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1.
Epilepsy Behav ; 92: 145-153, 2019 03.
Artigo em Inglês | MEDLINE | ID: mdl-30660057

RESUMO

PURPOSE: Cavernous malformation (CM) in the temporal neocortex causes intractable epilepsy. Whether to resect additional mesial temporal structures in addition to the lesionectomy is a still controversial issue. To clarify the need for the procedure, we retrospectively analyzed pre- and postoperative clinical data of patients with surgically removed CM. SUBJECTS AND METHODS: We included data from 18 patients with CM in the temporal neocortex who presented with intractable epilepsy. Eleven patients of our early series were treated with extended resection, i.e., lesionectomy and the resection of additional mesial temporal structures. Seven patients underwent lesionectomy, i.e., removal of the CM and of hemosiderin-stained surrounding brain tissue. Pathological assessments of the resected hippocampus were performed. Chronic intracranial electroencephalography (EEG) recordings were obtained in 6 patients. We performed perioperative neuropsychological assessments in all patients. RESULTS: The seizure outcome was recorded as Engel class I in 17 patients (94.4%); Ia = 12 (66.7%) Ib = 2 (11.1%), Ic = 1 (5.6%), Id = 2 (11.1%), and class IIb in one patient (5.6%). Adding resection of the mesial temporal structures to lesionectomy did not alter the seizure outcome. Pathology of hippocampus revealed limited neuronal loss in CA4. Ictal onsets in the ipsilateral lateral cortex were detected in all 6 patients who underwent intracranial EEG. In 4 patients each, we also detected ictal onsets from the ipsilateral mesial temporal structures and from the contralateral temporal lobe. Postoperatively, in the patients where their CM was located in the language-dominant hemisphere (n = 10), the full-scale intelligence quotient (IQ) and the performance IQ increased (p < 0.05), whereas the verbal memory (WMS-R) deteriorated in two of 5 patients. CONCLUSION: Excellent seizure outcomes were obtained even the lesionectomy alone. To confirm appropriate surgical strategy for lateral temporal CM with intractable epilepsy, further studies in large sample size are needed.


Assuntos
Epilepsia Resistente a Medicamentos/cirurgia , Epilepsia do Lobo Temporal/cirurgia , Hemangioma Cavernoso do Sistema Nervoso Central/cirurgia , Neocórtex/cirurgia , Convulsões/cirurgia , Lobo Temporal/cirurgia , Adulto , Epilepsia Resistente a Medicamentos/complicações , Epilepsia Resistente a Medicamentos/patologia , Epilepsia Resistente a Medicamentos/fisiopatologia , Eletroencefalografia/efeitos adversos , Epilepsia do Lobo Temporal/complicações , Feminino , Hemangioma Cavernoso do Sistema Nervoso Central/complicações , Hipocampo/patologia , Hipocampo/fisiopatologia , Hipocampo/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Convulsões/complicações , Convulsões/patologia , Convulsões/fisiopatologia , Lobo Temporal/patologia , Lobo Temporal/fisiopatologia , Adulto Jovem
2.
Ann Neurol ; 78(2): 295-302, 2015 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-25974128

RESUMO

OBJECTIVE: We previously reported ictal very-high-frequency oscillations (VHFO) of 1,000 to 2,500Hz recorded by subdural macroelectrodes using a 10-kHz sampling rate. The purpose of this study was to clarify the clinical significance of ictal VHFO in neocortical epilepsy. METHODS: This study included 13 patients with neocortical epilepsy who underwent subdural electrode implantation and had at least 1 seizure recorded at a 10-kHz sampling rate and were followed for more than 2 years postoperatively. Extent of resection was determined considering the seizure onset zone (SOZ) and irritative zone, structural lesion, and functional areas. Areas showing VHFO and those with HFO were not taken into consideration. The presence or absence of VHFO (>1,000 Hz), HFO (200-1,000Hz) and SOZ, and completeness of resection of these areas were compared with postoperative seizure outcome. RESULTS: Seven patients had favorable (Engel class Ia) and 6 had unfavorable outcomes (other classes). VHFO was recorded in 6 of 7 patients with a favorable outcome. On the contrary, VHFO was recorded in only 1 of 6 patients with unfavorable outcome. The presence of VHFO was significantly associated with favorable outcome. VHFO was recorded on a limited number of electrodes, and VHFO-generating areas were resected completely, whereas HFO-generating areas and/or SOZ were not always resected completely in both favorable and unfavorable outcome groups. INTERPRETATION: The presence of ictal VHFO may be predictive of favorable outcome. Ictal VHFO may be a more specific marker than ictal HFO or SOZ for identifying the core of epileptogenic zone.


