In the absence of SseF, the vacuolar compartments containing Salm

In the absence of SseF, the vacuolar compartments containing Salmonella were discontinuous and 4SC-202 research buy intracellular Salmonella replication was reduced [10, 14, 15, 20–22]. SseG was shown to be co-localized with the trans-Golgi network and only bacteria closely associated with the Golgi network were able to multiply [11]. It has been shown that SseF interacts functionally and physically with SseG but not SifA and is also required for the perinuclear JQ-EZ-05 manufacturer localization of Salmonella vacuoles [23]. The molecular mechanism on how SseF and SseG function remains unknown. In the present study, we set out to search the host target that interacts with SseF. We presented evidence indicating that Salmonella SseF interacts

with TIP60 to potentiate its histone acetylation activity to promote intracellular replication. Methods Bacterial strains Bacterial strains and plasmids used in this study are listed in Table 1. Chromosomal gene replacements were carried out by using a suicide plasmid [24, 25]. E. coli and Lenvatinib concentration S. typhimurium strains are routinely cultured in Luria-Bertani broth (LB). Salmonella trains were grown in MgM minimal medium when SPI-2 TTSS-inducing conditions were desired [26]. Antibiotics used were: ampicillin at 120 μg/ml, streptomycin

at 25 μg/ml, and tetracycline at 12 μg/ml. Table 1 Bacterial strains and plasmids Strains and plasmids Relevant Characteristics Source S. typhimurium and E. coli SL1344 Wild-type S. typhimurium, Strr [33] ZF3 SseF in-frame deletions This study SM10 λpir thi thr leu tonA lacY supE recA::RP4-2-Tc::Mu (Kanr) λpir [34] Plasmids pZP226 SsaV in-frame deletions in pSB890; Tcr [20] pZP227 SseF in-frame deletions in pSB890; Tcr [20] pZP784 SseFΔ67-106, 161-174, 186-205 in pGBT9, Apr This study pZP2037 His-SseF in pET28a; Kanr This study pZP2038 His-SseG in pET28a; Kanr This study pZF1 GAL4AD-iTIP60164-546 in pGAD-GH; Apr This study pZF2 GAL4AD-TIP60α in pGAD-GH; Apr This study pZF3 GAL4AD-TIP60β in pGAD-GH; Apr This study pZF4 HA-TIP60α in pcDNA3; Apr This study pZF6 MBP-TIP60α in pIADL16; Apr This study pZF8 GAL4-BD-SseF1-66 in pGBT9; Apr

This study pZF9 GAL4-BD-SseF50-66 in pGBT9; Apr This study pZF10 GST-SseF1-66 Non-specific serine/threonine protein kinase in pGEX-KG; Apr This study pZF11 GST-SseF50-66 in pGEX-KG; Apr This study pZF280 GAL4-BD-SseF1-56 in pGBT9; Apr This study pZF281 GAL4-BD-SseF50-260 in pGBT9; Apr This study pZF282 GAL4-BD-SseF1-228 in pGBT9; Apr This study Mammalian cell lines and bacterial infection assay The murine macrophage RAW264.7 (TIB-71, ATCC) and the human epithelial cell line HeLa (CCL-2, ATCC) were from the ATCC (Manassas, VA) and were maintained in Dulbecco’s modified Eagle medium (DMEM) containing 10% FBS. Bacterial infection of RAW264.7 and survival assays were carried out using opsonized bacteria in DMEM containing 10% normal mouse serum as described before [10, 20, 27].

Fungal Genetics and

Fungal Genetics and Biology 1998, 23:117–125.CrossRefPubMed 66. Sauer K, Cullen MC, Rickard AH, Zeef LAH, Davies DG, Gilbert P: Characterization of nutrient-induced selleck chemicals llc dispersion in Pseudomonas aeruginosa PAO1 biofilm. Journal of Bacteriology 2004, 186:7312–7326.CrossRefPubMed 67. Barraud N, Hassett DJ, Hwang SH, Rice SA, Kjelleberg S, Webb JS: Involvement of nitric oxide in biofilm dispersal of Pseudomonas aeruginosa. Journal of Bacteriology 2006, 188:7344–7353.CrossRefPubMed 68. Kirov SM, Webb JS, O’May CY, Reid DW, Woo JKK, Rice SA, Kjelleberg S: Biofilm differentiation and dispersal in mucoid Pseudomonas aeruginosa JPH203 solubility dmso isolates from patients with cystic fibrosis. Microbiology-Sgm 2007, 153:3264–3274.CrossRef

