RESUMEN
The extracellular matrix (ECM) plays an important role in numerous processes including cellular proliferation, differentiation, migration, maturation, adhesion guidance and axonal growth. To date, there has been no detailed analysis of the ECM distribution during retinal ontogenesis in humans and the functional importance of many ECM components is poorly understood. In this study, the expression of key ECM components in adult mouse and monkey retina, developing and adult human retina and retinal organoids derived from human pluripotent stem cells was studied. Our data indicate that basement membrane ECMs (Fibronectin and Collagen IV) were expressed in Bruch's membrane and the inner limiting membrane of the developing human retina, whilst the hyalectins (Versican and Brevican), cluster of differentiation 44 (CD44), photoreceptor-specific ECMs Interphotoreceptor Matrix Proteoglycan 1 (IMPG1) and Interphotoreceptor Matrix Proteoglycan 2 (IMPG2) were detected in the developing interphotoreceptor matrix (IPM). The expression of IMPG1, Versican and Brevican in the developing IPM was conserved between human developing retina and human pluripotent stem cell-derived retinal organoids. Blocking the action of CD44 and IMPG1 in pluripotent stem cell derived retinal organoids affected the development of photoreceptors, their inner/outer segments and connecting cilia and disrupted IPM formation, with IMPG1 having an earlier and more significant impact. Together, our data suggest an important role for IMPG1 and CD44 in the development of photoreceptors and IPM formation during human retinogenesis. STATEMENT OF SIGNIFICANCE: The expression and the role of many extracellular matrix (ECM) components during human retinal development is not fully understood. In this study, expression of key ECM components (Collagen IV, Fibronectin, Brevican, Versican, IMPG1 and IMPG2) was investigated during human retinal ontogenesis. Collagen IV and Fibronectin were expressed in Bruch's membrane; whereas Brevican, Versican, IMPG1 & IMPG2 in the developing interphotoreceptor matrix (IPM). Retinal organoids were successfully generated from pluripotent stem cells. The expression of ECM components was examined in the retinal organoids and found to recapitulate human retinal development in vivo. Using functional blocking experiments, we were able to highlight an important role for IMPG1 and CD44 in the development of photoreceptors and IPM formation.
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Proteínas de la Matriz Extracelular/metabolismo , Matriz Extracelular/clasificación , Proteínas del Ojo/metabolismo , Receptores de Hialuranos/metabolismo , Organoides/metabolismo , Células Fotorreceptoras de Vertebrados/metabolismo , Células Madre Pluripotentes/metabolismo , Proteoglicanos/metabolismo , Animales , Humanos , Macaca , Ratones , Organoides/citología , Células Fotorreceptoras de Vertebrados/citología , Células Madre Pluripotentes/citologíaRESUMEN
Over the past few decades, a variety of different reagents for stem cell maintenance and differentiation have been commercialized. These reagents share a common goal in facilitating the manufacture of products suitable for cell therapy while reducing the amount of non-defined components. Lessons from developmental biology have identified signalling molecules that can guide the differentiation process in vitro, but less attention has been paid to the extracellular matrix used. With the introduction of more biologically relevant and defined matrices, that better mimic specific cell niches, researchers now have powerful resources to fine-tune their in vitro differentiation systems, which may allow the manufacture of therapeutically relevant cell types. In this review article, we revisit the basics of the extracellular matrix, and explore the important role of the cell-matrix interaction. We focus on laminin proteins because they help to maintain pluripotency and drive cell fate specification.This article is part of the theme issue 'Designer human tissue: coming to a lab near you'.
