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131.
Y Mizukami T Michigishi A Nonomura T Hashimoto S Terahata M Noguchi K Hisada F Matsubara 《Human pathology》1990,21(3):283-290
Of 514 patients with differentiated thyroid carcinoma treated between 1970 and 1987, 34 (6.6%) had distant metastases. Twelve patients died of their distant metastases; eight of these patients died within 5 years from the time of initial diagnosis. Death from cancer was most frequent in the seventh decade. The metastases were most often found in the lungs and bones. In the fatal group, pleural, brain, and pericardial metastases were noted. Local recurrences were found only in 24% of these 34 patients. Histologic types of primary thyroid tumors and metastatic tumors were reexamined and classified using our criteria, which were mainly based on the World Health Organization nomenclature and currently obtained pathologic observations of thyroid tumors. In 31 thyroid tumors, the surgical specimens were available for review. Twenty-four tumors were papillary and seven were follicular. Of the 24 papillary carcinomas, nine were follicular, eight were well-differentiated, and seven were trabecular. On the other hand, the seven follicular carcinomas consisted of four well-differentiated, two solid, and one oxyphilic. The majority of the thyroid tumors showed an extrathyroidal extension; however, two were intrathyroidal carcinomas and two were encapsulated carcinomas, larger than 5 cm in diameter. Distant metastases were confirmed morphologically in 18 patients (11 by surgical or biopsy material, five by autopsy, and two by cytology). The histologic types of metastatic tumors were consistent with those of primary thyroid tumors. Diagnostic 131I uptake was examined in 32 patients and absorption of diagnostic 131I in metastatic tumors was demonstrated in 21 patients. The 10-year survival rate of patients with 131I accumulating metastases (70%) was significantly better than that of patients with metastases lacking such uptake (40%). Immunoreactivity for thyroglobulin in metastatic tumors was correlated with the 131I absorption. This finding indicated that immunostaining of thyroglobulin in metastatic tumors might be useful in the prediction of the effectiveness of 131I therapy. 相似文献
132.
133.
Histogenesis of the duodenum, especially changes in the epithelium in relation to temporal occlusion and re-canalization of
the lumen, was investigated by light microscopy together with morphometric analysis, as well as by scanning and transmission
electron microscopy of 133 externally normal human embryos ranging from Carnegie stage 12 to 23. A series of morphogenetic
events passed the duodenum in a cranio-caudal (proximo-distal) wave like fashion during the period examined. They included:
(1) a decrease in the caliber and area of the lumen, (2) ’occlusion’ of the lumen, (3) vacuole formation, (4) ’re-canalization’
and villi formation. The only exemption to this rule was that, in the upper part of the duodenum, the lumen was not obliterated
in the embryos examined. Morphometric analyses revealed that both the area of the epithelium and the number of epithelial
cells decreased during the ’occlusion’ phase. This result suggests that, unlike the classical view, epithelial cell proliferation
does not play an important role in occluding the lumen, but the predominant morphogenetic event during this phase is convergence
of the epithelial cells to elongate the duodenum. Apoptosis, contrary to some classical views, decreased during the ’re-canalization’
phase, and it appeared to be involved in the formation of the small lumens in the epithelial ’plug’ and in villi formation,
but not in enlarging the secondary lumens. The secondary small lumens in the occluded lumen were frequently formed near the
border between the central ’plug’ and peripheral basal cells on the basement membrane. This and other findings of concentric
differentiation in both the epithelial and mesenchymal layers suggested a possible control mechanism by the epithelium-mesenchymal
interaction on human duodenal morphogenesis and histogenesis. The present electron microscopic observations also provided
details on the mechanisms involved in the enlargement of the secondary lumen and differentiation of villi. The implications
of these findings to duodenal anomalies are also discussed.
Accepted: 12 November 2001 相似文献
134.
135.
Summary Cordycepin (3-deoxyadenosine) inhibited viral RNA synthesis in the replication of western equine encephalitis virus, thereby causing a reduction of virus production. The rate of inhibition of viral RNA synthesis was dependent on drug concentration and the period of treatment with the drug. These results suggest that the virus RNA synthesizing system is sensitive to the drug.With 3 Figures 相似文献
136.
137.
