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1.
Mol Microbiol ; 112(1): 114-130, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30947380

RESUMO

Human gut bifidobacteria rely on ATP-binding cassette (ABC) transporters for oligosaccharide uptake. Multiple oligosaccharide-specific solute-binding protein (SBP) genes are occasionally associated with a single ABC transporter, but the significance of this multiplicity remains unclear. Here, we characterize BlMnBP1 and BlMnBP2, the two SBPs associated to the ß-manno-oligosaccharide (MnOS) ABC transporter in Bifidobacterium animalis subsp. lactis. Despite similar overall specificity and preference to mannotriose (Kd ≈80 nM), affinity of BlMnBP1 is up to 2570-fold higher for disaccharides than BlMnBP2. Structural analysis revealed a substitution of an asparagine that recognizes the mannosyl at position 2 in BlMnBP1, by a glycine in BlMnBP2, which affects substrate affinity. Both substitution types occur in bifidobacterial SBPs, but BlMnBP1-like variants prevail in human gut isolates. B. animalis subsp. lactis ATCC27673 showed growth on gluco and galactomannans and was able to outcompete a mannan-degrading Bacteroides ovatus strain in co-cultures, attesting the efficiency of this ABC uptake system. By contrast, a strain that lacks this transporter failed to grow on mannan. This study highlights SBP diversification as a possible strategy to modulate oligosaccharide uptake preferences of bifidobacterial ABC-transporters during adaptation to specific ecological niches. Efficient metabolism of galactomannan by distinct bifidobacteria, merits evaluating this plant glycan as a potential prebiotic.


Assuntos
Transportadores de Cassetes de Ligação de ATP/metabolismo , Bifidobacterium animalis/metabolismo , Mananas/metabolismo , Transportadores de Cassetes de Ligação de ATP/fisiologia , Proteínas de Bactérias/metabolismo , Bifidobacterium/genética , Bifidobacterium/metabolismo , Bifidobacterium animalis/genética , Proteínas de Ligação a DNA/metabolismo , Galactose/análogos & derivados , Oligossacarídeos/metabolismo
2.
Eur Respir J ; 24(4): 615-23, 2004 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-15459141

RESUMO

The effect of aerosolised adrenomedullin (ADM), a potent vasodilator peptide, on pulmonary artery pressure was studied for 24 h in a surfactant-depleted piglet model. Animals received either aerosolised ADM (50 ng.kg(-1).min(-1), ADM, n=6), or aerosolised normal saline solution (control, n=6). Aerosol therapy was performed for a 2 h treatment period followed by a 22 h observation period. Ventilator settings were adapted to keep arterial oxygen tension and carbon dioxide arterial tension between 13.3-14.6 kPa and 4.9-5.7 kPa, respectively. Aerosolised ADM reduced mean pulmonary artery pressure (MPAP) compared with the control group (end-point median 24 h after therapy start: DeltaMPAP -14.0 versus -8.0 mmHg; 23.5 h after therapy start). After therapy start, mean systemic arterial pressure (MAP) was not significantly different between the groups (end-point median: MAP ADM 70 (61/74) versus control 72 (54/81) mmHg). Endothelin-1, a potent pulmonary vasoconstrictor, is regulated by ADM via cAMP. Twenty two hours after inhalation of aerosolised ADM, endothelin-1 mRNA in lung tissue and endothelin-1 protein expression in pulmonary arteries was reduced compared with controls (median semi-quantitative immunhistochemical score: ADM 0.21, control 0.76). Aerosolised adrenomedullin significantly reduced mean pulmonary artery pressure independently of arterial oxygen tension.


Assuntos
Pressão Sanguínea/efeitos dos fármacos , Peptídeos/administração & dosagem , Artéria Pulmonar/efeitos dos fármacos , Vasodilatadores/administração & dosagem , Administração por Inalação , Adrenomedulina , Animais , Pressão Sanguínea/fisiologia , Dióxido de Carbono/sangue , Modelos Animais , Oxigênio/sangue , Artéria Pulmonar/fisiologia , Suínos
3.
Eur J Endocrinol ; 150(4): 579-84, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15080789

