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1.
Nature ; 607(7918): 313-320, 2022 07.
Artigo em Inglês | MEDLINE | ID: mdl-35768506

RESUMO

The grey wolf (Canis lupus) was the first species to give rise to a domestic population, and they remained widespread throughout the last Ice Age when many other large mammal species went extinct. Little is known, however, about the history and possible extinction of past wolf populations or when and where the wolf progenitors of the present-day dog lineage (Canis familiaris) lived1-8. Here we analysed 72 ancient wolf genomes spanning the last 100,000 years from Europe, Siberia and North America. We found that wolf populations were highly connected throughout the Late Pleistocene, with levels of differentiation an order of magnitude lower than they are today. This population connectivity allowed us to detect natural selection across the time series, including rapid fixation of mutations in the gene IFT88 40,000-30,000 years ago. We show that dogs are overall more closely related to ancient wolves from eastern Eurasia than to those from western Eurasia, suggesting a domestication process in the east. However, we also found that dogs in the Near East and Africa derive up to half of their ancestry from a distinct population related to modern southwest Eurasian wolves, reflecting either an independent domestication process or admixture from local wolves. None of the analysed ancient wolf genomes is a direct match for either of these dog ancestries, meaning that the exact progenitor populations remain to be located.


Assuntos
Cães , Genoma , Genômica , Filogenia , Lobos , África , Animais , DNA Antigo/análise , Cães/genética , Domesticação , Europa (Continente) , Genoma/genética , História Antiga , Oriente Médio , Mutação , América do Norte , Seleção Genética , Sibéria , Proteínas Supressoras de Tumor/genética , Lobos/classificação , Lobos/genética
2.
Nature ; 597(7876): 376-380, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34471286

RESUMO

Pleistocene hominin dispersals out of, and back into, Africa necessarily involved traversing the diverse and often challenging environments of Southwest Asia1-4. Archaeological and palaeontological records from the Levantine woodland zone document major biological and cultural shifts, such as alternating occupations by Homo sapiens and Neanderthals. However, Late Quaternary cultural, biological and environmental records from the vast arid zone that constitutes most of Southwest Asia remain scarce, limiting regional-scale insights into changes in hominin demography and behaviour1,2,5. Here we report a series of dated palaeolake sequences, associated with stone tool assemblages and vertebrate fossils, from the Khall Amayshan 4 and Jubbah basins in the Nefud Desert. These findings, including the oldest dated hominin occupations in Arabia, reveal at least five hominin expansions into the Arabian interior, coinciding with brief 'green' windows of reduced aridity approximately 400, 300, 200, 130-75 and 55 thousand years ago. Each occupation phase is characterized by a distinct form of material culture, indicating colonization by diverse hominin groups, and a lack of long-term Southwest Asian population continuity. Within a general pattern of African and Eurasian hominin groups being separated by Pleistocene Saharo-Arabian aridity, our findings reveal the tempo and character of climatically modulated windows for dispersal and admixture.


Assuntos
Hominidae , Migração Humana/história , Animais , Antropologia , Arábia , Ásia , História Antiga , Paleontologia , Comportamento de Utilização de Ferramentas
4.
Eur Heart J ; 38(20): 1597-1607, 2017 May 21.
Artigo em Inglês | MEDLINE | ID: mdl-28379378

RESUMO

AIMS: The vascular effects of high-density lipoproteins (HDL) differ under certain clinical conditions. The composition of HDL is modified in patients with chronic kidney disease (CKD). As a consequence, uremic HDL induces endothelial dysfunction. We have previously shown that accumulation of symmetric dimethylarginine (SDMA) in HDL causes these adverse effects of HDL in CKD. The aim of the study is to determine the impact of the accumulation of SDMA on the association between HDL and mortality. METHODS AND RESULTS: Mortality, renal function, serum SDMA and HDL-cholesterol (HDL-C) were assessed in the LURIC study including 3310 subjects undergoing coronary angiography. All-cause mortality was 30.0% during median follow-up of 9.9 years. Serum SDMA levels significantly predicted all-cause and cardiovascular mortality, and were significantly correlated with SDMA accumulation in HDL. Notably, higher serum SDMA was independently associated with lower cholesterol efflux (P = 0.004) as a measure of HDL functionality. In subjects with low SDMA levels, higher HDL-C was associated with significantly lower mortality. In contrast, in subjects with high SDMA, HDL-C was associated with higher mortality. These findings were confirmed in 1424 participants of the MONICA/KORA S3 cohort. Of note, we derived an algorithm allowing for calculation of biologically effective HDL-C' based on measured HDL-C and SDMA. We corroborated these clinical findings with invitro evidence showing that SDMA accumulation abolishes the anti-inflammatory and regenerative properties of HDL. CONCLUSION: The data identify SDMA as a marker of HDL dysfunction. These findings highlight on the pivotal role of SDMA accumulation in HDL as a mediator of pre-mature cardiovascular disease in patients with CKD.


