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1.
World J Microbiol Biotechnol ; 40(1): 37, 2023 Dec 07.
Article in English | MEDLINE | ID: mdl-38057658

ABSTRACT

Increased production of renewable energy sources is becoming increasingly needed. Amidst other strategies, one promising technology that could help achieve this goal is biological hydrogen production. This technology uses micro-organisms to convert organic matter into hydrogen gas, a clean and versatile fuel that can be used in a wide range of applications. While biohydrogen production is in its early stages, several challenges must be addressed for biological hydrogen production to become a viable commercial solution. From an experimental perspective, the need to improve the efficiency of hydrogen production, the optimization strategy of the microbial consortia, and the reduction in costs associated with the process is still required. From a scale-up perspective, novel strategies (such as modelling and experimental validation) need to be discussed to facilitate this hydrogen production process. Hence, this review considers hydrogen production, not within the framework of a particular production method or technique, but rather outlines the work (bioreactor modes and configurations, modelling, and techno-economic and life cycle assessment) that has been done in the field as a whole. This type of analysis allows for the abstraction of the biohydrogen production technology industrially, giving insights into novel applications, cross-pollination of separate lines of inquiry, and giving a reference point for researchers and industrial developers in the field of biohydrogen production.


Subject(s)
Bioreactors , Microbial Consortia , Fermentation , Hydrogen , Costs and Cost Analysis , Biofuels
2.
Neuroimage ; 181: 347-358, 2018 11 01.
Article in English | MEDLINE | ID: mdl-29886144

ABSTRACT

The discovery of hemodynamic (BOLD-fMRI) resting-state networks (RSNs) has brought about a fundamental shift in our thinking about the role of intrinsic brain activity. The electrophysiological underpinnings of RSNs remain largely elusive and it has been shown only recently that electric cortical rhythms are organized into the same RSNs as hemodynamic signals. Most electrophysiological studies into RSNs use magnetoencephalography (MEG) or scalp electroencephalography (EEG), which limits the spatial resolution with which electrophysiological RSNs can be observed. Due to their close proximity to the cortical surface, electrocorticographic (ECoG) recordings can potentially provide a more detailed picture of the functional organization of resting-state cortical rhythms, albeit at the expense of spatial coverage. In this study we propose using source-space spatial independent component analysis (spatial ICA) for identifying generators of resting-state cortical rhythms as recorded with ECoG and for reconstructing their functional connectivity. Network structure is assessed by two kinds of connectivity measures: instantaneous correlations between band-limited amplitude envelopes and oscillatory phase-locking. By simulating rhythmic cortical generators, we find that the reconstruction of oscillatory phase-locking is more challenging than that of amplitude correlations, particularly for low signal-to-noise levels. Specifically, phase-lags can both be over- and underestimated, which troubles the interpretation of lag-based connectivity measures. We illustrate the methodology on somatosensory beta rhythms recorded from a macaque monkey using ECoG. The methodology decomposes the resting-state sensorimotor network into three cortical generators, distributed across primary somatosensory and primary and higher-order motor areas. The generators display significant and reproducible amplitude correlations and phase-locking values with non-zero lags. Our findings illustrate the level of spatial detail attainable with source-projected ECoG and motivates wider use of the methodology for studying resting-state as well as event-related cortical dynamics in macaque and human.


Subject(s)
Beta Rhythm/physiology , Connectome/methods , Electrocorticography/methods , Image Processing, Computer-Assisted/methods , Motor Cortex/physiology , Nerve Net/physiology , Somatosensory Cortex/physiology , Animals , Macaca , Magnetic Resonance Imaging , Motor Cortex/diagnostic imaging , Nerve Net/diagnostic imaging , Somatosensory Cortex/diagnostic imaging
3.
Arch Ital Biol ; 156(3): 127-136, 2018 Sep 01.
Article in English | MEDLINE | ID: mdl-30324608

ABSTRACT

Wakefulness and sleep are two qualitatively different behavioral states. The mechanisms underlying these behavioral states can be traced back to the coordinated functioning of cortical microcircuits. The stereotypical activity of cortical microcircuits during wakefulness and sleep shapes a cortical state, defined as an organized neuronal network functioning across time. Cortical microcircuits are conformed by pyramidal cells and several interneurons, organized into a six-layer structure that contains well defined connections across excitatory and inhibitory cells. In this organization, inhibitory interneurons play an important role in the transitions between wakefulness and sleep, through their actions in the regulation of the excitatory/inhibitory balance. Yet, we do not know what mechanisms underlie cortical microcircuits transitions between different behavioral states. The aim of this review is to examine how the action of specific interneurons can shape the outcome of cortical microcircuits. We discuss the role of interneurons, as main modulators of sleep and wake states and the communication regimes of microcircuits observed during different cortical states. The literature here reviewed suggests the importance of inhibitory interneurons as the main modulator of the function of cortical microcircuits. We finally discuss some future research perspectives about cortical states and their different interneurons subtypes.


