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1.
J Dairy Sci ; 102(11): 10039-10055, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31477308

RESUMO

Vitamin A is essential for human health, but current intake levels in many developing countries such as India are too low due to malnutrition. According to the World Health Organization, an estimated 250 million preschool children are vitamin A deficient globally. This number excludes pregnant women and nursing mothers, who are particularly vulnerable. Efforts to improve access to vitamin A are key because supplementation can reduce mortality rates in young children in developing countries by around 23%. Three key genes, BCMO1, BCO2, and SCARB1, have been shown to be associated with the amount of ß-carotene (BC) in milk. Whole-genome sequencing reads from the coordinates of these 3 genes in 202 non-Indian cattle (141 Bos taurus, 61 Bos indicus) and 35 non-Indian buffalo (Bubalus bubalis) animals from several breeds were collected from data repositories. The number of SNP detected in the coding regions of these 3 genes ranged from 16 to 26 in the 3 species, with 5 overlapping SNP between B. taurus and B. indicus. All these SNP together with 2 SNP in the upstream part of the gene but already present in dbSNP (https://www.ncbi.nlm.nih.gov/projects/SNP/) were used to build a custom Sequenom array. Blood for DNA and milk samples for BC were obtained from 2,291 Indian cows of 5 different breeds (Gir, Holstein cross, Jersey Cross, Tharparkar, and Sahiwal) and 2,242 Indian buffaloes (Jafarabadi, Murrah, Pandharpuri, and Surti breeds). The DNA was extracted and genotyped with the Sequenom array. For each individual breed and the combined breeds, SNP with an association that had a P-value <0.3 in the first round of linear analysis were included in a second step of regression analyses to determine allele substitution effects to increase the content of BC in milk. Additionally, an F-test for all SNP within gene was performed with the objective of determining if overall the gene had a significant effect on the content of BC in milk. The analyses were repeated using a Bayesian approach to compare and validate the previous frequentist results. Multiple significant SNP were found using both methodologies with allele substitution effects ranging from 6.21 (3.13) to 9.10 (5.43) µg of BC per 100 mL of milk. Total gene effects exceeded the mean BC value for all breeds with both analysis approaches. The custom panel designed for genes related to BC production demonstrated applicability in genotyping of cattle and buffalo in India and may be used for cattle or buffalo from other developing countries. Moreover, the recommendation of selection for significant specific alleles of some gene markers provides a route to effectively increase the BC content in milk in the Indian cattle and buffalo populations.


Assuntos
Búfalos/genética , Bovinos/genética , Marcadores Genéticos , Leite/química , beta Caroteno/análise , Alelos , Animais , Feminino , Genótipo , Índia , Polimorfismo de Nucleotídeo Único , Gravidez , Especificidade da Espécie , beta Caroteno/genética
2.
N Z Vet J ; 65(4): 214-218, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28372487

RESUMO

CASE HISTORY: An investigation was conducted to identify the cause of mortalities in freshwater reared Chinook salmon (Oncorhynchus tshawytscha). Mortalities occurred in juvenile salmon, at a salmon rearing facility in the South Island of New Zealand. The affected fish were from a pen inside the facility with no surrounding pens or other year classes affected. CLINICAL FINDINGS: Clinically affected fish presented with skin lesions. The majority of skin lesions were unruptured, boil-like, raised circular masses up to 4 cm in diameter, particularly on the dorsolateral aspects and the flank. A number of fish presented with large ulcers resulting from rupturing of the raised lesions described above. This clinical presentation showed similarities to that of furunculosis caused by typical Aeromonas salmonicida, a bacterium exotic to New Zealand. LABORATORY FINDINGS: Samples were taken from two representative fish in the field for histopathology, bacterial culture and molecular testing. Histopathological findings included granulomatous lesions in the kidney, liver, spleen and muscle. When stained with Fite-Faraco modified acid fast stain filamentous branching rods were identified within these granulomas. Following bacterial culture of kidney swabs pure growth of small white matt adherent colonies was observed. This isolate was identified as a Nocardia species by biochemical testing and nucleotide sequencing of the partial 16S rRNA gene. All samples were negative for A. salmonicida based on bacterial culture and PCR testing. DIAGNOSIS: Nocardiosis caused by a Nocardia species. CLINICAL RELEVANCE: Nocardiosis in these fish was caused by a previously undescribed Nocardia species that differs from the species known to be pathogenic to fish: N. asteroides, N. salmonicida and N. seriole. This bacterium is likely to be a new or unnamed environmental species of Nocardia that has the potential to cause disease in Chinook salmon under certain conditions. The clinical presentation of this Nocardia species manifested as raised, boil-like skin lesions which has similarities to the presentation of furunculosis caused by the bacterium typical A. salmonicida, a species exotic to New Zealand.


