Lateral Vein Research Articles

USP44 regulates HEXIM1 stability to inhibit tumorigenesis and metastasis of oral squamous cell carcinoma.

Oral squamous cell carcinoma (OSCC) is the most frequent type of oral malignancy with high metastasis and poor prognosis. The deubiquitinating enzyme Ubiquitin Specific Peptidase 44 (USP44) regulates the mitotic checkpoint, and its deficiency leads to aneuploidy and increases tumor incidence. However, the role of USP44 in OSCC is not well understood. Herein, we analyzed mRNA sequencing data of OSCC samples downloaded from the TCGA and GEO databases and found that USP44 was decreased in human OSCC tissues and was positively correlated to the survival of OSCC patients. To investigate the biological impact of USP44, we used recombinant lentiviruses to overexpress or knockdown USP44 expression in OSCC cell lines, which were also injected subcutaneously or into the lateral tail vein of Male BALB/c nude mice to model tumorigenesis or lung metastasis in vivo, respectively. The results showed that overexpression of USP44 inhibited malignant cell phenotypes in vitro and suppressed tumor growth and lung metastasis in vivo, while its downregulation had the opposite effects. Comprehensive proteomic analyses through Co-IP mass spectrometry and label-free quantitative LC-MS/MS methods identified 112 differentially expressed proteins positively regulated by USP44, among which 13 were involved in cancer-related pathways including apoptotic signaling and cell cycle regulation. PPI analysis identified Hexamethylene Bis-Acetamide-Inducible Protein 1 (HEXIM1) as the hub protein. Upregulation of USP44 enhanced HEXIM1 protein stability, leading to its higher expression in OSCC cells. Silencing of HEXIM1 further enhanced the malignant phenotype of OSCC cells. At the same time, HEXIM1 knockdown reversed the antitumor effects of USP44. These findings demonstrated that USP44 acted as a critical tumor suppressor in OSCC by inhibiting cell proliferation and metastasis through the stabilization of HEXIM1 protein, suggesting that USP44-HEXIM1 axis is a promising target for OSCC therapy.

Accuracy of a flash glucose monitoring system in healthy dogs during isoflurane anesthesia.

To assess the accuracy of a flash glucose monitoring system (FGMS; FreeStyle Libre 2) in healthy dogs during isoflurane general anesthesia. 6 purpose-bred Beagle dogs underwent 3 anesthetic events, 1 week apart, in a randomized crossover study. 1 of 3 mean arterial blood pressure (MAP) states were induced under isoflurane anesthesia (hypotension [MAP, ≤ 60 mm Hg], normotension [MAP, 80 to 120 mm Hg], and hypertension [MAP, ≥ 120 mm Hg]) for 40 minutes. Interstitial glucose was collected from an FGMS (applied to the dog's neck prior to anesthesia) at 0, 5, 10, 20, 30, and 40 minutes from stabilization within targeted MAP range. Whole-blood samples were collected from a lateral saphenous vein for plasma glucose measurement (blood glucose gold standard; BGGS) and via marginal lip mucosal puncture for point-of-care glucose measurement (blood glucose point-of-care; BGPOC). Shrout-Fleiss intraclass correlation and Bland-Altman analysis were performed. Accuracy was determined using human International Organization for Standardization criteria, including Parkes consensus error grid analysis. Interstitial glucose strongly correlated with BGGS and BGPOC (intraclass correlation, 0.962 and 0.953, respectively). Interstitial glucose measured higher than BGGS (median[IQR] difference 9[-2 to 20] g/dL) and lower than BGPOC (-27[-37 to -11] g/dL). Interstitial glucose BGGS increased as MAP decreased. 62.1% and 63.3% of interstitial glucose measurements were within ± 15 mg/dL when BGGS ≤ 100 mg/dL and within ± 15% of BGGS when > 100 mg/dL, respectively. However, 100% were within zones A and B of error grid analysis. Despite not meeting International Organization for Standardization standards, the FreeStyle Libre 2 demonstrated clinical accuracy for monitoring glucose concentrations in anesthetized dogs. The application of an FGMS before anesthesia may be useful for monitoring at-risk patients perioperatively.

Comparison of lateral tail vein and retro-orbital venous sinus as routes of inoculation to study Group B streptococcal systemic infection.

