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1.
Blood ; 97(12): 3806-11, 2001 Jun 15.
Artigo em Inglês | MEDLINE | ID: mdl-11389020

RESUMO

Selectins are carbohydrate-binding adhesion molecules that play important roles in control of leukocyte traffic. Glycosyltransferases involved in selectin ligand biosynthesis include the alpha1,3-fucosyltransferases FucT-VII and FucT-IV, one or more sialyltransferases, and at least one O-linked branching enzyme. Previous studies have shown that core 2 beta1-6-N-glucosaminyltransferase (C2GlcNAcT-I; EC 2.4.1.102) is required for functional modification of PSGL-1, the leukocyte P-selectin ligand, but have been ambiguous on whether this enzyme is involved in E-selectin ligand formation. Using an attachment and rolling assay under defined shear flow in vitro, this study shows that C2GlcNAcT-I(-) lymphoid cells stably transfected with FucT-VII complementary DNA attach and roll well on E-selectin at 1.5 dynes/cm.(2) Further, attachment and rolling on P-selectin of neutrophils is sharply reduced and that of short- term polarized Th1 cells is virtually abolished, with leukocytes from C2GlcNAcT-I(-/-) mice. In contrast, both neutrophils and Th1 cells from C2GlcNAcT-I(-/-) mice attach and roll as well as wild-type cells on E-selectin. These results show that C2GlcNAcT-I is selectively required for biosynthesis of ligands for P-selectin, but is not essential for at least some E-selectin ligands. Distinct requirements for C2GlcNAcT-I in the formation of ligands for E-selectin versus P-selectin represents a novel level of regulation of expression of selectin ligands and lymphocyte traffic. (Blood. 2001;97:3806-3811)


Assuntos
Selectina E/metabolismo , N-Acetilglucosaminiltransferases/biossíntese , N-Acetilglucosaminiltransferases/farmacologia , Selectina-P/metabolismo , Animais , Adesão Celular/efeitos dos fármacos , Movimento Celular/efeitos dos fármacos , Células Cultivadas , Fucosiltransferases/metabolismo , Fucosiltransferases/farmacologia , Humanos , Ligantes , Ativação Linfocitária/fisiologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Mutantes , N-Acetilglucosaminiltransferases/metabolismo , Neutrófilos/citologia , Neutrófilos/fisiologia , Ligação Proteica/efeitos dos fármacos , Células Th1/citologia , Células Th1/fisiologia , Transfecção
2.
Science ; 288(5471): 1653-6, 2000 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-10834846

RESUMO

Human granulocytic ehrlichiosis (HGE) is a febrile tick-borne illness caused by a recently discovered intracellular bacterium remarkable for its tropism for professionally phagocytic neutrophils. Monoclonal antibodies against the P-selectin binding domain of the leukocyte P-selectin glycoprotein ligand, PSGL-1, prevented HGE cell binding and infection, as did enzymatic digestion of PSGL-1. Furthermore, simultaneous neoexpression in nonsusceptible cells of complementary DNAs for both PSGL-1 and its modifying alpha-(1,3) fucosyltransferase, Fuc-TVII, allowed binding and infection by HGE. Thus, the HGE bacterium specifically bound to fucosylated leukocyte PSGL-1. Selectin mimicry is likely central to the organism's unique ability to target and infect neutrophils.


Assuntos
Ehrlichia/patogenicidade , Granulócitos/microbiologia , Glicoproteínas de Membrana/metabolismo , Neutrófilos/microbiologia , Anticorpos Monoclonais , Linfócitos B/microbiologia , Linhagem Celular , Ehrlichia/metabolismo , Técnica Indireta de Fluorescência para Anticorpo , Fucosiltransferases/genética , Fucosiltransferases/metabolismo , Glicosilação , Granulócitos/metabolismo , Células HL-60 , Humanos , Ligantes , Glicoproteínas de Membrana/genética , Glicoproteínas de Membrana/imunologia , Metaloendopeptidases/metabolismo , Mimetismo Molecular , Neutrófilos/metabolismo , Oligossacarídeos/genética , Oligossacarídeos/imunologia , Oligossacarídeos/metabolismo , Selectina-P/metabolismo , Antígeno Sialil Lewis X , Transfecção
3.
Immunity ; 11(3): 369-78, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10514015

RESUMO

Cellular interactions are critical for the regulation of hematopoiesis. The sialomucin PSGL-1/CD162 mediates the attachment of mature leukocytes to P-selectin. We now show that PSGL-1 also functions as the sole receptor for P-selectin on primitive human CD34+ hematopoietic progenitor cells (HPC). More importantly, ligation of PSGL-1 by immobilized or soluble ligand or anti-PSGL-1 antibody results in a profound suppression of HPC proliferation stimulated by potent combinations of early acting hematopoietic growth factors. These data demonstrate an unanticipated but extremely marked growth-inhibitory effect of P-selectin on hematopoiesis and provide direct evidence that PSGL-1, in addition to its well-documented role as an adhesion molecule on mature leukocytes, is a potent negative regulator of human hematopoietic progenitors.


