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1.
Br J Cancer ; 111(6): 1021-46, 2014 Sep 09.
Artigo em Inglês | MEDLINE | ID: mdl-25117809

RESUMO

Cell-line misidentification and contamination with microorganisms, such as mycoplasma, together with instability, both genetic and phenotypic, are among the problems that continue to affect cell culture. Many of these problems are avoidable with the necessary foresight, and these Guidelines have been prepared to provide those new to the field and others engaged in teaching and instruction with the information necessary to increase their awareness of the problems and to enable them to deal with them effectively. The Guidelines cover areas such as development, acquisition, authentication, cryopreservation, transfer of cell lines between laboratories, microbial contamination, characterisation, instability and misidentification. Advice is also given on complying with current legal and ethical requirements when deriving cell lines from human and animal tissues, the selection and maintenance of equipment and how to deal with problems that may arise.


Assuntos
Pesquisa Biomédica/normas , Linhagem Celular/microbiologia , Equipamentos e Provisões/normas , Mycoplasma , Segurança/normas , Animais , Pesquisa Biomédica/ética , Linhagem Celular/classificação , Criopreservação/normas , Meios de Cultura/normas , Contaminação de Equipamentos/prevenção & controle , Instabilidade Genômica , Humanos , Mycoplasma/isolamento & purificação , Fenótipo , Controle de Qualidade , Manejo de Espécimes/métodos , Manejo de Espécimes/normas , Reino Unido
7.
Virology ; 285(2): 366-75, 2001 Jul 05.
Artigo em Inglês | MEDLINE | ID: mdl-11437670

RESUMO

Human nectin-1 (HveC, Prr1), a member of the immunoglobulin superfamily and a receptor for the entry of herpes simplex viruses 1 and 2 (HSV-1, HSV-2), pseudorabies virus (PRV), and bovine herpesvirus 1 (BHV-1), binds to viral gD. For HSV-1, HSV-2, and PRV, the gD-binding region of nectin-1 has been localized to the N-terminal V-like domain. To determine whether the two C-like domains of nectin-1 influenced gD binding and entry activity, genes encoding chimeric proteins were constructed. Portions of nectin-1 were replaced with homologous regions from nectin-2 (HveB, Prr2), a related protein with ability to mediate the entry of PRV, HSV-2, and Rid mutants of HSV-1, but not HSV-1 or BHV-1. Also, one or more domains of nectin-1 were fused to the two membrane-proximal Ig domains of CD4, a protein with no herpesvirus entry or gD-binding activity. The chimeric proteins were expressed in Chinese hamster ovary cells, which normally lack alphaherpesvirus entry receptors, and detected on the cell surface by one or more anti-nectin-1 monoclonal antibodies. One chimeric protein (nectin-1 amino acids 1-124 fused to CD4) failed to bind to soluble forms of HSV-1, HSV-2, PRV, and BHV-1 gD and, as expected, also failed to mediate entry of the viruses from which these gDs were derived. The other chimeric receptors bound all forms of gD. Some mediated the entry of all the viruses tested but others mediated entry of some but not all the viruses. We conclude that binding of gD to the nectin-1 V domain is not sufficient for entry activity, that there are structural requirements for entry activity independent of gD binding, and that these requirements are different for the several alphaherpesviruses that can use nectin-1 as a receptor.


Assuntos
Moléculas de Adesão Celular/metabolismo , Imunoglobulinas/metabolismo , Receptores Virais/metabolismo , Proteínas do Envelope Viral/metabolismo , Proteínas Virais/metabolismo , Sequência de Aminoácidos , Animais , Células CHO , Bovinos , Moléculas de Adesão Celular/genética , Membrana Celular/metabolismo , Cricetinae , Expressão Gênica , Herpesvirus Bovino 1/metabolismo , Herpesvirus Bovino 1/fisiologia , Herpesvirus Humano 1/metabolismo , Herpesvirus Humano 1/fisiologia , Herpesvirus Suídeo 1/metabolismo , Herpesvirus Suídeo 1/fisiologia , Herpesvirus Humano 2/metabolismo , Herpesvirus Humano 2/fisiologia , Humanos , Imunoglobulinas/genética , Dados de Sequência Molecular , Nectinas , Plasmídeos , Conformação Proteica , Receptores Virais/genética , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo
8.
Gene ; 265(1-2): 185-94, 2001 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-11255021

