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Frontiers of Medicine 2017年第3期11卷 440-444页

作者： Zhan Su Fengyu Wu Weiyu Hu Xiaodan Liu Shaoling Wu Xianqi Feng Zhongguang Cui Jie Yang Zhenguang Wang Hongzai Guan Hongguo Zhao Wei Wang Chunting Zhao Jun Peng Department of Haematology Qilu Hospital Shandong University Jinan 250012 China Department of Haematology The Affiliated Hospital of Qingdao University Qingdao 266000 China PET/CT center The Affiliated Hospital of Qingdao University Qingdao 266000China Department of Hepatobiliary Surgery The Affiliated Hospital of Qingdao University Qingdao 266000 China Department of Haematology Qingdao University Medical College Qingdao 266071 China

Philadelphia chromosome-positive acute myeloid leukemia is controversial and difficult to distinguish from the blast phase of chronic myeloid leukemia. As a myeloid neoplasm, rare cases of this leukemia manifest multiple soft-tissue tumors or bone lyric lesions. In this paper, we describe a 49-year-old male patient who had an abrupt onset with sharp chest pain, fever, fatigue, emaciation, and splenomegaly. 18F-fluoro-deoxy-glucose positron emission tomography/computed tomography （18F-FDG PET/CT） result showed diffuse and uneven hypermetabolic lesions in the bone marrow with peripheral bone marrow expansion, multiple soft tissue neoplasms with high 18F-FDG uptake, and lyric bone lesions. bone marrow smear and biopsy detected aberrant blast cells expressing myeloid rather than lymphoid immunophenotype marker. For the existence of Philadelphia chromosome and BCR-ABL1 fusion gene together with complex chromosome abnormalities, a diagnosis of Philadelphia-positive acute myeloid leukemia was made, although the type （de novo or blast crisis） remained unclear.

关键词： Philadelphia chromosome acute myeloid leukemia mass osteolysis positron emission tomography

Splenomegaly, hypersplenism, and hereditary disorders with splenomegaly

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Open Journal of Genetics 2013年第1期3卷 24-43页

作者： Neal J. Weinreb Barry E. Rosenbloom Cedars-Sinai Medical center/Tower Hematology Oncology Los Angeles USA University Research Foundation for Lysosomal Storage diseases Coral Springs USA

Splenomegaly, sometimes of massive extent, occurs in a large number of hereditary diseases, some relatively prevalent and others, rare to ultra-rare. Because physicians are often unfamiliar with the less common disorders, patients may suffer because of diagnostic delay or diagnostic error and may undergo invasive, non-innocuous procedures such as splenectomy that are potentially avoidable were the correct diagnosis suspected. In this review article, we discuss the definition and clinical ramifications of “massive” splenomegaly and describe several rare genetic disorders that are sometimes associated with marked splenic enlargement as well as four additional hereditary “splenomegalic” lysosomal storage diseases (cholesterol esterase storage disease, Niemann-Pick C disease, acid sphingomyelinase deficiency disease, Gaucher disease) in which approved or promising experimental treatments should generally obviate the need for palliative splenectomy. We also summarize current concepts about the appropriate use of splenectomy in patients with β-thalassemia, hereditary spherocytosis and Gaucher disease and discuss surgical alternatives to classical total splenectomy for these disorders.

关键词： Splenomegaly Hereditary metabolic Disorders Splenectomy Lysosomal Storage diseases Gaucher disease Spherocytosis Thalassemia

Cementomimetics——constructing a cementum-like biomineralized microlayer via amelogenin-derived peptides

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International Journal of Oral Science 2012年第2期4卷 69-77页

