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1.
NPJ Precis Oncol ; 8(1): 9, 2024 Jan 10.
Artigo em Inglês | MEDLINE | ID: mdl-38200147

RESUMO

Digital pathology has seen a proliferation of deep learning models in recent years, but many models are not readily reusable. To address this challenge, we developed WSInfer: an open-source software ecosystem designed to streamline the sharing and reuse of deep learning models for digital pathology. The increased access to trained models can augment research on the diagnostic, prognostic, and predictive capabilities of digital pathology.

2.
BMJ Health Care Inform ; 30(1)2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37940189

RESUMO

OBJECTIVES: To overcome the barriers of interoperability by sharing simulated patient data from different electronic health records systems and presenting them in an intuitive timeline of events. METHODS: The 'Patient Story' software comprising database and blockchain, PS Timeline Windows interface, PS Timeline Web interface and network relays on Azure cloud was customised for Epic and Lorenzo electonic patient record (EPR) systems used at different hospitals, using site-specific adapters. RESULTS: Each site could view their own clinical documents and view each other's site specific, fully coded test sets of (Care Connect) medications, conditions and allergies, in an aggregated single view. DISCUSSION: This work has shown that clinical data from different EPR systems can be successfully integrated and visualised on a single timeline, accessible by clinicians and patients. CONCLUSION: The Patient Story system combined the timeline visualisation with successful interoperability across healthcare settings, as well giving patients the ability to directly interact with their timeline.


Assuntos
Registros Eletrônicos de Saúde , Software , Humanos , Atenção à Saúde , Instalações de Saúde , Hospitais
3.
Int Psychogeriatr ; : 1-18, 2023 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-37860872

RESUMO

OBJECTIVES: The aim of this systematic review is to examine the cognitive impact of psychotropic medications including benzodiazepines, antidepressants, mood stabilizers, antipsychotics, or a combination of these drugs on older adults. DESIGN: Systematic review. SETTING: We searched Medline, PsycINFO, and Embase through the Ovid platform, CINAHL through EBSCO, and Web of Science. PARTICIPANTS AND INTERVENTIONS: Randomized control trials (RCTs) and cohort studies that used a validated scale to measure cognition with a follow-up period of at least six months were included. MEASUREMENT: The primary outcome of interest was cognitive change associated with psychotropic medication use. RESULTS: A total of 7551 articles were identified from the primary electronic literature search across the five databases after eliminating duplicates. Based on full-text analysis, 27 articles (two RCTs, 25 cohorts) met the inclusion criteria. Of these, nine each examined the impact of benzodiazepines and antidepressants, five examined psychotropic combinations, three on antipsychotic drugs, and one on the effects of mood stabilizers. CONCLUSIONS: This is the first systematic review to examine the cognitive impact of multiple psychotropic drug classes in older adults over an extended follow-up period (six months or more) using robust sample sizes, drug-free control groups, and validated cognitive instruments. We found evidence to indicate cognitive decline with the cumulative use of benzodiazepines and the use of antidepressants, especially those with anticholinergic properties among older adults without cognitive impairment at baseline. Further, the use of antipsychotics and psychotropic combinations is also associated with cognitive decline in older adults.

4.
BMC Psychiatry ; 21(1): 13, 2021 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413192

RESUMO

BACKGROUND: Suicide and risk management protocols in mental health research aim to ensure patient safety, provide vital information on how to assess suicidal ideation, manage risk, and respond to unexpected and expected situations. However, there is a lack of literature that identifies specific components and strategies to include in suicide and risk management protocols (SRMPs) for mental health research. The goal of this scoping review was to review academic and grey literature to determine core components and associated strategies, which can be used to inform SRMPs in mental health research. METHODS AND ANALYSIS: The methodological framework outlined by Arksey and O'Malley was used for this scoping review. The search strategy, conducted by a medical librarian, was multidisciplinary and included seven databases. Two reviewers independently assessed eligibility criteria in each document and used a standardized charting form to extract relevant data. The extracted data were then examined using qualitative content analysis. Specifically, summative content analysis was used to identify the core components and strategies used in SRMPs. The data synthesis process was iterative. RESULTS: This review included 36 documents, specifically 22 peer-reviewed articles and 14 documents from the grey literature. Five core components of SRMPs emerged from the reviewed literature including: training; educational resources for research staff; educational resources for research participants; risk assessment and management strategies; and clinical and research oversight. Potentials strategies for risk mitigation within each of the core components are outlined. CONCLUSIONS: The five core components and associated strategies for inclusion in SRMPs will assist mental health researchers in conducting research safely and rigorously. Findings can inform the development of SRMPs and how to tailor them across various research contexts.


