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1.
Sci Rep ; 9(1): 1058, 2019 01 31.
Artigo em Inglês | MEDLINE | ID: mdl-30705306

RESUMO

Polycyclic aromatic hydrocarbons (PAHs) are toxic, mutagenic and among the most damaging chemical compounds with regard to living organisms. Because of their persistence and wide distribution removal from the environment is an important challenge. Here we report a new Nano container matrix based on the deep sea archaea-derived RHCC-Nanotube (RHCC-NT), which rapidly and preferentially binds low molecular weight PAHs. Under controlled-laboratory conditions and using fluorescence spectroscopy in combination with X-ray crystallography and MD simulations, we quantified the real-time binding of low molecular weight PAHs (2-4 rings) to our substrate. Binding coefficients ranged from 5.4 ± 1.6 (fluorene) to 32 ± 7.0 µM (acenaphthylene) and a binding capacity of 85 pmoles PAH per mg RHCC-NT, or 2.12 µmoles in a standard 25 mg sampler. The uptake rate of pyrene was calculated to be 1.59 nmol/hr∙mol RHCC-NT (at 10  C). Our results clearly show that RHCC-NT is uniquely suited as a monitoring matrix for low molecular weight PAHs.

2.
J Trauma Nurs ; 25(5): 282-289, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30216256

RESUMO

Approximately 18,000 people are trafficked into the United States each year and forced into commercial sex work. Up to 80% of victims are seen by a health care provider. In the health care setting, they rarely identify themselves as victims of human trafficking (HT), making it difficult to recognize them. Only a few health care professionals know how to identify victims of trafficking among their patients. The purpose of this article was to review the process used in health care settings to identify victims of traffickers. The author conducted a search to locate current scholarly articles addressing HT identification in health care settings. Each article was reviewed for its significance in victim identification. To address the problem of identifying and assisting patients who are being trafficked, some hospitals developed their own protocols. However, the wide variation in what is included on these assessment protocols makes it difficult to hold up any particular protocol as a national model. The author concludes that until more effective standardized national protocols for the identification of the HT victim within the health care settings are developed, National Human Trafficking Resource Center's method of screening should be used to help increase the degree at which patient victims are identified within the health care setting.


Assuntos
Vítimas de Crime/estatística & dados numéricos , Atenção à Saúde/organização & administração , Guias como Assunto , Tráfico de Pessoas/prevenção & controle , Comunicação Interdisciplinar , Feminino , Tráfico de Pessoas/estatística & dados numéricos , Humanos , Masculino , Notificação de Abuso , Avaliação das Necessidades , Medição de Risco , Trabalho Sexual/estatística & dados numéricos , Sobreviventes , Estados Unidos
3.
J Neurosci ; 36(21): 5724-35, 2016 05 25.
Artigo em Inglês | MEDLINE | ID: mdl-27225763

RESUMO

UNLABELLED: Spinal reflex circuit development requires the precise regulation of axon trajectories, synaptic specificity, and synapse formation. Of these three crucial steps, the molecular mechanisms underlying synapse formation between group Ia proprioceptive sensory neurons and motor neurons is the least understood. Here, we show that the Rho GTPase Cdc42 controls synapse formation in monosynaptic sensory-motor connections in presynaptic, but not postsynaptic, neurons. In mice lacking Cdc42 in presynaptic sensory neurons, proprioceptive sensory axons appropriately reach the ventral spinal cord, but significantly fewer synapses are formed with motor neurons compared with wild-type mice. Concordantly, electrophysiological analyses show diminished EPSP amplitudes in monosynaptic sensory-motor circuits in these mutants. Temporally targeted deletion of Cdc42 in sensory neurons after sensory-motor circuit establishment reveals that Cdc42 does not affect synaptic transmission. Furthermore, addition of the synaptic organizers, neuroligins, induces presynaptic differentiation of wild-type, but not Cdc42-deficient, proprioceptive sensory neurons in vitro Together, our findings demonstrate that Cdc42 in presynaptic neurons is required for synapse formation in monosynaptic sensory-motor circuits. SIGNIFICANCE STATEMENT: Group Ia proprioceptive sensory neurons form direct synapses with motor neurons, but the molecular mechanisms underlying synapse formation in these monosynaptic sensory-motor connections are unknown. We show that deleting Cdc42 in sensory neurons does not affect proprioceptive sensory axon targeting because axons reach the ventral spinal cord appropriately, but these neurons form significantly fewer presynaptic terminals on motor neurons. Electrophysiological analysis further shows that EPSPs are decreased in these mice. Finally, we demonstrate that Cdc42 is involved in neuroligin-dependent presynaptic differentiation of proprioceptive sensory neurons in vitro These data suggest that Cdc42 in presynaptic sensory neurons is essential for proper synapse formation in the development of monosynaptic sensory-motor circuits.


