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1.
Am J Transplant ; 11(10): 2190-6, 2011 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-21794087

RESUMO

Early studies reported cytomegalovirus (CMV) pneumonitis as a risk factor for development of bronchiolitis obliterans syndrome (BOS) following lung transplantation. While improvements in antiviral prophylaxis have resulted in a decreased incidence of CMV pneumonitis, molecular diagnostic techniques allow diagnosis of subclinical CMV replication in the allograft. We hypothesized that this subclinical CMV replication was associated with development of BOS. We retrospectively evaluated 192 lung transplant recipients (LTR) from a single center between 2001 and 2009. Quantitative (PCR) analysis of CMV viral load and histological evidence of CMV pneumonitis and acute cellular rejection was determined on 1749 bronchoalveolar lavage (BAL) specimens and 1536 transbronchial biopsies. CMV was detected in the BAL of 41% of LTR and was significantly associated with the development of BOS (HR 1.8 [1.1-2.8], p = 0.02). This association persisted when CMV was considered more accurately as a time-dependent variable (HR 2.1 [1.3-3.3], p = 0.003) and after adjustment for significant covariates in a multivariate model. CMV replication in the lung allograft is common following lung transplantation and is associated with increased risk of BOS. As antiviral prophylaxis adequately suppresses CMV longer prophylactic strategies may improve long-term outcome in lung transplantation.


Assuntos
Bronquiolite Obliterante/virologia , Citomegalovirus/fisiologia , Transplante de Pulmão , Replicação Viral , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Imunossupressores/administração & dosagem , Masculino , Pessoa de Meia-Idade , Transplante Homólogo , Adulto Jovem
2.
J Clin Microbiol ; 39(9): 3040-6, 2001 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-11526125

RESUMO

Hepatitis E virus (HEV) is the major cause of enterically transmitted non-A, non-B hepatitis in many developing countries and is also endemic in many industrialized countries. Due to the lack of an effective cell culture system and a practical animal model, the mechanisms of HEV pathogenesis and replication are poorly understood. Our recent identification of swine HEV from pigs affords us an opportunity to systematically study HEV replication and pathogenesis in a swine model. In an early study, we experimentally infected specific-pathogen-free pigs with two strains of HEV: swine HEV and the US-2 strain of human HEV. Eighteen pigs (group 1) were inoculated intravenously with swine HEV, 19 pigs (group 2) were inoculated with the US-2 strain of human HEV, and 17 pigs (group 3) were used as uninoculated controls. The clinical and pathological findings have been previously reported. In this expanded study, we aim to identify the potential extrahepatic sites of HEV replication using the swine model. Two pigs from each group were necropsied at 3, 7, 14, 20, 27, and 55 days postinoculation (DPI). Thirteen different types of tissues and organs were collected from each necropsied animal. Reverse transcriptase PCR (RT-PCR) was used to detect the presence of positive-strand HEV RNA in each tissue collected during necropsy at different DPI. A negative-strand-specific RT-PCR was standardized and used to detect the replicative, negative strand of HEV RNA from tissues that tested positive for the positive-strand RNA. As expected, positive-strand HEV RNA was detected in almost every type of tissue at some time point during the viremic period between 3 and 27 DPI. Positive-strand HEV RNA was still detectable in some tissues in the absence of serum HEV RNA from both swine HEV- and human HEV-inoculated pigs. However, replicative, negative-strand HEV RNA was detected primarily in the small intestines, lymph nodes, colons, and livers. Our results indicate that HEV replicates in tissues other than the liver. The data from this study may have important implications for HEV pathogenesis, xenotransplantation, and the development of an in vitro cell culture system for HEV.


Assuntos
Vírus da Hepatite E/fisiologia , Hepatite E/virologia , Fígado/virologia , Replicação Viral , Animais , Modelos Animais de Doenças , Hepatite E/fisiopatologia , Vírus da Hepatite E/patogenicidade , Humanos , RNA Viral/análise , Suínos
3.
J Neurosci ; 21(1): 53-8, 2001 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-11150319

