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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
31

Modulation of Tissue Toll-Like Receptor 2 and 4 During the Early Phases of Polymicrobial Sepsis Correlates With Mortality

Williams, David L., Ha, Tuanzhu, Li, Chuanfu, Kalbfleisch, John H., Schweitzer, John, Vogt, William, Browder, I. William 01 June 2003 (has links)
Objective: To determine whether there was a correlation between induction of polymicrobial sepsis, modulation of tissue Toll-like receptor (TLR) gene, and protein expression and survival outcome. Design: Prospective, randomized animal study. Setting: University medical school research laboratory. Subjects: Age- and weight-matched ICR/HSD mice. Interventions: Sepsis was induced by cecal ligation and puncture (CLP). No-surgery and sham (laparotomy)-operated mice were controls. We also examined tissue TLR2 and TLR4 messenger RNA and TLR4 protein levels in mice treated with an immunomodulator that increases survival in polymicrobial sepsis. In the immunomodulator study, mice were treated with glucan phosphate (50 mg/kg, intraperitoneally) 1 hr before CLP. No-surgery, sham surgery, glucan + no-surgery, sham surgery + glucan, and CLP groups were employed as controls. Measurements and Main Results: Total RNA was isolated from liver, lung, and spleen at 0, 1, 3, 6, 8, and 24 hrs after CLP. TLR gene expression was assessed by reverse transcription-polymerase chain reaction. Tissue TLR4 protein levels were evaluated at 24 hrs by Western blot and immunohistochemistry. CLP sepsis increased (p < .05) liver and lung TLR2 and TLR4 gene expression compared with controls. TLR4 protein concentrations also were increased. Increased TLR2/4 gene and TLR4 protein expression correlated with mortality. Immunoprophylaxis with glucan phosphate increased (p < .001) long-term survival (20% vs. 70%) but inhibited (p < .05) CLP-induced increases in tissue TLR2 and TLR4 messenger RNA expression as well as TLR4 protein expression. Conclusions: Early increases in TLR2/4 gene and TLR4 protein expression correlated with mortality, whereas blunting TLR gene and protein expression correlated with improved long-term survival. This suggests that early up-regulation of tissue TLR2/4 may play a role in the proinflammatory response and pathophysiology of polymicrobial sepsis.
32

Postural Adaptations in Self-Ligating Bracket Treatment

Flagg, Brienne Morelle January 2012 (has links)
The use of self-ligating brackets has gained popularity recently in orthodontic treatment. The Damon philosophy is a system that employs passive self-ligation with the use of light forces to achieve arch development and to relieve dental crowding. The philosophy of the system is that the use of light forces does not overpower the forces of the lips, tongue, and other peri-oral soft tissue thereby allowing for optimal equilibration of forces that is customized to every individual. If this actually occurs, changes in the posture of the tongue and hyoid would be expected as is seen after orthognathic surgery and rapid maxillary expansion. The purpose of this study was to evaluate if these postural adjustments do occur, and, if they do, to assess if there is a stratification of treatment effect based on dental classification. A customized cephalometric evaluation was designed from an amalgamation of previous cephalometric studies. This cephalometric study not only evaluated changes due to treatment but also assessed changes in cervical postural position to validate the quality of the measurements and to verify that radiographs were taken in a correct and repeatable head position. Cephalometric measurements were correlated with measurements of posterior dental expansion at the premolars and molars. Results of the study showed a correlation in tongue length and hyoid to mandible measurements. Lack of significance in the cervical posture cephalometric changes validated the cephalometric design and the quality of radiograph included in the study. Significant posterior dental expansion was documented although this expansion was limited to the premolar regions. Changes in tongue length correlated with dental expansion, particularly in the lower premolars. Lastly, increases in upper airway space correlated with dental expansion, particularly in Class III patients. This finding is very interesting and suggests the need for further research in this area. Additionally, replication of this study with more subjects may yield very interesting results. Overall, this study supports the fact that studies of soft tissue changes in relation to orthodontic treatment need further investigation as these tissues are involved in the equilibrium of forces and are directly related to the stability of orthodontic treatment. / Oral Biology
33

