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1.
J Chem Phys ; 157(18): 184101, 2022 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-36379772

RESUMO

Until today, perturbation-theoretical consistent algebraic diagrammatic construction (ADC) schemes for the polarization propagator had been derived and implemented up to third order. They have turned out to be versatile and reliable ab initio single-reference methods for the quantum chemical investigation of electronic transitions as well as excited-state properties. Here we present, for the first time, the derivation of consistent fourth-order ADC(4) schemes exploiting novel techniques of automated equation and code generation. The accuracies of the resulting ADC(4) excitation energies have been benchmarked against recent high-level, near exact reference data. The mean absolute error for singly and doubly excited states turns out to be smaller than 0.1 and 0.5 eV, respectively. These developments open also new avenues toward highly accurate ADC methods for electron-detached and attached states.

2.
Sci Rep ; 9(1): 11439, 2019 08 07.
Artigo em Inglês | MEDLINE | ID: mdl-31391508

RESUMO

Cheilostome Bryozoa Anoteropora latirostris, a colonial marine invertebrate, constructs its skeleton from calcite and aragonite. This study presents firstly correlated multi-scale electron microscopy, micro-computed tomography, electron backscatter diffraction and NanoSIMS mapping. We show that all primary, coarse-grained platy calcitic lateral walls are covered by fine-grained fibrous aragonite. Vertical lateral walls separating autozooid chambers have aragonite only on their distal side. This type of asymmetric mineralization of lateral walls results from the vertical arrangement of the zooids at the growth margins of the colony and represents a type of biomineralization previously unknown in cheilostome bryozoans. NanoSIMS mapping across the aragonite-calcite interface indicates an organic layer between both mineral phases, likely representing an organic template for biomineralization of aragonite on the calcite layer. Analysis of crystallographic orientations show a moderately strong crystallographic preferred orientation (CPO) for calcite (7.4 times random orientation) and an overall weaker CPO for aragonite (2.4 times random orientation) with a high degree of twinning (45%) of the aragonite grains. The calculated Young's modulus for the CPO map shows a weak mechanical direction perpendicular to the colony's upper surface facilitating this organism's strategy of clonal reproduction by fragmentation along the vertical zooid walls.


Assuntos
Organismos Aquáticos/fisiologia , Biomineralização/fisiologia , Briozoários/fisiologia , Animais , Organismos Aquáticos/química , Organismos Aquáticos/ultraestrutura , Briozoários/química , Briozoários/ultraestrutura , Carbonato de Cálcio/química , Cristalografia , Microtomografia por Raio-X
3.
Orig Life Evol Biosph ; 46(2-3): 283-8, 2016 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26559966

RESUMO

We present a model for the internal structure of Saturn's moon Enceladus. This model allows us to estimate the physical conditions at the bottom of the satellite's potential subsurface water reservoir and to determine the radial distribution of pressure and gravity. This leads to a better understanding of the physical and chemical conditions at the water/rock boundary. This boundary is the most promising area on icy moons for astrobiological studies as it could serve as a potential habitat for extraterrestrial life similar to terrestrial microbes that inhabit rocky mounds on Earth's sea floors.


Assuntos
Meio Ambiente Extraterreno , Gravitação , Modelos Estatísticos , Saturno , Exobiologia , Humanos , Gelo/análise
4.
Am J Transplant ; 13(12): 3103-13, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24168235

RESUMO

Antithymocyte globulin (ATG) preparations are used for treatment and prevention of graft rejection episodes, graft versus host disease and aplastic anemia. The immunomodulatory and immuosuppressive properties of ATGs are mediated by their interaction with a large variety of antigens expressed on immune and nonimmune cell populations. We have conducted a comprehensive analysis on antibody specificities contained in rabbit ATGs in clinical use, ATG-Fresenius (ATG-F) and Thymoglobulin (THG). We have used retroviral expression cloning to identify novel ATG antigens and demonstrate that together with ATG antigens described earlier, these molecules account for the majority of ATG antibodies directed to human cells. Moreover, we have employed cell lines engineered to express antigens at high levels to quantify the antibodies directed to each ATG antigen. We have used cell lines expressing the T cell receptor complex, CD2 and CD28 to remove antibodies to these antigens from ATG preparations and demonstrate that this treatment abrogated the ability of ATGs to induce activation and forkhead box P3 expression in T cells. Comprehensive information and differences on the antigens targeted by ATG-F and THG as well as novel approaches to assess their functional properties are the basis for a better understanding of their immunomodulatory capacities and might eventually translate into improved ATG-based regimen.


