Clinical significance of serum PSA in breast cancer patients.

BACKGROUND: Recent preclinical data suggest that androgen receptor (AR) signaling plays a significant role in subsets of breast cancer. Clinical trials testing AR-targeting therapies in breast cancer have been conducted. Assessment of AR-signal in breast cancer tissue maybe useful for treatment selections. Prostate specific antigen (PSA) is the product of an androgen-responsive gene. Serum PSA (sPSA) can be detected in women by a highly sensitive assay although the concentration is much lower than that observed in males. We investigated if sPSA reflects tumor biology, including AR signaling in breast cancer patients. METHODS: In this study, 132 healthy controls and 144 breast cancer patients were enrolled. sPSA was evaluated by the chemiluminescent enzyme immunoassay (CLEIA) method. Correlations between sPSA and the various clinicopathological factors were analyzed. RESULTS: In post-menopausal state, sPSA detection rate was significantly higher in breast cancer patients compared with controls (27.4% vs 11.3%: p = 0.0090), but not in the whole cohort (29.2% vs 25.8%: p = 0.5265) or pre-menopausal subgroup (37.0% vs 42.6%: p = 0.6231). In post-menopausal breast cancer cases, higher sPSA value was associated with clinic-pathological factors including the expression of AR protein in primary legion. In a correlation analysis of quantitative data limited to post-menopausal metastatic breast cancer (MBC), sPSA was positively, albeit weakly correlated with clinic-pathological features including serum testosterone levels and AR positivity. CONCLUSIONS: Our data suggest that sPSA may reflect tumor biological properties including AR activity in post-menopausal breast cancer.

Estimating spatial variation in the effects of climate change on the net primary production of Japanese cedar plantations based on modeled carbon dynamics.

Spatiotemporal prediction of the response of planted forests to a changing climate is increasingly important for the sustainable management of forest ecosystems. In this study, we present a methodology for estimating spatially varying productivity in a planted forest and changes in productivity with a changing climate in Japan, with a focus on Japanese cedar (Cryptomeria japonica D. Don) as a representative tree species of this region. The process-based model Biome-BGC was parameterized using a plant trait database for Japanese cedar and a Bayesian optimization scheme. To compare productivity under historical (1996-2000) and future (2096-2100) climatic conditions, the climate scenarios of two representative concentration pathways (i.e., RCP2.6 and RCP8.5) were used in five global climate models (GCMs) with approximately 1-km resolution. The seasonality of modeled fluxes, namely gross primary production, ecosystem respiration, net ecosystem exchange, and soil respiration, improved after two steps of parameterization. The estimated net primary production (NPP) of stands aged 36-40 years under the historical climatic conditions of the five GCMs was 0.77 ± 0.10 kgC m-2 year-1 (mean ± standard deviation), in accordance with the geographical distribution of forest NPP estimated in previous studies. Under the RCP2.6 and RCP8.5 scenarios, the mean NPP of the five GCMs increased by 0.04 ± 0.07 and 0.14 ± 0.11 kgC m-2 year-1, respectively. The increases in annual NPP were small in the southwestern region because of the decreases in summer NPP and the small increases in winter NPP under the RCP2.6 and RCP8.5 scenarios, respectively. Under the RCP2.6 scenario, Japanese cedar was at risk in the southwestern region, in accordance with previous studies, and monitoring and silvicultural practices should be modified accordingly.

Discharge of suspended solids and radiocesium into stream water in a forested watershed before and after line thinning with spur road construction.

In an experimental watershed located around 120 km southwest of the Fukushima Daiichi Nuclear Power Plant with a drainage area of 59.9 ha, suspended solids (SS) and radioactive cesium discharge from a forested headwater catchment were monitored before and after line thinning. The lower slopes in the experimental watershed were covered with plantation conifer trees (Japanese cedar), while the upper slopes were covered with deciduous trees. In 2012, line thinning was carried out at a thinning rate of 35% across 17% of the northeastern part of the watershed and across the remaining part in 2013. Spur roads were constructed along all tributaries without water, and logged trees were dragged and grappled using forestry machinery and transported along these roads to timber yards using forwarder-type forestry vehicles. A V-notch weir and a water level gauge were installed at the watershed outlet and stream water was sampled twice a month during base flow, whereas during flood flow, stream water samples of 1 L were collected every hour using an automatic water sampler. These samples were filtered through 0.5 µm glass fiber filters to measure the SS concentration. SS concentration data was collected for 21 floods before thinning and for 37 floods after thinning. A time-integrated SS sampler was installed in the stream close to the weir and SS samples were collected every two or three months to measure their Cs-137 concentrations. SS concentrations before (from July 2010 to August 2012) and after thinning (from October 2013 to December 2018) were compared, where the maximum SS concentrations before and after thinning were 211 and 790 mg L-1, respectively. It was discovered that some SS concentrations during flood flow were higher after carrying out thinning than before. Some ΣLss values (specific cumulative load of SS in a flood event) also showed the same results as the SS concentrations. Thus, it was clear that SS discharge immediately increases after thinning, but as it increases Cs-137 export is limited. This is related to a change in SS source brought about by the process of thinning, a decrease with time in the Cs-137 concentration in organic solid expected from that in litter, and a regrowth of vegetation on spur roads, protecting them against soil erosion. Therefore, it was concluded that thinning does not drastically increase Cs-137 export from a forested watershed.

