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1.
Chirurg ; 86(8): 776-80, 2015 Aug.
Article in German | MEDLINE | ID: mdl-25234505

ABSTRACT

BACKGROUND: The International Study Group of Liver Surgery (ISGLS) defined posthepatectomy liver failure as pathological values for the international normalized ratio (INR) and bilirubin 5 days after liver resection. The occurrence of biliary leakage was defined as a drainage bilirubin to serum bilirubin ratio > 3 at day 3 or later after resection or interventional surgical revision due to biliary peritonitis. A confirmatory explorative analysis was carried out. PATIENTS AND METHODS: The study involved an evaluation of primary liver resection from the years 2009 and 2010. Primary endpoints were the incidence of posthepatectomy liver failure and biliary leakage in accordance with the ISGLS definition. Secondary endpoints were complications and 90-day mortality. Results are displayed as median values (minimum and maximum). RESULTS: A total of 214 liver resections were included from the years 2009 and 2010. Patients were an average of 61.5 years old (min. 18, max. 83 years). The incidence of liver failure was 7.4 % (16 out of 214) and fatal in 7 patients. In 31 % (65 out of 214) a biliary leakage occurred, 14 (23 %) patients developed a type B, 1 patient(5 %) a type C leakage and 50 leakages were clinically inapparent. The incidence of clinically relevant biliary leakages was 7 % (15 out of 214). The sensitivity of the definition was 100 % and the specificity 75 %. The incidence of Dindo-Calvien complications > 3b was 10.2 %, of sepsis 5.6 % and the 90-day mortality was 6.5 %. Multivariate analysis did not reveal independent predictive factors for biliary leakage or liver failure. CONCLUSION: The definition for posthepatectomy liver failure was found to be valid in this cohort. The incidence of postoperative biliary leakage is over-estimated with the current definition and delivers a large number of false positive results without clinical relevance.


Subject(s)
Biliary Fistula/epidemiology , Hepatectomy/methods , Liver Failure/epidemiology , Postoperative Complications/epidemiology , Adolescent , Adult , Aged , Aged, 80 and over , Biliary Fistula/etiology , Biliary Fistula/mortality , Bilirubin/blood , Cross-Sectional Studies , Female , Follow-Up Studies , Humans , Incidence , International Normalized Ratio , Liver Failure/etiology , Liver Failure/mortality , Male , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/mortality , Survival Analysis , Young Adult
2.
Br J Cancer ; 109(12): 3116-24, 2013 Dec 10.
Article in English | MEDLINE | ID: mdl-24169347

ABSTRACT

BACKGROUND: Processing of microRNAs (miRNAs) is a highly controlled process. Deregulation of miRNA expression was observed in several types of cancer but changes in the miRNA-processing enzymes have not been analysed until today. In this study, we analysed Argonaute2 (AGO2, EIF2C2), as one main factor of the miRNA processing ensemble, in the context of cancer development, especially in melanoma. METHODS: We determined the AGO2 expression level in melanoma, as well as in other cancers, with biochemical approaches (qRT-PCR, western blot and immunofluorescence studies) and analysed the cell behaviour in migration assays. RESULTS: Specifically in melanoma, we revealed a strong reduction of AGO2 expression compared with primary melanocytes. The reduction of AGO2 expression was only found on protein level, whereas the mRNA level stayed unchanged hinting to post-transcriptional regulation. We could show that re-expression of AGO2 in melanoma leads to a strong improvement of regulatory effects due to increased functionality of small-interfering RNAs and short hairpin RNAs. CONCLUSION: We identified melanoma-specific downregulation of AGO2 and corresponding reduced RNAi efficiency. These findings will help to understand the molecular basis of malignant melanoma and can potentially lead to an improvement of therapeutic strategies.


Subject(s)
Argonaute Proteins/deficiency , Argonaute Proteins/genetics , Melanoma/metabolism , MicroRNAs/genetics , Argonaute Proteins/biosynthesis , Argonaute Proteins/metabolism , Cell Line, Tumor , Gene Expression Regulation, Neoplastic , HeLa Cells , Humans , Melanoma/genetics , Melanoma/pathology , MicroRNAs/metabolism , RNA, Small Interfering/administration & dosage , RNA, Small Interfering/genetics , Transfection
3.
Oncogene ; 32(24): 2984-91, 2013 Jun 13.
Article in English | MEDLINE | ID: mdl-22797068

