Germ cell tumors (GCT) are uncommon malignancies in adult males and comprise less than 1% of male cancers. Due to highly curative nature and productive life years gained after treatment; reduction of chemotherapy related toxicities becomes vital. Cisplatin is the backbone of GCT chemotherapy, & is related to myocardial injury, thromboembolism & vasculitis. Though it should not be replaced with Carboplatin, however in certain circumstances, its use maybe unsafe; especially in cases when patient have prior myocardial infarction. We report a case of Takotsubo cardiomyopathy (TCM)secondary to GCT diagnosis in a young male. This patient presented withsymptoms of myocardial infarction however, coronary angiography was normal and a diagnosis of TCM was made. Though, it is rare but a unique challenge, as whether Cisplatin use would be safe in this particular scenario? On one hand patient had stress related myocardial injurywhile he was also at risk of further Cisplatin induced complications.There are no clear cut guidelines, so after informed consent his treatment regimen was modified to EC (Etoposide/Carboplatin) instead of EP (Etoposide/Cisplatin). Patient has completed 4.6 years of follow-up without any evidence of relapse. We suggest informed decisions and to weigh the pros and cons of using an inferior regimen, in order to achieve same long term prognosis while preventing any acute complications,in younger patients with curable cancers.

京都大学 / 新制・課程博士 / 博士(医科学) / 甲第23611号 / 医科博第134号 / 新制||医科||9(附属図書館) / 京都大学大学院医学研究科医科学専攻 / (主査)教授 遊佐 宏介, 教授 小川 誠司, 教授 山中 伸弥 / 学位規則第4条第1項該当 / Doctor of Medical Science / Kyoto University / DFAM

京都大学 / 0048 / 新制・論文博士 / 博士(医学) / 乙第13112号 / 論医博第2130号 / 新制||医||1022(附属図書館) / (主査)教授 浅野 雅秀, 教授 瀬原 淳子, 教授 近藤 玄 / 学位規則第4条第2項該当 / Doctor of Medical Science / Kyoto University / DFAM

No description available.

Exercise is known to induce changes in the gut, typically referred to as the ‘forgotten organ’, and changes in gut microbiota can also occur with exercise possibly imparting systemic benefits. The question remains whether or not microbiota from an exercised animal can independently affect skeletal muscle morphology. Our first objective was to examine whether an endurance exercise program could modify the microbiota in donor mice. Second, we aimed to elucidate if such an endurance-trained microbiota could be transferred to germ-free mice via fecal inoculation. Finally, we sought to determine how the morphology and functional characteristics of skeletal muscle were influenced as a result of fecal inoculation. We hypothesized that germ-free mice recipients inoculated with the microbiota from endurance trained donors would undergo morphological changes in muscle fibre type composition and physiological changes in skeletal muscle function associated with a more oxidative phenotype. Eight-week-old male C57BL/6NCrl donor mice (n = 20) were randomized into two groups: one group completed an endurance exercise training protocol on a treadmill machine 3x/week for 11 weeks (n = 10) while one group remained cage-bound (n = 10). Ten-week-old male (n = 7) and female (n = 9) germ-free mice were colonized with the cecal microbiota of the donor mice in that, equal numbers of germ-free mice were inoculated with exercised-microbiota as sedentary-microbiota. Glucose metabolism and performance measures were evaluated in the donors as well as the recipients post-inoculation. Muscle tissue was extracted for immunohistochemistry and mitochondrial assays. During the intra-peritoneal glucose tolerance test (IPGTT), significant differences in blood glucose were found at 30min between exercise-inoculated and sedentary-inoculated (23.4 ± 2.2; 29.0 ± 1.9 mmol/L, p<0.05).and change in blood glucose relative to baseline (12.04 ± 2.4; 18.3 ± 1.9 mmol/L, p<0.01). There were significant sex-based differences in the