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1.
Phys Chem Chem Phys ; 16(34): 18261-7, 2014 Sep 14.
Article in English | MEDLINE | ID: mdl-25058172

ABSTRACT

Self-assembling systems of colloidal spheres are widely used as templates for the structured deposition of metals and semiconductors. Multilayer samples of ordered polystyrene spheres are prepared by a flow induced process. The subsequent surface activation by a dielectric barrier discharge in oxygen is followed by the fabrication of protecting polysiloxane layers. Electrochemical deposition of copper is used to test the stability of the pre-treated colloidal crystal. The arrangement of the spheres is preserved during the deposition process, due to the polysiloxane layer. The results of the consecutive preparation steps are investigated concerning topographical and chemical changes by atomic force microscopy, scanning electron microscopy and X-ray photoelectron spectroscopy.


Subject(s)
Colloids/chemical synthesis , Crystallization/methods , Electroplating/methods , Nanoparticles/chemistry , Nanoparticles/ultrastructure , Plasma Gases/chemistry , Polystyrenes/chemical synthesis , Materials Testing , Particle Size , Surface Properties
5.
Oncogene ; 32(26): 3147-55, 2013 Jun 27.
Article in English | MEDLINE | ID: mdl-22869144

ABSTRACT

Hypoxia inducible factor-2α (HIF-2α) has a critical role in renal tumorigenesis. HIF-2α is stabilized in von Hippel-Lindau (VHL)-deficient renal cell carcinoma through mechanisms that require ongoing mRNA translation. Mammalian target of rapamycin (mTOR) functions in two distinct complexes: Raptor-associated mTORC1 and Rictor-associated mTORC2. Rictor-associated mTORC2 complex has been linked to maintaining HIF-2α protein in the absence of VHL; however, the mechanisms remain to be elucidated. Although Raptor-associated mTORC1 is a known key upstream regulator of mRNA translation, initiation and elongation, the role of mTORC2 in regulating mRNA translation is not clear. Complex assembly of the mRNA cap protein, eukaryotic translation initiation factor 4 (eIF4)E, with activators (eIF4 gamma (eIF4G)) and inhibitors (eIF4E-binding protein 1 (4E-BP1)) are rate-limiting determinants of mRNA translation. Our laboratory has previously demonstrated that reactive oxygen species, mediated by p22(phox)-based Nox oxidases, are enhanced in VHL-deficient cells and have a role in the activation of Akt on S473, a site phosphorylated by the mTORC2 complex. In this study, we examined the role of Rictor-dependent regulation of HIF-2α through eIF4E-dependent mRNA translation and examined the effects of p22(phox)-based Nox oxidases on TORC2 regulation. We demonstrate for the first time that mTORC2 complex stability and activation is redox sensitive, and further defined a novel role for p22(phox)-based Nox oxidases in eIF4E-dependent mRNA translation through mTORC2. Furthermore, we provide the first evidence that silencing of p22(phox) reduces HIF-2α-dependent gene targeting in vitro and tumor formation in vivo. The clinical relevance of these studies is demonstrated.


Subject(s)
Basic Helix-Loop-Helix Transcription Factors/metabolism , Carcinoma, Renal Cell/metabolism , Multiprotein Complexes/metabolism , NADPH Oxidases/metabolism , Protein Biosynthesis , RNA, Messenger/genetics , TOR Serine-Threonine Kinases/metabolism , Animals , Carcinoma, Renal Cell/genetics , Cell Line, Tumor , Cell Transformation, Neoplastic , Enzyme Activation , Eukaryotic Initiation Factor-4E/metabolism , Humans , Mechanistic Target of Rapamycin Complex 2 , Mice , NADPH Oxidases/genetics , Neoplasm Transplantation , Oxidation-Reduction , Transplantation, Heterologous , Von Hippel-Lindau Tumor Suppressor Protein/metabolism
6.
Phys Chem Chem Phys ; 12(8): 1750-5, 2010 Feb 28.
Article in English | MEDLINE | ID: mdl-20145839

