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1.
Biol Pharm Bull ; 47(1): 145-153, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38171774

RESUMO

Elevated concentration of saturated fatty acids in plasma adversely affects pancreatic ß-cells, but the effects of unsaturated fatty acids are controversial. In this study, we examined the effects of oleic acid (OA), a monounsaturated fatty acid, on mitochondrial function, which is important for insulin secretion, using INS-1 cells, a pancreatic ß-cell line derived from rats. Observations of mitochondrial membrane potential and intracellular ATP concentration showed that the electron transport chain was enhanced and ATP production increased in cells treated with OA, indicating that the response that occurs from sensing an increase in glucose concentration to the production of ATP was accelerated. Measurements of intracellular reactive oxygen species (ROS) indicated that the rate of increase in ROS after glucose stimulation was significantly higher in OA-treated cells. The mRNA expression levels of superoxide dismutase 1 and 2, which are responsive to ROS and other substances, were significantly increased in OA 1-d treated cells, but decreased in OA 7-d treated cells. It can be inferred that continued exposure to high concentrations of OA reduced ROS processing capacity and increased intracellular ROS levels. The mRNA expression of apoptosis-inducing enzyme Caspase-3 was significantly increased in OA-treated cells, although its activity was not high. However, the apoptosis induction rate after H2O2 stimulation was significantly higher in OA-treated cells. The high OA environment was shown to promote mitochondrial energy metabolism, leading to an increase in glucose sensitivity and a decrease in oxidative stress resistance.


Assuntos
Peróxido de Hidrogênio , Ácido Oleico , Ratos , Animais , Ácido Oleico/farmacologia , Espécies Reativas de Oxigênio/metabolismo , Peróxido de Hidrogênio/farmacologia , Estresse Oxidativo , Mitocôndrias , Metabolismo Energético , Glucose/metabolismo , Linhagem Celular , Trifosfato de Adenosina/metabolismo , RNA Mensageiro/metabolismo , Insulina/metabolismo
2.
J Obstet Gynaecol Res ; 48(8): 2224-2230, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35793911

RESUMO

Leiomyosarcoma arising from the ovarian vein has rarely been reported. Herein, we report two cases from a single institute. Given their direct connections to ovarian vessels, both leiomyosarcomas were initially suspected to be gynecological malignancies. In one case, leiomyosarcoma was discovered incidentally without any clinical symptoms; it had a close connection with the ovarian vein, was removed surgically, and the patient has survived for over 12 years. In another case, bowel obstruction caused by the tumor helped to identify metastatic leiomyosarcoma. Blood flow was supplied by the ovarian artery and grew into the lumen of the ovarian vein without invading adjacent organs. After surgical resection, the patient underwent 18 months of chemotherapy prior to palliative care. We propose that leiomyosarcoma arising from the ovarian vein should be treated as a gynecologic malignancy, especially if it develops in the lower abdomen.


Assuntos
Neoplasias dos Genitais Femininos , Leiomiossarcoma , Neoplasias Vasculares , Abdome/patologia , Feminino , Humanos , Leiomiossarcoma/diagnóstico , Leiomiossarcoma/patologia , Leiomiossarcoma/cirurgia , Pelve/patologia , Neoplasias Vasculares/diagnóstico , Neoplasias Vasculares/patologia , Neoplasias Vasculares/cirurgia
3.
Development ; 144(3): 385-399, 2017 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-27993981

RESUMO

The precise control of neuronal migration and morphological changes during differentiation is essential for neocortical development. We hypothesized that the transition of progenitors through progressive stages of differentiation involves dynamic changes in levels of mitochondrial reactive oxygen species (mtROS), depending on cell requirements. We found that progenitors had higher levels of mtROS, but that these levels were significantly decreased with differentiation. The Prdm16 gene was identified as a candidate modulator of mtROS using microarray analysis, and was specifically expressed by progenitors in the ventricular zone. However, Prdm16 expression declined during the transition into NeuroD1-positive multipolar cells. Subsequently, repression of Prdm16 expression by NeuroD1 on the periphery of ventricular zone was crucial for appropriate progression of the multipolar phase and was required for normal cellular development. Furthermore, time-lapse imaging experiments revealed abnormal migration and morphological changes in Prdm16-overexpressing and -knockdown cells. Reporter assays and mtROS determinations demonstrated that PGC1α is a major downstream effector of Prdm16 and NeuroD1, and is required for regulation of the multipolar phase and characteristic modes of migration. Taken together, these data suggest that Prdm16 plays an important role in dynamic cellular redox changes in developing neocortex during neural differentiation.