Assuntos
Orientação de Axônios/fisiologia , Neurônios Motores/fisiologia , Neurogênese/fisiologia , Terminações Pré-Sinápticas/fisiologia , Células Receptoras Sensoriais/fisiologia , Proteína cdc42 de Ligação ao GTP/metabolismo , Animais , Animais Recém-Nascidos , Células Cultivadas , Feminino , Regulação da Expressão Gênica no Desenvolvimento/fisiologia , Regulação Enzimológica da Expressão Gênica/fisiologia , Masculino , Camundongos , Camundongos Knockout , Neurônios Motores/citologia , Terminações Pré-Sinápticas/ultraestrutura , Células Receptoras Sensoriais/citologia , Medula Espinal/citologia , Medula Espinal/fisiologia
4.
Curr Biol ; 25(8): 1063-8, 2015 Apr 20.
Artigo em Inglês | MEDLINE | ID: mdl-25866391

RESUMO

Ambient light affects multiple physiological functions and behaviors, such as circadian rhythms, sleep-wake activities, and development, from flies to mammals. Mammals exhibit a higher body temperature when exposed to acute light compared to when they are exposed to the dark, but the underlying mechanisms are largely unknown. The body temperature of small ectotherms, such as Drosophila, relies on the temperature of their surrounding environment, and these animals exhibit a robust temperature preference behavior. Here, we demonstrate that Drosophila prefer a ∼1° higher temperature when exposed to acute light rather than the dark. This acute light response, light-dependent temperature preference (LDTP), was observed regardless of the time of day, suggesting that LDTP is regulated separately from the circadian clock. However, screening of eye and circadian clock mutants suggests that the circadian clock neurons posterior dorsal neurons 1 (DN1(p)s) and Pigment-Dispersing Factor Receptor (PDFR) play a role in LDTP. To further investigate the role of DN1(p)s in LDTP, PDFR in DN1(p)s was knocked down, resulting in an abnormal LDTP. The phenotype of the pdfr mutant was rescued sufficiently by expressing PDFR in DN1(p)s, indicating that PDFR in DN1(p)s is responsible for LDTP. These results suggest that light positively influences temperature preference via the circadian clock neurons, DN1(p)s, which may result from the integration of light and temperature information. Given that both Drosophila and mammals respond to acute light by increasing their body temperature, the effect of acute light on temperature regulation may be conserved evolutionarily between flies and humans.


Assuntos
Relógios Circadianos/fisiologia , Proteínas de Drosophila/metabolismo , Luz , Neurônios/citologia , Receptores Acoplados a Proteínas G/metabolismo , Núcleo Supraquiasmático/citologia , Temperatura , Animais , Ritmo Circadiano/fisiologia , Drosophila , Neurônios/metabolismo
5.
J Neurosci ; 34(10): 3517-22, 2014 Mar 05.
Artigo em Inglês | MEDLINE | ID: mdl-24599452

RESUMO

During development, experience plays a crucial role in sculpting neuronal connections. Patterned neural activity guides formation of functional neural circuits through the selective stabilization of some synapses and the pruning of others. Activity-regulated factors are fundamental to this process, but their roles in synapse stabilization and maturation is still poorly understood. CPG15, encoded by the activity-regulated gene candidate plasticity gene 15, is a small, glycosylphosphatidylinositol (GPI)-linked, extracellular protein that promotes synapse stabilization. Here we show that global knock-out of cpg15 results in abnormal postnatal development of the excitatory network in visual cortex and an associated disruption in development of visual receptive field properties. In addition, whereas repeated stimulation induced potentiation and depression in wild-type mice, the depression was slower in cpg15 knock-out mice, suggesting impairment in short-term depression-like mechanisms. These findings establish the requirement for cpg15 in activity-dependent development of the visual system and demonstrate the importance of timely excitatory network development for normal visual function.