Assuntos
Soro Antilinfocitário/química , Linfócitos T/imunologia , Animais , Anticorpos/química , Especificidade de Anticorpos , Antígenos CD2/metabolismo , Antígenos CD28/metabolismo , Fatores de Transcrição Forkhead/metabolismo , Biblioteca Gênica , Rejeição de Enxerto/prevenção & controle , Humanos , Terapia de Imunossupressão , Imunossupressores/química , Leucócitos Mononucleares/citologia , Coelhos , Receptores de Antígenos de Linfócitos T/metabolismo , Linfócitos T/efeitos dos fármacos
5.
J Diabetes Complications ; 27(4): 307-15, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-23558108

RESUMO

AIM: Metabolic syndrome affects a large proportion of the population and increases cardiovascular disease risk. Because metabolic syndrome often co-exists clinically with atherosclerosis, it is difficult to distinguish the respective contributions of the components to vascular abnormalities. Accordingly, we utilized a porcine dietary model of metabolic syndrome without atherosclerosis to investigate early abnormalities of vascular function and signaling. METHODS: Thirty-two Yucatan micropigs were fed either a high-fat, high-simple-sugar, high-calorie (HFHS) or standard chow diet (STD) for 6 months. Neither diet contained added cholesterol. Blood pressure and flow-mediated vasodilatation were assessed at baseline and 6 months. Aortas were harvested at 6 months to assess histology, insulin signaling, and endothelial nitric oxide (eNOS) phosphorylation. RESULTS: HFHS pigs developed characteristics of metabolic syndrome including obesity, dyslipidemia, and insulin resistance, but without histologic evidence of atherosclerosis. Although arterial intima-media thickness did not differ between groups, vascular dysfunction in HFHS was manifest by increased blood pressure and impaired flow-mediated vasodilation of the femoral artery. Compared with STD, aortas from HFHS exhibited increased p85α expression and Ser307 IRS-1 phosphorylation, and blunted insulin-stimulated IRS-1-associated phosphatidylinositol (PI) 3-kinase activity. In the absence of insulin stimulation, aortic Akt Ser473-phosphorylation was greater in HFHS than in STD. With insulin stimulation, Akt phosphorylation increased in STD, but not HFHS. Insulin-induced Ser1177-phosphorylation of eNOS was decreased in HFHS, compared with STD. CONCLUSIONS: Pigs with metabolic syndrome develop early vascular dysfunction and aortic insulin signaling abnormalities, and could be a useful model for early human vascular abnormalities in this condition.


Assuntos
Resistência à Insulina/fisiologia , Síndrome Metabólica/complicações , Obesidade/complicações , Obesidade/metabolismo , Porco Miniatura , Animais , Artérias/metabolismo , Dieta , Modelos Animais de Doenças , Feminino , Proteínas Substratos do Receptor de Insulina/metabolismo , Masculino , Síndrome Metabólica/metabolismo , Óxido Nítrico Sintase Tipo III/metabolismo , Obesidade/etiologia , Fosforilação , Suínos , Vasodilatação
6.
Eur J Pain ; 17(8): 1168-79, 2013 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-23468016

RESUMO

BACKGROUND: Nerve injury leads to Aß-fibre-mediated mechanical allodynia that is in part due to an impaired GABAergic inhibition in the spinal cord dorsal horn. The properties and function of GABAergic neurons in spinal cord lamina III, an area where low-threshold mechanosensitive Aß-fibres terminate are, however, largely unknown. METHODS: We used transgenic mice, which express enhanced green fluorescent protein (EGFP) under control of the promoter GAD67. The morphology and neurochemical characteristics of GABAergic, EGFP-expressing neurons were characterized. We assessed active and passive membrane properties of spinal lamina III GABAergic neurons in naïve animals and animals with a chronic constriction injury (CCI) of the sciatic nerve. RESULTS: EGFP-expressing neurons in lamina III were predominantly islet cells (47%), whereas non-EGFP-expressing neurons were largely inverted stalked cells (40%). EGFP-expressing neurons accounted for about 25% of GABAergic neurons in lamina III. Forty-four percent co-expressed glycine, 10% neuronal nitric oxide synthase and 3% co-expressed parvalbumin. We found costaining with protein kinase CßII in 42% of EGFP-expressing neurons but no expression of protein kinase Cγ. Membrane properties and excitability of EGFP-and non-EGFP-expressing neurons from naïve and neuropathic animals were indistinguishable. The most frequent firing pattern was tonic firing (naïve: 35%, neuropathic: 37%) followed by gap firing (naïve: 33%, neuropathic: 25%). Delayed, initial burst and single-spike firing patterns made up the remainder in both groups. CONCLUSION: A change in membrane excitability or discharge pattern of this group of lamina III GABAergic neurons is unlikely the cause for mechanical allodynia in animals with CCI.