ABSTRACT

A fundamental event in the development and progression of malignant melanoma is the deregulation of cancer-relevant transcription factors. We recently showed that c-Jun is a main regulator of tumor progression in melanoma and thus the most important member of the AP-1 transcription factor family for this disease. Interestingly, we revealed that c-Jun expression was regulated on the post-transcriptional level and therefore speculated that miRNAs could be involved in c-Jun regulation. We determined seed sequences for miR-125b and miR-527 in the coding region of c-Jun mRNA that hints at the direct involvement of miRNA-dependent regulation on the protein level. We found that the expression of miR-125b was significantly reduced in malignant melanoma cell lines and tissue samples compared with melanocytes, whereas miR-527 remained unchanged. In further functional experiments, treatment of melanoma cells with pre-miR-125b resulted in strong suppression of cellular proliferation and migration, supporting the role of miR-125b in melanoma. In addition, transfection of pre-miR-125b led to strong downregulation of c-Jun protein but not mRNA expression in melanoma cells. Luciferase assays using reporter plasmids containing the miR-125b seed sequence in the luciferase coding region confirmed the direct interaction with miR-125b. Furthermore, immunoprecipitation of Ago-2 revealed that c-Jun mRNA accumulated in the RNA-induced silencing complex after pre-miR-125b transfection in melanoma cells. In summary, we identified an important role for miR-125b in malignant melanoma. Moreover, we demonstrated post-transcriptional regulation of c-Jun by this miRNA and showed that c-Jun is a main mediator of the effects of miR-125b on melanoma cells.


Subject(s)
Disease Progression , Gene Expression Regulation, Neoplastic/genetics , Melanoma/genetics , MicroRNAs/genetics , MicroRNAs/metabolism , Proto-Oncogene Proteins c-jun/genetics , Proto-Oncogene Proteins c-jun/metabolism , Base Sequence , Cell Line, Tumor , Humans , Melanoma/metabolism , Melanoma/pathology , Transcription, Genetic/genetics
4.
Thromb Haemost ; 107(4): 605-10, 2012 Apr.
Article in English | MEDLINE | ID: mdl-22318703

ABSTRACT

MicroRNAs (miRNAs) are considered as key regulators of literally all cellular pathways. Therefore, miRNA biosynthesis and their individual cellular functions must be tightly regulated as well. MiRNAs are transcribed as primary transcripts, which are processed to mature miRNAs in two consecutive maturation steps. Finally, the mature miRNA is incorporated into a miRNA-protein complex, where it directly interacts with a member of the Argonaute (Ago) protein family. The miRNA guides such protein complexes to partial complementary target sites, which are typically located in the 3' untranslated region (UTR) of mRNAs leading to inhibition of gene expression. MiRNA activity and abundance is regulated on various levels ranging from transcription and processing to target site binding and miRNA stability. Recent advances in our understanding of how miRNA activity is regulated in mammalian cells are summarised and discussed in this review article.


Subject(s)
DEAD-box RNA Helicases/metabolism , Gene Expression Regulation , Gene Silencing , MicroRNAs/metabolism , Ribonuclease III/metabolism , 3' Untranslated Regions , Animals , Argonaute Proteins/metabolism , Gene Expression , Humans , Models, Biological , Neoplasms/genetics , Nucleotides/metabolism , Phosphorylation
5.
Am J Transplant ; 6(1): 69-75, 2006 Jan.
Article in English | MEDLINE | ID: mdl-16433758

ABSTRACT

We previously reported that the immunosuppressive malononitrileamides leflunomide and FK778 exert antiviral activity against cytomegalovirus (CMV). In the current investigation, we tested the hypothesis that leflunomide exerts concurrent antiviral activity and immune suppression in CMV-infected cardiac allograft recipients. Lewis rats were transplanted with Brown Norway hearts and then inoculated with rat CMV. Plaque assay demonstrated that leflunomide (30 mg/kg/day) reduced viral loads by 4-6 logs, and that the reduction in viral load was unaffected by administration of uridine. Leflunomide was as effective as cyclosporine A (CsA) or tacrolimus in preservation of allograft integrity through day 28. These studies directly demonstrate the bifunctionality of leflunomide as concurrently immunosuppressive and antiviral, enhancing the promise of this agent as a clinical option for treatment of transplant recipients.


Subject(s)
Antiviral Agents/therapeutic use , Cytomegalovirus Infections/drug therapy , Graft Rejection/prevention & control , Heart Transplantation , Immunosuppressive Agents/therapeutic use , Isoxazoles/therapeutic use , Animals , Antiviral Agents/pharmacology , Cytomegalovirus/drug effects , Cytomegalovirus/isolation & purification , Graft Rejection/virology , Heart/virology , Immunosuppressive Agents/pharmacology , Isoxazoles/pharmacology , Lectins, C-Type/analysis , Leflunomide , Lung/chemistry , Rats , Rats, Inbred Lew , Salivary Glands/chemistry , Spleen/chemistry , Transplants/virology , Uridine/administration & dosage , Viral Proteins/analysis
6.
Article in English | MEDLINE | ID: mdl-17381284

ABSTRACT

We outline structure-function contributions from our laboratories on protein-RNA recognition events that monitor siRNA length, 5 -phosphate and 2-nucleotide 3 overhangs, as well as the architecture of Argonaute, its externally bound siRNA complex, and Argonaute-based models involving guide-strand-mediated mRNA binding, cleavage, and release.


