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1.
J Leukoc Biol ; 116(1): 118-131, 2024 Jun 28.
Article in English | MEDLINE | ID: mdl-38417030

ABSTRACT

Neutrophils are rapidly recruited to sites of infection and are critical for pathogen clearance. Therapeutic use of primary neutrophils has been limited, as they have a short lifespan and are not amenable to genetic manipulation. Human induced pluripotent stem cells (iPSCs) can provide a robust source of neutrophils for infusion and are genetically tractable. However, current work has indicated that dampened intracellular signaling limits iPSC-derived neutrophil (iNeutrophil) cellular activation and antimicrobial response. Here, we show that protein tyrosine phosphatase 1B (PTP1B) inhibits intracellular signaling and dampens iNeutrophil effector function. Deletion of the PTP1B phosphatase increased PI3K and ERK signaling and was associated with increased F-actin polymerization, cell migration, and phagocytosis. In contrast, other effector functions like NETosis and reactive oxygen species production were reduced. PTP1B-deficient neutrophils were more responsive to Aspergillus fumigatus and displayed rapid recruitment and control of hyphal growth. Accordingly, depletion of PTP1B increased production of inflammatory factors including the neutrophil chemokine interleukin-8. Taken together, these findings suggest that PTP1B limits iNeutrophil motility and antimicrobial function.


Subject(s)
Cell Movement , Induced Pluripotent Stem Cells , Neutrophils , Protein Tyrosine Phosphatase, Non-Receptor Type 1 , Protein Tyrosine Phosphatase, Non-Receptor Type 1/metabolism , Protein Tyrosine Phosphatase, Non-Receptor Type 1/genetics , Neutrophils/metabolism , Neutrophils/immunology , Humans , Induced Pluripotent Stem Cells/cytology , Induced Pluripotent Stem Cells/metabolism , Aspergillus fumigatus , Phagocytosis , Phosphatidylinositol 3-Kinases/metabolism , Reactive Oxygen Species/metabolism , Signal Transduction , Extracellular Traps/metabolism , Extracellular Traps/immunology , Actins/metabolism
2.
iScience ; 26(5): 106621, 2023 May 19.
Article in English | MEDLINE | ID: mdl-37250328

ABSTRACT

Hemogenic endothelium (HE) is the main source of blood cells in the embryo. To improve blood manufacturing from human pluripotent stem cells (hPSCs), it is essential to define the molecular determinants that enhance HE specification and promote development of the desired blood lineage from HE. Here, using SOX18-inducible hPSCs, we revealed that SOX18 forced expression at the mesodermal stage, in contrast to its homolog SOX17, has minimal effects on arterial specification of HE, expression of HOXA genes and lymphoid differentiation. However, forced expression of SOX18 in HE during endothelial-to-hematopoietic transition (EHT) greatly increases NK versus T cell lineage commitment of hematopoietic progenitors (HPs) arising from HE predominantly expanding CD34+CD43+CD235a/CD41a-CD45- multipotent HPs and altering the expression of genes related to T cell and Toll-like receptor signaling. These studies improve our understanding of lymphoid cell specification during EHT and provide a new tool for enhancing NK cell production from hPSCs for immunotherapies.

3.
Methods Mol Biol ; 2429: 103-124, 2022.
Article in English | MEDLINE | ID: mdl-35507158

ABSTRACT

Endothelial-to-hematopoietic transition (EHT) is a unique morphogenic event in which flat, adherent hemogenic endothelial (HE) cells acquire round, non-adherent blood cell morphology. Investigating the mechanisms of EHT is critical for understanding the development of hematopoietic stem cells (HSCs) and the entirety of the adult immune system, and advancing technologies for manufacturing blood cells from human pluripotent stem cells (hPSCs). Here we describe a protocol to (a) generate and isolate subsets of HE from hPSCs, (b) assess EHT and hematopoietic potential of HE subsets in bulk cultures and at the single-cell level, and (c) evaluate the role of NOTCH signaling during HE specification and EHT. The generation of HE from hPSCs and EHT bulk cultures are performed in xenogen- and feeder-free system, providing the unique advantage of being able to investigate the role of individual signaling factors during EHT and the definitive lympho-myeloid cell specification from hPSCs.


