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1.
RNA Biol ; 18(8): 1206-1220, 2021 08.
Article in English | MEDLINE | ID: mdl-33094674

ABSTRACT

Gene expression involving RNA polymerase II is regulated by the concerted interplay between mRNA synthesis and degradation, crosstalk in which mRNA decay machinery and transcription machinery respectively impact transcription and mRNA stability. Rpb4, and likely dimer Rpb4/7, seem the central components of the RNA pol II governing these processes. In this work we unravel the molecular mechanisms participated by Rpb4 that mediate the posttranscriptional events regulating mRNA imprinting and stability. By RIP-Seq, we analysed genome-wide the association of Rpb4 with mRNAs and demonstrated that it targeted a large population of more than 1400 transcripts. A group of these mRNAs was also the target of the RNA binding protein, Puf3. We demonstrated that Rpb4 and Puf3 physically, genetically, and functionally interact and also affect mRNA stability, and likely the imprinting, of a common group of mRNAs. Furthermore, the Rpb4 and Puf3 association with mRNAs depends on one another. We also demonstrated, for the first time, that Puf3 associates with chromatin in an Rpb4-dependent manner. Our data also suggest that Rpb4 could be a key element of the RNA pol II that coordinates mRNA synthesis, imprinting and stability in cooperation with RBPs.


Subject(s)
Genomic Imprinting , RNA Polymerase II/genetics , RNA Processing, Post-Transcriptional , RNA, Messenger/genetics , RNA-Binding Proteins/genetics , Saccharomyces cerevisiae Proteins/genetics , Saccharomyces cerevisiae/genetics , Binding Sites , Chromatin/chemistry , Chromatin/metabolism , Gene Expression Regulation, Fungal , Molecular Sequence Annotation , Protein Binding , RNA Polymerase II/metabolism , RNA Stability , RNA, Messenger/classification , RNA, Messenger/metabolism , RNA-Binding Proteins/metabolism , Saccharomyces cerevisiae/metabolism , Saccharomyces cerevisiae Proteins/metabolism , Transcription, Genetic
2.
Phys Rev Lett ; 123(21): 218004, 2019 Nov 22.
Article in English | MEDLINE | ID: mdl-31809189

ABSTRACT

We experimentally analyze the intermittent nature of granular silo flow when the discharge is controlled by an extracting belt at the bottom. We discover the existence of four different scenarios. For low extraction rates, the system is characterized by an on-off intermittency. When the extraction rate is increased the structure functions of the grains velocity increments, calculated for different lag times, reveal the emergence of multifractal intermittency. Finally, for very high extraction rates that approach the purely gravitational discharge, we observe that the dynamics become dependent on the outlet size. For large orifices the behavior is monofractal, whereas for small ones, the fluctuations of the velocity increments deviate from Gaussianity even for very large time lags.

3.
Biochim Biophys Acta ; 1859(5): 731-43, 2016 May.
Article in English | MEDLINE | ID: mdl-27001033

ABSTRACT

The RPB1 mutants in the foot region of RNA polymerase II affect the assembly of the complex by altering the correct association of both the Rpb6 and the Rpb4/7 dimer. Assembly defects alter both transcriptional activity as well as the amount of enzyme associated with genes. Here, we show that the global transcriptional analysis of foot mutants reveals the activation of an environmental stress response (ESR), which occurs at a permissive temperature under optimal growth conditions. Our data indicate that the ESR that occurs in foot mutants depends mostly on a global post-transcriptional regulation mechanism which, in turn, depends on Rpb4-mRNA imprinting. Under optimal growth conditions, we propose that Rpb4 serves as a key to globally modulate mRNA stability as well as to coordinate transcription and decay. Overall, our results imply that post-transcriptional regulation plays a major role in controlling the ESR at both the transcription and mRNA decay levels.


