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2.
Lab Chip ; 16(16): 3043-8, 2016 08 02.
Article in English | MEDLINE | ID: mdl-27080052

ABSTRACT

The water-in-oil droplet bilayer is a simple and useful lipid bilayer system for membrane transport analysis. The droplet interface bilayer is readily formed by the contact of two water-in-oil droplets enwrapped by a phospholipid monolayer. However, the size of individual droplets with femtoliter volumes in a high-throughput manner is difficult to control, resulting in low sensitivity and throughput of membrane transport analysis. To overcome this drawback, in this study, we developed a novel micro-device in which a large number of droplet interface bilayers (>500) are formed at a time by using femtoliter-sized droplet arrays immobilized on a hydrophobic/hydrophilic substrate. The droplet volume was controllable from 3.5 to 350 fL by changing the hydrophobic/hydrophilic pattern on the device, allowing high-throughput analysis of membrane transport mechanisms including membrane permeability to solutes (e.g., ions or small molecules) with or without the aid of transport proteins. Thus, this novel platform broadens the versatility of water-in-oil droplet bilayers and will pave the way for novel analytical and pharmacological applications such as drug screening.


Subject(s)
High-Throughput Screening Assays/instrumentation , Lipid Bilayers/metabolism , Microarray Analysis/instrumentation , Models, Biological , Phosphatidylethanolamines/metabolism , Phosphatidylglycerols/metabolism , Algorithms , Bacterial Toxins/metabolism , Biological Transport , Calcium Chloride/metabolism , Coloring Agents/metabolism , Equipment Design , Hemolysin Proteins/metabolism , Hydrophobic and Hydrophilic Interactions , Permeability
3.
Chem Commun (Camb) ; 50(67): 9443-6, 2014 Aug 28.
Article in English | MEDLINE | ID: mdl-24869662

ABSTRACT

The emission transition dipole moments of single-molecule free-base phthalocyanines at an air/glass interface were visualized using defocused wide-field fluorescence microscopy at a temporal resolution of 100-200 ms. Isolated molecules showed slow proton tautomerization, which is consistent with previous theoretical calculations in the gas phase, which predicted large activation energies.


Subject(s)
Fluorescent Dyes/chemistry , Indoles/chemistry , Microscopy, Fluorescence , Isoindoles , Isomerism , Kinetics , Models, Molecular , Molecular Conformation
4.
Biochem Soc Trans ; 34(Pt 5): 993-6, 2006 Nov.
Article in English | MEDLINE | ID: mdl-17052244

ABSTRACT

F1 (F1-ATPase) is a highly coupled rotary molecular motor and hydrolyses three ATP molecules per turn (3 ATP/turn). Recently, we have developed femtolitre reaction chamber arrays for highly sensitive measurement of biological reactions. By combining this technique with the rotating magnetic tweezers, the coupling ratio of the reverse reaction, ATP synthesis catalysed by single F1 molecules, has been investigated. The low coupling ratio of 10% (0.3 ATP/turn), catalysed by the alpha3beta3gamma subcomplex of F1, was significantly improved to 77% (2.3 ATP/turn) after reconstitution of the epsilon subunit. This result revealed the novel function of the epsilon subunit as a coupling factor of ATP synthesis catalysed by F1. The possible mechanism for highly coupled ATP synthesis supported by the epsilon subunit is discussed.


Subject(s)
Proton-Translocating ATPases/chemistry , Proton-Translocating ATPases/metabolism , Adenosine Triphosphate/metabolism , Hydrolysis , Kinetics , Models, Molecular , Protein Conformation , Protein Subunits/chemistry , Protein Subunits/metabolism
5.
Leukemia ; 20(4): 627-34, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16467865

ABSTRACT

To clarify some characteristics of phosphatidylinositol glycan-class A gene (PIG-A) mutations in aplastic anemia (AA) and myelodysplastic syndrome (MDS) patients compared with those in paroxysmal nocturnal hemoglobinuria (PNH) patients, we investigated PIG-A mutations in CD59- granulocytes and CD48- monocytes from seven AA, eight MDS, and 11 PNH Japanese patients. The most frequent base or type abnormalities of the PIG-A gene in AA and MDS patients were base substitutions or missense mutations, respectively, and deletions or frameshift mutations, respectively, in PNH patients. Several PIG-A mutations, most of which were statistically minor, were found in glycosylphosphatidylinositol-negative cells from all AA and MDS patients but not from all PNH patients. However, the common PIG-A mutations during the clinical course between CD59- granulocytes and/or CD48- monocytes from each AA or MDS patient, except for Case 5, were not found. PIG-A mutations were different between the granulocytes and monocytes from five AA and five MDS patients. Our results indicate that there were some characteristics of PIG-A mutations in AA and MDS patients compared with PNH patients and that several minor PNH clones in these patients occurred at random during the clinical course. This partly explains the transformation of AA or MDS to PNH at intervals.


