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1.
Inflamm Bowel Dis ; 2024 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-38738296

RESUMO

BACKGROUND: Despite advances in medical therapy, many children and adults with ileal Crohn's disease (CD) progress to fibrostenosis requiring surgery. We aimed to identify MRI and circulating biomarkers associated with the need for surgical management. METHODS: This prospective, multicenter study included pediatric and adult CD cases undergoing ileal resection and CD controls receiving medical therapy. Noncontrast research MRI examinations measured bowel wall 3-dimensional magnetization transfer ratio normalized to skeletal muscle (normalized 3D MTR), modified Look-Locker inversion recovery (MOLLI) T1 relaxation, intravoxel incoherent motion (IVIM) diffusion-weighted imaging metrics, and the simplified magnetic resonance index of activity (sMaRIA). Circulating biomarkers were measured on the same day as the research MRI and included CD64, extracellular matrix protein 1 (ECM1), and granulocyte-macrophage colony-stimulating factor (GM-CSF) autoantibodies (Ab). Associations between MRI and circulating biomarkers and need for ileal resection were tested using univariate and multivariable LASSO regression. RESULTS: Our study sample included 50 patients with CD undergoing ileal resection and 83 patients with CD receiving medical therapy; mean participant age was 23.9 ±â€…13.1 years. Disease duration and treatment exposures did not vary between the groups. Univariate biomarker associations with ileal resection included log GM-CSF Ab (odds ratio [OR], 2.87; P = .0009), normalized 3D MTR (OR, 1.05; P = .002), log MOLLI T1 (OR, 0.01; P = .02), log IVIM perfusion fraction (f; OR, 0.38; P = .04), and IVIM apparent diffusion coefficient (ADC; OR, 0.3; P = .001). The multivariable model for surgery based upon corrected Akaike information criterion included age (OR, 1.03; P = .29), BMI (OR, 0.91; P = .09), log GM-CSF Ab (OR, 3.37; P = .01), normalized 3D MTR (OR, 1.07; P = .007), sMaRIA (OR, 1.14; P = .61), luminal narrowing (OR, 10.19; P = .003), log C-reactive protein (normalized; OR, 2.75; P = .10), and hematocrit (OR, 0.90; P = .13). CONCLUSION: After accounting for clinical and MRI measures of severity, normalized 3D MTR and GM-CSF Ab are associated with the need for surgery in ileal CD.


Despite advances in medical therapy, many patients with ileal Crohn's disease progress to fibrostenosis requiring surgery. Our study has shown that GM-CSF autoantibodies and MRI biomarker sequences are associated with the need for ileal resection and may help guide management decisions.

2.
Blood ; 143(21): 2145-2151, 2024 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-38364110

RESUMO

ABSTRACT: Voxelotor is an inhibitor of sickle hemoglobin polymerization that is used to treat sickle cell disease. Although voxelotor has been shown to improve anemia, the clinical benefit on the brain remains to be determined. This study quantified the cerebral hemodynamic effects of voxelotor in children with sickle cell anemia (SCA) using noninvasive diffuse optical spectroscopies. Specifically, frequency-domain near-infrared spectroscopy combined with diffuse correlation spectroscopy were used to noninvasively assess regional oxygen extraction fraction (OEF), cerebral blood volume, and an index of cerebral blood flow (CBFi). Estimates of CBFi were first validated against arterial spin-labeled magnetic resonance imaging (ASL-MRI) in 8 children with SCA aged 8 to 18 years. CBFi was significantly positively correlated with ASL-MRI-measured blood flow (R2 = 0.651; P = .015). Next, a single-center, open-label pilot study was completed in 8 children with SCA aged 4 to 17 years on voxelotor, monitored before treatment initiation and at 4, 8, and 12 weeks (NCT05018728). By 4 weeks, both OEF and CBFi significantly decreased, and these decreases persisted to 12 weeks (both P < .05). Decreases in CBFi were significantly correlated with increases in blood hemoglobin (Hb) concentration (P = .025), whereas the correlation between decreases in OEF and increases in Hb trended toward significance (P = .12). Given that previous work has shown that oxygen extraction and blood flow are elevated in pediatric SCA compared with controls, these results suggest that voxelotor may reduce cerebral hemodynamic impairments. This trial was registered at www.ClinicalTrials.gov as #NCT05018728.


