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1.
Nanoscale ; 15(35): 14615-14627, 2023 Sep 14.
Artigo em Inglês | MEDLINE | ID: mdl-37614108

RESUMO

Nanoparticles (NPs) are used to encapsulate therapeutic cargos and deliver them specifically to the target site. The intracellular trafficking of NPs dictates the NP-cargo distribution within different cellular compartments, and thus governs their efficacy and safety. Knowledge in this field is crucial to understand their biological fate and improve their rational design. However, there is a lack of methods that allow precise localization and quantification of individual NPs within distinct cellular compartments simultaneously. Here, we address this issue by proposing a correlative light and electron microscopy (CLEM) method combining direct stochastic optical reconstruction microscopy (dSTORM) and transmission electron microscopy (TEM). We aim at combining the advantages of both techniques to precisely address NP localization in the context of the cell ultrastructure. Individual fluorescently-labelled poly(lactide-co-glycolide)-poly(ethylene glycol) (PLGA-PEG) NPs were directly visualized by dSTORM and assigned to cellular compartments by TEM. We first tracked NPs along the endo-lysosomal pathway at different time points, then demonstrated the effect of chloroquine on their intracellular distribution (i.e. endosomal escape). The proposed protocol can be applied to fluorescently labelled NPs and/or cargo, including those not detectable by TEM alone. Our studies are of great relevance to obtain important information on NP trafficking, and crucial for the design of more complex nanomaterials aimed at cytoplasmic/nucleic drug delivery.


Assuntos
Nanopartículas , Nanoestruturas , Microscopia Eletrônica de Transmissão , Núcleo Celular , Endossomos
2.
ChemCatChem ; 14(7): e202200086, 2022 Apr 07.
Artigo em Inglês | MEDLINE | ID: mdl-35910522

RESUMO

Two sets of carbohydrate-NHC hybrid iridium complexes were synthesised in order to combine properties of carbohydrates and triazolylidene (trz) ligands in organometallic catalysis. One set features a direct trz linkage to the anomeric carbohydrate carbon, while the second set is comprised of an ethyl linker between the two functional units. Deprotection of the carbohydrate afforded hybrid complexes that efficiently catalyse the direct hydrogenation of ketones in water. The catalytic activity of the hybrid complexes was influenced by the pH of the aqueous medium and surpassed the activity of carbohydrate-free or acetyl-protected analogues (>90 % vs 13 % yield). While no enantiomeric induction was observed for the ethyl-linked hybrids, a moderate enantiomeric excess (ee) was induced by the directly linked systems. Moreover, these carbohydrate-trz hybrid complexes displayed mixed inhibitory activity towards a glycosidase from H. orenii that contain a glucose binding site.

3.
Front Microbiol ; 12: 713669, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34690958

RESUMO

Shewanella vesiculosa M7T is a cold-adapted Antarctic bacterium that has a great capacity to secrete membrane vesicles (MVs), making it a potentially excellent model for studying the vesiculation process. S. vesiculosa M7T undergoes a blebbing mechanism to produce different types of MVs, including outer membrane vesicles and outer-inner membrane vesicles (O-IMVs). More recently, other mechanisms have been considered that could lead to the formation of O-IMVs derived from prophage-mediated explosive cell lysis in other bacteria, but it is not clear if they are of the same type. The bacterial growth phase could also have a great impact on the type of MVs, although there are few studies on the subject. In this study, we used high-resolution flow cytometry, transmission electron microscopy, and cryo-electron microscopy (Cryo-EM) analysis to determine the amount and types of MVs S. vesiculosa M7T secreted during different growth phases. We show that MV secretion increases during the transition from the late exponential to the stationary phase. Moreover, prophage-mediated explosive cell lysis is activated in S. vesiculosa M7T, increasing the heterogeneity of both single- and double-layer MVs. The sequenced DNA fragments from the MVs covered the entire genome, confirming this explosive cell lysis mechanism. A different structure and biogenesis mechanisms for the explosive cell lysis-derived double-layered MVs was observed, and we propose to name them explosive O-IMVs, distinguishing them from the blebbing O-IMVs; their separation is a first step to elucidate their different functions. In our study, we used for the first time sorting by flow cytometry and Cryo-EM analyses to isolate bacterial MVs based on their nucleic acid content. Further improvements and implementation of bacterial MV separation techniques is essential to develop more in-depth knowledge of MVs.

