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1.
Cell ; 171(2): 287-304.e15, 2017 Oct 05.
Article in English | MEDLINE | ID: mdl-28985561

ABSTRACT

The evolution of land flora transformed the terrestrial environment. Land plants evolved from an ancestral charophycean alga from which they inherited developmental, biochemical, and cell biological attributes. Additional biochemical and physiological adaptations to land, and a life cycle with an alternation between multicellular haploid and diploid generations that facilitated efficient dispersal of desiccation tolerant spores, evolved in the ancestral land plant. We analyzed the genome of the liverwort Marchantia polymorpha, a member of a basal land plant lineage. Relative to charophycean algae, land plant genomes are characterized by genes encoding novel biochemical pathways, new phytohormone signaling pathways (notably auxin), expanded repertoires of signaling pathways, and increased diversity in some transcription factor families. Compared with other sequenced land plants, M. polymorpha exhibits low genetic redundancy in most regulatory pathways, with this portion of its genome resembling that predicted for the ancestral land plant. PAPERCLIP.


Subject(s)
Biological Evolution , Embryophyta/genetics , Genome, Plant , Marchantia/genetics , Adaptation, Biological , Embryophyta/physiology , Gene Expression Regulation, Plant , Marchantia/physiology , Molecular Sequence Annotation , Signal Transduction , Transcription, Genetic
2.
Plant Physiol ; 195(2): 1333-1346, 2024 May 31.
Article in English | MEDLINE | ID: mdl-38446745

ABSTRACT

Transposable elements (TEs) contribute to plant evolution, development, and adaptation to environmental changes, but the regulatory mechanisms are largely unknown. RNA-directed DNA methylation (RdDM) is 1 TE regulatory mechanism in plants. Here, we identified that novel ARGONAUTE 1 (AGO1)-binding Tudor domain proteins Precocious dissociation of sisters C/E (PDS5C/E) are involved in 24-nt siRNA production to establish RdDM on TEs in Arabidopsis thaliana. PDS5 family proteins are subunits of the eukaryote-conserved cohesin complex. However, the double mutant lacking angiosperm-specific subfamily PDS5C and PDS5E (pds5c/e) exhibited different developmental phenotypes and transcriptome compared with those of the double mutant lacking eukaryote-conserved subfamily PDS5A and PDS5B (pds5a/b), suggesting that the angiosperm-specific PDS5C/E subfamily has a unique function in angiosperm plants. Proteome and imaging analyses revealed that PDS5C/E interact with AGO1. The pds5c/e double mutant had defects in 24-nt siRNA accumulation and CHH DNA methylation on TEs. In addition, some lncRNAs that accumulated in the pds5c/e mutant were targeted by AGO1-loading 21-nt miRNAs and 21-nt siRNAs. These results indicate that PDS5C/E and AGO1 participate in 24-nt siRNA production for RdDM in the cytoplasm. These findings indicate that angiosperm plants evolved a new regulator, the PDS5C/E subfamily, to control the increase in TEs during angiosperm evolution.


Subject(s)
Arabidopsis Proteins , Arabidopsis , Argonaute Proteins , DNA Methylation , RNA, Small Interfering , DNA Methylation/genetics , Argonaute Proteins/metabolism , Argonaute Proteins/genetics , Arabidopsis Proteins/genetics , Arabidopsis Proteins/metabolism , Arabidopsis/genetics , Arabidopsis/metabolism , RNA, Small Interfering/genetics , RNA, Small Interfering/metabolism , Gene Expression Regulation, Plant , Tudor Domain/genetics , DNA Transposable Elements/genetics , RNA, Plant/genetics , RNA, Plant/metabolism , Mutation/genetics
3.
J Cell Sci ; 131(16)2018 08 20.
Article in English | MEDLINE | ID: mdl-30030372

ABSTRACT

Stress granules, a type of cytoplasmic RNA granule in eukaryotic cells, are induced in response to various environmental stresses, including high temperature. However, how high temperatures induce the formation of these stress granules in plant cells is largely unknown. Here, we characterized the process of stress granule formation in Arabidopsis thaliana by combining live imaging and electron microscopy analysis. In seedlings grown at 22°C, stress granule formation was induced at temperatures above a critical threshold level of 34°C in the absence of transpiration. The threshold temperature was the same, regardless of whether the seedlings were grown at 22°C or 4°C. High-resolution live imaging microscopy revealed that stress granule formation is not correlated with the sizes of pre-existing RNA processing bodies (P-bodies) but that the two structures often associated rapidly. Immunoelectron microscopy revealed a previously unidentified characteristic of the fine structures of Arabidopsis stress granules and P-bodies: the lack of ribosomes and the presence of characteristic electron-dense globular and filamentous structures. These results provide new insights into the universal nature of stress granules in eukaryotic cells.


