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1.
Mol Biol (Mosk) ; 57(1): 139-148, 2023.
Artigo em Russo | MEDLINE | ID: mdl-36976749

RESUMO

The enzymes involved in the transsulfuration pathway and hydrogen sulfide production-cystathionine-ß-synthase (CBS), cystathionine-γ-lyase (CSE) and 3-mercaptopyruvate sulfurtransferase (3-MST) - play an important cytoprotective role in the functioning of the organism. Using CRISPER/Cas9 technology, we obtained Drosophila strains with deleted cbs, cse, and mst genes as well as with double deletion of cbs and cse genes. We analyzed the effect of these mutations on the pattern of protein synthesis in the salivary glands of third instar larvae and in the ovaries of mature flies. In the salivary glands of strains with cbs and cse deletions, a decrease was found in the accumulation of the FBP2 storage protein containing 20% methionine amino acid residues. In the ovaries, changes were detected in the level of expression and isofocusing points of proteins involved in cell protection against oxidative stress, hypoxia, and protein degradation. It was shown that in the strains with deletions of transsulfuration enzymes the proteins have a similar degree of oxidation to that of the control strain. A decrease in the total number of proteasomes and their activity was found in the strains with deletions of the cbs and cse genes.


Assuntos
Drosophila melanogaster , Sulfeto de Hidrogênio , Animais , Drosophila melanogaster/genética , Drosophila melanogaster/metabolismo , Cistationina/metabolismo , Sulfetos , Estresse Oxidativo
2.
Cell Stress Chaperones ; 26(3): 575-594, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33829398

RESUMO

Heat shock proteins, in particular Hsp70, play a central role in proteostasis in eukaryotic cells. Due to its chaperone properties, Hsp70 is involved in various processes after stress and under normal physiological conditions. In contrast to mammals and many Diptera species, inducible members of the Hsp70 family in Drosophila are constitutively synthesized at a low level and undergo dramatic induction after temperature elevation or other forms of stress. In the courtship suppression paradigm used in this study, Drosophila males that have been repeatedly rejected by mated females during courtship are less likely than naive males to court other females. Although numerous genes with known function were identified to play important roles in long-term memory, there is, to the best of our knowledge, no direct evidence implicating Hsp70 in this process. To elucidate a possible role of Hsp70 in memory formation, we used D. melanogaster strains containing different hsp70 copy numbers, including strains carrying a deletion of all six hsp70 genes. Our investigations exploring the memory of courtship rejection paradigm demonstrated that a low constitutive level of Hsp70 is apparently required for learning and the formation of short and long-term memories in males. The performed transcriptomic studies demonstrate that males with different hsp70 copy numbers differ significantly in the expression of a few definite groups of genes involved in mating, reproduction, and immunity in response to rejection. Specifically, our analysis reveals several major pathways that depend on the presence of hsp70 in the genome and participate in memory formation and consolidation, including the cAMP signaling cascade.


Assuntos
Comportamento Animal/fisiologia , Expressão Gênica/fisiologia , Proteínas de Choque Térmico HSP70/metabolismo , Memória/fisiologia , Transcriptoma/fisiologia , Animais , Drosophila , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/genética , Drosophila melanogaster/metabolismo , Masculino
3.
Redox Biol ; 36: 101654, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32769010

RESUMO

In recent years, the gasotransmitter hydrogen sulphide (H2S), produced by the transsulphuration pathway, has been recognized as a biological mediator playing an important role under normal conditions and in various pathologies in both eukaryotes and prokaryotes. The transsulphuration pathway (TSP) includes the conversion of homocysteine to cysteine following the breakdown of methionine. In Drosophila melanogaster and other eukaryotes, H2S is produced by cystathionine ß-synthase (CBS), cystathionine γ-lyase (CSE), and 3-mercaptopyruvate sulphurtransferase (MST). In the experiments performed in this study, we were able to explore the CRISPR/Cas9 technique to obtain single and double deletions in homozygotes of these three major genes responsible for H2S production in Drosophila melanogaster. In most cases, the deletion of one studied gene does not result in the compensatory induction of two other genes responsible for H2S production. Transcriptomic studies demonstrated that the deletions of the above CBS and CSE genes alter genome expression to different degrees, with a more pronounced effect being exerted by deletion of the CBS gene. Furthermore, the double deletion of both CBS and CSE resulted in a cumulative effect on transcription in the resulting strains. Overall, we found that the obtained deletions affect numerous genes involved in various biological pathways. Specifically, genes involved in the oxidative reduction process, stress-response genes, housekeeping genes, and genes participating in olfactory and reproduction are among the most strongly affected. Furthermore, characteristic differences in the response to the deletions of the studied genes are apparently organ-specific and have clear-cut sex-specific characteristics. Single and double deletions of the three genes responsible for the production of H2S helped to elucidate new aspects of the biological significance of this vital physiological mediator.


