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[Gastrointestinal stromal tumor of the stomach mimicking adrenal tumor: a case report]. | A gastrointestinal stromal tumor of the stomach mimicking an adrenal tumor in a 67-year-old woman is reported. The patient sought medical attention for left flank pain in December 2001. A spherical calcification was evident in the left hypochondrium in an abdominal radiography; and computed tomography revealed a mass 8 cm in diameter at the upper pole of the left kidney. She then was admitted to our hospital. Physical examination and laboratory screening showed hypertension; diabetes mellitus and slight hem | 15682856 | [
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[Gastrointestinal stromal tumor of the stomach mimicking adrenal tumor: a case report]. | oconcentration. Endocrine examination showed normal serum adrenal hormone concentrations. Magnetic resonance imaging again demonstrated the mass; which showed enhancement along its margins after intravenous contrast administration. With a preoperative diagnosis of adrenal tumor; we performed total resection. The pediculated tumor; arising from the stomach; showed c-kit immunohistochemical staining permitting a histopathological diagnosis of gastrointestinal stromal tumor. | 15682856 | [
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[Two cases of retroperitoneal liposarcoma arisen from perirenal fat tissue, which could not be diagnosed preoperatively]. | We report two cases of retroperitoneal liposarcoma arisen from the perirenal fat tissue; which could not be diagnosed preoperatively. Case 1 is a 58-year-old male. He complained of left flank tumor. Computed tomography and magnetic resonance image showed a mass over 10 cm that contained fat components in the retroperitoneal space. The tumor was resected with left nephrectomy and histological examination revealed well differentiated liposarcoma. As adjuvant therapy; he received chemotherapy and 30 months has | 15682857 | [
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[Two cases of retroperitoneal liposarcoma arisen from perirenal fat tissue, which could not be diagnosed preoperatively]. | passed uneventfully. Case 2 is a 70-year-old male. Screening ultrasonography revealed incidental retroperitoneal tumor. With clinical diagnosis as non-functioning adrenal tumor; he received left nephrectomy. The pathological diagnosis was well differentiated liposarcoma; sclerosing type. No adjuvant therapy was performed. He has stopped visiting our clinic due to aggravation of heart disease. The characteristics of the images of the two cases were different despite the histological resemblance. This differ | 15682857 | [
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[Two cases of retroperitoneal liposarcoma arisen from perirenal fat tissue, which could not be diagnosed preoperatively]. | ence was considered to be due to the difference in the distribution of lipomatous tissue in each patient. | 15682857 | [
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] |
[Cystic renal cell carcinoma in childhood: a case report]. | Renal cell carcinoma is a common renal malignancy in adults but it is extremely rare in children. An 8-year-old boy visited our hospital with the complaint of right abdominal palpable mass. Computed tomographic (CT) scan revealed a right renal multilocular cystic mass which displaced the normal renal parenchyma. A right radical nephrectomy was done and pathological findings revealed cystic renal cell carcinoma. He received postoperative therapy with the administration of alpha interferon and has been well w | 15682858 | [
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[Cystic renal cell carcinoma in childhood: a case report]. | ith no evidence of recurrence nor metastasis during 8 months after surgery. To our knowledge this is the youngest case of cystic renal cell carcinoma reported. | 15682858 | [
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] |
[Ultrasonographic features of chromophobe cell renal carcinoma]. | Chromophobe cell renal carcinoma is an uncommon type of renal cell carcinoma; and the number of reported cases in Japan is small. The ultrasonographic (US) features of this rare tumor are not defined. We reviewed the imaging findings of four pathologically proven chromophobe cell renal carcinomas. US; color Doppler US (DUS); computed tomography (CT) and magnetic resonance imaging (MRI) were performed preoperatively. The internal echo patterns of the tumors were homogeneous in all cases; and the lesion usual | 15682859 | [
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[Ultrasonographic features of chromophobe cell renal carcinoma]. | ly was hyperechoic even if the tumor was large; although one tumor was isoechoic. DUS revealed no color flow in any tumor. Both CT and MRI showed a relatively homogeneous; hypovascular tumor. These tumors had characteristic US findings; probably because they had a uniform growth pattern of tumor cells and none of them had necrosis or hemorrhage. When US shows a homogenously hyperechoic and hypovascular tumor of the kidney; we should suspect chromophobe cell renal carcinoma. | 15682859 | [
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[Renal pelvic cancer with tumor thrombus in the vena cava inferior: a case report]. | We report a case of right renal pelvic cancer with tumor thrombus in the inferior vena cava. A 65-year-old man with right flank abdominal pain and high fever was reffered to our hospital. Computed tomography showed right renal mass. Magnetic resonance imaging revealed tumor thrombus extending into the renal vein and the inferior vena cava. Preoperative diagnosis was renal cell carcinoma with vena caval thrombus. Radical nephrectomy with thrombectomy and lymphodenectomy was performed. Pathologic evaluation r | 15682860 | [
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[Renal pelvic cancer with tumor thrombus in the vena cava inferior: a case report]. | evealed transitional cell carcinoma with tumor thrombus into the vena cava. One course of M-VAC chemotherapy was added and he has been alive for 56 months without recurrence. A literature review of 15 cases of renal pelvic cancer with tumor thrombus in the vena cava in Japan revealed that 7 cases were diagnosed as renal cell carcinoma preoperatively. | 15682860 | [
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[A case of benign polyp with prostatic-type epithelium in the bulbar urethra]. | We report a case of benign polyp with prostatic-type epithelium in the bulbar urethra. A 77-year-old man was admitted to our hospital with voiding disturbance. Cystourethroscopy revealed a papillary tumor with a stalk in the 10 o'clock direction of the bulbar urethra. Transurethral resection of the urethral tumor was performed. Histopathological examination of the polypoid lesions showed papillary proliferative tissue. Immunohistochemical staining of prostate specific antigen was positive. The urethral tumo | 15682861 | [