Assuntos
Antígenos CD , Adesão Celular , Hematopoese/fisiologia , Células-Tronco Hematopoéticas/fisiologia , Glicoproteínas de Membrana/metabolismo , Selectina-P/metabolismo , ADP-Ribosil Ciclase , ADP-Ribosil Ciclase 1 , Animais , Antígenos CD34 , Antígenos de Diferenciação , Apoptose , Células da Medula Óssea/metabolismo , Células da Medula Óssea/fisiologia , Células CHO , Divisão Celular , Células Cultivadas , Cricetinae , Fator Estimulador de Colônias de Granulócitos/metabolismo , Fator Estimulador de Colônias de Granulócitos/farmacologia , Células-Tronco Hematopoéticas/metabolismo , Humanos , Interleucina-3/metabolismo , Interleucina-3/farmacologia , Interleucina-6/metabolismo , Interleucina-6/farmacologia , Ligantes , NAD+ Nucleosidase , Selectina-P/genética , Solubilidade , Fator de Células-Tronco/metabolismo , Fator de Células-Tronco/farmacologia
4.
J Clin Invest ; 103(9): 1317-27, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10225975

RESUMO

Recirculation of B lymphocytes through the secondary lymphoid organs is key for recognition and response to foreign antigen. B lymphocytes within secondary lymphoid organs comprise a heterogeneous population of cells at distinct differentiation stages. To ascribe a particular adhesive behavior to discrete B-cell subsets within secondary lymphoid organs, we investigated their functional interaction with endothelial selectins under flow. We describe herein the characterization of a subset of human tonsillar B cells that interact with E-selectin but not P-selectin. E-selectin-interacting B cells had a phenotype of non-germinal center (CD10(-), CD38(-), CD44(+)), memory (IgD-) cells. Furthermore, FucT-VII was expressed selectively in CD44(+) E-selectin-adherent B lymphocytes. B-cell rolling on E-selectin required sialic acid but was independent of previously described selectin ligands. A novel glycoprotein ligand of 240 kDa carrying N-linked glycans was isolated from B-cell membranes by an E-selectin immunoadhesin. Binding of this protein was strictly Ca2+ dependent, was inhibited by a cell adhesion-blocking mAb against E-selectin, and required the presence of sialic acid but not N-linked carbohydrates. Our results enable us to assign to resident memory B lymphocytes a novel adhesion function, the rolling on E-selectin, that provides insights on the adhesion pathways involved in homing of memory B cells to tertiary sites.


Assuntos
Linfócitos B/imunologia , Selectina E/metabolismo , Glicoproteínas/metabolismo , Memória Imunológica , Tonsila Palatina/imunologia , Animais , Sequência de Bases , Células CHO , Adesão Celular , Membrana Celular/metabolismo , Células Cultivadas , Criança , Pré-Escolar , Cricetinae , Primers do DNA , Selectina E/imunologia , Endotélio Vascular/citologia , Humanos , Ácido N-Acetilneuramínico/metabolismo , Fenótipo , Ligação Proteica
5.
Circulation ; 98(9): 873-82, 1998 Sep 01.
Artigo em Inglês | MEDLINE | ID: mdl-9738642

