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1.
Appl Environ Microbiol ; 90(2): e0149223, 2024 02 21.
Artigo em Inglês | MEDLINE | ID: mdl-38299813

RESUMO

The rumen houses a diverse community that plays a major role in the digestion process in ruminants. Anaerobic gut fungi (AGF) are key contributors to plant digestion in the rumen. Here, we present a global amplicon-based survey of the rumen AGF mycobiome by examining 206 samples from 15 animal species, 15 countries, and 6 continents. The rumen AGF mycobiome was highly diverse, with 81 out of 88 currently recognized AGF genera or candidate genera identified. However, only six genera (Neocallimastix, Orpinomyces, Caecomyces, Cyllamyces, NY9, and Piromyces) were present at >4% relative abundance. AGF diversity was higher in members of the families Antilocapridae and Cervidae compared to Bovidae. Community structure analysis identified a pattern of phylosymbiosis, where host family (10% of total variance) and species (13.5%) partially explained the rumen mycobiome composition. As well, diet composition (9%-19%), domestication (11.14%), and biogeography (14.1%) also partially explained AGF community structure; although sampling limitation, geographic range restrictions, and direct association between different factors hindered accurate elucidation of the relative contribution of each factor. Pairwise comparison of rumen and fecal samples obtained from the same subject (n = 13) demonstrated greater diversity and inter-sample variability in rumen versus fecal samples. The genera Neocallimastix and Orpinomyces were present in higher abundance in rumen samples, while Cyllamyces and Caecomyces were enriched in fecal samples. Comparative analysis of global rumen and feces data sets revealed a similar pattern. Our results provide a global view of AGF community in the rumen and identify patterns of AGF variability between rumen and feces in herbivores Gastrointestinal (GI) tract.IMPORTANCERuminants are highly successful and economically important mammalian suborder. Ruminants are herbivores that digest plant material with the aid of microorganisms residing in their GI tract. In ruminants, the rumen compartment represents the most important location where microbially mediated plant digestion occurs, and is known to house a bewildering array of microbial diversity. An important component of the rumen microbiome is the anaerobic gut fungi (AGF), members of the phylum Neocallimastigomycota. So far, studies examining AGF diversity have mostly employed fecal samples, and little is currently known regarding the identity of AGF residing in the rumen compartment, factors that impact the observed patterns of diversity and community structure of AGF in the rumen, and how AGF communities in the rumen compare to AGF communities in feces. Here, we examined the rumen AGF diversity using an amplicon-based survey targeting a wide range of wild and domesticated ruminants (n = 206, 15 different animal species) obtained from 15 different countries. Our results demonstrate that while highly diverse, no new AGF genera were identified in the rumen mycobiome samples examined. Our analysis also indicate that animal host phylogeny, diet, biogeography, and domestication status could play a role in shaping AGF community structure. Finally, we demonstrate that a greater level of diversity and higher inter-sample variability was observed in rumen compared to fecal samples, with two genera (Neocallimastix and Orpinomyces) present in higher abundance in rumen samples, and two others (Cyllamyces and Caecomyces) enriched in fecal samples. Our results provide a global view of the identity, diversity, and community structure of AGF in ruminants, elucidate factors impacting diversity and community structure of the rumen mycobiome, and identify patterns of AGF community variability between the rumen and feces in the herbivorous GI tract.


Assuntos
Cervos , Rúmen , Humanos , Animais , Anaerobiose , Rúmen/microbiologia , Herbivoria , Fungos/genética , Ruminantes
2.
Child Adolesc Ment Health ; 29(1): 56-69, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-36625166

