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1.
Cell Death Differ ; 22(4): 690-702, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25301063

ABSTRACT

In the adult brain, neurons require local cholesterol production, which is supplied by astrocytes through apoE-containing lipoproteins. In Huntington's disease (HD), such cholesterol biosynthesis in the brain is severely reduced. Here we show that this defect, occurring in astrocytes, is detrimental for HD neurons. Astrocytes bearing the huntingtin protein containing increasing CAG repeats secreted less apoE-lipoprotein-bound cholesterol in the medium. Conditioned media from HD astrocytes and lipoprotein-depleted conditioned media from wild-type (wt) astrocytes were equally detrimental in a neurite outgrowth assay and did not support synaptic activity in HD neurons, compared with conditions of cholesterol supplementation or conditioned media from wt astrocytes. Molecular perturbation of cholesterol biosynthesis and efflux in astrocytes caused similarly altered astrocyte-neuron cross talk, whereas enhancement of glial SREBP2 and ABCA1 function reversed the aspects of neuronal dysfunction in HD. These findings indicate that astrocyte-mediated cholesterol homeostasis could be a potential therapeutic target to ameliorate neuronal dysfunction in HD.


Subject(s)
Cholesterol/biosynthesis , Huntington Disease/physiopathology , Neurons/metabolism , ATP Binding Cassette Transporter 1/genetics , ATP Binding Cassette Transporter 1/metabolism , Animals , Apolipoproteins E/analysis , Apolipoproteins E/metabolism , Astrocytes/cytology , Astrocytes/drug effects , Astrocytes/metabolism , Cell Differentiation/drug effects , Cells, Cultured , Cholesterol/analysis , Cholesterol/metabolism , Cholesterol/pharmacology , Culture Media, Conditioned/pharmacology , Enzyme-Linked Immunosorbent Assay , Humans , Huntingtin Protein , Lipoproteins/metabolism , Mice , Mice, Transgenic , Mutation , Nerve Tissue Proteins/genetics , Nerve Tissue Proteins/metabolism , Neural Stem Cells/cytology , Neural Stem Cells/metabolism , Neurons/cytology , Neurons/drug effects , Sterol Regulatory Element Binding Protein 2/genetics , Sterol Regulatory Element Binding Protein 2/metabolism , Trinucleotide Repeats/genetics
2.
J Theor Biol ; 251(4): 653-66, 2008 Apr 21.
Article in English | MEDLINE | ID: mdl-18262569

ABSTRACT

Models that demonstrate environmental regulation as a consequence of organism and environment coupling all require a number of core assumptions. Many previous models, such as Daisyworld, require that certain environment-altering traits have a selective advantage when those traits also contribute towards global regulation. We present a model that results in the regulation of a global environmental resource through niche construction without employing this and other common assumptions. There is no predetermined environmental optimum towards which regulation should proceed assumed or coded into the model. Nevertheless, polymorphic stable states that resist perturbation emerge from the simulated co-evolution of organisms and environment. In any single simulation a series of different stable states are realised, punctuated by rapid transitions. Regulation is achieved through two main subpopulations that are adapted to slightly different resource values, which force the environmental resource in opposing directions. This maintains the resource within a comparatively narrow band over a wide range of external perturbations. Population driven oscillations in the resource appear to be instrumental in protecting the regulation against mutations that would otherwise destroy it. Sensitivity analysis shows that the regulation is robust to mutation and to a wide range of parameter settings. Given the minimal assumptions employed, the results could reveal a mechanism capable of environmental regulation through the by-products of organisms.


Subject(s)
Biological Evolution , Computer Simulation , Ecology , Environment , Adaptation, Physiological , Animals , Humans , Models, Biological , Population Dynamics , Selection, Genetic
3.
Phys Rev E Stat Nonlin Soft Matter Phys ; 76(5 Pt 2): 056115, 2007 Nov.
Article in English | MEDLINE | ID: mdl-18233726

ABSTRACT

Many real-world networks analyzed in modern network theory have a natural spatial element; e.g., the Internet, social networks, neural networks, etc. Yet, aside from a comparatively small number of somewhat specialized and domain-specific studies, the spatial element is mostly ignored and, in particular, its relation to network structure disregarded. In this paper we introduce a model framework to analyze the mediation of network structure by spatial embedding; specifically, we model connectivity as dependent on the distance between network nodes. Our spatially embedded random networks construction is not primarily intended as an accurate model of any specific class of real-world networks, but rather to gain intuition for the effects of spatial embedding on network structure; nevertheless we are able to demonstrate, in a quite general setting, some constraints of spatial embedding on connectivity such as the effects of spatial symmetry, conditions for scale free degree distributions and the existence of small-world spatial networks. We also derive some standard structural statistics for spatially embedded networks and illustrate the application of our model framework with concrete examples.

