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2.
Sci Rep ; 11(1): 4722, 2021 02 25.
Artigo em Inglês | MEDLINE | ID: mdl-33633318

RESUMO

CYP3A5 is the primary CYP3A subfamily enzyme expressed in the human kidney and its aberrant expression may contribute to a broad spectrum of renal disorders. Pharmacogenetic studies have reported inconsistent linkages between CYP3A5 expression and hypertension, however, most investigators have considered CYP3A5*1 as active and CYP3A5*3 as an inactive allele. Observations of gender specific differences in CYP3A5*3/*3 protein expression suggest additional complexity in gene regulation that may underpin an environmentally responsive role for CYP3A5 in renal function. Reconciliation of the molecular mechanism driving conditional restoration of functional CYP3A5*3 expression from alternatively spliced transcripts, and validation of a morpholino-based approach for selectively suppressing renal CYP3A5 expression, is the focus of this work. Morpholinos targeting a cryptic splice acceptor created by the CYP3A5*3 mutation in intron 3 rescued functional CYP3A5 expression in vitro, and salt-sensitive cellular mechanisms regulating splicing and conditional expression of CYP3A5*3 transcripts are reported. The potential for a G-quadruplex (G4) in intron 3 to mediate restored splicing to exon 4 in CYP3A5*3 transcripts was also investigated. Finally, a proximal tubule microphysiological system (PT-MPS) was used to evaluate the safety profile of morpholinos in proximal tubule epithelial cells, highlighting their potential as a therapeutic platform for the treatment of renal disease.


Assuntos
Citocromo P-450 CYP3A/genética , Descoberta de Drogas , Nefropatias/tratamento farmacológico , Oligonucleotídeos Antissenso/farmacologia , Linhagem Celular , Quadruplex G/efeitos dos fármacos , Células HEK293 , Humanos , Nefropatias/genética , Morfolinos/genética , Morfolinos/farmacologia , Mutação/efeitos dos fármacos , Oligonucleotídeos Antissenso/genética
3.
Diabetes Metab Res Rev ; 37(1): e3352, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-32453474

RESUMO

BACKGROUND AND AIM: 11ß-Hydroxysteroid dehydrogenase 1 has been implicated in insulin resistance (IR) in the setting of metabolic disorders, and single nucleotide polymorphisms (SNPs) in its encoding gene (HSD11B1) have been associated with type 2 diabetes and metabolic syndrome. In type 1 diabetes (T1D), IR has been related to the development of chronic complications. We investigated the association of HSD11B1 SNPs with microvascular complications and with IR in a Brazilian cohort of T1D individuals. MATERIALS AND METHODS: Five SNPs were genotyped in 466 T1D individuals (57% women; median of 37 years old, diabetes duration of 25 years and HbA1c of 8.4%). RESULTS: The minor allele T of rs11799643 was nominally associated with diabetic retinopathy (OR = 0.52; confidence interval [CI] 95% = 0.28-0.96; P = .036). The minor allele C of rs17389016 was nominally associated with overt diabetic kidney disease (DKD) (OR = 1.90; CI 95% = 1.07-3.37; P = .028). A follow-up study revealed that 29% of the individuals lost ≥5 mL min-1 × 1.73 m2 per year of the estimated glomerular filtration rate (eGFR). In these individuals (eGFR decliners), C allele of rs17389016 was more frequent than in non-decliners (OR = 2.10; CI 95% = 1.14-3.89; P = .018). Finally, minor allele T of rs846906 associated with higher prevalence of arterial hypertension, higher body mass index and waist circumference, thus conferring risk to a lower estimated glucose disposal rate, a surrogate marker of insulin sensitivity (OR = 1.23; CI 95% = 1.06-1.42; P = .004). CONCLUSION: SNPs in the HSD11B1 gene may confer susceptibility to DKD and to IR in T1D individuals.


Assuntos
11-beta-Hidroxiesteroide Desidrogenase Tipo 1 , Diabetes Mellitus Tipo 1 , Nefropatias Diabéticas , Resistência à Insulina , 11-beta-Hidroxiesteroide Desidrogenase Tipo 1/genética , Adulto , Diabetes Mellitus Tipo 1/genética , Nefropatias Diabéticas/genética , Feminino , Predisposição Genética para Doença , Humanos , Resistência à Insulina/genética , Masculino , Polimorfismo de Nucleotídeo Único
4.
Artigo em Inglês | MEDLINE | ID: mdl-32425885

