Zooplankton communities and their relationship with water quality in eight reservoirs from the midwestern and southeastern regions of Brazil / Comunidades de zooplâncton e sua relação com a qualidade da água em oito reservatórios das regiões Centro-Oeste e Sudeste do Brasil

Abstract Zooplankton are widely recognised as being regulated primarily by predators and food availability. In reservoirs, the quantity and quality of food resources are generally affected by the characteristics of the water, which in turn are controlled by the flow pulse generated by operation of the dams. In this study, we investigated the relationship between zooplankton, water quality and food availability (phytoplankton) in eight hydroelectric reservoirs located in Brazil. Samples were collected during the rainy and dry periods between 2008 and 2009. In general, the reservoirs exhibited mesotrophic conditions and Cyanobacteria were the predominant phytoplankton. The results showed that the rotifers Kellicottia bostoniensis, Hexarthra mira, Keratella spp., and Polyarthra vulgaris were present, indicating nutrient-rich environments. In addition, the copepod Thermocyclops decipiens occurred in eutrophic environments. In contrast, the cladoceran Daphnia gessneri and copepod Notodiaptomus henseni were considered indicators of more desirable water quality, owing to their relationship with waters with lower levels of nutrients and suspended solids. The results support the use of these organisms as a useful tool for understanding changes in water quality and in the ecosystem processes involved.

Resumo O zooplâncton é amplamente reconhecido como sendo regulado principalmente por predadores e pela disponibilidade de alimento. Em reservatórios, a quantidade e a qualidade de recursos alimentares são afetadas pelas características da água que, por sua vez, são controladas pelo pulso de fluxo gerado pela operação das barragens. Neste estudo, investigamos a relação entre o zooplâncton, qualidade d'água e a disponibilidade de alimento (fitoplâncton) em oito reservatórios hidrelétricos localizados no Brasil. Amostras foram coletadas durante os períodos chuvoso e seco, entre os anos de 2008 e 2009. Em geral, os reservatórios exibiram condições mesotróficas e Cyanobacteria foi o fitoplâncton predominante. Os resultados mostraram que os rotíferos Kellicottia bostoniensis, Hexarthra mira, Keratella spp. e Polyarthra vulgaris foram indicadores de ambientes ricos em nutrientes. Além disso, o copépode Thermocyclops decipiens ocorreu em ambientes eutróficos. Por outro lado, o cladócero Daphnia gessneri e o copépode Notodiaptomus henseni foram considerados indicadores de melhor qualidade da água, devido a sua relação com águas com baixos níveis de nutrientes e sólidos em suspensão. Os resultados suportam o uso desses organismos como uma ferramenta útil para o entendimento das mudanças na qualidade d'água e nos processos ecossistêmicos envolvidos.

Spatial and temporal variations in fish assemblage: testing the zonation concept in small reservoirs / Variações espaciais e temporais na assembleia de peixes: testando o conceito de zonação em pequenos reservatórios

Abstract Large reservoirs usually present spatial gradients in fish assemblage, distinguishing three strata (littoral, pelagic, and bathypelagic) along the vertical and horizontal axes, and three zones (fluvial, transitional, and lacustrine) along the longitudinal axis. The main objective of this study was to assess if small reservoirs also present the spatial gradients in fish assemblage attributes and structure as already observed in large reservoirs. Fish surveys were conducted quarterly, from 2003 to 2008, in the Mourão Reservoir (Mourão River, Paraná, Brazil), using gillnets with different mesh sizes, arranged in all strata of all three zones. Community attributes (species richness and evenness) were calculated for each sample, and differences were tested using three-way ANOVA (factors: zone, strata, year). Community composition was summarized using Correspondence Analysis (CA) and differences were tested with three-way ANOVA for each axis, controlling the same three factors. Because of the high variability in reservoir water level through time, all analyses were made considering temporal variations. Species richness presented a decreasing trend from fluvial to lacustrine zones, and higher values in littoral strata, possibly because upper reaches and littoral regions provide better conditions for fish to feed and to reproduce. Evenness was considerably low, presenting high variability, and no evident pattern. The expected longitudinal gradient was not found in this study indicating longitudinal similarity, contrary to observed in large reservoirs. Vertical and horizontal gradients were observed in all sampling stations, indicating that abiotic and biotic conditions are influencing fish distributions within the reservoir.

