Safety and efficacy of transarterial embolisation for treatment of dorsal pancreatic artery haemorrhage

AIM

To evaluate the safety and efficacy of transarterial embolisation (TAE) of dorsal pancreatic artery (DPA) haemorrhage.

MATERIALS AND METHODS

Nineteen consecutive patients (M:F = 16:3, mean age 59.6 years) who underwent TAE of DPA in three tertiary medical centres between January 2001 to January 2020 were reviewed retrospectively. Angiographic features and the technical and clinical outcomes of TAE were analysed.

RESULTS

The clinical presentations were a bloody drain from the Jackson-Pratt drainage tube (n=8), melaena (n=7), abdominal pain (n=4), and haematochezia (n=3). Angiographic findings included pseudoaneurysm (n=14), contrast media extravasation (n=4), or abrupt cut-off of the arterial branch (n=1). The NBCA (N-butyl-cyanoacrylate; n=4), microcoils (n=4), and a combination of these agents (n=7) were used as embolic agents. The most common origin of the DPA in the present study cohort was the splenic artery (n=7), followed by the coeliac trunk (n=4), common hepatic artery (n=4), and superior mesenteric artery (n=4). Technical and clinical success rates were 100% and 84.2% (16/19), respectively. Of the three clinically unsuccessful cases, two patients were revealed to have newly developed bleeding from another artery. The other patient expired 1 day after the TAE procedure due to a progression of hepatic failure. In one patient, an asymptomatic non-target embolisation occurred in the right posterior tibial artery as a procedure-related complication. No major complications were observed.

CONCLUSION

TAE is safe and effective for the management of bleeding from the DPA. It is important to be aware of the DPA as a potential bleeding source, including the relevant clinical characteristics.

Covered airway stent placement for malignant tracheobronchial strictures in patients with an endotracheal tube

AIM

To evaluate the technical feasibility and safety of covered airway stent placement for malignant tracheobronchial strictures in patients with an endotracheal tube.

MATERIALS AND METHODS

Data regarding retrievable, expandable, metal stent placement under fluoroscopic guidance in 20 patients with an endotracheal tube inserted for malignant tracheobronchial strictures were retrospectively analysed. The clinical effectiveness was assessed using the following variables: technical and clinical success; procedure and stent-related complications; and duration of intubation following stent placement.

RESULTS

Stent placement was technically successful in all 20 patients (100%), and with 19 of the 20 patients (95%) showing symptomatic improvement within 5 days. The endotracheal tube could be removed during (n=7) or after (n=12) stent placement, and the mean duration of intubation following stent placement was 1.4 days (range 0-3 days). One patient could not have his endotracheal tube removed and he died 9 days following stent placement in an intubated state. There were no procedure-related complications. Stent-related complications in three patients included partial (n=2) and complete (n=1) stent migration, all of which were managed with placement of a second stent (n=2) or stent removal and placement of a second stent (n=1).

CONCLUSION

Covered airway stent placement under fluoroscopic guidance in patients with an endotracheal tube inserted for malignant tracheobronchial strictures, is both technically feasible and safe.

Cell cycle-dependent Cdc25C phosphatase determines cell survival by regulating apoptosis signal-regulating kinase 1

Cdc25C (cell division cycle 25C) phosphatase triggers entry into mitosis in the cell cycle by dephosphorylating cyclin B-Cdk1. Cdc25C exhibits basal phosphatase activity during interphase and then becomes activated at the G2/M transition after hyperphosphorylation on multiple sites and dissociation from 14-3-3. Although the role of Cdc25C in mitosis has been extensively studied, its function in interphase remains elusive. Here, we show that during interphase Cdc25C suppresses apoptosis signal-regulating kinase 1 (ASK1), a member of mitogen-activated protein (MAP) kinase kinase kinase family that mediates apoptosis. Cdc25C phosphatase dephosphorylates phospho-Thr-838 in the activation loop of ASK1 in vitro and in interphase cells. In addition, knockdown of Cdc25C increases the activity of ASK1 and ASK1 downstream targets in interphase cells, and overexpression of Cdc25C inhibits ASK1-mediated apoptosis, suggesting that Cdc25C binds to and negatively regulates ASK1. Furthermore, we showed that ASK1 kinase activity correlated with Cdc25C activation during mitotic arrest and enhanced ASK1 activity in the presence of activated Cdc25C resulted from the weak association between ASK1 and Cdc25C. In cells synchronized in mitosis following nocodazole treatment, phosphorylation of Thr-838 in the activation loop of ASK1 increased. Compared with hypophosphorylated Cdc25C, which exhibited basal phosphatase activity in interphase, hyperphosphorylated Cdc25C exhibited enhanced phosphatase activity during mitotic arrest, but had significantly reduced affinity to ASK1, suggesting that enhanced ASK1 activity in mitosis was due to reduced binding of hyperphosphorylated Cdc25C to ASK1. These findings suggest that Cdc25C negatively regulates proapoptotic ASK1 in a cell cycle-dependent manner and may play a role in G2/M checkpoint-mediated apoptosis.

