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1.
Folia Biol (Praha) ; 66(1): 17-23, 2020.
Article in English | MEDLINE | ID: mdl-32512655

ABSTRACT

Diffuse large B-cell lymphoma (DLBCL) is the most common and one of the most aggressive subtypes of non-Hodgkin's lymphomas. Front-line therapy consists of chemotherapy in combination with anti-CD20 monoclonal antibody rituximab. Relapses after rituximab-based regimen have poor prognosis and call for new treatment options. Immunohistochemistry analysis of relapsed DLBCL often reveal CD20-negative lymphoma, which limits repeated use of rituximab in combination with salvage chemotherapy. CD38 is a surface antigen that binds to CD38, CD31/PECAM-1 and hyaluronic acid. CD38 is an important mediator of signal transmission from the microenvironment into the cell. Anti-CD38 monoclonal antibody daratumumab has been approved for the treatment of multiple myeloma. Expression of CD38 on the surface of DLBCL is highly variable (compared to strong expression on myeloma cells), but can be easily assessed by flow cytometry or immunohistochemistry. A patient-derived xenograft (PDX) model of CD20-negative, CD38-positive DLBCL derived from a patient with rituximab-refractory DLBCL was used for in vivo experiments. We demonstrated that daratumumab suppressed growth of subcutaneous PDX tumours significantly more effectively than rituximab. Analysis of tumours obtained from mice treated with daratumumab revealed down-regulation of surface CD38, suggesting endocytosis of CD38-daratumumab complexes. The results suggest a potential clinical use of daratumumab in combination with salvage chemotherapy in patients with relapses of CD20-negative DLBCL. In addition, daratumumab might potentially serve as a suitable antibody moiety for derivation of antibodydrug conjugates for the targeted delivery of toxic payloads to the lymphoma cells.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Antineoplastic Agents , Lymphoma, Large B-Cell, Diffuse , ADP-ribosyl Cyclase 1/antagonists & inhibitors , Animals , Antineoplastic Agents/therapeutic use , Antineoplastic Combined Chemotherapy Protocols , Humans , Lymphoma, Large B-Cell, Diffuse/drug therapy , Membrane Glycoproteins/antagonists & inhibitors , Mice , Rituximab/therapeutic use , Tumor Microenvironment
2.
Physiol Res ; 67(6): 945-954, 2018 12 18.
Article in English | MEDLINE | ID: mdl-30204470

ABSTRACT

Hepcidin is a key regulator of iron metabolism and plays an important role in many pathologies. It is increased by iron administration and by inflammation, while erythropoiesis downregulates its expression. It decreases iron availability and thus contributes to anemia of chronic diseases. The aim of the study was to measure hepcidin as a marker and pathogenetic factor in ANCA-associated vasculitis (AAV). Hepcidin plasma concentration was measured by the immunological method in 59 patients with AAV and compared to patients with non-vasculitic etiology of chronic kidney disease, patients on hemodialysis (HD), with systemic lupus erythematodes (SLE) and to healthy controls and blood donors, and was correlated with the parameters of iron metabolism, inflammation, activity of the process and kidney function. Hepcidin concentration was increased in patients with AAV, SLE and HD and correlated positively with C-reactive protein, serum ferritin and creatinine, and negatively with hemoglobin and serum transferrin. In active form of AAV it correlated with the clinical scoring system (BVAS). Hepcidin can thus be considered as a pathogenetic factor of anemia in AAV and can be used for evaluation of inflammation in AAV and as an additional marker in active forms of the disease.


Subject(s)
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/blood , Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis/diagnosis , Hepcidins/blood , Adult , Aged , Anemia/blood , Anemia/diagnosis , Biomarkers/blood , Female , Humans , Lupus Erythematosus, Systemic/blood , Lupus Erythematosus, Systemic/diagnosis , Male , Middle Aged , Renal Insufficiency, Chronic/blood , Renal Insufficiency, Chronic/diagnosis
3.
Physiol Res ; 66(4): 621-632, 2017 09 22.
Article in English | MEDLINE | ID: mdl-28406696

ABSTRACT

Proteinuria is often used as a surrogate marker in monitoring and predicting outcome in patients with chronic kidney diseases, but it is non-specific. IgAN belongs to the most common primary glomerulonephritis worldwide with serious prognosis. The main aim of this work was to assess differences in urine proteins in patients with IgA nephropathy and to identify abnormal proteins as potential biomarkers of IgA nephropathy or the renal disease. In our pilot project, we selected 20 patients and compared them with 20 healthy volunteers. Protein quantification was performed using iTRAQ (isobaric tag for relative and absolute quantitation) labeling method. The peptides were separated by the isoelectric focusing method (IEF) and nano-LC with C18 column and identified by mass spectrometry using MALDI-TOF/TOF MS. Proteins´ lists obtained from IEF-LC-MS-MS/MS analysis were combined and contained 201 proteins. It was found out that 113 proteins were common in both experiments. 30 urinary proteins were significantly up- or down-regulated in patients with IgA nephropathy. We characterized potential biomarkers such as alpha-1-antitrypsin, apolipoprotein A-I, CD44 antigen or kininogen. Potential biomarkers of IgAN should be validated in further studies.