blood glucose response in inoculated animals such that there were significant differences in blood glucose between the exercise-inoculated females and sedentary-inoculated females at 15mins (28.4 ± 2.4; 30.6 ± 1.1 mmol/L, p<0.05) and 30mins (24.7 ± 3.6; 29.9 ± 2.4 mmol/L, p<0.01), however no differences between exercise-inoculated males and sedentary-inoculated males. In addition, there were significant differences in the change in blood glucose relative to baseline between the exercise-inoculated females and sedentary-inoculated females at 15mins (12.3 ± 1.9; 20.6 ± 0.8 mmol/L, p<0.01) and 30mins (10.2 ± 2.6; 19.9 ± 2.1 mmol/L, p<0.001). This novel characterization of a link between gut microbiota and skeletal muscle suggests a transmissible capacity of microbiota to impart properties of ‘healthy’ muscle into compromised populations. / Thesis / Master of Science (MSc) / The gut microbiome or microbiota describes the composition of the human gut – remarkably, over 100 trillion bacterial cells live in symbiosis with the cells of the human body. Research from the past decade has elucidated the salient nature of the human gut microbiome on immunity, metabolic homeostasis, and overall health and disease. Transformative research in the field has demonstrated the ability to transfer these bacterial colonies from one individual to another and elicit change, such as altering body mass and adiposity, respective to their donor. The interaction between gut microbiota and other organ systems i.e. brain, liver, adipose tissue has been the focus of several recent investigations, suggesting that lifestyle changes such as diet and exercise can influence communication between the gut and various other organs and contribute to changes in function. Skeletal muscle is the largest muscle in the human body accounting for 40% of total mass and although the main role of skeletal muscle is locomotion and postural stabilization, it is integral for the regulation of blood glucose as well as a reservoir for other macronutrients. Acute and chronic physical exercise cause a myriad of adaptive responses throughout the human body including in skeletal muscle and the gut. Therefore, the existence and influence of a gut-muscle link or ‘axis’ on human health cannot be ignored. What is unclear exactly, is if exercise-induced adaptations in the gut of an individual can be transferred to elicit change in the gut of a recipient and further induce adaptations at the level of the skeletal muscle.

No / In 2013, the World Health Organization referred to tobacco smoking as an epidemic and a great threat to human health. Despite the obvious exposures from first- and secondhand smoking contributing to illnesses, an increased cancer risk, and death, there is a hidden risk to the next generation(s) from transgenerational mutations. In human populations, paternal preconceptional germ cell damage leading to genomic instability in offspring has always been difficult to evaluate as preconceptional and gestational exposures usually cannot be analyzed independently. Clear indications have been found that the effect of pre- and periconceptional paternal smoking may have been transmitted to the offspring via the spermatozoal genome and epigenome. Hence, cigarette smoke has to be considered a human germ cell mutagen due to its potential of inducing transgenerational DNA alterations in the unexposed F1 offspring of smoking-exposed fathers. For cohort studies, the practice of almost exclusively employing mother–childbirth pairs for the evaluation of lifestyle factors, such as smoking, while excluding the fathers’ contribution has to be reconsidered. Evidence now strongly points to the necessity of including the fathers in order not to miss paternal transgenerational damage in the offspring. This applies for genetic, epigenetic, and other transmissible effects.

