|
A O |
|
novel O |
|
SCN5A O |
|
mutation O |
|
manifests O |
|
as O |
|
a O |
|
malignant O |
|
form O |
|
of O |
|
long O |
|
QT O |
|
syndrome O |
|
with O |
|
perinatal O |
|
onset O |
|
of O |
|
tachycardia O |
|
/ O |
|
bradycardia O |
|
. O |
|
|
|
OBJECTIVE O |
|
: O |
|
Congenital O |
|
long O |
|
QT O |
|
syndrome O |
|
( O |
|
LQTS O |
|
) O |
|
with O |
|
in O |
|
utero O |
|
onset O |
|
of O |
|
the O |
|
rhythm O |
|
disturbances O |
|
is O |
|
associated O |
|
with O |
|
a O |
|
poor O |
|
prognosis O |
|
. O |
|
|
|
In O |
|
this O |
|
study O |
|
we O |
|
investigated O |
|
a O |
|
newborn O |
|
patient O |
|
with O |
|
fetal O |
|
bradycardia O |
|
, O |
|
2 O |
|
: O |
|
1 O |
|
atrioventricular O |
|
block O |
|
and O |
|
ventricular O |
|
tachycardia O |
|
soon O |
|
after O |
|
birth O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
Mutational O |
|
analysis O |
|
and O |
|
DNA O |
|
sequencing O |
|
were O |
|
conducted O |
|
in O |
|
a O |
|
newborn O |
|
. O |
|
|
|
The O |
|
2 O |
|
: O |
|
1 O |
|
atrioventricular O |
|
block O |
|
improved O |
|
to O |
|
1 O |
|
: O |
|
1 O |
|
conduction O |
|
only O |
|
after O |
|
intravenous O |
|
lidocaine B |
|
infusion O |
|
or O |
|
a O |
|
high O |
|
dose O |
|
of O |
|
mexiletine B |
|
, O |
|
which O |
|
also O |
|
controlled O |
|
the O |
|
ventricular O |
|
tachycardia O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
A O |
|
novel O |
|
, O |
|
spontaneous O |
|
LQTS O |
|
- O |
|
3 O |
|
mutation O |
|
was O |
|
identified O |
|
in O |
|
the O |
|
transmembrane O |
|
segment O |
|
6 O |
|
of O |
|
domain O |
|
IV O |
|
of O |
|
the O |
|
Na O |
|
( O |
|
v O |
|
) O |
|
1 O |
|
. O |
|
5 O |
|
cardiac O |
|
sodium O |
|
channel O |
|
, O |
|
with O |
|
a O |
|
G O |
|
--> O |
|
A O |
|
substitution O |
|
at O |
|
codon O |
|
1763 O |
|
, O |
|
which O |
|
changed O |
|
a O |
|
valine O |
|
( O |
|
GTG O |
|
) O |
|
to O |
|
a O |
|
methionine O |
|
( O |
|
ATG O |
|
). O |
|
|
|
The O |
|
proband O |
|
was O |
|
heterozygous O |
|
but O |
|
the O |
|
mutation O |
|
was O |
|
absent O |
|
in O |
|
the O |
|
parents O |
|
and O |
|
the O |
|
sister O |
|
. O |
|
|
|
Expression O |
|
of O |
|
this O |
|
mutant O |
|
channel O |
|
in O |
|
tsA201 O |
|
mammalian O |
|
cells O |
|
by O |
|
site O |
|
- O |
|
directed O |
|
mutagenesis O |
|
revealed O |
|
a O |
|
persistent O |
|
tetrodotoxin O |
|
- O |
|
sensitive O |
|
but O |
|
lidocaine B |
|
- O |
|
resistant O |
|
current O |
|
that O |
|
was O |
|
associated O |
|
with O |
|
a O |
|
positive O |
|
shift O |
|
of O |
|
the O |
|
steady O |
|
- O |
|
state O |
|
inactivation O |
|
curve O |
|
, O |
|
steeper O |
|
activation O |
|
curve O |
|
and O |
|
faster O |
|
recovery O |
|
from O |
|
inactivation O |
|
. O |
|
|
|
We O |
|
also O |
|
found O |
|
a O |
|
similar O |
|
electrophysiological O |
|
profile O |
|
for O |
|
the O |
|
neighboring O |
|
V1764M O |
|
mutant O |
|
. O |
|
|
|
But O |
|
, O |
|
the O |
|
other O |
|
neighboring O |
|
I1762A O |
|
mutant O |
|
had O |
|
no O |
|
persistent O |
|
current O |
|
and O |
|
was O |
|
still O |
|
associated O |
|
with O |
|
a O |
|
positive O |
|
shift O |
|
of O |
|
inactivation O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
These O |
|
findings O |
|
suggest O |
|
that O |
|
the O |
|
Na O |
|
( O |
|
v O |
|
) O |
|
1 O |
|
. O |
|
5 O |
|
/ O |
|
V1763M O |
|
channel O |
|
dysfunction O |
|
and O |
|
possible O |
|
neighboring O |
|
mutants O |
|
contribute O |
|
to O |
|
a O |
|
persistent O |
|
inward O |
|
current O |
|
due O |
|
to O |
|
altered O |
|
inactivation O |
|
kinetics O |
|
and O |
|
clinically O |
|
congenital O |
|
LQTS O |
|
with O |
|
perinatal O |
|
onset O |
|
of O |
|
arrhythmias O |
|
that O |
|
responded O |
|
to O |
|
lidocaine B |
|
and O |
|
mexiletine B |
|
. O |
|
|
|
|
|
Allelic O |
|
expression O |
|
imbalance O |
|
of O |
|
human O |
|
mu O |
|
opioid O |
|
receptor O |
|
( O |
|
OPRM1 O |
|
) O |
|
caused O |
|
by O |
|
variant O |
|
A118G O |
|
. O |
|
|
|
As O |
|
a O |
|
primary O |
|
target O |
|
for O |
|
opioid B |
|
drugs O |
|
and O |
|
peptides O |
|
, O |
|
the O |
|
mu O |
|
opioid O |
|
receptor O |
|
( O |
|
OPRM1 O |
|
) O |
|
plays O |
|
a O |
|
key O |
|
role O |
|
in O |
|
pain O |
|
perception O |
|
and O |
|
addiction O |
|
. O |
|
|
|
Genetic O |
|
variants O |
|
of O |
|
OPRM1 O |
|
have O |
|
been O |
|
implicated O |
|
in O |
|
predisposition O |
|
to O |
|
drug O |
|
addiction O |
|
, O |
|
in O |
|
particular O |
|
the O |
|
single O |
|
nucleotide O |
|
polymorphism O |
|
A118G O |
|
, O |
|
leading O |
|
to O |
|
an O |
|
N40D O |
|
substitution O |
|
, O |
|
with O |
|
an O |
|
allele O |
|
frequency O |
|
of O |
|
10 O |
|
- O |
|
32 O |
|
%, O |
|
and O |
|
uncertain O |
|
functions O |
|
. O |
|
|
|
We O |
|
have O |
|
measured O |
|
allele O |
|
- O |
|
specific O |
|
mRNA O |
|
expression O |
|
of O |
|
OPRM1 O |
|
in O |
|
human O |
|
autopsy O |
|
brain O |
|
tissues O |
|
, O |
|
using O |
|
A118G O |
|
as O |
|
a O |
|
marker O |
|
. O |
|
|
|
In O |
|
8 O |
|
heterozygous O |
|
samples O |
|
measured O |
|
, O |
|
the O |
|
A118 O |
|
mRNA O |
|
allele O |
|
was O |
|
1 O |
|
. O |
|
5 O |
|
- O |
|
2 O |
|
. O |
|
5 O |
|
- O |
|
fold O |
|
more O |
|
abundant O |
|
than O |
|
the O |
|
G118 O |
|
allele O |
|
. O |
|
|
|
Transfection O |
|
into O |
|
Chinese O |
|
hamster O |
|
ovary O |
|
cells O |
|
of O |
|
a O |
|
cDNA O |
|
representing O |
|
only O |
|
the O |
|
coding O |
|
region O |
|
of O |
|
OPRM1 O |
|
, O |
|
carrying O |
|
adenosine O |
|
, O |
|
guanosine O |
|
, O |
|
cytidine O |
|
, O |
|
and O |
|
thymidine O |
|
in O |
|
position O |
|
118 O |
|
, O |
|
resulted O |
|
in O |
|
1 O |
|
. O |
|
5 O |
|
- O |
|
fold O |
|
lower O |
|
mRNA O |
|
levels O |
|
only O |
|
for O |
|
OPRM1 O |
|
- O |
|
G118 O |
|
, O |
|
and O |
|
more O |
|
than O |
|
10 O |
|
- O |
|
fold O |
|
lower O |
|
OPRM1 O |
|
protein O |
|
levels O |
|
, O |
|
measured O |
|
by O |
|
Western O |
|
blotting O |
|
and O |
|
receptor O |
|
binding O |
|
assay O |
|
. O |
|
|
|
After O |
|
transfection O |
|
and O |
|
inhibition O |
|
of O |
|
transcription O |
|
with O |
|
actinomycin B |
|
D I |
|
, O |
|
analysis O |
|
of O |
|
mRNA O |
|
turnover O |
|
failed O |
|
to O |
|
reveal O |
|
differences O |
|
in O |
|
mRNA O |
|
stability O |
|
between O |
|
A118 O |
|
and O |
|
G118 O |
|
alleles O |
|
, O |
|
indicating O |
|
a O |
|
defect O |
|
in O |
|
transcription O |
|
or O |
|
mRNA O |
|
maturation O |
|
. O |
|
|
|
These O |
|
results O |
|
indicate O |
|
that O |
|
OPRM1 O |
|
- O |
|
G118 O |
|
is O |
|
a O |
|
functional O |
|
variant O |
|
with O |
|
deleterious O |
|
effects O |
|
on O |
|
both O |
|
mRNA O |
|
and O |
|
protein O |
|
yield O |
|
. O |
|
|
|
Clarifying O |
|
the O |
|
functional O |
|
relevance O |
|
of O |
|
polymorphisms O |
|
associated O |
|
with O |
|
susceptibility O |
|
to O |
|
a O |
|
complex O |
|
disorder O |
|
such O |
|
as O |
|
drug O |
|
addiction O |
|
provides O |
|
a O |
|
foundation O |
|
for O |
|
clinical O |
|
association O |
|
studies O |
|
. O |
|
|
|
|
|
Genetic O |
|
polymorphisms O |
|
in O |
|
the O |
|
carbonyl O |
|
reductase O |
|
3 O |
|
gene O |
|
CBR3 O |
|
and O |
|
the O |
|
NAD O |
|
( O |
|
P O |
|
) O |
|
H O |
|
: O |
|
quinone O |
|
oxidoreductase O |
|
1 O |
|
gene O |
|
NQO1 O |
|
in O |
|
patients O |
|
who O |
|
developed O |
|
anthracycline B |
|
- O |
|
related O |
|
congestive O |
|
heart O |
|
failure O |
|
after O |
|
childhood O |
|
cancer O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
Exposure O |
|
to O |
|
anthracyclines B |
|
as O |
|
part O |
|
of O |
|
cancer O |
|
therapy O |
|
has O |
|
been O |
|
associated O |
|
with O |
|
the O |
|
development O |
|
of O |
|
congestive O |
|
heart O |
|
failure O |
|
( O |
|
CHF O |
|
). O |
|
|
|
The O |
|
potential O |
|
role O |
|
of O |
|
genetic O |
|
risk O |
|
factors O |
|
in O |
|
anthracycline B |
|
- O |
|
related O |
|
CHF O |
|
remains O |
|
to O |
|
be O |
|
defined O |
|
. O |
|
|
|
Thus O |
|
, O |
|
in O |
|
this O |
|
study O |
|
, O |
|
the O |
|
authors O |
|
examined O |
|
whether O |
|
common O |
|
polymorphisms O |
|
in O |
|
candidate O |
|
genes O |
|
involved O |
|
in O |
|
the O |
|
pharmacodynamics O |
|
of O |
|
anthracyclines B |
|
( O |
|
in O |
|
particular O |
|
, O |
|
the O |
|
nicotinamide O |
|
adenine O |
|
dinucleotide O |
|
phosphate O |
|
: O |
|
quinone O |
|
oxidoreductase O |
|
1 O |
|
gene O |
|
NQO1 O |
|
and O |
|
the O |
|
carbonyl O |
|
reductase O |
|
3 O |
|
gene O |
|
CBR3 O |
|
) O |
|
had O |
|
an O |
|
impact O |
|
on O |
|
the O |
|
risk O |
|
of O |
|
anthracycline B |
|
- O |
|
related O |
|
CHF O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
A O |
|
nested O |
|
case O |
|
- O |
|
control O |
|
study O |
|
was O |
|
conducted O |
|
within O |
|
a O |
|
cohort O |
|
of O |
|
1979 O |
|
patients O |
|
enrolled O |
|
in O |
|
the O |
|
Childhood O |
|
Cancer O |
|
Survivor O |
|
Study O |
|
who O |
|
received O |
|
treatment O |
|
with O |
|
anthracyclines B |
|
and O |
|
had O |
|
available O |
|
DNA O |
|
. O |
|
|
|
Thirty O |
|
patients O |
|
with O |
|
CHF O |
|
( O |
|
cases O |
|
) O |
|
and O |
|
115 O |
|
matched O |
|
controls O |
|
were O |
|
genotyped O |
|
for O |
|
polymorphisms O |
|
in O |
|
NQO1 O |
|
( O |
|
NQO1 O |
|
* O |
|
2 O |
|
) O |
|
and O |
|
CBR3 O |
|
( O |
|
the O |
|
CBR3 O |
|
valine O |
|
[ O |
|
V O |
|
] O |
|
to O |
|
methionine O |
|
[ O |
|
M O |
|
] O |
|
substitution O |
|
at O |
|
position O |
|
244 O |
|
[ O |
|
V244M O |
|
]). O |
|
|
|
Enzyme O |
|
activity O |
|
assays O |
|
with O |
|
recombinant O |
|
CBR3 O |
|
isoforms O |
|
( O |
|
CBR3 O |
|
V244 O |
|
and O |
|
CBR3 O |
|
M244 O |
|
) O |
|
and O |
|
the O |
|
anthracycline B |
|
substrate O |
|
doxorubicin B |
|
were O |
|
used O |
|
to O |
|
investigate O |
|
the O |
|
functional O |
|
impact O |
|
of O |
|
the O |
|
CBR3 O |
|
V244M O |
|
polymorphism O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Multivariate O |
|
analyses O |
|
adjusted O |
|
for O |
|
sex O |
|
and O |
|
primary O |
|
disease O |
|
recurrence O |
|
were O |
|
used O |
|
to O |
|
test O |
|
for O |
|
associations O |
|
between O |
|
the O |
|
candidate O |
|
genetic O |
|
polymorphisms O |
|
( O |
|
NQO1 O |
|
* O |
|
2 O |
|
and O |
|
CBR3 O |
|
V244M O |
|
) O |
|
and O |
|
the O |
|
risk O |
|
of O |
|
CHF O |
|
. O |
|
|
|
Analyses O |
|
indicated O |
|
no O |
|
association O |
|
between O |
|
the O |
|
NQO1 O |
|
* O |
|
2 O |
|
polymorphism O |
|
and O |
|
the O |
|
risk O |
|
of O |
|
anthracycline B |
|
- O |
|
related O |
|
CHF O |
|
( O |
|
odds O |
|
ratio O |
|
[ O |
|
OR O |
|
], O |
|
1 O |
|
. O |
|
4 O |
|
; O |
|
P O |
|
=. O |
|
97 O |
|
). O |
|
|
|
There O |
|
was O |
|
a O |
|
trend O |
|
toward O |
|
an O |
|
association O |
|
between O |
|
the O |
|
CBR3 O |
|
V244M O |
|
polymorphism O |
|
and O |
|
the O |
|
risk O |
|
of O |
|
CHF O |
|
( O |
|
OR O |
|
, O |
|
8 O |
|
. O |
|
16 O |
|
; O |
|
P O |
|
=. O |
|
56 O |
|
for O |
|
G O |
|
/ O |
|
G O |
|
vs O |
|
A O |
|
/ O |
|
A O |
|
; O |
|
OR O |
|
, O |
|
5 O |
|
. O |
|
44 O |
|
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|
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|
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|
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|
for O |
|
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|
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|
|
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line O |
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|
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|
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|
2 O |
|
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|
6 O |
|
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fold O |
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more O |
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|
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|
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unit O |
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|
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|
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|
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|
A O |
|
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|
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|
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|
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|
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|
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|
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3 O |
|
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|
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|
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|
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|
hour O |
|
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|
mg O |
|
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|
vs O |
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
: O |
|
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|
functional O |
|
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|
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|
polymorphism O |
|
may O |
|
have O |
|
an O |
|
impact O |
|
on O |
|
the O |
|
risk O |
|
of O |
|
anthracycline B |
|
- O |
|
related O |
|
CHF O |
|
among O |
|
childhood O |
|
cancer O |
|
survivors O |
|
by O |
|
modulating O |
|
the O |
|
intracardiac O |
|
formation O |
|
of O |
|
cardiotoxic O |
|
anthracycline B |
|
alcohol I |
|
metabolites O |
|
. O |
|
|
|
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|
confirmatory O |
|
case O |
|
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|
control O |
|
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are O |
|
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|
. O |
|
|
|
|
|
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phenotype O |
|
and O |
|
the O |
|
pharmacokinetics O |
|
and O |
|
beta O |
|
- O |
|
2 O |
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receptor O |
|
pharmacodynamics O |
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|
metoprolol B |
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its O |
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|
|
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|
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|
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|
|
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|
|
|
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|
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|
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|
values O |
|
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|
|
|
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|
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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at O |
|
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|
time O |
|
intervals O |
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
area O |
|
under O |
|
the O |
|
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|
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|
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|
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|
|
|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
for O |
|
higher O |
|
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|
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|
S O |
|
- O |
|
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|
ratios O |
|
of O |
|
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|
drug O |
|
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|
|
|
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|
was O |
|
a O |
|
difference O |
|
in O |
|
metoprolol B |
|
potency O |
|
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|
higher O |
|
racemic O |
|
metoprolol B |
|
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|
values O |
|
in O |
|
PMs O |
|
( O |
|
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|
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|
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|
ng O |
|
. O |
|
ml O |
|
- O |
|
1 O |
|
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|
than O |
|
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|
( O |
|
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|
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|
8 O |
|
ng O |
|
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|
ml O |
|
- O |
|
1 O |
|
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|
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|
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|
than O |
|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
mitochondrial O |
|
DNA O |
|
depletion O |
|
syndrome O |
|
. O |
|
|
|
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|
kinase O |
|
( O |
|
dGK O |
|
) O |
|
deficiency O |
|
is O |
|
a O |
|
frequent O |
|
cause O |
|
of O |
|
mitochondrial O |
|
DNA O |
|
depletion O |
|
associated O |
|
with O |
|
a O |
|
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|
phenotype O |
|
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|
|
|
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|
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|
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|
, O |
|
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|
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|
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|
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|
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|
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|
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|
in O |
|
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|
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|
gene O |
|
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|
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|
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|
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|
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|
, O |
|
and O |
|
genetic O |
|
features O |
|
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|
these O |
|
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|
patients O |
|
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|
|
|
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|
new O |
|
DGUOK O |
|
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|
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|
( O |
|
c O |
|
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|
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|
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|
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|
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|
A O |
|
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|
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|
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|
in O |
|
three O |
|
patients O |
|
from O |
|
two O |
|
North O |
|
- O |
|
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|
consanguineous O |
|
families O |
|
with O |
|
combined O |
|
respiratory O |
|
chain O |
|
deficiencies O |
|
and O |
|
mitochondrial O |
|
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|
depletion O |
|
in O |
|
the O |
|
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|
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|
|
|
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|
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|
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|
normal O |
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
, O |
|
we O |
|
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|
subtentorial O |
|
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|
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|
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|
moderate O |
|
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|
in O |
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
impact O |
|
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|
the O |
|
insertion O |
|
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|
serious O |
|
clashes O |
|
in O |
|
protein O |
|
conformation O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
both O |
|
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|
was O |
|
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|
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|
haplotype O |
|
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|
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|
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|
markers O |
|
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|
microsatellites O |
|
and O |
|
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|
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|
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|
span O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
provide O |
|
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|
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|
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|
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|
protein O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
gene O |
|
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|
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|
) O |
|
variants O |
|
may O |
|
increase O |
|
autistic O |
|
symptoms O |
|
and O |
|
anxiety O |
|
in O |
|
autism O |
|
spectrum O |
|
disorder O |
|
. O |
|
|
|
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|
spectrum O |
|
disorders O |
|
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|
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|
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|
are O |
|
heterogeneous O |
|
disorders O |
|
presenting O |
|
with O |
|
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|
rates O |
|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
is O |
|
associated O |
|
with O |
|
panic O |
|
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|
and O |
|
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|
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|
on O |
|
chromosome O |
|
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|
. O |
|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
strongly O |
|
expressed O |
|
in O |
|
the O |
|
caudate O |
|
nucleus O |
|
, O |
|
which O |
|
also O |
|
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|
involved O |
|
in O |
|
ASD O |
|
. O |
|
|
|
As O |
|
autistic O |
|
symptoms O |
|
are O |
|
increased O |
|
in O |
|
individuals O |
|
with O |
|
22q11 O |
|
. O |
|
2 O |
|
deletion O |
|
syndrome O |
|
, O |
|
and O |
|
large O |
|
22q11 O |
|
. O |
|
2 O |
|
deletions O |
|
and O |
|
duplications O |
|
have O |
|
been O |
|
observed O |
|
in O |
|
ASD O |
|
individuals O |
|
, O |
|
in O |
|
this O |
|
study O |
|
, O |
|
98 O |
|
individuals O |
|
with O |
|
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|
and O |
|
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|
control O |
|
individuals O |
|
were O |
|
genotyped O |
|
for O |
|
eight O |
|
single O |
|
- O |
|
nucleotide O |
|
polymorphisms O |
|
in O |
|
ADORA2A O |
|
. O |
|
|
|
Nominal O |
|
association O |
|
with O |
|
the O |
|
disorder O |
|
was O |
|
observed O |
|
for O |
|
rs2236624 O |
|
- O |
|
CC O |
|
, O |
|
and O |
|
phenotypic O |
|
variability O |
|
in O |
|
ASD O |
|
symptoms O |
|
was O |
|
influenced O |
|
by O |
|
rs3761422 O |
|
, O |
|
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|
and O |
|
rs35320474 O |
|
. O |
|
|
|
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|
addition O |
|
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|
association O |
|
of O |
|
ADORA2A O |
|
variants O |
|
with O |
|
anxiety O |
|
was O |
|
replicated O |
|
for O |
|
individuals O |
|
with O |
|
ASD O |
|
. O |
|
|
|
Findings O |
|
point O |
|
toward O |
|
a O |
|
possible O |
|
mediating O |
|
role O |
|
of O |
|
ADORA2A O |
|
variants O |
|
on O |
|
phenotypic O |
|
expression O |
|
in O |
|
ASD O |
|
that O |
|
need O |
|
to O |
|
be O |
|
replicated O |
|
in O |
|
a O |
|
larger O |
|
sample O |
|
. O |
|
|
|
|
|
High O |
|
frequency O |
|
of O |
|
lamivudine B |
|
resistance O |
|
mutations O |
|
in O |
|
Brazilian O |
|
patients O |
|
co O |
|
- O |
|
infected O |
|
with O |
|
HIV O |
|
and O |
|
hepatitis O |
|
B O |
|
. O |
|
|
|
This O |
|
study O |
|
analyzed O |
|
the O |
|
genotype O |
|
distribution O |
|
and O |
|
frequency O |
|
of O |
|
lamivudine B |
|
( O |
|
LAM B |
|
) O |
|
and O |
|
tenofovir B |
|
( O |
|
TDF B |
|
) O |
|
resistance O |
|
mutations O |
|
in O |
|
a O |
|
group O |
|
of O |
|
patients O |
|
co O |
|
- O |
|
infected O |
|
with O |
|
HIV O |
|
and O |
|
hepatitis O |
|
B O |
|
virus O |
|
( O |
|
HBV O |
|
). O |
|
|
|
A O |
|
cross O |
|
- O |
|
sectional O |
|
study O |
|
of O |
|
847 O |
|
patients O |
|
with O |
|
HIV O |
|
was O |
|
conducted O |
|
. O |
|
|
|
Patients O |
|
provided O |
|
blood O |
|
samples O |
|
for O |
|
HBsAg B |
|
detection O |
|
. O |
|
|
|
The O |
|
load O |
|
of O |
|
HBV O |
|
was O |
|
determined O |
|
using O |
|
an O |
|
in O |
|
- O |
|
house O |
|
real O |
|
- O |
|
time O |
|
polymerase O |
|
chain O |
|
reaction O |
|
. O |
|
|
|
HBV O |
|
genotypes O |
|
/ O |
|
subgenotypes O |
|
, O |
|
antiviral O |
|
resistance O |
|
, O |
|
basal O |
|
core O |
|
promoter O |
|
( O |
|
BCP O |
|
), O |
|
and O |
|
precore O |
|
mutations O |
|
were O |
|
detected O |
|
by O |
|
DNA O |
|
sequencing O |
|
. O |
|
|
|
Twenty O |
|
- O |
|
eight O |
|
patients O |
|
with O |
|
co O |
|
- O |
|
infection O |
|
were O |
|
identified O |
|
. O |
|
|
|
The O |
|
distribution O |
|
of O |
|
HBV O |
|
genotypes O |
|
among O |
|
these O |
|
patients O |
|
was O |
|
A O |
|
( O |
|
n O |
|
= O |
|
9 O |
|
; O |
|
50 O |
|
%), O |
|
D O |
|
( O |
|
n O |
|
= O |
|
4 O |
|
; O |
|
22 O |
|
. O |
|
2 O |
|
%), O |
|
G O |
|
( O |
|
n O |
|
= O |
|
3 O |
|
; O |
|
16 O |
|
. O |
|
7 O |
|
%), O |
|
and O |
|
F O |
|
( O |
|
n O |
|
= O |
|
2 O |
|
; O |
|
11 O |
|
. O |
|
1 O |
|
%). O |
|
|
|
Eighteen O |
|
patients O |
|
were O |
|
treated O |
|
with O |
|
LAM B |
|
and O |
|
six O |
|
patients O |
|
were O |
|
treated O |
|
with O |
|
LAM B |
|
plus O |
|
TDF B |
|
. O |
|
|
|
The O |
|
length O |
|
of O |
|
exposure O |
|
to O |
|
LAM B |
|
and O |
|
TDF O |
|
varied O |
|
from O |
|
4 O |
|
to O |
|
216 O |
|
months O |
|
. O |
|
|
|
LAM B |
|
resistance O |
|
substitutions O |
|
( O |
|
rtL180M O |
|
+ O |
|
rtM204V O |
|
) O |
|
were O |
|
detected O |
|
in O |
|
10 O |
|
( O |
|
50 O |
|
%) O |
|
of O |
|
the O |
|
20 O |
|
patients O |
|
with O |
|
viremia O |
|
. O |
|
|
|
This O |
|
pattern O |
|
and O |
|
an O |
|
accompanying O |
|
rtV173L O |
|
mutation O |
|
was O |
|
found O |
|
in O |
|
four O |
|
patients O |
|
. O |
|
|
|
Three O |
|
patients O |
|
with O |
|
the O |
|
triple O |
|
polymerase O |
|
substitution O |
|
pattern O |
|
( O |
|
rtV173L O |
|
+ O |
|
rtL180M O |
|
+ O |
|
rtM204V O |
|
) O |
|
had O |
|
associated O |
|
changes O |
|
in O |
|
the O |
|
envelope O |
|
gene O |
|
( O |
|
sE164D O |
|
+ O |
|
sI195M O |
|
). O |
|
|
|
Mutations O |
|
in O |
|
the O |
|
BCP O |
|
region O |
|
( O |
|
A1762T O |
|
, O |
|
G1764A O |
|
) O |
|
and O |
|
in O |
|
the O |
|
precore O |
|
region O |
|
( O |
|
G1896A O |
|
, O |
|
G1899A O |
|
) O |
|
were O |
|
also O |
|
found O |
|
. O |
|
|
|
No O |
|
putative O |
|
TDF O |
|
resistance O |
|
substitution O |
|
was O |
|
detected O |
|
. O |
|
|
|
The O |
|
data O |
|
suggest O |
|
that O |
|
prolonged O |
|
LAM B |
|
use O |
|
is O |
|
associated O |
|
with O |
|
the O |
|
emergence O |
|
of O |
|
particular O |
|
changes O |
|
in O |
|
the O |
|
HBV O |
|
genome O |
|
, O |
|
including O |
|
substitutions O |
|
that O |
|
may O |
|
elicit O |
|
a O |
|
vaccine O |
|
escape O |
|
phenotype O |
|
. O |
|
|
|
No O |
|
putative O |
|
TDF O |
|
resistance O |
|
change O |
|
was O |
|
detected O |
|
after O |
|
prolonged O |
|
use O |
|
of O |
|
TDF O |
|
. O |
|
|
|
|
|
Identification O |
|
of O |
|
a O |
|
novel O |
|
FBN1 O |
|
gene O |
|
mutation O |
|
in O |
|
a O |
|
Chinese O |
|
family O |
|
with O |
|
Marfan O |
|
syndrome O |
|
. O |
|
|
|
PURPOSE O |
|
: O |
|
To O |
|
identify O |
|
the O |
|
mutation O |
|
in O |
|
the O |
|
fibrillin O |
|
- O |
|
1 O |
|
gene O |
|
( O |
|
FBN1 O |
|
) O |
|
in O |
|
a O |
|
Chinese O |
|
family O |
|
with O |
|
Marfan O |
|
syndrome O |
|
( O |
|
MFS O |
|
). O |
|
|
|
METHODS O |
|
: O |
|
Patients O |
|
and O |
|
family O |
|
members O |
|
were O |
|
given O |
|
complete O |
|
physical O |
|
, O |
|
ophthalmic O |
|
, O |
|
and O |
|
cardiovascular O |
|
examinations O |
|
. O |
|
|
|
Genomic O |
|
DNA O |
|
was O |
|
extracted O |
|
from O |
|
leukocytes O |
|
of O |
|
venous O |
|
blood O |
|
of O |
|
six O |
|
individuals O |
|
in O |
|
the O |
|
family O |
|
and O |
|
170 O |
|
healthy O |
|
Chinese O |
|
individuals O |
|
. O |
|
|
|
All O |
|
of O |
|
the O |
|
65 O |
|
coding O |
|
exons O |
|
and O |
|
their O |
|
flanking O |
|
intronic O |
|
boundaries O |
|
of O |
|
FBN1 O |
|
were O |
|
amplified O |
|
in O |
|
the O |
|
proband O |
|
by O |
|
polymerase O |
|
chain O |
|
reaction O |
|
and O |
|
followed O |
|
by O |
|
direct O |
|
sequencing O |
|
. O |
|
|
|
The O |
|
mutation O |
|
identified O |
|
in O |
|
the O |
|
proband O |
|
was O |
|
screened O |
|
in O |
|
the O |
|
other O |
|
family O |
|
members O |
|
and O |
|
the O |
|
170 O |
|
healthy O |
|
Chinese O |
|
individuals O |
|
by O |
|
direct O |
|
sequencing O |
|
. O |
|
|
|
Protein O |
|
conservation O |
|
analysis O |
|
was O |
|
performed O |
|
in O |
|
six O |
|
species O |
|
using O |
|
an O |
|
online O |
|
ClustalW O |
|
tool O |
|
. O |
|
|
|
Protein O |
|
structure O |
|
was O |
|
modeled O |
|
based O |
|
on O |
|
the O |
|
Protein O |
|
data O |
|
bank O |
|
and O |
|
mutated O |
|
in O |
|
DeepView O |
|
v4 O |
|
. O |
|
0 O |
|
. O |
|
1 O |
|
to O |
|
predict O |
|
the O |
|
functional O |
|
consequences O |
|
of O |
|
the O |
|
mutation O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
A O |
|
novel O |
|
heterozygous O |
|
c O |
|
. O |
|
3703T O |
|
> O |
|
C O |
|
change O |
|
in O |
|
exon O |
|
29 O |
|
of O |
|
FBN1 O |
|
was O |
|
detected O |
|
in O |
|
the O |
|
proband O |
|
, O |
|
which O |
|
resulted O |
|
in O |
|
the O |
|
substitution O |
|
of O |
|
serine O |
|
by O |
|
proline O |
|
at O |
|
codon O |
|
1235 O |
|
( O |
|
p O |
|
. O |
|
S1235P O |
|
). O |
|
|
|
This O |
|
mutation O |
|
was O |
|
also O |
|
present O |
|
in O |
|
two O |
|
family O |
|
members O |
|
but O |
|
absent O |
|
in O |
|
the O |
|
other O |
|
, O |
|
unaffected O |
|
family O |
|
members O |
|
and O |
|
the O |
|
170 O |
|
healthy O |
|
Chinese O |
|
individuals O |
|
. O |
|
|
|
The O |
|
mutant O |
|
residue O |
|
located O |
|
in O |
|
the O |
|
calcium O |
|
binding O |
|
epidermal O |
|
growth O |
|
factor O |
|
- O |
|
like O |
|
# O |
|
15 O |
|
domain O |
|
is O |
|
highly O |
|
conserved O |
|
among O |
|
mammalian O |
|
species O |
|
and O |
|
could O |
|
probably O |
|
induce O |
|
conformation O |
|
change O |
|
of O |
|
the O |
|
domain O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
We O |
|
indentified O |
|
a O |
|
novel O |
|
p O |
|
. O |
|
S1235P O |
|
mutation O |
|
in O |
|
FBN1 O |
|
, O |
|
which O |
|
is O |
|
the O |
|
causative O |
|
mutation O |
|
for O |
|
MFS O |
|
in O |
|
this O |
|
family O |
|
. O |
|
|
|
Our O |
|
result O |
|
expands O |
|
the O |
|
mutation O |
|
spectrum O |
|
of O |
|
FBN1 O |
|
and O |
|
contributes O |
|
to O |
|
the O |
|
study O |
|
of O |
|
the O |
|
molecular O |
|
pathogenesis O |
|
of O |
|
Marfan O |
|
syndrome O |
|
. O |
|
|
|
|
|
Molecular O |
|
and O |
|
phenotypic O |
|
analysis O |
|
of O |
|
patients O |
|
with O |
|
deletions O |
|
within O |
|
the O |
|
deletion O |
|
- O |
|
rich O |
|
region O |
|
of O |
|
the O |
|
Duchenne O |
|
muscular O |
|
dystrophy O |
|
( O |
|
DMD O |
|
) O |
|
gene O |
|
. O |
|
|
|
Eighty O |
|
unrelated O |
|
individuals O |
|
with O |
|
Duchenne O |
|
muscular O |
|
dystrophy O |
|
( O |
|
DMD O |
|
) O |
|
or O |
|
Becker O |
|
muscular O |
|
dystrophy O |
|
( O |
|
BMD O |
|
) O |
|
were O |
|
found O |
|
to O |
|
have O |
|
deletions O |
|
in O |
|
the O |
|
major O |
|
deletion O |
|
- O |
|
rich O |
|
region O |
|
of O |
|
the O |
|
DMD O |
|
locus O |
|
. O |
|
|
|
This O |
|
region O |
|
includes O |
|
the O |
|
last O |
|
five O |
|
exons O |
|
detected O |
|
by O |
|
cDNA5b O |
|
- O |
|
7 O |
|
, O |
|
all O |
|
exons O |
|
detected O |
|
by O |
|
cDNA8 O |
|
, O |
|
and O |
|
the O |
|
first O |
|
two O |
|
exons O |
|
detected O |
|
by O |
|
cDNA9 O |
|
. O |
|
|
|
These O |
|
80 O |
|
individuals O |
|
account O |
|
for O |
|
approximately O |
|
75 O |
|
% O |
|
of O |
|
109 O |
|
deletions O |
|
of O |
|
the O |
|
gene O |
|
, O |
|
detected O |
|
among O |
|
181 O |
|
patients O |
|
analyzed O |
|
with O |
|
the O |
|
entire O |
|
dystrophin O |
|
cDNA O |
|
. O |
|
|
|
Endpoints O |
|
for O |
|
many O |
|
of O |
|
these O |
|
deletions O |
|
were O |
|
further O |
|
characterized O |
|
using O |
|
two O |
|
genomic O |
|
probes O |
|
, O |
|
p20 O |
|
( O |
|
DXS269 O |
|
; O |
|
Wapenaar O |
|
et O |
|
al O |
|
.) O |
|
|
|
and O |
|
GMGX11 O |
|
( O |
|
DXS239 O |
|
; O |
|
present O |
|
paper O |
|
). O |
|
|
|
Clinical O |
|
findings O |
|
are O |
|
presented O |
|
for O |
|
all O |
|
80 O |
|
patients O |
|
allowing O |
|
a O |
|
correlation O |
|
of O |
|
phenotypic O |
|
severity O |
|
with O |
|
the O |
|
genotype O |
|
. O |
|
|
|
Thirty O |
|
- O |
|
eight O |
|
independent O |
|
patients O |
|
were O |
|
old O |
|
enough O |
|
to O |
|
be O |
|
classified O |
|
as O |
|
DMD O |
|
, O |
|
BMD O |
|
, O |
|
or O |
|
intermediate O |
|
phenotype O |
|
and O |
|
had O |
|
deletions O |
|
of O |
|
exons O |
|
with O |
|
sequenced O |
|
intron O |
|
/ O |
|
exon O |
|
boundaries O |
|
. O |
|
|
|
Of O |
|
these O |
|
, O |
|
eight O |
|
BMD O |
|
patients O |
|
and O |
|
one O |
|
intermediate O |
|
patient O |
|
had O |
|
gene O |
|
deletions O |
|
predicted O |
|
to O |
|
leave O |
|
the O |
|
reading O |
|
frame O |
|
intact O |
|
, O |
|
while O |
|
21 O |
|
DMD O |
|
patients O |
|
, O |
|
7 O |
|
intermediate O |
|
patients O |
|
, O |
|
and O |
|
1 O |
|
BMD O |
|
patient O |
|
had O |
|
gene O |
|
deletions O |
|
predicted O |
|
to O |
|
disrupt O |
|
the O |
|
reading O |
|
frame O |
|
. O |
|
|
|
Thus O |
|
, O |
|
with O |
|
two O |
|
exceptions O |
|
, O |
|
frameshift O |
|
deletions O |
|
of O |
|
the O |
|
gene O |
|
resulted O |
|
in O |
|
more O |
|
severe O |
|
phenotype O |
|
than O |
|
did O |
|
in O |
|
- O |
|
frame O |
|
deletions O |
|
. O |
|
|
|
This O |
|
is O |
|
in O |
|