Resumo Grandes reservatórios, em geral, apresentam gradientes espaciais da assembleia de peixes, distinguindo três estratos (litoral, pelágico e batipelágico) ao longo dos eixos vertical e horizontal, e três zonas (fluvial, transição e lacustre) ao longo do eixo longitudinal. O principal objetivo deste estudo foi avaliar se pequenos reservatórios também apresentam tais gradientes espaciais, nos atributos e na estrutura da assembleia de peixes, como já observado em grandes reservatórios. As coletas dos peixes foram realizadas trimestralmente, de 2003 a 2008, no reservatório de Mourão (Rio Mourão, Paraná, Brasil), com redes de espera com diferentes tamanhos de malha, dispostas em todos os estratos de todas as três zonas. Atributos da assembleia (riqueza de espécies e equitabilidade) foram calculados para cada amostra, e as diferenças foram testadas utilizando ANOVA tri-fatorial (fatores: zona, estratos, anos). A estrutura da assembleia foi sumarizada usando uma Análise de Correspondência (CA) e as diferenças foram testadas com ANOVA tri-fatorial para cada eixo, controlando os mesmos três fatores. Devido à alta variabilidade no nível da água do reservatório ao longo do tempo, todas as análises foram feitas considerando as variações temporais. A riqueza de espécies apresentou tendência decrescente, da zona fluvial até a lacustre, com valores maiores no estrato litoral, possivelmente porque locais à montante e regiões litorâneas proporcionam melhores condições de alimentação e reprodução para os peixes. A equitabilidade foi consideravelmente baixa, apresentando alta variabilidade e nenhum padrão evidente. O gradiente longitudinal esperado não foi encontrado neste estudo, indicando similaridade longitudinal, ao contrário do observado em grandes reservatórios. Gradientes verticais e horizontais foram observadas em todas as áreas amostradas, sugerindo que as condições bióticas e abióticas estão influenciando a distribuição dos peixes ao longo do reservatório.

Spatial and temporal variations in fish assemblage: testing the zonation concept in small reservoirs

Abstract Large reservoirs usually present spatial gradients in fish assemblage, distinguishing three strata (littoral, pelagic, and bathypelagic) along the vertical and horizontal axes, and three zones (fluvial, transitional, and lacustrine) along the longitudinal axis. The main objective of this study was to assess if small reservoirs also present the spatial gradients in fish assemblage attributes and structure as already observed in large reservoirs. Fish surveys were conducted quarterly, from 2003 to 2008, in the Mourão Reservoir (Mourão River, Paraná, Brazil), using gillnets with different mesh sizes, arranged in all strata of all three zones. Community attributes (species richness and evenness) were calculated for each sample, and differences were tested using three-way ANOVA (factors: zone, strata, year). Community composition was summarized using Correspondence Analysis (CA) and differences were tested with three-way ANOVA for each axis, controlling the same three factors. Because of the high variability in reservoir water level through time, all analyses were made considering temporal variations. Species richness presented a decreasing trend from fluvial to lacustrine zones, and higher values in littoral strata, possibly because upper reaches and littoral regions provide better conditions for fish to feed and to reproduce. Evenness was considerably low, presenting high variability, and no evident pattern. The expected longitudinal gradient was not found in this study indicating longitudinal similarity, contrary to observed in large reservoirs. Vertical and horizontal gradients were observed in all sampling stations, indicating that abiotic and biotic conditions are influencing fish distributions within the reservoir.

Resumo Grandes reservatórios, em geral, apresentam gradientes espaciais da assembleia de peixes, distinguindo três estratos (litoral, pelágico e batipelágico) ao longo dos eixos vertical e horizontal, e três zonas (fluvial, transição e lacustre) ao longo do eixo longitudinal. O principal objetivo deste estudo foi avaliar se pequenos reservatórios também apresentam tais gradientes espaciais, nos atributos e na estrutura da assembleia de peixes, como já observado em grandes reservatórios. As coletas dos peixes foram realizadas trimestralmente, de 2003 a 2008, no reservatório de Mourão (Rio Mourão, Paraná, Brasil), com redes de espera com diferentes tamanhos de malha, dispostas em todos os estratos de todas as três zonas. Atributos da assembleia (riqueza de espécies e equitabilidade) foram calculados para cada amostra, e as diferenças foram testadas utilizando ANOVA tri-fatorial (fatores: zona, estratos, anos). A estrutura da assembleia foi sumarizada usando uma Análise de Correspondência (CA) e as diferenças foram testadas com ANOVA tri-fatorial para cada eixo, controlando os mesmos três fatores. Devido à alta variabilidade no nível da água do reservatório ao longo do tempo, todas as análises foram feitas considerando as variações temporais. A riqueza de espécies apresentou tendência decrescente, da zona fluvial até a lacustre, com valores maiores no estrato litoral, possivelmente porque locais à montante e regiões litorâneas proporcionam melhores condições de alimentação e reprodução para os peixes. A equitabilidade foi consideravelmente baixa, apresentando alta variabilidade e nenhum padrão evidente. O gradiente longitudinal esperado não foi encontrado neste estudo, indicando similaridade longitudinal, ao contrário do observado em grandes reservatórios. Gradientes verticais e horizontais foram observadas em todas as áreas amostradas, sugerindo que as condições bióticas e abióticas estão influenciando a distribuição dos peixes ao longo do reservatório.

