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1.
Cancer Res Commun ; 4(7): 1625-1642, 2024 Jul 01.
Article in English | MEDLINE | ID: mdl-38867360

ABSTRACT

Genome instability is a hallmark of cancer crucial for tumor heterogeneity and is often a result of defects in cell division and DNA damage repair. Tumors tolerate genomic instability, but the accumulation of genetic aberrations is regulated to avoid catastrophic chromosomal alterations and cell death. In ovarian cancer tumors, claudin-4 is frequently upregulated and closely associated with genome instability and worse patient outcomes. However, its biological association with regulating genomic instability is poorly understood. Here, we used CRISPR interference and a claudin mimic peptide to modulate the claudin-4 expression and its function in vitro and in vivo. We found that claudin-4 promotes a tolerance mechanism for genomic instability through micronuclei generation in tumor cells. Disruption of claudin-4 increased autophagy and was associated with the engulfment of cytoplasm-localized DNA. Mechanistically, we observed that claudin-4 establishes a biological axis with the amino acid transporters SLC1A5 and LAT1, which regulate autophagy upstream of mTOR. Furthermore, the claudin-4/SLC1A5/LAT1 axis was linked to the transport of amino acids across the plasma membrane as one of the potential cellular processes that significantly decreased survival in ovarian cancer patients. Together, our results show that the upregulation of claudin-4 contributes to increasing the threshold of tolerance for genomic instability in ovarian tumor cells by limiting its accumulation through autophagy. SIGNIFICANCE: Autophagy regulation via claudin-4/SLC1A5/LAT1 has the potential to be a targetable mechanism to interfere with genomic instability in ovarian tumor cells.


Subject(s)
Autophagy , Claudin-4 , Genomic Instability , Ovarian Neoplasms , Humans , Female , Ovarian Neoplasms/genetics , Ovarian Neoplasms/pathology , Ovarian Neoplasms/metabolism , Claudin-4/metabolism , Claudin-4/genetics , Animals , Mice , Cell Line, Tumor , Micronuclei, Chromosome-Defective , Gene Expression Regulation, Neoplastic , Minor Histocompatibility Antigens , Amino Acid Transport System ASC
2.
bioRxiv ; 2024 Jan 22.
Article in English | MEDLINE | ID: mdl-38293054

ABSTRACT

Genome instability is key for tumor heterogeneity and derives from defects in cell division and DNA damage repair. Tumors show tolerance for this characteristic, but its accumulation is regulated somehow to avoid catastrophic chromosomal alterations and cell death. Claudin-4 is upregulated and closely associated with genome instability and worse patient outcome in ovarian cancer. This protein is commonly described as a junctional protein participating in processes such as cell proliferation and DNA repair. However, its biological association with genomic instability is still poorly-understood. Here, we used CRISPRi and a claudin mimic peptide (CMP) to modulate the cladudin-4 expression and its function, respectively in in-vitro (high-grade serous carcinoma cells) and in-vivo (patient-derived xenograft in a humanized-mice model) systems. We found that claudin-4 promotes a protective cellular-mechanism that links cell-cell junctions to genome integrity. Disruption of this axis leads to irregular cellular connections and cell cycle that results in chromosomal alterations, a phenomenon associated with a novel functional link between claudin-4 and SLC1A5/LAT1 in regulating autophagy. Consequently, claudin-4's disruption increased autophagy and associated with engulfment of cytoplasm-localized DNA. Furthermore, the claudin-4/SLC1A5/LAT1 biological axis correlates with decrease ovarian cancer patient survival and targeting claudin-4 in-vivo with CMP resulted in increased niraparib (PARPi) efficacy, correlating with increased tumoral infiltration of T CD8+ lymphocytes. Our results show that the upregulation of claudin-4 enables a mechanism that promotes tolerance to genomic instability and immune evasion in ovarian cancer; thus, suggesting the potential of claudin-4 as a translational target for enhancing ovarian cancer treatment.

3.
iScience ; 26(1): 105750, 2023 Jan 20.
Article in English | MEDLINE | ID: mdl-36590177

ABSTRACT

Establishing metabolic programming begins during fetal and postnatal development, and early-life lipid exposures play a critical role during neonatal adipogenesis. We define how neonatal consumption of a low omega-6 to -3 fatty acid ratio (n6/n3 FA ratio) establishes FA oxidation in adipocyte precursor cells (APCs) before they become adipocytes. In vivo, APCs isolated from mouse pups exposed to the low n6/n3 FA ratio had superior FA oxidation capacity, elevated beige adipocyte mRNAs Ppargc1α, Ucp2, and Runx1, and increased nuclear receptor NR2F2 protein. In vitro, APC treatment with NR2F2 ligand-induced beige adipocyte mRNAs and increased mitochondrial potential but not mass. Single-cell RNA-sequencing analysis revealed low n6/n3 FA ratio yielded more mitochondrial-high APCs and linked APC NR2F2 levels with beige adipocyte signatures and FA oxidation. Establishing beige adipogenesis is of clinical relevance, because fat depots with energetically active, smaller, and more numerous adipocytes improve metabolism and delay metabolic dysfunction.

