APOE epsilon4 genotype is associated with an earlier onset of chronic temporal lobe epilepsy.

The authors analyzed the association between APOE epsilon4 genotype and clinical and MRI findings in 43 refractory temporal lobe epilepsy patients. The distribution of the alleles were normal. Ten patients (23%) had an APOE epsilon 4 allele and had an earlier onset of habitual seizures (with epsilon4 5 +/- 5 years; without epsilon4 15 +/- 10 years). Quantitative MRI findings were not influenced by the APOE epsilon4 genotype. APOE epsilon4 may shorten the latency between an initial injury and seizure onset.

The full length and splice variant thyrotropin receptor is expressed exclusively in skeletal muscle of extraocular origin: a link to the pathogenesis of Graves' ophthalmopathy.

Graves' ophthalmopathy occurs in up to 90% of patients with Graves' disease, supporting the notion of a common denominator in the development of these two disorders. The thyrotropin receptor has been proposed as the link for this clinical association. In the present study we have investigated whether thyrotropin receptor mRNA species exist in extraocular muscle and non-ocular skeletal muscle by reverse transcription-polymerase chain reaction (RT-PCR). We have, with high stringency RT-PCR, Southern analysis, and direct sequencing of PCR products, identified for the first time the presence of both full length and splice variant thyrotropin receptor mRNA in extraocular but not non-ocular skeletal muscle. This extraocular muscle thyrotropin receptor expression was shared, as expected, with normal thyroid but not other control tissues including brain and kidney. These data demonstrate that the thyrotropin receptor, the autoimmune target of Graves' disease, is exclusively expressed in extraocular muscle as well as the thyroid and lend support to the notion that it is a likely candidate autoantigen in Graves' ophthalmopathy.

Effect of antagonism of the parathyroid hormone (PTH)/PTH-related protein receptor on decidualization in rat uterus.

Parathyroid hormone-related protein (PTHrP) was detected at 32.8 +/- 3.9 pmol 1-1 in uterine luminal fluid from immature rats treated with oestradiol. As mRNA encoding PTHrP has previously been localized to implantation sites in pregnant rats, the role of luminal PTHrP during pregnancy was explored. Infusion of a parathyroid hormone (PTH)/PTHrP receptor antagonist, [Asn10,Leu11]PTHrP(7-34) amide, into the uterine lumen during pregnancy in rats resulted in excessive decidualization. This effect was also observed after intrauterine infusion of a monoclonal antibody raised against PTHrP. The effect of infusion of PTH/PTHrP receptor antagonist was dependent upon successful implantation, was dose-dependent and confined to the treated horn. A decrease in the number of apoptotic decidual cells in antagonist-infused uterine horns compared with vehicle or non-infused horns was detected immunohistochemically at day 13 of pregnancy, and this decrease is likely to contribute to the 'over-decidualization' observed. In pseudopregnant rats, infusion of PTH/PTHrP receptor antagonist into the uterine lumen resulted in an increase in uterine wet weight of the infused horn compared with the non-infused horn, indicating a direct effect on deciduoma formation. Thus, activation of the PTH/PTHrP receptor by locally produced PTHrP appears to be crucial for normal decidualization during pregnancy in rats.