Yes / Genotoxic compounds have induced DNA damage in male germ cells and have been associated with adverse clinical outcomes including enhanced risks for maternal, paternal and offspring health. DNA strand breaks represent a great threat to the genomic integrity of germ cells. Such integrity is essential to maintain spermatogenesis and prevent reproduction failure. The Comet assay results revealed that the incubation of isolated germ cells with n-ethyl-n-nitrosourea (ENU), 6-mercaptopurine (6-MP) and methyl methanesulphonate (MMS) led to increase in length of Olive tail moment and % tail DNA when compared with the untreated control cells and these effects were concentration-dependent. All compounds were significantly genotoxic in cultured germ cells. Exposure of isolated germ cells to ENU produced the highest concentration-related increase in both DNA damage and gene expression changes in spermatogonia. Spermatocytes were most sensitive to 6-MP, with DNA damage and gene expression changes while spermatids were particularly susceptible to MMS. Real-time PCR results showed that the mRNA level expression of p53 increased and bcl-2 decreased significantly with the increasing ENU, 6-MP and MMS concentrations in spermatogonia, spermatocytes and spermatids respectively for 24 hr. Both are gene targets for DNA damage response and apoptosis. These observations may help explain the cell alterations caused by ENU, 6-MP and MMS in spermatogonia, spermatocytes and spermatids. Taken together, ENU, 6-MP and MMS induced DNA damage and decreased apoptosis associated gene expression in the germ cells in vitro. / Libyan Government

Primordial germ cells (PGCs) are the embryonic precursors of the germ cell lineage. Segregation of the chicken germ line from somatic cells occurs very early in embryonic development. By day two of incubation chicken PGCs can be isolated from the circulating blood. The in vitro culture of chicken PGCs has significant potential as a tool for the investigation of germ cell development and as a cell-based system for the production of genetically modified chickens. The isolation, culture and manipulation of migratory chicken PGCs reported previously have not been independently validated. Initial attempts to isolate and culture chicken PGCs by reproducing a published protocol proved difficult. Key components of the published culture medium are by their nature variable, including the use of BRL-conditioned medium and animal sera. The protocol also stated that addition of SCF to the culture medium is essential but did not identify the source of SCF used. Several components of the culture conditions were tested including sources and batches of bovine and chicken sera and the growth factors FGF2 and SCF. Chicken PGCs from wild type and GFPexpressing chicken embryos were cultured and several cell lines established, proliferating for more than 100 days in culture. After seventy days in culture a single chicken PGC cell line was shown to retain the potential to develop into functional sperm. This was demonstrated by injection of the cultured chicken PGCs into early chick embryos, which were hatched and produced offspring derived from the injected chicken PGCs. To understand and produce a more robust system for the isolation and propagation of chicken PGCs three signalling pathways, AKT, MAPK and JAK/STAT, were investigated. When any of these signalling pathways were blocked, using chemical inhibitors, chicken PGC proliferation in vitro was significantly inhibited, showing the pathways to be essential for chicken PGC proliferation. Chicken PGCs were treated with individual components of the standard culture medium, FGF2, SCF, animal sera, BRL-conditioned medium, LIF and IGF, and the activation status of the key signalling pathways was assessed by western blot. Individual components of the culture medium induced activation of the AKT and MAPK pathways but not the JAK/STAT pathway. These data increase our understanding of PGC biology and are the first steps towards the development of a feeder- and serum-free medium for the growth of chicken PGCs. Published methods for the genetic manipulation of chicken PGCs are inefficient. To improve the efficiency of stable transgene integration, transposable element-derived gene transfer vectors were assessed for their ability to transpose into the genome of chicken PGCs. Comparison of Tol2 and piggyBac transposable elements, carrying reporter transgenes, demonstrated that both can be used to genetically-modify chicken cells. The incidence of stable transposition achieved was higher when using the Tol2 transposable element in comparison to the piggyBac element. The genetically-modified chicken PGCs formed functional gametes, demonstrated by injection of genetically modified chicken PGCs into host embryos which were hatched and produced transgenic offspring expressing the reporter gene construct.

