156 research outputs found
MINA (MYC induced nuclear antigen)
Review on MINA (MYC induced nuclear antigen), with data on DNA, on the protein encoded, and where the gene is implicated
Utility of preoperative dynamic magnetic resonance imaging of the pancreas in diagnosing tumor-forming pancreatitis that mimics pancreatic cancer: report of a case.
The differential diagnosis of pancreatic carcinoma and tumor-forming pancreatitis remains difficult, and this situation can cause serious problems because the management and prognosis of these two focal pancreatic masses are entirely different. We herein report a case of tumor-forming pancreatitis that mimics pancreatic carcinoma in an 80-year-old woman. Computed tomography showed a solid mass in the head of the pancreas, and endoscopic retrograde cholangiopancreatography showed a complete obstruction of the main pancreatic duct in the head of the pancreas. Dynamic contrastenhanced magnetic resonance imaging (MRI) demonstrated a time-signal intensity curve (TIC) with a slow rise to a peak (1 min after the administration of the contrast material), followed by a slow decline at the pancreatic mass, indicating a fibrotic pancreas. Under the diagnosis of tumor-forming pancreatitis, the patient underwent a segmental pancreatectomy instead of a pancreaticoduodenectomy. The histopathology of the pancreatic mass was chronic pancreatitis without malignancy. The pancreatic TIC obtained from dynamiccontrast MRI can be helpful to differentiate tumor-forming pancreatitis from pancreatic carcinoma and to avoid any unnecessary major pancreatic surgery
Light-Promoted Hydrogenation of Carbon DioxideΒΏAn Overview
[EN] Hydrogenation of carbon dioxide is considered as a viable strategy to generate fuels while closing the carbon cycle (heavily disrupted by the abuse in the exploitation of fossil resources) and reducing greenhouse gas emissions. The process can be performed by heat-powered catalytic processes, albeit conversion and selectivity tend to be reduced at increasing temperatures owing to thermodynamic constraints. Recent investigations, as summarised in this overview, have proven that light activation is a distinct possibility for the promotion of CO2 hydrogenation to fuels. This effect is particularly beneficial in methanation processes, which can be enhanced under simulated solar irradiation using materials based on metallic nanoparticles as catalysts. The use of nickel, ruthenium and rhodium has led to substantial efficiencies. Light-promoted processes entail performances on a par with (or even superior to) those of thermally-induced, industrially-relevant, commercial technologies.The author thanks the Spanish Government (Ministerio de EconomΓa y Competitividad, MINECO) for financial support via a project for young researchers (CTQ2015-74138-JIN), and the ββSevero Ochoaββ programme (SEV 2012-0267). The European Union is also acknowledged for the SynCatMatch project (ERCAdG-2014-671093)Puga Vaca, A. (2016). Light-Promoted Hydrogenation of Carbon DioxideΒΏAn Overview. Topics in Catalysis. 59(15-16):1268-1278. https://doi.org/10.1007/s11244-016-0658-zS126812785915-16Centi G, Perathoner S (2009) Opportunities and prospects in the chemical recycling of carbon dioxide to fuels. Catal Today 148:191β205Aresta M, Dibenedetto A, Angelini A (2014) Catalysis for the valorization of exhaust carbon: from CO2 to chemicals, materials, and fuels. technological use of CO2. Chem Rev 114:1709β1742Centi G, Quadrelli EA, Perathoner S (2013) Catalysis for CO2 conversion: a key technology for rapid introduction of renewable energy in the value chain of chemical industries. Energy Environ Sci 6:1711β1731Wang W, Wang S, Ma X, Gong J (2011) Recent