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1.
Ann Bot ; 116(1): 91-9, 2015 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-26002256

RESUMEN

BACKGROUND AND AIMS: Plant adaptation to submergence can include the formation of prominent aerenchyma to facilitate gas exchange. The aim of this study was to characterize the differentiation of the constitutive aerenchyma in the stem of the aquatic macrophyte Egeria densa (Hydrocharitaceae) and to verify if any form of cell death might be involved. METHODS: Plants were collected from a pool in a botanical garden. Aerenchyma differentiation and apoptotic hallmarks were investigated by light microscopy and terminal deoxynucleotidyl transferase-mediated dUTP nick-end labelling (TUNEL) assay coupled with genomic DNA extraction and gel electrophoresis (DNA laddering assay). Cell viability and the occurrence of peroxides and nitric oxide (NO) were determined histochemically using specific fluorogenic probes. KEY RESULTS: Aerenchyma differentiation started from a hexagonally packed pre-aerenchymatic tissue and, following a basipetal and centripetal developmental pattern, produced a honeycomb arrangement. After an early schizogenous differentiation process, a late lysigenous programmed cell death- (PCD) dependent mechanism occurred. This was characterized by a number of typical apoptotic hallmarks, including DNA fragmentation, chromatin condensation, apoptotic-like bodies, partial cell wall lysis and plasmolysis. In addition, local increases in H2O2 and NO were observed and quantified. CONCLUSIONS: The differentiation of cortical aerenchyma in the stem of E. densa is a complex process, consisting of a combination of an early schizogenous differentiation mechanism and a late lysigenous PCD-dependent process. The PCD remodels the architecture of the gas spaces previously formed schizogenously, and also results in a reduction of O2-consuming cells and in recycling of material derived from the lysigenic dismantling of the cells.


Asunto(s)
Apoptosis , Espacio Extracelular/metabolismo , Hydrocharitaceae/citología , Tallos de la Planta/citología , Malezas/citología , Diferenciación Celular , Fragmentación del ADN , ADN de Plantas/metabolismo , Hydrocharitaceae/anatomía & histología , Etiquetado Corte-Fin in Situ
2.
Eur J Vasc Endovasc Surg ; 43(2): 154-9, 2012 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-22075154

RESUMEN

OBJECTIVE: To test plasma levels of lipoprotein-associated phospholipase A2 (Lp-PLA2) in patients with high-grade carotid stenosis according to plaque histology. METHODS: This cross-sectional single-centre study included patients with ≥70% North American Symptomatic Carotid Endarterectomy Trial (NASCET) carotid stenosis, who were treated surgically. Serum Lp-PLA2 and high-sensitivity C-reactive protein (hs-CRP) were determined on the day of surgery. Histopathological analysis classified carotid plaque as stable or unstable, according to AHA classification. RESULTS: Of the 42 patients (mean age 70.4 ± 10.5 years; 67% men), neurological symptoms were present in 16 (38%). Unstable plaques were found in 23 (55%). Median plasma level of Lp-PLA2 was significantly higher in patients with unstable plaque compared to those with stable plaque (222.4 (174.9-437.5) interquartile range (IQR) 63.5 vs. 211.1 (174.9-270.6) IQR 37.2 ng ml(-1); p = 0.02). Moreover, median Lp-PLA2 level were higher in asymptomatic patients with unstable plaque (226.8 ng ml(-1) (174.9-437.5) IQR 76.8) vs. stable plaque (206.9 ng ml(-1) (174.9-270.6) IQR 33.7; p = 0.16). Logistic regression showed that only the neurological symptoms (OR = 30.9 (3.7-244.6); p < 0.001) and the plasma Lp-PLA2 level (OR = 1.7 (1.1-12.3); p = 0.03) were independently associated with unstable carotid plaque as defined by histology. CONCLUSIONS: This study showed that circulating Lp-PLA2 was increased in patients with high-grade carotid stenosis and unstable plaque. Lp-PLA2 may be a relevant biomarker to guide for invasive therapy in asymptomatic patients with carotid artery disease.