Subject(s)
RNA Polymerase II/genetics , Saccharomyces cerevisiae Proteins/genetics , Stress, Physiological/genetics , Transcription, Genetic , Molecular Imprinting , Mutation , RNA Stability/genetics , RNA, Messenger/genetics , Saccharomyces cerevisiae
4.
Med. intensiva (Madr., Ed. impr.) ; 36(1): 24-31, ene.-feb. 2012. ilus, tab
Article in English | IBECS | ID: ibc-98898

ABSTRACT

Objective: To describe the lung pathological changes in influenza A (H1N1) viral pneumonia. We studied morphological changes, nitro-oxidative stress and the presence of viral proteins in lung tissue. Methods and patients: Light microscopy was used to examine lung tissue from 6 fatal cases of pandemic influenza A (H1N1) viral pneumonia. Fluorescence for oxidized dihydroethydium, nitrotyrosine, inducible NO synthase (NOS2) and human influenza A nucleoprotein (NP)(for analysis under confocal microscopy) was also studied in lung tissue specimens. Results: Age ranged from 15 to 50 years. Three patients were women, and 5 had preexisting medical conditions. Diffuse alveolar damage (DAD) was present in 5 cases (as evidenced by hyaline membrane formation, alveolo-capillary wall thickening and PMN infiltrates), and interstitial fibrosis in one case. In the fluorescence studies there were signs of oxygen radical generation, increased NOS2 protein and protein nitration in lung tissue samples, regardless of the duration of ICU admission. Viral NP was found in lung tissue samples from three patients. Type I pneumocytes and macrophages harbored viral NP, as evidenced by confocal immunofluorescence microscopy. Conclusions: Lung tissue from patients with pandemic influenza A (H1N1) viral pneumonia shows histological findings consistent with DAD. Prolonged nitro-oxidative stress is present despite antiviral treatment. Viral proteins may remain in lung tissue for prolonged periods of time, lodged in macrophages and type I pneumocytes (AU)


Objetivo: Describir la histopatología pulmonar de pacientes que fallecieron con neumonía por virus de la influenza A (H1N1), el tipo celular infectado por el virus y la presencia de stress oxidativo y nitrosativo. Métodos: Hemos examinado tejido pulmonar de 6 pacientes fallecidos en la UCI con el diagnóstico de infección por el virus influenza A (H1N1) (15-50 años de edad) mediante (i) microscopía óptica, (ii) microscopia confocal con tinciones específicas para diferentes tipos celulares (aquoporina 5, factor Von Willebr and, proteína D del surfactante), (iii) inmunofluorescencia (IF) parasonda de dihidroetidio oxidado, óxido nítrico sin tasa inducible (NOS2), anti-3-nitrotirosina y nucleoproteína (NP) del virus de la influenza A (H1N1).Resultados: (1) En 5 casos se encontró daño alveolar difuso (DAD), evidenciado mediante la observación de membranas hialinas, engrosamiento de la pared alveolo-capilar e infiltración de PMN, asociado con hemorragia intensa en un paciente. Un caso presentó fibrosis intersticial.(2) Se demostró en todos los casos aumento de la inmuno-reactividad para DHE oxidado, NOS2y 3-nitrotirosina independientemente de la duración de la estancia en la UCI. (3) Se encontró NP viral en tres pacientes. (4) El virus se localiza en los neumocitos tipo I y en macrófago salveolares. Conclusiones: El tejido pulmonar de pacientes fallecidos con neumonía por virus de la influenza A (H1N1) evidencia hallazgos histológicos compatibles con DAD. El estrés nitro-oxidativo prolongado está presente a pesar del tratamiento antiviral. Las proteínas virales pueden permanecer en el tejido pulmonar durante períodos prolongados de tiempo, albergándose en los macrófagos y neumocitos tipo I (AU)


Subject(s)
Humans , Influenza A Virus, H1N1 Subtype/pathogenicity , Influenza, Human/complications , Lung Diseases/epidemiology , Pulmonary Alveoli/injuries , Histocytochemistry/methods , Pandemics/statistics & numerical data , Respiration, Artificial
5.
Med Intensiva ; 36(1): 24-31, 2012.
Article in English | MEDLINE | ID: mdl-22154847

