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1.
Free Radic Biol Med ; 143: 341-353, 2019 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-31446054

RESUMO

Leishmania amazonensis is one of leishmaniasis' causative agents, a disease that has no cure and leads to the appearance of cutaneous lesions. Recently, our group showed that heme activates a Na+/K+ ATPase in these parasites through a signaling cascade involving hydrogen peroxide (H2O2) generation. Heme has a pro-oxidant activity and signaling capacity, but the mechanism by which this molecule increases H2O2 levels in L. amazonensis has not been elucidated. Here we investigated the source of H2O2 stimulated by heme, ruling out the participation of mitochondria and raising the possibility of a role for a NADPH oxidase (Nox) activity. Despite the absence of a classical Nox sequence in trypanosomatid genomes, L. amazonensis expresses a surface ferric iron reductase (LFR1). Interestingly, Nox enzymes are thought to have evolved from ferric iron reductases because they share same core domain and are very similar in structure. The main difference is that Nox catalyses electron flow from NADPH to oxygen, generating reactive oxygen species (ROS), while ferric iron reductase promotes electron flow to ferric iron, generating ferrous iron. Using L. amazonensis overexpressing or knockout for LFR1 and heterologous expression of LFR1 in mammalian embryonic kidney (HEK 293) cells, we show that this enzyme is bifunctional, being able to generate both ferrous iron and H2O2. It was previously described that protozoans knockout for LFR1 have their differentiation to virulent forms (amastigote and metacyclic promastigote) impaired. In this work, we observed that LFR1 overexpression stimulates protozoan differentiation to amastigote forms, reinforcing the importance of this enzyme in L. amazonensis life cycle regulation. Thus, we not only identified a new source of ROS production in Leishmania, but also described, for the first time, an enzyme with both ferric iron reductase and Nox activities.


Assuntos
FMN Redutase/metabolismo , Peróxido de Hidrogênio/metabolismo , Ferro/metabolismo , Leishmania/enzimologia , Leishmaniose/parasitologia , NADPH Oxidases/metabolismo , Proteínas de Protozoários/metabolismo , Células HEK293 , Heme/metabolismo , Humanos , Leishmania/crescimento & desenvolvimento , Leishmaniose/metabolismo , Mitocôndrias/metabolismo , Mitocôndrias/parasitologia , NADPH Oxidases/genética , Oxirredução , Proteínas de Protozoários/genética
2.
Skelet Muscle ; 9(1): 1, 2019 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-30611303

RESUMO

BACKGROUND: Niemann-Pick disease type A (NPDA), a disease caused by mutations in acid sphingomyelinase (ASM), involves severe neurodegeneration and early death. Intracellular lipid accumulation and plasma membrane alterations are implicated in the pathology. ASM is also linked to the mechanism of plasma membrane repair, so we investigated the impact of ASM deficiency in skeletal muscle, a tissue that undergoes frequent cycles of injury and repair in vivo. METHODS: Utilizing the NPDA/B mouse model ASM-/- and wild type (WT) littermates, we performed excitation-contraction coupling/Ca2+ mobilization and sarcolemma injury/repair assays with isolated flexor digitorum brevis fibers, proteomic analyses with quadriceps femoris, flexor digitorum brevis, and tibialis posterior muscle and in vivo tests of the contractile force (maximal isometric torque) of the quadriceps femoris muscle before and after eccentric contraction-induced muscle injury. RESULTS: ASM-/- flexor digitorum brevis fibers showed impaired excitation-contraction coupling compared to WT, a defect expressed as reduced tetanic [Ca2+]i in response to electrical stimulation and early failure in sustaining [Ca2+]i during repeated tetanic contractions. When injured mechanically by needle passage, ASM-/- flexor digitorum brevis fibers showed susceptibility to injury similar to WT, but a reduced ability to reseal the sarcolemma. Proteomic analyses revealed changes in a small group of skeletal muscle proteins as a consequence of ASM deficiency, with downregulation of calsequestrin occurring in the three different muscles analyzed. In vivo, the loss in maximal isometric torque of WT quadriceps femoris was similar immediately after and 2 min after injury. The loss in ASM-/- mice immediately after injury was similar to WT, but was markedly larger at 2 min after injury. CONCLUSIONS: Skeletal muscle fibers from ASM-/- mice have an impairment in intracellular Ca2+ handling that results in reduced Ca2+ mobilization and a more rapid decline in peak Ca2+ transients during repeated contraction-relaxation cycles. Isolated fibers show reduced ability to repair damage to the sarcolemma, and this is associated with an exaggerated deficit in force during recovery from an in vivo eccentric contraction-induced muscle injury. Our findings uncover the possibility that skeletal muscle functional defects may play a role in the pathology of NPDA/B disease.