Assuntos
Rede Nervosa/metabolismo , Proteínas do Tecido Nervoso/deficiência , Plasticidade Neuronal/fisiologia , Córtex Visual/metabolismo , Vias Visuais/metabolismo , Animais , Potenciais Pós-Sinápticos Excitadores/fisiologia , Feminino , Proteínas Ligadas por GPI/deficiência , Masculino , Camundongos , Camundongos Knockout , Rede Nervosa/crescimento & desenvolvimento , Córtex Visual/crescimento & desenvolvimento , Vias Visuais/crescimento & desenvolvimento
6.
J Vis Exp ; (83): e51097, 2014 Jan 13.
Artigo em Inglês | MEDLINE | ID: mdl-24457268

RESUMO

The circadian clock regulates many aspects of life, including sleep, locomotor activity, and body temperature (BTR) rhythms(1) (,) (2). We recently identified a novel Drosophila circadian output, called the temperature preference rhythm (TPR), in which the preferred temperature in flies rises during the day and falls during the night (3). Surprisingly, the TPR and locomotor activity are controlled through distinct circadian neurons(3). Drosophila locomotor activity is a well known circadian behavioral output and has provided strong contributions to the discovery of many conserved mammalian circadian clock genes and mechanisms(4). Therefore, understanding TPR will lead to the identification of hitherto unknown molecular and cellular circadian mechanisms. Here, we describe how to perform and analyze the TPR assay. This technique not only allows for dissecting the molecular and neural mechanisms of TPR, but also provides new insights into the fundamental mechanisms of the brain functions that integrate different environmental signals and regulate animal behaviors. Furthermore, our recently published data suggest that the fly TPR shares features with the mammalian BTR(3). Drosophila are ectotherms, in which the body temperature is typically behaviorally regulated. Therefore, TPR is a strategy used to generate a rhythmic body temperature in these flies(5-8). We believe that further exploration of Drosophila TPR will facilitate the characterization of the mechanisms underlying body temperature control in animals.


Assuntos
Comportamento Animal/fisiologia , Regulação da Temperatura Corporal/fisiologia , Ritmo Circadiano/fisiologia , Drosophila/fisiologia , Animais , Locomoção/fisiologia , Temperatura
7.
Cell Rep ; 5(3): 748-58, 2013 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-24210822

RESUMO

In mammalian spinal cord, group Ia proprioceptive afferents form selective monosynaptic connections with a select group of motor pool targets. The extent to which sensory recognition of motor neurons contributes to the selectivity of sensory-motor connections remains unclear. We show here that proprioceptive sensory afferents that express PlexinD1 avoid forming monosynaptic connections with neurons in Sema3E(+) motor pools yet are able to form direct connections with neurons in Sema3E(off) motor pools. Anatomical and electrophysiological analysis of mice in which Sema3E-PlexinD1 signaling has been deregulated or inactivated genetically reveals that repellent signaling underlies aspects of the specificity of monosynaptic sensory-motor connectivity in these reflex arcs. A semaphorin-based system of motor neuron recognition and repulsion therefore contributes to the formation of specific sensory-motor connections in mammalian spinal cord.


Assuntos
Glicoproteínas/metabolismo , Glicoproteínas de Membrana/metabolismo , Proteínas de Membrana/metabolismo , Neurônios Motores/metabolismo , Proteínas do Tecido Nervoso/metabolismo , Vias Neurais/metabolismo , Células Receptoras Sensoriais/metabolismo , Animais , Proteínas do Citoesqueleto , Glicoproteínas/biossíntese , Glicoproteínas/genética , Peptídeos e Proteínas de Sinalização Intracelular , Glicoproteínas de Membrana/biossíntese , Glicoproteínas de Membrana/genética , Proteínas de Membrana/biossíntese , Proteínas de Membrana/genética , Camundongos , Neurônios Motores/citologia , Proteínas do Tecido Nervoso/biossíntese , Proteínas do Tecido Nervoso/genética , Vias Neurais/citologia , Semaforinas , Células Receptoras Sensoriais/citologia , Transdução de Sinais , Especificidade por Substrato
8.
J Neurosci ; 33(3): 894-901, 2013 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-23325228