RESUMO

The Tage4 gene (Tumor-Associated Glycoprotein E4) is a member of the immunoglobulin superfamily overexpressed in rat colon tumors and Min mouse intestinal adenomas. The Tage4 cDNA presents approximately 60% identity with the human CD155, a member of the immunoglobulin superfamily coding for a transmembrane protein capable of serving as an entry receptor for poliovirus, porcine pseudorabies virus and bovine herpesvirus 1. We determined the structure of the Tage4 gene. This gene covers approximately 15 kb and is composed of eight exons and seven introns. We also isolated approximately 2 kb of the 5' flanking region of the Tage4 gene and demonstrated the existence of closely clustered transcription start sites. No splicing variant was identified by RT-PCR indicating that the Tage4 gene is transcribed as a unique mRNA. Finally, the protein encoded by the Tage4 gene was tested for ability to mediate entry of several viruses. These structural and functional features of the rat Tage4 gene were compared to those of the human CD155 gene. The results indicated that the Tage4 gene is probably orthologous to the gene for CD155.


Assuntos
Genes/genética , Glicoproteínas/genética , Herpesviridae/metabolismo , Proteínas de Membrana , Regiões 3' não Traduzidas/genética , Sequência de Aminoácidos , Animais , Sequência de Bases , Células CHO , Cricetinae , DNA/química , DNA/genética , Éxons , Glicoproteínas/metabolismo , Herpesviridae/genética , Humanos , Íntrons , Dados de Sequência Molecular , Regiões Promotoras Genéticas/genética , RNA Mensageiro/genética , Ratos , Receptores Virais/genética , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/metabolismo , Alinhamento de Sequência , Análise de Sequência de DNA , Homologia de Sequência de Aminoácidos , Homologia de Sequência do Ácido Nucleico , Células Tumorais Cultivadas , beta-Galactosidase/genética , beta-Galactosidase/metabolismo
9.
Virus Res ; 74(1-2): 39-45, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11226572

RESUMO

Two cell surface proteins (nectin-1/HveC and nectin-2/HveB) shown previously to serve as receptors for the entry of herpes simplex virus 1 (HSV-1) wild-type and/or mutant strains were found to serve also as receptors for HSV-1-induced cell fusion. Transfection with genomic DNA from a syncytial HSV-1 strain encoding wild-type gD resulted in fusion of Chinese hamster ovary (CHO) cells expressing nectin-1 but not of cells expressing nectin-2. In contrast, transfection with DNA from a related HSV-1 strain encoding the mutant Rid1 form of gD resulted in fusion of CHO cells expressing either receptor but not of control cells. These results are consistent with the ability of each receptor to mediate entry of viruses expressing wild-type or Rid1 gD and with results obtained previously with HVEM (HveA), a third HSV-l entry receptor. Undersulfation of GAGs in receptor-expressing cell lines predictably reduced susceptibility to HSV-l infection. In contrast, susceptibility to cell fusion mediated by HVEM or nectin-1 was not reduced. Undersulfation of GAGs partially inhibited cell fusion mediated by nectin-2. We conclude that HSV-1-induced cell fusion requires a gD-binding entry receptor, that ability of an HSV-1 strain to use HVEM, nectin-2 or nectin-1 for cell fusion depends on the allele of gD expressed and that GAGs may influence cell fusion, dependent on the gD-binding receptor used, but are less important for cell fusion mediated by HVEM, nectin-2 or nectin-l than for viral entry.


Assuntos
Moléculas de Adesão Celular/metabolismo , Fusão de Membrana , Receptores Virais/metabolismo , Simplexvirus/metabolismo , Proteínas do Envelope Viral/metabolismo , Proteínas Virais de Fusão/metabolismo , Animais , Células CHO , Moléculas de Adesão Celular/genética , Cricetinae , DNA Viral/efeitos dos fármacos , Glicosaminoglicanos/química , Glicosaminoglicanos/metabolismo , Mutação , Nectinas , Receptores Virais/genética , Simplexvirus/genética , Ésteres do Ácido Sulfúrico/química , Ésteres do Ácido Sulfúrico/metabolismo , Transfecção/métodos , Proteínas do Envelope Viral/genética , Proteínas Virais de Fusão/química
10.
Virology ; 268(1): 147-58, 2000 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-10683337

