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1.
J AOAC Int ; 103(4): 1073-1080, 2020 Jul 01.
Article in English | MEDLINE | ID: mdl-33241338

ABSTRACT

BACKGROUND: Lutein is gaining attention as a strong antioxidant contained in foods. It accumulates in the human blood and retina, and is considered to play an important role in the body, especially in the eyes. OBJECTIVE: A method to determine the lutein content of raw spinach (Spinacia oleracea L.) was developed with the aim of its enactment as a Japanese agricultural standard (JAS) measurement method for components beneficial to human health. METHODS: An interlaboratory study was conducted to evaluate an analytical method for the determination of lutein in spinach. The detection limit and quantification limit of lutein for this method were 0.2 and 0.7 mg/kg, respectively. Twelve participating laboratories independently analyzed test samples (five pairs of blind duplicates) using high-performance liquid chromatography (HPLC). RESULTS: After removal of a few outliers, the repeatability relative standard deviation (RSDr), reproducibility (RSDR), and predicted RSDR of the evaluated method were 3.4-7.5, 4.6-13, and 7.5-8.5%, respectively, in a concentration range from 64.9-150 mg/kg. CONCLUSIONS: The HorRat values (RSDR/predicted RSDR) of the lutein concentration were calculated to be 0.61-1.6. HIGHLIGHTS: The study results indicate the acceptable precision of this method.


Subject(s)
Lutein , Spinacia oleracea , Chromatography, High Pressure Liquid , Food , Humans , Reproducibility of Results
2.
J AOAC Int ; 103(6): 1619-1624, 2020 Nov 01.
Article in English | MEDLINE | ID: mdl-33112388

ABSTRACT

BACKGROUND: Lycopene has been the object of considerable research attention recently, and the effects of the intake of lycopene, or of tomato products, have been studied in various ways. In Japan, interest in the health-promoting function of food components has increased. OBJECTIVE: Developing a method to determine lycopene contents in tomato that meets the Japanese Agricultural Standard (JAS). METHOD: In the proposed JAS method, the test sample consists of fresh tomatoes; a hexane-acetone mixture is utilized as the extraction solvent. A collaborative study was conducted to evaluate the interlaboratory performance of the method. RESULTS: Ten laboratories participated and analyzed six test materials characterized by a lycopene content between 39 and 170 mg/kg as blind duplicates. After removing statistical outliers, RSDr ranged from 1.2 to 3.0% and RSDR ranged from 2.4 to 4.2%. The HorRat values were calculated and found to be in the 0.26-0.49 range. CONCLUSIONS: The method for determining the lycopene content in tomato was evaluated by means of a collaborative study, and the reproducibility of this method was found to be acceptable. HIGHLIGHTS: Intended for standardization in Japan, a method to determine lycopene content in tomato has been developed and shown to have acceptable precision in a collaborative study.


Subject(s)
Lycopene , Solanum lycopersicum , Japan , Lycopene/analysis , Reproducibility of Results , Spectrophotometry
3.
Int J Mol Sci ; 21(14)2020 Jul 17.
Article in English | MEDLINE | ID: mdl-32709112

ABSTRACT

There is increasing interest in the development of noble metal separation/recovery processes, especially for applications to "urban mining". Common separation/recovery processes for noble metals use a solvent (liquid-liquid) extraction technique in hydrometallurgy. However, these processes are time-consuming and not environmentally friendly, because they use organic solvents for sequential metal ion extractions. Electrowinning is an alternative approach for selective metal precipitation that involves controlling the redox potentials of electrodes but requires specialized equipment and generates hydrogen as a byproduct at the cathode surface under dilute conditions. In the present study, we investigated selective gold recovery from a homogenous aqueous solution containing a mixture of dilute HAuCl4 and H2PtCl6 (5.0 × 10-5 M each) and aromatic amino acid-containing peptides (2.0 × 10-4 M each). Gold selectivity was determined by analyzing the compositions of the solids and supernatants obtained from the reaction mixtures. A much higher gold selectivity (gold/platinum (Au/Pt) atomic ratio = 7.5) was obtained using an anthracene-containing peptide compared to peptides containing one or two naphthalene ring(s). Our proposed approach is applicable to the sequential separation of several noble metal ions, such as Au, palladium (Pd), Pt, iridium (Ir) and rhodium (Rh), and simply requires developing aromatics suitable for each noble metal of interest.


