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111.
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Anne M Lewis Sheelu Varghese Hui Xu H Richard Alexander 《Journal of translational medicine》2006,4(1):48
The tumor microenvironment consists of tumor, immune, stromal, and inflammatory cells which produce cytokines, growth factors,
and adhesion molecules that promote tumor progression and metastasis. Of particular interest in this setting is interleukin-1
(IL-1), a pleiotropic cytokine with numerous roles in both physiological and pathological states. It is known to be up regulated
in many tumor types and has been implicated as a factor in tumor progression via the expression of metastatic and angiogenic
genes and growth factors. A number of studies have reported that high IL-1 concentrations within the tumor microenvironment
are associated with a more virulent tumor phenotype. Solid tumors in which IL-1 has been shown to be up regulated include
breast, colon, lung, head and neck cancers, and melanomas, and patients with IL-1 producing tumors have generally bad prognoses.
The exact mechanisms by which IL-1 promotes tumor growth remain unclear, though the protein is believed to act via induction
of pro-metastatic genes such as matrix metalloproteinases and through the stimulation of adjacent cells to produce angiogenic
proteins and growth factors such as VEGF, IL-8, IL-6, TNFα, and TGFβ. The IL-1 receptor antagonist (IL-1ra) is a naturally
occurring inhibitor to IL-1 and acts by binding to the IL-1 receptor without activating it. The protein has been shown to
decrease tumor growth, angiogenesis, and metastases in murine xenograft models. Our focus in this review is to summarize the
known data on the role of IL-1 in tumor progression and metastasis and the use of IL-1 inhibition as a novel therapeutic approach
in the treatment of solid organ malignancies. 相似文献
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115.
Reconstruction of pectus excavatum with silicone implants. 总被引:1,自引:0,他引:1
Alexander Margulis Mordechai Sela Rami Neuman Anat Buller-Sharon 《Journal of plastic, reconstructive & aesthetic surgery》2006,59(10):1082-1086
The pectus excavatum deformity is characterised by a deep depression usually involving the lower one-half to two-thirds of the sternum. The indications for surgery are often aesthetic. Extensive procedures, requiring fracturing and remodelling of the chest wall skeleton are associated with high morbidity and high rate of complications. In this article we describe our renewed experience with reconstruction of mild and moderate pectus excavatum deformities with custom made prefabricated silicone implants. The fabrication of the implant and the surgical technique are described in detail. An excellent aesthetic correction of the deformity was achieved in all of the patients in our series, with high patient satisfaction rate. We conclude that with careful patient selection, artistic implant fabrication and meticulous surgical technique, this approach achieves excellent aesthetic correction with minimal morbidity and a low complication rate and therefore should maintain its place in the armamentarium of surgical techniques for reconstruction of pectus deformities. 相似文献
116.
What is the prognostic value of myocardial perfusion imaging using rubidium-82 positron emission tomography? 总被引:5,自引:0,他引:5
Keiichiro Yoshinaga Benjamin J W Chow Kathryn Williams Li Chen Robert A deKemp Linda Garrard Alexander Lok-Tin Szeto May Aung Ross A Davies Terrence D Ruddy Rob S B Beanlands 《Journal of the American College of Cardiology》2006,48(5):1029-1039
OBJECTIVES: The objective was to determine the prognostic value of rubidium-82 (82Rb) positron emission tomography (PET) myocardial perfusion imaging (MPI). BACKGROUND: 82Rb PET MPI accurately diagnoses coronary artery disease (CAD). However, there are limited data evaluating its prognostic value. METHODS: Follow-up (3.1 +/- 0.9 years) was obtained in 367 patients who underwent dipyridamole 82Rb PET MPI. Patients were divided into groups based on their summed stress score (SSS): group I, normal (<4); group II, mild (4 to 7); and group III, moderate (8 to 11) to severe (> or =12). RESULTS: There were significant differences among patients in the 3 SSS groups for hard events (cardiac death and myocardial infarction [MI]) (p < 0.001) and total cardiac events (hard events, revascularization and hospitalization) (p < 0.001). The annual hard events rates were 0.4%, 2.3%, and 7.0% in the normal, mild, and moderate-severe groups, respectively. In adjusted survival models, 82Rb PET SSS was the strongest predictor of total cardiac events and a significant predictor of hard events. Among patients referred for PET after 99mTc single-photon emission computed tomography, the annual total event rate was higher with abnormal versus normal SSS on PET (15.2% vs. 1.3%, p < 0.001). In patients with obesity, the annual total event rate was 11.1% with an abnormal scan and 1.5% with a normal scan (p < 0.001). CONCLUSIONS: This study shows that 82Rb PET MPI has significant prognostic value for predicting cardiac events, including death and MI. It also seems to have prognostic value in patients whose diagnosis remains uncertain after single-photon emission computed tomography MPI and in obese patients. The prognostic value of PET MPI may improve the management of cardiac patients. 相似文献
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Abstract
Background: In recent years, biomaterials are being found and frequently utilized in bone defects. They have also gained significant precedence
in hand surgery.
Objectives: The respective requirements for such replacement material will be cited and acknowledged in this article. The individual material
groups will also be referred to in this review. An introduction to some of the customary bone replacement materials will be
cited and concluded with a corresponding recommendation.
Conclusion: The implantation of autologous cancellous bone is still regarded today as the “gold standard”. Nevertheless, the usage of
bone replacement material can be an enormous advantage in certain indications.
The original article can be found online at
There was an error in the author’s affiliation and the address for correspondence was incomplete. Please note the correct
institution and complete address:
Department of Orthopedics and Traumatology, Hand-, Foot- and Reconstructive Surgery, Kreiskrankenhaus Gummersbach GmbH, Germany.
Alexander von Friesen, MD Department of Orthopedics and Traumatology, Hand-, Foot- and Reconstructive Surgery Kreiskrankenhaus
Gummersbach GmbH Wilhelm-Breckow-Allee 20 51643 Gummersbach Germany Phone (+49/2261) 171-575, Fax -449 e-mail: Friesen@kkh-gummersbach.de 相似文献
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