RESUMEN

Cell-line misidentification and contamination with microorganisms, such as mycoplasma, together with instability, both genetic and phenotypic, are among the problems that continue to affect cell culture. Many of these problems are avoidable with the necessary foresight, and these Guidelines have been prepared to provide those new to the field and others engaged in teaching and instruction with the information necessary to increase their awareness of the problems and to enable them to deal with them effectively. The Guidelines cover areas such as development, acquisition, authentication, cryopreservation, transfer of cell lines between laboratories, microbial contamination, characterisation, instability and misidentification. Advice is also given on complying with current legal and ethical requirements when deriving cell lines from human and animal tissues, the selection and maintenance of equipment and how to deal with problems that may arise.

Asunto(s)

Investigación Biomédica/normas , Línea Celular/microbiología , Equipos y Suministros/normas , Mycoplasma , Seguridad/normas , Animales , Investigación Biomédica/ética , Línea Celular/clasificación , Criopreservación/normas , Medios de Cultivo/normas , Contaminación de Equipos/prevención & control , Inestabilidad Genómica , Humanos , Mycoplasma/aislamiento & purificación , Fenotipo , Control de Calidad , Manejo de Especímenes/métodos , Manejo de Especímenes/normas , Reino Unido

Asunto(s)

Anticuerpos Antivirales/análisis , Infecciones por Arterivirus/veterinaria , Equartevirus/inmunología , Enfermedades de los Caballos/prevención & control , Animales , Infecciones por Arterivirus/prevención & control , Ensayo de Inmunoadsorción Enzimática/veterinaria , Equartevirus/aislamiento & purificación , Caballos , Pruebas de Neutralización/veterinaria

Asunto(s)

Aborto Veterinario/virología , Infecciones por Herpesviridae/veterinaria , Herpesvirus Équido 1/patogenicidad , Enfermedades de los Caballos/patología , Placenta/patología , Complicaciones Infecciosas del Embarazo/veterinaria , Animales , Femenino , Muerte Fetal/veterinaria , Muerte Fetal/virología , Infecciones por Herpesviridae/diagnóstico , Infecciones por Herpesviridae/patología , Infecciones por Herpesviridae/virología , Herpesvirus Équido 1/aislamiento & purificación , Enfermedades de los Caballos/virología , Caballos , Placenta/virología , Embarazo , Complicaciones Infecciosas del Embarazo/diagnóstico , Complicaciones Infecciosas del Embarazo/patología , Complicaciones Infecciosas del Embarazo/virología

Asunto(s)

Infecciones por Arterivirus/veterinaria , Equartevirus/aislamiento & purificación , Enfermedades de los Caballos/virología , Vacunación/veterinaria , Animales , Infecciones por Arterivirus/diagnóstico , Infecciones por Arterivirus/prevención & control , Enfermedades de los Caballos/diagnóstico , Enfermedades de los Caballos/prevención & control , Caballos

Asunto(s)

Equartevirus/aislamiento & purificación , Enfermedades de los Caballos/diagnóstico , Enfermedades de los Caballos/virología , Pruebas de Neutralización/métodos , Pruebas de Neutralización/veterinaria , Animales , Infecciones por Arterivirus/diagnóstico , Infecciones por Arterivirus/veterinaria , Caballos , Pruebas de Neutralización/normas , Juego de Reactivos para Diagnóstico/normas , Juego de Reactivos para Diagnóstico/veterinaria , Vacunas Virales/efectos adversos

Asunto(s)

Infecciones por Arterivirus/veterinaria , Equartevirus/aislamiento & purificación , Enfermedades de los Caballos/virología , Animales , Caballos , Reino Unido