Subject(s)
RNA Interference , Bacterial Proteins/chemistry , Bacterial Proteins/genetics , Bacterial Proteins/metabolism , Humans , MicroRNAs/biosynthesis , Models, Biological , Models, Molecular , Peptide Initiation Factors/chemistry , Peptide Initiation Factors/genetics , Peptide Initiation Factors/metabolism , Protein Structure, Tertiary , RNA, Messenger/chemistry , RNA, Messenger/genetics , RNA, Messenger/metabolism , RNA, Small Interfering/chemistry , RNA, Small Interfering/genetics , RNA, Small Interfering/metabolism , Ribonuclease III/metabolism , Viral Proteins/chemistry , Viral Proteins/genetics , Viral Proteins/metabolism
7.
Anesth Analg ; 93(6): 1560-4, table of contents, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11726444

ABSTRACT

UNLABELLED: We previously found that spinal clonidine prolongs labor analgesia when combined with spinal bupivacaine and sufentanil. We sought to determine whether the addition of spinal neostigmine to these drugs would further enhance labor analgesia. By use of a combined spinal/epidural technique, 36 patients were randomized to receive a hyperbaric spinal injection of bupivacaine 2.5 mg plus clonidine 50 microg and sufentanil 10 microg with or without neostigmine 10 microg. Pain, maternal hemodynamics, fetal heart rate, nausea, pruritus, sedation, motor block, sensory levels to pinprick, and maternal oxygen saturation were assessed at regularly specified intervals after spinal injection until additional analgesia was requested. The duration of spinal analgesia was similar between groups (215 +/- 60 min in the Control group versus 205 +/- 62 min in the Neostigmine group). Likewise, pain scores, the duration of labor, Apgar scores, and side effects were similar between groups except that patients administered neostigmine experienced significantly more nausea and vomiting (53% vs 7%, P = 0.01). We conclude that spinal neostigmine 10 microg produces severe nausea and does not potentiate the duration of spinal analgesia in laboring women from spinal bupivacaine, clonidine, and sufentanil. IMPLICATIONS: Spinal neostigmine 10 microg as an adjunct to spinal bupivacaine, clonidine, and sufentanil produces severe nausea and fails to potentiate analgesia in laboring women.


Subject(s)
Adjuvants, Anesthesia/administration & dosage , Analgesia, Epidural , Analgesia, Obstetrical , Anesthetics, Combined/administration & dosage , Neostigmine/administration & dosage , Adult , Analgesia, Epidural/adverse effects , Analgesia, Obstetrical/adverse effects , Analgesics/administration & dosage , Analgesics, Opioid/administration & dosage , Anesthetics, Local/administration & dosage , Bupivacaine/administration & dosage , Clonidine/administration & dosage , Drug Synergism , Female , Humans , Injections, Spinal , Pregnancy , Sufentanil/administration & dosage
8.
Curr Biol ; 11(24): 1990-4, 2001 Dec 11.
Article in English | MEDLINE | ID: mdl-11747828

ABSTRACT

Seven Sm proteins, termed B/B', D1, D2, D3, E, F, and G, assemble in an ordered manner onto U snRNAs to form the Sm core of the spliceosomal snRNPs U1, U2, U4/U6, and U5. The survival of motor neuron (SMN) protein binds to Sm proteins and mediates in the context of a macromolecular (SMN-) complex the assembly of the Sm core. Binding of SMN to Sm proteins is enhanced by modification of specific arginine residues in the Sm proteins D1 and D3 to symmetrical dimethylarginines (sDMAs), suggesting that assembly might be regulated at the posttranslational level. Here we provide evidence that the previously described pICln-complex, consisting of Sm proteins, the methyltransferase PRMT5, pICln, and two novel factors, catalyzes the sDMA modification of Sm proteins. In vitro studies further revealed that the pICln complex inhibits the spontaneous assembly of Sm proteins onto a U snRNA. This effect is mediated by pICln via its binding to the Sm fold of Sm proteins, thereby preventing specific interactions between Sm proteins required for the formation of the Sm core. Our data suggest that the pICln complex regulates an early step in the assembly of U snRNPs, possibly the transfer of Sm proteins to the SMN-complex.


