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1.
J Proteomics ; 218: 103719, 2020 04 30.
Artigo em Inglês | MEDLINE | ID: mdl-32092400

RESUMO

Deciphering Plasmodium vivax biology has long been a challenge for groups working on this parasite, mainly due to the complications involved in propagating it in vitro. However, adapting P. vivax strains in non-human primates and the arrival of high-performance analysis methods has led to increased knowledge regarding parasite protein composition and the ability of some molecules to trigger an immune response or participate in protein-protein interactions. This review describes the state of the art concerning proteomics-, immunomics- and interatomics-related P. vivax omic studies, discussing their potential use in developing disease control methods.


Assuntos
Malária Vivax , Plasmodium vivax , Animais , Proteômica , Proteínas de Protozoários
2.
Drug Deliv Transl Res ; 9(1): 414, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30187351

RESUMO

In the original article text presenting and discussing results shown in Fig. 6 omitted to mention that quantification of TGF-ß2 and TGF-ß3 was not included in Fig. 6a, c, e.

3.
Drug Deliv Transl Res ; 8(5): 1014-1024, 2018 10.
Artigo em Inglês | MEDLINE | ID: mdl-29691813

RESUMO

Cytokines, chemokines, and growth and remodeling factors orchestrate wound healing when skin damage occurs. During early stages, when the wound is still open, detection and quantification of these compounds might provide biomarkers of skin wound healing, which could aid to complete the scenario provided by clinical follow-up data and histological and histomorphometric analyses. This work assessed and compared the healing of full-thickness skin wounds grafted with artificial dermis made with autologous skin fibroblasts and unidirectional or multidirectional type I collagen scaffolds to test this hypothesis. Biomarkers of healing were detected and quantified in the culture medium of artificial dermis and exudates from the grafted wounds. Clinical follow-up of animals and histological and histomorphometric analysis showed differences in graft integration, wound closure, and histological and histomorphometric parameters. Surface plasmon resonance quantification of 13 healing biomarkers indicated differential secretion of most of the quantified factors in culture medium by the multidirectional and unidirectional artificial dermis. Also, there were significant differences between the concentration of some of the factors analyzed in the exudates of wounds grafted with the evaluated artificial dermis. These findings suggest that differential delivery of healing biomarkers induced by the directionality of the scaffold used to produce the multidirectional and unidirectional dermis was sufficient to create two skin wound microenvironments that determined a different outcome of healing. Overall, data indicate that healing of wounds grafted with multidirectional autologous artificial dermis is better than that of the wounds grafted with the unidirectional one.


Assuntos
Biomarcadores/metabolismo , Epiderme/transplante , Dermatopatias/terapia , Cicatrização , Animais , Autoenxertos , Quimiocinas/metabolismo , Colágeno Tipo I/metabolismo , Citocinas/metabolismo , Modelos Animais de Doenças , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Dermatopatias/metabolismo , Transplante de Pele , Pele Artificial , Ressonância de Plasmônio de Superfície , Alicerces Teciduais
4.
Epidemiol Infect ; 145(15): 3125-3130, 2017 11.
Artigo em Inglês | MEDLINE | ID: mdl-28956522

RESUMO

Bovine leukaemia virus (BLV) is the causative agent of enzootic bovine leucosis, which has been reported worldwide. BLV has been found recently in human tissue and it could have a significant impact on human health. A possible hypothesis regarding viral entry to humans is through the consumption of infected foodstuffs. This study was aimed at detecting the presence of BLV DNA in raw beef and fresh milk for human consumption. Nested PCR directed at the BLV gag gene (272 bp) was used as a diagnostic test. PCR products were confirmed by Sanger sequencing. Forty-nine per cent of the samples proved positive for the presence of proviral DNA. This is the first study highlighting the presence of the BLV gag gene in meat products for human consumption and confirms the presence of the viral DNA in raw milk, as in previous reports. The presence of viral DNA in food products could suggest that viral particles may also be found. Further studies are needed to confirm the presence of infected viral particles, even though the present findings could represent a first approach to BLV transmission to humans through foodstuff consumption.


Assuntos
DNA Viral/genética , Leucose Enzoótica Bovina/transmissão , Vírus da Leucemia Bovina , Carne/virologia , Leite/virologia , Animais , Bovinos , Humanos , Vírus da Leucemia Bovina/genética , Reação em Cadeia da Polimerase Multiplex , Reação em Cadeia da Polimerase , Análise de Sequência de DNA
5.
Epidemiol Infect ; 145(7): 1479-1490, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28185605

