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1.
Exp Brain Res ; 242(1): 275-293, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38015245

RESUMO

The purpose of this study was to examine kinematic and neuromuscular responses of the head and body to pelvis perturbations with different intensities and frequencies during sitting astride in children with CP. Sixteen children with spastic CP (mean age 7.4 ± 2.4 years old) were recruited in this study. A custom designed cable-driven robotic horse was used to apply controlled force perturbations to the pelvis during sitting astride. Each participant was tested in four force intensity conditions (i.e., 10%, 15%, 20%, and 25% of body weight (BW), frequency = 1 Hz), and six force frequency conditions (i.e., 0.5 Hz, 1 Hz, 1.5 Hz, 2 Hz, 2.5 Hz, and 3 Hz, intensity = 20% of BW). Each testing session lasted for one minute with a one-minute rest break inserted between two sessions. Kinematic data of the head, trunk, and legs were recorded using wearable sensors, and EMG signals of neck, trunk, and leg muscles were recorded. Children with CP showed direction-specific trunk and neck muscle activity in response to the pelvis perturbations during sitting astride. Greater EMG activities of trunk and neck muscles were observed for the greater intensities of force perturbations (P < .05). Participants also showed enhanced activation of antagonistic muscles rather than direction-specific trunk and neck muscle activities for the conditions of higher frequency perturbations (P < .05). Children with CP may modulate trunk and neck muscle activities in response to greater changes in intensity of pelvis perturbation during sitting astride. Perturbations with too high frequency may be less effective in inducing direction-specific trunk and neck muscle activities.


Assuntos
Paralisia Cerebral , Postura , Postura Sentada , Criança , Pré-Escolar , Humanos , Eletromiografia , Músculo Esquelético/fisiologia , Postura/fisiologia
2.
Nucleic Acids Res ; 50(22): 13063-13082, 2022 12 09.
Artigo em Inglês | MEDLINE | ID: mdl-36464162

RESUMO

The glucocorticoid receptor (GR) is a ubiquitously expressed transcription factor that controls metabolic and homeostatic processes essential for life. Although numerous crystal structures of the GR ligand-binding domain (GR-LBD) have been reported, the functional oligomeric state of the full-length receptor, which is essential for its transcriptional activity, remains disputed. Here we present five new crystal structures of agonist-bound GR-LBD, along with a thorough analysis of previous structural work. We identify four distinct homodimerization interfaces on the GR-LBD surface, which can associate into 20 topologically different homodimers. Biologically relevant homodimers were identified by studying a battery of GR point mutants including crosslinking assays in solution, quantitative fluorescence microscopy in living cells, and transcriptomic analyses. Our results highlight the relevance of non-canonical dimerization modes for GR, especially of contacts made by loop L1-3 residues such as Tyr545. Our work illustrates the unique flexibility of GR's LBD and suggests different dimeric conformations within cells. In addition, we unveil pathophysiologically relevant quaternary assemblies of the receptor with important implications for glucocorticoid action and drug design.


Assuntos
Glucocorticoides , Receptores de Glucocorticoides , Receptores de Glucocorticoides/metabolismo , Ligantes , Ligação Proteica , Dimerização
3.
Neurosurg Focus ; 56(6): E5, 2024 06.
Artigo em Inglês | MEDLINE | ID: mdl-38823046

RESUMO

OBJECTIVE: Spasticity is a challenging feature of cerebral palsy (CP) that may be managed with selective dorsal rhizotomy (SDR). Although standard work tools (SWTs) have recently been utilized to inform a standard of care for neurosurgical procedures, no SWTs for SDR have been previously described. The authors present the multidisciplinary approach SWTs for SDR used at their institutions to promote consistency in the field and minimize complication rates. METHODS: A multidisciplinary approach was used to define all steps in the SDR pathway. Preoperative, intraoperative, and postoperative workflows were synthesized, with specific efforts to improve mobility through inpatient rehabilitation and minimize infection. RESULTS: The SWTs have been implemented at two institutions for 7 years. An illustrative case of a patient aged 3 years 10 months with a history of premature birth at 29 weeks, spastic-diplegic CP, right-sided periventricular leukomalacia, and developmental delay who underwent L2-S1 SDR is presented. CONCLUSIONS: The authors detail SWTs for SDR developed by a multidisciplinary team with specific steps at all points in the patient pathway. The illustrative case emphasizes that SWTs may help ensure the safety of SDR while maximizing its long-term efficacy for individuals with CP.