As células germinativas primordiais (CGPs) são as precursoras dos gametas, capazes de gerar um novo indivíduo os quais transmitirão os materiais genéticos para as futuras gerações. Normalmente, a linha germinal de mamífero é determinada por fatores genéticos e epigenéticos que possuem funções essenciais para guiar na direção e desenvolvimento das CGPs, bem como das células germinativas embrionárias (CGEs). A reprogramação epigenética é fundamental para a regulação do genoma durante o desenvolvimento das células germinativas responsáveis por originar a linhagem gametogênica nos mamíferos. A metilação e desmetilação em CGPs são um evento único, essencial para apagar a memória epigenética e também prevenir transmissões de epimutações para a próxima geração. Assim, o completo entendimento das vias e mecanismos para a migração inicial e diferenciação destas células em CGEs podem ser importantes para identificar e corrigir falhas possíveis nesses processos, o que será importante, no futuro, para o desenvolvimento e desempenho reprodutivo. A maioria dos estudos com CGPs e CGEs é realizado em camundongos, porém nem sempre esta espécie torna-se o melhor modelo de estudo quando se quer transpor esses conhecimentos a humanos. O cão doméstico (Canis lúpus familiaris) apresenta-se como um modelo ideal para o estudo do desenvolvimento em mamíferos, pois possui inúmeras similaridades com a bioquímica, fisiologia e genética. Deste modo, torna-se interessante expandir os estudos sobre as CGPs e CGEs na espécie canina, a fim de mostrar a importância de diferentes modelos que se assemelham a seres humanos. Portanto, objetiva-se, nesta proposta, identificar qual é a dinâmica de marcadores pluripotentes, germinativos e epigenéticos que são importantes para o desenvolvimento das CGPs e CGEs caninas. Para tal procedimento, essa pesquisa foi dividida em duas fases: a primeira, consiste no processo in vivo, desde o desenvolvimento inicial do embrião até a completa formação da crista gônadal. Análises de RTq-PCR e imunofluorescência para marcadores pluripotentes POU5F1 (OCT4) e NANOG, germinativos DDX4 (VASA), DAZL e DPPA3 (STELLA) e epigenéticos 5mC, 5hmC, H3K27me3 e H3K9me2 foram realizados para criar um perfil de genes que são importantes para o desenvolvimento das CGPs caninas. Prosseguiu-se para a segunda fase in vitro, que incide na derivação e caracterização das CGEs caninas. Ensaios de Fosfatase Alcalina, imunofluorescência para os marcadores: pluripotente POU5F1 (OCT4), germinativos DDX4 (VASA), DAZL e DPPA3 (STELLA), mesodérmico THY-1 (CD90) e epigenéticos 5mC, 5hmC, H3K27me3 e H3K9me2, RT-qPCR para os genes NANOG e DDX4 e formação de teratoma foram efetivados para comprovar a linhagem de células CGEs. Como resultado in vivo, percebe-se que diferentes padrões de marcações e genes foram expressos nas CGPs, comprovando que a espécie canina se assemelha mais com os humanos do que com os camundongos. Os resultados in vitro mostraram que foi possível derivar as células CGEs e que estas conseguem reter sua pluripotencialidade e que diminuem a expressão dos genes germinativos. Porém, essas células tendem a se diferenciar em outros tecidos somáticos, mesmo com a adição de suplementos, fato também notado em CGEs humanas. / Primordial germ cells (PGCs) are known as the only cells capable of generating a new individual, they originate the gametes which then will transmit genetic material to future generations. Normally, the mammalian germ line is determined by genetic and epigenetic factors that have essential functions to guide the direction and development of PGCs as well as embryonic germ cells (EGCs). Epigenetic reprogramming is fundamental for the regulation of the genome during the development of the germ cells responsible for originating the gametogenic lineage in mammals. Methylation and demethylation in PGCs is a unique event, essential for erasing epigenetic memory and also preventing transmissions of epimutations to the next generation. Thus, the understanding of the patterns of differentiation of PGCs in EGCs can be important in identifying and correcting possible failures in these processes, which will be important in the future for development and reproductive performance. Most of the studies with PGCs in EGCs are carried out in mice, but this species is not always the best model of study when transposing this knowledge to humans. In canines, no study has ever been reported on canine PGCs and maybe