Zooplankton communities and their relationship with water quality in eight reservoirs from the midwestern and southeastern regions of Brazil

Abstract Zooplankton are widely recognised as being regulated primarily by predators and food availability. In reservoirs, the quantity and quality of food resources are generally affected by the characteristics of the water, which in turn are controlled by the flow pulse generated by operation of the dams. In this study, we investigated the relationship between zooplankton, water quality and food availability (phytoplankton) in eight hydroelectric reservoirs located in Brazil. Samples were collected during the rainy and dry periods between 2008 and 2009. In general, the reservoirs exhibited mesotrophic conditions and Cyanobacteria were the predominant phytoplankton. The results showed that the rotifers Kellicottia bostoniensis, Hexarthra mira, Keratella spp., and Polyarthra vulgaris were present, indicating nutrient-rich environments. In addition, the copepod Thermocyclops decipiens occurred in eutrophic environments. In contrast, the cladoceran Daphnia gessneri and copepod Notodiaptomus henseni were considered indicators of more desirable water quality, owing to their relationship with waters with lower levels of nutrients and suspended solids. The results support the use of these organisms as a useful tool for understanding changes in water quality and in the ecosystem processes involved.

Resumo O zooplâncton é amplamente reconhecido como sendo regulado principalmente por predadores e pela disponibilidade de alimento. Em reservatórios, a quantidade e a qualidade de recursos alimentares são afetadas pelas características da água que, por sua vez, são controladas pelo pulso de fluxo gerado pela operação das barragens. Neste estudo, investigamos a relação entre o zooplâncton, qualidade dágua e a disponibilidade de alimento (fitoplâncton) em oito reservatórios hidrelétricos localizados no Brasil. Amostras foram coletadas durante os períodos chuvoso e seco, entre os anos de 2008 e 2009. Em geral, os reservatórios exibiram condições mesotróficas e Cyanobacteria foi o fitoplâncton predominante. Os resultados mostraram que os rotíferos Kellicottia bostoniensis, Hexarthra mira, Keratella spp. e Polyarthra vulgaris foram indicadores de ambientes ricos em nutrientes. Além disso, o copépode Thermocyclops decipiens ocorreu em ambientes eutróficos. Por outro lado, o cladócero Daphnia gessneri e o copépode Notodiaptomus henseni foram considerados indicadores de melhor qualidade da água, devido a sua relação com águas com baixos níveis de nutrientes e sólidos em suspensão. Os resultados suportam o uso desses organismos como uma ferramenta útil para o entendimento das mudanças na qualidade dágua e nos processos ecossistêmicos envolvidos.

Coincidence of a ductal pancreatic cyst and a gastric duplication cyst: a case report.

We report a case of two abdominal cystic formations in an 18-month-old girl. Laparotomy was performed with surgical removal of both cysts. The cysts were connected by a fibrous bridge. Histology revealed a gastric duplication cyst and a ductal pancreatic cyst originating from an aberrant pancreatic lobe. No fistula was found either to the alimentary tract or in either of the cysts. The clinical picture and treatment are described and compared to findings in the literature.

Long-term results of Rehbein's procedure: a retrospective study in German-speaking countries.