Assuntos
Saúde Mental , Prevenção do Suicídio , Humanos , Literatura de Revisão como Assunto , Medição de Risco , Ideação Suicida
5.
Toxicol Lett ; 335: 37-50, 2020 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-33086118

RESUMO

This study investigates possible effects of in utero exposure of rats to a low dose (125 mg/kg bw/day) and a high dose (750 mg/kg bw/day) of Diisononyl phthalate (DINP) during the masculinisation programming window (MPW) which is embryonic days 15.5-18.5 (e15.5 - e18.5). Dibutyl phthalate (DBP) was used at a high dose level (750 mg/kg bw/day) as an established positive control substance for anti-androgenic effects on the developing male reproductive tract. We focussed on the MPW and measured a multitude of biological endpoints at various life stages and applied state of the art histopathology staining techniques to refine the characterization of potential changes to the testis, beyond what is currently available with DINP. If DINP can mediate testicular dysgenesis (TDS) disorders, this exposure window would be sufficient to induce androgen impacts and alter male reproductive tract development as shown earlier in this validated experimental model with DBP. Overall, the results of this systematic comparison provide convincing evidence on the differences between the effects occurring with DBP and DINP. In contrast to what was seen with DBP, DINP did not cause cryptorchidism or hypospadias, had no effect on anogenital distance/anogenital index (AGD/AGi) and Leydig cell aggregates on e17.5 and e21.5 did not increase. With DINP no reduction of intratesticular testosterone, no effects on sperm motility and sperm count and no effect on adult testosterone or luteinizing hormone (LH) levels were seen. Our results demonstrate that DINP does not cause the adverse reproductive effects known to occur with DBP, a well-established endocrine disruptor.


Assuntos
Dibutilftalato/toxicidade , Disruptores Endócrinos/toxicidade , Desenvolvimento Fetal/efeitos dos fármacos , Ácidos Ftálicos/toxicidade , Efeitos Tardios da Exposição Pré-Natal/induzido quimicamente , Testículo/efeitos dos fármacos , Animais , Criptorquidismo/induzido quimicamente , Criptorquidismo/embriologia , Relação Dose-Resposta a Droga , Feminino , Desenvolvimento Fetal/genética , Expressão Gênica/efeitos dos fármacos , Hipospadia/induzido quimicamente , Hipospadia/embriologia , Células Intersticiais do Testículo/efeitos dos fármacos , Células Intersticiais do Testículo/patologia , Masculino , Gravidez , Ratos , Ratos Wistar , Motilidade dos Espermatozoides/efeitos dos fármacos , Espermatogênese/efeitos dos fármacos , Testículo/embriologia , Testículo/crescimento & desenvolvimento , Testículo/patologia , Testosterona/metabolismo
6.
J Med Internet Res ; 22(3): e16263, 2020 03 06.
Artigo em Inglês | MEDLINE | ID: mdl-32141833

RESUMO

BACKGROUND: Compassion is a vital component to the achievement of positive health outcomes, particularly in mental health care. The rise of digital technologies may influence the delivery of compassionate care, and thus this relationship between compassion and digital health care needs to be better understood. OBJECTIVE: This scoping review aimed to identify existing digital technologies being used by patients and health professionals in the delivery of mental health care, understand how digital technologies are being used in the delivery of compassionate mental health care, and determine the facilitators of and barriers to digital technology use among patients and health professionals in the delivery of compassionate mental health care. METHODS: We conducted this scoping review through a search of Cumulative Index to Nursing and Allied Health Literature, Medical Literature Analysis and Retrieval System Online (MEDLINE), MEDLINE In-Process and EPub Ahead of Print, PsycINFO, and Web of Science for articles published from 1990 to 2019. RESULTS: Of the 4472 articles screened, 37 articles were included for data extraction. Telemedicine was the most widely used technology by mental health professionals. Digital technologies were described as facilitating compassionate care and were classified using a conceptual model to identify each digital intersection with compassionate care. Facilitators of and barriers to providing compassionate care through digital technology were identified, including increased safety for providers, health care professional perceptions and abilities, and the use of picture-in-picture feedback to evaluate social cues. CONCLUSIONS: Implementing digital technology into mental health care can improve the current delivery of compassionate care and create novel ways to provide compassion. However, as this is a new area of study, mental health professionals and organizations alike should be mindful that compassionate human-centered care is maintained in the delivery of digital health care. Future research could develop tools to facilitate and evaluate the enactment of compassion within digital health care.


Assuntos
Empatia/fisiologia , Saúde Mental/normas , Telemedicina/normas , Humanos
7.
BMJ Open ; 9(7): e027989, 2019 07 23.
Artigo em Inglês | MEDLINE | ID: mdl-31340962