ABSTRACT

We report on the synthesis of copper nanoparticles in two different water- and air-stable ionic liquids using plasma electrochemical deposition. The copper nanoparticles were deposited in 1-butyl-1-methylpyrrolidinium bis(trifluoromethylsulfonyl)amide ([Py(1,4)]Tf(2)N) and 1-ethyl-3-methylimidazolium bis(trifluoromethylsulfonyl)amide ([EMIm]Tf(2)N). To get information on the dimensions of the particles made, we have applied in situ transmission electron microscopy (TEM) (particles in ionic liquid). The chemical composition was investigated by ex situ X-ray photoelectron spectroscopy (XPS). We found that the copper particles produced in [Py(1,4)]Tf(2)N were larger in size compared to the particles obtained in [EMIm] Tf(2)N (roughly 20 vs. 10 nm). The chemical composition of the particle surface differs too. In both cases the particles are partly oxidised leading to a CuO shell, but the particles obtained in [Py(1,4)]Tf(2)N carry a lot of residues from the ionic liquid.

7.
Phys Chem Chem Phys ; 11(17): 3152-7, 2009 May 07.
Article in English | MEDLINE | ID: mdl-19370210

ABSTRACT

Oxygen incorporation from CO(2) into Fe-doped SrTiO(3)(100) single crystals (0.013 at% Fe, 0.039 at% Fe and 0.13 at% Fe) was investigated. Oxygen incorporation processes using (13)C(18)O(2) as the gas source were studied by isotope exchange depth profiling (IEDP) and subsequent secondary-ion mass spectroscopy (SIMS). The interaction of CO(2) with SrTiO(3) (100) surfaces was further studied with different surface analytical techniques like metastable induced electron spectroscopy (MIES), ultraviolet photoelectron spectroscopy (UPS) and X-ray photoelectron spectroscopy (XPS). Results indicate that CO(2) interaction with SrTiO(3) (100) surfaces does not change the surface at all. It seems that CO(2) provides a very low sticking probability on the surface as it is not traced by valence band spectroscopy even at room temperature. Nonetheless, (13)C(18)O(2) acts as an incorporation source of (18)O into the Fe-doped SrTiO(3) single crystals. The diffusion coefficient exhibits a peculiar behaviour when Fe concentration increases. No carbon incorporation is observed at all.

8.
Prostate ; 68(8): 883-92, 2008 Jun 01.
Article in English | MEDLINE | ID: mdl-18361412

ABSTRACT

BACKGROUND: Existing prostate cancer cell lines have limitations. METHODS: Cells were characterized using Western blotting, immunohistochemistry, invasion into Matrigel, and by studying xenograft tumors. RESULTS: We describe a cell line (PacMetUT1) isolated from a lymph node of a 57-year-old male with prostate cancer. Compared to existing prostate cancer cell lines, the growth rate of PacMetUT1 xenograft tumors is slower with tumors occurring at injection sites and with metastases to lung and liver. Androgen receptor (AR) was detected in vivo by Western blotting and the cells responded to methyltrienolone (R1881). PacMetUT1 cells are more invasive in Matrigel than DU-145, PC-3, and LNCaP cells, and showed greater anchorage-independent growth in soft agar. The cells do not express prostate specific antigen (PSA) in vitro or in xenografts. However, the green fluorescent protein (GFP) gene was introduced and stably expressed in PacMetUT1 cells, allowing tumor imaging in vivo. Xenograft tumors show epithelial features and are positive for keratin, epithelial membrane antigen, EGF receptor, and E cadherin. In contrast, fibroblast markers vimentin, desmin, and Factor VIII, were negative. Karyotyping showed losses of 6p, 7q, 8p, 18q, and 22q, and gains of 8q and 9q; additional genetic material was observed at 2q and 12p. CONCLUSION: The PacMetUT1 cell line allows metastases to be assessed using a single animal model. Because of its slower growth, PacMetUT1 more closely mimics the human disease. Studies of tumor progression or metastasis can be conducted over a longer period of time.


