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1.
Mass Spectrom (Tokyo) ; 13(1): A0143, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38410254

RESUMO

In metabolomic analysis, one of the most commonly used techniques to support the detection sensitivity and quantitation of mass spectrometry is combining it with liquid chromatography. Recently, we developed a method that enables comprehensive single-run measurement of hydrophilic metabolites using unified-hydrophilic interaction/anion exchange liquid chromatography/high-resolution mass spectrometry (unified-HILIC/AEX/HRMS) with a polymer-based mixed amines column (Gelpack GL-HilicAex). However, the importance of stationary phase functional groups and mobile phase conditions for the separation mechanisms and sensitive detection in unified-HILIC/AEX/HRMS is not yet fully understood. This study aimed to understand the importance of the mobile and stationary phases in unified-HILIC/AEX/HRMS. Two different alkali-resistant polymer-based amines-modified columns (Gelpack GL-HilicAex, primary, secondary, tertiary, and quaternary amine-modified polyglycerol dimethacrylate gel; Asahipak NH2P-50 2D, secondary amine-modified polyvinyl alcohol gel) and two eluents (acetonitrile and ammonium bicarbonate solution, pH 9.8) were used for comparative validation. A comparison of mobile phase conditions using both columns confirmed that the two-step separation from HILIC to AEX characteristic of unified-HILIC/AEX requires a linear gradient condition from acetonitrile to nearly 50% water and AEX with up to 40 mM bicarbonate ions. We found that when alkali-resistant hydrophilic polymer packing materials are modified with amines, unified-HILIC/AEX separation can be reproduced if at least one secondary amine associated with the amine series is present in the stationary phase. Furthermore, the difference in sensitivity in the HILIC and AEX modes owing to the different columns indicates the need for further improvements in the mobile phase composition and stationary phase.

2.
Anal Chem ; 96(3): 1275-1283, 2024 01 23.
Artigo em Inglês | MEDLINE | ID: mdl-38186224

RESUMO

The accuracy of the structural annotation of unidentified peaks obtained in metabolomic analysis using liquid chromatography/tandem mass spectrometry (LC/MS/MS) can be enhanced using retention time (RT) information as well as precursor and product ions. Unified-hydrophilic-interaction/anion-exchange liquid chromatography high-resolution tandem mass spectrometry (unified-HILIC/AEX/HRMS/MS) has been recently developed as an innovative method ideal for nontargeted polar metabolomics. However, the RT prediction for unified-HILIC/AEX has not been developed because of the complex separation mechanism characterized by the continuous transition of the separation modes from HILIC to AEX. In this study, we propose an RT prediction model of unified-HILIC/AEX/HRMS/MS, which enables the comprehensive structural annotation of polar metabolites. With training data for 203 polar metabolites, we ranked the feature importance using a random forest among 12,420 molecular descriptors (MDs) and constructed an RT prediction model with 26 selected MDs. The accuracy of the RT model was evaluated using test data for 51 polar metabolites, and 86.3% of the ΔRTs (difference between measured and predicted RTs) were within ±1.50 min, with a mean absolute error of 0.80 min, indicating high RT prediction accuracy. Nontargeted metabolomic data from the NIST SRM 1950-Metabolites in frozen human plasma were analyzed using the developed RT model and in silico MS/MS prediction, resulting in a successful structural estimation of 216 polar metabolites, in addition to the 62 identified based on standards. The proposed model can help accelerate the structural annotation of unknown hydrophilic metabolites, which is a key issue in metabolomic research.


Assuntos
Metaboloma , Espectrometria de Massas em Tandem , Humanos , Espectrometria de Massas em Tandem/métodos , Cromatografia Líquida/métodos , Metabolômica/métodos , Ânions , Interações Hidrofóbicas e Hidrofílicas
3.
Phys Rev Lett ; 131(2): 021902, 2023 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-37505958

RESUMO

The production of jets should allow testing the real-time response of the QCD vacuum disturbed by the propagation of high-momentum color charges. Addressing this problem theoretically requires a real-time, nonperturbative method. It is well known that the Schwinger model [QED in (1+1) dimensions] shares many common properties with QCD, including confinement, chiral symmetry breaking, and the existence of vacuum fermion condensate. As a step in developing such an approach, we report here on fully quantum simulations of a massive Schwinger model coupled to external sources representing quark and antiquark jets as produced in e^{+}e^{-} annihilation. We study, for the first time, the modification of the vacuum chiral condensate by the propagating jets and the quantum entanglement between the fragmenting jets. Our results indicate strong entanglement between the fragmentation products of the two jets at rapidity separations Δη≤2, which can potentially exist also in QCD and can be studied in experiments.

