32 research outputs found

    Rationale and Design of a Prospective, Multicentre, Stop Tyrosine Kinase Inhibitor Trial of Paediatric Patients with Chronic Myeloid Leukaemia with Sustained Complete Molecular Response (STKI-14)

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    Chronic myeloid leukaemia (CML) is a relatively rare disease in children, accounting for 2ā€“3% of all paediatric leukaemia cases. Generally, children with CML can avoid hematopoietic stem cell transplantation and achieve molecular responses with tyrosine kinase inhibitors (TKI). However, CML stem cells are thought to survive in many patients, even after TKI treatment. Many aspects of the toxic effects of prolonged exposure to TKIs during childhood remain unclear, particularly those regarding growth impairment. This lack of clarity underscores the importance of the present clinical trial, which aims to clarify the feasibility of treatment-free remission (TFR) in children following TKI treatment. We aim to examine the long-term out-comes and complications of TKIs before and after cessation to better understand the unknown complications that could arise in adulthood. This trial targets patients who were diagnosed with CML at an age younger than 20 years, were in the chronic or accelerated phase at initial diagnosis and remained in complete molecular remission for at least 2 years after TKI administration. We will examine the utility of TKI cessation and assess the treatment results of patients who resumed TKI therapy after losing a major molecular response. We will also investigate factors related to the feasibility of a TFR after TKI cessation

    Loss of aPKCĪ» in Differentiated Neurons Disrupts the Polarity Complex but Does Not Induce Obvious Neuronal Loss or Disorientation in Mouse Brains

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    <div><p>Cell polarity plays a critical role in neuronal differentiation during development of the central nervous system (CNS). Recent studies have established the significance of atypical protein kinase C (aPKC) and its interacting partners, which include PAR-3, PAR-6 and Lgl, in regulating cell polarization during neuronal differentiation. However, their roles in neuronal maintenance after CNS development remain unclear. Here we performed conditional deletion of aPKCĪ», a major aPKC isoform in the brain, in differentiated neurons of mice by camk2a-cre or synapsinI-cre mediated gene targeting. We found significant reduction of aPKCĪ» and total aPKCs in the adult mouse brains. The aPKCĪ» deletion also reduced PAR-6Ī², possibly by its destabilization, whereas expression of other related proteins such as PAR-3 and Lgl-1 was unaffected. Biochemical analyses suggested that a significant fraction of aPKCĪ» formed a protein complex with PAR-6Ī² and Lgl-1 in the brain lysates, which was disrupted by the aPKCĪ» deletion. Notably, the aPKCĪ» deletion mice did not show apparent cell loss/degeneration in the brain. In addition, neuronal orientation/distribution seemed to be unaffected. Thus, despite the polarity complex disruption, neuronal deletion of aPKCĪ» does not induce obvious cell loss or disorientation in mouse brains after cell differentiation.</p></div

    Differential roles of NF-Y transcription factor in ER chaperone expression and neuronal maintenance in the CNS

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    The mammalian central nervous system (CNS) contains various types of neurons with different neuronal functions. In contrast to established roles of cell type-specific transcription factors on neuronal specification and maintenance, whether ubiquitous transcription factors have conserved or differential neuronal function remains uncertain. Here, we revealed that inactivation of a ubiquitous factor NF-Y in different sets of neurons resulted in cell type-specific neuropathologies and gene downregulation in mouse CNS. In striatal and cerebellar neurons, NF-Y inactivation led to ubiquitin/p62 pathologies with downregulation of an endoplasmic reticulum (ER) chaperone Grp94, as we previously observed by NF-Y deletion in cortical neurons. In contrast, NF-Y inactivation in motor neurons induced neuronal loss without obvious protein deposition. Detailed analysis clarified downregulation of another ER chaperone Grp78 in addition to Grp94 in motor neurons, and knockdown of both ER chaperones in motor neurons recapitulated the pathology observed after NF-Y inactivation. Finally, additional downregulation of Grp78 in striatal neurons suppressed ubiquitin accumulation induced by NF-Y inactivation, implying that selective ER chaperone downregulation mediates different neuropathologies. Our data suggest distinct roles of NF-Y in protein homeostasis and neuronal maintenance in the CNS by differential regulation of ER chaperone expression

    Rapid dissemination of alpha-synuclein seeds through neural circuits in an in-vivo prion-like seeding experiment