RESUMO

Several human and animal alphaherpesviruses can enter cells via human herpesvirus entry mediator C (HveC), a receptor for viral glycoprotein D (gD). In previous studies with cells expressing unknown entry mediators, cellular expression of alphaherpesvirus gD was shown to inhibit entry of the homologous virus and sometimes also of heterologous alphaherpesviruses. To investigate the mechanism of gD-mediated interference and the basis for cross-interference among alphaherpesviruses, HveC was expressed in cells as the sole entry mediator, in the presence or absence of one of the gDs encoded by herpes simplex virus type 1, pseudorabies virus, or bovine herpesvirus type 1. Cells expressing HveC alone were highly susceptible to entry of all three viruses, whereas cells coexpressing HveC and any one of the gDs were at least partially resistant to infection by each virus. Coexpression of gD with HveC did not cause reduced levels of cell-surface HveC but the HveC had reduced ability to bind to exogenous gD. Coimmunoprecipitation experiments revealed that HveC was complexed with gD in lysates of cells expressing both. Thus, cellular expression of gD can interfere with alphaherpesvirus entry by blocking ligand-binding sites of the gD receptor(s) used for entry and cross-interference can occur because different forms of alphaherpesvirus gD can compete for shared entry receptors.


Assuntos
Alphaherpesvirinae/genética , Alphaherpesvirinae/fisiologia , Receptores do Fator de Necrose Tumoral , Receptores Virais/metabolismo , Proteínas do Envelope Viral/metabolismo , Animais , Western Blotting , Células CHO , Cricetinae , Citometria de Fluxo , Imunofluorescência , Infecções por Herpesviridae/virologia , Humanos , Plasmídeos/genética , Testes de Precipitina , Membro 14 de Receptores do Fator de Necrose Tumoral , Transfecção , Proteínas do Envelope Viral/genética
11.
J Virol ; 73(10): 8127-37, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10482562

RESUMO

The human herpesvirus entry mediator C (HveC/PRR1) is a member of the immunoglobulin family used as a cellular receptor by the alphaherpesviruses herpes simplex virus (HSV), pseudorabies virus, and bovine herpesvirus type 1. We previously demonstrated direct binding of the purified HveC ectodomain to purified HSV type 1 (HSV-1) and HSV-2 glycoprotein D (gD). Here, using a baculovirus expression system, we constructed and purified truncated forms of the receptor containing one [HveC(143t)], two [HveC(245t)], or all three immunoglobulin-like domains [HveC(346t)] of the extracellular region. All three constructs were equally able to compete with HveC(346t) for gD binding. The variable domain bound to virions and blocked HSV infection as well as HveC(346t). Thus, all of the binding to the receptor occurs within the first immunoglobulin-like domain, or V-domain, of HveC. These data confirm and extend those of Cocchi et al. (F. Cocchi, M. Lopez, L. Menotti, M. Aoubala, P. Dubreuil, and G. Campadelli-Fiume, Proc. Natl. Acad. Sci. USA 95:15700, 1998). Using biosensor analysis, we measured the affinity of binding of gD from HSV strains KOS and rid1 to two forms of HveC. Soluble gDs from the KOS strain of HSV-1 had the same affinity for HveC(346t) and HveC(143t). The mutant gD(rid1t) had an increased affinity for HveC(346t) and HveC(143t) due to a faster rate of complex formation. Interestingly, we found that HveC(346t) was a tetramer in solution, whereas HveC(143t) and HveC(245t) formed dimers, suggesting a role for the third immunoglobulin-like domain of HveC in oligomerization. In addition, the stoichiometry between gD and HveC appeared to be influenced by the level of HveC oligomerization.


Assuntos
Receptores do Fator de Necrose Tumoral , Receptores Virais/metabolismo , Simplexvirus/fisiologia , Proteínas do Envelope Viral/metabolismo , Animais , Bovinos , Linhagem Celular , Dimerização , Humanos , Imunoglobulinas , Ligação Proteica , Membro 14 de Receptores do Fator de Necrose Tumoral , Receptores Virais/química , Replicação Viral
12.
J Virol ; 72(9): 7064-74, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9696799

