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1.
Science ; 364(6444): 981-984, 2019 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-31171695

RESUMO

Galaxy clusters are the most massive gravitationally bound structures in the Universe. They grow by accreting smaller structures in a merging process that produces shocks and turbulence in the intracluster gas. We observed a ridge of radio emission connecting the merging galaxy clusters Abell 0399 and Abell 0401 with the Low-Frequency Array (LOFAR) telescope network at 140 megahertz. This emission requires a population of relativistic electrons and a magnetic field located in a filament between the two galaxy clusters. We performed simulations to show that a volume-filling distribution of weak shocks may reaccelerate a preexisting population of relativistic particles, producing emission at radio wavelengths that illuminates the magnetic ridge.

2.
Nature ; 568(7752): 360-363, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30996312

RESUMO

Lightning is a dangerous yet poorly understood natural phenomenon. Lightning forms a network of plasma channels propagating away from the initiation point with both positively and negatively charged ends-called positive and negative leaders1. Negative leaders propagate in discrete steps, emitting copious radio pulses in the 30-300-megahertz frequency band2-8 that can be remotely sensed and imaged with high spatial and temporal resolution9-11. Positive leaders propagate more continuously and thus emit very little high-frequency radiation12. Radio emission from positive leaders has nevertheless been mapped13-15, and exhibits a pattern that is different from that of negative leaders11-13,16,17. Furthermore, it has been inferred that positive leaders can become transiently disconnected from negative leaders9,12,16,18-20, which may lead to current pulses that both reconnect positive leaders to negative leaders11,16,17,20-22 and cause multiple cloud-to-ground lightning events1. The disconnection process is thought to be due to negative differential resistance18, but this does not explain why the disconnections form primarily on positive leaders22, or why the current in cloud-to-ground lightning never goes to zero23. Indeed, it is still not understood how positive leaders emit radio-frequency radiation or why they behave differently from negative leaders. Here we report three-dimensional radio interferometric observations of lightning over the Netherlands with unprecedented spatiotemporal resolution. We find small plasma structures-which we call 'needles'-that are the dominant source of radio emission from the positive leaders. These structures appear to drain charge from the leader, and are probably the reason why positive leaders disconnect from negative ones, and why cloud-to-ground lightning connects to the ground multiple times.

3.
Clin Appl Thromb Hemost ; 18(1): 79-86, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-21733935

RESUMO

Patients with multiple myeloma (MM) are at relatively high risk of developing thromboembolic events such deep venous thrombosis (DVT) where thalidomide therapy has been identified to increase this risk. Defibrotide (DF), a polydisperse oligonucleotide, showed previously to counteract the alterations in endothelial cells (ECs) induced by lipopolysaccharide. It prompts us to investigate the impact of thalidomide on ECs and whether DF modulates changes in fibrinolysis induced by thalidomide. In this in vitro study, MM by itself alters the profibrinolytic potential of ECs decreasing the tissue plasminogen activator (t-PA) and increasing the plasminogen activator inhibitor 1 (PAI-1) levels which is potentiated by thalidomide. Defibrotide was able to counteract these effects. Additionally, DF upregulated the t-PA and downregulated PAI-1 gene expression modulated by thalidomide. Defibrotide also protects ECs from thalidomide-mediated cell death without interfering with its antitumor effects. These findings support DF clinical use for the prevention of DVT induced by immunomodulatory drugs.


Assuntos
Inibidores da Angiogênese/farmacologia , Células Endoteliais/metabolismo , Fibrinólise/efeitos dos fármacos , Fibrinolíticos/farmacologia , Mieloma Múltiplo/tratamento farmacológico , Polidesoxirribonucleotídeos/farmacologia , Talidomida/farmacologia , Trombose Venosa/prevenção & controle , Inibidores da Angiogênese/efeitos adversos , Inibidores da Angiogênese/uso terapêutico , Morte Celular/efeitos dos fármacos , Linhagem Celular , Avaliação Pré-Clínica de Medicamentos , Células Endoteliais/patologia , Fibrinolíticos/uso terapêutico , Humanos , Mieloma Múltiplo/complicações , Mieloma Múltiplo/metabolismo , Mieloma Múltiplo/patologia , Polidesoxirribonucleotídeos/uso terapêutico , Risco , Talidomida/efeitos adversos , Talidomida/uso terapêutico , Ativador de Plasminogênio Tecidual/metabolismo , Trombose Venosa/induzido quimicamente , Trombose Venosa/metabolismo
4.
Reprod Biomed Online ; 17(4): 530-6, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-18854108

