RESUMO
New tools in molecular genetics, such as genetic interaction screens and conditional gene targeting, have advanced the study of actin dynamics in a number of model systems. Yeast, Dictyostelium, Caenorhabditis elegans, Drosophila, and mice have contributed much in recent years to a better understanding of both the numerous functions and modes of regulation of the actin cytoskeleton.
Assuntos
Actinas/fisiologia , Proteínas Contráteis , Citoesqueleto/fisiologia , Técnicas Genéticas , Animais , Caenorhabditis elegans , Divisão Celular/fisiologia , Dictyostelium , Proteínas de Drosophila , Drosophila melanogaster , Endocitose/fisiologia , Gelsolina/metabolismo , Camundongos , Proteínas dos Microfilamentos/metabolismo , Miosinas/metabolismo , Profilinas , Transdução de SinaisRESUMO
Optimal induction of 7 alpha- and 7 beta-hydroxysteroid dehydrogenase in 100-ml cultures grown to stationary phase was achieved by the addition of metabolizable bile salt inducers: chenodeoxycholate, 7-ketolithocholate or cholate at 2.5-3 h after inoculation. Bile salt addition prior to or after this period markedly reduced the enzyme levels induced. However, when the non-metabolizable inducers deoxycholate and 12-ketolithocholate were similarly added, no significant differences in enzyme levels were observed between addition at 2.5-3 h or at earlier times. The ability of both metabolizable and non-metabolizable bile salts to induce the enzymes fell markedly when additions were made later than approximately 3.5 h. Kinetic studies using 1-l cultures suggest that in a larger culture a somewhat earlier inducer addition period is optimal. When ranked according to the level of enzymes induced the order in decreasing induction power was: chenodeoxycholate, 7-ketolithocholate, deoxycholate, 12-ketolithocholate and cholate. Mixtures of cholate and suboptimal concentrations of deoxycholate induced the culture better than the sum of the two concentrations individually. The end product, ursodeoxycholate, was very effective in blocking the induction by chenodeoxycholate or deoxycholate. Ursocholate (3 alpha, 7 beta, 12 alpha-trihydroxy-5 beta-cholanoate) was less effective. Cultures when grown for 3 h with various bile salts or none, then centrifuged and recultured for a further 3 h in fresh medium containing chenodeoxycholate, all yielded identical enzyme levels within experimental error. We conclude that exposure of the organism to bile salt inducer in the last 3 h of culture was important, while the history of the culture prior to this time was unimportant in the induction process.
Assuntos
Ácidos e Sais Biliares/farmacologia , Clostridium/enzimologia , Hidroxiesteroide Desidrogenases/biossíntese , Clostridium/efeitos dos fármacos , Indução Enzimática , Cinética , Relação Estrutura-AtividadeRESUMO
Preparations of 3 alpha-hydroxysteroid dehydrogenase (EC 1.1.1.50) from Clostridium perfringens were successfully lyophilized into a stable powder form. Purification of the enzyme was achieved using triazine dye affinity chromatography. C. perfringens 3 alpha-hydroxysteroid dehydrogenase was purified 24-fold using Reactive Red 120 (Procion Red) -cross-linked agarose (70% yield). Quantitative measurement of bile acids with the purified enzymes, 3 alpha-hydroxysteroid dehydrogenase and 7 alpha-hydroxysteroid dehydrogenase (EC 1.1.1.159) from Clostridium bifermentans (strain F-6), was achieved spectrophotometrically. Standard curves with chenodeoxycholic acid (CDC) and cholic acid were linear within a concentration range of 20-100 microM. Analysis of mixtures of ursodeoxycholic acid and CDC showed the additive nature of the 3 alpha-hydroxysteroid dehydrogenase and showed also that 7 alpha-hydroxyl groups were independently quantified by the 7 alpha-hydroxysteroid dehydrogenase. Bile acids in Folch extracts of human bile samples were measured using purified preparations of Pseudomonas testosteroni 3 alpha-hydroxysteroid dehydrogenase, C. perfringens 3 alpha-hydroxysteroid dehydrogenase, Escherichia coli 7 alpha-hydroxysteroid dehydrogenase and C. bifermentans (strain F-6) 7 alpha-hydroxysteroid dehydrogenase. Statistical comparison validated the use of C. perfringens 3 alpha- and C. bifermentans 7 alpha-hydroxysteroid dehydrogenases for the quantification of bile acids in bile.
