RESUMEN
The effect of chain packing on tensile properties was studied employing amorphous poly(lactic acid) PLA. It was found that the samples cooled in the temperature range from 60 to 80 °C, that is, slightly higher than the glass transition temperature Tg, showed ductile behavior with a low brittle-ductile transition temperature. Furthermore, the samples obtained by prolonged cooling at 56 °C also showed ductile behavior, whereas a shorter cooling time at the same temperature provided a brittle product. Even for the samples quenched at 40 °C, they showed ductile behavior after the exposure to postprocessing annealing operation at 60 °C; that is, the strain at break is larger than 3. This is an anomalous phenomenon for a glassy polymer. The dynamic mechanical analysis and thermal characterization revealed that the ductile samples show slightly higher Tg than the brittle ones, presumably due to high packing density of polymer chains. Moreover, it was found from infrared spectroscopy that the ductile samples show strong absorbance at 1267 cm(-1), ascribed to high energy gauche-gauche gg conformers. Following the classic Robertson's descriptions of plastic flow, it is concluded that the increase in the gauche-gauche gg conformers, which shows the conformation change under a low stress level, reduces the critical onset stress for shear yielding. The results demonstrated that the mechanical toughness of PLA can be controlled by the cooling conditions during processing and the postprocessing annealing operation.
Asunto(s)
Materiales Biocompatibles/química , Ácido Láctico/química , Fenómenos Mecánicos , Polímeros/química , Materiales Biocompatibles/síntesis química , Ácido Láctico/síntesis química , Poliésteres , Polimerizacion , Polímeros/síntesis química , Temperatura , Resistencia a la TracciónRESUMEN
BACKGROUND: Contrast-induced nephropathy (CIN) has been recognized as a serious complication of diagnostic coronary angiography and percutaneous coronary intervention (PCI), and has been associated with prolonged hospitalization and adverse clinical outcomes. A key step to minimize the risk for developing CIN is to identify patients at risk for CIN. METHODS AND RESULTS: We retrospectively investigated clinical factors associated with the development of CIN in 60 stable angina patients who had undergone elective PCI. The frequency of CIN was 13% (8/60). There were neither any significant differences in age, gender, baseline serum creatinine or hemoglobin levels, nor in the rate of diabetes mellitus between the CIN and the non-CIN group. However, the estimated glomerular filtration rate (eGFR) was significantly lower (40.4+/-11.4 mL/min/1.73 m(2) vs. 57.4+/-22.6 mL/min/1.73 m(2), p=0.044), and number of treated vessels (1.5+/-0.8 vs. 1.2+/-0.4, p=0.039) and stents used (2.1+/-0.6 vs. 1.4+/-0.6, p=0.007) were significantly higher in the CIN group. In addition, the amount of contrast medium was significantly larger (272+/-37 mL vs. 201+/-62 mL, p=0.003) and the contrast medium volume (CMV) to eGFR ratio (CMV/eGFR) was significantly greater (7.4+/-2.9 vs. 4.0+/-2.0, p=0.0001) in the CIN group. Stepwise regression analysis showed that the CMV/eGFR ratio was a significant independent predictor of CIN (p=0.035). At a cut-off point of >5.1, the CMV/eGFR ratio exhibited 87.5% sensitivity and 74.5% specificity for detecting CIN. CONCLUSION: The CMV/eGFR ratio could be a useful predictor of CIN developing after elective PCI.
Asunto(s)
Angina de Pecho/terapia , Angioplastia , Medios de Contraste/administración & dosificación , Medios de Contraste/efectos adversos , Tasa de Filtración Glomerular , Enfermedades Renales/inducido químicamente , Enfermedades Renales/diagnóstico , Adulto , Anciano , Angina de Pecho/diagnóstico por imagen , Angiografía Coronaria , Femenino , Humanos , Masculino , Valor Predictivo de las Pruebas , Análisis de Regresión , Estudios RetrospectivosRESUMEN
Infection with cagA-positive Helicobacter pylori is associated with gastric carcinoma. The cagA-encoded CagA protein is delivered into gastric epithelial cells and, upon tyrosine phosphorylation at the C-terminal EPIYA segments, binds and deregulates SHP-2 oncoprotein. On the basis of the differential alignment of the EPIYA segments, CagA can be subdivided into Western CagA, which is produced by H. pylori isolated in Western countries, and East Asian CagA, which is produced by H. pylori circulating in East Asian countries. Western CagA contains EPIYA-A, EPIYA-B and variable numbers of EPIYA-C segments, whereas East Asian CagA contains EPIYA-A, EPIYA-B and variable numbers of EPIYA-D segments. Upon tyrosine phosphorylation, EPIYA-C and EPIYA-D, respectively, serve as low-affinity and high-affinity SHP-2-binding sites. We previously reported that systemic expression of East Asian CagA (CagA-ABDD) induces gastrointestinal and hematopoietic malignancies in mice. In this study, we generated transgenic mice that systemically express Western CagA (CagA-ABCCC), the levels of which are comparable to those in mice expressing East Asian CagA. The mice developed gastric epithelial hypertrophy and gastrointestinal tumors and also showed lymphoid abnormality but not myeloid abnormalities such as granulocytosis and myeloid leukemia found in mice carrying East Asian CagA. The incidence of tumors in mice expressing Western CagA was significantly lower than that in mice expressing East Asian CagA. Our results indicate that Western CagA is qualitatively less oncogenic than East Asian CagA. Differential oncogenic potential of geographically distinct CagA isoforms may contribute to the differential prevalence of gastric carcinoma between East Asian countries and Western countries.