Assuntos
Anemia Falciforme , Circulação Cerebrovascular , Oxigênio , Humanos , Anemia Falciforme/sangue , Criança , Adolescente , Masculino , Feminino , Oxigênio/sangue , Oxigênio/metabolismo , Pré-Escolar , Imageamento por Ressonância Magnética/métodos , Pirazinas/uso terapêutico , Pirazinas/administração & dosagem , Projetos Piloto , Benzaldeídos/uso terapêutico , Benzaldeídos/farmacologia , Benzaldeídos/administração & dosagem , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Pirazóis
3.
Diagnostics (Basel) ; 13(18)2023 Sep 18.
Artigo em Inglês | MEDLINE | ID: mdl-37761340

RESUMO

Contextual design and selection of MRI protocols is critical for making an accurate diagnosis given the wide variety of clinical indications for spine imaging in children. Here, we describe our pediatric spine imaging protocols in detail, tailored to specific clinical questions.

4.
Contemp Clin Trials ; 129: 107170, 2023 06.
Artigo em Inglês | MEDLINE | ID: mdl-37019180

RESUMO

BACKGROUND: Non-alcoholic fatty liver disease (NAFLD) is the leading liver disorder among U.S. children and is most prevalent among Hispanic children with obesity. Previous research has shown that reducing the consumption of free sugars (added sugars + naturally occurring sugars in fruit juice) can reverse liver steatosis in adolescents with NAFLD. This study aims to determine if a low-free sugar diet (LFSD) can prevent liver fat accumulation and NAFLD in high-risk children. METHODS: In this randomized controlled trial, we will enroll 140 Hispanic children aged 6 to 9 years who are ≥50th percentile BMI and without a previous diagnosis of NAFLD. Participants will be randomly assigned to either an experimental (LFSD) or a control (usual diet + educational materials) group. The one-year intervention includes removal of foods high in free sugars from the home at baseline, provision of LFSD household groceries for the entire family (weeks 1-4, 12, 24, and 36), dietitian-guided family grocery shopping sessions (weeks 12, 24, and 36), and ongoing education and motivational interviewing to promote LFSD. Both groups complete assessment measures at baseline, 6, 12, 18, and 24 months. Primary study outcomes are percent hepatic fat at 12 months and incidence of clinically significant hepatic steatosis (>5%) + elevated liver enzymes at 24 months. Secondary outcomes include metabolic markers potentially mediating or moderating NAFLD pathogenesis. DISCUSSION: This protocol describes the rationale, eligibility criteria, recruitment strategies, analysis plan as well as a novel dietary intervention design. Study results will inform future dietary guidelines for pediatric NAFLD prevention. TRIAL REGISTRATION: ClinicalTrials.gov, NCT05292352.


Assuntos
Hepatopatia Gordurosa não Alcoólica , Criança , Humanos , Dieta , Hispânico ou Latino , Fígado/patologia , Hepatopatia Gordurosa não Alcoólica/diagnóstico , Ensaios Clínicos Controlados Aleatórios como Assunto , Açúcares
5.
J Am Coll Health ; 71(3): 952-958, 2023 04.
Artigo em Inglês | MEDLINE | ID: mdl-33798023

RESUMO

OBJECTIVES: To place Smart Snacks in vending machines and determine if different sales strategies affect Smart Snack selection. PARTICIPANTS: University students living in resident halls. METHODS: Vending machines included 50% Smart Snacks and 50% non compliant snacks. Three sales strategies targeted student selection of Smart Snacks: Reduced price, signage, and nutrition education activities. Three-way ANOVA was used for analysis. RESULTS: There was a statistically significant three-way interaction on snack selection between sales strategy, study period, and snack type, F(4, 77) = 3.33, P = .01. There were no statistically significant simple two-way interaction between study period and sales strategy for either Smart Snack, F(1, 77) = 1.62, P = 0.18, or NC snack types, F(1, 77) = 2.02, P = 0.07. CONCLUSIONS: Sales strategies did not affect Smart Snack selections. Advocates for healthier snacks in vending machines can align with university administrations to establish nutrient guidelines.


Assuntos
Critérios de Admissão Escolar , Lanches , Humanos , Universidades , Estudantes , Distribuidores Automáticos de Alimentos
6.
J Clin Invest ; 131(24)2021 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-34907907

