Expression of Parkin,APC, APE1, and Bcl-xL in Colorectal Polyps

Colorectal cancer can develop through molecular, chromosomal, and epigenetic cumulative changes that transform the normal intestinal epithelium into the colorectal polyps, called conventional adenomas (CAs) or serrated polyps (SPs), recognized as precursors of invasive colorectal neoplasia. These benign lesions need to explore the morphology, histological diagnosis, and biomarkers profile to accurately characterize lesions with potential for evolution to cancer. This study aimed to correlate the immunohistochemical expression of Parkin and Adenomatous Polyposis Coli (APC; tumor suppressors), Human Apurinic/Apyrimidinic endonuclease 1 (APE1), and B-cell lymphoma-extra-large (Bcl-xL; oncogenic proteins) in sporadic colorectal polyps with clinical, endoscopic, and diagnostic data. Immunohistochemical analysis was performed on tissue microarray samples of 306 polyps. Based on the Allred score, the expressions were graduated in the cytoplasm and nucleus of superficial and cryptic cells. There was higher Parkin nuclear expression (p=0.006 and 0.010) and APC cytoplasmic expression in cryptic cells (p<0.001) in SPs. CAs, APE1 (p<0.001) and Bcl-xL (p<0.001) were more expressed in the nuclei and cytoplasms, respectively. These results are related to the biological role proposed for these proteins in cellular functions. They can contribute to the diagnosis criteria for polyps and improve the knowledge of biomarkers that could predict cancer development:     

Delayed maturation in the colonial coralGoniastrea aspera (Scleractinia): whole-colony mortality, colony growth and polyp egg production

The present study examines (1) the cost of reproduction on colony growth, and (2) relationships among sexual maturity, whole-colony mortality rate and colony growth rate inGoniastrea aspera free from external influences by macrobenthos. Survival of colonies in permanent plots was followed for two years. Egg production by polyps in colonies collected just before the first spawning of a year was estimated by dissecting the polyps. Growth of the colonies (increase in number of polyps) was followed over one annual reproductive cycle. The cost of egg production on colony growth was apparent through colony ontogeny: (1) immature colonies had a greater annual growth rate than mature colonies, but produced almost no eggs; (2) in mature colonies, growth rate was negatively correlated with NE/PV (number of eggs per polyp volume mm^-3). Annual whole-colony mortality was high in colonies with fewer than11 polyps in initial colony size, while mortality was extremely low once a colony grew beyond this size. This critical size for low whole-colony mortality was much smaller than the colony size (40 polyps) which would attain maturity one year later. Age at maturity was estimated as six years. While survival to maturity may be a selective force for the evolution of delayed maturation, the present data suggest that high colony fecundity, achieved after a long growth period as an immature colony, and an abrupt decrease of colony growth rate after maturation are the crucial forces.     

胃底腺息肉与胃增生性息肉的临床、内镜特征分析

目的:分析胃底腺息肉与胃增生性息肉的临床、内镜下等特点。方法:回顾性搜集胃镜检出的经病理证实的胃底腺息肉和胃增生性息肉393例纳入分析,按年龄、性别、发生部位、大小、幽门螺杆菌(helicobacter pylori)感染状态、是否使用质子泵抑制剂(proton pump inhibitor)等因素进行分析比较。结果:393例增生性息肉与胃底腺息肉中,男178例,女215例,男女比例为1:1.2,年龄28~89岁。随着年龄的增高,胃息肉发生率越高,但各年龄段分布差异无统计学意义(P>0.05)。不同部位的增生性息肉与胃底腺性息肉大小相比差异有统计学意义(P<0.05)。两种胃息肉的性别分布差异有统计学意义(P<0.05)。增生性息肉H.pylori感染率较胃底腺性息肉高(P<0.05),而胃底腺息肉质子泵抑制剂使用率较胃增生性息肉高(P<0.05)。结论:增生性息肉与幽门螺旋杆菌感染有关,胃底腺息肉与质子泵抑制剂使用有关。对胃底腺息肉与胃增生性息肉的临床、内镜特点的分析有助于胃镜检查对胃息肉性质的初步判断,提高诊断的准确性。     

Assessment of the Incremental Benefit of Computer-Aided Detection (CAD) for Interpretation of CT Colonography by Experienced and Inexperienced Readers

Objectives

To quantify the incremental benefit of computer-assisted-detection (CAD) for polyps, for inexperienced readers versus experienced readers of CT colonography.

Methods

10 inexperienced and 16 experienced radiologists interpreted 102 colonography studies unassisted and with CAD utilised in a concurrent paradigm. They indicated any polyps detected on a study sheet. Readers’ interpretations were compared against a ground-truth reference standard: 46 studies were normal and 56 had at least one polyp (132 polyps in total). The primary study outcome was the difference in CAD net benefit (a combination of change in sensitivity and change in specificity with CAD, weighted towards sensitivity) for detection of patients with polyps.