Asunto(s)
1-Alquil-2-acetilglicerofosfocolina Esterasa/sangre , Biomarcadores/sangre , Estenosis Carotídea/enzimología , Anciano , Anciano de 80 o más Años , Proteína C-Reactiva/metabolismo , Estudios Transversales , Endarterectomía Carotidea , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedades del Sistema Nervioso/complicaciones , Estudios Prospectivos
3.
J Environ Manage ; 95 Suppl: S9-14, 2012 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-21546150

RESUMEN

In the present study, trace metals contents (V, Cr, Mn, Fe, Ni, Cu, Zn, Cd and Pb) and physico-chemical parameters (nitrogen, organic and inorganic carbon, pH and particle size) in sediments samples along the Calore river were analyzed in two seasons. Sediment samples were collected in ten sites upstream and downstream of the city of Benevento and its industrial area, the confluence of Sabato and Tammaro tributaries, and the confluence of Calore and Volturno rivers. The highest contents of trace metals were found, generally, in the sites immediately downstream of industrial area and of Benevento city. The sites on the Tammaro and Sabato also showed relatively high contents of Ni and, only for Sabato sites, of Cr, and Fe. With the exception of Cd, the heavy metal contents were highest in the last site of Calore river, which therefore is a source of pollution to the Volturno river. Besides the sites downstream of Benevento city showed the higher pH values and also the highest contents of fine particles size and organic matter. Positive correlations among trace metals, organic substance, particle size sediments were found. The data obtained in this study were analyzed with reference to Interim Sediment Quality Guidelines and indicated moderate-to-high pollution by some trace metals (V, Cr, Mn, Fe, Ni, Cu).


Asunto(s)
Sedimentos Geológicos/análisis , Metales Pesados/análisis , Contaminantes Químicos del Agua/análisis , Carbono/análisis , Ciudades , Sedimentos Geológicos/química , Concentración de Iones de Hidrógeno , Industrias , Italia , Tamaño de la Partícula , Ríos , Contaminación Química del Agua
4.
J Environ Manage ; 113: 501-9, 2012 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-22868269

RESUMEN

Trace metals and polycyclic aromatic hydrocarbons, severely affecting human, animal and plants health, highly contribute to the air pollution in urban areas mainly due to car traffic. In this study the air biomonitoring of the city of Caserta (South Italy) has been performed by using Quercus ilex L., a widespread ornamental plant in parks, gardens and avenues. The plant leaves from different sites within the urban area were collected and used to determine the concentrations of V, Cd, Cr, Pb, Ni, Cu, and PAHs as well as the free amino acid content and peroxidase enzyme activity as indices of the leaf physiological conditions. All the tested trace metals showed concentrations higher than the control site. Lead was positively correlated to Cd and Cr and showed, also, a positive trend with Ni and Cu that, in their turn, were highly correlated between them. Positive and significant correlations were evidenced between total PAHs and carcinogenic PAHs and negative correlations between those and all trace metals assayed except V. Cu and Cd contents evidence negative correlations with peroxidase activity, and the free amino acid contents. The PAHs, in particular Carc-PAHs, were negatively correlated to the tested heavy metals. POD was positively correlated only with V and negatively correlated with Cu and Cd.


Asunto(s)
Peroxidasa/metabolismo , Hojas de la Planta/metabolismo , Hidrocarburos Policíclicos Aromáticos/metabolismo , Quercus/metabolismo , Oligoelementos/metabolismo , Italia
5.
J Med Vasc ; 46(2): 66-71, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33752848

RESUMEN

INTRODUCTION: Patients exposed to nilotinib for chronic myeloid leukemia (CML) appear to be at risk of arterial complication. The prevalence and aspect of ultrasound asymptomatic arterial lesions are unknown. OBJECTIVE: To describe prevalence and characteristics of ultrasound arterial anomalies in patients treated with nilotinib for CML. METHODS: Patients treated with nilotinib from 2006 to 2015 in the department of the Paoli-Calmettes Institute, Marseille, were included retrospectively. A vascular ultrasound screening was carried out from 2010. The arterial lesions at the first examination were described: plaque and its echogenicity, stenosis or occlusion. A vascular arterial anomaly (VAA) was defined by the presence of a clinical and/or ultrasound anomaly. Patients with or without VAA at initial vascular examination were compared using bivariate and multivariate analysis. RESULTS: 74 patients were included (51.4% men, mean age 54.5 years); 25 patients had ultrasound arterial anomalies (33.8%). Carotid bulb was the most involved territory (44%). Arterial anomalies were: 88% plaques, 44%>50% stenosis and 12% occlusion. 72.7% plaques were echolucent or hypoechogenic. A VAA was present in 25 patients with initial vascular evaluation (33.8%). Patients with VAA at baseline were significantly older (64.9 vs 49.3, P<0.001), older at nilotinib initiation (60.8 vs 46.5, P<0.001), with more arterial hypertension (40% vs 12.2%, P=0.01), with more cardiovascular risk factors (P=0.03). In patient with no cardiovascular risk factor 12.5% had VAA (n=24). CONCLUSION: Nilotinib seems to be associated to arterial lesions of unstable lipid-like appearance. The most involved arterial territory was the carotid bulb and the most common lesion was echolucent or hypoechogenic plaque. VAA can occur in patients without cardiovascular risk factors. This result encourages us to systematically screen and follow all patients exposed to nilotinib even those without cardiovascular risk factors.