RESUMO

Introduction: Using a discovery/validation approach we investigated associations between a panel of genes selected from a transcriptomic study and the estimated glomerular filtration rate (eGFR) decline across time in a cohort of type 1 diabetes (T1D) patients. Experimental: Urinary sediment transcriptomic was performed to select highly modulated genes in T1D patients with rapid eGFR decline (decliners) vs. patients with stable eGFR (non-decliners). The selected genes were validated in samples from a T1D cohort (n = 54, mean diabetes duration of 21 years, 61% women) followed longitudinally for a median of 12 years in a Diabetes Outpatient Clinic. Results: In the discovery phase, the transcriptomic study revealed 158 genes significantly different between decliners and non-decliners. Ten genes increasingly up or down-regulated according to renal function worsening were selected for validation by qRT-PCR; the genes CYP4F22, and PMP22 were confirmed as differentially expressed comparing decliners vs. non-decliners after adjustment for potential confounders. CYP4F22, LYPD3, PMP22, MAP1LC3C, HS3ST2, GPNMB, CDH6, and PKD2L1 significantly modified the slope of eGFR in T1D patients across time. Conclusions: Eight genes identified as differentially expressed in the urinary sediment of T1D patients presenting different eGFR decline rates significantly increased the accuracy of predicted renal function across time in the studied cohort. These genes may be a promising way of unveiling novel mechanisms associated with diabetic kidney disease progression.


Assuntos
Biomarcadores/urina , Diabetes Mellitus Tipo 1/complicações , Nefropatias Diabéticas/diagnóstico , Insuficiência Renal Crônica/diagnóstico , Transcriptoma , Adulto , Nefropatias Diabéticas/etiologia , Nefropatias Diabéticas/metabolismo , Nefropatias Diabéticas/urina , Progressão da Doença , Feminino , Seguimentos , Taxa de Filtração Glomerular , Humanos , Estudos Longitudinais , Masculino , Prognóstico , Insuficiência Renal Crônica/etiologia , Insuficiência Renal Crônica/metabolismo , Insuficiência Renal Crônica/urina , Fatores de Risco
5.
Mediators Inflamm ; 2020: 5704713, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32273829

RESUMO

BACKGROUND AND AIMS: Since hyperglycemia promotes inflammation by different pathways and inflammation participates in the development of chronic diabetes complications, we investigated the association between the leukotriene (LT) pathway and microvascular diabetes complications. METHODS AND RESULTS: Quantitative polymerase chain reaction was employed to quantify the expression of ALOX5 (encodes 5-lipoxygenase), LTB4R (encodes one of the LTB4 receptors), and MYD88 in peripheral blood mononuclear cells from 164 type 1 diabetes (T1D) individuals presenting or not diabetes kidney disease, retinopathy, peripheral neuropathy, and cardiovascular autonomic neuropathy (CAN); 26 nondiabetic subjects were included as controls. LTB4 plasmatic concentrations were also evaluated. The expression of LTB4R was significantly higher in T1D individuals than in controls. T1D individuals with microvascular complications presented lower MYD88 mRNA expression when compared to those without microvascular complications. Higher LTB4 concentrations were found in individuals with CAN versus without CAN. The observation of two distinct subgroups of T1D individuals in the correlation analyses motivated us to evaluate the characteristics of each one of these groups separately. The group presenting higher expression of ALOX5 and of LTB4R also presented higher values of HbA1C, of fructosamine, and of plasmatic LTB4. CONCLUSION: In the diabetes setting, the LT pathway is not only activated by hyperglycemia but is also modulated by the status of the autonomic nervous system.


Assuntos
Diabetes Mellitus Tipo 1/metabolismo , Leucotrienos/metabolismo , Adulto , Araquidonato 5-Lipoxigenase/metabolismo , Sistema Nervoso Autônomo/metabolismo , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/patologia , Feminino , Humanos , Leucócitos Mononucleares/metabolismo , Masculino , Fator 88 de Diferenciação Mieloide/metabolismo , Receptores do Leucotrieno B4/metabolismo
7.
Gene ; 703: 120-124, 2019 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-30959073

