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1.
J Small Anim Pract ; 65(2): 132-143, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-37956993

RESUMO

OBJECTIVES: Tick-borne encephalitis virus and louping ill virus are neurotropic flaviviruses transmitted by ticks. Epidemiologically, tick-borne encephalitis is endemic in Europe whereas louping ill's predominant geographical distribution is the UK. Rarely, these flaviviruses affect dogs causing neurological signs. This case series aimed to describe the clinical, clinicopathological, and imaging findings, as well as the outcomes in six dogs with meningoencephalitis and/or meningomyelitis caused by a flavivirus in the UK in 2021. MATERIALS AND METHODS: Observational retrospective case-series study. Clinical data were retrieved from medical records of dogs with positive serological or immunohistochemical results from three different institutions from spring to winter 2021. RESULTS: Six dogs were included in the study. All dogs presented an initial phase of pyrexia and/or lethargy followed by progressive signs of spinal cord and/or intracranial disease. Magnetic resonance imaging showed bilateral and symmetrical lesions affecting the grey matter of the thalamus, pons, medulla oblongata, and thoracic or lumbar intumescences with none or mild parenchymal and meningeal contrast enhancement. Serology for tick-borne encephalitis virus was positive in five dogs with the presence of seroconversion in two dogs. The viral distinction between flaviviruses was not achieved. One dog with negative serology presented positive immunohistochemistry at post-mortem examination. Three dogs survived but presented neurological sequelae. Three dogs were euthanased due to the rapid progression of the clinical signs or static neurological signs. CLINICAL SIGNIFICANCE: These cases raise awareness of the presence of tick-borne encephalitis as an emergent disease or the increased prevalence of louping ill virus affecting dogs in the UK.


Assuntos
Doenças do Cão , Vírus da Encefalite Transmitidos por Carrapatos , Encefalite Transmitida por Carrapatos , Carrapatos , Cães , Animais , Encefalite Transmitida por Carrapatos/diagnóstico , Encefalite Transmitida por Carrapatos/epidemiologia , Encefalite Transmitida por Carrapatos/veterinária , Estudos Retrospectivos , Reino Unido/epidemiologia , Doenças do Cão/diagnóstico
2.
QJM ; 116(1): 47-56, 2023 Feb 14.
Artigo em Inglês | MEDLINE | ID: mdl-36053197

RESUMO

OBJECTIVES: This study aims to describe the demographic and clinical profile and ascertain the determinants of outcome among hospitalized coronavirus disease 2019 (COVID-19) adult patients enrolled in the National Clinical Registry for COVID-19 (NCRC). METHODS: NCRC is an on-going data collection platform operational in 42 hospitals across India. Data of hospitalized COVID-19 patients enrolled in NCRC between 1st September 2020 to 26th October 2021 were examined. RESULTS: Analysis of 29 509 hospitalized, adult COVID-19 patients [mean (SD) age: 51.1 (16.2) year; male: 18 752 (63.6%)] showed that 15 678 (53.1%) had at least one comorbidity. Among 25 715 (87.1%) symptomatic patients, fever was the commonest symptom (72.3%) followed by shortness of breath (48.9%) and dry cough (45.5%). In-hospital mortality was 14.5% (n = 3957). Adjusted odds of dying were significantly higher in age group ≥60 years, males, with diabetes, chronic kidney diseases, chronic liver disease, malignancy and tuberculosis, presenting with dyspnoea and neurological symptoms. WHO ordinal scale 4 or above at admission carried the highest odds of dying [5.6 (95% CI: 4.6-7.0)]. Patients receiving one [OR: 0.5 (95% CI: 0.4-0.7)] or two doses of anti-SARS CoV-2 vaccine [OR: 0.4 (95% CI: 0.3-0.7)] were protected from in-hospital mortality. CONCLUSIONS: WHO ordinal scale at admission is the most important independent predictor for in-hospital death in COVID-19 patients. Anti-SARS-CoV2 vaccination provides significant protection against mortality.


Assuntos
COVID-19 , Adulto , Humanos , Masculino , Pessoa de Meia-Idade , COVID-19/prevenção & controle , SARS-CoV-2 , Mortalidade Hospitalar , Estudos de Tempo e Movimento , Vacinação , Doença Crônica
3.
J Viral Hepat ; 25(7): 771-778, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29377464

