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1.
J Vet Pharmacol Ther ; 33(1): 1-8, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20444018

RESUMO

The impact of nonsteroidal anti-inflammatory drugs (NSAID) on prostaglandin E(2) (PGE(2)) production and cyclooxygenase 2 (COX-2) mRNA expression in bovine whole blood (WB) cultures stimulated by lipopolysaccharide (LPS) was determined, using the blood from six Holstein dairy cattle in various stages of lactation. Peak production of PGE(2) occurred 24 h after LPS stimulation but did not result in detectable concentrations of thromboxane B(2) (TXB(2)). The NSAID indomethacin, aspirin, flunixin meglumine, and 4-[5-phenyl-3-(trifluoromethyl)-1H-pyrazol-1-yl] benzene sulfonamide (PTPBS; celecoxib analogue), along with dexamethasone, were all equally effective in reducing the concentration of PGE(2) in the bovine WB culture supernatants. Bradykinin exhibited peak supernatant concentrations 1 h after LPS stimulation. Dexamethasone and the NSAID used in this study were equally effective at inhibiting bradykinin production. Peak induction of COX-2 mRNA occurred 3 h post-LPS stimulation. However, neither dexamethasone nor any of the NSAID used in this study altered COX-2 mRNA concentrations. In contrast, aspirin, flunixin meglumine, and PTPBS reduced tumor necrosis factor-alpha (TNFalpha) mRNA concentration. These results demonstrate that bovine blood cells respond to NSAID therapy like other mammalian cells with respect to inhibition of PGE(2) production and suppression of TNF mRNA induction, but do not inhibit induction of COX-2 mRNA.


Assuntos
Anti-Inflamatórios não Esteroides/farmacologia , Bovinos/sangue , Dinoprostona/sangue , Dinoprostona/metabolismo , Inflamação/sangue , Animais , Biomarcadores , Ciclo-Oxigenase 2/metabolismo , Feminino , Regulação Enzimológica da Expressão Gênica , RNA Mensageiro/genética , RNA Mensageiro/metabolismo
2.
Domest Anim Endocrinol ; 24(2): 155-70, 2003 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-12586315

RESUMO

The effect of multiple lipopolysaccharide (LPS) challenges in swine undergoing long-term treatment with porcine somatotropin (PST) was determined. Changes in aspartate serine transaminase (AST) occurred only at 24h following the first LPS challenge dose (P<0.05), while PST treatment moderated any change from occurring. Nonesterified free fatty acid (NEFA) levels were elevated in PST treated animals for the first 3 days following daily LPS treatment (P<0.05), while LPS treatment alone had no effect on plasma NEFA levels. Plasma urea nitrogen (PUN) levels were unchanged by LPS following the initial LPS challenge, but were decreased following the second challenge dose (P=0.014). These changes were long lasting, with a return to normal PUN levels not evident until Day 6. The PST treatment mitigated changes in PUN (P<0.05) when LPS was administered. Haptoglobin plasma levels, along with lipid peroxide production were not affected by LPS challenge or PST administration. LPS challenge reduced the levels of immunoreactive heat shock protein 70 (HSP70) throughout the entire challenge period (P<0.001). PST-LPS animals had normal levels of this protein. The results of the present study demonstrate that long-term PST treatment mitigates the adverse effects of subchronic LPS administration.


Assuntos
Hormônio do Crescimento/farmacologia , Lipopolissacarídeos/administração & dosagem , Suínos/sangue , Animais , Aspartato Aminotransferases/sangue , Glicemia/análise , Nitrogênio da Ureia Sanguínea , Ácidos Graxos não Esterificados/sangue , Proteínas de Choque Térmico HSP70/sangue , Haptoglobinas/análise , Insulina/sangue , Peroxidação de Lipídeos , Proteínas Recombinantes/farmacologia , Substâncias Reativas com Ácido Tiobarbitúrico/análise
3.
Drug Metab Dispos ; 29(6): 908-15, 2001 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-11353762