Asunto(s)
Antineoplásicos/efectos adversos , Leucemia Mielógena Crónica BCR-ABL Positiva/tratamiento farmacológico , Inhibidores de Proteínas Quinasas/efectos adversos , Pirimidinas/efectos adversos , Ultrasonografía , Enfermedades Vasculares/diagnóstico por imagen , Adulto , Anciano , Femenino , Francia/epidemiología , Humanos , Leucemia Mielógena Crónica BCR-ABL Positiva/enzimología , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Prevalencia , Estudios Retrospectivos , Medición de Riesgo , Factores de Riesgo , Resultado del Tratamiento , Enfermedades Vasculares/inducido químicamente , Enfermedades Vasculares/epidemiología
6.
Environ Monit Assess ; 165(1-4): 193-203, 2010 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-19444636

RESUMEN

Soil biological properties are influenced by trace metals. The main sources of these pollutants in the urban areas are industrial plants, power stations, domestic heating systems and motor vehicles. The aim of this work was to evaluate, in relation to distance from urban roads, soil trace metal concentrations (Pb, Cu, Cr, Cd and V) and their influence on C-microbial biomass as well as on soil respiration and enzyme activities (phosphatase glucosidase, galactosidase, xylanase, cellulase, trealase, protease and invertase). The samplings were carried out at four sites, along a route that goes from Giannone Street to Passionisti Street, two heavily travelled roads at two different times of the year (spring and autumn). Heavy metal contents and microbial activities were highest at the sites near the roads. The highest values of microbial activities were found in the inner site; here, on the contrary, the lowest concentrations of heavy metals were measured. Significant and negative correlations were found between microbial activity and heavy metal contents.


Asunto(s)
Metales/análisis , Microbiología del Suelo , Población Urbana , Monitoreo del Ambiente/métodos , Italia , Contaminantes del Suelo/análisis
7.
Radiography (Lond) ; 26 Suppl 2: S79-S87, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32423840

RESUMEN

INTRODUCTION: To determine the impact of reduced visual acuity on the evaluation of a test object and appendicular radiographs. METHODS: Visual acuity was reduced by two different magnitudes using simulation glasses and compared to normal vision (no glasses). During phase one phantom images were produced for the purpose of counting objects by 13 observers and on phase 2 image appraisal of anatomical structures was performed on anonymized radiographic images by 7 observers. The monitors were calibrated (SMPTE RP133 test pattern) and the room lighting was maintained at 7 ± 1 lux. Image display and data on grading were managed using ViewDEX (v.2.0) and the area under the visual grading characteristic (AUCVGC) was calculated using VGC Analyzer (v1.0.2). Inferential statistics were calculated using SPSS. RESULTS: For the evaluation of appendicular radiographs the total interpretation time was longer when visual acuity was reduced with 2 pairs of simulation glasses (15.4 versus 8.9 min). Visual grading analysis showed that observers can lose the ability to detect anatomical and contrast differences when they have a simulated visual acuity reduction, being more challenging to differentiate low contrast details. No simulation glasses, compared to 1 pair gives an AUCVGC of 0.302 (0.280, 0.333), that decreases to 0.197 (0.175, 0.223) when using 2 pairs of glasses. CONCLUSIONS: Reduced visual acuity has a significant negative impact on the evaluation of test objects and clinical images. Further work is required to test the impact of reduced visual acuity on visual search, technical evaluation of a wider range of images as well as pathology detection/characterization performance. IMPLICATIONS FOR PRACTICE: It seems that visual performance needs to be considered to reduce the risks associated with incomplete or incorrect diagnosis. If employers or professional bodies were to introduce regular eye tests into health screening it may reduce the risk of misinterpretation as a result of poor vision.