Assuntos
Drosophila melanogaster , Sulfeto de Hidrogênio , Animais , Cistationina beta-Sintase/genética , Cistationina gama-Liase/genética , Drosophila melanogaster/genética , Feminino , Masculino , Enxofre
4.
Cell Stress Chaperones ; 25(2): 305-315, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-32040825

RESUMO

Here, we monitored the expression of three genes (hsp70, hsp22, and hsf1) involved in heat shock response in Drosophila melanogaster in males and females of different age. Also, we investigated age- and sex-dependent expression of three major genes participating in the production of hydrogen sulfide (H2S) (cse, cbs, and mst), implicated in stress resistance and aging. In addition to the control strain, we monitored the expression of all of these genes in a cbs knockout strain (cbs-/-) generated using the CRISPR technique. The tested strains differ in the induction capacities of the studied genes. Relative to the control strain, under normal conditions, the cbs-/- strain expresses all of the studied genes more abundantly, especially hsp22. In the control strain, aging leads to a dramatic increase in hsp22 synthesis, whereas in the cbs-/- strain, hsp22 induction is not pronounced. Furthermore, in 30-day-old cbs-/- flies, the constitutive expression of hsp70 and mst is decreased. Surprisingly, in the cbs-/- strain, we detected an upregulation of hsf1 transcription in the 30-day-old females. After heat shock in the control strain, hsp70 and hsp22 induction decreased with age in males and hsp22 decreased in females, while in the cbs-/- strain, a pronounced drop in the induction capacity of both hsp genes was seen in 30-day-old males and females. However, in most cases, the expression levels of hsf1 and H2S-producing genes do not exhibit pronounced changes depending on sex, age, or heat shock. Flies of control and cbs-/- strain exhibited strong reduction in basal thermotolerance with age. Our data suggest a cross-talk between the two studied ancient and universal adaptive systems.


Assuntos
Proteínas de Drosophila , Drosophila melanogaster , Proteínas de Choque Térmico HSP70 , Fatores de Transcrição de Choque Térmico , Proteínas de Choque Térmico , Resposta ao Choque Térmico , Envelhecimento , Animais , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/genética , Drosophila melanogaster/metabolismo , Feminino , Expressão Gênica , Proteínas de Choque Térmico HSP70/genética , Proteínas de Choque Térmico HSP70/metabolismo , Fatores de Transcrição de Choque Térmico/genética , Fatores de Transcrição de Choque Térmico/metabolismo , Proteínas de Choque Térmico/genética , Proteínas de Choque Térmico/metabolismo , Masculino , Fatores Sexuais
5.
Insect Mol Biol ; 27(1): 61-72, 2018 02.
Artigo em Inglês | MEDLINE | ID: mdl-28796386

RESUMO

Heat shock proteins (Hsp70s) from two Diptera species that drastically differ in their heat shock response and longevity were investigated. Drosophila melanogaster is characterized by the absence of Hsp70 and other hsps under normal conditions and the dramatic induction of hsp synthesis after temperature elevation. The other Diptera species examined belongs to the Stratiomyidae family (Stratiomys singularior) and exhibits high levels of inducible Hsp70 under normal conditions coupled with a thermotolerant phenotype and much longer lifespan. To evaluate the impact of hsp70 genes on thermotolerance and longevity, we made use of a D. melanogaster strain that lacks all hsp70 genes. We introduced single copies of either S. singularior or D. melanogaster hsp70 into this strain and monitored the obtained transgenic flies in terms of thermotolerance and longevity. We developed transgenic strains containing the S. singularior hsp70 gene under control of a D. melanogaster hsp70 promoter. Although these adult flies did synthesize the corresponding mRNA after heat shock, they were not superior to the flies containing a single copy of D. melanogaster hsp70 in thermotolerance and longevity. By contrast, Stratiomyidae Hsp70 provided significantly higher thermotolerance at the larval stage in comparison with endogenous Hsp70.


