267 research outputs found

    Patterns of mitochondrial DNA damage in blood and brain tissues of a transgenic mouse model of Machado-Joseph disease

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    BACKGROUND: Machado-Joseph disease (MJD) is an autosomal dominant spinocerebellar ataxia caused by a CAG tract expansions in the ATXN3 gene. Patterns of mitochondrial damage associated with pathological findings of brain tissues could provide molecular biomarkers of this disorder. OBJECTIVE: The potential of mitochondrial DNA (mtDNA) damage as a biomarker of MJD progression was investigated using a transgenic mouse model. METHODS: DNA was obtained from affected (pontine nuclei) and nonaffected tissues (hippocampus and blood) of transgenic animals of three distinct age groups: 8 weeks, before onset of the phenotype; 16 weeks, at onset, and 24 weeks, at well-established phenotype. Wild-type littermate mice, serving as controls, were analyzed for the same tissues and age groups. mtDNA damage was studied by fluorescence-based quantitative PCR in 84 transgenic and 93 wild-type samples. RESULTS: A clear pattern of decrease in mtDNA copy number with age and accumulation of 3,867-bp deletions at the initial stages (both being more pronounced in transgenic mice) was observed. Pontine nuclei, the affected tissue in transgenic mice, displayed 1.5 times less copies of mtDNA than nonaffected brain tissue hippocampus (odds ratio = 1.21). Pontine nuclei displayed the highest percentage of mtDNA deletions (6.05% more in transgenic mice). CONCLUSION: These results suggest that mtDNA damage is related to the initiation of the phenotype in transgenic mice; mtDNA 3,867-bp deletions may be a biomarker of the initial stages of the disease.This study was supported by the following grants: DRCT Postdoctoral fellowship to N.K. (M3.1.7/F/002/2008), FCT Postdoctoral fellowship to T.C. (SFRH/BPD/38659/2007) and C.B. (SFRH/BPD/63121/2009), FCT research grants to S.S. (PTDC/SAU-GMG/64076/2006) and A.S.F. (PIC/IC/83013/2007)

    Síndrome nefrótico y trombosis venosa extensa: causalidad o casualidad?

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    A case of extensive thrombosis associated to nephrotic syndrome is presented, where the diagnostic and therapeutical challenge relied on the determination of the nephropathy’s origin in this patient., which was obtained through renal biopsy that in turn suggested lupus nephritis. In this systemic pathology, as in nephrotic syndrome, a higher incidence of thromboembolic disease is found. Most adults with the nephrotic syndrome in our country have a systemic disease such as systemic lupus erithematosus, the remaining cases being usually due to primary disorders. Patients with the nephrotic syndrome have an increased incidence of arterial and venous thrombosis (particularly deep vein and renal vein thrombosis) and pulmonary emboli. In very few cases, patients whith lupus nephritis develop thrombosis in the absence of antiphospholipidic antibodies. If that were the case, it would be more related to the nephrotic syndrome, which can have different mechanisms to facilitate throembotic events, amongst which stands out the platelet activation and aggregation, the rise of VIII factor and fibrinogen levels; hypoalbuminemia and antithrombin and plasminogen activator inhibitor-1 deficit. IVC thrombosis, present in our patient, is associated with significant acute and chronic morbidity. It presents a diagnostic challenge to the clinician and requires a high index of suspicion. Thrombolysis with recombinant plasminogen tissue activator was performed, since in appropriate cases, thrombolysis is the most efficacious treatment, minimising long-term complications of IVC thrombosis.Se presenta un caso de trombosis extensa asociada a un síndrome nefrótico donde el desafío diagnóstico y terapéutico se asocia a la determinación del origen de la patología renal presente en la paciente, el cual se identificó gracias a la realización de una biopsia renal donde se encontraron hallazgos sugerentes de nefropatía lúpica. La mayoría de los adultos con síndrome nefrótico en nuestro país presentan una enfermedad sistémica como el lupus eritematoso sistémico, siendo las causas restantes de origen primario. Los pacientes con síndrome nefrótico tienen una incidencia aumentada de trombosis venosa y arterial (particularmente de trombosis venosa profunda y trombosis de las venas renales) y embolismo pulmonar. Raramente los pacientes con nefropatía lúpica desarrollan trombosis en ausencia de anticuerpos antifosfolipídicos. Si este fuera el caso, estaría más relacionado con el síndrome nefrótico, el cual puede tener diferentes mecanismos para facilitar los fenómenos trombóticos, entre los que destaca la activación y la agregación plaquetaria, la elevación del factor VIII y de los valores de fibrinógeno, la hipoalbuminemia, y la deficiencia de antitrombina y del inhibidor del activador del plasminógeno tipo 1. La trombosis de la vena cava inferior, presente en nuestra paciente, se asocia a morbilidad aguda y crónica significativa. Representa además un desafío diagnóstico para el médico internista y requiere de una alta sospecha. En nuestra pacientes se realizó trombólisis con activador tisular del plasminógeno recombinante (rTPA), ya que en los casos apropiados, la trombolisis es el tratamiento más eficaz, la cual minimiza las complicaciones a largo plazo de la trombosis de la vena cava inferior (VCI )

    Presentación poco frecuente de la enfermedad de Takayasu. A propósito de 2 casos

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    Takayasu‘s disease is a chronic idiopathic inflammatory disease that mainly affects large vessels. It is predominantly seen in young women whose symptoms may appear between 15 and 30 years of age. It is characterized by a lymphomonocytic infiltrate and presence of granulomas that progress to lumen reduction, giving rise to thrombotic phenomena. In order of frequency, subclavian (85 %), descending thoracic aorta (58 %), abdominal (20 %), vertebral (17 %), iliac (16 %), and pulmonary (15 %) vessels are mainly affected. Coronary artery involvement represents less than 10 % of cases. We present two cases with unusual location, an atypical presentation involving femoral and renal arteries, and vascular involvement in a previously hypertensive pregnant woman.La enfermedad de Takayasu, es una enfermedad crónica, idiopática, inflamatoria que afecta principalmente a grandes vasos. Predomina en mujeres jóvenes cuyos síntomas pueden aparecer entre los 15 y 30 años. Se caracteriza por un infiltrado linfomonocitario y presencia de granulomas que progresan llegando hasta la reducción de la luz, desencadenando fenómenos trombóticos. En orden de frecuencia se pueden afectar las arterias subclavias (85 %), aorta torácica descendente (58 %), abdominal (20 %), vertebral (17 %), ilíaca (16 %), pulmonar (15 %) y coronarias, en menos del 10 %. Presentamos dos casos de localización poco usual y presentación atípica a nivel de vasos femorales, renales ademas de compromiso vascular en una gestante previamente hipertensa
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