Assuntos
Ondas Encefálicas/fisiologia , Epilepsia do Lobo Frontal/fisiopatologia , Neocórtex/fisiopatologia , Adolescente , Adulto , Criança , Eletrodos Implantados , Eletroencefalografia , Epilepsias Parciais/fisiopatologia , Epilepsias Parciais/cirurgia , Epilepsia/fisiopatologia , Epilepsia/cirurgia , Epilepsia do Lobo Frontal/cirurgia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neocórtex/cirurgia , Resultado do Tratamento , Adulto Jovem
3.
Epilepsia ; 57(2): e39-44, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26660199

RESUMO

In seizures with tonic posturing, differentiation of seizures originating in SSMA from seizures originating in cortices other than SSMA and spreading to SSMA has not been previously attempted. Twenty-two patients were studied with intractable focal epilepsy with tonic limb posturing as the most prominent semiology, who underwent resective surgery and obtained favorable postoperative seizure outcomes. These 22 patients were divided into an SSMA group (N = 12) and an extra-SSMA group (N = 10), according to the location of resection. Resection area in the extra-SSMA group was located in the dorsolateral frontal or prefrontal area in four patients, the frontal operculum (insula) in two, the parietal cortex in three, and the temporoparietal cortex in one patient. Video-recorded seizures were carefully reviewed. Tonic posturing characteristics and the presence or absence of accompanying symptoms were compared between groups. Incidence of preservation of consciousness was significantly higher in the SSMA group (p < 0.001). Patients in the SSMA group demonstrated a propensity for having unilateral or bilateral asymmetrical tonic limb posturing. In contrast, patients in the extra-SSMA group had a statistically significantly higher incidence of bilateral symmetrical tonic limb posturing (p < 0.05). These findings may be helpful in identifying seizure origin.


Assuntos
Epilepsia Resistente a Medicamentos/fisiopatologia , Epilepsia Motora Parcial/fisiopatologia , Lobo Parietal/fisiopatologia , Córtex Pré-Frontal/fisiopatologia , Córtex Sensório-Motor/fisiopatologia , Lobo Temporal/fisiopatologia , Adolescente , Adulto , Neoplasias Encefálicas/complicações , Criança , Pré-Escolar , Epilepsia Resistente a Medicamentos/etiologia , Epilepsia Resistente a Medicamentos/cirurgia , Eletroencefalografia , Epilepsias Parciais/etiologia , Epilepsias Parciais/fisiopatologia , Epilepsias Parciais/cirurgia , Epilepsia Motora Parcial/etiologia , Epilepsia Motora Parcial/cirurgia , Feminino , Lobo Frontal/fisiopatologia , Lobo Frontal/cirurgia , Gliose/complicações , Hemangioma Cavernoso do Sistema Nervoso Central/complicações , Humanos , Malformações Arteriovenosas Intracranianas/complicações , Imageamento por Ressonância Magnética , Masculino , Malformações do Desenvolvimento Cortical/complicações , Lobo Parietal/cirurgia , Córtex Pré-Frontal/cirurgia , Córtex Sensório-Motor/cirurgia , Lobo Temporal/cirurgia , Gravação em Vídeo , Adulto Jovem
4.
Epilepsy Behav ; 29(3): 542-7, 2013 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-24207132

