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Biomedical subjects

A Reiner

Publications and source records attributed to A Reiner.

At least 145 records · Page 8Linked to original sources
PubMed1994

Prognostic factors in primary fallopian tube carcinoma. Austrian Cooperative Study Group for Fallopian Tube Carcinoma.

A retrospective nationwide evaluation of primary fallopian tube carcinomas for a period of 10 years (1980-1990) was performed to evaluate the prognostic impact of various factors. Sixty-six cases were investigated for the prognostic influence of estrogen (ER) and progesterone (PgR) status, mitotic activity, degree of nuclear anaplasia, and inflammatory reaction. ER and PgR receptors were detected by immunohistochemistry from paraffin sections. Forty-two percent were PgR-positive and 26% were ER-positive. However, no correlation of steroid receptors with survival could be found. Ninety-two percent of all tumors showed a moderate and high degree of nuclear anaplasia and only 8% showed a low degree of nuclear anaplasia. Thirty-four (52%) samples from all patients revealed low mitotic activity compared to 32 (48%) with an intermediate and high mitotic rate. Twenty-four (37%) tissue samples showed a positive inflammatory reaction which correlated with a significantly better outcome compared with tumors without this feature. This finding was also confirmed in multivariate analysis as an independent prognostic factor.

Fallopian Tube Neoplasms↗
PubMed1994

Thymidine labeling index and Ki-67 growth fraction in breast cancer: comparison and correlation with prognosis.

In situ determination of proliferative activity was performed on 184 consecutive primary invasive breast cancers. Methods used were monoclonal antibody Ki-67 in immunohistochemistry and thymidine labeling index. Tumor proliferation correlated between both methods (p = 0.0001). For thymidine labeling index and Ki-67, respectively, significant correlations existed with histologic tumour grade and steroid hormone receptors (Tumor grade: TLI p = 0.0001; Ki-67 p = 0.0001. ER-ICA: TLI = 0.0001; Ki-67 p = 0.014. PgR-ICA: TLI p = 0.0001; Ki-67 p = 0.0008). For thymidine labeling index a significant correlation was demonstrated for overall survival (p = 0.001) and recurrence free survival (p = 0.01). No statistical significance was observed for clinical outcome and Ki-67 (overall survival p = 0.18; recurrence free survival p = 0.1). None of the factors, TLI or Ki-67, was an independent prognostic factor as demonstrated by multivariate analysis.

Breast Neoplasms↗
PubMed1994

Coexpression of HER-2/neu and p53 is associated with a shorter disease-free survival in node-positive breast cancer patients.

Breast cancer tissue was examined for overexpression of HER-2/neu and p53 oncogene proteins. Samples from 105 breast cancer patients were investigated by Western-blot analysis and their relationship to other established markers and clinical outcome was examined. In 21.0% of the cases HER-2/neu was overexpressed, and in 46.7% the p53 protein level was increased. Expression of these two oncogene products was closely correlated. Overexpression of both oncogenes was associated with larger tumour size and negative hormone receptor. The percentage of HER-2/neu and p53 overexpression was higher in node-positive patients, although statistical evaluation was not significant. While overexpression of HER-2/neu as well as p53 in node-positive patients was associated insignificantly with shorter disease-free survival, a significant difference could be documented when the disease-free survival of patients with overexpression of both oncogene proteins was compared to that of patients with no overexpression.

Breast Neoplasms↗
PubMed1994

Preoperative and postoperative CA-125 serum levels in primary fallopian tube carcinoma.

Levels of CA-125 were determined pre- and postoperatively in 13 patients with fallopian tube cancer. Values before surgery were significantly higher (Median 1220 IU/ml, 90-5000 IU/ml) compared with postoperative levels (Median 194 IU/ml, 67-880 IU/ml) (P = 0.0052). Correlation analysis with FIGO stage and grading failed to show any statistical significance, but a trend for a positive correlation with FIGO stage and preoperative values could be observed. The CA-125 antigen is expressed by fallopian tube carcinoma and should therefore be used in diagnosis and follow-up.

Adenocarcinoma, Mucinous↗
PubMed1994

A comparative analysis of management and prognosis in stage I and II fallopian tube carcinoma and epithelial ovarian cancer.