Assuntos
3-Hidroxiesteroide Desidrogenases , Ácidos e Sais Biliares/análise , Clostridium perfringens/enzimologia , Hidroxiesteroide Desidrogenases , 3-Hidroxiesteroide Desidrogenases/isolamento & purificação , 3-Hidroxiesteroide Desidrogenases/normas , Bile/enzimologia , Liofilização , Humanos , Hidroxiesteroide Desidrogenases/isolamento & purificação , Hidroxiesteroide Desidrogenases/normas , Indicadores e Reagentes , Padrões de ReferênciaRESUMO
Aside from the demonstration that individual molecular traits of enzymes can be evolutionarily optimised, the discovery that several traits can be simultaneously optimised is a major advance. The first observations of the effects of evolutionary optimisation at the structural level, through X-ray crystallography, reinforce the view that enzymes are best optimised by evolution and not by design.
Assuntos
Evolução Molecular Direcionada , Enzimas/químicaRESUMO
An in vivo screen has been devised for NF-kappaB p50 activity in Escherichia coli exploiting the ability of the mammalian transcription factor to emulate a prokaryotic repressor. Active intracellular p50 was shown to repress the expression of a green fluorescent protein reporter gene allowing for visual screening of colonies expressing active p50 on agar plates. A library of mutants was constructed in which the residues Y267, L269, A308 and V310 of the dimer interface were simultaneously randomised and twenty-five novel functional interfaces were selected which repressed the reporter gene to similar levels as the wild-type protein. The leucine-269 alanine-308 core was repeatedly, but not exclusively, selected from the library whilst a diversity of predominantly non-polar residues were selected at positions 267 and 310. These results indicate that L269 and A308 may form a hot spot of interaction and allow an insight into the processes of dimer selectivity and evolution within this family of transcription factors.
Assuntos
Escherichia coli/genética , Mutagênese/genética , NF-kappa B/química , NF-kappa B/metabolismo , Proteínas Repressoras/metabolismo , Sequência de Aminoácidos , Sequência de Bases , Sítios de Ligação , Clonagem Molecular , DNA/genética , DNA/metabolismo , Dimerização , Evolução Molecular , Genes Reporter/genética , Modelos Moleculares , Dados de Sequência Molecular , NF-kappa B/genética , Subunidade p50 de NF-kappa B , Plasmídeos/genética , Ligação Proteica , Conformação Proteica , Proteínas Proto-Oncogênicas c-rel/metabolismo , Proteínas Repressoras/química , Proteínas Repressoras/genética , Elementos de Resposta/genética , Proteínas Ribossômicas/genética , Transformação BacterianaRESUMO
DHR38 is a member of the steroid receptor superfamily in Drosophila homologous to the vertebrate NGFI-B-type orphan receptors. In addition to binding to specific response elements as a monomer, DHR38 interacts with the USP component of the ecdysone receptor complex in vitro, in yeast and in a cell line, suggesting that DHR38 might modulate ecdysone-triggered signals in the fly. We characterized the molecular structure and expression of the Dhr38 gene and initiated an in vivo analysis of its function(s) in development. The Dhr38 transcription unit spans more than 40 kb in length, includes four introns, and produces at least four mRNA isoforms differentially expressed in development; two of these are greatly enriched in the pupal stage and encode nested polypeptides. We characterized four alleles of Dhr38: a P-element enchancer trap line, l(2)02306, which shows exclusively epidermal staining in the late larval, pre-pupal and pupal stages, and three EMS-induced alleles. Dhr38 alleles cause localized fragility and rupturing of the adult cuticle, demonstrating that Dhr38 plays an important role in late stages of epidermal metamorphosis.
