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1.
Phys Chem Chem Phys ; 25(22): 15497-15507, 2023 Jun 07.
Artigo em Inglês | MEDLINE | ID: mdl-37249475

RESUMO

In this work, our new experimental setup has been used to study the ionization and fragmentation of a prebiotic molecule, hydantoin, by electron impact. Scanning of the incident electron energy allows the determination of the appearance thresholds of the cations. The vertical ionization potential was found to be in good agreement with previous data. Dissociation thresholds for the main fragmentation patterns were also measured. In parallel, thanks to quantum chemical calculations, reaction schemes compatible with the experimental results are given.

2.
Org Biomol Chem ; 14(48): 11371-11380, 2016 Dec 07.
Artigo em Inglês | MEDLINE | ID: mdl-27805236

RESUMO

We describe the qualitative and quantitative analysis of the complexation properties towards cations of a cyclic peptoid hexamer composed of alternating α- and ß-peptoid monomers, which bear exclusively chiral (S)-phenylethyl side chains (spe) that have no noticeable chelating properties. The binding of a series of monovalent and divalent cations was assessed by 1H NMR, circular dichroism, fluorescence and molecular modelling. In contrast to previous studies on cations binding by 18-membered α-cyclopeptoid hexamers, the 21-membered cyclopeptoid cP1 did not complex monovalent cations (Na+, K+, Ag+) but showed selectivity for divalent cations (Ca2+, Ba2+, Sr2+ and Mg2+). Hexacoordinated C-3 symmetrical complexes were demonstrated for divalent cations with ionic radii around 1 Å (Ca2+ and Ba2+), while 5-coordination is preferred for divalent cations with larger (Ba2+) or smaller ionic radii (Mg2+).


Assuntos
Peptoides/química , Cátions Bivalentes/química , Dicroísmo Circular , Fluorescência , Modelos Moleculares , Estrutura Molecular , Espectroscopia de Prótons por Ressonância Magnética
3.
Eur Phys J E Soft Matter ; 39(6): 63, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27339702

RESUMO

A bidimensional simulation of a sphere moving at constant velocity into a cloud of smaller spherical grains far from any boundaries and without gravity is presented with a non-smooth contact dynamics method. A dense granular "cluster" zone builds progressively around the moving sphere until a stationary regime appears with a constant upstream cluster size. The key point is that the upstream cluster size increases with the initial solid fraction [Formula: see text] but the cluster packing fraction takes an about constant value independent of [Formula: see text]. Although the upstream cluster size around the moving sphere diverges when [Formula: see text] approaches a critical value, the drag force exerted by the grains on the sphere does not. The detailed analysis of the local strain rate and local stress fields made in the non-parallel granular flow inside the cluster allows us to extract the local invariants of the two tensors: dilation rate, shear rate, pressure and shear stress. Despite different spatial variations of these invariants, the local friction coefficient µ appears to depend only on the local inertial number I as well as the local solid fraction, which means that a local rheology does exist in the present non-parallel flow. The key point is that the spatial variations of I inside the cluster do not depend on the sphere velocity and explore only a small range around the value one.

4.
Am J Transplant ; 15(3): 678-86, 2015 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-25648361

RESUMO

Although increased rates of solid organ cancers have been reported following liver transplantation (LT), the impact of quantitative exposure to calcineurin inhibitors (CNI) remains unclear. We have therefore probed the relationship between the development of solid organ cancers following LT and the level of CNI exposure. This prospective single-center study was conducted between 1995 and 2008 and is based on 247 tacrolimus-treated liver transplant recipients who survived at least 1 year following surgery. The incidence of cancer was recorded, and the mean blood concentration of tacrolimus (TC) was determined at 1 and 3 years following LT. The study results indicate that 43 (17.4%) patients developed de novo solid cancers. Mean TC during the first year after LT was significantly higher in patients who developed solid organ tumors (10.3 ± 2.1 vs. 7.9 ± 1.9 ng/mL, p < 0.0001). Independent risks factors in multivariate analysis were tobacco consumption before LT (OR = 5.42; 95% CI [1.93-15.2], p = 0.0014) and mean annual TC during the first year after LT (p < 0.0001; OR = 2.01; 95% CI [1.57-2.59], p < 0.0001). Similar effects were observed in 216 patients who received tacrolimus continuously for ≥3 years. It appears therefore that CNI should be used with caution after LT, and that new immunosuppressive therapies could deliver significant clinical benefits in this regard.