Subject(s)
Anemia, Aplastic/genetics , Membrane Proteins/genetics , Myelodysplastic Syndromes/genetics , Adult , Anemia, Aplastic/complications , DNA Mutational Analysis/methods , DNA, Neoplasm/genetics , Erythrocytes/chemistry , Female , Gene Expression Regulation, Leukemic , Gene Frequency , Glycosylphosphatidylinositols/deficiency , Glycosylphosphatidylinositols/genetics , Granulocytes/chemistry , Hemoglobinuria, Paroxysmal/genetics , Humans , Male , Middle Aged , Monocytes/chemistry , Mutation , Myelodysplastic Syndromes/complications , Sensitivity and Specificity
6.
Leuk Lymphoma ; 47(1): 155-7, 2006 Jan.
Article in English | MEDLINE | ID: mdl-16321842

ABSTRACT

Reactivation of chronic hepatitis B virus (HBV) infection in patients undergoing chemotherapy is well-documented, but reactivation during imatinib mesylate treatment has not been reported. This study reports a 54-year-old man, without prior liver dysfunction but with chronic HBV infection, in whom fatal HBV reactivation occurred during treatment of chronic myeloid leukemia (CML) with imatinib mesylate. He developed fulminant hepatitis followed by marked elevation of HBV DNA polymerase, probably from the lymphocytopenic and immunosuppressive status induced by imatinib mesylate. Imatinib mesylate is widely used to treat CML patients. Although therapy with imatinib mesylate is generally well tolerated, the case presented here suggests that viral reactivation should be considered, even when using imatinib mesylate to treat CML.


Subject(s)
Antineoplastic Agents/adverse effects , Hepatitis B virus/physiology , Leukemia, Myelogenous, Chronic, BCR-ABL Positive/drug therapy , Piperazines/adverse effects , Pyrimidines/adverse effects , Benzamides , Fatal Outcome , Hepatitis B virus/drug effects , Humans , Imatinib Mesylate , Male , Middle Aged , Time Factors , Virus Activation/drug effects
7.
Proc Natl Acad Sci U S A ; 98(24): 13649-54, 2001 Nov 20.
Article in English | MEDLINE | ID: mdl-11707579

ABSTRACT

F(1)-ATPase is a rotary motor enzyme in which a single ATP molecule drives a 120 degrees rotation of the central gamma subunit relative to the surrounding alpha(3)beta(3) ring. Here, we show that the rotation of F(1)-ATPase spontaneously lapses into long (approximately 30 s) pauses during steady-state catalysis. The effects of ADP-Mg and mutation on the pauses, as well as kinetic comparison with bulk-phase catalysis, strongly indicate that the paused enzyme corresponds to the inactive state of F(1)-ATPase previously known as the ADP-Mg inhibited form in which F(1)-ATPase fails to release ADP-Mg from catalytic sites. The pausing position of the gamma subunit deviates from the ATP-waiting position and is most likely the recently found intermediate 90 degrees position.


Subject(s)
Adenosine Triphosphate/chemistry , Proton-Translocating ATPases/chemistry , Adenosine Diphosphate/chemistry , Catalysis , Kinetics , Magnesium/chemistry , Proton-Translocating ATPases/antagonists & inhibitors
8.
J Biol Chem ; 276(43): 39505-7, 2001 Oct 26.
Article in English | MEDLINE | ID: mdl-11518700

ABSTRACT

In F(1)-ATPase, the smallest known motor enzyme, unidirectional rotation of the central axis subunit gamma is coupled to ATP hydrolysis. In the present study, we report the redox switching of the rotation of this enzyme. For this purpose, the switch region from the gamma subunit of the redox-sensitive chloroplast F(1)-ATPase was introduced into the bacterial F(1)-ATPase. The ATPase activity of the obtained complex was increased up to 3-fold upon reduction (Bald, D., Noji, H., Stumpp, M. T., Yoshida, M. & Hisabori, T. (2000) J. Biol. Chem. 275, 12757-12762). Here, we successfully observed the modulation of rotation of gamma in this chimeric complex by changes in the redox conditions. In addition we revealed that the suppressed enzymatic activity of the oxidized F(1)-ATPase complex was characterized by more frequent long pauses in the rotation of the gamma subunit. These findings obtained by the single molecule analysis therefore provide new insights into the mechanisms of enzyme regulation.


