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1.
J Fish Dis ; 40(9): 1141-1153, 2017 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-28026008

RESUMEN

Carp (Cyprinus carpio L.) is a pest species in Australian waterways, and cyprinid herpesvirus 3 (CyHV-3) is being considered as a potential biological control (biocontrol) agent. An important consideration for any such agent is its target specificity. In this study, the susceptibility to CyHV-3 of a range of non-target species (NTS) was tested. The NTS were as follows: 13 native Australian, and one introduced, fish species; a lamprey species; a crustacean; two native amphibian species (tadpole and mature stages); two native reptilian species; chickens; and laboratory mice. Animals were exposed to 100-1000 times the approximate minimum amount of CyHV-3 required to cause disease in carp by intraperitoneal and/or bath challenge, and then examined clinically each day over the course of 28 days post-challenge. There were no clinical signs, mortalities or histological evidence consistent with a viral infection in a wide taxonomic range of NTS. Furthermore, there was no molecular evidence of infection with CyHV-3, and, in particular, all RT-PCRs for viral mRNA were negative. As a consequence, the results encourage further investigation of CyHV-3 as a potential biocontrol agent that is specific for carp.


Asunto(s)
Agentes de Control Biológico/toxicidad , Carpas , Enfermedades de los Peces/virología , Infecciones por Herpesviridae/veterinaria , Control Biológico de Vectores/métodos , Animales , Australia , Crustáceos/virología , Susceptibilidad a Enfermedades/veterinaria , Relación Dosis-Respuesta a Droga , Peces/virología , Herpesviridae/fisiología , Infecciones por Herpesviridae/virología , Inyecciones Intraperitoneales , Especies Introducidas , ARN Viral/análisis , Reacción en Cadena en Tiempo Real de la Polimerasa/veterinaria , Vertebrados/virología
2.
J Vet Pharmacol Ther ; 40(4): 411-414, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-27641693

RESUMEN

The objective of this study was to evaluate the plasma and serum concentrations of cytarabine (CA) administered via constant rate infusion (CRI) in dogs with meningoencephalomyelitis of unknown etiology (MUE). Nineteen client-owned dogs received a CRI of CA at a dose of 25 mg/m2 /h for 8 h as treatment for MUE. Dogs were divided into four groups, those receiving CA alone and those receiving CA in conjunction with other drugs. Blood samples were collected at 0, 1, 8, and 12 h after initiating the CRI. Plasma (n = 13) and serum (n = 11) cytarabine concentrations were measured by high-pressure liquid chromatography. The mean peak concentration (CMAX ) and area under the curve (AUC) after CRI administration were 1.70 ± 0.66 µg/mL and 11.39 ± 3.37 h·µg/mL, respectively, for dogs receiving cytarabine alone, 2.36 ± 0.35 µg/mL and 16.91 + 3.60 h·µg/mL for dogs administered cytarabine and concurrently on other drugs. Mean concentrations for all dogs were above 1.0 µg/mL at both the 1- and 8-h time points. The steady-state achieved with cytarabine CRI produces a consistent and prolonged exposure in plasma and serum, which is likely to produce equilibrium between blood and the central nervous system in dogs with a clinical diagnosis of MUE. Other medications commonly used to treat MUE do not appear to alter CA concentrations in serum and plasma.


Asunto(s)
Citarabina/farmacocinética , Enfermedades de los Perros/tratamiento farmacológico , Encefalomielitis/veterinaria , Infusiones Intravenosas/veterinaria , Animales , Área Bajo la Curva , Citarabina/administración & dosificación , Enfermedades de los Perros/sangre , Perros , Encefalomielitis/sangre , Encefalomielitis/tratamiento farmacológico
3.
J Fish Dis ; 38(8): 739-54, 2015 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-25130771

RESUMEN

Molecular (PCR) diagnostic tests for the detection and identification of aquareovirus in general, and Tasmanian Atlantic salmon reovirus (TSRV) specifically, were developed, and their diagnostic sensitivity and specificity were determined and compared with virus isolation in cell culture. Intralaboratory and interlaboratory comparison of PCR (conventional hemi-nested RT-PCR & RT-qPCR) and virus isolation in cell culture using finfish cell lines, CHSE-214 and EPC, was carried out for the detection and identification of TSRV using field samples of farmed Atlantic salmon Salmo salar, L. from various aquaculture sites around Tasmania. The interlaboratory comparison of diagnostic methods was carried out between two laboratories, AAHL-CSIRO and DPIPWE-Tasmania. A total of 144 fish from nine sites (12-33 fish per site) were sampled from two regions of Tasmania (Tamar River estuary in the north and Huon River estuary in the south-east) during late spring to early summer of 2009, and the data were analysed using different statistical approaches. The prevalence of TSRV ranged from 6% to 22% in both regions. All the diagnostic methods (data from both laboratories) had high specificity, while the estimated sensitivity varied between tests with RT-qPCR being the most sensitive (95.2%) method followed by virus isolation and then conventional hemi-nested RT-PCR.


