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Increasing evidence has shown a correlation between chronic periodontitis (CP) and Alzheimer's disease (AD). Nevertheless, there is still a lack of direct evidence, and especially key molecules to connect the two diseases. This study aims to investigate potential protein links between CP and AD within the inflammatory aspect. The hippocampus of CP model mice and controls were collected, and changes in protein expression were evaluated using two-dimensional differential in-gel electrophoresis (2D-DIGE) analysis combined with liquid chromatography tandem mass spectrometry. A total of 15 differentially expressed proteins were identified in CP model mice, as compared with the controls. Among them, S100-A9, transthyretin, Cofilin 2, peroxiredoxin 2, and lipocalin-2 were validated by Western blot according to their dual function both in inflammation and AD. Based on 2D-DIGE analysis, CP animal model had higher levels of S100-A9, Cofilin 2, peroxiredoxin 2, and lipocalin-2 compared to controls. The level of Cofilin 2, one of the well-established proteins in the pathology of AD, was strongly correlated with the time course of CP pathology, indicating a specific molecular correlation between CP and AD. Moreover, the in vivo results showed the level of Cofilin 2 increased significantly along with a prominent increase of the phosphorylation of protein phosphatase 2 (PP2A) and tau protein in the cell lysates of Porphyromonas gingivalis (P.g-LPS)-treated SK-N-SH APPwt cells. Cofilin 2 inhibition resulted in a sharp decrease in PP2A dependent of tau phosphorylation. Furthermore, tumor growth factor (TGF)-ß1 was one of the most important inflammatory cytokines for the Pg-LPS-induced Cofilin 2 upregulation in SK-N-SH APPwt cells. These results showed inflammation served as the bond between CP and AD, whereas inflammatory related proteins could be the key linkers between the two diseases. Determining the association between CP and AD at the molecular mechanism will not only hold the direct evidence of the association between the two diseases but also provide a new way of preventing and treating AD: the effective prevention and treatment of CP could serve as a useful method to alleviate the development of AD.
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OBJECTIVE: The study explored the therapeutic value of standard trauma craniectomy (STC) for the treatment of traumatic multiple intracranial hematoma. METHODS: Clinical data of traumatic multiple intracranial hematoma patients who underwent surgical treatment in 2014 and 2015 were collected. The STC group and a control group according to the surgical mode, 48 and 30 cases were randomly selected from each group, respectively. Statistical analysis was performed on the change in the Glasgow coma scale (GCS) score from before the operation to 1âday, 1âweek and 1âmonth postoperatively through repeated analysis of variance and Wilcoxon rank-sum analysis. RESULTS: Significant differences in the GCS were observed at different time points for the two operative modes (Pâ<â.01), and an interaction was observed between time and treatment groups (Pâ<â.05). The rates of change of the GCS score for the two surgical modes were most obviously different at 3âdays and 1âweek postoperatively (Pâ≤â.001, Pâ<â.01). No statistically significant differences were observed in the rates of change of the GCS at 1âmonth postoperatively (Pâ>â.05). CONCLUSIONS: Compared to conventional craniotomy, STC has obvious effects on the recovery after disturbance of consciousness at 1âweek postoperatively but does not result in a significant improvement in recovery at 1âmonth postoperatively.
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Craniectomía Descompresiva , Hemorragia Intracraneal Traumática/complicaciones , Hemorragia Intracraneal Traumática/cirugía , Inconsciencia/terapia , Adulto , Análisis de Varianza , Femenino , Escala de Coma de Glasgow , Humanos , Masculino , Persona de Mediana Edad , Recuperación de la Función , Estadísticas no Paramétricas , Resultado del Tratamiento , Inconsciencia/etiologíaRESUMEN
The goal of this study is to understand the ability of a newly developed barrier membrane to enhance bone tissue regeneration. Here in this study we present the in vitro characterization of the barrier membrane made from type I collagen and crosslinked by oligomeric proanthocyanidins (OPCs). The effects of the membrane (P-C film) on cell cycle, proliferation, alkaline phosphatase activity, and mineralization were evaluated using the human osteoblast cell line MG-63, while the barrier ability was examined using MG-63 cells, as well as the human skin fibroblast cell line WS-1. The pore size is one of the factors that plays a key role in tissue regeneration, therefore, we evaluated the pore size of the membrane using a capillary flow porometer. Our results showed that the mean pore size of the P-C film was approximately 7-9 µm, the size known to inhibit cell migration across the membrane. The P-C film also demonstrated excellent cell viability and good biocompatibility, since the cell number increased with time, with MG-63 cells proliferating faster on the P-C film than in the cell culture flask. Furthermore, the P-C film promoted osteoblast differentiation, resulting in higher alkaline phosphatase activity and mineralization. Therefore, our results suggest that this P-C film has a great potential to be used in guided bone regeneration during periodontal regeneration and bone tissue engineering.
