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Characterizing a labor pain–related neural signature is a key prerequisite for devising optimized pharmacologic and nonpharmacologic labor pain relief methods. The aim of this study was to describe the neural basis of labor pain and to provide a brief summary of how epidural anesthesia may affect pain–related neuronal activity during labor. Possible future directions are also highlighted. By taking advantage of functional magnetic resonance imaging, brain activation maps and functional neural networks of women during labor that have been recently characterized were compared between pregnant women who received epidural anesthesia and those who did not. In the subgroup of women who did not receive epidural anesthesia, labor–related pain elicited activations in a distributed brain network that included regions within the primary somatosensory cortex (postcentral gyrus and left parietal operculum cortex) and within the traditional pain network (lentiform nucleus, insula, and anterior cingulate gyrus). The activation maps of women who had been administered epidural anesthesia were found to be different—especially with respect to the postcentral gyrus, the insula, and the anterior cingulate gyrus. Parturients who received epidural anesthesia were also compared with those who did not in terms of functional connectivity from selected sensory and affective regions. When analyzing women who did not receive epidural anesthesia, marked bilateral connections from the postcentral gyrus to the superior parietal lobule, supplementary motor area, precentral gyrus, and the right anterior supramarginal gyrus were observed. In contrast, women who received epidural anesthesia showed fewer connections from the postcentral gyrus—being limited to the superior parietal lobule and supplementary motor area. Importantly, one of the most noticeable effects of epidural anesthesia was observed in the anterior cingulate cortex—a primary region that modulates pain perception. The increased outgoing connectivity from the anterior cingulate cortex in women who received epidural anesthesia indicates that the cognitive control exerted by this area might play a major role in the relief from labor pain. These findings not only affirmed the existence of a brain signature for pain experienced during labor, but they also showed that this signature can be altered by the administration of epidural anesthesia. This finding raises a question about the extent to which the cingulo-frontal cortex may exert top-down influences to gate women's experiences of labor-related pain. Because the anterior cingulate cortex is also involved in the processing and modulation of emotional content, such as fear and anxiety, a related question is about the extent to which the use of epidural anesthesia can affect different components of pain perception. Finally, inhibition of anterior cingulate cortex neurons may represent a potential new therapeutic target for alleviating labor-associated pain. [ABSTRACT FROM AUTHOR]

Background & Aims: Tumor-initiating cells are a subset of tumor cells with the ability to form new tumors; however, they account for less than 0.001% of the cells in colorectal or other types of tumors. Mesenchymal stem cells (MSCs) integrate into the colorectal tumor stroma; we investigated their involvement in tumor initiation. Methods: Human colorectal cancer cells, MSCs, and a mixture of both cell types were injected subcutaneously into immunodeficient mice. We compared the ability of each injection to form tumors and investigated the signaling pathway involved in tumor initiation. Results: A small number (≤10) of unsorted, CD133–, CD166−, epithelial cell adhesion molecule–(EpCAM–), or CD133–/CD166−/EpCAM– colorectal cancer cells, when mixed with otherwise nontumorigenic MSCs, formed tumors in mice. Secretion of interleukin (IL)-6 by MSCs increased the expression of CD133 and activation of Janus kinase 2–signal transducer and activator of transcription 3 (STAT3) in the cancer cells, and promoted sphere and tumor formation. An antibody against IL-6 or lentiviral-mediated transduction of an interfering RNA against IL-6 in MSCs or STAT3 in cancer cells prevented the ability of MSCs to promote sphere formation and tumor initiation. Conclusions: IL-6, secreted by MSCs, signals through STAT3 to increase the numbers of colorectal tumor-initiating cells and promote tumor formation. Reagents developed to disrupt this process might be developed to treat patients with colorectal cancer. [ABSTRACT FROM AUTHOR]

Abstract: The 5,8-quinolinediones are precursors for producing multiple types of bioactive products. In this study, we investigated a new compound derived from 5,8-quinolinediones, 7-chloro-6-piperidin-1-yl-quinoline-5,8-dione (designated as PT-262), which markedly induced cytoskeleton remodeling and migration inhibition in lung carcinoma cells. Comparison with various cytoskeleton inhibitors, including paclitaxel, colchicine and phallacidin, the cell morphology following treatment with PT-262 was similar to phallacidin on the cell elongation and abnormal actin polymerization. However, PT-262 did not directly bind to actin filaments. ROCK (Rho-associated coiled-coil forming protein kinase) is a downstream effector of RhoA to mediate the phosphorylation of myosin light chain (MLC) and cytoskeleton reorganization. The RhoA–ROCK–MLC pathway has been shown to promote cancer cell migration and metastasis. Interestingly, PT-262 was more effective on inhibiting ROCK kinase activities than specific ROCK inhibitors Y-27632 and H-1152. PT-262 induced cytoskeleton remodeling and migration inhibition in A549 lung carcinoma cells. The total MLC and phosphorylated MLC proteins and stress fibers were blocked after treatment with PT-262. Nonetheless, the RhoA protein and GTPase activity were not altered by PT-262. A computational model suggests that PT-262 interacts with the ATP-binding site of ROCK protein. Together, these findings demonstrate that PT-262 is a new ROCK inhibitor. [Copyright &y& Elsevier]