Staging and surgical as well as post-operative treatment of primary Fallopian tube carcinoma (FTC) followed the lines established for primary ovarian cancer (OC). In a nationwide retrospective analysis we were able to find a distinct difference between these two tumours. A total of 262 patients, 68 with FTC and 194 with OC, in stage I and II were included into this study. A univariate as well as a multivariate analysis for survival was performed, including factors such as age, histological type, grading and surgical and adjuvant treatment. A significantly poorer outcome (P = 0.0002) for FTC patients with a 5-year survival of 50.8% compared with 77.5% for OC patients was observed. This finding was persistent and independent of any investigated factor, in univariate as well as multivariate analyses. Therefore, we feel that a more aggressive therapeutic approach to the treatment of FTC even in early stages can be recommended. On the other hand, the retrospective character of our study has to be taken into account.

Age Factors↗
PubMed1994

Laminar distribution of the cells of origin of ascending and descending tectofugal pathways in turtles: implications for the evolution of tectal lamination.

The major outputs of the tectum appear fundamentally similar in all vertebrate species, suggesting that the major types of tectal output neurons have been evolutionarily conserved across a wide variety of vertebrate species. Nonetheless, tectal lamination patterns vary dramatically among vertebrates. To explore the basis of this variation in lamination at a neuronal level, the laminar distribution of the cells of origin of the major ascending and descending tectofugal pathways was determined in turtles using retrograde HRP labeling and the results compared to those from similar studies in diverse other species. Four major tectal outputs were studied: 1) the ipsilateral ascending projection to nucleus rotundus of thalamus; 2) the ipsilateral ascending projection to the dorsal and ventral lateral geniculate nuclei of the thalamus; 3) the crossed descending projection to paramedian regions of the pons and medulla; and 4) the ipsilateral descending projection to cell groups of the ventrolateral pons and medulla. The projection to nucleus rotundus was found to arise exclusively from multipolar neurons of the stratum griseum centrale, while the projection to the geniculate nuclei was found to arise from radial cells with long ascending dendrites in the stratum griseum periventriculare. The crossed descending projection to the paramedian hindbrain was found to arise almost exclusively from large multipolar neurons, the majority of which were located in the stratum griseum centrale and some of which were located in the stratum griseum periventriculare. This pathway was also found to give rise to a collateral projection that ascends in the ipsilateral hypothalamus. The ipsilateral descending projection was found to arise from multipolar neurons in the stratum griseum centrale and stratum griseum periventriculare, from radial and pyramidal neurons in the stratum griseum periventriculare, and from radial neurons in stratum griseum et fibrosum superficiale. These results show that the laminar distribution of the cells of origin of tectofugal pathways in turtles does not fit the simple notion that the midbrain roof is organized into superficial layers containing neurons with ascending projections and deep layers containing neurons with descending projections. Rather, individual layers in turtles appear to give rise to both ascending and descending projections, with there being evidence that each projection arises largely from a separate set of neurons. The pattern of distribution of the cells of origin of these various pathways is different in turtles than in either birds, mammals, frogs, salamanders or teleosts. Such results suggest that considerable interspecific variation occurs in the extent to which individual homologous neuronal populations migrate superficially during tectal development.

Animals↗
PubMed1994

A pre-embedding triple-label electron microscopic immunohistochemical method as applied to the study of multiple inputs to defined tegmental neurons.

For many neural regions it is of interest to know the identity of the target structures of two different types of inputs to that neural region. Such studies require use of a triple-label immunohistochemical method to differentially label the class of target structure and the two types of input so that they can be visualized at the electron microscopic (EM) level. We describe here a procedure for combining three different markers (diaminobenzidine, benzidine dihydrochloride, and silver-intensified immunogold) for triple-label EM immunohistochemical pre-embedding labeling. All three markers are distinct at the LM and EM levels. An example of this approach as applied to studying striatal input to the ventral tegmental area is presented and the advantages of this approach are discussed.

Animals↗
PubMed1994

The effects of choroidal or ciliary nerve transection on myopic eye growth induced by goggles.