Subject(s)
Cerebral Cortex/physiology , Neural Pathways/physiology , Sleep/physiology , Animals , Humans , Interneurons/physiology , Wakefulness/physiology
4.
Eur J Neurosci ; 43(10): 1286-96, 2016 05.
Article in English | MEDLINE | ID: mdl-26547390

ABSTRACT

Neuronal gamma-band synchronization (25-80 Hz) in visual cortex appears sustained and stable during prolonged visual stimulation when investigated with conventional averages across trials. However, recent studies in macaque visual cortex have used single-trial analyses to show that both power and frequency of gamma oscillations exhibit substantial moment-by-moment variation. This has raised the question of whether these apparently random variations might limit the functional role of gamma-band synchronization for neural processing. Here, we studied the moment-by-moment variation in gamma oscillation power and frequency, as well as inter-areal gamma synchronization, by simultaneously recording local field potentials in V1 and V2 of two macaque monkeys. We additionally analyzed electrocorticographic V1 data from a third monkey. Our analyses confirm that gamma-band synchronization is not stationary and sustained but undergoes moment-by-moment variations in power and frequency. However, those variations are neither random and nor a possible obstacle to neural communication. Instead, the gamma power and frequency variations are highly structured, shared between areas and shaped by a microsaccade-related 3-4-Hz theta rhythm. Our findings provide experimental support for the suggestion that cross-frequency coupling might structure and facilitate the information flow between brain regions.


Subject(s)
Cortical Synchronization , Gamma Rhythm , Saccades , Theta Rhythm , Visual Cortex/physiology , Animals , Macaca mulatta , Male , Neural Pathways/physiology , Photic Stimulation , Signal Processing, Computer-Assisted
5.
Neuroimage ; 108: 460-75, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25585017

ABSTRACT

This paper reports a dynamic causal modeling study of electrocorticographic (ECoG) data that addresses functional asymmetries between forward and backward connections in the visual cortical hierarchy. Specifically, we ask whether forward connections employ gamma-band frequencies, while backward connections preferentially use lower (beta-band) frequencies. We addressed this question by modeling empirical cross spectra using a neural mass model equipped with superficial and deep pyramidal cell populations-that model the source of forward and backward connections, respectively. This enabled us to reconstruct the transfer functions and associated spectra of specific subpopulations within cortical sources. We first established that Bayesian model comparison was able to discriminate between forward and backward connections, defined in terms of their cells of origin. We then confirmed that model selection was able to identify extrastriate (V4) sources as being hierarchically higher than early visual (V1) sources. Finally, an examination of the auto spectra and transfer functions associated with superficial and deep pyramidal cells confirmed that forward connections employed predominantly higher (gamma) frequencies, while backward connections were mediated by lower (alpha/beta) frequencies. We discuss these findings in relation to current views about alpha, beta, and gamma oscillations and predictive coding in the brain.


Subject(s)
Feedback, Physiological , Haplorhini/physiology , Visual Cortex/physiology , Animals , Models, Theoretical , Nerve Net/physiology
6.
Neuroimage ; 92: 143-55, 2014 May 15.
Article in English | MEDLINE | ID: mdl-24495812

ABSTRACT

Using high-density electrocorticographic recordings - from awake-behaving monkeys - and dynamic causal modelling, we characterised contrast dependent gain control in visual cortex, in terms of synaptic rate constants and intrinsic connectivity. Specifically, we used neural field models to quantify the balance of excitatory and inhibitory influences; both in terms of the strength and spatial dispersion of horizontal intrinsic connections. Our results allow us to infer that increasing contrast increases the sensitivity or gain of superficial pyramidal cells to inputs from spiny stellate populations. Furthermore, changes in the effective spatial extent of horizontal coupling nuance the spatiotemporal filtering properties of cortical laminae in V1 - effectively preserving higher spatial frequencies. These results are consistent with recent non-invasive human studies of contrast dependent changes in the gain of pyramidal cells elaborating forward connections - studies designed to test specific hypotheses about precision and gain control based on predictive coding. Furthermore, they are consistent with established results showing that the receptive fields of V1 units shrink with increasing visual contrast.