RESUMO

Constitutive swine enzymes analogous to human/rat cytochrome P450 (CYP) isoforms 1A2, 2A6, 2B1/2/6, 2D6, 2E1, 3A1, and 4A1/3 were detected by Western blot analysis. Swine 2E1 has a molecular weight greater than rat 2E1; swine 2B2 has a molecular weight similar to human 2B6. An induction cocktail containing beta-naphthoflavone, phenobarbital, and dexamethasone induced immunoreactive homologs of 1A1, 1A2, 2B1, 2B2, 3A1, and 3A2. Although the P450 content was increased by induction, there was no difference in the Soret lambda(max). Swine 1A1 has a lower molecular weight than swine 1A2 and rat 1A1. A swine 2B1 homolog was seen after induction, with a molecular weight that was lower than rat 2B1 but higher than swine 2B2. Induction did not augment swine 2B2 levels. The 3A homologs have molecular weights similar to their rodent counterparts. Following induction, swine 3A1 levels increased and were accompanied by the appearance of swine 3A2. Induction had no effect on expression of 2A6, 2B6, 2D6, 2E1, or 4A1/3. Enzyme induction increased the specific activities (nmol/min/mg) of substrates specific for 1A (7 of 7 substrates tested), 2A (2/2), 2B (5/5), 2C (1/3), 2D (3/4), 2E (3/3), 3A (3/5), and 4A (1/1). Although the specific activities of the 2E substrates increased, the turnover number for hydroxylation of chlorzoxazone was unchanged and that of p-nitrophenol and aniline were depressed in induced pigs. These results show that swine CYP isoforms are similar to those identified in human and rodents, but they are also different in many ways.


Assuntos
Sistema Enzimático do Citocromo P-450/metabolismo , Isoenzimas/metabolismo , Microssomos Hepáticos/enzimologia , Animais , Western Blotting , Sistema Enzimático do Citocromo P-450/biossíntese , Indução Enzimática , Isoenzimas/biossíntese , Suínos
4.
Vet Immunol Immunopathol ; 79(1-2): 41-52, 2001 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-11356249

RESUMO

The kinetics of interleukin-2 (IL-2), IL-6, IL-8 and IL-10 gene expression in concanavalin A (Con A)-activated whole blood (WB) and peripheral blood mononuclear cell (PBMC) cultures were examined using reverse transcriptase-polymerase chain reaction (RT-PCR). Unstimulated PBMC or WB cultures failed to show increases in basal cytokine PCR amplicon levels for any cytokine examined. PBMC cultures demonstrated peak expression of IL-2, IL-6, IL-8 and IL-10 mRNA levels at 12, 24, 24 and 6h, respectively. WB cultures exhibited peak IL-2, IL-6, IL-8 and IL-10 mRNA levels at 24, 12, 6 and 24h, respectively. PBMC cultures consistently exhibited higher levels of IL-2 mRNA at all times examined than did WB cultures. WB cultures consistently had higher levels of IL-6 mRNA than PBMC cultures. IL-8 and IL-10 protein levels in PBMC cultures were first detected 12h after stimulation and continued to increase in concentration through 48h. In WB cultures, IL-8 and IL-10 protein levels were first noted at 12 and 6h, respectively. WB culture IL-8 and IL-10 levels quickly reached equilibrium after being detected and remained at levels lower than those noted in PBMC cultures. These results show WB cultures represent an approach with reduced cost and time when compared to traditional cell culture and isolation methods. It may also produce an in vitro test system that more closely resembles in vivo conditions.


Assuntos
Citocinas/sangue , Monócitos/metabolismo , RNA Mensageiro/biossíntese , Suínos/sangue , Animais , Citocinas/genética , Ensaio de Imunoadsorção Enzimática/veterinária , Interleucina-10/sangue , Interleucina-10/genética , Interleucina-2/sangue , Interleucina-2/genética , Interleucina-6/sangue , Interleucina-6/genética , Interleucina-8/sangue , Interleucina-8/genética , Reação em Cadeia da Polimerase Via Transcriptase Reversa/veterinária
5.
J Food Prot ; 64(4): 564-6, 2001 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-11307899

