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1.
Nat Methods ; 19(12): 1590-1598, 2022 12.
Artigo em Inglês | MEDLINE | ID: mdl-36357692

RESUMO

RNA modifications such as m6A methylation form an additional layer of complexity in the transcriptome. Nanopore direct RNA sequencing can capture this information in the raw current signal for each RNA molecule, enabling the detection of RNA modifications using supervised machine learning. However, experimental approaches provide only site-level training data, whereas the modification status for each single RNA molecule is missing. Here we present m6Anet, a neural-network-based method that leverages the multiple instance learning framework to specifically handle missing read-level modification labels in site-level training data. m6Anet outperforms existing computational methods, shows similar accuracy as experimental approaches, and generalizes with high accuracy to different cell lines and species without retraining model parameters. In addition, we demonstrate that m6Anet captures the underlying read-level stoichiometry, which can be used to approximate differences in modification rates. Overall, m6Anet offers a tool to capture the transcriptome-wide identification and quantification of m6A from a single run of direct RNA sequencing.


Assuntos
Sequenciamento por Nanoporos , RNA , RNA/genética , RNA/metabolismo , Análise de Sequência de RNA/métodos , Metilação , Transcriptoma
2.
Nucleic Acids Res ; 48(16): 9250-9261, 2020 09 18.
Artigo em Inglês | MEDLINE | ID: mdl-32813009

RESUMO

N 6-methylation of 2'-O-methyladenosine (Am) in RNA occurs in eukaryotic cells to generate N6,2'-O-dimethyladenosine (m6Am). Identification of the methyltransferase responsible for m6Am catalysis has accelerated studies on the function of m6Am in RNA processing. While m6Am is generally found in the first transcribed nucleotide of mRNAs, the modification is also found internally within U2 snRNA. However, the writer required for catalyzing internal m6Am formation had remained elusive. By sequencing transcriptome-wide RNA methylation at single-base-resolution, we identified human METTL4 as the writer that directly methylates Am at U2 snRNA position 30 into m6Am. We found that METTL4 localizes to the nucleus and its conserved methyltransferase catalytic site is required for U2 snRNA methylation. By sequencing human cells with overexpressed Mettl4, we determined METTL4's in vivo target RNA motif specificity. In the absence of Mettl4 in human cells, U2 snRNA lacks m6Am thereby affecting a subset of splicing events that exhibit specific features such as 3' splice-site weakness and an increase in exon inclusion. These findings suggest that METTL4 methylation of U2 snRNA regulates splicing of specific pre-mRNA transcripts.


Assuntos
Adenosina/análogos & derivados , Metiltransferases/genética , Splicing de RNA/genética , RNA Nuclear Pequeno/genética , Adenosina/genética , Catálise , Éxons/genética , Humanos , Metilação , Precursores de RNA/genética , Sítios de Splice de RNA/genética , RNA Mensageiro/genética , Spliceossomos/genética
3.
Toxicol Mech Methods ; 28(3): 157-166, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28849708

RESUMO

The leucine aminopeptidase inhibitor, benzyloxycarbonyl-leucine-chloromethylketone (z-L-CMK), was found to be toxic and readily induce cell death in Jurkat T cells. Dose-response studies show that lower concentration of z-L-CMK induced apoptosis in Jurkat T cells whereas higher concentration causes necrosis. In z-L-CMK-induced apoptosis, both the initiator caspases (-8 and -9) and effector caspases (-3 and -6) were processed to their respective subunits. However, the caspases remained intact in z-L-CMK-induced necrosis. The caspase inhibitor, z-VAD-FMK inhibited z-L-CMK-mediated apoptosis and caspase processing but has no effect on z-L-CMK-induced necrosis in Jurkat T cells. The high mobility group protein B1 (HMGB1) protein was found to be released into the culture medium by the necrotic cells and not the apoptotic cells. These results indicate that the necrotic cell death mediated by z-L-CMK at high concentrations is via classical necrosis rather than secondary necrosis. We also demonstrated that cell death mediated by z-L-CMK was associated with oxidative stress via the depletion of intracellular glutathione (GSH) and increase in reactive oxygen species (ROS), which was blocked by N-acetyl cysteine. Taken together, the results demonstrated that z-L-CMK is toxic to Jurkat T cells and induces apoptosis at low concentrations, while at higher concentrations the cells die of necrosis. The toxic side effects in Jurkat T cells mediated by z-L-CMK are associated with oxidative stress via the depletion of GSH and accumulation of ROS.


