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  • Medicine  (82)
  • 1
    In: Brain Research, Elsevier BV, Vol. 1029, No. 2 ( 2004-12), p. 200-206
    Type of Medium: Online Resource
    ISSN: 0006-8993
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2004
    detail.hit.zdb_id: 1462674-3
    SSG: 12
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  • 2
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 43, No. suppl_1 ( 2012-02)
    Abstract: Background and Purpose - Less-invasive and efficient donor cell delivery is quite important for the clinical application of cell transplantation therapy. Recently, cell sheet technology has gained a great interest as a novel tissue engineering technology, but there are no studies that evaluate the validity of the bone marrow stromal cell (BMSC) sheets as the donor for cerebral infarct. The aim of this study is to assess whether the BMSC sheet can be an alternative transplantation technique to promote functional recovery after cerebral infarct. Methods - The BMSC were harvested from green fluorescence protein (GFP)-transgenic rat and were cultured on a temperature-responsive culture dishes. The mono-layered BMSC sheet was detached by changing the temperature of culture dishes, and was histologically analyzed. Next, the SD rats were subjected to permanent middle cerebral artery occlusion and were divided into 3 experimental groups. Thus, the vehicle or BMSC suspension was stereotactically transplanted into the ipsilateral striatum, or the BMSC sheet was directly transplanted onto the ipsilateral intact neocortex at 7 days after the insult (n=9, 9, 7, respectively). Motor function was assessed for 28 days after transplantation. Finally, histological analysis was performed. Results - BMSC sheet was composed of 9.8 ± 2.4 x10 5 cells (n=10). Stereotactic injection of BMSC significantly enhanced the recovery of motor function after cerebral infarct. Likewise, non-invasive cell sheet transplantation also significantly promoted functional recovery. The therapeutic effect was comparable to stereotactic cell transplantation. Fluorescence immunohistochemistry revealed that the GFP-positive cells were densely distributed in the dorsal neocortex adjacent to cerebral infarct in both groups. Double fluorescence immunohistochemistry demonstrated that the majority of engrafted GFP-positive cells were positive for NeuN and morphologically simulated the neurons in both groups. The density of reactive astrocytes in the ipsilateral striatum was less pronounced in cell sheet transplantation group than in stereotactic transplantation group. Conclusion - These findings strongly suggest that cell sheet technology would make it possible to non-invasively deliver the BMSC into the infarct brain and to yield significant therapeutic effects, when compared with stereotactic injection of cell suspension. The technology may be a clinically valuable and less-invasive construct for non-invasive and efficient cell delivery to regenerate the infarct brain.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2012
    detail.hit.zdb_id: 1467823-8
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  • 3
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 44, No. suppl_1 ( 2013-02)
    Abstract: Background: There is increasing evidence that bone marrow stromal cells (BMSC) have the potential to improve neurologic function when transplanted into the infarct brain. However, no methods have been established to objectively evaluate the effect of BMSC transplantation in clinical situation. Therefore, we aimed to assess whether the BMSC improve the neuronal viability on 123 I-iomazenil (IMZ) SPECT, when transplanted into the infarct brain of rats. Methods: The BMSC were harvested from rats and were cultured. The rats were subjected to permanent middle cerebral artery occlusion. The BMSC or vehicle was transplanted into the ipsilateral striatum at 7 days after the insult. Using 123 I-IMZ SPECT, The 123 I-IMZ uptake was measured at a day before and at 4 weeks after BMSC transplantation. The distribution of engrafted cells and the expression of neuron-specific γ-aminobutyric acid (GABA) receptor protein in the peri-infarct area were examied, using fluorescence immunohistochemistry. Results: The 123 I-IMZ uptake was markedly low in the dorsal peri-infarct neocortex at a day before transplantation. However, BMSC transplantation significantly improved the 123 I-IMZ uptake in that area at 4 weeks after transplantation. The ratio of 123 I-IMZ uptake in the ipsilateral to contralateral dorsal neocortex significantly increased from 53.4 ± 17.3% to 77.3 ± 16.3% in the BMSC group (P 〈 0.01). On the other hands, the values did not change significantly in the vehicle group. The ratio of the GABA A receptor-positive cells in the ipsilateral to contralateral dorsal neocortex was significantly higher in the BMSC group than in the vehicle group (P 〈 0.01). Conclusion: These findings strongly suggest that BMSC may improve the peri-infarct neuronal integrity when transplanted into the infarct brain at clinically relevant timing. 123 I-IMZ SPECT may be a valuable modality to scientifically prove the beneficial effects of BMSC transplantation on the host brain in clinical situation.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2013
    detail.hit.zdb_id: 1467823-8
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  • 4
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 43, No. suppl_1 ( 2012-02)
