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1.
Mar Environ Res ; 136: 158-173, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29506823

RESUMO

This study evaluated the impacts of submarine groundwater discharges (SGD) on a rocky intertidal community of South Portugal, during April-November 2011. Chlorophyll-a concentration was higher at the SGD site in respect to the Reference site. Epibenthic community structure differed between sites, with an increase in Chthamalus spp. and a decrease in macroalgae coverage at the SGD site. The abundance and body size of Mytilus galloprovincialis were consistently higher at the SGD site. During mid-spring, under potentially higher SGD and less favorable conditions for coastal phytoplankton, the ecophysiological condition of M. galloprovincialis and G. umbilicalis was also higher at the SGD site. These beneficial effects on filter-feeders and herbivores probably resulted from local increases in prey availability, supported by SGD-driven nutrient inputs. Conversely, P. depressa was not favoured by SGD, probably due to a lower dependency on algae as food. The analysis of epibenthic community structure and ecophysiological condition represents a promising approach to disentangle the ecological impacts of SGD on intertidal ecosystems.


Assuntos
Organismos Aquáticos/fisiologia , Ecossistema , Monitoramento Ambiental , Água Subterrânea/química , Animais , Água Subterrânea/análise , Herbivoria , Fitoplâncton , Portugal , Água do Mar/química
2.
Lung Cancer ; 85(3): 429-34, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25047675

RESUMO

BACKGROUND: CBP501, a synthetic duodecapeptide, increases cisplatin influx into tumor cells through an interaction with calmodulin enhancing cisplatin cytotoxicity, and effects cell cycle progression by abrogating DNA repair at the G2 checkpoint. In phase I clinical trials of CBP501 alone or in combination with cisplatin, the most common toxicity was infusion-related urticaria. Activity of CBP501 plus cisplatin was observed in patients with ovarian cancer and mesothelioma, including some patients previously treated with cisplatin. METHODS: Chemotherapy naïve patients with unresectable MPM were stratified by histology and performance status, and randomized 2:1 to pemetrexed/cisplatin plus CBP501 25mg/m(2) IV (Arm A) or pemetrexed/cisplatin alone (Arm B). The primary endpoint was progression free survival (PFS) at 4 months. RESULTS: 65 patients were randomized, and 63 were treated. Patient characteristics in the two arms were balanced. Based on independent radiology review of the treated population, 25/40 patients (63%) in Arm A and 9/23 (39%) in Arm B had PFS≥4mo; the median PFS was 5.1mo (95% CI, 3.9, 6.5) vs 3.4mo (2.5, 6.7). Median OS was 13.3mo (9.2, 16.3) in Arm A and 12.8 (6.5, 16.1) in Arm B. Adverse events were not different than expected from standard chemotherapy, and comparable in the two arms, aside from infusion reactions which occurred in 70% of patients treated with CBP501. CONCLUSIONS: While this randomized phase II trial met its primary endpoint of PFS at 4 months, other parameters such as response rate and overall survival suggest that the addition of CBP501 does not improve the efficacy of standard chemotherapy for MPM.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pulmonares/patologia , Mesotelioma/tratamento farmacológico , Mesotelioma/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Cisplatino/administração & dosagem , Feminino , Glutamatos/administração & dosagem , Guanina/administração & dosagem , Guanina/análogos & derivados , Humanos , Neoplasias Pulmonares/mortalidade , Masculino , Mesotelioma/mortalidade , Mesotelioma Maligno , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Pemetrexede , Fragmentos de Peptídeos/administração & dosagem , Resultado do Tratamento , Fosfatases cdc25/administração & dosagem
3.
Transl Psychiatry ; 1: e8, 2011 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-22832403