RESUMO

This study validated a polymerase chain reaction-based method for the detection of a specific bovine mitochondrial gene derived from rendered bovine tissues and admixed with complete animal feed. Four laboratories participated in this effort: one state laboratory and three Food and Drug Administration (FDA) laboratories, including one FDA field laboratory. The protocol used a statistical approach of 90% probability, with a 95% confidence interval for determining acceptable rates of false-positive and false-negative samples. Each participating laboratory analyzed 30 samples of feed each containing 0, 0.125, and 2.0% bovine meat and bone meal (BMBM), for a total of 90 feed samples. The samples were randomized such that the analysts were unaware of the true identity of the test samples. The results demonstrated that all laboratories met the acceptance criteria established for this protocol. The overall rates of false-negative results were 0.83% (1/120) at the level of 0.125% BMBM and 1.67% (2/120) at the level of 2% BMBM. The overall rate of false-negative results for all levels of BMBM was 1.25% (3/240). The rate for false-positive results was 0.83%.


Assuntos
Ração Animal/análise , Bovinos/genética , Reação em Cadeia da Polimerase/métodos , Animais , Reações Falso-Negativas , Reações Falso-Positivas , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
6.
Semin Hematol ; 38(1 Suppl 1): 37-56, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11206960

RESUMO

Because optimal management of iron chelation therapy in patients with sickle cell disease and transfusional iron overload requires accurate determination of the magnitude of iron excess, a variety of techniques for evaluating iron overload are under development, including measurement of serum ferritin iron levels, x-ray fluorescence of iron, magnetic resonance imaging, computed tomography, and measurement of magnetic susceptibility. The most promising methods for noninvasive assessment of body iron stores in patients with sickle cell anemia and transfusional iron overload are based on measurement of hepatic magnetic susceptibility, either using superconducting quantum interference device (SQUID) susceptometry or, potentially, magnetic resonance susceptometry.


Assuntos
Anemia Falciforme/sangue , Sobrecarga de Ferro/diagnóstico , Reação Transfusional , Anemia Falciforme/complicações , Anemia Falciforme/terapia , Testes de Química Clínica , Diagnóstico por Imagem , Humanos , Sobrecarga de Ferro/etiologia , Imageamento por Ressonância Magnética , Magnetismo , Modelos Biológicos
7.
Domest Anim Endocrinol ; 17(4): 345-60, 1999 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-10628426

RESUMO

Growing (35 kg body weight) and finishing (85 kg body weight) swine challenged with endotoxin (Escherichia coli O55:B5) at a dose of either 2 or 20 microg/kg produced tumor necrosis factor (TNF)alpha in a dose-response relationship as measured by bioassay. Peak TNFalpha plasma levels were observed 1-2 hr post-challenge, returning to basal values 4 hr post-challenge. However, both an enzyme-linked immunosorbent assay specific for swine TNFalpha and total human TNFalpha demonstrated no dose-response relationship; peak plasma levels of immunoreactive TNFalpha were also observed 1-2 hr post-challenge. Maximal plasma interleukin-6 levels occurred 1-2 hr post-challenge and remained elevated through 8 hr post-challenge; there was no effect of lipopolysaccharide dose or metabolic status. Although the metabolic status of the animals also affected glucose levels, with growing animals exhibiting greater sensitivity compared with finishing animals, endotoxin-induced decreases in blood glucose levels were primarily dose-dependent. In contrast, changes in plasma urea nitrogen and free fatty acid (FFA) levels were strictly related to the metabolic status. Urea nitrogen levels were unchanged in growing swine, whereas they were increased in finishing swine and remained elevated 24 hr post-challenge. FFA levels in growing and finishing swine increased 3-6 hr post-challenge. FFA levels returned to basal values for finishing swine 24 hr post challenge, but in growing swine remained elevated 24 hr post-challenge. Plasma aspartate transaminase levels were increased through 24 hr post-challenge; animals given a dose of 20 microg/kg exhibited the greatest increase. Similarly, swine challenged with a dose of 20 microg/kg also exhibited the greatest increase in levels of conjugated bilirubin; there was no effect on unconjugated (free) bilirubin. These results demonstrate that endotoxin challenge of swine result in a pattern of changes that are dependent on both the dose of endotoxin used and the metabolic status of the animal examined.