Subject(s)
Glomerulonephritis, IGA/genetics , Glomerulonephritis, IGA/urine , Proteomics/methods , Adult , Aged , Apolipoprotein A-I/genetics , Apolipoprotein A-I/urine , Biomarkers/urine , Female , Glomerulonephritis, IGA/diagnosis , Humans , Male , Middle Aged , Pilot Projects , Young Adult , alpha 1-Antitrypsin/genetics , alpha 1-Antitrypsin/urine
4.
Folia Biol (Praha) ; 62(3): 95-102, 2016.
Article in English | MEDLINE | ID: mdl-27516188

ABSTRACT

Iron overload causes tissue damage in the liver, but its initial effects at the molecular and cellular level are not well understood. Epithelial cadherin (E-cad) is a major adhesion protein in adherens junctions and is associated with several signal transduction pathways. Dysfunction of E-cad causes instability of adherens junctions, which leads to cell invasion, cell migration, and carcinogenesis. We found in liver samples from iron-overloaded mice that the apparent molecular mass of E-cad was reduced from 125 to 115 kDa in sodium dodecyl sulphate polyacrylamide gel electrophoresis under reducing conditions and immunoblotting, and that the cellular expression of E-cad was decreased in immunohistochemistry. The mRNA level of E-cad, however, did not change significantly, suggesting that the alterations are posttranslational. Interestingly, incubation of control liver extracts with Fe2+ alone also produced the same mobility shift. Neither an oxidant nor an antioxidant influenced this shift in vitro, suggesting that reactive oxygen species, which are generated by iron and known to cause damage to macromolecules, are not involved. Treatment of the 115 kDa E-cad with deferoxamine, an iron chelator, thus removing Fe2+, shifted the molecular mass back to 125 kDa, demonstrating that the shift is reversible. The observation also implies that the alteration that causes the mobility shift is not due to transcriptional control, deglycosylation, and proteolysis. This reversible mobility shift of E-cad has not been previously known. The alteration of E-cad that causes the mobility shift might be an initial step to liver diseases by iron overload.


Subject(s)
Cadherins/chemistry , Iron Overload/physiopathology , Liver/physiopathology , Animals , Electrophoretic Mobility Shift Assay , Liver/chemistry , Mice , Protein Processing, Post-Translational
5.
Physiol Res ; 62(4): 405-11, 2013.
Article in English | MEDLINE | ID: mdl-23590607

ABSTRACT

Matriptase-2, a membrane protein encoded by the Tmprss6 gene, is a negative regulator of hepcidin expression. Although matriptase-2 has been proposed to cleave membrane hemojuvelin, we have recently found decreased hemojuvelin protein levels in Tmprss6 -/- mice. The purpose of this study was to confirm this observation by determining hemojuvelin protein levels in another strain of mice with disrupted Tmprss6 gene, and to determine the effect of matriptase-2 deficiency on the expression of other membrane proteins participating in the bone morphogenetic protein signal transduction. Mask mice, which lack the proteolytic domain of matriptase-2, displayed decreased liver hemojuvelin protein content, while Id1 mRNA level, an indicator of hemojuvelin-dependent signal transduction, was increased. Protein levels of bone morphogenetic protein receptors Alk3 and Acvr2a were unchanged, and transferrin receptor 2 and neogenin protein levels were slightly decreased. The results confirm that the loss of matriptase-2 increases bone morphogenetic protein-dependent signaling, while paradoxically decreasing liver hemojuvelin protein content. The regulation of transferrin receptor 2 protein levels by transferrin saturation was not affected in mask mice. How the loss of matriptase-2 proteolytic activity leads to decreased hemojuvelin protein levels is at present unclear.


Subject(s)
Liver/metabolism , Membrane Proteins/deficiency , Membrane Proteins/metabolism , Serine Endopeptidases/deficiency , Activin Receptors, Type II/metabolism , Animals , Bone Morphogenetic Protein Receptors, Type I/metabolism , Down-Regulation , Female , GPI-Linked Proteins , Hemochromatosis Protein , Inhibitor of Differentiation Protein 1/genetics , Inhibitor of Differentiation Protein 1/metabolism , Injections, Intraperitoneal , Iron Deficiencies , Iron-Dextran Complex/administration & dosage , Liver/drug effects , Male , Membrane Proteins/genetics , Mice , Mice, Inbred C57BL , Mice, Knockout , RNA, Messenger/metabolism , Receptors, Transferrin/metabolism , Serine Endopeptidases/genetics
6.
Physiol Res ; 60(3): 493-502, 2011.
Article in English | MEDLINE | ID: mdl-21401300