RESUMO

Novel direct-acting antivirals (DAAs) are now the standard of care for the management of hepatitis C virus (HCV) infection. Branded DAAs are associated with high sustained virological response at 12 weeks post-completion of therapy (SVR12), but are costly. We aimed to assess the efficacy of generic oral DAAs in a real-life clinical scenario. Consecutive patients with known HCV infection who were treated with generic-oral DAA regimens (May 2015 to January 2017) were included. Demographic details, prior therapy and SVR12 were documented. Four hundred and ninety patients (mean age: 38.9 ± 12.7 years) were treated with generic DAAs in the study time period. Their clinical presentations included chronic hepatitis (CHC) in 339 (69.2%) of cases, compensated cirrhosis in 120 (24.48%) cases and decompensated cirrhosis in 31 (6.32%) cases. Genotype 3 was most common (n = 372, 75.9%) followed by genotype 1 (n = 97, 19.8%). Treatment naïve and treatment-experienced (defined as having previous treatment with peginterferon and ribavirin) were 432 (88.2%) and 58 (11.8%), respectively. Generic DAA treatment regimens included sofosbuvir in combination with ribavirin (n = 175), daclatasvir alone (n = 149), ribavirin and peginterferon (n = 80), ledipasvir alone (n = 43), daclatasvir and ribavirin (n = 37), and ledipasvir and ribavirin (n = 6). Overall SVR12 was 95.9% (470/490) for all treatment regimens. SVR12 for treatment naïve and experienced patients was 97.0% (419/432) and 87.9% (51/58), respectively, P = .005. High SVR12 was observed with various regimens, irrespective of genotype and underlying liver disease status. There were no differences in SVR12 with 12 or 24 weeks therapy. No major adverse event occurred requiring treatment stoppage. Generic oral DAAs are associated with high SVR rates in patients with HCV infection in a real-life clinical scenario.


Assuntos
Antivirais/administração & dosagem , Medicamentos Genéricos/administração & dosagem , Hepatite C Crônica/tratamento farmacológico , Resposta Viral Sustentada , Administração Oral , Adulto , Antivirais/efeitos adversos , Carcinoma Hepatocelular/tratamento farmacológico , Quimioterapia Combinada , Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Medicamentos Genéricos/efeitos adversos , Feminino , Humanos , Cirrose Hepática/tratamento farmacológico , Neoplasias Hepáticas/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento
4.
J Viral Hepat ; 23(11): 873-880, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27405885

RESUMO

Injection drug users uninfected by hepatitis C virus (HCV) despite likely repeated exposure through high-risk behaviour are well documented. Factors preventing infection in these individuals are incompletely understood. Here, we looked for anti-HCV-envelope antibody responses in a cohort of repeatedly exposed but uninfected subjects. Forty-two hepatitis C diagnostic antibody- and RNA-negative injection drug users at high risk of exposure were studied and findings compared to healthy controls and cases with chronic HCV infection. Purified IgGs from sera were tested by ELISA for binding to genotype 1a and 3a envelope glycoproteins E1E2 with further testing for IgG and IgM reactivity against soluble E2. Virus-neutralizing activity was assessed using an HCV pseudoparticle system. Uninfected subjects demonstrated significantly greater IgG and IgM reactivities to envelope glycoproteins than healthy controls with IgG from 6 individuals additionally showing significant neutralization. This study is the first to describe humoral immunological responses targeting the HCV envelope, important for viral neutralization, in exposed uninfected individuals. A subset of these cases also had evidence of viral neutralization via anti-envelope antibodies. In addition to confirming viral exposure, the presence of specific anti-envelope antibodies may be a factor that helps these individuals resist HCV infection.


Assuntos
Formação de Anticorpos , Resistência à Doença , Hepacivirus/imunologia , Anticorpos Anti-Hepatite C/sangue , Hepatite C/imunologia , Proteínas do Envelope Viral/imunologia , Adulto , Usuários de Drogas , Exposição Ambiental , Ensaio de Imunoadsorção Enzimática , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Testes de Neutralização , Abuso de Substâncias por Via Intravenosa
5.
J Viral Hepat ; 22(4): 384-90, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25200131

RESUMO

Hepatitis C virus (HCV) can be classified into seven distinct genotypes that are associated with differing pathologies and respond differently to antiviral therapy. In the UK, genotype 1 and 3 are present in approximately equal proportions. Chronic infection with HCV genotype 3 is associated with increased liver steatosis and reduced peripheral total cholesterol levels, which potentially influences peripheral immune responses. To understand these differences, we investigated host gene transcription in peripheral blood mononuclear cells by microarray and quantitative PCR in patients with genotype 1 (n = 22) or genotype 3 infection (n = 22) and matched healthy controls (n = 15). Enrichment of genes involved in immune response and inflammatory pathways were present in patients infected with HCV genotype 1; however, no differences in genes involved in lipid or cholesterol metabolism were detected. This genotype-specific induction of genes is unrelated to IL28B genotype or previous treatment failure. Our data support the hypothesis that genotype 1 infection drives a skewed Type I interferon response and provides a foundation for future investigations into the host-pathogen interactions that underlie the genotype-specific clinical outcomes of chronic HCV infection.