RESUMO

PURPOSE: The purposes of the study were twofold: to clarify the clinical features and surgical outcome of mesial temporal lobe epilepsy (MTLE) with no specific histological abnormality and to determine the optimal surgical strategy. METHODS: Twelve patients who met the following criteria were included: (1) normal preoperative MRI; (2) intracranial EEG findings consistent with mesial temporal onset of seizures; (3) selective amygdalohippocampectomy (AHE) was performed, and the patient was followed for more than 2years postoperatively; and (4) hippocampal histopathology was nonspecific. Clinical characteristics, intracranial EEG findings, and postoperative seizure outcome were examined. These twelve patients were compared with twenty-one patients with MTLE with unilateral hippocampal sclerosis (HS) on MRI who underwent intracranial EEG before resection (control group). RESULTS: In patients with MTLE with no specific histological abnormality, the age at onset was significantly higher, the history of febrile seizures was significantly less frequent, and preoperative IQ score was significantly higher than that in the control group. The proportion of patients with bitemporal independent and/or nonlateralizing seizure onset on intracranial EEG was 50% in patients with MTLE with nonspecific histopathology and was significantly higher than that in the control group. Seizure outcome was classified as Engel class I in seven patients, class II in three, class III in one, and class IV in one. Seizure outcome was favorable even in three patients with seizures originating more frequently from the side contralateral to the resected side. CONCLUSIONS: Mesial temporal lobe epilepsy with no specific histological abnormality is a clinical entity distinctly different from MTLE with HS. Bitemporal independent and/or nonlateralizing seizure onset on intracranial EEG is very common. Although the presence of lateral temporal and/or extratemporal epileptogenicity should always be kept in mind, postoperative seizure outcome after AHE is favorable even in cases with bitemporal independent and/or nonlateralizing seizure onset.


Assuntos
Tonsila do Cerebelo/cirurgia , Epilepsia do Lobo Temporal/patologia , Epilepsia do Lobo Temporal/cirurgia , Hipocampo/cirurgia , Adolescente , Adulto , Eletroencefalografia , Feminino , Lateralidade Funcional , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Estatísticas não Paramétricas , Tomografia Computadorizada por Raios X , Resultado do Tratamento , Adulto Jovem
5.
Anticancer Res ; 43(11): 4887-4895, 2023 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-37909947

RESUMO

BACKGROUND/AIM: P53 is the most frequently mutated tumor suppressor gene among all cancers. In human cancers, specific residues of p53 are mutated at a high frequency, and those mutations are known as hotspot mutations. Mutant p53 promotes tumor progression through the gain-of-function (GOF) mechanism. However, its biological characteristics, especially its metastatic potential, owing to different hotspot mutations in gastric cancer remain unclear. In the present study, we investigated the p53-depended metastatic phenotype. MATERIALS AND METHODS: This study examined the differences in the metastatic potential of wild-type, mutant-p53-R175H, and mutant-p53-R273H NUGC-4 gastric cancer cells in vitro and in vivo. RESULTS: NUGC-4-mutant-p53-R175H cells showed significant cell proliferation, healing and invasive abilities in proliferation, wound healing and invasion assay, respectively, compared to wild-type and mutant-p53-R273H cells. Both NUGC-4-mutant-p53 cell types expressed epithelial-mesenchymal transition (EMT)-related proteins. Furthermore, NUGC-4-mutant-p53-R175H cells showed less attachment to the extracellular matrix and greater expression of EMT-related proteins than NUGC-4-mutant-p53-R273H cells. Regarding the peritoneal dissemination model, NUCG-4-mutant-p53-R175H and NUCG-4-mutant-p53-R273H cells demonstrated less frequent formation of dissemination nodules than NUGC-4-empty cells. In contrast, liver metastases were more frequent and greater in number in NUCG3-mutant-p53-R175H than in the other cell lines. CONCLUSION: Our results suggest that differences in the p53 status, even in the hotspot mutation site, affect not only the characteristics of the cells but also the metastatic ability of gastric cancer.


Assuntos
Neoplasias Gástricas , Humanos , Oncologia , Fenótipo , Neoplasias Gástricas/genética , Proteína Supressora de Tumor p53/genética
6.
J Biosci Bioeng ; 136(6): 477-486, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-37923618

RESUMO

Changes in cell fluidity have been observed in various cellular tissues and are strongly linked to biological phenomena such as self-organization. Recent studies suggested variety of mechanisms and factors, which are still being investigated. This study aimed to investigate changes in cell fluidity in multi-layered cell sheets, by exploring the collective arrest of cell motion and its release in cultures of corneal epithelial cells. We constructed mathematical models to simulate the behaviors of individual cells, including cell differentiation and time-dependent changes in cell-cell connections, which are defined by stochastic or kinetic rules. Changes in cell fluidity and cell sheet structures were expressed by simulating autonomous cell behaviors and interactions in tissues using an agent-based model. A single-cell level spatiotemporal analysis of cell state transition between migratable and non-migratable states revealed that the release from collective arrest of cell motion was initially triggered by a decreased ability to form cell-cell connections in the suprabasal layers, and was propagated by chain migration. Notably, the disruption of cell-cell connections and stratification occurred in the region of migratable state cells. Hence, a modeling approach that considers time-dependent changes in cell properties and behavior, and spatiotemporal analysis at the single-cell level can effectively delineate emergent phenomena arising from the complex interplay of cells.