RESUMO

Excessive light can cause retinal degeneration and may be an environmental cofactor accelerating retinal dystrophies and age-related diseases. In rodent models, the light damage susceptibility (LDS) of the retina is determined genetically. In two mouse strains, with different degrees of LDS, a Leu450Met variation in the pigment epithelial protein RPE65 was shown recently to cosegregate with low LDS. Because light damage is rhodopsin-mediated, and RPE65 is essential for the regeneration of rhodopsin in the visual cycle, we analyzed this variation regarding rhodopsin metabolism and LDS in four mouse strains. We found that, in contrast to previous assertions, LDS does not correlate with the maximal retinal content of rhodopsin present after dark adaptation. Instead, LDS correlated positively with the kinetics of rhodopsin regeneration, which determine rhodopsin availability during light exposure. Light damage occurred after absorption of a threshold dose of photons and thus fast regeneration, as observed in those two strains having Leu at position 450 of RPE65, was correlated with the occurrence of photoreceptor apoptosis after short exposure. In contrast, mice with the Leu450Met variation of Rpe65 regenerated rhodopsin with slow kinetics and showed an increased resistance to light-induced retinal degeneration. In these mice, RPE65 protein levels were reduced by a post-transcriptional mechanism. F(1) hybrid mice, carrying one normal and one variant Rpe65 gene, had intermediate levels of the corresponding protein and showed intermediate rhodopsin regeneration kinetics and an intermediate LDS. Thus, none of the two variants of Rpe65 had a dominant effect.


Assuntos
Luz/efeitos adversos , Proteínas/genética , Retina/metabolismo , Degeneração Retiniana/metabolismo , Rodopsina/metabolismo , Substituição de Aminoácidos , Animais , Apoptose/genética , Apoptose/efeitos da radiação , Proteínas de Transporte , Modelos Animais de Doenças , Relação Dose-Resposta à Radiação , Proteínas do Olho , Predisposição Genética para Doença , Variação Genética , Camundongos , Camundongos Endogâmicos , Células Fotorreceptoras de Vertebrados/metabolismo , Células Fotorreceptoras de Vertebrados/patologia , Células Fotorreceptoras de Vertebrados/efeitos da radiação , Retina/patologia , Retina/efeitos da radiação , Degeneração Retiniana/patologia , Rodopsina/genética , cis-trans-Isomerases
4.
ScientificWorldJournal ; 1: 823-35, 2001 Dec 06.
Artigo em Inglês | MEDLINE | ID: mdl-12805718

RESUMO

The use of passive samplers in extensive monitoring, such as that used in national forest health monitoring plots, indicates that these devices are able to determine both spatial and temporal differences in ozone exposure of the plots. This allows for categorisation of the plots and the potential for cause-effect analysis of certain forest health responses. Forest exposure along a gradient of air pollution deposition demonstrates large variation in accumulated exposures. The efficacy of using passive samplers for in situ monitoring of forest canopy exposure was also demonstrated. The sampler data produced weak relationships with ozone values from the nearest "continuous" monitor, even though data from colocated samplers showed strong relationships. This spatial variation and the apparent effect of elevation on ozone exposure demonstrate the importance of topography and tree canopy characteristics in plant exposure on a regional scale. In addition, passive sampling may identify the effects of local pollutant gases, such as NO, which may scavenge ozone locally only to increase the production of this secondary pollutant downwind, as atmospheric reactions redress the equilibrium between concentrations of this precursor and those of the generated ozone. The use of passive samplers at the stand level is able to resolve vertical profiles within the stand and edge effects that are important in exposure of understorey and ground flora. Recent case studies using passive samplers to determine forest exposure to ozone indicate a great potential for the development of spatial models on a regional, landscape, and stand level scale.


Assuntos
Monitoramento Ambiental/métodos , Ozônio/análise , Árvores , Canadá , Monitoramento Ambiental/instrumentação , Geografia , Fatores de Tempo
5.
Invest Ophthalmol Vis Sci ; 41(12): 3984-90, 2000 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-11053303

RESUMO

PURPOSE: To determine whether blue light induces photoreversal of rhodopsin bleaching in vivo. METHODS: Eyes of anesthetized albino rats were exposed to either green (550 nm) or deep blue (403 nm) light, and the time course of rhodopsin bleaching was determined. Rhodopsin was isolated from whole retinas by detergent extraction and measured photometrically. To inhibit photoreversal of bleaching, rats were perfused with 70 mM hydroxylamine (NH(2)OH), a known inhibitor of photoreversal. To determine whether blue-absorbing, photoreversible photoproducts were formed, rhodopsin was bleached to near completion with green light and then exposed to blue light. Finally, experimental results were simulated on a computer by means of a simple, three-component model involving a long-lived photoreversible photoproduct. RESULTS: Photoreversal of bleaching in blue light occurs in vivo as evidenced by the following: In the absence of NH(2)OH, bleaching of rhodopsin by blue light was slow and complex. In the presence of NH(2)OH, however, blue light bleached rhodopsin very fast with a simple, pseudo-first-order kinetic. A long-lived bleaching intermediate produced by green light exposure was photoreversed to rhodopsin by exposure to blue light. The three-component computer model, invoking a blue-absorbing, photoreversible, long-lived intermediate accurately described the data. CONCLUSIONS: Because of the instantaneous, nonmetabolic regeneration of rhodopsin by the process of photoreversal of bleaching, blue light exposure permits the absorption of large numbers of photons by rhodopsin and by a photoreversible intermediate of bleaching in vivo. These data may have an important impact on resolving mechanisms of blue light-mediated damage to the retina.


