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1.
Immunol Cell Biol ; 97(4): 416-426, 2019 04.
Article in English | MEDLINE | ID: mdl-30633378

ABSTRACT

Cystic fibrosis (CF) is caused by mutations to the CF transmembrane conductance regulator (CFTR) gene. CFTR is known to be expressed on multiple immune cell subtypes, dendritic cells, monocytes/macrophages, neutrophils and lymphocytes. We hypothesized that the lack of CFTR expression on peripheral blood innate immune cells would result in an altered cell profile in the periphery and that this profile would reflect lung pathology. We performed a flow cytometric phenotypic investigation of innate immune cell proportions in peripheral blood collected from 17 CF patients and 15 age-matched healthy controls. We observed significant differences between CF patients and controls in the relative proportions of natural killer (NK) cells, monocytes and their subsets, with significant correlations observed between proportions of NK and monocyte cell subsets and lung function (forced expiratory volume in 1 sec, % predicted; FEV1% predicted) in CF patients. This study demonstrates the widespread nature of immune dysregulation in CF and provides a basis for identification of potential therapeutic targets. Modulation of the distinct CF-related immune cell phenotype identified could also be an important biomarker for evaluating CFTR-targeted drug efficacy.


Subject(s)
Cystic Fibrosis/blood , Cystic Fibrosis/immunology , Immunity, Innate , Lung/pathology , Adult , Case-Control Studies , Cohort Studies , Cystic Fibrosis/pathology , Dendritic Cells/pathology , Female , Humans , Killer Cells, Natural/pathology , Male , Middle Aged , Monocytes/pathology , Myeloid-Derived Suppressor Cells/pathology , Young Adult
2.
J Inorg Biochem ; 158: 62-69, 2016 05.
Article in English | MEDLINE | ID: mdl-26775610

ABSTRACT

The hypothesis that the recent rapid evolution of primate cytochromes c, which primarily involves residues in the least stable Ω-loop (Ω-loop C, residues 40-57), stabilizes the heme crevice of cytochrome c relative to other mammals, is tested. To accomplish this goal, we have compared the properties of human and spider monkey cytochrome c and a set of four variants produced in the process of converting human cytochrome c into spider monkey cytochrome c. The global stability of all variants has been measured by guanidine hydrochloride denaturation. The stability of the heme crevice has been assessed with the alkaline conformational transition. Structural insight into the effects of the five amino acid substitutions needed to convert human cytochrome c into spider monkey cytochrome c is provided by a 1.15Å resolution structure of spider monkey cytochrome c. The global stability for all variants is near 9.0kcal/mol at 25°C and pH7, which is higher than that observed for other mammalian cytochromes c. The heme crevice stability is more sensitive to the substitutions required to produce spider monkey cytochrome c with decreases of up to 0.5 units in the apparent pKa of the alkaline conformational transition relative to human cytochrome c. The structure of spider monkey cytochrome c indicates that the Y46F substitution destabilizes the heme crevice by disrupting an extensive hydrogen bond network that connects three surface loops including Ω-loop D (residues 70-85), which contains the Met80 heme ligand.


Subject(s)
Cytochromes c/chemistry , Cytochromes c/metabolism , Heme/chemistry , Heme/metabolism , Amino Acid Substitution , Animals , Atelinae , Circular Dichroism , Crystallography, X-Ray , Humans , Hydrogen Bonding , Hydrogen-Ion Concentration , Kinetics , Protein Folding , Protein Stability
3.
PLoS One ; 10(3): e0120912, 2015.
Article in English | MEDLINE | ID: mdl-25803862

ABSTRACT

People with cystic fibrosis (CF) have been reported to make lung T cell responses that are biased towards T helper (Th) 2 or Th17. We hypothesized that CF-related T cell regulatory defects could be detected by analyzing CD4+ lymphocyte subsets in peripheral blood. Peripheral blood mononuclear cells from 42 CF patients (6 months-53 years old) and 78 healthy controls (2-61 years old) were analyzed for Th1 (IFN-γ+), Th2 (IL-4+), Th17 (IL-17+), Treg (FOXP3+), IL-10+ and TGF-ß+ CD4+ cells. We observed higher proportions of Treg, IL-10+ and TGF-ß+ CD4+ cells in CF adults (≥ 18 years old), but not children/adolescents, compared with controls. Within the CF group, high TGF-ß+% was associated with chronic Pseudomonas aeruginosa lung infection (p < 0.006). We observed no significant differences between control and CF groups in the proportions of Th1, Th2 or Th17 cells, and no association within the CF group of any subset with sex, CFTR genotype, or clinical exacerbation. However, high Th17% was strongly associated with poor lung function (FEV1 % predicted) (p = 0.0008), and this association was strongest when both lung function testing and blood sampling were performed within one week. Our results are consistent with reports of CF as a Th17 disease and suggest that peripheral blood Th17 levels may be a surrogate marker of lung function in CF.