ABSTRACT

Hepcidin, a recently discovered antimicrobial peptide synthesized in the liver, was identified to be the key mediator of iron metabolism and distribution. Despite our knowledge of hepcidin increased in recent years, there are only limited data on hepcidin regulation during systemic inflammatory response in human subjects. In a prospective study, the time course of plasma hepcidin was analyzed in relations to six inflammatory parameters - plasma cytokines and acute-phase proteins in patients undergoing uncomplicated pulmonary endarterectomy. Twenty-four patients (males, aged 52.6+/-10.2 years, treated with pulmonary endarterectomy in a deep hypothermic circulatory arrest) were enrolled into study. Hepcidin, interleukin (IL)-6, IL-8, tumor necrosis factor-alpha, C-reactive protein, alpha(1)-antitrypsin and ceruloplasmin arterial concentrations were measured before surgery and repeatedly within 120 h post-operatively. Hemodynamic parameters, hematocrit and markers of iron metabolism were followed up. In a postoperative period, hepcidin increased from preoperative level 8.9 ng/ml (6.2-10.7) (median and interquartile range) to maximum 16.4 ng/ml (14.1-18.7) measured 72 h after the end of surgery. Maximum post-operative concentrations of hepcidin correlated positively with maximum IL-6 levels. Both hepcidin and IL-6 maximum concentrations correlated positively with extracorporeal circulation time. In conclusions, the study demonstrated that plasma hepcidin is a positive acute-phase reactant in relation to an uncomplicated large cardiac surgery. Hepcidin increase was related to IL-6 concentrations and to the duration of surgical procedure. Our clinical findings are in conformity with recent experimental studies defining hepcidin as a type II acute-phase protein.


Subject(s)
Antimicrobial Cationic Peptides/blood , Interleukin-6/blood , Pulmonary Artery/surgery , Acute-Phase Proteins/metabolism , Endarterectomy , Hepcidins , Humans , Hypertension, Pulmonary/therapy , Male , Middle Aged , Prospective Studies
7.
Folia Biol (Praha) ; 57(6): 248-54, 2011.
Article in English | MEDLINE | ID: mdl-22264719

ABSTRACT

Cancer is known to be an important cause of anaemia due to several factors including iron deficiency and inflammation. Hepcidin, a key regulator of iron metabolism, is up-regulated by iron and inflammatory stimuli such as interleukin 6, and decreased by iron deficiency, enhanced erythropoiesis and hypoxia. It is supposed to play a crucial role in changes of iron metabolism in anaemia of chronic disease, which is characterized by sequestering iron in macrophages and decreasing its availability for red blood cell production. To study the effect of tumour growth on hepcidin expression, we implanted human melanoma cells into mice and studied the changes of the amount of liver hepcidin mRNA by real-time PCR. We observed development of anaemia, which correlated with the size of the tumour. Hepcidin expression significantly decreased with the anaemia development, but in late stages we observed an increase of its expression together with an increase of mRNA for interleukin 6. However, the increase of hepcidin expression could be inhibited by exogenous erythropoietin administration. In our model of tumour growth, hepcidin expression reflected anaemia development and iron deficiency, erythropoietin administration and inflammation, and we suppose that it could therefore serve as a useful marker of these clinical situations common in cancer patients and play a role in the pathogenesis of cancer-associated anaemia.


Subject(s)
Antimicrobial Cationic Peptides/metabolism , Erythropoietin/administration & dosage , Inflammation/pathology , Iron Deficiencies , Liver/metabolism , Melanoma/pathology , Xenograft Model Antitumor Assays , Anemia/complications , Anemia/pathology , Animals , Antimicrobial Cationic Peptides/genetics , Cell Proliferation/drug effects , Erythropoietin/pharmacology , Gene Expression Regulation, Neoplastic/drug effects , Hepcidins , Humans , Inflammation/complications , Injections, Subcutaneous , Interleukin-6/genetics , Interleukin-6/metabolism , Liver/drug effects , Liver/pathology , Male , Melanoma/complications , Melanoma/genetics , Mice , Mice, Inbred C57BL , Neoplasm Proteins/genetics , Neoplasm Proteins/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism
8.
Physiol Res ; 59(1): 53-59, 2010.
Article in English | MEDLINE | ID: mdl-19249912

ABSTRACT

Hepcidin is a key regulator of iron homeostasis, while hemojuvelin is an important component of the hepcidin regulation pathway. It has been recently proposed that soluble hemojuvelin, produced from hemojuvelin by the protease furin, decreases hepcidin expression. The aim of the presented study was to examine the downregulation of hepcidin by chronic bleeding in hemojuvelin-mutant mice. Male mice with targeted disruption of the hemojuvelin gene (Hjv-/- mice) and wild-type littermates were maintained on an iron-deficient diet and subjected to weekly phlebotomies for 7 weeks. Gene expression was examined by real-time PCR. In wild type mice, repeated bleeding decreased hepcidin mRNA by two orders of magnitude. In Hjv-/- mice, basal hepcidin expression was low; however, repeated bleeding also decreased hepcidin mRNA content by an order of magnitude. Phlebotomies reduced hepatic iron overload in Hjv-/- mice by 80 %. Liver and muscle furin mRNA content was not significantly changed. No effect on hepatic Tmprss6 mRNA content was observed. Results from the study indicate that soluble hemojuvelin is not the sole factor responsible for hepcidin downregulation. In addition, the presented data suggest that, under in vivo conditions, tissue hypoxia does not transcriptionally regulate the activity of furin or TMPRSS6 proteases.