Asunto(s)
Trastornos de la Visión , Agudeza Visual , Humanos , Radiografía , Trastornos de la Visión/diagnóstico por imagen
8.
J Med Vasc ; 45(4): 198-209, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-32571560

RESUMEN

AIM OF THE STUDY AND PATIENTS: Direct oral anticoagulants (DOA) tend to replace antivitamins K (VKA). The incidence of major and minor hemorrhages is higher in women, a difference potentially linked to genital hemorrhages. The objective is to assess the practices and perception of general practitioners of the use of oral anticoagulant therapy in women of childbearing age. MATERIALS AND METHODS: Descriptive, observational, transversal and monocentric study. An 11-items questionnaire was sent to 900 randomized general practitioners, assessing the type of patient, the type of anticoagulant prescribed, the management of genital bleeding, and the assessment of the quality of life of anticoagulated patients. RESULTS: DOA were the most prescribed anticoagulants. Genital hemorrhage was the second leading cause of minor hemorrhage. Most doctors (60.6%) believed they were due to VKAs. 25% reported an alteration in the quality of life of patients following these genital hemorrhages and 47.5% addressed this subject in consultation. CONCLUSION: Our study suggests that, according to the general practitioners interviewed, genital hemorrhage is more frequent on VKA than on DOA in women of reproductive age, which is contradictory with the data in the literature. The probably taboo subject is rarely mentioned in consultation and is responsible for a deterioration in the quality of life in these young patients. No recommendation exists on the management of this type of genital hemorrhage in these women. An algorithm is proposed for their management.


Asunto(s)
Anticoagulantes/efectos adversos , Actitud del Personal de Salud , Médicos Generales/psicología , Conocimientos, Actitudes y Práctica en Salud , Salud Reproductiva , Hemorragia Uterina/inducido químicamente , Salud de la Mujer , Anticoagulantes/administración & dosificación , Femenino , Humanos , Edad Materna , Calidad de Vida , Medición de Riesgo , Factores de Riesgo , Hemorragia Uterina/diagnóstico , Hemorragia Uterina/terapia
9.
J Med Vasc ; 44(3): 184-193, 2019 May.
Artículo en Francés | MEDLINE | ID: mdl-31029272

RESUMEN

GOAL: Describe the use of diagnostic, prognostic and therapeutic algorithms for venous thromboembolism (VTE), derived from the 2014 European guidelines, in a teaching hospital's emergencies department and compare two groups: the 2015 group "without a care path" and the 2017 group "with a care path". METHOD: Comparative and retrospective study of the characteristics of emergencies department patients admitted for VTE from January to June 2015 for the 2015 group and from January to June 2017 for the 2017 group. RESULTS: Seventy-nine patients were included in the 2015 group and 62 patients in the 2017 group. In 24% of cases a clinical probability rule was calculated in the 2017 group (vs. no score in 2015, P<0.05). In the 2015 group, 10% of patients did not have a D-Dimer measurement in case of low clinical probability (vs. 0% in 2017, P<0.05). For both groups, the severity score sPESI was not noted in the medical record. All patients with pulmonary embolism were hospitalized in both groups. A total of 36% of patients with deep vein thrombosis (DVT) were hospitalized in the 2015 group (vs. none in 2017, P<0.05). A total of 52.5% of patients were treated with direct oral anticoagulants (DOAS) in the 2017 group vs. 32.5% in the 2015 group (P<0.05). In 18% of cases DOAS were prescribed by emergency physicians in the 2017 group vs. 2.5% in the 2015 group (P<0.05). Mean hospital stay was 7.4 days in the 2017 group and 9.4 days in the 2015 group (P<0.05). CONCLUSION: We observed a change in clinical practices and prescriptions after the establishment of an "Emergency Thrombosis" care system. Indeed, improvement in the calculation of the clinical probability score, increase in the outpatient management of DVT, increase in prescribing DOAS and reducing the length of hospital stay were the main revisions. The implementation of standardized digitally calculated clinical and prognostic probability scores would optimize this care path, as well as allow a better distribution of the post-emergency consultations created for outpatients.


