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1.
Insect Biochem Mol Biol ; 157: 103955, 2023 06.
Article in English | MEDLINE | ID: mdl-37146697

ABSTRACT

The pyrokinin (PK)/pheromone biosynthesis-activating neuropeptide (PBAN) family, which is defined by a conserved C-terminal pentapeptide (FXPRLamide), is involved in many physiological processes in insects. In the oriental armyworm Mythimna separata, the larvae exhibit a variety of color patterns in response to changes in population density, which are caused by melanization and a reddish coloration hormone (MRCH), which is a member of the FXPRLamide neuropeptides. Interestingly, in some lepidopteran insects, MRCH is known as a PBAN, which activates the pheromone gland to produce sex pheromones. PBAN is encoded by a single gene, dh-pban, which encodes additional FXPRLamide neuropeptides, such as the diapause hormone (DH) and subesophageal ganglion neuropeptides (SGNPs). To determine the roles of the dh-pban gene, which produces multiple types of FXPRLamide neuropeptides after post-transcriptional cleavage of the precursor protein, we performed CRISPR/Cas9-mediated targeted mutagenesis in M. separata. We demonstrated that knockout armyworm larvae lost density-dependent cuticular melanization and retained yellow body color, even when reared under crowded conditions. Moreover, our rescue experiments using the synthetic peptides showed that not only PBAN but also ß- and γ-SGNPs significantly induce the cuticular melanization in a dose dependent manner. Taken together, our results provide genetic evidence that neuropeptides encoded by the single dh-pban gene act redundantly to control density-dependent color pattern formation in M. separata.


Subject(s)
Moths , Neuropeptides , Sex Attractants , Animals , Larva/genetics , Larva/metabolism , Spodoptera/metabolism , Moths/genetics , Moths/metabolism , Neuropeptides/genetics , Neuropeptides/metabolism , Sex Attractants/metabolism
2.
PLoS One ; 18(4): e0284331, 2023.
Article in English | MEDLINE | ID: mdl-37053200

ABSTRACT

The current study explored the role of sentential inference in connecting lexical/grammatical knowledge and overall text comprehension in foreign language learning. Using structural equation modeling (SEM), causal relationships were examined between four latent variables: lexical knowledge, grammatical knowledge, sentential inference, and text comprehension. The study analyzed 281 Chinese university students learning Japanese as a second language and compared two causal models: (1) the partially-mediated model, which suggests that lexical knowledge, grammatical knowledge, and sentential inference concurrently influence text comprehension, and (2) the wholly-mediated model, which posits that both lexical and grammatical knowledge impact sentential inference, which then further affects text comprehension. The SEM comparison analysis supported the wholly-mediated model, showing sequential causal relationships from lexical knowledge to sentential inference and then to text comprehension, without significant contribution from grammatical knowledge. The results indicate that sentential inference serves as a crucial bridge between lexical knowledge and text comprehension.


Subject(s)
Comprehension , East Asian People , Humans , Language , Learning
3.
Sci Rep ; 12(1): 14498, 2022 08 25.
Article in English | MEDLINE | ID: mdl-36008434

ABSTRACT

The importance of plant chemistry in the host specialization of phytophagous insects has been emphasized. However, only a few chemicals associated with host shifting have been characterized. Herein, we focus on the leaf-mining moth Acrocercops transecta (Gracillariidae) consisting of ancestral Juglans (Juglandaceae)- and derived Lyonia (Ericaceae)-associated host races. The females of the Lyonia race laid eggs on a cover glass treated with an L. ovalifolia leaf extract; the extract was fractionated using silica gel and ODS column chromatography to isolate the oviposition stimulants. From a separated fraction, two analogous Lyonia-specific triterpenoid glycosides were characterized as oviposition stimulants. Furthermore, we observed probable contact chemosensilla on the distal portion of the female antennae. Lyonia race females laid their eggs on the non-host Juglans after the leaves were treated with a Lyonia-specific oviposition stimulant, although they do not lay eggs on Juglans. These results suggest that Lyonia race females do not lay eggs on Juglans leaves because the leaves do not contain specific oviposition stimulant(s). Otherwise, the activity of the oviposition stimulants overcomes oviposition deterrents contained in Juglans leaves. This paper describes the roles of plant chemicals in the different preferences between host races associated with distantly related plant taxa.