Subject(s)
Amino Acids, Aromatic/chemistry , Gold/isolation & purification , Peptides/chemistry , Water/analysis , Chemical Precipitation , Gold/analysis , Platinum/analysis , Platinum/isolation & purification , Solutions
4.
Chest ; 149(5): 1276-84, 2016 May.
Article in English | MEDLINE | ID: mdl-26513315

ABSTRACT

BACKGROUND: Endobronchial ultrasonography (EBUS) facilitates a lung cancer diagnosis. However, qualitative tissue characterization of lung tumors is difficult using EBUS. Integrated backscatter (IBS) is an ultrasound technique that calculates the power of the ultrasound signal to characterize tissue components in coronary arteries. We hypothesized that qualitative diagnosis of lung tumors is possible using the IBS technique. The aim of the present study was to elucidate whether the IBS technique can be used in lung tissue diagnoses. METHODS: Thirty-five consecutive patients who underwent surgery for lung cancer were prospectively enrolled. Surgical specimens of the lung and the tumor tissue were obtained, and the IBS values were measured within 48 h after surgery. Histologic images of lung and tumor tissues were compared with IBS values, and the relative interstitial area according to results of Masson's trichrome staining were determined by using an imaging processor. RESULTS: The IBS values in tumor tissue were significantly lower than those in normal lung tissue (-50.9 ± 2.6 dB and -47.6 ± 2.6 dB, respectively; P < .001). The IBS values of adenocarcinomas associated with a good 5-year survival rate were higher than those of non-adenocarcinomas (-48.1 ± 1.6 dB and -52.6 ± 1.4 dB; P < .001). There were significant correlations between the IBS values and the relative interstitial area or micro air area in tumor (r = 0.53 and r = 0.67; P < .01). After combining normal lung tissue and adenocarcinomas with a good prognosis, the sensitivity and specificity for establishing the presence of lung tumors were 84% and 85%. CONCLUSIONS: Qualitative diagnosis of lung tumors was possible, with a sensitivity of 84% and a specificity of 85%, using the ultrasound IBS technique.


Subject(s)
Adenocarcinoma/diagnostic imaging , Carcinoma, Large Cell/diagnostic imaging , Carcinoma, Neuroendocrine/diagnostic imaging , Carcinoma, Squamous Cell/diagnostic imaging , Lung Neoplasms/diagnostic imaging , Ultrasonography, Interventional/instrumentation , Adenocarcinoma/pathology , Adenocarcinoma/surgery , Aged , Bronchoscopy , Carcinoma, Large Cell/pathology , Carcinoma, Large Cell/surgery , Carcinoma, Neuroendocrine/pathology , Carcinoma, Neuroendocrine/surgery , Carcinoma, Squamous Cell/pathology , Carcinoma, Squamous Cell/surgery , Endosonography , Female , Humans , Lung Neoplasms/pathology , Lung Neoplasms/surgery , Male , Middle Aged , Neoplasm Staging , Prognosis , Prospective Studies , Reproducibility of Results , Sensitivity and Specificity
5.
Gan To Kagaku Ryoho ; 42(6): 705-8, 2015 Jun.
Article in Japanese | MEDLINE | ID: mdl-26199241

ABSTRACT

Toxicity and efficacy of pemetrexed monotherapy in advanced non-small-cell lung cancer patients with impaired renal function treated between May 2009 and May 2012 at Gifu University Hospital were retrospectively analyzed. A total of 10 and 17 patients had a creatinine clearance rate (Ccr) of <45 mL/min and ≥45 mL/min, respectively. The median age was higher in the Ccr<45 mL/min group (78.9 years) than in the ≥45 mL/min group (65.2 years). The rate of neutropenia above Grade 3 was 30% in the Ccr<45 mL/min group and 6% in the ≥45 mL/min group. Therefore, reducing the dose of pemetrexed should be considered in patients with impaired renal function. Non-hematologic toxicities were not correlated with the renal function. There was no treatment-related death, and most of the toxicities were mild and tolerable. Stable disease was observed in 6 patients (60%) in the Ccr<45 mL/min group, and in 12 patients (70%) in the Ccr≥45 mL/min group, although some patients in both groups showed neither complete nor partial responses. The disease control rate and median progression-free survival time were 60% and 2.8 months in the Ccr<45 mL/min group, and 70% and 2.9 months in the Ccr≥45 mL/min group, respectively. Thus, in this analysis, treatment with pemetrexed resulted in clinically equivalent efficacy in advanced non-small-cell lung cancer patients regardless of the state of renal function.