agreement O |
|
with O |
|
recent O |
|
findings O |
|
by O |
|
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|
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|
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|
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|
|
|
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|
|
|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
|
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|
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
sodium B |
|
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|
potassium B |
|
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|
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|
were O |
|
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|
in O |
|
lithium B |
|
- O |
|
fed O |
|
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|
but O |
|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
preserves O |
|
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|
and O |
|
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|
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|
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|
protein O |
|
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|
and O |
|
localization O |
|
in O |
|
lithium B |
|
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|
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|
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|
, O |
|
and O |
|
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|
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|
development O |
|
of O |
|
the O |
|
severe O |
|
polyuria O |
|
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|
with O |
|
lithium B |
|
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|
. O |
|
|
|
|
|
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|
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|
- O |
|
Body O |
|
Fat O |
|
Mass O |
|
Produced O |
|
by O |
|
Chronic O |
|
Alcohol B |
|
Consumption O |
|
is O |
|
Associated O |
|
with O |
|
Activation O |
|
of O |
|
S6K1 O |
|
- O |
|
Mediated O |
|
Protein O |
|
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|
and O |
|
Increased O |
|
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|
in O |
|
Epididymal O |
|
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|
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|
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|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
Chronic O |
|
alcohol B |
|
consumption O |
|
leads O |
|
to O |
|
a O |
|
loss O |
|
of O |
|
white O |
|
adipose O |
|
tissue O |
|
( O |
|
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|
) O |
|
but O |
|
the O |
|
underlying O |
|
mechanisms O |
|
for O |
|
this O |
|
lipodystrophy O |
|
are O |
|
not O |
|
fully O |
|
elucidated O |
|
. O |
|
|
|
This O |
|
study O |
|
tested O |
|
the O |
|
hypothesis O |
|
that O |
|
the O |
|
reduction O |
|
in O |
|
WAT O |
|
mass O |
|
in O |
|
chronic O |
|
alcohol B |
|
- O |
|
fed O |
|
mice O |
|
is O |
|
associated O |
|
with O |
|
a O |
|
decreased O |
|
protein O |
|
synthesis O |
|
specifically O |
|
related O |
|
to O |
|
impaired O |
|
function O |
|
of O |
|
mammalian O |
|
target O |
|
of O |
|
rapamycin O |
|
( O |
|
mTOR O |
|
). O |
|
|
|
METHODS O |
|
: O |
|
Adult O |
|
male O |
|
mice O |
|
were O |
|
provided O |
|
an O |
|
alcohol B |
|
- O |
|
containing O |
|
liquid O |
|
diet O |
|
for O |
|
24 O |
|
weeks O |
|
or O |
|
an O |
|
isonitrogenous O |
|
isocaloric O |
|
control O |
|
diet O |
|
. O |
|
|
|
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|
vivo O |
|
protein O |
|
synthesis O |
|
was O |
|
determined O |
|
at O |
|
this O |
|
time O |
|
and O |
|
thereafter O |
|
epididymal O |
|
WAT O |
|
( O |
|
eWAT O |
|
) O |
|
was O |
|
excised O |
|
for O |
|
analysis O |
|
of O |
|
signal O |
|
transduction O |
|
pathways O |
|
central O |
|
to O |
|
controling O |
|
protein O |
|
synthesis O |
|
and O |
|
degradation O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
While O |
|
chronic O |
|
alcohol B |
|
feeding O |
|
decreased O |
|
whole O |
|
- O |
|
body O |
|
and O |
|
eWAT O |
|
mass O |
|
, O |
|
this O |
|
was O |
|
associated O |
|
with O |
|
a O |
|
discordant O |
|
increase O |
|
in O |
|
protein O |
|
synthesis O |
|
in O |
|
eWAT O |
|
. O |
|
|
|
This O |
|
increase O |
|
was O |
|
not O |
|
associated O |
|
with O |
|
a O |
|
change O |
|
in O |
|
mTOR O |
|
, O |
|
4E O |
|
- O |
|
BP1 O |
|
, O |
|
Akt O |
|
, O |
|
or O |
|
PRAS40 O |
|
phosphorylation O |
|
. O |
|
|
|
Instead O |
|
, O |
|
a O |
|
selective O |
|
increase O |
|
in O |
|
phosphorylation O |
|
of O |
|
S6K1 O |
|
and O |
|
its O |
|
downstream O |
|
substrates O |
|
, O |
|
S6 O |
|
and O |
|
eIF4B O |
|
was O |
|
detected O |
|
in O |
|
alcohol B |
|
- O |
|
fed O |
|
mice O |
|
. O |
|
|
|
Alcohol B |
|
also O |
|
increased O |
|
eEF2K O |
|
phosphorylation O |
|
and O |
|
decreased O |
|
eEF2 O |
|
phosphorylation O |
|
consistent O |
|
with O |
|
increased O |
|
translation O |
|
elongation O |
|
. O |
|
|
|
Alcohol B |
|
increased O |
|
Atg12 O |
|
- O |
|
5 O |
|
, O |
|
LC3B O |
|
- O |
|
I O |
|
and O |
|
- O |
|
II O |
|
, O |
|
and O |
|
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|
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|
phosphorylation O |
|
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|
suggesting O |
|
increased O |
|
autophagy O |
|
, O |
|
while O |
|
markers O |
|
of O |
|
apoptosis O |
|
( O |
|
cleaved O |
|
caspase O |
|
- O |
|
3 O |
|
and O |
|
- O |
|
9 O |
|
, O |
|
and O |
|
PARP O |
|
) O |
|
were O |
|
unchanged O |
|
. O |
|
|
|
Lipolytic O |
|
enzymes O |
|
( O |
|
ATGL O |
|
and O |
|
HSL O |
|
phosphorylation O |
|
) O |
|
were O |
|
increased O |
|
and O |
|
lipogenic O |
|
regulators O |
|
( O |
|
PPARgamma O |
|
and O |
|
C O |
|
/ O |
|
EBPalpha O |
|
) O |
|
were O |
|
decreased O |
|
in O |
|
eWAT O |
|
by O |
|
alcohol B |
|
. O |
|
|
|
Although O |
|
alcohol B |
|
increased O |
|
TNF O |
|
- O |
|
alpha O |
|
, O |
|
IL O |
|
- O |
|
6 O |
|
, O |
|
and O |
|
IL O |
|
- O |
|
1beta O |
|
mRNA O |
|
, O |
|
no O |
|
change O |
|
in O |
|
key O |
|
components O |
|
of O |
|
the O |
|
NLRP3 O |
|
inflammasome O |
|
( O |
|
NLRP3 O |
|
, O |
|
ACS O |
|
, O |
|
and O |
|
cleaved O |
|
caspase O |
|
- O |
|
1 O |
|
) O |
|
was O |
|
detected O |
|
suggesting O |
|
alcohol B |
|
did O |
|
not O |
|
increase O |
|
pyroptosis O |
|
. O |
|
|
|
Plasma O |
|
insulin B |
|
did O |
|
not O |
|
differ O |
|
between O |
|
groups O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
These O |
|
results O |
|
demonstrate O |
|
that O |
|
the O |
|
alcohol B |
|
- O |
|
induced O |
|
decrease O |
|
in O |
|
whole O |
|
- O |
|
body O |
|
fat O |
|
mass O |
|
resulted O |
|
in O |
|
part O |
|
from O |
|
activation O |
|
of O |
|
autophagy O |
|
in O |
|
eWAT O |
|
as O |
|
protein O |
|
synthesis O |
|
was O |
|
increased O |
|
and O |
|
mediated O |
|
by O |
|
the O |
|
specific O |
|
increase O |
|
in O |
|
the O |
|
activity O |
|
of O |
|
S6K1 O |
|
. O |
|
|
|
|
|
Nefiracetam B |
|
( O |
|
DM B |
|
- I |
|
9384 I |
|
) O |
|
reverses O |
|
apomorphine B |
|
- O |
|
induced O |
|
amnesia O |
|
of O |
|
a O |
|
passive O |
|
avoidance O |
|
response O |
|
: O |
|
delayed O |
|
emergence O |
|
of O |
|
the O |
|
memory O |
|
retention O |
|
effects O |
|
. O |
|
|
|
Nefiracetam B |
|
is O |
|
a O |
|
novel O |
|
pyrrolidone B |
|
derivative O |
|
which O |
|
attenuates O |
|
scopolamine B |
|
- O |
|
induced O |
|
learning O |
|
and O |
|
post O |
|
- O |
|
training O |
|
consolidation O |
|
deficits O |
|
. O |
|
|
|
Given O |
|
that O |
|
apomorphine B |
|
inhibits O |
|
passive O |
|
avoidance O |
|
retention O |
|
when O |
|
given O |
|
during O |
|
training O |
|
or O |
|
in O |
|
a O |
|
defined O |
|
10 O |
|
- O |
|
12h O |
|
post O |
|
- O |
|
training O |
|
period O |
|
, O |
|
we O |
|
evaluated O |
|
the O |
|
ability O |
|
of O |
|
nefiracetam B |
|
to O |
|
attenuate O |
|
amnesia O |
|
induced O |
|
by O |
|
dopaminergic O |
|
agonism O |
|
. O |
|
|
|
A O |
|
step O |
|
- O |
|
down O |
|
passive O |
|
avoidance O |
|
paradigm O |
|
was O |
|
employed O |
|
and O |
|
nefiracetam B |
|
( O |
|
3 O |
|
mg O |
|
/ O |
|
kg O |
|
) O |
|
and O |
|
apomorphine B |
|
( O |
|
0 O |
|
. O |
|
5 O |
|
mg O |
|
/ O |
|
kg O |
|
) O |
|
were O |
|
given O |
|
alone O |
|
or O |
|
in O |
|
combination O |
|
during O |
|
training O |
|
and O |
|
at O |
|
the O |
|
10 O |
|
- O |
|
12h O |
|
post O |
|
- O |
|
training O |
|
period O |
|
of O |
|
consolidation O |
|
. O |
|
|
|
Co O |
|
- O |
|
administration O |
|
of O |
|
nefiracetam B |
|
and O |
|
apomorphine B |
|
during O |
|
training O |
|
or O |
|
10h O |
|
thereafter O |
|
produced O |
|
no O |
|
significant O |
|
anti O |
|
- O |
|
amnesic O |
|
effect O |
|
. O |
|
|
|
However O |
|
, O |
|
administration O |
|
of O |
|
nefiracetam B |
|
during O |
|
training O |
|
completely O |
|
reversed O |
|
the O |
|
amnesia O |
|
induced O |
|
by O |
|
apomorphine B |
|
at O |
|
the O |
|
10h O |
|
post O |
|
- O |
|
training O |
|
time O |
|
and O |
|
the O |
|
converse O |
|
was O |
|
also O |
|
TRUE O |
|
. O |
|
|
|
These O |
|
effects O |
|
were O |
|
not O |
|
mediated O |
|
by O |
|
a O |
|
dopaminergic O |
|
mechanism O |
|
as O |
|
nefiracetam B |
|
, O |
|
at O |
|
millimolar O |
|
concentrations O |
|
, O |
|
failed O |
|
to O |
|
displace O |
|
either O |
|
[ O |
|
3H O |
|
] O |
|
SCH B |
|
23390 I |
|
or O |
|
[ O |
|
3H O |
|
] O |
|
spiperone B |
|
binding O |
|
from O |
|
D1 O |
|
or O |
|
D2 O |
|
dopamine O |
|
receptor O |
|
subtypes O |
|
, O |
|
respectively O |
|
. O |
|
|
|
It O |
|
is O |
|
suggested O |
|
that O |
|
nefiracetam O |
|
augments O |
|
molecular O |
|
processes O |
|
in O |
|
the O |
|
early O |
|
stages O |
|
of O |
|
events O |
|
which O |
|
ultimately O |
|
lead O |
|
to O |
|
consolidation O |
|
of O |
|
memory O |
|
. O |
|
|
|
|
|
Pethidine B |
|
- O |
|
associated O |
|
seizure O |
|
in O |
|
a O |
|
healthy O |
|
adolescent O |
|
receiving O |
|
pethidine B |
|
for O |
|
postoperative O |
|
pain O |
|
control O |
|
. O |
|
|
|
A O |
|
healthy O |
|
17 O |
|
- O |
|
year O |
|
- O |
|
old O |
|
male O |
|
received O |
|
standard O |
|
intermittent O |
|
doses O |
|
of O |
|
pethidine B |
|
via O |
|
a O |
|
patient O |
|
- O |
|
controlled O |
|
analgesia O |
|
( O |
|
PCA O |
|
) O |
|
pump O |
|
for O |
|
management O |
|
of O |
|
postoperative O |
|
pain O |
|
control O |
|
. O |
|
|
|
Twenty O |
|
- O |
|
three O |
|
h O |
|
postoperatively O |
|
he O |
|
developed O |
|
a O |
|
brief O |
|
self O |
|
- O |
|
limited O |
|
seizure O |
|
. O |
|
|
|
Both O |
|
plasma O |
|
pethidine B |
|
and O |
|
norpethidine B |
|
were O |
|
elevated O |
|
in O |
|
the O |
|
range O |
|
associated O |
|
with O |
|
clinical O |
|
manifestations O |
|
of O |
|
central O |
|
nervous O |
|
system O |
|
excitation O |
|
. O |
|
|
|
No O |
|
other O |
|
risk O |
|
factors O |
|
for O |
|
CNS O |
|
toxicity O |
|
were O |
|
identified O |
|
. O |
|
|
|
This O |
|
method O |
|
allowed O |
|
frequent O |
|
self O |
|
- O |
|
dosing O |
|
of O |
|
pethidine B |
|
at O |
|
short O |
|
time O |
|
intervals O |
|
and O |
|
rapid O |
|
accumulation O |
|
of O |
|
pethidine B |
|
and O |
|
norpethidine B |
|
. O |
|
|
|
The O |
|
routine O |
|
use O |
|
of O |
|
pethidine B |
|
via O |
|
PCA O |
|
even O |
|
for O |
|
a O |
|
brief O |
|
postoperative O |
|
analgesia O |
|
should O |
|
be O |
|
reconsidered O |
|
. O |
|
|
|
|
|
Recovery O |
|
of O |
|
tacrolimus B |
|
- O |
|
associated O |
|
brachial O |
|
neuritis O |
|
after O |
|
conversion O |
|
to O |
|
everolimus B |
|
in O |
|
a O |
|
pediatric O |
|
renal O |
|
transplant O |
|
recipient O |
|
-- O |
|
case O |
|
report O |
|
and O |
|
review O |
|
of O |
|
the O |
|
literature O |
|
. O |
|
|
|
TAC O |
|
has O |
|
been O |
|
shown O |
|
to O |
|
be O |
|
a O |
|
potent O |
|
immunosuppressive O |
|
agent O |
|
for O |
|
solid O |
|
organ O |
|
transplantation O |
|
in O |
|
pediatrics O |
|
. O |
|
|
|
Neurotoxicity O |
|
is O |
|
a O |
|
potentially O |
|
serious O |
|
toxic O |
|
effect O |
|
. O |
|
|
|
It O |
|
is O |
|
characterized O |
|
by O |
|
encephalopathy O |
|
, O |
|
headaches O |
|
, O |
|
seizures O |
|
, O |
|
or O |
|
neurological O |
|
deficits O |
|
. O |
|
|
|
Here O |
|
, O |
|
we O |
|
describe O |
|
an O |
|
eight O |
|
- O |
|
and O |
|
- O |
|
a O |
|
- O |
|
half O |
|
- O |
|
yr O |
|
- O |
|
old O |
|
male O |
|
renal O |
|
transplant O |
|
recipient O |
|
with O |
|
right O |
|
BN O |
|
. O |
|
|
|
MRI O |
|
demonstrated O |
|
hyperintense O |
|
T2 O |
|
signals O |
|
in O |
|
the O |
|
cervical O |
|
cord O |
|
and O |
|
right O |
|
brachial O |
|
plexus O |
|
roots O |
|
indicative O |
|
of O |
|
both O |
|
myelitis O |
|
and O |
|
right O |
|
brachial O |
|
plexitis O |
|
. O |
|
|
|
Symptoms O |
|
persisted O |
|
for O |
|
three O |
|
months O |
|
despite O |
|
TAC O |
|
dose O |
|
reduction O |
|
, O |
|
administration O |
|
of O |
|
IVIG O |
|
and O |
|
four O |
|
doses O |
|
of O |
|
methylprednisolone B |
|
pulse O |
|
therapy O |
|
. O |
|
|
|
Improvement O |
|
and O |
|
eventually O |
|
full O |
|
recovery O |
|
only O |
|
occurred O |
|
after O |
|
TAC O |
|
was O |
|
completely O |
|
discontinued O |
|
and O |
|
successfully O |
|
replaced O |
|
by O |
|
everolimus B |
|
. O |
|
|
|
|
|
MOL1 O |
|
is O |
|
required O |
|
for O |
|
cambium O |
|
homeostasis O |
|
in O |
|
Arabidopsis O |
|
. O |
|
|
|
Plants O |
|
maintain O |
|
pools O |
|
of O |
|
pluripotent O |
|
stem O |
|
cells O |
|
which O |
|
allow O |
|
them O |
|
to O |
|
constantly O |
|
produce O |
|
new O |
|
tissues O |
|
and O |
|
organs O |
|
. O |
|
|
|
Stem O |
|
cell O |
|
homeostasis O |
|
in O |
|
shoot O |
|
and O |
|
root O |
|
tips O |
|
depends O |
|
on O |
|
negative O |
|
regulation O |
|
by O |
|
ligand O |
|
- O |
|
receptor O |
|
pairs O |
|
of O |
|
the O |
|
CLE O |
|
peptide O |
|
and O |
|
leucine O |
|
- O |
|
rich O |
|
repeat O |
|
receptor O |
|
- O |
|
like O |
|
kinase O |
|
( O |
|
LRR O |
|
- O |
|
RLK O |
|
) O |
|
families O |
|
. O |
|
|
|
However O |
|
, O |
|
regulation O |
|
of O |
|
the O |
|
cambium O |
|
, O |
|
the O |
|
stem O |
|
cell O |
|
niche O |
|
required O |
|
for O |
|
lateral O |
|
growth O |
|
of O |
|
shoots O |
|
and O |
|
roots O |
|
, O |
|
is O |
|
poorly O |
|
characterized O |
|
. O |
|
|
|
Here O |
|
we O |
|
show O |
|
that O |
|
the O |
|
LRR O |
|
- O |
|
RLK O |
|
MOL1 O |
|
is O |
|
necessary O |
|
for O |
|
cambium O |
|
homeostasis O |
|
in O |
|
Arabidopsis O |
|
thaliana O |
|
. O |
|
|
|
By O |
|
employing O |
|
promoter O |
|
reporter O |
|
lines O |
|
, O |
|
we O |
|
reveal O |
|
that O |
|
MOL1 O |
|
is O |
|
active O |
|
in O |
|
a O |
|
domain O |
|
that O |
|
is O |
|
distinct O |
|
from O |
|
the O |
|
domain O |
|
of O |
|
the O |
|
positively O |
|
acting O |
|
CLE41 O |
|
/ O |
|
PXY O |
|
signaling O |
|
module O |
|
. O |
|
|
|
In O |
|
particular O |
|
, O |
|
we O |
|
show O |
|
that O |
|
MOL1 O |
|
acts O |
|
in O |
|
an O |
|
opposing O |
|
manner O |
|
to O |
|
the O |
|
CLE41 O |
|
/ O |
|
PXY O |
|
module O |
|
and O |
|
that O |
|
changing O |
|
the O |
|
domain O |
|
or O |
|
level O |
|
of O |
|
MOL1 O |
|
expression O |
|
both O |
|
result O |
|
in O |
|
disturbed O |
|
cambium O |
|
organization O |
|
. O |
|
|
|
Underlining O |
|
discrete O |
|
roles O |
|
of O |
|
MOL1 O |
|
and O |
|
PXY O |
|
, O |
|
both O |
|
LRR O |
|
- O |
|
RLKs O |
|
are O |
|
not O |
|
able O |
|
to O |
|
replace O |
|
each O |
|
other O |
|
when O |
|
their O |
|
expression O |
|
domains O |
|
are O |
|
interchanged O |
|
. O |
|
|
|
Furthermore O |
|
, O |
|
MOL1 O |
|
but O |
|
not O |
|
PXY O |
|
is O |
|
able O |
|
to O |
|
rescue O |
|
CLV1 O |
|
deficiency O |
|
in O |
|
the O |
|
shoot O |
|
apical O |
|
meristem O |
|
. O |
|
|
|
By O |
|
identifying O |
|
genes O |
|
mis O |
|
- O |
|
expressed O |
|
in O |
|
mol1 O |
|
mutants O |
|
, O |
|
we O |
|
demonstrate O |
|
that O |
|
MOL1 O |
|
represses O |
|
genes O |
|
associated O |
|
with O |
|
stress O |
|
- O |
|
related O |
|
ethylene O |
|
and O |
|
jasmonic B |
|
acid I |
|
hormone O |
|
signaling O |
|
pathways O |
|
which O |
|
have O |
|
known O |
|
roles O |
|
in O |
|
coordinating O |
|
lateral O |
|
growth O |
|
of O |
|
the O |
|
Arabidopsis O |
|
stem O |
|
. O |
|
|
|
Our O |
|
findings O |
|
provide O |
|
evidence O |
|
that O |
|
common O |
|
regulatory O |
|
mechanisms O |
|
in O |
|
different O |
|
plant O |
|
stem O |
|
cell O |
|
niches O |
|
are O |
|
adapted O |
|
to O |
|
specific O |
|
niche O |
|
anatomies O |
|
and O |
|
emphasize O |
|
the O |
|
importance O |
|
of O |
|
a O |
|
complex O |
|
spatial O |
|
organization O |
|
of O |
|
intercellular O |
|
signaling O |
|
cascades O |
|
for O |
|
a O |
|
strictly O |
|
bidirectional O |
|
tissue O |
|
production O |
|
. O |
|
|
|
|
|
In O |
|
vivo O |
|
evidences O |
|
suggesting O |
|
the O |
|
role O |
|
of O |
|
oxidative O |
|
stress O |
|
in O |
|
pathogenesis O |
|
of O |
|
vancomycin B |
|
- O |
|
induced O |
|
nephrotoxicity O |
|
: O |
|
protection O |
|
by O |
|
erdosteine O |
|
. O |
|
|
|
The O |
|
aims O |
|
of O |
|
this O |
|
study O |
|
were O |
|
to O |
|
examine O |
|
vancomycin B |
|
( O |
|
VCM B |
|
)- O |
|
induced O |
|
oxidative O |
|
stress O |
|
that O |
|
promotes O |
|
production O |
|
of O |
|
reactive B |
|
oxygen I |
|
species I |
|
( O |
|
ROS B |
|
) O |
|
and O |
|
to O |
|
investigate O |
|
the O |
|
role O |
|
of O |
|
erdosteine O |
|
, O |
|
an O |
|
expectorant O |
|
agent O |
|
, O |
|
which O |
|
has O |
|
also O |
|
antioxidant O |
|
properties O |
|
, O |
|
on O |
|
kidney O |
|
tissue O |
|
against O |
|
the O |
|
possible O |
|
VCM O |
|
- O |
|
induced O |
|
renal O |
|
impairment O |
|
in O |
|
rats O |
|
. O |
|
|
|
Rats O |
|
were O |
|
divided O |
|
into O |
|
three O |
|
groups O |
|
: O |
|
sham O |
|
, O |
|
VCM O |
|
and O |
|
VCM O |
|
plus O |
|
erdosteine O |
|
. O |
|
|
|
VCM B |
|
was O |
|
administrated O |
|
intraperitoneally O |
|
( O |
|
i O |
|
. O |
|
p O |
|
.) O |
|
|
|
with O |
|
200mgkg O |
|
(- O |
|
1 O |
|
) O |
|
twice O |
|
daily O |
|
for O |
|
7 O |
|
days O |
|
. O |
|
|
|
Erdosteine O |
|
was O |
|
administered O |
|
orally O |
|
. O |
|
|
|
VCM B |
|
administration O |
|
to O |
|
control O |
|
rats O |
|
significantly O |
|
increased O |
|
renal O |
|
malondialdehyde B |
|
( O |
|
MDA B |
|
) O |
|
and O |
|
urinary O |
|
N O |
|
- O |
|
acetyl O |
|
- O |
|
beta O |
|
- O |
|
d O |
|
- O |
|
glucosaminidase O |
|
( O |
|
NAG O |
|
, O |
|
a O |
|
marker O |
|
of O |
|
renal O |
|
tubular O |
|
injury O |
|
) O |
|
excretion O |
|
but O |
|
decreased O |
|
superoxide O |
|
dismutase O |
|
( O |
|
SOD O |
|
) O |
|
and O |
|
catalase O |
|
( O |
|
CAT O |
|
) O |
|
activities O |
|
. O |
|
|
|
Erdosteine O |
|
administration O |
|
with O |
|
VCM B |
|
injections O |
|
caused O |
|
significantly O |
|
decreased O |
|
renal O |
|
MDA B |
|
and O |
|
urinary O |
|
NAG O |
|
excretion O |
|
, O |
|
and O |
|
increased O |
|
SOD O |
|
activity O |
|
, O |
|
but O |
|
not O |
|
CAT O |
|
activity O |
|
in O |
|
renal O |
|
tissue O |
|
when O |
|
compared O |
|
with O |
|
VCM B |
|
alone O |
|
. O |
|
|
|
Erdosteine O |
|
showed O |
|
histopathological O |
|
protection O |
|
against O |
|
VCM B |
|
- O |
|
induced O |
|
nephrotoxicity O |
|
. O |
|
|
|
There O |
|
were O |
|
a O |
|
significant O |
|
dilatation O |
|
of O |
|
tubular O |
|
lumens O |
|
, O |
|
extensive O |
|
epithelial O |
|
cell O |
|
vacuolization O |
|
, O |
|
atrophy O |
|
, O |
|
desquamation O |
|
, O |
|
and O |
|
necrosis O |
|
in O |
|
VCM O |
|
- O |
|
treated O |
|
rats O |
|
more O |
|
than O |
|
those O |
|
of O |
|
the O |
|
control O |
|
and O |
|
the O |
|
erdosteine O |
|
groups O |
|
. O |
|
|
|
Erdosteine O |
|
caused O |
|
a O |
|
marked O |
|
reduction O |
|
in O |
|
the O |
|
extent O |
|
of O |
|
tubular O |
|
damage O |
|
. O |
|
|
|
It O |
|
is O |
|
concluded O |
|
that O |
|
oxidative O |
|
tubular O |
|
damage O |
|
plays O |
|
an O |
|
important O |
|
role O |
|
in O |
|
the O |
|
VCM B |
|
- O |
|
induced O |
|
nephrotoxicity O |
|
and O |
|
the O |
|
modulation O |
|
of O |
|
oxidative O |
|
stress O |
|
with O |
|
erdosteine O |
|
reduces O |
|
the O |
|
VCM B |
|
- O |
|
induced O |
|
kidney O |
|
damage O |
|
both O |
|
at O |
|
the O |
|
biochemical O |
|
and O |
|
histological O |
|
levels O |
|
. O |
|
|
|
|
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the O |
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
|
|
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|
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|
|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
syndrome O |
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
patient O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
syndrome O |
|
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|
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|
first O |
|
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|
|
|
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|
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|
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|
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|
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|
that O |
|
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|
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|
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|
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|
compound O |
|
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|
for O |
|
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|
mutations O |
|
in O |
|
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|
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|
a O |
|
substitution O |
|
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|
serine O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
molecular O |
|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
that O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
with O |
|
potassium B |
|
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|
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|
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|
clinical O |
|
symptoms O |
|
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|
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|
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|
catch O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
similar O |
|
associations O |
|
of O |
|
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|
syndrome O |
|
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|
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|
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|
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|
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|
were O |
|
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|
in O |
|
the O |
|
literature O |
|
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|
suggesting O |
|
that O |
|
electrolyte O |
|
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|
and O |
|
secondary O |
|
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|
may O |
|
have O |
|
a O |
|
role O |
|
in O |
|
idiopathic O |
|
intracranial O |
|
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|
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|
|
|
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|
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|
provides O |
|
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|
evidence O |
|
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|
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|
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|
heterogeneity O |
|
of O |
|
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|
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|
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|
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|
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|
severe O |
|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
and O |
|
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|
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|
|
|
|
|
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|
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|
polymorphisms O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
type O |
|
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|
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|
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|
the O |
|
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|
population O |
|
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|
|
|
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|
to O |
|
recent O |
|
genome O |
|
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|
wide O |
|
association O |
|
studies O |
|
, O |
|
a O |
|
number O |
|
of O |
|
single O |
|
nucleotide O |
|
polymorphisms O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
type O |
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
to O |
|
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|
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|
association O |
|
among O |
|
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|
polymorphisms O |
|
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|
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|
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|
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|
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|
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|
/ O |
|
B O |
|
, O |
|
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|
, O |
|
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|
, O |
|
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|
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|
CDKAL1 O |
|
and O |
|
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|
and O |
|
the O |
|
risk O |
|
of O |
|
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|
in O |
|
the O |
|
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|
population O |
|
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|
|
|
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|
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|
was O |
|
based O |
|
on O |
|
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|
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|
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|
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|
control O |
|
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|
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|
including O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
rs13266634 O |
|
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|
rs1111875 O |
|
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|
rs10811661 O |
|
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|
rs4402960 O |
|
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|
rs8050136 O |
|
, O |
|
rs734312 O |
|
, O |
|
rs7754840 O |
|
and O |
|
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|
and O |
|
measured O |
|
the O |
|
body O |
|
weight O |
|
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|
body O |
|
mass O |
|
index O |
|
and O |
|
fasting O |
|
plasma O |
|
glucose B |
|
in O |
|
all O |
|
patients O |
|
and O |
|
controls O |
|
. O |
|
|
|
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|
strongest O |
|
association O |
|
was O |
|
found O |
|
in O |
|
a O |
|
variant O |
|
of O |
|
CDKAL1 O |
|
[ O |
|
rs7754840 O |
|
, O |
|
odds O |
|
ratio O |
|
( O |
|
OR O |
|
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|
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|
1 O |
|
. O |
|
77 O |
|
, O |
|
95 O |
|
% O |
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
|
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|
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|
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|
|
|
|
|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
in O |
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
Geneticists O |
|
should O |
|
consider O |
|
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|
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|
of O |
|
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|
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|
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|
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|
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|
patients O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
A I |
|
Induces O |
|
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|
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|
Proliferation O |
|
and O |
|
Cell O |
|
Death O |
|
in O |
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
fibrogenesis O |
|
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|
not O |
|
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|
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|
so O |
|
far O |
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
activity O |
|
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|
primary O |
|
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|
and O |
|
rat O |
|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
which O |
|
depended O |
|
on O |
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
but O |
|
did O |
|
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|
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|
relevant O |
|
cell O |
|
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|
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|
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|
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|
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|
inhibition O |
|
. O |
|
|
|
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|
two O |
|
models O |
|
of O |
|
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|
fibrogenesis O |
|
, O |
|
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|
treatment O |
|
and O |
|
bile O |
|
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|
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|
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|
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|
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|
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|
of O |
|
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|
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|
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|
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|
strongly O |
|
increased O |
|
. O |
|
|
|
In O |
|
conclusion O |
|
, O |
|
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|
may O |
|
modulate O |
|
fibrogenic O |
|
responses O |
|
in O |
|
the O |
|
liver O |
|
in O |
|
a O |
|
positive O |
|
and O |
|
negative O |
|
fashion O |
|
by O |
|
inducing O |
|
inflammation O |
|
, O |
|
proliferation O |
|
and O |
|
cell O |
|
death O |
|
in O |
|
HSCs O |
|
. O |
|
|
|
|
|
Influence O |
|
of O |
|
interleukin O |
|
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|
( O |
|
IL12B O |
|
) O |
|
polymorphisms O |
|
on O |
|
spontaneous O |
|
and O |
|
treatment O |
|
- O |
|
induced O |
|
recovery O |
|
from O |
|
hepatitis O |
|
C O |
|
virus O |
|
infection O |
|
. O |
|
|
|
BACKGROUND O |
|
/ O |
|
AIMS O |
|
: O |
|
Interleukin O |
|
- O |
|
12 O |
|
( O |
|
IL O |
|
- O |
|
12 O |
|
) O |
|
governs O |
|
the O |
|
Th1 O |
|
- O |
|
type O |
|
immune O |
|
response O |
|
, O |
|
affecting O |
|
the O |
|
spontaneous O |
|
and O |
|
treatment O |
|
- O |
|
induced O |
|
recovery O |
|
from O |
|
HCV O |
|
- O |
|
infection O |
|
. O |
|
|
|
We O |
|
investigated O |
|
whether O |
|
the O |
|
IL12B O |
|
polymorphisms O |
|
within O |
|
the O |
|
promoter O |
|
region O |
|
( O |
|
4 O |
|
bp O |
|
insertion O |
|
/ O |
|
deletion O |
|
) O |
|
and O |
|
the O |
|
3 O |
|
'- O |
|
UTR O |
|
( O |
|
1188 O |
|
- O |
|
A O |
|
/ O |
|
C O |
|
), O |
|
which O |
|
have O |
|
been O |
|
reported O |
|
to O |
|
influence O |
|
IL O |
|
- O |
|
12 O |
|
synthesis O |
|
, O |
|
are O |
|
associated O |
|
with O |
|
the O |
|
outcome O |
|
of O |
|
HCV O |
|
infection O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
We O |
|
analyzed O |
|
186 O |
|
individuals O |
|
with O |
|
spontaneous O |
|
HCV O |
|
clearance O |
|
, O |
|
501 O |
|
chronically O |
|
HCV O |
|
infected O |
|
patients O |
|
, O |
|
and O |
|
217 O |
|
healthy O |
|
controls O |
|
. O |
|
|
|
IL12B O |
|
3 O |
|
'- O |
|
UTR O |
|
and O |
|
promoter O |
|
genotyping O |
|
was O |
|
performed O |
|
by O |
|
Taqman O |
|
- O |
|
based O |
|
assays O |
|
with O |
|
allele O |
|
- O |
|
specific O |
|
oligonucleotide O |
|
probes O |
|
and O |
|
PCR O |
|
- O |
|
based O |
|
allele O |
|
- O |
|
specific O |
|
DNA O |
|
- O |
|
amplification O |
|
, O |
|
respectively O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
The O |
|
proportion O |
|
of O |
|
IL12B O |
|
promoter O |
|
and O |
|
3 O |
|
'- O |
|
UTR O |
|
genotypes O |
|
did O |
|
not O |
|
differ O |
|
significantly O |
|
between O |
|
the O |
|
different O |
|
cohorts O |
|
. O |
|
|
|
However O |
|
, O |
|
HCV O |
|
genotype O |
|
1 O |
|
- O |
|
infected O |
|
patients O |
|
with O |
|
high O |
|
baseline O |
|
viremia O |
|
carrying O |
|
the O |
|
IL12B O |
|
3 O |
|
'- O |
|
UTR O |
|
1188 O |
|
- O |
|
C O |
|
- O |
|
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|
showed O |
|
significantly O |
|
higher O |
|
sustained O |
|
virologic O |
|
response O |
|
( O |
|
SVR O |
|
) O |
|
rates O |
|
( O |
|
25 O |
|
. O |
|
3 O |
|
% O |
|
vs O |
|
. O |
|
|
|
46 O |
|
% O |
|
vs O |
|
. O |
|
|
|
54 O |
|
. O |
|
5 O |
|
% O |
|
for O |
|
A O |
|
/ O |
|
A O |
|
, O |
|
A O |
|
/ O |
|
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|
and O |
|
C O |
|
/ O |
|
C O |
|
) O |
|
due O |
|
to O |
|
reduced O |
|
relapse O |
|
rates O |
|
( O |
|
24 O |
|
. O |
|
2 O |
|
% O |
|
vs O |
|
. O |
|
|
|
12 O |
|
% O |
|
vs O |
|
. O |
|
|
|
zero O |
|
% O |
|
for O |
|
A O |
|
/ O |
|
A O |
|
, O |
|
A O |
|
/ O |
|
C O |
|
and O |
|
C O |
|
/ O |
|
C O |
|
). O |
|
|
|
CONCLUSIONS O |
|
: O |
|
IL12B O |
|
3 O |
|
'- O |
|
UTR O |
|
1188 O |
|
- O |
|
C O |
|
- O |
|
allele O |
|
carriers O |
|
appear O |
|
to O |
|
be O |
|
capable O |
|
of O |
|
responding O |
|
more O |
|
efficiently O |
|
to O |
|
antiviral O |
|
combination O |
|
therapy O |
|
as O |
|
a O |
|
consequence O |
|
of O |
|
a O |
|
reduced O |
|
relapse O |
|
rate O |
|
. O |
|
|
|
No O |
|
association O |
|
of O |
|
IL12B O |
|
polymorphisms O |
|
and O |
|
self O |
|
- O |
|
limited O |
|
HCV O |
|
infection O |
|
could O |
|
be O |
|
demonstrated O |
|
. O |
|
|
|
|
|
No O |
|
Evidence O |
|
