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1.
Sensors (Basel) ; 22(16)2022 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-36015802

RESUMO

The surveillance cameras we focus on target the volume zone, and area reduction is a top priority. However, by simplifying the ADC comparator, we face a new RUSH current issue, for which we propose a circuit solution. This paper proposes two novel techniques of column-ADC for surveillance cameras to improve low-light characteristics. RUSH current compensation reduces transient current consumption fluctuations during AD conversion and utilizing timing shift ADCs decreases the number of simultaneously operating ADCs. These proposed techniques improve low-light characteristics because they reduce the operating noise of the circuit. In order to support small signal measurement, this paper also proposes a high-accuracy evaluation system that can measure both small optical/electrical signals in low-light circumstances. To demonstrate these proposals, test chips were fabricated using a 55 nm CIS process and their optical/electrical characteristics were measured. As a result, low-light linearity as optical characteristics were reduced by 63% and column interference (RUSH current) as an electrical characteristic was also reduced by 50%. As for the high-accuracy evaluation system, we confirmed that the inter-sample variation of column interference was 0.05 LSB. This ADC achieved a figure-of-merit (FoM) of 0.32 e-·pJ/step, demonstrating its usefulness for other ADC architectures while using a single-slope-based simple configuration.

2.
Proc Natl Acad Sci U S A ; 115(28): 7428-7433, 2018 07 10.
Artigo em Inglês | MEDLINE | ID: mdl-29941578

RESUMO

In performing skillful movement, humans use predictions from internal models formed by repetition learning. However, the computational organization of internal models in the brain remains unknown. Here, we demonstrate that a computational architecture employing a tandem configuration of forward and inverse internal models enables efficient motor learning in the cerebellum. The model predicted learning adaptations observed in hand-reaching experiments in humans wearing a prism lens and explained the kinetic components of these behavioral adaptations. The tandem system also predicted a form of subliminal motor learning that was experimentally validated after training intentional misses of hand targets. Patients with cerebellar degeneration disease showed behavioral impairments consistent with tandemly arranged internal models. These findings validate computational tandemization of internal models in motor control and its potential uses in more complex forms of learning and cognition.


Assuntos
Cerebelo/patologia , Aprendizagem/fisiologia , Modelos Neurológicos , Atividade Motora/fisiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Mãos/fisiologia , Humanos , Masculino , Pessoa de Meia-Idade
3.
Proc Natl Acad Sci U S A ; 113(36): 10192-7, 2016 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-27551099

RESUMO

Long-term depression (LTD) of synaptic transmission from parallel fibers (PFs) to a Purkinje cell (PC) in the cerebellum has been considered to be a core mechanism of motor learning. Recently, however, discrepancies between LTD and motor learning have been reported in mice with a mutation that targeted the expression of PF-PC LTD by blocking AMPA-subtype glutamate receptor internalization regulated via the phosphorylation of AMPA receptors. In these mice, motor learning behavior was normal, but no PF-PC LTD was observed. We reexamined slices obtained from these GluA2 K882A and GluA2 Δ7 knockin mutants at 3-6 mo of age. The conventional protocols of stimulation did not induce LTD in these mutant mice, as previously reported, but surprisingly, LTD was induced using certain modified protocols. Such modifications involved increases in the number of PF stimulation (from one to two or five), replacement of climbing fiber stimulation with somatic depolarization (50 ms), filling a patch pipette with a Cs(+)-based solution, or extension of the duration of conjunction. We also found that intracellular infusion of a selective PKCα inhibitor (Gö6976) blocked LTD induction in the mutants, as in WT, suggesting that functional compensation occurred downstream of PKCα. The possibility that LTD in the mutants was caused by changes in membrane resistance, access resistance, or presynaptic property was excluded. The present results demonstrate that LTD is inducible by intensified conjunctive stimulations even in K882A and Δ7 mutants, indicating no contradiction against the LTD hypothesis of motor learning.


