BACKGROUND Bacille Calmette-Guérin(BCG)instillation is recommended in patients with nonmuscle-invasive bladder cancer who have intermediate-risk and high-risk tumors.However,granulomatous prostatitis is a rare co...BACKGROUND Bacille Calmette-Guérin(BCG)instillation is recommended in patients with nonmuscle-invasive bladder cancer who have intermediate-risk and high-risk tumors.However,granulomatous prostatitis is a rare complication induced by BCG instillation,which can easily be misdiagnosed as prostate cancer.Here,we report a case of granulomatous prostatitis that resembled prostate cancer.CASE SUMMARY A 64-year-old Chinese man with bladder cancer received BCG instillation.Three days later,he stopped BCG instillation and received anti-infective therapy due to the urinary tract infection.Three months after BCG restart,he had rising total prostate-specific antigen(PSA)(9.14 ng/mL)and decreasing free PSA/total PSA(0.09).T2-weighted images of magnetic resonance imaging(MRI)showed a 28 mm×20 mm diffuse low signal abnormality in the right peripheral zone,which was markedly hyperintense on high b-value diffusion-weighted MRI and hypointense on apparent diffusion coefficient map images.Considering Prostate Imaging Reporting and Data System score of 5 and possibility of prostate cancer,a prostate biopsy was conducted.Histopathology showed typical features of granulomatous prostatitis.The nucleic acid test for tuberculosis was positive.He was finally diagnosed with BCG-induced granulomatous prostatitis.Thereafter,he stopped BCG instillation and received anti-tuberculosis treatment.During 10 mo follow-up,he had no evidence of tumor recurrence or symptoms of tuberculosis.CONCLUSION Temporarily elevated PSA and high followed by low signal abnormality on diffusion-weighted MRI are important indicators of BCG-induced granulomatous prostatitis.展开更多
本文克隆了RIN4(RPM1-interacting protein 4)在胡杨中的同源基因PeRIN4,并在拟南芥中进行过表达,通过研究转基因株系的耐盐表型、质膜H^+-ATPsae活性及H^+、Na^+、K^+等的动态离子流,揭示了PeRIN4基因在植物响应和适应盐胁迫环境中的...本文克隆了RIN4(RPM1-interacting protein 4)在胡杨中的同源基因PeRIN4,并在拟南芥中进行过表达,通过研究转基因株系的耐盐表型、质膜H^+-ATPsae活性及H^+、Na^+、K^+等的动态离子流,揭示了PeRIN4基因在植物响应和适应盐胁迫环境中的作用。利用定位载体p Green0029-PeRIN4-GFP瞬时转化拟南芥叶肉细胞原生质体的方法,对胡杨PeRIN4蛋白进行亚细胞定位,发现该蛋白定位在细胞的胞质中。耐盐表型实验结果显示,在100 mmol/L NaCl处理下,拟南芥PeRIN4过表达株系(OE1和OE8)的生存率和根长均明显高于野生型(WT)和转空载体拟南芥(VC),说明PeRIN4基因能够提高拟南芥的耐盐性。与WT和VC相比,拟南芥PeRIN4过表达株系质膜H^+-ATPsae的活性较高。动态离子流数据显示,在盐胁迫下,PeRIN4过表达株系外排H^+和Na^+离子的能力强于野生型和转空载体拟南芥,然而K+的外流却弱于WT和VC。因此,PeRIN4蛋白具有调节质膜H^+-ATPsae活性的功能。拟南芥质膜H^+-ATPsae活性的提高主要有两方面的作用:一是可以增强H+泵的质子动力势,驱动Na^+/H^+逆向转运蛋白,提高Na^+外排的能力;二是抑制质膜的去极化,减少K+离子通过去极化激活的外向型K^+通道(DA-KORCs)和非选择性阳离子通道(DA-NSCCs)外流,维持了K^+/Na^+平衡,从而提高PeRIN4转基因拟南芥的耐盐性。展开更多
基金Supported by the Natural Science Foundation of Shandong Province,No.ZR2021MH354.
文摘BACKGROUND Bacille Calmette-Guérin(BCG)instillation is recommended in patients with nonmuscle-invasive bladder cancer who have intermediate-risk and high-risk tumors.However,granulomatous prostatitis is a rare complication induced by BCG instillation,which can easily be misdiagnosed as prostate cancer.Here,we report a case of granulomatous prostatitis that resembled prostate cancer.CASE SUMMARY A 64-year-old Chinese man with bladder cancer received BCG instillation.Three days later,he stopped BCG instillation and received anti-infective therapy due to the urinary tract infection.Three months after BCG restart,he had rising total prostate-specific antigen(PSA)(9.14 ng/mL)and decreasing free PSA/total PSA(0.09).T2-weighted images of magnetic resonance imaging(MRI)showed a 28 mm×20 mm diffuse low signal abnormality in the right peripheral zone,which was markedly hyperintense on high b-value diffusion-weighted MRI and hypointense on apparent diffusion coefficient map images.Considering Prostate Imaging Reporting and Data System score of 5 and possibility of prostate cancer,a prostate biopsy was conducted.Histopathology showed typical features of granulomatous prostatitis.The nucleic acid test for tuberculosis was positive.He was finally diagnosed with BCG-induced granulomatous prostatitis.Thereafter,he stopped BCG instillation and received anti-tuberculosis treatment.During 10 mo follow-up,he had no evidence of tumor recurrence or symptoms of tuberculosis.CONCLUSION Temporarily elevated PSA and high followed by low signal abnormality on diffusion-weighted MRI are important indicators of BCG-induced granulomatous prostatitis.
基金supported by the National High-Tech R&D Program of China(“863”Program)(2009AA22704)the National Natural Science Foundation of China(30873089,81173129)+3 种基金the Program for Changjiang Scholars and Innovative Research Team in University(IRT0946)the Open Foundation of Innovative Platform in University of Hunan Province of China(10K078)the Science and Technology Plan Key Grant of Hunan Province of China(2009TP40682)the Fundamental Research Funds for the Central Universities(201023100001)
文摘目的:在细胞水平研究烟酰胺单核苷酸(nicotinamide mononucleotide,NMN)对胰岛素分泌的调节作用及其对与胰岛素分泌相关的重要转录因子胰十二指肠同源盒基因(pancreatic and duodenalhomeobox-1,PDX-1)和分叉头框家族转录因子1(forkhead box-containing protein O-1,FoxO1)基因表达的影响。方法:采用大鼠胰岛素ELISA试剂盒检测RIN-m5f细胞胰岛素分泌水平。用Real-time PCR检测RIN-m5f细胞PDX-1和FoxO1的mRNA表达水平。用Western印迹检测RIN-m5f细胞PDX-1蛋白表达水平。结果:用瑞格列奈10 nmol/L+NMN 100μmol/L处理RIN-m5f细胞48 h,与空白对照及DMSO对照组相比,胰岛素分泌量均显著增高(P<0.05);与NMN 50μmol/L组比较,胰岛素分泌量的增高也有统计学意义(P<0.05)。10,50和100μmol/L的NMN作用RIN-m5f细胞36 h,PDX-1的mRNA表达量均上调(依次为P<0.05,P<0.01,P<0.001)。100μmol/L剂量组与10μmol/L和50μmol/L剂量组比较差异也有统计学意义(P<0.001)。50,100和200μmol/L的NMN作用RIN-m5f细胞36或48 h,PDX-1的蛋白表达量与对照组比较差异无统计学意义(P>0.05)。结论:NMN可以调控RIN-m5f细胞中胰岛素的分泌及PDX-1的mRNA表达水平。