for O |
|
BRAF O |
|
as O |
|
a O |
|
melanoma O |
|
/ O |
|
nevus O |
|
susceptibility O |
|
gene O |
|
. O |
|
|
|
Somatic O |
|
mutations O |
|
of O |
|
BRAF O |
|
have O |
|
been O |
|
identified O |
|
in O |
|
both O |
|
melanoma O |
|
tumors O |
|
and O |
|
benign O |
|
nevi O |
|
. O |
|
|
|
Germ O |
|
line O |
|
mutations O |
|
in O |
|
BRAF O |
|
have O |
|
not O |
|
been O |
|
identified O |
|
as O |
|
causal O |
|
in O |
|
families O |
|
predisposed O |
|
to O |
|
melanoma O |
|
. O |
|
|
|
However O |
|
, O |
|
a O |
|
recent O |
|
study O |
|
suggested O |
|
that O |
|
a O |
|
BRAF O |
|
haplotype O |
|
was O |
|
associated O |
|
with O |
|
risk O |
|
of O |
|
sporadic O |
|
melanoma O |
|
in O |
|
men O |
|
. O |
|
|
|
Polymorphisms O |
|
or O |
|
other O |
|
variants O |
|
in O |
|
the O |
|
BRAF O |
|
gene O |
|
may O |
|
therefore O |
|
act O |
|
as O |
|
candidate O |
|
low O |
|
- O |
|
penetrance O |
|
genes O |
|
for O |
|
nevus O |
|
/ O |
|
melanoma O |
|
susceptibility O |
|
. O |
|
|
|
We O |
|
hypothesized O |
|
that O |
|
promoter O |
|
variants O |
|
would O |
|
be O |
|
the O |
|
most O |
|
likely O |
|
candidates O |
|
for O |
|
determinants O |
|
of O |
|
risk O |
|
. O |
|
|
|
Using O |
|
denaturing O |
|
high O |
|
- O |
|
pressure O |
|
liquid O |
|
chromatography O |
|
and O |
|
sequencing O |
|
, O |
|
we O |
|
screened O |
|
peripheral O |
|
blood O |
|
DNA O |
|
from O |
|
184 O |
|
familial O |
|
melanoma O |
|
cases O |
|
for O |
|
BRAF O |
|
promoter O |
|
variants O |
|
. O |
|
|
|
We O |
|
identified O |
|
a O |
|
promoter O |
|
insertion O |
|
/ O |
|
deletion O |
|
in O |
|
linkage O |
|
disequilibrium O |
|
with O |
|
the O |
|
previously O |
|
described O |
|
BRAF O |
|
polymorphism O |
|
in O |
|
intron O |
|
11 O |
|
( O |
|
rs1639679 O |
|
) O |
|
reported O |
|
to O |
|
be O |
|
associated O |
|
with O |
|
melanoma O |
|
susceptibility O |
|
in O |
|
males O |
|
. O |
|
|
|
We O |
|
therefore O |
|
investigated O |
|
the O |
|
contribution O |
|
of O |
|
this O |
|
BRAF O |
|
polymorphism O |
|
to O |
|
melanoma O |
|
susceptibility O |
|
in O |
|
581 O |
|
consecutively O |
|
recruited O |
|
incident O |
|
cases O |
|
, O |
|
258 O |
|
incident O |
|
cases O |
|
in O |
|
a O |
|
study O |
|
of O |
|
late O |
|
relapse O |
|
, O |
|
673 O |
|
female O |
|
general O |
|
practitioner O |
|
controls O |
|
, O |
|
and O |
|
the O |
|
184 O |
|
familial O |
|
cases O |
|
. O |
|
|
|
We O |
|
found O |
|
no O |
|
statistically O |
|
significant O |
|
difference O |
|
in O |
|
either O |
|
genotype O |
|
or O |
|
allele O |
|
frequencies O |
|
between O |
|
cases O |
|
and O |
|
controls O |
|
overall O |
|
or O |
|
between O |
|
male O |
|
and O |
|
female O |
|
cases O |
|
for O |
|
the O |
|
BRAF O |
|
polymorphism O |
|
in O |
|
the O |
|
two O |
|
incident O |
|
case O |
|
series O |
|
. O |
|
|
|
Our O |
|
results O |
|
therefore O |
|
suggest O |
|
that O |
|
the O |
|
BRAF O |
|
polymorphism O |
|
is O |
|
not O |
|
significantly O |
|
associated O |
|
with O |
|
melanoma O |
|
and O |
|
the O |
|
promoter O |
|
insertion O |
|
/ O |
|
deletion O |
|
linked O |
|
with O |
|
the O |
|
polymorphism O |
|
is O |
|
not O |
|
a O |
|
causal O |
|
variant O |
|
. O |
|
|
|
In O |
|
addition O |
|
, O |
|
we O |
|
found O |
|
that O |
|
there O |
|
was O |
|
no O |
|
association O |
|
between O |
|
the O |
|
BRAF O |
|
genotype O |
|
and O |
|
mean O |
|
total O |
|
number O |
|
of O |
|
banal O |
|
or O |
|
atypical O |
|
nevi O |
|
in O |
|
either O |
|
the O |
|
cases O |
|
or O |
|
controls O |
|
. O |
|
|
|
|
|
CFI O |
|
- O |
|
rs7356506 O |
|
polymorphisms O |
|
associated O |
|
with O |
|
Vogt O |
|
- O |
|
Koyanagi O |
|
- O |
|
Harada O |
|
syndrome O |
|
. O |
|
|
|
PURPOSE O |
|
: O |
|
Complement O |
|
factor O |
|
I O |
|
( O |
|
CFI O |
|
) O |
|
plays O |
|
an O |
|
important O |
|
role O |
|
in O |
|
complement O |
|
activation O |
|
pathways O |
|
and O |
|
is O |
|
known O |
|
to O |
|
affect O |
|
the O |
|
development O |
|
of O |
|
uveitis O |
|
. O |
|
|
|
The O |
|
present O |
|
study O |
|
was O |
|
performed O |
|
to O |
|
investigate O |
|
the O |
|
existence O |
|
of O |
|
an O |
|
association O |
|
between O |
|
CFI O |
|
genetic O |
|
polymorphisms O |
|
and O |
|
Vogt O |
|
- O |
|
Koyanagi O |
|
- O |
|
Harada O |
|
( O |
|
VKH O |
|
) O |
|
syndrome O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
A O |
|
total O |
|
of O |
|
100 O |
|
patients O |
|
diagnosed O |
|
with O |
|
VKH O |
|
syndrome O |
|
and O |
|
300 O |
|
healthy O |
|
controls O |
|
were O |
|
recruited O |
|
for O |
|
the O |
|
study O |
|
. O |
|
|
|
Two O |
|
milliliters O |
|
of O |
|
peripheral O |
|
blood O |
|
were O |
|
collected O |
|
in O |
|
a O |
|
sterile O |
|
anticoagulative O |
|
tube O |
|
. O |
|
|
|
CFI O |
|
- O |
|
rs7356506 O |
|
polymorphisms O |
|
were O |
|
genotyped O |
|
using O |
|
Sequenom O |
|
MassARRAY O |
|
technology O |
|
. O |
|
|
|
Allele O |
|
and O |
|
genotype O |
|
frequencies O |
|
were O |
|
compared O |
|
between O |
|
patients O |
|
and O |
|
controls O |
|
using O |
|
a O |
|
X O |
|
( O |
|
2 O |
|
) O |
|
test O |
|
. O |
|
|
|
The O |
|
analyses O |
|
were O |
|
stratified O |
|
for O |
|
recurrent O |
|
status O |
|
, O |
|
complicated O |
|
cataract O |
|
status O |
|
, O |
|
and O |
|
steroid B |
|
- O |
|
sensitive O |
|
status O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
No O |
|
significant O |
|
association O |
|
was O |
|
found O |
|
between O |
|
CFI O |
|
- O |
|
rs7356506 O |
|
polymorphisms O |
|
and O |
|
VKH O |
|
syndrome O |
|
. O |
|
|
|
However O |
|
, O |
|
patients O |
|
with O |
|
recurrent O |
|
VKH O |
|
syndrome O |
|
had O |
|
lower O |
|
frequencies O |
|
of O |
|
the O |
|
G O |
|
allele O |
|
and O |
|
GG O |
|
homozygosity O |
|
in O |
|
CFI O |
|
- O |
|
rs7356506 O |
|
when O |
|
compared O |
|
to O |
|
the O |
|
controls O |
|
( O |
|
p O |
|
= O |
|
0 O |
|
. O |
|
16 O |
|
, O |
|
odds O |
|
ratio O |
|
[ O |
|
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|
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|
0 O |
|
. O |
|
429 O |
|
, O |
|
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|
% O |
|
confidence O |
|
interval O |
|
[ O |
|
CI O |
|
]= O |
|
0 O |
|
. O |
|
212 O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
0 O |
|
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|
364 O |
|
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|
95 O |
|
% O |
|
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|
= O |
|
0 O |
|
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|
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|
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|
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|
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|
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|
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|
respectively O |
|
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|
|
|
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|
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|
there O |
|
were O |
|
significant O |
|
decreases O |
|
in O |
|
the O |
|
frequencies O |
|
of O |
|
the O |
|
G O |
|
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|
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|
GG O |
|
homozygosity O |
|
in O |
|
CFI O |
|
- O |
|
rs7356506 O |
|
in O |
|
patients O |
|
with O |
|
VKH O |
|
syndrome O |
|
with O |
|
complicated O |
|
cataract O |
|
compared O |
|
to O |
|
the O |
|
controls O |
|
( O |
|
p O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
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|
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|
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|
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|
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|
357 O |
|
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|
95 O |
|
% O |
|
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|
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|
0 O |
|
. O |
|
197 O |
|
- O |
|
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|
. O |
|
648 O |
|
; O |
|
p O |
|
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|
0 O |
|
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|
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|
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|
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|
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|
0 O |
|
. O |
|
273 O |
|
, O |
|
95 O |
|
% O |
|
CI O |
|
= O |
|
0 O |
|
. O |
|
135 O |
|
- O |
|
0 O |
|
. O |
|
551 O |
|
, O |
|
respectively O |
|
). O |
|
|
|
Nevertheless O |
|
, O |
|
no O |
|
significant O |
|
association O |
|
with O |
|
patients O |
|
with O |
|
VKH O |
|
syndrome O |
|
in O |
|
steroid B |
|
- O |
|
sensitive O |
|
statuses O |
|
was O |
|
detected O |
|
for O |
|
CFI O |
|
- O |
|
rs7356506 O |
|
polymorphisms O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
Our O |
|
results O |
|
indicate O |
|
that O |
|
CFI O |
|
polymorphisms O |
|
are O |
|
not O |
|
significantly O |
|
associated O |
|
with O |
|
VKH O |
|
syndrome O |
|
; O |
|
nevertheless O |
|
, O |
|
we O |
|
identified O |
|
a O |
|
trend O |
|
for O |
|
the O |
|
association O |
|
of O |
|
CFI O |
|
- O |
|
7356506 O |
|
with O |
|
VKH O |
|
syndrome O |
|
that O |
|
depends O |
|
on O |
|
the O |
|
recurrent O |
|
status O |
|
and O |
|
the O |
|
complicated O |
|
cataract O |
|
status O |
|
but O |
|
not O |
|
on O |
|
the O |
|
steroid B |
|
- O |
|
sensitive O |
|
status O |
|
. O |
|
|
|
|
|
Two O |
|
novel O |
|
mutations O |
|
in O |
|
the O |
|
MEN1 O |
|
gene O |
|
in O |
|
subjects O |
|
with O |
|
multiple O |
|
endocrine O |
|
neoplasia O |
|
- O |
|
1 O |
|
. O |
|
|
|
Multiple O |
|
endocrine O |
|
neoplasia O |
|
type O |
|
1 O |
|
( O |
|
MEN1 O |
|
) O |
|
is O |
|
characterized O |
|
by O |
|
parathyroid O |
|
, O |
|
enteropancreatic O |
|
endocrine O |
|
and O |
|
pituitary O |
|
adenomas O |
|
as O |
|
well O |
|
as O |
|
germline O |
|
mutation O |
|
of O |
|
the O |
|
MEN1 O |
|
gene O |
|
. O |
|
|
|
We O |
|
describe O |
|
2 O |
|
families O |
|
with O |
|
MEN1 O |
|
with O |
|
novel O |
|
mutations O |
|
in O |
|
the O |
|
MEN1 O |
|
gene O |
|
. O |
|
|
|
One O |
|
family O |
|
was O |
|
of O |
|
Turkish O |
|
origin O |
|
, O |
|
and O |
|
the O |
|
index O |
|
patient O |
|
had O |
|
primary O |
|
hyperparathyroidism O |
|
( O |
|
PHPT O |
|
) O |
|
plus O |
|
a O |
|
prolactinoma O |
|
; O |
|
three O |
|
relatives O |
|
had O |
|
PHPT O |
|
only O |
|
. O |
|
|
|
The O |
|
index O |
|
patient O |
|
in O |
|
the O |
|
second O |
|
family O |
|
was O |
|
a O |
|
46 O |
|
- O |
|
yr O |
|
- O |
|
old O |
|
woman O |
|
of O |
|
Chinese O |
|
origin O |
|
living O |
|
in O |
|
Taiwan O |
|
. O |
|
|
|
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|
patient O |
|
presented O |
|
with O |
|
a O |
|
complaint O |
|
of O |
|
epigastric O |
|
pain O |
|
and O |
|
watery O |
|
diarrhea O |
|
over O |
|
the O |
|
past O |
|
3 O |
|
months O |
|
, O |
|
and O |
|
had O |
|
undergone O |
|
subtotal O |
|
parathyroidectomy O |
|
and O |
|
enucleation O |
|
of O |
|
pancreatic O |
|
islet O |
|
cell O |
|
tumor O |
|
about O |
|
10 O |
|
yr O |
|
before O |
|
. O |
|
|
|
There O |
|
was O |
|
also O |
|
a O |
|
prolactinoma O |
|
. O |
|
|
|
Sequence O |
|
analysis O |
|
of O |
|
the O |
|
MEN1 O |
|
gene O |
|
from O |
|
leukocyte O |
|
genomic O |
|
DNA O |
|
revealed O |
|
heterozygous O |
|
mutations O |
|
in O |
|
both O |
|
probands O |
|
. O |
|
|
|
The O |
|
Turkish O |
|
patient O |
|
and O |
|
her O |
|
affected O |
|
relatives O |
|
all O |
|
had O |
|
a O |
|
heterozygous O |
|
A O |
|
to O |
|
G O |
|
transition O |
|
at O |
|
codon O |
|
557 O |
|
( O |
|
AAG O |
|
--> O |
|
GAG O |
|
) O |
|
of O |
|
exon O |
|
10 O |
|
of O |
|
MEN1 O |
|
that O |
|
results O |
|
in O |
|
a O |
|
replacement O |
|
of O |
|
lysine O |
|
by O |
|
glutamic O |
|
acid O |
|
. O |
|
|
|
The O |
|
Chinese O |
|
index O |
|
patient O |
|
and O |
|
one O |
|
of O |
|
her O |
|
siblings O |
|
had O |
|
a O |
|
heterozygous O |
|
mutation O |
|
at O |
|
codon O |
|
418 O |
|
of O |
|
exon O |
|
9 O |
|
( O |
|
GAC O |
|
--> O |
|
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|
) O |
|
that O |
|
results O |
|
in O |
|
a O |
|
substitution O |
|
of O |
|
aspartic O |
|
acid O |
|
by O |
|
tyrosine O |
|
. O |
|
|
|
In O |
|
conclusion O |
|
, O |
|
we O |
|
have O |
|
identified O |
|
2 O |
|
novel O |
|
missense O |
|
mutations O |
|
in O |
|
the O |
|
MEN1 O |
|
gene O |
|
. O |
|
|
|
|
|
Common O |
|
BRCA2 O |
|
variants O |
|
and O |
|
modification O |
|
of O |
|
breast O |
|
and O |
|
ovarian O |
|
cancer O |
|
risk O |
|
in O |
|
BRCA1 O |
|
mutation O |
|
carriers O |
|
. O |
|
|
|
The O |
|
HH O |
|
genotype O |
|
of O |
|
the O |
|
nonconservative O |
|
amino O |
|
acid O |
|
substitution O |
|
polymorphism O |
|
N372H O |
|
in O |
|
the O |
|
BRCA2 O |
|
gene O |
|
was O |
|
reported O |
|
to O |
|
be O |
|
associated O |
|
with O |
|
a O |
|
1 O |
|
. O |
|
3 O |
|
- O |
|
to O |
|
1 O |
|
. O |
|
5 O |
|
- O |
|
fold O |
|
increase O |
|
in O |
|
risk O |
|
of O |
|
both O |
|
breast O |
|
and O |
|
ovarian O |
|
cancer O |
|
. O |
|
|
|
As O |
|
these O |
|
studies O |
|
concerned O |
|
sporadic O |
|
cancer O |
|
cases O |
|
, O |
|
we O |
|
investigated O |
|
whether O |
|
N372H O |
|
and O |
|
another O |
|
common O |
|
variant O |
|
located O |
|
in O |
|
the O |
|
5 O |
|
'- O |
|
untranslated O |
|
region O |
|
( O |
|
203G O |
|
> O |
|
A O |
|
) O |
|
of O |
|
the O |
|
BRCA2 O |
|
gene O |
|
modify O |
|
breast O |
|
or O |
|
ovarian O |
|
cancer O |
|
risk O |
|
in O |
|
BRCA1 O |
|
mutation O |
|
carriers O |
|
. O |
|
|
|
The O |
|
study O |
|
includes O |
|
778 O |
|
women O |
|
carrying O |
|
a O |
|
BRCA1 O |
|
germ O |
|
- O |
|
line O |
|
mutation O |
|
belonging O |
|
to O |
|
403 O |
|
families O |
|
. O |
|
|
|
The O |
|
two O |
|
BRCA2 O |
|
variants O |
|
were O |
|
analyzed O |
|
by O |
|
the O |
|
TaqMan O |
|
allelic O |
|
discrimination O |
|
technique O |
|
. O |
|
|
|
Genotypes O |
|
were O |
|
analyzed O |
|
by O |
|
disease O |
|
- O |
|
free O |
|
survival O |
|
analysis O |
|
using O |
|
a O |
|
Cox O |
|
proportional O |
|
hazards O |
|
model O |
|
. O |
|
|
|
We O |
|
found O |
|
no O |
|
evidence O |
|
of O |
|
a O |
|
significant O |
|
modification O |
|
of O |
|
breast O |
|
cancer O |
|
penetrance O |
|
in O |
|
BRCA1 O |
|
mutation O |
|
carriers O |
|
by O |
|
either O |
|
polymorphism O |
|
. O |
|
|
|
In O |
|
respect O |
|
of O |
|
ovarian O |
|
cancer O |
|
risk O |
|
, O |
|
we O |
|
also O |
|
saw O |
|
no O |
|
effect O |
|
with O |
|
the O |
|
N372H O |
|
variant O |
|
but O |
|
we O |
|
did O |
|
observe O |
|
a O |
|
borderline O |
|
association O |
|
with O |
|
the O |
|
5 O |
|
'- O |
|
untranslated O |
|
region O |
|
203A O |
|
allele O |
|
( O |
|
hazard O |
|
ratio O |
|
, O |
|
1 O |
|
. O |
|
43 O |
|
; O |
|
CI O |
|
, O |
|
1 O |
|
. O |
|
1 O |
|
- O |
|
2 O |
|
. O |
|
0 O |
|
). O |
|
|
|
In O |
|
contrast O |
|
to O |
|
the O |
|
result O |
|
of O |
|
Healey O |
|
et O |
|
al O |
|
. O |
|
|
|
on O |
|
newborn O |
|
females O |
|
and O |
|
adult O |
|
female O |
|
controls O |
|
, O |
|
we O |
|
found O |
|
no O |
|
departure O |
|
from O |
|
Hardy O |
|
- O |
|
Weinberg O |
|
equilibrium O |
|
in O |
|
the O |
|
distribution O |
|
of O |
|
N372H O |
|
alleles O |
|
for O |
|
our O |
|
female O |
|
BRCA1 O |
|
carriers O |
|
. O |
|
|
|
We O |
|
conclude O |
|
that O |
|
if O |
|
these O |
|
single O |
|
- O |
|
nucleotide O |
|
polymorphisms O |
|
do O |
|
modify O |
|
the O |
|
risk O |
|
of O |
|
cancer O |
|
in O |
|
BRCA1 O |
|
mutation O |
|
carriers O |
|
, O |
|
their O |
|
effects O |
|
are O |
|
not O |
|
significantly O |
|
larger O |
|
than O |
|
that O |
|
of O |
|
N372H O |
|
previously O |
|
observed O |
|
in O |
|
the O |
|
general O |
|
population O |
|
. O |
|
|
|
|
|
Transgelin O |
|
increases O |
|
metastatic O |
|
potential O |
|
of O |
|
colorectal O |
|
cancer O |
|
cells O |
|
in O |
|
vivo O |
|
and O |
|
alters O |
|
expression O |
|
of O |
|
genes O |
|
involved O |
|
in O |
|
cell O |
|
motility O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
Transgelin O |
|
is O |
|
an O |
|
actin O |
|
- O |
|
binding O |
|
protein O |
|
that O |
|
promotes O |
|
motility O |
|
in O |
|
normal O |
|
cells O |
|
. O |
|
|
|
Although O |
|
the O |
|
role O |
|
of O |
|
transgelin O |
|
in O |
|
cancer O |
|
is O |
|
controversial O |
|
, O |
|
a O |
|
number O |
|
of O |
|
studies O |
|
have O |
|
shown O |
|
that O |
|
elevated O |
|
levels O |
|
correlate O |
|
with O |
|
aggressive O |
|
tumor O |
|
behavior O |
|
, O |
|
advanced O |
|
stage O |
|
, O |
|
and O |
|
poor O |
|
prognosis O |
|
. O |
|
|
|
Here O |
|
we O |
|
sought O |
|
to O |
|
determine O |
|
the O |
|
role O |
|
of O |
|
transgelin O |
|
more O |
|
directly O |
|
by O |
|
determining O |
|
whether O |
|
experimental O |
|
manipulation O |
|
of O |
|
transgelin O |
|
levels O |
|
in O |
|
colorectal O |
|
cancer O |
|
( O |
|
CRC O |
|
) O |
|
cells O |
|
led O |
|
to O |
|
changes O |
|
in O |
|
metastatic O |
|
potential O |
|
in O |
|
vivo O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
Isogenic O |
|
CRC O |
|
cell O |
|
lines O |
|
that O |
|
differ O |
|
in O |
|
transgelin O |
|
expression O |
|
were O |
|
characterized O |
|
using O |
|
in O |
|
vitro O |
|
assays O |
|
of O |
|
growth O |
|
and O |
|
invasiveness O |
|
and O |
|
a O |
|
mouse O |
|
tail O |
|
vein O |
|
assay O |
|
of O |
|
experimental O |
|
metastasis O |
|
. O |
|
|
|
Downstream O |
|
effects O |
|
of O |
|
transgelin O |
|
overexpression O |
|
were O |
|
investigated O |
|
by O |
|
gene O |
|
expression O |
|
profiling O |
|
and O |
|
quantitative O |
|
PCR O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Stable O |
|
overexpression O |
|
of O |
|
transgelin O |
|
in O |
|
RKO O |
|
cells O |
|
, O |
|
which O |
|
have O |
|
low O |
|
endogenous O |
|
levels O |
|
, O |
|
led O |
|
to O |
|
increased O |
|
invasiveness O |
|
, O |
|
growth O |
|
at O |
|
low O |
|
density O |
|
, O |
|
and O |
|
growth O |
|
in O |
|
soft O |
|
agar B |
|
. O |
|
|
|
Overexpression O |
|
also O |
|
led O |
|
to O |
|
an O |
|
increase O |
|
in O |
|
the O |
|
number O |
|
and O |
|
size O |
|
of O |
|
lung O |
|
metastases O |
|
in O |
|
the O |
|
mouse O |
|
tail O |
|
vein O |
|
injection O |
|
model O |
|
. O |
|
|
|
Similarly O |
|
, O |
|
attenuation O |
|
of O |
|
transgelin O |
|
expression O |
|
in O |
|
HCT116 O |
|
cells O |
|
, O |
|
which O |
|
have O |
|
high O |
|
endogenous O |
|
levels O |
|
, O |
|
decreased O |
|
metastases O |
|
in O |
|
the O |
|
same O |
|
model O |
|
. O |
|
|
|
Investigation O |
|
of O |
|
mRNA O |
|
expression O |
|
patterns O |
|
showed O |
|
that O |
|
transgelin O |
|
overexpression O |
|
altered O |
|
the O |
|
levels O |
|
of O |
|
approximately O |
|
250 O |
|
other O |
|
transcripts O |
|
, O |
|
with O |
|
over O |
|
- O |
|
representation O |
|
of O |
|
genes O |
|
that O |
|
affect O |
|
function O |
|
of O |
|
actin O |
|
or O |
|
other O |
|
cytoskeletal O |
|
proteins O |
|
. O |
|
|
|
Changes O |
|
included O |
|
increases O |
|
in O |
|
HOOK1 O |
|
, O |
|
SDCCAG8 O |
|
, O |
|
ENAH O |
|
/ O |
|
Mena O |
|
, O |
|
and O |
|
TNS1 O |
|
and O |
|
decreases O |
|
in O |
|
EMB O |
|
, O |
|
BCL11B O |
|
, O |
|
and O |
|
PTPRD O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
Increases O |
|
or O |
|
decreases O |
|
in O |
|
transgelin O |
|
levels O |
|
have O |
|
reciprocal O |
|
effects O |
|
on O |
|
tumor O |
|
cell O |
|
behavior O |
|
, O |
|
with O |
|
higher O |
|
expression O |
|
promoting O |
|
metastasis O |
|
. O |
|
|
|
Chronic O |
|
overexpression O |
|
influences O |
|
steady O |
|
- O |
|
state O |
|
levels O |
|
of O |
|
mRNAs O |
|
for O |
|
metastasis O |
|
- O |
|
related O |
|
genes O |
|
. O |
|
|
|
|
|
Association O |
|
of O |
|
sporadic O |
|
chondrocalcinosis O |
|
with O |
|
a O |
|
- O |
|
4 O |
|
- O |
|
basepair O |
|
G O |
|
- O |
|
to O |
|
- O |
|
A O |
|
transition O |
|
in O |
|
the O |
|
5 O |
|
'- O |
|
untranslated O |
|
region O |
|
of O |
|
ANKH O |
|
that O |
|
promotes O |
|
enhanced O |
|
expression O |
|
of O |
|
ANKH O |
|
protein O |
|
and O |
|
excess O |
|
generation O |
|
of O |
|
extracellular O |
|
inorganic O |
|
pyrophosphate O |
|
. O |
|
|
|
OBJECTIVE O |
|
: O |
|
Certain O |
|
mutations O |
|
in O |
|
ANKH O |
|
, O |
|
which O |
|
encodes O |
|
a O |
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
localization O |
|
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|
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|
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|
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|
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|
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|
localization O |
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
revealed O |
|
lower O |
|
polycystin O |
|
- O |
|
2 O |
|
channel O |
|
function O |
|
than O |
|
in O |
|
controls O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
We O |
|
report O |
|
for O |
|
the O |
|
first O |
|
time O |
|
a O |
|
patient O |
|
with O |
|
ADPKD O |
|
who O |
|
is O |
|
heterozygous O |
|
for O |
|
a O |
|
de O |
|
novo O |
|
PKD1 O |
|
variant O |
|
and O |
|
homozygous O |
|
for O |
|
a O |
|
novel O |
|
PKD2 O |
|
mutation O |
|
. O |
|
|
|
|
|
Two O |
|
novel O |
|
mutations O |
|
of O |
|
the O |
|
TSH O |
|
- O |
|
beta O |
|
subunit O |
|
gene O |
|
underlying O |
|
congenital O |
|
central O |
|
hypothyroidism O |
|
undetectable O |
|
in O |
|
neonatal O |
|
TSH O |
|
screening O |
|
. O |
|
|
|
CONTEXT O |
|
: O |
|
Patients O |
|
with O |
|
TSH O |
|
- O |
|
beta O |
|
subunit O |
|
defects O |
|
and O |
|
congenital O |
|
hypothyroidism O |
|
are O |
|
missed O |
|
by O |
|
TSH O |
|
- O |
|
based O |
|
neonatal O |
|
screening O |
|
. O |
|
|
|
OBJECTIVE O |
|
: O |
|
Our O |
|
objective O |
|
was O |
|
to O |
|
report O |
|
the O |
|
molecular O |
|
consequences O |
|
of O |
|
a O |
|
novel O |
|
splice O |
|
- O |
|
junction O |
|
mutation O |
|
and O |
|
a O |
|
novel O |
|
missense O |
|
mutation O |
|
in O |
|
the O |
|
TSH O |
|
- O |
|
beta O |
|
subunit O |
|
gene O |
|
found O |
|
in O |
|
two O |
|
patients O |
|
with O |
|
congenital O |
|
central O |
|
hypothyroidism O |
|
and O |
|
conventional O |
|
treatment O |
|
- O |
|
resistant O |
|
anemia O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Patient O |
|
1 O |
|
had O |
|
a O |
|
homozygous O |
|
G O |
|
to O |
|
A O |
|
nucleotide O |
|
change O |
|
at O |
|
the O |
|
5 O |
|
' O |
|
donor O |
|
splice O |
|
site O |
|
of O |
|
exon O |
|
/ O |
|
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|
2 O |
|
. O |
|
|
|
This O |
|
resulted O |
|
in O |
|
a O |
|
silent O |
|
change O |
|
at O |
|
codon O |
|
34 O |
|
of O |
|
the O |
|
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|
protein O |
|
. O |
|
|
|
In O |
|
vitro O |
|
splicing O |
|
assays O |
|
showed O |
|
that O |
|
the O |
|
mutant O |
|
minigene O |
|
dramatically O |
|
affected O |
|
pre O |
|
- O |
|
mRNA O |
|
processing O |
|
, O |
|
causing O |
|
exon O |
|
2 O |
|
to O |
|
be O |
|
completely O |
|
skipped O |
|
. O |
|
|
|
The O |
|
putative O |
|
product O |
|
from O |
|
a O |
|
new O |
|
out O |
|
- O |
|
of O |
|
- O |
|
frame O |
|
translational O |
|
start O |
|
point O |
|
in O |
|
exon O |
|
3 O |
|
is O |
|
expected O |
|
to O |
|
yield O |
|
a O |
|
nonsense O |
|
25 O |
|
- O |
|
amino O |
|
- O |
|
acid O |
|
peptide O |
|
. O |
|
|
|
In O |
|
patient O |
|
2 O |
|
, O |
|
sequence O |
|
analysis O |
|
revealed O |
|
a O |
|
compound O |
|
heterozygosis O |
|
for O |
|
the O |
|
already O |
|
reported O |
|
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|
( O |
|
C105Vfs114X O |
|
) O |
|
mutation O |
|
and O |
|
for O |
|
a O |
|
second O |
|
novel O |
|
mutation O |
|
in O |
|
exon O |
|
3 O |
|
, O |
|
substituting O |
|
G O |
|
for O |
|
A O |
|
at O |
|
cDNA O |
|
nucleotide O |
|
position O |
|
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|
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|
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|
in O |
|
a O |
|
C88Y O |
|
change O |
|
. O |
|
|
|
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|
cysteine O |
|
residue O |
|
is O |
|
conserved O |
|
among O |
|
all O |
|
dimeric O |
|
pituitary O |
|
and O |
|
placental O |
|
glycoprotein O |
|
hormone O |
|
- O |
|
beta O |
|
subunits O |
|
. O |
|
|
|
Data O |
|
from O |
|
in O |
|
silico O |
|
analysis O |
|
confirmed O |
|
that O |
|
the O |
|
C88Y O |
|
mutation O |
|
would O |
|
affect O |
|
subunit O |
|
conformation O |
|
. O |
|
|
|
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|
, O |
|
two O |
|
different O |
|
bioinformatics O |
|
approaches O |
|
, O |
|
PolyPhen O |
|
and O |
|
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|
analysis O |
|
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|
predicted O |
|
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|
to O |
|
be O |
|
a O |
|
damaging O |
|
substitution O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
In O |
|
isolated O |
|
TSH O |
|
deficiency O |
|
, O |
|
the O |
|
exact O |
|
molecular O |
|
diagnosis O |
|
is O |
|
mandatory O |
|
for O |
|
diagnosis O |
|
of O |
|
isolated O |
|
pituitary O |
|
deficiency O |
|
, O |
|
delineation O |
|
of O |
|
prognosis O |
|
, O |
|
and O |
|
genetic O |
|
counseling O |
|
. O |
|
|
|
Moreover O |
|
, O |
|
diagnosis O |
|
of O |
|
central O |
|
hypothyroidism O |
|
should O |
|
be O |
|
considered O |
|
in O |
|
the O |
|
face O |
|
of O |
|
severe O |
|
infant O |
|
anemia O |
|
of O |
|
uncertain O |
|
etiology O |
|
. O |
|
|
|
|
|
Mutations O |
|
in O |
|
the O |
|
NDP O |
|
gene O |
|
: O |
|
contribution O |
|
to O |
|
Norrie O |
|
disease O |
|
, O |
|
familial O |
|
exudative O |
|
vitreoretinopathy O |
|
and O |
|
retinopathy O |
|
of O |
|
prematurity O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
To O |
|
examine O |
|
the O |
|
contribution O |
|
of O |
|
mutations O |
|
within O |
|
the O |
|
Norrie O |
|
disease O |
|
( O |
|
NDP O |
|
) O |
|
gene O |
|
to O |
|
the O |
|
clinically O |
|
similar O |
|
retinal O |
|
diseases O |
|
Norrie O |
|
disease O |
|
, O |
|
X O |
|
- O |
|
linked O |
|
familial O |
|
exudative O |
|
vitreoretinopathy O |
|
( O |
|
FEVR O |
|
), O |
|
Coat O |
|
' O |
|
s O |
|
disease O |
|
and O |
|
retinopathy O |
|
of O |
|
prematurity O |
|
( O |
|
ROP O |
|
). O |
|
|
|
METHODS O |
|
: O |
|
A O |
|
dataset O |
|
comprising O |
|
13 O |
|
Norrie O |
|
- O |
|
FEVR O |
|
, O |
|
one O |
|
Coat O |
|
' O |
|
s O |
|
disease O |
|
, O |
|
31 O |
|
ROP O |
|
patients O |
|
and O |
|
90 O |
|
ex O |
|
- O |
|
premature O |
|
babies O |
|
of O |
|
< O |
|
32 O |
|
weeks O |
|
' O |
|
gestation O |
|
underwent O |
|
an O |
|
ophthalmologic O |
|
examination O |
|
and O |
|
were O |
|
screened O |
|
for O |
|
mutations O |
|
within O |
|
the O |
|
NDP O |
|
gene O |
|
by O |
|
direct O |
|
DNA O |
|
sequencing O |
|
, O |
|
denaturing O |
|
high O |
|
- O |
|
performance O |
|
liquid O |
|
chromatography O |
|
or O |
|
gel O |
|
electrophoresis O |
|
. O |
|
|
|
Controls O |
|
were O |
|
only O |
|
screened O |
|
using O |
|
denaturing O |
|
high O |
|
- O |
|
performance O |
|
liquid O |
|
chromatography O |
|
and O |
|
gel O |
|
electrophoresis O |
|
. O |
|
|
|
Confirmation O |
|
of O |
|
mutations O |
|
identified O |
|
was O |
|
obtained O |
|
by O |
|
DNA O |
|
sequencing O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Evidence O |
|
for O |
|
two O |
|
novel O |
|
mutations O |
|
in O |
|
the O |
|
NDP O |
|
gene O |
|
was O |
|
presented O |
|
: O |
|
Leu103Val O |
|
in O |
|
one O |
|
FEVR O |
|
patient O |
|
and O |
|
His43Arg O |
|
in O |
|
monozygotic O |
|
twin O |
|
Norrie O |
|
disease O |
|
patients O |
|
. O |
|
|
|
Furthermore O |
|
, O |
|
a O |
|
previously O |
|
described O |
|
14 O |
|
- O |
|
bp O |
|
deletion O |
|
located O |
|
in O |
|
the O |
|
5 O |
|
' O |
|
unstranslated O |
|
region O |
|
of O |
|
the O |
|
NDP O |
|
gene O |
|
was O |
|
detected O |
|
in O |
|
three O |
|
cases O |
|
of O |
|
regressed O |
|
ROP O |
|
. O |
|
|
|
A O |
|
second O |
|
heterozygotic O |
|
14 O |
|
- O |
|
bp O |
|
deletion O |
|
was O |
|
detected O |
|
in O |
|
an O |
|
unaffected O |
|
ex O |
|
- O |
|
premature O |
|
girl O |
|
. O |
|
|
|
Only O |
|
two O |
|
of O |
|
the O |
|
13 O |
|
Norrie O |
|
- O |
|
FEVR O |
|
index O |
|
cases O |
|
had O |
|
the O |
|
full O |
|
features O |
|
of O |
|
Norrie O |
|
disease O |
|
with O |
|
deafness O |
|
and O |
|
mental O |
|
retardation O |
|
. O |
|
|
|
CONCLUSION O |
|
: O |
|
Two O |
|
novel O |
|
mutations O |
|
within O |
|
the O |
|
coding O |
|
region O |
|
of O |
|
the O |
|
NDP O |
|
gene O |
|
were O |
|
found O |
|
, O |
|
one O |
|
associated O |
|
with O |
|
a O |
|
severe O |
|
disease O |
|
phenotypes O |
|
of O |
|
Norrie O |
|
disease O |
|
and O |
|
the O |
|
other O |
|
with O |
|
FEVR O |
|
. O |
|
|
|
A O |
|
deletion O |
|
within O |
|
the O |
|
non O |
|
- O |
|
coding O |
|
region O |
|
was O |
|
associated O |
|
with O |
|
only O |
|
mild O |
|
- O |
|
regressed O |
|
ROP O |
|
, O |
|
despite O |
|
the O |
|
presence O |
|
of O |
|
low O |
|
birthweight O |
|
, O |
|
prematurity O |
|
and O |
|
exposure O |
|
to O |
|
oxygen B |
|
. O |
|
|
|
In O |
|
full O |
|
- O |
|
term O |
|
children O |
|
with O |
|
retinal O |
|
detachment O |
|
only O |
|
15 O |
|
% O |
|
appear O |
|
to O |
|
have O |
|
the O |
|
full O |
|
features O |
|
of O |
|
Norrie O |
|
disease O |
|
and O |
|
this O |
|
is O |
|
important O |
|
for O |
|
counselling O |
|
parents O |
|
on O |
|
the O |
|
possible O |
|
long O |
|
- O |
|
term O |
|
outcome O |
|
. O |
|
|
|
|
|
Growth O |
|
hormone O |
|
dose O |
|
in O |
|
growth O |
|
hormone O |
|
- O |
|
deficient O |
|
adults O |
|
is O |
|
not O |
|
associated O |
|
with O |
|
IGF O |
|
- O |
|
1 O |
|
gene O |
|
polymorphisms O |
|
. O |
|
|
|
AIMS O |
|
: O |
|
Several O |
|
SNPs O |
|
and O |
|
a O |
|
microsatellite O |
|
cytosine O |
|
- O |
|
adenine O |
|
repeat O |
|
promoter O |
|
polymorphism O |
|
of O |
|
the O |
|
IGF O |
|
- O |
|
1 O |
|
gene O |
|
have O |
|
been O |
|
reported O |
|
to O |
|
be O |
|
associated O |
|
with O |
|
circulating O |
|
IGF O |
|
- O |
|
1 O |
|
serum O |
|
concentrations O |
|
. O |
|
|
|
Variance O |
|
in O |
|
IGF O |
|
- O |
|
1 O |
|
concentrations O |
|
due O |
|
to O |
|
genetic O |
|
variations O |
|
may O |
|
affect O |
|
different O |
|
response O |
|
to O |
|
growth O |
|
hormone O |
|
( O |
|
GH O |
|
) O |
|
treatment O |
|
, O |
|
resulting O |
|
in O |
|
different O |
|
individually O |
|
required O |
|
GH O |
|
- O |
|
doses O |
|
in O |
|
GH O |
|
- O |
|
deficient O |
|
patients O |
|
. O |
|
|
|
The O |
|
aim O |
|
of O |
|
this O |
|
study O |
|
was O |
|
to O |
|
test O |
|
if O |
|
the O |
|
IGF O |
|
- O |
|
1 O |
|
gene O |
|
polymorphisms O |
|
are O |
|
associated O |
|
with O |
|
the O |
|
GH O |
|
- O |
|
dose O |
|
of O |
|
GH O |
|
- O |
|
deficient O |
|
adults O |
|
. O |
|
|
|
MATERIALS O |
|
& O |
|
METHODS O |
|
: O |
|
A O |
|
total O |
|
of O |
|
nine O |
|
tagging O |
|
SNPs O |
|
, O |
|
five O |
|
additionally O |
|
selected O |
|
SNPs O |
|
and O |
|
a O |
|
cytosine O |
|
- O |
|
adenine O |
|
repeat O |
|
polymorphism O |
|
were O |
|
determined O |
|
in O |
|
133 O |
|
German O |
|
adult O |
|
patients O |
|
( O |
|
66 O |
|
men O |
|
, O |
|
67 O |
|
women O |
|
; O |
|
mean O |
|
age O |
|
45 O |
|
. O |
|
4 O |
|
years O |
|
+/- O |
|
13 O |
|
. O |
|
1 O |
|
standard O |
|
deviation O |
|
; O |
|
majority O |
|
Caucasian O |
|
) O |
|
with O |
|
GH O |
|
- O |
|
deficiency O |
|
( O |
|
GHD O |
|
) O |
|
of O |
|
different O |
|
origin O |
|
, O |
|
derived O |
|
from O |
|
the O |
|
prospective O |
|
Pfizer O |
|
International O |
|
Metabolic O |
|
Study O |
|
( O |
|
KIMS O |
|
) O |
|
Pharmacogenetics O |
|
Study O |
|
. O |
|
|
|
Patients O |
|
received O |
|
GH O |
|
- O |
|
treatment O |
|
for O |
|
12 O |
|
months O |
|
with O |
|
finished O |
|
dose O |
|
- O |
|
titration O |
|
of O |
|
GH O |
|
and O |
|
centralized O |
|
IGF O |
|
- O |
|
1 O |
|
measurements O |
|
. O |
|
|
|
GH O |
|
- O |
|
dose O |
|
after O |
|
1 O |
|
year O |
|
of O |
|
treatment O |
|
, O |
|
IGF O |
|
- O |
|
1 O |
|
concentrations O |
|
, O |
|
IGF O |
|
- O |
|
1 O |
|
- O |
|
standard O |
|
deviation O |
|
score O |
|
( O |
|
SDS O |
|
), O |
|
the O |
|
IGF O |
|
- O |
|
1 O |
|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
women O |
|
with O |
|
GDM O |
|
pregnancies O |
|
were O |
|
obviously O |
|
higher O |
|
than O |
|
that O |
|
in O |
|
women O |
|
with O |
|
healthy O |
|
pregnancies O |
|
. O |
|
|
|
Women O |
|
with O |
|
GDM O |
|
were O |
|
of O |
|
older O |
|
maternal O |
|
age O |
|
, O |
|
had O |
|
higher O |
|
BMI O |
|
, O |
|
were O |
|
more O |
|
nulliparous O |
|
, O |
|
and O |
|
had O |
|
T2DM O |
|
and O |
|
GDM O |
|
history O |
|
, O |
|
compared O |
|
to O |
|
women O |
|
with O |
|
healthy O |
|
pregnancies O |
|
( O |
|
p O |
|
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|
0 O |
|
. O |
|
5 O |
|
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|
|
|
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|
biomarkers O |
|
in O |
|
serum O |
|
( O |
|
hs O |
|
- O |
|
CRP O |
|
, O |
|
IL O |
|
- O |
|
6 O |
|
, O |
|
IL O |
|
- O |
|
8 O |
|
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|
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|
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|
6 O |
|
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|
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|
- O |
|
10 O |
|
ratio O |
|
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|
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|
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|
( O |
|
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|
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|
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|
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|
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|
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|
6 O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
ratio O |
|
, O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
different O |
|
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|
p O |
|
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|
0 O |
|
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|
5 O |
|
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|
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|
women O |
|
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|
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|
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|