Assuntos
Luz , Células Fotorreceptoras de Vertebrados/fisiologia , Pigmentos da Retina/fisiologia , Rodopsina/fisiologia , Rodopsina/efeitos da radiação , Animais , Simulação por Computador , Hidroxilamina/farmacologia , Masculino , Células Fotorreceptoras de Vertebrados/efeitos dos fármacos , Células Fotorreceptoras de Vertebrados/efeitos da radiação , Ratos , Ratos Sprague-Dawley , Regeneração
6.
J Healthc Qual ; 21(3): 35-40, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10537448

RESUMO

Just as quality programs have evolved into organization-wide performance improvement efforts, the quality professional's role has expanded, bringing new challenges and expectations. The quality services umbrella, an operational framework for a total systems quality process, helps organization leaders and quality professionals identify organizational functions that contribute to overall performance. This article describes the benefits of utilizing the quality services umbrella framework through five examples. Each example highlights different benefits of the model, such as identifying a system's quality issues, enhancing performance improvement efforts, sustaining improvements, and effecting cost savings.


Assuntos
Administração Hospitalar/normas , Indicadores de Qualidade em Assistência à Saúde , Gestão da Qualidade Total/métodos , Acidentes por Quedas/estatística & dados numéricos , Antibacterianos/uso terapêutico , Redução de Custos , Coleta de Dados , Interpretação Estatística de Dados , Administradores Hospitalares , Humanos , Ferimentos Penetrantes Produzidos por Agulha/epidemiologia , Estudos de Casos Organizacionais , Restrição Física , Gestão da Qualidade Total/estatística & dados numéricos , Estados Unidos/epidemiologia
7.
Invest Ophthalmol Vis Sci ; 40(10): 2398-404, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10476808

RESUMO

PURPOSE: To investigate whether regulation of rhodopsin levels as a response to changed lighting environment is performed by autophagic degradation of opsin in rod inner segments (RISs). METHODS: Groups of albino rats were kept in 3 lux or 200 lux. At 10 weeks of age, one group was transferred from 3 lux to 200 lux, another group was switched from 200 lux to 3 lux, and two groups remained in their native lighting (baselines). Rats were killed at days 1, 2, and 3 after switching. Another group was switched from 3 lux to 200 lux, and rats were killed at short intervals after the switch. Numbers of autophagic vacuoles (AVs) in RISs were counted, and immunogold labeling was performed for opsin and ubiquitin in electron microscopic sections. RESULTS: The number of AVs increased significantly after switching from 3 lux to 200 lux at days 1 and 2 and declined at day 3, whereas the reverse intensity change did not cause any increase. Early time points after change from 3 lux to 200 lux showed a significant increase of AVs 2 and 3 hours after switching. Distinct opsin label was observed in AVs of rats switched to 200 lux. Ubiquitin label was present in all investigated specimens and was also seen in AVs especially in 200-lux immigrants. CONCLUSIONS: Earlier studies had shown that an adjustment to new lighting environment is performed by changes in rhodopsin levels in ROSs. Autophagic degradation of opsin or rhodopsin may subserve, at least in part, the adaptation to abruptly increased habitat illuminance by removing surplus visual pigment.


Assuntos
Autofagia/efeitos da radiação , Luz , Células Fotorreceptoras Retinianas Bastonetes/efeitos da radiação , Opsinas de Bastonetes/metabolismo , Vacúolos/metabolismo , Adaptação Ocular/fisiologia , Animais , Regulação para Baixo , Microscopia Imunoeletrônica , Ratos , Células Fotorreceptoras Retinianas Bastonetes/metabolismo , Células Fotorreceptoras Retinianas Bastonetes/ultraestrutura , Rodopsina/metabolismo , Ubiquitinas/metabolismo , Vacúolos/ultraestrutura
8.
Invest Ophthalmol Vis Sci ; 40(8): 1878-83, 1999 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-10393065

