Hepatocellular carcinoma with characteristic mucin production: a case report

We present a unique case of hepatocellular carcinoma with mucin-producing gland formation. A 53-year-old man with hepatitis B infection presented with weight loss for the past month. Computed tomography demonstrated a 10 × 9.8 cm mass in the right hepatic lobe accompanied by cirrhotic changes in the hepatic parenchyma. Right hepatectomy was performed, and the tumor cut surface showed a poorly-circumscribed, white to pink tumor with numerous nodules and extensive necrosis. Microscopically, the tumor was composed of thick trabeculae and large, irregularly-shaped islands, both of which were filled with pleomorphic eosinophilic hepatoid cells or gland-forming columnar cells with mucin production. Those cells were immunoreactive for cytokeratin 19 in both the trabeculae and the glands. In some tumor cells, limited immunoreactivity for cytokeratin 7, epithelial membrane antigen and carcinoembryonic antigen was noted. The cells forming thick trabeculae were focally positive for hepatocyte paraffin 1 and alpha-fetoprotein. We suggest that this tumor shows bidirectional differentiation into hepatocytes and cholangiocytes, supporting the concepts that human hepatocarcinogenesis can be based on transformation of progenitor cells which can imply divergent differentiation

Chamaecyparis obtusa

Chamaecyparis obtusa (C. obtusa) is known to have antimicrobial effects and has been used as a medicinal plant and in forest bathing. This study aimed to evaluate the anticariogenic activity of essential oil of C. obtusa on Streptococcus mutans, which is one of the most important bacterial causes of dental caries and dental biofilm formation. Essential oil from C. obtusa was extracted, and its effect on bacterial growth, acid production, and biofilm formation was evaluated. C. obtusa essential oil exhibited concentration-dependent inhibition of bacterial growth over 0.025 mg/mL, with 99% inhibition at a concentration of 0.2 mg/mL. The bacterial biofilm formation and acid production were also significantly inhibited at the concentration greater than 0.025 mg/mL. The result of LIVE/DEAD® BacLight™ Bacterial Viability Kit showed a concentration-dependent bactericidal effect on S. mutans and almost all bacteria were dead over 0.8 mg/mL. Real-time PCR analysis showed that gene expression of some virulence factors such as brpA, gbpB, gtfC, and gtfD was also inhibited. In GC and GC-MS analysis, the major components were found to be α-terpinene (40.60%), bornyl acetate (12.45%), α-pinene (11.38%), β-pinene (7.22%), β-phellandrene (3.45%), and α-terpinolene (3.40%). These results show that C. obtusa essential oil has anticariogenic effect on S. mutans

Comparison of the chemical compositions and nutritive values of various pumpkin (Cucurbitaceae) species and parts

Pumpkins have considerable variation in nutrient contents depending on the cultivation environment, species, or part. In this study, the general chemical compositions and some bioactive components, such as tocopherols, carotenoids, and β-sitosterol, were analyzed in three major species of pumpkin (Cucurbitaceae pepo, C. moschata, and C. maxima) grown in Korea and also in three parts (peel, flesh, and seed) of each pumpkin species. C. maxima had significantly more carbohydrate, protein, fat, and fiber than C. pepo or C. moschata (P < 0.05). The moisture content as well as the amino acid and arginine contents in all parts of the pumpkin was highest in C. pepo. The major fatty acids in the seeds were palmitic, stearic, oleic, and linoleic acids. C. pepo and C. moschata seeds had significantly more γ-tocopherol than C. maxima, whose seeds had the highest β-carotene content. C. pepo seeds had significantly more β-sitosterol than the others. Nutrient compositions differed considerably among the pumpkin species and parts. These results will be useful in updating the nutrient compositions of pumpkin in the Korean food composition database. Additional analyses of various pumpkins grown in different years and in different areas of Korea are needed

31st Annual Meeting and Associated Programs of the Society for Immunotherapy of Cancer (SITC 2016) : part two

