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1.
Notf Rett Med ; 23(7): 529-537, 2020.
Artigo em Alemão | MEDLINE | ID: mdl-32922166

RESUMO

After taking a patient's history and physical examination, lung ultrasound can immediately reveal numerous causes and complications in patients suffering from respiratory tract infection and/or dyspnea. It can thus facilitate decisions on further diagnostic and first therapeutic procedures, even in patients with a SARS-CoV­2 infection who present to the emergency room. This review article highlights the typical findings of lung ultrasound in patients with COVID-19 and discusses its value compared to other imaging methods.

2.
Regul Toxicol Pharmacol ; 87: 106-111, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28483712

RESUMO

The safety assessment of pentylene glycol (PG) has been based on a bioavailability extrapolated from those of other 1,2-glycols or an assumed 100% absorption. To make a better safety assessment and an accurate calculation of the margin of safety (MoS), the skin penetration of PG present in a commercially available sunscreen was measured in pig skin at different exposure durations. The mass balance of PG decreased with increasing exposure durations, from 98% (1 h) to 29% (24 h) and the amount of PG detected in the skin wash decreased over time from 93% to 3%. The decrease in mass balance was attributed to an unexpected volatility of PG, which was confirmed in additional experiments. The maximum bioavailable amount of PG was 123 µg/cm2 after 24 h and was considered to be worst case scenario (10 mg/cm2 i.e. 5-fold the recommended application standard dose, 2 mg/cm2). MoS values for the application of a standard dose of sunscreen after 1-24 h exposure were 140-671 in adults and, if calculated for children ratios, 87-217 Based on the available toxicological data for PG in comparison to the amounts determined to be potentially bioavailable, PG in the test sun protection product SPF 50 + does not show any safety concerns for daily usage at the recommended dosage of 2 mg/cm2 or lower.


Assuntos
Glicóis/farmacocinética , Pentanos/farmacocinética , Absorção Cutânea , Adulto , Animais , Criança , Glicóis/toxicidade , Humanos , Pentanos/toxicidade , Pele/metabolismo , Protetores Solares , Suínos , Raios Ultravioleta , Volatilização
3.
Ultraschall Med ; 36(6): 590-3, 2015 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26544634

RESUMO

PURPOSE: According to the German guidelines on colorectal cancer, unenhanced ultrasound is recommended for follow-up. On the other hand, ultrasound and radiology societies specify the use of contrast-enhanced ultrasound for ruling out liver metastases. Studies focusing on the follow-up of cancer patients are lacking. The goal of this multicenter study initiated by the German Ultrasound Society (DEGUM) was to determine the potential benefit of contrast-enhanced ultrasound in the follow-up of patients with colon cancer. MATERIALS AND METHODS: Follow-up patients with colon cancer (UICC > IIa) were investigated. As scheduled according to the German guidelines, unenhanced ultrasound was performed followed by contrast-enhanced ultrasound. All liver lesions were recorded. In case of additional metastases detected on contrast-enhanced ultrasound, contrast-enhanced CT, MRI or biopsy was performed to confirm additional liver metastases. RESULTS: A total of 45 liver metastases were detected in 26/290 patients (= 9 %) using unenhanced ultrasound. A further 28 metastases were detected on contrast-enhanced ultrasound in these 26 patients. In 18 patients showing no liver metastases, 40 additional metastases were detected on unenhanced ultrasound. This means that 44 patients with a total of 113 liver metastases were detected on contrast-enhanced ultrasound (p = 0.0006). CONCLUSION: Contrast-enhanced ultrasound should be recommended in the follow-up of patients with colon cancer in addition to unenhanced ultrasound - the up-to-date standard.


Assuntos
Neoplasias do Colo/diagnóstico por imagem , Meios de Contraste , Aumento da Imagem/métodos , Neoplasias Hepáticas/diagnóstico por imagem , Neoplasias Hepáticas/secundário , Fosfolipídeos , Hexafluoreto de Enxofre , Idoso , Biópsia por Agulha , Neoplasias do Colo/patologia , Neoplasias do Colo/cirurgia , Progressão da Doença , Feminino , Seguimentos , Fidelidade a Diretrizes , Humanos , Fígado/diagnóstico por imagem , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Imagem Multimodal , Estadiamento de Neoplasias , Estudos Prospectivos , Sensibilidade e Especificidade , Tomografia Computadorizada Espiral , Ultrassonografia
4.
Ultraschall Med ; 36(2): 122-31, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25876060

