Increased pulmonary vascular expression of Krüppel-like factor 5 and activated survivin in experimental congenital diaphragmatic hernia.

Abstract:

AIM OF THE STUDY:The high morbidity and mortality in congenital diaphragmatic hernia (CDH) is attributed to pulmonary hypoplasia and persistent pulmonary hypertension (PH). PH is characterized by increased pulmonary artery smooth muscle cell (SMC) proliferation, suppressed apoptosis as well as endothelial dysfunction. Krüppel-like factor 5 (KLF5) belongs to a family of transcription factors that has diverse functions during cell differentiation and embryonic development. KLF5 is preferentially expressed in proliferating SMCs but reduced in differentiated cells. KLF5 induces the expression of Survivin, a 16.5 kDa protein overexpressed in almost all malignancies but hardly detected in normal differentiated tissues. Survivin has been shown to inhibit apoptosis, promote cell proliferation, and enhance angiogenesis. Recent studies have implicated activation of KLF5 and Survivin in the pathogenesis of human and experimental PH. We designed this study to investigate the hypothesis that KLF5 and Survivin expression are increased in nitrofen-induced CDH. METHODS:Pregnant rats were exposed to nitrofen or vehicle on D9. Fetuses were sacrificed on D21 and divided into nitrofen (n = 16) and control group (n = 16). Quantitative real-time PCR, western blotting, and confocal immunofluorescence were performed to determine pulmonary gene expression levels and protein expression of KLF5, Survivin, and phosphorylated Survivin (p-Survivin). MAIN RESULTS:Confocal microscopy revealed markedly increased pulmonary vascular KLF5 and p-Survivin expression in lungs of nitrofen-exposed fetuses compared to controls. These results were confirmed by western blotting, showing increased pulmonary expression of KLF5 and p-Survivin. Furthermore, the relative pulmonary gene expressions of KLF5 and Survivin were significantly increased in the CDH group compared to controls (p < 0.005 rsp. p < 0.01). CONCLUSION:This study provides striking evidence of increased gene and protein expression of KLF5 and activated Survivin in the pulmonary vasculature of nitrofen-induced CDH, suggesting that increased expression of KLF5 may activate p-Survivin expression and play an important role in the pathogenesis of PH in nitrofen-induced CDH.

journal_name

Pediatr Surg Int

authors

Hofmann AD,Takahashi T,Duess JW,Gosemann JH,Puri P

doi

10.1007/s00383-014-3606-7

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

1191-7

issue

12

eissn

0179-0358

issn

1437-9813

journal_volume

30

pub_type

杂志文章
  • An unusual case of testicular ectopia.

    abstract::A testis is termed ectopic when it lies outside the normal line of descent. A case of testicular ectopia in which the testicle was located cranial and lateral to the internal ring dorsal to the external oblique muscle is reported in a 2-month-old boy. This highly aberrant ectopic testis was treated successfully by orc...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/BF00178440

    authors: Günel E,Gündoğan AH

    更新日期:1996-04-01 00:00:00

  • Cost-effectiveness of neonatal surgery: first greeted with scepticism, now increasingly accepted.

    abstract::Mortality rates in neonatal surgery have dropped markedly, illustrating the enormous progress made. Yet, new questions have arisen. To mention one, health care budgets have tightened. It follows that the effects of medical interventions should be weighted against their costs. As evidence was particularly sparse, we se...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-007-2045-0

    authors: Poley MJ,Brouwer WB,Busschbach JJ,Hazebroek FW,Tibboel D,Rutten FF,Molenaar JC

    更新日期:2008-02-01 00:00:00

  • Gastroschisis-related complications requiring further surgical interventions.

    abstract:PURPOSE:The aim of this study was to determine the incidence of gastroschisis-related complications (GRCs) after closure of the abdominal wall defect, with a focus on frequency, type and timing of required surgical interventions, and to identify the impact of these on further outcome. METHODS:All gastroschisis patient...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3500-3

    authors: Friedmacher F,Hock A,Castellani C,Avian A,Höllwarth ME

    更新日期:2014-06-01 00:00:00

  • Application of endoscopic Ho:YAG laser incision technique treating urethral strictures and urethral atresias in pediatric patients.

    abstract::Endoscopic holmium:yttrium-aluminum-garnet (Ho:YAG) laser incision is a new method applied in pediatric urology recent years. To evaluate its therapeutic efficacy on treating the pediatric patients with urethral strictures and urethral atresias, a retrospective study was performed from June 2001 to July 2005 in a tota...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-006-1692-x

    authors: Futao S,Wentong Z,Yan Z,Qingyu D,Aiwu L

    更新日期:2006-06-01 00:00:00

  • Skill qualifications in pediatric minimally invasive surgery.