Asunto(s)
Vías Clínicas , Servicio de Urgencia en Hospital , Hospitales Universitarios , Embolia Pulmonar/terapia , Tromboembolia/terapia , Trombosis de la Vena/terapia , Anticoagulantes/administración & dosificación , Biomarcadores/sangre , Vías Clínicas/normas , Técnicas de Apoyo para la Decisión , Servicio de Urgencia en Hospital/normas , Productos de Degradación de Fibrina-Fibrinógeno/análisis , Hospitales Universitarios/normas , Humanos , Tiempo de Internación , Admisión del Paciente , Evaluación de Programas y Proyectos de Salud , Embolia Pulmonar/diagnóstico , Mejoramiento de la Calidad , Indicadores de Calidad de la Atención de Salud , Estudios Retrospectivos , Tromboembolia/diagnóstico , Factores de Tiempo , Resultado del Tratamiento , Trombosis de la Vena/diagnóstico
10.
Ann Cardiol Angeiol (Paris) ; 67(3): 180-185, 2018 Jun.
Artículo en Francés | MEDLINE | ID: mdl-29793672

RESUMEN

OBJECTIVE: The evaluation of automated office blood pressure (AOBP) measurement compared to 24-hour ambulatory BP monitoring (ABPM), Home BP measurement and manual BP. PATIENTS AND METHODOLOGY: A total of 123 hypertensive patients were included. Overall, 68 completed the 4 measurement: Manual BP in the office (Omron 705 CP 3 measurements), ABPM (Spacelab of 96 measurement/per 24hours), Home BP (18 measurement during 3 days), AOBP using the SPRINT methodology: lying patient, isolated with an automatic measurement (Dinamap) every minutes during 8minutes (average of the last 3 measurement). Twenty-two out of 123 patients (26%) did not complete the Home BP measurement. RESULTS: The average of AOBP measurement using SPRINT is 132±12/69±9mmHg, of ABPM 134±13/79±9, of Home BP: 135±13/70±13 and of manual BP: 138±13/72±11mmHg The Bland & Altman method highlight that the AOBP, the ABPM and home BP measurement are 3 substitutable methods. The confidence interval is smaller between the ABPM and the AOBP than with the home BP. CONCLUSION: The automated office blood pressure, as the Home BP measurement, can be considered a reliable substitute for the ABPM, when the later is not accessible, and when a repeated therapeutic evaluation is needed, or when the home BP measurement is not done. These results encourage us to use it more frequently as the Canadian Hypertension Education Program recommend it.


Asunto(s)
Determinación de la Presión Sanguínea/métodos , Hipertensión/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Monitoreo Ambulatorio de la Presión Arterial , Femenino , Humanos , Masculino , Persona de Mediana Edad , Visita a Consultorio Médico , Estudios Prospectivos
11.
J Med Vasc ; 43(1): 36-51, 2018 Feb.
Artículo en Francés | MEDLINE | ID: mdl-29425539

RESUMEN

The quality standards of the French Society of Vascular Medicine for the ultrasonographic assessment of vascular malformations are based on the two following requirements: (1) technical know-how: mastering the use of ultrasound devices and the method of examination; (2) medical know-how: ability to adapt the methods and scope of the examination to its clinical indication and purpose, and to rationally analyze and interpret its results. AIMS OF THE QUALITY STANDARDS: To describe an optimal method of examination in relation to the clinical question and hypothesis. To homogenize practice, methods, glossary, and reporting. To provide good practice reference points, and promote a quality process. ITEMS OF THE QUALITY STANDARDS: The 3 levels of examination; their clinical indications and goals. The reference standard examination (level 2), its variants according to clinical needs. The minimal content of the examination report; the letter to the referring physician (synthesis, conclusion and proposal for further investigation and/or therapeutic management). Commented glossary (anatomy, hemodynamics, semiology). Technical bases. Setting and use of ultrasound devices. Here, we discuss ultrasonography methods of using of ultrasonography for the assessment of peripheral vascular malformations and tumors (limbs, face, trunk).


Asunto(s)
Ultrasonografía Doppler Dúplex/normas , Malformaciones Vasculares/diagnóstico por imagen , Neoplasias Vasculares/diagnóstico por imagen , Adulto , Trastornos de la Coagulación Sanguínea/sangre , Trastornos de la Coagulación Sanguínea/etiología , Velocidad del Flujo Sanguíneo , Competencia Clínica , Progresión de la Enfermedad , Neoplasias del Ojo/diagnóstico por imagen , Femenino , Productos de Degradación de Fibrina-Fibrinógeno/análisis , Fibrinógeno/análisis , Hemangioma/diagnóstico por imagen , Hemodinámica , Humanos , Lactante , Linfangioma Quístico/diagnóstico por imagen , Masculino , Garantía de la Calidad de Atención de Salud , Ultrasonografía Doppler en Color/instrumentación , Ultrasonografía Doppler en Color/métodos , Ultrasonografía Doppler Dúplex/instrumentación , Ultrasonografía Doppler Dúplex/métodos , Malformaciones Vasculares/sangre , Malformaciones Vasculares/clasificación , Malformaciones Vasculares/complicaciones
12.
Dalton Trans ; 46(10): 3311-3317, 2017 Mar 07.
Artículo en Inglés | MEDLINE | ID: mdl-28229139