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[A case of benign polyp with prostatic-type epithelium in the bulbar urethra]. | r was diagnosed as benign polyp with prostatic-type epithelium. | 15682861 | [
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[A case of hypogonadotrophic hypogonadism causing lumbar stress fracture]. | A 57-year-old man was referred to our hospital for further evaluation on hypogonadotrophic hypogonadism causing a stress fracture of the 4th lumbar vertebrae. Azoospermia had been pointed out at the age 30; but hormonal evaluation had not been performed. Physical examination revealed an eunuchoidal body proportion; a stretched phallus length of 4 cm and bilateral scrotal testes of 6 ml. Hormonal evaluation demonstrated a testosterone level of 13 ng/dl (normal; 320 to 1;030 ng/dl); a luteinizing hormone of 0 | 15682862 | [
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[A case of hypogonadotrophic hypogonadism causing lumbar stress fracture]. | .2 mU/ml (normal; 1.8 to 9.2 mU/ml) and a follicular stimulating hormone of 1.0 mU/ml (normal; 1.6 to 10.7 mU/ml). Results of a stress test of gonadotrophin-releasing hormone was a low delay type. Computerized tomography showed no abnormality in the hypothalamic-pituitary region. The patient was treated with the substitution therapy of androgen. The therapy was discontinued 6 months later because of severe nipple pain. We should perform hormonal evaluation and other examinations for male infertility. | 15682862 | [
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[Male infertility in an adult with unilateral Leydig cell tumor of the undescended testis]. | We report a case of Leydig cell tumor of the postpubertal cryptorchid testis with the chief complaint of male infertility. A 36-year-old man had consulted another clinic and his semen analysis revealed oligospermia. A solid mass was palpated in the right inguinal undescended testis. He was referred to our hospital for treatment of the testicular tumor. Right inguinal orchiectomy was performed and pathological diagnosis was Leydig cell tumor with no malignant findings. After the surgery improvement was seen | 15682863 | [
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[Male infertility in an adult with unilateral Leydig cell tumor of the undescended testis]. | in his semen analysis. There was no evidence of recurrence 9 months after surgery. | 15682863 | [
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[Epidermoid cyst of perineo-scrotal region: report of a case]. | The patient was a 36-year-old male with a chief complaint of painless mass in the perineum. An elastic and immobile mass with the tip of thumb finger size was palpable in the left perineum and magnetic resonance imaging (MRI) showed the tumor with high intensity on T2 weighted image from perineum through left scrotum. The tumor was surgically removed and a histopathological study revealed epidermoid cyst. | 15682864 | [
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[A case of atresia hymenalis in a pubescent girl with complaint of dysuria]. | A 12-year-old girl was referred to the National Hospital Organization Nara Hospital complaining of dysuria and lower abdominal pain. On examination of the external genitalia; vaginal opening was closed completely. Ultrasonography and magnetic resonance imaging revealed atresia hymenalis with hematocolpos. Hymenal incision was carried out and clinical symptoms were improved. Seventy-eight cases of atresia hymenalis reported in the Japanese literature since 1987 are reviewed. It is necessary to include atresi | 15682865 | [
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[A case of atresia hymenalis in a pubescent girl with complaint of dysuria]. | a hymenalis in diagnosis of voiding difficulty in pubescent girls. | 15682865 | [
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[Surgical statistics of the Department of Urology, Isesaki Municipal Hospital during a five-year period (June 1998-May 2003)]. | We reviewed the surgical statistics of the Department of Urology; Isesaki Municipal Hospital between June 1998 and May 2003. A total of 1940 surgeries were performed. These consisted of 399 surgeries on the kidney; adrenal; and pelvis; 212 on the ureter; 433 on the bladder; 256 on the prostate; 149 on the urethra and the penis; 192 on the scrotum; 255 on the arteriovenous fistula and CAPD. In September 2003; a screening program for prostate cancer was started; and the number of prostate biopsies and total p | 15682866 | [
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[Surgical statistics of the Department of Urology, Isesaki Municipal Hospital during a five-year period (June 1998-May 2003)]. | rostatectomies increased. As the adaptation of many procedures to laparoscopy expanded; the number of laparoscopic surgeries increased. | 15682866 | [
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The sperm, a neuron with a tail: 'neuronal' receptors in mammalian sperm. | A number of plasma membrane receptor types originally thought to be specific to neurons have been found in other somatic cells. More surprisingly; the mammalian sperm and neuron appear to share many of these 'neuronal' receptors. The morphology; chromosome number; genomic activity; and functions of those two cell types are as unlike as any two cells in the body; but they both achieve their highly disparate goals with the aid of a number of the same receptors. Exocytosis in neurons and sperm is essential to | 15682867 | [
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The sperm, a neuron with a tail: 'neuronal' receptors in mammalian sperm. | the functions of these cells and is strongly influenced by similar receptors. 'Neuronal' receptor types in sperm may also play a role in the control of sperm motility (a function of course not shared by neurons). This review will consider the evidence for the presence of sperm plasma membrane 'neuronal' receptors and for their significance to mammalian sperm function. The persuasiveness of the evidence varies depending on the receptor being considered; but there is strong experimental support for the presen | 15682867 | [
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The sperm, a neuron with a tail: 'neuronal' receptors in mammalian sperm. | ce and importance of a number of 'neuronal' receptors in sperm. | 15682867 | [
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Female post-reproductive lifespan: a general mammalian trait. | Traditional explanations for the evolution of menopause and post-reproductive lifespan in human females have been based on the benefits of maternal or grand-maternal care outweighing the cost of lost reproduction. These explanations assume an evolutionary origin of menopause since human divergence with the most recent common ancestor. In this study; I conduct a literature survey of studies of 42 mammal species from eight orders; showing that post-reproductive lifespan appears to be widespread among mammals. | 15682868 | [