Assuntos
Acoplamento Excitação-Contração , Músculo Esquelético/fisiopatologia , Doença de Niemann-Pick Tipo A/fisiopatologia , Doença de Niemann-Pick Tipo B/fisiopatologia , Sarcolema/fisiologia , Animais , Sinalização do Cálcio , Modelos Animais de Doenças , Feminino , Masculino , Camundongos Knockout , Fibras Musculares Esqueléticas/metabolismo , Fibras Musculares Esqueléticas/fisiologia , Músculo Esquelético/lesões , Músculo Esquelético/metabolismo , Doença de Niemann-Pick Tipo A/metabolismo , Doença de Niemann-Pick Tipo B/metabolismo , Proteoma , Recuperação de Função Fisiológica , Sarcolema/metabolismo , Esfingomielina Fosfodiesterase/genética
3.
Plant Physiol Biochem ; 42(10): 781-7, 2004 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15596097

RESUMO

Exposure of healthy wheat seeds (Triticum aestivum var Sonalika) to mild dose of cadmium (Cd(2+)) given as 50 microM CdCl(2) for 48 h and then washed off Cd(2+) offered resistance to the subsequent infection by Fusarium oxysporum inoculum. Seven days old seedlings having two primary leaves were aseptically inoculated with fungus, F. oxysporum (1 x 10(6)) spores. The seedlings pre-exposed to low level of Cd(2+) survived the Fusarium infection, while plantlets without Cd(2+) stress wilted and then perished due to Fusarium infection. The stress associated proteins induced by Cd(2+) (50 microM), F. oxysporum and by the co-stress (50 microM Cd(2+) and then with F. oxysporum) treatments were observed to be of same molecular weight (51 kDa). Antibody was raised against the purified Cd(2+)-stress associated protein (CSAP). Immuno-gold labeling of wheat seedling root tissue showed the presence of this CSAP in Cd(2+) pre-exposed and in co-stressed tissues and to be located predominantly on the inner linings of the cell membranes. We also observed that the anti-CSAP-antibody also labeled the root tissue of only Fusarium inoculated seedlings and the gold labeling was intensely located on the membrane. This cross-reaction of anti-CSAP suggests that Fusarium-induced stress protein (FISP) possibly has close homology to CSAP. We thus show for the first time the over expression of a high molecular mass protein by mild dose of Cd(2+) pre-exposure to wheat seeds which subsequently provided protection against Fusarium infection. This mode of resistance developed by an abiotic stress-causing agent against pathogen infection is novel.


Assuntos
Cádmio/farmacologia , Fusarium/patogenicidade , Triticum/microbiologia , Western Blotting , Relação Dose-Resposta a Droga , Eletroforese em Gel de Poliacrilamida , Ensaio de Imunoadsorção Enzimática , Triticum/efeitos dos fármacos
4.
Bioresour Technol ; 90(3): 275-83, 2003 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-14575950

RESUMO

A field experiment was conducted for two years in sandy loam acid lateritic soil to study the direct effect of fly ash, organic wastes and chemical fertilizers on rice (Oryza sativa) and their residual effect on mustard (Brassica napus var glauca) grown in sequence. Rice yields were higher when fly ash, organic wastes and chemical fertilizers were used in an integrated manner as compared to sole application of chemical fertilizers. Yields of mustard were also higher under the residual effect of the former rather than the latter. However, this beneficial residual effect under integrated nutrient sources was inadequate for the mustard crop in the low fertility test soil. Hence, direct application of fertilizers was needed, in addition to residual fertility. The effect of fly ash on mean rice equivalent yield of the rice-mustard cropping sequence was highest (up to 14%) when it was used in combination with organic wastes and chemical fertilizers. While the yield increase was 10% when it was used in combination with only chemical fertilizers. The minimum yield advantage, 3%, occurred when fly ash was applied alone. The equivalent yield of the rice-mustard cropping sequence was equally influenced by either of the organic wastes. Cadmium and Ni content in rice grain and straw were less under the direct effect of fly ash. The residual effect on mustard was similar for Ni content in seed and stover; however, Cd content was increased. Beneficial residual soil chemical properties in terms of pH, organic carbon and available N, P and K were noted for integrated nutrient treatments involved fly ash, organic wastes and chemical fertilizers as compared to continuous use of only chemical fertilizers. Application of fly ash alone was effective in raising soil available P. Thus, integrated use of fly ash, organic wastes and chemical fertilizers was beneficial in improving crop yield, soil pH, organic carbon and available N, P and K in sandy loam acid lateritic soil.