Assuntos
Proteínas de Ligação a DNA/fisiologia , Neocórtex/embriologia , Células-Tronco Neurais/citologia , Células-Tronco Neurais/fisiologia , Fatores de Transcrição/fisiologia , Animais , Fatores de Transcrição Hélice-Alça-Hélice Básicos/genética , Fatores de Transcrição Hélice-Alça-Hélice Básicos/fisiologia , Diferenciação Celular/genética , Diferenciação Celular/fisiologia , Movimento Celular/genética , Movimento Celular/fisiologia , Células Cultivadas , Proteínas de Ligação a DNA/antagonistas & inibidores , Proteínas de Ligação a DNA/genética , Feminino , Regulação da Expressão Gênica no Desenvolvimento , Técnicas de Silenciamento de Genes , Camundongos , Camundongos Endogâmicos ICR , Camundongos Transgênicos , Mitocôndrias/metabolismo , Neocórtex/citologia , Neocórtex/fisiologia , Neurogênese/genética , Neurogênese/fisiologia , Oxirredução , Gravidez , Espécies Reativas de Oxigênio/metabolismo , Imagem com Lapso de Tempo , Fatores de Transcrição/antagonistas & inibidores , Fatores de Transcrição/genética
4.
Genes Cells ; 20(9): 758-70, 2015 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26283595

RESUMO

Upper-layer (UL) neocortical neurons are the most prominent distinguishing features of the mammalian neocortex compared with those of the avian dorsal cortex and are vastly expanded in primates. However, little is known about the identities of the genes that control the specification of UL neurons. Here, we found that Prdm8, a member of the PR (PRDI-BF1 and RIZ homology) domain protein family, was specifically expressed in the postnatal UL neocortex, particular those in late-born RORß-positive layer IV neurons. We generated homozygous Prdm8 knockout (Prdm8 KO) mice and found that the deletion of Prdm8 causes growth retardation and a reduced brain weight, although the brain weight-to-body weight ratio is unchanged at postnatal day 8 (P8). Immunohistochemistry showed that the relative UL thickness, but not the thickness of the deep layer (DL), was significantly reduced in Prdm8 KO mice compared with wild-type (WT) mice. In addition, we found that a number of late-born Brn2-positive UL neurons were significantly decreased in Prdm8 KO mice. To identify genes regulated by Prdm8 during neocortical development, we compared expression profiling analysis in Prdm8 KO and WT mice, and identified some candidate genes. These results suggest that the proper expression of Prdm8 is required for the normal development and construction of UL neurons in the mammalian neocortex.


Assuntos
Histona-Lisina N-Metiltransferase/genética , Histona-Lisina N-Metiltransferase/metabolismo , Neocórtex/crescimento & desenvolvimento , Neurônios/metabolismo , Animais , Proteínas de Ligação a DNA , Deleção de Genes , Histona Metiltransferases , Camundongos , Camundongos Knockout , Neocórtex/citologia , Neurônios/citologia
5.
EMBO Rep ; 15(5): 557-65, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24668264

RESUMO

Several autophagy proteins contain an LC3-interacting region (LIR) responsible for their interaction with Atg8 homolog proteins. Here, we show that ALFY binds selectively to LC3C and the GABARAPs through a LIR in its WD40 domain. Binding of ALFY to GABARAP is indispensable for its recruitment to LC3B-positive structures and, thus, for the clearance of certain p62 structures by autophagy. In addition, the crystal structure of the GABARAP-ALFY-LIR peptide complex identifies three conserved residues in the GABARAPs that are responsible for binding to ALFY. Interestingly, introduction of these residues in LC3B is sufficient to enable its interaction with ALFY, indicating that residues outside the LIR-binding hydrophobic pockets confer specificity to the interactions with Atg8 homolog proteins.