作者： Mustafa Gungormus Ersin E Oren Jeremy A Horst Hanson Fong Marketa Hnilova Martha J Somerman Malcolm L Snead Ram Samudrala Candan Tamerler Mehmet Sarikaya Genetically Engineered Materials Science and Engineering center and Department of Materials Science and EngineeringUniversity of WashingtonSeattleUSA Departmentof Orofacial Sciences University of California at San FranciscoSan FranciscoUSA Laboratory of Oral Connective Tissue Biology National Institute of Arthritis and Musculoskeletal and Skin DiseasesNational Institutes of HealthBethesdaUSA center for Craniofacial Molecular Biology Ostrow School of Dentistry of the University of Southern CaliforniaLos AngelesUSA Department of Microbiology University of WashingtonSeattleUSA

Cementum is the outer-, mineralized-tissue covering the tooth root and an essential part of the system of periodontal tissue that anchors the tooth to the bone. Periodontal disease results from the destructive behavior of the host elicited by an infectious biofilm adhering to the tooth root and left untreated, may lead to tooth loss. We describe a novel protocol for identifying peptide sequences from native proteins with the potential to repair damaged dental tissues by controlling hydroxyapatite biomineralization. Using amelogenin as a case study and a bioinformatics scoring matrix, we identified regions within amelogenin that are shared with a set of hydroxyapatite-binding peptides （HABPs） previously selected by phage display. One 22-amino acid long peptide regions referred to as amelogenin-derived peptide 5 （ADP5） was shown to facilitate cell-free formation of a cementum-like hydroxyapatite mineral layer on demineralized human root dentin that, in turn, supported attachment of periodontal ligament cells in vitro. Our findings have several implications in peptide-assisted mineral formation that mimic biomineralization. By further elaborating the mechanism for protein control over the biomineral formed, we afford new insights into the evolution of protein-mineral interactions. By exploiting small peptide domains of native proteins, our understanding of structure-function relationships of biomineralizing proteins can be extended and these peptides can be utilized to engineer mineral formation. Finally, the cementomimetic layer formed by ADP5 has the potential clinical application to repair diseased root surfaces so as to promote the regeneration of periodontal tissues and thereby reduce the morbiditv associated with tooth loss.

关键词： amelogenin amelogenin-derived peptides bioinformatics biomineralization cementomimetics cementum demineral-ization remineralization

Trochanteric Buttress Plate Combined with Proximal Femoral Nail for Unstable Intertrochanteric Fractures. [Innovative Technique]

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Open Journal of Orthopedics 2018年第6期8卷 235-247页

作者： Shashikant Basavraj Ganjale Wasudeo M. Gadegone Pradeep Kothadia Ashwini Sahakari Rugnalaya and Research Centre Solapur India Department of Orthopedic and Traumatology GMC Chandrapur India Kothadia Trauma and Orthopaedic center Solapur India

Introduction: Proximal femoral nail is a better choice of implant for the treatment of an unstable trochanteric fracture, however it is associated with screw migration and cutout because of greater trochanteric comminution and coronal split. This study is to evaluate the results of Trochanteric Buttress Plate (TBP) combined with PFN in an unstable IT fractures for buttressing lateral wall and reinforcing fixation. Materials and Methods: We carried out a consecutive study of 32 patients of Unstable intertrochanteric fracture femur with lateral wall comminution. It was studied at Ashwini Sahakari Rugnalaya and Sanshodhan Kendra Solapur India and Government medical college Chandrapur India from April-2015 to December-2017 using innovative Trochanteric buttress plate along with PFN. Eighteen male and fourteen female in the age group of 55 to 80 years were included in the study. There were 26 cases of A3 and six cases of A2 were fixed by PFN combined with trochanteric buttress plate to augment the comminuted lateral wall. Results: The bone healing is observed in all the cases in the mean period of 12.6 weeks. Four patients developed complications, including lateral migration of neck screws (n = 2), superficial infection (n = 2). Patients were followed up for a mean of 10.6 months. At the end of follow-up the Salvati and Wilson hip function was 36 (out of 40) in 87.5% of patients [twenty eight patients]. The clinical, radiological and functional outcomes were found to be satisfactory. Conclusion: The stabilization of lateral trochanteric wall with trochanteric buttress plate restores anatomy, increases the stability of construct and prevents inherent complication of screw migration and cutout.