Subject(s)
Cystic Fibrosis/complications , Lung/microbiology , Pseudomonas Infections/complications , Pseudomonas aeruginosa/isolation & purification , Respiratory Tract Infections/complications , Th17 Cells/immunology , Adolescent , Adult , Child , Child, Preschool , Cystic Fibrosis/immunology , Female , Humans , Infant , Leukocytes, Mononuclear , Lung/immunology , Male , Middle Aged , Pseudomonas Infections/diagnosis , Pseudomonas Infections/immunology , Respiratory Tract Infections/diagnosis , Respiratory Tract Infections/immunology , Young Adult
4.
Proc Natl Acad Sci U S A ; 111(18): 6648-53, 2014 May 06.
Article in English | MEDLINE | ID: mdl-24760830

ABSTRACT

At the onset of apoptosis, the peroxidation of cardiolipin at the inner mitochondrial membrane by cytochrome c requires an open coordination site on the heme. We report a 1.45-Å resolution structure of yeast iso-1-cytochrome c with the Met80 heme ligand swung out of the heme crevice and replaced by a water molecule. This conformational change requires modest adjustments to the main chain of the heme crevice loop and is facilitated by a trimethyllysine 72-to-alanine mutation. This mutation also enhances the peroxidase activity of iso-1-cytochrome c. The structure shows a buried water channel capable of facilitating peroxide access to the active site and of moving protons produced during peroxidase activity to the protein surface. Alternate positions of the side chain of Arg38 appear to mediate opening and closing of the buried water channel. In addition, two buried water molecules can adopt alternate positions that change the network of hydrogen bonds in the buried water channel. Taken together, these observations suggest that low and high proton conductivity states may mediate peroxidase function. Comparison of yeast and mammalian cytochrome c sequences, in the context of the steric factors that permit opening of the heme crevice, suggests that higher organisms have evolved to inhibit peroxidase activity, providing a more stringent barrier to the onset of apoptosis.


Subject(s)
Cytochromes c/chemistry , Cytochromes c/metabolism , Saccharomyces cerevisiae Proteins/chemistry , Saccharomyces cerevisiae Proteins/metabolism , Amino Acid Sequence , Amino Acid Substitution , Apoptosis , Crystallography, X-Ray , Cytochromes c/genetics , Electron Transport , Heme/chemistry , Hydrogen Bonding , Lipid Peroxidation , Mitochondria/metabolism , Models, Molecular , Molecular Sequence Data , Mutagenesis, Site-Directed , Peroxidase/chemistry , Peroxidase/genetics , Peroxidase/metabolism , Protein Conformation , Saccharomyces cerevisiae/genetics , Saccharomyces cerevisiae/metabolism , Saccharomyces cerevisiae Proteins/genetics
5.
PLoS One ; 8(4): e60973, 2013.
Article in English | MEDLINE | ID: mdl-23593362

ABSTRACT

It has been widely reported that quorum-sensing incapable strains of Pseudomonas aeruginosa are less virulent than wild type strains. However, quorum sensing mutants of P. aeruginosa have been shown to develop other spontaneous mutations under prolonged culture conditions, and one of the phenotypes of P. aeruginosa that is frequently affected by this phenomenon is type IV pili-dependent motility, referred to as twitching motility. As twitching motility has been reported to be important for adhesion and colonisation, we aimed to generate a quorum-sensing knockout for which the heritage was recorded and the virulence factor production in areas unrelated to quorum sensing was known to be intact. We created a lasIRrhlIR quadruple knockout in PAO1 using a published technique that allows for the deletion of antibiotic resistance cartridges following mutagenesis, to create an unmarked QS knockout of PAO1, thereby avoiding the need for use of antibiotics in culturing, which can have subtle effects on bacterial phenotype. We phenotyped this mutant demonstrating that it produced reduced levels of protease and elastase, barely detectable levels of pyoverdin and undetectable levels of the quorum sensing signal molecules N-3-oxododecanoly-L-homoserine lactone and N-butyryl homoserine lactone, but retained full twitching motility. We then used a mouse model of acute lung infection with P. aeruginosa to demonstrate that the lasIRrhlIR knockout strain showed equal persistence to wild type parental PAO1, induced equal or greater neutrophil infiltration to the lungs, and induced similar levels of expression of inflammatory cytokines in the lungs and similar antibody responses, both in terms of magnitude and isotype. Our results suggest, in contrast to previous reports, that lack of quorum sensing alone does not significantly affect the immunogenicity, infectiveness and persistence of P. aeruginosa in a mouse model of acute lung infection.