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Regeneración Tisular Dirigida , Proantocianidinas , Regeneración Ósea , Células Cultivadas , Colágeno , Humanos , Membranas Artificiales , Osteoblastos , Proantocianidinas/farmacologíaRESUMEN
Polyfluoroalkyl substances (PFASs) are recognized as emerging contaminants that have captured worldwide attention. They are primarily transported in environments and spread around the globe due to their persistent and bioaccumulative characteristics. In this study, 15 PFASs were detected in major rivers of the rapidly developing coastal areas of China and South Korea. The concentrations and compositions of these PFASs varied greatly between different regions along the coastline. The total concentrations ranged from 14.9 to 16,500 ng L-1, and the mean concentrations of Σ15PFASs in Liaodong Bay, Bohai Bay, Laizhou Bay, and the west coast of South Korea were 124 ng L-1, 81.4 ng L-1, 1550 ng L-1, and 36.2 ng L-1, respectively. In Laizhou Bay, the relatively high perfluorooctanoic acid (PFOA) was due to the high usage and manufacturing of PFOA-containing products and contributed 59% of the total compounds. In Liaodong Bay and Bohai Bay, PFBA and PFOA were the most abundant compounds, accounting for >55% of the total compounds. Along the west coast of South Korea, PFBA and PFPeA were the most prevalent compounds, contributing 28% and 24% of the total compounds, respectively. The data collected in the last decade were analyzed to investigate the temporal trends of selected PFASs. The total concentration of Σ10 PFASs decreased in both China and South Korea, while the proportion of short-chain PFASs increased. The proportion of C4-C7 PFCAs in South Korea rapidly increased from 46% to 79% but decreased from 49% to 43% in China. The positive matrix factorization (PMF) model successfully addressed the site-specific source apportionment, which showed that 53% of the PFASs in Laizhou Bay were due to fluorine manufacturing. The results of this study provide novel insights into elucidating the spatiotemporal distribution and complicated sources of PFASs over a large area and provide a clear message for all stakeholders, water and coastal managers, and scientists.
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Increasing evidence indicates Chronic Periodontitis (CP) is a comorbidity of Alzheimer's disease (AD), which is the most common form of age-related dementia, and for the latter, effective diagnostic and treatment strategies are lacking. Although inflammation is present in both diseases, the exact mechanisms and cross-links between CP and AD are poorly understood; and a direct association between the two has not been reported. This study aimed to identify a direct serum proteins link between AD and CP. Two-dimensional differential in-gel electrophoresis was employed to analyze serum samples from 12 CP patients and 12 age-matched controls. Furthermore, to determine the molecular link between CP and AD, neuroblastoma SK-N-SH APPwt cells were treated with 1 µg/ml of lipopolysaccharide from Porphyromonas gingivalis (P.g-LPS). Ten differentially expressed proteins were identified in CP patients. Among them, nine proteins were up-regulated, and one protein was down-regulated. Of the 10 differentially expressed proteins, five proteins were reportedly involved in the pathology of AD: Cofilin-2, Cathepsin B, Clusterin, Triosephosphate isomerase, and inter-alpha-trypsin inhibitor heavy chain H4 (ITI-H4). Western blotting indicated significantly higher expression of Cofilin-2, Cathepsin B, and Clusterin and lower expression of ITI-H4 in the CP group than in the Control group. The serum concentration of Cathepsin B has a good correlation with MMSE scores. Moreover, the protein level of Cathepsin B (but not that of ADAM10 and BACE1) increased significantly along with a prominent increase in Aß1-40 and Aß1-42 in the cell lysates of P.g-LPS-treated SK-N-SH APPwt cells. Cathepsin B inhibition resulted in a sharp decrease in Aß1-40 and Aß1-42 in the cell lysates. Furthermore, TNF-α was one of the most important inflammatory cytokines for the P.g-LPS-induced Cathepsin B upregulation in SK-N-SH APPwt cells. These results show that CP and AD share an association, while Cathepsin B could be a key link between the two diseases. The discovery of the identical serum proteins provides a potential mechanism underlying the increased risk of AD in CP patients, which could be critical for elucidating the pathophysiology of AD.