Assuntos
Clorometilcetonas de Aminoácidos/toxicidade , Apoptose/efeitos dos fármacos , Leucil Aminopeptidase/antagonistas & inibidores , Necrose/induzido quimicamente , Estresse Oxidativo/efeitos dos fármacos , Inibidores de Proteases/toxicidade , Linfócitos T/efeitos dos fármacos , Clorometilcetonas de Aminoácidos/antagonistas & inibidores , Biomarcadores/metabolismo , Inibidores de Caspase/farmacologia , Caspases/química , Caspases/metabolismo , Forma do Núcleo Celular/efeitos dos fármacos , Sobrevivência Celular/efeitos dos fármacos , Glutationa/antagonistas & inibidores , Glutationa/metabolismo , Humanos , Células Jurkat , Leucil Aminopeptidase/metabolismo , Potencial da Membrana Mitocondrial/efeitos dos fármacos , Nucleossomos/efeitos dos fármacos , Nucleossomos/imunologia , Nucleossomos/metabolismo , Concentração Osmolar , Fragmentos de Peptídeos/metabolismo , Inibidores de Proteases/química , Proteólise/efeitos dos fármacos , Linfócitos T/citologia , Linfócitos T/imunologia , Linfócitos T/metabolismo
4.
Eur J Vasc Endovasc Surg ; 51(6): 846-56, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-27067723

RESUMO

OBJECTIVE/BACKGROUND: The objective was to investigate the effects of the detergent sclerosants sodium tetradecyl sulfate (STS) and polidocanol (POL) on human leukocytes at sublytic concentrations. METHODS: Leukocytes were isolated and labelled with antibodies to assess for apoptosis and examined with confocal microscopy and flow cytometry. Isolated leukocyte count and viability was assessed using trypan blue, and propidium iodide staining. Phosphatidylserine (PS) exposure, a universal hallmark to measure cell apoptosis, was identified by flow cytometry using lactadherin. Caspases 3, 8, and 9, and Bax activation, as well as inhibitory assays with pan-caspase (Z-VAD-FMK) and Bax (BI-6C9) were assessed to determine apoptotic pathways. Porimin activation was used to assess cell permeability. RESULTS: Up to 40% of leukocytes maintained membrane integrity at sublytic concentrations (≤0.15%) of sclerosants. The remaining 60% did not maintain membrane integrity but were not completely lysed. PS exposure was increased with both STS and POL exhibiting a dose- and time-dependant trend. While activation of caspases 3, 8, and 9, as well as Bax activation, were increased in leukocytes stimulated with low concentrations of STS, only caspases 3 and 9 and Bax were increased with POL. Inhibitory assays demonstrated caspases 3, 8, and 9, and Bax inhibition at low concentrations with both STS and POL. Both agents increased the leukocyte activation of porimin at all concentrations. On confocal microscopy, stains for caspases 3, 8, and 9, and Bax were increased for both STS and POL. Porimin stain was markedly positive for both STS and POL. CONCLUSION: Both sclerosants induced leukocyte apoptosis at sublytic concentrations. STS activated both extrinsic and intrinsic pathways of apoptosis, while POL stimulated the intrinsic pathway of apoptosis only. Both agents induced oncosis. Based on these results, STS appears to have a greater effect than POL.