Assuntos
Aprendizagem/fisiologia , Depressão Sináptica de Longo Prazo/fisiologia , Atividade Motora/fisiologia , Mutação , Células de Purkinje/metabolismo , Receptores de AMPA/metabolismo , Animais , Carbazóis/farmacologia , Camundongos , Camundongos Transgênicos , Técnicas de Patch-Clamp , Fosforilação , Proteína Quinase C-alfa/antagonistas & inibidores , Proteína Quinase C-alfa/genética , Proteína Quinase C-alfa/metabolismo , Inibidores de Proteínas Quinases/farmacologia , Células de Purkinje/citologia , Receptores de AMPA/genética , Sinapses/metabolismo , Transmissão Sináptica
4.
Proc Natl Acad Sci U S A ; 110(35): 14124-31, 2013 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-23912185

RESUMO

We investigated a unique microzone of the cerebellum located in folium-p (fp) of rabbit flocculus. In fp, Purkinje cells were potently excited by stimulation of the hypothalamus or mesencephalic periaqueductal gray, which induced defense reactions. Using multiple neuroscience techniques, we determined that this excitation was mediated via beaded axons of orexinergic hypothalamic neurons passing collaterals through the mesencephalic periaqueductal gray. Axonal tracing studies using DiI and biotinylated dextran amine evidenced the projection of fp Purkinje cells to the ventrolateral corner of the ipsilateral parabrachial nucleus (PBN). Because, in defense reactions, arterial blood flow has been known to redistribute from visceral organs to active muscles, we hypothesized that, via PBN, fp adaptively controls arterial blood flow redistribution under orexin-mediated neuromodulation that could occur in defense behavior. This hypothesis was supported by our finding that climbing fiber signals to fp Purkinje cells were elicited by stimulation of the aortic nerve, a high arterial blood pressure, or a high potassium concentration in muscles, all implying errors in the control of arterial blood flow. We further examined the arterial blood flow redistribution elicited by electric foot shock stimuli in awake, behaving rabbits. We found that systemic administration of an orexin antagonist attenuated the redistribution and that lesioning of fp caused an imbalance in the redistribution between active muscles and visceral organs. Lesioning of fp also diminished foot shock-induced increases in the mean arterial blood pressure. These results collectively support the hypothesis that the fp microcomplex adaptively controls defense reactions under orexin-mediated neuromodulation.


Assuntos
Artérias/fisiologia , Comportamento Animal , Circulação Sanguínea , Cerebelo/irrigação sanguínea , Peptídeos e Proteínas de Sinalização Intracelular/fisiologia , Neuropeptídeos/fisiologia , Animais , Iontoforese , Masculino , Orexinas , Células de Purkinje/fisiologia , Coelhos
5.
Dis Aquat Organ ; 116(3): 199-203, 2015 Oct 27.
Artigo em Inglês | MEDLINE | ID: mdl-26503774

RESUMO

In February 2014, wild American bullfrog Lithobates catesbeianus tadpoles from an artificial pond in the Kyusyu region, Japan, presented with coelomic and subcutaneous edema and erythema within the skin. A pathological examination of 57 tadpoles of American bullfrogs in the region was conducted to evaluate the disease. Crystal deposition of varying degrees was found in the kidneys of 35 tadpoles (61.4%). The crystals were transparent, pleomorphic in shape, highly birefringent in polarized light, and arranged in a radial pattern within the renal tubular lumen. Using Alizarin Red S stain and liquid chromatography, these crystals were identified as calcium oxalate. Severe coelomic and subcutaneous edema was observed in 7 of these 35 tadpoles (20.0%). Ammonia levels in coelomic fluid were extremely elevated (>1000 µg dl(-1)) in 4 tadpoles examined. These findings suggest that oxalate deposition in kidneys causes metabolic disorder with renal nephropathy. The source of the oxalate could not be determined; however, the presence of calcium oxalates in pond sediments, as revealed by liquid chromatography, suggested that the deposition was most likely due to ingestion of oxalate materials from the environment. This is the first report of oxalate nephropathy in free-living amphibians.