Assuntos
Dípteros/fisiologia , Proteínas de Choque Térmico HSP70/genética , Resposta ao Choque Térmico , Proteínas de Insetos/genética , Termotolerância , Animais , Dípteros/genética , Proteínas de Drosophila/genética , Proteínas de Drosophila/metabolismo , Drosophila melanogaster/genética , Drosophila melanogaster/crescimento & desenvolvimento , Drosophila melanogaster/fisiologia , Proteínas de Choque Térmico HSP70/metabolismo , Proteínas de Insetos/metabolismo , Larva/genética , Larva/crescimento & desenvolvimento , Larva/fisiologia , Longevidade , Regiões Promotoras Genéticas , Especificidade da Espécie
6.
Open Biol ; 6(10)2016 10.
Artigo em Inglês | MEDLINE | ID: mdl-27805906

RESUMO

The genome expression pattern is strongly modified during the heat shock response (HSR) to form an adaptive state. This may be partly achieved by modulating microRNA levels that control the expression of a great number of genes that are embedded within the gene circuitry. Here, we investigated the cross-talk between two highly conserved and universal house-keeping systems, the HSR and microRNA machinery, in Drosophila melanogaster We demonstrated that pronounced interstrain differences in the microRNA levels are alleviated after heat shock (HS) to form a uniform microRNA pattern. However, individual strains exhibit different patterns of microRNA expression during the course of recovery. Importantly, HS-regulated microRNAs may target functionally similar HS-responsive genes involved in the HSR. Despite the observed general downregulation of primary microRNA precursor expression as well as core microRNA pathway genes after HS, the levels of many mature microRNAs are upregulated. This indicates that the regulation of miRNA expression after HS occurs at transcriptional and post-transcriptional levels. It was also shown that deletion of all hsp70 genes had no significant effect on microRNA biogenesis but might influence the dynamics of microRNA expression during the HSR.


Assuntos
Drosophila melanogaster/genética , Resposta ao Choque Térmico , Sequenciamento de Nucleotídeos em Larga Escala/métodos , MicroRNAs/genética , Análise de Sequência de RNA/métodos , Animais , Proteínas de Drosophila , Drosophila melanogaster/classificação , Deleção de Genes , Regulação da Expressão Gênica , Proteínas de Choque Térmico HSP70/genética , Interferência de RNA
7.
Insect Mol Biol ; 25(4): 431-49, 2016 08.
Artigo em Inglês | MEDLINE | ID: mdl-27089053

RESUMO

Heat shock protein 70 (Hsp70) is the major player that underlies adaptive response to hyperthermia in all organisms studied to date. We investigated patterns of Hsp70 expression in larvae of dipteran species collected from natural populations of species belonging to four families from different evolutionary lineages of the order Diptera: Stratiomyidae, Tabanidae, Chironomidae and Ceratopogonidae. All investigated species showed a Hsp70 expression pattern that was different from the pattern in Drosophila. In contrast to Drosophila, all of the species in the families studied were characterized by high constitutive levels of Hsp70, which was more stable than that in Drosophila. When Stratiomyidae Hsp70 proteins were expressed in Drosophila cells, they became as short-lived as the endogenous Hsp70. Interestingly, three species of Ceratopogonidae and a cold-water species of Chironomidae exhibited high constitutive levels of Hsp70 mRNA and high basal levels of Hsp70. Furthermore, two species of Tabanidae were characterized by significant constitutive levels of Hsp70 and highly stable Hsp70 mRNA. In most cases, heat-resistant species were characterized by a higher basal level of Hsp70 than more thermosensitive species. These data suggest that different trends were realized during the evolution of the molecular mechanisms underlying the regulation of the responses of Hsp70 genes to temperature fluctuations in the studied families.


