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[Oncogenes and mitotic regulators: a change in perspective of our view of neoplastic processes].

Our vision of the cancer cell has dramatically changed since the discovery of proto-oncogenes, whose deregulation was proposed to mimic normal growth signalling. This notion, linking cancer to cell signalling pathways, has progressively led the way to the concept of the mutator phenotype, in which genetic instability plays an essential role in the onset of cancer. This then transformed cancer into a DNA repair disease. However, as foreseen decades ago by cytogeneticists, point mutations are not sufficient to give a full picture of the whole process. As a result, aneuploidy, rather than gene mutation, has been proposed as the explanation for the complex changes observed in cancer cells. The culprits were found among genes involved in the control of the cell division cycle, and work aimed at understanding the regulation of S phase and mitosis have yielded new insights into our understanding of cancer.

Cell Transformation, Neoplastic↗

A maximum likelihood approach for image registration using control point and intensity.

Registration of multidate or multisensor images is an essential process in many image processing applications including remote sensing, medical image analysis, and computer vision. Control point (CP) and intensity are the two basic features used separately for image registration in the literature. In this paper, an exact maximum likelihood (EML) registration method, which combines both CP and intensity, is proposed for image alignment. The EML registration method maximizes the likelihood function based CP and intensity to estimate the registration parameters, including affine transformation and CP coordinates. The explicit formulas of the Cramer-Rao bound (CRB) are also derived for the proposed EML and conventional image registration algorithms. The performances of these image registration techniques are evaluated with the CRBs.

Algorithms↗

A novel H572R mutation in the transforming growth factor-beta-induced gene in a Thai family with lattice corneal dystrophy type I.

PURPOSE: To describe a large Thai family with lattice corneal dystrophy (LCD) type I and to determine whether this LCD is associated with mutations within the transforming growth factor-beta-induced (TGFBI) gene. METHODS: A six-generation family with LCD type I was identified and diagnosed on the basis of clinical and/or histopathologic evaluation. Visual acuity testing and slit-lamp biomicroscopic evaluation were carried out and corneal photography was documented. All 17 exons and flanking intron sequences of the TGFBI gene were sequenced. RESULTS: Thirty-three participants demonstrated LCD in both eyes, most of which was symmetrical. Age at onset of decreased vision was the mid- to late twenties. Visual acuity varied from 6/6 to no light perception. Two patients, 74 and 42 years of age, demonstrated a thick yellowish plaque covering the corneal surfaces. DNA sequencing revealed a heterozygous mutation in exon 13 (A1762G), changing histidine to arginine at codon 572 (H572R). Ten of 42 clinically unaffected family members, all under 25 years of age, exhibited the same mutation. CONCLUSIONS: This is the first report of a molecular analysis of LCD type I in Thai patients. The novel mutation identified is associated with distinct phenotypes and later onset of the disease compared with the more common R124C mutation.

Adult↗

The appearance of surfaces specified by motion parallax and binocular disparity.

The experiments reported in this paper were designed to investigate how depth information from binocular disparity and motion parallax cues is integrated in the human visual system. Observers viewed simulated 3-D corrugated surfaces that translated to and fro across their line of sight. The depth of the corrugations was specified by either motion parallax, or binocular disparities, or some combination of the two. The amount of perceived depth in the corrugations was measured using a matching technique. A monocularly viewed surface specified by parallax alone was seen as a rigid, corrugated surface translating along a fronto-parallel path. The perceived depth of the corrugations increased monotonically with the amount of parallax motion, just as if observers were viewing an equivalent real surface that produced the same parallax transformation. With binocular viewing and zero disparities between the images seen by the two eyes, the perceived depth was only about half of that predicted by the monocular cue. In addition, this binocularly viewed surface appeared to rotate about a vertical axis as it translated to and fro. With other combinations of motion parallax and binocular disparity, parallax only affected the perceived depth when the disparity gradients of the corrugations were shallow. The discrepancy between the parallax and disparity signals was typically resolved by an apparent rotation of the surface as it translated to and fro. The results are consistent with the idea that the visual system attempts to minimize the discrepancies between (1) the depth signalled by disparity and that required by a particular interpretation of the parallax transformation and (2) the amount of rotation required by that interpretation and the amount of rotation signalled by other cues in the display.