Assuntos
Doenças dos Peixes/microbiologia , Nocardiose/veterinária , Nocardia/isolamento & purificação , Salmão/microbiologia , Animais , Bases de Dados de Ácidos Nucleicos , Doenças dos Peixes/genética , Doenças dos Peixes/patologia , Água Doce , Genes de RNAr , Nova Zelândia , Nocardia/genética , Nocardiose/genética , Nocardiose/patologia , Reação em Cadeia da Polimerase
4.
Ageing Res Rev ; 68: 101324, 2021 07.
Artigo em Inglês | MEDLINE | ID: mdl-33774195

RESUMO

Age-related diseases for which there are no effective treatments include cardiovascular diseases; neurodegenerative diseases such as Alzheimer's disease; eye disorders such as cataract and age-related macular degeneration; and, more recently, Severe Acute Respiratory Syndrome (SARS-CoV-2). These diseases are associated with plasma and/or tissue increases in cholesterol derivatives mainly formed by auto-oxidation: 7-ketocholesterol, also known as 7-oxo-cholesterol, and 7ß-hydroxycholesterol. The formation of these oxysterols can be considered as a consequence of mitochondrial and peroxisomal dysfunction, leading to increased in oxidative stress, which is accentuated with age. 7-ketocholesterol and 7ß-hydroxycholesterol cause a specific form of cytotoxic activity defined as oxiapoptophagy, including oxidative stress and induction of death by apoptosis associated with autophagic criteria. Oxiaptophagy is associated with organelle dysfunction and in particular with mitochondrial and peroxisomal alterations involved in the induction of cell death and in the rupture of redox balance. As the criteria characterizing 7-ketocholesterol- and 7ß-hydroxycholesterol-induced cytotoxicity are often simultaneously observed in major age-related diseases (cardiovascular diseases, age-related macular degeneration, Alzheimer's disease) the involvement of these oxysterols in the pathophysiology of the latter seems increasingly likely. It is therefore important to better understand the signalling pathways associated with the toxicity of 7-ketocholesterol and 7ß-hydroxycholesterol in order to identify pharmacological targets, nutrients and synthetic molecules attenuating or inhibiting the cytotoxic activities of these oxysterols. Numerous natural cytoprotective compounds have been identified: vitamins, fatty acids, polyphenols, terpenes, vegetal pigments, antioxidants, mixtures of compounds (oils, plant extracts) and bacterial enzymes. However, few synthetic molecules are able to prevent 7-ketocholesterol- and/or 7ß-hydroxycholesterol-induced cytotoxicity: dimethyl fumarate, monomethyl fumarate, the tyrosine kinase inhibitor AG126, memantine, simvastatine, Trolox, dimethylsufoxide, mangafodipir and mitochondrial permeability transition pore (MPTP) inhibitors. The effectiveness of these compounds, several of which are already in use in humans, makes it possible to consider using them for the treatment of certain age-related diseases associated with increased plasma and/or tissue levels of 7-ketocholesterol and/or 7ß-hydroxycholesterol.


Assuntos
COVID-19 , Envelhecimento , Humanos , Hidroxicolesteróis , Cetocolesteróis , Nutrientes , Óleos , SARS-CoV-2
5.
Br J Cancer ; 100(12): 1842-5, 2009 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-19491904

RESUMO

A total of 50 patients with advanced pancreatic cancer were enrolled in a phase II study of bevacizumab 15 mg kg(-1), capecitabine 1300 mg m(-2) daily for 2 weeks and gemcitabine 1000 mg m(-2) weekly 2 times; cycles were repeated every 21 days. Radiological response rate was 22%; progression-free survival and over survival were 5.8 and 9.8 months respectively. Grade 3 or 4 toxicities included neutropaenia (22%), thrombocytopaenia (14%), thromboembolic events (12%), hypertension (8%) and haemorrhage (6%).


