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1.
Faraday Discuss ; 137: 205-22; discussion 297-318, 2008.
Article in English | MEDLINE | ID: mdl-18214105

ABSTRACT

In this paper, results are presented of the influence of small organic- and soot-containing particles on the formation of water and ice clouds. There is strong evidence that these particles have grown from nano particle seeds produced by the combustion of oil products. Two series of field experiments are selected to represent the observations made. The first is the CLoud-Aerosol Characterisation Experiment (CLACE) series of experiments performed at a high Alpine site (Jungfraujoch), where cloud was in contact with the ground and the measuring station. Both water and ice clouds were examined at different times of the year. The second series of experiments is the CLOud Processing of regional Air Pollution advecting over land and sea (CLOPAP) series, where ageing pollution aerosol from UK cities was observed, from an airborne platform, to interact with warm stratocumulus cloud in a cloud-capped atmospheric boundary layer. Combining the results it is shown that aged pollution aerosol consists of an internal mixture of organics, sulfate, nitrate and ammonium, the organic component is dominated by highly oxidized secondary material. The relative contributions and absolute loadings of the components vary with location and season. However, these aerosols act as Cloud Condensation Nuclei (CCN) and much of the organic material, along with the other species, is incorporated into cloud droplets. In ice and mixed phase cloud, it is observed that very sharp transitions (extending over just a few metres) are present between highly glaciated regions and regions consisting of supercooled water. This is a unique finding; however, aircraft observations in cumulus suggest that this kind of structure may be found in these cloud types too. It is suggested that this sharp transition is caused by ice nucleation initiated by oxidised organic aerosol coated with sulfate in more polluted regions of cloud, sometimes enhanced by secondary ice particle production in these regions.


Subject(s)
Ice , Water/chemistry , Aerosols/chemistry , Particle Size , Volatilization
2.
Br J Pharmacol ; 152(7): 1092-101, 2007 Dec.
Article in English | MEDLINE | ID: mdl-17876302

ABSTRACT

BACKGROUND: The endocannabinoid system functions through two well characterized receptor systems, the CB1 and CB2 receptors. Work by a number of groups in recent years has provided evidence that the system is more complicated and additional receptor types should exist to explain ligand activity in a number of physiological processes. EXPERIMENTAL APPROACH: Cells transfected with the human cDNA for GPR55 were tested for their ability to bind and to mediate GTPgammaS binding by cannabinoid ligands. Using an antibody and peptide blocking approach, the nature of the G-protein coupling was determined and further demonstrated by measuring activity of downstream signalling pathways. KEY RESULTS: We demonstrate that GPR55 binds to and is activated by the cannabinoid ligand CP55940. In addition endocannabinoids including anandamide and virodhamine activate GTPgammaS binding via GPR55 with nM potencies. Ligands such as cannabidiol and abnormal cannabidiol which exhibit no CB1 or CB2 activity and are believed to function at a novel cannabinoid receptor, also showed activity at GPR55. GPR55 couples to Galpha13 and can mediate activation of rhoA, cdc42 and rac1. CONCLUSIONS: These data suggest that GPR55 is a novel cannabinoid receptor, and its ligand profile with respect to CB1 and CB2 described here will permit delineation of its physiological function(s).


Subject(s)
Arachidonic Acids/pharmacology , Cannabidiol/pharmacology , Cyclohexanols/pharmacology , Polyunsaturated Alkamides/pharmacology , Receptors, Cannabinoid/drug effects , Receptors, Cannabinoid/genetics , Receptors, G-Protein-Coupled/drug effects , Receptors, G-Protein-Coupled/genetics , Amino Acid Sequence , Animals , Binding Sites/drug effects , Binding, Competitive/drug effects , Cannabinoids , Cell Line , Cloning, Molecular , Down-Regulation/drug effects , Endocannabinoids , Guanosine 5'-O-(3-Thiotriphosphate)/pharmacology , Humans , Ligands , Mice , Molecular Sequence Data , Organ Specificity , Polymerase Chain Reaction/methods , RNA, Messenger/genetics , Rats , Signal Transduction/drug effects , Structure-Activity Relationship
3.
Faraday Discuss ; 130: 265-78; discussion 363-86, 519-24, 2005.
Article in English | MEDLINE | ID: mdl-16161788

