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1.
Cell ; 148(3): 421-33, 2012 Feb 03.
Artigo em Inglês | MEDLINE | ID: mdl-22304913

RESUMO

Resveratrol, a polyphenol in red wine, has been reported as a calorie restriction mimetic with potential antiaging and antidiabetogenic properties. It is widely consumed as a nutritional supplement, but its mechanism of action remains a mystery. Here, we report that the metabolic effects of resveratrol result from competitive inhibition of cAMP-degrading phosphodiesterases, leading to elevated cAMP levels. The resulting activation of Epac1, a cAMP effector protein, increases intracellular Ca(2+) levels and activates the CamKKß-AMPK pathway via phospholipase C and the ryanodine receptor Ca(2+)-release channel. As a consequence, resveratrol increases NAD(+) and the activity of Sirt1. Inhibiting PDE4 with rolipram reproduces all of the metabolic benefits of resveratrol, including prevention of diet-induced obesity and an increase in mitochondrial function, physical stamina, and glucose tolerance in mice. Therefore, administration of PDE4 inhibitors may also protect against and ameliorate the symptoms of metabolic diseases associated with aging.


Assuntos
3',5'-AMP Cíclico Fosfodiesterases/antagonistas & inibidores , Envelhecimento/metabolismo , Restrição Calórica , Transdução de Sinais , Estilbenos/administração & dosagem , 3',5'-AMP Cíclico Fosfodiesterases/química , 3',5'-AMP Cíclico Fosfodiesterases/metabolismo , Quinases Proteína-Quinases Ativadas por AMP , Tecido Adiposo Branco/efeitos dos fármacos , Animais , Nucleotídeo Cíclico Fosfodiesterase do Tipo 4/química , Nucleotídeo Cíclico Fosfodiesterase do Tipo 4/metabolismo , Dieta , Intolerância à Glucose/prevenção & controle , Fatores de Troca do Nucleotídeo Guanina/metabolismo , Camundongos , Modelos Moleculares , Músculo Esquelético/efeitos dos fármacos , NAD/metabolismo , Obesidade/prevenção & controle , Proteínas Quinases/metabolismo , Resveratrol , Rolipram/administração & dosagem , Canal de Liberação de Cálcio do Receptor de Rianodina/metabolismo , Sirtuína 1/metabolismo
2.
Dev Dyn ; 253(8): 722-749, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38270285

RESUMO

BACKGROUND: The two-pore domain potassium (K2P) channels are a major type of potassium channels that maintain the cell membrane potential by conducting passive potassium leak currents independent of voltage change. They play prominent roles in multiple physiological processes, including neuromodulation, perception of pain, breathing and mood control, and response to volatile anesthetics. Mutations in K2P channels have been linked to many human diseases, such as neuronal and cardiovascular disorders and cancers. Significant progress has been made to understand their protein structures, physiological functions, and pharmacological modifiers. However, their expression and function during embryonic development remain largely unknown. RESULTS: We employed the zebrafish model and identified 23 k2p genes using BLAST search and gene cloning. We first analyzed vertebrate K2P channel evolution by phylogenetic and syntenic analyses. Our data revealed that the six subtypes of the K2P genes have already evolved in invertebrates long before the emergence of vertebrates. Moreover, the vertebrate K2P gene number increased, most likely due to two whole-genome duplications. Furthermore, we examined zebrafish k2p gene expression during early embryogenesis by in situ hybridization. Each subgroup's genes showed similar but distinct gene expression domains with some exceptions. Most of them were expressed in neural tissues consistent with their known function of neural excitability regulation. However, a few k2p genes were expressed temporarily in specific tissues or organs, suggesting that these K2P channels may be needed for embryonic development. CONCLUSIONS: Our phylogenetic and developmental analyses of K2P channels shed light on their evolutionary history and potential roles during embryogenesis related to their physiological functions and human channelopathies.


Assuntos
Evolução Molecular , Filogenia , Canais de Potássio de Domínios Poros em Tandem , Peixe-Zebra , Animais , Peixe-Zebra/genética , Peixe-Zebra/embriologia , Canais de Potássio de Domínios Poros em Tandem/genética , Canais de Potássio de Domínios Poros em Tandem/metabolismo , Regulação da Expressão Gênica no Desenvolvimento , Embrião não Mamífero/metabolismo , Proteínas de Peixe-Zebra/genética , Proteínas de Peixe-Zebra/metabolismo , Desenvolvimento Embrionário/genética
3.
J Cell Sci ; 134(8)2021 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-33722979