RESUMO

AIMS: Given the participation of oxidative stress in the pathogenesis of diabetic complications, we evaluated, in type 1 diabetes (T1D) individuals, the association between diabetic retinopathy (DR) and functional single nucleotide polymorphisms (SNPs) in regulatory regions of two genes belonging to the antioxidant glutathione (GSH) system: rs17883901 in GCLC and rs713041 in GPX4. METHODS: A cross-sectional case-control study included 288 individuals (61% women, 34[±11] years old, diabetes duration of 22[±9] years, mean [±SD]) sorted according to DR stages: absence of DR (ADR), non-proliferative DR (NPDR) and proliferative DR (PDR). SNPs were genotyped by real-time PCR using fluorescent labelled probes. Logistic regression models with adjustment for confounding covariates were employed. RESULTS: The presence of at least one T-allele of rs17883901 in GCLC was an independent risk factor for PDR (OR 4.13, 95% CI 1.38-13.66, p = 0.014) in a polytomous regression model (PDR versus ADR). The presence of at least one T-allele of rs713041 in GPX4 conferred protection against PDR (OR 0.30, 95% CI 0.11-0.80, p = 0.017) in female T1D individuals. CONCLUSION: The functional SNPs rs17883901 and rs713041 modulate the risk for PDR in the studied population of T1D individuals, widening the spectrum of candidate genes for this complication.


Assuntos
Diabetes Mellitus Tipo 1/complicações , Retinopatia Diabética/genética , Glutamato-Cisteína Ligase/genética , Glutationa Peroxidase/genética , Polimorfismo de Nucleotídeo Único , Adulto , Idade de Início , Estudos de Casos e Controles , Estudos Transversais , Diabetes Mellitus Tipo 1/genética , Feminino , Frequência do Gene , Predisposição Genética para Doença , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Fosfolipídeo Hidroperóxido Glutationa Peroxidase , Adulto Jovem
8.
Diab Vasc Dis Res ; 16(3): 297-299, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30599773

RESUMO

Cardiac autonomic neuropathy is a neglected diabetic chronic complication for which genetic predictors are rarely reported. Oxidative stress is implicated in the pathogenesis of microvascular complications, and glutathione peroxidase 4 is involved in the detoxification of peroxides and of reactive oxygen species. Thus, the association of a functional variant in the gene encoding glutathione peroxidase 4 (rs713041) with this diabetic complication was investigated in 341 individuals with type 1 diabetes evaluated for cardiac autonomic neuropathy status (61.7% women, 34 [27-42] years old; diabetes duration: 21 [15-27] years; HbA1c: 8.3% [7.4-9.4]; as median [interquartile interval]). Cardiac autonomic neuropathy was present in 29% of the participants. There was an inverse association of the minor T allele of rs713041 with cardiac autonomic neuropathy (odds ratio = 0.39; 95% confidence interval = 0.17-0.90; p = 0.0271) after adjustment for potential confounders. The functional glutathione peroxidase 4 variant rs713041 modulated the risk for cardiac autonomic neuropathy in the studied population with type 1 diabetes.


Assuntos
Sistema Nervoso Autônomo/fisiopatologia , Sistema Cardiovascular/fisiopatologia , Diabetes Mellitus Tipo 1/genética , Neuropatias Diabéticas/genética , Glutationa Peroxidase/genética , Polimorfismo de Nucleotídeo Único , Adulto , Estudos Transversais , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/enzimologia , Neuropatias Diabéticas/diagnóstico , Neuropatias Diabéticas/enzimologia , Neuropatias Diabéticas/fisiopatologia , Feminino , Frequência do Gene , Estudos de Associação Genética , Predisposição Genética para Doença , Humanos , Masculino , Fenótipo , Fosfolipídeo Hidroperóxido Glutationa Peroxidase , Medição de Risco , Fatores de Risco
9.
J Diabetes Investig ; 10(4): 985-989, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-30548403

RESUMO

AIMS/INTRODUCTION: Epigenetics participate in the pathogenesis of metabolic memory, a situation in which hyperglycemia exerts prolonged deleterious effects even after its normalization. We tested the hypothesis that genetic variants in an epigenetic gene could predispose to diabetes complications. MATERIAL AND METHODS: We assessed the frequency of five single-nucleotide polymorphisms in the gene encoding deoxyribonucleic acid methytransferase 1 (DNMT1; rs8112895, rs7254567, rs11085721, rs17291414 and rs10854076), and their associations with diabetic kidney disease, retinopathy, distal polyneuropathy and autonomic cardiovascular neuropathy in 359 individuals with long-term type 1 diabetes. RESULTS: None of the single-nucleotide polymorphisms studied was significantly associated with the presence of chronic complications in the overall population. However, after sex stratification, the minor allele C of rs11085721 conferred risk for cardiovascular neuropathy in women after adjustment for confounding variables (odds ratio 2.32; 95% confidence interval 1.26-4.33; P = 0.006). CONCLUSIONS: The fact that heterozygous mutations in DNMT1 are associated with hereditary sensory autonomic neuropathy provides plausibility to the present finding. If confirmed in independent samples, it suggests that genetic variants in epigenetic genes might predispose to more or fewer epigenetic changes in the face of similar metabolic derangements triggered by hyperglycemia, constituting the "genetics of epigenetics" for microvascular diabetes complications.