ABSTRACT

Secondary organic aerosol (SOA) formation from the photooxidation of an anthropogenic (1,3,5-trimethylbenzene) and a biogenic (alpha-pinene) precursor was investigated at the new PSI smog chamber. The chemistry of the gas phase was followed by proton transfer reaction mass spectrometry, while the aerosol chemistry was investigated with aerosol mass spectrometry, ion chromatography, laser desorption ionization mass spectrometry, and infrared spectroscopy, along with volatility and hygroscopicity studies. Evidence for oligomer formation for SOA from both precursors was given by an increasing abundance of compounds with a high molecular weight (up to 1000 Da) and by an increasing thermal stability with increasing aging time. The results were compared to data obtained from ambient aerosol samples, revealing a number of similar features.


Subject(s)
Aerosols/analysis , Benzene Derivatives/analysis , Monoterpenes/analysis , Oxidants, Photochemical/chemistry , Ozone/analysis , Aerosols/chemistry , Air Pollutants/analysis , Air Pollutants/chemistry , Bicyclic Monoterpenes , Chromatography, Ion Exchange , Molecular Weight , Ozone/chemistry , Spectrum Analysis , Temperature
4.
Acta Diabetol ; 41(3): 104-12, 2004 Sep.
Article in English | MEDLINE | ID: mdl-15666577

ABSTRACT

Obesity is often accompanied by hyperleptinemia, hyperinsulinemia, and an increased parasympathetic tone. Obese-hyperglycemic mice (Umeå ob/ob) have functional leptin receptors and a raised parasympathetic tone. We studied insulin release in islets isolated from 9-month-old severely obese ob/ob mice. Leptin (0.5-18 nM) did not affect insulin release together with 2.8-20 mM glucose. Leptin (18 microM) had no effect in the presence of low glucose (2.8-5.5 mM), but increased insulin secretion in islets challenged with 11.1 or 16.7 mM glucose. Leptin at 18 microM increased insulin secretion stimulated by the parasympathetic neurotransmitters acetylcholine (ACh; 10 microM) or vasoactive intestinal peptide (VIP; 10 nM), and by 5 mM theophylline or 2.5 microM forskolin. Overnight culture increased the effect of 18 microM leptin, but no effects were observed with 18 nM leptin. Pretreatment of islets with phorbol 12-myristate 13-acetate (PMA) did not suggest any involvement of protein kinase C. In summary, a high concentration of leptin stimulates insulin release in the presence of stimulatory concentrations of glucose alone and with parasympathetic neurotransmitters. Hyperleptinemia and increased parasympathetic stimulation may in part cause the hyperinsulinemia observed in obesity. This may aggravate insulin resistance and the abnormal metabolism in diabetes mellitus.


Subject(s)
Acetylcholine/pharmacology , Insulin/metabolism , Islets of Langerhans/metabolism , Leptin/pharmacology , Vasoactive Intestinal Peptide/pharmacology , Animals , Caffeine/pharmacology , Cells, Cultured , Colforsin/pharmacology , Female , Insulin Secretion , Islets of Langerhans/drug effects , Mice , Mice, Obese , Tetradecanoylphorbol Acetate/pharmacology
5.
Histol Histopathol ; 17(1): 113-21, 2002 01.
Article in English | MEDLINE | ID: mdl-11813861

ABSTRACT

Tyrosine hydroxylase (TH) is co-expressed with islet hormones in the fetal mouse pancreas. In the adult animal, the enzyme has been considered as a marker of ageing beta-cells. By immunohistochemical staining, we analyzed the expression of TH-like immunoreactivity (TH-LI), insulin-LI (INS-LI) and somatostatin-LI (SOM-LI) in adult mouse islets, in situ and after isolation and transplantation to kidney. In pancreas in situ, most TH-LI cells expressed INS-LI while less than 5% expressed SOM-LI. The total number of TH-LI cells/mm2 was significantly increased directly after isolation and in 0-day, 12-week and 52-week old grafts, but not in 3-day grafts. The proportion of TH-LI cells expressing SOM-LI increased after transplantation, amounting to about one-third by 52 weeks. As expressed per unit islet area, the frequencies of both TH/INS and TH/SOM cells increased significantly in the transplants. The results demonstrate that TH occurs in both beta-cells and D-cells of adult islets. In both cell types the enzyme appears to be responsive to the microenvironmental changes inherent in transplantation. This cellular phenotype plasticity might contribute to the altered insulin secretory dynamics in islet grafts.