RESUMO

CRISPR/Cas9-based tissue-specific knockout techniques are essential for probing the functions of genes in embryonic development and disease using zebrafish. However, the lack of capacity to perform gene-specific rescue or live imaging in the tissue-specific knockout background has limited the utility of this approach. Here, we report a robust and flexible gateway system for tissue-specific gene inactivation in neutrophils. Using a transgenic fish line with neutrophil-restricted expression of Cas9 and ubiquitous expression of single guide (sg)RNAs targeting rac2, specific disruption of the rac2 gene in neutrophils is achieved. Transient expression of sgRNAs targeting rac2 or cdk2 in the neutrophil-restricted Cas9 line also results in significantly decreased cell motility. Re-expressing sgRNA-resistant rac2 or cdk2 genes restores neutrophil motility in the corresponding knockout background. Moreover, active Rac and force-bearing F-actins localize to both the cell front and the contracting tail during neutrophil interstitial migration in an oscillating fashion that is disrupted when rac2 is knocked out. Together, our work provides a potent tool that can be used to advance the utility of zebrafish in identifying and characterizing gene functions in a tissue-specific manner.


Assuntos
Neutrófilos , Peixe-Zebra , Animais , Animais Geneticamente Modificados , Sistemas CRISPR-Cas/genética , Repetições Palindrômicas Curtas Agrupadas e Regularmente Espaçadas/genética , Neutrófilos/metabolismo , Peixe-Zebra/genética , Peixe-Zebra/metabolismo , Proteínas de Peixe-Zebra/genética , Proteínas de Peixe-Zebra/metabolismo , Proteínas rac de Ligação ao GTP/metabolismo
4.
Dev Dyn ; 251(4): 687-713, 2022 04.
Artigo em Inglês | MEDLINE | ID: mdl-34558132

RESUMO

BACKGROUND: Inwardly rectifying potassium channels are essential for normal potassium homeostasis, maintaining the cellular resting membrane potential, and regulating electrolyte transportation. Mutations in Kir channels have been known to cause debilitating diseases ranging from neurological abnormalities to renal and cardiac failures. Many efforts have been made to understand their protein structures, physiological functions, and pharmacological modifiers. However, their expression and functions during embryonic development remain largely unknown. RESULTS: Using zebrafish as a model, we identified and renamed 31 kir genes. We also analyzed Kir gene evolution by phylogenetic and syntenic analyses. Our data indicated that the four subtypes of the Kir genes might have already evolved out in chordates. These vertebrate Kir genes most likely resulted from both whole-genome duplications and tandem duplications. In addition, we examined zebrafish kir gene expression during early embryogenesis. Each subgroup's genes showed similar but distinct gene expression domains. The gene expression of ohnologous genes from teleost-specific whole-genome duplication indicated subfunctionalization. Varied temporal gene expression domains suggest that Kir channels may be needed for embryonic patterning or regulation. CONCLUSIONS: Our phylogenetic and developmental analyses of Kir channels shed light on their evolutionary history and potential functions during embryogenesis related to congenital diseases and human channelopathies.


Assuntos
Canais de Potássio Corretores do Fluxo de Internalização , Peixe-Zebra , Animais , Desenvolvimento Embrionário/genética , Expressão Gênica , Filogenia , Canais de Potássio Corretores do Fluxo de Internalização/genética , Canais de Potássio Corretores do Fluxo de Internalização/metabolismo , Peixe-Zebra/genética , Peixe-Zebra/metabolismo
5.
Nano Lett ; 21(9): 3974-3980, 2021 May 12.
Artigo em Inglês | MEDLINE | ID: mdl-33881890

RESUMO

We report highly emissive and radiatively cooled metallic surfaces that sustain multiple and high-amplitude gap plasmon cavity modes within the principal thermal radiation spectrum at room temperature (i.e., 8-13 µm). A square-lattice array of Cu/ZnS/Cu gap plasmon cavities with five different widths was designed to avoid the near-field coupling between adjacent cavities and the anticrossing of a cavity mode and the first diffraction mode. The gap plasmon cavities fabricated on a Si substrate exhibited an effective emissivity of >0.62, up to an incidence of 60°. Outdoor solar heating experiments showed that the Cu/ZnS/Cu multicavity array lowered the Si substrate temperature by 4 °C at a maximum solar irradiance of 800 W/m2, which is equivalent to a near-one-sun intensity, relative to a planar Cu/ZnS/Cu multilayer. Such mid-infrared spectrum management of metals enables heat dissipation via radiation, which will be further utilized for designing electrodes that cool optoelectronic devices with the same metal/dielectric/metal configuration.

