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1.
Nature ; 516(7531): 370-3, 2014 Dec 18.
Artigo em Inglês | MEDLINE | ID: mdl-25519134

RESUMO

The technological appeal of multiferroics is the ability to control magnetism with electric field. For devices to be useful, such control must be achieved at room temperature. The only single-phase multiferroic material exhibiting unambiguous magnetoelectric coupling at room temperature is BiFeO3 (refs 4 and 5). Its weak ferromagnetism arises from the canting of the antiferromagnetically aligned spins by the Dzyaloshinskii-Moriya (DM) interaction. Prior theory considered the symmetry of the thermodynamic ground state and concluded that direct 180-degree switching of the DM vector by the ferroelectric polarization was forbidden. Instead, we examined the kinetics of the switching process, something not considered previously in theoretical work. Here we show a deterministic reversal of the DM vector and canted moment using an electric field at room temperature. First-principles calculations reveal that the switching kinetics favours a two-step switching process. In each step the DM vector and polarization are coupled and 180-degree deterministic switching of magnetization hence becomes possible, in agreement with experimental observation. We exploit this switching to demonstrate energy-efficient control of a spin-valve device at room temperature. The energy per unit area required is approximately an order of magnitude less than that needed for spin-transfer torque switching. Given that the DM interaction is fundamental to single-phase multiferroics and magnetoelectrics, our results suggest ways to engineer magnetoelectric switching and tailor technologically pertinent functionality for nanometre-scale, low-energy-consumption, non-volatile magnetoelectronics.

2.
J Endovasc Ther ; 24(3): 355-366, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28393673

RESUMO

PURPOSE: To evaluate the safety and efficacy of a novel optical coherence tomography (OCT)-guided atherectomy catheter in treating patients with symptomatic femoropopliteal disease. METHODS: The VISION trial ( ClinicalTrials.gov identifier NCT01937351) was a single-arm, multicenter, global investigational device exemption study enrolling 158 subjects (mean age 67.2±10.5 years; 87 men) across 20 participating sites. In this cohort, 198 lesions were treated with an average length of 53±40 mm using the Pantheris catheter alone or Pantheris + adjunctive therapy. The primary safety endpoint was the composite of major adverse events (MAEs) through 6 months (objective performance goal 43.2%). Technical success (primary efficacy outcome) was defined as the percent of target lesions with a residual diameter stenosis ≤50% after treatment with the Pantheris device alone (objective performance goal 87.0%). Procedural success was defined as reduction in stenosis to ≤30% after Pantheris ± adjunctive therapy. Tissue specimens retrieved from each treated lesion were histologically analyzed to evaluate the accuracy and precision of OCT image guidance. RESULTS: The primary efficacy outcome was achieved in 192 (97.0%) of the 198 lesions treated with the Pantheris catheter. Across all lesions, mean diameter stenosis was reduced from 78.7%±15.1% at baseline to 30.3%±11.8% after Pantheris alone (p<0.001) and to 22.4%±9.9% after Pantheris ± adjunctive therapy (p<0.001). Of the 198 target lesions, 104 (52.5%) were treated with the Pantheris alone, 84 (42.4%) were treated with Pantheris + adjunctive angioplasty, and 10 (5.1%) with Pantheris + angioplasty + stenting. The composite MAE outcome through 6 months occurred in 25 (16.6%) of 151 subjects. There were no clinically significant perforations, 1 (0.5%) catheter-related dissection, 4 (2%) embolic events, and a 6.4% clinically driven target lesion revascularization rate at 6 months. The 40-lesion chronic total occlusion (CTO) subset (mean lesion length 82±38 mm) achieved a similar significant reduction in stenosis to 35.5%±13.6% after Pantheris alone (p<0.001). Histological analysis of atherectomy specimens confirmed <1% adventitia in 82.1% of the samples, highlighting the precision of OCT guidance. Characterization of the OCT-guided lesions revealed evidence of an underestimation of disease burden when using fluoroscopy. CONCLUSION: OCT-guided atherectomy for femoropopliteal disease is safe and effective. Additionally, the precision afforded by OCT guidance leads to greater removal of plaque during atherectomy while sparing the adventitia.