Streptococcus agalactiae or Group B Streptococcus (GBS) is the leading cause of invasive disease in neonates and immunocompromised adults and is implicated in severe cases of sepsis, pneumonia, and meningitis. Established murine models of hematogenous systemic infection allow for better understanding and investigation of bacterial dispersion, pathogenesis, meningeal inflammation, and interaction with the host. Here we compared two routes of infection, intravenous lateral tail vein and retro-orbital venous sinus, demonstrating that similar experimental outcomes can be observed, regardless of the route of infection for GBS, specifically. These findings help to reinforce the utility of different systemic infection models and provide insight into comparisons across different established models and how these models can be applied in microbial research.

MTHFD1 Regulates Autophagy to Promote Growth and Metastasis in Colorectal Cancer via the PI3K-AKT-mTOR Signaling Pathway.

Methylenetetrahydrofolate dehydrogenase 1 (MTHFD1) is the enzyme with the activities of methylenetetrahydrofolate dehydrogenase, methylenetetrahydrofolate cyclohydrolase, and formyltetrahydrofolate synthetase. Our aim was to elucidate the function of MTHFD1 in colorectal cancer (CRC). In vitro assessments of the proliferation, invasion, and migration abilities of CRC cells were conducted using Immunohistochemistry, Transwell invasion assays, Western blot (WB), and Cell counting Kit-8 assays. WB was also utilized to measure autophagy protein levels and PI3K-AKT-mTOR signaling pathway expression. Furthermore, the role of MTHFD1 was evaluated invivo by using subcutaneous xenograft tumor models and lateral tail vein metastasis models of human CRC in nude mice. Overexpression of MTHFD1 promoted the abilities of tumorigenesis and metastasis in CRC invitro and invivo and reduced autophagy, attributing to the PI3K-AKT-mTOR signaling pathway in CRC cells. In contrast, the down-regulation of MTHFD1 increased autophagy and suppressed their proliferation, migration, and invasion. MTHFD1 can modulate the PI3K-AKT-mTOR signaling pathway to suppress autophagy and stimulate tumorigenesis and metastasis.

Discovery of the enigmatic taeniopterid plant Ilfeldia from the lower Permian of North China and its palaeophytogeographical implications

ABSTRACT The recognition of plant biogeographic ranges over time and migration routes is crucial for understanding ancient global plate tectonic configurations. This paper deals with a new fossil plant from the uppermost part of the Taiyuan Formation (earliest Asselian) in the Wuda Coalfield, Inner Mongolia, China. It has a taeniopterid morphology comprising strap-shaped leaves with a prominent midrib and arching secondary veins, and it exhibits dimorphism between its fertile and vegetative leaves. The fertile leaf has a slightly lobed margin, with each lateral vein terminating in a marginal lobe that bears a synangium. Each synangium consists of primarily two, occasionally three, oval sporangia. Based on these distinctive characteristics it is identified as a new species of Ilfeldia. Previously, Ilfeldia had a highly restricted record in the Upper Pennsylvanian of Portugal and Germany into the lower Permian of Germany. The sedimentary and floral context suggests Ilfeldia was a xerophilous element that underwent long-distance dispersal during the Late Pennsylvanian to earliest Asselian, migrating from Gondwana (Iberia) to Cathaysia (North China) via Euramerica (Eastern Avalonia). The palaeogeographical distribution over time of Ilfeldia supports the continental model of the Wegenerian Pangaea configuration and underscores the continental connection between Euramerica and Cathaysia in the Late Pennsylvanian.

Antithrombotic activity of Punica granatum, L (Pomegranate): Experimental investigation and exploration of its mechanism of action on primary and secondary hemostasis in vitro and ex vivo