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BACKGROUND: Dental focal infection-induced ventricular and spinal canal empyema is an extremely rare, severe, acute disease that is clinically associated with extremely high morbidity and mortality. Traditional cerebrospinal fluid (CSF) bacterial culture is time-consuming, with a low positive rate, which frequently results in severe irreversible consequences. The next-generation sequencing technique is an emerging pathogenic microorganism detection method that can obtain results in a short time with high accuracy, thus providing great assistance in the clinical diagnosis and treatment of this disease. CASE SUMMARY: This paper reports a rare case of dental focal infection-induced ventricular and spinal canal empyema. During the course of treatment at a local hospital, the patient had negative results from repeated CSF bacterial cultures and was empirically given vancomycin treatment. After transfer to our hospital, the next-generation sequencing technique was adopted to determine that the pathogenic microorganisms were multiple anaerobic infectious bacteria derived from the oral cavity. The antibiotic therapeutic scheme was adjusted in a timely manner, and the ventricular and spinal canal inflammation was also controlled. However, the antibiotics that had been applied at the local hospital were not able to cover all pathogenic microorganisms, which resulted in irreversible injury to the brain stem, finally leading to patient death. CONCLUSION: Dental focal infection-induced ventricular and spinal canal empyema is an extremely rare, severe, acute disease with high morbidity and mortality. Any delay in diagnosis and treatment will result in irreversible consequences. The early application of the next-generation sequencing technique can obtain results in a short time and clarify a diagnosis. Appropriate antibiotic treatment combined with suitable surgical intervention is the key to managing this disease.
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This study concentrated on the 15 perfluoroalkyl substances (PFASs) in the coastal areas of China and South Korea, an urbanized area with intensive human activities. In total, 126 water samples and 125 sediment samples were collected and determined by HPLC-MS/MS. Fifteen PFASs were detected at least once in all the sites. The total concentrations of PFASs in water and sediment samples ranged from 6.75 ng·L-1 to 20982 ng·L-1 and from 0.229 ng·g-1 to 53.8 ng·g-1 (dw), respectively. The concentrations of PFASs in waters and sediments were relatively high in China, and PFOA was the predominant PFAS. In contrast, short chain compounds such as PFBA and PFPeA played a major role in water, and PFOS, PFBA, and PFOA dominated the sediment samples in South Korea. The partition coefficients of PFASs were closely related to the fraction of organic carbon in the sediment and the carbon chain length of PFASs. Among the 15 compounds, the partition coefficients of 9 were significantly correlated with the fraction of organic carbon (r>0.21, P<0.05), and the partition coefficient steadily increased with the increase of the carbon chain length. The results of ecological risk assessment suggested that the coastal urbanized areas of China and South Korea are still at a low risk. However, some specific areas also showed PFAS pollution. More attention should be paid to the potential health risks.
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Ácidos Alcanesulfónicos/análisis , Fluorocarburos/análisis , Contaminantes Químicos del Agua/análisis , China , Monitoreo del Ambiente , Sedimentos Geológicos , República de Corea , Ríos , Espectrometría de Masas en TándemRESUMEN
Several microRNAs (miRNAs or miRs) regulate cerebral ischemic injury outcomes; however, little is known about the role of miR-539-5p during cerebral ischemic injury or the postischemic state. Cerebral ischemic injury was modeled in vitro by exposing human cortical neurons to oxygen-glucose deprivation (OGD) and in vivo by occluding the middle cerebral artery (MCAO) in a rat model. The effects of miR-539-5p, histone deacetylase 1 (HDAC1), and early growth response 2 (EGR2) on cerebral ischemia were investigated using gain- and loss-of-function experiments. We identified changes in miR-539-5p, HDAC1, EGR2, and phosphorylated c-Jun NH2-terminal kinase (JNK). The interaction among miR-539-5p, HDAC1, and EGR2 was determined by dual luciferase reporter gene assay, chromatin immunoprecipitation, and coimmunoprecipitation. We also investigated the effects on cell viability and apoptosis and changes in inflammatory cytokine expression and spatial memory on MCAO rats. miR-539-5p and EGR2 were poorly expressed, while HDAC1 was highly expressed in OGD-treated HCN-2 cells. miR-539-5p targeted HDAC1, while HDAC1 prevented acetylation of EGR2 resulting in its downregulation and subsequent activation of the JNK pathway. Overexpression of miR-539-5p or EGR2 or silencing HDAC1 improved viability and reduced apoptosis of OGD-treated HCN-2 cells in vitro. Furthermore, overexpression of miR-539-5p improved spatial memory, while decreasing cell apoptosis and inflammation in MCAO rats. Collectively, these data suggest that miR-539-5p targets HDAC1 to upregulate EGR2, thus blocking the JNK signaling pathway, by which cerebral ischemic injury is alleviated.