Subject(s)
Bacterial Proteins/physiology , Lung Diseases/microbiology , Pseudomonas aeruginosa/physiology , Animals , Bacterial Proteins/genetics , Base Sequence , DNA Primers , Disease Models, Animal , Male , Mice , Mice, Inbred BALB C , Pseudomonas aeruginosa/genetics , Pseudomonas aeruginosa/pathogenicity , Real-Time Polymerase Chain Reaction , Reverse Transcriptase Polymerase Chain Reaction
6.
PLoS One ; 7(7): e42241, 2012.
Article in English | MEDLINE | ID: mdl-22860094

ABSTRACT

The Pseudomonas aeruginosa quorum sensing signal molecule N-3-oxododecanoyl-l-homoserine lactone (3OC(12)HSL) can inhibit function of the mammalian anti-inflammatory transcription factor peroxisome proliferator activated receptor (PPAR)γ, and can be degraded by human paraoxonase (PON)2. Because 3OC(12)HSL is detected in lungs of cystic fibrosis (CF) patients infected with P. aeruginosa, we investigated the relationship between P. aeruginosa infection and gene expression of PPARγ and PON2 in bronchoalveolar lavage fluid (BALF) of children with CF. Total RNA was extracted from cell pellets of BALF from 43 children aged 6 months-5 years and analyzed by reverse transcription-quantitative real time PCR for gene expression of PPARγ, PON2, and P. aeruginosa lasI, the 3OC(12)HSL synthase. Patients with culture-confirmed P. aeruginosa infection had significantly lower gene expression of PPARγ and PON2 than patients without P. aeruginosa infection. All samples that were culture-positive for P. aeruginosa were also positive for lasI expression. There was no significant difference in PPARγ or PON2 expression between patients without culture-detectable infection and those with non-Pseudomonal bacterial infection, so reduced expression was specifically associated with P. aeruginosa infection. Expression of both PPARγ and PON2 was inversely correlated with neutrophil counts in BALF, but showed no correlation with other variables evaluated. Thus, lower PPARγ and PON2 gene expression in the BALF of children with CF is associated specifically with P. aeruginosa infection and neutrophilia. We cannot differentiate whether this is a cause or the effect of P. aeruginosa infection, but propose that the level of expression of these genes may be a marker for susceptibility to early acquisition of P. aeruginosa in children with CF.


Subject(s)
Aryldialkylphosphatase/metabolism , Cystic Fibrosis/complications , PPAR gamma/metabolism , Pseudomonas Infections/complications , Pseudomonas aeruginosa/isolation & purification , Aryldialkylphosphatase/genetics , Base Sequence , Bronchoalveolar Lavage Fluid/microbiology , Child, Preschool , Cystic Fibrosis/metabolism , DNA Primers , Female , Gene Expression , Humans , Infant , Male , PPAR gamma/genetics , Pseudomonas Infections/metabolism , Real-Time Polymerase Chain Reaction , Reverse Transcriptase Polymerase Chain Reaction
7.
Microbes Infect ; 12(3): 231-7, 2010 Mar.
Article in English | MEDLINE | ID: mdl-20074659

ABSTRACT

Peroxisome proliferator activated receptor (PPARgamma) has been suggested as a target for anti-inflammatory therapy in chronic lung disease, including infection with Pseudomonas aeruginosa. However, the P. aeruginosa signal molecule N-(3-oxo-dodecanoyl)-l-homoserine lactone (3-oxo-C12-HSL) has been reported to inhibit function of PPARs in mammalian cells. This suggests that binding of 3-oxo-C12-HSL to PPARs could increase inflammation during P. aeruginosa infection, particularly if it could compete for binding with other PPAR ligands. We investigated the ability of 3-oxo-C12-HSL to bind to a PPARgamma ligand binding domain (LBD) construct, and to compete for binding with the highly active synthetic PPARgamma agonist rosiglitazone. We demonstrate that 3-oxo-C12-HSL binds effectively to the PPARgamma ligand binding domain, and that concentrations of 3-oxo-C12-HSL as low as 1 nM can effectively interfere with the binding of rosiglitazone to the PPARgamma ligand binding domain. Because 3-oxo-C12 HSL has been demonstrated in lungs during P. aeruginosa infection, blockade of PPARgamma-dependent signaling by 3-oxo-C12-HSL produced by the infecting P. aeruginosa could exacerbate infection-associated inflammation, and potentially impair the action of PPAR-activating therapy. Thus the proposed use of PPARgamma agonists as anti-inflammatory therapy in lung P. aeruginosa infection may depend on their ability to counteract the effects of 3-oxo-C12-HSL.