RESUMO

Italian legislation regarding reproductive medicine prohibits embryo storage while allowing cryopreservation of supernumerary oocytes. This study evaluated the effect of fresh oocytes obtained from natural unstimulated cycles on the clinical success rates derived from the use of frozen-thawed (FR-TH) oocytes obtained following ovarian stimulation. For 36 women, intracytoplasmic sperm injection was performed on FR-TH oocytes supplemented by a fresh oocyte, if available, derived from a natural cycle in which gonadotrophin-releasing hormone-antagonist was used for premature LH surge control. The retrieval rate of fresh oocytes was 61.1% and survival rate of FR-TH oocytes was 43.6%. The fertilization rate of fresh and FR-TH oocytes was 70% and 52.5%, respectively. Fifty embryos were transferred, 14 of them developed from fresh oocytes and 36 from FR-TH oocytes. Six pregnancies occurred in 10 cycles in which the embryos developed from fresh and FR-TH oocytes (pregnancy rate 60.0%) and two in 12 patients in whom the embryos were obtained from only FR-TH oocytes (pregnancy rate 16.7%) (P < 0.05). In summary, the data demonstrate that the transfer of embryos derived from oocytes cryopreserved following a previous ovarian stimulation and an embryo developed from a fresh one retrieved in natural cycle ensures an excellent clinical outcome.


Assuntos
Criopreservação , Transferência Embrionária/métodos , Recuperação de Oócitos/métodos , Oócitos , Injeções de Esperma Intracitoplásmicas/métodos , Adulto , Contagem de Células , Feminino , Humanos , Infertilidade/terapia , Masculino , Ciclo Menstrual/fisiologia , Projetos Piloto , Gravidez , Taxa de Gravidez , Resultado do Tratamento
5.
Reprod Biomed Online ; 14(6): 675-81, 2007 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-17579976

RESUMO

Over the last two decades, easier and less expensive stimulation treatments have been largely replaced by more complex and more demanding protocols. Since the mid-nineties, long-term gonadotrophin-releasing hormone agonist stimulation protocols have been widely used. Such lengthy expensive regimens are not free from short- and long-term risks and complications. Mild stimulation protocols reduce the mean number of days of stimulation, the total amount of gonadotrophins used and the mean number of oocytes retrieved. The proportion of high quality and euploid embryos seems to be higher compared with conventional stimulation protocols and the pregnancy rate per embryo transfer is comparable. Moreover, the reduced costs, the better tolerability for patients and the less time needed to complete an IVF cycle make mild approaches clinically and cost-effective over a given period of time. However, further prospective randomized studies are needed to compare cumulative pregnancy rates between the two protocols. Natural cycle IVF, with minimal stimulation, has been recently proposed as an alternative to conventional stimulation protocols in normo- and poor responder patients. Although acceptable results have been reported, further large prospective randomized studies are needed to better evaluate the efficacy of these minimal regimens compared with conventional stimulation approaches.


Assuntos
Indução da Ovulação/métodos , Adulto , Transferência Embrionária , Feminino , Fertilização in vitro/métodos , Hormônio Liberador de Gonadotropina/agonistas , Humanos , Folículo Ovariano/fisiologia , Gravidez , Taxa de Gravidez
6.
Scand J Immunol ; 65(4): 329-35, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17386023

RESUMO

Until recently, the only accepted mechanism of tumour vascularization was the sprouting of endothelial cells (EC) from pre-existing vessels, while recent studies suggest the contribution of stem cell-derived endothelial progenitors as well as cells from the myeloid lineage. Here, we show a new way of endothelial differentiation that involves the specific modulation of monocytes by the tumour environment. The tumour milieu is characterized by the presence of cytokines and lactate which induce the differentiation of tumour-invading monocytes into tumour-associated dendritic cells (DC). Additional incubation of tumour-associated DC with pro-angiogenic factors, such as vascular endothelial growth factor and oncostatin M, led to transdifferentiation into endothelial-like cells. The cells showed strong expression of von Willebrand factor and VE-Cadherin, both classical EC markers, while leukocytic markers were reduced. In addition, they were able to form network-like structures on matrigel, which could be blocked by the DNA-based drug Defibrotide. This finding may be of great therapeutic relevance for tumour therapy.