RESUMO

PURPOSE: To measure the total amount of rhodopsin in human eyes across the life span and to test the hypothesis that the rhodopsin content of infants' and the elderly's eyes is lower than at other ages. METHODS: Rhodopsin was extracted from retinal and pigment epithelial fractions of 196 eyes of 102 donors, ages 27 weeks' gestation through 94 years, using quantitative procedures. To recover photopigment bleached by unavoidable light exposure, the fractions from 78 eyes were incubated with 9-cis retinal. The total photopigment (retinal plus pigment epithelial fractions) per eye was examined for significant changes with age, using the higher value from pairs of eyes. RESULTS: The median rhodopsin content of the higher eye of adults is 6.45 nmoles (range, 3.33-10.84 nmoles) with 8 nmoles or more recovered from 28% of all adult eyes. The rhodopsin content of infants' eyes (< 12 months post-term) is significantly lower than that of older individuals and increases with age. After infancy, no change with age is found. For both infants and adults, 9-cis retinal significantly increases the amount of photopigment recovered without reducing the variance in the amount of photopigment recovered. The rhodopsin content is estimated to be 50% of the median adult amount early in infancy, approximately 5 weeks postterm (95% confidence interval, 0-10 weeks postterm). CONCLUSIONS: A developmental increase in rhodopsin content occurs during infancy. Thereafter rhodopsin content remains constant. The amount of rhodopsin recovered from human eyes is quite variable. Bleaching alone cannot explain the variability.


Assuntos
Envelhecimento , Epitélio Pigmentado Ocular/química , Retina/química , Rodopsina/análise , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Envelhecimento/fisiologia , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Pessoa de Meia-Idade , Epitélio Pigmentado Ocular/embriologia , Epitélio Pigmentado Ocular/crescimento & desenvolvimento , Retina/embriologia , Retina/crescimento & desenvolvimento
9.
J Allergy Clin Immunol ; 103(5 Pt 1): 907-11, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10329827

RESUMO

BACKGROUND: Confirming adverse reactions to foods and chemicals is fundamental in providing a basis for diagnosis and treatment of patients with reported environmental sensitivities. Provocation-neutralization testing is widely used in this respect but has not been thoroughly evaluated, therefore remaining a controversial and unproven technique. OBJECTIVE: This study investigated the validity of intradermal testing for evaluation of reported adverse reactions to a variety of incidents within the patient population at the Nova Scotia Environmental Health Centre. METHODS: A total of 132 people who were referred to the Nova Scotia Environmental Health Centre, a dedicated government-funded research and treatment facility for suspected environmental sensitivities, were tested by the technique of provocation-neutralization by the guidelines set out by the American Academy of Environmental Medicine. A panel of 13 foods, 9 chemicals, and 4 placebos (normal saline solution) was evaluated in a double-blind, randomized study. Symptoms and skin reactions were recorded, and response rates were determined for all substances, including saline solution injections. RESULTS: Seventy percent of the patients reported symptoms to 1 or more of the 4 saline solution injections. In comparison, 15% of patients experienced a skin reaction (wheal) to 1 or more injections of saline solution. Only 5% of individuals experienced a wheal to more than 1 saline solution injection, although 40% of the patients reported symptoms to more than 1 saline injection. Patients who experienced 1 or more reactions (wheal or symptoms) to saline solution were more reactive to injected allergens, on average reacting to 67% of active substances. Patients who experienced no reaction to the saline solution did experience a reaction to 48% of injected substances on average. Reaction by symptoms to foods, chemicals, and normal saline solution showed a random pattern, although wheal reactions showed a distinct pattern. Subsequent observations have indicated that experiencing no reaction to previous saline solution injections does not accurately predict response to saline solution in later testing. Some individuals who did not experience a reaction to saline solution in an initial screening later experienced a reaction to saline solution during further testing. CONCLUSIONS: Provocation of symptoms in usual testing conditions is not a useful tool for discriminating between reactions to saline solution and reactions to specific chemicals or foods. Skin response alone may be a more reliable indicator and will require cross-validation with other tests, such as oral and inhalation challenges and comparison with a control population. Heightened sensitivity and chaotic responses may be a feature of chemical sensitivity. Meanwhile, the results of provocation-neutralization testing, using symptoms alone as an indicator of neutralization, should not be used as a basis for clinical intervention.