Subject(s)
Cell Line, Tumor , Prostatic Neoplasms/pathology , Cell Proliferation , Cyclin-Dependent Kinase Inhibitor p21/metabolism , Humans , Immunohistochemistry , Karyotyping , Male , Middle Aged , Neoplasm Invasiveness , Neoplasm Metastasis , Prostatic Neoplasms/metabolism , Receptors, Androgen/metabolism , Transforming Growth Factor beta/pharmacology , Tumor Suppressor Protein p53/metabolism
9.
Ann Oncol ; 15(10): 1510-6, 2004 Oct.
Article in English | MEDLINE | ID: mdl-15367412

ABSTRACT

The PTEN protein is a lipid phosphatase with putative tumor suppressing abilities, including inhibition of the PI3K/Akt signaling pathway. Inactivating mutations or deletions of the PTEN gene, which result in hyper-activation of the PI3K/Akt signaling pathway, are increasingly being reported in human malignancies, including breast cancer, and have been related to features of poor prognosis and resistance to chemotherapy and hormone therapy. Prior studies in different tumor models have shown that, under conditions of PTEN deficiency, the PI3K/Akt signaling pathway becomes a fundamental proliferative and survival pathway, and that pharmacological inhibition of this pathway results in tumor growth inhibition. This study aimed to explore further this hypothesis in breast cancer cells. To this end, we have determined the growth response to inhibition of the PI3K/Akt signaling pathway in a series of breast cancer cell lines with different PTEN levels. The PTEN-negative cell line displayed greater sensitivity to the growth inhibitory effects of the PI3K inhibitor, LY294002 and rapamycin, an inhibitor of the PI3K/Akt downstream mediator mTOR, compared with the PTEN-positive cell lines. To determine whether or not these differences in response are specifically due to effects of PTEN, we developed a series of cell lines with reduced PTEN protein expression compared with the parental cell line. These reduced PTEN cells demonstrated an increased sensitivity to the anti-proliferative effects induced by LY294002 and rapamycin compared with the parental cells, which corresponded to alterations in cell cycle response. These findings indicate that inhibitors of mTOR, some of which are already in clinical development (CCI-779, an ester of rapamycin), have the potential to be effective in the treatment of breast cancer patients with PTEN-negative tumors and should be evaluated in this setting.


Subject(s)
Breast Neoplasms/genetics , Breast Neoplasms/pathology , Phosphatidylinositol 3-Kinases/pharmacology , Phosphoric Monoester Hydrolases/biosynthesis , Phosphoric Monoester Hydrolases/pharmacology , Protein Serine-Threonine Kinases/pharmacology , Proto-Oncogene Proteins/pharmacology , Tumor Suppressor Proteins/biosynthesis , Tumor Suppressor Proteins/pharmacology , Antibiotics, Antineoplastic/pharmacology , Cell Cycle , Cell Proliferation , Chromones/pharmacology , Enzyme Inhibitors/pharmacology , Female , Genes, Tumor Suppressor , Humans , Morpholines/pharmacology , PTEN Phosphohydrolase , Phosphatidylinositol 3-Kinases/genetics , Protein Serine-Threonine Kinases/genetics , Proto-Oncogene Proteins/genetics , Proto-Oncogene Proteins c-akt , Signal Transduction , Sirolimus/pharmacology , Tumor Cells, Cultured
10.
Ann Oncol ; 15(6): 885-90, 2004 Jun.
Article in English | MEDLINE | ID: mdl-15151944

