[An analysis of causes of recurrence, matastasis and death of retinoblastoma]

PURPOSE

To discuss the relationship between diagnosis, treatment and recurrence, metastasis, death of Rb patients.

METHODS

To analyse the data of 46 Rb patients treated in our center from July 1967 to May 1992, who had either recurrence, metastasis or died.

RESULTS

The main factors affecting Rb prognosis are: 1 early or late diagnosis: 2 the mortality rate increased with the degree of optic nerve involvement: 3 involvement of orbit, cranial cavity and choroid by Rb; 4 clinically, secondary glaucoma often accompanied by optic nerve involvement.

CONCLUSIONS

Delay in diagnosis and treatment will result in Rb recurrence, metastasis and death. Early diagnosis and treatment is very important for survival rate.

Single-step purifications of His6-MutH, His6-MutL and His6-MutS repair proteins of escherichia coli K-12

The MutS, MutH and MutL proteins mediate methyl-directed-mismatch (MDM) repair in Escherichia coli and Salmonella typhimurium. These proteins have been developed into powerful tools for screening genomes for polymorphisms and detecting and localizing mutations. In an ongoing study of the regulation of MDM repair, we developed one-step schemes to purify the E. coli MutS, MutH and MutL proteins fused to a polyhistidine (His6) affinity tag. The E. coli K-12 mutS+, mutH+ and mutL+ genes were cloned from the Clarke-Carbon plasmid or Kohara-phage library into expression vector pET-15b, which allows fusion to the His6 affinity tag. Each of the resulting recombinant plasmids complemented the corresponding mutHLS mutation in the Cupples-Miller CC106 mutator tester strain, indicating that the His6-MutHLS fusion proteins were individually functional in vivo. The His6-MutHLS proteins were separately purified by variations of batch binding to Ni(2+)-chelation affinity resin. The yield of purified His6-MutHLS proteins from these procedures was 0.4-0.6 mg from 40 mL of induced culture. The binding properties of one-step-purified His6-MutS protein were characterized further. His6-MutS exhibited the same mismatch-binding activity and specificity as native MutS in side-by-side bandshift assays. These constructs and purification methods should be useful to laboratories wishing to apply or develop MutS-mismatch mapping and to other applications or studies of the E. coli MutHLS repair proteins.

[777 cases of the primary conjunctival neoplasms]

PURPOSE

To make a histopathologic analysis of the primary conjuctival neoplasms.

METHODS

The light microscopic findings of 777 cases of the primary conjunctival neoplasms were reported. The histochemical and immunohistochemical technologies were used.

RESULTS

In a series of 777 primary conjunctival neoplasms, 669(86.1%) were benign and 108 (13.9%) were malignant. The pigmented nevi (247 cases) were the most common in the benign tumors, while the squamous cell carcinoma (58 cases) were the most common tumors among the malignant ones.

CONCLUSIONS

The biological characteristics of the benign and malignant tumors can be referred as differential diagnosis. There is the spindle cell and mucoepidermoid type in the squamous cell carcinoma of the conjunctiva. Postoperative recurrent factor of the malignant melanoma of the conjunctiva is numerous.

[Experimental study of survival mechanism of skin flap with subdermal vascular rete]

AIM

To determine the blood supply style and survival mechanism of skin flap with subdermal vascular rete.

MATERIAL AND METHODS

The skin flap on trunk of piglets were taken as experimental pattern. The survival length of skin flap was examined and the nuclear element distribution in the skin flap was determined by ECT.

RESULTS AND CONCLUSION

This study demonstrated that the distal portion of super-long flap with subdermal vascular rete fail to getting blood supply from its pedicle. This kind of flap is actually a combination of flap and free graft with subdermal vascular rete. This kind of super-long and super-wide flap is actually not a flap but a free skin graft. The survival of super-long and super-wide flaps with subdermal vascular rete rely on the blood supply from the wounds and their edges partially or completely. Their survival style is actually free grafting.