Asunto(s)
Acuicultura/métodos , Enfermedades de los Peces/diagnóstico , Reacción en Cadena de la Polimerasa/veterinaria , Infecciones por Reoviridae/veterinaria , Reoviridae/fisiología , Animales , Línea Celular , Enfermedades de los Peces/epidemiología , Enfermedades de los Peces/virología , Datos de Secuencia Molecular , Prevalencia , Reoviridae/genética , Infecciones por Reoviridae/diagnóstico , Infecciones por Reoviridae/epidemiología , Infecciones por Reoviridae/virología , Salmo salar/virología , Sensibilidad y Especificidad , Tasmania
4.
Nat Med ; 6(2): 151-8, 2000 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-10655102

RESUMEN

Trypsin and mast cell tryptase cleave proteinase-activated receptor 2 and, by unknown mechanisms, induce widespread inflammation. We found that a large proportion of primary spinal afferent neurons, which express proteinase-activated receptor 2, also contain the proinflammatory neuropeptides calcitonin gene-related peptide and substance P. Trypsin and tryptase directly signal to neurons to stimulate release of these neuropeptides, which mediate inflammatory edema induced by agonists of proteinase-activated receptor 2. This new mechanism of protease-induced neurogenic inflammation may contribute to the proinflammatory effects of mast cells in human disease. Thus, tryptase inhibitors and antagonists of proteinase-activated receptor 2 may be useful anti-inflammatory agents.


Asunto(s)
Inflamación/etiología , Receptores de Trombina/agonistas , Animales , Secuencia de Bases , Péptido Relacionado con Gen de Calcitonina/metabolismo , Quimasas , Sondas de ADN , Ganglios Espinales/metabolismo , Ganglios Espinales/patología , Humanos , Hibridación in Situ , Masculino , Neuronas/metabolismo , Ratas , Ratas Sprague-Dawley , Ratas Wistar , Receptor PAR-2 , Receptores de Trombina/metabolismo , Serina Endopeptidasas/metabolismo , Transducción de Señal , Sustancia P/metabolismo , Tripsina/metabolismo , Triptasas
5.
Mol Psychiatry ; 14(7): 681-95, 2009 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19153574

RESUMEN

Individual risk markers for depression and anxiety disorders have been identified but the explicit pathways that link genes and environment to these markers remain unknown. Here we examined the explicit interactions between the brain-derived neurotrophic factor (BDNF) Val66Met gene and early life stress (ELS) exposure in brain (amygdala-hippocampal-prefrontal gray matter volume), body (heart rate), temperament and cognition in 374 healthy European volunteers assessed for depression and anxiety symptoms. Brain imaging data were based on a subset of 89 participants. Multiple regression analysis revealed main effects of ELS for body arousal (resting heart rate, P=0.005) and symptoms (depression and anxiety, P<0.001) in the absence of main effects for BDNF. In addition, significant BDNF-ELS interactions indicated that BDNF Met carriers exposed to greater ELS have smaller hippocampal and amygdala volumes (P=0.013), heart rate elevations (P=0.0002) and a decline in working memory (P=0.022). Structural equation path modeling was used to determine if this interaction predicts anxiety and depression by mediating effects on the brain, body and cognitive measures. The combination of Met carrier status and exposure to ELS predicted reduced gray matter in hippocampus (P<0.001), and associated lateral prefrontal cortex (P<0.001) and, in turn, higher depression (P=0.005). Higher depression was associated with poorer working memory (P=0.005), and slowed response speed. The BDNF Met-ELS interaction also predicted elevated neuroticism and higher depression and anxiety by elevations in body arousal (P<0.001). In contrast, the combination of BDNF V/V genotype and ELS predicted increases in gray matter of the amygdala (P=0.003) and associated medial prefrontal cortex (P<0.001), which in turn predicted startle-elicited heart rate variability (P=0.026) and higher anxiety (P=0.026). Higher anxiety was linked to verbal memory, and to impulsivity. These effects were specific to the BDNF gene and were not evident for the related 5HTT-LPR polymorphism. Overall, these findings are consistent with the correlation of depression and anxiety, yet suggest that partially differentiated gene-brain cognition pathways to these syndromes can be identified, even in a nonclinical sample. Such findings may aid establishing an evidence base for more tailored intervention strategies.


