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2.
Conserv Physiol ; 11(1): coad086, 2023.
Article in English | MEDLINE | ID: mdl-38076338

ABSTRACT

Surprisingly, the impacts of environmental changes on the physiology of tropical/subtropical marine fishes have received limited attention. Given that (i) temperature is considered to be a key factor controlling the biology of fishes; (ii) no published data are available on the swimming performance, metabolic capacity or cardiac function of any of the ~165 grouper species worldwide; and (iii) the Nassau grouper is an endangered species of great ecological and socioeconomic significance in The Bahamas, we investigated how current summer/early fall (30°C) and winter (22°C) temperatures in South Eleuthera affected the aerobic metabolism and heart function of wild Nassau grouper when swum to exhaustion (i.e. to their critical swimming speed, Ucrit). The Nassau grouper had a very low Ucrit at 30°C (i.e. <1 body lengths s-1), and a 30% lower swimming performance during the winter (at 22°C), and this was that was indicative of a reduced absolute aerobic scope (~185 vs. 290 mg O2 kg-1 h-1) and values of maximum heart rate ([Formula: see text]HMax) and scope for [Formula: see text]H that were only one-half of that achieved at 30°C (~60 vs. 120 and 29 vs. 61 beats min-1, respectively). Overall, these data reveal that the Nassau grouper's aerobic and swimming capacity are well below values reported for other tropical/subtropical fishes and suggest that, despite a compensatory (~30-40%) increase in stroke volume, constraints on [Formula: see text]H near this species' lower thermal limit negatively affect its cardiac output and swimming performance. These findings have considerable ecological implications as Bahamian grouper populations migrate over long distances to spawn during the winter months, and given the predicted increase in temperature variability with climate change.

3.
Biochemistry ; 62(17): 2677-2688, 2023 09 05.
Article in English | MEDLINE | ID: mdl-37556730

ABSTRACT

Polyketide synthases (PKSs) are megaenzymes that form chemically diverse polyketides and are found within the genomes of nearly all classes of life. We recently discovered the type I PKS from the apicomplexan parasite Toxoplasma gondii, TgPKS2, which contains a unique putative chain release mechanism that includes ketosynthase (KS) and thioester reductase (TR) domains. Our bioinformatic analysis of the thioester reductase of TgPKS2, TgTR, suggests differences compared to other systems and hints at a possibly conserved release mechanism within the apicomplexan subclass Coccidia. To evaluate this release module, we first isolated TgTR and observed that it is capable of 4 electron (4e-) reduction of octanoyl-CoA to the primary alcohol, octanol, utilizing NADH. TgTR was also capable of generating octanol in the presence of octanal and NADH, but no reactions were observed when NADPH was supplied as a cofactor. To biochemically characterize the protein, we measured the catalytic efficiency of TgTR using a fluorescence assay and determined the TgTR binding affinity for cofactor and substrates using isothermal titration calorimetry (ITC). We additionally show that TgTR is capable of reducing an acyl carrier protein (ACP)-tethered substrate by liquid chromatography mass spectrometry and determine that TgTR binds to holo-TgACP4, its predicted cognate ACP, with a KD of 5.75 ± 0.77 µM. Finally, our transcriptional analysis shows that TgPKS2 is upregulated ∼4-fold in the parasite's cyst-forming bradyzoite stage compared to tachyzoites. Our study identifies features that distinguish TgPKS2 from well-characterized systems in bacteria and fungi and suggests it aids the T. gondii cyst stage.


Subject(s)
NAD , Polyketide Synthases , Polyketide Synthases/chemistry , NAD/metabolism , Acyl Carrier Protein , Oxidoreductases/metabolism
5.
Curr Res Physiol ; 5: 158-170, 2022.
Article in English | MEDLINE | ID: mdl-35359619