Attention↗

Human oculomotor system accounts for 3-D eye orientation in the visual-motor transformation for saccades.

A recent theoretical investigation has demonstrated that three-dimensional (3-D) eye position dependencies in the geometry of retinal stimulation must be accounted for neurally (i.e., in a visuomotor reference frame transformation) if saccades are to be both accurate and obey Listing's law from all initial eye positions. Our goal was to determine whether the human saccade generator correctly implements this eye-to-head reference frame transformation (RFT), or if it approximates this function with a visuomotor look-up table (LT). Six head-fixed subjects participated in three experiments in complete darkness. We recorded 60 degrees horizontal saccades between five parallel pairs of lights, over a vertical range of +/-40 degrees (experiment 1), and 30 degrees radial saccades from a central target, with the head upright or tilted 45 degrees clockwise/counterclockwise to induce torsional ocular counterroll, under both binocular and monocular viewing conditions (experiments 2 and 3). 3-D eye orientation and oculocentric target direction (i.e., retinal error) were computed from search coil signals in the right eye. Experiment 1: as predicted, retinal error was a nontrivial function of both target displacement in space and 3-D eye orientation (e.g., horizontally displaced targets could induce horizontal or oblique retinal errors, depending on eye position). These data were input to a 3-D visuomotor LT model, which implemented Listing's law, but predicted position-dependent errors in final gaze direction of up to 19.8 degrees. Actual saccades obeyed Listing's law but did not show the predicted pattern of inaccuracies in final gaze direction, i.e., the slope of actual error, as a function of predicted error, was only -0. 01 +/- 0.14 (compared with 0 for RFT model and 1.0 for LT model), suggesting near-perfect compensation for eye position. Experiments 2 and 3: actual directional errors from initial torsional eye positions were only a fraction of those predicted by the LT model (e. g., 32% for clockwise and 33% for counterclockwise counterroll during binocular viewing). Furthermore, any residual errors were immediately reduced when visual feedback was provided during saccades. Thus, other than sporadic miscalibrations for torsion, saccades were accurate from all 3-D eye positions. We conclude that 1) the hypothesis of a visuomotor look-up table for saccades fails to account even for saccades made directly toward visual targets, but rather, 2) the oculomotor system takes 3-D eye orientation into account in a visuomotor reference frame transformation. This transformation is probably implemented physiologically between retinotopically organized saccade centers (in cortex and superior colliculus) and the brain stem burst generator.

Adult↗

On the analysis and interpretation of inhomogeneous quadratic forms as receptive fields.

In this letter, we introduce some mathematical and numerical tools to analyze and interpret inhomogeneous quadratic forms. The resulting characterization is in some aspects similar to that given by experimental studies of cortical cells, making it particularly suitable for application to second-order approximations and theoretical models of physiological receptive fields. We first discuss two ways of analyzing a quadratic form by visualizing the coefficients of its quadratic and linear term directly and by considering the eigenvectors of its quadratic term. We then present an algorithm to compute the optimal excitatory and inhibitory stimuli--those that maximize and minimize the considered quadratic form, respectively, given a fixed energy constraint. The analysis of the optimal stimuli is completed by considering their invariances, which are the transformations to which the quadratic form is most insensitive, and by introducing a test to determine which of these are statistically significant. Next we propose a way to measure the relative contribution of the quadratic and linear term to the total output of the quadratic form. Furthermore, we derive simpler versions of the above techniques in the special case of a quadratic form without linear term. In the final part of the letter, we show that for each quadratic form, it is possible to build an equivalent two-layer neural network, which is compatible with (but more general than) related networks used in some recent articles and with the energy model of complex cells. We show that the neural network is unique only up to an arbitrary orthogonal transformation of the excitatory and inhibitory subunits in the first layer.

Action Potentials↗

Early visual evoked potentials are modulated by eye position in humans induced by whole body rotations.