Assuntos
Agricultura/métodos , Mostardeira/fisiologia , Oryza/fisiologia , Solo/análise , Carbono/química , Carbono/farmacologia , Cinza de Carvão , Fertilidade , Fertilizantes/análise , Concentração de Íons de Hidrogênio , Índia , Esterco/análise , Metais Pesados/química , Mostardeira/efeitos dos fármacos , Oryza/efeitos dos fármacos , Material Particulado
5.
Ann Bot ; 89(3): 293-9, 2002 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12096741

RESUMO

Plant root mucilage is known to enhance soil quality by contributing towards the soil carbon pool, soil aggregation, detoxification of heavy metal ions and interactions with rhizospheric microflora. Mucilage consists of many monosaccharide units, including fucose which can be used as an indicator for plant root based polysaccharides. This is the first report of an immunological technique developed to use anti-fucose antibodies as markers for probing and localizing fucosyl residues in mucilage polysaccharide and, in turn, for localization of plant root mucilage. Fucose was complexed with bovine serum albumin to raise antibodies against fucose. A fucose-directed antibody was shown to cross-react with root cap mucilages from grasses. This antibody was used to localize root mucilage polysaccharide in maize and wheat root caps using immunogold electron microscopy. Abundant labelling could be localized on the cell wall, and in the intercellular matrix and vesicles of the peripheral root cap cells. Labelling was less intense in cells towards the centre of the root cap tissue. Control experiments confirmed that immunogold localization of fucose was specific and reliable.


Assuntos
Raízes de Plantas/química , Poaceae/química , Polissacarídeos/análise , Animais , Anticorpos/imunologia , Parede Celular/química , Ensaio de Imunoadsorção Enzimática , Fucose/análise , Fucose/imunologia , Imuno-Histoquímica , Microscopia Eletrônica , Poaceae/ultraestrutura , Coelhos , Triticum/química , Triticum/ultraestrutura , Zea mays/química , Zea mays/ultraestrutura
6.
Indian J Exp Biol ; 40(11): 1310-3, 2002 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-13677637

RESUMO

Whole body Co60 gamma radiation induced changes in lactic dehydrogenase (LDH) activity, pyruvate, lactate content and rate of oxygen (O2) consumption in a tropical hibernating anuran (Bufo melanostictus). In 3.5 and 7 Gy treated groups, a significant increase in LDH activity and lactate/pyruvate ratio was observed, whereas a significant decrease in O2 consumption rate was observed in treated animals on post-irradiation day (PID) 1, 5 and 10. Increase in LDH activity was observed on PID-1 in both the treated groups, reached to a peak on PID-5 in 7 Gy treated group and then declined on PID-10.


Assuntos
L-Lactato Desidrogenase/metabolismo , Ácido Láctico/metabolismo , Fígado/enzimologia , Fígado/efeitos da radiação , Consumo de Oxigênio/efeitos da radiação , Ácido Pirúvico/metabolismo , Animais , Bufonidae , Relação Dose-Resposta à Radiação , Raios gama/efeitos adversos , Irradiação Corporal Total
7.
Mol Cell Biol ; 21(14): 4453-9, 2001 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-11416125