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Female post-reproductive lifespan: a general mammalian trait. | I then propose an alternative to traditional hypotheses: following accepted theories of trade-offs and senescence; I suggest that the cost of extending reproductive lifespan might be relatively high in female mammals. Somatic and reproductive senescence appear to follow separate trajectories; so it is not surprising that the two processes should occur on different schedules. The timing of each process is probably determined by maximization of reproductive performance and survival early in adulthood; with c | 15682868 | [
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Female post-reproductive lifespan: a general mammalian trait. | onsequent trajectories resulting in a post-reproductive lifespan. The early end of reproduction relative to lifespan may be due to the cost of production and/or maintenance of oocytes; which decline exponentially over time. Oocyte number below a threshold may trigger an end to normal hormonal cycling. | 15682868 | [
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Cophylogeny of the Ficus microcosm. | The various mutualistic and antagonistic symbioses between fig trees (Ficus: Moraceae) and chalcid wasps comprise a community in microcosm. Phylogenetic estimates of figs and fig wasps show general topological correspondence; making the microcosm a model system for cophylogeny. Incongruence between phylogenies from associated organisms can be reconciled through a combination of evolutionary events. Cophylogeny mapping reconciles phylogenies by embedding an associate tree into a host tree; finding the optima | 15682869 | [
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Cophylogeny of the Ficus microcosm. | l combinations of events capable of explaining incongruence and evaluating the level of codivergence. This review addresses the results of cophylogeny analysis concerning Ficus and discusses the plausibility of different evolutionary events. Five different associations encompassing fig-pollinator; fig-parasite and pollinator-parasitoid interactions are reconciled. The method improves on previous comparisons by employing 'jungles' to provide an exhaustive and quantitative analysis of cophylogeny. A jungle is | 15682869 | [
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Cophylogeny of the Ficus microcosm. | a mechanism for inferring host switches and obtaining all potentially optimal solutions to the reconciliation problem. The results support the consensus that figs codiverge significantly with pollinators but not non-pollinators. However; pollinators still appear to have switched between hosts in contradiction to the traditional model of faithful codivergence. This emphasises the growing realisation that evolutionary transitions in the microcosm are more flexible than previously thought and host specificity | 15682869 | [
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Cophylogeny of the Ficus microcosm. | is necessary but not sufficient for codivergence. The importance of sampling strategy is emphasised by the influence of taxon set on the fig-pollinator and fig-parasite jungles. Spurious significant results for fig-parasite and fig-parasitoid jungles indicate that the choice of congruence measure influences significance; the total number of events required to reconcile two trees ('total cost') is not a good measure of congruence when switches cannot be realistically weighted. | 15682869 | [
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The granin family of uniquely acidic proteins of the diffuse neuroendocrine system: comparative and functional aspects. | The chromogranins A (CgA) and B (CgB) and secretogranin II (SgII) constitute the main members of a family of uniquely acidic secretory proteins in elements of the diffuse neuroendocrine system. These genetically distinct proteins; CgA; CgB; SgII and the less well known secretogranins III-VII are collectively referred to as 'granins' and characterised by numerous pairs of basic amino acids as potential cleavage sites for processing by the co-stored prohormone converting enzymes PC 1/3 and PC2. This review is | 15682870 | [
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The granin family of uniquely acidic proteins of the diffuse neuroendocrine system: comparative and functional aspects. | directed towards comparative and functional aspects of the granins with emphasis on their phylogenetically conserved sequences. Recent developments provide ample evidence of widely different effects and targets for the intact granins and their derived peptides; intracellularly in the directed trafficking of storage components during granule maturation and extracellularly in autocrine; paracrine and endocrine interactions. Most of the effects assigned to the granin derived peptides fit into patterns of dire | 15682870 | [
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The granin family of uniquely acidic proteins of the diffuse neuroendocrine system: comparative and functional aspects. | ct or indirect inhibitory modulations of major functions. So far; peptides derived from CgA (vasostatins; chromacin; pancreastatin; WE-14; catestatin and parastatin); CgB (secretolytin) and SgII (secretoneurin) are the most likely candidates for granin-derived regulatory peptides; of postulated relevance not only for homeostatic processes; but also for tissue assembly and repair; inflammatory responses and the first line of defence against invading microorganisms. | 15682870 | [
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How the sperm lost its tail: the evolution of aflagellate sperm. | The typical sperm is comprised of a head; midpiece and flagellum. Around this theme there is an enormous diversity of form--giant sperm; multi-flagellate sperm and also sperm that lack flagella entirely. Explaining this diversity in sperm morphology is a challenging question that evolutionary biologists have only recently engaged in. Nonetheless; one of the selective forces identified as being an important factor in the evolution of sperm form is sperm competition; which occurs when the sperm of two or more | 15682871 | [
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How the sperm lost its tail: the evolution of aflagellate sperm. | males compete to fertilize a female's ova. In species with a truly monandrous mating system; the absence of sperm competition means that the selection pressure on males to produce motile sperm may be relaxed. Potentially aflagellate sperm are less costly to produce; both in terms of energy and time. Thus; selection may therefore favour the loss of the sperm flagellum and any other motile mechanisms in monandrous taxa. A review of the literature revealed that 36 taxonomic groups; from red algae to fish; wer | 15682871 | [