RESUMO

Investigating whether high-risk human papillomavirus (HR-HPV) types tend to become grouped in a particular way and whether factors are associated with such grouping is important for measuring the real impact of vaccination. In total, 219 women proving positive for HPV as detected by real-time PCR were included in the study. Each sample was analysed for detecting and quantifying six viral types and the hydroxymethylbilane synthase gene. Multiple correspondence analysis led to determining grouping patterns for six HR-HPV types and simultaneous association with multiple variables and whether viral load was related to the coexistence of other viral types. Two grouping profiles were identified: the first included HPV-16 and HPV-45 and the second profile was represented by HPV-31, HPV-33 and HPV-58. Variables such as origin, contraceptive method, births and pregnancies, educational level, healthcare affiliation regime, atypical squamous cells of undetermined significance and viral load were associated with these grouping profiles. Different socio-demographic characteristics were found when coinfection occurred by phylogenetically related HPV types and when coinfection was due to non-related types. Biological characteristics, the number of viral copies, temporality regarding acquiring infection and competition between viral types could influence the configuration of grouping patterns. Characteristics related to women and HPV, influence such interactions between coexisting HPV types reflecting the importance of their evaluation.


Assuntos
Alphapapillomavirus/genética , Coinfecção/epidemiologia , Genótipo , Infecções por Papillomavirus/epidemiologia , Adulto , Coinfecção/virologia , Colômbia/epidemiologia , Estudos Transversais , Feminino , Humanos , Pessoa de Meia-Idade , Infecções por Papillomavirus/virologia , Prevalência , Fatores de Risco , Adulto Jovem
6.
J Proteomics ; 152: 131-137, 2017 01 30.
Artigo em Inglês | MEDLINE | ID: mdl-27989940

RESUMO

The Aotus nancymaae species has been of great importance in researching the biology and pathogenesis of malaria, particularly for studying Plasmodium molecules for including them in effective vaccines against such microorganism. In spite of the forgoing, there has been no report to date describing the biology of parasite target cells in primates or their biomedical importance. This study was thus designed to analyse A. nancymaae erythrocyte protein composition using MS data collected during a previous study aimed at characterising the Plasmodium vivax proteome and published in the pertinent literature. Most peptides identified were similar to those belonging to 1189 Homo sapiens molecules; >95% of them had orthologues in New World primates. GO terms revealed a correlation between categories having the greatest amount of proteins and vital cell function. Integral membrane molecules were also identified which could be possible receptors facilitating interaction with Plasmodium species. The A. nancymaae erythrocyte proteome is described here for the first time, as a starting point for more in-depth/extensive studies. The data reported represents a source of invaluable information for laboratories interested in carrying out basic and applied biomedical investigation studies which involve using this primate. SIGNIFICANCE: An understanding of the proteomics characteristics of A. nancymaae erythrocytes represents a fascinating area for research regarding the study of the pathogenesis of malaria since these are the main target for Plasmodium invasion. However, and even though Aotus is one of the non-human primate models considered most appropriate for biomedical research, knowledge of its proteome, particularly its erythrocytes, remains unknown. According to the above and bearing in mind the lack of information about the A. nancymaae species genome and transcriptome, this study involved a search for primate proteins for comparing their MS/MS spectra with the available information for Homo sapiens. The great similarity found between the primate's molecules and those for humans supported the use of the monkeys or their cells for continuing assays involved in studying malaria. Integral membrane receptors used by Plasmodium for invading cells were also found; this required timely characterisation for evaluating their therapeutic role. The list of erythrocyte protein composition reported here represents a useful source of basic knowledge for advancing biomedical investigation in this field.


Assuntos
Pesquisa Biomédica/métodos , Eritrócitos/química , Haplorrinos/sangue , Proteoma/análise , Animais , Humanos , Malária Vivax/etiologia , Proteínas de Membrana/análise , Plasmodium vivax/química , Proteínas de Protozoários/análise
7.
J Thromb Haemost ; 14(3): 606-18, 2016 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-26749288

RESUMO

UNLABELLED: ESSENTIALS: Platelet releasates (PRs) enhance endothelial colony forming cell (ECFC) angiogenesis. The impact of platelet membrane components on ECFC angiogenesis was studied by a tube formation assay. Platelets enhanced ECFC angiogenesis more potently than PR, via tetraspanin CD151 and integrin α6ß1. Optimal enhancement of ECFC angiogenesis by platelets requires both membrane proteins and PR. BACKGROUND: Platelets promote angiogenesis of endothelial colony forming cells (ECFCs), with the underlying mechanisms not being fully understood. OBJECTIVE: To investigate if platelets regulate the angiogenic property of ECFCs via mechanisms beyond platelet-released angiogenic regulators. METHODS AND RESULTS: Endothelial colony forming cells were generated by ECFC-directed cell culture of peripheral blood mononuclear cells. Capillary-like tube formation of ECFCs was assessed using a Matrigel assay. Platelets promoted ECFC tube formation in both basic and complete ECFC medium. Importantly, the ECFC angiogenic responses induced by platelets were stronger than those induced by platelet releasates. Thus, the branching points of ECFC tube formation (30.5 ± 9.0/field, ECFC alone) were increased by platelet releasates (58.2 ± 8.3/field) and even more profoundly by platelets (95.5 ± 17.6/field), indicating that platelet membrane components also promoted ECFC tube formation. The latter was further supported by evidence that fixed platelets did enhance ECFC tube formation. Subsequent experiments revealed that the promotion was dependent on platelet-surface glycoproteins, as removal of sialic acid from platelet glycoproteins by neuraminidase abolished the enhancement. Furthermore, platelet-expressed, but not ECFC-expressed, CD151 was important for the enhancement, as pretreatment of platelets, but not ECFCs, with a CD151-blocking antibody attenuated the effect. Integrin α6ß1 on both ECFCs and platelets also participated in platelet-promoted tube formation, as integrin α6 or ß1 blockade of either cell type markedly or totally inhibited the phenomenon. Moreover, platelets exerted the enhancement via the Src-PI3K signaling pathway of ECFCs. CONCLUSION: Platelet-enhanced ECFC angiogenesis requires platelet tetraspanin CD151 and α6ß1 integrin, as well as ECFC α6ß1 integrin and Src-PI3K signaling.