ABSTRACT

No studies have examined the effects of cold temperatures (∼0-1 °C) on in vivo cardiac function and control, and metabolism, in salmonids. Thus, we examined: 1) how acclimation to 8 °C vs. acclimation (>3 weeks) or acute exposure (8-1 °C at 1 °C h-1) to 1 °C influenced cardiorespiratory parameters in resting Atlantic salmon; and 2) if/how the control of cardiac function was affected. Oxygen consumption ( M ˙ O 2 ) and cardiac function [i.e., heart rate (f H) and cardiac output ( Q ˙ ) ] were 50% lower in the acutely cooled and 1oC-acclimated salmon as compared to 8 °C fish, whereas stroke volume (VS) was unchanged. Intrinsic f H was not affected by whether the fish were acutely exposed or acclimated to 1 °C (values ∼51, 24 and 21 beats min-1 in 8 and 1 °C-acclimated fish, and 8-1 °C fish, respectively), and in all groups f H was primarily under adrenergic control/tone (cholinergic tone 13-18%; adrenergic tone 37-70%). However, ß-adrenergic blockade resulted in a 50% increase in VS in the 1oC-acclimated group, and this was surprising as circulating catecholamine levels were ∼1-3 nM in all groups. Overall, the data suggest that this species has a limited capacity to acclimate to temperatures approaching 0 °C. However, we cannot exclude the possibility that cardiac and metabolic responses are evoked when salmon are cooled to ∼ 0-1 °C, and that this prevented further declines in these parameters (i.e., they 'reset' quickly). Our data also provide further evidence that VS is temperature insensitive, and strongly suggest that changes in adrenoreceptor mediated control of venous pressure/capacitance occur when salmon are acclimated to 1 °C.

6.
Sci Rep ; 10(1): 22425, 2020 12 30.
Article in English | MEDLINE | ID: mdl-33380736

ABSTRACT

Here we present a rapid and versatile method for capturing and concentrating SARS-CoV-2 from contrived transport medium and saliva samples using affinity-capture magnetic hydrogel particles. We demonstrate that the method concentrates virus from 1 mL samples prior to RNA extraction, substantially improving detection of virus using real-time RT-PCR across a range of viral titers (100-1,000,000 viral copies/mL) and enabling detection of virus using the 2019 nCoV CDC EUA Kit down to 100 viral copies/mL. This method is compatible with commercially available nucleic acid extraction kits (i.e., from Qiagen) and a simple heat and detergent method that extracts viral RNA directly off the particle, allowing a sample processing time of 10 min. We furthermore tested our method in transport medium diagnostic remnant samples that previously had been tested for SARS-CoV-2, showing that our method not only correctly identified all positive samples but also substantially improved detection of the virus in low viral load samples. The average improvement in cycle threshold value across all viral titers tested was 3.1. Finally, we illustrate that our method could potentially be used to enable pooled testing, as we observed considerable improvement in the detection of SARS-CoV-2 RNA from sample volumes of up to 10 mL.


Subject(s)
COVID-19 Testing/methods , COVID-19/diagnosis , Hydrogels/chemistry , Nasopharynx/virology , RNA, Viral/analysis , Saliva/virology , Diagnostic Tests, Routine , Humans , Real-Time Polymerase Chain Reaction , SARS-CoV-2/isolation & purification , Sensitivity and Specificity , Specimen Handling , Viral Load/methods
7.
Vet Comp Oncol ; 16(4): 562-570, 2018 Dec.
Article in English | MEDLINE | ID: mdl-29989306

ABSTRACT

The diagnostic accuracy of contrast-enhanced CT for detection of cervical lymph node metastasis in dogs is unknown. The purpose of this retrospective, observational, diagnostic accuracy study was to assess the efficacy of CT for detection of mandibular and medial retropharyngeal lymph node metastasis in dogs. Histopathology of dogs with cancer of the head, CT and bilateral mandibular and medial retropharyngeal lymphadenectomy was reviewed. A single radiologist measured lymph nodes to derive short axis width and long-short axis ratios. Two blinded radiologists separately assessed lymph node margins, attenuation and contrast enhancement and each provided a final subjective interpretation of each node site as benign or neoplastic. Where radiologists' opinions differed, a consensus was reached. Sensitivity, specificity and accuracy were calculated for mandibular and medial retropharyngeal sites. Agreement between radiologists was assessed. Fisher's exact test and the Kruskal-Wallis H-test were used to assess associations between variables. Forty-one primary tumours were recorded in 40 dogs. Metastasis to mandibular or retropharyngeal lymph nodes occurred in 16 out of 40 dogs (43/160 nodes). Agreement between radiologists was almost perfect for margination, attenuation and enhancement, strong for interpretation of mandibular lymph node metastasis, and weak for interpretation of medial retropharyngeal lymph node metastasis. Sensitivity of CT was 12.5% and 10.5%, specificity was 91.1% and 96.7%, and accuracy was 67.5% and 76.3% for mandibular and medial retropharyngeal lymph nodes respectively. No individual CT findings were predictive of nodal metastasis. Given the low sensitivity of CT, this modality cannot be relied upon alone for assessment of cervical lymph node metastasis in dogs.


