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1.
Nano Lett ; 2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-38557080

RESUMEN

Modern semiconductor fabrication is challenged by difficulties in overcoming physical and chemical constraints. A major challenge is the wet etching of dummy gate silicon, which involves the removal of materials inside confined spaces of a few nanometers. These chemical processes are significantly different in the nanoscale and bulk. Previously, electrical double-layer formation, bubble entrapment, poor wettability, and insoluble intermediate precipitation have been proposed. However, the exact suppression mechanisms remain unclear due to the lack of direct observation methods. Herein, we investigate limiting factors for the etching kinetics of silicon with tetramethylammonium hydroxide at the nanoscale by using liquid-phase transmission electron microscopy, three-dimensional electron tomography, and first-principles calculations. We reveal suppressed chemical reactions, unstripping phenomena, and stochastic etching behaviors that have never been observed on a macroscopic scale. We expect that solutions can be suggested from this comprehensive insight into the scale-dependent limiting factors of fabrication.

2.
Vet Pathol ; 59(1): 39-45, 2022 01.
Artículo en Inglés | MEDLINE | ID: mdl-34547936

RESUMEN

Obesity is a major health condition owing to its effects on chronic diseases and cancers in humans, but little information is available regarding the role of obesity in canine mammary cancer (CMC). In the present study, we performed immunohistochemistry to investigate the effect of obesity on CMC by analyzing the number of tumor-associated macrophages, intratumoral microvessel density (iMVD), and the expression of prognostic factors including epidermal growth factor receptor (EGFR), cyclooxygenase 2 (COX-2), and Ki67 in CMC specimens. These data were compared in CMC specimens from lean or ideal body weight (Group 1) versus overweight or obese (Group 2) female dogs (n = 60 for each group). Associations between obesity status and histologic characteristics, such as histologic subtype, grading, and lymphatic invasion, were also investigated. Compared with lean or ideal body weight dogs, TAM (tumor-associated macrophage) counts (P < .005) and iMVD (P < .001) were significantly higher in overweight or obese dogs. CMC specimens of dogs in the overweight or obese group also showed higher histologic grade (P < .001). In addition, although no association was found between obesity status and either COX-2 or EGFR expression, Ki67 expression was greater in CMC specimens of overweight or obese dogs (P < .005). The results of this study suggest that obesity may influence CMC development and progression, being associated with higher histologic grade, greater infiltration of TAMs, and increased tumor angiogenesis.


Asunto(s)
Neoplasias de la Mama , Enfermedades de los Perros , Neoplasias Mamarias Animales , Animales , Neoplasias de la Mama/veterinaria , Perros , Femenino , Macrófagos , Densidad Microvascular , Obesidad/complicaciones , Obesidad/veterinaria , Sobrepeso/veterinaria
3.
Vet Pathol ; 58(4): 674-682, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33926328

RESUMEN

Epidermal growth factor receptor (EGFR) is overexpressed in many human colorectal cancers and anti-EGFR agents are employed as immunotherapies. However, KRAS, EGFR, and BRAF gene mutations can influence the activity of the anti-EGFR agents. We evaluated EGFR expression at protein and mRNA levels in canine intestinal adenocarcinomas using immunohistochemistry (IHC) and RNA in situ hybridization (RNA-ISH). We also investigated the mutation status of EGFR, KRAS, and BRAF to aid the development of anti-EGFR agents for canine intestinal adenocarcinoma. EGFR expression was highest in adenocarcinoma, followed by intramucosal neoplasia (adenoma and in situ carcinoma), and nonneoplastic canine intestinal tissue, at both protein (P = .000) and mRNA (P = .005) levels. The EGFR, KRAS, and BRAF genes showed wild-type sequences at the mutation hot spots in all 13 specimens. Thus, EGFR might serve as a promising diagnostic marker in canine intestinal adenocarcinoma, and further studies would be needed to develop EGFR-targeted anticancer therapies.