RESUMO

Schizophrenia is a serious and chronic mental disorder, in which both genetic and environmental factors have a role in the development of the disease. Neuregulin-1 (NRG1) is one of the most established genetic risk factors for schizophrenia, and disruption of NRG1 signaling has been reported in this disorder. We reported previously that NRG1/ErbB4 signaling is inhibited by receptor phosphotyrosine phosphatase-ß/ζ (RPTP ß/ζ) and that the gene encoding RPTPß/ζ (PTPRZ1) is genetically associated with schizophrenia. In this study, we examined the expression of RPTPß/ζ in the brains of patients with schizophrenia and observed increased expression of this gene. We developed mice overexpressing RPTPß/ζ (PTPRZ1-transgenic mice), which showed reduced NRG1 signaling, and molecular and cellular changes implicated in the pathogenesis of schizophrenia, including altered glutamatergic, GABAergic and dopaminergic activity, as well as delayed oligodendrocyte development. Behavioral analyses also demonstrated schizophrenia-like changes in the PTPRZ1-transgenic mice, including reduced sensory motor gating, hyperactivity and working memory deficits. Our results indicate that enhanced RPTPß/ζ signaling can contribute to schizophrenia phenotypes, and support both construct and face validity for PTPRZ1-transgenic mice as a model for multiple schizophrenia phenotypes. Furthermore, our results implicate RPTPß/ζ as a therapeutic target in schizophrenia.


Assuntos
Transtornos Cognitivos/genética , Regulação Enzimológica da Expressão Gênica , Fenótipo , Proteínas Tirosina Fosfatases Classe 5 Semelhantes a Receptores/genética , Esquizofrenia/genética , Regulação para Cima/genética , Adulto , Animais , Modelos Animais de Doenças , Feminino , Humanos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Pessoa de Meia-Idade , Proteínas Tirosina Fosfatases Classe 5 Semelhantes a Receptores/biossíntese , Proteínas Tirosina Fosfatases Classe 5 Semelhantes a Receptores/metabolismo , Esquizofrenia/enzimologia , Esquizofrenia/metabolismo , Transdução de Sinais/genética , Adulto Jovem
4.
Laryngorhinootologie ; 88(4): 236-40, 2009 Apr.
Artigo em Alemão | MEDLINE | ID: mdl-19065496

RESUMO

BACKGROUND: Investigations into the MRI compatibility of middle ear implants made from titanium alloys with 1.5 and 3.0 tesla MRI systems which are frequently used for imaging diagnostics. METHOD: 17 different middle ear (ME) implants (ossicular replacement prosthesis (ORP) and ventilation tubes) made from titanium were tested in vitro. Potential warming was determined via an MRI-compatible fibre optic temperature sensor under the influence of sequences with high-level high frequency impulses. An assessment of the attractive force of the implants was carried out placed on a Petri dish under vibration and floating on rubber-sponge (RS) in a water bath. RESULTS: No significant warming of the implants was observed with any of the used sequences at either 3 or 1.5 Tesla field strength (TF). With 3 TF, all 17 implants changed their position on the surface of the water and moved at a slow speed (0.0004-0.0014 m/s) towards the magnetic field. With 1.5 TF, the tested ME implants moved at a maximum speed of 0.0002 m/s and in the case of the ventilation tubes at 0.0005 m/s. CONCLUSION: No warming occurred in any of the tested middle ear implants at either 1.5 or 3 TF. The attractive forces exerted through the static magnetic field were overall low at 1.5 and 3 TF, indicating that no dislocation is to be expected if intraoperative anchoring is correctly conducted. Nevertheless, the indication for examination at 3 TF should be carefully considered due to the anatomically sensitive region.


Assuntos
Imageamento por Ressonância Magnética , Ventilação da Orelha Média/instrumentação , Prótese Ossicular , Titânio , Contraindicações , Campos Eletromagnéticos/efeitos adversos , Análise de Falha de Equipamento , Segurança de Equipamentos , Humanos , Técnicas In Vitro , Imageamento por Ressonância Magnética/instrumentação , Temperatura
6.
Phytomedicine ; 14(1): 2-10, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17169543