4.
Heliyon ; 8(10): e10862, 2022 Oct.
Article in English | MEDLINE | ID: mdl-36237976

ABSTRACT

Claudin-4, a protein with the structure of classic claudins most often found in cell-cell junctions, is frequently overexpressed in epithelial cancers where its localization has not been studied. In this study we aimed to find out where this membrane protein is localized in an ovarian tumor model, OVCAR3 cells, that express high levels of the protein. Immunohistochemical studies showed claudin-4 staining in a perinuclear region, at most plasma membranes and in cytoplasmic puncta. Native claudin-4 did not overlap with phosphorylated claudin-4, which was partially located in focal adhesions. Using claudin-4 BioID technology we confirmed that large amounts of claudin-4 are localized to the Golgi compartment, including in dispersed Golgi in cells where claudin-4 is partially knocked down and in dividing cells. Claudin-4 appears to be present in the vicinity of several types of cell-cell junctions, but there is no evidence that it forms tight junctions in these tumor cells. Both claudin-4, the Golgi marker GM130, and the plasma membrane receptor Notch2 were found in dispersed Golgi in dividing cells. This definition of the cellular architecture of claudin-4 should provide a framework for better understanding of the function of claudin-4 in tumor cells and its molecular interactions.

5.
Mol Cancer Ther ; 21(4): 647-657, 2022 04 01.
Article in English | MEDLINE | ID: mdl-35373300

ABSTRACT

High-grade serous ovarian cancer is the deadliest gynecologic malignancy due to progression to resistant disease. Claudin-4 is classically defined as a tight junction protein and is often associated with epithelial cancers. Claudin-4 is aberrantly expressed in nearly 70% of all ovarian cancer tumors and conveys a worse overall prognosis. Elevated claudin-4 expression correlates to increased DNA repair activity and resistance to DNA damaging agents. PARP inhibitors are emerging as an effective therapeutic option for patients with ovarian cancer and function by promoting DNA damage. The study examines the relationship between claudin-4 expression and the response to PARP inhibitors using both genetic and pharmacologic inhibition of claudin-4 in in vitro and ex vivo models of ovarian cancer to examine DNA repair markers and functional activity. Genetic inhibition of claudin-4 results in the downregulation of several DNA damage repair effectors, including 53BP1 and XRCC1. Claudin-4 knockdown did not change homology-directed repair but inhibited nonhomologous end-joining and reduced 53BP1 foci formation. In 15 primary ovarian cancer tumors, higher claudin-4 expression significantly correlated to a dampened PARP inhibitor-mediated antiproliferation response. Further, claudin-4 inhibition in high claudin-4 tumors sensitized tumor sections to PARP inhibition. These data highlight that claudin-4 expression in ovarian cancer tumors could serve as both a marker of PARP inhibitor response and a therapeutic target to improve PARP inhibitor response.


Subject(s)
Ovarian Neoplasms , Poly(ADP-ribose) Polymerase Inhibitors , Claudin-4/genetics , DNA Damage , DNA Repair , Female , Humans , Ovarian Neoplasms/drug therapy , Ovarian Neoplasms/genetics , Ovarian Neoplasms/pathology , Poly(ADP-ribose) Polymerase Inhibitors/pharmacology , Poly(ADP-ribose) Polymerase Inhibitors/therapeutic use , X-ray Repair Cross Complementing Protein 1/genetics
6.
World J Gastrointest Surg ; 14(1): 24-35, 2022 Jan 27.
Article in English | MEDLINE | ID: mdl-35126860

ABSTRACT

BACKGROUND: Ampullary adenocarcinoma (AAC) is a rare neoplasm that accounts for only 0.2% of all gastrointestinal cancers. Its incidence rate is lower than 6 cases per million people. Different prognostic factors have been described for AAC and are associated with a wide range of survival rates. However, these studies have been exclusively conducted in patients originating from Asian, European, and North American countries. AIM: To evaluate the histopathologic predictors of overall survival (OS) in South American patients with AAC treated with curative pancreaticoduodenectomy (PD). METHODS: We analyzed retrospective data from 83 AAC patients who underwent curative (R0) PD at the National Cancer Institute of Peru between January 2010 and October 2020 to identify histopathologic predictors of OS. RESULTS: Sixty-nine percent of patients had developed intestinal-type AAC (69%), 23% had pancreatobiliary-type AAC, and 8% had other subtypes. Forty-one percent of patients were classified as Stage I, according to the AJCC 8th Edition. Recurrence occurred primarily in the liver (n = 8), peritoneum (n = 4), and lung (n = 4). Statistical analyses indicated that T3 tumour stage [hazard ratio (HR) of 6.4, 95% confidence interval (CI) of 2.5-16.3, P < 0.001], lymph node metastasis (HR: 4.5, 95%CI: 1.8-11.3, P = 0.001), and pancreatobiliary type (HR: 2.7, 95%CI: 1.2-6.2, P = 0.025) were independent predictors of OS. CONCLUSION: Extended tumour stage (T3), pancreatobiliary type, and positive lymph node metastasis represent independent predictors of a lower OS rate in South American AAC patients who underwent curative PD.