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Pulmonares/tratamento farmacológico , Neoplasias Pancreáticas/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Anticorpos Monoclonais/administração & dosagem , Anticorpos Monoclonais Humanizados , Bevacizumab , Capecitabina , Desoxicitidina/administração & dosagem , Desoxicitidina/análogos & derivados , Feminino , Fluoruracila/administração & dosagem , Fluoruracila/análogos & derivados , Humanos , Neoplasias Hepáticas/secundário , Neoplasias Pulmonares/secundário , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/patologia , Prognóstico , Taxa de Sobrevida , Resultado do Tratamento , Gencitabina
6.
Indian J Exp Biol ; 46(10): 685-9, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19024165

RESUMO

Sheeppox virus from an outbreak of sheeppox that occurred in Srinagar (Jammu and Kashmir, India) in 2000 was isolated by inoculation of susceptible sheep and further re-isolated in cell culture. The field virus, adapted to grow in lamb testes culture, was evaluated for its potential use as challenge virus in potency testing of sheeppox vaccine currently in use. The virus (passage 6) produced severe disease in susceptible sheep when inoculated subcutaneously with a dose of 106.2 TCID50. The virus identity was confirmed by PCR, sequencing of P32 gene and species-specific signature residues identified in deduced aa sequence of the gene. The virus was successfully evaluated for its virulence using two batches of sheep pox vaccines. Use of this field virus enables consistent potency experiments of sheeppox vaccines avoiding use of animals for its propagation and titration.


Assuntos
Capripoxvirus/patogenicidade , Vacinas Virais/análise , Adaptação Fisiológica , Alternativas aos Testes com Animais , Animais , Capripoxvirus/genética , Capripoxvirus/imunologia , Capripoxvirus/fisiologia , Células Cultivadas , Efeito Citopatogênico Viral , Genes Virais , Masculino , Infecções por Poxviridae/prevenção & controle , Infecções por Poxviridae/veterinária , Infecções por Poxviridae/virologia , Ovinos , Doenças dos Ovinos/prevenção & controle , Doenças dos Ovinos/virologia , Virulência
7.
Oncology ; 73(5-6): 281-9, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-18477853

RESUMO

Esophageal adenocarcinoma (EAC) is one of the fastest growing malignancies in the US. The long-term survival of patients with this cancer remains poor; only 25% of patients undergoing surgical excision are alive after 5 years. Multimodal programs that incorporate radiotherapy, chemotherapy and surgery for localized tumors may result in a modest survival advantage. However, significant strides in this disease can result from the inclusion of targeted therapies. The epidermal growth factor receptor (EGFR) family represents one such target and is receiving increasing attention due to the advent of specific inhibitors. Studies conducted by us and others have shown that the overexpression of EGFR family signaling intermediates is common in Barrett's esophagus and EAC. In the latter case, EGFR expression may have prognostic significance. EGFR inhibitors, including oral tyrosine kinase inhibitors and monoclonal antibodies, result in a synergistic antitumor effect with chemotherapeutic agents or with radiotherapy. Therefore, several ongoing studies include EGFR-directed therapy either alone or in combination with chemoradiotherapy for this disease. Our study of gefitinib, oxaliplatin and radiotherapy suggested that gefitinib can be safely incorporated into an oxaliplatin-based chemoradiation program for esophageal cancer, although the clinical activity of this combination is modest. Herein, we review the current literature on this subject.


Assuntos
Adenocarcinoma/tratamento farmacológico , Receptores ErbB/antagonistas & inibidores , Neoplasias Esofágicas/tratamento farmacológico , Adenocarcinoma/epidemiologia , Adenocarcinoma/mortalidade , Adenocarcinoma/cirurgia , Anticorpos Monoclonais/uso terapêutico , Anticorpos Monoclonais Humanizados , Antineoplásicos/uso terapêutico , Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Esôfago de Barrett/tratamento farmacológico , Esôfago de Barrett/epidemiologia , Cloridrato de Erlotinib , Neoplasias Esofágicas/epidemiologia , Neoplasias Esofágicas/mortalidade , Neoplasias Esofágicas/cirurgia , Gefitinibe , Humanos , Incidência , Neoplasias Pulmonares/tratamento farmacológico , Quinazolinas/uso terapêutico , Análise de Sobrevida
8.
Vet World ; 10(6): 650-654, 2017 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-28717317