Assuntos
Neurônios GABAérgicos/metabolismo , Hiperalgesia/fisiopatologia , Neuralgia/metabolismo , Doenças do Sistema Nervoso Periférico/metabolismo , Medula Espinal/metabolismo , Medula Espinal/fisiopatologia , Potenciais de Ação/fisiologia , Animais , Hiperalgesia/metabolismo , Camundongos , Camundongos Transgênicos , Neuralgia/fisiopatologia , Doenças do Sistema Nervoso Periférico/fisiopatologia
7.
Metabolism ; 62(4): 595-603, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-23174405

RESUMO

OBJECTIVE: The cellular effects of restricting fat versus carbohydrate during a low-calorie diet are unclear. The aim of this study was to examine acute effects of energy and macronutrient restriction on skeletal muscle insulin signalling in obesity. MATERIALS/METHODS: Eighteen obese individuals without diabetes underwent euglycemic-hyperinsulinemic clamp and skeletal muscle biopsy after: (a) 5days of eucaloric diet (30% fat, 50% carbohydrate), and (b) 5days of a 30% calorie-restricted diet, either low fat/high carbohydrate (LF/HC: 20% fat, 60% carbohydrate) or high-fat/low carbohydrate (HF/LC: 50% fat, 30% carbohydrate). RESULTS: Weight, body composition, and insulin sensitivity were similar between groups after eucaloric diet. Weight loss was similar between groups after hypocaloric diet, 1.3±1.3kg (p<0.0001 compared with eucaloric). Whole-body insulin sensitivity was unchanged after calorie restriction and similar between groups. However, ex vivo skeletal muscle insulin signalling differed depending on macronutrient composition of calorie-restricted diet. Skeletal muscle of the LF/HC group had increased insulin-stimulated tyrosine phosphorylation of IRS-1, decreased insulin-stimulated Ser307 phosphorylation of IRS-1, and increased IRS-1-associated phosphatidylinositol (PI)3-kinase activity. Conversely, insulin stimulation of tyrosine phosphorylated IRS-1 was absent and serine 307 phosphorylation of IRS-1 was increased on HF/LC, with blunting of IRS-1-associated PI3-kinase activity. CONCLUSION: Acute caloric restriction with an LF/HC diet alters skeletal muscle insulin signalling in a way that improves insulin sensitivity, while acute caloric restriction with an HF/LC diet induces changes compatible with insulin resistance. In both cases, ex vivo changes in skeletal muscle insulin signalling appear prior to changes in whole body insulin sensitivity.


Assuntos
Restrição Calórica , Dieta , Resistência à Insulina/fisiologia , Insulina/fisiologia , Músculo Esquelético/fisiologia , Obesidade/fisiopatologia , Transdução de Sinais/fisiologia , Adulto , Glicemia/fisiologia , Western Blotting , Carboidratos da Dieta , Gorduras na Dieta , Proteínas Alimentares , Feminino , Técnica Clamp de Glucose , Humanos , Proteínas Substratos do Receptor de Insulina/fisiologia , Masculino , Pessoa de Meia-Idade , Fosfatidilinositol 3-Quinases/fisiologia , Adulto Jovem
8.
Horm Metab Res ; 44(9): 650-5, 2012 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22674476

RESUMO

Adenosine monophosphate-activated protein kinase (AMPK), silent mating type information regulation 2 homologue 1 (SIRT 1), and peroxisome proliferator-activated receptor γ co-activator α (PGC1α) constitute an energy sensing cellular network that controls mitochondrial biogenesis. Caloric restriction activates both AMPK and SIRT-1 to increase ATP production from fat oxidation. We characterized AMPK and SIRT 1 expression and activity in human skeletal muscle in response to dietary fat or carbohydrate intake on the background of either overfeeding or caloric restriction. AMPK phosphorylation and acetylation of PGC1α (as a measure of SIRT activity) were determined. Euglycemic-hyperinsulinemic clamp and muscle biopsies were performed in human subjects participating in 2 separate studies. In study 1, 21 lean healthy individuals were overfed for 5 days, while in study 2, 18 obese otherwise healthy individuals consumed a calorie-restricted diet for 5 days. Under both conditions - overfeeding and caloric restriction - high fat/low carbohydrate (HF/LC) diet significantly increased phosphorylation of AMPK and deacetylation of PGC1α in skeletal muscle without affecting total amounts of AMPK, PGC1α, or SIRT 1. In contrast, low fat/high carbohydrate (LF/HC) hypocaloric diet reduced phosphorylation of AMPK and deacetylation of PGC1α. Our data indicate that a relative deficiency in carbohydrate intake or, albeit less likely, a relative excess of fat intake even in the absence of caloric deprivation is sufficient to activate the AMPK-SIRT 1-PGC1α energy-sensing cellular network in human skeletal muscle.