RESUMO

OBJECTIVE: Adipose tissue displays depot-specific metabolic properties and a predominant gene expression of leptin in subcutaneous tissue. The aim of the study was to evaluate leptin mRNA expression in various adipose tissues and to relate it to plasma leptin concentrations. Furthermore, developmental changes in leptin gene expression from childhood to adulthood were examined. DESIGN AND METHODS: Thoracic subcutaneous and intrathoracic adipose tissue specimens were obtained in 22 adults (51-81 years) and 23 children (0.1-17 years) undergoing cardiac surgery, and abdominal subcutaneous, omental and mesenterial fat specimens were collected from 21 adults (38-79 years) and 22 children (0.2-17 years) before abdominal surgery. Preoperative plasma leptin concentrations were measured by RIA. Leptin mRNA expression was quantified by TaqMan real-time PCR. RESULTS: In adults, there was no difference between leptin gene expression in subcutaneous and intrathoracic fat, whereas in children leptin mRNA expression was significantly higher in subcutaneous adipose tissue. In omental fat, leptin mRNA levels were significantly lower compared with subcutaneous and mesenterial sites in both children and adults. Adults revealed a significantly higher leptin gene expression in subcutaneous, omental and mesenterial adipose tissues than children. Subcutaneous and omental leptin gene expression are independent factors for plasma leptin concentrations in children and adults. CONCLUSION: Leptin is differentially expressed at different adipose tissue sites, a situation which is even more pronounced in children. There is a developmental increase in leptin mRNA expression in adipose tissue during childhood, reaching maximal capacity in adulthood.


Assuntos
Tecido Adiposo/fisiologia , Leptina/genética , Abdome , Tecido Adiposo/crescimento & desenvolvimento , Adolescente , Fatores Etários , Idoso , Criança , Pré-Escolar , Feminino , Expressão Gênica/fisiologia , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/análise
4.
Am J Obstet Gynecol ; 188(2): 517-23, 2003 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-12592265

RESUMO

OBJECTIVE: We investigated the influence of acute hypoxia on the placental vascular endothelial growth factor system in vitro and in vivo in acute birth asphyxia compared with pregnancies that were complicated by preeclampsia and with healthy control subjects. STUDY DESIGN: Messenger RNA levels for vascular endothelial growth factor, flt-1, and KDR were measured by TaqMan real-time polymerase chain reaction in human placental choriocarcinoma cells (BeWo) that were exposed to hypoxia (1% oxygen, 5% carbon dioxide, 94% nitrogen) and in placental tissue of neonates with birth asphyxia (n = 20), newborn infants of mothers with preeclampsia (n = 20), and gestational age-matched control subjects. Immunhistologically, placental vascular endothelial growth factor protein expression was compared among the groups. RESULTS: In BeWo cells, vascular endothelial growth factor, flt-1 and KDR messenger RNA increased in a time-dependent manner in response to hypoxia. In vivo, vascular endothelial growth factor/beta-actin and KDR/beta-actin messenger RNA were significantly higher in placental tissue of newborn infants with severe hypoxic-ischemic encephalopathy than with newborn infants with mild or no hypoxic-ischemic encephalopathy and control subjects. In chronic placental hypoxia (preeclampsia), vascular endothelial growth factor and both receptors were found to be up-regulated. Increased placental vascular endothelial growth factor expression was confirmed by immunohistologic examination. CONCLUSION: The vascular endothelial growth factor system is up-regulated in response to placental hypoxia and is assumed to be a potential early indicator of severe birth asphyxia.


Assuntos
Asfixia Neonatal/metabolismo , Fatores de Crescimento Endotelial/metabolismo , Hipóxia/metabolismo , Peptídeos e Proteínas de Sinalização Intercelular/metabolismo , Isquemia/metabolismo , Linfocinas/metabolismo , Placenta/metabolismo , Actinas/genética , Grupos Controle , Fatores de Crescimento Endotelial/genética , Feminino , Humanos , Recém-Nascido , Peptídeos e Proteínas de Sinalização Intercelular/genética , Linfocinas/genética , Pré-Eclâmpsia/metabolismo , Gravidez , RNA Mensageiro/metabolismo , Fatores de Tempo , Células Tumorais Cultivadas , Regulação para Cima , Fator A de Crescimento do Endotélio Vascular , Receptor 1 de Fatores de Crescimento do Endotélio Vascular/genética , Receptor 2 de Fatores de Crescimento do Endotélio Vascular/genética , Fatores de Crescimento do Endotélio Vascular
5.
Eur J Endocrinol ; 147(5): 711-6, 2002 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-12444904