women O |
|
with O |
|
healthy O |
|
pregnancies O |
|
. O |
|
|
|
Differences O |
|
were O |
|
found O |
|
for O |
|
serum O |
|
FBG O |
|
, O |
|
FINS O |
|
, O |
|
HOMA O |
|
- O |
|
IR O |
|
, O |
|
and O |
|
HOMA O |
|
- O |
|
beta O |
|
, O |
|
and O |
|
placental O |
|
IRS O |
|
- O |
|
1 O |
|
, O |
|
IRS O |
|
- O |
|
2 O |
|
, O |
|
leptin O |
|
, O |
|
adiponectin O |
|
, O |
|
visfatin O |
|
, O |
|
RBP O |
|
- O |
|
4 O |
|
, O |
|
chemerin O |
|
, O |
|
nesfatin O |
|
- O |
|
1 O |
|
, O |
|
FATP O |
|
- O |
|
4 O |
|
, O |
|
EL O |
|
, O |
|
LPL O |
|
, O |
|
FABP O |
|
- O |
|
1 O |
|
, O |
|
FABP O |
|
- O |
|
3 O |
|
, O |
|
FABP O |
|
- O |
|
4 O |
|
, O |
|
and O |
|
FABP O |
|
- O |
|
5 O |
|
. O |
|
|
|
CONCLUSIONS O |
|
TNF O |
|
- O |
|
alpha O |
|
- O |
|
857C O |
|
/ O |
|
T O |
|
SNP O |
|
, O |
|
hs O |
|
- O |
|
CRP O |
|
, O |
|
IL O |
|
- O |
|
6 O |
|
, O |
|
IL O |
|
- O |
|
8 O |
|
, O |
|
and O |
|
IL O |
|
- O |
|
6 O |
|
/ O |
|
IL O |
|
- O |
|
10 O |
|
were O |
|
associated O |
|
with O |
|
GDM O |
|
in O |
|
women O |
|
from O |
|
Inner O |
|
Mongolia O |
|
, O |
|
as O |
|
was O |
|
serious O |
|
inflammation O |
|
and O |
|
disordered O |
|
lipid B |
|
and O |
|
glucose B |
|
metabolisms O |
|
. O |
|
|
|
|
|
Fine O |
|
mapping O |
|
and O |
|
identification O |
|
of O |
|
a O |
|
candidate O |
|
gene O |
|
SSH1 O |
|
in O |
|
disseminated O |
|
superficial O |
|
actinic O |
|
porokeratosis O |
|
. O |
|
|
|
Disseminated O |
|
superficial O |
|
actinic O |
|
porokeratosis O |
|
( O |
|
DSAP O |
|
) O |
|
is O |
|
an O |
|
uncommon O |
|
autosomal O |
|
dominant O |
|
chronic O |
|
keratinization O |
|
disorder O |
|
, O |
|
characterized O |
|
by O |
|
multiple O |
|
superficial O |
|
keratotic O |
|
lesions O |
|
surrounded O |
|
by O |
|
a O |
|
slightly O |
|
raised O |
|
keratotic O |
|
border O |
|
. O |
|
|
|
Thus O |
|
far O |
|
, O |
|
although O |
|
two O |
|
loci O |
|
for O |
|
DSAP O |
|
have O |
|
been O |
|
identified O |
|
, O |
|
the O |
|
genetic O |
|
basis O |
|
and O |
|
pathogenesis O |
|
of O |
|
this O |
|
disorder O |
|
have O |
|
not O |
|
been O |
|
elucidated O |
|
yet O |
|
. O |
|
|
|
In O |
|
this O |
|
study O |
|
, O |
|
we O |
|
performed O |
|
a O |
|
genome O |
|
- O |
|
wide O |
|
linkage O |
|
analysis O |
|
in O |
|
three O |
|
Chinese O |
|
affected O |
|
families O |
|
and O |
|
localized O |
|
the O |
|
gene O |
|
in O |
|
an O |
|
8 O |
|
. O |
|
0 O |
|
cM O |
|
interval O |
|
defined O |
|
by O |
|
D12S330 O |
|
and O |
|
D12S354 O |
|
on O |
|
chromosome O |
|
12 O |
|
. O |
|
|
|
Upon O |
|
screening O |
|
30 O |
|
candidate O |
|
genes O |
|
, O |
|
we O |
|
identified O |
|
a O |
|
missense O |
|
mutation O |
|
, O |
|
p O |
|
. O |
|
Ser63Asn O |
|
in O |
|
SSH1 O |
|
in O |
|
one O |
|
family O |
|
, O |
|
a O |
|
frameshift O |
|
mutation O |
|
, O |
|
p O |
|
. O |
|
Ser19CysfsX24 O |
|
in O |
|
an O |
|
alternative O |
|
variant O |
|
( O |
|
isoform O |
|
f O |
|
) O |
|
of O |
|
SSH1 O |
|
in O |
|
another O |
|
family O |
|
, O |
|
and O |
|
a O |
|
frameshift O |
|
mutation O |
|
, O |
|
p O |
|
. O |
|
Pro27ProfsX54 O |
|
in O |
|
the O |
|
same O |
|
alternative O |
|
variant O |
|
in O |
|
one O |
|
non O |
|
- O |
|
familial O |
|
case O |
|
with O |
|
DSAP O |
|
. O |
|
|
|
SSH1 O |
|
encodes O |
|
a O |
|
phosphatase O |
|
that O |
|
plays O |
|
a O |
|
pivotal O |
|
role O |
|
in O |
|
actin O |
|
dynamics O |
|
. O |
|
|
|
Our O |
|
data O |
|
suggested O |
|
that O |
|
cytoskeleton O |
|
disorganization O |
|
in O |
|
epidermal O |
|
cells O |
|
is O |
|
likely O |
|
associated O |
|
with O |
|
the O |
|
pathogenesis O |
|
of O |
|
DSAP O |
|
. O |
|
|
|
|
|
Array O |
|
- O |
|
based O |
|
comparative O |
|
genomic O |
|
hybridization O |
|
analysis O |
|
reveals O |
|
recurrent O |
|
chromosomal O |
|
alterations O |
|
and O |
|
prognostic O |
|
parameters O |
|
in O |
|
primary O |
|
cutaneous O |
|
large O |
|
B O |
|
- O |
|
cell O |
|
lymphoma O |
|
. O |
|
|
|
PURPOSE O |
|
: O |
|
To O |
|
evaluate O |
|
the O |
|
clinical O |
|
relevance O |
|
of O |
|
genomic O |
|
aberrations O |
|
in O |
|
primary O |
|
cutaneous O |
|
large O |
|
B O |
|
- O |
|
cell O |
|
lymphoma O |
|
( O |
|
PCLBCL O |
|
). O |
|
|
|
PATIENTS O |
|
AND O |
|
METHODS O |
|
: O |
|
Skin O |
|
biopsy O |
|
samples O |
|
of O |
|
31 O |
|
patients O |
|
with O |
|
a O |
|
PCLBCL O |
|
classified O |
|
as O |
|
either O |
|
primary O |
|
cutaneous O |
|
follicle O |
|
center O |
|
lymphoma O |
|
( O |
|
PCFCL O |
|
; O |
|
n O |
|
= O |
|
19 O |
|
) O |
|
or O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
( O |
|
n O |
|
= O |
|
12 O |
|
), O |
|
according O |
|
to O |
|
the O |
|
WHO O |
|
- O |
|
European O |
|
Organisation O |
|
for O |
|
Research O |
|
and O |
|
Treatment O |
|
of O |
|
Cancer O |
|
( O |
|
EORTC O |
|
) O |
|
classification O |
|
, O |
|
were O |
|
investigated O |
|
using O |
|
array O |
|
- O |
|
based O |
|
comparative O |
|
genomic O |
|
hybridization O |
|
, O |
|
fluorescence O |
|
in O |
|
situ O |
|
hybridization O |
|
( O |
|
FISH O |
|
), O |
|
and O |
|
examination O |
|
of O |
|
promoter O |
|
hypermethylation O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
The O |
|
most O |
|
recurrent O |
|
alterations O |
|
in O |
|
PCFCL O |
|
were O |
|
high O |
|
- O |
|
level O |
|
DNA O |
|
amplifications O |
|
at O |
|
2p16 O |
|
. O |
|
1 O |
|
( O |
|
63 O |
|
%) O |
|
and O |
|
deletion O |
|
of O |
|
chromosome O |
|
14q32 O |
|
. O |
|
33 O |
|
( O |
|
68 O |
|
%). O |
|
|
|
FISH O |
|
analysis O |
|
confirmed O |
|
c O |
|
- O |
|
REL O |
|
amplification O |
|
in O |
|
patients O |
|
with O |
|
gains O |
|
at O |
|
2p16 O |
|
. O |
|
1 O |
|
. O |
|
|
|
In O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
, O |
|
most O |
|
prominent O |
|
aberrations O |
|
were O |
|
a O |
|
high O |
|
- O |
|
level O |
|
DNA O |
|
amplification O |
|
of O |
|
18q21 O |
|
. O |
|
31 O |
|
- O |
|
q21 O |
|
. O |
|
33 O |
|
( O |
|
67 O |
|
%), O |
|
including O |
|
the O |
|
BCL O |
|
- O |
|
2 O |
|
and O |
|
MALT1 O |
|
genes O |
|
as O |
|
confirmed O |
|
by O |
|
FISH O |
|
, O |
|
and O |
|
deletions O |
|
of O |
|
a O |
|
small O |
|
region O |
|
within O |
|
9p21 O |
|
. O |
|
3 O |
|
containing O |
|
the O |
|
CDKN2A O |
|
, O |
|
CDKN2B O |
|
, O |
|
and O |
|
NSG O |
|
- O |
|
x O |
|
genes O |
|
. O |
|
|
|
Homozygous O |
|
deletion O |
|
of O |
|
9p21 O |
|
. O |
|
3 O |
|
was O |
|
detected O |
|
in O |
|
five O |
|
of O |
|
12 O |
|
patients O |
|
with O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
, O |
|
but O |
|
in O |
|
zero O |
|
of O |
|
19 O |
|
patients O |
|
with O |
|
PCFCL O |
|
. O |
|
|
|
Complete O |
|
methylation O |
|
of O |
|
the O |
|
promoter O |
|
region O |
|
of O |
|
the O |
|
CDKN2A O |
|
gene O |
|
was O |
|
demonstrated O |
|
in O |
|
one O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
, O |
|
patient O |
|
with O |
|
hemizygous O |
|
deletion O |
|
, O |
|
in O |
|
one O |
|
patient O |
|
without O |
|
deletion O |
|
, O |
|
but O |
|
in O |
|
zero O |
|
of O |
|
19 O |
|
patients O |
|
with O |
|
PCFCL O |
|
. O |
|
|
|
Seven O |
|
of O |
|
seven O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
, O |
|
patients O |
|
with O |
|
deletion O |
|
of O |
|
9p21 O |
|
. O |
|
3 O |
|
and O |
|
/ O |
|
or O |
|
complete O |
|
methylation O |
|
of O |
|
CDKN2A O |
|
died O |
|
as O |
|
a O |
|
result O |
|
of O |
|
their O |
|
lymphoma O |
|
. O |
|
|
|
CONCLUSION O |
|
: O |
|
Our O |
|
results O |
|
demonstrate O |
|
prominent O |
|
differences O |
|
in O |
|
chromosomal O |
|
alterations O |
|
between O |
|
PCFCL O |
|
and O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
, O |
|
that O |
|
support O |
|
their O |
|
classification O |
|
as O |
|
separate O |
|
entities O |
|
within O |
|
the O |
|
WHO O |
|
- O |
|
EORTC O |
|
scheme O |
|
. O |
|
|
|
Inactivation O |
|
of O |
|
CDKN2A O |
|
by O |
|
either O |
|
deletion O |
|
or O |
|
methylation O |
|
of O |
|
its O |
|
promoter O |
|
could O |
|
be O |
|
an O |
|
important O |
|
prognostic O |
|
parameter O |
|
for O |
|
the O |
|
group O |
|
of O |
|
PCLBCL O |
|
, O |
|
leg O |
|
type O |
|
. O |
|
|
|
|
|
Osteogenesis O |
|
imperfecta O |
|
type O |
|
III O |
|
with O |
|
intracranial O |
|
hemorrhage O |
|
and O |
|
brachydactyly O |
|
associated O |
|
with O |
|
mutations O |
|
in O |
|
exon O |
|
49 O |
|
of O |
|
COL1A2 O |
|
. O |
|
|
|
Osteogenesis O |
|
imperfecta O |
|
( O |
|
OI O |
|
) O |
|
is O |
|
a O |
|
heritable O |
|
bone O |
|
disorder O |
|
characterized O |
|
by O |
|
fractures O |
|
with O |
|
minimal O |
|
trauma O |
|
. O |
|
|
|
Intracranial O |
|
hemorrhage O |
|
has O |
|
been O |
|
reported O |
|
in O |
|
a O |
|
small O |
|
number O |
|
of O |
|
OI O |
|
patients O |
|
. O |
|
|
|
Here O |
|
we O |
|
describe O |
|
three O |
|
patients O |
|
, O |
|
a O |
|
boy O |
|
( O |
|
aged O |
|
15 O |
|
years O |
|
) O |
|
and O |
|
two O |
|
girls O |
|
( O |
|
aged O |
|
17 O |
|
and O |
|
7 O |
|
years O |
|
) O |
|
with O |
|
OI O |
|
type O |
|
III O |
|
who O |
|
suffered O |
|
intracranial O |
|
hemorrhage O |
|
and O |
|
in O |
|
addition O |
|
had O |
|
brachydactyly O |
|
and O |
|
nail O |
|
hypoplasia O |
|
. O |
|
|
|
In O |
|
all O |
|
of O |
|
these O |
|
patients O |
|
, O |
|
OI O |
|
was O |
|
caused O |
|
by O |
|
glycine O |
|
mutations O |
|
affecting O |
|
exon O |
|
49 O |
|
of O |
|
the O |
|
COL1A2 O |
|
gene O |
|
, O |
|
which O |
|
codes O |
|
for O |
|
the O |
|
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|
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a O |
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risk O |
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of O |
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abnormal O |
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|
|
|
|
|
Bilateral O |
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the O |
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|
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|
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|
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|
|
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|
|
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|
|
|
|
|
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|
|
|
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|
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|
|
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|
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|
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|
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|
|
|
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|
|
|
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|
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|
|
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|
|
|
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|
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|
|
|
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|
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|
age O |
|
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|
sex O |
|
, O |
|
smoking O |
|
, O |
|
diabetes O |
|
, O |
|
arterial O |
|
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|
and O |
|
hypercholesterolemia O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
age O |
|
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|
onset O |
|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
gene O |
|
variant O |
|
does O |
|
not O |
|
contribute O |
|
to O |
|
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|
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|
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|
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|
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|
|
|
|
|
Genotype O |
|
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|
near O |
|
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|
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|
gene O |
|
and O |
|
amino O |
|
acid O |
|
substitution O |
|
at O |
|
position O |
|
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|
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|
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|
region O |
|
of O |
|
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|
hepatitis O |
|
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|
virus O |
|
are O |
|
determinants O |
|
of O |
|
serum O |
|
apolipoprotein O |
|
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|
- O |
|
100 O |
|
concentration O |
|
in O |
|
chronic O |
|
hepatitis O |
|
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|
. O |
|
|
|
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|
life O |
|
cycle O |
|
of O |
|
the O |
|
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|
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|
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|
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|
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|
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|
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|
closely O |
|
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|
to O |
|
host O |
|
lipoprotein B |
|
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|
. O |
|
|
|
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|
levels O |
|
of O |
|
lipid B |
|
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|
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|
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|
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|
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|
to O |
|
pegylated B |
|
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|
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|
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|
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|
PEG O |
|
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|
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|
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|
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|
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|
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|
, O |
|
while O |
|
single O |
|
nucleotide O |
|
polymorphisms O |
|
( O |
|
SNPs O |
|
) O |
|
around O |
|
the O |
|
human O |
|
interleukin O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
efficacy O |
|
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|
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|
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|
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|
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|
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|
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|
in O |
|
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|
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|
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|
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|
genotype O |
|
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|
infection O |
|
. O |
|
|
|
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|
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|
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|
this O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
RB O |
|
therapy O |
|
, O |
|
with O |
|
specific O |
|
focus O |
|
on O |
|
apolipoprotein O |
|
B O |
|
- O |
|
100 O |
|
( O |
|
apoB O |
|
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|
100 O |
|
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|
in O |
|
148 O |
|
subjects O |
|
with O |
|
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|
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|
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|
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|
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|
|
|
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|
results O |
|
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|
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|
both O |
|
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|
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|
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|
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|
in O |
|
the O |
|
core O |
|
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|
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|
the O |
|
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|
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|
the O |
|
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|
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|
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|
proximal O |
|
to O |
|
the O |
|
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|
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|
independent O |
|
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|
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|
determining O |
|
serum O |
|
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|
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|
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|
and O |
|
low O |
|
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|
density I |
|
lipoprotein I |
|
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|
LDL B |
|
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|
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|
levels O |
|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
subjects O |
|
having O |
|
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|
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|
|
|
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|
significant O |
|
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|
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|
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|
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|
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|
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|
carrying O |
|
the O |
|
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|
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|
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|
genotype O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
results O |
|
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|
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|
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|
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|
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|
and O |
|
LDL B |
|
cholesterol B |
|
are O |
|
markers O |
|
of O |
|
impaired O |
|
cellular O |
|
lipoprotein O |
|
pathways O |
|
and O |
|
/ O |
|
or O |
|
host O |
|
endogenous O |
|
interferon O |
|
response O |
|
to O |
|
HCV O |
|
in O |
|
chronic O |
|
HCV O |
|
infection O |
|
. O |
|
|
|
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|
particular O |
|
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|
serum O |
|
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|
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|
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|
concentration O |
|
might O |
|
be O |
|
an O |
|
informative O |
|
marker O |
|
for O |
|
judging O |
|
changes O |
|
in O |
|
HCV O |
|
- O |
|
associated O |
|
intracellular O |
|
lipoprotein O |
|
metabolism O |
|
in O |
|
patients O |
|
carrying O |
|
the O |
|
rs8099917 O |
|
responder O |
|
genotype O |
|
. O |
|
|
|
|
|
Phosphatidylinositol O |
|
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|
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|
kinase O |
|
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|
negatively O |
|
regulates O |
|
invadopodia O |
|
formation O |
|
and O |
|
suppresses O |
|
an O |
|
invasive O |
|
cellular O |
|
phenotype O |
|
. O |
|
|
|
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|
type O |
|
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|
phosphatidylinositol O |
|
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|
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|
kinase O |
|
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|
PI4KII O |
|
) O |
|
enzymes O |
|
synthesize O |
|
the O |
|
lipid B |
|
phosphatidylinositol B |
|
4 I |
|
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|
phosphate I |
|
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|
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|
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|
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|
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|
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|
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|
which O |
|
has O |
|
been O |
|
detected O |
|
at O |
|
the O |
|
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|
complex O |
|
and O |
|
endosomal O |
|
compartments O |
|
and O |
|
recruits O |
|
clathrin O |
|
adaptors O |
|
. O |
|
|
|
Despite O |
|
common O |
|
mechanistic O |
|
similarities O |
|
between O |
|
the O |
|
isoforms O |
|
, O |
|
the O |
|
extent O |
|
of O |
|
their O |
|
redundancy O |
|
is O |
|
unclear O |
|
. O |
|
|
|
We O |
|
found O |
|
that O |
|
depletion O |
|
of O |
|
PI4KIIa O |
|
and O |
|
PI4KIIb O |
|
using O |
|
small O |
|
interfering O |
|
RNA O |
|
led O |
|
to O |
|
actin O |
|
remodeling O |
|
. O |
|
|
|
Depletion O |
|
of O |
|
PI4KIIb O |
|
also O |
|
induced O |
|
the O |
|
formation O |
|
of O |
|
invadopodia O |
|
containing O |
|
membrane O |
|
type O |
|
I O |
|
matrix O |
|
metalloproteinase O |
|
( O |
|
MT1 O |
|
- O |
|
MMP O |
|
). O |
|
|
|
Depletion O |
|
of O |
|
PI4KII O |
|
isoforms O |
|
also O |
|
differentially O |
|
affected O |
|
trans O |
|
- O |
|
Golgi O |
|
network O |
|
( O |
|
TGN O |
|
) O |
|
pools O |
|
of O |
|
PI O |
|
( O |
|
4 O |
|
) O |
|
P O |
|
and O |
|
post O |
|
- O |
|
TGN O |
|
traffic O |
|
. O |
|
|
|
PI4KIIb O |
|
depletion O |
|
caused O |
|
increased O |
|
MT1 O |
|
- O |
|
MMP O |
|
trafficking O |
|
to O |
|
invasive O |
|
structures O |
|
at O |
|
the O |
|
plasma O |
|
membrane O |
|
and O |
|
was O |
|
accompanied O |
|
by O |
|
reduced O |
|
colocalization O |
|
of O |
|
MT1 O |
|
- O |
|
MMP O |
|
with O |
|
membranes O |
|
containing O |
|
the O |
|
endosomal O |
|
markers O |
|
Rab5 O |
|
and O |
|
Rab7 O |
|
but O |
|
increased O |
|
localization O |
|
with O |
|
the O |
|
exocytic O |
|
Rab8 O |
|
. O |
|
|
|
Depletion O |
|
of O |
|
PI4KIIb O |
|
was O |
|
sufficient O |
|
to O |
|
confer O |
|
an O |
|
aggressive O |
|
invasive O |
|
phenotype O |
|
on O |
|
minimally O |
|
invasive O |
|
HeLa O |
|
and O |
|
MCF O |
|
- O |
|
7 O |
|
cell O |
|
lines O |
|
. O |
|
|
|
Mining O |
|
oncogenomic O |
|
databases O |
|
revealed O |
|
that O |
|
loss O |
|
of O |
|
the O |
|
PI4K2B O |
|
allele O |
|
and O |
|
underexpression O |
|
of O |
|
PI4KIIb O |
|
mRNA O |
|
are O |
|
associated O |
|
with O |
|
human O |
|
cancers O |
|
. O |
|
|
|
This O |
|
finding O |
|
supports O |
|
the O |
|
cell O |
|
data O |
|
and O |
|
suggests O |
|
that O |
|
PI4KIIb O |
|
may O |
|
be O |
|
a O |
|
clinically O |
|
significant O |
|
suppressor O |
|
of O |
|
invasion O |
|
. O |
|
|
|
We O |
|
propose O |
|
that O |
|
PI4KIIb O |
|
synthesizes O |
|
a O |
|
pool O |
|
of O |
|
PI O |
|
( O |
|
4 O |
|
) O |
|
P O |
|
that O |
|
maintains O |
|
MT1 O |
|
- O |
|
MMP O |
|
traffic O |
|
in O |
|
the O |
|
degradative O |
|
pathway O |
|
and O |
|
suppresses O |
|
the O |
|
formation O |
|
of O |
|
invadopodia O |
|
. O |
|
|
|
|
|
CenpH O |
|
regulates O |
|
meiotic O |
|
G2 O |
|
/ O |
|
M O |
|
transition O |
|
by O |
|
modulating O |
|
the O |
|
APC O |
|
/ O |
|
CCdh1 O |
|
- O |
|
cyclin O |
|
B1 O |
|
pathway O |
|
in O |
|
oocytes O |
|
. O |
|
|
|
Meiotic O |
|
resumption O |
|
( O |
|
G2 O |
|
/ O |
|
M O |
|
transition O |
|
) O |
|
and O |
|
progression O |
|
through O |
|
meiosis O |
|
I O |
|
( O |
|
MI O |
|
) O |
|
are O |
|
two O |
|
key O |
|
stages O |
|
for O |
|
producing O |
|
fertilization O |
|
- O |
|
competent O |
|
eggs O |
|
. O |
|
|
|
Here O |
|
, O |
|
we O |
|
report O |
|
that O |
|
CenpH O |
|
, O |
|
a O |
|
component O |
|
of O |
|
the O |
|
kinetochore O |
|
inner O |
|
plate O |
|
, O |
|
is O |
|
responsible O |
|
for O |
|
G2 O |
|
/ O |
|
M O |
|
transition O |
|
in O |
|
meiotic O |
|
mouse O |
|
oocytes O |
|
. O |
|
|
|
Depletion O |
|
of O |
|
CenpH O |
|
by O |
|
morpholino O |
|
injection O |
|
decreased O |
|
cyclin O |
|
B1 O |
|
levels O |
|
, O |
|
resulting O |
|
in O |
|
attenuation O |
|
of O |
|
maturation O |
|
- O |
|
promoting O |
|
factor O |
|
( O |
|
MPF O |
|
) O |
|
activation O |
|
, O |
|
and O |
|
severely O |
|
compromised O |
|
meiotic O |
|
resumption O |
|
. O |
|
|
|
CenpH O |
|
protects O |
|
cyclin O |
|
B1 O |
|
from O |
|
destruction O |
|
by O |
|
competing O |
|
with O |
|
the O |
|
action O |
|
of O |
|
APC O |
|
/ O |
|
C O |
|
( O |
|
Cdh1 O |
|
) O |
|
Impaired O |
|
G2 O |
|
/ O |
|
M O |
|
transition O |
|
after O |
|
CenpH O |
|
depletion O |
|
could O |
|
be O |
|
rescued O |
|
by O |
|
expression O |
|
of O |
|
exogenous O |
|
cyclin O |
|
B1 O |
|
. O |
|
|
|
Unexpectedly O |
|
, O |
|
blocking O |
|
CenpH O |
|
did O |
|
not O |
|
affect O |
|
spindle O |
|
organization O |
|
and O |
|
meiotic O |
|
cell O |
|
cycle O |
|
progression O |
|
after O |
|
germinal O |
|
vesicle O |
|
breakdown O |
|
. O |
|
|
|
Our O |
|
findings O |
|
reveal O |
|
a O |
|
novel O |
|
role O |
|
of O |
|
CenpH O |
|
in O |
|
regulating O |
|
meiotic O |
|
G2 O |
|
/ O |
|
M O |
|
transition O |
|
by O |
|
acting O |
|
via O |
|
the O |
|
APC O |
|
/ O |
|
C O |
|
( O |
|
Cdh1 O |
|
)- O |
|
cyclin O |
|
B1 O |
|
pathway O |
|
. O |
|
|
|
|
|
CRYBA3 O |
|
/ O |
|
A1 O |
|
gene O |
|
mutation O |
|
associated O |
|
with O |
|
suture O |
|
- O |
|
sparing O |
|
autosomal O |
|
dominant O |
|
congenital O |
|
nuclear O |
|
cataract O |
|
: O |
|
a O |
|
novel O |
|
phenotype O |
|
. O |
|
|
|
PURPOSE O |
|
: O |
|
To O |
|
identify O |
|
the O |
|
genetic O |
|
defect O |
|
leading O |
|
to O |
|
the O |
|
congenital O |
|
nuclear O |
|
cataract O |
|
affecting O |
|
a O |
|
large O |
|
five O |
|
- O |
|
generation O |
|
Swiss O |
|
family O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
Family O |
|
history O |
|
and O |
|
clinical O |
|
data O |
|
were O |
|
recorded O |
|
. O |
|
|
|
The O |
|
phenotype O |
|
was O |
|
documented O |
|
by O |
|
both O |
|
slit O |
|
lamp O |
|
and O |
|
Scheimpflug O |
|
photography O |
|
. O |
|
|
|
One O |
|
cortical O |
|
lens O |
|
was O |
|
evaluated O |
|
by O |
|
electron O |
|
microscopy O |
|
after O |
|
cataract O |
|
extraction O |
|
. O |
|
|
|
Lenticular O |
|
phenotyping O |
|
and O |
|
genotyping O |
|
were O |
|
performed O |
|
independently O |
|
with O |
|
short O |
|
tandem O |
|
repeat O |
|
polymorphism O |
|
. O |
|
|
|
Linkage O |
|
analysis O |
|
was O |
|
performed O |
|
, O |
|
and O |
|
candidate O |
|
genes O |
|
were O |
|
PCR O |
|
amplified O |
|
and O |
|
screened O |
|
for O |
|
mutations O |
|
on O |
|
both O |
|
strands O |
|
using O |
|
direct O |
|
sequencing O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Affected O |
|
individuals O |
|
had O |
|
a O |
|
congenital O |
|
nuclear O |
|
lactescent O |
|
cataract O |
|
in O |
|
both O |
|
eyes O |
|
. O |
|
|
|
Linkage O |
|
was O |
|
observed O |
|
on O |
|
chromosome O |
|
17 O |
|
for O |
|
DNA O |
|
marker O |
|
D17S1857 O |
|
( O |
|
lod O |
|
score O |
|
: O |
|
3 O |
|
. O |
|
44 O |
|
at O |
|
theta O |
|
= O |
|
0 O |
|
). O |
|
|
|
Direct O |
|
sequencing O |
|
of O |
|
CRYBA3 O |
|
/ O |
|
A1 O |
|
, O |
|
which O |
|
maps O |
|
to O |
|
the O |
|
vicinity O |
|
, O |
|
revealed O |
|
an O |
|
in O |
|
- O |
|
frame O |
|
3 O |
|
- O |
|
bp O |
|
deletion O |
|
in O |
|
exon O |
|
4 O |
|
( O |
|
279delGAG O |
|
). O |
|
|
|
This O |
|
mutation O |
|
involved O |
|
a O |
|
deletion O |
|
of O |
|
glycine O |
|
- O |
|
91 O |
|
, O |
|
cosegregated O |
|
in O |
|
all O |
|
affected O |
|
individuals O |
|
, O |
|
and O |
|
was O |
|
not O |
|
observed O |
|
in O |
|
unaffected O |
|
individuals O |
|
or O |
|
in O |
|
250 O |
|
normal O |
|
control O |
|
subjects O |
|
from O |
|
the O |
|
same O |
|
ethnic O |
|
background O |
|
. O |
|
|
|
Electron O |
|
microscopy O |
|
showed O |
|
that O |
|
cortical O |
|
lens O |
|
fiber O |
|
morphology O |
|
was O |
|
normal O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
The O |
|
DeltaG91 O |
|
mutation O |
|
in O |
|
CRYBA3 O |
|
/ O |
|
A1 O |
|
is O |
|
associated O |
|
with O |
|
an O |
|
autosomal O |
|
dominant O |
|
congenital O |
|
nuclear O |
|
lactescent O |
|
cataract O |
|
. O |
|
|
|
A O |
|
splice O |
|
mutation O |
|
( O |
|
IVS3 O |
|
+ O |
|
1G O |
|
/ O |
|
A O |
|
) O |
|
in O |
|
this O |
|
gene O |
|
has O |
|
been O |
|
reported O |
|
in O |
|
a O |
|
zonular O |
|
cataract O |
|
with O |
|
sutural O |
|
opacities O |
|
. O |
|
|
|
These O |
|
results O |
|
indicate O |
|
phenotypic O |
|
heterogeneity O |
|
related O |
|
to O |
|
mutations O |
|
in O |
|
this O |
|
gene O |
|
. O |
|
|
|
|
|
Vitamin O |
|
D O |
|
- O |
|
binding O |
|
protein O |
|
gene O |
|
polymorphism O |
|
association O |
|
with O |
|
IA O |
|
- O |
|
2 O |
|
autoantibodies O |
|
in O |
|
type O |
|
1 O |
|
diabetes O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
Vitamin O |
|
D O |
|
- O |
|
binding O |
|
protein O |
|
( O |
|
DBP O |
|
) O |
|
is O |
|
the O |
|
main O |
|
systemic O |
|
transporter O |
|
of O |
|
1 O |
|
. O |
|
25 I |
|
( I |
|
OH I |
|
) I |
|
2D3 I |
|
and O |
|
is O |
|
essential O |
|
for O |
|
its O |
|
cellular O |
|
endocytosis O |
|
. O |
|
|
|
There O |
|
are O |
|
two O |
|
known O |
|
polymorphisms O |
|
in O |
|
exon O |
|
11 O |
|
of O |
|
the O |
|
DBP O |
|
gene O |
|
resulting O |
|
in O |
|
amino O |
|
acid O |
|
variants O |
|
: O |
|
GAT O |
|
--> O |
|
GAG O |
|
substitution O |
|
replaces O |
|
aspartic O |
|
acid O |
|
by O |
|
glutamic O |
|
acid O |
|
in O |
|
codon O |
|
416 O |
|
; O |
|
and O |
|
ACG O |
|
--> O |
|
AAG O |
|
substitution O |
|
in O |
|
codon O |
|
420 O |
|
leads O |
|
to O |
|
an O |
|
exchange O |
|
of O |
|
threonine O |
|
for O |
|
lysine O |
|
. O |
|
|
|
These O |
|
DBP O |
|
variants O |
|
lead O |
|
to O |
|
differences O |
|
in O |
|
the O |
|
affinity O |
|
for O |
|
1 O |
|
. O |
|
25 I |
|
( I |
|
OH I |
|
) I |
|
2D3 I |
|
. O |
|
|
|
Correlations O |
|
between O |
|
DBP O |
|
alleles O |
|
and O |
|
type O |
|
1 O |
|
diabetes O |
|
have O |
|
been O |
|
described O |
|
in O |
|
different O |
|
populations O |
|
. O |
|
|
|
Therefore O |
|
, O |
|
we O |
|
investigated O |
|
the O |
|
polymorphism O |
|
in O |
|
codon O |
|
416 O |
|
of O |
|
the O |
|
DBP O |
|
gene O |
|
for O |
|
an O |
|
association O |
|
with O |
|
autoimmune O |
|
markers O |
|
of O |
|
type O |
|
1 O |
|
diabetes O |
|
. O |
|
|
|
DESIGN O |
|
AND O |
|
METHODS O |
|
: O |
|
The O |
|
present O |
|
analysis O |
|
was O |
|
a O |
|
case O |
|
control O |
|
study O |
|
. O |
|
|
|
110 O |
|
patients O |
|
, O |
|
68 O |
|
controls O |
|
, O |
|
and O |
|
115 O |
|
first O |
|
- O |
|
degree O |
|
relatives O |
|
were O |
|
genotyped O |
|
for O |
|
the O |
|
DBP O |
|
polymorphism O |
|
in O |
|
codon O |
|
416 O |
|
. O |
|
|
|
DNA O |
|
typing O |
|
of O |
|
DBP O |
|
locus O |
|
was O |
|
performed O |
|
by O |
|
the O |
|
PCR O |
|
- O |
|
restriction O |
|
fragment O |
|
length O |
|
polymorphism O |
|
method O |
|
( O |
|
RFLP O |
|
). O |
|
|
|
RESULTS O |
|
: O |
|
The O |
|
frequencies O |
|
of O |
|
the O |
|
Asp O |
|
/ O |
|
Glu O |
|
and O |
|
Glu O |
|
/ O |
|
Glu O |
|
were O |
|
significantly O |
|
increased O |
|
in O |
|
diabetic O |
|
subjects O |
|
with O |
|
detectable O |
|
IA O |
|
- O |
|
2 O |
|
antibodies O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
). O |
|
|
|
On O |
|
the O |
|
contrary O |
|
, O |
|
the O |
|
DBP O |
|
Glu O |
|
- O |
|
containing O |
|
genotype O |
|
was O |
|
not O |
|
accompanied O |
|
by O |
|
differences O |
|
in O |
|
the O |
|
prevalence O |
|
of O |
|
GAD65 O |
|
antibodies O |
|
. O |
|
|
|
These O |
|
finding O |
|
supports O |
|
a O |
|
role O |
|
of O |
|
the O |
|
vitamin B |
|
D I |
|
endocrine O |
|
system O |
|
in O |
|
the O |
|
autoimmune O |
|
process O |
|
of O |
|
type O |
|
1 O |
|
diabetes O |
|
. O |
|
|
|
|
|
Characterization O |
|
of O |
|
Bietti O |
|
crystalline O |
|
dystrophy O |
|
patients O |
|
with O |
|
CYP4V2 O |
|
mutations O |
|
. O |
|
|
|
PURPOSE O |
|
: O |
|
Mutations O |
|
of O |
|
the O |
|
CYP4V2 O |
|
gene O |
|
, O |
|
a O |
|
novel O |
|
family O |
|
member O |
|
of O |
|
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|
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|
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|
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
|
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|
|
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|
|
|
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|
|
|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
the O |
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
in O |
|
Zebrafish O |
|
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|
Development O |
|
, O |
|
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|
a O |
|
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|
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|
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|
Based O |
|
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|
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|
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|
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|
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|
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|
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|
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|
Morphogenesis O |
|
. O |
|
|
|
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|
disorders O |
|
are O |
|
widespread O |
|
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|
but O |
|
available O |
|
treatments O |
|
are O |
|
limited O |
|
. O |
|
|
|
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|
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|
comprehensive O |
|
understanding O |
|
of O |
|
skin O |
|
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|
mechanisms O |
|
will O |
|
drive O |
|
identification O |
|
of O |
|
new O |
|
treatment O |
|
targets O |
|
and O |
|
modalities O |
|
. O |
|
|
|
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|
we O |
|
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|
the O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
phenotypes O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
of O |
|
gene O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