    Abstract: Background: Recent studies have indicated that bone marrow stromal cells (BMSC) have the potential to improve neurologic function when transplanted into animal models of central nervous system disorders. However, no methods have been established to objectively evaluate the beneficial effect of BMSC transplantation on the host brain in clinical situation. Therefore, this study was aimed to assess whether the BMSC significantly improve local glucose metabolism in the peri-infarct area on 18 F-fluorodeoxyglucose (FDG) PET, when transplanted into the infarct brain of rats. Methods: The BMSC were harvested from green fluorescent protein (GFP)-transgenic rats and were cultured. The rats were subjected to permanent middle cerebral artery (MCA) occlusion. The BMSC or vehicle was transplanted into the ipsilateral striatum at 7 days after the onset of MCA occlusion. Using 18 F-FDG PET, local glucose metabolism was semi-quantitatively and serially measured at 6 days post-ischemia and at 4 weeks after BMSC transplantation. Motor function was serially evaluated throughout the experiments. The distribution and fate of engrafted cells were examined, using fluorescence immunohistochemistry at 4 weeks after BMSC transplantation. Simultaneously, the expression of brain-type glucose transporter (GLUT1 and GLUT3) was also evaluated. Results: Local glucose metabolism was significantly lower in the dorsal peri-infarct neocortex at 6 days post-ischemia. However, BMSC transplantation significantly accelerated the recovery of local glucose metabolism in that area at 4 weeks after transplantation. Thus, the ratio of glucose metabolism in the ipsilateral to contralateral dorsal neocortex significantly increased from 72.5 ± 4.2% to 78.7 ± 4.0% in the vehicle group (P 〈 0.01). On the other hands, the values more pronouncedly increased from 72.7 ± 4.4% to 87.7 ± 5.3% in the BMSC group (P 〈 0.01). The BMSC were engrafted in the boundary zone of cerebral infarct and also expressed the phenotypes of neural cells. BMSC transplantation significantly prevented the overexpression of GLUT1 in the endothelium and of GLUT3 in the neurons in that area. Conclusion: These findings strongly suggest that BMSC may enhance the recovery of local glucose metabolism in the peri-infarct area when directly transplanted into the infarct brain at clinically relevant timing. The recovery of local glucose metabolism may inhibit pathological upregulation of GLUT1 and GLUT3. 18 F-FDG PET may be the candidate of valuable modalities to scientifically prove the beneficial effects of BMSC transplantation on the host brain in clinical situation.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2012
    detail.hit.zdb_id: 1467823-8
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  • 5
    In: Stroke, Ovid Technologies (Wolters Kluwer Health), Vol. 43, No. 7 ( 2012-07), p. 1800-1805
    Abstract: Brain microbleeds (MBs) are considered to be associated with cognitive decline and can be pathologically and topographically classified as cerebral amyloid angiopathy-related (located in lobar regions) and hypertensive microangiopathy-related (located in deep regions). We examined whether different effects on global cognitive function might be seen with different distributions of MBs. Methods— A total of 1279 adults without neurological disorders were studied prospectively. Subjects were divided into 4 groups: without-MBs group; lobar group; deep group; and with in both areas (diffuse group). The Mini-Mental State Examination was administered to determine global cognitive functions, with scores 〈 27 regarded as subnormal. Results— MBs were detected in 98 subjects (8%): 36 subjects (3%) classified as lobar group, 48 subjects (4%) as deep group, and 14 subjects (1%) as diffuse group. Subnormal scores were found in 76 subjects (5.9%), associated with age, education, hypertension, severe white matter hyperintensities, and distribution and number of MBs. In the final model of logistic regression analysis, the deep group (OR, 2.79; 95% CI, 1.14–6.79) was associated with subnormal scores, whereas the lobar group (OR, 0.77; 95% CI, 0.17–3.44) was not. Trend for the diffuse group did not reach the level of significance (OR, 5.01; 95% CI, 0.88–28.41). These trends were also seen in analysis using another cut-off point for subnormal score. Scores for total Mini-Mental State Examination and attention and calculation were significantly lower in the deep group and the diffuse groups compared with the without-MBs group. Conclusions— This Japanese cross-sectional study demonstrated that MB-related global cognitive dysfunction seems to occur based on hypertensive pathogenesis rather than on cerebral amyloid angiopathy.
    Type of Medium: Online Resource
    ISSN: 0039-2499 , 1524-4628
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2012
    detail.hit.zdb_id: 1467823-8
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  • 6
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1986
    In:  Annals of Surgery Vol. 204, No. 1 ( 1986-07), p. 65-71
    In: Annals of Surgery, Ovid Technologies (Wolters Kluwer Health), Vol. 204, No. 1 ( 1986-07), p. 65-71
    Type of Medium: Online Resource
    ISSN: 0003-4932
    RVK:
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1986
    detail.hit.zdb_id: 2002200-1
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  • 7
    In: Journal of Clinical Pathology, BMJ, Vol. 68, No. 10 ( 2015-10), p. 825-829
    Abstract: Ki67 is a potent prognostic marker for determining systemic treatment of patients with hormone receptor-positive breast cancer. However, evaluation of Ki67 expression can be difficult, due mostly to its heterogeneity. The Ki67 expression level, which indicates that a cell is undergoing division (cell cycle), rises when proliferation activity increases. Thus, Ki67 expression might be affected by hormonal stimuli. We hypothesised that Ki67 expression level might change during the menstrual cycle. We examined pairs of biopsy and surgical specimens from individual patients to evaluate this hypothesis. Methods First, the effects of estradiol on Ki67 expression in breast cancer cell lines were examined employing immunocytochemistry and Western blotting. Next, differences in Ki67 expression between biopsy and surgical specimens from 131 patients with estrogen receptor-positive tumours were retrospectively examined. Results In vitro experiments showed Ki67 expression in estrogen receptor-positive cancer cells to be dependent on estradiol stimulation. Ki67 expression was higher in biopsy samples collected in the luteal phase than in those from other phases. When biopsy and surgical samples were obtained at different times during the menstrual cycle in the same individual, there were differences in Ki67 expression between these samples. Those collected in the luteal phase showed higher Ki67 expression than samples obtained during other phases (p 〈 0.01). Conclusions Ki67 expression varied in the same patients according to menstrual cycle phase. Our results suggest that Ki67 expression in estrogen receptor-positive breast cancer should be carefully assessed bearing in mind the patient's menstrual cycle, since the interpretation of expression could affect treatment decisions.