Subject(s)
Arabidopsis/physiology , Cytoplasmic Granules/metabolism , Hot Temperature , Stress, Physiological/physiology , Temperature , Arabidopsis/genetics , Arabidopsis/metabolism , Eukaryotic Initiation Factor-4A/genetics , Heat-Shock Response/physiology , Plants, Genetically Modified , Seedlings
4.
PLoS Genet ; 13(10): e1007037, 2017 Oct.
Article in English | MEDLINE | ID: mdl-29073135

ABSTRACT

The induction of rapid cell death is an effective strategy for plants to restrict biotrophic and hemi-biotrophic pathogens at the infection site. However, activation of cell death comes at a high cost, as dead cells will no longer be available for defense responses nor general metabolic processes. In addition, necrotrophic pathogens that thrive on dead tissue, take advantage of cell death-triggering mechanisms. Mechanisms by which plants solve this conundrum remain described. Here, we identify PLANT SMY2-TYPE ILE-GYF DOMAIN-CONTAINING PROTEIN 1 (PSIG1) and show that PSIG1 helps to restrict cell death induction during pathogen infection. Inactivation of PSIG1 does not result in spontaneous lesions, and enhanced cell death in psig1 mutants is independent of salicylic acid (SA) biosynthesis or reactive oxygen species (ROS) production. Moreover, PSIG1 interacts with SMG7, which plays a role in nonsense-mediated RNA decay (NMD), and the smg7-4 mutant allele mimics the cell death phenotype of the psig1 mutants. Intriguingly, the psig1 mutants display enhanced susceptibility to the hemi-biotrophic bacterial pathogen. These findings point to the existence and importance of the SA- and ROS-independent cell death constraining mechanism as a part of the plant immune system.


Subject(s)
Arabidopsis Proteins/genetics , Arabidopsis/genetics , Carrier Proteins/genetics , Host-Pathogen Interactions/genetics , Arabidopsis/growth & development , Cell Death/genetics , Gene Expression Regulation, Plant , Nonsense Mediated mRNA Decay , Plant Diseases/genetics , Plant Diseases/microbiology , Protein Domains/genetics , Reactive Oxygen Species/metabolism , Salicylic Acid/metabolism
5.
Eur J Orthop Surg Traumatol ; 30(7): 1231-1241, 2020 Oct.
Article in English | MEDLINE | ID: mdl-32372119

ABSTRACT

PURPOSE: Refracture of pediatric both-bone diaphyseal forearm fractures (PBDFFs) may occur, even if the fractures are treated with intramedullary nailing. The purpose of this study was to investigate the risk of refracture of PBDFFs treated with intramedullary Kirschner wires (K-wires), which are commonly used in our clinic. METHODS: The present multicenter retrospective study included 60 consecutive patients with 60 PBDFFs who were treated with intramedullary K-wires at 5 hospitals between 2007 and 2016. The age of the patients at the time of the primary fracture ranged from 2 to 15 years. The characteristics of the primary fractures and treatment course were evaluated. RESULTS: Refracture occurred in 6 patients (10.0%). Three of the patients were young girls; the other 3 were adolescent boys. Refractures were caused by falling or during sports activity. The duration from primary fracture to refracture ranged from 46 to 277 days, and in 5 of the 6 patients refractures occurred within 6 months. Although we were unable to identify factors significantly contributing to refracture (e.g. fracture type or treatment procedures), radiographs at the latest visit before refracture demonstrated findings of immature healing in five of six patients. Both K-wires and external immobilization had been removed before complete fracture healing in a large proportion of patients with refracture (80.0%). CONCLUSIONS: Refracture of PBDFF may occur several months after treatment with intramedullary K-wires if the primary fracture shows immature healing. Physicians should pay special attention when judging radiographic fracture healing, even when the fracture is deemed to have clinically healed.