Subject(s)
Antimetabolites, Antineoplastic/therapeutic use , Carcinoma, Non-Small-Cell Lung/drug therapy , Glutamates/therapeutic use , Guanine/analogs & derivatives , Lung Neoplasms/drug therapy , Renal Insufficiency/physiopathology , Adult , Aged , Aged, 80 and over , Antimetabolites, Antineoplastic/adverse effects , Female , Glutamates/adverse effects , Guanine/adverse effects , Guanine/therapeutic use , Humans , Lung Neoplasms/pathology , Male , Middle Aged , Pemetrexed , Renal Insufficiency/chemically induced , Retrospective Studies
6.
Structure ; 22(4): 560-71, 2014 Apr 08.
Article in English | MEDLINE | ID: mdl-24560805

ABSTRACT

The structural details of the essential entity of prion disease, fibril prion protein (PrP(Sc)), are still elusive despite the large body of evidence supporting the prion hypothesis. Five major working models of PrP(Sc) structure, which are not compatible with each other, have been proposed. However, no systematic evaluation has been performed on those models. We devised a method that combined systematic point mutation with threading on knowledge-based amino acid potentials. A comprehensive mutation experiment was performed on mouse prion protein, and the PrP(Sc) conversion efficiency of each mutant was examined. The models were evaluated based on the mutation data by using the threading method. Although the data turned out to be rather more consistent with the models that assumed a conversion of the N-terminal region of core PrP into a ß helix than with others, substantial modifications were also required to further improve the current model based on recent experimental results.


Subject(s)
Models, Molecular , PrPSc Proteins/chemistry , Amino Acid Sequence , Animals , Cell Line, Tumor , Gene Expression , Mice , Molecular Sequence Data , Mutagenesis, Site-Directed , Neurons/cytology , Neurons/metabolism , Point Mutation , PrPSc Proteins/genetics , Protein Structure, Secondary , Protein Structure, Tertiary , Recombinant Proteins/chemistry , Recombinant Proteins/genetics , Transfection
7.
Gen Thorac Cardiovasc Surg ; 59(4): 288-92, 2011 Apr.
Article in English | MEDLINE | ID: mdl-21484558

ABSTRACT

The present case report details our experience with the hybrid approach for multiple aneurysms in the aortic arch, thoracoabdominal aorta, and around the aortic bifurcation. Total arch replacement for the arch aneurysm under hypothermic cardiopulmonary bypass with antegrade cerebral perfusion was the first stage of aneurysm repair. Five months later, bifurcated graft replacement with debranching of four abdominal branches was undertaken as the second stage of treatment. Finally, stent-graft repair for chronic dissection of the thoracoabdominal aorta was performed utilizing a Gore-Tex Tag endovascular prosthesis. Over 7 months of treatment, all aneurysms were excluded from the aortic blood flow and pressure without abdominal organ dysfunction except a transiently elevated total bilirubin level. Although the patient had an episode of minor gastrointestinal bleeding after discharge, he is currently leading a normal life without limitations at home 5 months after the stent-graft repair.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Aortic Aneurysm, Thoracic/surgery , Aortic Dissection/surgery , Blood Vessel Prosthesis Implantation , Endovascular Procedures , Aged , Aortic Dissection/diagnostic imaging , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Thoracic/diagnostic imaging , Aortography/methods , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/adverse effects , Blood Vessel Prosthesis Implantation/instrumentation , Endovascular Procedures/adverse effects , Endovascular Procedures/instrumentation , Humans , Male , Prosthesis Design , Stents , Tomography, X-Ray Computed , Treatment Outcome
8.
Ann Vasc Surg ; 24(7): 955.e1-4, 2010 Oct.
Article in English | MEDLINE | ID: mdl-20832000