Assuntos
Proteínas Adaptadoras de Transdução de Sinal/metabolismo , Autofagia , Proteínas de Membrana/metabolismo , Proteínas Associadas aos Microtúbulos/genética , Proteínas Associadas aos Microtúbulos/metabolismo , Fatores de Transcrição/metabolismo , Sequência de Aminoácidos , Proteínas Reguladoras de Apoptose , Família da Proteína 8 Relacionada à Autofagia , Proteínas Relacionadas à Autofagia , Linhagem Celular Tumoral , Células HeLa , Humanos , Interações Hidrofóbicas e Hidrofílicas , Proteínas de Membrana/ultraestrutura , Proteínas dos Microfilamentos/metabolismo , Proteínas Associadas aos Microtúbulos/ultraestrutura , Ligação Proteica , Estrutura Terciária de Proteína , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Alinhamento de Sequência , Fatores de Transcrição/ultraestrutura
6.
Biol Pharm Bull ; 39(11): 1846-1851, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27803456

RESUMO

Linezolid (LZD) is an antimicrobial that is commonly used for treatment of vancomycin-resistant Enterococci and methicillin-resistant Staphylococcus aureus infections. However, the development of thrombocytopenia, one of the most frequent adverse side effects of this antimicrobial, can lead to discontinuation of LZD treatment. While clinical studies indicate that risk factors for the development of LZD-induced thrombocytopenia include treatment for >14 consecutive days, renal dysfunction, and chronic liver disease, the fundamental mechanism governing the pathogenesis of this disorder remains unclear. In this study, we aimed to elucidate the mechanism of LZD-induced thrombocytopenia by investigating the impact of LZD treatment on platelet destruction and production using rat platelet-rich plasma (PRP) and human immortalized cell lines, respectively. Compared to the control population, an increase in lactate dehydrogenase release was not detected upon exposure of rat PRP to varying concentrations of LZD, indicating that this compound is not cytotoxic towards platelets. Meanwhile, LZD treatment resulted in a significant dose-dependent increase in the proliferation of HEL human erythroleukemia and MEG-01 human megakaryoblast cells in vitro, but did not influence the differentiation of these cell lines. Lastly, LZD treatment yielded elevated levels of phosphorylation of myosin light chain 2 (MLC2), which regulates platelet release, in MEG-01 cells. Based on these results, we speculate that LZD induces thrombocytopenia by promoting MLC2 phosphorylation and thereby suppressing the release of platelets from mature megakaryocytes. These findings provide the first insight into the mechanism of LZD-mediated thrombocytopenia and may facilitate the development of strategies to treat and/or prevent this disease.


Assuntos
Antibacterianos/efeitos adversos , Plaquetas/efeitos dos fármacos , Miosinas Cardíacas/metabolismo , Linezolida/efeitos adversos , Cadeias Leves de Miosina/metabolismo , Trombocitopenia/metabolismo , Animais , Plaquetas/metabolismo , Diferenciação Celular/efeitos dos fármacos , Linhagem Celular , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Humanos , L-Lactato Desidrogenase/metabolismo , Masculino , Fosforilação/efeitos dos fármacos , Ratos Wistar , Trombocitopenia/induzido quimicamente
8.
Arch Biochem Biophys ; 571: 40-9, 2015 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-25731856

RESUMO

Accumulating evidence suggests that heat shock proteins (HSPs) are implicated in progression of cancer. HSP22 (HSPB8), a small HSP, is recognized to be ubiquitously expressed in various tissues. However, the expression and the role of HSP22 in ovarian cancer remain to be clarified. In the present study, we investigated the involvement of HSP22 in transforming growth factor (TGF)-α-induced migration of ovarian cancer cells. The expression of HSP22 was detected in a serous ovarian cancer cell line, SKOV3.ip1. The migration was reduced by down-regulation of HSP22 expression. The TGF-α-induced migration was reduced by SB203580 (a p38 MAP kinase inhibitor), SP600125 (a SAPK/JNK inhibitor) and Y27632 (a Rho-kinase inhibitor). However, down-regulation of HSP22 had little effect on the TGF-α-induced phosphorylation of p38 MAP kinase, SAPK/JNK and MYPT, a target protein of Rho-kinase. The HSP22 expression was further analyzed in 20 resected specimens of human ovarian serous carcinoma. The expression of HSP22 was detected in all the twenty tissues (8.24-109.22 pg/mg protein), and the cases with highly expression of HSP22 showed a tendency to acquire the progressive ability. Our results strongly suggest that HSP22 acts as a positive regulator in TGF-α-induced migration of ovarian cancer cells, subsequently directing ovarian cancer toward progression.


