Predicting retinal pigment epithelium remodelling and its functional impact

Graefe's Archive for Clinical and Experimental Ophthalmology - To identify predictive factors for RPE tear remodelling and its correlation with functional and morphological outcomes....     

Comparative Study of Automotive, Aircraft and Biogenic Emissions of Aldehydes and Aromatic Compounds

Air samples were collected in three well characterized locations in the city of Rio de Janeiro, Brazil: downtown, the idle and taxi way areas of the national airport and an urban forest, where the main emissions are from vehicular, aircraft and biogenic sources, respectively. Aldehydes and BTEX concentrations show a characteristic profile which may be attributed to the emission sources. Formaldehyde/acetaldehyde ratios, in the early morning, were 1.39, 0.62 and 2.22 in downtown, airport and forest, respectively. Toluene/benzene ratios, for downtown, airport and forest areas, were 1.11, 1.82 and 1.06, respectively. The results show that the impact of the urban emissions on the forest is negligible as well as the impact of aircraft emissions over the urban area.     

A Clear Cell Renal Cell Carcinoma Inhibiting the Response to Intravitreal Antivascular Endothelial Growth Factor Therapy in Wet Age-Related Macular Disease

Purpose

Wet age-related macular degeneration (AMD) is an ocular disorder that can be successfully treated with intravitreal antivascular endothelial growth factor (VEGF) therapy. We report a case of incomplete response to intravitreal therapy associated with a clear cell renal cell carcinoma (ccRCC).

Methods

A 72-year-old male with wet AMD responded poorly to intravitreal bevacizumab and ranibizumab injections. The removal of a ccRCC led to the spontaneous stabilization of the choroidal neovascular lesion. The renal carcinoma was examined for Von Hippel-Lindau (VHL) gene alterations. Immunohistochemical profiling of the hypoxia-inducible factor (HIF) pathway addressing the marker HIF-1α and its downstream targets VEGF, glucose transporter 1 and carbonic anhydrase IX was performed.

Results

Genotyping of the ccRCC revealed the presence of a truncating VHL mutation (p.E134fs*25). Immunohistochemistry displayed HIF pathway target activation and VEGF expression in the ccRCC tumour cells. Following tumour removal, the neovascular lesion remained stable for 6 months without any further anti-VEGF therapy.

Conclusion

The somatic VHL mutation correlates with persistent high levels of HIF-1α pathway targets and VEGF expression in the ccRCC. We postulate that this increased VEGF in the tumour and subsequently in the plasma levels could have caused the incomplete response to intravitreal anti-VEGF therapy. Stabilization of the wet AMD following tumour removal indicates that the angiogenic secreting tumour (ccRCC) abrogates the response to VEGF inhibitor therapy. Thus, in cases of poor response to intravitreal anti-VEGF therapy, systemic evaluation including plasma levels of VEGF and/or systemic screening for VEGF-producing tumours should be considered.Key words: Wet age-related macular degeneration, Vascular endothelial growth factor, Von Hippel-Lindau, Renal cell carcinoma, Pseudohypoxia, Bevacizumab, Ranibizumab     

Minocycline for the treatment of cutaneous silicone granulomas: A case report

Silicone oil injections are often used for soft tissue augmentation and local and general adverse effects occurring from a few months to 15 years after injection have been reported. Here, we present a case of delayed granuloma formation due to liquid injectable silicone with large extent of involvement, which precluded surgical removal. Our patient was successfully treated with minocycline, considering its anti-inflammatory, immunomodulating and antigranulomatous properties. This case presents minocycline monotherapy as a useful treatment option for the management of severe granuloma induced by silicone use when surgical excision is not possible.     

Analysis of TPI gene promoter variation in three sub‐Saharan Africa population samples

Population samples from Angola, Mozambique, and S. Tomé e Príncipe were screened for the TPI gene promoter variants ‐5A→G, ‐8G→A and ‐24T→G. Three haplotypes were identified in the three populations: the haplotype ‐5A‐8G‐24T (average frequency 65.3%) and two less common haplotypes ‐5G‐8G‐24T (average frequency 24.7%) and ‐5G‐8A‐24T (average frequency 10.0%). A population sample from Central Portugal showed the haplotype ‐5A‐8G‐24T in 139 chromosomes and one subject heterozygous for haplotype ‐5G‐8A‐24G. The exact test of sample differentiation among three groups of malaria‐infected individuals classified according to the severity of the disease showed no significant differences. We confirmed TPI gene diversity in sub‐Saharan Africa, but we could not detect any association between TPI promoter variation and a malarial protective effect. Larger scale epidemiological studies are thus required to clarify this putative mechanism of natural host defense against this worldwide public health problem. Am. J. Hum. Biol., 2009. © 2008 Wiley‐Liss, Inc.     

Effect of Chemotherapy on Dietary Glycemic Index and Load in Patients with Breast Cancer and Their Relationships to Body Fat and Phase Angle

Dietary glycemic index (GI) and glycemic load (GL) are indicators of carbohydrate consumption and widely used in studies evaluating the risk for breast cancer. However, the effect of chemotherapy on these indices has been scarcely studied. The aim of this study was to evaluate dietary levels of GI and GL in women with breast cancer during chemotherapy treatment and their relationships to body fat and phase angle. Twenty-five patients were assessed according to demographic, clinical, anthropometric, and food consumption data. Dietary intake was assessed by 24-h dietary recalls applied on nonconsecutive days. Anthropometric measures and body composition were determined at all study timepoints: prior to the first chemotherapy cycle (T0), immediately after the last chemotherapy cycle (T1), and 2 months after T1 (T2). There was no difference in mean GI and GL among study timepoints. However, a high prevalence of inadequate GI and GL values was noted, independent of study timepoint. GI and GL were associated with phase angle at T1. GI was associated with percentage fat at T0 only. Dietary GI and GL were unchanged during chemotherapy, but were associated with indicators of clinical outcome, such as percentage fat and phase angle.