Subject(s)
Dog Diseases/diagnostic imaging , Mandibular Neoplasms/veterinary , Mouth Neoplasms/veterinary , Nose Neoplasms/veterinary , Pharyngeal Neoplasms/veterinary , Animals , Dog Diseases/diagnosis , Dog Diseases/pathology , Dogs , Female , Lymphatic Metastasis , Male , Mandibular Neoplasms/diagnosis , Mandibular Neoplasms/diagnostic imaging , Mandibular Neoplasms/secondary , Mouth Neoplasms/diagnosis , Mouth Neoplasms/diagnostic imaging , Mouth Neoplasms/pathology , Nose Neoplasms/diagnosis , Nose Neoplasms/diagnostic imaging , Nose Neoplasms/pathology , Pharyngeal Neoplasms/diagnosis , Pharyngeal Neoplasms/diagnostic imaging , Pharyngeal Neoplasms/secondary , Reproducibility of Results , Tomography, X-Ray Computed/veterinary
8.
Environ Pollut ; 187: 55-64, 2014 Apr.
Article in English | MEDLINE | ID: mdl-24448482

ABSTRACT

To evaluate potential long-term effects of climate change and atmospheric nitrogen (N) deposition on subalpine ecosystems, the coupled biogeochemical and vegetation community competition model ForSAFE-Veg was applied to a site at the Loch Vale watershed of Rocky Mountain National Park, Colorado. Changes in climate and N deposition since 1900 resulted in pronounced changes in simulated plant species cover as compared with ambient and estimated future community composition. The estimated critical load (CL) of N deposition to protect against an average future (2010-2100) change in biodiversity of 10% was between 1.9 and 3.5 kg N ha(-1) yr(-1). Results suggest that the CL has been exceeded and vegetation at the study site has already undergone a change of more than 10% as a result of N deposition. Future increases in air temperature are forecast to cause further changes in plant community composition, exacerbating changes in response to N deposition alone.


Subject(s)
Air Pollutants/analysis , Atmosphere/chemistry , Climate Change , Climate , Models, Biological , Nitrogen/analysis , Colorado , Ecosystem , Environmental Monitoring , Plant Development/drug effects , Plants/metabolism
9.
Vet Comp Orthop Traumatol ; 27(1): 74-9, 2014.
Article in English | MEDLINE | ID: mdl-24226553

ABSTRACT

A five-week-old American Quarter Horse colt was presented for evaluation of a left hindlimb deformity and lameness. Radiographs of the left hindlimb revealed a varus deformity with recurvatum originating in the mid-diaphysis of the third metatarsal bone. Surgical correction was undertaken by performing an osteotomy through the centre of rotation of angulation located within the mid-diaphysis of the third metatarsal bone, and a four-ring hinged circular external fixator construct was applied. Distraction of the osteotomy site was performed over an 11 day period. Notable complications included failure of a fixation pin, infection of the surgical site, and temporary laxity of the supporting tendons and ligaments of the contralateral metatarsophalangeal joint. The fixator was maintained until there was sufficient bone formation to allow frame removal, 152 days after the initial surgery. Use of a hinged circular construct allowed for partial correction of the deformity with resultant lengthening and resolution of the lameness in this colt.


Subject(s)
External Fixators/veterinary , Horse Diseases/congenital , Metatarsal Bones/abnormalities , Animals , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Ceftizoxime/administration & dosage , Ceftizoxime/analogs & derivatives , Ceftizoxime/therapeutic use , Enterobacter cloacae , Enterobacteriaceae Infections/drug therapy , Enterobacteriaceae Infections/etiology , Enterobacteriaceae Infections/veterinary , Horse Diseases/surgery , Horses , Male , Metatarsal Bones/surgery , Surgical Wound Infection/drug therapy , Surgical Wound Infection/veterinary , Treatment Outcome , Cefpodoxime
10.
Article in English | MEDLINE | ID: mdl-25570813

ABSTRACT

Radar based microwave imaging (MI) has been widely studied for breast cancer detection in recent times. Sensing dielectric property differences of tissues over a wide frequency band has been made possible by ultra-wideband (UWB) techniques. In this paper, a flexible, compact monopole antenna on a 100 µm Kapton polyimide is designed, using a high frequency structure simulator (HFSS), to be in contact with biological breast tissues over the 2-5GHz frequency range. The antenna parameters are optimized to obtain a good impedance match over the required frequency range. The designed antenna size is 18mm × 18mm. Further, a flexible conformal 4×4 ultra-wideband antenna array, in a format similar to that of a bra, was developed for a radar-based breast cancer detection system.