Cloning and functional analysis of TipE, a novel membrane protein that enhances Drosophila para sodium channel function

Voltage-dependent sodium channels are involved in the initiation and propagation of action potentials in many excitable cells. Here we report that tipE, a gene defined by a temperature-sensitive paralytic mutation in Drosophila, encodes a novel integral membrane protein that dramatically stimulates functional expression in Xenopus oocytes of the Drosophila sodium channel alpha subunit encoded by the paralytic (para) locus. Using a heat shock promoter to control tipE+ gene expression in transgenic flies, we demonstrate that tipE+ gene expression is required during pupal development to rescue adult paralysis. In addition, we demonstrate a role for the tipE gene product in adults.

Radiologic manifestations of osteopetrosis

The clinical radiologic manifestations of 8 patients with osteopetrosis (4 males and 4 females) are analyzed. Six of the cases are benign. The pathologic basis for the radiologic manifestations is discussed, and a classification is suggested. "Broom-like" metaphyses, metaphyses containing three or four dense layers of bone, and ossification of soft tissues around joints were found and differential diagnosis was made.

Discontinuous movements of DNA and RNA in RNA polymerase accompany formation of a paused transcription complex

A central enigma of transcriptional regulation is how the normally efficient transcription elongation complex stops at pause and termination signals. One possibility, raised by the discovery that RNA polymerase sometimes contracts its DNA footprint, is that discontinuous movements contribute to recognizing these signals. We report that E. coli RNA polymerase responds to sequences immediately downstream and upstream from the his leader pause site by changing neither its downstream DNA contact nor its upstream RNA contact for 8 bp preceding the pause. This compressed complex isomerizes to a paused conformation by an approximately 10 bp jump of its downstream DNA contact and simultaneous extrusion of an RNA hairpin that stabilizes the paused conformation. We suggest pausing and termination could be alternative outcomes of a similar isomerization that depend on the strength of contacts to 3'-proximal RNA remaining after the jump.

Cytogenetic and molecular localization of tipE: a gene affecting sodium channels in Drosophila melanogaster

Voltage-sensitive sodium channels play a key role in nerve cells where they are responsible for the increase in sodium permeability during the rising phase of action potentials. In Drosophila melanogaster a subset of temperature-sensitive paralytic mutations affect sodium channel function. One such mutation is temperature-induced paralysis locus E (tipE), which has been shown by electrophysiology and ligand binding studies to reduce sodium channel numbers. Three new gamma-ray-induced tipE alleles associated with either visible deletions in 64AB or a translocation breakpoint within 64B2 provide landmarks for positional cloning of tipE. Beginning with the flanking cloned gene Ras2, a 140-kb walk across the translocation breakpoint was completed. Germline transformation using a 42-kb cosmid clone and successively smaller subclones localized the tipE gene within a 7.4-kb genomic DNA segment. Although this chromosome region is rich in transcripts, only three overlapping mRNAs (5.4, 4.4, and 1.7 kb) lie completely within the smallest rescuing construct. The small sizes of the rescuing construct and transcripts suggest that tipE does not encode a standard sodium channel alpha-subunit with four homologous repeats. Sequencing these transcripts will elucidate the role of the tipE gene product in sodium channel functional regulation.

Cloning and characterization of a calcium channel alpha 1 subunit from Drosophila melanogaster with similarity to the rat brain type D isoform

