Sinonasal undifferentiated carcinoma (SNUC) is a rare aggressive neoplasm arising in the nasal cavity and paranasal sinuses. Primary sinonasal nasopharyngeal-type undifferentiated carcinoma (PSNPC) is an even rarer tumor that has not been adequately reported. Both tumors have been reported to be associated with Epstein-Barr virus (EBV). We studied the clinicopathologic features and EBV status of 36 SNUC and 13 PSNPC patients from Taiwan, an EBV endemic area. The median age of SNUC patients was 53 years (range 20-76 years), with a male/female ratio of approximately 2:1. Five patients had histories of previous nasopharyngeal carcinoma treated with irradiation 6-26 years earlier. The most common locations were nasal cavity and ethmoid sinus. Orbital and intracranial invasion and distant metastasis were frequent findings. The median survival was 10 months. All 36 tumors were negative for EBER-1 by in situ hybridization. The median age of PSNPC patients was 58 years (range 36-75 years), with a male/female ratio of approximately 2:1. The most common location is nasal cavity. Eight patients achieved disease-free survival. Eight tumors had the morphology of lymphoepithelioma, whereas significant inflammatory infiltrate was not detected in the other five tumors. All 13 tumors were positive for EBER-1 by in situ hybridization. Because of the difference in the relation with EBV, prognosis, and response to radiotherapy, SNUC and PSNPC should be considered as two entirely different entities. The most important criteria for PSNPC are vesicular nuclei, syncytial pattern, spindle cells, and absence of necrosis.
BackgroundColorectal cancer (CRC) is one of the most common malignancies but the
current therapeutic approaches for advanced CRC are less efficient. Thus,
novel therapeutic approaches are badly needed. The purpose of this study is
to investigate the involvement of nuclear protein kinase CK2 α subunit
(CK2α) in tumor progression, and in the prognosis of human CRC.Methodology/Principal FindingsExpression levels of nuclear CK2α were analyzed in 245 colorectal tissues
from patients with CRC by immunohistochemistry, quantitative real-time PCR
and Western blot. We correlated the expression levels with clinicopathologic
parameters and prognosis in human CRC patients. Overexpression of nuclear
CK2α was significantly correlated with depth of invasion, nodal status,
American Joint Committee on Cancer (AJCC) staging, degree of
differentiation, and perineural invasion. Patients with high expression
levels of nuclear CK2α had a significantly poorer overall survival rate
compared with patients with low expression levels of nuclear CK2α. In
multi-variate Cox regression analysis, overexpression of nuclear CK2α
was proven to be an independent prognostic marker for CRC. In addition,
DLD-1 human colon cancer cells were employed as a cellular model to study
the role of CK2α on cell growth, and the expression of CK2α in DLD-1
cells was inhibited by using siRNA technology. The data indicated that
CK2α-specific siRNA treatment resulted in growth inhibition.Conclusions/SignificanceTaken together, overexpression of nuclear CK2α can be a useful marker for
predicting the outcome of patients with CRC.
Chondrogenic differentiation by mesenchymal progenitor cells (MPCs) is associated with cytokines such as transforming growth factor-beta 1 (TGF-PI) and dexamethasone. Extracellular matrix (ECM) also regulates the differentiation by MPCs. To define whether ECM plays a functional role in regulation of the chondrogenic differentiation by MPCs, an in vitro model was used. That model exposed to dexamethasone, recombinant human TGF-@l(rhTGF-@I) and collagens. The results showed that MPCs incorporated with dexamethasone and rhTGF-01 increased proliferation and expression of glycosaminoglycan (GAG) after 14 days. Type 11 collagen enhanced the GAG synthesis, but did not increase alkaline phosphatase (ALP) activity. When adding dexamethasone and rhTGF-PI MPCs increased mRNA expression of sox9. Incorporation with type I1 collagen, dexamethasone and rhTGF-Pl, MPCs induced mRNA expression of aggrecan and enhanced levels of type I1 collagen, and sox9 mRNA. In contrast, incorporation with type I collagen, dexamethasone and rhTGF-PI MPCs reduced levels of aggrecan, and sox9 mRNA, and showed no type I1 collagen mRNA. Altogether, these results indicate that type I and I1 collagen, in addition to the cytokine effect, may play a functional role in regulating of chondrogenic differentiation by MPCs.
Nanostructured lipid carriers (NLCs) are drug-delivery systems composed of both solid and liquid lipids as a core matrix. It was shown that NLCs reveal some advantages for drug therapy over conventional carriers, including increased solubility, the ability to enhance storage stability, improved permeability and bioavailability, reduced adverse effect, prolonged half-life, and tissue-targeted delivery. NLCs have attracted increasing attention in recent years. This review describes recent developments in drug delivery using NLCs strategies. The structures, preparation techniques, and physicochemical characterization of NLCs are systematically elucidated in this review. The potential of NLCs to be used for different administration routes is highlighted. Special attention is paid to parenteral injection and topical delivery since these are the most common routes for investigating NLCs. Relevant issues for the introduction of NLCs to market, including pharmaceutical and cosmetic applications, are discussed. The related patents of NLCs for drug delivery are also reviewed. Finally, the future development and current obstacles needing to be resolved are elucidated.
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