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1.
Eur Neuropsychopharmacol ; 36: 154-159, 2020 07.
Article in English | MEDLINE | ID: mdl-32522387

ABSTRACT

A polymorphism in the gene encoding the serotonin (5-HT) transporter (5-HTT) has been shown to moderate the response to CO2 inhalation, an experimental model for panic attacks (PAs). Recurrent, unpredictable PAs represent, together with anticipatory anxiety of recurring attacks, the core feature of panic disorder (PD) and significantly interfere with patients' daily life. In addition to genetic components, accumulating evidence suggests that epigenetic mechanisms, which regulate gene expression by modifying chromatin structure, also play a fundamental role in the etiology of mental disorders. However, in PD, epigenetic mechanisms have barely been examined to date. In the present study, we investigated the relationship between methylation at the regulatory region of the gene encoding the 5-HTT and the reactivity to a 35% CO2 inhalation in PD patients. We focused on four specific CpG sites and found a significant association between the methylation level of one of these CpG sites and the fear response. This suggests that the emotional response to CO2 inhalation might be moderated by an epigenetic mechanism, and underlines the implication of the 5-HT system in PAs. Future studies are needed to further investigate epigenetic alterations in PD and their functional consequences. These insights can increase our understanding of the underlying pathophysiology and support the development of new treatment strategies.


Subject(s)
Carbon Dioxide/adverse effects , DNA Methylation/physiology , Fear/physiology , Panic Disorder/metabolism , Regulatory Sequences, Nucleic Acid/physiology , Serotonin Plasma Membrane Transport Proteins/metabolism , Adult , Base Sequence , Epigenesis, Genetic/drug effects , Epigenesis, Genetic/physiology , Fear/drug effects , Fear/psychology , Female , Humans , Male , Middle Aged , Panic Disorder/genetics , Panic Disorder/psychology , Serotonin Plasma Membrane Transport Proteins/genetics
2.
PLoS One ; 10(9): e0137346, 2015.
Article in English | MEDLINE | ID: mdl-26382754

ABSTRACT

Arcanobacterium haemolyticum is a Gram-positive, ß-hemolytic emerging human pathogen that is classified into smooth or rough biotypes. This bacterial species is also a rare pathogen of animals. Smooth biotypes possess smooth colony edges, are moderate to strong in ß-hemolysis, and predominately cause wound infections. In contrast, rough biotypes possess rough and irregular colony edges, have weak to no ß-hemolytic activity, and predominately cause pharyngitis. Using horse erythrocytes we confirmed that smooth isolates are generally more hemolytic than rough isolates. A hemolysin from A. haemolyticum, arcanolysin (aln/ALN), was recently discovered and is a member of the cholesterol-dependent cytolysin (CDC) family. PCR amplification of aln from all 36 smooth A. haemolyticum isolates yielded the expected 2.0 kb product. While 21 rough isolates yielded the 2.0 kb product, 16 isolates had a 3.2 kb product. The extra 1.2 kb segment was 99% identical to IS911 (insertion sequence) from Corynebacterium diphtheriae. PCR amplification and sequence analysis of the upstream region of aln revealed ~40 nucleotide polymorphisms among 73 clinical isolates from Finland, Denmark, Germany and United States (Nebraska). Remarkably, multi-sequence alignments of the aln upstream region demonstrated that ~90% of the isolates phylogenetically clustered as either smooths or roughs. Differential restriction enzyme analysis of the aln upstream region also demonstrated that the aln upstream region of most (~75%) smooth isolates was cleaved with ClaI while this region in most (~86%) rough isolates was cleaved with XcmI. We conclude that the aln upstream region can be used to genetically distinguish between smooth and rough biotypes of this important emerging pathogen.


Subject(s)
Actinomycetales Infections/microbiology , Arcanobacterium/genetics , Arcanobacterium/isolation & purification , Bacterial Proteins/genetics , Genetic Loci , Hemolysin Proteins/genetics , Actinomycetales Infections/diagnosis , Animals , DNA Transposable Elements , Erythrocytes/microbiology , Erythrocytes/pathology , Hemolysis , Horses , Humans , Molecular Sequence Data , Open Reading Frames , Polymorphism, Genetic
3.
Aliment Pharmacol Ther ; 42(6): 741-52, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26198180