RESUMO

Several cell membrane proteins have been identified as herpes simplex virus (HSV) entry mediators (Hve). HveA (formerly HVEM) is a member of the tumor necrosis factor receptor family, whereas the poliovirus receptor-related proteins 1 and 2 (PRR1 and PRR2, renamed HveC and HveB) belong to the immunoglobulin superfamily. Here we show that a truncated form of HveC directly binds to HSV glycoprotein D (gD) in solution and at the surface of virions. This interaction is dependent on the native conformation of gD but independent of its N-linked glycosylation. Complex formation between soluble gD and HveC appears to involve one or two gD molecules for one HveC protein. Since HveA also mediates HSV entry by interacting with gD, we compared both structurally unrelated receptors for their binding to gD. Analyses of several gD variants indicated that structure and accessibility of the N-terminal domain of gD, essential for HveA binding, was not necessary for HveC interaction. Mutations in functional regions II, III, and IV of gD had similar effects on binding to either HveC or HveA. Competition assays with neutralizing anti-gD monoclonal antibodies (MAbs) showed that MAbs from group Ib prevented HveC and HveA binding to virions. However, group Ia MAbs blocked HveC but not HveA binding, and conversely, group VII MAbs blocked HveA but not HveC binding. Thus, we propose that HSV entry can be mediated by two structurally unrelated gD receptors through related but not identical binding with gD.


Assuntos
Moléculas de Adesão Celular/metabolismo , Herpesvirus Humano 1/metabolismo , Receptores do Fator de Necrose Tumoral/metabolismo , Receptores Virais , Proteínas Recombinantes de Fusão/metabolismo , Proteínas do Envelope Viral/metabolismo , Sequência de Aminoácidos , Animais , Baculoviridae , Sequência de Bases , Moléculas de Adesão Celular/genética , Moléculas de Adesão Celular/imunologia , Linhagem Celular , DNA Viral , Vetores Genéticos , Glicosilação , Humanos , Dados de Sequência Molecular , Mutagênese , Nectinas , Coelhos , Membro 14 de Receptores do Fator de Necrose Tumoral , Proteínas Recombinantes de Fusão/genética , Proteínas Recombinantes de Fusão/imunologia , Solubilidade , Soluções , Spodoptera , Vírion/metabolismo
13.
Virology ; 246(1): 179-89, 1998 Jun 20.
Artigo em Inglês | MEDLINE | ID: mdl-9657005

RESUMO

Certain mutant strains of herpes simplex virus type 1 (HSV-1) are unable to infect cells in which entry is dependent on HVEM, the previously described herpesvirus entry mediator designated here as herpesvirus entry protein A (HveA). These mutant viruses can infect other cells where entry is apparently dependent on other co-receptors. The mutant virus HSV-1(KOS)Rid1 was used to screen a human cDNA expression library for ability of transfected plasmids to convert resistant Chinese hamster ovary cells to susceptibility to virus entry. A plasmid expressing the previously described poliovirus receptor-related protein 2 (Prr2) was isolated on the basis of this activity. This protein, designated here as HveB, was shown to mediate the entry of three mutant HSV-1 strains that cannot use HVEM as co-receptor, but not wild-type HSV-1 strains. HveB also mediated the entry of HSV-2 and pseudorabies virus but not bovine herpesvirus type 1. HveB was expressed in some human neuronal cell lines, fibroblastic cells, keratinocytes, and primary activated T lymphocytes. Antibodies specific for HveB blocked infection of HveB-expressing CHO cells and a human fibroblastic cell strain HEL299. Differences in ability of HSV-1 and HSV-2 strains to use HveB for entry should influence the types of cells that can be infected and thereby account in part for serotype and strain differences in tissue tropism and pathogenicity.


Assuntos
Alphaherpesvirinae/fisiologia , Glicoproteínas de Membrana/fisiologia , Mutação/fisiologia , Receptores do Fator de Necrose Tumoral , Receptores Virais , Alphaherpesvirinae/genética , Animais , Especificidade de Anticorpos , Células CHO , Moléculas de Adesão Celular/análise , Linhagem Celular , Clonagem Molecular , Cricetinae , DNA Recombinante , Fibroblastos , Células HeLa , Humanos , Glicoproteínas de Membrana/genética , Dados de Sequência Molecular , Nectinas , RNA Mensageiro/análise , Membro 14 de Receptores do Fator de Necrose Tumoral , Replicação Viral
14.
Science ; 280(5369): 1618-20, 1998 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-9616127