RESUMO

BACKGROUND: At least half of all young people who die by suicide have previously self-harmed and most of those who self-harm will not seek help from health services for self-harming behaviours. By default, schools, colleges and universities necessarily play a key role in identifying those who self-harm and supporting them to access help. METHODS: We conducted a systematic review (PROSPERO ID: CRD42021243692) of five databases (Medline, PsycINFO, ASSIA, ERIC and BEI) for quantitative studies evaluating interventions to reduce self-harm among students in schools, colleges and universities. RESULTS: We identified six eligible studies that reported interventions. Two interventions used mindfulness-based approaches and the remaining four interventions focused on in-classroom education. Three interventions reported a significant reduction in self-harm, all three used in-classroom education. Of the six studies, one study was rated methodologically moderate, while the remaining five were weak. CONCLUSION: In summary, the evidence base is limited in size and quality. Most current interventions to address self-harm in schools focus on training staff in awareness, with a significant gap in direct support for students.


Assuntos
Comportamento Autodestrutivo , Estudantes , Adolescente , Humanos , Instituições Acadêmicas , Comportamento Autodestrutivo/prevenção & controle , Universidades
3.
Nat Genet ; 39(1): 93-8, 2007 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-17143284

RESUMO

Mcm4 (minichromosome maintenance-deficient 4 homolog) encodes a subunit of the MCM2-7 complex (also known as MCM2-MCM7), the replication licensing factor and presumptive replicative helicase. Here, we report that the mouse chromosome instability mutation Chaos3 (chromosome aberrations occurring spontaneously 3), isolated in a forward genetic screen, is a viable allele of Mcm4. Mcm4(Chaos3) encodes a change in an evolutionarily invariant amino acid (F345I), producing an apparently destabilized MCM4. Saccharomyces cerevisiae strains that we engineered to contain a corresponding allele (resulting in an F391I change) showed a classical minichromosome loss phenotype. Whereas homozygosity for a disrupted Mcm4 allele (Mcm4(-)) caused preimplantation lethality, Mcm(Chaos3/-) embryos died late in gestation, indicating that Mcm4(Chaos3) is hypomorphic. Mutant embryonic fibroblasts were highly susceptible to chromosome breaks induced by the DNA replication inhibitor aphidicolin. Most notably, >80% of Mcm4(Chaos3/Chaos3) females succumbed to mammary adenocarcinomas with a mean latency of 12 months. These findings suggest that hypomorphic alleles of the genes encoding the subunits of the MCM2-7 complex may increase breast cancer risk.


Assuntos
Adenocarcinoma/genética , Instabilidade Cromossômica/genética , DNA Helicases/genética , Neoplasias Mamárias Animais/genética , Sequência de Aminoácidos , Animais , Células Cultivadas , Mapeamento Cromossômico , Análise Mutacional de DNA , Feminino , Viabilidade Fetal/genética , Masculino , Camundongos , Camundongos Endogâmicos C3H , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Componente 4 do Complexo de Manutenção de Minicromossomo , Dados de Sequência Molecular , Homologia de Sequência de Aminoácidos
4.
J Contin Educ Nurs ; 45(11): 487-93; quiz 494-5, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25347087

RESUMO

In the current complex health care environment, nurses in all practice settings are called on to be leaders in advocating for a healthier future. Health care reform, the rise of the evidence-based practice movement, and the proliferation of new educational options are opening opportunities as never before for nurses to expand their leadership capacity to an interprofessional level. This interpretive phenomenological study conducted with eight nurse participants describes their experience of becoming an interprofessional leader. A team of three nurse researchers interpreted the texts individually and collectively. Interview texts were analyzed hermeneutically to uncover the common shared experience of moving toward common ground with interprofessional leadership as a process, one that not only took time, but also called for self-reflection, deliberate actions, and a new mind-set. This study develops the evidence base for leadership preparation at a time when there is a strong need for interprofessional leaders and educators in health care.