ABSTRACT

BACKGROUND: Little data are available regarding the effectiveness and associated microbiome changes of faecal microbiota transplantation (FMT) for Clostridium difficile infection (CDI) in children, especially in those with inflammatory bowel disease (IBD) with presumed underlying dysbiosis. AIM: To investigate C. difficile eradication and microbiome changes with FMT in children with and without IBD. METHODS: Children with a history of recurrent CDI (≥3 recurrences) underwent FMT via colonoscopy. Stool samples were collected pre-FMT and post-FMT at 2-10 weeks, 10-20 weeks and 6 months. The v4 hypervariable region of the 16S rRNA gene was sequenced. C. difficile toxin B gene polymerase chain reaction was performed. RESULTS: Eight children underwent FMT for CDI; five had IBD. All had resolution of CDI symptoms. All tested had eradication of C. difficile at 10-20 weeks and 6 months post-FMT. Pre-FMT patient samples had significantly decreased bacterial richness compared with donors (P = 0.01), in those with IBD (P = 0.02) and without IBD (P = 0.01). Post-FMT, bacterial diversity in patients increased. Six months post-FMT, there was no significant difference between bacterial diversity of donors and patients without IBD; however, bacterial diversity in those with IBD returned to pre-FMT baseline. Microbiome composition at 6 months in IBD-negative patients more closely approximated donor composition compared to IBD-positive patients. CONCLUSIONS: FMT gives sustained C. difficile eradication in children with and without IBD. FMT-restored diversity is sustained in children without IBD. In those with IBD, bacterial diversity returns to pre-FMT baseline by 6 months, suggesting IBD host-related mechanisms modify faecal microbiome diversity.


Subject(s)
Clostridioides difficile , Clostridium Infections/complications , Clostridium Infections/therapy , Fecal Microbiota Transplantation/methods , Inflammatory Bowel Diseases/complications , Microbiota/physiology , Adolescent , Child , Colonoscopy , Feces/microbiology , Female , Humans , Inflammatory Bowel Diseases/microbiology , Male , Polymerase Chain Reaction , RNA, Ribosomal, 16S , Recurrence
4.
Transl Psychiatry ; 4: e473, 2014 Oct 21.
Article in English | MEDLINE | ID: mdl-25335169

ABSTRACT

The serotonin transporter gene (5-HTT/SLC6A4)-linked polymorphic region has been suggested to have a modulatory role in mediating effects of early-life stress exposure on psychopathology rendering carriers of the low-expression short (s)-variant more vulnerable to environmental adversity in later life. The underlying molecular mechanisms of this gene-by-environment interaction are not well understood, but epigenetic regulation including differential DNA methylation has been postulated to have a critical role. Recently, we used a maternal restraint stress paradigm of prenatal stress (PS) in 5-HTT-deficient mice and showed that the effects on behavior and gene expression were particularly marked in the hippocampus of female 5-Htt+/- offspring. Here, we examined to which extent these effects are mediated by differential methylation of DNA. For this purpose, we performed a genome-wide hippocampal DNA methylation screening using methylated-DNA immunoprecipitation (MeDIP) on Affymetrix GeneChip Mouse Promoter 1.0 R arrays. Using hippocampal DNA from the same mice as assessed before enabled us to correlate gene-specific DNA methylation, mRNA expression and behavior. We found that 5-Htt genotype, PS and their interaction differentially affected the DNA methylation signature of numerous genes, a subset of which showed overlap with the expression profiles of the corresponding transcripts. For example, a differentially methylated region in the gene encoding myelin basic protein (Mbp) was associated with its expression in a 5-Htt-, PS- and 5-Htt × PS-dependent manner. Subsequent fine-mapping of this Mbp locus linked the methylation status of two specific CpG sites to Mbp expression and anxiety-related behavior. In conclusion, hippocampal DNA methylation patterns and expression profiles of female prenatally stressed 5-Htt+/- mice suggest that distinct molecular mechanisms, some of which are promoter methylation-dependent, contribute to the behavioral effects of the 5-Htt genotype, PS exposure and their interaction.