    abstract:PURPOSE:In 2006, The Japanese Society of Pediatric Endoscopic Surgeons devised a plan to develop a pediatric endoscopic surgical skill qualification (ESSQ) system. This system is controlled by The Japan Society for Endoscopic Surgery. The standard requirement for skills qualification is the ability of each applicant to...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00383-011-2871-y

    authors: Iwanaka T,Morikawa Y,Yamataka A,Nio M,Segawa O,Kawashima H,Sato M,Terakura H,Take H,Hirose R,Yagi M

    更新日期:2011-07-01 00:00:00

  • Lower urinary tract obstruction secondary to congenital bladder diverticula in infants.

    abstract:PURPOSE:Congenital primary bladder diverticulum is a rare condition and may present with urinary infection; other forms of presentation are rare. We present a series of infants who presented with urinary retention secondary to large primary bladder diverticulum. METHODS:Seven infants were evaluated for symptoms of low...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-009-2470-3

    authors: Singal AK,Chandrasekharam VV

    更新日期:2009-12-01 00:00:00

  • Effect of maternal dexamethasone treatment on the type II pneumocytes in hypoplastic lung by oligohydramnios: an ultrastructural study.

    abstract::A previous study documented the effects of maternal corticosteroid treatment on structural growth and functional development in fetal lungs associated with pathogenic conditions such as oligohydramnios using immunohistochemical and morphometric analyses. The purpose of the present study was to examine the effect of ma...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-007-1979-6

    authors: Asabe K,Oka Y,Kai H,Shirakusa T

    更新日期:2007-10-01 00:00:00

  • A pilot study comparing parent and adolescent online health information seeking behaviours in elective pediatric surgical situations.

    abstract:PURPOSE:Little is known of how children seek health information. This study evaluates online health information (OHI) seeking behaviours in adolescents undergoing major elective surgical procedures and compares responses within parent-child dyads. METHODS:With institutional approval, we prospectively surveyed parents ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-019-04592-0

    authors: Wong SSM,Wong KPL,Angus MIL,Chen Y,Choo CSC,Nah SA

    更新日期:2020-02-01 00:00:00

  • Altered intramuscular innervation and synapse formation in internal sphincter achalasia.

    abstract::Internal anal sphincter achalasia (IASA) is a condition with a clinical presentation similar to Hirschsprung's disease, but with the presence of ganglion cells on rectal biopsy. The diagnosis of IASA is made on anorectal manometry, which demonstrates the absence of a rectosphincteric reflux on rectal balloon inflation...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050552

    authors: Oue T,Puri P

    更新日期:1999-01-01 00:00:00

  • Non-operative treatment versus percutaneous drainage of pancreatic pseudocysts in children.

    abstract:PURPOSE:The objective of this study was to characterize the clinical course and outcomes of children with pancreatic pseudocysts that were initially treated non-operatively or with percutaneous drainage. METHODS:A retrospective review of children with pancreatic pseudocysts over a 12-year period was completed. Categor...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-012-3236-x

    authors: Russell KW,Barnhart DC,Madden J,Leeflang E,Jackson WD,Feola GP,Meyers RL,Scaife ER,Rollins MD

    更新日期:2013-03-01 00:00:00

  • An adrenal cyst in a newborn.

    abstract::Adrenal cysts (AC) are rare, particularly in the newborn period. Almost all ACs in newborns were diagnosed on exploratory laparotomy or at autopsy. We report a newborn with an AC that was diagnosed after an exploratory laparotomy due to its rare presentation. This case shows that ACs should be considered in the differ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0759-6

    authors: Içağasioğlu D,Caksen H,Yildiz E,Koçyiğit C,Cevit O

    更新日期:2003-06-01 00:00:00

  • An association of gastroschisis and fatal respiratory distress: does prenatal bile aspiration cause early-onset respiratory failure in neonates?

    abstract::We present a neonate with gastroschisis and evidence of bile aspiration in utero, who developed severe respiratory distress that did not respond to postnatal intensive respiratory care. Although rare, a newborn with gastroschisis may develop severe respiratory distress due to bile aspiration in utero. Given the poor o...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-008-2223-8

    authors: Morikawa N,Honna T,Kuroda T,Noya M,Ito N,Nakamura T,Ito Y,Hayashi S,Sago H,Matsuoka K

    更新日期:2008-10-01 00:00:00

  • Efficacy of protocolized management for congenital diaphragmatic hernia. a review of 100 cases.

    abstract::A review of 100 consecutive cases of congenital diaphragmatic hernia (CDH) treated at our institute focusing on the efficacy of protocolized management (PM) was conducted. Of the 100 cases, 14 who became symptomatic more than 24 h after birth, and seven with fatal anomalies (four cardiac and three chromosomal) were ex...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-006-1759-8

    authors: Okawada M,Okazaki T,Yamataka A,Yanai T,Kato Y,Kobayashi H,Lane GJ,Miyano T