Assuntos
Células Epiteliais , Modelos Biológicos , Movimento Celular
7.
Magn Reson Imaging ; 96: 102-107, 2023 02.
Artigo em Inglês | MEDLINE | ID: mdl-36375761

RESUMO

PURPOSE: To assess the dependency of the Time to enhancement (TTE) of breast lesions and normal breast parenchyma from menopausal status and menstrual cycle using ultrafast compressed sensing (CS) -accelerated dynamic contrast-enhanced (DCE) MRI. METHODS: This institutional review board approved retrospective study included 89 breast cancers, 22 benign lesions and 131 normal breast parenchymal foci. A prototypical ultrafast DCE sequence obtained 30 phases with 2.9 s temporal resolution. Mean and median TTE of all breast cancers, benign lesions and normal breast parenchymal foci were assessed. we also assessed whether there were any differences in TTE regarding the menopausal status and menstrual cycle. RESULTS: The TTE of breast cancer was significantly shorter than that of benign lesions and normal breast parenchymal foci in both the premenopausal status (5.8 vs. 8.7 and 8.7 s, respectively) (p = 0.0028 and < 0.0001, respectively) and postmenopausal status (5.8 vs. 11.6 and 11.6 s, respectively) (p < 0.0001 in both). The TTE of parenchymal foci in the premenopausal status was significantly shorter than that in the postmenopausal status (p = 0.0025). Although the TTE interval between cancer and parenchymal foci in premenopausal status is shorter than that in postmenopausal status, the AUCs in the pre- and postmenopausal status for differentiating breast cancer and parenchymal foci were comparable with using different cutoff TTE values. There were no differences in TTE regarding the menstrual cycle. CONCLUSIONS: The TTE derived from ultrafast CS-accelerated DCE MRI was useful to differentiate breast cancer from benign lesions and normal breast parenchymal foci in both pre- and postmenopausal status.


Assuntos
Neoplasias da Mama , Mama , Feminino , Humanos , Mama/diagnóstico por imagem , Mama/patologia , Estudos Retrospectivos , Meios de Contraste , Neoplasias da Mama/diagnóstico por imagem , Neoplasias da Mama/patologia , Imageamento por Ressonância Magnética , Ciclo Menstrual , Pré-Menopausa
8.
Eur J Ophthalmol ; 33(3): NP31-NP35, 2023 May.
Artigo em Inglês | MEDLINE | ID: mdl-34967228

RESUMO

Toxic anterior segment syndrome (TASS) is a rapid-onset inflammation of the eye following uneventful ocular surgery. We report a case of TASS following Baerveldt glaucoma implant (BGI) surgery. Inductively coupled plasma-mass spectrometry (ICP-MS) identified barium in the eye and in the eluate from the bleb of the BGI. We attribute TASS in our patient to the dissolution of barium from the BGI and its entry into the eye, where it causes severe inflammation.


Assuntos
Oftalmopatias , Implantes para Drenagem de Glaucoma , Humanos , Bário/efeitos adversos , Segmento Anterior do Olho/diagnóstico por imagem , Oftalmopatias/etiologia , Inflamação , Síndrome , Complicações Pós-Operatórias/etiologia , Implantes para Drenagem de Glaucoma/efeitos adversos , Pressão Intraocular
9.
Hum Brain Mapp ; 33(1): 14-26, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21337473

RESUMO

To clarify the characteristics of interhemispheric connections, we investigated cortico-cortical evoked potentials (CCEP) in human. Fourteen patients with temporal lobe epilepsy who underwent invasive EEG monitoring with bilaterally implanted subdural electrodes were studied. Electric pulse stimuli were given in a bipolar fashion at two adjacent electrodes on and around the motor area (MA) or sensory area (SA), and CCEP responses were recorded by averaging electrocorticograms from the contralateral hemisphere. Seventy-two pairs of electrodes were stimulated, and 468 recordings were analyzed. Fifty-one of 468 recordings demonstrated CCEP responses. Of 51 responses, 16 consisted of an initial positive triphasic wave (Type 1), 27 had an initial negative biphasic wave (Type 2), and 8 showed an initial positive biphasic wave (type 3). The mean latencies of the earliest peaks were 13.1, 28.9, and 29.4 ms in Types 1, 2, and 3 responses, respectively. The responses were more frequently evoked by stimulating facial MA (f-MA) and nonfacial MA (nf-MA) than by stimulating SA or noneloquent area. In both f-MA and nf-MA stimulation, the responses were more frequently recorded at the contralateral f-MA than at the contralateral nf-MA or other areas. SA stimulation never evoked CCEP responses at the contralateral MA or SA. The amplitudes were maximal when f-MA was stimulated and responses recorded at the contralateral f-MA. These findings suggest that the interhemispheric connections are uneven. Both f-MA and nf-MA send dense interhemispheric connections to the contralateral f-MA. SA may have no or only rare direct connection with the contralateral MA or SA.