Asunto(s)
Ansiedad , Nivel de Alerta/fisiología , Factor Neurotrófico Derivado del Encéfalo/genética , Encéfalo/patología , Depresión , Metionina/genética , Polimorfismo Genético/genética , Valina/genética , Adulto , Ansiedad/etiología , Ansiedad/genética , Ansiedad/patología , Mapeo Encefálico , Depresión/etiología , Depresión/genética , Depresión/patología , Femenino , Frecuencia Cardíaca/genética , Humanos , Imagen por Resonancia Magnética , Masculino , Memoria/fisiología , Persona de Mediana Edad , Modelos Biológicos , Vías Nerviosas/patología , Vías Nerviosas/fisiopatología , Pruebas Neuropsicológicas , Análisis de Regresión , Estrés Psicológico/complicaciones , Adulto Joven
6.
Eur Eat Disord Rev ; 18(3): 165-79, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-20443202

RESUMEN

We reviewed the evidence for emotion-related disturbances in anorexia nervosa (AN) from behavioural, cognitive, biological and genetic domains of study. These domains were brought together within the framework of an integrative neuroscience model that emphasizes the role of emotion and feeling and their regulation, in brain organization. PsychInfo and Medline searches were performed to identify published peer-reviewed papers on AN within each domain. This review revealed evidence for 'Emotion', 'Thinking and Feeling' and 'Self-regulation' disturbances in AN that span non-conscious to conscious processes. An integrative neuroscience framework was then applied to develop a model of AN, from which hypotheses for empirical investigation are generated. We propose that AN reflects a core disturbance in emotion at the earliest time stage of information processing with subsequent effects on the later stages of thinking, feeling and self-regulation.


Asunto(s)
Anorexia Nerviosa/fisiopatología , Encéfalo/fisiopatología , Anorexia Nerviosa/psicología , Emociones , Homeostasis , Humanos , Modelos Neurológicos , Pensamiento
7.
AJNR Am J Neuroradiol ; 39(8): 1390-1399, 2018 08.
Artículo en Inglés | MEDLINE | ID: mdl-29348136

RESUMEN

Resting-state fMRI was first described by Biswal et al in 1995 and has since then been widely used in both healthy subjects and patients with various neurologic, neurosurgical, and psychiatric disorders. As opposed to paradigm- or task-based functional MR imaging, resting-state fMRI does not require subjects to perform any specific task. The low-frequency oscillations of the resting-state fMRI signal have been shown to relate to the spontaneous neural activity. There are many ways to analyze resting-state fMRI data. In this review article, we will briefly describe a few of these and highlight the advantages and limitations of each. This description is to facilitate the adoption and use of resting-state fMRI in the clinical setting, helping neuroradiologists become familiar with these techniques and applying them for the care of patients with neurologic and psychiatric diseases.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/fisiología , Imagen por Resonancia Magnética/métodos , Humanos , Masculino , Descanso
8.
Endocrinology ; 148(12): 6073-82, 2007 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17872366

RESUMEN

In adults, the adipocyte-derived hormone, leptin, regulates food intake and body weight principally via the hypothalamic arcuate nucleus (ARC). During early postnatal development, leptin functions to promote the outgrowth of neuronal projections from the ARC, whereas a selective insensitivity to the effects of leptin on food intake appears to exist. To investigate the mechanisms underlying the inability of leptin to regulate food intake during early development, leptin signaling was analyzed both in vitro using primary cultures of rat embryonic ARC neurones and in vivo by challenging early postnatal rats with leptin. In neuronal cultures, despite the presence of key components of the leptin signaling pathway, no detectable activation of either signal transducer and activator of transcription 3 or the MAPK pathways by leptin was detected. However, leptin down-regulated mRNA levels of proopiomelanocortin and neuropeptide Y and decreased somatostatin secretion. Leptin challenge in vivo at postnatal d (P) 7, P14, P21, and P28 revealed that, in contrast to adult and P28 rats, mRNA levels of neuropeptide Y, proopiomelanocortin, agouti-related peptide and cocaine- and amphetamine-regulated transcript were largely unaffected at P7, P14, and P21. Furthermore, leptin stimulation increased the suppressor of cytokine signaling-3 mRNA levels at P14, P21, and P28 in several hypothalamic nuclei but not at P7, indicating that selective leptin insensitivity in the hypothalamus is coupled to developmental shifts in leptin receptor signaling. Thus, the present study defines the onset of leptin sensitivity in the regulation of energy homeostasis in the developing hypothalamus.


