Un raro caso de hialohifomicosis en uñas por Polypaecilum insolitum. G. Smith

Se presenta un caso clínico de un varón de 63 años con una rara infección en las uñas de los pies por Polypaecilum lnsolitum Smith, agente etiológico fúngicp oportunista no descrito con anterioridad en el país y raro en la literatura. La anamnesis del paciente incluye antecedentes antiguos de alcoholismo cronico, cirrosis hepática compensada, neumopatías repetidas y antecedentes de TBC pulmonar. Además presenta lesiones dermíticas cronicas de ambas extremidades inferiores, con úlceras infectadas a repetición de evolución superior a los 30 años. Se aportan datos micro y macromorfológicos para su diagnóstico diferencia

Factors involved in GLUT1 glucose transporter gene transcription in cardiacmuscle

Glucose constitutes a major fuel for the heart, and high glucose uptake during fetal development is coincident with the highest level of expression of the glucose transporter GLUT-1 during life. We have previously reported that GLUT-1 is repressed perinatally in rat heart, and GLUT-4, which shows a low level of expression in the fetal stage, becomes the main glucose transporter in the adult. Here, we show that the perinatal expression of GLUT-1 and GLUT-4 glucose transporters in heart is controlled directly at the level of gene transcription. Transient transfection assays show that the -99/-33 fragment of the GLUT-1 gene is sufficient to drive transcriptional activity in rat neonatal cardiomyocytes. Electrophoretic mobility shift assays demonstrate that the transcription factor Sp1, a trans-activator of GLUT-1 promoter, binds to the -102/-82 region of GLUT-1 promoter during the fetal state but not during adulthood. Mutation of the Sp1 site in this region demonstrates that Sp1 is essential for maintaining a high transcriptional activity in cardiac myocytes. Sp1 is markedly down-regulated both in heart and in skeletal muscle during neonatal life, suggesting an active role for Sp1 in the regulation of GLUT-1 transcription. In all, these results indicate that the expression of GLUT-1 and GLUT-4 in heart during perinatal development is largely controlled at a transcriptional level by mechanisms that might be related to hyperplasia and that are independent from the signals that trigger cell hypertrophy in the developing heart. Furthermore, our results provide the first functional insight into the mechanisms regulating muscle GLUT-1 gene expression in a live animal

Insulin-induced recruitment of glucose transporter 4 (GLUT4) and GLUT1 in isolated rat cardiac myocytes. Evidence of the existence of different intracellular GLUT4 vesicle populations

Using isolated rat cardiomyocytes we have examined: 1) the effect of insulin on the cellular distribution of glucose transporter 4 (GLUT4) and GLUT1, 2) the total amount of these transporters, and 3) the co-localization of GLUT4, GLUT1, and secretory carrier membrane proteins (SCAMPs) in intracellular membranes. Insulin induced 5.7- and 2.7-fold increases in GLUT4 and GLUT1 at the cell surface, respectively, as determined by the nonpermeant photoaffinity label [3H]2-N-[4(1-azi-2,2,2-trifluoroethyl)benzoyl]-1, 3-bis-(D-mannos-4-yloxy)propyl-2-amine. The total amount of GLUT1, as determined by quantitative Western blot analysis of cell homogenates, was found to represent a substantial fraction ( approximately 30%) of the total glucose transporter content. Intracellular GLUT4-containing vesicles were immunoisolated from low density microsomes by using monoclonal anti-GLUT4 (1F8) or anti-SCAMP antibodies (3F8) coupled to either agarose or acrylamide. With these different immunoisolation conditions two GLUT4 membrane pools were found in nonstimulated cells: one pool with a high proportion of GLUT4 and a low content in GLUT1 and SCAMP 39 (pool 1) and a second GLUT4 pool with a high content of GLUT1 and SCAMP 39 (pool 2). The existence of pool 1 was confirmed by immunotitration of intracellular GLUT4 membranes with 1F8-acrylamide. Acute insulin treatment caused the depletion of GLUT4 in both pools and of GLUT1 and SCAMP 39 in pool 2. In conclusion: 1) GLUT4 is the major glucose transporter to be recruited to the surface of cardiomyocytes in response to insulin; 2) these cells express a high level of GLUT1; and 3) intracellular GLUT4-containing vesicles consist of at least two populations, which is compatible with recently proposed models of GLUT4 trafficking in adipocytes

Bases moleculars de la cistinúria

Els cDNA identificats actualment de transportadors d'aminoàcids en mamífers poden ser agrupats en quatre famílies. Una d'aquestes famílies la componen les proteïnes rBAT i la cadena pesada (hc) de l'antigen de superfície de membrana anomenat 4F2. Els RNA que codifiquen aquestes dues proteïnes indueixen activitat d'un sistema de transport d'aminoàcids tipus b (rBAT) i un altre de tipus y+L (4F2hc) en oocits de Xenopus laevis. Ambdós transportadors tenen un mecanisme de bescanvi obligatori d'aminoàcids que, en el cas de rBAT, pot acumular, per aquest mecanisme de transport actiu terciari , substrats a través de la membrana plasmàtica fins a 30-50 vegades en l'oòcit de Xenopus . Sorprenentment, tant rBAT com 4F2hc no són suficientment hidrofòbics i no semblen proteïnes formadores de porus en membranes. Això ha suggerit la hipòtesi que rBAT i 4F2hc són subunitats o moduladors dels corresponents transportadors. És significatiu que taut per a rBAT com per a 4F2hc s'ha suggerit o demostrat, respectivament , la seva associació amb subunitats lleugeres d'aproximadament 40 kD en una estructura de tipus heterodimèric