RESUMO

OBJECTIVE: The aim of the present study was to investigate the role of adrenomedullin (ADM) as a hypoxia-inducible marker of clinically relevant tIssue hypoxia in acute birth asphyxia of term newborn infants. METHODS: For this purpose, ADM mRNA was determined in human placental tIssue of 20 term pregnancies complicated by birth asphyxia (pH and base deficit values, clinical score). In addition, ADM mRNA was measured in leukocytes of the asphyxiated newborn infants during the first 12 h of life (n=12). Controls were available from ten healthy term pregnancies. In vitro, hypoxia-inducible expression of ADM mRNA was evaluated in human choriocarcinoma cells (BeWo) and human leukocytes exposed to hypoxia (1% O(2)) for 1-24 h. mRNA levels were measured by TaqMan real-time PCR. RESULTS: In vitro, ADM mRNA related to porphobilinogen deaminase (PBGD) mRNA levels significantly increased in response to hypoxia within a period of 4 h in leukocytes and 12 h in BeWo cells. In human placental tIssue, significantly higher levels of ADM/PBGD mRNA were present in asphyxiated newborn infants with severe hypoxic-ischemic encephalopathy (HIE) (n=5) compared with patients with mild or no HIE (n=15). Increased levels of ADM/PBGD mRNA levels were found during the first hours of life in leukocytes of neonates with severe HIE compared with controls. CONCLUSIONS: Our results indicate an upregulation of ADM gene expression in human placenta and leukocytes in clinically relevant hypoxic-ischemic birth complications and suggest ADM gene expression as a promising marker for severe complications due to perinatal asphyxia such as HIE.


Assuntos
Asfixia Neonatal/metabolismo , Expressão Gênica , Leucócitos/fisiologia , Peptídeos/genética , Placenta/fisiologia , RNA Mensageiro/metabolismo , Adrenomedulina , Biomarcadores/análise , Hipóxia Celular/fisiologia , Feminino , Humanos , Hidroximetilbilano Sintase/genética , Hipóxia-Isquemia Encefálica/metabolismo , Recém-Nascido , Gravidez , Valores de Referência , Células Tumorais Cultivadas
6.
Pharmacology ; 64(3): 135-9, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11834889

RESUMO

Adrenomedullin, a peptide with vasorelaxant activity, stimulates nitric oxide (NO) synthesis. We tested whether or not NO regulates the function of the adrenomedullin system. Human umbilical vein endothelial cells (HUVEC) were incubated with the NO donors sodium nitroprusside (SNP), morpholinosydnonimine (SIN-1) and the phospodiesterase V inhibitor zaprinast. In HUVEC, adrenomedullin concentration in the supernatant was measured by radioimmunoassay and mRNA expression was studied by Northern blot and competitive quantitative PCR. SNP, SIN-1, and zaprinast (100 micromol/l each) significantly increased adrenomedullin concentration in the supernatant of HUVEC twofold. The same concentrations increased adrenomedullin mRNA expression four- to tenfold. Similar results were obtained by both quantitative PCR and Northern blot. Thus, NO donor exposure in vitro increases both adrenomedullin secretion and mRNA expression in a dose-dependent manner.


Assuntos
Endotélio Vascular/metabolismo , Regulação da Expressão Gênica/efeitos dos fármacos , Doadores de Óxido Nítrico/farmacologia , Óxido Nítrico/fisiologia , Peptídeos/genética , Peptídeos/metabolismo , Adrenomedulina , Northern Blotting , Células Cultivadas , Endotélio Vascular/citologia , Humanos , RNA Mensageiro/metabolismo , Radioimunoensaio , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Veias Umbilicais/citologia
7.
J Clin Endocrinol Metab ; 86(11): 5234-9, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11701683

RESUMO

Leptin is produced predominantly in adipose tissue but has recently also been found in gastric mucosa. It has been shown that the oral application of leptin induces neuronal activity in the brain stem of rodents. The objective of the present study was to identify this hormone in human saliva and to examine the production and stability of salivary leptin. We have demonstrated production of leptin in salivary glands and oral mucosa by RT-PCR, its storage by immunocytochemistry, and the release of the peptide by RIA. Chromatographic analysis and immunoblotting confirmed the identity of leptin. There is a strong linear correlation (r2 = 0.78) between leptin concentrations from simultaneously collected saliva and plasma samples (n = 61). Stimulation of saliva flow increases total leptin secretion up to 3-fold (P < 0.001). As to the stability of leptin in gastric fluid, we found the peptide was not degraded above pH 3.5. Additionally, salivary leptin remains stable up to 5 d at 4 C. With regard to the presence of leptin receptors in gastric mucosa, we suggest salivary leptin as being a possible ligand for gastric leptin receptors. Furthermore, the determination of leptin in saliva allows for noninvasive sample collection.