Subject(s)
Homeodomain Proteins , Islets of Langerhans Transplantation , Islets of Langerhans/enzymology , Kidney/physiology , Transplantation, Isogeneic/physiology , Tyrosine 3-Monooxygenase/metabolism , Animals , Cell Count , Cell Separation , Cell Transplantation/physiology , Coloring Agents , Female , Immunohistochemistry , Insulin/metabolism , Mice , Mice, Inbred C57BL , Somatostatin/metabolism , Tissue Fixation , Trans-Activators/metabolism
6.
Pancreas ; 23(1): 40-8, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11451146

ABSTRACT

No quantitative data are available regarding the rate of occurrence of nerve cells in association with endocrine pancreas (i.e.. neuroinsular complexes type I [NICs]), or the difference in the distribution of NICs in normal and diabetic pancreas. In this report, pancreata from 20-day, 7-week, and 9-month-old lean (Umeå +/?) and obese (Umeå ob/ob) mice, as well as 10-month-old C57BL/6JBom and Umeå ob/ob mice, were analyzed with regard to the association of acetylcholinesterase (AChE)-positive and protein gene product 9.5-like (PGP-LI) immunoreactive perikarya with islets, and not in association with islets. NIC profiles were regularly observed, but were more frequent in the 20-day-old mice than in the 9-month-old +/? and ob/ob mice. The NIC profiles were often located close to a duct or blood vessel, significantly more frequently than islet profiles in general. The data did not reveal any gross abnormality in ob/ob mice as regards the frequency of NICs or the number of AChE-positive and PGP-LI perikarya. However, the 9-month-old ob/ob mice demonstrated smaller clusters of perikarya in their NIC profiles as compared to the other mice, probably reflecting the fact that the perikarya were more widely spread out in the hyperplastic islets of adult ob/ob mice. The results show that NICs are common and represent a substantial proportion of the islets in mouse pancreas, supporting the idea that they play a role in islet physiology.


Subject(s)
Islets of Langerhans/innervation , Mice, Obese/anatomy & histology , Obesity/pathology , Animals , Body Weight/genetics , Female , Ganglia, Autonomic/pathology , Genetic Predisposition to Disease , Genotype , Hyperglycemia/genetics , Hyperglycemia/pathology , Hyperinsulinism/genetics , Hyperinsulinism/pathology , Hyperplasia , Islets of Langerhans/pathology , Islets of Langerhans/physiopathology , Mice , Mice, Inbred C57BL , Obesity/genetics
7.
Pancreas ; 22(1): 84-90, 2001 Jan.
Article in English | MEDLINE | ID: mdl-11138978

ABSTRACT

Mouse islets cultured for 1 or 4 days with or without 10 nM vasoactive intestinal polypeptide (VIP) were stained for tyrosine hydroxylase (TH) and examined for insulin secretion during culture and in a postculture perifusion system. Exposure to exogenous VIP for 4 days increased the frequency of islet cells expressing TH-like immunoreactivity. Regardless of the culturing conditions, the islets exhibited significant insulin secretory responses to 16.7 mM glucose, the effect being potentiated by 10 nM VIP in the perifusion medium. The insulin-releasing action of glucose and the potentiating effect of VIP were less pronounced in islets cultured for 1 day with VIP than in islets cultured without this neuropeptide. The following conclusions are suggested: (a) VIP stimulates the expression of TH in mouse islet cells; (b) the latency of the VIP-induced TH is a postreceptor phenomenon; (c) islet cultures exposed to VIP represent a new instance of the association between increased functional demands on beta cells and enhanced expression of TH and a new instance of VIP having trophic effects.