Assuntos
Hipersensibilidade a Drogas/diagnóstico , Hipersensibilidade Alimentar/diagnóstico , Testes Intradérmicos , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Placebos
10.
J Physiol ; 516 ( Pt 3): 869-74, 1999 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-10200432

RESUMO

1. If a purpose of photostasis - absorption of a constant number of photons by the retina, regardless of incident light levels - is to maintain rods at saturation during the light period, then in retinal regions where light intensity is low, rhodopsin concentration should be high, and vice versa. 2. Our ocular transmission photometric measurements revealed that the distribution of light intensity across the rat retina was not as simple as had been thought and, furthermore, that the local concentration of rhodopsin had a high negative correlation with the light intensity. 3. The reciprocity between these two parameters leads to nearly uniform rates of photon absorption in rods across the retina.


Assuntos
Retina/metabolismo , Retina/efeitos da radiação , Rodopsina/metabolismo , Rodopsina/efeitos da radiação , Animais , Feminino , Técnicas In Vitro , Luz , Masculino , Fotometria , Ratos , Ratos Sprague-Dawley , Células Fotorreceptoras Retinianas Bastonetes/fisiologia , Células Fotorreceptoras Retinianas Bastonetes/efeitos da radiação
11.
Invest Ophthalmol Vis Sci ; 40(1): 168-74, 1999 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-9888440

RESUMO

PURPOSE: To study in an infant rat model of retinopathy of prematurity, the rod photoreceptors, which are known to have attenuated photoresponses. METHODS: Rhodopsin was extracted from whole retinas, the thickness of the rod outer segment (ROS) layer was measured, large phagosomes were counted, and the ROS ultrastructure was examined in the retinas of oxygen-exposed and control rats, ages 13 and 18 days. Rhodopsin absorbances in the ROS were measured by microspectrophotometry at age 20 days. RESULTS: The rhodopsin content did not differ significantly between the oxygen-exposed and control rats at either 13 or 18 days. The thickness of the ROS layer was equal in 13-day-old oxygen-exposed and control rats; however, at 18 days, the ROS layer was significantly thinner in the oxygen-exposed rats than in the control rats. The number of phagosomes did not vary significantly among the oxygen-exposed and control groups. Opsin immunoreactivity was seen only in the ROS layer in oxygen-exposed and control rats. The ROS were disorganized in oxygen-exposed rats. The rhodopsin absorbances of the oxygen-exposed ROS were significantly more variable and higher than in the control rats. CONCLUSIONS: Attenuation of the rod photoresponse parameters does not result simply from shortening of the outer segments and consequent low rhodopsin content. Rather, the structure of the outer segments is altered. A fault in the synthesis of the outer segments, rather than disposal of outer segment discs, is suspected.


Assuntos
Oxigênio/toxicidade , Células Fotorreceptoras Retinianas Bastonetes/efeitos dos fármacos , Células Fotorreceptoras Retinianas Bastonetes/ultraestrutura , Retinopatia da Prematuridade/patologia , Animais , Animais Recém-Nascidos , Contagem de Células , Humanos , Técnicas Imunoenzimáticas , Recém-Nascido , Microespectrofotometria , Fagossomos/patologia , Ratos , Ratos Sprague-Dawley , Células Fotorreceptoras Retinianas Bastonetes/metabolismo , Retinopatia da Prematuridade/metabolismo , Rodopsina/metabolismo , Segmento Externo da Célula Bastonete/ultraestrutura , Opsinas de Bastonetes/metabolismo , Visão Ocular
12.
J Physiol ; 508 ( Pt 2): 515-22, 1998 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-9508814

RESUMO

1. An investigation into the distribution of light intensity across the rat retina was carried out on excised, intact rat eyes exposed to Ganzfeld illumination from a helium-neon laser (543 nm). 2. Some of the light entering the eyes exits through the sclera where its intensity can be monitored with an optical 'pick-up' that samples the intensity coming from a small region of external sclera and underlying retina. The spatial resolution of the pick-up is such that it samples light that has passed through ca 2 % of the rods in the rat eye. 3. Some of the laser light is absorbed by the rod pigment, rhodopsin, which gradually bleaches. Bleaching in the retina, in turn, causes an exponential increase in intensity emanating from the sclera. By monitoring this intensity increase, we are able to measure two important parameters in a single bleaching run: the local rhodopsin concentration and the local intensity falling on the rods. 4. With an ocular transmission photometer, we have measured both the local intensity and the local rhodopsin concentration across wide regions of rat retina. Both pigmented and albino rats were studied. 5. The distributions of rhodopsin and intensity were both nearly uniform; consequently, the product, (rhodopsin concentration) x (intensity), was similarly nearly equal across the retina. This means that the initial rate of photon absorption is about the same at all retinal locations. 6. Interpreted in terms of photostasis (the regulation of daily photon catch), this means that the rate of photon absorption is about the same in each rod, viz. 14 400 photons absorbed per rod per second. Since this rate of absorption is sufficient to saturate the rod, one possible purpose of photostasis is to maintain the rod system in a saturated state during daylight hours.


