Showing papers by "Kagawa University published in 2017"

Glutathione in plants: biosynthesis and physiological role in environmental stress tolerance

Abstract: Glutathione (GSH; γ-glutamyl-cysteinyl-glycine) is a small intracellular thiol molecule which is considered as a strong non-enzymatic antioxidant. Glutathione regulates multiple metabolic functions; for example, it protects membranes by maintaining the reduced state of both α-tocopherol and zeaxanthin, it prevents the oxidative denaturation of proteins under stress conditions by protecting their thiol groups, and it serves as a substrate for both glutathione peroxidase and glutathione S-transferase. By acting as a precursor of phytochelatins, GSH helps in the chelating of toxic metals/metalloids which are then transported and sequestered in the vacuole. The glyoxalase pathway (consisting of glyoxalase I and glyoxalase II enzymes) for detoxification of methylglyoxal, a cytotoxic molecule, also requires GSH in the first reaction step. For these reasons, much attention has recently been directed to elucidation of the role of this molecule in conferring tolerance to abiotic stress. Recently, this molecule has drawn much attention because of its interaction with other signaling molecules and phytohormones. In this review, we have discussed the recent progress in GSH biosynthesis, metabolism and its role in abiotic stress tolerance.

Transport of ions and electrons in nanostructured liquid crystals

Abstract: The nanosegregated structures of columnar, smectic and bicontinuous cubic liquid crystals can provide well-organized, nano- and sub-nanosized 1D, 2D and 3D channels capable of ion and electron transport. The molecular shape, intermolecular interactions and nanosegregation of the molecular structures can influence their self-assembly into a range of functional liquid-crystalline nanostructures. The formation of stable and soft liquid-crystalline materials leads to their application as electrolytes for batteries and photovoltaics, semiconductors, electroluminescence and electrochemical devices. In addition, electrochemical devices are obtained by using redox-active liquid crystals. In this Review, we focus on the design of liquid-crystalline phases, the resultant self-assembled structures, the transport mechanisms, and the fabrication, function and future development of devices incorporating nanostructured liquid crystals. Liquid-crystalline nanostructures can form well-organized 1D, 2D and 3D channels capable of transporting ions or electrons. In this Review, the design of liquid-crystalline phases, their self-assembled structures, and the fabrication and function of devices incorporating them are described.

Global metabolic reprogramming of colorectal cancer occurs at adenoma stage and is induced by MYC

Abstract: Cancer cells alter their metabolism for the production of precursors of macromolecules. However, the control mechanisms underlying this reprogramming are poorly understood. Here we show that metabolic reprogramming of colorectal cancer is caused chiefly by aberrant MYC expression. Multiomics-based analyses of paired normal and tumor tissues from 275 patients with colorectal cancer revealed that metabolic alterations occur at the adenoma stage of carcinogenesis, in a manner not associated with specific gene mutations involved in colorectal carcinogenesis. MYC expression induced at least 215 metabolic reactions by changing the expression levels of 121 metabolic genes and 39 transporter genes. Further, MYC negatively regulated the expression of genes involved in mitochondrial biogenesis and maintenance but positively regulated genes involved in DNA and histone methylation. Knockdown of MYC in colorectal cancer cells reset the altered metabolism and suppressed cell growth. Moreover, inhibition of MYC target pyrimidine synthesis genes such as CAD, UMPS, and CTPS blocked cell growth, and thus are potential targets for colorectal cancer therapy.

Coordinated Actions of Glyoxalase and Antioxidant Defense Systems in Conferring Abiotic Stress Tolerance in Plants.