Subject(s)
Insulin/metabolism , Islets of Langerhans/drug effects , Tyrosine 3-Monooxygenase/metabolism , Vasoactive Intestinal Peptide/pharmacology , Animals , Cells, Cultured , Culture Media , Female , Fluorescent Antibody Technique, Indirect , Glucose/pharmacology , Insulin Secretion , Islets of Langerhans/cytology , Islets of Langerhans/metabolism , Mice , Mice, Inbred BALB C
8.
Histochem J ; 33(6): 373-8, 2001 Jun.
Article in English | MEDLINE | ID: mdl-11758814

ABSTRACT

The neuroinsular complex type 1 is composed of pancreatic endocrine islet cells and nerve cell bodies intrinsic to the islet. The details of the relation between nerve cells and between endocrine cells and nerve cells in the complex are unknown. Pancreata from newborn and 18-day-old mice were analysed by electron microscopy to establish the ultrastructural morphology of the neuroinsular complex. Immunohistochemical staining for protein gene-product 9.5 was also performed. The study showed that nerve cell bodies were closely associated to each other in the periphery of the islets with no connective tissue separating the cells. The nerve cells were closely associated to both beta-cells and alpha-cells. Direct intercellular contacts were observed between nerve cells and endocrine cells and between Schwann cells and endocrine cells. Varicose nerve endings were frequently observed in the neuroinsular complex. In the peripheral parts the varicosities were mostly being associated to the nerve cell bodies. The varicosities contained small clear or small clear and larger dense cored vesicles, suggesting cholinergic and peptidergic contents. The varicosities made specialized synaptic connections with adjacently located nerve cells. The study shows that the neuronal part of the neuroinsular complex is closely associated to the endocrine islet cells and that it is richly innervated, indicating an important regulatory function of the nerve cell component in the neuroinsular complex.


Subject(s)
Islets of Langerhans/innervation , Animals , Animals, Newborn , Ganglia, Autonomic/chemistry , Ganglia, Autonomic/ultrastructure , Immunohistochemistry , Islets of Langerhans/chemistry , Islets of Langerhans/cytology , Mice , Microscopy, Electron , Nerve Endings/ultrastructure , Neurons/chemistry , Neurons/ultrastructure , Thiolester Hydrolases/analysis , Thiolester Hydrolases/ultrastructure , Ubiquitin Thiolesterase
9.
Peptides ; 21(5): 741-52, 2000 May.
Article in English | MEDLINE | ID: mdl-10876059

ABSTRACT

Functional alterations are developed in transplanted islets over time. Because islets in situ are densely innervated and isolation disconnects the endocrine organ from extrinsic nerves and from ganglia in the exocrine pancreas, it is important to examine the reinnervation of islet grafts. This review describes the patterns of appearances of intrinsic perikarya and reinnervating fibers demonstrating markers for parasympathetic, sympathetic or sensory nerve substances, most notably neuropeptides, in islet transplants. An altered innervation pattern, as compared to normal islets, develops. Presumably the expression of neuronal markers in the grafts is related to factors both in the islets and in the ectopic environment offered by the implantation organ.


Subject(s)
Biomarkers , Islets of Langerhans Transplantation , Neuropeptides/metabolism , Animals , Islets of Langerhans/innervation
10.
Peptides ; 19(7): 1233-40, 1998.
Article in English | MEDLINE | ID: mdl-9786173

ABSTRACT

In mouse pancreatic islets, whether in situ or transplanted to kidney, nerve fibers and a few perikarya expressed NPY-like immunoreactivity (NPY-LI). In 4-5 day old grafts, NPY-LI coexisted with VIP-LI in randomly distributed nerve fibers. By 2-52 weeks, NPY mainly co-existed with tyrosine hydroxylase in fibers emanating from the kidney parenchyma. Radioimmunoassays indicated that the NPY levels increased with time, while those of VIP decreased. The study shows that NPY is primarily present in the intrinsic VIP-ergic innervation of islet grafts but later is mainly a constituent of the ingrowing sympathetic innervation.