Assuntos
Diferenciação Celular/imunologia , Células Dendríticas/citologia , Células Endoteliais/citologia , Neovascularização Patológica/metabolismo , Linhagem da Célula/imunologia , Células Cultivadas , Células Dendríticas/imunologia , Células Endoteliais/imunologia , Citometria de Fluxo , Humanos , Imuno-Histoquímica , Neoplasias/irrigação sanguínea , Oncostatina M/metabolismo , Fator A de Crescimento do Endotélio Vascular/metabolismo
7.
Hum Reprod ; 21(6): 1521-4, 2006 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-16459348

RESUMO

BACKGROUND: Since March 2004, only a maximum of three oocytes were allowed to be subjected to ICSI at one time in Italy. A previous study failed to show an impact of this restriction on fresh embryo transfer outcomes. The objective of this study was to compare ICSI outcomes before and after this restriction in patients with nonobstructive azoospermia. METHODS: Patients underwent testicular sperm extraction followed by ICSI. Biological (fertilization rate and the percentage of good-morphology zygotes and embryos) and clinical (clinical pregnancy and implantation rates) outcomes of the last 100 ICSI attempts before the restriction and outcomes of the first 100 ICSI attempts after the restriction were compared. RESULTS: Despite comparable fertilization rates (58.8% versus 59.2%; P > 0.05), there was a significant decrease in the percentage of good-morphology zygotes (41.1% versus 88.4%; P < 0.05) and embryos (36.7% versus 74.0%; P < 0.05) in the cohort of embryos transferred, clinical pregnancy rate (22.7% versus 42.4%; P < 0.05) and cumulative pregnancy rate from fresh and frozen embryo transfers (22.7% versus 53.5%; P < 0.05) after the restriction. CONCLUSION: The oocyte number restriction reduces dramatically the chance of achieving a clinical pregnancy in cases of nonobstructive azoospermia.


Assuntos
Oligospermia/terapia , Injeções de Esperma Intracitoplásmicas/métodos , Resultado do Tratamento , Adulto , Estudos de Coortes , Transferência Embrionária , Feminino , Humanos , Masculino , Oócitos/metabolismo , Indução da Ovulação , Gravidez , Resultado da Gravidez , Espermatozoides/metabolismo , Testículo/metabolismo
8.
Hum Reprod ; 21(3): 670-84, 2006 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-16311287

RESUMO

BACKGROUND: We report on our experience with preimplantation genetic diagnosis (PGD) for single gene disorders (SGDs), from 1999 to 2004, describing strategies and overall clinical outcome of 250 cycles in 174 couples for 23 different genetic conditions. METHODS: PGD cycles included 15 for autosomal dominant, 148 for autosomal recessive and 19 for X-linked SGDs. In addition, 68 cycles of PGD for SGDs were performed in combination with HLA matching. The strategy in each case used an initial multiplex PCR, followed by minisequencing to identify the mutation(s) combined with multiplex PCR for closely linked informative markers to increase accuracy. Linkage analysis, using intragenic and/or extragenic polymorphic microsatellite markers, was performed in cases where the disease-causing mutation(s) was unknown or undetectable. RESULTS: In 250 PGD cycles, a total of 1961 cleavage stage embryos were biopsied. PCR was successful in 3409 out of 3149 (92.4%) biopsied blastomeres and a diagnosis was possible in 1849 (94.3%) embryos. Four hundred and twenty-seven embryos were transferred in 211 cycles, resulting in 71 pregnancies (33.6% per embryo transfer), including 15 biochemical pregnancies, six spontaneous miscarriages, two ectopic pregnancies, which were terminated, and nine pregnancies which are still ongoing. The remaining pregnancies were confirmed to be unaffected and went to term without complications, resulting in the birth of 35 healthy babies. CONCLUSIONS: Minisequencing for mutation detection combined with multiplex fluorescence PCR for linkage analysis is an efficient, accurate and widely applicable strategy for PGD of SGDs. Our experience provides a further demonstration that PGD is an effective clinical tool and a useful option for many couples with a high risk of transmitting a genetic disease.