Subject(s)
4-Butyrolactone/analogs & derivatives , Anti-Inflammatory Agents/antagonists & inhibitors , Homoserine/analogs & derivatives , PPAR gamma/metabolism , Pseudomonas aeruginosa/pathogenicity , Thiazolidinediones/antagonists & inhibitors , 4-Butyrolactone/metabolism , Homoserine/metabolism , Humans , Protein Binding , Rosiglitazone
8.
FEMS Immunol Med Microbiol ; 55(3): 335-45, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19187218

ABSTRACT

Pseudomonas aeruginosa releases a wide array of toxins and tissue-degrading enzymes. Production of these malicious virulence factors is controlled by interbacterial communication in a process known as quorum sensing. An increasing body of evidence reveals that the bacterial signal molecule N-(3-oxododecanoyl)-L-homoserine lactone (OdDHL) exhibits both quorum-sensing signalling and immune-modulating properties. Recently, yet another quorum-sensing signal molecule, the Pseudomonas quinolone signal (PQS), has been shown to affect cytokine release by mitogen-stimulated human T cells. In the present article we demonstrate that both OdDHL and PQS decrease the production of interleukin-12 (IL-12) by Escherichia coli lipopolysaccharide-stimulated bone marrow-derived dendritic cells (BM-DCs) without altering their IL-10 release. Moreover, BM-DCs exposed to PQS and OdDHL during antigen stimulation exhibit a decreased ability to induce T-cell proliferation in vitro. Collectively, this suggests that OdDHL and PQS change the maturation pattern of stimulated DCs away from a proinflammatory T-helper type I directing response, thereby decreasing the antibacterial activity of the adaptive immune defence. OdDHL and PQS thus seem to possess dual activities in the infection process: as inducers of virulence factors as well as immune-modulators facilitating the infective properties of this pathogen.


Subject(s)
4-Butyrolactone/analogs & derivatives , Cell Proliferation , Dendritic Cells/drug effects , Homoserine/analogs & derivatives , Immunologic Factors/pharmacology , Pseudomonas aeruginosa/immunology , Quinolones/immunology , T-Lymphocytes/immunology , 4-Butyrolactone/metabolism , 4-Butyrolactone/pharmacology , Animals , Homoserine/metabolism , Homoserine/pharmacology , Immunologic Factors/metabolism , Mice , Mice, Inbred C57BL , Pseudomonas aeruginosa/metabolism , Quinolones/metabolism
9.
Chem Biol ; 15(11): 1141-7, 2008 Nov 24.
Article in English | MEDLINE | ID: mdl-19022174

ABSTRACT

Communication through quorum sensing (QS) enables bacterial populations to coordinate their behavior. Recent work on N-acylhomoserine lactone-mediated QS has revealed that some soil bacteria exploit host-derived substrates to generate an alternative N-substituted homoserine lactone. New light has also been shed on the mechanism by which N-(3-oxo-dodecanoyl)-L-homoserine lactone modulates host inflammatory signaling pathways to promote bacterial survival.


Subject(s)
Acyl-Butyrolactones/metabolism , Immunity , Quorum Sensing , Animals , Bacteria/cytology , Bacteria/metabolism , Bacterial Physiological Phenomena , Host-Pathogen Interactions/immunology , Humans
10.
Immunol Cell Biol ; 85(8): 596-602, 2007.
Article in English | MEDLINE | ID: mdl-17607318

ABSTRACT

The Pseudomonas aeruginosa quorum-sensing signal molecule N-3-oxododecanoyl)-L-homoserine lactone (OdDHL) has been reported to affect the function of a wide range of mammalian cell types, including cells of the immune system. In T cells, it has been reported to inhibit the production of most cytokines, and it has been reported to inhibit the function of antigen-presenting cells. The intracellular target of OdDHL in these cells remains to be identified, although the lipophilic nature of the molecule suggested that the target could be membrane associated. We explored the association of radiolabelled OdDHL with the membrane and cytoplasm of Jurkat T-cell lines and of primary murine T cells and dendritic cells. We found that not only did 3H-OdDHL enter the cytoplasm of Jurkat cells without disproportionate association with the cell membrane, it also reached maximum levels in the cytoplasm very quickly, and that the intracellular concentration was proportional to the extracellular concentration. Similar results were obtained when 3H-OdDHL was incubated with primary murine T cells or cultured dendritic cells. In addition, we show that the cellular distribution of OdDHL does not significantly alter after stimulation of Jurkat cells or primary murine CD4 T cells with immobilized anti-CD3, with little activity being associated with nuclear fractions. Together, these data strongly suggest that OdDHL enters mammalian cells by passive mechanisms, and that it does not preferentially associate with the membrane or nucleus upon T-cell receptor ligation.