Asunto(s)
Adenocarcinoma , Enfermedades de los Perros , Adenocarcinoma/genética , Adenocarcinoma/veterinaria , Animales , Perros , Receptores ErbB/genética , Receptores ErbB/metabolismo , Mutación , Proteínas Proto-Oncogénicas/genética , Proteínas Proto-Oncogénicas B-raf/genética , Proteínas Proto-Oncogénicas p21(ras)/genética , Análisis de Secuencia/veterinaria , Proteínas ras/genética
4.
Nano Lett ; 20(4): 2576-2584, 2020 04 08.
Artículo en Inglés | MEDLINE | ID: mdl-32207951

RESUMEN

Surface-enhanced Raman spectroscopy (SERS)-based protein analysis is a promising alternative to existing early stage diagnoses. However, SERS research conducted thus far accompanies challenges such as nonuniformity of plasmonic nanostructures, irregular coating of analytes, and denaturation of proteins, which seriously limit the practicability of suggested approaches. Here, we introduce a carboxylic acid-functionalized and graphitic nanolayer-coated three-dimensional SERS substrate (CGSS) fabricated by sequential nanotransfer printing. The substrate consists of well-defined, uniform gold nanowire arrays for effective Raman signal enhancement and a strong protein-immobilization layer. With an enhancement factor (EF) of 5.5 × 105, on par with the highest ever reported values, the CGSS allows the detection of protein conformational changes and the determination of protein concentration via Raman measurements. Exploiting the CGSS, we successfully measured the SERS spectra of Alzheimer's biomarkers, tau protein and amyloid ß, based on which secondary structural changes were analyzed quantitatively.


Asunto(s)
Enfermedad de Alzheimer/diagnóstico , Péptidos beta-Amiloides/análisis , Grafito/química , Nanoestructuras/química , Espectrometría Raman/métodos , Proteínas tau/análisis , Biomarcadores/análisis , Ácidos Carboxílicos/química , Diseño de Equipo , Oro/química , Humanos , Nanoestructuras/ultraestructura , Nanocables/química , Nanocables/ultraestructura , Espectrometría Raman/instrumentación
5.
Eur Addict Res ; 26(6): 335-345, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32172235

RESUMEN

AIMS: The aim of the current study was to develop and validate a short-form of the internet overuse screening questionnaire (IOS-Qs). METHODS: A total of 571 adults were recruited from a representative, stratified, and multistage cluster sample. Among participants, 188 and 383 were used in the development and validation of the IOS-Qs, respectively. RESULTS: Experts' ratings and Rasch model analyses led to the selection of 8 items from the IOS-Qs; latent-class analysis using these 8 items revealed an estimated prevalence of 8.6% (33 out of 383) of problematic internet over-users. Problematic internet over-users were positively associated with a 1-year prevalence rate of any mental disorder (OR 3.08, p = 0.008), mood disorder (OR 7.11, p = 0.003), and depressive disorder (OR 5.22, p = 0.016). The receiver operating characteristic curves identified an optimal cutoff score of 9.5 for differentiating problematic internet over-users from unproblematic internet users with 94% sensitivity and 94% specificity. CONCLUSION: The results suggest that the IOS-Qs was valid, and items including social isolation were crucial to the brief distinction of at-risk internet users. Because of its brevity, the questionnaire can be effectively administered as a large-scale survey.


Asunto(s)
Trastorno de Adicción a Internet , Tamizaje Masivo , Encuestas y Cuestionarios , Adulto , Femenino , Humanos , Trastorno de Adicción a Internet/diagnóstico , Masculino , Tamizaje Masivo/métodos , Reproducibilidad de los Resultados
6.
Vet Pathol ; 55(3): 417-424, 2018 05.
Artículo en Inglés | MEDLINE | ID: mdl-29343199