Abstract: Being sessile organisms, plants are frequently exposed to various environmental stresses that cause several physiological disorders and even death. Oxidative stress is one of the common consequences of abiotic stress in plants, which is caused by excess generation of reactive oxygen species (ROS). Sometimes ROS production exceeds the capacity of antioxidant defense systems, which leads to oxidative stress. In line with ROS, plants also produce a high amount of methylglyoxal (MG), which is an α-oxoaldehyde compound, highly reactive, cytotoxic, and produced via different enzymatic and non-enzymatic reactions. This MG can impair cells or cell components and can even destroy DNA or cause mutation. Under stress conditions, MG concentration in plants can be increased 2- to 6-fold compared with normal conditions depending on the plant species. However, plants have a system developed to detoxify this MG consisting of two major enzymes: glyoxalase I (Gly I) and glyoxalase II (Gly II), and hence known as the glyoxalase system. Recently, a novel glyoxalase enzyme, named glyoxalase III (Gly III), has been detected in plants, providing a shorter pathway for MG detoxification, which is also a signpost in the research of abiotic stress tolerance. Glutathione (GSH) acts as a co-factor for this system. Therefore, this system not only detoxifies MG but also plays a role in maintaining GSH homeostasis and subsequent ROS detoxification. Upregulation of both Gly I and Gly II as well as their overexpression in plant species showed enhanced tolerance to various abiotic stresses including salinity, drought, metal toxicity, and extreme temperature. In the past few decades, a considerable amount of reports have indicated that both antioxidant defense and glyoxalase systems have strong interactions in conferring abiotic stress tolerance in plants through the detoxification of ROS and MG. In this review, we will focus on the mechanisms of these interactions and the coordinated action of these systems towards stress tolerance.

The role of artificial and natural sweeteners in reducing the consumption of table sugar: A narrative review.

Abstract: The rapid increase in the prevalence of obesity worldwide has been partially attributed to the overconsumption of added sugars. Recent guidelines call for limiting the consumption of simple sugars to less than 10% of daily caloric consumption. High intensity sweeteners are regulated as food additives and include aspartame, acesulfame-k, neotame, saccharin, sucralose, cyclamate and alitame. Steviol glycosides and Luo Han Guo fruit extracts are high intensity sweeteners that are designated as generally recognized as safe (GRAS). Commonly used non-caloric artificial sweeteners may have unfavorable effect on health including glucose intolerance and failure to cause weight reduction. The nutritive sweeteners include sugar alcohols such as sorbitol, xylitol, lactitol, mannitol, erythritol, trehalose and maltitol. Naturally occurring rare sugars have recently emerged as an alternative category of sweeteners. These monosaccharides and their derivatives are found in nature in small quantities and lack significant calories. This category includes d-allulose (d-psicose), d-tagatose, d-sorbose and d-allose. Limiting consumption of any sweetener may well be the best health advice. Identifying natural sweeteners that have favorable effects on body weight and metabolism may help achieving the current recommendations of restricting simple sugar consumption.

Exogenous Silicon Attenuates Cadmium-Induced Oxidative Stress in Brassica napus L. by Modulating AsA-GSH Pathway and Glyoxalase System

Abstract: Cadmium (Cd) brings a devastating health hazard to human being as a serious consequence of agricultural and environmental contamination. We demonstrated the protective effect of silicon (Si) on cadmium (Cd)-stressed rapeseed (Brassica napus L. cv. BINA Sharisha 3) plants through regulation of antioxidant defense and glyoxalase systems. Twelve-d-old seedlings were exposed to Cd stress (0.5 and 1.0 mM CdCl2) separately and in combination with Si (SiO2, 1.0 mM) for two days. Cadmium toxicity was evident by an obvious oxidative stress through sharp increases in H2O2 content and lipid peroxidation (malondialdehyde, MDA content), and visible sign of superoxide and H2O2. Cadmium stress also decreased the content of ascorbate (AsA) and glutathione (GSH) as well as their redox pool. The activities of monodehydroascorbate reductase (MDHAR), dehydroascorbate reductase (DHAR) and catalase (CAT) were decreased by Cd while ascorbate peroxidase (APX) and glutathione S-transferase (GST) activities were increased. The enzymes of glyoxalase system (glyoxalase I, Gly I and glyoxalase II, Gly II) were also inefficient under Cd stress. However, exogenous application of Si in Cd treated seedlings reduced H2O2 and MDA contents and improved antioxidant defense mechanism through increasing the AsA and GSH pools and activities of AsA-GSH cycle (APX, MDHAR, DHAR and GR) and glyoxalase system (Gly I and Gly II) enzymes and CAT. Thus Si reduced oxidative damage in plants to make more tolerant under Cd stress through augmentation of different antioxidant components and methylglyoxal detoxification system.