Subject(s)
DNA Methylation/genetics , Genome-Wide Association Study/statistics & numerical data , Prenatal Exposure Delayed Effects/genetics , Serotonin Plasma Membrane Transport Proteins/genetics , Stress, Physiological/genetics , Stress, Psychological/genetics , Animals , Behavior, Animal , Female , Gene Expression/genetics , Hippocampus , Mice , Mice, Inbred C57BL , Pregnancy
5.
Eur Radiol ; 24(10): 2427-34, 2014 Oct.
Article in English | MEDLINE | ID: mdl-25038855

ABSTRACT

OBJECTIVES: Congenital diaphragmatic hernia (CDH) leads to lung hypoplasia. Using dynamic contrast-enhanced (DCE) MR imaging, lung perfusion can be quantified. As MR perfusion values depend on temporal resolution, we compared two protocols to investigate whether ipsilateral lung perfusion is impaired after CDH, whether there are protocol-dependent differences, and which protocol is preferred. METHODS: DCE-MRI was performed in 36 2-year old children after CDH on a 3 T MRI system; protocol A (n = 18) based on a high spatial (3.0 s; voxel: 1.25 mm(3)) and protocol B (n = 18) on a high temporal resolution (1.5 s; voxel: 2 mm(3)). Pulmonary blood flow (PBF), pulmonary blood volume (PBV), mean transit time (MTT), and peak-contrast-to-noise-ratio (PCNR) were quantified. RESULTS: PBF was reduced ipsilaterally, with ipsilateral PBF of 45 ± 26 ml/100 ml/min to contralateral PBF of 63 ± 28 ml/100 ml/min (p = 0.0016) for protocol A; and for protocol B, side differences were equivalent (ipsilateral PBF = 62 ± 24 vs. contralateral PBF = 85 ± 30 ml/100 ml/min; p = 0.0034). PCNR was higher for protocol B (30 ± 18 vs. 20 ± 9; p = 0.0294). Protocol B showed higher values of PBF in comparison to protocol A (p always <0.05). CONCLUSIONS: Ipsilateral lung perfusion is reduced in 2-year old children following CDH repair. Higher temporal resolution and increased voxel size show a gain in PCNR and lead to higher perfusion values. Protocol B is therefore preferred. KEY POINTS: • Quantitative lung perfusion parameters depend on temporal and spatial resolution. • Reduction of lung perfusion in CDH can be measured with different MR protocols. • Temporal resolution of 1.5 s with spatial resolution of 2 mm (3) is suitable.


Subject(s)
Hernias, Diaphragmatic, Congenital/diagnosis , Herniorrhaphy , Lung Diseases/diagnosis , Lung/pathology , Magnetic Resonance Imaging/methods , Perfusion Imaging/methods , Child, Preschool , Contrast Media , Female , Hernias, Diaphragmatic, Congenital/complications , Hernias, Diaphragmatic, Congenital/surgery , Humans , Lung Diseases/etiology , Male , Postoperative Period , Reproducibility of Results
6.
Neurochem Int ; 59(6): 821-9, 2011 Nov.
Article in English | MEDLINE | ID: mdl-21854820

ABSTRACT

Focusing on development of novel drug candidates for the treatment of neurodegenerative diseases, we developed and synthesized a new compound, 2-(cyclohexylamino)-1-(4-cyclopentylpiperazin-1-yl)-2-methylpropan-1-one (amido-piperizine 1). The compound demonstrated robust neuroprotective properties after both glutamate excitotoxicity and peroxide induced oxidative stress in primary cortical cultures. Furthermore, amido-piperizine 1 was found to significantly induce neurite outgrowth in vitro which could suggest central reparative and regenerative potential of the compound. With these potential beneficial effects in CNS, the ability of the amido-piperizine 1 to penetrate the blood-brain barrier was tested using MDR1-MDCK cells. Amido-piperizine 1 was found not to be a P-gp substrate and to have a high blood-brain barrier penetration potential, indicating excellent availability to the CNS. Moreover, amido-piperizine 1 had a fast metabolic clearance rate in vitro, suggesting that parenteral in vivo administration seems preferable. As an attempt to elucidate a possible mechanism of action, we found that amido-piperizine 1 bound in nano-molar range to the sigma-1 receptor, which could explain the observed neuroprotective and neurotrophic properties, and with a 100-fold lower affinity to the sigma-2 receptor. These results propose that amido-piperizine 1 may hold promise as a drug candidate for the treatment of stroke/traumatic brain injury or other neurodegenerative diseases.


