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1.
Occup Med (Lond) ; 72(9): 598-603, 2022 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-36516221

RESUMO

BACKGROUND: Low back pain (LBP) and poor subjective sleep quality (SSQ) are major risk factors for presenteeism. However, no studies have investigated whether combined LBP and poor SSQ are associated with presenteeism. AIMS: We aimed to examine whether a combination of LBP and poor SSQ is associated with presenteeism. METHODS: This cross-sectional study included 936 workers (median age, 38 years; men, 89%), with evaluated presenteeism using the work limitations questionnaire. We divided them into 'no presenteeism' and 'presenteeism' categories. The presence of LBP was defined as a numerical rating scale (NRS) score of ≥1 in current pain intensity. SSQ was assessed using a single question regarding whether the participants typically got enough sleep. We categorized the participants into four groups: (i) LBP + poor SSQ, (ii) non-LBP + poor SSQ, (iii) LBP + good SSQ and (iv) non-LBP + good SSQ. Logistic regression analysis was used to investigate the association between presenteeism and the presence of LBP and poor SSQ, adjusting for age, sex, work type, education, marital status, smoking status, body mass index and weekly working hours. RESULTS: The data from 533 participants were used for analysis (median age, 38 years; men, 90%, response rate, 66%). Combined LBP and poor SSQ were significantly associated with presenteeism (non-LBP + poor SSQ: adjusted odds ratio = 0.56, 95% CI 0.32-0.96; LBP + good SSQ: 0.33, 0.20-0.56; non-LBP + good SSQ: 0.29, 0.18-0.48). CONCLUSIONS: Evaluating both LBP and SSQ may be beneficial in considering presenteeism.


Assuntos
Dor Lombar , Masculino , Humanos , Adulto , Dor Lombar/epidemiologia , Dor Lombar/etiologia , Qualidade do Sono , Estudos Transversais , Fatores de Risco , Sono , Inquéritos e Questionários
2.
Orthod Craniofac Res ; 20(4): 209-215, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28921849

RESUMO

OBJECTIVES: To investigate the effects of pre-surgical nasoalveolar moulding (PNAM) on the maxillary arch and nasal form in patients with unilateral cleft lip and palate (UCLP). SETTING AND SAMPLE POPULATION: This is a retrospective case series study. The subjects were infants with complete UCLP who were treated with PNAM (n = 18) at Kagoshima University Medical and Dental Hospital (Japan) between 2006 and 2013. MATERIAL AND METHODS: Maxillary dental casts and facial photographs were taken at the time of the first visit and immediately prior to lip surgery to evaluate the maxillary arch and nasal form changes. The dental casts were scanned with a laser scanner, and changes in the 3-Dimensional coordinates of anatomical landmarks and alveolar cleft width were analysed. Moreover, we investigated the correlation between the changes in the maxillary alveolar arch and nasal form. RESULTS: Regarding the maxillary alveolar arch form, the anterior points of the major segment had moved significantly to the cleft side just prior to the time of lip repair, and the alveolar cleft width was significantly decreased. For nasal form, the inclination and displacement of the columella were significantly improved. The improvement of columella inclination was moderately correlated with the posterior movement of the anterior points of the major segment. CONCLUSIONS: These findings indicate that PNAM for infants with UCLP enhanced symmetry in the maxillary alveolar arch and nasolabial form. In addition, the posterior movement of the anterior points of the maxillary alveolar arch was correlated with the improvement of columella deformation.


Assuntos
Processo Alveolar , Fenda Labial/cirurgia , Fissura Palatina/cirurgia , Arco Dental , Septo Nasal , Cuidados Pré-Operatórios/métodos , Feminino , Humanos , Lactente , Masculino , Estudos Retrospectivos
3.
Pharmazie ; 69(9): 676-9, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-25272938

RESUMO

We investigated whether nano-sized polystyrene particles affect drug-induced toxicity. The particles, which are widely used industrially, had diameters of 50 (NPP50), 200 (NPP200) or 1000 (NPP1000) nm. The toxic chemicals tested were acetaminophen (APAP), 5-aminosalicylic acid (5-ASA), tetracycline (TC), and sodium valproate (VPA). All treatments in the absence of the nanoparticles were non-lethal and did not result in severe toxicity. However, when mice were injected with APAP, 5-ASA or TC together with polystyrene particles, synergistic, enhanced toxicity was observed in mice injected with NPP50. These synergic effects were not observed in mice co-injected with NPP200 or NPP1000. On the other hand, co-administration of VPA and NPP50, NPP200 or NPP1000 did not elevate toxicity. The results show that NPP50 differs in hepatotoxicity depending on the drug co-administered. These findings suggest that further evaluation of the interactions between polystyrene nanoparticles and drugs is a critical prerequisite to the pharmaceutical application of nanotechnology.