ABSTRACT

OBJECTIVE: To describe the lung pathological changes in influenza A (H1N1) viral pneumonia. We studied morphological changes, nitro-oxidative stress and the presence of viral proteins in lung tissue. METHODS AND PATIENTS: Light microscopy was used to examine lung tissue from 6 fatal cases of pandemic influenza A (H1N1) viral pneumonia. Fluorescence for oxidized dihydroethydium, nitrotyrosine, inducible NO synthase (NOS2) and human influenza A nucleoprotein (NP) (for analysis under confocal microscopy) was also studied in lung tissue specimens. RESULTS: Age ranged from 15 to 50 years. Three patients were women, and 5 had preexisting medical conditions. Diffuse alveolar damage (DAD) was present in 5 cases (as evidenced by hyaline membrane formation, alveolo-capillary wall thickening and PMN infiltrates), and interstitial fibrosis in one case. In the fluorescence studies there were signs of oxygen radical generation, increased NOS2 protein and protein nitration in lung tissue samples, regardless of the duration of ICU admission. Viral NP was found in lung tissue samples from three patients. Type I pneumocytes and macrophages harbored viral NP, as evidenced by confocal immunofluorescence microscopy. CONCLUSIONS: Lung tissue from patients with pandemic influenza A (H1N1) viral pneumonia shows histological findings consistent with DAD. Prolonged nitro-oxidative stress is present despite antiviral treatment. Viral proteins may remain in lung tissue for prolonged periods of time, lodged in macrophages and type I pneumocytes.


Subject(s)
Influenza A Virus, H1N1 Subtype , Influenza, Human/pathology , Lung/pathology , Adolescent , Adult , Alveolar Epithelial Cells/virology , Antiviral Agents/therapeutic use , Consensus Sequence , Cross Reactions , Fatal Outcome , Female , Humans , Influenza A Virus, H1N1 Subtype/immunology , Influenza A Virus, H1N1 Subtype/isolation & purification , Influenza A Virus, H3N2 Subtype/immunology , Influenza, Human/complications , Influenza, Human/drug therapy , Influenza, Human/virology , Lung/virology , Macrophages/virology , Male , Microscopy, Confocal , Middle Aged , Nitric Oxide Synthase Type II/analysis , Nucleocapsid Proteins , Oxidative Stress , Pregnancy , Pregnancy Complications, Infectious/pathology , Pregnancy Complications, Infectious/virology , RNA-Binding Proteins/analysis , RNA-Binding Proteins/immunology , Respiration, Artificial , Respiratory Distress Syndrome/etiology , Respiratory Distress Syndrome/mortality , Respiratory Distress Syndrome/pathology , Respiratory Distress Syndrome/therapy , Respiratory Distress Syndrome/virology , Tyrosine/analogs & derivatives , Tyrosine/analysis , Viral Core Proteins/analysis , Viral Core Proteins/immunology , Young Adult
6.
Phys Rev E Stat Nonlin Soft Matter Phys ; 80(5 Pt 2): 056305, 2009 Nov.
Article in English | MEDLINE | ID: mdl-20365071

ABSTRACT

Viscous fingering dynamics driven by centrifugal forcing is studied for arbitrary viscosity contrast. Theoretical methods, including exact solutions, and numerics based on a phase-field approach are used. Both confirm that pinch-off singularities in patterns originated from the centrifugally driven instability may occur spontaneously and be inherent to the two-dimensional Hele-Shaw dynamics. They are systematically more frequent for lower viscosity contrasts consistently with experimental evidence. The analytical insights provide an interpretation of this fact in terms of the asymptotic matching of the different regions of the fingering patterns. The phase-field numerical scheme is shown to be particularly adequate to elucidate the existence of finite-time singularities through the dependence of the singularity time on the interface thickness, in particular for varying viscosity contrast.


Subject(s)
Physics/methods , Algorithms , Computer Simulation , Models, Theoretical , Rheology , Surface Properties , Surface Tension , Viscosity
7.
Phys Rev E Stat Nonlin Soft Matter Phys ; 77(3 Pt 2): 036207, 2008 Mar.
Article in English | MEDLINE | ID: mdl-18517485

ABSTRACT

We report on an experimental study of long normal Saffman-Taylor fingers subject to periodic forcing. The sides of the finger develop a low amplitude, long wavelength instability. We discuss the finger response in stationary and nonstationary situations, as well as the dynamics towards the stationary states. The response frequency of the instability increases with forcing frequency at low forcing frequencies, while, remarkably, it becomes independent of forcing frequency at large forcing frequencies. This implies a process of wavelength selection. These observations are in good agreement with previous numerical results reported in [Ledesma-Aguilar, Phys. Rev. E 71, 016312 (2005)]. We also study the average value of the finger width, and its fluctuations, as a function of forcing frequency. The average finger width is always smaller than the width of the steady-state finger. Fluctuations have a nonmonotonic behavior with a maximum at a particular frequency.