Subject(s)
Cyclohexylamines/administration & dosage , Nerve Growth Factors/administration & dosage , Neurites/drug effects , Neuroprotective Agents/administration & dosage , Piperazines/administration & dosage , Animals , CHO Cells , Cricetinae , Cricetulus , Cyclohexylamines/pharmacology , Cyclohexylamines/therapeutic use , Dogs , Humans , Jurkat Cells , Male , Nerve Growth Factors/pharmacology , Nerve Growth Factors/therapeutic use , Neurites/metabolism , Neurites/pathology , Neuroprotective Agents/pharmacology , Neuroprotective Agents/therapeutic use , Piperazines/pharmacology , Piperazines/therapeutic use , Primary Cell Culture , Rats , Rats, Wistar
7.
Scand J Immunol ; 58(4): 404-11, 2003 Oct.
Article in English | MEDLINE | ID: mdl-14507305

ABSTRACT

Glucosamine (GlcN) and N-acetyl-d-glucosamine (GlcNAc) were assayed in vitro for their effects on proliferation, cytotoxicity and cytokine secretion in primary and secondary mixed lymphocyte cultures (MLCs). In addition, we studied the effect of GlcN and GlcNAc on the proliferation of purified CD4+ T cells exposed to immobilized anti-CD3 antibody. The present data show that GlcN, but not GlcNAc, inhibits CD4+ T-cell proliferation, the generation of alloreactive cytotoxic T lymphocytes (CTLs) and the secretion of interferon-gamma (IFN-gamma) and interleukin-5 (IL-5) in primary MLC. In secondary T helper-2 (Th2)-polarized MLC, GlcN, but not GlcNAc, inhibits IL-4 and IL-5 secretion, whereas no effect was found on IFN-gamma secretion in Th1-polarized MLC. Dendritic cells treated with GlcN showed a 75-80% decreased capacity for antigen cross-presentation and allostimulation. In cellular bioassays, GlcN was shown to inhibit the stimulatory activity of IL-4 and IL-2, as well as the cytotoxic activity of tumour necrosis factor-alpha (TNF-alpha). In conclusion, GlcN suppresses unprimed T-cell responses by interfering with antigen-presenting cell functions and by a direct inhibitory effect on T-cell proliferation. In addition, GlcN inhibits the secretion of cytokines in antigen-stimulated unprimed T cells and primed Th2-polarized cells.


Subject(s)
Adjuvants, Immunologic/pharmacology , Glucosamine/pharmacology , T-Lymphocytes/drug effects , Animals , Female , Mice , Mice, Inbred BALB C
9.
Reprod Toxicol ; 15(1): 75-80, 2001.
Article in English | MEDLINE | ID: mdl-11137381

ABSTRACT

The teratogenicity of EV.EXT 33, a patented Zingiber officinale extract, was examined in Wistar SPF rats according to GLP Guidelines. EV.EXT 33 was administered by oral gavage in concentrations of 100, 333, and 1000 mg/kg, to three groups of 22 pregnant female rats from days 6 to 15 of gestation. For comparison, a fourth group received the vehicle, sesame oil. Body weight and food and water intake were recorded during the treatment period. The rats were killed on day 21 of gestation and examined for standard parameters of reproductive performance. The fetuses were examined for signs of teratogenic and toxic effects.EV.EXT 33 was well tolerated. No deaths or treatment-related adverse effects were observed. Weight gain and food consumption were similar in all groups during gestation. Reproductive performance was not affected by treatment with EV.EXT 33. The examination of fetuses for external, visceral, and skeletal changes showed no embryotoxic or teratogenic effects of EV.EXT 33. Based on these results, it was concluded that EV.EXT 33, when administered to pregnant rats during the period of organogenesis, caused neither maternal nor developmental toxicity at daily doses of up to 1000 mg/kg body weight.


Subject(s)
Abnormalities, Drug-Induced , Plants, Medicinal , Zingiber officinale , Animals , Bone and Bones/abnormalities , Dose-Response Relationship, Drug , Female , Plant Extracts/toxicity , Pregnancy , Rats , Rats, Wistar
10.
J Ethnopharmacol ; 73(3): 513-20, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11091007

ABSTRACT

In three different studies on rats, the effects of a patented standardised ginger extract, EV.EXT 33, on blood glucose, blood coagulation, blood pressure and heart rate were investigated. EV.EXT 33 had no significant effect on blood glucose levels at the doses used. It also had no significant effects on coagulation parameters or on Warfarin-induced changes in blood coagulation, indicating that it did not interact with Warfarin. EV.EXT 33 neither decreases systolic blood pressure nor increases heart rate in the rat. As also seen from the literature, ginger is thus pharmacologically safe regarding the investigated aspects.