RESUMEN

Tumor-associated macrophages (TAMs) are an important component of leukocyte infiltration in tumors. TAMs can be classified into M1 and M2 phenotypes. In the present study, the expression of CD204, an M2-polarized macrophage receptor, was investigated by immunohistochemistry in the area surrounding TAMs in 101 cases of canine mammary gland tumor (CMT). We examined the relationship between M2-polarized TAMs and malignancy, histological subtype, histological grade, molecular subtype, hormone receptor (HR) status, and clinical obesity indices. The mean number of CD204-positive macrophages was significantly higher in malignant CMTs than in benign CMTs ( P = .000). The number of CD204-positive macrophages differed significantly between histological grades ( P = .000) and were significantly higher in grade III than in grades I and II. Moreover, the mean number of CD204-positive macrophages was significantly higher in HR-negative malignant CMTs than in HR-positive malignant CMTs ( P = .035) and in malignant CMTs with lymphatic invasion compared to malignant CMTs without lymphatic invasion ( P = .000). These findings suggest that CD204-positive macrophages might affect the development and behavior of CMTs and highlight the potential of CD204 as a prognostic factor.


Asunto(s)
Enfermedades de los Perros/metabolismo , Regulación Neoplásica de la Expresión Génica/fisiología , Macrófagos/clasificación , Neoplasias Mamarias Animales/patología , Receptores Depuradores de Clase A/metabolismo , Animales , Enfermedades de los Perros/patología , Perros , Femenino , Inmunohistoquímica , Macrófagos/metabolismo , Neoplasias Mamarias Animales/metabolismo , Clasificación del Tumor , Receptores Depuradores de Clase A/genética
7.
Commun Biol ; 7(1): 110, 2024 01 19.
Artículo en Inglés | MEDLINE | ID: mdl-38243116

RESUMEN

Osteoporosis is a common skeletal disease that results in an increased risk of fractures. However, there is no definitive cure, warranting the development of potential therapeutic agents. 3'-Sialyllactose (3'-SL) in human milk regulates many biological functions. However, its effect on bone metabolism remains unknown. This study aimed to investigate the molecular mechanisms underlying the effect of 3'-SL on bone homeostasis. Treatment of human bone marrow stromal cells (hBMSCs) with 3'-SL enhanced osteogenic differentiation and inhibited adipogenic differentiation of hBMSCs. RNA sequencing showed that 3'-SL enhanced laminin subunit gamma-2 expression and promoted osteogenic differentiation via the phosphatidylinositol 3­kinase/protein kinase B signaling pathway. Furthermore, 3'-SL inhibited the receptor activator of nuclear factor κB ligand-induced osteoclast differentiation of bone marrow-derived macrophages through the nuclear factor κB and mitogen­activated protein kinase signaling pathway, ameliorated osteoporosis in ovariectomized mice, and positively regulated bone remodeling. Our findings suggest 3'-SL as a potential drug for osteoporosis.


Asunto(s)
Oligosacáridos , Osteogénesis , Osteoporosis , Ratones , Humanos , Animales , Osteogénesis/genética , Diferenciación Celular/genética , Osteoporosis/tratamiento farmacológico , Homeostasis
8.
Biosens Bioelectron ; 251: 116128, 2024 May 01.
Artículo en Inglés | MEDLINE | ID: mdl-38367567

RESUMEN

Early diagnosis of Alzheimer's disease is crucial to stall the deterioration of brain function, but conventional diagnostic methods require complicated analytical procedures or inflict acute pain on the patient. Then, label-free Surface-enhanced Raman spectroscopy (SERS) analysis of blood-based biomarkers is a convenient alternative to rapidly obtain spectral information from biofluids. However, despite the rapid acquisition of spectral information from biofluids, it is challenging to distinguish spectral features of biomarkers due to interference from biofluidic components. Here, we introduce a deep learning-assisted, SERS-based platform for separate analysis of blood-based amyloid ß (1-42) and metabolites, enabling the diagnosis of Alzheimer's disease. SERS substrates consisting of Au nanowire arrays are fabricated and functionalized in two characteristic ways to compare the validity of different Alzheimer's disease biomarkers measured on our SERS system. The 6E10 antibody is immobilized for the capture of amyloid ß (1-42) and analysis of its oligomerization process, while various self-assembled monolayers are attached for different dipole interactions with blood-based metabolites. Ultimately, SERS spectra of blood plasma of Alzheimer's disease patients and human controls are measured on the substrates and classified via advanced deep learning techniques that automatically extract informative features to learn generalizable representations. Accuracies up to 99.5% are achieved for metabolite-based analyses, which are verified with an explainable artificial intelligence technique that identifies key spectral features used for classification and for deducing significant biomarkers.