We report the complete sequence of a calcium channel alpha 1 subunit cDNA cloned from a Drosophila head cDNA library. This cDNA encodes a deduced protein containing 2516 amino acids with a predicted molecular weight of 276,493. The deduced protein shares many features with vertebrate homologs, including four repeat structures, each containing six transmembrane domains, a conserved ion selectivity filter region between transmembrane domains 5 and 6, and an EF hand in the carboxy tail. The Drosophila subunit has unusually long initial amino and terminal carboxy tails. The region corresponding to the last transmembrane domain (IVS6) and the adjacent cytoplasmic domain has been postulated to form a phenylalkylamine-binding site in vertebrate calcium channels. This region is conserved in the Drosophila sequence, while domains thought to be involved in dihydropyridine binding show numerous changes. The Drosophila subunit exhibits 78.3% sequence similarity to the rat brain type D calcium channel alpha 1 subunit, and so has been designated as a Drosophila melanogaster calcium channel alpha 1 type D subunit (Dmca1D). In situ hybridization shows that Dmca1D is highly expressed in the embryonic nervous system. Northern analysis shows that Dmca1D cDNA hybridizes to three size classes of mRNA (9.5, 10.2, and 12.5 kb) in heads, but only two classes (9.5 and 12.5 kb) in bodies and legs. PCR analysis suggests that the Dmca1D message undergoes alternative splicing with more heterogeneity appearing in head and embryonic extracts than in bodies and legs.

Termination-altering amino acid substitutions in the beta' subunit of Escherichia coli RNA polymerase identify regions involved in RNA chain elongation

To identify regions of the largest subunit of RNA polymerase that are potentially involved in transcript elongation and termination, we have characterized amino acid substitutions in the beta' subunit of Escherichia coli RNA polymerase that alter expression of reporter genes preceded by terminators in vivo. Termination-altering substitutions occurred in discrete segments of beta', designated 2, 3a, 3b, 4a, 4b, 4c, and 5, many of which are highly conserved in eukaryotic homologs of beta'. Region 2 substitutions (residues 311-386) are tightly clustered around a short sequence that is similar to a portion of the DNA-binding cleft in E. coli DNA polymerase I. Region 3b (residues 718-798) corresponds to the segment of the largest subunit of RNA polymerase II in which amanitin-resistance substitutions occur. Region 4a substitutions (residues 933-936) occur in a segment thought to contact the transcript 3' end. Region 5 substitutions (residues 1308-1356) are tightly clustered in conserved region H near the carboxyl terminus of beta'. A representative set of mutant RNA polymerases were purified and revealed unexpected variation in percent termination at six different rho-independent terminators. Based on the location and properties of these substitutions, we suggest a hypothesis for the relationship of subunits in the transcription complex.

Crystallization of GreA, a transcript cleavage factor from Escherichia coli

GreA is a 17.6 kDa protein from Escherichia coli that induces cleavage of the nascent transcript in the elongating complex of RNA polymerase, followed by release of the 3'-terminal fragment. Crystals of GreA have been obtained from polyethylene glycol 4000, 2-propanol and sodium citrate, pH 5.6 and have been propagated by a novel seeding procedure. The crystals diffract beyond 2 A resolution and belong to the orthorhombic space group P2(1)2(1)2(1), with cell dimensions a = 101.7 A, b = 42.22 A, c = 40.05 A and with one molecule in the asymmetric unit.

GreA-induced transcript cleavage is accompanied by reverse translocation to a different transcription complex conformation

GreA- and GreB-induced transcript cleavage drives reverse translocation of Escherichia coli RNA polymerase on a DNA template in the absence of NTPs (Feng, G.-H., Lee, D. N., Wang, D., Chan, C. L., and Landick, R. (1994) J. Biol. Chem. 269, 22282-22294, accompanying report). During transcript elongation, the sizes of the DNA footprint and the single-stranded transcription bubble vary markedly among transcription complexes halted at different template positions. To test whether transcription complex intermediates formed during transcript cleavage-induced reverse translocation also display heterogeneous conformations at different template positions, we examined the structures of two different transcription complexes before and after GreA treatment. Transcription complexes halted at position +16 after initiation at the T7 A1 promoter or paused at the trpL pause site exhibited strong blocks to transcript cleavage after removal of 6 to 10 nucleotides. In both cases, the down-stream contact between RNA polymerase and DNA moved little during transcript cleavage, thereby increasing its distance from the active site, whereas the upstream DNA contact and the borders of the transcription bubble moved in approximate register with the transcript 3'-end. The backward movements of halted E. coli RNA polymerase are similar to a recently postulated model for discontinuous translocation during transcription, but differ from those reported for arrested RNA polymerase II transcription complexes.