Assuntos
Corpo Caloso/fisiologia , Lateralidade Funcional/fisiologia , Córtex Motor/fisiologia , Rede Nervosa/fisiologia , Córtex Somatossensorial/fisiologia , Adolescente , Adulto , Mapeamento Encefálico , Estimulação Elétrica , Eletrodos Implantados , Eletroencefalografia , Epilepsia/fisiopatologia , Potencial Evocado Motor/fisiologia , Potenciais Somatossensoriais Evocados/fisiologia , Feminino , Humanos , Masculino
10.
Ann Neurol ; 69(1): 201-6, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21280091

RESUMO

Using intracranial electroencephalographic recordings, we identified a distinct brain activity in 3 patients with refractory epilepsy characterized by very early occurrence from 8 minutes 10 seconds to 22 minutes 40 seconds prior to clinical seizure onset, periodical appearance of slow negative baseline shift, long interpeak interval of 40 to 120 seconds, and disappearance after clinical seizure. We named this activity "very low frequency oscillation" (VLFO), which reflected a dynamic process during the preictal state. This observation may render new insight into epileptogenesis and provide additional information concerning the epileptogenic zone as well as prediction of epileptic seizures.


Assuntos
Eletroencefalografia/estatística & dados numéricos , Epilepsia/fisiopatologia , Neocórtex/fisiopatologia , Potenciais de Ação/fisiologia , Adolescente , Adulto , Eletrodos Implantados , Eletroencefalografia/métodos , Epilepsia/cirurgia , Feminino , Humanos , Masculino , Neocórtex/cirurgia , Cuidados Pré-Operatórios/estatística & dados numéricos
11.
Acta Med Okayama ; 66(6): 487-92, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23254583

RESUMO

We report on a case of successful surgical treatment of drug-resistant epilepsy associated with a solitary lesion of periventricular nodular heterotopia (PNH). In the reported patient, intracranial ictal electroencephalography disclosed that seizures did not originate from the heterotopic nodules. However, the seizures were completely suppressed by lesionectomy of PNH alone. Epileptogenesis associated with PNH likely involves a very complex network between PNH and the surrounding cortex, and the disruption of this network may be an effective means of curing intractable, PNH-associated epilepsy.


Assuntos
Epilepsia/cirurgia , Heterotopia Nodular Periventricular/cirurgia , Adulto , Eletroencefalografia , Epilepsia/fisiopatologia , Humanos , Masculino , Heterotopia Nodular Periventricular/fisiopatologia , Resultado do Tratamento
12.
Pediatr Infect Dis J ; 41(9): 696-701, 2022 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-35763688

RESUMO

BACKGROUND: Pityriasis rosea Gibert (PRG) has features similar to those of common infectious childhood diseases, suggesting a viral cause, but no agent has been identified to date. We describe 4 children with PRG and 2 with recurrent varicella who were studied using photochronography, virology and immunology. METHODS: The 6 patients with skin rashes visited our pediatric clinic from April 2012 to May 2016. Photographs of their skin lesions were taken; blood, skin lesions, and/or nasal lavage samples were collected to detect varicella-zoster virus (VZV) DNA and antibodies; and skin tests were carried out to measure cell-mediated immunity to VZV. RESULTS: Herald patches were confirmed in 2 of 4 PRG patients. No specimen cultures were positive for infectious VZV. However, VZV-DNA was detected in skin lesions of 3 PRG patients. During the acute phase, 5 patients had IgG antibodies to VZV, and skin-test reactions were positive in 5 patients. CONCLUSIONS: IgG antibody titers to VZV at rash onset were high, suggesting that they were already rising at the appearance of the rash and that reinfection with VZV must have occurred during the prodromal stage or several weeks before rash appearance in PRG patients whose immunity had declined below the threshold. Our study suggests a new pathogenesis of PRG that might help to address incongruities of past theories on PRG sites of viral entry and replication, incubation period and variations in the clinical course of PRG from prodrome to healing.


