Robotic surgery for gynecologic cancers: indications, techniques and controversies.

Minimally invasive surgery for gynecologic cancers is associated with fewer postoperative complications including less blood loss and quicker recovery time compared to traditional laparotomy. The robotic platform has allowed patients access to minimally invasive surgery due to its increased utilization by gynecologic oncologists. Many surgeons have embraced the robotic platform due to its technological advances over traditional laparoscopy including high-definition 3D optics, wristed instrumentation, camera stability and improved ergonomics. While robotic surgery continues as a mainstay in the management of gynecologic cancers, it remains controversial in regards to its cost effectiveness and more recently, its long-term impact on clinical and oncologic outcomes. A strong component of the justification of this surgical platform is based on extrapolated data from traditional laparoscopy despite limited prospective randomized trials for robotic-assisted surgery. In this review, we highlight the use of robotic surgery in the management of gynecologic cancers in special populations: fertility sparing patients, the morbidly obese, the elderly, and patients with a favorable response to neoadjuvant chemotherapy

Decreased expression of haemoglobin beta (HBB) gene in anaplastic thyroid cancer and recovory of its expression inhibits cell growth

Anaplastic thyroid cancer (ATC) is one of the most fulminant and foetal diseases in human malignancies. However, the genetic alterations and carcinogenic mechanisms of ATC are still unclear. Recently, we investigated the gene expression profile of 11 anaplastic thyroid cancer cell lines (ACL) and significant decreased expression of haemoglobin beta (HBB) gene in ACL. Haemoglobin beta is located at 11p15.5, where loss of heterozygosity (LOH) was reported in various kinds of cancers, including ATC, and it has been suggested that novel tumour suppressor genes might exist in this region. In order to clarify the meaning of decreased expression of HBB in ATC, the expression status of HBB was investigated with ACL, ATC, papillary thyroid cancer (PTC) and normal human tissues. Haemoglobin beta showed significant decreased expression in ACLs and ATCs; however, in PTC, HBB expressed equal to the normal thyroid gland. In addition, HBB expressed in normal human tissues ubiquitously. To validate the tumour-suppressor function of HBB, cell growth assay was performed. Forced expression of HBB in KTA2 cell, which is a kind of ACL, significantly suppressed KTA2 growth. The mechanism of downregulation of HBB in ATC is still unclear; however, our results suggested the possibility of HBB as a novel tumour-suppressor gene

Catalysts based on Co-Birnessite and Co-Todorokite for the efficient production of hydrogen by ethanol steam reforming

[EN] Two structured manganese oxides (Birnessite and Todorokite) containing Co have been studied in the steam reforming of ethanol. It has been found that both materials are active in the hydrogen production, exhibiting high values of conversion of ethanol and selectivities to hydrogen (100% and 70%, respectively). The best results have been obtained with the catalyst based on Todorokite material. Characterization by DRX, BET area, TPR and TEM has allowed to find that the excellent performance exhibited by this material could be attributed to the lower size of the Co metallic particles present in this sample (6 nm vs 12 nm in Birnessite). This lower size could be related to the especial microporous structure of Todorokite precursor, which could provide high-quality positions for the stabilization of the Co metal particles during calcination and reduction steps. Catalytic deactivation has also been considered. Deactivation was found higher for Todorokite-based catalyst, which presented the largest amount of deposited carbon (26.2 wt% for Co-TOD vs 10.6 wt% for Co-BIR). On the other hand, the degree of metal sintering was found similar in both catalysts. Therefore, the deactivation of the catalysts has been attributed primarily to the deposition of coke. The results presented here show that it is possible to prepare new catalysts based on manganese oxides with Birnessite and Todorokite structure and promoted with Co with high catalytic performance in the steam reforming of ethanol. (C) 2017 Hydrogen Energy Publications LLC. Published by Elsevier Ltd. All rights reserved.The doctor Javier Francisco Da Costa Serra acknowledges the CSIC for granted the scholarship predoctoral-JAE-CSIC. Moreover, Electronic Microscopy Service of UPV for TEM images.Da Costa Serra, JF.; Chica, A. (2018). Catalysts based on Co-Birnessite and Co-Todorokite for the efficient production of hydrogen by ethanol steam reforming. International Journal of Hydrogen Energy. 43(35):16859-16865. https://doi.org/10.1016/j.ijhydene.2017.12.114S1685916865433

Electrodeposited lead dioxide coatings

Lead dioxide coatings on inert substrates such as titanium and carbon now offer new opportunities for a material known for 150 years. It is now recognised that electrodeposition allows the preparation of stable coatings with different phase structures and a wide range of surface morphologies. In addition, substantial modification to the physical properties and catalytic activities of the coatings are possible through doping and the fabrication of nanostructured deposits or composites. In addition to applications as a cheap anode material in electrochemical technology, lead dioxide coatings provide unique possibilities for probing the dependence of catalytic activity on layer composition and structure (critical review, 256 references)