4.
J Am Chem Soc ; 145(16): 9326-9333, 2023 Apr 26.
Artigo em Inglês | MEDLINE | ID: mdl-37055373

RESUMO

We report that the dearomative [4 + 2] cycloaddition between 1,2-dihydro-1,2,4,5-tetrazine-3,6-diones (TETRADs) and benzenes, naphthalenes, or N-heteroaromatic compounds under visible light irradiation affords the corresponding isolable cycloadducts. Several synthetic transformations including transition-metal-catalyzed allylic substitution reactions using the isolated cycloadducts at room temperature or above were demonstrated. Computational studies revealed that the retro-cycloaddition of the benzene-TETRAD adduct proceeds via an asynchronous concerted mechanism, while that of the benzene-MTAD adduct (MTAD = 4-methyl-1,2,4-triazoline-3,5-dione) proceeds via a synchronous mechanism.

5.
Cancer Sci ; 114(2): 348-356, 2023 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-36336966

RESUMO

Strategies to develop cancer therapies using inhibitors that target matrix metalloproteinases (MMPs), particularly membrane type-1 MMP (MT1-MMP), have failed. This is predominantly attributed to the specificity of MMP inhibitors and numerous functions of MMPs; therefore, targeting substrates with such broad specificity can lead to off-target effects. Thus, new drug development for cancer therapeutics should focus on the ability of MT1-MMP to break down substrates, such as functional cell membrane proteins, to regulate the functions of these proteins that promote tumor malignancy. In this review, we discuss the mechanism by which proteolysis of cell surface proteins by MT1-MMP promotes progression of malignant tumor cells. In addition, we discuss the two protein fragments generated by limited cleavage of erythropoietin-producing hepatoma receptor tyrosine kinase A2 (EphA2-NF, -CF), which represent a promising basis for developing new cancer therapies and diagnostic techniques.


Assuntos
Proteínas de Membrana , Neoplasias , Humanos , Proteólise , Proteínas de Membrana/metabolismo , Metaloproteinase 14 da Matriz/metabolismo , Metaloendopeptidases/metabolismo
6.
J Vet Med Sci ; 84(4): 511-519, 2022 Apr 13.
Artigo em Inglês | MEDLINE | ID: mdl-35173101

RESUMO

In modern society, stress caused by relationships and emotions is one of the greatest social problems. Similar to humans, domestic and captive animals live under various stresses. Several stresses have been associated with skin disorders, such as atopic dermatitis, but there is a lack of reliable and objective indicators for the characterization of this association. This study aimed to define the changes in fatty acid composition and amino acid concentration in the skin following repeated restraint stress in ICR mice. Mice subjected to 30 min of daily restraint stress for 8 days showed changes in the composition of saturated fatty acids, such as an increase in palmitic acid content, which are the substrates of Δ-9 desaturase. Conversely, unsaturated fatty acids decreased with stress treatment, which appeared to be a result of these fatty acids being the substrate of Δ-6 desaturase. Changes in fatty acid composition after stress treatment may be one of the factors that cause skin inflammation. The water-retention capacity may have been lowered by stress treatment because histidine and leucine, which are natural moisturizing factors, were significantly decreased. The collagen content in the skin gradually decreased after repeated stress treatment. Our results indicate that repeated restraint stress may impact skin health through changes in both the fatty acid composition and amino acid concentration in mice.


Assuntos
Ácidos Graxos , Restrição Física , Aminoácidos , Animais , Ácidos Graxos/metabolismo , Camundongos , Camundongos Endogâmicos ICR , Restrição Física/veterinária
7.
J Am Chem Soc ; 144(3): 1370-1379, 2022 01 26.
Artigo em Inglês | MEDLINE | ID: mdl-35040645

RESUMO

Dynamic covalent bonds are useful tools in a wide range of applications. Although various reversible chemical reactions have been studied for this purpose, the requirement for harsh conditions, such as high temperature and low or high pH, to activate generally stable covalent bonds limits their potential applications involving biomolecules or household utilization. Here, we report the design, synthesis, characterization, and dynamic covalent bonding properties of 1,2-disubstituted 1,2-dihydro-1,2,4,5-tetrazine-3,6-dione (TETRAD). Hetero-Diels-Alder reactions of TETRAD with furan derivatives and their retro-reactions proceeded rapidly at room temperature under neutral conditions, enabling a chemically induced sol-gel transition system.