RESUMO

INTRODUCTION: As digital technologies become an integral part of mental health care delivery, concerns have risen regarding how this technology may detract from health professionals' ability to provide compassionate care. To maintain and improve the quality of care for people with mental illness, there is a need to understand how to effectively incorporate technologies into the delivery of compassionate mental health care. The objectives of this scoping review are to: (1) identify the digital technologies currently being used among patients and health professionals in the delivery of mental health care; (2) determine how these digital technologies are being used in the context of the delivery of compassionate care and (3) uncover the barriers to, and facilitators of, digital technology-driven delivery of compassionate mental health care. METHODS AND ANALYSIS: Searches were conducted of five databases, consisting of relevant articles published in English between 1990 and 2019. Identified articles will be independently screened for eligibility by two reviewers, first at a title and abstract stage, and then at a full-text level. Data will be extracted and compiled from eligible articles into a data extraction chart. Information collected will include a basic overview of the publication including the article title, authors, year of publication, country of origin, research design and research question addressed. On completion of data synthesis, the authors will conduct a consultation phase with relevant experts in the field. ETHICS AND DISSEMINATION: Ethical approval is not required for this scoping review. With regards to the dissemination plan, principles identified from the relevant articles may be presented at conferences and an article will be published in an academic journal with study results. The authors also intend to engage interested mental health professionals, health professional educators and patients in a discussion about the study findings and implications for the future.


Assuntos
Atenção à Saúde , Empatia , Transtornos Mentais , Serviços de Saúde Mental/normas , Tecnologia , Atitude do Pessoal de Saúde , Atenção à Saúde/métodos , Atenção à Saúde/normas , Humanos
8.
J Neurovirol ; 22(2): 140-8, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-26419894

RESUMO

Chikungunya, "that which bends up" in the Makonde dialect, is an emerging global health threat, with increasing incidence of neurological complications. Until 2013, Chikungunya infection had been largely restricted to East Africa and the Indian Ocean, with cases within the USA reported to be from foreign travel. However, in 2014, over 1 million suspected cases were reported in the Americas, and a recently infected human could serve as an unwitting reservoir for the virus resulting in an epidemic in the continental USA. Chikungunya infection is increasingly being associated with neurological sequelae. In this study, we sought to understand the role of astrocytes in the neuropathogenesis of Chikungunya infection. Even after virus has been cleared form the circulation, astrocytes were activated with regard to TLR2 expression. In addition, white matter astrocytes were hypertrophic, with increased arbor volume in gray matter astrocytes. Combined, these would alter the number and distribution of synapses that each astrocyte would be capable of forming. These results provide the first evidence that Chikungunya infection induces morphometric and innate immune activation of astrocytes in vivo. Perturbed glia-neuron signaling could be a major driving factor in the development of Chikungunya-associated neuropathology.


Assuntos
Astrócitos/patologia , Febre de Chikungunya/patologia , Gliose/patologia , Imunidade Inata , Neurônios/patologia , Animais , Astrócitos/imunologia , Astrócitos/virologia , Febre de Chikungunya/genética , Febre de Chikungunya/imunologia , Febre de Chikungunya/virologia , Vírus Chikungunya/imunologia , Vírus Chikungunya/patogenicidade , Modelos Animais de Doenças , Expressão Gênica , Gliose/genética , Gliose/imunologia , Gliose/virologia , Substância Cinzenta/imunologia , Substância Cinzenta/patologia , Substância Cinzenta/virologia , Interações Hospedeiro-Patógeno , Humanos , Macaca fascicularis , Neurônios/imunologia , Neurônios/virologia , Transdução de Sinais , Telemetria , Receptor 2 Toll-Like/genética , Receptor 2 Toll-Like/imunologia , Substância Branca/imunologia , Substância Branca/patologia , Substância Branca/virologia
9.
Mol Ther ; 22(2): 378-389, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24297048

RESUMO

Actin cytoskeleton is critical for cell motility and division, both of which are important for angiogenesis. MicroRNAs (miRNA/miR) are emerging as pivotal modulators of vascular development and disease. How miRNAs regulate actin cytoskeleton dynamics in endothelial cells (EC) and neovascularization is still unclear. Here, we report that miR-24 regulates actin dynamics in ECs through targeting multiple members downstream of Rho signaling, including Pak4, Limk2, and Diaph1 proteins. Overexpression of miR-24 in ECs blocks stress fiber and lamellipodia formation, represses EC migration, proliferation, and tube formation in vitro, as well as angiogenesis in an ex vivo aortic ring assay. Moreover, subretinal delivery of miR-24 mimics represses laser-induced choroidal neovascularization (CNV) in vivo. Mechanistically, knockdown of miR-24 target protein LIMK2 or PAK4 inhibits stress fiber formation and tube formation in vitro, mimicking miR-24 overexpression phenotype in angiogenesis, while overexpression of LIMK2 and PAK4 by adenoviruses partially rescued the tube formation defects in miR-24 overexpressing ECs. Taken together, these findings suggest that miR-24 represses angiogenesis by simultaneously regulating multiple components in the actin cytoskeleton pathways. Manipulation of actin cytoskeleton pathways by miR-24 may represent an attractive therapeutic solution for the treatment of wet age-related macular degeneration (AMD) and other vascular diseases.