the Canine species has become interesting as a new animal model for studies. It is known that the study material of human embryos are scarce samples and difficult to obtain, so it is necessary to use other animal models, such as the Canids, which also resemble humans. Dogs were the first fundamental models for the development of bone marrow transplantation in humans, but also made valuable contributions to the development of therapies for cardiovascular and orthopedic diseases. Then, it has become interesting to expand the studies on PGCs in the canine species in order to show the importance of different models that might resemble humans. Therefore, we had how proposal identify which were pluripotent, germinative and epigenetic markers that are important for the development of PGCs and canine EGCs. It research was divided into two phases: the first consists of the in vivo process, from the initial development of the embryo to the complete formation of the gonadal ridge. We analyzed through the techniques of real-time PCR (RT-qPCR) and immunofluorescence for pluripotent markers POU5F1 (OCT4) and NANOG, germline DDX4 (VASA), DAZL and DPPA3 (STELLA) and epigenetic 5mC, 5hmC, H3K27me3 and H3K9me2 were performed to create a profile of genes that are important for the development of canine PGCs. We proceeded to the second in vitro phase, which focuses on the derivation and characterization of canine EGCs. Alkaline Phosphatase (AP), immunofluorescence for the markers: pluripotent POU5F1 (OCT4), germinative DDX4 (VASA), DAZL and DPPA3 (STELLA), mesodermal THY-1 (CD90) and epigenetic 5mC, 5hmC, H3K27me3 and H3K9me2. We also analyzed RT-qPCR for NANOG and DDX4 genes and teratoma formation were performed to prove the EGCs cell lineage. As a result in vivo, different marking patterns and genes had been expressed in CGPs, proving that the canine species is more similar to humans than to mice. The in vitro results showed that it was possible to derive the EGCs and that they are able to retain their pluripotency and decrease the expression of the germinative genes. However, these cells continue to differentiate into other somatic tissues, even with the addition of supplements, a fact also noted in human CGEs.

As células germinativas primordiais (CGPs) são as precursoras dos gametas, capazes de gerar um novo indivíduo os quais transmitirão os materiais genéticos para as futuras gerações. Normalmente, a linha germinal de mamífero é determinada por fatores genéticos e epigenéticos que possuem funções essenciais para guiar na direção e desenvolvimento das CGPs, bem como das células germinativas embrionárias (CGEs). A reprogramação epigenética é fundamental para a regulação do genoma durante o desenvolvimento das células germinativas responsáveis por originar a linhagem gametogênica nos mamíferos. A metilação e desmetilação em CGPs são um evento único, essencial para apagar a memória epigenética e também prevenir transmissões de epimutações para a próxima geração. Assim, o completo entendimento das vias e mecanismos para a migração inicial e diferenciação destas células em CGEs podem ser importantes para identificar e corrigir falhas possíveis nesses processos, o que será importante, no futuro, para o desenvolvimento e desempenho reprodutivo. A maioria dos estudos com CGPs e CGEs é realizado em camundongos, porém nem sempre esta espécie torna-se o melhor modelo de estudo quando se quer transpor esses conhecimentos a humanos. O cão doméstico (Canis lúpus familiaris) apresenta-se como um modelo ideal para o estudo do desenvolvimento em mamíferos, pois possui inúmeras similaridades com a bioquímica, fisiologia e genética. Deste modo, torna-se interessante expandir os estudos sobre as CGPs e CGEs na espécie canina, a fim de mostrar a importância de diferentes modelos que se assemelham a seres humanos. Portanto, objetiva-se, nesta proposta, identificar qual é a dinâmica de marcadores pluripotentes, germinativos e epigenéticos que são importantes para o desenvolvimento das CGPs e CGEs caninas. Para tal procedimento, essa pesquisa foi dividida em duas fases: a primeira, consiste no processo in vivo, desde o desenvolvimento inicial do embrião até a completa formação da crista gônadal. Análises de RTq-PCR e imunofluorescência para marcadores pluripotentes POU5F1 (OCT4) e NANOG, germinativos DDX4 (VASA), DAZL e DPPA3 (STELLA) e epigenéticos 5mC, 5hmC, H3K27me3 e H3K9me2 foram realizados para criar um perfil de