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1.
Cereb Cortex ; 31(10): 4554-4575, 2021 08 26.
Article in English | MEDLINE | ID: mdl-34013343

ABSTRACT

Temporal specification of the neural progenitors (NPs) producing excitatory glutamatergic neurons is essential for histogenesis of the cerebral cortex. Neuroepithelial cells, the primary NPs, transit to radial glia (RG). To coincide with the transition, NPs start to differentiate into neurons, undergoing a switch from symmetric to asymmetric cell division. After the onset of neurogenesis, NPs produce layer-specific neurons in a defined order with precise timing. Here, we show that GABAA receptors (GABAARs) and taurine are involved in this regulatory mechanism. Foetal exposure to GABAAR-antagonists suppressed the transition to RG, switch to asymmetric division, and differentiation into upper-layer neurons. Foetal exposure to GABAAR-agonists caused the opposite effects. Mammalian foetuses are dependent on taurine derived from the mothers. GABA and taurine function as endogenous ligands for GABAARs. Ca2+ imaging showed that NPs principally responded to taurine but not GABA before E13. The histological phenotypes of the taurine transporter knockout mice resembled those of the mice foetally exposed to GABAAR-antagonists. Foetal exposure to GABAAR-modulators resulted in considerable alterations in offspring behavior like core symptoms of autism. These results show that taurine regulates the temporal specification of NPs and that disrupting the taurine-receptor interaction possibly leads to neurodevelopmental disorders.


Subject(s)
Cerebral Cortex/diagnostic imaging , Cerebral Cortex/physiology , Glutamates/physiology , Neural Stem Cells/physiology , Receptors, GABA-A/physiology , Taurine/physiology , Animals , Autism Spectrum Disorder/genetics , Autism Spectrum Disorder/physiopathology , Cerebral Cortex/cytology , Female , Fetus , GABA Antagonists/pharmacology , GABA Modulators/pharmacology , Membrane Glycoproteins/genetics , Membrane Transport Proteins/genetics , Mice , Mice, Inbred ICR , Mice, Knockout , Patch-Clamp Techniques , Placenta/metabolism , Pregnancy
2.
J Int Med Res ; 48(3): 300060519892367, 2020 Mar.
Article in English | MEDLINE | ID: mdl-31854252

ABSTRACT

BACKGROUND: We employed a novel curettage tool, a bent needle tip, during irrigation for enchondroma of the distal phalanx. This study aimed to evaluate our new curettage tool for treating enchondroma of the distal phalanx. METHODS: Seven distal phalanx enchondromas were pathologically diagnosed at our institute. We evaluated age, gender, tumor location, affected side, clinical symptoms, Takigawa classification, size, recurrence, complications, residual pain, Tordai score, and follow-up period. We bent an 18G needle tip connected to an extension tube and syringe. The bent needle was inserted through the small hole, and the cavity for bone grafting was adequately filled with injectable calcium phosphate cement through the small hole. RESULTS: There were five centric-type and two giant-type tumors, with a mean size of 52.7%. All patients had clinical symptoms at the initial presentation. All patients showed complete bone healing within 3 months on post-radiological examinations and were Grade 1 according to the Tordai score. CONCLUSIONS: This tool is extremely simple, and both the incision and the cortical window can be small. We recommend a bent needle tip, easily devised in any hospital, as a curettage tool for treating enchondroma in small bones, especially of the distal phalanx.


Subject(s)
Bone Neoplasms , Chondroma , Finger Phalanges , Bone Neoplasms/diagnostic imaging , Bone Neoplasms/surgery , Chondroma/diagnostic imaging , Chondroma/surgery , Curettage , Finger Phalanges/diagnostic imaging , Finger Phalanges/surgery , Humans , Neoplasm Recurrence, Local
3.
Interact Cardiovasc Thorac Surg ; 28(4): 652-654, 2019 04 01.
Article in English | MEDLINE | ID: mdl-30476087

ABSTRACT

Thoracic venous aneurysms are rare, and bleeding is possible. A 9-year-old female patient presented with a thoracic wall mass. No blood flow was observed in the mass, and a chronic expanding haematoma was suspected based on the differential diagnosis. However, the venous structure was identified in the wall of the mass on pathological examination, and the diagnosis of the venous aneurysm was thereby established. Because the venous aneurysm contains fresh blood and bleeding can be profuse when such lesions are not properly handled during a surgical procedure, making the visibility of the surgeon poor, the venous aneurysm must be included in the differential diagnosis.