Subject(s)
Connectome/methods , Contrast Sensitivity/physiology , Models, Neurological , Nerve Net/physiology , Neural Inhibition/physiology , Pyramidal Cells/physiology , Visual Cortex/physiology , Animals , Attention/physiology , Computer Simulation , Electroencephalography/methods , Macaca mulatta , Male , Visual Fields/physiology
7.
J Exp Med ; 128(2): 293-307, 1968 Aug 01.
Article in English | MEDLINE | ID: mdl-5659523

ABSTRACT

Pairs of rats were immunized with keyhole limpet hemocyanin (KLH) and simultaneously labeled with thymidine-methyl-(3)H or 5-iodo-2'-deoxyuridine-(125)I. From 10-50 days later, their lymphoid organs were examined 3 days after anamnestic stimulation with KLH or after primary injection of BGG. Light and electron microscopic study of the labeled cells revealed that immunologic memory resided in the mature resting monoribosomal lymphocyte which, upon stimulation, transformed to an immature polyribosomal lymphocyte and mitotically active blast cell. These latter elements differentiated into plasma cells directly or after mitosis.


Subject(s)
Antibody Formation , Cell Division , Lymphocytes/immunology , Animals , Autoradiography , Cell Differentiation , DNA , Deoxyuridine , Hemocyanins/pharmacology , Lymph Nodes/immunology , Lymphocytes/cytology , Male , Microscopy , Microscopy, Electron , Mitosis , Plasma Cells/cytology , Rats , Spleen/immunology , Thymidine/pharmacology , Thymus Gland/immunology , Tritium , Uridine/pharmacology
8.
J Exp Med ; 129(5): 1029-44, 1969 May 01.
Article in English | MEDLINE | ID: mdl-4180741

ABSTRACT

Cell suspensions from draining lymph nodes of immune and nonimmune rats were reacted in vitro with (125)I-labeled antigens. In light microscopic radioautographs of smears, 17% of the immunized cells were tagged by specific antigen; 2.0% of control cells were positive. In electron microscopic radioautographs, 90% of the labeled elements from immune donors were lymphocytes, blast and plasma cells; 10% were monocytes-macrophages or other elements, including naked nuclei. 15% of the labeled cells from control materials were lymphocytes and plasma cells, while 85% were monocytes-macrophages and naked nuclei. Within cell suspensions derived from immunized animals there were almost twice as many lymphocytes marked by isotope as plasma cells, and the lymphocytes ranged in morphology from mature monoribosomal elements to immature polyribosomal cells. Antibody-forming cells fixed labeled antigen at their surfaces. The monocyte-macrophage class was distinguished by a high mean grain count and by distribution of grains within cytoplasmic vacuoles and lysosomes.


Subject(s)
Antibody Formation , Antigen-Antibody Reactions , Lymph Nodes/cytology , Lymphocytes/cytology , Animals , Autoradiography , Lymph Nodes/immunology , Lymphocytes/immunology , Macrophages/cytology , Male , Methods , Microscopy, Electron , Plasma Cells/cytology , Plasma Cells/immunology , Rats , Serum Albumin, Radio-Iodinated , gamma-Globulins
9.
J Natl Cancer Inst ; 83(21): 1553-9, 1991 Nov 06.
Article in English | MEDLINE | ID: mdl-1960752

ABSTRACT

We examined the estrogen receptor measurement in 265 human breast cancer cytosols by using a specific method based on [3H]tamoxifen aziridine labeling, sequential immunoadsorption with an antiestrogen receptor monoclonal antibody (H-222), sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and autoradiography. These new tools of molecular endocrinology revealed an impressive estrogen receptor molecular polymorphism. Given the recent finding of a similar estrogen receptor polymorphism at the messenger RNA level by several laboratories, it is tempting to speculate about its possible biological significance. To gain insight into the potential clinical relevance of this polymorphism in terms of breast cancer hormone dependence, we compared the 265 cytosols for their [3H]tamoxifen aziridine- and [3H]estradiol-binding capacities using the above-mentioned method and the conventional dextran-coated charcoal assay. We failed to identify a specific [3H]tamoxifen aziridine electrophoretic pattern with respect to the tumor estrogen receptor content as measured by the dextran-coated charcoal assay. However, an excellent correlation overall was found between the intensities of both labeling methods. Some tumors were positive for only one of these two ligands. It will be clinically important to see whether the tumors positive for [3H]tamoxifen aziridine only correspond to the small subset of tumors (10%) which respond to tamoxifen treatment despite very low estrogen receptor levels, as measured by the dextran-coated charcoal technique.