Subject(s)
Fracture Fixation, Intramedullary , Radius Fractures , Ulna Fractures , Adolescent , Bone Wires/adverse effects , Child , Child, Preschool , Female , Forearm , Fracture Fixation, Intramedullary/adverse effects , Fracture Healing , Humans , Male , Radius Fractures/diagnostic imaging , Radius Fractures/surgery , Retrospective Studies , Treatment Outcome
7.
Plant Physiol ; 170(2): 642-52, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26662274

ABSTRACT

In vitro transcription is an essential tool to study the molecular mechanisms of transcription. For over a decade, we have developed an in vitro transcription system from tobacco (Nicotiana tabacum)-cultured cells (BY-2), and this system supported the basic activities of the three RNA polymerases (Pol I, Pol II, and Pol III). However, it was not suitable to study photosynthetic genes, because BY-2 cells have lost their photosynthetic activity. Therefore, Arabidopsis (Arabidopsis thaliana) in vitro transcription systems were developed from green and etiolated suspension cells. Sufficient in vitro Pol II activity was detected after the minor modification of the nuclear soluble extracts preparation method; removal of vacuoles from protoplasts and L-ascorbic acid supplementation in the extraction buffer were particularly effective. Surprisingly, all four Arabidopsis Rubisco small subunit (rbcS-1A, rbcS-1B, rbcS-2B, and rbcS-3B) gene members were in vitro transcribed from the naked DNA templates without any light-dependent manner. However, clear light-inducible transcriptions were observed using chromatin template of rbcS-1A gene, which was prepared with a human nucleosome assembly protein 1 (hNAP1) and HeLa histones. This suggested that a key determinant of light-dependency through the rbcS gene transcription was a higher order of DNA structure (i.e. chromatin).


Subject(s)
Arabidopsis/genetics , Chromatin/genetics , DNA, Plant/chemistry , RNA Polymerase II/genetics , Transcription, Genetic , Arabidopsis/physiology , Arabidopsis/radiation effects , Arabidopsis Proteins/genetics , Arabidopsis Proteins/metabolism , Ascorbic Acid/metabolism , DNA, Plant/genetics , Light , Nucleic Acid Conformation , Photosynthesis/genetics , Promoter Regions, Genetic , Protoplasts , RNA Polymerase II/metabolism , Ribulose-Bisphosphate Carboxylase/genetics , Ribulose-Bisphosphate Carboxylase/metabolism
8.
Plant Cell Physiol ; 57(2): 359-72, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26589267

ABSTRACT

MicroRNAs (miRNAs) have important roles in gene regulation during plant development. Previous studies revealed that some miRNAs are highly shared by most land plants. Recently, the liverwort, Marchantia polymorpha, has been studied by molecular genetic approaches, and sequencing of its genome is currently underway. The expression pattern and the detailed functions of miRNAs during Marchantia development are unknown. Here, we profiled the small RNAs expressed in thalli, antheridiophores and archegoniophores of M. polymorpha using high-throughput RNA sequencing. We revealed that a limited number of miRNAs are shared between M. polymorpha and the moss, Physcomitrella patens, and that a number of miRNAs are M. polymorpha specific. Like other land plants, cognate target genes corresponding to conserved miRNAs could be found in the genome database and were experimentally confirmed to guide cleavage of target mRNAs. The results suggested that two genes in the SPL (SQUAMOSA PROMOTER BINDING-LIKE) transcription factor family, which are regulated by miR156 in most land plants, were instead targeted by two distinct miRNAs in M. polymorpha. In order to demonstrate the physiological roles of miRNAs in M. polymorpha, we constructed an miRNA ectopic expression system to establish overexpression transformants for conserved miRNAs, miR166 and miR319. Ectopic expression of these miRNAs induced abnormal development of the thallus and gemma cups, suggesting that balanced expression of miRNA/target mRNAs has a crucial role in developmental regulation in M. polymorpha. Profiling data on miRNA together with the ectopic expression system would provide new information on the liverwort small RNA world and evolutionary divergence/conservation of small RNA function among land plants.


