Carnosine (β-alanyl-L-histidine) is a small dipeptide with numerous beneficial effects, including the maintenance of the acid-base balance, antioxidant properties, chelating agent, anti-crosslinking, and anti-glycation activities. High levels of carnosine and its analogue anserine (1-methyl carnosine) are found in skeletal muscle and the brain. Zinc (Zn)-induced neurotoxicity plays a crucial role in the pathogenesis of vascular dementia (VD), and carnosine inhibits Zn-induced neuronal death. Here, the protective activity of carnosine against Zn-induced neurotoxicity and its molecular mechanisms such as cellular Zn influx and Zn-induced gene expression were investigated using immortalised hypothalamic neurons (GT1-7 cells). Carnosine and anserine protected against Zn-induced neurotoxicity not by preventing increases in intracellular Zn(2+) but by participating in the regulation of the endoplasmic reticulum (ER) stress pathway and the activity-regulated cytoskeletal protein (Arc). Accordingly, carnosine and anserine protected against neurotoxicity induced by ER-stress inducers thapsigargin and tunicamycin. Hence, carnosine and anserine are expected to have future therapeutic potential for VD and other neurodegenerative diseases.
Background
The study was conducted to evaluate the clinical and computed tomography (CT) findings of non‐small cell lung cancer (NSCLC) patients to distinguish between
ALK
gene rearrangement,
EGFR
mutation, and non‐
ALK
/
EGFR
(no genetic abnormalities).
Methods
We enrolled 201 patients with primary NSCLC who had undergone molecular testing for both
ALK
gene rearrangement and
EGFR
mutation. The clinical features and CT findings of the main lesion and associated pulmonary abnormalities were investigated.
Results
Female gender (
P
= 0.0043 vs. non‐
ALK
/
EGFR
), young age (
P
= 0.0156 vs.
EGFR
), and a light or never smoking history (
P
= 0.0039 vs. non‐
ALK
/
EGFR
) were significant clinical characteristics of NSCLC with
ALK
gene rearrangement. The significant CT characteristics compared to NSCLC with
EGFR
mutation were a large mass (
P
= 0.0155), solid mass (
P
= 0.0048), and no air bronchogram (
P
= 0.0148). A central location (
P
= 0.0322) and lymphadenopathy (
P
= 0.0353) were also more frequently observed. Coexisting emphysema was significantly less frequent in NSCLC patients with
ALK
gene rearrangement (
P
= 0.0135) than non‐
ALK
/
EGFR
.
Conclusions
NSCLC with
ALK
gene rearrangement was more likely to develop in younger women with a light or never smoking history. The characteristic CT findings of NSCLC with
ALK
gene rearrangement were a large solid mass, less air bronchogram, a central location, and lymphadenopathy.
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