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1.
J Texture Stud ; 54(1): 85-91, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36076343

RESUMO

Generally, the foods we usually eat are not only aqueous solutions, but also viscous solutions and solids. Therefore, it is interesting for us to explore how taste components are perceived in a viscous polymer solution. The relationship between the sensory evaluation of saltiness intensity, amount of added oil, and apparent viscosity was clarified in low-viscosity and high-viscosity polymer solutions. The study was conducted using samples containing corn oil, sodium chloride, and [xanthan gum] or [xanthan gum + locust bean gum] as a thickener. Oil was added to the viscous polymer solutions regardless of whether they were low- or high-viscosity, and saltiness intensity was evaluated as compared with a reference solution. The low-viscous polymer solutions with [xanthan gum] were perceived to be saltier than the high-viscous polymer solutions with [xanthan gum + LBG] as the amount of oil increased. The shear stress value gradually increased as the amount of oil increased in both the low-viscosity and the high-viscosity polymer solutions, as derived from the fluid constitutive equation. There was a correlation between saltiness intensity and apparent viscosity in both high- and low-viscosity polymer solutions. A coefficient of determination (R2 ) of 0.918 was obtained between saltiness intensity and "apparent viscosity" for the samples using [xanthan gum] and that of 0.683 between saltiness intensity and "apparent viscosity" for the samples using [xanthan gum+LBG]. The low-viscosity polymer solutions showed a saltier intensity as the amount of oil increased and a greater correlation with apparent viscosity, as compared with the high-viscosity polymer solutions.


Assuntos
Polímeros , Água , Viscosidade
2.
Materials (Basel) ; 14(23)2021 Nov 24.
Artigo em Inglês | MEDLINE | ID: mdl-34885308

RESUMO

The precipitation of intermetallic phases and the associated hardening by artificial aging treatments at elevated temperatures above 400 °C were systematically investigated in the commercially available AC2B alloy with a nominal composition of Al-6Si-3Cu (mass%). The natural age hardening of the artificially aged samples at various temperatures was also examined. A slight increase in hardness (approximately 5 HV) of the AC2B alloy was observed at an elevated temperature of 480 °C. The hardness change is attributed to the precipitation of metastable phases associated with the α-Al15(Fe, Mn)3Si2 phase containing a large amount of impurity elements (Fe and Mn). At a lower temperature of 400 °C, a slight artificial-age hardening appeared. Subsequently, the hardness decreased moderately. This phenomenon was attributed to the precipitation of stable θ-Al2Cu and Q-Al4Cu2Mg8Si6 phases and their coarsening after a long duration. The precipitation sequence was rationalized by thermodynamic calculations for the Al-Si-Cu-Fe-Mn-Mg system. The natural age-hardening behavior significantly varied depending on the prior artificial aging temperatures ranging from 400 °C to 500 °C. The natural age-hardening was found to strongly depend on the solute contents of Cu and Si in the Al matrix. This study provides fundamental insights into controlling the strength level of commercial Al-Si-Cu cast alloys with impurity elements using the cooling process after solution treatment at elevated temperatures above 400 °C.

3.
J Equine Sci ; 31(4): 105-111, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33376448

RESUMO

This study optimized the double-spin conditions for preparing equine platelet-rich plasma (PRP): leukocyte-rich PRP (L-PRP) and leukocyte-poor PRP (P-PRP). Whole blood samples were centrifuged at various double-spin conditions. Both L-PRP and P-PRP were prepared at each stage, and complete blood counts and growth factor concentrations were compared. Samples centrifuged at 160 × 900 g, 160 × 2,000 g, and 400 × 2,000 g exhibited the highest platelet counts. P-PRP had significantly lower leukocyte and erythrocyte contents than L-PRP, especially at 400 × 2,000 g. No significant differences were observed in growth factor concentrations. Our data suggest that optimum L-PRP preparation should include centrifugation under the aforementioned conditions, whereas centrifugation at 400 × 2,000 g is optimal for P-PRP.