Assuntos
Blastocisto , Doenças Genéticas Inatas/diagnóstico , Mutação , Adulto , Sequência de Bases , Primers do DNA , Feminino , Fertilização in vitro , Genes Dominantes , Genes Recessivos , Doenças Genéticas Inatas/genética , Humanos , Recém-Nascido , Idade Materna , Linhagem , Reação em Cadeia da Polimerase , Gravidez , Resultado da Gravidez
9.
Bone Marrow Transplant ; 35(9): 915-20, 2005 May.
Artigo em Inglês | MEDLINE | ID: mdl-15778728

RESUMO

Fludarabine is a nonmyeloablative immunosuppressant increasingly used as a component of alternative reduced-intensity conditioning regimens prior to allogeneic stem cell transplantation (SCT). However, we have previously shown that 2-fluoroadenine 9-beta-D-arabinofuranoside (F-Ara) as the active metabolized form of fludarabine induces damage, activation and allogenicity in human microvascular endothelial cells (HMEC). We had also identified the pharmaceutic compound Defibrotide (DF), originally used in the treatment of veno-occlusive disease and thrombotic microangiopathy, as being protective against F-Ara-induced dysfunction of HMEC, importantly, without affecting the antileukemic effect of F-Ara. In the present report, we show that a recently developed derivative of DF, Oligotide, similarly downregulates F-Ara-induced activation and damage of HMEC as well as their antigenicity for allogeneic CD8+ T cells. In addition, Oligotide could also block F-Ara-mediated transendothelial migration of peripheral blood cells across the HMEC barrier. Taken together, these observations argue for a potential clinical use of both DF and Oligotide in pre transplant conditioning.


Assuntos
Antineoplásicos/toxicidade , Células Endoteliais/metabolismo , Endotélio Vascular/fisiopatologia , Oligodesoxirribonucleotídeos/administração & dosagem , Condicionamento Pré-Transplante , Vidarabina/análogos & derivados , Vidarabina/toxicidade , Linhagem Celular , Movimento Celular/efeitos dos fármacos , Endotélio Vascular/lesões , Polidesoxirribonucleotídeos , Condicionamento Pré-Transplante/métodos , Doenças Vasculares/induzido quimicamente , Doenças Vasculares/fisiopatologia , Doenças Vasculares/prevenção & controle
10.
Eur J Obstet Gynecol Reprod Biol ; 115 Suppl 1: S77-9, 2004 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-15196721

RESUMO

Human oocyte survival after intracytoplasmic sperm injection (ICSI) can be compromised by abnormal oolemma breakage patterns during the penetration of the microinjection needle. We previously reported a case of repeated ICSI failures associated with abnormal oolemma breakage in which a substantial improvement and successful pregnancy were achieved by performing ICSI through a laser-drilled hole in the zona pellucida (laser-assisted ICSI). This study was undertaken to compare the efficacy of laser-assisted ICSI with that of conventional ICSI in patients whose oocytes present this particular feature. Oocytes treated by laser-assisted ICSI (n=140) survived better (97.9% versus 85.7%; P<0.05) and tended to form more two-pronucleated zygotes (78.6% versus 69.2%; P=0.07) and less zygotes with three or more pronuclei (2.8% versus 7.8%; P=0.06) as compared with sibling oocytes treated by conventional ICSI (n=140). These data show that laser-assisted ICSI is suitable for oocytes with propensity for sudden oolemma breakage during conventional ICSI. The reduction of oocyte damage with laser-assisted ICSI as compared to conventional ICSI may be useful in other clinical indications where only few oocytes are available or when the oocyte survival after ICSI can be supposed to be compromised.


Assuntos
Lasers , Oocistos , Injeções de Esperma Intracitoplásmicas/métodos , Feminino , Humanos , Masculino , Projetos Piloto , Gravidez , Resultado do Tratamento
11.
Eur J Obstet Gynecol Reprod Biol ; 115 Suppl 1: S106-9, 2004 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-15196727

RESUMO

Frozen-thawed embryo transfer is an effective procedure that allows further possibilities of pregnancy in addition to those obtained after the fresh in vitro fertilization (IVF). In our follow-up study we analysed all fresh embryo transfer procedures and every frozen-thawed embryo transfer performed from January 2000 to December 2001 evaluating the cumulative pregnancy rates. The study population was divided into two groups according to the female age: <38 years (group I) and >38 years (group II). All the best embryos were chosen for transfer and all the supernumerary good quality embryos were cryopreserved on the day of transfer. The embryos were then thawed and manipulated using a new technique. In group I, 527 patients (619 cycles) underwent fresh embryo transfer and in 232 of them (238 cycles) the embryos were frozen (44% per patients and 38.4% per cycle). In group II, 156 patients (193 cycles) underwent fresh embryo transfer and in 14 of them (15 cycles) the embryos were frozen (9% per patient and 7.8% per cycle). The pregnancy rate of group I patients that had their supernumerary embryos frozen (232 patients and 238 cycles) was 47.4% per cycle and 48.7% per patient whereas in the same population of group II patients (14 patients and 15 cycles) the clinical pregnancy rate was 35.7% per cycle and 38.5% per patients. The cumulative clinical pregnancy rate after transfer of fresh and thawed embryos was: group I, 74% per cycle and 76% per patients; group II, 42.8% per cycle and 46.1% per patient. Frozen-thawed embryo transfer is a cost-effective practice.


