The desmosome and pemphigus

Desmosomes are patch-like intercellular adhering junctions (“maculae adherentes”), which, in concert with the related adherens junctions, provide the mechanical strength to intercellular adhesion. Therefore, it is not surprising that desmosomes are abundant in tissues subjected to significant mechanical stress such as stratified epithelia and myocardium. Desmosomal adhesion is based on the Ca2+-dependent, homo- and heterophilic transinteraction of cadherin-type adhesion molecules. Desmosomal cadherins are anchored to the intermediate filament cytoskeleton by adaptor proteins of the armadillo and plakin families. Desmosomes are dynamic structures subjected to regulation and are therefore targets of signalling pathways, which control their molecular composition and adhesive properties. Moreover, evidence is emerging that desmosomal components themselves take part in outside-in signalling under physiologic and pathologic conditions. Disturbed desmosomal adhesion contributes to the pathogenesis of a number of diseases such as pemphigus, which is caused by autoantibodies against desmosomal cadherins. Beside pemphigus, desmosome-associated diseases are caused by other mechanisms such as genetic defects or bacterial toxins. Because most of these diseases affect the skin, desmosomes are interesting not only for cell biologists who are inspired by their complex structure and molecular composition, but also for clinical physicians who are confronted with patients suffering from severe blistering skin diseases such as pemphigus. To develop disease-specific therapeutic approaches, more insights into the molecular composition and regulation of desmosomes are required

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Glycosylphosphatidylinositols synthesized by Trichophyton rubrum in a cell-free system. Nachweis von Glykosylphosphatidylinositolen von Trichophyton rubrum synthetisiert im zellfreien System

Pusch U, Effendy I, Schwarz RT, Azzouz N. Glycosylphosphatidylinositols synthesized by Trichophyton rubrum in a cell-free system. Mycoses. 2003;46(3-4):104-113.The opportunistic fungi Trichophyton rubrum and T. mentagrophytes , are responsible for relatively non-inflammatory chronic dermatophytes infections in immunocompromised patients but also in healthy individuals. This chronic infection is associated with immunosuppressive effects of the cell wall components particularly the polysaccharides secreted by these organisms. We have studied glycosylphosphatidylinositol (GPI) anchor biosynthesis in the pathogenic fungus T. rubrum and could demonstrate that T. rubrum is able to synthesize GPI structures. Glycolipids synthesized in a cell-free system prepared from the dermatophyte T. rubrum and labeled with [(3) H]mannose, and [(3) H]galactose using GDP-[(3) H]mannose and UDP-[(3) H]galactose, respectively, were identified and structurally characterized as GPIs. The evolutionary conserved backbone of T. rubrum GPIs incorporates galactose. Further, all glycolipids lack the acyl group on the inositol which was shown for Saccharomyces cerevisiae and mammalian GPIs. Our data suggest significant differences in the GPI biosynthetic pathway between mammalian and T. rubrum cells that could perhaps be exploited for the development of an antimycotic for Trichophyton infection

Estimulação tátil-cinestésica: uma integração entre pele e sistema endócrino? Tactile-kinesthetic stimulation: integration between skin and endocrine system?

Apresenta-se uma revisão da literatura sobre os aspectos neuroendócrinos da pele e as conseqüências da estimulação tátil-cinestésica sobre o córtex adrenal. Os artigos foram identificados a partir das bases de dados MEDLINE e LILACS, usando as palavras-chave "córtex supra-renal", "pele", "massagem", "lactentes", "glicocorticóide" e "ritmo circadiano". O período pesquisado foi de 1990 a 2003. Foram também consultados artigos de destaque publicados antes desse período. Estudos reconhecem o hipotálamo, a hipófise e a glândula adrenal como órgãos dinâmicos durante o desenvolvimento fetal e neonatal, e que respostas de estresse estão presentes ao nascer. A maioria dos estudos revisados, utilizando a estimulação tátil-cinestésica, seja em humanos ou animais, evidencia a capacidade da pele em metabolizar, coordenar e organizar estímulos externos, procurando manter a homeostase interna e externa, demonstrando a interação entre sistema neuroendócrino e a pele. A estimulação tátil-cinestésica parece ter um efeito sobre a reatividade hormonal, porém essa questão merece uma investigação mais aprofundada.<br>A literature review on skin neuroendocrine aspects and the consequences of the tactile- kinesthetic stimulation on the adrenal cortex are presented. The articles were identified through MEDLINE and LILACS data bases, using the keywords "suprarenal cortex", "skin", "massage", "infants", "glucocorticoid" and "circadian rhythm". Single articles published between 1990 and 2003 were considered, as well as outstanding ones prior to this period. Studies recognize that the hypothalamus, the pituitary and the adrenal gland are dynamic organs during fetal and neonatal development, and that stress responses are active at birth. Most of the studies reviewed, using tactile-kinesthetic stimulation, both in humans and animals, confirm skin's ability to metabolize, coordinate and organize external stimuli, attempting to maintain both external and internal homeostasis, demonstrating an interaction between the neuroendocrine system and tactile stimulation. Tactile-kinesthetic stimulation seems to have an effect on hormonal reactivity, although the issue demands further investigation