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Association between white opaque substance under magnifying colonoscopy and lipid droplets in colorectal epithelial neoplasms

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World Journal of Gastroenterology 2017年第47期23卷 8367-8375页

作者： Keisuke Kawasaki Makoto Eizuka Shotaro Nakamura Masaki Endo Shunichi Yanai Risaburo Akasaka Yosuke Toya yasuko fujita Noriyuki Uesugi Kazuyuki Ishida Tamotsu Sugai Takayuki Matsumoto Division of Gastroenterology Department of Internal MedicineIwate Medical University Department of Diagnostic Pathology Iwate Medical University Kaiunbashi Endoscopy Clinic

AIM To examine the association between white opaque substance(WOS) and histologically verified lipiddroplets in colorectal epithelial neoplasms.METHODS We reviewed colonoscopy records at our institution from 2014 to 2016 and identified cases of endoscopically or surgically resected colorectal epithelial neoplasms observed by magnifying narrow-band imaging(M-NBI) colonoscopy. Immunohistochemistry was used to stain tumors with a monoclonal antibody specific to adipophilin as a marker of lipids. The expression and distribution of adipophilin were compared between WOS-positive and WOS-negative lesions and among tumors classified by histologic type and depth of invasion.RESULTS Under M-NBI colonoscopy, 81 lesions were positive for WOS and 48 lesions were negative for WOS. The rate of adipophilin expression was significantly higher in WOS-positive lesions(95.1%) than in WOS-negative lesions(68.7%)(P = 0.0001). The incidence of deep adipophilin expression was higher in WOS-positive lesions(24.7%) than in WOS-negative lesions(4.2%)(P = 0.001). The incidence of deep expression was predominant among cancers with massive submucosal invasion(62.5%) compared to adenoma(7.2%) and high-grade dysplasia or cancers with slight submucosal invasion(12.7%)(P = 0.0001).CONCLUSION The distribution of lipid droplets may be closely associated with the visibility of WOS under M-NBI colonoscopy, and with histologic grade and depth of tumor invasion.

关键词： White opaque substance Adipophilin Magnifying narrow-band imaging Colorectal neoplasm Magnifying endoscopy

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Case of gastric neuroendocrine carcinoma showing an interesting tumorigenic pathway

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World Journal of Clinical Cases 2017年第11期5卷 397-402页

作者： Noriyuki Uesugi Ryo Sugimoto Makoto Eizuka yasuko fujita Mitsumasa Osakabe Keisuke Koeda Takashi Kosaka Shunichi Yanai Kazuyuki Ishida Akira Sasaki Takayuki Matsumoto Tamotsu Sugai Department of Diagnostic Molecular Pathology School of MedicineIwate Medical University Department of Surgery School of MedicineIwate Medical University Division of Gastroenterology Department of Internal MedicineSchool of MedicineIwate Medical University

Here, we report a case of gastric neuroendocrine carcinoma showing an interesting tumorigenic pathway. A 57-year-old Japanese woman presented with epigastric tenderness, and distal gastrectomy was performed. In the surgical specimen, histologically, the tumor tissue was composed of three subtypes of tumor components showing different histological architecture and cellular atypia, diagnosed as neuroendocrine tumor(NET) G2, NET G3, and neuroendocrine carcinoma(NEC) components. Immunohistochemically, the Ki-67-positive rates of NET G2, NET G3, and NEC components were 6.5%, 99.5% and 88.1%, respectively. Although allelic imbalance(AI) on chromosomes 1p, 3p, 8q, TP53, 18q and 22 q was commonly found in all components, AI of 4p was found in NET G3 and NEC components(but not in the NET G2 component). In contrast, AIs of 5q and 9p were found in only the NEC component. Thus, we showed the progression from NET G2 to NEC, via NET G3, within the same tumor.

关键词： stomach neuroendocrine tumor G2 neuroendocrine tumor G3 neuroendocrine carcinoma

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Kynurenine plays an immunosuppressive role in 2,4,6-trinitrobenzene sulfate-induced colitis in mice

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World Journal of Gastroenterology 2020年第9期26卷 918-932页

作者： Chieko Tashita Masato Hoshi Akihiro Hirata Kentaro Nakamoto Tatsuya Ando Takayuki Hattori yasuko Yamamoto Hiroyuki Tezuka Hiroyuki Tomita Akira Hara Kuniaki Saito Department of Disease Control and Prevention Fujita Health University Graduate School of Health SciencesToyoake 470-1192Japan Department of Biochemical and Analytical Science Fujita Health University Graduate School of Health SciencesToyoake 470-1192Japan Division of Animal Experiment Life Science Research CenterGifu UniversityGifu 501-1193Japan Department of Cellular Function Analysis Research Promotion and Support HeadquartersFujita Health University Graduate School of Health SciencesToyoake 470-1192Japan Faculty of Medical Technology Gifu University of Medical ScienceGifu 501-3892Japan Department of Tumor Pathology Gifu University Graduate School of MedicineGifu 501-1193Japan