69. Wilson RB, Davis D, Mitchell AP: Rapid hypothesis testing with Candida albicans through gene disruption with short homology regions. Journal of Bacteriology 1999, 181:1868–1874.PubMed 70. Fonzi WA, Irwin MY: Isogenic Strain Construction and Gene-Mapping in Candida-Albicans. Genetics 1993, 134:717–728.PubMed

71. Navarrogarcia F, Sanchez M, Pla J, Nombela C: Functional-Characterization of the Mkc1 Gene of Candida-Albicans, Which Encodes a Mitogen-Activated Protein-Kinase Homolog Related to Cell Integrity. Mol Cell Biol 1995,15(4):2197–2206. Selleck MK5108 72. Baillie GS, Douglas LJ: Role of dimorphism in the development of Candida albicans biofilms. Journal of Medical Microbiology 1999, 48:671–679.CrossRefPubMed 73. Hawser SP, Douglas LJ: Biofilm Formation by Candida Species on the Surface of Catheter Materials in-Vitro. Infect Immun 1994,62(3):915–921.PubMed 74. Chandra J, Mukherjee PK, Leidich SD, Faddoul FF, Hoyer LL, Douglas LJ, Ghannoum MA: Antifungal resistance of candidal biofilms formed on denture acrylic in vitro. Journal of Dental Research 2001, 80:903–908.CrossRefPubMed 75. Gola S, Martin R, Walther

A, Dunkler A, Wendland J: New modules for PCR-based gene targeting in Candida albicans: rapid and efficient gene targeting using 100 bp of flanking homology region. Yeast 2003, 20:1339–1347.CrossRefPubMed 76. Spurr AR: A Low-Viscosity Epoxy Resin Embedding Medium 4��8C for Electron Microscopy. Journal of Ultrastructure Research 1969, 26:31–43.CrossRefPubMed 77. Puschel B, Demus U, Viebahn C: Subcellular characterization of the primordial germ cell antigen PG2 in adult oocytes. Histochemistry and Cell Biology 2005, 124:275–284.CrossRefPubMed 78. Rahary L, Bonaly R, Lematre J, Poulain D: Aggregation and Disaggregation of Candida-Albicans Germ-Tubes. Fems Microbiology Letters 1985, 30:383–387.CrossRef 79. Nantel A: The long hard road to a completed Candida albicans genome. Fungal Genetics and Biology 2006, 43:311–315.CrossRefPubMed 80. Dennis G, Sherman BT, Hosack DA, Yang J, Gao W, Lane HC, Lempicki RA: DAVID: Database for annotation, visualization, and integrated discovery. Genome Biol 2003,4(5):P3.CrossRefPubMed 81.

The exponential

phase growth defect of the hfq mutant is

The exponential

phase growth defect of the hfq mutant is not growth medium specific, as we observe slow exponential phase growth in both complex and defined media. In addition, we observe this defect when cells are grown under both aerobic and anaerobic conditions. It is not yet clear Temsirolimus in vivo why the hfq mutant grows slowly when nutrients are plentiful. It is possible that the hfq mutant growth phenotype is a result of a defect in nutrient acquisition, a possibility suggested by the fact that hfq mutants in a variety of bacteria express lower levels of genes involved in nutrient uptake [6, 24–26]. It is also possible that the hfq mutant has more general set of metabolic defects that underlie its slow growth phenotype, which may explain why the hfq mutant is less efficient in Cr(VI) reduction. Alternatively, hfq may have a more specific role in utilization of Cr(VI) as a Epigenetics inhibitor terminal electron acceptor. A second notable hfq mutant growth

