Interplay between methylenetetrahydrofolate reductase gene polymorphism 677C-->T and serum folate levels in determining hyperhomocysteinemia in heart transplant recipients.

BACKGROUND: Homocysteine metabolism is often impaired in heart transplant recipients, and increased total homocysteine plasma levels may constitute a risk factor for the development of heart allograft vascular disease. Although 677C-->T transition in methylenetetrahydrofolate reductase (MTHFR) is associated with increased homocysteine levels in the general population, it is unclear whether MTHFR polymorphism influences homocysteine metabolism after heart transplant. METHODS: Homocysteine, serum folate, renal function, concentrations of cyclosporine and its metabolites, and MTHFR genotype were determined in 57 heart transplant recipients (age, 55 +/- 11 yr; 21% women; time from transplant, 48 +/- 42 months). RESULTS: Forty nine percent of the study population presented with hyperhomocysteinemia. Homocysteine was 17.1 +/- 5.9 micromol/liter, 19.4 +/- 4.9 micromol/liter, and 26.3 +/- 14.2 micromol/liter for genotypes CC, CT, and TT, respectively (p = 0.028, Kruskal-Wallis test). At multivariate analysis, MTHFR genotype was independently associated with homocysteine (p = 0.005). When the study population was divided into 2 groups accordingly to serum folate levels (above/below the median value of 6.1 ng/ml), MTHFR genotype remained a significant predictor of homocysteine only in patients with low serum folate (p = 0.048). CONCLUSIONS: This study demonstrates that hyperhomocysteinemia is frequent in heart transplant recipients and that the 677C-->T transition in the MTHFR gene independently and unfavorably influences homocysteine metabolism in this group of patients. Adequate folate intake may overcome genetic predisposition to hyperhomocysteinemia.

Spermatozoa and relationships in Palaeognath birds.

In this paper the authors describe the ultrastructure of the mature spermatozoon and the spermatid in Struthio camelus and Dromaius novaehollandiae. The first species is characterized by a rod-like perforatorium within an endonuclear canal in the anterior third of the nucleus, while the second is characterized by an extremely reduced completely extranuclear perforatorium. Other differences are in the sperm dimensions, the number of mitochondria and the length of the axonemal accessory fibers. Considering both the present data and previous findings, Palaeognath birds appear to be a peculiar and monophyletic group, characterized by: 1), a conical acrosome surrounding the nucleus; 2), a fibrous sheath around most of the axoneme; and 3), an elongated distal centriole occupying the entire midpiece. Within this group, Tinamiformes seem to be more primitive than Struthioniformes. In the latter order Dromaius is distinctly different from the reduced Struthio and Rhea which are closely related to one another by the presence of a rod-like endonuclear perforatorium.

Produccion de suero hiperinmune : Parte IV : Seccion 17 : Metodo empleado en el Instituto Toscano de Sueros y Vacunas, Siena

Publicado por la OMS bajo Serie de Monografías No. 23