AIM: To explore the etiology, pathogenesis, diagnosis, and treatment of postsurgical gastroparesis syndrome (PGS) after pancreatic cancer cryotherapy (PCC) or pancreaticoduodenectomy (PD), and to analyze the correlati...AIM: To explore the etiology, pathogenesis, diagnosis, and treatment of postsurgical gastroparesis syndrome (PGS) after pancreatic cancer cryotherapy (PCC) or pancreaticoduodenectomy (PD), and to analyze the correlation between the multiple factors and PGS caused by the operations.METHODS: Clinical data of 210 patients undergoing PD and 46 undergoing PCC were analyzed retrospectively.RESULTS: There were 32 (67%, 32/46) patients suffering PGS in PCC group, including 29 with pancreatic head and uncinate tumors and 2 with pancreatic body and tail tumors.Ten patients (4.8%, 20/220) developed PGS in PD group,which had a significantly lower incidence of PGS than PCC group (x = 245, P<0.001). In PCC group, 9 patients with PGS were managed with non-operative treatment (drugs,diet, nasogastric suction, etc.), and one received reoperation at the 16th day, but the symptoms were not relieved. In PD group, all the patients with PGS were managed with non-operative treatment. The PGS in patients undergoing PCC had close association with PCC,tumor location, but not with age, gender, obstructive jaundice, hypoproteinemia, preoperative gastric outlet obstruction and the type and number of gastric biliary tract operations. The mechanisms of PGS caused by PD were similar to those of PGS following gastrectomy. The damage to interstitial cells of Cajal might play a role in the pathogenesis of PGS after PCC, for which multiple factors were possibly responsible, including ischemic and neural injury to the antropyloric muscle and the duodenum after freezing of the pancreatico-duodenal regions or reduced circulating levels of motilin.CONCLUSION: PGS after PCC or PD is induced by multiple factors and the exact mechanisms, which might differ betweent hese two operations, remain unknown. Radiography of the upper gastrointestinal tract and gastroscopy are main diagnostic modalities for PGS. Non-operative treatments are effective for PGS, and reoperation should be avoided in patients with PGS caused by PCC.展开更多
Wnt signaling plays an important role in embryogenesis and tumorgenesis. Although the mechanism about how Wnts transduce their signaling from receptor frizzled (Fz) to cytosol has not been understood, dishevelled (Dvl...Wnt signaling plays an important role in embryogenesis and tumorgenesis. Although the mechanism about how Wnts transduce their signaling from receptor frizzled (Fz) to cytosol has not been understood, dishevelled (Dvl) protein was considered as the intersection of Wnt signal traffic. In this study, we characterized the function of three domains (DIX,PDZ and DEP) of Dvl-1 in canonical Wnt signal transduction and Dvl-1 membrane translocation. It was found both DIX and DEP domain were sufficient to block Wnt-3a-induced LEF-1 transcriptional activity and free cytosol β-catenin accumulation; whereas PDZ domain and a functional mutant form of DEP domain (DEP-KM) had no effect on canonical Wnt signaling. In addition, when cotransfected with Fz-7, DEP domain, but not DIX, PDZ or DEP-KM, translocated and co-localized with Fz-7 to the plasma membrane, which was similar to Dvl-1. Furthermore, it was DEP domain that could block Fz-7-induced membrane translocation of Dvl- 1 via a possible competitive mechanism. These results strongly suggest that DEP domain is responsible for the membrane translocation of Dvl-1 protein upon Wnt signal stimulation.展开更多
OBJECTIVE To study the effect of antisense oligonucleotides (ASODN) of survivin, a member of a gene family of inhibitors of apoptosis, on the ability of cisplatin (DDP) to induce apoptosis in osteosarcoma cells.METHOD...OBJECTIVE To study the effect of antisense oligonucleotides (ASODN) of survivin, a member of a gene family of inhibitors of apoptosis, on the ability of cisplatin (DDP) to induce apoptosis in osteosarcoma cells.METHODS ASODN of survivin were synthesized and transfected into osteosarcoma OS-732 cells. The effects of ASODN alone, and with DDP as well as the effect of sense oligonucleotides (SODN) with and without DDP were examined. The reverse tanscriptase-polymerase chain reaction (RTPCR) was utilized to detect the expression of survivin mRNA in each group of OS-732 cells. The cells were examined by flow cytometry (FCM) and staining with acridine orange (AO) to determine the morphology of the cells and the level of apoptosis in each group. The MTT assay was used to estimate the condition of cell growth.RESULTS In comparing the cells transfected with ASODN with the control, SODN and DDP groups, we found that the expression of survivin mRNA was significantly decreased (P<0.01), and the level of apoptosis enhanced. ASODN-treated cells appeared atrophic with condensed chromatin, characteristic of typical apoptotic changes. Cell growth was relatively inhibited in the ASODN groups. Furthermore, the apoptotic index (AI) and cell growth-inhibition ratio (IR) were significantly higher in the ASODN+DDP group compared to each group treated with a single agent and compared to the SODN+DDP group.CONCLUSION ASODN can specifically inhibit the expression of the survivin gene in OS-732 cells, and correspondingly suppress survivin function, resulting in an increase in sensitivity to DDP and thus the ability of DDP to induce apoptosis in osteosarcoma cells.展开更多