RESUMO

PURPOSE: To analyse the incidence of bleeding after percutaneous ultrasound guided diagnostic and therapeutic intraabdominal interventions in a prospective multicentre study (DEGUM percutaneous interventional ultrasound study). MATERIALS AND METHODS: Within a time period of 2 years diagnostic and therapeutic intraabdominal interventions (with the exclusion of ascites paracentesis) performed percutaneously under continuous ultrasound (US) guidance were prospectively assessed using a pseudonymized standardized web site entry form. Number and type of intervention, operator experience, patient characteristics, medication, lab data as well as technical aspects of the procedure and bleeding complications were analysed according to the interventional radiology standards. RESULTS: 8172 US-guided intraabdominal interventions (liver n = 5903; pancreas n = 501, kidney n = 434, lymph node = 272, biliary system n = 153, spleen n = 63, other abdominal organs and extra-organic targets n = 999) were analysed in 30 hospitals. The majority were diagnostic biopsies including 1780 liver parenchyma, 3400 focal liver lesions and 404 pancreatic lesions. 7525 interventions (92.1 %) were performed in hospitalized patients (mean age 62.6 years). Most operators were highly experienced in US-guided interventions (> 500 interventions prior to the study n = 5729; 70.1 %). Sedation was administered in 1131 patients (13.8 %). Needle diameter was ≥ 1 mm in 7162 punctures (87.9 %) with main focus on core needle biopsies (18 G, n = 4185). Clinically relevant bleeding complications with need of transfusion (0.4 %), surgical bleeding control (0.1 %) and radiological coiling (0.05 %) were very rare. Bleeding complications with fatal outcome occurred in four patients (0.05 %). The frequency of major bleeding complications was significantly higher in patients with an INR > 1.5 (p < 0.001) and patients taking a medication potentially interfering with platelet function or plasmatic coagulation (p < 0.0333). CONCLUSION: This prospective multicentre study confirms the broad spectrum of percutaneous US-guided intraabdominal interventions. However diagnostic liver biopsies dominate with the use of core needle biopsies (18 G). Percutaneous US-guided interventions performed by experienced sonographers are associated with a low bleeding risk. Major bleeding complications are very rare. A pre-interventional INR < 1.5 and individual medication risk assessment are recommended.


Assuntos
Abdome/diagnóstico por imagem , Biópsia com Agulha de Grande Calibre/efeitos adversos , Hemoperitônio/epidemiologia , Ultrassonografia de Intervenção/efeitos adversos , Vísceras/patologia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Criança , Competência Clínica , Estudos Transversais , Feminino , Hemoperitônio/etiologia , Humanos , Coeficiente Internacional Normatizado , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Risco , Ultrassonografia de Intervenção/estatística & dados numéricos , Adulto Jovem
5.
Ultraschall Med ; 36(3): 248-54, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25377446

RESUMO

PURPOSE: Autoimmune pancreatitis (AIP) is an independent, underdiagnosed, rare form of chronic pancreatitis. The goal of this study is to document ultrasound findings in histologically confirmed AIP in order to determine the diagnostic value of ultrasound. MATERIALS AND METHODS: 6 of 74 DEGUM instructors for internal medicine (level 3 and 2) provided anonymized clinical and sonographic data from 17 patients with histologically confirmed AIP. RESULTS: 9/17 patients had diffuse AIP, 8/17 had focal AIP, 14/17 suffered from upper abdominal pain, 9/17 had jaundice, and 3/9 had an elevated IgG4 level. Ultrasound showed diffuse hypoechoic organ enlargement in 9/17 cases and a hypoechoic tumor with an unclear border in 8/17 cases. AIP was verified by ultrasound-guided percutaneous core biopsy in 14 cases, by biopsy of the bile duct in 1 case, and by surgical biopsy in 2 cases. Involvement of the hepatobiliary system was present in 7/17 patients and autoimmune cholangitis was verified in 5 cases. All patients experienced remission after immunosuppressive treatment. The pancreatic duct had a normal width in 11 cases, was dilated in 5 cases, and was stenosed over a long stretch in 3 cases. Contrast-enhanced ultrasound did not show uniform signal increase but also no significantly reduced or absent perfusion. CONCLUSION: Ultrasound can be diagnostically useful if the clinical manifestations of AIP are known. While the diffuse form allows an ad-hoc suspected diagnosis, the focal form can only be suspected in the case of additional extrapancreatic involvement. Contrast-enhanced ultrasound (CEUS) contributes greatly to the differentiation from ductal adenocarcinoma in the case of focal AIP.