Asunto(s)
Núcleo Arqueado del Hipotálamo/efectos de los fármacos , Hipotálamo/efectos de los fármacos , Leptina/farmacología , Neuronas/efectos de los fármacos , Animales , Núcleo Arqueado del Hipotálamo/citología , Núcleo Arqueado del Hipotálamo/metabolismo , Western Blotting , Células Cultivadas , Femenino , Expresión Génica/efectos de los fármacos , Hipotálamo/crecimiento & desarrollo , Hipotálamo/metabolismo , Inmunohistoquímica , Hibridación in Situ , Masculino , Proteínas del Tejido Nervioso/metabolismo , Neuronas/citología , Neuronas/metabolismo , Neuropéptido Y/genética , Neuropéptido Y/metabolismo , Fosforilación/efectos de los fármacos , Proopiomelanocortina/genética , Proopiomelanocortina/metabolismo , ARN Mensajero/genética , ARN Mensajero/metabolismo , Ratas , Ratas Sprague-Dawley , Ratas Wistar , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Factor de Transcripción STAT3/metabolismo , Somatostatina/metabolismo , alfa-MSH/metabolismo
9.
J Clin Invest ; 97(12): 2833-41, 1996 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-8675695

RESUMEN

We have previously hypothesized that the pro-inflammatory cytokine TNF alpha has a pivotal role in the pathogenesis of rheumatoid arthritis (RA). It mediates its effects by cross-linking surface p55 TNF receptors (TNF-R), which can be proteolytically cleaved to yield soluble fragments. Upon binding TNF alpha soluble TNF-R (sTNF-R) can inhibit its function. We investigated the enzymatic nature of the proteases involved in TNF-R cleavage, and found that this process is blocked by a synthetic inhibitor of matrix metallo-proteinase activity (MMP), BB-2275. Inhibition of TNF-R cleavage was observed in a number of different cell types, as detected by retention of surface bound TNF receptor and by less sTNF-R released into the cell supernatant. The augmentation of surface TNF-R expression was of biological relevance as TNF alpha-mediated necrosis of human KYM.1D4 rhabdosarcoma cells was enhanced approximately 15-fold in the presence of BB-2275. The addition of BB-2275 to rheumatoid synovial membrane cell cultures totally inhibited MMP activity and also significantly reduced the levels of soluble TNF alpha (P < 0.006), p55 sTNF-R (P < 0.006), and p75 sTNF-R (P < 0.004). Paradoxically, despite the reduction in soluble TNF alpha levels, the production of IL-1 beta, IL-6, and IL-8, cytokines whose production was previously demonstrated to be inhibited by the addition of neutralizing anti-TNF alpha antibody were not down-regulated by BB-2275. These results raise the interesting possibility that a close relationship exits between the enzyme(s) which process membrane-bound TNF alpha, and those involved in surface TNF-R cleavage. Furthermore our observations suggest that hydroxamate inhibitors of MMP activity which block TNF alpha secretion and TNF-R cleavage may not modulate down-stream effects of TNA alpha, and as such suggest that the precise specificity of these compounds will be highly relevant to their clinical efficacy in inflammatory diseases.


Asunto(s)
Artritis Reumatoide/metabolismo , Ácidos Hidroxámicos/farmacología , Metaloendopeptidasas/antagonistas & inhibidores , Inhibidores de Proteasas/farmacología , Receptores del Factor de Necrosis Tumoral/antagonistas & inhibidores , Membrana Sinovial/metabolismo , Factor de Necrosis Tumoral alfa/antagonistas & inhibidores , Línea Celular , Humanos , Rabdomiosarcoma/patología , Factor de Necrosis Tumoral alfa/farmacología
10.
AJNR Am J Neuroradiol ; 28(2): 226-35, 2007 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-17296985

RESUMEN

BACKGROUND AND PURPOSE: Fractional anisotropy (FA) is a useful measure of connectivity in the brain that can be derived from the diffusion tensor imaging (DTI) dataset. This study investigated the relationship between FA and selected measures of cognition across a broad age group to explore a possible structural basis for cognitive changes with age. METHODS: FA images were generated from DTI data acquired at 1.5T in 87 healthy subjects (age range, 20-73 years). Relationships between a range of cognitive measures and FA were explored using regional and voxel-based analysis. RESULTS: Age and regional average FA were significantly associated in the frontal, parietal, and temporal lobes but not in the occipital lobe. This negative relationship was especially prominent in the prefrontal regions of the frontal lobe, where FA declined at a rate of approximately 3% per decade. Decreased FA in the frontal, temporal, and parietal lobes was associated with poorer cognitive performance in executive maze and in an attention-switching task. A voxel-level analysis of these data revealed that the executive function-FA association was particularly strong and regionally delineated over 2 continuous, bilateral areas extending from the prefrontal cortex to the parietal lobe, with projections to the anterior portions of the thalamus. CONCLUSIONS: We demonstrate a relationship between FA and a measure of executive function-a core cognitive component that is a key feature of cognitive aging. We propose that that FA may provide an early means for the detection of age-related cognitive change and suggest a need for prospective data to explore this association.