Assuntos
Arginina/análogos & derivados , Doenças Cardiovasculares/etiologia , Lipoproteínas HDL/metabolismo , Insuficiência Renal Crônica/mortalidade , Idoso , Arginina/metabolismo , Biomarcadores/metabolismo , Doenças Cardiovasculares/mortalidade , Feminino , Taxa de Filtração Glomerular/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade , Prognóstico , Insuficiência Renal Crônica/complicações , Fatores de Risco
5.
Int Immunol ; 28(10): 503-512, 2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27352793

RESUMO

Radioprotective 105 (RP105) is a type I transmembrane protein, which associates with a glycoprotein, MD-1. Monoclonal antibody (mAb)-mediated ligation of RP105/MD-1 robustly activates B cells. RP105/MD-1 is structurally similar to Toll-like receptor 4 (TLR4)/MD-2. B-cell responses to TLR2 and TLR4/MD-2 ligands are impaired in the absence of RP105 or MD-1. In addition to RP105/MD-1, MD-1 alone is secreted. The structure of MD-1 shows that MD-1 has a hydrophobic cavity that directly binds to phospholipids. Little is known, however, about a ligand for MD-1 and the role of MD-1 in vivo To study the role of RP105/MD-1 and MD-1 alone, specific mAbs against MD-1 are needed. Here, we report the establishment and characterization of two anti-MD-1 mAbs (JR2G9, JR7G1). JR2G9 detects soluble MD-1, whereas JR7G1 binds both soluble MD-1 and the cell surface RP105/MD-1 complex. With these mAbs, soluble MD-1 was detected in the serum and urine. The MD-1 concentration was altered by infection, diet and reperfusion injury. Serum MD-1 was rapidly elevated by TLR ligand injection in mice. The quantitative PCR and supernatant-precipitated data indicate that macrophages are one of the sources of serum soluble MD-1. These results suggest that soluble MD-1 is a valuable biomarker for inflammatory diseases.


Assuntos
Antígenos de Superfície/imunologia , Inflamação/imunologia , Glicoproteínas de Membrana/imunologia , Glicoproteínas de Membrana/metabolismo , Animais , Anticorpos Monoclonais/imunologia , Reações Antígeno-Anticorpo , Antígenos CD/imunologia , Antígenos de Superfície/sangue , Morte Celular/efeitos dos fármacos , Morte Celular/imunologia , Dexametasona/farmacologia , Feminino , Masculino , Glicoproteínas de Membrana/sangue , Glicoproteínas de Membrana/deficiência , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Camundongos Knockout , Camundongos Transgênicos
6.
Proc Natl Acad Sci U S A ; 111(37): 13301-6, 2014 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-25197076

RESUMO

The production of purposely made painted or engraved designs on cave walls--a means of recording and transmitting symbolic codes in a durable manner--is recognized as a major cognitive step in human evolution. Considered exclusive to modern humans, this behavior has been used to argue in favor of significant cognitive differences between our direct ancestors and contemporary archaic hominins, including the Neanderthals. Here we present the first known example of an abstract pattern engraved by Neanderthals, from Gorham's Cave in Gibraltar. It consists of a deeply impressed cross-hatching carved into the bedrock of the cave that has remained covered by an undisturbed archaeological level containing Mousterian artifacts made by Neanderthals and is older than 39 cal kyr BP. Geochemical analysis of the epigenetic coating over the engravings and experimental replication show that the engraving was made before accumulation of the archaeological layers, and that most of the lines composing the design were made by repeatedly and carefully passing a pointed lithic tool into the grooves, excluding the possibility of an unintentional or utilitarian origin (e.g., food or fur processing). This discovery demonstrates the capacity of the Neanderthals for abstract thought and expression through the use of geometric forms.