Assuntos
Aterectomia/métodos , Artéria Femoral/diagnóstico por imagem , Extremidade Inferior/irrigação sanguínea , Doença Arterial Periférica/terapia , Artéria Poplítea/diagnóstico por imagem , Tomografia de Coerência Óptica/métodos , Idoso , Angioplastia/instrumentação , Aterectomia/efeitos adversos , Aterectomia/instrumentação , Competência Clínica , Constrição Patológica , Desenho de Equipamento , Feminino , Artéria Femoral/fisiopatologia , Alemanha , Humanos , Curva de Aprendizado , Masculino , Pessoa de Meia-Idade , Doença Arterial Periférica/diagnóstico por imagem , Doença Arterial Periférica/fisiopatologia , Artéria Poplítea/fisiopatologia , Valor Preditivo dos Testes , Estudos Prospectivos , Stents , Fatores de Tempo , Tomografia de Coerência Óptica/instrumentação , Resultado do Tratamento , Estados Unidos , Dispositivos de Acesso Vascular
3.
Clin Radiol ; 70(8): e83-9, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-26055408

RESUMO

AIM: To retrospectively analyse the bone scintigraphy (BS) and skeletal survey (SS) data to evaluate the role and limitations of BS in the diagnosis of non-accidental injury (NAI). MATERIALS AND METHODS: All SS and BS performed over a 10 year period, for possible NAI, in children under 2 years old were retrospectively reviewed. Reports were compared in cases where both studies were performed and findings classified into one of three groups: (1) congruent: both reports agreed; (2) BS added confidence to the SS findings; (3) BS demonstrated a new finding. False-positive and false-negative rates for BS were calculated. RESULTS: One hundred and sixty-six patients had both SS and BS. The findings were congruent in 74% of cases. BS added confidence to the SS findings in 8% and revealed a new abnormality in 4% of patients. BS demonstrated false-positive and -negative rates of 2% and 13%, respectively. Occult bony injury was detected in 12% of the 237 patients imaged. DISCUSSION: When used as an adjunct to SS in the investigation of NAI, BS can aid the confidence of diagnosis or identify new findings in 12% of cases. In centres where nuclear medicine is readily available and there is appropriate expertise in paediatric BS, this modality provides a time-effective alternative to follow-up SS at 10-14 days.


Assuntos
Osso e Ossos/diagnóstico por imagem , Maus-Tratos Infantis/diagnóstico , Fraturas Ósseas/diagnóstico por imagem , Osso e Ossos/lesões , Humanos , Lactente , Pediatria/normas , Cintilografia , Estudos Retrospectivos , Sensibilidade e Especificidade
4.
J Vasc Surg ; 60(4): 876-83; discussion 883-4, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24877852

RESUMO

OBJECTIVE: Despite improvements in endograft technology, operator skill, and patient selection, endovascular aneurysm repair continues to be associated with device-related complications. A retrospective, observational study was undertaken to evaluate the clinical outcome and imaging findings of a unique device having externally-mounted, conformable graft material. METHODS: Infrarenal abdominal aortic aneurysms were treated with the Endologix, Inc AFX endovascular aortic aneurysm system (Irvine, Calif) endograft in 108 consecutive patients over a 25-month period at two U.S. clinical sites. Baseline characteristics and procedural outcomes were reviewed by independent monitors. Serial computed tomography (CT) imaging assessments were performed by an independent core laboratory. Aortic neck characteristics and graft apposition were analyzed from center line-reformatted CT data sets in 37 patients in an imaging cohort comprising subjects with high-resolution baseline and follow-up CT imaging for precise assessment of aortic neck characteristics. The mean follow-up was 11 ± 5 months overall, 9 ± 6 months in patients with core laboratory imaging, and 5 ± 2 months for patients in the imaging cohort. RESULTS: Among the 108 patients, 103 (95%) had intact aneurysms and five (4.6%) were treated for rupture; 80 (74%) were male and 28 (26%) were female. On average, 2.3 ± 0.7 endograft components were implanted per patient and no adjunctive proximal neck bare stents were used. There were no perioperative deaths in patients with intact aneurysms; two patients who presented with ruptured aortic aneurysms (40%) died. Major adverse events occurred within 30 days of implantation in two patients (1.9%) with intact aneurysms. Type II endoleaks were evident on completion angiography in 18 patients (16.7%). Core laboratory analysis of CT studies identified two patients with type Ia endoleaks (2.3%), two with type III endoleaks (2.3%), and five with type II endoleaks (5.7%). Aneurysm-related secondary procedures were required in five patients over the first year of follow-up (4.6%). No patient developed endograft limb occlusion or aneurysm rupture and there were no open surgical conversions. In the imaging cohort, 360° graft-to-aortic wall apposition was continuous over a length of 25 ± 17 mm and extended the seal zone an average of 5 mm beyond the end of the anatomic neck. Early sac regression was correlated with neck length (P = .019) and graft-to-aortic apposition surface area (P = .039). CONCLUSIONS: The real-world use of the AFX endograft was associated with a low rate of device-and procedure-related complications. The ability to achieve an extended seal zone beyond the anatomical neck might in part contribute to positive outcomes, including the low type Ia and type II endoleak rate. These findings suggest that the AFX device might offer some advantages over other currently marketed endografts, but confirmation awaits the availability of longer-term outcome data.