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How the sperm lost its tail: the evolution of aflagellate sperm. | e found independently to have evolved aflagellate sperm. I review what is known about the mating systems of each of these taxa and their nearest sister taxa. A sister-group analysis using this information provided weak evidence suggesting that the evolution of aflagellate sperm could be linked to the removal of selective pressures generated by sperm competition. | 15682871 | [
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The evolution, maintenance and adaptive function of genetic colour polymorphism in birds. | The hypothesis that ornaments can honestly signal quality only if their expression is condition-dependent has dominated the study of the evolution and function of colour traits. Much less interest has been devoted to the adaptive function of colour traits for which the expression is not; or is to a low extent; sensitive to body condition and the environment in which individuals live. The aim of the present paper is to review the current theoretical and empirical knowledge of the evolution; maintenance and a | 15682872 | [
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The evolution, maintenance and adaptive function of genetic colour polymorphism in birds. | daptive function of colour plumage traits for which the expression is mainly under genetic control. The finding that in many bird species the inheritance of colour morphs follows the laws of Mendel indicates that genetic colour polymorphism is frequent. Polymorphism may have evolved or be maintained because each colour morph facilitates the exploitation of alternative ecological niches as suggested by the observation that individuals are not randomly distributed among habitats with respect to coloration. Co | 15682872 | [
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The evolution, maintenance and adaptive function of genetic colour polymorphism in birds. | nsistent with the hypothesis that different colour morphs are linked to alternative strategies is the finding that in a majority of species polymorphism is associated with reproductive parameters; and behavioural; life-history and physiological traits. Experimental studies showed that such covariations can have a genetic basis. These observations suggest that colour polymorphism has an adaptive function. Aviary and field experiments demonstrated that colour polymorphism is used as a criterion in mate-choice | 15682872 | [
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The evolution, maintenance and adaptive function of genetic colour polymorphism in birds. | decisions and dominance interactions confirming the claim that conspecifics assess each other's colour morphs. The factors favouring the evolution and maintenance of genetic variation in coloration are reviewed; but empirical data are virtually lacking to assess their importance. Although current theory predicts that only condition-dependent traits can signal quality; the present review shows that genetically inherited morphs can reveal the same qualities. The study of genetic colour polymorphism will prov | 15682872 | [
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The evolution, maintenance and adaptive function of genetic colour polymorphism in birds. | ide important and original insights on the adaptive function of conspicuous traits. | 15682872 | [
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Plant allometry: is there a grand unifying theory? | The study of size and its biological consequences--alled allometry--has fascinated biologists for centuries. Recent advances in this area of study have stimulated a renewed interest in these scaling phenomena; especially in terms of the search for mechanistic explanations that transcend mere descriptive phenomenology. These advances are reviewed in the context of plant biology. Allometric derivations are presented that predict how annual growth in total body biomass is partitioned to construct new leaf; ste | 15682874 | [
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Plant allometry: is there a grand unifying theory? | m; and root tissues at the level of an individual plant. Derivations are also presented to predict annual reproductive effort and to predict how the biomass of body parts changes as a function of the number of plants per unit area in communities. The predictions emerging from these derivations are then examined empirically by comparing predicted and observed scaling exponents for each relationship using a world-wide data compendium gathered from the primary literature. These comparisons provide strong stati | 15682874 | [
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Plant allometry: is there a grand unifying theory? | stical support for each of the allometric predictions. This support is taken as evidence that a general unifying allometric theory for plant biology is near at hand. Nevertheless; the validation of this theory requires much additional work and raises a number of procedural and conceptual concerns that must be resolved before a single 'global' theory is accepted. | 15682874 | [
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Novelties of conception in insectivorous mammals (Lipotyphla), particularly shrews. | In the order Lipotyphla (Insectivora); certain reproductive features differ quite distinctly from the eutherian norms; and are of interest with regard to the evolution of mammalian gamete function and perhaps for questions of lipotyphlan phylogeny. As seen in one or more members of five lipotyphlan families (shrews; moles; hedgehogs; golden moles; tenrecs); these features can involve the configuration of the male tract including the penis; the morphology of the sperm head; the anatomy of the oviduct and the | 15682875 | [
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Novelties of conception in insectivorous mammals (Lipotyphla), particularly shrews. | patterns of sperm transport within it; the character of the cumulus oophorus; and the way in which fertilising spermatozoa interact with the eggs. However; the picture is by no means uniform within the order. Reproductive idiosyncrasies occur variously in the different lipotyphlan families; and appear consistently and strikingly in shrews--the group studied most extensively. Compared to the patterns in most Eutheria; the most interesting anomalies in soricids include (a) the regulation of sperm transport t | 15682875 | [
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Novelties of conception in insectivorous mammals (Lipotyphla), particularly shrews. | o the site of fertilisation by oviduct crypts; whose arrangement can vary even according to species; (b) a circumscribed matrix-free cumulus oophorus that appears essential for fertilisation as the inducer of the acrosome reaction; (c) barbs on the acrosome-reacted sperm head by which it may attach to the zona pellucida. With regard to the bearing such reproductive traits might have on lipotyphlan systematics; the African mouse shrew (Myosorex varius) displays a mix of traits that characterize either crocid | 15682875 | [