Subject(s)
Breast Neoplasms/metabolism , Estradiol , Receptors, Estrogen/analysis , Tamoxifen/analogs & derivatives , Antibodies, Monoclonal , Autoradiography , Centrifugation, Density Gradient , Cytosol/metabolism , Electrophoresis, Polyacrylamide Gel , False Negative Reactions , Humans , Tritium
10.
Cancer Res ; 35(4): 890-5, 1975 Apr.
Article in English | MEDLINE | ID: mdl-1116147

ABSTRACT

A cloned suspension culture of mouse C1300 neuroblastoma cells bound, at 2degrees, sheep erythrocytes passively coated with nerve growth factor, with the formation of rosettes. When grown in tissue culture dishes to which they could attach, neuroblastoma cells rapidly transformed, within 48 hr emitting cytoplasmic processes some of which were several mm long. Most of the attached neuroblastoma cells formed rosettes. In contrast, normal mouse kidney cells or various murine tumor cell lines used as cell controls exhibited a poor capacity for binding nerve growth factor. Rosette formation was a specific reaction that could be prevented by pretreating cells with proteolytic enzymes, free nerve growth factor, or specific antibodies against neuroblastoma cell extracts.


Subject(s)
Nerve Growth Factors/metabolism , Neuroblastoma/metabolism , Animals , Antibodies, Neoplasm , Binding Sites , Cell Differentiation , Cell Membrane/metabolism , Clone Cells , Culture Techniques , Erythrocytes , Immune Adherence Reaction/methods , Kidney/metabolism , Mice , Neoplasms, Experimental/metabolism , Neuroblastoma/immunology , Peptide Hydrolases/pharmacology , Sheep/blood , Temperature
11.
Cancer Res ; 35(4): 896-905, 1975 Apr.
Article in English | MEDLINE | ID: mdl-1116148

ABSTRACT

At 2 degrees, murine C1300 neuroblastoma cells bound NGF-coated sheep erythrocytes and formed rosettes. When the temperature was raised to 37 degrees, the neuroblastoma cells underwent a rapid transformation characterized by microtubule formation, which occurred under the membrane surface close to the points of contact with the attached red cells. Cytoplasmic processes filled wit- microtubules were then emitted by the cell body and surrounded the red cells. Within 20 to 30 min, the attached erythrocytes were phagocytized. Interiorization of membrane-bound erythrocytes-antibody-complement complexes by neuroblasto-a cells could be similarly induced at 37 degrees. In both cases, the extent of phagocytosis was decreased when microtubule formation was blocked with colchicine or vinblastine. Complete inhibition was obtained only by pretreatment of cells with cytochalasin B, a strong inhibitor of microfilament contraction. The role played by the microtubules and the microfilaments in promoting the phagocytosis of the attached erythrocytes is discussed.


Subject(s)
Nerve Growth Factors/metabolism , Neuroblastoma/immunology , Phagocytosis , Animals , Binding Sites , Cell Membrane/immunology , Clone Cells , Colchicine/pharmacology , Complement System Proteins , Cytochalasin B/pharmacology , Cytoplasm/ultrastructure , Erythrocytes/immunology , Immune Adherence Reaction/methods , Mice , Microtubules/ultrastructure , Neoplasms, Experimental/immunology , Neoplasms, Experimental/metabolism , Neuroblastoma/metabolism , Phagocytosis/drug effects , Sheep/blood , Temperature , Vinblastine/pharmacology
12.
Clin Cancer Res ; 6(8): 3183-92, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10955802

