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1.
Front Microbiol ; 14: 1151882, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37200918

RESUMO

Bacterial secondary metabolites exhibit diverse remarkable bioactivities and are thus the subject of study for different applications. Recently, the individual effectiveness of tripyrrolic prodiginines and rhamnolipids against the plant-parasitic nematode Heterodera schachtii, which causes tremendous losses in crop plants, was described. Notably, rhamnolipid production in engineered Pseudomonas putida strains has already reached industrial implementation. However, the non-natural hydroxyl-decorated prodiginines, which are of particular interest in this study due to a previously described particularly good plant compatibility and low toxicity, are not as readily accessible. In the present study, a new effective hybrid synthetic route was established. This included the engineering of a novel P. putida strain to provide enhanced levels of a bipyrrole precursor and an optimization of mutasynthesis, i.e., the conversion of chemically synthesized and supplemented monopyrroles to tripyrrolic compounds. Subsequent semisynthesis provided the hydroxylated prodiginine. The prodiginines caused reduced infectiousness of H. schachtii for Arabidopsis thaliana plants resulting from impaired motility and stylet thrusting, providing the first insights on the mode of action in this context. Furthermore, the combined application with rhamnolipids was assessed for the first time and found to be more effective against nematode parasitism than the individual compounds. To obtain, for instance, 50% nematode control, it was sufficient to apply 7.8 µM hydroxylated prodiginine together with 0.7 µg/ml (~ 1.1 µM) di-rhamnolipids, which corresponded to ca. » of the individual EC50 values. In summary, a hybrid synthetic route toward a hydroxylated prodiginine was established and its effects and combinatorial activity with rhamnolipids on plant-parasitic nematode H. schachtii are presented, demonstrating potential application as antinematodal agents. Graphical Abstract.

2.
J Eur Acad Dermatol Venereol ; 30 Suppl 1: 21-7, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26805419

RESUMO

BACKGROUND: Patients with rosacea often show facial sensitivity to cosmetics or skin care products that can influence the severity of symptoms and exacerbate erythema and inflammation. Nevertheless, special skin care is necessary to address cosmetic concerns and reduce the potential side-effects of topical or oral treatment of the disease. Appropriate skin care should comprise gentle cleansing, effective moisturization, soothing actives, UV protection and concealing pigments to help neutralize the appearance of redness. OBJECTIVE: To determine the compatibility and efficacy of a skin care regimen (consisting of a cleanser, a day care with SPF25 and a night care) containing licochalcone A (Lic A), an anti-irritant from the licorice plant Glycyrrhiza inflata, and 4-t-butylcyclohexanol (SymSitive(®) ), a substance which acts as a sensitivity regulator, in female subjects with clinically determined subtype I rosacea. METHODS: Thirty-two test subjects with mild to moderate rosacea used the skin care regimen daily for 8 weeks. Clinical assessment of erythema, subjective irritation and clinical photography were performed at baseline and after 4 and 8 weeks. Additionally, a quality-of-life questionnaire was filled out by the test subjects at baseline and week 8. The subjects completed a self-assessment questionnaire on product properties after 4 and 8 weeks of product use. RESULTS: Clinical assessments and subject response confirmed very good tolerability of the regimen, a statistically significant improvement in clinical grading for erythema and tactile roughness at weeks 4 and 8 and on telangiectasia at week 8 when compared to baseline scores. A statistically significant improvement in facial redness (a*) values, based on the L*a*b* colorimetric system, was determined at week 4 and 8 in comparison to baseline. No difference in corneometric measurement was detected at week 4 and 8 compared to baseline. CONCLUSION: The skin care regimen was found to be highly compatible with the sensitive facial skin of patients with rosacea subtype I and effective in improving signs of rosacea. Therefore, the daily use of skin care products containing LicA and SymSitive(®) in patients with rosacea improves the overall skin appearance and the quality of life of these patients.