AIM: In contrast to other countries, no collective study of Rehbein's procedure in German-speaking nations has been performed. Therefore, our intention was, analogously to Goto and Ikeda's (10) Japanese study in 1984, Kleinhaus's (13) study on Swenson's procedure in 1979, Bourdelat's (2) French-Canadian investigation into Duhamel's technique in 1997 and Martuciello's (11) and Teitelbaum's (16) follow-up in the year 2000, to perform a follow-up study of Rehbein's technique of deep anterior resection. METHODS: The data of 200 patients from 22 German-speaking centers in Switzerland, Austria and Germany were collected. These data were gathered by questionnaire and the children were followed up in the individual participating hospitals for at least 3.5 years after the procedure. The procedure was performed between 1993 and 1997, over a 5-year period. The questionnaire contained 74 items including anamnestic data, diagnostic postoperative treatment and reoperations. RESULTS: Concerning the incidence of anastomotic leaks and resolving anastomotic strictures there was no significant difference between the results in our series and those of the collective analyses made by Hofmann von Kap-herr (7), Holschneider (9) and Sherman (18). In 6.6 % of the 191 patients an anastomotic leak and in 9.9 % a rectal stricture, which had to be dilated, was observed. Concerning late complications, 22.8 % of the children suffered from constipation, 4.3 % from encopresis, 10.6 % from enterocolitis and only 0.5 % from enuresis. The frequency of constipation diminishes over the years. A comparison of the different large series in the literature clearly shows that the incidence of constipation is higher after Rehbein's procedure and the frequency of urinary incontinence and encopresis higher following Swenson's, Soave's and Duhamel's techniques. The incidence of enterocolitis is less after Rehbein's procedure than after Swenson's, Soave's and Duhamel's techniques. CONCLUSIONS: The different results in the literature are due to the individual experience of the author, the very different follow-up methods and the date of follow-up. Therefore, the different results are hard to compare with our study. Nevertheless, Rehbein's anterior resection still could be presented as an adequate and important method to treat Hirschsprung's disease.

Spatial and temporal distribution of curvina larvae (Plagioscion squamosissimus HECKEL, 1840) and its relationship to some environmental variables in the upper Paraná River floodplain, Brazil

With the objective of studying the spatial and temporal distribution of ''curvina'' Plagioscion squamosissimus larvae and verifying respective spawning sites, monthly sampling was carried out from March 1993 to February 1994 on the Upper Paraná River floodplain. Using a conical-cylindrical plankton net (0.5 mm mesh), samples were taken from the surface of the water bodies, and in the marginal vegetation a strainer and a dragnet (''picaré'') were used. Water samples were collected for environmental variable analysis (temperature, dissolved oxygen, water pH, and electrical conductivity). Water level data were obtained from hydrometric stations. High average density of larvae was found from December 1993 to February 1994 due to high temperature and water level. The Baía sub-area was shown to be the most important in the larvae catch, probably due to its semi-lotic characteristics. Larvae size distribution was shown to be more frequent in the 4.0 mm standard length class, indicating that the sampling stations were next to the spawning sites.

Spatial and temporal distribution of larvae and juveniles of Hoplias aff. malabaricus (Characiformes, Erythrinidae) in the Upper Paraná River floodplain, Brazil

Spatial and temporal distribution of larvae and juveniles of trahira, Hoplias aff. malabaricus (Erythrinidae), and their relationship with environmental parameters in the Upper Paraná River floodplain were analyzed. Sampling of larvae and juveniles of H. aff. malabaricus has been conducted during the period from November 1991 through February 1995, with 42 sampling stations distributed in four sub-areas: Ivinhema I, Ivinhema II, Baía, and Paraná. During the same period, data were obtained for water temperature, dissolved oxygen, pH, electrical conductivity, river level, precipitation index, and photoperiod. The largest catches of larvae were in the Ivinhema I sub-area (47.06%), and of juveniles in the Paraná sub-area (54.55%). Larvae and juveniles were caught from October to February. Larvae were mainly collected at night and in all types of environments sampled (lotic, semi-lotic, and lentic). Principal Component Analysis of the environmental parameters and larval density showed that the largest catches were obtained in dry season months, with low values for temperature, electrical conductivity, river level, and photoperiod, and with high concentrations of dissolved oxygen and pH. This reproductive strategy may minimizes predation and maximizes food utilization, as it enables the fish to reach advanced developmental stages, while most other species are spawning.