Subject(s)
Breast Neoplasms/diagnosis , Diagnostic Imaging/instrumentation , Breast/pathology , Female , Humans , Microwaves
11.
J Vet Intern Med ; 27(3): 445-50, 2013.
Article in English | MEDLINE | ID: mdl-23517431

ABSTRACT

BACKGROUND: Feline coronavirus (FCoV) infection is common. In a small percentage of cats, FCoV infection is associated with the fatal disease feline infectious peritonitis (FIP). Genetically distinct virulent and avirulent strains of FCoV might coexist within a cat population. OBJECTIVES: To determine whether the strains of FCoV in FIP-affected cats are closely related or genetically distinct from the fecally derived strains of FCoV in contemporary-asymptomatic cats during an epizootic outbreak of FIP. ANIMALS: Four cats euthanized because of FIP and 16 asymptomatic cats. METHODS: This prospective outbreak investigation was initiated during an outbreak of FIP in cats within or rehomed from a rescue/rehoming center. Postmortem samples were collected from cats with FIP and contemporaneous fecal samples from asymptomatic cats. RNA was purified from tissue and fecal samples, FCoV gene fragments were reverse transcribed, PCR-amplified using novel primers, and sequenced. Sequences were aligned with ClustalW and compared with published FCoV sequences. RESULTS: FCoV RNA was detected in all 4 FIP cat postmortem samples and in 9 of the 16 fecal samples from contemporary-asymptomatic cats. Novel primers successfully amplified fragments from 4 regions of the genome for all FCoV-positive samples. Phylogenetic analysis showed that the FIP-associated strains of FCoV from the outbreak were very closely related to the fecally derived strains of FCoV from contemporary-asymptomatic cats. CONCLUSIONS AND CLINICAL IMPORTANCE: Sequence analysis provided no evidence that genetically distinct virulent and avirulent strains of FCoV were present during this FIP outbreak.


Subject(s)
Coronavirus, Feline/genetics , Disease Outbreaks/veterinary , Feline Infectious Peritonitis/virology , Phylogeny , Animals , Cats , Feline Infectious Peritonitis/epidemiology , Genome, Viral
12.
Br J Pharmacol ; 169(7): 1500-9, 2013 Aug.
Article in English | MEDLINE | ID: mdl-23488724

ABSTRACT

BACKGROUND AND PURPOSE: Perivascular adipose tissue (PVAT) releases adipocyte-derived hyperpolarizing factors (ADHFs) that may partly act by opening myocyte K(+) channels. The present study in rat and mouse mesenteric arteries aimed to identify the myocyte K(+) channel activated by PVAT and to determine whether adiponectin contributed to the hyperpolarizing effects of PVAT. EXPERIMENTAL APPROACH: Myocyte membrane potential was recorded from de-endothelialized, non-contracted rat and mouse mesenteric arteries in the presence and absence of PVAT. KEY RESULTS: The ß3 -adrenoceptor agonist, CL-316,243 (10 µM), generated PVAT-dependent, iberiotoxin-sensitive myocyte hyperpolarizations resulting from BKCa channel opening and which were partially blocked by L-NMMA (100 µM). Adiponectin (5 µg·mL(-1) ) also produced iberiotoxin-sensitive hyperpolarizations in PVAT-denuded arterioles. Activation of myocyte AMP-activated protein kinase (AMPK) using 5 µM A-769662 also induced BKCa -mediated hyperpolarizations. Dorsomorphin abolished hyperpolarizations to CL-316,243, adiponectin and A-769662. In vessels from Adipo(-/-) mice, hyperpolarizations to CL-316,243 were absent whereas those to A-769662 and adiponectin were normal. In rat vessels, adipocyte-dependent hyperpolarizations were blocked by glibenclamide and clotrimazole but those to NS1619 (33 µM) were unaltered. CONCLUSIONS AND IMPLICATIONS: Under basal, non-contracted conditions, ß3 -adrenoceptor stimulation of PVAT releases an ADHF, which is probably adiponectin. This activates AMPK to open myocyte BKCa channels indirectly and additionally liberates NO, which also contributes to the observed PVAT-dependent myocyte hyperpolarizations. Clotrimazole and glibenclamide each reversed hyperpolarizations to adiponectin and A-769662, suggesting the involvement of myocyte TRPM4 channels in the ADHF-induced myocyte electrical changes mediated via the opening of BKCa channels.