7.
Am J Physiol Regul Integr Comp Physiol ; 317(5): R684-R695, 2019 11 01.
Article in English | MEDLINE | ID: mdl-31553623

ABSTRACT

Exercise is a potent facilitator of long-term weight loss maintenance (WLM), whereby it decreases appetite and increases energy expenditure beyond the cost of the exercise bout. We have previously shown that exercise may amplify energy expenditure through energetically expensive nutrient deposition. Therefore, we investigated the effect of exercise on hepatic de novo lipogenesis (DNL) during WLM and relapse to obesity. Obese rats were calorically restricted with (EX) or without (SED) treadmill exercise (1 h/day, 6 days/wk, 15 m/min) to induce and maintain weight loss. After 6 wk of WLM, subsets of WLM-SED and WLM-EX rats were allowed ad libitum access to food for 1 day to promote relapse (REL). An energy gap-matched group of sedentary, relapsing rats (REL-GM) were provided a diet matched to the positive energy imbalance of the REL-EX rats. During relapse, exercise increased enrichment of hepatic DN-derived lipids and induced hepatic molecular adaptations favoring DNL compared with the gap-matched controls. In the liver, compared with both REL-SED and REL-GM rats, REL-EX rats had lower hepatic expression of genes required for cholesterol biosynthesis; greater hepatic expression of genes that mediate very low-density lipoprotein synthesis and secretion; and greater mRNA expression of Cyp27a1, which encodes an enzyme involved in the biosynthesis of bile acids. Altogether, these data provide compelling evidence that the liver has an active role in exercise-mediated potentiation of energy expenditure during early relapse.


Subject(s)
Cholesterol/biosynthesis , Energy Metabolism , Lipogenesis , Liver/metabolism , Obesity/therapy , Physical Conditioning, Animal , Weight Gain , Weight Loss , Animals , Bile Acids and Salts/biosynthesis , Caloric Restriction , Disease Models, Animal , Energy Metabolism/genetics , Gene Expression Regulation, Enzymologic , Insulin/blood , Lipogenesis/genetics , Male , Obesity/genetics , Obesity/metabolism , Obesity/physiopathology , Recurrence , Running , Time Factors , Transcription Factors/genetics , Transcription Factors/metabolism
8.
Front Health Serv Manage ; 35(4): 3-10, 2019.
Article in English | MEDLINE | ID: mdl-31124795

ABSTRACT

Healthcare is facing a world of change. New regulations, rapid advances in information technology, shifts in payment from volume to value, consumer demands for better access to care, increased public scrutiny of outcomes, patient safety concerns, and business consolidation all add increasing degrees of difficulty to the work that healthcare leaders do. Effective management of a diverse workforce can make a significant impact on all of these challenges.This article covers four aspects of workforce management: talent, leadership, technology, and culture. Each is described, along with tactics to address it. The recommendations are based on both my research of human capital management and my experience as a senior human resource officer and healthcare executive, now with the nation's third-largest nonprofit health system, Catholic Health Initiatives.


Subject(s)
Delivery of Health Care/organization & administration , Health Personnel/organization & administration , Leadership , Workforce/organization & administration , Adult , Female , Humans , Male , Middle Aged , United States
9.
Mol Cancer Res ; 17(3): 741-750, 2019 03.
Article in English | MEDLINE | ID: mdl-30606772