[Clinicopathological analysis of rhabdomyosarcoma of the ocular adenexa]

12 cases including 11 males and 1 female of rhabdomyosarcoma of ocular adenexa were analysed. The average age of the patients was 4.2 years. 9 cases of lesion were located in the orbit, 2 in the eyelid and 1 in conjunctiva. Pathologically 8 cases were embryonal forms, 2 alveolar, 2 polymorphic. Immunohistochemical studies were performed in 8 cases, which showed desmin positive. Myoglobin presented strong or weak positive in 5 cases, suspicious positive in 3 cases. The clinical manifestation, prognosis and treatment were briefly discussed.

[Experimental study and clinical application of end-to-side (transverse incision) anastomosis between small arteries]

The results of end to side anastomoses with longitudinal or transverse incision on the transverse limb were investigated. The anastomosis of the superficial epigastric artery to the femoral artery in rabbits served as the experimental model. The results demonstrated that the microartery end to side anastomosis with transverse arteriotomy is a more preferable anastomosis style with higher patency, easier arteriotomy and suturing, and it effectively prevents anastomotic stoma spasm or stenosis, and in accord with vascular physiological function. It is worthy to be recommended. The clinical successful cases are also reported.

The mutL repair gene of Escherichia coli K-12 forms a superoperon with a gene encoding a new cell-wall amidase

We report a molecular genetic analysis of the region immediately upstream from the Escherichia coli mutL DNA repair gene at 94.8 min. An open reading frame ending 9 bp upstream from the start of mutL corresponds to a 48 kDa polypeptide detected previously in minicells. The predicted amino acid sequence of this 48 kDa polypeptide shows homology to the major N-acetylmuramoyl-L-alanine amidase autolysin of Bacillus subtilis, a known amidase of Bacillus licheniformis, and the product of a Salmonella typhimurium gene that maps near 50 min. Insertions in this upstream gene, which we named amiB, or in mutL did not affect cell shape or viability; however, overexpression of the AmiB polypeptide caused cell lysis, hypersensitivity to osmotic shock and treatment with water, and temporary autolysis by low levels of antibiotics, which are all consistent with AmiB acting as a cell-wall hydrolase. Analysis of chromosomal transcription demonstrated that amiB forms a complex operon with mutL and two additional upstream genes. mutL transcripts also originated from an internal promoter, designated PmutL, located in amiB 312 bp upstream from the translational start of mutL. Together, these results suggest that E. coli contains a second amidase possibly involved in cell-wall hydrolysis, septation, or recycling, and that transcription of this amidase is directly linked to a gene central for DNA repair.

[Pathologic, electron microscopic and experimental examination of band keratopathy]

One hundred and thirteen cases previously diagnosed as band keratopathy were reexamined by light microscopy and histochemistry, 10 cases of which were studied by TEM and 2 cases were studied by SEM. We find that the calcium deposition initially occur as fine calcific particles within the cytoplasm of epithelic cells and in the basal membrane and bowman's layer, which aggregated to form calcific spherules and large calcific masses extracellularly. When 3 normal corneal tissues were frozen and cultured, the calcium deposition occur in the superficial layer of bowman's membrane and in the stromal lamellae, Authors suggest that the degeneration and calcific abnormal metabolism of the cell caused by various factors is the main pathogenesis that leads to the calcific deposit. The evaporation and constructive destruction of the corneal surface in the interpiperbral area inhibits the formation of the lacrimal membrane and results in deposition of calcium salts in the superficial tissue of exposed cornea in a band configuration. The combination of glycosaminoglycan with calcium salts is the dynamics of aggregation of the fine calcific particles to form the calcific spherules and calcific masses.