4.
Prog Rehabil Med ; 5: 20200008, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32789276

RESUMO

OBJECTIVE: The aim of this study was to investigate the effect of repetitive peripheral magnetic stimulation (rPMS) on muscle atrophy prevention in the rectus femoris muscle (RF) of the paretic limb in acute stroke patients. METHODS: Twelve acute stroke patients with a National Institute of Health Stroke Scale score >5 and a motor score of the paretic lower limb >2 at admission were divided into an intervention group (rPMS: mean age, 75±6.4 years) and a conventional care group (non-rPMS: mean age, 62±11.8 years). Baseline measurements were performed within 4 days of stroke onset. In the rPMS group, treatment was applied to the paretic thigh only for 2 weeks, 5 days a week, in addition to conventional care. The cross-sectional area (CSA) of the RF was assessed in both limbs using ultrasound at baseline and 2 weeks later. Data on patient characteristics were collected from the clinical records to assess correlations with the CSA rate of change. RESULTS: Patients in the rPMS group were significantly older. Although the CSA of the RF did not change significantly on either side in the rPMS group, there was a significant decrease in the CSA on the paretic side in the non-rPMS group. However, no significant difference was observed in the CSA rate of change in the rPMS and non-rPMS groups. The CSA rate of change on the paretic side correlated negatively with age in the rPMS group. CONCLUSIONS: Our results suggest that rPMS prevents muscle atrophy more effectively in patients in their 60s than in patients more than 70 years old.

5.
Sci Rep ; 10(1): 8828, 2020 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-32483226

RESUMO

High-performance liquid chromatography (HPLC) is the most common analytical method practiced in various fields and used for analysis of almost all drug compounds in the pharmaceutical industries. During drug development, an evaluation of potential drug interaction with cytochrome P450 (CYP) is essential. A "cocktail" approach is often used in drug development to evaluate the effect of a drug candidate on multiple CYP enzymes in a single experiment. So far, simultaneous analysis of multiple CYP substrates, which have greatly different structure and physicochemical properties, has required organic solvents and mobile phase gradient methods. However, despite the recent emphasis on environmental protection, analytical methods that use only aqueous solvents without the use of organic solvents for separation have not been studied well. This study sought to develop the simultaneous analysis of multiple CYP substrates by using poly(N-isopropylacrylamide) (PNIPAAm)-based temperature-responsive chromatography with only aqueous solvents and isocratic methods. Good separation of multiple CYP substrates was achieved without using organic solvents and any gradient methods by temperature-responsive chromatography utilizing a P(NIPAAm-co-n-butyl methacrylate (BMA))- and P(NIPAAm-co-N-acryloyl L-tryptophan methyl ester (L-Trp-OMe))-grafted silica column. Overall, PNIPAAm-based temperature-responsive chromatography represents a remarkably simple, versatile, and environmentally friendly bioanalytical method for CYP substrates and their metabolites.


Assuntos
Resinas Acrílicas/química , Cromatografia Líquida/métodos , Sistema Enzimático do Citocromo P-450/metabolismo , Química Verde/métodos , Clorzoxazona/metabolismo , Cumarínicos/metabolismo , Desenvolvimento de Medicamentos , Mefenitoína/metabolismo , Estrutura Molecular , Fenacetina/metabolismo , Solventes , Especificidade por Substrato , Temperatura , Testosterona/metabolismo , Tolbutamida/metabolismo , Água
6.
Molecules ; 21(11)2016 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-27834832

RESUMO

The cellulose oligomers with different degrees of polymerization (DP), 7, 11, 18, 24, 26, 40 and 52, were prepared by hydrolysis of microcrystalline cellulose with phosphoric acid. These oligomers including the starting microcrystalline cellulose (DP 124) were converted to tris(3,5-dimethylphenylcarbamate) (CDMPC) derivatives by the reaction with an excess of 3,5-dimethylphenyl isocyanate to be used as the chiral stationary phase (CSP) in high-performance liquid chromatography (HPLC). The structures of the CDMPC derivatives were investigated by infrared spectroscopy (IR), ¹H-NMR, circular dichroism (CD) and size exclusion chromatography (SEC), and the DPs of the derivatives estimated by SEC agreed with those estimated by ¹H-NMR. After coating the derivatives on silica gel, their chiral recognition abilities were evaluated using eight racemates under a normal phase condition with a hexane-2-propanol (99/1) mixture as an eluent. The chiral recognition abilities of 7- and 11-mers, particularly the former, were lower than those of the higher oligomers from DP 18 to 52, which had rather similar abilities to that of 124-mer, although the abilities depended on the racemates. DP 18 seems to be sufficient for CDMPC to exhibit chiral recognition similar to that of the CDMPC with larger DPs.


