Primary Sjögren syndrome is an immune-mediated exocrinopathy characterized by lymphoplasmacytic infiltration of the salivary and lacrimal glands. Various systemic extraglandular disorders are associated with primary Sjögren syndrome, and the thorax is commonly affected. The pulmonary manifestations of primary Sjögren syndrome may be categorized as airway abnormalities, interstitial pneumonias, and lymphoproliferative disorders; in each category, bronchiectasis or centrilobular nodules, nonspecific interstitial pneumonia, and lymphoid interstitial pneumonia are common. These manifestations do not usually occur in isolation; they are concomitantly seen with other types of lesions. Mucosa-associated lymphoid tissue (MALT) lymphoma and amyloidosis are key components of lymphoproliferative disorders, and MALT lymphoma should always be considered because its morphologic characteristics are similar to those of benign lymphoproliferative disorders. Amyloidosis is rare but important because it carries a risk for underlying MALT lymphoma or plasmacytoma, and it may lead to hemoptysis during biopsy. In addition, thin-walled air cysts are characteristic of primary Sjögren syndrome, irrespective of the main pulmonary manifestations. Lymphadenopathy and multilocular thymic cysts may be seen in the mediastinum. During the follow-up period, there is a risk for acute exacerbation of interstitial pneumonia and development of malignant lymphoma. Often, primary Sjögren syndrome is subclinical, but there are various underlying risks. Thus, imaging findings are important. In addition to the various types of interstitial pneumonia and airway abnormalities, air cysts and mediastinal manifestations may help diagnose primary Sjögren syndrome.
Immunologically induced fatigue was induced in rats by intraperitoneal injection of a synthetic double-stranded RNA, polyriboinosinic : polyribocytidylic acid (poly I:C). An injection of poly I:C (3 mg/kg) decreased the daily amounts of spontaneous running wheel activity to approximately 60% of the preinjection level until day 8. Quantitative analysis of mRNA levels demonstrated that interferon-alpha (IFN-alpha) and p38 mitogen-activated protein kinase mRNAs increased in the medial preoptic, paraventricular and ventromedial hypothalamic nuclei and in cortex on both days 1 and 8, while interleukin-1beta and an inhibitor of nuclear factor kappaB (IkappaB)-beta mRNAs increased on day 1, but recovered within a week. Serotonin transporter (5-HTT) mRNA also increased on days 1 and 8 after poly I:C injection in the same brain regions where IFN-alpha mRNA increased. The increased 5-HTT had a functional significance, because in vivo brain microdialysis revealed that an i.p. injection of poly I:C induced a decrease in the extracellular concentration of 5-HT in the prefrontal cortex; the decrease was blocked by local perfusion with a nonselective 5-HT reuptake inhibitor, imipramine. Finally, the poly I:C-induced fatigue was attenuated by a 5-HT1A receptor agonist but not by 5-HT2, 5-HT3 or dopamine D3 agonists. These findings, taken together, suggest that disorders in brain IFN-alpha and 5-HTT expression may be involved in the neuronal mechanisms of the poly I:C-induced fatigue.
The effects of temperature on embryo growth, radicle emergence and cotyledon emergence of Gagea lutea (Liliaceae), a perennial herb widely distributed in Europe, eastern Siberia, the Kurile Islands, Sakhalin and the Far East, were monitored outdoors and in laboratory tests. In Japan, this species inhabits open secondary grasslands and deciduous forests. Seeds with an underdeveloped embryo are dispersed in late May/early June in Hokkaido. The embryo elongates in autumn, and the radicle emerges from the seed in mid-October to mid-November, at temperatures of about 15/4°C. However, cotyledons do not emerge until April, after seeds with an emerged radicle are covered with snow (near 0°C) for about 4 months. In laboratory experiments, temperatures of 25/15°C or 20/10°C followed by 5–10°C were required for embryo growth and radicle emergence. Rate and percentage of cotyledon emergence were promoted by keeping seeds with an emerged radicle under snow. The optimum temperature for cotyledon emergence after 81 d under snow was 15/5°C. Thus, G. lutea has deep simple epicotyl morphophysiological dormancy, and this is the first report of epicotyl dormancy in the genus.
In an investigation of seed germination in Cardiocrinum cordatum var. glehnii, embryos in fresh seeds in October were underdeveloped and did not grow until September of the following year. Then, they grew rapidly and had fully elongated by early November. In the second spring after dispersal, radicles emerged under snow in late March and after snowmelt in April. Cotyledons emerged soon after radicles. In several laboratory experiments, embryos grew at 15°/5°C (light 12 h/ dark 12 h) following 25°/15°C. Radicles emerged from seeds with fully elongated embryos at 5°-15°C after cold stratification at 0°-5°C. Cotyledons emerged in 2 wk from seeds with a radicle at 15°/5°C to 30°/20°C. Although seeds require c. 18-19 mo after dispersal to germinate in nature, under controlled conditions, they required only 9 mo with a sequence of 25°/15°C → 15°/5°C → 0°-5°C → 15°/5°C. This is practical knowledge for propagation of plants from seeds. GA(3) treatment partially substituted for the high temperature requirement. Based on dormancy-breaking requirements, the seeds have deep simple morphophysiological dormancy (MPD). A literature review of seed dormancy in taxa of Liliaceae s. str. showed that phylogenetic position in this case is not a good predictor of level of MPD.
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