Enzymatische Ligation von Peptiden, Peptidnucleinsäuren und Proteinen

Pritz, Stephan 13 January 2009 (has links)
Peptide und Proteine sind wichtige Untersuchungsobjekte der biochemischen Forschung. Es wurden in den letzten Jahren eine Reihe von Ligationsmethoden entwickelt, um weitgehend entschützte, gereinigte Peptidsequenzen im wässrigen Milieu zu koppeln. Vor diesem Hintergrund von besonderem Interesse für einen möglichen Einsatz bei Ligationen ist die bakterielle Transpeptidase Sortase A. Dieses Enzym ist in vivo an der Anknüpfung von Proteinen an das bakterielle Peptidoglycan beteiligt, wobei es Substrate an einem LPXTG-Motiv zwischen Threonin und Glycin spaltet und auf ein Oligoglycin-Nucleophil überträgt. Zur Untersuchung der Enzymaktivität wurde in dieser Arbeit ein einfacher HPLC-basierter Assay etabliert. Die an Peptidmodellen gewonnenen Resultate wurden schließlich für den Aufbau eines löslichen Rezeptors genutzt. Ein Schlüsselschritt war die Sortase-vermittelte Ligation des in E. coli exprimierten, gefalteten Rezeptor-N-Terminus an ein 3-Loop-Konstrukt. Das erhaltene 23 kDa große Rezeptormimetikum war nach chromatographischer Reinigung homogen gemäß HPLC und MS. Es zeigte eine spezifische, hoch affine Bindung zu natürlichen Peptidliganden des CRF1-Rezeptors. Weiterhin konnte demonstriert werden, dass sich Sortase für die selektive Markierung von Proteinen eignet. So wurde ein Fluoreszenzlabel C-terminal an das 50 kDa Protein NEMO geknüpft. Als weiteres Anwendungsbeispiel der Sortase-vermittelten Ligation diente die Darstellung von PNA–CPP-Konjugaten. Die Verwendung von Überschüssen des Peptides und die Entfernung der niedermolekularen Abgangsgruppe durch Dialyse erwies sich als sehr effektiv und gestattete gute bis hervorragende Kupplungsausbeuten von bis zu 94%. Die biologische Wirkung der erhaltenen CPP–PNA-Konjugate konnte in Aufnahmeuntersuchungen an Zellen gezeigt werden. / Peptides and proteins are important research objects in biochemical research. Therefore, several ligation methods to couple unprotected, purified peptide sequences in aqueous media have been developed during the last years. At a special interest in this case is the bacterial transpeptidase sortase A. This enzyme couples proteins in vivo to the bacterial peptidoglycan by cleavage at a LPXTG-recognition motif between threonine and glycine and subsequent transfer to an oligoglycin nucleophile. In order to investigate the enzymatic activity, a simple HPLC-based assay was established in this work. Results obtained with model peptides were used for the assembly of a soluble receptor. A key step was the sortase-mediated ligation of the folded receptor N-terminus (expressed in E. coli) to the 3-loop-construct. The resulting receptor mimic of 23 kDa was homogeneous according to HPLC and MS. It showed specific binding to natural peptide ligands of the CRF1-receptor with high affinity. Furthermore, it could be shown that sortase is usable for selective protein labeling. For this purpose, a fluorescence label was attached C-terminally to the 50 kDa protein NEMO. As a further example of sortase-mediated ligation served the synthesis of PNA-CPP-conjugates. The use of an excess of the peptide and dialyzing away the small leaving group proved to be very effective and coupling yields up to 94% could be achieved. The biological activity of the CPP-PNA-conjugates could be shown by uptake studies in cells.
34

Conception et synthèse de nouveaux glycoclusters biologiquement actifs / Conception and synthesis of new glycoclusters biologically active