Assuntos
Nefropatias/veterinária , Oxalatos/toxicidade , Rana catesbeiana , Animais , Oxalato de Cálcio/química , Sedimentos Geológicos/química , Nefropatias/induzido quimicamente , Larva/efeitos dos fármacos , Oxalatos/química
6.
Cerebellum ; 13(1): 151-77, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23996631

RESUMO

While the cerebellum's role in motor function is well recognized, the nature of its concurrent role in cognitive function remains considerably less clear. The current consensus paper gathers diverse views on a variety of important roles played by the cerebellum across a range of cognitive and emotional functions. This paper considers the cerebellum in relation to neurocognitive development, language function, working memory, executive function, and the development of cerebellar internal control models and reflects upon some of the ways in which better understanding the cerebellum's status as a "supervised learning machine" can enrich our ability to understand human function and adaptation. As all contributors agree that the cerebellum plays a role in cognition, there is also an agreement that this conclusion remains highly inferential. Many conclusions about the role of the cerebellum in cognition originate from applying known information about cerebellar contributions to the coordination and quality of movement. These inferences are based on the uniformity of the cerebellum's compositional infrastructure and its apparent modular organization. There is considerable support for this view, based upon observations of patients with pathology within the cerebellum.


Assuntos
Cerebelo/fisiologia , Cognição/fisiologia , Atividade Motora/fisiologia , Movimento/fisiologia , Animais , Doenças Cerebelares/complicações , Doenças Cerebelares/fisiopatologia , Cerebelo/crescimento & desenvolvimento , Cerebelo/fisiopatologia , Consenso , Humanos , Transtornos Mentais/complicações , Transtornos Mentais/fisiopatologia , Processos Mentais/fisiologia
7.
Nat Rev Neurosci ; 9(4): 304-13, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18319727

RESUMO

The intricate neuronal circuitry of the cerebellum is thought to encode internal models that reproduce the dynamic properties of body parts. These models are essential for controlling the movement of these body parts: they allow the brain to precisely control the movement without the need for sensory feedback. It is thought that the cerebellum might also encode internal models that reproduce the essential properties of mental representations in the cerebral cortex. This hypothesis suggests a possible mechanism by which intuition and implicit thought might function and explains some of the symptoms that are exhibited by psychiatric patients. This article examines the conceptual bases and experimental evidence for this hypothesis.


Assuntos
Cerebelo/anatomia & histologia , Cerebelo/fisiologia , Processos Mentais/fisiologia , Modelos Neurológicos , Animais , Retroalimentação , Humanos , Rede Nervosa/fisiologia , Dinâmica não Linear
8.
Proc Natl Acad Sci U S A ; 107(7): 3198-203, 2010 Feb 16.
Artigo em Inglês | MEDLINE | ID: mdl-20133605

RESUMO

In this study, we show the crucial roles of lipid signaling in long-term depression (LTD), that is, synaptic plasticity prevailing in cerebellar Purkinje cells. In mouse brain slices, we found that cPLA(2)alpha knockout blocked LTD induction, which was rescued by replenishing arachidonic acid (AA) or prostaglandin (PG) D(2) or E(2). Moreover, cyclooxygenase (COX)-2 inhibitors block LTD, which is rescued by supplementing PGD(2)/E(2). The blockade or rescue occurs when these reagents are applied within a time window of 5-15 min following the onset of LTD-inducing stimulation. Furthermore, PGD(2)/E(2) facilitates the chemical induction of LTD by a PKC activator but is unable to rescue the LTD blocked by a PKC inhibitor. We conclude that PGD(2)/E(2) mediates LTD jointly with PKC, and suggest possible pathways for their interaction. Finally, we demonstrate in awake mice that cPLA(2)alpha deficiency or COX-2 inhibition attenuates short-term adaptation of optokinetic eye movements, supporting the view that LTD underlies motor learning.