PURPOSE: To determine the role of the choroidal and ciliary nerves and the functions they control, choroidal blood flow (CBF) and accommodation-pupil diameter, respectively, in myopia induced by form-vision deprivation. METHODS: Three groups of chicks were studied: chicks with choroidal nerves cut in the right eye, chicks with ciliary nerves cut in the right eye, and sham control chicks that received the same surgical preparation but no nerve cuts. A plastic, dome-shaped goggle was glued over the right eye of birds in all three groups after orbital surgery, and, 2 weeks later, CBF was measured using laser Doppler flowmetry. Refractive status was then measured using streak retinoscopy, and axial, nasotemporal, and dorsoventral lengths were measured using vernier calipers after enucleation. The eyes were also weighed. RESULTS: In the sham control birds, considerable ocular enlargement in all dimensions and a high degree of myopia (-14.68 diopters) was observed in the goggled eye, and CBF in the goggled eye was 66% of that in the nongoggled eye. In birds with choroidal nerve cuts, the degree of enlargement of the goggled eye was less in all dimensions, and the myopia in the goggled eye (-4.74 D) was attenuated compared to that observed in the sham controls. CBF in the goggled eye was 21% of that in nongoggled eye. Finally, in the birds with ciliary nerve cuts, nasotemporal and dorsoventral enlargement of the goggled eye were similar to that in the shams, but the axial elongation and the degree of myopia (-9.57 D) were less than observed in sham control eyes. As in the shams, CBF in the goggled eye was reduced to 59% of that in the nongoggled eye. CONCLUSIONS: These results show that although elimination of accommodation and severe reductions in CBF do affect eye growth (the latter more so), they do not prevent form-vision deprivation-induced myopia. Thus, either the mechanism of visual deprivation-induced myopia is different from that in idiopathic human myopia, or CBF levels and accommodation do not play a major role in either.

Accommodation, Ocular↗
PubMed1993

Co-occurrence of gamma-aminobutyric acid, parvalbumin and the neurotensin-related neuropeptide LANT6 in pallidal, nigral and striatal neurons in pigeons and monkeys.

Immunohistochemical double-labeling techniques were used to examine the co-localization of the neurotransmitter gamma-aminobutyric acid (GABA), the calcium-binding protein parvalbumin and the neurotensin-related hexapeptide LANT6 in neurons of the striatum and its target areas in pigeons and monkeys. The studies revealed the existence of a population of striatal interneurons apparently containing all three of these substances in both monkeys and pigeons. The results also revealed that GABA and LANT6 were co-localized in numerous pallidal and nigral reticulata neurons that also contained parvalbumin in both species. Examination of diverse other cell groups in avian forebrain and midbrain revealed that parvalbumin and LANT6 were typically co-localized to GABAergic neurons. In light of the presence of pallidal, reticulata and striatal neurons containing these three substances in two widely divergent amniote groups such as pigeons and monkeys, it seems likely that: (1) comparable neuronal populations are present in other avian and mammalian species; and (2) these neuronal populations play a fundamental role in basal ganglia functions that requires these three substances.

Animals↗
PubMed1993

Osteoarthritis in the human knee: a dynamic process of cartilage matrix degradation, synthesis and reorganization.

The matrix of articular cartilage undergoes degenerative changes in osteoarthritis which involve a number of matrix molecules. The structural and mechanical integrity is organized around the composite collagen II, IX, XI fibrillar organization. The small proteoglycan decorin that binds to these fibrils may influence their structure and mechanical properties. Aggrecan interacts indirectly via hyaluronic acid and possibly directly through unknown mechanisms. When collagen is cleaved at the articular surface in early osteoarthritis, decorin and aggrecan are lost. Increases in decorin and aggrecan content occur deeper in the cartilage. This is accompanied by evidence for increased formation of collagen fibrils and increased degradation and synthesis of aggrecan and type II collagen. The net contents of these proteoglycan per tissue do not, however, change until advanced degeneration occurs. These degradative processes are likely catalyzed by metalloproteinases and cysteine proteases. Cartilage exhibits significant capacity for remodelling which may be enhanced by therapeutic management of this process.

Cartilage, Articular↗
PubMed1993

Are neostriatal dopamine receptors co-localized?

The postsynaptic effects of dopamine in the neostriatum are mediated by five G-protein-coupled receptors. The extent to which these receptors are co-localized in neostriatal neurons has become controversial. This debate has far-reaching implications for treatment strategies in disorders of dopaminergic signaling, such as Parkinson's disease and schizophrenia. This review examines the molecular and cellular evidence for and against co-localization, including new information derived from single-cell mRNA amplification and patch-clamping of isolated neurons. It is concluded that this evidence is largely consistent with co-localization of functionally significant receptors of the D1 and D2 families in the majority of neostriatal efferent neurons. This conclusion has important implications for parallel processing models of the neostriatum.