RESUMEN

Colorectal cancer (CRC) is a global health problem being the fourth most common cause of death due to cancer worldwide. Oxaliplatin plays a key role in current CRC treatment but shows serious drawbacks, such as a high systemic toxicity and the frequent insurgence of Pt resistance. In search of novel and more efficacious Pt-based drugs for CRC treatment, we synthesized and characterised PtI2(DACH), an oxaliplatin analogue. PtI2(DACH) was obtained through the replacement of bidentate oxalate with two iodides. PtI2(DACH) turned out to be more lipophilic than oxaliplatin, a fact that led to an enhancement of its cellular uptake. In contrast to oxaliplatin, PtI2(DACH) showed a scarce reactivity towards model proteins, while maintaining affinity for a standard DNA oligo. Notably, PtI2(DACH) induced cytotoxicities roughly comparable to those of oxaliplatin in three representative CRC cell lines. Moreover, it was able to trigger cell apoptosis, to an extent even better than cisplatin and oxaliplatin. Overall, a rather promising picture emerges for this novel Pt drug that merits, in our opinion, a deeper and more extensive preclinical evaluation.

13.
Ann Cardiol Angeiol (Paris) ; 65(3): 185-90, 2016 Jun.
Artículo en Francés | MEDLINE | ID: mdl-27184512

RESUMEN

GOAL: Evaluation of the prevalence and severity of hypertensive emergencies and crisis in an Emergency Service of Timone hospital in Marseille and follow-up of 3 months of hospitalized emergencies. METHODS: This study was conducted in the Emergency Department between April 1 and June 30, 2015. All patients with BP>180 and/or 110mmHg was recorded and classified in true emergencies (presence of visceral pain) and hypertensive isolated crisis. A phone follow-up patients was organized. RESULTS: During this period, 170 patients were identified: 95 (56%) hypertensive crisis and 75 (44%) hypertensive emergencies: 25 OAP (33%), 18 ischemic stroke (24%), 15 hemorrhagic stroke (20%), 9 angina (12%) and 8 different. The clinical characteristics of hypertensive emergencies are preferentially dyspnea (27%) motor deficit (36%), and chest pain (16%). The BP of hypertensive emergencies at their admission (3 measurements, oscillometric automatic device) is close to the hypertensive crisis (198.17±19.3 to 96.4±21.2mmHg versus 191±31.6 to 96.12±21). The BP controlled after 15minutes of rest is lower for crisis compared to real emergencies (152±47 to 79±28 vs. 174±31 to 86±26). Age emergency is larger (77±14 vs. 67±17), the number of slightly larger drug (1.79 versus 1.67±1±1). Telephone follow-up was performed after an average period of three months. Ninety-nine patients were contacted by telephone: 46 patients who were admitted for hypertensive emergency patients and 53 for a push. Eighteen deaths have been recorded, including 15 among hypertensive emergencies (9 in hemorrhagic stroke, 5 for ischemic stroke, and 1 for OAP) with 5-hospital deaths within 48hours after admission and 10 within 3 months in patients hospitalized with hypertensive emergency or 33%. Seventy-seven patients out of 99 had been reviewed by their attending physicians. A questionnaire was sent by mail to patients who have not answered the phone contacts, and responses are pending. CONCLUSION: Hypertensive emergencies hospitalized in Timone Hospital represent 44% of patients hospitalized for emergency HTA. Their gravity is 1/3 since most patients die within three months warranting closer management of these fragile patients by creating a specialized consulting postemergency.


Asunto(s)
Servicio de Urgencia en Hospital/estadística & datos numéricos , Hipertensión/diagnóstico , Hipertensión/epidemiología , Pacientes Internos/estadística & datos numéricos , Adulto , Anciano , Anciano de 80 o más Años , Dolor en el Pecho/epidemiología , Brotes de Enfermedades/estadística & datos numéricos , Disnea/epidemiología , Femenino , Estudios de Seguimiento , Francia/epidemiología , Humanos , Hipertensión/complicaciones , Masculino , Persona de Mediana Edad , Trastornos Motores/epidemiología , Prevalencia , Estudios Retrospectivos , Factores de Riesgo , Índice de Severidad de la Enfermedad , Accidente Cerebrovascular/epidemiología
14.
Biochim Biophys Acta ; 574(3): 537-41, 1979 Sep 28.
Artículo en Inglés | MEDLINE | ID: mdl-486525