Assuntos
Celulose/análogos & derivados , Fenilcarbamatos/síntese química , Ácidos Fosfóricos/química , Celulose/síntese química , Celulose/química , Cromatografia Líquida de Alta Pressão/métodos , Hidrólise , Estrutura Molecular , Peso Molecular , Fenilcarbamatos/química , Estereoisomerismo
7.
Pancreas ; 43(3): 396-404, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24622069

RESUMO

OBJECTIVES: Because angiogenesis is essential for tumor growth and metastasis, the development of antiangiogenic agents is an urgent issue in cancer treatment. Zerumbone, a component of subtropical ginger, has been shown to exhibit anticancer activities in various cancer cells; however, little is known about its biological mechanisms against angiogenesis in pancreatic cancer (PaCa). Here, we evaluated the effects of zerumbone on PaCa angiogenesis. METHODS: The cytotoxicity of zerumbone in PaCa was measured using premix WST-1 cell proliferation assays. The influence of zerumbone on the angiogenic factors vascular endothelial growth factor and interleukin 8 was measured using the reverse transcription-polymerase chain reaction and enzyme-linked immunosorbent assays. Changes in nuclear factor-κB (NF-κB) activities were measured using NF-κB transcription factor assays. We also examined the effects of zerumbone on PaCa-induced angiogenesis using angiogenesis assays. RESULTS: Zerumbone inhibited mRNA expression and protein secretion of angiogenic factors and NF-κB activity. Tube formation in human umbilical vein endothelial cells was enhanced by coculture with PaCa cells, and these enhancements were significantly inhibited by zerumbone treatment. CONCLUSIONS: Zerumbone blocked the PaCa-associated angiogenesis through the inhibition of NF-κB and NF-κB-dependent proangiogenic gene products.


Assuntos
Proliferação de Células/efeitos dos fármacos , NF-kappa B/metabolismo , Neovascularização Patológica/prevenção & controle , Sesquiterpenos/farmacologia , Linhagem Celular , Linhagem Celular Tumoral , Células Cultivadas , Técnicas de Cocultura , Relação Dose-Resposta a Droga , Ensaio de Imunoadsorção Enzimática , Regulação Neoplásica da Expressão Gênica/efeitos dos fármacos , Células Endoteliais da Veia Umbilical Humana/efeitos dos fármacos , Células Endoteliais da Veia Umbilical Humana/fisiologia , Humanos , Interleucina-8/genética , Interleucina-8/metabolismo , Neovascularização Fisiológica/efeitos dos fármacos , Neoplasias Pancreáticas/irrigação sanguínea , Neoplasias Pancreáticas/genética , Neoplasias Pancreáticas/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Fator A de Crescimento do Endotélio Vascular/genética , Fator A de Crescimento do Endotélio Vascular/metabolismo
8.
Chem Commun (Camb) ; 49(50): 5684-6, 2013 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-23685520

RESUMO

C7-naphthylethynylated 8-aza-7-deaza-2'-deoxyguanosine (na)G was synthesized and its photophysical properties were examined. The fluorescent nucleoside exhibited solvatofluorochromic properties (Δλ(fl)(max) = 67 nm). An ODN probe containing (na)G forms a stable base pair only with C and discriminates structural changes such as mismatches and deletions by a distinct change in its emission wavelength.


Assuntos
Desoxiguanosina/análogos & derivados , Desoxiguanosina/química , Corantes Fluorescentes/química , Sondas de Oligonucleotídeos/química , Análise Mutacional de DNA , Mutação , Hibridização de Ácido Nucleico
9.
Bioorg Med Chem Lett ; 23(3): 886-92, 2013 Feb 01.
Artigo em Inglês | MEDLINE | ID: mdl-23273411

RESUMO

We synthesized various C8-naphthylethynylated 2'-deoxyadenosine derivatives and investigated their photophysical properties. Among them, cyano- and N,N-dimethylamino-substituted 8-naphthylethynylated 2'-deoxyadenosine derivatives ((cn)A and (dn)A) showed strong fluorescence with high quantum yields and a remarkable solvatofuorochromicity. In particular, fluorescence of N,N-dimethylamino-substituted (2,6dn)A was not quenched by neighboring guanines (Gs) when incorporated in DNA duplexes, in contrast to (cn)A. We developed a new fluorescent probe containing (2,6dn)A that can be used for the detection of target DNA via a bulge formation regardless of the neighboring sequences.