Assuntos
Dípteros/fisiologia , Proteínas de Choque Térmico HSP70/genética , Resposta ao Choque Térmico , Animais , Evolução Biológica , Dípteros/genética , Dípteros/crescimento & desenvolvimento , Drosophila melanogaster/genética , Drosophila melanogaster/crescimento & desenvolvimento , Drosophila melanogaster/fisiologia , Proteínas de Choque Térmico HSP70/metabolismo , Larva/genética , Larva/crescimento & desenvolvimento , Larva/fisiologia , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Especificidade da Espécie
8.
Mol Gen Mikrobiol Virusol ; (3): 29-34, 2014.
Artigo em Russo | MEDLINE | ID: mdl-25335410

RESUMO

The research carried out for 30 years from the moment of hepatitis E virus (HEV) discovery has proved the presence of the autochthonous HEV in non-endemic areas: Europe and Russia. Monitoring of the HEV antibodies (anti-HEV) among the Russian population has revealed regions with increased seroprevalence that testifies to high probability of local HEV infection in these areas. Contact with HEV can represent special danger for patients of the risk groups. In this work, the blood sera testing was carried out in order to assess the anti-HEV presence among these contingents (groups). Seropositive sera from the patients from the regions with high anti-HEV seroprevalence, risk groups patients, samples with high probability of HEV occurrence including the animals as possible reservoir, have been used for RNA extraction. The developed system of HEV RNA detection both in real-time RT-PCR and in a nested PCR variant has confirmed its sensitivity to the synthetic reference templates and positive control samples in commercial test system (Genesig, Great Britain). HEV RNA was absent in all tested samples. This indicates a low frequency of the autochthonous HEV carriage occurrence. Sampling enlargement to tens of thousands persons is necessary for significant HEV RNA detection.


Assuntos
Vírus da Hepatite E/isolamento & purificação , Hepatite E/epidemiologia , RNA Viral/sangue , Bancos de Sangue , Hepatite E/sangue , Vírus da Hepatite E/química , Pessoas Mal Alojadas , Humanos , Pacientes Internados , Federação Russa , Migrantes
9.
Artigo em Russo | MEDLINE | ID: mdl-18464540

RESUMO

The aim of the study was a comparative analysis of diagnostic value of different laboratoty methods conducted on the basis of results of examination of patients during Legionnaires' disease outbreak in town Verkhnyaya Pyshma. Retrospective analysis of laboratory data from 74 patients with diagnosis of Legionnaires' disease was performed. Complex of laboratory methods was used (polymerase chain reaction (PCR), enzyme immunoassay (EIA), immunochromatography). In group of patients with Legionnaires' disease, the highest proportion of positive results (73%) was obtained by the EIA determining total specific antibodies in urine. Determination of antigen in urine by immunochromatographic express-test yielded 52% of positive results. PCR testing of blood specimens yielded positive results in 65% of samples but was low specific, due to that in 19% of patients from control group false-positive results were obtained. Testing of 3 autopsy samples showed that all specimens contained DNA of the causative agent. Performed analysis allowed to recommend complex use of immunochromatographic express-test of antigen detection and identification of total specific antibodies by EIA during mass people examination.


Assuntos
Cromatografia de Afinidade , Técnicas Imunoenzimáticas , Legionella , Legionelose/diagnóstico , Reação em Cadeia da Polimerase , Anticorpos Antibacterianos/sangue , Anticorpos Antibacterianos/urina , Antígenos de Bactérias/urina , DNA Bacteriano/análise , DNA Bacteriano/genética , Reações Falso-Positivas , Humanos , Legionella/genética , Legionella/imunologia , Legionelose/sangue , Legionelose/urina , Estudos Retrospectivos , Federação Russa , Sensibilidade e Especificidade
10.
Artigo em Russo | MEDLINE | ID: mdl-18464553

RESUMO

Issues of reliability, uniformity, and timeliness of reporting and sharing of information during outbreaks of infectious diseases are basic for establishment of tactics and strategy of organizational, antiepidemic, and clinical measures. Analysis of experience in sharing of information between medical care organization service and services ensuring sanitary-epidemiological welfare of population during outbreak of Legionnaires' disease in town Verkhnyaya Pyshma in July-August 2007 was performed in the article.


Assuntos
Pessoal Administrativo , Doenças Transmissíveis Emergentes/prevenção & controle , Infecções Comunitárias Adquiridas/prevenção & controle , Surtos de Doenças , Serviços de Informação/organização & administração , Doença dos Legionários/prevenção & controle , Governo Local , Comportamento do Consumidor , Comportamento Cooperativo , Hospitais Urbanos , Humanos , Federação Russa/epidemiologia
11.
Klin Lab Diagn ; (10): 37-40, 2007 Oct.
Artigo em Russo | MEDLINE | ID: mdl-18154133

RESUMO

The basic sources of pyoseptic infection pathogens are infected and colonized neonatal infants in maternity hospitals. Microbiological monitoring revealed the specific features of biocenosis formation in the newborn in the "Mother and Baby" units, resuscitative departments (RD), intensive care units, and neonatal abnormality departments (NAD). Irrespective of the conditions of hospital stay, methicillin-resistant S. epidermis (MRSE) and Enterococcus faecium were prevalent in the neonatal microbial landscape. Colonization with the normal flora in the newborn actively treated with antibiotics is difficult in RD, at the same time there is a significant infection with the mycotic flora. Broad-spectrum beta-lactamase producing Klebsiela pneumonia strains have received wide acceptance in NAD.