4.
J Exp Biol ; 208(Pt 17): 3349-66, 2005 Sep.
Article in English | MEDLINE | ID: mdl-16109896

ABSTRACT

We use a genetic algorithm to evolve neural models of path integration, with particular emphasis on reproducing the homing behaviour of Cataglyphis fortis ants. This is done within the context of a complete model system, including an explicit representation of the animal's movements within its environment. We show that it is possible to produce a neural network without imposing a priori any particular system for the internal representation of the animal's home vector. The best evolved network obtained is analysed in detail and is found to resemble the bicomponent model of Mittelstaedt. Because of the presence of leaky integration, the model can reproduce the systematic navigation errors found in desert ants. The model also naturally mimics the searching behaviour that ants perform once they have reached their estimate of the nest location. The results support possible roles for leaky integration and cosine-shaped compass response functions in path integration.


Subject(s)
Algorithms , Ants/physiology , Homing Behavior/physiology , Models, Neurological , Animals , Appetitive Behavior/physiology , Genotype , Orientation/physiology , Time Factors
6.
Biosystems ; 59(3): 185-95, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11311467

ABSTRACT

In multi-component, discrete systems, such as Boolean networks and cellular automata, the scheme of updating of the individual elements plays a crucial role in determining their dynamic properties and their suitability as models of complex phenomena. Many interesting properties of these systems rely heavily on the use of synchronous updating of the individual elements. Considerations of parsimony have motivated the claim that, if the natural systems being modelled lack any clear evidence of synchronously driven elements, then random asynchronous updating should be used by default. The introduction of a random element precludes the possibility of strictly cyclic behaviour. In principle, this poses the question of whether asynchronously driven Boolean networks, cellular automata, etc., are inherently bad choices at the time of modelling rhythmic phenomena. This paper focuses on this subsidiary issue for the case of Asynchronous Random Boolean Networks (ARBNs). It defines measures of pseudo-periodicity between states and sufficiently relaxed statistical constraints. These measures are used to guide a genetic algorithm to find appropriate examples. Success in this search for a number of cases, and the subsequent statistical analysis lead to the conclusion that ARBNs can indeed be used as models of co-ordinated rhythmic phenomena, which may be stronger precisely because of their in-built asynchrony. The same technique is used to find non-stationary attractors that show no rhythm. Evidence suggests that the latter are more abundant than rhythmic attractor. The methodology is flexible, and allows for more demanding statistical conditions for defining pseudo-periodicity, and constraining the evolutionary search.


Subject(s)
Models, Biological , Periodicity , Algorithms , Models, Genetic , Models, Statistical
7.
Minerva Gastroenterol Dietol ; 47(2): 67-74, 2001 Jun.
Article in Italian | MEDLINE | ID: mdl-16493362

ABSTRACT

BACKGROUND: Aging is accompanied by a variety of economic, psychologic, and social changes that can compromise the nutritional status. Nutrition is an important aspect of healthful behaviour and a major component of general wellbeing of individuals throughout their life cycle. Nutritional intake appears to be an important factor contributing to aging. So, the purpose of this project was to evaluate diet and nutritional status. METHODS: Fifty-one healthy elderly subjects aged 70 years and older (31 F and 20 M), residing in a nursing home have been studied. Nutrient intake was assessed using 24-hour recalls; nutritional status was assessed using anthropometric measurements. The nutrient intakes for individuals were compared with the Italian Recommended Dietary Allowances (RDAs). RESULTS: Mean energy intake was 1,625 kcal; the average percentages of carbohydrate, protein, and fat were 54%, 16%, and 30%, respectively. The mean vitamin and mineral intake for participants met the RDAs except for calcium and selenium intakes. The mean fibre intake was low. The analysis of food products intake indicated that the above mentioned inadequacy in nutrient intake was the result of low consumption of milk and milk products containing calcium and a low consumption of integral foods or fruits containing fibre. CONCLUSIONS: The significance of sound nutrition education and the adverse impact of consumer misinformation about the benefits of these food choices becomes clear with the recognition that nutritional status influences the rate of physiologic and functional declines with age. This approach will require new efforts in consumer education sensitive to the needs and beliefs of older people.