Analisou-se a distribuição espaço-temporal de larvas e juvenis de Hoplias aff. malabaricus (Erythrinidae) na planície de inundação do alto rio Paraná e suas relações com algumas variáveis ambientais, verificando-se os habitats preferenciais para a reprodução e desenvolvimento inicial. As amostragens foram divididas em quatro fases realizadas durante o período de novembro de 1991 a fevereiro de 1995, sendo estabelecidas 42 estações de coleta distribuídas em 4 subáreas (Ivinhema I, Ivinhema II, Baía e Paraná). As coletas foram realizadas na coluna de água e na vegetação aquática marginal. Durante o período foram obtidos dados de temperatura da água, oxigênio dissolvido, pH, condutividade elétrica, nível fluviométrico, índice pluviométrico e fotoperíodo. As maiores capturas de larvas foram verificadas na subárea Ivinhema I (47,06%) e, de juvenis, na subárea Paraná (54,55%). As larvas foram encontradas entre outubro e fevereiro em todas as subáreas, já os juvenis foram encontrados até abril. As larvas foram capturadas principalmente durante o período noturno em todos os tipos de ambientes amostrados (lótico, semilótico e lêntico). A Análise de Componentes Principais, aplicada entre as variáveis ambientais e a densidade de larvas, revelou que as maiores capturas são obtidas em meses em que predominam baixos valores de temperatura, condutividade elétrica, nível fluviométrico e fotoperíodo e elevadas concentrações de oxigênio dissolvido e de pH, ou seja, em meses de seca. Esta estratégia reprodutiva minimiza a predação e maximiza o aproveitamento alimentar, uma vez que lhe permite alcançar estágios avançados enquanto a maioria das espécies está desovando.

Spatial and temporal distribution of larvae and juveniles of Hoplias aff. malabaricus (Characiformes, Erythrinidae) in the upper Paraná river floodplain, Brazil

Spatial and temporal distribution of larvae and juveniles of trahira, Hoplias aff. malabaricus (Erythrinidae), and their relationship with environmental parameters in the Upper Paraná River floodplain were analyzed. Sampling of larvae and juveniles of H. aff. malabaricus has been conducted during the period from November 1991 through February 1995, with 42 sampling stations distributed in four sub-areas: Ivinhema I, Ivinhema II, Baía, and Paraná. During the same period, data were obtained for water temperature, dissolved oxygen, pH, electrical conductivity, river level, precipitation index, and photoperiod. The largest catches of larvae were in the Ivinhema I sub-area (47.06 percent), and of juveniles in the Paraná sub-area (54.55 percent). Larvae and juveniles were caught from October to February. Larvae were mainly collected at night and in all types of environments sampled (lotic, semi-lotic, and lentic). Principal Component Analysis of the environmental parameters and larval density showed that the largest catches were obtained in dry season months, with low values for temperature, electrical conductivity, river level, and photoperiod, and with high concentrations of dissolved oxygen and pH. This reproductive strategy may minimizes predation and maximizes food utilization, as it enables the fish to reach advanced developmental stages, while most other species are spawning

Effects of chemotherapeutic agents on expression of somatostatin receptors in pancreatic tumor cells.

UNLABELLED: Specific tumors express high amounts of receptors for somatostatin (SST), providing the basis for imaging and treatment using radiolabeled SST analogs. However, little is known about the potential influence of cytotoxic drugs on SST receptor (SSTR) expression in malignant cells. METHODS: To study the interaction between cytotoxic drugs and SSTR expression, the pancreatic cancer-derived tumor cell lines BxPC-3, Panc-1, Capan-1, and ASPC-1 were exposed to a range of cytotoxic drugs in vitro: Gemcitabine, 5-fluorouracil, cisplatin (cis-diaminedichloroplatinum [II]), camptothecin, mitomycin C, and doxorubicin were checked for changes in binding characteristics of the SSTR ligand (111)In-1,4,7,10-tetraazacyclododecane- N,N',N",N"'-tetraacetic acid-lanreotide (DOTA-LAN). Chemosensitivity was quantitated by measurements of reduction in cell numbers, changes in cell cycle distribution, and appearance of apoptotic subG1 (subG1/0 cell DNA content) cells. RESULTS: Cells were treated with gemcitabine (1.0 or 2.0 microg/mL), 5-fluorouracil (65-520 microg/mL), camptothecin (1.5 or 3 microg/mL), mitomycin C (0.1 or 0.2 microg/mL), and doxorubicin (1.0 or 2.0 microg/mL). Each of the chemotherapeutic agents induced a loss of high-affinity receptors. In addition, gemcitabine caused a reduction of low-affinity receptors in BxPC-3, Panc-1, and ASPC-1 cells. Mitomycin C, camptothecin, and 5-fluorouracil also induced an overexpression of low-affinity receptors. In cells pretreated with cisplatin (2-10 microg/mL), binding of DOTA-LAN was increased. Excluding gemcitabine, the increase in low-affinity binding sites exhibits a weak correlation with apoptosis (r(2) = 0.62). For gemcitabine, these effects were reversed after 4 d of recovery of the cell lines, eventually revealing overexpression of low- and high-affinity sites for BxPC-3 and Panc-1 cells and low-affinity sites for ASPC-1 cells. CONCLUSION: Our results clearly show that the pancreatic tumor lines reduce the expression of high-affinity DOTA-LAN binding sites during application of chemotherapeutic drugs, which is accompanied by variable overexpression of low-affinity binding sites. In the case of gemcitabine, SSTRs are overexpressed during recovery from drug exposure within 4 d. These findings may have implications on the interpretation of scintigraphic results obtained by receptor ligands.

