Regional anesthesia is associated with improved metastasis free survival after surgical resection of bone sarcomas.

There is increasing evidence that perioperative factors, including type of anesthesia, may be an important consideration regarding oncological disease progression. Previous studies have suggested that regional anesthesia can improve oncological outcomes by reducing the surgical stress response that occurs during tumor resection surgery and that may promote metastatic progression. The purpose of this study is to provide the first robust investigation of the impact of adding regional anesthesia to general anesthesia on oncological outcomes following sarcoma resection. One hundred patients with bone sarcoma were retrospectively analyzed in this study. After adjusting for confounding variables such as age and grade of the tumor, patients with bone sarcoma receiving regional anesthesia in addition to general anesthesia during resection had improved metastasis free survival (multivariate hazard ratio of 0.47 and p = 0.034). Future studies are needed to confer the beneficial effect of regional anesthesia, and to further investigate the potential mechanism. Clinical significance: The results from this study provide evidence that regional anesthesia may be advantageous in the setting of bone sarcoma resection surgery, reducing pain while also improving oncological outcomes and should be considered when clinically appropriate.

ADP-dependent 6-phosphofructokinase from Pyrococcus horikoshii OT3: structure determination and biochemical characterization of PH1645.

Some hyperthermophilic archaea use a modified glycolytic pathway that employs an ADP-dependent glucokinase (ADP-GK) and an ADP-dependent phosphofructokinase (ADP-PFK) or, in the case of Methanococcus jannaschii, a bifunctional ADP-dependent glucophosphofructokinase (ADP-GK/PFK). The crystal structures of three ADP-GKs have been determined. However, there is no structural information available for ADP-PFKs or the ADP-GK/PFK. Here, we present the first crystal structure of an ADP-PFK from Pyrococcus horikoshii OT3 (PhPFK) in both apo- and AMP-bound forms determined to 2.0-A and 1.9-A resolution, respectively, along with biochemical characterization of the enzyme. The overall structure of PhPFK maintains a similar large and small alpha/beta domain structure seen in the ADP-GK structures. A large conformational change accompanies binding of phosphoryl donor, acceptor, or both, in all members of the ribokinase superfamily characterized thus far, which is believed to be critical to enzyme function. Surprisingly, no such conformational change was observed in the AMP-bound PhPFK structure compared with the apo structure. Through comprehensive site-directed mutagenesis of the substrate binding pocket we identified residues that were critical for both substrate recognition and the phosphotransfer reaction. The catalytic residues and many of the substrate binding residues are conserved between PhPFK and ADP-GKs; however, four key residues differ in the sugar-binding pocket, which we have shown determine the sugar-binding specificity. Using these results we were able to engineer a mutant PhPFK that mimics the ADP-GK/PFK and is able to phosphorylate both fructose 6-phosphate and glucose.

Effect of Preservative Pretreatment on the Biological Durability of Corn Straw Fiber/HDPE Composites.

The effects of alkaline copper quaternary (ACQ) and zinc borate (ZB) on the resistance of corn stalk fiber (CSF)-reinforced high-density polyethylene (HDPE) composites to biodegradation were examined. Both biocides could inhibit termites, mold fungi, and wood-decay fungi, even at high CSF formulations (i.e., 60%). Additionally, ACQ enhanced the resistance of the composite materials to certain biotic stresses better than ZB. The CSF/HDPE composites treated with ACQ at the 3.0% level exhibited a superior performance against termites, white rot fungi, and brown rot fungi. ACQ treatment at the 1% level was optimal for inhibiting soft rot fungi. Furthermore, mold growth was not observed on ACQ-treated CSF/HDPE samples. The untreated CSF/HDPE composites were more susceptible to mold infections and decay than the untreated poplar/HDPE composites, likely because of an incomplete removal of the pith. The chemical features of the corn stalk may also have influenced these differences, but this possibility will need to be explored in future investigations. Furthermore, the CSF component of CSF/HDPE composites is highly susceptible to fungal attacks, with the soft rot fungus inducing the largest mass losses, followed by the white rot fungus, and then the brown rot fungus.