Hemostasis is the physiological process that stops bleeding by forming a thrombus (or blood clot). However, the inappropriate formation of a thrombus can constitute a pathophysiological event involving the same steps as those of hemostasis. Despite some adverse effects, antithrombotic therapy remains an effective means in the prevention and treatment of thrombotic diseases. In this regard, scientific research aimed at discovering new remedies of natural origin is particularly active.This study aims to evaluate the antithrombotic activity of the aqueous extract of Punica granatum peels in vivo. To understand the mechanism of action of this activity, we will investigate primary and secondary hemostasis in vitro and ex vivo. Furthermore, we will examine its antioxidant activity, toxicity, and phytochemical composition to identify the molecules responsible for the observed effects.The antithrombotic activity is assessed in vivo using the acute pulmonary thromboembolism model in mouse. Thrombosis is induced by injecting the thrombogenic solution (epinephrine + collagen) into the lateral caudal vein. Platelet aggregation, both in vitro and ex vivo, is performed on washed platelets isolated by centrifugation from rat blood. The platelet suspension is pre-incubated with the extract for 1 min. Aggregation is triggered by adding the following agonists: ADP, thrombin, collagen, and arachidonic acid. The bleeding time is measured in the absence and presence of the extract following an apical section of the mouse tail. This time corresponds to the duration of flow between the first and last drops of blood. To evaluate plasma coagulation, activated partial thromboplastin time (aPTT) and prothrombin time (PT) were measured under conditions both with and without the extract, using appropriate reagents. Acute toxicity is conducted by administering a single oral dose of the extract to mice (5 and 10 g kg-1). Possible changes in animal behavior are observed for fifteen days. The identification of polyphenols and flavonoids is performed by High Performance Liquid Chromatography (HPLC).The results obtained show that P. granatum exerted a significant preventive antithrombotic action (80 % protection) in mice. Furthermore, the extract inhibited platelet aggregation induced in vitro by all agonists in a dose-dependent manner, prolonged bleeding time, and coagulation times in rats. The results of the ex vivo study in rats confirmed these effects. We also noted that the extract did not exhibit toxicity following administration, and HPLC analysis revealed a richness of polyphenols and flavonoids in the extract.P. granatum exhibited an interesting antithrombotic activity, which could be attributed to its antiplatelet and anticoagulant actions. The phytochemical compounds identified in this extract could, at least in part, be responsible for these effects. Therefore, the demonstrated activities of this plant on hemostasis could lead to the development of more effective remedies and represent a means of prevention against thrombotic events.

Variants of the Architectonics of the Internal Iliac Vein and Their Applications

The aim was to study the variants of the formation and architectonics of the internal iliac vein (IIV) using postvital and vital methods of research. Material and methods. Typical and atypical variants of the trunk formation, architectonics and skeletotopy of the IIV were studied on the postvital material (n=70) and with the help of three-dimensional modeling of the IIV according to the computer tomographic angiography data (n=400). Results. According to the three-dimensional modeling data, in 90,25% of observations the fusion of the IIV and the external iliac vein (EIV) was typical, when the trunk of the common iliac vein (CIV) was formed. In 9,75% - atypical, when the IIV did not participate in the formation of the trunk of the CIV, but flowed into the opposite CIV, into the confluence of the inferior vena cava, separate trunks of the IIV flowed into the EIV. Based on the evaluation of the whole material under study, the IIV architectonics was typical in 48,3% and atypical in 51,7%. In a typical variant of the IIV architectonics, the main trunk is supplied by the iliolumbar vein (ILV), the posterior trunk is supplied by the superior lateral sacral vein (LSV), superior gluteal vein (SGV), and in the anterior trunk - the obturator vein (OV), lower LSV, internal pudendal vein (IPV) and inferior gluteal vein (IGV). Atypical variants of the IIV architectonics can be divided into 5 groups depending on the peculiarities of the influx of its main tributaries: 1 - atypical influx of the IGV (2,9%), 2 - SGV (2,1%), 3 - OV (16,8%), 4 - ILV (9,9%), 5 - LSV (20%). In 2% of cases anastomoses between IIV and EIV were revealed, in 30,6% - between anterior and posterior trunks of IIV. In the majority of cases, the fusion of the IIV and EIV was located at the level of the first sacral vertebral body, while the fusion of the anterior and posterior trunks of the IIV was at the level of the S1-S2 intervertebral disc. Conclusion. The obtained data should be used when planning and performing surgical interventions on pelvic organs, especially in evisceration.

Total Venous Control and Vein-to-the-Right Superior Mesenteric Artery Approach in Robotic Pancreatoduodenectomy.

Robotic pancreatoduodenectomy is an increasingly accepted alternative for the treatment of pancreatic ductal adenocarcinoma (PDAC).1 However, the ability to perform a meticulous robotic-assisted superior mesenteric artery (SMA) dissection to obtain a margin-negative resection remains unknown.2 PDAC within the head of the pancreas (HOP) that involves the superior mesenteric vein (SMV) and portal vein (PV) requires total venous control (TVC) and a 'vein-to-the-right' (or anterior artery-first) approach to SMA dissection to minimize venous congestion and operative blood loss.3-5 Here, we demonstrate a robotic pancreatoduodenectomy with TVC and a 'vein-to-the-right' approach. A 70-year-old woman with cT2N0M0 HOP PDAC with lateral SMV involvement and right gastroepiploic vein occlusion underwent robotic pancreatoduodenectomy after neoadjuvant chemotherapy. After transecting the pancreas, we achieved TVC by dividing the small venous tributaries and encircling the SMV, splenic vein, and PV. We then proceeded with a 'vein-to-the-right' approach. The inferior pancreatoduodenal arteries were divided to minimize HOP inflow and decrease specimen bleeding. Once the specimen was dissected off the periadventitial plane of the distal SMA, the SMV dissection was carefully performed using a partial side-wall vein resection using a vascular stapler. Total operative time was 7.5h and estimated blood loss was 25mL. The patient recovered well postoperatively and was discharged on postoperative day 3. Final pathology exhibited a 2.4cm, moderately to poorly differentiated adenocarcinoma with negative margins (ypT2N1, 2/38 lymph nodes positive). For tumors with lateral vein involvement, robotic pancreatoduodenectomy can be safely performed via TVC and a 'vein-to-the-right' approach.