genes O |
|
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|
in O |
|
skin O |
|
development O |
|
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|
|
|
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|
genes O |
|
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|
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|
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|
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|
, O |
|
hmcn1 O |
|
, O |
|
msxc O |
|
, O |
|
col4a4 O |
|
, O |
|
ahnak O |
|
, O |
|
capn12 O |
|
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|
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|
nrg2a O |
|
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|
had O |
|
been O |
|
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|
in O |
|
an O |
|
integumentary O |
|
context O |
|
to O |
|
varying O |
|
degrees O |
|
, O |
|
while O |
|
arhgef25b O |
|
, O |
|
fkbp10b O |
|
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|
and O |
|
megf6a O |
|
emerged O |
|
as O |
|
novel O |
|
skin O |
|
genes O |
|
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|
|
|
Embryos O |
|
homozygous O |
|
for O |
|
a O |
|
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|
insertion O |
|
within O |
|
neuregulin O |
|
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|
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|
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|
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|
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|
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|
novel O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
pathway O |
|
governing O |
|
the O |
|
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|
organization O |
|
of O |
|
a O |
|
subset O |
|
of O |
|
epidermal O |
|
cells O |
|
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|
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|
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|
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|
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|
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|
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|
morphogenesis O |
|
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|
|
|
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|
nrg2a O |
|
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|
larvae O |
|
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|
the O |
|
basal O |
|
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|
within O |
|
the O |
|
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|
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|
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|
known O |
|
as O |
|
ridge O |
|
cells O |
|
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|
displayed O |
|
reduced O |
|
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|
levels O |
|
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|
well O |
|
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|
reduced O |
|
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|
domains O |
|
and O |
|
exaggerated O |
|
basolateral O |
|
domains O |
|
. O |
|
|
|
Those O |
|
defects O |
|
compromised O |
|
proper O |
|
ridge O |
|
cell O |
|
elongation O |
|
into O |
|
a O |
|
flattened O |
|
epithelial O |
|
morphology O |
|
, O |
|
resulting O |
|
in O |
|
thickened O |
|
MFF O |
|
edges O |
|
. O |
|
|
|
Pharmacological O |
|
inhibition O |
|
verified O |
|
that O |
|
Nrg2a O |
|
signals O |
|
through O |
|
the O |
|
ErbB O |
|
receptor O |
|
tyrosine O |
|
kinase O |
|
network O |
|
. O |
|
|
|
Moreover O |
|
, O |
|
knockdown O |
|
of O |
|
the O |
|
epithelial O |
|
polarity O |
|
regulator O |
|
and O |
|
tumor O |
|
suppressor O |
|
lgl2 O |
|
ameliorated O |
|
the O |
|
nrg2a O |
|
mutant O |
|
phenotype O |
|
. O |
|
|
|
Identifying O |
|
Lgl2 O |
|
as O |
|
an O |
|
antagonist O |
|
of O |
|
Nrg2a O |
|
- O |
|
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|
signaling O |
|
revealed O |
|
a O |
|
significantly O |
|
earlier O |
|
role O |
|
for O |
|
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|
during O |
|
epidermal O |
|
morphogenesis O |
|
than O |
|
has O |
|
been O |
|
described O |
|
to O |
|
date O |
|
. O |
|
|
|
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|
, O |
|
our O |
|
findings O |
|
demonstrated O |
|
that O |
|
successive O |
|
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|
coordinated O |
|
ridge O |
|
cell O |
|
shape O |
|
changes O |
|
drive O |
|
apical O |
|
MFF O |
|
development O |
|
, O |
|
making O |
|
MFF O |
|
ridge O |
|
cells O |
|
a O |
|
valuable O |
|
model O |
|
for O |
|
investigating O |
|
how O |
|
the O |
|
coordinated O |
|
regulation O |
|
of O |
|
cell O |
|
polarity O |
|
and O |
|
cell O |
|
shape O |
|
changes O |
|
serves O |
|
as O |
|
a O |
|
crucial O |
|
mechanism O |
|
of O |
|
epithelial O |
|
morphogenesis O |
|
. O |
|
|
|
|
|
Mutation O |
|
analysis O |
|
of O |
|
CHRNA1 O |
|
, O |
|
CHRNB1 O |
|
, O |
|
CHRND O |
|
, O |
|
and O |
|
RAPSN O |
|
genes O |
|
in O |
|
multiple O |
|
pterygium O |
|
syndrome O |
|
/ O |
|
fetal O |
|
akinesia O |
|
patients O |
|
. O |
|
|
|
Multiple O |
|
pterygium O |
|
syndromes O |
|
( O |
|
MPS O |
|
) O |
|
comprise O |
|
a O |
|
group O |
|
of O |
|
multiple O |
|
congenital O |
|
anomaly O |
|
disorders O |
|
characterized O |
|
by O |
|
webbing O |
|
( O |
|
pterygia O |
|
) O |
|
of O |
|
the O |
|
neck O |
|
, O |
|
elbows O |
|
, O |
|
and O |
|
/ O |
|
or O |
|
knees O |
|
and O |
|
joint O |
|
contractures O |
|
( O |
|
arthrogryposis O |
|
). O |
|
|
|
MPS O |
|
are O |
|
phenotypically O |
|
and O |
|
genetically O |
|
heterogeneous O |
|
but O |
|
are O |
|
traditionally O |
|
divided O |
|
into O |
|
prenatally O |
|
lethal O |
|
and O |
|
nonlethal O |
|
( O |
|
Escobar O |
|
) O |
|
types O |
|
. O |
|
|
|
Previously O |
|
, O |
|
we O |
|
and O |
|
others O |
|
reported O |
|
that O |
|
recessive O |
|
mutations O |
|
in O |
|
the O |
|
embryonal O |
|
acetylcholine O |
|
receptor O |
|
g O |
|
subunit O |
|
( O |
|
CHRNG O |
|
) O |
|
can O |
|
cause O |
|
both O |
|
lethal O |
|
and O |
|
nonlethal O |
|
MPS O |
|
, O |
|
thus O |
|
demonstrating O |
|
that O |
|
pterygia O |
|
resulted O |
|
from O |
|
fetal O |
|
akinesia O |
|
. O |
|
|
|
We O |
|
hypothesized O |
|
that O |
|
mutations O |
|
in O |
|
acetylcholine O |
|
receptor O |
|
- O |
|
related O |
|
genes O |
|
might O |
|
also O |
|
result O |
|
in O |
|
a O |
|
MPS O |
|
/ O |
|
fetal O |
|
akinesia O |
|
phenotype O |
|
and O |
|
so O |
|
we O |
|
analyzed O |
|
15 O |
|
cases O |
|
of O |
|
lethal O |
|
MPS O |
|
/ O |
|
fetal O |
|
akinesia O |
|
without O |
|
CHRNG O |
|
mutations O |
|
for O |
|
mutations O |
|
in O |
|
the O |
|
CHRNA1 O |
|
, O |
|
CHRNB1 O |
|
, O |
|
CHRND O |
|
, O |
|
and O |
|
rapsyn O |
|
( O |
|
RAPSN O |
|
) O |
|
genes O |
|
. O |
|
|
|
No O |
|
CHRNA1 O |
|
, O |
|
CHRNB1 O |
|
, O |
|
or O |
|
CHRND O |
|
mutations O |
|
were O |
|
detected O |
|
, O |
|
but O |
|
a O |
|
homozygous O |
|
RAPSN O |
|
frameshift O |
|
mutation O |
|
, O |
|
c O |
|
. O |
|
1177 O |
|
- O |
|
1178delAA O |
|
, O |
|
was O |
|
identified O |
|
in O |
|
a O |
|
family O |
|
with O |
|
three O |
|
children O |
|
affected O |
|
with O |
|
lethal O |
|
fetal O |
|
akinesia O |
|
sequence O |
|
. O |
|
|
|
Previously O |
|
, O |
|
RAPSN O |
|
mutations O |
|
have O |
|
been O |
|
reported O |
|
in O |
|
congenital O |
|
myasthenia O |
|
. O |
|
|
|
Functional O |
|
studies O |
|
were O |
|
consistent O |
|
with O |
|
the O |
|
hypothesis O |
|
that O |
|
whereas O |
|
incomplete O |
|
loss O |
|
of O |
|
rapsyn O |
|
function O |
|
may O |
|
cause O |
|
congenital O |
|
myasthenia O |
|
, O |
|
more O |
|
severe O |
|
loss O |
|
of O |
|
function O |
|
can O |
|
result O |
|
in O |
|
a O |
|
lethal O |
|
fetal O |
|
akinesia O |
|
phenotype O |
|
. O |
|
|
|
|
|
Pure O |
|
monosomy O |
|
and O |
|
pure O |
|
trisomy O |
|
of O |
|
13q21 O |
|
. O |
|
2 O |
|
- O |
|
31 O |
|
. O |
|
1 O |
|
consequent O |
|
to O |
|
a O |
|
familial O |
|
insertional O |
|
translocation O |
|
: O |
|
exclusion O |
|
of O |
|
PCDH9 O |
|
as O |
|
the O |
|
responsible O |
|
gene O |
|
for O |
|
autosomal O |
|
dominant O |
|
auditory O |
|
neuropathy O |
|
( O |
|
AUNA1 O |
|
). O |
|
|
|
Insertional O |
|
translocations O |
|
( O |
|
IT O |
|
) O |
|
are O |
|
rare O |
|
structural O |
|
rearrangements O |
|
. O |
|
|
|
Offspring O |
|
of O |
|
IT O |
|
balanced O |
|
carriers O |
|
are O |
|
at O |
|
high O |
|
risk O |
|
to O |
|
have O |
|
either O |
|
pure O |
|
partial O |
|
trisomy O |
|
or O |
|
monosomy O |
|
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|
the O |
|
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|
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|
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|
manifested O |
|
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|
pure O |
|
phenotypes O |
|
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|
|
|
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|
describe O |
|
an O |
|
IT O |
|
between O |
|
chromosomes O |
|
3 O |
|
and O |
|
13 O |
|
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|
in O |
|
a O |
|
three O |
|
- O |
|
generation O |
|
pedigree O |
|
. O |
|
|
|
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|
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|
repeat O |
|
( O |
|
STR O |
|
) O |
|
segregation O |
|
analysis O |
|
and O |
|
array O |
|
- O |
|
comparative O |
|
genomic O |
|
hybridization O |
|
were O |
|
used O |
|
to O |
|
define O |
|
the O |
|
IT O |
|
as O |
|
a O |
|
25 O |
|
. O |
|
1 O |
|
Mb O |
|
segment O |
|
spanning O |
|
13q21 O |
|
. O |
|
2 O |
|
- O |
|
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|
. O |
|
1 O |
|
. O |
|
|
|
The O |
|
phenotype O |
|
of O |
|
pure O |
|
monosomy O |
|
included O |
|
deafness O |
|
, O |
|
duodenal O |
|
stenosis O |
|
, O |
|
developmental O |
|
and O |
|
growth O |
|
delay O |
|
, O |
|
vertebral O |
|
anomalies O |
|
, O |
|
and O |
|
facial O |
|
dysmorphisms O |
|
; O |
|
the O |
|
trisomy O |
|
was O |
|
manifested O |
|
by O |
|
only O |
|
minor O |
|
dysmorphisms O |
|
. O |
|
|
|
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|
the O |
|
AUNA1 O |
|
deafness O |
|
locus O |
|
on O |
|
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|
- O |
|
21 O |
|
overlaps O |
|
the O |
|
IT O |
|
in O |
|
the O |
|
PCDH9 O |
|
( O |
|
protocadherin O |
|
- O |
|
9 O |
|
) O |
|
gene O |
|
region O |
|
, O |
|
PCDH9 O |
|
was O |
|
investigated O |
|
as O |
|
a O |
|
candidate O |
|
gene O |
|
for O |
|
deafness O |
|
in O |
|
both O |
|
families O |
|
. O |
|
|
|
Genotyping O |
|
of O |
|
STRs O |
|
and O |
|
single O |
|
nucleotide O |
|
polymorphisms O |
|
defined O |
|
the O |
|
AUNA1 O |
|
breakpoint O |
|
as O |
|
35 O |
|
kb O |
|
5 O |
|
' O |
|
to O |
|
PCDH9 O |
|
, O |
|
with O |
|
a O |
|
2 O |
|
. O |
|
4 O |
|
Mb O |
|
area O |
|
of O |
|
overlap O |
|
with O |
|
the O |
|
IT O |
|
. O |
|
|
|
DNA O |
|
sequencing O |
|
of O |
|
coding O |
|
regions O |
|
in O |
|
the O |
|
AUNA1 O |
|
family O |
|
and O |
|
in O |
|
the O |
|
retained O |
|
homologue O |
|
chromosome O |
|
in O |
|
the O |
|
monosomic O |
|
patient O |
|
revealed O |
|
no O |
|
mutations O |
|
. O |
|
|
|
We O |
|
conclude O |
|
that O |
|
AUNA1 O |
|
deafness O |
|
does O |
|
not O |
|
share O |
|
a O |
|
common O |
|
etiology O |
|
with O |
|
deafness O |
|
associated O |
|
with O |
|
monosomy O |
|
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|
. O |
|
2 O |
|
- O |
|
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|
. O |
|
3 O |
|
; O |
|
deafness O |
|
may O |
|
result O |
|
from O |
|
monosomy O |
|
of O |
|
PCHD9 O |
|
or O |
|
another O |
|
gene O |
|
in O |
|
the O |
|
IT O |
|
, O |
|
as O |
|
has O |
|
been O |
|
demonstrated O |
|
in O |
|
contiguous O |
|
gene O |
|
deletion O |
|
syndromes O |
|
. O |
|
|
|
Precise O |
|
characterization O |
|
of O |
|
the O |
|
breakpoints O |
|
of O |
|
the O |
|
translocated O |
|
region O |
|
is O |
|
useful O |
|
to O |
|
identify O |
|
which O |
|
genes O |
|
may O |
|
be O |
|
contributing O |
|
to O |
|
the O |
|
phenotype O |
|
, O |
|
either O |
|
through O |
|
haploinsufficiency O |
|
or O |
|
extra O |
|
dosage O |
|
effects O |
|
, O |
|
in O |
|
order O |
|
to O |
|
define O |
|
genotype O |
|
- O |
|
phenotype O |
|
correlations O |
|
. O |
|
|
|
|
|
A O |
|
Taiwanese O |
|
boy O |
|
with O |
|
congenital O |
|
generalized O |
|
lipodystrophy O |
|
caused O |
|
by O |
|
homozygous O |
|
Ile262fs O |
|
mutation O |
|
in O |
|
the O |
|
BSCL2 O |
|
gene O |
|
. O |
|
|
|
Congenital O |
|
generalized O |
|
lipodystrophy O |
|
( O |
|
CGL O |
|
) O |
|
is O |
|
a O |
|
rare O |
|
autosomal O |
|
recessive O |
|
disease O |
|
that O |
|
is O |
|
characterized O |
|
by O |
|
a O |
|
near O |
|
- O |
|
complete O |
|
absence O |
|
of O |
|
adipose O |
|
tissue O |
|
from O |
|
birth O |
|
or O |
|
early O |
|
infancy O |
|
. O |
|
|
|
Mutations O |
|
in O |
|
the O |
|
BSCL2 O |
|
gene O |
|
are O |
|
known O |
|
to O |
|
result O |
|
in O |
|
CGL2 O |
|
, O |
|
a O |
|
more O |
|
severe O |
|
phenotype O |
|
than O |
|
CGL1 O |
|
, O |
|
with O |
|
earlier O |
|
onset O |
|
, O |
|
more O |
|
extensive O |
|
fat O |
|
loss O |
|
and O |
|
biochemical O |
|
changes O |
|
, O |
|
more O |
|
severe O |
|
intellectual O |
|
impairment O |
|
, O |
|
and O |
|
more O |
|
severe O |
|
cardiomyopathy O |
|
. O |
|
|
|
We O |
|
report O |
|
a O |
|
3 O |
|
- O |
|
month O |
|
- O |
|
old O |
|
Taiwanese O |
|
boy O |
|
with O |
|
initial O |
|
presentation O |
|
of O |
|
a O |
|
lack O |
|
of O |
|
subcutaneous O |
|
fat O |
|
, O |
|
prominent O |
|
musculature O |
|
, O |
|
generalized O |
|
eruptive O |
|
xanthomas O |
|
, O |
|
and O |
|
extreme O |
|
hypertriglyceridemia O |
|
. O |
|
|
|
Absence O |
|
of O |
|
mechanical O |
|
adipose O |
|
tissue O |
|
in O |
|
the O |
|
orbits O |
|
and O |
|
scalp O |
|
was O |
|
revealed O |
|
by O |
|
head O |
|
magnetic O |
|
resonance O |
|
imaging O |
|
. O |
|
|
|
Hepatomegaly O |
|
was O |
|
noticed O |
|
, O |
|
and O |
|
histological O |
|
examination O |
|
of O |
|
a O |
|
liver O |
|
biopsy O |
|
specimen O |
|
suggested O |
|
severe O |
|
hepatic O |
|
steatosis O |
|
and O |
|
periportal O |
|
necrosis O |
|
. O |
|
|
|
However O |
|
, O |
|
echocardiography O |
|
indicated O |
|
no O |
|
sign O |
|
of O |
|
cardiomyopathy O |
|
and O |
|
he O |
|
showed O |
|
no O |
|
distinct O |
|
intellectual O |
|
impairment O |
|
that O |
|
interfered O |
|
with O |
|
daily O |
|
life O |
|
. O |
|
|
|
About O |
|
1 O |
|
year O |
|
later O |
|
, O |
|
abdominal O |
|
computed O |
|
tomography O |
|
revealed O |
|
enlargement O |
|
of O |
|
kidneys O |
|
. O |
|
|
|
He O |
|
had O |
|
a O |
|
homozygous O |
|
insertion O |
|
of O |
|
a O |
|
nucleotide O |
|
, O |
|
783insG O |
|
( O |
|
Ile262fs O |
|
mutation O |
|
), O |
|
in O |
|
exon O |
|
7 O |
|
of O |
|
the O |
|
BSCL2 O |
|
gene O |
|
. O |
|
|
|
We O |
|
reviewed O |
|
the O |
|
genotype O |
|
of O |
|
CGL O |
|
cases O |
|
from O |
|
Japan O |
|
, O |
|
India O |
|
, O |
|
China O |
|
and O |
|
Taiwan O |
|
, O |
|
and O |
|
found O |
|
that O |
|
BSCL2 O |
|
is O |
|
a O |
|
major O |
|
causative O |
|
gene O |
|
for O |
|
CGL O |
|
in O |
|
Asian O |
|
. O |
|
|
|
|
|
Concordance O |
|
between O |
|
PIK3CA O |
|
mutations O |
|
in O |
|
endoscopic O |
|
biopsy O |
|
and O |
|
surgically O |
|
resected O |
|
specimens O |
|
of O |
|
esophageal O |
|
squamous O |
|
cell O |
|
carcinoma O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
PIK3CA O |
|
mutations O |
|
are O |
|
expected O |
|
to O |
|
be O |
|
potential O |
|
therapeutic O |
|
targets O |
|
for O |
|
esophageal O |
|
squamous O |
|
cell O |
|
carcinoma O |
|
( O |
|
ESCC O |
|
). O |
|
|
|
We O |
|
aimed O |
|
to O |
|
clarify O |
|
the O |
|
concordance O |
|
between O |
|
PIK3CA O |
|
mutations O |
|
detected O |
|
in O |
|
endoscopic O |
|
biopsy O |
|
specimens O |
|
and O |
|
corresponding O |
|
surgically O |
|
resected O |
|
specimens O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
We O |
|
examined O |
|
five O |
|
hotspot O |
|
mutations O |
|
in O |
|
the O |
|
PIK3CA O |
|
gene O |
|
( O |
|
E542K O |
|
, O |
|
E545K O |
|
, O |
|
E546K O |
|
, O |
|
H1047R O |
|
, O |
|
and O |
|
H1047L O |
|
) O |
|
in O |
|
formalin B |
|
- O |
|
fixed O |
|
and O |
|
paraffin B |
|
- O |
|
embedded O |
|
tissue O |
|
sections O |
|
of O |
|
paired O |
|
endoscopic O |
|
biopsy O |
|
and O |
|
surgically O |
|
resected O |
|
specimens O |
|
from O |
|
181 O |
|
patients O |
|
undergoing O |
|
curative O |
|
resection O |
|
for O |
|
ESCC O |
|
between O |
|
2000 O |
|
and O |
|
2011 O |
|
using O |
|
a O |
|
Luminex O |
|
technology O |
|
- O |
|
based O |
|
multiplex O |
|
gene O |
|
mutation O |
|
detection O |
|
kit O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Mutation O |
|
analyses O |
|
were O |
|
successfully O |
|
performed O |
|
for O |
|
both O |
|
endoscopic O |
|
biopsy O |
|
and O |
|
surgically O |
|
resected O |
|
specimens O |
|
in O |
|
all O |
|
the O |
|
cases O |
|
. O |
|
|
|
A O |
|
PIK3CA O |
|
mutation O |
|
was O |
|
detected O |
|
in O |
|
either O |
|
type O |
|
of O |
|
specimen O |
|
in O |
|
13 O |
|
cases O |
|
( O |
|
7 O |
|
. O |
|
2 O |
|
%, O |
|
95 O |
|
% O |
|
confidence O |
|
interval O |
|
: O |
|
3 O |
|
. O |
|
9 O |
|
- O |
|
12 O |
|
. O |
|
0 O |
|
). O |
|
|
|
The O |
|
overall O |
|
concordance O |
|
rate O |
|
, O |
|
positive O |
|
predictive O |
|
value O |
|
, O |
|
and O |
|
negative O |
|
predictive O |
|
value O |
|
were O |
|
98 O |
|
. O |
|
3 O |
|
% O |
|
( O |
|
178 O |
|
/ O |
|
181 O |
|
), O |
|
90 O |
|
. O |
|
9 O |
|
% O |
|
( O |
|
10 O |
|
/ O |
|
11 O |
|
), O |
|
and O |
|
98 O |
|
. O |
|
8 O |
|
% O |
|
( O |
|
168 O |
|
/ O |
|
170 O |
|
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|
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|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
|
|
Polymorphisms O |
|
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|
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|
DNA O |
|
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|
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|
|
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|
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|
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|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
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|
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|
genetic O |
|
variability O |
|
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|
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|
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|
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|
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|
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|
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|
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|
) O |
|
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|
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|
well O |
|
documented O |
|
in O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
in O |
|
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|
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|
peripheral O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
node O |
|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
the O |
|
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|
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|
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|
the O |
|
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|
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|
of O |
|
the O |
|
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|
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|
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|
be O |
|
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|
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|
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|
potential O |
|
marker O |
|
in O |
|
breast O |
|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
affected O |
|
neither O |
|
plasma O |
|
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|
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|
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|
weight O |
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
in O |
|
the O |
|
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|
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|
|
|
|
|
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|
polymorphisms O |
|
implicated O |
|
in O |
|
influencing O |
|
susceptibility O |
|
to O |
|
venous O |
|
and O |
|
arterial O |
|
thromboembolism O |
|
: O |
|
frequency O |
|
distribution O |
|
in O |
|
a O |
|
healthy O |
|
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|
population O |
|
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|
|
|
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|
and O |
|
progression O |
|
of O |
|
cardiovascular O |
|
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|
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|
the O |
|
venous O |
|
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|
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|
system O |
|
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|
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|
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|
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|
multitude O |
|
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|
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|
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|
hereditary O |
|
factors O |
|
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|
|
|
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|
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|
these O |
|
hereditary O |
|
factors O |
|
consist O |
|
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|
defined O |
|
gene O |
|
polymorphisms O |
|
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|
such O |
|
as O |
|
single O |
|
nucleotide O |
|
polymorphisms O |
|
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|
SNPs O |
|
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|
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|
insertion O |
|
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|
deletion O |
|
polymorphisms O |
|
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|
which O |
|
directly O |
|
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|
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|
affect O |
|
the O |
|
hemostatic O |
|
system O |
|
. O |
|
|
|
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|
frequencies O |
|
of O |
|
individual O |
|
hemostatic O |
|
gene O |
|
polymorphisms O |
|
in O |
|
different O |
|
normal O |
|
populations O |
|
are O |
|
well O |
|
defined O |
|
. O |
|
|
|
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|
, O |
|
descriptions O |
|
of O |
|
patterns O |
|
of O |
|
genetic O |
|
variability O |
|
of O |
|
a O |
|
larger O |
|
extent O |
|
of O |
|
different O |
|
factors O |
|
of O |
|
hereditary O |
|
hypercoagulability O |
|
in O |
|
single O |
|
populations O |
|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
description O |
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|
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|
frequencies O |
|
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|
factors O |
|
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|
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|
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|
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|
their O |
|
combinations O |
|
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|
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|
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|
population O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
their O |
|
distributions O |
|
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|
those O |
|
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|
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|
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|
regions O |
|
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|
|
|
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|
of O |
|
coagulation O |
|
factors O |
|
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|
factor O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
factor O |
|
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|
Arg353Gln O |
|
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|
factor O |
|
XIII O |
|
Val34Leu O |
|
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|
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|
- O |
|
fibrinogen O |
|
- O |
|
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|
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|
A O |
|
, O |
|
prothrombin O |
|
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|
> O |
|
A O |
|
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|
coagulation O |
|
inhibitors O |
|
[ O |
|
tissue O |
|
factor O |
|
pathway O |
|
inhibitor O |
|
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|
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|
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|
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|
thrombomodulin O |
|
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|
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|
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|
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|
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|
factors O |
|
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|
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|
converting O |
|
enzyme O |
|
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|
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|
insertion O |
|
|
|
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|
deletion O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
deletion O |
|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
|
|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
regulator O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
|
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|
|
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|
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|
|
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|
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|
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|
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|
|
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
for O |
|
the O |
|
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|
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|
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|
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|
|
|
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|
AND O |
|
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|
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|
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|
analysis O |
|
of O |
|
exons O |
|
and O |
|
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|
introns O |
|
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|
the O |
|
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|
gene O |
|
was O |
|
conducted O |
|
at O |
|
an O |
|
academic O |
|
research O |
|
laboratory O |
|
and O |
|
medical O |
|
center O |
|
. O |
|
|
|
PATIENTS O |
|
OR O |
|
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|
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|
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|
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|
of O |
|
two O |
|
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|
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|
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|
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|
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|
in O |
|
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|
study O |
|
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|
|
|
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|
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|
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|
affected O |
|
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|
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|
one O |
|
family O |
|
were O |
|
homozygous O |
|
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|
a O |
|
101 O |
|
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|
bp O |
|
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|
in O |
|
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|
9 O |
|
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|
|
|
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|
analysis O |
|
of O |
|
the O |
|
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|
locus O |
|
in O |
|
the O |
|
family O |
|
showed O |
|
that O |
|
the O |
|
two O |
|
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|
are O |
|
on O |
|
different O |
|
haplotypes O |
|
. O |
|
|
|
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|
unrelated O |
|
individual O |
|
with O |
|
HHRH O |
|
was O |
|
a O |
|
compound O |
|
heterozygote O |
|
for O |
|
an O |
|
85 O |
|
- O |
|
bp O |
|
deletion O |
|
in O |
|
intron O |
|
10 O |
|
and O |
|
a O |
|
G O |
|
- O |
|
to O |
|
- O |
|
A O |
|
substitution O |
|
at O |
|
the O |
|
last O |
|
nucleotide O |
|
in O |
|
exon O |
|
7 O |
|
. O |
|
|
|
The O |
|
intron O |
|
9 O |
|
deletion O |
|
( O |
|
and O |
|
likely O |
|
the O |
|
other O |
|
two O |
|
mutations O |
|
) O |
|
identified O |
|
in O |
|
this O |
|
study O |
|
causes O |
|
aberrant O |
|
RNA O |
|
splicing O |
|
. O |
|
|
|
Sequence O |
|
analysis O |
|
of O |
|
the O |
|
deleted O |
|
regions O |
|
revealed O |
|
the O |
|
presence O |
|
of O |
|
direct O |
|
repeats O |
|
of O |
|
homologous O |
|
sequences O |
|
. O |
|
|
|
CONCLUSION O |
|
: O |
|
HHRH O |
|
is O |
|
caused O |
|
by O |
|
biallelic O |
|
mutations O |
|
in O |
|
the O |
|
SLC34A3 O |
|
gene O |
|
. O |
|
|
|
Haplotype O |
|
analysis O |
|
suggests O |
|
that O |
|
the O |
|
two O |
|
intron O |
|
9 O |
|
deletions O |
|
arose O |
|
independently O |
|
. O |
|
|
|
The O |
|
identification O |
|
of O |
|
three O |
|
independent O |
|
deletions O |
|
in O |
|
introns O |
|
9 O |
|
and O |
|
10 O |
|
suggests O |
|
that O |
|
the O |
|
SLC34A3 O |
|
gene O |
|
may O |
|
be O |
|
susceptible O |
|
to O |
|
unequal O |
|
crossing O |
|
over O |
|
because O |
|
of O |
|
sequence O |
|
misalignment O |
|
during O |
|
meiosis O |
|
. O |
|
|
|
|
|
Vitamin O |
|
D O |
|
receptor O |
|
expression O |
|
is O |
|
associated O |
|
with O |
|
PIK3CA O |
|
and O |
|
KRAS O |
|
mutations O |
|
in O |
|
colorectal O |
|
cancer O |
|
. O |
|
|
|
Vitamin B |
|
D I |
|
is O |
|
associated O |
|
with O |
|
decreased O |
|
risks O |
|
of O |
|
various O |
|
cancers O |
|
, O |
|
including O |
|
colon O |
|
cancer O |
|
. O |
|
|
|
The O |
|
vitamin O |
|
D O |
|
receptor O |
|
( O |
|
VDR O |
|
) O |
|
is O |
|
a O |
|
transcription O |
|
factor O |
|
, O |
|
which O |
|
plays O |
|
an O |
|
important O |
|
role O |
|
in O |
|
cellular O |
|
differentiation O |
|
and O |
|
inhibition O |
|
of O |
|
proliferation O |
|
. O |
|
|
|
A O |
|
link O |
|
between O |
|
VDR O |
|
and O |
|
the O |
|
RAS O |
|
- O |
|
mitogen O |
|
- O |
|
activated O |
|
protein O |
|
kinase O |
|
( O |
|
MAPK O |
|
) O |
|
or O |
|
phosphatidylinositol O |
|
3 O |
|
- O |
|
kinase O |
|
( O |
|
PI3K O |
|
)- O |
|
AKT O |
|
pathway O |
|
has O |
|
been O |
|
suggested O |
|
. O |
|
|
|
However O |
|
, O |
|
the O |
|
prognostic O |
|
role O |
|
of O |
|
VDR O |
|
expression O |
|
or O |
|
its O |
|
relationship O |
|
with O |
|
PIK3CA O |
|
or O |
|
KRAS O |
|
mutation O |
|
remains O |
|
uncertain O |
|
. O |
|
|
|
Among O |
|
619 O |
|
colorectal O |
|
cancers O |
|
in O |
|
two O |
|
prospective O |
|
cohort O |
|
studies O |
|
, O |
|
233 O |
|
( O |
|
38 O |
|
%) O |
|
tumors O |
|
showed O |
|
VDR O |
|
overexpression O |
|
by O |
|
immunohistochemistry O |
|
. O |
|
|
|
We O |
|
analyzed O |
|
for O |
|
PIK3CA O |
|
and O |
|
KRAS O |
|
mutations O |
|
and O |
|
LINE O |
|
- O |
|
1 O |
|
methylation O |
|
by O |
|
Pyrosequencing O |
|
, O |
|
microsatellite O |
|
instability O |
|
( O |
|
MSI O |
|
), O |
|
and O |
|
DNA O |
|
methylation O |
|
( O |
|
epigenetic O |
|
changes O |
|
) O |
|
in O |
|
eight O |
|
CpG O |
|
island O |
|
methylator O |
|
phenotype O |
|
( O |
|
CIMP O |
|
)- O |
|
specific O |
|
promoters O |
|
[ O |
|
CACNA1G O |
|
, O |
|
CDKN2A O |
|
( O |
|
p16 O |
|
), O |
|
CRABP1 O |
|
, O |
|
IGF2 O |
|
, O |
|
MLH1 O |
|
, O |
|
NEUROG1 O |
|
, O |
|
RUNX3 O |
|
, O |
|
and O |
|
SOCS1 O |
|
] O |
|
by O |
|
MethyLight O |
|
( O |
|
real O |
|
|
|
- O |
|
time O |
|
PCR O |
|
). O |
|
|
|
VDR O |
|
overexpression O |
|
was O |
|
significantly O |
|
associated O |
|
with O |
|
KRAS O |
|
mutation O |
|
( O |
|
odds O |
|
ratio O |
|
, O |
|
1 O |
|
. O |
|
55 O |
|
; O |
|
95 O |
|
% O |
|
confidence O |
|
interval O |
|
, O |
|
1 O |
|
. O |
|
11 O |
|
- O |
|
2 O |
|
. O |
|
16 O |
|
) O |
|
and O |
|
PIK3CA O |
|
mutation O |
|
( O |
|
odds O |
|
ratio O |
|
, O |
|
2 O |
|
. O |
|
17 O |
|
; O |
|
95 O |
|
% O |
|
confidence O |
|
interval O |
|
, O |
|
1 O |
|
. O |
|
36 O |
|
- O |
|
3 O |
|
. O |
|
47 O |
|
), O |
|
both O |
|
of O |
|
which O |
|
persisted O |
|
in O |
|
multivariate O |
|
logistic O |
|
regression O |
|
analysis O |
|
. O |
|
|
|
VDR O |
|
was O |
|
not O |
|
independently O |
|
associated O |
|
with O |
|
body O |
|
mass O |
|
index O |
|
, O |
|
family O |
|
history O |
|
of O |
|
colorectal O |
|
cancer O |
|
, O |
|
tumor O |
|
location O |
|
( O |
|
colon O |
|
versus O |
|
rectum O |
|
), O |
|
stage O |
|
, O |
|
tumor O |
|
grade O |
|
, O |
|
signet O |
|
ring O |
|
cells O |
|
, O |
|
CIMP O |
|
, O |
|
MSI O |
|
, O |
|
LINE O |
|
- O |
|
1 O |
|
hypomethylation O |
|
, O |
|
BRAF O |
|
, O |
|
p53 O |
|
, O |
|
p21 O |
|
, O |
|
beta O |
|
- O |
|
catenin O |
|
, O |
|
or O |
|
cyclooxygenase O |
|
- O |
|
2 O |
|
. O |
|
|
|
VDR O |
|
expression O |
|
was O |
|
not O |
|
significantly O |
|
related O |
|
with O |
|
patient O |
|
survival O |
|
, O |
|
prognosis O |
|
, O |
|
or O |
|
clinical O |
|
outcome O |
|
. O |
|
|
|
In O |
|
conclusion O |
|
, O |
|
VDR O |
|
overexpression O |
|
in O |
|
colorectal O |
|
cancer O |
|
is O |
|
independently O |
|
associated O |
|
with O |
|
PIK3CA O |
|
and O |
|
KRAS O |
|
mutations O |