RESUMO

The Crithidia fasciculata cycling sequence binding protein (CSBP) binds with high specificity to sequence elements in several mRNAs that accumulate periodically during the cell cycle. Mutations in these sequence elements abolish both cycling of the mRNA and binding of CSBP. Two genes, CSBPA and CSBPB, encoding putative subunits of CSBP have been cloned and were found to be present in tandem on the same DNA molecule and to be closely related. CSBPA and CSBPB are predicted to encode proteins with sizes of 35.6 and 42.0 kDa, respectively. Both CSBPA and CSBPB proteins have a predicted coiled-coil domain near the N terminus and a novel histidine and cysteine motif near the C terminus. The latter motif is conserved in other trypanosomatid species. Gel sieving chromatography and glycerol gradient sedimentation results indicate that CSBP has a molecular mass in excess of 200 kDa and an extended structure. Recombinant CSBPA and CSBPB also bind specifically to the cycling sequence and together can be reconstituted to give an RNA gel shift similar to that of purified CSBP. Proteins in cell extracts bind to an RNA probe containing six copies of the cycling sequence. The RNA-protein complexes contain both CSBPA and CSBPB, and the binding activity cycles in near synchrony with target mRNA levels. CSBPA and CSBPB mRNA and protein levels show little variation throughout the cell cycle, suggesting that additional factors are involved in the cyclic binding to the cycling sequence elements.


Assuntos
Crithidia fasciculata/genética , Proteínas de Protozoários/genética , RNA de Protozoário/metabolismo , Proteínas de Ligação a RNA/genética , Sequência de Aminoácidos , Animais , Ciclo Celular , Clonagem Molecular , Expressão Gênica , Genes de Protozoários , Dados de Sequência Molecular , Oligopeptídeos/genética , Proteínas de Protozoários/metabolismo , Proteínas de Protozoários/fisiologia , RNA Mensageiro , Proteínas de Ligação a RNA/metabolismo , Proteínas de Ligação a RNA/fisiologia , Recombinação Genética
8.
Mol Med ; 6(6): 527-41, 2000 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-10972088

RESUMO

BACKGROUND: Plant-derived flavonoids, which occur abundantly in our daily dietary intake, possess antitumor, antibacterial, and free radical scavenging properties. They form active constituents of a number of herbal and traditional medicines. Several flavonoids have been shown to exert their action by interacting with DNA topoisomerases and promoting site-specific DNA cleavage. Therefore, flavonoids are potential candidates in drug design. We report here that, although the flavonoids luteolin and quercetin are potent antileishmanial agents, luteolin has great promise for acting as a lead compound in the chemotherapy of leishmaniasis, a major concern in developing countries. MATERIALS AND METHODS: Kinetoplast DNA (kDNA) minicircle cleavage in drug-treated parasites was measured by electrophoresis of the total cellular DNA, followed by Southern hybridization using 32P labeled kDNA as a probe. Cell cycle progression and apoptosis were measured by flow cytometry using propidium iodide and fluorescein isothiocyanate (FITC)-labeled Annexin V. RESULTS: Luteolin and quercetin inhibited the growth of Leishmania donovani promastigotes and amastigotes in vitro, inhibited DNA synthesis in promastigotes, and promoted topoisomerase-II-mediated linearization of kDNA minicircles. The IC50 values of luteolin and quercetin were 12.5 microM and 45.5 microM, respectively. These compounds arrest cell cycle progression in L. donovani promastigotes, leading to apoptosis. Luteolin has no effect on normal human T-cell blasts. Both luteolin and quercetin reduced splenic parasite burden in animal models. CONCLUSION: Luteolin and quercetin are effective antileishmanial agents. Quercetin has nonspecific effects on normal human T cells, but luteolin appears nontoxic. So, luteolin can be a strong candidate for antileishmanial drug design.


Assuntos
Antiprotozoários/farmacologia , DNA de Cinetoplasto/metabolismo , Flavonoides/farmacologia , Leishmania donovani/efeitos dos fármacos , Leishmania donovani/metabolismo , Inibidores da Topoisomerase II , Animais , Apoptose/efeitos dos fármacos , Cricetinae , Fragmentação do DNA/efeitos dos fármacos , Dieta , Inibidores Enzimáticos/farmacologia , Humanos , Técnicas In Vitro , Leishmania donovani/citologia , Leishmaniose Visceral/tratamento farmacológico , Leishmaniose Visceral/parasitologia , Luteolina , Quercetina/farmacologia , Linfócitos T/citologia , Linfócitos T/efeitos dos fármacos
9.
Indian J Exp Biol ; 37(9): 839-42, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10687276

RESUMO

The ends of chromosome in higher eukaryote are termed telomere. The DNAs present at that part of chromosome is called telomeric DNA. Telomeric DNA consists of tandemly repeated DNA sequences. The replication of the ends of chromosomes is not controlled by conventional DNA polymerases rather a special kind of enzyme is involved in this process. It is a ribonucleoprotein and known as telomerase. Cells in senescence stage face telomeric crisis that leads to loss of telomeric ends. Surveillance turns to procancer cells with increased telomerase activity which is a later consequence. Based on these facts a key diagnostic approach has been developed for detection of tumour. A novel therapy for tumour repression has been developed using telomerase inhibitors. However, these inhibitors are very much effective for solid tumour therapy and conceptually will not work on hematological malignancies.