Assuntos
Paralisia Cerebral , Rizotomia , Humanos , Paralisia Cerebral/cirurgia , Paralisia Cerebral/complicações , Rizotomia/métodos , Pré-Escolar , Espasticidade Muscular/cirurgia , Masculino , Feminino
4.
Allergol Immunopathol (Madr) ; 52(1): 24-37, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38186191

RESUMO

BACKGROUND: The aim of this study is to present the current views of a diverse group of experts on the diagnosis and treatment of Cow's Milk Protein Allergy (CMPA) in children under 2 years of age in Mexico. MATERIAL AND METHODS: The study, led by a scientific committee of five experts in CMPA, was divided into six phases, including a modified Delphi process. A total of 20 panelists, all of whom were pediatric specialists, participated in administering a comprehensive 38-item questionnaire. The questionnaire was divided into two blocks: Diagnosis and Treatment (20 items each). RESULTS: Consensus was reached on all the proposed items, with an agreement rate of over 70% for each of them. As a result, a diagnostic and treatment algorithm was developed that emphasized the reduction of unnecessary diagnostic studies and encouraged breastfeeding whenever possible. In cases where breast milk is not available, appropriate use of hypoallergenic formulas was recommended. In addition, recommendations on treatment duration and gradual reintroduction of cow's milk protein were provided. CONCLUSIONS: The recommendations endorsed by 20 Mexican pediatricians through this study are applicable to everyday clinical practice, thereby enhancing the diagnosis and treatment of children under 2 years of age with CMPA. This, in turn, will foster improved health outcomes and optimize the utilization of healthcare resources.


Assuntos
Hipersensibilidade a Leite , Feminino , Criança , Animais , Bovinos , Humanos , Lactente , Hipersensibilidade a Leite/diagnóstico , Hipersensibilidade a Leite/terapia , Consenso , México , Algoritmos , Leite Humano
5.
Trends Biochem Sci ; 44(1): 2-6, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30293659

RESUMO

Nuclear receptors (NRs) form homo- and/or heterodimers as central scaffolds of multiprotein complexes, which activate or repress gene transcription to regulate development, homeostasis, and metabolism. Recent studies on NR quaternary structure reveal novel mechanisms of receptor dimerization, the existence of tetrameric chromatin-bound NRs, and previously unanticipated protein-protein/protein-DNA interactions.


Assuntos
Receptores Citoplasmáticos e Nucleares/química , Receptores Citoplasmáticos e Nucleares/metabolismo , Sítios de Ligação , DNA/química , DNA/metabolismo , Humanos , Modelos Moleculares , Ligação Proteica , Estrutura Quaternária de Proteína , Receptores Citoplasmáticos e Nucleares/genética
6.
J Sci Food Agric ; 103(10): 4867-4875, 2023 Aug 15.
Artigo em Inglês | MEDLINE | ID: mdl-36929660

RESUMO

BACKGROUND: Antioxidants are chemicals used to protect foods from deterioration by neutralizing free radicals and inhibiting the oxidative process. One approach to investigate the antioxidant activity is to develop quantitative structure-activity relationships (QSARs). RESULTS: A curated database of 165 structurally heterogeneous phenolic compounds with the Trolox equivalent antioxidant capacity (TEAC) was developed. Molecular geometries were optimized by means of the GFN2-xTB semiempirical method and diverse molecular descriptors were obtained afterwards. For model development, V-WSP unsupervised variable reduction was used before performing the genetic algorithms-variable subset selection (GAs-VSS) to construct the best five-descriptor multiple linear regression model. The coefficient of determination and the root mean square error were used to measure the performance in calibration (R2 = 0.789 and RMSEC = 0.381), and test set prediction (Q2 = 0.748 and RMSEP = 0.416), along several cross-validation criteria. To thoroughly understand the TEAC prediction, a fully explained mechanism of action of the descriptors is provided. In addition, the applicability domain of the model defined a theoretical chemical space for reliable predictions of new phenolic compounds. CONCLUSION: This in silico model conforms to the five principles stated by the Organisation for Economic Co-operation and Development. The model might be useful for virtual screening of the antioxidant chemical space and for identifying the most potent molecules related to an experimental measurement of TEAC activity. In addition, the model could assist chemists working on computer-aided drug design for the synthesis of new targets with improved activity and potential uses in food science. © 2023 Society of Chemical Industry.