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Isquemia Encefálica/genética , Histona Desacetilasa 1/genética , MicroARNs/genética , Animales , Apoptosis/genética , Isquemia Encefálica/patología , Citocinas/metabolismo , Progresión de la Enfermedad , Proteína 2 de la Respuesta de Crecimiento Precoz/genética , Regulación de la Expresión Génica/genética , Glucosa/metabolismo , Humanos , Inflamación/genética , Arteria Cerebral Media/lesiones , Arteria Cerebral Media/patología , Neuronas/metabolismo , Neuronas/patología , RatasRESUMEN
BACKGROUND: Penetrating brain injury (PBI) is an uncommon emergency in neurosurgery, and transorbital PBI is a rare type of PBI. Reasonable surgical planning and careful postoperative management can improve the prognosis of patients. CASE SUMMARY: The first case is a 68-year-old male patient who was admitted to the hospital because a branch punctured his brain through the orbit for approximately 9 h after he unexpectedly fell while walking. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient was able to follow instructions at a 4-mo follow-up review. The other case is a 46-year-old male patient who was admitted to the hospital due to an intraorbital foreign body caused by a car accident, after which the patient was unconscious for approximately 6 h. After admission, the patient underwent emergency surgical treatment and postoperative anti-infection treatment. The patient could correctly answer questions at a 3-mo follow-up review. CONCLUSION: Transorbital PBI is a rare and acute disease. Early diagnosis, surgical intervention, and application of intravenous antibiotics can improve the prognosis and quality of life of patients.
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Pharmaceuticals and personal care products (PPCPs) are recognized as one emerging group of environmental contaminants, capturing worldwide attention. These chemicals, closely connected to anthropogenic activities, are mainly transported through aquatic environments and reach coastal areas, eventually entering ocean offshore. Thus, this study concentrated on the 30 PPCPs in coastal waters of the Yellow and Bohai seas (77 sites), a fast-growing area with intensive anthropogenic activities. In general, the total concentrations of PPCPs in Chinese coastal waters (0.880-1194â¯ngâ¯L-1) greatly varied and were relatively greater than those (9.91-442â¯ngâ¯L-1) in Korean coastal waters. Sulfamethoxazole, sulfamethazine, oxytetracycline, ofloxacin, roxithromycin, anhydro-erythromycin, and caffeine were the seven predominant PPCPs in the coastal waters of study area. Further, we established the Predicted PPCPs Contamination Indicator (PPCI) to address potential anthropogenic activities being associated with site-specific PPCPs contamination. Three anthropogenic factors to PPCPs contamination were proven as the most influential, including (1) quantity of wastewater discharge, (2) gross product of meat, poultry, eggs and milk, and (3) gross aquatic product. The relatively high PPCI values appeared in Tianjin, Dalian, Tangshan, Yantai, and Qingdao in China and Gyeonggi and Jeonbuk in South Korea, which exhibited fairly good consistency with the corresponding PPCPs concentrations. A mini-review of the global PPCPs distributions revealed that seven priority PPCPs found in this study distributed widely in Asia rather than Europe, North America, and Australia. In general, global PPCPs contamination also reflected site- and region-specific distributions, suggesting varying usages and sources cross the region and/or country. Finally, the risk assessment suggested that ofloxacin and anhydro-erythromycin, with 36.4% and 23.4% sites higher than medium risks respectively, posed relatively high risks to sensitive algal species, Microcystis aeruginosa and Selenastrum capricornutum. Overall, the ecological risks of exposure of PPCPs in the Yellow and Bohai seas were higher compared to other regions of the world, thus the bilateral management of PPCPs between China and South Korea needs an immediate attention.