Plasmon-enhanced spectroscopy of absorption and spontaneous emissions explained using cavity quantum optics

Abstract: The purpose of this tutorial review is to provide a comprehensive explanation of plasmon-enhanced spectroscopies, such as plasmon-enhanced Raman scattering, fluorescence, absorption, Rayleigh scattering, and hyper Raman scattering. Plasmon-enhanced spectroscopy implies the spectroscopy of enhanced optical responses of molecules in close proximity to plasmonic nanostructures, resulting in a strong enhancement in sensitivity. In this review, we explain the enhancement in plasmon-enhanced spectroscopy as an optical response of a molecule interacting with an optical resonator, which represents a plasmonic nanostructure, in analogy to cavity quantum optics to easily understand all types of plasmon-enhanced spectroscopy in the same manner. The keys to understanding the enhancement factor of each plasmon-enhanced spectroscopy are a quality factor and a mode volume of plasmonic resonators, which are well-known parameters in the Purcell effect of standard optical cavity resonators.

Hydrogen Peroxide Pretreatment Mitigates Cadmium-Induced Oxidative Stress in Brassica napus L.: An Intrinsic Study on Antioxidant Defense and Glyoxalase Systems.

Abstract: Cadmium is considered as one of the most toxic metals for plant growth and development. In the present study, we investigated the role of externally applied hydrogen peroxide (H2O2) in regulating the antioxidant defense and glyoxalase systems in conferring cadmium (Cd)-induced oxidative stress tolerance in rapeseed (Brassica napus L.). Seedlings were pretreated with 50 μM H2O2 for 24 h. These pretreated seedlings as well as non-pretreated seedlings were grown for another 48 h at two concentrations of CdCl2 (0.5 and 1.0 mM). Both the levels of Cd increased MDA and H2O2 levels and LOX (lipoxygenase) activity while ascorbate (AsA) declined significantly. However, reduced glutathione (GSH) content showed an increase at 0.5 mM CdCl2, but glutathione disulfide (GSSG) increased at any level of Cd with a decrease in GSH/GSSG ratio. The activities of ascorbate peroxidase (APX) and glutathione S-transferase (GST) upregulated due to Cd treatment in dose-dependent manners, while glutathione reductase (GR) and glutathione peroxidase (GPX) increased only at 0.5 mM CdCl2 and decreased at higher dose. The activity of monodehydroascorbate reductase (MDHAR), dehydroascorbate reductase (DHAR), catalase (CAT), glyoxalase I (Gly I) and glyoxalase II (Gly II) decreased under Cd stress. On the other hand, H2O2 pretreated seedlings, when exposed to Cd, AsA and GSH contents and GSH/GSSG ratio increased noticeably. H2O2 pretreatment increased the activities of APX, MDHAR, DHAR, GR, GST, GPX and CAT of Cd affected seedlings. Thus enhancement of both the non-enzymatic and enzymatic antioxidants helped to decrease the oxidative damage as indicated by decreased levels of H2O2 and MDA. The seedlings which were pretreated with H2O2 also showed enhanced glyoxalase system. The activities of Gly I, and Gly II and the content of GSH increased significantly due to H2O2 pretreatment in Cd affected seedlings, compared to the Cd-stressed plants without H2O2 pretreatment which were vital for methylglyoxal detoxification. So, the major roles of H2O2 were improvement of antioxidant defense system and glyoxalse system which protected plants from the damage effects of ROS and MG. The mechanism of H2O2 to induce antioxidant defense and glyoxalse system and improving physiology under stress condition is not known clearly which should

SAMP8 mice as a neuropathological model of accelerated brain aging and dementia: Toshio Takeda's legacy and future directions.

Abstract: Senescence accelerated mice P8 (SAMP8) show significant age-related deteriorations in memory and learning ability in accordance with early onset and rapid advancement of senescence. Brains of SAMP8 mice reveal an age-associated increase of PAS-positive granular structures in the hippocampal formation and astrogliosis in the brain stem and hippocampus. A spongy degeneration in the brain stem appears at 1 month of age and reaches a maximum at 4-8 months. In addition, clusters of activated microglia also appear around the vacuoles in the brain stem. β/A4(Aβ) protein-like immunoreactive granular structures are observed in various regions and increase in number markedly with age. Other age-associated histological changes include cortical atrophy, neuronal cell loss in locus coeruleus and lateral tegmental nuclei, intraneuronal accumulation of lipopigments in Purkinje cells and eosinophilic inclusion bodies in thalamic neurons. A blood-brain barrier dysfunction and astrogliosis are also prominent with advancing age in the hippocampus. These changes are generally similar to the pathomorphology of aging human brains and characterized by their association with some specific glioneuronal reactions. As for the hallmarks of Alzheimer brains, tau morphology has not yet been confirmed regardless of the age-related increase in phosphorylated tau in SAMP8 mice brains, but early age-related Aβ deposition in the hippocampus has recently been published. SAMP8 mice are, therefore, not only a senescence-accelerated model but also a promising model for Alzheimer's disease and other cognitive disorders.

