Diffuse Pediatric-type High-grade Glioma Arising in an Ovarian Mature Cystic Teratoma

Immature neuroectodermal tissue can be found in the ovary as part of an immature teratoma or as part of a teratoma with malignant neuroectodermal transformation. Such lesions may closely resemble central nervous system tumors, but their biologic similarity is unclear. We describe an 18-yr-old female who presented with abdominal pain caused by an ovarian mass with widespread metastases. Histology showed a primitive, high-grade tumor arising in the background of a mature teratoma. The tumor was SOX10 positive, with focal expression of GFAP, S100, NSE, and synaptophysin. Molecular analysis demonstrated co-amplification of PDGFRA and KIT , alterations common in high-grade gliomas. By whole-genome methylation profiling, it clustered into the "diffuse pediatric-type high-grade glioma, RTK1 subtype, subclass c" group. Despite progressing through 2 lines of chemotherapy with widespread metastatic disease, she achieved an excellent response to chemotherapy directed toward aggressive germ cell tumors. This case emphasizes the importance of immunohistochemical, genomic, and epigenetic analyses to accurately classify these exceedingly rare tumors and determine the optimal therapy.

The role of methylation profiling in histologically diagnosed neurocytoma: a case series

Purpose

To highlight the clinical, neuroradiographic, neuropathologic, and molecular features of histologically identified neurocytoma in a pediatric cohort and highlight the evolving use methylation profiling in providing diagnostic clarity in difficult to diagnosis pediatric brain tumors.

Methods

Five consecutive children (ages 9–13, 2 girls 3 boys) were histologically diagnosed with neurocytoma at Rady Children’s Hospital San Diego from 2012 to 2018. Clinical and molecular features were analyzed with regards to treatment course and outcome.

Results

Presenting symptoms included seizures (n = 2), syncope (n = 1), headache (n = 2), visual disturbances (n = 2) and emesis (n = 2). Tumor location included intraventricular (n = 2), intraventricular with parenchymal spread (n = 1), and extraventricular (n = 2). Magnetic resonance imaging demonstrated reduced diffusivity (2/5), signal abnormality on susceptibility-weighted sequences (3/5), and varying degrees of contrast enhancement (4/5). All patients underwent surgical resection alone. Recurrence occurred in four children that were treated with surgery (4/4), adjuvant radiation (2/4), and chemoradiation (1/4). Neuropathologic features included positivity for GFAP (4/5), synaptophysin (4/5), NSE (2/2), NeuN (4/4), and variable Ki-67 (< 1% to 15%). Next generation sequencing (3/5) and microarray (3/5) collectively were abnormal in four of five tumors. Methylation profiling was successfully performed on four of five samples which led to modification of diagnosis in two patients and the others were either unclassifiable or confirmatory with the histologic diagnosis. Mean time to follow up was 77 months (range 44–112 months). Mean progression free survival and overall survival were 24 months (range 6 to 52 months) and 100% respectively.

Conclusion

Neurocytomas are a rare clinical entity that warrants further investigation into molecular and pathologic prognosticating features. Methylation profiling may aid in differentiation of neurocytoma from other difficult to diagnose tumors who share similar histologic features.

Genotyping FOXG1 Mutations in Patients with Clinical Evidence of the FOXG1 Syndrome

Rett syndrome is a well-defined neurodevelopmental disorder comprising characteristic clinical features of gait abnormalities, loss of purposeful hand movements, stereotypies, and autistic features. Mutations in the FOXG1 gene have been associated with a congenital variant of Rett syndrome. This is a report on the outcome of routine genetic testing to identify FOXG1 mutations in a patient population presenting with features of the FOXG1 syndrome, an entity thought to be distinct, but similar, to the congenital variant of Rett syndrome. We performed PCR and sequencing analysis of FOXG1 in MECP2-negative patients (n = 12) with phenotypic features of FOXG1 syndrome. FOXG1 MLPA analysis was also carried out. No mutations in FOXG1 were identified using this approach. We were unable to identify patients with features of the FOXG1 syndrome as having aberrant FOXG1 gene loci. Clinical notes are inherently subjective and may lack sufficient detail to reliably identify those with a syndromal spectrum. The results call into question the objectivity of outlining a complex syndrome according to clinical manifestations and highlight the need for a greater involvement of molecular diagnostic techniques in the diagnosis of Rett-like disorders.

High resolution electronic spectra of anisole and anisole-water in the gas phase: hydrogen bond switching in the S1 state

Rotationally resolved S(1)<--S(0) electronic spectra of anisole and its hydrogen bonded complex containing one water molecule have been obtained. The results provide evidence for an "in-plane" complex in which the water molecule is attached via two hydrogen bonds to the anisole molecule, a donor O-H- - -O(CH(3)) bond and an acceptor H-O- - -H(ring) bond. Analysis of the subbands that appear in the spectrum of the complex suggests that hydrogen bond "switching" occurs when the complex absorbs light. The former O-H- - -O(CH(3)) bond is stronger in the ground (S(0)) state, whereas the latter H-O- - -H(ring) bond is stronger in the excited (S(1)) state. Dynamical consequences of this phenomenon are discussed.