ABSTRACT

A significant factor contributing to poor survival rates for patients with ovarian cancer is the insensitivity of tumors to standard-of-care chemotherapy. In this study, we investigated the effect of claudin-4 expression on ovarian tumor cell apoptotic response to cisplatin and paclitaxel. We manipulated claudin-4 gene expression by silencing expression [short hairpin RNA (shRNA)] in cells with endogenously expressed claudin-4 or overexpressing claudin-4 in cells that natively do not express claudin-4. In addition, we inhibited claudin-4 activity with a claudin mimic peptide (CMP). We monitored apoptotic response by caspase-3 and Annexin V binding. We examined proliferation rate by counting the cell number over time as well as measuring the number of mitotic cells. Proximity ligation assays, immunoprecipitation (IP), and immunofluorescence were performed to examine interactions of claudin-4. Western blot analysis of tubulin in cell fractions was used to determine the changes in tubulin polymerization with changes in claudin-4 expression. Results show that claudin-4 expression reduced epithelial ovarian cancer (EOC) cell apoptotic response to paclitaxel. EOCs without claudin-4 proliferated more slowly with enhanced mitotic arrest compared with the cells expressing claudin-4. Furthermore, our results indicate that claudin-4 interacts with tubulin, having a profound effect on the structure and polymerization of the microtubule network. In conclusion, we demonstrate that claudin-4 reduces the ovarian tumor cell response to microtubule-targeting paclitaxel and disrupting claudin-4 with CMP can restore apoptotic response. IMPLICATIONS: These results suggest that claudin-4 expression may provide a biomarker for paclitaxel response and can be a target for new therapeutic strategies to improve response.


Subject(s)
Antineoplastic Agents, Phytogenic/therapeutic use , Claudin-4/metabolism , Paclitaxel/therapeutic use , Antineoplastic Agents, Phytogenic/pharmacology , Apoptosis , Cell Culture Techniques , Cell Line, Tumor , Cell Proliferation , Female , Humans , Paclitaxel/pharmacology
10.
Int J Gynecol Pathol ; 37(1): 93-100, 2018 Jan.
Article in English | MEDLINE | ID: mdl-28319579

ABSTRACT

Carcinosarcomas (CS) are exceedingly rare in the vulva, with only 3 cases reported in the English literature, associated with squamous cell carcinoma (2) or spiradenocarcinoma (1). We first report a vulvar CS with intestinal-type mucinous adenocarcinoma associated with anaplastic pleomorphic and spindle cell carcinoma and heterologous chondro- and osteosarcomatous elements in a 62-year-old woman, who presented with a painless, slow-growing vulvar cyst for almost 2 years, that rapidly enlarged and hardened in the last 4 months forming a mass. The tumor was widely excised, but recurred 2 months later, and she died 2 months after recurrence. A review on this entity is performed highlighting its morphologic and immunohistochemical features, and discussing issues in nomenclature and potential origins within the vulva.


Subject(s)
Adenocarcinoma, Mucinous/pathology , Bone Neoplasms/pathology , Carcinosarcoma/pathology , Osteosarcoma/pathology , Vulvar Neoplasms/pathology , Adenocarcinoma, Mucinous/diagnosis , Adenocarcinoma, Mucinous/surgery , Bone Neoplasms/diagnosis , Bone Neoplasms/surgery , Carcinosarcoma/diagnosis , Carcinosarcoma/surgery , Female , Humans , Middle Aged , Osteosarcoma/diagnosis , Osteosarcoma/surgery , Vulva/pathology , Vulva/surgery , Vulvar Neoplasms/diagnosis , Vulvar Neoplasms/surgery
11.
Diabetes ; 67(4): 651-661, 2018 04.
Article in English | MEDLINE | ID: mdl-29138256

ABSTRACT

Adipose tissue expansion progresses rapidly during postnatal life, influenced by both prenatal maternal factors and postnatal developmental cues. The ratio of omega-6 (n-6) relative to n-3 polyunsaturated fatty acids (PUFAs) is believed to regulate perinatal adipogenesis, but the cellular mechanisms and long-term effects are not well understood. We lowered the fetal and postnatal n-6/n-3 PUFA ratio exposure in wild-type offspring under standard maternal dietary fat amounts to test the effects of low n-6/n-3 ratios on offspring adipogenesis and adipogenic potential. Relative to wild-type pups receiving high perinatal n-6/n-3 ratios, subcutaneous adipose tissue in 14-day-old wild-type pups receiving low n-6/n-3 ratios had more adipocytes that were smaller in size; decreased Pparγ2, Fabp4, and Plin1; several lipid metabolism mRNAs; coincident hypermethylation of the PPARγ2 proximal promoter; and elevated circulating adiponectin. As adults, offspring that received low perinatal n-6/n-3 ratios were diet-induced obesity (DIO) resistant and had a lower positive energy balance and energy intake, greater lipid fuel preference and non-resting energy expenditure, one-half the body fat, and better glucose clearance. Together, the findings support a model in which low early-life n-6/n-3 ratios remodel adipose morphology to increase circulating adiponectin, resulting in a persistent adult phenotype with improved metabolic flexibility that prevents DIO.