Subject(s)
Plant Extracts/pharmacology , Plants, Medicinal , Zingiber officinale/chemistry , Animals , Anticoagulants/pharmacology , Blood Coagulation , Blood Glucose/analysis , Blood Pressure/drug effects , Drug Interactions , Heart Rate/drug effects , Male , Plant Extracts/adverse effects , Rats , Rats, Wistar , Warfarin/pharmacology
11.
Am J Hypertens ; 13(6 Pt 1): 586-92, 2000 Jun.
Article in English | MEDLINE | ID: mdl-10912739

ABSTRACT

Normotensive individuals with a magnified blood pressure (BP) level during exercise have an increased risk for developing hypertension. The purpose of this study was to determine if skeletal muscle fiber type is related to the BP level during exercise. Peak BP was determined in 35 normotensive, middle-aged (mean +/- SE, 46.0 +/- 1.8 years) men during maximal treadmill exercise. Fiber distribution (I, IIa, IIb) was measured in muscle samples (percutaneous needle biopsy) from the vastus lateralis and lateral gastrocnemius. The systolic BP during exercise was significantly (P < .05) related to the percentage of type IIb fibers in both the vastus lateralis (r = 0.37) and gastrocnemius (r = 0.38). Mean arterial pressure BP was also related to the percentage of type IIb fibers in the gastrocnemius (r = 0.39, P < .05), with a similar trend evident in the vastus lateralis (r = 0.31, P = 0.08). The percentage of type IIb muscle fibers in both muscle groups was associated with (P < .05) body fat (vastus lateralis, r = 0.44; gastrocnemius, r = 0.43). There were no relationships between the relative percentage of type I or IIa fibers with any BP parameters. Maximal oxygen consumption was negatively related to BP, but only when expressed relative to body weight (mL x kg(-1) x min(-1)). These data suggest that muscle morphology is related to the blood pressure level during exercise and provides insight into factors that may predispose individuals toward the development of hypertension and cardiovascular disease.


Subject(s)
Blood Pressure/physiology , Exercise/physiology , Muscle Fibers, Skeletal/cytology , Biopsy, Needle , Disease Susceptibility/diagnosis , Disease Susceptibility/etiology , Disease Susceptibility/metabolism , Exercise Test , Humans , Hypertension/diagnosis , Hypertension/etiology , Hypertension/metabolism , Male , Middle Aged , Muscle Fibers, Skeletal/metabolism , Oxygen Consumption , Risk Factors
13.
Osteoarthritis Cartilage ; 8(1): 9-12, 2000 Jan.
Article in English | MEDLINE | ID: mdl-10607493

ABSTRACT

OBJECTIVE: Alternative medicine is used extensively by patients with chronic pain due to e.g., osteoarthritis. Only few of these drugs have be tested in a controlled setting and the present study was undertaken to examine the effect of ginger extract, one of the most popular herbal medications. DESIGN: Ginger extract was compared to placebo and Ibuprofen in patients with osteoarthritis of the hip or knee in a controlled, double blind, double dummy, cross-over study with a wash-out period of one week followed by three treatment periods in a randomized sequence, each of three weeks duration. Acetaminophen was used as rescue medication throughout the study. The study was conducted in accordance with Good Clinical Practice (European Guideline for GCP). RESULTS: A ranking of efficacy of the three treatment periods: Ibuprofen>ginger extract>placebo was found for visual analogue scale of pain (Friedman test: 24.65, P< 0.00001) and the Lequesne-index (Friedman test: 20.76, P< 0.00005). In the cross-over study, no significant difference between placebo and ginger extract could be demonstrated (Siegel-Castellan test), while explorative tests of differences in the first treatment period showed a better effect of both Ibuprofen and ginger extract than placebo (Chi-square, P< 0.05). There were no serious adverse events reported during the periods with active medications. CONCLUSION: In the present study a statistically significant effect of ginger extract could only be demonstrated by explorative statistical methods in the first period of treatment before cross-over, while a significant difference was not observed in the study as a whole.


Subject(s)
Anti-Inflammatory Agents, Non-Steroidal/therapeutic use , Ibuprofen/therapeutic use , Osteoarthritis/therapy , Phytotherapy , Plants, Medicinal , Zingiber officinale/therapeutic use , Adult , Aged , Aged, 80 and over , Cross-Over Studies , Double-Blind Method , Female , Humans , Male , Middle Aged , Patient Compliance , Plant Extracts/therapeutic use , Treatment Outcome
14.
J Appl Physiol (1985) ; 85(4): 1337-41, 1998 Oct.
Article in English | MEDLINE | ID: mdl-9760325