Assuntos
Leptina/metabolismo , Saliva/química , Adulto , Idoso , Idoso de 80 Anos ou mais , Cromatografia em Gel , Humanos , Immunoblotting , Imuno-Histoquímica , Leptina/análise , Leptina/sangue , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/biossíntese , Valores de Referência , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Glândulas Salivares/metabolismo , Salivação/fisiologia
8.
Neuropathol Appl Neurobiol ; 27(3): 215-22, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11489141

RESUMO

The aim of this study was to assess human intracranial tumours for their gene expression pattern of the vasoactive peptide adrenomedullin (AM), its receptor (AM-R) and leptin, which exerts multiple biological effects including proliferation and angiogenesis via the leptin receptor (OB-Rb). Gene activity of neuropeptide Y (NPY) was monitored additionally. We investigated whether there was a characteristic gene expression pattern of AM and leptin in different intracranial tumours, depending on their proliferation activity and biological behaviour. We investigated 35 non-functioning pituitary adenomas (including eight null cell, four silent plurihormonal, 23 silent gonadotroph adenomas), seven somatotropinomas, seven prolactinomas, eight meningiomas, five astrocytomas, two glioblastoma multiformes and unaffected temporal lobe (n = 8). Quantitative reverse transcriptase-polymerase chain reaction (TaqMan RT-PCR) was performed. AM mRNA was detectable in all tumour specimens. AM/GAPDH (glyceraldehyde-3-phosphate dehydrogenase) ratio was significantly higher in somatotropinomas, as was AM/CD31 ratio in prolactinomas, compared with inactive adenomas (P < 0.05). AM-R mRNA was found in all tumour subgroups in small quantities but, in general, higher in tumours than in temporal lobe tissue, respectively. AM-R/CD31 ratio was significantly higher in prolactinomas than in inactive adenomas (P < 0.05). Leptin was detectable in very low quantities in each subgroup. OB-Rb gene expression was found in all tumour subgroups, OB-Rb/GAPDH ratio was highest for meningiomas (P < 0.0001, compared with temporal lobe). NPY mRNA was detectable in temporal lobe in higher quantities than in tumours (P < 0.0001), and almost undetectable in prolactinomas and astrocytomas. Our data demonstrate that AM and AM-R, NPY, as well as leptin and OB-Rb, are expressed in various intracranial tumours in humans but their particular function has to be elucidated further. At present, there is no evidence for a cross-talk on transcriptional level between the peptidergic vasodilative system AM and the putative angiogenic and proliferation affecting factor leptin.


Assuntos
Adenoma/genética , Neoplasias Encefálicas/genética , Expressão Gênica , Hormônios/metabolismo , Neuropeptídeos/genética , Neoplasias Hipofisárias/genética , Receptores de Superfície Celular , Adenoma/metabolismo , Adrenomedulina , Adulto , Idoso , Proteínas de Transporte/genética , Feminino , Humanos , Leptina/genética , Masculino , Pessoa de Meia-Idade , Neuropeptídeo Y/genética , Peptídeos/genética , Neoplasias Hipofisárias/metabolismo , Receptores de Adrenomedulina , Receptores para Leptina , Receptores de Peptídeos/genética
9.
Eur J Endocrinol ; 145(2): 187-92, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11454515

RESUMO

BACKGROUND: During human pregnancy, 11beta-hydroxysteroid dehydrogenase type 2 (11beta-HSD2) plays an important role in protecting the fetus from high maternal glucocorticoid concentrations by converting cortisol to inactive cortisone. Furthermore, 11beta-HSD2 is indirectly involved in the regulation of the prostaglandin inactivating enzyme 15-hydroxyprostaglandin dehydrogenase (PGDH), because cortisol reduces the gene expression and enzyme activity of PGDH in human placental cells. OBJECTIVE: To examine developmental changes in placental 11beta-HSD2 and PGDH gene expression during the 2nd and 3rd trimesters of human pregnancies. METHODS: In placental tissue taken from 20 healthy women with normal pregnancy and 20 placentas of 17 mothers giving birth to premature babies, 11beta-HSD2 and PGDH mRNA expression was determined using quantitative real-time PCR. RESULTS: Placental mRNA expression of 11beta-HSD2 and PGDH increased significantly with gestational age (r=0.55, P=0.0002 and r=0.42, P=0.007). In addition, there was a significant correlation between the two enzymes (r=0.58, P<0.0001). CONCLUSIONS: In the course of pregnancy there is an increase in 11beta-HSD2 and PGDH mRNA expression in human placental tissue. This adaptation of 11beta-HSD2 prevents increasing maternal cortisol concentrations from transplacental passage and is exerted at the gene level. 11beta-HSD2 up-regulation may also lead to an increase in PGDH mRNA concentrations that, until term, possibly delays myometrial contractions induced by prostaglandins.