RESUMEN

Microsomes and mitochondria isolated from Morris hepatomas 3924A (fast-growing) and 44 (slow-growing) and Ehrlich ascites tumour cells exhibit a NADPH-dependent peroxidation of endogenous lipids lower than that of the corresponding fractions from rat liver. Moreover, the O2- and ascorbate-dependent lipid peroxidations are decreased in microsomes from the two Morris hepatomas. The peroxidative activity appears to be inversely related to the growth rate of the tumours. It is suggested that the low susceptibility of tumour membranes to peroxidative agents may be a factor responsible for the high mitotic activity of this tissue.


Asunto(s)
Membranas Intracelulares/metabolismo , Peróxidos Lipídicos/metabolismo , Neoplasias Hepáticas Experimentales/metabolismo , Animales , Malondialdehído/metabolismo , Microsomas/metabolismo , Mitocondrias/metabolismo , Peroxidasas/metabolismo , Ratas
15.
Biochim Biophys Acta ; 1123(3): 291-5, 1992 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-1311207

RESUMEN

The effects on red blood cells of superoxide dismutase (Cu,ZnSOD) depletion, induced by feeding Wistar rats with a copper deficient diet, were investigated. SOD depleted red blood cells were more sensitive to peroxidation and to hemolysis than normal cells when exposed to tert-butylhydroperoxide (t-BOOH). Membranes isolated from SOD depleted cells showed a lower content of vitamin E and higher (Na+, K+) and Mg2+ ATPase activities. These results support the view that superoxide dismutase plays an important role in cellular oxidative metabolism.


Asunto(s)
Eritrocitos/enzimología , Superóxido Dismutasa/sangre , Animales , ATPasa de Ca(2+) y Mg(2+)/sangre , Eritrocitos/metabolismo , Eritrocitos/ultraestructura , Hemólisis , Cinética , Peroxidación de Lípido , Masculino , Oxidación-Reducción , Ratas , Ratas Endogámicas , ATPasa Intercambiadora de Sodio-Potasio/sangre , Vitamina E/sangre
16.
Biochim Biophys Acta ; 497(2): 622-6, 1977 Apr 27.
Artículo en Inglés | MEDLINE | ID: mdl-192319

RESUMEN

Nuclei isolated from Ehrlich-Lettré ascites tumour cells catalyze the co-oxidation of epinephrine to adrenochrome in the presence of NADPH. Adrenochrome formation is sensitive to superoxide dismutase but not to scavengers of hydroxyl radicals or singlet oxygen. Addition of NADPH also initiates the production of hydrogen peroxide. Moreover measurements of superoxide dismutase activity indicate the presence of this enzyme in the ascites cell nuclei, although the sensitivity of adrenochrome formation to externally added superoxide dismutase indicates that the endogenous enzyme is not sufficient for a complete protection from superoxide radicals.


Asunto(s)
Carcinoma de Ehrlich/metabolismo , Núcleo Celular/metabolismo , Peróxido de Hidrógeno/metabolismo , Oxígeno/metabolismo , Superóxidos/metabolismo , Animales , Epinefrina/metabolismo , Cinética , Ratones , Superóxido Dismutasa/metabolismo
17.
Biochim Biophys Acta ; 462(3): 781-4, 1977 Dec 23.
Artículo en Inglés | MEDLINE | ID: mdl-202312

RESUMEN

Lactate production by liver slices from fetal rats (17th--18th day of gestation) is enhanced about two fold by aminooxyacetate, an inhibitor of aspartate transaminase (EC 2.6.1.1). Such an effect is consistent with an increase of the cytosolic NAD-redox state owing to the parallel fall in the pyruvate level, whereas the glycolytic flux does not seem to be influenced appreciably. Indeed, although the inhibitor causes a marked increase of fructose 1,6-diphosphate, glucose-6-phosphate decreases only slightly. These results suggest that in fetal rat liver the malate-aspartate shuttle is operative in the reoxidation of cytosolic NADH produced during aerobic glycolysis.