Assuntos
Carcinoma/patologia , Movimento Celular , Proteínas de Choque Térmico/metabolismo , Neoplasias Ovarianas/patologia , Proteínas Serina-Treonina Quinases/metabolismo , Fator de Crescimento Transformador alfa/farmacologia , Adulto , Idoso , Carcinoma/metabolismo , Linhagem Celular Tumoral , Feminino , Humanos , Pessoa de Meia-Idade , Chaperonas Moleculares , Neoplasias Ovarianas/metabolismo
9.
Am J Primatol ; 76(7): 694-703, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24500736

RESUMO

Understanding cohesion among individuals within a group is necessary to reveal the social system of group-living primates. Japanese macaques (Macaca fuscata) are female-philopatric primates that reside in social groups. We investigated whether individual activity and social factors can affect spatio-temporal cohesion in wild female Japanese macaques. We conducted behavioral observation on a group, which contained 38 individuals and ranged over ca. 60 ha during the study period. Two observers carried out simultaneous focal-animal sampling of adult female pairs during full-day follows using global positioning system which enabled us to quantify interindividual distances (IIDs), group members within visual range (i.e., visual unit), and separation duration beyond visual range as indicators of cohesion among individuals. We found considerable variation in spatio-temporal group cohesion. The overall mean IID was 99.9 m (range = 0-618.2 m). The percentage of IIDs within visual range was 23.1%, within auditory range was 59.8%, and beyond auditory range was 17.1%. IIDs varied with activity; they were shorter during grooming and resting, and longer during foraging and traveling. Low-ranking females showed less cohesion than high-ranking ones. Kin females stayed nearly always within audible range. The macaques were weakly cohesive with small mean visual unit size (3.15 counting only adults, 5.99 counting all individuals). Both-sex units were the most frequently observed visual unit type when they were grooming/resting. Conversely, female units were the most frequently observed visual unit type when they were foraging. The overall mean visual separation duration was 25.7 min (range = 3-513 min). Separation duration was associated with dominance rank. These results suggest that Japanese macaques regulate cohesion among individuals depending on their activity and on social relationships; they were separated to adapt food distribution and aggregated to maintain social interactions.


Assuntos
Macaca/fisiologia , Comportamento Social , Animais , Comportamento Animal , Feminino , Sistemas de Informação Geográfica , Japão , Macaca/genética , Predomínio Social
10.
Front Med (Lausanne) ; 11: 1328765, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38435390

RESUMO

Introduction: Solar urticaria (SU), a relatively rare skin inflammatory and photosensitivity disease, is often resistant to standard urticaria treatment. Quality of life (QOL) among SU patients has not been extensively explored. This study was performed to clarify the clinical features and effectiveness of therapies (e.g., hardening therapy) for SU and to determine QOL among SU patients. Methods: The authors examined the characteristics, treatments, and QOL statuses of 29 Japanese SU patients using medical records and a questionnaire approach. Results: Among 29 patients, H1 antihistamine therapy (H1) was effective in 22 (75.8%) patients. H2 antihistamine therapy (H2) was effective in three of seven (42.9%) patients. Ultraviolet radiation A (UVA) hardening therapy was effective in eight of nine (88.9%) patients. Visible light (VL) hardening therapy was ineffective in three of three patients. In one patient who underwent both UVA and VL hardening therapy, only UVA hardening therapy was effective. In the questionnaire, 18 patients (90%) reported some improvement compared with disease onset (four had complete remission, six had completed treatment although mild symptoms persisted, and eight were receiving treatment with moderate symptoms), whereas two patients reported exacerbation. Patients in complete remission had a mean disease duration of 4 years, whereas patients not in remission had a mean disease duration of 8.8 years. The mean Dermatology Life Quality Index (DLQI) score for the current status was 7.4. There was a correlation between DLQI and symptom/treatment status. However, neither DLQI and action spectra nor DLQI and treatments exhibited significant differences. Discussion: The questionnaire revealed current QOL status and long-term prognosis in SU patients. Compared with disease onset, most patients showed improvement when assessed for this study. Both H1 and H2 should be attempted for all SU patients. UVA hardening therapy may be an option for SU patients with an action spectrum that includes UVA.