Assuntos
Aneurisma da Aorta Abdominal/cirurgia , Prótese Vascular , Endoleak/epidemiologia , Procedimentos Endovasculares/instrumentação , Aneurisma da Aorta Abdominal/diagnóstico por imagem , Aortografia , Desenho de Equipamento , Feminino , Seguimentos , Humanos , Incidência , Masculino , Desenho de Prótese , Estudos Retrospectivos , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Estados Unidos/epidemiologia
5.
J Endovasc Ther ; 20(6): 770-81, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24325693

RESUMO

PURPOSE: To evaluate the safety and effectiveness of the optical coherence tomography-guided Ocelot catheter to cross femoropopliteal chronic total occlusions (CTOs). METHODS: The CONNECT II study was a prospective, multicenter, non-randomized single-arm study of the safety and effectiveness of the Ocelot catheter in CTO crossing. Key inclusion criteria were a 99% to 100% stenosed femoropopliteal segment, lesion length between 1 and 30 cm, and resistance to guidewire crossing. The main exclusion criterion was a severely calcified target vessel. The primary safety endpoint was 30-day major adverse events (MAE), while the primary effectiveness endpoint was successful CTO crossing (i.e., guidewire placement in the distal true lumen) with the Ocelot catheter. Endpoint analysis was based on pre-specified objective performance criteria. Between February and June 2012, 100 patients (55 men; mean age 69 years) were enrolled. Most of the CTOs (94%) were in the superficial femoral artery (SFA); mean lesion length was 16.6±9.3 cm. RESULTS: Through 30 days, 2 patients experienced MAE (significant perforations) related to the Ocelot catheter. The Ocelot catheter successfully crossed 97% of target CTOs either alone (72%), in conjunction with an assist device (18%), or in conjunction with a re-entry device (7%). Both primary safety and effectiveness endpoints were met. CONCLUSION: The Ocelot catheter with optical coherence tomography guidance offers physicians a reliable option for crossing femoral and popliteal chronic total occlusions with low MAE rates.


Assuntos
Procedimentos Endovasculares/instrumentação , Artéria Femoral , Doença Arterial Periférica/terapia , Artéria Poplítea , Dispositivos de Acesso Vascular , Idoso , Doença Crônica , Competência Clínica , Constrição Patológica , Procedimentos Endovasculares/efeitos adversos , Desenho de Equipamento , Europa (Continente) , Feminino , Artéria Femoral/diagnóstico por imagem , Humanos , Curva de Aprendizado , Masculino , Pessoa de Meia-Idade , Doença Arterial Periférica/diagnóstico , Artéria Poplítea/diagnóstico por imagem , Estudos Prospectivos , Radiografia , Fatores de Tempo , Tomografia de Coerência Óptica , Resultado do Tratamento , Estados Unidos
6.
Nat Genet ; 29(3): 263-4, 2001 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11687795

RESUMO

We have assembled arrays of approximately 2,400 BAC clones for measurement of DNA copy number across the human genome. The arrays provide precise measurement (s.d. of log2 ratios=0.05-0.10) in cell lines and clinical material, so that we can reliably detect and quantify high-level amplifications and single-copy alterations in diploid, polyploid and heterogeneous backgrounds.


Assuntos
Aneuploidia , Dosagem de Genes , Genoma Humano , Genômica/métodos , Análise de Sequência com Séries de Oligonucleotídeos/métodos , Cromossomos Artificiais Bacterianos/genética , Clonagem Molecular , Feminino , Humanos , Masculino , Reação em Cadeia da Polimerase , Poliploidia , Células Tumorais Cultivadas , Cromossomo X/genética
7.
Science ; 250(4988): 1684-9, 1990 Dec 21.
Artigo em Inglês | MEDLINE | ID: mdl-2270482

RESUMO

Human breast cancer is usually caused by genetic alterations of somatic cells of the breast, but occasionally, susceptibility to the disease is inherited. Mapping the genes responsible for inherited breast cancer may also allow the identification of early lesions that are critical for the development of breast cancer in the general population. Chromosome 17q21 appears to be the locale of a gene for inherited susceptibility to breast cancer in families with early-onset disease. Genetic analysis yields a lod score (logarithm of the likelihood ratio for linkage) of 5.98 for linkage of breast cancer susceptibility to D17S74 in early-onset families and negative lod scores in families with late-onset disease. Likelihood ratios in favor of linkage heterogeneity among families ranged between 2000:1 and greater than 10(6):1 on the basis of multipoint analysis of four loci in the region.


Assuntos
Neoplasias da Mama/genética , Cromossomos Humanos Par 17 , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/etiologia , Mapeamento Cromossômico , Feminino , Humanos , Masculino , Linhagem , Polimorfismo Genético , Gravidez , Fatores de Risco
8.
Ann Vasc Surg ; 23(1): 150-2, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-18411032

RESUMO

Penetrating abdominal trauma with injury to the aorta and vena cava usually requires emergent intervention and is frequently lethal. Formation of a chronic aortocaval fistula (ACF) is an uncommon late complication of these injuries. We report a case of an ACF presenting 17 years after a gunshot wound to the abdomen, with progressive congestive heart failure as the presenting symptom. The ACF was successfully treated with an endoprosthesis designed for the thoracic aorta.