8.
Phys Rev E Stat Nonlin Soft Matter Phys ; 75(5 Pt 2): 056307, 2007 May.
Article in English | MEDLINE | ID: mdl-17677164

ABSTRACT

The dynamics of a fluid in a vertical tube, subjected to an oscillatory pressure gradient, is studied experimentally for both a Newtonian and a viscoelastic shear-thinning fluid. Particle image velocimetry is used to determine the two-dimensional velocity fields in the vertical plane of the tube axis, in a range of driving amplitudes from 0.8 to 2.5 mm and of driving frequencies from 2.0 to 11.5 Hz. The Newtonian fluid exhibits a laminar flow regime, independent of the axial position, in the whole range of drivings. For the complex fluid, instead, the parallel shear flow regime exhibited at low amplitudes [Torralba, Phys. Rev. E 72, 016308 (2005)] becomes unstable at higher drivings against the formation of symmetric vortices, equally spaced along the tube. At even higher drivings the vortex structure itself becomes unstable, and complex nonsymmetric structures develop. Given that inertial effects remain negligible even at the hardest drivings (Re < 10(-1)), it is the complex rheology of the fluid that is responsible for the instabilities observed. The system studied represents an interesting example of the development of shear-induced instabilities in nonlinear complex fluids in purely parallel shear flow.

9.
Appl Environ Microbiol ; 73(16): 5363-9, 2007 Aug.
Article in English | MEDLINE | ID: mdl-17601813

ABSTRACT

Genome-wide analysis of the wine yeast strain Saccharomyces cerevisiae PYCC4072 identified 36 genes highly expressed under conditions of low or absent nitrogen in comparison with a nitrogen-replete condition. Reverse transcription-PCR analysis for four of these transcripts with this strain and its validation with another wine yeast strain underlines the usefulness of these signature genes for predicting nitrogen deficiency and therefore the diagnosis of wine stuck/sluggish fermentations.


Subject(s)
Alcohols/metabolism , Nitrogen/deficiency , Saccharomyces cerevisiae Proteins/genetics , Saccharomyces cerevisiae/genetics , Fermentation/genetics , Gene Expression Regulation, Fungal , Genes, Fungal , Models, Genetic , Nitrogen/metabolism , Oligonucleotide Array Sequence Analysis , Reverse Transcriptase Polymerase Chain Reaction , Saccharomyces cerevisiae/metabolism , Saccharomyces cerevisiae Proteins/metabolism
10.
Appl Environ Microbiol ; 73(9): 3049-60, 2007 May.
Article in English | MEDLINE | ID: mdl-17337556

ABSTRACT

Gene expression profiles of a wine strain of Saccharomyces cerevisiae PYCC4072 were monitored during alcoholic fermentations with three different nitrogen supplies: (i) control fermentation (with enough nitrogen to complete sugar fermentation), (ii) nitrogen-limiting fermentation, and (iii) the addition of nitrogen to the nitrogen-limiting fermentation (refed fermentation). Approximately 70% of the yeast transcriptome was altered in at least one of the fermentation stages studied, revealing the continuous adjustment of yeast cells to stressful conditions. Nitrogen concentration had a decisive effect on gene expression during fermentation. The largest changes in transcription profiles were observed when the early time points of the N-limiting and control fermentations were compared. Despite the high levels of glucose present in the media, the early responses of yeast cells to low nitrogen were characterized by the induction of genes involved in oxidative glucose metabolism, including a significant number of mitochondrial associated genes resembling the yeast cell response to glucose starvation. As the N-limiting fermentation progressed, a general downregulation of genes associated with catabolism was observed. Surprisingly, genes encoding ribosomal proteins and involved in ribosome biogenesis showed a slight increase during N starvation; besides, genes that comprise the RiBi regulon behaved distinctively under the different experimental conditions. Here, for the first time, the global response of nitrogen-depleted cells to nitrogen addition under enological conditions is described. An important gene expression reprogramming occurred after nitrogen addition; this reprogramming affected genes involved in glycolysis, thiamine metabolism, and energy pathways, which enabled the yeast strain to overcome the previous nitrogen starvation stress and restart alcoholic fermentation.