Assuntos
Imunossupressores/uso terapêutico , Transplante de Fígado , Tacrolimo/uso terapêutico , Relação Dose-Resposta a Droga , Feminino , Humanos , Imunossupressores/efeitos adversos , Masculino , Pessoa de Meia-Idade , Tacrolimo/efeitos adversos
5.
Osteoporos Int ; 26(12): 2877-82, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26109496

RESUMO

UNLABELLED: Oxytocin, a neurohypophysial hormone, regulates bone metabolism in animal studies and postmenopausal women. In men, oxytocin is not associated with bone mineral density, bone turnover markers, or prevalent fractures, but weakly negatively with incident fragility fracture requiring further studies. INTRODUCTION: We previously showed that serum oxytocin (OT) level is associated with bone mineral density (BMD) and bone turnover rate in postmenopausal women. The aim of our study was to assess the relationship between circulating OT levels and bone status in men. METHODS: In 552 men aged 50 and older from the MINOS cohort, we measured serum levels of OT. We assessed the association of serum OT levels with BMD (lumbar, femoral neck, total hip), bone turnover markers (BTM) (serum N-terminal propeptide of type I procollagen (PINP), bone-specific alkaline phosphatase (bone ALP), and C-terminal telopeptide of type I collagen (CTX-I)) and fracture risk. RESULTS: In the univariate analysis, serum OT level was not associated with BMD at any site, BTM levels, or with prevalent or incident fracture. OT was significantly correlated with body mass index (BMI) (r = 0.17, p < 0.001), total or bioavalaible 17ß-estradiol (r = 0.09, p = 0.04 and r = 0.20, p < 0.001, respectively), free testosterone (r = 0.17, p < 0.001), and leptin (r = 0.16, p < 0.001). Multivariate analysis did not show significant relationship between serum OT and BMD. After adjustment for age, BMI, interaction BMI/age, history of fall in the last year, and BMD, OT and prevalent fracture were not associated. By contrast, the same analysis with additional adjustment for prevalent fracture showed a weakly significant negative association between OT and incident fracture, e.g., after adjustment for femoral neck BMD, HR = 0.73, 95 %CI 0.55-0.99, p = 0.04. CONCLUSION: In men, serum OT levels are not associated with BMD, bone turnover rate, or prevalent fractures. The weak negative relationship with fracture risk requires further studies.


Assuntos
Densidade Óssea/fisiologia , Remodelação Óssea/fisiologia , Ocitocina/sangue , Idoso , Idoso de 80 Anos ou mais , Índice de Massa Corporal , Estudos de Coortes , Colo do Fêmur/fisiologia , Articulação do Quadril/fisiologia , Humanos , Vértebras Lombares/fisiologia , Masculino , Pessoa de Meia-Idade , Fraturas por Osteoporose/sangue , Fraturas por Osteoporose/fisiopatologia
6.
Compr Psychiatry ; 57: 125-31, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25481236

RESUMO

BACKGROUND: Although a number of studies have found significant associations between maternal psychological distress, anxiety and changes in fetoplacental blood flow, findings remain inconsistent. A recent pilot study by our group highlighted some of these inconsistencies. In the current study, we expanded this pilot analysis to include psychological distress, anxiety and a range of antenatal variables, with the aim of identifying predictors of fetoplacental blood flow. METHODS: Healthy pregnant women (n=148) underwent Doppler flow studies on uterine, umbilical and fetal arteries; as well as assessments of distress, anxiety and other antenatal variables (e.g. perceived social support, resilience, nicotine and alcohol use) in each trimester. RESULTS: Stepwise regression analyses found that state anxiety was associated with lower mid-cerebral artery pulsatility index at trimester 3. LIMITATIONS: Subjects were recruited from selected midwife obstetric units in the same health district, so the generalizability of our results may be limited. While most subjects received Doppler assessment at trimesters 2 and 3, only approximately half of our sample was assessed at trimester 1. CONCLUSION: The finding that anxiety is associated with increased blood flow to the fetal brain during trimester 3 of pregnancy, coincide with previous work. The findings emphasize a growing appreciation of the potential importance of psychological well-being during pregnancy for infant development. However, as associations were small and variable, further research using multivariate models to determine the precise mechanisms underlying these associations would be warranted.