First Results from BISTRO : A SCUBA-2 Polarimeter Survey of the Gould Belt

Abstract: We present the first results from the B-fields In STar-forming Region Observations (BISTRO) survey, using the Sub-millimetre Common-User Bolometer Array 2 camera, with its associated polarimeter (POL-2), on the James Clerk Maxwell Telescope in Hawaii. We discuss the survey's aims and objectives. We describe the rationale behind the survey, and the questions that the survey will aim to answer. The most important of these is the role of magnetic fields in the star formation process on the scale of individual filaments and cores in dense regions. We describe the data acquisition and reduction processes for POL-2, demonstrating both repeatability and consistency with previous data. We present a first-look analysis of the first results from the BISTRO survey in the OMC 1 region. We see that the magnetic field lies approximately perpendicular to the famous "integral filament" in the densest regions of that filament. Furthermore, we see an "hourglass" magnetic field morphology extending beyond the densest region of the integral filament into the less-dense surrounding material, and discuss possible causes for this. We also discuss the more complex morphology seen along the Orion Bar region. We examine the morphology of the field along the lower-density northeastern filament. We find consistency with previous theoretical models that predict magnetic fields lying parallel to low-density, non-self-gravitating filaments, and perpendicular to higher-density, self-gravitating filaments.

Elastic Optical Networking: Roles and Benefits in Beyond 100-Gb/s Era

Abstract: Emerging technologies such as spectrally efficient multicarrier higher order modulation and bandwidth variable wavelength selective switches have led to a change in the optical network architecture from rigid and homogeneous to flexible and heterogeneous in terms of the bit rate, center frequency spacing, modulation format, and optical reach. The elastic optical network (EON) is a network architecture toward beyond the 100-Gb/s era. This tutorial paper reviews elastic opticalnetworking technology and presents its roles and benefits in a new era, where major line rates in metro/core optical networks are 100 Gb/s and beyond. The main features of the EON are that it increases the spectral efficiency in a network manner through rate-adaptive superchannels and distance-adaptive modulation, and it provides cost- and energy-efficient traffic grooming in the optical domain. The EON concept has been widely accepted by industry and academia. Significant standardization efforts have yielded great advances evidenced by the flexible grid and the flexible OTUCn frame format recommendations. Hardware virtualization such as a sliceable multiflow transponder in cooperation with emerging flexible clients will be key to achieving more flexible and cost-effective next generation optical networks.

Evidenced-based clinical practice guideline for prostate cancer (summary: Japanese Urological Association, 2016 edition)

Abstract: These guidelines cover a wide range of topics from prostate cancer epidemiology to palliative care. Questions arising in daily clinical practice have been extracted and formulated as clinical questions. In the 4 years since the previous edition, there have been major changes - for example, robot-assisted prostatectomy has rapidly come into widespread use, and new hormones and anticancer drugs have been developed for castration-resistant prostate cancer. In response to these developments, the number of fields included in this guideline was increased from 11 in the 2012 edition to 16, and the number of clinical questions was increased from 63 to 70. The number of papers identified in searches of the existing literature increased from 4662 in the first edition, published in 2006, to 10 490 in the 2012 edition. The number of references has reached 29 448 just during this review period, indicating the exponential increase in research on the topic of prostate cancer. Clinical answers have been prepared based on the latest evidence. Recommendation grades for the clinical answers were determined by radiologists, pathologists, and other specialists in addition to urologists in order to reflect the recent advances and diversity of prostate cancer treatment. Here, we present a short English version of the original guideline, and overview its key clinical issues.

Insights into spermine-induced combined high temperature and drought tolerance in mung bean: osmoregulation and roles of antioxidant and glyoxalase system.