Assuntos
Proteínas Quinases Ativadas por AMP/genética , Carboidratos da Dieta/análise , Gorduras na Dieta/análise , Músculo Esquelético/enzimologia , Obesidade/dietoterapia , Obesidade/enzimologia , Sirtuína 1/genética , Proteínas Quinases Ativadas por AMP/metabolismo , Adulto , Restrição Calórica , Carboidratos da Dieta/metabolismo , Gorduras na Dieta/metabolismo , Feminino , Expressão Gênica , Humanos , Masculino , Obesidade/metabolismo , PPAR gama/genética , PPAR gama/metabolismo , Fosforilação , Sirtuína 1/metabolismo
9.
Am J Transplant ; 11(1): 138-45, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21199353

RESUMO

The polyclonal rabbit antithymocyte globulins (ATGs), Thymoglobulin and ATG-Fresenius S, are widely used for prevention and therapy of allograft rejection and graft versus host disease. Dendritic cells (DC) govern immune responses and thus the interaction of ATGs with these cells could potentially contribute to the clinical effects of ATG therapy. Currently there is little information on the DC-antigens targeted by ATGs. In this study we have used a new methodology to identify DC surface antigens recognized by ATGs. By screening an eukaryotic expression library generated from DC with ATGs we could identify several novel ATG antigens including CD81, CD82, CD98, CD99 and CD147. Furthermore, we engineered cells to express previously described ATG antigens and probed them with Thymoglobulin and ATG-Fresenius S. Our results demonstrated strong binding to some but not all of these molecules. We show that previously described antigens and antigens identified in this study account for around 80% of the DC reactivity of ATGs. Analysis of molecules induced by ATG-DC interaction are more in support for an activation of these cells by ATGs than for a specific induction of a tolerogenic DC phenotype.


Assuntos
Antígenos CD/imunologia , Soro Antilinfocitário/imunologia , Células Dendríticas/imunologia , Animais , Soro Antilinfocitário/uso terapêutico , Humanos , Camundongos , Coelhos
11.
J Thromb Haemost ; 8(7): 1477-82, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-20345721

RESUMO

SUMMARY BACKGROUND: A consumptive coagulopathy resembling disseminated intravascular coagulation (DIC) has been seen in patients with massive pulmonary embolism (PE). We hypothesized that a DIC-like condition is relevant in patients whose pulmonary embolism leads to cardiopulmonary arrest and cardiopulmonary resuscitation (CPR). METHODS: This hypothesis was tested by the use of a database consisting of all cases of PE diagnosed at the Department of Emergency Medicine from June 1993 to October 2007. Out of 1018 cases with PE, 113 patients underwent CPR. In this cohort study, the resuscitated patients were compared with those with PE but without CPR. RESULTS: Patients with PE and CPR had 3-fold higher D-dimer, prolonged prothrombin time (PT), reduced platelet counts and lower fibrinogen and antithrombin (AT) levels compared with PE patients without cardiac arrest (P < 0.001 for all). Among patients with PE and CPR, D-dimer was abnormal in 100%, PT in 44%, AT in 53%, fibrinogen in 19% and platelets in 25%. In comparison, PE without CPR was associated with abnormal D-dimer in 99%, abnormal PT in 15%, low AT in 6%, low fibrinogen in 1% and low platelets in 2%. Nine per cent of the resuscitated patients had a DIC score >or= 5, indicating overt DIC. The DIC score highly correlated with 1-year and in-hospital mortality. CONCLUSIONS: Massive PE leading to CPR is associated with consumptive coagulopathy and overt DIC. In resuscitated patients, DIC markers may indicate pulmonary embolism as the underlying cause of arrest.


Assuntos
Parada Cardíaca/etiologia , Embolia Pulmonar/complicações , Biomarcadores/sangue , Reanimação Cardiopulmonar , Bases de Dados Factuais , Coagulação Intravascular Disseminada/diagnóstico , Mortalidade Hospitalar , Humanos , Pessoa de Meia-Idade , Embolia Pulmonar/mortalidade , Embolia Pulmonar/terapia , Índice de Gravidade de Doença , Taxa de Sobrevida
12.
Infection ; 38(1): 3-11, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-20107858

RESUMO

Drug-induced hepatotoxicity is a frequent cause of liver disease and acute liver failure, particularly in patients treated with multiple drugs. Several antibacterial drugs have the potential to cause severe liver injury and failure. This article aims to increase the awareness and understanding of drug induced liver injury (DILI) due to antibacterial drugs. It reviews the pattern of antibacterial DILI and provides details on molecular mechanisms and toxicogenomics, as well as clinical data based on epidemiology studies. Certain antibacterial drugs are more frequently linked to hepatotoxicity than others. Therefore, the hepatotoxic potential of tetracyclines,sulfonamides, tuberculostatic agents, macrolides, quinolones,and beta-lactams are discussed in more detail. Efforts to improve the early detection of DILI and the acquisition of high-quality epidemiological data are pivotal for increased patient safety.