Assuntos
Expressão Gênica , Genótipo , Hepacivirus/imunologia , Hepatite C Crônica/imunologia , Leucócitos Mononucleares/imunologia , Transcrição Gênica , Adulto , Feminino , Perfilação da Expressão Gênica , Hepacivirus/classificação , Hepacivirus/genética , Hepatite C Crônica/patologia , Humanos , Metabolismo dos Lipídeos , Masculino , Redes e Vias Metabólicas/genética , Análise em Microsséries , Pessoa de Meia-Idade , Reação em Cadeia da Polimerase em Tempo Real , Reino Unido
6.
J Laryngol Otol ; 126(12): 1276-7, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23034316

RESUMO

OBJECTIVE: We report an extremely rare case of primary otoscleroma. METHOD: We present a case report and a review of the world literature concerning otoscleroma. RESULTS: An adult woman presented with chronic suppurative otitis media with tubotympanic disease and conductive hearing loss. On mastoid exploration, dark granulations were seen, which were identified as otoscleroma on histopathological examination. The patient responded well to streptomycin. CONCLUSION: To the best of our knowledge, this is the first report of primary otoscleroma in the world literature. This case indicates that Frisch's bacillus can also spread to the middle ear.


Assuntos
Otopatias/diagnóstico , Rinoscleroma/diagnóstico , Adulto , Antibacterianos/uso terapêutico , Otopatias/tratamento farmacológico , Otopatias/cirurgia , Orelha Média , Feminino , Perda Auditiva Condutiva/etiologia , Humanos , Otite Média Supurativa/etiologia , Rinoscleroma/tratamento farmacológico , Rinoscleroma/cirurgia , Estreptomicina/uso terapêutico
7.
Oncogene ; 27(28): 3912-22, 2008 Jun 26.
Artigo em Inglês | MEDLINE | ID: mdl-18264132

RESUMO

Benzo[a]pyrene diol epoxide (BPDE), the active metabolite of benzo[a]pyrene present in tobacco smoke, is a major cancer-causing compound. To evaluate the effects of BPDE on human breast epithelial cells, we exposed an immortalized human breast cell line, MCF 10A, to BPDE and characterized the gene expression pattern. Of the differential genes expressed, we found consistent activation of DDX3, a member of the DEAD box RNA helicase family. Overexpression of DDX3 in MCF 10A cells induced an epithelial-mesenchymal-like transformation, exhibited increased motility and invasive properties, and formed colonies in soft-agar assays. Besides the altered phenotype, MCF 10A-DDX3 cells repressed E-cadherin expression as demonstrated by both immunoblots and by E-cadherin promoter-reporter assays. In addition, an in vivo association of DDX3 and the E-cadherin promoter was demonstrated by chromatin immunoprecipitation assays. Collectively, these results demonstrate that the activation of DDX3 by BPDE, can promote growth, proliferation and neoplastic transformation of breast epithelial cells.


Assuntos
7,8-Di-Hidro-7,8-Di-Hidroxibenzo(a)pireno 9,10-óxido , Neoplasias da Mama/metabolismo , Carcinógenos , RNA Helicases DEAD-box/fisiologia , Regulação Neoplásica da Expressão Gênica , Caderinas/genética , Linhagem Celular Tumoral , Movimento Celular , RNA Helicases DEAD-box/metabolismo , Humanos , Immunoblotting , Metástase Neoplásica , Fenótipo , Regiões Promotoras Genéticas , Fumar/efeitos adversos , Cicatrização
8.
Curr Top Microbiol Immunol ; 317: 1-38, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-17990788

RESUMO

Liver failure associated with hepatitis C virus (HCV) accounts for a substantial portion of liver transplantation. Although current therapy helps some patients with chronic HCV infection, adverse side effects and a high relapse rate are major problems. These problems are compounded in liver transplant recipients as reinfection occurs shortly after transplantation. One approach to control reinfection is the combined use of specific antivirals together with HCV-specific antibodies. Indeed, a number of human and mouse monoclonal antibodies to conformational and linear epitopes on HCV envelope proteins are potential candidates, since they have high virus neutralization potency and are directed to epitopes conserved across diverse HCV genotypes. However, a greater understanding of the factors contributing to virus escape and the role of lipoproteins in masking virion surface domains involved in virus entry will be required to help define those protective determinants most likely to give broad protection. An approach to immune escape is potentially caused by viral infection of immune cells leading to the induction hypermutation of the immunoglobulin gene in B cells. These effects may contribute to HCV persistence and B cell lymphoproliferative diseases.