RESUMEN

Human nectin-1 (HveC, Prr1), a member of the immunoglobulin superfamily and a receptor for the entry of herpes simplex viruses 1 and 2 (HSV-1, HSV-2), pseudorabies virus (PRV), and bovine herpesvirus 1 (BHV-1), binds to viral gD. For HSV-1, HSV-2, and PRV, the gD-binding region of nectin-1 has been localized to the N-terminal V-like domain. To determine whether the two C-like domains of nectin-1 influenced gD binding and entry activity, genes encoding chimeric proteins were constructed. Portions of nectin-1 were replaced with homologous regions from nectin-2 (HveB, Prr2), a related protein with ability to mediate the entry of PRV, HSV-2, and Rid mutants of HSV-1, but not HSV-1 or BHV-1. Also, one or more domains of nectin-1 were fused to the two membrane-proximal Ig domains of CD4, a protein with no herpesvirus entry or gD-binding activity. The chimeric proteins were expressed in Chinese hamster ovary cells, which normally lack alphaherpesvirus entry receptors, and detected on the cell surface by one or more anti-nectin-1 monoclonal antibodies. One chimeric protein (nectin-1 amino acids 1-124 fused to CD4) failed to bind to soluble forms of HSV-1, HSV-2, PRV, and BHV-1 gD and, as expected, also failed to mediate entry of the viruses from which these gDs were derived. The other chimeric receptors bound all forms of gD. Some mediated the entry of all the viruses tested but others mediated entry of some but not all the viruses. We conclude that binding of gD to the nectin-1 V domain is not sufficient for entry activity, that there are structural requirements for entry activity independent of gD binding, and that these requirements are different for the several alphaherpesviruses that can use nectin-1 as a receptor.

Asunto(s)

Moléculas de Adhesión Celular/metabolismo , Inmunoglobulinas/metabolismo , Receptores Virales/metabolismo , Proteínas del Envoltorio Viral/metabolismo , Proteínas Virales/metabolismo , Secuencia de Aminoácidos , Animales , Células CHO , Bovinos , Moléculas de Adhesión Celular/genética , Membrana Celular/metabolismo , Cricetinae , Expresión Génica , Herpesvirus Bovino 1/metabolismo , Herpesvirus Bovino 1/fisiología , Herpesvirus Humano 1/metabolismo , Herpesvirus Humano 1/fisiología , Herpesvirus Suido 1/metabolismo , Herpesvirus Suido 1/fisiología , Herpesvirus Humano 2/metabolismo , Herpesvirus Humano 2/fisiología , Humanos , Inmunoglobulinas/genética , Datos de Secuencia Molecular , Nectinas , Plásmidos , Conformación Proteica , Receptores Virales/genética , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo

RESUMEN

The Tage4 gene (Tumor-Associated Glycoprotein E4) is a member of the immunoglobulin superfamily overexpressed in rat colon tumors and Min mouse intestinal adenomas. The Tage4 cDNA presents approximately 60% identity with the human CD155, a member of the immunoglobulin superfamily coding for a transmembrane protein capable of serving as an entry receptor for poliovirus, porcine pseudorabies virus and bovine herpesvirus 1. We determined the structure of the Tage4 gene. This gene covers approximately 15 kb and is composed of eight exons and seven introns. We also isolated approximately 2 kb of the 5' flanking region of the Tage4 gene and demonstrated the existence of closely clustered transcription start sites. No splicing variant was identified by RT-PCR indicating that the Tage4 gene is transcribed as a unique mRNA. Finally, the protein encoded by the Tage4 gene was tested for ability to mediate entry of several viruses. These structural and functional features of the rat Tage4 gene were compared to those of the human CD155 gene. The results indicated that the Tage4 gene is probably orthologous to the gene for CD155.

Asunto(s)

Genes/genética , Glicoproteínas/genética , Herpesviridae/metabolismo , Proteínas de la Membrana , Regiones no Traducidas 3'/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Células CHO , Cricetinae , ADN/química , ADN/genética , Exones , Glicoproteínas/metabolismo , Herpesviridae/genética , Humanos , Intrones , Datos de Secuencia Molecular , Regiones Promotoras Genéticas/genética , ARN Mensajero/genética , Ratas , Receptores Virales/genética , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/metabolismo , Alineación de Secuencia , Análisis de Secuencia de ADN , Homología de Secuencia de Aminoácido , Homología de Secuencia de Ácido Nucleico , Células Tumorales Cultivadas , beta-Galactosidasa/genética , beta-Galactosidasa/metabolismo

RESUMEN

Two cell surface proteins (nectin-1/HveC and nectin-2/HveB) shown previously to serve as receptors for the entry of herpes simplex virus 1 (HSV-1) wild-type and/or mutant strains were found to serve also as receptors for HSV-1-induced cell fusion. Transfection with genomic DNA from a syncytial HSV-1 strain encoding wild-type gD resulted in fusion of Chinese hamster ovary (CHO) cells expressing nectin-1 but not of cells expressing nectin-2. In contrast, transfection with DNA from a related HSV-1 strain encoding the mutant Rid1 form of gD resulted in fusion of CHO cells expressing either receptor but not of control cells. These results are consistent with the ability of each receptor to mediate entry of viruses expressing wild-type or Rid1 gD and with results obtained previously with HVEM (HveA), a third HSV-l entry receptor. Undersulfation of GAGs in receptor-expressing cell lines predictably reduced susceptibility to HSV-l infection. In contrast, susceptibility to cell fusion mediated by HVEM or nectin-1 was not reduced. Undersulfation of GAGs partially inhibited cell fusion mediated by nectin-2. We conclude that HSV-1-induced cell fusion requires a gD-binding entry receptor, that ability of an HSV-1 strain to use HVEM, nectin-2 or nectin-1 for cell fusion depends on the allele of gD expressed and that GAGs may influence cell fusion, dependent on the gD-binding receptor used, but are less important for cell fusion mediated by HVEM, nectin-2 or nectin-l than for viral entry.