Asunto(s)
Envejecimiento/patología , Corteza Cerebral/patología , Cognición , Imagen de Difusión por Resonancia Magnética , Adulto , Anciano , Anisotropía , Imagen de Difusión por Resonancia Magnética/métodos , Femenino , Lóbulo Frontal/patología , Humanos , Masculino , Persona de Mediana Edad , Lóbulo Occipital/patología , Lóbulo Parietal/patología , Psicometría , Lóbulo Temporal/patología
11.
Biol Psychol ; 75(3): 229-38, 2007 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-17433528

RESUMEN

Neuroimaging shows brain-functional differences due to apolipoprotein E (APOE) polymorphisms may exist decades before the increased risk period for Alzheimer's disease, but little is known about their effect on cognition and brain function in children and young adults. This study assessed 415 healthy epsilon2 and epsilon4 carriers and matched epsilon3/epsilon3 controls, spanning ages 6-65, on a range of cognitive tests. Subjects were also compared on a new dynamical measure of EEG activity during a visual working memory task using alphabetical stimuli. epsilon4 subjects had better verbal fluency compared to epsilon3, an effect that was strongest in 51-65 year-olds. No epsilon4 deficits in cognition were found. In 6-15 year-olds, there were differences in total spatio-temporal wave activity between epsilon3 and epsilon4 subjects in the theta band, approximately 200ms post-stimulus. Differences in brain function in younger epsilon4 subjects and superior verbal fluency across the entire age range suggest that the APOE epsilon4 allele is an example of antagonistic pleiotropy.


Asunto(s)
Envejecimiento/genética , Alelos , Apolipoproteína E2/genética , Apolipoproteína E3/genética , Apolipoproteína E4/genética , Corteza Cerebral/fisiopatología , Cognición/fisiología , Electroencefalografía , Pruebas Neuropsicológicas , Polimorfismo Genético/genética , Adolescente , Adulto , Anciano , Envejecimiento/psicología , Enfermedad de Alzheimer/genética , Enfermedad de Alzheimer/fisiopatología , Niño , Femenino , Tamización de Portadores Genéticos , Humanos , Masculino , Memoria a Corto Plazo/fisiología , Persona de Mediana Edad , Procesamiento de Señales Asistido por Computador , Ritmo Teta , Conducta Verbal/fisiología
12.
Transl Psychiatry ; 7(10): e1248, 2017 10 17.
Artículo en Inglés | MEDLINE | ID: mdl-29039851

RESUMEN

Although advances in neuroimaging have yielded insights into the intrinsic organization of human brain networks and their relevance to psychiatric and neurological disorders, there has been no translation of these insights into clinical practice. One necessary step toward clinical translation is identifying a summary metric of network function that is reproducible, reliable, and has known normative data, analogous to normed neuropsychological tests. Our aim was therefore to establish the proof of principle for such a metric, focusing on the default mode network (DMN). We compared three candidate summary metrics: global clustering coefficient, characteristic path length, and average connectivity. Across three samples totaling 322 healthy, mostly Caucasian adults, average connectivity performed best, with good internal consistency (Cronbach's α=0.69-0.70) and adequate eight-week test-retest reliability (intra-class coefficient=0.62 in a subsample N=65). We therefore present normative data for average connectivity of the DMN and its sub-networks. These proof of principle results are an important first step for the translation of neuroimaging to clinical practice. Ultimately, a normed summary metric will allow a single patient's DMN function to be quantified and interpreted relative to normative peers.


Asunto(s)
Mapeo Encefálico/métodos , Encéfalo/anatomía & histología , Imagen por Resonancia Magnética , Adulto , Humanos , Procesamiento de Imagen Asistido por Computador , Masculino , Vías Nerviosas/anatomía & histología , Reproducibilidad de los Resultados , Investigación Biomédica Traslacional
13.
Br J Pharmacol ; 149(6): 666-75, 2006 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-17016504