Assuntos
Citoesqueleto de Actina/genética , Citoesqueleto de Actina/metabolismo , Neovascularização de Coroide/genética , Neovascularização de Coroide/metabolismo , MicroRNAs/genética , Transdução de Sinais , Regiões 3' não Traduzidas , Animais , Sequência de Bases , Linhagem Celular , Neovascularização de Coroide/patologia , Células Endoteliais/metabolismo , Regulação da Expressão Gênica , Inativação Gênica , Humanos , Quinases Lim/genética , Masculino , Camundongos , MicroRNAs/química , MicroRNAs/metabolismo , Modelos Biológicos , Fenótipo , Interferência de RNA , Quinases Ativadas por p21/genética
10.
PLoS One ; 8(7): e69980, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23922882

RESUMO

BACKGROUND: Self-injurious behavior (SIB) is a complex condition that exhibits a spectrum of abnormal neuropsychological and locomotor behaviors. Mechanisms for neuropathogenesis could include irregular immune activation, host soluble factors, and astrocyte dysfunction. METHODS: We examined the role of astrocytes as modulators of immune function in macaques with SIB. We measured changes in astrocyte morphology and function. Paraffin sections of frontal cortices from rhesus macaques identified with SIB were stained for glial fibrillary acidic protein (GFAP) and Toll-like receptor 2 (TLR2). Morphologic features of astrocytes were determined using computer-assisted camera lucida. RESULTS: There was atrophy of white matter astrocyte cell bodies, decreased arbor length in both white and gray matter astrocytes, and decreased bifurcations and tips on astrocytes in animals with SIB. This was combined with a five-fold increase in the proportion of astrocytes immunopositive for TLR2. CONCLUSIONS: These results provide direct evidence that SIB induces immune activation of astrocytes concomitant with quantifiably different morphology.


Assuntos
Astrócitos/patologia , Macaca/fisiologia , Comportamento Autodestrutivo/imunologia , Comportamento Autodestrutivo/patologia , Animais , Astrócitos/imunologia , Atrofia/imunologia , Atrofia/patologia , Tamanho Celular , Proteína Glial Fibrilar Ácida/análise , Macaca/imunologia , Comportamento Autodestrutivo/fisiopatologia , Receptor 2 Toll-Like/análise
11.
J Neuroinflammation ; 10: 88, 2013 Jul 18.
Artigo em Inglês | MEDLINE | ID: mdl-23866773

RESUMO

BACKGROUND: Lyme neuroborreliosis (LNB), caused by the spirochete Borrelia burgdorferi, affects both the peripheral and the central nervous systems. Radiculitis or nerve root inflammation, which can cause pain, sensory loss, and weakness, is the most common manifestation of peripheral LNB in humans. We previously reported that rhesus monkeys infected with B. burgdorferi develop radiculitis as well as inflammation in the dorsal root ganglia (DRG), with elevated levels of neuronal and satellite glial cell apoptosis in the DRG. We hypothesized that B. burgdorferi induces inflammatory mediators in glial and neuronal cells and that this inflammatory milieu precipitates glial and neuronal apoptosis. METHODS: To model peripheral neuropathy in LNB we incubated normal rhesus DRG tissue explants with live B. burgdorferi ex vivo and identified immune mediators, producer cells, and verified the presence of B. burgdorferi in tissue sections by immunofluorescence staining and confocal microscopy. We also set up primary cultures of DRG cells from normal adult rhesus macaques and incubated the cultures with live B. burgdorferi. Culture supernatants were subjected to multiplex ELISA to detect immune mediators, while the cells were evaluated for apoptosis by the in situ TUNEL assay. A role for inflammation in mediating apoptosis was assessed by evaluating the above phenomena in the presence and absence of various concentrations of the anti-inflammatory drug dexamethasone. As Schwann cells ensheath the dorsal roots of the DRG, we evaluated the potential of live B. burgdorferi to induce inflammatory mediators in human Schwann cell (HSC) cultures. RESULTS: Rhesus DRG tissue explants exposed to live B. burgdorferi showed localization of CCL2 and IL-6 in sensory neurons, satellite glial cells and Schwann cells while IL-8 was seen in satellite glial cells and Schwann cells. Live B. burgdorferi induced elevated levels of IL-6, IL-8 and CCL2 in HSC and DRG cultures and apoptosis of sensory neurons. Dexamethasone reduced the levels of immune mediators and neuronal apoptosis in a dose dependent manner. CONCLUSION: In this model, B. burgdorferi induced an inflammatory response and neuronal apoptosis of DRG. These pathophysiological processes could contribute to peripheral neuropathy in LNB.