280 AntagomiR-22-3p Injection alters miRNA expression and muscle fiber type of intrauterine growth restricted lambs

Abstract microRNAs (miRNA) are small non-coding RNAs that modulate muscle satellite cell proliferation. Previous research identified miR-22-3p as differentially expressed during ovine muscle development and in vitro experiments showed that antagomir-22-3p treatment enhanced satellite cell proliferation. The objective of this study was to test in vivo vascular injection of antagomir-22-3p in lateral saphenous vein on miRNA and HDAC family mRNA expression in intrauterine growth restricted lambs. Pregnant ewes (n = 18) with twins were either fed at 100% of NRC (CON) or nutrient restricted (60% NRC; NR) from gestational d 85 to parturition. On d 12 of age, NR lambs (n = 8) were randomly selected and given a systemic injection of antagomir-22-3p in the lateral saphenous vein of the right leg (MIR-NR). CON lambs (n = 8) were also randomly selected and given a sham injection of PBS in the lateral saphenous vein of the right leg (SHAM-CON). Antagomir-22-3p was reconstituted in phosphate buffered saline (PBS). Injections were given for 3 consecutive days and lambs harvested 24 d later. Blood samples were collected from each lamb weekly to monitor miR-22-3p expression. Lambs were slaughtered 24 d after the first injection and muscle mass measured. Muscle samples were removed for miR-22-3p and mRNA expression of potential targets. Cell-free circulating RNA was isolated from blood samples and miR-22-3p expression examined over time. Cell-free circulating miR-22-3p expression was downregulated (P < 0.05) for MIR-NR compared with SHAM-CON on d 14 after injection. On d 21 after injection, miR-22-3p expression in plasma tended (P = 0.08) to be down-regulated in MIR-NR compared with SHAM-CON. Lamb body weight and muscle weights at harvest were similar between MIR-NR and SHAM-CON treatments. In heart and semimembranosus (SM) muscles, expression of miR-22-3p was down-regulated (P < 0.05) in MIR-NR compared with SHAM-CON. In the gastrocnemius and semitendinosus muscle, miR-22-3p expression was unchanged (P > 0.05). The number of type I and IIa muscle fibers were greater (P < 0.05) for MIR-NR than SHAM-CON. Muscle fiber area of Type I, IIa or IIx fibers did not differ (P > 0.05) by treatment. The number of type IIx fibers did not differ (P > 0.05) between treatments. MIR-NR treatment appears to shift muscle fibers towards more oxidative metabolism and down-regulate HDAC-1, 3, and 11 and SIRT6 in SM. The systemic injection of antagomir-22-3P down-regulated miR-22-3p expression in circulation and in muscle tissues, which altered expression of HDAC/SIRT genes involved in muscle fiber type conversion and hypertrophy.

101 5-HT4 receptor-mediated vasorelaxation occurs through a cyclic mononucleotide-dependent mechanism in the isolated bovine lateral saphenous vein