Assuntos
Plaquetas/metabolismo , Comunicação Celular , Células Progenitoras Endoteliais/metabolismo , Integrina alfa6beta1/metabolismo , Neovascularização Fisiológica , Tetraspanina 24/metabolismo , Adulto , Movimento Celular , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fosfatidilinositol 3-Quinase/metabolismo , Transdução de Sinais , Adulto Jovem , Quinases da Família src/metabolismo
8.
J Proteomics ; 113: 268-280, 2015 01 15.
Artigo em Inglês | MEDLINE | ID: mdl-25316051

RESUMO

Plasmodium vivax is the second most prevalent parasite species causing malaria in humans living in tropical and subtropical areas throughout the world. There have been few P. vivax proteomic studies to date and they have focused on using clinical isolates, given the technical difficulties concerning how to maintain an in vitro culture of this species. This study was thus focused on identifying the P. vivax VCG-1 strain proteome during its blood lifecycle through LC-MS/MS; this led to identifying 734 proteins, thus increasing the overall number reported for P. vivax to date. Some of them have previously been related to reticulocyte invasion, parasite virulence and growth and others are new molecules possibly playing a functional role during metabolic processes, as predicted by Database for Annotation, Visualization and Integrated Discovery (DAVID) functional analysis. This is the first large-scale proteomic analysis of a P. vivax strain adapted to a non-human primate model showing the parasite protein repertoire during the blood lifecycle. Database searches facilitated the in silico prediction of proteins proposed for evaluation in further experimental assays regarding their potential as pharmacologic targets or as component of a totally efficient vaccine against malaria caused by P. vivax. BIOLOGICAL SIGNIFICANCE: P. vivax malaria continues being a public health problem around world. Although considerable progress has been made in understanding genome- and transcriptome-related P. vivax biology, there are few proteome studies, currently representing only 8.5% of the predicted in silico proteome reported in public databases. A high-throughput proteomic assay was used for discovering new P. vivax intra-reticulocyte asexual stage molecules taken from parasites maintained in vivo in a primate model. The methodology avoided the main problem related to standardising an in vitro culture system to obtain enough samples for protein identification and annotation. This study provides a source of potential information contributing towards a basic understanding of P. vivax biology related to parasite proteins which are of significant importance for the malaria research community.

9.
J Thromb Haemost ; 12(4): 519-27, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24450402

RESUMO

BACKGROUND: Blood platelets secrete upon activation of laminins 411/421 and 511/521, large adhesive proteins mainly found in the basement membranes of blood vessels and other tissues. At present, the subcellular localization and secretion mechanisms of platelet laminins are largely unknown. OBJECTIVES: Our aim was to compare the subcellular localization of laminins 411/421 and 511/521 and specific granule markers in platelets. We also elucidated the role of microvesicles and exosomes in laminin release in platelet activation. METHODS: We studied laminin and granule marker protein localization in platelets by using immunofluorescence confocal microscopy and immunoelectron microscopy. Microvesicles and exosomes were separated from material released from platelets on activation by thrombin. The expression of laminins in microvesicles and exosomes was studied by using SDS-PAGE and Western blotting as well as by flow cytometric analysis. The exosomes were immunoprecipitated with magnetic microbeads coated with anti-CD63 antibodies. RESULTS AND CONCLUSIONS: We demonstrate that laminins 411/421 and 511/521 are present in compartments of platelets that do not express α-granule, dense granule, or lysosome marker proteins. Moreover, laminins secreted by activated platelets are mostly found in microvesicles shed from the plasma membrane, while their presence in simultaneously released exosomes is minimum.


