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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of neuro-oncology 23 (1995), S. 109-120 
    ISSN: 1573-7373
    Keywords: lung cancer ; spine metastasis
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Conclusions Understanding the pathophysiology of seeding, microinvasion, and neovasculization of lung cancer metastatic to the bone is of tremendous basic science and clinical importance. At present, the clinical presentation of spine metastasis represents one of the most common and challenging problems in the management of lung cancer patients. For the patient presenting with lung carcinoma metastatic to the spine, the therapy team must take into account multiple factors including the natural history of the disease, interval between presentation and treatment of the primary lung cancer and the appearance of spine metastasis, extent of metastasis in other bony and soft tissue sites, and the patient's ability to tolerate the various treatment modalities currently available. Detailed attention to the individual patient's clinical presentation must be a primary concern of radiation oncologists, medical oncologists, neurosurgeons, and anesthesiologists specializing in pain management. The design of a treatment program best suited for the individual patient should focus on the goal of maintaining the best quality of life for the longest duration.
    Type of Medium: Electronic Resource
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    Electronic Resource
    Electronic Resource
    New York, N.Y. : Wiley-Blackwell
    Journal of Cellular Biochemistry 55 (1994), S. 190-199 
    ISSN: 0730-2312
    Keywords: osteoclast ; osteocalcin ; bone marrow ; differentiation ; resorption ; Life and Medical Sciences ; Cell & Developmental Biology
    Source: Wiley InterScience Backfile Collection 1832-2000
    Topics: Biology , Chemistry and Pharmacology , Medicine
    Notes: Murine long-term bone marrow cultures (LTBMCs) were used to generate hematopoietic cells free from marrow stromal cells. These progenitor cells were treated with GM-CSF (5 U/ml) with or without rat bone osteocalcin or rat serum albumin in either α-MEM with 2% heat-inactivated horse serum alone (α) or supplemented with 10% L-cell-conditioned medium (as a source of M-CSF) (L10). Few substrate-attached cells survived in basal α medium, but when treated with L10 medium or GM-CSF, they survived and proliferated. Osteocalcin did not significantly affect survival or proliferation. Subcultures of cells treated with GM-CSF had large numbers of multinucleated cells, more than half of which were tartrate-resistant acid phosphatase-positive (TRAP). Osteocalcin further promoted the development of TRAP-positive multinucleated cells; a dose of 0.7 μg/ml osteocalcin promoted osteoclastic differentiation by 60%. Using a novel microphotometric assay, we detected significantly more tartrate-resistant acid phosphatase activity in the osteocalcin plus GM-CSF group (75.6 ± 14.2) than in GM-CSF alone (53.3 ± 7.3). In the absence of M-CSF, GM-CSF stimulated tartrate-resistant acid phosphatase activity, but osteocalcin did not have an additional effect. These studies indicate that osteocalcin promotes osteoclastic differentiation of a stromal-free subpopulation of hematopoietic progenitors in the presence of GM-CSF and L-cell-conditioned medium. These results are consistent with the hypothesis that this bone-matrix constituent plays a role in bone resorption. © 1994 Wiley-Liss, Inc.
    Additional Material: 4 Ill.
    Type of Medium: Electronic Resource
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