Development of a method for estimating total CH4 emission from rice paddies in Japan using the DNDC-Rice model.

Methane (CH4) is a greenhouse gas, and paddy fields are one of its main anthropogenic emission sources. To mitigate this emission based on effective management measures, CH4 emission from paddy fields must be quantified at a national scale. In Japan, country-specific emission factors have been applied since 2003 to estimate national CH4 emission from paddy fields. However, this method cannot account for the effects of weather conditions and temporal variability of nitrogen fertilizer and organic matter application rates; thus, the estimated emission is highly uncertain. To improve the accuracy of national-scale estimates, we calculated country-specific emission factors using the DeNitrification-DeComposition-Rice (DNDC-Rice) model. First, we calculated CH4 emission from 1981 to 2010 using 986 datasets that included soil properties, meteorological data, and field management data. Using the simulated site-specific emission, we calculated annual mean emission for each of Japan's seven administrative regions, two water management regimes (continuous flooding and conventional mid-season drainage), and three soil drainage rates (slow, moderate, and fast). The mean emission was positively correlated with organic carbon input to the field, and we developed linear regressions for the relationships among the regions, water management regimes, and drainage rates. The regression results were within the range of published observation values for site-specific relationships between CH4 emission and organic carbon input rates. This suggests that the regressions provide a simplified method for estimating CH4 emission from Japanese paddy fields, though some modifications can further improve the estimation accuracy.

Efficacy of self-expanding metallic stent for right-sided colonic obstruction due to carcinoma before 1-stage laparoscopic surgery.

PURPOSE: The aim of this small study was to assess the clinical outcomes of self-expanding metallic stent (SEMS) placement followed by 1-stage laparoscopic resection for treatment of acute right-sided colonic obstruction due to carcinoma. METHOD: From January 2012 to December 2012, we performed 1-stage laparoscopic colectomy after placement of SEMS for right-sided obstructive colon carcinoma in 4 patients. RESULTS: SEMS placement was technically successful in all cases and symptoms were immediately relieved. The presence of the endoluminal stent did not prevent a laparoscopic approach; moreover, decompression of the bowel obstruction provided a wide field of view and working space for the laparoscopic procedure. There were no cases of conversion to laparotomy and no intraoperative complications. CONCLUSION: One-stage laparoscopic surgery, as a minimally invasive therapy, can be safely performed by SEMS placement in patients with acute right-sided colonic obstruction due to carcinoma. A large sample study is required to confirm the efficacy of this procedure.

Retroperitoneal dedifferentiated liposarcoma with osteosarcomatous components: a case report.

We report a rare case of recurrent retroperitoneal dedifferentiated liposarcoma with osteosarcomatous components. An 82-year-old male diagnosed with recurrent retroperitoneal liposarcoma underwent a tumor resection. Histologically, osseous matrix with osteoid and mature hyaline cartilaginous tissues with high cellularity were observed in a fibrous background through most of the tumor, and scattered MDM2- and CDK4-positive atypical hyperchromatic stromal cells were detected surrounding the dedifferentiated areas. Dedifferentiation occurs in up to 10% of well-differentiated liposarcomas, frequently resembling a malignant fibrous histiocytoma-like pleomorphic sarcoma. In contrast, divergent differentiation with osteosarcomatous components is considered to be extremely rare.

Idiopathic giant-cell granuloma of the pituitary with unusual clinical and histological features.

A surgically treated idiopathic giant-cell granuloma of the pituitary in a 48-year-old man is described. Relative to previously reported cases, this case was unusual both clinically and histologically. Diabetes insipidus was the initial, and a prominent clinical, manifestation. Histological studies showed caseating granuloma or fibrosis in addition to a typical giant-cell granuloma. This is the first published documentation of the association of caseous necrosis in a patient diagnosed as having idiopathic giant-cell granuloma of the pituitary.Endocr Pathol 4:169-173, 1993.