Assuntos
Gravuras e Gravação , Sedimentos Geológicos , Homem de Neandertal , Animais , Cavernas , Gibraltar , Humanos , Imageamento Tridimensional , Tempo (Meteorologia)
7.
Blood ; 123(23): 3635-45, 2014 Jun 05.
Artigo em Inglês | MEDLINE | ID: mdl-24782506

RESUMO

Neutrophil responses are central to host protection and inflammation. Neutrophil activation follows a 2-step process in which priming amplifies responses to activating stimuli. Priming is essential for life span extension, chemotaxis, and respiratory burst activity. Here we show that the cytoskeletal organizer RhoA suppresses neutrophil priming via formins. Premature granule exocytosis in Rho-deficient neutrophils activated numerous signaling pathways and amplified superoxide generation. Deletion of Rho altered front-to-back coordination by simultaneously increasing uropod elongation, leading edge formation, and random migration. Concomitant negative and positive regulation of ß2 integrin-independent and ß2 integrin-dependent migration, respectively, reveal Rho as a key decision point in the neutrophil response to discrete chemotactic agents. Although even restricted influx of Rho-deficient hyperactive neutrophils exacerbated lipopolysaccharide-mediated lung injury, deleting Rho in innate immune cells was highly protective in influenza A virus infection. Hence, Rho is a key regulator of disease progression by maintaining neutrophil quiescence and suppressing hyperresponsiveness.


Assuntos
Doenças do Sistema Imunitário , Influenza Humana/imunologia , Transtornos Leucocíticos , Neutrófilos/imunologia , Proteínas rho de Ligação ao GTP/fisiologia , Lesão Pulmonar Aguda/genética , Lesão Pulmonar Aguda/imunologia , Animais , Células Cultivadas , Progressão da Doença , Feminino , Humanos , Vírus da Influenza A/imunologia , Masculino , Camundongos , Camundongos Transgênicos , Infecções por Orthomyxoviridae/genética , Infecções por Orthomyxoviridae/imunologia , Pneumonia Viral/genética , Pneumonia Viral/imunologia , Proteína rhoA de Ligação ao GTP
8.
J Biol Chem ; 289(44): 30772-30784, 2014 Oct 31.
Artigo em Inglês | MEDLINE | ID: mdl-25213860

RESUMO

RhoA is thought to be essential for coordination of the membrane protrusions and retractions required for immune cell motility and directed migration. Whether the subfamily of Rho (Ras homolog) GTPases (RhoA, RhoB, and RhoC) is actually required for the directed migration of primary cells is difficult to predict. Macrophages isolated from myeloid-restricted RhoA/RhoB (conditional) double knock-out (dKO) mice did not express RhoC and were essentially "pan-Rho"-deficient. Using real-time chemotaxis assays, we found that retraction of the trailing edge was dissociated from the advance of the cell body in dKO cells, which developed extremely elongated tails. Surprisingly, velocity (of the cell body) was increased, whereas chemotactic efficiency was preserved, when compared with WT macrophages. Randomly migrating RhoA/RhoB dKO macrophages exhibited multiple small protrusions and developed large "branches" due to impaired lamellipodial retraction. A mouse model of peritonitis indicated that monocyte/macrophage recruitment was, surprisingly, more rapid in RhoA/RhoB dKO mice than in WT mice. In comparison with dKO cells, the phenotypes of single RhoA- or RhoB-deficient macrophages were mild due to mutual compensation. Furthermore, genetic deletion of RhoB partially reversed the motility defect of macrophages lacking the RhoGAP (Rho GTPase-activating protein) myosin IXb (Myo9b). In conclusion, the Rho subfamily is not required for "front end" functions (motility and chemotaxis), although both RhoA and RhoB are involved in pulling up the "back end" and resorbing lamellipodial membrane protrusions. Macrophages lacking Rho proteins migrate faster in vitro, which, in the case of the peritoneum, translates to more rapid in vivo monocyte/macrophage recruitment.