Assuntos
Criopreservação , Transferência Embrionária , Embrião de Mamíferos , Adulto , Feminino , Seguimentos , Humanos , Masculino , Gravidez , Resultado da Gravidez
12.
Hum Reprod ; 19(3): 655-9, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-14998966

RESUMO

BACKGROUND: The clinical efficacy of the current methods used for cryopreservation of metaphase II human oocytes is low. Meiotic spindle disorders are thought to be largely responsible for this situation. METHODS: Supernumerary fresh metaphase II human oocytes were cryopreserved in 1,2-propanediol with 0.1 M sucrose using a slow freezing/rapid thawing programme. Meiotic spindles were analysed in these living metaphase II oocytes at sequential steps of the freezing and thawing procedures with the use of a computer-assisted polarization microscopy system (Polscope). RESULTS: The meiotic spindle was detected in all 56 oocytes (from 16 patients) before freezing and remained visible in all these oocytes throughout the preparation for freezing up to the time that they were loaded into cryopreservation straws. Immediately after thawing, the spindle was visible in 35.7% of oocytes, but it disappeared in all of the thawed oocytes during the subsequent washing steps. However, the spindle reappeared in all surviving thawed oocytes after washing (57.4%), by 3 h of incubation at 37 degrees C in culture medium. CONCLUSIONS: The current techniques of oocyte freezing and thawing inevitably cause meiotic spindle destruction. All spindles observed in thawed oocytes result from post-thaw reconstruction.


Assuntos
Criopreservação , Metáfase , Microscopia de Polarização , Oócitos/ultraestrutura , Fuso Acromático/ultraestrutura , Sobrevivência Celular , Células Cultivadas , Meios de Cultura , Feminino , Humanos , Imuno-Histoquímica , Oócitos/fisiologia , Temperatura , Irrigação Terapêutica , Fatores de Tempo
13.
Reprod Biomed Online ; 7(5): 558-62, 2003 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-14680548

RESUMO

The X-linked dominant form of Charcot-Marie-Tooth syndrome (CMTX) is a clinically and genetically heterogeneous hereditary disorder of the peripheral nerves caused by mutations in the GJB1 gene that encodes a gap junction protein named connexin 32 (Cx32). Clinically, CMTX is characterized by peripheral motor and sensory deficit with muscle atrophy. A couple with a previous history of pregnancy termination after being diagnosed positive for CMTX by chorionic villus sampling, was referred for preimplantation genetic diagnosis (PGD). The female partner carried the causative H94Q, characterized by a C-->G substitution in codon 94 of exon 2 of the GJB1 gene. Embryos obtained after intracytoplasmic sperm injection (ICSI) were evaluated for the presence of the mother's mutation using polymerase chain reaction (PCR), followed by mutation analysis performed using the minisequencing method. Amelogenin sequences on the X and Y chromosomes were also co-amplified to provide a correlation between embryo gender and mutation presence. A single PGD cycle was performed, involving nine fertilized oocytes, five of which developed into good quality embryos useful for biopsy. Two unaffected embryos were transferred, resulting in a singleton pregnancy followed by the birth of a healthy female.


Assuntos
Doença de Charcot-Marie-Tooth/diagnóstico , Doença de Charcot-Marie-Tooth/genética , Cromossomos Humanos X , Diagnóstico Pré-Implantação , Adulto , Amelogenina , Conexinas/genética , Análise Mutacional de DNA , Proteínas do Esmalte Dentário/genética , Transferência Embrionária , Feminino , Ligação Genética , Humanos , Masculino , Mutação , Reação em Cadeia da Polimerase , Injeções de Esperma Intracitoplásmicas , Proteína beta-1 de Junções Comunicantes
14.
Placenta ; 24 Suppl B: S34-8, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14559028