Assuntos
Hidroxiprostaglandina Desidrogenases/genética , Hidroxiesteroide Desidrogenases/genética , Placenta/enzimologia , Gravidez/metabolismo , RNA Mensageiro/genética , 11-beta-Hidroxiesteroide Desidrogenase Tipo 2 , Adolescente , Adulto , Peso ao Nascer , Feminino , Regulação Enzimológica da Expressão Gênica/genética , Humanos , Hidroxiprostaglandina Desidrogenases/biossíntese , Hidroxiesteroide Desidrogenases/biossíntese , Recém-Nascido , Trabalho de Parto Prematuro/enzimologia , Placenta/fisiologia , Segundo Trimestre da Gravidez/genética , Terceiro Trimestre da Gravidez/genética , RNA Mensageiro/biossíntese , Análise de Regressão , Reação em Cadeia da Polimerase Via Transcriptase Reversa
10.
Am J Respir Crit Care Med ; 164(1): 31-5, 2001 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-11435235

RESUMO

The effect of aerosolized perfluorocarbon (PFC) (FC77) on pulmonary gas exchange and lung mechanics was studied in a surfactant depleted piglet model. Sixty minutes after induction of lung injury by bronchoalveolar lavage, 20 piglets were randomized to receive aerosolized PFC (Aerosol-PFC, 10 ml/kg/h, n = 5), partial liquid ventilation (PLV) at FRC capacity volume (FRC-PLV, 30 ml/kg, n = 5) or low volume (LV-PLV, 10 ml/kg/h, n = 5), or intermittent mandatory ventilation (IMV) (Control, n = 5). After 2 h, perfluorocarbon application was stopped and IMV was continued for 6 h. Sixty minutes after the onset of therapy, PaO2 was significantly higher and PaCO2 was significantly lower in the Aerosol-PFC and the FRC-PLV groups than in the LV-PLV and the Control groups; p < 0.001. Six hours after treatment, maximum PaO2 was found in the Aerosol-PFC group: 406.4 +/- 26.9 mm Hg, FRC-PLV: 217.3 +/- 50.5 mm Hg, LV-PLV: 96.3 +/- 18.9 mm Hg, Control: 67.6 +/- 8.4 mm Hg; p < 0.001. PaCO2 was lowest in the Aerosol-PFC group: 24.2 +/- 1.7 mm Hg, FRC-PLV: 35.9 +/- 2.8 mm Hg, LV-PLV: 56.7 +/- 12.4 mm Hg, Control: 60.6 +/- 5.1 mm Hg; p < 0.01. Dynamic compliance (C20/c) was highest in the Aerosol-PFC group; p < 0.01. Aerosolized perfluorocarbon improved pulmonary gas exchange and lung mechanics as effectively as PLV did in surfactant-depleted piglets, and the improvement was sustained longer.


Assuntos
Fluorocarbonos/farmacologia , Ventilação Líquida/métodos , Troca Gasosa Pulmonar/efeitos dos fármacos , Aerossóis , Análise de Variância , Animais , Animais Recém-Nascidos , Fluorocarbonos/administração & dosagem , Fluorocarbonos/uso terapêutico , Surfactantes Pulmonares/deficiência , Síndrome do Desconforto Respiratório/terapia , Suínos
11.
J Clin Endocrinol Metab ; 86(3): 1313-7, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11238526

RESUMO

Cortisol reduces the activity of the PG-inactivating enzyme 15-hydroxyprostaglandin dehydrogenase (PGDH) in human placental cells. The objective was to investigate a possible relation between 11beta-hydroxysteroid dehydrogenase type 2 (11beta-HSD2), converting cortisol to cortisone, and PGDH gene expression in the placenta of patients with preeclampsia. In placental tissue taken from 20 healthy women with normal pregnancy, 20 premature babies born after labor before term, and 18 neonates after preeclamptic pregnancy, 11beta-HSD2 and PGDH messenger RNA (mRNA) expression was determined using quantitative TaqMan real-time PCR and quantitative competitive PCR. When comparing matched pairs, there were 3-fold lower 11beta-HSD2/glyceraldehyde-3-phosphate dehydrogenase (11beta-HSD2/GAPDH) mRNA levels in placentas of patients with preeclampsia than in controls [0.18 +/- 0.04 relative units (RU) and 0.61 +/- 0.10 RU, P = 0.0003]. We also found a 2-fold reduction in placental PGDH/GAPDH mRNA concentrations (0.28 +/- 0.15 RU and 0.50 +/- 0.18 RU, P = 0.0003). PGDH and 11beta-HSD2 mRNA levels correlated significantly (r = 0.66, P < 0.0001). In term placenta, 11beta-HSD2/GAPDH, but not PGDH, showed a significant correlation to birth weight (r = 0.43, P = 0.01) and to placental weight (r = 0.47, P = 0.01). Results could be confirmed by competitive PCR. We conclude that, in preeclampsia, 11beta-HSD2 mRNA expression is reduced, leading to the known decrease of 11beta-HSD2 activity. By means of an autocrine or paracrine mechanism, the diminished conversion of placental cortisol may lead to reduced PGDH mRNA expression as found in the present study.