Assuntos
DNA/análise , Desoxiadenosinas/química , Corantes Fluorescentes/química , Naftalenos/química , DNA/química , Corantes Fluorescentes/síntese química , Limite de Detecção , Estrutura Molecular
10.
Hepatogastroenterology ; 60(128): 1935-9, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24719930

RESUMO

BACKGROUND/AIMS: We aimed to retrospectively determine the accuracy of postoperative serum carcinoembryonic antigen (CEA) monitoring to detect or rule out recurrence in post-hepatectomy colorectal cancer patients by using a new statistical technique, likelihood ratio and post-test probability. METHODS: A total of 110 colorectal cancer patients who underwent curative hepatectomy were enrolled. A serum CEA assay and radiological examination were performed routinely for 5 years after surgery or until recurrence was detected. Yearly recurrence rates, sensitivities, specificities, and likelihood ratios were calculated. Post-test probabilities were calculated using these values. RESULTS: All episodes of recurrence occurred within 3 years after hepatectomy. The most frequent recurrence site was the liver, with a recurrence rate of 61.4% of all recurrence. The post-test probabilities of recurrence in post-hepatectomy colorectal cancer patients with positive and negative serum CEA were approximately 70-90% and 10%, respectively. CONCLUSIONS: CEA elevation in colorectal cancer patients who underwent curative resection indicated recurrence with high accuracy because of the high recurrence rate in the liver, in which CEA elevation is more frequent than in other recurrent sites. The elevation of CEA in post-hepatectomy patients necessitates frequent examination using imaging techniques to reveal undetected metastasis as soon as possible.


Assuntos
Antígeno Carcinoembrionário/sangue , Neoplasias Colorretais/patologia , Hepatectomia , Neoplasias Hepáticas/secundário , Neoplasias Hepáticas/cirurgia , Metastasectomia , Recidiva Local de Neoplasia , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias Colorretais/sangue , Neoplasias Colorretais/mortalidade , Feminino , Hepatectomia/efeitos adversos , Hepatectomia/mortalidade , Humanos , Neoplasias Hepáticas/sangue , Neoplasias Hepáticas/mortalidade , Masculino , Metastasectomia/efeitos adversos , Metastasectomia/mortalidade , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estudos Retrospectivos , Fatores de Risco , Fatores de Tempo , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Regulação para Cima
11.
Arch Med Sci ; 7(2): 353-5, 2011 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22291781

RESUMO

We describe a case of a solid variant of serous cystadenoma of the pancreas. The preoperative examination results led to a diagnosis of a nonfunctional pancreatic islet cell tumour, and the patient underwent a pylorus-preserving pancreaticoduodenectomy. The tumour was diagnosed as a solid variant of serous cystadenoma by histopathological examination. Solid variant of serous cystadenoma of the pancreas is difficult to diagnose preoperatively. More cases must be accumulated and investigated to obtain clues for accurate diagnosis.

12.
J Surg Oncol ; 102(5): 469-77, 2010 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-20872950

RESUMO

BACKGROUND AND OBJECTIVES: Interleukin (IL)-1α and hepatocyte growth factor (HGF) play an important role in pancreatic cancer proliferation, angiogenesis, and invasiveness. The aim of this study was to investigate the cooperative role of HGF and IL-1α in metastatic processes promoted by interactions between pancreatic cancer cells and stromal cells. METHODS: Expression of IL-1α and HGF mRNA and protein was determined by RT-PCR and ELISA. The effect of HGF on metastatic potential was evaluated by proliferation, invasion, and angiogenesis assays using an in vitro system consisting of co-cultured tumor cells and stromal cells. RESULTS: IL-1α expression was closely correlated with metastatic potential, and cancer cell-derived IL-1α significantly promoted HGF expression by fibroblasts (P < 0.01). HGF not only enhanced the invasiveness and proliferation of pancreatic cancer cells, but also enhanced migration and proliferation of human umbilical vein endothelial cells (HUVECs). HGF significantly enhanced HUVEC tube formation (P < 0.01). Furthermore, the high liver-metastatic pancreatic cancer cell line (BxPC-3), which secretes IL-1α, significantly enhanced HUVEC tube formation compared with the low liver-metastatic cell line (Capan-2), which does not produce IL-1α (P < 0.01). CONCLUSION: Autocrine IL-1α and paracrine HGF co-enhance the metastatic potential of pancreatic cancer cells via both IL-1α and HGF signaling pathways.