Assuntos
Macrófagos Peritoneais/enzimologia , Pseudópodes/patologia , Proteínas ras/genética , Proteínas rho de Ligação ao GTP/genética , Proteína rhoB de Ligação ao GTP/genética , Animais , Polaridade Celular , Células Cultivadas , Quimiotaxia , Feminino , Expressão Gênica , Macrófagos Peritoneais/patologia , Camundongos , Camundongos Knockout , Miosinas/genética , Peritonite/enzimologia , Peritonite/patologia , Pseudópodes/enzimologia , Proteínas ras/metabolismo , Proteínas rho de Ligação ao GTP/metabolismo , Proteína rhoA de Ligação ao GTP , Proteína rhoB de Ligação ao GTP/metabolismo , Proteína de Ligação a GTP rhoC
9.
Evol Anthropol ; 24(4): 149-64, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26267436

RESUMO

Current fossil, genetic, and archeological data indicate that Homo sapiens originated in Africa in the late Middle Pleistocene. By the end of the Late Pleistocene, our species was distributed across every continent except Antarctica, setting the foundations for the subsequent demographic and cultural changes of the Holocene. The intervening processes remain intensely debated and a key theme in hominin evolutionary studies. We review archeological, fossil, environmental, and genetic data to evaluate the current state of knowledge on the dispersal of Homo sapiens out of Africa. The emerging picture of the dispersal process suggests dynamic behavioral variability, complex interactions between populations, and an intricate genetic and cultural legacy. This evolutionary and historical complexity challenges simple narratives and suggests that hybrid models and the testing of explicit hypotheses are required to understand the expansion of Homo sapiens into Eurasia.


Assuntos
Evolução Biológica , Fósseis , Migração Humana , África , Ásia , Austrália , DNA Mitocondrial , Feminino , Humanos , Masculino , Paleontologia , Tecnologia
10.
J Hum Evol ; 75: 125-42, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-25110207

RESUMO

The role and significance of the Arabian Peninsula in modern human dispersals out of Africa is currently contentious. While qualitative observations of similarities between Arabian Middle Palaeolithic and African Middle Stone Age (MSA) assemblages have been made, these inferences remain untested and often situated within overly broad dichotomies (e.g., 'Africa' versus the 'Levant'), which distort concepts of geographic scale and subsume local variability. Here, we quantitatively test the hypothesis that assemblages from Jubbah, in the Nefud Desert of northern Saudi Arabia are similar to MSA industries from northeast Africa. Based on the quantitative analysis of a suite of metric and morphological data describing lithic reduction sequences, our results show that early and late core reduction at Jubbah is distinct from equivalent northeast African strategies, perhaps as a result of raw material factors. However, specific techniques of core shaping, preparation and preferential flake production at Jubbah draw from a number of methods also present in the northeast African MSA. While two Jubbah lithic assemblages (JKF-1 and JKF-12) display both similarities and differences with the northeast African assemblages, a third locality (JSM-1) was significantly different to both the other Arabian and African assemblages, indicating an unexpected diversity of assemblages in the Jubbah basin during Marine Isotope Stage 5 (MIS 5, ∼125-70,000 years ago, or ka). Along with evidence from southern Arabia and the Levant, our results add quantitative support to arguments that MIS 5 hominin demography at the interface between Africa and Asia was complex.


Assuntos
Migração Humana/história , Tecnologia/história , África , Antropologia Física , Ásia , História Antiga , Humanos
11.
Aviat Space Environ Med ; 85(8): 823-7, 2014 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25199124

RESUMO

INTRODUCTION: U.S. astronauts undergo extensive job-related screening and medical examinations prior to selection in order to identify candidates optimally suited for careers in spaceflight. Screening medical standards evolved over many years and after extensive spaceflight experience. These standards assess health-related risks for each astronaut candidate, minimizing the potential for medical impact on future mission success. This document discusses the evolution of the Shuttle-era medical selection standards and the most common reasons for medical dis-qualification of applicants. METHODS: Data for astronaut candidate finalists were compiled from medical records and NASA archives from the period of 1978 to 2004 and were retrospectively reviewed for medically disqualifying conditions. RESULTS: During Shuttle selection cycles, a total of 372 applicants were disqualified due to 425 medical concerns. The most common disqualifying conditions included visual, cardiovascular, psychiatric, and behavioral disorders. During this time period, three major expert panel reviews resulted in refinements and alterations to selection standards for future cycles. DISCUSSION: Shuttle-era screening, testing, and specialist evaluations evolved through periodic expert reviews, evidence-based medicine, and astronaut medical care experience. The Shuttle medical program contributed to the development and implementation of NASA and international standards, longitudinal data collection, improved medical care, and occupational surveillance models. The lessons learned from the Shuttle program serve as the basis for medical selection for the ISS, exploration-class missions, and for those expected to participate in commercial spaceflight.