Assuntos
Cerebelo/fisiologia , Ciclo-Oxigenase 2/metabolismo , Fosfolipases A2 do Grupo IV/metabolismo , Aprendizagem/fisiologia , Metabolismo dos Lipídeos/fisiologia , Depressão Sináptica de Longo Prazo/fisiologia , Atividade Motora/fisiologia , Transdução de Sinais/fisiologia , Compostos de Anilina , Animais , Cerebelo/metabolismo , Cinamatos , Fluoresceínas , Camundongos , Camundongos Endogâmicos C57BL , Naftalenos , Fenilbutiratos
9.
Proc Natl Acad Sci U S A ; 106(9): 3525-30, 2009 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-19218432

RESUMO

In this study, we generated mice lacking the gene for G-substrate, a specific substrate for cGMP-dependent protein kinase uniquely located in cerebellar Purkinje cells, and explored their specific functional deficits. G-substrate-deficient Purkinje cells in slices obtained at postnatal weeks (PWs) 10-15 maintained electrophysiological properties essentially similar to those from WT littermates. Conjunction of parallel fiber stimulation and depolarizing pulses induced long-term depression (LTD) normally. At younger ages, however, LTD attenuated temporarily at PW6 and recovered thereafter. In parallel with LTD, short-term (1 h) adaptation of optokinetic eye movement response (OKR) temporarily diminished at PW6. Young adult G-substrate knockout mice tested at PW12 exhibited no significant differences from their WT littermates in terms of brain structure, general behavior, locomotor behavior on a rotor rod or treadmill, eyeblink conditioning, dynamic characteristics of OKR, or short-term OKR adaptation. One unique change detected was a modest but significant attenuation in the long-term (5 days) adaptation of OKR. The present results support the concept that LTD is causal to short-term adaptation and reveal the dual functional involvement of G-substrate in neuronal mechanisms of the cerebellum for both short-term and long-term adaptation.


Assuntos
Deleção de Genes , Aprendizagem/fisiologia , Doença dos Neurônios Motores/metabolismo , Doença dos Neurônios Motores/patologia , Proteínas do Tecido Nervoso/deficiência , Proteínas do Tecido Nervoso/metabolismo , Adaptação Biológica , Animais , Depressão/genética , Depressão/metabolismo , Depressão/patologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Doença dos Neurônios Motores/genética , Proteínas do Tecido Nervoso/genética , Transtornos da Motilidade Ocular/genética , Transtornos da Motilidade Ocular/metabolismo , Transtornos da Motilidade Ocular/patologia , Fatores de Tempo
10.
BMC Genomics ; 12: 300, 2011 Jun 08.
Artigo em Inglês | MEDLINE | ID: mdl-21649932

RESUMO

BACKGROUND: The interactions between PDZ (PSD-95, Dlg, ZO-1) domains and PDZ-binding motifs play central roles in signal transductions within cells. Proteins with PDZ domains bind to PDZ-binding motifs almost exclusively when the motifs are located at the carboxyl (C-) terminal ends of their binding partners. However, it remains little explored whether PDZ-binding motifs show any preferential location at the C-terminal ends of proteins, at genome-level. RESULTS: Here, we examined the distribution of the type-I (x-x-S/T-x-I/L/V) or type-II (x-x-V-x-I/V) PDZ-binding motifs in proteins encoded in the genomes of five different species (human, mouse, zebrafish, fruit fly and nematode). We first established that these PDZ-binding motifs are indeed preferentially present at their C-terminal ends. Moreover, we found specific amino acid (AA) bias for the 'x' positions in the motifs at the C-terminal ends. In general, hydrophilic AAs were favored. Our genomics-based findings confirm and largely extend the results of previous interaction-based studies, allowing us to propose refined consensus sequences for all of the examined PDZ-binding motifs. An ontological analysis revealed that the refined motifs are functionally relevant since a large fraction of the proteins bearing the motif appear to be involved in signal transduction. Furthermore, co-precipitation experiments confirmed two new protein interactions predicted by our genomics-based approach. Finally, we show that influenza virus pathogenicity can be correlated with PDZ-binding motif, with high-virulence viral proteins bearing a refined PDZ-binding motif. CONCLUSIONS: Our refined definition of PDZ-binding motifs should provide important clues for identifying functional PDZ-binding motifs and proteins involved in signal transduction.