11.
JCO Clin Cancer Inform ; 8: e2400078, 2024 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-39008783

RESUMO

PURPOSE: Denosumab is used to treat patients with bone metastasis from solid tumors, but sometimes causes severe hypocalcemia, so careful clinical management is important. This study aims to externally validate our previously developed risk prediction model for denosumab-induced hypocalcemia by using data from two facilities with different characteristics in Japan and to develop an updated model with improved performance and generalizability. METHODS: In the external validation, retrospective data of Kameda General Hospital (KGH) and Miyagi Cancer Center (MCC) between June 2013 and June 2022 were used and receiver operating characteristic (ROC)-AUC was mainly evaluated. A scoring-based updated model was developed using the same data set from a hospital-based administrative database as previously employed. Selection of variables related to prediction of hypocalcemia was based on the results of external validation. RESULTS: For the external validation, data from 235 KGH patients and 224 MCC patients were collected. ROC-AUC values in the original model were 0.879 and 0.774, respectively. The updated model consisting of clinical laboratory tests (calcium, albumin, and alkaline phosphatase) afforded similar ROC-AUC values in the two facilities (KGH, 0.837; MCC, 0.856). CONCLUSION: We developed an updated risk prediction model for denosumab-induced hypocalcemia with small interfacility differences. Our results indicate the importance of using data from plural facilities with different characteristics in the external validation of generalized prediction models and may be generally relevant to the clinical application of risk prediction models. Our findings are expected to contribute to improved management of bone metastasis treatment.


Assuntos
Bases de Dados Factuais , Denosumab , Hipocalcemia , Humanos , Hipocalcemia/induzido quimicamente , Hipocalcemia/epidemiologia , Hipocalcemia/diagnóstico , Denosumab/efeitos adversos , Denosumab/uso terapêutico , Feminino , Masculino , Idoso , Medição de Risco , Estudos Retrospectivos , Pessoa de Meia-Idade , Conservadores da Densidade Óssea/efeitos adversos , Japão/epidemiologia , Curva ROC , Neoplasias Ósseas/tratamento farmacológico , Neoplasias Ósseas/secundário , Idoso de 80 Anos ou mais , Fatores de Risco
12.
Am J Primatol ; 73(7): 623-31, 2011 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-21344462

RESUMO

Group-living primates monitor group members to maintain the spatial cohesiveness of the group. We examined the possibility that visual scanning (turning the head for more than 3 sec) and contact calls (coo calls) function as visual and auditory monitoring behaviors to avoid separation from group members in wild Japanese macaques. The rate of visual scanning increased as proximity to group members decreased and as mobile activities (foraging and moving) increased, compared with immobile activities (resting and grooming). However, the rate of contact calls varied differently with proximity and activities. During resting and moving, the rate of contact calls increased as proximity decreased. In contrast, the rate increased with closer proximity during feeding. Visual scanning during all activities and contact calls during resting and moving increased when the group members were likely to spread over a larger area, suggesting that these behaviors functioned as monitoring of group members to avoid separation from the group. Contact calls also increased when the group members stayed in close proximity during foraging, suggesting that this behavior was also associated with competitive situations. Contact calls may also function to ease tension or maintain distance to avoid conflict in competitive situations.


Assuntos
Macaca/fisiologia , Comportamento Social , Vocalização Animal , Animais , Comportamento Alimentar , Feminino , Asseio Animal , Japão , Masculino
13.
Behav Processes ; 191: 104473, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34363911

RESUMO

The degree of behavioural synchrony of animals within a group can be considered a reflection of how individuals adjust their behaviours to manage the costs/benefits accompanying group-living. In this study, we focused on activity synchrony and travel direction synchrony as behavioural synchrony. We aimed to quantify the degree of behavioural synchrony and identify which factors can affect the synchrony in wild females of Japanese macaques. Japanese macaques live in female philopatric multi-female and multi-male groups and have a linear dominance hierarchy. The groups are characterized by changing spatio-temporal cohesiveness among group members. Two observers conducted simultaneous focal animal sampling on adult females using global positioning system devices to record locations. The overall degree of activity synchrony was positive compared with random, and the degree was highest when macaques were located within visual range of each other. Both activity synchrony and travel direction synchrony were influenced by spatial cohesion, i.e. interindividual distance, which shows that the probabilities of synchrony were higher with individuals located closer. Activity synchrony was also influenced by activity type, showing that the probabilities of synchrony were higher when individuals engaged in foraging. These results suggest that synchronized foraging may be caused by enhanced feeding with other group members when they are closer to each other. Our approach to quantitatively measure spatial dispersal while observing group members simultaneously revealed the roles of spatial cohesion and activity types for determining the degree of behavioural synchrony.