Asunto(s)

Moléculas de Adhesión Celular/metabolismo , Fusión de Membrana , Receptores Virales/metabolismo , Simplexvirus/metabolismo , Proteínas del Envoltorio Viral/metabolismo , Proteínas Virales de Fusión/metabolismo , Animales , Células CHO , Moléculas de Adhesión Celular/genética , Cricetinae , ADN Viral/efectos de los fármacos , Glicosaminoglicanos/química , Glicosaminoglicanos/metabolismo , Mutación , Nectinas , Receptores Virales/genética , Simplexvirus/genética , Ésteres del Ácido Sulfúrico/química , Ésteres del Ácido Sulfúrico/metabolismo , Transfección/métodos , Proteínas del Envoltorio Viral/genética , Proteínas Virales de Fusión/química

RESUMEN

Several human and animal alphaherpesviruses can enter cells via human herpesvirus entry mediator C (HveC), a receptor for viral glycoprotein D (gD). In previous studies with cells expressing unknown entry mediators, cellular expression of alphaherpesvirus gD was shown to inhibit entry of the homologous virus and sometimes also of heterologous alphaherpesviruses. To investigate the mechanism of gD-mediated interference and the basis for cross-interference among alphaherpesviruses, HveC was expressed in cells as the sole entry mediator, in the presence or absence of one of the gDs encoded by herpes simplex virus type 1, pseudorabies virus, or bovine herpesvirus type 1. Cells expressing HveC alone were highly susceptible to entry of all three viruses, whereas cells coexpressing HveC and any one of the gDs were at least partially resistant to infection by each virus. Coexpression of gD with HveC did not cause reduced levels of cell-surface HveC but the HveC had reduced ability to bind to exogenous gD. Coimmunoprecipitation experiments revealed that HveC was complexed with gD in lysates of cells expressing both. Thus, cellular expression of gD can interfere with alphaherpesvirus entry by blocking ligand-binding sites of the gD receptor(s) used for entry and cross-interference can occur because different forms of alphaherpesvirus gD can compete for shared entry receptors.

Asunto(s)

Alphaherpesvirinae/genética , Alphaherpesvirinae/fisiología , Receptores del Factor de Necrosis Tumoral , Receptores Virales/metabolismo , Proteínas del Envoltorio Viral/metabolismo , Animales , Western Blotting , Células CHO , Cricetinae , Citometría de Flujo , Técnica del Anticuerpo Fluorescente , Infecciones por Herpesviridae/virología , Humanos , Plásmidos/genética , Pruebas de Precipitina , Miembro 14 de Receptores del Factor de Necrosis Tumoral , Transfección , Proteínas del Envoltorio Viral/genética

RESUMEN

The human herpesvirus entry mediator C (HveC/PRR1) is a member of the immunoglobulin family used as a cellular receptor by the alphaherpesviruses herpes simplex virus (HSV), pseudorabies virus, and bovine herpesvirus type 1. We previously demonstrated direct binding of the purified HveC ectodomain to purified HSV type 1 (HSV-1) and HSV-2 glycoprotein D (gD). Here, using a baculovirus expression system, we constructed and purified truncated forms of the receptor containing one [HveC(143t)], two [HveC(245t)], or all three immunoglobulin-like domains [HveC(346t)] of the extracellular region. All three constructs were equally able to compete with HveC(346t) for gD binding. The variable domain bound to virions and blocked HSV infection as well as HveC(346t). Thus, all of the binding to the receptor occurs within the first immunoglobulin-like domain, or V-domain, of HveC. These data confirm and extend those of Cocchi et al. (F. Cocchi, M. Lopez, L. Menotti, M. Aoubala, P. Dubreuil, and G. Campadelli-Fiume, Proc. Natl. Acad. Sci. USA 95:15700, 1998). Using biosensor analysis, we measured the affinity of binding of gD from HSV strains KOS and rid1 to two forms of HveC. Soluble gDs from the KOS strain of HSV-1 had the same affinity for HveC(346t) and HveC(143t). The mutant gD(rid1t) had an increased affinity for HveC(346t) and HveC(143t) due to a faster rate of complex formation. Interestingly, we found that HveC(346t) was a tetramer in solution, whereas HveC(143t) and HveC(245t) formed dimers, suggesting a role for the third immunoglobulin-like domain of HveC in oligomerization. In addition, the stoichiometry between gD and HveC appeared to be influenced by the level of HveC oligomerization.