Assuntos
Doenças da Aorta/cirurgia , Implante de Prótese Vascular/instrumentação , Prótese Vascular , Fístula Vascular/cirurgia , Veia Cava Inferior/cirurgia , Ferimentos por Arma de Fogo/complicações , Adulto , Aorta Torácica , Doenças da Aorta/etiologia , Doenças da Aorta/patologia , Aortografia/métodos , Doença Crônica , Insuficiência Cardíaca/etiologia , Insuficiência Cardíaca/cirurgia , Humanos , Angiografia por Ressonância Magnética , Masculino , Desenho de Prótese , Resultado do Tratamento , Fístula Vascular/etiologia , Fístula Vascular/patologia , Veia Cava Inferior/lesões
9.
Nucleic Acids Res ; 34(8): e58, 2006 May 02.
Artigo em Inglês | MEDLINE | ID: mdl-16670425

RESUMO

We describe a charge-coupled device (CCD) imaging system for microarrays capable of acquiring quantitative, high dynamic range images of very large fields. Illumination is supplied by an arc lamp, and filters are used to define excitation and emission bands. The system is linear down to fluorochrome densities <<1 molecule/microm2. The ratios of the illumination intensity distributions for all excitation wavelengths have a maximum deviation approximately +/-4% over the object field, so that images can be analyzed without computational corrections for the illumination pattern unless higher accuracy is desired. Custom designed detection optics produce achromatic images of the spectral region from approximately 450 to approximately 750 nm. Acquisition of a series of images of multiple fluorochromes from multiple arrays occurs under computer control. The version of the system described in detail provides images of 20 mm square areas using a 27 mm square, 2K x 2K pixel, cooled CCD chip with a well depth of approximately 10(5) electrons, and provides ratio measurements accurate to a few percent over a dynamic range in intensity >1000. Resolution referred to the sample is 10 microm, sufficient for obtaining quantitative multicolor images from >30,000 array elements in an 18 mm x 18 mm square.


Assuntos
DNA/análise , Processamento de Imagem Assistida por Computador/métodos , Microscopia de Fluorescência/métodos , Análise de Sequência com Séries de Oligonucleotídeos/métodos , Feminino , Humanos , Processamento de Imagem Assistida por Computador/instrumentação , Masculino , Microscopia de Fluorescência/instrumentação
10.
Mol Cell Biol ; 17(8): 4782-91, 1997 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-9234734

RESUMO

The E2A gene products, E12 and E47, are critical for proper early B-cell development and commitment to the B-cell lineage. Here we reveal a new role for E2A in T-lymphocyte development. Loss of E2A activity results in a partial block at the earliest stage of T-lineage development. This early T-cell phenotype precedes the development of a T-cell lymphoma which occurs between 3 and 9 months of age. The thymomas are monoclonal and highly malignant and display a cell surface phenotype similar to that of immature thymocytes. In addition, the thymomas generally express high levels of c-myc. As assayed by comparative genomic hybridization, each of the tumor populations analyzed showed a nonrandom gain of chromosome 15, which contains the c-myc gene. Taken together, the data suggest that the E2A gene products play a role early in thymocyte development that is similar to their function in B-lineage determination. Furthermore, the lack of E2A results in development of T-cell malignancies, and we propose that E2A inactivation is a common feature of a wide variety of human T-cell proliferative disorders, including those involving the E2A heterodimeric partners tal-1 and lyl-1.


Assuntos
Proteínas de Ligação a DNA/fisiologia , Linfoma de Células T/imunologia , Linfócitos T/citologia , Timo/imunologia , Neoplasias do Timo/imunologia , Fatores de Transcrição , Animais , Diferenciação Celular , Extratos Celulares , Núcleo Celular/metabolismo , Aberrações Cromossômicas , Proteínas de Ligação a DNA/metabolismo , Regulação Neoplásica da Expressão Gênica , Genes myc , Subpopulações de Linfócitos , Linfoma de Células T/genética , Camundongos , Camundongos Knockout , Camundongos Nus , Fatores de Transcrição TCF , Timoma/genética , Timoma/imunologia , Timo/crescimento & desenvolvimento , Neoplasias do Timo/genética , Proteína 1 Semelhante ao Fator 7 de Transcrição
11.
Cancer Res ; 59(15): 3610-20, 1999 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-10446971