Assuntos
Transformação Celular Neoplásica , Neoplasias/terapia , Telomerase/metabolismo , Telômero , Transformação Celular Neoplásica/genética , Neoplasias/enzimologia , Neoplasias/genética
10.
J Biochem ; 124(6): 1198-205, 1998 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-9832625

RESUMO

A nuclease activity has been purified from the nuclei-kinetoplast fraction of Leishmania. This enzyme, termed endonuclease M (Endo M), is shown by electrophoresis in a denaturing polyacrylamide gel to be associated with a single polypeptide of molecular mass 52 kDa. Physical analysis of the enzyme indicates that it has a sedimentation coefficient S20,w of 4.5S, a Stoke's radius of 32.5 A, and a native molecular mass of 53 kDa. The final Mono Q purified Endo M possesses both DNase and RNase activities. It acts as an endonuclease by introducing random single-stranded nicks into the supercoiled DNA molecules, that often leads to its linearization due to nicking at the opposite strands, and subsequent degradation of the DNA with further incubation. Single-stranded DNA is twice preferred to double-stranded DNA as substrate. Single-stranded RNA is also degraded rapidly and is competitive as a substrate with single-stranded DNA. RNA:DNA hybrids, however, are largely resistant to the Endo M digestion.


Assuntos
Endonucleases/isolamento & purificação , Endonucleases/metabolismo , Leishmania/enzimologia , Animais , Desoxirribonucleases/metabolismo , Endonucleases/química , Peso Molecular , Proteínas de Protozoários/química , Proteínas de Protozoários/isolamento & purificação , Proteínas de Protozoários/metabolismo , Ribonucleases/metabolismo
11.
Mol Pharmacol ; 54(6): 994-9, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9855627

RESUMO

Diospyrin is a plant product that has significant inhibitory effect on the growth of Leishmania donovani promastigotes. This compound inhibits the catalytic activity of DNA topoisomerase I of the parasite. Like camptothecin, it induces topoisomerase I mediated DNA cleavage in vitro. Treatment of DNA with diospyrin before addition of topoisomerase I has no effect. Preincubation of topoisomerase I with diospyrin before the addition of DNA in the relaxation reaction increases this inhibition. Our results suggest that this bis-naphthoquinone compound exerts its inhibitory effect by binding with the enzyme and stabilizing the topoisomerase I-DNA "cleavable complex." Diospyrin is a specific inhibitor of the parasitic topoisomerase I. It does not inhibit type II topoisomerase of L. donovani and requires much higher concentrations to inhibit type I topoisomerase of calf thymus. The potent inhibitory effect of diospyrin on type I DNA topoisomerase from L. donovani can be exploited for rational drug design in human leishmaniasis.


Assuntos
Antiprotozoários/farmacologia , Leishmania donovani/enzimologia , Naftoquinonas/farmacologia , Inibidores da Topoisomerase I , Animais , Dano ao DNA , DNA Topoisomerases Tipo I/isolamento & purificação , DNA Topoisomerases Tipo II/metabolismo , Relação Dose-Resposta a Droga
12.
Drugs ; 35 Suppl 4: 22-6, 1988.
Artigo em Inglês | MEDLINE | ID: mdl-3288467