Assuntos
Varicela , Exantema , Herpes Zoster , Pitiríase Rósea , Dermatopatias , Anticorpos Antivirais , Varicela/diagnóstico , Criança , Herpesvirus Humano 3 , Humanos , Imunoglobulina G
13.
Kansenshogaku Zasshi ; 85(2): 161-5, 2011 Mar.
Artigo em Japonês | MEDLINE | ID: mdl-21560419

RESUMO

Oka varicella vaccine was developed to confer active immunity to varicella-zoster virus (VZV) in immunocompromized and immunocompetent children. It is now used to prevent varicella in about 20 million people worldwide. Although VZV infectivion is relatively unstable compared to other viruses, cell-free virus is stabilized and lyophilized vaccine has been developed. Virus titers were evaluated in vaccine distributed to six clinics in 5 years. Yearly mean virus titers at the vaccine producer were 42,000-67,000 plaque-forming units per dose, corresponding to Oka varicella vaccine (Zostavax) used to prevent zoster and postherpetic neuralgia by Oxman et al. Virus titer was found to be stable during delivery to clinics. Virus titers of varicella vaccine were equivalent to Zostavax and vaccine delivered to clinics had enough virus titer to confer active immunity to VZV in this study.


Assuntos
Vacina contra Varicela/normas , Vacina contra Varicela/imunologia
14.
Int J Pharm ; 592: 120067, 2021 Jan 05.
Artigo em Inglês | MEDLINE | ID: mdl-33189813

RESUMO

Fluorometholone is a widely used anti-inflammatory ophthalmic formulation, which elicits a lower ocular hypertensive response than other glucocorticoid medications. This serves to mitigate against the risk of steroid-induced glaucoma. Based on the hypothesis that an improved corneal permeability can increase the bioavailability of a drug, we sought to obtain fluorometholone in suspension with a small particle size. Accordingly, we describe the formulation of fluorometholone nanocrystal eye drops, which have a mean particle size of 201.2 ± 14.1 nm (standard deviation (s.d.)) when measured by dynamic light scattering. Scanning electron microscopy further indicates that fluorometholone nanocrystals are predominantly rectangular in shape. Fluorometholone microcrystals, on the other hand, with a mean particle size of 9.24 ± 4.51 µm (s.d.), tend to have a rod-like morphology. Powder x-ray diffraction revealed that fluorometholone microcrystal and nanocrystal formulations have the same crystal structure, with the main diffraction peaks at 2θ = 10.4 and 15.3°. The nanocrystal formulation was found to be stable, long-term, when stored at 10 °C for up to 6-months. High pressure liquid chromatography (HPLC) of the aqueous humor of rabbit eyes 15-240 mins after the in vivo application of fluorometholone eye drops to the ocular surface revealed that the molecule had been converted to 20α-dihydrofluorometholone (with no evidence of a 20ß-dihydrofluorometholone fraction), and that penetration was 2-6 fold higher and longer lasting with the nanocrystal, rather than the microcrystal, formulation. In current study we show how newly generated fluorometholone nanocrystals when administered as eye drops enter the anterior chamber of the eye and become metabolized to dihydrofluorometholone.


Assuntos
Fluormetolona , Nanopartículas , Animais , Disponibilidade Biológica , Córnea , Soluções Oftálmicas , Coelhos
15.
Jpn J Radiol ; 39(3): 246-253, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33001328