advances in catalytic hydrogenation of carbon dioxide. Chem Soc Rev 40:3703β3727Gao J, Liu Q, Gu F, Liu B, Zhong Z, Su F (2015) Recent advances in methanation catalysts for the production of synthetic natural gas. RSC Adv 5:22759β22776Armaroli N, Balzani V (2011) The hydrogen issue. ChemSusChem 4:21β36Gao J, Wang Y, Ping Y, Hu D, Xu G, Gu F, Su F (2012) A thermodynamic analysis of methanation reactions of carbon oxides for the production of synthetic natural gas. RSC Adv 2:2358β2368Jadhav SG, Vaidya PD, Bhanage BM, Joshi JB (2014) Catalytic carbon dioxide hydrogenation to methanol: a review of recent studies. Chem Eng Res Des 92:2557β2567de Richter RK, Ming T, Caillol S (2013) Fighting global warming by photocatalytic reduction of CO2 using giant photocatalytic reactors. Renew Sust Energ Rev 19:82β106Schach M-O, Schneider R, Schramm H, Repke J-U (2010) Techno-economic analysis of postcombustion processes for the capture of carbon dioxide from power plant flue gas. Ind Eng Chem Res 49:2363β2370Centi G, Perathoner S (2010) Towards solar fuels from water and CO2. ChemSusChem 3:195β208Corma A, Garcia H (2013) Photocatalytic reduction of CO2 for fuel production: possibilities and challenges. J Catal 308:168β175Izumi Y (2013) Recent advances in the photocatalytic conversion of carbon dioxide to fuels with water and/or hydrogen using solar energy and beyond. Coord Chem Rev 257:171β186Dhakshinamoorthy A, Navalon S, Corma A, Garcia H (2012) Photocatalytic CO2 reduction by TiO2 and related titanium containing solids. Energy Environ Sci 5:9217β9233Indrakanti VP, Kubicki JD, Schobert HH (2009) Photoinduced activation of CO2 on Ti-based heterogeneous catalysts: current state, chemical physics-based insights and outlook. Energy Environ Sci 2:745β758Ozin GA (2015) You canβt have an energy revolution without transforming advances in materials, chemistry and catalysis into policy change and action. Energy Environ Sci 8:1682β1684Ozin GA (2015) Throwing new light on the reduction of CO2. Adv Mater 27:1957β1963Abe T, Tanizawa M, Watanabe K, Taguchi A (2009) CO2 methanation property of Ru nanoparticle-loaded TiO2 prepared by a polygonal barrel-sputtering method. Energy Environ Sci 2:315β321Li Y, Lu G, Ma J (2014) Highly active and stable nano NiO-MgO catalyst encapsulated by silica with a core-shell structure for CO2 methanation. RSC Adv 4:17420β17428Garbarino G, Bellotti D, Riani P, Magistri L, Busca G (2015) Methanation of carbon dioxide on Ru/Al2O3 and Ni/Al2O3 catalysts at atmospheric pressure: catalysts activation, behaviour and stability. Int J Hydrogen Energy 40:9171β9182Carenco S, Wu C-H, Shavorskiy A, Alayoglu S, Somorjai GA, Bluhm H, Salmeron M (2015) Synthesis and structural evolution of nickel-cobalt nanoparticles under H2 and CO2. Small 11:3045β3053Sharafutdinov I, Elkjaer CF, de Carvalho HWP, Gardini D, Chiarello GL, Damsgaard CD, Wagner JB, Grunwaldt J-D, Dahl S, Chorkendorff I (2014) Intermetallic compounds of Ni and Ga as catalysts for the synthesis of methanol. J Catal 320:77β88Studt F, Sharafutdinov I, Abild-Pedersen F, Elkjaer CF, HummelshΓΈj JS, Dahl S, Chorkendorff I, NΓΈrskov JK (2014) Discovery of a Ni-Ga catalyst for carbon dioxide reduction to methanol. Nat Chem 6:320β324Garbarino G, Riani P, Magistri L, Busca G (2014) A study of the methanation of carbon dioxide on Ni/Al2O3 catalysts at atmospheric pressure. Int J Hydrogen Energy 39:11557β11565Iablokov V, Beaumont SK, Alayoglu S, Pushkarev VV, Specht C, Gao J, Alivisatos AP, Kruse N, Somorjai GA (2012) Size-controlled model CO nanoparticle catalysts for CO2 hydrogenation: synthesis, characterization, and catalytic reactions. Nano Lett 12:3091β3096Behrens M, Studt F, Kasatkin I, KΓΌhl S, HΓ€vecker