ABSTRACT

Abdominal aortic dissection (AAD) is a rare pathology and potentially causes rupture or other serious complications. This case report details our experience in endovascular aneurysm repair for AAD in a patient who had a history of coronary bypass surgery. Circumferential dissection of terminal aorta showed stenosis of true lumen as well as blood flow present in the pseudolumen. Using Zenith AAA endovascular device, the entry site was closed and the pseudolumen was thrombosed successfully. In the present report, published data on AAD were reviewed and endovascular aneurysm repair as a treatment option has been discussed as well.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Aortic Dissection/surgery , Blood Vessel Prosthesis Implantation , Endovascular Procedures , Aortic Dissection/diagnostic imaging , Aortic Dissection/physiopathology , Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/physiopathology , Aortography/methods , Blood Vessel Prosthesis , Blood Vessel Prosthesis Implantation/instrumentation , Coronary Artery Bypass , Endovascular Procedures/instrumentation , Hemodynamics , Humans , Male , Middle Aged , Prosthesis Design , Stents , Tomography, X-Ray Computed , Treatment Outcome
9.
Neuropathology ; 29(5): 619-24, 2009 Oct.
Article in English | MEDLINE | ID: mdl-19659941

ABSTRACT

The transmission of prions to animals with incongruent prion protein (PrP) gene (referred to as cross-sequence transmission) results in a relatively long incubation period and can generate a new prion strain with unique transmissibility designated as a traceback phenomenon. For example, cross-sequence transmission of bovine spongiform encephalopathy (BSE) prions to human generated variant Creutzfeldt-Jakob disease (vCJD) prions which retained the transmissibility to mice expressing bovine PrP. This finding suggests that traceback studies could enable us to identify the origin of prions. There are two distinct phenotypes in dura mater graft-associated Creutzfeldt-Jakob disease (dCJD), with the majority represented by a non-plaque-type of dCJD (np-dCJD) and the minority by a plaque-type of dCJD (p-dCJD). To identify the origin of p-dCJD, we performed a traceback study using mice expressing human PrP with methionine homozygosity (129M/M) or valine homozygosity (129V/V) at polymorphic codon 129. The characteristics of p-dCJD such as the accumulation of abnormal isoform of PrP (PrP(Sc)) intermediate in size between type 1 and type 2, and plaque-type PrP deposition in the brain were maintained after transmission to the 129M/M mice. Furthermore, the 129V/V mice were more susceptible to p-dCJD prions than the 129M/M mice and produced type 2 PrP(Sc) that were identical in size to those from the 129V/V mice inoculated with sporadic CJD prions from a patient with 129V/V and type 2 PrP(Sc) (sCJD-VV2). In addition, we performed intracerebral transmission of sCJD-VV2 prions to the 129M/M mice as an experimental model for p-dCJD. These 129M/M mice showed the accumulation of the intermediate type PrP(Sc) and plaque-type PrP deposition in the brain. These results suggest that p-dCJD could be caused by cross-sequence transmission of sCJD-VV2 prions to individuals with the 129M/M genotype.


Subject(s)
Brain Tissue Transplantation , Brain/metabolism , Creutzfeldt-Jakob Syndrome/transmission , Dura Mater/transplantation , Prions/metabolism , Animals , Blotting, Western , Brain/pathology , Creutzfeldt-Jakob Syndrome/metabolism , Creutzfeldt-Jakob Syndrome/pathology , Disease Models, Animal , Dura Mater/surgery , Gene Knock-In Techniques , Humans , Immunohistochemistry , Mice , Mice, Transgenic , Polymorphism, Genetic , PrPSc Proteins/genetics , PrPSc Proteins/metabolism , Prions/genetics , Species Specificity , Time Factors
10.
Gen Thorac Cardiovasc Surg ; 57(4): 203-7, 2009 Apr.
Article in English | MEDLINE | ID: mdl-19367453

ABSTRACT

This case report details our experience with endovascular stent-graft repair for an abdominal aortic aneurysm (AAA) in a patient who was previously treated by left ventricular remodeling for dilated cardiomyopathy. Renal dysfunction with an elevated creatinine level (1.59 mg/dl) was managed by reducing the dose of contrast medium utilizing intravascular ultrasonography. Using a Zenith AAA endovascular device, the aneurysmal sac was successfully excluded and was thrombosed. Endovascular stenting is a good treatment option for abdominal aneurysm repair in patients with poor heart function and renal impairment.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis Implantation , Stents , Aortic Aneurysm, Abdominal/diagnosis , Cardiomyopathy, Dilated/complications , Cardiomyopathy, Dilated/surgery , Contrast Media/administration & dosage , Diagnostic Imaging , Humans , Kidney Failure, Chronic/complications , Male , Middle Aged
11.
J Biol Chem ; 282(41): 30022-8, 2007 Oct 12.
Article in English | MEDLINE | ID: mdl-17709374