Subject(s)
Adiponectin/metabolism , Adrenergic beta-3 Receptor Agonists/pharmacology , Large-Conductance Calcium-Activated Potassium Channels/metabolism , Mesenteric Arteries/physiology , Muscle Cells/physiology , Pyrones/pharmacology , TRPM Cation Channels/metabolism , Thiophenes/pharmacology , Animals , Biphenyl Compounds , Dioxoles/pharmacology , Gene Expression Regulation , Male , Membrane Potentials , Mice , Mice, Inbred C57BL , Rats , Rats, Sprague-Dawley , Receptors, Adrenergic, beta-3/metabolism
13.
Br J Pharmacol ; 160(4): 836-43, 2010 Jun.
Article in English | MEDLINE | ID: mdl-20233221

ABSTRACT

BACKGROUND AND PURPOSE: Previous studies have shown that endothelium-dependent hyperpolarization of myocytes is reduced in resistance arteries from spontaneously hypertensive rats (SHRs). The aim of the present study was to determine whether this reflects down-regulation of endothelial K(+) channels or their associated pathways. EXPERIMENTAL APPROACH: Changes in vascular K(+) channel responses and expression were determined by a combination of membrane potential recordings and Western blotting. KEY RESULTS: Endothelium-dependent myocyte hyperpolarizations induced by acetylcholine, 6,7-dichloro-1H-indole-2,3-dione 3-oxime (NS309) (opens small- and intermediate-conductance calcium-sensitive K(+) channels, SK(Ca) and IK(Ca), respectively) or cyclohexyl-[2-(3,5-dimethyl-pyrazol-1-yl)-6-methyl-pyrimidin-4-yl]-amine (SK(Ca) opener) were reduced in mesenteric arteries from SHRs. After blocking SK(Ca) channels with apamin, hyperpolarizations to acetylcholine and NS309 in SHR arteries were similar to those of controls. Hyperpolarization to 5 mM KCl was reduced in SHR arteries due to loss of the Ba(2+)-sensitive, inward-rectifier channel (K(IR)) component; the contribution of ouabain-sensitive, Na(+)/K(+)-ATPases was unaffected. Protein expression of both SK(Ca) and K(IR) channels was reduced in SHR arteries; the caveolin-1 monomer/dimer ratio was increased. CONCLUSIONS AND IMPLICATIONS: In SHRs, the distinct pathway that generates endothelium-dependent hyperpolarization in vascular myocyte by activation of IK(Ca) channels and Na(+)/K(+)-ATPases remains intact. The second pathway, initiated by endothelial SK(Ca) channel activation and amplified by K(IR) opening on both endothelial cells and myocytes is compromised in SHRs due to down-regulation of both SK(Ca) and K(IR) and to changes in caveolin-1 oligomers. These impairments in the SK(Ca)-K(IR) pathway shed new light on vascular control mechanisms and on the underlying vascular changes in hypertension.


Subject(s)
Down-Regulation/physiology , Hypertension/physiopathology , Mesenteric Arteries/metabolism , Mesenteric Arteries/physiopathology , Signal Transduction/physiology , Small-Conductance Calcium-Activated Potassium Channels/metabolism , Animals , Blotting, Western , Caveolin 1/chemistry , Caveolin 1/metabolism , Dimerization , Hypertension/metabolism , In Vitro Techniques , Intermediate-Conductance Calcium-Activated Potassium Channels/agonists , Intermediate-Conductance Calcium-Activated Potassium Channels/metabolism , Male , Membrane Potentials/drug effects , Membrane Transport Modulators/pharmacology , Mesenteric Arteries/drug effects , Muscle, Smooth, Vascular/drug effects , Potassium Channels, Inwardly Rectifying/antagonists & inhibitors , Potassium Channels, Inwardly Rectifying/metabolism , Protein Subunits/metabolism , Rats , Rats, Inbred SHR , Rats, Inbred WKY , Signal Transduction/drug effects , Small-Conductance Calcium-Activated Potassium Channels/agonists , Small-Conductance Calcium-Activated Potassium Channels/antagonists & inhibitors , Sodium-Potassium-Exchanging ATPase/antagonists & inhibitors , Sodium-Potassium-Exchanging ATPase/metabolism
14.
Environ Entomol ; 38(3): 846-55, 2009 Jun.
Article in English | MEDLINE | ID: mdl-19508795