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Técnicas de Cultivo de Célula/métodos , Diferenciación Celular/fisiología , Matriz Extracelular/fisiología , Laminina/fisiología , Células Madre/fisiología , Matriz Extracelular/clasificación , HumanosRESUMEN
The natural extracellular matrix (ECM),thanks to its specific properties (e.g., collagenous lattice, a reservoir of growth factors, ECM-cell anchoring areas, an optimal pH and CO2 ),ensures an optimal microenvironment for homeostatic and regenerative cell development. In the context of regenerative medicine, ECM is a lair for residual and infiltrative cells. The aim of the clinical usage of cell-free ECM scaffolds is the enhancement of tissue regeneration with possible minimization of an adverse host reaction on allogeneic or xenogeneic biomaterial. Thus, the objective of decellularization is to obtain acellular grafts characterized by optimal biological properties, such as a lack of remaining cellular elements (e.g., cell membrane phospholipids and proteins, nucleic acids, mitochondria), lack of immunogenicity, lack of calcification promotion and lack of cytotoxicity (e.g., in unrinsed detergents). Furthermore, cell-free ECM scaffolds should present the optimal mechanical and structural properties that may ensure the biocompatibility of the graft. The maintenance of the ultrastructure composition of the ECM is one of the most important goals of decellularization. All physical, chemical, and biological methods proposed (used separately or in combination to extract cells from tissues/organs) are not 100% effective in cell removal and always cause a disruption of the ECM texture, as well as a probable loss of important structure components. Although cell-free ECM scaffolds are generally classified as medical devices, there are no widely accepted or legally defined criteria for quality control/evaluation methods of obtained matrices. Such criteria must be provided. Some of them have been proposed in this manuscript. © 2017 Wiley Periodicals, Inc. J Biomed Mater Res Part B: Appl Biomater, 106B: 909-923, 2018.
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Matriz Extracelular/clasificación , Control de Calidad , Andamios del Tejido/química , Animales , HumanosRESUMEN
A desnutrição é um dos principais problemas de saúde pública do mundo, que contribui significativamente para o aumento da morbidade e mortalidade. Estima-se um total de 815 milhões de pessoas subnutridas no mundo, e apesar da melhoria dos recursos alimentares o número de pessoas desnutridas ainda é alarmante. Estudos de nosso laboratório tem demonstrado, em modelo murino de desnutrição proteica, hipoplasia medular com evidências histológicas de alterações na matriz extracelular (MEC) e permanência da célula-tronco hemopoética (CTH) na fase G0/G1 do ciclo celular em camundongos desnutridos. Dados deste trabalho evidenciaram alterações nas proteínas Akt /mTOR, que podem contribuir para o aumento da expressão autofágica nas CTHs e CTPHs (célula-tronco progenitora). A literatura demonstra que desequilíbrios nutricionais e metabólicos podem induzir ativação autofágica. Autofagia é um processo catabólico que participa da manutenção da homeostase celular, da MEC e na regulação das CTHs, dados deste trabalho demonstram diminuição da quantidade de CTH e CTPH em camundongos desnutridos sem a presença do gene Atg7, proteína participativa no processo autofágico. Já camundongos com deleção da transglutaminase 2 (TG2) e submetidos a privação de nutrientes por 24 horas , apresentou diminuição da quantidade de CTH e aumento da diferenciação da CTPH. A TG2 tem participação na impulsão e formação do fagóforo (processo inicial autofágico). Considerando que a desnutrição proteica leva a comprometimento da hemopoese, alterações no ciclo celular das CTHs e hipoplasia medular com pancitopenia periférica e que privação e ou jejum prolongado de nutrientes pode aumentar a atividade autofágica, concluímos nesse projeto que autofagia é importante para regulação da CTH e diferenciação da CTPH, entretanto a desnutrição proteica e privação de nutrientes estimula de maneira diversa o mecanismo de diferenciação da CTH