Assuntos
Fótons , Retina/efeitos da radiação , Albinismo/fisiopatologia , Animais , Cinética , Estimulação Luminosa , Pigmentação/fisiologia , Ratos , Ratos Sprague-Dawley , Retina/fisiopatologia , Células Fotorreceptoras Retinianas Bastonetes/efeitos da radiação , Rodopsina/efeitos da radiação , Esclera/efeitos da radiação
13.
Invest Ophthalmol Vis Sci ; 39(3): 603-9, 1998 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-9501872

RESUMO

PURPOSE: To determine the effects of eye closure and opening on photostasis, the regulation of light absorption by retinal rods in the albino rat. METHODS: The approach was to measure the effect of eye closure and opening on rhodopsin bleaching in situ and to use those results to simulate what happens to rhodopsin when a living rat opens or closes its eyes during daylight exposure. Completely dark-adapted, dead albino rats, each with one eye closed or open, were exposed to a standard lighting situation. The rhodopsin bleaching rate in closed versus open eyes was measured. Rhodopsin bleached at a more reduced rate in closed eyes than in open eyes. This measured reduction of rate in closed eyes was applied to a simulation of rhodopsin bleaching in open and closed eyes. The simulation used idealized conditions to verify the simulation itself, and then it was applied to previously published photostasis results. RESULTS: Rhodopsin in closed eyes bleaches at half the rate found in open eyes. The absorption spectrum of rat red blood cells was compared with the rate rhodopsin absorption spectrum, and the comparison showed that blood does not absorb the main-band wavelengths of rhodopsin. Simulating rhodopsin bleaching with eyes closed (half intensity) and open (full intensity) during daylight hours showed a slight effect on the total number of photons absorbed in an entire day. The simulation set limits to the maximal effect of eyes open all day versus eyes closed all day. At a habitat intensity of 200 lux, for example this maximal effect (eyes always open versus always closed) was calculated to be +/- 9%. At the lowest intensity, 3 lux, this maximal effect was +/- 28%, but it is only 1% at the highest intensity, 400 lux. CONCLUSIONS: Eye closures and openings have a slight effect on photostasis in albino rats. There are two reasons for this: The eyelids reduce the effective bleaching intensity by half. Moreover, during the "dim-out" of closure, rhodopsin continues to regenerate and approaches a new, higher value. This accumulation of rhodopsin enhances the rate of photon absorption because the rate is proportional to the product (rhodopsin x intensity). Thus, the increased rhodopsin concentration in the rods partially compensates for the reduced intensity of lid closure, and the photon absorption rates, with eyes closed, do not decrease by the full factor of 2 implied by the intensity reduction. In addition, when the eyes are subsequently opened after such a dim-out, the retina is suddenly exposed again to the full intensity of the environment. At this time, photon absorption rate, rhodopsin x intensity, is transiently higher than just before eye opening. Thus, the compensatory interplay between bleaching and regeneration in closed and open eyes results in the near compensation of light absorption and maintenance of the stasis close to 10(16) photons per eye per day.


Assuntos
Adaptação Ocular , Luz , Células Fotorreceptoras Retinianas Bastonetes/fisiologia , Rodopsina/metabolismo , Privação Sensorial/fisiologia , Absorção , Animais , Adaptação à Escuridão , Pálpebras/fisiologia , Pálpebras/cirurgia , Ratos , Ratos Sprague-Dawley , Células Fotorreceptoras Retinianas Bastonetes/efeitos da radiação
14.
Dentomaxillofac Radiol ; 27(5): 275-8, 1998 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-9879216

RESUMO

OBJECTIVE: To document the prevalence of idiopathic osteosclerosis (IO) and condensing osteitis (CO) in a middle-age-to-older adult population and determine their long term behavior. STUDY DESIGN: Full-mouth radiographs of 1585 adults, with a mean age 44.0 years, were evaluated for the presence of radiopaque masses diagnosed as IO or CO. All lesions were followed for 2 to 28 years, mean 10.4, to determine changes in size and shape. RESULTS: There were 187 lesions detected, 100 IO in 90 subjects (5.7%) and 87 CO in 71 subjects (4.5%). At follow-up, 180 lesions (96%) were still present, of which 155 were unchanged in size, 18 were smaller, and 7 were larger. CONCLUSIONS: Idiopathic osteosclerosis in middle age to older adults is stable and requires no further action after documentation in the patient's clinical records.