RESUMO

In this randomised, double-blind, crossover trial, the efficacy in hypertension of atenolol and nifedipine as single agents or in combination was compared. 81 patients with mild to moderate essential hypertension (sitting diastolic blood pressure 100-120 mm Hg, aged 20-70 years) from 6 outpatient clinics entered the study. By use of a Latin-square design, patients received, in randomised fashion, sustained release nifedipine 20mg twice daily, atenolol 50mg in the morning and then placebo in the evening, or sustained release nifedipine 20mg plus atenolol 50mg in the morning and then placebo in the evening. Each schedule was followed for 4 weeks. All treatments lowered systolic and diastolic blood pressure in the supine and standing positions compared with pretreatment values. The combination regimen significantly reduced supine and standing systolic (p less than 0.01 and p less than 0.001, respectively) and diastolic (p less than 0.001) blood pressure compared with nifedipine alone, and it also significantly reduced supine and standing systolic (p less than 0.01 and p less than 0.03, respectively) and diastolic (p less than 0.01) blood pressure compared with atenolol alone. Heart rate was significantly decreased by atenolol and the combination compared with nifedipine alone. 15 patients withdrew because of side effects: 9 during nifedipine treatment, 2 during atenolol treatment and 4 during combination treatment. Side effects were typical of those associated with nifedipine or atenolol. Flushes and hot sweats, which were frequent with nifedipine, were significantly less (p less than 0.001) with atenolol or the combination.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Atenolol/uso terapêutico , Hipertensão/tratamento farmacológico , Nifedipino/uso terapêutico , Adulto , Idoso , Atenolol/administração & dosagem , Atenolol/efeitos adversos , Glicemia/análise , Pressão Sanguínea/efeitos dos fármacos , Ensaios Clínicos como Assunto , Preparações de Ação Retardada , Método Duplo-Cego , Quimioterapia Combinada , Feminino , Frequência Cardíaca/efeitos dos fármacos , Humanos , Hipertensão/fisiopatologia , Masculino , Pessoa de Meia-Idade , Nifedipino/administração & dosagem , Nifedipino/efeitos adversos , Distribuição Aleatória
13.
Br Heart J ; 55(6): 610-1, 1986 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-18610324
14.
Br Heart J ; 54(4): 367-74, 1985 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-3876840

RESUMO

A new technique has been developed for presenting myocardial tomograms that allows the observer to perceive the shape of the thallium-201 distribution directly. The surface of the myocardium was found by applying an interactive thresholding technique to a set of conventional transverse slices. Computer graphics techniques were used to display a shaded image of that surface on a television screen, showing the three dimensional shape of the myocardial surface from any chosen aspect. A set of normal preserved coronary arteries was digitised, and using scaling and transformation techniques these arteries were mapped on to the myocardial tomograms and a shaded surface image produced with superimposed coronary arteries. This provided a familiar anatomical framework for locating perfusion defects. Its value in identifying various diseased vessels was confirmed by a comparison of the tomographic findings with the angiographic findings in five individual cases.


Assuntos
Vasos Coronários/diagnóstico por imagem , Coração/diagnóstico por imagem , Radioisótopos , Tálio , Tomografia Computadorizada de Emissão/métodos , Adulto , Doença das Coronárias/diagnóstico por imagem , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico por imagem , Esforço Físico
15.
Nucl Med Commun ; 5(9): 577-86, 1984 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-6335744

RESUMO

Detection of defects in myocardial uptake of thallium-201 has been investigated by tomography with a rotating gamma camera. Twenty patients, 17 of whom had symptoms suggestive but not diagnostic of angina, and three with definite angina, underwent exercise ECG testing. Thallium-201 was injected at peak stress, followed by tomographic imaging with 180 degree data collection. A repeat study 4 h later showed the resting blood flow (redistribution) pattern. Transverse, coronal and sagittal sections were reconstructed and stress and redistribution studies compared. Quantitative comparison of T1-201 uptake in the stress and redistribution sections was investigated using profile analysis. These results were compared with a visual assessment. Tomographic images clearly showed defects in myocardial uptake and enabled scans to be classified definitely as normal, ischaemic or showing previous myocardial infarction. Results agreed with those from exercise ECG where ECG findings were definite, and gave a clear diagnosis in cases with equivocal ECG results. Significant differences were demonstrated between stress and resting uptake profiles for all segments judged ischaemic on stress from the images alone. A 'normal' profile was obtained to permit identification of infarcted regions. While quantitative analysis enabled the tomograms to be classified objectively, qualitative assessment was equally effective in nearly every case, possibly due to the clear and unconfusing image presentation.


Assuntos
Doença das Coronárias/diagnóstico por imagem , Coração/diagnóstico por imagem , Radioisótopos , Tálio , Angina Pectoris/diagnóstico por imagem , Circulação Coronária , Eletrocardiografia , Teste de Esforço , Humanos , Masculino , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico por imagem , Tomografia Computadorizada de Emissão
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