TRPC6 counteracts TRPC3-Nox2 protein complex leading to attenuation of hyperglycemia-induced heart failure in mice

Excess production of reactive oxygen species (ROS) caused by hyperglycemia is a major risk factor for heart failure. We previously reported that transient receptor potential canonical 3 (TRPC3) channel mediates pressure overload-induced maladaptive cardiac fibrosis by forming stably functional complex with NADPH oxidase 2 (Nox2). Although TRPC3 has been long suggested to form hetero-multimer channels with TRPC6 and function as diacylglycerol-activated cation channels coordinately, the role of TRPC6 in heart is still obscure. We here demonstrated that deletion of TRPC6 had no impact on pressure overload-induced heart failure despite inhibiting interstitial fibrosis in mice. TRPC6-deficient mouse hearts 1 week after transverse aortic constriction showed comparable increases in fibrotic gene expressions and ROS production but promoted inductions of inflammatory cytokines, compared to wild type hearts. Treatment of TRPC6-deficient mice with streptozotocin caused severe reduction of cardiac contractility with enhancing urinary and cardiac lipid peroxide levels, compared to wild type and TRPC3-deficient mice. Knockdown of TRPC6, but not TRPC3, enhanced basal expression levels of cytokines in rat cardiomyocytes. TRPC6 could interact with Nox2, but the abundance of TRPC6 was inversely correlated with that of Nox2. These results strongly suggest that Nox2 destabilization through disrupting TRPC3-Nox2 complex underlies attenuation of hyperglycemia-induced heart failure by TRPC6.Fil: Oda, Sayaka. Okazaki Institute for Integrative Bioscience; Japón. SOKENDAI; JapónFil: Numaga Tomita, Takuro. Okazaki Institute for Integrative Bioscience; Japón. SOKENDAI; JapónFil: Kitajima, Naoyuki. Okazaki Institute for Integrative Bioscience; Japón. Kyushu University; JapónFil: Tomizaki, Takashi. Okazaki Institute for Integrative Bioscience; Japón. Kyushu University; Japón. University of Tsukuba; JapónFil: Harada, Eri. Ajinomoto Co.; Japón. EA Pharma Co.; JapónFil: Shimauchi, Tsukasa. Okazaki Institute for Integrative Bioscience; Japón. Kyushu University; JapónFil: Nishimura, Akiyuki. Okazaki Institute for Integrative Bioscience; Japón. SOKENDAI; Japón. Ajinomoto Co.; JapónFil: Ishikawa, Tatsuya. Kyushu University; Japón. Ajinomoto Co.; Japón. EA Pharma Co.; JapónFil: Kumagai, Yoshito. University of Tsukuba; JapónFil: Birnbaumer, Lutz. Pontificia Universidad Católica Argentina "Santa María de los Buenos Aires". Instituto de Investigaciones Biomédicas. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Investigaciones Biomédicas; ArgentinaFil: Nishida, Motohiro. Okazaki Institute for Integrative Bioscience; Japón. SOKENDAI; Japón. Kyushu University; Japón. PRESTO; Japó

Can sufficient preoperative information of intracranial aneurysms be obtained by using 320-row detector CT angiography alone?

Abstract Purpose To determine whether sufficient pre-surgical treatment information of unruptured intracranial aneurysms can be obtained by using 320-row detector CT angiography (CTA) alone. Materials and methods We enrolled 40 consecutive patients with unruptured intracranial aneurysms. All patients were prospectively conducted to perform 320-detector CTA as the only preoperative modality. Two blinded readers independently assessed CTA images. Interobserver agreement and the agreement between CTA and surgical findings were determined by calculating the j coefficient. The referring neurosurgeons judged the usefulness of the information provided by CTA for treatment decisions. Results All patients had surgery without intraarterial digital subtraction angiography. Agreement between CTA and surgical findings was excellent for the aneurysm location (j = 1.0) and good for the shape (j = 0.71), neck (j = 0.74) and its relationship with adjacent branches (j = 0.71). Information obtained with 320-detector CTA was highly useful for surgical treatment in 37 of 40 (93 %) patients, although small perforators deriving from the aneurysm in 2 cases were not fully visualized on CTA images. Conclusion In most patients with unruptured intracranial aneurysms, sufficient pre-surgical treatment information can be obtained by using 320-detector CTA alone

The Japanese Society of Pathology Guidelines on the handling of pathological tissue samples for genomic research: Standard operating procedures based on empirical analyses

Genome research using appropriately collected pathological tissue samples is expected to yield breakthroughs in the development of biomarkers and identification of therapeutic targets for diseases such as cancers. In this connection, the Japanese Society of Pathology (JSP) has developed “The JSP Guidelines on the Handling of Pathological Tissue Samples for Genomic Research” based on an abundance of data from empirical analyses of tissue samples collected and stored under various conditions. Tissue samples should be collected from appropriate sites within surgically resected specimens, without disturbing the features on which pathological diagnosis is based, while avoiding bleeding or necrotic foci. They should be collected as soon as possible after resection: at the latest within about 3 h of storage at 4°C. Preferably, snap‐frozen samples should be stored in liquid nitrogen (about −180°C) until use. When intending to use genomic DNA extracted from formalin‐fixed paraffin‐embedded tissue, 10% neutral buffered formalin should be used. Insufficient fixation and overfixation must both be avoided. We hope that pathologists, clinicians, clinical laboratory technicians and biobank operators will come to master the handling of pathological tissue samples based on the standard operating procedures in these Guidelines to yield results that will assist in the realization of genomic medicine