Assuntos
Antioxidantes , Quimioinformática , Antioxidantes/química , Relação Quantitativa Estrutura-Atividade , Análise Multivariada , Radicais Livres , Fenóis
7.
Public Health Nutr ; : 1-35, 2022 Feb 23.
Artigo em Inglês | MEDLINE | ID: mdl-35193730

RESUMO

OBJECTIVE: To compare the nutritional composition of bovine milk and several plant-based drinks with a focus on protein and essential amino acid content and to determine the ratio of essential amino acids to greenhouse gas emission. DESIGN: Nutritional information on the label was extracted for semi-skimmed milk, soy, oat, almond, coconut and rice drink from the Innova database between January 2017 and March 2020 for the Netherlands, Belgium, Germany, Spain, Italy, and Sweden. Protein and amino acids were measured and carbon footprint was calculated for a selection of Dutch products. Protein quality was determined by calculating the contribution to the WHO essential amino acids requirements. SETTING: The bovine milk and plant-based drinks market in Netherlands, Belgium, Germany, Spain, Italy, and Sweden. PARTICIPATING PRODUCTS: Semi-skimmed bovine milk and soy-, oat-, almond-, coconut- and rice drink. RESULTS: Nutritional label information was collected for 399 products. Milk naturally contains many micronutrients, e.g. vitamin B2, B12, and calcium. Approximately 50% of the regular plant-based drinks was fortified with calcium, whereas the organic plant-based drinks were mostly unfortified. Protein quantity and quality were highest in milk. Soy drink had the best protein quality to carbon footprint ratio and milk came second. CONCLUSIONS: The nutrition - climate change balance presented in this study, is in line with previous literature, which shows that semi-skimmed bovine milk and fortified soy drink deserve a place in a sustainable diet.

8.
Mol Biol Evol ; 37(7): 1925-1941, 2020 07 01.
Artigo em Inglês | MEDLINE | ID: mdl-32125435

RESUMO

Polycyclic triterpenes are members of the terpene family produced by the cyclization of squalene. The most representative polycyclic triterpenes are hopanoids and sterols, the former are mostly found in bacteria, whereas the latter are largely limited to eukaryotes, albeit with a growing number of bacterial exceptions. Given their important role and omnipresence in most eukaryotes, contrasting with their scant representation in bacteria, sterol biosynthesis was long thought to be a eukaryotic innovation. Thus, their presence in some bacteria was deemed to be the result of lateral gene transfer from eukaryotes. Elucidating the origin and evolution of the polycyclic triterpene synthetic pathways is important to understand the role of these compounds in eukaryogenesis and their geobiological value as biomarkers in fossil records. Here, we have revisited the phylogenies of the main enzymes involved in triterpene synthesis, performing gene neighborhood analysis and phylogenetic profiling. Squalene can be biosynthesized by two different pathways containing the HpnCDE or Sqs proteins. Our results suggest that the HpnCDE enzymes are derived from carotenoid biosynthesis ones and that they assembled in an ancestral squalene pathway in bacteria, while remaining metabolically versatile. Conversely, the Sqs enzyme is prone to be involved in lateral gene transfer, and its emergence is possibly related to the specialization of squalene biosynthesis. The biosynthesis of hopanoids seems to be ancestral in the Bacteria domain. Moreover, no triterpene cyclases are found in Archaea, invoking a potential scenario in which eukaryotic genes for sterol biosynthesis assembled from ancestral bacterial contributions in early eukaryotic lineages.


Assuntos
Carotenoides/metabolismo , Evolução Molecular , Farnesil-Difosfato Farnesiltransferase/genética , Filogenia , Esqualeno/metabolismo , Eucariotos/metabolismo , Farnesil-Difosfato Farnesiltransferase/metabolismo , Genes Bacterianos , Esteróis/biossíntese
9.
Proc Natl Acad Sci U S A ; 115(7): 1493-1498, 2018 02 13.
Artigo em Inglês | MEDLINE | ID: mdl-29378960