Assuntos
Atitude do Pessoal de Saúde , Relações Interprofissionais , Liderança , Enfermeiros Administradores/psicologia , Supervisão de Enfermagem , Adulto , Comportamento Cooperativo , Educação Continuada em Enfermagem , Feminino , Humanos , Masculino , Pesquisa Metodológica em Enfermagem
5.
Viruses ; 14(7)2022 07 07.
Artigo em Inglês | MEDLINE | ID: mdl-35891467

RESUMO

African swine fever virus is currently present in all of the world's continents apart from Antarctica, and efforts to control the disease are hampered by the lack of a commercially available vaccine. The Babraham large white pig is a highly inbred line that could represent a powerful tool to improve our understanding of the protective immune responses to this complex pathogen; however, previous studies indicated differential vaccine responses after the African swine fever virus challenge of inbred minipigs with different swine leukocyte antigen haplotypes. Lymphocyte numbers and African swine fever virus-specific antibody and T-cell responses were measured in inbred and outbred animals after inoculation with a low virulent African swine fever virus isolate and subsequent challenge with a related virulent virus. Surprisingly, diminished immune responses were observed in the Babraham pigs when compared to the outbred animals, and the inbred pigs were not protected after challenge. Recovery of Babraham pigs after challenge weakly correlated with antibody responses, whereas protective responses in outbred animals more closely correlated with the T-cell response. The Babraham pig may, therefore, represent a useful model for studying the role of antibodies in protection against the African swine fever virus.


Assuntos
Vírus da Febre Suína Africana , Febre Suína Africana , Vacinas Virais , Animais , Imunidade Humoral , Imunização , Suínos , Porco Miniatura
6.
Nat Cell Biol ; 5(10): 928-35, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-14502293

RESUMO

Cells divide with remarkable fidelity, allowing complex organisms to develop and possess longevity. Checkpoint controls contribute by ensuring that genome duplication and segregation occur without error so that genomic instability, associated with developmental abnormalities and a hallmark of most human cancers, is avoided. S-phase checkpoints prevent cell division while DNA is replicating. Budding yeast Mec1p and Rad53p, homologues of human checkpoint kinases ATM/ATR and Chk2, are needed for this control system. How Mec1p and Rad53p prevent mitosis in S phase is not known. Here we provide evidence that budding yeasts avoid mitosis during S phase by regulating the anaphase-promoting complex (APC) specificity factor Cdc20p: Mec1p and Rad53p repress the accumulation of Cdc20p in S phase. Because precocious Cdc20p accumulation causes anaphase onset and aneuploidy, Cdc20p concentrations must be precisely regulated during each and every cell cycle. Catastrophic mitosis induced by Cdc20p in S phase occurs even in the absence of core APC components. Thus, Cdc20p can function independently of the APC.


Assuntos
Proteínas de Ciclo Celular/metabolismo , Genes cdc , Fase S/fisiologia , Complexos Ubiquitina-Proteína Ligase/metabolismo , Ciclossomo-Complexo Promotor de Anáfase , Proteínas Cdc20 , Proteínas de Ciclo Celular/genética , Quinase do Ponto de Checagem 2 , Proteínas Fúngicas/genética , Proteínas Fúngicas/metabolismo , Genes Fúngicos , Humanos , Peptídeos e Proteínas de Sinalização Intracelular , Proteínas Serina-Treonina Quinases/genética , Proteínas Serina-Treonina Quinases/metabolismo , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Fuso Acromático/metabolismo , Complexos Ubiquitina-Proteína Ligase/genética
7.
Mol Biol Cell ; 18(2): 557-68, 2007 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-17151360

RESUMO

Although chromosome condensation in the yeast Saccharomyces cerevisiae has been widely studied, visualization of this process in vivo has not been achieved. Using Lac operator sequences integrated at two loci on the right arm of chromosome IV and a Lac repressor-GFP fusion protein, we were able to visualize linear condensation of this chromosome arm during G2/M phase. As previously determined in fixed cells, condensation in yeast required the condensin complex. Not seen after fixation of cells, we found that topoisomerase II is required for linear condensation. Further analysis of perturbed mitoses unexpectedly revealed that condensation is a transient state that occurs before anaphase in budding yeast. Blocking anaphase progression by activation of the spindle assembly checkpoint caused a loss of condensation that was dependent on Mad2, followed by a delayed loss of cohesion between sister chromatids. Release of cells from spindle checkpoint arrest resulted in recondensation before anaphase onset. The loss of condensation in preanaphase-arrested cells was abrogated by overproduction of the aurora B kinase, Ipl1, whereas in ipl1-321 mutant cells condensation was prematurely lost in anaphase/telophase. In vivo analysis of chromosome condensation has therefore revealed unsuspected relationships between higher order chromatin structure and cell cycle control.