Assuntos
Apoptose/efeitos dos fármacos , Detergentes/farmacologia , Leucócitos/efeitos dos fármacos , Polietilenoglicóis/farmacologia , Soluções Esclerosantes/farmacologia , Caspases/metabolismo , Humanos , Necrose , Polidocanol , Tetradecilsulfato de Sódio/farmacologia
5.
Eur J Vasc Endovasc Surg ; 49(4): 426-31, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25686663

RESUMO

OBJECTIVE: To investigate the deactivating effects of circulating blood cells on the lytic activity of detergent sclerosants. METHODS: Samples of whole blood (WB), platelet-rich plasma (PRP), and isolated leukocytes were incubated with various concentrations of sodium tetradecyl sulfate (STS) or polidocanol (POL) and added to human umbilical vein endothelial cells (HUVECs), which were then counted using a fluorescent plate reader. Full blood counting was performed using a hematology analyzer. Platelet lysis and microparticle formation was assessed using lactadherin binding in flow cytometry. RESULTS: Detergent sclerosant activity was decreased in WB when compared with plasma and saline controls. The sclerosant lytic activity on endothelial cells was increased 23-fold for STS and 59-fold for POL in saline controls compared with WB. At high concentrations, sclerosants lysed erythrocytes, leukocytes, and platelets. Platelets were more sensitive to the lytic activity of sclerosants than other cell types. Neutrophils were the most susceptible of all leukocytes to the lytic activity of sclerosants. The presence of erythrocytes and leukocytes in samples decreased the lytic activity of sclerosants. Sclerosants at all concentrations induced erythrocyte-derived microparticle formation. CONCLUSIONS: Detergent sclerosants are consumed and deactivated by circulating blood cells. This deactivating effect is above and beyond the neutralizing effects of plasma proteins and contributes to the overall neutralizing effect of blood. Different blood cell types exhibited varying levels of vulnerability to the lytic activity of sclerosants with platelets being the most and erythrocytes the least vulnerable (platelets > leukocytes > erythrocytes).


Assuntos
Células Sanguíneas/efeitos dos fármacos , Coagulação Sanguínea/efeitos dos fármacos , Detergentes/farmacologia , Polietilenoglicóis/farmacologia , Tetradecilsulfato de Sódio/farmacologia , Células Cultivadas , Citometria de Fluxo/métodos , Células Endoteliais da Veia Umbilical Humana/efeitos dos fármacos , Humanos , Polidocanol
6.
Biophys Rev ; 16(1): 79-87, 2024 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-38495447

RESUMO

The chemical modifications of RNAs broadly impact almost all cellular events and influence various diseases. The rapid advance of sequencing and other technologies opened the door to global methods for profiling all RNA modifications, namely the "epitranscriptome." The mapping of epitranscriptomes in different cells and tissues unveiled that RNA modifications exhibit extensive heterogeneity, in type, amount, and in location. In this mini review, we first introduce the current understanding of modifications on major types of RNAs and the methods that enabled their discovery. We next discuss the tissue and cell heterogeneity of RNA modifications and briefly address the limitations of current technologies. With much still remaining unknown, the development of the epitranscriptomic field lies in the further developments of novel technologies.

7.
Child Care Health Dev ; 38(1): 54-60, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21668465

RESUMO

BACKGROUND: The primary purpose of this study was to report on an evaluation of the perceptions and beliefs of service providers towards family-centred practices in 11 early intervention programmes for infants and young children in Singapore. METHODS: The Measure of Processes of Care for Service Providers (MPOC-SP) and Measure of Beliefs about Participation in Family-Centred Service (MBP-FCS) were administered to 213 service providers made up of teachers, therapists, psychologists and social workers providing centre-based therapy to children with special needs who were below the age of 6 years. RESULTS: Exploratory factor analyses were performed with both scales. Nineteen of the 27 MPOC-SP items were retained and supported the original four-factor structure model. The exploratory factor analyses on MBP-FCS provided a less satisfactory outcome. Fourteen of the 28 items were retained and these loaded onto four factors. The two factors relating to Beliefs about benefits of FCS and Beliefs about the absence of negative outcomes from FCS failed to emerge as separate factors. Further multiple regressions indicated that more direct work with families and positive self-efficacy in implementing FCS contributed significantly to explaining service providers' positive perception towards family-centred practice in service delivery. CONCLUSIONS: This is the first time MPOC-SP and MBP-FCS were administered to a population in an Asian context. While MBP-FCS would benefit from further development work on its construct, MPOC-SP offered important insights into service providers' perspectives about family-centred practices that would have useful implications for professional and service development.