RESUMO

There is an evident decline of female fertility with age. This decline is mainly due to increased risk of pregnancy termination either after conception or after embryo implantation. Very likely the major cause of this embryo and pregnancy loss is chromosomal aneuploidies caused mostly by increasing rates of 'poor quality' oocytes. This phenomenon can be explained either by an age dependent accumulation of damage and/or by the hypothesis that the defective oocytes are there in the ovaries from the fetal life. 'Good quality' oocytes are ovulated first, leaving 'poor quality' oocytes to be ovulated later in life. Besides the quality of the oocytes which is mainly responsible of the embryo quality (we have not to forget a paternal effect) the process of implantation is dependent upon two variables: the probability of a viable embryo and that of a receptive uterine environment. From the oocyte donation model it seems that the endometrium also plays a minor role in human reproductive ageing as it does in some laboratory animals. However, besides some macroscopic possible causes which may play a role in the reduction of the age-related endometrial receptivity, there are so many endometrial factors possibly related to its receptivity which need to be further studied especially in older women.


Assuntos
Envelhecimento/fisiologia , Implantação do Embrião/fisiologia , Hormônio Foliculoestimulante/fisiologia , Idade Materna , Ovário/fisiologia , Gravidez de Alto Risco , Adulto , Envelhecimento/sangue , Feminino , Hormônio Foliculoestimulante/sangue , Humanos , Gravidez
15.
Hum Reprod ; 18(6): 1289-93, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12773461

RESUMO

BACKGROUND: The recent development of a computer-assisted polarization microscopy system (Polscope) with which the meiotic spindle can be visualized in living oocytes on the basis of its birefringence permits analysis of the meiotic spindles of oocytes subjected to ICSI. Previous studies have shown that the meiotic spindle is not always aligned with the first polar body (PB) in metaphase II human oocytes prepared for ICSI. In the present study, the relationship between the degree of meiotic spindle deviation from the first PB location and ICSI outcome was analysed. METHODS: Oocytes were divided into four groups according to the angle of meiotic spindle deviation from the PB position. The angle of deviation was 0-5 degrees, 6-45 degrees, 46-90 degrees and >90 degrees for groups I to IV respectively. RESULTS: The rates of normal [2 pronuclei (PN)] and abnormal (1PN or >2PN) fertilization did not differ between groups I, II and III. However, the rate of normal fertilization was lower among oocytes in which the meiotic spindle deviation angle was >90 degrees; this led to an increased proportion of tripronucleated zygotes that failed to extrude the second PB. When embryos developed from normally fertilized oocytes were evaluated on day 3 after ICSI, no relationship was found between the angle of meiotic spindle deviation and embryo quality. The meiotic spindle was not detected in only 9% of oocytes, and these showed a higher incidence of fertilization and cleavage abnormalities than did oocytes in which the spindle was detected. When oocytes at metaphase I after cumulus oophorus and corona radiata removal were matured in vitro, the meiotic spindle was detected in 53.8% of those that reached metaphase II. In these in-vitro-matured oocytes the meiotic spindle was always aligned with the first PB, suggesting that misalignment seen in those oocytes matured in vivo resulted from PB displacement during manipulations for cumulus and corona removal. CONCLUSION: High degrees of misalignment between the meiotic spindle and the first PB predict an increased risk of fertilization abnormalities. However, when normal fertilization had occurred, the cleavage potential of embryos developing from such oocytes was not impaired. These findings facilitate the selection of oocytes for ICSI in situations when the creation of supernumerary embryos is to be avoided.


Assuntos
Citoesqueleto/ultraestrutura , Meiose , Oócitos/ultraestrutura , Injeções de Esperma Intracitoplásmicas , Núcleo Celular/ultraestrutura , Técnicas de Cultura , Embrião de Mamíferos/fisiologia , Feminino , Humanos , Microscopia de Polarização
16.
Hum Reprod ; 17(6): 1544-7, 2002 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12042275

RESUMO

BACKGROUND: Glucocorticoids have been used in conjunction with zona dissection to improve pregnancy and implantation rates in IVF patients. The aim of this prospective randomized study was to evaluate the effect of low-dose prednisolone in addition to the standard protocol, on pregnancy and implantation rates in routine ICSI patients before and after embryo replacement. METHODS: A total of 313 patients in 360 consecutive cycles (patients <39 years old and with three or less than three ICSI attempts) performed at our centre were randomly assigned by computer-generated list to receive either prednisolone (10 mg/day in two divided doses), starting on the first day of ovarian stimulation and continuing for 4 weeks (group A), or no treatment (group B). RESULTS: The mean age, number of previously failed IVF attempts, basal FSH levels and the mean rank of trials were comparable between groups A and B. The mean (+/- SD) number of metaphase II oocytes retrieved (11.9 +/- 5.5 versus 12.0 +/- 5.1), 2-pronuclei fertilization rate (67.2 versus 65.8%), the pregnancy and the implantation rates were not different between the study and control groups (49.0 and 23.6% versus 50.0 and 23.3% respectively). CONCLUSION: Low-dose prednisolone treatment in addition to the standard protocol before and after embryo replacement does not appear to have a significant effect on pregnancy or implantation rates.