Asunto(s)
Enfermedad de Alzheimer , Técnicas Biosensibles , Aprendizaje Profundo , Nanopartículas del Metal , Humanos , Enfermedad de Alzheimer/diagnóstico , Péptidos beta-Amiloides , Inteligencia Artificial , Nanopartículas del Metal/química , Espectrometría Raman/métodos , Biomarcadores
9.
Artículo en Inglés | MEDLINE | ID: mdl-23908033

RESUMEN

Cyanuric acid is synthesized industrially and forms during the microbial metabolism of s-triazine herbicides. Cyanuric acid is metabolized by some microorganisms via cyanuric acid hydrolase (CAH), which opens the s-triazine ring as a prelude to further metabolism. CAH is a member of the rare cyanuric acid hydrolase/barbiturase family. Here, the crystallization and preliminary X-ray diffraction analysis of CAH from Azorhizobium caulinodans are reported. CAH was cocrystallized with barbituric acid, a close analog of cyanuric acid that is a tight-binding competitive inhibitor. Crystals suitable for X-ray diffraction experiments were grown in conditions containing PEG 8K or magnesium sulfate as precipitants. An X-ray diffraction data set was collected from CAH-barbituric acid crystals to 2.7 Å resolution. The crystals were found to belong to space group I4122, with unit-cell parameters a = b = 237.9, c = 105.3 Å, α = ß = γ = 90°.


Asunto(s)
Amidohidrolasas/química , Azorhizobium caulinodans/enzimología , Proteínas Bacterianas/química , Amidohidrolasas/genética , Secuencia de Aminoácidos , Azorhizobium caulinodans/genética , Proteínas Bacterianas/genética , Cristalización , Datos de Secuencia Molecular , Difracción de Rayos X
10.
Diabetes Metab J ; 47(5): 595-611, 2023 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-37482656

RESUMEN

In this review, we provide a brief synopsis of the connections between adipose tissue and metabolic health and highlight some recent developments in understanding and exploiting adipocyte biology. Adipose tissue plays critical roles in the regulation of systemic glucose and lipid metabolism and secretes bioactive molecules possessing endocrine, paracrine, and autocrine functions. Dysfunctional adipose tissue has a detrimental impact on metabolic health and is intimately involved in key aspects of metabolic diseases such as insulin resistance, lipid overload, inflammation, and organelle stress. Differences in the distribution of fat depots and adipose characteristics relate to divergent degrees of metabolic dysfunction found in metabolically healthy and unhealthy obese individuals. Thermogenic adipocytes increase energy expenditure via mitochondrial uncoupling or adenosine triphosphate-consuming futile substrate cycles, while functioning as a metabolic sink and participating in crosstalk with other metabolic organs. Manipulation of adipose tissue provides a wealth of opportunities to intervene and combat the progression of associated metabolic diseases. We discuss current treatment modalities for obesity including incretin hormone analogs and touch upon emerging strategies with therapeutic potential including exosome-based therapy, pharmacological activation of brown and beige adipocyte thermogenesis, and administration or inhibition of adipocyte-derived factors.

11.
Micromachines (Basel) ; 14(4)2023 Mar 29.
Artículo en Inglés | MEDLINE | ID: mdl-37420986

RESUMEN

We fabricated an air-tunnel structure between a gallium nitride (GaN) layer and trapezoid-patterned sapphire substrate (TPSS) through the in situ carbonization of a photoresist layer to enable rapid chemical lift-off (CLO). A trapezoid-shaped PSS was used, which is advantageous for epitaxial growth on the upper c-plane when forming an air tunnel between the substrate and GaN layer. The upper c-plane of the TPSS was exposed during carbonization. This was followed by selective GaN epitaxial lateral overgrowth using a homemade metal organic chemical vapor deposition system. The air tunnel maintained its structure under the GaN layer, whereas the photoresist layer between the GaN layer and TPSS disappeared. The crystalline structures of GaN (0002) and (0004) were investigated using X-ray diffraction. The photoluminescence spectra of the GaN templates with and without the air tunnel showed an intense peak at 364 nm. The Raman spectroscopy results for the GaN templates with and without the air tunnel were redshifted relative to the results for free-standing GaN. The CLO process using potassium hydroxide solution neatly separated the GaN template with the air tunnel from the TPSS.