Subject(s)
Marchantia/genetics , MicroRNAs/genetics , RNA, Plant/genetics , Base Sequence , Conserved Sequence , Gene Expression Profiling , Gene Expression Regulation, Plant , Genetic Loci , MicroRNAs/metabolism , Molecular Sequence Data , RNA, Plant/metabolism , RNA, Small Interfering/metabolism , Sequence Analysis, RNA
10.
Plant Cell Physiol ; 56(1): 107-15, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25339350

ABSTRACT

The decapping enzymes DCP1 and DCP2 are components of a decapping complex that degrades mRNAs. DCP2 is the catalytic core and DCP1 is an auxiliary subunit. It has been assumed that DCP1 and DCP2 are consistently co-localized in cytoplasmic RNA granules called processing bodies (P-bodies). However, it has not been confirmed whether DCP1 and DCP2 co-localize in Arabidopsis thaliana. In this study, we generated DCP1-green fluorescent protein (GFP) and DCP2-GFP transgenic plants that complemented dcp1 and dcp2 mutants, respectively, to see whether localization of DCP2 is identical to that of DCP1. DCP2 was present throughout the cytoplasm, whereas DCP1 formed P-body-like foci. Use of DCP1-GFP/DCP2-red fluorescent protein (RFP) or DCP1-RFP/DCP2-GFP plants showed that heat treatment induced DCP2 assembly into DCP1 foci. In contrast, cold treatment did not induce DCP2 assembly, while the number of DCP1 foci increased. These changes in DCP1 and DCP2 localization during heat and cold treatments occurred without changes in DCP1 and DCP2 protein abundance. Our results show that DCP1 and DCP2 respond differently to environmental changes, indicating that P-bodies have diverse DCP1 and DCP2 proportions depending on environmental conditions. The localization changes of DCP1 and DCP2 may explain how specific mRNAs are degraded during changes in environmental conditions.


Subject(s)
Arabidopsis Proteins/metabolism , Arabidopsis/enzymology , Endopeptidases/metabolism , Endoribonucleases/metabolism , RNA Caps/genetics , Arabidopsis/genetics , Arabidopsis/physiology , Arabidopsis Proteins/genetics , Endopeptidases/genetics , Endoribonucleases/genetics , Genes, Reporter , Hot Temperature , Plant Roots/enzymology , Plant Roots/genetics , Plant Roots/physiology , Plants, Genetically Modified , RNA Stability , RNA, Messenger/genetics , RNA, Plant/genetics , Stress, Physiological
11.
Plant Physiol ; 166(4): 1869-76, 2014 Dec.
Article in English | MEDLINE | ID: mdl-25367857

ABSTRACT

The endoplasmic reticulum (ER) is a network of tubules and sheet-like structures in eukaryotic cells. Some ER tubules dynamically change their morphology, and others form stable structures. In plants, it has been thought that the ER tubule extension is driven by the actin-myosin machinery. Here, we show that microtubules also contribute to the ER tubule extension with an almost 20-fold slower rate than the actin filament-based ER extension. Treatment with the actin-depolymerizing drug Latrunculin B made it possible to visualize the slow extension of the ER tubules in transgenic Arabidopsis (Arabidopsis thaliana) plants expressing ER-targeted green fluorescent protein. The ER tubules elongated along microtubules in both directions of microtubules, which have a distinct polarity. This feature is similar to the kinesin- or dynein-driven ER tubule extension in animal cells. In contrast to the animal case, ER tubules elongating with the growing microtubule ends were not observed in Arabidopsis. We also found the spots where microtubules are stably colocalized with the ER subdomains during long observations of 1,040 s, suggesting that cortical microtubules contribute to provide ER anchoring points. The anchoring points acted as the branching points of the ER tubules, resulting in the formation of multiway junctions. The density of the ER tubule junction positively correlated with the microtubule density in both elongating cells and mature cells of leaf epidermis, showing the requirement of microtubules for formation of the complex ER network. Taken together, our findings show that plants use microtubules for ER anchoring and ER tubule extension, which establish fine network structures of the ER within the cell.


