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Kato S.,Tokyo Metropolitan Komagome Hospital | Hozumi T.,Tokyo Metropolitan Komagome Hospital | Takeshita K.,Sensory and Motor System Medicine | Kondo T.,Tokyo Metropolitan Komagome Hospital | And 2 more authors.
Archives of Orthopaedic and Trauma Surgery | Year: 2012

Purpose: Paralysis in spinal metastasis is often caused by anterior dural compression, and anterior approach has been frequently chosen for decompression despite its dreadful complications. On the other hand, the effectiveness of posterior indirect decompression has not specifically established. The objective of the present study was to investigate the anatomical patterns of dural compression, and to clarify the effectiveness of posterior surgery for anterior lesions. Methods: We retrospectively analyzed the anatomical patterns of spinal metastasis on MRI images and the neurological recovery in the paralytic patients who underwent posterior decompression and fusion surgery with intraoperative radiation therapy. The recovery rate was compared between those with an anterior or circumferential dural compression (A+), who were indirectly decompressed, and those with a posterior and/or lateral dural compression (A-), who were directly decompressed. Results: A total of 135 cases were included in the study, and 81.5% had anterior dural compression (A+). In the A+ group, 88.2% of preoperatively non-ambulatory cases regained the gait. Full recovery was achieved in 50% of preoperatively ambulatory cases. These rates were not significantly different from those in the A- group. The rate of gait regain was diminished in the surgeries of the middle thoracic spine (T5-8). Conclusions: Most spinal metastases cause paralysis by anterior compression; however, the result of posterior indirect decompression was similar to that of posterior direct decompression, although kyphosis negatively affected the result. Anterior decompression might not always be necessary for soft tumor compression as long as the adjuvant therapy is effective for the local control. © Springer-Verlag 2012. Source

Mori Y.,Sensory and Motor System Medicine | Chung U.-I.,Center for Disease Biology and Integrative Medicine | Tanaka S.,Sensory and Motor System Medicine | Saito T.,Sensory and Motor System Medicine | Saito T.,University of Tokyo
Biomedical Research (Japan) | Year: 2014

Superficial zone (SFZ) cells, which are morphologically and functionally distinct from chondrocytes in deeper zones, play important roles in the maintenance of articular cartilage. Here, we established an easy and reliable method for performance of laser microdissection (LMD) on cryosections of mature rat articular cartilage using an adhesive membrane. We further examined gene expression profiles in the SFZ and the deeper zones of articular cartilage by performing RNA sequencing (RNA-seq). We validated sample collection methods, RNA amplification and the RNA-seq data using real-time RT-PCR. The combined data provide comprehensive information regarding genes specifically expressed in the SFZ or deeper zones, as well as a useful protocol for expression analysis of microsamples of hard tissues. © 2014 Biomedical Research Press. Source

Mori Y.,Sensory and Motor System Medicine | Mori D.,Bone and Cartilage Regenerative Medicine | Chung U.-I.,University of Tokyo | Tanaka S.,Sensory and Motor System Medicine | And 6 more authors.
Biomedical Research (Japan) | Year: 2014

S100A1 and S100B are induced by the SOX trio transcription factors (SOX9, SOX5, and SOX6) in chondrocytes, and inhibit their hypertrophic differentiation in culture. However, functional roles of S100A1 and S100B during in vivo skeletal development are yet to be determined. Here we show that mice deficient of both the S100a1 and S100b genes displayed normal skeletal growth from embryonic stage to adulthood. Although no compensatory upregulation of other S100 family members was observed in S100a1/S100b double mutants, the related S100a2, S100a4, S100a10, and S100a11 were expressed at similarly high levels to S100a1 and S100b in mouse primary chondrocytes. Furthermore, overexpression of these other S100 members suppressed the hypertrophic differentiation of chondrocytes in vitro as efficiently as S100A1 and S100B. Taken together, the present study demonstrates that S100A1 and S100B are dispensable for endochondral ossification during skeletal development, most likely because their deficiency may be masked by other S100 proteins which have similar functions to those of S100A1 and S100B. © 2014 Biomedical Research Press. Source

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