genes que são importantes para o desenvolvimento das CGPs caninas. Prosseguiu-se para a segunda fase in vitro, que incide na derivação e caracterização das CGEs caninas. Ensaios de Fosfatase Alcalina, imunofluorescência para os marcadores: pluripotente POU5F1 (OCT4), germinativos DDX4 (VASA), DAZL e DPPA3 (STELLA), mesodérmico THY-1 (CD90) e epigenéticos 5mC, 5hmC, H3K27me3 e H3K9me2, RT-qPCR para os genes NANOG e DDX4 e formação de teratoma foram efetivados para comprovar a linhagem de células CGEs. Como resultado in vivo, percebe-se que diferentes padrões de marcações e genes foram expressos nas CGPs, comprovando que a espécie canina se assemelha mais com os humanos do que com os camundongos. Os resultados in vitro mostraram que foi possível derivar as células CGEs e que estas conseguem reter sua pluripotencialidade e que diminuem a expressão dos genes germinativos. Porém, essas células tendem a se diferenciar em outros tecidos somáticos, mesmo com a adição de suplementos, fato também notado em CGEs humanas. / Primordial germ cells (PGCs) are known as the only cells capable of generating a new individual, they originate the gametes which then will transmit genetic material to future generations. Normally, the mammalian germ line is determined by genetic and epigenetic factors that have essential functions to guide the direction and development of PGCs as well as embryonic germ cells (EGCs). Epigenetic reprogramming is fundamental for the regulation of the genome during the development of the germ cells responsible for originating the gametogenic lineage in mammals. Methylation and demethylation in PGCs is a unique event, essential for erasing epigenetic memory and also preventing transmissions of epimutations to the next generation. Thus, the understanding of the patterns of differentiation of PGCs in EGCs can be important in identifying and correcting possible failures in these processes, which will be important in the future for development and reproductive performance. Most of the studies with PGCs in EGCs are carried out in mice, but this species is not always the best model of study when transposing this knowledge to humans. In canines, no study has ever been reported on canine PGCs and maybe the Canine species has become interesting as a new animal model for studies. It is known that the study material of human embryos are scarce samples and difficult to obtain, so it is necessary to use other animal models, such as the Canids, which also resemble humans. Dogs were the first fundamental models for the development of bone marrow transplantation in humans, but also made valuable contributions to the development of therapies for cardiovascular and orthopedic diseases. Then, it has become interesting to expand the studies on PGCs in the canine species in order to show the importance of different models that might resemble humans. Therefore, we had how proposal identify which were pluripotent, germinative and epigenetic markers that are important for the development of PGCs and canine EGCs. It research was divided into two phases: the first consists of the in vivo process, from the initial development of the embryo to the complete formation of the gonadal ridge. We analyzed through the techniques of real-time PCR (RT-qPCR) and immunofluorescence for pluripotent markers POU5F1 (OCT4) and NANOG, germline DDX4 (VASA), DAZL and DPPA3 (STELLA) and epigenetic 5mC, 5hmC, H3K27me3 and H3K9me2 were performed to create a profile of genes that are important for the development of canine PGCs. We proceeded to the second in vitro phase, which focuses on the derivation and characterization of canine EGCs. Alkaline Phosphatase (AP), immunofluorescence for the markers: pluripotent POU5F1 (OCT4), germinative DDX4 (VASA), DAZL and DPPA3 (STELLA), mesodermal THY-1 (CD90) and epigenetic 5mC, 5hmC, H3K27me3 and H3K9me2. We also analyzed RT-qPCR for NANOG and DDX4 genes and teratoma formation were performed to prove the EGCs cell lineage. As a result in vivo, different marking patterns and genes had been expressed in CGPs, proving that the canine species is more similar to humans than to mice. The in vitro results showed that it was possible to derive the EGCs and that they are able to retain their pluripotency and decrease the expression of the germinative genes. However, these cells continue to differentiate into other somatic tissues, even with the addition of supplements, a fact also noted in human CGEs.