Subject(s)
Antimicrobial Cationic Peptides/metabolism , Erythropoiesis , Hemorrhage/metabolism , Membrane Proteins/metabolism , Animals , Antimicrobial Cationic Peptides/genetics , Cell Hypoxia , Disease Models, Animal , Down-Regulation , Furin/metabolism , GPI-Linked Proteins , Hemochromatosis Protein , Hemorrhage/etiology , Hemorrhage/genetics , Hepcidins , Iron Deficiencies , Iron Overload/metabolism , Iron Overload/prevention & control , Iron, Dietary/administration & dosage , Liver/metabolism , Male , Membrane Proteins/deficiency , Membrane Proteins/genetics , Mice , Mice, Knockout , Muscle, Skeletal/metabolism , Phlebotomy , RNA, Messenger/metabolism , Serine Endopeptidases/metabolism , Time Factors
9.
Physiol Res ; 59(3): 393-400, 2010.
Article in English | MEDLINE | ID: mdl-19681654

ABSTRACT

Hepcidin, a key regulator of iron metabolism, plays a crucial role in the pathogenesis of anemia of chronic disease. Although it is produced mainly in the liver, its recently described expression in adipose tissue has been shown to be enhanced in massive obesity due to chronic low-grade inflammation. Our objective was to study the changes in hepcidin expression in adipose tissue during acute-phase reaction. We measured hepcidin mRNA expression from isolated subcutaneous and epicardial adipose tissue at the beginning and at the end of the surgery. The expression of mRNAs for hepcidin and other iron-related genes (transferrin receptor 1, divalent metal transporter 1, ferritin, ferroportin) were measured by real-time RT-PCR. Hepcidin expression significantly increased at the end of the surgery in subcutaneous but not in epicardial adipose tissue. Apart from the increased levels of cytokines, the parameters of iron metabolism showed typical inflammation-induced changes. We suggest that acute inflammatory changes could affect the regulation of hepcidin expression in subcutaneous adipose tissue and thus possibly contribute to inflammation-induced systemic changes of iron metabolism.


Subject(s)
Acute-Phase Reaction/metabolism , Adipose Tissue/metabolism , Antimicrobial Cationic Peptides/genetics , Cardiac Surgical Procedures , Subcutaneous Fat/metabolism , Acute-Phase Reaction/etiology , Acute-Phase Reaction/genetics , Adult , Aged , Aged, 80 and over , Biomarkers/blood , Body Mass Index , Cardiac Surgical Procedures/adverse effects , Elective Surgical Procedures , Female , Hepcidins , Humans , Inflammation Mediators/blood , Iron/blood , Male , Middle Aged , Pericardium , Polymerase Chain Reaction , RNA, Messenger/metabolism , Time Factors , Up-Regulation
10.
Folia Biol (Praha) ; 52(1-2): 1-5, 2006.
Article in English | MEDLINE | ID: mdl-17007103

ABSTRACT

Haem carrier protein 1 (Hcpl) is a component of the haem-iron uptake pathway in the small intestine. Using quantitative real-time PCR, we examined the expression of Hcp1 and other intestinal iron-transporting proteins in male C57BL/6 mice with experimentally altered iron homeostasis. Intestinal Hcp1 mRNA content was not significantly changed by iron overload (600 mg/kg); however, it was increased to 170 % of controls 72 h after withdrawal of 0.7 ml of blood; the same treatment increased intestinal Cybrd1 mRNA to 900 % of controls. LPS treatment (1 mg/kg, 6 h) decreased intestinal Hcp1 mRNA content to 66 % of controls and Flvcr mRNA content to 65 % of controls, while Cybrd1 mRNA, Dmt1 mRNA and Fpn1 mRNA decreased to 6 %, 43 % and 32 %, respectively. In 129SvJ mice with targeted disruption of the hemojuvelin (Hfe2) gene, which display very low expression of liver hepcidin, Cybrd1 mRNA content increased to 1040 %, Dmt1 mRNA content to 200 % and Fpn1 mRNA to 150 % when compared to wild-type mice; changes in Hcp1, Abcg2 and Flver mRNA content were only minor. Overall, these results suggest that, during inflammation, the intestinal haem-iron uptake pathway is not as strongly transcriptionally downregulated as the non-haem iron uptake pathway. A decrease in circulating hepcidin increases the expression of proteins participating in non-haem iron uptake, but has no significant effect on Hcp1 mRNA content.


