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71.
72.
SCA6 is caused by moderate CAG expansion in the alpha1A-voltage- dependent calcium channel gene 总被引:1,自引:3,他引:1
Riess O; Schols L; Bottger H; Nolte D; Vieira-Saecker AM; Schimming C; Kreuz F; Macek M Jr; Krebsova A; Macek M Sen; Klockgether T; Zuhlke C; Laccone FA 《Human molecular genetics》1997,6(8):1289-1293
Recently, moderate (CAG)>20 repeat expansions in the alpha1A-voltage-
dependent calcium channel gene (CACNL1A4) have been identified in a
previously unmapped type of SCA which has been named SCA6. We investigated
the (CAG)n repeat length of the CACNL1A4 gene in 733 patients with sporadic
ataxia and in 46 German families with dominantly inherited SCA which do not
harbor the SCA1, SCA2, or MJD1/SCA3 mutation, respectively. The SCA6 (CAG)n
expansion was identified in 32 patients most frequently with late
manifestation of the disease. The (CAG)n stretch of the affected allele
varied between 22 and 28 trinucleotide units and is therefore the shortest
trinucleotide repeat expansion causing spinocerebellar ataxia. The (CAG)n
repeat length is inversely correlated with the age at onset. In 11 parental
transmissions of the expanded allele no repeat instability has been
observed. Repeat instability was also not found for the normal allele
investigating 431 meioses in the CEPH families. Analyzing 248 apparently
healthy octogenerians revealed one allele of 18 repeats which is the
longest normal CAG repeat in the CACNL1A4 gene reported. The SCA6 mutation
causes the disease in approximately 10% of autosomal dominant SCA in
Germany. Most importantly, the trinucleotide expansion was observed in four
ataxia patients without obvious family history of the disease which
necessitates a search for the SCA6 (CAG)n expansion even in sporadic
patients.
相似文献
73.
紫草辅助米非司酮抗早孕对生殖激素的影响 总被引:28,自引:2,他引:26
为了探讨紫草辅助米非司酮抗早孕时对早孕妇女血中生殖激素的影响 ,88例早孕妇女随机分成服用米非司酮、紫草、米非司酮加紫草组和空白对照组 ,比较用药前后血人绒毛膜促性腺激素β亚单位 (β-h CG)、卵泡刺激素 ( F SH)、黄体生成素 ( L H)、雌二醇 ( E2 )、孕酮 ( P)和睾酮 ( T)的变化。结果 :单用米非司酮或紫草均对 β-h CG有一定的抑制作用 ,二者合用抑制作用更加明显 ;单用紫草对血中 FSH、 L H有较明显的抑制作用 ,对 E2 、P及 T无明显影响。认为紫草对绒毛功能有一定的影响 ,与米非司酮合用影响更明显 ;紫草对垂体生殖激素有明显的抑制作用。但是否与紫草能提高药物流产效果有关 ,尚需进一步研究。 相似文献
74.