关键词： Trochanteric Buttress Plate Lateral Wall Comminution of Greater Trochanter Unstable Trochanteric Fracture Screw Migration Cut Out of Screw

HSF1-mediated oxidative stress response to menadione in <i>Saccharomyces cerevisiae</i>KNU5377Y3 by using proteomic approach

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Advances in Bioscience and Biotechnology 2013年第1期4卷 44-54页

作者： Il-Sup Kim Hyun Kim Young-Saeng Kim Ingnyol Jin Ho-Sung Yoon Advanced Bio-Resource Research center Department of Biology Kyungpook National University Daegu Korea Department of Microbiology Kyungpook National University Daegu Korea

The hat shock transcription factor HSF1 inthe yeast Saccharomyces cerevisiae regulates a wide range of genes and functions in diverse cellular reactions. To investigate the physiological response of HSF1 inthe presence of menadione (MD) in S. cerevisiae KNU 5377Y3, wild-type (k3wt) and isogenic hsf1 mutant (k3h1) cells were introduced. HSF1 was induced when k3wt cells were exposed to the superoxide-generating agent MD and k3h1 cells were hypersensitive to MD. Under MD stress, k3h1 cells down-regulated the expression of metabolic enzymes (Hxk, Fba1, Pgk1, Eno2, and Adh1), antioxidant enzymes (Trx2 and porin), and molecular chaperones and their cofactors (Hsp104, Ssb1, Hsp60, Hsp42, Hsp26, Hsp12, Cpr1, and Sti1). In addition, k3h1 cells increased cellular hydroperoxide levels and protein carbonylation under MD stress as compared to k3wt cells. However, there was a moderate difference in the wild-type (b3wt) and mutant (b3h1) cells derived from S. cerevisiae S288Cunder the same conditions. Thus, these results show that HSF1 is an important component of the stress response system, acting as an activator of cell rescue genes in S. cerevisiae KNU5377Y3, and its expression protects the cells from MD-induced oxidative damage by maintaining redox homeostasis and proteostasis in the presence of MD.

关键词： Saccharomyces cerevisiae KNU5377Y3 HSF1 Gene Expression Menadione Redox

Adjacent Segment disease after Long Spinal Fusion Ending at L5 for Adult Spinal Deformity: A Retrospective Cohort Study

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Open Journal of Orthopedics 2022年第6期12卷 268-276页

作者： Ryota Kimura Michio Hongo Eiji Abe Takahi Kobayashi Kazuma Kikuchi Hayato Kinoshita Yuji Kasukawa Daisuke Kudo Naohisa Miyakoshi Department of Orthopedic Surgery Akita University Graduate School of Medicine Akita Japan Department of Orthopedic Surgery Akita Kousei Medical Center Akita Japan

Study Design: This is a retrospective cohort study using data from the adult spinal deformity (ASD) database of a single institution. Purpose: To investigate the incidence of proximal junctional failure and distal junctional failure (DJF) after ASD surgery with a lower instrumented vertebra (LIV) at L5. Overview of Literature: Spinopelvic fixation from the lower thoracic vertebra to the pelvis is the current gold standard treatment for ASD. However, the LIV at L5 is acceptable in some cases. Methods: Fifty-six patients who underwent corrective surgery for ASD with LIV at L5 were included. The upper instrumented vertebra (UIV) was T7 in one patient, T9 in 14, T10 in three, T11 in four, T12 in eight, L1 in 10, and L2 in 16. Regarding clinical parameters, age, sex, curve types of Scoliosis Research Society-Schwab classification, number of levels fused, follow-up period, hip bone mallow density, revision surgery rate, and radiographic measurements were compared between the T (UIV: T7 - 10) and TL (UIV: T11 - L2) groups. Results: The revision surgery rate was 19.6% overall. In the T and TL groups, it was 27.8%, and 15.8%, respectively (p = 0.305). The rate of DJF in the T group (33.3%) was significantly higher than in the TL group (5.3%). The rate of proximal junctional kyphosis in the T group (55.6%) was higher than in the TL group (28.9%), with no significant difference. The mean global alignment, sagittal vertical axis, and C7 plumb line-central sacral vertical line were not different between both groups. Conclusions: ASD surgery with LIV set at L5 and UIV set at the thoracic vertebrae (T7 - T10) has a risk of adjacent segment disease.