Subject(s)
Hemangioblasts , Pluripotent Stem Cells , Cell Differentiation , Hematopoiesis , Hematopoietic Stem Cells , Humans
4.
Cell Rep ; 34(7): 108758, 2021 02 16.
Article in English | MEDLINE | ID: mdl-33596423

ABSTRACT

SOX17 has been implicated in arterial specification and the maintenance of hematopoietic stem cells (HSCs) in the murine embryo. However, knowledge about molecular pathways and stage-specific effects of SOX17 in humans remains limited. Here, using SOX17-knockout and SOX17-inducible human pluripotent stem cells (hPSCs), paired with molecular profiling studies, we reveal that SOX17 is a master regulator of HOXA and arterial programs in hemogenic endothelium (HE) and is required for the specification of HE with robust lympho-myeloid potential and DLL4+CXCR4+ phenotype resembling arterial HE at the sites of HSC emergence. Along with the activation of NOTCH signaling, SOX17 directly activates CDX2 expression, leading to the upregulation of the HOXA cluster genes. Since deficiencies in HOXA and NOTCH signaling contribute to the impaired in vivo engraftment of hPSC-derived hematopoietic cells, the identification of SOX17 as a key regulator linking arterial and HOXA programs in HE may help to program HSC fate from hPSCs.


Subject(s)
Hematopoiesis/genetics , Homeodomain Proteins/metabolism , SOXF Transcription Factors/metabolism , Animals , Cell Differentiation/physiology , Embryonic Stem Cells/cytology , Embryonic Stem Cells/metabolism , Humans , Induced Pluripotent Stem Cells/cytology , Induced Pluripotent Stem Cells/metabolism
5.
Front Oncol ; 10: 585151, 2020.
Article in English | MEDLINE | ID: mdl-33363015

ABSTRACT

Numerous recurrent genetic mutations are known to occur in acute myeloid leukemia (AML). Among these common mutations, Fms-like tyrosine kinase 3 remains as one of the most frequently mutated genes in AML. We observed apparent marrow expansion of megakaryocytes in three out of six patients with Flt3-mutated AML following treatment with a recently FDA-approved Flt3 inhibitor, gilteritinib which possesses activity against internal tandem duplication and tyrosine kinase domain Flt3 mutations and also inhibits tyrosine kinase AXL. To assess whether biopsy findings can be attributed to promotion of megakaryocytic (Mk) differentiation with gilteritinib, we devised a cellular assay by overexpressing double mutated Flt3-ITDY591F/Y919F in chronic myeloid leukemia cell line K562 to study Mk differentiation in the presence of Flt3 and AXL inhibitors with non-mutually exclusive mechanisms. These experiments demonstrated the lack of direct effect Flt3 inhibitors gilteritinib and quizartinib on megakaryocytic differentiation at either transcriptional or phenotypic levels, and highlighted antileukemic effects of AXL receptor tyrosine kinase inhibitor and its potential role in megakaryocytic development.

6.
Cell Death Dis ; 9(11): 1136, 2018 11 14.
Article in English | MEDLINE | ID: mdl-30429452

ABSTRACT

The regulation of osteogenesis is important for bone formation and fracture healing. Despite advances in understanding the molecular mechanisms of osteogenesis, crucial modulators in this process are not well-characterized. Here we demonstrate that suppression of signal transducer and activator of transcription 5A (STAT5A) activates distal-less homeobox 5 (DLX5) in human bone marrow-derived stromal cells (hBMSCs) and enhances osteogenesis in vitro and in vivo. We show that STAT5A negatively regulates expression of Dlx5 in vitro and that STAT5A deletion results in increased trabecular and cortical bone mass and bone mineral density in mice. Additionally, STAT5A deletion prevents age-related bone loss. In a murine fracture model, STAT5A deletion was found to significantly enhance bone remodeling by stimulating the formation of a fracture callus. Our findings indicate that STAT5A inhibition enhances bone formation by promoting osteogenesis of BMSCs.


Subject(s)
Fractures, Bone/genetics , Homeodomain Proteins/genetics , Osteoblasts/metabolism , Osteogenesis/genetics , Osteoporosis/genetics , STAT5 Transcription Factor/genetics , Transcription Factors/genetics , Tumor Suppressor Proteins/genetics , Animals , Bone Density/genetics , Cell Differentiation , Core Binding Factor Alpha 1 Subunit/genetics , Core Binding Factor Alpha 1 Subunit/metabolism , Femur/injuries , Femur/metabolism , Fracture Healing/genetics , Fractures, Bone/metabolism , Fractures, Bone/pathology , Fractures, Bone/therapy , Gene Expression Regulation , Homeodomain Proteins/metabolism , Humans , Integrin-Binding Sialoprotein/genetics , Integrin-Binding Sialoprotein/metabolism , Mesenchymal Stem Cells/cytology , Mesenchymal Stem Cells/metabolism , Mice , Mice, Knockout , Osteoblasts/cytology , Osteoporosis/metabolism , Osteoporosis/pathology , Osteoporosis/prevention & control , Primary Cell Culture , RNA, Small Interfering/genetics , RNA, Small Interfering/metabolism , STAT5 Transcription Factor/antagonists & inhibitors , STAT5 Transcription Factor/metabolism , Signal Transduction , Transcription Factors/metabolism , Tumor Suppressor Proteins/antagonists & inhibitors , Tumor Suppressor Proteins/metabolism
7.
Curr Protoc Stem Cell Biol ; 47(1): e63, 2018 11.
Article in English | MEDLINE | ID: mdl-30281932