Assuntos
Bactérias/classificação , Bactérias/isolamento & purificação , Infecção Hospitalar/microbiologia , Farmacorresistência Bacteriana Múltipla , Maternidades , Unidades de Terapia Intensiva Neonatal , Antibacterianos/farmacologia , Bactérias/efeitos dos fármacos , Humanos , Recém-Nascido , Federação Russa
12.
J Biosci ; 32(3): 489-99, 2007 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-17536168

RESUMO

For many years,we and our collaborators have investigated the adaptive role of heat shock proteins in different animals,including the representatives of homothermic and poikilothermic species that inhabit regions with contrasting thermal conditions. Adaptive evolution of the response to hyperthermia has led to different results depending upon the species. The thermal threshold of induction of heat shock proteins in desert thermophylic species is, as a rule, higher than in the species from less extreme climates. In addition,thermoresistant poikilothermic species often exhibit a certain level of heat shock proteins in cells even at a physiologically normal temperature. Furthermore,there is often a positive correlation between the characteristic temperature of the ecological niche of a given species and the amount of Hsp70-like proteins in the cells at normal temperature. Although in most cases adaptation to hyperthermia occurs without changes in the number of heat shock genes, these genes can be amplified in some xeric species. It was shown that mobile genetic elements may play an important role in the evolution and fine-tuning of the heat shock response system,and can be used for direct introduction of mutations in the promoter regions of these genes.


Assuntos
Aclimatação/fisiologia , Ecossistema , Proteínas de Choque Térmico/metabolismo , Animais , Evolução Biológica , Clima Desértico , Drosophila/genética , Drosophila/metabolismo , Lagartos/genética , Lagartos/metabolismo , Mariposas/genética , Mariposas/metabolismo , Regiões Promotoras Genéticas/genética , Temperatura
13.
Genetika ; 43(12): 1589-603, 2007 Dec.
Artigo em Russo | MEDLINE | ID: mdl-18592685

RESUMO

The hsp70 genes is among the main systems underlying the adaptation of organisms to adverse environmental factors. The ever increasing amount of data in literature demonstrates an important adaptive role of mobile genetic elements in microevolution. Drosophila hsp70 genes are potential target for transpositions of various mobile elements in natural populations. We have analyzed the frequency and localization of a P element-based genetic construction, EPgy2, in the region of Drosophila melanogaster hsp70 genes. A hot spot for the transposition was discovered in the promoter regions of genes hsp70Aa and hsp70Ab. No insertions of this construction in the coding or 3'-flanking regions of hsp70 genes have been recorded. It was demonstrated that the region of 161 to 7800 bp adjacent to the original construction is in certain cases also involved in the transposition. No transpositions of any other mobile elements have been observed. The inserts were shown to change the activity of hsp70 genes and the thermotolerance of transgenic strains.


Assuntos
Adaptação Fisiológica/genética , Elementos de DNA Transponíveis/genética , Proteínas de Drosophila/genética , Proteínas de Choque Térmico HSP70/genética , Translocação Genética , Animais , Drosophila melanogaster , Temperatura Alta
14.
Mol Biol (Mosk) ; 40(2): 271-6, 2006.
Artigo em Russo | MEDLINE | ID: mdl-16637267

RESUMO

Expression level and kinetics of accumulation of small heat shock proteins (21-27 kDa group) have been investigated in three Drosophila species differing significantly by temperature niche and thermosensitivity. It was shown that low-latitude thermotolerant species D. virilis exceeds the high-latitude thermosensitive closely-related species D. lummei as well as distant thermosensitive species D. melanogaster in terms of small heat shock proteins expression and accumulation after temperature elevation. The data obtained enable to postulate an important role of small heat shock proteins in organism basal thermotolerance and general adaptation to adverse conditions of environment.