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    Abstract Accumulating evidence suggests that the lesionsĀ ofĀ Parkinsonā€™s disease (PD) expand due to transneuronalĀ spreading of fibrils composed of misfolded alpha-synuclein (a-syn), over the course of 5ā€“10Ā years. However, the precise mechanisms and the processes underlying the spread of these fibril seeds haveĀ not been clarifiedĀ in vivo. Here, we investigated the speed of a-syn transmission, which has not been a focus of previous a-syn transmission experiments, and whether a-syn pathologies spread in a neural circuitā€“dependentĀ manner in the mouse brain. We injectedĀ a-syn preformed fibrils (PFFs), which are seeds for the propagation ofĀ a-synĀ deposits,Ā either before or after callosotomy,Ā toĀ disconnect bilateral hemispheric connections. In mice that underwent callosotomy before the injection, theĀ propagation of a-syn pathology to the contralateral hemisphere was clearly reduced. In contrast, mice that underwentĀ callosotomy 24Ā h after a-syn PFFs injection showed a-syn pathology similar to that seen in mice without callosotomy. TheseĀ results suggest that a-synĀ seeds are rapidly disseminated through neuronal circuits immediately after seed injection, in a prion-like seeding experiment in vivo, although it is believed that clinical a-syn pathologies take years to spread throughout the brain. In addition, we found that botulinum toxin B blocked the transsynaptic transmission of a-syn seeds by specifically inactivating the synaptic vesicle fusion machinery. This study offers a novel concept regarding a-syn propagation, based on the Braak hypothesis, and also cautions that experimental transmission systems may be examining a unique type of transmission, which differs from the clinical disease state

    NeuN and GFAP staining of aPKCĪ» deletion mouse cerebrum.

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    <p>Immunohistochemical analysis of 7-month-old aPKCĪ» flox/āˆ’; S1-cre (S1-cko) or flox/+ (Cont) female mice (left two panels), or 15-month-old aPKCĪ» flox/flox; C2-cre (C2-cko) or flox/+; C2-cre (Cont) male mice (right two panels). (A) Staining of coronal sections with anti-NeuN, a neuronal marker. (B) Magnified images of boxed regions shown in (A). No distinct reduction of NeuN-positive cells in these aPKCĪ» deletion mice was found. (C) Staining of coronal sections with anti-GFAP, an astrocyte marker. (D) Magnified images of boxed regions shown in (C). No distinct induction of astrogliosis in these aPKCĪ» deletion mice. Cor (cortex) and Hpc (hippocampus). Bars are 1 mm (A, C) and 0.4 mm (B, D).</p

    Cell orientation of cortical layer V neurons in aPKCĪ» deletion mice.

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    <p>(A) Coronal sections of 7-month-old aPKCĪ» flox/-; S1-cre (S1-cko) or flox/+ (Cont) female mice (left two panels), or 15-month-old aPKCĪ» flox/flox; C2-cre (C2-cko) or flox/+; C2-cre (Cont) male mice (right two panels) were stained with a Golgi marker GM130 (red) and an axon initial segment (AIS) marker Nav1.6 (green). Nuclei were stained with TOTO-3. Cortical layer V neurons are shown. Note that Golgi was abundant at superior part of the neurons (arrows) whereas AIS was detected in inferior region (arrowheads) in both control and aPKCĪ» deletion mice. (B) Immunofluorescence data in (A) were used for quantification of relative GM130 fluorescence intensities in superior region to those in whole cell region (n means number of analyzed cells). Values are means Ā± SD. A majority of the layer V neurons showed superior accumulation of GM130, which was not significantly affected in aPKCĪ» deletion mice. Bar is 20 Āµm (A).</p

    Western blot analysis of aPKCĪ» and its interacting proteins in the brain of aPKCĪ» deletion mice.