重度認知症高齢者に対する熟練看護師の実践行動

　熟練看護師の重度認知症高齢者に対する実践知から導き出された実践行動を４つのスキルから明らかにするため、半構成的面接を行いカテゴリー化を実施した。その結果、ヒューマンスキルでは、高齢者の想いを傾聴し重度認知症高齢者が他者と良い人間関係を維持できるよう努めていた。テクニカルスキルでは、多くを行動・心理症状への実践行動が占め、熟練看護師はこれまでのキャリアの発達段階で獲得したスキルを活かし、行動・心理症状や安全管理を大切にする実践行動へ繋げていた。メタ認知スキルでは、熟練看護師自身の実践行動について振り返り、次の実践行動へ繋げていた。コンセプチュアルスキルでは、重度認知症高齢者や家族の困難な状況に対して、問題解決やビジョン立案のスキルを発揮し実践行動へ繋げていた。これら重度認知症高齢者への実践行動は、熟練看護師自身の実践行動を振り返る省察の繰り返しによる継続性によってもたらされたものと考える

TRPC6 counteracts TRPC3-Nox2 protein complex leading to attenuation of hyperglycemia-induced heart failure in mice

Excess production of reactive oxygen species (ROS) caused by hyperglycemia is a major risk factor for heart failure. We previously reported that transient receptor potential canonical 3 (TRPC3) channel mediates pressure overload-induced maladaptive cardiac fibrosis by forming stably functional complex with NADPH oxidase 2 (Nox2). Although TRPC3 has been long suggested to form hetero-multimer channels with TRPC6 and function as diacylglycerol-activated cation channels coordinately, the role of TRPC6 in heart is still obscure. We here demonstrated that deletion of TRPC6 had no impact on pressure overload-induced heart failure despite inhibiting interstitial fibrosis in mice. TRPC6-deficient mouse hearts 1 week after transverse aortic constriction showed comparable increases in fibrotic gene expressions and ROS production but promoted inductions of inflammatory cytokines, compared to wild type hearts. Treatment of TRPC6-deficient mice with streptozotocin caused severe reduction of cardiac contractility with enhancing urinary and cardiac lipid peroxide levels, compared to wild type and TRPC3-deficient mice. Knockdown of TRPC6, but not TRPC3, enhanced basal expression levels of cytokines in rat cardiomyocytes. TRPC6 could interact with Nox2, but the abundance of TRPC6 was inversely correlated with that of Nox2. These results strongly suggest that Nox2 destabilization through disrupting TRPC3-Nox2 complex underlies attenuation of hyperglycemia-induced heart failure by TRPC6

2006ネン ニ トクシマシ シロヤマ ニ ショクジュ サレタ ホルトノキ ノ ナエギ ノ ゲンジョウ : セイイク ジョウキョウ ト ホルトノキ イオウビョウ カンセン ジョウキョウ ニツイテ

Elaeocarpus zollingeri (synonym: E. sylvestris) was one of dominant trees in Mt. Shiroyama in the Tokushima City until 1970s, however, most of adult trees have died by Elaeocarpus yellows. To prevent extinction 300 nursery trees were planted at the foot of the mountain by local volunteers in 2006. In this study we investigated their survival, growth, and infection status of the disease. We found 40 nursery trees have survived (survival rate was 13%). Survived trees were abundant in areas facing the south, and most trees disappeared in areas facing the north and the west. Growth of the trees was well also in areas facing the south. Among the survived 40 nursery trees, we found three trees infected with phytoplasma, the pathogen of Elaeocarpus yellows, based on PCR analysis. It is not clear when they were infected with phytoplasma, whether they have infected after the plantation or they already had phytoplasma in the seed. Anyway, the fact that only a few tree is infected must be gratifying in considering the conservation E. zollinger in Mt. Shiroyama

課外学習を利用した看護シミュレーション教育の場づくり

看護学科は、シミュレーション教育の推進のため看護シミュレータ委員会を設置しその教育に取り組んだ。看護シミュレータ委員会は、平成29年度にシミュレータ教材の活用促進と看護学生の知識及び技術の向上を図るための教育支援として発足した。その中で４年次生は、卒業時OSCEの代用教材である自己学習I.V.トレーニングシステム（バーチャルI.V.）の実施を行い、2年次生、３年次生においては、フィジカルアセスメント“physiko”を活用して看護実践能力の向上を図る場とした。また、本教育プログラムは、看護技術の向上だけでなく学生が主体的に実施・計画を立案し、学年を縦断した学生同士の協働作業により、教え合い学び合うことができるアクティブラーニングの実践の場となった。本プログラムには、対象となる学生の95％以上の学生の参加が認められた。一方で、学生個々の事前学習の在り方やグループ編成に偏りがみられたこと、また教員による学生へのサポート体制の充実などの見直しの必要性が課題となった

地域活動への住民参加を促すための保健師の支援方法

A地区の地域活動への住民の参加状況と参加条件を明らかにするため、4団体108名を対象に質問紙調査を行った。地域活動への参加条件として重要なのは、健康であること、家族の理解と協力があること、身近な人と一緒に参加できること、活動場所が自宅に近いこと、活動する時間的余裕があること等が明らかとなった。地域活動支援のあり方としては、個人や家族の健康を保持・増進し、地域の人々のつながりを強め、時間・場所・移動手段を工夫し住民が集いやすくすることにより、参加条件を満たすことが有効と考えられた。保健師は、個人や集団が地域活動を活発にするための工夫や連携を図り、個人・集団の力を引き出せるような支援をしていくことが重要であると考えられた