8.
Pharm World Sci ; 22(3): 88-91, 2000 Jun.
Article in English | MEDLINE | ID: mdl-11028261

ABSTRACT

Patients in paediatric intensive care units (PICU) often receive numerous medications by the parenteral route. Frequently two or more drugs are delivered simultaneously through the same line and the risk of physicochemical incompatibilities is thus important. The objectives of this study were 1) to identify prospectively the combinations of injectable drugs administered in the PICU of our university hospital and 2) to analyze them according to information found in the literature. The data were collected by a pharmacist over a 30-day period and classified in three categories: compatible, incompatible and undocumented. Nineteen patients were included in the study with a median age of 3.2 years. The mean number (+/- SD) of injectable drugs per patient and per day was 6.5 (+/- 2.8), for a total of 26 drugs and 7 solutes. 64 combinations of drugs were observed with 2 (31.3%), 3 (45.3%), 4 (10.9%) or 5 (12.5%) drugs. 81 drug-drug and 94 drug-solute combinations were recorded. Among these, 151 (86.3%) were compatible, 6 (3.4%) incompatible and 18 (10.3%) undocumented. The incompatibilities included furosemide (Lasix), a drug in alkaline solution and Vamina-Glucose, a total parenteral nutrition solution. No clinical consequences resulting from drug incompatibilities were shown in this study. We suggest that in vitro compatibility tests on standard drug combinations, as well as a training program for nurses on drug incompatibility problems would sensitively increase the security of parenteral drug administration.


Subject(s)
Drug Incompatibility , Intensive Care Units, Pediatric , Pharmaceutical Preparations/chemistry , Adolescent , Chemical Phenomena , Chemistry, Physical , Child , Child, Preschool , Female , Humans , Infant , Infusions, Parenteral , Male
10.
J Theor Biol ; 203(2): 135-52, 2000 Mar 21.
Article in English | MEDLINE | ID: mdl-10704298

ABSTRACT

The evolution of altruistic behaviour is studied in a simple action-response game with a tunable degree of conflict of interest. It is shown that for the continuous, mixed-medium approach no stable polymorphism favours altruism. Ecological dynamics are explored with the addition of a spatial dimension and a local energy variable. A continuous spatial model with finite local range does not introduce any substantial difference in the results with respect to the level of altruism. However, the model illustrates how ecological coupling may lead to the formation of stable spatial patterns in the form of discrete and isolated clusters of players as a consequence of inverse density dependence. A discrete, individual-based model is built in which local interactions are also modelled as occurring within a finite neighbourhood of each individual and spatial positions are not restricted as in lattice models. This model shows substantially different results. A high level of altruism is observed for low (but positive) degrees of conflict and this level decreases linearly for higher degrees of conflict. The evolution of altruism is explained by studying the broken symmetries introduced by the spatial clusters themselves, mainly between their central and peripheral regions which, in combination with the discrete and the stochastic nature of the model, result in the stabilization of strategies in which players behave altruistically towards the same type. As a consequence of the activity of the players, energy resources at the centre of an altruistic cluster are very depleted; so much so that, for low conflict, fitter non-altruistic mutants may initially invade only to become locally extinct due to their less efficient use of energy as their numbers increase. In peripheral regions invader may subsist; however, for geometrical reasons long-lasting genealogies tend to originate only at the centre of a cluster.