Twisted intramolecular charge transfer states: Rotationally resolved fluorescence excitation spectra of 4,4′-dimethylaminobenzonitrile in a molecular beam

We report the observation at high resolution of seven vibronic bands that appear within approximately 200 cm(-1) of the electronic origin in the S(1)-S(0) fluorescence excitation spectrum of 4,4'-dimethylaminobenzonitrile (DMABN) in a molecular beam. Surprisingly, each band is found to be split into two or more components by a (coordinated) methyl group tunneling motion which significantly complicates the analysis. Despite this fact, high quality [(Observed-Calculated)< or =30 MHz] fits of each of the bands have been obtained, from which the rotational constants, inertial defects, torsion-rotation interaction constants, methyl group torsional barriers, and transition moment orientations of DMABN in both electronic states have been determined. The data show that DMABN is a slightly pyramidalized (approximately 1 degree) but otherwise (heavy-atom) planar molecule in its ground S(0) state, and that its electronically excited S(1) state has both a more pyramidalized (approximately 3 degrees) and twisted (approximately 25 degrees) dimethylamino group. Large reductions in the methyl group torsional barriers also show that the S(1)<--S(0) electronic transition is accompanied by significant charge transfer from the nitrogen atom to the pi* orbitals of the aromatic ring. Thereby established is the participation of all three vibrational coordinates in the dynamics leading to the "anomalous" emissive behavior of DMABN in the condensed phase.

Scavenging nitric oxide reduces hepatocellular injury after endotoxin challenge

Sustained upregulation of inducible nitric oxide (NO) synthase in the liver after endotoxin [lipopolysaccharide (LPS)] challenge may result in hepatocellular injury. We hypothesized that administration of a NO scavenger, NOX, may attenuate LPS-induced hepatocellular injury. Sprague-Dawley rats received NOX or saline via subcutaneous osmotic pumps, followed 18 h later by LPS challenge. Hepatocellular injury was assessed using biochemical assays, light, and transmission electron microscopy (TEM). Interleukin (IL)-6 mRNA was measured by RT-PCR. Tumor necrosis factor (TNF)-alpha protein expression was determined by immunohistochemistry. NOX significantly reduced serum levels of ornithine carbamoyltransferase and aspartate aminotransferase. TNF-alpha and IL-6 expression were increased in the livers of saline-treated but not NOX-treated rats. Although there was no difference between groups by light microscopy, TEM revealed obliteration of the space of Disse in saline-treated but not in NOX-treated animals. Electron paramagnetic resonance showed the characteristic mononitrosyl complex in NOX-treated rats. We conclude that NOX reduces hepatocellular injury after endotoxemia. NOX may be useful in the management of hepatic dysfunction secondary to sepsis or other diseases associated with excessive NO production.

Stark effects in gas-phase electronic spectra. Dipole moment of aniline in its excited S(1) state

Measurements of the Stark effect on the rotationally resolved S(1)<--S(0) fluorescence excitation spectrum of aniline are reported, providing quantitative information about the degree of charge transfer in the electronic transition. We find that mu(a)(S(1)) = 2.801 +/- 0.007 D, a value that is approximately 150% larger than the ground state, mu(a)(S(0)) = 1.129 +/- 0.005 D. The enhanced value of the dipole moment in the S(1) state is attributed to more efficient electron donation by the quasi-planar amino group to the aromatic ring.

Age, geographic, and temporal distribution of fecal shedding of Cryptosporidium parvum oocysts in cow-calf herds

OBJECTIVE

To evaluate fecal shedding of Cryptosporidium parvum from California cow-calf herds with respect to age, geographic region, temporal effects, and association with watery feces.

ANIMALS

Cows and calves from 38 beef cow-calf operations.

PROCEDURE

Fecal specimens were collected and examined for C parvum oocysts, using immunofluorescent microscopy. Associations between age, geographic region, month of collection, watery feces, and likelihood of shedding C parvum were evaluated.

RESULTS

3.9% of cattle were shedding C parvum oocysts. Prevalence of shedding among calves ranged from 0 to 13%, and was 0.6% among cattle > or = 12 months old. The odds of shedding C parvum among 2-month-old calves were 41 times greater than among cattle > 4 months old. The odds of shedding C parvum among cattle tested in May were 8.7 times greater than among cattle tested during June, July, or August. The odds of infected individuals having watery feces were 3 to 4 times greater than for noninfected individuals, but the etiologic fraction was only 8 to 9%.

