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Follicular cholangitis (FC) is a rare non-neoplastic biliary tract disease first reported in 2003. A 74-year-old woman underwent extended left hepatectomy with a diagnosis of intrahepatic cholangiocarcinoma. Histopathological examination of the surgical specimen demonstrated no malignant findings, and lymphocytic infiltration with lymphoid follicles was observed within the bile duct wall. Along with immunohistochemical findings, the patient was diagnosed with FC. More than 3 years after surgery, the patient exhibited elevated hepatobiliary enzymes and total bilirubin. Endoscopic retrograde cholangiography revealed stricture and dilation from the extrahepatic bile duct to the right intrahepatic bile duct. Histopathological findings uncovered lymphocytic infiltration without malignant results. It was concluded that bile duct stricture due to FC had newly developed in her remnant liver. Subsequently, the patient developed hypoalbuminemia, and abdominal computed tomography revealed atrophy of the remnant liver and ascites accumulation. Esophagogastroduodenoscopy exposed the development of esophageal varices, which were not observed preoperatively. The patient was diagnosed with decompensated liver cirrhosis accompanied by portal hypertension. This case strongly suggests that long-term follow-up after surgery may be required for patients with FC for screening of potential new bile duct stricture and progression to liver cirrhosis due to cholestasis. [ABSTRACT FROM AUTHOR]

Background: Immune checkpoint proteins have not been fully examined in follicular cell-derived thyroid carcinoma and medullary thyroid carcinoma (MTC). Anaplastic thyroid carcinoma (ATC) is one of the most aggressive carcinomas. Even multimodal treatment does not result in favorable clinical outcomes for patients with ATC. Anti-tumor immunity has therefore been highlighted as having therapeutic promise for ATC. Methods: We examined a novel immune checkpoint receptor, T-cell immunoreceptor with immunoglobulin and tyrosine-based inhibitory motif domains (TIGIT), in variable thyroid lesions: adenomatous goiter, follicular adenoma, and thyroid carcinoma (TC) using immunohistochemistry (IHC). Results: Our IHC results showed that TIGIT expression was detected in cancer cells of MTC and high-grade TC: poorly differentiated thyroid carcinoma (PDTC) and ATC. Neoplastic cells were positive for TIGIT in four of five MTCs (80.0%), 17 of 31 ATCs (54.8%) and in 3 of 12 PDTCs (25.0%). TIGIT was not detected in any adenomatous goiters, thyroid benign tumors, or differentiated thyroid carcinoma (DTCs). Intriguingly, ATC cells showing pleomorphic/giant cell features were positive for TIGIT, while ATC cells with other cell morphologies lacked the immunoreactivity. Intra-tumoral immune cell was inclined to be enriched in TIGI-positive ATC. Although coexisting papillary thyroid carcinoma (PTC) components demonstrated high-grade microscopic features, neither the PTC nor follicular thyroid carcinoma (FTC) components expressed TIGT in any composite ATCs. Conclusion: TIGIT was immunohistochemically found in MTC with high frequency and partially in high-grade TC. TIGIT expression in cancer cells may be beneficial for a potential utility in MTC and a subset of high-grade TC, especially ATC therapy. [ABSTRACT FROM AUTHOR]

A bionic concept originating from the mechanism of gastric mucosa protecting a gastric wall from corrosion by gastric acid is creatively proposed, with the intention of finding a new way to reduce the corrosion of insulation coatings in liquid metal blankets. A compatible fluid barrier that mimics the function of gastric mucosa is used to prevent the flowing liquid metal from contacting the inner wall of a loop pipeline. The design of the bionic structure and the control of the barrier fluid are the most critical and difficult. A single-channel simulation is performed using Computational Fluid Dynamics (CFD) analysis to evaluate the effect of a compatible fluid barrier on separating the liquid lithium and insulation coating. The results show that the compatible fluid barrier can completely cover the inner wall of the pipeline within which the liquid metal is flowing, indicating that the bionic design can eliminate the corrosion of insulation coatings with flowing liquid lithium. Based on this, a compatible fluid barrier is investigated with multiple conditions, including the coverage area and film thickness, by changing the velocity ratio of the lithium to the barrier fluid, the shape of the inlet port, and the curvature radius of the bend pipes. In addition, an S-shaped pipe is confirmed to be completely corrosion free. This bionic concept is aimed at all corrosive liquid metals, and this work only starts with the extreme case of pure lithium. This work is expected to provide a preliminary feasibility basis for anti-corrosion design for a pipeline with dual fluids. [ABSTRACT FROM AUTHOR]