Animals↗
PubMed1993

Neurotransmitter organization and connections of turtle cortex: implications for the evolution of mammalian isocortex.

Telencephalic cortex in turtles is a simple three layered-structure. The dorsal most part of this structure is thought to resemble the reptilian forerunner of at least parts of mammalian isocortex. This dorsal part of turtle cortex contains several functionally distinct regions that show similarity in their connections and function to specific areas in mammalian isocortex. The types of neurons found in turtle dorsal cortex (as defined by their morphology and neurotransmitter content) also show great similarity to those observed in mammals, with the major exception that turtle cortex appears to lack the types of neurons found in granular and supragranular layers of mammalian isocortex. Similar results have also been observed in other living reptiles. Thus, one major step in the evolution of reptilian cortex into mammalian cortex must have been the addition of the types of neurons found in the granular and supragranular layers of mammalian isocortex. These observations for turtles also suggest that turtle cortex in particular and reptilian telencephalic cortex in general must differ functionally from mammalian isocortex with respect to those features associated with the laminar and columnar organization of isocortex. These issues are discussed in more detail below and in Reiner (1991).

Animals↗
PubMed1993

Aneuploidy fraction but not DNA index is important for the prognosis of patients with stage I and II breast cancer--10-year results.

BACKGROUND: Individual assessment of the prognosis of patients with breast cancer is crucial for the selection of risk-adapted adjuvant therapy and in follow-up. Parameters from DNA flow-cytometry have been shown to provide significant prognostic information, but published results are in conflict and there are only a few investigations with long-term follow-up. The aim of this study is to clarify the impact of tumor DNA data on the clinical course of stage I and stage II breast cancer patients. PATIENTS AND METHODS: Several flow-cytometry DNA analyses were performed on tumor samples derived from 191 breast cancer patients entered in a controlled clinical trial after a median follow-up of more than 10 years. In addition to DNA index (DNI) and the percentage of cells in S phase (SPF), an index, designated aneuploidy fraction (AF), was determined. It ascertains the percentage of aneuploid cells out of all cells in the DNA flow-cytometry histogram, and its reproducibility has been tested by measurements of AF in two different samples of the same tumor. Univariate analyses and, in the 122 patients for whom complete information was available, a Cox model, were performed to investigate the individual prognostic impact of flow-cytometry parameters compared with established clinical factors. RESULTS: AF proved to be a very valuable prognostic indicator both in univariate and multivariate analyses, whereas DNI and SPF failed to provide independent prognostic information. The combination of AF and lymph node status clearly identifies different prognostic subgroups in operable breast cancer. CONCLUSIONS: Routine evaluation of patients with breast cancer should include tumor DNA flow-cytometry. Aneuploidy fraction is a valuable tool in assessing an individual patient's prognosis and thus can help in the choice of the appropriate adjuvant treatment strategy. Whether it, rather than DNI and SPF should be used, as we found, needs to be validated in a larger prospective investigation.

Aged↗
PubMed1993

The distribution of cholinergic neurons in the central nervous system of turtles.

The distribution of cholinergic neurons was studied in painted and red-eared turtles using antisera against choline acetyltransferase (ChAT). The results showed that the organization of cholinergic systems in the central nervous system of turtles was remarkably similar to that previously described in diverse other species. For example, the present studies revealed the presence of cholinergic neurons in the striatum, the basal telencephalon, the isthmo-tectal system, and a region of cells near the cerebellar peduncle. The motoneurons of the III, IV, V, VI, VII, X and XII cranial nerves and the spinal ventral horn were also shown to be cholinergic. Additional cholinergic neurons were observed in the hypothalamus and rhombencephalic reticular formation. These results help to clarify the precise extent and location of the major cholinergic cell groups of the turtle brain, thereby adding to our understanding of the organization of the turtle nervous system. The results also reveal that the cholinergic systems of the striatum, basal forebrain, isthmic region, and cerebellar peduncular region are ancestral features of the amniote brain and are common to all living amniotes that have been studied. Thus, the organization and, presumably, the function of the cholinergic systems appear to be conservative.