RESUMO

This randomised, double-blind, bicenter, placebo-controlled clinical trial investigated the effect of a daily application of 6g Kytta-Salbe f (3 x 2 g) over a 3 week period with patients suffering from painful osteoarthritis of the knee. The two hundred and twenty patients examined consisted of 153 women and 67 men of an average age of 57.9 years. On average, the complaints relating to osteoarthritis of the knee had persisted for 6.5 years. Two hundred and twenty patients were included in the Full Analysis Set (FAS) and safety collective, 186 (84.5%) in the Valid Case Analysis Set (VCAS) collective. In the course of the trial, the visual analog scale (VAS) total score (primary target value) in the verum group dropped by 51.6 mm (54.7%) and in the placebo group by 10.1 mm (10.7%). The average difference between the groups of 41.5 mm (95% confidence interval=34.8 to 48.2 mm) or 44.0% is significant (p<0.001). The significance is confirmed through the evaluation of the diary, the VCAS evaluation and the separate assessment of the two centres. This also applies to the separate assessment of the VAS total score following pain at rest and on movement. The WOMAC (Western Ontario and McMaster Universities) total score (secondary target value) also improved similar to the VAS total score. At the end of the trial, a reduction by 60.4 mm (58.0%) was recorded for the verum group and a reduction of 14.7 mm (14.1%) for the placebo group. The average group difference of 45.7 mm (95% confidence interval=37.1 to 54.3 mm) or 43.9% is significant (p<0.001). The difference between the treatment groups increased systematically and significantly, in parallel with the duration of the treatment. Thus, the superiority of the treatment with Kytta-Salbe f over that with the placebo is proven, even by means of the multi-factorial multivariate analysis for repetitive measurements. In respect of the explorative secondary target values SF-36 (quality of life), angle measurement (mobility of the knee), CGI (clinical global impression) and global assessment of efficacy by the physician and the patient, a significant superiority (p<0.001 each) of the verum group over the placebo group was also proven. The results suggest that the comfrey root extract ointment is well suited for the treatment of osteoarthritis of the knee. Pain is reduced, mobility of the knee improved and quality of life increased.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Confrei , Osteoartrite do Joelho/tratamento farmacológico , Fitoterapia , Extratos Vegetais/uso terapêutico , Administração Cutânea , Anti-Inflamatórios não Esteroides/administração & dosagem , Método Duplo-Cego , Feminino , Alemanha , Humanos , Masculino , Pessoa de Meia-Idade , Pomadas , Medição da Dor , Extratos Vegetais/administração & dosagem , Raízes de Plantas , Amplitude de Movimento Articular , Resultado do Tratamento
7.
Cancer Immunol Immunother ; 54(10): 1018-25, 2005 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15926079

RESUMO

Glycolipids GM2, GD2, GD3, fucosyl GM1, sialyl Lewis a (sLe(a)) and globo H, and polysialic acid on embryonal NCAM, are cell-surface antigens expressed on small cell lung cancer (SCLC) biopsy specimens. They are all candidates for inclusion in a polyvalent, antibody-inducing vaccine or for adoptive therapy with monoclonal antibodies (mAbs) against SCLC. To identify the minimum optimal combination of target antigens on SCLC and to confirm that antibodies against this combination might be able to mediate complement activation and lysis in the majority of cases, we tested ten SCLC cell lines with fluorescence activated cell sorter (FACS) and complement dependent cytotoxicity (CDC) assays using mAbs against these seven target antigens individually or pooled in different combinations. We find that (1) none of these mAbs demonstrated strong FACS reactivity with more than 6 of the 10 cell lines, (2) no mAb had strong CDC reactivity with more than 4 of the cell lines, (3) when the mAbs were pooled, nine cell lines were strongly positive by FACS and nine cell lines were strongly positive by CDC, and (4) mAbs against GM2, FucGM1, globo H and polysialic acid was the minimum optimal combination for inducing FACS reactivity. The addition of mAbs against sLe(a), GD2 and GD3 had no additional impact by FACS and only minimal additional impact in CDC assays. H345, the only cell line that had less than 30% CDC with the four mAb pool was strongly positive by FACS. To understand the lack of correlation between FACS and CDC in the case of H345, the ten cell lines were screened for expression of complement resistance factors CD55 and CD59. Three cell lines were strongly positive for CD55 and eight were strongly positive for CD59. Overall, no correlation was seen between expression of either of these factors on the ten cell lines and sensitivity to CDC. In the case of H345 however, complement resistance of H345 is demonstrated to be mediated primarily by CD59, and in the presence of mAb against CD59, the four mAb MEM-43 pool induced strong (94%) CDC. CD59 inhibits membrane attack complex formation but not activation of earlier complement components. Consequently, all ten cell lines are good targets for complement activation by the four antibody pool and for elimination by effector mechanisms including complement mediated inflammation and opsonization. These findings support our plan to develop a tetravalent vaccine against SCLC targeting GM2, fucosyl GM1, globo H and polysialic acid.