Assuntos
Implantação do Embrião/efeitos dos fármacos , Prednisolona/administração & dosagem , Injeções de Esperma Intracitoplásmicas/métodos , Adulto , Anti-Inflamatórios/administração & dosagem , Transferência Embrionária , Feminino , Glucocorticoides/administração & dosagem , Humanos , Gravidez , Resultado da Gravidez , Estudos Prospectivos
17.
Fertil Steril ; 76(5): 1045-7, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11704132

RESUMO

OBJECTIVE: To improve oocyte survival and fertilization rates after intracytoplasmic sperm injection (ICSI) in patients with inherent oocyte fragility. DESIGN: Pilot feasibility study and case report. SETTING: Private hospital. PATIENT(S): Infertile couple with repeated failures of ICSI caused by oocyte degeneration. INTERVENTION(S): Laser-assisted drilling of the zona pellucida followed by ICSI. MAIN OUTCOME MEASURE(S): Oocyte survival, fertilization, and pregnancy. RESULTS: In a couple with four previous ICSI failures because of poor oocyte survival (33.3%, 0%, 20%, and 18%), a fifth attempt using laser-assisted ICSI resulted in the survival of 8 oocytes out of 13 injected. Normal fertilization occurred in 5 oocytes, and a clinical pregnancy was established. CONCLUSION(S): Performing ICSI through a laser-drilled hole in the zona pellucida reduces the risk of oocyte damage related to deformation during the initial phase of the microinjection procedure. This modification of ICSI appears to be suitable for patients whose oocyte show inherent fragility and high degeneration rates after the standard ICSI procedure.


Assuntos
Lasers , Injeções de Esperma Intracitoplásmicas/métodos , Adulto , Sobrevivência Celular , Estudos de Viabilidade , Feminino , Fertilização , Humanos , Masculino , Pessoa de Meia-Idade , Oócitos/fisiologia , Projetos Piloto , Gravidez , Zona Pelúcida/efeitos da radiação
18.
J Immunol ; 165(2): 860-8, 2000 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-10878360

RESUMO

IL-2 is the major autocrine and paracrine growth factor produced by T cells upon T cell stimulation. The inducible expression of IL-2 is highly regulated by multiple transcription factors, particularly AP-1, which coordinately activate the promoter. Described here is the ability of the novel basic leucine zipper protein p21SNFT to repress AP-1 activity and IL-2 transcription. A detailed analysis of the repression by p21SNFT repression on the IL-2 promoter distal NF-AT/AP-1 site demonstrates that it can bind DNA with NF-AT and Jun, strongly suggesting that it represses NF-AT/AP-1 activity by competing with Fos proteins for Jun dimerization. The importance of this repression is that p21SNFT inhibits the trans-activation potential of protein complexes that contain Jun, thereby demonstrating an additional level of control for the highly regulated, ubiquitous AP-1 transcription factor and the IL-2 gene.


Assuntos
Interleucina-2/antagonistas & inibidores , Interleucina-2/genética , Zíper de Leucina/imunologia , Proteínas Nucleares , Regiões Promotoras Genéticas/imunologia , Proteínas Repressoras/fisiologia , Fatores de Transcrição/fisiologia , Fatores de Transcrição de Zíper de Leucina Básica , Sítios de Ligação/genética , Sítios de Ligação/imunologia , Proteínas de Ligação a DNA/metabolismo , Regulação para Baixo/imunologia , Regulação da Expressão Gênica/imunologia , Humanos , Células Jurkat/imunologia , Células Jurkat/metabolismo , Zíper de Leucina/genética , Ativação Linfocitária/genética , Substâncias Macromoleculares , Dados de Sequência Molecular , Peso Molecular , Fatores de Transcrição NFATC , Proteínas Proto-Oncogênicas c-jun/metabolismo , Proteínas Repressoras/biossíntese , Proteínas Repressoras/metabolismo , Fator de Transcrição AP-1/metabolismo , Fatores de Transcrição/biossíntese , Fatores de Transcrição/metabolismo , Transfecção/imunologia
19.
Br J Haematol ; 111(4): 1122-9, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11167751