The differentiation inducers phenylacetate and phenylbutyrate modulate camptothecin sensitivity in colon carcinoma cells in vitro by intracellular acidification.

Aromatic fatty acids such as phenylbutyrate (PB) and its metabolite phenylacetate (PA) induce growth arrest, differentiation and apoptosis in solid tumor cells. Despite their antiproliferative action they were reported to exhibit a synergistic effect in combination with cytotoxic drugs like topotecan, and others. Since the activity of the camptothecines (CPTs) depends on local pH conditions, we investigated, whether PB/PA modulate CPT effects indirectly by affecting intracellular pH in SW620 and SW480 colon cancer cells. The results for the colon carcinoma cells show an antagonistic interaction for the combination of CPT and 0.25-5 mM PA in viability assays, resulting in an approximately 3-fold increase in IC50 (control: 20+/-7 nM). A synergistic effect with significantly increased numbers of late apoptotic/necrotic cancer cells (difference +21+/-4%) and 1.4-fold sensitization were detected upon inclusion of 2.5 mM PA during a 4-h CPT (10 micro;M) loading phase. In response to 0.25-1 mM PA/PB the cells exhibit a reversible decrease of pHi (0.1-0.31 pH units) in HEPES- or bicarbonate-buffered media. Dose-dependent acidification and pHi-recovery occurred following addition of PA and PB after an acid load and inhibition of the Na+/H+-antiporter and bicarbonate exchangers, pointing to a possible intracellular mechanism of cytoplasmic acidification. It is concluded that the synergistic modulation of CPT toxicity by short-term PA/PB treatment in colon carcinoma cells is caused by changes in intracellular pH, possibly affecting quantity and localization of the active closed lactone form of this drug.

Modulation of CD99/MIC2 expression of human AHTO-7 osteoblasts by carcinoma cell line-conditioned media.

BACKGROUND: Prostate cancer metastases induce a predominantly osteoblastic response in bone tissue, resulting in new bone formation and associated morbidity; however, the mechanisms of these tumor-host responses are not fully understood. MATERIALS AND METHODS: Supernatants of prostate (PC3, DU145, LNCaP), breast (BT20, ZR-75-1), colon (SW620, Colo 320DM), pancreatic (ASPC1, Capan-1), renal cell (ACHN) and hepatoma (HepG2) cell lines were tested for their capacity to modulate proliferation, activity of alkaline phosphatase (ALP) and CD99/MIC2 expression in AHTO-7 (large T antigen transfected human trabecular osteoblasts) cells in vitro. RESULTS: Osteoblastic stimulation is not restricted to prostate cancer derived conditioned media CM and high activity is found in CM from Capan-1, HepG2 and ACHN lines. Furthermore these CM down-regulate the expression of the CD99/MIC2 antigen in comparison to medium by AHTO-7 cells as detected by HBA-71 immunofluorescence, with the exception of prostate cancer-derived CM. Induction of the differentiation marker ALP was detected in response to CM derived from Capan-1, BT-20 and Colo320DM. Stimulation of the proliferation of AHTO-7 cells (105-138% of control), induction of ALP (1.17-5.29-fold) and down-regulation of CD99 (13.6-57.5%) exhibited no correlation. CM derived from PC3 and LNCaP metastatic prostate cancer cell lines specifically resulted in the retention/stimulation of the expression of CD99/MIC2 in AHTO-7 cells in contrast to all other cell lines tested. CONCLUSION: The CD99/MIC2 antigen, which is expressed on human osteoblasts and osteosarcoma cells, seems to constitute a new and independent response marker of osteoblasts in the triggering of osteoblastic reaction by prostate cancer cells.

Prolonged response to a single androgen suppression phase in a subpopulation of prostate cancer patients.