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Novelties of conception in insectivorous mammals (Lipotyphla), particularly shrews. | urine or soricine shrews; consistent with the proposal that it belongs in a more primitive tribe; Myosoricinae; or subfamily; the Crocidosoricinae; from which the crocidurine and soricine lines probably evolved. Moreover; although elephant shrews are assigned now to a separate order (Macroscelidea); they display several of the unusual reproductive features seen in lipotyphlans; particularly in chrysochlorids and tenrecs. On the other hand; if used as a phylogenetic yardstick; none of the reproductive featur | 15682875 | [
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Novelties of conception in insectivorous mammals (Lipotyphla), particularly shrews. | es described serves to define the Lipotyphla as classically constituted within one order; nor necessarily all the relationships suggested by recent sequencing studies of nuclear and mitochondrial genes. | 15682875 | [
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Pathogen survival in the external environment and the evolution of virulence. | Recent studies have provided evolutionary explanations for much of the variation in mortality among human infectious diseases. One gap in this knowledge concerns respiratory tract pathogens transmitted from person to person by direct contact or through environmental contamination. The sit-and-wait hypothesis predicts that virulence should be positively correlated with durability in the external environment because high durability reduces the dependence of transmission on host mobility. Reviewing the epidemi | 15682873 | [
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Pathogen survival in the external environment and the evolution of virulence. | ological and medical literature; we confirm this prediction for respiratory tract pathogens of humans. Our results clearly distinguish a high-virulence high-survival group of variola (smallpox) virus; Mycobacterium tuberculosis; Cornynebacterium diphtheriae; Bordetella pertussis; Streptococcus pneumoniae; and influenza virus (where all pathogens have a mean percent mortality > or = 0.01% and mean survival time >10 days) from a low-virulence low-survival group containing ten other pathogens. The correlation | 15682873 | [
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Pathogen survival in the external environment and the evolution of virulence. | between virulence and durability explains three to four times of magnitude of difference in mean percent mortality and mean survival time; using both across-species and phylogenetically controlled analyses. Our findings bear on several areas of active research and public health policy: (1) many pathogens used in the biological control of insects are potential sit-and-wait pathogens as they combine three attributes that are advantageous for pest control: high virulence; long durability after application; and | 15682873 | [
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Pathogen survival in the external environment and the evolution of virulence. | host specificity; (2) emerging pathogens such as the 'hospital superbug' methicillin-resistant Staphylococcus aureus (MRSA) and potential bioweapons pathogens such as smallpox virus and anthrax that are particularly dangerous can be discerned by quantifying their durability; (3) hospital settings and the AIDS pandemic may provide footholds for emerging sit-and-wait pathogens; and (4) studies on food-borne and insect pathogens point to future research considering the potential evolutionary trade-offs and ge | 15682873 | [
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Pathogen survival in the external environment and the evolution of virulence. | netic linkages between virulence and durability. | 15682873 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | The study of retroviruses has had a profound impact by unveiling an unusual form of viral replication: the multiplication of RNA viruses via a proviral DNA; for which Jan Svoboda provided the experimental model over forty years ago. In 1970 Temin; Mizutani and Baltimore discovered that this group of viruses contains a unique enzyme catalysing the synthesis of a DNA copy of the viral RNA: reverse transcriptase (RT). The discovery of RT has itself had an enormous impact on molecular biology in general; but al | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | so stimulated many premature claims of its detection in human disease. Claims by Gallo's laboratory that the cytoplasm of human leukaemia cells contained RT proved to be unfounded; as did his report in collaboration with Weiss that myeloid leukaemia contained HL23 virus; this organism proving not to be human but a laboratory contaminant of three monkey viruses. Conclusive demonstration of a retroviral involvement in human leukaemia was first provided in 1981 by Hinuma and his associates; showing that adult | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | T-cell leukaemia (ATL); a rare form of leukaemia endemic to south-west Japan; is caused by a new retrovirus (ATLV). Other publications in December 1980 and through 1981 claimed the discovery of a new human T-cell leukaemia virus involved in mycosis fungoides (MF) and Sézary's syndrome (SS). This virus was termed HTLV by Gallo. The nucleotide sequence of ATLV is strongly conserved; that of my 1983 isolate from a black British ATL patient being practically identical with the Japanese virus isolates. After AID | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | S was recognised in 1981 by Gottlieb and coworkers as a new human disease; several papers were published by Gallo and his associates during 1983-4; invoking the oncovirus responsible for adult T-cell leukaemia as the cause of AIDS. In 1983 the French scientist Barré-Sinoussi and her colleagues succeeded in isolating a new agent in the disease; a lentivirus; which they named LAV. The French immunologist Klatzmann and his colleagues discovered that LAV killed CD4+ T-cells; furnishing an explanation for the pa | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | thogenesis of AIDS and providing a mechanism for how AIDS developed. For some time Gallo continued to suggest leukaemia virus involvement; claiming that his independent isolate of the AIDS virus; termed HTLV-III; was closely related to HTLV-I (the Japanese ATLV). Although this created considerable confusion among researchers for a period; the relationship was eventually disproved. Unlike ATLV; whose nucleic acid sequence is very stable; the AIDS virus (now termed HIV by international agreement) is extraordi | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | narily unstable; the sequences of independent HIV isolates being quite unique: this made it possible to establish conclusively that both HTLV-III and another independent isolate CBL-1; from Weiss' laboratory; were actually LAV isolates from the French laboratory. It has been shown by Hayami and his associates that only African primates are infected with similar lentiviruses to HIV which explains why AIDS started in Africa. Further research has clarified the origin of HIV-1 to be a chimpanzee lentivirus and | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | HIV-2 to be the sooty mangabey lentivirus; which began to spread in humans perhaps no more than fifty years ago. The infection has spread rapidly; primarily through sexual intercourse; but also by transmission through blood and its products as well as contaminated needles and syringes. Sexual intercourse has now spread the virus around the World; and there are probably some 70 million infected. 