Assuntos
Anti-Inflamatórios não Esteroides/uso terapêutico , Chalconas/uso terapêutico , Cicloexanóis/uso terapêutico , Eritema/tratamento farmacológico , Rosácea/tratamento farmacológico , Higiene da Pele/métodos , Adulto , Detergentes/uso terapêutico , Quimioterapia Combinada , Feminino , Humanos , Pessoa de Meia-Idade , Qualidade de Vida , Índice de Gravidade de Doença , Creme para a Pele/uso terapêutico , Protetores Solares/uso terapêutico , Inquéritos e Questionários , Canais de Cátion TRPV/antagonistas & inibidores , Telangiectasia/tratamento farmacológico , Adulto Jovem
3.
J Cosmet Dermatol ; 5(3): 227-32, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-17177744

RESUMO

BACKGROUND: Patients with rosacea and red facial skin often show sensitivity to skin care products which can exacerbate inflammation and subjective irritation. Besides pharmacologic management, special skin care is prudent to avoid cosmetically induced irritation and address cosmetic concerns. Appropriate skin care should provide gentle cleansing, UVA/UVB protection, effective moisturization, and concealing pigments to neutralize the appearance of redness. AIMS: To evaluate skin compatibility and efficacy of a skin care regimen containing licochalcone A (Lic A), an anti-irritant from the licorice plant Glycyrrhiza inflata, for subjects with mild to moderate facial redness. PATIENTS/METHODS: Sixty-two patients with mild to moderate red facial skin used a four-product skin care regimen for 8 weeks. Clinical assessments of erythema and subjective irritation, cross-polarized photography, and self-assessment questionnaires were completed at baseline, and after 4 and 8 weeks of use. A quality of life questionnaire was given at baseline and week 8. RESULTS: Clinical evaluations, subject response, and photography confirmed very good tolerability of the regimen and effective neutralization of redness by the pigmented products. Significant improvements in average erythema scores were observed at 4 and 8 weeks (P < 0.05), and an improvement in quality of life was confirmed by the patient questionnaires. DISCUSSION: The skin care regimen containing Lic A was found to be compatible with the sensitive facial skin of patients with rosacea and improved the appearance of persistent facial redness. The products were also observed to be compatible with daily metronidazole treatment.


Assuntos
Chalconas/uso terapêutico , Eritema/tratamento farmacológico , Qualidade de Vida , Rosácea/tratamento farmacológico , Higiene da Pele , Adulto , Idoso , Chalconas/administração & dosagem , Quimioterapia Combinada , Eritema/patologia , Eritema/psicologia , Face , Feminino , Humanos , Masculino , Metronidazol/administração & dosagem , Pessoa de Meia-Idade , Rosácea/patologia , Rosácea/psicologia , Resultado do Tratamento
4.
Radiology ; 217(1): 83-8, 2000 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11012427

RESUMO

PURPOSE: To prospectively assess the effect of preoperative ultrasonographic (US) mapping on surgical selection, placement of arteriovenous fistulas (AVFs) and grafts, and negative surgical exploration rates. MATERIALS AND METHODS: US assessment of the upper extremity arterial and venous anatomy was performed in 70 patients with chronic renal failure before surgical evaluation. The surgeon documented the planned access procedure, which was based on physical examination results, and then reviewed the US preoperative mapping report. The surgical procedure and outcome were recorded. RESULTS: Fifty-two of the 70 patients who underwent mapping had vascular access placement. Preoperative US mapping resulted in a change in the planned surgical procedure in 16 (31%) of the 52 patients. An AVF rather than the planned graft was placed in eight (15%) patients. The AVF placement rate increased from 32% (126 of 395 patients) to 58% (30 of 52 patients). Unsuccessful surgical explorations decreased from 11% (28 of 256) to 0%. CONCLUSION: Preoperative US mapping before hemodialysis access placement can result in a change in surgical management, with an increased number of AVFs placed and an improved likelihood of selecting the most functional vessels preoperatively. Further study is needed to determine longer term outcomes.


Assuntos
Braço/irrigação sanguínea , Braço/diagnóstico por imagem , Derivação Arteriovenosa Cirúrgica , Falência Renal Crônica/terapia , Diálise Renal , Ultrassonografia Doppler , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Seleção de Pacientes , Cuidados Pré-Operatórios , Estudos Prospectivos
5.
J Ultrasound Med ; 18(2): 109-16, 1999 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-10206803

RESUMO

Ultrasonographic microbubble contrast agents improve Doppler signals by increasing blood backscatter. We retrospectively reviewed our experience with perflenapent (EchoGen), an emulsion of liquid dodecafluoropentane, in the evaluation of 13 patients with focal hepatic lesions (10 hemangiomas and six hepatocellular carcinomas). Perflenapent improved the detection of color Doppler flow signals within the lesions. The hemangiomas showed peripheral nonpulsatile signals and the hepatocellular carcinomas showed more diffuse enhancement with both arterial and venous type signals. This preliminary study suggests that perflenapent administration may aid in the sonographic differentiation of these focal lesions.