Assuntos
Doenças Autoimunes/diagnóstico por imagem , Pancreatite Crônica/diagnóstico por imagem , Adulto , Idoso , Doenças Autoimunes/imunologia , Doenças Autoimunes/patologia , Ductos Biliares/diagnóstico por imagem , Ductos Biliares/patologia , Bilirrubina/sangue , Biópsia , Proteína C-Reativa/metabolismo , Colangiopancreatografia Retrógrada Endoscópica , Comorbidade , Diagnóstico Diferencial , Feminino , Humanos , Imunoglobulina G/sangue , Lipase/sangue , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Pâncreas/diagnóstico por imagem , Pâncreas/patologia , Pancreatite Crônica/imunologia , Pancreatite Crônica/patologia , Tomografia Computadorizada por Raios X , Ultrassonografia
6.
J Appl Microbiol ; 115(5): 1134-46, 2013 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-23902582

RESUMO

AIMS: Construction of a transgenic Arxula adeninivorans strain that produces a high concentration of adenine deaminase and investigation into the application of the enzyme in the production of food with low purine content. METHODS AND RESULTS: The A. adeninivorans AADA gene, encoding adenine deaminase, was expressed in this yeast under the control of the strong inducible nitrite reductase promoter using the Xplor(®) 2 transformation/expression platform. The recombinant enzyme was biochemically characterized and was found to have a pH range of 5.5-7.5 and temperature range of 34-46 °C with medium thermostability. A beef broth was treated with the purified enzyme resulting in the concentration of adenine decreasing from 70.4 to 0.4 mg l(-1). CONCLUSIONS: It was shown that the production of adenine deaminase by A. adeninivorans can be increased and that the recombinant adenine deaminase can be used to lower the adenine content in the food. SIGNIFICANCE AND IMPACT OF THE STUDY: Adenine deaminase is one component of an enzymatic system that can reduce the production of uric acid from food constituents. This study gives details on the expression, characterization and application of the enzyme and thus provides evidence that supports the further development of the system.


Assuntos
Aminoidrolases/química , Microbiologia de Alimentos , Saccharomycetales/enzimologia , Adenina/análise , Aminoidrolases/genética , Animais , Bovinos , Genes Fúngicos , Organismos Geneticamente Modificados , Regiões Promotoras Genéticas , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Saccharomycetales/genética
7.
J Appl Microbiol ; 115(3): 796-807, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23773263

RESUMO

AIMS: Isolation and characterization of xanthine oxidoreductase and its application in the production of food with low purine content. METHODS AND RESULTS: The A. adeninivorans xanthine oxidoreductase is an inducible enzyme. The best inducers were identified by enzyme activity tests and real-time PCR and used to produce large amounts of the protein. Xanthine oxidoreductase was partially purified and biochemically characterized, showing pH and temperature optimum of 8·5 and 43°C, respectively. The enzyme decreased xanthine and hypoxanthine concentrations in yeast extract and was active simultaneously with other purine-degrading enzymes so that all of the substrates for uric acid production were reduced in a single step. CONCLUSIONS: It was shown that induced A. adeninivorans can produce sufficient amount of xanthine dehydrogenase and that the enzyme is able to reduce xanthine and hypoxanthine content in food, and when used in conjunction with other enzymes of the pathway, uric acid concentration is significantly reduced. SIGNIFICANCE AND IMPACT OF THE STUDY: Reduction in dietary purines is recommended to people suffering from hyperuricemia. Elimination of most purine-rich foods may affect balanced nutrition. Food with lowered purine concentration will assist in controlling the disease. This study is a continuation of previous studies that characterized and overexpressed other enzymes of the purine degradation pathway.


Assuntos
Purinas/metabolismo , Saccharomycetales/enzimologia , Aditivos Alimentares , Hipoxantina/metabolismo , Ácido Úrico/metabolismo , Xantina/metabolismo , Xantina Desidrogenase/química , Xantina Desidrogenase/genética , Xantina Desidrogenase/metabolismo
8.
Br J Dermatol ; 163(6): 1205-11, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-20795999

RESUMO

BACKGROUND: Usage of hair dye products containing p-phenylenediamine (PPD) is a concern for PPD-allergic individuals. OBJECTIVES: The present study investigates the role of dose and exposure time on elicitation of allergic contact dermatitis under conditions of permanent hair dyeing. METHODS: Elicitation responses after application of a typical hair dye product containing 2% PPD for 30 min followed by rinsing were analysed in 38 PPD-allergic individuals with a documented history of hair dye-related allergy. Skin binding experiments in vitro were performed to distinguish the dose available for elicitation from the dose applied. RESULTS: A positive reaction was elicited in 20 of 20 patients with grades ++ to +++ and 12 of 18 with grade + according to the classification of the International Contact Dermatitis Research Group. Under conditions of diagnostic patch testing (48 h exposure), the dose available for elicitation is more than 10-fold higher compared with the dose available for hair dyeing (30-min exposure, rinsing of product). CONCLUSIONS: This investigation demonstrates that under simulated hair dye use conditions the actual exposure to PPD is more than an order of magnitude lower than under diagnostic patch testing, although sufficient to elicit a clearly noticeable reaction in 84% of PPD patch test-positive individuals.