Results

Inexperienced readers’ per-patient sensitivity rose from 39.1% to 53.2% with CAD and specificity fell from 94.1% to 88.0%, both statistically significant. Experienced readers’ sensitivity rose from 57.5% to 62.1% and specificity fell from 91.0% to 88.3%, both non-significant. Net benefit with CAD assistance was significant for inexperienced readers but not for experienced readers: 11.2% (95%CI 3.1% to 18.9%) versus 3.2% (95%CI -1.9% to 8.3%) respectively.

Conclusions

Concurrent CAD resulted in a significant net benefit when used by inexperienced readers to identify patients with polyps by CT colonography. The net benefit was nearly four times the magnitude of that observed for experienced readers. Experienced readers did not benefit significantly from concurrent CAD.     

Effects of temperature and light intensity on asexual reproduction of the scyphozoan, <Emphasis Type="Italic">Aurelia aurita</Emphasis> (L.) in Taiwan

Jellyfish blooms cause problems worldwide, and they may increase with global warming, water pollution, and over fishing. Benthic polyps (scyphistomae) asexually produce buds and small jellyfish (ephyrae), and this process may determine the population size of the large, swimming scyphomedusae. Environmental factors that affect the asexual reproduction rates include food, temperature, salinity, and light. In this study, polyps of Aurelia aurita (L.), which inhabit Tapong Bay, southwest Taiwan, were tested in nine combinations of temperature (20, 25, 30°C) and light intensity (372, 56, and 0 lux) in a 12 h light–12 h dark photoperiod. Production of new buds decreased with warmer temperature and stronger light intensity. Warm temperature accelerated strobilation and increased the daily production of ephyrae. The proportion of ephyrae of total asexual reproduction (new buds + ephyrae) increased dramatically in warmer temperature and more light. Survival was reduced in the highest temperature. Strobilation did not occur in the lowest temperature in darkness. All measures of total asexual reproduction indicated that mid- to high temperatures would lead to faster production of more jellyfish. Continuous high temperatures might result in high polyp mortality. Light affected asexual reproduction less than did temperature, only significantly accelerating the strobilation rate. Because the interactive effects of light and temperature were significant for the time period polyps survived and the potential production of jellyfish polyp⁻¹, combined light and temperature effects probably are important for strobilation in situ. Guest editors: K. A. Pitt & J. E. Purcell Jellyfish Blooms: Causes, Consequences, and Recent Advances     

内镜下氩离子凝固术、高频电凝电切术及黏膜切除术治疗结肠息肉的疗效比较研究

目的:探讨内镜下氩离子凝固术、高频电凝电切术及黏膜切除术治疗结肠息肉的疗效。方法:选取2016年1月～2018年5月期间我院收治的拟行内镜下治疗的结肠息肉患者180例(298枚息肉)为研究对象。根据不同的术式将患者分为内镜下氩离子凝固术组(n=59,96枚息肉,行内镜下氩离子凝固术)、高频电凝电切术组(n=61,103枚息肉,行高频电凝电切术)以及黏膜切除术组(n=60,99枚息肉,行黏膜切除术),比较三组患者围手术期指标以及临床疗效,并记录三组术后并发症发生情况。结果:三组患者术后住院时间、平均息肉个数整体及组间两两比较差异无统计学意义(P0.05);高频电凝电切术组手术时间显著短于内镜下氩离子凝固术组、黏膜切除术组(P0.05),内镜下氩离子凝固术组、黏膜切除术组手术时间比较差异无统计学意义(P0.05)。内镜下氩离子凝固术组、黏膜切除术组扁平及浅表隆起息肉的治愈率显著高于高频电凝电切术组(P0.05);高频电凝电切术组、黏膜切除术组亚蒂及有蒂隆起息肉的治愈率显著高于内镜下氩离子凝固术组(P0.05)。三组患者术后并发症发生率比较无差异(P0.05)。结论:对于亚蒂及有蒂隆起的结肠息肉患者,高频电凝电切术和黏膜切除术的治疗效果优于内镜下氩离子凝固术,而对于扁平及浅表隆起的结肠息肉患者,内镜下氩离子凝固术和黏膜切除术的治疗效果优于高频电凝电切术,临床可根据患者具体息肉情况选择合适的术式。     

Reef-Building Corals—Symbiotic Autotrophic Organisms: 2. Pathways and Mechanisms of Adaptation to Light

Ways, mechanisms, and responses of ontogenetic adaptation of reef-building corals to light are discussed on the basis of original and literature data. The possible ways of photoacclimation of corals within the range of tolerance to light are shown: (1) adaptation to bright light (>70% incident photosynthetic active radiation, PAR_s), (2) adaptation to moderate shade (50–10% PAR_s), and (3) adaptation to extremely low light (<5% PAR_s). In each of the ways, general and specific mechanisms and reactions are involved in photoacclimation of corals. Adaptive changes take place in plant (zooxanthellae) and animal (polyps) components of the symbiotic organism. They involve morphology, physiology, and biochemistry of colonial polyps and their zooxanthellae. During changes of the light regime, some adaptive reactions last several months and others occur within a few days. Some physiological and biochemical alterations occur as early as the next day after the light regime changes. The wide range of light tolerance of corals and a great number of mechanisms and reactions of photoacclimation allowing corals to adapt to bright and low light with minimum losses in their metabolic activity give grounds to classify them as a single ecological group of light- and shade-tolerant organisms.     