RESUMEN

BACKGROUND AND PURPOSE: The chemokine receptor CCR1 is a potential target for the treatment of rheumatoid arthritis. To explore the impact of CCR1 blockade in experimental arthritis and the underlying mechanisms, we used J-113863, a non-peptide antagonist of the mouse receptor. EXPERIMENTAL APPROACH: Compound J-113863 was tested in collagen-induced arthritis (CIA) and three models of acute inflammation; Staphylococcus enterotoxin B (SEB)-induced interleukin-2 (IL-2), delayed-type hypersensitivity (DTH) response, and lipopolysaccharide (LPS)-induced tumour necrosis factoralpha (TNFalpha) production. In the LPS model, CCR1 knockout, adrenalectomised, or IL-10-depleted mice were also used. Production of TNFalpha by mouse macrophages and human synovial membrane samples in vitro were also studied. KEY RESULTS: Treatment of arthritic mice with J-113863 improved paw inflammation and joint damage, and dramatically decreased cell infiltration into joints. The compound did not inhibit IL-2 or DTH, but reduced plasma TNFalpha levels in LPS-treated mice. Surprisingly, CCR1 knockout mice produced more TNFalpha than controls in response to LPS, and J-113863 decreased TNFalpha also in CCR1 null mice, indicating that its effect was unrelated to CCR1. Adrenalectomy or neutralisation of IL-10 did not prevent inhibition of TNFalpha production by J-113863. The compound did not inhibit mouse TNFalpha in vitro, but did induce a trend towards increased TNFalpha release in cells from synovial membranes of rheumatoid arthritis patients. CONCLUSIONS AND IMPLICATIONS: CCR1 blockade improves the development of CIA, probably via inhibition of inflammatory cell recruitment. However, results from both CCR1-deficient mice and human synovial membranes suggest that, in some experimental settings, blocking CCR1 could enhance TNF production.


Asunto(s)
Artritis/tratamiento farmacológico , Receptores de Quimiocina/antagonistas & inhibidores , Factor de Necrosis Tumoral alfa/metabolismo , Xantenos/uso terapéutico , Animales , Masculino , Ratones , Ratones Endogámicos BALB C , Ratones Endogámicos C57BL , Ratones Endogámicos DBA , Receptores CCR1 , Xantenos/farmacocinética
15.
Transl Psychiatry ; 6(6): e847, 2016 06 28.
Artículo en Inglés | MEDLINE | ID: mdl-27351601

RESUMEN

Anxiety disorders are highly comorbid with each other and with other serious mental disorders. As our field progresses, we have the opportunity to pursue treatment study designs that consider these comorbidities. In this perspective review, we first characterized the prevalence of multiple anxiety disorder comorbidity by reanalyzing national survey data, then conducted an English-language PubMed search of studies analyzing the impact of exclusion criteria on treatment outcome data. In the prevalence data, 60% of people with an anxiety disorder had one or more additional anxiety or depression diagnosis. Because our commonly applied exclusion criteria focus on a single diagnosis and do not consider a multiple comorbidity profile, the impact of the criteria may be to exclude up to 92% of anxiety disorder treatment seekers. Moreover, the findings do not suggest a consistent relationship between the number of exclusion criteria and the effect size of treatment outcomes. Thus, future studies might consider a more trans-diagnostic rationale for determining exclusion criteria, one that is generalizable to real-world settings in which multiple diagnoses commonly co-occur. The findings also encourage a more systematic reporting of rationales for the choice of-and the implications of-each exclusion criterion.


Asunto(s)
Trastornos de Ansiedad/diagnóstico , Trastornos de Ansiedad/terapia , Trastorno Depresivo/diagnóstico , Trastorno Depresivo/terapia , Evaluación de Resultado en la Atención de Salud , Ansiolíticos/uso terapéutico , Trastornos de Ansiedad/clasificación , Trastornos de Ansiedad/psicología , Terapia Conductista , Terapia Combinada , Comorbilidad , Estudios Transversales , Trastorno Depresivo/clasificación , Trastorno Depresivo/psicología , Manual Diagnóstico y Estadístico de los Trastornos Mentales , Encuestas Epidemiológicas , Humanos , Tamizaje Masivo , Psicoterapia , Ensayos Clínicos Controlados Aleatorios como Asunto
16.
Transl Psychiatry ; 6: e799, 2016 May 03.
Artículo en Inglés | MEDLINE | ID: mdl-27138798