Assuntos
Carcinoma Hepatocelular/diagnóstico por imagem , Meios de Contraste/administração & dosagem , Fluorocarbonos , Hemangioma Cavernoso/diagnóstico por imagem , Aumento da Imagem/métodos , Neoplasias Hepáticas/diagnóstico por imagem , Ultrassonografia Doppler em Cores , Adulto , Idoso , Velocidade do Fluxo Sanguíneo , Carcinoma Hepatocelular/irrigação sanguínea , Carcinoma Hepatocelular/fisiopatologia , Diagnóstico Diferencial , Emulsões , Feminino , Fluorocarbonos/administração & dosagem , Seguimentos , Hemangioma Cavernoso/irrigação sanguínea , Hemangioma Cavernoso/fisiopatologia , Artéria Hepática/diagnóstico por imagem , Veias Hepáticas/diagnóstico por imagem , Humanos , Injeções Intravenosas , Neoplasias Hepáticas/irrigação sanguínea , Neoplasias Hepáticas/fisiopatologia , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos
6.
Radiology ; 208(3): 655-61, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9722842

RESUMO

PURPOSE: To prospectively evaluate the sensitivity of ultrasonography (US) in diagnosing stenosis of hemodialysis access grafts and their drainage veins in patients clinically suspected of having graft dysfunction. MATERIALS AND METHODS: Thirty-eight patients in whom dysfunction of their hemodialysis access grafts was suspected underwent both Doppler US and angiography. Gray-scale and color US were combined with spectral analysis of the graft, anastomoses, and venous outflow. Flow velocity at anastomoses and suspected stenotic areas was measured. The volume of flow in the graft was also measured. The prospective US criterion for diagnosis of stenosis was a focal twofold or higher elevation of peak systolic velocity (PSV) compared with the PSV immediately upstream. A blinded angiographic evaluation of the graft and drainage veins followed US. Angiographic diagnosis of stenosis required at least 50% narrowing in luminal diameter. US and angiographic results were then compared. RESULTS: Angiography allowed diagnosis of 43 stenoses in 34 patients. US depicted 92% (37 of 40) of these stenoses, with a 94% positive predictive value for any individual patient. Focal 2- to 2.9-times PSV elevation was associated with 75% or greater stenosis. Graft flow volume and resistive index change did not correlate with stenosis. CONCLUSION: US reliably depicts stenoses of hemodialysis access grafts and drainage veins in a clinically selected population when PSV criteria are used.


Assuntos
Derivação Arteriovenosa Cirúrgica , Oclusão de Enxerto Vascular/diagnóstico por imagem , Diálise Renal , Ultrassonografia Doppler , Adulto , Idoso , Angiografia , Velocidade do Fluxo Sanguíneo/fisiologia , Volume Sanguíneo/fisiologia , Feminino , Análise de Fourier , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Sensibilidade e Especificidade , Resistência Vascular/fisiologia
7.
Radiology ; 205(3): 749-56, 1997 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9393531

RESUMO

PURPOSE: To determine whether ultrasound (US) is a sensitive follow-up method after placement of a carotid artery stent for the detection of significant stenosis, occlusion, and other complications at early and intermediate follow-up. MATERIALS AND METHODS: Doppler US examinations were performed after stent placement in 170 carotid arteries in 119 patients with angiographic correlation. Prospective diagnostic US criteria for stenosis were peak-systolic velocity greater than 1.25 m/sec, internal carotid artery (ICA) to common carotid artery (CCA) peak-systolic velocity ratio of greater than or equal to 3:1, and intrastent doubling of peak-systolic velocity. Retrospective criteria for stenosis were also applied: peak-systolic velocity greater than 1.7 m/sec, ICA end-diastolic velocity greater than 0.4 m/sec, ICA/CCA peak-systolic velocity ratio greater than 2.0, and ICA/CCA end-diastolic velocity ratio greater than 2.4. RESULTS: Eighty-seven immediate and 83 intermediate (average, 7.3 months) follow-up US examinations were performed. Two stent occlusions were detected. One or more prospective US criteria were abnormal in 26 arteries with a stent. One or more retrospective criteria were positive in 47 arteries. Angiography showed corresponding findings, with only one significant stenosis (63%) in the ICA stents. Moderate collapse of a CCA stent was depicted at US. CONCLUSION: Only one significant recurrent stenosis was detected, and no significant stenoses were missed at US. US successfully depicted carotid artery stent occlusion and a moderate stent collapse. Sensitivity in the detection of intrastent stenosis is promising. Further study to refine US criteria in a study with longer term follow-up is needed owing to the lack of significant recurrent stenosis in the intermediate follow-up group.