ABSTRACT

Interactions between lady beetles and the European fire ant (Myrmica rubra L.) tending potato aphids [Macrosiphum euphorbiae (Thomas)] were compared in the laboratory. Lady beetle species native to North America (Coccinella trifasciata perplexa Mulsant, Coleomegilla maculata lengi Timberlake, Hippodamia convergens Guérin-Méneville) and non-native species of Palearctic origin [Coccinella septempunctata L., Harmonia axyridis (Pallas), Hippodamia variegata (Goeze), Propylea quatuordecimpunctata L.)] were evaluated. Harmonia axyridis consumed a significantly greater number of aphids compared with all other species but C. septempunctata. Ant stings affected H. variegata and C. septempunctata to a greater extent than other species. Ants showed a significantly greater amount of aggression toward H. convergens and H. variegata compared with P. quatuordecimpunctata. P. quatuordecimpunctata, C. trifasciata, and H. axyridis reacted significantly less to ants compared with H. variegata, H. convergens, C. maculata, and C. septempunctata. Differences in interactions with natural enemies may explain, in part, the successful establishment of some non-native coccinellids in new habitats.


Subject(s)
Ants , Aphids , Coleoptera , Predatory Behavior , Symbiosis , Animals , Species Specificity
16.
Histopathology ; 51(6): 763-73, 2007 Dec.
Article in English | MEDLINE | ID: mdl-18042066

ABSTRACT

AIMS: Goblet cell carcinoid is a poorly understood tumour of the appendix. The aim of this study was to determine whether it should be regarded as a separate entity or as a variant of classical carcinoid. METHODS AND RESULTS: The immunohistochemical expression pattern of 21 markers and the mutation status of KRas codon 12 were determined in 16 goblet cell carcinoids and compared with 14 classical carcinoids, 19 colonic adenocarcinomas and 10 appendiceal mucinous cystadeno (carcino)mas. The results were subjected to a stepwise linear discriminant analysis. Goblet cell carcinoids were significantly different from the control groups. The most important markers for discriminating between the groups were CEA (classical carcinoid versus all others), KRas mutation (present in all mucinous cystadeno (carcino)mas), beta-catenin (goblet cell carcinoid versus left sided colonic adenocarcinoma) and chromogranin (goblet cell carcinoid versus right sided colonic adenocarcinoma). Expression of Math1 and HD5 was similar in goblet cell carcinoid and colonic adenocarcinoma but absent in classical carcinoid. CONCLUSION: The results suggest that goblet cell carcinoids should be regarded as a separate entity. The formerly used term 'crypt cell carcinoma' may be more appropriate because it reflects the more aggressive clinical behaviour of these tumours as well as their greater similarity to adenocarcinomas rather than to carcinoids.


Subject(s)
Appendiceal Neoplasms/pathology , Biomarkers, Tumor/analysis , Carcinoid Tumor/pathology , Adenocarcinoma/metabolism , Adenocarcinoma/pathology , Appendiceal Neoplasms/genetics , Appendiceal Neoplasms/metabolism , Carcinoid Tumor/genetics , Carcinoid Tumor/metabolism , DNA Mutational Analysis , Humans , Immunohistochemistry , Mutation , Polymerase Chain Reaction , Proto-Oncogene Proteins/genetics , Proto-Oncogene Proteins p21(ras) , ras Proteins/genetics
18.
Arch Dis Child Fetal Neonatal Ed ; 91(5): F333-6, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16705005