Assuntos
Circulação Placentária/fisiologia , Adulto , Consumo de Bebidas Alcoólicas/efeitos adversos , Ansiedade/fisiopatologia , Circulação Cerebrovascular , Feminino , Humanos , Artéria Cerebral Média/diagnóstico por imagem , Artéria Cerebral Média/fisiopatologia , Projetos Piloto , Placenta/diagnóstico por imagem , Gravidez , Segundo Trimestre da Gravidez , Escalas de Graduação Psiquiátrica , Resiliência Psicológica , Fumar/efeitos adversos , Apoio Social , Estresse Psicológico/fisiopatologia , Ultrassonografia Doppler , Ultrassonografia Pré-Natal , Adulto Jovem
8.
Lett Appl Microbiol ; 59(5): 507-13, 2014 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-25041576

RESUMO

UNLABELLED: Biofilms play a key role in bacterial resistance against antibacterial agents-an issue that causes multiple problems in medical fields, particularly with Staphylococcus biofilms that colonize medical indwelling devices. The literature reports several anti-biofilm strategies that have been applied in medicine. Disrupting the biofilm formation process creates new sites open to colonization by treatment-generated planktonic bacteria, so efforts have turned to focus on strategies to prevent and control the initial Staphylococci adhesion. Here, we investigated the preventive activities of three commercial proteases (Flavourzyme, Neutrase and Alcalase) against biofilm formation by two Staphylococcus strains. Some proteolytic extracts revealed interesting results with Staphylococcus epidermidis and Staphylococcus aureus aureus biofilms. SIGNIFICANCE AND IMPACT OF THE STUDY: Three proteases were tested against Staphylococcus aureus and Staphylococcus epidermidis biofilms in standard conditions. The Flavourzyme containing a mix of Aspergillus orizae endo- and exoproteases demonstrated significant efficacy against Staph. epidermidis biofilm formation. These results could prove valuable in the effort to develop simple anti-biofilm methods.


Assuntos
Biofilmes/efeitos dos fármacos , Peptídeo Hidrolases/farmacologia , Staphylococcus aureus/efeitos dos fármacos , Antibacterianos/farmacologia , Endopeptidases , Metaloendopeptidases/farmacologia , Staphylococcus aureus/fisiologia , Staphylococcus epidermidis/efeitos dos fármacos , Staphylococcus epidermidis/fisiologia , Subtilisinas/farmacologia
9.
Rev Med Interne ; 45(1): 41-47, 2024 Jan.
Artigo em Francês | MEDLINE | ID: mdl-38158295

RESUMO

Non-alcoholic fatty liver disease (NAFLD) or recently called Metabolic Dysfunction Associated Steatotic Liver Disease (MASLD), is the leading cause of liver disease, with an estimated worldwide prevalence of 25%. MASLD is suspected, in a metabolic condition, in the presence of hepatic steatosis, moderate hepatic cytolysis or hyperferritinemia. The severity of the disease depends on the stage of liver fibrosis, which can be suspected in clinical practice by simple blood tests such as the FIB-4 or NAFLD fibrosis Score. The treatment is based on lifestyle intervention combining weight loss, increased physical activity and a Mediterranean-style diet. Only a small minority of patients with MASLD will develop advanced liver disease and require liver specialist. Given the high prevalence of MASLD, the identification of these patients cannot be envisaged without the taking part in the screening of all physicians (general practitioners and specialists).


Assuntos
Clínicos Gerais , Doenças Metabólicas , Hepatopatia Gordurosa não Alcoólica , Humanos , Hepatopatia Gordurosa não Alcoólica/complicações , Hepatopatia Gordurosa não Alcoólica/diagnóstico , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Estilo de Vida
10.
Nat Genet ; 15(2): 186-9, 1997 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9020846

RESUMO

The Jervell and Lange-Nielsen (JLN) syndrome (MIM 220400) is an inherited autosomal recessive disease characterized by a congenital bilateral deafness associated with a QT prolongation on the electrocardiogram, syncopal attacks due to ventricular arrhythmias and a high risk of sudden death. JLN syndrome is a rare disease, which seems to affect less than one percent of all deaf children. Linkage to chromosome 11p15.5 markers was found by analysing four consanguinous families. Recombinants allowed us to map the JLN gene between D11S922 and D11S4146, to a 6-cM interval where KVLQT1, a potassium channel gene causing Romano-Ward (RW) syndrome, the dominant form of long QT syndrome, has been previously localized. An homozygous deletion-insertion event (1244, -7 +8) in the C-terminal domain of this gene was detected in three affected children of two families. We found that KVLQT1 is expressed in the stria vascularis of mouse inner ear by in situ hybridization. Taken together, our data indicate that KVLQT1 is responsible for both JLN and RW syndromes and has a key role not only in the ventricular repolarization but also in normal hearing, probably via the control of endolymph homeostasis.