Subject(s)
ATP Synthetase Complexes/metabolism , Proton-Translocating ATPases/metabolism , ATP Synthetase Complexes/genetics , Adenosine Triphosphate/metabolism , Bacterial Proton-Translocating ATPases/genetics , Bacterial Proton-Translocating ATPases/metabolism , Chloroplast Proton-Translocating ATPases/genetics , Chloroplast Proton-Translocating ATPases/metabolism , Gene Expression Regulation, Enzymologic , Hydrolysis , Molecular Motor Proteins/metabolism , Motion , Oxidation-Reduction , Protein Subunits , Proton-Translocating ATPases/genetics , Recombinant Fusion Proteins/metabolism
9.
Nature ; 410(6831): 898-904, 2001 Apr 19.
Article in English | MEDLINE | ID: mdl-11309608

ABSTRACT

The enzyme F1-ATPase has been shown to be a rotary motor in which the central gamma-subunit rotates inside the cylinder made of alpha3beta3 subunits. At low ATP concentrations, the motor rotates in discrete 120 degrees steps, consistent with sequential ATP hydrolysis on the three beta-subunits. The mechanism of stepping is unknown. Here we show by high-speed imaging that the 120 degrees step consists of roughly 90 degrees and 30 degrees substeps, each taking only a fraction of a millisecond. ATP binding drives the 90 degrees substep, and the 30 degrees substep is probably driven by release of a hydrolysis product. The two substeps are separated by two reactions of about 1 ms, which together occupy most of the ATP hydrolysis cycle. This scheme probably applies to rotation at full speed ( approximately 130 revolutions per second at saturating ATP) down to occasional stepping at nanomolar ATP concentrations, and supports the binding-change model for ATP synthesis by reverse rotation of F1-ATPase.


Subject(s)
Adenosine Triphosphate/metabolism , Molecular Motor Proteins/metabolism , Proton-Translocating ATPases/metabolism , Catalytic Domain , Hydrolysis , Kinetics , Microscopy , Microspheres , Molecular Motor Proteins/chemistry , Protein Subunits , Proton-Translocating ATPases/chemistry , Rotation
10.
Exp Hematol ; 29(4): 391-400, 2001 Apr.
Article in English | MEDLINE | ID: mdl-11301179

ABSTRACT

Paroxysmal nocturnal hemoglobinuria (PNH) is an acquired hemolytic anemia that is characterized by a deficiency of glycosylphosphatidylinositol-anchored membrane proteins due to phosphatidylinositol glycan-class A (PIG-A) gene abnormalities in various lineages of peripheral blood cells and hematopoietic precursors. The purpose of our study was to clarify the distribution of PIG-A gene abnormalities among various cell lineages during differentiation and maturation in PNH patients. The expression of CD16b or CD59 in peripheral blood granulocytes or cultured erythroblasts from three Japanese PNH patients was analyzed using flow cytometry. PIG-A gene abnormalities in both cell types, including glycophorin A(+) bone marrow erythroblasts, were examined using nucleotide sequence analysis. The expression study of PIG-A genes from each patient was also performed using JY-5 cells.Flow cytometry revealed that the erythroblasts consisted of negative, intermediate, and positive populations in Cases 1 and 3 and negative and intermediate populations in Case 2. The granulocytes consisted of negative and positive populations in all three cases. DNA sequence analysis indicated that all the PNH cases had two or three types of PIG-A gene abnormalities, and that a predominant clone with an abnormal PIG-A gene was different in granulocytes and erythroblasts from Cases 2 and 3. Expression studies showed that all the mutations from the patients were responsible for the null phenotype.PIG-A gene abnormalities result in deficiencies of glycosylphosphatidylinositol-anchored proteins in PNH erythroblasts and granulocytes. The distribution of predominant PNH clones with PIG-A gene abnormalities is often heterogeneous between the cell types, suggesting that a clonal selection of PIG-A gene abnormalities occurs independently among various cell lineages during differentiation and maturation.