RESUMO

To be informative for chemoprevention, animal models must both closely emulate human disease and possess surrogate endpoint biomarkers that facilitate rapid drug screening. This study elucidated site-specific histopathological and biochemical surrogate endpoint biomarkers of spontaneous epidermal carcinogenesis in K14-HPV16 transgenic mice and demonstrated that the incidence and severity of these markers were decreased by the ornithine decarboxylase (ODC) inhibitor difluoromethylornithine (DFMO). The cumulative incidence of visible epidermal cancers in 127 untreated transgenic mice was 42% by 52 weeks of age, most frequently affecting the chest as flat lesions in association with chronic ulcers, or in the ear as protuberant masses. Microscopic malignancies were detected in 39% of 32-week-old transgenic mice and were found to emerge from precursor lesions that were of two distinct types: dysplastic sessile ear papillomas and hyperproliferative follicular/interfollicular chest dysplasias. ODC activity and tissue polyamine contents were differentially elevated in ear and chest skin during carcinogenesis, such that there was a marked elevation of both parameters of polyamine metabolism as early as 4 weeks of age in the ear, whereas in the chest, polyamine metabolism was increased significantly only in the late stages of neoplastic progression and in epidermal cancers. Administration of 1.0% DFMO in the drinking water from 4 to 32 weeks of age prevented both visible and microscopic malignancies and significantly decreased the incidence of chest and ear precursor lesions. ODC activity and tissue putrescine content were markedly diminished by DFMO chemoprevention in ear skin, whereas there was a more modest decline of these parameters in chest skin. DFMO treatment of transgenic mice from 28 to 32 weeks of age was associated with an absence of ear cancer and a marked regression of dysplastic papillomas. In contrast, the results in chest skin were complex in that the severity of chest precursors diminished, but their incidence was unchanged, and microscopic cancers were still detectable within these lesions. Collectively, this study highlights the utility of multistage epidermal carcinogenesis in K14-HPV16 transgenic mice both for the study of the biology of, and as a screening tool for, novel drugs and chemopreventive regimens.


Assuntos
Anticarcinógenos/uso terapêutico , Carcinoma de Células Escamosas/prevenção & controle , Eflornitina/uso terapêutico , Epiderme/efeitos dos fármacos , Genes Virais , Queratinas/genética , Papiloma/prevenção & controle , Papillomaviridae/genética , Neoplasias Cutâneas/prevenção & controle , Transgenes , Administração Oral , Animais , Anticarcinógenos/administração & dosagem , Anticarcinógenos/farmacologia , Carcinoma de Células Escamosas/genética , Carcinoma de Células Escamosas/patologia , Replicação do DNA/efeitos dos fármacos , Progressão da Doença , Orelha , Eflornitina/administração & dosagem , Eflornitina/farmacologia , Epiderme/metabolismo , Regulação da Expressão Gênica , Queratina-14 , Camundongos , Camundongos Transgênicos , Proteínas de Neoplasias/antagonistas & inibidores , Especificidade de Órgãos , Inibidores da Ornitina Descarboxilase , Papiloma/genética , Papiloma/patologia , Lesões Pré-Cancerosas/genética , Lesões Pré-Cancerosas/patologia , Lesões Pré-Cancerosas/prevenção & controle , Putrescina/biossíntese , Dermatopatias/genética , Dermatopatias/patologia , Dermatopatias/prevenção & controle , Neoplasias Cutâneas/genética , Neoplasias Cutâneas/patologia , Tórax
12.
J Am Coll Cardiol ; 12(5): 1156-66, 1988 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-3170958

RESUMO

Forty consecutive patients with creatine kinase-MB confirmed myocardial infarction due to circumflex artery occlusion (Group 1) were prospectively evaluated and compared with 107 patients with infarction due to right coronary artery occlusion (Group 2) and 94 with left anterior descending artery occlusion (Group 3). All 241 patients underwent exercise thallium-201 scintigraphy, radionuclide ventriculography, 24 h Holter electrocardiographic (ECG) monitoring and coronary arteriography before hospital discharge and were followed up for 39 +/- 18 months. There were no significant differences among the three infarct groups in age, gender, number of risk factors, prevalence and type of prior infarction, Norris index, Killip class and frequency of in-hospital complications. Acute ST segment elevation was present in only 48% of patients in Group 1 versus 71 and 72% in Groups 2 and 3, respectively (p = 0.012), and 38% of patients with a circumflex artery-related infarct had no significant ST changes (that is, elevation or depression) on admission (versus 21 and 20% for patients in Groups 2 and 3, respectively) (p = 0.001). Abnormal R waves in lead V1 were more common in Group 1 than in Group 2 (p less than 0.003) as was ST elevation in leads I, aVL and V4 to V6 (p less than or equal to 0.048). These differences in ECG findings between Group 1 and 2 patients correlated with a significantly higher prevalence of posterior and lateral wall asynergy in the group with a circumflex artery-related infarct. Infarct size based on peak creatine kinase levels and multiple radionuclide variables was intermediate in Group 1 compared with that in Group 2 (smallest) and Group 3 (largest). During long-term follow-up, the probability of recurrent cardiac events was similar in the three infarct groups. When patients with a circumflex artery-related infarct were stratified according to the presence or absence of abnormal R waves in lead V1 or V2, the abnormal R wave group had more admission ST elevation (p = 0.025), a larger infarct (p less than 0.05) and more extensive coronary artery disease (p = 0.027). In fact, all patients with a circumflex artery-related infarct and an abnormal R wave in lead V1 had multivessel disease. An abnormal R wave in lead V1 had a 96% specificity for circumflex versus right coronary artery-related infarction but a sensitivity of only 21%. Discriminate function analysis of all admission historical and ECG variables identified inferior and lateral ST elevation as independent predictors of circumflex artery-related infarction...