Assuntos
Doenças Mandibulares/diagnóstico por imagem , Doenças Maxilares/diagnóstico por imagem , Osteíte/diagnóstico por imagem , Osteosclerose/diagnóstico por imagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Distribuição de Qui-Quadrado , Feminino , Humanos , Estudos Longitudinais , Masculino , Doenças Mandibulares/epidemiologia , Doenças Maxilares/epidemiologia , Pessoa de Meia-Idade , Osteíte/epidemiologia , Osteosclerose/epidemiologia , Prevalência , Radiografia , Reprodutibilidade dos Testes
15.
Invest Ophthalmol Vis Sci ; 37(10): 1951-6, 1996 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-8814134

RESUMO

PURPOSE: To test the hypothesis that rhodopsin concentration is low in immature rat rod outer segments (ROS). METHODS: Microspectrophotometry (MSP) was used to assess rhodopsin absorbances in localized regions of isolated ROS from dark-adapted 13-, 19-, and 34-day-old and adult rats. Photopigment was extracted from the retinas of paired eyes in dark-adapted and light-adapted rats. One retina of each pair was treated with 9-cis retinal before extraction of photopigment. Rhodopsin with native 11-cis retinal was extracted from the fellow retina. RESULTS: By MSP, rhodopsin absorbance was low in the short ROS of 13-day-old rats. In 19-day-old rats with ROS lengths approximately equal to those of adults, absorbance was low at the tip, but at the base, it was equal to the high absorbance at both the tip and the base in adults. The 9-cis retinal did not add absorbance to the photopigment extracts of dark-adapted retinas at any age, but it did add absorbance to extracts of the light-adapted retinas at every age. CONCLUSIONS: The MSP results show that the accumulation of rhodopsin in developing rat rods depends on increasing concentrations in localized regions. No evidence of apo-opsin is found in immature rat rods. Thus, in immature ROS regions, the low rhodopsin absorbances suggest that the amount of opsin is also low. Greater disk-to-disk spacing in immature ROS regions than in mature regions could account for these findings.


Assuntos
Envelhecimento , Rodopsina/análise , Segmento Externo da Célula Bastonete/química , Segmento Externo da Célula Bastonete/crescimento & desenvolvimento , Envelhecimento/fisiologia , Animais , Adaptação à Escuridão , Microespectrofotometria , Ratos , Ratos Sprague-Dawley , Opsinas de Bastonetes/análise
17.
Invest Ophthalmol Vis Sci ; 37(1): 221-9, 1996 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-8550327

RESUMO

PURPOSE: To assess the effect of light-rearing history on the photon-capturing ability, amplitude, and kinetics of the fast-PIII response of the retina. METHODS: Albino rats were raised on 12-hour light-12-hour dark cycles, with illumination at 3 lux or 200 lux, and killed at approximately 12 weeks. Retinal rhodopsin content was measured spectrophometrically. The morphology of the rod outer segments (ROS) and the thickness of the outer nuclear layer were determined histologically. Electroretinograms of isolated retinas to 3-microsecond flashes were recorded. The kinetics of fast PIII responses were assessed with a model of the phototransduction cascade. RESULTS: Total rhodopsin of 200 lux animals was reduced to 60% that of 3 lux animals: 2.3 +/- 0.2 versus 1.4 +/- 0.1 nmol/eye (mean +/- SD). Length of ROS of 200 lux animals was reduced to 68% of the length of that of 3 lux animals: 20.1 +/- 1.2 versus 13.7 +/- 0.5 microns. The saturated amplitude of fast PIII of 200 lux animals was reduced to 56% that of the 3 lux group: 134 +/- 27 versus 239 +/- 37 microV (T = 22 degrees C). Fast PIII responses of both groups are well described by the kinetic model before slow PIII intrusion (up to 100 ms). Estimated kinetic parameters of the transduction cascade did not differ reliably between the two groups. CONCLUSIONS: Diminished saturated amplitude of fast PIII in 200 lux animals is accounted for by the hypothesis that fast PIII is directly proportional to the rod photocurrent and by the finding that the ROS of 200 lux animals are short compared to those of 3 lux animals. Similarity in estimated kinetic parameters of phototransduction suggests that the rods of the two groups differ little in the biochemistry underlying the activation phase of phototransduction.