Assuntos
Segregação de Cromossomos , Cromossomos Fúngicos/ultraestrutura , Saccharomyces cerevisiae/genética , Saccharomyces cerevisiae/ultraestrutura , Adenosina Trifosfatases/metabolismo , Aurora Quinases , Proteínas de Bactérias/análise , Proteínas de Bactérias/genética , Proteínas de Ciclo Celular/genética , Proteínas de Ciclo Celular/metabolismo , Divisão Celular , Cromossomos Fúngicos/metabolismo , DNA Topoisomerases Tipo II/genética , DNA Topoisomerases Tipo II/metabolismo , Proteínas de Ligação a DNA/metabolismo , Fase G2 , Proteínas de Fluorescência Verde/análise , Proteínas de Fluorescência Verde/genética , Peptídeos e Proteínas de Sinalização Intracelular , Repressores Lac , Proteínas Mad2 , Complexos Multiproteicos/metabolismo , Mutação , Proteínas Nucleares/genética , Proteínas Nucleares/metabolismo , Regiões Operadoras Genéticas , Proteínas Quinases/genética , Proteínas Quinases/metabolismo , Proteínas Serina-Treonina Quinases , Proteínas Repressoras/análise , Proteínas Repressoras/genética , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Fuso Acromático
8.
Mutat Res ; 666(1-2): 74-8, 2009 Jun 18.
Artigo em Inglês | MEDLINE | ID: mdl-19481678

RESUMO

Origin licensing builds a fundamental basis for genome stability in DNA replication. Recent studies reported that deregulation of origin licensing is associated with replication stress in precancerous lesions. The heterohexameric complex of minichromosome maintenance proteins (MCM2-7 complex) plays an essential role in origin licensing. Previously, we reported the recovery of the first viable Mcm mutant allele (named Mcm4(Chaos3)) in mice. The Mcm4(Chaos3) allele destabilizes the MCM2-7 complex, leading to chromosome instability and the formation of spontaneous tumors in Mcm4(Chaos3) homozygous mice. Supporting our finding, a recent study reported that mice with reduced expression of MCM2 die with lymphomas within the first few months after birth. These data strongly suggest that mutant Mcm2-7 genes are cancer-causing genes with nearly complete penetrance in mice. This could be the case for humans as well. Nevertheless, related investigations have not been undertaken due to the essential nature of the MCM2-7 genes. To circumvent this problem, we focused on the variant alleles of human MCM2-7 genes derived from single nucleotide polymorphisms. We created a total of 14 variant alleles in the corresponding genes in Saccharomyces cerevisiae. The phenotypic consequence was assayed for minichromosome loss, a surrogate phenotype for genome instability and cancer susceptibility. This screen identified a MCM5 variant allele with pathogenic potential. This allele deserves further investigations on its effect on cancer development in human populations.


Assuntos
Proteínas de Ciclo Celular/genética , Proteínas Nucleares/genética , Polimorfismo de Nucleotídeo Único , Origem de Replicação , Instabilidade Cromossômica , Suscetibilidade a Doenças , Proteínas Fúngicas , Humanos , Componente 2 do Complexo de Manutenção de Minicromossomo , Modelos Biológicos , Mutação , Proteínas de Saccharomyces cerevisiae/genética
9.
Aust Fam Physician ; 36(10): 867-9, 2007 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-17925912