Abstract Serotonin (5-HT)-mediated vasorelaxation of the isolated bovine lateral saphenous vein occurs primarily through 5-HT4 receptor activation. Vasorelaxation responses mediated through 5-HT4 have only been documented to occur in cattle and sheep and thus, may represent a novel vasorelaxation mechanism that is specific to ruminants. In tissues from other species, the 5-HT4 receptor and its associated G protein couple with adenylate cyclase. However, the mechanisms contributing to 5-HT4-mediated vasorelaxation in vascular tissue remain undefined. To better understand the mechanisms of 5-HT4-mediated vasorelaxation, lateral saphenous veins from cattle (n = 4) were collected and assessed for vasoactivity in response to increasing concentrations of a selective 5-HT4 receptor agonist (BIMU-8) in the absence and presence of selective inhibitors of downstream proteins involved with cyclic mononucleotide-mediated signaling. Isolated vessel segments were suspended in chambers of a multi-myograph containing 5 mL of continuously oxygenated Krebs-Henseleit buffer and equilibrated to 1 g tension for 90 min. After the equilibration period, vessels were exposed to dimethyl sulfoxide (DMSO; vehicle control) or selective inhibitors of downstream protein targets dissolved in DMSO (1×10-5 M) for 5 min. Vessels were pre-contracted with 1×10-4 M phenylephrine for 10 min to achieve a sustained increase in tension. After the 10-min pre-contraction period, vessels were exposed to increasing concentrations (1×10-9 to 1×10-4) of BIMU-8 non-cumulatively. Vasoactive response data were normalized as a percentage of the maximum contractile response induced by the phenylephrine pre-contraction. In the absence of selective inhibitors (control), BIMU-8 induced (P < 0.01) dose-dependent relaxations (mean -log EC50 = 6.30 M) with a 112% increase in maximal vasorelaxation activity occurring at 1×10-4 M. In the presence of the selective inhibitors for adenylate cyclase (NKY80) or guanylate cyclase (NS2028), 66% and 86% of the vasorelaxation responses to BIMU-8 were attenuated (P < 0.01), respectively. In the presence of the selective inhibitors for protein kinase A [protein kinase A inhibitor fragment (6-22) amide] or protein kinase G (Rp-8-bromo-PET-Cyclic GMPS), 66% and 97% of the maximal vasorelaxation responses to BIMU-8 were attenuated (P < 0.01), respectively. In the presence of non-selective inhibitors for Ca2+ channels and K+ channels, vasorelaxation responses to BIMU-8 were attenuated (P < 0.01). In the presence of selective inhibitors for the protein phosphatase 1 and 2A subunits of myosin light chain (calyculin A) and heat shock protein synthesis (quercetin), vasorelaxation responses to BIMU-8 were attenuated (P < 0.01). The findings of the current study demonstrate that 5-HT4-receptor mediated vasorelaxation occurs through a cyclic mononucleotide-dependent mechanism involving cross-activation of protein kinase A and G signaling. Downstream proteins involved in the signaling cascade leading to vasorelaxation include Ca2+ channels, K+ channels, myosin light chain phosphatase, and heat shock proteins. More research is needed to fully describe the cellular and molecular mechanisms responsible for 5-HT4 receptor-mediated vasorelaxation.

226 Serotonin stimulates relaxation in ovine saphenous vein precontracted with ergovaline

Abstract The predominant ergot alkaloid found in wild type endophyte-infected tall fescue grass is ergovaline. Ergovaline is a potent vasoconstrictor in livestock that consume it. Previous research has shown that ergovaline can bind serotonin (5-HT) receptors and blood vessels exposed to ergovaline become unresponsive to subsequent 5-HT exposure. Serotonin can stimulate vascular contraction or relaxation depending on the receptor subtype targeted. The objective of this experiment was to evaluate 5HT as vasorelaxant in the ovine saphenous artery and vein that were precontracted with ergovaline. Blood vessels were collected from mixed breed market rams (n = 7) at slaughter, cleaned of surrounding adipose and connective tissue, sliced into 2-mm cross-sections, and mounted in a multimyograph. Artery and vein cross-sections were equilibrated to 1 g tension in continuously gassed (95% O2/5% CO2) Krebs-Henseleit buffer (pH 7.4; 37.5 °C) for 90 min, precontracted with 1.0 μM ergovaline (in a tall fescue seed extract) for 30 min, exposed to increasing concentrations of 5-HT that ranged from 1 x 10-9 to 1 x 10-4 M for a 5-min interval. Response data were normalized to the 1.0 μM ergovaline response and were analyzed as a completely randomized design in SAS. The saphenous vein was larger in diameter blood vessel than the saphenous artery. Both vessel types contracted in response to exposure to 1 μM ergovaline. The saphenous artery had a much lower maximal response to ergovaline than did the vein (P < 0.05) that could be attributed to the size difference. The lateral saphenous vein relaxed to increasing concentrations of 5-HT (P < 0.05) with 87 % relaxation occurring by 1 x 10-6 M 5-HT. Conversely, the lateral saphenous artery contracted in response to increasing concentrations of 5-HT (P < 0.05) resulting in a 43% increase from the ergovaline response by the 1 x 10-4 M addition. This response did not become significant in the artery until 1 x 10-5 M 5-HT compared with 1 x 10-8 M for the vein. This resulted in a 50% effective concentration for 5-HT in the artery of 4.5 compared with 8.1 M for the vein (P < 0.05). The differing responses across vessels are likely a result of different receptor populations and this should be verified in future research. This is the first reported observation of stimulated relaxation of a blood vessel constricted ergovaline. Additional research is needed to understand the mechanism of how 5HT can be used to stimulate vasorelaxation in livestock suffering from ergot alkaloid-induced vasoconstriction.

