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1.
Gynecol Oncol ; 160(1): 285-294, 2021 01.
Article in English | MEDLINE | ID: mdl-33168307

ABSTRACT

OBJECTIVE: Immune checkpoint blockade (ICB) therapy shows limited efficacy in ovarian cancers due to the "cold" immune phenotype surrounding these tumors. Previous studies have shown that in ovarian cancer Wnt/ß-catenin pathway activation contributes to this immune phenotype. Here, we evaluated the anti-tumor and immune-enhancing properties of the Wnt inhibitor, CGX-1321, used alone or in combination with either DKN-01 or anti-PD-1 therapy, in pre-clinical ovarian cancer models. METHODS: The parental ID8 murine ovarian cancer model harboring a knock-out of p53 (ID8p53-/-) and MISIIR-Tag spontaneous ovarian cancer models were used to test the effects of CGX-1321 alone or in combination therapies on tumor burden and immune cell landscape in the tumor microenvironment (TME). Flow cytometry and NanoString analyses were used to characterize the changes in tumor-intrinsic signaling and immune-related profiles in the TME of ovarian cancer in response to treatments. RESULTS: CGX-1321 significantly reduced tumor burden and constrained tumor progression in the ID8p53-/- and MISIIR-Tag models. Furthermore, CGX-1321 increased infiltrating CD8+ T cells in the TME. Combining CGX-1321 with either DKN-01 or anti-PD-1 therapy also decreased tumor burden and increased CD8+ T cell infiltration in the omentum TME but did not do so to a greater extent that CGX-1321 monotherapy. CONCLUSIONS: CGX-1321 significantly reduced tumor burden and enhanced CD8+ T cell levels in ovarian cancer, nevertheless the addition of DKN-01 or anti-PD-1 therapies did not enhance these effects of CGX-1321. Further investigation is needed to determine if CGX-1321 + DKN-01 combination treatment sensitizes pre-clinical ovarian cancer to ICB therapy.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/pharmacology , Enzyme Inhibitors/pharmacology , Immune Checkpoint Inhibitors/pharmacology , Ovarian Neoplasms/drug therapy , Ovarian Neoplasms/immunology , Wnt Signaling Pathway/drug effects , Wnt Signaling Pathway/immunology , Acyltransferases/antagonists & inhibitors , Acyltransferases/metabolism , Animals , CD8-Positive T-Lymphocytes/drug effects , CD8-Positive T-Lymphocytes/immunology , Cell Line, Tumor , Drug Synergism , Enzyme Inhibitors/administration & dosage , Female , Immune Checkpoint Inhibitors/administration & dosage , Intercellular Signaling Peptides and Proteins/metabolism , Lymphocytes, Tumor-Infiltrating/drug effects , Lymphocytes, Tumor-Infiltrating/immunology , Membrane Proteins/antagonists & inhibitors , Membrane Proteins/metabolism , Mice , Mice, Inbred C57BL , Mice, Knockout , Ovarian Neoplasms/metabolism , Tumor Microenvironment , Wnt Proteins/antagonists & inhibitors , Wnt Proteins/metabolism , beta Catenin/metabolism
2.
J Vet Intern Med ; 31(4): 1188-1192, 2017 Jul.
Article in English | MEDLINE | ID: mdl-28503791

ABSTRACT

BACKGROUND: Octreotide is a somatostatin analog that suppresses insulin secretion. HYPOTHESIS: We hypothesized that octreotide would suppress insulin concentrations in horses and that normal (N) horses and those with insulin dysregulation (ID) would differ significantly in their plasma glucose and insulin responses to administration of octreotide. ANIMALS: Twelve horses, N = 5, ID = 7. METHODS: Prospective study. An oral sugar test was performed to assign horses to N and ID groups. Octreotide (1.0 µg/kg IV) was then administered, and blood was collected at 0, 5, 10, 15, 20, 25, 30, 45, 60, 75, and 90 minute, and 2, 3, 4, 6, 8, 12, and 24 hour for measurement of glucose and insulin concentrations. Area under the curve (AUC) values were calculated. RESULTS: Mean AUC values for glucose and insulin did not differ between normal (n = 5) and ID (n = 7) groups after octreotide injection. Significant time (P < .001) effects were detected for glucose and insulin concentrations. A group × time interaction (P = .091) was detected for insulin concentrations after administration of octreotide, but the group (P = .33) effect was not significant. CONCLUSIONS AND CLINICAL IMPORTANCE: Octreotide suppresses insulin secretion, resulting in hyperglycemia, and then concentrations increase above baseline as glycemic control is restored. Our hypothesis that octreotide causes insulin concentrations to decrease in horses was supported, but differences between N and ID groups did not reach statistical significance when blood glucose and insulin responses were compared. The utility of an octreotide response test remains to be determined.