RESUMO

BACKGROUNDHepatic de novo lipogenesis (DNL) is elevated in nonalcoholic fatty liver disease (NAFLD). Improvements in hepatic fat by dietary sugar reduction may be mediated by reduced DNL, but data are limited, especially in children. We examined the effects of 8 weeks of dietary sugar restriction on hepatic DNL in adolescents with NAFLD and correlations between DNL and other metabolic outcomes.METHODSAdolescent boys with NAFLD (n = 29) participated in an 8-week, randomized controlled trial comparing a diet low in free sugars versus their usual diet. Hepatic DNL was measured as percentage contribution to plasma triglyceride palmitate using a 7-day metabolic labeling protocol with heavy water. Hepatic fat was measured by magnetic resonance imaging-proton density fat fraction.RESULTSHepatic DNL was significantly decreased in the treatment group (from 34.6% to 24.1%) versus the control group (33.9% to 34.6%) (adjusted week 8 mean difference: -10.6% [95% CI: -19.1%, -2.0%]), which was paralleled by greater decreases in hepatic fat (25.5% to 17.9% vs. 19.5% to 18.8%) and fasting insulin (44.3 to 34.7 vs. 35.5 to 37.0 µIU/mL). Percentage change in DNL during the intervention correlated significantly with changes in free-sugar intake (r = 0.48, P = 0.011), insulin (r = 0.40, P = 0.047), and alanine aminotransferase (ALT) (r = 0.39, P = 0.049), but not hepatic fat (r = 0.13, P = 0.532).CONCLUSIONOur results suggest that dietary sugar restriction reduces hepatic DNL and fasting insulin, in addition to reductions in hepatic fat and ALT, among adolescents with NAFLD. These results are consistent with the hypothesis that hepatic DNL is a critical metabolic abnormality linking dietary sugar and NAFLD.TRIAL REGISTRYClinicalTrials.gov NCT02513121.FUNDINGThe Nutrition Science Initiative (made possible by gifts from the Laura and John Arnold Foundation, Ambrose Monell Foundation, and individual donors), the UCSD Altman Clinical and Translational Research Institute, the NIH, Children's Healthcare of Atlanta and Emory University's Children's Clinical and Translational Discovery Core, Children's Healthcare of Atlanta and Emory University Pediatric Biostatistical Core, the Georgia Clinical and Translational Science Alliance, and the NIH National Institute of Diabetes, Digestive, and Kidney Disease.


Assuntos
Dieta com Restrição de Carboidratos , Açúcares da Dieta/efeitos adversos , Lipogênese , Fígado/metabolismo , Hepatopatia Gordurosa não Alcoólica , Adolescente , Criança , Açúcares da Dieta/administração & dosagem , Humanos , Masculino , Hepatopatia Gordurosa não Alcoólica/dietoterapia , Hepatopatia Gordurosa não Alcoólica/metabolismo
7.
Hepatol Commun ; 3(10): 1311-1321, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31592078

RESUMO

Nonalcoholic fatty liver disease (NAFLD) is the most common chronic liver disease in children, but diagnosis is challenging due to limited availability of noninvasive biomarkers. Machine learning applied to high-resolution metabolomics and clinical phenotype data offers a novel framework for developing a NAFLD screening panel in youth. Here, untargeted metabolomics by liquid chromatography-mass spectrometry was performed on plasma samples from a combined cross-sectional sample of children and adolescents ages 2-25 years old with NAFLD (n = 222) and without NAFLD (n = 337), confirmed by liver biopsy or magnetic resonance imaging. Anthropometrics, blood lipids, liver enzymes, and glucose and insulin metabolism were also assessed. A machine learning approach was applied to the metabolomics and clinical phenotype data sets, which were split into training and test sets, and included dimension reduction, feature selection, and classification model development. The selected metabolite features were the amino acids serine, leucine/isoleucine, and tryptophan; three putatively annotated compounds (dihydrothymine and two phospholipids); and two unknowns. The selected clinical phenotype variables were waist circumference, whole-body insulin sensitivity index (WBISI) based on the oral glucose tolerance test, and blood triglycerides. The highest performing classification model was random forest, which had an area under the receiver operating characteristic curve (AUROC) of 0.94, sensitivity of 73%, and specificity of 97% for detecting NAFLD cases. A second classification model was developed using the homeostasis model assessment of insulin resistance substituted for the WBISI. Similarly, the highest performing classification model was random forest, which had an AUROC of 0.92, sensitivity of 73%, and specificity of 94%. Conclusion: The identified screening panel consisting of both metabolomics and clinical features has promising potential for screening for NAFLD in youth. Further development of this panel and independent validation testing in other cohorts are warranted.