Assuntos
Alérgenos/farmacologia , Dermatite Alérgica de Contato/imunologia , Tinturas para Cabelo/farmacologia , Fenilenodiaminas/farmacologia , Adulto , Alérgenos/administração & dosagem , Alérgenos/efeitos adversos , Relação Dose-Resposta a Droga , Feminino , Tinturas para Cabelo/efeitos adversos , Humanos , Masculino , Testes do Emplastro , Fenilenodiaminas/administração & dosagem , Fenilenodiaminas/efeitos adversos , Pele/imunologia , Fatores de Tempo
9.
J Appl Microbiol ; 108(3): 789-799, 2010 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19702859

RESUMO

AIM: To complete our study on tannin degradation via gallic acid by the biotechnologically interesting yeast Arxula adeninivorans as well as to characterize new degradation pathways of hydroxylated aromatic acids. METHODS AND RESULTS: With glucose-grown cells of A. adeninivorans, transformation experiments with hydroxylated derivatives of benzoic acid were carried out. The 12 metabolites were analysed and identified by high performance liquid chromatography and GC/MS. The yeast is able to transform the derivatives by oxidative and nonoxidative decarboxylation as well as by methoxylation. The products of nonoxidative decarboxylation of protocatechuate and gallic acid are substrates for further ring fission. CONCLUSION: Whereas other organisms use only one route of transformation, A. adeninivorans is able to carry out three different pathways (oxidative, nonoxidative decarboxylation and methoxylation) on one hydroxylated aromatic acid. The determination of the KM-values for protocatechuate and gallic acid in crude extracts of cells of A. adeninivorans cultivated with protocatechuate and gallic acid, respectively, suggests that the decarboxylation of protocatechuate and gallic acid may be catalysed by the same enzyme. SIGNIFICANCE AND IMPACT OF THE STUDY: This transformation pathway of protocatechuate and gallic acid via nonoxidative decarboxylation up to ring fission is novel and has not been described so far. This is also the first report of nonoxidative decarboxylation of gallic acid by a eukaryotic micro-organism.


Assuntos
Ácido Gálico/metabolismo , Parabenos/metabolismo , Saccharomycetales/metabolismo , Descarboxilação , Hidroxibenzoatos/metabolismo , Oxirredução , Saccharomycetales/crescimento & desenvolvimento , Taninos/metabolismo
10.
Toxicol Appl Pharmacol ; 235(1): 114-23, 2009 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-19100279

RESUMO

4-Amino-2-hydroxytolune (AHT) is an aromatic amine ingredient in oxidative hair colouring products. As skin contact occurs during hair dyeing, characterisation of dermal metabolism is important for the safety assessment of this chemical class. We have compared the metabolism of AHT in the human keratinocyte cell line HaCaT with that observed ex-vivo in human skin and in vivo (topical application versus oral (p.o.) and intravenous (i.v.) route). Three major metabolites of AHT were excreted, i.e. N-acetyl-AHT, AHT-sulfate and AHT-glucuronide. When 12.5 mg/kg AHT was applied topically, the relative amounts of each metabolite were altered such that N-acetyl-AHT product was the major metabolite (66% of the dose in comparison with 37% and 32% of the same applied dose after i.v. and p.o. administration, respectively). N-acetylated products were the only metabolites detected in HaCaT cells and ex-vivo whole human skin discs for AHT and p-aminophenol (PAP), an aromatic amine known to undergo N-acetylation in vivo. Since N-acetyltransferase 1 (NAT1) is the responsible enzyme, kinetics of AHT was further compared to the standard NAT1 substrate p-aminobenzoic acid (PABA) in the HaCaT model revealing similar values for K(m) and V(max). In conclusion NAT1 dependent dermal N-acetylation of AHT represents a 'first-pass' metabolism effect in the skin prior to entering the systemic circulation. Since the HaCaT cell model represents a suitable in vitro assay for addressing the qualitative contribution of the skin to the metabolism of topically-applied aromatic amines it may contribute to a reduction in animal testing.