Possibility to measure the volume of coronary sinus in contrast-enhanced computed tomography.

Modern imaging techniques such as computed tomography (CT) can help in the assessment of coronary sinus volume in a vitro manner, but there is no comprehensive research on this topic so far. Hence, we decided to develop a methodology for measuring the volume of the coronary sinus in multi-detector CT and to try to apply it in practice. Forty-nine patients (22 men) were included in this research, with a mean age of 70.08 ± 13.6 years. Scanning with retrospective ECG-gating was performed using a Toshiba Aquilion 64 (slice: 0.5 mm; helical pitch: 12.8; rotation time: 0.4 s). 80 ± 20 cm3 of non-ionic contrast was administered to each patient. The volume of coronary sinus and other data measurements were performed using Vitrea 2 workstations. The organ volume measurement function was used to measure volume objects in CT scans. To standardise the measurements, they were all performed to the place where the vein of Marshall reaches the coronary sinus. In cases of loss of vein of Marshall, the first lateral vein was used as the junction between the coronary sinus and the great cardiac vein. The coronary sinus volume varied from 0.96 cm3 to 8.52 cm3. The average volume was 3.71 ± 1.64 cm3. There was a significant correlation between end diastolic volume and coronary sinus volume (r = 0.33, p = 0.02). In most cases the quality of visualisation was good - the average was calculated as 4.16 ± 0.87. The Thebesian valve was present in 22 cases (44.9%); however, no statistical relationship between the presence of the Thebesian valve and coronary sinus was observed. It is possible to visualise and calculate the volume of the coronary sinus in cardiac CT.

Potential Antihyperglycemic Effects of Adzuki (Vigna angularis) Polyphenols on Mice and Caco-2 Cells

Background/Purpose Some health-beneficial foods, including adzuki beans ( Vigna angularis), can show antihyperglycemic effects. Adzuki bean-derived polyphenols, such as (+)-catechin 7- O- β-d-glucopyranoside (C7G) and (+)-epicatechin 7- O- β-d-glucopyranoside (E7G), could be potential inhibitors of α-amylase and α-glucosidase, however, few studies of the activity of adzuki polyphenols have been performed in vivo. Thus, we evaluated the antihyperglycemic effects of crude adzuki bean extract containing polyphenols (ABP), and purified C7G or E7G using mice and Caco-2 cells. Methods Six-week-old male ICR mice were orally administered ABP (100 or 250 mg/kg), C7G or E7G (15 or 40 mg/kg), and sucrose (2 g/kg). Blood samples were taken from the lateral tail vein to measure the blood glucose levels at various times over 0–120 min. Cultured caco-2 cells, an intestinal model, were treated with ABP, C7G, or E7G. The glucose concentration in the medium was measured to examine the activity of α-glucosidase. Results Administration of adzuki polyphenols decreased blood glucose levels, especially E7G administration significantly showed antihyperglycemic effects in vivo. In Caco-2 cells, α-glucosidase activity was significantly decreased by ABP, C7G, or E7G addition in a dose-dependent manner without cytotoxicity. Conclusion These results suggest that C7G and E7G in adzuki bean extract inhibited sucrose-degrading enzymes to elicit antihyperglycemic effects in vivo, which supports the results of previous studies using adzuki beans, and may contribute to health promotion.

An unilateral double fenestration of the right external jugular vein: a rare variant.

This report presents a rare anatomical variation, double fenestration of the External jugular vein on the right side. During the routine dissection of a male cadaver aged 60 years, we observed a unilateral large double fenestration of the External jugular vein on the right side. After its formation from the posterior division of the retromandibular and posterior auricular veins, External jugular vein descended in the posterior triangle of neck. Here, it divided into medial, intermediate, and lateral veins that united again before draining into the subclavian vein. Lateral vein was the largest (7.2cm) and intermediate and medial veins were measuring 6.4cm each. Two large fenestrations, measuring 5.8cm each, arranged like a "double bubble" were seen in the External jugular vein extending from fourth to sixth cervical (C4 to C6) vertebrae. The medial branch of supraclavicular nerve was seen passing superficial to the distal part of External jugular vein. On the left side, the course of External jugular vein showed a standard pattern. Surgeons must be acquainted with the varied anatomy of the superficial neck veins to prevent major bleeding during operative procedures, including carotid endarterectomy, flap operations, & central venous catheterisation.