Malnutrition is one of the world's major public health problems, which contributes significantly to increased morbidity and mortality. An estimated 815 million people are undernourished in the world, and despite the improvement in food resources the number of undernourished people is still alarming. Studies of our laboratory have demonstrated in murine model of protein malnutrition, medullary hypoplasia with histological evidence of extracellular matrix (ECM) changes and hemopoietic stem cell (HSC) stay in the G0/ G1 phase of the cell cycle in malnourished mice. Data from this work showed alterations in Akt / mTOR proteins, which may contribute to the increase of autophagic expression in HSC and HPC (progenitor stem cell). The literature demonstrates that nutritional and metabolic imbalances can induce autophagic activation. Autophagy is a catabolic process that participates in the maintenance of cellular homeostasis, ECM and in the regulation of HSC, data from this work demonstrate a decrease in the amount of HSC and HPC in malnourished mice without the presence of the Atg7 gene, a participatory protein in the autophagic process. Mice with transglutaminase 2 deletion (TG2) and submitted to nutrient deprivation for 24 hours showed a decrease in the amount of HSC and an increase in the differentiation of HPC. TG2 plays a role in the uptake and formation of phagophore (autophagic initial process). Considering that protein malnutrition leads to hemopoiesis, alterations in the cell cycle of HSC and spinal cord hypoplasia with peripheral pancytopenia, and that prolonged nutrient starvation or fasting may increase the autophagic activity, we conclude in this project that autophagy is important for regulation of HSC and differentiation of HPC, however, protein malnutrition and nutrient deprivation stimulate in a different way the mechanism of differentiation of HSC
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Animales , Masculino , Ratones , Deficiencia de Proteína/complicaciones , Autofagia , Células Madre Hematopoyéticas , Transglutaminasas , Matriz Extracelular/clasificación , Técnicas de Genotipaje/métodosRESUMEN
Due to the avascular nature of articular cartilage, damaged tissue has little capacity for spontaneous healing. Three-dimensional scaffolds have potential for use in tissue engineering approach for cartilage repair. In this study, bovine cartilage tissue was decellularized and chemically crosslinked hybrid chitosan/extracellular matrix (ECM) scaffolds were fabricated with different ECM weight ratios by simple freeze drying method. Various properties of chitosan/ECM scaffolds such as microstructure, mechanical strength, swelling ratio, and biodegradability rate were investigated to confirm improved structural and biological characteristics of chitosan scaffolds in the presence of ECM. The results indicated that by introducing ECM to chitosan, pore sizes in scaffolds with 1% and 2% ECM decreased and thus the mechanical properties were improved. The presence of ECM in the same scaffolds also improved the swelling ratio and biodegradation rate in the hybrid scaffolds. MTT cytotoxicity assays performed on chondrocyte cells cultured on chitosan/ECM scaffolds having various amounts of ECM showed that the greatest cell attachment belongs to the sample with intermediate ECM content (2% ECM). Overall, it can be concluded from all obtained results that the prepared scaffold with intermediate concentration of ECM could be a proper candidate for use in cartilage tissue engineering.
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Cartílago/química , Condrocitos/metabolismo , Matriz Extracelular/clasificación , Ingeniería de Tejidos , Andamios del Tejido/química , Animales , Bovinos , Línea Celular , Condrocitos/citología , Humanos , PorosidadRESUMEN
Engineered tissue microenvironments impart specialized cues that drive distinct cellular phenotypes and function. Microenvironments with defined properties, such as mechanical properties and fibril alignment, can elicit specific cellular responses that emulate those observed in vivo. Collagen- and glycosaminoglycan (GAG)-based tissue matrices have been popularized due to their biological ubiquity in a broad range of tissues and the ability to tune structure and mechanical properties through a variety of processes. Here, we investigate the combined effects of static magnetic fields, and GAG and cell encapsulation, on the structure (e.g. collagen fibril orientation) and material properties of collagen matrices. We found that magnetic fields align the collagen-GAG matrix, alter equilibrium mechanical properties and provide a method for encapsulating cells within a three-dimensional aligned matrix. Cells are encapsulated prior to polymerization, allowing for controlled cell density and eliminating the need for cell seeding. Increased relative GAG concentrations reduced the ability to magnetically align collagen fibrils, in part through a mechanism involving increased viscosity and polymerization time of the collagen-GAG solution. This work provides a functional design space for the development of pure collagen and hybrid collagen-GAG matrices in the presence of magnetic fields. Additionally, this work shows that magnetic fields are effective for the fabrication of collagen constructs with controlled fibril orientation, and can be coupled with GAG incorporation to modulate mechanical properties and the response of embedded cells.