RESUMO

AIM: This study was conducted to evaluate the impact of summer and winter season on physiological, biochemical, hormonal, and antioxidant parameters in Indigenous sheep. MATERIALS AND METHODS: The research was carried out during summer and winter season. 8 adult apparently healthy female sheep (aged 2-4 years) of similar physiological status were selected. Daily ambient temperature and relative humidity were recorded to calculate the temperature-humidity index (THI). The THI value of summer and winter season were 82.55 and 59.36, respectively, which indicate extreme hot condition during summer season and extreme cold condition during winter season. Physiological parameters were recorded daily during the experimental periods. Blood samples were collected at weekly interval and analyzed for biochemical, hormonal, and antioxidant parameters. The results were analyzed using completely randomized design. RESULTS: From data obtained in this study, we found that higher THI during summer have significant effect over various physiological, biochemical, hormonal, and enzymatic indices of indigenous sheep. The physiological response such as rectal temperature, respiration rate (RR), pulse rate (PR), and skin temperature (ST) was increased significantly. We also found a significant increase in some biochemical parameters such as blood urea nitrogen (BUN), uric acid, creatinine (Cr), alanine transaminase (ALT), aspartate transaminase (AST), sodium (Na), and potassium (K). The level of cortisol hormone and superoxide dismutase (SOD), glutathione peroxidase (GPx), and lipid peroxidase (LPO) antioxidants increased significantly during summer. Whereas, some parameters such as glucose, cholesterol, calcium (Ca), inorganic phosphorus (IP), triiodothyronine (T3), and thyroxine (T4) were decreased significantly during summer season. CONCLUSION: It was concluded that the THI is a sensitive indicator of heat stress and is impacted by ambient temperature more than the relative humidity in Indigenous sheep. Higher THI is associated with significant increase in RT, RR, PR, ST, BUN, uric acid, Cr, ALT, AST, Na, K, cortisol, SOD, GPx, and LPO and with a significant decrease in glucose, cholesterol, Ca, IP, T3 and T4.

9.
Nihon Hoshasen Gijutsu Gakkai Zasshi ; 62(5): 713-5, 2006 May 20.
Artigo em Japonês | MEDLINE | ID: mdl-16767829

RESUMO

A total of 12 patients with malignant localized renal or ureteral neoplasms underwent multi-slice computed tomography. Imaging data were sent to the dedicated workstation to create volume rendering and virtual laparoscopic images of the kidney which was displaced ventrally with retroperitoneal balloon. These findings were compared with video images obtained during retroperitoneal laparoscopic nephrectomy. The kidney displacement simulator depicted all renal arteries (100% sensitivity) and 13 of 14 renal veins (93% sensitivity). Hilar anatomy, including the tumor, major vessels and their relationships were visualized as in the actual laparoscopic views. The desired portions of major vessels as well as the left adrenal and gonadal veins visualized with this system completely corresponded with the actual laparoscopic images during surgery. The kidney displacement simulator is useful to foresee desired portions of major vessels and branched small vessels such as the adrenal or gonadal veins in advance of surgery. It is thus able to guide surgeons and reduce operative risks and possible complications.


Assuntos
Imageamento Tridimensional , Rim/anatomia & histologia , Laparoscopia , Nefrectomia , Tomografia Computadorizada Espiral , Cateterismo , Simulação por Computador , Humanos , Processamento de Imagem Assistida por Computador , Neoplasias Renais/diagnóstico por imagem , Neoplasias Renais/cirurgia , Espaço Retroperitoneal , Neoplasias Ureterais/diagnóstico por imagem , Neoplasias Ureterais/cirurgia
10.
Biochim Biophys Acta ; 973(2): 257-62, 1989 Feb 28.
Artigo em Inglês | MEDLINE | ID: mdl-2917159