Assuntos
Apoptose/efeitos dos fármacos , Borrelia burgdorferi , Gânglios Espinais/patologia , Inflamação/patologia , Doença de Lyme/patologia , Animais , Anti-Inflamatórios/uso terapêutico , Quimiocina CCL2/biossíntese , Meios de Cultura/química , Citoplasma/patologia , Dexametasona/uso terapêutico , Imunofluorescência , Humanos , Marcação In Situ das Extremidades Cortadas , Inflamação/etiologia , Mediadores da Inflamação/metabolismo , Interleucina-6/biossíntese , Interleucina-8/biossíntese , Doença de Lyme/complicações , Macaca mulatta , Microscopia Confocal , Neurônios/patologia , Células Satélites Perineuronais/patologia , Células de Schwann/efeitos dos fármacos
12.
J Cell Physiol ; 228(6): 1284-94, 2013 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-23154943

RESUMO

The foot processes of astrocytes cover over 60% of the surface of brain microvascular endothelial cells, regulating tight junction integrity. Retraction of astrocyte foot processes has been postulated to be a key mechanism in pathology. Therefore, movement of an astrocyte in response to a proinflammatory cytokine or even limited retraction of processes would result in leaky junctions between endothelial cells. Astrocytes lie at the gateway to the CNS and are instrumental in controlling leukocyte entry. Cultured astrocytes typically have a polygonal morphology until stimulated. We hypothesized that cultured astrocytes which were induced to stellate would have an activated phenotype compared with polygonal cells. We investigated the activation of astrocytes derived from adult macaques to the cytokine TNF-α under resting and stellated conditions by four parameters: morphology, intermediate filament expression, adhesion, and cytokine secretion. Astrocytes were stellated following transient acidification; resulting in increased expression of GFAP and vimentin. Stellation was accompanied by decreased adhesion that could be recovered with proinflammatory cytokine treatment. Surprisingly, there was decreased secretion of proinflammatory cytokines by stellated astrocytes compared with polygonal cells. These results suggest that astrocytes are capable of multiple phenotypes depending on the stimulus and the order stimuli are applied.


Assuntos
Astrócitos/metabolismo , Citocinas/metabolismo , Mediadores da Inflamação/metabolismo , Animais , Astrócitos/efeitos dos fármacos , Astrócitos/imunologia , Biomarcadores/metabolismo , Soluções Tampão , Adesão Celular , Forma Celular , Células Cultivadas , Citocinas/genética , Feminino , Regulação da Expressão Gênica , Proteína Glial Fibrilar Ácida/metabolismo , HEPES/farmacologia , Concentração de Íons de Hidrogênio , Filamentos Intermediários/metabolismo , Macaca mulatta , Masculino , Moléculas de Adesão de Célula Nervosa/metabolismo , Fenótipo , Fatores de Tempo , Vimentina/metabolismo
13.
J Neurosci ; 32(45): 15886-901, 2012 Nov 07.
Artigo em Inglês | MEDLINE | ID: mdl-23136427

RESUMO

The level and integrity of glutamate transmission during critical periods of postnatal development plays an important role in the refinement of pyramidal neuron dendritic arbor, synaptic plasticity, and cognition. Presently, it is not clear how excitatory transmission via the two predominant isoforms of the vesicular glutamate transporter (VGLUT1 and VGLUT2) participate in this process. To assess a neurodevelopmental role for VGLUT2 in pyramidal neuron maturation, we generated recombinant VGLUT2 knock-out mice and inactivated VGLUT2 throughout development using Emx1-Cre(+/+) knock-in mice. We show that VGLUT2 deficiency in corticolimbic circuits results in reduced evoked glutamate transmission, release probability, and LTD at hippocampal CA3-CA1 synapses during a formative developmental period (postnatal days 11-14). In adults, we find a marked reduction in the amount of dendritic arbor across the span of the dendritic tree of CA1 pyramidal neurons and reduced long-term potentiation and levels of synaptic markers spinophilin and VGLUT1. Loss of dendritic arbor is accompanied by corresponding reductions in the number of dendritic spines, suggesting widespread alterations in synaptic connectivity. Conditional VGLUT2 knock-out mice exhibit increased open-field exploratory activity yet impaired spatial learning and memory, endophenotypes similar to those of NMDA receptor knock-down mice. Remarkably, the impairment in learning can be partially restored by selectively increasing NMDA receptor-mediated glutamate transmission in adult mice by prolonged treatment with d-serine and a d-amino acid oxidase inhibitor. Our data indicate that VGLUT2 expression is pivotal to the proper development of mature pyramidal neuronal architecture and plasticity, and that such glutamatergic deficiency leads to cognitive malfunction as observed in several neurodevelopmental psychiatric disorders.


Assuntos
Dendritos/metabolismo , Aprendizagem/fisiologia , Plasticidade Neuronal/fisiologia , Células Piramidais/fisiologia , Percepção Espacial/fisiologia , Proteína Vesicular 2 de Transporte de Glutamato/metabolismo , Animais , Espinhas Dendríticas/metabolismo , Hipocampo/fisiologia , Camundongos , Camundongos Knockout , Proteínas dos Microfilamentos/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Comportamento Espacial/fisiologia , Sinapses/fisiologia , Proteína Vesicular 1 de Transporte de Glutamato/genética , Proteína Vesicular 1 de Transporte de Glutamato/metabolismo , Proteína Vesicular 2 de Transporte de Glutamato/genética
14.
J Neurovirol ; 18(3): 213-21, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22535448