Assuntos
Arteriopatias Oclusivas/complicações , Doença das Coronárias/complicações , Infarto do Miocárdio/etiologia , Angiografia , Arteriopatias Oclusivas/patologia , Circulação Coronária , Doença das Coronárias/patologia , Eletrocardiografia , Previsões , Coração/fisiopatologia , Humanos , Pessoa de Meia-Idade , Infarto do Miocárdio/diagnóstico por imagem , Infarto do Miocárdio/fisiopatologia , Cintilografia , Radioisótopos de Tálio
13.
J Am Coll Cardiol ; 9(1): 18-25, 1987 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-3540071

RESUMO

The clinical significance of early ST segment elevation in patients with non-Q wave infarction is unknown. Therefore, 150 consecutive patients with creatine kinase isoenzyme-confirmed acute uncomplicated myocardial infarction who had ST segment elevation of 1 mm or more in at least two contiguous leads on the admission electrocardiogram were analyzed. None received thrombolytic therapy or acute coronary angioplasty. Predischarge angiography, radionuclide ventriculography and exercise thallium-201 scintigraphy were performed 10 +/- 3 days after myocardial infarction. Based on serial electrocardiograms (on days 1, 2, 3 and 10), all 150 infarcts were classified as Q wave (n = 115 [77%]) or non-Q wave (n = 35 [23%]). Although patients with Q wave infarction exhibited greater ST elevation, the amount observed in the non-Q wave group was appreciable, as reflected by the number of leads with ST elevation (3.8 +/- 1.8 versus 3.1 +/- 1.2, p = 0.007) and the sum of the ST elevation (9.6 +/- 7.4 versus 6.2 +/- 6.2 mm, p = 0.016). When compared with the Q wave group, patients with non-Q wave infarction had a shorter time to peak creatine kinase (23.0 +/- 9.1 versus 15.8 +/- 7.9 hours, p = 0.0001), a higher infarct vessel patency rate (24 versus 57%, p = 0.001), lower peak creatine kinase values based on 4 hour sampling (1,372 +/- 964 versus 664 +/- 924 IU/liter, p = 0.0002) and a higher left ventricular ejection fraction (46 +/- 12% versus 54 +/- 9%, p = 0.0003).(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Eletrocardiografia , Infarto do Miocárdio/diagnóstico , Idoso , Ensaios Clínicos como Assunto , Angiografia Coronária , Circulação Coronária , Fibrinolíticos/uso terapêutico , Coração/diagnóstico por imagem , Sistema de Condução Cardíaco/fisiopatologia , Humanos , Pessoa de Meia-Idade , Contração Miocárdica , Infarto do Miocárdio/tratamento farmacológico , Infarto do Miocárdio/fisiopatologia , Cintilografia
14.
Transplantation ; 57(4): 606-12, 1994 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-7906904

RESUMO

Recent progress in gene therapy may provide a new strategy for prevention of allograft rejection. Oligonucleotides have been shown to inhibit specific gene transcription in both cell-free and living-cell systems. In our previous studies, a 26-mer oligonucleotide (T2) designed to form a triple helix with the X/X2 box promoter region of human MHC class II (DRA) gene was shown to prevent the induction by IFN-gamma of HLA-DR molecules. Here, we show that this oligonucleotide downregulates two other IFN gamma-inducible molecules, the adhesion molecule ICAM-1 and the Fc receptor for IgG on the surface of human cells. T2 has no effect on TNF alpha- and IL-1-mediated ICAM-1 upregulation, showing its specificity for IFN gamma. T2 oligonucleotide is shown to inhibit IFN gamma-mediated induction of Fc receptor on human blood monocytes as assessed by flow cytometry. Furthermore, pretreatment of monocytes with T2 resulted in suppression of anti-CD3-mediated peripheral blood T cell proliferation. The presented data suggest that oligonucleotide T2 blockade of IFN gamma-induction of different immune receptors on accessory cells is associated with inhibition of T cell proliferative responses.