RESUMO

Detergent solubilization and subsequent delipidation of bacteriorhodopsin (bR) results in the formation of a new species absorbing maximally at 480 nm (bR480). Upon lowering the pH, its absorption shifts to 540 nm (bR540). The pK of this equilibrium is 2.6, with the higher pH favoring bR480 (Baribeau, J. and Boucher, F. (1987) Biochim. Biophysica Acta, 890, 275-278). Resonance Raman spectroscopy shows that bR480, like the native bR, contains a protonated Schiff base (PSB) linkage between the chromophore and the protein. However, the Schiff base vibrational frequency in bR480, and its shift upon deuteration, are quite different from these in the native bR, suggesting changes in the Schiff base environment upon delipidation. Infrared absorption and circular-dichroism (CD) spectral studies do not show any net change in the protein secondary structure upon formation of bR480. It is shown that deprotonation of the Schiff base is not the only mechanism of producing hypsochromic shift in the absorption maximum of bR-derived pigments, subtle changes in the protein tertiary structure, affecting the Schiff base environment of the chromophore, may play an equally significant role in the color regulation of bR-derived pigments.


Assuntos
Bacteriorodopsinas , Lipídeos de Membrana , Proteínas de Membrana , Dicroísmo Circular , Deutério , Halobacterium/análise , Concentração de Íons de Hidrogênio , Bases de Schiff , Espectrofotometria , Espectrofotometria Infravermelho , Análise Espectral Raman
11.
J Mol Biol ; 314(4): 663-9, 2001 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-11733987

RESUMO

The cysteine residues of the gamma crystallins, a family of ocular lens proteins, are involved in the aggregation and phase separation of these proteins. Both these phenomena are implicated in cataract formation. We have used bovine gammaB crystallin as a model system to study the role of the individual cysteine residues in the aggregation and phase separation of the gamma crystallins. Here, we compare the thermodynamic and kinetic behavior of the recombinant wild-type protein (WT) and the Cys18 to Ser (C18S) mutant. We find that the solubilities of the two proteins are similar. The kinetics of crystallization, however, are different. The WT crystallizes slowly enough for the metastable liquid-liquid coexistence to be easily observed. C18S, on the other hand, crystallizes rapidly; the metastable coexisting liquid phases of the pure mutant do not form. Nevertheless, the coexistence curve of C18S can be determined provided that crystallization is kinetically suppressed. In this way we found that the coexistence curve coincides with that of the WT. Despite the difference in the kinetics of crystallization, the two proteins were found to have the same crystal forms and almost identical X-ray structures. Our results demonstrate that even conservative point mutations can bring about dramatic changes in the kinetics of crystallization. The implications of our findings for cataract formation and protein crystallization are discussed.


Assuntos
Substituição de Aminoácidos/genética , Cristalinas/química , Cristalinas/metabolismo , Cristalização , Cisteína/metabolismo , Serina/metabolismo , Animais , Catarata/metabolismo , Bovinos , Cristalinas/genética , Cristalografia por Raios X , Cisteína/genética , Cinética , Modelos Moleculares , Mutação Puntual/genética , Conformação Proteica , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Serina/genética , Solubilidade , Termodinâmica , gama-Cristalinas
12.
Virus Res ; 114(1-2): 54-62, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-15993973

RESUMO

We have investigated the role of glycosylation of the envelope glycoprotein E2 of bovine viral diarrhoea virus (BVDV), produced in insect cells, in BVDV infection. When amino acids predicated to code for the C-terminal N-linked glycosylation site were mutated the resulting protein was less efficient than wild type protein at preventing infection of susceptible cells with BVDV. In addition, mutational analysis showed that a further two predicted N-terminal N-linked glycosylation sites of E2 are required for efficient production of recombinant protein.


Assuntos
Baculoviridae/metabolismo , Vírus da Diarreia Viral Bovina/patogenicidade , Proteínas Recombinantes/metabolismo , Proteínas do Envelope Viral/metabolismo , Animais , Baculoviridae/genética , Bovinos , Células Cultivadas , Vírus da Diarreia Viral Bovina/genética , Vírus da Diarreia Viral Bovina/metabolismo , Glicosilação , Masculino , Mutagênese Sítio-Dirigida , Proteínas Recombinantes/genética , Spodoptera/virologia , Testículo/citologia , Testículo/virologia , Proteínas do Envelope Viral/genética
13.
Arch Gen Psychiatry ; 51(9): 701-7, 1994 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8080346

