Flow cytometric analysis for Ki67 assessment in formalin-fixed paraffin-embedded breast cancer tissue.

BACKGROUND: Pathologists commonly employ the Ki67 immunohistochemistry labelling index (LI) when deciding appropriate therapeutic strategies for patients with breast cancer. However, despite several attempts at standardizing the Ki67 LI, inter-observer and inter-laboratory bias remain problematic. We developed a flow cytometric assay that employed tissue dissociation, enzymatic treatment and a gating process to analyse Ki67 in formalin-fixed paraffin-embedded (FFPE) breast cancer tissue. RESULTS: We demonstrated that mechanical homogenizations combined with thrombin treatment can be used to recover efficiently intact single-cell nuclei from FFPE breast cancer tissue. Ki67 in the recovered cell nuclei retained reactivity against the MIB-1 antibody, which has been widely used in clinical settings. Additionally, since the method did not alter the nucleoskeletal structure of tissues, the nuclei of cancer cells can be enriched in data analysis based on differences in size and complexity of nuclei of lymphocytes and normal mammary cells. In a clinical study using the developed protocol, Ki67 positivity was correlated with the Ki67 LI obtained by hot spot analysis by a pathologist in Japan (rho = 0.756, P < 0.0001). The number of cancer cell nuclei subjected to the analysis in our assay was more than twice the number routinely checked by pathologists in clinical settings. CONCLUSIONS: The findings of this study showed the application of this new flow cytometry method could potentially be used to standardize Ki67 assessments in breast cancer.

Development of Enzyme-Linked Immunosorbent Assay for Analysis of Total Aflatoxins Based on Monoclonal Antibody Reactive with Aflatoxins B1, B2, G1 and G2.

A direct competitive enzyme-linked immunosorbent assay (dc-ELISA) was developed for the determination of total amount of aflatoxin B1, B2, G1 and G2 (AFB1, AFB2, AFG1 and AFG2), using a mouse monoclonal antibody that shows similar reactivity to each of these AFs. The working range of the developed dc-ELISA was 50-230 pg/mL for AFB1, 50-270 pg/mL for AFB2, 60-390 pg/mL for AFG1 and 65-700 pg/mL for AFG2. The recovery of AFs from spiked roasted peanuts was 98％. Further, when 4 samples actually contaminated with AFB1, AFB2, AFG1 and AFG2 were examined, the results of dc-ELISA were highly correlated with the values assigned by the Food Analysis Performance Assessment Scheme. The developed dc-ELISA appears to be suitable for the determination of total AFs at concentrations around the maximum permitted level (10 µg/kg for all foods) in Japan.

MEK and PI3K catalytic activity as predictor of the response to molecularly targeted agents in triple-negative breast cancer.

Hyper-activation of the MAPK and PI3K-AKT pathways is linked to tumour progression in triple-negative breast cancer (TNBC). However, clinically effective predictive markers for drugs targeted against protein kinases involved in these pathways have not been identified. We investigated the ability of MEK and PI3K catalytic activity to predict sensitivity to trametinib and wortmannin in TNBC. MEK and PI3K activities correlated strongly with each other only in cell lines showing wortmannin-specific sensitivity, as shown by a linear regression curve (R = 0.951). Accordingly, we created a new parameter that distinguishes trametinib and wortmannin sensitivity in vitro and in vivo. Our findings suggest that the catalytic activities of MEK and PI3K might predict the response of TNBC to trametinib and wortmannin.

Discrepancy between Subjective and Objective Measurements for the Evaluation of Medication Adherence-A Cross-Sectional Study in Patients with Cardiovascular Diseases.

Medication adherence is important for the appropriate drug-based treatment in patients with chronic diseases, especially those with cardiovascular diseases (CVDs). The purpose of the present study was to evaluate medication adherence among patients with CVDs using subjective and objective measurements. We enrolled outpatients who visited Fukuoka University Chikushi Hospital from June to December 2022. As a subjective measurement, we used a self-reported questionnaire developed by Ueno et al., which consists of 12 questionnaire items grouped into the following four domains: medication compliance (subjective compliance), collaboration with health care providers (collaboration), willingness to access and use information about medication (willingness), and acceptance to take medication and how taking medication fits a patient's lifestyle (acceptance). The pill counting method was used as an objective measurement to calculate the medication adherence rate; Poor Adherence was defined as a medication adherence rate of <100%. Ninety-four patients were analyzed. No statistically significant differences were observed between the patients in the Good and Poor Adherence groups classified by pill counting, an objective indicator; in the subjective evaluation index Ueno scale scores of subjective compliance, collaboration, willingness, and acceptance domains; and in the total score. A multivariate analysis revealed that obesity (odds ratio, 3.527; 95% confidence interval, 1.387-9.423; p = 0.008) was an independent factor associated with Poor Adherence. In conclusion, we found a discrepancy between subjective and objective measurements for the evaluation of medication adherence. Furthermore, obesity was an independent factor associated with poor medication adherence assessed by the pill counting method; thus, patients with CVD and obesity require a careful follow-up.

Non-electrostatic interactions associated with aggregate formation between polyallylamine and Escherichia coli.

Bacterial aggregation by mixing with polymers is applied as pretreatment to identify pathogens in patients with infectious diseases. However, the detailed interaction between polymers and bacteria has yet to be fully understood. Here, we investigate the interaction between polyallylamine and Escherichia coli by isothermal titration calorimetry. Aggregation was observed at pH 10 and the binding was driven by favorable enthalpic gain such as the electrostatic interaction. Neither aggregation nor the apparent heat of binding was observed at pH 4.0, despite the strong positive charge of polyallylamine. These results suggest that intermolecular repulsive forces of the abundant positive charge of polyallylamine cause an increased loss of conformational entropy by binding. Non-electrostatic interaction plays a critical role for aggregation.