12.
Mol Metab ; 69: 101679, 2023 03.
Artículo en Inglés | MEDLINE | ID: mdl-36708951

RESUMEN

OBJECTIVE: Cold stimuli trigger the conversion of white adipose tissue into beige adipose tissue, which is capable of non-shivering thermogenesis. However, what process drives this activation of thermogenesis in beige fat is not well understood. Here, we examine the ER protein NNAT as a regulator of thermogenesis in adipose tissue. METHODS: We investigated the regulation of adipose tissue NNAT expression in response to changes in ambient temperature. We also evaluated the functional role of NNAT in thermogenic regulation using Nnat null mice and primary adipocytes that lack or overexpress NNAT. RESULTS: Cold exposure or treatment with a ß3-adrenergic agonist reduces the expression of adipose tissue NNAT in mice. Genetic disruption of Nnat in mice enhances inguinal adipose tissue thermogenesis. Nnat null mice exhibit improved cold tolerance both in the presence and absence of UCP1. Gain-of-function studies indicate that ectopic expression of Nnat abolishes adrenergic receptor-mediated respiration in beige adipocytes. NNAT physically interacts with the ER Ca2+-ATPase (SERCA) in adipocytes and inhibits its activity, impairing Ca2+ transport and heat dissipation. We further demonstrate that NHLRC1, an E3 ubiquitin protein ligase implicated in proteasomal degradation of NNAT, is induced by cold exposure or ß3-adrenergic stimulation, thus providing regulatory control at the protein level. This serves to link cold stimuli to NNAT degradation in adipose tissue, which in turn leads to enhanced SERCA activity. CONCLUSIONS: Our study implicates NNAT in the regulation of adipocyte thermogenesis.


Asunto(s)
Adipocitos Beige , Animales , Ratones , Adipocitos/metabolismo , Adipocitos Beige/metabolismo , Tejido Adiposo/metabolismo , Tejido Adiposo Blanco/metabolismo , Proteínas de la Membrana/metabolismo , Proteínas del Tejido Nervioso/metabolismo , Termogénesis/fisiología , Ubiquitina-Proteína Ligasas/metabolismo , Retículo Endoplásmico/metabolismo
13.
J Bacteriol ; 194(17): 4579-88, 2012 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-22730121

RESUMEN

Cyanuric acid hydrolases (AtzD) and barbiturases are homologous, found almost exclusively in bacteria, and comprise a rare protein family with no discernible linkage to other protein families or an X-ray structural class. There has been confusion in the literature and in genome projects regarding the reaction products, the assignment of individual sequences as either cyanuric acid hydrolases or barbiturases, and spurious connection of this family to another protein family. The present study has addressed those issues. First, the published enzyme reaction products of cyanuric acid hydrolase are incorrectly identified as biuret and carbon dioxide. The current study employed (13)C nuclear magnetic resonance (NMR) spectroscopy and mass spectrometry to show that cyanuric acid hydrolase releases carboxybiuret, which spontaneously decarboxylates to biuret. This is significant because it revealed that homologous cyanuric acid hydrolases and barbiturases catalyze completely analogous reactions. Second, enzymes that had been annotated incorrectly in genome projects have been reassigned here by bioinformatics, gene cloning, and protein characterization studies. Third, the AtzD/barbiturase family has previously been suggested to consist of members of the amidohydrolase superfamily, a large class of metallohydrolases. Bioinformatics and the lack of bound metals both argue against a connection to the amidohydrolase superfamily. Lastly, steady-state kinetic measurements and observations of protein stability suggested that the AtzD/barbiturase family might be an undistinguished protein family that has undergone some resurgence with the recent introduction of industrial s-triazine compounds such as atrazine and melamine into the environment.


