The role of chemotherapy and surgical removal in the treatment of Choroid Plexus carcinomas and atypical papillomas

2015 ◽  
Vol 31 (7) ◽  
pp. 1079-1088 ◽  
Author(s):  
Annalisa Passariello ◽  
Maria Tufano ◽  
Pietro Spennato ◽  
Lucia Quaglietta ◽  
Antonio Verrico ◽  
...  
2015 ◽  
Vol 308 (8) ◽  
pp. C631-C641 ◽  
Author(s):  
Michele Visentin ◽  
Ersin Selcuk Unal ◽  
Mitra Najmi ◽  
Andras Fiser ◽  
Rongbao Zhao ◽  
...  

The proton-coupled folate transporter (PCFT) mediates intestinal folate absorption and transport of folates across the choroid plexus. This study focuses on the role of Tyr residues in PCFT function. The substituted Cys-accessibility method identified four Tyr residues (Y291, Y362, Y315, and Y414) that are accessible to the extracellular compartment; three of these (Y291, Y362, and Y315) are located within or near the folate binding pocket. When the Tyr residues were replaced with Cys or Ala, these mutants showed similar (up to 6-fold) increases in influx Vmax and Kt/ Ki for [3H]methotrexate and [3H]pemetrexed. When the Tyr residues were replaced with Phe, these changes were moderated or absent. When Y315A PCFT was used as representative of the mutants and [3H]pemetrexed as the transport substrate, this substitution did not increase the efflux rate constant. Furthermore, neither influx nor efflux mediated by Y315A PCFT was transstimulated by the presence of substrate in the opposite compartment; however, substantial bidirectional transstimulation of transport was mediated by wild-type PCFT. This resulted in a threefold greater efflux rate constant for cells that express wild-type PCFT than for cells that express Y315 PCFT under exchange conditions. These data suggest that these Tyr residues, possibly through their rigid side chains, secure the carrier in a high-affinity state for its folate substrates. However, this may be achieved at the expense of constraining the carrier's mobility, thereby decreasing the rate at which the protein oscillates between its conformational states. The Vmax generated by these Tyr mutants may be so rapid that further augmentation during transstimulation may not be possible.


2013 ◽  
Vol 37 (2) ◽  
pp. 179-192 ◽  
Author(s):  
Matthew Z. Sun ◽  
Michael C. Oh ◽  
Michael E. Ivan ◽  
Gurvinder Kaur ◽  
Michael Safaee ◽  
...  

1979 ◽  
Vol 50 (5) ◽  
pp. 677-681 ◽  
Author(s):  
Steven K. Gudeman ◽  
Humbert G. Sullivan ◽  
Michael J. Rosner ◽  
Donald P. Becker

✓ The authors report a patient with bilateral papillomas of the choroid plexus of the lateral ventricles with documentation of cerebrospinal fluid (CSF) hypersecretion causing hydrocephalus. Special attention is given to the large volume of CSF produced by these tumors (removal of one tumor reduced CSF outflow by one-half) and to the fact that CSF diversion was not required after both tumors were removed. Since tumor removal alone was sufficient to stop the progression of hydrocephalus, we feel that this case supports the concept that elevated CSF production by itself is sufficient to cause hydrocephalus in patients with papillomas of the choroid plexus.


2006 ◽  
Vol 22 (6) ◽  
pp. 605-608 ◽  
Author(s):  
Gianpiero Tamburrini ◽  
Massimo Caldarelli ◽  
Federico Di Rocco ◽  
Luca Massimi ◽  
Luca D’Angelo ◽  
...  

2012 ◽  
Vol 26 (S1) ◽  
Author(s):  
Sara M Zarate ◽  
Samantha D Francis Stuart ◽  
Robin K Young ◽  
Alice R Villalobos

Author(s):  
И.А. Аниховская ◽  
В.А. Белоглазов ◽  
А.И. Гордиенко ◽  
Ю.Д. Иванов ◽  
А.В. Кубышкин ◽  
...  