Subject(s)
Ericaceae , Juglandaceae , Juglans , Moths , Animals , Female , Oviposition , Plant Leaves
4.
J Chem Ecol ; 48(5-6): 583-587, 2022 Jun.
Article in English | MEDLINE | ID: mdl-35761152

ABSTRACT

TXIB (2,2,4-trimethyl-1,3-pentanediol diisobutyrate), a common plasticizer, inhibits the peach fruit moth, Carposina sasakii from ovipositing on young apple fruits. Using an insect assay and gas chromatography with an electroantennographic detector (GC-EAD) analysis, the stereochemistry of the bioactive compound was identified to be 3R, whereas (3S)-TXIB showed no activity. The inactive enantiomer did not inhibit the activity of commercially available TXIB, which was a racemic mixture. When the female moth was placed on the TXIB-treated fruits in the oviposition assay, she repeated grooming antennae. The reason why the moth detects this artificial compound is unknown, although the stereochemical structure of TXIB could have given an abnormality to the moth's antennae.


Subject(s)
Malus , Moths , Animals , Female , Fruit , Oviposition , Plasticizers
5.
J Neuroendovasc Ther ; 16(7): 371-375, 2022.
Article in English | MEDLINE | ID: mdl-37502340

ABSTRACT

Objective: We report a case of contrast-induced encephalopathy (CIE) after repeated percutaneous transluminal angioplasty (PTA) for acute middle cerebral artery (MCA) occlusion. Case Presentation: An 88-year-old woman with left hemiparesis was transferred to our hospital by ambulance. MRI revealed acute MCA M1 occlusion. We performed intravenous tissue plasminogen activator therapy and PTA for right MCA occlusion, leading to complete recanalization and improvement in hemiparalysis. After approximately one week, restenosis of right MCA developed and PTA was performed again on day 11. However, her left hemiparesis exacerbated shortly thereafter. CT demonstrated leakage of contrast medium, and an extensive high-intensity area (HIA) on the white matter in the right cerebral hemisphere was noted on MRI FLAIR. The HIA on MRI and neurological deficits gradually improved after conservative treatment, but diffuse atrophy of the right cerebral hemisphere occurred and higher brain dysfunction remained. Conclusion: Repeated ischemia and reperfusion, and the frequent use of contrast media were considered the causes of CIE.

6.
Article in English | MEDLINE | ID: mdl-34800681

ABSTRACT

Most insects utilize a diverse array of olfactory cues for host finding and reproduction behaviors. Males of several Dacini fruit fly species (Tephritidae) are selectively attracted to certain phytochemicals to acquire sex pheromone precursors. Despite the importance of olfaction, only a limited number of olfactory receptors (ORs) in Dacini fruit flies have been characterized. In this study, I focused on the OR94b-2 subfamily, because a clade consisting of these homologs was distinctly localized from other OR clades in a constructed phylogenetic tree. To deorphanize the ORs, I used plant essential oils to screen ligands. Using heterologous expression in Xenopus oocytes, I analyzed the functional properties of BdorOR94b-2 and ZcucOR94b-2 from the Oriental fruit fly, Bactrocera dorsalis, and the melon fruit fly, Zeugodacus cucurbitae, respectively. I found that cinnamon leaf oil evoked responses in oocytes expressing BdorOR94b-2 and the corresponding co-receptor BdorORCO. Gas chromatography-mass spectrometry analysis indicated that eugenol is a major component of cinnamon leaf oil. In accordance with the response to cinnamon leaf oil containing eugenol, BdorOR94b-2/BdorORCO revealed a weak but significant response to eugenol. BdorOR94b-2/BdorORCO also responded to isoeugenol, but not to other related aromatic semiochemicals such as known male-specific attractants and sex pheromones. In contrast, ZcucOR94b-2/ZcucORCO did not respond to any of the phenolic compounds tested, including eugenol analogs. Therefore, BdorOR94b-2/BdorORCO is narrowly tuned to eugenol analogs, whereas ZcucOR94b-2/ZcucORCO likely binds to other compound(s).