Assuntos
Antibacterianos/efeitos adversos , Antibacterianos/toxicidade , Infecções Bacterianas/tratamento farmacológico , Doença Hepática Induzida por Substâncias e Drogas , Fígado/efeitos dos fármacos , Antibacterianos/uso terapêutico , Humanos
13.
Am J Physiol Heart Circ Physiol ; 298(2): H310-9, 2010 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-19897715

RESUMO

Heightened cardiovascular risk among patients with systemic insulin resistance is not fully explained by the extent of atherosclerosis. It is unknown whether myocardial insulin resistance accompanies systemic insulin resistance and contributes to increased cardiovascular risk. This study utilized a porcine model of diet-induced obesity to determine if myocardial insulin resistance develops in parallel with systemic insulin resistance and investigated potential mechanisms for such changes. Micropigs (n = 16) were assigned to control (low fat, no added sugars) or intervention (25% wt/wt coconut oil and 20% high-fructose corn syrup) diet for 7 mo. Intervention diet resulted in obesity, hypertension, and dyslipidemia. Systemic insulin resistance was manifest by elevated fasting glucose and insulin, abnormal response to intravenous glucose tolerance testing, and blunted skeletal muscle phosphatidylinositol-3-kinase (PI 3-kinase) activation and protein kinase B (Akt) phosphorylation in response to insulin. In myocardium, insulin-stimulated glucose uptake, PI 3-kinase activation, and Akt phosphorylation were also blunted in the intervention diet group. These findings were explained by increased myocardial content of p85alpha (regulatory subunit of PI 3-kinase), diminished association of PI 3-kinase with insulin receptor substrate (IRS)-1 in response to insulin, and increased serine-307 phosphorylation of IRS-1. Thus, in a porcine model of diet-induced obesity that recapitulates many characteristics of insulin-resistant patients, myocardial insulin resistance develops along with systemic insulin resistance and is associated with multiple abnormalities of insulin signaling.


Assuntos
Gorduras na Dieta/efeitos adversos , Coração/fisiologia , Resistência à Insulina/fisiologia , Insulina/fisiologia , Síndrome Metabólica/fisiopatologia , Obesidade/fisiopatologia , Transdução de Sinais/fisiologia , Adiponectina/sangue , Animais , Glicemia/metabolismo , Pressão Sanguínea/fisiologia , Modelos Animais de Doenças , Feminino , Insulina/sangue , Proteínas Substratos do Receptor de Insulina/metabolismo , Masculino , Síndrome Metabólica/etiologia , Obesidade/complicações , Obesidade/etiologia , Fosfatidilinositol 3-Quinases/metabolismo , Fosforilação , Proteínas Proto-Oncogênicas c-akt/metabolismo , Suínos , Porco Miniatura
14.
Int J Immunopathol Pharmacol ; 22(3): 615-25, 2009.
Artigo em Inglês | MEDLINE | ID: mdl-19822078

RESUMO

Monocyte chemoattractant protein-1 (MCP-1, CCL-2) binds to the Duffy antigen (DARC) on red blood cells, which act as a sink for several chemokines including MCP-1. In this study it is hypothesized that DARC may alter the pharmacokinetics of infused recombinant human MCP-1 (rhMCP-1). The primary aim of this first in man trial is to compare the pharmacokinetics of rhMCP-1 in Duffy positive and negative individuals. A randomized, double-blinded, placebo-controlled dose escalation trial was conducted on 36 healthy volunteers. Subjects received infusions of 0.02-2.0 microg/kg rhMCP-1 or placebo for one hour. RhMCP-1 displayed linear pharmacokinetics. Duffy negative individuals reached maximal plasma levels significantly earlier, but overall plasma concentration profiles were not altered. rhMCP-1 markedly increased monocyte counts, and estimated EC50 values were 10-fold higher in Duffy positive than in Duffy negative subjects. Increased monocyte counts were associated with decreased surface expression of intercellular adhesion molecule 1 (ICAM-1, CD54). In contrast, neither CCR-2 or CD11b expression, nor markers of platelet or endothelial activation, inflammation and coagulation were altered. RhMCP-1 is a highly selective chemoattractant for monocytes in humans. The Duffy antigen only minimally alters the pharmacokinetics of rhMCP-1 for doses up to 2 microg/kg.