关键词： Adjacent Segment disease Adult Spinal Deformity Spinal Long Fusion L5 Distal Junctional Failure Proximal Junctional Failure

Fc-Epsilon Receptor (CD23) Expressing Follicular Dendritic Cells as a Main Prognostic Factor in Follicular Lymphoma

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Advances in Biological Chemistry 2017年第2期7卷 107-121页

作者： Natalia A. Falaleeva Eugeny A. Osmanov Nikolay N. Tupitsyn Federal State Budgetary Institute N. N. Blokhin Russian Cancer Research center Health Ministry of Russian Federation Moscow Russia

Fc-epsilon receptor (CD23)-expressing follicular dendritic cells is a main prognostic factor in follicular lymphoma. Falaleeva N. A., Osmanov E. A., Tupitsyn N. N. Federal State Budgetary Institute N. N. Blokhin Russian Cancer Research center, Health Ministry of Russian Federation, Moscow, Russia SUMMARY Follicular dendritic cells, expressing FcεRII or CD23 (FcεRIIFDCs) as a component of non-tumor environment have been studied in 232 follicular lymphoma (FL) patients. FcεRIIFDCs were found in 87.5% of follicular lymphoma cases and were associated with a nodular pattern of tumor growth (p = 0.000), but not the cytological grade of lymphoma. There were no associations of FcεRIIFDC with clinical prognostic factors (FLIPI indices) or with bone marrow involvement in FL patients by histology. The presence of FcεRIIFDCs in tumor tissue was an independent prognostic factor according to treatment results, i.e. frequency of CR, duration of OS and PFS. bone marrow involvement significantly worsened the prognosis in FcεRIIFDC-positive group of patients. We suggest a new prognostic index (FDC-IP) that allows biochemical identification of the following patient groups: FcεRIIFDC-positive patients without bone marrow involvement (good prognosis), FcεRIIF-DC-positive patients with bone marrow involvement (intermediate prognosis), FcεRIIFDC-negative patients (poor prognosis). These 3 groups significantly differ (p = 0.000) both in OS and in PFS. This is the first evidence of the possibility to assess tumor behavior and treatment results in FL according to lymphoma biochemical and other than clinical parameters.

关键词： Follicular Lymphoma CD23-Positive Follicular Dendritic Cells Prognosis

Controlling hypoxia-inducible factor-2α is critical for maintaining bone homeostasis in mice

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bone Research 2019年第2期7卷 210-223页

作者： Sun Young Lee Ka Hyon Park Hyung-Gu Yu Eunbyul Kook Won-Hyun Song Gyuseok Lee Jeong-Tae Koh Hong-In Shin Je-Yong Choi Yun Hyun Huh Je-Hwang Ryu Department of Pharmacology and Dental Therapeutics School of DentistryChonnam National UniversityGwangju 61186Korea Research center for Biomineralization Disorders School of DentistryChonnam National UniversityGwangju 61186Korea Department of Oral Pathology and IHBR School of DentistryKyungpook National UniversityDaegu 41940Korea Department of Biochemistry and Cell Biology BK21 Plus KNU Biomedical Convergence ProgramSkeletal Diseases Analysis CenterKorea Mouse Phenotyping Center (KMPC)School of MedicineKyungpook National UniversityDaegu 41944Korea School of Life Sciences Gwangju Institute of Science and TechnologyGwangju 61005Korea