Subject(s)
Adipogenesis , Blood Glucose/metabolism , Fatty Acids, Omega-3/blood , Fatty Acids, Omega-6/blood , Lipid Metabolism , Obesity/epidemiology , Prenatal Exposure Delayed Effects/epidemiology , Adipocytes/cytology , Adiponectin/metabolism , Animals , Animals, Newborn , Cell Proliferation , Cell Size , DNA Methylation , Diet, High-Fat , Dietary Fats , Energy Intake , Energy Metabolism , Fatty Acid-Binding Proteins/metabolism , Female , Mice , Obesity/blood , PPAR gamma/metabolism , Perilipin-1/metabolism , Pregnancy , Prenatal Exposure Delayed Effects/blood , Promoter Regions, Genetic , RNA, Messenger/metabolism , Risk Factors
12.
J Mammary Gland Biol Neoplasia ; 22(2): 141-157, 2017 06.
Article in English | MEDLINE | ID: mdl-28455726

ABSTRACT

Claudins are a large family of membrane proteins whose classic function is to regulate the permeability of tight junctions in epithelia. They are tetraspanins, with four alpha-helices crossing the membrane, two extracellular loops, a short cytoplasmic N-terminus and a longer and more variable C-terminus. The extracellular ends of the helices are known to undergo side-to-side (cis) interactions that allow the formation of claudin polymers in the plane of the membrane. The extracellular loops also engage in head-to-head (trans) interactions thought to mediate the formation of tight junctions. However, claudins are also present in intracellular structures, thought to be vesicles, with less well-characterized functions. Here, we briefly review our current understanding of claudin structure and function followed by an examination of changes in claudin mRNA and protein expression and localization through mammary gland development. Claudins-1, 3, 4, 7, and 8 are the five most prominent members of the claudin family in the mouse mammary gland, with varied abundance and intracellular localization during the different stages of post-pubertal development. Claudin-1 is clearly localized to tight junctions in mammary ducts in non-pregnant non-lactating animals. Cytoplasmic puncta that stain for claudin-7 are present throughout development. During pregnancy claudin-3 is localized both to the tight junction and basolaterally while claudin-4 is found only in sparse puncta. In the lactating mouse both claudin-3 and claudin-8 are localized at the tight junction where they may be important in forming the paracellular barrier. At involution and under challenge by lipopolysaccharide claudins -1, -3, and -4 are significantly upregulated. Claudin-3 is still colocalized with tight junction molecules but is also distributed through the cytoplasm as is claudin-4. These largely descriptive data provide the essential framework for future mechanistic studies of the function and regulation of mammary epithelial cell claudins.


Subject(s)
Claudins/metabolism , Epithelial Cells/metabolism , Gene Expression Regulation, Developmental , Mammary Glands, Animal/cytology , Mammary Glands, Animal/metabolism , Tight Junctions/metabolism , Animals , Epithelial Cells/cytology , Female , Lactation , Mice , Mice, Inbred BALB C , Pregnancy
13.
Development ; 143(22): 4236-4248, 2016 11 15.
Article in English | MEDLINE | ID: mdl-27729410

ABSTRACT

Profiling of RNA from mouse mammary epithelial cells (MECs) isolated on pregnancy day (P)14 and lactation day (L)2 revealed that the majority of differentially expressed microRNA declined precipitously between late pregnancy and lactation. The decline in miR-150, which exhibited the greatest fold-decrease, was verified quantitatively and qualitatively. To test the hypothesis that the decline in miR-150 is crucial for lactation, MEC-specific constitutive miR-150 was achieved by crossing ROSA26-lox-STOP-lox-miR-150 mice with WAP-driven Cre recombinase mice. Both biological and foster pups nursed by bitransgenic dams exhibited a dramatic decrease in survival compared with offspring nursed by littermate control dams. Protein products of predicted miR-150 targets Fasn, Olah, Acaca, and Stat5B were significantly suppressed in MECs of bitransgenic mice with constitutive miR-150 expression as compared with control mice at L2. Lipid profiling revealed a significant reduction in fatty acids synthesized by the de novo pathway in L2 MECs of bitransgenic versus control mice. Collectively, these data support the hypothesis that a synchronized decrease in miRNAs, such as miR-150, at late pregnancy serves to allow translation of targets crucial for lactation.


Subject(s)
Lactation/genetics , Lipogenesis/genetics , Mammary Glands, Animal/metabolism , MicroRNAs/genetics , Animals , Cells, Cultured , Down-Regulation/genetics , Female , Gene Expression Profiling , Gene Expression Regulation , Lactation/metabolism , Mice , Mice, Inbred C57BL , Mice, Transgenic , MicroRNAs/metabolism , Microarray Analysis , Pregnancy/genetics , Pregnancy/metabolism
14.
BMC Cancer ; 16(1): 788, 2016 10 11.
Article in English | MEDLINE | ID: mdl-27724921