RESUMO

PURPOSE: To determine the relationship between the maximum slope (MS) of ultrafast dynamic contrast-enhanced (DCE)-MRI and prognostic factors of breast cancer. METHODS: One hundred thirteen patients with 118 breast cancers were included in this study. The ultrafast DCE sequence was acquired using a higher parallel imaging factor. Its spatial resolution was 0.9 × 0.9 × 2.5 mm and its temporal resolution was 8.3 s/phase. Each lesion was automatically segmented, and the ROI of highest enhancement in the lesion was identified. In this ROI, the MS was calculated. The MS of each lesion was compared with various prognostic factors of breast cancer. RESULTS: The MS of invasive cancer (median: 9.81%/sec) was significantly higher than that of ductal carcinoma in situ (median: 7.26%/sec) (p = 0.001). In the ROC analysis, the area under the ROC curve (AUC) was 0.7295. The MS of invasive cancer with axillary lymph node (LN) metastasis (median: 11.97%/sec) was significantly higher than that without axillary LN metastasis (median: 9.425%/sec) (p = 0.0024). In the ROC analysis, the AUC was 0.7177. In addition, the MS became significantly higher as the level of the proliferation marker ki-67 increased (correlation coefficient: 0.3317) (p = 0.0009). CONCLUSIONS: MS of ultrafast DCE-MRI is useful for predicting the prognostic factors of breast cancer. Higher maximum slope (MS) is significantly associated with an invasive breast cancer component. Higher MS is significantly associated with an axillary lymph node metastasis. MS becomes significantly higher with increasing ki-67 (a proliferation marker). Ultrafast MRI is useful for predicting the prognostic factors of breast cancer.


Assuntos
Neoplasias da Mama/diagnóstico por imagem , Meios de Contraste , Aumento da Imagem/métodos , Interpretação de Imagem Assistida por Computador/métodos , Imageamento por Ressonância Magnética/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Área Sob a Curva , Mama/diagnóstico por imagem , Mama/patologia , Neoplasias da Mama/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Prognóstico , Curva ROC , Estudos Retrospectivos
16.
Epilepsy Behav ; 18(4): 488-90, 2010 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-20634144

RESUMO

Cortical areas that control ear movement have not been reported in humans. We describe a rare case in which ear auricle movement was induced by extraoperative electrical cortical stimulation. A 21-year-old man with intractable localization-related epilepsy was admitted for presurgical evaluation. Subdural electrodes were implanted over the right temporal and frontal regions. Tonic upward contraction of the left ear auricle was elicited by stimulating the subdural electrode on the posterior portion of the right superior temporal gyrus close to the end of the Sylvian fissure. No other body movements or auditory symptoms were elicited. A possible mechanism underlying this rare phenomenon is discussed.


Assuntos
Pavilhão Auricular/fisiopatologia , Estimulação Elétrica/efeitos adversos , Transtornos dos Movimentos/etiologia , Córtex Cerebral/fisiologia , Epilepsia/terapia , Humanos , Masculino , Adulto Jovem
17.
J Cataract Refract Surg ; 46(10): 1381-1386, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33060473

RESUMO

PURPOSE: To analyze the difference between the behavior of semicircular (balanced) and bent (mini) tips at 20 incremental torsional power settings. SETTING: Tsukazaki Hospital, Himeji, Japan. DESIGN: Experimental study. METHODS: Using an ultra-high-speed video camera HPV-X2, the 2 tips during torsional oscillation were recorded, comparing tip behavior at power settings from 5% to 100% by tracking points 1 to 5 (tip end and at 1325, 2650, 3975, and 5035 µm from the tip end). RESULTS: Both tips increased their amplitude widths, drawing an S-curve at all points as the torsional power setting was increased, reaching their upper limits from 70% to 90% torsional power. At all 20 power settings, both tips showed significantly different amplitudes (all P < .01), and the difference of the amplitude increased as the power setting increased. Although, at points 1 and 3, the balanced tip amplitude was nearly 1.5 times larger than the mini tip amplitude, the amplitude difference was 10 µm or less at points 2 and 4. At point 5, the mini tip amplitude was at least 3 times more than the balanced tip amplitude. CONCLUSIONS: The amplitude does not increase proportionally and varies markedly with the tip shape on reaching the upper limit, suggesting that a higher power setting might not contribute greatly to nuclear fragmentation. The balanced tip might cause greater damage to surrounding tissues if it is inserted at approximately 3 mm from the wound site. To obtain maximum shaft stability using the balanced tip, it is important to insert at least 5 mm.