ABSTRACT

AIMS: To assess the spontaneous resolution of neonatal nephrocalcinosis and its long term effects on renal function. METHODS: Fourteen very low birthweight preterm babies with nephrocalcinosis were followed up at 5-7 years of age; 14 controls were matched for sex, gestation, and birth weight. Height, weight, blood pressure, and renal symptomatology were recorded, and a renal ultrasound scan was performed. Early morning urine osmolality and creatinine ratios of albumin, phosphate, calcium, oxalate and beta microglobulin were determined. Urea and electrolytes in the study group were determined, and glomerular filtration rate (GFR) and TmP/GFR (tubular reabsorption of phosphate per GFR) were calculated. Statistical analysis was performed on a group basis using the Mann-Whitney confidence interval. RESULTS: Mean age was 6.9 years (range 5.81-7.68). An early morning urine osmolality >700 mOsm/kg was achieved in all cases. In two cases and four controls, the calcium/creatinine ratio was >0.7 mmol/mmol. In all cases, the GFR was normal (median 132.6 ml/min/1.73 m(2) (range 104.1-173.1)). Median TmP/GFR was 1.22 mmol/l (0.73-1.61), with two having levels below the normal range. These did not have persisting nephrocalcinosis. Nephrocalcinosis was found in three of the 12 cases scanned and one control. There were no significant differences in urine biochemistry. CONCLUSIONS: Resolution of nephrocalcinosis occurred in 75% of cases. No evidence was found to suggest that nephrocalcinosis is associated with renal dysfunction in the long term. There was evidence of hypercalciuria in the cases and controls, suggesting that prematurity may be a risk factor.


Subject(s)
Infant, Premature, Diseases/diagnosis , Nephrocalcinosis/diagnosis , Birth Weight , Calcium/urine , Case-Control Studies , Female , Follow-Up Studies , Glomerular Filtration Rate , Humans , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/diagnostic imaging , Infant, Premature, Diseases/physiopathology , Infant, Very Low Birth Weight , Kidney/diagnostic imaging , Kidney/pathology , Kidney/physiopathology , Male , Nephrocalcinosis/diagnostic imaging , Nephrocalcinosis/physiopathology , Osmolar Concentration , Prognosis , Ultrasonography
20.
J Clin Pathol ; 58(7): 687-94, 2005 Jul.
Article in English | MEDLINE | ID: mdl-15976333

ABSTRACT

BACKGROUND: Upper gastrointestinal tract intestinal metaplasia (IM) is termed Barrett's oesophagus (BO) or gastric intestinal metaplasia (GIM), depending on its location. BO and GIM are associated with chemical exposure resulting from gastro-oesophageal reflux and chronic Helicobacter pylori infection, respectively. Paneth cells (PCs), characterised by cytoplasmic eosinophilic granules, are found in a subset of IM at these sites, but histology may not accurately detect them. AIM: To determine human defensin 5 (HD5; an antimicrobial peptide produced by PCs) expression in BO and GIM, and to investigate its association with H pylori infection. METHODS: Endoscopic biopsies from 33 patients with BO and 51 with GIM, and control tissues, were examined by routine histology and for H pylori infection and HD5 mRNA and protein expression. RESULTS: In normal tissues, HD5 expression was specific for PCs in the small intestine. Five patients with BE and 42 with GIM expressed HD5, but few HD5 expressing cells in IM had the characteristic histological features of PCs. Most HD5 positive specimens were H pylori infected and most HD5 negative specimens were not infected. CONCLUSIONS: HD5 immunohistochemistry was often positive in IM when PCs were absent by conventional histology. Thus, HD5 immunohistochemistry may be superior to histology for identifying metaplastic PCs and distinguishing GIM from BO. The higher frequency of HD5 expression in GIM than in BO is associated with a higher frequency of H pylori infection, suggesting that in IM PCs may form part of the mucosal antibacterial response.


Subject(s)
Barrett Esophagus/metabolism , Defensins/metabolism , Gastric Mucosa/metabolism , Adult , Aged , Barrett Esophagus/microbiology , Blotting, Western/methods , Defensins/genetics , Defensins/immunology , Enzyme-Linked Immunosorbent Assay/methods , Esophagogastric Junction/metabolism , Esophagogastric Junction/pathology , Female , Gastric Mucosa/pathology , Gene Expression , Helicobacter Infections/complications , Helicobacter Infections/metabolism , Helicobacter pylori , Humans , Male , Metaplasia/metabolism , Metaplasia/microbiology , Middle Aged , Paneth Cells/metabolism , Paneth Cells/pathology , RNA, Messenger/genetics , Reverse Transcriptase Polymerase Chain Reaction/methods
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