Subject(s)
Chloride Channels/metabolism , Ion Channels , Ribonucleoproteins, Small Nuclear/metabolism , Animals , Catalysis , HeLa Cells , Humans , Methylation , Protein Binding , Xenopus Proteins , Xenopus laevis
9.
Nat Cell Biol ; 3(11): 945-9, 2001 Nov.
Article in English | MEDLINE | ID: mdl-11715014

ABSTRACT

The spliceosomal snRNPs U1, U2, U4 and U5 contain a common RNP structure termed the Sm core that is formed by the binding of Sm proteins onto the U snRNA. Although isolated Sm proteins assemble spontaneously onto U snRNAs in vitro, there is increasing evidence that SMN and its interactor Gemin2 are involved in this process in vivo. Here, we describe a cell-free assay system for the assembly of U snRNPs that closely reproduces in vivo conditions. Using this system, we show that assembly of U1 snRNP depends on ATP. Immunodepletion of SMN-Gemin2 from the extract abolished assembly even though the extract contained high levels of Sm proteins. An affinity-purified macromolecular SMN complex consisting of 16 components including all Sm proteins restored assembly in the immunodepleted extract. These data provide the first direct evidence that a complex containing SMN and Gemin2 mediates the active assembly of spliceosomal U snRNPs.


Subject(s)
Adenosine Triphosphate/metabolism , Autoantigens/metabolism , Nerve Tissue Proteins/metabolism , Ribonucleoprotein, U1 Small Nuclear/metabolism , Ribonucleoproteins, Small Nuclear , Spliceosomes/metabolism , Animals , Cyclic AMP Response Element-Binding Protein , HeLa Cells , Humans , Proteins/metabolism , RNA-Binding Proteins , SMN Complex Proteins , Xenopus laevis/metabolism , snRNP Core Proteins
10.
EMBO J ; 20(9): 2304-14, 2001 May 01.
Article in English | MEDLINE | ID: mdl-11331595

ABSTRACT

SMNrp, also termed SPF30, has recently been identified in spliceosomes assembled in vitro. We have functionally characterized this protein and show that it is an essential splicing factor. We show that SMNrp is a 17S U2 snRNP-associated protein that appears in the pre-spliceosome (complex A) and the mature spliceosome (complex B) during splicing. Immunodepletion of SMNrp from nuclear extract inhibits the first step of pre-mRNA splicing by preventing the formation of complex B. Re-addition of recombinant SMNrp to immunodepleted extract reconstitutes both spliceosome formation and splicing. Mutations in two domains of SMNrp, although similarly deleterious for splicing, differed in their consequences on U2 snRNP binding, suggesting that SMNrp may also engage in interactions with splicing factors other than the U2 snRNP. In agreement with this, we present evidence for an additional interaction between SMNrp and the [U4/U6.U5] tri-snRNP. A candidate that may mediate this interaction, namely the U4/U6-90 kDa protein, has been identified. We suggest that SMNrp, as a U2 snRNP-associated protein, facilitates the recruitment of the [U4/U6.U5] tri-snRNP to the pre-spliceosome.


Subject(s)
Nerve Tissue Proteins/metabolism , RNA Precursors/metabolism , Spliceosomes/metabolism , Animals , Cell Line , Cell Nucleus/metabolism , Cyclic AMP Response Element-Binding Protein , Humans , Mutation , Nerve Tissue Proteins/genetics , Protein Binding/genetics , Protein Structure, Tertiary/physiology , RNA Splicing/physiology , RNA Splicing Factors , RNA-Binding Proteins/metabolism , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Ribonucleoprotein, U2 Small Nuclear/metabolism , Ribonucleoprotein, U4-U6 Small Nuclear/metabolism , Ribonucleoproteins, Small Nuclear/metabolism , SMN Complex Proteins , Transcription, Genetic , Xenopus
11.
Appl Opt ; 40(33): 6072-80, 2001 Nov 20.
Article in English | MEDLINE | ID: mdl-18364905

ABSTRACT

The bidirectional reflectance distribution function (BRDF) model developed by Torrance and Sparrow [J. Opt. Soc. Am. 57, 1105-1114 (1967)] is used to describe the specular reflection of rough surfaces. We compare this model with the BRDF measurements of four manmade surfaces with different roughnesses. The model can be used to describe the basic features of the measured BRDFs. We found that the width of the specular peak perpendicular to the principal plane decreases strongly with an increasing illumination zenith angle in the data as well as in the model. A model analysis shows that the width is approximately proportional to the cosine of the illumination angle theta(i), and the deviations are determined by the roughness of the surface. This relationship is accompanied by an increase in reflectance in the specular direction in the principal plane that is 1/cos theta(i) stronger than the increase for a perfectly smooth surface.