4.
J Biotechnol ; 329: 21-28, 2021 Mar 10.
Artigo em Inglês | MEDLINE | ID: mdl-33508335

RESUMO

Current methods for the production of natural vanilla extract are long and tedious, and the efficiency of the vanillin extraction is usually conditioned by different factors during the traditional curing process (temperatures and weather conditions). As an important fraction of vanillin is present in the form of glucovanillin in green beans, endogenous ß-glucosidases contribute to its hydrolysis; however, these enzymes lose efficiency during the curing process. The use of extremophilic organisms as a source of an appropriate exogenous enzyme can offer a valid alternative when producing natural vanillin. Here, a ß-glucosidase from the thermo-acidophilic organism Alicyclobacillus acidiphilus (AacGH1) was cloned, expressed in E. coli BL21, and fully characterized in respect to both function and crystal structure. Notably, AacGH1 was stable at a temperature up to 50 °C and exhibited good tolerance to glucose, fructose and organic solvents, in particular it maintained full activity in the presence of up to 20 % (v/v) ethanol. The enzyme was then successfully applied to an ethanol-water (20 % (v/v)) extract of green vanilla beans and the complete hydrolysis of glucovanillin (1.7 mM) to vanillin, and other flavour compounds commonly found in vanilla, was achieved using 0.5 mg/mL of enzyme in just 15 min at 30 °C.


Assuntos
Vanilla , Alicyclobacillus , Benzaldeídos , Escherichia coli/genética , Extratos Vegetais , beta-Glucosidase/genética
5.
Chembiochem ; 22(7): 1223-1231, 2021 04 06.
Artigo em Inglês | MEDLINE | ID: mdl-33237595

RESUMO

ß-Glucosidases are used in the food industry to hydrolyse glycosidic bonds in complex sugars, with enzymes sourced from extremophiles better able to tolerate the process conditions. In this work, a novel ß-glycosidase from the acidophilic organism Alicyclobacillus herbarius was cloned and heterologously expressed in Escherichia coli BL21(DE3). AheGH1 was stable over a broad range of pH values (5-11) and temperatures (4-55 °C). The enzyme exhibited excellent tolerance to fructose and good tolerance to glucose, retaining 65 % activity in the presence of 10 % (w/v) glucose. It also tolerated organic solvents, some of which appeared to have a stimulating effect, in particular ethanol with a 1.7-fold increase in activity at 10 % (v/v). The enzyme was then applied for the cleavage of isoflavone from isoflavone glucosides in an ethanolic extract of soy flour, to produce soy isoflavones, which constitute a valuable food supplement, full conversion was achieved within 15 min at 30 °C.


Assuntos
Alicyclobacillus/enzimologia , Glycine max/química , Isoflavonas/metabolismo , beta-Glucosidase/metabolismo , Domínio Catalítico , Estabilidade Enzimática , Escherichia coli/metabolismo , Glicosídeos/metabolismo , Concentração de Íons de Hidrogênio , Hidrólise , Isoflavonas/química , Cinética , Estrutura Terciária de Proteína , Glycine max/metabolismo , Temperatura , beta-Glucosidase/química , beta-Glucosidase/genética
6.
Food Chem ; 323: 126825, 2020 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-32335459

RESUMO

ß-Glycosidases enhance wine aroma by releasing volatile aglycones from non-volatile glycosides. Commercial preparations contain primarily pectinases, with ß-glycosidase as a secondary activity, which limits their potential. Here, the extremophilic ß-glucosidase A from Halothermothix orenii, (BglA) has been compared with Rapidase® for the production of aromatic wines and in the remediation of smoke-tainted wines. Model systems, real juices and wines have been enriched with geranyl glucoside, typical of white varieties, and guaiacyl glucoside, commonly found in red wines exposed to oak and wines made from grapes exposed to smoke. The hydrolytic capacity of BglA was evaluated by measuring the released volatiles in the gas phase with solid-phase microextraction and GC-MS. BglA, despite an apparent instability at low pH, is twice as effective in releasing volatiles in sweeter wines and in grape juices, offering an excellent alternative for the early stages of the winemaking process and in the juice industry.