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Microambiente Celular/fisiología , Condrocitos/citología , Colágeno/química , Matriz Extracelular/química , Matriz Extracelular/clasificación , Glicosaminoglicanos/química , Ingeniería de Tejidos/métodos , Animales , Materiales Biomiméticos/síntesis química , Bovinos , Proliferación Celular/fisiología , Supervivencia Celular/fisiología , Células Cultivadas , Microambiente Celular/efectos de la radiación , Condrocitos/fisiología , Colágeno/efectos de la radiación , Fuerza Compresiva/fisiología , Fuerza Compresiva/efectos de la radiación , Módulo de Elasticidad/fisiología , Módulo de Elasticidad/efectos de la radiación , Campos Magnéticos , Ensayo de Materiales , Mecanotransducción Celular/fisiología , Mecanotransducción Celular/efectos de la radiación , Viscosidad/efectos de la radiaciónRESUMEN
A doença de Chagas foi incialmente descrita em 1090 e após mais de 100 anos de investigações sobre essa doença, ainda pouco se sabe sobre os mecanismos ativados no parasita durante sua adesão e invasão à célula hospedeira. Glicoproteínas de massa molecular de 85kDa localizadas na membrana do parasita foram identificadas como principais elementos responsáveis pela interação com o hospedeiro. Essas proteínas também são capazes de se ligar a elementos da matriz extracelular (ECM) da célula hospedeira e esse evento parece ser crucial para modulação da adesão e invasão do parasita e consequente avanço da infecção. Embora diferentes elementos tenham sido identificados no hospedeiro como componentes da via de resposta a adesão ao parasita, as modificações induzidas pela sua ligação ao hospedeiro é ainda pouco conhecida. Modificações pós-traducionais de proteínas, incluindo a fosforilação, têm sido utilizadas por diferentes organismos na transdução de sinais extracelulares. Dessa forma, a identificação de proteínas diferencialmente fosforiladas durante a adesão de tripomastigotas de T. cruzi a ECM, fibronectina e laminina foi o objetivo dessa tese. Tripomastigotas foram incubados com ECM, fibronectina-, laminina- ou BSA- previamente aderidos em placas de cultura de células. Em seguida, os parasitas foram coletados e suas proteínas extraídas e separadas por 2D-PAGE. Os géis de eletroforese foram corados com Pro-Q Diamond (para identifiicação de proteínas fosforiladas) e posteriormente com coomassie colloidal (identificação de proteínas totais). Os spots com diferença significativa na coloração com Pro-Q Diamond (p< 0,05) foram identificados por LC-MS/MS. 54 spots foram diferencialmente fosforilados durante a adesão dos parasitas a ECM, dos quais 39 sofreram um aumento da intensidade de fosforilação e 15 uma redução. Já dos 43 spots diferencialmente fosforilados durante incubação com laminina, 16 aumentaram a fosforilação enquanto 27 sofreram redução da intensidade de fosforilação. Por fim, após incubação com fibronectina, dos 50 spots selecionados, 15 spots sofreram aumento da intensidade de fosforilação e 35 sofreram redução. Após identificação dos spots, as modificações por fosforilação/desfosforilação de proteínas de função desconhecida (hypothetical proteins), proteínas do citoesqueleto, proteínas do choque térmico (HSPs) e proteínas componentes do proteassomo do parasita foram as mais evidentes. A validação por immonoblotting de algumas proteínas identificadas indicou que a desfosforilação de proteínas do citoesqueleto junto com a fosforilação de proteínas do choque térmico são os principais eventos durante a resposta do parasita a adesão a ECM e a seus elementos. Além disso, a desfosforilação de ERK 1/2 observada indicou uma inativação dessa proteína em parasitas aderidos a fibronectina e laminina. Os resultados obtidos nessa tese sugerem uma provável relação entre modificações de proteínas do citoesqueleto e HSPs com a capacidade de internalização dos parasitas na célula hospedeira