RESUMO

OBJECTIVE: To determine whether depressed patients demonstrate hypothalamic-pituitary-adrenal (HPA) axis activation during the late afternoon and evening, a time when the HPA axis is usually quiescent in normal subjects. METHODS: We administered metyrapone, an 11-beta-hydroxylase inhibitor of cortisol synthesis, to normal controls and depressed patients between 4 and 10 PM. Metyrapone blockade of cortisol secretion would amplify any HPA axis secretion. RESULTS: In 10 normal control subjects, administration of metyrapone lowered plasma cortisol levels to a mean of 36 nmol/L. No rebound corticotropin or beta-endorphin secretion was seen in these normal controls between 4 and 10 PM, supporting the existence of a period of minimal endogenous corticotropin releasing factor drive. Compared with a group of placebo-treated depressed patients (n = 10), metyrapone-treated depressed subjects (n = 17) had significantly decreased plasma cortisol concentrations. However, in contrast to normal controls treated with metyrapone, metyrapone-treated depressed patients demonstrated rebound corticotroph secretion, particularly between 7:30 and 10 PM (P = .036 for patients vs normal controls for beta-endorphin secretion from 4:30 to 10 PM). CONCLUSION: These data support the hypothesis of increased corticotropin releasing factor drive in the evening in depressed subjects and are in agreement with the longstanding observation of "early escape" from dexamethasone suppression between 4 and 11 PM in depressed patients.


Assuntos
Ritmo Circadiano , Transtorno Depressivo/diagnóstico , Hidrocortisona/sangue , Piridinas , Hormônio Adrenocorticotrópico/sangue , Adulto , Hormônio Liberador da Corticotropina/fisiologia , Cortodoxona/sangue , Transtorno Depressivo/sangue , Dexametasona , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Placebos , beta-Endorfina/sangue , beta-Lipotropina/sangue
14.
Arch Gen Psychiatry ; 48(6): 534-9, 1991 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2039337

RESUMO

Electroconvulsive therapy is accompanied by an activation of the hypothalamic-pituitary-adrenal axis, resulting in a release of beta-endorphin from the anterior pituitary corticotrophs of humans. As a group, patients in our study demonstrated similar plasma beta-endorphin immunoreactivity response to their initial and final treatments. However, approximately half of the patients demonstrated greater beta-endorphin immunoreactivity release with their first seizure compared with their last seizure, and half of the patients demonstrated the opposite pattern. This difference was not explained by age, sex, unilateral vs bilateral treatments, sine wave vs brief pulse, or psychotropic or anticholinergic medication. Patients with constant seizure duration during the first and final treatments demonstrated a greater release of beta-endorphin immunoreactivity with the final treatment compared with the first treatment. Individuals with decreasing seizure duration during the course of the electroconvulsive therapy demonstrated a decreased beta-endorphin immunoreactivity response during their final treatment.


Assuntos
Transtorno Depressivo/terapia , Eletroconvulsoterapia , beta-Endorfina/sangue , Adulto , Idoso , Barreira Hematoencefálica/fisiologia , Transtorno Depressivo/sangue , Eletroconvulsoterapia/métodos , Feminino , Humanos , Hidrocortisona/sangue , Masculino , Pessoa de Meia-Idade , Permeabilidade , Adeno-Hipófise/metabolismo , Radioimunoensaio , Fatores Sexuais , beta-Endorfina/imunologia
15.
Biol Psychiatry ; 34(8): 558-61, 1993 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-8274583

RESUMO

Adrenergic response following infusions of yohimbine or normal saline was evaluated in 9 control subjects, 8 patients suffering from a major depressive episode (MDE), and 12 patients suffering from concurrent MDE and panic disorder (MDE + P). Blood was drawn at -20, 0, 5, 10, 20, 45, and 90 min following the infusions, and assayed for norepinephrine (NE) and 3-methoxy-4-hydroxy-phenyl glycol (MHPG). Although the patient groups exhibited higher baseline NE concentrations, and a greater NE area under the plasma concentration versus time curve (AUC0-90) during the yohimbine infusion, the differences were not statistically significant. Baseline NE was significantly correlated with the NE AUC0-90 in all three groups, suggesting that, although the NE system may be dysregulated in the MDE and MDE + P patients, the NE system still appears to respond somewhat predictably following a challenge, even though the actual magnitude of response may vary.