Assuntos
Compostos de Anilina/metabolismo , Cresóis/metabolismo , Queratinócitos/metabolismo , Fenóis/metabolismo , Pele/metabolismo , Ácido 4-Aminobenzoico/metabolismo , Adulto , Compostos de Anilina/química , Animais , Arilamina N-Acetiltransferase/genética , Células Cultivadas , Cresóis/química , Feminino , Genótipo , Humanos , Isoenzimas/genética , Pessoa de Meia-Idade , Estrutura Molecular , Fenóis/química , Ratos , Ratos Wistar
11.
Ultraschall Med ; 29(5): 499-505, 2008 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19241506

RESUMO

PURPOSE: To evaluate the diagnostic benefit of contrast-enhanced ultrasound for the differential diagnosis of liver tumors in clinical practice. MATERIALS AND METHODS: From May 2004 to December 2006 1349 patients (male 677, female 672) with a hepatic tumor lacking a definite diagnosis based on B-mode ultrasound and power Doppler ultrasound were examined at 14 hospitals by contrast-enhanced ultrasound using a standardized protocol (pulse/phase inversion imaging, mechanical index < 0.4). The Tumor status was assessed based on the vascularity pattern and contrast enhancement seen in focal lesions during the arterial, portal, and late phase. The diagnosis established after contrast-enhanced ultrasound was compared to histology (> 75% cases) or in some cases to CT or MRI. RESULTS: The final diagnosis of hepatic tumors included 573 benign hepatic tumors (hemangiomas n = 242, focal nodular hyperplasia n = 170, hepatocellular adenoma n = 19, other benign lesions n = 142) and 755 malignant hepatic tumors (metastases n = 383, hepatocellular carcinoma n = 279, other malignant lesions n= 93). The overall diagnostic accuracy of contrast-enhanced ultrasound in comparison to the correct final diagnosis based on the combined gold standard was 90.3%. Contrast-enhanced ultrasound was able to correctly assess 723/755 malignant lesions (sensitivity 95.8%) and 476/573 benign lesions (specificity 83.1%). The positive predictive value of contrast-enhanced ultrasound for the diagnosis of a malignant tumor was 95.4% and the negative predictive value of contrast-enhanced ultrasound was 95.7%. CONCLUSION: Contrast-enhanced ultrasound clearly improves the differential diagnosis of hepatic tumors and is very helpful in clinical practice when B-scan or power Doppler morphological criteria are missing.


Assuntos
Neoplasias Hepáticas/diagnóstico por imagem , Meios de Contraste , Humanos , Aumento da Imagem , Neoplasias Hepáticas/patologia , Estadiamento de Neoplasias , Valor Preditivo dos Testes , Estudos Prospectivos , Reprodutibilidade dos Testes , Sensibilidade e Especificidade , Ultrassonografia
12.
Appl Microbiol Biotechnol ; 76(2): 387-93, 2007 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-17541580

RESUMO

Acid phosphatase production by recombinant Arxula adeninivorans was carried out in submerged fermentation. Using the Plackett-Burman design, three fermentation variables (pH, sucrose concentration, and peptone concentration) were identified to significantly affect acid phosphatase and biomass production, and these were optimized using response surface methodology of central composite design. The highest enzyme yields were attained in the medium with 3.9% sucrose and 1.6% peptone at pH 3.8. Because of optimization, 3.86- and 4.19-fold enhancement in enzyme production was achieved in shake flasks (17,054 U g(-1) DYB) and laboratory fermenter (18,465 U g(-1) DYB), respectively.


Assuntos
Fosfatase Ácida/genética , Fosfatase Ácida/metabolismo , Modelos Biológicos , Proteínas Recombinantes/metabolismo , Saccharomycetales/genética , Biomassa , Reatores Biológicos , Fermentação , Saccharomycetales/enzimologia , Estatística como Assunto
13.
Crit Rev Biotechnol ; 27(2): 93-109, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17578705

RESUMO

Phytases hydrolyze phytates to liberate soluble and thus readily utilizable inorganic phosphate. Although phytases are produced by various groups of microbes, yeasts being simple eukaryotes and mostly non-pathogenic with proven probiotic benefits can serve as ideal candidates for phytase research. The full potential of yeast phytases has not, however, been exploited. This review focuses attention on the present status of knowledge on the production, characterization, molecular characteristics, and cloning and over-expression of yeast phytases. Several potential applications of the yeast phytases in feeds and foods, and in the synthesis of lower myo-inositol phosphates are also discussed.


