Clinicopathological, immunohistochemical and molecular features of acinic cell carcinoma of the breast.

Breast acinic cell carcinoma (ACC) is a rare subtype of breast cancer. Accurate diagnosis of ACC using core needle biopsy (CNB) is pivotal for the use of effective treatments and patient prognosis. In the present study, a detailed analysis of the morphological, immunohistochemical and gene mutation features of 2 cases of ACC was performed. CNB was performed prior to surgical excision. The breast ACC in the present cases exhibited overt burrowing labyrinthine networks or 'hand-holding-hand' features. The tumor cells in both of the present cases expressed cytokeratin (CK)7, S100 and CK5/6, but were negative for p63, estrogen receptor and progesterone receptor. GATA binding protein 3 was positive in case 1 but negative in case 2. Fluorescence in situ hybridization indicated no ETS variant transcription factor 6 break-apart probe detection. Next-generation sequencing results revealed the same mutation and a similar abundance in exon 27 (NM_005120.2; c.3817G>T; p.A1273S) of the mediator of RNA polymerase II transcription, subunit 12 homolog (MED12) gene in both patients. To conclude, the findings of the present study suggested that recognition of this rare 'hand-holding-hand' structure could potentially be beneficial for avoiding patient misdiagnosis. In addition, it could be suggested that a mutation in the MED12 exon 27 was associated with the formation of a burrowing labyrinthine network or 'hand-holding-hand' feature.

Ethnobotanical study of traditional edible plants used by the Naxi people during droughts.

BACKGROUND: Since 2009, millions of people have been forced to live under food shortage by the continuous drought in Southwestern China. The market was the primary source of aid grains, and fears that the market will be unable to provide sufficient food make safeguarding food security in the face of climate change crucial. Traditional adaptive strategies of pre-market indigenous people are a potential source of innovation. We studied three questions among the Naxi people: 1) What edible plants did they consume during droughts? 2) How did they produce enough food? 3) How did they consume these plants? This study investigates and documents traditional Naxi food knowledge to safeguard food security during drought and facilitate Chinese policy decisions. METHODS: Ethnobotanical investigation was conducted through literature review, semi-structured interviews, collaborative fieldwork and group discussions in three Naxi villages. 89 informants (including 35 key informants) were surveyed from 2012 to 2013. Significant Index (SI) was adopted to evaluate each edible plant's food supply significance. Voucher specimens were collected for taxonomic identification. RESULTS: 1) In total, 141 edible plants (38 cultivated and 103 wild) were consumed-primarily landrace crops, supplementary edible plants and famine plants. 2) Naxi people produced sufficient food through widespread food production systems, strong landrace crop resilience, and diversity in wild edible plants. 3) Through a diverse diet and consuming almost all edible parts of the plant, the Naxi used edible plants fully to meet food and nutrition needs during drought. CONCLUSIONS: Edible plant diversity is a cornerstone of drought food security. Cultivated crops (especially landrace plants) and wild edible plants were both important. Naxi people protect edible plant diversity through ecological morality and traditional ecological knowledge (TEK). National inventories of edible plant diversity and studies of the TEK of other Chinese indigenous peoples should be undertaken to inform sustainable food policy decisions in China.

Finding new sources from "using different plants as the same herb": A case study of Huang-lian in Northwest Yunnan, China.

ETHNOPHARMACOLOGICAL RELEVANCE: Traditional and local medicinal knowledge would be useful for finding pharmaceutical resources. Ethnopharmacological methods, especially quantitative analysis could help us to pre-screen herbs in field studies. "Using different plants as the same herb" is common in both traditional and local medicinal systems in China. In terms of medicine safety, it is not best choice, for it would lead to difficulty in controlling the quality, safety and efficacy of herbs. However, from the perspective of finding new resources for pharmaceutical industry, it would be beneficial. The usage of Huang-lian is one of the typical examples of "using different plants as the same herb". According to the previous Phytochemical and Pharmacological studies, berberine is the common effective compound of most of the species used as Huang-lian. Recently, berberine and other effective compounds of Huang-lian have gained much more attention and will become more popular in both medicinal researches and pharmaceutical industry. In our preliminary field work, we found that dozens of plant species might be used as Huang-lian by local people in Northwest Yunnan, an area well known by its rich biodiversity and culture diversity. These herbs might have potential value for pharmaceutical industry, for example, it could be used as the new resources to extract berberine and other effective compounds. Due to this, it is very necessary to collect, identify, document, and analyze the herbs used as Huang-lian in NW Yunnan. In the present study, we focused on that how to use traditional and local medicinal knowledge to find resources for pharmaceutical industry. MATERIAL AND METHODS: In the field work, interviews and participative observation were used. In the quantitative analysis of the local knowledge, Informant consensus factor (Fic), Use value (UV) and Relative frequency of citation (RFC) were used. RESULTS AND DISCUSSION: A total of 230 key informants were interviewed and 29 plant species belonging to 8 families and 11 genera used as Huang-lian were collected in the study area. Diarrhoea had the highest value of Fic.xiana had the highest value of UV and RFC. The main effective compounds of most of these species were related to the protoberberine group of isoquinoline alkaloids, e.g. berberine, jatrorrhizin and palmatine, according to the previous phytochemical studies. CONCLUSION: The range of sources of Huang-lian were very wide in NW Yunnan. Treating diarrhoea was the most common use of these species, most of which contained berberine. Based on the results of quantitative analysis, M. duclouxiana may had the greatest potential to future uses, e.g. as a resource for pharmaceutical industry. In the present study, we did not discuss whether the herbs used as Huang-lian could replace the standard Huang-lian in traditional or local medicine or not, and we just wanted to explore how this phenomenon could be used to find new resources for pharmaceutical industry.