ABSTRACT

BACKGROUND: Claudin-4 is a transmembrane protein expressed at high levels in the majority of epithelial ovarian tumors, irrespective of subtype, and has been associated with tumor cells that are both chemoresistant and highly mobile. The objective of this study was to determine the functional role that claudin-4 plays in apoptosis resistance and migration as well as the therapeutic utility of targeting claudin-4 activity with a small mimic peptide. METHODS: We examined claudin-4 activity in human ovarian tumor cell lines (SKOV3, OVCAR3, PEO4) using in vitro caspase and scratch assays as well as an in vivo mouse model of ovarian cancer. Claudin-4 activity was disrupted by treating cells with a small peptide that mimics the DFYNP sequence in the second extracellular loop of claudin-4. Claudin-4 expression was also altered using shRNA-mediated gene silencing. RESULTS: Both the disruption of claudin-4 activity and the loss of claudin-4 expression significantly increased tumor cell caspase-3 activation (4 to 10-fold, respectively) in response to the apoptotic inducer staurosporine and reduced tumor cell migration by 50 %. The mimic peptide had no effect on cells that lacked claudin-4 expression. Female athymic nude mice bearing ZsGreen-PEO4 ovarian tumors showed a significant decrease in ovarian tumor burden, due to increased apoptosis, after treatment with intraperitoneal injections of 4 mg/kg mimic peptide every 48 h for three weeks, compared to control peptide treated mice. CONCLUSION: Claudin-4 functionally contributes to both ovarian tumor cell apoptosis resistance and migration and targeting extracellular loop interactions of claudin-4 may have therapeutic implications for reducing ovarian tumor burden.


Subject(s)
Apoptosis/genetics , Cell Movement/genetics , Claudin-4/genetics , Ovarian Neoplasms/genetics , Animals , Caspase 3/metabolism , Cell Line, Tumor , Cell Survival/genetics , Claudin-4/metabolism , Disease Models, Animal , Female , Gene Expression Regulation, Neoplastic , Heterografts , Humans , Immunohistochemistry , Mice , Ovarian Neoplasms/metabolism , Ovarian Neoplasms/pathology , RNA Interference , RNA, Small Interfering/genetics , Tumor Burden
15.
Rev Gastroenterol Peru ; 36(1): 71-6, 2016.
Article in Spanish | MEDLINE | ID: mdl-27131944

ABSTRACT

Undifferentiated (embryonal) liver sarcoma is a rare tumor about 2% of all malignant liver tumors with a poor prognosis and usually occurs in children, this review aims to assess cases of primary embryonal sarcoma of the liver presented at our institution the past 8 years and improve recognition of its variants and evaluate immunohistochemical characteristics that help differentiated it from other tumors. Six cases of undifferentiated liver sarcoma were histologically evaluated and investigated by immunohistochemistry with a panel of antibodies using the equipment â€Å“Autostainer Link 48”. Usually masses were on average more than 20 cm, with solid, cystic, mucinous areas. The microscopic features include cells of spindle cell appearance, oval, starry, epithelioid and multinucleated cells densely arranged in a myxoid matrix. Trapped bile ducts and hepatic cords often present in the periphery of tumors. Intracellular and extracellular PAS positive hyaline globules. Immunohistochemistry showed very divergent differentiation.


Subject(s)
Liver Neoplasms/diagnosis , Sarcoma/diagnosis , Adult , Biomarkers, Tumor/metabolism , Child , Female , Humans , Liver/metabolism , Liver/pathology , Liver Neoplasms/metabolism , Liver Neoplasms/pathology , Male , Middle Aged , Peru , Sarcoma/metabolism , Sarcoma/pathology
16.
Rev. gastroenterol. Perú ; 36(1): 71-76, ene.-mar.2016. ilus, tab
Article in Spanish | LILACS, LIPECS | ID: lil-790234

ABSTRACT

El sarcoma indiferenciado (embrionario) hepático es un tumor poco frecuente, alrededor del 2% de todos los tumores malignos del hígado, con un pobre pronóstico y usualmente se presenta en niños, la presente revisión tiene como objetivo evaluarlos casos de sarcoma embrionario primario de hígado presentados en nuestra institución los 8 últimos años y mejorar el reconocimiento de sus variantes y evaluar sus características inmunohistoquímicas que ayuden a diferenciarlo de otros tumores. Seis casos de sarcoma indiferenciado hepático fueron evaluados histológicamente e investigados por inmunohistoquímica con un panel de anticuerpos utilizando el equipo ôAutostainer Link 48õ. Por lo general eran grandes masas en promedio mayor de 20 cm, con áreas sólidas, quísticas y gelatinosas. Las características microscópicas incluyen células de aspecto fusocelular, oval, estrellada, epitelioide o células multinucleadas densamente dispuestos en una matriz mixoide. Conductos biliares atrapados y cordones hepáticos a menudo presentes en la periferia de los tumores. Glóbulos hialinos intracelulares y extracelulares PAS positivos. La inmunohistoquímica mostró diferenciación muy divergente...