7.
Bio Protoc ; 9(18): e3367, 2019 Sep 20.
Artigo em Inglês | MEDLINE | ID: mdl-33654864

RESUMO

A protocol was developed to visualize and analyze the structure of membrane vesicles (MVs) from Gram-negative bacteria. It is now accepted that these micrometric spherical vesicles are commonly produced by cells from all three domains of life, so the protocol could be useful in the study of vesicles produced by eukaryotes and archaea as well as bacteria. The multiplicity of functions performed by MVs, related to cell communication, interaction with the immune system, pathogenesis, and nutrient acquisition, among others, has made MVs a hot topic of research. Due to their small size (25-300 nm), the observation of MVs requires electron microscopy and is usually performed by transmission electron microscopy (TEM) of negatively stained MVs. Other protocols applied for their visualization include scanning electron microscopy, TEM after fixation and embedding of vesicles, or even atomic force microscopy. In some of these techniques, vesicle structure is altered by drying, while others are time-consuming and most of them can generate artifacts. Cryo-TEM after plunge freezing allows the visualization of samples embedded in a thin film of vitreous ice, which preserves their native cellular structures and provides the highest available resolution for the imaging. This is achieved by very high cooling rates that turn the intrinsic water of cells into vitreous ice, avoiding crystal formation and phase segregation between water and solutes. In addition to other types of characterization, an accurate knowledge of MV structure, which can be obtained by this protocol, is essential for MV application in different fields.

8.
Presse Med ; 45(2): 183-92, 2016 Feb.
Artigo em Francês | MEDLINE | ID: mdl-26796478

RESUMO

Obstructive sleep apnea hypopnea syndrome (OSAHS) is a common disorder that has been identified as a contributor to cardiovascular disease making it a major public health problem. Continuous positive airway pressure is the standard treatment but compliance is suboptimal. Mandibular advancement devices and surgery have limited indications, inconstant efficiency and potential irreversible side effects. Stimulation of the hypoglossal nerve, that innervates the genioglossus, a protrusor muscle of the tongue, is now a new treatment option for moderate and severe cases of OSAHS. Two types of stimulation are currently available: stimulation synchronous with inspiration and continuous stimulation. The indication of each type of stimulation and long-term effects still need to be assessed but the implantable nerve stimulation is a promising treatment for patients without a therapy solution so far.


Assuntos
Terapia por Estimulação Elétrica , Neuroestimuladores Implantáveis , Apneia Obstrutiva do Sono/terapia , Terapia por Estimulação Elétrica/métodos , Humanos , Nervo Hipoglosso
9.
PLoS One ; 10(1): e0116896, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-25581302

RESUMO

Outer-inner membrane vesicles (O-IMVs) were recently described as a new type of membrane vesicle secreted by the Antarctic bacterium Shewanella vesiculosa M7T. Their formation is characterized by the protrusion of both outer and plasma membranes, which pulls cytoplasmic components into the vesicles. To demonstrate that this is not a singular phenomenon in a bacterium occurring in an extreme environment, the identification of O-IMVs in pathogenic bacteria was undertaken. With this aim, a structural study by Transmission Electron Microscopy (TEM) and Cryo-transmission electron microscopy (Cryo-TEM) was carried out, confirming that O-IMVs are also secreted by Gram-negative pathogenic bacteria such as Neisseria gonorrhoeae, Pseudomonas aeruginosa PAO1 and Acinetobacter baumannii AB41, in which they represent between 0.23% and 1.2% of total vesicles produced. DNA and ATP, which are components solely found in the cell cytoplasm, were identified within membrane vesicles of these strains. The presence of DNA inside the O-IMVs produced by N. gonorrhoeae was confirmed by gold DNA immunolabeling with a specific monoclonal IgM against double-stranded DNA. A proteomic analysis of N. gonorrhoeae-derived membrane vesicles identified proteins from the cytoplasm and plasma membrane. This confirmation of O-IMV extends the hitherto uniform definition of membrane vesicles in Gram-negative bacteria and explains the presence of components in membrane vesicles such as DNA, cytoplasmic and inner membrane proteins, as well as ATP, detected for the first time. The production of these O-IMVs by pathogenic Gram-negative bacteria opens up new areas of study related to their involvement in lateral gene transfer, the transfer of cytoplasmic proteins, as well as the functionality and role of ATP detected in these new vesicles.