Assuntos
Acetaminofen/toxicidade , Analgésicos não Narcóticos/toxicidade , Antibacterianos/toxicidade , Anti-Inflamatórios não Esteroides/toxicidade , Mesalamina/toxicidade , Nanopartículas/toxicidade , Poliestirenos/toxicidade , Tetraciclina/toxicidade , Alanina Transaminase/sangue , Animais , Aspartato Aminotransferases/sangue , Nitrogênio da Ureia Sanguínea , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Tamanho da Partícula
4.
Bone Marrow Transplant ; 49(9): 1155-61, 2014 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-24978139

RESUMO

Hematopoietic cell transplantation (HCT) is used for treatment of hematopoietic diseases. Assessment of T- and B-cell reconstitution after HCT is crucial because poor immune recovery has a major effect on the clinical course. In this study, we retrospectively analyzed T-cell receptor excision circles (TRECs) as well as signal and coding joint kappa-deleting recombination excision circles (sjKRECs and cjKRECs, respectively) as markers of newly produced lymphocytes in 133 patients (56 primary immunodeficient and 77 malignant cases, median (range): 12 (0-62) years old). We analyzed the kinetics of TREC and KREC recovery and determined the factors that contributed to better immune recovery. KRECs became positive earlier than TRECs and increased thereafter. Younger recipient age had a favorable effect on recovery of sjKRECs and cjKRECs. Compared with BM and peripheral blood, our data suggested that cord blood (CB) provided rapid B-cell recovery. CB also provided better B-cell neogenesis in adult HCT recipients. Chronic GVHD was associated with low TRECs, but not increased sjKRECs/cjKRECs. Finally, positive sjKRECs 1 month after HCT were associated with fewer infectious episodes. Monitoring of TRECs and KRECs may serve as a useful tool for assessment of immune reconstitution post HCT.


Assuntos
Linfócitos B/citologia , Sangue Fetal/transplante , Doenças Hematológicas/terapia , Transplante de Células-Tronco Hematopoéticas/métodos , Adolescente , Adulto , Linfócitos B/imunologia , Criança , Pré-Escolar , Feminino , Doenças Hematológicas/imunologia , Transplante de Células-Tronco Hematopoéticas/efeitos adversos , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Receptores de Antígenos de Linfócitos T/sangue , Receptores de Antígenos de Linfócitos T/imunologia , Estudos Retrospectivos , Condicionamento Pré-Transplante/métodos , Adulto Jovem
5.
Pharmazie ; 67(8): 712-4, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22957437

RESUMO

The toxicity of nanomaterials has yet to be fully investigated. In particular, the interactions between nanomaterials and therapeutic drugs require further study. We investigated whether nano-sized polystyrene particles affect drug-induced toxicity. The particles, which are widely used industrially, had diameters of 50 (NPP50), 200 (NPP200) or 1000 (NPP1000) nm. The toxic chemicals tested were carbon tetrachloride, cisplatin (a popular anti-tumor agent), and a widely used herbicide, paraquat. Mice were treated intraperitoneally with either carbon tetrachloride (0.01 ml/kg), cisplatin (100 micromol/kg) or paraquat (50 mg/kg), with or without intravenous administration of polystyrene particles. All treatments in the absence of the nanoparticles were non-lethal and did not result in severe toxicity. However, when mice were injected with paraquat or cisplatin together with polystyrene particles, synergistic, enhanced toxicity was observed in mice injected with NPP50. These synergic effects were not observed in mice co-injected with NPP200 or NPP1000. These findings suggest that further evaluation of the interactions between polystyrene nano-particles and drugs is a critical prerequisite to the pharmaceutical application of nanotechnology.


Assuntos
Antineoplásicos/toxicidade , Tetracloreto de Carbono/toxicidade , Cisplatino/toxicidade , Herbicidas/toxicidade , Nanopartículas/toxicidade , Paraquat/toxicidade , Poliestirenos/toxicidade , Alanina Transaminase/sangue , Animais , Antineoplásicos/química , Aspartato Aminotransferases/sangue , Nitrogênio da Ureia Sanguínea , Tetracloreto de Carbono/química , Doença Hepática Induzida por Substâncias e Drogas/patologia , Cisplatino/química , Herbicidas/química , Fígado/patologia , Masculino , Camundongos , Camundongos Endogâmicos BALB C , Nanopartículas/química , Paraquat/química , Tamanho da Partícula , Veículos Farmacêuticos , Poliestirenos/química
6.
Kyobu Geka ; 55(7): 581-4, 2002 Jul.
Artigo em Japonês | MEDLINE | ID: mdl-12136588