Bossu, Isabelle 01 December 2011 (has links)
Les interactions multivalentes sucre/protéine sont impliquées dans de nombreux processus biologiques tels que l'adhésion hôte-pathogène, la communication cellulaire ou les réponses immunitaires. La conception de glycoconjugués capables de présenter des motifs osidiques en cluster est essentielle, non seulement pour étudier ces phénomènes de reconnaissance complexes mais aussi pour développer des agents biologiquement actifs. Dans ce contexte, l'objectif de ma thèse a été de synthétiser de nouveaux glycoclusters et d'évaluer leurs propriétés biologiques. Ces glycoclusters ont été obtenus en conjuguant des sucres sur des cyclopeptides par des méthodes chimiosélectives (cycloaddition de Huisgen et ligation oxime). Des composés tetravalents, hexavalents et hexadécavalents d'architectures et de compositions variables ont été synthétisés, entièrement caractérisés puis évalués au laboratoire ou dans le cadre de collaborations avec différentes cibles. Un glycocluster hexadécavalent fucosylé a ainsi pu être identifié comme puissant inhibiteur de l'interaction de la lectine PA-IIL de la bactérie Pseudomonas aeruginosa à une concentration subnanomolaire. Une autre famille de composés associant des sucres et des peptides a montré des propriétés immunologiques uniques, notamment pour activer les cellules NK contre des cellules cancéreuses sans déclencher de phénomène d'autoapoptose. Mots clés : chimie des sucres, chimie des peptides, glycoclusters, ligations chimiosélectives, interactions sucre-protéine, lectine, cellule NK. / Multivalent carbohydrates-protein interactions are involved in a large variety of biological processes such as host-pathogen adhesions, cell communication or immune responses. The design of glycoconjugates displaying multiple copies of sugars as cluster is essential, not only to study these complex recognition processes but also to develop bioactive agents. In this context, the objective of my PhD was to synthesize new glycoclusters and evaluate their biological properties. These glycoclusters were obtained by conjugating carbohydrate moieties and peptides using chemoselective ligations (Huisgen cycloaddition and oxime ligation). Tetravalent, hexavalent and hexadecavalent glycoclusters with variable structures and compositions were synthesized, fully characterized and biologically evaluated with different targets in our laboratory or in collaborations. A hexadecavalent fucosylated glycocluster was thus identified as a strong inhibitor of the lectin PA-IIL from Pseudomonas aeruginosa at subnanomolar concentration. Another type of molecule containing carbohydrate and peptides has showed unique immunological properties, in particular for the activation of NK cells against tumors without inducing apoptotic effect Key words: carbohydrate chemistry, peptide chemistry, chimioselective ligations, glycoclusters, carbohydrate-protein interactions, lectin, NK cell.
35

Conception, synthèse et activité biologique de vecteurs peptidiques pour le ciblage et/ou la thérapie du cancer / Design, synthesis and biological activity of peptidic vectors for the diagnostic and/or therapy of tumours