Assuntos
Proteínas de Ligação a DNA/biossíntese , Proteínas de Drosophila , Drosophila melanogaster/crescimento & desenvolvimento , Metamorfose Biológica , Receptores Citoplasmáticos e Nucleares/biossíntese , Fatores de Transcrição , Alelos , Sequência de Aminoácidos , Animais , Sequência de Bases , Cruzamentos Genéticos , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/genética , Drosophila melanogaster/genética , Ecdisona/fisiologia , Metanossulfonato de Etila , Feminino , Regulação da Expressão Gênica no Desenvolvimento , Genes de Insetos , Hormônios de Inseto/fisiologia , Masculino , Dados de Sequência Molecular , Mutagênese , Fenótipo , Receptores Citoplasmáticos e Nucleares/química , Receptores Citoplasmáticos e Nucleares/genética , Transdução de Sinais , Transcrição GênicaRESUMO
To understand how life began, we must explain the origins of nucleic acid replication and genetically coded peptide synthesis. Neither of these is easy to explain individually; here, we propose a chemically plausible scheme for the evolution of a process that simultaneously produced both polymers. Later, two separate machineries could have evolved from the linked process.
Assuntos
Replicação do DNA , Evolução Molecular , RNA/biossínteseRESUMO
BACKGROUND: Penicillins and cephalosporins constitute a major class of clinically useful antibiotics. A key step in their biosynthesis involves the oxidative cyclisation of delta-(Lalpha-aminoadipoyl)-L-cysteinyl-D-valine to isopenicillin N by isopenicillin N synthase (IPNS). This chemically remarkable transformation has been extensively studied using substrate analogues. The conversion of an analogue in which the valine is replaced by alpha-aminobutyrate results in three products, two epimeric penams and a cepham. The ratio of these products in reactions catalysed by four different IPNS isozymes has been used previously to probe the thermicity of the chemical mechanism. But how IPNS restricts the products from the natural substrate to a single penam (isopenicillin N) has remained unknown. RESULTS: A key active-site residue, Leu223, identified according to a model of enzyme-substrate binding, has been altered to sterically less demanding residues. As the steric constraints on the upper part of the active site are reduced, the ratio of the beta-methyl penam to the cepham increases when the alpha-aminobutyrate-containing substrate analogue is used. These results suggest a mechanism for processing of the natural substrate in which IPNS uses steric control to restrict the conformational freedom of an intermediate such that the only product is the penam. CONCLUSIONS: Using steric pressure to control conformation, and hence to disfavour reactions leading to alternate products, is probably the result of evolutionary selection for a biologically active product at the expense of biologically inactive byproducts. It is likely that this sort of enzymatic catalysis is used in situations where substrate conversion is highly exothermic and a variety of products are possible.
Assuntos
Aspergillus nidulans/enzimologia , Proteínas de Bactérias/química , Oxirredutases/química , Penicilinas/biossíntese , Aspergillus nidulans/química , Proteínas de Bactérias/metabolismo , Sítios de Ligação , Catálise , Oxirredutases/metabolismo , Conformação Proteica , Especificidade por SubstratoRESUMO
BACKGROUND: Display technologies which allow peptides or proteins to be physically associated with the encoding DNA are central to procedures which involve screening of protein libraries in vitro for new or altered function. Here we describe a new system designed specifically for the display of libraries of diverse, functional proteins which utilises the DNA binding protein nuclear factor kappa B (NF-kappa B) p50 to establish a phenotype-genotype link between the displayed protein and the encoding gene. RESULTS: A range of model fusion proteins to either the amino- or carboxy-terminus of NF-kappa B p50 have been constructed and shown to retain the picomolar affinity and DNA specificity of wild-type NF-kappa B p50. Through use of an optimal combination of binding buffer and DNA target sequence, the half-life of p50-DNA complexes could be increased to over 47 h, enabling the competitive selection of a variety of protein-plasmid complexes with enrichment factors of up to 6000-fold per round. The p50-based plasmid display system was used to enrich a maltose binding protein complex to homogeneity in only three rounds from a binary mixture with a starting ratio of 1:10(8) and to enrich to near homogeneity a single functional protein from a phenotype-genotype linked Escherichia coli genomic library using in vitro functional selections. CONCLUSIONS: A new display technology is described which addresses the challenge of functional protein display. The results demonstrate that plasmid display is sufficiently sensitive to select a functional protein from large libraries and that it therefore represents a useful addition to the repertoire of display technologies.