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    <p>(A) Brains of 7-month-old female mice harboring aPKCĪ» flox/āˆ’; S1-cre (S1-cko) or flox/+ (Cont) were separated into five regions: striatum (Str), hippocampus (Hpc), cortex (Cor), other remaining cerebrum regions (Other) and cerebellum (Cbl). These tissue regions were subjected to Western blot analysis using antibody specific to aPKCĪ» (BD, 610175) or antibody recognizing both aPKCĪ»/Ī¶ (Santa Cruz (SC), sc-216). Antibodies for PAR-6Ī², p62 and Ī²-actin were also used for the analysis. (B) Brains of 13-month-old female mice harboring aPKCĪ» flox/+ (Cont) or flox/flox; C2-cre (C2-cko) were separated and analyzed as in (A). (C) Total cerebrum of 11-month-old female mice harboring aPKCĪ» flox/flox; S1-cre (S1-cko; nā€Š=ā€Š3) or flox/flox (Cont; nā€Š=ā€Š3) were subjected to Western blot analysis using anti-aPKCĪ» (BD) or anti-aPKCĪ»/Ī¶ (SC). An alternative isoform of aPKCĪ¶, PKMĪ¶ was also detected by anti-aPKCĪ»/Ī¶ (SC). Antibodies for PAR-6Ī², PAR-3, Lgl-1, p62 and Ī²-actin were also used for the analysis. (D) Bands in (C) were quantified and plotted. (E) Total cerebrum of 20-month-old female mice harboring aPKCĪ» flox/flox; C2-cre (C2-cko; nā€Š=ā€Š3) or flox/flox (Cont; nā€Š=ā€Š3) were subjected to Western blot analysis as in (C). (F) Bands in (E) were quantified and plotted. Values are means Ā±SD (*P<0.05, **P<0.01, ***P<0.001).</p

    Immunoprecipitation assay using aPKCĪ» conditional deletion mouse brains.

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    <p>(A) Cerebra of 11-month-old male mice harboring aPKCĪ» flox/flox (Cont; nā€Š=ā€Š3) or aPKCĪ» flox/flox; S1-cre (aPKCĪ» S1-cko; nā€Š=ā€Š3) were lysed (Input) and subjected to immunoprecipitation (IP) with anti-Lgl-1 antisera. IP without antisera (-) was used as a negative control. The input and IP samples were analyzed by Western blotting using antibodies for Lgl-1 and aPKCĪ». (B) Bands of IP samples in (A) were quantified and plotted. (C) Cerebra of 20-month-old male mice harboring aPKCĪ» flox/flox (Cont; nā€Š=ā€Š3) or aPKCĪ» flox/flox; C2-cre (aPKCĪ» C2-cko; nā€Š=ā€Š3) were subjected to IP and analyzed as in (A). (D) Bands of IP samples in (C) were quantified and plotted. Note the significant reduction of aPKCĪ» co-immunoprecipitated with Lgl-1 in these aPKCĪ» deletion mouse cerebra. Values are means Ā±SD (*P<0.05, ***P<0.001).</p

    Quantitative RT-PCR of aPKCĪ» and its related genes in aPKCĪ» conditional deletion mice.

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    <p>(A, B) Specificity of primer sets for aPKCĪ» and aPKCĪ¶ for quantitative PCR. Plasmid DNA for mouse aPKCĪ» cDNA (A) or aPKCĪ¶ cDNA (B) at indicated relative concentrations was subjected to real-time PCR using primers of aPKCĪ» and aPKCĪ¶ (RD or KD). Crossing point (Cp) means the cycle number of first detection of positive signal for PCR product. Low Cp indicates efficient detection of template cDNA, whereas high Cp without inverse correlation with the amount of the input indicates no significant detection. (C) Data in (A) and (B) were used for quantification of relative amounts of cDNA. Specific amplifications by each primer set were confirmed. (D, E) Quantitative RT-PCR of aPKCĪ» and indicated genes in cerebra of 11-month-old male mice harboring aPKCĪ» flox/flox (Cont) or aPKCĪ» flox/flox; S1-cre (aPKCĪ» S1-cko) (D, nā€Š=ā€Š3 for each), or 20-month-old male mice harboring aPKCĪ» flox/flox (Cont) or aPKCĪ» flox/flox; C2-cre (aPKCĪ» C2-cko) (E, nā€Š=ā€Š3 for each). Amounts relative to control are shown. (F) Quantitative RT-PCR of aPKCĪ¶ in cerebra of aPKCĪ» flox/flox (Cont) male mice at 11 months or 20 months of age (nā€Š=ā€Š3 for each). aPKCĪ¶ plasmid DNA was used as standard for quantification. Primer sets for aPKCĪ¶ RD and KD were used to detect full-length aPKCĪ¶ and both aPKCĪ¶/PKMĪ¶, respectively. The values obtained by aPKCĪ¶ KD primer set were taken as 1. (G) Quantitative RT-PCR of aPKCĪ¶ and PKMĪ¶ in cerebra of 11-month-old male mice harboring aPKCĪ» flox/flox (Cont) or aPKCĪ» flox/flox; S1-cre (aPKCĪ» S1-cko) (nā€Š=ā€Š3 for each). Amount relative to control is shown. Values are means Ā±SD.</p
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