Thoreau, Fabien 04 January 2017 (has links)
Ces travaux de thèse portent sur la conception, la synthèse et l'étude biologique de vecteurs peptidiques pour des applications en diagnostic et/ou thérapie du cancer.Nous avons utilisé des châssis cyclodécapeptidiques fonctionnalisés de façon chimiosélective par des éléments de ciblage et des effecteurs. Ces châssis, dotés de quatre ligands c[RGDfK], possèdent une forte affinité pour les récepteurs intégrine avB3 qui sont surexprimés dans de nombreux cancers et par les cellules endothéliales de l'environnement tumoral. Ils sont en revanche peu exprimés par les tissus sain. La présentation multivalente des ligands -RGD- permet également au châssis d'être internalisé par les cellules tumorales.Nous avons donc mis au point des molécules composées du châssis peptidique, de quatre ligands -RGD- pour le ciblage tumoral, et de différents effecteurs pour plusieurs applications. A travers de multiples collaborations, nous avons relié ce vecteur à un agent hautement toxique (cryptophycine), un photosensibilisateur (DHP), un peptide pro-apoptotique (BAX), un complexe de Gallium 68 (pour une étude clinique de phase I pour une application en imagerie TEP). Nous avons également greffé ces châssis présentant quatre motifs -RGD- à des polymères ou à des nanoparticules de silice, tous deux fluorescents.Le projet principal de cette thèse était la conception de vecteurs ciblant deux récepteurs tumoraux de manière simultanée. En plus de cibler l'intégrine avB3, nous avons ciblé le récepteur NRP1 qui est lui aussi surexprimé lors de l'angiogenèse tumorale. Nous avons exploité divers réactions chimiosélectives (oxime, cycloaddition de Huisgen, amidation) pour concevoir des vecteurs fluorescents ciblant l'un des deux récepteurs ou les deux à la fois. Des tests biologiques in vitro et in vivo ont été réalisés. Il s'avère que les composés à double ciblage permettent une très bonne détection de la tumeur, mais non supérieure à des composés à mono ciblage. En revanche, la réponse cellulaire déclenchée par les composés à double ciblage est unique, et totalement différente d'une co-injection. Nous avons plusieurs éléments qui tendent à prouver qu'un complexe NRP1-vecteur-Intégrine se formerait et resterait ancré au niveau de la membrane cellulaire, bloquant son internalisation. / This thesis work is about conception, synthesis and biological activities of peptide vectors for diagnostic and/or therapeutic applications against cancer.We used cyclodecapeptidic scaffolds chemoselectively handled with targeting elements and effectors. Those scaffolds presenting four c[RGDfK] ligands have a strong affinity for integrin avB3 receptors, wich are overexpressed in various cancers and by endothelial cells from the tumor surrounding. They are poorly expressed in healthy tissues. The multivalent presentation of -RGD- motifs higly increases the internalisation of the scaffold by tumor cells. Thus we developed molecules composed by four -RGD- motifs for tumor targeting, and different effectors for various applications. Thanks to multiple collaborations, we linked the vector to a highly cytotoxic compound (cryptophycine), a photosensitiser (DHP), a pro-apoptotic peptide (BAX), a DOTA complex (for 68-Ga complexation, for PET applications). We also grafted the cyclodecapeptide bearing four -RGD- motifs to polymers or silica nanoparticles, both fluorescent.The main project of this thesis was the conception of dual targeting vectors. Our objective was to simultaneously target two receptors overexpressed in the tumor periphery. Beside the targeting of avB3, we decided to target the NRP1 receptor, which is also overexpressed during tumor angiogenesis. We exploited various chemoselective reactions (oxime, huisgen cycloaddition, peptide coupling) to synthesise fluorescent vectors targeting one of the two receptors, or both. In vitro and in vivo biological experiments were realised. We discovered that dual targeting compounds allow a really good tumor detection, but inferior to mono targeting ones. Nevertheless, the cellular answer triggered by dual targeting compounds is totally different from those obtained with other compounds, including co-injection. We found different elements that tend to show that a NRP1-vector-integrin could be formed, and would be blocked inside the cellular membrane, resulting in its internalisation's blocking.
36

Synthèse biomimétique et automatisée de peptides crypto-thioester pour la ligation chimique native : application à des peptides naturels riches en cystéine / Bio-inspired automated synthesis of peptides crypto-thioester for native chemical ligation : application to naturally occurring cysteine-rich peptides