Assuntos
Sistema Nervoso Autônomo/patologia , Biomarcadores/análise , DNA (Citosina-5-)-Metiltransferase 1/genética , Diabetes Mellitus Tipo 1/complicações , Cardiomiopatias Diabéticas/etiologia , Neuropatias Diabéticas/etiologia , Polimorfismo de Nucleotídeo Único , Adulto , Sistema Nervoso Autônomo/metabolismo , Cardiomiopatias Diabéticas/genética , Cardiomiopatias Diabéticas/patologia , Neuropatias Diabéticas/genética , Neuropatias Diabéticas/patologia , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Prognóstico
10.
JCI Insight ; 3(24)2018 12 20.
Artigo em Inglês | MEDLINE | ID: mdl-30568031

RESUMO

Drug-induced kidney injury, largely caused by proximal tubular intoxicants, limits development and clinical use of new and approved drugs. Assessing preclinical nephrotoxicity relies on animal models that are frequently insensitive; thus, potentially novel techniques - including human microphysiological systems, or "organs on chips" - are proposed to accelerate drug development and predict safety. Polymyxins are potent antibiotics against multidrug-resistant microorganisms; however, clinical use remains restricted because of high risk of nephrotoxicity and limited understanding of toxicological mechanisms. To mitigate risks, structural analogs of polymyxins (NAB739 and NAB741) are currently in clinical development. Using a microphysiological system to model human kidney proximal tubule, we exposed cells to polymyxin B (PMB) and observed significant increases of injury signals, including kidney injury molecule-1 KIM-1and a panel of injury-associated miRNAs (each P < 0.001). Surprisingly, transcriptional profiling identified cholesterol biosynthesis as the primary cellular pathway induced by PMB (P = 1.22 ×10-16), and effluent cholesterol concentrations were significantly increased after exposure (P < 0.01). Additionally, we observed no upregulation of the nuclear factor (erythroid derived-2)-like 2 pathway, despite this being a common pathway upregulated in response to proximal tubule toxicants. In contrast with PMB exposure, minimal changes in gene expression, injury biomarkers, and cholesterol concentrations were observed in response to NAB739 and NAB741. Our findings demonstrate the preclinical safety of NAB739 and NAB741 and reveal cholesterol biosynthesis as a potentially novel pathway for PMB-induced injury. To our knowledge, this is the first demonstration of a human-on-chip platform used for simultaneous safety testing of new chemical entities and defining unique toxicological pathway responses of an FDA-approved molecule.


Assuntos
Injúria Renal Aguda/induzido quimicamente , Rim/efeitos dos fármacos , Polimixinas/toxicidade , Animais , Antibacterianos/toxicidade , Biomarcadores , Desidrocolesteróis , Desmosterol , Modelos Animais de Doenças , Expressão Gênica , Heme Oxigenase-1 , Receptor Celular 1 do Vírus da Hepatite A , Humanos , Rim/metabolismo , Túbulos Renais Proximais/efeitos dos fármacos , Lanosterol , Fator 2 Relacionado a NF-E2/metabolismo , Polimixina B/farmacologia , Polimixinas/farmacologia
11.
Diab Vasc Dis Res ; 15(1): 81-89, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29027826

RESUMO

Quantitative polymerase chain reaction was employed to quantify expression of two genes coding for advanced glycation end-product receptors [RAGE ( AGER) and AGER1 ( DDOST)] and of the gene coding the deacetylase SIRT1 ( SIRT1) in peripheral blood mononuclear cells from type 1 diabetes patients without [Group A, n = 35; 28.5 (24-39) years old; median (interquartile interval)] or with at least one microvascular complication [Group B, n = 117; 34.5 (30-42) years old]; 31 healthy controls were also included. In a subgroup of 48 patients, daily advanced glycation end-products intake before blood collection was assessed. Lower expression of DDOST was found in patients than in controls after adjustment for sex, age, use of statins, angiotensin-converting enzyme inhibitors and angiotensin receptor blockers. Higher expressions of AGER, DDOST and SIRT1 were observed in Group A. Stratifying by complications, AGER and DDOST expressions were higher in those without retinopathy and without diabetic kidney disease, respectively, compared to patients with these complications. Patients using statins or angiotensin receptor blockers presented higher expression of DDOST. Expression of SIRT1 was higher in patients consuming ≥12,872 KU daily of advanced glycation end-products. Although AGER, DDOST and SIRT1 are differently expressed in peripheral blood mononuclear cells from type 1 diabetes patients with and without microvascular complications, they are also influenced by dietary advanced glycation end-products and by statins and angiotensin receptor blockers.