Assuntos
Macaca fuscata , Macaca , Animais , Feminino , Humanos , Masculino , Predomínio Social
14.
Materials (Basel) ; 14(22)2021 Nov 22.
Artigo em Inglês | MEDLINE | ID: mdl-34832481

RESUMO

Progress in power electronic devices is currently accepted through the use of wide bandgap materials (WBG). Among them, diamond is the material with the most promising characteristics in terms of breakdown voltage, on-resistance, thermal conductance, or carrier mobility. However, it is also the one with the greatest difficulties in carrying out the device technology as a result of its very high mechanical hardness and smaller size of substrates. As a result, diamond is still not considered a reference material for power electronic devices despite its superior Baliga's figure of merit with respect to other WBG materials. This review paper will give a brief overview of some scientific and technological aspects related to the current state of the main diamond technology aspects. It will report the recent key issues related to crystal growth, characterization techniques, and, in particular, the importance of surface states aspects, fabrication processes, and device fabrication. Finally, the advantages and disadvantages of diamond devices with respect to other WBG materials are also discussed.

15.
Sangyo Eiseigaku Zasshi ; 63(5): 143-153, 2021 Sep 25.
Artigo em Japonês | MEDLINE | ID: mdl-33342960

RESUMO

OBJECTIVES: Unemployment or job change due to treatment for a disease is affected by various factors such as disease type, degree of disability, and workplace patient support. This study aimed to clarify the factors affecting the unemployment/job-change rate among workers who had designated intractable diseases. METHODS: A questionnaire survey was administered to 3,210 designated patients with intractable diseases who underwent applications for renewal of medical care subsidies at the Hirakata City Public Health Center during fiscal year 2019 (July-December). Of these patients, 539 workers aged 20-59 years who were employed as regular workers, temporary contract worker/dispatched workers, and part-time workers when they became designated intractable diseases were subjects of the analysis. Unemployment/job-change due to the treatment for a designated intractable disease was treated as an event occurrence, while the absence of unemployment/job-change due to disease at the time of the survey were considered censored cases. The Kaplan-Meier method was used to determine the trend of the unemployment/job-change rate associated with the duration of work. The Cox proportional hazard model was used to examine the relationship between unemployment/job-change and factors such as gender, age at onset, disease groups, activities of daily living, types of employment, experienced workplace supports (e.g., reduced working hours and hourly paid leave), and existence of insoluble medical difficulties at the workplace. RESULTS: The unemployment/job-change rate due to treatment for designated intractable disease was 19.4%. Significantly independent factors of unemployment/job-change were the following: 50s at onset (compared to those in their 30s, HR = 2.55, 95% CI (1.21-5.37)), requiring outing assistance (compared to going out alone, 2.31 (1.13-4.71)), being a temporary contract worker/dispatched worker (compared to a regular worker, 2.66 (1.20-5.89)), existence of insoluble medical difficulties at workplace (4.15 (2.43-7.09)). Experienced workplace support was not a significant factor in preventing unemployment/job-change. CONCLUSIONS: Age at onset, degree of disability, form of employment, and existence of insoluble medical difficulties at the workplace were significantly associated with unemployment/job change due to treatment for designated intractable diseases. The relationship between workplace patient supports and unemployment/job-change was not clear, but to reduce medical difficulties in the workplace, workplace supports must be expanded. Given that workplace support is not an obligatory effort for employers, it is necessary to establish a system where employers can easily promote workplace support.