RESUMO

Accumulation of amyloid-beta (Aß), which is associated with Alzheimer's disease, can be caused by excess production or insufficient clearance. Because of its ß-sheet structure, fibrillar Aß is resistant to proteolysis, which would contribute to slow degradation of Aß plaques in vivo. Fibrillar Aß can be internalized by microglia, which are the scavenger cells of the brain, but the fibrils are degraded only slowly in microglial lysosomes. Cathepsin B is a lysosomal protease that has been shown to proteolyze fibrillar Aß. Tripeptidyl peptidase 1 (TPP1), a lysosomal serine protease, possesses endopeptidase activity and has been shown to cleave peptides between hydrophobic residues. Herein, we demonstrate that TPP1 is able to proteolyze fibrillar Aß efficiently. Mass spectrometry analysis of peptides released from fibrillar Aß digested with TPP1 reveals several endoproteolytic cleavages including some within ß-sheet regions that are important for fibril formation. Using molecular dynamics simulations, we demonstrate that these cleavages destabilize fibrillar ß-sheet structure. The demonstration that TPP1 can degrade fibrillar forms of Aß provides insight into the turnover of fibrillar Aß and may lead to new therapeutic methods to increase degradation of Aß plaques.


Assuntos
Aminopeptidases/metabolismo , Peptídeos beta-Amiloides/metabolismo , Dipeptidil Peptidases e Tripeptidil Peptidases/metabolismo , Fragmentos de Peptídeos/metabolismo , Serina Proteases/metabolismo , Aminopeptidases/genética , Amiloide/metabolismo , Peptídeos beta-Amiloides/química , Carbocianinas/química , Dipeptidil Peptidases e Tripeptidil Peptidases/genética , Corantes Fluorescentes/química , Humanos , Concentração de Íons de Hidrogênio , Lisossomos/enzimologia , Espectrometria de Massas , Modelos Moleculares , Simulação de Dinâmica Molecular , Fragmentos de Peptídeos/química , Conformação Proteica em Folha beta , Domínios Proteicos , Estabilidade Proteica , Serina Proteases/genética , Fatores de Tempo , Tripeptidil-Peptidase 1
10.
EMBO J ; 35(9): 942-60, 2016 05 02.
Artigo em Inglês | MEDLINE | ID: mdl-26933123

RESUMO

The generation of multiciliated cells (MCCs) is required for the proper function of many tissues, including the respiratory tract, brain, and germline. Defects in MCC development have been demonstrated to cause a subclass of mucociliary clearance disorders termed reduced generation of multiple motile cilia (RGMC). To date, only two genes, Multicilin (MCIDAS) and cyclin O (CCNO) have been identified in this disorder in humans. Here, we describe mice lacking GEMC1 (GMNC), a protein with a similar domain organization as Multicilin that has been implicated in DNA replication control. We have found that GEMC1-deficient mice are growth impaired, develop hydrocephaly with a high penetrance, and are infertile, due to defects in the formation of MCCs in the brain, respiratory tract, and germline. Our data demonstrate that GEMC1 is a critical regulator of MCC differentiation and a candidate gene for human RGMC or related disorders.


Assuntos
Proteínas de Transporte/metabolismo , Diferenciação Celular , Cílios/genética , Cílios/fisiologia , Transtornos do Crescimento/genética , Transtornos do Crescimento/patologia , Animais , Proteínas de Transporte/genética , Proteínas de Ciclo Celular , Camundongos , Camundongos Knockout
11.
Methods ; 152: 31-40, 2019 01 01.
Artigo em Inglês | MEDLINE | ID: mdl-30253202

RESUMO

Messenger RNAs (mRNAs) fulfil specific biological roles in cells and, thus, their expression may be adapted to suit specific circumstances. This is in part achieved through selective gene transcription and post-transcriptional events, the regulation of which must be tightly integrated and controlled. To comprehensively study the coordinated effects of transcriptional and post-transcriptional regulatory elements, and to obtain coherent results, it is advisable to use different methodologies. Adequately integrating the data derived from these distinct methodologies then becomes critical to elucidating the relationships between the coordinated cellular effects assayed, particularly when applied to normal and disease states. Such integrated studies are likely to be particularly useful to identify markers suitable for early detection of diseases and to devise strategies for therapeutic interventions. Throughout this chapter, we will focus on the methods currently available to analyse mRNA and microRNA (miRNA) expression, paying special attention to the influence of miRNAs on mRNA metabolism. We will introduce miARma-Seq, a comprehensive pipeline that facilitates the simultaneous integration of mRNA and miRNA expression data. For illustrative purposes, we include a case study that incorporates data from RNASeq and small-RNASeq, detailing all the steps necessary to define the differential expression of both mRNA- and miRNA-encoding genes. Finally, we explore the possible regulatory relationships that drive significant and potentially relevant changes in mRNA and miRNA gene expression.