BACKGROUND: To reach and grasp an object in space on the basis of its image cast on the retina requires different coordinate transformations that take into account gaze and limb positioning. Eye position in the orbit influences the image's conversion from retinotopic (eye-centered) coordinates to an egocentric frame necessary for guiding action. Neuroimaging studies have revealed eye position-dependent activity in extrastriate visual, parietal and frontal areas that is along the visuo-motor pathway. At the earliest vision stage, the role of the primary visual area (V1) in this process remains unclear. We used an experimental design based on pattern-onset visual evoked potentials (VEP) recordings to study the effect of eye position on V1 activity in humans. RESULTS: We showed that the amplitude of the initial C1 component of VEP, acknowledged to originate in V1, was modulated by the eye position. We also established that putative spontaneous small saccades related to eccentric fixation, as well as retinal disparity cannot explain the effects of changing C1 amplitude of VEP in the present study. CONCLUSIONS: The present modulation of the early component of VEP suggests an eye position-dependent activity of the human primary visual area. Our findings also evidence that cortical processes combine information about the position of the stimulus on the retinae with information about the location of the eyes in their orbit as early as the stage of primary visual area.

Adult↗

Expression of epidermal growth factor and transforming growth factor alpha in interfacial membranes retrieved at revision total hip arthroplasty.

BACKGROUND: The interfacial membrane between bone and implant has been shown to be a key tissue in the process of aseptic loosening of total hip arthroplasty. The cells within the interfacial membrane produce numerous inflammatory mediators which, through complex mechanisms, cause periprosthetic osteolysis and aseptic loosening. Both epidermal growth factor (EGF) and transforming growth factor alpha (TGFalpha) have similar biological functions. They have been found to stimulate bone resorption. OBJECTIVE: To investigate the presence, cellular localisation, and extent of expression of EGF and TGFalpha in interfacial membrane retrieved from revision total hip arthroplasty and compare it with that in synovial membrane from primary total hip arthroplasty. METHODS: Ten interfacial membranes and 10 synovial membranes were stained with avidin-biotin-peroxidase complex for EGF and TGFalpha. The staining process was done using the Lab Vision Autostainer. The results were measured by a semiautomatic VIDAS image analysis system. RESULTS: Immunoreactivity for both EGF and TGFalpha was found in the endothelial cells of blood vessels, macrophages, and fibroblasts, both in interfacial membranes and synovial membranes. However, the number of EGF (980 (370)) and TGFalpha (1070 (360)) positive cells per mm(2) was greater in interfacial membranes than in the synovial membranes (220 (200), 270 (100); p<0.01). CONCLUSION: It is suggested that owing to their increased expression in interfacial membrane, EGF and TGFalpha may have an important pathogenetic role in stimulating periprosthetic bone resorption in aseptic loosening of total hip arthroplasty.

Adult↗

Novel insights into retinoblastoma: From oncogenic circuitry to precision diagnosis and eye-preserving therapies.

Retinoblastoma (RB) represents the most common primary intraocular malignancy in childhood and stands as a paradigm for translating molecular oncology into precision clinical management. This review synthesizes the comprehensive evolution in the understanding and treatment of RB. First, we deconstruct the intricate oncogenic circuitry that extends far beyond Knudson's classic "two-hit" RB1 inactivation model, describing non-classical MYCN-driven pathogenesis, multi-layered epigenetic reprogramming (including chromatin, RNA and histone changes), and distinct histological subtypes with defined clinical correlates, such as the favorable-prognosis cavitary RB. Single-cell genomics has elucidated the cellular origin from cone precursor cells and intratumoral heterogeneity. Risk stratification has been refined through well-defined classification systems, from the therapy-guiding International Intraocular Retinoblastoma Classification (IIRC) to the comprehensive American Joint Committee on Cancer Tumor-Node-metastasis (AJCC TNM) staging. Furthermore, the diagnostic paradigm has advanced from conventional anatomical imaging to liquid biopsies, enabling non-invasive molecular staging and monitoring via tumor-derived cell-free DNA analysis. Concurrently, the therapeutic landscape has undergone a radical shift, moving from enucleation and external-beam radiotherapy to an era dominated by local sight-preserving strategies. We provide a critical synthesis of the evidence for intravenous chemotherapy and the transformative role of super-selective intra-arterial chemotherapy (IAC), and describe essential randomized controlled trials, technical innovations, and optimized drug regimens. Finally, we explore emerging targeted molecular therapies and future directions. By integrating cutting-edge molecular insights with robust, high-level clinical evidence, this review offers the framework for achieving patient and eye survival as well as vision preservation in children with Retinoblastoma.