Magnetic resonance imaging findings of plantar venous thrombosis: a comparative study with Doppler ultrasound

Objective: Analyze magnetic resonance imaging (MRI) findings, demographics and clinical data in patients with plantar venousthrombosis (PVT). Methods: A retrospective study screening patients with PVT, diagnosed with color Doppler ultrasound, who also underwent MRI of the foot and ankle. In the post-contrast MRI sequences, the intravascular filling defect was analyzed, and in the non-contrast MRI sequences, the diameter of the foot vessels was analyzed, and perivascular edema was documented. MRI exams from a control group without PVT were also analyzed. Results: Sixty-one cases and 204 controls were included. The lateral plantar veins were the most frequent location in the foot with PVT (63.9%). In all post-contrast sequences, an intravascular filling was seen. In the case group, veins had a significantly greater diameter compared to controls (p < 0.05), and perivascular edema was observed in all cases (100%). A history of trauma/mechanical overload of the foot was documented in 83% of the patients (p < 0.001). Conclusion: Our results showed that the lateral plantar vein was the most frequent location of PVT. An intravascular filling defect on post-contrast MRI sequences was seen in all PVT cases. Compared to the control group, all vessels had a greater diameter in the case group, and perivascular edema was observed in all cases. Our results also suggest that a clinical history of trauma or mechanical overload (physical activities) in the foot and ankle may be one of the causal factors of this pathology. Level of evidence III; Therapeutic studies - investigating the results of treatment; Retrospective comparative study

Serotonin receptor-mediated vasorelaxation occurs primarily through 5-HT4 activation in bovine lateral saphenous vein.

To better understand mechanisms of serotonin- (5-HT) mediated vasorelaxation, isolated lateral saphenous veins from cattle were assessed for vasoactivity using myography in response to increasing concentrations of 5-HT or selective 5-HT receptor agonists. Vessels were pre-contracted with 1 × 10-4 M phenylephrine and exposed to increasing concentrations of 5-HT or 5-HT receptor agonists that were selective for 5-HT1B, 5-HT2B, 5-HT4, and 5-HT7. Vasoactive response data were normalized as a percentage of the maximum contractile response induced by the phenylephrine pre-contraction. At 1 × 10-7 M 5-HT, a relaxation was observed with an 88.7% decrease (p < 0.01) from the phenylephrine maximum. At 1 × 10-4 M 5-HT, a contraction was observed with a 165% increase (p < 0.01) from the phenylephrine maximum. Increasing concentrations of agonists selective for 5-HT2B, 5-HT4, or 5-HT7 resulted in a 27%, 92%, or 44% (p < 0.01) decrease from the phenylephrine maximum, respectively. Of these 5-HT receptor agonists, the selective 5-HT4 receptor agonist resulted in the greatest potency (-log EC50) value (6.30) compared with 5-HT2B and 5-HT7 receptor agonists (4.21 and 4.66, respectively). To confirm the involvement of 5-HT4 in 5-HT-mediated vasorelaxation, blood vessels were exposed to either DMSO (solvent control) or a selective 5-HT4 antagonist (1 × 10-5 M) for 5-min prior to the phenylephrine pre-contraction and 5-HT additions. Antagonism of the 5-HT4 receptor attenuated the vasorelaxation caused by 5-HT. Approximately 94% of the vasorelaxation occurring in response to 5-HT could be accounted for through 5-HT4, providing strong evidence that 5-HT-mediated vasorelaxation occurs through 5-HT4 activation in bovine peripheral vasculature.

The Effect of Carica pubescens Seeds Ethanol Extract on Lymphocyte Count and Paw Edema in Male White Swiss Webster Mice

Inflammation is a natural tissue response to infection in the body. The potential anti-inflammatory effect of secondary metabolites in carica seeds has been overlooked. This study aimed to investigate and develop the anti-inflammatory activity of the ethanolic extract of carica seeds (Carica pubescens) against foot edema and lymphocyte count in male white mice. Bioactive carica seeds were extracted using the maceration method with 70 % ethanol solvent. The identification of secondary metabolites was conducted using the thin-layer chromatography method. Treatments were administered to six groups: the negative control group (sick), solvent control, positive control with Diclofenac Sodium, and three doses of the ethanol extract of carica seeds (cS) at 100, 200, and 400 mg/kg body weight (BW). Edema was induced using intraplantar 1 % carrageenan on the soles of mice, and lymphocyte count was determined by blood sampling from the lateral tail vein using a hematology analyzer. Carica seeds doses of 200 mg/kg BW and 400 mg/kg BW demonstrated anti-inflammatory activity comparable to the positive control Diclofenac Sodium (p 0.05). Variations in CS doses influenced the lymphocyte count at the 3rd and 6th hours. In conclusion, the ethanolic extract of carica seeds exhibits anti-inflammatory effects in male white mice induced by 1 % carrageenan, reducing edema thickness and affecting leukocyte count.

