Characterization of the human zinc finger nfx­1­type containing 1 encoding ZNFX1 gene and its response to 12­O­tetradecanoyl­13­acetate in HL­60 cells.

Human promyelocytic HL­60 cells can be differentiated into macrophage­like cells by treatment with 12­O­tetra decanoylphorbol­13­acetate (TPA). Certain 5' upstream regions of the zinc finger protein (ZNF)­encoding genes contain duplicated GGAA motifs, which are frequently found in the TPA­responding gene promoter regions. To examine transcriptional responses to TPA, 5'flanking regions of human zinc finger CCCH­type containing, antiviral, ZNF252, ZNF343, ZNF555, ZNF782 and zinc finger nfx­1­type containing 1 (ZNFX1) genes were isolated by polymerase chain reaction (PCR) and ligated into a multiple­cloning site of the pGL4.10[luc2] vector. Transient transfection and a luciferase assay revealed that the ZNFX1 promoter most prominently responded to the TPA treatment. Deletion and point mutation experiments indicated that the duplicated GGAA motif in the 100­bp region positively responded to TPA. In addition, reverse transcription­quantitative PCR and western blotting showed that the mRNA and protein of ZNFX1 accumulate during the differentiation of HL­60 cells. These results indicated that expression of the TPA­inducible ZNFX1 gene, which belongs to the group of interferon­responsive genes, is regulated by the cis­action of the duplicated GGAA motif.

Pathologic Fractures Extended to the Metacarpal Head Related with Enchondromas at the Metacarpal Neck.

We present two cases of pathologic fractures extended to the metacarpal head related with enchondromas at the metacarpal neck treated by surgery. The timing of surgery varied between the two cases. The first was operated without delay, using tumor curettage and ß-TCP (tricalcium phosphate) packing in the cavity, followed by internal fixation of the fracture using a screw and Kirshner wires. In the second case, tumor curettage and ß-TCP packing was performed after fracture union. Favorable clinical outcomes were obtained for both cases.

Synovial Osteochondromatosis at the Carpometacarpal Joint of the Thumb.

Synovial osteochondromatosis (SOC) is a benign tumor characterized by synovial connective tissue metaplasia. SOC commonly affects major joints including the knee followed by the hip, elbow, and wrist. SOC cases in the hand are not reported as often as SOC of major joints. Particularly SOC of the carpometacarpal joint of the thumb is rare. We report on a 57-year-old female with primary SOC of the carpometacarpal joint of her left thumb. Surgical excision was performed and the patient had no symptoms with full range of motion of her left thumb. At 3 years of follow-up, there was no recurrence.