Assuntos
Plaquetas/metabolismo , Grânulos Citoplasmáticos/metabolismo , Laminina/metabolismo , Membrana Basal/metabolismo , Plaquetas/citologia , Adesão Celular , Exossomos/metabolismo , Matriz Extracelular/metabolismo , Citometria de Fluxo , Humanos , Microscopia Confocal , Microscopia de Fluorescência , Selectina-P/metabolismo , Ativação Plaquetária , Glicoproteína IIb da Membrana de Plaquetas/metabolismo , Tetraspanina 30/metabolismo
10.
Biomed Mater ; 7(3): 035011, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22475565

RESUMO

In vitro, degradable aliphatic polyesters are widely used as cell carriers for bone tissue engineering, despite their lack of biological cues. Their biological active surface is rather determined by an adsorbed layer of proteins from the surrounding media. Initial cell fate, including adhesion and proliferation, which are key properties for efficient cell carriers, is determined by the adsorbed layer of proteins. Herein we have investigated the ability of human bone marrow derived stem cells (hBMSC) to adhere to extracellular matrix (ECM) proteins, including fibronectin and vitronectin which are present in plasma and serum. hBMSC expressed integrins for collagens, laminins, fibronectin and vitronectin. Accordingly, hBMSC strongly adhered to these purified ECM proteins by using the corresponding integrins. Although purified fibronectin and vitronectin adsorbed to aliphatic polyesters to a lower extent than to cell culture polystyrene, these low levels were sufficient to mediate adhesion of hBMSC. It was found that plasma- and serum-coated polystyrene adsorbed significant levels of both fibronectin and vitronectin, and fibronectin was identified as the major adhesive component of plasma for hBMSC; however, aliphatic polyesters adsorbed minimal levels of fibronectin under similar conditions resulting in impaired cell adhesion. Altogether, the results suggest that the efficiency of aliphatic polyesters cell carriers could be improved by increasing their ability to adsorb fibronectin.


Assuntos
Proteínas da Matriz Extracelular/farmacocinética , Integrinas/química , Membranas Artificiais , Células-Tronco Mesenquimais/citologia , Células-Tronco Mesenquimais/fisiologia , Polímeros/química , Engenharia Tecidual/métodos , Adsorção , Adesão Celular/fisiologia , Células Cultivadas , Humanos , Teste de Materiais
11.
Amino Acids ; 42(6): 2067-77, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21594640

RESUMO

The specific function of putative cut2 protein (or CFP25), encoded by the Rv2301 gene from Mycobacterium tuberculosis H37Rv, has not been identified yet. The aim of this study was to assess some of CFP25 characteristics and its possible biological role in Mycobacterium tuberculosis H37Rv invasion process to target cells. Molecular assays indicated that the gene encoding Rv2301 is present and transcribed in M. tuberculosis complex strains. The presence of Rv2301 protein over the bacilli surface was confirmed by Western blot and immunoelectron microscopy analyses, using goats sera inoculated with synthetic peptides derived from Rv2301 protein. Receptor-ligand binding assays with carcinomic human alveolar basal epithelial cells (A549) and macrophages derived from human histolytic lymphoma monocytes (U937) allowed us to identify five high activity binding peptides (HABPs) in both cell lines, and two additional HABPs only in A549 cells. U937 HABPs binding interactions were characterized by saturation assays, finding dissociation constants (Kd) within the nanomolar range and positive cooperativity (nH>1). Inhibition assays were performed to assess the possible biological role of Rv2301 identified HABPs, finding that some of them were able to inhibit invasion at a 5 µM concentration, compared with the cytochalasin control. On the other hand, HABPs, and especially HABP 36507 located at the N-terminus of the protein, facilitated the internalization of fluorescent latex beads into A549 cells. These findings are of vital importance for the rational selection of Rv2301 HABPs, to be included as components of an antituberculosis vaccine.


Assuntos
Antígenos de Bactérias/química , Proteínas de Bactérias/química , Células Epiteliais/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Mycobacterium tuberculosis/química , Peptídeos/metabolismo , Sequência de Aminoácidos , Antígenos de Bactérias/genética , Proteínas de Bactérias/genética , Sítios de Ligação , Western Blotting , Linhagem Celular Tumoral , Citocalasinas/farmacologia , Células Epiteliais/metabolismo , Células Epiteliais/microbiologia , Humanos , Cinética , Macrófagos/metabolismo , Macrófagos/microbiologia , Microscopia Imunoeletrônica , Dados de Sequência Molecular , Mycobacterium tuberculosis/patogenicidade , Mycobacterium tuberculosis/fisiologia , Especificidade de Órgãos , Peptídeos/síntese química , Peptídeos/farmacologia , Ligação Proteica , Tuberculose Pulmonar/microbiologia
12.
Curr Med Chem ; 18(29): 4470-502, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22029724