8.
JAMA ; 321(3): 256-265, 2019 01 22.
Artigo em Inglês | MEDLINE | ID: mdl-30667502

RESUMO

Importance: Pediatric guidelines for the management of nonalcoholic fatty liver disease (NAFLD) recommend a healthy diet as treatment. Reduction of sugary foods and beverages is a plausible but unproven treatment. Objective: To determine the effects of a diet low in free sugars (those sugars added to foods and beverages and occurring naturally in fruit juices) in adolescent boys with NAFLD. Design, Setting, and Participants: An open-label, 8-week randomized clinical trial of adolescent boys aged 11 to 16 years with histologically diagnosed NAFLD and evidence of active disease (hepatic steatosis >10% and alanine aminotransferase level ≥45 U/L) randomized 1:1 to an intervention diet group or usual diet group at 2 US academic clinical research centers from August 2015 to July 2017; final date of follow-up was September 2017. Interventions: The intervention diet consisted of individualized menu planning and provision of study meals for the entire household to restrict free sugar intake to less than 3% of daily calories for 8 weeks. Twice-weekly telephone calls assessed diet adherence. Usual diet participants consumed their regular diet. Main Outcomes and Measures: The primary outcome was change in hepatic steatosis estimated by magnetic resonance imaging proton density fat fraction measurement between baseline and 8 weeks. The minimal clinically important difference was assumed to be 4%. There were 12 secondary outcomes, including change in alanine aminotransferase level and diet adherence. Results: Forty adolescent boys were randomly assigned to either the intervention diet group or the usual diet group (20 per group; mean [SD] age, 13.0 [1.9] years; most were Hispanic [95%]) and all completed the trial. The mean decrease in hepatic steatosis from baseline to week 8 was significantly greater for the intervention diet group (25% to 17%) vs the usual diet group (21% to 20%) and the adjusted week 8 mean difference was -6.23% (95% CI, -9.45% to -3.02%; P < .001). Of the 12 prespecified secondary outcomes, 7 were null and 5 were statistically significant including alanine aminotransferase level and diet adherence. The geometric mean decrease in alanine aminotransferase level from baseline to 8 weeks was significantly greater for the intervention diet group (103 U/L to 61 U/L) vs the usual diet group (82 U/L to 75 U/L) and the adjusted ratio of the geometric means at week 8 was 0.65 U/L (95% CI, 0.53 to 0.81 U/L; P < .001). Adherence to the diet was high in the intervention diet group (18 of 20 reported intake of <3% of calories from free sugar during the intervention). There were no adverse events related to participation in the study. Conclusions and Relevance: In this study of adolescent boys with NAFLD, 8 weeks of provision of a diet low in free sugar content compared with usual diet resulted in significant improvement in hepatic steatosis. However, these findings should be considered preliminary and further research is required to assess long-term and clinical outcomes. Trial Registration: ClinicalTrials.gov Identifier: NCT02513121.


Assuntos
Dieta com Restrição de Carboidratos , Açúcares da Dieta , Hepatopatia Gordurosa não Alcoólica/dietoterapia , Adolescente , Glicemia/análise , Índice de Massa Corporal , Criança , Hispânico ou Latino , Humanos , Lipídeos/sangue , Testes de Função Hepática , Masculino , Hepatopatia Gordurosa não Alcoólica/sangue , Hepatopatia Gordurosa não Alcoólica/etnologia , Resultado do Tratamento , Redução de Peso
9.
Health Promot Perspect ; 8(3): 237-242, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30087848

RESUMO

Background: The purpose was to determine if an 8-week nutrition education and exercise program for families could influence health and fitness parameters, and retention of nutrition knowledge. Methods: Eighteen children (mean age: 10.52 ± 1.26 year; 50% boys, 50% girls; 56% white, 25% black, 19% multiracial) participated in the Families in Transformation (FIT) program. Preand post-study anthropocentric, blood pressure, fitness, and nutrition knowledge data was collected. Results: Diastolic blood pressure decreased for the total group (66.63 ± 8.81 to 63.75 ± 11.81mm Hg). Significant (P < 0.05) increases were seen for the group for push-ups (14.31 ± 7.62 to 19.63 ± 6.62) and chair squats (30.50 ± 10.21 to 34.44 ± 7.39). The reinforcing physical activity group performed significantly better on nutrition knowledge quizzes. Conclusion: Although, body mass index (BMI) z-scores did not change, there was a decrease in diastolic blood pressure, increase in fitness parameters, and increased retention of nutrition knowledge.