Terrier, Victor 29 January 2016 (has links)
Les peptides Cα-thioester jouent un rôle central dans la synthèse de protéines par voie chimique : ils sont des partenaires clés dans la ligation chimique native (NCL), réaction qui a révolutionné ce domaine. L’accès à ces peptides par Fmoc-SPPS, méthode largement utilisée dans les laboratoires, est encore restreint à des experts. Cette limitation représente à l’heure actuelle un frein à la démocratisation de la synthèse de protéines par NCL. Le premier volet de cette thèse décrit la conception et le développement d’une nouvelle méthode bioinspirée de synthèse de précurseurs de peptides thioester, fondée sur un dispositif de thioestérification intramoléculaire de type N-(2-hydroxy-5-nitrobenzyl)-cystéine (N-Hnb-Cys). La synthèse des peptides portant ce dispositif a été totalement automatisée à partir de réactifs peu couteux et ne requière pas d’étapes post-SPPS avant la NCL. La conception biomimétique du dispositif –ce dernier opérant via un réarrangement par transfert d’acyle N→S–, résulte en des cinétiques de NCL rapides à pH neutre. Un large éventail de précurseurs de thioester a été synthétisé, ceci nous a permis d’explorer le potentiel et les limites de la méthodologie, tout en soulignant son efficacité même pour des « séquences difficiles » et de longs peptides. Cette approche a été appliquée à la synthèse par ligation d’une gamme représentative de peptides naturels riches en cystéines, issus du venin d’un serpent, de mollusques, de primates ou encore de plantes. En particulier, nous avons décrit la première synthèse d’une Big-défensine (93 acides aminés), issue de l’huitre et dont l’activité biologique est en cours d’évaluation. Par ailleurs, une voie synthétique originale pour accéder à des peptides comprenant une cystéine C-terminale a été proposée. Elle repose sur l’introduction de cet acide aminé par NCL, évitant les réactions secondaires inhérentes aux approches existantes. Nous avons également appliqué notre approche à la synthèse par NCL intramoléculaire du squelette peptidique cyclique de plusieurs produits naturels, avec des rendements remarquables. L’ensemble de nos résultats est extrêmement encourageant pour la généralisation de notre approche. / Peptide Cα-thioesters play a prominent role in the chemical synthesis of proteins: they are key partners in native chemical ligation (NCL), a reaction that has revolutionized the field. Nonetheless, access to such peptides via the widely used Fmoc-SPPS is still limited to experts. This limitation is currently an obstacle to further popularization of NCL-based protein synthesis. The first part of this thesis describes the design and optimization of a new bio-inspired methodology for the synthesis of peptide thioester precursors, based on an N-(2-hydroxy-5-nitrobenzyl)-cysteine intramolecular thioesterification device (N-Hnb-Cys). Synthesis of peptides bearing this device was fully automated, starting from inexpensive materials. Importantly, no post-SPPS steps are required prior to NCL. The biomimetic design of the device –that operates through an N→S acyl shift–, results in fast NCL kinetics at neutral pH. A broad range of thioester precursors has been synthesized; this allowed us to explore the scope and limitation of the methodology, while stressing its efficiency even for demanding sequences and long peptides. This approach has been applied to the ligation-based synthesis of a representative variety of naturally occurring disulfide-rich peptides (DRP) sequences, from snake venom, molluscs, primates and plants. In particular, we have described the first synthesis of a Big-defensin (93 amino acids), discovered in oyster and whose biological activity is currently under evaluation. Furthermore, an original method for the synthesis of C-terminal cysteine-containing DRP has been proposed. It is based on the introduction of this amino acid through NCL, avoiding side reactions inherent to existing approaches. We have also applied our approach to the intramolecular NCL-based synthesis of the cyclic backbone of several DRP, with remarkable yields. Altogether, our results are extremely encouraging for the generalization of this methodology.
37

Native chemical ligation for the design of dynamic covalent peptides / Ligation chimique native réversible pour la conception de peptides covalents dynamiques

Garavini, Valentina 28 September 2015 (has links)
Utiliser la liaison peptidique dans des systèmes dynamiques covalents est très difficile en raison de sa stabilité intrinsèque. Dans ce travail, une nouvelle méthodologie pour échanger fragments peptidiques dans des conditions biocompatibles est décrite. Légères modifications du groupe amine d'un résidu de cystéine en peptides modèle permettent l'activation spécifique de cette jonction peptidique pour des réactions d'échange covalent. Grâce à un mécanisme de ligation chimique native réversible, fragments peptidiques sont échangés en solution aqueuse à pH physiologique et en présence de dithiothréitol (DTT), avec des demi-temps d'équilibration de 2 à 10 heures. Différentes possibles applications biologiques de cette nouvelle réaction réversible à peptides et glycopeptides sont aussi proposées. / The possibility to use the peptide bond in dynamic covalent systems is very challenging because of its intrinsic stability. In this work, a novel methodology to exchange peptide fragments in bio-compatible conditions is described. The introduction of small modifications to the N-terminus of a cysteine residue in model peptides allows for the specific activation of that peptide bond for exchange reactions. Through a reverse Native Chemical Ligation (NCL) mechanism, peptide fragments were scrambled in aqueous solution at physiological pH and in the presence of dithiothreitol (DTT), with half-times of equilibration in the 2-10 h range. Additionally, possible biological applications of this new reversible reaction to both peptides and glycopeptides are proposed.
38

Hybrid-Phase Native Chemical Ligation Approaches to Overcome the Limitations of Protein Total Synthesis