Assuntos
Citocinas/biossíntese , Suínos/metabolismo , Animais , Glicemia/análise , Proteínas Sanguíneas/metabolismo , Peso Corporal , Relação Dose-Resposta a Droga , Interleucina-6/sangue , Lipopolissacarídeos/administração & dosagem , Lipopolissacarídeos/farmacologia , Suínos/crescimento & desenvolvimento , Fator de Necrose Tumoral alfa/biossíntese
8.
Am J Vet Res ; 58(6): 594-600, 1997 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-9185964

RESUMO

OBJECTIVE: To determine whether recombinant porcine somatotropin (PST) or chromium picolinate (CrP) affected cytokine production and metabolism in swine after endotoxin challenge exposure. ANIMALS: 20 Poland China X Landrace pigs, 5/group. PROCEDURE: Pigs were given CrP-supplemented feed at body weight of 20 kg; PST treatment began at 60 kg, and both treatments continued through body weight of 90 kg. At 90 kg, pigs were challenge exposed with 20 micrograms of lipopolysaccharide (LPS)/kg of body weight. Blood samples were obtained at various times through 24 hours after LPS challenge exposure. RESULTS: In all pigs not given PST, glucose concentration decreased 2 to 4 hours after LPS. In PST-treated pigs, blood glucose concentration was decreased at 6 to 8 hours after LPS. Plasma insulin concentration paralleled changes in glucose concentration. Nonesterified fatty acid concentration was high 2 to 24 hours after LPS in pigs not given PST and at 6 to 24 h in PST-treated pigs. Plasma urea nitrogen concentration was high at 6 to 24 hours after LPS in pigs not given PST. The urea nitrogen values in PST-treated pigs were lower at all times. Serum aspartate transaminase activity was high 6 to 24 hours after LPS in pigs not given PST, whereas PST treatment prevented the increase in this enzyme activity. In untreated (PST) pigs, plasma bilirubin (total and direct) concentrations were high 4 to 8 hours after LPS and returned to normal at 24 hours. The PST- and CrP-treated pigs maintained normal plasma bilirubin concentrations. Interleukin 6 activity was unaffected by CrP and PST treatments. Treatment with CrP and PST decreased the tumor necrosis factor alpha response to LPS, compared with that in control pigs. CONCLUSIONS: PST, and to a lesser extent CrP, provide protection against the adverse metabolic effects of LPS-induced septic shock.


Assuntos
Citocinas/biossíntese , Hormônio do Crescimento/farmacologia , Lipopolissacarídeos/toxicidade , Ácidos Picolínicos/farmacologia , Suínos/metabolismo , Análise de Variância , Animais , Aspartato Aminotransferases/sangue , Bilirrubina/sangue , Glicemia/metabolismo , Nitrogênio da Ureia Sanguínea , Peso Corporal , Escherichia coli/metabolismo , Infecções por Escherichia coli/sangue , Infecções por Escherichia coli/metabolismo , Infecções por Escherichia coli/veterinária , Ácidos Graxos não Esterificados/sangue , Insulina/sangue , Interleucina-6/análise , Interleucina-6/biossíntese , Lipopolissacarídeos/metabolismo , Proteínas Recombinantes/farmacologia , Suínos/sangue , Suínos/crescimento & desenvolvimento , Doenças dos Suínos/sangue , Doenças dos Suínos/metabolismo , Fatores de Tempo , Fator de Necrose Tumoral alfa/análise , Fator de Necrose Tumoral alfa/biossíntese
9.
Am J Vet Res ; 56(8): 1007-11, 1995 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-8533970