6.
Int J Mol Sci ; 23(20)2022 Oct 20.
Artigo em Inglês | MEDLINE | ID: mdl-36293452

RESUMO

Computational modeling can provide a mechanistic and quantitative framework for describing intracellular spatial heterogeneity of solutes such as oxygen partial pressure (pO2). This study develops and evaluates a finite-element model of oxygen-consuming mitochondrial bioenergetics using the COMSOL Multiphysics program. The model derives steady-state oxygen (O2) distributions from Fickian diffusion and Michaelis-Menten consumption kinetics in the mitochondria and cytoplasm. Intrinsic model parameters such as diffusivity and maximum consumption rate were estimated from previously published values for isolated and intact mitochondria. The model was compared with experimental data collected for the intracellular and mitochondrial pO2 levels in human cervical cancer cells (HeLa) in different respiratory states and under different levels of imposed pO2. Experimental pO2 gradients were measured using lifetime imaging of a Förster resonance energy transfer (FRET)-based O2 sensor, Myoglobin-mCherry, which offers in situ real-time and noninvasive measurements of subcellular pO2 in living cells. On the basis of these results, the model qualitatively predicted (1) the integrated experimental data from mitochondria under diverse experimental conditions, and (2) the impact of changes in one or more mitochondrial processes on overall bioenergetics.


Assuntos
Consumo de Oxigênio , Oxigênio , Humanos , Mioglobina/metabolismo , Simulação por Computador , Metabolismo Energético
7.
Arch Orthop Trauma Surg ; 142(9): 2157-2163, 2022 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33646355

RESUMO

INTRODUCTION: Studies regarding the development of metallosis following open reduction and internal fixation (ORIF) of fractures are rarely found in orthopedic literature. The aim of the current study was to assess metallosis following ORIF using distal fibular locking plates to treat distal fibular fractures. MATERIALS AND METHODS: 69 patients who underwent surgery using locking compression plates to treat lateral malleolar fractures, with a minimum 1-year follow-up period and subsequent hardware removal were enrolled in our study. We divided the patients into 2 groups, to compare the complications and demographics: 38 patients, treated with ZPLP plate; 31 patients, treated with other plates. RESULTS: During 1 year of postoperative follow-up, 20 complications developed: 6 superficial infections at the operative site, 1 case of nonunion, 3 cases of osteitis, 4 cases of hypaesthesia, 2 cases of peripheral neuropathy, and 4 cases of metallosis. No statistical difference was found in the rate of complications when comparing the treatment groups (Mann-Whitney U test, p < .05) except for metallosis. All 4 patients who developed metallosis were treated using a ZPLP plate, and metallosis did not develop at all in patients who underwent surgery using other plates. CONCLUSION: In our study, metallosis developed more than was previously known, particularly after using LCPs to treat lateral malleolar fractures. Our findings and those in recent publications support the possibility that metallosis can occur not only in patients with arthroplasties, but also in patients with open reduction and internal fixation with LCPs. Surgeons should be aware of such risk of metallosis and be careful to select proper plates for internal fixation.


Assuntos
Fraturas do Tornozelo , Placas Ósseas , Fraturas do Tornozelo/complicações , Placas Ósseas/efeitos adversos , Fíbula/cirurgia , Fixação Interna de Fraturas/efeitos adversos , Humanos , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/cirurgia , Estudos Retrospectivos , Resultado do Tratamento
8.
J Card Surg ; 36(9): 3283-3287, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34171136

RESUMO

BACKGROUND: The transaortic approach is the most common method of septal myectomy. However, difficulties arise due to a limited view of the surgical field. Here, we report our experience with videoscope-assisted transaortic myectomy. METHODS: We reviewed myectomy operations that were performed between July 2015 and June 2019 at Chung-Ang University Hospital, Seoul, South Korea. Patients who previously had cardiac surgery, alcohol septal ablation, or concomitant disease which required combined surgery, were excluded. Among the 21 patients included, 10 patients underwent videoscope-assisted transaortic myectomy (VA group), and 11 patients underwent myectomy in a conventional manner (CO group). The preoperative data, echocardiographic images, operative records, and postoperative outcomes of these patients were reviewed. RESULTS: There were no differences in baseline characteristics between groups VA and CO. The main indications for videoscope-assisted transaortic myectomy in group VA were midventricular septal muscle resection (70%), abnormal papillary muscle resection (40%), and abnormal chordal connection resection (30%). Eight (80%) patients had multiple indications for videoscope-assisted transaortic myectomy. There was no surgical mortality in either group. Postoperative patients showed less than moderate mitral regurgitation and a New York Heart Association class either III or IV. There were no differences in hospital days (9.5 vs. 12.0 days; p = .383), nor postoperative pressure gradient (14 vs. 15 mmHg; p > .99). CONCLUSIONS: Videoscope-assisted transaortic myectomy is an effective surgical technique in selective hypertrophic cardiomyopathy patients with complex intraventricular anatomy, diffuse hypertrophy, and midventricular obstruction.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Cardiomiopatia Hipertrófica , Cardiomiopatia Hipertrófica/complicações , Cardiomiopatia Hipertrófica/cirurgia , Septos Cardíacos/diagnóstico por imagem , Septos Cardíacos/cirurgia , Ventrículos do Coração , Humanos , Resultado do Tratamento
9.
J Card Surg ; 36(10): 3711-3718, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34310744