Subject(s)
Altruism , Biological Evolution , Ecology , Game Theory , Animals , Models, Biological
12.
Peptides ; 20(10): 1187-93, 1999.
Article in English | MEDLINE | ID: mdl-10573290

ABSTRACT

The secretin receptor is a member of a large family of G-protein-coupled receptors that recognize polypeptide hormone and/or neuropeptides. Charged, conserved residues might play a key role in their function, either by interacting with the ligand or by stabilizing the receptor structure. Of the four charged amino acids that are conserved in the whole secretin receptor family, D49 and R83 (in the N-terminal domain) were probably important for the secretin receptor structure: replacement of D49 by H or R and of R83 by D severely reduced both the maximal response to secretin and its potency. No functional secretin receptor could be detected after replacement of R83 by L. Mutation of D49 to E, A, or N had no effect or reduced 5-fold the potency of secretin. The highly conserved positive charges found at the extracellular ends of TM III (K194) and IV (R255) were important for the secretin receptor function, as K194 mutation to A or Q and R255 mutation to Q or D decreased the secretin's affinity 15- to 1000-fold, respectively. Six extracellular charged residues are conserved in closely related receptors but not in the whole family. K121 (TM I) and R277 (TM V) were not important for functional secretin receptor expression. D174 (TM II) was necessary to stabilize the active receptor structure: the D174N mutant receptors were unable to stimulate normally the adenylate cyclase in response to secretin, and functional D174A receptors could not be found. Mutation of R255, E259 (second extracellular loop), and E351 (third extracellular loop) to uncharged residues reduced only 10- to 100-fold the secretin potency without changing its efficacy: these residues either stabilized the active receptor conformation or formed hydrogen rather than ionic bonds with secretin. Mutation of K121 (TM I) to Q or L and of R277 (TM V) to E or Q did not affect the receptor functional properties.


Subject(s)
Amino Acids/physiology , Receptors, Gastrointestinal Hormone/physiology , Receptors, Vasoactive Intestinal Peptide/physiology , Secretin/metabolism , Adenylyl Cyclases/metabolism , Amino Acid Sequence , Animals , CHO Cells , Conserved Sequence , Cricetinae , Molecular Sequence Data , Mutagenesis, Site-Directed , Protein Structure, Secondary , Rats , Receptors, G-Protein-Coupled , Receptors, Gastrointestinal Hormone/chemistry , Receptors, Gastrointestinal Hormone/genetics , Receptors, Gastrointestinal Hormone/metabolism , Receptors, Vasoactive Intestinal Peptide/chemistry , Receptors, Vasoactive Intestinal Peptide/genetics , Receptors, Vasoactive Intestinal Peptide/metabolism
13.
Recept Channels ; 6(4): 309-15, 1999.
Article in English | MEDLINE | ID: mdl-10412723

ABSTRACT

The secretin amino terminal residues are essential for high affinity binding to the cognate receptor and for the subsequent activation of adenylate cyclase. It has been already established that two basic residues of the receptor TM 2 are involved in the interaction with aspartate 3 of the ligand. The present work investigated the hypothesis that two conserved tyrosine residues of the TM 1 (Tyrosines 124 and 128) could also participate to the positioning of the amino terminus of the ligand. Tyrosines 124 and 128 were mutated into alanine and histidine residues, and the properties of the mutant receptors, expressed in CHO cells, were compared with those of the wild-type receptor. Mutation of tyrosine 124 to Ala or His decreased the affinity of the receptor for secretin, [Glu3]secretin, [Asn3]secretin and the secretin fragment 2-27, and reduced the intrinsic activity of [Asn3]secretin. Mutation of tyrosine 128 to Ala, but not to His reduced 50-fold secretin and [Asn3]secretin affinity but only 3-fold that of [Glu3]secretin. Secretin and [Glu3]Sn were equipotent in that mutant receptor. These results suggested that tyrosine 128 of the secretin receptor interacted directly with the [Asp3] residue of secretin and thus that the amino terminal domain of secretin interacts with amino acids buried in both the TM 1 and TM 2 helices.


