999 resultados para décès


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Mycobacterium tuberculosis, an etiological agent of pulmonary tuberculosis, causes significant morbidity and mortality worldwide. Pathogenic mycobacteria survive in the host by subverting host innate immunity. Dendritic cells (DCs) are professional antigen-presenting cells that are vital for eliciting immune responses to infectious agents, including pathogenic mycobacteria. DCs orchestrate distinct Th responses based on the signals they receive. In this perspective, deciphering the interactions of the proline-glutamic acid/proline-proline-glutamic acid (PE/PPE) family of proteins of M. tuberculosis with DCs assumes significant pathophysiological attributes. In this study, we demonstrate that Rv1917c (PPE34), a representative member of the proline-proline-glutamic-major polymorphic tandem repeat family, interacts with TLR2 and triggers functional maturation of human DCs. Signaling perturbations implicated a critical role for integrated cross-talk among PI3K-MAPK and NF-kappa B signaling cascades in Rv1917c-induced maturation of DCs. However, this maturation of DCs was associated with a secretion of high amounts of anti-inflammatory cytokine IL-10, whereas Th1-polarizing cytokine IL-12 was not induced. Consistent with these results, Rv1917c-matured DCs favored secretion of IL-4, IL-5, and IL-10 from CD4(+) T cells and contributed to Th2-skewed cytokine balance ex vivo in healthy individuals and in patients with pulmonary tuberculosis. Interestingly, the Rv1917c-skewed Th2 immune response involved induced expression of cyclooxygenase-2 (COX-2) in DCs. Taken together, these results indicate that Rv1917c facilitates a shift in the ensuing immunity toward the Th2 phenotype and could aid in immune evasion by mycobacteria.

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Dendritic cells (DCs) as sentinels of the immune system are important for eliciting both primary and secondary immune responses to a plethora of microbial pathogens. Cooperative stimulation of a complex set of pattern-recognition receptors, including TLR2 and nucleotide-binding oligomerization domain (NOD)-like receptors on DCs, acts as a rate-limiting factor in determining the initiation and mounting of the robust immune response. It underscores the need for ``decoding'' these multiple receptor interactions. In this study, we demonstrate that TLR2 and NOD receptors cooperatively regulate functional maturation of human DCs. Intriguingly, synergistic stimulation of TLR2 and NOD receptors renders enhanced refractoriness to TGF-beta- or CTLA-4-mediated impairment of human DC maturation. Signaling perturbation data suggest that NOTCH1-PI3K signaling dynamics assume critical importance in TLR2- and NOD receptor-mediated surmounting of CTLA-4- and TGF-beta -suppressed maturation of human DCs. Interestingly, the NOTCH1-PI3K signaling axis holds the capacity to regulate DC functions by virtue of PKC delta-MAPK-dependent activation of NF-kappa B. This study provides mechanistic and functional insights into TLR2-and NOD receptor-mediated regulation of DC functions and unravels NOTCH1-PI3K as a signaling cohort for TLR2 and NOD receptors. These findings serve in building a conceptual foundation for the design of improved strategies for adjuvants and immunotherapies against infectious diseases.

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Salmonella typhimurium DCyD (StDCyD) is a fold type II pyridoxal 5' phosphate (PLP)-dependent enzyme that catalyzes the degradation of D-Cys to H2S and pyruvate. It also efficiently degrades beta-chloro-D-alanine (beta CDA). D-Ser is a poor substrate while the enzyme is inactive with respect to L-Ser and 1-amino-1-carboxy cyclopropane (ACC). Here, we report the X-ray crystal structures of StDCyD and of crystals obtained in the presence of D-Cys, beta CDA, ACC, D-Ser, L-Ser, D-cycloserine (DCS) and L-cycloserine (LCS) at resolutions ranging from 1.7 to 2.6 angstrom. The polypeptide fold of StDCyD consisting of a small domain (residues 48-161) and a large domain (residues 1-47 and 162-328) resembles other fold type II PLP dependent enzymes. The structures obtained in the presence of D-Cys and beta CDA show the product, pyruvate, bound at a site 4.0-6.0 angstrom away from the active site. ACC forms an external aldimine complex while D- and L-Ser bind non-covalently suggesting that the reaction with these ligands is arrested at C alpha proton abstraction and transimination steps, respectively. In the active site of StDCyD cocrystallized with DCS or LCS, electron density for a pyridoxamine phosphate (PMP) was observed. Crystals soaked in cocktail containing these ligands show density for PLP-cycloserine. Spectroscopic observations also suggest formation of PMP by the hydrolysis of cycloserines. Mutational studies suggest that Ser78 and Gln77 are key determinants of enzyme specificity and the phenolate of Tyr287 is responsible for C alpha proton abstraction from D-Cys. Based on these studies, a probable mechanism for the degradation of D-Cys by StDCyD is proposed.