8.
Phys Rev E ; 104(2-1): 024136, 2021 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-34525521

RESUMO

We explore quantum phase transitions using two probes of quantum chaos: out-of-time-order correlators (OTOCs) and the r-parameter obtained from the level spacing statistics. In particular, we address p-spin models associated with quantum annealing or reverse annealing. Quantum annealing triggers first-order or second-order phase transitions, which is crucial for the performance of quantum devices. We find that the time-averaging OTOCs for the ground state and the average r-parameter change behavior around the corresponding transition points, diagnosing the phase transition. Furthermore, they can identify the order (first or second) of the phase transition by their behavior at the quantum transition point, which changes abruptly (smoothly) in the case of first-order (second-order) phase transitions.

9.
J Phys Condens Matter ; 33(48)2021 Sep 22.
Artigo em Inglês | MEDLINE | ID: mdl-34496354

RESUMO

We explore the hyperbolic band theory under a magnetic field for the first time. Our theory is a general extension of the conventional band theory defined on a Euclidean lattice into the band theory on a general hyperbolic lattice/Riemann surface. Our methods and results can be confirmed experimentally by circuit quantum electrodynamics, which enables us to create novel materials in a hyperbolic space. To investigate the band structures, we construct directly the hyperbolic magnetic Bloch states and find that they form Dirac cones on a coordinate neighborhood. They can be regarded as a global quantum gravity solution detectable in a laboratory. Besides this is the first explicit example of a massless Dirac state on a higher genus surface. Moreover we show that the energy spectrum exhibits an unusual fractal structure refracting the negative curvature, when plotted as a function of a magnetic flux.

10.
Int J Mol Sci ; 22(16)2021 Aug 11.
Artigo em Inglês | MEDLINE | ID: mdl-34445353

RESUMO

Hepatocellular carcinoma (HCC) is the third leading cause of cancer death worldwide. Additionally, the efficacy of targeted molecular therapies with multiple tyrosine kinase inhibitors is limited. In this study, we focused on the cellular signaling pathways common to diverse HCC cells and used quantitative reverse phase protein array (RPPA) and statistical analyses to elucidate the molecular mechanisms determining its malignancy. We examined the heterogeneity of 17 liver cancer cell lines by performing cluster analysis of their expression of CD90 and EpCAM cancer stem cell markers. Gaussian mixture model clustering identified three dominant clusters: CD90-positive and EpCAM-negative (CD90+), EpCAM-positive and CD90-negative (EpCAM+) and EpCAM-negative and CD90-negative (Neutral). A multivariate analysis by partial least squares revealed that the former two cell populations showed distinct patterns of protein expression and phosphorylation in the EGFR and EphA2 signaling pathways. The CD90+ cells exhibited higher abundance of AKT, EphA2 and its phosphorylated form at Ser897, whereas the EpCAM+ cells exhibited higher abundance of ERK, RSK and its phosphorylated form. This demonstrates that pro-oncogenic, ligand-independent EphA2 signaling plays a dominant role in CD90+ cells with higher motility and metastatic activity than EpCAM+ cells. We also showed that an AKT inhibitor reduced the proliferation and survival of CD90+ cells but did not affect those of EpCAM+ cells. Taken together, our results suggest that AKT activation may be a key pro-oncogenic regulator in HCC.


Assuntos
Carcinoma Hepatocelular/patologia , Molécula de Adesão da Célula Epitelial/metabolismo , Neoplasias Hepáticas/patologia , Receptor EphA2/fisiologia , Antígenos Thy-1/metabolismo , Biomarcadores Tumorais/metabolismo , Carcinogênese/metabolismo , Carcinogênese/patologia , Carcinoma Hepatocelular/metabolismo , Linhagem Celular Tumoral , Células Hep G2 , Humanos , Neoplasias Hepáticas/metabolismo , Células-Tronco Neoplásicas/metabolismo , Receptor EphA2/metabolismo , Transdução de Sinais
11.
Biochem Biophys Rep ; 27: 101097, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34401533