RESUMO

HIV infection in the brain and the resultant encephalitis affect approximately one third of individuals infected with HIV, regardless of treatment with antiretroviral drugs. Microglia are the resident phagocytic cell type in the brain, serving as a "first responder" to neuroinvasion by pathogens. The early events of the microglial response to productively infected monocyte/macrophages entering the brain can best be investigated using in vitro techniques. We hypothesized that activation of microglia would be specific to the presence of simian immunodeficiency virus (SIV)-infected macrophages as opposed to responses to macrophages in general. Purified microglia were grown and stimulated with control or SIV-infected macrophages. After 6 h, aliquots of the supernatant were analyzed for 23 cytokines using Millipore nonhuman primate-specific kit. In parallel experiments, morphologic changes and cytokine expression by individual microglia were examined by immunofluorescence. Surprisingly, the presence of macrophages was more important to the microglial response rather than whether the macrophages were infected with SIV. None of the cytokines examined were unique to co-incubation with SIV-infected macrophages compared with control macrophages, or their supernatants. Media from SIV-infected macrophages, however, did induce secretion of higher levels of IL-6 and IL-8 than the other treatments. As resident macrophages in the brain, microglia would be expected to have a strong response to infiltrate innate immune cells such as monocyte/macrophages. This response is triggered by incubation with macrophages, irrespective of whether or not they are infected with SIV, indicating a rapid, generalized immune response when infiltrating macrophages entering the brain.


Assuntos
Citocinas/imunologia , Lobo Frontal/imunologia , Macrófagos/imunologia , Microglia/imunologia , Síndrome de Imunodeficiência Adquirida dos Símios/imunologia , Animais , Comunicação Celular , Movimento Celular , Técnicas de Cocultura , Meios de Cultivo Condicionados , Citocinas/biossíntese , Lobo Frontal/patologia , Lobo Frontal/virologia , Macaca mulatta , Macrófagos/patologia , Macrófagos/virologia , Microglia/patologia , Microglia/virologia , Cultura Primária de Células , Síndrome de Imunodeficiência Adquirida dos Símios/patologia , Síndrome de Imunodeficiência Adquirida dos Símios/virologia , Vírus da Imunodeficiência Símia/imunologia
15.
Neurosci Res ; 70(2): 155-63, 2011 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-21352860

RESUMO

The NRG1 growth factor and ERBB4 receptor have been identified as leading schizophrenia risk genes. Although NRG1 and ERBB4 have been shown to modulate neuronal functions involved in schizophrenia, including both GABAergic and glutamatergic synapses, the exact molecular mechanisms remain poorly understood. Here we investigated ERBB4 intracellular domain, 4ICD, transactivator function in rat hippocampal cultures by inhibiting γ-secretase mediated ERBB4 regulated intramembrane proteolysis (RIP). NRG1 stimulation resulted in a dramatic increase in the number of hippocampal cells displaying nuclear 4ICD which was abolished in cultures pretreated with the γ-secretase inhibitor compound E (CE). To identify NRG1-4ICD transactivated genes we compared global gene expression profiles of hippocampal cultures stimulated with NRG1 in the absence or presence of CE. In concordance with the contribution of NRG1-ERBB4 signaling to dendritic spine maturation and schizophrenia, global gene expression analysis followed by Ingenuity Pathway Analysis of the dataset identified NRG1-4ICD regulated genes significantly represented in semaphorin signaling and actin cytoskeletal plasticity and multiple genes with confirmed roles in dendritic spine morphogenesis. Using the power of global gene expression analysis our data provides a proof-of-concept supporting a role for non-canonical NRG1-4ICD signaling in the regulation of gene expression contributing to normal and schizophrenic neuronal function.


Assuntos
Receptores ErbB/fisiologia , Regulação da Expressão Gênica/fisiologia , Hipocampo/fisiologia , Líquido Intracelular/fisiologia , Neuregulina-1/fisiologia , Neurônios/fisiologia , Animais , Diferenciação Celular/genética , Células Cultivadas , Receptores ErbB/química , Receptores ErbB/genética , Feminino , Perfilação da Expressão Gênica/métodos , Hipocampo/patologia , Neuregulina-1/agonistas , Neuregulina-1/genética , Plasticidade Neuronal/genética , Neurônios/citologia , Neurônios/patologia , Estrutura Terciária de Proteína/genética , Ratos , Ratos Sprague-Dawley , Receptor ErbB-4 , Esquizofrenia/genética , Esquizofrenia/metabolismo , Esquizofrenia/patologia , Transdução de Sinais/genética
16.
Int J Dev Neurosci ; 26(7): 805-11, 2008 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-18638539

RESUMO

Fragile X, an inheritable form of mental retardation, is caused by the inactivation of a gene on the X chromosome, FMR1 which codes for an RNA binding protein, fragile X mental retardation protein. Loss of this protein is associated with reduced complexities of neuronal dendrites and alterations in spine morphology in a number of cortical brain regions, and these deficits may underlie the cognitive impairment observed in fragile X patients. Among the many symptoms of fragile X are altered motor functions, although the neuronal basis for these remains unclear. In this study we investigated whether knockout of Fmr1 in the mouse model of fragile X altered dendrite morphology in developing spinal cord motor neurons. We find that Fmr1 knockout leads to modest alterations in the distribution of dendritic arbor across the span of the motor neuron dendritic tree in 2- and 4-week-old mice, compared to wild-type controls, consistent with slower rates of extension and abnormal pruning of intermediate dendritic segments. These studies suggest that some motor deficits in fragile X patients may be due to abnormal maturation of dendritic patterning within spinal motor neurons, and suggest that strategies aimed at preventing motor impairment in fragile X patients may be targeted at motor functions during early development.