The natural history of dry type of age-related macular degeneration

To study the natural history of dry type of age-related macular degeneration (AMD) and search for a sensitive method for detecting the development of the disease, the fundus fluorescein angiography, visual acuity, electroretinogram and FM 100-hue test were used to examine 75 eyes, 147 eyes, 73 eyes, and 94 eyes respectively. These examinations were taken at least twice during the follow-up periods. The average age was 63.2 years (50-80 years). The average follow-up was 29.8 months with a range of 3-74 months. It was shown tht there were not any statistically significant difference in the macular lesions and electroretinogram between the initial examinations and after follow-up (P > 0.05). 91.14% of the eyes maintained good visual acuity during the follow-up. Subretinal neovascularization developed only in one of the eyes. The total error score of FM 100-hue test had a statistically significant difference between the initial test and the test taken two years afterwards (P < 0.01). It was suggested that most of the dry type of AMD had a favorable prognosis and that color visual test was a sensitive method for monitoring the development of dry type of AMD.

Dynamic investigation on chromosome aberration of a human retinoblastoma cell line So-Rb50

G-banding and karyotype analyses of cells in seventeen passages of SO-Rb50 during a long period of culture for about four years were performed. Three chromosome markers 13q14-, 1p36+ and 12p13+ were found. Cells possessed 13q14- reduced to zero after the 200th passage while 1p+ and 12p+ cells increased to 100% after 30 and 200 passages respectively. Abnormal chromosomes, ring chromosomes, chromosome radiuses and double minutes were also observed. These chromosomal changes were more often seen before the 200th passage. The significance of these changes are discussed.

Inhibition of brain protein kinase C subtypes by lead

Protein kinase C (PKC) is an important enzyme in mediating cellular signal transduction and neuronal plasticity. Extremely low concentrations (picomolar range) of Pb++ have been reported to activate partially purified PKC from rat brain (Markovac and Goldstein, 1988). However, the lead activation of PKC at such low concentrations is still a matter of discussion (Simons, 1989). To clarify this point, we have examined the lead effect on highly purified PKC subtypes. Pb++ was found to be a potent inhibitor for all three PKC subtypes (types I, II and III) with IC50 of 2 to 10 microM. Characterization of this lead inhibition of PKC suggests that 1) the inhibition is not due to the competition with Ca++, 2) the site of action of lead is on the catalytic domain of PKC, 3) the inhibition is not dependent on the mode of activation (phosphatidylserine/diacylglycerol vs. cis-unsaturated fatty acid) and 4) the inhibition is totally reversible.

Cystic acoustic schwannomas: MR characteristics

PURPOSE

To evaluate the spectrum of MR characteristics of cystic acoustic schwannoma and to investigate its incidence.

METHODS

We retrospectively reviewed the MR findings and clinical records of 16 patients with cystic acoustic schwannomas. In addition, the MR examinations of 411 consecutive patients referred for clinical suspicion of acoustic schwannomas were reviewed retrospectively to assess the incidence of acoustic schwannomas with cystic lesions arising from the internal auditory canal.

RESULTS

Of the 16 acoustic schwannomas with MR evidence of intramural cysts, 11 tumors had single small cysts, and five had multiple intramural cysts of variable size. Intramural cysts in 11 of the 16 tumors exhibited higher signal intensity than that of cerebrospinal fluid; the remainder were isointense to cerebrospinal fluid on both T1- and T2-weighted images. All intramural cysts showed circumferential enhancement after contrast administration. Nine of the 16 cystic acoustic schwannomas also had MR evidence of extramural/arachnoid cysts. Six of the extramural/arachnoid cysts had epicenters away from the dural interface, and the other three cysts were broadly based against the dura. The incidence of cystic acoustic schwannomas was 11.3% and association with extramural/arachnoid cysts 7.5%.

CONCLUSION

Our series suggests that cystic changes in acoustic schwannomas and the association with extramural/arachnoid cysts are not as rare as previously reported by other diagnostic methods. The high signal intensity of intramural cysts is probably related to necrotic material, blood, or colloid-rich fluid. The difference in the MR characteristics of extramural/arachnoid cysts associated with acoustic schwannomas and those of typical arachnoid cysts not associated with neoplasia may be related to higher protein and/or colloid contents secreted by the tumor. Most extramural/arachnoid cysts had epicenters between the tumor and brain, suggesting that the most likely mechanism of formation is peritumoral adhesions. It creates a pseudo-duplication caused by the trapping of fluid between the leptomeninges and the mass, resulting in an acquired type of arachnoid cyst.

