Courses of Malignant Pheochromocytoma

Survival of patients with metastatic pheochromocytoma that have exceeded 30 years without therapy to reduce tumors have been reported. We reviewed the records of 38 patients with malignant pheochromocytoma who had received 131 I-metaiodiobenzylguanidine ( 131 I-MIBG) treatments between 1981 and 1996 to evaluate longevity. Survival from diagnosis to last follow-up exceeded 5 years in 21 of 38 (55%) and ≥10 years in 50%. In 17 of 21, the interval from diagnosis to 131 I-MIBG therapy was greater than 5 years. Survival following 131 I-MIBG was ≥5 years in 12 of 17 and ≥10 years in 7 of 17 patients despite continued evidence of excessive circulating catecholamines. Objective responses to 131 I-MIBG therapy were seen in about 30% and were usually of a few years, duration, but one individual exhibited marked reductions in volume and function of tumors that have persisted for 21 years. No feature, including a remission of >5 years following surgical excision, was found to predict prolonged survival. In summary, many patients with malignant pheochromocytoma will follow a course extending over many years. The role of 131 I-MIBG therapy in longevity is uncertain, but this radiopharmaceutical reduces evidence of tumors in some patients. Criteria for selecting patients who will benefit from treatment remain to be determined.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/73567/1/annals.1353.053.pd

Asymmetric dimethylarginine blocks nitric oxide-mediated alcohol-stimulated cilia beating.

The airway epithelium is exposed to alcohol during drinking through direct exhalation of volatized ethanol from the bronchial circulation. Alcohol exposure leads to a rapid increase in the cilia beat frequency (CBF) of bronchial epithelial cells followed by a chronic desensitization of cilia stimulatory responses. This effect is governed in part by the nitric oxide regulation of cyclic guanosine and adenosine monophosphate-dependent protein kinases (PKG and PKA) and is not fully understood. Asymmetric dimethylarginine (ADMA), an endogenous inhibitor of nitric oxide synthase, is implicated in the pathogenesis of several pulmonary disorders. We hypothesized that the inhibition of nitric oxide synthase by ADMA blocks alcohol-stimulated increases in CBF. To test this hypothesis, ciliated primary bovine bronchial epithelial cells (BBEC) were preincubated with ADMA (100  µM) and stimulated with 100 mM ethanol. CBF was measured and PKA assayed. By 1 hr, ethanol activated PKA, resulting in elevated CBF. Both alcohol-induced PKA activation and CBF were inhibited in the presence of ADMA. ADMA alone had no effect on PKA activity or CBF. Using a mouse model overexpressing the ADMA-degrading enzyme, dimethylarginine dimethylaminohydrolase (DDAH), we examined PKA and CBF in precision-cut mouse lung slices. Alcohol-stimulated increases in lung slice PKA and CBF were temporally enhanced in the DDAH mice versus control mice

Persistence of Li Induced Kondo Moments in the Superconducting State of Cuprates

We measure the magnetic susceptibility nearby Li spinless impurities in the superconducting phase of the high Tc cuprate YBaCuO. The induced moment which was found to exist above Tc persists below Tc. In the underdoped regime, it retains its Curie law below Tc. In contrast, near optimal doping, the large Kondo screening observed above Tc (T_K=135 K) is strongly reduced below Tc as expected theoretically when the superconducting gap develops. This moment still extends essentially on its 4 near neighbour Cu, showing the persistence of AF correlations in the superconducting state. A direct comparison with recent STM results of Pan et al. is proposed.Comment: accepted for publication in Phys. Rev. Lett. (issue of 30 april 2001) Revised version : 8 pages including 4 pages of text and 4 figure

Numerical Renormalization Group Study of Kondo Effect in Unconventional Superconductors

Orbital degrees of freedom of a Cooper pair play an important role in the unconventional superconductivity. To elucidate the orbital effect in the Kondo problem, we investigated a single magnetic impurity coupled to Cooper pairs with a $p_x +i p_y$ ($d_{x^2-y^2}+id_{xy}$) symmetry using the numerical renormalization group method. It is found that the ground state is always a spin doublet. The analytical solution for the strong coupling limit explicitly shows that the orbital dynamics of the Cooper pair generates the spin 1/2 of the ground state.Comment: 4 pages, 2 figures, JPSJ.sty, to be published in J. Phys. Soc. Jpn. 70 (2001) No. 1