Assuntos
Perfilação da Expressão Gênica/métodos , MicroRNAs/metabolismo , RNA Mensageiro/metabolismo , Linhagem Celular Tumoral , Resistencia a Medicamentos Antineoplásicos/genética , Regulação da Expressão Gênica , Humanos , Análise de Sequência de RNA/métodos
12.
J Pediatr Hematol Oncol ; 41(6): 468-472, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31033786

RESUMO

INTRODUCTION: In children with acute leukemia, gut microbiota is modified secondary to chemotherapy administration, leading to gastrointestinal side effects. Probiotics are microorganisms that can restore gut microbiota and may help alleviate gastrointestinal symptoms. The aim of this pilot study was to assess the effects of probiotic supplementation on chemotherapy-induced gastrointestinal side effects in children with acute leukemia (AL). METHODS: In this randomized pilot study, patients under 17 years of age diagnosed with AL who were on remission induction or remission reinduction chemotherapy were randomly assigned to receive probiotic supplementation (a concentration of 5×109 CFU per sachet was administered at a standard dose twice daily, by mouth) or no probiotic supplementation. The primary endpoint was the prevalence of gastrointestinal side effects. Vomiting, nausea, flatulence, dyspepsia, diarrhea, constipation, abdominal pain, and abdominal distention were assessed in both groups. RESULTS: Gastrointestinal side effects were less prevalent in the probiotic group, and 3 of the 8 gastrointestinal side effects (nausea, vomiting, and abdominal distension) significantly decreased in the probiotic group (P<0.05). We found for diarrhea a relative risk of 0.5 (95% confidence interval [CI], 0.2-1.2; P=0.04); for nausea an RR of 0.5 (95% CI, 0.4-0.8; P=0.04) and for vomiting an RR of 0.4 (95% CI, 0.2-0.9; P=0.04). CONCLUSIONS: Daily supplementation with Lactobacillus rhamnosus reduced chemotherapy-induced gastrointestinal side effects in children with AL.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/efeitos adversos , Suplementos Nutricionais , Gastroenteropatias/prevenção & controle , Leucemia/tratamento farmacológico , Probióticos/uso terapêutico , Doença Aguda , Estudos de Casos e Controles , Criança , Feminino , Seguimentos , Gastroenteropatias/induzido quimicamente , Humanos , Leucemia/patologia , Masculino , Projetos Piloto , Prognóstico
13.
Adv Exp Med Biol ; 1087: 17-33, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30259354

RESUMO

Circular RNAs (circRNAs) are noncoding and single-stranded RNA transcripts able to form covalently circular-closed structures. They are generated through alternative splicing events and widely expressed from human to viruses. CircRNAs have been appointed as potential regulators of microRNAs (miRNAs), RNA-binding proteins (RPBs), and lineal protein-coding transcripts. Although their mechanism of action remains unclear, the deregulation of circular RNAs has been confirmed in different diseases such as Alzheimer or cancer.The introduction of high-throughput next-generation sequencing (NGS) technology provides millions of short RNA sequences at single-nucleotide level, allowing an accurate and proficient method to measure circular RNAs. Novel protocols based on non-polyadenylated RNAs, rRNA-depleted, and RNA exonuclease-based enrichment approaches (RNase R) have taken even further the possibility of detecting circRNAs.Besides, the identification of circRNAs presence requires the development of specific bioinformatics tools to detect junction-spanning sequences from transcriptome deep-sequencing samples. Thus, recently established bioinformatics' approaches have permitted the discovery of an elevated number of different circRNAs in diverse organisms. In that sense, recent studies have compared different methods and advocate the simultaneous use of more than one prediction tool. For that reason, we want to highlight pipelines such as miARma-Seq that is able to execute various circular RNA identification algorithms in an easy way, without the tedious installation of third-party prerequisites.