RESUMO

A 56-year-old woman with right hemiplegia for recent cerebral bleeding suddenly complained of dyspnea and chest pain with hypoxia during rehabilitation. Eight days after this first attack, she suffered prolonged right heart failure and hypoxia due to recurrent pulmonary embolism. Arterial blood gas analysis of room air showed 34.5 mmHg of PaO2 and 29.2 mmHg of PaCO2. Echocardiography showed enlargement of the right atrium and ventricle with pulmonary hypertension. Enhanced chest computed tomography revealed pulmonary emboli from the main pulmonary artery to the periphery. Despite intensive treatment, heart failure and hypoxia did not improve. We conducted pulmonary embolectomy under cardiopulmonary bypass requiring percutaneous cardiopulmonary bypass support for 2 days due to right heart failure. She is currently doing well in the 9 months following surgery.


Assuntos
Hemorragia Cerebral/complicações , Insuficiência Cardíaca/complicações , Hipóxia/complicações , Embolia Pulmonar/cirurgia , Feminino , Humanos , Pessoa de Meia-Idade , Embolia Pulmonar/etiologia , Recidiva
7.
Gynecol Obstet Invest ; 52(4): 217-22, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11729332

RESUMO

We performed a randomized controlled study to determine the efficacy of add-backed therapy by every-other-day administration of 0.625 mg conjugated equine estrogen (CEE) and 2.5 mg medroxyprogesterone acetate (MPA) on GnRH agonists (GnRH-a) treatment in Japanese women with symptomatic endometriosis. At the end of treatment, serum estrone and estradiol levels in the add-back group (n = 11) were significantly higher than those in the control group (n = 10). The assessment of Beecham classification by bimanual examination, serum CA-125 levels, and the frequency of genital bleeding revealed no significant differences between the two groups. The add-back group showed reduced Kupperman indices relative to those of the control group, and could prevent the loss of bone density. These findings led to a conclusion that GnRH-a therapy added back by every-other-day administration of 0.625 mg CEE and 2.5 mg MPA was a safe and effective treatment for Japanese women with endometriosis.


Assuntos
Endometriose/tratamento farmacológico , Estrogênios Conjugados (USP)/administração & dosagem , Hormônio Liberador de Gonadotropina/agonistas , Acetato de Medroxiprogesterona/administração & dosagem , Adulto , Animais , Densidade Óssea , Remodelação Óssea , Antígeno Ca-125/sangue , Estradiol/sangue , Estrona/sangue , Feminino , Cavalos , Humanos , Leuprolida/administração & dosagem , Pessoa de Meia-Idade , Hemorragia Uterina/epidemiologia
8.
J Cell Sci ; 114(Pt 15): 2809-17, 2001 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-11683414

RESUMO

The arylhydrocarbon receptor (AhR) is the receptor for 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) and related compounds. Although a physiological ligand for the AhR has yet to be identified, and the precise physiological roles of the AhR are unknown, it may play important roles not only in the regulation of xenobiotic metabolism but also in the maintenance of homeostatic functions. We have previously reported that the level of AhR protein decreased with ongoing adipose differentiation in 3T3-L1 cells. Studies using a TCDD-resistant clone of 3T3-L1 cells suggested that the AhR may be involved in the negative regulation of adipose differentiation. To confirm this hypothesis, 3T3-L1 fibroblast cells were stably transfected with a vector expressing high levels of full-length sense AhR mRNA, antisense AhR mRNA or a control vector. Comparison of the differentiation potency of these clones with that of control cells showed that overexpression of the AhR suppressed morphological differentiation, as well as induction of adipocyte-related genes, whereas decreased expression of the AhR induced much greater morphological differentiation and expression of adipocyte-related genes. Activation of PPARgamma2 with ligands such as troglitazone, ciglitazone and indomethacin restored the ability of the AhR-overexpressing cells to differentiate. The cells overexpressing the AhR exhibited the higher p42/p44 MAP kinase activity compared with the control cells. Treatment with PD98059 or U0126 also abrogated the inhibitory action of the AhR on adipogenesis. We also present data showing that activation of the AhR slowed clonal expansion. During clonal expansion, the AhR inhibited the pRB phosphorylation and the downregulation of p107 expression. Taken together, these results strongly suggest that AhR is a negative regulator of adipose differentiation in 3T3 L1 cells.