RESUMO

Our ongoing search for a fully-effective vaccine against the Plasmodium falciparum parasite (causing the most lethal form of human malaria) has been focused on identifying and characterising proteins' amino acid sequences (high activity binding peptides or HABPs) involved in parasite invasion of red blood cells (RBC) by the merozoite and hepatocytes by the sporozoite. Many such merozoite HABPs have been recognised and molecularly and structurally characterised; however, native HABPs are immunologically silent since they do not induce any immune response or protection against P. falciparum malaria infection and they have to be structurally modified to allow them to fit perfectly into immune system molecules. A deeply structural analysis of these conserved merozoite HABPs and their modified analogues has led to rules or principles becoming recognised for constructing a logical and rational methodology for a minimal subunit-based, multi-epitope, multi-stage, chemically-synthesised vaccine. The same in-depth analysis of the most relevant sporozoite proteins involved in sporozoite cell-traversal and hepatocyte invasion as well as the hepatic stage is shown here. Specifically modifying these HABPs has resulted in a new set of potential pre-erythrocyte targets which are able to induce high, longlasting antibody titres in Aotus monkeys, against their corresponding recombinant proteins and the complete parasite native molecules. This review shows how these rules may be applied against the first stage of parasite invasion (i.e. the sporozoite) to mount the first line of defence against the malarial parasite, which may indeed be the most effective one. Our results strongly support including some of these modified sporozoite HABPs in combination with the previously-described modified merozoite HABPs for obtaining the aforementioned fully-protective, multiepitope, multi-stage, minimal subunit-based, chemically-synthesized, antimalarial vaccine.


Assuntos
Vacinas Antimaláricas/química , Vacinas Antimaláricas/imunologia , Malária/prevenção & controle , Peptídeos/química , Peptídeos/imunologia , Plasmodium/crescimento & desenvolvimento , Sequência de Aminoácidos , Animais , Antimaláricos , Humanos , Malária/imunologia , Vacinas Antimaláricas/uso terapêutico , Modelos Moleculares , Dados de Sequência Molecular , Peptídeos/uso terapêutico , Plasmodium/imunologia , Proteínas de Protozoários/química , Proteínas de Protozoários/imunologia
13.
Mini Rev Med Chem ; 10(8): 746-58, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20394575

RESUMO

The development of an adequate immune response against pathogens is mediated by molecular interactions between different cell types. Among them, binding of antigenic peptides to the Major Histocompatibility Complex (MHC) molecule expressed on the membrane of antigen presenting cells (APCs), and their subsequent recognition by the T cell receptor have been demonstrated to be crucial for developing an adequate immune response. The present review compiles computational quantum chemistry studies about the electrostatic potential variations induced on the MHC binding region by peptide's amino acids, carried out with the aim of describing MHC-peptide binding interactions. The global idea is that the electrostatic potential can be represented in terms of a series expansion (charge, dipole, quadrupole, hexadecapole, etc.) whose three first terms provide a good local approximation to the molecular electrostatic 'landscape' and to the variations induced on such landscape by targeted modifications on the residues of the antigenic peptide. Studies carried out in four MHC class II human allele molecules, which are the most representative alleles of their corresponding haplotypes, showed that each of these molecules have conserved as well as specific electrostatic characteristics, which can be correlated at a good extent with the peptide binding profiles reported experimentally for these molecules. The information provided by such characteristics would help increase our knowledge about antigen binding and presentation, and could ultimately contribute to developing a logical and rational methodology for designing chemically synthesized, multi-antigenic, subunit-based vaccines, through the application of quantum chemistry methods.


Assuntos
Antígenos de Histocompatibilidade/química , Peptídeos/química , Vacinas/química , Antígenos HLA/química , Humanos , Peptídeos/imunologia , Ligação Proteica , Teoria Quântica , Eletricidade Estática , Vacinas/imunologia
14.
Clin Microbiol Infect ; 15(1): 100-2, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19154481

RESUMO

The prevalence of human papillomavirus (HPV) infections in 2109 females inhabiting five cities of Colombia was determined. Of the 49.2% with an HPV infection, 59.8% were infected with more than one viral type. Species 7 (of the the genus Alphapapillomavirus) was associated with multiple infections. Analysis of the socio-demographic data revealed a statistically significant protective effect associated with the status of civil union (civil recognition of cohabitation without marriage), and indigenous ethnicity proved to be a risk factor for HPV infection. This is the first study comparing HPV infection among women from geographical regions of Colombia with different socio-cultural structures.