Assuntos
Comunicação Celular , Fator de Crescimento de Hepatócito/metabolismo , Interleucina-1alfa/metabolismo , Proteínas de Neoplasias/metabolismo , Neoplasias Pancreáticas/patologia , Linhagem Celular Tumoral , Técnicas de Cocultura , Ensaio de Imunoadsorção Enzimática , Humanos , Metástase Neoplásica , Neoplasias Pancreáticas/metabolismo , Reação em Cadeia da Polimerase , RNA Mensageiro/metabolismo , Transdução de Sinais , Células Estromais/metabolismo
13.
Nephron Physiol ; 116(2): p9-p16, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-20616572

RESUMO

BACKGROUND/AIMS: The plasma concentration of catecholamines and their metabolites generated by catechol-O-methyl transferase (COMT) were measured and their correlation with the progress of renal dysfunction was investigated in two distinctive animal models: a 5/6 nephrectomized Sprague-Dawley rat model and a 1/2 nephrectomized diabetic fatty Zucker rat model. METHODS: A highly sensitive, high-performance liquid chromatography-peroxyoxalate chemiluminescence reaction detection was employed to obtain values for the ratio [NMN]/([NE] + [NMN]), where [NE] represents the plasma concentration of norepinephrine and [NMN] represents the plasma concentration of normetanephrine. RESULTS: The [NMN]/([NE] + [NMN]) ratio correlated with both the increase in blood urea nitrogen concentration and the decrease in creatinine clearance. CONCLUSION: The [NMN]/([NE] + [NMN]) ratio represents a quantitative indicator of the progress of renal dysfunction in the animal models. Regulation of COMT activity seemed to relate with the progress of renal dysfunction.


Assuntos
Norepinefrina/sangue , Insuficiência Renal/sangue , Animais , Nitrogênio da Ureia Sanguínea , Catecol O-Metiltransferase/metabolismo , Creatinina/sangue , Creatinina/urina , Modelos Animais de Doenças , Masculino , Norepinefrina/metabolismo , Ratos , Ratos Sprague-Dawley , Ratos Zucker , Insuficiência Renal/cirurgia , Insuficiência Renal/urina
14.
J Comp Neurol ; 518(13): 2475-502, 2010 Jul 01.
Artigo em Inglês | MEDLINE | ID: mdl-20503423

RESUMO

Cytoarchitecture and fiber connections of the ventrolateral region of torus semicircularis were studied in goldfish and carp. Cytoarchitectural analyses indicate that two toral nuclei, ventrolateral (TSvl) and external (TSe) nuclei, are present in this toral region. The TSvl mainly receives lateral line inputs from the medial nucleus of the rhombencephalic octavolateral area, while the TSe mainly receives somatosensory fibers from the spinal cord, sensory trigeminal nuclei, and lateral funicular nucleus. The TSe also receives sparse fibers from the retina and the octavolateral area medial nucleus and sends descending fibers to the lateral funicular nucleus. Both toral nuclei receive projections from the ventromedial thalamic nucleus and the central part of dorsal telencephalic area, although the latter descending fibers terminate mainly in the TSvl. Both toral nuclei project to the rostrolateral region of lateral preglomerular nucleus, restricted to the somata layer of the dorsal zone of the region. Ventrolateral and external toral fibers, however, tended to reach lateral and medial zones of the somata layer, respectively. The present study suggests that there are three functional compartments within the cyprinid torus semicircularis (central nucleus: auditory, TSvl: lateral line, and TSe: somatosensory) and that sensory pathways arising from these toral compartments maintain largely separate ascending systems into the forebrain. The present study also extends knowledge of the organization and connections of the lateral valvular nucleus and nucleus praeeminentialis that project to the cerebellar granular layer and cerebellar crest, respectively.