phenotype is the failure of mutant cultures to achieve a terminal cell density as high as those seen in wild type cultures. Though it is not yet clear what underlies this mutant phenotype, it is possible that the hfq mutant is unable to fully utilize the available nutrients in the medium or that it exhausts a nutrient that is rate limiting for growth more rapidly than wild type cells. Alternatively, the hfq mutant may produce more of, or be more sensitive to, at least one growth-suppressing product produced during S. oneidensis growth. Strikingly, S. oneidensis hfq mutant cultures exhibit a severe loss of colony forming units in stationary phase, with cultures often displaying no P505-15 clinical trial detectable CFU. One possibility is that Hfq promotes cell survival in stationary phase, and thus loss of hfq results in loss of culture viability. An alternative explanation is that Hfq functions to prevent cells from entering a viable but not culturable (VBNC) state [27], and thus reduced CFU/ml counts in hfq∆ mutant cultures are due to hfq∆ Calpain cells precociously assuming VBNC status. Both of these models are supported by the fact that moderate overexpression

of Hfq results in higher CFU/ml counts during stationary phase when compared to cells with wild type Hfq protein levels. Further experimentation will be required to differentiate between these two possible explanations for the greatly reduced CFU/ml counts in hfq∆ stationary phase cultures. Because the hfq mutant is highly sensitive to oxidative stress, it is possible that the stationary phase survival defect in hfq mutant cells is a consequence of poor resistance to oxidative stress. Multiple Hfq-dependent sRNAs (arcZ, dsrA, and rprA) positively regulate expression of the stationary phase sigma factor RpoS in other systems [28–30]. Thus, it is possible that loss of Hfq in S. oneidensis causes low rpoS expression, resulting in poor induction of the rpoS regulon.

3590) The resulting absorbance was measured at 595 nm in a Bio-T

3590). The resulting absorbance was measured at 595 nm in a Bio-Tek EL808 plate reader. The presence of compounds that competed with CAS for

metal binding caused a reduction in absorbance. SIS3 ic50 Changes (reductions) Bortezomib in absorbance were measured relative to the most strongly absorbing fraction in the column profile and plotted as indicated. Preparative TLC procedures Preparative TLC separations were performed on Avicel® Microcrystalline Cellulose Plates (20 × 20 cm, 1000 μm layer). Prior to use, preparative plates were washed by ascending chromatography in deionized water (twice) followed by one wash with redistilled 95% ethanol. The plates were dried overnight between washings. The chromatographic samples consisted of 2.0-mL aliquots per plate of a concentrated 76% ethanol solution (40× concentration) of the solids from the main Cu-binding peak of the Sephadex G-15 fractionation described in the text. The Analtech TLC Sample Streaker was used to apply the sample

by repeated streaking across an origin line located 3 cm buy PXD101 from the end of the plate. A filtered air-stream was used to dry the origin for 20 to 30 seconds between applications. Following the last application and prior to development, the plates were allowed to air dry for 8 minutes outside the stream. The plates were developed in 76% (v/v) ethanol (250 mL solvent in rectangular tanks, dimensions ca. 30L × 10W × 26 cm H) over a distance of 12 cm, dried, and examined under UV light (254 nm). Preliminary

experiments determined that the ninhydrin-reactive compound of interest was localized in a narrow band (ca. 1 cm diameter, ca. Rf 0.55) delineated at its leading margin by a narrow UV-absorbing band and bounded at its trailing edge by a narrow fluorescent band immediately Thymidine kinase preceding a broader UV-absorbing band. These bands were used as markers in purifying the compound by preparative chromatography. Eight preparative thin-layer plates were used to fractionate the 40× solution of the material recovered from Sephadex G15 column. The plates were developed with 76% ethanol. For each chromatogram, the area between the UV-absorbing and UV-fluorescent marker bands was scraped into separate 30-mL Corex centrifuge tubes. Deionized water (10 mL per tube) was added to each tube. After the tubes were vortexed (3 min), an additional 10 mL of deionized water was added to each tube, and the tubes were centrifuged at 6800 × g in a Sorvall SS34 rotor. The supernatants were decanted, pooled, filter sterilized [0. 2-μm, 25-mm Acrodisc syringe filter (Pall Life Sciences, Ann Arbor, MI)], and stored at 4°C prior to final purification by Sephadex G-15 column chromatography. Structural analysis of purified compound NMR data were acquired on a Bruker DRX 300 MHz spectrometer equipped with a 5 mm BBO NMR probe.