|
. O |
|
|
|
Our O |
|
data O |
|
support O |
|
potential O |
|
interactions O |
|
between O |
|
the O |
|
VDR O |
|
, O |
|
RAS O |
|
- O |
|
MAPK O |
|
and O |
|
PI3K O |
|
- O |
|
AKT O |
|
pathways O |
|
, O |
|
and O |
|
possible O |
|
influence O |
|
by O |
|
KRAS O |
|
or O |
|
PIK3CA O |
|
mutation O |
|
on O |
|
therapy O |
|
or O |
|
chemoprevention O |
|
targeting O |
|
VDR O |
|
. O |
|
|
|
|
|
Cultured O |
|
mycelium O |
|
Cordyceps O |
|
sinensis O |
|
protects O |
|
liver O |
|
sinusoidal O |
|
endothelial O |
|
cells O |
|
in O |
|
acute O |
|
liver O |
|
injured O |
|
mice O |
|
. O |
|
|
|
Cultured O |
|
mycelium O |
|
Cordyceps O |
|
sinensis O |
|
( O |
|
CMCS O |
|
) O |
|
was O |
|
widely O |
|
used O |
|
for O |
|
a O |
|
variety O |
|
of O |
|
diseases O |
|
including O |
|
liver O |
|
injury O |
|
, O |
|
the O |
|
current O |
|
study O |
|
aims O |
|
to O |
|
investigate O |
|
the O |
|
protective O |
|
effects O |
|
of O |
|
CMCS O |
|
on O |
|
liver O |
|
sinusoidal O |
|
endothelial O |
|
cells O |
|
( O |
|
LSECs O |
|
) O |
|
in O |
|
acute O |
|
injury O |
|
liver O |
|
and O |
|
related O |
|
action O |
|
mechanisms O |
|
. O |
|
|
|
The O |
|
mice O |
|
were O |
|
injected O |
|
intraperitoneally O |
|
with O |
|
lipopolysaccharide B |
|
( O |
|
LPS B |
|
) O |
|
and O |
|
D B |
|
- I |
|
galactosamine I |
|
( O |
|
D B |
|
- I |
|
GalN I |
|
). O |
|
|
|
39 O |
|
male O |
|
BABL O |
|
/ O |
|
c O |
|
mice O |
|
were O |
|
randomly O |
|
divided O |
|
into O |
|
four O |
|
groups O |
|
: O |
|
normal O |
|
control O |
|
, O |
|
model O |
|
control O |
|
, O |
|
CMCS O |
|
treatment O |
|
and O |
|
1 O |
|
, O |
|
10 O |
|
- I |
|
phenanthroline I |
|
treatment O |
|
groups O |
|
. O |
|
|
|
The O |
|
Serum O |
|
liver O |
|
function O |
|
parameters O |
|
including O |
|
alanine B |
|
aminotransferase I |
|
( O |
|
ALT O |
|
) O |
|
and O |
|
aspartate B |
|
aminotransferase I |
|
( O |
|
AST O |
|
) O |
|
levels O |
|
were O |
|
assayed O |
|
with O |
|
the O |
|
commercial O |
|
kit O |
|
. O |
|
|
|
The O |
|
inflammation O |
|
and O |
|
scaffold O |
|
structure O |
|
in O |
|
liver O |
|
were O |
|
stained O |
|
with O |
|
hematoxylin O |
|
and O |
|
eosin O |
|
and O |
|
silver O |
|
staining O |
|
respectively O |
|
. O |
|
|
|
The O |
|
LSECs O |
|
and O |
|
sub O |
|
- O |
|
endothelial O |
|
basement O |
|
membrane O |
|
were O |
|
observed O |
|
with O |
|
the O |
|
scanning O |
|
and O |
|
transmission O |
|
electronic O |
|
microscope O |
|
. O |
|
|
|
The O |
|
protein O |
|
expressions O |
|
of O |
|
intercellular O |
|
adhesion O |
|
molecule O |
|
- O |
|
1 O |
|
( O |
|
ICAM O |
|
- O |
|
1 O |
|
) O |
|
and O |
|
vascular O |
|
cell O |
|
adhesion O |
|
molecule O |
|
- O |
|
1 O |
|
( O |
|
VCAM O |
|
- O |
|
1 O |
|
) O |
|
in O |
|
liver O |
|
were O |
|
analyzed O |
|
with O |
|
Western O |
|
blotting O |
|
. O |
|
|
|
Expression O |
|
of O |
|
von O |
|
Willebrand O |
|
factor O |
|
( O |
|
vWF O |
|
) O |
|
was O |
|
investigated O |
|
with O |
|
immunofluorescence O |
|
staining O |
|
. O |
|
|
|
The O |
|
lipid B |
|
peroxidation O |
|
indicators O |
|
including O |
|
antisuperoxideanion O |
|
( O |
|
ASAFR O |
|
), O |
|
hydroxyl B |
|
free O |
|
radical O |
|
(. O |
|
OH O |
|
), O |
|
superoxide O |
|
dismutase O |
|
( O |
|
SOD O |
|
), O |
|
malondialdehyde B |
|
and O |
|
glutathione O |
|
S O |
|
- O |
|
transferase O |
|
( O |
|
GST O |
|
) O |
|
were O |
|
determined O |
|
with O |
|
kits O |
|
, O |
|
and O |
|
matrix O |
|
metalloproteinase O |
|
- O |
|
2 O |
|
and O |
|
9 O |
|
( O |
|
MMP O |
|
- O |
|
2 O |
|
/ O |
|
9 O |
|
) O |
|
activities O |
|
in O |
|
liver O |
|
were O |
|
analyzed O |
|
with O |
|
gelatin O |
|
zymography O |
|
and O |
|
in O |
|
situ O |
|
fluorescent O |
|
zymography O |
|
respectively O |
|
. O |
|
|
|
The O |
|
model O |
|
mice O |
|
had O |
|
much O |
|
higher O |
|
serum O |
|
levels O |
|
of O |
|
ALT O |
|
and O |
|
AST O |
|
than O |
|
the O |
|
normal O |
|
mice O |
|
. O |
|
|
|
Compared O |
|
to O |
|
that O |
|
in O |
|
the O |
|
normal O |
|
control O |
|
, O |
|
more O |
|
severe O |
|
liver O |
|
inflammation O |
|
and O |
|
hepatocyte O |
|
apoptosis O |
|
, O |
|
worse O |
|
hepatic O |
|
lipid B |
|
peroxidation O |
|
demonstrated O |
|
by O |
|
the O |
|
increased O |
|
ASAFR O |
|
, O |
|
. O |
|
OH O |
|
and O |
|
MDA B |
|
, O |
|
but O |
|
decreased O |
|
SOD O |
|
and O |
|
GST O |
|
, O |
|
increased O |
|
MMP O |
|
- O |
|
2 O |
|
/ O |
|
9 O |
|
activities O |
|
and O |
|
VCAM O |
|
- O |
|
1 O |
|
, O |
|
ICAM O |
|
- O |
|
1 O |
|
and O |
|
vWF O |
|
expressions O |
|
, O |
|
which O |
|
revealed O |
|
obvious O |
|
LSEC O |
|
injury O |
|
and O |
|
scaffold O |
|
structure O |
|
broken O |
|
, O |
|
were O |
|
shown O |
|
in O |
|
the O |
|
model O |
|
control O |
|
. O |
|
|
|
Compared O |
|
with O |
|
the O |
|
model O |
|
group O |
|
, O |
|
CMCS O |
|
and O |
|
1 B |
|
, I |
|
10 I |
|
- I |
|
phenanthroline I |
|
significantly O |
|
improved O |
|
serum O |
|
ALT O |
|
/ O |
|
AST O |
|
, O |
|
attenuated O |
|
hepatic O |
|
inflammation O |
|
and O |
|
improved O |
|
peroxidative O |
|
injury O |
|
in O |
|
liver O |
|
, O |
|
decreased O |
|
MMP O |
|
- O |
|
2 O |
|
/ O |
|
9 O |
|
activities O |
|
in O |
|
liver O |
|
tissue O |
|
, O |
|
improved O |
|
integration O |
|
of O |
|
scaffold O |
|
structure O |
|
, O |
|
and O |
|
decreased O |
|
protein O |
|
expression O |
|
of O |
|
VCAM O |
|
- O |
|
1 O |
|
and O |
|
ICAM O |
|
- O |
|
1 O |
|
. O |
|
|
|
CMCS O |
|
could O |
|
protect O |
|
LSECs O |
|
from O |
|
injury O |
|
and O |
|
maintain O |
|
the O |
|
microvasculature O |
|
integration O |
|
in O |
|
acute O |
|
injured O |
|
liver O |
|
of O |
|
mice O |
|
induced O |
|
by O |
|
LPS B |
|
/ O |
|
D O |
|
- O |
|
GalN O |
|
. O |
|
|
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|
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|
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|
|
|
|
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|
|
|
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|
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|
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|
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|
|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
|
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|
|
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|
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|
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|
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|
|
|
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|
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|
|
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
microangiopathy O |
|
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|
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|
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|
. O |
|
|
|
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|
gene O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
receptor O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
maintaining O |
|
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|
integrity O |
|
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|
|
|
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|
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|
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|
base O |
|
insertion O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
been O |
|
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|
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|
be O |
|
associated O |
|
with O |
|
microvascular O |
|
disturbance O |
|
. O |
|
|
|
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|
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|
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|
objective O |
|
was O |
|
to O |
|
investigate O |
|
the O |
|
relationship O |
|
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|
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|
and O |
|
the O |
|
vascular O |
|
complication O |
|
pulmonary O |
|
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|
hypertension O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
population O |
|
. O |
|
|
|
METHODS O |
|
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|
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|
hundred O |
|
eighty O |
|
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|
cases O |
|
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|
29 O |
|
/ O |
|
280 O |
|
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|
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|
diagnosed O |
|
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|
catheterism O |
|
were O |
|
compared O |
|
with O |
|
140 O |
|
patients O |
|
with O |
|
osteoarthritis O |
|
. O |
|
|
|
Genotyping O |
|
was O |
|
performed O |
|
by O |
|
polymerase O |
|
- O |
|
chain O |
|
- O |
|
reaction O |
|
- O |
|
based O |
|
fluorescence O |
|
and O |
|
direct O |
|
sequencing O |
|
of O |
|
genomic O |
|
DNA O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
The O |
|
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|
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|
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|
Hardy O |
|
- O |
|
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|
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|
. O |
|
|
|
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|
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a O |
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lower O |
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|
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23 O |
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
Assessment O |
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|
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|
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|
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|
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|
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|
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|
myocardial O |
|
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|
. O |
|
|
|
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|
: O |
|
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|
has O |
|
a O |
|
very O |
|
low O |
|
sensitivity O |
|
in O |
|
detecting O |
|
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|
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|
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|
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|
. O |
|
|
|
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|
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|
To O |
|
assess O |
|
the O |
|
added O |
|
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|
value O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
to O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
, O |
|
using O |
|
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|
- O |
|
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|
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|
- O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
patients O |
|
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|
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|
- O |
|
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|
/ O |
|
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|
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|
test O |
|
. O |
|
|
|
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|
measurements O |
|
of O |
|
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|
and O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
19 O |
|
of O |
|
the O |
|
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|
patients O |
|
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|
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|
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|
with O |
|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
and O |
|
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|
be O |
|
a O |
|
cost O |
|
- O |
|
savings O |
|
alternative O |
|
to O |
|
cardiac O |
|
imaging O |
|
or O |
|
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|
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|
to O |
|
detect O |
|
myocardial O |
|
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|
, O |
|
especially O |
|
in O |
|
patients O |
|
unable O |
|
to O |
|
exercise O |
|
. O |
|
|
|
|
|
Effects O |
|
of O |
|
common O |
|
germline O |
|
genetic O |
|
variation O |
|
in O |
|
cell O |
|
cycle O |
|
control O |
|
genes O |
|
on O |
|
breast O |
|
cancer O |
|
survival O |
|
: O |
|
results O |
|
from O |
|
a O |
|
population O |
|
- O |
|
based O |
|
cohort O |
|
. O |
|
|
|
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|
: O |
|
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|
alterations O |
|
have O |
|
been O |
|
shown O |
|
to O |
|
correlate O |
|
with O |
|
breast O |
|
cancer O |
|
prognosis O |
|
and O |
|
survival O |
|
, O |
|
but O |
|
less O |
|
is O |
|
known O |
|
about O |
|
the O |
|
effects O |
|
of O |
|
common O |
|
inherited O |
|
genetic O |
|
variation O |
|
. O |
|
|
|
Of O |
|
particular O |
|
interest O |
|
are O |
|
genes O |
|
involved O |
|
in O |
|
cell O |
|
cycle O |
|
pathways O |
|
, O |
|
which O |
|
regulate O |
|
cell O |
|
division O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
We O |
|
examined O |
|
associations O |
|
between O |
|
common O |
|
germline O |
|
genetic O |
|
variation O |
|
in O |
|
13 O |
|
genes O |
|
involved O |
|
in O |
|
cell O |
|
cycle O |
|
control O |
|
( O |
|
CCND1 O |
|
, O |
|
CCND2 O |
|
, O |
|
CCND3 O |
|
, O |
|
CCNE1 O |
|
, O |
|
CDK2 O |
|
[ O |
|
p33 O |
|
], O |
|
CDK4 O |
|
, O |
|
CDK6 O |
|
, O |
|
CDKN1A O |
|
[ O |
|
p21 O |
|
, O |
|
Cip1 O |
|
], O |
|
CDKN1B O |
|
[ O |
|
p27 O |
|
, O |
|
Kip1 O |
|
], O |
|
CDKN2A O |
|
[ O |
|
p16 O |
|
], O |
|
CDKN2B O |
|
[ O |
|
p15 O |
|
], O |
|
CDKN2C O |
|
[ O |
|
p18 O |
|
], O |
|
and O |
|
CDKN2D O |
|
[ O |
|
p19 O |
|
]) O |
|
|
|
and O |
|
survival O |
|
among O |
|
women O |
|
diagnosed O |
|
with O |
|
invasive O |
|
breast O |
|
cancer O |
|
participating O |
|
in O |
|
the O |
|
SEARCH O |
|
( O |
|
Studies O |
|
of O |
|
Epidemiology O |
|
and O |
|
Risk O |
|
factors O |
|
in O |
|
Cancer O |
|
Heredity O |
|
) O |
|
breast O |
|
cancer O |
|
study O |
|
. O |
|
|
|
DNA O |
|
from O |
|
up O |
|
to O |
|
4 O |
|
, O |
|
470 O |
|
women O |
|
was O |
|
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|
for O |
|
85 O |
|
polymorphisms O |
|
that O |
|
tag O |
|
the O |
|
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|
common O |
|
polymorphisms O |
|
( O |
|
minor O |
|
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|
frequency O |
|
> O |
|
0 O |
|
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|
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|
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|
in O |
|
the O |
|
genes O |
|
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|
|
|
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|
genotypes O |
|
of O |
|
each O |
|
polymorphism O |
|
were O |
|
tested O |
|
for O |
|
association O |
|
with O |
|
survival O |
|
using O |
|
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|
regression O |
|
analysis O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
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|
rare O |
|
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|
of O |
|
the O |
|
tagging O |
|
single O |
|
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|
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|
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|
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|
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|
rs2479717 O |
|
is O |
|
associated O |
|
with O |
|
an O |
|
increased O |
|
risk O |
|
of O |
|
death O |
|
( O |
|
hazard O |
|
ratio O |
|
= O |
|
1 O |
|
. O |
|
26 O |
|
per O |
|
rare O |
|
allele O |
|
carried O |
|
, O |
|
95 O |
|
% O |
|
confidence O |
|
interval O |
|
: O |
|
1 O |
|
. O |
|
12 O |
|
to O |
|
1 O |
|
. O |
|
42 O |
|
; O |
|
P O |
|
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|
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|
. O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
treatment O |
|
. O |
|
|
|
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|
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|
is O |
|
part O |
|
of O |
|
a O |
|
large O |
|
linkage O |
|
disequilibrium O |
|
block O |
|
, O |
|
which O |
|
contains O |
|
CCND3 O |
|
, O |
|
BYSL O |
|
, O |
|
TRFP O |
|
, O |
|
USP49 O |
|
, O |
|
C6ofr49 O |
|
, O |
|
FRS3 O |
|
, O |
|
and O |
|
PGC O |
|
. O |
|
|
|
We O |
|
evaluated O |
|
the O |
|
association O |
|
of O |
|
survival O |
|
and O |
|
somatic O |
|
expression O |
|
of O |
|
these O |
|
genes O |
|
in O |
|
breast O |
|
tumours O |
|
using O |
|
expression O |
|
microarray O |
|
data O |
|
from O |
|
seven O |
|
published O |
|
datasets O |
|
. O |
|
|
|
Elevated O |
|
expression O |
|
of O |
|
the O |
|
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|
transcript O |
|
was O |
|
associated O |
|
with O |
|
breast O |
|
cancer O |
|
survival O |
|
, O |
|
adding O |
|
biological O |
|
interest O |
|
to O |
|
the O |
|
finding O |
|
. O |
|
|
|
CONCLUSION O |
|
: O |
|
It O |
|
is O |
|
possible O |
|
that O |
|
CCND3 O |
|
rs2479717 O |
|
, O |
|
or O |
|
another O |
|
variant O |
|
it O |
|
tags O |
|
, O |
|
is O |
|
associated O |
|
with O |
|
prognosis O |
|
after O |
|
a O |
|
diagnosis O |
|
of O |
|
breast O |
|
cancer O |
|
. O |
|
|
|
Further O |
|
study O |
|
is O |
|
required O |
|
to O |
|
validate O |
|
this O |
|
finding O |
|
. O |
|
|
|
|
|
Upregulation O |
|
of O |
|
centrosomal O |
|
protein O |
|
55 O |
|
is O |
|
associated O |
|
with O |
|
unfavorable O |
|
prognosis O |
|
and O |
|
tumor O |
|
invasion O |
|
in O |
|
epithelial O |
|
ovarian O |
|
carcinoma O |
|
. O |
|
|
|
Centrosomal O |
|
protein O |
|
55 O |
|
( O |
|
CEP55 O |
|
) O |
|
is O |
|
a O |
|
cell O |
|
cycle O |
|
regulator O |
|
implicated O |
|
in O |
|
development O |
|
of O |
|
certain O |
|
cancers O |
|
. O |
|
|
|
However O |
|
, O |
|
characteristics O |
|
of O |
|
CEP55 O |
|
expression O |
|
and O |
|
its O |
|
clinical O |
|
/ O |
|
prognostic O |
|
significance O |
|
are O |
|
unclear O |
|
in O |
|
human O |
|
epithelial O |
|
ovarian O |
|
carcinoma O |
|
( O |
|
EOC O |
|
). O |
|
|
|
Therefore O |
|
, O |
|
we O |
|
investigated O |
|
the O |
|
expression O |
|
and O |
|
clinicopathological O |
|
significance O |
|
of O |
|
CEP55 O |
|
in O |
|
patients O |
|
with O |
|
EOC O |
|
and O |
|
its O |
|
role O |
|
in O |
|
regulating O |
|
invasion O |
|
and O |
|
metastasis O |
|
of O |
|
ovarian O |
|
cell O |
|
lines O |
|
. O |
|
|
|
CEP55 O |
|
mRNA O |
|
and O |
|
protein O |
|
expression O |
|
levels O |
|
were O |
|
detected O |
|
by O |
|
quantitative O |
|
real O |
|
- O |
|
time O |
|
PCR O |
|
( O |
|
qRT O |
|
- O |
|
PCR O |
|
), O |
|
Western O |
|
blotting O |
|
, O |
|
and O |
|
immunohistochemistry O |
|
( O |
|
IHC O |
|
). O |
|
|
|
Potential O |
|
associations O |
|
of O |
|
CEP55 O |
|
expression O |
|
scores O |
|
with O |
|
clinical O |
|
parameters O |
|
and O |
|
patient O |
|
survival O |
|
were O |
|
evaluated O |
|
. O |
|
|
|
CEP55 O |
|
function O |
|
was O |
|
investigated O |
|
further O |
|
using O |
|
RNA O |
|
interference O |
|
, O |
|
wound O |
|
healing O |
|
assay O |
|
, O |
|
transwell O |
|
assay O |
|
, O |
|
immunofluorescence O |
|
analysis O |
|
, O |
|
qRT O |
|
- O |
|
PCR O |
|
, O |
|
and O |
|
Western O |
|
blotting O |
|
. O |
|
|
|
CEP55 O |
|
was O |
|
significantly O |
|
upregulated O |
|
in O |
|
ovarian O |
|
cancer O |
|
cell O |
|
lines O |
|
and O |
|
lesions O |
|
compared O |
|
with O |
|
normal O |
|
cells O |
|
and O |
|
adjacent O |
|
noncancerous O |
|
ovarian O |
|
tissues O |
|
. O |
|
|
|
In O |
|
the O |
|
213 O |
|
EOC O |
|
samples O |
|
, O |
|
CEP55 O |
|
protein O |
|
levels O |
|
were O |
|
positively O |
|
correlated O |
|
with O |
|
clinical O |
|
stage O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
), O |
|
lymph O |
|
node O |
|
metastasis O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
), O |
|
intraperitoneal O |
|
metastasis O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
), O |
|
tumor O |
|
recurrence O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
), O |
|
differentiation O |
|
grade O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
), O |
|
residual O |
|
tumor O |
|
size O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
), O |
|
ascites O |
|
see O |
|
tumor O |
|
cells O |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
20 O |
|
), O |
|
and O |
|
serum O |
|
CA153 O |
|
level O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
). O |
|
|
|
Moreover O |
|
, O |
|
patients O |
|
with O |
|
aberrant O |
|
CEP55 O |
|
protein O |
|
expression O |
|
showed O |
|
tendencies O |
|
to O |
|
receive O |
|
neoadjuvant O |
|
chemotherapy O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
) O |
|
and O |
|
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|
surgery O |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
20 O |
|
). O |
|
|
|
By O |
|
contrast O |
|
, O |
|
no O |
|
significant O |
|
correlation O |
|
was O |
|
detected O |
|
between O |
|
the O |
|
protein O |
|
levels O |
|
and O |
|
patient O |
|
age O |
|
, O |
|
histological O |
|
type O |
|
, O |
|
or O |
|
serum O |
|
CA125 O |
|
, O |
|
CA199 O |
|
, O |
|
CA724 O |
|
, O |
|
NSE O |
|
, O |
|
CEA O |
|
, O |
|
and O |
|
b O |
|
- O |
|
HCG O |
|
levels O |
|
. O |
|
|
|
Patients O |
|
with O |
|
high O |
|
CEP55 O |
|
protein O |
|
expression O |
|
had O |
|
shorter O |
|
overall O |
|
survival O |
|
and O |
|
disease O |
|
- O |
|
free O |
|
survival O |
|
compared O |
|
with O |
|
those O |
|
with O |
|
low O |
|
CEP55 O |
|
expression O |
|
. O |
|
|
|
Multivariate O |
|
analysis O |
|
implicated O |
|
CEP55 O |
|
as O |
|
an O |
|
independent O |
|
prognostic O |
|
indicator O |
|
for O |
|
EOC O |
|
patients O |
|
. O |
|
|
|
Additionally O |
|
, O |
|
downregulation O |
|
of O |
|
CEP55 O |
|
in O |
|
ovarian O |
|
cancer O |
|
cells O |
|
remarkably O |
|
inhibited O |
|
cellular O |
|
motility O |
|
and O |
|
invasion O |
|
. O |
|
|
|
Aberrant O |
|
CEP55 O |
|
expression O |
|
may O |
|
predict O |
|
unfavorable O |
|
clinical O |
|
outcomes O |
|
in O |
|
EOC O |
|
patients O |
|
and O |
|
play O |
|
an O |
|
important O |
|
role O |
|
in O |
|
regulating O |
|
invasion O |
|
in O |
|
ovarian O |
|
cancer O |
|
cells O |
|
. O |
|
|
|
Thus O |
|
, O |
|
CEP55 O |
|
may O |
|
serve O |
|
as O |
|
a O |
|
prognostic O |
|
marker O |
|
and O |
|
therapeutic O |
|
target O |
|
for O |
|
EOC O |
|
. O |
|
|
|
|
|
Male O |
|
11b O |
|
- O |
|
HSD1 O |
|
Knockout O |
|
Mice O |
|
Fed O |
|
Trans O |
|
- O |
|
Fats O |
|
and O |
|
Fructose B |
|
Are O |
|
Not O |
|
Protected O |
|
From O |
|
Metabolic O |
|
Syndrome O |
|
or O |
|
Nonalcoholic O |
|
Fatty O |
|
Liver O |
|
Disease O |
|
. O |
|
|
|
Nonalcoholic O |
|
fatty O |
|
liver O |
|
disease O |
|
( O |
|
NAFLD O |
|
) O |
|
defines O |
|
a O |
|
spectrum O |
|
of O |
|
conditions O |
|
from O |
|
simple O |
|
steatosis O |
|
to O |
|
nonalcoholic O |
|
steatohepatitis O |
|
( O |
|
NASH O |
|
) O |
|
and O |
|
cirrhosis O |
|
and O |
|
is O |
|
regarded O |
|
as O |
|
the O |
|
hepatic O |
|
manifestation O |
|
of O |
|
the O |
|
metabolic O |
|
syndrome O |
|
. O |
|
|
|
Glucocorticoids B |
|
can O |
|
promote O |
|
steatosis O |
|
by O |
|
stimulating O |
|
lipolysis O |
|
within O |
|
adipose O |
|
tissue O |
|
, O |
|
free O |
|
fatty O |
|
acid O |
|
delivery O |
|
to O |
|
liver O |
|
and O |
|
hepatic O |
|
de O |
|
novo O |
|
lipogenesis O |
|
. O |
|
|
|
Glucocorticoids B |
|
can O |
|
be O |
|
reactivated O |
|
in O |
|
liver O |
|
through O |
|
11b O |
|
- O |
|
hydroxysteroid O |
|
dehydrogenase O |
|
type O |
|
1 O |
|
( O |
|
11b O |
|
- O |
|
HSD1 O |
|
) O |
|
enzyme O |
|
activity O |
|
. O |
|
|
|
Inhibition O |
|
of O |
|
11b O |
|
- O |
|
HSD1 O |
|
has O |
|
been O |
|
suggested O |
|
as O |
|
a O |
|
potential O |
|
treatment O |
|
for O |
|
NAFLD O |
|
. O |
|
|
|
To O |
|
test O |
|
this O |
|
, O |
|
male O |
|
mice O |
|
with O |
|
global O |
|
( O |
|
11b O |
|
- O |
|
HSD1 O |
|
knockout O |
|
[ O |
|
KO O |
|
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|
and O |
|
liver O |
|
- O |
|
specific O |
|
( O |
|
LKO O |
|
) O |
|
11b O |
|
- O |
|
HSD1 O |
|
loss O |
|
of O |
|
function O |
|
were O |
|
fed O |
|
the O |
|
American O |
|
Lifestyle O |
|
Induced O |
|
Obesity O |
|
Syndrome O |
|
( O |
|
ALIOS O |
|
) O |
|
diet O |
|
, O |
|
known O |
|
to O |
|
recapitulate O |
|
the O |
|
spectrum O |
|
of O |
|
NAFLD O |
|
, O |
|
and O |
|
metabolic O |
|
and O |
|
liver O |
|
phenotypes O |
|
assessed O |
|
. O |
|
|
|
Body O |
|
weight O |
|
, O |
|
muscle O |
|
and O |
|
adipose O |
|
tissue O |
|
masses O |
|
, O |
|
and O |
|
parameters O |
|
of O |
|
glucose O |
|
homeostasis O |
|
showed O |
|
that O |
|
11b O |
|
- O |
|
HSD1KO O |
|
and O |
|
LKO O |
|
mice O |
|
were O |
|
not O |
|
protected O |
|
from O |
|
systemic O |
|
metabolic O |
|
disease O |
|
. O |
|
|
|
Evaluation O |
|
of O |
|
hepatic O |
|
histology O |
|
, O |
|
triglyceride B |
|
content O |
|
, O |
|
and O |
|
blinded O |
|
NAFLD O |
|
activity O |
|
score O |
|
assessment O |
|
indicated O |
|
that O |
|
levels O |
|
of O |
|
steatosis O |
|
were O |
|
similar O |
|
between O |
|
11b O |
|
- O |
|
HSD1KO O |
|
, O |
|
LKO O |
|
, O |
|
and O |
|
control O |
|
mice O |
|
. O |
|
|
|
Unexpectedly O |
|
, O |
|
histological O |
|
analysis O |
|
revealed O |
|
significantly O |
|
increased O |
|
levels O |
|
of O |
|
immune O |
|
foci O |
|
present O |
|
in O |
|
livers O |
|
of O |
|
11b O |
|
- O |
|
HSD1KO O |
|
but O |
|
not O |
|
LKO O |
|
or O |
|
control O |
|
mice O |
|
, O |
|
suggestive O |
|
of O |
|
a O |
|
transition O |
|
to O |
|
NASH O |
|
. O |
|
|
|
This O |
|
was O |
|
endorsed O |
|
by O |
|
elevated O |
|
hepatic O |
|
expression O |
|
of O |
|
key O |
|
immune O |
|
cell O |
|
and O |
|
inflammatory O |
|
markers O |
|
. O |
|
|
|
These O |
|
data O |
|
indicate O |
|
that O |
|
11b O |
|
- O |
|
HSD1 O |
|
- O |
|
deficient O |
|
mice O |
|
are O |
|
not O |
|
protected O |
|
from O |
|
metabolic O |
|
disease O |
|
or O |
|
hepatosteatosis O |
|
in O |
|
the O |
|
face O |
|
of O |
|
a O |
|
NAFLD O |
|
- O |
|
inducing O |
|
diet O |
|
. O |
|
|
|
However O |
|
, O |
|
global O |
|
deficiency O |
|
of O |
|
11b O |
|
- O |
|
HSD1 O |
|
did O |
|
increase O |
|
markers O |
|
of O |
|
hepatic O |
|
inflammation O |
|
and O |
|
suggests O |
|
a O |
|
critical O |
|
role O |
|
for O |
|
11b O |
|
- O |
|
HSD1 O |
|
in O |
|
restraining O |
|
the O |
|
transition O |
|
to O |
|
NASH O |
|
. O |
|
|
|
|
|
Single O |
|
- O |
|
strand O |
|
conformation O |
|
polymorphism O |
|
analysis O |
|
of O |
|
the O |
|
FMR1 O |
|
gene O |
|
in O |
|
autistic O |
|
and O |
|
mentally O |
|
retarded O |
|
children O |
|
in O |
|
Japan O |
|
. O |
|
|
|
Fragile O |
|
X O |
|
syndrome O |
|
is O |
|
one O |
|
of O |
|
the O |
|
most O |
|
common O |
|
causes O |
|
of O |
|
mental O |
|
retardation O |
|
in O |
|
males O |
|
, O |
|
and O |
|
patients O |
|
with O |
|
fragile O |
|
X O |
|
syndrome O |
|
occasionally O |
|
develop O |
|
autism O |
|
. O |
|
|
|
It O |
|
is O |
|
usually O |
|
caused O |
|
by O |
|
an O |
|
expansion O |
|
of O |
|
the O |
|
trinucleotide O |
|
repeat O |
|
in O |
|
the O |
|
5 O |
|
'- O |
|
untranslated O |
|
region O |
|
of O |
|
the O |
|
FMR1 O |
|
gene O |
|
, O |
|
but O |
|
in O |
|
a O |
|
small O |
|
number O |
|
of O |
|
patients O |
|
deletions O |
|
and O |
|
point O |
|
mutations O |
|
have O |
|
been O |
|
identified O |
|
. O |
|
|
|
We O |
|
screened O |
|
all O |
|
17 O |
|
exons O |
|
of O |
|
the O |
|
FMR1 O |
|
gene O |
|
for O |
|
mutations O |
|
in O |
|
90 O |
|
autistic O |
|
or O |
|
mentally O |
|
retarded O |
|
children O |
|
using O |
|
polymerase O |
|
chain O |
|
reaction O |
|
( O |
|
PCR O |
|
)- O |
|
single O |
|
strand O |
|
conformation O |
|
polymorphism O |
|
( O |
|
SSCP O |
|
) O |
|
analysis O |
|
. O |
|
|
|
No O |
|
mutations O |
|
were O |
|
found O |
|
in O |
|
76 O |
|
male O |
|
patients O |
|
. O |
|
|
|
However O |
|
, O |
|
one O |
|
female O |
|
patient O |
|
was O |
|
heterozygous O |
|
for O |
|
a O |
|
normal O |
|
allele O |
|
and O |
|
a O |
|
mutant O |
|
allele O |
|
with O |
|
an O |
|
A O |
|
to O |
|
C O |
|
substitution O |
|
at O |
|
nucleotide O |
|
879 O |
|
in O |
|
exon O |
|
9 O |
|
. O |
|
|
|
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|
mutation O |
|
was O |
|
not O |
|
found O |
|
in O |
|
50 O |
|
controls O |
|
. O |
|
|
|
Reverse O |
|
transcription O |
|
- O |
|
PCR O |
|
revealed O |
|
that O |
|
a O |
|
large O |
|
proportion O |
|
of O |
|
the O |
|
mutant O |
|
transcripts O |
|
were O |
|
spliced O |
|
aberrantly O |
|
, O |
|
causing O |
|
premature O |
|
termination O |
|
of O |
|
the O |
|
protein O |
|
synthesis O |
|
. O |
|
|
|
Although O |
|
uncommon O |
|
, O |
|
point O |
|
mutations O |
|
in O |
|
the O |
|
FMR1 O |
|
gene O |
|
may O |
|
be O |
|
a O |
|
cause O |
|
of O |
|
autism O |
|
and O |
|
mental O |
|
retardation O |
|
in O |
|
Japanese O |
|
patients O |
|
. O |
|
|
|
|
|
Pheochromocytoma O |
|
unmasked O |
|
by O |
|
amisulpride B |
|
and O |
|
tiapride B |
|
. O |
|
|
|
OBJECTIVE O |
|
: O |
|
To O |
|
describe O |
|
the O |
|
unmasking O |
|
of O |
|
pheochromocytoma O |
|
in O |
|
a O |
|
patient O |
|
treated O |
|
with O |
|
amisulpride B |
|
and O |
|
tiapride B |
|
. O |
|
|
|
CASE O |
|
SUMMARY O |
|
: O |
|
A O |
|
42 O |
|
- O |
|
year O |
|
- O |
|
old O |
|
white O |
|
man O |
|
developed O |
|
acute O |
|
hypertension O |
|
with O |
|
severe O |
|
headache O |
|
and O |
|
vomiting O |
|
2 O |
|
hours O |
|
after O |
|
the O |
|
first O |
|
doses O |
|
of O |
|
amisulpride B |
|
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mg O |
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and O |
|
tiapride B |
|
100 O |
|
mg O |
|
. O |
|
|
|
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|
drugs O |
|
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|
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|
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|
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|
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|
patient O |
|
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|
after O |
|
subsequent O |
|
nicardipine B |
|
and O |
|
verapamil B |
|
treatment O |
|
. O |
|
|
|
Abdominal O |
|
ultrasound O |
|
showed O |
|
an O |
|
adrenal O |
|
mass O |
|
, O |
|
and O |
|
postoperative O |
|
histologic O |
|
examination O |
|
confirmed O |
|
the O |
|
diagnosis O |
|
of O |
|
pheochromocytoma O |
|
. O |
|
|
|
DISCUSSION O |
|
: O |
|
Drug O |
|
- O |
|
induced O |
|
symptoms O |
|
of O |
|
pheochromocytoma O |
|
are O |
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often O |
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|
with O |
|
the O |
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use O |
|
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substituted B |
|
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|
drugs O |
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|
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mechanism O |
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unknown O |
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|
|
|
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|
use O |
|
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|
the O |
|
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|
probability O |
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scale O |
|
indicated O |
|
a O |
|
possible O |
|
relationship O |
|
between O |
|
the O |
|
hypertensive O |
|
crisis O |
|
and O |
|
amisulpride B |
|
and O |
|
tiapride B |
|
therapy O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
As O |
|
of O |
|
March O |
|
24 O |
|
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|
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|
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|
- O |
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|
tiapride B |
|
- O |
|
induced O |
|
hypertensive O |
|
crisis O |
|
in O |
|
a O |
|
patient O |
|
with O |
|
pheochromocytoma O |
|
. O |
|
|
|
Physicians O |
|
and O |
|
other O |
|
healthcare O |
|
professionals O |
|
should O |
|
be O |
|
aware O |
|
of O |
|
this O |
|
potential O |
|
adverse O |
|
effect O |
|
of O |
|
tiapride B |
|
and O |
|
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|
. O |
|
|
|
|
|
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|
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|
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|
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oxygenation O |
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anesthesia O |
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- O |
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induced O |
|
hypotension O |
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. O |
|
|
|
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|
: O |
|
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|
agents O |
|
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|
used O |
|
to O |
|
correct O |
|
anesthesia O |
|
- O |
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induced O |
|
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|
. O |
|
|
|
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|
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|
the O |
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|
of O |
|
phenylephrine B |
|
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|
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|
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oxygenation O |
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( O |
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|
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|
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. O |
|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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mg O |
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|
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|
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|
13 O |
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patients O |
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received O |
|
phenylephrine B |
|
( O |
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0 O |
|
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mg O |