Assuntos
Transtorno Depressivo/sangue , Norepinefrina/sangue , Transtorno de Pânico/sangue , Receptores Adrenérgicos alfa 2/efeitos dos fármacos , Ioimbina/farmacologia , Adulto , Comorbidade , Transtorno Depressivo/psicologia , Método Duplo-Cego , Feminino , Humanos , Infusões Intravenosas , Masculino , Metoxi-Hidroxifenilglicol/sangue , Pessoa de Meia-Idade , Transtorno de Pânico/psicologia , Receptores Adrenérgicos alfa 2/fisiologia
16.
Biol Psychiatry ; 40(10): 1017-20, 1996 Nov 15.
Artigo em Inglês | MEDLINE | ID: mdl-8915561

RESUMO

A study was conducted to compare the relative efficacy of fluoxetine and phenelzine in patients with mood-reactive atypical depression. Forty-two patients with atypical depression by the Columbia criteria were studied in a randomized, double-blind treatment study. Following a single-blind placebo lead-in, patients received fluoxetine 20-60 mg/day or phenelzine 45-90 mg/day for 6 weeks. Efficacy was measured by the Hamilton Depression Rating Scale, the Clinical Global Impression (Severity and Improvement) scales, and the Patient Global Impression (Improvement) scale. Of 42 patients randomized, 2 patients never received drugs and 2 phenelzine-treated patients dropped out prior to completion; the remainder completed the 6 weeks of the study. The rates of treatment response did not differ between groups. With a few exceptions (e.g., tremor), phenelzine produced more frequent adverse effects than fluoxetine. It was concluded that fluoxetine is as effective as phenelzine in the treatment of atypical depression, but produces fewer adverse effects and is better tolerated.


Assuntos
Transtorno Depressivo/tratamento farmacológico , Fluoxetina/uso terapêutico , Inibidores da Monoaminoxidase/uso terapêutico , Fenelzina/uso terapêutico , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , Adulto , Método Duplo-Cego , Feminino , Fluoxetina/efeitos adversos , Humanos , Masculino , Fenelzina/efeitos adversos
17.
Biol Psychiatry ; 46(6): 860-2, 1999 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-10494457

RESUMO

BACKGROUND: Based on the induction of panic-like symptoms by infusion of cholecystokinin (CCK) peptide in normals and panic disorder patients, it has been proposed that CCK may play a role in the disease mechanisms underlying anxiety disorders. Selective antagonists of CCK-B receptors can block the challenge-induced symptoms in a dose-dependent manner, leading to the hypothesis that these compounds may have anxiolytic effects. METHODS: A randomized, double-blind study was carried out to compare the effects of placebo with CI-988, a selective antagonist of the CCK-B receptors. Following a one-week placebo lead-in, patients with Panic Disorder with or without Agoraphobia received either placebo or CI-988 100 mg TID for six weeks. Panic attacks were recorded by a daily diary method. RESULTS: A total sample of 88 patients was planned but and interim analysis was carried out when about half the patients had been enrolled (n = 41). All patients improved during treatment and no difference in the weekly rate of panic attacks was seen between the treatment groups. The study was terminated at this point due to the remote likelihood of showing a treatment difference. CONCLUSIONS: CI-988 was not superior to placebo in reducing panic attacks. Several explanations are possible, including the poor pharmacokinetic characteristics of CI-988 which may make it unsuitable to test the CCK hypothesis of anxiety.


Assuntos
Ansiolíticos/farmacologia , Ansiolíticos/uso terapêutico , Indóis/farmacologia , Indóis/uso terapêutico , Meglumina/análogos & derivados , Transtorno de Pânico/tratamento farmacológico , Receptores da Colecistocinina/antagonistas & inibidores , Adolescente , Adulto , Idoso , Relação Dose-Resposta a Droga , Método Duplo-Cego , Humanos , Meglumina/farmacologia , Meglumina/uso terapêutico , Pessoa de Meia-Idade
18.
Biol Psychiatry ; 36(4): 214-22, 1994 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-7986885