Subject(s)
Blood Glucose/analysis , Horse Diseases/drug therapy , Hyperinsulinism/veterinary , Insulin/blood , Octreotide/therapeutic use , Somatostatin/analogs & derivatives , Animals , Female , Glucose Tolerance Test/veterinary , Horse Diseases/blood , Horses/blood , Hyperinsulinism/blood , Hyperinsulinism/drug therapy , Insulin/metabolism , Insulin Secretion , Male
3.
J Anim Sci ; 93(12): 5672-80, 2015 Dec.
Article in English | MEDLINE | ID: mdl-26641176

ABSTRACT

Success as equine athletes requires proper muscle growth in young horses. Muscle hypertrophy occurs through protein synthesis and the contribution of muscle satellite cells, which can be stimulated or inhibited by cytokines and growth factors present during exercise and growth. The hypotheses of this study were that 1) the LM area in young horses would increase over 1 yr, and 2) specific cytokines and growth factors (IL-1ß, IL-6, tumor necrosis factor [TNF]-α, IGF-I, and fibroblast growth factor [FGF]-2) would alter proliferation and differentiation of satellite cells isolated from young horses. Fourteen horses were divided into 3 age groups: weanlings ( = 5), yearlings to 2 yr olds ( = 4), and 3 to 4 yr olds ( = 5). The area, height, and subcutaneous fat depth of the LM were measured using ultrasonography, and BW and BCS were taken in October (Fall1), April (Spring), and October of the following year (Fall2). Satellite cells obtained from 10-d-old foals ( = 4) were cultured in the presence of IL-6, IL-1ß, TNF-α, IGF-I, or FGF-2 before evaluation of proliferation and differentiation. Data were analyzed using PROC MIXED in SAS. Body weight increased from Fall1 to Spring in weanlings ( < 0.001) and increased in all horses from Spring to Fall2 ( ≤ 0.02). Area and height of the LM increased over time ( < 0.001) and with increasing age group of horse ( ≤ 0.03), although there was no interaction of time and age ( > 0.61). There was a significant increase in LM area in all animals from Spring to Fall2 ( < 0.001) but not from Fall1 to Spring. Interleukin-6 and TNF-α decreased satellite cell proliferation by 14.9 and 11.5%, respectively ( ≤ 0.01). Interleukin-6 increased fusion 6.2%, whereas TNF-α decreased fusion 8.7% compared with control cells ( ≤ 0.001). Interleukin-1ß had no effect on proliferation ( = 0.32) but tended to decrease fusion ( = 0.06). Satellite cell proliferation was increased 28.8 and 73.0% by IGF-I and FGF-2, respectively ( < 0.0001). Differentiation was decreased 13.1% in the presence of FGF-2 but increased 3.5% in the presence of IGF-I ( ≤ 0.01). In summary, the LM area increases over the course of a year in young horses with the most growth occurring in summer. By stimulating or inhibiting proliferation and differentiation of satellite cells, IL-6, TNF-α, IL-1ß, IGF-I, and FGF-2 may alter muscle growth in young horses, thereby impacting athletic potential.


Subject(s)
Cytokines/metabolism , Gene Expression Regulation, Developmental/physiology , Horses/growth & development , Intercellular Signaling Peptides and Proteins/metabolism , Muscle, Skeletal/growth & development , Animals , Body Composition , Body Weight , Cell Differentiation/drug effects , Cell Proliferation/drug effects , Cytokines/genetics , Horses/physiology , Intercellular Signaling Peptides and Proteins/genetics , Muscle Cells/physiology
4.
Int J Neurosci ; 125(12): 936-40, 2015.
Article in English | MEDLINE | ID: mdl-25350870

ABSTRACT

Tumor Necrosis Factor-alpha (TNF-α) is an immunomodulatory and proinflammatory cytokine implicated in neuro-inflammation and neuronal damage in response to cerebral ischemia. The present study tested the hypothesis that anti-TNF-α agents may be protective against cerebral infarction. Transient focal ischemia was artificially induced in anesthetized adult male Wistar rats (300-350 g) by middle cerebral artery occlusion (MCAO) with an intraluminal suture. TNF-α function was interfered with either a chimeric monoclonal antibody against TNF-α (infliximab-7 mg/kg) aiming to TNF-α soluble and membrane-attached form; or a chimeric fusion protein of TNF-α receptor-2 with a fragment crystallizable (Fc) region of IgG1 (etanercept-5 mg/kg) aiming for the TNF-α soluble form. Both agents were administered intraperitoneally 0 or 6 h after inducing ischemia. Infarct volume was measured by 2,3,5-triphenyltetrazolium chloride staining. Cerebral infarct volume was significantly reduced in either etanercept or infliximab-treated group compared with non-treated MCAO rats 24 h after reperfusion. These results suggest that anti-TNF-α agents may reduce focal ischemic injury in rats.


