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Asuma MP, Mansfield TD, Turner EK, Robbins J. Closed Distal Dislocation of the Intermediate Cuneiform in a Complex Lisfranc Fracture-Dislocation: A Case Report. JBJS Case Connect 2019; 9:e0332. [PMID: 31274644 DOI: 10.2106/jbjs.cc.18.00332] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
CASE A 21-year-old, active duty male sustained an irreducible, complex Lisfranc fracture-dislocation with distal extrusion of his intermediate cuneiform. He was treated in a staged manner with external fixator placement, followed by an extended midfoot fusion with autograft bone. At 19 months, he could perform all activities of daily living independently with minimal pain using an Intrepid Dynamic Exoskeletal Orthosis. CONCLUSIONS Complex Lisfranc injuries are severe and often result in chronic pain and disability after operative management. To our knowledge, this is the only case report describing a Lisfranc fracture-dislocation with a distally extruded intermediate cuneiform treated with a fusion.
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Affiliation(s)
- Matti P Asuma
- Orthopaedic Surgery Service, Madigan Army Medical Center, Tacoma, Washington
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Halbach P, Pillers DAM, York N, Asuma MP, Chiu MA, Luo W, Tokarz S, Bird IM, Pattnaik BR. Oxytocin expression and function in the posterior retina: a novel signaling pathway. Invest Ophthalmol Vis Sci 2015; 56:751-60. [PMID: 25593022 DOI: 10.1167/iovs.14-15646] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
PURPOSE Oxytocin (OXT) is recognized as an ubiquitously acting nonapeptide hormone that is involved in processes ranging from parturition to neural development. Its effects are mediated by cell signaling that occurs as a result of oxytocin receptor (OXTR) activation. We sought to determine whether the OXT-OXTR signaling pathway is also expressed within the retina. METHODS Immunohistochemistry using cell-specific markers was used to localize OXT within the rhesus retina. Reverse transcriptase PCR and immunohistochemistry were used to assess the expression of OXTR in both human and rhesus retina. Single-cell RT-PCR and Western blot analyses were used to determine the expression of OXTR in cultured human fetal RPE (hfRPE) cells. Human fetal RPE cells loaded with FURA-2 AM were studied by ratiometric Ca(2+) imaging to assess transient mobilization of intracellular Ca(2+) ([Ca(2+)]i). RESULTS Oxytocin was expressed in the cone photoreceptor extracellular matrix of the rhesus retina. Oxytocin mRNA and protein were expressed in the human and rhesus RPE. Oxytocin mRNA and protein expression were observed in cultured hfRPE cells, and exposure of these cells to 100 nM OXT induced a transient 79 ± 1.5 nM increase of [Ca(2+)]i. CONCLUSIONS Oxytocin and OXTR are present in the posterior retina, and OXT induces an increase in hfRPE [Ca(2+)]i. These results suggest that the OXT-OXTR signaling pathway is active in the retina. We propose that OXT activation of the OXTR occurs in the posterior retina and that this may serve as a paracrine signaling pathway that contributes to communication between the cone photoreceptor and the RPE.