Subject(s)
Heme/metabolism , Iron Overload/metabolism , Iron/metabolism , Lipopolysaccharides/pharmacology , Membrane Transport Proteins/metabolism , Animals , Antimicrobial Cationic Peptides/genetics , Antimicrobial Cationic Peptides/metabolism , GPI-Linked Proteins , Hemochromatosis Protein , Hepcidins , Iron Deficiencies , Liver/metabolism , Male , Membrane Proteins/genetics , Membrane Proteins/metabolism , Membrane Transport Proteins/genetics , Mice , Mice, Inbred C57BL , Proton-Coupled Folate Transporter , RNA, Messenger/metabolism
11.
Physiol Res ; 55(6): 667-674, 2006.
Article in English | MEDLINE | ID: mdl-16497104

ABSTRACT

Hepcidin, a key regulator of iron metabolism, decreases intestinal absorption of iron and its release from macrophages. Iron, anemia, hypoxia, and inflammation were reported to influence hepcidin expression. To investigate regulation of the expression of hepcidin and other iron-related genes, we manipulated erythropoietic activity in mice. Erythropoiesis was inhibited by irradiation or posttransfusion polycythemia and stimulated by phenylhydrazine administration and erythropoietin. Gene expression of hepcidin and other iron-related genes (hemojuvelin, DMT1, ferroportin, transferrin receptors, ferritin) in the liver was measured by the real-time polymerase chain reaction. Hepcidin expression increased despite severe anemia when hematopoiesis was inhibited by irradiation. Suppression of erythropoiesis by posttransfusion polycythemia or irradiation also increased hepcidin mRNA levels. Compensated hemolysis induced by repeated phenylhydrazine administration did not change hepcidin expression. The decrease caused by exogenous erythropoeitin was blocked by postirradiation bone marrow suppression. The hemolysis and anemia decrease hepcidin expression only when erythropoiesis is functional; on the other hand, if erythropoiesis is blocked, even severe anemia does not lead to a decrease of hepcidin expression, which is indeed increased. We propose that hepcidin is exclusively sensitive to iron utilization for erythropoiesis and hepatocyte iron balance, and these changes are not sensed by other genes involved in the control of iron metabolism in the liver.


Subject(s)
Antimicrobial Cationic Peptides/metabolism , Erythropoiesis , Hemolysis , Liver/metabolism , RNA, Messenger/metabolism , Anemia, Hemolytic/chemically induced , Anemia, Hemolytic/metabolism , Anemia, Hemolytic/physiopathology , Animals , Cation Transport Proteins/metabolism , Erythropoiesis/drug effects , Erythropoiesis/radiation effects , Erythropoietin/pharmacology , Ferritins/metabolism , GPI-Linked Proteins , Gamma Rays , Gene Expression Regulation , Hemochromatosis Protein , Hemolysis/drug effects , Hemolysis/radiation effects , Hepcidins , Iron Compounds/metabolism , Liver/drug effects , Liver/radiation effects , Male , Membrane Proteins/metabolism , Mice , Mice, Inbred C57BL , Phenylhydrazines , Polycythemia/metabolism , Polycythemia/physiopathology , Receptors, Transferrin/metabolism , Reverse Transcriptase Polymerase Chain Reaction , Time Factors
12.
Cas Lek Cesk ; 142(8): 465-9, 2003 Aug.
Article in Czech | MEDLINE | ID: mdl-14626560

ABSTRACT

Iron is an essential element and its amount and balance must be precisely regulated. Iron intestinal absorption is essential for the iron balance; however, the precise mechanism of its regulation remains unknown. Antimicrobial peptide hepcidin, produced in the liver, is considered as a key regulator of iron absorption and kinetics in the organism. Its expression increases in response to the iron overload. Hepcidin decreases iron absorption in the duodenum and causes its sequestration in macrophages. Apart from the iron, inflammation increases hepcidin expression in the liver, and hepcidin is considered to be acute phase protein. Hepcidin is not only the physiological regulator of iron kinetics but is supposed to be a part of the pathogenetic mechanism of anaemia accompanying chronic diseases and its relationship to the hereditary hemochromatosis is also studied.