RESUMEN

Few reliable predictors indicate which depressed individuals respond to antidepressants. Several studies suggest that a history of early-life trauma predicts poorer response to antidepressant therapy but results are variable and limited in adults. The major goal of the present study was to evaluate the role of early-life trauma in predicting acute response outcomes to antidepressants in a large sample of well-characterized patients with major depressive disorder (MDD). The international Study to Predict Optimized Treatment for Depression (iSPOT-D) is a randomized clinical trial with enrollment from December 2008 to January 2012 at eight academic and nine private clinical settings in five countries. Patients (n=1008) meeting DSM-IV criteria for MDD and 336 matched healthy controls comprised the study sample. Six participants withdrew due to serious adverse events. Randomization was to 8 weeks of treatment with escitalopram, sertraline or venlafaxine with dosage adjusted by the participant's treating clinician per routine clinical practice. Exposure to 18 types of traumatic events before the age of 18 was assessed using the Early-Life Stress Questionnaire. Impact of early-life stressors-overall trauma 'load' and specific type of abuse-on treatment outcomes measures: response: (⩾50% improvement on the 17-item Hamilton Rating Scale for Depression, HRSD17 or on the 16-item Quick Inventory of Depressive Symptomatology-Self-Rated, QIDS_SR16) and remission (score ⩽7 on the HRSD17 and ⩽5 on the QIDS_SR16). Trauma prevalence in MDD was compared with controls. Depressed participants were significantly more likely to report early-life stress than controls; 62.5% of MDD participants reported more than two traumatic events compared with 28.4% of controls. The higher rate of early-life trauma was most apparent for experiences of interpersonal violation (emotional, sexual and physical abuses). Abuse and notably abuse occurring at ⩽7 years of age predicted poorer outcomes after 8 weeks of antidepressants, across the three treatment arms. In addition, the abuses occurring between ages 4 and 7 years differentially predicted the poorest outcome following the treatment with sertraline. Specific types of early-life trauma, particularly physical, emotional and sexual abuse, especially when occurring at ⩽7 years of age are important moderators of subsequent response to antidepressant therapy for MDD.


Asunto(s)
Antidepresivos/uso terapéutico , Maltrato a los Niños/psicología , Trastorno Depresivo Mayor/complicaciones , Trastorno Depresivo Mayor/tratamiento farmacológico , Estrés Psicológico/complicaciones , Estrés Psicológico/psicología , Adolescente , Adulto , Anciano , Niño , Trastorno Depresivo Mayor/psicología , Femenino , Humanos , Internacionalidad , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Resultado del Tratamiento , Adulto Joven
17.
Transl Psychiatry ; 6(11): e947, 2016 11 08.
Artículo en Inglés | MEDLINE | ID: mdl-27824356

RESUMEN

Although multiple studies have reported structural deficits in multiple brain regions in attention-deficit hyperactivity disorder (ADHD), we do not yet know if these deficits reflect a more systematic disruption to the anatomical organization of large-scale brain networks. Here we used a graph theoretical approach to quantify anatomical organization in children and adolescents with ADHD. We generated anatomical networks based on covariance of gray matter volumes from 92 regions across the brain in children and adolescents with ADHD (n=34) and age- and sex-matched healthy controls (n=28). Using graph theory, we computed metrics that characterize both the global organization of anatomical networks (interconnectivity (clustering), integration (path length) and balance of global integration and localized segregation (small-worldness)) and their local nodal measures (participation (degree) and interaction (betweenness) within a network). Relative to Controls, ADHD participants exhibited altered global organization reflected in more clustering or network segregation. Locally, nodal degree and betweenness were increased in the subcortical amygdalae in ADHD, but reduced in cortical nodes in the anterior cingulate, posterior cingulate, mid temporal pole and rolandic operculum. In ADHD, anatomical networks were disrupted and reflected an emphasis on subcortical local connections centered around the amygdala, at the expense of cortical organization. Brains of children and adolescents with ADHD may be anatomically configured to respond impulsively to the automatic significance of stimulus input without having the neural organization to regulate and inhibit these responses. These findings provide a novel addition to our current understanding of the ADHD connectome.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad/diagnóstico por imagen , Trastorno por Déficit de Atención con Hiperactividad/patología , Encéfalo/diagnóstico por imagen , Encéfalo/patología , Conectoma , Sustancia Gris/patología , Interpretación de Imagen Asistida por Computador , Imagen por Resonancia Magnética , Red Nerviosa/diagnóstico por imagen , Red Nerviosa/patología , Adolescente , Estudios de Casos y Controles , Niño , Femenino , Sustancia Gris/diagnóstico por imagen , Humanos , Masculino
18.
J Neuroendocrinol ; 17(3): 170-8, 2005 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-15796769

RESUMEN

Melatonin regulates circadian and seasonal physiology via melatonin receptors expressed in the brain. However, little is known about the signal transduction mechanisms that mediate the action of melatonin in neuronal cells. To begin to address this issue, we expressed the human MT(1) receptor in the human neuroblastoma SH-SY5Y cell line. In this cell line, melatonin acutely stimulated cAMP synthesis through a calcium-calmodulin dependent pathway. This stimulatory effect was independent of an interaction with G(i) or G(s) G proteins and dependent upon internal calcium stores. Melatonin also potentiated forskolin-activated cAMP synthesis. Differentiation of the neuroblastoma cells with retinoic acid to the neuronal phenotype did not alter the ability of melatonin to acutely stimulate cAMP. These data may be relevant to the neuronal action of melatonin and highlight the importance of the cellular context of expression of melatonin and other G protein-coupled receptors.