RESUMO

BACKGROUND: After activation, platelets adhere to neutrophils via P-selectin and beta2-integrin. The molecular mechanisms and adhesion events in whole blood exposed to venous levels of hydrodynamic shear in the absence of exogenous activation remain unknown. METHODS AND RESULTS: Whole blood was sheared at approximately 100 s(-1). The kinetics of neutrophil-platelet adhesion and neutrophil aggregation were measured in real time by flow cytometry. P-selectin was upregulated to the platelet surface in response to shear and was the primary factor mediating neutrophil-platelet adhesion. The extent of neutrophil aggregation increased linearly with platelet adhesion to neutrophils. Blocking either P-selectin, its glycoprotein ligand PSGL-1, or both simultaneously by preincubation with a monoclonal antibody resulted in equivalent inhibition of neutrophil-platelet adhesion (approximately 30%) and neutrophil aggregation (approximately 70%). The residual amount of neutrophil adhesion was blocked with anti-CD11b/CD18. Treatment of blood with prostacyclin analogue ZK36374, which raises cAMP levels in platelets, blocked P-selectin upregulation and neutrophil aggregation to baseline. Complete abrogation of platelet-neutrophil adhesion required both ZK36374 and anti-CD18. Electron microscopic observations of fixed blood specimens revealed that platelets augmented neutrophil aggregation both by forming bridges between neutrophils and through contact-mediated activation. CONCLUSIONS: The results are consistent with a model in which venous levels of shear support platelet adherence to neutrophils via P-selectin binding PSGL-1. This interaction alone is sufficient to mediate neutrophil aggregation. Abrogation of platelet adhesion and aggregation requires blocking Mac-1 in addition to PSGL-1 or P-selectin. The described mechanisms are likely of key importance in the pathogenesis and progression of thrombotic disorders that are exacerbated by leukocyte-platelet aggregation.


Assuntos
Plaquetas/citologia , Antígenos CD18/metabolismo , Neutrófilos/citologia , Selectina-P/metabolismo , Abciximab , Adulto , Anticorpos Monoclonais , Plaquetas/química , Plaquetas/ultraestrutura , Cátions/metabolismo , Adesão Celular/efeitos dos fármacos , Adesão Celular/fisiologia , Agregação Celular/efeitos dos fármacos , Agregação Celular/fisiologia , Quelantes/farmacologia , Ácido Edético/farmacologia , Feminino , Citometria de Fluxo , Humanos , Iloprosta/farmacologia , Fragmentos Fab das Imunoglobulinas , Cinética , Antígeno de Macrófago 1/metabolismo , Masculino , Microscopia Eletrônica , Pessoa de Meia-Idade , Neutrófilos/química , Neutrófilos/ultraestrutura , Inibidores da Agregação Plaquetária/farmacologia , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/imunologia , Estresse Mecânico , Veias
6.
J Cell Biol ; 142(1): 263-70, 1998 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-9660879

RESUMO

Interactions between P-selectin, expressed on endothelial cells and activated platelets, and its leukocyte ligand, a homodimer termed P-selectin glycoprotein ligand-1 (PSGL-1), mediate the earliest adhesive events during an inflammatory response. To investigate whether dimerization of PSGL-1 is essential for functional interactions with P-selectin, a mutant form of PSGL-1 was generated in which the conserved membrane proximal cysteine was mutated to alanine (designated C320A). Western blotting under both denaturing and native conditions of the C320A PSGL-1 mutant isolated from stably transfected cells revealed expression of only a monomeric form of PSGL-1. In contrast to cells cotransfected with alpha1-3 fucosyltransferase-VII (FucT-VII) plus PSGL-1, K562 cells expressing FucT-VII plus C320A failed to bind COS cells transfected with P-selectin in a low shear adhesion assay, or to roll on CHO cells transfected with P-selectin under conditions of physiologic flow. In addition, C320A transfectants failed to bind chimeric P-selectin fusion proteins. Both PSGL-1 and C320A were uniformly distributed on the surface of transfected K562 cells. Thus, dimerization of PSGL-1 through the single, conserved, extracellular cysteine is essential for functional recognition of P-selectin.


Assuntos
Glicoproteínas de Membrana/metabolismo , Selectina-P/metabolismo , Alanina/metabolismo , Animais , Células COS , Adesão Celular , Membrana Celular/metabolismo , Cisteína/metabolismo , Dimerização , Fucosiltransferases/genética , Fucosiltransferases/metabolismo , Humanos , Ligantes , Glicoproteínas de Membrana/genética , N-Acetilglucosaminiltransferases/biossíntese , Solubilidade , Células Tumorais Cultivadas
7.
Oral Microbiol Immunol ; 13(1): 30-5, 1998 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-9573819