Assuntos
Facoemulsificação , Humanos , Japão
18.
Sci Rep ; 10(1): 9282, 2020 06 09.
Artigo em Inglês | MEDLINE | ID: mdl-32518325

RESUMO

Corneal limbal epithelial stem cell transplantation using cultivated human corneal epithelial cell sheets has been used successfully to treat limbal stem cell deficiencies. Here we report an investigation into the quality of cultivated human corneal epithelial cell sheets using time-lapse imaging of the cell culture process every 20 minutes over 14 days to ascertain the level of cell jamming, a phenomenon in which cells become smaller, more rounded and less actively expansive. In parallel, we also assessed the expression of p63, an important corneal epithelial stem cell marker. The occurrence of cell jamming was variable and transient, but was invariably associated with a thickening and stratification of the cell sheet. p63 was present in all expanding cell sheets in the first 9 days of culture, but it's presence did not always correlate with stratification of the cell sheet. Nor did p63 expression necessarily persist in stratified cell sheets. An assessment of cell jamming, therefore, can shed significant light on the quality and regenerative potential of cultivated human corneal epithelial cell sheets.


Assuntos
Doenças da Córnea/terapia , Epitélio Corneano/citologia , Proteínas de Membrana/metabolismo , Transplante de Células-Tronco , Células-Tronco/citologia , Células 3T3 , Animais , Engenharia Biomédica/métodos , Diferenciação Celular/fisiologia , Linhagem Celular , Proliferação de Células/fisiologia , Células Epiteliais/citologia , Feminino , Humanos , Limbo da Córnea/citologia , Masculino , Camundongos , Pessoa de Meia-Idade
19.
Bioorg Med Chem Lett ; 19(15): 4488-91, 2009 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-19546003

RESUMO

Respiratory syncytial virus (RSV) is the single most important cause of severe lower respiratory tract infections in infants and young children, and a major public health concern in pediatrics. However, current diagnostic methods for RSV are not sufficiently sensitive. In addition, there is no simple method for enhancing RSV detection. Here, a method for capturing RSV from nasal fluid has been developed using magnetic beads coated with an anionic polymer, poly(methyl vinyl ether-maleic anhydrate). The beads were incubated with RSV-infected nasal fluid, then separated from the supernatant by applying a magnet field and washed. The adsorption [corrected] of RSV by the beads was confirmed by immunochromatography, reverse transcription-polymerase chain reaction, Western blotting and an enzyme-linked immunosorbent assay, which indicated the presence of nucleocapsid protein, fusion protein, and the viral genome of RSV on the incubated beads. Therefore, this capture method will contribute to the improvement of RSV detection.


Assuntos
Antivirais/síntese química , Maleatos/síntese química , Polietilenos/síntese química , Polímeros/química , Vírus Sinciciais Respiratórios/metabolismo , Ânions , Antivirais/farmacologia , Western Blotting , Química Farmacêutica/métodos , Cromatografia/métodos , Desenho de Fármacos , Ensaio de Imunoadsorção Enzimática/métodos , Humanos , Maleatos/farmacologia , Proteínas do Nucleocapsídeo/química , Polietilenos/farmacologia , Infecções por Vírus Respiratório Sincicial/tratamento farmacológico , Infecções por Vírus Respiratório Sincicial/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa
20.
Bioorg Med Chem ; 17(2): 752-7, 2009 Jan 15.
Artigo em Inglês | MEDLINE | ID: mdl-19081256

RESUMO

An anionic magnetic beads-based method was developed for the capture of human influenza A and B viruses from nasal aspirates, allantoic fluid and culture medium. A polymer, poly(methyl vinyl ether-maleic anhydride) [poly(MVE-MA)], was used to endow magnetic beads with a negative charge and bioadhesive properties. After incubation with samples containing human influenza virus, the beads were separated from supernatants by applying a magnetic field. The adsorption [corrected] of the virus by the beads was confirmed by hemagglutinin assay, immunochromatography, Western blotting, egg infection, and cell infection. Successful capture was proved using 5 H1N1 influenza A viruses, 10 H3N2 influenza A viruses, and 6 influenza B viruses. Furthermore, the infectivity in chicken embryonated eggs and Madin-Darby canine kidney (MDCK) cells of the captured human influenza virus was similar to that of the total viral quantity of starting materials. Therefore, this method of capture using magnetic beads coated with poly(MVE-MA) can be broadly used for the recovery of infectious human influenza viruses.


Assuntos
Imunoensaio/métodos , Vírus da Influenza A/isolamento & purificação , Vírus da Influenza B/isolamento & purificação , Polímeros/química , Animais , Aderência Bacteriana , Embrião de Galinha , Cães , Humanos , Vírus da Influenza A Subtipo H1N1/isolamento & purificação , Vírus da Influenza A Subtipo H3N2/isolamento & purificação , Influenza Humana/virologia , Magnetismo , Eletricidade Estática
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