Assuntos
Tecido Adiposo/citologia , Dibenzodioxinas Policloradas/farmacologia , Proteínas Repressoras/genética , Proteínas Repressoras/metabolismo , Teratogênicos/farmacologia , Células 3T3 , Animais , Elementos Antissenso (Genética) , Fatores de Transcrição Hélice-Alça-Hélice Básicos , Diferenciação Celular/efeitos dos fármacos , Diferenciação Celular/fisiologia , Células Clonais , Regulação para Baixo/fisiologia , Expressão Gênica/fisiologia , Ligantes , Camundongos , Proteína Quinase 1 Ativada por Mitógeno/metabolismo , Proteína Quinase 3 Ativada por Mitógeno , Proteínas Quinases Ativadas por Mitógeno/metabolismo , Proteínas Nucleares/metabolismo , Fosforilação , RNA Mensageiro/análise , Receptores Citoplasmáticos e Nucleares , Proteínas Repressoras/análise , Proteína do Retinoblastoma/metabolismo , Proteína p107 Retinoblastoma-Like , Fatores de Transcrição/farmacologia
9.
Clin Cancer Res ; 7(10): 3206-14, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11595716

RESUMO

PURPOSE: The purpose of this study was to evaluate the relationship between apoptotic activity and clonogenic radiosensitivity in vitro using an insulin-like growth factor I receptor (IGF-IR) signaling model, which is known to exert tumorigenic and antiapoptotic effects. EXPERIMENTAL DESIGN: We used mouse embryo fibroblast cell lines expressing either human IGF-IR [R+(Wt) and R+] or the marker gene alone [R-(puro)]; these cell lines were derived from R- cells, which are deficient in IGF-IR. After gamma-irradiation, apoptotic activity was determined by the presence of DNA fragmentation and caspase-3-, -8-, and -9-like activities. Clonogenic radiosensitivity was determined by a colony-forming assay. RESULTS: R+(Wt) and R+ cells expressed similar levels of IGF-IR, transducing phosphorylation signals to major downstream substrates on insulin-like growth factor I stimulation. R+ cells were resistant to the induction of apoptosis after gamma-irradiation; however, both R+(Wt) and R-(puro) cells demonstrated significant DNA fragmentation and increase in caspase-3-, -8-, and -9-like activities. Both R+(Wt) and R+ cells were radioresistant (to a similar extent) compared with R-(puro) cells as measured by a colony-forming assay. Clonogenic radioresistance was not influenced by the inhibition of Akt/protein kinase B through treatment with wortmannin at low concentrations specifically inhibiting phosphatidylinositol 3'-kinase. CONCLUSIONS: Our findings indicate that apoptotic activity does not necessarily predict clonogenic survival after exposure to ionizing radiation. This study provides clinical implications in the evaluation of apoptotic activities observed during the course of radiotherapy to predict accurate tumor response or local control.


Assuntos
Apoptose/efeitos da radiação , Raios gama , Proteínas Serina-Treonina Quinases , Receptor IGF Tipo 1/fisiologia , Androstadienos/farmacologia , Animais , Apoptose/efeitos dos fármacos , Divisão Celular/efeitos dos fármacos , Divisão Celular/genética , Divisão Celular/efeitos da radiação , Linhagem Celular , Sobrevivência Celular/efeitos dos fármacos , Sobrevivência Celular/genética , Sobrevivência Celular/efeitos da radiação , Células Clonais/citologia , Células Clonais/efeitos dos fármacos , Células Clonais/efeitos da radiação , Relação Dose-Resposta à Radiação , Ativação Enzimática/efeitos da radiação , Expressão Gênica , Humanos , Masculino , Camundongos , Camundongos Nus , Proteínas Quinases Ativadas por Mitógeno/metabolismo , Mutação , Fosforilação , Proteínas Proto-Oncogênicas/antagonistas & inibidores , Proteínas Proto-Oncogênicas/metabolismo , Proteínas Proto-Oncogênicas c-akt , Receptor IGF Tipo 1/genética , Transdução de Sinais , Fatores de Tempo , Wortmanina
10.
J AOAC Int ; 84(4): 1031-4, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11501901

RESUMO

A sensitive and selective liquid chromatographic (LC) assay was developed to determine the concentration of pyrimethamine in animal tissue and egg by fluorescent derivative. Animal samples were extracted with acetonitrile, centrifuged, and purified by hexane. Fluorescent derivatization was performed by reacting pyrimethamine with chloroacetaldehyde and subjected to LC with fluorescence detection (excitation wavelength 300 nm, emission wavelength 420 nm). The limit of detection was 10 ng/g (10 ppb) and the standard calibration curve was linear in the range of 1-100 ppb (0.01-1 ng/10 microL). Recoveries from samples fortified at levels of 0.1 and 1 ppm (microg/g) were 61.0-77.4 and 65.5-81.2%, respectively. The method was applied to the monitoring of marketed samples. Pyrimethamine was not determined in any of the 70 samples: 20 swine muscle; 20 chicken muscle; 10 chicken liver; and 20 egg.