ABSTRACT

Studies show that high Akt activity in breast carcinoma is associated with endocrine therapy resistance. Breast cancer cell lines expressing a constitutively active Akt are able to proliferate under reduced estrogen conditions, and are resistant to the growth inhibitory effects of tamoxifen. Understanding the targets of Akt signaling mediating tamoxifen resistance is of clinical significance. One possible target is nuclear factor kappa B (NF-kappa B), a transcription factor that plays a critical role in resistance to apoptosis and the induction of angiogenesis and invasion. In the present study, we found that Akt activity correlated with phosphorylation of I kappa B (the negative regulator of NF-kappa B), NF-kappa B DNA binding and tamoxifen resistance in vivo. Importantly, we found that co-treatment with the NF-kappa B inhibitor, parthenolide, or overexpression of I kappa B superrepressor restored tamoxifen sensitivity to our refractory Akt MCF-7 cells. These data suggest that activation of NF-kappa B via the PI3K/Akt signaling pathway may be a significant mechanism for development of endocrine therapy resistance in breast cancer, and that inhibition of NF-kappa B may be an effective treatment strategy to limit the progression of this disease.


Subject(s)
Antineoplastic Agents, Hormonal/pharmacology , Breast Neoplasms/drug therapy , Breast Neoplasms/metabolism , NF-kappa B/antagonists & inhibitors , NF-kappa B/metabolism , Protein Serine-Threonine Kinases/metabolism , Proto-Oncogene Proteins/metabolism , Tamoxifen/pharmacology , Cell Line, Tumor , Drug Resistance, Neoplasm , Female , Humans , I-kappa B Proteins/metabolism , Proto-Oncogene Proteins c-akt , Sesquiterpenes/pharmacology , Signal Transduction
11.
Ann Oncol ; 14(7): 1051-6, 2003 Jul.
Article in English | MEDLINE | ID: mdl-12853346

ABSTRACT

BACKGROUND: Tamoxifen resistance is the underlying cause of treatment failure in a significant number of patients with breast cancer. Activation of Akt, a downstream mediator in the phosphatidylinositol 3-kinase (PI3K) signaling pathway has been implicated as one of the mechanisms involved in tamoxifen resistance. Breast cancers with heightened Akt activity are frequently associated with an aggressive disease and resistance to chemo- and hormone-therapy-induced apoptosis. Inhibition of PI3K restores apoptotic response to tamoxifen in hyperactive Akt cells. Therefore, agents that demonstrate Akt inhibitory properties are attractive therapeutic agents for the treatment of hormone-resistant breast cancer. n-3 fatty acids have proven to be potent and efficacious broad-spectrum protein kinase inhibitors. MATERIALS AND METHODS: In this study we demonstrate that the n-3 fatty acid, eicosapentaenoic acid (EPA), inhibits the kinase activity of Akt. Co-treatment with EPA renders breast cancer cells that overexpress a constitutively active Akt more responsive to the growth inhibitory effects of tamoxifen by approximately 35%. CONCLUSIONS: These findings suggest that EPA may be useful for the treatment of tamoxifen-resistant breast cancer cells with high levels of activated Akt and provide the rationale to test this hypothesis in the clinic.


Subject(s)
Breast Neoplasms/pathology , Estrogen Antagonists/pharmacology , Fatty Acids, Unsaturated/pharmacology , Gene Expression Regulation, Neoplastic/drug effects , Phosphatidylinositol 3-Kinases/pharmacology , Protein Serine-Threonine Kinases , Tamoxifen/pharmacology , Drug Resistance, Neoplasm , Eicosapentaenoic Acid , Female , Humans , Proto-Oncogene Proteins/biosynthesis , Proto-Oncogene Proteins/genetics , Proto-Oncogene Proteins c-akt , Signal Transduction , Tumor Cells, Cultured
12.
Anal Bioanal Chem ; 375(7): 924-8, 2003 Apr.
Article in English | MEDLINE | ID: mdl-12707762

ABSTRACT

SrTiO(3)(100) single crystals with high donor dopant concentrations (5 at% La) were annealed at 1000 degrees C for up to 150 h in ultrahigh vacuum (UHV). By applying scanning tunneling microscopy (STM) nanostructures are observed on top of the surface with typical diameters of 20 nm and typical heights of 8 nm. To characterize their electronic structure and chemical composition, the surface was analyzed by metastable impact electron spectroscopy (MIES), ultraviolet photoelectron spectroscopy (UPS), scanning tunneling spectroscopy (STS), and depth profiling Auger electron spectroscopy (AES). Investigations of the stoichiometry suggest that the secondary phases consist of LaTiO(3). We present a defect chemistry model which attempts to explain the observed effects.