Assuntos
Atitude do Pessoal de Saúde , Serviços de Saúde da Criança/organização & administração , Prestação Integrada de Cuidados de Saúde/organização & administração , Crianças com Deficiência/reabilitação , Intervenção Médica Precoce/organização & administração , Adulto , Pré-Escolar , Saúde da Família , Feminino , Humanos , Lactente , Masculino , Pessoa de Meia-Idade , Relações Profissional-Família , Avaliação de Programas e Projetos de Saúde , Psicometria , Autoeficácia , Singapura , Adulto Jovem
8.
Nat Med ; 4(1): 65-71, 1998 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9427608

RESUMO

The human immunodeficiency virus type 1 (HIV-1) encodes a protein, called Vpr, that prevents proliferation of infected cells by arresting them in G2 of the cell cycle. This Vpr-mediated cell-cycle arrest is also conserved among highly divergent simian immunodeficiency viruses, suggesting an important role in the virus life cycle. However, it has been unclear how this could be a selective advantage for the virus. Here we provide evidence that expression of the viral genome is optimal in the G2 phase of the cell cycle, and that Vpr increases virus production by delaying cells at the point of the cell cycle where the long terminal repeat (LTR) is most active. Although Vpr is selected against when virus is adapted to tissue culture, we show that selection for Vpr function in vivo occurs in both humans and chimpanzees infected with HIV-1. These results suggest a novel mechanism for maximizing virus production in the face of rapid killing of infected target cells.


Assuntos
Ciclo Celular/fisiologia , Produtos do Gene vpr/biossíntese , HIV-1/fisiologia , Animais , Divisão Celular , Linhagem Celular , Fase G2 , Produtos do Gene vpr/fisiologia , Infecções por HIV/virologia , Humanos , Células Jurkat , Cinética , Modelos Biológicos , Pan troglodytes , Reação em Cadeia da Polimerase , Provírus/fisiologia , Proteínas Recombinantes/biossíntese , Proteínas Recombinantes/metabolismo , Vírus da Imunodeficiência Símia/fisiologia , Linfócitos T , Transfecção , Produtos do Gene vpr do Vírus da Imunodeficiência Humana
9.
10.
Gynecol Oncol Rep ; 37: 100848, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34466649

RESUMO

The presence of abdominoperitoneal tuberculosis (APTB) complicates the diagnosis, staging and management of endometrial cancer. Lymph node involvement in APTB may mimic metastatic lymphadenopathy in patients with endometrial cancer. To our knowledge, there have only been 2 previous case reports on this topic. We will describe 3 cases of endometrial cancer co-existing with APTB. The 1st case is a 57-year-old female who underwent elective total laparoscopic hysterectomy with bilateral salpingo-oophorectomy (TLHBSO) and bilateral pelvic lymph node dissection (PLND). The final diagnosis is Stage 3C1 endometrial endometroid carcinoma with mucinous differentiation. The 2nd case is a 70-year-old female with who underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAHBSO) and PLND. The final diagnosis is a Stage 1A endometrioid adenocarcinoma. The 3rd case is a 63-year-old female who underwent TAHBSO and PLND and the final diagnosis was a mixed high-grade serous (90%) and endometrioid (10%) carcinoma of the endometrium. In these cases, the importance of surgical staging is emphasised to accurately stage endometrial cancer. Moreover, thorough peri-operative optimisations by a multi-disciplinary team are essential to improve the outcomes of surgery.