Abstract: High temperature and drought stress often occur simultaneously, and due to global climate change, this kind of phenomenon occurs more frequently and severely, which exerts devastating effects on plants. Polyamines (PAs) play crucial roles in conferring abiotic stress tolerance in plants. Present study investigated how exogenous pretreatment of spermine (Spm, 0.2 mM) enhances mung bean (Vigna radiata L. cv. BARI Mung-2) seedlings tolerance to high temperature (HT, 40 °C) and drought [induced by 5 % polyethyleneglycol (PEG)] stress individually and in combination. Spm pretreatment reduced reactive oxygen species (ROS) production including H2O2 and O2 •−, lipoxygenase (LOX) activity, and membrane lipid peroxidation (indicated by malondialdehyde, MDA) under HT and/or drought stress. Histochemical staining of leaves with diaminobenzidine and nitro blue tetrazolium chloride also confirmed that Spm-pretreated seedlings accumulated less H2O2 and O2 •− under HT and/or drought stress. Spermine pretreatment maintained the ascorbate (AsA) and glutathione (GSH) levels high, and upregulated the activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX), dehydroascorbate reductase (DHAR), and glutathione reductase (GR) which were vital for imparting ROS-induced oxidative stress tolerance under HT and/or drought stress. The cytotoxic compound methylglyoxal (MG) was overproduced due to HT and/or drought, but exogenous Spm pretreatment reduced MG toxicity enhancing the glyoxalase system. Spermine pretreatment modulated endogenous PA levels. Osmoregulation and restoration of plant water status were other major contributions of Spm under HT and/or drought stress. Preventing photosynthetic pigments and improving seedling growth parameters, Spm further confirmed its influential roles in HT and/or drought tolerance.

Single-pixel digital holography with phase-encoded illumination.

Abstract: We demonstrate imaging of complex amplitude objects through digital holography with phase-structured illumination and bucket detection. The object is sampled with a set of micro-structured phase patterns implemented onto a liquid-crystal spatial light modulator while a bucket detector sequentially records the irradiance fluctuations corresponding to the interference between object and reference beams. Our reconstruction algorithm retrieves the unknown phase information from the full set of photocurrent measurements. Interestingly, the sampling functions can be codified onto the reference beam, so they can be nonlocal with respect to the object. Finally, we show that the system is well-fitted for transmission of the object information through scattering media.

Polyamines-induced aluminum tolerance in mung bean: A study on antioxidant defense and methylglyoxal detoxification systems

Abstract: We investigated the roles of exogenously applied Spd (0.3 mM spermidine) in alleviating Al (AlCl3, 0.5 mM, 48 and 72 h)- induced injury in mung bean seedlings (Vigna radiata L. cv. BARI Mung-2). Aluminum toxicity induced oxidative damage overproducing reactive oxygen species (ROS; H2O2 and O2•-), increasing lipoxygenase activity and membrane lipid peroxidation. The toxic compound methylglyoxal (MG) also overproduced under Al stress. In order to circumvent Al-induced oxidative stress, enzymatic and non-enzymatic antioxidant defense were activated by the application of exogenous Spd. Exogenous Spd increased ascorbate (AsA) and glutathione (GSH) content, AsA/dehydroascorbate (DHA) ratio, GSH/ glutathione disulfide (GSSG) ratio, activity of ascorbate peroxidase (APX), dehydroascorbate reductase (DHAR), glutathione reductase (GR) and catalase (CAT) which reduced ROS production and oxidative stress under Al stress. Spd-induced improvement of GSH pool and Gly II activity alleviated injurious effects of MG. Exogenous Spd positively modulated the endogenous PAs level. Regulating the osmoprotectant molecule (proline), Spd improved plant water status under Al stress. Exogenous Spd was potent to prevent breakdown of Al-induced photosynthetic pigment and to improve growth performances under Al stress. The mechanism by which Spd enhances antioxidant and glyoxalase components might be studied extensively. Spermidine-induced protection of photosynthetic pigment from damages and growth enhancement were remarkable and recommended for further detailed study to understand the mechanism.

Tumor Spread Through Air Spaces Is an Independent Predictor of Recurrence-free Survival in Patients With Resected Lung Squamous Cell Carcinoma.