Background The immunological escape of tumors represents one of the main ob- stacles to the treatment of malignancies. The blockade of PD-1 or CTLA-4 receptors represented a milestone in the history of immunotherapy. However, immune checkpoint inhibitors seem to be effective in specific cohorts of patients. It has been proposed that their efficacy relies on the presence of an immunological response. Thus, we hypothesized that disruption of the PD-L1/PD-1 axis would synergize with our oncolytic vaccine platform PeptiCRAd. Methods We used murine B16OVA in vivo tumor models and flow cytometry analysis to investigate the immunological background. Results First, we found that high-burden B16OVA tumors were refractory to combination immunotherapy. However, with a more aggressive schedule, tumors with a lower burden were more susceptible to the combination of PeptiCRAd and PD-L1 blockade. The therapy signifi- cantly increased the median survival of mice (Fig. 7). Interestingly, the reduced growth of contralaterally injected B16F10 cells sug- gested the presence of a long lasting immunological memory also against non-targeted antigens. Concerning the functional state of tumor infiltrating lymphocytes (TILs), we found that all the immune therapies would enhance the percentage of activated (PD-1pos TIM- 3neg) T lymphocytes and reduce the amount of exhausted (PD-1pos TIM-3pos) cells compared to placebo. As expected, we found that PeptiCRAd monotherapy could increase the number of antigen spe- cific CD8+ T cells compared to other treatments. However, only the combination with PD-L1 blockade could significantly increase the ra- tio between activated and exhausted pentamer positive cells (p= 0.0058), suggesting that by disrupting the PD-1/PD-L1 axis we could decrease the amount of dysfunctional antigen specific T cells. We ob- served that the anatomical location deeply influenced the state of CD4+ and CD8+ T lymphocytes. In fact, TIM-3 expression was in- creased by 2 fold on TILs compared to splenic and lymphoid T cells. In the CD8+ compartment, the expression of PD-1 on the surface seemed to be restricted to the tumor micro-environment, while CD4 + T cells had a high expression of PD-1 also in lymphoid organs. Interestingly, we found that the levels of PD-1 were significantly higher on CD8+ T cells than on CD4+ T cells into the tumor micro- environment (p < 0.0001). Conclusions In conclusion, we demonstrated that the efficacy of immune check- point inhibitors might be strongly enhanced by their combination with cancer vaccines. PeptiCRAd was able to increase the number of antigen-specific T cells and PD-L1 blockade prevented their exhaus- tion, resulting in long-lasting immunological memory and increased median survival

Real-time measurement of dentinal fluid flow during amalgam and composite restoration

Objectives: This study examined changes in the dentinal fluid flow (DFF) during restorative procedures and compared permeability after restoration among restorative materials and adhesives. Methods: A class 1 cavity was prepared and restored with either amalgam (Bestaloy), or composite (Z-250) with one of two etch-and-rinse adhesives (Scotchbond MultiPurpose: MP and Single Bond 2: SB) or one of two self-etch adhesives (Clearfil SE Bond: CE and Easy Bond: EB) on an extracted human third molar which was connected to a sub-nanoliter fluid flow measuring device (NFMD) under 20 cm water pressure. DFF was measured from the intact tooth state through the restoration procedures to 30 mm after restoration, and re-measured at 3 and 7 days post-restoration. Results: Inward flow during cavity preparation was followed by outward flow after preparation. In amalgam restoration, the outward flow changed into an inward flow during amalgam filling, which was followed by a slight outward flow after finishing. In composite restoration, MP and SB showed an inward flow and outward flow for the rinsing and drying steps, respectively. Application of a hydrophobic bonding resin in the MP and CE systems caused a decrease in the flow rate. Air-drying of solvent for the CE and EB systems caused a sudden outward flow, whereas light-curing of the adhesive and composite caused an abrupt inward flow. Conclusions: Each restorative step clearly changed the direction and the rate of the DFF during restoration, which could be well identified with NFMD. (C) 2010 Elsevier Ltd. All rights reserved.

Slumping tendency and rheological properties of flowable composites

Objectives. The aim of this study was to develop a method for measuring the slumping tendency of flowable resin composites and to correlate the results with those obtained from standard rheological methods. Methods. Five commercial flowable composites (Aeliteflo: AF, Filtek flow: FF, DenFil flow: DF, Tetric flow: TF and Revolution: RV) were used. A fixed volume of each composite was extruded from a syringe onto a glass slide using a custom-made loading device. The composite was allowed to slump for 10 s at 25 degrees C and light cured. The aspect ratio (height/diameter) of the cone or dome shaped specimen was measured to estimate the slumping tendency of the composites. In order to investigate the relationship between the slumping tendency and the rheological properties of the composites, the complex viscosity eta* of each composite was measured by a dynamic oscillatory shear test over a range of angular frequency omega = 0.1-100 rad/s using a rheometer. The aspect ratios of the composites were compared by one-way ANOVA and Tukey`s post hoc test at the 5% significance level. Regression analysis was performed to investigate the relationship between the aspect ratio and the complex viscosity. Results. Slumping tendency based on the aspect ratio varied among the five materials (AF < FF < DF < TF < RV). Flowable composites exhibited pseudoplasticity in which the complex viscosity decreased with increasing frequency. Slumping resistance increased with increase in the complex modulus. Significance. The slumping tendency could be quantified by measuring the aspect ratio of slumped flowable composites. This method may be applicable to evaluate the clinical handling characteristics of these materials. (C) 2010 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Energy Harvesting Strategy Using Piezoelectric Element Driven by Vibration Method

Deshoulières François. L'église de Grez (Seine-et-Marne). In: Bulletin Monumental, tome 89, n°1, année 1930. p. 163