Assuntos
Alphapapillomavirus/genética , Infecções por Papillomavirus/epidemiologia , Adulto , Alphapapillomavirus/isolamento & purificação , Colômbia , Feminino , Humanos , Modelos Logísticos , Infecções por Papillomavirus/virologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Neoplasias do Colo do Útero/prevenção & controle
15.
Rev. MED ; 17(1): 50-54, ene. 2009. ilus
Artigo em Espanhol | LILACS | ID: lil-668346

RESUMO

Los bloqueos peridurales y facetarios han sido controvertidos por su utilidad en el manejo del dolor en pacientes con patología de columna vertebral, utilizándose actualmente como último recurso. Para el presente trabajo de recolectaron, entre enero de 2005 y enero de 2006, en el Hospital Universitario Clínica San Rafael de Bogotá, 50 pacientes, que según su patología se dividieron en tres grupos. Mientras que al primero, que incluyó 34 pacientes con hernia discal y al segundo, con nueve pacientes con canal lumbar estrecho se les realizó bloqueo peridural, al tercer grupo, con siete pacientes con enfermedad facetaria, se le aplicó bloqueo facetario. Para determinar la utilidad de los bloqueos se evaluó la mejoría del dolor, el regreso a la actividad laboral, la utilización de analgésicos adyuvantes y la necesidad de algún tipo de procedimiento quirúrgico de acuerdo a la patología presentada. El porcentaje de mejoría del dolor para los distintos grupos fue del 71,5% para los pacientes con enfermedad facetaria, del 77,7% para los pacientes con canal lumbar estrecho y del 65% para los pacientes con hernia discal lumbar. El porcentaje de regreso a la actividad laboral en los tres grupos fue similar, con un 85,7% para los pacientes con enfermedad facetaria, 67% para los pacientes con canal lumbar estrecho y 73,5% para los pacientes con hernia discal. La terapia analgésica adyuvante fue requerida por 42,9% de los pacientes con enfermedad facetaria, por el 55,5% de los pacientes con canal lumbar estrecho y por el 29,5% de los pacientes con hernia discal. La cirugía debió realizarse al 11% del grupo con canal estrecho, al 14% del grupo con hernia discal y no se necesitó en ninguno paciente con enfermedad facetaria. Teniendo en cuenta la efectividad de los bloqueos facetarios para aliviar el dolor en pacientes con enfermedad facetaria y de los bloqueos peridurales para los pacientes con canal lumbar estrecho y hernia discal lumbar, con una mejoría del dolor superior al 50% en los tres grupos, con una tasa de regreso al trabajo alta y con una disminución en la necesidad de cirugía, se propone la realización de estos bloqueos, antes de recurrir a procedimientos invasivos...


The usefulness of peridural and facet blocks has been controversial in the management of pain in patients with pathology of the spine, being used only as a last resort. For this work we collected 50 patients between January 2005 and January 2006 at the Hospital Universitario Clínica San Rafael de Bogotá. There were separated in 3 groups based on their pathology. The first group included 34 patients with a herniated disc and the second group 9 patients with a narrow lumbar canal who received epidural block, and the third group with facet disease received a facet block. To determine the result of the blocks, we evaluated the improvement in the pain, the return to laboral activity, the use of adjuvant analgesics and the need for surgical intervention. The pain improvement was 71,5% for those patients with facet disease, 77.7% for those patients with a narrow canal and 65% for those with a herniated disc. The percentage of return to laboral activity was similar in the three groups, 85,7% for patients with facet disease, 67% for patients with a narrow canal and 73,5% for patients with a herniated disc. Adjuvant analgesics were required by 42,9% of the patients with facet disease, 55,5% of the patients with a narrow lumbar canal and 29,5% of the patients with a herniated disc. Surgery was necessary in 11% of the patients with a narrow canal and 14% of the patients with a herniated disc. Patients with facet disease did not require surgery. In view of the efficacy of the blocks above 50% for all of the measured parameters, it is proposed that the blocks should always be attempted prior to the use of more invasive methods...


Os bloqueios peridurais e facetarias foram discutidos por sua utilidade no manejo da dor em pacientes com patologia de coluna vertebral, utilizando-se atualmente como último recurso. Para o presente trabalho de coletaram, entre janeiro de 2005 e janeiro de 2006, no Hospital Universitário Clínica San Rafael de Bogotá, 50 pacientes, que segundo sua patologia se dividiram em três grupos. Enquanto ao primeiro, que incluiu 34 pacientes com hérnia discal e ao segundo, com nove pacientes com canal lombar estreito se lhes realizou bloqueio peridural, ao terceiro grupo, com sete pacientes com doença facetaria, se lhe aplicou bloqueio facetaria. Para determinar a utilidade dos bloqueios se avaliou a melhoria da dor, o regresso à atividade trabalhista, a utilização de analgésicos adjuvantes e a necessidade de algum tipo de procedimento cirúrgico de acordo à patologia apresentada. A percentagem de melhoria da dor para os diferentes grupos foi do 71,5% para os pacientes com doença facetaria, do 77,7% para os pacientes com canal lombar estreito e do 65% para os pacientes com hérnia discal lombar. A percentagem de regresso à atividade trabalhista nos três grupos foi similar, com um 85,7% para os pacientes com doença facetaria, 67% para os pacientes com canal lombar estreito e 73,5% para os pacientes com hérnia discal. A terapia analgésica adjuvante foi requerida por 42,9% dos pacientes com doença facetaria, pelo 55,5% dos pacientes com canal lombar estreito e pelo 29,5% dos pacientes com hérnia discal. A cirurgia deveu realizar-se aos 11% do grupo com canal estreito, ao 14% do grupo com hérnia discal e não se precisou em nenhum paciente com doença facetaria. Tendo em conta a efetividade dos bloqueios facetarias para aliviar a dor em pacientes com doença facetaria e dos bloqueios peridurais para os pacientes com canal lombar estreito e hérnia discal lombar, com uma melhoria da dor superior ao 50% nos três grupos, com uma taxa de regresso ao trabalho alta e com uma diminuição na necessidade de cirurgia, propõe-se a realização destes bloqueios, antes de recorrer a procedimentos invasivos...