Yu, Ruixuan Ryan 29 December 2016 (has links)
No description available.
39

Detecção da microdeleção 7q11.23 por MLPA® e estudo clínico dos pacientes com síndrome de Williams-Beuren / Detection of the microdeletion 7q11.23 by MLPA® and clinical study of patients with Williams-Beuren syndrome

Honjo, Rachel Sayuri 30 May 2012 (has links)
INTRODUÇÃO: A síndrome de Williams-Beuren (SWB) é uma doença genética causada por uma microdeleção na região 7q11.23 e caracterizada por dismorfismos faciais típicos, deficiência intelectual, comportamento hipersociável, cardiopatia congênita, principalmente a estenose aórtica supravalvar (EASV), e outras malformações variáveis. MÉTODOS: Foram avaliados 65 pacientes (40 do sexo masculino, 25 do sexo feminino), com idades entre 2 e 59 anos (mediana = 14 anos), com características clínicas sugestivas de SWB. Todos os pacientes eram filhos de pais normais. A técnica de Multiplex Ligation-dependent Probe Amplification® (MLPA®) foi usada com kit específico com sondas da região da SWB (MRC Holland). As sondas foram hibridadas ao DNA e os fragmentos ligados foram amplificados por PCR e analisados com software específico. RESULTADOS: A deleção de todas as sondas da região 7q11.23 testadas foi detectada por MLPA® em 55/65 pacientes. Um caso de deleção atípica, ou seja, menor que 1,5 Mb, foi observada em um paciente com quadro clínico parcial da síndrome. Os nove pacientes sem deleção tinham um diagnóstico clínico duvidoso da SWB. Dois pacientes tiveram MLPA® positivo para SWB embora apresentassem resultados de FISH negativos. Os achados clínicos dos pacientes com deleção típica foram: fácies típica (98,2%), atraso do desenvolvimento neuropsicomotor (98,2%), comportamento hipersociável (94,5%), hiperacusia (94,5%) e cardiopatia (81,8%). Dentre os pacientes com cardiopatia, 42,2% apresentavam EASV (isolada ou associada a outras anomalias cardíacas), 26,7% apresentavam estenose pulmonar e 31,1% apresentavam outras cardiopatias isoladas ou em associação. Outros achados dos pacientes com deleção foram: anormalidades geniturinárias (85,4%), escoliose (56,4%), baixa estatura (43,6%), hérnias inguinais e/ou umbilicais (36,4%), hipertensão arterial (36,4%, com 20% destes apresentando estenose de artérias renais), estrabismo (34,5%), microcefalia (30,9%), sinostose radioulnar (10,9%), hipotireoidismo (14,5%) e hipotireoidismo subclínico (7,3%). Hipercalcemia foi detectada em um paciente apenas. Outros dois pacientes apresentaram nefrocalcinose e um paciente apresentou hipercalciúria, com níveis de cálcio sérico normais. Três pacientes adolescentes foram a óbito por causas cardiovasculares, incluindo um caso de óbito após transplante cardíaco. CONCLUSÕES: A técnica de MLPA® foi eficaz na detecção da microdeleção na região 7q11.23 possibilitando a confirmação diagnóstica da SWB em 84,6% dos pacientes estudados. Além disso, foi possível detectar uma deleção menor atípica em um paciente com fenótipo parcial e confirmar o diagnóstico em dois pacientes com quadro clínico típico de SWB e resultados de FISH negativos. Portanto, o MLPA® constitui-se um método promissor na investigação diagnóstica da SWB. Por ser uma doença multissistêmica, a SWB exige cuidados multidisciplinares e acompanhamento específico a fim de se prevenir complicações / INTRODUCTION: Williams-Beuren syndrome (WBS) is a genetic disorder caused by a microdeletion in 7q11.23 region. It is characterized by typical facial dysmorphisms, mental retardation, hipersociable behavior, congenital heart disease, mainly supravalvular aortic stenosis (SVAS), and other variable congenital malformations. METHODS: 65 patients (40 males, 25 females), aged 2-59 years old (median = 14 years old), with clinical characteristics suggesting WBS, were evaluated. All patients had normal parents. Multiplex Ligation-dependent Probe Amplification® (MLPA®) was performed with a kit with probes in WBS region (MRC Holland). The probes were hybridized to the DNA and the ligated fragments were amplified by PCR and analyzed with specific software. RESULTS: The deletion for all tested probes in the 7q11.23 region was detected by MLPA® in 55/65 patients. One case of atypical deletion, smaller than 1.5 Mb, was observed in one patient with partial clinical picture of the syndrome. The nine patients without the deletion did not have a definitive clinical diagnosis of WBS. Two patients had positive MLPA® results even though they had negative FISH for WBS. The clinical characteristics of the patients with the typical deletion were: typical facies (98.2%), neuropsicomotor delay (98.2%), hypersociable behavior (94.5%), hyperacusis (94.5%) and congenital heart disease (81.8%). Among the patients with cardiac abnormalities, 42.2% had SVAS (isolated or not), 26.7% had pulmonary valve stenosis and 31.1% had other cardiac anomalies (isolated or grouped). Other findings in patients with deletion comprised: genitourinary abnormalities (85.4%), scoliosis (56.4%), short stature (43.6%), inguinal and/or umbilical hernias (36.4%), arterial hypertension (36.4%, with 20% of these presenting renal arteries stenosis), strabismus (34.5%), microcephaly (30.9%), radioulnar synostosis (10.9%), hypothyroidism (14.5%), and subclinical hypothyroidism (7.3%). Hypercalcaemia was detected in only one patient. Two other patients had nephrocalcinosis and one patient had hypercalciuria, with normal serum calcium levels. Three adolescents died due to cardiovascular problems, including one case that died after a cardiac transplantation. CONCLUSIONS: MLPA® was effective to detect the microdeletion in 7q11.23 region confirming the diagnosis of WBS in 84.6% of the patients. It was also possible to detect a small atypical deletion in one patient with partial phenotype and confirm the diagnosis in two patients with typical clinical characteristics of WBS and negative FISH results. Thus, MLPA® is a promising method in the diagnostic investigation of WBS. WBS is a multisystemic disorder and therefore requires multidisciplinary care and specific follow-up in order to prevent complications
40