Assuntos
RNA/análise , Análise de Sequência de RNA/métodos , Bases de Dados Genéticas , Previsões , Regulação da Expressão Gênica , Humanos , MicroRNAs/genética , RNA/genética , RNA/metabolismo , Splicing de RNA , RNA Circular , RNA Longo não Codificante/genética , Proteínas de Ligação a RNA/metabolismo , Software , Análise Serial de Tecidos
14.
Rev Argent Microbiol ; 50(1): 90-96, 2018.
Artigo em Espanhol | MEDLINE | ID: mdl-28988902

RESUMO

The genus Fusarium is widely recognized for its phytopathogenic capacity. However, it has been reported as an opportunistic pathogen in immunocompetent and immunocompromised patients. Thus, it can be considered a microorganism of interest in pathogenicity studies on different hosts. Therefore, this work evaluated the pathogenicity of Fusarium spp. isolates from different origins in plants and animals (murine hosts). Twelve isolates of Fusarium spp. from plants, animal superficial mycoses, and human superficial and systemic mycoses were inoculated in tomato, passion fruit and carnation plants, and in immunocompetent and immunosuppressed BALB/c mice. Pathogenicity tests in plants did not show all the symptoms associated with vascular wilt in the three plant models; however, colonization and necrosis of the vascular bundles, regardless of the species and origin of the isolates, showed the infective potential of Fusarium spp. in different plant species. Moreover, the pathogenicity tests in the murine model revealed behavioral changes. It was noteworthy that only five isolates (different origin and species) caused mortality. Additionally, it was observed that all isolates infected and colonized different organs, regardless of the species and origin of the isolates or host immune status. In contrast, the superficial inoculation test showed no evidence of epidermal injury or colonization. The observed results in plant and murine models suggest the pathogenic potential of Fusarium spp. isolates in different types of hosts. However, further studies on pathogenicity are needed to confirm the multihost capacity of this genus.


Assuntos
Fusariose , Fusarium , Animais , Modelos Animais de Doenças , Fusarium/patogenicidade , Humanos , Camundongos , Camundongos Endogâmicos BALB C , Doenças das Plantas/microbiologia , Virulência
15.
Mol Genet Metab ; 121(1): 16-21, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-28302345

RESUMO

OBJECTIVE: To evaluate the results of a lysosomal newborn screening (NBS) program in a cohort of 20,018 Mexican patients over the course of 3years in a closed Mexican Health System (Petróleos Mexicanos [PEMEX] Health Services). STUDY DESIGN: Using dried blood spots (DBS), we performed a multiplex tandem mass spectrometry enzymatic assay for six lysosomal storage disorders (LSDs) including Pompe disease, Fabry disease, Gaucher disease, mucopolysaccharidosis type I (MPS-I), Niemann-Pick type A/B, and Krabbe disease. Screen-positive cases were confirmed using leukocyte enzymatic activity and DNA molecular analysis. RESULTS: From July 2012 to April 2016, 20,018 patients were screened; 20 patients were confirmed to have an LSD phenotype (99.9 in 100,000 newborns). Final distributions include 11 Pompe disease, five Fabry disease, two MPS-I, and two Niemann-Pick type A/B patients. We did not find any Gaucher or Krabbe patients. A final frequency of 1 in 1001 LSD newborn phenotypes was established. DISCUSSION: NBS is a major public health achievement that has decreased the morbidity and mortality of inborn errors of metabolism. The introduction of NBS for LSD presents new challenges. This is the first multiplex Latin-American study of six LSDs detected through NBS.


Assuntos
Teste em Amostras de Sangue Seco/métodos , Doenças por Armazenamento dos Lisossomos/diagnóstico , Triagem Neonatal/métodos , Feminino , Genótipo , Humanos , Recém-Nascido , Doenças por Armazenamento dos Lisossomos/epidemiologia , Doenças por Armazenamento dos Lisossomos/genética , Masculino , México/epidemiologia , Sensibilidade e Especificidade , Espectrometria de Massas em Tandem
16.
BMC Med Educ ; 17(1): 143, 2017 Aug 25.
Artigo em Inglês | MEDLINE | ID: mdl-28841876