Assuntos
Diabetes Mellitus Tipo 1/sangue , Dieta , Produtos Finais de Glicação Avançada/sangue , Hexosiltransferases/sangue , Leucócitos Mononucleares/enzimologia , Proteínas de Membrana/sangue , Sirtuína 1/sangue , Adulto , Antagonistas de Receptores de Angiotensina/uso terapêutico , Biomarcadores/sangue , Estudos de Casos e Controles , Estudos Transversais , Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 1/enzimologia , Diabetes Mellitus Tipo 1/genética , Angiopatias Diabéticas/sangue , Angiopatias Diabéticas/enzimologia , Nefropatias Diabéticas/sangue , Nefropatias Diabéticas/enzimologia , Feminino , Regulação Enzimológica da Expressão Gênica , Hexosiltransferases/genética , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/uso terapêutico , Leucócitos Mononucleares/efeitos dos fármacos , Masculino , Proteínas de Membrana/genética , Estresse Oxidativo , RNA Mensageiro/sangue , Receptor para Produtos Finais de Glicação Avançada/sangue , Receptor para Produtos Finais de Glicação Avançada/genética , Sirtuína 1/genética
12.
Cell Physiol Biochem ; 40(3-4): 608-620, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27898405

RESUMO

AIM: To assess the renal effects of chronic exposure to advanced glycation end-products (AGEs) in the absence of diabetes and the potential impact of concomitant treatment with the antioxidant N-acetyl cysteine (NAC). METHODS: Wistar rats received intraperitoneally 20 mg/kg/day of albumin modified (AlbAGE) or not (AlbC) by advanced glycation for 12 weeks and oral NAC (600mg/L; AlbAGE+NAC and AlbC+NAC, respectively). Biochemical, urinary and renal morphological analyses; carboxymethyl-lysine (CML, an AGE), CD68 (macrophage infiltration), and 4-hydroxynonenal (4-HNE, marker of oxidative stress) immunostaining; intrarenal mRNA expression of genes belonging to pathways related to AGEs (Ager, Ddost, Nfkb1), renin-angiotensin system (Agt, Ren, Ace), fibrosis (Tgfb1, Col4a1), oxidative stress (Nox4, Txnip), and apoptosis (Bax, Bcl2); and reactive oxidative species (ROS) content were performed. RESULTS: AlbAGE significantly increased urine protein-to-creatinine ratio; glomerular area; renal CML content and macrophage infiltration; expression of Ager, Nfkb1, Agt, Ren, Tgfb1, Col4a1, Txnip, Bax/Bcl2 ratio; and 4-HNE and ROS contents. Some of these effects were attenuated by NAC concomitant treatment. CONCLUSION: Because AGEs are highly consumed in modern diets and implicated in the progression of different kidney diseases, NAC could be a therapeutic intervention to decrease renal damage, considering that long-term restriction of dietary AGEs is difficult to achieve in practice.


Assuntos
Acetilcisteína/farmacologia , Diabetes Mellitus Experimental/patologia , Produtos Finais de Glicação Avançada/toxicidade , Rim/patologia , Animais , Antioxidantes/farmacologia , Regulação da Expressão Gênica/efeitos dos fármacos , Rim/efeitos dos fármacos , Macrófagos/efeitos dos fármacos , Macrófagos/patologia , Masculino , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Ratos Wistar , Espécies Reativas de Oxigênio/metabolismo , Albumina Sérica/metabolismo
13.
Clin Chim Acta ; 462: 158-161, 2016 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-27666760

RESUMO

Extracting RNA from human urinary sediment is notoriously challenging because of cell paucity and hostile environment and column-based commercial kits using silica technology are commonly used. Nonetheless, in our experience, this methodology yields low amounts of total RNA and has low rates of success. We replaced the column-based commercial kit by a protocol using guanidine isothiocyanate-phenol-chloroform buffer (Trizol reagent) followed by addition of glycogen as a carrier and precipitation with isopropanol plus sodium acetate. This methodology was more affordable and efficient for urinary sediment total RNA isolation than silica technology, resulting in higher concentrations of total RNA of better quality.