RESUMO

ß-Hydroxy-ß-methylbutyrate (HMB) is an intermediate in the metabolism of the branched-chain amino acid leucine. HMB has several demonstrated effects on skeletal muscle function, some of which are contradictory. In addition, the effect of exogenous HMB intake on the levels of intermediate metabolites is not known. Therefore, we investigated changes in HMB metabolites after oral HMB administration in mice. First, ICR mice were treated with either distilled water or HMB (0.215 g/10 mL/kg). Sampling was performed at 0, 1, 6, 12, and 24 h after administration. Next, ICR mice were given distilled water or HMB (0.215 g/10 mL/kg/d) for 10 d. Mice given HMB shown a significant increase in liver ß-methylcrotonyl-CoA and increased ß-hydroxybutyrate in plasma and the gastrocnemius muscle 1 h after HMB administration. Mice administered HMB for 10 d showed significantly decreased food intake and body weight; however, the relative weight of the gastrocnemius muscle was significantly increased. These results may be attributed to an increase in ß-hydroxybutyrate resulting from exogenous HMB, since ß-hydroxybutyrate inhibits food intake and suppresses skeletal muscle catabolism. In conclusion, ß-hydroxybutyrate, a metabolite of HMB, was found to play an important role in the function of HMB.

12.
J Hepatobiliary Pancreat Sci ; 28(9): 788-797, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34174030

RESUMO

BACKGROUND/PURPOSE: The purpose of the present study was to investigate the possibility of reducing clinical impacts of acute necrotic collection (ANC) on patients with acute pancreatitis (AP) using recombinant human soluble thrombomodulin (rTM). METHODS: In this retrospective multicenter study, 233 consecutive AP patients with ANC and acute peripancreatic fluid collection (APFC) from 2012 to 2016 were enrolled. To assess clinical impacts of ANC, severity on admission (JPN score, JPN CT grade, and Modified CT severity index), development of walled-off necrosis (WON), imaging costs for follow-up, and mortality were recorded. Finally, we investigated whether rTM could reduce the clinical impacts, adjusting the severity using propensity analysis with Inverse probability of treatment weighting. RESULTS: Patients with ANC developed WON with higher ratio than APFC (58/98 [59.2%] vs 20/135 [14.8%], OR = 8.3, P < .01]. Severity on admission and imaging costs for follow-up in ANC patients were significantly higher than those in APFC (P < .01). However, regarding mortality, there was no significant difference between patients with ANC and APFC (P = .41). Adjusting severity, it was revealed that rTM administration significantly reduced the risk of ANC developed WON (OR = 0.23, P = .01). CONCLUSIONS: While ANC had a higher clinical impact than that of APFC, we found that early administration of rTM may reduce the impact.


Assuntos
Pancreatite , Trombomodulina , Doença Aguda , Humanos , Necrose , Estudos Retrospectivos
13.
Sci Rep ; 10(1): 17937, 2020 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-33087763

RESUMO

Advances in organoid technology have broadened the number of target diseases and conditions in which human induced pluripotent stem cell (iPSC)-based regenerative medicine can be applied; however, mass production of organoids and the development of chemically defined, animal origin-free (CD-AOF) media and supplements are unresolved issues that hamper the clinical applicability of these approaches. CD-AOF media and supplements ensure the quality and reproducibility of culture systems by lowering lot-to-lot variations and the risk of contamination with viruses or toxins. We previously generated liver organoids from iPSCs, namely iPSC-liver buds (iPSC-LBs), by mimicking the organogenic interactions among hepatocytes, endothelial cells (ECs), and mesenchymal cells (MCs) and recently reported the mass production of iPSC-LBs derived entirely from iPSCs (all iPSC-LBs), which should facilitate their large-scale production for the treatment of liver failure. However, in previous studies we used media originating from animals for differentiation except for the maintenance of undifferentiated iPSCs. Therefore, we developed a CD-AOF medium to generate all iPSC-LBs. We first developed a CD-AOF medium for hepatocytes, ECs, and stage-matched MCs, i.e., septum transversum mesenchyme (STM), in 2D cultures. We next generated all iPSC-LBs by incubating individual cell types in ultra-low attachment micro-dimple plates. The hepatic functions of all iPSC-LBs generated using the CD-AOF medium were equivalent to those of all iPSC-LBs generated using the conventional medium both in vitro and in vivo. Furthermore, we found that this CD-AOF medium could be used in several cell culture settings. Taken together, these results demonstrate the successful development of a CD-AOF medium suitable for all iPSC-LBs. The protocol developed in this study will facilitate the clinical applicability of all iPSC-LBs in the treatment of liver diseases.