Subject(s)
4-Butyrolactone/analogs & derivatives , Homoserine/analogs & derivatives , Immunologic Factors/immunology , Pseudomonas aeruginosa/immunology , 4-Butyrolactone/immunology , 4-Butyrolactone/pharmacology , Animals , Biological Transport , Cytokines/biosynthesis , Cytoplasm/metabolism , Homoserine/immunology , Homoserine/pharmacology , Humans , Immunologic Factors/pharmacology , Interferon-gamma/biosynthesis , Jurkat Cells , Lymphocyte Activation/immunology , Mice , Muromonab-CD3 , Signal Transduction , Spleen/cytology , Subcellular Fractions , T-Lymphocytes/immunology , Tritium
11.
Immunol Cell Biol ; 85(3): 189-96, 2007.
Article in English | MEDLINE | ID: mdl-17199110

ABSTRACT

Th-cell development has been suggested to include selective mechanisms in which certain cytokines select either Th1 or Th2 cells to proliferate and grow. The selective theory is based on the observation that Th2 cells secrete IL-4, a cytokine that promotes Th2 development, whereas Th1 cells secrete interferon-gamma (IFN-gamma) that favours Th1 development, and both positive and negative selective influences have been suggested to operate. In this study, we investigate the role of autocrine secretion and utilization of IL-4 by Th2 cells and address the question of whether an activated Th2 cell can be positively selected by IL-4 secreted from other Th2 cells. We present a spatial three dimensional (3D) modelling approach to simulate the interaction between the IL-4 ligand and its IL-4 receptors expressed on discrete IL-4 secreting cells. The simulations, based on existing experimental data on the IL-4 receptor-ligand system, illustrate how Th-cell development is highly dependent on the distance between cells that are communicating. The model suggests that a single Th2 cell is likely to communicate with possible target cells within a range of approximately 100 microm and that an activated Th2 cell manages to fill most of its own IL-4 receptors, even at a low secretion rate. The predictions made by the model suggest that negative selection against Th1 cells is more effective than positive selection by IL-4 for promoting Th2 dominance.


Subject(s)
Autocrine Communication , Interleukin-4/immunology , Models, Immunological , Th1 Cells/immunology , Th2 Cells/immunology , Animals , Humans , Interferon-gamma/immunology , Kinetics , Receptors, Interleukin-4/immunology , Th1 Cells/cytology , Th2 Cells/cytology
12.
Immunol Cell Biol ; 84(2): 218-26, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16519740

ABSTRACT

Th-cell differentiation is highly influenced by the local cytokine environment. Although cytokines such as IL-12 and IL-4 are known to polarize the Th-cell response towards Th1 or Th2, respectively, it is not known whether these cytokines instruct the developmental fate of uncommitted Th cells or select cells that have already been committed through a stochastic process. We present an individual based model that accommodates both stochastic and deterministic processes to simulate the dynamic behaviour of selective versus instructive Th-cell development. The predictions made by each model show distinct behaviours, which are compared with experimental observations. The simulations show that the instructive model generates an exclusive Th1 or Th2 response in the absence of an external cytokine source, whereas the selective model favours coexistence of the phenotypes. A hybrid model, including both instructive and selective development, shows behaviour similar to either the selective or the instructive model dependent on the strength of activation. The hybrid model shows the closest qualitative agreement with a number of well-established experimental observations. The predictions by each model suggest that neither pure selective nor instructive Th development is likely to be functional as exclusive mechanisms in Th1/Th2 development.


Subject(s)
Cell Differentiation/physiology , Interleukin-12/metabolism , Interleukin-4/metabolism , Models, Immunological , Protein Subunits/metabolism , Th1 Cells/physiology , Th2 Cells/physiology , Animals , Humans , Interleukin-12 Subunit p35
13.
J Allergy Clin Immunol ; 117(3): 635-41, 2006 Mar.
Article in English | MEDLINE | ID: mdl-16522464