ABSTRACT

The oxidant-antioxidant balance is thought to be important in the initiation, promotion, and therapy resistance of cancer. In the present study, we assessed the expression of the antioxidants manganese superoxide dismutase (Mn-SOD) and copper/zinc superoxide dismutase in gastric and esophageal carcinomas and their relation with clinical outcome. Adenocarcinomas of the stomach (n = 81) as well as squamous cell carcinomas of the esophagus (n = 10) showed an enhanced immunohistochemical expression of Mn-SOD, which was accompanied by a significantly higher tissue level (P < or = 0.007) compared with their corresponding normal mucosa. In contrast, copper/zinc superoxide dismutase was found to be marginally lower in these malignant tissues in comparison with the normal tissues. The superoxide dismutase levels were not found to be associated with major clinicopathological features of the gastric cancer patients. Univariate analysis revealed, however, that a high Mn-SOD level in gastric carcinomas, a low level in the normal gastric mucosa, and a high ratio of these two levels in gastric cancer patients are indicative of a poor overall survival. Multivariate analysis, including all clinicopathological parameters, revealed that the Mn-SOD ratio in particular is an independent prognostic parameter in gastric cancer patients.


Subject(s)
Adenocarcinoma/enzymology , Esophageal Neoplasms/enzymology , Stomach Neoplasms/enzymology , Superoxide Dismutase/metabolism , Adenocarcinoma/pathology , Aged , Copper/metabolism , Enzyme-Linked Immunosorbent Assay , Esophageal Neoplasms/pathology , Female , Humans , Immunohistochemistry , Male , Manganese/metabolism , Middle Aged , Prognosis , Stomach Neoplasms/pathology , Survival Analysis , Zinc/metabolism
13.
Curr Opin Neurobiol ; 32: 68-77, 2015 Jun.
Article in English | MEDLINE | ID: mdl-25544724

ABSTRACT

Brain activity reveals exquisite coordination across spatial scales, from local microcircuits to brain-wide networks. Understanding how the brain represents, transforms and communicates information requires simultaneous recordings from distributed nodes of whole brain networks with single-cell resolution. Realizing multi-site recordings from communicating populations is hampered by the need to isolate clusters of interacting cells, often on a day-to-day basis. Chronic implantation of multi-electrode arrays allows long-term tracking of activity. Lithography on thin films provides a means to produce arrays of variable resolution, a high degree of flexibility, and minimal tissue displacement. Sequential application of surface arrays to monitor activity across brain-wide networks and subsequent implantation of laminar arrays to target specific populations enables continual refinement of spatial scale while maintaining coverage.


Subject(s)
Brain/physiology , Electrodes, Implanted , Electrophysiological Phenomena/physiology , Nerve Net/physiology , Animals , Brain/anatomy & histology , Humans , Nerve Net/anatomy & histology
14.
J Bone Miner Res ; 14(12): 2107-17, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10620070

ABSTRACT

Osteoclasts from a patient affected by osteopetrosis were examined in vivo and in vitro. Iliac crest biopsy revealed an osteosclerotic pattern, with prominent numbers of osteoclasts noted for hypernuclearity and incomplete adherence to the bone surface. A population comprising tartrate-resistant acid phosphatase (TRAP)-positive, multinucleated and mononuclear cells, and alkaline phosphatase-positive stromal fibroblasts was obtained in vitro from bone marrow. Mononuclear TRAP-positive precursors spontaneously fused in culture to form giant osteoclast-like cells. These cells expressed the osteoclast marker MMP-9 and calcitonin receptor, and lacked the macrophage marker, Fc receptor. Expression and distribution of c-src, c-fms, and CD68, and response to steroid hormones relevant to osteoclast differentiation and function were apparently normal, whereas cell retraction in response to calcitonin was impaired. TRAP-positive multinucleated cells did not form osteoclast-specific adhesion structures (clear zone, podosomes, or actin rings). Bone resorption rate was severely reduced in vitro. Focal adhesions and stress fibers were observed en lieu of podosomes and actin rings. Adhesion structures contained low levels of immunoreactive vitronectin receptor, most of this integrin being retained in cytoplasmic vesicles. These data provide the first characterization of abnormal differentiation and function of human osteopetrotic osteoclast-like cells.


Subject(s)
Osteoclasts/pathology , Osteopetrosis/pathology , Acid Phosphatase/metabolism , Alkaline Phosphatase/metabolism , Antigens, CD/metabolism , Antigens, Differentiation, Myelomonocytic/metabolism , Calcitonin/pharmacology , Cell Adhesion , Child , Female , Fluorescent Antibody Technique , Genes, src , Histocytochemistry , Humans , Isoenzymes/metabolism , Microscopy, Electron , Osteoclasts/ultrastructure , Receptor, Macrophage Colony-Stimulating Factor/genetics , Receptors, Calcitonin/metabolism , Receptors, Vitronectin/metabolism , Tartrate-Resistant Acid Phosphatase
15.
Neurology ; 57(2): 265-70, 2001 Jul 24.
Article in English | MEDLINE | ID: mdl-11468311