Bibliography 1 Ibrahim HN, et al N Engl J Med 2009;360:459–69

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for uroepithelial malignancy recommended for elderly patients with microscopic hematuria? In adults with asymptomatic gross or microscopic hematuria click here in the absence of proteinuria, the incidence of uroepithelial malignancy can be determined and has been found to increase with aging. Accordingly, asymptomatic hematuria in individuals 40 years of age or older is associated with an increased possibility of uroepithelial malignancy. Although the likelihood of finding uroepithelial malignancy is higher in patients with macroscopic hematuria, asymptomatic hematuria, whether gross or microscopic, warrants evaluation. Ultrasonography, cystoscopy and urine cytology are of diagnostic value. According to recent research on patients with microscopic hematuria, the probability of undiagnosed malignant disease was less than 1 %. Patients who yield negative results in complete evaluations for asymptomatic microscopic hematuria Anidulafungin (LY303366) have a low probability of subsequently developing uroepithelial malignancy. When hematuria is diagnosed for the first time in elderly patients, a further examination including diagnostic imaging should be performed to check for the occurrence of a urinary tract abnormality. If there are no abnormalities, no further examination is required, but an annual health check-up is recommended. Bibliography 1. Mariani AJ, et al. J Urol. 1989;141:350–5. (Level 4)   2. Jung H, et al. J Urol. 2011;185:1698–703. (Level 4)   3. Badalament RA, et al. Cancer. 1987;60:1423–7. (Level 4)   4. Murakami S, et al. J Urol. 1990;144:99–101. (Level 4)   5. Edwards TJ, et al. BJU Int. 2011;107:247–52. (Level 4)   6. Cauberg EC, et al. J Endourol. 2011;25:1733–40. (Level 4)   7. Madeb R, et al. Urology. 2010;75:20–5.

Lehrbuch für Sekundarstufe II (in German) Volk und

Lehrbuch für Sekundarstufe II (in German). Volk und Dorsomorphin Wissen Verlag, Berlin, p 376 Höxtermann E, Werncke W, Stadnichuk IN, Lau A, Hoffmann P (1982) Resonance coherent anti-Stokes Raman scattering (CARS) of chlorophyll. I–III. Stud Biophys 92:147–175 Höxtermann E, Werncke W, Tschö JT,

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leaves of wheat. Dokl Akad Nauk SSSR 193:1429–1432 (in Russian) Footnotes 1 COMECON stands for the Council of Mutual Economic Assistance; it was the East European economic organization, equivalent to the European Economic Community, and offered bilateral and multilateral scientific exchange programs and series of topical scientific meetings.”
“Wilhelm Menke, former director of the Max-Planck-Institut für Züchtungsforschung in Cologne (1967–1978) and former head of the Botanical Institute of the University of Cologne (1961–1967), one of the very pioneers in photosynthesis research, died on January 4, 2007 at his home in Leverkusen, Germany, where he had lived in retirement in the vicinity of his daughter and her family. He was 96 years old. Menke was born in 1910 in Paderborn and he also attended school in this medieval catholic town in Westphalia, Germany.

Vet Rec 2009, 165:681–88 PubMed 41 Anderson PN, Hume ME, Byrd JA

Vet Rec 2009, 165:681–88.PubMed 41. Anderson PN, Hume ME, Byrd JA, Hernandez C, Stevens SM, Stringfellow K, Caldwell DJ: Molecular analysis of Salmonella serotypes at different stages of commercial turkey processing. Poult Sci 2010, 89:2030–37.PubMedCrossRef 42. Bailey JS, Stern NJ, Fedorka-Cray P, Craven SE, Cox Emricasan cell line NA, Cosby DE, Ladely S, Musgrove MT: Sources and movement of Salmonella through integrated poultry operations:

a multistate epidemiological investigation. J Food Prot 2001, 64:1690–97.PubMed 43. Nesse LL, Nordby K, Heir E, Bergsjoe B, Vardund T, Nygaard H, Holstad G: Molecular analyses of Salmonella enterica isolates from fish feed factories and fish ingredients. Appl Env Microbiol 2003, 69:1075–81.CrossRef 44. Pedersen TB, Olsen JE, Bisgaard M: Persistence of Salmonella Senftenberg in poultry production environments and investigation of its resistance to desiccation. Avian Path 2008, 37:421–27.CrossRef 45. Edrington TS, Schultz CL, Bischoff LY3023414 in vivo KM, Callaway TR, Looper ML, Genovese KJ, Jung YS, McReynolds JL, Anderson RC, Noisbet DJ: Antimicrobial resistance and serotype prevalence of Salmonella isolated from dairy cattle in the southwestern United States. Microb Drug Res 2004, 10:51–6.CrossRef 46. Elviss NC, Little CL, Hucklesby L, Sagoo S, Surman-Lee S, de Pinna E, Threlfall