Assuntos
Carpas/anatomia & histologia , Carpa Dourada/anatomia & histologia , Mesencéfalo/anatomia & histologia , Vias Aferentes/anatomia & histologia , Vias Aferentes/citologia , Animais , Encéfalo/anatomia & histologia , Encéfalo/citologia , Feminino , Gânglios Espinais/anatomia & histologia , Gânglios Espinais/citologia , Masculino , Mesencéfalo/citologia , Marcadores do Trato Nervoso , Neurônios/citologia , Fotomicrografia , Retina/anatomia & histologia , Retina/citologia , Medula Espinal/anatomia & histologia , Medula Espinal/citologia
15.
Dig Dis Sci ; 55(7): 1905-10, 2010 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-19731027

RESUMO

BACKGROUND: Helicobacter pylori infection is known to be associated with chronic atrophic gastritis, peptic ulcers, and gastric malignancies. However, the effects of other Helicobacter species have not been investigated extensively. In mice, a close relationship is observed between Helicobacter hepaticus and hepatocellular carcinoma, and Helicobacter species can be found in humans, most commonly in extragastric organs. There have also been reports that H. bilis may be associated with biliary malignancies in humans. The effect of H. bilis infection on a human bile duct cancer cell line was investigated in this study. METHODS: We prepared HuCCT-1, the human bile duct cancer cell line, which was cocultured with H. bilis and cultured alone as a control. HuCCT-1 with and without H. bilis were transfected with the NF-kappaB, E2 transcription factor (E2F), and cyclic AMP response element (CRE) luciferase vectors. The activity of NF-kappaB between H. bilis and the infected and noninfected HuCCT-1 cells was also measured by dual luciferase reporter assay. The concentration of vascular endothelial growth factor (VEGF) in the cocultured medium and control medium were measured by ELISA. To investigate the effect of H. bilis infection on HuCCT-1 with regard to human umbilical vein endothelial cell (HUVEC) tube formation, HUVECs and fibroblasts were cocultured in 24-well plates with and without the conditioned medium. RESULTS: NF-kappaB, E2F and CRE activity, production of VEGF, and angiogenesis in H. bilis-infected cell lines were enhanced compared with controls. CONCLUSIONS: H. bilis infection in a human bile duct cancer cell line activates transcript factors such as NF-kappaB that stimulate production of VEGF and lead to enhancement of angiogenesis. H. bilis infection may play an important role in malignancies in the biliary tract.


Assuntos
Neoplasias do Sistema Biliar/microbiologia , Linhagem Celular Tumoral/microbiologia , Infecções por Helicobacter/imunologia , Helicobacter/imunologia , NF-kappa B/imunologia , Antígenos de Bactérias/imunologia , Proteínas de Bactérias/metabolismo , Linhagem Celular Tumoral/imunologia , Técnicas de Cocultura , Meios de Cultura , Ensaio de Imunoadsorção Enzimática , Humanos , Microscopia Eletrônica , Neovascularização Patológica , Probabilidade , Valores de Referência , Sensibilidade e Especificidade , Fator A de Crescimento do Endotélio Vascular/imunologia
16.
Arch Orthop Trauma Surg ; 129(10): 1415-9, 2009 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-19280205