RESUMO

BACKGROUND AND AIM OF THE STUDY: Although dopamine and norepinephrine are recommended as first-line agents in the treatment of shock, it is unclear which is the optimal vasoactive inotropic agent (VIA) to manage postcardiotomy circulatory shock. This single-center, randomized clinical trial aimed to investigate the efficacy and safety of dopamine versus norepinephrine in postcardiotomy circulatory shock. METHODS: We randomly assigned the patients with postcardiotomy circulatory shock to receive either dopamine or norepinephrine. When shock persisted despite the dose of 20 µg/kg/min of dopamine or the dose of 0.2 µg/kg/min of norepinephrine, epinephrine or vasopressin could be added. The primary endpoint was new-onset tachyarrhythmic event during drug infusion. Secondary endpoints included requirement of additional VIAs, postoperative complications, and all-cause mortality within 30 days of drug initiation. RESULTS: At the planned interim analysis of 100 patients, the boundary for the benefit of norepinephrine has been crossed, and the study was stopped early. Excluding two patients withdrawing a consent, 48 patients were assigned to dopamine and 50 patients to norepinephrine. New-onset tachyarrhythmic event occurred in 12 (25%) patients in the dopamine and one (2%) patient in the norepinephrine group (p = .009). The requirement for additional VIAs was more common in the dopamine group (p < .001). Other secondary endpoints were similar between groups. CONCLUSIONS: Despite the limited study subjects with early determination, in patients with postcardiotomy circulatory shock, dopamine as a first-line vasopressor was associated with higher tachyarrhythmic events and greater need for additional VIAs compared with norepinephrine.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Choque Séptico , Choque , Procedimentos Cirúrgicos Cardíacos/efeitos adversos , Dopamina , Humanos , Norepinefrina , Choque/tratamento farmacológico , Choque/etiologia , Choque Séptico/tratamento farmacológico , Vasoconstritores , Vasopressinas
10.
Sensors (Basel) ; 21(15)2021 Jul 28.
Artigo em Inglês | MEDLINE | ID: mdl-34372342

RESUMO

Smart home services (SHS) should support the positive experiences of the elderly in homes with a focus on getting closer to nature. The study identified the services preferred by the elderly through a survey on the biophilic experience-based SHS, and to discuss the configuration of the sensors and devices required to provide the service. We reorganized the biophilic experience-based SHS and related sensors and devices, focusing on our previous study, and developed a survey instrument. A preference survey was conducted on 250 adults aged 20 and older, and the SPSS program was used for a factor analysis and independent two-sample T-test. We derived six factors for biophilic experience-based SHS. Compared to other age groups, the elderly preferred services that were mainly attributed to factors such as 'Immersion and interaction with nature' (A), 'Management of well-being and indoor environmental quality (IEQ)' (B), and 'Natural process and systems' (F). We proposed 15 prioritized services, along with their sensor and device configurations, in consideration of service provision regarding the elderly's preferences and universality. This study contributes to new developments in elderly-friendly smart home research by converting bio-friendly ideas into the market in the development of medical services and SHS for the elderly.


Assuntos
Inquéritos e Questionários , Idoso , Humanos
11.
Sensors (Basel) ; 21(8)2021 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-33920357

RESUMO

A colonoscopy is a medical examination used to check disease or abnormalities in the large intestine. If necessary, polyps or adenomas would be removed through the scope during a colonoscopy. Colorectal cancer can be prevented through this. However, the polyp detection rate differs depending on the condition and skill level of the endoscopist. Even some endoscopists have a 90% chance of missing an adenoma. Artificial intelligence and robot technologies for colonoscopy are being studied to compensate for these problems. In this study, we propose a self-supervised monocular depth estimation using spatiotemporal consistency in the colon environment. It is our contribution to propose a loss function for reconstruction errors between adjacent predicted depths and a depth feedback network that uses predicted depth information of the previous frame to predict the depth of the next frame. We performed quantitative and qualitative evaluation of our approach, and the proposed FBNet (depth FeedBack Network) outperformed state-of-the-art results for unsupervised depth estimation on the UCL datasets.