Subject(s)
Receptors, Odorant , Tephritidae , Animals , Eugenol/analogs & derivatives , Eugenol/pharmacology , Male , Pheromones , Phylogeny , Receptors, Odorant/genetics , Tephritidae/genetics
7.
Biosci Biotechnol Biochem ; 85(12): 2360-2367, 2021 Nov 24.
Article in English | MEDLINE | ID: mdl-34601560

ABSTRACT

A series of 3-oxygenated α-ionone analogs have been developed as highly specific male lures for the solanaceous fruit fly Bactrocera latifrons, a pest of solanaceous fruits. We compared the attractant and phagostimulant activities of analogs with or without (i) unsaturations at the 4,5- and/or 7,8-positions and (ii) oxygen moieties at the 3- and/or 9-positions of the ionone molecule. Since naturally occurring vomifoliol (V2) was found to induce a highly potent phagostimulant activity in B. latifrons males, related analogs including dehydrovomifoliol (V1), 6-hydroxy-α-ionone (U1), and 6-hydroxy-α-ionol (U2) were synthesized to evaluate their attractant and phagostimulant activities. Synthetic V1, V2, U1, and U2 exhibited low attractant activity, but their phagostimulant activity was relatively high. Optical isomers of 3-oxo-7,8-dihydro-α-ionone (P3) and V1 were prepared to examine the stereochemical specificity of attractants. (+)-(6R)-P3 and (+)-(6S)-V1 exhibited the corresponding activities, while their respective antipodal enantiomers were found entirely inactive.


Subject(s)
Norisoprenoids
8.
J Insect Physiol ; 134: 104294, 2021 10.
Article in English | MEDLINE | ID: mdl-34389412

ABSTRACT

In insects, some sterols are essential not only for cell membrane homeostasis, but for biosynthesis of the steroid hormone ecdysone. Dietary sterols are required for insect development because insects cannot synthesize sterols de novo. Therefore, sterol-like compounds that can compete with essential sterols are good candidates for insect growth regulators. In this study, we investigated the effects of the plant-derived triterpenoids, cucurbitacin B and E (CucB and CucE) on the development of the fruit fly, Drosophila melanogaster. To reduce the effects of supply with an excess of sterols contained in food, we reared D. melanogaster larvae on low sterol food (LSF) with or without cucurbitacins. Most larvae raised on LSF without supplementation or with CucE died at the second or third larval instar (L2 or L3) stages, whereas CucB-administered larvae mostly died without molting. The developmental arrest caused by CucB was partially rescued by ecdysone supplementation. Furthermore, we examined the effects of CucB on larval-prepupal transition by transferring larvae from LSF supplemented with cholesterol to that with CucB just after the L2/L3 molt. L3 larvae raised on LSF with CucB failed to pupariate, with a remarkable developmental delay. Ecdysone supplementation rescued the developmental delay but did not rescue the pupariation defect. Furthermore, we cultured the steroidogenic organ, the prothoracic gland (PG) of the silkworm Bombyx mori, with or without cucurbitacin. Ecdysone production in the PG was reduced by incubation with CucB, but not with CucE. These results suggest that CucB acts not only as an antagonist of the ecdysone receptor as previously reported, but also acts as an inhibitor of ecdysone biosynthesis.


Subject(s)
Drosophila melanogaster , Ecdysone , Triterpenes/pharmacology , Animals , Bombyx/drug effects , Bombyx/metabolism , Drosophila Proteins/drug effects , Drosophila Proteins/metabolism , Drosophila melanogaster/drug effects , Drosophila melanogaster/growth & development , Drosophila melanogaster/metabolism , Ecdysone/antagonists & inhibitors , Ecdysone/biosynthesis , Gene Expression Regulation, Developmental , Juvenile Hormones/pharmacology , Larva/drug effects , Larva/growth & development , Larva/metabolism , Metamorphosis, Biological/drug effects , Molting/drug effects , Organ Culture Techniques , Plant Extracts/pharmacology , Pupa/drug effects , Pupa/growth & development , Pupa/metabolism
9.
J Pestic Sci ; 46(2): 182-188, 2021 May 20.
Article in English | MEDLINE | ID: mdl-34135679