Subject(s)
Receptors, Gastrointestinal Hormone/genetics , Signal Transduction/genetics , Adenylyl Cyclases/metabolism , Amino Acid Sequence , Amino Acid Substitution , Animals , Enzyme Activation , Molecular Sequence Data , Mutagenesis, Site-Directed , Protein Binding , Rats , Receptors, G-Protein-Coupled , Receptors, Gastrointestinal Hormone/chemistry , Receptors, Gastrointestinal Hormone/physiology , Recombinant Proteins/chemistry , Structure-Activity Relationship , Tyrosine/chemistry
14.
Pancreas ; 19(1): 51-5, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10416692

ABSTRACT

A secretin receptor was cloned from a commercial human pancreatic complementary DNA (cDNA) bank. The amino acid sequence deduced from the nucleotide sequence differed slightly from the three different sequences previously published, suggesting a genetic polymorphism of the human receptor. The binding properties of the receptor were evaluated by testing natural secretin, related peptides, and synthetic analogs or fragments on membranes of Chinese hamster ovary (CHO) cells expressing the receptor after transfection. The second-messenger coupling was evaluated by adenylate cyclase measurement. The human secretin receptor was compared with the rat and the rabbit receptors. In the three animals species, rat and human secretin were equipotent; rabbit secretin was equipotent on human and rabbit secretin receptors and less potent on the rat receptor. Similar data were obtained for the [Arg16]-secretin analog. Deletion of histidine 1 and replacement of aspartate 3 reduced the affinity of the peptides for the three receptors; however, the reduction was more pronounced on rat than on human and rabbit secretin receptors. Finally, the low affinity of the rat and human receptors for vasoactive intestinal peptide (VIP) was identical; the rabbit receptor, however, had a 20-fold higher affinity. Thus the human secretin receptor shows properties of both rat and rabbit receptors. Evaluation of the properties of chimeric receptors will be useful to fit the ligand on the receptors.


Subject(s)
Receptors, Gastrointestinal Hormone/genetics , Secretin/genetics , Adenylyl Cyclases/metabolism , Amino Acid Sequence , Animals , CHO Cells/metabolism , Cloning, Molecular , Cricetinae , DNA, Complementary/analysis , Gene Library , Humans , Molecular Sequence Data , Pancreas , Rabbits , Rats , Receptors, G-Protein-Coupled , Receptors, Gastrointestinal Hormone/metabolism , Recombinant Proteins , Secretin/metabolism , Species Specificity , Transfection , Vasoactive Intestinal Peptide/metabolism
15.
Pharmacopsychiatry ; 31(4): 131-6, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9754847

ABSTRACT

The effects of alprazolam (1.5 mg/die) on the levels of the monoaminergic neurotransmitter metabolites, on the activity of the hypothalamic-pituitary-adrenal axis and on clinical outcome in subjects with primary late-onset dysthymia were investigated. Drug treatment significantly decreased plasma and urinary cortisol levels, serotonin platelet-bound and urinary 3-methoxy-4-hydroxyphenylglycol concentrations, while it increased plasma homovanillic acid (HVA) concentrations. Significant relationships were observed between neurochemicals and global scores or some items of the Hamilton Depression Rating Scale, before and after treatment. Patients responded positively (73%) to the therapy; clinical outcome was significantly correlated with plasma and urinary HVA levels. Collected data seem to support the hypothesis that central monoaminergic systems are in part involved in therapeutic response to alprazolam.


Subject(s)
Alprazolam/therapeutic use , Anti-Anxiety Agents/therapeutic use , Biogenic Monoamines/blood , Dysthymic Disorder/drug therapy , GABA Modulators/therapeutic use , Serotonin/blood , Adult , Blood Platelets/metabolism , Dexamethasone/pharmacology , Dopamine/blood , Dysthymic Disorder/blood , Epinephrine/blood , Epinephrine/urine , Female , Humans , Hydrocortisone/blood , Hypothalamo-Hypophyseal System/drug effects , Middle Aged , Norepinephrine/blood , Norepinephrine/urine , Pituitary-Adrenal System/drug effects , Psychiatric Status Rating Scales
16.
FEBS Lett ; 424(3): 207-10, 1998 Mar 13.
Article in English | MEDLINE | ID: mdl-9539152

ABSTRACT

The secretin amino-terminal residues are essential for high affinity binding to its cognate receptor and for its biological activity. Mutation of the [Asp3] residue of secretin to [Asn3] decreased the ligand's affinity for the rat wild-type receptor 100-300-fold. Receptor mutations in the transmembrane 2 domain and the beginning of the first extracellular loop allowed the identification of three residues involved in recognition of the [Asp3] residue: D174, K173 and R166. Mutation of K173 and D174 not only reduced the secretin and [Asn3]secretin affinities, but also changed the receptor's selectivity as judged by a decreased secretin and [Asn3]secretin potency ratio. The most striking effect was observed when R166 was mutated to Q, D or L. This led to receptors with a very low affinity for secretin but an up to 10-fold higher affinity than the wild-type receptor for [Asn3]secretin. This suggested that R166, highly conserved in that subgroup of receptor, is a major determinant for the recognition of the [Asp3] of the ligand.