Assuntos
Dendritos/patologia , Proteína do X Frágil da Deficiência Intelectual/genética , Síndrome do Cromossomo X Frágil/patologia , Neurônios Motores/patologia , Malformações do Sistema Nervoso/patologia , Medula Espinal/anormalidades , Animais , Forma Celular/genética , Dendritos/metabolismo , Modelos Animais de Doenças , Síndrome do Cromossomo X Frágil/genética , Síndrome do Cromossomo X Frágil/metabolismo , Regulação da Expressão Gênica no Desenvolvimento/genética , Citometria por Imagem , Camundongos , Camundongos Knockout , Neurônios Motores/metabolismo , Malformações do Sistema Nervoso/genética , Malformações do Sistema Nervoso/metabolismo , Neurogênese/genética , Medula Espinal/citologia , Medula Espinal/metabolismo
17.
Dev Neurobiol ; 68(2): 247-64, 2008 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-18000827

RESUMO

Activity-dependent developmental mechanisms in many regions of the central nervous system are thought to be responsible for shaping dendritic architecture and connectivity, although the molecular mechanisms underlying these events remain obscure. Since AMPA glutamate receptors are developmentally regulated in spinal motor neurons, we have investigated the role of activation of AMPA receptors in dendritic outgrowth of spinal motor neurons by overexpression of two subunits, GluR1 and GluR2, and find that dendrite outgrowth is differentially controlled by expression of these subunits. Overexpression of GluR1 was associated with greater numbers of filopodia, and an increase in the length and complexity of dendritic arbor. In contrast, GluR2 expression did not alter dendritic complexity, but was associated with a moderate increase in length of arbor, and decreased numbers of filopodia. Neither GluR1 nor GluR2 had any effect on the motility of filopodia. In addition, GluR1 but not GluR2 expression increased the density of dendritic puncta incorporating a GFP-labeled PSD95, suggesting that GluR1 may mediate its effect in part by augmenting the number of excitatory synapses within motor neuron dendrites. Together these results suggest that in spinal motor neurons, AMPA receptors composed of GluR1 subunits may facilitate neurotrophic mechanisms in these neurons, permitting sustained dendrite outgrowth and synaptogenesis, whereas expression of AMPA receptors containing GluR2 acts to preserve existing dendritic arbor. Thus, the observed downregulation of GluR1 in motor neurons during postnatal development may limit the formation of new dendrite segments and synapses, promoting stabilized synaptic connectivity.


Assuntos
Dendritos/metabolismo , Neurônios Motores/metabolismo , Receptores de AMPA/metabolismo , Medula Espinal/embriologia , Medula Espinal/metabolismo , Animais , Diferenciação Celular/fisiologia , Movimento Celular/fisiologia , Forma Celular/fisiologia , Células Cultivadas , Dendritos/ultraestrutura , Proteína 4 Homóloga a Disks-Large , Regulação da Expressão Gênica no Desenvolvimento/genética , Ácido Glutâmico/metabolismo , Proteínas de Fluorescência Verde/genética , Proteínas de Fluorescência Verde/metabolismo , Peptídeos e Proteínas de Sinalização Intracelular/genética , Peptídeos e Proteínas de Sinalização Intracelular/metabolismo , Proteínas de Membrana/genética , Proteínas de Membrana/metabolismo , Neurônios Motores/citologia , Pseudópodes/metabolismo , Pseudópodes/ultraestrutura , Ratos , Ratos Sprague-Dawley , Receptores de AMPA/genética , Medula Espinal/citologia , Sinapses/genética , Sinapses/metabolismo , Transmissão Sináptica/fisiologia
18.
J Comp Neurol ; 503(2): 319-33, 2007 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-17492626

RESUMO

The endomorphins are endogenous opioids with high affinity and selectivity for the mu opioid receptor (MOR, MOR-1, MOP). Endomorphin-1 (Tyr-Pro-Trp-Phe-NH(2); EM1) and endomorphin-2 (Tyr-Pro-Phe-Phe-NH(2); EM2) have been localized to many regions of the central nervous system (CNS), including those that regulate antinociception, autonomic function, and reward. Colocalization or shared distribution (overlap) of two neurotransmitters, or a transmitter and its cognate receptor, may imply an interaction of these elements in the regulation of functions mediated in that region. For example, previous evidence of colocalization of EM2 with substance P (SP), calcitonin gene-related peptide (CGRP), and MOR in primary afferent neurons suggested an interaction of these peptides in pain modulation. We therefore investigated the colocalization of EM1 and EM2 with SP, CGRP, and MOR in other areas of the CNS. EM2 was colocalized with SP and CGRP in the nucleus of the solitary tract (NTS) and with SP, CGRP and MOR in the parabrachial nucleus. Several areas in which EM1 and EM2 showed extensive shared distributions, but no detectable colocalization with other signaling molecules, are also described.