Asunto(s)

Receptores del Factor de Necrosis Tumoral , Receptores Virales/metabolismo , Simplexvirus/fisiología , Proteínas del Envoltorio Viral/metabolismo , Animales , Bovinos , Línea Celular , Dimerización , Humanos , Inmunoglobulinas , Unión Proteica , Miembro 14 de Receptores del Factor de Necrosis Tumoral , Receptores Virales/química , Replicación Viral

RESUMEN

Several cell membrane proteins have been identified as herpes simplex virus (HSV) entry mediators (Hve). HveA (formerly HVEM) is a member of the tumor necrosis factor receptor family, whereas the poliovirus receptor-related proteins 1 and 2 (PRR1 and PRR2, renamed HveC and HveB) belong to the immunoglobulin superfamily. Here we show that a truncated form of HveC directly binds to HSV glycoprotein D (gD) in solution and at the surface of virions. This interaction is dependent on the native conformation of gD but independent of its N-linked glycosylation. Complex formation between soluble gD and HveC appears to involve one or two gD molecules for one HveC protein. Since HveA also mediates HSV entry by interacting with gD, we compared both structurally unrelated receptors for their binding to gD. Analyses of several gD variants indicated that structure and accessibility of the N-terminal domain of gD, essential for HveA binding, was not necessary for HveC interaction. Mutations in functional regions II, III, and IV of gD had similar effects on binding to either HveC or HveA. Competition assays with neutralizing anti-gD monoclonal antibodies (MAbs) showed that MAbs from group Ib prevented HveC and HveA binding to virions. However, group Ia MAbs blocked HveC but not HveA binding, and conversely, group VII MAbs blocked HveA but not HveC binding. Thus, we propose that HSV entry can be mediated by two structurally unrelated gD receptors through related but not identical binding with gD.

Asunto(s)

Moléculas de Adhesión Celular/metabolismo , Herpesvirus Humano 1/metabolismo , Receptores del Factor de Necrosis Tumoral/metabolismo , Receptores Virales , Proteínas Recombinantes de Fusión/metabolismo , Proteínas del Envoltorio Viral/metabolismo , Secuencia de Aminoácidos , Animales , Baculoviridae , Secuencia de Bases , Moléculas de Adhesión Celular/genética , Moléculas de Adhesión Celular/inmunología , Línea Celular , ADN Viral , Vectores Genéticos , Glicosilación , Humanos , Datos de Secuencia Molecular , Mutagénesis , Nectinas , Conejos , Miembro 14 de Receptores del Factor de Necrosis Tumoral , Proteínas Recombinantes de Fusión/genética , Proteínas Recombinantes de Fusión/inmunología , Solubilidad , Soluciones , Spodoptera , Virión/metabolismo

RESUMEN

Certain mutant strains of herpes simplex virus type 1 (HSV-1) are unable to infect cells in which entry is dependent on HVEM, the previously described herpesvirus entry mediator designated here as herpesvirus entry protein A (HveA). These mutant viruses can infect other cells where entry is apparently dependent on other co-receptors. The mutant virus HSV-1(KOS)Rid1 was used to screen a human cDNA expression library for ability of transfected plasmids to convert resistant Chinese hamster ovary cells to susceptibility to virus entry. A plasmid expressing the previously described poliovirus receptor-related protein 2 (Prr2) was isolated on the basis of this activity. This protein, designated here as HveB, was shown to mediate the entry of three mutant HSV-1 strains that cannot use HVEM as co-receptor, but not wild-type HSV-1 strains. HveB also mediated the entry of HSV-2 and pseudorabies virus but not bovine herpesvirus type 1. HveB was expressed in some human neuronal cell lines, fibroblastic cells, keratinocytes, and primary activated T lymphocytes. Antibodies specific for HveB blocked infection of HveB-expressing CHO cells and a human fibroblastic cell strain HEL299. Differences in ability of HSV-1 and HSV-2 strains to use HveB for entry should influence the types of cells that can be infected and thereby account in part for serotype and strain differences in tissue tropism and pathogenicity.