Assuntos
Surdez/genética , Perda Auditiva Bilateral/genética , Síndrome do QT Longo/genética , Canais de Potássio de Abertura Dependente da Tensão da Membrana , Canais de Potássio/genética , Deleção de Sequência , Adulto , Animais , Pré-Escolar , Consanguinidade , Análise Mutacional de DNA , Surdez/fisiopatologia , Morte Súbita Cardíaca/etiologia , Orelha Interna/irrigação sanguínea , Endolinfa/fisiologia , Feminino , Perda Auditiva Bilateral/fisiopatologia , Sistema de Condução Cardíaco/fisiopatologia , Humanos , Hibridização In Situ , Lactente , Canais de Potássio KCNQ , Canal de Potássio KCNQ1 , Síndrome do QT Longo/fisiopatologia , Masculino , Camundongos , Dados de Sequência Molecular , Linhagem , Polimorfismo Conformacional de Fita Simples
11.
Theor Appl Genet ; 124(3): 597-611, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22065067

RESUMO

The modification of flowering date is considered an important way to escape the current or future climatic constraints that affect wheat crops. A better understanding of its genetic bases would enable a more efficient and rapid modification through breeding. The objective of this study was to identify chromosomal regions associated with earliness in wheat. A 227-wheat core collection chosen to be highly contrasted for earliness was characterized for heading date. Experiments were conducted in controlled conditions and in the field for 3 years to break down earliness in the component traits: photoperiod sensitivity, vernalization requirement and narrow-sense earliness. Whole-genome association mapping was carried out using 760 molecular markers and taking into account the five ancestral group structure. We identified 62 markers individually associated to earliness components corresponding to 33 chromosomal regions. In addition, we identified 15 other significant markers and seven more regions by testing marker pair interactions. Co-localizations were observed with the Ppd-1, Vrn-1 and Rht-1 candidate genes. Using an independent set of lines to validate the model built for heading date, we were able to explain 34% of the variation using the structure and the significant markers. Results were compared with already published data using bi-parental populations giving an insight into the genetic architecture of flowering time in wheat.


Assuntos
Cruzamento/métodos , Flores/crescimento & desenvolvimento , Regulação da Expressão Gênica de Plantas/genética , Marcadores Genéticos/genética , Fenótipo , Triticum/genética , Estudo de Associação Genômica Ampla , Genótipo , Modelos Genéticos , Fotoperíodo , Reprodução/genética , Temperatura , Triticum/crescimento & desenvolvimento
13.
Phys Rev Lett ; 107(23): 230401, 2011 Dec 02.
Artigo em Inglês | MEDLINE | ID: mdl-22182068

RESUMO

We report on the experimental study of a Bragg reflector for guided, propagating Bose-Einstein condensates. A one-dimensional attractive optical lattice of finite length created by red-detuned laser beams selectively reflects some velocity components of the incident matter wave packet. We find quantitative agreement between the experimental data and one-dimensional numerical simulations and show that the Gaussian envelope of the optical lattice has a major influence on the properties of the reflector. In particular, it gives rise to multiple reflections of the wave packet between two symmetric locations where Bragg reflection occurs. Our results are a further step towards integrated atom-optics setups for quasi-cw matter waves.

14.
Rev Sci Instrum ; 92(5): 054905, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-34243261

RESUMO

Magnetic heating, namely, the use of heat released by magnetic nanoparticles (MNPs) excited with a high-frequency magnetic field, has so far been mainly used for biological applications. More recently, it has been shown that this heat can be used to catalyze chemical reactions, some of them occurring at temperatures up to 700 °C. The full exploitation of MNP heating properties requires the knowledge of the temperature dependence of their heating power up to high temperatures. Here, a setup to perform such measurements is described based on the use of a pyrometer for high-temperature measurements and on a protocol based on the acquisition of cooling curves, which allows us to take into account calorimeter losses. We demonstrate that the setup permits to perform measurements under a controlled atmosphere on solid state samples up to 550 °C. It should in principle be able to perform measurements up to 900 °C. The method, uncertainties, and possible artifacts are described and analyzed in detail. The influence on losses of putting under vacuum different parts of the calorimeter is measured. To illustrate the setup possibilities, the temperature dependence of heating power is measured on four samples displaying very different behaviors. Their heating power increases or decreases with temperature, displaying temperature sensibilities ranging from -2.5 to +4.4% K-1. This setup is useful to characterize the MNPs for magnetically heated catalysis applications and to produce data that will be used to test models permitting to predict the temperature dependence of MNP heating power.