13.
Cancer Res ; 60(15): 4026-9, 2000 Aug 01.
Article in English | MEDLINE | ID: mdl-10945602

ABSTRACT

The best current model of breast cancer evolution suggests that most cancers arise from certain premalignant lesions. We have identified a common (34%) somatic mutation in the estrogen receptor (ER)-alpha gene in a series of 59 typical hyperplasias, a type of early premalignant breast lesion. The mutation, which affects the border of the hinge and hormone binding domains of ER-alpha, showed increased sensitivity to estrogen as compared with wild-type ER-alpha in stably transfected breast cancer cells, including markedly increased proliferation at subphysiological levels of estrogen. The mutated ER-alpha exhibits enhanced binding to the TIF-2 coactivator at low levels of hormone, which may partially explain its increased estrogen responsiveness. These data suggest that this mutation may promote or accelerate the development of cancer from premalignant breast lesions.


Subject(s)
Breast Neoplasms/genetics , Breast/pathology , Mutation , Precancerous Conditions/genetics , Receptors, Estrogen/genetics , Breast/physiology , Breast Neoplasms/pathology , Cell Division/drug effects , Cell Division/physiology , DNA/analysis , DNA/genetics , DNA, Neoplasm/analysis , DNA, Neoplasm/genetics , Dose-Response Relationship, Drug , Estradiol/pharmacology , Estrogen Receptor alpha , Humans , Hyperplasia/genetics , Hyperplasia/pathology , Precancerous Conditions/pathology , Receptors, Estrogen/drug effects , Receptors, Estrogen/physiology , Reverse Transcriptase Polymerase Chain Reaction , Transfection
14.
Cancer Res ; 59(21): 5425-8, 1999 Nov 01.
Article in English | MEDLINE | ID: mdl-10554010

ABSTRACT

It has been shown in previous studies that a variety of estrogen receptor (ER) beta mRNA transcripts are expressed in human breast cancer cell lines and tumors. To complement the RNA expression studies, we have developed ER-beta-specific antibodies to characterize ER-beta protein expression in breast cancer cell lines and tumors. Monoclonal antibodies were made against a peptide representing the first 18 amino acids of the longest ER-beta open reading frame reported to date, and polyclonal antibodies were made against a peptide within the ER-beta B domain. By Western blot analysis, we show that ER-beta protein is expressed in all cancer cell lines tested and in three of five breast tumor samples. The breast cancer cell lines showed variation in the size of the expressed ER-beta protein. The longest form detected was consistent with the 530-amino acid, full-length ER-beta sequence. Shorter ER-beta isoforms were detected in the ER-alpha-negative MDA-MB-231 and MDA-MB-435 breast cancer cell lines, likely corresponding to previously described COOH-terminal RNA variant isoforms.


Subject(s)
Breast Neoplasms/genetics , Breast Neoplasms/metabolism , Receptors, Estrogen/genetics , Receptors, Estrogen/metabolism , Blotting, Western , DNA, Complementary/analysis , Estrogen Receptor beta , Gene Expression Regulation, Neoplastic , Humans , Osteosarcoma/metabolism , Phenotype , Protein Isoforms , RNA, Messenger/metabolism , Tumor Cells, Cultured
15.
J Natl Cancer Inst ; 91(5): 453-9, 1999 Mar 03.
Article in English | MEDLINE | ID: mdl-10070945