Assuntos
Adenoma , Inteligência Artificial , Colonoscópios , Colonoscopia , Retroalimentação , Humanos
12.
Opt Express ; 28(10): 15472-15481, 2020 May 11.
Artigo em Inglês | MEDLINE | ID: mdl-32403574

RESUMO

When a one-dimensional (1D) metal array is coupled to a planar metal mirror with a dielectric gap, localized plasmon resonance is excited inside the gap at a specific polarization of light in free space. Herein, we report on the completely polarized, mid-infrared thermal radiation that is released from gap plasmon resonators with a nanometer-thick dielectric. We fabricated nanogap plasmon resonators with 1D Au or Ni array of various widths (w) using laser interference lithography. An atomic layer deposition process was used to introduce a 10 nm-thick alumina gap between a 1D metal array and a planar metal mirror. It was observed that only for the Au nanogap plasmon resonators, high-amplitude absorption peaks that were attributed to gap plasmon modes with different orders appeared at discrete wavelengths in a polarization-resolved spectrum. In addition, all the pronounced peaks were gradually redshifted with increasing w. At w = 1.2-1.6 µm, the fundamental gap plasmon mode was tuned to the main wavelengths (8-9 µm) of thermal radiation at room temperature (e.g., ∼300 K), which led to polarization-selective camouflage against standard infrared thermal imaging. The results of electromagnetic simulations quantitatively agreed with the measured absorbance spectra in both peak wavelength and amplitude. We believe that these experimental efforts towards achieving radiation/absorption spectra tailored at mid-infrared wavelengths will be further exploited in thermal-radiation harnessed energy devices, spectroscopic sensors, and radiative coolers.

13.
Surg Endosc ; 34(2): 622-627, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-31065778

RESUMO

BACKGROUND: There is ongoing debate about whether or not robot-assisted thyroidectomy is appropriate for modified radical neck dissection (MRND). The purpose of this study was to compare the surgical outcomes of robot-assisted MRND with those of a conventional open procedure. METHODS: One hundred and forty-five patients who underwent total thyroidectomy, bilateral central neck dissection, and MRND (robotic, n = 28; open, n = 117) at our institution from June 2011 to June 2015 were enrolled in the study. The surgical completeness and complication rates in the robotic and open groups were retrospectively compared after 1:3 propensity score matching for age, sex, body mass index, tumor size, and extrathyroidal extension. RESULTS: The complication rates, including transient or permanent hypoparathyroidism and recurrent laryngeal nerve palsy, were comparable between the study groups (p > 0.05). The operating time was significantly longer in the robotic group than in the open group (p < 0.001). There was no significant difference in the number of retrieved lymph nodes, metastatic lymph nodes, or stimulated serum thyroglobulin level between the two groups (p = 0.733, p = 0.663, and p = 0.285, respectively). CONCLUSIONS: The surgical outcomes, including complication and completeness rates, were comparable between robot-assisted MRND using a bilateral axillary breast approach and conventional open surgery. Robot-assisted MRND can be recommended as an alternative to a conventional open procedure for thyroidectomy.


Assuntos
Carcinoma Papilar/cirurgia , Esvaziamento Cervical/métodos , Complicações Pós-Operatórias/epidemiologia , Pontuação de Propensão , Robótica/métodos , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia/métodos , Adulto , Axila , Mama , Carcinoma Papilar/diagnóstico , Carcinoma Papilar/secundário , Feminino , Humanos , Incidência , Linfonodos/patologia , Metástase Linfática , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , República da Coreia/epidemiologia , Estudos Retrospectivos , Neoplasias da Glândula Tireoide/diagnóstico
14.
Biochem Biophys Res Commun ; 506(4): 1059-1064, 2018 12 02.
Artigo em Inglês | MEDLINE | ID: mdl-30409425