Assuntos
Diabetes Mellitus Tipo 1/urina , RNA/isolamento & purificação , RNA/urina , Humanos
14.
Metabolism ; 65(6): 816-24, 2016 06.
Artigo em Inglês | MEDLINE | ID: mdl-27173460

RESUMO

PURPOSE: After observing variation in the expression of the housekeeping gene B2M in cells of the urinary sediment during a study of candidate genes potentially involved in diabetic kidney disease (DKD), we hypothesized that B2M mRNA expression in the urinary sediment could reflect the presence of DKD. METHODS: qPCR was used to quantify B2M mRNA expression in cells of the urinary sediment of 51 type 1 diabetes (T1D) patients (61% women, 33.5 [27.0-39.7] years old, with diabetes duration of 21.0 [15.0-28.0] years and HbA1c of 8.2% [7.3-8.9]; median [interquartile interval]) sorted according to the diabetic nephropathy (DN) stages; 8 focal segmental glomerulosclerosis (FSGS) patients and 10 healthy controls. B2M mRNA expression was also evaluated in human embryonic kidney epithelium-like (HEK-293) cells exposed to 25mM glucose and to albumin in order to mimic, respectively, a diabetic and a proteinuric milieu. RESULTS: No differences were found in B2M mRNA expression among healthy controls, FSGS and T1D patients. Nonetheless B2M mRNA expression was higher in the group composed by T1D patients with incipient or overt DN combined with FSGS patients versus T1D patients without DN combined with healthy controls (P=0.0007). B2M mRNA expression was higher in T1D patients with incipient or overt DN versus without DN (P=0.03). B2M mRNA expression positively correlated with albuminuria in the overall T1D population (r=0.43; P=0.01) and negatively correlated with estimated glomerular filtration rate in male T1D patients (r=- 0.57; P=0.01). Increased B2M expression was observed in HEK-293 cells exposed to 25mM glucose and to albumin. CONCLUSIONS: Β2M mRNA expression in cells of the urinary sediment is higher in T1D patients with DKD and in patients with FSGS in comparison to healthy subjects, maybe reflecting a tubulointerstitial injury promoted by albumin. Given the proinflammatory nature of B2M, we suggest that this protein contributes to diabetic (and possibly, to non-diabetic) tubulopathy.


Assuntos
Diabetes Mellitus Tipo 1/urina , Nefropatias Diabéticas/urina , Globulinas/urina , Glomerulosclerose Segmentar e Focal/urina , Adulto , Albuminas/farmacologia , Albuminúria/genética , Albuminúria/urina , Biomarcadores , Diabetes Mellitus Tipo 1/genética , Nefropatias Diabéticas/genética , Feminino , Globulinas/genética , Glomerulosclerose Segmentar e Focal/genética , Glucose/farmacologia , Células HEK293 , Humanos , Rim/efeitos dos fármacos , Masculino , RNA Mensageiro/genética , RNA Mensageiro/urina
15.
Free Radic Res ; 50(1): 101-10, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-26480949

RESUMO

AIMS: Thioredoxin interacting protein (TXNIP), an inhibitor of antioxidant thioredoxin (Trx), is upregulated by hyperglycemia and implicated in pathogenesis of diabetes complications. We evaluated mRNA expressions of genes encoding TXNIP and Trx (TXN) in urinary sediment and peripheral blood mononuclear cells (PBMC) of type 1 diabetes (T1D) patients with different degrees of chronic complications. METHODS: qPCR was employed to quantify target genes in urinary sediment (n = 55) and PBMC (n = 161) from patients sorted by presence or absence of diabetic nephropathy (DN), retinopathy, peripheral and cardiovascular neuropathy; 26 healthy controls and 13 patients presenting non-diabetic nephropathy (focal and segmental glomerulosclerosis, FSGS) were also included. RESULTS: Regarding the urinary sediment, TXNIP (but not TXN) expression was higher in T1D (p = 0.0023) and FSGS (p = 0.0027) patients versus controls. Expressions of TXNIP and TXN were higher, respectively, in T1D patients with versus without DN (p = 0.032) and in those with estimated glomerular filtration rate (eGFR) < 60 versus ≥60 mL/min/1.73 m(2) (p = 0.008). eGFR negatively correlated with TXNIP (p = 0.04, r = -0.28) and TXN (p = 0.04, r = -0.30) expressions. T1D patients who lost ≥5 mL/min/1.73 m(2) yearly of eGFR presented higher basal TXNIP expression than those who lost <5 mL/min/1.73 m(2) yearly after median follow-up of 24 months. TXNIP (p < 0.0001) and TXN (p = 0.002) expressions in PBMC of T1D patients were significantly higher than in controls but no differences were observed between patients with or without chronic complications. CONCLUSIONS: TXNIP and TXN are upregulated in urinary sediment of T1D patients with diabetic kidney disease (DKD), but only TXNIP expression is associated with magnitude of eGFR decline.