M, Abild-Pedersen F, Zander S, Girgsdies F, Kurr P, Kniep B-L, Tovar M, Fischer RW, NΓΈrskov JK, SchlΓΆgl R (2012) The active site of methanol synthesis over Cu/ZnO/Al2O3 industrial catalysts. Science 336:893β897Graciani J, Mudiyanselage K, Xu F, Baber AE, Evans J, Senanayake SD, Stacchiola DJ, Liu P, Hrbek J, FernΓ‘ndez Sanz J, Rodriguez JA (2014) Highly active copper-ceria and copper-ceria-titania catalysts for methanol synthesis from CO2. Science 345:546β550Fiordaliso EM, Sharafutdinov I, Carvalho HWP, Grunwaldt J-D, Hansen TW, Chorkendorff I, Wagner JB, Damsgaard CD (2015) Intermetallic GaPd2 nanoparticles on SiO2 for low-pressure CO2 hydrogenation to methanol: catalytic performance and in situ characterization. ACS Catal 5:5827β5836Kohno Y, Tanaka T, Funabiki T, Yoshida S (1997) Photoreduction of carbon dioxide with hydrogen over ZrO2. Chem Commun 9:841β842Kohno Y, Tanaka T, Funabiki T, Yoshida S (2000) Photoreduction of CO2 with H2 over ZrO2. A study of interaction of hydrogen with photoexcited CO2. Phys Chem Chem Phys 2:2635β2639Kohno Y, Ishikawa H, Tanaka T, Funabiki T, Yoshida S (2001) Photoreduction of carbon dioxide by hydrogen over magnesium oxide. Phys Chem Chem Phys 3:1108β1113Teramura K, Tsuneoka H, Shishido T, Tanaka T (2008) Effect of H2 gas as a reductant on photoreduction of CO2 over a Ga2O3 photocatalyst. Chem Phys Lett 467:191β194Tsuneoka H, Teramura K, Shishido T, Tanaka T (2010) Adsorbed Species of CO2 and H2 on Ga2O3 for the Photocatalytic Reduction of CO2. J Phys Chem C 114:8892β8898Teramura K, S-i Okuoka, Tsuneoka H, Shishido T, Tanaka T (2010) Photocatalytic reduction of CO2 using H2 as reductant over ATaO3 photocatalysts (AΒ =Β Li, Na, K). Appl Catal B 96:565β568Kohno Y, Hayashi H, Takenaka S, Tanaka T, Funabiki T, Yoshida S (1999) Photo-enhanced reduction of carbon dioxide with hydrogen over Rh/TiO2. J Photochem Photobiol A 126:117β123Lo C-C, Hung C-H, Yuan C-S, Wu J-F (2007) Photoreduction of carbon dioxide with H2 and H2O over TiO2 and ZrO2 in a circulated photocatalytic reactor. Sol Energy Mater Sol Cells 91:1765β1774Hoch LB, Wood TE, OβBrien PG, Liao K, Reyes LM, Mims CA, Ozin GA (2014) The rational design of a single-component photocatalyst for gas-phase CO2 reduction using both UV and visible light. Adv Sci 1:1400013Li M, Li P, Chang K, Wang T, Liu L, Kang Q, Ouyang S, Ye J (2015) Highly efficient and stable photocatalytic reduction of CO2 to CH4 over Ru loaded NaTaO3. Chem Commun 51:7645β7648Tahir M, Amin NS (2015) Photocatalytic CO2 reduction with H2 as reductant over copper and indium co-doped TiO2 nanocatalysts in a monolith photoreactor. Appl Catal A 493:90β102Tahir M, Amin NS (2016) Performance analysis of nanostructured NiOβIn2O3/TiO2 catalyst for CO2 photoreduction with H2 in a monolith photoreactor. Chem Eng J 285:635β649Ahmed N, Shibata Y, Taniguchi T, Izumi Y (2011) Photocatalytic conversion of carbon dioxide into methanol using zinc-copper-M(III) (MΒ =Β aluminum, gallium) layered double hydroxides. J Catal 279:123β135Ahmed N, Morikawa M, Izumi Y (2012) Photocatalytic conversion of carbon dioxide into methanol using optimized layered double hydroxide catalysts. Catal Today 185:263β269Yang C-C, Vernimmen J, Meynen V, Cool P, Mul G (2011) Mechanistic study of hydrocarbon formation in photocatalytic CO2 reduction over Ti-SBA-15. J Catal 284:1β8Thampi KR, Kiwi J, GrΓ€tzel M (1987) Methanation and photo-methanation of carbon-dioxide at room-temperature and atmospheric pressure. Nature 327:506β508OβBrien PG, Sandhel A, Wood TE, Jelle AA, Hoch LB, Perovic DD, Mims CA, Ozin GA (2014) Photomethanation of gaseous CO2 over RU/silicon nanowire catalysts with visible and near-infrared photons. Adv Sci 1:1400001Meng