ABSTRACT

The method for evaluating soybean (Glycine max) antixenosis against the common cutworm (Spodoptera litura) was developed based on a dual-choice assay aided by a statistical analysis model. This model was constructed from the results of a dual-choice assay in which Enrei, a soybean cultivar susceptible to S. litura, was used as both a standard and a test leaf disc for 2nd-5th instar larvae. The statistical criterion created by this model enabled the evaluation of the presence of antixenosis. This method was applied to four soybean varieties, including Tamahomare (susceptible), Himeshirazu (resistant), IAC100 (resistant), and Peking (unknown), as well as Enrei. Subsequently, the degrees of antixenosis were also compared by F-test, followed by maximum likelihood estimation (MLE). According to the results, the antixenosis of Tamahomare, Himeshirazu, and IAC100 was statistically reevaluated and Peking exhibited a novel antixenosis, which was stronger for 3rd-5th instar larvae than for 2nd instar.

10.
Insects ; 12(2)2021 Jan 26.
Article in English | MEDLINE | ID: mdl-33530622

ABSTRACT

Dacini fruit flies mainly contain two genera, Bactrocera and Zeugodacus, and include many important pests of fruits and vegetables. Their life cycle is affected by various environmental cues. Among them, multiple characteristic semiochemicals have remarkable effects on their reproductive and host-finding behaviors. Notably, floral fragrances released from so-called fruit fly orchids strongly attract males of several Dacini fruit fly species. Focusing on the strong attraction of male flies to particular chemicals, natural and synthetic lures have been used for pest management. Thus, the perception of semiochemicals is important to understand environmental adaptation in Dacini fruit flies. Since next-generation sequencers are available, a large number of chemosensory-related genes have been identified in Dacini fruit flies, as well as other insects. Furthermore, recent studies have succeeded in the functional analyses of olfactory receptors in response to semiochemicals. Thus, characterization of molecular components required for chemoreception is under way. However, the mechanisms underlying chemoreception remain largely unknown. This paper reviews recent findings on peripheral mechanisms in the perception of odors in Dacini fruit flies, describing related studies in other dipteran species, mainly the model insect Drosophilamelanogaster. Based on the review, important themes for future research have also been discussed.

11.
J Neuroendovasc Ther ; 15(6): 387-395, 2021.
Article in English | MEDLINE | ID: mdl-37502416

ABSTRACT

Objective: This report presents a case of mechanical thrombectomy for left internal carotid artery (ICA) terminal portion occlusion performed by left common carotid artery recanalization during hospitalization after diagnosing bilateral common carotid artery occlusion due to Takayasu arteritis. Case Presentation: A 25-year-old woman with fever and cervix pain a few months ago visited our department after repeated transient aphasic attacks. Magnetic resonance imaging (MRI) demonstrated diffuse infarction in the left middle cerebral artery (MCA) area, and she was diagnosed with Takayasu arteritis due to bilateral common carotid artery occlusion and left subclavian artery stenosis. On the 20th day of hospitalization, the terminal portion of the left ICA was occluded and thrombectomy was performed after balloon dilation of the left common carotid artery. Lastly, left common carotid artery stenting was performed. Aphasia and sensory disturbance remained, but she was transferred to a rehabilitation hospital with a modified Rankin Scale (mRS) of 2 on the 65th day of hospitalization. Antithrombotic and immunosuppressive therapy were performed, and restenosis did not develop. Conclusion: Angioplasty and stenting of common carotid artery occlusion can be effective treatments in thrombectomy for intracranial occlusion due to Takayasu disease.

13.
Biosci Biotechnol Biochem ; 84(1): 25-30, 2020 Jan.
Article in English | MEDLINE | ID: mdl-31516064

ABSTRACT

The Japanese orange fly, Bactrocera tsuneonis, infests various citrus crops. While male pheromone components accumulated in the rectal glands are well characterized for Bactrocera, but information regarding the chemical factors involved in the life cycles of B. tsuneonis remains scarce. Herein, several volatile chemicals including a γ-decalactone, (3R,4R)-3-hydroxy-4-decanolide [(3R,4R)-HD], were identified as major components, along with acetamide and spiroketals as minor components in the rectal gland complexes of male B. tsuneonis flies. The lactone (3R,4R)-HD was also identified in female rectal gland complexes. The amount of this compound in mature males was significantly higher than those observed in females and immature males. The lactone (3R,4R)-HD was detected in flies fed with sucrose only, indicating that this lactone is not derived from dietary sources during adulthood, but biosynthesized in vivo. The predominant accumulation of (3R,4R)-HD in mature males also suggests a possible role in reproductive behavior.