Assuntos
Estenose das Carótidas/diagnóstico por imagem , Estenose das Carótidas/terapia , Stents , Ultrassonografia Doppler em Cores , Idoso , Velocidade do Fluxo Sanguíneo , Feminino , Seguimentos , Humanos , Masculino , Valor Preditivo dos Testes , Estudos Prospectivos , Radiografia , Recidiva , Estudos Retrospectivos , Sensibilidade e Especificidade , Fatores de Tempo
8.
Radiology ; 194(1): 135-9, 1995 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-7997540

RESUMO

PURPOSE: To evaluate the effectiveness of magnetic resonance (MR) imaging for assessment of the present and extent of tumor recurrence as determined with pathologic and surgical findings. MATERIALS AND METHODS: MR findings were retrospectively examined in 37 patients with a history of cervical carcinoma. Inter- and intraobserver variability was analyzed. Surgical or pathologic results were acquired in 34 of these patients; the remaining three patients were clinically followed up for at least 4 years. RESULTS: MR imaging allowed correct detection of recurrent tumor in 18 of 21 patients who had histologically documented recurrence. It helped correctly exclude recurrent disease in 15 of 16 patients. Sensitivity and specificity for detection of recurrence was 86% and 94%, respectively. Good intra- and interobserver agreement was demonstrated. CONCLUSION: MR imaging is a useful modality for differentiation of recurrent cervical carcinoma from radiation changes. Determination of the extent of recurrence with MR imaging may offer clinical assistance in the selection of optimal therapy.


Assuntos
Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/radioterapia , Imageamento por Ressonância Magnética , Recidiva Local de Neoplasia/patologia , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/radioterapia , Adenocarcinoma/patologia , Adenocarcinoma/radioterapia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Pessoa de Meia-Idade , Invasividade Neoplásica/patologia , Variações Dependentes do Observador , Lesões por Radiação/patologia , Estudos Retrospectivos , Sensibilidade e Especificidade
9.
Radiology ; 186(3): 689-92, 1993 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-8430175

RESUMO

Duplex ultrasound was performed in both kidneys of 156 normotensive pregnant women without suspected renal disease and 25 nonpregnant women of childbearing age to determine if resistivity indexes are different between pregnant and nonpregnant women and to assess whether the "physiologic" pelvicaliectasis of pregnancy causes elevated resistivity indexes. The mean intrarenal resistivity index for pregnant patients was 61.1, and that for nonpregnant women was 61.0. There were no statistically significant differences between the resistivity indexes of pregnant and nonpregnant women, regardless of whether the pregnant patients were considered as a composite group or subdivided by trimester. Twenty-nine right kidneys and four left kidneys in pregnant patients had moderate dilation of the collecting system attributed to physiologic pelvicaliectasis of pregnancy. No statistically significant differences were detected between the resistivity indexes of kidneys with and without pelvicaliectasis. Normal, uncomplicated pregnancy has no significant effect on resistivity indexes obtained in maternal kidneys. Physiologic pelvicaliectasis of pregnancy is likely to be partially a result of obstruction; this too, however, is not reflected by changes in resistivity indexes. An elevated resistivity index during pregnancy should not be attributed to the normal physiologic changes of pregnancy.