ABSTRACT

The genotype (methionine or valine) at polymorphic codon 129 of the human prion protein (PrP) gene and the type (type 1 or type 2) of abnormal isoform of PrP (PrP(Sc)) are major determinants of the clinicopathological phenotypes of sporadic Creutzfeldt-Jakob disease (sCJD). Here we found that the transmission of sCJD prions from a patient with valine homozygosity (129V/V) and type 2 PrP(Sc) (sCJD-VV2 prions) to mice expressing human PrP with methionine homozygosity (129M/M) generated unusual PrP(Sc) intermediate in size between type 1 and type 2. The intermediate type PrP(Sc) was seen in all examined dura mater graft-associated CJD cases with 129M/M and plaque-type PrP deposits (p-dCJD). p-dCJD prions and sCJD-VV2 prions exhibited similar transmissibility and neuropathology, and the identical type of PrP(Sc) when inoculated into PrP-humanized mice with 129M/M or 129V/V. These findings suggest that p-dCJD could be caused by cross-sequence transmission of sCJD-VV2 prions.


Subject(s)
Creutzfeldt-Jakob Syndrome/diagnosis , Creutzfeldt-Jakob Syndrome/genetics , Prions/chemistry , Animals , Autopsy , Brain/metabolism , Codon , Genotype , Homozygote , Humans , Mice , Mice, Knockout , Mice, Transgenic , Prions/metabolism , Protein Isoforms , Valine/chemistry
12.
Biochem Biophys Res Commun ; 342(1): 293-9, 2006 Mar 31.
Article in English | MEDLINE | ID: mdl-16480953

ABSTRACT

Variant Creutzfeldt-Jakob disease (vCJD) appears to be caused by infection with the bovine spongiform encephalopathy (BSE) agent. To date, all patients with vCJD are homozygous for methionine at codon 129 of the PrP gene. To investigate the relationship between polymorphism at codon 129 and susceptibility to BSE or vCJD prions, we performed splenic follicular dendritic cell assay with humanized knock-in mice through peripheral infection. All humanized knock-in mice showed little or no susceptibility to BSE prions. Only the subset of humanized knock-in mice with codon 129 Met/Met genotype showed weak susceptibility by Western blotting. Surprisingly, we succeeded in the transmission of vCJD prions to humanized knock-in mice not only with codon 129 Met/Met but also with codon 129 Met/Val. Humanized knock-in mice with codon 129 Val/Val were not susceptible. The results suggest that human heterozygotes at codon 129 are also at risk for secondary infection with vCJD.


Subject(s)
Creutzfeldt-Jakob Syndrome/metabolism , Creutzfeldt-Jakob Syndrome/pathology , Prions/physiology , Prions/pathogenicity , Zoonoses , Animals , Cattle , Creutzfeldt-Jakob Syndrome/genetics , Disease Susceptibility , Humans , Mice , Mice, Transgenic , Prions/genetics , Species Specificity , Spleen/metabolism , Virulence
13.
Opt Express ; 14(20): 9299-306, 2006 Oct 02.
Article in English | MEDLINE | ID: mdl-19529313

ABSTRACT

We demonstrate a wide and fast wavelength-tunable modelocked fiber laser based on tuning the mode-locking frequency. The laser is in a sigma-laser configuration, and a wideband semiconductor optical amplifier (SOA) at 1.3 mum wavelength region is used as a gain medium. Mode locking is achieved by direct modulation of the injection current to the SOA, and a dispersion compensation fiber (DCF) is used to provide desired intracavity dispersion. By tuning the modulation frequency, a wide tuning range over 100 nm is achieved. Lasing wavelength is measured to be linearly in proportion to the RF frequency applied to the SOA. The sweep rate over the entire wavelength range (100 nm) can be raised to be as high as 200 kHz.