The pi40 gene for durable resistance to rice blast and molecular analysis of pi40-advanced backcross breeding lines

Rice blast severely reduces production in both irrigated and water-stressed upland ecosystems of tropical and temperate countries. Nearly 50 blast resistance genes have been identified and some of those are incorporated into several rice cultivars. However, most of the resistance genes break down in a few years because of their race specificity and the rapid change in pathogenicity of the blast fungus (Magnaporthe grisea). The objective of this study was to analyze advanced backcross breeding lines (ABL) possessing the gene Pi40 for durable rice blast resistance. In all, 4 resistant genotypes, 4 japonica cultivars, and 10 monogenic differential rice genotypes with some known resistance genes were bioassayed in the greenhouse using seven sequential plantings and 29 virulent M. grisea isolates of Korea. The genotypes with the Pi40 gene had <3% diseased leaf area, which was significantly below the disease threshold level of 40% considered for durable blast resistance. Moreover, the genotypes with the Pi40 gene expressed compatibility with only two to three virulent M. grisea isolates supporting durability of resistance, in contrast to susceptible cultivars with >50% diseased leaf area and 10 compatible isolates. Of the 10 known resistance genes tested, Piz-t, Piz-5, and Pi9 showed differential reactions to the pathogen isolates in seven plantings. Genotyping of the ABL with 260 simple sequence repeat (SSR) markers revealed rapid conversion toward recurrent parent genotypes with fewer donor chromosomal segments (5.3 to 14.5%). Our study based on a sequential testing and background selection of breeding lines with the resistance gene Pi40 provided valuable information for durable blast resistance breeding in rice.

A novel gene, Pi40(t), linked to the DNA markers derived from NBS-LRR motifs confers broad spectrum of blast resistance in rice

Rice blast disease caused by Magnaporthe grisea is a continuous threat to stable rice production worldwide. In a modernized agricultural system, the development of varieties with broad-spectrum and durable resistance to blast disease is essential for increased rice production and sustainability. In this study, a new gene is identified in the introgression line IR65482-4-136-2-2 that has inherited the resistance gene from an EE genome wild Oryza species, O. australiensis (Acc. 100882). Genetic and molecular analysis localized a major resistance gene, Pi40(t), on the short arm of chromosome 6, where four blast resistance genes (Piz, Piz-5, Piz-t, and Pi9) were also identified, flanked by the markers S2539 and RM3330. Through e-Landing, 14 BAC/PAC clones within the 1.81-Mb equivalent virtual contig were identified on Rice Pseudomolecule3. Highly stringent primer sets designed for 6 NBS-LRR motifs located within PAC clone P0649C11 facilitated high-resolution mapping of the new resistance gene, Pi40(t). Following association analysis and detailed haplotyping approaches, a DNA marker, 9871.T7E2b, was identified to be linked to the Pi40(t) gene at the 70 Kb chromosomal region, and differentiated the Pi40(t) gene from the LTH monogenic differential lines possessing genes Piz, Piz-5, Piz-t, and Pi-9. Pi40(t) was validated using the most virulent isolates of Korea as well as the Philippines, suggesting a broad spectrum for the resistance gene. Marker-assisted selection (MAS) and pathotyping of BC progenies having two japonica cultivar genetic backgrounds further supported the potential of the resistance gene in rice breeding. Our study based on new gene identification strategies provides insight into novel genetic resources for blast resistance as well as future studies on cloning and functional analysis of a blast resistance gene useful for rice improvement.

Use of Pi5(t) markers in marker-assisted selection to screen for cultivars with resistance to Magnaporthe grisea

Identification of the PCR markers tightly linked to genes that encode important agronomic traits is useful for marker-assisted selection (MAS). The rice Pi5(t) locus confers broad-spectrum resistance to Magnaporthe grisea, the causal agent of rice blast disease. It has been hypothesized that the Pi5(t) locus carries the same gene as that encoded by the Pi3(t) and Pii(t) loci. We developed three PCR-based dominant markers (JJ80-T3, JJ81-T3, and JJ113-T3) from three previously identified BIBAC clones-JJ80, JJ81, and JJ113-that are linked to the Pi5(t) locus. PCR analysis of 24 monogenic lines revealed that these markers are present only in lines that carry Pi5(t), Pi3(t), and Pii(t). PCR and DNA gel-blot analysis of candidate resistance lines using JJ80-T3, JJ81-T3, and JJ113-T3 indicated that Tetep is the likely donor of Pi5(t). Of the 184 rice varieties tested, 34 carried the JJ80-T3-, JJ81-T3-, and JJ113-T3-specific bands. Disease evaluation of those 34 varieties revealed that all conferred resistance to PO6-6. The genomic structure of three of these resistant varieties (i.e., IR72, Taebaeg, Jahyangdo) is most similar to that of Pi5(t). Our results demonstrate the usefulness of the JJ80-T3, JJ81-T3, and JJ113-T3 markers for MAS for M. grisea resistance.