Assuntos
Biblioteca Genômica , NF-kappa B/genética , Plasmídeos/genética , Proteínas/genética , Western Blotting , Eletroforese em Gel de Poliacrilamida , Escherichia coli/genética , Escherichia coli/metabolismo , Genótipo , NF-kappa B/biossíntese , NF-kappa B/química , Fenótipo , Plasmídeos/química , Biossíntese de Proteínas , Proteínas/química , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/química , Proteínas Recombinantes/genéticaRESUMO
The enzyme horseradish peroxidase (HRP) is a widely used microinjectable cell marker for studying cell position, lineage, and migration in many kinds of animal embryos. Marked cells are easily identified because they darken when exposed to a chromophore and an HRP substrate such as hydrogen peroxide. This assay, however, requires cytochemical fixation. Thus, when HRP-marked cells need to be identified prior to fixation, visible co-injectants such as dyes and fluorescent substances have been used with HRP. Fluorescent substances have limitations because their excitation could be harmful to the marked cells. Visible but non-fluorescent co-injectants, however, would permit visualization of HRP-marked cells without inflicting such damage. We tested the compatibility of several histological dyes and electrolytic carriers with HRP iontophoresed as a cell marker in 2-cell mouse embryos. The dyes tested were Evans Blue, Cibacron Blue F3GA, Fast Green FCF, and Patent Blue Violet; the electrolytic carriers were KCl, K2SO4, CH3CO2K, and KH2PO4. The combination found most useful was Patent Blue Violet in K2SO4. Survival of embryos incubated to the blastocyst stage following injection with HRP + Patent Blue Violet in K2SO4 at the 2-cell stage was significantly greater than that of embryos injected with any other dye. Although the proportion of embryos undergoing the 8-cell-to-morula transition was somewhat decreased by this treatment, the proportion of embryos reaching the blastocyst stage was comparable to that in the uninjected (control) group. Our results indicate that Patent Blue Violet is a useful, HRP-co-injectable dye for short-term cell marking in preimplantation mouse embryos.
Assuntos
Biomarcadores , Blastocisto/fisiologia , Corantes , Peroxidase do Rábano Silvestre/análise , Animais , Diferenciação Celular , Células Cultivadas , Desenvolvimento Embrionário , Feminino , Camundongos , Camundongos Endogâmicos , Microinjeções , GravidezRESUMO
Site-directed mutagenesis of the penDE gene and expression in Escherichia coli has produced recombinant acylcoenzyme A:isopenicillin N acyltransferase (re-AT) containing amino-acid substitutions in the proenzyme cleavage site (decreases) region (Asp-Gly102 decreases Cys103-Thr-Thr). The effect of these substitutions on proenzyme cleavage and AT activity has been investigated. The re-AT with substitutions at Cys103 (Cys103-->Ser, Cys103-->Ala and Cys103-->Trp) were uncleaved and inactive. Substitutions at Asp101 and Gly102 (Asp101-->Gly, Gly102-->Ala, Gly102-->Val, Gly102-->Met, Gly102-->Val and Asp101Gly102-->GlyPhe) did not prevent proenzyme cleavage or abolish AT activity. Thr105-->Ser and Thr105-->Ala substitutions did not prevent proenzyme cleavage or AT activity; however, AT containing Thr105-->Val resulted in a significant inhibition of proenzyme cleavage.