RESUMO

AIMS: Therapies that recapitulate the health benefits of caloric restriction in older adults are needed. Phosphodiesterase 4 inhibitors demonstrate such promise. We examined their effects on body weight and composition, physical and cognitive function in aged mice using Compound D159687 (D159687). METHODS: Nineteen 18-months old mice were randomized to receive either control (DMSO) or D159687 for seven weeks. We assessed food intake, body weight and body composition over time and performed once the following tests: treadmill, inverted grip strength, rotarod, spontaneous Y maze tests and skeletal muscle mitochondrial biogenesis. RESULTS: Four of the D159687 treated mice died in the first week. Necropsy suggests acute lung injury. D159687 treated mice weighed more than control mice at baseline. After controlling for baseline weight, D159687 treated mice lost 4.2 grams(g) more weight than control mice, mainly from fat mass loss (p value < 0.001). Muscle mass was unchanged between the two mice groups. D159587 mice ate significantly more food than the control mice. We found no difference between the two groups in the results of treadmill, rotarod and spontaneous Y maze tests and in mitochondrial biogenesis. CONCLUSION: Compound D159687 induced weight loss, predominantly fat mass loss and increased food intake in aged mice. The caloric restriction and lean mass preservation potential of PDE4D inhibitors deserve further verification. Findings may have major therapeutic implications when translated to the older adult population. Although physical and cognitive parameters were unchanged in this study, further studies would be needed to verify these results. The high death rate in the D159687 treated mice may have been due to the technical aspects of oral gavage.


Assuntos
Envelhecimento/fisiologia , Compostos Benzidrílicos/farmacologia , Cognição/efeitos dos fármacos , Nucleotídeo Cíclico Fosfodiesterase do Tipo 4/metabolismo , Compostos de Fenilureia/farmacologia , Inibidores da Fosfodiesterase 4/farmacologia , Magreza/patologia , Redução de Peso/efeitos dos fármacos , Adiposidade/efeitos dos fármacos , Animais , Comportamento Alimentar/efeitos dos fármacos , Masculino , Aprendizagem em Labirinto/efeitos dos fármacos , Camundongos Endogâmicos C57BL , Biogênese de Organelas
15.
Surg Endosc ; 32(8): 3480-3485, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-29340816

RESUMO

BACKGROUND: Robotic thyroidectomy has many advantages with comparable oncologic safety over conventional open surgery in low-risk differentiated thyroid cancer cases. However, there have been few reports on the outcomes of patients who have been treated with robotic thyroidectomy for more advanced thyroid cancer. The aim of this study was to investigate the validity of expanding indications of robotic thyroidectomy for more advanced thyroid cancer. METHODS: The data of 80 patients with thyroid cancer who underwent robotic total thyroidectomy between January 2013 and December 2014 performed by a single surgeon at Chung-Ang University Hospital were retrospectively reviewed. Among them, 40 patients who had cancer larger than 2 cm or suspicious capsular invasion, or central lymph node (LN) metastasis in preoperative pathologic and radiologic examinations were categorized into the more advanced thyroid cancer group and the remaining patients into the early thyroid cancer group. We compared surgical safety and surgical completeness parameters between the two groups. RESULTS: The patients in more advanced thyroid cancer group had larger tumors, more extrathyroidal extension, and higher T stages. Surgical safety parameters, such as hypoparathyroidism, vocal cord palsy, and other complications did not differ significantly between the two groups. Surgical completeness parameters, such as the mean number of retrieved LNs, median values of the stimulated thyroglobulin levels, and the proportion of patients with stimulated thyroglobulin levels less than 1 ng/mL, also did not differ significantly. CONCLUSIONS: The outcomes of the patients with more advanced thyroid cancer who were treated with robotic thyroidectomy were comparable to those of the early cancer group patients. Well-designed investigations that are conducted at multiple centers are needed to affirm the validity of expanding indications of robotic thyroidectomy.


Assuntos
Carcinoma/cirurgia , Procedimentos Cirúrgicos Robóticos , Neoplasias da Glândula Tireoide/cirurgia , Tireoidectomia/métodos , Adulto , Carcinoma/patologia , Feminino , Seguimentos , Humanos , Metástase Linfática , Masculino , Margens de Excisão , Pessoa de Meia-Idade , Invasividade Neoplásica , Estadiamento de Neoplasias , Estudos Retrospectivos , Neoplasias da Glândula Tireoide/patologia , Resultado do Tratamento
16.
Biochem Biophys Res Commun ; 469(3): 363-9, 2016 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-26655813

