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Case Reports 2006; 27(4): 547-548 PubMed PMID: 16892004 Citation  Keywords:  Adult, Brain Neoplasms:complications, Calcitriol:blood, Calcium:blood, Glioblastoma:complications, Humans, Hypercalcemia:blood, Male, Parathyroid Glands:physiology,.   

: Hypercalcemia is commonly associated with cancer, occurring in around 10-20% of cancer patients. Hypercalcemia is usually related to solid and non-solid malignancies specifically breast cancer, lung cancer and multiple myeloma. Hypercalcemia has been reported to occur in association with astrocytomas, and uncommonly in gliomas. We report a case of a previously healthy man presenting with glioblastoma multiforme . He was found to have persistently elevated serum calcium and calcitriol with normal parathyroid function. This is the first reported case of hypercalcemia associated with glioblastoma multiforme....

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Journal Article 2006; 27(4): 517-522 PubMed PMID: 16892003 Citation  Keywords:  Adenocarcinoma:metabolism, Aged, Aged, 80 and over, Antibody Specificity, Cell Nucleus:metabolism, Cytoplasm:metabolism, Humans, Immunohistochemistry, Male, Middle Aged, Prognosis, Prostate:metabolism, Prostatic Hyperplasia:metabolism, Prostatic Neoplasms.   

BACKGROUND: Ubiquitin is a low molecular weight protein which has been detected in a variety of normal and cancerous tissues. It is involved in many regulatory processes including protein proteolysis. It has been implicated in tumor pathogenesis. The role of ubiquitin in human prostate gland is investigated in this study.

METHODS: In this study, we utilized immunohistochemistry technique to localize ubiquitin in human prostate gland and correlate it with different pathological conditions of the prostate.

RESULTS: Ubiquitin was localized in normal, benign prostatic hyperplasia (BPH) and prostatic adenocarcinoma with variations in the distribution and intensity. In BPH, ubiquitin immunoreactivity was localized mainly in the nuclei while in the adenocarcinoma was localized mainly in the cytoplasm.

CONCLUSION: The presence of ubiquitin mainly in the nuclei and in the cytoplasm of BPH and prostatic adenocarcinoma, respectively, may suggest a role of ubiquitin in the development of the above mentioned conditions. Ubiquitin could be used as a potential marker for the diagnosis and prognosis of pathological conditions of the prostate....

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Journal Article 2006; 27(4): 425-432 PubMed PMID: 16892002 Citation  Keywords:  Animals, Blood Platelets:physiology, Central Nervous System:physiology, Hormones:physiology, Humans, Melatonin:physiology, Neoplasms:physiopathology,.   

: Numerous studies of melatonin, by now widely acknowledged as a circadian rhythm-affecting neurohormone, also describe its anti-oxidant, anti-cytotoxic or immune-modulating activity. While emphasizing the multifunctional aspect of melatonin action, this review presents the results of our thirty years of research, which point to the following conclusions: melatonin is capable of promoting platelet production by megakaryocytes, of acting on the latter's ion channels by way of the outward currents, and of performing a physiological anti-aggregation function thus lengthening platelet life span. Melatonin can be transported everywhere by platelets and, thanks to its lipophilicity, can cross cellular membranes easily, thus regulating blood-tissue exchanges and ensuring an improved haematic crisis. It interacts with endothelial cells by regulating their release of both relaxing-factor and contracting-factor, and with platelets by affecting their discharge of dense-body components. Finally, platelets could behave as mobile and itinerant serotonergic and/or melatonergic elements, a function comparable to the release of neurotransmitters by neurons of the central nervous system. This dynamism in melatonin physiology could prove to be a key in approaching tumour aetiopathogenesis....

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Journal Article 2006; 27(4): 453-458 PubMed PMID: 16892000 Citation  Keywords:  Adolescent, Biomarkers:blood, Blood Glucose, C-Reactive Protein:metabolism, Child, Child, Preschool, Cholesterol, HDL:blood, Cholesterol, LDL:blood, Diabetes Mellitus, Type 2:epidemiology, Female, Fibrinogen:metabolism, Humans, Inflammation:epidemiology, .   

BACKGROUND: There is growing evidence that low-grade systemic inflammation is closely involved in the pathogenesis of type 2 diabetes.

OBJECTIVE: The aim of this study was to investigate the relationship between serum inflammatory markers and selected parameters known as risk factors of type 2 diabetes in obese children and adolescents.

SUBJECTS AND METHODS: Fasting levels of C-reactive protein (CRP), fibrinogen (FB) interleukin-6 (IL-6), interleukin 1-beta (IL-1beta), glucose, insulin, total, HDL and LDL cholesterol, triglycerides, white blood cell count (WBC) and fasting glucose to insulin ratio (FGIR) were measured in 281 obese children and adolescents. Pearson's correlation was used for assessing the relationship between inflammatory markers and selected clinical parameters.

RESULTS: Inflammatory markers correlated significantly with insulin resistance indices, HbA1c, lipid profile, hypertension, positive family history of type 2 diabetes, low physical fitness, and mixed high-fat and high-carbohydrate diet.

CONCLUSIONS: Serum inflammatory markers were significantly correlated with most factors implicated in the development of type 2 diabetes. These data provide additional support for previously reported in adults relationship between subclinical inflammation and the risk of type 2 diabetes....

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Journal Article 2006; 27(4): 415-423 PubMed PMID: 16891999 Citation  Keywords:  Adult, Apolipoprotein E2:genetics, Chronic Disease, Dental Amalgam:adverse effects, Dental Restoration, Permanent, Depression:chemically induced, Fatigue:chemically induced, Female, Genetic Predisposition to Disease, Genotype, Humans, Male, Memory Disorde.   