Subject(s)
Aneurysm/diagnosis , Aneurysm/surgery , Hematoma/diagnosis , Thoracic Wall/blood supply , Veins , Child , Diagnosis, Differential , Female , Humans
4.
Sci Rep ; 8(1): 2089, 2018 02 01.
Article in English | MEDLINE | ID: mdl-29391518

ABSTRACT

We investigated age-related changes in in vivo and in vitro functions and gene expression of the bladder of male and female mice. Mature and aged (12 and 27-30 month old) C57BL/6 mice of both sexes were used. Frequency volume, conscious free-moving cystometry and detrusor contractile and relaxant properties in in vitro organ bath were evaluated. mRNA expression level of muscarinic, purinergic, and ß-adrenergic receptors and gene expression changes by cDNA microarray analysis of the bladder were determined. Cystometry demonstrated storage and voiding dysfunctions with ageing in both sexes. Detrusor strips from aged mice showed weaker contractile responses particularly in the cholinergic component and weaker relaxant responses to isoproterenol. These age-related impairments were generally severer in males. mRNA expression of bladder tissue was decreased for M3 muscarinic receptors in aged males and ß2-adrenoceptors in aged females. cDNA microarray analysis results, albeit substantial sex difference, indicated "cell-to-cell signaling and interaction" as the most common feature of age-related gene expression. In summary, aged mice demonstrated voiding and storage dysfunctions resembling to detrusor hyperactivity with impaired contractility (DHIC), which were more pronounced in males. Genomic changes associated with aging may contribute to the age-related bladder functional deterioration in mice.


Subject(s)
Aging/metabolism , Gene Expression Regulation, Developmental , Muscle Contraction , Urinary Bladder/metabolism , Aging/physiology , Animals , Female , Male , Mice , Mice, Inbred C57BL , Receptors, Neurotransmitter/antagonists & inhibitors , Receptors, Neurotransmitter/genetics , Receptors, Neurotransmitter/metabolism , Urinary Bladder/growth & development , Urinary Bladder/physiology
5.
J Comp Neurol ; 526(7): 1110-1130, 2018 05 01.
Article in English | MEDLINE | ID: mdl-29355954

ABSTRACT

The present study aimed to assess the molecular bases of cortical compensatory mechanisms following spinal cord injury in primates. To accomplish this, comprehensive changes in gene expression were investigated in the bilateral primary motor cortex (M1), dorsal premotor cortex (PMd), and ventral premotor cortex (PMv) after a unilateral lesion of the lateral corticospinal tract (l-CST). At 2 weeks after the lesion, a large number of genes exhibited altered expression levels in the contralesional M1, which is directly linked to the lesioned l-CST. Gene ontology and network analyses indicated that these changes in gene expression are involved in the atrophy and plasticity changes observed in neurons. Orchestrated gene expression changes were present when behavioral recovery was attained 3 months after the lesion, particularly among the bilateral premotor areas, and a large number of these genes are involved in plasticity. Moreover, several genes abundantly expressed in M1 of intact monkeys were upregulated in both the PMd and PMv after the l-CST lesion. These area-specific and time-dependent changes in gene expression may underlie the molecular mechanisms of functional recovery following a lesion of the l-CST.


Subject(s)
Gene Expression/physiology , Motor Cortex/metabolism , Motor Cortex/physiopathology , Recovery of Function/physiology , Spinal Cord Injuries/pathology , Spinal Cord Injuries/physiopathology , Animals , Animals, Newborn , Disease Models, Animal , Functional Laterality , Gene Ontology , Gene Regulatory Networks , Macaca mulatta , Microarray Analysis , Nerve Tissue Proteins/genetics , Nerve Tissue Proteins/metabolism , Time Factors
6.
Acta Med Okayama ; 71(1): 69-72, 2017 Feb.
Article in English | MEDLINE | ID: mdl-28238012

ABSTRACT

We performed revision surgery in 2 patients for stem fracture of a cemented tumor prosthesis that occurred more than 25 years after the initial surgery. For revision, the global modular replacement system (GMRS) was used. However, as bone cement in the bone could not be adequately removed, stems with respective diameters of 11 and 12.5 mm were used. In revision surgery for cemented tumor prostheses, adequate removal of residual bone cement is optimal. However, when there is a risk of fracture, it may be appropriate to insert a thicker stem after reaming the femoral canal as much as possible, and then fix the stem using the cement-in-cement method.