RESUMO

The effect of oxytetracycline (OTC) on bovine blood mononuclear cells and neutrophil functions was examined in vitro. Neutrophil functions tested include respiratory burst, peroxidase, and antibacterial activities. Neutrophils were treated with OTC (10 to 1,500 micrograms/ml) before exposure to either opsonized zymosan or bacteria. A dose-response inhibition of antibacterial activity to high concentrations of OTC (500 to 1,000 micrograms/ml) was observed. Beginning at a concentration of 15 micrograms/ml, OTC treatment of neutrophil lysates resulted in decreased peroxidase activity. A dose response was not observed. In contrast, respiratory burst, measured by nitroblue tetrazolium dye reduction, increased after OTC exposure, but only at high concentrations (500 and 1,000 micrograms/ml) of OTC. Mitogen-induced proliferation of blood mononuclear cells cocultured with OTC and concanavalin A, phytohemagglutinin-P, or pokeweed mitogen was inhibited at an OTC concentration of 100 micrograms/ml at 48 and 72 hours of culture. These results indicate that blood mononuclear cells are more sensitive to the inhibitory effects of OTC than are neutrophils. Furthermore, the OTC-mediated inhibition of neutrophil antimicrobial activity is inversely related to the increase in nitroblue tetrazolium reduction. This suggests that OTC is uncoupling the hexose monophosphate shunt from production of secreted oxygen radicals. These results also suggest that the peroxidase enzyme system has a large biological reserve capacity.


Assuntos
Antibacterianos/farmacologia , Bovinos/imunologia , Leucócitos Mononucleares/efeitos dos fármacos , Neutrófilos/efeitos dos fármacos , Oxitetraciclina/farmacologia , Animais , Divisão Celular/efeitos dos fármacos , Ensaio de Imunoadsorção Enzimática/veterinária , Feminino , Técnicas In Vitro , Leucócitos Mononucleares/fisiologia , Neutrófilos/fisiologia , Peroxidase/efeitos dos fármacos , Peroxidase/metabolismo , Explosão Respiratória/efeitos dos fármacos
10.
Pathobiology ; 63(5): 270-7, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-8724209

RESUMO

The immunomodulatory effect of oxytetracycline (OTC) on murine splenic lymphocytes (MSL), peritoneal exudate macrophage (PEM) functions and antibody production was examined. In vivo exposure to OTC slightly delayed initiation of antibody formation during the primary response. However, OTC exposure had no effect on either the peak time of antibody response or peak antibody titer. OTC also had no significant effect on the secondary antibody response. Mitogen-induced proliferation of MSL cocultured with OTC and pokeweed mitogen, phytohemagglutinin or concanavalin was equivocal. However, allogeneic stimulation of MSL was inhibited at 100 micrograms/ml OTC. There was also a decrease in the number of cells recovered. OTC had no effect on lymphocyte cytotoxicity in cells cultured in vitro. OTC inhibited the cytotoxic response of Corynebacterium parvum-elicited PEM at 10 micrograms/ml (effector:target of 10:1). Low levels of OTC (1-10 micrograms/ml) augmented the cytotoxic response (effector:target of 5:1). The effect of OTC on induction of PEM cytotoxicity was assessed by coculturing thioglycollate-elicited (TG) PEM in vitro with IFN-gamma and endotoxin along with 0-100 micrograms/ml OTC. Induction of cytotoxicity was inhibited at 0.5 microgram/ml. The effect of OTC on TG-PEM antimicrobial activity was assessed by measuring reduction of nitroblue tetrazolium (NBT) and cytochrome C. OTC inhibited the reduction of NBT at 500 micrograms/ml following PMA stimulation of TG-PEM. OTC had no effect on either NBT or cytochrome C reduction following stimulation with opsonized zymosan. These results demonstrate that OTC-mediated immunosuppression is a multifaceted event, with differing sensitivities both between immune cells and between different pathways within the same cell.


Assuntos
Adjuvantes Imunológicos/farmacologia , Imunocompetência/efeitos dos fármacos , Oxitetraciclina/farmacologia , Animais , Formação de Anticorpos/efeitos dos fármacos , Ativação Linfocitária/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Macrófagos/imunologia , Camundongos , Camundongos Endogâmicos C57BL , Propionibacterium acnes/imunologia , Fator de Necrose Tumoral alfa/biossíntese , Fator de Necrose Tumoral alfa/efeitos dos fármacos
11.
Pathobiology ; 63(5): 283-7, 1995.
Artigo em Inglês | MEDLINE | ID: mdl-8724211