Assuntos
Anticorpos Monoclonais/uso terapêutico , Anticorpos Anti-Hepatite C/uso terapêutico , Hepatite C/terapia , Sequência de Aminoácidos , Linfócitos B/imunologia , Linfócitos B/virologia , Epitopos , Genes env , Hepacivirus/genética , Hepacivirus/imunologia , Anticorpos Anti-Hepatite C/biossíntese , Humanos , Dados de Sequência Molecular , Testes de Neutralização , Hipermutação Somática de Imunoglobulina , Proteínas do Envelope Viral/imunologia
9.
Am J Gastroenterol ; 96(8): 2388-91, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11513179

RESUMO

OBJECTIVE: Environmental factors other than gliadin exposure and certain HLA haplotypes may play a role in the pathogenesis of celiac disease. Previous studies have suggested a strong inverse relationship between cigarette smoking and celiac disease. We sought to determine the relationship between celiac disease and cigarette smoking in our patient population. METHODS: All newly diagnosed adults with biopsy-proven celiac disease evaluated at Mayo Clinic Rochester between January 1, 1993, and June 30, 1998, were identified. Three clinic patients who were matched to each case on geographical area of residence, age, gender, and calendar year of visit served as controls. Smoking information was obtained from a standard medical questionnaire that was completed by all clinic patients at the time of registration. The adjusted odds ratio for celiac disease in current and former smokers relative to nonsmokers was estimated with a matched three-to-one conditional logistic regression model. RESULTS: A total of 82 adults with biopsy-proven celiac disease were identified. At the time of diagnosis, the proportion of current smokers was 10% in cases and 10% in controls, yielding an adjusted odds ratio of 1.5 (95% CI = 0.5-4.3). In all, 34% of cases were former smokers versus 28% of controls, yielding an odds ratio of 1.6 (95% CI = 0.8-3.2). CONCLUSION: This case-control study was unable to detect an association between cigarette smoking and celiac disease.


Assuntos
Doença Celíaca/epidemiologia , Fumar , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Doença Celíaca/etiologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Minnesota/epidemiologia , Fumar/efeitos adversos , Estatísticas não Paramétricas
10.
Rapid Commun Mass Spectrom ; 15(10): 821-6, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11344543

RESUMO

The preparation of protein substrates requires that a large number of chromatographic fractions be analyzed for the presence of reactants, products and by-products. Analyses using linear matrix-assisted laser desorption/ionization mass spectrometry (MALDI-MS) or single column liquid chromatography/mass spectrometry (LC/MS) have been inadequate because of mass resolution or throughput. Therefore, a high-throughput method employing an eight-channel parallel reverse-phase LC/MS system was developed. This system is capable of screening fractions from preparative ion-exchange chromatography with the required mass accuracy and throughput so that the protein purification process can be monitored in a relatively short period of time. As an example, the purification and analysis of an acylated protein with a molecular weight of 8.9 kDa is described and the detection of a contaminating by-product that differs in size by less than 20 Da is demonstrated. Using the current instrumentation and approach, it is practical to analyze 50 protein-containing fractions from column chromatography in less than 1 hour using parallel LC/MS.


Assuntos
Cromatografia Líquida de Alta Pressão/métodos , Proteínas Recombinantes/química , Espectrometria de Massas por Ionização por Electrospray/métodos , Proteína de Transporte de Acila/análise , Proteína de Transporte de Acila/genética , Proteína de Transporte de Acila/isolamento & purificação , Cromatografia Líquida de Alta Pressão/instrumentação , Cromatografia por Troca Iônica , Desenho de Equipamento , Peso Molecular , Processamento de Proteína Pós-Traducional , Proteínas Recombinantes/isolamento & purificação , Espectrometria de Massas por Ionização por Electrospray/instrumentação , Espectrofotometria Ultravioleta , Fatores de Tempo
11.
Prostate ; 47(3): 212-21, 2001 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-11351351

RESUMO

BACKGROUND: Prostate cancer frequently metastasizes to bone. However, unlike many other tumors that produce osteolytic lesions, prostate cancer produces osteoblastic lesions through unknown mechanisms. In the current study, we explored the ability and mechanism of an osteotropic prostate cancer cell line (C4-2B) to induce mineralization. METHODS: C4-2B cells were grown in promineralization media. Mineral deposition was characterized using von Kossa staining, calcium retention, alizarin red staining, Raman spectroscopy, and electron microscopy. Expression of osteoblast-related proteins was determined by RT-PCR. The nuclear level of the bone-specific transcription factor Cbfa1 was determined using western analysis and the effect of inhibiting Cbfa1 function, using a "decoy" Cbfa1 response element oligo, on mineralization was determined. RESULTS: The studies demonstrated that C4-2B cells, but not its nonosteotropic parent cell line LNCaP, has an osteoblastlike phenotype including production of alkaline phosphatase, osteocalcin, osteonectin, bone sialoprotein, osteoprotegerin (OPG), and OPG ligand. Most importantly, the C4-2B cells produced hydroxyapatite mineral in vitro. Furthermore, C4-2B cells expressed high nuclear levels of the bone-specific transcription factor Cbfa1, compared to LNCaP cells, which accounts for their ability to produce bone-specific proteins. Inhibition of Cbfa1, using decoy DNA Cbfa1 response elements, abrogated the ability of C4-2B to produce mineral. Finally, we determined that C4-2B cells express bone morphogenic protein-7, a known inducer of Cbfa1 expression. CONCLUSIONS: These data demonstrate a novel mechanism through which prostate cancer cells may directly contribute to the osteoblastic component that characterize their skeletal metastatic lesions. Prostate 47:212-221, 2001.