ABSTRACT

BACKGROUND: Allergic asthma is a TH2 cell-driven immunological disease, characterized by eosinophilic inflammation. The cytotoxic agent cyclophosphamide paradoxically augments several immune responses. OBJECTIVE: We studied the proposal that cyclophosphamide may aggravate airway inflammation in allergic mice, and these features might result from the loss of regulatory T cells. METHODS: BALB/c mice were immunized with ovalbumin on days 0 and 14 and challenged with aerosolized ovalbumin from days 21 to 27. Some mice also received cyclophosphamide on days -2 and 12. RESULTS: In the lungs of cyclophosphamide-treated animals, pronounced worsening of inflammatory features was noted, including increased eosinophil infiltration, epithelial thickness, mucus occlusion, and eosinophil numbers in bronchoalveolar lavage fluid. There was also increased total and ovalbumin-specific serum IgE, increased IL-4 and IL-5 secretion by peritracheal lymph node cells, and reduced lung mRNA expression of IL-10 and TGF-beta in animals treated with cyclophosphamide. The expression of FoxP3, a marker of regulatory T cells, was significantly reduced in lymphoid organs after the second injection of cyclophosphamide, and in the lung tissue after allergen challenge in cyclophosphamide-treated mice. Lung IL-10+CD4+ T cells and cytotoxic T lymphocyte-associated antigen 4+CD4+ T cells were reduced after allergen challenge in cyclophosphamide-treated mice. CONCLUSION: Cyclophosphamide worsened features of allergic pulmonary inflammation in this model, in association with increased production of IgE and TH2 cytokines. The reduced expression of FoxP3 and immunosuppressive cytokines by cyclophosphamide is consistent with the possibility that toxicity to regulatory T cells may contribute to the increased inflammation.


Subject(s)
Adjuvants, Immunologic/pharmacology , Asthma/immunology , Cyclophosphamide/pharmacology , Lung/drug effects , Lung/immunology , Allergens , Animals , Cytokines/biosynthesis , Disease Models, Animal , Eosinophils/immunology , Forkhead Transcription Factors/biosynthesis , Immunoglobulin E/biosynthesis , Interleukin-10/biosynthesis , Mice , Mice, Inbred BALB C , Ovalbumin , Th2 Cells/immunology , Transforming Growth Factor beta/biosynthesis
14.
Circulation ; 110(12): 1694-700, 2004 Sep 21.
Article in English | MEDLINE | ID: mdl-15353492

ABSTRACT

BACKGROUND: Turner syndrome (TS) is associated with aortic coarctation and dissection; hence, echocardiographic evaluation of all patients is currently recommended. X-ray angiography in clinically symptomatic patients has suggested a range of other vascular anomalies, but the true prevalence of such lesions in TS is unknown. To better understand the prevalence and pathogenesis of cardiovascular defects in TS, we prospectively evaluated a group of asymptomatic adult volunteers with TS using magnetic resonance (MR) angiography. METHODS AND RESULTS: A total of 85 adults with TS and 27 normal female adult volunteers underwent gadolinium-enhanced 3D MR angiography. A high prevalence of aortic anomalies was seen in women with TS, including elongation of the transverse arch (49%), aortic coarctation (12%), and aberrant right subclavian artery (8%). Venous anomalies were also prominent, including persistent left superior vena cava (13%) and partial anomalous pulmonary venous return (13%). None of these anomalies were found in healthy female controls. The constellation of elongation of the transverse arch, aortic coarctation, and persistent left superior vena cava was significantly associated with women with TS. Neck webbing and increased thoracic anterior-to-posterior dimension diameters were strong predictors for arterial and venous anomalies. CONCLUSIONS: Thoracic vascular anomalies are common in TS, occurring in approximately 50% of a group not preselected for cardiovascular disease. The highly significant association between neck webbing, increased chest diameter, and these vascular anomalies suggests that in utero, centrally localized lymphatic obstruction may contribute to these cardiovascular deformities in TS. Improved recognition of these often-undetected vascular lesions may be important for identification of patients in need of closer cardiovascular monitoring.


Subject(s)
Cardiovascular Abnormalities/genetics , Magnetic Resonance Imaging , Turner Syndrome/pathology , Adult , Anthropometry , Aortic Arch Syndromes/diagnosis , Aortic Arch Syndromes/epidemiology , Aortic Arch Syndromes/genetics , Aortic Coarctation/diagnosis , Aortic Coarctation/epidemiology , Aortic Coarctation/genetics , Blood Pressure , Cardiovascular Abnormalities/diagnosis , Cardiovascular Abnormalities/epidemiology , Female , Humans , Imaging, Three-Dimensional , Middle Aged , Neck/abnormalities , Prevalence , Pulmonary Veins/abnormalities , Single-Blind Method , Subclavian Artery/abnormalities , Thorax/pathology , Turner Syndrome/epidemiology , Vena Cava, Superior/abnormalities
15.
J Clin Endocrinol Metab ; 89(7): 3516-20, 2004 Jul.
Article in English | MEDLINE | ID: mdl-15240640