Assuntos
Técnicas de Cultura de Células/métodos , Diferenciação Celular , Meios de Cultura , Células-Tronco Pluripotentes Induzidas/fisiologia , Fígado/citologia , Medicina Regenerativa/métodos , Animais , Células Cultivadas , Células Endoteliais , Hepatócitos , Humanos , Células-Tronco Mesenquimais
14.
Sci Rep ; 10(1): 10293, 2020 06 24.
Artigo em Inglês | MEDLINE | ID: mdl-32581272

RESUMO

Recent progress in human induced pluripotent stem cells (iPSC) technologies suggest that iPSC application in regenerative medicine is a closer reality. Numerous challenges prevent iPSC application in the development of numerous tissues and for the treatment of various diseases. A key concern in therapeutic applications is the safety of the cell products to be transplanted into patients. Here, we present novel method for detecting residual undifferentiated iPSCs amongst directed differentiated cells of all three germ lineages. Marker genes, which are expressed specifically and highly in undifferentiated iPSC, were selected from single cell RNA sequence data to perform robust and sensitive detection of residual undifferentiated cells in differentiated cell products. ESRG (Embryonic Stem Cell Related), CNMD (Chondromodulin), and SFRP2 (Secreted Frizzled Related Protein 2) were well-correlated with the actual amounts of residual undifferentiated cells and could be used to detect residual cells in a highly sensitive manner using qPCR. In addition, such markers could be used to detect residual undifferentiated cells from various differentiated cells, including hepatic cells and pancreatic cells for the endodermal lineage, endothelial cells and mesenchymal cells for the mesodermal lineage, and neural cells for the ectodermal lineage. Our method facilitates robust validation and could enhance the safety of the cell products through the exclusion of undifferentiated iPSC.


Assuntos
Diferenciação Celular/genética , Separação Celular/métodos , Células-Tronco Pluripotentes Induzidas/fisiologia , Análise de Célula Única/métodos , Biomarcadores/análise , Técnicas de Cultura de Células , Linhagem Celular , Ensaio de Unidades Formadoras de Colônias , Humanos , Células-Tronco Pluripotentes Induzidas/transplante , Peptídeos e Proteínas de Sinalização Intercelular/análise , Peptídeos e Proteínas de Sinalização Intercelular/genética , Proteínas de Membrana/análise , Proteínas de Membrana/genética , Proteínas/análise , Proteínas/genética , RNA Longo não Codificante , RNA-Seq
15.
Sci Rep ; 9(1): 12837, 2019 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-31492936

RESUMO

Quantum annealing is a promising heuristic method to solve combinatorial optimization problems, and efforts to quantify performance on real-world problems provide insights into how this approach may be best used in practice. We investigate the empirical performance of quantum annealing to solve the Nurse Scheduling Problem (NSP) with hard constraints using the D-Wave 2000Q quantum annealing device. NSP seeks the optimal assignment for a set of nurses to shifts under an accompanying set of constraints on schedule and personnel. After reducing NSP to a novel Ising-type Hamiltonian, we evaluate the solution quality obtained from the D-Wave 2000Q against the constraint requirements as well as the diversity of solutions. For the test problems explored here, our results indicate that quantum annealing recovers satisfying solutions for NSP and suggests the heuristic method is potentially achievable for practical use. Moreover, we observe that solution quality can be greatly improved through the use of reverse annealing, in which it is possible to refine returned results by using the annealing process a second time. We compare the performance of NSP using both forward and reverse annealing methods and describe how this approach might be used in practice.

16.
Biochem Biophys Res Commun ; 512(4): 712-715, 2019 05 14.
Artigo em Inglês | MEDLINE | ID: mdl-30926170

RESUMO

l-Ornithine is found in animals as a free amino acid and is a vital component of the urea cycle in the liver; it is reported to have various functions such as promoting wound healing, promoting growth hormone secretion, hypnotic effects, and so on. The present study aimed to investigate the effects of a single oral administration of l-ornithine on 1) the metabolism of amino acids in the liver and skin of mice and 2) the metabolism of polyamines in the skin of mice. To this end, ICR mice were separated into five groups; four groups were administered l-ornithine dissolved in fresh water (3.0 mmol/10 ml/kg) and a fifth group, the control, was not administered l-ornithine. The four groups comprised mice sampled at specific times (30, 60, 120 and 180 min) after oral administration of l-ornithine. We found that metabolism of l-ornithine to l-citrulline was rapid and that l-citrulline concentration remained high in mice sampled at later stages. Similarly, the concentrations of l-proline and glycine, both of which are important components of collagen, also rapidly increased in the skin following l-ornithine treatment. The concentrations of polyamines (putrescine, spermidine and spermine), which are known to increase the synthesis of certain proteins and enhance the epidermal barrier function, were also significantly increased in the skin. Our study shows that oral administration of l-ornithine significantly influences the chemical composition of the skin of mice through increases in both amino acids and polyamines after a short period of time.