X, Wang T, Liu L, Ouyang S, Li P, Hu H, Kako T, Iwai H, Tanaka A, Ye J (2014) Photothermal conversion of CO2 into CH4 with H2 over group VIII nanocatalysts: an alternative approach for solar fuel production. Angew Chem Int Ed 53:11478β11482Sastre F, Puga AV, Liu L, Corma A, GarcΓa H (2014) Complete photocatalytic reduction of CO2 to methane by H2 under solar light irradiation. J Am Chem Soc 136:6798β6801Hong J, Zhang W, Ren J, Xu R (2013) Photocatalytic reduction of CO2: a brief review on product analysis and systematic methods. Anal Methods 5:1086β1097Yang C-C, Yu Y-H, van der Linden B, Wu JCS, Mul G (2010) Artificial photosynthesis over crystalline TiO2-based catalysts: fact or fiction. J Am Chem Soc 132:8398β8406Kohno Y, Tanaka T, Funabiki T, Yoshida S (1998) Identification and reactivity of a surface intermediate in the photoreduction of CO2 with H2 over ZrO2. J Chem Soc Faraday Trans 94:1875β1880Teramura K, Tanaka T, Ishikawa H, Kohno Y, Funabiki T (2004) Photocatalytic reduction of CO2 to CO in the presence of H2 or CH4 as a reductant over MgO. J Phys Chem B 108:346β354Zhang H, Wang T, Wang J, Liu H, Dao TD, Li M, Liu G, Meng X, Chang K, Shi L, Nagao T, Ye J (2016) Surface-plasmon-enhanced photodriven CO2 reduction catalyzed by metal-organic-framework-derived iron nanoparticles encapsulated by ultrathin carbon layers. Adv Mater 28:3703β3710Morikawa M, Ahmed N, Yoshida Y, Izumi Y (2014) Photoconversion of carbon dioxide in zinc-copper-gallium layered double hydroxides: the kinetics to hydrogen carbonate and further to CO/methanol. Appl Catal B 144:561β569Sabatier P (1910) Making methane or mixtures of methane and hydrogen, US Pat. 956734Melsheimer J, Guo W, Ziegler D, Wesemann M, SchlΓΆgl R (1991) Methanation of carbon dioxide over Ru/Titania at room temperature: explorations for a photoassisted catalytic reaction. Catal Lett 11:157β168Lin X, Yang K, Si R, Chen X, Dai W, Fu X (2014) Photoassisted catalytic methanation of CO in H2-rich stream over Ru/TiO2. Appl Catal B 147:585β591Lin X, Lin L, Huang K, Chen X, Dai W, Fu X (2015) CO methanation promoted by UV irradiation over Ni/TiO2. Appl Catal B 168β169:416β422Sastre F, Oteri M, Corma A, GarcΓa H (2013) Photocatalytic water gas shift using visible or simulated solar light for the efficient, room-temperature hydrogen generation. Energy Environ Sci 6:2211β2215Sastre F, Corma A, GarcΓa H (2013) Visible-light photocatalytic conversion of carbon monoxide to methane by nickel(ii) oxide. Angew Chem Int Ed 52:12983β12987Zhao Y, Zhao B, Liu J, Chen G, Gao R, Yao S, Li M, Zhang Q, Gu L, Xie J, Wen X, Wu L-Z, Tung C-H, Ma D, Zhang T (2016) Oxide-modified nickel photocatalyst for the production of hydrocarbons in visible light. Angew. Chem. Int. Ed. 55:4215β4219Albero J, Garcia H, Corma A (2016) Temperature dependence of solar light assisted CO2 reduction on Ni based photocatalyst. Top Catal 59:787β79
Spontaneous, pro-arrhythmic calcium signals disrupt electrical pacing in mouse pulmonary vein sleeve cells
The pulmonary vein, which returns oxygenated blood to the left atrium, is ensheathed by a population of unique, myocyte-
like cells called pulmonary vein sleeve cells (PVCs). These cells autonomously generate action potentials that propagate into the left atrial chamber and cause arrhythmias resulting in atrial fibrillation; the most common, often sustained, form of cardiac arrhythmia. In mice, PVCs extend along the pulmonary vein into the lungs, and are accessible in a lung slice preparation. We exploited this model to study how aberrant Ca2+ signaling alters the ability of PVC networks to follow electrical pacing. Cellular responses were investigated using real-time 2-photon imaging of lung slices