Subject(s)
Erythroblasts/chemistry , Granulocytes/chemistry , Hemoglobinuria, Paroxysmal/genetics , Membrane Proteins/genetics , Mutation , Adult , Aged , CD55 Antigens/analysis , CD59 Antigens/analysis , Cell Differentiation , Cells, Cultured , DNA/blood , DNA/chemistry , Erythroblasts/immunology , Erythrocytes/chemistry , Female , Flow Cytometry , Glycosylphosphatidylinositols/blood , Glycosylphosphatidylinositols/deficiency , Granulocytes/immunology , Hemoglobinuria, Paroxysmal/blood , Humans , Male , RNA, Messenger/blood , RNA, Messenger/chemistry , Receptors, IgG/analysis , Sequence Analysis, DNA , Sequence Analysis, RNA
11.
J Biol Chem ; 276(27): 25480-6, 2001 Jul 06.
Article in English | MEDLINE | ID: mdl-11279248

ABSTRACT

The binding change model for the F(1)-ATPase predicts that its rotation is intimately correlated with the changes in the affinities of the three catalytic sites for nucleotides. If so, subtle differences in the nucleotide structure may have pronounced effects on rotation. Here we show by single-molecule imaging that purine nucleotides ATP, GTP, and ITP support rotation but pyrimidine nucleotides UTP and CTP do not, suggesting that the extra ring in purine is indispensable for proper operation of this molecular motor. Although the three purine nucleotides were bound to the enzyme at different rates, all showed similar rotational characteristics: counterclockwise rotation, 120 degrees steps each driven by hydrolysis of one nucleotide molecule, occasional back steps, rotary torque of approximately 40 piconewtons (pN).nm, and mechanical work done in a step of approximately 80 pN.nm. These latter characteristics are likely to be determined by the rotational mechanism built in the protein structure, which purine nucleotides can energize. With ATP and GTP, rotation was observed even when the free energy of hydrolysis was -80 pN.nm/molecule, indicating approximately 100% efficiency. Reconstituted F(o)F(1)-ATPase actively translocated protons by hydrolyzing ATP, GTP, and ITP, but CTP and UTP were not even hydrolyzed. Isolated F(1) very slowly hydrolyzed UTP (but not CTP), suggesting possible uncoupling from rotation.


Subject(s)
Protein Conformation , Proton-Translocating ATPases/metabolism , Purine Nucleotides/metabolism , Pyrimidine Nucleotides/metabolism , Adenosine Triphosphate/metabolism , Catalytic Domain , Guanosine Triphosphate/metabolism , Hydrolysis , Inosine Triphosphate/metabolism , Kinetics , Models, Chemical , Uridine Triphosphate/metabolism
13.
Fukushima J Med Sci ; 47(1): 33-8, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11764416

ABSTRACT

Thrombocytopenia due to immune mechanisms is rare and difficult to manage in elderly patients. We describe a case of an 89-year-old female with severe immune thrombocytopenia (ITP) who rapidly improved by pulse therapy with cyclophosphamide. She was admitted to our hospital because she had arthralgia in both sides of her femoral region since January 1999, aphthous stomatitis and ecchymosis of the leg since April 1999, and bloody phlegm in July 1999. On admission, her peripheral blood count revealed severe thrombocytopenia (0.1 x 10(4)/microl). Her megakaryocyte count from bone marrow was increased to 512/microl without abnormal cells. Systemic lupus erythematosus was suspected because of strong positive protein in the urine in addition to the clinical and hematological findings described above, but she was negative for all the autoantibodies examined. Finally, she was diagnosed as having ITP on the basis of high platelet associated immunoglobulin G in addition to hematological and physical findings and she was treated with prednisolone. It was difficult to maintain her platelet count with only prednisolone, but 600 mg of cyclophosphamide rapidly increased her platelet count in spite of tapering the prednisolone. In September 2000, her platelet count was kept within normal limits by administration of 15 mg/day of prednisolon. It is suggested that immunosuppressive therapy for ITP using high-dose cyclophosphamide is useful in elderly patients as well as in juvenile adult patients.