RESUMO

BACKGROUND: Competency-based education has been considered the most important pedagogical trend in Medicine in the last two decades. In clinical contexts, competencies are implemented through Entrustable Professional Activities (EPAs) which are observable and measurable. The aim of this paper is to describe the methodology used in the design of educational tools to assess students´ competencies in clinical practice during their undergraduate internship (UI). In this paper, we present the construction of specific APROCs (Actividades Profesionales Confiables) in Surgery (S), Gynecology and Obstetrics (GO) and Family Medicine (FM) rotations with three levels of performance. METHODS: The study considered a mixed method exploratory type design, a qualitative phase followed by a quantitative validation exercise. In the first stage data was obtained from three rotations (FM, GO and S) through focus groups about real and expected activities of medical interns. Triangulation with other sources was made to construct benchmarks. In the second stage, narrative descriptions with the three levels were validated by professors who teach the different subjects using the Delphi technique. RESULTS: The results may be described both curricular and methodological wise. From the curricular point of view, APROCs were identified in three UI rotations within clinical contexts in Mexico City, benchmarks were developed by levels and validated by experts' consensus. In regard to methodological issues, this research contributed to the development of a strategy, following six steps, to build APROCs using mixed methods. CONCLUSIONS: Developing benchmarks provides a regular and standardized language that helps to evaluate student's performance and define educational strategies efficiently and accurately. The university academic program was aligned with APROCs in clinical contexts to assure the acquisition of competencies by students.


Assuntos
Educação de Graduação em Medicina , Internato e Residência , Competência Clínica , Educação Baseada em Competências/métodos , Educação Baseada em Competências/organização & administração , Currículo , Técnica Delphi , Educação de Graduação em Medicina/métodos , Educação de Graduação em Medicina/organização & administração , Avaliação Educacional , Humanos , Internato e Residência/métodos , Internato e Residência/organização & administração
17.
Mov Disord ; 31(11): 1743-1748, 2016 11.
Artigo em Inglês | MEDLINE | ID: mdl-27477325

RESUMO

BACKGROUND: Episodic ataxia type 1 is a rare autosomal dominant neurological disorder caused by mutations in the KCNA1 gene that encodes the α subunit of voltage-gated potassium channel Kv1.1. The functional consequences of identified mutations on channel function do not fully correlate with the clinical phenotype of patients. METHODS: A clinical and genetic study was performed in a family with 5 patients with episodic ataxia type 1, with concurrent epilepsy in 1 of them. Protein expression, modeling, and electrophysiological analyses were performed to study Kv1.1 function. RESULTS: Whole-genome linkage and candidate gene analyses revealed the novel heterozygous mutation p.Arg324Thr in the KCNA1 gene. The encoded mutant Kv1.1 channel displays reduced currents and altered activation and inactivation. CONCLUSIONS: Taken together, we provide genetic and functional evidence that mutation p.Arg324Thr in the KCNA1 gene is pathogenic and results in episodic ataxia type 1 through a dominant-negative effect. © 2016 International Parkinson and Movement Disorder Society.


Assuntos
Ataxia/genética , Ataxia/fisiopatologia , Canal de Potássio Kv1.1/genética , Mioquimia/genética , Mioquimia/fisiopatologia , Epilepsia/genética , Epilepsia/fisiopatologia , Feminino , Humanos , Masculino , Linhagem
18.
FASEB J ; 29(6): 2371-85, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25713054

RESUMO

Type I phosphatidylinositol 4-phosphate 5-kinases (PIP5KIs; α, ß, and γ) are a family of isoenzymes that produce phosphatidylinositol 4,5-bisphosphate [PI(4,5)P2] using phosphatidylinositol 4-phosphate as substrate. Their structural homology with the class II lipid kinases [type II phosphatidylinositol 5-phosphate 4-kinase (PIP4KII)] suggests that PIP5KI dimerizes, although this has not been formally demonstrated. Neither the hypothetical structural dimerization determinants nor the functional consequences of dimerization have been studied. Here, we used Förster resonance energy transfer, coprecipitation, and ELISA to show that PIP5KIß forms homo- and heterodimers with PIP5KIγ_i2 in vitro and in live human cells. Dimerization appears to be a general phenomenon for PIP5KI isoenzymes because PIP5KIß/PIP5KIα heterodimers were also detected by mass spectrometry. Dimerization was independent of actin cytoskeleton remodeling and was also observed using purified proteins. Mutagenesis studies of PIP5KIß located the dimerization motif at the N terminus, in a region homologous to that implicated in PIP4KII dimerization. PIP5KIß mutants whose dimerization was impaired showed a severe decrease in PI(4,5)P2 production and plasma membrane delocalization, although their association to lipid monolayers was unaltered. Our results identify dimerization as an integral feature of PIP5K proteins and a central determinant of their enzyme activity.