ABSTRACT

The purpose of this study was to determine whether enzymatic and histochemical characteristics of human skeletal muscle are altered with aging. Tissues from the vastus lateralis (VL) and gastrocnemius were analyzed for citrate synthase (CS) activity and fiber type in 55 sedentary men (age range 18-80 yr). In this population, CS activity in the gastrocnemius was negatively related to age (r = -0. 32, P < 0.05); there was no relationship in the VL. Treadmill-determined maximal oxygen consumption was positively related (r = 0.40, P < 0.05) to CS in the gastrocnemius but not in the VL. CS activity in the gastrocnemius was 24% lower in the oldest (>/=60 yr, n = 10) vs. the youngest (

Subject(s)
Aging/metabolism , Citrate (si)-Synthase/metabolism , Muscle Fibers, Skeletal/enzymology , Muscle, Skeletal/enzymology , Oxygen Consumption , Adipose Tissue/anatomy & histology , Adult , Aged , Body Composition , Exercise Test , Humans , Male , Middle Aged , Muscle Development , Muscle Fibers, Skeletal/physiology , Muscle, Skeletal/growth & development , Muscle, Skeletal/physiology , North Carolina , Organ Specificity , Regression Analysis , White People
15.
J Exp Med ; 188(6): 1147-57, 1998 Sep 21.
Article in English | MEDLINE | ID: mdl-9743533

ABSTRACT

Little is understood of the anatomical fate of activated T lymphocytes and the consequences they have on the tissues into which they migrate. Previous work has suggested that damaged lymphocytes migrate to the liver. This study compares class I versus class II major histocompatibility complex (MHC)-restricted ovalbumin-specific T cell antigen receptor (TCR) transgenic mice to demonstrate that after in vivo activation with antigen the emergence of CD4(-)CD8(-)B220(+) T cells occurs more frequently from a CD8(+) precursor than from CD4(+) T cells. Furthermore, this change in phenotype is conferred only by the high affinity native peptide antigen and not by lower affinity peptide variants. After activation of CD8(+) cells with only the high affinity peptide, there is also a dramatically increased number of liver lymphocytes with accompanying extensive hepatocyte damage and elevation of serum aspartate transaminase. This was not observed in mice bearing a class II MHC-restricted TCR. The findings show that CD4(-)CD8(-)B220(+) T cells preferentially derive from a CD8(+) precursor after a high intensity TCR signal. After activation, T cells can migrate to the liver and induce hepatocyte damage, and thereby serve as a model of autoimmune hepatitis.


Subject(s)
Antigens/pharmacology , CD8-Positive T-Lymphocytes/immunology , Liver/pathology , Ovalbumin/immunology , Peptides/immunology , Amino Acid Sequence , Animals , Antigens/administration & dosage , CD4 Antigens/biosynthesis , CD8 Antigens/biosynthesis , CD8-Positive T-Lymphocytes/metabolism , Cell Death/immunology , Cell Movement/immunology , Cell Size/immunology , Female , Humans , Immunophenotyping , Injections, Intraperitoneal , Leukocyte Common Antigens/biosynthesis , Liver/immunology , Male , Mice , Mice, Inbred BALB C , Mice, Inbred C57BL , Mice, Transgenic , Molecular Sequence Data , Ovalbumin/administration & dosage , Peptides/administration & dosage
16.
Arch Dermatol ; 134(6): 679-83, 1998 Jun.
Article in English | MEDLINE | ID: mdl-9645635