12.
Hum Mol Genet ; 9(13): 1977-86, 2000 Aug 12.
Article in English | MEDLINE | ID: mdl-10942426

ABSTRACT

Spinal muscular atrophy (SMA) is a neurodegenerative disease of motor neurons caused by reduced levels of functional survival of motor neurons (SMN) protein. Cytoplasmic SMN directly interacts with spliceosomal Sm proteins and facilitates their assembly onto U snRNAs. Nuclear SMN, in contrast, mediates recycling of pre-mRNA splicing factors. In this study, we have addressed the function of SMN in the nucleus. We show that a monoclonal antibody directed against SMN inhibits pre-mRNA splicing. Interestingly, the mode of inhibition suggests a novel role for SMN in splicing that occurs prior to, or in addition to, its role in recycling. Using biochemical fractionation and anti-SMN immunoaffinity chromatography, we identified two distinct nuclear SMN complexes termed NSC1 and NSC2. The biochemical properties and protein composition of NSC1 were determined in detail. NSC1 migrates in sucrose gradients as a U snRNA-free 20S complex containing at least 10 proteins. In addition to SMN, these include the SMN-interacting protein 1 (SIP-1), the putative helicase dp103/Gemin3, the novel dp103/Gemin3-interacting protein GIP1/Gemin4 and three additional proteins with apparent masses of 43, 33 and 18 kDa, respectively. Most surprisingly, NSC1 also contains a specific subset of spliceosomal Sm proteins. This shows that the SMN-Sm protein interaction is not restricted to the cytoplasm. Our data imply that nuclear SMN affects splicing by modulating the Sm protein composition of U snRNPs.


Subject(s)
Motor Neurons/metabolism , Muscular Atrophy, Spinal/metabolism , Nerve Tissue Proteins/metabolism , RNA Splicing , Ribonucleoproteins, Small Nuclear/metabolism , Spliceosomes/metabolism , Amino Acid Sequence , Antibodies, Monoclonal/pharmacology , Blotting, Western , Cell Extracts , Chromatography, Affinity , Cyclic AMP Response Element-Binding Protein , DEAD Box Protein 20 , DEAD-box RNA Helicases , HeLa Cells , Humans , Minor Histocompatibility Antigens , Molecular Sequence Data , Nerve Tissue Proteins/chemistry , Nerve Tissue Proteins/immunology , Nuclear Proteins/metabolism , Precipitin Tests , RNA Helicases/metabolism , RNA-Binding Proteins , SMN Complex Proteins
13.
Anesth Analg ; 90(3): 632-7, 2000 Mar.
Article in English | MEDLINE | ID: mdl-10702449

ABSTRACT

UNLABELLED: We previously found that the extent of an epidural motor block produced by 0.125% ropivacaine was clinically indistinguishable from 0.125% bupivacaine in laboring patients. By adding fentanyl to the 0. 125% ropivacaine and bupivacaine solutions in an attempt to reduce hourly local anesthetic requirements, we hypothesized that differences in motor block produced by the two drugs may become apparent. Fifty laboring women were randomized to receive either 0. 125% ropivacaine with fentanyl 2 microg/mL or an equivalent concentration of bupivacaine/fentanyl using patient-controlled epidural analgesia (PCEA) with settings of: 6-mL/hr basal rate, 5-mL bolus, 10-min lockout, 30-mL/h dose limit. Analgesia, local anesthetic use, motor block, patient satisfaction, and side effects were assessed until the time of delivery. No differences in verbal pain scores, local anesthetic use, patient satisfaction, or side effects between groups were observed; however, patients administered ropivacaine/fentanyl developed significantly less motor block than patients administered bupivacaine/fentanyl. Ropivacaine 0.125% with fentanyl 2 microg/mL produces similar labor analgesia with significantly less motor block than an equivalent concentration of bupivacaine/fentanyl. Whether this statistical reduction in motor block improves clinical outcome or is applicable to anesthesia practices which do not use the PCEA technique remains to be determined. IMPLICATIONS: By using a patient-controlled epidural analgesia technique, ropivacaine 0.125% with fentanyl 2 microg/mL produces similar analgesia with significantly less motor block than a similar concentration of bupivacaine with fentanyl during labor. Whether this statistical reduction in motor block improves clinical outcome or is applicable to anesthesia practices which do not use the patient-controlled epidural analgesia technique remains to be determined.