    更新日期:2006-11-01 00:00:00

  • Hepatic inflammatory pseudotumor: case report, review of the literature, and a proposal for morphologic classification.

    abstract::Inflammatory pseudotumors (IPT) are uncommon mass lesions arising most typically in the lungs of young adults. These tumors are so named because of the difficulty in distinguishing them preoperatively from malignant lesions. IPT are characterized histologically by localized fibrous proliferations with infiltration by ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s003830000518

    authors: Lee SL,DuBois JJ

    更新日期:2001-09-01 00:00:00

  • Impact of the current organ allocation system for deceased donor liver transplantation on the outcomes of pediatric recipients: a single center experience in Japan.

    abstract:PURPOSE:The aim of this study was to analyze the outcomes of children added to the waiting list for deceased donor liver transplantation (DDLT) and the results of DDLT in a single Japanese center. METHODS:Forty-seven children were listed on the organ allocation system for DDLT. The priority points related to the medic...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-013-3381-x

    authors: Sakamoto S,Uchida H,Hamano I,Shigeta T,Sasaki K,Kanazawa H,Fukuda A,Kasahara M

    更新日期:2013-11-01 00:00:00

  • Temporal stability of acetylcholinesterase staining in colonic and rectal neural tissue.

    abstract::Confirmation of the clinical diagnosis of Hirschsprung's disease on standard rectal suction biopsy requires demonstration of aganglionosis in 60 adequate serial sections of submucosa. Positive staining for acetylcholinesterase (AChE), demonstrating an increase in nerve fibres within the lamina propria, muscularis muco...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050237

    authors: Byard RW,Carli M

    更新日期:1998-01-01 00:00:00

  • Adrenocortical tumors in childhood.

    abstract::Adrenocortical tumors (ACT) are rare in childhood. Determination of malignant potential is difficult. To assess the presentation, clinical behaviour, and histology of these tumors in our center, the records of nine patients with ACTs between 1989 and 2000 were analyzed. The age, sex, clinical presentation, investigati...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0727-1

    authors: Narasimhan KL,Samujh R,Bhansali A,Marwaha RK,Chowdhary SK,Radotra BD,Rao KL

    更新日期:2003-08-01 00:00:00

  • Prenatally closed gastroschisis with midgut atresia.

    abstract::Spontaneous prenatal closure of gastroschisis (GS) is rare and usually associated with atresia of the midgut. We describe a case of GS diagnosed at 20 weeks' gestation that resolved spontaneously in utero. At delivery the infant had an ileus. A laparotomy with a jejunocolostomy was performed, but she died at 2 months ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-002-0815-2

    authors: Basaran UN,Inan M,Gücer F,Yardim T,Pul M

    更新日期:2002-09-01 00:00:00

  • Late-onset vital complication after the Nuss procedure for pectus excavatum.

    abstract::The Nuss procedure is the most popular technique for correction of pectus excavatum recently. Life-threatening complications associated with the procedure are very rare. We report a 13-year-old boy who developed late-onset bilateral hemothorax with hypovolemic shock 5 months after the Nuss procedure. In literature rev...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-011-2936-y

    authors: Lin CW,Chen KC,Diau GY,Chu CC

    更新日期:2012-01-01 00:00:00

  • Gastric transposition for oesophageal replacement.

    abstract::Eighty-three gastric transpositions for oesophageal replacement were carried out over the 15-year period 1981-1995. The vast majority of patients underwent the replacement procedure for oesophageal atresia (OA) (56), 35 following failed or abandoned attempts at primary anastomosis, and 21 for isolated atresia. Caustic...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/BF00178420

    authors: Spitz L

    更新日期:1996-04-01 00:00:00

  • Cervicovaginal atresia with hematometra: restoring menstrual and sexual function by utero-coloneovaginoplasty.

    abstract:BACKGROUND:Cervicovaginal atresia is a rare Mullerian anomaly. The management of cervicovaginal atresia has evolved from historical recommendations of hysterectomy to various reconstructive procedures more recently. The latter carries a risk of significant morbidity and unknown fertility. We present our experience in t...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3550-6

    authors: Kisku S,Varghese L,Kekre A,Sen S,Karl S,Mathai J,Thomas RJ,Barla RK

    更新日期:2014-10-01 00:00:00

  • Congenital hepatic cyst with antenatal diagnosis: a case report and literature review.

    abstract::Congenital hepatic cysts are rare lesions of infancy. While operative management and outcomes have been extensively studied in adult patients with hepatic cysts, data in pediatric patients are limited. We discuss our experience in an infant and review relevant literature regarding operative technique and surgical outc...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章,评审

    doi:10.1007/s00383-013-3312-x

    authors: Nordin AB,Fallon SC,Carter BA,Brandt ML

    更新日期:2013-08-01 00:00:00

  • The effect of phospholipids and fatty acids on tight-junction permeability and bacterial translocation.