Undifferentiated (embryonal) liver sarcoma is a rare tumor about 2% of all malignant liver tumors with a poor prognosis and usually occurs in children, this review aims to assess cases of primary embryonal sarcoma of the liver presented at our institution the past 8 years and improve recognition of its variants and evaluate immunohistochemical characteristics that help differentiated it from other tumors. Six cases of undifferentiated liver sarcoma were histologically evaluated and investigated by immunohistochemistry with a panel of antibodies using the equipment ôAutostainer Link 48õ. Usually masses were on average more than 20 cm, with solid, cystic, mucinous areas. The microscopic features include cells of spindle cell appearance, oval, starry, epithelioid and multinucleated cells densely arranged in a myxoid matrix. Trapped bile ducts and hepatic cords often present in the periphery of tumors. Intracellular and extracellular PAS positive hyaline globules. Immunohistochemistry showed very divergent differentiation...


Subject(s)
Humans , Male , Adult , Female , Child , Middle Aged , Diagnosis, Differential , Immunohistochemistry , Meta-Analysis as Topic , Liver Neoplasms
17.
Am J Physiol Endocrinol Metab ; 305(9): E1103-14, 2013 Nov 01.
Article in English | MEDLINE | ID: mdl-23982156

ABSTRACT

Insulin is known to be an important regulator of milk secretion in the lactating mammary gland. Here we examine the role of insulin signaling in mammary development in pregnancy using a mouse with a floxed insulin receptor (IR) crossed with a mouse expressing Cre specifically in the mammary gland. In the mammary glands of these IR(fl/fl) Cre(+) mice, expression of IR is significantly diminished throughout development. Glands from these mice had 50% fewer alveoli at midpregnancy; casein and lipid droplets were diminished by 60 and 75%, respectively, indicating a role for IR both in alveolar development and differentiation. In an acinar preparation from mammary epithelial cells (MEC) isolated from pregnant mice, insulin stimulated lumen formation, mammary cell size, acinar size, acinar casein content, and the formation of lipid droplets with a Km of ∼1.7 nM. IGF-I and IGF-II had no effect at concentrations below 50 nM, and a function blocking antibody to the IGF type 1 receptor did not alter the response to insulin. We conclude that insulin interacting with IR is essential for mammary differentiation during murine pregnancy. Using array analysis, we then examined the expression of genes up- or downregulated >1.5-fold in the IR(fl/fl) Cre(+) MECs, finding significant downregulation of differentiation specific genes and upregulation of cell cycle and extracellular matrix genes. We conclude that insulin fosters differentiation and may inhibit cell proliferation in the mammary gland of the midpregnant mouse.


Subject(s)
Mammary Glands, Animal/cytology , Mammary Glands, Animal/growth & development , Receptor, Insulin/physiology , Acinar Cells/metabolism , Animals , Cell Differentiation/physiology , Cell Separation , Cytoskeleton/metabolism , Epithelium/growth & development , Extracellular Space/metabolism , Female , Gene Expression Profiling , Immunohistochemistry , Insulin/physiology , Insulin-Like Growth Factor I/metabolism , Insulin-Like Growth Factor II/metabolism , Integrases/biosynthesis , Integrases/genetics , Mice , Mice, Inbred C57BL , Mice, Knockout , Pregnancy , Pulmonary Alveoli/cytology , Receptor, Insulin/genetics , Signal Transduction/physiology , Up-Regulation
18.
BMC Cell Biol ; 14: 19, 2013 Mar 23.
Article in English | MEDLINE | ID: mdl-23521713

ABSTRACT

BACKGROUND: Claudins are key integral proteins of the tight junction. Although they play an essential role in controlling paracellular diffusion in epithelia, increasing evidence supports a role for these proteins in non-barrier forming activities. To elucidate a potential function for claudins outside of their traditional role in tight junctions, subcellular localization of claudin-4 was determined in normal mammary epithelial cells as well as breast and ovarian cancer cell lines and the effects of a claudin mimic peptide on cell motility were determined. RESULTS: Immunofluorescence revealed that claudin-4 was localized along cellular projections. Using a fluorescent peptide that mimics a conserved sequence in the second extracellular loop of a set of claudin subtypes, that includes claudin-4, exposure of this loop to the extracellular environment was confirmed in non-polarized cells. This peptide inhibited cell motility when normal mammary epithelial cells as well as breast and ovarian tumor cells were subjected to a wound healing assay. Knockdown of claudin-4 also inhibited cell motility and the mimic peptide had no effect on motility in the claudin-4 knockdown cells. This effect on motility was seen when cells were grown on collagen, but not when cells were grown on non-physiological cell adhesive or fibronectin. CONCLUSION: The second extracellular loop of claudins is able to interact with the extracellular environment to promote normal and tumor cell motility when it is not associated with tight junction structures.