ABSTRACT

OBJECTIVE: To describe clinical and neuropathologic studies and linkage analysis on two sisters with a severe form of leukodystrophy. METHODS: A detailed study was performed on the second sister. Genotyping markers for chromosome 3, including eight additional markers surrounding the vanishing white matter (VWM) locus, were used. RESULTS: During the first year of life, two sisters developed a severe neurologic condition after an intercurrent infection. It was accompanied by irritability and stupor with rapid loss of their motor abilities. Results of extensive metabolic studies were negative. Brain MRI showed severe and diffuse abnormalities of the encephalic white matter. Neuropathologic examination showed a severe lack of myelin with diffuse vacuolating white matter lesions in the brain, associated with an increased density of oligodendrocytes and a reduced number of astrocytes on morphometric analysis. In sharp contrast, the spinal cord white matter was preserved. The affected sibpairs shared a common haplotype for a broad region in chromosome 3. They were homozygous between markers D3S1565 and D3S3669, including the VWM locus. CONCLUSIONS: This condition is an unusual variant of childhood ataxia with diffuse central hypomyelination (CACH)/VWM, with characteristic shrinking and perivascular clustering of astrocytes. Haplotype analysis suggests that this variant is allelic to the VWM locus located on chromosome 3q27.


Subject(s)
Brain/pathology , Chromosomes, Human, Pair 3/genetics , Demyelinating Diseases/genetics , Alleles , Brain/ultrastructure , Demyelinating Diseases/pathology , Fatal Outcome , Female , Humans , Infant , Magnetic Resonance Imaging , Microscopy, Electron , Pedigree , Syndrome
16.
J Immunol Methods ; 133(2): 235-44, 1990 Oct 19.
Article in English | MEDLINE | ID: mdl-2146322

ABSTRACT

Natural killer cells can phenotypically be identified as CD16 positive with a specific monoclonal antibody (B73.1 = Leu-11c) by either immunofluorescence microscopy or by flow cytometry. The standard procedure in flow cytometry is to set a window or gate around the so called lymphocytic population, based on scatter characteristics. In this paper we demonstrate that a substantial part of the NK cell population is situated outside this gate in the total mononuclear cell population. We therefore recommend that the number of CD16+ cells is determined in the total mononuclear cell population. However, in the total mononuclear cell population, a group of dimly CD16 positive cells, probably monocytes, interferes with a clear separation of cells with a positive and negative fluorescence. We describe two methods to overcome this problem.


Subject(s)
Antigens, Differentiation , Cell Separation/methods , Flow Cytometry/methods , Killer Cells, Natural , Lymphocytes , Receptors, Fc , Adult , Aged , Aged, 80 and over , Aging/immunology , Antibodies, Monoclonal/immunology , Antigens, Differentiation/immunology , Humans , Immunophenotyping , Killer Cells, Natural/immunology , Leukocyte Count , Light , Lymphocytes/immunology , Microscopy, Fluorescence , Receptors, Fc/immunology , Receptors, IgG , Scattering, Radiation
17.
Am J Med Genet ; 31(4): 933-42, 1988 Dec.
Article in English | MEDLINE | ID: mdl-3239582

ABSTRACT

We report on sibs with scleroatonic familial myopathy (Ullrich disease). Muscular weakness was of relatively late onset in relation to other cases reported in the literature. Short stature and moderate growth hormone deficiency were noted during follow-up. Differential diagnosis with other neuromuscular disorders, particularly rigid spine syndrome, is discussed.


Subject(s)
Muscles/pathology , Muscular Dystrophies/genetics , Abnormalities, Multiple/genetics , Adolescent , Child , Female , Humans , Male , Muscular Dystrophies/pathology , Sclerosis , Spinal Cord/pathology
18.
Eur J Endocrinol ; 144(3): 227-35, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11248741