EJ: Microbiological study of fresh herbs from retail premises uncovers an international outbreak of salmonellosis. Int J Food Microbiol 2009, 134:83–88.PubMedCrossRef 47. Ilic S, Duric P, Grego E: Salmonella Senftenberg

infections and fennel seed tea, Serbia. Em Inf Dis 2010, 16:893–895. 48. Little CL, Rawal N, de Pinna E, McLaughlin J: Survey of Salmonella contamination of edible nut kernels on retail sale in the UK. Food Microbiol 2010, 27:171–4.PubMedCrossRef 49. Rushdy AA, Stuart JM, Ward LR, Bruce J, Threlfall EJ, Punia P, Bailey JR: National outbreak of Salmonella Senftenberg associated with infant food. Epi Inf 1998, 120:125–28.CrossRef 50. Santos FBO, D’Souza DH, Jaykus L, Ferket PR, Sheldon BW: Genotypes, serotypes, and antibiotic resistance profiles of Salmonella isolated from commercial North Carolina turkey farms. J Food Prot 2007, 70:1328–33.PubMed 51. Pezzoli Glycogen branching enzyme L, Elson R, Little C, Yip H, Fisher I, Anis R, Valinsky L, Biggerstaff M, Patel N, Mather H, Brown DJ, Coia JE, van Pelt W, Nielesn EM, Ethelberg S, de Pinna E, Hampton MD, Peters T, Threlfall J: Packed with Salmonella – investigation of an international outbreak of Salmonella Senftenberg infection linked to contamination of prepacked basil in 2007. SCH 900776 ic50 Foodborne Path Dis 2008, 5:661–668.PubMedCrossRef 52. Anon: CDC Investigation update: multistate outbreak of human Salmonella Montevideo infections. [http://​www.​cdc.​gov/​salmonella/​montevideo/​index.​html] Competing interests The authors declare that they have no competing interests.

Pathways in cancer and Wnt signalling pathways were ranked first

Pathways in cancer and Wnt signalling pathways were ranked first in the KEGG and Panther pathway lists, respectively, highlighting the essential roles of miRNAs in cancer development. Third, there should be adequate information about the pattern of expression of the miRNAs in different types of specimens. It has been indicated that circulating miRNAs

in plasma could be more tissue-specific than tumour-specific [41, 42]. In the context of the vast inconsistency between tissue-based and plasma-based results [23], we focused on NVP-AUY922 studies that analysed miRNA expression between PDAC tissues and noncancerous pancreatic tissues in humans. Last but not least, rigorous validation and demonstration of reproducibility in an independent cohort of patients are necessary to confirm the diagnostic value of miRNAs. With this in mind, we experimentally validated 10 candidate miRNAs in PDAC samples and confirmed that these 10 miRNAs were differentially expressed between PDAC tissues and noncancerous pancreatic tissues. Considering that miRNA expression is able to successfully discriminate normal from cancerous

pancreatic tissues, it is tempting to speculate this website that miRNAs could also predict cancer prognosis. However, our results do not exclude the possibility that other miRNAs are I-BET-762 chemical structure associated with prognosis, as we only studied a meta-signature of 10 miRNAs in a limited number of PDAC samples (n=78). The main reason for the possible association between miRNAs not within this meta-signature and prognosis may centre on the relatively small sample size in our study and others [25, 27]. It is quite unrealistic to include all the miRNAs in Kaplan-Meier survival analyses, as it would be very laborious and time-consuming. Thus, commonly, Methocarbamol only the candidate miRNAs with the greatest fold changes are included. As mentioned above, although there were no strong disagreements between the individual miRNA profiling studies, the top lists varied considerably from study to study. To remedy this problem, it was critical to identify

the most differentially expressed miRNAs. We used a meta-review approach, which combines the results of several individual studies to increase statistical power and to subsequently resolve the inconsistency among different profiling studies. A meta-signature of seven up- and three down-regulated miRNAs was identified. Then, in independent patient samples, miR-21, miR-31 and miR-375 were found to be associated with cancer prognosis. From our point of view, great caution should be taken in future research in this field. To start, sample sizes should be increased to minimise random sampling error. Next, as it is impossible for every researcher to use the same platform, reliable microarray platforms should be employed in all experiments.