Assuntos
Produtos Biológicos/farmacocinética , Quimiocina CCL2/farmacocinética , Sistema do Grupo Sanguíneo Duffy/imunologia , Receptores de Superfície Celular/imunologia , Adolescente , Adulto , Produtos Biológicos/administração & dosagem , Produtos Biológicos/sangue , Produtos Biológicos/urina , Biomarcadores/sangue , Coagulação Sanguínea/efeitos dos fármacos , Plaquetas/efeitos dos fármacos , Plaquetas/imunologia , Contagem de Células , Quimiocina CCL2/administração & dosagem , Quimiocina CCL2/efeitos adversos , Quimiocina CCL2/sangue , Quimiocina CCL2/urina , Método Duplo-Cego , Sistema do Grupo Sanguíneo Duffy/genética , Endotélio Vascular/efeitos dos fármacos , Endotélio Vascular/imunologia , Genótipo , Humanos , Infusões Intravenosas , Leucócitos/efeitos dos fármacos , Leucócitos/imunologia , Masculino , Pessoa de Meia-Idade , Monócitos/efeitos dos fármacos , Monócitos/imunologia , Fenótipo , Receptores de Superfície Celular/genética , Proteínas Recombinantes/sangue , Proteínas Recombinantes/farmacocinética , Proteínas Recombinantes/urina , Adulto Jovem
15.
Nutr Metab (Lond) ; 6: 37, 2009 Sep 28.
Artigo em Inglês | MEDLINE | ID: mdl-19781106

RESUMO

BACKGROUND: Early molecular changes of nutritionally-induced insulin resistance are still enigmatic. It is also unclear if acute overnutrition alone can alter insulin signaling in humans or if the macronutrient composition of the diet can modulate such effects. METHODS: To investigate the molecular correlates of metabolic adaptation to either high-carbohydrate (HC) or high-fat (HF) overfeeding, we conducted overfeeding studies in 21 healthy lean (BMI < 25) individuals (10 women, 11 men), age 20-45, with normal glucose metabolism and no family history of diabetes. Subjects were studied first following a 5-day eucaloric (EC) diet (30% fat, 50% CHO, 20% protein) and then in a counter balanced manner after 5 days of 40% overfeeding of both a HC (20% fat, 60% CHO) diet and a HF (50% fat, 30% CHO) diet. At the end of each diet phase, in vivo insulin sensitivity was assessed using the hyperinsulinemic-euglycemic clamp technique. Ex vivo insulin action was measured from skeletal muscle tissue samples obtained 15 minutes after insulin infusion was initiated. RESULTS: Overall there was no change in whole-body insulin sensitivity as measured by glucose disposal rate (GDR, EC: 12.1 ± 4.7; HC: 10.9 ± 2.7; HF: 10.8 ± 3.4). Assessment of skeletal muscle insulin signaling demonstrated increased tyrosine phosphorylation of IRS-1 (p < 0.001) and increased IRS-1-associated phosphatidylinositol 3 (PI 3)-kinase activity (p < 0.001) following HC overfeeding. In contrast, HF overfeeding increased skeletal muscle serine phosophorylation of IRS-1 (p < 0.001) and increased total expression of p85α (P < 0.001). CONCLUSION: We conclude that acute bouts of overnutrition lead to changes at the cellular level before whole-body insulin sensitivity is altered. On a signaling level, HC overfeeding resulted in changes compatible with increased insulin sensitivity. In contrast, molecular changes in HF overfeeding were compatible with a reduced insulin sensitivity.

16.
Horm Metab Res ; 41(10): 757-61, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19598077

RESUMO

Phosphoinositide 3-kinase is a key signaling intermediate necessary for the metabolic actions of insulin. In this study, we assessed the effects of in vivo knockdown of the p85alpha subunit of phosphoinositide 3-kinase on insulin sensitivity, using an antisense oligonucleotide, in lean mice, diet-induced obese mice, and obese leptin-deficient Lep (ob/ob) mice. Mice were injected with either p85alpha-targeted antisense oligonucleotide or saline twice weekly for 4 weeks. Fasting levels of glycemia and insulinemia and insulin and glucose tolerance tests were used to determine insulin sensitivity. Western blot analysis and real-time polyacrylamide chain reaction were used to assess p85alpha protein and mRNA expression. IN VIVO administration of antisense oligonucleotide resulted in 50 and 60% knockdown of liver p85alpha protein and mRNA, respectively, in the lean, diet-induced obese and Lep (ob/ob) mice. This was associated with increased phosphoinositide 3-kinase activity and improved insulin sensitivity in diet-induced obese and Lep (ob/ob) mice. Thus, p85alpha could be an important therapeutic target to ameliorate insulin resistance.