RESUMO

BACKGROUND: Despite the links between aging and sexual dysfunction, the majority of adults continue to be sexually active well into their later years. Conditions such as erectile dysfunction however, present one of many obstacles to maintaining a healthy sex life. Given the sensitive nature of sexual difficulties, many men are reluctant to seek medical advice. It is therefore essential that general practitioners are equipped to discuss and provide unbiased advice and treatment for men of all ages. OBJECTIVE: This article reviews current knowledge regarding GP approaches to sexuality and the older man. DISCUSSION: Findings suggest that broader cultural beliefs about age appropriate sexuality are evident in general practice. Asking about sexual health remains a low priority for many GPs, particularly when it comes to older patients. Further education is needed to raise professional awareness about the importance of healthy sexuality in aging.


Assuntos
Atitude do Pessoal de Saúde , Disfunção Erétil , Conhecimentos, Atitudes e Prática em Saúde , Nível de Saúde , Percepção , Médicos de Família , Comportamento Sexual , Fatores Etários , Envelhecimento/fisiologia , Humanos , Masculino
10.
Cell Cycle ; 3(3): 276-9, 2004 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-14726678

RESUMO

The Anaphase Promoting Complex/Cyclosome (APC/C) is an E3 ubiquitin ligase that covalently attaches ubiquitins onto proteins to target them for proteolysis by the 26S proteasome. During mitosis, the APC/C is instrumental in allowing the cell to enter and exit from mitosis. The APC/C accomplishes this by using different specificity factors to recognize, interact with, and ubiquitylate key proteins that block cell cycle progression. The specificity factors, Cdc20p and Cdh1p, are not always associated with the APC/C and indeed they have the ability to interact with substrates in isolation. The molecular events that take place in order for Cdc20p and Cdh1p to couple substrates and APC/C are currently being resolved. Meanwhile, evidence has emerged suggesting that at least one of the specificity factors, Cdc20p, might be capable of functioning independently of the APC/C.


Assuntos
Proteínas de Ciclo Celular/metabolismo , Fase S , Proteínas de Saccharomyces cerevisiae/metabolismo , Ciclossomo-Complexo Promotor de Anáfase , Animais , Proteínas Cdc20 , Proteínas de Ciclo Celular/genética , Replicação do DNA , Mitose , Fosforilação , Proteínas de Saccharomyces cerevisiae/genética , Complexos Ubiquitina-Proteína Ligase/metabolismo
11.
Cardiovasc Res ; 59(1): 46-56, 2003 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-12829175

RESUMO

OBJECTIVE: Our goal was to determine if the MKK6-p38 MAPK pathway regulates cardiac intracellular calcium ([Ca(2+)](i)). We also tested if MKK6 might influence expression of SERCA2, a calcium regulatory molecule involved in relaxation, and the activity of nuclear factor of activated T-cells (NF-AT), a calcium-regulated transcription factor that participates in pathological responses to pressure-overload. METHODS: Neonatal rat ventricular myocytes were transfected with MKK6(Glu), an activator of p38 MAPK. Green fluorescent protein (GFP) was used as transfection marker and [Ca(2+)](i) was evaluated via indo-1. SERCA2 expression was assayed via Northern and Western techniques. The activity of the rat SERCA2 gene promoter and NF-AT-dependent gene expression were monitored with reporter genes. Myocyte contractility was regulated by electrical pacing. RESULTS: MKK6(Glu) prolonged decay of the contractile calcium transients, downregulated SERCA2 expression, and reduced the activity of the rat SERCA2 gene promoter. Diastolic [Ca(2+)](i) in myocytes pacing at 1-2 Hz was dramatically increased by MKK6(Glu). NF-AT-dependent gene expression was activated by MKK6(Glu) and by pacing of contractions in a synergistic manner. Overexpression of SERCA2 mitigated the effects of MKK6(Glu) on [Ca(2+)](i) and NF-AT. CONCLUSIONS: The MKK6(Glu)-p38 MAPK pathway prolongs the decay phase of the cardiac contractile calcium by downregulating SERCA2, increasing diastolic [Ca(2+)](i) which activates NF-AT. The ability of SERCA2 over-expression to reduce NF-AT activity represents a potential novel therapeutic effect of SERCA2 that should be further considered in the development of cardiac gene therapy strategies.