loaded with a Ca2+- sensitive fluorescent indicator (Ca2+ measurements) and phase contrast microscopy (contraction measurements). PVCs displayed global Ca2+ signals and coordinated contraction in response to electrical field stimulation (EFS). The effects of EFS relied on both Ca2+ influx and Ca2+ release, and could be inhibited by nifedipine, ryanodine or caffeine. Moreover, PVCs had a high propensity to show spontaneous Ca2+ signals that arose via stochastic activation of ryanodine receptors (RyRs). The ability of electrical pacing to entrain Ca2+ signals and contractile responses was dramatically influenced by inherent spontaneous Ca2+ activity. In PVCs with relatively low spontaneous Ca2+ activity (2+ activity (>1.5 Hz), electrical pacing was less effective; PVCs became unpaced, only partially-paced or displayed alternans. Because spontaneous Ca2+ activity varied between cells, neighboring PVCs often had different responses to electrical pacing. Our data indicate that the ability of PVCs to respond to electrical stimulation depends on their intrinsic Ca2+ cycling properties. Heterogeneous spontaneous Ca2+ activity arising from stochastic RyR opening can disengage them from sinus rhythm and lead to autonomous, pro-arrhythmic activity
Functional Characterization of a First Avian Cytochrome P450 of the CYP2D Subfamily (CYP2D49)
The CYP2D family members are instrumental in the metabolism of 20β25% of commonly prescribed drugs. Although many CYP2D isoforms have been well characterized in other animal models, research concerning the chicken CYP2Ds is limited. In this study, a cDNA encoding a novel CYP2D enzyme (CYP2D49) was cloned from the chicken liver for the first time. The CYP2D49 cDNA contained an open reading frame of 502 amino acids that shared 52%β57% identities with other CYP2Ds. The gene structure and neighboring genes of CYP2D49 are conserved and similar to those of human CYP2D6. Additionally, similar to human CYP2D6, CYP2D49 is un-inducible in the liver and expressed predominantly in the liver, kidney and small intestine, with detectable levels in several other tissues. Metabolic assays of the CYP2D49 protein heterologously expressed in E. coli and Hela cells indicated that CYP2D49 metabolized the human CYP2D6 substrate, bufuralol, but not debrisoquine. Moreover, quinidine, a potent inhibitor of human CYP2D6, only inhibited the bufuralol 1β²-hydroxylation activity of CYP2D49 to a negligible degree. All these results indicated that CYP2D49 had functional characteristics similar to those of human CYP2D6 but measurably differed in the debrisoquine 4β²-hydroxylation and quinidine inhibitory profile. Further structure-function investigations that employed site-directed mutagenesis and circular dichroism spectroscopy identified the importance of Val-126, Glu-222, Asp-306, Phe-486 and Phe-488 in keeping the enzymatic activity of CYP2D49 toward bufuralol as well as the importance of Asp-306, Phe-486 and Phe-488 in maintaining the conformation of CYP2D49 protein. The current study is only the first step in characterizing the metabolic mechanism of CYP2D49; further studies are still required
Mouse RC/BTB2, a Member of the RCC1 Superfamily, Localizes to Spermatid Acrosomal Vesicles