Subject(s)
Lactones/chemistry , Salt Gland/chemistry , Tephritidae/physiology , Acetamides/chemical synthesis , Acetamides/chemistry , Animals , Chromatography, Gas , Citrus , Diet , Female , Furans/chemical synthesis , Furans/chemistry , Japan , Lactones/chemical synthesis , Male , Mass Spectrometry , Reproduction/physiology , Sex Attractants/chemistry , Sexual Behavior, Animal/physiology , Spiro Compounds/chemical synthesis , Spiro Compounds/chemistry , Sucrose
14.
Article in English | MEDLINE | ID: mdl-31499218

ABSTRACT

Dacini fruit flies (Tephritidae: Diptera), including destructive pest species, are strongly affected in their reproductive behaviors by semiochemicals. Notably, male lures have been developed for pest management e.g., aromatic compounds for the Oriental fruit fly Bactrocera dorsalis and the melon fruit fly Zeugodacus cucurbitae; terpenic α-ionone analogs for the solanaceous fruit fly, B. latifrons. Other than those specific male attractants, 1-nonanol analogs have been noticed as major aliphatic components in the male rectal gland, which is considered as a secretory organ of male sex pheromones. Although multiple semiochemicals associated with the life cycle of Dacini fruit flies have been identified, their behavioral role(s) and chemosensory mechanisms by which the perception occurs have not been fully elucidated. In this study, we conducted RNA sequencing analysis of the chemosensory organs of B. latifrons and Z. cucurbitae to identify the genes coding for chemosensory receptors. Because the skeletons of male attractants are different among Dacini fruit fly species, we analyzed phylogenetic relationships of candidate olfactory receptors (ORs) among the three species. We found that the OR phylogeny reflects the taxonomic relationships of the three species. We further characterized functional properties of OR74a in the three Dacini species to the 1-nonanol analogs related to components in the rectal glands. The three OR74a homologs responded to 1-nonanol, but their sensitivities differed from each other. The OR74a homologs identified from B. dorsalis and Z. cucurbitae responded significantly to 6-oxo-1-nonanol, but not to 1,3-nonanediol and nonyl acetate, indicating similar binding properties of the homologous ORs.


Subject(s)
Fatty Alcohols/pharmacology , Insect Proteins/metabolism , Receptors, Odorant/metabolism , Salt Gland/metabolism , Tephritidae/metabolism , Animals , Receptors, Odorant/genetics , Species Specificity , Tephritidae/genetics
15.
Pediatr Int ; 61(3): 293-297, 2019 Mar.
Article in English | MEDLINE | ID: mdl-30585671

ABSTRACT

BACKGROUND: The aim of this study was to investigate the circumstances of playground equipment-related head injuries in children and consider preventive measures based on the associated characteristics. METHODS: The survey period was from February 1988 to January 2017. The study participants were children <15 years of age who had been hospitalized for playground equipment-related head injury. The following factors were investigated retrospectively: age; sex; fall height; material of the surface under the equipment; mechanism and diagnosis of the head injury; neurological signs at admission; and neurological outcome. RESULTS: A total of 42 children (median age, 5 years; M/F: 26/16) were treated for head injuries, which involved a slide in 20 cases (47.6%), a swing in 11 (26.2%), a jungle gym in five (11.9%), monkey bars, iron bars, and a trampoline in one each, and unspecified equipment in six (14.3%). Falls ranged from a height of 1.2 to 2.5 m. Most of the falls occurred on hard soil or concrete. Head injuries depended on the age of the child, the injury mechanisms, and the characteristics of the equipment. CONCLUSIONS: The playground equipment-related head injuries found in the present study involved not only skull fractures and concussions, but also intracranial hemorrhage and surgical cases. Children routinely use playground equipment, so effective strategies to reduce the occurrence of playground equipment-related head injuries need to be formulated.