Assuntos
Proteínas de Transporte/urina , Diabetes Mellitus Tipo 1/urina , Nefropatias Diabéticas/urina , Adulto , Proteínas de Transporte/genética , Diabetes Mellitus Tipo 1/genética , Nefropatias Diabéticas/genética , Nefropatias Diabéticas/fisiopatologia , Feminino , Expressão Gênica , Taxa de Filtração Glomerular , Humanos , Leucócitos Mononucleares/metabolismo , Masculino , Pessoa de Meia-Idade , RNA Mensageiro/urina , Tiorredoxinas/genética , Tiorredoxinas/urina , Urinálise
16.
Diabetologia ; 56(12): 2733-42, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24057136

RESUMO

AIMS/HYPOTHESIS: Oxidative stress is involved in the pathogenesis of diabetic nephropathy. The antioxidant enzyme catalase plays a key role in redox regulation in the kidney. We investigated associations of catalase gene (CAT) polymorphisms and plasma catalase activity with diabetic nephropathy in type 1 diabetic patients. METHODS: We genotyped nine single nucleotide polymorphisms (SNPs) in the CAT region in participants from the Survival Genetic Nephropathy (SURGENE) (340 French participants, 10 year follow-up) and the Génétique de la Néphropathie Diabétique (GENEDIAB) (444 Belgian and French participants, 8 year follow-up) study cohorts. Replication was performed in a Brazilian cross-sectional cohort (n = 451). Baseline plasma catalase activity was measured in SURGENE (n = 120) and GENEDIAB (n = 391) participants. RESULTS: The A allele of rs7947841 was associated with the prevalence of incipient (OR 2.79, 95% CI 1.21, 6.24, p = 0.01) and established or advanced nephropathy (OR 5.72, 95% CI 1.62, 22.03, p = 0.007), and with the incidence of renal events, which were defined as new cases of microalbuminuria or progression to a more severe stage of nephropathy during follow-up (HR 1.82, 95% CI 1.13, 2.81, p = 0.01) in SURGENE participants. The same risk allele was associated with incipient nephropathy (OR 3.13, 95% CI 1.42, 7.24, p = 0.004) and with the incidence of end-stage renal disease (ESRD) (HR 2.11, 95% CI 1.23, 3.60, p = 0.008) in GENEDIAB participants. In both cohorts, the risk allele was associated with lower catalase activity. Associations with incipient and established or advanced nephropathy were confirmed in the replication cohort. CONCLUSIONS/INTERPRETATION: CAT variants were associated with the prevalence and incidence of diabetic nephropathy and ESRD in type 1 diabetic patients. Our results confirm the protective role of catalase against oxidative stress in the kidney.


Assuntos
Catalase/genética , Nefropatias Diabéticas/enzimologia , Nefropatias Diabéticas/genética , Frequência do Gene , Falência Renal Crônica/enzimologia , Falência Renal Crônica/genética , Estresse Oxidativo/genética , Polimorfismo de Nucleotídeo Único , Adulto , Bélgica , Brasil , Catalase/metabolismo , Estudos Transversais , Nefropatias Diabéticas/metabolismo , Nefropatias Diabéticas/fisiopatologia , Feminino , Seguimentos , França , Variação Genética , Taxa de Filtração Glomerular , Humanos , Incidência , Falência Renal Crônica/metabolismo , Falência Renal Crônica/fisiopatologia , Masculino , Polimorfismo de Nucleotídeo Único/genética , Prevalência , Medição de Risco , Fatores de Risco
17.
Diabetol Metab Syndr ; 2: 53, 2010 Aug 16.
Artigo em Inglês | MEDLINE | ID: mdl-20712885

RESUMO

Biological rhythms are present in the lives of almost all organisms ranging from plants to more evolved creatures. These oscillations allow the anticipation of many physiological and behavioral mechanisms thus enabling coordination of rhythms in a timely manner, adaption to environmental changes and more efficient organization of the cellular processes responsible for survival of both the individual and the species. Many components of energy homeostasis exhibit circadian rhythms, which are regulated by central (suprachiasmatic nucleus) and peripheral (located in other tissues) circadian clocks. Adipocyte plays an important role in the regulation of energy homeostasis, the signaling of satiety and cellular differentiation and proliferation. Also, the adipocyte circadian clock is probably involved in the control of many of these functions. Thus, circadian clocks are implicated in the control of energy balance, feeding behavior and consequently in the regulation of body weight. In this regard, alterations in clock genes and rhythms can interfere with the complex mechanism of metabolic and hormonal anticipation, contributing to multifactorial diseases such as obesity and diabetes. The aim of this review was to define circadian clocks by describing their functioning and role in the whole body and in adipocyte metabolism, as well as their influence on body weight control and the development of obesity.