Asunto(s)
Ácido Aspártico/metabolismo , Glucólisis , Hígado/metabolismo , Malatos/metabolismo , NAD/metabolismo , Adenosina Trifosfato/metabolismo , Aerobiosis , Ácido Aminooxiacético/farmacología , Animales , Citosol/metabolismo , Feto/metabolismo , Técnicas In Vitro , Lactatos/biosíntesis , Oxidación-Reducción , Ratas
18.
Biochim Biophys Acta ; 1224(3): 418-26, 1994 Dec 30.
Artículo en Inglés | MEDLINE | ID: mdl-7803499

RESUMEN

The inhibition by d-alpha-tocopherol of protein kinase C activity has been studied in synchronised A7r5 rat smooth muscle cells during the cell cycle. Cell protein kinase C activity has been found to oscillate, with a minimum in the G0 phase, a maximum in the late G1 phase and a new minimum in the S phase. An inhibition of protein kinase C activity by d-alpha-tocopherol appears to be at the basis of cell growth inhibition. Nevertheless, the amount of the different protein kinase C isoenzymes present in smooth muscle cells, measured by their specific antibodies, does not change during the cell cycle in both untreated and d-alpha-tocopherol-treated cells. The possible mechanisms of protein kinase C modulation during the cell cycle and of its inhibition by d-alpha-tocopherol are discussed.


Asunto(s)
Músculo Liso Vascular/efectos de los fármacos , Proteína Quinasa C/antagonistas & inhibidores , Vitamina E/farmacología , Animales , Ciclo Celular , División Celular/efectos de los fármacos , Células Cultivadas , ADN/biosíntesis , Músculo Liso Vascular/citología , Músculo Liso Vascular/enzimología , Ratas
19.
Biochim Biophys Acta ; 966(2): 214-21, 1988 Aug 11.
Artículo en Inglés | MEDLINE | ID: mdl-3401506

RESUMEN

The depletion of superoxide dismutase in the liver of rats held on a copper-deficient diet for 8 weeks induces two profound modifications in microsomal membrane characteristics. These membranes show: (1) a low degree of peroxidation induced in vitro by both endogenous (NADPH and tert-butylhydroperoxide) and exogenous sources (xanthine/xanthine oxidase) of oxygen radicals as revealed by malondialdehyde and diene-conjugate production; (2) a strong decrease of polyunsaturated and an increase of monounsaturated fatty acid content. These alterations are similar to those found in microsomal membranes from fast-growing hepatomas which exhibit a pronounced saturation of fatty acid pattern and lack superoxide dismutase. These observations support the hypothesis that during hepatocarcinogenesis the loss of superoxide dismutase causes an oxidative stress that increases cellular membrane lipid peroxidation, as a consequence of which the cell responds by synthesizing more saturated fatty acids that permanently modify cell membrane structure and properties.


Asunto(s)
Peróxidos Lipídicos/biosíntesis , Neoplasias Hepáticas Experimentales/etiología , Microsomas Hepáticos/enzimología , Superóxido Dismutasa/deficiencia , Animales , Cobre/deficiencia , Ácidos Grasos/metabolismo , Neoplasias Hepáticas Experimentales/enzimología , Masculino , Lípidos de la Membrana/metabolismo , Microsomas Hepáticos/metabolismo , Oxidación-Reducción , Ratas , Ratas Endogámicas , Zinc/deficiencia
20.
Biochim Biophys Acta ; 620(2): 205-11, 1980 Nov 07.
Artículo en Inglés | MEDLINE | ID: mdl-6254572

RESUMEN

The content of cytosolic superoxide dismutase has been determined in Morris hepatomas 3924A (fast-growing) and 44 (slow-growing) and in ascites tumour cells (Novikoff hepatoma and Ehrlich-Lettré). The enzyme is decreased in all the tumours examined. The lowest amounts were found in the tumours with the fastest growth rates. Measurements of the lipid composition and fluidity of microsomal membranes isolated from Morris hepatomas show that also these parameters are changed in relation to the growth rate. The lipid to protein ratio and the degree of fatty acid unsaturation decrease gradually from rat liver to hepatoma 44 and 3924A microsomes. The different lipid composition is reflected also by differences in the physical environment of the bilayer, as indicated by data obtained with spin-labeled fatty acids. It is proposed that the changes in the membrane lipid composition and organization are consequent to the decrease in the protective effect of cytosolic superoxide dismutase against the O2- induced lipid peroxidation.


Asunto(s)
Carcinoma de Ehrlich/fisiopatología , Lípidos/análisis , Neoplasias Hepáticas Experimentales/fisiopatología , Microsomas/análisis , Superóxido Dismutasa/análisis , Animales , División Celular , Espectroscopía de Resonancia por Spin del Electrón , Membrana Dobles de Lípidos , Hígado/análisis , Hígado/enzimología , Ratones , Ratas
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