Asunto(s)
Amidohidrolasas/química , Amidohidrolasas/metabolismo , Bacterias/enzimología , Triazinas/metabolismo , Amidohidrolasas/genética , Secuencia de Aminoácidos , Azorhizobium caulinodans/enzimología , Proteínas Bacterianas/química , Proteínas Bacterianas/genética , Proteínas Bacterianas/metabolismo , Biuret/metabolismo , Bradyrhizobium/enzimología , Datos de Secuencia Molecular , Moorella/enzimología , Filogenia , Rhizobium leguminosarum/enzimología , Alineación de Secuencia , Análisis de Secuencia de Proteína , Especificidad por Sustrato
14.
Vet Comp Oncol ; 20(1): 207-214, 2022 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-34423555

RESUMEN

Escaping apoptosis is a hallmark of cancer. Tumour necrosis factor-related apoptosis-inducing ligand (TRAIL), a central molecule that regulates the extrinsic apoptotic pathway, has been widely investigated in human oncology; however, investigations focusing on the endogenous expression of TRAIL in canine tumours are lacking. Therefore, we aimed to examine the expression of endogenous TRAIL in canine mammary tumours and analysed its correlation with downstream molecules Fas-associated protein with death domain (FADD) and caspase-3, and to the apoptotic index. A total of 147 samples, classified as normal mammary gland (n = 9), mammary adenoma (n = 30), low-grade carcinoma (n = 42) and high-grade carcinoma (n = 66), were included in the immunohistochemical analyses, and 43 samples with sufficient levels of RNA were analysed via RNA in situ hybridization and terminal deoxynucleotidyl transferase dUTP nick end labelling (TUNEL) assay. In immunohistochemistry, TRAIL protein expression was significantly decreased in high-grade carcinoma compared to those in normal mammary gland and adenoma, with similar downregulation of TRAIL mRNA expression. Also, FADD and caspase-3 expression positively correlated with TRAIL expression. However, the apoptotic index was paradoxically elevated in high-grade tumours. Overall, these results suggest that the loss of TRAIL accompanied by dysregulation of TRAIL-induced extrinsic apoptotic pathway molecules could affect malignant progression of canine mammary tumours.


Asunto(s)
Carcinoma , Enfermedades de los Perros , Ligando Inductor de Apoptosis Relacionado con TNF , Animales , Apoptosis/efectos de los fármacos , Proteínas Reguladoras de la Apoptosis , Carcinoma/veterinaria , Caspasa 3 , Caspasas/metabolismo , Perros , Ligandos , Glicoproteínas de Membrana/metabolismo , ARN , Factor de Necrosis Tumoral alfa/metabolismo
15.
Biosens Bioelectron ; 202: 113991, 2022 Apr 15.
Artículo en Inglés | MEDLINE | ID: mdl-35078144

RESUMEN

Universal and fast bacterial detection technology is imperative for food safety analyses and diagnosis of infectious diseases. Although surface-enhanced Raman spectroscopy (SERS) has recently emerged as a powerful solution for detecting diverse microorganisms, its widespread application has been hampered by strong signals from surrounding media that overwhelm target signals and require time-consuming and tedious bacterial separation steps. By using SERS analysis boosted with a newly proposed deep learning model named dual-branch wide-kernel network (DualWKNet), a markedly simpler, faster, and effective route to classify signals of two common bacteria E. coli and S. epidermidis and their resident media without any separation procedures is demonstrated. With outstanding classification accuracies up to 98%, the synergistic combination of SERS and deep learning serves as an effective platform for "separation-free" detection of bacteria in arbitrary media with short data acquisition times and small amounts of training data.