Assuntos
Antimaláricos/análise , Ovos/análise , Pirimetamina/análise , Animais , Calibragem , Galinhas , Cromatografia Líquida , Fluorescência , Suínos
11.
Kyobu Geka ; 54(9): 791-3, 2001 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-11517553

RESUMO

Intravenous leiomyomatosis is a histologically benign smooth-muscle tumor arising from either a uterine myoma or the wall of a uterine vessel with extension into veins. We describe a 71-year-old woman with a prior history of subtotal hysterectomy for uterine myoma years earlier who presented with palpitation. Echocardiographic examination revealed an intracardiac mass protruding into the right ventricle during diastole. The caval tumor could be traced to the right renal vein by magnetic resonance image. She was operated on for intracardiac and intracaval leiomyomatosis. The intracaval tumor proved to be not totally resectable. Presence of smooth muscle was confirmed by smooth muscle actin and desmin positive cells in the tumor. Tumor cells also proved to possess estrogen receptors. The patient has been closely followed-up with antiestrogen therapy.


Assuntos
Neoplasias Cardíacas/cirurgia , Leiomiomatose/cirurgia , Neoplasias Vasculares/cirurgia , Veia Cava Inferior/patologia , Idoso , Feminino , Neoplasias Cardíacas/patologia , Humanos , Leiomiomatose/patologia , Invasividade Neoplásica , Neoplasias Vasculares/patologia
12.
Eur J Endocrinol ; 144(6): 653-8, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11375800

RESUMO

BACKGROUND: Leptin, which is the product of the obese gene, is believed to play important roles in pubertal development and reproductive function in females. In a study using adult male rats, it was found that leptin stimulated secretion of gonadotropin from the pituitary in a dose-related manner. However, there has been no such study in female rats. OBJECTIVE: To investigate the effects of leptin on the production of LH and FSH from the pituitary in female rats, using primary cultured pituitary cells. METHODS: In this study, we determined body weight, serum leptin concentration and serum estradiol (E(2)) concentration in female Wistar rats at 3, 5, 6, 7, 9 and 11 weeks of age, and cultured pituitary cells from 6-week-old female Wistar rats with leptin (0--10(-7) mol/l) and GnRH (0 or 10(-8) mol/l). Then basal and GnRH-stimulated extra- and intracellular LH and FSH were assayed by RIA. RESULTS: Serum leptin concentration increased with increases in body weight and E(2) concentration. The pubertal serum leptin concentration was about 10(-10) mol/l. At a lower or moderate concentration, leptin produced dose-related increases in both basal and GnRH-stimulated extra- and intracellular LH and FSH in pituitary cells. At a concentration of 10 mol/l, leptin significantly (P<0.05) stimulated both basal and GnRH-stimulated extra- and intracellular LH and FSH. However, at greater concentrations, these effects diminished. CONCLUSIONS: These results indicated that leptin induced pituitary cells to produce and secrete both LH and FSH, with or without GnRH. The concentration of leptin that induced the greatest production of gonadotropins by pituitary cells was 10(-10) mol/l, which was the same as the physiological pubertal concentration. Leptin may be involved in the onset of puberty. It is also conceivable that leptin may be a cause of ovulatory failure, not only in weight loss but also in weight gain.


Assuntos
Hormônio Foliculoestimulante/metabolismo , Leptina/farmacologia , Hormônio Luteinizante/metabolismo , Hipófise/metabolismo , Animais , Peso Corporal/efeitos dos fármacos , Células Cultivadas , Estradiol/sangue , Espaço Extracelular/metabolismo , Feminino , Hormônio Liberador de Gonadotropina/farmacologia , Hipófise/citologia , Hipófise/efeitos dos fármacos , Ratos
13.
Clin Nucl Med ; 26(3): 187-92, 2001 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-11245107

RESUMO

PURPOSE: This study evaluated the use of Tc-99m DTPA renography in patients with collagen disease. MATERIALS AND METHODS: Tc-99m DTPA renal scintigraphy was performed in 28 patients with clinically diagnosed collagen disease. Twenty-two other patients who underwent renal scintigraphy and were subsequently shown to have no kidney abnormalities served as the control group. RESULTS: One quarter of the patients with collagen disease had abnormal findings of renography, despite the absence of abnormal laboratory data. Renograms were 100% sensitive for the detection of renal disease in patients with collagen disease, and their specificity was 53% when serum blood urea nitrogen, serum creatinine concentration, and proteinuria were the only measures of renal impairment considered. The glomerular filtration rate was not significantly different between the groups, but the bilateral time to peak was significantly greater in the patients with collagen disease. Hydronephrosis was present in 7% of patients with collagen disease. CONCLUSION: Renography is useful for detecting early changes of renal involvement when the clinical state of collagen disease is evaluated.