Assuntos
Proteínas de Drosophila/biossíntese , Proteínas de Choque Térmico/biossíntese , Adaptação Fisiológica , Animais , Drosophila , Febre/metabolismo , Temperatura Alta , Especificidade da Espécie
15.
Artigo em Russo | MEDLINE | ID: mdl-9254202

RESUMO

The principal stages in transition to obligatory medical insurance are discussed. Such transition is to be carried out with due consideration for the readiness of this or that territory to it, and necessitates a rational arrangement of the network of public health institutions and the optimal number of medical staff corresponding to planned scope of work; choice of a value for financing medical care with consideration for certain requirements of, primarily, statistical and standard well-being; estimation of prices for medical services with consideration for labor consumption for this or that type of work using mainly the parameters for the entire branch, as well as the local standards for labor; distribution of means to subdivisions and individual specialists in accordance with the scope, complexity, and quality of services rendered.


Assuntos
Administração de Serviços de Saúde , Seguro Saúde/economia , Atenção à Saúde/economia , Atenção à Saúde/organização & administração , Organização do Financiamento/economia , Organização do Financiamento/organização & administração , Serviços de Saúde/economia , Federação Russa
16.
Ter Arkh ; 63(2): 133-5, 1991.
Artigo em Russo | MEDLINE | ID: mdl-2048007

RESUMO

The authors discuss diagnostic difficulties that may occur in the interpretation of splenomegaly. In some cases, other tumorous formations, palpable in the left hypochondrium (renal tumor and retroperitoneal fibroma in cases demonstrated) may be taken for splenomegaly. In other cases, diagnostic difficulties may be related to establishing the cause of genuine splenomegaly. Out of 10 patients with genuine splenomegaly, the cause of which could not be ascertained at the prehospital stage, the enlargement of the spleen in 2 was due to liver cirrhosis, in 3, to subleukemic myelosis, in 1, to splenic tuberculosis, in 2, to multiple capillary angiomas of the spleen, in 1, to chronic monocytic leukemia, and in 1 patient, to splenic echinococcosis. In 3 patients out of the 10, the diagnosis was verified by surgery followed by histological examination of the spleen. The conclusion is made about the necessity of the use of clinical and laboratory examinations, of patients with obscure "splenomegaly" together with the use of x-ray and ultrasonography of the spleen, kidneys, gastrointestinal tract, puncture of the bone marrow and spleen. In some cases, splenectomy may be performed along with histological examination of the spleen as the final stage of differential diagnosis of splenomegalies.


Assuntos
Esplenomegalia/diagnóstico , Adulto , Diagnóstico Diferencial , Feminino , Hemangioma/diagnóstico , Humanos , Neoplasias Renais/diagnóstico , Masculino , Pessoa de Meia-Idade , Neoplasias Retroperitoneais/diagnóstico , Esplenectomia
17.
Ter Arkh ; 59(10): 108-11, 1987.
Artigo em Russo | MEDLINE | ID: mdl-3433206

RESUMO

Hematological "masks" of malignant tumors of the internal organs are not infrequent in clinical practice. A total of 45 patients with malignant tumors of the internal organs (stomach-12, colon-9, liver-3, lungs-9, kidneys-6, pancreas-2, thyroid-2, bladder-1, prostate-1) were under observation. Hematological signs of bone marrow metastatic involvement were as follows: anemia (mainly hypochromic), leukemoid neutrophilic reaction, leukemoid reaction of myeloid type, erythrocytosis, thrombocytosis, plasmocyte bone marrow reaction. Early cancer diagnosis, especially in obscure peripheral blood changes, requires a complete all-round investigation of a patient including an analysis of clinico-anamnestic data, the use of radiographic and endoscopic methods, sternal puncture and trephine biopsy.


Assuntos
Doenças Hematológicas/diagnóstico , Neoplasias/diagnóstico , Adolescente , Adulto , Idoso , Doenças da Medula Óssea/diagnóstico , Doenças da Medula Óssea/etiologia , Diagnóstico Diferencial , Feminino , Doenças Hematológicas/etiologia , Humanos , Reação Leucemoide/diagnóstico , Reação Leucemoide/etiologia , Leucocitose/diagnóstico , Leucocitose/etiologia , Masculino , Pessoa de Meia-Idade , Metástase Neoplásica , Neoplasias/complicações
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