Asunto(s)

Alphaherpesvirinae/fisiología , Glicoproteínas de Membrana/fisiología , Mutación/fisiología , Receptores del Factor de Necrosis Tumoral , Receptores Virales , Alphaherpesvirinae/genética , Animales , Especificidad de Anticuerpos , Células CHO , Moléculas de Adhesión Celular/análisis , Línea Celular , Clonación Molecular , Cricetinae , ADN Recombinante , Fibroblastos , Células HeLa , Humanos , Glicoproteínas de Membrana/genética , Datos de Secuencia Molecular , Nectinas , ARN Mensajero/análisis , Miembro 14 de Receptores del Factor de Necrosis Tumoral , Replicación Viral

RESUMEN

A human member of the immunoglobulin superfamily was shown to mediate entry of several alphaherpesviruses, including herpes simplex viruses (HSV) 1 and 2, porcine pseudorabies virus (PRV), and bovine herpesvirus 1 (BHV-1). This membrane glycoprotein is poliovirus receptor-related protein 1 (Prr1), designated here as HveC. Incubation of HSV-1 with a secreted form of HveC inhibited subsequent infection of a variety of cell lines, suggesting that HveC interacts directly with the virus. Poliovirus receptor (Pvr) itself mediated entry of PRV and BHV-1 but not of the HSV strains tested. HveC was expressed in human cells of epithelial and neuronal origin; it is the prime candidate for the coreceptor that allows both HSV-1 and HSV-2 to infect epithelial cells on mucosal surfaces and spread to cells of the nervous system.

Asunto(s)

Alphaherpesvirinae/fisiología , Moléculas de Adhesión Celular/fisiología , Herpesvirus Humano 1/fisiología , Herpesvirus Humano 2/fisiología , Proteínas de la Membrana , Receptores Virales , Animales , Secuencia de Bases , Células CHO , Moléculas de Adhesión Celular/genética , Células Cultivadas , Cricetinae , Células Epiteliales/virología , Expresión Génica , Herpesvirus Bovino 1/fisiología , Herpesvirus Suido 1/fisiología , Humanos , Datos de Secuencia Molecular , Nectinas , Neuronas/virología , Reacción en Cadena de la Polimerasa , Transfección , Células Tumorales Cultivadas , Proteínas del Envoltorio Viral/metabolismo

RESUMEN

Vpu and the C-terminal peptide of Gag (p6) are both HIV-1-encoded proteins that augment the release of virus particles from cells. We examined the functional relationship between these proteins and their activities during particle release. Our results indicate that efficient HIV-1 particle release from HeLa and Jurkat cells depends on the presence of Vpu. However, Vpu is dispensable for efficient release from Cos cells. In contrast, p6 is required for efficient release from Cos cells but not from Jurkat or HeLa cells. These data suggest that Vpu and p6 have distinct activities in virus exit from different cell lines. Intracellular proteolytic processing of Gag precursor protein is more complete in Cos cells than in HeLa cells. However, this processing has little or no effect on Vpu- or p6-mediated particle release. p6 is required for incorporation of yet another virus protein (Vpr) into cells but our data suggest that Vpr plays no role in p6-dependent particle release. Vpu also facilitates the degradation of CD4 in virus producing cells but, in contrast to particle release, the ability of Vpu to facilitate the degradation of CD4 is not cell line-dependent.

Asunto(s)

Productos del Gen gag/metabolismo , VIH-1/metabolismo , Proteínas Reguladoras y Accesorias Virales/metabolismo , Animales , Células COS , Productos del Gen gag/genética , Proteína p24 del Núcleo del VIH/metabolismo , VIH-1/genética , Células HeLa , Proteínas del Virus de la Inmunodeficiencia Humana , Humanos , Células Jurkat , Precursores de Proteínas/metabolismo , Proteínas Reguladoras y Accesorias Virales/genética , Virión , Productos del Gen gag del Virus de la Inmunodeficiencia Humana

RESUMEN

Human immunodeficiency virus type 1 Vpu has been shown to facilitate virus release from HeLa cells. We demonstrated that Vpu expression is not required for efficient virus release from Cos 1 and CV-1 cells. A yeast GAL4 transcriptional activation system was used to screen for cellular proteins that may interact with Vpu. One such protein was identified which we provisionally designate "Vpu interactive protein" or VIP.