Assuntos
Anticorpos Monoclonais , Antígenos Glicosídicos Associados a Tumores/imunologia , Carcinoma de Células Pequenas/terapia , Gangliosídeo G(M1)/análogos & derivados , Gangliosídeo G(M2)/imunologia , Imunoterapia , Ácidos Siálicos/imunologia , Anticorpos Monoclonais/imunologia , Anticorpos Monoclonais/uso terapêutico , Carcinoma de Células Pequenas/imunologia , Ativação do Complemento/imunologia , Proteínas do Sistema Complemento/fisiologia , Citotoxicidade Imunológica/imunologia , Gangliosídeo G(M1)/imunologia , Humanos , Neoplasias Pulmonares/imunologia , Neoplasias Pulmonares/terapia , Células Tumorais Cultivadas
9.
Virology ; 288(1): 145-53, 2001 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-11543667

RESUMO

The Roseolovirus genus of the Betaherpesvirinae consists of the very closely related viruses, human herpesvirus 6 variants A and B (HHV-6A and HHV-6B) plus the somewhat more distantly related human herpesvirus 7 (HHV-7). The roseoloviruses each encode a homolog of the alphaherpesvirus origin binding protein (OBP) which is required for lytic DNA replication. In contrast, members of the other betaherpesvirus genera, the cytomegaloviruses, initiate DNA replication by a different mechanism. To better understand the basis of roseolovirus OBP sequence specificity, we investigated their ability to recognize each other's binding sites. HHV-6A OBP (OBP(H6A)) and HHV-6B OBP (OBP(H6B)) each bind to both of the HHV-7 OBP sites (OBP-1 and OBP-2) with similar strengths, which are also similar to their nearly equivalent interactions with their own sites. In contrast, HHV-7 OBP (OBP(H7)) had a gradient of binding preferences: HHV-7 OBP-2 > HHV-6 OBP-2 > HHV-7 OBP-1 > HHV-6 OBP-1. Thus, the roseolovirus OBPs are not equally reciprocal in their recognition of each other's OBP sites, suggesting that the sequence requirements for the interaction of OBPH7 at the OBP sites in its cognate oriLyt differ from those of OBPH6A and OBPH6B.


Assuntos
Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/metabolismo , DNA/química , DNA/metabolismo , Roseolovirus/fisiologia , Proteínas Virais/química , Proteínas Virais/metabolismo , Sequência de Aminoácidos , Sequência de Bases , Sítios de Ligação , Ligação Competitiva , Herpesvirus Humano 6/genética , Herpesvirus Humano 7/genética , Humanos , Cinética , Dados de Sequência Molecular , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Roseolovirus/classificação , Roseolovirus/genética , Alinhamento de Sequência , Homologia de Sequência de Aminoácidos , Homologia de Sequência do Ácido Nucleico , Especificidade por Substrato
10.
J Virol ; 75(8): 3925-36, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11264381

RESUMO

As do human herpesvirus 6 variants A and B (HHV-6A and -6B), HHV-7 encodes a homolog of the alphaherpesvirus origin binding protein (OBP), which binds at sites in the origin of lytic replication (oriLyt) to initiate DNA replication. In this study, we sought to characterize the interaction of the HHV-7 OBP (OBP(H7)) with its cognate sites in the 600-bp HHV-7 oriLyt. We expressed the carboxyl-terminal domain of OBP(H7) and found that amino acids 484 to 787 of OBP(H7) were sufficient for DNA binding activity by electrophoretic mobility shift analysis. OBP(H7) has one high-affinity binding site (OBP-2) located on one flank of an AT-rich spacer element and a low-affinity site (OBP-1) on the other. This is in contrast to the HHV-6B OBP (OBP(H6B)), which binds with similar affinity to its two cognate OBP sites in the HHV-6B oriLyt. The minimal recognition element of the OBP-2 site was mapped to a 14-bp sequence. The OBP(H7) consensus recognition sequence of the 9-bp core, BRTYCWCCT (where B is a T, G, or C; R is a G or A; Y is a T or C; and W is a T or A), overlaps with the OBP(H6B) consensus YGWYCWCCY and establishes YCWCC as the roseolovirus OBP core recognition sequence. Heteroduplex analysis suggests that OBP(H7) interacts along one face of the DNA helix, with the major groove, as do OBP(H6B) and herpes simplex virus type 1 OBP. Together, these results illustrate both conserved and divergent DNA binding properties between OBP(H7) and OBP(H6B).