11.
Nat Biotechnol ; 39(11): 1394-1402, 2021 11.
Artigo em Inglês | MEDLINE | ID: mdl-34282325

RESUMO

RNA modifications, such as N6-methyladenosine (m6A), modulate functions of cellular RNA species. However, quantifying differences in RNA modifications has been challenging. Here we develop a computational method, xPore, to identify differential RNA modifications from nanopore direct RNA sequencing (RNA-seq) data. We evaluate our method on transcriptome-wide m6A profiling data, demonstrating that xPore identifies positions of m6A sites at single-base resolution, estimates the fraction of modified RNA species in the cell and quantifies the differential modification rate across conditions. We apply xPore to direct RNA-seq data from six cell lines and multiple myeloma patient samples without a matched control sample and find that many m6A sites are preserved across cell types, whereas a subset exhibit significant differences in their modification rates. Our results show that RNA modifications can be identified from direct RNA-seq data with high accuracy, enabling analysis of differential modifications and expression from a single high-throughput experiment.


Assuntos
Sequenciamento por Nanoporos , Nanoporos , Sequenciamento de Nucleotídeos em Larga Escala , Humanos , RNA/genética , RNA/metabolismo , Processamento Pós-Transcricional do RNA/genética , Análise de Sequência de RNA/métodos , Transcriptoma/genética
12.
Opt Express ; 18(19): 20439-44, 2010 Sep 13.
Artigo em Inglês | MEDLINE | ID: mdl-20940936

RESUMO

Visible electroluminescence (EL) with two composite bands, i.e., a violet band and a green-yellow band has been observed from Si-implanted silicon nitride thin films. By varying the intensity ratio of the two composite EL bands in terms of the injection current, strong white-color EL can be achieved at certain injection currents (e.g., ~265 mA/cm(2)). The observed transition in EL color from violet to white under different injection conditions is studied based on the understanding that the violet band is originated from silicon nitride matrix while the green-yellow band is related to the implanted Si. The Si-implanted silicon nitride thin film offers the possibility of electrically tunable white-light Si-based light emitters.


Assuntos
Iluminação/instrumentação , Medições Luminescentes/instrumentação , Membranas Artificiais , Semicondutores , Compostos de Silício/química , Silício/química , Cor , Campos Eletromagnéticos , Desenho de Equipamento , Análise de Falha de Equipamento
13.
Science ; 228(4706): 1430-4, 1985 Jun 21.
Artigo em Inglês | MEDLINE | ID: mdl-2990028

RESUMO

Human T-cell leukemia viruses type I and II (HTLV-I and -II) exhibit several features characteristic of this retroviral family: the presence of an x-lor gene encoding a nuclear protein, transformation properties suggesting the involvement of a virus-associated trans-acting factor, and transcriptional trans-activation of the long terminal repeat (LTR) in infected cells. In the study described here the HTL x-lor products, in the absence of other viral proteins, were able to activate gene expression in trans directed by HTLV LTR. The regulation of the expression of particular genes in trans by HTLV x-lor products suggests that they play a role in viral replication and possibly in transformation of T lymphocytes.


Assuntos
Deltaretrovirus/genética , Proteínas Virais/genética , Regulação da Expressão Gênica , Genes Virais , Humanos , Plasmídeos
14.
Science ; 227(4691): 1227-8, 1985 Mar 08.
Artigo em Inglês | MEDLINE | ID: mdl-2983419

RESUMO

Human T-cell leukemia virus type I (HTLV-I) is a retrovirus associated with adult T-cell leukemia and lymphoma. In addition to containing the gag, pol, and env genes of the chronic leukemia viruses, the genome of HTLV-I contains a long open reading frame (LOR) located between the 3' end of the envelope gene and the 3' long terminal repeat sequence (LTR). It has been suggested that a protein of 42 kilodaltons that is encoded by the LOR region may participate in both trans-acting transcriptional regulation of the viral LTR as well as in the transforming properties of HTLV-I. It is reported here that a significant fraction of the 42-kilodalton HTLV LOR product is located in the nucleus of HTLV-I-infected transformed lymphocytes, a finding that is consistent with its proposed functions.