Subject(s)
Brain Injuries/prevention & control , Etanercept/therapeutic use , Infliximab/therapeutic use , Neuroprotective Agents/therapeutic use , Tumor Necrosis Factor-alpha/metabolism , Animals , Brain Infarction/etiology , Brain Infarction/prevention & control , Brain Injuries/etiology , Disease Models, Animal , Infarction, Middle Cerebral Artery/complications , Infarction, Middle Cerebral Artery/drug therapy , Male , Rats , Rats, Wistar , Time Factors , Tumor Necrosis Factor-alpha/immunology
5.
Rev. colomb. radiol ; 26(2): 4206-4212, 2015. ilus, graf
Article in Spanish | LILACS, COLNAL | ID: biblio-988081

ABSTRACT

La maduración ósea ocurre de forma ordenada y predecible. Puede documentarse por medio de resonancia magnética incluso antes de que ocurran cambios histológicos, por lo cual es importante su adecuado conocimiento y caracterización.


Skeletal maturation occurs in an orderly and predictable manner. It can be documented by Magnetic Resonance Imaging even before histological changes occurs, so the importance of adequate knowledge and characterization must be stated.


Subject(s)
Humans , Bone Marrow , Bone and Bones , Magnetic Resonance Imaging
6.
Arch Virol ; 158(10): 2197-200, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23649174

ABSTRACT

The complete genome of a variant of the multi-segmented (+) RNA virus blueberry necrotic ring blotch virus (BNRBV), which has not been assigned to a genus, was obtained from foliar red lesions on southern highbush blueberries grown in Alachua Co., Florida. The genome organization of this variant, BNRBV-RL, is the same as that of BNRBV: four genomic segments and seven ORFs (one ORF on each of RNA 1, RNA 2, and RNA 4 and as many as four ORFs on RNA 3). BLAST analysis revealed nucleic acid sequence identities of 89 %, 90 %, 90 % and 86 % to BNRBV RNA 1, RNA 2, RNA 3 and RNA 4, respectively. Phylogenetic analysis of the amino acid sequence of the putative RdRp domain indicated that BNRBV-RL was closely related to BNRBV and less related to citrus leprosis virus type C and three other mite-transmitted viruses. The nucleotide and amino acid sequence differences between BNRBV-RL and BNRBV combined with differences in symptom expression in blueberry would suggest that BNRBV-RL is a strain of BNRBV.


Subject(s)
Blueberry Plants/virology , Fruit/virology , Genetic Variation , Plant Diseases/virology , Plant Viruses/genetics , Gene Expression Regulation, Viral/physiology , Phylogeny , Plant Viruses/classification , RNA, Viral/genetics , Viral Proteins/genetics , Viral Proteins/metabolism
7.
Arch Virol ; 158(2): 399-406, 2013 Feb.
Article in English | MEDLINE | ID: mdl-23064695

ABSTRACT

A begomovirus causing mottling and leaf deformation in tomato from the State of Mérida was cloned and sequenced. The virus has a bipartite genome comprised of a DNA-A (2,572 nucleotides) and a DNA-B (2,543 nucleotides) with a genome organization typical of New World begomoviruses. Both components share a common region of 115 nucleotides with 98 % sequence identity. Phylogenetic analysis indicated that while no virus sequences were closely related, the A component was distantly related to those of two other tomato-infecting viruses, tomato leaf deformation virus and Merremia mosaic virus; and the DNA-B, to those of pepper huasteco yellow vein virus and Rhynchosia golden mosaic Yucatan virus. The DNA-A and DNA-B sequences were submitted to GenBank (accession no. AY508993 and AY508994, respectively) and later accepted by the International Committee on Taxonomy of Viruses as the genome of a member of a unique virus species with the name Tomato yellow margin leaf curl virus (TYMLCV). Tomato (Solanum lycopersicum L. 'Fl. Lanai') plants inoculated with cloned TYMLCV DNA-A and DNA-B became systemically infected and showed chlorotic margins and leaf curling. The distribution of TYMLCV in tomato-producing states in Venezuela was determined by nucleic acid spot hybridization analysis of 334 tomato leaf samples collected from ten states using a TYMLCV-specific probe and confirmed by PCR and sequencing of the PCR fragment. TYMLCV was detected in samples from the states of Aragua, Guárico, and Mérida, suggesting that TYMLCV is widely distributed in Venezuela.