Assuntos
Replicação do DNA , DNA Viral/metabolismo , Proteínas de Ligação a DNA/metabolismo , Herpesvirus Humano 7 , Origem de Replicação/genética , Proteínas Virais/metabolismo , Replicação Viral , Sequência de Aminoácidos , Sequência de Bases , Ligação Competitiva , Linhagem Celular , Sequência Consenso/genética , DNA Viral/química , DNA Viral/genética , Proteínas de Ligação a DNA/genética , Herpesvirus Humano 7/genética , Herpesvirus Humano 7/metabolismo , Análise Heteroduplex , Humanos , Modelos Moleculares , Dados de Sequência Molecular , Mutação , Conformação de Ácido Nucleico , RNA Viral/análise , RNA Viral/genética , Sequências Reguladoras de Ácido Nucleico/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Alinhamento de Sequência , Termodinâmica , Proteínas Virais/genética
11.
Clin Cancer Res ; 6(9): 3493-8, 2000 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10999734

RESUMO

The 10-deazaaminopterins are a new class of rationally designed antifolates demonstrating greater antitumor effects than methotrexate in murine tumor models and human tumor xenografts. Their design was aimed at improving membrane transport and polyglutamylation in tumor cells, resulting in increased intracellular accumulation and enhanced cytotoxicity. Compared with other 4-aminofolate analogues, 10-propargyl-10-deazaaminopterin (PDX) is the most efficient permeant for the RFC-1-mediated internalization and substrate for folylpolyglutamate synthetase. PDX demonstrates greater in vitro and in vivo antitumor efficacy than methotrexate or edatrexate. We undertook a Phase I study with PDX to identify the potential toxicities and define an optimal dose and schedule. Thirty-three patients were enrolled, all of whom had non-small cell lung cancer (NSCLC) and were treated previously with a median of two prior chemotherapy regimens. Initially, PDX was administered weekly for 3 weeks in a 4-week cycle. Mucositis requiring dose reduction and/or delay in the first cycle occurred in four of six patients treated at the initial dose level (30 mg/m2), making this the maximal tolerated dose for PDX given on this schedule. The treatment schedule was then modified to every 2 weeks. Twenty-seven patients were treated twice weekly with a total of 102 four-week cycles (median, 2 cycles/patient). Mucositis was the dose-limiting toxicity, with grade 3 and 4 mucositis occurring in the first two patients treated at the 170 mg/m2 dose level. Other toxicities were mild and reversible. No neutropenia was observed. The recommended Phase II dose is 150 mg/m2 biweekly. At that dose level, the mean area under the curve was 20.6 micromol x h, and the mean terminal half-life was 8 h. Two patients with stage IV NSCLC had major objective responses, and five patients had stable disease for 7 (two patients), 9 (one patient), 10 (one patient), and 13 months (one patient). PDX is a new antifolate with manageable toxicity and evidence of antitumor activity in NSCLC. A Phase II trial in NSCLC and a Phase I trial with paclitaxel are under way. These studies will also quantitate the expression of genes controlling internalization (RFC-1) and polyglutamylation of PDX in tumor cells as correlates of response.


Assuntos
Aminopterina/efeitos adversos , Aminopterina/farmacocinética , Antineoplásicos/efeitos adversos , Antineoplásicos/farmacocinética , Carcinoma Pulmonar de Células não Pequenas/metabolismo , Antagonistas do Ácido Fólico/efeitos adversos , Antagonistas do Ácido Fólico/farmacocinética , Neoplasias Pulmonares/metabolismo , Aminopterina/análogos & derivados , Aminopterina/uso terapêutico , Antineoplásicos/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Relação Dose-Resposta a Droga , Esquema de Medicação , Feminino , Antagonistas do Ácido Fólico/uso terapêutico , Humanos , Neoplasias Pulmonares/tratamento farmacológico , Masculino , Pessoa de Meia-Idade
13.
Virology ; 268(2): 504-16, 2000 Mar 15.
Artigo em Inglês | MEDLINE | ID: mdl-10704358