Subject(s)
Accidental Falls/statistics & numerical data , Craniocerebral Trauma/epidemiology , Hospitalization/statistics & numerical data , Play and Playthings/injuries , Child , Child, Preschool , Craniocerebral Trauma/etiology , Female , Health Surveys , Humans , Infant , Male , Prevalence , Retrospective Studies
16.
Insect Biochem Mol Biol ; 101: 32-46, 2018 10.
Article in English | MEDLINE | ID: mdl-30026095

ABSTRACT

The Oriental fruit fly, Bactrocera dorsalis, is a highly destructive pest of various fruits. The reproductive and host-finding behaviors of this species are affected by several plant semiochemicals that are perceived through chemosensory receptors. However, the chemosensory mechanisms by which this perception occurs have not been fully elucidated. We conducted RNA sequencing analysis of the chemosensory organs of B. dorsalis to identify the genes coding for chemosensory receptors. We identified 60 olfactory receptors (ORs), 17 gustatory receptors and 23 ionotropic receptors-including their homologs and variants-from the transcriptome of male antennae and proboscises. We functionally analyzed ten ORs co-expressed with the obligatory co-receptor ORCO in Xenopus oocytes to identify their ligands. We tested 24 compounds including attractants for several Bactrocera species and volatiles from the host fruits of B. dorsalis. We found that BdorOR13a co-expressed with ORCO responded robustly to 1-octen-3-ol. BdorOR82a co-expressed with ORCO responded significantly to geranyl acetate, but responded weakly to farnesenes (a mixture of isomers) and linalyl acetate. These four compounds were subsequently subjected to behavioral bioassays. When each of the aforementioned compound was presented in combination with a sphere model as a visual cue to adult flies, 1-octen-3-ol, geranyl acetate, and farnesenes significantly enhanced landing behavior in mated females, but not in unmated females or males. These results suggest that the ORs characterized in the present study are involved in the perception of plant volatiles that affect host-finding behavior in B. dorsalis.


Subject(s)
Insect Proteins/genetics , Octanols/pharmacology , Olfactory Receptor Neurons/physiology , Receptors, Odorant/genetics , Tephritidae/physiology , Transcriptome , Acetates/chemistry , Acetates/pharmacology , Acyclic Monoterpenes , Animals , Arthropod Antennae/cytology , Arthropod Antennae/drug effects , Arthropod Antennae/physiology , Biological Assay , Female , Gene Expression Regulation , Insect Proteins/metabolism , Male , Monoterpenes/chemistry , Monoterpenes/pharmacology , Octanols/chemistry , Olfactory Receptor Neurons/cytology , Olfactory Receptor Neurons/drug effects , Oocytes/cytology , Oocytes/drug effects , Oocytes/metabolism , Patch-Clamp Techniques , Pheromones/chemistry , Pheromones/pharmacology , Phylogeny , Receptors, Odorant/classification , Receptors, Odorant/metabolism , Tephritidae/classification , Tephritidae/cytology , Tephritidae/drug effects , Terpenes/chemistry , Terpenes/pharmacology , Xenopus laevis
17.
Surg Neurol Int ; 8: 263, 2017.
Article in English | MEDLINE | ID: mdl-29184714

ABSTRACT

BACKGROUND: To determine the clinical significance of thickening of the sphenoid sinus mucosa (TSSM) in Rathke's cleft cyst (RCC). METHODS: We retrospectively reviewed patients with pituitary lesions. A total of 99 patients, who underwent surgery of pituitary lesions between 2008 and 2015, were analyzed to evaluate the clinical significance of TSSM using magnetic resonance imaging. The patients with TSSM were evaluated for their characteristics. RESULTS: Of the 99 operations, 15 patients with paranasal sinusitis, direct invasion to the sellar floor, and/or a history of transsphenoidal surgery were excluded. There were 51 pituitary adenomas (PAs), 18 RCCs, and 15 other tumors. TSSM was observed in 6 patients (7.1%). Pathologies included 3 RCCs (16.7%), 1 PA (2.0%), and 2 other lesions. Three RCCs were especially analyzed. The pituitary dysfunction was found in all 3 patients with TSSM, whereas that was noted in 2 of 15 patients (13.3%) without TSSM. The sensitivity was 60%, specificity was 86.7%, and the positive predictive value was 100%. There was no significant difference in the age, thickness of TSSM, symptoms, and squamous metaplasia between patients with and without TSSM. CONCLUSIONS: TSSM occurs more frequently in RCCs than in PAs. TSSM can potentially suggest hypopituitarism in RCCs. The surgical and/or endocrinological interventions are required for preventing further endocrine deterioration.