Assuntos
Rim/diagnóstico por imagem , Gravidez/fisiologia , Ultrassonografia Pré-Natal , Adulto , Diagnóstico Diferencial , Dilatação Patológica/diagnóstico por imagem , Feminino , Humanos , Cálices Renais/diagnóstico por imagem , Cálices Renais/fisiologia , Pelve Renal/diagnóstico por imagem , Pelve Renal/fisiologia , Circulação Renal/fisiologia , Ultrassom
10.
AJR Am J Roentgenol ; 159(1): 83-7, 1992 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-1609727

RESUMO

Placenta previa can be difficult to diagnose with transabdominal sonography during the third trimester of pregnancy, because of difficulties in imaging the cervix late in pregnancy. Although transperineal sonography offers an additional view of the cervix, its value in the diagnosis of placenta previa has not been studied. Accordingly, we performed transperineal sonography on 164 patients who had had transabdominal scans that had shown placenta previa or had been inconclusive during the third trimester of pregnancy. Transabdominal sonograms had been inconclusive for placenta previa in 157 of these patients because the cervix was not visualized. The remaining seven patients had transabdominal scans that showed placenta previa. Transperineal sonography successfully visualized the internal surface of the cervix in all 164 patients, allowing determination of the presence or absence of placenta previa in all cases. Transperineal sonograms showed absence of placenta previa in 154 patients. At delivery, none of these patients had evidence of placenta previa. Transperineal sonography showed placenta previa in 10 patients. In nine of these patients, placenta previa was confirmed at delivery. The 10th patient did not have clinically significant placenta previa at delivery. Our study shows that transperineal sonography is a valuable technique to complement transabdominal sonography for detection of placenta previa during the third trimester of pregnancy. Use of transperineal sonography should be strongly considered when a definitive diagnosis regarding placenta previa is not possible by transabdominal sonography because the cervix is not visualized. In such cases, transperineal sonography will usually show the internal surface of the cervix without overlying placental tissue, allowing confident exclusion of placenta previa. Occasionally, however, transperineal sonography will show a placenta previa that was not seen with transabdominal sonography.


Assuntos
Placenta Prévia/diagnóstico por imagem , Ultrassonografia Pré-Natal/métodos , Colo do Útero/diagnóstico por imagem , Feminino , Humanos , Períneo , Gravidez , Terceiro Trimestre da Gravidez , Estudos Prospectivos
11.
AJR Am J Roentgenol ; 157(1): 73-6, 1991 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-2048542

RESUMO

Transabdominal sonography reliably depicts the cervix during the first and second trimesters of pregnancy, but cervical visualization becomes increasingly difficult as the third trimester progresses. To evaluate the possibility of using a perineal approach to bypass the fetus and image the cervix during the third trimester, we used transperineal sonography to image the cervix of 158 third-trimester patients in whom transabdominal visualization was inadequate. The internal os and upper cervix were successfully visualized on transperineal sonograms in all 158 patients, but the region of the external os was obscured by rectal gas in 22 (14%) cases. In some patients in whom the external portion of the cervix was obscured by bowel gas, the problem could be overcome by scanning with the patient in the lateral decubitus position or by rotating the patient. Transperineal sonography is an effective technique for imaging the cervix during the third trimester of pregnancy, allowing cervical visualization in most patients in whom transabdominal sonography of this area is unsuccessful.


Assuntos
Colo do Útero/diagnóstico por imagem , Ultrassonografia Pré-Natal/métodos , Estudos de Avaliação como Assunto , Feminino , Humanos , Trabalho de Parto Prematuro/diagnóstico por imagem , Placenta Prévia/diagnóstico por imagem , Gravidez , Terceiro Trimestre da Gravidez , Estudos Prospectivos , Incompetência do Colo do Útero/diagnóstico por imagem
12.
Radiology ; 179(3): 747-50, 1991 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2027986

RESUMO

Transperineal ultrasound (TPU) was used as an alternative imaging technique to evaluate the anatomy of the presenting part in 27 second- and third-trimester fetuses when transabdominal ultrasound (US) images were suboptimal. Use of TPU improved visualization of the distal fetal spine in 20 of 21 breech cases, providing sufficient information regarding bone anatomy to rule out splaying of the posterior elements. In addition, the intact skin surface overlying the distal spine, not seen at transabdominal US, was well demonstrated at TPU in 18 of these fetuses. TPU was used to improve assessment of intracranial anatomy in six cases with a cephalic presentation in which the fetal head was located low in the maternal pelvis and could not be adequately visualized with the transabdominal technique. In one of these cases, TPU offered improved visualization of anencephaly. Use of TPU should be considered to optimize visualization of the presenting fetal part when results at transabdominal US are suboptimal and the poorly seen part overlies the maternal cervix.