Assuntos
Humanos , Injeções Epidurais , Deslocamento do Disco Intervertebral , Dor Lombar , Ciática
16.
J Cell Mol Med ; 12(5B): 1915-35, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19012725

RESUMO

An anti-malarial vaccine against the extremely lethal Plasmodium falciparum is desperately needed. Peptides from this parasite's proteins involved in invasion and having high red blood cell-binding ability were identified; these conserved peptides were not immunogenic or protection-inducing when used for immunizing Aotus monkeys. Modifying some critical binding residues in these high-activiy binding peptides' (HABPs') attachment to red blood cells (RBC) allowed them to induce immunogenicity and protection against experimental challenge and acquire the ability to bind to specific HLA-DRp1* alleles. These modified HABPs adopted certain characteristic structural configurations as determined by circular dichroism (CD) and 1H nuclear magnetic resonance (NMR) associated with certain HLA-DRbeta1* haplotype binding activities and characteristics, such as a 2-angstroms-distance difference between amino acids fitting into HLA-DRp1 Pockets 1 to 9, residues participating in binding to HLA-DR pockets and residues making contact with the TCR, suggesting haplotype and allele-conscious TCR. This has been demonstrated in HLA-DR-like genotyped monkeys and provides the basis for designing high effective, subunit-based, multi-antigen, multi-stage, synthetic vaccines, for immediate human use, malaria being one of them.


Assuntos
Epitopos/imunologia , Vacinas Antimaláricas/síntese química , Plasmodium falciparum/imunologia , Vacinas de Subunidades Antigênicas/síntese química , Vacinas Sintéticas/imunologia , Animais , Epitopos/genética , Epitopos/metabolismo , Antígenos HLA-DR/química , Antígenos HLA-DR/genética , Antígenos HLA-DR/imunologia , Humanos , Malária/genética , Malária/imunologia , Vacinas Antimaláricas/genética , Vacinas Antimaláricas/imunologia , Modelos Biológicos , Plasmodium falciparum/patogenicidade , Vacinas de Subunidades Antigênicas/química , Vacinas de Subunidades Antigênicas/imunologia , Vacinas Sintéticas/genética , Vacinas Sintéticas/metabolismo
17.
Med Chem ; 4(3): 278-92, 2008 May.
Artigo em Inglês | MEDLINE | ID: mdl-18473921

RESUMO

As microbes use many mechanisms for avoiding immunological pressure, new strategies must be developed to bypass the immunological code of silence of conserved, functionally-important amino acid sequences, such as those involved in high activity binding peptides' (HABPs) attaching to their host cells. Hundreds of experiments in large numbers of Aotus monkeys revealed that this immunological code of silence could be broken by shifting the polarity of some critical host cell binding residues in these HABPs by substituting F for R and vice versa, Y<-->W, L<-->H, I<-->N, P<-->D, M<-->K or E, C<-->T, V<-->N or S; there are special rules for A, G and S. (1)H-nuclear magnetic resonance of these modified, immunogenic, protection-inducing HABPs and molecular modelling revealed that such modifications induced appropriate fitting into specific HLA-DRbeta1 Pockets, suggesting the presence of new pockets and a haplotype- and allele-specific conscious TCR. A highly immunogenic and protection-inducing anti-malarial vaccine can thus be produced.


Assuntos
Antígeno HLA-DR1/química , Peptídeos/química , Motivos de Aminoácidos , Sequência de Aminoácidos , Animais , Aotidae , Sequência Conservada , Vacinas Antimaláricas/imunologia , Malária Falciparum/imunologia , Malária Falciparum/prevenção & controle , Modelos Moleculares , Dados de Sequência Molecular , Peptídeos/imunologia , Plasmodium falciparum/imunologia , Ligação Proteica , Receptores de Antígenos de Linfócitos T/química , Relação Estrutura-Atividade , Vacinas de Subunidades Antigênicas/imunologia
18.
Peptides ; 28(8): 1520-6, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17683828