15.
Rev Med Interne ; 42(5): 310-319, 2021 May.
Artigo em Francês | MEDLINE | ID: mdl-33485701

RESUMO

Immune checkpoint inhibitors (ICIs) can cause numerous and complex immune-related adverse events whose management need a multidisciplinary approach. Herein, we investigated 114 requests, mostly concerning patients suffering from lung cancer, that were submitted to the « ToxImmun ¼ multidisciplinary meeting in Eastern Occitania between December the 17th 2018 and January the 20th 2020. The leading reasons for the request concerned the putative causal link between immunotherapy and immune-toxicity and its management, followed by possible retreatment after temporary withdrawn because of adverse event, and finally the possibility to initiate ICIs in patients with pre-existing autoimmunity. Colitis, hepatitis and myocarditis were the most frequent immune-related adverse events (IRAEs), both all grade and grade 3-4. Sicca syndrome (with or without Sjogren criteria) was also frequent (26% of cases) and seems to be associated with severe toxicity and multi-toxicity. The mean time to first IRAE was 3.8 months, a time shortened with the use of anti-PD-L1 agents or ICI combination. A majority of requests came from initial evaluation by the internist confirming the early and main role of this specialty in the management of immunotoxicity. Expansion of this regional multidisciplinary meeting, coordinated by internists and medical oncologists, could improve management of immune-related adverse events for the patients' benefits.


Assuntos
Inibidores de Checkpoint Imunológico , Neoplasias , Humanos , Inibidores de Checkpoint Imunológico/efeitos adversos , Inibidores de Checkpoint Imunológico/uso terapêutico , Fatores Imunológicos/uso terapêutico , Neoplasias/tratamento farmacológico
16.
Mol Biol Cell ; 32(20): ar10, 2021 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-34379441

RESUMO

Mutations in the genes that encode α- and ß-tubulin underlie many neurological diseases, most notably malformations in cortical development. In addition to revealing the molecular basis for disease etiology, studying such mutations can provide insight into microtubule function and the role of the large family of microtubule effectors. In this study, we use budding yeast to model one such mutation-Gly436Arg in α-tubulin, which is causative of malformations in cortical development-in order to understand how it impacts microtubule function in a simple eukaryotic system. Using a combination of in vitro and in vivo methodologies, including live cell imaging and electron tomography, we find that the mutant tubulin is incorporated into microtubules, causes a shift in α-tubulin isotype usage, and dramatically enhances dynein activity, which leads to spindle-positioning defects. We find that the basis for the latter phenotype is an impaired interaction between She1-a dynein inhibitor-and the mutant microtubules. In addition to revealing the natural balance of α-tubulin isotype utilization in cells, our results provide evidence of an impaired interaction between microtubules and a dynein regulator as a consequence of a tubulin mutation and sheds light on a mechanism that may be causative of neurodevelopmental diseases.


Assuntos
Dineínas/metabolismo , Proteínas Associadas aos Microtúbulos/metabolismo , Proteínas de Saccharomyces cerevisiae/genética , Tubulina (Proteína)/genética , Dineínas/genética , Tomografia com Microscopia Eletrônica/métodos , Lectinas Tipo C/genética , Lectinas Tipo C/metabolismo , Microtúbulos/metabolismo , Mutação , Transtornos do Neurodesenvolvimento/metabolismo , Neurogênese , Fenótipo , Receptores Mitogênicos/genética , Receptores Mitogênicos/metabolismo , Saccharomyces cerevisiae/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo , Saccharomycetales/metabolismo , Fuso Acromático/metabolismo , Tubulina (Proteína)/metabolismo
17.
Antimicrob Agents Chemother ; 54(1): 164-9, 2010 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-19901088