Assuntos
Aciltransferases/metabolismo , Precursores Enzimáticos/metabolismo , Proteínas de Ligação às Penicilinas , Penicillium chrysogenum/enzimologia , Processamento de Proteína Pós-Traducional , Aciltransferases/genética , Sequência de Aminoácidos , Sequência de Bases , Análise Mutacional de DNA , Precursores Enzimáticos/genética , Escherichia coli/genética , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Penicillium chrysogenum/genética , Proteínas Recombinantes/metabolismo , Relação Estrutura-AtividadeRESUMO
Subunit interaction in the formation of active acyl-coenzyme A:isopenicillin N acyltransferase (AT) has been investigated. Various AT derivatives were produced from altered Penicillium chrysogenum penDE genes placed in Escherichia coli expression systems. The regions of penDE encoding the alpha (11 kDa) and beta (29 kDa) AT subunits were separated at the DNA level by linker insertion at the region encoding Gly102/Cys103. Synthesis of AT from the resulting two-cistron mRNA resulted in active alpha,beta-heterodimeric recombinant AT (reAT), containing subunits of 11 and 29 kDa (similar to wild-type AT). Complete separation of the alpha and beta subunits was performed by placing the region of penDE encoding each subunit on different plasmids. Production of either subunit in the absence of the other did not form active reAT. However, cotransformation of E. coli with two plasmids, each encoding a different AT subunit, produced reAT having acyl-coenzyme A:6-aminopenicillanic acid (acyl-CoA:6-APA) AT activity. Mutation of penDE replacing Thr105 with Asn resulted in inactive and uncleaved reAT. Coexpression of this mutant penDE with a penDE derivative encoding the beta subunit in E. coli produced acyl-CoA:6-APA AT activity. These results suggest that the formation of reAT involves cooperative folding events between the subunits. In vitro transcription/translation was used to determine the origin of the AT hydrolase activity that cleaves the 40-kDa precursor polypeptide. The appearance of a 29-kDa protein (and presumably the corresponding 11-kDa protein, although not observable) from the 40-kDa in vitro translated protein provides further evidence that AT hydrolysis is an autocatalytic event.
Assuntos
Acil Coenzima A/genética , Aciltransferases/genética , Proteínas de Ligação às Penicilinas , Penicillium chrysogenum/enzimologia , Acil Coenzima A/metabolismo , Aciltransferases/biossíntese , Aciltransferases/metabolismo , Sequência de Bases , Clonagem Molecular , DNA Fúngico , Eletroforese em Gel de Poliacrilamida , Escherichia coli , Dados de Sequência Molecular , Penicillium chrysogenum/genética , Plasmídeos , Biossíntese de Proteínas , Proteínas Recombinantes/biossíntese , Transcrição Gênica , Transformação GenéticaRESUMO
A high level E. coli expression system has been constructed for the Penicillium chrysogenum penDE gene, which encodes the acyl-coenzyme A: isopenicillin N-acyltransferase (AT) enzyme. Induction of overexpression of recombinant AT (recAT) by increasing the growth temperature of the host adversely affected solubility and activity of the AT enzyme. Addition of isopropylthio-beta-D-galactopyranoside (IPTG) at decreased growth temperatures (less than 32 degrees C) resulted in the overproduction of soluble, active recAT. When purified to homogeneity, recAT was an alpha, beta-heterodimer, comprised of 11 kDa (alpha) and 29 kDa (beta) subunits, derived from a 40 kDa precursor polypeptide by a posttranslational cleavage. The recAT enzyme contained both the acyl-coenzyme A: isopenicillin N-acyltransferase and the acyl-coenzyme A: 6-aminopenicillanic acid acyltransferase activities. The processing event that generated the two subunits of recAT from the 40 kDa precursor polypeptide occurred between Gly102/Cys103. This expression system produced a large amount of soluble, active recAT that is identical to native AT, making it a suitable source of AT enzyme for further characterization.
Assuntos
Aciltransferases/biossíntese , Proteínas de Ligação às Penicilinas , Penicillium chrysogenum/enzimologia , Aciltransferases/química , Aciltransferases/genética , Sequência de Aminoácidos , Sequência de Bases , Enzimas de Restrição do DNA , Escherichia coli/genética , Expressão Gênica , Temperatura Alta , Isopropiltiogalactosídeo/farmacologia , Substâncias Macromoleculares , Espectrometria de Massas , Dados de Sequência Molecular , Plasmídeos , Precursores de Proteínas/metabolismo , Processamento de Proteína Pós-Traducional , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/química , SolubilidadeRESUMO
A study of the final stages of the biosynthesis of the penicillins in Penicillium chrysogenum has revealed two types of enzyme. One hydrolyses phenoxymethyl penicillin to 6-aminopenicillanic acid (6-APA). The other, also obtained from Aspergillus nidulans, transfers a phenylacetyl group from phenylacetyl CoA to 6-APA. The acyltransferase, purified to apparent homogeneity, had a molecular mass of 40 kDa. It also catalyses the conversion of isopenicillin N (IPN) to benzylpenicillin (Pen G) and hydrolyses IPN to 6-APA. In the presence of SDS it dissociates, with loss of activity, into fragments of ca 30 and 10.5 kDa, but activity is regained when these fragments recombine in the absence of SDS.