Subject(s)
Islets of Langerhans Transplantation , Islets of Langerhans/innervation , Neurons/chemistry , Neuropeptide Y/analysis , Acetylcholinesterase/analysis , Animals , Immunohistochemistry , Islets of Langerhans/chemistry , Islets of Langerhans/cytology , Kidney/blood supply , Kidney/chemistry , Kidney/innervation , Mice , Mice, Inbred C57BL , Nerve Fibers/chemistry , Pancreas/chemistry , Pancreas/cytology , Pancreas/innervation , Radioimmunoassay , Time Factors , Tyrosine 3-Monooxygenase/analysis , Vasoactive Intestinal Peptide/analysis
11.
J Clin Oncol ; 16(2): 462-9, 1998 Feb.
Article in English | MEDLINE | ID: mdl-9469329

ABSTRACT

PURPOSE: To investigate the prognostic and predictive value of c-erbB-2 overexpression in breast cancer in relation to other prognostic markers. PATIENTS AND METHODS: Paraffin-embedded tumors from 315 consecutive primary breast cancer patients were screened for c-erbB-2 protein (p185) overexpression by immunohistochemistry using the monoclonal antibody CB11. RESULTS: c-erbB-2 protein overexpression was detected in 19% of tumors and was associated with shorter 5-year overall survival (OAS) rate compared with c-erbB-2-negative cases in the total patient material (58% and 77%, respectively; P = .004) and in the 96 node-positive patients (31% and 61%, respectively; P = .02), but not in node-negative patients. For 47 node-positive patients treated with adjuvant tamoxifen and radiotherapy, the 5-year OAS was 13% for c-erbB-2 overexpression and 75% for c-erbB-2-negative patients (P = .00004). The frequency of c-erbB-2 overexpression decreased with age at diagnosis. The prognostic value of c-erbB-2 on OAS was independent of age, node status, tumor size, histopathologic grade, hormone receptor status, S phase, p53 status, and adjuvant treatment. c-erbB-2 status added prognostic information to p53-negative and low S-phase cases, but not to p53-positive and high S-phase cases. Correspondingly, these only added information to c-erbB-2-negative cases. CONCLUSION: c-erbB-2 protein overexpression may have a predictive value with regard to adjuvant therapy in node-positive patients, for whom adjuvant tamoxifen with radiotherapy appears insufficient in the presence of c-erbB-2 overexpression. Combination of conventional and newer tumor markers may identify patients with a worse prognosis within groups with a generally favorable prognosis.


Subject(s)
Biomarkers, Tumor/analysis , Breast Neoplasms/mortality , Receptor, ErbB-2/analysis , Adult , Aged , Aged, 80 and over , Breast Neoplasms/chemistry , Female , Humans , Immunohistochemistry , Lymphatic Metastasis , Middle Aged , Multivariate Analysis , Predictive Value of Tests , Prognosis , Survival Rate
12.
Neuropeptides ; 32(4): 307-18, 1998 Aug.
Article in English | MEDLINE | ID: mdl-10102675

ABSTRACT

Pancreatic islets transplanted to the kidney of syngeneic mice were stained for calcitonin gene-related peptide (CGRP), substance P (SP), tyrosine hydroxylase (TH), acetylcholinesterase and the pan-neuronal marker, protein gene product 9.5 (PGP). Nerve fibers expressing TH-like immunoreactivity (TH-LI) and CGRP-LI were rare for 4 days but increased 2 (CGRP) or 6 (TH) weeks after transplantation. In 1-year-old grafts the CGRP-LI innervation resembled that in situ, while TH-LI and PGP-LI innervations were increased. SP-LI fibers remained rare throughout. Perikarya intrinsic to the islets did not show CGRP-LI or SP-LI. The results indicate a progressive ingrowth of sensory fibers into the grafts and that the TH-LI innervation becomes even more pronounced than in the pancreas. The post-transplantation reaction of islet intrinsic neurons does not involve CGRP and SP, contrasting with previous observations for vasoactive intestinal polypeptide.


Subject(s)
Calcitonin Gene-Related Peptide/analysis , Islets of Langerhans Transplantation , Islets of Langerhans/chemistry , Substance P/analysis , Thiolester Hydrolases/analysis , Tyrosine 3-Monooxygenase/analysis , Animals , Female , Immunohistochemistry , Islets of Langerhans/innervation , Kidney , Mice , Mice, Inbred C57BL , Nerve Fibers/chemistry , Neurons/chemistry , Transplantation, Heterotopic , Ubiquitin Thiolesterase
14.
Cell Tissue Res ; 284(3): 391-400, 1996 Jun.
Article in English | MEDLINE | ID: mdl-8646759