Highly ordered and stable layered "polymer nanosheets" constructed with amorphous side chains and pi-pi stacking of functional groups in ternary comb copolymers.

We have developed a highly stable, layered structure for ternary copolymers in Langmuir-Blodgett (LB) films at a nanometer scale, with substantial durability over the long-term. In these ternary copolymer LB films, amorphous side chains support the layered structure, and the distance between the layers is controlled at the nanometer scale by the composition of hydrogenated and fluorinated side chains. In the present study, the fine structures of newly synthesized ternary comb copolymers with a carbazole ring in the solid state and molecular orientations in the LB films were investigated using wide-angle X-ray diffraction (WAXD), small-angle X-ray scattering (SAXS), surface pressure-area (pi-A) isotherms, in-plane and out-of-plane X-ray diffraction (XRD), and atomic force microscopy (AFM). The WAXD results identified two short-spacing peaks related to the formation of the subcells for both the fluorinated and hydrogenated side chains. Further, SAXS measurements indicated that these ternary copolymers formed a highly ordered layer structure. In addition, monolayers on the water surface of these ternary copolymers were highly condensed. From the results of in-plane XRD and AFM, it was determined that the side chains and side-chain crystals could not form phase-separated structures in two-dimensional films. These structural features may result from enhancement of pi-pi interactions between the arranged carbazole rings. The side chains of the copolymers in the two-dimensional films are apparently in a miscible state, and monolayers form a homogeneous amorphous surface because of cancellation of differences in van der Waals forces between the two types of side chains. As a result, formation of a highly ordered layer structure in copolymer films having substantial durability over the long term is realized because amorphous side chains support the layer structure in the LB multilayers. Further, control of long spacing at a subnanometer level becomes possible due to changes in the tilt angle of the side chains, depending on their fluorocarbon content.

Surface morphological changes in monolayers of aromatic polyamides containing various N-alkyl side chains.

We synthesized new aromatic polyamides (poly-(N-alkylated benzamides), abbrev. PABA(n)) having both a rigid main chain and a flexible side chain with different lengths. We investigated the solid-state structures, that is, the molecular orientation and surface morphology, of organized molecular films of PABA(n) by performing surface pressure-area (pi-A) isotherm, in-plane and out-of plane X-ray diffraction (XRD), polarized infrared spectroscopy, and atomic force microscopy (AFM) measurements. The solid-state structure of poly-(N-methyl benzamide) (PABA(1)) belonged to the monoclinic system, whereas PABA(3), PABA(4), and PABA(5) showed an orthorhombic packing pattern. PABA(7) and PABA(8) formed amorphous polymers. In the case of PABA(17), a two-dimensional hexagonal lattice was formed as a subcell consisting of side chains. These polymer monolayers were highly condensed on a water surface at 15 degrees C. Out-of-plane XRD measurement results showed that the PABA(1), PABA(3), PABA(4), and PABA(5) multilayers showed large periodicities of 50-60 A. From AFM observation results, it was found that these aromatic polyamides formed single particle layers of hydrophilic groups localized at the bottom of the particles. On the other hand, PABA(7) and PABA(8) monolayers showed irregularity and exhibited shapeless morphologies. In addition, an organized molecular film of PABA(17) formed a highly ordered layer structure (periodicity of 30 A) and a giant circular domain (diameter of 20 nm) made of a side chain crystal. The PABA(17) monolayer showed a hexagonal packing pattern formed due to van der Waals interaction between the flexible side chains. From these experimental findings, it was concluded that the polymer synthesis method employed in the present study can be directly used to control the crystal structure (the third order structure of polymers), molecular arrangement, and surface morphologies of polymer monolayers.

Control of arrangement for s-triazine group in comb copolymers by the Langmuir-Blodgett method and its structural estimation by NEXAFS spectroscopy.

We investigated the molecular orientation of organized molecular films with regard to solid-state structures for newly synthesized comb copolymers with 2-vinyl-4,6-diamino-1,3,5-triazine (VDAT) by surface pressure-area (pi-A) isotherms, in-plane and out-of-plane X-ray diffraction (XRD), atomic force microscopy (AFM), and polarized near-edge X-ray absorption fine structure (NEXAFS) spectroscopy. Since VDAT has adsorption ability to an adenine-thymine base pair of a DNA molecule, control of orientation for VDAT units in monolayers is possible to form surface patterning of biomolecules and construct candidates of new biochip materials. In the bulk state, hydrogenated and fluorinated comb copolymers containing VDAT form side-chain crystals for a two-dimensional lattice spacing of 4.2 and 5.0 A, respectively. From the results of the differential scanning calorimetric (DSC) measurements, sharp-shaped melting peaks appear on the relatively lower temperature side of the thermograms. This result supports the formation of side-chain crystals in the synthesized comb copolymers. These monolayers of copolymers on the water surface were extremely condensed, except for the VDAT:OA = 5:1 copolymer. From the in-plane XRD measurement of multilayers on solids, changes in the two-dimensional lattice structure of fluorinated comb copolymer films containing VDAT units, as opposed to their bulk state, were confirmed. It seems that these structural changes are caused by the stronger pi-pi interaction between the s-triazine rings rather than the van der Waals interaction between fluorocarbons. Polarized NEXAFS spectroscopy showed highly ordered orientation of s-triazine groups in the films based on the incident angle dependency of C and N1s-pi*(CN) transitions with synchrotron radiation. These experimental findings relate to well-ordered arrangement of functional groups supporting the side-chain rearrangement caused by the pi-pi interaction between the s-triazine rings.