Assuntos
Apresentação no Trabalho de Parto , Ultrassonografia Pré-Natal/métodos , Estudos de Viabilidade , Feminino , Humanos , Períneo , Gravidez
13.
Chemotherapy ; 37(1): 70-6, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-2013245

RESUMO

We evaluated the safety and efficacy of ofloxacin administered both by the intravenous route and orally in 26 men with serious skin and soft tissue infection. Twenty-one patients completed antimicrobial therapy and were fully evaluable. Of these, 18 were judged to be cured, while 3 failed therapy either during or within 2 weeks after completion of therapy. Overall, Staphylococcus aureus was the most commonly isolated pathogen and was found to be susceptible to ofloxacin in 12 of 14 patients. Two patients, 1 with a tolerant isolate of S. aureus, the other patient with a resistant isolate of S. aureus, responded clinically to ofloxacin therapy; a third patient with an initially ofloxacin-sensitive isolate failed therapy, and on subsequent culture an ofloxacin-resistant S. aureus was isolated. Ofloxacin was well tolerated and efficacious in the treatment of skin and soft tissue infections including those caused by staphylococci and streptococci.


Assuntos
Celulite (Flegmão)/tratamento farmacológico , Ofloxacino/uso terapêutico , Dermatopatias Infecciosas/tratamento farmacológico , Administração Oral , Adulto , Idoso , Celulite (Flegmão)/microbiologia , Humanos , Infusões Intravenosas , Masculino , Testes de Sensibilidade Microbiana , Pessoa de Meia-Idade , Ofloxacino/administração & dosagem , Ofloxacino/efeitos adversos , Indução de Remissão , Dermatopatias Infecciosas/microbiologia
14.
Cell Signal ; 3(1): 51-8, 1991.
Artigo em Inglês | MEDLINE | ID: mdl-2036296

RESUMO

Rat adipose cells treated with insulin followed by isoproterenol exhibit a change in glucose transporter intrinsic activity (lowered maximal activity) and a decrease in insulin sensitivity (rightward shift of the concentration-response curve) when assayed for 3-O-methylglucose transport. To investigate the latter phenomenon, the distribution and phosphorylation state of insulin receptors was examined. Isoproterenol augmented the effect of insulin to reduce cell surface receptors by 20-30%. These receptors were recovered in microsomal fractions. Isoproterenol also markedly reduced insulin-stimulated [32P]phosphate incorporation into the plasma membrane receptor beta-subunit. These effects may account for the effect of isoproterenol to decrease the sensitivity of the glucose transport response to insulin.


Assuntos
Tecido Adiposo/metabolismo , Insulina/farmacologia , Isoproterenol/farmacologia , Receptor de Insulina/efeitos dos fármacos , Tecido Adiposo/citologia , Tecido Adiposo/efeitos dos fármacos , Animais , Células Cultivadas , Glucose/metabolismo , Fosforilação , Ratos , Ratos Endogâmicos , Receptor de Insulina/metabolismo
15.
J Ultrasound Med ; 9(9): 519-24, 1990 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-2214011

RESUMO

Endovaginal ultrasound was used to evaluate the spine of 13 second-trimester fetuses in which transbdominal images were considered equivocal due to suboptimal visualization of the distal spine and where the fetus was in a breech presentation. Endovaginal sonography demonstrated a small defect in the distal spine and a meningomyelocele in one of the 13 cases. In all of the remaining 12 cases, endovaginal sonography resulted in improved visualization of morphologic detail, providing sufficient information regarding bony anatomy to exclude splaying of the posterior elements. Additionally, in 10 cases the intact skin surface overlying the distal spine, which was not seen by transbdominal sonography, was well demonstrated by endovaginal ultrasound. The authors recommend that endovaginal ultrasound be considered to optimize visualization of the distal fetal spine when transbdominal images are inconclusive and the fetus is in a breech presentation.


Assuntos
Apresentação Pélvica , Coluna Vertebral/diagnóstico por imagem , Ultrassonografia Pré-Natal/métodos , Amniocentese , Feminino , Humanos , Cariotipagem , Gravidez , Coluna Vertebral/embriologia
17.
Biochem J ; 249(1): 155-61, 1988 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-3277616