[Choroidal malignant melanoma (clinical and pathologic studies of 42 cases)]

Clinical and pathologic studies of 42 cases of choroidal malignant melanoma are reported. We discussed: (1) The diagnosis of early stage cases and later cases with complication. (2) The prognosis is related to the size of tumor, the skill level of surgery, and whether tumor cell invades the superficial sclera of venous duct.

[Glycosaminoglycans associate with corneal transparency]

Keratoplasty specimens form 12 patients with macular corneal dystrophy, 1 patient with systemic glycosaminoglycan stored disease and 12 cases of normal cornea were studied by electron-histochemistry. The results showed that the normal cornea contains chondroitin sulfate in the basement membrane and bowman's membrane, Keratan sulfate and chondroitin sulfate between the collagen fibrils of strome, heparan sulfate on the cell membranes of various cells, and hyaluronic acid on the surface of endothelial cell. The chondroitin sulfate of the stroma of macular corneal dystrophy increases, but the keratan sulfate is absent. The keratocytes and endothelial cells of macular corneal dystrophy synthesize fibrillogranular material and abnormal glycosaminoglycan. The heparan sulfate is stored in the cytoplasm of corneal epithelial cell and keratocyte of systemic glycosaminoglycan stored disease and absent on the membrane of involved cells. The authors suggest that glycosaminoglycan play important role in maintaining corneal transparency and the changes of distribution, character and quantity of glycosaminoglycan in the cornea cause corneal opaqueness.

[Selection of optimum technological conditions for vinegar-processing of fresh rhizoma Corydalis]

The Total alkaloid contents of chloroform extracts and aqueous decoctions of different vinegar-processed samples of fresh Rhizoma Corydalis were determined and compared using orthogonal experimental design. Two optimum schemes suggested by the results are 1. If aqueous decoction is wanted, the fresh tuber Corydalis should be scalded by hot edible vinegar till the liquid has permeated to its center; 2. If total alkaloid extract is required for making Chinese traditional patent medicine, the fresh Rhizoma should be slightly scalded with edible vinegar which has been diluted with an equal volume of water.

[Results of percutaneous transluminal angioplasty]

Percutaneous transluminal angioplasty (PTA) can be subdivided into three epochs: 1. from its inception by Dotter and Judkins up to the first coronary artery stenosis dilatation with the Grüntzig balloon catheter system; 2. from the introduction of coronary stenosis dilatation by Grüntzig up to its unequivocal acceptance; 3. the period of influence of low-risk coronary dilatation on peripheral angioplasty and the search for techniques to compliment or obviate the need for balloon dilatation. The Grüntzig double-lumen balloon catheter system contributed to the lower rate of complications and higher success rate. The clinical acceptance appeared greater for the coronary arteries since, in contrast to the peripheral vascular system, the indication for treatment is established by the physician performing the dilatation. PTA implies percutaneous puncture of a vessel with Seldinger technique and introduction of devices such as guidewires, Dotter or Grüntzig catheters among others, catheters with fiberglass for laser conduction and instruments for fractionating, drilling and cutting. The goal of PTA is to completely or partially eliminate, without surgery, intraluminal vascular narrowing in the presence of peripheral arterial disease in stage II, III or IV. Prerequisite to the use of PTA are: 1. adequate fluoroscopic and angiographic facilities; 2. adequate instrumentation; 3. experience with at least 200 procedures; 4. knowledge of the pathophysiology and adjunctive treatment; 5. knowledge of the treatment of complications; 6. cooperation with a vascular surgery service. A number of factors may influence the results of treatment. Adjunctive medical treatment: the use of platelet aggregation inhibitors and heparin influences the rate of early rethrombosis.(ABSTRACT TRUNCATED AT 250 WORDS)