Asunto(s)
Técnicas Biosensibles , Escherichia coli , Redes Neurales de la Computación , Espectrometría Raman/métodos , Staphylococcus epidermidis
16.
PLoS One ; 16(1): e0244992, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33406115

RESUMEN

A modified interlaminar (MIL) approach has been proposed for improved accessibility to the target epidural space. However, even with fluoroscopic guidance, uncertainty about the distance between the needle tip and the epidural space can remain. Using the contralateral oblique (CLO) view, determination of the epidural space can be easier with clearer identification of the interlaminar opening. We inserted the needle at the midpoint of the interlaminar opening on the fluoroscopic anteroposterior (AP) view and made the needle oriented toward the pedicle of the target side. Then, CLO view was created by rotating the intensifier approximately 45 degrees to the contralateral side of the target. Through the CLO view, the ventral interlaminar line (VILL) was confirmed and the needle was able to enter the epidural space more easily. The medical records of 29 patients who were conducted MIL approach using CLO view were retrospectively analyzed to evaluate the effectiveness and safety of this procedure. The accessibility to the ventral epidural space was 93.1%. There was no procedure-related complication. Using CLO view, uncertainty can be reduced during the MIL approach, which in turn shortens procedure time and improves safety.


Asunto(s)
Analgesia/métodos , Anestesia Epidural/métodos , Espacio Epidural/diagnóstico por imagen , Vértebras Lumbares/diagnóstico por imagen , Radiculopatía/terapia , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Fluoroscopía , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Radiculopatía/diagnóstico por imagen , Estudios Retrospectivos
17.
Medicine (Baltimore) ; 100(4): e23614, 2021 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-33530162

RESUMEN

INTRODUCTION: Venous air embolism (VAE) from vascular injuries, is of rare occurrence but can result in catastrophic complications during total hip arthroplasty (THA). Early recognition and prompt management of vascular injury are required to avoid severe complications. Especially, bleeding is generally associated with profound hypotension in venous injury. We report an unusual complication of venous air embolism induced by femoral vein rupture during THA. PATIENT CONCERNS: A 54-year-old male patient with a history of old left acetabular fracture was scheduled for THA. We experienced massive bleeding and VAE induced by femoral vein rupture during total hip arthroplasty. The BP suddenly dropped from 100/70 mm Hg to 80/50 mm Hg with massive bleeding. ETCO2 and SaO2 decreased profoundly. DIAGNOSIS: The VAE was diagnosed by the change in end- tidal CO2 (ETCO2) and change of vital signs, so we performed ABGA and inserted TEE for confirmination. INTERVENTIONS: For treatment, patient was managed by oxygen therapy, inotropics, vasopressor, transfusion and surgical repair. OUTCOMES: Upon consulting with a cardiologist, the patient was extubated the next day and was transferred to the general ward and recovered without serious complications. He stayed for 17 days until finally discharged without complications. CONCLUSION: Preoperative vascular imaging may be recommended in the revisional case of THA or in patients with the history of hip trauma. The monitoring of ETCO2 and TEE might be helpful to recognize VAE earlier and therefore to avoid catastrophic complications through adequate treatment.


Asunto(s)
Artroplastia de Reemplazo de Cadera/efectos adversos , Embolia Aérea/etiología , Vena Femoral/lesiones , Hemorragia/etiología , Complicaciones Posoperatorias/etiología , Lesiones del Sistema Vascular/etiología , Humanos , Masculino , Persona de Mediana Edad
18.
J Comp Pathol ; 186: 23-30, 2021 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-34340801

RESUMEN

Canine mammary carcinoma (CMC) is the most common type of neoplasm in intact female dogs. While a previous study in Western countries validated the 2011 classification as an independent prognostic indicator in CMC, its role in CMC prognostication in Asian countries such as Korea remains unclear. In the present study, we estimate the survival rates in CMC types defined by the 2011 classification, elucidate the prognostic significance of the histological subtype and grade and that of the lymphatic invasion status in CMC, and validate the 2011 classification as an independent prognostic indicator in a large cohort of CMCs (excluding cases of multicentric CMCs). A total of 155 CMC cases retrieved from archived formalin-fixed, paraffin-embedded tissues, along with 2-year follow-up data, were retrospectively analysed. A significant association was found between the histological subtype of the 2011 classification and the tumour-specific survival. Carcinosarcoma, adenosquamous carcinoma and anaplastic carcinoma subtypes were associated with the poorest prognosis. Dogs with comedocarcinoma and solid carcinoma followed a disease course that was more aggressive than that observed in dogs with a carcinoma arising in a benign mixed tumour. Moreover, age, histological grade and lymphatic invasion status significantly correlated with tumour-specific survival in univariate analysis. In multivariate analysis, histological subtype, age and lymphatic invasion status remained independent prognostic factors for CMC.