Abstract: Tumor spread through air spaces (STAS) is a newly recognized pattern of invasion in lung adenocarcinoma. However, clinical significance of STAS has not yet been characterized in lung squamous cell carcinoma. In this study, we investigated whether STAS could determine clinical outcome in Japanese patients with lung squamous cell carcinoma. We reviewed tumor slides from surgically resected lung squamous cell carcinomas (n=216). STAS was defined as tumor cells within air spaces in the lung parenchyma beyond the edge of the main tumor. Tumors were evaluated for histologic subtypes, tumor budding, and nuclear diameter. Recurrence-free survival (RFS) was analyzed using the log-rank test and the Cox proportional hazards model. Tumor STAS was observed in 87 patients (40%), increasing incidence with lymph node metastasis (P=0.037), higher pathologic stage (P=0.026), and lymphatic invasion (P=0.033). All cases with STAS showed a solid nest pattern. The 5-year RFS for patients with STAS was significantly lower than it was for patients without STAS in all patients (P=0.001) and in stage I patients (n=134; P=0.041). On multivariate analysis, STAS was an independent prognostic factor of a worse RFS (hazard ratio=1.61; P=0.023). Patients with STAS had a significantly increased risk of developing locoregional and distant recurrences (P=0.012 and 0.001, respectively). We found that tumor STAS was an independent predictor of RFS in patients with resected lung squamous cell carcinoma, and it was associated with aggressive tumor behavior.

γ-aminobutyric acid (GABA) confers chromium stress tolerance in Brassica juncea L. by modulating the antioxidant defense and glyoxalase systems.

Abstract: Chromium (Cr) toxicity is hazardous to the seed germination, growth, and development of plants. γ-aminobutyric acid (GABA) is a non-protein amino acid and is involved in stress tolerance in plants. To investigate the effects of GABA in alleviating Cr toxicity, we treated eight-d-old mustard (Brassica juncea L.) seedlings with Cr (0.15 and 0.3 mM K2CrO4, 5 days) alone and in combination with GABA (125 µM) in a semi-hydroponic medium. The roots and shoots of the seedlings accumulated Cr in a dose-dependent manner, which led to an increase in oxidative damage [lipid peroxidation; hydrogen peroxide (H2O2) content; superoxide (O2 •−) generation; lipoxygenase (LOX) activity], methylglyoxal (MG) content, and disrupted antioxidant defense and glyoxalase systems. Chromium stress also reduced growth, leaf relative water content (RWC), and chlorophyll (chl) content but increased phytochelatin (PC) and proline (Pro) content. Furthermore, supplementing the Cr-treated seedlings with GABA reduced Cr uptake and upregulated the non-enzymatic antioxidants (ascorbate, AsA; glutathione, GSH) and the activities of the enzymatic antioxidants including ascorbate peroxidase (APX), monodehydroascorbate reductase (MDHAR), dehydroascorbate reductase (DHAR), glutathione reductase (GR), glutathione peroxidase (GPX), superoxide dismutase (SOD), catalase (CAT), glyoxalase I (Gly I), and glyoxalase II (Gly II), and finally reduced oxidative damage. Adding GABA also increased leaf RWC and chl content, decreased Pro and PC content, and restored plant growth. These findings shed light on the effect of GABA in improving the physiological mechanisms of mustard seedlings in response to Cr stress.

Intraocular Vascular Endothelial Growth Factor Levels in Pachychoroid Neovasculopathy and Neovascular Age-Related Macular Degeneration.

Abstract: Purpose To investigate the difference in intraocular vascular endothelial growth factor (VEGF) concentration between pachychoroid neovasculopathy and neovascular age-related macular degeneration (nAMD) and its associations with responses to three monthly anti-VEGF injections as an initial treatment for the two conditions. Methods This study included nine eyes with treatment-naive pachychoroid neovasculopathy and 21 eyes with treatment-naive nAMD. Before the initial intravitreal anti-VEGF injection, aqueous humor samples were collected and the concentration of VEGF was measured using enzyme-linked immunosorbent assay. The concentration was compared between the two conditions, and its associations with responses to anti-VEGF therapy were investigated. Results The mean VEGF concentration in pachychoroid neovasculopathy was significantly lower than that in nAMD (63.4 ± 17.8 pg/ml and 89.8 ± 45.0 pg/ml, respectively; P = 0.035). The VEGF concentration was associated with the presence or absence of drusen (β = 0.503, P = 0.004). After anti-VEGF therapy, 6 (66.7%) of 9 eyes with pachychoroid neovasculopathy and 17 (81.0%) of 21 eyes with nAMD achieved dry macula (P = 0.640). Dry macula at 3 months and 12 months was significantly associated with a low VEGF concentration in pachychoroid neovasculopathy (P = 0.013 and P = 0.042, respectively), but not in nAMD (P = 0.108 and P = 0.219). Conclusions The mean VEGF concentration in pachychoroid neovasculopathy was lower than that in nAMD, suggesting that the way in which VEGF is involved in angiogenesis may differ between pachychoroid neovasculopathy and nAMD.