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Cosméticos , Preparaciones Farmacéuticas , Contaminantes Químicos del Agua , Asia , Australia , China , Cosméticos/análisis , Monitoreo del Ambiente , Europa (Continente) , América del Norte , Océanos y Mares , República de Corea , Medición de Riesgo , Contaminantes Químicos del Agua/análisisRESUMEN
RATIONALE: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical diseases. However, complicated subdural empyema rarely occurs after trepanation and drainage of chronic subdural hematoma. PATIENT CONCERNS: A male patient (77 years old) was admitted to the hospital on the 2nd day of fever after an undergoing a "trepanation and drainage of chronic subdural hematoma" operation at a local hospital. After admission, the patient was treated with an emergency operation in which a subdural abscess was diagnosed and then administered antibiotics after the operation. DIAGNOSIS: According to the clinical manifestations, intraoperative findings of imaging examination and the results of pus culture, the diagnosis was subdural empyema. INTERVENTION: We surgically removed the subdural empyema. Postoperative antibiotics were administered according to the results of bacterial culture. OUTCOMES: At 3 months after the operation, the patient returned to the hospital for reexamination and was found to have achieved a good recovery and good self-care. LESSONS: Subdural empyema after trepanation and drainage of chronic subdural hematoma is a very rare and severe disease. Early diagnosis and operative intervention as well as the intravenous administration of antibiotics can improve the prognosis of patients and enhance their quality of life.
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Empiema Subdural/etiología , Hematoma Subdural Crónico/cirugía , Trepanación , Anciano , Encéfalo/diagnóstico por imagen , Empiema Subdural/diagnóstico , Empiema Subdural/diagnóstico por imagen , Humanos , Masculino , Neuroimagen , Tomografía Computarizada por Rayos X , Trepanación/efectos adversos , Trepanación/métodosRESUMEN
OBJECTIVE: To investigate the expression of ß-catenin in the skin lesions of patients with systemic scleroderma (SSc) and its effect on epithelial-mesenchymal transition (EMT) of human epidermal keratinocytes. METHODS: The expression of ß-catenin, Snail1 and E-cadherin in the skin lesions sample of 45 SSc patients and normal skin sample from 20 healthy adults was detected with SP immunohistochemistry. HaCaT, the human epidermal keratinocytes, were treated with different concentrations of Wnt10b (0 ng/mL (control), 2 ng/mL and 4 ng/mL) for 48 h. then detected the localization of ß-catenin in HaCaT cells by immunofluorescence assay, determined the mRNA levels of Snail1 and Snail2 in HaCaT cells by real-time fluorescent quantitative PCR, detected the proteins expression of ß-catenin, Vimentin, N-cadherin and E-cadherin in HaCaT cells by Western blot. RESULTS: The positive rates of ß-catenin, Snail1 and E-cadherin in skin lesions of SSc patients were 100%, 88.89% and 2.22% respectively, while in healthy adult skin, the corresponding positive rates were 0%, 10.00%, and 95.00%. The difference between the two groups was significant. Compared with control group, treatment with different concentrations of Wnt10b (2 ng/mL and 4 ng/mL) induced up-regulation of ß-catenin expression and promoted translocation of ß-catenin from cytoplasm to nucleus, increased the mRNA levels of Snail1 and Snail2 (P < 0.05), and up-regulated the proteins expression of Vimentin, N-cadherin, down-regulated the E-cadherin protein expression in HaCaT cells (P < 0.05). CONCLUSIONS: Abnormally activated Wnt/ß-catenin signaling pathway and abnormally expressed EMT-related proteins are observed in SSc lesions. Activation of Wnt/ß-catenin signaling pathway may promote EMT in HaCaT cells.
