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Cyclic AMP-responsive pathways in the synaptic-like processes of cultured spinal cord neurons.
Cyclic AMP-responsive elements (CREs) have been identified in the promoters of a number of genes that are activated by synaptic activity. To study the mechanisms of CRE-mediated gene activation in neuronal cells, we used a reporter gene construct consisting of a fragment of the rat tyrosine hydroxylase (TH) promoter linked to the luciferase gene. Transfection of this construct into cultured rat spinal cord neurons revealed that two major motifs, the cAMP response element (CRE) and the neuronal transcription factor CREB-binding protein (CREB-BP), can act as sequence-specific activators of the TH promoter in these cells. Activation of the TH promoter by transfected CREB-BP was mediated by endogenous CREB-BP, and was blocked by the cAMP-dependent protein kinase (PKA) inhibitor, H89. These data suggest that the CRE/CREB-BP complex acts as a transcriptional activator in neurons, and that activation of the CRE/CREB-BP complex by Ca2+/calmodulin-dependent protein kinase II may be involved in the regulation of the transcription of genes related to synaptic activity.[The effectiveness of transsphenoidal surgery for the treatment of residual and recurrent pituitary tumors].
To evaluate the effectiveness of transsphenoidal surgery for the treatment of residual and recurrent pituitary adenomas (PA). From May 1991 to April 2000, 195 patients with PA were treated with transsphenoidal surgery, 102 patients had adenoma, 8 had meningioma and 87 had acromegaly. Eleven patients had residual and recurrent PA after operation. Of the 11 patients, 4 had residual adenoma, 4 had recurrent tumor and 3 had new growth. The follow-up period ranged from 3 to 74 months (mean 19 months). Among the 11 patients, the visual acuity improved or was unchanged in 7 (63.6%) and worsened in 4 (36.4%) postoperatively, and the visual fields were improved or unchanged in 5 (45.5%) and worsened in 6 (54.5%). The signs and symptoms of pituitary insufficiency improved in 5 patients (45.5%). The hormone levels of growth
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