Assuntos
Motivos de Aminoácidos , Aminoácidos/metabolismo , Evolução Molecular , Genômica , Domínios PDZ , Proteínas/química , Proteínas/metabolismo , Sequência de Aminoácidos , Animais , Humanos , Camundongos , Dados de Sequência Molecular , Ligação Proteica , Proteínas/genética , Transdução de Sinais , Especificidade da Espécie , Especificidade por Substrato
11.
J Surg Case Rep ; 2021(3): rjab053, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33815749

RESUMO

Kawasaki disease (KD) is a common vasculitis disorder of childhood. It can sometimes complicate coronary artery aneurysms, and treatment is required depending on the condition of stenosis. A 20-year-old man was referred for surgery with a coronary artery aneurysm and stenosis in the left coronary artery as sequelae of KD. He had a surgical history of left pneumothorax and bullae remaining on the right lung. We simultaneously performed off-pump coronary artery bypass for coronary artery stenosis and bullectomy. Coronary artery aneurysms with KD complicated by pneumothorax are rare, and we treated them using one-stage surgery.

12.
Reprod Fertil Dev ; 22(8): 1247-53, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20883650

RESUMO

A recent report showed higher oxygen consumption, adenosine triphosphate (ATP) production and mitochondrial localisation in trophectoderm cells than in the inner cell mass of mouse blastocysts. We hypothesised that this phenomenon was due to the asymmetrical distribution of mitochondria in the blastomeres during the earlier stages. Oocytes, 2-cell embryos and 4-cell embryos were analysed to determine the volume, ATP content and mitochondrial DNA (mtDNA) copy number in the whole egg and individual blastomeres. Significant differences were detected in the volumes of cytoplasm and ATP contents between blastomeres from the 2-cell and 4-cell embryos. Moreover, whilst remaining stable in whole embryos, mtDNA copy number differed between blastomeres, indicating that mitochondria in oocytes are unevenly delivered into the daughter blastomeres during the first two cleavages. Although their volume and ATP content were not correlated, there was a significant correlation between volume and mtDNA copy number in 2- and 4-cell blastomeres. These results indicate that the number of mitochondria delivered to blastomeres during early cleavage is not precisely equal, suggesting that the allocation of mitochondria into daughter blastomeres is affected by uneven cytoplasmic distribution during cytokinesis in the oocyte and mother blastomeres.


Assuntos
Blastômeros/metabolismo , Fase de Clivagem do Zigoto/metabolismo , DNA Mitocondrial/metabolismo , Mitocôndrias/metabolismo , Oócitos/metabolismo , Trifosfato de Adenosina/metabolismo , Animais , Tamanho Celular , Citocinese , Técnicas de Cultura Embrionária , Feminino , Masculino , Camundongos , Camundongos Endogâmicos C57BL
13.
Bioorg Med Chem ; 17(19): 6879-89, 2009 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-19736016

RESUMO

A series of novel 6-desfluoro [des-F(6)] and 6-fluoro-1-[(1R,2S)-2-fluorocyclopropan-1-yl]-8-methoxyquinolones bearing 3-(1-aminocycloalkyl)pyrrolidin-1-yl substituents at the C-7 position (1-6) was synthesized to obtain potent drugs for nosocomial infections caused by Gram-positive pathogens. The des-F(6) compounds 4-6 exhibited at least four times more potent activity against representative Gram-positive bacteria than ciprofloxacin or moxifloxacin. Among the derivatives, 7-[(3R)-3-(1-aminocyclopropan-1-yl)pyrrolidin-1-yl] derivative 4, which showed favorable profiles in preliminary toxicological and non-clinical pharmacokinetic studies, exhibited potent antibacterial activity against clinically isolated Gram-positive pathogens that had become resistant to one or more antibiotics.