RESUMO

The purpose of this investigation was to identify bacterial species present on or in crevicular epithelial cells in healthy and diseased sites using DNA probes. In order to achieve this aim, further improvements were made in the separation of unattached bacteria from those adherent to epithelial cells isolated from the human gingival crevice or periodontal pocket. Then the DNA probes were used to determine the prevalence of detectable DNA from 15 microbial species on or in crevicular epithelial cells. One sample was taken from a single subgingival site in each of 51 individuals ranging in age from 19 to 45 years. Samples were taken from 27 sites of clinically healthy subjects and 24 samples were taken from subjects having periodontally diseased sites. DNA-DNA hybridization indicated that a majority of epithelial cells from healthy sites (63%) were in contact with or harbored Streptococcus oralis. On the other hand, species such as Bacteroides forsythus, Prevotella intermedia, Capnocytophaga ochracea and Campylobacter rectus were more frequently detected in elevated numbers in periodontally diseased sites. Cluster analysis of the microbial profiles generally aggregated subjects with and without periodontitis into separate cluster groups. The cluster patterns suggest the possibility that microbial complexes will be, in part, determined by the receptors available on the epithelial cells.


Assuntos
Bactérias/genética , DNA Bacteriano/genética , Células Epiteliais/microbiologia , Gengiva/microbiologia , Periodontite/microbiologia , Adulto , Bactérias/isolamento & purificação , Bactérias/ultraestrutura , Separação Celular/métodos , Análise por Conglomerados , Sondas de DNA , Células Epiteliais/ultraestrutura , Gengiva/citologia , Humanos , Microscopia Eletrônica de Varredura , Pessoa de Meia-Idade , Hibridização de Ácido Nucleico/métodos
8.
Blood ; 91(3): 1067-75, 1998 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-9446670

RESUMO

Recent reports have shown that leukocyte-leukocyte adhesion is dependent on L-selectin and that leukocyte recognition of L-selectin may be mediated by P-selectin glycoprotein ligand-1 (PSGL-1). We show that the specific attachment and rolling of human neutrophils and the leukemia cell lines HL-60 and U937 on immobilized, purified L-selectin under continuous shear stress is only partially inhibited by treatment with the PSGL-1 monoclonal antibody (MoAb), KPL1 (41% to 53% inhibition), suggesting that L-selectin ligand activity in addition to PSGL-1 may mediate myeloid cell rolling on L-selectin. K562 cells cotransfected with cDNAs encoding alpha (1,3)fucosyltransferase-VII (FucT-VII) and PSGL-1 rolled on L-selectin. Adhesion of FucT-VII-PSGL-1 transfectants to L-selectin was completely blocked by MoAb KPL1, indicating that both L-selectin and P-selectin bind similar sites on PSGL-1. In support of existence of a non-PSGL-1 L-selectin ligand activity on leukocytes, an HL-60 membrane preparation immunodepleted of PSGL-1 supported rolling of L-selectin, but not P-selectin transfectants. Treatment of HL-60 cells with O-sialoglycoprotein endopeptidase inhibited attachment and rolling on L-selectin and P-selectin. However, neuraminidase treatment completely blocked HL-60 rolling on L-selectin, but not P-selectin, suggesting L-selectin and P-selectin ligand activities have different contributions of sialic acid. These findings indicate that myeloid cells express sialylated, O-linked glycoprotein ligand activity independent of PSGL-1 that supports L-selectin-mediated rolling.


Assuntos
Selectina L/metabolismo , Leucemia/metabolismo , Glicoproteínas de Membrana/metabolismo , Mucinas/metabolismo , Neutrófilos/metabolismo , Anticorpos Monoclonais/farmacologia , Adesão Celular , Fucosiltransferases/genética , Células HL-60 , Humanos , Selectina L/genética , Glicoproteínas de Membrana/antagonistas & inibidores , Glicoproteínas de Membrana/genética , Reologia , Transfecção , Células Tumorais Cultivadas
9.
Blood ; 91(1): 154-64, 1998 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-9414280