Molecular phylogenetics of the siphonophora (Cnidaria), with implications for the evolution of functional specialization

Siphonophores are a group of pelagic colonial hydrozoans (Cnidaria) that have long been of general interest because of the division of labor between the polyps and medusae that make up these "superorganisms." These polyps and medusae are each homologous to free living animals but are generated by an incomplete asexual budding process that leaves them physiologically integrated. They are functionally specialized for different tasks and are precisely organized within each colony. The number of functional types of polyps and medusae varies across taxa, and different authors have used this character to construct phylogenies polarized in opposite directions, depending on whether they thought siphonophore evolution proceeded by a reduction or an increase in functional specialization. We have collected taxa across all major groups of siphonophores, many of which are found exclusively in the deep sea, using remotely operated underwater vehicles (ROVs) and by SCUBA diving from ships in the open ocean. We have used 52 siphonophores and four outgroup taxa to estimate the siphonophore phylogeny with molecular data from the nuclear small subunit ribosomal RNA gene (18S) and the mitochondrial large subunit ribosomal RNA gene (16S). Parsimony reconstructions indicate that functionally specialized polyps and medusae have been gained and lost across the phylogeny. Maximum likelihood and Bayesian analyses of morphological data suggest that the transition rate for decreased functional specialization is greater than the transition rate for increased functional specialization for three out of the four investigated categories of polyps and medusae. The present analysis also bears on several long-standing questions about siphonophore systematics. It indicates that the cystonects are sister to all other siphonophores, a group that we call the Codonophora. We also find that the Calycophorae are nested within the Physonectae, and that the Brachystelia, a historically recognized grouping of short-stemmed taxa, are polyphyletic. [Cnidaria; colonial animals; deep sea; division of labor; functional specialization; Hydrozoa; phylogenetics; Siphonophores.].     

尼龙绳与钛夹在预防内镜下切除大肠宽蒂息肉术后出血的疗效 和安全性的比较

目的:比较尼龙绳和钛夹在预防大肠宽蒂息肉切除后出血的疗效和安全性的比较.方法:从2005年1月至2011年9月连续选择155例患大肠宽蒂息肉和有蒂且顶部直径大于10mm息内的患者.随机分为3组.A组(53例),将尼龙绳套扎息肉的基底部,然后使用常规的套圈器进行息肉电切术.B组(52例),使用常规的套圈器进行息肉电切术,然后残端使用钛夹缝合.C组(50例),使用常规的套圈器进行息肉电切术.结果:所有息肉均成功摘除.A组和B组1例出血;C组5例出血,其中1例需要手术干预.结论:大肠宽蒂息肉常规圈套器进行息肉电切术具有较大的出血风险;尼龙绳和钛夹对内镜下切除大肠宽蒂息肉术后出血具有良好的预防作用.     

Sexual reproduction in the tropical corallimorpharian Rhodactis rhodostoma

Abstract. Polyps of the tropical corallimorpharian Rhodactis rhodostoma segregate sexes between center and edge positions within aggregations produced by clonal replication. On a reef flat at Eilat, northern Red Sea, infertile polyps and males occur mainly along the edges of clonal aggregations, while females mostly occupy central positions within each aggregation. In addition, on the inner to middle reef flat where polyps of this species are abundant, aggregations consist mostly of females. On the outer reef flat, where polyps are rare, a sampled aggregation consisted mostly of males and infertile polyps. Male polyps are significantly smaller than females, and the smallest polyps are infertile. Fecundity increases significantly with polyp size in females, but testis size and number do not vary with body size in males. Oocytes are present in polyps during most of the year and gradually increase in size until annual spawning in June-July during the period of maximum day length. Testes do not vary significantly in size during the year and remain a small proportion of body mass (>8%). In contrast, females invest up to 30% of their body mass into gonads during the months immediately before spawning. The annual spawning of gametes coincides with a temporary drop in the frequency of clonal replication by polyps. We estimate that each female polyp of R. rhodostoma may release up to 3000 large eggs (500 μm in maximum diameter) each summer. The high investment of this corallimorpharian in sexual production of planktonic propagules may allow rapid dispersal to reef habitats distant from parent populations.