    abstract::The activity of phospholipase A2 (PLA2) is elevated in the intestinal epithelia of patients with inflammatory bowel disease (IBD). We recently reported that PLA2 mediates hydrolysis of phosphatidylcholine (PC) to lysophosphatidylcholine (L-PC) when both are applied to the apical surface of cultured EC monolayers, resu...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830100592

    authors: Sawai T,Drongowski RA,Lampman RW,Coran AG,Harmon CM

    更新日期:2001-05-01 00:00:00

  • T-cryptantigen (TCA) activation in surgical neonates: a hidden problem.

    abstract::The Thomsen-Friedenreich cryptantigen (TCA) is located on the surface of all red cells, but is concealed by a layer of neuraminic acid. When bacteria that produce neuraminidase disrupt this coating, the TCA can be exposed and activated. If blood products containing antibody to the TCA are subsequently administered, ha...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050488

    authors: Grant HW,Hadley GP,Adhikari M,Fernandes-Costa F

    更新日期:1998-12-01 00:00:00

  • The area and attachment abnormalities of the gubernaculum in patients with undescended testes in comparison with those with retractile testes.

    abstract:PURPOSE:In order to evaluate the gubernaculum (GN) abnormalities quantitatively in patients with undescended testes (UDT), the area and attachment site of the gubernaculum were evaluated. PATIENTS AND METHODS:Sixty-seven testes from 61 patients with an undescended testis treated in the past 11 years at our institution...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-014-3597-4

    authors: Kubota M,Nakaya K,Arai Y,Ohyama T,Yokota N,Nagai Y

    更新日期:2014-11-01 00:00:00

  • Measurement of pediatric testicular volume with Prader orchidometer: comparison of different hands.

    abstract::Measurement of testicular volume is a more readily available method of estimating spermatogenesis in adolescence. Traditionally, testicular volumes have been measured with different type of orchidometers or calipers. The most widely used orchidometer is the Prader orchidometer introduced in 1966. This type of orchidom...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-005-1470-1

    authors: Karaman MI,Kaya C,Caskurlu T,Guney S,Ergenekon E

    更新日期:2005-07-01 00:00:00

  • Is surgery a risk factor for separation anxiety in children?

    abstract:OBJECTIVE:Postoperative anxiety symptoms are distressing for both family and child. The aim of this study was to examine the prevalence of postoperative anxiety symptoms in children. METHODS:60 children aged 6-12 undergoing surgery were included in the study group. The study group was assessed three times in terms of ...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-018-4273-x

    authors: Naldan ME,Karayagmurlu A,Ahıskalıoglu EO,Cevizci MN,Aydin P,Kara D

    更新日期:2018-07-01 00:00:00

  • Morphologic changes and lipid peroxidation in renal tissues of young rats following intestinal ischemia-reperfusion.

    abstract::Intestinal ischemia-reperfusion (IIR) is a complex phenomenon causing local and remote tissue destruction, and even multiple-organ failure. To examine the hypothesis that IIR affects renal function, 21-day-old male Sprague-Dawley rats underwent 45 min superior mesenteric artery occlusion and control rats were subjecte...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-002-0834-z

    authors: Mutlu G,Abbasoğlu L,Doğru-Abbasoğlu S,Solakoğlu S,Bulut M

    更新日期:2002-09-01 00:00:00

  • The Malone antegrade colonic enema procedure: outcome and lessons of 6 years' experience.

    abstract::The successful management of faecal incontinence can dramatically improve the quality of life of affected children. The introduction of the non-refluxing, catheterisable appendico-caecostomy provides the opportunity to treat previously resistant patients. Over a 6-year period, 29 children had a Malone antegrade contin...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s003830050342

    authors: Driver CP,Barrow C,Fishwick J,Gough DC,Bianchi A,Dickson AP

    更新日期:1998-07-01 00:00:00

  • Prenatal administration of retinoic acid increases the trophoblastic insulin-like growth factor 2 protein expression in the nitrofen model of congenital diaphragmatic hernia.

    abstract:BACKGROUND:The high mortality rate in congenital diaphragmatic hernia (CDH) is attributed to pulmonary hypoplasia (PH). Insulin-like growth factor 2 (IGF2) is an important regulator of fetal growth. The highest levels of IGF2 expression are found in the placenta, which are negatively regulated by decidual retinoid acid...

    journal_title:Pediatric surgery international

    pub_type: 杂志文章

    doi:10.1007/s00383-013-3449-7

    authors: Kutasy B,Friedmacher F,Duess JW,Puri P

    更新日期:2014-02-01 00:00:00