RESUMO

Interactions between P-selectin and P-selectin glycoprotein ligand-1 (PSGL-1) mediate the earliest "rolling" of leukocytes on the lumenal surface of endothelial cells at sites of inflammation. Previously, PSGL-1 has been shown to be the primary mediator of interactions between neutrophils and P-selectin, but studies on the ability of PSGL-1 to mediate interactions between P-selectin and other subsets of leukocytes have yielded variable and conflicting results. A novel IgG monoclonal antibody (MoAb) to human PSGL-1 was generated, and the specificity of this MoAb was confirmed by both flow cytometric analysis and Western blotting of cells transfected with human PSGL-1. This newly developed MoAb, KPL1, inhibited interactions between P-selectin expressing COS cells and either HL60 cells, neutrophils, or lymphocytes. Furthermore, KPL1 completely inhibited interactions between P-selectin and either purified CD4 T cells or neutrophils in a flow assay under physiological conditions, but had no effect on interactions of T cells or neutrophils with E-selectin. In addition, KPL1 blocked interactions between lymphoid cells transfected with L-selectin and COS cells expressing PSGL-1. The KPL1 epitope was mapped to a site within a consensus tyrosine sulfation motif of PSGL-1, previously shown to be essential for interaction with P-selectin and now shown to be essential for interaction with L-selectin, and to be distinct from the epitope identified by the PL1 function blocking anti-PSGL-1 MoAb. Two-color flow cytometry of normal leukocytes showed that while natural killer (NK) cells (CD16(+)), monocytes, CD4 and CD8 T cells, and alpha/beta and gamma/delta T cells were uniformly positive for PSGL-1, B cells expressed low levels of the KPL1 epitope. This low level of KPL1 staining was also observed immunohistologically in germinal centers, which had no detectable KPL1 staining, whereas T-cell areas (interfollicular region) were positive for KPL1. Interestingly, plasma cells in situ and interleukin-6-dependent myeloma cell lines were KPL1(+). Thus, PSGL-1 is expressed on essentially all blood neutrophils, NK cells, B cells, T cells, and monocytes. Variation in tyrosine sulfation during B-cell differentiation may affect the ability of B cells to interact with P- and L-selectin.


Assuntos
Anticorpos Monoclonais/imunologia , Epitopos/imunologia , Selectina L/metabolismo , Glicoproteínas de Membrana/imunologia , Selectina-P/metabolismo , Animais , Especificidade de Anticorpos , Células COS/metabolismo , Diferenciação Celular , Movimento Celular/efeitos dos fármacos , Sequência Consenso , DNA Complementar/genética , Células HL-60/metabolismo , Humanos , Ligantes , Subpopulações de Linfócitos/metabolismo , Glicoproteínas de Membrana/antagonistas & inibidores , Glicoproteínas de Membrana/química , Glicoproteínas de Membrana/metabolismo , Camundongos , Monócitos/metabolismo , Neutrófilos/metabolismo , Processamento de Proteína Pós-Traducional , Proteínas Recombinantes de Fusão/imunologia , Sulfatos/metabolismo , Transfecção , Tirosina/metabolismo
10.
J Cell Biol ; 137(2): 509-19, 1997 Apr 21.
Artigo em Inglês | MEDLINE | ID: mdl-9128259

RESUMO

Leukocyte adhesion to vascular endothelium under flow involves an adhesion cascade consisting of multiple receptor pairs that may function in an overlapping fashion. P-selectin glycoprotein ligand-1 (PSGL-1) and L-selectin have been implicated in neutrophil adhesion to P- and E-selectin under flow conditions. To study, in isolation, the interaction of PSGL-1 with P- and E-selectin under flow, we developed an in vitro model in which various recombinant regions of extracellular PSGL-1 were coupled to 10-microm-diameter microspheres. In a parallel plate chamber with well defined flow conditions, live time video microscopy analyses revealed that microspheres coated with PSGL-1 attached and rolled on 4-h tumor necrosis factor-alpha-activated endothelial cell monolayers, which express high levels of E-selectin, and CHO monolayers stably expressing E- or P-selectin. Further studies using CHO-E and -P monolayers demonstrate that the first 19 amino acids of PSGL-1 are sufficient for attachment and rolling on both E- and P-selectin and suggest that a sialyl Lewis x-containing glycan at Threonine-16 is critical for this sequence of amino acids to mediate attachment to E- and P-selectin. The data also demonstrate that a sulfated, anionic polypeptide segment within the amino terminus of PSGL-1 is necessary for PSGL-1-mediated attachment to P- but not to E-selectin. In addition, the results suggest that PSGL-1 has more than one binding site for E-selectin: one site located within the first 19 amino acids of PSGL-1 and one or more sites located between amino acids 19 through 148.