RESUMO

A human member of the immunoglobulin superfamily was shown to mediate entry of several alphaherpesviruses, including herpes simplex viruses (HSV) 1 and 2, porcine pseudorabies virus (PRV), and bovine herpesvirus 1 (BHV-1). This membrane glycoprotein is poliovirus receptor-related protein 1 (Prr1), designated here as HveC. Incubation of HSV-1 with a secreted form of HveC inhibited subsequent infection of a variety of cell lines, suggesting that HveC interacts directly with the virus. Poliovirus receptor (Pvr) itself mediated entry of PRV and BHV-1 but not of the HSV strains tested. HveC was expressed in human cells of epithelial and neuronal origin; it is the prime candidate for the coreceptor that allows both HSV-1 and HSV-2 to infect epithelial cells on mucosal surfaces and spread to cells of the nervous system.


Assuntos
Alphaherpesvirinae/fisiologia , Moléculas de Adesão Celular/fisiologia , Herpesvirus Humano 1/fisiologia , Herpesvirus Humano 2/fisiologia , Proteínas de Membrana , Receptores Virais , Animais , Sequência de Bases , Células CHO , Moléculas de Adesão Celular/genética , Células Cultivadas , Cricetinae , Células Epiteliais/virologia , Expressão Gênica , Herpesvirus Bovino 1/fisiologia , Herpesvirus Suídeo 1/fisiologia , Humanos , Dados de Sequência Molecular , Nectinas , Neurônios/virologia , Reação em Cadeia da Polimerase , Transfecção , Células Tumorais Cultivadas , Proteínas do Envelope Viral/metabolismo
15.
Virology ; 224(1): 302-9, 1996 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-8862425

RESUMO

Vpu and the C-terminal peptide of Gag (p6) are both HIV-1-encoded proteins that augment the release of virus particles from cells. We examined the functional relationship between these proteins and their activities during particle release. Our results indicate that efficient HIV-1 particle release from HeLa and Jurkat cells depends on the presence of Vpu. However, Vpu is dispensable for efficient release from Cos cells. In contrast, p6 is required for efficient release from Cos cells but not from Jurkat or HeLa cells. These data suggest that Vpu and p6 have distinct activities in virus exit from different cell lines. Intracellular proteolytic processing of Gag precursor protein is more complete in Cos cells than in HeLa cells. However, this processing has little or no effect on Vpu- or p6-mediated particle release. p6 is required for incorporation of yet another virus protein (Vpr) into cells but our data suggest that Vpr plays no role in p6-dependent particle release. Vpu also facilitates the degradation of CD4 in virus producing cells but, in contrast to particle release, the ability of Vpu to facilitate the degradation of CD4 is not cell line-dependent.


Assuntos
Produtos do Gene gag/metabolismo , HIV-1/metabolismo , Proteínas Virais Reguladoras e Acessórias/metabolismo , Animais , Células COS , Produtos do Gene gag/genética , Proteína do Núcleo p24 do HIV/metabolismo , HIV-1/genética , Células HeLa , Proteínas do Vírus da Imunodeficiência Humana , Humanos , Células Jurkat , Precursores de Proteínas/metabolismo , Proteínas Virais Reguladoras e Acessórias/genética , Vírion , Produtos do Gene gag do Vírus da Imunodeficiência Humana
16.
J Med Primatol ; 23(2-3): 146-50, 1994.
Artigo em Inglês | MEDLINE | ID: mdl-7966229

RESUMO

Human immunodeficiency virus type 1 Vpu has been shown to facilitate virus release from HeLa cells. We demonstrated that Vpu expression is not required for efficient virus release from Cos 1 and CV-1 cells. A yeast GAL4 transcriptional activation system was used to screen for cellular proteins that may interact with Vpu. One such protein was identified which we provisionally designate "Vpu interactive protein" or VIP.