Assuntos
Saúde Ocupacional , Desemprego , Atividades Cotidianas , Emprego , Humanos , Local de Trabalho
16.
Case Rep Obstet Gynecol ; 2021: 3516646, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34712501

RESUMO

Advanced carcinoma of the lower female reproductive tract is rare during pregnancy and the postpartum period. We here present a case of a 32-year-old Japanese woman, whose entire lower reproductive tract had been invaded by carcinomas as of 2 months after childbirth. She had been infertile, and pregnancy had been established by repeated embryo transfer. The gynecological cancer screening, which included Pap smear tests, was negative during the periods she underwent infertility treatment or during the first trimester. At 26 gestational weeks, the patient noticed uterine contractions concomitant with genital bleeding. Labor progressed slowly and steadily; thus, the pregnancy was ended by cesarean section at 29 weeks. At 2 months after childbirth, the patient experienced increased left abdominal pain and underwent a pelvic examination, revealing multiple pelvic masses and diffuse vaginal tumors causing stenosis. Vaginal tumors were biopsied, and histochemical analysis showed undifferentiated carcinoma with possible adenocarcinoma. Imaging modalities including CT, MRI, and PET-CT suggest that the carcinoma had invaded the entire reproductive tract, especially the uterine body, metastasized into the lungs and the ischial bones, and disseminated onto the peritoneum. She received multiple rounds of chemotherapy but died 6 months after childbirth. Taking into consideration the clinical feature and immunohistochemical profiles of the cancer cells, the endometrium is the most likely origin.

17.
Sci Rep ; 11(1): 3961, 2021 02 17.
Artigo em Inglês | MEDLINE | ID: mdl-33597562

RESUMO

Simultaneous expression of multiplex guide RNAs (gRNAs) is valuable for knockout of multiple genes and also for effective disruption of a gene by introducing multiple deletions. We developed a method of Tetraplex-guide Tandem for construction of cosmids containing four and eight multiplex gRNA-expressing units in one step utilizing lambda in vitro packaging. Using this method, we produced an adenovirus vector (AdV) containing four multiplex-gRNA units for two double-nicking sets. Unexpectedly, the AdV could stably be amplified to the scale sufficient for animal experiments with no detectable lack of the multiplex units. When the AdV containing gRNAs targeting the H2-Aa gene and an AdV expressing Cas9 nickase were mixed and doubly infected to mouse embryonic fibroblast cells, deletions were observed in more than 80% of the target gene even using double-nicking strategy. Indels were also detected in about 20% of the target gene at two sites in newborn mouse liver cells by intravenous injection. Interestingly, when one double-nicking site was disrupted, the other was simultaneously disrupted, implying that two genes in the same cell may simultaneously be disrupted in the AdV system. The AdVs expressing four multiplex gRNAs could offer simultaneous knockout of four genes or two genes by double-nicking cleavages with low off-target effect.


Assuntos
Adenoviridae/genética , Engenharia Genética/métodos , RNA Guia de Cinetoplastídeos/genética , Animais , Sistemas CRISPR-Cas , Cosmídeos , Fibroblastos/metabolismo , Edição de Genes/métodos , Vetores Genéticos/genética , Células HEK293 , Células Hep G2 , Humanos , Mutação INDEL/genética , Camundongos Endogâmicos C57BL , Plasmídeos/genética , RNA Guia de Cinetoplastídeos/metabolismo
18.
J Clin Endocrinol Metab ; 104(5): 1866-1870, 2019 05 01.
Artigo em Inglês | MEDLINE | ID: mdl-30476142

RESUMO

CONTEXT: Lipoid congenital adrenal hyperplasia (LCAH) is characterized by a disorder of steroidogenesis in both adrenal glands and gonads. 46,XX patients with classic LCAH usually have thelarche and menarche but show anovulatory menstruations and subsequent premature menopause. Only three patients with classic LCAH have been reported to successfully achieve delivery with the aid of assisted reproductive therapies for conception and progesterone replacement therapy during early pregnancy. In contrast, pubertal development and pregnancy outcomes in patients with nonclassic LCAH have not been fully elucidated. CASE DESCRIPTION: We report four Japanese women who had a diagnosis of primary adrenal insufficiency during infancy or childhood and carried compound heterozygous STAR mutations (p.Gln258* and p.Arg188His, p.Gln258* and p.Met225Thr, and p.Gln258* and p.Arg272Cys). In all four patients, thelarche and menarche spontaneously occurred from 10 to 11 years of age and from 12 to 14 years of age, respectively. Subsequently, their menstruation cycles were regular at almost 1-month intervals. Patient 1 conceived naturally twice, and patient 2 conceived with the use of clomiphene citrate for ovulation induction. These two patients maintained the pregnancies without progesterone replacement therapy and successfully delivered children. CONCLUSION: Patients with nonclassic LCAH maintain ovarian function, which enables normal pubertal development and a successful pregnancy outcome without progesterone replacement therapy.


