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2.
Pediatr Emerg Care ; 26(2): 139-42, 2010 Feb.
Article in English | MEDLINE | ID: mdl-20145506

ABSTRACT

OBJECTIVE: To demonstrate the importance of chest radiography and special anesthetic management in children with massive cervical adenopathy. METHOD: Case report of an 8-month-old infant who presented to the emergency department with fever, drooling, and massive cervical and mediastinal adenopathy. Safe anesthetic management allowed for cervical lymph node biopsy, which showed Langerhans cell histiocytosis. RESULTS: Chest imaging and special anesthetic techniques (intravenous anesthesia and positioning in the lateral decubitus position) should be considered for children with massive cervical and mediastinal adenopathy. CONCLUSIONS: Interdisciplinary airway, radiographic, and anesthetic management is recommended for children who present with massive and cervical and mediastinal adenopathy.


Subject(s)
Airway Obstruction/etiology , Anesthesia, Intravenous , Histiocytosis, Langerhans-Cell/diagnosis , Lymph Node Excision/methods , Lymphatic Diseases/etiology , Radiography, Thoracic , Airway Obstruction/diagnostic imaging , Anesthetics, Dissociative , Combined Modality Therapy , Drug Therapy, Combination , Emergencies , Histiocytosis, Langerhans-Cell/complications , Histiocytosis, Langerhans-Cell/drug therapy , Histiocytosis, Langerhans-Cell/surgery , Humans , Infant , Ketamine , Lymphatic Diseases/diagnostic imaging , Lymphatic Diseases/surgery , Male , Mediastinum/diagnostic imaging , Mediastinum/surgery , Neck/surgery , Pleural Effusion/diagnostic imaging , Pleural Effusion/etiology , Pneumothorax/diagnostic imaging , Pneumothorax/etiology , Prednisone/therapeutic use , Sialorrhea/etiology , Vinblastine/therapeutic use
3.
Toxicol Sci ; 113(2): 358-66, 2010 Feb.
Article in English | MEDLINE | ID: mdl-19920070

ABSTRACT

We have recently demonstrated that disruption of extracellular matrix (ECM)/integrin signaling via elimination of integrin-linked kinase (ILK) in hepatocytes interferes with signals leading to termination of liver regeneration. This study investigates the role of ILK in liver enlargement induced by phenobarbital (PB). Wild-type (WT) and ILK:liver-/- mice were given PB (0.1% in drinking water) for 10 days. Livers were harvested on 2, 5, and 10 days during PB administration. In the hepatocyte-specific ILK/liver-/- mice, the liver:body weight ratio was more than double as compared to 0 h at day 2 (2.5 times), while at days 5 and 10, it was enlarged three times. In the WT mice, the increase was as expected from previous literature (1.8 times) and seems to have leveled off after day 2. There were slightly increased proliferating cell nuclear antigen-positive cells in the ILK/liver-/- animals at day 2 as compared to WT after PB administration. In the WT animals, the proliferative response had come back to normal by days 5 and 10. Hepatocytes of the ILK/liver-/- mice continued to proliferate up until day 10. ILK/liver-/- mice also showed increased expression of key genes involved in hepatocyte proliferation at different time points during PB administration. In summary, ECM proteins communicate with the signaling machinery of dividing cells via ILK to regulate hepatocyte proliferation and termination of the proliferative response. Lack of ILK in the hepatocytes imparts prolonged proliferative response not only to stimuli related to liver regeneration but also to xenobiotic chemical mitogens, such as PB.


Subject(s)
Cell Proliferation/drug effects , Hepatocytes/enzymology , Hepatomegaly/enzymology , Liver/enzymology , Phenobarbital/toxicity , Protein Serine-Threonine Kinases/physiology , Animals , Hepatomegaly/chemically induced , Liver/drug effects , Mice , Mice, Knockout , Protein Serine-Threonine Kinases/genetics
4.
J Alzheimers Dis ; 9(2): 195-205, 2006 Jul.
Article in English | MEDLINE | ID: mdl-16873966

ABSTRACT

Synapse loss and neuronal death are key features of Alzheimer's disease pathology. Disrupted axonal transport of mitochondria is a potential mechanism that could contribute to both. As the major producer of ATP in the cell, transport of mitochondria to the synapse is required for synapse maintenance. However, mitochondria also play an important role in the regulation of apoptosis. Investigation of aluminum (Al) maltolate induced apoptosis in human NT2 cells led us to explore the relationship between apoptosis related changes and the disruption of mitochondrial transport. Similar to that observed with tau over expression, NT2 cells exhibit peri-nuclear clustering of mitochondria following treatment with Al maltolate. Neuritic processes largely lacked mitochondria, except in axonal swellings. Similar, but more rapid results were observed following staurosporine administration, indicating that the clustering effect was not specific to Al maltolate. Organelle clustering and transport disruption preceded apoptosis. Incubation with the caspase inhibitor zVAD-FMK effectively blocked apoptosis, however failed to prevent organelle clustering. Thus, transport disruption is associated with the initiation, but not necessarily the completion of apoptosis. These results, together with observed transport defects and apoptosis related changes in Alzheimer disease brain suggest that mitochondrial transport disruption may play a significant role in synapse loss and thus the pathogenesis or Alzheimer's disease.


Subject(s)
Apoptosis/drug effects , Cell Nucleus/drug effects , Cell Nucleus/ultrastructure , Mitochondria/drug effects , Mitochondria/ultrastructure , Organometallic Compounds/toxicity , Pyrones/toxicity , Alzheimer Disease/pathology , Amino Acid Chloromethyl Ketones/toxicity , Animals , Antineoplastic Agents/toxicity , Cell Line , Cytochromes c/metabolism , Enzyme Inhibitors/toxicity , Humans , Hydrogen Peroxide/toxicity , Immunohistochemistry , In Situ Nick-End Labeling , Microtubules/drug effects , Neurites/ultrastructure , Neuroprotective Agents/toxicity , Nocodazole/toxicity , Organelles/drug effects , Organelles/ultrastructure , Rabbits , Staurosporine/toxicity
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