Assuntos
Proteínas Quinases Dependentes de Cálcio-Calmodulina/metabolismo , ATPases Transportadoras de Cálcio/metabolismo , Proteínas de Ligação a DNA/metabolismo , Sistema de Sinalização das MAP Quinases , Proteínas Quinases Ativadas por Mitógeno/metabolismo , Miócitos Cardíacos/metabolismo , Proteínas Nucleares , Fatores de Transcrição/metabolismo , Animais , Animais Recém-Nascidos , Cálcio/metabolismo , Proteínas Quinases Dependentes de Cálcio-Calmodulina/genética , ATPases Transportadoras de Cálcio/genética , Células Cultivadas , Proteínas de Ligação a DNA/genética , Estimulação Elétrica , Expressão Gênica , Proteínas de Fluorescência Verde , Processamento de Imagem Assistida por Computador , Proteínas Luminescentes/genética , MAP Quinase Quinase 6 , Microscopia de Fluorescência , Proteínas Quinases Ativadas por Mitógeno/genética , Fatores de Transcrição NFATC , RNA Mensageiro/análise , Ratos , ATPases Transportadoras de Cálcio do Retículo Sarcoplasmático , Fatores de Transcrição/genética , Transfecção , Proteínas Quinases p38 Ativadas por Mitógeno
12.
Environ Mol Mutagen ; 39(2-3): 96-101, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11921175

RESUMO

In this report, we present the results of surveys administered to participants and nonparticipants in the Carolina Breast Cancer Study (CBCS). Surveys and structured interviews were administered to determine women's concerns regarding participation in research studies, access to health care, and beliefs regarding causes of breast cancer. Survey results showed the highest concern for the growing number of women diagnosed with breast cancer in North Carolina and potential environmental agents that may cause breast cancer. Negative responses were noted for time constraints related to participation and lack of familiarity with epidemiologic research; another concern noted was the lack of centralized information regarding breast cancer treatment. These issues were addressed by (1) developing a web site that provided background information about the CBCS, summaries of published study results, and information about the etiology of breast cancer; and (2) creating a statewide, comprehensive breast cancer resource directory for women who need information about breast cancer diagnosis, treatment, and support. These two projects were carried out in collaboration with breast cancer advocates, and demonstrate the important role that advocates can play in making epidemiologic research more responsive to the needs of communities.


Assuntos
Neoplasias da Mama/epidemiologia , Projetos de Pesquisa Epidemiológica , Estudos Epidemiológicos , Avaliação das Necessidades/estatística & dados numéricos , Participação do Paciente/estatística & dados numéricos , Adulto , Idoso , Neoplasias da Mama/psicologia , Neoplasias da Mama/terapia , Redes de Comunicação de Computadores , Feminino , Recursos em Saúde , Acessibilidade aos Serviços de Saúde , Humanos , Pessoa de Meia-Idade , North Carolina/epidemiologia , Educação de Pacientes como Assunto , Características de Residência/estatística & dados numéricos , Inquéritos e Questionários , Saúde da Mulher
13.
Aust Fam Physician ; 32(6): 462-5, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12833775

