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Biomedical subjects

M Badiali

Publications and source records attributed to M Badiali.

13 recordsLinked to original sources

p53 gene expression in medulloblastoma by quantitative polymerase chain reaction.

The frequent cytogenetic abnormality--isochromosome 17q [i(17)q]--observed in medulloblastomas (MB) may result in altered expression of the oncosuppressor gene p53 that is located on 17p. p53 expression was therefore evaluated in five MBs and in one MB cell line derived from one of these tumors. Expression levels of p53 utilizing serially diluted unfractionated RNA from tumors and the cell line were assessed both by dot-blot and by reverse transcription (RT) followed by the polymerase chain reaction (PCR). The quality of RNA, efficiency of reaction, and transcript quantitation were determined by simultaneous transcription and amplification of a similarly sized fragment of the alpha-tubulin gene. All MBs showed low levels of expression of p53 compared to those found in normal tissues. p53 messenger RNA (mRNA) was significantly increased (two- to threefold) in the MB cell line compared to its tumor of origin and to the other MBs. Immunoperoxidase studies performed with monoclonal antibodies to the p53 protein product showed focal nuclear expression in one of five of the original tumors while most cells grown in vitro and in the xenograft were positive.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Large-cell medulloblastomas. A distinct variant with highly aggressive behavior.

We present four cases of infantile cerebellar neoplasms composed of cells with large vesicular nuclei with prominent nucleoli. All four cases were strongly immunoreactive for synaptophysin, and one case showed immunoreactivity for neurofilaments. Filter hybridization for N-myc and c-myc oncogenes showed a 27-fold c-myc amplification in one case. The cytogenetic analysis in this case showed Double-Minutes and isochromosome 17q. An intracerebral xenograft in nude mice obtained from one such tumor showed a similar morphology to that of the original tumor as well as strong immunoreactivity for synaptophysin and neurofilaments. All the neoplasms were characterized by highly aggressive behavior leading to early cerebrospinal fluid dissemination despite radiotherapy and chemotherapy. We conclude that large-cell medulloblastoma represents a distinct and more aggressive variant of medulloblastoma that requires more aggressive therapy.

Blotting, Southern

[Clinical study of a group of vagotomized patients].

The physiopathological premisses underlying vagotomy and its use in the treatment of gastroduodenal ulcer are examined. It is submitted that the inadequacies and risks of the original technique are reflected in the modifications subsequently introduced into truncular vagotomy. A long-term assessment is made of a series of patients operated for duodenal ulcer by different surgeons using different forms of vagotomy. It is felt that superselective vagotomy is most consonant with the therapeutic objectives and associated with the least risk. In addition vagotomy is indicated in subjects with POPU after gastric section whose local and general condition contraindicate more complicated and serious measures, such as degastroenterostomy with further resection.

Follow-Up Studies

[Y-shaped uretero-ureteral anastomosis. Notes on surgical anatomy in humans].

Anatomosurgical investigation shows that Y-shaped ureteroureteral anastomoses can be performed even when the whole of the pelvic segment and part of the abdominal segment of the ureter have been lost. The very high level at which a crossover between the two ureters can be obtained is indicative of the area of application that this operation offers in the reconstruction of unilateral damage to the distal ureter.

Humans

[Portal hypertension. Indications and limitations of decompression operations].

A case of haemorrhage due to oesophageal varices in a cirrhotic-portal hypertense patient successfully treated with side-to-side portocaval anastomosis is reported. Long-term follow-up showed that the surgical result was satisfactory. On the basis of this case, the problems and current tendencies towards derivative operations in the prophylaxis and treatment of portal hypertension complications are reassessed.

Adult

[Arteriovenous fistulas].

Three cases of arteriovenous fistulae observed in recent years at the University of Rome's 3rd Surgical Clinic, and of different site, entity are aetiology, are presented. The recent international literature is reviewed and the more outstanding clinical and therapeutical features of this form are discussed.

Adolescent