Subject(s)
Antimicrobial Cationic Peptides/physiology , Iron/metabolism , Acute-Phase Proteins/physiology , Anemia/physiopathology , Hemochromatosis/genetics , Hemochromatosis/physiopathology , Hepcidins , Humans , Inflammation/physiopathology , Intestinal Absorption/physiology
13.
Am J Respir Crit Care Med ; 159(5 Pt 1): 1629-37, 1999 May.
Article in English | MEDLINE | ID: mdl-10228137

ABSTRACT

The mechanisms through which immune and inflammatory responses stimulate the expression of antimycobacterial activity by human macrophages remain poorly defined. To study this question, we developed a method permitting the rapid quantification of viable mycobacteria, based on the detection of luciferase activity expressed by a Mycobacterium bovis Bacillus Calmette-Guerin (BCG) reporter strain, and used this approach to evaluate mycobacterial survival in human monocyte-derived macrophages following stimulation with cytokines and through crosslinking of costimulatory molecules expressed on the cell surface. Modest proliferation, followed by persistence of mycobacteria, was observed in unpretreated macrophages as assessed both by measurement of luciferase activity and by the evaluation of colony forming units. Of the 19 cytokines tested, only granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin-3 (IL-3) were found to improve the mycobactericidal activity of monocyte-derived macrophages. In both cases, this effect was observed only when macrophages were pretreated with the cytokines prior to infection. In contrast, pretreatment of human macrophages with interferon-gamma, either alone or in combination with other mediators (including tumor necrosis factor-alpha and 1,25[OH]2-vitamin D3), did not improve mycobacterial killing. The stimulation of macrophages through several different costimulatory molecules known to participate in macrophage-lymphocyte interactions (CD4, CD40, CD45, CD86, CD95 [Fas/Apo-1]) also failed to improve mycobactericidal activity. This study shows that GM-CSF and IL-3, cytokines whose receptors are known to share a common subunit and to use common second messengers, may contribute to the stimulation of mycobactericidal activity in humans. The ability to rapidly screen the effects of different macrophage stimuli on mycobacterial survival through the detection of luciferase activity should help define additional signals required for optimal antimycobacterial responses.


Subject(s)
Intracellular Membranes/microbiology , Macrophages/microbiology , Mycobacterium bovis/physiology , Colony Count, Microbial , Cytokines/pharmacology , Genes, Reporter/physiology , Humans , Interferon-gamma/pharmacology , Luciferases/metabolism , Macrophages/drug effects , Mycobacterium bovis/drug effects , Mycobacterium bovis/enzymology , Mycobacterium bovis/genetics , Stimulation, Chemical
14.
Am J Respir Crit Care Med ; 156(3 Pt 1): 1000-3, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9310026

ABSTRACT

To evaluate the role of mycobacterial infection in the pathogenesis of sarcoidosis, several groups have attempted to identify mycobacterial DNA in clinical samples from these patients by polymerase chain reaction (PCR), but widely divergent results have been obtained. It has been suggested that differences in the sensitivity of the procedures used may explain these discrepant results. To test this possibility, the presence of mycobacterial DNA was sought in biopsies from patients with sarcoidosis using sequence capture-PCR, a procedure that is 100-fold more sensitive in detecting mycobacterial DNA in paucibacillary samples than standard PCR protocols. Using this approach, DNA corresponding to two different sequences specific for organisms of the Mycobacterium tuberculosis complex (the 1S6110 insertion element and the DR region) could not be detected in any of the 15 biopsies from patients with sarcoidosis, whereas a high proportion of positive results was obtained for tissue biopsies and other clinical samples from patients with active tuberculosis, including samples that were smear-negative/culture-positive and smear-negative/culture-negative. These results support prior studies suggesting that M. tuberculosis does not play a pathogenic role in sarcoidosis in most patients.


Subject(s)
DNA, Bacterial/analysis , Mycobacterium tuberculosis/genetics , Polymerase Chain Reaction/methods , Sarcoidosis/microbiology , Tuberculosis/complications , Biopsy , Case-Control Studies , Humans , Reproducibility of Results , Sensitivity and Specificity
16.
Am J Respir Crit Care Med ; 155(4): 1478-81, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9105098

ABSTRACT

Techniques based on the polymerase chain reaction (PCR) can be used to rapidly identify DNA from Mycobacterium tuberculosis in clinical samples from patients with tuberculosis, but prior studies evaluating this approach in the diagnosis of paucibacillary forms of pulmonary tuberculosis have reported poor sensitivity and/or specificity. We have developed a procedure in which mycobacterial DNA in crude samples is specifically captured prior to amplification, thereby concentrating the target sequences and removing irrelevant DNA and other inhibitors of the amplification reaction (sequence capture PCR). To evaluate the usefulness of this approach in the diagnosis of paucibacillary forms of pulmonary tuberculosis, sequence capture PCR was performed prospectively on samples of bronchoalveolar lavage fluid from consecutive patients suspected of having pulmonary tuberculosis but for whom three consecutive samples of respiratory secretions were smear negative. Of the 27 patients evaluated, active tuberculosis was diagnosed in nine; sequence capture PCR was positive for all of these patients, including the three for whom all specimens submitted for culture were negative. No positive results were obtained for lavage fluid from the 18 patients for whom the diagnosis of active tuberculosis was subsequently excluded or 25 additional patients undergoing bronchoalveolar lavage for evaluation of other pulmonary problems, even though many of these patients had a history of prior tuberculosis or radiographic evidence of prior tuberculous infection. Paucibacillary forms of pulmonary tuberculosis can be rapidly identified with high sensitivity and specificity using sequence capture PCR performed on samples obtained by bronchoalveolar lavage.