ABSTRACT

Human pluripotent stem cells (hPSCs) emerged as an important tool to investigate human development and disease. These studies often require genetically engineering hPSCs to stably express a transgene, which remains functional in various hPSC progeny. PiggyBac transposon is a highly effective and technically simple vector system with large cargo space available for permanent gene delivery. This unit describes the use of PiggyBac transposons to genetically engineer hPSCs to introduce conditionally expressed transgene or reporter to effectively monitor gene expression during differentiation. Both methods enable robust generation of stable hPSC lines within 1 month. © 2018 by John Wiley & Sons, Inc.


Subject(s)
Cell Culture Techniques/methods , DNA Transposable Elements , Genetic Engineering/methods , Pluripotent Stem Cells/cytology , Cells, Cultured , Gene Expression , Genetic Vectors , Humans , Transgenes
8.
Stem Cell Reports ; 11(1): 197-211, 2018 07 10.
Article in English | MEDLINE | ID: mdl-29861167

ABSTRACT

The transcriptional factor GATA2 is required for blood and hematopoietic stem cell formation during the hemogenic endothelium (HE) stage of development in the embryo. However, it is unclear if GATA2 controls HE lineage specification or if it solely regulates endothelial-to-hematopoietic transition (EHT). To address this problem, we innovated a unique system, which involved generating GATA2 knockout human embryonic stem cell (hESC) lines with conditional GATA2 expression (iG2-/- hESCs). We demonstrated that GATA2 activity is not required for VE-cadherin+CD43-CD73+ non-HE or VE-cadherin+CD43-CD73- HE generation and subsequent HE diversification into DLL4+ arterial and DLL4- non-arterial lineages. However, GATA2 is primarily needed for HE to undergo EHT. Forced expression of GATA2 in non-HE failed to induce blood formation. The lack of GATA2 requirement for generation of HE and non-HE indicates the critical role of GATA2-independent pathways in specification of these two distinct endothelial lineages.


Subject(s)
Cell Differentiation/genetics , GATA2 Transcription Factor/genetics , Hematopoiesis/genetics , Hematopoietic Stem Cells/cytology , Hematopoietic Stem Cells/metabolism , Cell Line , Embryonic Stem Cells/cytology , Embryonic Stem Cells/metabolism , GATA2 Transcription Factor/metabolism , Gene Editing , Gene Expression Profiling , Gene Knockout Techniques , Gene Targeting , Hemangioblasts/cytology , Hemangioblasts/metabolism , Humans , Leukocytes/cytology , Leukocytes/metabolism , Lymphocytes/cytology , Lymphocytes/metabolism
9.
Cell Rep ; 23(8): 2467-2481, 2018 05 22.
Article in English | MEDLINE | ID: mdl-29791856

ABSTRACT

Understanding the pathways guiding the development of definitive hematopoiesis with lymphoid potential is essential for advancing human pluripotent stem cell (hPSC) technologies for the treatment of blood diseases and immunotherapies. In the embryo, lymphoid progenitors and hematopoietic stem cells (HSCs) arise from hemogenic endothelium (HE) lining arteries but not veins. Here, we show that activation of the arterial program through ETS1 overexpression or by modulating MAPK/ERK signaling pathways at the mesodermal stage of development dramatically enhanced the formation of arterial-type HE expressing DLL4 and CXCR4. Blood cells generated from arterial HE were more than 100-fold enriched in T cell precursor frequency and possessed the capacity to produce B lymphocytes and red blood cells expressing high levels of BCL11a and ß-globin. Together, these findings provide an innovative strategy to aid in the generation of definitive lymphomyeloid progenitors and lymphoid cells from hPSCs for immunotherapy through enhancing arterial programming of HE.