Assuntos
Deltaretrovirus/genética , Proteínas de Neoplasias/isolamento & purificação , Fracionamento Celular , Núcleo Celular/metabolismo , Citosol/metabolismo , Humanos , Linfócitos/metabolismo , Proteínas de Neoplasias/genética , Oncogenes , Frações Subcelulares/metabolismo
15.
Science ; 231(4745): 1549-53, 1986 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-3006244

RESUMO

The genome of the human T-lymphotropic virus type III (HTLV-III/LAV) has the potential to encode at least three polypeptides in addition to those encoded by the gag, pol, and env genes. In this study, the product of the sor (short open reading frame) region, which overlaps the 3' end of the pol gene, was found to be a protein with a molecular weight of 23,000. An assay was developed for testing the ability of cloned HTLV-III proviruses to produce viruses cytopathic for T4+ lymphocytes. In the cell line used, C8166, neither the HTLV-III sor gene product nor the complete 3'-orf gene product were necessary for the replication or cytopathic effects of the HTLV-III.


Assuntos
Deltaretrovirus/genética , Genes Virais , Replicação Viral , Linhagem Celular , Efeito Citopatogênico Viral , Deltaretrovirus/patogenicidade , Humanos , Proteínas dos Retroviridae/genética , Linfócitos T/microbiologia
16.
Science ; 237(4820): 1351-5, 1987 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-3629244

RESUMO

The envelope of the human immunodeficiency virus type 1 (HIV-1) plays a central role in the process of virus entry into the host cell and in the cytopathicity of the virus for lymphocytes bearing the CD4 molecule. Mutations that affect the ability of the envelope glycoprotein to form syncytia in CD4+ cells can be divided into five groups: those that decrease the binding of the envelope protein to the CD4 molecule, those that prevent a post-binding fusion reaction, those that disrupt the anchorage of the envelope glycoprotein in the membrane, those that affect the association of the two subunits of the envelope glycoprotein, and those that affect post-translational proteolytic processing of the envelope precursor protein. These findings provide a functional model of the HIV envelope glycoprotein.


Assuntos
Glicoproteínas/genética , HIV/genética , Proteínas do Envelope Viral/genética , Sequência de Aminoácidos , Genes , Genes Virais , Glicoproteínas/análise , Mutação , Fenótipo , Plasmídeos , Proteínas do Envelope Viral/análise
17.
Science ; 232(4752): 877-80, 1986 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-3010456

RESUMO

The human T-lymphotropic viruses types I and II (HTLV-I and -II) have been etiologically linked with certain T-cell leukemias and lymphomas that characteristically display membrane receptors for interleukin-2. The relation of these viruses to this growth factor receptor has remained unexplained. It is demonstrated here that introduction of the trans-activator (tat) gene of HTLV-II into the Jurkat T-lymphoid cell line results in the induction of both interleukin-2 receptor and interleukin-2 gene expression. The coexpression of these cellular genes may play a role in the altering T-cell growth following retroviral infection.