Cumulative risk of developing polyps or malignancy at the ileal pouch-anal anastomosis in patients with familial adenomatous polyposis 总被引:8,自引:0,他引:8
Peter van Duijvendijk M.D. Hans FA. Vasen M.D. Lucio Bertario M.D. Steffen Bülow M.D. J. Han C. Kuijpers M.D. William R. Scbouten M.D. José G. Guillem M.D. Carlo W. Taat M.D. J. Frederik M. Slors M.D. 《Journal of gastrointestinal surgery》1999,3(3):325-330
Restorative proctocolectomy with an ileal pouch-anal anastomosis is performed in an increasing number of patients with familial
adenomatous polyposis (FAP). Two techniques are currently used to construct an ileal pouch-anal anastomosis: (1) a double-stapled
anastomosis between the pouch and the anal canal and (2) mucosectomy with a hand-sewn iteoanal anastomosis at the dentate
line. Although this procedure is thought to abolish the risk of colorectal adenoma, an increasing number of case reports have
been published concerning the development of adenoma at the anastomotic site. The purpose of this study was to evaluate the
overall cumulative risk of developing adenomatous polyps after ileal pouch-anal anastomosis and to compare the cumulative
risk after either anastomotic technique. A total of 126 consecutive FAP patients undergoing a restorative proctocolectomy
were identified from polyposis registries in The Netherlands, Denmark, Italy, Germany, and New York. Life-table analysis was
used to calculate the cumulative risk of developing polyps in 97 patients with at least 1 year of endoscopic follow-up (median
66 months, range 12 to 188 months). A double-stapled anastomosis was used in 35 patients, whereas in 62 patients a handsewn
anastomosis with a mucosectomy was performed. In 13 patients polyps developed at the anastomotic site, four with severe and
four with moderate dysplasia. None of the patients developed a carcinoma at the anastomotic site. The cumulative risk of developing
a polyp at the anastomotic site was 8% (95% confidence interval 2% to 14%) at 3.5 years and 18% (95% confidence interval 8%
to 28%) at 7 years, respectively. The risk of developing a polyp at the anastomotic site within 7 years was 31 % for patients
with a double-stapled vs. 10% for patients with a hand-sewn anastomosis with mucosectomy (P = 0.03 [log-rank test]). Because FAP patients undergoing a restorative proctocolectomy with either a double-stapled or hand-sewn
anastomosis have a substantial risk of developing adenomatous polyps at the anastomotic site, lifelong endoscopic surveillance
is mandatory in both groups.
Presented at the Thirty-Ninth Annual Meeting of The Society for Surgery of the Alimentary Tract, New Orleans, La., May 17–20,
1998. 相似文献
75.
Teruo Kiyama M.D. Ph.D. David T. Efron M.D. Udaya Tantry Ph.D. Adrian Barbul M.D. FA.C.S. 《Journal of gastrointestinal surgery》1999,3(4):441-446
Although early enteral feeding has been shown to benefit cutaneous healing when compared to parenteral feeding, the effect
of the route of nutritional support in gastrointestinal anastomotic healing has not been defined. The aim of the present study
was to determine whether the route of nutritional support influences colonic anastomotic healing. Twenty male Sprague-Dawley
rats weighing 270 to 290 grams underwent identical surgical manipulation consisting of central venous catheterization, gastrostomy
insertion, and distal colonic anastomosis (single-layer, inverted). Identical nutrient infusates composed of 4.25% amino acids,
25% dextrose, and vitamins were administered, with half the animals receiving the infusions via the gastrostomy and the other
half via the venous catheter. Animals were killed 5 days after surgery. There were no differences in nutritional parameters
between the parenterally and enterally fed groups. Colonic anastomotic bursting pressure was significantly higher in the enterally
fed group (180 ±6 vs. 150±11 mm Hg; P<0.01). The measured insoluble collagen and total protein content in anastootic tissue were enhanced in the enterally supported
group. The fraction of soluble (newly synthesized) collagen did not differ between the two groups. The data demonstrate that
the route of nutrient administration influences colonic anastomotic healing. The preservation of colonic structural collagen
in the enteral group may improve the ability of the gut to hold sutures and thus enhance anastomotic healing.
Presented at the Thirty-Ninth Annual Meeting of The Society for Surgery of the Alimentary Tract, New Orleans, La., May 17–20,
1998. 相似文献
76.
目的利用CRISPR/Cas9系统,敲除小鼠黑色素瘤细胞系的MATP基因,为MATP基因的功能研究奠定基础。方法利用http://crispr.mit.edu/网站,设计针对MATP的特异性引物,并将引物链接到pCAS9/gRNA1载体。将阳性载体转染小鼠黑色素瘤细胞系B16F10,利用无限稀释的方法获得转染后的单克隆细胞株。提取不同细胞株的基因组,通过测序的方法进一步筛选出发生MATP基因切割的细胞株,并利用Western-blot的方法验证MATP的表达情况。结果成功获得了3株MATP基因敲除的细胞株,Western-blot结果表明,该细胞株不表达MATP蛋白。结论利用pCAS9/gRNA1载体,可以实现B16F10细胞系MATP基因的敲除。 相似文献
77.
我省长学制医学教育的回顾与思考 总被引:1,自引:0,他引:1
我省七年制医学教育开办了近20年,为社会培养了一批深受欢迎、质量较好和具有较高综合素质的高层次医学人才。建立与我省经济发展水平相适应的以五年制为主体、重点发展八年制的医学教育学制体系,是我省高等医学教育发展的必然趋势。 相似文献
78.
