Microenvironment and radiation therapy

Dependency on tumor oxygenation is one of the major features of radiation therapy and this has led many radiation biologists and oncologists to focus on tumor hypoxia. The first approach to overcome tumor hypoxia was to improve tumor oxygenation by increasing oxygen delivery and a subsequent approach was the use of radiosensitizers in combination with radiation therapy. Clinical use of some of these approaches was promising, but they are not widely used due to several limitations. Hypoxia-inducible factor 1 (HIF-1) is a transcription factor that is activated by hypoxia and induces the expression of various genes related to the adaptation of cellular metabolism to hypoxia, invasion and metastasis of cancer cells and angiogenesis, and so forth. HIF-1 is a potent target to enhance the therapeutic effects of radiation therapy. Another approach is antiangiogenic therapy. The combination with radiation therapy is promising, but several factors including surrogate markers, timing and duration, and so forth have to be optimized before introducing it into clinics. In this review, we examined how the tumor microenvironment influences the effects of radiation and how we can enhance the antitumor effects of radiation therapy by modifying the tumor microenvironment

Molecular-Cloud-Scale Chemical Composition I: Mapping Spectral Line Survey toward W51 in the 3 mm Band

We have conducted a mapping spectral line survey toward the Galactic giant molecular cloud W51 in the 3 mm band with the Mopra 22 m telescope in order to study an averaged chemical composition of the gas extended over a molecular cloud scale in our Galaxy. We have observed the area of $25' \times 30'$, which corresponds to 39 pc $\times$ 47 pc. The frequency ranges of the observation are 85.1 - 101.1 GHz and 107.0 - 114.9 GHz. In the spectrum spatially averaged over the observed area, spectral lines of 12 molecular species and 4 additional isotopologues are identified. An intensity pattern of the spatially-averaged spectrum is found to be similar to that of the spiral arm in the external galaxy M51, indicating that these two sources have similar chemical compositions. The observed area has been classified into 5 sub-regions according to the integrated intensity of $^{13}$CO($J=1-0$) ($I_{\rm ^{13}CO}$), and contributions of the fluxes of 11 molecular lines from each sub-region to the averaged spectrum have been evaluated. For most of molecular species, 50 % or more of the flux come from the sub-regions with $I_{\rm ^{13}CO}$ from 25 K km s$^{-1}$ to 100 K km s$^{-1}$, which does not involve active star forming regions. Therefore, the molecular-cloud-scale spectrum observed in the 3 mm band hardly represents the chemical composition of star forming cores, but mainly represents the chemical composition of an extended quiescent molecular gas. The present result constitutes a sound base for interpreting the spectra of external galaxies at a resolution of a molecular cloud scale ($\sim10$ pc) or larger.Comment: Accepted for publication in Ap

気管支喘息患者の血清コーチゾール値について. 副腎皮質ホルモン投与および年齢との関連

Serum cortisol levels were examined in 94 patients with bronchial asthma in relation to dose of glucocorticoids and age. 1. The level of serum cortisol was significantly lower in group A patients, treated with glucocorticoids (prednisolone of 5mg/day or more) for more than 2 years, (2.4±1.2mcg/㎗) than in group B, treated with glucocorticoids (prednisolone of 5mg or less) for less than 2 years, (6.8±3.7mcg/㎗) (p<0.001) and in group C, treated without glucocorticoids, (12.6±3.9mcg/㎗) (p<0.001). The serum cortisol level was also significantly lower in group B than in group C (p<0.001). 2. The level of serum cortisol was significantly lower in patients over the age of 70 compared to that in those aged between 0 and 39 years (p<0.01) and those between 40 and 49 (p<0.05), and those between 50 and 59 (p<0.02). The level was also lower in patients between 60 and 69 compared to that in those between 0 and 39, however, this was not significant. These results demonstrate that the level of serum cortisol decreases by long-term glucocorticoid regimen and with aging.気管支喘息94例を対象に,副腎皮質ホルモン投与および年齢との関連のもとに,血清コーチゾール値の変動を観察した｡まず副腎皮質ホルモンの投与量および投与期間により以下の3群に分けて検討した｡グループA :副腎皮質ホルモン,プレドニソロンに換算して1日5mg以上を2年間以上にわたり使用している症例,グループB:プレドニソロン1日5mg以下で2年間以内の使用症例, グループC:副腎皮質ホルモンを全く使用していない症例｡その結果,グループAの血清コーチゾ-ル値(2.4±1.2mcg/㎗)は,グループB (6.8±3.7mcg/㎗)(p 0.01)やC(12.6±3.9mcg/㎗)(p 0.001)に比べ有意に低い値であった｡2､グループCでは,70才以上の症例の血清コーチゾ-ル値は,0-39才の症例(p 0.0l),40-49才の症例(p 0.05),そして,50-59才の症例(p 0.02)に比べ有意に低い値であった｡これらの結果は,血清コーチゾール値は,副腎 皮質ホルモンの投与量や投与期間以外にも､加齢による影響を受ける可能性を示唆している

Successful Intervention for Pressure Ulcer by Nutrition Support Team: A Case Report

A 23-year-old woman with heart failure developed pressure ulcer on her sacral area due to a long-term bed rest and impaired hemodynamics. The ulcer improved only slightly after 2 months with povidone-iodine sugar ointment because of severe nausea and anorexia. Then, the nutrition support team (NST) started intervention and estimated the patient's malnutrition from her body weight (30.1 kg), body mass index (BMI) (13.9), triceps skinfold thickness (TSF) (3.5 mm), arm circumference (AC) (17.2 cm) and serum albumin (2.6 g/dl). The NST administrated an enteral nutrition formula through a nasogastric tube and tried to provide meals according to the patient's taste. Although DESIGN score improved to 7 (DESIGN: d2e1s2i1g1n0 = 7) 2 months later, severe nausea prevented the patient from taking any food perorally. However, after nasogastric decannulation, her appetite improved and 1 month later her body weight increased to 32.8 kg, her BMI to 15.2, TSF to 7.5 mm, AC to 19.7 cm and serum albumin to 4.1 g/dl, and the wound completely healed

A Filtration on the Cohomology Rings of Regular Nilpotent Hessenberg Varieties

Let n be a positive integer. The main result of this manuscript is a construction of a filtration on the cohomology ring of a regular nilpotent Hessenberg variety in GL(n, C) / B such that its associated graded ring has graded pieces (i.e., homogeneous components) isomorphic to rings which are related to the cohomology rings of Hessenberg varieties in GL(n- 1 , C) / B, showing the inductive nature of these rings. In previous work, the first two authors, together with Abe and Masuda, gave an explicit presentation of these cohomology rings in terms of generators and relations. We introduce a new set of polynomials which are closely related to the relations in the above presentation and obtain a sequence of equivalence relations they satisfy; this allows us to derive our filtration. In addition, we obtain the following three corollaries. First, we give an inductive formula for the Poincaré polynomial of these varieties. Second, we give an explicit monomial basis for the cohomology rings of regular nilpotent Hessenberg varieties with respect to the presentation mentioned above. Third, we derive a basis of the set of linear relations satisfied by the images of the Schubert classes in the cohomology rings of regular nilpotent Hessenberg varieties. Finally, our methods and results suggest many directions for future work; in particular, we propose a definition of “Hessenberg Schubert polynomials” in the context of regular nilpotent Hessenberg varieties, which generalize the classical Schubert polynomials. We also outline several open questions pertaining to them