Subject(s)
Claudin-4/metabolism , Amino Acid Sequence , Amino Acid Substitution , Cell Movement/drug effects , Cells, Cultured , Claudin-4/antagonists & inhibitors , Claudin-4/genetics , Extracellular Matrix Proteins/metabolism , Humans , MCF-7 Cells , Peptides/pharmacology , RNA Interference , RNA, Small Interfering/metabolism
19.
Rev. gastroenterol. Perú ; 31(4): 376-380, oct.-dic. 2011. ilus
Article in Spanish | LILACS, LIPECS | ID: lil-613800

ABSTRACT

El Tumor Fibroso Solitario es una neoplasia mesenquimal muy infrecuente a nivel hepático. Reportamos un nuevo caso en una paciente de 52 años de edad. La imagen tomográfica revelaba una tumoración sólida bien delimitada, localizada en el lóbulo hepático derecho. Macroscópicamente era de bordes regulares, blanquecina, de carácter expansivo. La microscopia reveló una tumoración fusocelular, de vasculatura hemangiopericitoide, con extensas áreas de hialinización; positiva para marcadores de inmunohistoquímica para CD34, CD 99 y Bcl-2. Pese a su rareza, el tumor fibroso solitario debe de ser considerado entre los diagnósticos diferenciales de las tumoraciones fusocelulares a nivel hepático.


Solitary fibrous tumor is a very uncommon mesenchymal neoplasia in the liver. We report a new case in 52 year old patient. The tomographic image revealed a solid, well delimitated tumor, localized at the right hepatic lobe. Macroscopically, it had rounded borders, was expansive and white. Microscopically it had a spindle cell pattern with extensive areas of hyalinization and hemangiopericytic vessels; it was positive with inmunohistochemestry markers for CD34, CD99 and Bcl-2. Despite its rarity, solitary fibrous tumor should be considered among the differential diagnosis of the spindle cell tumors of the liver.


Subject(s)
Humans , Female , Middle Aged , Liver , Immunohistochemistry , Liver Neoplasms , Solitary Fibrous Tumors
20.
Am J Physiol Endocrinol Metab ; 300(6): E1059-68, 2011 Jun.
Article in English | MEDLINE | ID: mdl-21467304

ABSTRACT

Prolactin (PRL) is known to play an essential role in mammary alveolar proliferation in the pregnant mouse, but its role in lactation has been more difficult to define. Genetic manipulations that alter expression of the PRL receptor and its downstream signaling molecules resulted in developmental defects that may directly or indirectly impact secretory activation and lactation. To examine the in vivo role of PRL specifically in lactation, bromocriptine (BrCr) was administered every 8 h to lactating mice on the second day postpartum, resulting in an ~95% decrease in serum PRL levels. Although morphological changes in secretory alveoli were slight, by 8 h of BrCr, pup growth was inhibited significantly. Phosphorylated STAT5 fell to undetectable levels within 4 h. Decreased milk protein gene expression, ß-casein, and α-lactalbumin, was observed after 8 h of treatment. To assess mammary-specific effects on lipid synthesis genes, we isolated mammary epithelial cells (MECs) depleted of mammary adipocytes. Expression of genes involved in glucose uptake, glycolysis, pentose phosphate shunt, de novo synthesis of fatty acids, and biosynthesis of triacylglycerides was decreased up to 19-fold in MECs by just 8 h of BrCr treatment. Glands from BrCr-treated mice showed a twofold reduction in intracellular cytoplasmic lipid droplets and a reduction in cytosolic ß-casein. These data demonstrate that PRL signaling regulates MEC-specific lipogenic gene expression and that PRL signals coordinate the milk synthesis and mammary epithelial cell survival during lactation in the mouse.


Subject(s)
Epithelial Cells/metabolism , Lactation/physiology , Lipid Metabolism/genetics , Lipids/biosynthesis , Mammary Glands, Animal/metabolism , Prolactin/physiology , Animals , Animals, Newborn , Bromocriptine/pharmacology , Cytoplasm/drug effects , Cytoplasm/metabolism , Fatty Acids/biosynthesis , Female , Gene Expression Regulation, Developmental/genetics , Gene Expression Regulation, Developmental/physiology , Glucose Transporter Type 1/biosynthesis , Glucose Transporter Type 1/genetics , Glycolysis/drug effects , Glycolysis/genetics , Growth/genetics , Growth/physiology , Hormone Antagonists/pharmacology , Mammary Glands, Animal/cytology , Mice , Milk Proteins/biosynthesis , Milk Proteins/genetics , Pentose Phosphate Pathway/drug effects , Pentose Phosphate Pathway/genetics , Pregnancy , Pulmonary Alveoli/cytology , Pulmonary Alveoli/growth & development , Reverse Transcriptase Polymerase Chain Reaction , Triglycerides/biosynthesis
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