Animals↗
PubMed1993

Reduction in choroidal blood flow occurs in chicks wearing goggles that induce eye growth toward myopia.

Goggles that degrade the retinal image produce axial enlargement of the ocular globe and large myopic refractive errors. Many authors have assumed that visual image degradation itself leads to myopia. Hodos and co-authors have shown, however, that goggled eyes in chicks are considerably warmer than normal. Such temperature changes may either underlie or be a consequence of alterations in choroidal blood flow (CBF). Since alterations in CBF could affect eye growth, we explored the effect of monocular goggling on CBF in chicks. Plastic goggles were glued over one eye in four-day old chicks and the goggles were left in place for 12 or 14 days. Fourteen days after the goggling, CBF was measured using laser Doppler velocimetry. Three groups of chicks were studied: 1) chicks with goggles for 14 days; 2) chicks with goggles for 12 days followed by no goggles for the two days; 3) age matched non-goggled chicks. A -scan ultrasonography confirmed that the visual deprivation produced vitreous chamber elongation in the goggled eye and that the degree of elongation for the goggled eye was the same for the two goggled groups. The results were: 1) blood flow in non-goggled chicks was similar in both eyes; 2) blood flow was significantly reduced in the goggled eye in chicks wearing goggles for 14 days- 37% of control; and 3) blood flow was still significantly reduced in the goggled eye in chicks whose goggles were removed two days before measurement- 51% of control. These results show that CBF is reduced by goggles that result in myopic eye growth.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1993

Choroidal blood flow is reduced in chicks with ocular enlargement induced by corneal incisions.

We have previously reported decreased choroidal blood flow (CBF) associated with goggle-induced ocular enlargement and myopia. It was uncertain, however, if this change in CBF was related to the occurrence of ocular enlargement or the increased ocular temperature produced by the goggle. We therefore used corneal surgery-induced ocular enlargement that eliminated the thermal effects observed with goggles to investigate the effects of ocular enlargement on CBF. Central corneal incisions (2 mm in length) were made in the right eye of 4 day old chicks and the wound sutured. In one group, the incision was oriented along the vertical meridian (with the head in its natural position -beak tip 30-45 degrees below horizontal), while in another group the incision was oriented along the horizontal meridian (with the head in its natural position). Age matched controls received no corneal incision. Two weeks later, CBF was measured using laser Doppler velocimetry. After determining CBF, the eyes were removed and axial length, nasotemporal length and dorsoventral length were measured. Ocular enlargement was induced in 11 out of 12 chicks with vertical cuts. The CBF in the operated eye of these 11 animals was 62% of that in the nonoperated eye. Ocular enlargement was also induced in eight of 14 chicks with horizontal cuts. The CBF in the operated eye in these eight chicks was 60% of that in the nonoperated eye. The extent of eye growth was greater in all dimensions in the vertical cut chicks with ocular enlargement than in the horizontal cut chicks with ocular enlargement.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗
PubMed1992

Expression of p43 in breast cancer tissue, correlation with prognostic parameters.

Placental isoferritin (PLF) and its unique superheavy chain p43 have been recently described as being synthesized by breast cancer cell lines but not by normal breast epithelial cells. Since previous reports have demonstrated a correlation between the content of 'normal' ferritin in breast cancer tissue and the degree of differentiation and prognosis, we have determined p43 in the cytosol of 122 breast cancer samples by use of the new monoclonal antibody CM-H-9. The synthesis of p43 showed a significantly negative correlation with tumor size (P = 0.0001), histologic grading (P = 0.0038), nuclear pleomorphism (P = 0.0019), rate of mitosis (P = 0.0002), lymphocytic reaction (P = 0.0001) and a significantly direct correlation with estrogen receptor status (P = 0.0009). Although patients with a higher p43 content showed a trend for a better outcome (median follow-up: 61.4 months), an independent influence of the cytosolic p43 content on survival could not be confirmed by a multiple Cox model. Therefore it seems that p43's prognostic impact is linked to the highly significant correlation with features of differentiation although a statistical bias in the Cox model due to the limited number of patients must also be taken into account. On the other hand, the significant correlation of p43 expression with factors for good prognosis was striking and consistent and warrants further research of this tumor product.

Breast Neoplasms↗