Methylene blue photodynamic therapy in malignant melanoma decreases expression of proliferating cell nuclear antigen and heparanases.

BACKGROUND: Malignant melanoma (MM) is a very aggressive tumour. Although surgical excision of MM in the early stages has a very good prognosis, it often fails to completely inhibit tumour progression. Methylene blue photodynamic therapy (MB-PDT) is a technique that induces tissue damage by reactive oxygen species (ROS). AIM: To investigate the efficacy of and potential use of MB-PDT in restraining the aggressiveness of MM by analysing levels of proliferating cell nuclear antigen (PCNA) and heparanase (HPSE, a molecular marker of cell invasion) in a mouse model. METHODS: Expression of PCNA and two HPSE isoforms were analysed using immunohistochemistry (IHC) after MB-PDT in mice. Tumour volume and weight were also measured. RESULTS: Two treatments with MB-PDT promoted a decrease of 99% decrease in tumour volume and 75% in tumour weight compared with untreated mice (P < 0.05). Using IHC, a decrease in expression of 75% for PCNA and 95% for both HPSE isoforms (P < 0.05) was found. CONCLUSION: MB-PDT is a cheap and efficient method of decreasing MM volume and thus disease progression. This reduction is mediated by downregulation of PCNA and heparanases.

What can we really tell women with multiple sclerosis regarding pregnancy? A systematic review and meta-analysis of the literature.

BACKGROUND: Although several papers report on pregnancy and multiple sclerosis (MS), no systematic review of the literature has been carried out. Neurologists and obstetricians need to have proper information to discuss with women presenting with MS who consider pregnancy. OBJECTIVES: Literature review and meta-analysis of data on pregnancy in women with MS. SEARCH STRATEGY: The present work followed the recommendations of the PRISMA Statement. Using the PICO framework, the authors independently searched for the terms 'pregnancy' OR 'gestation' OR 'pregnant' AND 'multiple sclerosis' OR 'MS' in the following databases: EMBASE/Excerpta Medica, Medline, Pubmed, Scopus, Index Medicus, Biomed Central, Ebsco Fulltext, LILACS, Scielo and the Cochrane Database of Systematic Reviews. SELECTION CRITERIA: only papers presenting original work with analysis of at least one of the outcomes among pregnant women with MS were included. DATA COLLECTION AND ANALYSIS: Two independent workers performed the literature review. All the authors selected and read the relevant papers. Two other authors summarised data for analysis. MAIN RESULTS: Twenty-two papers reporting on 13,144 women with MS and their pregnancies were analysed. A significant decrease in relapse rate was observed during pregnancy, followed by a significant increase after delivery. Miscarriages, low birthweight, prematurity, neonatal death and malformations were assessed among these women and their offspring. There seems to be a regional influence on the rates of caesarean sections and abortions among women with MS. Neonatal death and malformation rates did not seem to be particularly high. AUTHORS' CONCLUSIONS: The present work provides evidence-based data that can be discussed with women with MS and their relatives when pregnancy is considered by these families.

Interruption of the MnO2 oxidative process on dopamine and L-dopa by the action of S2O3(2-).

The oxidation effects of Mn2+, Mn3+ or MnO2 on dopamine can be studied in vitro and, therefore, this offers a model of the auto-oxidation process that appears naturally in neurons causing Parkinson's disease. The use of MnO, as an oxidizer in aqueous solution at pH 7 causes the oxidation of catecholamines (L-dopa, dopamine, noradrenaline and adrenaline) to melanin. However, this work shows that, in water at pH 6-7, the oxidation of catecholamines by MnO2 in the presence of sodium thiosulphate (Na2S2O3) occurs by other mechanisms. For dopamine and L-dopa, MLCT complexes were formed with bands at 312, 350 (sh), 554 (sh) nm, and an intense band at 597 nm (epsilon approximately/= 4 x 10(3) M(-1) cm(-1)) and at ca. 336, 557 (sh) nm, and an intense band at 597 nm (epsilon approximately 6 x 10(3) M(-1) cm(-1)), respectively. The latter transitions were assigned to d(pi)-->pi*-SQ. Noradrenaline and adrenaline do not form this blue complex in solution, but generate soluble oxidized compounds. The resonance Raman spectra of these complexes in solution showed bands at 950, 1006, 1258, 1378, 1508 and 1603 cm(-1) for the complex derivation of L-dopa and at 948, 1010, 1255, 1373, 1510 and 1603 cm(-1) for the dopamine-derived compound. The most intense Raman band at ca. 1378 cm(-1) was assigned to C-O stretching with major C1-C2 characteristics and indicated that dopamine and L-dopa do not occur complexed with manganese in the catecholate or quinone form, but suggests an intermediate compound such as an anionic o-semiquinone (SQ-), forming a complex such as [Mn(II)(SQ-)3]-. All enhanced Raman frequencies are characteristic of the benzenic ring without the participation of the aminic nitrogen. A mechanism is proposed for the formation of the dopamine and L-dopa complexes and a computational simulation was performed to support it.

Early diagnosis of melanoma by surface microscopy (dermatoscopy).

The main objective of surface microscopy is the early and accurate diagnosis of melanoma in its initial phases of evolution and infiltration. Since the development of the dermatoscope in the 1990's, surface microscopy has become a simple technique. Differential diagnosis of pigmented skin lesions can be achieved with a diagnostic sensitivity of about 90 percent, and the proper differentiation of pigmented melanocytic and non-melanocytic lesions, and malignant and benign melanocytic lesions, may also be safely determined.

[Papular plaque-type blue nevus]. / Naevus bleu papuleux en plaque.

INTRODUCTION: Rare clinical presentations of common diseases are sometimes worth of publication. Their knowledge may help to avoid diagnostic mistakes. OBSERVATION: In a 6 year-old boy a cluster of pigmented blue papules spread slowly on the inner aspect of his left foot. The extension over years and the linear arrangement of the plantar papules suggested the possibility of a malignant melanoma. However the histological examination of 2 biopsies showed the structure of a common blue nevus. DISCUSSION: About a dozen cases of such papular plaque-type blue nevi have been described. Histologically they disclose the same cellular types than common blue nevi. In all the reported cases the course was benign; in our case the decision of abstention was sustained by this information.