Thermal Conductivity of the Spin Peierls Compound CuGeO_3

The thermal conductivity of the Spin-Peierls (SP) compound CuGeO_3 was measured in magnetic fields up to 16 T. Above the SP transition, the heat transport due to spin excitations causes a peak at around 22 K, while below the transition the spin excitations rapidly diminish and the heat transport is dominated by phonons; however, the main scattering process of the phonons is with spin excitations, which demonstrates itself in an unusual peak in the thermal conductivity at about 5.5 K. This low-temperature peak is strongly suppressed with magnetic fields in excess of 12.5 T.Comment: 6 pages, including 2 postscript figure

Kondo screening in d-wave superconductors in a Zeeman field and implications for STM spectra of Zn-doped cuprates

We consider the screening of an impurity moment in a d-wave superconductor under the influence of a Zeeman magnetic field. Using the Numerical Renormalization Group technique, we investigate the resulting pseudogap Kondo problem, in particular the field-induced crossover behavior in the vicinity of the zero-field boundary quantum phase transition. The impurity spectral function and the resulting changes in the local host density of states are calculated, giving specific predictions for high-field STM measurements on impurity-doped cuprates.Comment: 5 pages, 4 figs, (v2) remark on c-axis field added, discussion extended, (v3) final version as publishe

A High Docosahexaenoic Acid Diet Alters the Lung Inflammatory Response to Acute Dust Exposure

Agricultural workers are at risk for the development of acute and chronic lung diseases due to their exposure to organic agricultural dusts. A diet intervention using the omega-3 fatty acid docosahexaenoic acid (DHA) has been shown to be an effective therapeutic approach for alleviating a dust-induced inflammatory response. We thus hypothesized a high-DHA diet would alter the dust-induced inflammatory response through the increased production of specialized pro-resolving mediators (SPMs). Mice were pre-treated with a DHA-rich diet 4 weeks before being intranasally challenged with a single dose of an extract made from dust collected from a concentrated swine feeding operation (HDE). This omega-3-fatty-acid-rich diet led to reduced arachidonic acid levels in the blood, enhanced macrophage recruitment, and increased the production of the DHA-derived SPM Resolvin D1 (RvD1) in the lung following HDE exposure. An assessment of transcript-level changes in the immune response demonstrated significant differences in immune pathway activation and alterations of numerous macrophage-associated genes among HDE-challenged mice fed a high DHA diet. Our data indicate that consuming a DHA-rich diet leads to the enhanced production of SPMs during an acute inflammatory challenge to dust, supporting a role for dietary DHA supplementation as a potential therapeutic strategy for reducing dust-induced lung inflammation

Impurity in a d-wave superconductor: Kondo effect and STM spectra

We present a theory for recent STM studies of Zn impurities in the superconductor BSCCO, using insights from NMR experiments which show that there is a net S=1/2 moment on the Cu ions near the Zn. We argue that the Kondo spin dynamics of this moment is the origin of the low bias peak in the differential conductance, rather than a resonance in a purely potential scattering model. The spatial and energy dependence of the STM spectra of our model can also fit the experiments.Comment: 4 pages, 2 color figures. Found improved saddle-point with d-wave correlations near the impurity; onset of Kondo screening now occurs at a significantly smaller coupling, but there is little qualitative change in other features. Noted connection to STM of Kondo impurities in normal metals. Final version as publishe

Specific Heat of Zn-Doped YBa_{2}Cu_3O_{6.95}: Possible Evidence for Kondo Screening in the Superconducting State

The magnetic field dependence of the specific heat of Zn-doped single crystals of YBa_{2}Cu_3O_{6.95} was measured between 2 and 10 K and up to 8 Tesla. Doping levels of 0, 0.15%, 0.31%, and 1% were studied and compared. In particular we searched for the Schottky anomaly associated with the Zn-induced magnetic moments.Comment: 5 pages, 6 figure