RESUMO

Electroconvulsive therapy (ECT) is highly effective in the treatment of major depressive disorder (MDD). The 1-year relapse rates are reported to be high and in the 30%-60% range, however. To test whether polysomnography (PS) can identify patients with a propensity for relapse we studied 20 patients, responders to a course of ECT, with PS studies. All patients met baseline diagnostic criteria for MDD, were treated with ECT following standardized protocols, had PS studies performed after the course of ECT in a medication-free state, received maintenance antidepressants postECT, and were followed periodically with phone interviews. The recurrence of depressive symptoms was determined at 3 months and 6 months after discharge. Fifty-five percent of the patients were symptomatic when evaluated 6 months after the ECT. Sleep Onset rapid eye movement (REM) periods were identified in 55% of the patients. As a group, patients who had experienced a recurrence of depressive symptoms by 6 months after discharge, had significantly shorter REM latencies after the course of ECT. A shorter REM latency after ECT identified patients who at six months demonstrated significant depressive symptomatology. Shortened REM latency after ECT in patients with MDD appears to be a correlate of vulnerability for relapse.


Assuntos
Transtorno Depressivo/fisiopatologia , Eletroconvulsoterapia , Tempo de Reação/fisiologia , Sono REM/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Inventário de Personalidade/estatística & dados numéricos , Polissonografia , Psicometria , Recidiva
19.
Biol Psychiatry ; 32(2): 146-55, 1992 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-1330006

RESUMO

Because patients with Cushing' syndrome (CS) and Major depressive disorder (MDD) share features of hypercortisolism and the depressive syndrome, we compared electro-encephalographic (EEG) sleep in patients with pituitary-ACTH-dependent Cushing's syndrome (Cushing's disease, CD), patients with ACTH-independent Cushing's syndrome (AICS), patients with major depressive disorder (MDD), and normal subjects. There were substantial similarities in the abnormal polysomnography profiles of patients with CD, AICS, and MDD. All three patient groups demonstrated poorer sleep continuity, shortened rapid eye movement (REM) latency, and increased first REM period density compared with normal subjects. In addition, AICS patients and MDD patients had elevated REM activity and density. These findings are discussed in terms of models of pathophysiology that relate abnormalities in sleep, mood, and hypothalamic-pituitary-adrenal function.


Assuntos
Hormônio Adrenocorticotrópico/sangue , Transtorno Bipolar/fisiopatologia , Síndrome de Cushing/fisiopatologia , Transtorno Depressivo/fisiopatologia , Eletroencefalografia/instrumentação , Hidrocortisona/sangue , Transtornos Neurocognitivos/fisiopatologia , Processamento de Sinais Assistido por Computador/instrumentação , Fases do Sono/fisiologia , Adenoma/fisiopatologia , Adenoma/psicologia , Adulto , Transtorno Bipolar/psicologia , Ritmo Circadiano/fisiologia , Síndrome de Cushing/psicologia , Transtorno Depressivo/psicologia , Dexametasona , Feminino , Humanos , Sistema Hipotálamo-Hipofisário/fisiopatologia , Masculino , Pessoa de Meia-Idade , Transtornos Neurocognitivos/psicologia , Neoplasias Hipofisárias/fisiopatologia , Neoplasias Hipofisárias/psicologia , Sistema Hipófise-Suprarrenal/fisiopatologia , Polissonografia/instrumentação , Tempo de Reação/fisiologia , Sono REM/fisiologia
20.
Biol Psychiatry ; 42(3): 191-200, 1997 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-9232211

RESUMO

The response to electroconvulsive therapy (ECT) was monitored with sleep polysomnography studies (SPS) performed pre- and post-ECT, in 25 patients with major depressive disorder (MDD). Patients included in this study met research diagnostic criteria for MDD and had been free of psychotropic medication for at least 10 days before SPS were performed. We compared ECT responders and nonresponders on SPS, demographic, and clinical parameters. Many SPS parameters, regardless of the clinical response, changed significantly with ECT. The presence of delusions was significantly associated with SOREM post-ECT. The presence of sleep-onset REM periods post-ECT was associated with poor response to ECT. SPS performed during a course of ECT may help identify patients at risk of responding less well to this modality of treatment.


Assuntos
Transtorno Depressivo/terapia , Eletroconvulsoterapia , Polissonografia , Sono REM/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Córtex Cerebral/fisiopatologia , Delusões/fisiopatologia , Delusões/psicologia , Delusões/terapia , Transtorno Depressivo/fisiopatologia , Transtorno Depressivo/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resultado do Tratamento
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