Assuntos
Genes MHC da Classe II , Interferon gama/antagonistas & inibidores , Ativação Linfocitária/efeitos dos fármacos , Oligodesoxirribonucleotídeos/farmacologia , Células Apresentadoras de Antígenos/imunologia , Sequência de Bases , Moléculas de Adesão Celular/metabolismo , Linhagem Celular , Regulação da Expressão Gênica/efeitos dos fármacos , Humanos , Molécula 1 de Adesão Intercelular , Interleucina-1/farmacologia , Dados de Sequência Molecular , Monócitos/imunologia , Regiões Promotoras Genéticas , Fator de Necrose Tumoral alfa/farmacologia
15.
Transplantation ; 57(4): 612-5, 1994 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-7906905

RESUMO

We report that certain oligonucleotides are capable of inhibiting cell surface induction of the major histocompatibility complex class I (MHC-I) proteins by interferon-gamma in K562 cells. The inhibition by oligodeoxy-nucleotide I 5' GGG GTT GGT TGT GTT GGG TGT TGT GT-RNH2 is dose-dependent, with an EC50 24 hr after dosing of approximately 4 microM for 800 U/ml interferon-gamma. The reverse complement II 5' AC ACA ACA CCC AAC ACA ACC AAC CCC-RNH2 did not show activity. Oligodeoxynucleotide I inhibits induction of MHC-I by interferon-gamma, but does not inhibit induction by either interferon-alpha or interferon-beta. Four other oligodeoxynucleotides were also evaluated, and three showed activity against interferon-gamma at 25 microM.


Assuntos
Genes MHC Classe I , Antígenos de Histocompatibilidade Classe I/metabolismo , Interferon gama/antagonistas & inibidores , Oligodesoxirribonucleotídeos/farmacologia , Sequência de Bases , Moléculas de Adesão Celular/genética , Linhagem Celular , Expressão Gênica/efeitos dos fármacos , Antígenos de Histocompatibilidade Classe I/genética , Humanos , Técnicas In Vitro , Molécula 1 de Adesão Intercelular , Dados de Sequência Molecular , Oligodesoxirribonucleotídeos/química , Regiões Promotoras Genéticas , RNA Mensageiro/genética , Receptores da Transferrina/metabolismo
16.
Transpl Immunol ; 2(4): 285-92, 1994 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-7704538

RESUMO

Interferon-gamma (IFN-gamma) is an important cytokine released by T lymphocytes and natural killer cells which is able to induce expression of class II MHC and ICAM-1, crucial factors in cellular immune response. HeLa S3, HS 27, and NF-71-1 are cell lines which can be induced to express HLA-DR and HLA-DP by exposure to IFN-gamma. When T2 (5'GGGGTTGGTTGTGTTGGGTGTTGTGTRNH(2)3') oligonucleotide was added at 5-20 microM every other day, cell surface induction of HLA-DR and HLA-DP by IFN-gamma was suppressed in a dose-dependent manner in HeLa S3. T2 suppressive effect on HLA class II was also observed in four different nontransformed human cell lines, HS 27 at passage 18, NF-71-1 at passage 5, human corneal endothelial cell at passage 5, and human retinal pigmented epithelial cell at passage 3. Control oligonucleotides had no suppressive effect. Northern hybridization showed that HLA-DR A mRNA induction by IFN-gamma was blocked by T2 in HeLa S3 and fibroblast 143B. The suppressive effect of T2 was also reversible as continued culture of the treated cells without further addition of the oligonucleotide allowed full re-expression of HLA-DR. Further experiments showed that T2 oligonucleotide was also able to inhibit IFN-gamma enhancement of ICAM-1 (CD54) on human corneal endothelial cell and human retinal pigmented epithelial cell. We conclude that T2 oligonucleotide is effective at suppressing HLA-DR, HLA-DP and ICAM-1 induction by IFN-gamma in transformed and nontransformed cells in vitro.


Assuntos
Antígenos HLA-DP/biossíntese , Antígenos HLA-DR/biossíntese , Molécula 1 de Adesão Intercelular/biossíntese , Interferon gama/antagonistas & inibidores , Oligonucleotídeos/farmacologia , Sequência de Bases , Northern Blotting , Linhagem Celular , Desoxiguanosina/farmacologia , Humanos , Dados de Sequência Molecular , Timidina/farmacologia
17.
EuroIntervention ; 9(7): 854-62, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23838387

RESUMO

AIMS: The aim of the study was to determine the safety, efficacy and feasibility of a new chronic total occlusion (CTO) device using optical coherence tomography (OCT) technology, the Ocelot catheter (Avinger, Inc., Redwood City, CA, USA), for crossing of SFA CTOs following guidewire failure. METHODS AND RESULTS: Prospective, multicentre, market preference testing. Thirty-three patients with confirmed CTO (99-100% stenosis by visual estimate) of their superficial femoral artery (SFA) were treated between September 28, 2011, and December 9, 2011, at three European centres. Ocelot crossed 94% (31/33) of CTOs, allowing guidewire placement in the distal true lumen. All (100%) lesions were treated without any major adverse safety events. Procedural time and contrast dose were significantly reduced (p<0.0001) when compared with a similar, non-OCT-guided CTO crossing device (Wildcat catheter; Avinger, Inc.). Overall physician feedback on the catheter performance was positive with an 87% average rating of excellent or good across seven categories. Performance ratings of Ocelot's OCT imaging guidance were consistently positive with an 86% average rating of excellent or good across five OCT categories. CONCLUSIONS: The Ocelot catheter combines advanced CTO crossing technology with real-time OCT guidance. When compared with a similar non-OCT-guided catheter, crossing efficacy and safety profile improved. Total procedure time and contrast volumes were significantly reduced. The Ocelot is a safe, efficient and effective tool for crossing CTOs.