Assuntos
Expressão Gênica , Hidroxiprostaglandina Desidrogenases/genética , Hidroxiesteroide Desidrogenases/genética , Placenta/enzimologia , Pré-Eclâmpsia/enzimologia , 11-beta-Hidroxiesteroide Desidrogenases , Adolescente , Adulto , Peso ao Nascer , Cortisona/metabolismo , Feminino , Idade Gestacional , Humanos , Hidrocortisona/metabolismo , Recém-Nascido , Recém-Nascido Prematuro , Reação em Cadeia da Polimerase , Gravidez , Proteinúria , RNA Mensageiro/análise
12.
Exp Clin Endocrinol Diabetes ; 108(6): 430-5, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11026757

RESUMO

Studies which evaluate the psychosocial development and integration of adult female congenital adrenal hyperplasia (CAH) patients are rare but show that patients with the salt wasting form are significantly more virilized and more frequently single and childless. Major complaints are irregular menstruation, hirsutism, acne, obesity, deep voice, and cushingoid features. Surprisingly, a higher prevalence of psychosomatic disorders has not yet been described. Since anorexia nervosa (AN) has not yet been described in patients with CAH, we here report 4 cases of female CAH patients who developed AN during adolescence. Diagnosis of CAH was made between the age of 10 days and 3 years. Three patients suffer from the simple-virilizing form of CAH, one patient has a mild salt wasting CAH. Genital malformation varied from Prader stage II to IV. All 4 patients were compound heterozygotes for mutations/deletions of the CYP21B gene. Control of substitution therapy consisting of hydrocortisone and fluorocortisone was good. AN developed at ages 12, 13, 17, and 21 years (ICD 10 criteria for AN are BMI below 17.5 kg/m2, deliberate weight loss, body image disturbance, and primary or secondary amenorrhoea). Diagnosis of AN was established by psychiatrists and/or psychologists. All four patients showed an impressive and deliberate weight loss between 13 and 20 kg within 6 months, had primary or secondary amenorrhoea, and presented with BMI between 13 and 17.9 kg/m2. All patients received psychological treatment and recovered. However, one patient had a severe relapse of AN. Two patients are now married and one has a healthy son. These cases demonstrate that the diagnosis of CAH is compatible with the development of AN and illustrate the importance of providing treatment for CAH patients that encompasses not only medical but also psychological and social care.


Assuntos
Hiperplasia Suprarrenal Congênita/complicações , Anorexia Nervosa/complicações , Hiperplasia Suprarrenal Congênita/genética , Adulto , Amenorreia/complicações , Anorexia Nervosa/genética , Índice de Massa Corporal , Feminino , Seguimentos , Heterozigoto , Humanos , Esteroide 21-Hidroxilase/genética
13.
Growth Horm IGF Res ; 10(5): 290-4, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11042025

RESUMO

Fanconi's anaemia (FA) shows great variability in phenotypic symptoms. We report on two FA siblings of German ancestry with the very rare form of the complementation group FA-D. Both presented with a similar phenotype and mild disease severity but with different growth. In the sister, growth velocity was normal, puberty and menarche occurred spontaneously. Her final height was within her parental target height. The younger brother had a reduced growth velocity, height SDS values below -5.5 SDS, a markedly retarded bone age, and delayed puberty. At the age of 12.9 years, growth hormone deficiency (GHD) was diagnosed and treatment with growth hormone was initiated. Our cases emphasize the heterogeneity of symptoms in FA even in siblings with the same genotype. In FA-children with severe growth retardation, GHD must also be considered.