The Chagas disease was firstly described in 1909. After more than 100 years of investigation about this sickness much less is known about the mechanism triggered in the parasite during the adhesion and invasion to the host cell. 85kDa glycoproteins were identified as the major element responsible for the attachment to the host. In addition, these proteins are able to binding to extracellular matrix elements and host cytoskeletal proteins and it event appears to be an essential step in host cell invasion by T. cruzi. Although downstream signal modifications have been studied in host cells upon parasite binding, the molecular changes induced on the parasite by ligand binding are largely unknown. Since post-translational modification of proteins by phosphorylation is one of the most important mechanisms employed by organisms to transduce external signals, identification of proteins modified upon adhesion of T. cruzi trypomastigotes to ECM, laminin and fibronectin of the host cell was pursued. Trypomastigotes (Y strain) were incubated with ECM, laminin-, fibronectin- or BSA-coated surfaces, followed by 2D-PAGE stained with Pro-Q Diamond (phosphorylated protein detection) followed by colloidal coomassie stain (total protein identification). Proteins with significant differences in Pro-Q Diamond stain (p<0.05) were identified by LC-MS/MS. 54 spots were differentially phosphorylated during parasite adhesion to ECM, in which 39 spots have increased their phosphorylation level and 15 have decreased their phosphorylation. From the 43 spots presenting modification to the phosphorylation on incubation with laminin, 16 corresponded to cases of increase of phosphorylation and 27 to cases of dephosphorylation. After incubation with fibronectin: from the 50 spots selected, 15 corresponded to increase of phosphorylation and 35 to dephosphorylation. The results show phosphorylation/dephosphorylation modifications of unknown proteins, parasite cytoskeletal proteins (alpha and beta tubulin and paraflagellar-rod proteins), heat shock proteins and proteasome proteins. The validation by immunoblotting of proteins and their phosphorylation intensities indicates that cytoskeletal protein dephosphorylation in addition to heat shock proteins phosphorylation are the most important event during the trypomastigotes adhesion to the ECM. Looking for downstream signaling, dephosphorylation of ERK1/2 was also shown in trypomastigotes adhered to fibronectin or laminin, suggesting its inactivation. Thereby, those results suggest a possible correlation between cytoskeletal proteins and HSPs modification and the ability of parasite to internalize into host cells
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Matriz Extracelular/clasificación , Trypanosoma cruzi/parasitología , Citoesqueleto/metabolismo , Electroforesis en Gel Bidimensional/métodos , Glicoproteínas/análisis , Factor C1 de la Célula Huésped/análisis , Interacciones Huésped-Parásitos , Espectrometría de Masas/métodos , Fosforilación/efectos de los fármacosRESUMEN
Successful treatment of drug addiction is hampered by high relapse rates during periods of abstinence. Neuroadaptation in the medial prefrontal cortex (mPFC) is thought to have a crucial role in vulnerability to relapse to drug seeking, but the molecular and cellular mechanisms remain largely unknown. To identify protein changes that contribute to relapse susceptibility, we investigated synaptic membrane fractions from the mPFC of rats that underwent 21 days of forced abstinence following heroin self-administration. Quantitative proteomics revealed that long-term abstinence from heroin self-administration was associated with reduced levels of extracellular matrix (ECM) proteins. After extinction of heroin self-administration, downregulation of ECM proteins was also present in the mPFC, as well as nucleus accumbens (NAc), and these adaptations were partially restored following cue-induced reinstatement of heroin seeking. In the mPFC, these ECM proteins are condensed in the perineuronal nets that exclusively surround GABAergic interneurons, indicating that ECM adaptation might alter the activity of GABAergic interneurons. In support of this, we observed an increase in the inhibitory GABAergic synaptic inputs received by the mPFC pyramidal cells after the re-exposure to heroin-conditioned cues. Recovering levels of ECM constituents by metalloproteinase inhibitor treatment (FN-439; i.c.v.) prior to a reinstatement test attenuated subsequent heroin seeking, suggesting that the reduced synaptic ECM levels during heroin abstinence enhanced sensitivity to respond to heroin-conditioned cues. We provide evidence for a novel neuroadaptive mechanism, in which heroin self-administration-induced adaptation of the ECM increased relapse vulnerability, potentially by augmenting the responsivity of mPFC GABAergic interneurons to heroin-associated stimuli.
