Expression of transmembrane carbonic anhydrases IX and XII in ovarian tumours

AIMS

Carbonic anhydrase (CA) isozymes IX and XII have been suggested to play a role in oncogenic processes. The aim of the present study was to investigate CA IX and XII expression in patients with ovarian tumours.

METHODS AND RESULTS

A series of ovarian tumours was immunostained for CA IX and XII and the results were correlated with histopathological and clinical parameters. Most cases of borderline mucinous cystadenomas, mucinous cystadenocarcinomas and serous cystadenocarcinomas were moderately or strongly positive for CA IX. In malignant tumours, the staining was most prominent in hypoxic regions. Expression of CA XII was detected in all tumour categories, although the mean staining intensity was weaker than for CA IX in all groups except for clear cell carcinomas.

CONCLUSIONS

The wide expression of CA IX and XII in ovarian tumours suggests that these isozymes could represent potential targets in ovarian cancer therapy. The expression pattern of CA IX suggests that it could also serve as a useful histopathological marker protein for hypoxia in malignant ovarian tumours.

Results of neurophysiologic evaluation in fecal incontinence

PURPOSE

Several methods of neurophysiologic assessment exist in the investigation of patients with fecal incontinence. However, the clinical significance of the information gained is uncertain. The aim of this prospective study was to evaluate the results of pudendal nerve terminal motor latency and fiber density in relation to clinical variables and manometric measurements.

METHODS

Seventy-two patients with fecal incontinence (63 women; mean age, 62; range, 24-81 years) responded to a bowel questionnaire and underwent anorectal manovolumetry, anal ultrasonography, defecography, and electromyography, including pudendal nerve terminal motor latency and fiber density.

RESULTS

Pudendal neuropathy (pudendal nerve terminal motor latency > 2.5 ms) was found in 46 percent and increased fiber density (> 1.7) in 82 percent. Pudendal neuropathy and increased fiber density were most common in patients with rectal prolapse or intra-anal intussusception. No difference was seen concerning anal resting and incremental pressures, rectal compliance, rectal sensibility or severity of incontinence in patients with unilateral, bilateral, or marked (> 4 ms) pudendal neuropathy vs. patients with normal pudendal nerve terminal motor latency. In contrast, patients with increased fiber density had lower incremental pressures (P < 0.05) and stated decreased rectal sensibility (P < 0.05) compared with those with normal fiber density. These differences were most pronounced in patients with neurogenic or idiopathic incontinence.

CONCLUSIONS

Pudendal neuropathy and increased fiber density are common in patients with fecal incontinence. Fiber density but not pudendal nerve terminal motor latency was correlated with clinical and manometric variables. The severity of nerve injury correlated with anal motor and sensory function in patients with neurogenic or idiopathic incontinence. The routine use of pudendal nerve terminal motor latency in the assessment of patients with fecal incontinence can be questioned.

Evolution of nerve conduction velocity in later childhood and adolescence

Sensory and/or motor nerve conduction velocities (NCVs) were measured in median, radial, sural, and peroneal nerves of 54 healthy girls and 75 healthy boys aged 3-19 years. Independent of the nerve and sex, both motor and sensory NCVs increased in the upper extremities and decreased in the lower ones as a function of age/growth in length. NCV increased in the upper limbs on an average 3.17 m/sec in the boys and in the girls 1.47 m/sec per 10 years of life. As for the nerves of the lower extremities, NCV slowed down on the average 1.81 m/sec in the boys and in the girls 3.62 m/sec per 10 years of age. The change varied in different nerves. A highly significant one (P less than 0.001) was found in both the motor and sensory NCVs of peroneal nerve in the girls and in the sensory NCV of radial nerve in boys. On the average NCV was in most nerves faster in the girls than in boys of the same age. According to these results, changes occur in the function---and thus probably also in the morphology---of peripheral nerves even in later childhood and adolescence. These changes pertain to general maturation, growth in length of the limbs, and possibly also sex.