    Type of Medium: Online Resource
    ISSN: 0021-9746 , 1472-4146
    RVK:
    Language: English
    Publisher: BMJ
    Publication Date: 2015
    detail.hit.zdb_id: 2028928-5
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  • 8
    In: Acta Neurochirurgica, Springer Science and Business Media LLC, Vol. 154, No. 12 ( 2012-12), p. 2241-2249
    Type of Medium: Online Resource
    ISSN: 0001-6268 , 0942-0940
    RVK:
    RVK:
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2012
    detail.hit.zdb_id: 1464215-3
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  • 9
    In: Blood, American Society of Hematology, Vol. 110, No. 11 ( 2007-11-16), p. 2785-2785
    Abstract: Graft versus leukemia (GVL) effect after allogeneic stem cell transplantation (allo-SCT) is mediated by the cytotoxic factors on cytotoxic T-cells and NK cells. Recent analysis demonstrates that TNF-related apoptosis inducing ligand, TRAIL, plays an important role in the GVL effect. TRAIL induces apoptosis of leukemia cells by the binding to the death receptors, DR4 and DR5. Thus, although the precise mechanism remains unclarified, the regulation of DR4/DR5 expression could be one of critical factors for susceptibility of leukemia cells to the GVL effect. t(17;19)-positive acute lymphoblastic leukemia (ALL) has an extremely poor prognosis, but long-term disease-free survival was exceptionally observed in the case who underwent allo-SCT early in the first complete remission, suggesting that t(17;19)-ALL cells might be susceptible to TRAIL and eventually vulnerable to GVL effect. Accordingly, we examined the sensitivity of t(17;19)-ALL to recombinant human soluble (rhs) TRAIL using 4 cell lines. All 4 cell lines immediately underwent apoptosis by the treatment with rhsTRAIL, and the activation of Caspases 3 and 8, Bid, and PARP was confirmed with Western blotting. Of note, 4 t(17;19)-ALL cell lines showed a significantly higher TRAIL-sensitivity than did other 25 B-precursor ALL cell lines including Ph1, t(1;19), and MLL-rearrangement-positive ALLs. Cell surface expression of DR4/DR5, but not decoy receptors, was confirmed on all 4 cell lines by flow cytometry. Of importance, the levels of cell surface DR4/DR5 expression in 4 t(17;19)-ALL cell lines were significantly higher than those in other 25 B-precursor ALL cell lines. Real time RT-PCR analysis also demonstrated a significantly higher DR4/DR5 gene expression in t(17;19)-ALL cell lines. Since E2A-HLF chimeric transcription factor derived from t(17;19) plays an essential role in the leukemogenesis, we introduced E2A-HLF into the B-precursor ALL cell line 697, whose DR4/DR5 expression level is low, using Zn-inducible vector. When E2A-HLF expression was induced by Zn, the levels of DR4 and DR5 transcripts were immediately upregulated by 10-fold and 40-fold of baseline, respectively. The induction of DR4/DR5 expression was dependent on the DNA-binding and transactivation activity of E2A-HLF, since the mutants lacking either the DNA-binding or transactivation domains failed to induce DR4/DR5 expression. Further, binding of E2A-HLF to the consensus sites separated from the promoters of DR4/DR5 genes was demonstrated in EMSA. These observations indicate that E2A-HLF directly induces expression of DR4/DR5 and sensitizes leukemia cells to TRAIL and eventually GVL effect. This is the first presentation that oncogenic fusion product of translocation regulates the expression of death receptors.
    Type of Medium: Online Resource
    ISSN: 0006-4971 , 1528-0020
    RVK:
    RVK:
    Language: English
    Publisher: American Society of Hematology
    Publication Date: 2007
    detail.hit.zdb_id: 1468538-3
    detail.hit.zdb_id: 80069-7
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  • 10
    In: Journal of Pediatric Surgery, Elsevier BV, Vol. 41, No. 8 ( 2006-8), p. 1397-1402
    Type of Medium: Online Resource
    ISSN: 0022-3468
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2006
    detail.hit.zdb_id: 2039299-0
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