Insulin was chemically modified with dehydrocholic acid without the use of protecting agents and the main monoacylated insulin. ε-NB29-Dehydrocholyl insulin was obtained selectively and analyzed by PAGE, HPLC and MAL...Insulin was chemically modified with dehydrocholic acid without the use of protecting agents and the main monoacylated insulin. ε-NB29-Dehydrocholyl insulin was obtained selectively and analyzed by PAGE, HPLC and MALDI-TOF-MS.展开更多
基金Supported by the Research Foundation of Department of Health of Sichuan Province,No.000050
文摘AIM: To explore the etiology, pathogenesis, diagnosis, and treatment of postsurgical gastroparesis syndrome (PGS) after pancreatic cancer cryotherapy (PCC) or pancreaticoduodenectomy (PD), and to analyze the correlation between the multiple factors and PGS caused by the operations.METHODS: Clinical data of 210 patients undergoing PD and 46 undergoing PCC were analyzed retrospectively.RESULTS: There were 32 (67%, 32/46) patients suffering PGS in PCC group, including 29 with pancreatic head and uncinate tumors and 2 with pancreatic body and tail tumors.Ten patients (4.8%, 20/220) developed PGS in PD group,which had a significantly lower incidence of PGS than PCC group (x = 245, P<0.001). In PCC group, 9 patients with PGS were managed with non-operative treatment (drugs,diet, nasogastric suction, etc.), and one received reoperation at the 16th day, but the symptoms were not relieved. In PD group, all the patients with PGS were managed with non-operative treatment. The PGS in patients undergoing PCC had close association with PCC,tumor location, but not with age, gender, obstructive jaundice, hypoproteinemia, preoperative gastric outlet obstruction and the type and number of gastric biliary tract operations. The mechanisms of PGS caused by PD were similar to those of PGS following gastrectomy. The damage to interstitial cells of Cajal might play a role in the pathogenesis of PGS after PCC, for which multiple factors were possibly responsible, including ischemic and neural injury to the antropyloric muscle and the duodenum after freezing of the pancreatico-duodenal regions or reduced circulating levels of motilin.CONCLUSION: PGS after PCC or PD is induced by multiple factors and the exact mechanisms, which might differ betweent hese two operations, remain unknown. Radiography of the upper gastrointestinal tract and gastroscopy are main diagnostic modalities for PGS. Non-operative treatments are effective for PGS, and reoperation should be avoided in patients with PGS caused by PCC.
文摘Wnt signaling plays an important role in embryogenesis and tumorgenesis. Although the mechanism about how Wnts transduce their signaling from receptor frizzled (Fz) to cytosol has not been understood, dishevelled (Dvl) protein was considered as the intersection of Wnt signal traffic. In this study, we characterized the function of three domains (DIX,PDZ and DEP) of Dvl-1 in canonical Wnt signal transduction and Dvl-1 membrane translocation. It was found both DIX and DEP domain were sufficient to block Wnt-3a-induced LEF-1 transcriptional activity and free cytosol β-catenin accumulation; whereas PDZ domain and a functional mutant form of DEP domain (DEP-KM) had no effect on canonical Wnt signaling. In addition, when cotransfected with Fz-7, DEP domain, but not DIX, PDZ or DEP-KM, translocated and co-localized with Fz-7 to the plasma membrane, which was similar to Dvl-1. Furthermore, it was DEP domain that could block Fz-7-induced membrane translocation of Dvl- 1 via a possible competitive mechanism. These results strongly suggest that DEP domain is responsible for the membrane translocation of Dvl-1 protein upon Wnt signal stimulation.
文摘OBJECTIVE To study the effect of antisense oligonucleotides (ASODN) of survivin, a member of a gene family of inhibitors of apoptosis, on the ability of cisplatin (DDP) to induce apoptosis in osteosarcoma cells.METHODS ASODN of survivin were synthesized and transfected into osteosarcoma OS-732 cells. The effects of ASODN alone, and with DDP as well as the effect of sense oligonucleotides (SODN) with and without DDP were examined. The reverse tanscriptase-polymerase chain reaction (RTPCR) was utilized to detect the expression of survivin mRNA in each group of OS-732 cells. The cells were examined by flow cytometry (FCM) and staining with acridine orange (AO) to determine the morphology of the cells and the level of apoptosis in each group. The MTT assay was used to estimate the condition of cell growth.RESULTS In comparing the cells transfected with ASODN with the control, SODN and DDP groups, we found that the expression of survivin mRNA was significantly decreased (P<0.01), and the level of apoptosis enhanced. ASODN-treated cells appeared atrophic with condensed chromatin, characteristic of typical apoptotic changes. Cell growth was relatively inhibited in the ASODN groups. Furthermore, the apoptotic index (AI) and cell growth-inhibition ratio (IR) were significantly higher in the ASODN+DDP group compared to each group treated with a single agent and compared to the SODN+DDP group.CONCLUSION ASODN can specifically inhibit the expression of the survivin gene in OS-732 cells, and correspondingly suppress survivin function, resulting in an increase in sensitivity to DDP and thus the ability of DDP to induce apoptosis in osteosarcoma cells.
基金supported by the National Natural Science Foundation of China(Project No.20371018)the Research Fund from the Department of Education of Hubei Province
文摘Insulin was chemically modified with dehydrocholic acid without the use of protecting agents and the main monoacylated insulin. ε-NB29-Dehydrocholyl insulin was obtained selectively and analyzed by PAGE, HPLC and MALDI-TOF-MS.