Assuntos
Neoplasias Ósseas/secundário , Calcinose/patologia , Proteínas de Neoplasias , Neoplasias da Próstata/patologia , Fator de Crescimento Transformador beta , Antraquinonas , Proteína Morfogenética Óssea 7 , Proteínas Morfogenéticas Ósseas/biossíntese , Neoplasias Ósseas/metabolismo , Neoplasias Ósseas/patologia , Calcinose/metabolismo , Cálcio/metabolismo , Divisão Celular/fisiologia , Subunidade alfa 1 de Fator de Ligação ao Core , Durapatita/metabolismo , Regulação Neoplásica da Expressão Gênica , Glicoproteínas/biossíntese , Humanos , Masculino , Osteoblastos/patologia , Osteoprotegerina , Neoplasias da Próstata/metabolismo , Receptores Citoplasmáticos e Nucleares/biossíntese , Receptores do Fator de Necrose Tumoral , Espectrofotometria Infravermelho , Análise Espectral Raman , Coloração e Rotulagem/métodos , Fatores de Transcrição/biossíntese , Células Tumorais Cultivadas
12.
J Virol ; 75(3): 1348-58, 2001 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-11152508

RESUMO

To identify proteins that can bind the 3' untranslated region (UTR) of hepatitis C virus (HCV) we screened human cDNA libraries using the Saccharomyces cerevisiae three-hybrid system. Screening with an RNA sequence derived from the 3'-terminal 98 nucleotides (3'X region) of an infectious clone of HCV (H77c) yielded clones of human ribosomal proteins L22, L3, S3, and mL3, a mitochondrial homologue of L3. We performed preliminary characterization of the binding between the 3'X region and these proteins by a three-hybrid mating assay using mutant 3'X sequences. We have further characterized the interaction between 3'X and L22, since this protein is known to be associated with two small Epstein-Barr virus (EBV)-encoded RNA species (EBERs) which are abundantly produced in cells latently infected with EBV. The EBERs, which have similar predicted secondary structure to the HCV 3'X, assemble into ribonucleoprotein particles that include L22 and La protein. To confirm that L22 binds HCV 3'X we performed in vitro binding assays using recombinant L22 (expressed as a glutathione S-transferase [GST] fusion protein) together with a 3'X riboprobe. The 3'X region binds to the GST-L22 fusion protein (but not to GST alone), and this interaction is subject to competition with unlabeled 3'X RNA. To establish the functional role played by L22 in internal ribosome entry site (IRES)-mediated translation of HCV sequences we performed translational analysis in HuH-7 cells using monocistronic and bicistronic reporter constructs. The relative amount of core-chloramphenicol acetyltransferase reporter protein translated under the control of the HCV IRES was stimulated in the presence of L22 and La when these proteins were supplied in trans.


Assuntos
Regiões 3' não Traduzidas/metabolismo , Hepacivirus/genética , Proteínas Ribossômicas/metabolismo , Regiões 3' não Traduzidas/química , Sítios de Ligação , Linhagem Celular , Humanos , RNA Viral/metabolismo , Ribossomos/metabolismo
13.
Virology ; 279(1): 58-68, 2001 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-11145889

RESUMO

Hepatitis C virus (HCV) encodes two glycoproteins, E1 and E2, that interact to form both native and aggregated complexes in tissue culture cells. In native complexes, E1 and E2 are associated by noncovalent interactions and such complexes are considered to constitute the authentic interactions between the proteins. By contrast, the proteins are linked by covalent, disulfide bonds in aggregated complexes. From studies with a mutant in which cysteine residues in E1 have been substituted with other amino acids, we show that E1 continues to associate with E2, although the migratory patterns of the proteins on gels are consistent with the formation of aggregated complexes. Therefore, such complexes can be stabilized by noncovalent as well as covalent interactions. To further examine the requirements for native complex formation, segments of foreign glycoproteins were linked to regions of E2. Our data provide direct evidence for the requirement of C-terminal sequences in E2 that contain the transmembrane domain to permit oxidation of E1 and assembly of a native complex. By contrast, native complexes and oxidized E1 are not found in the presence of chimeric proteins containing the E2 ectodomain. These data suggest that interaction of E1 with the E2 transmembrane domain is critical for native complex formation.