Predicting a local recurrence after breast-conserving therapy by gene expression profiling 下载免费PDF全文
Nuyten DS Kreike B Hart AA Chi JT Sneddon JB Wessels LF Peterse HJ Bartelink H Brown PO Chang HY van de Vijver MJ 《Breast cancer research : BCR》2006,8(5):R62-11
Introduction
To tailor local treatment in breast cancer patients there is a need for predicting ipsilateral recurrences after breast-conserving therapy. After adequate treatment (excision with free margins and radiotherapy), young age and incompletely excised extensive intraductal component are predictors for local recurrence, but many local recurrences can still not be predicted. Here we have used gene expression profiling by microarray analysis to identify gene expression profiles that can help to predict local recurrence in individual patients.Methods
By using previously established gene expression profiles with proven value in predicting metastasis-free and overall survival (wound-response signature, 70-gene prognosis profile and hypoxia-induced profile) and training towards an optimal prediction of local recurrences in a training series, we establish a classifier for local recurrence after breast-conserving therapy.Results
Validation of the different gene lists shows that the wound-response signature is able to separate patients with a high (29%) or low (5%) risk of a local recurrence at 10 years (sensitivity 87.5%, specificity 75%). In multivariable analysis the classifier is an independent predictor for local recurrence.Conclusion
Our findings indicate that gene expression profiling can identify subgroups of patients at increased risk of developing a local recurrence after breast-conserving therapy. 相似文献79.
Marieke A Vollebergh Esther H Lips Petra M Nederlof Lodewyk FA Wessels Jelle Wesseling Marc J vd Vijver Elisabeth GE de Vries Harm van Tinteren Jos Jonkers Michael Hauptmann Sjoerd Rodenhuis Sabine C Linn 《Breast cancer research : BCR》2014,16(3):R47
Introduction
BRCA-mutated breast cancer cells lack the DNA-repair mechanism homologous recombination that is required for error-free DNA double-strand break (DSB) repair. Homologous recombination deficiency (HRD) may cause hypersensitivity to DNA DSB-inducing agents, such as bifunctional alkylating agents and platinum salts. HRD can be caused by BRCA mutations, and by other mechanisms. To identify HRD, studies have focused on triple-negative (TN) breast cancers as these resemble BRCA1-mutated breast cancer closely and might also share this hypersensitivity. However, ways to identify HRD in non-BRCA-mutated, estrogen receptor (ER)-positive breast cancers have remained elusive. The current study provides evidence that genomic patterns resembling BRCA1- or BRCA2-mutated breast cancers can identify breast cancer patients with TN as well as ER-positive, HER2-negative tumors that are sensitive to intensified, DSB-inducing chemotherapy.Methods
Array comparative genomic hybridization (aCGH) was used to classify breast cancers. Patients with tumors with similar aCGH patterns as BRCA1- and/or BRCA2-mutated breast cancers were defined as having a BRCA-likeCGH status, others as non-BCRA-likeCGH. Stage-III patients (n = 249) had participated in a randomized controlled trial of adjuvant high-dose (HD) cyclophosphamide-thiotepa-carboplatin (CTC) versus 5-fluorouracil-epirubicin-cyclophosphamide (FE90C) chemotherapy.Results
Among patients with BRCA-likeCGH tumors (81/249, 32%), a significant benefit of HD-CTC compared to FE90C was observed regarding overall survival (adjusted hazard ratio 0.19, 95% CI: 0.08 to 0.48) that was not seen for patients with non-BRCA-likeCGH tumors (adjusted hazard ratio 0.90, 95% CI: 0.53 to 1.54) (P = 0.004). Half of all BRCA-likeCGH tumors were ER-positive.Conclusions
Distinct aCGH patterns differentiated between HER2-negative patients with a markedly improved outcome after adjuvant treatment with an intensified DNA-DSB-inducing regimen (BRCA-likeCGH patients) and those without benefit (non-BRCA-likeCGH patients). 相似文献80.
Teleradiology in northern Quebec 总被引:1,自引:0,他引:1