Subject(s)
Bone Cements , Femur/surgery , Knee Prosthesis , Prostheses and Implants , Prosthesis Failure , Reoperation/methods , Adult , Bone Cements/therapeutic use , Bone Neoplasms/surgery , Female , Femoral Neoplasms/surgery , Humans , Male , Middle Aged , Osteosarcoma/surgery , Prosthesis Design/methods , Radiography , Time Factors
7.
Int J Oncol ; 50(1): 75-84, 2017 Jan.
Article in English | MEDLINE | ID: mdl-27909718

ABSTRACT

Advanced bladder cancer is treated mainly with gemcitabine and cisplatin, but most patients eventually become resistance. Androgen receptor (AR) signaling has been implicated in bladder cancer as well as other types of cancer including prostate cancer. In this study, we investigated the expression and role of AR in gemcitabine-resistant bladder cancer cells and also the potential of enzalutamide, an AR inhibitor, as a therapeutic for the chemoresistance. First of all, we established gemcitabine-resistant T24 cells (T24GR) from T24 bladder cancer cells and performed gene expression profiling. Microarray analysis revealed upregulation of AR expression in T24GR cells compared with T24 cells. AR mRNA and protein expression was confirmed to be increased in T24GR cells, respectively, by quantitative RT-PCR and western blot analysis, which was associated with more potent AR transcriptional activity as measured by luciferase reporter assay. The copy number of AR gene in T24GR cells determined by PCR was twice as many as that of T24 cells. AR silencing by siRNA transfection resulted in inhibition of proliferation of T24GR cells. Cell culture in charcoal-stripped serum and treatment with enzalutamide inhibited growth of T24GR cells, which was accompanied by cell cycle arrest. AR transcriptional activity was found to be reduced in T24GR cells by enzalutamide treatment. Lastly, enzalutamide also inhibited cell proliferation of HTB5 bladder cancer cells that express AR and possess intrinsic resistance to gemcitabine. Our results suggest that enzalutamide may have the potential to treat patients with advanced gemcitabine-resistant bladder cancer with increased AR expression.


Subject(s)
Cell Proliferation/drug effects , Phenylthiohydantoin/analogs & derivatives , Receptors, Androgen/biosynthesis , Urinary Bladder Neoplasms/drug therapy , Androgens/genetics , Androgens/metabolism , Benzamides , Cell Cycle Checkpoints/drug effects , Cell Line, Tumor , Deoxycytidine/administration & dosage , Deoxycytidine/analogs & derivatives , Drug Resistance, Neoplasm/genetics , Gene Expression Regulation, Neoplastic/drug effects , Humans , Nitriles , Phenylthiohydantoin/administration & dosage , RNA, Small Interfering/genetics , Receptors, Androgen/genetics , Signal Transduction/drug effects , Urinary Bladder Neoplasms/genetics , Urinary Bladder Neoplasms/pathology , Gemcitabine
8.
J Urol ; 196(5): 1575-1583, 2016 11.
Article in English | MEDLINE | ID: mdl-27259654

ABSTRACT

PURPOSE: We evaluated aging related bladder dysfunctions and biological changes in the bladder and dorsal root ganglia in rats. We also investigated whether long-term caloric restriction may have preventive effects on these changes. MATERIALS AND METHODS: Male Fischer 344 rats were divided into a young group (age 6 months) and an old group (age 25 to 28 months), each with free access to normal food, and an old group (age 25 to 28 months) with food restricted to 3 days per week. Conscious cystometry, cDNA microarray analysis, immunohistochemistry and oxidative stress measurements of the bladder and dorsal root ganglia were performed. RESULTS: The old group with free access to normal food showed higher threshold pressure, more nonvoiding contractions and lower bladder compliance than the young group with free access to food. Old rats with free access showed greater post-void residual volume and lower voiding efficiency than old rats with caloric restriction and young rats. In the old group with free access 83 genes in the bladder and 48 in the L6 dorsal root ganglia were up-regulated compared with old rats with caloric restriction and young rats. These genes were mostly related to immune and inflammatory responses. Immunohistochemistry showed stronger expression of the immune response protease Gzm (granzyme) B and the collagenase Mmp13 (matrix metalloproteinase-13) in the bladder of old rats with free access vs old rats with caloric restriction and young rats. The level of malondialdehyde, an oxidative stress marker, was higher in the bladder of old rats with free access than in young rats but there was no difference between old rats with caloric restriction and young rats with free access to food. CONCLUSIONS: In rats aging leads to storage and voiding dysfunctions associated with immune and inflammatory related responses in the bladder and dorsal root ganglia, and with increased oxidative stress in the bladder. Caloric restriction reduced these aging related changes.