Intra-arterial chemotherapy↗

[Aging and health: a change in paradigm].

The aging of the population due to increasing life spans requires a reevaluation of the health care models that prevail in the countries of the Region of the Americas, given that the illnesses typical of old age make up an ever-increasing share of the morbidity burden. The countries in the Region are in an intermediate stage of demographic transition. They face the challenge of balancing priority care for the health problems characteristic of developing countries along with care for the chronic and debilitating diseases that afflict the elderly. An even greater challenge is gauging, in a timely manner, the health, social, and economic consequences of the demographic transition over the next millennium, to allow the countries to respond to these consequences through an in-depth restructuring of their health and social services. The extension of human life imposes a new vision of the health of the elderly that is oriented toward self-sufficiency, economic independence, and living life to its fullest. It will not be easy to integrate this new paradigm into the countries' health services, which are now primarily oriented toward curative care and are structured to fulfill the requirements of an epidemiological scenario that is undergoing a rapid transformation. The challenge is even greater because of the wide range of needs that the elderly have across countries with varying degrees of development. Nevertheless, sooner or later the governments of all the countries of the Region will be forced to adopt concrete measures to deal with the problems posed by the population's gradual aging.

Age Factors↗

Automated perimetry in amblyopia: a generalized depression.

PURPOSE: To quantitate the visual field abnormalities associated with amblyopia. METHODS: In a prospective study, 37 amblyopic patients (11 anisometropic, 13 strabismic, 9 combination, 4 deprivation) performed automated perimetry in each eye using the Humphrey 30-2 program. Primary outcome measures were foveal threshold, mean deviation, and average threshold. RESULTS: When the probability plots were examined, 21 visual fields in amblyopic eyes were normal, 8 had central scotomas, and 7 had diffuse depressions. No focal defects other than mild central scotomas were seen. However, the foveal threshold of amblyopic eyes was decreased by an average of 7.2 +/- 8.0 dB (P < .0001) compared with fellow eyes; intereye differences in mean deviation (3.2 +/- 5.4 dB; P < .001) and average threshold (2.9 +/- 5.3 dB; P < .005) were also seen. This decrease in sensitivity for the amblyopic eye occurred for all types of amblyopia. The depression in threshold was greatest at the fovea but was detectable and significant at all eccentricities of the 30-degree field. The average threshold in the amblyopic eye was highly correlated with visual acuity (r = .839; P < .001). CONCLUSIONS: Although automated visual fields in amblyopic eyes typically appear normal, all four types of amblyopia are associated with a generalized depression of light sensitivity, which is proportionately greatest at the fovea and highly correlated with visual acuity loss. In general, amblyopia is not associated with any area of focal loss of threshold light sensitivity. If a focal defect is present in the visual field of the amblyopic eye, organic causes of visual loss should be suspected. The Humphrey visual field analyzer STATPAC program (Allergan-Humphrey, Inc, San Leandro, California) may artifactually transform small and generalized full-field depressions in a manner that makes them appear to be isolated central defects.

Adult↗

Recurrent granular dystrophy of the cornea: an unusual case.

PURPOSE: To describe a case of severe corneal granular dystrophy with clinicopathologic and molecular genetic findings. METHODS: The DNAs of a 53-year-old male patient suffering from corneal granular dystrophy and nonaffected family members were analyzed by molecular genetic methods. Clinical features, and histopathologic and immunohistochemical findings from the penetrating keratoplasty specimen, are described. RESULTS: Histopathologic and molecular genetic findings confirmed the diagnosis. A new genetic polymorphism is described. Histopathologic evidence supports the assumption of the epithelial origin of the described dystrophy. CONCLUSIONS: A severe course of corneal granular dystrophy can be present in the absence of evidence of a homozygous mutational status, or a novel mutation. Molecular genetic analysis revealed a new polymorphism in this patient. The histopathologic findings support the assumption of an epithelial origin of the granular corneal deposits. Phototherapeutic keratectomy and penetrating keratoplasty may improve vision, but cannot prevent recurrence of the disease.

Corneal Dystrophies, Hereditary↗

Physical, neural, and mental timing.