14.
Cell Commun Signal ; 3: 11, 2005 Oct 05.
Article in English | MEDLINE | ID: mdl-16207372

ABSTRACT

BACKGROUND: CCN2/CTGF is known to be involved in tooth germ development and periodontal tissue remodeling, as well as in mesenchymal tissue development and regeneration. In this present study, we investigated the roles of CCN2/CTGF in the proliferation and differentiation of periodontal ligament cells (murine periodontal ligament-derived cell line: MPL) in vitro. RESULTS: In cell cultures of MPL, the mRNA expression of the CCN2/CTGF gene was stronger in sparse cultures than in confluent ones and was significantly enhanced by TGF-beta. The addition of recombinant CCN2/CTGF (rCCN2) to MPL cultures stimulated DNA synthesis and cell growth in a dose-dependent manner. Moreover, rCCN2 addition also enhanced the mRNA expression of alkaline phosphatase (ALPase), type I collagen, and periostin, the latter of which is considered to be a specific marker of the periosteum and periodontium; whereas it showed little effect on the mRNA expression of typical osteoblastic markers, e.g., osteopontin and osteocalcin. Finally, rCCN2/CTGF also stimulated ALPase activity and collagen synthesis. CONCLUSION: These results taken together suggest important roles of CCN2/CTGF in the development and regeneration of periodontal tissue including the periodontal ligament.

15.
J Bone Miner Metab ; 23(4): 280-8, 2005.
Article in English | MEDLINE | ID: mdl-15981023

ABSTRACT

Connective tissue growth factor (CTGF/CCN2), one of the most recently described growth factors, is produced by chondrocytes, vascular endothelial cells, and transforming growth factor (TGF)-beta-stimulated fibroblasts. CTGF was isolated from a chondrosarcoma-derived chondrocytic cell line, HCS-2/8, and found to be normally expressed in cartilage tissues, especially in hypertrophic chondrocytes, and also to stimulate both the proliferation and the differentiation of chondrocytes in vitro. Therefore, CTGF is thought to be one of the most important regulators of endochondral ossification in vivo. Herein we describe the expression pattern of the ctgf gene in the calcifying tissues of normal developing mouse embryos in comparison with that in core binding factor a1 (Cbfa1)-targeted mutant (cbfa1-null) mouse embryos, in which impaired development and growth were characteristically observed in the skeletal system. After 15 days of development (E15), the expression of ctgf was detected in the zone of hypertrophy and provisional calcification, in which ossification proceeds toward the epiphysis during the skeletal development of the mouse embryo. Furthermore, ctgf was expressed in developing molar and incisal tooth germs around the perinatal stage. However, no expression of the gene was found in the cbfa1-null mouse embryos. These results indicate that CTGF may have certain important roles in the development of the calcifying tissues in the mouse embryo.


Subject(s)
Calcification, Physiologic/genetics , Immediate-Early Proteins/genetics , Intercellular Signaling Peptides and Proteins/genetics , Neoplasm Proteins/deficiency , Transcription Factors/deficiency , Animals , Animals, Newborn , Base Sequence , Collagen Type I/genetics , Collagen Type X/genetics , Connective Tissue Growth Factor , Core Binding Factor Alpha 1 Subunit , Core Binding Factors , DNA, Complementary/genetics , Female , Gene Expression Regulation, Developmental , Gestational Age , In Situ Hybridization , Mice , Mice, Inbred C57BL , Mice, Knockout , Neoplasm Proteins/genetics , Organ Specificity , Osteogenesis/genetics , Pregnancy , Transcription Factors/genetics
17.
Muscle Nerve ; 29(5): 721-3, 2004 May.
Article in English | MEDLINE | ID: mdl-15116377

ABSTRACT

Miyoshi myopathy is characterized by weakness of the calf muscles during early adulthood. We report a case of late-onset Miyoshi myopathy presenting at 48 years of age, with novel mutations in the dysferlin gene. Muscle computed tomography clearly revealed severe atrophy in the soleus and medial gastrocnemius muscles. Even older patients with atrophy in the posterior compartment of the distal lower extremities and a relatively high serum creatine kinase level should be examined for the dysferlin gene.


Subject(s)
Membrane Proteins/genetics , Muscle Proteins/genetics , Muscular Atrophy/genetics , Muscular Diseases/genetics , Mutation , Dysferlin , Female , Humans , Middle Aged , Muscle, Skeletal/diagnostic imaging , Muscle, Skeletal/pathology , Muscular Atrophy/diagnostic imaging , Muscular Atrophy/pathology , Muscular Diseases/diagnostic imaging , Muscular Diseases/pathology , Tomography, X-Ray Computed/methods
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