ABSTRACT

BACKGROUND: Although the emerging complementary DNA (cDNA) array technology holds great promise to discern complex patterns of gene expression, its novelty means that there are no well-established standards to guide analysis and interpretation of the data that it produces. We have used preliminary data generated with the CLONTECH Atlas human cDNA array to develop a practical approach to the statistical analysis of these data by studying changes in gene expression during the development of acquired tamoxifen resistance in breast cancer. METHODS: For hybridization to the array, we prepared RNA from MCF-7 human breast cell tumors, isolated from our athymic nude mouse xenograft model of acquired tamoxifen resistance during estrogen-stimulated, tamoxifen-sensitive, and tamoxifen-resistant growth. Principal components analysis was used to identify genes with altered expression. RESULTS AND CONCLUSIONS: Principal components analysis yielded three principal components that are interpreted as 1) the average level of gene expression, 2) the difference between estrogen-stimulated gene expression and the average of tamoxifen-sensitive and tamoxifen-resistant gene expression, and 3) the difference between tamoxifen-sensitive and tamoxifen-resistant gene expression. A bivariate (second and third principal components) 99% prediction region was used to identify outlier genes that exhibit altered expression. Two representative outlier genes, erk-2 and HSF-1 (heat shock transcription factor-1), were chosen for confirmatory study, and their predicted relative expression levels were confirmed in western blot analysis, suggesting that semiquantitative estimates are possible with array technology. IMPLICATIONS: Principal components analysis provides a useful and practical method to analyze gene expression data from a cDNA array. The method can identify broad patterns of expression alteration and, based on a small simulation study, will likely provide reasonable power to detect moderate-sized alterations in clinically relevant genes.


Subject(s)
Antineoplastic Agents, Hormonal/pharmacology , Breast Neoplasms/drug therapy , Breast Neoplasms/metabolism , Drug Resistance, Neoplasm/genetics , Estrogen Antagonists/pharmacology , Gene Expression Regulation, Neoplastic/drug effects , Tamoxifen/pharmacology , Animals , Blotting, Western , DNA, Complementary/analysis , DNA, Neoplasm/analysis , Female , Humans , Mice , Mice, Nude , Molecular Probe Techniques , Nucleic Acid Hybridization , Pilot Projects , Tumor Cells, Cultured
16.
Am J Physiol ; 273(2 Pt 1): L417-26, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9277455

ABSTRACT

Transferrin (TF), the major iron-transporting protein in vertebrates, is mainly synthesized in the liver. Although its source in lung is unknown, TF is a major inhibitor for lipid peroxidation and microbial propagation in lung fluid, and iron-free TF has been shown in rabbits to decrease the severity of respiratory failure and to improve surfactant activity. This study shows that TF is produced and secreted by the lung. In baboons and humans. TF gene expression displays distinct temporal patterns in different lung cells as revealed by in situ hybridization. Although expression of TF mRNA in submucosal glands remains active during development and throughout adulthood, its level in airway epithelial increases with advancing gestational age, reaches its peak before birth, declines 6-12 mo after birth, and diminishes in the older adult. In premature baboons maintained on ventilatory support, expression of TF mRNA is suppressed in both airway epithelium and glands. TF production by airway epithelia before birth most likely prevents oxidative damage in the newborn period, and its loss during injury may allow further lung damage.


Subject(s)
Gene Expression Regulation, Developmental , Gene Expression Regulation , Lung/embryology , Lung/growth & development , Oxidative Stress , Wounds and Injuries/genetics , Aging/physiology , Animals , Animals, Newborn/physiology , Blotting, Northern , Fetus/physiology , Humans , Lung Injury , Mice , Mice, Inbred C57BL , Papio , Respiration, Artificial , Trachea/cytology , Trachea/metabolism , Trachea/physiology
17.
Br J Ophthalmol ; 81(4): 267-73, 1997 Apr.
Article in English | MEDLINE | ID: mdl-9215052