Subject(s)
Begomovirus/isolation & purification , Plant Diseases/virology , Begomovirus/classification , Begomovirus/genetics , Cloning, Molecular , Cluster Analysis , DNA, Viral/chemistry , DNA, Viral/genetics , Solanum lycopersicum/virology , Molecular Sequence Data , Phylogeny , Sequence Analysis, DNA , Sequence Homology, Nucleic Acid , Venezuela
8.
Mol Psychiatry ; 17(7): 741-7, 2012 Jul.
Article in English | MEDLINE | ID: mdl-21606926

ABSTRACT

In previous studies of a genetic isolate, we identified significant linkage of attention deficit hyperactivity disorder (ADHD) to 4q, 5q, 8q, 11q and 17p. The existence of unique large size families linked to multiple regions, and the fact that these families came from an isolated population, we hypothesized that two-locus interaction contributions to ADHD were plausible. Several analytical models converged to show significant interaction between 4q and 11q (P<1 × 10(-8)) and 11q and 17p (P<1 × 10(-6)). As we have identified that common variants of the LPHN3 gene were responsible for the 4q linkage signal, we focused on 4q-11q interaction to determine that single-nucleotide polymorphisms (SNPs) harbored in the LPHN3 gene interact with SNPs spanning the 11q region that contains DRD2 and NCAM1 genes, to double the risk of developing ADHD. This interaction not only explains genetic effects much better than taking each of these loci effects by separated but also differences in brain metabolism as depicted by proton magnetic resonance spectroscopy data and pharmacogenetic response to stimulant medication. These findings not only add information about how high order genetic interactions might be implicated in conferring susceptibility to develop ADHD but also show that future studies of the effects of genetic interactions on ADHD clinical information will help to shape predictive models of individual outcome.


Subject(s)
Attention Deficit Disorder with Hyperactivity/genetics , Chromosomes, Human, Pair 11/genetics , Genetic Linkage/genetics , Genetic Predisposition to Disease/genetics , Receptors, G-Protein-Coupled/genetics , Receptors, Peptide/genetics , Aspartic Acid/analogs & derivatives , Aspartic Acid/metabolism , Attention Deficit Disorder with Hyperactivity/drug therapy , Brain/metabolism , Case-Control Studies , Choline/metabolism , Glutamine/metabolism , Humans , Inositol/metabolism , Magnetic Resonance Spectroscopy/methods , Methylphenidate/therapeutic use , Polymorphism, Single Nucleotide/genetics , Protons
9.
Mol Psychiatry ; 15(11): 1053-66, 2010 Nov.
Article in English | MEDLINE | ID: mdl-20157310

ABSTRACT

Attention-Deficit/Hyperactivity Disorder (ADHD) has a very high heritability (0.8), suggesting that about 80% of phenotypic variance is due to genetic factors. We used the integration of statistical and functional approaches to discover a novel gene that contributes to ADHD. For our statistical approach, we started with a linkage study based on large multigenerational families in a population isolate, followed by fine mapping of targeted regions using a family-based design. Family- and population-based association studies in five samples from disparate regions of the world were used for replication. Brain imaging studies were performed to evaluate gene function. The linkage study discovered a genome region harbored in the Latrophilin 3 gene (LPHN3). In the world-wide samples (total n=6360, with 2627 ADHD cases and 2531 controls) statistical association of LPHN3 and ADHD was confirmed. Functional studies revealed that LPHN3 variants are expressed in key brain regions related to attention and activity, affect metabolism in neural circuits implicated in ADHD, and are associated with response to stimulant medication. Linkage and replicated association of ADHD with a novel non-candidate gene (LPHN3) provide new insights into the genetics, neurobiology, and treatment of ADHD.


Subject(s)
Attention Deficit Disorder with Hyperactivity/drug therapy , Attention Deficit Disorder with Hyperactivity/genetics , Central Nervous System Stimulants/therapeutic use , Genetic Predisposition to Disease , Receptors, G-Protein-Coupled/genetics , Receptors, Peptide/genetics , Adolescent , Adult , Brain/metabolism , Cell Survival/genetics , Child , Child, Preschool , Chromosome Mapping , Female , Genetic Linkage , Genotype , Humans , Magnetic Resonance Spectroscopy/methods , Male , Polymorphism, Genetic , Receptors, G-Protein-Coupled/metabolism , Receptors, Peptide/metabolism
10.
J Physiol ; 571(Pt 1): 165-77, 2006 Feb 15.
Article in English | MEDLINE | ID: mdl-16357017