Neue Auxiliare für die Peptidfragmentverknüpfung

Haase, Christian 01 June 2010 (has links)
In dieser Dissertation wurden Verfahren für die konvergente Synthese von Peptide entwickelt. Für die erweiterte native chemische Ligation kamen bisher raumbeanspruchende Auxiliare zum Einsatz, die anspruchsvolle Ligationen behinderten. Zudem waren die drastischen säure-basierten Abspaltbedinungen mit vielen post-translationalen Modifikationen nicht vereinbar. In dieser Arbeit wurde ein neuartiges Auxiliargerüst mit geringerem Raumanspruch untersucht, dass eine erheblich mildere Abspaltung unter basischen Bedingungen ermöglichte. Dazu wurde ein kleiner Elektronenakzeptorsubsituent eingeführt, durch den nach der Ligation eine das Zielpeptid freisetzende Eliminierungsreaktion induziert werden konnte. Weiterhin konnte die Verwendung des kommerziell verfügbaren Penicillamins als Vorläufer in der Ligations-Entschwefelungs-Strategie demonstriert werden. Abschließend wurde die Ligation mit sequenz-internem Cystein untersucht. Hierbei zeigte sich, dass Peptide mit Cystein in einer bestimmten Position bevorzugt in thioester-basierten Kondensationen reagierten. / In this thesis approaches for convergent synthesis of peptides have been developed. In the extended native chemical ligation so far space demanding auxiliaries encumbered challenging condensations. Furthermore the required drastic acidolytic cleavage conditions were furthermore incompatible with many post-translational modifications. In the thesis a nouvelle less space demanding scaffold was scrutinized which allowed a milder basic cleavage. Therefore a small electron-accepting substituent was introduced that enabled the induction of an elimination reaction liberating the target peptide after the peptide ligation had taken place. Furthermore the applicability of the commercially available penicillamine as precursor of valine in the ligation-desulfurization strategy could be demonstrated. Finally the ligation with sequence internal cysteines was scrutinized. Herein it could be shown that certain peptides with cysteine in a distinctive position of the sequence preferable reacted in thioester-based condensation reactions.

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