Asunto(s)
Adenocarcinoma/microbiología , Antígenos Bacterianos/fisiología , Proteínas Bacterianas/fisiología , Infecciones por Helicobacter/microbiología , Helicobacter pylori/patogenicidad , Neoplasias Gástricas/microbiología , Animales , Asia Oriental , Femenino , Immunoblotting , Ratones , Ratones Endogámicos C57BL , Ratones Transgénicos , Fosforilación , Isoformas de Proteínas , ARN Mensajero/genética , ARN Mensajero/metabolismo , Reacción en Cadena de la Polimerasa de Transcriptasa Inversa , Mundo OccidentalRESUMEN
Infection with cagA-positive Helicobacter pylori is associated with gastric adenocarcinoma and gastric mucosa-associated lymphoid tissue (MALT) lymphoma of B cell origin. The cagA-encoded CagA protein is delivered into gastric epithelial cells via the bacterial type IV secretion system and, upon tyrosine phosphorylation by Src family kinases, specifically binds to and aberrantly activates SHP-2 tyrosine phosphatase, a bona fide oncoprotein in human malignancies. CagA also elicits junctional and polarity defects in epithelial cells by interacting with and inhibiting partitioning-defective 1 (PAR1)/microtubule affinity-regulating kinase (MARK) independently of CagA tyrosine phosphorylation. Despite these CagA activities that contribute to neoplastic transformation, a causal link between CagA and in vivo oncogenesis remains unknown. Here, we generated transgenic mice expressing wild-type or phosphorylation-resistant CagA throughout the body or predominantly in the stomach. Wild-type CagA transgenic mice showed gastric epithelial hyperplasia and some of the mice developed gastric polyps and adenocarcinomas of the stomach and small intestine. Systemic expression of wild-type CagA further induced leukocytosis with IL-3/GM-CSF hypersensitivity and some mice developed myeloid leukemias and B cell lymphomas, the hematological malignancies also caused by gain-of-function SHP-2 mutations. Such pathological abnormalities were not observed in transgenic mice expressing phosphorylation-resistant CagA. These results provide first direct evidence for the role of CagA as a bacterium-derived oncoprotein (bacterial oncoprotein) that acts in mammals and further indicate the importance of CagA tyrosine phosphorylation, which enables CagA to deregulate SHP-2, in the development of H. pylori-associated neoplasms.
Asunto(s)
Antígenos Bacterianos/metabolismo , Proteínas Bacterianas/metabolismo , Transformación Celular Neoplásica/metabolismo , Transformación Celular Neoplásica/patología , Neoplasias Gastrointestinales/metabolismo , Regulación Neoplásica de la Expresión Génica , Helicobacter pylori/metabolismo , Neoplasias Hematológicas/metabolismo , Animales , Antígenos Bacterianos/genética , Proteínas Bacterianas/genética , Transformación Celular Neoplásica/genética , Neoplasias Gastrointestinales/genética , Neoplasias Gastrointestinales/patología , Helicobacter pylori/genética , Helicobacter pylori/patogenicidad , Neoplasias Hematológicas/genética , Neoplasias Hematológicas/patología , Ratones , Ratones Transgénicos , Fosfotirosina/metabolismoRESUMEN
AIM: An evaluation of the relation between small dense low-density lipoprotein cholesterol (sd-LDL-C) levels measured by the heparin-magnesium precipitation method and metabolic syndrome (MetS). METHODS: We have prospectively measured sd-LDL-C levels by the heparin-magnesium precipitation method in 112 Japanese patients (male/female=80/32) with coronary artery disease (CAD) who received percutaneous coronary intervention (PCI). Patients were diagnosed with MetS according to modified Japanese criteria. RESULTS: A total of 36 patients (32%) met the criteria for MetS. Sd-LDL-C levels were significantly higher in the MetS group than non-MetS group (20.7 +/- 1.5 mg/dL vs. 17.1 +/- 1.0 mg/dL, p=0.042), especially among patients without lipid-lowering therapy (26.4 +/- 2.6 mg/dL vs. 17.5 +/- 1.5 mg/dL, p= 0.0034). Sd-LDL-C levels gradually increased with the number of components used to define MetS (0; 14.5 +/- 1.8 mg/dL, 1; 16.5 +/- 1.8 mg/dL, 2; 16.7 +/- 1.3 mg/dL, 3; 19.3 +/- 1.7 mg/dL, 4; 23.1 +/- 2.1 mg/dL, 5; 40.0 mg/dL, p=0.0071). High-sensitivity C-reactive protein (hs-CRP) levels were significantly higher in the patients with MetS (1.09 +/- 0.17 mg/L vs. 0.67 +/- 0.09 mg/L, p=0.0204). CONCLUSION: The sd-LDL-C level measured by the heparin-magnesium precipitation method is a useful marker of MetS in Japanese patients with CAD.