Subject(s)
Caloric Restriction , Ganglia, Spinal/physiopathology , Urinary Bladder Diseases/prevention & control , Urinary Bladder/physiopathology , Age Factors , Animals , Caloric Restriction/methods , Gene Expression Regulation , Male , Oxidative Stress , Rats , Rats, Inbred F344 , Time Factors , Urinary Bladder Diseases/genetics , Urinary Bladder Diseases/physiopathology
9.
Ann Neurol ; 78(5): 814-23, 2015 Nov.
Article in English | MEDLINE | ID: mdl-26463265

ABSTRACT

OBJECTIVE: The diagnosis of mitochondrial disorders (MDs) is occasionally difficult because patients often present with solitary, or a combination of, symptoms caused by each organ insufficiency, which may be the result of respiratory chain enzyme deficiency. Growth differentiation factor 15 (GDF-15) has been reported to be elevated in serum of patients with MDs. In this study, we investigated whether GDF-15 is a more useful biomarker for MDs than several conventional biomarkers. METHODS: We measured the serum levels of GDF-15 and fibroblast growth factor 21 (FGF-21), as well as other biomarkers, in 48 MD patients and in 146 healthy controls in Japan. GDF-15 and FGF-21 concentrations were measured by enzyme-linked immunosorbant assay and compared with lactate, pyruvate, creatine kinase, and the lactate-to-pyruvate ratio. We calculated sensitivity and specificity and also evaluated the correlation based on two rating scales, including the Newcastle Mitochondrial Disease Rating Scale (NMDAS). RESULTS: Mean GDF-15 concentration was 6-fold higher in MD patients compared to healthy controls (2,711 ± 2,459 pg/ml vs 462.5 ± 141.0 pg/mL; p < 0.001). Using a receiver operating characteristic curve, the area under the curve was significantly higher for GDF-15 than FGF-21 and other conventional biomarkers. Our date suggest that GDF-15 is the most useful biomarker for MDs of the biomarkers examined, and it is associated with MD severity. INTERPRETATION: Our results suggest that measurement of GDF-15 is the most useful first-line test to indicate the patients who have the mitochondrial respiratory chain deficiency.


Subject(s)
Growth Differentiation Factor 15/blood , Growth Differentiation Factor 15/genetics , Mitochondrial Diseases/genetics , Adolescent , Adult , Biomarkers/blood , Child , Creatine Kinase/blood , Female , Fibroblast Growth Factors/blood , Humans , Lactic Acid/blood , MELAS Syndrome/genetics , Male , Middle Aged , Mitochondrial Diseases/diagnosis , Pyruvic Acid/blood , ROC Curve , Young Adult
10.
Prostate ; 75(14): 1568-78, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26074357

ABSTRACT

BACKGROUND: The acquisition of drug resistance is one of the most malignant phenotypes of cancer and identification of its therapeutic target is a prerequisite for the development of novel therapy. MicroRNAs (miRNAs) have been implicated in various types of cancer and proposed as potential therapeutic targets for patients. In the present study, we aimed to identify miRNA that could serve as a therapeutic target for taxane-resistant prostate cancer. METHODS: In order to identify miRNAs related to taxane-resistance, miRNA profiling was performed using prostate cancer PC-3 cells and paclitaxel-resistant PC-3 cell lines established from PC-3 cells. Microarray analysis of mRNA expression was also conducted to search for potential target genes of miRNA. Luciferase reporter assay was performed to examine miRNA binding to the 3'-UTR of target genes. The effects of ectopic expression of miRNA on cell growth, tubulin polymerization, drug sensitivity, and apoptotic signaling pathway were investigated in a paclitaxel-resistant PC-3 cell line. RESULTS: The expression of miR-130a was down-regulated in all paclitaxel-resistant cell lines compared with parental PC-3 cells. Based on mRNA microarray analysis and luciferase reporter assay, we identified SLAIN1 as a direct target gene for miR-130a. Transfection of a miR-130a precursor into a paclitaxel-resistant cell line suppressed cell growth and increased the sensitivity to paclitaxel. Lastly, ectopic expression of miR-130a did not affect the polymerized tubulin level, but activated apoptotic signaling through activation of caspase-8. CONCLUSIONS: Our results suggested that reduced expression of miR-130a may be involved in the paclitaxel-resistance and that miR-130a could be a therapeutic target for taxane-resistant prostate cancer patients.