ABSTRACT

BACKGROUND: Rosacea is a chronic skin disease that requires long-term therapy. Oral antibiotics and topical metronidazole successfully treat rosacea. Because long-term use of systemic antibiotics carries risks for systemic complications and adverse reactions, topical treatments are preferred. OBJECTIVE: To determine if the use of topical metronidazole gel (Metrogel) could prevent relapse of moderate to severe rosacea. DESIGN: A combination of oral tetracycline and topical metronidazole gel was used to treat 113 subjects with rosacea (open portion of the study). Successfully treated subjects (n = 88) entered a randomized, double-blind, placebo-controlled study applying either 0.75% topical metronidazole gel (active agent) or topical metronidazole vehicle gel (placebo) twice daily (blinded portion of the study). SETTING: Subjects were enrolled at 6 separate sites in large cities at sites associated with major medical centers. SUBJECTS: One hundred thirteen subjects with at least 6 inflammatory papules and pustules, moderate to severe facial erythema and telangiectasia entered the open phase of the study. Eighty-eight subjects responded to treatment with systemic tetracycline and topical metronidazole gel as measured by at least a 70% reduction in the number of inflammatory lesions. These subjects were randomized to receive 1 of 2 treatments: either 0.75% metronidazole gel or placebo gel. INTERVENTIONS: Subjects were evaluated monthly for up to 6 months to determine relapse rates. MAIN OUTCOME MEASURES: Inflammatory papules and pustules were counted at each visit. Relapse was determined by the appearance of a clinically significant increase in the number of papules and pustules. Prominence of telangiectases and dryness (roughness and scaling) were also observed. RESULTS: In the open phase, treatment with tetracycline and metronidazole gel eliminated all papules and pustules in 67 subjects (59%). The faces of 104 subjects (92%) displayed fewer papules and pustules after treatment, and 82 subjects (73%) exhibited less erythema. In the randomized double-blind phase, the use of topical metronidazole significantly prolonged the disease-free interval and minimized recurrence compared with subjects treated with the vehicle. Eighteen (42%) of 43 subjects applying the vehicle experienced relapse, compared with 9 (23%) of 39 subjects applying metronidazole gel (P<.05). The metronidazole group had fewer papules and/or pustules after 6 months of treatment (P<.01). Relapse of erythema also occurred less often in subjects treated with metronidazole (74% vs 55%). CONCLUSION: In a majority of subjects studied, continued treatment with metronidazole gel alone maintains remission of moderate to severe rosacea induced by treatment with oral tetracycline and topical metronidazole gel.


Subject(s)
Dermatologic Agents/therapeutic use , Metronidazole/therapeutic use , Rosacea/drug therapy , Rosacea/prevention & control , Administration, Cutaneous , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Double-Blind Method , Drug Therapy, Combination , Female , Humans , Male , Middle Aged , Recurrence , Tetracycline/therapeutic use , Treatment Outcome
17.
J Am Acad Dermatol ; 38(2 Pt 1): 186-90, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9486672

ABSTRACT

BACKGROUND: Flurandrenolide tape has recently been listed as a group I topical corticosteroid. There are no studies that compare this product to group I ointments in the treatment of steroid-responsive dermatoses. OBJECTIVE: Our purpose was to determine the relative efficacy of flurandrenolide (4 microg/cm2) tape versus 0.05% diflorasone diacetate ointment in plaque psoriasis. METHODS: Thirty patients participated in an investigator-blinded, randomized, bilateral paired-comparison study of flurandrenolide tape applied to lesions of one side of the body once daily for up to 16 hours versus diflorasone diacetate ointment applied contralaterally twice daily. Lesions were assessed at baseline, then reevaluated at 2 and 4 weeks. RESULTS: Flurandrenolide tape-treated plaques showed consistently greater clearing in terms of erythema, scaling, induration, and treatment success for all plaques, as well as the subset of knee and elbow plaques, when compared with the lesions receiving diflorasone diacetate ointment. CONCLUSION: The efficacy of flurandrenolide tape in the treatment of psoriatic plaques surpasses that of diflorasone diacetate ointment.


Subject(s)
Anti-Inflammatory Agents/administration & dosage , Betamethasone/analogs & derivatives , Flurandrenolone/administration & dosage , Psoriasis/drug therapy , Administration, Topical , Adolescent , Adult , Aged , Betamethasone/administration & dosage , Double-Blind Method , Drug Administration Schedule , Female , Glucocorticoids , Humans , Male , Middle Aged , Ointments , Treatment Outcome
18.
Cell ; 91(2): 281-90, 1997 Oct 17.
Article in English | MEDLINE | ID: mdl-9346245

ABSTRACT

Molecular mechanisms determining methylation patterns in eukaryotic genomes still remain unresolved. We have characterized, in Ascobolus, a gene for de novo methylation. This novel eukaryotic gene, masc1, encodes a protein that has all motifs of the catalytic domain of eukaryotic C5-DNA-methyltransferases but is unique in that it lacks a regulatory N-terminal domain. The disruption of masc1 has no effect on viability or methylation maintenance but prevents the de novo methylation of DNA repeats, which takes place after fertilization, through the methylation induced premeiotically (MIP) process. Crosses between parents harboring the masc1 disruption are arrested at an early stage of sexual reproduction, indicating that the activity of Masc1, the product of the gene, is crucial in this developmental process.