Assuntos
Dobramento de Proteína , Proteínas do Envelope Viral/química , Proteínas do Envelope Viral/metabolismo , Animais , Western Blotting , Linhagem Celular , Membrana Celular/química , Cricetinae , Eletroforese em Gel de Poliacrilamida , Eletroporação , Técnica Indireta de Fluorescência para Anticorpo , Oxirredução , Testes de Precipitina , Conformação Proteica , Estrutura Terciária de Proteína , Transcrição Gênica , Proteínas do Envelope Viral/genética
14.
Am J Gastroenterol ; 95(1): 204-7, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-10638584

RESUMO

OBJECTIVES: The diagnosis of cholangiocarcinoma is often difficult, making management approaches problematic. A reliable serum tumor marker for cholangiocarcinoma would be a useful additional diagnostic test. Previous studies have demonstrated that elevated serum concentrations of CA 19-9, a tumor-associated antigen, have good sensitivity and specificity for cholangiocarcinoma in patients with primary sclerosing cholangitis. However, the value of this tumor marker for cholangiocarcinoma unassociated with primary sclerosing cholangitis is unclear. Thus, the aims of this study were to determine the usefulness of a serum CA 19-9 determination in the diagnosis of de novo cholangiocarcinoma. METHODS: We prospectively measured serum CA 19-9 concentrations in patients with cholangiocarcinoma (n = 36), nonmalignant liver disease (n = 41), and benign bile duct strictures (n = 26). Serum CA 19-9 concentrations were measured by an immunoradiometric assay (CIS Bio International) without knowledge of the clinical diagnosis. RESULTS: The sensitivity of a CA 19-9 value >100 U/ml in diagnosing cholangiocarcinoma was 53%. When compared with the nonmalignant liver disease and the benign bile duct stricture groups, the true negative rates were 76% and 92%, respectively. Patients with unresectable cholangiocarcinoma had significantly greater mean CA 19-9 concentrations compared to patients with resectable cholangiocarcinoma. CONCLUSIONS: These data suggest that the serum CA 19-9 determination is a useful addition to the available tests for the differential diagnosis of cholangiocarcinoma.


Assuntos
Neoplasias dos Ductos Biliares/diagnóstico , Ductos Biliares Intra-Hepáticos , Antígeno CA-19-9/sangue , Colangiocarcinoma/diagnóstico , Neoplasias dos Ductos Biliares/complicações , Neoplasias dos Ductos Biliares/imunologia , Biomarcadores Tumorais/sangue , Colangiocarcinoma/complicações , Colangiocarcinoma/imunologia , Colangite Esclerosante/complicações , Colestase/imunologia , Feminino , Humanos , Hepatopatias/imunologia , Masculino , Estudos Prospectivos , Sensibilidade e Especificidade
15.
J Gen Virol ; 80 ( Pt 7): 1681-1690, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10423136

RESUMO

Hepatitis C virus (HCV) encodes two glycoproteins, E1 and E2, which are thought to locate to the envelope of virus particles. These proteins form two complexes in tissue culture systems, a high molecular mass aggregate that contains intermolecular covalent bonds and a native complex in which E1 and E2 associate by non-covalent interactions. The contribution of either complex to the structures of the proteins on virus particles is not known. Using dithiothreitol to reduce inter- and intramolecular disulphide bonds in situ, we have studied the nature of the interactions within the aggregate and the role of covalent bonds in the early stages of E1-E2 association. Results with two HCV type 1a strains, Glasgow and H77, showed that the aggregate contains not only covalent interactions but also non-covalent associations between E1 and E2. These non-covalent associations are complex since deletion mutant analysis failed to identify any single region which was required for non-covalent interaction. Complex formation by de novo synthesized proteins was not arrested under reducing conditions which prevented the production of inter- and intramolecular disulphide bonds. Moreover, a conformation-specific antibody continued to recognize the E2 protein in reduced complexes, indicating that covalent bonds do not stabilize certain structures of E2 that can interact with E1. These data suggest that disulphide bonds are not required either to allow association between the proteins or to stabilize E1-E2 complexes.