RESUMO

The radiation stress induces cytotoxic responses of cell death as well as cytoprotective responses of cell survival. Understanding exact cellular mechanism and signal transduction pathways is important in improving cancer radiotherapy. Increasing evidence suggests that cyclic AMP response element binding protein (CREB)/activating transcription factor (ATF) family proteins act as a survival factor and a signaling molecule in response to stress. We postulated that CREB inhibition via CRE decoy oligonucleotide increases tumor cell sensitization to γ-irradiation-induced cytotoxic stress. In the present study, we demonstrate that CREB phosphorylation and CREB DNA-protein complex formation increased in time- and radiation dose-dependent manners, while there was no significant change in total protein level of CREB. In addition, CREB was phosphorylated in response to γ-irradiation through p38 MAPK pathway. Further investigation revealed that CREB blockade by decoy oligonucleotides functionally inhibited transactivation of CREB, and significantly increased radiosensitivity of multiple human cancer cell lines including TP53- and/or RB-mutated cells with minimal effects on normal cells. We also demonstrate that tumor cells ectopically expressing dominant negative mutant CREB (KCREB) and the cells treated with p38 MAPK inhibitors were more sensitive to γ-irradiation than wild type parental cells or control-treated cells. Taken together, we conclude that CREB protects tumor cells from γ-irradiation, and combination of CREB inhibition plus ionizing radiation will be a promising radiotherapeutic approach.


Assuntos
Fatores Ativadores da Transcrição/metabolismo , Modulador de Elemento de Resposta do AMP Cíclico/metabolismo , Raios gama/uso terapêutico , Neoplasias Experimentais/patologia , Neoplasias Experimentais/radioterapia , Oligonucleotídeos/administração & dosagem , Fatores Ativadores da Transcrição/genética , Linhagem Celular Tumoral , Sobrevivência Celular/efeitos da radiação , Modulador de Elemento de Resposta do AMP Cíclico/genética , Humanos , Neoplasias Experimentais/genética , Tolerância a Radiação/efeitos dos fármacos , Tolerância a Radiação/genética , Transcrição Gênica
17.
Surg Endosc ; 30(9): 3861-6, 2016 09.
Artigo em Inglês | MEDLINE | ID: mdl-27071929

RESUMO

BACKGROUND: Robotic thyroid surgery using the da Vinci surgical system has certain cosmetic advantages; however, the invasiveness of robotic thyroid surgery is still a concern to many surgeons. Previous research has not directly compared the surgical stress of robotic thyroidectomy with that of conventional open surgery. The aim of the present study was to evaluate surgical stress using postsurgical measurements of several clinical markers. METHODS: A pilot study was performed to evaluate surgical stress following robotic and open thyroid surgery. A total of 29 papillary thyroid cancer patients from July to November 2014 were enrolled. Fourteen patients underwent conventional open surgery, and fifteen underwent robotic thyroidectomy. IL-6 levels, serum WBC counts, CRP levels, surgical plethysmographic index (SPI), and visual analogue scale (VAS) score were measured to compare surgical stress between the robotic and the open surgery groups. RESULTS: No significant differences were seen between the two groups in IL-6 level, WBC count or CRP level (p = 0.380, 0.374, 0.360, respectively). Mean SPI level during the surgery was 41.9 ± 4.7 in open group compared to 39.5 ± 2.2 in robotic group, though this finding showed borderline significance (p = 0.095). VAS score after open surgery was significantly higher than after robotic operation (p = 0.048). CONCLUSION: The results of this study suggest that robotic thyroidectomy can result in a less than equivocal systemic stress response than is seen in open thyroidectomy. However, further investigation including large-scale, prospective, multicenter studies is warranted for non-inferiority trials.


Assuntos
Procedimentos Cirúrgicos Robóticos , Tireoidectomia/métodos , Adulto , Proteína C-Reativa/análise , Carcinoma/cirurgia , Carcinoma Papilar , Feminino , Humanos , Interleucina-6/sangue , Contagem de Leucócitos , Masculino , Projetos Piloto , Pletismografia , Período Pós-Operatório , Estudos Prospectivos , Câncer Papilífero da Tireoide , Neoplasias da Glândula Tireoide/cirurgia , Escala Visual Analógica
18.
Clin Anat ; 29(4): 473-80, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26710236

RESUMO

The purpose of this study is to investigate differences in and correlations between cognitive abilities and brain volumes in healthy control (HC), mild cognitive impairment (MCI), and Alzheimer's disease (AD) groups. The Korean Version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD-K), which is used to diagnose AD, was used to measure the cognitive abilities of the study subjects, and the volumes of typical brain components related to AD diagnosis-cerebrospinal fluid (CSF), gray matter (GM), and white matter (WM)-were acquired. Of the CERAD-K subtests, the Boston Naming Test distinguished significantly among the HC, MCI, and AD groups. GM and WM volumes differed significantly among the three groups. There was a significant positive correlation between Boston Naming Test scores and GM and WM volumes. In conclusion, the Boston Naming Test and GM and WM brain volumes differentiated the three tested groups accurately, and there were strong correlations between Boston Naming Test scores and GM and WM volumes. These results will help to establish a test method that differentiates the three groups accurately and is economically feasible.