Assuntos
Transtornos 46, XX do Desenvolvimento Sexual/fisiopatologia , Hiperplasia Suprarrenal Congênita/fisiopatologia , Transtorno 46,XY do Desenvolvimento Sexual/fisiopatologia , Resultado da Gravidez , Puberdade/fisiologia , Transtornos 46, XX do Desenvolvimento Sexual/complicações , Transtornos 46, XX do Desenvolvimento Sexual/tratamento farmacológico , Adolescente , Hiperplasia Suprarrenal Congênita/complicações , Hiperplasia Suprarrenal Congênita/tratamento farmacológico , Adulto , Transtorno 46,XY do Desenvolvimento Sexual/complicações , Transtorno 46,XY do Desenvolvimento Sexual/tratamento farmacológico , Feminino , Terapia de Reposição Hormonal , Humanos , Gravidez , Prognóstico , Adulto Jovem
19.
Cell Rep ; 29(5): 1113-1129.e5, 2019 10 29.
Artigo em Inglês | MEDLINE | ID: mdl-31665628

RESUMO

To facilitate efficient oxygen and nutrient delivery, blood vessels in the brain form three-dimensional patterns. However, little is known about how blood vessels develop stereographically in the neocortex and how they control the expansion and differentiation of neural progenitors during neocortical development. We show that highly vascularized and avascular regions are strictly controlled in a spatially and temporally restricted manner and are associated with distinct cell populations. Dividing basal progenitors and oligodendrocyte precursors preferentially contact honeycomb vessels, but dividing apical progenitors are localized in avascular regions without Flt1-positive endothelial cells but directly contact with sprouting neovascular tip cells. Therefore, not all blood vessels are associated equally with neural progenitors. Furthermore, a disruption of normal vascular patterning can induce abnormalities in neural development, whereas the impaired features of neural progenitors influenced angiogenesis patterning. These results indicate that close association between the nervous and vascular systems is essential for neocortex assembly.


Assuntos
Neocórtex/citologia , Neocórtex/embriologia , Neovascularização Fisiológica , Células-Tronco Neurais/citologia , Animais , Diferenciação Celular , Hipóxia Celular , Polaridade Celular , Células Endoteliais/citologia , Células Endoteliais/metabolismo , Feminino , Humanos , Cadeias beta de Integrinas/metabolismo , Masculino , Camundongos , Camundongos Endogâmicos ICR , Neocórtex/irrigação sanguínea , Neocórtex/ultraestrutura , Oligodendroglia/citologia , Oligodendroglia/metabolismo , Pseudópodes/metabolismo , Nicho de Células-Tronco , Fatores de Tempo
20.
Primates ; 49(2): 116-25, 2008 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-18060597

RESUMO

Feeding conditions, competitive regime, and female social relationships of Japanese macaques (Macaca fuscata) on Yakushima were compared between the two habitats at two different altitudes (coniferous forest, 1,000-1,200 m and coastal forest, 0-200 m). Fruit availability was higher in the coastal forest. There was no consistent difference in the frequency of agonistic interactions within a group during feeding between the two habitats. The coastal forest evoked stronger inter-group contest competition compared to the coniferous forest as evidenced by a higher inter-group encounter rate and a higher proportion of aggressive encounters to non-aggressive ones. Birth rate was higher in larger groups compared to smaller ones in the coastal forest, but did not differ in the coniferous forest. In spite of these differences in competitive regime, no variation in female social relationships was observed, such as direction and concentration on particular individuals in grooming, linearity in dominance rank, counter-attack, and support of juvenile kin during agonistic interactions. The present results indicate that the female social relationships of Japanese macaques are robust and do not change according to changes in the current environment.


Assuntos
Comportamento Animal/fisiologia , Ecossistema , Macaca/fisiologia , Predomínio Social , Comportamento Agonístico/fisiologia , Altitude , Análise de Variância , Ração Animal/análise , Animais , Coeficiente de Natalidade , Dieta/veterinária , Ingestão de Alimentos , Feminino , Asseio Animal/fisiologia , Japão , Macaca/psicologia , Árvores
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