Assuntos
Doenças do Colágeno/diagnóstico por imagem , Renografia por Radioisótopo , Pentetato de Tecnécio Tc 99m , Adulto , Estudos de Casos e Controles , Feminino , Taxa de Filtração Glomerular , Humanos , Hidronefrose/diagnóstico , Hidronefrose/etiologia , Nefropatias/diagnóstico , Nefropatias/diagnóstico por imagem , Nefropatias/etiologia , Masculino , Sensibilidade e Especificidade
14.
Maturitas ; 37(3): 173-9, 2001 Jan 31.
Artigo em Inglês | MEDLINE | ID: mdl-11173179

RESUMO

OBJECTIVES: In elderly subjects the capacity for antibody production is depressed. This immunosenescence state of humoral immunity is associated with the occurrence of autoimmune disorders involving CD5+ B (B-1) cells. Since estrogen is capable of stimulating the production of autoantibodies, this sex steroid hormone may be a contributing cause of the higher incidence of autoimmune diseases in women. In the present study, B cell subsets in women during the postmenopausal period was determined. The effect of hormone replacement therapy (HRT) on B cell subsets was examined to establish whether the administration of gonadal hormones influence humoral immunity in postmenopausal women. METHODS: Forty six untreated pre- and postmenopausal women and 39 women on HRT were studied. The proportion of B-1 (CD5+) and conventional CD5- B (B-2) lymphocytes was determined by two-color flow cytometry. Serum autoantibodies to a nuclear antigen and to interleukin (IL)-1alpha were measured by immunofluorescence and by radioimmunoassay, respectively. Thirteen women were examined prospectively before and during HRT. RESULTS: In late postmenopausal women (> or = 30 years postmenopausal period), the proportion of B-2 cells was significantly reduced (p<0.01) compared to those of premenopausal and perimenopausal women. HRT induced a significant (p<0.01) increase in the percentage of B-2 cells, while that of B-1 cells remained unchanged. HRT did not affect autoantibody production. CONCLUSION: HRT may retard the progress of immunosenescence by increasing the production of B-2 cells. Moreover, HRT appears not to increase the risk of autoimmune diseases developing in postmenopausal women.


Assuntos
Subpopulações de Linfócitos B/efeitos dos fármacos , Terapia de Reposição Hormonal , Pós-Menopausa , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos de Casos e Controles , Estrogênios Conjugados (USP)/farmacologia , Feminino , Humanos , Acetato de Medroxiprogesterona/farmacologia , Pessoa de Meia-Idade
15.
Horm Res ; 56(1-2): 38-44, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11815726

RESUMO

OBJECTIVE: Tissues in various parts of the body have different sensitivities to estradiol. However, it is very difficult to measure the serum estradiol levels precisely in women receiving oral conjugated equine estrogen, which is a mixture of estrogens. In the present study, we precisely measured the serum levels of estradiol in postmenopausal women undergoing hormone replacement therapy (HRT), and we clarified the relationships between serum estradiol levels and the effects of HRT on the Kupperman index, bone mineral density (BMD), serum gonadotropin, lipid metabolism and unscheduled bleeding as the clinical endpoints. METHODS: Sixty-eight postmenopausal or bilaterally ovariectomized women, aged 30-64 years, who had been suffering from vasomotor symptoms such as hot flush or atrophy of the vagina were randomly assigned to two groups: one group of 34 patients who received oral administration of 0.625 mg conjugated equine estrogen (CEE, Premarin, Wyeth) and 2.5 mg medroxyprogesterone acetate (MPA, Provera, Upjohn) every other day, and another group of 34 patients who received oral administration of 0.625 mg CEE and 2.5 mg MPA every day. All subjects were re-classified into three groups according to the serum estradiol level after 12 months of treatment: (1) low estradiol group (<15 pg/ml, n = 25); (2) middle estradiol group (> or =15 and <25 pg/ml, n = 27), and (3) high estradiol group (> or =25 pg/ml, n = 16). We examined the relationships between serum estradiol level and the effects of estradiol on the Kupperman index, BMD, serum gonadotropin levels, lipid profile and unscheduled bleeding in these three groups. RESULTS: RESULTS obtained by using our newly developed high-performance liquid chromatography (HPLC)-radioimmunoassay (RIA) system clearly showed that the effects on each tissue in postmenopausal women receiving oral CEE and MPA is closely related to estradiol level. The effects of HRT on BMD, serum gonadotropin levels and lipid profile were shown to be clearly dependent on the serum estradiol levels, while the effect of HRT on the Kupperman index was independent of the serum estradiol level. Furthermore, it was also found that a very low concentration of estradiol (<15 pg/ml) was sufficient to suppress the serum LH and FSH levels and to relieve vasomotor symptoms, and that the minimum concentration of estradiol required to increase BMD was 15 pg/ml. On the other hand, the level of estradiol required to reduce total cholesterol, low density lipoprotein-cholesterol (LDL-C) and apolipoprotein B (Apo B) was found to be more than 25 pg/ml, while the level required to increase high density lipoprotein-cholesterol (HDL-C) and apolipoprotein A1 (Apo A1) was at least 15 pg/ml. The incidence of unscheduled bleeding was also lower in the low estradiol group than in the other estradiol level groups. CONCLUSION: These results suggest that the different clinical endpoints have different response thresholds and thus reflect tissue sensitivity to estradiol levels achieved by HRT.