Assuntos
Deltaretrovirus/genética , Genes Virais , Interleucina-2/genética , Receptores Imunológicos/genética , Linhagem Celular , Regulação da Expressão Gênica , Humanos , Interleucina-2/biossíntese , Leucemia/microbiologia , Hibridização de Ácido Nucleico , RNA Mensageiro/genética , Receptores de Interleucina-2
19.
Nat Commun ; 10(1): 5636, 2019 12 10.
Artigo em Inglês | MEDLINE | ID: mdl-31822664

RESUMO

Various methyltransferases and demethylases catalyse methylation and demethylation of N6-methyladenosine (m6A) and N6,2'-O-dimethyladenosine (m6Am) but precise methylomes uniquely mediated by each methyltransferase/demethylase are still lacking. Here, we develop m6A-Crosslinking-Exonuclease-sequencing (m6ACE-seq) to map transcriptome-wide m6A and m6Am at quantitative single-base-resolution. This allows for the generation of a comprehensive atlas of distinct methylomes uniquely mediated by every individual known methyltransferase or demethylase. Our atlas reveals METTL16 to indirectly impact manifold methylation targets beyond its consensus target motif and highlights the importance of precision in mapping PCIF1-dependent m6Am. Rather than reverse RNA methylation, we find that both ALKBH5 and FTO instead maintain their regulated sites in an unmethylated steady-state. In FTO's absence, anomalous m6Am disrupts snRNA interaction with nuclear export machinery, potentially causing aberrant pre-mRNA splicing events.


Assuntos
Adenina/análogos & derivados , Proteínas Adaptadoras de Transdução de Sinal/metabolismo , Adenina/metabolismo , Dioxigenase FTO Dependente de alfa-Cetoglutarato , Sequência de Bases , Reagentes de Ligações Cruzadas/química , Exonucleases/metabolismo , Células HEK293 , Humanos , Metilação , Metiltransferases/metabolismo , Proteínas Nucleares/metabolismo , RNA Mensageiro/metabolismo
20.
J Nutr Health Aging ; 23(10): 966-972, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31781726

RESUMO

BACKGROUND: The Frontal Assessment Battery (FAB) is a reliable and valid bedside tool for testing executive function in dementia. Given the increasing interest in utility of FAB as a screening tool in early cognitive impairment (ECI), there is a surprising lack of studies evaluating its psychometric property and factor structure, nor the influence of factors such as age, education and gender, in ECI. OBJECTIVES: This study aims to investigate the psychometric properties and factor structure of FAB in older adults with ECI, as well as the influence of age, gender and education. DESIGN, SETTING AND PARTICIPANTS: This is a retrospective, observational cross-sectional study with 300 community dwelling, predominantly Chinese older adults (14 normal, 130 mild cognitive impairment (MCI), and 156 mild dementia) who presented to Memory Clinic from January 2011 to December 2013. Measurements and Analysis: We collected data on demographic, cognitive, functional and behavioral evaluation. To examine the psychometric properties of FAB, we examined the concurrent, convergent, and discriminant validity; internal consistency by Cronbach's alpha; and factor structure by exploratory factor analysis. The influence of age, education and gender was examined using unadjusted and adjusted correlational analyses with CDR-SOB. We performed analysis for the whole group and for MCI subgroup. RESULTS: FAB total score decreases significantly from normal to dementia group attesting to concurrent validity. It correlated significantly with digit span backwards and Chinese Mini Mental State Examination (r=0.38 and 0.47 respectively, p<0.01) and poorly with Neuropsychiatric Inventory-Questionnaire and depression (r=0.004 and -0.02 respectively), supporting its convergent and discriminant validity. Factor analysis yielded a single-factor solution for FAB with fair Internal consistency (alpha=0.610). FAB is relatively unaffected by age, gender and education level. These good psychometric properties extend to MCI, albeit with greater influence by education level. FAB items of conceptualization and mental flexibility have good discriminatory ability between MCI and normal subjects. CONCLUSION: FAB has good concurrent, convergent and discriminant validity with fair internal consistency in ECI that is premised on a one-factor structure. It is relatively unaffected by age, gender or education. Taken together, FAB is a useful bedside screening tool for executive function in ECI.


Assuntos
Disfunção Cognitiva/diagnóstico , Testes Neuropsicológicos/normas , Psicometria/métodos , Idoso , Idoso de 80 Anos ou mais , Disfunção Cognitiva/fisiopatologia , Estudos Transversais , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Estudos Retrospectivos
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