Asunto(s)

VIH-1/fisiología , Proteínas de Saccharomyces cerevisiae , Factores de Transcripción , Proteínas Reguladoras y Accesorias Virales/metabolismo , Animales , Línea Celular , Chlorocebus aethiops , ADN Viral/metabolismo , Proteínas de Unión al ADN , Proteínas Fúngicas/biosíntesis , Proteínas Fúngicas/metabolismo , Genes Virales , Genes vpu , Prueba de Complementación Genética , Duplicado del Terminal Largo de VIH , VIH-1/genética , Células HeLa , Proteínas del Virus de la Inmunodeficiencia Humana , Humanos , Saccharomyces cerevisiae/metabolismo , Transfección

RESUMEN

Vpu is a 16-kDa membrane-associated phosphoprotein that is expressed from the same, singly spliced message as the human immunodeficiency virus type 1 (HIV-1) envelope glycoprotein precursor, gp160. Previous studies suggest that Vpu functions in the late stages of viral replication, possibly in virus egression from the cell. Recently, it has been demonstrated that Vpu functions to allow gp160 to be more efficiently processed by disrupting CD4-gp160 complexes generated by transfection of HeLa cells. We show here that the lack of expression of intact Vpu results in a 90% reduction in infectious virus produced over a single round of replication from HeLa cells in the absence of CD4 expression. This reduction persists when HIV-1 particles are pseudotyped with the HIV-2 or amphotropic murine leukemia virus envelope glycoprotein. Pulse-chase analysis of HIV-1 capsid protein (p24) in the absence of CD4 and envelope glycoprotein demonstrates that the rate of virus release is reduced when Vpu is not expressed. Our findings indicate that Vpu has a function involving particle release not dependent on CD4 or envelope glycoprotein expression.

Asunto(s)

VIH-1/fisiología , Proteínas Reguladoras y Accesorias Virales/fisiología , Replicación Viral , Antígenos CD4/metabolismo , Fusión Celular , Clonación Molecular , Productos del Gen env/metabolismo , Proteína p24 del Núcleo del VIH/metabolismo , Células HeLa , Proteínas del Virus de la Inmunodeficiencia Humana , Humanos , Técnicas In Vitro , Mutación , Transfección , Proteínas del Envoltorio Viral/metabolismo

RESUMEN

One hundred and nineteen consecutive elderly patients with endoscopically diagnosed peptic ulceration were reviewed. Associated gastric outflow obstruction was present in 10.1%. The presenting clinical features differed significantly from typical younger patients and most (11/12) were taking non-steroidal anti-inflammatory drugs, suggesting a possible role for these agents in the pathogenesis of gastric outflow obstruction. These elderly patients have been successfully managed by medical therapy alone.

Asunto(s)

Antiinflamatorios no Esteroideos/efectos adversos , Vaciamiento Gástrico/efectos de los fármacos , Estenosis Pilórica/inducido químicamente , Anciano , Anciano de 80 o más Años , Cimetidina/uso terapéutico , Obstrucción Duodenal/inducido químicamente , Obstrucción Duodenal/tratamiento farmacológico , Femenino , Humanos , Masculino , Úlcera Péptica/complicaciones , Estenosis Pilórica/tratamiento farmacológico , Ranitidina/uso terapéutico

RESUMEN

A 57-year-old man with a history of pulmonary asbestosis was incidentally found to have benign mesothelial hyperplasia of the peritoneum at hernia repair. Five months later he developed a Coombs positive haemolytic anaemia of the IgG-C3d type caused by non specific IgG antibodies. At that time no underlying cause for the anaemia was found. The anaemia responded to steroids, but remained steroid dependent. Six months after the diagnosis of the anaemia, a malignant peritoneal mesothelioma was found at laparotomy. The association between malignant mesothelioma and autoimmune haemolytic anaemia has been reported on one previous occasion. The description of a second case suggests that the association is not purely coincidental and that malignant mesothelioma should be added to the list of solid tumours that can be associated with autoimmune haemolytic anaemia. The finding of red blood cells coated with IgG and C3d in this as well as in other cases adds further evidence to the hypothesis that a quinidine type mechanism of haemolysis might be responsible for Coombs positive haemolytic anaemia associated with solid tumours.

Asunto(s)

Anemia Hemolítica Autoinmune/complicaciones , Mesotelioma/complicaciones , Neoplasias Peritoneales/complicaciones , Asbestosis/complicaciones , Humanos , Masculino , Mesotelioma/diagnóstico , Persona de Mediana Edad , Neoplasias Peritoneales/diagnóstico