Assuntos
Resistência à Insulina/fisiologia , Obesidade/metabolismo , Oligonucleotídeos Antissenso/farmacologia , Fosfatidilinositol 3-Quinases/metabolismo , Animais , Glicemia/análise , Western Blotting , Teste de Tolerância a Glucose , Insulina/sangue , Fígado/metabolismo , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Obesos , Músculo Esquelético/metabolismo , Fosfatidilinositol 3-Quinases/genética , RNA , Reação em Cadeia da Polimerase Via Transcriptase Reversa
17.
Eur Respir J ; 34(6): 1357-63, 2009 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-19541721

RESUMO

We aimed to determine the prognostic value of troponin T (TNT) for in-hospital and 1-yr mortality in a large sample of patients with pulmonary embolism (PE). Patients presenting at the emergency department of a tertiary care centre from January 1998 to December 2006 with PE were included. A blood sample was taken at the time of presentation. To determine in-hospital and 1-yr mortality, data from the hospital records and the national death register were used. TNT was determined in 563 out of 737 patients with proven PE. TNT was elevated (>0.03 ng x mL(-1)) in 27%. In-hospital survival was 79% in TNT-positive patients compared with 94% in TNT-negative patients (p<0.001). 1-yr survival was 71% in TNT-positive patients compared with 90% in TNT-negative patients (p<0.001). Elevated TNT levels meant a four-times higher risk of in-hospital death and a three-times higher risk of 1-yr mortality, even after adjustment for the other most important risk factors of death in this population. Elevated TNT independently predicts in-hospital and 1-yr mortality in patients with acute PE.


Assuntos
Embolia Pulmonar/sangue , Embolia Pulmonar/mortalidade , Troponina T/sangue , Serviço Hospitalar de Emergência , Feminino , Hemodinâmica , Humanos , Imunoensaio/métodos , Luminescência , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Razão de Chances , Prognóstico , Embolia Pulmonar/diagnóstico , Resultado do Tratamento
18.
J Thromb Haemost ; 7(4): 634-40, 2009 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-19187081

RESUMO

BACKGROUND: Racial differences in coagulation are poorly understood. While some studies suggest a 'prothrombotic' coagulation profile in blacks compared with whites, others report an increased bleeding risk for blacks in various clinical settings. Moreover, preclinical data suggest a link between the Duffy antigen (=DARC, Duffy antigen receptor of chemokines) and coagulation. OBJECTIVES: Based on our previous research in Duffy antigen negative Africans, we hypothesized that Africans have an attenuated procoagulant response compared with Caucasians in a model of lipopolysaccharide (LPS)-induced, tissue factor (TF)-triggered coagulation activation. PATIENTS/METHODS: Healthy male volunteers (16 Duffy-negative Africans, 16 Duffy-positive Caucasians) received 2 ng kg(-1) LPS, and outcome parameters were measured using enzyme immunoassays and real-time polymerase chain reaction (RT-PCR, Taqman). RESULTS: LPS increased microparticle (MP)-associated TF procoagulant activity (PCA) less in Africans than Caucasians. Africans had reduced in vivo thrombin formation compared with Caucasians: they generated less thrombin-antithrombin (TAT) complexes (10.4 pg mL(-1) vs. 23.0 pg mL(-1), P<0.0001) and less prothrombin fragments (F1+2) (337 pmol mL(-1) vs. 819 pmol mL(-1), P<0.0001). Consistently, Africans also had decreased fibrin formation (D-dimer: 0.3 pg mL(-1) vs. 0.5 pg mL(-1), P=0.02). CONCLUSION: Duffy-negative subjects of African descent have a markedly reduced procoagulant response in a model of LPS-induced, TF-triggered coagulation activation compared with Duffy-positive healthy Caucasians.