Изучение кишечного фактора в скорости старения, индукции воспаления и прогрессировании заболеваний неразрывно (прямо или косвенно) связано с великим русским учёным И.И. Мечниковым. Его интуиция инициировала изучение особенностей состава микробиоты долгожителей и операций по удалению толстой кишки (как рудимента и источника токсичных продуктов гниения), результаты которых не имели научного и практического успеха и завершились чуть менее 100 лет тому назад, ознаменовав собой завершение первого этапа исследований. Параллельно с первым стартовал второй этап. Он заключался в изучении биологических свойств и структуры эндотоксина - липополисахарида (ЛПС), число молекул которого на планете очень велико, поскольку ЛПС термостабилен, а главным его источником являются сине-зелёные водоросли, заселившие Мировой океан около 2 миллиардов лет тому назад. Третий этап изучения кишечного фактора в общей патологии стартовал в России треть века назад на стыке первых двух параллельно развивающихся направлений с постулирования системной эндотоксинемии, как облигатного биологического явления и открытия клеточного рецептора TLR4, лигандом которого является ЛПС. В дальнейшем TLR4-подобные рецепторы были обнаружены даже у растений, что позволяет квалифицировать ЛПС не только как экзогормон адаптации, но и как облигатный фактор эволюции. Последняя подразумевает самообновление популяции, для реализации которой облигатные факторы жизнеобеспечения должны обладать и противоположным действием, среди которых стресс и ЛПС. Способность средств снижения содержания ЛПС в крови повышать качество лечебно-профилактического процесса позволяет оптимистично оценивать возможность замедления процессов старения. Первоочередными задачами для достижения поставленной цели являются: определение диапазона физиологических показателей системной эндотоксинемии во всех возрастных группах и создание нового поколения доступных для широкого использования средств селективной элиминации избытка ЛПС из крови (гемодиализ) и кишечника (энтеросорбция), которые могут быть созданы на основе аптамеров. Studying the role of intestinal factor in the rate of aging, induction of inflammation, and progression of diseases is inextricably (directly or indirectly) associated with the great Russian scientist I.I. Mechnikov. His intuition initiated studying the long-livers’ microbiota and the surgical removal of the colon (as a rudiment and source of toxic rotting products), which did not bring any scientific or practical success. These studies were over a little less than 100 years ago marking the end of the first stage of research. The second stage started in parallel with the first one and consisted in studying biological properties and structure of endotoxin (lipopolysaccharide, LPS). LPS molecules are as numerous on the earth as in the air since LPS is thermally stable and generated by blue-green algae that have inhabited the World Ocean two billion years ago. The third stage of studying the intestinal factor in general pathology started in Russia one third of a century ago at the junction of the two above-mentioned, paralleling endeavors - postulating systemic endotoxemia as an obligate biological phenomenon and discovery of the LPS receptor (TLR4) of innate immunity. TLR4 is carried by humans, animals, fish, sponges, and even plants, which suggests that LPS is not only an adaptive exohormone but also an obligate factor of evolution. This implies population self-renewal, which requires that the obligate life-support factors must also possess an opposite effect, including stress and intestinal LPS. The ability of LPS suppressors to enhance the therapeutic and prophylactic process makes promising a possibility of slowing aging. The primary tasks for achieving this goal are determining the range of systemic endotoxemia physiological indexes in all age groups and creating a readily accessible new generation of methods for selective elimination of LPS from blood (hemodialysis) and intestine (enterosorption) that could be developed on the basis of aptamers.


Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Bin JIANG ◽  
Yugang Liu ◽  
Guillermo A Ameer

Introduction: The objective of this study is to understand the role of neurological factors, specifically those from the perivascular sympathetic nervous system (SNS), on the initiation and development of Abdominal Aortic Aneurysm (AAA). Hypothesis: We hypothesize that the formation of AAA is associated with the loss of perivascular SNS-induced vasoconstriction specific to the aneurysm region. Methods: We developed a rat Abdominal Aortic Denervation (AAD) model, where the infrarenal aorta of Spauge Dawley rats was denervated with surgical removal of nerve fibers and chemical denervation with 10% phenol ( Figure. A ). A sham control group was included where the infrarenal aorta was treated with PBS. The arteries were harvested at 1 month after the surgeries for histological assessment. Results: The denervated aortas exhibited significant thinning of the aortic wall including the media and the adventitia, compared to the sham controls ( Figure. B ). Moreover, degradation of elastin, demonstrated by the fragmentation of elastic fibers and the decreased number of lamellar units, was also observed in the dennervated aortas in comparison to the sham controls. While the control aortas were well innervated with perivascular nerve bundles adjacent to the adventitia, no nerves were found surrounding the denervated aortas, suggesting successful denervation. Conclusions: We generated an AAD model that could be used for mechanistic understanding and therapeutic development of AAA. The preliminary data suggest a direct link between the lack of aortic sympathetic innervation and AAA formation. Long-term studies are currently underway to further characterize changes in the aortic walls after sympathetic denervation. Figure. (A) Illustration of the denervated region on the rat infrarenal aorta. ( B ) Histological staining of control and denervated rat abdominal aortas at 1 month after surgery. Yellow stars: para-aortic nerve bundles. Scale bar = 200 μm.


Author(s):  
Jonathan Roth ◽  
Rina Dvir ◽  
Shlomi Constantini

Choroid plexus tumours (CPT) are relatively rare and include three pathological subtypes: papilloma (CPP) (benign); carcinoma (CPC) (malignant); atypical papilloma (ACPP) (intermediate). Most cases of CPT occur during early childhood and infancy; however, occurrence at all paediatric ages as well as adulthood has been documented. The main treatment of CPT is surgical, aiming for complete resection in all subtypes of CPT. The location and vascularity of CPT present a special surgical challenge. Surgical excision of CPP can be curative. In the malignant CPC form, adjuvant chemotherapy is indicated. The role of radiotherapy is controversial. A subset of patients with CPT harbour germline or somatic TP53 mutations characterized by greater tumour aggressiveness and decreased survival.


HemaSphere ◽  
2019 ◽  
Vol 3 (S1) ◽  
pp. 412
Author(s):  
L.M. Fernández-Sevilla ◽  
J. Valencia ◽  
M.A. Flores ◽  
A. Fraile-Ramos ◽  
E. Jiménez ◽  
...  

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