Intraneural stimulation as a method to study sympathetic function in the human skin

Intraneural electrical stimulation of sympathetic postganglionic axons was made in human skin nerves combined with recordings of skin resistance and a photoelectric pulse plethysmogram within the innervation zone. Tungsten microelectrodes were used first to record multiunit sympathetic activity in sural or median nerves. After blocking the nerve with local anaesthetics proximal to the recording site the electrodes were then used for intraneural stimulation. Stimulation led to reduction of skin resistance which was frequency dependent. A short train of stimuli reduced skin resistance transiently and the response was potentiated by a single stimulus delivered up to 2.5 min. prior to the train. Vasoconstrictor responses did not always occur and were relatively independent of stimulation frequency. The method may be useful for physiological and pathophysiological studies of sympathetic neuroeffector transmission in man.

Asymmetric function of peripheral nerves in children with cerebral palsy

Nerve conduction velocities (NCVs) in both motor and sensory nerves as well as nerve action potentials (NAPs) of sensory nerves were measured bilaterally in 24 children with cerebral palsy. The NAP amplitude and both sensory and motor NCV were on the average higher on the intact or less affected side. The NCV side difference was still present after the temperature asymmetry of the limbs had been taken into account by calculating the temperature-corrected NCV values, and was statistically significant for motor NCV in N. peroneus and for sensory NCV in N. suralis; this could neither be explained on the basis of spasticity nor by the length difference of the extremities. No correlation of NCV asymmetry with the degree of atrophy seemed to exist.

Thermoregulatory and rhythm-generating mechanisms governing the sudomotor and vasoconstrictor outflow in human cutaneous nerves

1. Recordings of multiunit sympathetic activity were made from human nerve fascicles supplying hairy and glabrous skin of the extremities in healthy subjects exposed to different ambient temperatures. Sudomotor and vasomotor events accompanying the neural activity were monitored by simultaneous recordings of electrodermal and pulse plethysmographic events (Pleth) in the neural innervation zones. 2. By exposing the subject to warm (43 degrees C) or cold (15 degrees C) environments, it was possible to obtain a selective activation of either the sudomotor or the vasoconstrictor neural system, respectively, with suppression of spontaneous activity in the other system. 3. Bursts of both vasoconstrictor and sudomotor nerve activity were found to occur at certain preferred intervals which were integer multiples of a period of about 0 . 6 sec (100 cycles/min). With high sudomotor or vasoconstrictor tone the 100 cycles/min rhythm was prominent but with decreasing tone slower subharmonic rhythms prevailed. Respiratory rhythms were also discerned as well as slower rhythms attributable to oscillatory tendencies in thermoregulatory servos. 4. Vasoconstrictor bursts had longer mean duration than sudomotor bursts, a finding attributed to a slower conduction velocity of vasoconstrictor as compared to sudomotor impulses. 5. With increasing incidence of bursts transient electrodermal or plethysmographic responses following individual bursts merged, and thus the fast neural rhythms were not discernible in either the electrodermal or Pleth traces. Given increments in firing rate of nerves produced less additional vasoconstriction at high than at low firing rates. The rhythm generating mechanisms may help to restrict rates of individual fibres to the low range which provides high gain in the neuroeffector transfer functions.

Regional similarities and differences in thermoregulatory vaso- and sudomotor tone

1. Skin nerve sympathetic activity was recorded simultaneously from the following pairs of nerves: left and right median, median and peroneal, left and right peroneal, posterior cutaneous antebrachial and superficial radial, posterior cutaneous antebrachial and median. The recordings were performed on healthy subjects exposed to different ambient temperatures. Electrodermal responses and pulse plethysmograms were recorded from the neural innervation zones. 2. Vasoconstriction impulse bursts recorded simultaneously from the median and peroneal nerves during exposure to a cold environment showed a striking similarity with respect to the timing and strength of individual bursts. A similar strong correlation was observed also among sudomotor bursts recorded simultaneously from the posterior cutaneous antebrachial and superficial radial nerve during exposure to a warm environment. 3. On some occasions, such as during exposure to a moderately warm environment or emotional stress, a temporal correlation was also observed between vasoconstrictor bursts recorded from the median and sudomotor bursts recorded simultaneously from the posterior cutaneous antebrachial nerve. 4. The double nerve recordings provided evidence that in the distal glabrous skin areas reflex thermoregulatory functions are mainly executed via vasoconstrictor fibres whereas sudomotor fibres are brought into action only at relatively high temperature. On the contrary, in the hairy skin on the dorsal side of forearm and hand reflex thermoregulation is to a large extent executed via sudomotor fibres.