Pathological bone loss is caused by an imbalance between bone formation and *** bone microenvironments are hypoxic,and hypoxia-inducible factor (HIF) is known to play notable roles in bone ***,the relevant functions of HIF-2α are not well ***,we have shown that HIF-2α deficiency in mice enhances bone mass through its effects on the differentiation of osteoblasts and *** vitro analyses revealed that HIF-2α inhibits osteoblast differentiation by targeting Twist2 and stimulates RANKL-induced osteoclastogenesis via regulation of *** addition,HIF-2α appears to contribute to the crosstalk between osteoblasts and osteoclasts by directly targeting RANKL in osteoprogenitor *** performed with osteoblast- and osteoclast-specific conditional knockout mice supported a role of HIF-2α in this ***-2α deficiency alleviated ovariectomy-induced bone loss in mice,and specific inhibition of HIF-2α with ZINC04179524 significantly blocked RANKLmediated ***,our results suggest that HIF-2α functions as a catabolic regulator in bone remodeling,which is critical for the maintenance of bone homeostasis.

关键词： is RANKL its via

Microbial Adhesion on Orthodontic Ligating Materials: An <i>in Vitro</i>Assessment

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Advances in Microbiology 2013年第1期3卷 108-114页

作者： Pandurangan Harikrishnan Thillai Saku Subha Varadharajan Kavitha Arumugam Gnanamani Microbiology Division Central Leather Research Institute (Council of Scientific and Industrial Research) Adyar Chennai India Teeth’N’Jaws center Chennai India

Orthodontic fixed appliance therapy is the commonest mode of treatment for most types of malocclusions (teeth irregularities). However, these materials are liable for microbial adhesion, which predisposes the wearer to increased microbial burden. The present study aims to evaluate, microbial adhesion and growth on commonly used orthodontic ligating materials (Teflon coated wire, stainless steel wire, elastic rings) under in vitro condition. Furthermore, the role of saliva on adhesion and microbial colonization on said materials was also assessed. Experiments were conducted with three different orthodontic ligating materials each in 6 numbers. Growth OD, metabolic activity and cell viability were the experimental variables in addition to SEM (Scanning Electron Microscopy) analysis performed. Results revealed irespective of the nature of the ligating materials, microbial adhesion and growth were observed in all the materials and suggested that the chosen materials promotes microbial adhesion. Nevertheless, stainless steel ligatures were less prone to adhesion compared to Teflon coated and elastic ligatures. Presence of saliva accelerates adhesion and growth.

关键词： Adhesion Growth Orthodontic Ligatures Growth OD CFU metabolic Activity XTT

The Endplate Morphology Changes with Change in Biomechanical Environment Following Discectomy

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International Journal of Clinical Medicine 2013年第7期4卷 8-17页

作者： Aakash Agarwal Anand K. Agarwal Vijay K. Goel Engineering center for Orthopaedic Research Excellence (E-CORE) Departments of Bioengineering and Orthopaedic Surgery Colleges of Engineering and Medicine University of Toledo Toledo USA.

bone is a dynamic structure and is known to respond to changes in the load over time, in accordance with Wolff’s law. It states that the bone changes its shape and internal architecture in response to stresses acting on it [1]. Therefore, any structural changes in the spine may lead to bone remodeling due to changes in the optimal stress pattern. The changes in apparent density and thickness of the endplates following discectomy of varying amounts were analyzed. The study design coupled a bone remodeling algorithm based on strain energy density theory of adaptive remodeling with an experimentally validated 3D ligamentous finite element model of the spine. The apparent density and thickness of the index level endplates decreased above and below the region of discectomy. On the other hand, these parameters showed increases at the remaining regions of the endplate. There were no correlations between the amount of nucleus removed and the average percentage changes in apparent density and thickness of endplate above and below the discectomy region. However, the average percentage changes in apparent density and thickness at endplate in the other region increased with increase in amount of nucleus removed. These predictions are in agreement with the clinical observations [2-6].

关键词： bone Remodeling Spine Biomechanics Disc Herniation Discectomy Endplates Finite Element Study