Assuntos
Astronautas , Seleção de Pessoal/normas , Adulto , Medicina Aeroespacial , Feminino , Humanos , Masculino , Estudos Retrospectivos , Voo Espacial , Estados Unidos , United States National Aeronautics and Space Administration
12.
J Hum Evol ; 64(4): 289-99, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23484636

RESUMO

Gorham's Cave is located in the British territory of Gibraltar in the southernmost end of the Iberian Peninsula. Recent excavations, which began in 1997, have exposed an 18 m archaeological sequence that covered the last evidence of Neanderthal occupation and the first evidence of modern human occupation in the cave. By applying the Mutual Climatic Range method on the amphibian and reptile assemblages, we propose here new quantitative data on the terrestrial climatic conditions throughout the latest Pleistocene sequence of Gorham's Cave. In comparison with current climatic data, all mean annual temperatures were about 1.6-1.8 degrees C lower in this region. Winters were colder and summers were similar to today. Mean annual precipitation was slightly lower, but according to the Aridity Index of Gaussen there were only four dry months during the latest Pleistocene as opposed to five dry months today during the summer. The climate was Mediterranean and semi-arid (according to the Aridity Index of Dantin-Revenga) or semi-humid (according to the Aridity Index of Martonne). The atmospheric temperature range was higher during the latest Pleistocene, mainly due to lower winter temperatures. Such data support recent bioclimatic models, which indicate that high rainfall levels may have been a significant factor in the late survival of Neanderthal populations in southern Iberia. The Solutrean levels of Gorham's Cave and climate records from cores in the Alboran Sea indicate increasing aridity from Marine Isotope Stage (MIS) 3-2. Because Neanderthals seem to have been associated with woodland habitats, we propose that lessening rainfall may have caused the degradation of large areas of forest and may have made late surviving Neanderthal populations more vulnerable outside southern refuges like the Rock of Gibraltar.


Assuntos
Anfíbios/fisiologia , Arqueologia , Biota , Fósseis , Homem de Neandertal/fisiologia , Répteis/fisiologia , Animais , Cavernas , Clima , Ecossistema , Gibraltar , Estações do Ano , Temperatura
13.
Aerosp Med Hum Perform ; 94(1): 48-50, 2023 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-36757221

RESUMO

BACKGROUND: The purpose of this report is to document the first use of a single piece, posterior chamber phakic implantable collamer lens (ICL) with a central port in the right eye (OD) of a spaceflight participant (SFP) during a 12-d Soyuz mission to the International Space Station (ISS). We also briefly document the stability of a pre-existing pachychoroid pigment epitheliopathy (PPE) in the macula of his left eye (OS) during this mission.CASE REPORT: Ocular examination, including refraction, slit lamp examination, macular examination by optical coherence tomography (OCT), and tonometry were performed before and after his mission and he was questioned regarding visual changes during each portion of his flight.DISCUSSION: We documented no change in ICL position during his spaceflight. He reported stable vision during liftoff, entry into microgravity, 12 d on the ISS, descent, and landing. Our results suggest that the modern ICL with a central port is stable, effective, and well tolerated during short duration spaceflight. His PPE also remained stable during this mission as documented by OCT.Gibson CR, Mader TH, Lipsky W, Brown DM, Jennings R, Law J, Sargsyan A, Brunstetter T, Danilichev SN, Maezawa Y. Implantable collamer lens use in a spaceflight participant during short duration spaceflight. Aerosp Med Hum Perform. 2023; 94(1):48-50.