ABSTRACT

Intracellular recordings were made from the circular layer of the intact muscular wall of the guinea-pig gastric antrum in preparations where much of the corpus remained attached. When two electrodes were positioned parallel to and near to the greater curvature, slow waves were first detected at the oral site and subsequently at the anal site: the oro-anal conduction velocity was found to be 2.5 mm s(-1). When one electrode was positioned near the greater curvature and the other at a circumferential location, slow waves were first detected near the greater curvature and subsequently at the circumferential site: the circumferential conduction velocity was 13.9 mm s(-1). When recordings were made from preparations in which the circular muscle layer had been removed, the oro-anal and the circumferential conduction velocities were both about 3.5 mm s(-1). When slow waves were recorded from preparations in which much of the myenteric network of antral interstitial cells (ICC(MY)) had been dissected away, slow waves were first detected near the region of intact ICC(MY) and subsequently at a circumferential location: the circumferential conduction velocity of slow waves in regions devoid of ICC(MY) was 14.7 mm s(-1). When the electrical properties of isolated single bundles of circular muscle were determined, their length constants were about 3 mm and their time constant about 230 ms, giving an asymptotic electrotonic propagation velocity of 25 mm s(-1). Oro-anal electrical coupling between adjacent bundles of circular muscle was found to vary widely: some bundles were well connected to neighbouring bundles whereas others were not. Together the observations suggest that the slow oro-anal progression of slow waves results from a slow conduction velocity of pacemaker potentials in the myenteric network of interstitial cells. The rapid circumferential conduction of slow waves results from the electrical properties of the circular muscle layer which allow intramuscular ICC (ICC(IM)) to support the radial spread of slow waves: regions of high resistance between bundles prevent the anally directed spread of slow waves within the circular layer.


Subject(s)
Gastric Emptying/physiology , Peristalsis/physiology , Pyloric Antrum/physiology , Action Potentials/physiology , Animals , Electric Conductivity , Electrodes , Female , Guinea Pigs , Immunohistochemistry , Male , Muscle Contraction , Muscle, Smooth/chemistry , Muscle, Smooth/innervation , Muscle, Smooth/physiology , Myenteric Plexus/physiology , Proto-Oncogene Proteins c-kit/analysis , Pyloric Antrum/chemistry , Pyloric Antrum/innervation , Time Factors
11.
J Physiol ; 569(Pt 2): 459-65, 2005 Dec 01.
Article in English | MEDLINE | ID: mdl-16223760

ABSTRACT

When intracellular recordings were made from the circular layer of the intact muscular wall of the isolated guinea pig gastric corpus, an ongoing regular high frequency discharge of slow waves was detected even though this region lacked myenteric interstitial cells. When slow waves were recorded from preparations consisting of both the antrum and the corpus, slow waves of identical frequency, but with different shapes, were generated in the two regions. Corporal slow waves could be distinguished from antral slow waves by their time courses and amplitudes. Corporal slow waves, like antral slow waves, were abolished by buffering the internal concentration of calcium ions, [Ca2+]i, to low levels, or by caffeine, 2-aminoethoxydiphenyl borate or the chloride channel blocker DIDS. Corporal preparations demonstrated an ongoing discharge of unitary potentials, as has been found in all other tissues containing interstitial cells. The experiments show that the corpus provides the dominant pacemaker activity which entrains activity in other regions of the stomach and it is suggested that this activity is generated by corporal intramuscular interstitial cells.


Subject(s)
Pyloric Antrum/physiology , Stomach/physiology , 4,4'-Diisothiocyanostilbene-2,2'-Disulfonic Acid/pharmacology , Animals , Biological Clocks/physiology , Boron Compounds/pharmacology , Caffeine/pharmacology , Calcium/pharmacology , Chloride Channels/antagonists & inhibitors , Female , Gastric Emptying/physiology , Guinea Pigs , Male , Membrane Potentials/drug effects , Membrane Potentials/physiology , Muscle, Smooth/drug effects , Muscle, Smooth/innervation , Muscle, Smooth/physiology , Myenteric Plexus/physiology , Pyloric Antrum/innervation , Stomach/innervation , Time Factors
12.
Neuroradiology ; 44(10): 825-9, 2002 Oct.
Article in English | MEDLINE | ID: mdl-12389131