Subject(s)
Arabidopsis/metabolism , Microtubules/metabolism , Actin Cytoskeleton/genetics , Actin Cytoskeleton/metabolism , Actins/genetics , Actins/metabolism , Arabidopsis/genetics , Arabidopsis/ultrastructure , Endoplasmic Reticulum/metabolism , Endoplasmic Reticulum/ultrastructure , Kinesins/genetics , Kinesins/metabolism , Microtubules/genetics , Microtubules/ultrastructure , Myosins/genetics , Myosins/metabolism
12.
Exp Dermatol ; 24(3): 217-9, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25496384

ABSTRACT

In this study, we attempted to identify unknown autoantigen for intraepidermal neutrophilic IgA dermatosis-type IgA pemphigus by novel IgA-specific immunoprecipitation. Mass-spectrometry study identified polymeric immunoglobulin receptor (PIGR) as the candidate protein, and we confirmed that PIGR expressed in both epidermis and cultured keratinocytes. Eukaryotic recombinant protein of PIGR expressed in COS7 cells was reacted with both patient and normal sera, indicating that PIGR binds physiologically to IgA. To detect antigen-specific binding by IgA autoantibodies, we performed several experiments using deglycosylated PIGR and F(ab)2 fragments from patient sera. However, these analyses suggested that patient IgA bound physiologically, but not immunologically, to PIGR. Nevertheless, our study provided two important insights. Newly developed IgA-immunoprecipitation system should be a useful tool in the future study of identification of antigens for IgA autoantibodies. Detection of epidermal PIGR in this study confirmed previous results and indicated possible immunological role of PIGR in epidermis.


Subject(s)
Immunoglobulin A/blood , Immunoprecipitation/methods , Pemphigus/immunology , Receptors, Polymeric Immunoglobulin/blood , Autoantigens , Cells, Cultured , Epidermis/immunology , Eye Proteins , Humans , Keratinocytes , Neutrophils/immunology , Pemphigus/pathology , Peptide Fragments
13.
Plant Physiol ; 163(4): 1804-16, 2013 Dec.
Article in English | MEDLINE | ID: mdl-24134884

ABSTRACT

Plant microtubules (MTs) play essential roles in cell division, anisotropic cell expansion, and overall organ morphology. Microtubule-associated proteins (MAPs) bind to MTs and regulate their dynamics, stability, and organization. Identifying the full set of MAPs in plants would greatly enhance our understanding of how diverse MT arrays are formed and function; however, few proteomics studies have characterized plant MAPs. Using liquid chromatography-tandem mass spectrometry, we identified hundreds of proteins from MAP-enriched preparations derived from cell suspension cultures of Arabidopsis (Arabidopsis thaliana). Previously reported MAPs, MT regulators, kinesins, dynamins, peroxisome-resident enzymes, and proteins implicated in replication, transcription, and translation were highly enriched. Dozens of proteins of unknown function were identified, among which 12 were tagged with green fluorescent protein (GFP) and examined for their ability to colocalize with MTs when transiently expressed in plant cells. Six proteins did indeed colocalize with cortical MTs in planta. We further characterized one of these MAPs, designated as BASIC PROLINE-RICH PROTEIN1 (BPP1), which belongs to a seven-member family in Arabidopsis. BPP1-GFP decorated interphase and mitotic MT arrays in transgenic Arabidopsis plants. A highly basic, conserved region was responsible for the in vivo MT association. Overexpression of BPP1-GFP stabilized MTs, caused right-handed helical growth in rapidly elongating tissues, promoted the formation of transverse MT arrays, and resulted in the outgrowth of epidermal cells in light-grown hypocotyls. Our high-quality proteome database of Arabidopsis MAP-enriched preparations is a useful resource for identifying novel MT regulators and evaluating potential MT associations of proteins known to have other cellular functions.


Subject(s)
Arabidopsis Proteins/isolation & purification , Arabidopsis Proteins/metabolism , Arabidopsis/cytology , Arabidopsis/metabolism , Microtubule-Associated Proteins/isolation & purification , Microtubule-Associated Proteins/metabolism , Cell Proliferation , Cells, Cultured , Chromatography, Liquid , Green Fluorescent Proteins/metabolism , Kinesins/metabolism , Mass Spectrometry , Protein Transport , Recombinant Fusion Proteins/metabolism , Subcellular Fractions/metabolism , Suspensions , Tubulin/metabolism
14.
Exp Dermatol ; 23(7): 514-6, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24698124

ABSTRACT

Hailey-Hailey disease (HHD) is a dominantly inherited skin disease caused by mutations in ATP2C1 gene, which encodes secretory pathway Ca(2+) /Mn(2+) -ATPase protein 1. The precise mechanism remains unclear. In this study, to understand molecular basis of HHD, we examined expression of mRNA and protein in cultured keratinocytes derived from three HHD patients with different mutations. We showed that reduced expression of mRNA and protein in patient with p.Gln504X, but not in patients with p.Pro307His and c.1308+1G>A. RT-PCR analysis for patient with c.1308+1G>A revealed in-frame exon skipping. Reduction of mRNA and protein in p.Gln504X was considered to be caused by nonsense-mediated mRNA decay. p.Pro307His located adjacent to Ca(2+) -binding residue may induced conformational change, which leads to defective Ca(2+) transport. In-frame shorter transcript caused by c.1308+1G>A may have slightly reduced activity, which accounted for mild phenotype of the patient. These results clarified the pathogenic effects of different causative mutations in development of skin lesions.