Subject(s)
Ethanol/metabolism , Fermentation/physiology , Gene Expression Regulation, Fungal , Nitrogen/metabolism , Saccharomyces cerevisiae/metabolism , Wine/microbiology , Cluster Analysis , DNA Primers , Gene Expression Profiling , Reverse Transcriptase Polymerase Chain Reaction
11.
Phys Rev E Stat Nonlin Soft Matter Phys ; 76(5 Pt 2): 056312, 2007 Nov.
Article in English | MEDLINE | ID: mdl-18233761

ABSTRACT

The scaling properties of the rough liquid-air interface formed in the spontaneous imbibition of a viscous liquid by a model porous medium are found to be very sensitive to the magnitude of the pressure difference applied at the liquid inlet. Interface fluctuations change from obeying intrinsic anomalous scaling at large negative pressure differences, to being super-rough with the same dynamic exponent z approximately =3 at less negative pressure differences, to finally obeying ordinary Family-Vicsek scaling with z approximately =2 at large positive pressure differences. This rich scenario reflects the relative importance on different length scales of capillary and permeability disorder, and the role of surface tension and viscous pressure in damping interface fluctuations.

14.
Phys Rev E Stat Nonlin Soft Matter Phys ; 74(2 Pt 2): 025302, 2006 Aug.
Article in English | MEDLINE | ID: mdl-17025495

ABSTRACT

We demonstrate that wetting effects at moving contact lines have a strong impact in viscous fingering patterns. Experiments in a rotating Hele-Shaw (HS) cell, dry or prewetted, show consistent morphological differences. When the wetting fluid invades a dry region, contact angle dynamics yield a kinetic contribution to the interface pressure drop that scales with capillary number as Ca(2/3) but is significantly larger than the Park-Homsy kinetic correction. Numerical results are in very good agreement with experiments and show that standard HS equations work best for prewetted cells.

15.
Neurologia ; 21(5): 226-31, 2006 Jun.
Article in Spanish | MEDLINE | ID: mdl-16788864

ABSTRACT

INTRODUCTION: Interictal brain single photon emission computed tomography (SPECT) is used in the presurgical evaluation of patients with complex partial epilepsy. The aim of the present study was to compare interictal SPECT, MRI and video-electroencephalography (EEG) for seizure focus localization in patients with temporal lobe epilepsy, one year after temporal lobectomy, in order to determine the utility of interictal brain SPECT. PATIENTS AND METHODS: Thirty four consecutive patients with refractory temporal epilepsy were evaluated with video-EEG, MRI and interictal SPECT for seizure focus localization before surgery. Seizure focus was confirmed with the clinical follow-up one year after temporal lobectomy in all patients. MRI and SPECT analysis was performed visually. RESULTS: 31/34 patients were seizure free one year after surgery and the remaining 3 patients remain with seizures occasionally. Video-EEG results coincided with postsurgical seizure focus localization in 31 (91%) patients. MRI localized seizure focus correctly in 30 (88%) patients and was normal in 3 cases. Interictal brain SPECT was normal in 10 patients and showed temporal hypoperfusion consistent with postsurgical seizure focus in 23 (68%) patients. In all patients with abnormalities in the interictal SPECT, seizure focus was identified with video-EEG or MRI. CONCLUSIONS: When MRI and video-EEG localize seizure focus in the same temporal lobe, interictal brain SPECT does not offer any additional information for surgical decision making.


Subject(s)
Epilepsy, Temporal Lobe/diagnostic imaging , Epilepsy, Temporal Lobe/surgery , Tomography, Emission-Computed, Single-Photon , Adolescent , Adult , Decision Making , Electroencephalography , Epilepsy, Temporal Lobe/pathology , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Retrospective Studies
16.
Neurología (Barc., Ed. impr.) ; 21(5): 226-231, jun. 2006. tab, ilus
Article in Spanish | IBECS | ID: ibc-138263