90% of those infected with HIV develop the deadly disease of AIDS within ten years of infection: the death toll fr | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | om the disease has been enormous. By contrast; HTLV-1 has been infecting man in isolated areas probably for hundreds of years; but it has not spread widely. HTLV causes leukaemia in only less than 1% of those infected. The prime mode of transmission of HTLV-1 is between mother and neonate; infections can be reduced by stopping breast-feeding by infected mothers. The isolation of HIV enabled screening tests to be developed for contaminated blood. However; due to the peculiar biology of HIV infection; unfortu | 15682876 | [
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Human retroviruses in leukaemia and AIDS: reflections on their discovery, biology and epidemiology. | nately all efforts to develop an effective vaccine have so far failed. | 15682876 | [
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Drug recalls and notification of practitioners. | nan | 15682877 | [
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Paget's disease: a case in point. | Paget's disease (PD) is the second most common bone disease in older adults; yet many clinicians are unfamiliar with it and may not consider it a diagnostic possibility. This article uses a case study to introduce the topic of Paget's disease. The definition; incidence; and etiology of PD is addressed. Normal bone physiology is defined in contrast to the pathophysiology of PD. Patient history; laboratory tests; and imaging studies are summarized with regard to the diagnosis of PD. Treatment options are disc | 15682878 | [
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Paget's disease: a case in point. | ussed including pharmacologic management and prognosis. The article concludes with implications for nursing care of the patient with PD. | 15682878 | [
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Death of a lifestyle: the effects of social support and healthcare support on the quality of life of persons with fibromyalgia and/or chronic fatigue syndrome. | The purpose of this study was to investigate how social support and healthcare support affect the quality of life of persons with fibromyalgia and chronic fatigue syndrome.A constant comparison method was used for the qualitative portion of the research and descriptive correlational methods were used for the quantitative portion.This mixed design research study suggested that social support; unlike healthcare support; is related to Quality of Life (QOL). It was also evident that subjects suffering from CFS | 15682879 | [
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Death of a lifestyle: the effects of social support and healthcare support on the quality of life of persons with fibromyalgia and/or chronic fatigue syndrome. | and/or FMS do not experience high levels of social support. | 15682879 | [
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Diffuse idiopathic skeletal hyperostosis: Forestier's disease. | Diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is characterized by calcification and ossification of soft tissue entheses of ligaments and tendons. DISH is believed to be a variant of osteoarthritis (OA) without the degenerative intervertebral disc and joint degenerative qualities seen in classic OA. The likely pathoetiologic causes of DISH are presented. | 15682880 | [
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"Lexicon of War" article informative. | nan | 15682887 | [
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The Cleveland Clinic's magnet experience. | The awarding of Magnet Status by the Magnet Nursing Services Recognition Program of the American Nursing Credentialing Center is acknowledged as the achievement of Excellence in Nursing. In this article; The Cleveland Clinic shares insights from its experience in becoming the 72nd Magnet hospital. Questions to ponder when conducting a readiness assessment before embarking on the Magnet journey; techniques to engage the staff in the application process; and writing and organizing tips are shared. | 15682881 | [
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Reduced peripheral and mucosal Tropheryma whipplei-specific Th1 response in patients with Whipple's disease. | Whipple's disease is a rare infectious disorder caused by Tropheryma whipplei. Major symptoms are arthropathy; weight loss; and diarrhea; but the CNS and other organs may be affected; too. The incidence of Whipple's disease is very low despite the ubiquitous presence of T. whipplei in the environment. Therefore; it has been suggested that host factors indicated by immune deficiencies are responsible for the development of Whipple's disease. However; T. whipplei-specific T cell responses could not be studied | 16849516 | [
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Reduced peripheral and mucosal Tropheryma whipplei-specific Th1 response in patients with Whipple's disease. | until now; because cultivation of the bacteria was established only recently. Thus; the availability of T. whipplei Twist-Marseille(T) has enabled the first analysis of T. whipplei-specific reactivity of CD4(+) T cells. A robust T. whipplei-specific CD4(+) Th1 reactivity and activation (expression of CD154) was detected in peripheral and duodenal lymphocytes of all healthy (16 young; 27 age-matched; 11 triathletes) and disease controls (17 patients with tuberculosis) tested. However; 32 Whipple's disease p | 16849516 | [
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Reduced peripheral and mucosal Tropheryma whipplei-specific Th1 response in patients with Whipple's disease. | atients showed reduced or absent T. whipplei-specific Th1 responses; whereas their capacity to react to other common Ags like tetanus toxoid; tuberculin; actinomycetes; Giardia lamblia; or CMV was not reduced compared with controls. Hence; we conclude that an insufficient T. whipplei-specific Th1 response may be responsible for an impaired immunological clearance of T. whipplei in Whipple's disease patients and may contribute to the fatal natural course of the disease. | 16849516 | [