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Matriz Extracelular/metabolismo , Dependencia de Heroína , Heroína/efectos adversos , Narcóticos/efectos adversos , Corteza Prefrontal/patología , Células Piramidales/metabolismo , Ácido gamma-Aminobutírico/metabolismo , Animales , Cromatografía Líquida de Alta Presión/métodos , Condicionamiento Operante/efectos de los fármacos , Señales (Psicología) , Esquema de Medicación , Inhibidores Enzimáticos/farmacología , Matriz Extracelular/clasificación , Regulación Enzimológica de la Expresión Génica/efectos de los fármacos , Dependencia de Heroína/etiología , Dependencia de Heroína/metabolismo , Dependencia de Heroína/patología , Ácidos Hidroxámicos/farmacología , Técnicas In Vitro , Masculino , Espectrometría de Masas , Oligopéptidos/farmacología , Proteómica/métodos , Ratas , Ratas Wistar , Esquema de Refuerzo , Autoadministración/métodos , Transducción de Señal/efectos de los fármacos , Potenciales Sinápticos/efectos de los fármacosAsunto(s)
Parálisis Cerebral/patología , Matriz Extracelular/metabolismo , Expresión Génica/fisiología , Tendones/metabolismo , Adolescente , Parálisis Cerebral/genética , Parálisis Cerebral/metabolismo , Niño , Matriz Extracelular/clasificación , Femenino , Perfilación de la Expresión Génica , Humanos , MasculinoRESUMEN
During the past decade, considerable progress in the field of congenital muscular dystrophies (CMDs) had led to the identification of a growing number of causative genes. This genetic progress has uncovered crucial pathophysiological concepts and has been instrumental in redefining clinical phenotypes. Important new pathogenic mechanisms include the disorders of O-mannosyl-linked glycosylation of alpha-dystroglycan as well as the involvement of a collagen type VI in the pathogenesis of congenital disorders of muscle. Thus, an emerging theme among gene products involved in the pathogenesis of congenital muscular dystrophy is their intimate connection to the extracellular matrix. In this review, we focus on the clinical phenotypes that we are correlating with the novel genetic and biochemical findings encountered within CMD. This correlation will frequently lead to a considerably expanded clinical spectrum associated with a given CMD gene.
Asunto(s)
Matriz Extracelular/genética , Matriz Extracelular/metabolismo , Distrofias Musculares/genética , Distrofias Musculares/metabolismo , Animales , Matriz Extracelular/clasificación , Humanos , Distrofias Musculares/clasificación , Distrofias Musculares/patologíaRESUMEN
Perivascular accumulation of macrophages and lymphocytes is a prominent feature of multiple sclerosis (MS) pathology. To enter the brain parenchyma, immune cells need to migrate across the blood-brain barrier through a number of well-defined processes. So far, little attention has been given to the role of the basement membrane (BM) in leukocyte recruitment into the central nervous system (CNS). Here, we characterized the molecular composition of the vascular and astroglial BMs in chronic active and active MS lesions with large perivascular infiltrates using antibodies directed against several extracellular matrix (ECM) proteins. A differential expression of specific laminin chains in vascular and astroglial BMs was observed. Interestingly, we found fiber-like depositions of ECM within inflammatory cuffs. These structures were immunopositive for several laminin isoforms, fibronectin, collagen IV, and heparan sulfate proteoglycans. Strikingly, we observed myelin-laden macrophages in the Virchow-Robin space. Because BM molecules are in close contact with these cells, we postulate that BM proteins within inflammatory cuffs may serve as a conduit network and therefore facilitate the transport of myelin-containing phagocytes out of the CNS toward peripheral lymph nodes.