Subject(s)
Receptors, Gastrointestinal Hormone/chemistry , Receptors, Gastrointestinal Hormone/metabolism , Secretin/metabolism , Adenylyl Cyclases/metabolism , Animals , Arginine , Binding Sites , Enzyme Activation , Mutation , Protein Conformation , Rats , Receptors, G-Protein-Coupled , Receptors, Gastrointestinal Hormone/genetics
18.
Eur J Biochem ; 246(1): 173-80, 1997 May 15.
Article in English | MEDLINE | ID: mdl-9210480

ABSTRACT

We attempted to express point-mutant secretin receptors where each of the 10 extracellular Cys residues was replaced by a Ser residue, in Chinese hamster ovary (CHO) cells. Six of the point-mutant receptors (C24-->S, C44-->S, C53-->S, C67-->S, C85-->S and C101-->S) could not be detected by binding or functional studies: the mutations resulted in functional inactivation of the receptor. In contrast, the four other point-mutant receptors (C11-->S, C186-->S, C193-->S and C263-->S) were able to bind poorly 125I-secretin, and to activate adenylate cyclase with high secretin EC50 values. These results suggest that cysteine residues 24, 44, 53, 67, 85 and 101 are necessary for receptor function, and that the two putative disulfide bridges formed by cysteine residues 11, 186, 193 and 263 are functionally relevant, but not essential for receptor expression. Secretin activated the adenylate cyclase through the quadruple mutant (C11,186,193,263-->S), the four triple mutants, and through double mutants C186,193-->S and C186,263-->S with a very high (microM) EC50 value, suggesting that, in the wild-type receptor, disulfide bridges are formed between C11-C186, and between C193-C263. Prior treatment with dithiothreitol resulted in a marked EC50 increase of the wild-type receptor and of those receptors with at least the two cysteine residues in positions 11 and 186, suggesting that the C11-C186 (but not the C193-C263) disulfide bridge was accessible to this reducing agent. Several results nevertheless indicated that, in mutant receptors, alternative disulfide bridges can be formed between cysteine 186 and cysteine 193 or 263, suggesting that these three residues are in close spatial proximity in the wild-type receptor.


Subject(s)
Cysteine/chemistry , Receptors, Gastrointestinal Hormone/chemistry , Receptors, Gastrointestinal Hormone/genetics , Adenylyl Cyclases/metabolism , Amino Acid Sequence , Animals , CHO Cells , Cell Membrane/enzymology , Cell Membrane/metabolism , Cricetinae , Cysteine/metabolism , DNA Mutational Analysis , Disulfides/chemistry , Dithiothreitol/pharmacology , Enzyme Activation , Molecular Sequence Data , Point Mutation , Protein Binding , Protein Sorting Signals/chemistry , Protein Structure, Secondary , Rats , Receptors, G-Protein-Coupled , Receptors, Gastrointestinal Hormone/metabolism , Secretin/metabolism , Secretin/pharmacology
19.
Nephron ; 76(4): 434-44, 1997.
Article in English | MEDLINE | ID: mdl-9274841