RESUMO

Conditions are described which allow the isolation of rat adipose-cell plasma membranes retaining a large part of the stimulatory effect of insulin in intact cells. In these membranes, the magnitude of glucose-transport stimulation in response to insulin was compared with the concentration of transporters as measured with the cytochalasin-B-binding assay or by immunoblotting with an antiserum against the human erythrocyte glucose transporter. Further, the substrate- and temperature-dependencies of the basal and insulin-stimulated states were compared. Under carefully controlled homogenization conditions, insulin-treated adipose cells yielded plasma membranes with a glucose transport activity 10-15-fold higher than that in membranes from basal cells. Insulin increased the transport Vmax. (from 1,400 +/- 300 to 15,300 +/- 3,400 pmol/s per mg of protein; means +/- S.E.M.; assayed at 22 degrees C) without any significant change in Km (from 17.8 +/- 4.4 to 18.9 +/- 1.4 nM). Arrhenius plots of plasma-membrane transport exhibited a break at 21 degrees C, with a higher activation energy over the lower temperature range. The activation energy over the higher temperature range was significantly lower in membranes from basal than from insulin-stimulated cells [27.7 +/- 5.0 kJ/mol (6.6 +/- 1.2 kcal/mol) and 45.3 +/- 2.1 kJ/mol (10.8 +/- 0.5 kcal/mol) respectively], giving rise to a larger relative response to insulin when transport was assayed at 37 degrees C as compared with 22 degrees C. The stimulation of transport activity at 22 degrees C was fully accounted for by an increase in the concentration of transporters measured by cytochalasin B binding, if a 5% contamination of plasma membranes with low-density microsomes was assumed. However, this 10-fold stimulation of transport activity contrasted with an only 2-fold increase in transporter immunoreactivity in membranes from insulin-stimulated cells. These data suggest that, in addition to stimulating the translocation of glucose transporters to the plasma membrane, insulin appears to induce a structural or conformational change in the transporter, manifested in an altered activation energy for plasma-membrane transport and possibly in an altered immunoreactivity as assessed by Western blotting.


Assuntos
Tecido Adiposo/metabolismo , Glucose/farmacocinética , Insulina/farmacologia , Proteínas de Transporte de Monossacarídeos/metabolismo , Tecido Adiposo/efeitos dos fármacos , Animais , Sítios de Ligação , Membrana Celular/efeitos dos fármacos , Membrana Celular/metabolismo , Citocalasina B/metabolismo , Técnicas In Vitro , Cinética , Masculino , Proteínas de Membrana/metabolismo , Ligação Proteica/efeitos dos fármacos , Ratos , Temperatura
18.
J Biol Chem ; 262(23): 11261-7, 1987 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-3301853

RESUMO

The counterregulatory action of catecholamines on insulin-stimulated glucose transport and its relation to glucose transporter phosphorylation were studied in isolated rat adipose cells. Plasma membranes exhibiting reduced glucose transport activity were prepared as described previously (Joost, H. G., Weber, T. M., Cushman, S. W., and Simpson, I. A. (1986) J. Biol. Chem. 261, 10033-10036) from cells treated with insulin, and subsequently with isoproterenol and adenosine deaminase. In these membranes, transporter affinity for cytochalasin B binding was significantly reduced (KD = 133.5 +/- 14 versus 89.8 +/- 11 nM, means +/- S.E.) with no change in number of sites or immunoreactivity of the transporter on Western blots. Reconstituted plasma membrane transport was significantly lower with isoproterenol treatment (0.50 +/- 0.12 versus 0.97 +/- 0.27 nmol/mg protein/10 s). In contrast, transport activity reconstituted from corresponding intracellular transporters (from low density microsomes) was unchanged (5.4 +/- 2.2 versus 6.9 +/- 1.2 nmol/mg protein/10 s). Thus, the intrinsic activity change of the transporter produced by catecholamines appears to reflect a structural modification that is confined to the plasma membrane and not recycled into the intracellular compartment. In cells equilibrated with [32P]phosphate, neither insulin nor isoproterenol induced [32P]phosphate incorporation into the glucose transporter immunoprecipitated from plasma membranes. Conversely, phorbol 12-myristate 13-acetate stimulated significant incorporation of [32P]phosphate into the glucose transporter in insulin-stimulated cells without any change in plasma membrane transport activity or transporter concentration. Thus, the phosphorylation state of the glucose transporter does not seem to be involved in either signaling transporter translocation or triggering changes in transporter intrinsic activity.