RESUMO

The effect of dietary chromium picolinate (CrP) and recombinant porcine growth hormone, somatotropin (rPST) administration on growth performance and cytokine production in Landrace-Poland China gilts was determined using a 2 by 2 treatment array. Treatments were: (1) control (basal diet), (2) CrP-supplemented diet (basal diet + 300 micrograms Cr3+/kg diet as CrP), (3) rPST (100 pg/kg body weight/day), and (4) rPST+CrP. CrP-supplemented diets were fed beginning at 20 kg body weight through 90 kg. Administration of rPST was begun at 60 kg weight and continued through 90 kg. All rPST treated pigs demonstrated improvements in growth performance versus controls. Pigs given CrP-supplemented diets showed no differences in growth performance. At 90 kg, pigs were challenged with endotoxin (lipopolysaccharide, 0.2 microgram/kg i.v.). Blood samples were collected at 0, 1, and 3 h postchallenge. Plasma IL-6 levels increased from 23 U/ml at time 0 to 1,927 U/ml at 3 h for control swine. Swine from the CrP treatment group had IL-6 levels of 8,130 U/ml at 3 h post-LPS. There were no differences in plasma IL-6 from pigs in the rPST and rPST+CrP treatment groups compared to the controls. Endotoxin challenge had no effect on either blood glucose levels or induction of TNF-alpha in any treatment group. PBMC from CrP-treated animals produced more IL-2 than peripheral blood mononuclear cells from all other groups.


Assuntos
Citocinas/biossíntese , Citocinas/efeitos dos fármacos , Hormônio do Crescimento/farmacologia , Quelantes de Ferro/farmacologia , Ácidos Picolínicos/farmacologia , Proteínas Recombinantes/farmacologia , Suínos/crescimento & desenvolvimento , Animais , Composição Corporal/efeitos dos fármacos , Peso Corporal/efeitos dos fármacos , Dieta , Hormônio do Crescimento/administração & dosagem
12.
N Engl J Med ; 331(9): 567-73, 1994 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-8047080

RESUMO

BACKGROUND: To determine whether deferoxamine prevents the complications of transfusional iron overload in thalassemia major, we evaluated 59 patients (30 were female and 29 male; age range, 7 to 31 years) periodically for 4 to 10 years or until death. METHODS: At each follow-up visit, we performed a detailed clinical and laboratory evaluation and measured hepatic iron stores with a noninvasive magnetic device. RESULTS: The body iron burden as assessed by magnetic measurement of hepatic iron stores was closely correlated (R = 0.89, P < 0.001) with the ratio of cumulative transfusional iron load to cumulative deferoxamine use (expressed in millimoles of iron per kilogram of body weight, in relation to grams of deferoxamine per kilogram, transformed into the natural logarithm). Each increase of one unit in the natural logarithm of the ratio (transfusional iron load to deferoxamine use) was associated with an increased risk of impaired glucose tolerance (relative risk, 19.3; 95 percent confidence interval, 4.8 to 77.4), diabetes mellitus (relative risk, 9.2; 95 percent confidence interval, 1.8 to 47.7), cardiac disease (relative risk, 9.9; 95 percent confidence interval, 1.9 to 51.2), and death (relative risk, 12.6; 95 percent confidence interval, 2.4 to 65.4). All nine deaths during the study occurred among the 23 patients who had begun chelation therapy later and used less deferoxamine in relation to their transfusional iron load (P < 0.001). CONCLUSIONS: The early use of deferoxamine in an amount proportional to the transfusional iron load reduces the body iron burden and helps protect against diabetes mellitus, cardiac disease, and early death in patients with thalassemia major.


Assuntos
Terapia por Quelação , Desferroxamina/uso terapêutico , Ferro/metabolismo , Talassemia beta/tratamento farmacológico , Adolescente , Adulto , Criança , Intervalos de Confiança , Desferroxamina/efeitos adversos , Feminino , Humanos , Fígado/metabolismo , Masculino , Modelos de Riscos Proporcionais , Estudos Prospectivos , Risco , Reação Transfusional , Resultado do Tratamento , Talassemia beta/mortalidade , Talassemia beta/terapia
13.
Am J Hematol ; 42(1): 81-5, 1993 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8416302