ABSTRACT

An increased prevalence of impaired glucose homeostasis (IGH) and diabetes mellitus is reported in monosomy X, or Turner syndrome (TS). To determine whether IGH is an intrinsic feature of this syndrome, independent of obesity or hypogonadism, we compared results of a standard oral glucose challenge in age- and body mass index-matched women with TS and with karyotypically normal premature ovarian failure (POF). Fasting glucose levels were normal in both groups, but glucose values after oral glucose challenge were higher in TS [2-h glucose, 135 +/- 36 mg/dl (7.5 +/- 2.0 mmol/liter) in TS and 97 +/- 18 mg/dl (5.4 +/- 1.0 mmol/liter) in POF; P < 0.0001]. Glucose-stimulated insulin secretion was lower in TS; e.g. the initial insulin response (DeltaI/DeltaG(30)) was decreased by 60% compared with POF (P < 0.0001). We also compared responses to a standard iv glucose tolerance test in women with TS and in age- and body mass index-matched normal women and found that the insulin area under the curve was 50% lower in women with TS (P = 0.003). Insulin sensitivity measured by the quantitative insulin sensitivity check index was higher in women with TS compared with both control groups. Thus, IGH is not secondary to obesity or hypogonadism in TS, but it is a distinct entity characterized by decreased insulin secretion, suggesting that haploinsufficiency for X-chromosome gene(s) impairs beta-cell function and predisposes to diabetes mellitus in TS.


Subject(s)
Insulin/metabolism , Turner Syndrome/metabolism , Adult , Area Under Curve , Blood Glucose/analysis , Case-Control Studies , Female , Glucose , Glucose Tolerance Test/methods , Humans , Insulin/blood , Insulin Secretion , Primary Ovarian Insufficiency/diagnosis , Primary Ovarian Insufficiency/metabolism , Turner Syndrome/diagnosis
17.
Cancer Res ; 63(22): 7760-8, 2003 Nov 15.
Article in English | MEDLINE | ID: mdl-14633701

ABSTRACT

Smad7 and Smad6 are inhibitory Smads that block transforming growth factor-beta (TGF-beta) superfamily signal transduction. Smad7 is overexpressed in chemically induced mouse epidermal tumors, where oncogenic activation of c-ras is a frequent event. To test the role of Smad7 overexpression in tumor progression, we used retroviruses to transduce Smad7 or Smad6 and v-ras(Ha) into primary mouse keratinocytes. By itself, Smad7 transiently enhanced keratinocyte proliferation, blocked normal differentiation, and induced keratin 8, a marker of malignant conversion, but did not cause tumor formation. Smad7 extended the in vitro life span, suppressed senescence, and increased transformation frequency 3-fold of primary keratinocytes coexpressing v-ras(Ha). Smad7/v-ras(Ha) coinfected keratinocytes rapidly progressed to squamous cell carcinomas in vivo, whereas pBabe/v-ras(Ha)- or Smad6/v-ras(Ha)-transduced keratinocytes formed only benign papillomas. Smad7/v-ras(Ha) tumors had elevated proliferation and defective nuclear localizaton of Smad2, Smad3, and Smad5, whereas only Smad5 was altered in Smad6/v-ras(Ha) tumors. Smad7 overexpression in vitro induced epidermal growth factor (EGF)-like growth factors TGF-alpha, heparin binding-EGF, amphiregulin, and EGF receptor tyrosine phosphorylation as well as the EGF-CFC growth factor cripto-1. TGF-alpha and cripto-1 were also overexpressed in Smad7/v-ras(Ha) tumors. These results suggest that Smad7 overexpression accelerates tumor progression through inhibition of TGF-beta superfamily signaling and up-regulation of the EGF-like superfamily of growth factors. This is the first demonstration that Smad7 overexpression can cause malignant conversion in a multistage cancer model and suggests that it may have an important role in the pathogenesis of human cancer.


Subject(s)
Carcinoma, Squamous Cell/pathology , Cell Transformation, Neoplastic/pathology , DNA-Binding Proteins/physiology , Genes, ras/physiology , Trans-Activators/physiology , Animals , Carcinoma, Squamous Cell/genetics , Cell Differentiation/physiology , Cell Division/physiology , Cell Transformation, Neoplastic/genetics , Cells, Cultured , DNA-Binding Proteins/biosynthesis , DNA-Binding Proteins/genetics , Disease Models, Animal , Keratinocytes/pathology , Mice , Mice, Inbred BALB C , Mice, Nude , NIH 3T3 Cells , Papilloma/genetics , Papilloma/pathology , Retroviridae/genetics , Signal Transduction/physiology , Smad6 Protein , Smad7 Protein , Trans-Activators/biosynthesis , Trans-Activators/genetics , Transduction, Genetic , Transforming Growth Factor beta/antagonists & inhibitors , Transforming Growth Factor beta/physiology , Up-Regulation
19.
Infect Immun ; 71(8): 4421-31, 2003 Aug.
Article in English | MEDLINE | ID: mdl-12874321