Assuntos
Membrana Celular/enzimologia , Fosfotransferases (Aceptor do Grupo Álcool)/química , Fosfotransferases (Aceptor do Grupo Álcool)/metabolismo , Multimerização Proteica , Ensaio de Imunoadsorção Enzimática , Transferência Ressonante de Energia de Fluorescência , Células HEK293 , Células HL-60 , Humanos , Immunoblotting , Isoenzimas/química , Isoenzimas/genética , Isoenzimas/metabolismo , Microscopia Confocal , Mutação , Fosfatidilinositol 4,5-Difosfato/metabolismo , Fosfatos de Fosfatidilinositol/metabolismo , Fosfotransferases (Aceptor do Grupo Álcool)/genética , Especificidade por Substrato
19.
Rev Biol Trop ; 64(4): 1699-1707, 2016 Dec.
Artigo em Espanhol | MEDLINE | ID: mdl-29465946

RESUMO

The light environment in the understory of cloud forests is highly heterogeneous and determined by species composition, canopy structure, site conditions, and seasonality. This study was carried out at San Eusebio cloud forest, Venezuela (2 300 - 2 500 masl). The impact of canopy structure variations on understory light availability was estimated in the dry (December-February) and rainy (March-November) seasons, in sites under continuous canopy cover and gaps of various sizes. Hemispherical photographs were taken to estimate the percentage of canopy openness, leaf area index, percentages of transmitted direct and diffuse light, and duration and frequency of sunflecks. A light index was calculated from the relative proportions of direct and diffuse light transmitted to the understory. For most variables, there were significant differences between seasons, as well as among different gap sizes and under closed canopy. The light index was low (0.25 to 26 of a maximum = 100), even for the largest gaps, indicating a highly shaded light environment, especially beneath closed canopy in the rainy season. Patterns and interactions among factors were analyzed (gaps vs. continuous canopy, gap sizes, location within the gaps, and seasonality) with a mixed effects repeated measures Anova design. Results showed that the amount of light reaching the understory is low in both gaps and closed canopy. However, small but significant differences in light availability existed for both seasonality and magnitude of the perturbations. These differences could contribute to explain the dynamics of tree species regeneration in this forest. The knowledge of the factors conditioning light availability in the understory where tree regeneration begins is crucial in cloud forests because of energetic limitations in this ecosystem, and might be essential for future restoration and conservation plans concerning the preservation of the diversity and integrity of these forests.


Assuntos
Clima , Florestas , Estações do Ano , Luz Solar , Biodiversidade , Chuva , Valores de Referência , Fatores de Tempo , Venezuela
20.
Mol Biol Evol ; 31(4): 940-61, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24441036

RESUMO

The DNA damage response (DDR) is a crucial signaling network that preserves the integrity of the genome. This network is an ensemble of distinct but often overlapping subnetworks, where different components fulfill distinct functions in precise spatial and temporal scenarios. To understand how these elements have been assembled together in humans, we performed comparative genomic analyses in 47 selected species to trace back their emergence using systematic phylogenetic analyses and estimated gene ages. The emergence of the contribution of posttranslational modifications to the complex regulation of DDR was also investigated. This is the first time a systematic analysis has focused on the evolution of DDR subnetworks as a whole. Our results indicate that a DDR core, mostly constructed around metabolic activities, appeared soon after the emergence of eukaryotes, and that additional regulatory capacities appeared later through complex evolutionary process. Potential key posttranslational modifications were also in place then, with interacting pairs preferentially appearing at the same evolutionary time, although modifications often led to the subsequent acquisition of new targets afterwards. We also found extensive gene loss in essential modules of the regulatory network in fungi, plants, and arthropods, important for their validation as model organisms for DDR studies.


Assuntos
Dano ao DNA , Reparo do DNA , Animais , Artrópodes/genética , Pontos de Checagem do Ciclo Celular , Evolução Molecular , Fungos/genética , Redes Reguladoras de Genes , Genoma Humano , Humanos , Filogenia , Plantas/genética , Mapas de Interação de Proteínas/genética , Processamento de Proteína Pós-Traducional/genética
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