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Encéfalo/metabolismo , Matriz Extracelular/metabolismo , Inflamación/metabolismo , Leucocitos/fisiología , Esclerosis Múltiple/metabolismo , Adulto , Anciano , Astrocitos/clasificación , Astrocitos/metabolismo , Astrocitos/patología , Membrana Basal/metabolismo , Encéfalo/patología , Matriz Extracelular/química , Matriz Extracelular/clasificación , Femenino , Regulación de la Expresión Génica/fisiología , Proteoglicanos de Heparán Sulfato/metabolismo , Humanos , Inflamación/complicaciones , Laminina/química , Laminina/clasificación , Laminina/metabolismo , Masculino , Persona de Mediana Edad , Modelos Inmunológicos , Esclerosis Múltiple/complicaciones , Esclerosis Múltiple/patología , Cambios Post MortemRESUMEN
Tumores carcinóides broncopulmonares são proliferações celulares com baixo grau de malignidade. Porém, reltatos de metástases são cada vez mais comuns. Estudo de características clínicas e de biomarcadores teciduais tumorais nos casos referentes a 55 pacientes operados determinou fatores prognósticos para o desenvolvimento de metástases, e permitiu o estabelecimento de um Índice de Risco numérico relacionado com o fenômeno. Gênero masculino, idade acima de 40 anos, margem cirúrgica comprometida, hiperexpressão imunohistoquímica de p53, Ki67 e microvasos, hipodensidade de fibras estromais no tumor e o índice de risco estão correlacionados com maior incidência de metástases/Bronchopulmonary carcinoid tumors are low grade malignancy proliferations, although reports of metastatic behavior has been became more common. The study of clinical and tumoral histologic profiles in the group of 55 pacients underwent to surgical treatment stablished prognostic factors for the metastatic behavior, and a numeric risk index. Male gender, age above 40 years, residual tumor in surgical margin, imunohistochemical hiperexpression for p53, Ki67 and microvessels, hipodensity of estromal fibers in tumoral tissue, and risk index are correlated with increased incidence of metastasis...
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Humanos , Masculino , Femenino , Adulto , Metástasis de la Neoplasia , Tumor Carcinoide/clasificación , Tumores Neuroendocrinos/clasificación , Carcinoma Neuroendocrino/clasificación , Biomarcadores de Tumor/clasificación , Matriz Extracelular/clasificación , Neovascularización Patológica , Neoplasias de los Bronquios/clasificación , Factores de RiesgoRESUMEN
The corneal epithelium serves as a barrier and contributes to the maintenance of corneal transparency and rigidity. In most instances, corneal epithelial defects caused by simple injury are resurfaced promptly. However, in individuals with certain clinical conditions, such as herpes simplex virus infection, neurotrophic keratopathy or diabetic keratopathy, corneal epithelial defects persist and do not respond to conventional treatment regimens because of delayed epithelial wound healing. After the corneal epithelium is removed by injury, the remaining epithelial cells migrate over the denuded surface of the cornea in a manner that is dependent both on the interaction of the cells with the underlying substrate and on cell-cell adhesion. In this review, we describe the specific roles of cell-matrix and cell-cell interactions during the course of corneal epithelial wound healing. The clinical implications of the basic research findings are also discussed.