Assuntos
Acil Coenzima A/isolamento & purificação , Aciltransferases/isolamento & purificação , Aspergillus nidulans/enzimologia , Proteínas de Ligação às Penicilinas , Penicillium chrysogenum/enzimologia , Penicillium/enzimologia , Sequência de Aminoácidos , Aspergillus nidulans/crescimento & desenvolvimento , Dados de Sequência Molecular , Penicillium chrysogenum/crescimento & desenvolvimentoRESUMO
A recent report (Patino et al., (1989) FEMS Microbiol. Lett. 58, 139-144) described the low level expression, in Escherichia coli, of the Isopenicillin N Synthase (IPNS) gene from Cephalosporium acremonium under the control of strong promoters. We report here our work on the expression of the IPNS gene. Plasmids containing the IPNS gene under the control of the trp or trc promoters directed synthesis of high levels of active IPNS in E. coli. Constitutive and inductive high level IPNS expression systems have been developed. Importantly, the expression vectors do not encode beta-lactamase so IPNS activity can be determined directly by biological assays. Analysis by nmr verified that the IPNS produced from these expression systems catalysed the conversion of delta-(L-alpha-aminoadipoyl)-L-cysteinyl-D-valine (LLD-ACV) to isopenicillin N in high yield.
Assuntos
Acremonium/genética , Escherichia coli/genética , Regulação Fúngica da Expressão Gênica/genética , Genes Fúngicos , Oxirredutases/genética , Regiões Promotoras Genéticas , Acremonium/enzimologia , Sequência de Bases , DNA Fúngico , Eletroforese em Gel de Poliacrilamida , Vetores Genéticos , Dados de Sequência Molecular , Oxirredutases/biossíntese , PlasmídeosRESUMO
Using a high level Escherichia coli expression system for the Penicillium chrysogenum penDE gene, we have produced acyl-coenzyme A: isopenicillin N acyltransferase (AT) enzymes containing amino acid substitutions at three conserved Ser residues. Chosen for study based on amino acid sequence homologies to other proteins, Ser227, Ser230 and Ser309 were changed to Cys or Ala to assess amino acid side chain involvement in proenzyme cleavage and AT enzyme mechanism. Substitutions at Ser230 had no effect on proenzyme cleavage, acyl-coenzyme A: IPN acyltransferase (IAT) or acyl-coenzyme A:6-aminopenicillanic acid acyltransferase (AAT) activities. While Ser227-->Cys had no effect, Ser227-->Ala produced uncleaved proenzyme lacking both AAT and IAT activities, suggesting that the presence of a nucleophilic side chain at this residue is required for proenzyme cleavage and AT activity. Substitution of Ser309-->Cys did not appreciably prevent proenzyme cleavage, IAT or AAT activity. Recombinant AT (recAT) proenzyme containing Ser309-->Ala was cleaved; however, IAT and AAT activities were not observed. This separation of proenzyme cleavage from IAT and AAT activities has not been previously observed, and suggests that Ser309 is involved in substrate acylation.
Assuntos
Aciltransferases/metabolismo , Precursores Enzimáticos/metabolismo , Proteínas de Ligação às Penicilinas , Penicillium chrysogenum/enzimologia , Processamento de Proteína Pós-Traducional , Aciltransferases/genética , Sequência de Aminoácidos , Sequência de Bases , Sequência Conservada , Precursores Enzimáticos/genética , Escherichia coli/genética , Dados de Sequência Molecular , Mutagênese Sítio-Dirigida , Proteínas Recombinantes/metabolismo , Serina/genética , Relação Estrutura-AtividadeRESUMO
Isopenicillin N synthetase (IPS) cloned from Cephalosporium acremonium has been isolated from transformed Escherichia coli and purified to homogeneity. The resulting, abundant, recombinant protein, whilst undergoing slightly different N-terminal processing to that observed for the fungally-derived protein, has identical kinetics for the conversion of LLD-aminoadipoyl-cysteinyl-valine to isopenicillin N. Recombinant IPS converts analogue substrates into unusual beta-lactam antibiotics in exactly the same way as the fungal protein.