BACKGROUND: In an intermittent androgen suppression therapy (IAS) trial we observed regular cycles of tumor suppression and regrowth in the majority of patients (17 +/- 2.6 month), with a subpopulation of patients (14 of 72) exhibiting a prolonged response of 28 +/- 7 month (range 18-64+ month) to the first eight-month androgen suppression cycle. PURPOSE: To compare clinical data and laboratory tests (testosterone, prostate-specific antigen, and tissue polypeptide-specific antigen) of matched IAS patients showing either regular treatment cycles (n = 16) or prolonged response (n = 14). RESULTS: Periods of androgen suppression resulted in reversible reduction of serum testosterone (< 1 nmol/l), PSA (< 1 ng/ml) indicating partial growth arrest and apoptotic regression of the tumors. The long-term response subgroup showed significantly lower mean values of tumor gradings, of pretreatment PSA values (11.36 +/- 4.54 vs. 47.5 +/- 12.4 ng/ml PSA), of PSA nadirs during androgen suppression (0.5 vs. 1 ng/ml PSA), and of overall testosterone values (3.9 +/- 1.14 vs. 6.6 +/- 1.18 mmol/l pretreatment) associated with low TPS values. CONCLUSIONS: Patients exhibiting prolonged response to a single cycle of androgen suppression during IAS are characterized by a lower tumor burden, slow growing and less aggressive tumors, lower testosterone serum concentrations and lower absolute PSA nadirs during androgen suppression compared to a matched control group of short-term responders.

Peutz-Jeghers syndrome: is family screening needed?

In a 7-year-old boy, a small-bowel polyp was found intraoperatively as a lead point of an intussusception. Histologically, a hamartoma was found and the clinical work-up revealed Peutz-Jeghers syndrome (PJS). Additionally, all four asymptomatic siblings showed intestinal polyposis. All children in a family with PJS should be properly investigated. In case of an intussusception with a polyp in a critical location, a surgical procedure should follow.

Resveratrol pretreatment desensitizes AHTO-7 human osteoblasts to growth stimulation in response to carcinoma cell supernatants.

Resveratrol, a natural phytoestrogen, has been reported to promote differentiation of murine MC3T3-E1 osteoblasts and to inhibit proliferation of prostate cancer cell lines. In the present study we tested the effects of resveratrol on the increased proliferation of human AHTO-7 osteoblastic cell line induced by conditioned media (CM) from a panel of carcinoma cell lines. This compound was found to modulate AHTO-7 proliferation in a tamoxifen-sensitive mechanism at lower concentrations, but failed to induce the osteoblast differentiation marker alkaline phosphatase (ALP) in contrast to vitamin D3. The proliferative response of AHTO-7 cells to conditioned media from carcinoma cell lines was diminished (30-71.4% inhibition) upon pretreatment with 0.5 microM resveratrol. Highest inhibition was demonstrated for pancreas (BxPC3, Panc-1), breast (ZR75-1) and renal (ACHN) carcinoma cell line supernatants whereas the effect on colon carcinoma (SW620, Colo320DM) cell CM and prostate cancer (PC3, DU145 and LNCaP) CM was less pronounced. Direct addition of resveratrol affected only supernatants of cell lines (<25% inhibition) exhibiting growth stimulatory activity for normal WI-38 lung fibroblasts. Resveratrol inhibited proliferation of DU145 and LNCaP cells in concentrations exceeding 5 microM, altered cell cycle distribution of all prostate cancer cell lines in concentrations as low as 0.5 microM, but did not inhibit the production of osteoblastic factors by these lines. In conclusion, resveratrol failed to induce ALP activity as marker of osteoblast differentiation in human osteoblastic AHTO-7 cells, however, inhibited their response to osteoblastic carcinoma-derived growth factors in concentrations significantly lower than those to reduce growth of cancer cells, thus effectively modulating tumor - osteoblast interaction.

Measurements of free and total PSA, tissue polypeptide-specific antigen (TPS), and CYFRA 21-1 in prostate cancer patients under intermittent androgen suppression therapy.