18.
Surg Neurol Int ; 8: 205, 2017.
Article in English | MEDLINE | ID: mdl-28966812

ABSTRACT

BACKGROUND: Mild hemophilia without spontaneous bleeding can remain undiagnosed for a lifetime. However, intracranial hemorrhage is one of the most serious complications for patients with hemophilia. In addition, hemorrhagic complications after emergency surgery tend to arise from coagulopathy. CASE DESCRIPTION: An 80-year-old man was admitted with left hemiparesis and disturbed consciousness. He had no history of trauma, fever, or drug and alcohol intake. Computed tomography imaging upon admission disclosed a hemispheric subdural hematoma with a midline shift. No vascular abnormalities were identified as a source of the hemorrhage. The hematoma was removed on an emergency basis with external decompression. However, a large subcutaneous hematoma was again evident on the following day. Insufficient hemostatic maneuvers during surgery were considered the cause of this hemorrhagic complication. A second operation was performed to achieve hemostasis of the subcutaneous and muscle tissue. Thereafter, he was rehabilitated without treatment for hemophilia as he had no bleeding episodes. Cranioplasty proceeded using artificial bone at 40 days after the first operation. However, epidural hematoma developed again on postoperative day 1. His neurological status did not worsen so a repeat procedure was unnecessary. Close scrutiny uncovered a diagnosis of mild hemophilia A. CONCLUSIONS: Accurate diagnosis is important for the management of postoperative hemorrhagic complications caused by pathologies of the coagulation system. Sufficient hemostasis of hemorrhage from subcutaneous and muscle tissue is essential even during emergency surgery to avoid postoperative complications. A diagnosis of hemophilia should be considered in the face of prolonged activated partial thromboplastin time (APTT).

19.
Dev Biol ; 430(1): 166-176, 2017 10 01.
Article in English | MEDLINE | ID: mdl-28782527

ABSTRACT

Steroid hormones regulate life stage transitions, allowing animals to appropriately follow a developmental timeline. During insect development, the steroid hormone ecdysone is synthesized and released in a regulated manner by the prothoracic gland (PG) and then hydroxylated to the active molting hormone, 20-hydroxyecdysone (20E), in peripheral tissues. We manipulated ecdysteroid titers, through temporally controlled over-expression of the ecdysteroid-inactivating enzyme, CYP18A1, in the PG using the GeneSwitch-GAL4 system in the fruit fly Drosophila melanogaster. We monitored expression of a 20E-inducible glue protein gene, Salivary gland secretion 3 (Sgs3), using a Sgs3:GFP fusion transgene. In wild type larvae, Sgs3-GFP expression is activated at the midpoint of the third larval instar stage in response to the rising endogenous level of 20E. By first knocking down endogenous 20E levels during larval development and then feeding 20E to these larvae at various stages, we found that Sgs3-GFP expression could be triggered at an inappropriate developmental stage after a certain time lag. This stage-precocious activation of Sgs3 required expression of the Broad-complex, similar to normal Sgs3 developmental regulation, and a small level of nutritional input. We suggest that these studies provide evidence for a tissue-autonomic regulatory system for a metamorphic event independent from the primary 20E driven developmental progression.


Subject(s)
Drosophila melanogaster/growth & development , Drosophila melanogaster/metabolism , Ecdysterone/metabolism , Glue Proteins, Drosophila/metabolism , Animal Structures/drug effects , Animal Structures/metabolism , Animals , Green Fluorescent Proteins/metabolism , Larva/drug effects , Larva/growth & development , Mifepristone/pharmacology , Models, Biological , Progesterone/analogs & derivatives , Signal Transduction , Time Factors , Transgenes
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