BACKGROUND Inflammatory bowel disease,such as Crohn’s disease and ulcerative colitis,is characterized by chronic intestinal inflammation leading to intestinal mucosal damage.Inflammatory bowel disease causes dysregulation of mucosal T cell responses,especially the responses of CD4+T cells.Previously,we demonstrated that indoleamine-2,3-dioxygenase plays an immunosuppressive role in 2,4,6-trinitrobenzene sulfate(TNBS)-induced colitis.Although indoleamine-2,3-dioxygenase exerts immunosuppressive effects by altering the local concentration of tryptophan(Trp)and immunomodulatory Trp metabolites,the specific changes in immune regulation during colitis caused by Trp metabolites and its related enzymes remain unclear.AIM To investigate role of kynurenine 3-monooxygenase(KMO)in TNBS-induced colitis and involvement of Trp metabolites in maintenance of intestinal homeostasis.METHODS Colitis was induced in eight-week-old male KMO+/+or KMO−/−mice of C57BL/6N background using TNBS.Three days later,the colon was used for hematoxylin-eosin staining for histological grading,immunohistochemical or immunofluorescence staining for KMO,cytokines,and immune cells.Inflammatory and anti-inflammatory cytokines were measured using quantitative RT-PCR,and kynurenine(Kyn)pathway metabolites were measured by high-performance liquid chromatography.The cell proportions of colonic lamina propria and mesenteric lymph nodes were analyzed by flow cytometry.RESULTS KMO expression levels in the colonic mononuclear phagocytes,including dendritic cells and macrophages increased upon TNBS induction.Notably,KMO deficiency reduced TNBS-induced colitis,resulting in an increased frequency of Foxp3+regulatory T cells and increased mRNA and protein levels of antiinflammatory cytokines,including transforming growth factor-βand interleukin-10.CONCLUSION Absence of KMO reduced TNBS-induced colitis via generation of Foxp3+regulatory T cells by producing Kyn.Thus,Kyn may play a therapeutic role in colon protection during colitis.

关键词： Kynurenine 3-monooxygenase Kynurenine Regulatory T cell Inflammatory bowie diseases

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Laparoscopic Gastrectomy with Preservation of the Vagus Nerve Accompanied by Lymph Node Dissection for Early Gastric Carcinoma

Laparoscopic Gastrectomy with Preservation of the Vagus Nerv...

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胃癌诊治进展学习班

作者： Ichiro Uyama Yoichi Sakurai Yoshiyuki Komori yasuko Nakamura Mitsutaka Syoji Syuhei Tonomura Ikuo Yoshida Toshihiko Masui Masahiro Ochiai Department of Surgery Fujita Health UniversitySchool of MedicineDengakugakuboKutsukake-choToyoakeAichiJapan MD Department of Surgery Fujita Health UniversitySchool of MedicineDengakugakuboKutsukake-choToyoakeAichiJapan MD FACS

Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for early gastric carcinoma.Gastrectomy with preservation of the vagus nerve, which is one of the noteworthy procedures, is performed in Japan to reduce occurrence of cholelithiasis and minimize loss of digestive and absorptive function. Because it is less invasive, the laparoscopic approach is used to treat early gastric carcinomas.There are few reports in the English literature of laparoscopic

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生物素酶缺乏症的诊断与治疗六例分析

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中华儿科杂志 2003年第4期41卷 249-251页

作者：杨艳玲山口清次田上泰子张月华熊晖长谷川有纪木村正彦花井润师藤田晃三钱宁何晓菊吴晔包新华秦炯吴希如北京大学第一医院儿科 100034 日本岛根医科大学小儿科日本札幌市卫生研究所

目的　探讨生物素酶缺乏症的临床特征、诊断与治疗方法。方法　运用尿有机酸分析(气相色谱质谱联用 )及干燥滤纸血片生物素酶测定进行筛查与诊断 ,对 6例生物素酶缺乏症患儿的临床经过进行分析。结果　 (1 ) 6例干燥滤纸血片生物素酶... 详细信息

目的　探讨生物素酶缺乏症的临床特征、诊断与治疗方法。方法　运用尿有机酸分析(气相色谱质谱联用 )及干燥滤纸血片生物素酶测定进行筛查与诊断 ,对 6例生物素酶缺乏症患儿的临床经过进行分析。结果　 (1 ) 6例干燥滤纸血片生物素酶活性均小于 0 .1pmol/ (min·3mm)。尿有机酸分析显示例 1、2、3、5乳酸、3 羟基丙酸、丙酮酸、丙酰甘氨酸、甲基巴豆酰甘氨酸、β 羟基异戊酸浓度明显增高 ,例 4、6仅显示乳酸、丙酮酸、甲基巴豆酰甘氨酸增高。 (2 ) 6例各有不同程度的神经系统损害和皮肤粘膜异常。例 1～ 3为婴儿期起病 ,因惊厥、智力运动倒退、呕吐、意识障碍来院 ,合并贫血、酮症酸中毒、低血糖。例 2于 7个月起出现顽固性湿疹 ,口角、肛门周围糜烂。例 4以扭转痉挛及全身性脓疱型牛皮癣为主。例 5、6分别于 7岁、5岁起病 ,进行性肢体运动障碍 ,MRI显示颈髓炎性脱髓鞘病变。例 6伴视神经萎缩、脱发。除例 3未接受治疗外 ,5例经生物素补充治疗后疗效显著 ,皮肤损害均已控制 ,神经系统情况逐渐好转。例 4、6仍存在明显的下肢运动障碍。结论　生物素酶缺乏症患儿临床表现复杂 ,生物素补充治疗疗效显著 ,早期发现、合理治疗可有效地改善预后。对可疑患者应及早进行尿有机酸分析和血清生物素酶测定等有关?

关键词：生物素酶缺乏症诊断治疗酰胺基水解酶类生物素碎片质谱法

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