Assuntos
Hepacivirus/metabolismo , Proteínas do Envelope Viral/metabolismo , Hepacivirus/química , Hepacivirus/genética , Humanos , Mutação , Ligação Proteica , Conformação Proteica , Proteínas do Envelope Viral/química , Proteínas do Envelope Viral/genética
16.
Virology ; 257(2): 330-40, 1999 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-10329544

RESUMO

Several studies have implicated hepatitis C virus (HCV) core in influencing the expression of host genes. To identify cellular factors with a possible role in HCV replication and pathogenesis, we looked for cellular proteins that interact with the viral core protein. A human liver cDNA library was screened in a yeast two-hybrid assay to identify cellular proteins that bind to core. Several positive clones were isolated, one of which encoded the C-terminal 253 amino acids of a putative RNA helicase, a DEAD box protein designated DDX3. Bacterially expressed glutathione-S-transferase-DDX3 fusion protein specifically pulled down in vitro translated and radiolabeled HCV core, confirming a direct interaction. Immunofluorescent staining of HeLa cells with a polyclonal antiserum showed that DDX3 is located predominantly in nuclear speckles and at low levels throughout the cytoplasm. In cells infected with a recombinant vaccinia virus expressing HCV structural proteins (core, E1, and E2), DDX3 and core colocalized in distinct spots in the perinuclear region of the cytoplasm. The regions of the proteins involved in binding were found by deletion analysis to be the N-terminal 59 amino acid residues of core and a C-terminal RS-like domain of DDX3. The human DDX3 is a putative RNA helicase and a member of a highly conserved DEAD box subclass that includes murine PL10, Xenopus An3, and yeast Ded1 proteins. Their role in RNA metabolism or gene expression is unknown. The significance of core-helicase interaction in HCV replication and pathogenesis is discussed.


Assuntos
Hepacivirus/metabolismo , RNA Helicases/metabolismo , Proteínas do Core Viral/metabolismo , Extratos Celulares , Mapeamento Cromossômico , Clonagem Molecular , Citoplasma/metabolismo , RNA Helicases DEAD-box , Células HeLa , Humanos , Testes de Precipitina , RNA Helicases/genética , Proteínas Recombinantes de Fusão/metabolismo , Saccharomyces cerevisiae , Proteínas do Core Viral/genética
17.
Neurochem Res ; 23(6): 875-85, 1998 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9572677

RESUMO

The purpose of these experiments was to further characterize changes in dopaminergic function that follow withdrawal from chronic opiate treatment. Withdrawal after treatment to a maximum dose of 120 mg/kg of morphine did not alter dopamine concentrations in the substantia nigra, ventral tegmental area, striatum, or nucleus accumbens; but did decrease concentrations of DOPAC and the ratio of DOPAC to dopamine in the lateral striatum and nucleus accumbens. Uptake of tritiated dopamine was diminished for withdrawn slices obtained from the striatum with no effect observed for tissue from the nucleus accumbens. Deficits of in vitro release of tritiated dopamine also occurred following withdrawal, with the nucleus accumbens being sensitive to dependence produced by a lower dose of morphine. In conclusion, opiate withdrawal produces a complex pattern of effects on dopaminergic function that is specific for the striatum and nucleus accumbens.


Assuntos
Corpo Estriado/metabolismo , Dopamina/metabolismo , Morfina/efeitos adversos , Entorpecentes/efeitos adversos , Núcleo Accumbens/metabolismo , Síndrome de Abstinência a Substâncias/metabolismo , Ácido 3,4-Di-Hidroxifenilacético/metabolismo , 4-Aminopiridina/farmacologia , Animais , Corpo Estriado/efeitos dos fármacos , Masculino , Núcleo Accumbens/efeitos dos fármacos , Potássio/farmacologia , Ratos , Ratos Wistar , Fatores de Tempo
18.
Neurochem Res ; 22(3): 239-48, 1997 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9051656

RESUMO

When opiates are abruptly withdrawn after chronic treatment, increases in hippocampal noradrenergic function are observed which are accompanied by decreases in striatal dopamine release. The latter effects have to shown to persist for several weeks following the onset of opiate withdrawal. We examined the long-term effects of opiate withdrawal on 4-aminopyridine and potassium stimulated release of striatal dopamine and hippocampal norepinephrine. Tissue samples were obtained either from rats that had been exposed to opiate withdrawal following a seven day morphine infusion or sham treated control subjects. At 48 hours after the onset of withdrawal (cessation of morphine infusions), slices were loaded with [3H] neurotransmitter, washed extensively, and exposed to different drug treatments. 4-aminopyridine induced concentration related increases in striatal dopamine release, which was 36% calcium independent. Similar values for fractional release of striatal dopamine were obtained in morphine withdrawn and control subjects, for both potassium and 4-aminopyridine induced release. In addition, thresholds for 4-aminopyridine or potassium induced release of striatal dopamine did not differ between control and morphine withdrawn subjects. Treatment with 1.0 microM morphine sulfate potentiated potassium evoked release of norepinephrine to an equal extent in both morphine withdrawn and sham treated hippocampal tissue. Exposure to a threshold concentration of potassium (8.0 mM), stimulated increased release of hippocampal norepinephrine in a significantly greater fraction of tissue samples obtained from morphine withdrawn animals. Although these results do not support changes in striatal dopamine release following opiate withdrawal, opiate mechanisms appear to be important determinants of in vitro hippocampal norepinephrine release.


