Screening for Middle East respiratory syndrome coronavirus among febrile Indonesian Hajj pilgrims: A study on 28,197 returning pilgrims

There were 211,000 Indonesian Hajj pilgrims going to Mecca through 11 main airports in 2015 who were at risk of contracting the Middle East respiratory syndrome coronavirus (MERS-CoV). We aimed to find out whether there was any occurrence of MERS-CoV by performing screening on 28,197 returning pilgrims. Those with a body temperature of > 38 °C and respiratory symptoms were sent to the airport clinic to have an oropharyngeal swab and a bacterial culture. Fifteen pilgrims had fever (> 38 °C) accompanied by respiratory symptoms; of these, 12 patients were diagnosed with upper and lower respiratory tract infections and three patients with pneumonia. However, none of them were found to be infected with MERS-CoV. The bacterial cultures showed evidence of normal flora growth.

FGFRL1 deficiency reduces motility and tumorigenic potential of cells derived from oesophageal squamous cell carcinomas

Oesophageal squamous cell carcinoma (ESCC) is an aggressive cancer that resulted in ~400,000 mortalities worldwide in 2012. It was reported previously that fibroblast growth factor receptor-like 1 (FGFRL1) is highly expressed in ESCC patients with lymph node metastasis and poor prognosis accordingly. FGFRL1 is an FGFR that lacks tyrosine kinase activity, whereas the activity is critical for other FGFRs to activate intracellular signalling. The mechanism by which FGFRL1 promotes the aggressiveness of ESCCs is unknown. In the present study, two independent FGFRL1-deficient cell lines were generated from human ESCC KYSE520 cells, in order to investigate the relationship of FGFRL1 with the aggressiveness of ESCCs. FGFRL1-deficiency did not affect proliferation of KYSE520 cells in vitro. However, a xenograft mouse model demonstrated that FGFRL1-deficiency decelerated tumour growth in vivo. The haematoxylin-eosin staining identified that FGFRL1-deficient cells formed well-differentiated squamous cell carcinomas, whereas wild-type cells formed moderately differentiated squamous cell carcinomas. Microarray analysis of mRNA expression revealed that FGFRL1-depletion resulted in decreased expression of proteins associated with motility and invasion of tumour cells, matrix metalloproteinase-1 and fibroblast growth factor binding protein 1. The wound-healing assay indicated that depleting FGFRL1 reduced cell motility. Furthermore, the invasiveness of FGFRL1-deficient cells was lesser than that of wild-type KYSE520 cells. In the FGFRL1-deficient KYSE520 cells, actin filaments around the nucleus were observed sparsely, whereas the filaments along the plasma membranes were observed as frequently as those in the parent KYSE520 cells. These results demonstrate that FGFRL1 may be involved in regulation of protein expression, actin filament assembly and tumorigenic potential of ESCC cells.

Extremely permeable porous graphene with high H2/CO2 separation ability achieved by graphene surface rejection

Fabrication of a graphene separation sheet is difficult because of the necessity for leakage-free graphene transfer onto a substrate. In this study, porous graphene sheets with thicknesses of one, two, and four layers were directly fabricated on stainless-steel mesh substrates and demonstrated to display high separation ability for H₂, CO₂, and CH₄. The single-layer graphene sample exhibited higher permeance for these molecules than double- and four-layer graphene and displayed similar high selectivity to that of other porous materials. Permeance was proportional to molecular velocity and inversely proportional to interaction strength with graphene; molecular size-dependent permeance was not seen. Molecules that interacted strongly with graphene were attracted to the graphene surface, which hindered permeation. Such graphene surface rejection allowed graphene containing larger pores than the molecular size to provide both high molecular permeance and selectivity. The relationship between the permeance of porous graphene for H₂ and H₂/CO₂ with selectivity suggested that its permeance was higher than that of other materials with high separation performance. Therefore, the porous graphene samples separated molecules with extremely high permeance by graphene surface rejection.

Designing the ammonium cation to achieve a higher hydrophilicity of bistriflimide-based ionic liquids

Development of water soluble bistriflimide-based ionic liquids and molecular dynamics simulations to unveil the underlying molecular details.