Assuntos
HIV-1/fisiologia , Proteínas de Saccharomyces cerevisiae , Fatores de Transcrição , Proteínas Virais Reguladoras e Acessórias/metabolismo , Animais , Linhagem Celular , Chlorocebus aethiops , DNA Viral/metabolismo , Proteínas de Ligação a DNA , Proteínas Fúngicas/biossíntese , Proteínas Fúngicas/metabolismo , Genes Virais , Genes vpu , Teste de Complementação Genética , Repetição Terminal Longa de HIV , HIV-1/genética , Células HeLa , Proteínas do Vírus da Imunodeficiência Humana , Humanos , Saccharomyces cerevisiae/metabolismo , Transfecção
17.
J Virol ; 67(7): 4190-4, 1993 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-8510220

RESUMO

Vpu is a 16-kDa membrane-associated phosphoprotein that is expressed from the same, singly spliced message as the human immunodeficiency virus type 1 (HIV-1) envelope glycoprotein precursor, gp160. Previous studies suggest that Vpu functions in the late stages of viral replication, possibly in virus egression from the cell. Recently, it has been demonstrated that Vpu functions to allow gp160 to be more efficiently processed by disrupting CD4-gp160 complexes generated by transfection of HeLa cells. We show here that the lack of expression of intact Vpu results in a 90% reduction in infectious virus produced over a single round of replication from HeLa cells in the absence of CD4 expression. This reduction persists when HIV-1 particles are pseudotyped with the HIV-2 or amphotropic murine leukemia virus envelope glycoprotein. Pulse-chase analysis of HIV-1 capsid protein (p24) in the absence of CD4 and envelope glycoprotein demonstrates that the rate of virus release is reduced when Vpu is not expressed. Our findings indicate that Vpu has a function involving particle release not dependent on CD4 or envelope glycoprotein expression.


Assuntos
HIV-1/fisiologia , Proteínas Virais Reguladoras e Acessórias/fisiologia , Replicação Viral , Antígenos CD4/metabolismo , Fusão Celular , Clonagem Molecular , Produtos do Gene env/metabolismo , Proteína do Núcleo p24 do HIV/metabolismo , Células HeLa , Proteínas do Vírus da Imunodeficiência Humana , Humanos , Técnicas In Vitro , Mutação , Transfecção , Proteínas do Envelope Viral/metabolismo
18.
Postgrad Med J ; 67(793): 1004-7, 1991 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-1775405

RESUMO

One hundred and nineteen consecutive elderly patients with endoscopically diagnosed peptic ulceration were reviewed. Associated gastric outflow obstruction was present in 10.1%. The presenting clinical features differed significantly from typical younger patients and most (11/12) were taking non-steroidal anti-inflammatory drugs, suggesting a possible role for these agents in the pathogenesis of gastric outflow obstruction. These elderly patients have been successfully managed by medical therapy alone.


Assuntos
Anti-Inflamatórios não Esteroides/efeitos adversos , Esvaziamento Gástrico/efeitos dos fármacos , Estenose Pilórica/induzido quimicamente , Idoso , Idoso de 80 Anos ou mais , Cimetidina/uso terapêutico , Obstrução Duodenal/induzido quimicamente , Obstrução Duodenal/tratamento farmacológico , Feminino , Humanos , Masculino , Úlcera Péptica/complicações , Estenose Pilórica/tratamento farmacológico , Ranitidina/uso terapêutico
19.
Acta Clin Belg ; 44(3): 199-201, 1989.
Artigo em Inglês | MEDLINE | ID: mdl-2816228

RESUMO

A 57-year-old man with a history of pulmonary asbestosis was incidentally found to have benign mesothelial hyperplasia of the peritoneum at hernia repair. Five months later he developed a Coombs positive haemolytic anaemia of the IgG-C3d type caused by non specific IgG antibodies. At that time no underlying cause for the anaemia was found. The anaemia responded to steroids, but remained steroid dependent. Six months after the diagnosis of the anaemia, a malignant peritoneal mesothelioma was found at laparotomy. The association between malignant mesothelioma and autoimmune haemolytic anaemia has been reported on one previous occasion. The description of a second case suggests that the association is not purely coincidental and that malignant mesothelioma should be added to the list of solid tumours that can be associated with autoimmune haemolytic anaemia. The finding of red blood cells coated with IgG and C3d in this as well as in other cases adds further evidence to the hypothesis that a quinidine type mechanism of haemolysis might be responsible for Coombs positive haemolytic anaemia associated with solid tumours.


Assuntos
Anemia Hemolítica Autoimune/complicações , Mesotelioma/complicações , Neoplasias Peritoneais/complicações , Asbestose/complicações , Humanos , Masculino , Mesotelioma/diagnóstico , Pessoa de Meia-Idade , Neoplasias Peritoneais/diagnóstico
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