New Catalysts based on Ni-Birnessite and Ni-Todorokite for the Efficient Production of Hydrogen by Bioethanol Steam Reforming

Catalytic steam reforming of bioethanol seems to be a promise option to produce renewable hydrogen; however efficient catalysts are still under development. Recently, manganese oxide based materials (MO) are the subject of intense research as low cost, efficient, and environmentally friendly catalysts. Among them MO with layer and tunnel structure have received significant attention due to their excellent catalytic activity. Specifically, we have explored the catalytic performance of two MO containing Ni (Birnessite and Todorokite). We find that both materials are highly active and selective to produce hydrogen by steam reforming of bioethanol. Their characterization by DRX, BET area, TPR, and TEM, has allowed to find that the excellent performance exhibited by these materials could be attributed to the especial structure of these MO, which would provide high-quality positions for the stabilization of the Ni metal particles.Fuertes, A.; Da Costa Serra, JF.; Chica, A. (2012). New Catalysts based on Ni-Birnessite and Ni-Todorokite for the Efficient Production of Hydrogen by Bioethanol Steam Reforming. Energy Procedia. 29:181-191. doi:10.1016/j.egypro.2012.09.023S1811912

Skin Regeneration in Adult Axolotls: A Blueprint for Scar-Free Healing in Vertebrates

While considerable progress has been made towards understanding the complex processes and pathways that regulate human wound healing, regenerative medicine has been unable to develop therapies that coax the natural wound environment to heal scar-free. The inability to induce perfect skin regeneration stems partly from our limited understanding of how scar-free healing occurs in a natural setting. Here we have investigated the wound repair process in adult axolotls and demonstrate that they are capable of perfectly repairing full thickness excisional wounds made on the flank. In the context of mammalian wound repair, our findings reveal a substantial reduction in hemostasis, reduced neutrophil infiltration and a relatively long delay in production of new extracellular matrix (ECM) during scar-free healing. Additionally, we test the hypothesis that metamorphosis leads to scarring and instead show that terrestrial axolotls also heal scar-free, albeit at a slower rate. Analysis of newly forming dermal ECM suggests that low levels of fibronectin and high levels of tenascin-C promote regeneration in lieu of scarring. Lastly, a genetic analysis during wound healing comparing epidermis between aquatic and terrestrial axolotls suggests that matrix metalloproteinases may regulate the fibrotic response. Our findings outline a blueprint to understand the cellular and molecular mechanisms coordinating scar-free healing that will be useful towards elucidating new regenerative therapies targeting fibrosis and wound repair

The Tempered Polymerization of Human Neuroserpin

Neuroserpin, a member of the serpin protein superfamily, is an inhibitor of proteolytic activity that is involved in pathologies such as ischemia, Alzheimer's disease, and Familial Encephalopathy with Neuroserpin Inclusion Bodies (FENIB). The latter belongs to a class of conformational diseases, known as serpinopathies, which are related to the aberrant polymerization of serpin mutants. Neuroserpin is known to polymerize, even in its wild type form, under thermal stress. Here, we study the mechanism of neuroserpin polymerization over a wide range of temperatures by different techniques. Our experiments show how the onset of polymerization is dependent on the formation of an intermediate monomeric conformer, which then associates with a native monomer to yield a dimeric species. After the formation of small polymers, the aggregation proceeds via monomer addition as well as polymer-polymer association. No further secondary mechanism takes place up to very high temperatures, thus resulting in the formation of neuroserpin linear polymeric chains. Most interesting, the overall aggregation is tuned by the co-occurrence of monomer inactivation (i.e. the formation of latent neuroserpin) and by a mechanism of fragmentation. The polymerization kinetics exhibit a unique modulation of the average mass and size of polymers, which might suggest synchronization among the different processes involved. Thus, fragmentation would control and temper the aggregation process, instead of enhancing it, as typically observed (e.g.) for amyloid fibrillation

Toxin-Based Therapeutic Approaches

Protein toxins confer a defense against predation/grazing or a superior pathogenic competence upon the producing organism. Such toxins have been perfected through evolution in poisonous animals/plants and pathogenic bacteria. Over the past five decades, a lot of effort has been invested in studying their mechanism of action, the way they contribute to pathogenicity and in the development of antidotes that neutralize their action. In parallel, many research groups turned to explore the pharmaceutical potential of such toxins when they are used to efficiently impair essential cellular processes and/or damage the integrity of their target cells. The following review summarizes major advances in the field of toxin based therapeutics and offers a comprehensive description of the mode of action of each applied toxin

Effects of metal-on-metal wear on the host immune system and infection in hip arthroplasty

Methods We reviewed the available literature on the influence of degradation products of MOM bearings in total hip arthroplasties on infection risk. Results Wear products were found to influence the risk of infection by hampering the immune system, by inhibiting or accelerating bacterial growth, and by a possible antibiotic resistance and heavy metal co-selection mechanism. Interpretation Whether or not the combined effects of MOM wear products make MOM bearings less or more prone to infection requires investigation in the near future