Assuntos
Tecido Adiposo/metabolismo , Insulina/farmacologia , Isoproterenol/farmacologia , Proteínas de Transporte de Monossacarídeos/metabolismo , Fosfatos/metabolismo , Acetato de Tetradecanoilforbol/farmacologia , Adenosina Desaminase/farmacologia , Tecido Adiposo/efeitos dos fármacos , Animais , Membrana Celular/metabolismo , Citocalasina B/metabolismo , Glucose/metabolismo , Técnicas de Imunoadsorção , Lipossomos/metabolismo , Masculino , Fosforilação , Ratos
19.
J Biol Chem ; 261(22): 10033-6, 1986 Aug 05.
Artigo em Inglês | MEDLINE | ID: mdl-3525539

RESUMO

The mechanism of modulation of insulin-stimulated glucose transport activity in isolated rat adipose cells by lipolytic and antilipolytic agents has been examined. We have measured glucose transport activity in intact cells with 3-O-methylglucose and in plasma membranes with D-glucose, and the concentration of glucose transporters in plasma membranes using a cytochalasin B binding assay. In intact cells, isoproterenol reduced insulin-stimulated transport activity by 60%. This effect was lost after cooling and washing the cells with homogenization buffer, and neither the concentration of glucose transporters nor transport activity in the plasma membranes differed from control. However, treatment of cells with KCN prior to homogenization preserved the isoproterenol effect through the fractionation procedure. Plasma membranes from these cells contained an unchanged number of transporters (31 +/- 7, mean +/- S.E., versus 31 +/- 4 pmol/mg of protein in controls) but transported glucose at a reduced rate (19 +/- 6 versus 48 +/- 9 pmol/mg of protein/s). Conversely, incubation of intact cells in the presence of adenosine stimulated plasma membrane glucose transport activity compared to that in the absence of adenosine (44 +/- 6 versus 36 +/- 6 pmol/mg of protein/s). Kinetic studies of isoproterenol-inhibited glucose transport in plasma membranes revealed a 60% decrease in Vmax (2900 +/- 350 versus 7200 +/- 1000 pmol/mg of protein/s) and a small increase in Km (15.1 +/- 1 versus 13.0 +/- 0.6 mM). These data indicate that modifications of glucose transport activity produced by lipolytic and antilipolytic agents in intact adipose cells can be fully retained in plasma membranes isolated under appropriate conditions. Furthermore, the effects of these agents occur through a modification of the glucose transporter intrinsic activity.


Assuntos
Tecido Adiposo/metabolismo , Glucose/metabolismo , Insulina/metabolismo , 3-O-Metilglucose , Adenosina/farmacologia , Tecido Adiposo/efeitos dos fármacos , Animais , Transporte Biológico/efeitos dos fármacos , Membrana Celular/metabolismo , Isoproterenol/farmacologia , Cinética , Masculino , Metilglucosídeos/metabolismo , Cianeto de Potássio/farmacologia , Ratos
20.
Biochim Biophys Acta ; 812(2): 503-11, 1985 Jan 25.
Artigo em Inglês | MEDLINE | ID: mdl-3838144

RESUMO

The photosensitive reagent 6-N-(4-azido-2-hydroxy-3,5-diiodobenzoyl)-D-glucosamine has been assessed as a potential photoaffinity label for the hexose transporter. Under zero-trans conditions, transport experiments performed in the dark reveal that the reagent inhibits the uptake of D-glucose in resealed human erythrocyte ghosts. Increasing the concentration of glucose in the transport medium has a protective effect, reducing the inhibition. Kinetic analysis indicates that the probe acts as a competitive inhibitor with high affinity for the erythrocyte hexose transporter (Ki between 0.07 and 0.2 microM). Exposure to a 280 nm filtered high intensity mercury-vapor lamp results in a rapid and efficient photolysis. At low concentrations of the probe, specific labeling of membrane preparations was observed. Autoradiograms of 10% SDS gels revealed the specific labeling of bands 4.51 and 6. This labeling was concentration-dependent and protected by D-glucose (not the L-isomer) and phloretin in the medium. When subjected to multiple exposures of low concentration of the photoaffinity reagent, apparent saturation was achieved.


Assuntos
Marcadores de Afinidade , Azidas , Proteínas de Transporte/análise , Eritrócitos/análise , Glucosamina/análogos & derivados , Autorradiografia , Eletroforese em Gel de Poliacrilamida , Humanos , Cinética , Matemática , Proteínas de Transporte de Monossacarídeos , Fotoquímica , Espectrofotometria
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