ABSTRACT

The imaging findings of brain-stem lesions are often nonspecific and histological diagnosis is limited because of fear of complications associated with biopsy. A noninvasive method for tissue characterization is therefore highly desirable. We undertook a review of proton magnetic resonance spectroscopy (MRS) of patients with solitary brain-stem lesions to determine if MRS could characterize them. We carried out single- or multivoxel proton MRS using long echo times (135 or 270 ms) on 34 patients with solitary brain-stem lesions. We analyzed the following peaks: choline (Cho), creatine (Cr), N-acetylaspartate (NAA), and lipids/lactate (Lip) and calculated peak height ratios for Cho/Cr, NAA/Cr and Lip/Cr. The results were compared with histology in nine patients and with the presumptive diagnosis in 25. We also performed single-voxel proton MRS on the brain stem of five normal volunteers. There were differences in all ratios between controls and the patients with neoplastic and non-neoplastic lesions: Cho/Cr was low in non-neoplastic and high in neoplastic lesions (control: 1.8+/-0.1; non-neoplastic: 1.4+/-0.2; neoplastic: 2.0+/-0.2); NAA/Cr was low in non-neoplastic, and lower in neoplastic lesions (control: 2.3+/-0.1; non-neoplastic: 1.4+/-0.2; neoplastic: 1.2+/-0.1), and Lip/Cr was elevated in both neoplastic and non-neoplastic lesions (control: 0.04+/-0.02; nonneoplastic: 1.9+/-0.7; neoplastic:1.9+/-0.7).


Subject(s)
Aspartic Acid/analogs & derivatives , Brain Diseases/diagnosis , Brain Stem Neoplasms/diagnosis , Brain Stem/pathology , Magnetic Resonance Spectroscopy , Aspartic Acid/metabolism , Brain/metabolism , Brain Chemistry , Choline/metabolism , Creatine/metabolism , Female , Humans , Lipid Metabolism , Male
13.
Mult Scler ; 7(4): 227-9, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11548981

ABSTRACT

Individuals affected with multiple sclerosis (MS) from a genetically homogeneous Caucasian population in Antioquia, a tropical region of Colombia, were evaluated in order to observe the clinical behavior of the disease. The frequency of clinical manifestations in 65 patients with definite MS from Antioquia was compared with those reported from temperate regions. The most common manifestations were optic neuritis and motor symptoms with absence of cerebellar symptoms. This presentation is significantly different from the frequency distribution at onset in series from temperate regions. These differences suggest that environmental factors could modify the clinical expression of MS in this population.


Subject(s)
Multiple Sclerosis/physiopathology , Tropical Climate , Asia/ethnology , Colombia/epidemiology , Female , Humans , Incidence , Male , Movement Disorders/etiology , Multiple Sclerosis/classification , Multiple Sclerosis/epidemiology , Optic Neuritis/etiology , Recurrence , White People
14.
J Neuroimaging ; 11(2): 194-201, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11296592

ABSTRACT

The authors investigate the reproducibility of metabolite signals measured with proton magnetic resonance spectroscopy (1H-MRS) acquired from the human hippocampus in controls and in a phantom. Two 1H-MRS studies separated by 3 weeks were performed in 8 healthy volunteers and in a phantom. N-acetyl compounds (NA), choline (Ch), and creatine (Cr) peak areas and ratios were measured and compared using percentage variation, and Pearson Correlation Coefficient at the level of every voxel, the level of 1 hippocampus (5 voxels), and the level of 2 hippocampi (10 voxels). Sensitivity for observing clinically significant between-session 1H-MRS changes was evaluated using the reliable change index. Reproducibility measures for metabolite peak areas were only moderately concordant with percentage variation ranging from 14% to 20% for NA, Cho, and Cr. Stability was much improved when NA ratios and sum of multiple voxels were considered. Between-session NA/(Cho + Cr) changes greater than 22%, 12%, and 10% in one given participant can be detected with a 90% confidence interval when considered at the single-voxel level, the level of a single hippocampus, or the level of both hippocampi, respectively. Left-right asymmetry indices showed similar and limited inter-hemispheric asymmetry in repeated examination. This study suggests that 1H-MRS reproducibility performance is adequate for the study and monitoring of human hippocampus function when NA ratios and the sum of multiple voxels are considered. Individual metabolite peaks and single-voxel measurements have low reproducibility at 1.5 T and should be used only with clearly established statistical parameters.


Subject(s)
Aspartic Acid/analogs & derivatives , Energy Metabolism/physiology , Hippocampus/physiology , Magnetic Resonance Spectroscopy , Adult , Aspartic Acid/metabolism , Choline/metabolism , Creatine/metabolism , Female , Humans , Male , Middle Aged , Phantoms, Imaging , Reference Values , Reproducibility of Results
15.
Neurology ; 56(2): 251-3, 2001 Jan 23.
Article in English | MEDLINE | ID: mdl-11160965

ABSTRACT

Interictal proton (1H) MRS is increasingly used for seizure lateralization in patients with temporal lobe epilepsy (TLE). Studies reporting postictal 1H-MRS metabolite changes in patients with TLE are few and contradictory. The authors prospectively performed interictal and postictal proton magnetic resonance spectroscopy imaging (1H-MRSI) studies in seven patients with TLE. The authors found no consistent changes in metabolite peak area ratios between studies, suggesting that 1H-MRS ratios remain stable between interictal and postictal state in TLE.