Bevacizumab for malignant gliomas: current indications, mechanisms of action and resistance, and markers of response.

Abstract: Vascular endothelial growth factor (VEGF) is an attractive target of antiangiogenic therapy in glioblastomas. Bevacizumab (Bev), a humanized anti-VEGF antibody, is associated with the improvement of progression-free survival and performance status in patients with glioblastoma. However, randomized trials uniformly suggest that these favorable clinical effects of Bev do not translate into an overall survival benefit. The mechanisms of action of Bev appear to include the inhibition of tumor angiogenesis, as well as indirect effects such as the depletion of niches for glioma stem cells and stimulation of antitumor immunity. Although several molecules/pathways have been reported to mediate adaptation and resistance to Bev, including the activation of alternative pro-angiogenic pathways, the resistance mechanisms have not been fully elucidated; for example, the mechanism that reinduces tumor hypoxia remains unclarified. The identification of imaging characteristics or biomarkers predicting the response to Bev, as well as the better understanding of the mechanisms of action and resistance, is crucial to improve the overall clinical outcome and optimize individual therapy. In this article, the authors review the results of important clinical trials/studies, the current understanding of the mechanisms of action and resistance, and the knowledge of imaging characteristics and biomarkers predicting the response to Bev.

Crustal structure of the southern Okinawa Trough: Symmetrical rifting, submarine volcano, and potential mantle accretion in the continental back-arc basin

Abstract: Back-arc basins are a primary target to understand lithospheric evolution in extension associated with plate subduction. Most of the currently active back-arc basins formed in intraoceanic settings and host well-developed spreading centers where seafloor spreading has occurred. However, rift structure at its initial stage, a key to understand how the continental lithosphere starts to break in a magma-rich back-arc setting, is poorly documented. Here we present seismological evidence for structure of the southern Okinawa Trough, an active rift zone behind the Ryukyu subduction zone. We find that the southern Okinawa Trough exhibits an almost symmetric rift system across the rift axis (Yaeyama Rift) and that the sedimentary layers are highly cut by inward dipping normal faults. The rift structure also accompanies a narrow (2–7 km wide) on-axis intrusion resulted from passive upwelling of magma. On the other hand, an active submarine volcano is located ~10 km away from the rift axis. The P wave velocity (Vp) model derived from seismic refraction data suggests that the crust has been significantly thinned from the original ~25 km thick arc crust and the thinnest part with 12 km thickness occurs directly beneath the rift axis. The velocity model also reveals that there exists a thick layer with Vp of 6.5–7.2 km/s at lower crustal levels and may indicate that mantle materials accreted at the bottom of the crust during the crustal stretching. The abrupt crustal thinning and the velocity-depth profile suggest that the southern Okinawa Trough is at a transitional stage from continental rifting to seafloor spreading.

Performance evaluation of a strain-gauge force sensor for a haptic robot-assisted catheter operating system

Abstract: A robotically assisted catheterization system can obviously reduce the radiation exposure to the surgeon and lesson the fatigue caused by standing for long time in protective clothing. However, effective detection and feedback of proximal force signals is essential to the success of a surgery. This paper presents a compact, cost-effective force-sensing device based on strain gauges, for our team developed slave side, to measure the proximal force signals of the input catheter. A significant advantage is that the proposed sensing device can detect the force signals directly without any mechanical transmission, and this can increase the measurement accuracy of force information. In addition, a haptic interface based on MR fluid is designed to provide a realistic sense of operation according to the force signals from the slave side, so as to improve the safety and success of a surgery. Comparing experimental results from an insertion test and a load cell, show that the average error for force measurement is less than 0.01 N. This research provides important insights into the design of compact, ergonomic, robotic catheter manipulators for intraoperative navigation using effective tactile sensing devices.

Expert consensus document: Semantics in active surveillance for men with localized prostate cancer — results of a modified Delphi consensus procedure

Abstract: Active surveillance (AS) is broadly described as a management option for men with low-risk prostate cancer, but semantic heterogeneity exists in both the literature and in guidelines. To address this issue, a panel of leading prostate cancer specialists in the field of AS participated in a consensus-forming project using a modified Delphi method to reach international consensus on definitions of terms related to this management option. An iterative three-round sequence of online questionnaires designed to address 61 individual items was completed by each panel member. Consensus was considered to be reached if ≥70% of the experts agreed on a definition. To facilitate a common understanding among all experts involved and resolve potential ambiguities, a face-to-face consensus meeting was held between Delphi survey rounds two and three. Convenience sampling was used to construct the panel of experts. In total, 12 experts from Australia, France, Finland, Italy, the Netherlands, Japan, the UK, Canada and the USA participated. By the end of the Delphi process, formal consensus was achieved for 100% (n = 61) of the terms and a glossary was then developed. Agreement between international experts has been reached on relevant terms and subsequent definitions regarding AS for patients with localized prostate cancer. This standard terminology could support multidisciplinary communication, reduce the extent of variations in clinical practice and optimize clinical decision making.