RESUMO

Human herpesvirus 6 variants A and B (HHV-6A and HHV-6B, respectively) encode homologs (U94) of the parvovirus nonstructural gene, ns1 or rep. Here we describe the HHV-6B homolog and analyze its genetic heterogeneity and transcription. U94 nucleotide and amino acid sequences differ by approximately 3.5% and 2.5%, respectively, between HHV-6A and HHV-6B. Among a collection of 17 clinically and geographically disparate HHV-6 isolates, intravariant nucleotide and amino acid sequence divergence was less than 0.6% and 0.2%, respectively; all 13 HHV-6B isolates had identical amino acid sequences. The U94 transcript is spliced to remove a 2.6-kb intron and is expressed at very low levels relative to other HHV-6B genes, reaching approximately 10 copies per cell 3 days after infection. The mRNA has several small AUG-initiated open reading frames upstream of the U94 open reading frame, a hallmark of proteins expressed at low levels. Consistent with this, the U94-encoded protein was immunologically undetectable in HHV-6B-infected cells. The high degree of sequence conservation suggests that the gene function is nearly intolerant of sequence variation. The low abundance of U94 transcripts and the presence of encoded inefficient translation initiation suggest that the U94 protein may be required only in small amounts during infection.


Assuntos
Sequência Conservada/genética , Genes Virais , Herpesvirus Humano 6/genética , Parvovirus/genética , Splicing de RNA , RNA Mensageiro/biossíntese , Homologia de Sequência do Ácido Nucleico , Proteínas não Estruturais Virais/genética , Sequência de Bases , Células Cultivadas , Códon , Herpesvirus Humano 6/isolamento & purificação , Humanos , Dados de Sequência Molecular , Parvovirus/isolamento & purificação , Inibidores da Síntese de Proteínas/farmacologia , RNA Mensageiro/antagonistas & inibidores , Transcrição Gênica/efeitos dos fármacos , Células Tumorais Cultivadas
14.
Cancer ; 88(5): 1045-50, 2000 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-10699893

RESUMO

BACKGROUND: With preclinical evidence of synergy, this dose-finding trial examining the combination of docetaxel and vinorelbine given with prophylactic filgrastim for the treatment of patients with nonsmall cell lung carcinoma was undertaken. METHODS: Twenty-seven patients with advanced nonsmall cell lung carcinoma received vinorelbine as an intravenous push immediately followed by docetaxel as a 1-hour intravenous infusion once every 2 weeks at 1 of 7 different dose levels. Vinorelbine was escalated from 15 mg/m(2) (Level I) to 45 mg/m(2) (Level VII) and docetaxel was increased from 50 mg/m(2) (Level I) to 60 mg/m(2) (Level VII). Prophylactic corticosteroids and filgrastim were employed prospectively. RESULTS: After completion of dose Level VII, accrual was terminated because Phase II dose intensity of both agents had been reached and further escalation was believed to be unsafe. At dose Level VII, one episode of first-cycle febrile neutropenia and a death after three treatment cycles due to Haemophilus influenzae sepsis (Grade 5 toxicity according to the Common Toxicity Criteria of the National Cancer Institute) without neutropenia were noted. In all, 209 treatment cycles were administered and febrile neutropenia was observed in only 4 of these treatments (1.9%). Bacteremia occurred in three patients (four episodes) in the absence of neutropenia. Symptomatic onycholysis was observed in three patients. Clinically significant peripheral neuropathy and fluid retention were rare. Confirmed partial responses were noted in 10 patients for a response rate of 37% (95% confidence interval, 20-57%). CONCLUSIONS: Docetaxel at a dose of 60 mg/m(2) and vinorelbine at a dose of 45 mg/m(2), both given every 2 weeks, can be combined safely to achieve Phase II dose intensity of both agents. An ongoing Phase II trial will define the activity of this treatment combination.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Taxoides , Adulto , Idoso , Antineoplásicos Fitogênicos/administração & dosagem , Antineoplásicos Fitogênicos/efeitos adversos , Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Carcinoma Pulmonar de Células não Pequenas/patologia , Docetaxel , Feminino , Filgrastim , Fator Estimulador de Colônias de Granulócitos/administração & dosagem , Humanos , Neoplasias Pulmonares/patologia , Masculino , Pessoa de Meia-Idade , Paclitaxel/administração & dosagem , Paclitaxel/efeitos adversos , Paclitaxel/análogos & derivados , Proteínas Recombinantes , Vimblastina/administração & dosagem , Vimblastina/efeitos adversos , Vimblastina/análogos & derivados , Vinorelbina
15.
J Clin Oncol ; 18(6): 1346-50, 2000 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10715307