RESUMO

Temperature sensation has a strong impact on animal behavior and is necessary for animals to avoid exposure to harmful temperatures. It is now well known that thermoTRP (transient receptor potential) channels in thermosensory neurons detect a variable range of temperature stimuli. However, little is known about how a range of temperature information is relayed and integrated in the neural circuits. Here, we show novel temperature integration between two warm inputs via Drosophila TRPA channels, TRPA1 and Pyrexia (Pyx). The internal AC (anterior cell) thermosensory neurons, which express TRPA1, detect warm temperatures and mediate temperature preference behavior. We found that the AC neurons were activated twice when subjected to increasing temperatures. The first response was at ∼25°C via TRPA1 channel, which is expressed in the AC neurons. The second response was at ∼27°C via the second antennal segments, indicating that the second antennal segments are involved in the detection of warm temperatures. Further analysis reveals that pyx-Gal4-expressing neurons have synapses on the AC neurons and that mutation of pyx eliminates the second response of the AC neurons. These data suggest that AC neurons integrate both their own TRPA1-dependent temperature responses and a Pyx-dependent temperature response from the second antennal segments. Our data reveal the first identification of temperature integration, which combines warm temperature information from peripheral to central neurons and provides the possibility that temperature integration is involved in the plasticity of behavioral outputs.


Assuntos
Encéfalo/fisiologia , Proteínas de Drosophila/metabolismo , Neurônios/fisiologia , Canais de Cátion TRPC/metabolismo , Sensação Térmica/fisiologia , Animais , Antenas de Artrópodes/fisiologia , Drosophila , Proteínas de Drosophila/genética , Canais Iônicos , Vias Neurais/fisiologia , Canal de Cátion TRPA1 , Canais de Cátion TRPC/genética , Temperatura
9.
J Neurosci ; 32(30): 10396-407, 2012 Jul 25.
Artigo em Inglês | MEDLINE | ID: mdl-22836272

RESUMO

RhoA is a key regulator of cytoskeletal dynamics with a variety of effects on cellular processes. Loss of RhoA in neural progenitor cells disrupts adherens junctions and causes disorganization of the neuroepithelium in the developing nervous system. However, it remains essentially unknown how the loss of RhoA physiologically affects neural circuit formation. Here we show that proper neuroepithelial organization maintained by RhoA GTPase in both the ventral and dorsal spinal cord is critical for left-right locomotor behavior. We examined the roles of RhoA in the ventral and dorsal spinal cord by deleting the gene in neural progenitors using Olig2-Cre and Wnt1-Cre mice, respectively. RhoA-deleted neural progenitors in both mutants exhibit defects in the formation of apical adherens junctions and disorganization of the neuroepithelium. Consequently, the ventricular zone and lumen of the dysplastic region are lost, causing the left and right sides of the gray matter to be directly connected. Furthermore, the dysplastic region lacks ephrinB3 expression at the midline that is required for preventing EphA4-expressing corticospinal neurons and spinal interneurons from crossing the midline. As a result, aberrant neuronal projections are observed in that region. Finally, both RhoA mutants develop a rabbit-like hopping gait. These results demonstrate that RhoA functions to maintain neuroepithelial structures in the developing spinal cord and that proper organization of the neuroepithelium is required for appropriate left-right motor behavior.


Assuntos
Marcha/fisiologia , Atividade Motora/fisiologia , Células-Tronco Neurais/metabolismo , Neurônios/metabolismo , Medula Espinal/crescimento & desenvolvimento , Proteína rhoA de Ligação ao GTP/metabolismo , Animais , Diferenciação Celular/fisiologia , Efrina-B3/metabolismo , Camundongos , Camundongos Transgênicos , Vias Neurais/metabolismo , Medula Espinal/metabolismo
10.
Front Mol Neurosci ; 5: 67, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22661927

RESUMO

RhoA, a member of the Rho family small GTPases, has been shown to play important roles in axon guidance. However, to date, the physiological function of RhoA in axon guidance events in vivo has not been determined genetically in animals. Here we show that RhoA mRNA is strongly expressed by sensory neurons in the developing mouse dorsal root ganglia (DRG). We have deleted RhoA in sensory neurons of the DRG using RhoA-floxed mice under the Wnt1-Cre driver in which Cre is strongly expressed in sensory neurons. Peripheral projections of sensory neurons appear normal and there are no detectable defects in the central projections of either cutaneous or proprioceptive sensory neurons in RhoA(f/f); Wnt1-Cre mice. Furthermore, a co-culture assay using DRG explants from RhoA(f/f); Wnt1-Cre embryos, and 293T cells expressing semaphorin3A (Sema3A) reveals that RhoA is not required for Sema3A-mediated axonal repulsion of sensory neurons. Expression of RhoC, a closely related family member, is increased in RhoA-deficient sensory neurons and may play a compensatory role in this context. Taken together, these genetic studies demonstrate that RhoA is dispensable for peripheral and central projections of sensory neurons in the DRG.