10.
J Environ Qual ; 46(2): 330-338, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28380566

RESUMO

Watershed-scale management efforts to reduce nutrient loads and improve the conservation of lakes in agricultural watersheds require effective integration of a variety of agricultural conservation best management practices (BMPs). This paper documents watershed-scale assessments of the influence of multiple integrated BMPs on oxbow lake nutrient concentrations in a 625-ha watershed of intensive row-crop agricultural activity during a 14-yr monitoring period (1996-2009). A suite of BMPs within fields and at field edges throughout the watershed and enrollment of 87 ha into the Conservation Reserve Program (CRP) were implemented from 1995 to 2006. Total phosphorus (TP), soluble reactive phosphorus (SRP), ammonium, and nitrate were measured approximately biweekly from 1996 to 2009, and total nitrogen (TN) was measured from 2001 to 2009. Decreases in several lake nutrient concentrations occurred after BMP implementation. Reductions in TP lake concentrations were associated with vegetative buffers and rainfall. No consistent patterns of changes in TN or SRP lake concentrations were observed. Reductions in ammonium lake concentrations were associated with conservation tillage and CRP. Reductions in nitrate lake concentrations were associated with vegetative buffers. Watershed simulations conducted with the AnnAGNPS (Annualized Agricultural Non-Point Source) model with and without BMPs also show a clear reduction in TN and TP loads to the lake after the implementation of BMPs. These results provide direct evidence of how watershed-wide BMPs assist in reducing nutrient loading in aquatic ecosystems and promote a more viable and sustainable lake ecosystem.


Assuntos
Agricultura , Nitrogênio/análise , Fósforo/análise , Ecossistema , Monitoramento Ambiental , Lagos
11.
J Magn Reson Imaging ; 45(3): 710-721, 2017 03.
Artigo em Inglês | MEDLINE | ID: mdl-27474158

RESUMO

PURPOSE: To examine the effects of repetition time (TR) on metabolite concentration measurements in the human brain in 1 H magnetic resonance spectroscopy at 3 Tesla (T). MATERIALS AND METHODS: Spectra were acquired from the posterior cingulate of five healthy adults at repetition times of 1.5 s, 3.0 s, 4.0 s, 6.0 s, and 8.0 s on a 3T MRI system. Relaxation data were also acquired for the water signal in the voxel of interest to separate tissue water and cerebrospinal fluid signal contributions. All data were quantified relative to total creatine and relative to the tissue water signal. RESULTS: On average, the variance for absolute metabolite concentrations was smaller than that of ratio concentrations (P = 0.003). Metabolite ratio concentrations calculated from a short TR of 1.5 s significantly differed (P < 0.05) from their "true" ratios, i.e., ratios corrected for T1 -weighting. In comparison, absolute metabolite concentrations exhibited significant differences (P < 0.05) up to a 4-s TR. CONCLUSION: To minimize potential TR-dependent concentration differences at 3T, a minimum TR of 2.5 s is suggested for ratio concentration measurements, and a 5-s TR for absolute concentrations. When possible, preference should be to perform absolute concentration measurements. LEVEL OF EVIDENCE: 2 J. Magn. Reson. Imaging 2017;45:710-721.


Assuntos
Encéfalo/metabolismo , Imageamento por Ressonância Magnética/métodos , Imagem Molecular/métodos , Espectroscopia de Prótons por Ressonância Magnética/métodos , Adulto , Encéfalo/anatomia & histologia , Encéfalo/diagnóstico por imagem , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Distribuição Tecidual
12.
Nat Neurosci ; 17(12): 1720-7, 2014 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-25347353

RESUMO

Chronic exposure to drugs of abuse or stress regulates transcription factors, chromatin-modifying enzymes and histone post-translational modifications in discrete brain regions. Given the promiscuity of the enzymes involved, it has not yet been possible to obtain direct causal evidence to implicate the regulation of transcription and consequent behavioral plasticity by chromatin remodeling that occurs at a single gene. We investigated the mechanism linking chromatin dynamics to neurobiological phenomena by applying engineered transcription factors to selectively modify chromatin at a specific mouse gene in vivo. We found that histone methylation or acetylation at the Fosb locus in nucleus accumbens, a brain reward region, was sufficient to control drug- and stress-evoked transcriptional and behavioral responses via interactions with the endogenous transcriptional machinery. This approach allowed us to relate the epigenetic landscape at a given gene directly to regulation of its expression and to its subsequent effects on reward behavior.


Assuntos
Comportamento Aditivo/genética , Depressão/genética , Epigênese Genética/genética , Loci Gênicos/genética , Proteínas Proto-Oncogênicas c-fos/genética , Adulto , Animais , Comportamento Aditivo/metabolismo , Linhagem Celular Tumoral , Depressão/metabolismo , Feminino , Humanos , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Pessoa de Meia-Idade , Núcleo Accumbens/metabolismo
13.
Nucleic Acids Res ; 42(10): 6158-67, 2014 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-24792165