Assuntos
Enzimas/isolamento & purificação , Oxirredutases , Sequência de Aminoácidos , Clonagem Molecular , Enzimas/genética , Enzimas/metabolismo , Escherichia coli , Espectroscopia de Ressonância Magnética , Proteínas Recombinantes , Especificidade por SubstratoRESUMO
Reinjection of a second dose of Tl-201 before redistribution imaging has significantly improved the ability of myocardial perfusion imaging to detect jeopardized myocardium. However, PET studies and the results from coronary artery angioplasty and bypass surgery indicate that Tl-201 studies still underestimate the number of ischemic areas at stress that represent viable myocardium. To determine whether an imaging protocol using an early reinjection of Tl-201 immediately after acquisition of the stress images would improve the detection of jeopardized myocardium, 138 patients were studied with an early reinjection protocol and the incidence and magnitude of reversible defects were compared by SPECT to a second group of 143 patients who underwent the standard late reinjection protocol. Two observers independently evaluated 19 standard myocardial segments by visual examination in each patient. They determined the presence or absence of reversible defects, and, when present, their magnitude. The frequency of reversible defects always was less with early reinjection compared to the standard late reinjection; the difference reached statistical significance for one of the two observers (P < 0.05). It is concluded that early reinjection of Tl-201 in myocardial perfusion imaging does not increase and may decrease the sensitivity of the study for jeopardized myocardium.
Assuntos
Coração/diagnóstico por imagem , Isquemia Miocárdica/diagnóstico por imagem , Radioisótopos de Tálio , Tomografia Computadorizada de Emissão de Fóton Único/métodos , Adenosina , Idoso , Teste de Esforço , Feminino , Humanos , Processamento de Imagem Assistida por Computador , Masculino , Pessoa de Meia-Idade , Sensibilidade e EspecificidadeRESUMO
What I believe to be the essential contribution of this group of analysts may be summarized as follows. The role of object relations has always been a prominent theme in analytic thought and has become much more so in recent years. Instead of grafting the implications of relations onto a theory that started from a different standpoint, what the British group has done is to show that the development of the person has to be conceived as the progressive differentiation of a structure from a unitary matrix that itself interacts at a holistic personal level from the start. While Balint noted clinical data that required this step, he did not put forward a theoretical scheme. Winnicott, who suggested more specifically how the infant's relationships at the earliest stages patterned its whole subsequent personal development, also refrained from following through the theoretical logic of his observations. Fairbairn was the first analyst to expose the questionable logic of a developmental scheme based upon the energic concepts that Freud retained as his theoretical base. Fairbairn's scheme, however, did not account adequately for the earliest developmental stages as these were inferred from the study of regressive states. Guntrip, making full use of Winnicott's views, has sought to make good this limitation. The British group does not presume to have made anything like an adequate conceptual map for the development of the psyche. The theoretical problems are far too complex for that. They have, however, shown a fruitful direction and have influenced many areas of contemporary psychoanalytic thought.
Assuntos
Apego ao Objeto , Desenvolvimento da Personalidade , Psicanálise/história , Ego , Teoria Freudiana , História do Século XX , Humanos , Lactente , Amor , Relações Mãe-Filho , Regressão Psicológica , Autoimagem , Reino UnidoRESUMO
Although the nature of the self has become a central issue in psychoanalysis, a comprehensive theory of its origin and development is needed. In an effort to elaborate one such theory, the author first reviews the history of psychoanalytic conceptualizations of the self. He then examines extra-clinical evidence from literature, philosophy, and the social sciences to gain additional insight into the persistent features of the self. Finally, he outlines some unique characteristics of the human self in light of new insights from modern evolutionary biology.