11.
Genes Dev ; 25(24): 2674-85, 2011 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-22190461

RESUMO

Use-dependent selection of optimal connections is a key feature of neural circuit development and, in the mature brain, underlies functional adaptation, such as is required for learning and memory. Activity patterns guide circuit refinement through selective stabilization or elimination of specific neuronal branches and synapses. The molecular signals that mediate activity-dependent synapse and arbor stabilization and maintenance remain elusive. We report that knockout of the activity-regulated gene cpg15 in mice delays developmental maturation of axonal and dendritic arbors visualized by anterograde tracing and diolistic labeling, respectively. Electrophysiology shows that synaptic maturation is also delayed, and electron microscopy confirms that many dendritic spines initially lack functional synaptic contacts. While circuits eventually develop, in vivo imaging reveals that spine maintenance is compromised in the adult, leading to a gradual attrition in spine numbers. Loss of cpg15 also results in poor learning. cpg15 knockout mice require more trails to learn, but once they learn, memories are retained. Our findings suggest that CPG15 acts to stabilize active synapses on dendritic spines, resulting in selective spine and arbor stabilization and synaptic maturation, and that synapse stabilization mediated by CPG15 is critical for efficient learning.


Assuntos
Encéfalo/crescimento & desenvolvimento , Encéfalo/metabolismo , Proteínas do Tecido Nervoso/genética , Proteínas do Tecido Nervoso/metabolismo , Sinapses/fisiologia , Animais , Axônios/metabolismo , Espinhas Dendríticas/genética , Espinhas Dendríticas/fisiologia , Proteínas Ligadas por GPI/genética , Proteínas Ligadas por GPI/metabolismo , Aprendizagem/fisiologia , Masculino , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Neurônios/citologia , Sinapses/genética
12.
Development ; 138(18): 4085-95, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-21831918

RESUMO

Different types of sensory neurons in the dorsal root ganglia project axons to the spinal cord to convey peripheral information to the central nervous system. Whereas most proprioceptive axons enter the spinal cord medially, cutaneous axons typically do so laterally. Because heavily myelinated proprioceptive axons project to the ventral spinal cord, proprioceptive axons and their associated oligodendrocytes avoid the superficial dorsal horn. However, it remains unclear whether their exclusion from the superficial dorsal horn is an important aspect of neural circuitry. Here we show that a mouse null mutation of Sema6d results in ectopic placement of the shafts of proprioceptive axons and their associated oligodendrocytes in the superficial dorsal horn, disrupting its synaptic organization. Anatomical and electrophysiological analyses show that proper axon positioning does not seem to be required for sensory afferent connectivity with motor neurons. Furthermore, ablation of oligodendrocytes from Sema6d mutants reveals that ectopic oligodendrocytes, but not proprioceptive axons, inhibit synapse formation in Sema6d mutants. Our findings provide new insights into the relationship between oligodendrocytes and synapse formation in vivo, which might be an important element in controlling the development of neural wiring in the central nervous system.


Assuntos
Coristoma/genética , Oligodendroglia , Semaforinas/genética , Doenças da Medula Espinal/genética , Sinapses/genética , Animais , Animais Geneticamente Modificados , Gânglios Espinais/metabolismo , Gânglios Espinais/patologia , Camundongos , Modelos Biológicos , Fibras Nervosas Mielinizadas/metabolismo , Fibras Nervosas Mielinizadas/patologia , Neurogênese/genética , Neurogênese/fisiologia , Propriocepção/genética , Semaforinas/fisiologia , Células Receptoras Sensoriais/metabolismo , Células Receptoras Sensoriais/patologia , Transdução de Sinais/genética , Transdução de Sinais/fisiologia , Medula Espinal/metabolismo , Medula Espinal/patologia , Doenças da Medula Espinal/metabolismo , Doenças da Medula Espinal/patologia , Sinapses/metabolismo , Sinapses/patologia , Transmissão Sináptica/genética , Transmissão Sináptica/fisiologia
13.
Prog Neurobiol ; 94(3): 223-37, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21601615