RESUMO

Artificial transcription factors are powerful tools for regulating gene expression. Here we report results with engineered zinc-finger transcription factors (ZF-TFs) targeting four protein-coding genes, OCT4, SOX2, KLF4 and c-MYC, and one noncoding ribonucleic acid (RNA) gene, the microRNA (miRNA) miR302/367 cluster. We designed over 300 ZF-TFs whose targets lie within 1 kb of the transcriptional start sites (TSSs), screened them for increased messenger RNA or miRNA levels in transfected cells, and identified potent ZF-TF activators for each gene. Furthermore, we demonstrate that selected ZF-TFs function with alternative activation domains and in multiple cell lines. For OCT4, we expanded the target range to -2.5 kb and +500 bp relative to the TSS and identified additional active ZF-TFs, including three highly active ZF-TFs targeting distal enhancer, proximal enhancer and downstream from the proximal promoter. Chromatin immunoprecipitation (FLAG-ChIP) results indicate that several inactive ZF-TFs targeting within the same regulatory region bind as well as the most active ZF-TFs, suggesting that efficient binding within one of these regulatory regions may be necessary but not sufficient for activation. These results further our understanding of ZF-TF design principles and corroborate the use of ZF-TFs targeting enhancers and downstream from the TSS for transcriptional activation.


Assuntos
Transativadores/metabolismo , Ativação Transcricional , Dedos de Zinco , Linhagem Celular , Humanos , Fator 4 Semelhante a Kruppel , Fatores de Transcrição Kruppel-Like/biossíntese , Fatores de Transcrição Kruppel-Like/genética , MicroRNAs/biossíntese , MicroRNAs/genética , Fator 3 de Transcrição de Octâmero/biossíntese , Fator 3 de Transcrição de Octâmero/genética , Engenharia de Proteínas , Estrutura Terciária de Proteína , Proteínas Proto-Oncogênicas c-myc/biossíntese , Proteínas Proto-Oncogênicas c-myc/genética , Fatores de Transcrição SOXB1/biossíntese , Fatores de Transcrição SOXB1/genética , Transativadores/química
14.
J Natl Cancer Inst ; 106(5)2014 Apr 03.
Artigo em Inglês | MEDLINE | ID: mdl-24700805

RESUMO

BACKGROUND: Bladder cancer is the most common malignancy of the urinary system, yet our molecular understanding of this disease is incomplete, hampering therapeutic advances. METHODS: Here we used a genome-wide functional short-hairpin RNA (shRNA) screen to identify suppressors of in vivo bladder tumor xenograft growth (n = 50) using bladder cancer UMUC3 cells. Next-generation sequencing was used to identify the most frequently occurring shRNAs in tumors. Genes so identified were studied in 561 patients with bladder cancer for their association with stratification of clinical outcome by Kaplan-Meier analysis. The best prognostic marker was studied to determine its mechanism in tumor suppression using anchorage-dependent and -independent growth, xenograft (n = 20), and metabolomic assays. Statistical significance was determined using two-sided Student t test and repeated-measures statistical analysis. RESULTS: We identified the glycogen debranching enzyme AGL as a prognostic indicator of patient survival (P = .04) and as a novel regulator of bladder cancer anchorage-dependent (P < .001), anchorage-independent (mean ± standard deviation, 180 ± 23.1 colonies vs 20±9.5 in control, P < .001), and xenograft growth (P < .001). Rescue experiments using catalytically dead AGL variants revealed that this effect is independent of AGL enzymatic functions. We demonstrated that reduced AGL enhances tumor growth by increasing glycine synthesis through increased expression of serine hydroxymethyltransferase 2. CONCLUSIONS: Using an in vivo RNA interference screen, we discovered that AGL, a glycogen debranching enzyme, has a biologically and statistically significant role in suppressing human cancer growth.


Assuntos
Sistema da Enzima Desramificadora do Glicogênio/deficiência , Neoplasias da Bexiga Urinária/enzimologia , Neoplasias da Bexiga Urinária/patologia , Animais , Linhagem Celular Tumoral , Estudo de Associação Genômica Ampla , Sistema da Enzima Desramificadora do Glicogênio/genética , Sistema da Enzima Desramificadora do Glicogênio/metabolismo , Doença de Depósito de Glicogênio/enzimologia , Xenoenxertos , Humanos , Masculino , Camundongos , Camundongos Nus , RNA Interferente Pequeno/genética , Neoplasias da Bexiga Urinária/genética
15.
Sci Total Environ ; 427-428: 373-81, 2012 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-22560749