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"Translating" tumor hypoxia: unfolded protein response (UPR)-dependent and UPR-independent pathways. | Poor oxygenation (hypoxia) is present in the majority of human tumors and is associated with poor prognosis due to the protection it affords to radiotherapy and chemotherapy. Hypoxia also elicits multiple cellular response pathways that alter gene expression and affect tumor progression; including two recently identified separate pathways that strongly suppress the rates of mRNA translation during hypoxia. The first pathway is activated extremely rapidly and is mediated by phosphorylation and inhibition of | 16849518 | [
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"Translating" tumor hypoxia: unfolded protein response (UPR)-dependent and UPR-independent pathways. | the eukaryotic initiation factor 2alpha. Phosphorylation of this factor occurs as part of a coordinated endoplasmic reticulum stress response program known as the unfolded protein response and activation of this program is required for hypoxic cell survival and tumor growth. Translation during hypoxia is also inhibited through the inactivation of a second eukaryotic initiation complex; eukaryotic initiation factor 4F. At least part of this inhibition is mediated through a Redd1 and tuberous sclerosis comple | 16849518 | [
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"Translating" tumor hypoxia: unfolded protein response (UPR)-dependent and UPR-independent pathways. | x 1/2-dependent inhibition of the mammalian target of rapamycin kinase. Inhibition of mRNA translation is hypothesized to affect the cellular tolerance to hypoxia in part by promoting energy homeostasis. However; regulation of translation also results in a specific increase in the synthesis of a subset of hypoxia-induced proteins. Consequently; both arms of translational control during hypoxia influence gene expression and phenotype. These hypoxic response pathways show differential activation requirements | 16849518 | [
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"Translating" tumor hypoxia: unfolded protein response (UPR)-dependent and UPR-independent pathways. | that are dependent on the level of oxygenation and duration of hypoxia and are themselves highly dynamic. Thus; the severity and duration of hypoxia can lead to different biological and therapeutic consequences. | 16849518 | [
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Toll-like receptor 9 agonists promote cellular invasion by increasing matrix metalloproteinase activity. | Toll-like receptor 9 (TLR9) recognizes microbial DNA. We show here that TLR9 protein is expressed in human breast cancer cells and clinical breast cancer samples. Stimulation of TLR9-expressing breast cancer cells with the TLR9 agonistic CpG oligonucleotides (1-10 mumol/L) dramatically increased their in vitro invasion in both Matrigel assays and three-dimensional collagen cultures. Similar effects on invasion were seen in TLR9-expressing astrocytoma and glioblastoma cells and in the immortalized human brea | 16849519 | [
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Toll-like receptor 9 agonists promote cellular invasion by increasing matrix metalloproteinase activity. | st epithelial cell line MCF-10A. This effect was not; however; dependent on the CpG content of the TLR9 ligands because the non-CpG oligonucleotides induced invasion of TLR9-expressing cells. CpG or non-CpG oligonucleotide-induced invasion in MDA-MB-231 cells was blunted by chloroquine and they did not induce invasion of TLR9(-) breast cancer cells. Treatment of MDA-MB-231 cells with CpG or non-CpG oligonucleotides induced the formation of approximately 50-kDa gelatinolytic band in zymograms. This band and | 16849519 | [
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Toll-like receptor 9 agonists promote cellular invasion by increasing matrix metalloproteinase activity. | the increased invasion were abolished by a matrix metalloproteinase (MMP) inhibitor GM6001 but not by a serine proteinase inhibitor aprotinin. Furthermore; CpG oligonucleotide treatment decreased tissue inhibitor of metalloproteinase-3 expression and increased levels of active MMP-13 in TLR9-expressing but not TLR9(-) breast cancer cells without affecting MMP-8. Neutralizing anti-MMP-13 antibodies inhibited the CpG oligonucleotide-induced invasion. These findings suggest that infections may promote cancer p | 16849519 | [
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Toll-like receptor 9 agonists promote cellular invasion by increasing matrix metalloproteinase activity. | rogression through a novel TLR9-mediated mechanism. They also propose a new molecular target for cancer therapy; because TLR9 has not been associated with cancer invasiveness previously. | 16849519 | [
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Molecular dissection of 17q12 amplicon in upper gastrointestinal adenocarcinomas. | DNA amplification at 17q is frequently detected in upper gastrointestinal adenocarcinomas (UGC; stomach and esophagus). In this study; we did fluorescence in situ hybridization on a tissue microarray that contained 304 UGCs and 89 normal stomach samples using a approximately 168-kb BAC clone (CTD-2019C10) that maps to 17q12-q21.1. This 168-kb region contains the following genes: PPP1R1B/DARPP-32; STARD3; TCAP; PNMT; PERLD1; ERBB2; C17orf37; and GRB7 as well as the first two exons of ZNFN1A3. DNA amplificati | 16849520 | [
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Molecular dissection of 17q12 amplicon in upper gastrointestinal adenocarcinomas. | on (> or =5 signals) was detected in 85 of 282 (30%) of UGCs; and high-level amplification (> or =10 signals) was seen in 28 of 282 (10%) of all tumors. Adenocarcinomas of gastroesophageal junction and lower esophagus had the highest frequency of amplification (45%) compared with stomach tumors (27%; P = 0.04). On the other hand; 38% of tumors with intestinal-type morphology had amplification compared with 26% of diffuse-type tumors (P = 0.02). We further did quantitative real-time reverse transcription-PCR | 16849520 | [
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Molecular dissection of 17q12 amplicon in upper gastrointestinal adenocarcinomas. | on 74 frozen tissue samples from UGCs for 11 genes located within or adjacent to the boundaries of this approximately 168-kb genomic region. These genes include all 9 genes that are fully or partially located inside the CTD-2019C10 clone as well as 2 additional adjacent genes (NEUROD and TOP2A). Overexpression of PPP1R1B/DARPP-32; TCAP; and TOP2A was seen in approximately half of the tumors; whereas STARD3 and ZNFN1A3 were rarely overexpressed (12%). Interestingly; there was a statistical correlation betwe | 16849520 | [
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Molecular dissection of 17q12 amplicon in upper gastrointestinal adenocarcinomas. | en expression of all 8 genes that map between PPP1R1B/DARPP-32 and GRB7; whereas expression of NEUROD; ZNFN1A3; and TOP2A that are partially inside or adjacent to the boundaries of the CTD-2019C10 clone did not correlate with the expression of any of these 8 genes. These data show a transcriptionally active oncogenomic region bounded by PPP1R1B/DARPP-32 and GRB7 in UGCs and provide further insight into expression levels of several critical genes. | 16849520 | [
