بایگانی برچسب برای: pancreas

Anesthesia.and.Perioperative.Care.[taliem.ir]

Anesthesia and Perioperative Care for Organ Transplantation

Despite extensive surgical training, many transplant team members including surgeons may feel ill prepared in the area of medical ethics. The breadth of transplant surgery ,including the need to balance the needs of multiple patients, and the frequent interaction with issues surrounding death, expose the transplant team members to a variety of ethical concerns. The practicing transplant team members should be prepared to deal with the ethical issues that are integral to this broad spectrum of clinical encounters. Certainly no text or course of study could prepare one for each possible clinical scenario and its associated ethical concerns. This chapter will provide a framework for understanding and addressing the ethical issues that arise daily with patients and families. It is anticipated that this discussion will include some familiar as well as new perspectives on medical decision-making. As transplant team members considering ethical issues in organ donation it may help to adopt the understanding that donation may best be viewed as a voluntary act that has the potential to morally elevate mankind, rather than seeing the human body as a repository of parts.
Neurogenin3 cooperates with Foxa2 to autoactivate its own expression[taliem.ir]

Neurogenin3 cooperates with Foxa2 to autoactivate its own expression

The transcription factor Neurogenin3 functions as a master regulator of endocrine pancreas formation, and its deficiency leads to the development of diabetes in humans and mice. In the embryonic pancreas, Neurogenin3 is transiently expressed at high levels for a narrow time window to initiate endocrine differentiation in scattered progenitor cells. The mechanisms controlling these rapid and robust changes in Neurogenin3 expression are poorly understood. In this study we characterize a Neurogenin3 positive autoregulatory loop whereby this factor may rapidly induce its own levels. We show that Neurogenin3 binds to a conserved upstream fragment of its own gene, inducing deposition of active chromatin marks and the activation of Neurog3 transcription. Additionally, we show that the broadly expressed endodermal forkhead factors Foxa1 and Foxa2 can cooperate synergistically to amplify Neurogenin3 autoregulation in vitro. However, only Foxa2 colocalizes with Neurogenin3 in pancreatic progenitors, thus indicating a primary role for this factor in regulating Neurogenin3 expression in vivo. Furthermore, in addition to decreasing Neurog3 autoregulation, inhibition of Foxa2 by RNA interference attenuates Neurogenin3-dependent activation of the endocrine developmental program in cultured duct mPAC cells. Hence, these data uncover the potential functional cooperation between the endocrine lineage-determining factor Neurogenin3 and the widespread endoderm progenitor factor Foxa2 in the implementation of the endocrine developmental program in the pancreas