RESUMO

BACKGROUND: Despite evidence that men believe the general practitioner is an appropriate person to assist with sexual health issues, few men actually access medical practitioners for such assistance. Raising community awareness of male sexual and reproductive health issues is expected to generate a clinical demand for men's health services. OBJECTIVE: The aim of this study was to determine GP perceptions of their own education needs and those of the community in the area of men's health. DISCUSSION: A total of 27 GPs from four Victorian divisions of general practice (three metropolitan and one rural) participated in three focus groups. Key themes from the data were identified after analysis of the data by three researchers. General practitioners indicated that a clinical demand for men's health services needed to be generated in order for GPs to be interested in professional development. They suggested community education providing general information to men about sexual and reproductive health issues and emphasising the importance of accessing their GP for health checks. However, due to a lack of information for GPs about some areas of male sexual and reproductive health, e.g., androgen deficiency and male infertility, a case based practical approach to GP education was recommended. General practitioners also requested concrete information, current specialist recommendations and details of locally available services working in men's health.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Promoção da Saúde/tendências , Avaliação das Necessidades , Educação de Pacientes como Assunto/tendências , Médicos de Família/psicologia , Adolescente , Adulto , Grupos Focais , Pesquisas sobre Atenção à Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Médicos de Família/educação , Médicos de Família/normas , Padrões de Prática Médica , Medicina Reprodutiva , Aconselhamento Sexual , Inquéritos e Questionários , Vitória
14.
Pancreas ; 42(4): 596-600, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23548879

RESUMO

OBJECTIVE: We aimed to determine if intravenous synthetic human secretin (sHS) improves refractory type B pain in patients with chronic pancreatitis (CP). METHODS: In a phase II dose escalation trial, patients with CP received sHS of varying doses (0.05-0.8 µg/kg) for 3 days. The primary outcomes were changes in the visual analogue pain score (VAS), short form (SF)-36, and opiate use from baseline at 30 days after infusion. RESULTS: Twelve patients (mean age, 42 years, 6 men) were included. Mean pain scores (VAS) were 5.79, 4.80, 4.72, and 4.90, at baseline, day 4, day 10, and day 30, respectively (P = 0.25, 0.19, and 0.27 when compared with baseline, respectively). Daily opiate use (oral morphine equivalents) decreased throughout the study from a baseline value of 136 to 111 mg on day 4 (P = 0.52) and to 104 mg on day 30 (P = 0.34). In subgroup analysis, women had the most improvement (VAS baseline, 5.42 vs. VAS day 30, 3.67; P = 0.07; baseline morphine equivalents, 107 mg vs. 84 mg; P = 0.21). CONCLUSIONS: In patients, especially women, with refractory type B pain from CP, intravenous sHS administration demonstrated a trend toward improvement in self-reported pain and opiate use at 30 days after infusion, although statistical significance was not achieved (clinicaltrials.gov registration number NCT01265875).


Assuntos
Dor Intratável/tratamento farmacológico , Dor Intratável/fisiopatologia , Pancreatite Crônica/tratamento farmacológico , Pancreatite Crônica/fisiopatologia , Secretina/administração & dosagem , Adulto , Analgésicos Opioides/administração & dosagem , Feminino , Humanos , Infusões Intravenosas , Masculino , Pessoa de Meia-Idade , Medição da Dor , Estudos Prospectivos , Secretina/efeitos adversos
16.
BMJ ; 354: i4020, 2016 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-27448431
18.
J Biomech ; 42(9): 1263-9, 2009 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-19375706

RESUMO

This study investigated whether points digitized for the purpose of embedding coordinate systems into the foot accurately represented the orientation of the bone described. Eight complete data sets were collected from 9 adult cadaver specimens. Palpable landmarks defined 5 segments to include the calcaneus, navicular, medial cuneiform, first metatarsal, and hallux. With use of the Flock of Birds electromagnetic motion tracking device, a single examiner digitized a minimum of 3 points for each segment. Coordinate definitions followed the right-hand rule, with left-sided data converted to right-sided equivalency. Local axes were created where X projected approximately forward, Y upward, and Z laterally. Matrix transformation computations calculated the angular precision in degrees between coordinates built from points digitized pre- and post-dissection of surface tissues covering bone. The condition of post-dissection was considered the criterion standard for comparison. Change about the X-axis represented the angular precision of the coordinate in the frontal anatomical plane; Y-axis in the transverse plane; Z-axis in the sagittal plane. The calcaneus and navicular coordinate axes changed by an average of <3 degrees across conditions. Mean coordinate angulation of the cuneiform X, Y, Z axes changed by 6.0 degrees , 4.6 degrees , 11.9 degrees , respectively. Change in coordinate angulation was largest for the X-axis at the first metatarsal (48.6 degrees ) and hallux (36.5 degrees ). A two-way repeated measures ANOVA found a significant interaction between the axis and segment (F=8.87, P=0.00). Tukey post-hoc comparisons indicated the change in coordinate angulation at the X-axis for the cuneiform, metatarsal, and hallux to be significantly different (P <0.05) from the calcaneus and navicular. The X-axis of the first metatarsal and hallux was different from all other axis-segment combinations except for the Z-axis of the cuneiform. Differences in locating landmarks reduced angular precision of the coordinate axes most in the smallest foot segments where points digitized were located close together. We can recommend the proposed landmarks for the calcaneus and navicular segments, but kinematics determined about the coordinate axes for the small sized medial cuneiform, and the long (X) axis for the first metatarsal and hallux have excessive error.