Subject(s)
Arteries/metabolism , Hemangioblasts/metabolism , Lymphocytes/metabolism , Body Patterning , Hematopoiesis , Human Embryonic Stem Cells/metabolism , Humans , Intracellular Signaling Peptides and Proteins/metabolism , MAP Kinase Signaling System , Membrane Proteins/metabolism , Mesoderm/metabolism , Proto-Oncogene Protein c-ets-1/metabolism , Receptors, CXCR4/metabolism , Receptors, Notch/metabolism , SOXF Transcription Factors/metabolism , Transcription, Genetic , Up-Regulation
10.
Nat Commun ; 9(1): 1828, 2018 05 08.
Article in English | MEDLINE | ID: mdl-29739946

ABSTRACT

NOTCH signaling is required for the arterial specification and formation of hematopoietic stem cells (HSCs) and lympho-myeloid progenitors in the embryonic aorta-gonad-mesonephros region and extraembryonic vasculature from a distinct lineage of vascular endothelial cells with hemogenic potential. However, the role of NOTCH signaling in hemogenic endothelium (HE) specification from human pluripotent stem cell (hPSC) has not been studied. Here, using a chemically defined hPSC differentiation system combined with the use of DLL1-Fc and DAPT to manipulate NOTCH, we discover that NOTCH activation in hPSC-derived immature HE progenitors leads to formation of CD144+CD43-CD73-DLL4+Runx1 + 23-GFP+ arterial-type HE, which requires NOTCH signaling to undergo endothelial-to-hematopoietic transition and produce definitive lympho-myeloid and erythroid cells. These findings demonstrate that NOTCH-mediated arterialization of HE is an essential prerequisite for establishing definitive lympho-myeloid program and suggest that exploring molecular pathways that lead to arterial specification may aid in vitro approaches to enhance definitive hematopoiesis from hPSCs.


Subject(s)
Arteries/cytology , Endothelium, Vascular/cytology , Hemangioblasts/cytology , Hematopoiesis , Neovascularization, Physiologic , Pluripotent Stem Cells/cytology , Receptors, Notch/metabolism , Signal Transduction , Animals , Antigens, CD/immunology , Arteries/metabolism , Calcium-Binding Proteins , Cell Differentiation , Cell Line , Cell Lineage , Cell Tracking/instrumentation , Coculture Techniques , Embryo, Mammalian/cytology , Endothelium, Vascular/metabolism , Erythroid Precursor Cells/cytology , Erythroid Precursor Cells/immunology , Hemangioblasts/immunology , Hematopoietic Stem Cells/metabolism , Humans , Intercellular Signaling Peptides and Proteins/metabolism , Lymphoid Progenitor Cells/cytology , Lymphoid Progenitor Cells/immunology , Membrane Proteins/metabolism , Mice , Myeloid Progenitor Cells/cytology , Myeloid Progenitor Cells/immunology , Pluripotent Stem Cells/immunology
11.
Stem Cell Res ; 17(2): 401-405, 2016 09.
Article in English | MEDLINE | ID: mdl-27879215

ABSTRACT

Human embryonic stem cell line WA01 was genetically modified using zinc-finger nucleases and the PiggyBac/transponson system to introduce a fluorescence reporter for VE-cadherin (VEC; tdTomato) and CD43 (eGFP). Phenotypic and functional assays for pluripotency revealed the modified hES cell reporter lines remained normal. When the cells were differentiated into hematoendothelial lineages, either by directed differentiation or direct reprogramming, flow cytometric and fluorescence microscopy showed that VEC+ endothelial cells express tdTomato and CD43+ hematopoietic progenitors express eGFP.


Subject(s)
Antigens, CD/metabolism , Cadherins/metabolism , Green Fluorescent Proteins/metabolism , Hematopoietic Stem Cells/cytology , Leukosialin/metabolism , Antigens, CD/genetics , Cadherins/genetics , Cell Differentiation , Cells, Cultured , Embryoid Bodies/metabolism , Embryoid Bodies/pathology , Endothelial Cells/cytology , Endothelial Cells/metabolism , Genes, Reporter , Genetic Vectors/genetics , Genetic Vectors/metabolism , Green Fluorescent Proteins/genetics , Hematopoietic Stem Cells/metabolism , Human Embryonic Stem Cells/cytology , Human Embryonic Stem Cells/metabolism , Humans , Karyotype , Leukosialin/genetics , Male , Microscopy, Fluorescence , Time-Lapse Imaging , Transcription Factors/genetics , Transcription Factors/metabolism
12.
Springerplus ; 5(1): 1836, 2016.
Article in English | MEDLINE | ID: mdl-27818874