ABSTRACT

N-3-(oxododecanoyl)-L-homoserine lactone (OdDHL), a quorum-sensing molecule of Pseudomonas aeruginosa, plays an important role in the pathogenesis of the organism through its control of virulence factor expression. Several reports have suggested that OdDHL can also directly modulate host immune responses. However, the nature of the modulation is controversial, with different reports suggesting promotion of either humoral (Th2-mediated) or inflammatory (Th1-mediated) responses. This report describes a series of studies which demonstrate for the first time that in vivo administration of OdDHL can modulate the course of an antibody response, with an increase in ovalbumin (OVA)-specific immunogloblulin G1 (IgG1) but not IgG2a in OdDHL-treated OVA-immunized BALB/c mice compared to levels for controls. In vitro stimulation of lymphocytes from both Th1-biased C57Bl/6 and T-cell receptor transgenic mice and Th2-biased BALB/c mice in the presence of OdDHL demonstrated that OdDHL inhibits in vitro cytokine production in response to both mitogen and antigen, with gamma interferon (IFN-gamma) tending to be more inhibited than interleukin-4 (IL-4). In vitro mitogen or antigen restimulation of cells from mice treated with OdDHL in vivo shows effects on cytokine production which depend on the underlying immune bias of the mouse strain used, with a relative increase of IFN-gamma in Th1-biased C57Bl/6 mice and a relative increase of IL-4 in Th2-biased BALB/c mice. Thus, the mode of action of OdDHL on T-cell cytokine production is likely to be a relatively nonspecific one which accentuates an underlying immune response bias rather than one which specifically targets either Th1 or Th2 responses.


Subject(s)
4-Butyrolactone/toxicity , B-Lymphocytes/drug effects , B-Lymphocytes/immunology , Homoserine/toxicity , Pseudomonas aeruginosa/pathogenicity , T-Lymphocytes/drug effects , T-Lymphocytes/immunology , 4-Butyrolactone/analogs & derivatives , Animals , Concanavalin A/pharmacology , Female , Homoserine/analogs & derivatives , Immunity, Cellular/drug effects , Immunization , Immunoglobulin G/biosynthesis , In Vitro Techniques , Interferon-gamma/biosynthesis , Interferon-gamma/genetics , Interleukin-4/biosynthesis , Interleukin-4/genetics , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Mice, Transgenic , Mitogens/pharmacology , Ovalbumin/immunology , Pseudomonas aeruginosa/immunology , RNA, Messenger/genetics , RNA, Messenger/metabolism , Th1 Cells/drug effects , Th1 Cells/immunology , Th2 Cells/drug effects , Th2 Cells/immunology , Virulence/immunology
20.
J Immunol ; 168(8): 4127-34, 2002 Apr 15.
Article in English | MEDLINE | ID: mdl-11937573

ABSTRACT

AIDS patients often contain HIV-1-infected mast cells (MCs)/basophils in their peripheral blood, and in vivo-differentiated MCs/basophils have been isolated from the blood of asthma patients that are HIV-1 susceptible ex vivo due to their surface expression of CD4 and varied chemokine receptors. Because IL-16 is a ligand for CD4 and/or an undefined CD4-associated protein, the ability of this multifunctional cytokine to regulate the development of human MCs/basophils from nongranulated progenitors residing in cord or peripheral blood was evaluated. After 3 wk of culture in the presence of c-kit ligand, IL-16 induced the progenitors residing in the blood of normal individuals to increase their expression of chymase and tryptase about 20-fold. As assessed immunohistochemically, >80% of these tryptase(+) and/or chymase(+) cells expressed CD4. The resulting cells responded to IL-16 in an in vitro chemotaxis assay, and this biologic response could be blocked by anti-IL-16 and anti-CD4 Abs as well as by a competitive peptide inhibitor corresponding to a sequence in the C-terminal domain of IL-16. The additional finding that IL-16 induces calcium mobilization in the HMC-1 cell line indicates that IL-16 acts directly on MCs and their committed progenitors. IL-16-treated MCs/basophils also are less susceptible to infection by an M/R5-tropic strain of HIV-1. Thus, IL-16 regulates MCs/basophils at a number of levels, including their vulnerability to retroviral infection.


Subject(s)
Basophils/immunology , Basophils/virology , HIV-1/immunology , Interleukin-16/physiology , Mast Cells/immunology , Mast Cells/virology , Antiviral Agents/physiology , Basophils/cytology , Calcium/metabolism , Calcium Signaling/immunology , Cell Differentiation/immunology , Cells, Cultured , Chemotaxis, Leukocyte/immunology , Fetal Blood/cytology , Fetal Blood/immunology , HIV Infections/immunology , HIV Infections/prevention & control , HIV-1/growth & development , Humans , Immunity, Innate/immunology , Interleukin-16/blood , Mast Cells/cytology , Stem Cells/cytology , Stem Cells/immunology , Tumor Cells, Cultured , Virus Replication/immunology
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