Subject(s)
Keratinocytes/metabolism , Mutation , Pemphigus, Benign Familial/genetics , RNA, Messenger/metabolism , Aged , Aged, 80 and over , Calcium/metabolism , Calcium-Transporting ATPases/metabolism , Cells, Cultured , Codon, Nonsense , Cytoplasm/metabolism , Exons , Gene Deletion , Humans , Keratinocytes/cytology , Male , Middle Aged , Pemphigus, Benign Familial/metabolism , Phosphorylation , Protein Structure, Tertiary
15.
Exp Dermatol ; 23(9): 682-4, 2014 Sep.
Article in English | MEDLINE | ID: mdl-24828603

ABSTRACT

Although fibronectin (FN) is known as a chemoattractant for human dermal fibroblasts (HDFs), it is unclear whether HDF migration is stimulated by FN produced by HDFs (autocrine manner) or by keratinocytes (paracrine manner). In this study, we investigated HDF migration by Boyden chamber assay using conditioned media from HDFs and HaCaT cells (keratinocyte cell line). Immunoblotting and enzyme-linked immunosorbent assay revealed that FN existed in both conditioned media. Boyden chamber assay showed both conditioned media stimulated HDF migration, which was inhibited by anti-FN antibody. Antibodies to both integrin ß1and ß3 subunits inhibited HDF migration induced by HDF-conditioned medium almost completely and that by HaCaT cell-conditioned medium with 50-60%. These results suggested that HDF migration was stimulated by FN in both autocrine and paracrine manners. However, the mechanisms of HDF migration by FN, particularly the role of integrin ß1 and ß3 subunits, were slightly different between autocrine and paracrine manners.


Subject(s)
Fibroblasts/physiology , Fibronectins/physiology , Skin/cytology , Autocrine Communication , Cell Line , Cell Movement/physiology , Culture Media, Conditioned , Humans , Integrin beta1/physiology , Integrin beta3/physiology , Keratinocytes/physiology , Paracrine Communication , Skin Physiological Phenomena
16.
Dermatol Ther ; 27(4): 233-5, 2014.
Article in English | MEDLINE | ID: mdl-24962025

ABSTRACT

Hailey-Hailey disease (HHD) is a rare autosomal dominant disorder characterized by development of recurrent blisters, erosions, and crustations in the intertriginous areas. The treatment of HHD is often challenging, and various methods have been tried. We report here a case of a 45-year-old woman with a generalized form of HHD that was dramatically improved and well controlled by narrow-band ultraviolet B phototherapy.


Subject(s)
Calcium-Transporting ATPases/genetics , Pemphigus, Benign Familial/radiotherapy , Ultraviolet Therapy/methods , Female , Humans , Middle Aged , Mutation/genetics , Pemphigus, Benign Familial/genetics , RNA Splice Sites/genetics , Treatment Outcome
17.
Dermatol Ther ; 27(3): 135-9, 2014.
Article in English | MEDLINE | ID: mdl-24102897

ABSTRACT

In this study, we report on the efficacy of combination therapy of second-generation antihistamine antagonist, fexofenadine hydrochloride, and leukotriene receptor inhibitor, montelukast sodium, for the treatment of 15 prurigo nodularis or pemphigoid nodularis patients, in whom conventional therapy was ineffective. All patients received 10 mg montelukast once a day and 240 mg fexofenadine twice a day for 4 weeks in addition to other medications they had been taking. We assessed the manifestations of the lesions and itching intensity before and after the therapy, and we evaluated each patient as (i) markedly improved, (ii) improved, (iii) slightly improved, (iv) no change, (v) worse. Two patients (13.3%) were evaluated as markedly improved, and the lesions of one patient completely disappeared. Three patients (20.0%) were evaluated as improved, and six patients (40.0%) as slightly improved. Thus, 11 of 15 cases (73.3%) improved by combination therapy of fexofenadine and montelukast, in which nine cases (75.0%) of prurigo nodularis and two cases (66.7%) of pemphigoid nodularis were involved. No patients revealed any side effects. This study revealed that combination therapy of fexofenadine and montelukast was effective for some patients with conventional therapy-resistant prurigo nodularis and pemphigoid nodularis.