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Transición Epitelial-Mesenquimal , Queratinocitos/metabolismo , Esclerodermia Sistémica/metabolismo , Piel/metabolismo , beta Catenina/metabolismo , Adulto , Antígenos CD/metabolismo , Cadherinas/metabolismo , Humanos , Queratinocitos/citología , Esclerodermia Sistémica/patología , Piel/patología , Factores de Transcripción de la Familia Snail/metabolismo , Vimentina/metabolismo , Vía de Señalización WntRESUMEN
RATIONALE: Penetrating brain injury caused by a welding electrode is a rare occurrence. This type of injury requires careful preoperative assessment and timely treatment measures to avoid secondary damage. PATIENT CONCERNS: A 55-year-old male patient fell from a height of approximately 5 m during when a welding electrode in his left hand was inadvertently inserted into his brain. The patient had a GCS score of 15 and complaints of dizziness and headache. CT showed an object of metallic density penetrating the skull and entering the brain parenchyma in the frontotemporal region. DIAGNOSIS: According to the clinical findings and preoperative imaging examination, the diagnosis was open craniocerebral injury with intracranial foreign body and left orbital wall fracture. INTERVENTION: After definite diagnosis and sufficient preoperative preparation, active surgical treatment was carried out to remove intracranial foreign body. Anti-infection and other symptomatic treatment were given after operation. The signs of infection and changes of vital signs were closely observed. OUTCOMES: After treatment, no obvious adverse reactions were found and the patient was discharged. No complications such as infection occurred during the follow-up period of 6 months. LESSONS: In treating patient with a welding electrode penetrating the brain, assessments need to be made preoperatively, the welding electrode needs to be removed in a timely manner, complete hemostasis needs to be achieved during surgery with total repair of the damaged area, and anti-inflammatory treatment needs to be administered postoperatively to achieve good results.
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Accidentes por Caídas , Lesiones Traumáticas del Encéfalo/diagnóstico , Lesiones Traumáticas del Encéfalo/terapia , Traumatismos Penetrantes de la Cabeza/diagnóstico , Traumatismos Penetrantes de la Cabeza/terapia , Soldadura , Lesiones Traumáticas del Encéfalo/etiología , Cuerpos Extraños , Traumatismos Penetrantes de la Cabeza/etiología , Humanos , Masculino , Persona de Mediana EdadRESUMEN
Low-grade gliomas (LGGs) are associated with neurological disability. The present study used microRNA (miRNA) expression profiles to identify risk miRNAs for potential prognosis of cerebral LGGs. miRNA expression profiles and clinical data from 408 patients with cerebral LGGs were obtained from the Cancer Genome Atlas database. Risk miRNAs were identified by plotting KaplanMeier curves and Cox proportional hazard regression analysis with the survival and KMsurv packages in R. A regulatory network of miRNAtargets was constructed, followed by gene ontology (GO) function and Kyoto Encyclopedia of Genes and Genomes pathway enrichment analysis using the Database for Annotation, Visualization and Integrated Discovery. A proteinprotein interaction (PPI) network of miRNA targets was built using Search Tool for the Retrieval of Interacting Genes software, and subpathway identification was performed using the iSubpathwayMiner package in R. In total, 39 miRNAs had significant effect on survival curves. Following the Cox analysis and construction of miRNAtargets regulatory network, hsamiRNA (miR)326 was identified to regulate 397 target genes. Additionally, targets of miR326 were primarily enriched in the GO terms of cell proliferation, epithelial growth factor receptor and nerve growth factor signaling pathways. Additionally, son of sevenless homolog 1 (SOS1), neuroblastoma RAS viral oncogene homolog (NRAS), vitamin D receptor (VDR) and mothers against decapentaplegic family member 3 (SMAD3) were most enriched in the PPI network. Targets of miR326 were primarily enriched in subpathways including sphingolipid metabolism and arachidonic acid metabolism, in which sphingomyelin synthase 1 (SGMS1) and hematopoietic prostaglandin D synthase (HPGDS) were screened out. HsamiR326 was identified as a risk miRNA for prognosis and may improve the outcome prediction of patients with cerebral LGG. This miRNA may regulate cancer cell proliferation by targeting SOS1, NRAS, VDR, SMAD3, SGMS1 and HPGDS.