Mouse RC/BTB2 is an unstudied protein of the RCC1 (Regulator of Chromosome Condensation) superfamily. Because of the significant remodeling of chromatin that occurs during spermiogenesis, we characterized the expression and localization of mouse RC/BTB2 in the testis and male germ cells. The Rc/btb2 gene yields two major transcripts: 2.3 kb Rc/btb2-s, present in most somatic tissues examined; and 2.5 kb Rc/btb2-t, which contains a unique non-translated exon in its 5β²-UTR that is only detected in the testis. During the first wave of spermatogenesis, Rc/btb2-t mRNA is expressed from day 8 after birth, reaching highest levels of expression at day 30 after birth. The full-length protein contains three RCC1 domains in the N-terminus, and a BTB domain in the C-terminus. In the testis, the protein is detectable from day 12, but is progressively up-regulated to day 30 and day 42 after birth. In spermatids, some of the protein co-localizes with acrosomal markers sp56 and peanut lectin, indicating that it is an acrosomal protein. A GFP-tagged RCC1 domain is present throughout the cytoplasm of transfected CHO cells. However, both GFP-tagged, full-length RC/BTB2 and a GFP-tagged BTB domain localize to vesicles in close proximity to the nuclear membrane, suggesting that the BTB domain might play a role in mediating full-length RC/BTB2 localization. Since RCC1 domains associate with Ran, a small GTPase that regulates molecular trafficking, it is possible that RC/BTB2 plays a role in transporting proteins during acrosome formation
Bone mineral density and cytokine levels during interferon therapy in children with chronic hepatitis B: does interferon therapy prevent from osteoporosis?
BACKGROUND: Our aim was to determinate bone mineral density (BMD), levels of biochemical markers and cytokines in children with chronic hepatitis B treated with interferon (IFN)-alpha and to investigate effect of IFN-alpha therapy on these variables. To the best of our knowledge, this is first study carried out about BMD and cytokine levels in pediatric patients with chronic hepatitis B treated with IFN-alpha. METHODS: BMD, levels of parathyroid hormone (PTH), osteocalcin, C-terminal cross-linking telopeptide of type I collagen (CTX), calcium, alkaline phosphates (ALP), cytokines as TNF-alpha, interleukin (IL)-1(Ξ²), IL-2r, IL-6, and IL-8 were studied in 54 children with chronic hepatitis B (4β15 years old) treated with interferon alone (n = 19) or in combination with lamivudine (n = 35) for six months and as controls in 50 age-matched healthy children. RESULTS: There was no significant difference in respect to serum IL-1(Ξ²), TNF-Ξ± and osteocalcin levels while serum IL-2r (p = 0.002), IL-6 (p = 0.001), IL-8 (p = 0.013), PTH (p = 0.029), and CTX (p = 0.021) levels were higher in children with chronic hepatitis B than in healthy controls. BMD of femur neck (p = 0.012) and trochanter (p = 0.046) in patients were higher than in healthy controls. There was a statistically significant correlation between serum IL-1(Ξ² )and osteocalcin (r = -0.355, p < 0.01); between serum IL-8 and CTX levels (r = 0.372, p = 0.01), and ALP (r = 0.361, p = 0.01); between serum ALP and femur neck BMD (r = 0.303, p = 0.05), and trochanter BMD (r = 0.365, p = 0.01); between spine BMD and IL-2R (r = -0.330, p < 0.05). CONCLUSION: In conclusion, our study suggest that BMD of femur, serum IL-2r, IL-6, IL-8, PTH, and CTX levels were higher in children with chronic hepatitis B treated with IFN-alpha alone or combination with lamivudine than in healthy children. High femur BMD measurements found in patients may suggest that IFN-alpha therapy in children with chronic hepatitis B could contribute indirectly to prevent from hip osteoporosis. Additionally, further investigations on effects of IFN-alpha for bone structure in children should be performed in the future
Functional Promoter Polymorphisms Govern Differential Expression of HMG-CoA Reductase Gene in Mouse Models of Essential Hypertension