RESUMO

INTRODUCTION: As the ligamentum flavum (LF) covers most of the posterolateral part of the lumbar spinal canal, its thickening can be attributed to the development of lumbar canal encroachment. Nevertheless, there have been few reports describing the natural history of the LF. METHOD: To investigate the natural history and to subsequently clarify the pathogenesis of LF thickening, we conducted a transverse radiological study of the LF at the lumbar spine using magnetic resonance images. PATIENTS: One hundred and sixty-two patients complaining of low back pain and/or leg pain were evaluated (n = 162; mean age 52.1 years). The thickness of LF was measured at L2-3, L3-4, L4-5 and L5-S levels (n = 648). The relationships among thickness, age, and spinal level were examined. PATIENTS: One hundred and sixty-two patients complaining of low back pain and/or leg pain were evaluated (n = 162; mean age 52.1 years). The thickness of LF was measured at L2-3, L3-4, L4-5 and L5-S levels (n = 648). The relationships among thickness, age, and spinal level were examined. RESULTS: The following results were obtained. (1) LF thickness increased with age; however, the increments at L4-5 and L3-4 were larger than one at L2-3 and L5-S1. (2) At L4-5, LF was over 3.0 mm thick in patients in the 20-29 age bracket, and in many of them it was more than 3.5 mm thick. (3) All patients with a thickened LF at L2-3 (>3.0 mm) had very thick LFs at all spinal levels. (4) In elderly patients, there was no correlation between the thickness of LF and the decrease of the disc height. In this study, we concluded that thickening of LF at L4-5 had already started in patients in the 30-39 age bracket and that thickening of the LF was not the buckling of the LF into the spinal canal with disc degeneration. The thickness of LF at L2-3 may serve as an indicator of lumbar spinal canal stenosis at multiple levels.


Assuntos
Ligamento Amarelo/patologia , Vértebras Lombares/patologia , Imageamento por Ressonância Magnética/métodos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Distribuição de Qui-Quadrado , Criança , Feminino , Humanos , Deslocamento do Disco Intervertebral/patologia , Dor Lombar/patologia , Masculino , Pessoa de Meia-Idade
17.
Gan To Kagaku Ryoho ; 35(11): 1959-63, 2008 Nov.
Artigo em Japonês | MEDLINE | ID: mdl-19011352

RESUMO

We report a case of diffusely infiltrating rectal cancer with pulmonary lymphangitis carcinomatosa that responded to mFOLFOX6 chemotherapy and enabled survival for 19 months. A 68-year-old man was admitted to our hospital for a dry cough and dyspnea. Chest X-ray and CT examination revealed prominent pulmonary markings and abnormal infiltrating shadows. Interstitial pneumonia was suspected, and we started treatment with steroid medication, but this had no effect. A colonoscopy and barium enema revealed diffusely infiltrating rectal cancer. Abdominal CT and PET showed lymphangitis carcinomatosa of the lung, paraaortic lymph node swelling, and left hydronephrosis due to rectal cancer. The patient was diagnosed with stage IV rectal cancer. Thus, a curative operation was deemed impossible. Because of subileus, we performed a decompression loop colostomy in the transverse colon, and started treatment with mFOLFOX6 chemotherapy as salvage in spite of the patient's poor respiratory condition. Though the patient's tumor markers were very high (CEA 107 ng/mL, CA19-9 7,940 U/mL) prior to chemotherapy, they decreased dramatically (CEA 49.7 ng/mL, CA19-9 772 U/mL), and subjective symptoms (dry cough and dyspnea) also improved after 2 courses. After 3 courses of treatment the patient was discharged. After 7 courses, pulmonary markings and abnormal infiltrating shadows had disappeared on chest X-ray and CT. This condition was maintained for 19 months by ambulant chemotherapy without sacrificing high quality of life. Thus, mFOLFOX6 chemotherapy could be an effective salvage regimen in cases of diffusely infiltrating rectal cancer with pulmonary lymphangitis carcinomatosa.


Assuntos
Protocolos de Quimioterapia Combinada Antineoplásica/uso terapêutico , Doenças Pulmonares Intersticiais/tratamento farmacológico , Doenças Pulmonares Intersticiais/etiologia , Linfangite/tratamento farmacológico , Linfangite/etiologia , Neoplasias Retais/complicações , Neoplasias Retais/tratamento farmacológico , Idoso , Antígeno Carcinoembrionário/sangue , Fluoruracila/uso terapêutico , Humanos , Leucovorina/uso terapêutico , Doenças Pulmonares Intersticiais/diagnóstico por imagem , Linfangite/diagnóstico por imagem , Masculino , Compostos Organoplatínicos/uso terapêutico , Neoplasias Retais/diagnóstico por imagem , Neoplasias Retais/cirurgia , Terapia de Salvação , Tomografia Computadorizada por Raios X
18.
Int Surg ; 93(1): 45-9, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18543554