RESUMO

The K1 peptide is an HLA-A*0201-restricted cytotoxic epitope derived from the Trypanosoma cruzi KMP-11 protein, this being the etiological agent of Chagas' disease. This work describes the K1 peptide's secondary structure and its recognition by sera from chagasic patients. Circular dichroism and NMR spectroscopy analysis revealed that the K1 peptide adopts an alpha-helical conformation. Fifty-six percent of individuals had anti-K1 and 86% anti-KMP-11 antibodies by ELISA in the chronic Chagas' group and 28 and 68% in the indeterminate Chagas' group, respectively. By contrast, no reactivity was observed in sera from healthy individuals and tuberculosis patients. Antibody response subclass specificity to the K1 peptide was IgG1 and IgG3. Taken together these results support the idea that the K1 peptide acts as a B-cell-inducer epitope during Chagas' disease.


Assuntos
Antígenos de Protozoários/química , Proteínas de Protozoários/química , Proteínas de Protozoários/imunologia , Trypanosoma cruzi/imunologia , Sequência de Aminoácidos , Animais , Anticorpos Antiprotozoários/sangue , Antígenos de Protozoários/genética , Doença de Chagas/imunologia , Epitopos/química , Epitopos/genética , Humanos , Imunoglobulina G/sangue , Isotipos de Imunoglobulinas/sangue , Modelos Moleculares , Estrutura Secundária de Proteína , Proteínas de Protozoários/genética , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/imunologia , Trypanosoma cruzi/genética
19.
Parasitology ; 133(Pt 6): 661-72, 2006 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16978450

RESUMO

A key issue relating to developing multi-component anti-malarial vaccines, lies in studying Plasmodium vivax surface proteins' genetic variation. The present work was aimed at amplifying, cloning and sequencing the gene encoding P. vivax merozoite surface protein 5 (PvMSP5) in samples obtained from infected patients from Colombian areas having varying malaria transmission rates. Nucleotide sequence data reported in this paper are available in the GenBank, EMBL and DDBJ databases under Accessions numbers DQ341586 to DQ341601. Our results have revealed that PvMSP5 is one of the P. vivax surface proteins having greater polymorphism, this being restricted to specific protein regions. The intron and exon II (which includes the GPI anchor and EGF-like domain) were both highly conserved when compared to exon I; exon I displayed the greatest variation and most of the recombination events occurred within it. No geographical grouping was observed. The Nei-Gojobori test revealed significant positive selection in the samples analysed here, whereas Tajima and Fu and Li tests presented a neutral selection pattern. The results reflected a localized variation pattern, recombination between PvMSP5 alleles and also functional and immune pressures, where stronger selective forces might be acting on exon I than on exon II, suggesting that the latter could be an important region to be included in an anti-malarial vaccine.


Assuntos
Proteínas de Membrana/genética , Plasmodium vivax/genética , Polimorfismo Genético , Sequência de Aminoácidos , Animais , Análise por Conglomerados , Colômbia , Variação Genética , Humanos , Malária Vivax/parasitologia , Proteínas de Membrana/química , Proteínas de Membrana/metabolismo , Dados de Sequência Molecular , Plasmodium vivax/isolamento & purificação , Plasmodium vivax/metabolismo , Reação em Cadeia da Polimerase , Recombinação Genética , Seleção Genética , Análise de Sequência de DNA
20.
Immunogenetics ; 58(7): 598-606, 2006 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-16791622

RESUMO

A vaccine against malaria is desperately needed, and Aotus monkeys are highly susceptible to experimental infection with malarial parasites. A thorough analysis of this monkey's immune system molecules was thus undertaken in our institute. Cloning and sequencing, followed by three-dimensional analysis, has revealed high homology with some HLA-DRB1 molecules in terms of their peptide binding region pockets. Molecules such as HLA-DRB1*03, 11, 08, and HLA-DRB1*04 are so similar to Aotus MHC-DRB molecules that peptides identified as binding to these molecules and inducing protective immunity in these monkeys could be used in humans without further refinement, while small modifications seem to be needed for those binding to HLA-DRB1*07, HLA-DRB1*15, 16, and HLA-DRB1*10-like molecules, making this New World monkey an excellent model for tailor-made vaccine development, especially against malaria.


Assuntos
Desenho de Fármacos , Antígenos HLA-DR/química , Antígenos de Histocompatibilidade Classe II/química , Vacinas Antimaláricas/química , Platirrinos/imunologia , Sequência de Aminoácidos , Sítios de Ligação , Antígenos HLA-DR/genética , Antígenos HLA-DR/imunologia , Cadeias HLA-DRB1 , Antígenos de Histocompatibilidade Classe II/genética , Antígenos de Histocompatibilidade Classe II/imunologia , Humanos , Vacinas Antimaláricas/genética , Dados de Sequência Molecular , Peptídeos/química , Peptídeos/genética , Conformação Proteica , Alinhamento de Sequência
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