Assuntos
Proteínas da Membrana Bacteriana Externa/metabolismo , Bactérias Gram-Negativas/metabolismo , Vesículas Secretórias/metabolismo , Transporte Biológico/fisiologia , Membrana Celular/metabolismo , Citoplasma/metabolismo , DNA/metabolismo , Shewanella/metabolismo
10.
J Struct Biol ; 189(3): 220-9, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25617813

RESUMO

Cryo-electron tomography (CET) of plunge-frozen whole bacteria and vitreous sections (CETOVIS) were used to revise and expand the structural knowledge of the "Stack", a recently described cytoplasmic structure in the Antarctic bacterium Pseudomonas deceptionensis M1(T). The advantages of both techniques can be complementarily combined to obtain more reliable insights into cells and their components with three-dimensional imaging at different resolutions. Cryo-electron microscopy (Cryo-EM) and CET of frozen-hydrated P. deceptionensis M1(T) cells confirmed that Stacks are found at different locations within the cell cytoplasm, in variable number, separately or grouped together, very close to the plasma membrane (PM) and oriented at different angles (from 35° to 90°) to the PM, thus establishing that they were not artifacts of the previous sample preparation methods. CET of plunge-frozen whole bacteria and vitreous sections verified that each Stack consisted of a pile of oval disc-like subunits, each disc being surrounded by a lipid bilayer membrane and separated from each other by a constant distance with a mean value of 5.2±1.3nm. FM4-64 staining and confocal microscopy corroborated the lipid nature of the membrane of the Stacked discs. Stacks did not appear to be invaginations of the PM because no continuity between both membranes was visible when whole bacteria were analyzed. We are still far from deciphering the function of these new structures, but a first experimental attempt links the Stacks with a given phase of the cell replication process.


Assuntos
Estruturas Citoplasmáticas/ultraestrutura , Tomografia com Microscopia Eletrônica/métodos , Imageamento Tridimensional/métodos , Pseudomonas/citologia , Microscopia Crioeletrônica/métodos , Estruturas Citoplasmáticas/química , Congelamento , Bicamadas Lipídicas , Microscopia Confocal/métodos , Pseudomonas/química , Vitrificação
11.
Carbohydr Polym ; 117: 1028-1034, 2015 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-25498731

RESUMO

Pseudomonas sp. ID1 is a cold-adapted bacterium isolated from a marine sediment sample collected from South Shetland Islands (Antarctica) that is noted for the highly mucous appearance of its colonies. In this work, we have characterized an exopolysaccharide (EPS) produced by this strain, which is mainly composed of glucose, galactose and fucose, and has a molecular mass higher than 2×10(6) Da. We have also studied its potential biotechnological applications as an emulsifier and cryoprotectant agent. The EPS emulsifying activity against different food and cosmetic oils was much higher than commercial gums such as xanthan gum and arabic gum, and surfarctants such as Span 20. It formed highly stable emulsions against the cosmetic oil cetiol V, exhibiting pseudoplastic flow behavior, low thixotrophy and yield stress. The EPS of Pseudomonas sp. ID1 conferred significant cryoprotection for the strain itself as well as for other bacteria, including Escherichia coli, suggesting a universal cryoprotectant role. The cryoprotective activity of the EPS showed a clear dose-response relation at -20 °C and -80 °C and was significantly higher than that observed for the membrane stabilizer fetal bovine serum (FBS). These properties make the EPS of Pseudomonas sp. ID1 a promising alternative to commercial polysaccharides as an emulsifier and cryoprotectant agent for food, pharmaceutical and cosmetic industries.


Assuntos
Crioprotetores/química , Emulsificantes/química , Polissacarídeos/química , Pseudomonas/química , Animais , Crioprotetores/isolamento & purificação , Emulsificantes/isolamento & purificação , Polissacarídeos/isolamento & purificação , Viscosidade
12.
PLoS One ; 8(9): e73297, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24039905

RESUMO

In recent years, improvements in transmission electron microscopy (TEM) techniques and the use of tomography have provided a more accurate view of the complexity of the ultrastructure of prokaryotic cells. Cryoimmobilization of specimens by rapid cooling followed by freeze substitution (FS) and sectioning, freeze fracture (FF) and observation of replica, or cryoelectron microscopy of vitreous sections (CEMOVIS) now allow visualization of biological samples close to their native state, enabling us to refine our knowledge of already known bacterial structures and to discover new ones. Application of these techniques to the new Antarctic cold-adapted bacterium Pseudomonasdeceptionensis M1(T) has demonstrated the existence of a previously undescribed cytoplasmic structure that does not correspond to known bacterial inclusion bodies or membranous formations. This structure, which we term a "stack", was mainly visualized in slow growing cultures of P. deceptionensis M1(T) and can be described as a set of stacked membranous discs usually arranged perpendicularly to the cell membrane, but not continuous with it, and found in variable number in different locations within the cell. Regardless of their position, stacks were mostly observed very close to DNA fibers. Stacks are not exclusive to P. deceptionensis M1(T) and were also visualized in slow-growing cultures of other bacteria. This new structure deserves further study using cryoelectron tomography to refine its configuration and to establish whether its function could be related to chromosome dynamics.