Subject(s)
Amides/administration & dosage , Analgesia, Epidural , Analgesia, Obstetrical , Analgesics, Opioid/administration & dosage , Anesthetics, Local/administration & dosage , Bupivacaine/administration & dosage , Fentanyl/administration & dosage , Adult , Double-Blind Method , Female , Humans , Infant, Newborn , Pregnancy , Ropivacaine
14.
Anesthesiology ; 91(5): 1293-8, 1999 Nov.
Article in English | MEDLINE | ID: mdl-10551579

ABSTRACT

BACKGROUND: Recent efforts to improve the combined spinal epidural (CSE) technique have focused on adding opioids to other classes of analgesics. In this study, the authors used intrathecal neostigmine in combination with intrathecal sufentanil to investigate the usefulness of neostigmine for reducing side effects and prolonging the duration of sufentanil. METHODS: One hundred six healthy pregnant women in labor were enrolled in this study, which was divided into four phases. In all phases, patients received a CSE anesthetic while in the lateral position. In phase I, three groups of six women each received intrathecal neostigmine, 5, 10, or 20 microg, in an open-label, dose-escalating safety assessment. In phase II, 24 women received intrathecal sufentanil alone to establish an ED50 (dose that produces > 60 min of labor analgesia in 50% of patients). In phase III, an ED50 was established for sufentanil combined with a fixed dose of neostigmine (10 microg). In phase IV, 40 women received either twice the ED50 of sufentanil alone or twice the ED50 of sufentanil plus neostigmine, 10 microg. RESULTS: Neostigmine alone had no adverse effects on maternal vital signs, fetal heart rate, or Apgar scores. Neostigmine, 20 microg, produced analgesia in one patient and severe nausea and vomiting in another. The ED50 for intrathecal sufentanil alone was 4.1 +/- 0.31 microg, and the ED50 for intrathecal sufentanil combined with neostigmine, 10 microg, was 3.0 +/- 0.28 microg. The duration of analgesia and side effects from double these ED50s (sufentanil, 9 microg, or sufentanil, 6 microg, plus neostigmine, 10 microg) were similar between groups. CONCLUSIONS: The 10-microg intrathecal neostigmine dose alone produced no analgesia or side effects, but reduced the ED50 of intrathecal sufentanil by approximately 25%. Additionally, doses approximately double these ED50s each produced a similar duration of analgesia and side effects, indicating intrathecal neostigmine shifts the dose-response curve for intrathecal sufentanil to the left.


Subject(s)
Analgesia, Obstetrical , Analgesics, Opioid , Cholinesterase Inhibitors , Neostigmine , Sufentanil , Adult , Analgesia, Obstetrical/adverse effects , Analgesics, Opioid/administration & dosage , Analgesics, Opioid/adverse effects , Cholinesterase Inhibitors/administration & dosage , Cholinesterase Inhibitors/adverse effects , Female , Hemodynamics/drug effects , Humans , Injections, Spinal , Labor, Obstetric , Neostigmine/administration & dosage , Neostigmine/adverse effects , Pregnancy , Sufentanil/administration & dosage , Sufentanil/adverse effects
15.
Z Kardiol ; 88(4): 270-82, 1999 Apr.
Article in German | MEDLINE | ID: mdl-10408031