: In a group of 465 patients diagnosed as having chronic mercury toxicity (CMT), 32.3% had severe fatigue, 88.8% had memory loss, and 27.5% had depression. A significant correlation was found between CMT and the Apo-lipoprotein E4 genotype (p=0.001). An investigation into an additional 864 consecutively seen general practice patients, resulted in 30.3% having evidence consistent with CMT, and once again a significant correlation was found with the APO-E4 genotype (p=0.001). Removal of amalgam mercury fillings when combined with appropriate treatment resulted in a significant symptom reduction (p<0.001) to levels reported by healthy subjects....

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Journal Article 2006; 27(4): 473-481 PubMed PMID: 16891998 Citation  Keywords:  Adolescent, Adult, Anxiety:drug therapy, Cognitive Therapy, Combined Modality Therapy, Female, Follow-Up Studies, Humans, Male, Middle Aged, Moclobemide:therapeutic use, Monoamine Oxidase Inhibitors:therapeutic use, Patient Dropouts, Phobic Disorders:drug.   

: The aim of the study was to assess the 6-months treatment efficacy and 24-month follow up of three different therapeutic programs (A. moclobemide and supportive guidance, B. group cognitive-behavioral therapy and pill placebo, and C. combination of moclobemide and group cognitive-behavioral therapy) in patients with a generalized form of social phobia. Eighty one patients (38 males and 43 females) were randomly assigned to three different therapeutic programs. Patients were regularly assessed on a monthly basis by an independent rater on the LSAS (Liebowitz Social Anxiety scale), CGI (Clinical Global Impression) for severity and change and BAI (Beck Anxiety Inventory). Altogether, sixty-six patients completed the six month treatment period and 15 patients dropped out. All therapeutic groups showed significant improvement. A combination of CBT and pharmacotherapy yielded the most rapid effect. Moclobemide was superior for the reduction of the subjective general anxiety (BAI) during the first 3 months of treatment, but its influence on avoidant behavior (LSAS avoidance subscale) was less pronounced. Conversely, CBT was the best choice for reduction of avoidant behavior while a reduction of subjective general anxiety appeared later than in moclobemide. After 6 months of treatment there were best results reached in groups treated with CBT and there was no advantage of the combined treatment. The relapse rate during the 24-month follow up was significantly lower in the group treated with CBT in comparison with the group A. formerly treated with moclobemide alone....

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Journal Article 2006; 27(4): 445-452 PubMed PMID: 16891997 Citation  Keywords:  Adult, Aged, Aged, 80 and over, Aging:immunology, Antioxidants:metabolism, Carcinogens:pharmacology, Circadian Rhythm:immunology, Female, Flow Cytometry, Granulocytes:drug effects, Humans, Infant, Newborn, Male, Middle Aged, Monocytes:drug effects, Oxidat.   

OBJECTIVES: In the present paper the circadian variation and age differences in human leukocyte reactive oxygen species (ROS) levels and plasma total antioxidant status were studied. Different ROS levels could influence disease during ageing and at different times of the day/night.

METHODS: Unstimulated and stimulated (12-O-tetradecanoyl-phorbol-13-acetate (TPA) blood samples were analysed by flow cytometry using dihydroethidium (DHE) and dihydrorhodamine 123 (DHR) as probes. 60 healthy individuals were divided into five equal groups ((I) 1-2 days post partum, (II) 20 +/- 2 years, (III) 40 +/- 2 years, (IV) 60 +/- 2 years and (V) 80 +/- 2 years) and 6 healthy volunteers were followed with blood samples at 3 hour intervals for 24 hours.

RESULTS: We observed a significant peak of ROS levels in both monocytes and granulocytes at 6 pm and 3 am using DHE as probe. DHR showed in principle the same pattern. The monocytes (unstimulated and stimulated) and unstimulated granulocytes of the newborn group showed higher ROS values than all the other groups, whereas the groups of adults did not differ from each other. The plasma total antioxidant status was significantly higher in the newborn group and showed no circadian variation.

CONCLUSIONS: The present data show that there is a circadian variation of ROS production in leukocytes that might possibly influence the occurrence of cardiovascular incidents like myocardial infarction. No increase in ROS production was found in healthy elderly compared to younger individuals. The increased ROS levels and antioxidant status of newborns might influence neonate immunity and play a part in cell signalling and development....

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Journal Article 2006; 27(4): 465-471 PubMed PMID: 16891996 Citation  Keywords:  Adolescent, Adult, Autistic Disorder:metabolism, Child, Docosahexaenoic Acids:blood, Fatty Acids, Omega-3:blood, Fatty Acids, Omega-6:blood, Humans, Immune System:metabolism, Intellectual Disability:metabolism, Male, Phospholipids:blood, Serotonin:metabol.   

OBJECTIVES: There is now some evidence that alterations in fatty acids may play a role in the pathophysiology of autism. The aim of the present study was to examine whether autism is accompanied by abnormalities in the composition of the polyunsaturated fatty acids (PUFAs) in plasma phospholipids.

METHODS: The plasma phospholipid omega-3 (3) and omega-6 (6) PUFA fractions and the 3/6 ratio were measured in 16 high-functioning male youngsters with autism (age 12-18) and 22 healthy volunteers. Group mean differences were assessed by means of analysis of variance (ANOVA).

RESULTS: In autism there was a significant increase in the fraction of C22:6-3 (docosahexaenoic acid, DHA) and an increase in the total 3/6 ratio.

DISCUSSION: The results of this study suggest that an increase of the plasma phospholipid 3 PUFAs, in particular DHA, and of the total 3/6 ratio may take part in the pathophysiology of autism. One hypothesis is that an increase of 3 PUFAs may cause alterations in the serotonergic turnover and the immune response system, both known to be associated with autism. Caution must be exercised against highly concentrated 3 PUFAs supplementation....

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