RESUMEN
The immunosuppressant cyclosporin is a P-glycoprotein (P-gp) substrate whose impaired function has been associated with an increased risk of cyclosporin-induced nephrotoxicity following renal transplantation. This study investigated the relationship between blood and allograft cyclosporin concentration, and the effect of P-gp expression. Fifty biopsy samples were obtained from 39 renal transplant recipients who received cyclosporin as part of maintenance immunosuppression. Blood cyclosporin concentrations (2 hours postdose) were obtained from clinical records, matching allograft cyclosporin concentrations were measured in frozen biopsy tissue by liquid chromatography-tandem mass spectrometry, and allograft P-gp expression was assessed by immunohistochemistry. Blood and allograft cyclosporin concentrations in the 1st month post-transplantation ranged from 505-2005 µg/L and 0.01-16.7 ng/mg tissue, respectively. Dose was the only significant predictor of allograft cyclosporin concentrations (adjusted R2 = .24, F-statistic = 11.52, P = .0019), with no effect of P-gp expression or blood cyclosporin concentrations. P-gp expression is not the major determinant of allograft cyclosporin concentrations.
Asunto(s)
Inhibidores de la Calcineurina/farmacocinética , Ciclosporina/farmacocinética , Rechazo de Injerto/prevención & control , Trasplante de Riñón/efectos adversos , Subfamilia B de Transportador de Casetes de Unión a ATP/análisis , Subfamilia B de Transportador de Casetes de Unión a ATP/metabolismo , Adolescente , Adulto , Anciano , Aloinjertos/química , Aloinjertos/inmunología , Aloinjertos/metabolismo , Aloinjertos/patología , Biopsia , Inhibidores de la Calcineurina/administración & dosificación , Inhibidores de la Calcineurina/aislamiento & purificación , Ciclosporina/administración & dosificación , Ciclosporina/aislamiento & purificación , Relación Dosis-Respuesta a Droga , Femenino , Rechazo de Injerto/sangre , Rechazo de Injerto/inmunología , Rechazo de Injerto/patología , Humanos , Riñón/química , Riñón/inmunología , Riñón/metabolismo , Riñón/patología , Masculino , Persona de Mediana Edad , Trasplante Homólogo/efectos adversos , Adulto JovenRESUMEN
To identify plant-derived cell signaling inhibitors with antifungal properties, a twocomponent screening system using both wild-type Cryptococcus neoformans and a calcineurin mutant was employed owing to their counter-regulatory actions on the Hog1 mitogenactivated protein kinase and calcineurin pathways. Of the 2,000 plant extracts evaluated, a single bioactive compound from M. obovata Thunb. was found to act specifically on the calcineurin pathway of C. neoformans. This compound was identified as magnoloside A, and had potent antifungal activities against various Cryptococcus strains with minimum inhibitory concentration values ranging from 1.0 to 4.0 µg/ml.
Asunto(s)
Antifúngicos/metabolismo , Productos Biológicos/metabolismo , Inhibidores de la Calcineurina/metabolismo , Cryptococcus neoformans/efectos de los fármacos , Glicósidos/metabolismo , Magnolia/química , Extractos Vegetales/metabolismo , Antifúngicos/aislamiento & purificación , Productos Biológicos/aislamiento & purificación , Inhibidores de la Calcineurina/aislamiento & purificación , Cryptococcus neoformans/enzimología , Evaluación Preclínica de Medicamentos , Glicósidos/aislamiento & purificación , Pruebas de Sensibilidad Microbiana , Extractos Vegetales/aislamiento & purificaciónRESUMEN
The ubiquitin/proteasome system plays significant and important roles in the regulation of metabolism of various proteins. The dysfunction of this system is involved in several diseases, for example, cancer, neurogenic diseases and chronic inflammation. Therefore, the compounds, which regulate the ubiquitin/proteasome system, might be candidates for the development use as clinical drugs. The Saccharomyces cerevisiae mutant (rsp5(A401E)) has a single amino acid change, Ala401Glu, in the RSP5 gene, which encodes an essential E3 ubiquitin ligase, is hypersensitive to high-temperature stress. Here, we found that the immunosuppressants FK506 and cyclosporin A, both known as calcineurin inhibitors, complemented the high-temperature stress-induced growth defect of rsp5(A401E) strain. The defect of calcineurin pathway by disrupting the CNB1 and CRZ1 gene also partially complemented the high-temperature stress sensitivity of rsp5(A401E) cells. Thus, these results suggest that inhibition of the calcineurin pathway confers the tolerance to high-temperature stress on rsp5(A401E) cells. Furthermore, some diterpenoid compounds, which restore the growth of rsp5(A401E) cells, showed the activities of calcineurin inhibition and protein phosphatase 2C activation. These results indicate that calcineurin inhibitors suppress the high-temperature stress sensitivity of rsp5(A401E) cells and that analysis of their physiological function is effective for the screening of calcineurin inhibitors in yeast cells.