RESUMO

We examined the mitigation efficiency of a managed riverine wetland amended with a mixture of suspended sediment, two nutrients (nitrogen and phosphorus), and three pesticides (atrazine, metolachlor, and permethrin) during a simulated agricultural runoff event. Hydrologic management of the 500 m-long, 25 m-wide riverine wetland was done by adding weirs at both ends. The agrichemical mixture was amended to the wetland at the upstream weir simulating a four-hour, ~1cm rainfall event from a 16ha agricultural field. Water samples (1L) were collected every 30 min within the first 4h, then every 4h until 48 h, and again on days 5, 7, 14, 21, and 28 post-amendment at distances of 0m, 10 m, 40 m, 300 m and 500 m from the amendment point within the wetland for suspended solids, nutrient, and pesticide analyses. Peak sediment, nutrient, and pesticide concentrations occurred within 3 h of amendment at 0m, 10 m, 40 m, and 300 m downstream and showed rapid attenuation of agrichemicals from the water column with 79-98%, 42-98%, and 63-98% decrease in concentrations of sediments, nutrients, and pesticides, respectively, within 48 h. By day 28, all amendments were near or below pre-amendment concentrations. Water samples at 500 m showed no changes in sediment or nutrient concentrations; pesticide concentrations peaked within 48 h but at ≤11% of upstream peak concentrations and had dissipated by day 28. Managed riverine wetlands≥1 ha and with hydraulic residence times of days to weeks can efficiently trap agricultural runoff during moderate (1cm) late-spring and early-summer rainfall events, mitigating impacts to receiving rivers.


Assuntos
Recuperação e Remediação Ambiental/métodos , Poluentes Químicos da Água/análise , Poluição Química da Água/análise , Poluição Química da Água/prevenção & controle , Áreas Alagadas , Acetamidas/análise , Agricultura , Atrazina/análise , Monitoramento Ambiental , Sedimentos Geológicos/análise , Mississippi , Nitrogênio/análise , Permetrina/análise , Praguicidas/análise , Fósforo/análise , Chuva , Fatores de Tempo
16.
Chemosphere ; 87(7): 684-91, 2012 May.
Artigo em Inglês | MEDLINE | ID: mdl-22245061

RESUMO

We assessed the aqueous toxicity mitigation capacity of a hydrologically managed floodplain wetland following a synthetic runoff event amended with a mixture of sediments, nutrients (nitrogen and phosphorus), and pesticides (atrazine, S-metolachlor, and permethrin) using 48-h Hyalella azteca survival and phytoplankton pigment, chlorophyll a. The runoff event simulated a 1h, 1.27 cm rainfall event from a 16 ha agricultural field. Water (1L) was collected every 30 min within the first 4h, every 4h until 48 h, and on days 5, 7, 14, 21, and 28 post-amendment at distances of 0, 10, 40, 300 and 500 m from the amendment point for chlorophyll a, suspended sediment, nutrient, and pesticide analyses. H. azteca 48-h laboratory survival was assessed in water collected at each site at 0, 4, 24, 48 h, 5 d and 7 d. Greatest sediment, nutrient, and pesticide concentrations occurred within 3h of amendment at 0m, 10 m, 40 m, and 300 m downstream. Sediments and nutrients showed little variation at 500 m whereas pesticides peaked within 48 h but at <15% of upstream peak concentrations. After 28 d, all mixture components were near or below pre-amendment concentrations. H. azteca survival significantly decreased within 48 h of amendment up to 300 m in association with permethrin concentrations. Chlorophyll a decreased within the first 24h of amendment up to 40m primarily in conjunction with herbicide concentrations. Variations in chlorophyll a at 300 and 500 m were associated with nutrients. Managed floodplain wetlands can rapidly and effectively trap and process agricultural runoff during moderate rainfall events, mitigating impacts to aquatic invertebrates and algae in receiving aquatic systems.


Assuntos
Anfípodes/fisiologia , Recuperação e Remediação Ambiental/métodos , Fitoplâncton/fisiologia , Poluentes Químicos da Água/análise , Áreas Alagadas , Agricultura , Animais , Atrazina/análise , Atrazina/toxicidade , Clorofila/metabolismo , Clorofila A , Herbicidas/análise , Herbicidas/toxicidade , Inseticidas/análise , Inseticidas/toxicidade , Nitrogênio/análise , Nitrogênio/toxicidade , Permetrina/análise , Permetrina/toxicidade , Fósforo/análise , Fósforo/toxicidade , Poluentes Químicos da Água/toxicidade
17.
J Magn Reson Imaging ; 34(3): 645-52, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21761460

RESUMO

PURPOSE: To examine the precision of glutamate detection using a very short echo time (TE) phase rotation STEAM (PR-STEAM) sequence. MATERIALS AND METHODS: Spectrosopic data were acquired from the anterior cingulate gyrus in nine healthy adults using 6.5-msec TE PR-STEAM, 40-msec TE PRESS, 72-msec TE STEAM, and TE-Averaging with an effective TE of 105 msec on a clinical 3T magnetic resonance imaging (MRI) system. All data were quantified using LCModel and reported as ratios relative to total creatine. RESULTS: Glutamate Cramer-Rao lower bounds were less than 8% for all sequences. The 6.5-msec TE PR-STEAM identified glutamate with the greatest precision (coefficient of variation [CV] of 7.1%), followed by TE-Averaging (CV of 8.9%), 40-msec TE PRESS (CV of 11.9%), and 72-msec TE STEAM (CV of 13.8%). CONCLUSION: In the absence of spectral editing, glutamate is best detected in the human brain at 3T using very short TEs.