Subject(s)
Apoptosis/physiology , Bridged-Ring Compounds/pharmacology , Caspase 8/metabolism , MicroRNAs/biosynthesis , Prostatic Neoplasms/enzymology , Signal Transduction/physiology , Taxoids/pharmacology , Antineoplastic Agents/pharmacology , Antineoplastic Agents/therapeutic use , Apoptosis/drug effects , Bridged-Ring Compounds/therapeutic use , Cell Line, Tumor , Cell Survival/drug effects , Cell Survival/physiology , Enzyme Activation/drug effects , Enzyme Activation/physiology , Humans , Male , Prostatic Neoplasms/drug therapy , Signal Transduction/drug effects , Taxoids/therapeutic use
11.
Mitochondrion ; 20: 34-42, 2015 Jan.
Article in English | MEDLINE | ID: mdl-25446397

ABSTRACT

Pyruvate therapy is a promising approach for the treatment of mitochondrial diseases. To identify novel biomarkers for diagnosis and to evaluate therapeutic efficacy, we performed microarray analysis of 2SD cybrid cells harboring a MELAS-causing mutation and control cells treated with either lactate or pyruvate. We found that expression and secretion of growth differentiation factor 15 (GDF15) were increased in 2SD cells treated with lactate and that serum GDF15 levels were significantly higher in patients with mitochondrial diseases than in those with other diseases, suggesting that GDF15 could be a useful marker for diagnosis and evaluating the therapeutic efficacy of pyruvate.


Subject(s)
Drug Monitoring/methods , Growth Differentiation Factor 15/analysis , Mitochondrial Diseases/diagnosis , Mitochondrial Diseases/drug therapy , Pyruvic Acid/metabolism , Biomarkers/analysis , Gene Expression Profiling , Humans , Microarray Analysis , Pyruvic Acid/therapeutic use
12.
Biol Pharm Bull ; 37(9): 1460-5, 2014.
Article in English | MEDLINE | ID: mdl-25177029

ABSTRACT

Osteosarcoma is one of the most prevalent bone tumors, occurring mostly in adolescence. However, no noticeable progress has been achieved in developing new therapeutic agents for this disease. Matrix metalloproteinase 9 (MMP9), a type IV collagenase, is a known anticancer target and is overexpressed in osteosarcomas. MMPs can degrade components of the extracellular matrix and are known to be involved in tumor invasion and metastasis. In the present study, we designed and synthesized a pyrrole-imidazole polyamide (HN.49), a gene-silencing agent that specifically targets the nuclear factor-kappa B (NF-κB) binding site of the human MMP9 promoter. We then examined the effect of HN.49 on the enzyme activity of MMP9 and the migration activity of osteosarcoma cells in vitro. It was clearly shown that HN.49 polyamide reduced the expression level of MMP9 mRNA and the enzymatic activity of MMP-9 in SaOS-2 cells. Moreover, HN.49 polyamide inhibited migration and invasion by SaOS-2 cells in in vitro wound-closure and matrigel-invasion assays. These results indicate that HN.49 may be a potential therapeutic agent for inhibiting the invasion and metastasis of osteosarcoma.


Subject(s)
Gene Silencing , Matrix Metalloproteinase 9/metabolism , NF-kappa B/metabolism , Nylons/pharmacology , Binding Sites , Bone Neoplasms , Cell Line, Tumor , Cell Movement/drug effects , HeLa Cells , Humans , Matrix Metalloproteinase 9/genetics , Neoplasm Invasiveness , Osteosarcoma , Promoter Regions, Genetic , RNA, Messenger/metabolism , Wound Healing
13.
Arch Oral Biol ; 59(7): 756-63, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24818754

ABSTRACT

OBJECTIVE: Previous studies have indicated that type-1 and type-2 interleukin-1 (IL-1) receptors (IL-1R1 and IL-1R2) play important roles in periodontitis progression. We investigated the association between periodontitis and polymorphisms in the IL-1R1 and IL-1R2 genes (IL1R1 and IL1R2). DESIGN: We searched for genetic variants in IL1R1 and IL1R2 in 24 Japanese patients with aggressive periodontitis (AgP) and 24 periodontally healthy controls. Thirty-eight single nucleotide polymorphisms (SNPs) were identified within genomic regions containing all exons and relevant exon-intron boundaries in IL1R1 and IL1R2. Possible associations of each gene locus with AgP were investigated in 119 AgP patients and 102 periodontally healthy controls using allelotypes, genotypes, and haplotypes. RESULTS: Significant differences were noted in the frequencies of 3 SNPs in IL1R2 (rs3819370, rs3218974 and rs3218977) for AgPs and controls (p=0.012, p=0.008, and p=0.038, respectively), after adjustment for gender and smoking status in the additive model (p=0.016, p=0.007, and p=0.027, respectively) and 2 haplotypes (p=0.010 and p=0.011, respectively) constructed from 2 SNPs (rs3819370 and rs3218974) that showed the lowest p-values after adjustment of covariates in additive models. CONCLUSION: A genetic susceptibility locus for AgP may lie within or close to the IL1R2 locus. Further studies in other populations are necessary to confirm these results.