ABSTRACT

Collagenase-isolated pancreatic islets from C57BL/6J mice were cultured overnight and transplanted under the kidney capsule of non-diabetic syngeneic hosts. Cryostat sections of grafts and fresh islets were stained for acetylcholinesterase (AChE) and vasoactive intestinal polypeptide-like immunoreactivity (VIP-LI). Immediately after isolation, as well as 2-5 days after transplantation, VIP-LI- and AChE-positive nerve cell bodies were clearly seen in the periphery of the islets. Grafts 3-5 days old exhibited a transient and marked increase in VIP-LI nerve cell bodies and fibres. Seven days after transplantation VIP-LI nerve structures began to decrease in number and after 26-52 weeks they were no longer detectable. In contrast, AChE-positive nerve cell bodies and fibers, which showed a relatively constant pattern of distribution, were observed throughout the entire observation period. Restaining experiments demonstrated the coexistence of VIP-LI and AChE activity in the neurons. It is concluded that the grafts were extensively equipped with an intrinsic VIP-ergic and AChE-positive innervation. The initial, transient enhancement of VIP-LI expression probably reflects an adaptation of the neuro-insular complex to the preganglionic denervation, or to the ectopic environment, or both.


Subject(s)
Islets of Langerhans Transplantation , Islets of Langerhans/chemistry , Neurons/enzymology , Transplantation, Heterotopic , Vasoactive Intestinal Peptide/immunology , Acetylcholinesterase/metabolism , Animals , Immunohistochemistry , Islets of Langerhans/innervation , Islets of Langerhans/physiology , Kidney , Mice , Mice, Inbred C57BL , Nerve Fibers/chemistry , Nerve Fibers/enzymology , Neurons/chemistry , Time Factors , Vasoactive Intestinal Peptide/analysis , Vasoactive Intestinal Peptide/metabolism
15.
J Natl Cancer Inst ; 88(3-4): 173-82, 1996 Feb 21.
Article in English | MEDLINE | ID: mdl-8632491

ABSTRACT

BACKGROUND: Mutations in the p53 tumor suppressor gene (also known as TP53) have been detected in a wide variety of human cancers. In breast cancer, the presence of p53 gene alterations has been associated with worse prognosis. PURPOSE: We compared a complementary DNA (cDNA)-based sequencing method and an immunohistochemical (IHC) method for their abilities to detect p53 mutations in breast cancer specimens. In addition, we determined the prognostic value of information obtained when these two methods were used. METHODS: Specimens from 316 primary breast tumors were evaluated for the presence of mutant p53 protein by use of the mouse monoclonal antibody Pab 1801 (that recognizes both wild-type and mutant forms of p53) and standard IHC methods. In addition, the entire coding region of p53 genes expressed in these tumors was screened for mutations by combining reverse transcription, the polymerase chain reaction, and DNA sequencing. Probabilities for overall survival (OS), breast cancer-corrected survival (BCCS; death from breast cancer is the considered event), and relapse-free survival (RFS) were estimated by use of the Kaplan-Meier method, and survival curves for different patient subgroups were compared by use of the logrank method. All reported P values are from two-sided tests. RESULTS: Sixty-nine (22%) of 316 tumors had p53 gene mutations detected by the cDNA-based sequencing method; only 31 (45%) of these mutations were located in evolutionarily conserved portions of the p53 coding region. Sixty-four tumors (20% of the total) had elevated levels of p53 protein as detected by IHC, suggesting the presence of mutations. Of the sequencing-positive tumors (i.e., p53 mutant), 23 exhibited negative IHC reactions, indicating that IHC failed to detect 33% of the mutations. Furthermore, 19 of the IHC-positive tumors were sequencing negative (i.e., p53 wild-type), suggesting a 30% false-positive frequency with IHC. Four tumors (1.3% of the total) could not be analyzed by the cDNA-based sequencing method, and three tumors (1% of the total) could not be analyzed by IHC. The 5-year estimates for RFS, BCCS, and OS were significantly shorter for patients with p53 sequencing-positive tumors than for patients with sequencing-negative tumors (P = .001, P = .01, and P = .0003, respectively). Patients with IHC-positive tumors showed reduced survival in all three categories when compared with those with IHC-negative tumors, but the differences were not statistically significant. CONCLUSIONS: Use of a cDNA-based sequencing method to determine the status of the p53 gene in primary breast cancers yielded better prognostic information than IHC performed with the Pab 1801 monoclonal antibody.