Asunto(s)
Carcinoma , Enfermedades de los Perros , Neoplasias Mamarias Animales , Animales , Carcinoma/patología , Carcinoma/veterinaria , Enfermedades de los Perros/patología , Perros , Femenino , Neoplasias Mamarias Animales/patología , Pronóstico , Estudios Retrospectivos
19.
Vet Comp Oncol ; 19(1): 132-139, 2021 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-32926564

RESUMEN

Cutaneous mast cell tumours (MCTs) are the most frequent malignant skin tumours in dogs. Mutations in the c-KIT proto-oncogene are correlated with the pathogenesis and aggressiveness of MCTs. To date, studies have focused on c-KIT mutations and KIT protein localization, with a general lack of mRNA-level analyses. In this study, c-KIT mRNA expression was investigated in canine MCTs by RNA in situ hybridization (RNA-ISH). Furthermore, we evaluated associations between c-KIT mRNA expression and the histological grade, KIT immunohistochemical staining pattern and other clinicopathological parameters. c-KIT mRNA expression was observed in all MCT samples, appearing as clusters of dots in the cytoplasm of neoplastic cells. A significant correlation was detected between c-KIT mRNA expression (quantified according to the H-score and the percentage of positive cells) and the histological grade (determined using two-and three-tier grading systems; P < .05). We also found a significant positive correlation (all P < .05) between c-KIT mRNA expression and the proliferation indices (mitotic index, Ki-67, and Ag67). However, no significant associations with c-KIT expression from RNA-ISH were found with respect to different KIT staining patterns. Overall, these results demonstrate that c-KIT mRNA expression might be an additional tool for measuring the c-KIT status in canine cutaneous MCTs and could serve as a potential prognostic factor. Further studies should evaluate the prognostic significance of c-KIT mRNA expression in a large and uniform cohort of canine MCTs.


Asunto(s)
Enfermedades de los Perros/metabolismo , Mastocitoma/veterinaria , Proteínas Proto-Oncogénicas c-kit/metabolismo , ARN Mensajero/metabolismo , Neoplasias Cutáneas/veterinaria , Animales , Biomarcadores de Tumor , Enfermedades de los Perros/patología , Perros , Femenino , Regulación Neoplásica de la Expresión Génica , Masculino , Mastocitoma/metabolismo , Mastocitoma/patología , Pronóstico , ARN Mensajero/genética , Neoplasias Cutáneas/metabolismo , Neoplasias Cutáneas/patología
20.
Animals (Basel) ; 11(7)2021 Jul 12.
Artículo en Inglés | MEDLINE | ID: mdl-34359206

RESUMEN

The PI3K/Akt/PTEN axis is one of the most important signaling pathways in tumorigenesis. Recently, mutation of PIK3CA has been highlighted due to the similarities of mutational hotspots in both dogs and humans. PIK3CA H1047R (c.3140A > G) has been discovered as the most common mutational hot spot in canine mammary tumor in recent studies, while the feature of PIK3CA-mutated canine mammary tumor is obscure. METHODS: A total of 83 mammary samples classified as normal (n = 13), adenoma (n = 25), low-grade carcinoma (n = 21), and high-grade carcinoma (n = 24) were included in this study. Genomic DNA from each sample was extracted, amplified by conventional PCR, and analyzed through Sanger sequencing. Analysis for the expression of PIK3CA, Akt, p-Akt, and PTEN was performed by immunohistochemistry, and of Akt2 by RNA in situ hybridization. RESULTS: PIK3CA H1047R mutation was detected in 14.3% (10/70) of tumor samples. Dysregulation of p-Akt, Akt2, and PTEN was observed in mammary tumor samples, but only PTEN dysregulation was associated with PIK3CA H1047R mutation. CONCLUSIONS: The present study showed that dysregulation of components in the PI3K/Akt/PTEN pathway is a feature of canine mammary tumors, but this dysregulation is not directly correlated to the PIK3CA H1047R mutation except for PTEN expression.

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