Assuntos
6-Fitase , Leveduras/enzimologia , 6-Fitase/química , 6-Fitase/genética , 6-Fitase/isolamento & purificação , 6-Fitase/metabolismo , Ração Animal , Animais , Clonagem Molecular , Previsões , Concentração de Íons de Hidrogênio , Fosfatos/metabolismo , Filogenia , Especificidade por Substrato , Leveduras/genética
14.
Clin Nephrol ; 67(5): 285-92, 2007 May.
Artigo em Inglês | MEDLINE | ID: mdl-17542337

RESUMO

AIMS: Single daily dose cyclosporine (SDD-CsA) might be a new option providing comparable efficacy, increased compliance and less nephrotoxicity compared to standard twice-daily dose cyclosporine (TDD-CsA). The aim of this trial was to prove the feasibility of SDD-CsA as primary and secondary maintenance therapy in patients with nephrotic syndrome. METHODS: We treated 25 adult patients with nephrotic syndrome and chronic primary glomerulonephropathy with SDD-CsA for a period of 12 months or more. 12 patients were pre-treated with twice-daily dose cyclosporine (TDD-CsA) and were then switched secondarily to a single daily dose after a median period of 8 months (sSDD-CsA). 13 patients were treated primarily with single daily dose cyclosporine (pSDD-CsA). RESULTS: In primary SDD-CsA patients, proteinuria decreased significantly from 9.2 - 0.8 g/l (p = 0.02) and serum protein increased significantly from 54 - 71 g/l (p = 0.03) during the study period. In secondary SDD-CsA patients, serum protein increased further (64 - 69, p = 0.04) after switching to SDD-CsA. In secondary SDD-CsA patients, the median total daily CsA dose was significantly lower (200 mg) with SDD-CsA compared to previous twice-daily dosing (300 mg, p = 0.01). Serum creatinine did not differ significantly before and after therapy and between the groups. CONCLUSIONS: SDD-CsA is effective in patients with nephrotic syndrome as primary and secondary maintenance therapy. SDD-CsA allows for significantly lower total daily doses, probably with less nephrotoxicity.


Assuntos
Ciclosporina/administração & dosagem , Glomerulonefrite/tratamento farmacológico , Imunossupressores/administração & dosagem , Síndrome Nefrótica/tratamento farmacológico , Adulto , Idoso , Idoso de 80 Anos ou mais , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Área Sob a Curva , Biomarcadores/sangue , Biomarcadores/urina , Pressão Sanguínea/efeitos dos fármacos , Proteínas Sanguíneas/efeitos dos fármacos , Creatinina/sangue , Ciclosporina/efeitos adversos , Ciclosporina/farmacocinética , Relação Dose-Resposta a Droga , Estudos de Viabilidade , Feminino , Seguimentos , Alemanha , Glomerulonefrite/complicações , Humanos , Imunossupressores/efeitos adversos , Imunossupressores/farmacocinética , Masculino , Pessoa de Meia-Idade , Síndrome Nefrótica/etiologia , Estudos Prospectivos , Proteinúria/etiologia , Proteinúria/prevenção & controle , Fatores de Tempo , Resultado do Tratamento
15.
Appl Microbiol Biotechnol ; 64(3): 376-81, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-14655026

RESUMO

The non-conventional yeast Arxula adeninivorans was equipped with the genes phbA, phbB and phbC of the polyhydroxyalkanoate (PHA) biosynthetic pathway of Ralstonia eutropha, which encode beta-ketothiolase, NADPH-linked acetoacetyl-CoA reductase and PHA synthase, respectively. Arxula strains transformed solely with the PHA synthase gene (phbC) were able to produce PHA. However, the maximum content of the polymer detected in these strains was just 0.003% poly-3-hydroxybutyrate (PHB) and 0.112% poly-3-hydroxyvalerate (PHV). The expression of all three genes (phbA, phbB, phbC) resulted in small increases in the PHA content of the transgenic Arxula cells. However, under controlled cultivation conditions with minimal medium and ethanol as the carbon source, the recombinant yeast was able to accumulate up to 2.2% PHV and 0.019% PHB. Possible reasons for these differences are discussed.


Assuntos
Engenharia Genética , Poliésteres/metabolismo , Saccharomycetales/genética , Saccharomycetales/metabolismo , Transformação Genética , Acetil-CoA C-Aciltransferase/genética , Acetil-CoA C-Aciltransferase/fisiologia , Aciltransferases/genética , Aciltransferases/fisiologia , Oxirredutases do Álcool/genética , Oxirredutases do Álcool/fisiologia , Clonagem Molecular , Meios de Cultura , Cupriavidus necator/enzimologia , Cupriavidus necator/genética , Etanol/metabolismo , Genes Bacterianos , Vetores Genéticos , Hidroxibutiratos/metabolismo , Cinética , Plasmídeos/genética , Valeratos/metabolismo , Leveduras/genética , Leveduras/metabolismo
16.
Appl Microbiol Biotechnol ; 62(5-6): 528-35, 2003 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-12733004