Subject(s)
Aggressive Periodontitis/genetics , Receptors, Interleukin-1/genetics , Receptors, Interleukin-2/genetics , Adult , Alleles , Case-Control Studies , Exons , Female , Genetic Predisposition to Disease , Genetic Variation , Genotype , Haplotypes , Humans , Introns , Japan , Male , Polymorphism, Single Nucleotide , Risk Factors
14.
Article in English | MEDLINE | ID: mdl-24161753

ABSTRACT

Peptidylarginine deiminase (PAD; EC 3.5.3.15) is a post-translational modification enzyme that catalyzes the conversion of protein-bound arginine to citrulline (deimination) in a calcium ion dependent manner. Although PADI genes are widely conserved among vertebrates, their function in the chicken is poorly understood. Here, we cloned and sequenced three chicken PADI cDNAs and analyzed the expression of their proteins in various tissues. Immunoblotting analysis showed that chicken PAD1 and PAD3 were present in cells of several central neuron system tissues including the retina; the chicken PAD2 protein was not detected in any tissue. We expressed recombinant chicken PADs in insect cells and characterized their enzymatic properties. The chicken PAD1 and PAD3 recombinant proteins required calcium ions as an essential cofactor for their catalytic activity. The two recombinant proteins showed similar substrate specificities toward synthetic arginine derivatives. By contrast to them, chicken PAD2 did not show any activity. We found that one of the conserved active centers in mammalian PADs had been altered in chicken PAD2; we prepared a reverse mutant but we did not detect an activity. We conclude that chicken PAD1 and PAD3 might play specific roles in the nervous system, but that chicken PAD2 might not be functional under normal physiological conditions.


Subject(s)
Chickens/genetics , Hydrolases/genetics , Hydrolases/metabolism , Amino Acid Sequence , Animals , Base Sequence , Cloning, Molecular , DNA, Complementary/genetics , Genomics , Hydrolases/chemistry , Isoenzymes/chemistry , Isoenzymes/genetics , Isoenzymes/metabolism , Molecular Sequence Data , Neurons/enzymology , Organ Specificity , Protein Transport , Protein-Arginine Deiminases , Sf9 Cells , Spodoptera , Transcription, Genetic
15.
J Surg Oncol ; 109(3): 184-8, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24249252

ABSTRACT

BACKGROUND: Sixteen sacral chordoma surgeries performed at a single institution during the 1983-2008 period were retrospectively studied. Our aim is to assess surgical treatment and long-term outcomes. METHODS: Fifteen patients underwent primary wide excision, and one intralesional excision using ethanol for local control and radiation therapy (RT). A combined anteroposterior approach for large tumors above S2, and wide excision was performed with the modified threadwire-saw (MT-saw) after 1997. RESULTS: Fourteen of the 15 patients had wide margins, one a wide margin with contamination. The MT-saw was facilitated sacral excision with wide margins. Eleven patients are alive for 5-28 years. Five patients died before 10 years, two patients experienced sepsis, and one of another disease. Two patients died of local recurrence (LR) and another of multiple metastases after intralesional excision and wide excision with contamination, respectively. LR and complications occurred 4 each of 11 patients with tumors ≥ 10 cm, neither with tumors < 10 cm. The overall 5- and 10-year survival rate with wide surgical margins was 13/16 (81.3%) and 8/13 (61.5%). CONCLUSIONS: A combined anteroposterior approach for large tumors, and the MT-saw facilitates sacral excision with wide margins. Wide excision is recommended for younger patients.


Subject(s)
Chordoma/physiopathology , Chordoma/surgery , Orthopedic Procedures/methods , Sacrum , Spinal Neoplasms/physiopathology , Spinal Neoplasms/surgery , Adult , Aged , Biopsy, Large-Core Needle , Chordoma/diagnosis , Chordoma/mortality , Colostomy , Defecation , Female , Follow-Up Studies , Humans , Magnetic Resonance Imaging , Male , Medical Records , Middle Aged , Movement , Neoplasm Recurrence, Local/prevention & control , Orthopedic Procedures/adverse effects , Recovery of Function , Retrospective Studies , Sacrum/pathology , Sacrum/surgery , Sexuality , Spinal Neoplasms/diagnosis , Spinal Neoplasms/mortality , Surgical Flaps , Survival Analysis , Tomography, X-Ray Computed , Treatment Outcome , Urination
16.
Neurosci Res ; 79: 22-33, 2014 Feb.
Article in English | MEDLINE | ID: mdl-24211644