ABSTRACT

UNLABELLED: The CIS was undertaken with the aim to evaluate the effects of lipid modifications on angiographic progression and regression of CAD in patients with CAD and hypercholesterolemia. The design included a multicenter randomized, double-blind, parallel, placebo-controlled comparison, with target and safety limits for adjusting the trial medication depending on the LDL cholesterol level (LDL-C) achieved, i.e., up to 40 mg of simvastatin (S) or placebo (P) daily, add-on medication (up to 3 x 4 g Colestyramin), and diet counselling. Male patients, average age 49 (< or = 56) years, were included with angiographic CAD and a screening total cholesterol of 207-350 mg/dl, who were not due to undergo coronary bypass surgery or PTCA, who did not suffer from serious other disease (e.g., diabetes mellitus), and who had not undergone coronary bypass surgery previously. RESULTS: All baseline variables were comparable in the treatment groups, with 129 patients taking S and 125 taking P. Of these 254 patients 217 had their final study visit and 207 underwent a second angiography after an average treatment time of 2.3 years under an average daily dose of 37 mg S. 205 pairs of films were available for analysis. Vital information was obtained of all patients until closure of the data bank, half a year after the last study angiography. Five deaths occurred within the study period, 12 through March 15, 1995 (S: 1/6, P: 4/6). 37 patients (S: 18, P: 19) discontinued trial drug and protocol. Concomitant CAD medication was comparable in both groups, except lipid-lowering add-on medication which was significantly higher in the P group (38% versus 13%). Significant changes in lipid levels, on treatment, were observed in the S group amounting to a mean difference in LDL-C of -35%, in Apo-Protein B (ApoB) of -30%, in VLDL-C of -37%, and in triglycerides (TG) of -27%, and in HDL-C of +6%, in comparison to the control group; these differences were even greater in 137 fully compliant patients: -41, -36, -39, -31, and +7%, respectively. Progression in the S group was significantly less, as defined by the two primary target criteria: 1) the minimum obstruction diameter (MOD), determined by quantitative coronary angiography (QCA), decreased about five times less in comparison to the control group (S: by -0.017; P: -0.0954 mm), and 2) the standardized visual global change score (GCS) deteriorated almost three times less in the S group (by +0.20) than in the P group (+0.58). Of the secondary target criteria, the mean lumen diameter (QCA) also developed a significant difference (S: -0.20; P: +0.23 mm; p = 0.0006) with a trend toward regression in the S group. The QCA-%-stenosis deteriorated three- to four-times less in the S group as compared to the control group (S: by 0.69%; P: by 2.73%; p = 0.0022), and the number of patients with angiographic progression was nearly halved (S: 30%; P: 56%; p < 0.0000). These differences were determined by intention to treat analysis (ITT), and they were obtained in spite of lipid lowering add-on medication in 38% of the P patients; they turned out to be more pronounced in 137 fully compliant patients, in an analysis "as treated". The mean decrease in LDL-C serum level caused by S was significantly correlated to the decrease in progression, and multivariate regression analysis of both treatment groups identified LDL-C (or ApoB) and TG as independent predictors of progression. Progression appeared to be most pronounced in low and medium sized lesions, and the beneficial effect of lipid intervention dominated in lesions with 12-56% QCA stenosis severity. A small fraction of patients who suffered from exercise-induced angina, with ST-segment-depression at the beginning of the study, experienced a significant improvement under S as compared to P treatment. Although the study was not designed to show differences in clinical events, the combined number of all major cardiovascular events tended to be less frequent in the S than in the C gr


Subject(s)
Anticholesteremic Agents/administration & dosage , Cholestyramine Resin/administration & dosage , Coronary Disease/drug therapy , Hypercholesterolemia/drug therapy , Simvastatin/administration & dosage , Anticholesteremic Agents/adverse effects , Cholesterol, LDL/blood , Cholestyramine Resin/adverse effects , Combined Modality Therapy , Coronary Angiography , Coronary Disease/blood , Diet, Fat-Restricted , Dose-Response Relationship, Drug , Double-Blind Method , Drug Administration Schedule , Humans , Hypercholesterolemia/blood , Male , Middle Aged , Prospective Studies , Simvastatin/adverse effects
16.
Biodegradation ; 9(2): 91-102, 1998.
Article in English | MEDLINE | ID: mdl-9821255

ABSTRACT

N-Methylmorpholine-N-oxide (NMMO) is capable of dissolving cellulose without any further addition of chemicals. The solution can be used to produce cellulosic staple fibres by pressing it through spinning jets into an aqueous spinning bath. Because of results from conventional biodegradation tests using non-adapted activated sludge, the solvent is generally considered being persistent. The object of the described work was to show, whether and how activated sludge can be adapted to N-methylmorpholine-N-oxide and whether it is possible to purify NMMO-containing wastewaters in conventional wastewater treatment plants. The experiments showed that the sludge can be adapted within about 15-20 days. Adapted sludge can degrade the substance itself and its most important metabolites to concentrations below their detection levels and retain this ability even during limited periods without solvent being present in the wastewater. The main requirement for a successful adaptation is a high sludge age. The degradation takes place in several steps. First, NMMO is reduced to N-methylmorpholine. The next step is a demethylation of N-methylmorpholine to morpholine. This step is crucial for the adaptation process. Once morpholine has been formed, the adaptation proceeds very quickly until none of the substances in question can be detected any longer. So the next step must be the cleavage of the morpholine ring structure.


Subject(s)
Cyclic N-Oxides/metabolism , Morpholines/metabolism , Solvents/metabolism , Biodegradation, Environmental , Saccharomyces cerevisiae/metabolism , Waste Disposal, Fluid , Yeasts/metabolism
18.
AIDS Res Hum Retroviruses ; 12(7): 593-610, 1996 May 01.
Article in English | MEDLINE | ID: mdl-8743085