RESUMO

An Arxula adeninivorans-AHSB4 gene, encoding histone H4, was isolated and characterized. The gene includes a coding sequence of 363 bp disrupted by a 51-bp intron, similar to the situation in other fungal H4 genes. The identity of the gene was confirmed by the high degree of homology of the derived amino acid sequence with that of other H4 histones. The gene is strongly and constitutively expressed, maintaining this expression profile under salt-stress conditions. The AHSB4 promoter was tested for suitability in heterologous gene expression using genes encoding the intracellular green fluorescent protein and the secreted human serum albumin (HSA) for assessment. Plasmids incorporating respective expression cassettes were used to transform the host strain A. adeninivorans LS3, which forms budding cells at 30 degrees C, and strain 135, which forms mycelia under these conditions. Transformants of both types were found to harbor a single copy of the heterologous DNA. Strong constitutive expression was observed during culture in salt-containing and salt-free media, as expected from the expression profile of AHSB4. In 200-ml shake-flask cultures, maximal HSA levels of 20 mg l(-1) culture medium were achieved. This productivity could be increased to 50 mg l(-1 )in strains harboring two copies of the expression cassette. The AHSB4 promoter thus provides an attractive component for constitutive heterologous gene expression under salt-free and salt-stress conditions.


Assuntos
Regulação Fúngica da Expressão Gênica , Histonas/genética , Regiões Promotoras Genéticas , Saccharomycetales/genética , Sequência de Aminoácidos , Sequência de Bases , DNA Fúngico/química , DNA Fúngico/isolamento & purificação , DNA Recombinante , Proteínas Fúngicas/química , Proteínas Fúngicas/genética , Ordem dos Genes , Genes Reporter , Proteínas de Fluorescência Verde , Histonas/química , Proteínas Luminescentes/metabolismo , Dados de Sequência Molecular , Mapeamento Físico do Cromossomo , Proteínas Recombinantes/metabolismo , Análise de Sequência de DNA , Albumina Sérica/metabolismo
17.
Curr Genet ; 40(3): 172-8, 2001 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-11727992

RESUMO

Oxygen influences the synthesis of mitochondrial proteins by alteration of the expression of mitochondrial genes and several nuclear genes. One of the genes localised in the nucleus is the EFG1 gene that encodes the mitochondrial elongation factor G (MEF-G). This unique gene (AEFG1) has been isolated from the non-conventional dimorphic yeast, Arxula adeninivorans LS3. The AEFG1 gene comprises a ORF of 2,274 bp, which corresponds to 757 amino acids. In the present study, the regulation of AEFG1 has been analysed for different morphological stages of A. adeninivorans and various culture conditions. It was demonstrated that the transfer of aerobically growing cultures to anaerobic conditions resulted in an accumulation of AEFG1 transcript, correlating with an increase in AMEF-G protein concentration. Since this regulation occurred in budding-cell culture growing at 30 degrees C and in both of the mycelial cultures grown at 45 degrees C and 30 degrees C, respectively, it was the oxygen level (but not the cultivation temperature or the morphological stage) which influenced the AEFG1 regulation.


Assuntos
Proteínas Fúngicas/genética , Regulação Fúngica da Expressão Gênica , Mitocôndrias/genética , Fator G para Elongação de Peptídeos/química , Saccharomycetales/genética , Mapeamento Cromossômico , Escherichia coli , Mitocôndrias/fisiologia , Oxigênio/fisiologia , Fator G para Elongação de Peptídeos/fisiologia
18.
Mycopathologia ; 152(1): 15-21, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11694091

RESUMO

The heat-stable and soluble glycoprotein gp200 (molecular weight 200 kDa) is part of the cell wall of S. cerevisiae. Recently, an association was shown between IgA and IgG against gp200 and inflammation in Crohn's disease. Gp200 is able to induce a proliferation of human lymphocytes in vitro, together with a natural killer cell associated cytotoxicity. Specific IgE against Saccharomyces cerevisiae (baker's or brewer's yeast) may be detected in approximately 73%, against Candida albicans in 68% of those patients suffering from severe atopic dermatitis. The aim of this study was to elucidate the possible role of an anti-gp200 immune response for the pathogenesis of atopic dermatitis by immunoblot analysis. Anti-gp200 IgE was found in 55% of healthy individuals, in 67% of individuals with atopic predisposition without eczema, in 63% of the patients with mild atopic dermatitis, and in 86% of patients with severe atopic dermatitis, respectively. On the contrary, anti-gp200 IgG could be shown in 55% of healthy individuals, in 89% of individuals with atopic predisposition but without eczema, in 100% of patients with mild atopic dermatitis, and in 79% with severe atopic dermatitis, respectively. No immunoreactivity was found when an extract of Arxula adeninivorans was used as antigen. These results underline the specificity of the immunoblot results with gp200 from Saccharomyces cerevisiae. It can be concluded that occurrence of specific IgE against Saccharomyces cerevisiae cannot be explained by a cross reactivity, e.g., against Candida albicans allergens. Further investigations with the recombinant gp200 will give information on the role of this glycoprotein both in atopic dermatitis and Morbus Crohn.


