogos & derivados , Processamento Alternativo , Sequência de Aminoácidos , Animais , Biguanidas/farmacologia , Ligação Competitiva , Linhagem Celular , Clonagem Molecular , DNA Complementar/química , DNA Complementar/genética , Relação Dose-Resposta a Droga , Eletrofisiologia , Furões , Expressão Gênica , Humanos , Imidazóis/metabolismo , Indóis/metabolismo , Fator 6 Semelhante a Kruppel , Fatores de Transcrição Kruppel-Like , Potenciais da Membrana/efeitos dos fármacos , Dados de Sequência Molecular , Ondansetron/farmacologia , Piperazinas , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Ensaio Radioligante , Ratos , Receptores 5-HT3 de Serotonina , Análise de Sequência de DNA , Homologia de Sequência de Aminoácidos , Serotonina/farmacologia , Antagonistas da Serotonina/farmacologia , Agonistas do Receptor de Serotonina/farmacologia , Distribuição Tecidual , Transativadores , Trítio , Tubocurarina/farmacologia
20.
J Biol Chem ; 275(35): 27000-4, 2000 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-10889186

RESUMO

Leukotriene B(4) is a potent lipid mediator known to be implicated mainly in inflammatory actions. Previous pharmacological studies indicated the existence of only one class of G protein-coupled receptor for leukotriene B(4), for which a candidate gene, namely BLT, had been identified. Here we report the isolation of another gene encoding a functional G protein-coupled receptor for leukotriene B(4), named JULF2. JULF2 is a novel G protein-coupled receptor of 358 amino acids that shares 36.6% amino acid identity with human BLT. According to genomic information, the JULF2 gene is located on the chromosome 14, about 4 kilobases upstream of the BLT gene. During screening of endogenous ligands for JULF2, we found that leukotriene B(4) induced inhibition of forskolin-stimulated cAMP accumulation in Chinese hamster ovary cells, stably expressing JULF2. Additionally, Chinese hamster ovary cells expressing exogenous JULF2 showed chemotactic responses with leukotriene B(4) in a pertussis toxin-sensitive manner. A large amount of JULF2 mRNA was detected in the human spleen and the peripheral blood leukocytes. Furthermore, JULF2 mRNA was expressed in mononuclear lymphocytes, in which BLT mRNA was barely detected. The discovery of this second leukotriene B(4) receptor will eventually lead to a better understanding of the classification of leukotriene B(4) receptors and reconsideration of the pathophysiological role of leukotriene B(4).


Assuntos
Receptores do Leucotrieno B4/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Células CHO , Quimiotaxia/efeitos dos fármacos , Clonagem Molecular , Cricetinae , Primers do DNA , Humanos , Leucotrieno B4/farmacologia , Ligantes , Dados de Sequência Molecular , RNA Mensageiro/genética , Receptores do Leucotrieno B4/química , Receptores do Leucotrieno B4/metabolismo , Homologia de Sequência de Aminoácidos
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