ABSTRACT

Copy number variations (CNVs) contribute to neuropsychiatric diseases, which may be partly mediated by their effects on gene expression. However, few studies have assessed the influence of CNVs on gene expression in the brain. The objective was to perform an unbiased comprehensive survey of influence of CNVs on gene expression in human brain tissues. CNV regions (CNVRs) were identified in 72 individuals (23 schizophrenia, 23 bipolar disorder and 26 controls). Significant associations between the CNVRs and gene expression levels were observed for 583 CNVR-expression probe pairs (293 unique eCNVRs and 429 unique transcripts), after corrections for multiple testing and controlling the effect of the number of subjects with CNVRs by label swapping permutations. These CNVRs affecting gene expression (eCNVRs) were significantly enriched for rare/low frequency (p=1.087×10(-10)) and gene-harboring CNVRs (p=1.4×10(-6)). Transcripts overlapping CNVRs were significantly enriched for glutathione metabolism and oxidative stress only for cases but not for controls. Moreover, 72 (24.6%) of eCNVRs were located within the chromosomal aberration regions implicated in psychiatric-disorders: 16p11.2, 1q21.1, 22q11.2, 3q29, 15q11.2, 17q12 and 16p13.1. These results shed light on the mechanism of how CNVs confer a risk for psychiatric disorders.


Subject(s)
Bipolar Disorder/genetics , DNA Copy Number Variations , Gene Expression , Prefrontal Cortex/metabolism , Schizophrenia/genetics , Female , Humans , Male
17.
Aging (Albany NY) ; 5(9): 653-61, 2013 Sep.
Article in English | MEDLINE | ID: mdl-24244950

ABSTRACT

Despite evidence from family studies that there is a strong genetic influence upon exceptional longevity, relatively few genetic variants have been associated with this trait. One reason could be that many genes individually have such weak effects that they cannot meet standard thresholds of genome wide significance, but as a group in specific combinations of genetic variations, they can have a strong influence. Previously we reported that such genetic signatures of 281 genetic markers associated with about 130 genes can do a relatively good job of differentiating centenarians from non­centenarians particularly if the centenarians are 106 years and older. This would support our hypothesis that the genetic influence upon exceptional longevity increases with older and older (and rarer) ages. We investigated this list of markers using similar genetic data from 5 studies of centenarians from the USA, Europe and Japan. The results from the meta­analysis show that many of these variants are associated with survival to these extreme ages in other studies. Since many centenarians compress morbidity and disability towards the end of their lives, these results could point to biological pathways and therefore new therapeutics to increase years of healthy lives in the general population.


Subject(s)
Genetic Variation , Longevity/genetics , Aged, 80 and over , Aging/genetics , Alzheimer Disease/genetics , Case-Control Studies , Coronary Artery Disease/genetics , Female , Gene Regulatory Networks , Genetic Markers , Genome-Wide Association Study , Humans , Male , Polymorphism, Single Nucleotide
18.
Cytokine ; 64(1): 251-7, 2013 Oct.
Article in English | MEDLINE | ID: mdl-23876400

ABSTRACT

Castration-refractory prostate cancer (CRPC) is treated with taxane-based chemotherapy, but eventually becomes drug resistant. It is thus essential to identify novel therapeutic targets for taxane resistance in CRPC patients. We investigated the role of the chemokine (C-C motif) receptor 1 (CCR1) and its ligand, chemokine (C-C motif) ligand 5 (CCL5), in taxane-resistant CRPC using paclitaxel-resistant prostate cancer cells (PC3PR) established from PC3 cells. We found that the expression levels of CCR1 mRNA and protein were up-regulated in PC3PR cells compared to PC3 cells. In order to investigate the role of increased CCR1 in PC3PR cells, we stimulated cells with CCL5, one of the chemokine ligands of CCR1. In CCL5-stimulated PC3PR cells, siRNA-mediated knockdown of CCR1 expression reduced phosphorylation of ERK1/2 and Rac1/cdc42. Furthermore, CCR1 knockdown and MEK1/2 inhibition decreased CCL5-stimulated secretion of MMPs 2 and 9, which play important roles in cancer cell invasion and metastasis. In the Matrigel invasion assay, knockdown of CCR1 and inhibition of the ERK and Rac signaling pathways significantly decreased the number of invading cells. Finally, the serum CCL5 protein level as measured by ELISA was not different among the three groups of patients: those with negative prostate biopsy, those at initial diagnosis of prostate cancer, and those with taxane-resistant prostate cancer. These results demonstrated for the first time that the interaction of CCR1 with CCL5 caused by increased expression of CCR1 promotes invasion of PC3PR cells by increasing secretion of MMPs 2 and 9 and by activating ERK and Rac signaling. Our findings suggest that CCR1 could be a novel therapeutic target for taxane-resistant CRPC.