ABSTRACT

This paper presents a novel motion compensated frame interpolation (MCFI) algorithm that includes texture-based wedgelet partitioning (TWP) and multiple prediction based search (MPS). TWP partitions a rectangular block into two wedge-shaped sub-blocks using the texture information, which makes a better approximation for an actual object region. Thus, detailed motions around the object boundaries can be more precisely represented than by existing MCFI algorithms. To reliably estimate the actual motion, the MPS algorithm is used in addition to TWP. MPS considers the distances between the predicted motion vectors and the candidate motion vectors, as well as the matching error. Experimental results reveal that the proposed MCFI can improve the average peak signal-to-noise ratio performance by up to 2.93 dB compared to existing MCFIs. On the average structural similarity metric, the proposed MCFI algorithm is superior to existing algorithms by a value of up to 0.0256. In addition, the proposed MCFI can reduce the computational complexity by as much as 66.9 % with respect to the sum of absolute difference compared with existing MCFIs.

13.
Stem Cells Dev ; 21(18): 3298-308, 2012 Dec 10.
Article in English | MEDLINE | ID: mdl-22769578

ABSTRACT

microRNAs are small molecules, about 17-23 nucleotides in length, that act as translational regulators of their target gene. By binding to a target, microRNAs are known to either inhibit translation or induce degradation of the target. Despite the great interest in microRNAs, however, the exact targets of each individual microRNA in different processes remain largely unknown. In this study, we determined that the lymphoid enhancer-binding factor-1 (LEF-1) was expressed during the chondrogenesis of human bone marrow-derived mesenchymal stem cells (hBM-MSCs) and sought to identify a novel microRNA targeting this gene. Through subsequent studies, we have identified, for the first time, one particular microRNA, miR-449a, that recognizes and regulates the expression of LEF-1 in a dose-dependent and sequence-specific manner. In addition, we observed that the inhibition of LEF-1 via miR-449a led to the subsequent repression of Sox 9, which is a well-established regulator of chondrogenesis. Collectively, this study demonstrated that miR-449a directly targets LEF-1, which in turn affects the expression of Sox 9, ultimately leading to the proper regulation of the differentiation and chondrogenesis of human MSCs (hBM-MSCs).


Subject(s)
Chondrogenesis/genetics , Lymphoid Enhancer-Binding Factor 1/genetics , Mesenchymal Stem Cells/metabolism , MicroRNAs/genetics , SOX9 Transcription Factor/genetics , Bone Marrow Cells , Cell Differentiation/genetics , Cell Line , Gene Expression Regulation , Humans , Lymphoid Enhancer-Binding Factor 1/metabolism , MicroRNAs/metabolism , RNA Interference , RNA, Messenger , RNA, Small Interfering , SOX9 Transcription Factor/antagonists & inhibitors , SOX9 Transcription Factor/metabolism
14.
Stem Cells Dev ; 21(3): 465-75, 2012 Feb 10.
Article in English | MEDLINE | ID: mdl-21542777

ABSTRACT

Adipogenesis is largely dependent on the signal transducers and activators of transcription (STAT) pathway. However, the molecular mechanism of the STAT pathway in the adipogenesis of human bone marrow-derived stromal cells (hBMSCs) remains not well understood. The purpose of this research was to characterize the transcriptional regulation involved in expression of STAT5A and STAT5B during adipogenesis in hBMSCs and 3T3-L1 cells. The expression of STAT5A and STAT5B increases with the onset of adipogenesis in hBMSCs and 3T3-L1 cells. The PPAR response elements regulatory element of STAT5A exists at a promoter region ranging from -346 to -101, and the CCAAT/enhancer-binding protein (C/EBP) regulatory element is located at -196 to -118 of the STAT5B promoter. C/EBPß and C/EBPα bound to the STAT5B promoter region, whereas peroxisome proliferator-activated receptor γ (PPARγ) bound to STAT5A. RNA interference of STAT5A completely blocked differentiation, whereas the inhibition of STAT5B only partially blocked differentiation. We propose that C/EBPα, C/EBPß, and PPARγ control adipogenesis by regulating STAT5B and STAT5A and that STAT5A is necessary, whereas STAT5B plays a supplementary role during adipogenesis. Further, the regulation of PPARγ-STAT5 by C/EBPß signaling seems to be the crucial adipogenesis pathway-initiating cascade of the various adipogenic genes.