18.
An Acad Bras Cienc ; 81(1): 137-42, 2009 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-19274338

RESUMO

In spite of the great importance of cellulose the lignin is considered the second most abundant substance of the wood. However, little attention has been given it, mainly to wood properties. The lignin as well as other structural compounds (cellulose and hemicelluloses), has obviously an important role on the wood properties, probably due its composition and existent bonds. In general lignins have beta-O-4 (Alkyl Aril Ether) as majoritary bond. This bond in a continued structure form big molecules with spiral conformation as virtual model. Based on this idea, lignins that have high/low beta-O-4 content may have differentiated spiraled structures,suggesting different behaviors on the wood properties,which shows that the lignins (Guaicyl:Syringyl (GS)) of angiosperms, for example, which have higher beta-O-4 content would present higher spiral conformation than gymnosperms lignins(HG). On the other hand HG lignins have chance of being more anchored on the matrix compound than GS lignins. In this context, the beta-O-4 bonds of lignins possibly affect the wood properties, therefore, it is considered relevant for wood technology science discussion.


Assuntos
Lignina/química , Madeira/química , Estrutura Molecular
19.
An. acad. bras. ciênc ; 81(1): 137-142, Mar. 2009. ilus, tab
Artigo em Inglês | LILACS | ID: lil-506858

RESUMO

In spite of the great importance of cellulose the lignin is considered the second most abundant substance of the wood. However, little attention has been given it, mainly to wood properties. The lignin as well as other structural compounds (cellulose and hemicelluloses), has obviously an important role on the wood properties, probably due its composition and existent bonds. In general lignins have β-O-4 (Alkyl Aril Ether) as majoritary bond. This bond in a continued structure form big molecules with spiral conformation as virtual model. Based on this idea, lignins that have high/low β-O-4 content may have differentiated spiraled structures,suggesting different behaviors on the wood properties,which shows that the lignins (Guaicyl:Syringyl (GS)) of angiosperms, for example, which have higher β-O-4 content would present higher spiral conformation than gymnosperms lignins(HG). On the other hand HG lignins have chance of being more anchored on the matrix compound than GS lignins. In this context, the β-O-4 bonds of lignins possibly affect the wood properties, therefore, it is considered relevant for wood technology science discussion.


Apesar da grande importância da celulose a lignina é considerada a segunda substância mais abundante da madeira. Entretanto, pouca atenção tem sido dada a ela, principalmente com relação às propriedades da madeira. A lignina assim como outras substâncias (celulose e hemicelulose), tem obviamente um papel importante sobre as propriedades da madeira, provavelmente devido a sua composição e a existências de ligações. Geralmente as ligninas possuem majoritariamente ligaçõesβ-O-4 (Éter Alquil-Arílico), esta ligação em uma estrutura contínua forma grandes moléculas com conformação em espiral, como visto em modelo virtual. Com base nesta idéia, ligninas que possuem alto/baixo teor de β-O-4, podem ter estruturas espiraladas diferenciadas, sugerindo comportamentos diferentes sobre as propriedades da madeira. Isto mostra que as ligninas de angiospermas ((Guaicílica:Siringilica) (GS)), que possuem mais alto teor de β-O-4, por exemplo, apresentariam uma conformação mais espiralar do que as ligninas de gimnospermas (HG). Por outro lado, as ligninas HG possuem mais chances de serem ancoradas sobre a substância matriz do que as ligninas GS. Neste contexto, ligações β-O-4 das ligninas afetam as propriedades da madeira, portanto, isto pode ser considerado relevante para discussão em ciência e tecnologia da madeira.


Assuntos
Lignina/química , Madeira/química , Estrutura Molecular
20.
Cad. psicanál. (Rio J., 1982) ; 22(25): 15-36, 2006.
Artigo em Português | LILACS | ID: lil-498872

RESUMO

Este artigo pretende discutir, de forma sintética, se a Psicanálise, desde Freud, Klein e seus continuadores, se fez, ou se faz, como um saber à parte, isolado dos demais ramos do conhecimento sobre a natureza humana e o relacionamento social. Articulando os dois eixos permanentes de tensão intra-psíquica (pulsão da vida vs. pulsão de morte) e inter psíquica (indivíduo vs. sociedade), convida à reflexão autocrítica sobre a ética na Psicanálise enquanto um campo de construção e de compartilhamento das diferenças.


Assuntos
Ética , Psicanálise
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