The conclusions drawn by Benjamin Libet from his work with colleagues on the timing of somatosensorial conscious experiences has met with a lot of praise and criticism. In this issue we find three examples of the latter. Here I attempt to place the divide between the two opponent camps in a broader perspective by analyzing the question of the relation between physical timing, neural timing, and experiential (mental) timing. The nervous system does a sophisticated job of recombining and recoding messages from the sensorial surfaces and if these processes are slighted in a theory, it might become necessary to postulate weird operations, including subjective back-referral. Neuroscientifically inspired theories are of necessity still based on guesses, extrapolations, and philosophically dubious manners of speech. They often assume some neural correlate of consciousness (NCC) as a part of the nervous system that transforms neural activity in reportable experiences. The majority of neuroscientists appear to assume that the NCC can compare and bind activity patterns only if they arrive simultaneously at the NCC. This leads to a search for synchrony or to theories in terms of the compensation of differences in neural delays (latencies). This is the main dimension of the Libet discussion. Examples from vision research, such as "temporal-binding-by-synchrony" and the "flash-lag" effect, are then used to illustrate these reasoning patterns in more detail. Alternatively one could assume symbolic representations of time and space (symbolic "tags") that are not coded in their own dimension (not time in time and space in space). Unless such tags are multiplexed with the quality message (tickle, color, or motion), one gets a binding problem for tags. One of the hidden aspects of the discussion between Libet and opponents appears to be the following. Is the NCC smarter than the rest of the nervous system, so that it can solve the problems of local sign (e.g., "where is the event"?) and timing (e.g., "when did it occur?" and "how long did it last?") on its own, or are these pieces of information coded symbolically early on in the system? A supersmart NCC appears to be the assumption of Libet's camp (which includes Descartes, but also mystics). The wish to distribute the smartness evenly across all stages of processing in the nervous system (smart recodings) appears to motivate the opponents. I argue that there are reasons to side with the latter group.

Brain↗

X-linked dyskeratosis congenita with pancytopenia.

Two maternal male cousins in a Jewish Iraqi kindred were affected with dyskeratosis congenita and had a megaloblastic bone marrow. One cousin had pancytopenia and the other had thrombocytopenia. The kindred displays a deficiency of glucose-6-phosphate dehydrogenase (G6PD) and a beta-thalassemia trait. The following genetic "markers" of the X chromosome were studied: G6PD, the X-linked blood groups Xg, and color vision. Linkage analysis indicated that dyskeratosis, G6PD, and Xg are far apart on the X chromosome. Chromosomal studies showed a 46XY karyotype in both cases; however, nonspecific numerical aberrations and structural abnormalities were found in the first and in the second case, polyploidy was seen in four of 60 cells. The proband's cultured fibroblasts did not show increased susceptibility to malignant transformation by simian virus 40, an oncogenic virus.

Adolescent↗

Flexible strategies for sensory integration during motor planning.

When planning target-directed reaching movements, human subjects combine visual and proprioceptive feedback to form two estimates of the arm's position: one to plan the reach direction, and another to convert that direction into a motor command. These position estimates are based on the same sensory signals but rely on different combinations of visual and proprioceptive input, suggesting that the brain weights sensory inputs differently depending on the computation being performed. Here we show that the relative weighting of vision and proprioception depends both on the sensory modality of the target and on the information content of the visual feedback, and that these factors affect the two stages of planning independently. The observed diversity of weightings demonstrates the flexibility of sensory integration and suggests a unifying principle by which the brain chooses sensory inputs so as to minimize errors arising from the transformation of sensory signals between coordinate frames.

Adolescent↗

Binocular perception of slant about oblique axes relative to a visual frame of reference.

From the literature it is known that the processing of disparity for slant is different in the presence and in the absence of a visual frame of reference. The experimental finding that vertical disparity is not processed for slant perception in the presence of a visual reference is elaborated. This theoretical analysis results in a reduction of the three basic first-order transformations between the retinal half images (divergence, rotation, and deformation) to only two basic orthogonal transformations. The first of these, horizontal scale, results in slant perception about the vertical axis, whereas the second, horizontal shear, results in slant perception about the horizontal axis. These transformations are based primarily on horizontal disparity. It is shown experimentally that in the presence of a frame of reference the amount of vertical transformation that is added to the two basic transformations (horizontal scale and shear) of a random-dot stimulus is indeed irrelevant for slant perception. It is suggested that, in the presence of a visual reference, slant perception about oblique axes is based solely on linear combinations of the horizontal-scale and horizontal-shear transformations. Subjects are able to reproduce slants about oblique axes experimentally merely by combining horizontal scale and shear.