Subject(s)
Acetates/therapeutic use , Histamine H1 Antagonists, Non-Sedating/therapeutic use , Leukotriene Antagonists/therapeutic use , Pemphigoid, Bullous/drug therapy , Prurigo/drug therapy , Quinolines/therapeutic use , Skin/drug effects , Terfenadine/analogs & derivatives , Acetates/administration & dosage , Adult , Aged , Aged, 80 and over , Cyclopropanes , Drug Administration Schedule , Drug Therapy, Combination , Female , Histamine H1 Antagonists, Non-Sedating/administration & dosage , Humans , Leukotriene Antagonists/administration & dosage , Male , Middle Aged , Pemphigoid, Bullous/diagnosis , Prurigo/diagnosis , Quinolines/administration & dosage , Skin/pathology , Sulfides , Terfenadine/administration & dosage , Terfenadine/therapeutic use , Time Factors , Treatment Outcome
18.
Skeletal Radiol ; 43(6): 827-30, 2014 Jun.
Article in English | MEDLINE | ID: mdl-24357124

ABSTRACT

We report a patient with alkaptonuria accompanied by bilateral rapidly destructive arthrosis of the hip. The destruction of the left hip joint with its severe functional impairment necessitated total hip arthroplasty (THA). The outcome was satisfactory. Both magnetic resonance imaging (MRI) and pathologic findings were compatible with a subchondral insufficiency fracture. A year and half later, during a follow-up visit, the patient complained of right coxalgia. Radiography showed that the right femoral head had already disappeared, requiring THA of the right hip. Although there have been a few reports of rapid destructive hip osteoarthritis associated with ochronotic arthropathy, the pathogenesis of the destructive change is not clear. Subchondral insufficiency fracture was diagnosed on MR imaging and pathologically confirmed in our patient with alkaptonuria, suggesting that subchondral insufficiency fracture is one of the causes of ochronotic hip destruction.


Subject(s)
Alkaptonuria/complications , Alkaptonuria/diagnosis , Femur Head/injuries , Fractures, Stress/diagnosis , Fractures, Stress/etiology , Hip Fractures/diagnosis , Hip Fractures/etiology , Aged , Diagnosis, Differential , Female , Femur Head/diagnostic imaging , Femur Head/pathology , Humans , Radiography
20.
J Dermatol ; 51(1): 101-105, 2024 Jan.
Article in English | MEDLINE | ID: mdl-37752865

ABSTRACT

Pathogenic variants in ABCA12 are important causative genetic defects for autosomal recessive congenital ichthyoses (ARCI), which include congenital ichthyosiform erythroderma (CIE), harlequin ichthyosis, and lamellar ichthyosis. In addition, pathogenic variants in ABCA12 are known to cause a localized nevoid form of CIE due to recessive mosaicism. We previously reported siblings who carried an ABCA12 variant but did not show a "congenital" phenotype. They were considered to have pityriasis rubra pilaris (PRP). Here, we present a further patient with ABCA12 variants whose phenotype was not congenital ichthyosis, in an independent family. Notably, these three patients had geographic unaffected areas. Such areas are not usually found in patients with ARCI who have ABCA12 variants, suggesting mild phenotypes for these patients. Interestingly, the histological features of the ichthyotic lesions in these patients resembled those of PRP. All three patients had homozygous pathogenic missense variants in ABCA12. Our findings expand the phenotypic spectrum of patients with ABCA12 variants.


Subject(s)
Ichthyosiform Erythroderma, Congenital , Ichthyosis, Lamellar , Ichthyosis , Pityriasis Rubra Pilaris , Humans , Pityriasis Rubra Pilaris/genetics , Ichthyosis, Lamellar/genetics , Ichthyosiform Erythroderma, Congenital/genetics , Ichthyosiform Erythroderma, Congenital/pathology , Phenotype , Mutation , ATP-Binding Cassette Transporters/genetics
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