Subject(s)
Cyclophosphamide/administration & dosage , Immunosuppressive Agents/administration & dosage , Purpura, Thrombocytopenic, Idiopathic/drug therapy , Aged , Aged, 80 and over , Female , Humans
14.
Philos Trans R Soc Lond B Biol Sci ; 355(1396): 473-89, 2000 Apr 29.
Article in English | MEDLINE | ID: mdl-10836501

ABSTRACT

A single molecule of F1-ATPase is by itself a rotary motor in which a central gamma-subunit rotates against a surrounding cylinder made of alpha3beta3-subunits. Driven by the three betas that sequentially hydrolyse ATP, the motor rotates in discrete 120 degree steps, as demonstrated in video images of the movement of an actin filament bound, as a marker, to the central gamma-subunit. Over a broad range of load (hydrodynamic friction against the rotating actin filament) and speed, the F1 motor produces a constant torque of ca. 40 pN nm. The work done in a 120 degree step, or the work per ATP molecule, is thus ca. 80 pN nm. In cells, the free energy of ATP hydrolysis is ca. 90 pN nm per ATP molecule, suggesting that the F1 motor can work at near 100% efficiency. We confirmed in vitro that F1 indeed does ca. 80 pN nm of work under the condition where the free energy per ATP is 90 pN nm. The high efficiency may be related to the fully reversible nature of the F1 motor: the ATP synthase, of which F1 is a part, is considered to synthesize ATP from ADP and phosphate by reverse rotation of the F1 motor. Possible mechanisms of F1 rotation are discussed.


Subject(s)
Molecular Motor Proteins/chemistry , Molecular Motor Proteins/metabolism , Proton-Translocating ATPases/chemistry , Proton-Translocating ATPases/metabolism , Animals , Macromolecular Substances , Models, Molecular , Protein Conformation
15.
Proc Natl Acad Sci U S A ; 97(13): 7243-7, 2000 Jun 20.
Article in English | MEDLINE | ID: mdl-10840052

ABSTRACT

Orientation dependence of single-fluorophore intensity was exploited in order to videotape conformational changes in a protein machine in real time. The fluorophore Cy3 attached to the central subunit of F(1)-ATPase revealed that the subunit rotates in the molecule in discrete 120 degrees steps and that each step is driven by the hydrolysis of one ATP molecule. These results, unlike those from the previous study under a frictional load, show that the 120 degrees stepping is a genuine property of this molecular motor. The data also show that the rate of ATP binding is insensitive to the load exerted on the rotor subunit.


Subject(s)
Proton-Translocating ATPases/chemistry , Adenosine Triphosphate/chemistry , Bacillus , Carbocyanines , Fluorescence , Fluorescent Dyes
17.
J Biol Chem ; 275(19): 14260-3, 2000 May 12.
Article in English | MEDLINE | ID: mdl-10799504

ABSTRACT

F(1)-ATPase is a rotary motor protein, and ATP hydrolysis generates torque at the interface between the gamma subunit, a rotor shaft, and the alpha(3)beta(3) substructure, a stator ring. The region of conserved acidic "DELSEED" motif of the beta subunit has a contact with gamma subunit and has been assumed to be involved in torque generation. Using the thermophilic alpha(3)beta(3)gamma complex in which the corresponding sequence is DELSDED, we replaced each residue and all five acidic residues in this sequence with alanine. In addition, each of two conserved residues at the counterpart contact position of gamma subunit was also replaced. Surprisingly, all of these mutants rotated with as much torque as the wild-type. We conclude that side chains of the DELSEED motif of the beta subunit do not have a direct role in torque generation.


Subject(s)
Proton-Translocating ATPases/chemistry , Adenosine Triphosphate/chemistry , Amino Acid Motifs , Hydrolysis , Models, Molecular , Mutagenesis , Protein Conformation , Proton-Translocating ATPases/genetics
18.
J Biol Chem ; 275(17): 12757-62, 2000 Apr 28.
Article in English | MEDLINE | ID: mdl-10777572