RESUMO

PURPOSE: Docetaxel and vinorelbine are active agents in advanced non-small-cell lung cancer (NSCLC) and demonstrate preclinical synergism perhaps, in part, through their inactivation of the proto-oncogene bcl-2. We show that docetaxel (60 mg/m(2)) and vinorelbine (45 mg/m(2)) can be safely combined when given on an every 2-week schedule with filgrastim, with encouraging antitumor activity observed. PATIENTS AND METHODS: Thirty-five chemotherapy naïve patients with advanced NSCLC received vinorelbine as an intravenous push immediately followed by docetaxel as a 1-hour intravenous infusion once every 2 weeks. Prophylactic corticosteroids, ciprofloxacin, and filgrastim were used. RESULTS: We delivered median doses of 450 mg/m(2) of vinorelbine and 600 mg/m(2) of docetaxel. The major objective response rate was 51% (95% confidence interval [CI], 34% to 68%). With a median follow-up of 14 months, the predicted median survival time was 14 months, and the 1-year survival rate was 60% (95% CI, 44% to 80%). Febrile neutropenia occurred in five patients and five (1.3%) of 384 treatments. No dose-limiting neurotoxicity occurred. Symptomatic onycholysis and excessive lacrimation were observed after several months or more of therapy. CONCLUSION: Docetaxel 60 mg/m(2) and vinorelbine 45 mg/m(2), both given every 2 weeks, is a highly active combination for the treatment of advanced NSCLC. Filgrastim largely obviates neutropenic fever and allows for the single-agent dose-intensity of both drugs to be delivered. The occurrence of certain late toxicities can limit use in some cases and suggests that the combination could also be beneficial in settings requiring briefer, fixed periods of treatment, such as in induction or postoperative therapy.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Taxoides , Adulto , Idoso , Docetaxel , Feminino , Filgrastim , Fator Estimulador de Colônias de Granulócitos/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Paclitaxel/administração & dosagem , Paclitaxel/análogos & derivados , Proto-Oncogene Mas , Proteínas Recombinantes , Análise de Sobrevida , Vimblastina/administração & dosagem , Vimblastina/análogos & derivados , Vinorelbina
16.
Semin Oncol ; 26(5 Suppl 16): 24-6; discussion 41-2, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10585005

RESUMO

Both vinorelbine and docetaxel are effective as single agents in non-small cell lung cancer, with response rates of 25% to 30%. Several in vitro and in vivo models demonstrate schedule-dependent synergy between these agents. In phase II clinical trials of the combination, response rates and median survivals ranged from 27% to 49% and 5 to 9 months, respectively. Common toxicities included neutropenia, febrile neutropenia, and mucositis. With prolonged therapy, severe onycholysis and eye irritation also have been noted. In conclusion, docetaxel and vinorelbine are active together and offer one alternative to cisplatin-based therapy for patients with adequate performance status.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Carcinoma Pulmonar de Células não Pequenas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Taxoides , Ensaios Clínicos Fase II como Assunto , Docetaxel , Humanos , Paclitaxel/administração & dosagem , Paclitaxel/análogos & derivados , Análise de Sobrevida , Vimblastina/administração & dosagem , Vimblastina/análogos & derivados , Vinorelbina
17.
Semin Oncol ; 26(5 Suppl 15): 55-61, 1999 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-10566613

RESUMO

In the last 25 years, treatment for small cell lung cancer (SCLC) has improved with advances in chemotherapy and radiotherapy. Standard chemotherapy regimens can yield 80% to 90% response rates and some cures when combined with thoracic irradiation in limited-stage patients. Nonetheless, small cell lung cancer has a high relapse rate due to drug resistance; this has resulted in poor survival for most patients. Attacking this problem requires a unique approach to eliminate resistant disease remaining after induction therapy. This review will focus on three potential strategies: high-dose chemotherapy with autologous bone marrow transplantation, matrix metalloproteinase inhibitors, and BEC2 plus BCG vaccination.