RESUMO

Modifications of neuronal circuits allow the brain to adapt and change with experience. This plasticity manifests during development and throughout life, and can be remarkably long lasting. Evidence has linked activity-regulated gene expression to the long-term structural and electrophysiological adaptations that take place during developmental critical periods, learning and memory, and alterations to sensory map representations in the adult. In all these cases, the cellular response to neuronal activity integrates multiple tightly coordinated mechanisms to precisely orchestrate long-lasting, functional and structural changes in brain circuits. Experience-dependent plasticity is triggered when neuronal excitation activates cellular signaling pathways from the synapse to the nucleus that initiate new programs of gene expression. The protein products of activity-regulated genes then work via a diverse array of cellular mechanisms to modify neuronal functional properties. Synaptic strengthening or weakening can reweight existing circuit connections, while structural changes including synapse addition and elimination create new connections. Posttranscriptional regulatory mechanisms, often also dependent on activity, further modulate activity-regulated gene transcript and protein function. Thus, activity-regulated genes implement varied forms of structural and functional plasticity to fine-tune brain circuit wiring.


Assuntos
Regulação da Expressão Gênica , Plasticidade Neuronal/genética , Plasticidade Neuronal/fisiologia , Sinapses/fisiologia , Animais , Humanos , Memória/fisiologia , Neurônios/fisiologia , Transdução de Sinais/fisiologia
14.
Proc Natl Acad Sci U S A ; 108(18): 7607-12, 2011 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-21502507

RESUMO

The organization of neural progenitors in the developing mammalian neuroepithelium is marked by cadherin-based adherens junctions. Whereas RhoA, a founding member of the small Rho GTPase family, has been shown to play important roles in epithelial adherens junctions, its physiological roles in neural development remain uncertain due to the lack of specific loss-of-function studies. Here, we show that RhoA protein accumulates at adherens junctions in the developing mouse brain and colocalizes to the cadherin-catenin complex. Conditional deletion of RhoA in midbrain and forebrain neural progenitors using Wnt1-Cre and Foxg1-Cre mice, respectively, disrupts apical adherens junctions and causes massive dysplasia of the brain. Furthermore, RhoA-deficient neural progenitor cells exhibit accelerated proliferation, reduction of cell- cycle exit, and increased expression of downstream target genes of the hedgehog pathway. Consequently, both lines of conditional RhoA-deficient embryos exhibit expansion of neural progenitor cells and exencephaly-like protrusions. These results demonstrate a critical role of RhoA in the maintenance of apical adherens junctions and the regulation of neural progenitor proliferation in the developing mammalian brain.


Assuntos
Junções Aderentes/metabolismo , Encéfalo/embriologia , Proliferação de Células , Células-Tronco Neurais/metabolismo , Proteína rhoA de Ligação ao GTP/deficiência , Animais , Bromodesoxiuridina , Imuno-Histoquímica , Imunoprecipitação , Hibridização In Situ , Marcação In Situ das Extremidades Cortadas , Indóis , Camundongos , Camundongos Mutantes , Microscopia Confocal , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Proteína rhoA de Ligação ao GTP/metabolismo
16.
AIDS Care ; 21(5): 608-14, 2009 May.
Artigo em Inglês | MEDLINE | ID: mdl-19444669

RESUMO

BACKGROUND: With the intensive scale-up of care and treatment for HIV/AIDS in developing countries, some fear that intensified attention to HIV programs may overwhelm health care systems and lead to declines in delivery of other primary health care. Few data exist that confirm negative or positive synergies on health care provision generally resulting from HIV-dedicated programs. METHODS: Using a retrospective observational design we compare aggregate service data in Rwandan health facilities before and after the introduction of HIV care on selected measures of primary health care. The study tests the hypothesis that non-HIV care does not decrease after the introduction of basic HIV care. FINDINGS: Overall, no declines were observed in reproductive health services, services for children, laboratory tests, and curative care. Statistically significant increases were found in utilization and provision of some preventive services. Multivariate regression, including introduction of HIV care and two important health care financing initiatives in Rwanda, revealed positive associations of all with observed increases. Introduction of HIV services was especially associated with increases in reproductive health. While hospitalization rates increased for the whole sample, declines were observed at health facilities that offered basic HIV care plus highly active antiretroviral therapy. INTERPRETATION: Our results partially counter fears that HIV programs are producing adverse effects in non-HIV service delivery. Rather than leading to declines in other primary health care delivery, our findings suggest that the integration of HIV clinical services may contribute to increases.