Assuntos
Lentes Intraoculares , Voo Espacial , Ausência de Peso , Masculino , Humanos , Refração Ocular , Olho
14.
Front Biosci (Landmark Ed) ; 26(12): 1643-1652, 2021 12 30.
Artigo em Inglês | MEDLINE | ID: mdl-34994178

RESUMO

OBJECTIVES: Both stress and hypertension (HTN) are considered major health problems that negatively impact the cerebral vasculature. In this article we summarize the possible relationship between stress and HTN. METHODS: We conducted a systematic review of the literature using a database search of MEDLINE, PubMed, Scopus, and Web of Science. RESULTS: Psychological stress is known to be an important risk factor for essential hypertension. Acute stress can induce transient elevations of blood pressure in the context of the fight-or-flight response. With increased intensity and duration of a perceived harmful event, the normal physiological response is altered, resulting in a failure to return to the resting levels. These changes are responsible for the development of HTN. Genetic and behavioral factors are also very important for the pathogenesis of hypertension under chronic stress situation. In addition, HTN and chronic stress may lead to impaired auto-regulation, regional vascular remodeling, and breakdown of the blood brain barrier (BBB). The effects of both HTN and chronic stress on the cerebral blood vessels shows that both have common structural and functional effects including endothelial damage with subsequent increased wall thickness, vessel resistance, stiffness, arterial atherosclerosis, and altered hemodynamics. CONCLUSION: Most of the above mentioned vascular effects of stress were primarily reported in animal models. Further in-vivo standardization of pathological vascular indices and imaging modalities is warranted. Radiological quantification of these cerebrovascular changes is therefore essential for in depth understanding of the healthy and diseased cerebral arteries functions, identification and stratification of patients at risk of cardiovascular and neurological adverse events, enactment of preventive measures prior to the onset of systemic HTN, and the initiation of personalized medical management.


Assuntos
Hipertensão , Animais , Pressão Sanguínea , Humanos , Remodelação Vascular
15.
PLoS One ; 16(4): e0249606, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33793665

RESUMO

Here we report the discovery of ceramic fragments that form part of a Gorgoneion, a ceramic image representation of the Gorgon Medusa. The fragments were found in a deep part of Gorham's Cave, well known to ancient mariners as a natural shrine, between the 8th and 2nd century BCE. We discuss the context of this discovery, both within the inner topography of the cave itself, and also the broader geographical context. The discovery is situated at the extreme western end of the Mediterranean Sea, where it meets the Atlantic Ocean. The location was known to ancient mariners as the northern Pillar of Herakles, which marked the end of the known world. We relate the discovery, and its geographical and chronological context, to Greek legends that situated the lair of the Gorgon sisters at a location which coincides with the physical attributes and geographical position of Gorham's Cave. We thus provide, uniquely, a geographical and archaeological context to the myth of Perseus and the slaying of the Gorgon Medusa.


Assuntos
Arqueologia/métodos , Cavernas , Cerâmica/química , Humanos
16.
Aviat Space Environ Med ; 81(6): 597-601, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20540454

RESUMO

BACKGROUND: Commercial spaceflight participants on orbital flights typically are older than career astronauts and they often have medical conditions that have not been studied at high g or in microgravity. This is a case report of a 56-yr-old orbital spaceflight participant with essential tremor and frequent premature ventricular contractions that occurred at rates up to 7000 per day. Before training and spaceflight, he was required to complete extensive clinical investigations to demonstrate normal cardiac structures and the absence of cardiac pathology. The evaluation included signal averaged ECG, transthoracic stress echocardiography, exercise tolerance tests, electrophysiological studies, cardiac MRI, electron beam CT, Holter monitoring, and overnight oximetry. While no cardiac pathology was demonstrated, the Russian medical team required that the PVCs be treated prior to training and spaceflight. For the initial flight, a selective beta-1 receptor beta blocker was used and for the second a calcium channel blocker was used in combination with a nonselective beta blocker for tremor control. Analogue environment testing assured that this combination of medications was compatible. CONCLUSION: The spaceflight participant's PVCs were incompletely suppressed with a low-dose selective beta-1 blocker, but were well suppressed by a calcium channel blocker. He tolerated in-flight periodic use of a nonselective beta blocker in combination with a calcium channel blocker. In-flight ECG and blood pressure monitoring results were normal, and an ECG obtained midmission and on landing day showed successful PVC suppression. He did not have any cardiac difficulty with launch, on-orbit operations, entry, or recovery