Assuntos
Estradiol/sangue , Terapia de Reposição de Estrogênios , Adulto , Densidade Óssea , Terapia de Reposição de Estrogênios/efeitos adversos , Estrogênios Conjugados (USP)/administração & dosagem , Estrogênios Conjugados (USP)/uso terapêutico , Feminino , Hormônio Foliculoestimulante/sangue , Humanos , Lipídeos/sangue , Vértebras Lombares/metabolismo , Hormônio Luteinizante/sangue , Acetato de Medroxiprogesterona/administração & dosagem , Acetato de Medroxiprogesterona/uso terapêutico , Pessoa de Meia-Idade , Ovariectomia , Pós-Menopausa/sangue , Congêneres da Progesterona/administração & dosagem , Congêneres da Progesterona/uso terapêutico , Hemorragia Uterina/etiologia
16.
Biosci Biotechnol Biochem ; 65(10): 2311-4, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11758929

RESUMO

Antheridiogens in culture media of 6-week-old prothallia of two species of Schizaeaceous ferns, Lygodium microphyllum and Lygodium reticulatum, were analyzed by gas chromatography-mass spectrometry. In both species, the gibberellin A73 methyl ester (GA73-Me) was identified as the most abundant antheridiogen, and the methyl esters of GA9 and of several monohydroxy-GA73 derivatives were also detected. Since both species produced antheridiogens at a high level, they were classified into high-antheridiogen-producing ferns. The response to GA73-Me of gametophytes of both species is also discussed.


Assuntos
Gleiquênias/química , Reguladores de Crescimento de Plantas/isolamento & purificação , Cromatografia Gasosa-Espectrometria de Massas , Giberelinas/química , Giberelinas/isolamento & purificação , Reguladores de Crescimento de Plantas/química , Queensland
17.
Masui ; 49(8): 890-2, 2000 Aug.
Artigo em Japonês | MEDLINE | ID: mdl-10998884

RESUMO

We report a case of acute urticaria probably caused by hydroxyzine hydrochloride. A 66-year-old male was scheduled for cardiac cystectomy by thoracic endoscopy. The patient was premedicated with atropine and hydroxyzine intramuscularly 30 min before arrival in the operating room. Abrupt general exanthema was observed when intravenous infusion was started. Although his general condition was stable, the operation was postponed. Three days later, the skin test was performed using several drugs. Only hydroxyzine hydrochloride gave positive result. It is assumed that hydroxyzine hydrochloride may have caused his urticaria.


Assuntos
Ansiolíticos/efeitos adversos , Hidroxizina/efeitos adversos , Medicação Pré-Anestésica , Urticária/induzido quimicamente , Doença Aguda , Idoso , Humanos , Masculino , Testes Cutâneos
18.
J Endocrinol Invest ; 23(6): 376-82, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10908165

RESUMO

Immunosenescence is associated with the occurrence of lethal diseases, such as infection and malignancy. Since endocrinosenescence occurs simultaneously with immunosenescence, we determined whether or not lymphocytes and T cell subsets were altered in post-menopausal women. The ability of hormone replacement therapy (HRT) to reverse or modify the aberrations of the cell populations observed in elderly women was also examined. Thirty-nine untreated post-menopausal women and 39 women on HRT were studied. The proportions of lymphocytes and T cell subsets (helper, cytotoxic and immature T cells, and naive and memory/activated T cells) were determined by two color flow cytometry. Thirteen women were examined before and during HRT. At late post-menopause (> or = 30 years post-menopausal period), the proportion of peripheral blood lymphocytes showed a tendency to decline (p=0.06) compared with that at early (< or = 10 years) post-menopause. Significant (p<0.05) decrease in naive T cells and an increase in memory/activated T cells occurred at late post-menopause compared to those at early post-menopause. The percentage of lymphocytes in women on HRT was significantly (p<0.05) higher than that in untreated women at late post-menopausal stage. Furthermore, in a prospective study, HRT induced a significant (p<0.02) increase in the percentage of lymphocytes but showed no effect on the aberrations of naive and memory/activated T cells. HRT prevents the decline in the lymphocytes observed in post-menopausal women. However, HRT appears not to influence the observed alteration in T cell subsets.