Assuntos
Atenção à Saúde/normas , Infecções por HIV/tratamento farmacológico , Disparidades em Assistência à Saúde/normas , Atenção Primária à Saúde/normas , Terapia Antirretroviral de Alta Atividade/economia , Atenção à Saúde/economia , Feminino , Infecções por HIV/economia , Disparidades em Assistência à Saúde/economia , Humanos , Gravidez , Atenção Primária à Saúde/economia , Estudos Retrospectivos , Ruanda , Fatores de Tempo
17.
Proc Natl Acad Sci U S A ; 105(50): 19968-73, 2008 Dec 16.
Artigo em Inglês | MEDLINE | ID: mdl-19066223

RESUMO

The contribution of structural remodeling to long-term adult brain plasticity is unclear. Here, we investigate features of GABAergic interneuron dendrite dynamics and extract clues regarding its potential role in cortical function and circuit plasticity. We show that remodeling interneurons are contained within a "dynamic zone" corresponding to a superficial strip of layers 2/3, and remodeling dendrites respect the lower border of this zone. Remodeling occurs primarily at the periphery of dendritic fields with addition and retraction of new branch tips. We further show that dendrite remodeling is not intrinsic to a specific interneuron class. These data suggest that interneuron remodeling is not a feature predetermined by genetic lineage, but rather, it is imposed by cortical laminar circuitry. Our findings are consistent with dynamic GABAergic modulation of feedforward and recurrent connections in response to top-down feedback and suggest a structural component to functional plasticity of supragranular neocortical laminae.


Assuntos
Interneurônios/fisiologia , Neocórtex/fisiologia , Plasticidade Neuronal , Animais , Interneurônios/ultraestrutura , Camundongos , Camundongos Transgênicos , Neocórtex/ultraestrutura , Ácido gama-Aminobutírico/metabolismo
18.
Mol Biol Cell ; 16(7): 3200-10, 2005 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-15888545

RESUMO

Nuclear import and export is mediated by an evolutionarily conserved family of soluble transport factors, the karyopherins (referred to as importins and exportins). The yeast karyopherin Kap114p has previously been shown to import histones H2A and H2B, Nap1p, and a component of the preinitiation complex (PIC), TBP. Using a proteomic approach, we have identified several potentially new cargoes for Kap114p. These cargoes include another PIC component, the general transcription factor IIB or Sua7p, which interacted directly with Kap114p. Consistent with its role as a Sua7p import factor, deletion of KAP114 led to specific mislocalization of Sua7p to the cytoplasm. An interaction between Sua7p and TBP was also detected in cytosol, raising the possibility that both Sua7p and TBP can be coimported by Kap114p. We have also shown that Kap114p possesses multiple overlapping binding sites for its partners, Sua7p, Nap1p, and H2A and H2B, as well as RanGTP and nucleoporins. In addition, we have assembled an in vitro complex containing Sua7p, Nap1p, and histones H2A and H2B, suggesting that this Kap may import several proteins simultaneously. The import of more than one cargo at a time would increase the efficiency of each import cycle and may allow the regulation of coimported cargoes.


Assuntos
Transporte Ativo do Núcleo Celular , Carioferinas/metabolismo , Proteínas Nucleares/metabolismo , Proteínas de Saccharomyces cerevisiae/metabolismo , Fator de Transcrição TFIIB/química , Sítios de Ligação , Transporte Biológico , Western Blotting , Proteínas de Ciclo Celular/metabolismo , Cromatografia Líquida de Alta Pressão , Citoplasma/metabolismo , Citosol/metabolismo , Eletroforese em Gel de Poliacrilamida , Proteínas Fúngicas/química , Deleção de Genes , Genes Reporter , Glutationa Transferase/metabolismo , Proteínas de Fluorescência Verde/metabolismo , Histonas/química , Microscopia , Modelos Biológicos , Proteínas Nucleares/química , Proteína 1 de Modelagem do Nucleossomo , Plasmídeos/metabolismo , Ligação Proteica , Estrutura Terciária de Proteína , Transporte Proteico , Proteômica/métodos , Proteínas de Saccharomyces cerevisiae/química , Espectrometria de Massas por Ionização por Electrospray , beta Carioferinas , Proteína ran de Ligação ao GTP/química
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