Assuntos
Antibacterianos/síntese química , Resistência a Múltiplos Medicamentos/efeitos dos fármacos , Bactérias Gram-Positivas/efeitos dos fármacos , Quinolonas/síntese química , Antibacterianos/farmacologia , Desenho de Fármacos , Testes de Sensibilidade Microbiana , Quinolonas/farmacologia , Relação Estrutura-Atividade
14.
J Vis Exp ; (152)2019 10 16.
Artigo em Inglês | MEDLINE | ID: mdl-31680672

RESUMO

Synaptic plasticity provides a mechanism for learning and memory. For cerebellar motor learning, long-term depression (LTD) of synaptic transmissions from parallel fibers (PF) to Purkinje cells (PC) is considered the basis for motor learning, and deficiencies of both LTD and motor learning are observed in various gene-manipulated animals. Common motor learning sets, such as adaptation of the optokinetic reflex (OKR), the vestibular-ocular reflex (VOR), and rotarod test were used for evaluation of motor learning ability. However, results obtained from the GluA2-carboxy terminus modified knock-in mice demonstrated normal adaptation of the VOR and the OKR, despite lacking PF-LTD. In that report, induction of LTD was only attempted using one type of stimulation protocol at room temperature. Thus, conditions to induce cerebellar LTD were explored in the same knock-in mutants using various protocols at near physiological temperature. Finally, we found stimulation protocols, by which LTD could be induced in these gene-manipulated mice. In this study, a set of protocols are proposed to evaluate LTD-induction, which will more accurately allow examination of the causal relationship between LTD and motor learning. In conclusion, experimental conditions are crucial when evaluating LTD in gene-manipulated mice.


Assuntos
Cerebelo/fisiologia , Aprendizagem/fisiologia , Depressão Sináptica de Longo Prazo/fisiologia , Adaptação Fisiológica/fisiologia , Fatores Etários , Animais , Feminino , Masculino , Memória/fisiologia , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Transgênicos , Plasticidade Neuronal/fisiologia , Células de Purkinje/fisiologia , Transmissão Sináptica/fisiologia
15.
J Forensic Sci ; 64(2): 625-628, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30080924

RESUMO

Chronic expanding hematoma (CEH) is a rare disease that can develop in any region of the body, but it most frequently develops in the thorax. When intrathoracic CEH is left untreated, gradually expanding hematoma can be life-threatening, leading to respiratory failure or hemoptysis. We encountered an 89-year-old man with cardiopulmonary arrest on arrival. He had been healthy, and it was unclear whether CEH had previously been detected. A very large mass was observed on chest computed tomography (CT), but the cause of death could not be determined. In the autopsy, this mass was identified as CEH and no malignant findings were noted. A fresh hemorrhage had occurred in the hematoma and perforated the bronchial lumen, which caused airway obstruction/asphyxia and resulted in sudden death. CEH should be suspected when a very large tumorous lesion occupying the entire hemithorax is observed on chest imaging, and it is important to recognize that sudden death can occur in the natural course of CEH.


Assuntos
Morte Súbita/etiologia , Hematoma/complicações , Hemorragia/etiologia , Doenças Torácicas/complicações , Idoso de 80 Anos ou mais , Obstrução das Vias Respiratórias/etiologia , Obstrução das Vias Respiratórias/patologia , Doença Crônica , Parada Cardíaca/etiologia , Hematoma/patologia , Hemorragia/patologia , Humanos , Masculino , Doenças Torácicas/patologia
16.
Thorac Cancer ; 10(5): 1263-1266, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30860657