ABSTRACT

OBJECTIVE: Pituitary adenomas are usually sporadic, although rare familial cases have been described. Here we report two first degree female cousins with giant pituitary adenoma and overweight. Both presented with secondary amenorrhoea, occasional headache and weight gain. MATERIALS AND METHODS: In both patients clinical, morphological and genetic studies were performed. Both patients underwent surgery and post-operative medical therapy with somatostatin analogues and dopamine agonist, followed by a conventional radiotherapy course. RESULTS: Clinical examination at presentation revealed an acromegaloid habitus only in the second patient. Basal and dynamic hormonal evaluation showed high serum GH and serum IGF-I values, higher in the second than in the first patient, and a mild hyperprolactinaemia only in the first patient. On optical and electron microscopy, both tumours were oncocytic adenomas, immunopositive for GH in the first patient and GH/prolactin in the second. The genetic analysis for germ-line mutations of the multiple endocrine neoplasia type 1 gene was negative. Two years after radiotherapy a remarkable shrinkage of both tumours was observed, whereas the overweight worsened in both patients, accompanied by high plasma leptin values. CONCLUSION: To our knowledge, this is the first report of familial pituitary adenomas including one case of a clinically silent GH-secreting adenoma. In addition, it provides further evidence that familial pituitary tumours can occur as a multiple endocrine neoplasia type 1 unrelated disease.


Subject(s)
Adenoma/genetics , Adenoma/pathology , Pituitary Neoplasms/genetics , Pituitary Neoplasms/pathology , Weight Gain/genetics , Adenoma/blood , Adenoma/therapy , Adult , Amenorrhea/complications , Anthropometry , DNA Mutational Analysis , Family Health , Female , Genetic Testing , Headache/complications , Human Growth Hormone/blood , Humans , Insulin-Like Growth Factor I/metabolism , Leptin/blood , Magnetic Resonance Imaging , Microscopy, Electron , Multiple Endocrine Neoplasia Type 1/genetics , Mutation/genetics , Pituitary Neoplasms/blood , Pituitary Neoplasms/therapy , Prolactin/blood
19.
Chest ; 77(4): 556-8, 1980 Apr.
Article in English | MEDLINE | ID: mdl-7357983

ABSTRACT

A case of histiocytoid cardiomyopathy in a ten-month-old boy is reported. Histologic and ultrastructural examinations led us to consider the possibility that the disease, rather than being a focal lesion of the common myocardium as it was heretofore considered, might be regarded as a diffuse lesion on the specific myocardium.


Subject(s)
Cardiomyopathies/pathology , Niemann-Pick Diseases/pathology , Heart Conduction System/pathology , Humans , Infant , Male , Myocardium/pathology , Myofibrils/ultrastructure , Vacuoles/ultrastructure
20.
J Heart Lung Transplant ; 16(11): 1113-21, 1997 Nov.
Article in English | MEDLINE | ID: mdl-9402510

ABSTRACT

BACKGROUND: Little is known about the causes of death of heart transplant recipients who survive long-term. METHODS: The pathologic and clinical records of 97 patients who underwent heart transplantation in Italy from 1985 to 1995 and died (85 of 97) or underwent retransplantation (12 of 97) at least 2 years after transplantation were surveyed. Graft failures were classified as late (occurring between 2 and 5 years after transplantation) and belated (more than 5 years). RESULTS: Graft vasculopathy was the single most common cause of death (40.0%) and the only cause of late retransplantation. Tumors ranked second (23.5% of deaths), but the expected non-Hodgkin's lymphomas and Kaposi's sarcoma were accompanied by a high number of lung cancers (especially metastasizing adenocarcinomas). They were followed by the emergence or recurrence of pretransplantation diseases (9.4%), fatal infections (exclusively bacterial) (4.7%), the development of transmissible diseases (viral hepatitis and acquired immunodeficiency syndrome, 4.7%), and late acute rejection (2.3%). The distribution of failures differed in the late and belated periods: death and organ loss proportions for graft vasculopathy, respectively, fell and rose from the late to the belated period; some types of malignancy and fatal acute rejection were never observed in the belated period, whereas the emergence of pretransplantation diseases prevailed in the belated period. Graft vasculopathy was more frequent and tumors were less frequent among patients undergoing transplantation for ischemic heart disease. CONCLUSIONS: The reasons why heart transplant recipients die or undergo retransplantation, respectively, in the late and belated periods slightly differ from one another and are widely different than in short-term survivors.


Subject(s)
Heart Transplantation , Bacterial Infections/mortality , Cause of Death , Graft Rejection , Humans , Lung Neoplasms/mortality , Lymphoma, Non-Hodgkin/mortality , Myocardial Ischemia/surgery , Postoperative Complications , Reoperation , Sarcoma, Kaposi/mortality , Time Factors , Treatment Outcome , Vascular Diseases/mortality
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