Assuntos
Carcinoma de Células Pequenas/terapia , Neoplasias Pulmonares/terapia , Anticorpos Monoclonais/imunologia , Anticorpos Monoclonais/metabolismo , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Vacina BCG/uso terapêutico , Transplante de Medula Óssea , Ensaios Clínicos como Assunto , Inibidores Enzimáticos/uso terapêutico , Gangliosídeos/imunologia , Gangliosídeos/metabolismo , Humanos , Inibidores de Metaloproteinases de Matriz , Neoplasia Residual/terapia
18.
Eur J Neurosci ; 10(9): 2896-904, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9758159

RESUMO

In the rat pineal gland noradrenaline is released in large quantities from sympathetic nerve endings at the onset of darkness, thereby driving rhythmic melatonin synthesis with elevated levels at night-time. Upon release, noradrenaline interacts with postsynaptic beta1-adrenergic receptors to activate the cyclic AMP signalling pathway. Well characterized third messengers of this signalling cascade affect cyclic AMP-inducible genes that are crucially involved in initiation, maintenance and termination of hormone production. Among these third messengers are CREB (cyclic AMP responsive element binding protein) as an activating and ICER (inducible cyclic AMP early repressor) as an inhibitory transcription factor. Because a cyclic AMP-inducible promoter element is present on the beta1-adrenergic receptor gene, the expression of the receptor itself may be under control of the cyclic AMP-signalling pathway. By in situ hybridization, Northern blot analysis and RT-PCR we demonstrate a day/night rhythm in beta1-adrenergic receptor mRNA in the rat pineal gland with elevated levels during the dark period. As this rhythm persists, under constant darkness but is abolished upon removal of the sympathetic innervation, it is truly circadian. A marked day/night difference in the levels of beta1-adrenergic receptor mRNA becomes evident only after postnatal day 10, coinciding with the appearance of a functional cyclic AMP signalling pathway in the rat pineal gland. Furthermore, targeting ICER expression by transfection of pinealocytes with an antisense ICER construct, clearly indicates that the levels of the beta1-adrenergic receptor mRNA are regulated by the cyclic AMP-signalling pathway in a feedback mechanism.


Assuntos
Ritmo Circadiano/genética , Regulação da Expressão Gênica no Desenvolvimento/fisiologia , Glândula Pineal/crescimento & desenvolvimento , Glândula Pineal/metabolismo , RNA Mensageiro/metabolismo , Receptores Adrenérgicos beta/genética , Animais , Northern Blotting , Ritmo Circadiano/fisiologia , AMP Cíclico , Modulador de Elemento de Resposta do AMP Cíclico , Proteínas de Ligação a DNA/fisiologia , Hibridização In Situ , Ligantes , Masculino , Fotoperíodo , Glândula Pineal/química , Ligação Proteica , Ratos , Ratos Wistar , Receptores Adrenérgicos beta/metabolismo , Proteínas Repressoras
19.
Mem Inst Oswaldo Cruz ; 92(3): 343-51, 1997.
Artigo em Inglês | MEDLINE | ID: mdl-9332599

RESUMO

Thirty-five Trypanosoma cruzi strains were isolated from chronic chagasic patients, triatomines and opossums from different municipalities of the State of Rio Grande do Sul. Parasites were characterized by means of mice infectivity, enzyme electrophoresis and randomly amplified polymorphic DNA (RAPD) analysis. Twenty-nine strains were isolated from chagasic patients, 4 from triatomines (2 from Triatoma infestans and 2 from Panstrongylus megistus) and 2 from opossums Didelphis albiventris. Thirty-three T. cruzi strains were of low and 2 strains of high virulence in mice. Both virulent strains were isolated from P. megistus. Isoenzyme analysis of the strains showed 3 different zymodemes. Eleven strains isolated from chagasic patients and 2 from D. albiventris were Z2. Eighteen strains from patients and 2 from T. infestans were ZB and 2 T. cruzi strains isolated from P. megistus were Z1. RAPD profiles obtained with 4 random primers showed a high genetic heterogeneity of the T. cruzi strains. Zymodeme 2 and ZB strains were the more polymorphic. A band sharing analysis of the RAPD profiles of Z2 and ZB strains using 3 primers, showed a very low percentage of shared bands, 20% among 13 ZB strains and 14% among 13 Z2 strains. According to the isoenzyme results, 3 T. cruzi populations were present in State of Rio Grande do Sul. Zymodeme 2 and ZB strains were found infecting man (domiciliar transmission cycle) whereas Z1 strains were found infecting the sylvatic vector P. megistus.


Assuntos
Doença de Chagas/etiologia , Gambás/parasitologia , Panstrongylus/parasitologia , Triatoma/parasitologia , Trypanosoma cruzi/classificação , Animais , Animais Selvagens/parasitologia , Brasil , Doença de Chagas/epidemiologia , Vetores de Doenças , Humanos , Camundongos , Trypanosoma cruzi/isolamento & purificação
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