RESUMO

Pulmonary pleomorphic carcinoma (PPC) is resistant to anticancer drug treatment, outcomes are poor, and no standard therapy has been established. High PD-L1 expression has been found in PPCs, suggesting the possible efficacy of an immune checkpoint inhibitor (ICI) in cancer immunotherapy; however, this approach requires further investigation through case accumulation. Herein, we report a case of rapid recurrence and progression of PPC early after surgery in a 70-year-old male ex-smoker. Surgery was performed for lung cancer of the right lower lobe, and a pathological examination indicated primary PPC with high PD-L1 expression (tumor proportion score: 90%). Because systemic metastasis recurred only six weeks after surgery, nivolumab was administered as second-line treatment. Marked tumor regression was observed on imaging after three cycles, revealing a near complete response. Palliative radiotherapy was applied to the bone metastasis region for pain relief before nivolumab was administered. This case suggests that an ICI can have an effect on PPC and that the efficacy of ICIs may be enhanced by radiotherapy-induced abscopal effects.


Assuntos
Antineoplásicos Imunológicos/uso terapêutico , Neoplasias Pulmonares/diagnóstico , Neoplasias Pulmonares/terapia , Nivolumabe/uso terapêutico , Antineoplásicos Imunológicos/administração & dosagem , Antineoplásicos Imunológicos/efeitos adversos , Biomarcadores Tumorais , Biópsia , Terapia Combinada/efeitos adversos , Terapia Combinada/métodos , Humanos , Neoplasias Pulmonares/etiologia , Neoplasias Pulmonares/metabolismo , Masculino , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Nivolumabe/administração & dosagem , Nivolumabe/efeitos adversos , Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada , Radiografia Torácica , Radioterapia Adjuvante , Tomografia Computadorizada por Raios X , Resultado do Tratamento
17.
Prog Neurobiol ; 78(3-5): 272-303, 2006.
Artigo em Inglês | MEDLINE | ID: mdl-16759785

RESUMO

Shortly after John Eccles completed his studies of synaptic inhibition in the spinal cord, for which he was awarded the 1963 Nobel Prize in physiology/medicine, he opened another chapter of neuroscience with his work on the cerebellum. From 1963 to 1967, Eccles and his colleagues in Canberra successfully dissected the complex neuronal circuitry in the cerebellar cortex. In the 1967 monograph, "The Cerebellum as a Neuronal Machine", he, in collaboration with Masao Ito and Janos Szentágothai, presented blue-print-like wiring diagrams of the cerebellar neuronal circuitry. These stimulated worldwide discussions and experimentation on the potential operational mechanisms of the circuitry and spurred theoreticians to develop relevant network models of the machinelike function of the cerebellum. In following decades, the neuronal machine concept of the cerebellum was strengthened by additional knowledge of the modular organization of its structure and memory mechanism, the latter in the form of synaptic plasticity, in particular, long-term depression. Moreover, several types of motor control were established as model systems representing learning mechanisms of the cerebellum. More recently, both the quantitative preciseness of cerebellar analyses and overall knowledge about the cerebellum have advanced considerably at the cellular and molecular levels of analysis. Cerebellar circuitry now includes Lugaro cells and unipolar brush cells as additional unique elements. Other new revelations include the operation of the complex glomerulus structure, intricate signal transduction for synaptic plasticity, silent synapses, irregularity of spike discharges, temporal fidelity of synaptic activation, rhythm generators, a Golgi cell clock circuit, and sensory or motor representation by mossy fibers and climbing fibers. Furthermore, it has become evident that the cerebellum has cognitive functions, and probably also emotion, as well as better-known motor and autonomic functions. Further cerebellar research is required for full understanding of the cerebellum as a broad learning machine for neural control of these functions.