CONCLUSIONS AND CLINICAL RELEVANCE

Substantial fecal shedding of C parvum by cow-calf herds was limited to calves 1 to 4 months old, with low prevalence detected in older animals. Risk of contamination of watersheds with C parvum was limited to those periods when young calves were in the herd. Although the odds of having watery feces were greater for animals infected with C parvum than for noninfected animals, the low etiologic fraction suggests that most calves with watery feces were not infected with C parvum.

HIGH RESOLUTION SPECTROSCOPY IN THE GAS PHASE: Even Large Molecules Have Well-Defined Shapes

▪ Abstract  A review of recent high-resolution microwave, infrared, and optical spectroscopy experiments demonstrates that remarkable progress has been made in the past 20 years in determining the equilibrium geometries of large polyatomic molecules and their clusters in the gas phase, and how these geometries change when the photon is absorbed. A special focus is on the dynamical information that can be obtained from such studies, particularly of electronically excited states.

A Rotationally Resolved Fluorescence Excitation Spectrum of all-trans -1,4-Diphenyl-1,3-butadiene

Band 1 in the jet-cooled one-photon S(1) <-- S(0) fluorescence excitation spectrum of all-trans-1,4-diphenyl-1,3-butadiene has been rotationally resolved with a molecular beam laser spectrometer. Both the orientation of the optical transition moment and the rotational constants of the two vibronic levels have been measured. The molecule shows no evidence of being significantly distorted from a C(24) geometry when it is low in the vibrational manifolds of either of the two electronic states.

Saccadic eye movements are coordinated with head movements in walking chickens

1. Saccadic eye movements during walking were studied in chickens using cinematography. 2. Saccades were made during about 80% of the thrust phases of head bobbing, and not made in the hold phases. 3. The coordination of saccades with head movements maintains clear vision for the largest possible proportion of the time. 4. The absence of saccades in hold phases and in some thrusts is probably not the result of insufficient time to organize a saccade.

Electron spin resonance study of the role of NO . catalase in the activation of guanylate cyclase by NaN3 and NH2OH. Modulation of enzyme responses by heme proteins and their nitrosyl derivatives

The role of NO . catalase in the activation of partially purified soluble guanylate cyclase of rat liver by NaN3 and NH2OH was examined by electron spin resonance (ESR) spectroscopy. Equilibration of bovine liver catalase with NO resulted in formation of a paramagnetic species exhibiting a three-line ESR spectrum similar to that of NO . catalase. This paramagnetic complex produced concentration-dependent stimulation of preparations of partially purified guanylate cyclase that were devoid of detectable endogenous heme content. The stimulation of partially purified guanylate cyclase by NO . catalase was similar to that obtained with NO . hemoglobin and with NO . cytochrome P-420 prepared by reaction of hepatic microsomes of phenobarbital-treated rats with NO. By contrast, these same enzyme preparations did not respond to NO or catalase alone. Addition of hematin or hemoglobin plus a reducing agent to purified guanylate cyclase restored enzyme responsiveness to NO and N-methyl-N'-nitro-N-nitrosoguanidine (MNNG), but not to NaN3 or NH2OH. Responses to the latter agents were restored by catalase and potentiated by a H2O2-generating system. Formation of the NO . catalase complex was evident by ESR spectroscopy in test solutions containing NaN3 or nh2oh, catalase, and a glucose-glucose oxidase, H2O2-generating system. The presence of NO . catalase correlated well with the ability of test solutions to activate purified guanylate cyclase. These results provide evidence for catalase-dependent NO generation from NaN3 and NH2OH under conditions leading to guanylate cyclase activation. Preformed NO . hemoglobin or NO . cytochrome P-420 also activated heme-deficient partially purified guanylate cyclase. The ability of several preformed NO . heme protein complexes, but not NO, to stimulate heme-deficient guanylate cyclase supports the concept that formation of the paramagnetic nitrosyl . heme complex, mediated by either enzymatic or nonenzymatic reactions, is a common and essential step in the process by which NO or NO-forming compounds activate guanylate cyclase. In the absence of the NO ligand, both hemoglobin and catalase suppress the stimulatory effects of the corresponding NO . heme proteins on guanylate cyclase. Release of each heme protein from the NO . heme protein complex occurs more rapidly under aerobic compared to anaerobic conditions. However, hemoglobin is approximately 2000 times more effective as an inhibitor of NO . hemoglobin stimulation of guanylate cyclase than is catalase as an inhibitor of NO . catalase action. This finding may explain the more pronounced decline in the rate of cGMP generation in air in the presence of NO . hemoglobin compared to NO . catalase. The results imply that guanylate cyclase responses to activators that can form NO are determined by both the stimulatory activity of the endogenous heme acceptors of NO and the relative inhibitory effects of the unliganded heme proteins present.