大腸癌の様々な発癌経路に関する研究 1.ベトナム人と日本人の大腸癌の遺伝子変化頻度の相違についての研究 2.日本における鋸歯状腺腫症の臨床病理学的特徴

広島大学(Hiroshima University)博士(医学)Doctor of Philosophy in Medical Sciencedoctora

Differences in K-ras and mitochondrial DNA mutations and microsatellite instability between colorectal cancers of Vietnamese and Japanese patients

[Background]:The incidence of early-onset (under 50 years of age) colorectal cancer (CRC) in the Vietnamese has been reported to be quite higher than that in the Japanese. To clarify the differences in genetic alterations between Vietnamese and Japanese CRCs, we investigated mutations in K-ras and mitochondrial DNA (mtDNA) and high-frequency microsatellite instability (MSI-H) in the CRCs of Vietnamese and Japanese patients. [Methods]:We enrolled 60 Vietnamese and 233 Japanese patients with invasive CRCs. DNA was extracted from formalin-fixed, paraffin-embedded tissue sections. K-ras mutations were examined with PCR-single-strand conformation polymorphism analysis. mtDNA mutations and MSI-H were examined with microsatellite analysis using D310 and BAT-26, respectively. [Results]:K-ras mutations were examined in 60 Vietnamese and 45 Japanese CRCs. The frequency of the mutations in the Vietnamese CRCs was significantly higher than that in the Japanese CRCs (8 of 24 [33%] vs 5 of 45 [11%], p =0.048). MSI-H was examined in 60 Vietnamese and 130 Japanese CRCs. The frequency of MSI-H in the Vietnamese CRCs was also significantly higher than that in the Japanese CRCs (6 of 27 [22%] vs 10 of 130 [8%], p =0.030). mtDNA mutations were examined in 60 Vietnamese and 138 Japanese CRCs. The frequency of mtDNA mutations in the Vietnamese CRCs was significantly higher than that in the Japanese CRCs (19 of 44 [43%] vs 11 of 133 [9%], p <0.001). There were no significant differences in clinicopathologic characteristics, such as age, sex, tumour location, and depth, in terms of tumours with/without each genetic alteration in the CRCs of the Vietnamese and Japanese patients. [Conclusions]:These results indicate that the developmental pathways of CRCs in the Vietnamese may differ from those of CRCs in the Japanese

Terthiophene Functionalized Conjugated Triarm Polymers Containing Poly(fluorene-2,7-vinylene) Arms Having Different Cores—Synthesis and Their Unique Optical Properties

Optical properties of three types of terthiophene (3T) functionalized conjugated triarm (star-shaped) polymers consisting of poly(9,9-di-n-octyl-fluorene-2,7-vinylene) (PFV) arms and different [2,4,6-tri(biphenyl)benzene (TBP), 1,3,5-tri(benzyl)benzene (TBB), and triphenylamine (TPA)] cores, prepared by combined olefin metathesis with Wittig coupling, have been studied. Relative intensities [increases in the higher vibronic bands, (0, 1) fluorescence (FL)] of the fully conjugated TPA-core polymers, TPA(PFV-3T)3, in the fluorescence (FL) spectra in tetrahydrofuran (toluene) solution were higher than those in the other triarm polymers, TBP(PFV-3T)3, TBB(PFV-3T)3, whereas no significant differences were observed in their UV-vis spectra; notable temperature dependences were not observed in the UV-vis and FL spectra (at -5, 25, and 55 °C). Remarkable differences were not observed in the spectra in these polymer thin films, whereas λmax values red-shifted due to the formation of J-type aggregates. The observation for the time-resolved study well corresponds to results for the steady-state fluorescence measurements. The observed unique emission by the star-shaped (triarm) polymer containing the TPA core would be assumed to be due to a difference in nature of the core (higher coplanarity) compared to that of the others. © 2018 American Chemical Society.info:eu-repo/semantics/publishe

Evaluation of the visibility of early gastric cancer using linked color imaging and blue laser imaging

Abstract Background Blue laser imaging (BLI) and linked color imaging (LCI) are the color enhancement features of the LASEREO endoscopic system, which provide a narrow band light observation function and expansion and reduction of the color information, respectively. Methods We examined 82 patients with early gastric cancer (EGC) diagnosed between April 2014 and August 2015. Five expert and 5 non-expert endoscopists retrospectively compared images obtained on non-magnifying BLI bright mode (BLI-BRT) and LCI with those obtained via conventional white light imaging (WLI). Interobserver agreement was also assessed. Results In experts’ evaluation of the images, an improvement in visibility was observed in 73% (60/82) and 20% (16/82) of cases under LCI and BLI-BRT, respectively. In non-experts’ evaluation of the images, an improvement in visibility was observed in 76.8% (63/82) and 24.3% (20/82) of cases under LCI and BLI-BRT, respectively. There were no significant differences between experts and non-experts in the evaluation of the images. The improvement in visibility was significantly higher with LCI than with BLI-BRT in experts and non-experts (p < 0.01). With regard to tumor color on WLI, the improvement in the visibility of reddish and whitish tumors was significantly higher than that of isochromatic tumors when LCI was used. The improvement in visibility with LCI was observed in 71% (12/17) and 74% (48/65) of patients with and without Helicobacter pylori (Hp) eradication, respectively; no significant difference in improvement was observed between these groups. The interobserver agreement was good to satisfactory at ≥ 0.62. Conclusions In conclusion, our study showed that LCI improved the visibility of EGC, regardless of the level of endoscopists’ experience or Hp eradication in patients, particularly for EGCs with a reddish or whitish color. The improvement in visibility was significantly higher with LCI than that with BLI

Terthiophene Functionalized Conjugated Triarm Polymers Containing Poly(fluorene-2,7-vinylene) Arms Having Different CoresSynthesis and Their Unique Optical Properties

Optical properties of three types of terthiophene (3T) functionalized conjugated triarm (star-shaped) polymers consisting of poly­(9,9-di-<i>n</i>-octyl-fluorene-2,7-vinylene) (PFV) arms and different [2,4,6-tri­(biphenyl)­benzene (TBP), 1,3,5-tri­(benzyl)­benzene (TBB), and triphenylamine (TPA)] cores, prepared by combined olefin metathesis with Wittig coupling, have been studied. Relative intensities [increases in the higher vibronic bands, (0, 1) fluorescence (FL)] of the fully conjugated TPA-core polymers, TPA­(PFV-3T)₃, in the fluorescence (FL) spectra in tetrahydrofuran (toluene) solution were higher than those in the other triarm polymers, TBP­(PFV-3T)₃, TBB­(PFV-3T)₃, whereas no significant differences were observed in their UV–vis spectra; notable temperature dependences were not observed in the UV–vis and FL spectra (at −5, 25, and 55 °C). Remarkable differences were not observed in the spectra in these polymer thin films, whereas λ_max values red-shifted due to the formation of <i>J</i>-type aggregates. The observation for the time-resolved study well corresponds to results for the steady-state fluorescence measurements. The observed unique emission by the star-shaped (triarm) polymer containing the TPA core would be assumed to be due to a difference in nature of the core (higher coplanarity) compared to that of the others