ABSTRACT

Introducción. La tomografía computarizada por emission de fotón único (SPECT) cerebral interictal se emplea para localizar la zona epileptógena (ZE) en pacientes con crisis parciales complejas (CPC). El objetivo del presente trabajo fue comparar la utilidad de la SPECT interictal, la resonancia magnética (RM) y el vídeo-electroencefalograma (EEG) para lateralizar la ZE en un grupo de pacientes con CPC del lóbulo temporal 1 año después de la intervención quirúrgica. Pacientes y métodos. Se estudiaron con video-EEG, RM y SPECT interictal 34 pacientes consecutivos con CPC del lóbulo temporal. Los hallazgos se confirmaron con la evolución clínica de las crisis epilépticas 1 año después de la lobectomía temporal. La valoración de las imágenes de RM y SPECT se efectúo de forma visual. Resultados. De lso 34 pacientes intervenidos 31 están libres de crisis (estadio I de Engel) y 3 tienen muy pocas crisis incapacitantes (estadio II). La ZE (valorada por vídeo-EEG) coincidió con la localizada mediante el control posquirúrgico en 31 pacientes (91%). La SPECT interictal fue normal en 10 casos y demostró una hipoperfusión temporal que coincidió con la ZE en 23 pacientes (68%). Únicamente en un caso la hipoperfusión de la SPECT no coincidió con la ZE. En todos los casos con anomalías en la SPECT había una lesión en RM o una buena localización por v ídeo-EGG. La RM localizó correctamente la ZE en 30 pacientes (88%) y fue normal en 3 casos (AU)


Introduction: Interictal brain single photon emission computed tomography (SPECT) is used in the presurgical evaluation of patients with complex partial epilepsy. The aim of the present study was to compare interictal SPECT, MRI and video-electroencephalography (EEG) for seizure focus localization in patients with temporal lobe epilepsy, one year after temporal lobectomy, in order to determine the utility of interictal brain SPECT. Patients and methods: Thirty four consecutive patients with refractory temporal epilepsy were evaluated with video-EEG, MRI and interictal SPECT for seizure focus localization before surgery. Seizure focus was confirmed with the clinical follow-up one year after temporal lobectomy in all patients. MRI and SPECT analysis was performed visually. Results: 31/34 patients were seizure free one year after surgery and the remaining 3 patients remain with seizures occasionally. Video-EEG results coincided with postsurgical seizure focus localization in 31 (91%) patients. MRI localized seizure focus correctly in 30 (88%) patients and was normal in 3 cases. Interictal brain SPECT was normal in 10 patients and showed temporal hypoperfusion consistent with postsurgical seizure focus in 23 (68%) patients. In all patients with abnormalities in the interictal SPECT, seizure focus was identified with video-EEG or MRI. Conclusions: When MRI and video-EEG localize seizure focus in the same temporal lobe, interictal brain SPECT does not offer any additional information for surgical decision making (AU)


Subject(s)
Adolescent , Adult , Female , Humans , Male , Middle Aged , Epilepsy, Temporal Lobe/surgery , Epilepsy, Temporal Lobe , Tomography, Emission-Computed, Single-Photon , Decision Making , Electroencephalography , Epilepsy, Temporal Lobe/pathology , Magnetic Resonance Imaging , Retrospective Studies
17.
Phys Rev E Stat Nonlin Soft Matter Phys ; 73(4 Pt 2): 046302, 2006 Apr.
Article in English | MEDLINE | ID: mdl-16711924

ABSTRACT

We make an experimental characterization of the effect that static disorder has on the shape of a normal Saffman-Taylor finger. We find that static noise induces a small amplitude and long wavelength instability on the sides of the finger. Fluctuations on the finger sides have a dominant wavelength, indicating that the system acts as a selective amplifier of static noise. The dominant wavelength does not seem to be very sensitive to the intensity of static noise present in the system. On the other hand, at a given flow rate, rms fluctuations of the finger width, decrease with decreasing intensity of static noise. This might explain why the sides of the fingers are flat for typical Saffman-Taylor experiments. Comparison with previous numerical studies of the effect that temporal noise has on the Saffman-Taylor finger, leads to conclude that the effect of temporal noise and static noise are similar. The behavior of fluctuations of the finger width found in our experiments, is qualitatively similar to one recently reported, in the sense that, the magnitude of the width fluctuations decays as a power law of the capillary number, at low flow rates, and increases with capillary number for larger flow rates.