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Neoplasias Encefálicas/genética , Neoplasias Encefálicas/patología , Glioma/genética , Glioma/patología , MicroARNs/metabolismo , Redes Reguladoras de Genes , Humanos , MicroARNs/genética , Clasificación del Tumor , Pronóstico , Mapas de Interacción de Proteínas , Factores de Riesgo , Análisis de SupervivenciaRESUMEN
Collagen triple helix repeat containing 1 (CTHRC1), an extracellular matrix-related protein, has been found to be upregulated in many solid tumors and contributes to tumorigenesis. We found that CTHRC1 is overexpressed in glioblastoma tissues and cells. By using the technique of RNA interference, the expression of CTHRC1 in the human glioblastoma U-87MG cell line was downregulated, and the proliferation and migration of U-87MG cells were examined. The results showed that the knockdown of CTHRC1 exerts inhibitory effects on the proliferation and migration ability of U-87MG cells. Knockdown of CTHRC1 expression in U-87MG cells resulted in upregulation in the expression of E-cadherin and downregulation in the expression of N-cadherin, SNAIL, and Slug, suggesting that CTHRC1 inhibits glioblastoma cell migration by suppressing epithelial-mesenchymal transition (EMT). Knockdown of CTHRC1 led to remarkably decreased ß-catenin protein levels in the nucleus. These results indicate that CTHRC1 might play an important role in the development of glioblastoma and offer a candidate molecular target for glioblastoma prevention and therapy.
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Neoplasias Encefálicas/genética , Movimiento Celular/genética , Transición Epitelial-Mesenquimal/genética , Proteínas de la Matriz Extracelular/genética , Técnicas de Silenciamiento del Gen , Glioblastoma/genética , Adulto , Neoplasias Encefálicas/metabolismo , Neoplasias Encefálicas/patología , Línea Celular Tumoral , Proteínas de la Matriz Extracelular/deficiencia , Femenino , Técnicas de Silenciamiento del Gen/métodos , Glioblastoma/metabolismo , Glioblastoma/patología , Humanos , Masculino , Persona de Mediana EdadRESUMEN
An intracranial non-galenic pial arteriovenous fistula (NGPAVF) is a direct connection between the intracranial artery and vein without a nidus. NGPAVFs are clinically rare, and the current understanding of NGPAVFs is limited. This study searched PubMed for the currently available literature, and a review of the relevant publications revealed that NGPAVFs require aggressive treatment, spontaneous occlusion is uncommon, and the prognosis following conservative treatment is poor. NGPAVFs can be divided into congenital and traumatic (including iatrogenic) types. Clinically, NGPAVFs are characterized by congestive heart failure, epilepsy, hemorrhage, mass effects, and nerve function deficits. For the imaging examination of NGPAVFs, digital subtraction angiography (DSA) is still the gold standard for diagnosis, although magnetic resonance DSA (MRDSA) and 4D computed tomography angiography (CTA) can also provide hemodynamic data in a non-invasive manner. Current treatments for NGPAVFs include surgical resection and endovascular embolization, both of which can yield clinical improvements. However, potential postoperative complications should be addressed, such as fatal bleeding due to rupture and deep vein thrombosis. Some studies recommend postoperative anticoagulation to reduce postoperative thrombotic complications.
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Malformaciones Arteriovenosas Intracraneales/terapia , Piamadre/irrigación sanguínea , Diagnóstico Diferencial , Diagnóstico por Imagen , Humanos , Malformaciones Arteriovenosas Intracraneales/diagnóstico por imagen , Factores de RiesgoRESUMEN
BACKGROUND: The occurrence of remote epidural hematoma as a postoperative complication after intracranial tumor resection is rare. This study reviewed experiences treating these hematomas and speculated on the causes of this disease. This study reviewed the treatment experience of 14 such cases. METHODS: The 14 patients included 10 males and 4 females, with an age range of 19 to 65 years old. Six cases of tumors occurred in the sellar region, two cases in the lateral ventricle, one case in the fourth ventricle, one case in a cerebellar hemisphere, and four cases in other sites. Among them, five cases were complicated with supratentorial hydrocephalus. The tumors included five cases of meningioma tumors, two cases of pituitary adenomas, three cases of ependymomas, two cases of craniopharyngiomas, one case of astrocytoma, and one case of tuberculosis tumor. For the cases complicated with hydrocephalus, ventricular drainage was provided if needed, and the tumor resection was then performed, with close observation for postoperative changes. If neurological symptoms and disturbance of consciousness occurred, computed tomography (CT) examination was immediately performed. If a remote epidural hematoma was found, the hematoma was evacuated by craniotomy. The patients were followed up after surgery. In the five cases complicated with hydrocephalus, ventricular drainage was first provided for three cases. RESULTS: All of the 14 cases underwent total tumor resection, and postoperative remote epidural hematoma occurred in all cases, including eight cases on the ipsilateral side and adjacent to the supratentorial operative field; two cases occurred on the contralateral side; two cases occurred on bilateral sides; and two cases occurred in distant areas (with infratentorial surgery, the hematoma occurred on the supratentorial area). Postoperative remote epidural hematoma usually occurred 0.5-5 h after the tumor resection, when the tentorial hernia had already occurred. Following tumor resection and epidural hematoma evacuation, 13 patients were discharged with good recovery, and one patient died. CONCLUSIONS: The reduced intracranial pressure due to the intracranial tumor resection may be the cause of this hematoma. This type of epidural hematoma is acute and often occurs before hernia. Thus, the risk of remote epidural hematoma after intracranial tumor resection needs to be made known. Aggressive hematoma evacuation can often result in satisfactory outcomes for patients.