Subject(s)
Chemokine CCL5/metabolism , Matrix Metalloproteinase 2/metabolism , Matrix Metalloproteinase 9/metabolism , Prostatic Neoplasms, Castration-Resistant/metabolism , Receptors, CCR1/metabolism , Aged , Bridged-Ring Compounds/pharmacology , Cell Line, Tumor , Cell Movement , Chemokine CCL5/blood , Drug Resistance, Neoplasm , Extracellular Signal-Regulated MAP Kinases/metabolism , Humans , MAP Kinase Kinase 1/antagonists & inhibitors , MAP Kinase Kinase 2/antagonists & inhibitors , MAP Kinase Signaling System , Male , Middle Aged , Neoplasm Invasiveness , Neoplasm Metastasis , Phosphorylation , Proto-Oncogene Proteins c-akt/metabolism , RNA Interference , RNA, Messenger/biosynthesis , RNA, Small Interfering , Receptors, CCR1/genetics , Taxoids/pharmacology , cdc42 GTP-Binding Protein/metabolism , rac1 GTP-Binding Protein/metabolism
19.
PLoS One ; 8(5): e65701, 2013.
Article in English | MEDLINE | ID: mdl-23741508

ABSTRACT

We previously reported that secreted phosphoprotein 1 (SPP1) mRNA is expressed in neurons whose axons form the corticospinal tract (CST) of the rhesus macaque, but not in the corresponding neurons of the marmoset and rat. This suggests that SPP1 expression is involved in the functional or structural specialization of highly developed corticospinal systems in certain primate species. To further examine this hypothesis, we evaluated the expression of SPP1 mRNA in the motor cortex from three viewpoints: species differences, postnatal development, and functional/structural changes of the CST after a lesion of the lateral CST (l-CST) at the mid-cervical level. The density of SPP1-positive neurons in layer V of the primary motor cortex (M1) was much greater in species with highly developed corticospinal systems (i.e., rhesus macaque, capuchin monkey, and humans) than in those with less developed corticospinal systems (i.e., squirrel monkey, marmoset, and rat). SPP1-positive neurons in the macaque monkey M1 increased logarithmically in layer V during postnatal development, following a time course consistent with the increase in conduction velocity of the CST. After an l-CST lesion, SPP1-positive neurons increased in layer V of the ventral premotor cortex, in which compensatory changes in CST function/structure may occur, which positively correlated with the extent of finger dexterity recovery. These results further support the concept that the expression of SPP1 may reflect functional or structural specialization of highly developed corticospinal systems in certain primate species.


Subject(s)
Gene Expression Regulation , Motor Cortex/metabolism , Osteopontin/genetics , Recovery of Function , Aged , Aged, 80 and over , Animals , Humans , Motor Cortex/injuries , Osteopontin/metabolism , Primates , Pyramidal Tracts/metabolism , Pyramidal Tracts/physiopathology , RNA, Messenger/genetics , RNA, Messenger/metabolism , Rats , Species Specificity
20.
Neurochem Res ; 38(7): 1399-406, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23585123

ABSTRACT

Traumatic brain injury occasionally causes posttraumatic epilepsy. To elucidate the molecular events responsible for posttraumatic epilepsy, we established a rodent model that involved the injection of microliter quantities of FeCl3 solution into the amygdalar nuclear complex. We previously compared hippocampal gene expression profiles in the traumatic epilepsy model and normal rats at 5 days after brain injury (acute phase) to determine the role of inflammation. In this study, we focused on later stages of epileptogenesis. We compared gene expression profiles at 5, 15 (sub-chronic phase), and 30 days (chronic phase) after brain injury to identify temporal changes in molecular networks involved in epileptogenesis. A total of 81 genes were significantly (at least twofold) up- or downregulated over the course of disease progression. We found that genes related to lipid metabolism, namely, Apoa1, Gh, Mc4r, Oprk1, and Pdk4, were temporarily upregulated in the sub-chronic phase. Changes in lipid metabolism regulation might be related to seizure propagation during epileptogenesis. This temporal description of hippocampal gene expression profiles throughout epileptogenesis provides clues to potential markers of disease phases and new therapeutic targets.


Subject(s)
Disease Models, Animal , Epilepsy, Post-Traumatic/genetics , Gene Expression Profiling , Hippocampus/metabolism , Lipid Metabolism/genetics , Up-Regulation , Animals , Rats
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