Microbial PCB dechlorination in dredged sediments and the effect of moisture

Evidence of reductive dechlorination of polychlorinated biphenyls (PCBs) in sediments was investigated in Hudson River sediments dredged and encapsulated in 1978 at Moreau, NY. The effect of different moisture contents in dredged sediments on dechlorination and dechlorinating microorganisms was also determined using PCB-spiked sediments in which the moisture level was adjusted by simulating a dewatering process. The congener pattern of PCBs indicated that the dechlorination in the dredged sediments was far less advanced than that in the river sediments collected from the general area of the dredged site (Ft. Edward site). Dechlorination in encapsulated sediments at the Moreau site appeared to have stopped soon after dredging. When microorganisms eluted from the encapsulated sediments were inoculated in clean sediments spiked with Aroclor 1242, an extensive dechlorination was observed, indicating that the encapsulated sediments still harbored dechlorinating microorganisms. However, the same inoculum failed to further dechlorinate residual congeners in the dredged sediments. On the other hand, an inoculum obtained in 1990 from the dredged site in the Hudson River dechlorinated the residual congeners further. In simulated dredged sediments, the maximum level of dechlorination was lower at reduced moisture contents. The population size of dechlorinating microorganisms, as determined by the most probable number (MPN) technique, was also smaller at the lower moisture levels. There was a significant correlation between the maximum extent of dechlorination and the specific death rate of dechlorinating populations. These results indicate that the underlying mechanism of the moisture-dependent maximum dechlorination is the moisture-dependence of the death rate of dechlorinating microorganisms.

Kinetics of polychlorinated biphenyl dechlorination and growth of dechlorinating microorganisms

The present study has investigated a correlation between the kinetics of polychlorinated biphenyl (PCB) dechlorination and the growth of dechlorinating microbial populations. Microorganisms were eluted from Aroclor 1248-contaminated St. Lawrence River (NY, USA) sediments and inoculated into clean sediments spiked with Aroclor 1248 at 10 concentrations ranging from 0 to 3.12 micromol/g sediment (0-900 ppm). The time course of PCB dechlorination and population growth were concurrently determined by congener-specific analysis and the most probable number technique, respectively. The specific growth rate was a saturation function of PCB concentrations above the threshold concentration (0.14 micromol/g sediment, or 40 ppm), below which no dechlorination or growth of dechlorinations were observed. The maximum growth rate was 0.20/d with a half-saturation constant of 1.23 micromol/g sediment. The yield of dechlorinating microorganisms showed a peak at 0.70 micromol/g sediment (200 ppm), with a value of 10.3 x 10(12) cells/mol Cl removed, and decreased below and above this concentration. The dechlorination rate (micromol Cl removed/g sediment/d) was a linear function of Aroclor concentration. Both the log of this rate and the maximum level of dechlorination were significantly correlated with growth rate. The biomass-normalized dechlorination rate (micromol Cl removed/g sediment/cell/d) was first order because of the exponential manner of the population growth. The first-order rate constant was a saturation function of Aroclor concentrations, with a maximum of 0.24/d (a half-life of 2.9 d) and a half-saturation constant of 1.18 micromol/g sediment, which are similar to the constants for growth. These results indicate that the dechlorination rate is tightly linked to the population growth of dechlorinating microorganisms.

Digital image velocimetry

A new technique, digital image velocimetry, is proposed for measurement of instantaneous velocity fields of time dependent flows. A time sequence of single-exposure images of seed particles are captured with a high speed camera, and the sampled images are then digitized on an image processor, enhanced, and superposed to construct a multiple-exposure image. Both the superposed image and a single-exposure image are digitally Fourier transformed for extraction of information on the velocity field. The new technique is designed to improve the flow measurement by eliminating some restrictions of existing optical methods such as laser speckle velocimetry and particle image velocimetry. These restrictions include the limited dynamic range of the velocity measurement, directional ambiguity of the velocity vector, and the difficulty of a real-time capability. The analysis and numerically simulated experiment show that improvement can be achieved with the new technique. Laboratory experiments are currently under investigation.