Subject(s)
Brain/metabolism , Epilepsy, Temporal Lobe/metabolism , Adolescent , Adult , Epilepsy, Temporal Lobe/physiopathology , Female , Humans , Magnetic Resonance Spectroscopy , Male , Protons
16.
Epilepsia ; 41(12): 1546-53, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11114212

ABSTRACT

PURPOSE: Diagnostic uncertainty may arise in patients with occipitoparietal epilepsy when there is neuroimaging evidence of a posterior quadrant lesion and coexistent hippocampal abnormalities ("dual pathology"). It is not known whether hippocampal atrophy (HA) in these patients results from seizure propagation to temporolimbic structures or whether it is part of the pathological process underlying the occipitoparietal epilepsy. Clarification of this issue may have a significant bearing on the management of these patients. METHODS: We studied 20 patients with occipitoparietal epilepsy and neuroimaging or pathologic evidence of a congenital developmental abnormality. Normalized hippocampal volumes were obtained in all patients. The medical records and video-EEG recordings were analyzed to correlate the MRI findings with clinical data, seizure semiology, and EEG findings. RESULTS: HA was found in seven patients (35%). Neuroimaging abnormalities concordant with the side of HA were seen in all cases. There was clinical or EEG evidence of temporal spread in 12 patients. There was no correlation between the presence of HA and temporal lobe spread. The only clinical factor associated with HA in this series was a younger age of seizure onset. CONCLUSIONS: HA in patients with occipitoparietal epilepsy due to congenital developmental abnormalities is most likely to be a marker of a more widespread process related to a common pathogenesis during prenatal or perinatal development. HA in these patients is unlikely to be the result of secondary spread from an extrahippocampal focus. Surgical treatment should be tailored toward the primary epileptogenic zone rather the site of seizure spread.


Subject(s)
Epilepsies, Partial/diagnosis , Hippocampus/pathology , Nervous System Malformations/diagnosis , Occipital Lobe/abnormalities , Parietal Lobe/abnormalities , Adolescent , Adult , Age of Onset , Atrophy , Central Nervous System Cysts/diagnosis , Central Nervous System Cysts/epidemiology , Central Nervous System Cysts/physiopathology , Cerebral Cortex/abnormalities , Child , Child, Preschool , Comorbidity , Electroencephalography/statistics & numerical data , Encephalomalacia/diagnosis , Encephalomalacia/epidemiology , Encephalomalacia/physiopathology , Epilepsies, Partial/epidemiology , Epilepsies, Partial/physiopathology , Hippocampus/anatomy & histology , Humans , Infant , Magnetic Resonance Imaging/statistics & numerical data , Nervous System Malformations/epidemiology , Nervous System Malformations/physiopathology , Occipital Lobe/physiopathology , Parietal Lobe/physiopathology , Videotape Recording
17.
Rev Neurol ; 30(2): 170-3, 2000.
Article in Spanish | MEDLINE | ID: mdl-10730325

ABSTRACT

INTRODUCTION AND OBJECTIVE: Discrimination and quantification of the environmental and genetic components involved in developing multiple sclerosis (MS) have not been made. In order to discriminate these components we have ascertained affected individuals by MS belonging to the Paisa community from Antioquia, Colombia, a state localized in the tropical area of South America, to detect eventual linkage disequilibrium to HLA, locus DQ alpha, which could demonstrate the relevance of the genetic component. DEVELOPMENT: A contingence analysis among case-control HLA DQ alpha genotype distributions, by using Monte Carlo resampling method to solve small number sample, showed that there are significant differences between the two groups. We observe that HLA DQ alpha 1.1, 1.2 allele frequencies were higher in the cases than in the controls. Also, there was significant HLA DQ alpha 3 allele lower frequency (p < 0.05) in the cases than in the controls. CONCLUSIONS: Similar results have been described in other Caucasian populations living in non tropical areas. Before results could indicate that the Caucasoid populations genetic component implied in the susceptibility to MS have remained in Paisa community, whether the environmental component, being meaningful to develop MS.