Assuntos
Algoritmos , Ácido Glutâmico/análise , Giro do Cíngulo/química , Espectroscopia de Ressonância Magnética/métodos , Adulto , Humanos , Pessoa de Meia-Idade , Prótons , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Adulto Jovem
18.
BMC Biotechnol ; 11: 67, 2011 Jun 16.
Artigo em Inglês | MEDLINE | ID: mdl-21679422

RESUMO

BACKGROUND: The marine sponge Tethya wilhelma and the freshwater sponge Ephydatia muelleri are emerging model organisms to study evolution, gene regulation, development, and physiology in non-bilaterian animal systems. Thus far, functional methods (i.e., loss or gain of function) for these organisms have not been available. RESULTS: We show that soaking developing freshwater sponges in double-stranded RNA and/or feeding marine and freshwater sponges bacteria expressing double-stranded RNA can lead to RNA interference and reduction of targeted transcript levels. These methods, first utilized in C. elegans, have been adapted for the development and feeding style of easily cultured marine and freshwater poriferans. We demonstrate phenotypic changes result from 'knocking down' expression of the actin gene. CONCLUSION: This technique provides an easy, efficient loss-of-function manipulation for developmental and gene regulatory studies in these important non-bilaterian animals.


Assuntos
Escherichia coli/genética , Técnicas de Silenciamento de Genes/métodos , Poríferos/genética , Interferência de RNA , RNA de Cadeia Dupla/genética , Actinas/análise , Actinas/genética , Actinas/metabolismo , Animais , Organismos Aquáticos/citologia , Organismos Aquáticos/efeitos dos fármacos , Organismos Aquáticos/genética , Escherichia coli/metabolismo , Comportamento Alimentar , Água Doce , Perfilação da Expressão Gênica , Histocitoquímica , Microscopia Confocal , Poríferos/citologia , Poríferos/efeitos dos fármacos , RNA de Cadeia Dupla/administração & dosagem , RNA de Cadeia Dupla/biossíntese , Água do Mar
19.
Magn Reson Imaging ; 29(7): 937-42, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21550744

RESUMO

Phased-array volume coils were used in conjunction with the phase rotation STEAM (PR-STEAM) spectroscopy technique to acquire very short TE data from the anterior cingulate gyrus at 3 T. A method for combining PR-STEAM data from multiple subcoils is presented. The data were acquired from seven healthy participants using PR-STEAM (repetition time/mixing time/echo time=3500/10/6.5 ms, 6 cm(3), NEX=128, spectral width=2000 Hz, 2048 complex points, Δφ(1)=135°, Δφ(2)=22.5°, Δφ(3)=112.5° and Δφ(ADC)=0°). In addition to the primary metabolites, LCModel fit results suggest that glutathione and glutamate can also be identified with Cramér-Rao lower bounds of 10% or less.


Assuntos
Ácido Glutâmico/química , Glutationa/química , Processamento de Imagem Assistida por Computador/métodos , Espectroscopia de Ressonância Magnética/métodos , Adulto , Encéfalo/patologia , Mapeamento Encefálico/métodos , Feminino , Análise de Fourier , Giro do Cíngulo/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Modelos Estatísticos , Fatores de Tempo
20.
Bull Environ Contam Toxicol ; 84(4): 422-6, 2010 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-20229257

RESUMO

Beasley Lake was assessed monthly in 2005 for biological impairment from 17 historic and current-use pesticides in water and leaf litter using Hyalella azteca (Saussure). Sixteen pesticides were detected in both water and leaf litter with peak detections in spring and summer. Detections ranged from 1-125 ng L(-1) in water and 1-539 ng g(-1) OC in leaf litter. Ten-day H. azteca survival and growth (mg dw) bioassay results indicated no adverse effects on survival or growth in H. azteca exposed to water or leaf litter. Rather, enhanced growth occurred in both lake water and leaf litter exposures for 8 and 6 months, respectively.


Assuntos
Anfípodes/efeitos dos fármacos , Conservação dos Recursos Naturais , Água Doce/análise , Praguicidas/toxicidade , Folhas de Planta/química , Animais , Monitoramento Ambiental , Mississippi , Praguicidas/análise , Avaliação de Programas e Projetos de Saúde
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