Gastric Lipomatosis

Gastric lipomatosis is an extremely rare condition. We present a case of a 69-year-old woman admitted with epigastric soreness. Computerized tomography (CT) revealed extrinsically compressing, fat-containing mass lesions on the entire gastric wall of the antrum and body except for the lesser curvature. A subtotal gastrectomy was performed. Pathology findings confirmed a gastric lipomatosis with multiple gastric ulcerations and extensive disruptions of the muscular layers. This case and reports of other gastric lipomatosis cases indicate that CT should be used to characterize large submucosal masses because CT can show the specific nature and extent of the disease. We believe that surgical treatment is the most appropriate treatment for symptomatic gastric lipomatosis that shows extensive gastric involvement, or when there are multiple gastric lipomas

Cordycepin Suppresses Expression of Diabetes Regulating Genes by Inhibition of Lipopolysaccharide-induced Inflammation in Macrophages

Background: It has been recently noticed that type 2 dia-betes (T2D), one of the most common metabolic diseases, causes a chronic low-grade inflammation and activation of the innate immune system that are closely involved in the pathogenesis of T2D. Cordyceps militaris, a traditional me-dicinal mushroom, produces a component compound, cordy-cepin (3’-deoxyadenosine). Cordycepin has been known to have many pharmacological activities including immuno-logical stimulating, anti-cancer, and anti-infection activities. The molecular mechanisms of cordycepin in T2D are not clear. In the present study, we tested the role of cordycepin on the anti-diabetic effect and anti-inflammatory cascades in LPS-stimulated RAW 264.7 cells. Methods: We confirmed the levels of diabetes regulating genes mRNA and protein of cytokines through RT-PCR and western blot analysis and fol

Effect of Soluble ICAM-1 on a Sjögren's Syndrome-like Phenotype in NOD Mice Is Disease Stage Dependent

Intercellular adhesion molecule-1 (ICAM-1) is involved in migration and co-stimulation of T and B cells. Membrane bound ICAM-1 is over expressed in the salivary glands (SG) of Sjögren's syndrome (SS) patients and has therefore been proposed as a potential therapeutic target. To test the utility of ICAM-1 as a therapeutic target, we used local gene therapy in Non Obese Diabetic (NOD) mice to express soluble (s)ICAM-1 to compete with membrane bound ICAM-1 for binding with its receptor. Therapy was given prior to and just after the influx of immune cells into the SG.A recombinant serotype 2 adeno associated virus (rAAV2) encoding ICAM-1/Fc was constructed and its efficacy tested in the female NOD mice after retrograde instillation in SG at eight (early treatment) and ten (late treatment) weeks of age. SG inflammation was evaluated by focus score and immunohistochemical quantification of infiltrating cell types. Serum and SG tissue were analyzed for immunoglobulins (Ig).Early treatment with ICAM-1/Fc resulted in decreased average number of inflammatory foci without changes in T and B cell composition. In contrast, late treated mice did not show any change in focus scores, but immunohistochemical staining showed an increase in the overall number of CD4+ and CD8+ T cells. Moreover, early treated mice showed decreased IgM within the SGs, whereas late treated mice had increased IgM levels, and on average higher IgG and IgA.Blocking the ICAM-1/LFA-1 interaction with sICAM-1/Fc may result in worsening of a SS like phenotype when infiltrates have already formed within the SG. As a treatment for human SS, caution should be taken targeting the ICAM-1 axis since most patients are diagnosed when inflammation is clearly present within the SG

The Size, Shape, Albedo, Density, and Atmospheric Limit of Transneptunian Object (50000) Quaoar from Multi-chord Stellar Occultations

We present results derived from the first multi-chord stellar occultations by the transneptunian object (50000) Quaoar, observed on 2011 May 4 and 2012 February 17, and from a single-chord occultation observed on 2012 October 15. If the timing of the five chords obtained in 2011 were correct, then Quaoar would possess topographic features (crater or mountain) that would be too large for a body of this mass. An alternative model consists in applying time shifts to some chords to account for possible timing errors. Satisfactory elliptical fits to the chords are then possible, yielding an equivalent radius R [SUB]equiv[/SUB] = 555 ± 2.5 km and geometric visual albedo p[SUB]V[/SUB] = 0.109 ± 0.007. Assuming that Quaoar is a Maclaurin spheroid with an indeterminate polar aspect angle, we derive a true oblateness of \epsilon = 0.087^{+0.0268}_{-0.0175}, an equatorial radius of 569^{+24}_{-17} km, and a density of 1.99 ± 0.46 g cm[SUP]–3[/SUP]. The orientation of our preferred solution in the plane of the sky implies that Quaoar's satellite Weywot cannot have an equatorial orbit. Finally, we detect no global atmosphere around Quaoar, considering a pressure upper limit of about 20 nbar for a pure methane atmosphere.Peer reviewe