Assuntos
Pé/anatomia & histologia , Modelos Biológicos , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
19.
Cell Cycle ; 5(17): 1925-8, 2006 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-16940751

RESUMO

Checkpoint controls confer order to the cell cycle and help prevent genome instability. Here we discuss the Topoisomerase II (Decatenation) Checkpoint which functions to regulate mitotic progression so that chromosomes can be efficiently condensed in prophase and can be segregated with high fidelity in anaphase.


Assuntos
DNA Topoisomerases Tipo II/metabolismo , Mitose , Cromossomos Humanos/ultraestrutura , Dicetopiperazinas , Inibidores Enzimáticos/farmacologia , Deleção de Genes , Humanos , Proteínas de Neoplasias/genética , Piperazinas/farmacologia , Securina , Inibidores da Topoisomerase II
20.
Genes Dev ; 20(9): 1162-74, 2006 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-16651657

RESUMO

Topoisomerase II (Topo II) performs topological modifications on double-stranded DNA molecules that are essential for chromosome condensation, resolution, and segregation. In mammals, G2 and metaphase cell cycle delays induced by Topo II poisons have been proposed to be the result of checkpoint activation in response to the catenation state of DNA. However, the apparent lack of such controls in model organisms has excluded genetic proof that Topo II checkpoints exist and are separable from the conventional DNA damage checkpoint controls. But here, we define a Topo II-dependent G2/M checkpoint in a genetically amenable eukaryote, budding yeast, and demonstrate that this checkpoint enhances cell survival. Conversely, a lack of the checkpoint results in aneuploidy. Neither DNA damage-responsive pathways nor Pds1/securin are needed for this checkpoint. Unusually, spindle assembly checkpoint components are required for the Topo II checkpoint, but checkpoint activation is not the result of failed chromosome biorientation or a lack of spindle tension. Thus, compromised Topo II function activates a yeast checkpoint system that operates by a novel mechanism.


Assuntos
Proteínas de Ciclo Celular/fisiologia , DNA Topoisomerases Tipo II/fisiologia , Instabilidade Genômica , Mitose , Proteínas Nucleares/fisiologia , Proteínas de Saccharomyces cerevisiae/fisiologia , Saccharomyces cerevisiae/fisiologia , Ciclossomo-Complexo Promotor de Anáfase , Proteínas de Ciclo Celular/genética , Proteínas de Ciclo Celular/metabolismo , Cromossomos Fúngicos , Dano ao DNA , DNA Topoisomerases Tipo II/genética , Endopeptidases/genética , Endopeptidases/metabolismo , Fase G2 , Mutação , Proteínas Nucleares/genética , Proteínas Tirosina Quinases/genética , Proteínas Tirosina Quinases/metabolismo , Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/genética , Proteínas de Saccharomyces cerevisiae/metabolismo , Securina , Separase , Complexos Ubiquitina-Proteína Ligase/genética , Complexos Ubiquitina-Proteína Ligase/metabolismo
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