Assuntos
Astronautas , Voo Espacial , Complexos Ventriculares Prematuros/etiologia , Ausência de Peso/efeitos adversos , Antagonistas Adrenérgicos beta/uso terapêutico , Medicina Aeroespacial , Bloqueadores dos Canais de Cálcio/uso terapêutico , Eletrocardiografia , Eletrocardiografia Ambulatorial , Tremor Essencial , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Risco , Fatores de Tempo , Complexos Ventriculares Prematuros/diagnóstico , Complexos Ventriculares Prematuros/fisiopatologia
17.
Aviat Space Environ Med ; 81(2): 133-5, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20131655

RESUMO

BACKGROUND: A total of eight commercial spaceflight participants have launched to the International Space Station (ISS) on Soyuz vehicles. Based on an older mean age compared to career astronauts and an increased prevalence of medical conditions, spaceflight participants have provided the opportunity to learn about the effect of space travel on crewmembers with medical problems. The 12-d Soyuz TMA-13/12 ISS flight of spaceflight participant Richard Garriott included medical factors that required preflight intervention, risk mitigation strategies, and provided the opportunity for medical study on-orbit. Equally important, Mr. Garriott conducted extensive medical, scientific, and educational payload operations during the flight. These included 7 medical experiments and a total of 15 scientific projects such as protein crystal growth, Earth observations/photography, educational projects with schools, and amateur radio. The medical studies included the effect of microgravity on immune function, sleep, bone loss, corneal refractive surgery, low back pain, motion perception, and intraocular pressure. CONCLUSION: The overall mission success resulted from non-bureaucratic agility in mission planning, cooperation with investigators from NASA, ISS, International Partners, and the Korean Aerospace Research Institute, in-flight support and leadership from a team with spaceflight and Capcom experience, and overall mission support from the ISS program. This article focuses on science opportunities that suborbital and orbital spaceflight participant flights offer and suggests that the science program on Richard Garriott's flight be considered a model for future orbital and suborbital missions. The medical challenges are presented in a companion article.


Assuntos
Astronautas , Voo Espacial , História do Século XXI , Humanos , Cooperação Internacional , Desenvolvimento de Programas , Pesquisa , Federação Russa
18.
Aviat Space Environ Med ; 81(2): 136-40, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20131656

RESUMO

Commercial spaceflight participants are typically older than traditional astronauts and often have medical conditions that make medical certification for flight difficult. This case report considers a 43-yr-old spaceflight participant who planned a short-duration Soyuz flight to the International Space Station (ISS). While he participated in many hazardous activities such as parachuting, hang gliding, scuba diving, Antarctic and jungle exploration, and deep sea submersible operations, he knew that several of his medical conditions precluded serving as a career astronaut. At the time of his initial spaceflight prescreen examination, he was known to have previous bilateral photorefractive keratectomy (PRK) for myopia and a cross-fused left ectopic kidney that would be disqualifying for a career astronaut. During the evaluation for the left single cross-fused ectopic kidney, a giant hepatic hemangioma was also discovered. In order to medically qualify for flight, the giant hepatic hemangioma was surgically removed. This case summary investigat*es the implications of a single cross-fused left ectopic kidney and the decision process and treatment implications for spaceflight medical certification in an individual with an asymptomatic giant hepatic hemangioma.


Assuntos
Hemangioma/cirurgia , Rim/anormalidades , Neoplasias Hepáticas/cirurgia , Voo Espacial , Adulto , Tomada de Decisões , Diagnóstico Diferencial , Hemangioma/diagnóstico por imagem , Humanos , Cooperação Internacional , Neoplasias Hepáticas/diagnóstico por imagem , Masculino , Período Pós-Operatório , Federação Russa , Tomografia Computadorizada por Raios X
19.
Aerosp Med Hum Perform ; 91(7): 543-564, 2020 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-32591031