Assuntos
Terapia de Reposição de Estrogênios , Linfócitos/efeitos dos fármacos , Pós-Menopausa/fisiologia , Subpopulações de Linfócitos T/efeitos dos fármacos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Contagem de Leucócitos , Pessoa de Meia-Idade , Estudos Prospectivos , Valores de Referência
19.
Biochem Biophys Res Commun ; 272(2): 441-8, 2000 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-10833433

RESUMO

2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD), a highly toxic compound that has recently attracted much attention as an environmental contaminant, elicits a variety of toxic responses. Most, if not all, of the toxic effects of TCDD are thought to result from alteration of gene expression. TCDD acts through both transcriptional and posttranscriptional mechanisms to alter gene expression of many genes. Transforming growth factor (TGF)-alpha and urokinase-type plasminogen activator (uPA) are examples of the genes up-regulated posttranscriptionally by TCDD by mRNA stabilization. While effects of TCDD on transcription have been extensively studied, the molecular mechanisms underlying the TCDD-induced changes in mRNA stability are poorly understood. In this study, we investigated the trans-acting factors involved in TCDD-dependent mRNA stabilization. UV-crosslinking study showed that a liver cytoplasmic protein of 50 kDa (p50) selectively recognized the 3' UTR of the uPA mRNA in a TCDD-dependent manner. We also showed that the activation of p50 by TCDD is mediated through a protein phosphorylation cascade but not via de novo protein synthesis. This is the first study to show the presence of the TCDD-dependent RNA binding activity which may be involved in TCDD-dependent stabilization of mRNA.


Assuntos
Regiões 3' não Traduzidas/metabolismo , Dibenzodioxinas Policloradas/farmacologia , Proteínas de Ligação a RNA/metabolismo , Ativador de Plasminogênio Tipo Uroquinase/genética , Regiões 3' não Traduzidas/química , Regiões 3' não Traduzidas/genética , Animais , Sequência de Bases , Sítios de Ligação , Citoplasma/química , Citoplasma/efeitos dos fármacos , Citoplasma/genética , Dactinomicina/farmacologia , Humanos , Fígado/citologia , Masculino , Dados de Sequência Molecular , Peso Molecular , Conformação de Ácido Nucleico , Fosforilação/efeitos dos fármacos , Ligação Proteica/efeitos dos fármacos , Sondas RNA/química , Sondas RNA/genética , Sondas RNA/metabolismo , Estabilidade de RNA/efeitos dos fármacos , Proteínas de Ligação a RNA/química , Ratos , Ratos Long-Evans , Deleção de Sequência/genética , Especificidade por Substrato , Células Tumorais Cultivadas
20.
J Agric Food Chem ; 48(4): 1111-7, 2000 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10775358

RESUMO

The contribution of soybean protein to the physical properties of tofu, a product manufactured by curdling soy milk with coagulants such as calcium or magnesium chloride, was studied by comparing the properties of soy milk prepared from soybeans with different subunits (I, IIa, and IIb) of glycinin with amino acid residues deleted. The breaking stress value of the tofu curds prepared from soybeans having group I was higher than those without group I. The soy milks having group I contained more protein particles and showed more sensitivity to calcium and magnesium ions than those without group I. The amounts of glycinin and protein particles were higher in the soy milks having group I than those in the soy milks without group I. To elucidate the influence of each group on the breaking stress, the glycinin content was adjusted to an identical level in soy milks having each group. Among the tofu curds from three groups, their order of hardness according to their breaking stress was IIa, IIb, and I. The order of particle content among these soy milks was also IIa, IIb, and I. Therefore, the results suggested that the breaking stress value of the tofu curd is dependent upon the number of protein particles in the soy milk and that the number of the particles is determined by the proportion and structure of glycinin in the soybean.


Assuntos
Manipulação de Alimentos , Globulinas/química , Glycine max/química , Proteínas de Soja/química , Cloreto de Cálcio , Globulinas/análise , Substâncias Macromoleculares , Cloreto de Magnésio , Proteínas de Soja/isolamento & purificação
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