Assuntos
Adesão Celular/fisiologia , Selectina E/metabolismo , Endotélio Vascular/citologia , Glicoproteínas de Membrana/metabolismo , Selectina-P/metabolismo , Animais , Células CHO , Cricetinae , Humanos , Fragmentos Fc das Imunoglobulinas/genética , Ligantes , Glicoproteínas de Membrana/genética , Metaloendopeptidases/metabolismo , Microesferas , Neuraminidase/metabolismo , Oligossacarídeos/metabolismo , Proteínas Recombinantes de Fusão , Antígeno Sialil Lewis X , Treonina/metabolismo , Fator de Necrose Tumoral alfa/farmacologia , Veias Umbilicais
11.
Blood ; 89(3): 896-901, 1997 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-9028320

RESUMO

P-selectin (CD62P) is a member of the selectin family of adhesion molecules involved in the regulation of leukocyte traffic. P-selectin glycoprotein ligand-1 (PSGL-1) is a mucin-like molecule that is thought to be a primary ligand for P-selectin. The interaction of P-selectin with PSGL-1 results in leukocyte rolling and recruitment of leukocytes to sites of inflammation and tissue injury. However, expression of PSGL-1 protein alone is insufficient for binding to P-selectin. Several posttranslational modifications of PSGL-1, including sialylation, sulfation, and fucosylation by alpha 1,3-fucosyltransferase(s) (FucT), are required for functional interaction with P-selectin. Recently, several groups have reported that PSGL-1 might also serve as a ligand for E-selectin. Differential posttranslational modifications of PSGL-1 may determine whether it can interact with either P- or E-selectin or both. To determine whether PSGL-1 is essential for adhesion to P- or E-selectin, we have constructed and analyzed a panel of stably transfected K562 cells. K562 cells express FucT-IV but not FucT-VII or PSGL-1, and do not bind to either E- or P-selectin. K562 cells transfected with PSGL-1 cDNA also did not bind to either P- or E-selectin. Binding to P-selectin occurred only when K562 cells were cotransfected with both FucT-VII and PSGL-1. In contrast, expression of FucT-VII alone was sufficient for E-selectin binding. These data demonstrate that expression of PSGL-1 is not required for adhesion of a stably transfected hematopoietic cell line to E-selectin, and suggest that FucT-IV alone cannot properly modify PSGL-1, expressed in transfected K562 cells, to bind P-selectin.


Assuntos
Selectina E/sangue , Células-Tronco Hematopoéticas/fisiologia , Leucemia Eritroblástica Aguda/sangue , Glicoproteínas de Membrana/sangue , Selectina-P/sangue , Transfecção , Carboidratos/biossíntese , Carboidratos/sangue , Adesão Celular , Fucosiltransferases/biossíntese , Fucosiltransferases/sangue , Células-Tronco Hematopoéticas/enzimologia , Células-Tronco Hematopoéticas/metabolismo , Hemorreologia , Humanos , Leucemia Eritroblástica Aguda/genética , Leucemia Eritroblástica Aguda/metabolismo , Ligantes , Glicoproteínas de Membrana/biossíntese , Glicoproteínas de Membrana/fisiologia , Selectina-P/fisiologia , Células Tumorais Cultivadas
12.
J Dent Res ; 68(5): 780-5, 1989 May.
Artigo em Inglês | MEDLINE | ID: mdl-2715470

RESUMO

We determined the exposure to mercury from dental amalgam by comparison of blood levels of mercury before and after removal of all amalgams from ten subjects. Baseline concentrations of mercury in whole blood were measured weekly for four to 18 weeks (median = 6.6 weeks) prior to removal. All amalgams were removed in a single appointment. The subjects had an average of 14 surfaces of amalgam, seven of which were occlusal surfaces. Weekly blood sampling was continued for five to 18 weeks (median = 7.6 weeks) after the amalgams were removed. The mean baseline concentration of total mercury in whole blood of the ten subjects was 2.18 (SD = 0.90) ng Hg/mL before the amalgams were removed. The baseline mercury levels were related to the number of amalgam surfaces. The linear correlation coefficient was 0.724 with number of occlusal surfaces, and 0.433 with total number of surfaces. After removal of the amalgams, nine of the ten subjects exhibited a statistically significant decrease in blood mercury at the 95% level of confidence. The mean decrease in mercury was 1.13 (SD = 0.60) ng Hg/mL. The half-time for elimination of mercury from blood after amalgam removal was 30.2 (SD = 5.8) days. Removal of the amalgams provided an additional exposure of 1.46 (SD = 1.17) ng Hg/mL that was rapidly cleared from the blood with a half-time of 2.9 days. The daily intake of mercury from amalgam in the subjects was estimated to be at least 1.3 micrograms.


Assuntos
Amálgama Dentário/efeitos adversos , Restauração Dentária Permanente , Mercúrio/sangue , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
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