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CD4(+)CD25(+)FoxP3(+) regulatory T cells (Tregs) play a critical role in the maintenance of immune tolerance. Intravenous immunoglobulin (IVIg), a therapeutic preparation of normal pooled human IgG, expands Tregs in various experimental models and in patients. However, the cellular and molecular mechanisms by which IVIg expands Tregs are relatively unknown. As Treg expansion in the periphery requires signaling by antigen-presenting cells such as dendritic cells (DCs) and IVIg has been demonstrated to modulate DC functions, we hypothesized that IVIg induces distinct signaling events in DCs that subsequently mediate Treg expansion. We demonstrate that IVIg expands Tregs via induction of cyclooxygenase (COX)-2-dependent prostaglandin E2 (PGE(2)) in human DCs. However, costimulatory molecules of DCs such as programmed death ligands, OX40 ligand, and inducible T-cell costimulator ligands were not implicated. Inhibition of PGE(2) synthesis by COX-2 inhibitors prevented IVIg-mediated Treg expansion in vitro and significantly diminished IVIg-mediated Treg expansion in vivo and protection from disease in experimental autoimmune encephalomyelitis model. IVIg-mediated COX-2 expression, PGE(2) production, and Treg expansion were mediated in part via interaction of IVIg and F(ab('))(2) fragments of IVIg with DC-specific intercellular adhesion molecule-3-grabbing nonintegrin. Our results thus uncover novel cellular and molecular mechanism by which IVIg expands Tregs.

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CD4(+)CD25(+)FoxP3(+) regulatory T cells (Tregs) are exploited by mycobacteria to subvert the protective host immune responses. The Treg expansion in the periphery requires signaling by professional antigen presenting cells and in particularly dendritic cells (DC). However, precise molecular mechanisms by which mycobacteria instruct Treg expansion via DCs are not established. Here we demonstrate that mycobacteria-responsive sonic hedgehog (SHH) signaling in human DCs leads to programmed death ligand-1 (PD-L1) expression and cyclooxygenase (COX)-2-catalyzed prostaglandin E-2 (PGE(2)) that orchestrate mycobacterial infection-induced expansion of Tregs. While SHH-responsive transcription factor GLI1 directly arbitrated COX-2 transcription, specific microRNAs, miR-324-5p and miR-338-5p, which target PD-L1 were downregulated by SHH signaling. Further, counter-regulatory roles of SHH and NOTCH1 signaling during mycobacterial-infection of human DCs was also evident. Together, our results establish that Mycobacterium directs a fine-balance of host signaling pathways and molecular regulators in human DCs to expand Tregs that favour immune evasion of the pathogen.

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Dendritic cells (DCs) are essential in order to combat invading viruses and trigger antiviral responses. Paradoxically, in the case of HIV-1, DCs might contribute to viral pathogenesis through trans-infection, a mechanism that promotes viral capture and transmission to target cells, especially after DC maturation. In this review, we highlight recent evidence identifying sialyllactose-containing gangliosides in the viral membrane and the cellular lectin Siglec-1 as critical determinants for HIV-1 capture and storage by mature DCs and for DC-mediated trans-infection of T cells. In contrast, DC-SIGN, long considered to be the main receptor for DC capture of HIV-1, plays a minor role in mature DC-mediated HIV-1 capture and trans-infection.

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A possibilidade de uma intervenção psicanalítica na clínica do cuidar, bem como a escuta de adolescentes cujo sofrimento causado pela doença crônica exige a hospitalização, são as duas questões centrais desta dissertação. Nossa pesquisa tem início na análise da estrutura da clínica psicanalítica que é sustentada na Enfermaria do Núcleo de Estudos da Saúde do Adolescente/NESA/UERJ. Faz-se um percurso pela teoria lacaniana da fase do espelho, como base da identificação especular, para que, em seguida, se possa verificar de que modo o mandamento do amor ao próximo está presente no ato de cuidar. Com Freud, coloca-se em primeiro plano a questão libidinal relativa ao processo da doença física. Destaca-se também o conceito freudiano de inibição que fundamenta a explicação das modalidades de retração da libido. O debate psicanalítico sobre a influência do inconsciente e as alterações que ele provoca no quadro da doença orgânica traz uma contribuição à clínica médica. A ausência de investimento libidinal afetivo nas figuras parentais, na clínica com adolescentes cujo corpo está adoecido, é o ponto em que este trabalho se conclui, demonstrando que para alguns adolescentes esta é a principal razão de seu óbito