3-Hydroxy-3-methylglutaryl-coenzyme A [HMG-CoA] reductase gene (Hmgcr) is a susceptibility gene for essential hypertension. Sequencing of the Hmgcr locus in genetically hypertensive BPH (blood pressure high), genetically hypotensive BPL (blood pressure low) and genetically normotensive BPN (blood pressure normal) mice yielded a number of single nucleotide polymorphisms (SNPs). BPH/BPL/BPN Hmgcr promoter-luciferase reporter constructs were generated and transfected into liver HepG2, ovarian CHO, kidney HEK-293 and neuronal N2A cells for functional characterization of the promoter SNPs. The BPH-Hmgcr promoter showed significantly less activity than the BPL-Hmgcr promoter under basal as well as nicotine/cholesterol-treated conditions. This finding was consistent with lower endogenous Hmgcr expression in liver and lower plasma cholesterol in BPH mice. Transfection experiments using 5β²-promoter deletion constructs (strategically made to assess the functional significance of each promoter SNP) and computational analysis predicted lower binding affinities of transcription factors c-Fos, n-Myc and Max with the BPH-promoter as compared to the BPL-promoter. Corroboratively, the BPH promoter-luciferase reporter construct co-transfected with expression plasmids of these transcription factors displayed less pronounced augmentation of luciferase activity than the BPL construct, particularly at lower amounts of transcription factor plasmids. Electrophoretic mobility shift assays also showed diminished interactions of the BPH promoter with HepG2 nuclear proteins. Taken together, this study provides mechanistic basis for the differential Hmgcr expression in these mouse models of human essential hypertension and have implications for better understanding the role of this gene in regulation of blood pressure
Anatomy-Specific Pancreatic Stump Management to Reduce the Risk of Pancreatic Fistula After Pancreatic Head Resection.
BACKGROUND: The anatomical status of the pancreatic remnant after a pancreatic head resection varies greatly among patients. The aim of the present study was to improve management of the pancreatic remnant for reducing pancreatic fistula after pancreatic head resection. METHODS: Ninety-five consecutive patients who underwent an end-to-side, duct-to-mucosa pancreaticojejunostomy after pancreatic head resection were included in the study. To approximate the pancreatic stump to the jejunum, the transfixing and interrupted suture techniques were used in 51 and 44 patients, respectively. We modified the interrupted suture technique according to the anatomical status of the pancreatic remnant, i.e., the shape of the pancreatic stump and the location of the pancreatic duct. RESULTS: There was no operative mortality in this study. Overall, 14 patients (15%) developed a clinically relevant pancreatic fistula. Certain anatomical features, including a small pancreatic duct, a soft, nonfibrotic pancreatic gland, and a pancreatic duct adjacent to the posterior cut edge, were significantly associated with pancreatic fistula. The fistula rate in the interrupted suture group was 7%, lower than that (22%) in the transfixing suture group (P = 0.036), and it was not influenced by pancreatic anatomy. Multivariate analysis identified a nonfibrotic pancreas (versus fibrotic pancreas; odds ratio [OR] 12.58, 95% CI 1.2-23.9; P = 0.001), a soft pancreas (versus hard pancreas; OR 4.67, CI 1.2-51.1; P = 0.006), and the transfixing suture technique (versus interrupted suture technique; OR 9.91, CI 1.7-57.5; P = 0.003) as significant predictors of clinically relevant pancreatic fistula. CONCLUSIONS: Pancreatic anastomosis modified according to the pancreatic anatomy is effective in reducing the risk of pancreatic fistula formation with end-to-side, duct-to-mucosa pancreaticojejunostomy after pancreatic head resection
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