Assuntos
Coagulação Sanguínea/efeitos dos fármacos , Grupos Raciais , Trombofilia/epidemiologia , Adulto , Biomarcadores/sangue , População Negra , Sistema do Grupo Sanguíneo Duffy/fisiologia , Endotoxinas/farmacologia , Humanos , Lipopolissacarídeos/farmacologia , Tromboplastina/farmacologia , População Branca , Adulto Jovem
19.
Endocrinology ; 150(3): 1165-73, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18948408

RESUMO

Phosphorylation of insulin receptor substrate-1 (IRS-1) on serine residues has been recognized as a mechanism responsible for a diminution of insulin action and insulin resistance. Potential approaches to improve insulin sensitivity may include interference with and/or reduction in expression of certain signaling intermediates that participate in the pathogenesis of insulin resistance. In this study, we transduced fully differentiated 3T3-L1 adipocytes with a constitutively active myristoylated Akt that led to hyperactivation of mammalian target of rapamycin and p70 S6 kinase (S6K1), increased serine phosphorylation of IRS-1, and reduction in insulin-stimulated phosphatidylinositol (PI) 3-kinase activity and glucose transport. We then reduced expression of the PI 3-kinase regulatory subunit, p85alpha, or expression of S6K1 kinase using small interfering RNA transfections, which led to a reduction in p85alpha expression of 70% at 48 h (P < 0.05) and S6K1 of 49% (P < 0.05). Reduction in expression of either p85alpha or S6K1 achieved with small interfering RNA in the presence of myristoylated Akt rescued 3T3-L1 adipocytes from the insulin resistance induced by serine phosphorylation of IRS-1 and completely restored insulin-stimulated activation of PI 3-kinase and glucose uptake. We conclude that reduction in expression of p85alpha or S6K1 could represent therapeutic targets to mitigate insulin resistance.


Assuntos
Adipócitos/metabolismo , Proteínas Substratos do Receptor de Insulina/metabolismo , Resistência à Insulina , Fosfatidilinositol 3-Quinases/metabolismo , Proteínas Quinases/metabolismo , Proteínas Quinases S6 Ribossômicas 90-kDa/metabolismo , Células 3T3-L1 , Adipócitos/efeitos dos fármacos , Adipócitos/patologia , Animais , Terapia Genética/métodos , Resistência à Insulina/genética , Resistência à Insulina/fisiologia , Camundongos , Proteína Oncogênica v-akt/genética , Proteína Oncogênica v-akt/metabolismo , Fosfatidilinositol 3-Quinases/fisiologia , Inibidores de Fosfoinositídeo-3 Quinase , Fosforilação/genética , Subunidades Proteicas/metabolismo , Subunidades Proteicas/fisiologia , RNA Interferente Pequeno/farmacologia , Proteínas Quinases S6 Ribossômicas 90-kDa/antagonistas & inibidores , Serina/metabolismo , Transdução de Sinais/genética , Serina-Treonina Quinases TOR , Transfecção
20.
Biochem Biophys Res Commun ; 378(4): 772-6, 2009 Jan 23.
Artigo em Inglês | MEDLINE | ID: mdl-19063863

RESUMO

Mitochondrial dysfunction has been linked to etiology of insulin resistance, however the mechanism remains unknown. In this study we investigated whether mitochondrial dysfunction induced by cyanide p-trifluoromethoxyphenyl-hydrazone (FCCP) alters insulin sensitivity in 3T3-L1 adipocytes and which cellular signaling molecules might be involved. Fully differentiated 3T3-L1 adipocytes were treated with 10 microM FCCP for 1h, resulting in increased serine-307 phosphorylation of IRS-1 and decreased insulin-stimulated tyrosine phosphorylation, association of p85alpha subunit of phosphatidylinositol 3-kinase (PI 3-kinase) with IRS-1, decreased insulin-stimulated PI 3-kinase activity and H(3)-2-deoxyglucose (2DOG) uptake. A partial (46%) knockdown of JNK1 blocked FCCP-induced serine phosphorylation of IRS-1 and restored insulin-stimulated tyrosine phosphorylation of IRS-1, association of p85alpha subunit of PI 3-kinase with IRS-1, activation of PI 3-kinase, and stimulation of 2DOG uptake. Thus, FCCP-induced mitochondrial dysfunction may cause insulin resistance that is ameliorated by reduction of JNK1 expression.


Assuntos
Adipócitos/enzimologia , Resistência à Insulina/genética , Doenças Mitocondriais/complicações , Proteína Quinase 8 Ativada por Mitógeno/genética , Células 3T3-L1 , Adipócitos/efeitos dos fármacos , Animais , Carbonil Cianeto p-Trifluormetoxifenil Hidrazona/toxicidade , Desoxiglucose/metabolismo , Técnicas de Silenciamento de Genes , Insulina/farmacologia , Proteínas Substratos do Receptor de Insulina/genética , Proteínas Substratos do Receptor de Insulina/metabolismo , Camundongos , Doenças Mitocondriais/induzido quimicamente , Doenças Mitocondriais/enzimologia , Fosfatidilinositol 3-Quinases/metabolismo , Fosforilação/genética , Serina/metabolismo , Tirosina/metabolismo
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