|
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|
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|
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|
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|
|
|
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rate O |
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
RESULTS O |
|
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|
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|
of O |
|
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|
was O |
|
followed O |
|
by O |
|
a O |
|
decrease O |
|
in O |
|
MAP O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
in O |
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|
|
|
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|
of O |
|
phenylephrine B |
|
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|
MAP O |
|
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|
( O |
|
51 O |
|
+/- O |
|
12 O |
|
to O |
|
81 O |
|
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|
13 O |
|
mmHg O |
|
; O |
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P O |
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|
|
|
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70 O |
|
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|
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60 O |
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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a O |
|
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|
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|
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|
MAP O |
|
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|
53 O |
|
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|
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|
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|
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|
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|
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|
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|
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|
1 O |
|
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|
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|
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|
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|
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( O |
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|
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O O |
|
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2 O |
|
). O |
|
|
|
CONCLUSIONS O |
|
: O |
|
The O |
|
utilization O |
|
of O |
|
phenylephrine B |
|
to O |
|
correct O |
|
hypotension O |
|
induced O |
|
by O |
|
anesthesia O |
|
has O |
|
a O |
|
negative O |
|
impact O |
|
on O |
|
S O |
|
( O |
|
c O |
|
) O |
|
O O |
|
( O |
|
2 O |
|
) O |
|
while O |
|
ephedrine B |
|
maintains O |
|
frontal O |
|
lobe O |
|
oxygenation O |
|
potentially O |
|
related O |
|
to O |
|
an O |
|
increase O |
|
in O |
|
CO O |
|
. O |
|
|
|
|
|
Somatic O |
|
and O |
|
gonadal O |
|
mosaicism O |
|
in O |
|
X O |
|
- O |
|
linked O |
|
retinitis O |
|
pigmentosa O |
|
. O |
|
|
|
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|
g O |
|
. O |
|
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|
+ O |
|
652 O |
|
- O |
|
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|
mutation O |
|
in O |
|
the O |
|
RPGR O |
|
gene O |
|
is O |
|
the O |
|
most O |
|
frequent O |
|
mutation O |
|
in O |
|
X O |
|
- O |
|
linked O |
|
retinitis O |
|
pigmentosa O |
|
( O |
|
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|
). O |
|
|
|
The O |
|
objective O |
|
of O |
|
this O |
|
study O |
|
was O |
|
to O |
|
investigate O |
|
the O |
|
possibility O |
|
of O |
|
mosaicism O |
|
in O |
|
an O |
|
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|
family O |
|
. O |
|
|
|
Eight O |
|
subjects O |
|
in O |
|
the O |
|
RP O |
|
family O |
|
were O |
|
recruited O |
|
. O |
|
|
|
Blood O |
|
samples O |
|
were O |
|
collected O |
|
for O |
|
DNA O |
|
extraction O |
|
. O |
|
|
|
Haplotype O |
|
analysis O |
|
and O |
|
mutational O |
|
screening O |
|
on O |
|
the O |
|
RPGR O |
|
gene O |
|
were O |
|
performed O |
|
. O |
|
|
|
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|
, O |
|
samples O |
|
of O |
|
hair O |
|
follicles O |
|
and O |
|
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|
cells O |
|
from O |
|
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|
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|
of O |
|
the O |
|
proband O |
|
were O |
|
acquired O |
|
for O |
|
DNA O |
|
extraction O |
|
and O |
|
molecular O |
|
analysis O |
|
. O |
|
|
|
Phenotype O |
|
was O |
|
characterized O |
|
with O |
|
routine O |
|
ophthalmic O |
|
examination O |
|
, O |
|
Goldmann O |
|
perimetry O |
|
, O |
|
electroretinography O |
|
, O |
|
and O |
|
color O |
|
fundus O |
|
photography O |
|
. O |
|
|
|
A O |
|
g O |
|
. O |
|
ORF15 O |
|
+ O |
|
652 O |
|
- O |
|
653delAG O |
|
mutation O |
|
was O |
|
identified O |
|
in O |
|
second O |
|
- O |
|
and O |
|
third O |
|
- O |
|
generation O |
|
patients O |
|
/ O |
|
carriers O |
|
. O |
|
|
|
A O |
|
first O |
|
- O |
|
generation O |
|
female O |
|
, O |
|
who O |
|
was O |
|
considered O |
|
to O |
|
be O |
|
an O |
|
obligate O |
|
carrier O |
|
, O |
|
demonstrated O |
|
a O |
|
normal O |
|
phenotype O |
|
as O |
|
well O |
|
as O |
|
a O |
|
normal O |
|
genotype O |
|
in O |
|
lymphocytic O |
|
DNA O |
|
, O |
|
indicating O |
|
the O |
|
gonadal O |
|
mosaicism O |
|
; O |
|
however O |
|
, O |
|
a O |
|
heterozygous O |
|
AG O |
|
- O |
|
deletion O |
|
at O |
|
nucleotide O |
|
652 O |
|
and O |
|
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|
was O |
|
identified O |
|
in O |
|
the O |
|
genomic O |
|
DNA O |
|
of O |
|
hair O |
|
follicles O |
|
, O |
|
hair O |
|
shaft O |
|
, O |
|
and O |
|
buccal O |
|
cells O |
|
, O |
|
indicating O |
|
that O |
|
the O |
|
mutation O |
|
is O |
|
somatic O |
|
. O |
|
|
|
In O |
|
conclusion O |
|
, O |
|
we O |
|
reported O |
|
on O |
|
a O |
|
family O |
|
in O |
|
which O |
|
an O |
|
asymptomatic O |
|
woman O |
|
with O |
|
somatic O |
|
- O |
|
gonadal O |
|
mosaicism O |
|
for O |
|
a O |
|
RPGR O |
|
gene O |
|
mutation O |
|
transmitted O |
|
the O |
|
mutation O |
|
to O |
|
an O |
|
asymptomatic O |
|
daughter O |
|
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|
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|
a O |
|
son O |
|
with O |
|
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|
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|
|
|
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|
mosaicism O |
|
may O |
|
be O |
|
responsible O |
|
for O |
|
a O |
|
proportion O |
|
of O |
|
multiplex O |
|
or O |
|
simplex O |
|
RP O |
|
families O |
|
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|
in O |
|
which O |
|
more O |
|
than O |
|
50 O |
|
% O |
|
of O |
|
all O |
|
cases O |
|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
- O |
|
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|
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|
Inc O |
|
. O |
|
|
|
|
|
Complete O |
|
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|
block O |
|
secondary O |
|
to O |
|
lithium B |
|
therapy O |
|
. O |
|
|
|
Sinus O |
|
node O |
|
dysfunction O |
|
has O |
|
been O |
|
reported O |
|
most O |
|
frequently O |
|
among O |
|
the O |
|
adverse O |
|
cardiovascular O |
|
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|
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|
lithium B |
|
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|
|
|
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|
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|
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|
case O |
|
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|
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|
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|
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|
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|
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|
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|
with O |
|
syncopal O |
|
attacks O |
|
developed O |
|
secondary O |
|
to O |
|
lithium B |
|
therapy O |
|
, O |
|
necessitating O |
|
permanent O |
|
pacemaker O |
|
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|
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|
|
|
Serum O |
|
lithium B |
|
levels O |
|
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|
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|
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|
within O |
|
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|
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|
range O |
|
during O |
|
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|
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|
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|
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|
|
|
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|
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|
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|
used O |
|
with O |
|
extreme O |
|
caution O |
|
, O |
|
especially O |
|
in O |
|
patients O |
|
with O |
|
mild O |
|
disturbance O |
|
of O |
|
AV O |
|
conduction O |
|
. O |
|
|
|
|
|
Organophosphate B |
|
- O |
|
induced O |
|
convulsions O |
|
and O |
|
prevention O |
|
of O |
|
neuropathological O |
|
damages O |
|
. O |
|
|
|
Such O |
|
organophosphorus B |
|
( O |
|
OP B |
|
) O |
|
compounds O |
|
as O |
|
diisopropylfluorophosphate B |
|
( O |
|
DFP B |
|
), O |
|
sarin B |
|
and O |
|
soman B |
|
are O |
|
potent O |
|
inhibitors O |
|
of O |
|
acetylcholinesterases O |
|
( O |
|
AChEs O |
|
) O |
|
and O |
|
butyrylcholinesterases O |
|
( O |
|
BChEs O |
|
). O |
|
|
|
The O |
|
acute O |
|
toxicity O |
|
of O |
|
OPs O |
|
is O |
|
the O |
|
result O |
|
of O |
|
their O |
|
irreversible O |
|
binding O |
|
with O |
|
AChEs O |
|
in O |
|
the O |
|
central O |
|
nervous O |
|
system O |
|
( O |
|
CNS O |
|
), O |
|
which O |
|
elevates O |
|
acetylcholine B |
|
( O |
|
ACh B |
|
) O |
|
levels O |
|
. O |
|
|
|
The O |
|
protective O |
|
action O |
|
of O |
|
subcutaneously O |
|
( O |
|
SC O |
|
) O |
|
administered O |
|
antidotes O |
|
or O |
|
their O |
|
combinations O |
|
in O |
|
DFP B |
|
( O |
|
2 O |
|
. O |
|
0 O |
|
mg O |
|
/ O |
|
kg O |
|
BW O |
|
) O |
|
intoxication O |
|
was O |
|
studied O |
|
in O |
|
9 O |
|
- O |
|
10 O |
|
- O |
|
weeks O |
|
- O |
|
old O |
|
Han O |
|
- O |
|
Wistar O |
|
male O |
|
rats O |
|
. O |
|
|
|
The O |
|
rats O |
|
received O |
|
AChE O |
|
reactivator O |
|
pralidoxime B |
|
- I |
|
2 I |
|
- I |
|
chloride I |
|
( O |
|
2PAM B |
|
) O |
|
( O |
|
30 O |
|
. O |
|
0 O |
|
mg O |
|
/ O |
|
kg O |
|
BW O |
|
), O |
|
anticonvulsant O |
|
diazepam B |
|
( O |
|
2 O |
|
. O |
|
0 O |
|
mg O |
|
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|
kg O |
|
BW O |
|
), O |
|
A O |
|
( O |
|
1 O |
|
)- O |
|
adenosine O |
|
receptor O |
|
agonist O |
|
N O |
|
( O |
|
6 B |
|
)- O |
|
cyclopentyl I |
|
adenosine I |
|
( O |
|
CPA B |
|
) O |
|
( O |
|
2 O |
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|
0 O |
|
mg O |
|
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|
kg O |
|
BW O |
|
), O |
|
NMDA O |
|
- O |
|
receptor O |
|
antagonist O |
|
dizocilpine B |
|
maleate B |
|
(+- O |
|
MK801 B |
|
hydrogen I |
|
maleate B |
|
) O |
|
( O |
|
2 O |
|
. O |
|
0 O |
|
mg O |
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|
|
|
kg O |
|
BW O |
|
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|
or O |
|
their O |
|
combinations O |
|
with O |
|
cholinolytic B |
|
drug O |
|
atropine B |
|
sulfate I |
|
( O |
|
50 O |
|
. O |
|
0 O |
|
mg O |
|
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|
kg O |
|
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|
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|
immediately O |
|
or O |
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30 O |
|
min O |
|
after O |
|
the O |
|
single O |
|
SC O |
|
injection O |
|
of O |
|
DFP B |
|
. O |
|
|
|
The O |
|
control O |
|
rats O |
|
received O |
|
atropine B |
|
sulfate I |
|
, O |
|
but O |
|
also O |
|
saline O |
|
and O |
|
olive B |
|
oil I |
|
instead O |
|
of O |
|
other O |
|
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|
and O |
|
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|
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|
respectively O |
|
. O |
|
|
|
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|
rats O |
|
were O |
|
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|
either O |
|
24 O |
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h O |
|
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|
3 O |
|
weeks O |
|
after O |
|
the O |
|
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|
injection O |
|
. O |
|
|
|
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|
rats O |
|
treated O |
|
with O |
|
DFP B |
|
- O |
|
atropine B |
|
showed O |
|
severe O |
|
typical O |
|
OP O |
|
- O |
|
induced O |
|
toxicity O |
|
signs O |
|
. O |
|
|
|
When O |
|
CPA B |
|
, O |
|
diazepam B |
|
or O |
|
2PAM O |
|
was O |
|
given O |
|
immediately O |
|
after O |
|
DFP B |
|
- O |
|
atropine B |
|
, O |
|
these O |
|
treatments O |
|
prevented O |
|
, O |
|
delayed O |
|
or O |
|
shortened O |
|
the O |
|
occurrence O |
|
of O |
|
serious O |
|
signs O |
|
of O |
|
poisoning O |
|
. O |
|
|
|
Atropine B |
|
- O |
|
MK801 B |
|
did O |
|
not O |
|
offer O |
|
any O |
|
additional O |
|
protection O |
|
against O |
|
DFP B |
|
toxicity O |
|
. O |
|
|
|
In O |
|
conclusion O |
|
, O |
|
CPA O |
|
, O |
|
diazepam B |
|
and O |
|
2PAM O |
|
in O |
|
combination O |
|
with O |
|
atropine B |
|
prevented O |
|
the O |
|
occurrence O |
|
of O |
|
serious O |
|
signs O |
|
of O |
|
poisoning O |
|
and O |
|
thus O |
|
reduced O |
|
the O |
|
toxicity O |
|
of O |
|
DFP B |
|
in O |
|
rat O |
|
. O |
|
|
|
|
|
The O |
|
activation O |
|
of O |
|
spinal O |
|
N O |
|
- O |
|
methyl O |
|
- O |
|
D O |
|
- O |
|
aspartate O |
|
receptors O |
|
may O |
|
contribute O |
|
to O |
|
degeneration O |
|
of O |
|
spinal O |
|
motor O |
|
neurons O |
|
induced O |
|
by O |
|
neuraxial O |
|
morphine B |
|
after O |
|
a O |
|
noninjurious O |
|
interval O |
|
of O |
|
spinal O |
|
cord O |
|
ischemia O |
|
. O |
|
|
|
We O |
|
investigated O |
|
the O |
|
relationship O |
|
between O |
|
the O |
|
degeneration O |
|
of O |
|
spinal O |
|
motor O |
|
neurons O |
|
and O |
|
activation O |
|
of O |
|
N O |
|
- O |
|
methyl O |
|
- O |
|
d O |
|
- O |
|
aspartate O |
|
( O |
|
NMDA O |
|
) O |
|
receptors O |
|
after O |
|
neuraxial O |
|
morphine B |
|
following O |
|
a O |
|
noninjurious O |
|
interval O |
|
of O |
|
aortic O |
|
occlusion O |
|
in O |
|
rats O |
|
. O |
|
|
|
Spinal O |
|
cord O |
|
ischemia O |
|
was O |
|
induced O |
|
by O |
|
aortic O |
|
occlusion O |
|
for O |
|
6 O |
|
min O |
|
with O |
|
a O |
|
balloon O |
|
catheter O |
|
. O |
|
|
|
In O |
|
a O |
|
microdialysis O |
|
study O |
|
, O |
|
10 O |
|
muL O |
|
of O |
|
saline O |
|
( O |
|
group O |
|
C O |
|
; O |
|
n O |
|
= O |
|
8 O |
|
) O |
|
or O |
|
30 O |
|
mug O |
|
of O |
|
morphine B |
|
( O |
|
group O |
|
M O |
|
; O |
|
n O |
|
= O |
|
8 O |
|
) O |
|
was O |
|
injected O |
|
intrathecally O |
|
( O |
|
IT O |
|
) O |
|
0 O |
|
. O |
|
5 O |
|
h O |
|
after O |
|
reflow O |
|
, O |
|
and O |
|
30 O |
|
mug O |
|
of O |
|
morphine B |
|
( O |
|
group O |
|
SM O |
|
; O |
|
n O |
|
= O |
|
8 O |
|
) O |
|
or O |
|
10 O |
|
muL O |
|
of O |
|
saline O |
|
( O |
|
group O |
|
SC O |
|
; O |
|
n O |
|
= O |
|
8 O |
|
) O |
|
was O |
|
injected O |
|
IT O |
|
0 O |
|
. O |
|
5 O |
|
h O |
|
after O |
|
sham O |
|
operation O |
|
. O |
|
|
|
Microdialysis O |
|
samples O |
|
were O |
|
collected O |
|
preischemia O |
|
, O |
|
before O |
|
IT O |
|
injection O |
|
, O |
|
and O |
|
at O |
|
2 O |
|
, O |
|
4 O |
|
, O |
|
8 O |
|
, O |
|
24 O |
|
, O |
|
and O |
|
48 O |
|
h O |
|
of O |
|
reperfusion O |
|
( O |
|
after O |
|
IT O |
|
injection O |
|
). O |
|
|
|
Second O |
|
, O |
|
we O |
|
investigated O |
|
the O |
|
effect O |
|
of O |
|
IT O |
|
MK B |
|
- I |
|
801 I |
|
( O |
|
30 O |
|
mug O |
|
) O |
|
on O |
|
the O |
|
histopathologic O |
|
changes O |
|
in O |
|
the O |
|
spinal O |
|
cord O |
|
after O |
|
morphine B |
|
- O |
|
induced O |
|
spastic O |
|
paraparesis O |
|
. O |
|
|
|
After O |
|
IT O |
|
morphine B |
|
, O |
|
the O |
|
cerebrospinal O |
|
fluid O |
|
( O |
|
CSF O |
|
) O |
|
glutamate B |
|
concentration O |
|
was O |
|
increased O |
|
in O |
|
group O |
|
M O |
|
relative O |
|
to O |
|
both O |
|
baseline O |
|
and O |
|
group O |
|
C O |
|
( O |
|
P O |
|
< O |
|
0 O |
|
. O |
|
5 O |
|
). O |
|
|
|
This O |
|
increase O |
|
persisted O |
|
for O |
|
8 O |
|
hrs O |
|
. O |
|
|
|
IT O |
|
MK B |
|
- I |
|
801 I |
|
significantly O |
|
reduced O |
|
the O |
|
number O |
|
of O |
|
dark O |
|
- O |
|
stained O |
|
alpha O |
|
- O |
|
motoneurons O |
|
after O |
|
morphine B |
|
- O |
|
induced O |
|
spastic O |
|
paraparesis O |
|
compared O |
|
with O |
|
the O |
|
saline O |
|
group O |
|
. O |
|
|
|
These O |
|
data O |
|
indicate O |
|
that O |
|
IT O |
|
morphine B |
|
induces O |
|
spastic O |
|
paraparesis O |
|
with O |
|
a O |
|
concomitant O |
|
increase O |
|
in O |
|
CSF O |
|
glutamate B |
|
, O |
|
which O |
|
is O |
|
involved O |
|
in O |
|
NMDA O |
|
receptor O |
|
activation O |
|
. O |
|
|
|
We O |
|
suggest O |
|
that O |
|
opioids O |
|
may O |
|
be O |
|
neurotoxic O |
|
in O |
|
the O |
|
setting O |
|
of O |
|
spinal O |
|
cord O |
|
ischemia O |
|
via O |
|
NMDA O |
|
receptor O |
|
activation O |
|
. O |
|
|
|
|
|
Growth O |
|
- O |
|
associated O |
|
protein O |
|
43 O |
|
expression O |
|
in O |
|
hippocampal O |
|
molecular O |
|
layer O |
|
of O |
|
chronic O |
|
epileptic O |
|
rats O |
|
treated O |
|
with O |
|
cycloheximide B |
|
. O |
|
|
|
PURPOSE O |
|
: O |
|
GAP43 O |
|
has O |
|
been O |
|
thought O |
|
to O |
|
be O |
|
linked O |
|
with O |
|
mossy O |
|
fiber O |
|
sprouting O |
|
( O |
|
MFS O |
|
) O |
|
in O |
|
various O |
|
experimental O |
|
models O |
|
of O |
|
epilepsy O |
|
. O |
|
|
|
To O |
|
investigate O |
|
how O |
|
GAP43 O |
|
expression O |
|
( O |
|
GAP43 O |
|
- O |
|
ir O |
|
) O |
|
correlates O |
|
with O |
|
MFS O |
|
, O |
|
we O |
|
assessed O |
|
the O |
|
intensity O |
|
( O |
|
densitometry O |
|
) O |
|
and O |
|
extension O |
|
( O |
|
width O |
|
) O |
|
of O |
|
GAP43 O |
|
- O |
|
ir O |
|
in O |
|
the O |
|
inner O |
|
molecular O |
|
layer O |
|
of O |
|
the O |
|
dentate O |
|
gyrus O |
|
( O |
|
IML O |
|
) O |
|
of O |
|
rats O |
|
subject O |
|
to O |
|
status O |
|
epilepticus O |
|
induced O |
|
by O |
|
pilocarpine B |
|
( O |
|
Pilo B |
|
), O |
|
previously O |
|
injected O |
|
or O |
|
not O |
|
with O |
|
cycloheximide O |
|
( O |
|
CHX O |
|
), O |
|
which O |
|
has O |
|
been O |
|
shown O |
|
to O |
|
inhibit O |
|
MFS O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
CHX O |
|
was O |
|
injected O |
|
before O |
|
the O |
|
Pilo O |
|
injection O |
|
in O |
|
adult O |
|
Wistar O |
|
rats O |
|
. O |
|
|
|
The O |
|
Pilo O |
|
group O |
|
was O |
|
injected O |
|
with O |
|
the O |
|
same O |
|
drugs O |
|
, O |
|
except O |
|
for O |
|
CHX O |
|
. O |
|
|
|
Animals O |
|
were O |
|
killed O |
|
between O |
|
30 O |
|
and O |
|
60 O |
|
days O |
|
later O |
|
, O |
|
and O |
|
brain O |
|
sections O |
|
were O |
|
processed O |
|
for O |
|
GAP43 O |
|
immunohistochemistry O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
Densitometry O |
|
showed O |
|
no O |
|
significant O |
|
difference O |
|
regarding O |
|
GAP43 O |
|
- O |
|
ir O |
|
in O |
|
the O |
|
IML O |
|
between O |
|
Pilo O |
|
, O |
|
CHX O |
|
+ O |
|
Pilo O |
|
, O |
|
and O |
|
control O |
|
groups O |
|
. O |
|
|
|
However O |
|
, O |
|
the O |
|
results O |
|
of O |
|
the O |
|
width O |
|
of O |
|
the O |
|
GAP43 O |
|
- O |
|
ir O |
|
band O |
|
in O |
|
the O |
|
IML O |
|
showed O |
|
that O |
|
CHX O |
|
+ O |
|
Pilo O |
|
and O |
|
control O |
|
animals O |
|
had O |
|
a O |
|
significantly O |
|
larger O |
|
band O |
|
( O |
|
p O |
|
= O |
|
0 O |
|
. O |
|
3 O |
|
) O |
|
as O |
|
compared O |
|
with O |
|
that O |
|
in O |
|
the O |
|
Pilo O |
|
group O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
Our O |
|
current O |
|
finding O |
|
that O |
|
animals O |
|
in O |
|
the O |
|
CHX O |
|
+ O |
|
Pilo O |
|
group O |
|
have O |
|
a O |
|
GAP43 O |
|
- O |
|
ir O |
|
band O |
|
in O |
|
the O |
|
IML O |
|
, O |
|
similar O |
|
to O |
|
that O |
|
of O |
|
controls O |
|
, O |
|
reinforces O |
|
prior O |
|
data O |
|
on O |
|
the O |
|
blockade O |
|
of O |
|
MFS O |
|
in O |
|
these O |
|
animals O |
|
. O |
|
|
|
The O |
|
change O |
|
in O |
|
GAP43 O |
|
- O |
|
ir O |
|
present O |
|
in O |
|
Pilo B |
|
- O |
|
treated O |
|
animals O |
|
was O |
|
a O |
|
thinning O |
|
of O |
|
the O |
|
band O |
|
to O |
|
a O |
|
very O |
|
narrow O |
|
layer O |
|
just O |
|
above O |
|
the O |
|
granule O |
|
cell O |
|
layer O |
|
that O |
|
is O |
|
likely O |
|
to O |
|
be O |
|
associated O |
|
with O |
|
the O |
|
loss O |
|
of O |
|
hilar O |
|
cell O |
|
projections O |
|
that O |
|
express O |
|
GAP O |
|
- O |
|
43 O |
|
. O |
|
|
|
|
|
Daidzein O |
|
activates O |
|
choline O |
|
acetyltransferase O |
|
from O |
|
MC O |
|
- O |
|
IXC O |
|
cells O |
|
and O |
|
improves O |
|
drug O |
|
- O |
|
induced O |
|
amnesia O |
|
. O |
|
|
|
The O |
|
choline O |
|
acetyltransferase O |
|
( O |
|
ChAT O |
|
) O |
|
activator O |
|
, O |
|
which O |
|
enhances O |
|
cholinergic B |
|
transmission O |
|
via O |
|
an O |
|
augmentation O |
|
of O |
|
the O |
|
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|
production O |
|
of O |
|
acetylcholine B |
|
( O |
|
ACh B |
|
), O |
|
is O |
|
an O |
|
important O |
|
factor O |
|
in O |
|
the O |
|
treatment O |
|
of O |
|
Alzheimer O |
|
' O |
|
s O |
|
disease O |
|
( O |
|
AD O |
|
). O |
|
|
|
Methanolic O |
|
extracts O |
|
from O |
|
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|
thunbergiana O |
|
exhibited O |
|
an O |
|
activation O |
|
effect O |
|
( O |
|
46 O |
|
%) O |
|
on O |
|
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|
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|
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|
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|
|
|
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|
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the O |
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|
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|
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|
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daidzein B |
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|
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|
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|
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|
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|
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|
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|
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scopolamine B |
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|
impairments O |
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of O |
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|
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|
memory O |
|
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|
|
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body O |
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weight O |
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|
|
|
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|
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|
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in O |
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performance O |
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|
Y O |
|
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|
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|
|
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|
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|
|
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|
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|
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|
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|
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|
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|
scopolamine B |
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|
|
|
|
|
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|
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alpha B |
|
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|
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|
and O |
|
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|
methamphetamine B |
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induced O |
|
neurotoxicity O |
|
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|
|
|
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|
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|
MA B |
|
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|
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|
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|
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|
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|
to O |
|
be O |
|
associated O |
|
with O |
|
the O |
|
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|
formation O |
|
of O |
|
free O |
|
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|
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|
|
|
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|
study O |
|
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|
the O |
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effect O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
treated O |
|
with O |
|
MA B |
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
days O |
|
and O |
|
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|
min O |
|
prior O |
|
to O |
|
MA B |
|
administration O |
|
or O |
|
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|
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|
50 O |
|
mg O |
|
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|
kg O |
|
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|
subcutaneously O |
|
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|
min O |
|
before O |
|
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|
administration O |
|
. O |
|
|
|
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|
concentrations O |
|
of O |
|
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|
( O |
|
DA B |
|
), O |
|
serotonin B |
|
and O |
|
their O |
|
metabolites O |
|
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|
significantly O |
|
after O |
|
MA B |
|
administration O |
|
, O |
|
which O |
|
was O |
|
inhibited O |
|
by O |
|
the O |
|
alpha O |
|
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|
TC O |
|
and O |
|
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|
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|
. O |
|
|
|
alpha O |
|
- O |
|
TC O |
|
and O |
|
DFO B |
|
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|
the O |
|
MA B |
|
- O |
|
induced O |
|
hyperthermia O |
|
as O |
|
well O |
|
as O |
|
the O |
|
alterations O |
|
in O |
|
the O |
|
locomotor O |
|
activity O |
|
. O |
|
|
|
The O |
|
level O |
|
of O |
|
lipid B |
|
peroxidation O |
|
was O |
|
higher O |
|
and O |
|
the O |
|
reduced O |
|
glutathione B |
|
concentration O |
|
was O |
|
lower O |
|
in O |
|
the O |
|
MA B |
|
- O |
|
treated O |
|
rats O |
|
. O |
|
|
|
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|
changes O |
|
were O |
|
significantly O |
|
attenuated O |
|
by O |
|
alpha O |
|
- O |
|
TC O |
|
and O |
|
DFO B |
|
. O |
|
|
|
This O |
|
suggests O |
|
that O |
|
alpha O |
|
- O |
|
TC O |
|
and O |
|
DFO B |
|
ameliorate O |
|
the O |
|
MA B |
|
- O |
|
induced O |
|
neuronal O |
|
damage O |
|
by O |
|
decreasing O |
|
the O |
|
level O |
|
of O |
|
oxidative O |
|
stress O |
|
. O |
|
|
|
|
|
Cardiac O |
|
Angiography O |
|
in O |
|
Renally O |
|
Impaired O |
|
Patients O |
|
( O |
|
CARE O |
|
) O |
|
study O |
|
: O |
|
a O |
|
randomized O |
|
double O |
|
- O |
|
blind O |
|
trial O |
|
of O |
|
contrast B |
|
- O |
|
induced O |
|
nephropathy O |
|
in O |
|
patients O |
|
with O |
|
chronic O |
|
kidney O |
|
disease O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
No O |
|
direct O |
|
comparisons O |
|
exist O |
|
of O |
|
the O |
|
renal O |
|
tolerability O |
|
of O |
|
the O |
|
low O |
|
- O |
|
osmolality O |
|
contrast O |
|
medium O |
|
iopamidol B |
|
with O |
|
that O |
|
of O |
|
the O |
|
iso O |
|
- O |
|
osmolality O |
|
contrast B |
|
medium O |
|
iodixanol B |
|
in O |
|
high O |
|
- O |
|
risk O |
|
patients O |
|
. O |
|
|
|
METHODS O |
|
AND O |
|
RESULTS O |
|
: O |
|
The O |
|
present O |
|
study O |
|
is O |
|
a O |
|
multicenter O |
|
, O |
|
randomized O |
|
, O |
|
double O |
|
- O |
|
blind O |
|
comparison O |
|
of O |
|
iopamidol B |
|
and O |
|
iodixanol B |
|
in O |
|
patients O |
|
with O |
|
chronic O |
|
kidney O |
|
disease O |
|
( O |
|
estimated O |
|
glomerular O |
|
filtration O |
|
rate O |
|
, O |
|
20 O |
|
to O |
|
59 O |
|
mL O |
|
/ O |
|
min O |
|
) O |
|
who O |
|
underwent O |
|
cardiac O |
|
angiography O |
|
or O |
|
percutaneous O |
|
coronary O |
|
interventions O |
|
. O |
|
|
|
Serum O |
|
creatinine B |
|
( O |
|
SCr O |
|
) O |
|
levels O |
|
and O |
|
estimated O |
|
glomerular O |
|
filtration O |
|
rate O |
|
were O |
|
assessed O |
|
at O |
|
baseline O |
|
and O |
|
2 O |
|
to O |
|
5 O |
|
days O |
|
after O |
|
receiving O |
|
medications O |
|
. O |
|
|
|
The O |
|
primary O |
|
outcome O |
|
was O |
|
a O |
|
postdose O |
|
SCr O |
|
increase O |
|
> O |
|
or O |
|
= O |
|
0 O |
|
. O |
|
5 O |
|
mg O |
|
/ O |
|
dL O |
|
( O |
|
44 O |
|
. O |
|
2 O |
|
micromol O |
|
/ O |
|
L O |
|
) O |
|
over O |
|
baseline O |
|
. O |
|
|
|
Secondary O |
|
outcomes O |
|
were O |
|
a O |
|
postdose O |
|
SCr O |
|
increase O |
|
> O |
|
or O |
|
= O |
|
25 O |
|
%, O |
|
a O |
|
postdose O |
|
estimated O |
|
glomerular O |
|
filtration O |
|
rate O |
|
decrease O |
|
of O |
|
> O |
|
or O |
|
= O |
|
25 O |
|
%, O |
|
and O |
|
the O |
|
mean O |
|
peak O |
|
change O |
|
in O |
|
SCr O |
|
. O |
|
|
|
In O |
|
414 O |
|
patients O |
|
, O |
|
contrast O |
|
volume O |
|
, O |
|
presence O |
|
of O |
|
diabetes O |
|
mellitus O |
|
, O |
|
use O |
|
of O |
|
N B |
|
- I |
|
acetylcysteine I |
|
, O |
|
mean O |
|
baseline O |
|
SCr O |
|
, O |
|
and O |
|
estimated O |
|
glomerular O |
|
filtration O |
|
rate O |
|
were O |
|
comparable O |
|
in O |
|
the O |
|
2 O |
|
groups O |
|
. O |
|
|
|
SCr O |
|
increases O |
|
> O |
|
or O |
|
= O |
|
0 O |
|
. O |
|
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|
mg O |
|
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|
dL O |
|
occurred O |
|
in O |
|
4 O |
|
. O |
|
4 O |
|
% O |
|
( O |
|
9 O |
|
of O |
|
204 O |
|
patients O |
|
) O |
|
after O |
|
iopamidol B |
|
and O |
|
6 O |
|
. O |
|
7 O |
|
% O |
|
( O |
|
14 O |
|
of O |
|
210 O |
|
patients O |
|
) O |
|
after O |
|
iodixanol B |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
39 O |
|
), O |
|
whereas O |
|
rates O |
|
of O |
|
SCr O |
|
increases O |
|
> O |
|
or O |
|
= O |
|
25 O |
|
% O |
|
were O |
|
9 O |
|
. O |
|
8 O |
|
% O |
|
and O |
|
12 O |
|
. O |
|
4 O |
|
%, O |
|
respectively O |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
44 O |
|
). O |
|
|
|
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|
patients O |
|
with O |
|
diabetes O |
|
, O |
|
SCr O |
|
increases O |
|
> O |
|
or O |
|
= O |
|
0 O |
|
. O |
|
5 O |
|
mg O |
|
/ O |
|
dL O |
|
were O |
|
5 O |
|
. O |
|
1 O |
|
% O |
|
( O |
|
4 O |
|
of O |
|
78 O |
|
patients O |
|
) O |
|
with O |
|
iopamidol B |
|
and O |
|
13 O |
|
. O |
|
0 O |
|
% O |
|
( O |
|
12 O |
|
of O |
|
92 O |
|
patients O |
|
) O |
|
with O |
|
iodixanol B |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
11 O |
|
), O |
|
whereas O |
|
SCr O |
|
increases O |
|
> O |
|
or O |
|
= O |
|
25 O |
|
% O |
|
were O |
|
10 O |
|
. O |
|
3 O |
|
% O |
|
and O |
|
15 O |
|
. O |
|
2 O |
|
%, O |
|
respectively O |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
37 O |
|
). O |
|
|
|
Mean O |
|
post O |
|
- O |
|
SCr O |
|
increases O |
|
were O |
|
significantly O |
|
less O |
|
with O |
|
iopamidol B |
|
( O |
|
all O |
|
patients O |
|
: O |
|
0 O |
|
. O |
|
7 O |
|
versus O |
|
0 O |
|
. O |
|
12 O |
|
mg O |
|
/ O |
|
dL O |
|
, O |
|
6 O |
|
. O |
|
2 O |
|
versus O |
|
10 O |
|
. O |
|
6 O |
|
micromol O |
|
/ O |
|
L O |
|
, O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
3 O |
|
; O |
|
patients O |
|
with O |
|
diabetes O |
|
: O |
|
0 O |
|
. O |
|
7 O |
|
versus O |
|
0 O |
|
. O |
|
16 O |
|
mg O |
|
/ O |
|
dL O |
|
, O |
|
6 O |
|
. O |
|
2 O |
|
versus O |
|
14 O |
|
. O |
|
1 O |
|
micromol O |
|
/ O |
|
L O |
|
, O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
1 O |
|
). O |
|
|
|
CONCLUSIONS O |
|
: O |
|
The O |
|
rate O |
|
of O |
|
contrast B |
|
- O |
|
induced O |
|
nephropathy O |
|
, O |
|
defined O |
|
by O |
|
multiple O |
|
end O |
|
points O |
|
, O |
|
is O |
|
not O |
|
statistically O |
|
different O |
|
after O |
|
the O |
|
intraarterial O |
|
administration O |
|
of O |
|
iopamidol B |
|
or O |
|
iodixanol B |
|
to O |
|
high O |
|
- O |
|
risk O |
|
patients O |
|
, O |
|
with O |
|
or O |
|
without O |
|
diabetes O |
|
mellitus O |
|
. O |
|
|
|
Any O |
|
TRUE O |
|
difference O |
|
between O |
|
the O |
|
agents O |
|
is O |
|
small O |
|
and O |
|
not O |
|
likely O |
|
to O |
|
be O |
|
clinically O |
|
significant O |
|
. O |
|
|
|
|
|
Estrogen B |
|
prevents O |
|
cholesteryl B |
|
ester I |
|
accumulation O |
|
in O |
|
macrophages O |
|
induced O |
|
by O |
|
the O |
|
HIV O |
|
protease O |
|
inhibitor O |
|
ritonavir B |
|
. O |
|
|
|
Individuals O |
|
with O |
|
HIV O |
|
can O |
|
now O |
|
live O |
|
long O |
|
lives O |
|
with O |
|
drug O |
|
therapy O |
|
that O |
|
often O |
|
includes O |
|
protease B |
|
inhibitors I |
|
such O |
|
as O |
|
ritonavir B |
|
. O |
|
|
|
Many O |
|
patients O |
|
, O |
|
however O |
|
, O |
|
develop O |
|
negative O |
|
long O |
|
- O |
|
term O |
|
side O |
|
effects O |
|
such O |
|
as O |
|
premature O |
|
atherosclerosis O |
|
. O |
|
|
|
We O |
|
have O |
|
previously O |
|
demonstrated O |
|
that O |
|
ritonavir B |
|
treatment O |
|
increases O |
|
atherosclerotic O |
|
lesion O |
|
formation O |
|
in O |
|
male O |
|
mice O |
|
to O |
|
a O |
|
greater O |
|
extent O |
|
than O |
|
in O |
|
female O |
|
mice O |
|
. O |
|
|
|
