Chirurgische Therapiestrategien beim Ösophagus- und Magenkarzinom

Zusammenfassung: Diese Übersichtsarbeit hat zum Ziel, die aktuellen chirurgischen Strategien bei der Behandlung des Ösophagus- und Magenkarzinoms zusammenzufassen. Neben den etablierten Standardverfahren wird auf die limitierten Resektionen bei Frühkarzinomen und den Stellenwert der Chirurgie im multimodalen Behandlungskonzept bei lokal fortgeschrittenen T3/4-Tumoren eingegangen. Das Plattenepithelkarzinom und das Adenokarzinom (Barrett-Karzinom) der Speiseröhre werden aufgrund der unterschiedlichen Pathogenese und Tumorbiologie sowie differenzierter unterschiedlicher Vorgehensweisen separat dargestellt. Aufgrund der überwiegend distalen Lokalisation der Barrett-Karzinome ist eine Abgrenzung zu den echten Kardiakarzinomen und Tumoren, die im Magen ihren Ursprung nehmen und die distale Speiseröhre infiltrieren, erforderlich. Basierend auf der Klassifikation nach Siewert wird das Barrett-Karzinom deshalb zusammen mit den so genannten Adenokarzinomen des ösophagogastralen Übergangs (AEG) behandelt. Für die Weiterentwicklung der chirurgischen Therapiestrategien beim Magenkarzinom haben sich die asiatischen, insbesondere japanischen und südkoreanischen Kollegen große Verdienste erworben. Moderne, dort entwickelte, aber noch nicht in der westlichen Welt etablierte Strategien werden neben den Standardverfahren gebührend berücksichtigt. Für alle diese Tumoren gilt, dass die chirurgische Therapie ein elementarer Bestandteil im Rahmen eines kurativen Behandlungskonzepts ist. Sie ist aber differenzierter und Teil eines komplexen interdisziplinären Algorithmus; deshalb ist eine weitere Spezialisierung zum Wohle der Patienten ratsa

Z-11-TETRADECENYL ACETATE: SEX ATTRACTANT OF AGAPETA ZOEGANA (LEPIDOPTERA: TORTRICIDAE), A POTENTIAL SPECIES FOR THE BIOLOGICAL CONTROL OF KNAPWEED

In Canada, 78 of the most important weed species are introductions from Eurasia (Frankton and Mulligan 1970). Classical biological control aims to reduce the density of alien weeds below the economic threshold through introduction of specific herbivores from the native distribution area (Peschken 1979). During extended field surveys in central and southeastern Europe, the Commonwealth Institute of Biological Control established the root-mining tortricid Agapeta zoegana Haw. as a promising control agent for Centaurea diffusa Lam. and C. maculosa Lam., 2 important ranch weeds in southwestern Canada (Harris and Myers 1984) and the northwestern United States (Maddox 1982). Due to the limited host range and suitable climatic conditions this moth was chosen for introduction into North America (Müller et al. 1982; Müller 1984). We wish to report an attractant that may be used to monitor the establishment of this beneficial species in its new habita

In Vitro Evaluation of Spider Silk Meshes as a Potential Biomaterial for Bladder Reconstruction

Reconstruction of the bladder by means of both natural and synthetic materials remains a challenge due to severe adverse effects such as mechanical failure. Here we investigate the application of spider major ampullate gland-derived dragline silk from the Nephila edulis spider, a natural biomaterial with outstanding mechanical properties and a slow degradation rate, as a potential scaffold for bladder reconstruction by studying the cellular response of primary bladder cells to this biomaterial. We demonstrate that spider silk without any additional biological coating supports adhesion and growth of primary human urothelial cells (HUCs), which are multipotent bladder cells able to differentiate into the various epithelial layers of the bladder. HUCs cultured on spider silk did not show significant changes in the expression of various epithelial-to-mesenchymal transition and fibrosis associated genes, and demonstrated only slight reduction in the expression of adhesion and cellular differentiation genes. Furthermore, flow cytometric analysis showed that most of the silk-exposed HUCs maintain an undifferentiated immunophenotype. These results demonstrate that spider silk from the Nephila edulis spider supports adhesion, survival and growth of HUCs without significantly altering their cellular properties making this type of material a suitable candidate for being tested in pre-clinical models for bladder reconstruction

Changing Clays: Raw Material Preferences in the ‘Neolithic’ Ceramic Assemblages of the Upper Vitim Basin

© The Prehistoric Society 2017 This paper provides a contextual summary of a diachronic analysis of ceramic vessels and hunter-gatherer societies from the final Pleistocene to the later Holocene in a remote corner of the Vitim Basin in Eastern Siberia. An integrated programme of ceramic analysis, raw materials survey, and archaeological investigation is drawn into new models of group mobility and social behaviour. The results challenge widespread assumptions about the relationship between ceramics, sedentarisation, and social complexity. Evidence of these transformations, though potentially identifiable in the archaeological record, could not be associated with the adoption of pottery