Assuntos
Cerebelo/fisiologia , Vias Neurais/fisiologia , Neurônios/fisiologia , Neurociências/história , Potenciais de Ação/fisiologia , Animais , Cerebelo/citologia , História do Século XX , Humanos , Modelos Neurológicos , Movimento/fisiologia , Vias Neurais/citologia , Neurônios/citologia , Transmissão Sináptica/fisiologia
18.
Gan To Kagaku Ryoho ; 35(13): 2409-12, 2008 Dec.
Artigo em Japonês | MEDLINE | ID: mdl-19098413

RESUMO

Various treatments for hepatic metastasis of gastric cancer have been attempted, but problems remain with respect to long-term effectiveness and recurrence. Case reports have indicated the tumor regression effect of polysaccharide K(PSK)combined with chemotherapy, and meta-analysis has shown that PSK combined with chemotherapy improves the prognosis compared to chemotherapy alone. However, marked improvement of disease following PSK administration is rarely reported. We report a case of hepatic metastasis of gastric cancer in which low-dose UFT and PSK therapy resulted in regression of metastatic hepatic lesions and improvement of tumor markers. A 78-year-old man had synchronous hepatic metastasis of gastric cancer. Gastrectomy and microwave coagulation therapy using Microtase were conducted, followed by postoperative adjuvant chemotherapy with UFT 300 mg/day. Recurrences of metastatic hepatic lesion and new hepatic lesion were observed 6 months after surgery. Addition of PSK to UFT chemotherapy was selected as the treatment for recurrences, resulting in disappearance of the hepatic lesions and normalization of tumor markers. The patient is alive without recurrence at this writing, 38 months after surgery.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Neoplasias Hepáticas/tratamento farmacológico , Neoplasias Hepáticas/secundário , Polissacarídeos/uso terapêutico , Neoplasias Gástricas/tratamento farmacológico , Neoplasias Gástricas/patologia , Idoso , Protocolos de Quimioterapia Combinada Antineoplásica/administração & dosagem , Biomarcadores Tumorais/sangue , Humanos , Neoplasias Hepáticas/sangue , Neoplasias Hepáticas/cirurgia , Masculino , Neoplasias Gástricas/sangue , Neoplasias Gástricas/cirurgia , Tegafur/administração & dosagem , Tegafur/uso terapêutico , Tomografia Computadorizada por Raios X , Uracila/administração & dosagem , Uracila/uso terapêutico
19.
Medicine (Baltimore) ; 97(20): e10811, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29768381

RESUMO

RATONALE: Sometimes, pleural effusion accompanying an acute Mycoplasma pneumoniae infection or tuberculous pleurisy has similar analysis results. We report a case of tuberculous pleurisy which was initially diagnosed as acute M pneumoniae infection, which is of special interest because anti-Mycoplasma antibody results were positive, which served as a red herring. PATIENT CONCERNS: A 20-year-old woman visited the outpatient emergency romm of our hospital for chief complaints of high fever, dry cough, and pleuralgia persiting for 2 days. Since anti-mycoplasma antibody test results were positive, we treated acute M pneumoniae infection and drained her pleural effusion. The condition tended to improve, but on day 16 postadmission, the acid-fast bacterial culture of the pleural effusion was positive for Mycobacterium tuberculosis. DIAGNOSES: Tuberculous pleurisy. INTERVENTIONS: After the diagnosis, the patient received antituberculous drugs. OUTCOMES: She completed treatment with no noticeable adverse events, and the right pleural effusion disappered and diffuse right pleural thickening improved. LESSONS: Exudative pleural effusion with lymphocyte dominance and a high adenosine deaminase level in M pneumoniae infection have been reported. Even though the condition suggests acute M pneumoniae infection, clinicians should be aware that tuberculous pleurisy and M pneumoniae infection can share similar clinical features, and should understand the usefulness and limitations of the anit-Mycoplasma antibody test.


Assuntos
Pneumonia por Mycoplasma/diagnóstico , Tuberculose Pleural/diagnóstico , Anticorpos Antibacterianos/sangue , Antituberculosos/uso terapêutico , Diagnóstico Diferencial , Feminino , Humanos , Mycoplasma pneumoniae/imunologia , Tuberculose Pleural/tratamento farmacológico , Adulto Jovem
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