RESUMO

Severe hepatic veno-occlusive disease (VOD) is a recognized complication of autologous and allogeneic stem cell transplantation (SCT) that is often fatal. Defibrotide (DF) is a polydeoxyribonucleotide that has been found to have anti-thrombotic, anti-ischaemic and thrombolytic properties without causing significant anticoagulation. Preliminary studies have demonstrated activity for DF in the treatment of VOD, with minimal associated toxicity. In the present study, 40 patients who fulfilled established criteria for VOD were treated with DF on compassionate grounds in 19 European centres; 28 patients met risk criteria predicting progression of VOD and fatality or had evidence of multiorgan failure (MOF), and were defined as 'poor-risk'. DF was commenced intravenously at a median of 14 d (range, -2 d to 53 d) post SCT at doses ranging from 10 to 40 mg/kg. The median duration of therapy was 18 d (range, 2--71 d). Twenty-two patients showed a complete response (CR) (bilirubin < 34.2 micromol/l and resolution of signs/symptoms of VOD and end-organ dysfunction) [CR = 55%, confidence interval (CI) 40--70%] and 17 patients (43%) are alive beyond d +100. Ten poor-risk patients showed a complete response (CR = 36%, CI 21--51%). These results demonstrate that DF is an active treatment for VOD following SCT and a randomized trial is now underway in order to further evaluate its role.


Assuntos
Fibrinolíticos/uso terapêutico , Transplante de Células-Tronco Hematopoéticas , Hepatopatia Veno-Oclusiva/tratamento farmacológico , Polidesoxirribonucleotídeos/uso terapêutico , Complicações Pós-Operatórias/tratamento farmacológico , Doença Aguda , Adolescente , Adulto , Bilirrubina/análise , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/cirurgia , Criança , Pré-Escolar , Feminino , Hepatopatia Veno-Oclusiva/sangue , Doença de Hodgkin/tratamento farmacológico , Doença de Hodgkin/cirurgia , Humanos , Lactente , Leucemia Mieloide/tratamento farmacológico , Leucemia Mieloide/cirurgia , Masculino , Pessoa de Meia-Idade , Mieloma Múltiplo/tratamento farmacológico , Mieloma Múltiplo/cirurgia , Leucemia-Linfoma Linfoblástico de Células Precursoras/tratamento farmacológico , Leucemia-Linfoma Linfoblástico de Células Precursoras/cirurgia , Resultado do Tratamento
20.
J Immunol ; 162(6): 3308-15, 1999 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-10092783

RESUMO

The IL-2 growth hormone is the major growth factor of activated T lymphocytes during a developing immune response. IL-2 is required not only for cell cycle progression but also to protect Ag-activated T cells from programmed cell death. In several cell types, activation of NF-kappa B and/or activating protein-1 (AP-1) has been demonstrated to be extremely important in blocking apoptosis. To determine whether either or both of these transcription factors are involved in cell survival or cell cycle progression in response to IL-2, primary human T cells responsive to the growth factor were analyzed for NF-kappa B and AP-1 activation. The current study clearly demonstrates that IL-2 does not induce I kappa B alpha degradation or NF-kappa B activation in primary human T cells that respond to IL-2 by entering the cell cycle and avoiding apoptosis. Similarly, IL-2 neither activates JNK nor increases AP-1 binding activity to a consensus o-tetradecanoylphorbol 13-acetate (TPA) response element. On the other hand, the growth factor does induce the activation of STAT3 and STAT5 in these cells, as has been previously demonstrated. These data show that neither NF-kappa B nor AP-1 activation is required for IL-2-mediated survival or cell cycle progression in activated primary human T cells.


Assuntos
Apoptose/imunologia , Ciclo Celular/imunologia , Interleucina-2/fisiologia , Proteínas do Leite , NF-kappa B/metabolismo , Linfócitos T/citologia , Fator de Transcrição AP-1/metabolismo , Sobrevivência Celular/imunologia , Células Cultivadas , Proteínas de Ligação a DNA/metabolismo , Humanos , NF-kappa B/fisiologia , Fator de Transcrição STAT3 , Fator de Transcrição STAT5 , Transdução de Sinais/imunologia , Linfócitos T/imunologia , Linfócitos T/metabolismo , Timo/citologia , Timo/imunologia , Timo/metabolismo , Transativadores/metabolismo , Fator de Transcrição AP-1/fisiologia
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