Subject(s)
Ascomycota/genetics , DNA (Cytosine-5-)-Methyltransferases/genetics , DNA Methylation , DNA-Binding Proteins , Fungal Proteins , Methyltransferases/genetics , Amino Acid Sequence , Animals , Arabidopsis , Base Sequence , Cloning, Molecular , DNA (Cytosine-5-)-Methyltransferases/chemistry , DNA (Cytosine-5-)-Methyltransferases/metabolism , Eukaryotic Cells/enzymology , Gene Expression Regulation, Enzymologic/genetics , Genetic Complementation Test , Homozygote , Mice , Molecular Sequence Data , Mutation/physiology , Reproduction, Asexual/physiology , Sequence Homology, Amino Acid
19.
Biol Chem ; 378(9): 975-82, 1997 Sep.
Article in English | MEDLINE | ID: mdl-9348106

ABSTRACT

McrBC is a GTP-dependent restriction endonuclease of E. coli K12, selectively directed against DNA containing modified cytosine residues. McrB, one of its components, is responsible for the binding and, together with McrC, for the cleavage of DNAs containing two 5'-Pu(m)C sites separated by 40-80 base pairs. Gel retardation assays with wild-type and mutant McrB reveal that (i) single 5'-Pu(m)C sites in DNA can be sufficient to elicite binding by McrB. Binding to such substrates is, however, weak and strongly dependent on the sequence context of Pu(m)C sites. (ii) Strong DNA binding (K(ass) approximately 10(7)M[-1]) is dependent on the presence of at least two Pu(m)C sites, even if they are separated by less than 40 bp, and is modulated by the sequence context (-A(m)CCGGT- --> -A(m)CT(C/G)AGT- --> -AGG(m)CCT- --> -AAG(m)CTT-). (iii) DNA binding by McrB is accompanied by formation of distinct multiple complexes whose distribution is modulated by GTP. (iv) McrC, which cannot bind DNA by itself, moderately stimulates the DNA binding of McrB and converts McrB-DNA complexes to large aggregates. (v) Deletion of the C-terminal half of McrB, which harbors the three consensus sequences characteristic for guanine nucleotide binding proteins, leads to protein inactive in GTP binding and/or hydrolysis and in McrC-assisted DNA cleavage; the protein, however, remains fully competent in DNA binding. (vi) Mutations in McrB which lead to a reduction in GTP binding and/or hydrolysis can affect DNA binding, suggesting that the two activities are coupled in the full-length protein.


Subject(s)
DNA Methylation , DNA Restriction Enzymes/chemistry , DNA/chemistry , Escherichia coli Proteins , Guanosine Triphosphate/chemistry , Base Composition , Binding Sites/drug effects , DNA/metabolism , DNA Methylation/drug effects , DNA Restriction Enzymes/genetics , DNA Restriction Enzymes/isolation & purification , DNA-Binding Proteins/genetics , Escherichia coli/enzymology , Guanosine Triphosphate/metabolism , Guanosine Triphosphate/pharmacology , Hydrolysis , Mutagenesis/genetics
20.
J Mol Biol ; 272(2): 190-9, 1997 Sep 19.
Article in English | MEDLINE | ID: mdl-9299347

ABSTRACT

McrBC, a GTP-dependent restriction enzyme from E. coli K-12, cleaves DNA containing methylated cytosine residues 40 to 80 residues apart and 3'-adjacent to a purine residue (PumCN40-80PumC). The presence of the three consensus sequences characteristic for guanine nucleotide binding proteins in one of the two subunits of McrBC suggests that this subunit is responsible for GTP binding and hydrolysis. We show here that (i) McrB binds GTP with an affinity of 10(6) M-1 and that GTP binding stabilizes McrB against thermal denaturation. (ii) McrB binds GDP about 50-fold and ATP at least three orders of magnitude more weakly than GTP. (iii) McrB hydrolyzes GTP in the presence of Mg2+ with a steady-state rate of approximately 0.5 min-1. (iv) McrC stimulates GTP hydrolysis 30-fold, but substrate DNA has no detectable effect on the GTPase activity of McrB, neither by itself nor in the presence of McrC. (v) Substitution of N339 and N376 with alanine allowed us to identify NTAD (339 to 342) rather than NKKA (376 to 379) as the equivalent of the third consensus sequence motif characteristic for guanine nucleotide binding proteins, NKXD.


Subject(s)
Bacterial Proteins/physiology , DNA Restriction Enzymes/metabolism , Escherichia coli Proteins , Escherichia coli/enzymology , Guanosine Triphosphate/metabolism , Adenosine Triphosphate/metabolism , Bacterial Proteins/genetics , DNA/metabolism , GTP Phosphohydrolases/metabolism , Hydrolysis , Kinetics , Mutation , Protein Binding
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