Subject(s)
Bronchoalveolar Lavage Fluid/microbiology , DNA, Bacterial/genetics , Mycobacterium tuberculosis/genetics , Polymerase Chain Reaction/methods , Tuberculosis, Pulmonary/diagnosis , Adult , Bronchoalveolar Lavage Fluid/chemistry , DNA, Bacterial/analysis , Female , Humans , Male , Sensitivity and Specificity , Sputum/microbiology
17.
Can J Physiol Pharmacol ; 75(10-11): 1181-7, 1997.
Article in English | MEDLINE | ID: mdl-9431441

ABSTRACT

Administration of oxadiazon or oxyfluorfen (1000 ppm in the diet) to male BALB/c mice for 9 days resulted in experimental porphyria, resembling the acute phase of human variegate porphyria. Urinary concentrations of 5-aminolevulinic acid and porphobilinogen reached 1500 and 3000 mumol/L, respectively. Both herbicides caused a decrease of protoporphyrinogen oxidase activity in liver and kidney. Brain protoporphyrinogen oxidase activity was not altered. Liver and kidney porphyrin content increased to 11 and 17 nmol/g, respectively (control mice, 2 nmol/g). Over 50% of liver and kidney porphyrins were in the reduced (porphyrinogen) form. Bile of oxadiazon-treated mice contained 700 nmol/mL of protoporphyrinogen (control mice, 15 nmol/mL). Porphyrin content of the trigeminal nerve increased from 1 nmol/g in control animals to 11 nmol/g in oxadiazon-treated animals, suggesting a possible contribution of peripheral nerve porphyrins to porphyric neuropathy. Mice treated with 125 ppm of oxadiazon in the diet for 9 days excreted moderately elevated levels of porphobilinogen in urine (control mice, less than 50 mumol/L; treated mice, 330 mumol/L). Administration of phenobarbital or phenytoin (single injections on days 7, 8, and 9) increased the urinary porphobilinogen concentration to 3500 mumol/L. This response to porphyrogenic drugs resembles the response observed in human acute porphyrias.


Subject(s)
Herbicides/toxicity , Porphyrias/chemically induced , Porphyrinogens/metabolism , Animals , Cytochrome P-450 Enzyme System/biosynthesis , Enzyme Induction/drug effects , Halogenated Diphenyl Ethers , Kidney/drug effects , Kidney/metabolism , Liver/drug effects , Liver/enzymology , Liver/metabolism , Male , Mice , Mice, Inbred Strains , Oxadiazoles/toxicity , Phenyl Ethers/pharmacology , Porphobilinogen/urine , Porphyrias/metabolism , Porphyrias/pathology , Porphyrins/urine
18.
J Clin Microbiol ; 34(5): 1209-15, 1996 May.
Article in English | MEDLINE | ID: mdl-8727904

ABSTRACT

The rapid identification of mycobacterial DNA in clinical samples by PCR can be useful in the diagnosis of tuberculous infections, but several large studies have found that the sensitivity of this approach is not better than that of culture. In order to improve the sensitivity of detection of mycobacterial DNA in clinical specimens from patients with paucibacillary forms of tuberculosis, we have developed a procedure permitting the specific capture of mycobacterial DNA in crude samples prior to amplification, thereby concentrating the target sequences and removing irrelevant DNA and other potential inhibitors of the amplification reaction (sequence capture-PCR). By using this approach to capture and amplify two different sequences specific for organisms of the Mycobacterium tuberculosis complex (IS6110 and the direct repeat region), it was possible to detect as little as one genome of mycobacterial DNA in samples containing up to 750 micrograms of total DNA, representing a 10- to 100-fold increase in sensitivity compared with that obtained by purifying total DNA prior to amplification. Detection of the IS6110 sequence in pleural fluid samples from patients with tuberculous pleurisy by sequence capture-PCR gave positive results in 13 of 17 cases, including 3 of 3 culture-positive samples and 10 of 14 culture-negative samples. In contrast, when total DNA was purified from these samples by adsorption to a silica matrix prior to amplification, only the three culture-positive samples were positive by PCR. The sensitivity of detection of the direct repeat sequence in these samples by sequence capture-PCR was similar to that of IS6110 and, in addition, permitted immediate typing of the strains from some patients. We conclude that sequence capture-PCR improves the sensitivity of detection of mycobacterial DNA in paucibacillary samples. This approach should be useful in detecting rare target sequences from organisms implicated in other pathologic processes.