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Affiliation(s)
- Patrick Halbach
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States The Endocrinology-Reproductive Physiology Program, University of Wisconsin, Madison, Wisconsin, United States
| | - De-Ann M Pillers
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States McPherson Eye Research Institute, University of Wisconsin, Madison, Wisconsin, United States
| | - Nathaniel York
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States The Endocrinology-Reproductive Physiology Program, University of Wisconsin, Madison, Wisconsin, United States
| | - Matti P Asuma
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States
| | - Michelle A Chiu
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States
| | - Wenxiang Luo
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States
| | - Sara Tokarz
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States
| | - Ian M Bird
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States The Endocrinology-Reproductive Physiology Program, University of Wisconsin, Madison, Wisconsin, United States Departments of Obstetrics/Gynecology, University of Wisconsin, Madison, Wisconsin, United States
| | - Bikash R Pattnaik
- Division of Neonatology, Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States
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Pattnaik BR, Tokarz S, Asuma MP, Schroeder T, Sharma A, Mitchell JC, Edwards AO, Pillers DAM. Snowflake vitreoretinal degeneration (SVD) mutation R162W provides new insights into Kir7.1 ion channel structure and function. PLoS One 2013; 8:e71744. [PMID: 23977131 PMCID: PMC3747230 DOI: 10.1371/journal.pone.0071744] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2013] [Accepted: 07/02/2013] [Indexed: 01/08/2023] Open
Abstract
Snowflake Vitreoretinal Degeneration (SVD) is associated with the R162W mutation of the Kir7.1 inwardly-rectifying potassium channel. Kir7.1 is found at the apical membrane of Retinal Pigment Epithelial (RPE) cells, adjacent to the photoreceptor neurons. The SVD phenotype ranges from RPE degeneration to an abnormal b-wave to a liquid vitreous. We sought to determine how this mutation alters the structure and function of the human Kir7.1 channel. In this study, we expressed a Kir7.1 construct with the R162W mutation in CHO cells to evaluate function of the ion channel. Compared to the wild-type protein, the mutant protein exhibited a non-functional Kir channel that resulted in depolarization of the resting membrane potential. Upon co-expression with wild-type Kir7.1, R162W mutant showed a reduction of IKir7.1 and positive shift in ‘0’ current potential. Homology modeling based on the structure of a bacterial Kir channel protein suggested that the effect of R162W mutation is a result of loss of hydrogen bonding by the regulatory lipid binding domain of the cytoplasmic structure.
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Affiliation(s)
- Bikash R. Pattnaik
- Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States of America
- Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin, United States of America
- McPherson Eye Research Institute, University of Wisconsin, Madison, Wisconsin, United States of America
- * E-mail:
| | - Sara Tokarz
- Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States of America
| | - Matti P. Asuma
- Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States of America
| | - Tyler Schroeder
- Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States of America
| | - Anil Sharma
- Department of Experimental Pathology, Mayo Clinic, Rochester, Minnesota, United States of America
| | - Julie C. Mitchell
- Department of Biochemistry, University of Wisconsin, Madison, Wisconsin, United States of America
| | - Albert O. Edwards
- Institute for Molecular Biology, University of Oregon, and Oregon Retina, Eugene, Oregon, United States of America
| | - De-Ann M. Pillers
- Department of Pediatrics, University of Wisconsin, Madison, Wisconsin, United States of America
- McPherson Eye Research Institute, University of Wisconsin, Madison, Wisconsin, United States of America
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Pattnaik BR, Asuma MP, Spott R, Pillers DAM. Genetic defects in the hotspot of inwardly rectifying K(+) (Kir) channels and their metabolic consequences: a review. Mol Genet Metab 2012; 105:64-72. [PMID: 22079268 PMCID: PMC3253982 DOI: 10.1016/j.ymgme.2011.10.004] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2011] [Revised: 10/11/2011] [Accepted: 10/12/2011] [Indexed: 02/07/2023]
Abstract
Inwardly rectifying potassium (Kir) channels are essential for maintaining normal potassium homeostasis and the resting membrane potential. As a consequence, mutations in Kir channels cause debilitating diseases ranging from cardiac failure to renal, ocular, pancreatic, and neurological abnormalities. Structurally, Kir channels consist of two trans-membrane domains, a pore-forming loop that contains the selectivity filter and two cytoplasmic polar tails. Within the cytoplasmic structure, clusters of amino acid sequences form regulatory domains that interact with cellular metabolites to control the opening and closing of the channel. In this review, we present an overview of Kir channel function and recent progress in the characterization of selected Kir channel mutations that lie in and near a C-terminal cytoplasmic 'hotspot' domain. The resultant molecular mechanisms by which the loss or gain of channel function leads to organ failure provide potential opportunities for targeted therapeutic interventions for this important group of channelopathies.
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Affiliation(s)
- Bikash R. Pattnaik
- Department of Pediatrics, University of Wisconsin, Madison
- Department of Ophthalmology & Visual Sciences, University of Wisconsin, Madison
- Department of Eye Research Institute, University of Wisconsin, Madison
| | - Matti P. Asuma
- Department of Pediatrics, University of Wisconsin, Madison
| | - Ryan Spott
- Department of Pediatrics, University of Wisconsin, Madison
| | - De-Ann M. Pillers
- Department of Pediatrics, University of Wisconsin, Madison
- Department of Eye Research Institute, University of Wisconsin, Madison
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