Subject(s)
Breast Neoplasms/diagnosis , Genes, p53 , Tumor Suppressor Protein p53/metabolism , Adult , Aged , Base Sequence , Breast Neoplasms/genetics , DNA Primers/chemistry , DNA, Complementary/genetics , Female , Humans , Immunohistochemistry , Lymphatic Metastasis , Middle Aged , Molecular Sequence Data , Point Mutation , Prognosis , Proportional Hazards Models , RNA, Neoplasm/genetics , Survival Analysis
16.
Acta Oncol ; 35 Suppl 5: 96-102, 1996.
Article in English | MEDLINE | ID: mdl-9142977

ABSTRACT

A long list of potential prognostic markers has been analysed for breast cancer, some of them will be reviewed in this article. The lymph node status is still the best prognostic marker. The lymph node status combined with information on tumour size, receptor- and proliferation status of the tumour should be analysed as standard for all breast cancer patients. Prognostic information for breast cancer patients has also been described for the membrane protein c-erbB2, the protease cathepsin D, plasminogen activators and inhibitors, certain oncogenes and tumour suppressor genes. Some of these factors also give potential additional information on the response to different oncological therapies, and are better denoted predictive factors. In this overview we shortly describe the above mentioned prognostic factors with major focus on the tumour suppressor gene p53 and its prognostic value and potential predictive value.


Subject(s)
Breast Neoplasms/genetics , Breast Neoplasms/mortality , Genes, p53 , Apoptosis , Biomarkers, Tumor , Breast Neoplasms/metabolism , Breast Neoplasms/pathology , Humans , Lymphatic Metastasis , Predictive Value of Tests , Prognosis
17.
J Clin Oncol ; 13(11): 2745-51, 1995 Nov.
Article in English | MEDLINE | ID: mdl-7595733

ABSTRACT

PURPOSE AND METHODS: Primary breast cancer tumors without axillary metastases from 206 consecutive patients in a population-based cohort were investigated with regard to the presence of an intact p53 gene using a cDNA-based sequencing method. Clinical follow-up data and outcome of node-negative patients without any adjuvant systemic therapy (n = 168) were related to locoregional radiotherapy and p53 status. RESULTS: Mutations in p53 occurred in 31 node-negative breast cancer patients who did not receive any systemic adjuvant treatment, but were treated with postoperative locoregional radiotherapy or nothing. Node-negative breast cancer patients with p53 mutations had significantly improved relapse-free survival (P = .0007), breast cancer-corrected survival (P = .01), and overall survival (P = .02) rates when treated with locoregional radiotherapy. In node-negative breast cancer patients with wild-type p53, there was no statistically significant difference in outcome between patients who received locoregional radiotherapy and those who did not. Cox proportional hazards models indicate that mutant p53 is associated with worse prognosis independent of response to radiotherapy and that response to radiotherapy is qualitatively different in tumors with p53 mutations compared with those with wild-type p53. CONCLUSION: Our clinical findings define a group of breast cancer patients in whom locoregional radiotherapy improves relapse-free, breast cancer-corrected, and overall survival. The outcome for irradiated node-negative breast cancer patients with p53 alterations indicates that irradiation can induce cell death even in the presence of p53 mutations.


Subject(s)
Breast Neoplasms/genetics , Breast Neoplasms/radiotherapy , Genes, p53 , Adult , Aged , Breast Neoplasms/mortality , Cohort Studies , Combined Modality Therapy , DNA Mutational Analysis , Disease-Free Survival , Female , Follow-Up Studies , Humans , Mastectomy , Middle Aged , Mutation , Prognosis , Proportional Hazards Models , Radiotherapy, Adjuvant , Survival Rate
18.
Nat Med ; 1(10): 1029-34, 1995 Oct.
Article in English | MEDLINE | ID: mdl-7489358

ABSTRACT

The complete coding region of the p53 gene was sequenced from 316 consecutively presented breast cancers, of which 97 were lymph node positive and 206 were node negative. The p53 status was related to prognosis and effect of adjuvant therapy. In all, 69 individual mutations, 29 in node-positive tumours, were demonstrated throughout the whole coding sequence. The mutation sites were partly different for node-positive and node-negative patients. p53 mutations in the evolutionary conserved regions II and V were associated with significantly worse prognosis. Adjuvant systemic therapy, especially with tamoxifen, along with radiotherapy seemed to be of less value to p53 mutation- and lymph node-positive tumours.