Subject(s)
HLA-DQ Antigens/genetics , Homeostasis/genetics , Multiple Sclerosis/epidemiology , Multiple Sclerosis/genetics , Adult , Alleles , Brain/pathology , Case-Control Studies , Catchment Area, Health , Colombia/epidemiology , Evoked Potentials/physiology , Female , Genetic Linkage , Humans , Magnetic Resonance Spectroscopy , Male , Middle Aged , Multiple Sclerosis/diagnosis
18.
Exp Clin Immunogenet ; 16(3): 131-8, 1999.
Article in English | MEDLINE | ID: mdl-10394051

ABSTRACT

Studies performed in subtropical populations have found significant association between the phenotype multiple sclerosis (MS) and the major histocompatibility complex (MHC). We present the results of a case-control study conducted on a tropical population (Antioquia, Colombia) in order to detect a possible association between MS and HLA DQalpha (HLA DQA1*) alleles. Forty chromosomes belonging to MS patients were compared to two sets of controls (40 and 910 chromosomes, respectively). The HLA DQA1*0101 and DQA1*0102 alleles were found in a significantly higher proportion among the cases than among the controls, whereas the HLA DQA1*0103 allele was found in a significantly lower proportion of the cases. These results suggest that the association of HLA DQA1*0101, DQA1*0102 and DQA1*0103 to the MS phenotype found in Caucasian subtropical populations remains in individuals with MS inhabiting the tropics. This finding could mean that the major genetic component associated to the MHC in subtropical populations is the same in the tropics.


Subject(s)
HLA-DQ Antigens/genetics , Multiple Sclerosis/genetics , Adult , Alleles , Case-Control Studies , Colombia/ethnology , Double-Blind Method , Female , HLA-DQ alpha-Chains , Humans , Linkage Disequilibrium/genetics , Male , Middle Aged , Multiple Sclerosis/ethnology , Phenotype , Tropical Climate
19.
Acta neurol. colomb ; 14(2): 78-83, abr. 1998.
Article in Spanish | LILACS | ID: lil-307337

ABSTRACT

La discriminación y cuantificación de los componentes ambientales y genéticos en el desarrollo de esclerosis múltiple (EM) no se ha podido realizar. con la finalidad de acercarnos a la discriminación de dichos componentes, hemos analizado casos afectados de EM a partir de la comunidad paisa de Antioquia, Colombia, zona situada en el trópico; para detectar un posible desequilibrio de ligamiento al HLA, locus DQÓ, aspecto que revelaría la importancia del componente genético en el desarrollo de EM. Un análisis de contingencia entre las distribuciones genotípicas del HLA DQÓ de los casos y controles, usando el remuestreo de Monte Carlo para solucionar el problema del tamaño muestral que es inherente a las poblaciones con baja prevalencia de EM, reveló que existen diferencias significativas entre las dos distribuciones. La tendencia alélica observada fue de un incremento de los alelos 1.1., 1.2 y una disminución de los alelos 3 (con un p significativamente < de 0,05) y 4 en la población afectada. Los mismos resultados han sido descritos en otras poblaciones de origen caucasoide no localizadas en el trópico, lo cual puede indicar que este componente genético descrito en la población caucasoide se ha mantenido en la poblaciòn de enfermos con EM originarios de Antioquia y que continúa siendo importante para el desarrollo de la enfermedad


Subject(s)
Multiple Sclerosis/epidemiology , Multiple Sclerosis/genetics , Colombia
20.
J Pept Sci ; 3(1): 47-53, 1997.
Article in English | MEDLINE | ID: mdl-9230470

ABSTRACT

A 17-mer sequence was selected as a model to study the influence of modifications of terminal ends both on the conformational of a peptide and on its antigenicity towards naturally developing antibodies. This sequence corresponded to a tandemly repeated motif, found in a long repetitive region, with high helical propensity, of a Plasmodium falciparum liver-stage antigen (LSA-1), immunogenic in man. Our model peptide was synthesized with ionizable or non-ionizable ends, or modified in both extremities by introduction of the helix-promoting residue alpha-aminoisobutyric acid (Aib). Helical contribution, absent in the 17 amino-acid sequence possessing ionizable ends, was detectable when non-ionizable ends were introduced, and dramatically increased in the Aib-modified analogue. The presence of ionizable ends totally abolished reactivity towards human sera, otherwise detectable with the peptide possessing non-ionizable ends. While modification by Aib residues was neither detrimental nor beneficial to antigenicity in solution, it clearly resulted in an improved sensitivity of the specific antibody detection when used as solid-phase antigen in ELISA.


Subject(s)
Aminoisobutyric Acids/immunology , Antibodies, Protozoan/chemistry , Antigens, Protozoan/immunology , Peptides/immunology , Plasmodium falciparum/immunology , Protein Conformation , Amino Acid Sequence , Aminoisobutyric Acids/chemistry , Animals , Antigens, Protozoan/chemistry , Circular Dichroism , Enzyme-Linked Immunosorbent Assay , Humans , Models, Molecular , Molecular Sequence Data , Peptides/chemistry
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