Enhanced dissolution of ibuprofen using ionic liquids as catanionic hydrotropes

Ionic liquids as powerful hydrotropes for ibuprofen, where both cation and anion may contribute to the hydrotropic mechanism in a synergistic manner.

A Case of Successful Simultaneous Pancreas-Kidney Transplantation Using the Injured Pancreas Graft

OBJECTIVE

Graft injuries sometimes occur and may cause complications such as the leakage of pancreatic secretions, which is often lethal. We report our experience of a case of successful simultaneous pancreas-kidney transplantation using injured pancreas graft.

PATIENTS AND METHODS

The recipient was a 57-year-old woman with type 1 diabetes mellitus, and the donor was a 30-year-old man with a brain injury. In the donation, the pancreas parenchyma, splenic artery, and gastroduodenal artery were injured iatrogenically. We therefore reconstructed these arteries using vessel grafts and then performed simultaneous pancreas-kidney transplantation.

RESULTS

Five days after transplantation, we noted a high titer of amylase in the ascites; therefore, we performed an urgent laparotomy. The origin of the amylase was the injured pancreatic parenchyma, and continued washing and drainage were carried out. We reconstructed the duodenojejunostomy using the Roux-en-Y technique to separate the passage of food from the pancreas graft to prevent injury to other organs due to exposure to pancreatic secretions. Thereafter, we inserted a decompression tube into the anastomosis thorough the blind end of the jejunum. Finally, we inserted 3 drainage tubes for lavage. Following this procedure, the patient recovered gradually and no longer required hemodialysis and insulin therapy. She was discharged from our hospital 56 days after transplantation.

CONCLUSION

The restoration of the injured graft was possible by management of pancreatic secretions and use of the donor's vessel grafts. Shortage of donors is a problem throughout the world; thus, it is important to use injured grafts for transplantation if possible.

Role of Neuron-Glial Interaction Mediated by IL-1β in Ectopic Tooth Pain

Although many reports have demonstrated that ectopic pain develops in the orofacial region following tooth pulp inflammation, which often causes misdiagnosis and inappropriate treatment for patients with pulpitis, the precise mechanism remains unknown. In the present study, we hypothesized that the functional interaction between satellite glial cells and neurons mediated by interleukin 1β (IL-1β) in the trigeminal ganglion (TG) is involved in ectopic orofacial pain associated with tooth pulp inflammation. The digastric muscle electromyogram (D-EMG) activity elicited by capsaicin administration into the maxillary second molar tooth pulp was analyzed to evaluate the noxious reflex and was significantly increased in rats with inflammation of the maxillary first molar (M1) versus rats injected with saline. A significant increase in the expression of connexin43 (Cx43), a gap junction containing protein, was observed in activated satellite glial cells surrounding second molar-innervating neurons in the TG after M1 pulpitis. Daily administration of Gap26, a Cx43 mimetic peptide and inhibitor, in the TG significantly suppressed the enhancement of capsaicin-induced D-EMG activity and the percentage of Fluoro-Gold (FG)-labeled cells encircled by glial fibrillary acid protein-immunoreactive (IR) + Cx43-IR cells after M1 pulp inflammation ( P < 0.01). The percentage of FG-labeled cells encircled by glial fibrillary acid protein-IR + IL-1β-IR cells, IL-1 type I receptor-IR cells labeled with FG, and TRPV1-IR cells labeled with FG significantly increased after M1 pulp inflammation ( P < 0.01). Daily administration of IL-1ra, an IL-1 receptor antagonist, into the TG significantly reduced the enhancement of capsaicin-induced D-EMG activity and the percentage of TRPV1-IR neurons labeled with FG after M1 pulp inflammation ( P < 0.01). The present findings suggest that satellite glial cell is activated in the TG via activated gap junctions composed of Cx43 following tooth pulp inflammation, which leads to the hyperactivation of remote neurons via IL-1β mechanisms and results in ectopic tooth pulp pain in the adjacent tooth.