Assuntos
Anormalidades Múltiplas/genética , Anemia de Fanconi/genética , Transtornos do Crescimento/genética , Hormônio do Crescimento Humano/deficiência , Determinação da Idade pelo Esqueleto , Feminino , Seguimentos , Teste de Complementação Genética , Alemanha/etnologia , Humanos , Lactente , Recém-Nascido , Masculino , Países Baixos , Núcleo Familiar , Fenótipo , Puberdade Tardia
14.
J Pediatr Endocrinol Metab ; 12(6): 891-4, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10614549

RESUMO

Patients with Gitelman syndrome are usually diagnosed by chance or present with muscular weakness, constipation, or tetanies due to hypokalemia and hypomagnesemia. We present a short statured boy with a clear history of familial short stature, normal growth and a final height prognosis within the target height range. However, routine laboratory studies led to the diagnosis of Gitelman syndrome. If a baseline laboratory analysis had not been performed, this diagnosis would have been missed.


Assuntos
Estatura/genética , Deficiências do Desenvolvimento/diagnóstico , Criança , Deficiências do Desenvolvimento/genética , Humanos , Masculino , Síndrome
15.
Horm Res ; 51(5): 256-7, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10559672

RESUMO

This is the case report of a girl who was diagnosed as having Ullrich-Turner mosaic at the age of 12 years. She had normal pubertal development and menarche at the age of 15 years. The patient had regular menstrual cycles for 12 months before developing secondary amenorrhea. She was started on estrogen/gestagen replacement therapy by her gynecologist. Several months later a prolactinoma was diagnosed by laboratory and imaging techiques. A second-generation dopamine agonist led to almost regular cycles. Therefore, even in patients with susceptibility to ovarian failure secondary amenorrhea necessitates thorough diagnostic investigation. Copyrightz1999S.KargerAG,Basel


Assuntos
Amenorreia/etiologia , Mosaicismo , Neoplasias Hipofisárias/complicações , Prolactinoma/complicações , Aberrações dos Cromossomos Sexuais , Síndrome de Turner/complicações , Aminoquinolinas/uso terapêutico , Criança , Agonistas de Dopamina/uso terapêutico , Feminino , Humanos , Imageamento por Ressonância Magnética , Neoplasias Hipofisárias/diagnóstico , Neoplasias Hipofisárias/tratamento farmacológico , Prolactinoma/diagnóstico , Prolactinoma/tratamento farmacológico
16.
J Pediatr Adolesc Gynecol ; 12(2): 62-6, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10326189

RESUMO

BACKGROUND: Craniospinal radiotherapy for malignant brain tumors can result in a variety of neuroendocrine disturbances, among which are the development of growth hormone deficiency and early puberty, which can markedly reduce adult height. METHODS: The authors report the case of a girl who received craniospinal radiotherapy for a medulloblastoma at the age of 3.4 years. At 9.1 years, growth hormone therapy was started, and spontaneous onset of puberty (Tanner stage B2) occurred at age 10.3 years. Interval until menarche was short, at only 0.9 years. RESULTS: Although chronologic age at appearance of Tanner stages was within the normal range, the patient showed a rapid acceleration in skeletal maturation, resulting in adult short stature. CONCLUSION: Bone age seems to be a more precise parameter for biologic maturation in some patients after craniospinal irradiation than is clinical assessment of pubertal stages. Thus, if progression of bone age and decreasing final height predictions are noted, puberty should be stopped with gonadotropin-releasing hormone analogs, even if pubertal development seems to be adequate for chronologic age, because this increases the remaining time for growth hormone treatment.


Assuntos
Determinação da Idade pelo Esqueleto , Neoplasias Cerebelares/radioterapia , Irradiação Craniana/efeitos adversos , Transtornos do Crescimento/etiologia , Meduloblastoma/radioterapia , Puberdade Precoce/etiologia , Estatura/efeitos da radiação , Criança , Feminino , Transtornos do Crescimento/tratamento farmacológico , Hormônio do Crescimento/uso terapêutico , Humanos , Puberdade Precoce/tratamento farmacológico
17.
Pediatr Neurosurg ; 31(6): 316-21, 1999 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10702732

RESUMO

BACKGROUND: On clinical grounds, arachnoid cysts are usually associated with neurological dysfunction. There is little information concerning their involvement in endocrinological disorders. PATIENTS: The experience in 6 children (birth to 12 years) with hypothalamic-pituitary disturbances secondary to the presence of intracranial arachnoid cysts is reported and the literature is reviewed. RESULTS: Three of our children were diagnosed with isolated hormone abnormalities (2 children with precocious puberty and 1 child with growth hormone, GH deficiency). One child presented the unusual combination of GH deficiency and precocious puberty. The remaining 2 children developed panhypopituitarism associated with diabetes insipidus. CONCLUSION: Arachnoid cysts may cause a wide spectrum of endocrinological disorders. Periodical and complete follow-up of every patient is recommended.