RESUMO

Gastrointestinal stromal tumors (GISTs) are characterized by remarkable variability in their differentiation potential, but most of these lesions do not display convincing smooth muscle or neuronal differentiation. Here we report the case of a 65-year-old woman who underwent a perfect resection of a large submucosal tumor that displayed extragastric growth. The specimen was revealed to be an elastic soft tumor, 18 x 25 x 11 cm in size. Histologically, the tumor consisted of spindle-shaped cells, with a mitotic rate of 12 per 10 high-power fields. Immunohistochemically, the tumor showed positive staining for CD34 and c-kit but negative staining for alpha-smooth muscle actin, Desmin, and s-100 protein. From these findings, the tumor was diagnosed as an uncommitted type of GIST with high-grade malignancy. This case needs careful and long-term follow-up to monitor for signs of local recurrence or distant metastasis.


Assuntos
Tumores do Estroma Gastrointestinal/diagnóstico , Neoplasias Gástricas/diagnóstico , Idoso , Antígenos CD34/metabolismo , Feminino , Tumores do Estroma Gastrointestinal/patologia , Tumores do Estroma Gastrointestinal/cirurgia , Humanos , Proteínas de Neoplasias/metabolismo , Proteínas Proto-Oncogênicas c-kit/metabolismo , Neoplasias Gástricas/patologia , Neoplasias Gástricas/cirurgia , Resultado do Tratamento
19.
J Surg Res ; 148(2): 197-204, 2008 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-18395750

RESUMO

BACKGROUND: To better understand the underlying mechanism of liver metastasis formation in human gastric cancer, we evaluated the angiogenic capabilities of human gastric cancer cell lines with different metastatic potentials as well as the role of interleukin (IL)-1alpha in the angiogenic process. MATERIALS AND METHODS: Reverse transcription-polymerase chain reaction was used to detect the expression of IL-1alpha and vascular endothelial growth factor (VEGF) mRNA in gastric cancer cell lines with different liver metastatic potentials. Levels of VEGF secreted by human gastric cancer cells were measured by enzyme-linked immunosorbent assay. We also examined how gastric cancer cells with different metastatic potentials influence the proliferation and tube formation of human umbilical vein endothelial cells (HUVECs) using the Premix WST-1 cell proliferation assay system and an angiogenesis assay, respectively. RESULTS: IL-1alpha expression levels were significantly correlated with liver metastatic potential in gastric cancer cell lines. Levels of VEGF secreted by gastric cancer cells appear to be regulated by IL-1alpha through IL-1 receptor Type 1 and were correlated with liver metastatic potential. Both HUVEC proliferation and tube formation were strongly enhanced by coculture with high liver-metastatic gastric cancer cells and were enhanced to a similar extent by culture in the presence of IL-1alpha. In contrast, blockade of IL-1alpha inhibited both HUVEC proliferation and angiogenesis. CONCLUSIONS: IL-1alpha may play a role in liver metastasis of gastric cancer via enhanced vascular endothelial cell proliferation and angiogenesis.


Assuntos
Interleucina-1alfa/fisiologia , Neoplasias Hepáticas/secundário , Neovascularização Patológica/fisiopatologia , Neoplasias Gástricas/irrigação sanguínea , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Técnicas de Cocultura , Endotélio Vascular/citologia , Endotélio Vascular/metabolismo , Humanos , RNA Mensageiro/metabolismo , Receptores de Interleucina-1/metabolismo , Neoplasias Gástricas/patologia , Regulação para Cima/efeitos dos fármacos , Fator A de Crescimento do Endotélio Vascular/metabolismo
20.
Ann Thorac Surg ; 85(3): 1113-4, 2008 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-18291221

RESUMO

We report a septic patient who had an infected thrombus that extended from the right internal jugular vein to the right atrium 1 cm below the superior venocaval junction. The thrombus was successfully removed using an off-pump shunt placed between the innominate vein and the right atrium.


Assuntos
Veias Braquiocefálicas/cirurgia , Átrios do Coração/cirurgia , Infecções/complicações , Infecções/cirurgia , Veias Jugulares/cirurgia , Trombose/complicações , Trombose/cirurgia , Veia Cava Superior/cirurgia , Anastomose Cirúrgica/métodos , Feminino , Humanos , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Vasculares/métodos
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