ABSTRACT

AIM/BACKGROUND: The most common choice of treatment for choroidal haemangiomas (CH) in the past has been the employment of scatter photocoagulation of the surface. This management often requires repetitive treatment or additional invasive management due to massive exudative detachment of the retina. The aim of this retrospective study was to investigate the outcome of the alternative application of low dose external beam irradiation with high energetic photons on these tumours. METHODS: A total absorbed dose of 20 Gy was applied to a total of 51 symptomatic eyes: 36 with a circumscribed CH of the posterior pole and 15 with diffuse CH as part of the Sturge-Weber syndrome. The indication for treatment was an exudative retinal detachment including or threatening the fovea. The mean follow up times in each group were 4.5 and 5.3 years, respectively. Out of a group of 33 patients from whom reliable data could be derived, 17 had symptoms lasting longer than 6 months. RESULTS: In 23 cases (63.8%) with circumscribed CH complete resolution of the subretinal fluid was achieved; the remaining 13 cases (36.2%) showed residual serous detachment distant to the fovea. The visual acuity improved by two or more lines in 14 cases (38.9%), remained stable in 14 cases (38.9%), and decreased in eight cases (22.2%). The functional success was dependent on the lag duration between onset of first subjective symptoms and treatment. The morphological results with diffuse CH were similar to those of the group of circumscribed CH. The visual acuity (VA) at last examination was improved in seven cases (46.6%); in the remaining eight cases, VA was unchanged or had deteriorated. The poor functional outcome in the latter was mainly attributable to secondary glaucoma. CONCLUSION: External beam irradiation is a useful and a low invasive therapeutic option for CH. A successful functional outcome is dependent on the time delay between first onset of symptoms and the beginning of therapy, the formation of subretinal fibrosis, and also on secondary glaucoma in the case of Sturge-Weber syndrome.


Subject(s)
Choroid Neoplasms/radiotherapy , Hemangioma/radiotherapy , Adolescent , Adult , Aged , Choroid Neoplasms/complications , Choroid Neoplasms/pathology , Female , Fluorescein Angiography , Follow-Up Studies , Hemangioma/complications , Hemangioma/pathology , Humans , Male , Middle Aged , Radiotherapy, High-Energy , Retinal Detachment/etiology , Retinal Detachment/radiotherapy , Retrospective Studies , Sturge-Weber Syndrome/radiotherapy , Visual Acuity
18.
Klin Monbl Augenheilkd ; 210(3): 133-8, 1997 Mar.
Article in German | MEDLINE | ID: mdl-9206743

ABSTRACT

BACKGROUND: In spite of a growing awareness in the population most cases of child abuse remain probably undetected. Ocular changes in this syndrome are manifold. Sometimes ocular signs can help to substantiate the suspicion of child abuse. On the other hand the ophthalmologist may be the first physician to be contacted. Thus, he plays an important role in diagnosis. Though there are a couple of clinical descriptions morphological data are almost completely missing in the German literature. PATIENT: A two-year-old girl died two days after severe abuse because of widespread intracranial hemorrhages with brain stem insufficiency. At autopsy both eyes were enucleated and sent for histological investigation. RESULTS: The anterior segments were unremarkable. Multiple hemorrhages were found in the inner retina bilaterally. Moreover there were preretinal, intrachoroidal, intrascleral (area of the circle of Zinn-Haller) and subdural hemorrhages. One eye showed a circular, perimacular fold of the central retina and a hemorrhagic retinoschisis. CONCLUSIONS: Intraretinal hemorrhages alone are typical though not pathognomonic for the "battered-child syndrome". However, in combination with a crater-like appearance of the central retina, a hemorrhagic retinoschisis; and intrascleral hemorrhages in the area of the circle of Zinn-Haller they suggest child abuse almost with certainty. The pathogenic mechanisms leading to the observed fundus changes lack definite clarification. The date of violence which is essential for legal prosecution can be difficult to evaluate on morphological grounds alone.


Subject(s)
Battered Child Syndrome/pathology , Child Abuse/diagnosis , Retinal Detachment/pathology , Retinal Hemorrhage/pathology , Retinal Perforations/pathology , Battered Child Syndrome/diagnosis , Cerebral Hemorrhage/pathology , Child Abuse/legislation & jurisprudence , Child, Preschool , Female , Head Injuries, Closed/pathology , Hematoma, Subdural/pathology , Humans , Retina/pathology
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