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Adenoma/cirugía , Neoplasias Encefálicas/cirugía , Hematoma Epidural Craneal/etiología , Tumores Neuroectodérmicos/cirugía , Complicaciones Posoperatorias , Adulto , Anciano , Craneotomía , Femenino , Estudios de Seguimiento , Hematoma Epidural Craneal/diagnóstico , Hematoma Epidural Craneal/cirugía , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Complicaciones Posoperatorias/diagnóstico , Complicaciones Posoperatorias/cirugía , Estudios Retrospectivos , Resultado del TratamientoRESUMEN
Pituitary adenoma associated with ependymoma in the fourth ventricle is a rare condition. In the present study, a 46-year-old man diagnosed with prolactinoma, who previously underwent two surgical procedures (one for the removal of a primary tumor and a second following its recurrence) developed a complication of ependymoma in the fourth ventricle. The presence of the ependymoma was confirmed by pathological analysis and the patient recovered well following two-phase surgical resection of the two tumors. The present study compared the probable cause of concurrent pituitary adenoma and ependymoma within the fourth ventricle with previous relevant studies. These comparisons were used to propose possible genomic and endocrine contributions for the development of the ependymoma from the pituitary adenoma.
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It is extremely rare for a glioblastoma to mainly have epidural growth after its invasion of the dura. The present paper reports such a rare case. The patient was a 37-year-old male. After the onset of headache, computed tomography (CT) examination revealed an extradural convex-shaped lesion on the frontal region that was mainly epidural. During the first surgery, the extradural lesion mainly consisted of bloody viscous liquid; therefore, it was misdiagnosed as simple epidural bleeding, and the best diagnosis and treatment opportunity were missed. One month later, a relapse of the disease occurred, with a symptom of exophthalmos. Imaging examination revealed extensive extradural growth of the lesion along the forehead and invasion downwards into the frontal sinus, sphenoidal sinus, ethmoidal sinus and orbit. The second surgery could not completely remove the lesion, and pathological diagnosis of the lesion was a glioblastoma. One month later, the glioblastoma continued to grow, the third operation was performed, this time most of tumor was removed, the treatment was assisted with radiotherapy and chemotherapy, the tumor was controlled effectively, and the patient did well after six months. While reporting this rare case, we also review the cases of glioblastoma invasion of the dura and their growth and the classification of dura invasions, aiming at improving our understanding in cases of glioblastoma invasion of the dura so that we can make timely, accurate diagnoses.
RESUMEN
BACKGROUND: Surgicel is an oxidized cellulose preparation that is widely applied in neurosurgery due to its hemostatic effect and good tissue compatibility. Tumor-like lesions induced by Surgicel application in cerebral surgery have been rarely reported, especially for intracranial hemorrhage debridement surgery in patients with hypertension. CASE PRESENTATION: This case report describes a rare case in which Surgicel application led to a foreign body reaction, contributing to the development of an intracranial giant-cell granuloma. A 49-year-old female hypertensive patient was diagnosed with intracranial hemorrhage. She was treated with debridement surgery that employed Surgicel application. Although a satisfactory hemostatic effect was achieved, the patient was diagnosed with epilepsy 6 months later. Subsequent magnetic resonance imaging revealed an intracranial space-occupying lesion. After undergoing en bloc resection of the lesion, the patient was diagnosed with a Surgicel-related intracranial giant-cell granuloma by histopathology. CONCLUSIONS: Application of Surgicel during intracranial hemorrhage debridement surgery may be associated with a risk of granuloma development due to formation of a tumor-like space-occupying lesion in the surgery bed. Even a low risk of tumor development implies a need for caution when applying Surgicel, especially when solely used to achieve a hemostatic effect.