Assuntos
Desenho de Equipamento , Resultado do Tratamento , Animais , Doença Crônica , Felidae , Artéria Femoral/diagnóstico por imagem , Humanos , Estudos Prospectivos , Radiografia
18.
Oncogene ; 28(5): 625-37, 2009 Feb 05.
Artigo em Inglês | MEDLINE | ID: mdl-19015636

RESUMO

Hedgehog signaling is often activated in tumors, yet it remains unclear how GLI2, a transcription factor activated by this pathway, acts as an oncogene. We show that GLI2 is a pleiotropic oncogene. The overexpression induces genomic instability and blocks differentiation, likely mediated in part by enhanced expression of the stem cell gene SOX2. GLI2 also induces transforming growth factor (TGF)B1-dependent transdifferentiation of foreskin and tongue, but not gingival fibroblasts into myofibroblasts, creating an environment permissive for invasion by keratinocytes, which are in various stages of differentiation having downregulated GLI2. Thus, upregulated GLI2 expression is sufficient to induce a number of the acquired characteristics of tumor cells; however, the stroma, in a tissue-specific manner, determines whether certain GLI2 oncogenic traits are expressed.


Assuntos
Transformação Celular Neoplásica/genética , Fatores de Transcrição Kruppel-Like/genética , Proteínas Nucleares/genética , Células Estromais/fisiologia , Regulação para Cima/genética , Adolescente , Adulto , Diferenciação Celular/genética , Proliferação de Células , Células Cultivadas , Amplificação de Genes/fisiologia , Instabilidade Genômica/genética , Humanos , Queratinócitos/metabolismo , Queratinócitos/patologia , Fatores de Transcrição Kruppel-Like/metabolismo , Fatores de Transcrição Kruppel-Like/fisiologia , Neoplasias/genética , Neoplasias/patologia , Proteínas Nucleares/metabolismo , Proteínas Nucleares/fisiologia , Oncogenes/fisiologia , Especificidade de Órgãos/genética , Células Estromais/metabolismo , Regulação para Cima/fisiologia , Adulto Jovem , Proteína Gli2 com Dedos de Zinco
19.
J Chem Phys ; 122(14): 144708, 2005 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-15847554

RESUMO

Correlations between adhesion hysteresis and local friction are theoretically and experimentally investigated. The model is based on the classical theory of adhesional friction, contact mechanics, capillary hysteresis, and nanoscale roughness. Adhesion hysteresis was found to scale with friction through the scaling factor containing a varying ratio of adhesion energy over the reduced Young's modulus. Capillary forces can offset the relationship between adhesion hysteresis and friction. Measurements on a wide range of engineering samples with varying adhesive and elastic properties confirm the model. Adhesion hysteresis is investigated under controlled, low humidity atmosphere via ultrasonic force microscopy. Friction is measured by the friction force microscopy.

20.
J Bacteriol ; 171(5): 2528-32, 1989 May.
Artigo em Inglês | MEDLINE | ID: mdl-2565332

RESUMO

Extensive restriction-fragment-length polymorphism was revealed in Escherichia coli strains by using a region of the bacteriophage M13 genome as a DNA hybridization probe. This variation was observed across natural strains, in clinical samples, and to a lesser extent in laboratory strains. The sequence in M13 which revealed this fingerprint pattern was a region of the gene III coat protein, which contains two clusters of a 15-base-pair repeat. Oligonucleotides made to a consensus of these repeats also revealed the fingerprint profile. While this consensus sequence has significant homology to the lambda chi site sequence, an oligonucleotide made of the chi sequence did not reveal polymorphic fingerprint patterns in E. coli. The strain variation revealed by the M13 and M13-derived oligonucleotide probes will be useful for bacterial characterization and should find use in studies of bacterial evolution and population dynamics. The findings raise questions about what these repeated sequences are and why they are so variable.


Assuntos
Colífagos/genética , DNA Bacteriano/genética , Escherichia coli/genética , Polimorfismo Genético , Polimorfismo de Fragmento de Restrição , Sequências Repetitivas de Ácido Nucleico , Evolução Biológica , Southern Blotting , DNA Viral/genética , Escherichia coli/classificação , Variação Genética , Mapeamento de Nucleotídeos
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