Background and Aims: The withdrawal of antithrombotic therapy from patients at high risk of thromboembolism is controversial. Previously, treatment with anticoagulants, such as warfarin and dabigatran, was recommended for heparin bridge therapy (HBT) during endoscopic submucosal dissection (ESD). However, HBT is associated with a high risk of bleeding during and after ESD. This study aimed to investigate the clinical outcomes of colorectal ESD in patients treated with warfarin and direct oral anticoagulants (DOAC).Methods: This study included 412 patients with superficial colorectal neoplasms that were resected by ESD between June 2010 and June 2018. The patients were classified into two groups: without antithrombotics (n = 286) and with anticoagulants (n = 51). The anticoagulants group was further divided into two groups: warfarin (n = 26) and DOAC (n = 25).Results: Among all patients, delayed bleeding occurred in 35 (8.5% [35/412]) patients. The bleeding rate in the anticoagulants group (11.8% [6/51]) was higher than that in the group without antithrombotics (6.6% [19/286]), but the difference was not statistically significant (P = 0.240). The bleeding rate in the DOAC group (16.0% [4/25]) was higher than that in the warfarin group (7.7% [2/26]), but the difference was not statistically significant (P = 0.419). All delayed bleeding was successfully managed with endoscopic hemostasis. Thromboembolic events were not observed in any patients.Conclusions: The bleeding rate with anticoagulants was relatively high. However, all bleeding events with anticoagulants were minor and clinically controllable. Colorectal ESD with DOAC and warfarin may be feasible and acceptable. [ABSTRACT FROM AUTHOR]

Fusarium fujikuroi, the causative agent of bakanae disease in rice, produces many kinds of secondary metabolites. Recently, two phylogenetic subgroups (F and G groups) of Japanese F. fujikuroi have been identified and found to have differences in their gibberellin (GA) and fumonisin production. G‐group F. fujikuroi produces large amounts of GA, but is a fumonisin nonproducer. F‐group produces large amounts of fumonisin, but is a GA low or nonproducer. We investigated the cause of low GA production in the F‐group. Genetic mapping suggests that low GA production in the F‐group strain Gfc0825009 is due to a GA gene cluster for GA biosynthesis. Analysis of the nucleotide and amino acid sequences of the genes in the GA gene cluster showed >98.4% homology between the F‐group strain Gfc0825009 and the G‐group strain Gfc0801001. Following a 7‐day culture under low nitrogen conditions, we found that expression of P450‐1, P450‐4, and P450‐2 in the cluster increased in the G‐group strain and not in the F‐group strain. We hypothesized that complementation by GA genes in the G‐group strain would be required to increase GA production in the F‐group strain. However, we found that this occurred with a single gene complementation of DES, P450‐1, P450‐4, or P450‐2. Simultaneous increase in the expression of P450‐1, P450‐4, and P450‐2 were detected in the complementary transformants. Moreover, the same phenomenon was observed by reintegration of its own P450‐1. Our results suggest the presence of unknown regulatory mechanisms of the GA gene cluster in F. fujikuroi. [ABSTRACT FROM AUTHOR]

Hydrogen isotopes plasma-driven permeation (PDP) through sputter-deposited tungsten (SP-W)-coated F82H and bare F82H membranes has been investigated using a steady-state linear plasma device VEHICLE-1 in the temperature range of 250 °C–550 °C. SP-W coatings have been found to enhance PDP flux. Deuterium retention has been measured by thermal desorption spectroscopy after steady-state plasma exposure. Increased deuterium retention in tungsten-coated F82H has been observed compared with that of bare F82H. Enhanced PDP flux and increased retention are attributed to the microstructure and surface recombination characteristics of tungsten coatings. [ABSTRACT FROM AUTHOR]