EVALUATION OF MACULAR ISCHEMIA IN EYES WITH CENTRAL RETINAL VEIN OCCLUSION: An Optical Coherence Tomography Angiography Study.

Abstract: To quantitatively assess macular morphology and perfusion status using optical coherence tomography, and optical coherence tomography angiography in eyes with branch retinal vein occlusion when macular edema has completely resolved, and to investigate the impact on visual function. Thirty consecutive eyes with branch retinal vein occlusion–macular edema that resolved after treatment with intravitreal ranibizumab injections were included. Macular sensitivity was measured by microperimetry; defect length of foveal ellipsoid zone band was measured using optical coherence tomography; foveal avascular zone and parafoveal nonperfusion areas (NPA) were measured by optical coherence tomography angiography. The logarithm of minimum angle of resolution visual acuity was significantly associated with the defect length of the foveal ellipsoid zone band (P = 0.005), the parafoveal NPA in the superficial capillary plexus (P = 0.007), and the parafoveal NPA in the deep capillary plexus (P = 0.006). Macular sensitivity correlated with parafoveal thickness on the affected side (P = 0.034), the defect length of the foveal ellipsoid zone band (P = 0.048), parafoveal NPA in the superficial capillary plexus (P = 0.008), and parafoveal NPA in the deep capillary plexus (P = 0.012). Multivariate analysis where the only significant parameters in the univariate analyses were used as the independent variables showed that parafoveal NPA was most significantly associated with the logarithm of minimum angle of resolution visual acuity (β = 0.500, P = 0.005) and macular sensitivity (β = −0.480, P = 0.007). In eyes with branch retinal vein occlusion–macular edema resolved by intravitreal ranibizumab treatments, visual function was strongly associated with parafoveal NPA size.

Nitric oxide pretreatment enhances antioxidant defense and glyoxalase systems to confer PEG-induced oxidative stress in rapeseed

Abstract: Nitric oxide (NO) is dynamic molecule implicated in diverse biological functions demonstrating its protective effect against damages provoked by abiotic stresses. The present study investigated that exogenous NO pretreatment (500 µM sodium nitroprusside, 24 h) prevented the adverse effect of drought stress [induced by 10% and 20% polyethylene glycol (PEG), 48 h] on rapeseed seedlings. Drought stress resulted in reduced relative water content with increased proline (Pro) level. Drought stress insisted high H2O2 generation and consequently increased membrane lipid peroxidation which are clear indications of oxidative damage. Drought stress disrupted the glyoxalase system too. Exogenous NO successfully alleviated oxidative damage effects on rapeseed seedlings through improving the levels of nonenzymatic antioxidant pool and upregulating antioxidant enzymes’ activities. Improvement of glyoxalase system (glyoxalase I and glyoxalase II activities) by exogenous NO was significant to improve plants’ toler...

A multicenter phase II prospective clinical trial of glucocorticoid for patients with untreated IgG4-related disease

Abstract: Objective: Although glucocorticoids are effective for patients with IgG4-related disease, the treatment has not yet been standardized. Therefore, the treatment strategy should be established.Patients and methods: Patients who fulfilled the comprehensive diagnostic criteria for definite IgG4-related disease were started on prednisolone (0.6 mg/kg body weight) with the dose reduced every two weeks. The subsequent maintenance dose and need for prednisolone were determined for individual patients. The primary endpoint was the complete remission (CR) rate at one year. Secondary endpoints included overall response rate (ORR), the maintenance dose, the relapse rate, and adverse events.Results: This study enrolled 61 patients. After clinicopathological review, three patients were excluded, and one, 13, and 44 patients were diagnosed with probable, possible, and definite IgG4-related disease, respectively. Of the 44 patients with definite IgG4-RD, 29 (65.9%) achieved CR, and the ORR was 93.2%. No patient w...