Furthermore O |
|
, O |
|
peripheral O |
|
blood O |
|
monocytes O |
|
isolated O |
|
from O |
|
ritonavir B |
|
- O |
|
treated O |
|
females O |
|
had O |
|
less O |
|
cholesteryl B |
|
ester I |
|
accumulation O |
|
. O |
|
|
|
In O |
|
the O |
|
present O |
|
study O |
|
, O |
|
we O |
|
have O |
|
investigated O |
|
the O |
|
molecular O |
|
mechanisms O |
|
by O |
|
which O |
|
female B |
|
hormones I |
|
influence O |
|
cholesterol B |
|
metabolism O |
|
in O |
|
macrophages O |
|
in O |
|
response O |
|
to O |
|
the O |
|
HIV O |
|
protease O |
|
inhibitor O |
|
ritonavir B |
|
. O |
|
|
|
We O |
|
have O |
|
utilized O |
|
the O |
|
human O |
|
monocyte O |
|
cell O |
|
line O |
|
, O |
|
THP O |
|
- O |
|
1 O |
|
as O |
|
a O |
|
model O |
|
to O |
|
address O |
|
this O |
|
question O |
|
. O |
|
|
|
Briefly O |
|
, O |
|
cells O |
|
were O |
|
differentiated O |
|
for O |
|
72 O |
|
h O |
|
with O |
|
100 O |
|
nM O |
|
PMA O |
|
to O |
|
obtain O |
|
a O |
|
macrophage O |
|
- O |
|
like O |
|
phenotype O |
|
in O |
|
the O |
|
presence O |
|
or O |
|
absence O |
|
of O |
|
1 O |
|
nM O |
|
17beta B |
|
- I |
|
estradiol I |
|
( O |
|
E2 O |
|
), O |
|
100 O |
|
nM O |
|
progesterone B |
|
or O |
|
vehicle O |
|
( O |
|
0 O |
|
. O |
|
1 O |
|
% O |
|
ethanol B |
|
). O |
|
|
|
Cells O |
|
were O |
|
then O |
|
treated O |
|
with O |
|
30 O |
|
ng O |
|
/ O |
|
ml O |
|
ritonavir B |
|
or O |
|
vehicle O |
|
in O |
|
the O |
|
presence O |
|
of O |
|
aggregated O |
|
LDL B |
|
for O |
|
24 O |
|
h O |
|
. O |
|
Cell O |
|
extracts O |
|
were O |
|
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|
, O |
|
and O |
|
lipid B |
|
or O |
|
total O |
|
RNA O |
|
was O |
|
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|
. O |
|
|
|
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|
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|
the O |
|
accumulation O |
|
of O |
|
cholesteryl B |
|
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|
in O |
|
macrophages O |
|
following O |
|
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|
treatment O |
|
. O |
|
|
|
Ritonavir B |
|
increased O |
|
the O |
|
expression O |
|
of O |
|
the O |
|
scavenger O |
|
receptor O |
|
, O |
|
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|
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|
, O |
|
responsible O |
|
for O |
|
the O |
|
uptake O |
|
of O |
|
LDL B |
|
. O |
|
|
|
Additionally O |
|
, O |
|
ritonavir B |
|
treatment O |
|
selectively O |
|
increased O |
|
the O |
|
relative O |
|
levels O |
|
of O |
|
PPARgamma O |
|
mRNA O |
|
, O |
|
a O |
|
transcription O |
|
factor O |
|
responsible O |
|
for O |
|
the O |
|
regulation O |
|
of O |
|
CD36 O |
|
mRNA O |
|
expression O |
|
. O |
|
|
|
Treatment O |
|
with O |
|
E2 O |
|
, O |
|
however O |
|
, O |
|
failed O |
|
to O |
|
prevent O |
|
these O |
|
increases O |
|
at O |
|
the O |
|
mRNA O |
|
level O |
|
. O |
|
|
|
E2 O |
|
did O |
|
, O |
|
however O |
|
, O |
|
significantly O |
|
suppress O |
|
CD36 O |
|
protein O |
|
levels O |
|
as O |
|
measured O |
|
by O |
|
fluorescent O |
|
immunocytochemistry O |
|
. O |
|
|
|
This O |
|
data O |
|
suggests O |
|
that O |
|
E2 O |
|
modifies O |
|
the O |
|
expression O |
|
of O |
|
CD36 O |
|
at O |
|
the O |
|
level O |
|
of O |
|
protein O |
|
expression O |
|
in O |
|
monocyte O |
|
- O |
|
derived O |
|
macrophages O |
|
resulting O |
|
in O |
|
reduced O |
|
cholesteryl B |
|
ester I |
|
accumulation O |
|
following O |
|
ritonavir B |
|
treatment O |
|
. O |
|
|
|
|
|
Clinical O |
|
comparison O |
|
of O |
|
cardiorespiratory O |
|
effects O |
|
during O |
|
unilateral O |
|
and O |
|
conventional O |
|
spinal O |
|
anaesthesia O |
|
. O |
|
|
|
BACKGROUND O |
|
: O |
|
Spinal O |
|
anaesthesia O |
|
is O |
|
widely O |
|
employed O |
|
in O |
|
clinical O |
|
practice O |
|
but O |
|
has O |
|
the O |
|
main O |
|
drawback O |
|
of O |
|
post O |
|
- O |
|
spinal O |
|
block O |
|
hypotension O |
|
. O |
|
|
|
Efforts O |
|
must O |
|
therefore O |
|
continue O |
|
to O |
|
be O |
|
made O |
|
to O |
|
obviate O |
|
this O |
|
setback O |
|
OBJECTIVE O |
|
: O |
|
To O |
|
evaluate O |
|
the O |
|
cardiovascular O |
|
and O |
|
respiratory O |
|
changes O |
|
during O |
|
unilateral O |
|
and O |
|
conventional O |
|
spinal O |
|
anaesthesia O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
With O |
|
ethical O |
|
approval O |
|
, O |
|
we O |
|
studied O |
|
74 O |
|
American O |
|
Society O |
|
of O |
|
Anesthesiologists O |
|
( O |
|
ASA O |
|
), O |
|
physical O |
|
status O |
|
class O |
|
1 O |
|
and O |
|
2 O |
|
patients O |
|
scheduled O |
|
for O |
|
elective O |
|
unilateral O |
|
lower O |
|
limb O |
|
surgery O |
|
. O |
|
|
|
Patients O |
|
were O |
|
randomly O |
|
allocated O |
|
into O |
|
one O |
|
of O |
|
two O |
|
groups O |
|
: O |
|
lateral O |
|
and O |
|
conventional O |
|
spinal O |
|
anaesthesia O |
|
groups O |
|
. O |
|
|
|
In O |
|
the O |
|
lateral O |
|
position O |
|
with O |
|
operative O |
|
side O |
|
down O |
|
, O |
|
patients O |
|
recived O |
|
10 O |
|
mg O |
|
( O |
|
2mls O |
|
) O |
|
of O |
|
0 O |
|
. O |
|
5 O |
|
% O |
|
hyperbaric O |
|
bupivacaine B |
|
through O |
|
a O |
|
25 O |
|
- O |
|
gauge O |
|
spinal O |
|
needle O |
|
. O |
|
|
|
Patients O |
|
in O |
|
the O |
|
unilateral O |
|
group O |
|
were O |
|
maintained O |
|
in O |
|
the O |
|
lateral O |
|
position O |
|
for O |
|
15 O |
|
minutes O |
|
following O |
|
spinal O |
|
injection O |
|
while O |
|
those O |
|
in O |
|
the O |
|
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|
group O |
|
were O |
|
turned O |
|
supine O |
|
immediately O |
|
after O |
|
injection O |
|
. O |
|
|
|
Blood O |
|
pressure O |
|
, O |
|
heart O |
|
rate O |
|
, O |
|
respiratory O |
|
rate O |
|
and O |
|
oxygen B |
|
saturation O |
|
were O |
|
monitored O |
|
over O |
|
1 O |
|
hour O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
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|
patients O |
|
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|
8 O |
|
. O |
|
1 O |
|
%) O |
|
in O |
|
the O |
|
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|
group O |
|
and O |
|
5 O |
|
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|
13 O |
|
. O |
|
5 O |
|
%) O |
|
in O |
|
the O |
|
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|
group O |
|
developed O |
|
hypotension O |
|
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|
P O |
|
= O |
|
0 O |
|
. O |
|
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|
. O |
|
|
|
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|
( O |
|
10 O |
|
. O |
|
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|
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|
patients O |
|
in O |
|
the O |
|
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|
group O |
|
and O |
|
1 O |
|
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|
2 O |
|
. O |
|
7 O |
|
%) O |
|
in O |
|
the O |
|
unilateral O |
|
group O |
|
, O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
17 O |
|
required O |
|
epinephrine B |
|
infusion O |
|
to O |
|
treat O |
|
hypotension O |
|
. O |
|
|
|
Patients O |
|
in O |
|
the O |
|
conventional O |
|
group O |
|
had O |
|
statistically O |
|
significant O |
|
greater O |
|
fall O |
|
in O |
|
the O |
|
systolic O |
|
blood O |
|
pressures O |
|
at O |
|
15 O |
|
, O |
|
30 O |
|
and O |
|
45 O |
|
minutes O |
|
when O |
|
compared O |
|
to O |
|
the O |
|
baseline O |
|
( O |
|
P O |
|
= O |
|
0 O |
|
. O |
|
3 O |
|
, O |
|
0 O |
|
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|
1 O |
|
and O |
|
0 O |
|
. O |
|
4 O |
|
). O |
|
|
|
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|
mean O |
|
respiratory O |
|
rate O |
|
and O |
|
oxygen O |
|
saturations O |
|
in O |
|
the O |
|
two O |
|
groups O |
|
were O |
|
similar O |
|
. O |
|
|
|
CONCLUSION O |
|
: O |
|
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|
to O |
|
conventional O |
|
spinal O |
|
anaesthesia O |
|
, O |
|
unilateral O |
|
spinal O |
|
anaesthesia O |
|
was O |
|
associated O |
|
with O |
|
fewer O |
|
cardiovascular O |
|
perturbations O |
|
. O |
|
|
|
Also O |
|
, O |
|
the O |
|
type O |
|
of O |
|
spinal O |
|
block O |
|
instituted O |
|
affected O |
|
neither O |
|
the O |
|
respiratory O |
|
rate O |
|
nor O |
|
the O |
|
arterial O |
|
oxygen B |
|
saturation O |
|
. O |
|
|
|
|
|
Acute O |
|
effects O |
|
of O |
|
N B |
|
-( I |
|
2 I |
|
- I |
|
propylpentanoyl I |
|
) I |
|
urea I |
|
on O |
|
hippocampal O |
|
amino O |
|
acid O |
|
neurotransmitters B |
|
in O |
|
pilocarpine B |
|
- O |
|
induced O |
|
seizure O |
|
in O |
|
rats O |
|
. O |
|
|
|
The O |
|
present O |
|
study O |
|
aimed O |
|
to O |
|
investigate O |
|
the O |
|
anticonvulsant O |
|
activity O |
|
as O |
|
well O |
|
as O |
|
the O |
|
effects O |
|
on O |
|
the O |
|
level O |
|
of O |
|
hippocampal O |
|
amino O |
|
acid O |
|
neurotransmitters B |
|
( O |
|
glutamate B |
|
, O |
|
aspartate B |
|
, O |
|
glycine B |
|
and O |
|
GABA B |
|
) O |
|
of O |
|
N B |
|
-( I |
|
2 I |
|
- I |
|
propylpentanoyl I |
|
) O |
|
urea I |
|
( O |
|
VPU O |
|
) O |
|
in O |
|
comparison O |
|
to O |
|
its O |
|
parent O |
|
compound O |
|
, O |
|
valproic B |
|
acid I |
|
( O |
|
VPA B |
|
). O |
|
|
|
VPU B |
|
was O |
|
more O |
|
potent O |
|
than O |
|
VPA B |
|
, O |
|
exhibiting O |
|
the O |
|
median O |
|
effective O |
|
dose O |
|
( O |
|
ED O |
|
( O |
|
50 O |
|
)) O |
|
of O |
|
49 O |
|
mg O |
|
/ O |
|
kg O |
|
in O |
|
protecting O |
|
rats O |
|
against O |
|
pilocarpine B |
|
- O |
|
induced O |
|
seizure O |
|
whereas O |
|
the O |
|
corresponding O |
|
value O |
|
for O |
|
VPA B |
|
was O |
|
322 O |
|
mg O |
|
/ O |
|
kg O |
|
. O |
|
|
|
In O |
|
vivo O |
|
microdialysis O |
|
demonstrated O |
|
that O |
|
an O |
|
intraperitoneal O |
|
administration O |
|
of O |
|
pilocarpine B |
|
induced O |
|
a O |
|
pronounced O |
|
increment O |
|
of O |
|
hippocampal O |
|
glutamate B |
|
and O |
|
aspartate B |
|
whereas O |
|
no O |
|
significant O |
|
change O |
|
was O |
|
observed O |
|
on O |
|
the O |
|
level O |
|
of O |
|
glycine B |
|
and O |
|
GABA B |
|
. O |
|
|
|
Pretreatment O |
|
with O |
|
either O |
|
VPU B |
|
( O |
|
50 O |
|
and O |
|
100 O |
|
mg O |
|
/ O |
|
kg O |
|
) O |
|
or O |
|
VPA B |
|
( O |
|
300 O |
|
and O |
|
600 O |
|
mg O |
|
/ O |
|
kg O |
|
) O |
|
completely O |
|
abolished O |
|
pilocarpine B |
|
- O |
|
evoked O |
|
increases O |
|
in O |
|
extracellular O |
|
glutamate B |
|
and O |
|
aspartate B |
|
. O |
|
|
|
In O |
|
addition O |
|
, O |
|
a O |
|
statistically O |
|
significant O |
|
reduction O |
|
was O |
|
also O |
|
observed O |
|
on O |
|
the O |
|
level O |
|
of O |
|
GABA B |
|
and O |
|
glycine B |
|
but O |
|
less O |
|
than O |
|
a O |
|
drastic O |
|
reduction O |
|
of O |
|
glutamate B |
|
and O |
|
aspartate B |
|
level O |
|
. O |
|
|
|
Based O |
|
on O |
|
the O |
|
finding O |
|
that O |
|
VPU O |
|
and O |
|
VPA B |
|
could O |
|
protect O |
|
the O |
|
animals O |
|
against O |
|
pilocarpine B |
|
- O |
|
induced O |
|
seizure O |
|
it O |
|
is O |
|
suggested O |
|
that O |
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
drastically O |
|
reduce O |
|
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|
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|
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|
increases O |
|
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|
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|
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|
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|
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|
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|
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|
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|
partly O |
|
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|
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|
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|
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|
activity O |
|
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|
in O |
|
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|
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|
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|
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|
animals O |
|
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|
|
|
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|
other O |
|
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|
than O |
|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
|
|
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|
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|
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|
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|
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|
: O |
|
the O |
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
old O |
|
white O |
|
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|
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|
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|
the O |
|
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|
department O |
|
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|
a O |
|
history O |
|
of O |
|
confusion O |
|
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|
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|
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|
the O |
|
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|
several O |
|
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|
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|
|
|
On O |
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the O |
|
patient O |
|
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|
taking O |
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
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|
test O |
|
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|
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|
admission O |
|
were O |
|
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|
only O |
|
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|
a O |
|
flecainide B |
|
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|
concentration O |
|
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|
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|
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|
/ O |
|
L O |
|
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|
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|
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|
200 O |
|
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|
1000 O |
|
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|
|
|
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|
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|
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|
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|
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|
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|
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|
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|
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|
which O |
|
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|
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|
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|
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|
taking O |
|
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|
more O |
|
than O |
|
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|
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|
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|
was O |
|
considered O |
|
. O |
|
|
|
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|
was O |
|
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|
and O |
|
the O |
|
dose O |
|
of O |
|
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|
was O |
|
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|
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|
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|
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|
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|
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|
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|
|
|
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|
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|
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|
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|
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|
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|
. O |
|
|
|
DISCUSSION O |
|
: O |
|
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|
and O |
|
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|
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|
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|
that O |
|
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|
with O |
|
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|
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|
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|
cause O |
|
delirium O |
|
in O |
|
susceptible O |
|
patients O |
|
. O |
|
|
|
A O |
|
MEDLINE O |
|
search O |
|
( O |
|
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|
- O |
|
January O |
|
2009 O |
|
) O |
|
revealed O |
|
one O |
|
in O |
|
vivo O |
|
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|
study O |
|
on O |
|
the O |
|
interaction O |
|
between O |
|
flecainide B |
|
, O |
|
a O |
|
CYP2D6 O |
|
substrate O |
|
, O |
|
and O |
|
paroxetine B |
|
, O |
|
a O |
|
CYP2D6 O |
|
inhibitor O |
|
, O |
|
as O |
|
well O |
|
as O |
|
3 O |
|
case O |
|
reports O |
|
of O |
|
flecainide B |
|
- O |
|
induced O |
|
delirium O |
|
. O |
|
|
|
According O |
|
to O |
|
the O |
|
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|
probability O |
|
scale O |
|
, O |
|
flecainide B |
|
was O |
|
the O |
|
probable O |
|
cause O |
|
of O |
|
the O |
|
patient O |
|
' O |
|
s O |
|
delirium O |
|
; O |
|
the O |
|
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|
Drug O |
|
Interaction O |
|
Probability O |
|
Scale O |
|
indicates O |
|
a O |
|
possible O |
|
pharmacokinetic O |
|
drug O |
|
interaction O |
|
between O |
|
flecainide B |
|
and O |
|
paroxetine B |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
Supratherapeutic O |
|
flecainide B |
|
plasma O |
|
concentrations O |
|
may O |
|
cause O |
|
delirium O |
|
. O |
|
|
|
Because O |
|
toxicity O |
|
may O |
|
occur O |
|
when O |
|
flecainide B |
|
is O |
|
prescribed O |
|
with O |
|
paroxetine B |
|
and O |
|
other O |
|
potent O |
|
CYP2D6 O |
|
inhibitors O |
|
, O |
|
flecainide B |
|
plasma O |
|
concentrations O |
|
should O |
|
be O |
|
monitored O |
|
closely O |
|
with O |
|
commencement O |
|
of O |
|
CYP2D6 O |
|
inhibitors O |
|
. O |
|
|
|
|
|
Depression O |
|
, O |
|
impulsiveness O |
|
, O |
|
sleep O |
|
, O |
|
and O |
|
memory O |
|
in O |
|
past O |
|
and O |
|
present O |
|
polydrug O |
|
users O |
|
of O |
|
3 B |
|
, I |
|
4 I |
|
- I |
|
methylenedioxymethamphetamine I |
|
( O |
|
MDMA B |
|
, O |
|
ecstasy B |
|
). O |
|
|
|
RATIONALE O |
|
: O |
|
Ecstasy B |
|
( O |
|
3 B |
|
, I |
|
4 I |
|
- I |
|
methylenedioxymethamphetamine I |
|
, O |
|
MDMA B |
|
) O |
|
is O |
|
a O |
|
worldwide O |
|
recreational O |
|
drug O |
|
of O |
|
abuse O |
|
. O |
|
|
|
Unfortunately O |
|
, O |
|
the O |
|
results O |
|
from O |
|
human O |
|
research O |
|
investigating O |
|
its O |
|
psychological O |
|
effects O |
|
have O |
|
been O |
|
inconsistent O |
|
. O |
|
|
|
OBJECTIVES O |
|
: O |
|
The O |
|
present O |
|
study O |
|
aimed O |
|
to O |
|
be O |
|
the O |
|
largest O |
|
to O |
|
date O |
|
in O |
|
sample O |
|
size O |
|
and O |
|
5HT O |
|
- O |
|
related O |
|
behaviors O |
|
; O |
|
the O |
|
first O |
|
to O |
|
compare O |
|
present O |
|
ecstasy B |
|
users O |
|
with O |
|
past O |
|
users O |
|
after O |
|
an O |
|
abstinence O |
|
of O |
|
4 O |
|
or O |
|
more O |
|
years O |
|
, O |
|
and O |
|
the O |
|
first O |
|
to O |
|
include O |
|
robust O |
|
controls O |
|
for O |
|
other O |
|
recreational O |
|
substances O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
A O |
|
sample O |
|
of O |
|
997 O |
|
participants O |
|
( O |
|
52 O |
|
% O |
|
male O |
|
) O |
|
was O |
|
recruited O |
|
to O |
|
four O |
|
control O |
|
groups O |
|
( O |
|
non O |
|
- O |
|
drug O |
|
( O |
|
ND O |
|
), O |
|
alcohol B |
|
/ O |
|
nicotine B |
|
( O |
|
AN O |
|
), O |
|
cannabis B |
|
/ O |
|
alcohol B |
|
/ O |
|
nicotine B |
|
( O |
|
CAN O |
|
), O |
|
non O |
|
- O |
|
ecstasy B |
|
polydrug O |
|
( O |
|
PD O |
|
)), O |
|
and O |
|
two O |
|
ecstasy B |
|
polydrug O |
|
groups O |
|
( O |
|
present O |
|
( O |
|
MDMA B |
|
) O |
|
and O |
|
past O |
|
users O |
|
( O |
|
EX O |
|
- O |
|
MDMA B |
|
). O |
|
|
|
Participants O |
|
completed O |
|
a O |
|
drug O |
|
history O |
|
questionnaire O |
|
, O |
|
Beck O |
|
Depression O |
|
Inventory O |
|
, O |
|
Barratt O |
|
Impulsiveness O |
|
Scale O |
|
, O |
|
Pittsburgh O |
|
Sleep O |
|
Quality O |
|
Index O |
|
, O |
|
and O |
|
Wechsler O |
|
Memory O |
|
Scale O |
|
- O |
|
Revised O |
|
which O |
|
, O |
|
in O |
|
total O |
|
, O |
|
provided O |
|
13 O |
|
psychometric O |
|
measures O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
While O |
|
the O |
|
CAN O |
|
and O |
|
PD O |
|
groups O |
|
tended O |
|
to O |
|
record O |
|
greater O |
|
deficits O |
|
than O |
|
the O |
|
non O |
|
- O |
|
drug O |
|
controls O |
|
, O |
|
the O |
|
MDMA B |
|
and O |
|
EX O |
|
- O |
|
MDMA B |
|
groups O |
|
recorded O |
|
greater O |
|
deficits O |
|
than O |
|
all O |
|
the O |
|
control O |
|
groups O |
|
on O |
|
ten O |
|
of O |
|
the O |
|
13 O |
|
psychometric O |
|
measures O |
|
. O |
|
|
|
Strikingly O |
|
, O |
|
despite O |
|
prolonged O |
|
abstinence O |
|
( O |
|
mean O |
|
, O |
|
4 O |
|
. O |
|
98 O |
|
; O |
|
range O |
|
, O |
|
4 O |
|
- O |
|
9 O |
|
years O |
|
), O |
|
past O |
|
ecstasy B |
|
users O |
|
showed O |
|
few O |
|
signs O |
|
of O |
|
recovery O |
|
. O |
|
|
|
Compared O |
|
with O |
|
present O |
|
ecstasy B |
|
users O |
|
, O |
|
the O |
|
past O |
|
users O |
|
showed O |
|
no O |
|
change O |
|
for O |
|
ten O |
|
measures O |
|
, O |
|
increased O |
|
impairment O |
|
for O |
|
two O |
|
measures O |
|
, O |
|
and O |
|
improvement O |
|
on O |
|
just O |
|
one O |
|
measure O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
Given O |
|
this O |
|
record O |
|
of O |
|
impaired O |
|
memory O |
|
and O |
|
clinically O |
|
significant O |
|
levels O |
|
of O |
|
depression O |
|
, O |
|
impulsiveness O |
|
, O |
|
and O |
|
sleep O |
|
disturbance O |
|
, O |
|
the O |
|
prognosis O |
|
for O |
|
the O |
|
current O |
|
generation O |
|
of O |
|
ecstasy B |
|
users O |
|
is O |
|
a O |
|
major O |
|
cause O |
|
for O |
|
concern O |
|
. O |
|
|
|
|
|
A O |
|
comparison O |
|
of O |
|
severe O |
|
hemodynamic O |
|
disturbances O |
|
between O |
|
dexmedetomidine B |
|
and O |
|
propofol B |
|
for O |
|
sedation O |
|
in O |
|
neurocritical O |
|
care O |
|
patients O |
|
. O |
|
|
|
OBJECTIVE O |
|
: O |
|
Dexmedetomidine B |
|
and O |
|
propofol B |
|
are O |
|
commonly O |
|
used O |
|
sedatives O |
|
in O |
|
neurocritical O |
|
care O |
|
as O |
|
they O |
|
allow O |
|
for O |
|
frequent O |
|
neurologic O |
|
examinations O |
|
. O |
|
|
|
However O |
|
, O |
|
both O |
|
agents O |
|
are O |
|
associated O |
|
with O |
|
significant O |
|
hemodynamic O |
|
side O |
|
effects O |
|
. O |
|
|
|
The O |
|
primary O |
|
objective O |
|
of O |
|
this O |
|
study O |
|
is O |
|
to O |
|
compare O |
|
the O |
|
prevalence O |
|
of O |
|
severe O |
|
hemodynamic O |
|
effects O |
|
in O |
|
neurocritical O |
|
care O |
|
patients O |
|
receiving O |
|
dexmedetomidine B |
|
and O |
|
propofol B |
|
. O |
|
|
|
DESIGN O |
|
: O |
|
Multicenter O |
|
, O |
|
retrospective O |
|
, O |
|
propensity O |
|
- O |
|
matched O |
|
cohort O |
|
study O |
|
. O |
|
|
|
SETTING O |
|
: O |
|
Neurocritical O |
|
care O |
|
units O |
|
at O |
|
two O |
|
academic O |
|
medical O |
|
centers O |
|
with O |
|
dedicated O |
|
neurocritical O |
|
care O |
|
teams O |
|
and O |
|
board O |
|
- O |
|
certified O |
|
neurointensivists O |
|
. O |
|
|
|
PATIENTS O |
|
: O |
|
Neurocritical O |
|
care O |
|
patients O |
|
admitted O |
|
between O |
|
July O |
|
2009 O |
|
and O |
|
September O |
|
2012 O |
|
were O |
|
evaluated O |
|
and O |
|
then O |
|
matched O |
|
1 O |
|
: O |
|
1 O |
|
based O |
|
on O |
|
propensity O |
|
scoring O |
|
of O |
|
baseline O |
|
characteristics O |
|
. O |
|
|
|
INTERVENTIONS O |
|
: O |
|
Continuous O |
|
sedation O |
|
with O |
|
dexmedetomidine B |
|
or O |
|
propofol B |
|
. O |
|
|
|
MEASUREMENTS O |
|
AND O |
|
MAIN O |
|
RESULTS O |
|
: O |
|
A O |
|
total O |
|
of O |
|
342 O |
|
patients O |
|
( O |
|
105 O |
|
dexmedetomidine B |
|
and O |
|
237 O |
|
propofol B |
|
) O |
|
were O |
|
included O |
|
in O |
|
the O |
|
analysis O |
|
, O |
|
with O |
|
190 O |
|
matched O |
|
( O |
|
95 O |
|
in O |
|
each O |
|
group O |
|
) O |
|
by O |
|
propensity O |
|
score O |
|
. O |
|
|
|
The O |
|
primary O |
|
outcome O |
|
of O |
|
this O |
|
study O |
|
was O |
|
a O |
|
composite O |
|
of O |
|
severe O |
|
hypotension O |
|
( O |
|
mean O |
|
arterial O |
|
pressure O |
|
< O |
|
60 O |
|
mm O |
|
Hg O |
|
) O |
|
and O |
|
bradycardia O |
|
( O |
|
heart O |
|
rate O |
|
< O |
|
50 O |
|
beats O |
|
/ O |
|
min O |
|
) O |
|
during O |
|
sedative O |
|
infusion O |
|
. O |
|
|
|
No O |
|
difference O |
|
in O |
|
the O |
|
primary O |
|
composite O |
|
outcome O |
|
in O |
|
both O |
|
the O |
|
unmatched O |
|
( O |
|
30 O |
|
% O |
|
vs O |
|
30 O |
|
%, O |
|
p O |
|
= O |
|
0 O |
|
. O |
|
94 O |
|
) O |
|
or O |
|
matched O |
|
cohorts O |
|
( O |
|
28 O |
|
% O |
|
vs O |
|
34 O |
|
%, O |
|
p O |
|
= O |
|
0 O |
|
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|
35 O |
|
) O |
|
could O |
|
be O |
|
found O |
|
. O |
|
|
|
When O |
|
analyzed O |
|
separately O |
|
, O |
|
no O |
|
differences O |
|
could O |
|
be O |
|
found O |
|
in O |
|
the O |
|
prevalence O |
|
of O |
|
severe O |
|
hypotension O |
|
or O |
|
bradycardia O |
|
in O |
|
either O |
|
the O |
|
unmatched O |
|
or O |
|
matched O |
|
cohorts O |
|
. O |
|
|
|
CONCLUSIONS O |
|
: O |
|
Severe O |
|
hypotension O |
|
and O |
|
bradycardia O |
|
occur O |
|
at O |
|
similar O |
|
prevalence O |
|
in O |
|
neurocritical O |
|
care O |
|
patients O |
|
who O |
|
receive O |
|
dexmedetomidine B |
|
or O |
|
propofol B |
|
. O |
|
|
|
Providers O |
|
should O |
|
similarly O |
|
consider O |
|
the O |
|
likelihood O |
|
of O |
|
hypotension O |
|
or O |
|
bradycardia O |
|
before O |
|
starting O |
|
either O |
|
sedative O |
|
. O |
|
|
|
|
|
Effects O |
|
of O |
|
dehydroepiandrosterone B |
|
in O |
|
amphetamine B |
|
- O |
|
induced O |
|
schizophrenia O |
|
models O |
|
in O |
|
mice O |
|
. O |
|
|
|
OBJECTIVE O |
|
: O |
|
To O |
|
examine O |
|
the O |
|
effects O |
|
of O |
|
dehydroepiandrosterone B |
|
( O |
|
DHEA B |
|
) O |
|
on O |
|
animal O |
|
models O |
|
of O |
|
schizophrenia O |
|
. O |
|
|
|
METHODS O |
|
: O |
|
Seventy O |
|
Swiss O |
|
albino O |
|
female O |
|
mice O |
|
( O |
|
25 O |
|
- O |
|
35 O |
|
g O |
|
) O |
|
were O |
|
divided O |
|
into O |
|
4 O |
|
groups O |
|
: O |
|
amphetamine B |
|
- O |
|
free O |
|
( O |
|
control O |
|
), O |
|
amphetamine B |
|
, O |
|
50 O |
|
, O |
|
and O |
|
100 O |
|
mg O |
|
/ O |
|
kg O |
|
DHEA O |
|
. O |
|
|
|
The O |
|
DHEA B |
|
was O |
|
administered O |
|
intraperitoneally O |
|
( O |
|
ip O |
|
) O |
|
for O |
|
5 O |
|
days O |
|
. O |
|
|
|
Amphetamine B |
|
( O |
|
3 O |
|
mg O |
|
/ O |
|
kg O |
|
ip O |
|
) O |
|
induced O |
|
hyper O |
|
locomotion O |
|
, O |
|
apomorphine B |
|
( O |
|
1 O |
|
. O |
|
5 O |
|
mg O |
|
/ O |
|
kg O |
|
subcutaneously O |
|
[ O |
|
sc O |
|
]) O |
|
induced O |
|
climbing O |
|
, O |
|
and O |
|
haloperidol B |
|
( O |
|
1 O |
|
. O |
|
5 O |
|
mg O |
|
/ O |
|
kg O |
|
sc O |
|
) O |
|
induced O |
|
catalepsy O |
|
tests O |
|
were O |
|
used O |
|
as O |
|
animal O |
|
models O |
|
of O |
|
schizophrenia O |
|
. O |
|
|
|
The O |
|
study O |
|
was O |
|
conducted O |
|
at O |
|
the O |
|
Animal O |
|
Experiment O |
|
Laboratories O |
|
, O |
|
Department O |
|
of O |
|
Pharmacology O |
|
, O |
|
Medical O |
|
School O |
|
, O |
|
Eskisehir O |
|
Osmangazi O |
|
University O |
|
, O |
|
Eskisehir O |
|
, O |
|
Turkey O |
|
between O |
|
March O |
|
and O |
|
May O |
|
2012 O |
|
. O |
|
|
|
Statistical O |
|
analysis O |
|
was O |
|
carried O |
|
out O |
|
using O |
|
Kruskal O |
|
- O |
|
Wallis O |
|
test O |
|
for O |
|
hyper O |
|
locomotion O |
|
, O |
|
and O |
|
one O |
|
- O |
|
way O |
|
ANOVA O |
|
for O |
|
climbing O |
|
and O |
|
catalepsy O |
|
tests O |
|
. O |
|
|
|
RESULTS O |
|
: O |
|
In O |
|
the O |
|
amphetamine B |
|
- O |
|
induced O |
|
locomotion O |
|
test O |
|
, O |
|
there O |
|
were O |
|
significant O |
|
increases O |
|
in O |
|
all O |
|
movements O |
|
compared O |
|
with O |
|
the O |
|
amphetamine B |
|
- O |
|
free O |
|
group O |
|
. O |
|
|
|
Both O |
|
DHEA O |
|
50 O |
|
mg O |
|
/ O |
|
kg O |
|
( O |
|
p O |
|
< O |
|
0 O |
|
. O |
|
5 O |
|
), O |
|
and O |
|
100 O |
|
mg O |
|
/ O |
|
kg O |
|
( O |
|
p O |
|
< O |
|
0 O |
|
. O |
|
1 O |
|
) O |
|
significantly O |
|
decreased O |
|
all O |
|
movements O |
|
compared O |
|
with O |
|
the O |
|
amphetamine B |
|
- O |
|
induced O |
|
locomotion O |
|
group O |
|
. O |
|
|
|
There O |
|
was O |
|
a O |
|
significant O |
|
difference O |
|
between O |
|
groups O |
|
in O |
|
the O |
|
haloperidol B |
|
- O |
|
induced O |
|
catalepsy O |
|
test O |
|
( O |
|
p O |
|
< O |
|
0 O |
|
. O |
|
5 O |
|
). O |
|
|
|
There O |
|
was O |
|
no O |
|
significant O |
|
difference O |
|
between O |
|
groups O |
|
in O |
|
terms O |
|
of O |
|
total O |
|
climbing O |
|
time O |
|
in O |
|
the O |
|
apomorphine B |
|
- O |
|
induced O |
|
climbing O |
|
test O |
|
( O |
|
p O |
|
> O |
|
0 O |
|
. O |
|
5 O |
|
). O |
|
|
|
CONCLUSION O |
|
: O |
|
We O |
|
observed O |
|
that O |
|
DHEA B |
|
reduced O |
|
locomotor O |
|
activity O |
|
and O |
|
increased O |
|
catalepsy O |
|
at O |
|
both O |
|
doses O |
|
, O |
|
while O |
|
it O |
|
had O |
|
no O |
|
effect O |
|
on O |
|
climbing O |
|
behavior O |
|
. O |
|
|
|
We O |
|
suggest O |
|
that O |
|
DHEA B |
|
displays O |
|
typical O |
|
neuroleptic B |
|
- O |
|
like O |
|
effects O |
|
, O |
|
and O |
|
may O |
|
be O |
|
used O |
|
in O |
|
the O |
|
treatment O |
|
of O |
|
schizophrenia O |
|
. O |
|
|
|
|
|
Aconitine B |
|
- O |
|
induced O |
|
Ca2 B |
|
+ I |
|
overload O |
|
causes O |
|
arrhythmia O |
|
and O |
|
triggers O |
|
apoptosis O |
|
through O |
|
p38 O |
|
MAPK O |
|
signaling O |
|
pathway O |
|
in O |
|
rats O |
|
. O |
|
|
|
Aconitine B |
|
is O |
|
a O |
|
major O |
|
bioactive O |
|
diterpenoid B |
|
alkaloid I |
|
with O |
|
high O |
|
content O |
|
derived O |
|
from O |
|
herbal O |
|
aconitum B |
|
plants O |
|
. O |
|
|
|
Emerging O |
|
evidence O |
|
indicates O |
|
that O |
|
voltage O |
|
- O |
|
dependent O |
|
Na B |
|
(+) I |
|
channels O |
|
have O |
|
pivotal O |
|
roles O |
|
in O |
|
the O |
|
cardiotoxicity O |
|
of O |
|
aconitine B |
|
. O |
|
|
|
However O |
|
, O |
|
no O |
|
reports O |
|
are O |
|
available O |
|
on O |
|
the O |
|
role O |
|
of O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
in O |
|
aconitine B |
|
poisoning O |
|
. O |
|
|
|
In O |
|
this O |
|
study O |
|
, O |
|
we O |
|
explored O |
|
the O |
|
importance O |
|
of O |
|
pathological O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
signaling O |
|
in O |
|
aconitine B |
|
poisoning O |
|
in O |
|
vitro O |
|
and O |
|
in O |
|
vivo O |
|
. O |
|
|
|
We O |
|
found O |
|
that O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
overload O |
|
lead O |
|
to O |
|
accelerated O |
|
beating O |
|
rhythm O |
|
in O |
|
adult O |
|
rat O |
|
ventricular O |
|
myocytes O |
|
and O |
|
caused O |
|
arrhythmia O |
|
in O |
|
conscious O |
|
freely O |
|
moving O |
|
rats O |
|
. O |
|
|
|
To O |
|
investigate O |
|
effects O |
|
of O |
|
aconitine B |
|
on O |
|
myocardial O |
|
injury O |
|
, O |
|
we O |
|
performed O |
|
cytotoxicity O |
|
assay O |
|
in O |
|
neonatal O |
|
rat O |
|
ventricular O |
|
myocytes O |
|
( O |
|
NRVMs O |
|
), O |
|
as O |
|
well O |
|
as O |
|
measured O |
|
lactate O |
|
dehydrogenase O |
|
level O |
|
in O |
|
the O |
|
culture O |
|
medium O |
|
of O |
|
NRVMs O |
|
and O |
|
activities O |
|
of O |
|
serum O |
|
cardiac O |
|
enzymes O |
|
in O |
|
rats O |
|
. O |
|
|
|
The O |
|
results O |
|
showed O |
|
that O |
|
aconitine B |
|
resulted O |
|
in O |
|
myocardial O |
|
injury O |
|
and O |
|
reduced O |
|
NRVMs O |
|
viability O |
|
dose O |
|
- O |
|
dependently O |
|
. O |
|
|
|
To O |
|
confirm O |
|
the O |
|
pro O |
|
- O |
|
apoptotic O |
|
effects O |
|
, O |
|
we O |
|
performed O |
|
flow O |
|
cytometric O |
|
detection O |
|
, O |
|
cardiac O |
|
histology O |
|
, O |
|
transmission O |
|
electron O |
|
microscopy O |
|
and O |
|
terminal O |
|
deoxynucleotidyl O |
|
transferase O |
|
- O |
|
mediated O |
|
dUTP B |
|
- O |
|
biotin I |
|
nick O |
|
end O |
|
labeling O |
|
assay O |
|
. O |
|
|
|
The O |
|
results O |
|
showed O |
|
that O |
|
aconitine B |
|
stimulated O |
|
apoptosis O |
|
time O |
|
- O |
|
dependently O |
|
. O |
|
|
|
The O |
|
expression O |
|
analysis O |
|
of O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
handling O |
|
proteins O |
|
demonstrated O |
|
that O |
|
aconitine B |
|
promoted O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
overload O |
|
through O |
|
the O |
|
expression O |
|
regulation O |
|
of O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
handling O |
|
proteins O |
|
. O |
|
|
|
The O |
|
expression O |
|
analysis O |
|
of O |
|
apoptosis O |
|
- O |
|
related O |
|
proteins O |
|
revealed O |
|
that O |
|
pro O |
|
- O |
|
apoptotic O |
|
protein O |
|
expression O |
|
was O |
|
upregulated O |
|
, O |
|
and O |
|
anti O |
|
- O |
|
apoptotic O |
|
protein O |
|
BCL O |
|
- O |
|
2 O |
|
expression O |
|
was O |
|
downregulated O |
|
. O |
|
|
|
Furthermore O |
|
, O |
|
increased O |
|
phosphorylation O |
|
of O |
|
MAPK O |
|
family O |
|
members O |
|
, O |
|
especially O |
|
the O |
|
P O |
|
- O |
|
P38 O |
|
/ O |
|
P38 O |
|
ratio O |
|
was O |
|
found O |
|
in O |
|
cardiac O |
|
tissues O |
|
. O |
|
|
|
Hence O |
|
, O |
|
our O |
|
results O |
|
suggest O |
|
that O |
|
aconitine B |
|
significantly O |
|
aggravates O |
|
Ca B |
|
( I |
|
2 I |
|
+) I |
|
overload O |
|
and O |
|
causes O |
|
arrhythmia O |
|
and O |
|
finally O |
|
promotes O |
|
apoptotic O |
|
development O |
|
via O |
|
phosphorylation O |
|
of O |
|
P38 O |
|
mitogen O |
|
- O |
|
activated O |
|
protein O |
|
kinase O |
|
. O |
|
|
|
|