RESUMO

Food animals are a potential source of CTX-M resistance genes for humans. We evaluated the transfer of the bla(CTX-M-9) gene from an animal strain of Salmonella enterica serotype Virchow to Enterobacteriaceae of the human intestinal flora by using human flora-associated (HFA) rats with and without cefixime treatment. In the absence of antibiotic, no transconjugant enterobacteria were found in the feces of HFA rats. However, the transfer rate was high if Escherichia coli J5 recipient strains were coinoculated orally with Salmonella. S. enterica serotype Virchow persisted in the rat fecal flora both during and after treatment with therapeutic doses of cefixime. The drug did not increase the transfer rate, and E. coli J5 transconjugants were eliminated from the flora before the end of cefixime treatment. No cefixime was recovered in the rat feces. In the presence of recipient strains, the bla(CTX-M-9) resistance gene was transferred from a strain of animal origin to the human intestinal flora, although transconjugant colonization was transient. Antibiotic use enhanced the persistence of donor strains, increasing the resistance gene pool and the risk of its spread.


Assuntos
Antibacterianos/farmacologia , Cefixima/farmacologia , Conjugação Genética/genética , Enterobacteriaceae/genética , Proteínas de Escherichia coli/genética , Plasmídeos/genética , Salmonella enterica/genética , beta-Lactamases/genética , Animais , Cromatografia Líquida de Alta Pressão , Meios de Cultura , Escherichia coli/genética , Fezes/microbiologia , Feminino , Humanos , Intestinos/microbiologia , Masculino , Espectrometria de Massas , Camundongos , Camundongos Endogâmicos C3H , Testes de Sensibilidade Microbiana , Ratos
18.
Anaesth Crit Care Pain Med ; 39(1): 143-161, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31525507

RESUMO

OBJECTIVE: To produce French guidelines on Management of Liver failure in general Intensive Care Unit (ICU). DESIGN: A consensus committee of 23 experts from the French Society of Anesthesiology and Critical Care Medicine (Société française d'anesthésie et de réanimation, SFAR) and the French Association for the Study of the Liver (Association française pour l'étude du foie, AFEF) was convened. A formal conflict-of-interest (COI) policy was developed at the start of the process and enforced throughout. The entire guideline process was conducted independently of any industrial funding. The authors were advised to follow the principles of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system to guide their assessment of the quality of evidence. The potential drawbacks of making strong recommendations in the presence of low-quality evidence were emphasised. Some recommendations were ungraded. METHODS: Two fields were defined: acute liver failure (ALF) and cirrhotic patients in general ICU. The panel focused on three questions with respect to ALF: (1) Which etiological examinations should be performed to reduce morbidity and mortality? (2) Which specific treatments should be initiated rapidly to reduce morbidity and mortality? (3) Which symptomatic treatment should be initiated rapidly to reduce morbidity and mortality? Seven questions concerning cirrhotic patients were addressed: (1) Which criteria should be used to guide ICU admission of cirrhotic patients in order to improve their prognosis? (2) Which specific management of kidney injury should be implemented to reduce morbidity and mortality in cirrhotic ICU patients? (3) Which specific measures to manage sepsis in order to reduce morbidity and mortality in cirrhotic ICU patients? (4) In which circumstances, human serum albumin should be administered to reduce morbidity and mortality in cirrhotic ICU patients? (5) How should digestive haemorrhage be treated in order to reduce morbidity and mortality in cirrhotic ICU patients? (6) How should haemostasis be managed in order to reduce morbidity and mortality in cirrhotic ICU patients? And (7) When should advice be obtained from an expert centre in order to reduce morbidity and mortality in cirrhotic ICU patients? Population, intervention, comparison and outcome (PICO) issues were reviewed and updated as required, and evidence profiles were generated. An analysis of the literature and recommendations was then performed in accordance with the GRADE® methodology. RESULTS: The SFAR/AFEF Guidelines panel produced 18 statements on liver failure in general ICU. After two rounds of debate and various amendments, a strong agreement was reached on 100% of the recommendations: six had a high level of evidence (Grade 1 ±), seven had a low level of evidence (Grade 2 ±) and six were expert judgments. Finally, no recommendation was provided with respect to one question. CONCLUSIONS: Substantial agreement exists among experts regarding numerous strong recommendations on the optimum care of patients with liver failure in general ICU.


