What is the role of the uncinate fasciculus? Surgical removal and proper name retrieval

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.

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Abstract 15228: Role of Sympathetic Innervation in the Pathogenesis of Abdominal Aortic Aneurysm

Circulation ◽

10.1161/circ.142.suppl_3.15228 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Bin JIANG ◽

Yugang Liu ◽

Guillermo A Ameer

Keyword(s):

Abdominal Aortic Aneurysm ◽

Aortic Aneurysm ◽

Sympathetic Innervation ◽

Nerve Fibers ◽

Elastic Fibers ◽

Surgical Removal ◽

Infrarenal Aorta ◽

Abdominal Aortic ◽

Nerve Bundles

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.

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OOV Proper Name retrieval using topic and lexical context models

2015 IEEE International Conference on Acoustics, Speech and Signal Processing (ICASSP) ◽

10.1109/icassp.2015.7178981 ◽

2015 ◽

Cited By ~ 4

Author(s):

Imran Sheikh ◽

Irina Illina ◽

Dominique Fohr ◽

Georges Linares

Keyword(s):

Proper Name ◽

Context Models ◽

Name Retrieval

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Epilepsy and insular Grade II gliomas: an interdisciplinary point of view from a retrospective monocentric series of 46 cases

Neurosurgical FOCUS ◽

10.3171/2009.6.focus09102 ◽

2009 ◽

Vol 27 (2) ◽

pp. E8 ◽

Cited By ~ 35

Author(s):

Luc Taillandier ◽

Hugues Duffau

Keyword(s):

Seizure Frequency ◽

Point Of View ◽

Favorable Effect ◽

Surgical Removal ◽

Extensive Experience ◽

Who Grade ◽

Grade Ii ◽

Sequential Treatments ◽

Few Data

OBJECTThere are few data in the literature concerning a multimodal approach to insular WHO Grade II gliomas (GIIGs) and the control of epilepsy after treatment. In this paper, the authors describe a monocentric series of 46 cases in which patients underwent various sequential treatments for insular GIIGs. On the basis of global results with regard to epilepsy, the respective interests in the various treatments are discussed.METHODSAvailable data on 46 patients harboring insular GIIGs were extracted from a local database of 288 GIIGs. The various therapeutic sequences were analyzed in parallel with the course of seizure frequency.RESULTSDespite the usual difficulties with seizure quantification in retrospective studies, the authors showed that 1) the negative course of seizure frequency was mostly connected to tumor progression, 2) surgery almost always had a favorable effect on epilepsy, and 3) chemotherapy had a mostly favorable effect with acceptable tolerance. The authors were unable to draw conclusions about the role of radiotherapy given the too few cases.CONCLUSIONSThis extensive experience with insular GIIGs tends to confirm interest in their surgical removal and supports interest in chemotherapy from an epileptological point of view.

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Embryonal tumor with abundant neuropil and true rosettes in the brainstem: case report

Journal of Neurosurgery Pediatrics ◽

10.3171/2015.3.peds14727 ◽

2015 ◽

Vol 16 (3) ◽

pp. 291-295 ◽

Cited By ~ 3

Author(s):

Hidetoshi Sato ◽

Yuzo Terakawa ◽

Naohiro Tsuyuguchi ◽

Yuko Kuwae ◽

Masahiko Ohsawa ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Case Reports ◽

Subtotal Resection ◽

Surgical Removal ◽

Rare Entity ◽

Review Of The Literature ◽

Embryonal Tumor

Embryonal tumor with abundant neuropil and true rosettes (ETANTR) is rarely seen in the brainstem, and there are few case reports of brainstem ETANTR in the literature. Accordingly, the characteristics and the role of surgical treatment of this rare entity remain unclear. The authors present a case of brainstem ETANTR involving a 33-month-old boy along with a review of the literature and discuss the role of surgical removal in the treatment of this entity. In the authors’ case, the tumor was surgically treated with subtotal resection, which resulted in improvement of the patient’s preoperative symptoms. Chemotherapy was initiated but did not appear to be effective, radiotherapy was declined, and the boy died 6 months after the operation. Based on their analysis of 10 previously reported cases and their own case, the authors conclude that, with respect to survival, surgery may be beneficial even in cases of ETANTR in the brainstem. They note, however, that further studies with a large number of cases are needed to validate the role of surgical treatment in brainstem ETANTR.

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