Assuntos
Antígenos de Fungos/imunologia , Dermatite Atópica/imunologia , Imunoglobulina E/biossíntese , Imunoglobulina G/biossíntese , Saccharomyces cerevisiae/imunologia , Dermatite Atópica/microbiologia , Humanos , Immunoblotting , Imunoglobulina E/sangue , Imunoglobulina G/sangue
19.
Appl Microbiol Biotechnol ; 54(5): 619-24, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11131385

RESUMO

The relatively unknown, non-pathogenic, dimorphic, haploid, ascomycetous yeast Arxula adeninivorans exhibits some unusual properties which are of biotechnological interest. The yeast is able to assimilate and ferment many compounds as sole source of carbon and/or nitrogen, it utilises n-alkanes and degrades starch efficiently. A. adeninivorans features such as thermo- and haloresistance as well as the yeast's uncommon growth and secretion behaviour should be especially emphasised. In media containing up to 20% NaCl, A. adeninivorans is able to grow at cultivation temperatures up to 48 degrees C. Additionally, the dimorphism of the yeast is unusual. Arxula grows at up temperatures of up to 42 degrees C as budding cells, which turn into mycelia at higher temperatures. This environmentally conditioned dimorphism is reversible and budding is reestablished when the cultivation temperature is decreased below 42 degrees C. Alteration of morphology correlates with changes in secretion behaviour. Mycelium cultures accumulate two-fold higher protein concentrations and contain two- to five-fold higher glucoamylase and invertase activities in the medium than budding cells. Based on these unusual properties, Arxula adeninivorans is used for heterologous gene expression and as a gene donor to construct more suitable yeasts for biotechnology. For example the Arxula glucoamylase gene was successfully expressed in Saccharomyces cerevisiae and Kluyveromyces lactis. Both transformed yeasts are able to assimilate and ferment starch as carbon source. A transformation system is used for heterologous gene expression which is based on integration of linearised DNA fragments in two to ten copies, e.g. into the 25S rDNA of A. adeninivorans by homologous recombination. The obtained transformants are mitotically stable. The expression of the lacZ gene from E. coli as well as the XylE gene from Pseudomonas putida indicates the suitability of A. adeninivorans as host for heterologous gene expression.


Assuntos
Biotecnologia , Saccharomycetales/genética , Transformação Genética , DNA Fúngico/genética , Expressão Gênica , Genes Fúngicos , Proteínas Recombinantes/biossíntese , Saccharomycetales/citologia , Saccharomycetales/crescimento & desenvolvimento , Saccharomycetales/metabolismo
20.
Antonie Van Leeuwenhoek ; 77(4): 303-11, 2000 May.
Artigo em Inglês | MEDLINE | ID: mdl-10959559

RESUMO

The non-pathogenic, dimorphic, ascomycetous yeast Arxula adeninivorans LS3 is halotolerant. It can grow in a minimal medium containing up to 20% NaCl. The growth parameters are only weakly influenced by 10% NaCl. However, NaCl in a concentration higher than 10% causes a decrease in the specific growth rate, a longer adaptation phase and a lower cell count in the stationary growth phase. Concentrations of glycerol and trehalose, which differed 100-fold in magnitude in a salt free medium, are also influenced differently by salt. NaCl induces accumulation of intracellular glycerol in exponentially growing cells but a reduced concentration of intracellular trehalose in stationary cells. Transcripts of the genes ARFC3, encoding a component of the replication factor C, and GAA, encoding a secretory glucoamylase, can be detected only in cells cultured in media with NaCl concentrations below 10%. Furthermore, NaCl in high concentration reduces the level of secreted proteins including glucoamylase end invertase.


Assuntos
Adaptação Biológica , Ascomicetos/fisiologia , Cloreto de Sódio/farmacologia , Leveduras/fisiologia , Ascomicetos/efeitos dos fármacos , Proteínas de Ligação a DNA/biossíntese , Proteínas Fúngicas/metabolismo , Glucana 1,4-alfa-Glucosidase/metabolismo , Glicerol/análise , Glicosídeo Hidrolases/metabolismo , Fungos Mitospóricos/efeitos dos fármacos , Fungos Mitospóricos/fisiologia , Fator 1 de Elongação de Peptídeos/biossíntese , RNA Fúngico/biossíntese , RNA Mensageiro/biossíntese , Trealose/análise , Leveduras/efeitos dos fármacos , beta-Frutofuranosidase
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