Assuntos
Ácido Aspártico/farmacologia , Luz , Células Fotorreceptoras/fisiologia , Retina/fisiologia , Limiar Sensorial/fisiologia , Animais , Adaptação à Escuridão , Eletrorretinografia , Feminino , Masculino , Ratos , Ratos Sprague-Dawley , Retina/efeitos dos fármacos , Rodopsina/metabolismo , Transdução de Sinais/fisiologia
18.
Artigo em Inglês | MEDLINE | ID: mdl-8680974

RESUMO

Oral melanomas occur most often on the palate and gingiva with the maxillary arch affected 80% of the time. Melanosis may exist many years before a definitive biopsy. Long-standing lesions may ulcerate but lack rolled borders or induration, features commonly associated with squamous cell carcinoma. Melanoma that involves oral mucosa is rare with an extremely poor prognosis. Surgical management remains the preferred treatment in combination with chemotherapy. Irradiation therapy is used occasionally as a primary modality in the elderly and medically compromised patients. Lymph node dissection is not routinely practiced. The poor prognosis of oral melanomas requires that pigmented lesions of undetermined origin be routinely biopsied.


Assuntos
Neoplasias Gengivais/patologia , Melanoma/patologia , Idoso , Idoso de 80 Anos ou mais , Evolução Fatal , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
19.
Exp Eye Res ; 61(1): 17-23, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7556466

RESUMO

This study outlines the time course of cellular changes which occur within the renewal process of the rod cell during a switch to a new cyclic intensity environment. In the following experiments we demonstrate that by using the renewal process. Sprague-Dawley rats switched to a new cyclic intensity can adjust both the length of the outer segment and the amount of rhodopsin per retina. Previously it was established that the rod outer segment (ROS) length is not constant when animals are exposed to an intensity different from their normal environment. In the present study, we investigated how changes in ROS length were achieved by the rod cell. We noted that soon after a change in intensity, the ROSs were always shortened. This occurred when rats were switched either to a higher or lower light intensity than their rearing level. A final ROS length was achieved within 21 days (approximately two turnover periods). This length change required decreased disk removal in animals switched to a low light to achieve a lengthened ROS. In animals moved to a higher light intensity, however, disk removal rate did not change but ROS length did shorten, suggesting a change in disk addition. It is known that rhodopsin levels are up- and down-regulated with changes in environmental lighting. In this study, rhodopsin levels of animals switched from a low, cyclic intensity of 3 lx into a more intense cyclic light, 200 lx, dropped dramatically within 7 days to the rhodopsin value of an animal reared in the higher intensity.(ABSTRACT TRUNCATED AT 250 WORDS)


Assuntos
Rodopsina/metabolismo , Segmento Externo da Célula Bastonete/fisiologia , Adaptação Ocular , Animais , Feminino , Luz , Masculino , Ratos , Ratos Sprague-Dawley , Retina/metabolismo
20.
Exp Eye Res ; 61(1): 25-32, 1995 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-7556467

RESUMO

Using intraocular injection of a 3H-phe and 3H-leu mixture, we found that the net synthesis of rhodopsin is light-intensity-dependent and can adjust when an animal encounters a new lighting environment. Rhodopsin net synthesis dropped dramatically in day 1, 200-lx immigrants; however, preliminary studies show that the opsin mRNA levels in these animal were the same as that found in the 200-lx-native group. This suggests that the changes in the net synthesis of rhodopsin found when an animal is moved to a higher intensity light may be controlled at some point post-transcriptionally. Microspectrophotometric measurements on single rod cells revealed that the differences in whole-eye rhodopsin levels between the two cyclic intensity groups, 3 lx and 200 lx, were also present at the single cell level. This supports previous studies suggesting that the density of rhodopsin per disc varies according to the intensity of light to which the animal is exposed. Individual rods also had differences in packing density of rhodopsin at the base compared to the tip of the same outer segment when the animal had been switched to a new intensity for one half of a turnover period (5 days). This indicates the amount of rhodopsin per disc is regulated and suggests that renewal is the process responsible for creating a modified outer segment. Animals, when switched to a new intensity, can adjust the synthesis of rhodopsin and the number of molecules added per disk to ensure the appropriate packing density of rhodopsin in the rod outer segment (ROS) disk membranes for that level of light intensity.


Assuntos
Luz , Rodopsina/biossíntese , Segmento Externo da Célula Bastonete/fisiologia , Adaptação Ocular , Animais , Northern Blotting , Western Blotting , Microespectrofotometria , RNA Mensageiro/metabolismo , Ratos , Retina/metabolismo , Opsinas de Bastonetes/metabolismo
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