ABSTRACT

OBJECTIVE: Indexes of myocardial ischemia and vasoconstrictive hormonal release were evaluated in order to investigate the difference between essential hypertension and hypertension during chronic renal failure. BACKGROUND: Arterial hypertension induces several cardiovascular alterations that reflect themselves either on the heart and/or on the coronary blood flow enhancing the cardiovascular risk. Since chronic renal failure can influence the neuroendocrine response, various mechanisms involved in hypertension during chronic renal failure are still unclear. High endothelin 1 (ET-1) levels have been found both in arterial hypertension and during chronic renal failure. Interestingly, either ET-1 or catecholamines seem also to be implied in the pathogenesis of myocardial ischemia. METHODS: 20 hypertensive uremic and 20 essentially hypertensive patients underwent echocardiographic wall motion and wall thickening analysis performed at baseline and immediately after the end of exercise. Simultaneously, myocardial perfusion was evaluated by 99mTc-MIBI-SPECT. In addition, plasma norepinephrine and ET-1 concentrations were measured at baseline and at peak exercise. RESULTS: The segmental radionuclide analysis showed a greater ischemic degree in hypertensive uremic patients. Yet, we were able to identify one or more regions of the left ventricle in which both systolic thickening measurements and wall motion after exercise were impaired. After exercise, wall thickening impairment was correlated with both wall motion abnormalities (r = 0.72, p < 0.01) and MIBI ischemic grade (r = 0.82, p < 0.001). Basal and after-exercise plasmatic norepinephrine and endothelin levels were higher in hypertensive uremic than in essentially hypertensive patients. Moreover, there was a significant correlation between increments in norepinephrine concentration and MIBI perfusion defects, and between the increment in ET-1 concentration and both MIBI perfusion defects, or kinetic alterations assessed by wall motion as well as by wall thickening. CONCLUSIONS: This is the first cross-sectional study in which a higher degree of myocardial ischemia has been observed in hypertensive uremic patients combined with an enhanced plasma release of both norepinephrine and ET-1. This phenomenon may contribute to enhance the cardiovascular risk of these patients.


Subject(s)
Endothelin-1/blood , Hypertension, Renal/metabolism , Hypertension/metabolism , Kidney Failure, Chronic/metabolism , Myocardial Ischemia/complications , Norepinephrine/blood , Aged , Cross-Sectional Studies , Echocardiography , Exercise Test , Female , Hemodynamics/physiology , Humans , Hypertension/complications , Hypertension, Renal/complications , Image Interpretation, Computer-Assisted , Kidney Failure, Chronic/complications , Male , Middle Aged , Myocardial Ischemia/diagnostic imaging , Tomography, Emission-Computed, Single-Photon
20.
Tissue Antigens ; 50(6): 602-9, 1997 Dec.
Article in English | MEDLINE | ID: mdl-9458113

ABSTRACT

A total of 1176 HLA-A,B,DR haplotypes were reconstructed by typing 303 unrelated families referred to our laboratory during the last seven years for the search of HLA identical sibs in view of bone marrow transplantation. A total of 614 different three-locus haplotypes were found. Most of them (83.6%) were present only once or twice, whereas 24/614 (3.9%) were found 6-28 times each. HLA-B44 was present in 4 of these most frequent haplotypes. HLA-B44 has been implicated as the molecular target for bone marrow allograft rejection. Therefore, a better knowledge of the HLA-B44 haplotype relationships might prove useful for the programming of registries of unrelated bone marrow donors. Eighty five serologically defined HLA-B44 unrelated subjects, either one or both parents from the above families, were subtyped by a high-resolution sequence-specific oligonucleotide probing approach. Moreover, 34 unrelated potential donors recruited for those patients that did not find a suitable donor among their siblings were subtyped also for HLA-B44. B*4403, which accounted for 47/85 (55.3%) serologically defined B44 alleles, appeared in strong, statistically significant, linkage disequilibrium with HLA-A29, -A23 and -DR7. On the other hand, B*4402, which covered virtually all other B44 alleles, showed prevalent gametic associations with HLA-A2 and HLA-A24. The linkage disequilibrium between HLA alleles is the key for the low frequency of HLA-B44 mismatches in donors selected as HLA-A,B,DRB1 identical to patients waiting for unrelated bone marrow transplantation. If a given patient presents unusual haplotypes, the chance of finding HLA-B44 mismatches may be higher because of the presence of different haplotype relationships in the donors.


Subject(s)
Bone Marrow Transplantation/immunology , HLA-B Antigens/genetics , Child , Gene Frequency , HLA-A Antigens/genetics , HLA-B Antigens/classification , HLA-B44 Antigen , HLA-DR Antigens/genetics , Haplotypes , Histocompatibility Testing , Humans , Italy , Linkage Disequilibrium
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