ABSTRACT

Identification of promiscuous or multideterminant T cell epitopes is essential for HIV vaccine development, however, current methods for T cell epitope identification are both cost intensive and labor intensive. We have developed a computer-driven algorithm, named EpiMer, which searches protein amino acid sequences for putative MHC class I- and/or class II-restricted T cell epitopes. This algorithm identifies peptides that contain multiple MHC-binding motifs from protein sequences. To evaluate the predictive power of EpiMer, the amino acid sequences of the HIV-1 proteins nef, gp160, gag p55, and tat were searched for regions of MHC-binding motif clustering. We assessed the algorithm's predictive power by comparing the EpiMer-predicted peptide epitopes to T cell epitopes that have been published in the literature. The EpiMer method of T cell epitope identification was compared to the standard method of synthesizing short, overlapping peptides and testing them for immunogenicity (overlapping peptide method), and to an alternate algorithm that has been used to identify putative T cell epitopes from primary structure (AMPHI). For the four HIV-1 proteins analyzed, the in vitro testing of EpiMer peptides for immunogenicity would have required the synthesis of fewer total peptides than either AMPHI or the overlapping peptide method. The EpiMer algorithm proved to be more efficient and more sensitive per amino acid than both the overlapping peptide method and AMPHI. The EpiMer predictions for these four HIV proteins are described. Since EpiMer-predicted peptides have the potential to bind to multiple MHC alleles, they are strong candidates for inclusion in a synthetic HIV vaccine.


Subject(s)
Algorithms , Epitopes, T-Lymphocyte/immunology , HIV Antigens/immunology , HIV-1/immunology , Amino Acid Sequence , Evaluation Studies as Topic , Gene Products, env/immunology , Gene Products, gag/immunology , Gene Products, nef/immunology , Gene Products, tat/immunology , HIV Envelope Protein gp160 , Humans , Molecular Sequence Data , Protein Precursors/immunology , nef Gene Products, Human Immunodeficiency Virus , tat Gene Products, Human Immunodeficiency Virus
19.
Vaccine ; 13(6): 581-91, 1995 Apr.
Article in English | MEDLINE | ID: mdl-7483779

ABSTRACT

We have designed two computer-based algorithms for T cell epitope prediction, OptiMer and EpiMer, which incorporate current knowledge of MHC-binding motifs. OptiMer locates amphipathic segments of protein antigens with a high density of MHC-binding motifs. EpiMer identifies peptides with a high density of MHC-binding motifs alone. These algorithms exploit the striking tendency for MHC-binding motifs to cluster within short segments of each protein. Putative epitopes predicted by these algorithms contain motifs corresponding to many different MHC alleles, and may contain both class I and class II motifs, features thought to be ideal for the peptide components of synthetic subunit vaccines. In this study, we describe the use of OptiMer and EpiMer for the prediction of putative T cell epitopes from Mycobacterium tuberculosis and human immunodeficiency virus protein antigens, and demonstrate that these two algorithms may provide sensitive and efficient means for the prediction of promiscuous T cell epitopes that may be critical to the development of vaccines against these and other pathogens.


Subject(s)
Algorithms , Epitopes/analysis , HIV Antigens/immunology , Major Histocompatibility Complex/immunology , Mycobacterium tuberculosis/immunology , T-Lymphocytes/immunology , Animals , Antigens, Bacterial/immunology , Binding Sites , Epitopes/immunology , Histocompatibility Antigens Class I/immunology , Histocompatibility Antigens Class I/metabolism , Histocompatibility Antigens Class II/immunology , Histocompatibility Antigens Class II/metabolism , Mice , Predictive Value of Tests
20.
Biotechniques ; 18(2): 250-5, 1995 Feb.
Article in English | MEDLINE | ID: mdl-7727126

ABSTRACT

A differential DNA hybridization method of detecting moderately repetitive strain-specific or species-specific DNA is described. Two Drosophila melanogaster strains, one with and one without transposable elements, were utilized as a model system to demonstrate the effectiveness of this procedure. A genomic library was constructed from flies of the pi 2 strain, which contains both P and hobo transposable elements. Duplicate plaque lifts of this library were probed with DNA from the same strain and with DNA from the Canton-S strain, which contains neither of these two families of transposable elements. Plaques that hybridized stronger to the genomic DNA that contained elements were noted, and then the filters were stripped and reprobed with P and hobo element DNA. Many of the differentially hybridizing plaques were shown to contain DNA homologous to one of the two known elements. This method should allow the isolation and cloning of any repetitive DNA present in one species or isolate, but absent or present in reduced copy number in another species or isolate. By analogy to the recent invasion of D. melanogaster by P elements, such differentially represented DNA is likely to represent recently invading transposable elements that are actively mobile.


Subject(s)
Nucleic Acid Hybridization/genetics , Repetitive Sequences, Nucleic Acid/genetics , Viral Plaque Assay/methods , Animals , DNA/isolation & purification , DNA Transposable Elements/genetics , Drosophila melanogaster , Genomic Library
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