RESUMO

INTRODUCTION: As NASA and its international partners, as well as the commercial spaceflight industry, prepare for missions of increasing duration and venturing outside of low-Earth orbit, mitigation of medical risk is of high priority. Gynecologic considerations constitute one facet of medical risk for female astronauts. This manuscript will review the preflight, in-flight, and postflight clinical evaluation, management, and prevention considerations for reducing gynecologic and reproductive risks in female astronauts.METHODS: Relevant gynecological articles from databases including Ovid, Medline, Web of Science, various medical libraries, and NASA archives were evaluated for this review. In particular, articles addressing preventive measures or management of conditions in resource-limited environments were evaluated for applicability to future long-duration exploration spaceflight.RESULTS: Topics including abnormal uterine bleeding, anemia, bone mineral density, ovarian cysts, venous thromboembolism, contraception, fertility, and health maintenance were reviewed. Prevention and treatment strategies are discussed with a focus on management options that consider limitations of onboard medical capabilities.DISCUSSION: Long-duration exploration spaceflight will introduce new challenges for maintenance of gynecological and reproductive health. The impact of the space environment outside of low-Earth orbit on gynecological concerns remains unknown, with factors such as increased particle radiation exposure adding complexity and potential risk. While the most effective means of minimizing the impact of gynecologic or reproductive pathology for female astronauts is screening and prevention, gynecological concerns can arise unpredictably as they do on Earth. Careful consideration of gynecological risks and potential adverse events during spaceflight is a critical component to risk analysis and preventive medicine for future exploration missions.Steller JG, Blue RS, Burns R, Bayuse TM, Antonsen EL, Jain V, Blackwell MM, Jennings RT. Gynecologic risk mitigation considerations for long-duration spaceflight. Aerosp Med Hum Perform. 2020; 91(7):543-564.


Assuntos
Astronautas , Doenças Urogenitais Femininas/prevenção & controle , Exposição à Radiação , Saúde Reprodutiva , Voo Espacial , Feminino , Humanos , Medição de Risco , Fatores de Tempo
20.
Infect Immun ; 77(12): 5659-67, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19805526

RESUMO

Antigen-specific antibodies (Abs) to the 19-kDa carboxy-terminal region of Plasmodium falciparum merozoite surface protein 1 (MSP1(19)) play an important role in protective immunity to malaria. Mouse monoclonal Abs (MAbs) 12.10 and 12.8 recognizing MSP1(19) can inhibit red cell invasion by interfering with MSP1 processing on the merozoite surface. We show here that this ability is dependent on the intact Ab since Fab and F(ab')(2) fragments derived from MAb 12.10, although capable of binding MSP1 with high affinity and competing with the intact antibody for binding to MSP1, were unable to inhibit erythrocyte invasion or MSP1 processing. The DNA sequences of the variable (V) regions of both MAbs 12.8 and 12.10 were obtained, and partial amino acid sequences of the same regions were confirmed by mass spectrometry. Human chimeric Abs constructed by using these sequences, which combine the original mouse V regions with human gamma1 and gamma3 constant regions, retain the ability to bind to both parasites and recombinant MSP1(19), and both chimeric human immunoglobulin G1s (IgG1s) were at least as good at inhibiting erythrocyte invasion as the parental murine MAbs 12.8 and 12.10. Furthermore, the human chimeric Abs of the IgG1 class (but not the corresponding human IgG3), induced significant NADPH-mediated oxidative bursts and degranulation from human neutrophils. These chimeric human Abs will enable investigators to examine the role of human Fcgamma receptors in immunity to malaria using a transgenic parasite and mouse model and may prove useful in humans for neutralizing parasites as an adjunct to antimalarial drug therapy.


Assuntos
Anticorpos Antiprotozoários/imunologia , Eritrócitos/parasitologia , Imunoglobulina G/imunologia , Proteína 1 de Superfície de Merozoito/antagonistas & inibidores , Plasmodium falciparum/imunologia , Sequência de Aminoácidos , Animais , Anticorpos Monoclonais/imunologia , Anticorpos Monoclonais/metabolismo , Anticorpos Antiprotozoários/metabolismo , Sequência de Bases , Humanos , Fragmentos Fab das Imunoglobulinas/metabolismo , Proteína 1 de Superfície de Merozoito/imunologia , Proteína 1 de Superfície de Merozoito/metabolismo , Camundongos , Dados de Sequência Molecular , Neutrófilos/imunologia , Ligação Proteica , RNA , Explosão Respiratória
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