Nonaneurysmal Perimesencephalic Subarachnoid Hemorrhage Associated with an Anomalous Anastomotic Cisternal Vein

A 54-year-old woman, with no medical history presented with severe headache, nauseas and vomiting for 8 days. Imaging exams revealed subarachnoid hemorrhage in the left interpeduncular cistern, without aneurysms. Computed tomography angiography and digital subtraction angiography found an anomalous vein near the site of the hemorrhagic clots, indicating abnormalities in cerebral venous drainage that provided an anastomosis between the drainage system of the deep middle cerebral, petrosal, and lateral mesencephalic veins. In the primitive pattern, the basal vein of Rosenthal drains into the lateral mesencephalic vein and to the petrosal sinus. This anomalous flow may predispose to subarachnoid hemorrhage, emphasizing the association between non-aneurysmal perimesencephalic hemorrhage and venous anomalies.

Venous Anomalies in Overgrowth Syndromes

Overgrowth syndromes, particularly within the PIK3CA-related overgrowth syndrome (PROS)spectrum, are commonly associated with venous anomalies. The anomalies include spongiform venous malformations and persistent embryonic veins, such as the lateral marginal vein (of Servelle). The anomalous veins pose a significant risk of thromboembolic disease and should be occluded, preferably earlier in life. A thorough understanding of the conditions, anatomy, and interdisciplinary treatment of these complex anomalies is essential for optimal management. This review explores the clinical and imaging diagnosis of overgrowth syndromes and techniques for assessing and treating associated venous anomalies, particularly the endovenous closure of anomalous veins

The use of left bundle branch pacing as a bail-out in case of CRT pacing failure: a case series

Abstract Introduction LBBB pacing has emerged as a novel alternative to CS pacing for cardiac resynchronization therapy in patients with heart failure. Purpose We hereby present a series of four cases wherein the use of LBB pacing, although not initially planned as first choice, was able to overcome a variety of different limitations of traditional CRT pacing. Presentation Patient #1 was an 81-year old man with a history of ischemic HF and AF who was admitted with recurring episodes of sustained ventricular tachycardia (VT) below the detection zone of the CRT-D that had been implanted 11 years ago. Interrogation of the device revealed fracture in the RV lead, intact values of the RV defibrillation coil and inability to capture from an LV lead in an anterior vein. Following initial stabilization the patient underwent successful LBB lead implantation combined with a new RV pace-sense lead as backup due to acceptable but non-optimal LBB lead values attributed to ischemic septal scarring. We were able to retain the previous CRT-D device by relegating the LBB lead to the atrial port and with the use of DDDR programming with custom AV delay values in order to achieve LBB pacing with RV pacing as backup. Patient #2 was a 51-year old man with a history of ischemic HF and permanent AF with a previously implanted CRT-D who was also admitted due to episodes of VT. Device interrogation revealed high threshold of an LV lead located in an anterior vein. The patient underwent supplementary LBB lead implantation which was then connected to the atrial port of the pre-existing CRT-D device, providing primarily LBB pacing with RV pacing backup through the use of custom DDDR programming same as in the previous case. Patient #3 was a 71–year old man with newly-diagnosed ischemic cardiomyopathy and multiple episodes of hemodynamically unstable VT that persisted even after successful reperfusion, necessitating VT ablation. The patient had narrow QRS at baseline and was not eligible for CRT-D, however after medical therapy to suppress ventricular arrhythmias the patient seemed prone to developing LBBB-like QRS widening. The decision was made to proceed with standard ICD implantation and combine a standard defibrillation lead with an LBB lead through the use of a DF1 port, so as to be able to provide LBB pacing as needed in the future. Patient #4 was a 62-year old man with a history of hypertrophic cardiomyopathy and HF with extensive apical scar scheduled for CRT-D implantation. CS venography during implantation revealed a single lateral vein draining the apical LV, lead was implanted but with no capture. An LBB pacing lead was successfully implanted and used instead of the LV lead in the conventional CRT-D set up. Conclusion In this case series we demonstrate that LBB pacing is a viable option as a bail-out in various cases of CRT pacing failure, including both septal scar and hypertrophy, as well as different anatomical substrates and CRT status.LBB pacing characteristics summary