Adult↗

Consciousness.

Consciousness is topical, for reasons including its renewed respectability among psychologists, rapid progress in the neuroscience of perception, memory and action, advances in artificial intelligence and dissatisfaction with the dualistic separation of mind and body. Consciousness is an ambiguous term. It can refer to (i) the waking state; (ii) experience; and (iii) the possession of any mental state. Self-consciousness is equally ambiguous, with senses including (i) proneness to embarrassment in social settings; (ii) the ability to detect our own sensations and recall our recent actions; (iii) self-recognition; (iv) the awareness of awareness; and (v) self-knowledge in the broadest sense. The understanding of states of consciousness has been transformed by the delineation of their electrical correlates, of structures in brainstem and diencephalon which regulate the sleep-wake cycle, and of these structures' cellular physiology and regional pharmacology. Clinical studies have defined pathologies of wakefulness: coma, the persistent vegetative state, the 'locked-in' syndrome, akinetic mutism and brain death. Interest in the neural basis of perceptual awareness has focused on vision. Increasingly detailed neuronal correlates of real and illusory visual experience are being defined. Experiments exploiting circumstances in which visual experience changes while external stimulation is held constant are tightening the experimental link between consciousness and its neural correlates. Work on unconscious neural processes provides a complementary approach. 'Unperceived' stimuli have detectable effects on neural events and subsequent action in a range of circumstances: blindsight provides the classical example. Other areas of cognitive neuroscience also promise experimental insights into consciousness, in particular the distinctions between implicit and explicit memory and deliberate and automatic action. Overarching scientific theories of consciousness include neurobiological accounts which specify anatomical or physiological mechanisms for awareness, theories focusing on the role played by conscious processes in information processing and theories envisaging the functions of consciousness in a social context. Whether scientific observation and theory will yield a complete account of consciousness remains a live issue. Physicalism, functionalism, property dualism and dual aspect theories attempt to do justice to three central, but controversial, intuitions about experience: that it is a robust phenomenon which calls for explanation, that it is intimately related to the activity of the brain and that it has an important influence on behaviour.

Animals↗

Ocular cicatricial pemphigoid review.

PURPOSE OF REVIEW: Ocular mucous membrane pemphigoid produces progressive cicatrizing conjunctivitis; this can result in scarring of the conjunctiva and cornea. RECENT FINDINGS: Increased expression of macrophage-colony-stimulating factor, collagen-binding heat shock protein 47, transforming growth factor-beta1, IL-4, IL-5, and macrophage migration inhibitory factor may enhance both conjunctival inflammation and conjunctival scarring. Recent developments on mucous membrane pemphigoid medical therapy include the efficacious effect of daclizumab, intravenous immunoglobulin therapy, and methotrexate. Subconjunctival mitomycin has proved not to be efficacious in controlling long-term, conjunctival inflammation and scarring. The Boston scleral lens enhances vision, reduces the disabling ocular pain and photophobia, and helps to heal persistent epithelial defects, reducing recurrence of defects. Recent developments on mucous membrane pemphigoid surgical therapy include keratolimbal allografts and amniotic membrane transplantation, with or without penetrating keratoplasty for ocular surface reconstruction in total stem cell deficiency. The prognosis is strongly influenced by preoperative conditions such as tear function and functional external ocular adnexae, and by postoperative conditions such as persistent inflammation, severe dry eye, or rejection of the keratolimbal allograft. Some authors find efficacious the use of amniotic membrane transplantation for reconstruction of the conjunctival fornices provided systemic immunosuppression is pre- and post-operatively used. SUMMARY: The use of daclizumab or intravenous immunoglobulin therapy, the better selection of candidates for surgical interventions, and the better pre- and post-operative management of keratolimbal allograft and amniotic membrane transplantation may improve visual rehabilitation in the patients with ocular mucous membrane pemphigoid.

Conjunctival Diseases↗