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树突状细胞(Dendritic cells,DCs)作为人类免疫缺陷病毒(Human Immunodeficiency Virus,HIV)感染的第一靶细胞和第一道防线, 在HIV-1感染 和传播过程当中发挥重要的功能。DC的免疫功能主要包括抗原的捕获、加工、 递呈并激活T细胞对HIV-1作出免疫反应,这些功能的发挥依赖于其自身接受刺 激有效地分化和成熟。 与其它慢病毒(lentivirus)相同,HIV-1所具有的6种辅助蛋白(Nef,Rev, Tat,Vif,Vpr和Vpu),决定着病毒自身的复制增殖和对机体的感染和致病力。 目前,HIV-1辅助蛋白对CD4+ T细胞影响的研究较为深入,是否影响和调节DC 的分化和成熟尚不够清楚,现有的文献报道很少,且相互不一致甚至矛盾。因此, 建立合适的体外研究体系和细胞模型,有针对性地进行研究DC与HIV-1之间的相 互作用,将有助于加深对HIV/AIDS致病和发病机理的理解,具有重要的生物医 学意义。 本实验选择了可被HIV-1感染的白血病细胞系THP-1为实验模型,首先评价 了THP-1作为DC前体在研究DC分化、成熟中的可用性,特别是判定DC分化成熟 和功能状态的主要细胞表面标记的动态变化和规律。进而在相同条件下分析了6 个辅助蛋白基因对THP-1的凋亡诱导作用,证实了Nef和Tat确可诱导转染细胞自 身凋亡,而Rev和Vpr可在THP-1细胞中持续表达,形成了稳定的细胞系,为进一 步研究和比较Rev、Vpr对DC的分化、成熟的影响奠定了实验基础。更重要的是, 我们发现,Vif和Vpu不能在THP-1中有效表达,其原因可能直接与限制性因子 APOBEC3G的存在有关,提示Vpu与APOBEC3G可能存在着新的相互作用——这 一线索已作为实验室新的研究方向,进一步深入的研究可能为HIV/AIDS致病、 发病机理和机体的抗病机制提供新的科学依据。

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Dendritic cells (DCs) play a pivotal role in linking the innate immunity and acquired immunity in responses to pathogen. Non-human primates such as Chinese Rhesus Macaque (CRM) are the favorable models for preclinical study of potential therapeutic drugs,

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布式监测系统(DCS)在许多领域具有重要的应用价值.针对目前分布式监测系统造价高、运行不稳定等问题,该文提出了一种解决方案--基于多种通讯链路的分布式转发基站监测系统.该文详细介绍了阐述了该监测控制系统的工作原理,并对监测控制系统的结构(包括软件的结构和硬件系统的结构)进行了具体地说明,然后详细描述了监控系统软件、硬件以及通讯协议的设计与实现;文章最后,对基于该系统的一个成功应用--无线寻呼基站无人测控系统的实现作了介绍.无线寻呼基站运行实践中所表现出的低成本、高性能的特点进一步验证了该方案的可实施性.

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流程工业存在着大量的实时数据处理、存储和集成问题,仅靠采用集散式控制系统(DCS)和关系数据库技术并不能完全解决。开放结构的分布式实时数据库系统能够提供高速的实时数据服务,能够有效地集成异构控制系统,它和关系数据库一起构成了流程企业的数据平台,对流程工业的生产信息集成起着极其重要的作用,是流程工业CIMS实施中的关键技术。该文针对流程工业CIMS的特点,介绍了在流程工业CIMS中实时数据库的功能.系统结构及其采用的关键技术。

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厂级监控信息系统SIS是分散控制系统DCS与管理信息系统MIS或者ERP系统之间的桥梁,对于电厂的安全、经济运行具有十分重要的意义,而实时数据库是SIS系统的核心。本文讨论了火电厂SIS系统中实时数据库的设计方法和设计原则,并进一步介绍了Agilor实时数据库系统及其在火电厂SIS中的应用。

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本文简要介绍了采用S3C4510B ARM7微处理器设计网关的方法。S3C4510B是一款基于ARM7TDMI内核的32/16位RISC微处理器,采用免费的uClinux作为操作系统,支持多任务、FTP服务和TELNET服务。采用该模块可以实现工业现场总线RS485和以太网的高速数据协议转换。构建高速的DCS系统。

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本文主要介绍了我在中科院近物所电子辐照室所研制的大功率电子加速器计算机控制系统方面的工作。文章在简要介绍了加速器的研制背景,该加速器的结构特点和工作原理后,主要叙述了基于可编程控制器(PLC)的加速器计算机控制系统的设计思想、硬件设备的特点和软件系统的组成。集散型计算机控制系统(DCS)硬件和软件的设计内容以及所能实现的控制功能是本文的重点。经过全组人员的共同努力,计算机控制系统已投入使用。并于2000年11月成功地调试出束流。从目前情况来看,加速器计算机控制系统运行正常,取得了满意的效果。

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不同联苯含量的PEEKK-PEBEKK共聚物的DSC结果表明,随着联苯含量的增加,共聚物的玻璃化转变温度几逐渐升高;共聚物的熔点Tm明显地依赖于联苯含量,当联苯含量nB=0.35时,Tm值最4小。热处理可以显著地改善共聚物的结晶性,并出现熔融重结晶双峰。