Assuntos
Analgésicos Opioides/efeitos adversos , Corpo Estriado/efeitos dos fármacos , Hipocampo/efeitos dos fármacos , Morfina/efeitos adversos , Norepinefrina/metabolismo , Síndrome de Abstinência a Substâncias , 4-Aminopiridina/farmacologia , Animais , Cálcio/fisiologia , Corpo Estriado/metabolismo , Avaliação Pré-Clínica de Medicamentos , Hipocampo/metabolismo , Técnicas In Vitro , Masculino , Potássio/farmacologia , Ratos , Ratos Wistar , Estimulação Química
19.
J Virol ; 71(2): 1124-32, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-8995633

RESUMO

We have visualized the intracellular localization of herpes simplex virus (HSV) type 1 replication and transcription sites in infected HeLa cells by using direct labelling methods. The number of viral transcription foci increases in a limited way; however, the number of replication sites increases in a near-exponential manner throughout infection, and both replication and transcription sites are found buried throughout the nuclear interior. Simultaneous visualization of viral transcription and replication foci shows that the two processes colocalize at early times, but at later times postinfection, there are additional sites committed solely to replication. This contrasts with the situation in adenovirus-infected cells in which, throughout replication, sites of transcription are adjacent to but do not colocalize with sites of viral DNA replication. The data for an increase in HSV transcription sites suggest an initial phase of replication of input genomes which are then transcribed. Sites of HSV replication colocalize with viral DNA replication and packaging proteins but are largely distinct from the punctate distribution of small nuclear ribonucleoprotein particles. Very high multiplicities of infection have shown an upper limit of some 18 viral transcription foci per nucleus, suggesting cellular constraints on transcription site formation. Use of virus replication mutants confirms that the labelled foci are sites of viral RNA and DNA synthesis; in the absence of viral DNA replication functions, no replication foci and only a limited number of transcription foci were present. Absence of a packaging function had no apparent effect on transcription or replication site formation, illustrating that DNA packaging is not a prerequisite for ongoing DNA synthesis. Further, the essential HSV protein IE63 is required for efficient replication site formation at later times postinfection but is not required for transcription foci formation.


Assuntos
Núcleo Celular/virologia , Replicação do DNA , DNA Viral/genética , Herpes Simples/virologia , RNA Viral/genética , Simplexvirus/genética , Transcrição Gênica , Núcleo Celular/genética , Células HeLa , Humanos
20.
J Gen Virol ; 77 ( Pt 9): 2241-9, 1996 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8811024

RESUMO

We have developed a panel of 14 monoclonal antibodies (MAbs) to POL, the catalytic subunit of herpes simplex virus type 1 (HSV-1) DNA polymerase encoded by gene UL30, and one MAb to the UL52 protein, another of the seven proteins essential for replication of HSV DNA. The approximate locations of the epitopes of the polymerase-specific MAbs were identified using truncated polymerase molecules, and the antibodies were characterized in a number of immunological assays allowing eight different specificities to be recognized. These MAbs, together with a polyclonal antibody raised in rabbits against a third DNA replication protein, ICP8, were used to localize the respective proteins by immunofluorescence in cells infected with wild-type HSV-1 or the DNA replication-defective mutants ambUL8 or 2-2. In BHK cells infected with ambUL8, a mutant with an amber termination codon within the coding region of gene UL8, the UL52 protein did not enter the nucleus, although ICP8 and POL entered the nucleus in a normal fashion. The failure of the UL52 protein to be correctly transported to the nucleus was also observed in both HFL and Vero cells infected with ambUL8. In contrast, UL52 protein was transported to the nucleus in BHK cells infected with wild-type HSV-1 or with 2-2, a mutant lacking a functional UL9 protein.


Assuntos
DNA Helicases/metabolismo , DNA Polimerase Dirigida por DNA/metabolismo , Exodesoxirribonucleases , Herpesvirus Humano 1/metabolismo , Proteínas Virais/metabolismo , Animais , Anticorpos Monoclonais/imunologia , Anticorpos Antivirais/imunologia , Transporte Biológico , Linhagem Celular , Chlorocebus aethiops , Cricetinae , DNA Helicases/genética , DNA Primase , Proteínas de Ligação a DNA , Vírus Defeituosos/metabolismo , Deleção de Genes , Herpesvirus Humano 1/genética , Humanos , Camundongos , Coelhos , Células Vero , Replicação Viral
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