The anticancer phytochemical rocaglamide inhibits Rho GTPase activity and cancer cell migration

Chemotherapy is one of the pillars of anti-cancer therapy. Although chemotherapeutics cause regression of the primary tumor, many chemotherapeutics are often shown to induce or accelerate metastasis formation. Moreover, metastatic tumors are largely resistant against chemotherapy. As more than 90% of cancer patients die due to metastases and not due to primary tumor formation, novel drugs are needed to overcome these shortcomings. In this study, we identified the anticancer phytochemical Rocaglamide (Roc-A) to be an inhibitor of cancer cell migration, a crucial event in metastasis formation. We show that Roc-A inhibits cellular migration and invasion independently of its anti-proliferative and cytotoxic effects in different types of human cancer cells. Mechanistically, Roc-A treatment induces F-actin-based morphological changes in membrane protrusions. Further investigation of the molecular mechanisms revealed that Roc-A inhibits the activities of the small GTPases RhoA, Rac1 and Cdc42, the master regulators of cellular migration. Taken together, our results provide evidence that Roc-A may be a lead candidate for a new class of anticancer drugs that inhibit metastasis formation

Maintenance of Leukemia-Initiating Cells Is Regulated by the CDK Inhibitor Inca1

Functional differences between healthy progenitor and cancer initiating cells may provide unique opportunities for targeted therapy approaches. Hematopoietic stem cells are tightly controlled by a network of CDK inhibitors that govern proliferation and prevent stem cell exhaustion. Loss of Inca1 led to an increased number of short-term hematopoietic stem cells in older mice, but Inca1 seems largely dispensable for normal hematopoiesis. On the other hand, Inca1-deficiency enhanced cell cycling upon cytotoxic stress and accelerated bone marrow exhaustion. Moreover, AML1-ETO9a-induced proliferation was not sustained in Inca1-deficient cells in vivo. As a consequence, leukemia induction and leukemia maintenance were severely impaired in Inca1−/− bone marrow cells. The re-initiation of leukemia was also significantly inhibited in absence of Inca1−/− in MLL—AF9- and c-myc/BCL2-positive leukemia mouse models. These findings indicate distinct functional properties of Inca1 in normal hematopoietic cells compared to leukemia initiating cells. Such functional differences might be used to design specific therapy approaches in leukemia

Isotopic composition of fragments in multifragmentation of very large nuclear systems: effects of the chemical equilibrium

Studies on the isospin of fragments resulting from the disassembly of highly excited large thermal-like nuclear emitting sources, formed in the ^{197}Au + ^{197}Au reaction at 35 MeV/nucleon beam energy, are presented. Two different decay systems (the quasiprojectile formed in midperipheral reactions and the unique source coming from the incomplete fusion of projectile and target in the most central collisions) were considered; these emitting sources have the same initial N/Z ratio and excitation energy (E^* ~= 5--6 MeV/nucleon), but different size. Their charge yields and isotopic content of the fragments show different distributions. It is observed that the neutron content of intermediate mass fragments increases with the size of the source. These evidences are consistent with chemical equilibrium reached in the systems. This fact is confirmed by the analysis with the statistical multifragmentation model.Comment: 9 pages, 4 ps figure

Dedicated resources for MPT identification

Comunicaciones a congreso

Orbital quantization in the high magnetic field state of a charge-density-wave system

A superposition of the Pauli and orbital coupling of a high magnetic field to charge carriers in a charge-density-wave (CDW) system is proposed to give rise to transitions between subphases with quantized values of the CDW wavevector. By contrast to the purely orbital field-induced density-wave effects which require a strongly imperfect nesting of the Fermi surface, the new transitions can occur even if the Fermi surface is well nested at zero field. We suggest that such transitions are observed in the organic metal $\alpha$-(BEDT-TTF)$_2$KHg(SCN)$_4$ under a strongly tilted magnetic field.Comment: 14 pages including 4 figure

Scale-free static and dynamical correlations in melts of monodisperse and Flory-distributed homopolymers: A review of recent bond-fluctuation model studies

It has been assumed until very recently that all long-range correlations are screened in three-dimensional melts of linear homopolymers on distances beyond the correlation length $\xi$ characterizing the decay of the density fluctuations. Summarizing simulation results obtained by means of a variant of the bond-fluctuation model with finite monomer excluded volume interactions and topology violating local and global Monte Carlo moves, we show that due to an interplay of the chain connectivity and the incompressibility constraint, both static and dynamical correlations arise on distances $r \gg \xi$. These correlations are scale-free and, surprisingly, do not depend explicitly on the compressibility of the solution. Both monodisperse and (essentially) Flory-distributed equilibrium polymers are considered.Comment: 60 pages, 49 figure