Assuntos
Peptídeo Relacionado com Gene de Calcitonina/metabolismo , Oligopeptídeos/metabolismo , Receptores Opioides mu/metabolismo , Substância P/metabolismo , Ácido gama-Aminobutírico/metabolismo , Animais , Encéfalo/citologia , Encéfalo/metabolismo , Imuno-Histoquímica , Masculino , Neurônios/metabolismo , Peptídeos Opioides/metabolismo , Dor/metabolismo , Ratos , Ratos Sprague-Dawley , Receptores Opioides mu/agonistas , Medula Espinal/citologia , Medula Espinal/metabolismo , Distribuição Tecidual
19.
J Neurosci ; 22(18): 8042-51, 2002 Sep 15.
Artigo em Inglês | MEDLINE | ID: mdl-12223558

RESUMO

The morphology of the mature motor neuron dendritic arbor is determined by activity-dependent processes occurring during a critical period in early postnatal life. The abundance of the AMPA receptor subunit GluR1 in motor neurons is very high during this period and subsequently falls to a negligible level. To test the role of GluR1 in dendrite morphogenesis, we reintroduced GluR1 into rat motor neurons at the end of the critical period and quantitatively studied the effects on dendrite architecture. Two versions of GluR1 were studied that differed by the amino acid in the "Q/R" editing site. The amino acid occupying this site determines single-channel conductance, ionic permeability, and other essential electrophysiologic properties of the resulting receptor channels. We found large-scale remodeling of dendritic architectures in a manner depending on the amino acid occupying the Q/R editing site. Alterations in the distribution of dendritic arbor were not prevented by blocking NMDA receptors. These observations suggest that the expression of GluR1 in motor neurons modulates a component of the molecular substrate of activity-dependent dendrite morphogenesis. The control of these events relies on subunit-specific properties of AMPA receptors.


Assuntos
Dendritos/fisiologia , Neurônios Motores/metabolismo , Subunidades Proteicas , Receptores de AMPA/metabolismo , Potenciais de Ação/efeitos dos fármacos , Potenciais de Ação/fisiologia , Substituição de Aminoácidos , Animais , Dendritos/efeitos dos fármacos , Estimulação Elétrica , Corantes Fluorescentes , Vetores Genéticos/administração & dosagem , Vetores Genéticos/genética , Imuno-Histoquímica , Masculino , Neurônios Motores/citologia , Neurônios Motores/efeitos dos fármacos , Mutagênese Sítio-Dirigida , Oócitos/metabolismo , Técnicas de Patch-Clamp , Via Perfurante/fisiologia , Ratos , Ratos Sprague-Dawley , Receptores de AMPA/administração & dosagem , Receptores de AMPA/genética , Fatores de Tempo , Transgenes , Xenopus
20.
BMC Neurosci ; 3: 7, 2002 Jun 19.
Artigo em Inglês | MEDLINE | ID: mdl-12086589

RESUMO

BACKGROUND: The jellyfish green fluorescent protein (GFP) can be inserted into the middle of another protein to produce a functional, fluorescent fusion protein. Finding permissive sites for insertion, however, can be difficult. Here we describe a transposon-based approach for rapidly creating libraries of GFP fusion proteins. RESULTS: We tested our approach on the glutamate receptor subunit, GluR1, and the G protein subunit, alphas. All of the in-frame GFP insertions produced a fluorescent protein, consistent with the idea that GFP will fold and form a fluorophore when inserted into virtually any domain of another protein. Some of the proteins retained their signaling function, and the random nature of the transposition process revealed permissive sites for insertion that would not have been predicted on the basis of structural or functional models of how that protein works. CONCLUSION: This technique should greatly speed the discovery of functional fusion proteins, genetically encodable sensors, and optimized fluorescence resonance energy transfer pairs.


Assuntos
Elementos de DNA Transponíveis/genética , Proteínas Luminescentes/genética , Mutagênese Insercional/métodos , Proteínas Recombinantes de Fusão/biossíntese , Proteínas Recombinantes de Fusão/genética , Linhagem Celular , Clonagem Molecular , Expressão Gênica , Proteínas de Fluorescência Verde , Proteínas Heterotriméricas de Ligação ao GTP/genética , Humanos , Rim/citologia , Rim/metabolismo , Dobramento de Proteína , Subunidades Proteicas/genética , Receptores de AMPA/genética , Proteínas Recombinantes de Fusão/química , Transfecção
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