Assuntos
Microscopia Eletrônica de Transmissão/métodos , Pseudomonas/ultraestrutura , Regiões Antárticas , Técnica de Fratura por Congelamento , Tomografia Computadorizada por Raios X
13.
Appl Environ Microbiol ; 79(6): 1874-81, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23315742

RESUMO

Outer membrane vesicles (OMVs) from Gram-negative bacteria are known to be involved in lateral DNA transfer, but the presence of DNA in these vesicles has remained difficult to explain. An ultrastructural study of the Antarctic psychrotolerant bacterium Shewanella vesiculosa M7(T) has revealed that this Gram-negative bacterium naturally releases conventional one-bilayer OMVs through a process in which the outer membrane is exfoliated and only the periplasm is entrapped, together with a more complex type of OMV, previously undescribed, which on formation drag along inner membrane and cytoplasmic content and can therefore also entrap DNA. These vesicles, with a double-bilayer structure and containing electron-dense material, were visualized by transmission electron microscopy (TEM) after high-pressure freezing and freeze-substitution (HPF-FS), and their DNA content was fluorometrically quantified as 1.8 ± 0.24 ng DNA/µg OMV protein. The new double-bilayer OMVs were estimated by cryo-TEM to represent 0.1% of total vesicles. The presence of DNA inside the vesicles was confirmed by gold DNA immunolabeling with a specific monoclonal IgM against double-stranded DNA. In addition, a proteomic study of purified membrane vesicles confirmed the presence of plasma membrane and cytoplasmic proteins in OMVs from this strain. Our data demonstrate the existence of a previously unobserved type of double-bilayer OMV in the Gram-negative bacterium Shewanella vesiculosa M7(T) that can incorporate DNA, for which we propose the name outer-inner membrane vesicle (O-IMV).


Assuntos
DNA/análise , Exossomos/metabolismo , Exossomos/ultraestrutura , Shewanella/metabolismo , Shewanella/ultraestrutura , Regiões Antárticas , Proteínas de Bactérias/análise , Membrana Celular/ultraestrutura , Microscopia Crioeletrônica , Exossomos/química , Fluorometria , Microscopia Imunoeletrônica , Shewanella/isolamento & purificação
14.
J Neurosci ; 30(13): 4636-49, 2010 Mar 31.
Artigo em Inglês | MEDLINE | ID: mdl-20357114

RESUMO

Reelin, an extracellular protein essential for neural migration and lamination, is also expressed in the adult brain. To unravel the function of this protein in the adult forebrain, we generated transgenic mice that overexpress Reelin under the control of the CaMKIIalpha promoter. Overexpression of Reelin increased adult neurogenesis and impaired the migration and positioning of adult-generated neurons. In the hippocampus, the overexpression of Reelin resulted in an increase in synaptic contacts and hypertrophy of dendritic spines. Induction of long-term potentiation (LTP) in alert-behaving mice showed that Reelin overexpression evokes a dramatic increase in LTP responses. Hippocampal field EPSP during a classical conditioning paradigm was also increased in these mice. Our results indicate that Reelin levels in the adult brain regulate neurogenesis and migration, as well as the structural and functional properties of synapses. These observations suggest that Reelin controls developmental processes that remain active in the adult brain.