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Curcumin affects components of the chromosomal passenger complex and induces mitotic catastrophe in apoptosis-resistant Bcr-Abl-expressing cells. | The Bcr-Abl oncoprotein plays a major role in the development and progression of chronic myeloid leukemia and is a determinant of chemotherapy resistance occurring during the blast crisis phase of the disease. The aim of this article was to investigate the possibility of combating the resistance to apoptosis caused by Bcr-Abl by inducing an alternative cell death process. As a model of chronic myeloid leukemia; we employed Bcr-Abl-transfected mouse progenitor 32D cells with low and high Bcr-Abl expression l | 16849521 | [
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Curcumin affects components of the chromosomal passenger complex and induces mitotic catastrophe in apoptosis-resistant Bcr-Abl-expressing cells. | evels corresponding to drug-sensitive and drug-resistant cells; respectively. The drug curcumin (diferuloylmethane); a known potent inducer of cell death in many cancer cells; was investigated for efficacy with Bcr-Abl-expressing cells. Curcumin strongly inhibited cell proliferation and affected cell viability by inducing apoptotic symptoms in all tested cells; however; apoptosis was a relatively late event. G(2)-M cell cycle arrest; together with increased mitotic index and cellular and nuclear morphology | 16849521 | [
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Curcumin affects components of the chromosomal passenger complex and induces mitotic catastrophe in apoptosis-resistant Bcr-Abl-expressing cells. | resembling those described for mitotic catastrophe; was observed and preceded caspase-3 activation and DNA fragmentation. Mitosis-arrested cells displayed abnormal chromatin organization; multipolar chromosome segregation; aberrant cytokinesis; and multinucleated cells-morphologic changes typical of mitotic catastrophe. We found that the mitotic cell death symptoms correlated with attenuated expression of survivin; a member of the chromosomal passenger complex; and mislocalization of Aurora B; the partner o | 16849521 | [
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Curcumin affects components of the chromosomal passenger complex and induces mitotic catastrophe in apoptosis-resistant Bcr-Abl-expressing cells. | f survivin in the chromosomal passenger complex. Inhibition of survivin expression with small interfering RNA exhibited similar mitotic disturbances; thus implicating survivin as a major; albeit not the only; target for curcumin action. This study shows that curcumin can overcome the broad resistance to cell death caused by expression of Bcr-Abl and suggests that curcumin may be a promising agent for new combination regimens for drug-resistant chronic myeloid leukemia. | 16849521 | [
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An autocrine loop involving ret and glial cell-derived neurotrophic factor mediates retinoic acid-induced neuroblastoma cell differentiation. | In several neuroblastoma cell lines; retinoic acid (RA)-induced differentiation is coupled to increased expression of functional neurotrophic factor receptors; including Trk family receptors and the glial cell-derived neurotrophic factor receptor; Ret. In several cases; increased expression is dependent on signaling through TrkB. Unlike TrkA and TrkB; Ret has never been implicated as a prognostic marker for neuroblastomas. SK-N-BE(2) cells do not express any of Trk family receptors; therefore; they are a ch | 16849523 | [
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An autocrine loop involving ret and glial cell-derived neurotrophic factor mediates retinoic acid-induced neuroblastoma cell differentiation. | oice system to study the specific role of Ret in RA-induced differentiation. Using a 2'-fluoro-RNA aptamer and a truncated Ret protein as specific inhibitors of Ret; we show that RA-induced differentiation is mediated by a positive autocrine loop that sustains Ret downstream signaling and depends on glial cell-derived neurotrophic factor expression and release. This report shows that in SK-N-BE(2) cells; stimulation of Ret is a major upstream mechanism needed to mediate RA-induced differentiation. These res | 16849523 | [
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An autocrine loop involving ret and glial cell-derived neurotrophic factor mediates retinoic acid-induced neuroblastoma cell differentiation. | ults provide important insights on the molecular mechanism of RA action; which might be relevant for the development of biologically based therapeutic strategies. | 16849523 | [
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Akt1 activation can augment hypoxia-inducible factor-1alpha expression by increasing protein translation through a mammalian target of rapamycin-independent pathway. | The phosphoinositide 3-kinase (PI3K)/Akt pathway is commonly activated in cancer; therefore; we investigated its role in hypoxia-inducible factor-1alpha (HIF-1alpha) regulation. Inhibition of PI3K in U87MG glioblastoma cells; which have activated PI3K/Akt activity secondary to phosphatase and tensin homologue deleted on chromosome 10 (PTEN) mutation; with LY294002 blunted the induction of HIF-1alpha protein and its targets vascular endothelial growth factor and glut1 mRNA in response to hypoxia. Introductio | 16849522 | [
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Akt1 activation can augment hypoxia-inducible factor-1alpha expression by increasing protein translation through a mammalian target of rapamycin-independent pathway. | n of wild-type PTEN into these cells also blunted HIF-1alpha induction in response to hypoxia and decreased HIF-1alpha accumulation in the presence of the proteasomal inhibitor MG132. Akt small interfering RNA (siRNA) also decreased HIF-1alpha induction under hypoxia and its accumulation in normoxia in the presence of dimethyloxallyl glycine; a prolyl hydroxylase inhibitor that prevents HIF-1alpha degradation. Metabolic labeling studies showed that Akt siRNA decreased HIF-1alpha translation in normoxia in t | 16849522 | [
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Akt1 activation can augment hypoxia-inducible factor-1alpha expression by increasing protein translation through a mammalian target of rapamycin-independent pathway. | he presence of dimethyloxallyl glycine and in hypoxia. Inhibition of mammalian target of rapamycin (mTOR) with rapamycin (10-100 nmol/L) had no significant effect on HIF-1alpha induction in a variety of cell lines; a finding that was confirmed using mTOR siRNA. Furthermore; neither mTOR siRNA nor rapamycin decreased HIF-1alpha translation as determined by metabolic labeling studies. Therefore; our results indicate that Akt can augment HIF-1alpha expression by increasing its translation under both normoxic a | 16849522 | [
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