Assuntos
Doença de Alzheimer/patologia , Encéfalo/patologia , Disfunção Cognitiva/patologia , Testes Neuropsicológicos , Idoso , Idoso de 80 Anos ou mais , Doença de Alzheimer/diagnóstico , Atrofia , Encéfalo/anatomia & histologia , Estudos de Casos e Controles , Cognição , Disfunção Cognitiva/diagnóstico , Feminino , Humanos , Masculino , Tamanho do Órgão
19.
Biotechnol Bioeng ; 112(4): 769-76, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25312282

RESUMO

To develop an efficient bacteria-based microrobot, first, therapeutic bacteria should be encapsulated into microbeads using biodegradable and biocompatible materials; second, the releasing rate of the encapsulated bacteria for theragnostic function should be regulated; and finally, flagellated bacteria should be attached on the microbeads to ensure the motility of the microrobot. For the therapeutic bacteria encapsulation, an alginate can be a promising candidate as a biodegradable and biocompatible material. Owing to the non-regulated releasing rate of the encapsulated bacteria in alginate microbeads and the weak attachment of flagellated bacteria on the surface of alginate microbeads, however, the alginate microbeads cannot be used as effective cargo for a bacteria-based microrobot. In this paper, to enhance the stability of the bacteria encapsulation and the adhesion of flagellated bacteria in alginate microbeads, we performed a surface modification of alginate microbeads using chitosan coating. The bacteria-encapsulated alginate microbeads with 1% chitosan coating maintained their structural integrity up to 72 h, whereas the control alginate microbead group without chitosan coating showed severe degradations after 24 h. The chitosan coating in alginate microbeads shows the enhanced attachment of flagellated bacteria on the surface of alginate microbeads. The bacteria-actuated microrobot with the enhanced flagellated bacteria attachment could show approximately 4.2 times higher average velocities than the control bacteria-actuated microrobot without chitosan coating. Consequently, the surface modification using chitosan coating enhanced the structural stability and the motility of the bacteria-based alginate microrobots.


Assuntos
Alginatos/metabolismo , Bactérias/metabolismo , Células Imobilizadas/metabolismo , Quitosana/metabolismo , Ácido Glucurônico/metabolismo , Ácidos Hexurônicos/metabolismo , Microesferas
20.
J Craniofac Surg ; 26(3): 937-9, 2015 May.
Artigo em Inglês | MEDLINE | ID: mdl-25974803

RESUMO

This study aimed to compare the eyes of beautiful women and femme fatales depicted in Western portraits. A total of 37 samples were collected; 19 beautiful women and 18 femme fatales. Nine aspects were measured in reference to the corneal horizontal diameter. The estimated corneal vertical diameter was calculated by a corneal horizontal diameter multiply constant, 1.11.The double-fold was observed in 89% (17 of 19) of the beautiful women and 83% (15 of 18) of the femme fatales. The eye-width ratio was 2.42 (SD, 0.28) in the beautiful women and 2.31 (SD, 0.34) in the femme fatales. The eye-height ratio was 0.91 (SD, 0.18) in the beautiful women and 0.84 (SD, 0.10) in the femme fatales. Eyebrow-to-upper lid distance was 0.92 (SD, 0.35) in the beautiful women and 0.89 (SD, 0.23) in the femme fatales. The interpupillary distance was 5.00 (SD, 0.46) in the beautiful women and 5.00 (SD, 0.71) in the femme fatales. The intercanthal distance was 2.72 (SD, 0.42) in the beautiful women and 2.78 (SD, 0.73) in the femme fatales The outer canthal distance was 7.32 (SD, 0.64) in the beautiful women and 7.20 (SD, 1.01) in the femme fatales. The ptosis amount was -0.01 (SD, 0.18) in the beautiful women and 0.06 (SD, 0.01) in the femme fatales. For the above 7 measurements, there were no significant differences between the 2 groups (P > 0.05, t test).It is noteworthy that the beautiful women and femme fatales have the same interpupillary distance (5.00). Also, the ptosis ratio was almost zero in both groups (-0.01 [SD, 0.18] in the beautiful women and 0.06 [SD, 0.01] in the femme fatales). The results of this study might be of some reference in performing eyelid surgeries especially in brow lifts or canthoplasties.


Assuntos
Beleza , Córnea/anatomia & histologia , Olho/anatomia & histologia , Medicina nas Artes , Retratos como Assunto , Sexualidade , Adulto , Cefalometria , Feminino , Humanos , Ocidente
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