ABSTRACT

A mutant F(1)-ATPase alpha(3)beta(3)gamma subcomplex from the thermophilic Bacillus PS3 was constructed, in which 111 amino acid residues (Val(92) to Phe(202)) from the central region of the gamma subunit were replaced by the 148 amino acid residues of the homologous region from spinach chloroplast F(1)-ATPase gamma subunit, including the regulatory stretch, and were designated as alpha(3)beta(3)gamma((TCT)) (Thermophilic-Chloroplast-Thermophilic). By the insertion of this regulatory region into the gamma subunit of thermophilic F(1), we could confer the thiol modulation property to the thermophilic alpha(3)beta(3)gamma subcomplex. The overexpressed alpha(3)beta(3)gamma((TCT)) was easily purified in large scale, and the ATP hydrolyzing activity of the obtained complex was shown to increase up to 3-fold upon treatment with chloroplast thioredoxin-f and dithiothreitol. No loss of thermostability compared with the wild type subcomplex was found, and activation by dithiothreitol was functional at temperatures up to 80 degrees C. alpha(3)beta(3)gamma((TCT)) was inhibited by the epsilon subunit from chloroplast F(1)-ATPase but not by the one from the thermophilic F(1)-ATPase, indicating that the introduced amino acid residues from chloroplast F(1)-gamma subunit are important for functional interaction with the epsilon subunit.


Subject(s)
Chloroplasts/chemistry , Proton-Translocating ATPases/chemistry , Proton-Translocating ATPases/metabolism , Adenosine Triphosphate/metabolism , Amino Acid Sequence , Amino Acids/chemistry , Bacillus/chemistry , Dithiothreitol/pharmacology , Electrophoresis, Polyacrylamide Gel , Escherichia coli/metabolism , Hydrolysis , Molecular Sequence Data , Mutagenesis , Oxidation-Reduction , Plasmids , Protein Binding , Recombinant Proteins/metabolism , Sequence Homology, Amino Acid , Temperature , Thioredoxins/pharmacology , Time Factors
19.
FEBS Lett ; 470(3): 244-8, 2000 Mar 31.
Article in English | MEDLINE | ID: mdl-10745076

ABSTRACT

F(o)F(1)-ATP synthase mediates coupling of proton flow in F(o) and ATP synthesis/hydrolysis in F(1) through rotation of central rotor subunits. A ring structure of F(o)c subunits is widely believed to be a part of the rotor. Using an attached actin filament as a probe, we have observed the rotation of the F(o)c subunit ring in detergent-solubilized F(o)F(1)-ATP synthase purified from Escherichia coli. Similar studies have been performed and reported recently [Sambongi et al. (1999) Science 286, 1722-1724]. However, in our hands this rotation has been observed only for the preparations which show poor sensitivity to dicyclohexylcarbodiimde, an F(o) inhibitor. We have found that detergents which adequately disperse the enzyme for the rotation assay also tend to transform F(o)F(1)-ATP synthase into an F(o) inhibitor-insensitive state in which F(1) can hydrolyze ATP regardless of the state of the F(o). Our results raise the important issue of whether rotation of the F(o)c ring in isolated F(o)F(1)-ATP synthase can be demonstrated unequivocally with the approach adopted here and also used by Sambongi et al.


Subject(s)
Artifacts , Proton-Translocating ATPases/chemistry , Proton-Translocating ATPases/metabolism , Rotation , Actins/metabolism , Adenosine Triphosphate/metabolism , Biopolymers/metabolism , Chromatography, Gel , Detergents/pharmacology , Dicyclohexylcarbodiimide/pharmacology , Escherichia coli/enzymology , Escherichia coli/genetics , Hydrolysis/drug effects , Kinetics , Molecular Probes/metabolism , Protein Binding , Protein Conformation/drug effects , Proton-Translocating ATPases/antagonists & inhibitors , Proton-Translocating ATPases/genetics , Recombinant Fusion Proteins/antagonists & inhibitors , Recombinant Fusion Proteins/chemistry , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/metabolism , Reproducibility of Results , Solubility/drug effects , Uncoupling Agents/pharmacology , Venturicidins/pharmacology
20.
J Rheumatol ; 27(1): 234-7, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10648044

ABSTRACT

We describe a 92-year-old male patient with systemic lupus erythematosus (SLE) who had sudden onset of thrombocytopenia and developed acute lupus pneumonitis (ALP). Although steroid pulse therapy was effective for ALP, he developed complicated bacterial pulmonary disease. This patient is the oldest ever reported to have contracted SLE.


Subject(s)
Lupus Erythematosus, Systemic/complications , Pneumonia/etiology , Acute Disease , Aged , Aged, 80 and over , Humans , Male
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