Hata T; Hashimoto M; Manabe A; Aoki S; Iida K; Masumura S; Miyazaki K 《Human reproduction (Oxford, England)》1998,13(4):1070-1073
Our purpose was to evaluate whether maternal and fetal nitric oxide
synthesis in pregnancies with small for gestational age (SGA) infants are
different from those in pregnancies with appropriate for gestational age
(AGA) infants. Maternal and fetal circulating nitrate and nitrite
concentrations were compared between 30 pregnancies with AGA and 10
pregnancies with SGA at birth. End-products of nitric oxide synthesis were
measured in maternal and cord venous blood samples using a fluorometric
assay. Umbilical artery blood pH and PO2 were also measured. Maternal
circulating nitrite and nitrate concentrations (6.91 +/- 1.27 microM) in
pregnancies with SGA were significantly lower than those (11.69 +/- 1.33
microM) in pregnancies with AGA (P = 0.015). Fetal circulating nitrite and
nitrate concentrations (7.54 +/- 1.09 microM) in pregnancies with SGA were
also significantly lower than those (11.24 +/- 1.08 microM) in pregnancies
with AGA (P = 0.024). There were no significant differences in umbilical
artery blood pH and PO2 between the two groups. These results suggest that
maternal and fetal nitric oxide synthesis are decreased in pregnancies with
SGA infants.
相似文献
138.
Shirai Y Hashimoto M Kato R Kawamura YI Kirikae T Yano H Takashima J Kirihara Y Saito Y Fujino MA Dohi T 《Journal of clinical immunology》2004,24(1):42-52
Despite the huge number of colonized Gram-negative bacteria in the colon, the normal colon maintains its homeostasis without any excessive immune response. To investigate the potential mechanisms involved, human colonic lamina propria mononuclear cells (LPMCs) obtained from uninflamed mucosa were cultured with lipopolysaccharide (LPS) prepared from Bacteroides vulgatus (BV-LPS) or Bacteroides fragilis (BF-LPS), as representatives of indigenous flora, or pathogenic Salmonella minnesota (SM-LPS). Colonic LPMCs failed to produce inflammatory cytokines in response to any type of LPS. Colonic macrophages barely expressed mRNA for MD-2, an essential association molecule for LPS signaling via Toll-like receptor 4. Further, BV-LPS induced CD25 and Foxp3 expression in lymphocytes and CD4(+)CD25(+) cells expressed IL-10 mRNA. Thus, the low expression of functioning LPS receptor molecules and induction of IL-10-producing CD4(+)CD25(+) lymphocytes by indigenous LPS may play a central role in the maintenance of colonic immunological homeostasis. 相似文献
139.
Mostly separate distributions of CLAC- versus Abeta40- or thioflavin S-reactivities in senile plaques reveal two distinct subpopulations of beta-amyloid deposits
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Kowa H Sakakura T Matsuura Y Wakabayashi T Mann DM Duff K Tsuji S Hashimoto T Iwatsubo T 《The American journal of pathology》2004,165(1):273-281
Collagenous Alzheimer amyloid plaque component (CLAC) is a unique non-Abeta amyloid component of senile plaques (SP) derived from a transmembrane collagen termed CLAC-precursor. Here we characterize the chronological and spatial relationship of CLAC with other features of SP amyloid in the brains of patients with Alzheimer's disease (AD), Down syndrome (DS), and of PSAPP transgenic mice. In AD and DS cerebral cortex, CLAC invariably colocalized with Abeta42 but often lacked Abeta40- or thioflavin S (thioS)-reactivities. Immunoelectron microscopy of CLAC-positive SP showed labeling of fibrils that are more loosely dispersed compared to typical amyloid fibrils in CLAC-negative SP. In DS cerebral cortex, diffuse plaques in young patients were negative for CLAC, whereas a subset of SP became CLAC-positive in patients aged 35 to 50 years, before the appearance of Abeta40. In DS cases over 50 years of age, Abeta40-positive SP dramatically increased, whereas CLAC burden remained at a constant level. In PSAPP transgenic mice, CLAC was positive in the diffuse Abeta deposits surrounding huge-cored plaques. Thus, CLAC and Abeta40 or thioS exhibit mostly separate distribution patterns in SP, suggesting that CLAC is a relatively early component of SP in human brains that may have inhibitory effects against the maturation of SP into beta-sheet-rich amyloid deposits. 相似文献
140.
Our previous study showed that the saliency of a target increases the gain of smooth pursuit initiation. In this study, we examined the interocular transfer of this effect in five humans. A square red frame surrounding the target was used as a cue to indicate the initial target position. In the cue condition, the responses were similar, irrespective of the eye to which the cue was presented, and were significantly larger than in the no-cue condition. The result suggests that central pathways that receive input from both eyes mediate the effect of saliency on smooth pursuit initiation. 相似文献