Asunto(s)
Proteínas Quinasas Dependientes de Calcio-Calmodulina/metabolismo , AMP Cíclico/metabolismo , Neuronas/metabolismo , Receptor de Melatonina MT1/metabolismo , Transducción de Señal/fisiología , Colforsina/farmacología , Activadores de Enzimas/farmacología , Proteínas de Unión al GTP/metabolismo , Humanos , Melatonina/fisiología , Neuroblastoma , Neuronas/efectos de los fármacos , Transducción de Señal/efectos de los fármacos , Transfección , Células Tumorales Cultivadas
19.
Endocrinology ; 128(4): 2083-90, 1991 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-1848509

RESUMEN

The maternal transfer of circadian rhythmicity and photoperiodic information to the fetus has been clearly demonstrated in several species, as has the importance of the pineal hormone, melatonin, in conveying this information. Maternal melatonin is known to readily cross the placenta and be taken up by the fetal brain. Specific melatonin receptors have been demonstrated in the rodent brain and pituitary from the 21st day of gestation. To better understand the mechanisms by which melatonin brings about the transfer of information to the fetus and to define the receptivity of the fetus to the melatonin signal, we have followed the ontogeny of central melatonin binding sites in the rat from the 13th day of gestation to 5 days after birth. The use of in vitro autoradiography allows for the precise localization of binding sites as well as their quantification. In the present study melatonin binding sites were first found on the 15th day of gestation, at which time specific binding was limited to the pituitary. At birth it was possible to identify a strong label in the pars tuberalis of the pituitary, whereas the pars distalis appeared to be less intensely and more unevenly labeled. Neuronal melatonin binding sites became apparent from day 17 of gestation in an area of the dorsal brain that in older fetuses and in neonatal rats appeared to be the paraventricular nucleus of the thalamus. Moreover, melatonin binding sites are identifiable over the suprachiasmatic nuclei from day 18 of gestation. These data show that the fetal pituitary may have the potential to respond to the maternal melatonin signal as early as the 15th day of gestation, and that the brain may attain that potential at the 17th or 18th day of gestation.


Asunto(s)
Encéfalo/embriología , Feto/metabolismo , Edad Gestacional , Melatonina/metabolismo , Hipófisis/embriología , Receptores de Neurotransmisores/metabolismo , Animales , Animales Recién Nacidos/metabolismo , Autorradiografía , Encéfalo/metabolismo , Femenino , Intercambio Materno-Fetal , Hipófisis/metabolismo , Embarazo , Ratas , Ratas Endogámicas , Receptores de Melatonina , Núcleo Supraquiasmático/embriología , Núcleo Supraquiasmático/metabolismo , Tálamo/embriología , Tálamo/metabolismo
20.
Biol Psychiatry ; 46(7): 963-9, 1999 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-10509179

RESUMEN

BACKGROUND: Impaired processing of faces in patients with schizophrenia may underlie aspects of disturbance in their social interaction. This study examined patterns of eye fixation in subjects with schizophrenia and non-psychiatric controls, while processing a high resolution picture of a neutral face and a nonbiological complex geometric stimulus. METHODS: Ten-second sequences of eye movement were recorded video-oculographically (50 samples/sec) while subjects were "free-viewing" the stimuli. An essential element of the study was customized software that ensured stimulus presentation on a video display only after subjects were fixated upon a centre-screen cue, so that all subjects began stimulus processing from the same point. RESULTS: Compared with the control group, subjects with schizophrenia exhibited reduced scanpath lengths and a tendency toward fewer fixations for the face stimulus. They also showed an initial relative right spatial hemineglect (for the first voluntary fixation) when viewing the Rey figure, but not when viewing the face stimulus. Overall, there were no significant differences between the schizophrenia and control groups in the lateral distribution of subsequent fixations for either stimulus. CONCLUSIONS: Disturbed spatial and temporal patterns of eye movement in some people with schizophrenia may reflect sub-optimal processing of face stimuli, that may predispose these individuals to dysfunctional interpretation of facial communication cues.


Asunto(s)
Atención , Movimientos Oculares , Expresión Facial , Relaciones Interpersonales , Esquizofrenia/diagnóstico , Psicología del Esquizofrénico , Adulto , Femenino , Fijación Ocular , Humanos , Masculino , Persona de Mediana Edad , Escalas de Valoración Psiquiátrica , Valores de Referencia
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