18.
Rev Esp Med Nucl ; 25(1): 31-4, 2006.
Article in Spanish | MEDLINE | ID: mdl-16540009

ABSTRACT

We present the case of a 34-year-old woman diagnosed of an adenosquamous carcinoma of the uterine cervix, stage IIB of the FIGO classification (International Federation of Gynecology and Obstetrics), treated with quimiotherapy, radiotheraphy and brachytheraphy with posterior hysterectomy. A recurrence of the disease was suspected due to the progressive rise of CEA levels. A PET/CT revealed abnormal foci in both ovaries, that had been transposed to avoid lesions due to radiation, and in a left para-aortic adenopathy. The diagnosis of recurrence in these sites was confirmed by biopsy. PET with FDG (F18-fluorodeoxyglucose) is useful in the staging of primary tumour and in the detection of recurrence in uterine cervical carcinoma, with better sensitivity and specificity than CT and MRI. PET/CT improves anatomic resolution and helps to resolve the origin of unclear foci like in the case presented in which ovaries were not in their normal situation due to transposition.


Subject(s)
Carcinoma, Adenosquamous/secondary , Lymphatic Metastasis/diagnosis , Ovarian Neoplasms/secondary , Positron-Emission Tomography , Tomography, X-Ray Computed , Adult , Antineoplastic Agents, Alkylating/therapeutic use , Brachytherapy , Carcinoma, Adenosquamous/diagnostic imaging , Carcinoma, Adenosquamous/therapy , Carcinoma, Squamous Cell/diagnosis , Cisplatin/therapeutic use , Combined Modality Therapy , Female , Humans , Hysterectomy , Lymphatic Metastasis/diagnostic imaging , Ovarian Neoplasms/diagnostic imaging , Ovarian Neoplasms/pathology , Radiotherapy, Adjuvant , Uterine Cervical Neoplasms/pathology , Uterine Cervical Neoplasms/therapy
19.
Rev. esp. med. nucl. (Ed. impr.) ; 25(1): 31-34, ene.-feb. 2006. ilus, tab
Article in Es | IBECS | ID: ibc-042511

ABSTRACT

Presentamos el caso de una mujer de 34 años de edad con un carcinoma adenoescamoso de cuello uterino en estadio IIB, según la clasificación de la FIGO (International Federation of Gynecology and Obstetrics), tratada mediante quimioterapia, radioterapia externa y braquiterapia con posterior histerectomía, en la que se sospechó recidiva de la enfermedad por un aumento progresivo en los niveles de antígeno carcinoembrionario (CEA). La tomografía por emisión de positrones/tomografía computarizada (PET/TC) mostró depósitos patológicos en ambos ovarios, que habían sido transpuestos mediante cirugía para evitar lesiones rádicas, y en una adenopatía paraaórtica izquierda, confirmándose por biopsia el diagnóstico de recidiva en dichas localizaciones. La PET con FDG (F 18-fluodesoxiglucosa) ha demostrado su utilidad tanto en la estadificación inicial como en el diagnóstico de recurrencia en pacientes con carcinoma de cuello uterino, con valores de sensibilidad y especificidad superiores a la TC y resonancia magnética (RM). La PET/TC mejora la localización anatómica y ayuda a determinar el origen de focos dudosos como en el caso que presentamos en el que los ovarios no estaban en su situación anatómica normal al haber sido transpuestos


We present the case of a 34-year-old woman diagnosed of an adenosquamous carcinoma of the uterine cervix, stage IIB of the FIGO classification (International Federation of Gynecology and Obstetrics), treated with quimiotherapy, radiotheraphy and brachytheraphy with posterior hysterectomy. A recurrence of the disease was suspected due to the progressive rise of CEA levels. A PET/CT revealed abnormal focii in both ovaries, that had been transposed to avoid lesions due to radiation, and in a left para-aortic adenopathy. The diagnosis of recurrence in these sites was confirmed by biopsy. PET with FDG (F 18-fluordesoxyglucose) is useful in the staging of primary tumour and in the detection of recurrence in uterine cervical carcinoma, with better sensitivity and especificity than CT and MRI. PET/CT improves anatomic resolution and helps to resolve the origin of unclear focii like in the case presented in which ovaries were not in their normal situation due to transposition


Subject(s)
Female , Adult , Humans , Carcinoma, Squamous Cell , Carcinoma, Squamous Cell , Tomography, Emission-Computed , Uterine Cervical Neoplasms , Uterine Cervical Neoplasms , Neoplasm Recurrence, Local
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