Subject(s)
DNA, Bacterial/genetics , DNA, Bacterial/isolation & purification , Mycobacterium tuberculosis/genetics , Mycobacterium tuberculosis/isolation & purification , Polymerase Chain Reaction/methods , Adult , Bacterial Typing Techniques , Base Sequence , DNA Transposable Elements , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Molecular Sequence Data , Mycobacterium tuberculosis/classification , Pleural Effusion/microbiology , Polymerase Chain Reaction/statistics & numerical data , Repetitive Sequences, Nucleic Acid , Sensitivity and Specificity , Tuberculosis/diagnosis , Tuberculosis/microbiology , Tuberculosis, Pleural/diagnosis , Tuberculosis, Pleural/microbiology
19.
Food Chem Toxicol ; 32(7): 641-50, 1994 Jul.
Article in English | MEDLINE | ID: mdl-8045477

ABSTRACT

The effect of the protoporphyrinogen oxidase-inhibiting herbicide fomesafen on liver porphyrin accumulation was studied in long-term high-dose experiments. Fomesafen caused liver accumulation of uroporphyrin and heptacarboxylic porphyrin when fed at 0.25% in the diet to male ICR mice for 5 months (fomesafen-treated mice: 52 nmol uroporphyrin, 21 nmol heptacarboxylic porphyrin/g liver; control mice: traces of uroporphyrin, heptacarboxylic porphyrin not detected). Uroporphyrinogen decarboxylase activity was depressed to about 25% of control values. Iron treatment accelerated the development of this porphyria cutanea tarda-like experimental porphyria both in ICR and C57B1/6J mice. In contrast to other uroporphyrinogen decarboxylase inhibitors, fomesafen treatment did not increase the cytochrome P450IA-related activities and the amount of P450IA2 protein was shown to be significantly decreased by Western immunoblotting. Thus, fomesafen is a unique chemical that inhibits both the oxidation of protoporphyrinogen as well as the conversion of uroporphyrinogen to coproporphyrinogen. However, the accumulation of highly carboxylated porphyrins is evident only after prolonged treatment with high doses of the herbicide.


Subject(s)
Benzamides/pharmacology , Herbicides/pharmacology , Liver/drug effects , Oxidoreductases Acting on CH-CH Group Donors , Oxidoreductases/antagonists & inhibitors , Porphyrins/chemistry , Uroporphyrins/chemistry , Animals , Cytochrome P-450 Enzyme System/drug effects , Flavoproteins , Halogenated Diphenyl Ethers , Kidney/chemistry , Kidney/drug effects , Liver/chemistry , Male , Mice , Mice, Inbred C57BL , Mice, Inbred ICR , Mitochondrial Proteins , Phenyl Ethers/pharmacology , Protoporphyrinogen Oxidase
20.
Arch Toxicol ; 67(4): 255-61, 1993.
Article in English | MEDLINE | ID: mdl-8517781

ABSTRACT

The effects of the herbicides fomesafen, oxyfluorfen, oxadiazon and fluazifop-butyl on porphyrin accumulation in mouse liver, rat primary hepatocyte culture and HepG2 cells were investigated. Ten days of herbicide feeding (0.25% in the diet) increased the liver porphyrins in male C57B1/6J mice from 1.4 +/- 0.6 to 4.8 +/- 2.1 (fomesafen) 16.9 +2- 2.9 (oxyfluorfen) and 25.9 +/- 3.1 (oxadiazon) nmol/g wet weight, respectively. Fluazifop-butyl had no effect on liver porphyrin metabolism. Fomesafen, oxyfluorfen and oxadiazon increased the cellular porphyrin content of rat hepatocytes after 24 h of incubation (control, 3.2 pmol/mg protein, fomesafen, oxyfluorfen and oxadiazon at 0.125 mM concentration 51.5, 54.3 and 44.0 pmol/mg protein, respectively). The porphyrin content of HepG2 cells increased from 1.6 to 18.2, 10.6 and 9.2 pmol/mg protein after 24 h incubation with the three herbicides. Fluazifop-butyl increased hepatic cytochrome P450 levels and ethoxy- and pentoxyresorufin O-dealkylase (EROD and PROD) activity, oxyfluorfen increased PROD activity. Peroxisomal palmitoyl CoA oxidation increased after fomesafen and fluazifop treatment to about 500% of control values both in mouse liver and rat hepatocytes. Both rat hepatocytes and HepG2 cells can be used as a test system for the porphyrogenic potential of photobleaching herbicides.


Subject(s)
Herbicides/toxicity , Liver/drug effects , Oxadiazoles/toxicity , Porphyrins/biosynthesis , Animals , Cytochrome P-450 Enzyme System/metabolism , Dihydropyridines/toxicity , Halogenated Diphenyl Ethers , Liver/metabolism , Male , Mice , Mice, Inbred C57BL , Mice, Inbred ICR , Phenyl Ethers/toxicity , Rats , Rats, Wistar , Tumor Cells, Cultured
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