Assuntos
Cistos Aracnóideos/complicações , Cistos Aracnóideos/diagnóstico , Encéfalo/diagnóstico por imagem , Encéfalo/patologia , Doenças do Sistema Endócrino/complicações , Sistema Hipotálamo-Hipofisário/fisiopatologia , Sistema Hipófise-Suprarrenal/fisiopatologia , Cistos Aracnóideos/cirurgia , Encéfalo/cirurgia , Criança , Doenças do Sistema Endócrino/fisiopatologia , Feminino , Hormônio do Crescimento Humano/deficiência , Humanos , Lactente , Recém-Nascido , Imageamento por Ressonância Magnética , Masculino , Testes de Função Tireóidea , Glândula Tireoide/fisiopatologia , Hormônios Tireóideos/sangue , Hormônios Tireóideos/urina , Tomografia Computadorizada por Raios X
18.
Clin Chim Acta ; 261(1): 1-17, 1997 May 06.
Artigo em Inglês | MEDLINE | ID: mdl-9187500

RESUMO

We describe a new simple solid-phase competitive luminescence immunoassay (LIA) for the determination of immunoglobulin A (IgA) in faeces. The assay utilizes an anti-alpha-chain IgA antibody which is coated to polystyrene beads and acridinium ester-labelled human IgA as tracer and, therefore, measures both monomeric and polymeric IgA. Dilution recovery of an internal standard was 96, 100 and 103%. Interassay and intra-assay coefficients of variation (C.V.) ranged from 4.5 to 12.9%. The upper limit of normal of faecal IgA in 122 healthy controls was found to be 300 mg/l IgA (mean 73 mg/l, specificity of 99.2%). Patients with inactive Crohn's disease (Crohn's disease activity index (CDAI < 150, n = 14) had faecal IgA values up to 3317 mg/l (mean 1073 mg/l; P < 0.0001). In the active group (CDAI > 150, n = 26) faecal IgA values ranged from 49 to 4094 mg/l (mean 1253 mg/l; P < 0.0001). Patients with ulcerative colitis were divided into a group with active disease (n = 18) and a remission group (n = 16) with values up to 1843 mg/l faecal IgA (man 486 mg/l; P < 0.0032) and up to 602 mg/l faecal IgA (mean 176 mg/l; P < 0.4833), respectively. We also studied patients with non-inflammatory diseases of the gut with this assay. This LIA has proved to be a reliable method for the determination of elevated faecal IgA concentrations and for the detection of pathological findings in the gastrointestinal tract, especially in Crohn's disease.


Assuntos
Fezes/química , Imunoensaio/métodos , Imunoglobulina A/química , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Ligação Competitiva , Colite Ulcerativa/imunologia , Pólipos do Colo/imunologia , Neoplasias Colorretais/química , Neoplasias Colorretais/imunologia , Doença de Crohn/imunologia , Divertículo/imunologia , Hemorroidas/imunologia , Humanos , Imunoensaio/estatística & dados numéricos , Medições Luminescentes , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
19.
Eur J Pharmacol ; 173(2-3): 223-6, 1989 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-2625139

RESUMO

We showed earlier that the memory-improving substance, methylglucamine orotate, a precursor of pyrimidine nucleotide synthesis, improved memory retention and enhanced the postconditioning potentiation of field potentials in a special learning task. Since long-term potentiation (LTP) is frequently regarded as a mechanism of memory formation, we decided to test whether it can be influenced in a similar manner. The present study shows that the same dose of methylglucamine orotate (225 micrograms i.c.v.) prolongs LTP but has only a slight effect on the field potential recorded in the dentate gyrus. In controls, LTP of the population spike returned to 154% of the control value 24 h after tetanization and to 126% after 48 h. However, in drug treated animals LTP of the population spike remained at 246 and 216% of the control, respectively. The results support the assumption that LTP is at least a component of memory formation.


Assuntos
Hipocampo/efeitos dos fármacos , Meglumina/análogos & derivados , Memória/efeitos dos fármacos , Ácido Orótico/análogos & derivados , Sorbitol/análogos & derivados , Animais , Potenciais Evocados/efeitos dos fármacos , Injeções Intraventriculares , Masculino , Meglumina/farmacologia , Ácido Orótico/farmacologia , Ratos , Ratos Endogâmicos
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