Assuntos
Cuidados Críticos/métodos , Falência Hepática/terapia , Anestesiologia , Consenso , França , Guias como Assunto , Humanos , Unidades de Terapia Intensiva , Cirrose Hepática/terapia , Sepse/terapia
19.
J Cell Biol ; 155(6): 1029-42, 2001 Dec 10.
Artigo em Inglês | MEDLINE | ID: mdl-11733543

RESUMO

Coordination of the different cytoskeleton networks in the cell is of central importance for morphogenesis, organelle transport, and motility. The Rho family proteins are well characterized for their effects on the actin cytoskeleton, but increasing evidence indicates that they may also control microtubule (MT) dynamics. Here, we demonstrate that a novel Cdc42/Rac effector, X-p21-activated kinase (PAK)5, colocalizes and binds to both the actin and MT networks and that its subcellular localization is regulated during cell cycle progression. In transfected cells, X-PAK5 promotes the formation of stabilized MTs that are associated in bundles and interferes with MTs dynamics, slowing both the elongation and shrinkage rates and inducing long paused periods. X-PAK5 subcellular localization is regulated tightly, since coexpression with active Rac or Cdc42 induces its shuttling to actin-rich structures. Thus, X-PAK5 is a novel MT-associated protein that may communicate between the actin and MT networks during cellular responses to environmental conditions.


Assuntos
Actinas/metabolismo , Microtúbulos/metabolismo , Proteínas Serina-Treonina Quinases/genética , Proteínas Serina-Treonina Quinases/metabolismo , Proteínas de Xenopus , Citoesqueleto de Actina/metabolismo , Animais , Domínio Catalítico/fisiologia , Linhagem Celular , Clonagem Molecular , Células Epiteliais/citologia , Regulação Enzimológica da Expressão Gênica , Ácido Glutâmico/metabolismo , Proteínas de Fluorescência Verde , Técnicas de Diluição do Indicador , Indicadores e Reagentes/metabolismo , Proteínas Luminescentes/genética , Dados de Sequência Molecular , Polímeros/metabolismo , Proteínas Serina-Treonina Quinases/química , Estrutura Terciária de Proteína , Homologia de Sequência de Aminoácidos , Transfecção , Tirosina/metabolismo , Xenopus laevis , Proteína cdc42 de Ligação ao GTP/metabolismo , Quinases Ativadas por p21 , Proteínas rac1 de Ligação ao GTP/metabolismo
20.
Science ; 287(5461): 2274-7, 2000 Mar 24.
Artigo em Inglês | MEDLINE | ID: mdl-10731151

RESUMO

Human immunodeficiency virus (HIV) enters cells in vitro via CD4 and a coreceptor. Which of 15 known coreceptors are important in vivo is poorly defined but may be inferred from disease-modifying mutations, as for CCR5. Here two single nucleotide polymorphisms are described in Caucasians in CX3CR1, an HIV coreceptor and leukocyte chemotactic/adhesion receptor for the chemokine fractalkine. HIV-infected patients homozygous for CX3CR1-I249 M280, a variant haplotype affecting two amino acids (isoleucine-249 and methionine-280), progressed to AIDS more rapidly than those with other haplotypes. Functional CX3CR1 analysis showed that fractalkine binding is reduced among patients homozygous for this particular haplotype. Thus, CX3CR1-I249 M280 is a recessive genetic risk factor in HIV/AIDS.


Assuntos
Síndrome da Imunodeficiência Adquirida/fisiopatologia , Quimiocinas CX3C , Infecções por HIV/fisiopatologia , Polimorfismo de Nucleotídeo Único , Receptores de Citocinas/genética , Receptores de Citocinas/fisiologia , Receptores de HIV/genética , Receptores de HIV/fisiologia , Síndrome da Imunodeficiência Adquirida/genética , Síndrome da Imunodeficiência Adquirida/virologia , Receptor 1 de Quimiocina CX3C , Estudos de Casos e Controles , Quimiocina CX3CL1 , Quimiocinas CXC/metabolismo , Cromossomos Humanos Par 3 , Estudos de Coortes , Progressão da Doença , Variação Genética , Genótipo , HIV/fisiologia , Infecções por HIV/genética , Infecções por HIV/virologia , Haplótipos , Homozigoto , Humanos , Leucócitos Mononucleares/metabolismo , Desequilíbrio de Ligação , Proteínas de Membrana/metabolismo , Mutação , Polimorfismo de Fragmento de Restrição , Polimorfismo Conformacional de Fita Simples , Análise de Sobrevida , População Branca/genética
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