Subject(s)
Adipogenesis , PPAR gamma/metabolism , STAT5 Transcription Factor/metabolism , Signal Transduction , Stromal Cells/cytology , Tumor Suppressor Proteins/metabolism , 3T3-L1 Cells , Adolescent , Adult , Aged , Animals , Bone Marrow Cells/cytology , CCAAT-Enhancer-Binding Protein-alpha/genetics , CCAAT-Enhancer-Binding Protein-alpha/metabolism , CCAAT-Enhancer-Binding Protein-beta/genetics , CCAAT-Enhancer-Binding Protein-beta/metabolism , Gene Expression Regulation , Humans , Mice , Middle Aged , PPAR gamma/genetics , Plasmids/genetics , Plasmids/metabolism , RNA Interference , STAT5 Transcription Factor/genetics , Stromal Cells/metabolism , Transcriptional Activation , Transfection , Tumor Suppressor Proteins/genetics , Young Adult
15.
Yonsei Med J ; 52(1): 165-72, 2011 Jan.
Article in English | MEDLINE | ID: mdl-21155050

ABSTRACT

PURPOSE: Imbalances between osteogenic and adipogenic differentiation leads to diseases such as osteoporosis. The aim of our study was to demonstrate the differences in extracellular signal-regulated kinase (ERK) phosphorylation during both adipogenesis and osteogenesis of human bone marrow-derived stem cells (BMSCs). MATERIALS AND METHODS: Using troglitazone, GW9662 and U0126, we investigated their role in hBMSC differentiation to adipogenic and osteogenic fates. RESULTS: ERK1/2 inhibition by U0126 suppressed proliferator-activated receptor (PPAR)γ expression and lipid accumulation, while it decreased the mRNA expression of adipogenic genes (lipoprotein lipase, PPARγ, and adipocyte protein) and osteogenic genes (type I collagen and osteopontin). ERK phosphorylation was transient and decreased during adipogenesis, whereas it occurred steadily during osteogenesis. Troglitazone, a PPARγ agonist, induced adipogenesis by inhibiting ERK phosphorylation even in an osteogenic medium, suggesting that ERK signaling needs to be shut off in order to proceed with adipose cell commitment. Cell proliferation was greatly increased in osteogenesis but was not changed during adipogenesis, indicating that ERK might play different roles in cellular proliferation and differentiation between the two committed cell types. CONCLUSION: The duration and magnitude of ERK activation might be a crucial factor for the balance between adipogenesis and osteogenesis in human bone marrow-derived stem cells.


Subject(s)
Adipogenesis/drug effects , Bone Marrow Cells/cytology , Extracellular Signal-Regulated MAP Kinases/metabolism , Osteogenesis/drug effects , Stem Cells/cytology , Stem Cells/metabolism , Adipogenesis/genetics , Adult , Anilides/pharmacology , Bone Marrow Cells/drug effects , Bone Marrow Cells/metabolism , Butadienes/pharmacology , Cell Differentiation/drug effects , Cells, Cultured , Chromans/pharmacology , Female , Humans , Male , Middle Aged , Nitriles/pharmacology , Osteogenesis/genetics , PPAR gamma/agonists , PPAR gamma/antagonists & inhibitors , Phosphorylation/drug effects , Reverse Transcriptase Polymerase Chain Reaction , Stem Cells/drug effects , Thiazolidinediones/pharmacology , Troglitazone
16.
Article in Korean | WPRIM (Western Pacific) | ID: wpr-770671

ABSTRACT

Invasive aspergilosis or mucormycosis of the paranasal sinuses involving the cranial cavity is termed'rhinocerebral' mycosis, which is often difficult to differentiate from malignancy. Prognosis of rhinocerabralmycosis: is diastrous and usually fatal. The authors herein report 6 cases of rhinocerebral mycosis: two of themwe mucormycosis and four were aspiergillosis histopathologically. Main CT featurs are nodular mucosal thickeningin the multiple sits of the paranasal sinuses that extend to orbital apex or cavernosu sinus through focaldestruction of bony wall. In spite of their invasiveness beyond bony boundary, destruction is not so remarkableand it is always accompained by bony sclerosis. Awareness of these diseases and CT patterns discussed in thisreport should be helpful in leading to early biopsy and treamtent.


Subject(s)
4-Acetamido-4'-isothiocyanatostilbene-2,2'-disulfonic Acid , Aspergillosis , Biopsy , Mucormycosis , Orbit , Paranasal Sinuses , Prognosis , Sclerosis
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