Abstract 4430: Circulating microRNA expression profiles as a novel diagnostic biomarker for esophageal squamous cell carcinoma

Background: The findings of a recent analysis on microRNAs (miRNAs) suggest that circulating miRNAs have potential as biomarkers of esophageal squamous cell carcinoma (ESCC). In order to identify specific miRNAs of ESCC, we analyzed the circulating miRNAs of patients who underwent endoscopic mucosal resection (EMR) and esophagectomy. Method: After obtaining written informed consent, we collected paired (pre and post treatment) blood samples from 60 superficial ESCC patients and 42 pretreatment advanced ESCC patients between 2011 and 2015. Samples were divided into training (40 superficial ESCC and 22 advanced ESCC) and test (15 superficial ESCC and 20 advanced ESCC) cohorts according to the period at which they were obtained (between 2011 and 2013 and between 2014 and 2015). Fifty-five patients underwent EMR and were confirmed as stage 0 or Stage 1a. Microarray analyses of blood samples were performed using the 3D-Gene miRNA microarray platform (Toray). Normalization was achieved using the Quantile method, and poor quality samples were excluded from the analysis. Any two clinical groups were compared using a two-sided Student’s t-test. miRNAs exhibiting significant differences were subsequently evaluated using a logistic regression analysis (LRA). Multivariate LRA, Akaike’s Information Criterion (AIC), and Receiver Operating Characteristic (ROC) analyses were performed in order to evaluate the diagnostic power of miRNA combinations. In all series, we used post-EMR patients as control cases.

Results: Twelve miRNAs (miR-6722-5p, 489, 4525, 409-3p, 6088, 3678-5p, 197-5p, 4281, 5090, 3173-3p, 762, and 1470) were selected as discriminant markers (S-combination: AUC 1.00) of superficial ESCC, while 4 miRNAs (miR-4723-3p, 4646-3p, 2392, and 1236-3p) were selected as discriminant markers (A-combination: AUC 1.00) of advanced ESCC in the training cohort. There were no overlap miRNAs between the two combinations. In the test cohort, the S-combination discriminated superficial ESCC (AUC 1.00), while the A-combination discriminated advanced ESCC (AUC 1.00) from post-EMR patients. Furthermore, the S-combination discriminated advanced ESCC in the test cohort (AUC 1.00). However, the A-combination did not clearly discriminate superficial ESCC (AUC 0.833).

Conclusion: Our results suggest that selected miRNAs are useful biomarkers for the discrimination of ESCC. However, biomarkers of superficial ESCC and advanced ESCC may differ.

Citation Format: Yutaka Shimada, Yoshinori Takei, Tomoyuki Okumura, Takuya Nagata, Haruka Fujinami, Miwako Arima, Tetsuya Abe, Yasumasa Niwa, Masahiro Tajika, Tetsuo Sudo, Kazuharu Shimizu. Circulating microRNA expression profiles as a novel diagnostic biomarker for esophageal squamous cell carcinoma [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 4430. doi:10.1158/1538-7445.AM2017-4430

Theoretical study on the need for laser iridotomy in an implantable collamer lens with a hole using computational fluid dynamics

PurposeAlthough one of the advantages of the Hole-ICL implantation is that laser iridotomy (LI) is unnecessary, the evidence have not been reported from the viewpoint of aqueous humor circulation. We investigated the effect of laser iridotomy (LI) on the fluid dynamics of aqueous humor in an implantable collamer lens (ICL) with a central hole, that is, a Hole-ICL using computational fluid dynamics.MethodsA fluid dynamics simulation was performed using the thermal-hydraulic analysis software FloEFD (Mentor Graphics Corp.). For the simulation, three-dimensional eye models with a conventional ICL (Model ICM, STAAR SURGICAL) and a Hole-ICL were used. The LI diameters were 250 and 500 μm. The flow distribution between the anterior surface of the crystalline lens and the posterior surface of the ICL was also calculated.ResultsThe flow velocity 0.25 mm in front of the center of the crystalline lens in the Hole-ICL without LI, with LI of 250 μm, and with LI of 500 μm was 1.48 × 10^-1, 1.20 × 10^-1, and 4.52 × 10^-2 mm/s, respectively. The flow velocity in the conventional ICL without LI, with LI of 250 μm, and with LI of 500 μm was 1.21 × 10^-5, 3.60 × 10^-4, and 6.33 × 10^-4 mm/s, respectively.ConclusionsThese results suggest that there is less need for LI in a posterior chamber phakic intraocular lens with a central hole from the viewpoint of aqueous humor circulation, although the results can be considered only in an ideal condition and further studies are needed to clarify the effect of LI in clinical practice.