Subject(s)
Breast Neoplasms/genetics , Genes, p53 , Mutation , Amino Acids/analysis , Antineoplastic Agents/therapeutic use , Breast Neoplasms/mortality , Breast Neoplasms/therapy , Chemotherapy, Adjuvant , DNA, Complementary/chemistry , Female , Follow-Up Studies , Humans , Lymph Nodes/pathology , Prognosis , Radiotherapy, Adjuvant , Survival Rate , Tamoxifen/therapeutic use
19.
Bone ; 12(2): 113-8, 1991.
Article in English | MEDLINE | ID: mdl-2064838

ABSTRACT

We studied changes in bone mass and histology in growing rats after different relatively short periods of immobilization and during subsequent remobilization. Immobilization-induced loss of bone weight is mainly due to mineral losses as indicated by changes in wet weight, ash weight, and calcium content. 45Ca2+ incorporation was found to be decreased in immobilized bones and showed strong dependence upon the age of the rats. Histological examination showed rapid and extensive trabecular bone loss, and external measurements of bone length and diameter confirmed that a substantial part of the decrease in bone mass was due to actual trabecular bone loss and not the reduction of external bone volume. Two of the methods studied, cast immobilization and reversible neurectomy, allow subsequent remobilization and thus enable recovery of the bone to be studied. Bone ash weights were 12.3 +/- 1.12% and 13.1 +/- 1.82% below the control values in the tibia and the femur, respectively, after three weeks of cast immobilization and 12.0 +/- 1.10% and 9.2 +/- 0.90% below after three weeks of immobilization by reversible neurectomy. The bone mineral mass recovered by 40% (p less than 0.053) in the femur and 67% (p less than 0.027) in the tibia during the three weeks' remobilization following one week of cast immobilization, and 62% (p less than 0.001) in the tibia but only 38% (p less than 0.073) in the femur after three weeks of cast immobilization. Mobility of the extremity was restored after three weeks of immobilization by reversible neurectomy, whereupon about half of the lost bone mass was recovered in both the tibia and the femur during six weeks of reinnervation.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Bone Development , Osteoporosis/physiopathology , Animals , Body Weight , Bone Density , Immobilization/physiology , Male , Organ Size , Osteoporosis/metabolism , Rats , Rats, Inbred Strains
20.
J Craniomaxillofac Surg ; 18(6): 271-9, 1990 Aug.
Article in English | MEDLINE | ID: mdl-2212027

ABSTRACT

The positioning of osteotomies in intramembranous cranial bone was studied by exploring the pattern of bone regeneration in growth areas (the sutural region) as compared to that of the bone plate proper. Trephine defects in the left coronal suture area and the right parietal bone were produced in fifty-nine young rabbits. A pilot study to refine operative and analytical methods comprised 22 animals. The experiments were terminated at one, three, and six weeks after surgery. The bone regenerative response was assessed by x-ray planimetry, plain microscopy, enzyme histochemistry, and fluorescent labelling. Only minor divergences in healing capacity between the two defects were found. No adverse effects on the growth process were indicated. As to clinical management, the findings suggest that osteotomies designed to traverse sutural areas will, under normal circumstances, regenerate in a similar manner and rate to adjoining bone plates.


Subject(s)
Bone Regeneration/physiology , Cranial Sutures/physiopathology , Frontal Bone/physiopathology , Osteotomy/methods , Parietal Bone/physiopathology , Acid Phosphatase/analysis , Alkaline Phosphatase/analysis , Animals , Cranial Sutures/enzymology , Cranial Sutures/pathology , Cranial Sutures/surgery , Female , Fluorescent Antibody Technique , Frontal Bone/enzymology , Frontal Bone/pathology , Frontal Bone/surgery , Male , Parietal Bone/enzymology , Parietal Bone/pathology , Parietal Bone/surgery , Rabbits
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