Assuntos
Moléculas de Adesão Celular Neuronais/fisiologia , Espinhas Dendríticas/ultraestrutura , Proteínas da Matriz Extracelular/fisiologia , Potenciação de Longa Duração , Proteínas do Tecido Nervoso/fisiologia , Prosencéfalo/metabolismo , Serina Endopeptidases/fisiologia , Animais , Proteína Quinase Tipo 2 Dependente de Cálcio-Calmodulina/genética , Moléculas de Adesão Celular Neuronais/genética , Movimento Celular , Condicionamento Clássico , Proteínas da Matriz Extracelular/genética , Hipocampo/crescimento & desenvolvimento , Hipocampo/metabolismo , Hipocampo/ultraestrutura , Camundongos , Camundongos Transgênicos , Proteínas do Tecido Nervoso/genética , Neurogênese , Neurônios/fisiologia , Neurônios/ultraestrutura , Regiões Promotoras Genéticas , Prosencéfalo/crescimento & desenvolvimento , Prosencéfalo/ultraestrutura , Proteína Reelina , Serina Endopeptidases/genética , Sinapses/fisiologia , Sinapses/ultraestrutura
15.
Rev. esp. cardiol. Supl. (Ed. impresa) ; 5(supl.C): 26c-39c, 2005. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-165415

RESUMO

Los estudios publicados desde 1999 que compararon una estrategia invasiva moderna (con disponibilidad de stent y nuevos antitrombóticos) y conservadora (invasiva selectiva) en los pacientes con síndrome coronario agudo sin elevación del ST han demostrado que la estrategia invasiva disminuye, a largo plazo, la incidencia de muerte o infarto y mejora la evolución clínica en los pacientes de alto riesgo, aunque durante la hospitalización aumenta levemente las complicaciones isquémicas. El momento de realizar la coronariografía es controvertido, aunque la mayoría de las guías recomiendan que se haga en las primeras 48 h. Los pacientes que más se benefician son los que presentan cambios en el ST, elevación de troponinas o diabetes. Los de bajo riesgo con ambas estrategias tienen resultados similares. El beneficio de la estrategia invasiva se atribuye a la revascularización mecánica, pero también al uso de los nuevos antitrombóticos (clopidogrel e inhibidores de la glucoproteína IIb/IIIa). La utilización de clopidogrel está recomendada por la mayoría de las guías, aunque el momento de su aplicación es objeto de controversia y los datos más recientes indican que parece preferible la heparina no fraccionada si se planifica una estrategia invasiva. La administración precoz de inhibidores de la glucoproteína IIb /IIIa (tirofibán o eptifibatida) está indicada. En los casos en que la coronariografía se realiza tempranamente (menos de 2,5-6 h), el uso de abciximab o eptifibatida en el laboratorio de hemodinámica, una vez conocida la anatomía coronaria, parece una estrategia razonable (AU)


Studies published since 1999 that have compared modern invasive treatment (following the availability of stents and new antithrombotic drugs) in patients with non-STsegment elevation acute coronary syndrome (NSTACS) with more conservative (i.e., selectively invasive) treatment have shown that the long-term outcome is better in high-risk patients when the invasive approach is used. Mortality and myocardial infarction are less likely, although the number of ischemic complications occurring during hospitalization is slightly increased. There is still some controversy about how soon coronary angiography should be performed. Most guidelines recommend carrying it out during the first 48 hours in high-risk patients. The benefit is greatest in those who presented with STsegment alterations, an elevated troponin level, or diabetes. The better results achieved with the invasive approach in high-risk patients are not only due to the effect of mechanical revascularization, but also to the use of new, more aggressive antithrombotic drugs, such as clopidogrel or glycoprotein IIb/IIIa inhibitors. Although clopidogrel is recommended by most guidelines, the timing of administration is still controversial. Recent data indicate that unfractioned heparin should be used in NSTACS patients who are expected to undergo invasive treatment. The early administration of glycoprotein IIb/IIIa inhibitors (e.g., tirofiban or eptifibatide) until several hours after percutaneous intervention is universally indicated, except when coronary angiography is to be carried out within 2.5-6 hours. In these cases, giving abciximab or eptifibatide in the catheterization laboratory seems to be a reasonable approach once the coronary anatomy is known and angioplasty has been decided on (AU)


Assuntos
Humanos , Estratégias de Saúde , Síndrome Coronariana Aguda/epidemiologia , Síndrome Coronariana Aguda/prevenção & controle , Revascularização Miocárdica/métodos , Angina Instável/epidemiologia , Angina Instável/prevenção & controle , Fibrinolíticos/uso terapêutico , Angioplastia/métodos , Angioplastia/tendências , Ultrassonografia de Intervenção/tendências , Aspirina/uso terapêutico , Tienopiridinas/uso terapêutico , Sociedades Médicas/normas
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