BACKGROUND: The present study evaluated monthly measurements of free and total prostate-specific antigen (PSA), and the tumor proliferation markers tissue polypeptide-specific antigen (TPS) and cytokeratin fragment 21-1 (CYFRA 21-1) in patients with advanced prostate cancer receiving intermittent androgen suppression therapy (IAS). METHODS: Thirty-four men received alternating cycles of 8 month androgen suppression and treatment cessation (mean duration, 10.3 months) until PSA increased to >20 microg/l. Measurements of testosterone, percentage of free PSA, TPS, and CYFRA 21-1 were performed using ELISA and RIA assays. RESULTS: Periods of androgen suppression resulted in reversible reductions of testosterone (from 6 +/- 0.8 to <0.58 ng/ml), PSA (from 31.2 +/- 4.5 to <1.7 microg/l), and prostatic volume (mean reduction, 22.2 +/- 4.6%), indicating apoptotic regression of the tumors. Upon treatment cessation, testosterone increased to 6.1 +/- 0.56 ng/ml within 2 months, followed by an increase of PSA to 5.8 +/- 0.8 microg/l. The mean percentage of free PSA (15.1 +/- 2.6%) exhibited no significant change during the whole IAS cycle. TPS showed a decrease of 50% after 3 months, and CYFRA 21-1 a 25% decrease after 7 months of androgen suppression treatment. During treatment cessation, TPS exceeded the normal cutoff value of 90 U/l late in tumor regrowth (9-11 months), whereas CYFRA 21-1 remained below the normal cutoff value of 3.3 ng/ml. CONCLUSIONS: PSA is the best and most sensitive marker of prostate cancer regression and regrowth during IAS cycles of the markers tested in this study. Free PSA constitutes approximately 15% of total PSA (range, 5-32%), and its percentage showed no significant change during IAS cycles. The TPS and CYFRA 21-1 proliferation marker changes in IAS seem to be related mainly to effects on normal androgen-dependent tissues.

Detection of colonic dysplasia by light-induced fluorescence endoscopy: a pilot study.

Light-induced fluorescence endoscopy (LIFE) has been shown to differentiate between normal mucosa and dysplastic lesions, and dysplastic lesions of the colon occult to routine white-light colonoscopy may thus be visualized by LIFE. We compared the sensitivity and specificity of LIFE to routine white-light colonoscopy in patients with colonic dysplasia. In a pilot study 20 patients with colonic adenoma, inflammatory bowel disease, or with a history of colon cancer were screened for colonic dysplasia during routine colonoscopy. Forty-two sites of mucosal abnormalities regarded as suspicious for dysplasia during white-light colonoscopy were additionally examined with a prototype LIFE system. Biopsies were taken from all 42 colonic sites. The LIFE images were classified as positive or negative for dysplasia. Sensitivity and specificity were calculated by correlating positive and negative findings to the histopathological results. Histopathology detected 21 adenomas with low-grade dysplasia and one with high-grade dysplasia. All dysplastic lesions were found by routine white-light endoscopy. The specificity of conventional white-light endoscopy was 80%. Of the 22 dysplastic lesions 20 were detected by LIFE (sensitivity 91%). The specificity of LIFE was 90% (two false-positive results). LIFE combined with conventional endoscopy may thus improve the detection of colonic dysplasia.

The impact of extracellular matrix on the chemoresistance of solid tumors--experimental and clinical results of hyaluronidase as additive to cytostatic chemotherapy.

Chemoresistance is of outstanding importance for the limited results of chemotherapy in solid tumors. Chemoresistance of multicellular tumor tissues is more pronounced than that of single cells in vivo and in vitro. The enzyme hyaluronidase is able to loosen the cell-cell contact and the interstitial connective tissue and as such, in a number of preclinical and clinical trials, was shown to enhance the efficacy of cytostatic agents. Although proven to be very effective as additive to local chemotherapy, the systemic efficacy is not documented as well. We present a randomized trial done in high-grade astrocytomas with combined chemotherapy and radiation therapy with and without hyaluronidase. After very promising pilot results with systemic hyaluronidase in various tumor entities and also astrocytomas, this randomized study failed to show synergy to chemotherapy and radiation therapy in high-grade astrocytomas concerning survival. The promising preclinical data and the rather well documented activity in therapeutic use as additive to local chemotherapy seem to be an adequate motive to further elucidate the complex manner in which hyaluronidase is active in the interstitial tumor matrix and to obtain more information concerning the optimal route of application, the optimal dosage and the spectrum of tumor entities where it is synergistic with cytostatic chemotherapy and perhaps even radiation therapy.

Phase II trial of gemcitabine in advanced non-small-cell lung cancer.

Gemcitabine has shown activity in different solid tumors. In the present study we have evaluated its efficacy in 32 patients with advanced non-small-cell lung cancer in a phase II trial. Gemcitabine (1250 mg/m2) was given intravenously as a 30-minute infusion on days 1, 8 and 15. Cycles were repeated every 4 weeks. Twenty-nine patients were evaluable for response and all patients for toxicity. Partial remissions and stable disease were seen in 4 (14%) and 13 (45%) patients, respectively. Improvement of symptoms occurred in 54% of the patients. Side effects were mild and included predominantly leukopenia and thrombocytopenia. In conclusion, gemcitabine is active and well tolerated in patients with advanced non-small-cell lung cancer.