RESUMO

To examine the relationship between hepatic iron stores and plasma ferritin concentration in individuals treated with red cell transfusion and iron chelation therapy, 37 patients with sickle cell anemia and 74 patients with thalassemia major were studied. In each patient, hepatic iron stores were measured by an independently validated noninvasive magnetic method, and plasma ferritin was determined by immunoassay. The correlation between hepatic iron and plasma ferritin was significant both in patients with sickle cell anemia (R = 0.75, P < 0.0001) and in those with thalassemia major (R = 0.76, P < 0.0001). Regression analysis showed no significant difference between the two groups in the linear relationships between hepatic iron stores and plasma ferritin. Considering all 111 transfused patients as a group, the coefficient of correlation between hepatic iron stores and plasma ferritin was highly significant (R = 0.76, P < 0.0001). Regression analysis found that variation in body iron stores, as assessed by magnetic determinations of hepatic iron, accounted for only approximately 57% of the variation in plasma ferritin, suggesting that the remainder was the result of other factors, such as hemolysis, ineffective erythropoiesis, ascorbate deficiency, inflammation, and liver disease. The 95% prediction intervals for hepatic iron concentration, given the plasma ferritin, were so broad as to make a single determination of plasma ferritin an unreliable predictor of body iron stores. Variability resulting from factors other than iron status limits the clinical usefulness of the plasma ferritin concentration as a predictor of body iron stores.


Assuntos
Anemia Falciforme/metabolismo , Ferritinas/sangue , Ferro/metabolismo , Fígado/metabolismo , Talassemia beta/metabolismo , Adolescente , Adulto , Anemia Falciforme/sangue , Criança , Feminino , Humanos , Magnetismo , Masculino , Pessoa de Meia-Idade , Concentração Osmolar , Análise de Regressão , Talassemia beta/sangue
15.
N Engl J Med ; 307(27): 1671-5, 1982 Dec 30.
Artigo em Inglês | MEDLINE | ID: mdl-7144866

RESUMO

We made direct noninvasive magnetic measurements of hepatic iron stores with a specially designed superconducting quantum-interference-device (SQUID) susceptometer in 20 normal subjects and in 110 patients with liver disease, iron deficiency, hereditary hemochromatosis, or transfusional iron overload. Magnetic in vivo measurements of liver non-heme iron were closely correlated with chemical in vitro measurements in liver-biopsy specimens (r = 0.98, P less than 10(-5) up to 115 mumol per gram of liver tissue (wet weight) or more. Magnetically determined storage-iron concentrations were below 6.0 mumol per gram in iron-deficient patients and normal men and premenopausal women, but they were raised (9.7 to 31.4 mumol) in 12 of 67 patients with liver disease and were greatly increased (22.9 to 117.7 mumol) in patients with untreated hereditary hemochromatosis or transfusional iron overload. Magnetic measurements of iron stores provide a new quantitative technique for early detection of hereditary hemochromatosis and for rapid evaluation of treatment regimens for transfusional iron overload.


Assuntos
Hemocromatose/diagnóstico , Ferro/metabolismo , Fígado/metabolismo , Magnetismo , Feminino , Ferritinas/sangue , Hemocromatose/metabolismo , Hemossiderina/análise , Humanos , Deficiências de Ferro , Hepatopatias/diagnóstico , Hepatopatias/metabolismo , Masculino , Métodos , Distribuição Tecidual , Reação Transfusional
16.
Electroencephalogr Clin Neurophysiol ; 49(1-2): 31-7, 1980 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-6159169

RESUMO

Small but reproducible and consistent auditory evoked magnetic fields have been obtained for 6 male subjects. These fields exhibit features with a clear spatial symmetry which can be accounted for by assuming that their source consists of two vertically oriented neuronal complexes symmetrically located deep in the temporal lobes. This assignment, which is also consistent with the available electrical data, places the sources within the auditory cortex near the sylvian fissure. Our results suggest that auditory evoked magnetic fields may provide assistance in unravelling the source structure that produces the auditory evoked response, both electrical and magnetic.


Assuntos
Encéfalo/fisiologia , Potenciais Evocados Auditivos , Córtex Auditivo/fisiologia , Eletroencefalografia , Campos Eletromagnéticos , Humanos , Masculino
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