Assuntos
Aminoácidos/metabolismo , Colágeno/metabolismo , Ornitina/metabolismo , Poliaminas/metabolismo , Pele/metabolismo , Administração Oral , Animais , Masculino , Camundongos Endogâmicos ICR , Ornitina/administração & dosagem , Putrescina/metabolismo , Espermidina/metabolismo , Espermina/metabolismo
19.
Water Sci Technol ; 76(11-12): 3126-3134, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29210698

RESUMO

Colored effluent and a large amount of sludge are major pollutant sources derived from textile industry activity. In this research, the idea for converting textile sludge into a potential adsorbent was conducted through a carbonization process in order to solve the colored effluent problem. Textile sludge was carbonized at a temperature ranging from 400 to 800 °C in the absence of oxygen. Maximum adsorption capacity of carbonized sludge for methylene blue removal reached 60.30 mg/g when the sludge was carbonized at 600 °C with specific surface area of 138.9 m2/g and no significant alteration was observed until 800 °C. Experimental research by using a real wastewater also showed that there was almost no disruption during adsorption of methylene blue into surface of carbonized sludge. While reactivation process revealed that the regeneration of carbonized sludge was applicable by secondary heating at the same carbonization temperature. Furthermore, the application of this research demonstrated that the carbonized textile sludge was a good adsorbent for methylene blue removal and had a capability to be reactivated.


Assuntos
Azul de Metileno/química , Indústria Têxtil , Eliminação de Resíduos Líquidos/métodos , Poluentes Químicos da Água/química , Adsorção , Carbono , Corantes/química , Resíduos Industriais , Esgotos , Temperatura , Tiazinas , Águas Residuárias
20.
Gastrointest Endosc ; 85(2): 371-379, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-27497604

RESUMO

BACKGROUND AND AIMS: The efficacy of ERCP for histologic diagnosis of malignant biliary strictures is disappointingly low. The aim of this study was to investigate the diagnostic performance of a newly developed endoscopic device with scraping loops in combination with conventional biopsy forceps. METHODS: We performed a multicenter single-arm prospective study. Between February 2013 and December 2014, 123 patients with suspected malignant biliary strictures were enrolled in the study. The new device and conventional biopsy forceps were applied for histologic diagnosis by ERCP. The primary outcome was to evaluate cancer detectability by biopsy forceps, the new device, and their combined use. RESULTS: Of the 123 patients, 119 were diagnosed with a malignant stricture. Sufficient samples were collected in 83.7% (103/123), 93.5% (115/123), and 95.9% (118/123) of patients using biopsy forceps, the new device, and their combination, respectively. Cancer detectability of forceps biopsy, the new device, and their combination were 51.3% (61/119), 64.7% (77/119), and 74.8% (89/119), respectively. The new device had a significantly higher sample yield and cancer detectability than biopsy forceps (P < .01 and P = .018, respectively, McNemar test). Complementary use of the new device with biopsy forceps demonstrated a significantly additive effect in both sample yield and cancer detection (P < .01 each, McNemar test). The new device detected 48.3% (28/58) of cancers that were not diagnosed as malignant by biopsy forceps. CONCLUSIONS: The new endoscopic scraper demonstrated a large sample yield and high cancer detectability. It could be a first-line tissue-sampling device for biliary strictures. (University Hospital Medical Information Network Clinical Trial Registry [UMIN-CTR] (http://www.umin.ac.jp/ctr/index.htm) registration number: UMIN000009895.).


Assuntos
Doenças dos Ductos Biliares/diagnóstico , Neoplasias dos Ductos Biliares/patologia , Ductos Biliares/patologia , Biópsia/instrumentação , Colangiocarcinoma/patologia , Colangiopancreatografia Retrógrada Endoscópica/instrumentação , Neoplasias da Vesícula Biliar/patologia , Neoplasias Pancreáticas/patologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Doenças dos Ductos Biliares/etiologia , Neoplasias dos Ductos Biliares/complicações , Neoplasias dos Ductos Biliares/diagnóstico , Colangiocarcinoma/complicações , Colangiocarcinoma/diagnóstico , Constrição Patológica , Feminino , Neoplasias da Vesícula Biliar/complicações , Neoplasias da Vesícula Biliar/diagnóstico , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias Pancreáticas/complicações , Neoplasias Pancreáticas/diagnóstico , Estudos Prospectivos
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