This decrease indicated the production of 1O2, which can irrevers

This decrease indicated the production of 1O2, which can irreversibly react with DMA. Moreover, the generation curve of ZnPc4-loaded [email protected] nanogels was similar with that of pure ZnPc4, demonstrating that the capacity of generating 1O2 of ZnPc4 was hardly affected after being loaded in [email protected] nanogels. It is thus suggested that the [email protected] nanogel might be a promising drug carrier for photodynamic therapy

in the future. Figure 9 The generation profiles of singlet oxygen from ZnPc 4 -loaded Au rod @pNIPAAm-PEGMA nanogels (Au/P). The nanogels were irradiated by an 808-nm laser and a 680-nm LED lamp, respectively. In vitro PDT study on Hela cells The in vitro PDT study, represented in Figure 10,

showed the percentage of cell viability after treatment of Hela cells with the ZnPc4-loaded [email protected] nanogel (300 μg/mL) at different irradiated conditions. Compared with the cells’ group MK-2206 ic50 with no light treatment, no significant difference of the cell viability was found in the 808-nm laser-treated group. However, for the 680-nm light-treated group, the cell viability decreased A-1210477 in vivo to 40%. It is interesting to note that when irradiated by the two lights, the cell viability decreased to 10%. This is because the 808-nm laser treatment might result in the release of ZnPc4 from nanogels, which could improve the efficiency of the generation of singlet oxygen after the 680-nm irradiation and thus enhance the PDT effect on Hela cells. Figure 10 The photodynamic Captisol in vitro therapy effect of ZnPc 4 -loaded Au rod @pNIPAAm-PEGMA nanogels on Hela cells at different irradiated conditions. Conclusions A facile approach to prepare near-infrared-responsive Oxalosuccinic acid [email protected] nanogels was described. The LCSTs of these [email protected] nanogels could be tuned by changing the molar ratio of NIPAAm/PEGMA. The release of ZnPc4 loaded in [email protected] nanogels increased with the extension of irradiated time and the increase of the power

of the NIR laser. The loaded ZnPc4 in [email protected] nanogels could generate singlet oxygen efficiently. The in vitro study showed obvious PDT effect on Hela cells. On these bases, the [email protected] nanogels might serve as a promising drug carrier in PDT. Authors’ information RL, TXH, and LDH are Ph.Ds. and professors. ST, WCD, KXB, YAQ, and CM are M.D. students in the Department of Biomaterials, College of Materials, Xiamen University. Acknowledgments This work was financially supported by the National Basic Research Program of China (2010CB732402, 2013CB933703) and the National Natural Science Foundation of China (30970733, 81171448). References 1. Han G, Ghosh P, Rotello VM: Functionalized gold nanoparticles for drug delivery. Nanomedicine 2007, 2:113–123.CrossRef 2. Lal S, Clare SE, Halas NJ: Nanoshell-enabled photothermal cancer therapy: impending clinical impact.

(b) postoperative 3 year abdominal enhanced CT scan show a thromb

(b) postoperative 3 year abdominal enhanced CT scan show a thrombosed false lumen completely resolved without progressive dilation of ULP. Case 3 A 47-year-old man with a 5-day history

of acute epigastric pain with radiation to the back was admitted. No associated symptoms of fever, nausea, constipation or diarrhea were present. He was previously healthy and had no cardiovascular risk factors and recent trauma. On physical examination, mild tenderness over the epigastrium without signs of peritonitis sign was observed, and no bruit was audible. Laboratory tests and abdominal radiography were unremarkable. Contrast-enhanced CT revealed a thin flap of the SMA, which began from just after the orifice of the SMA and separated the SMA into TEW-7197 ic50 two distinct lumina; the resulting false lumen was AZD6094 purchase thrombosed in the mid to distal portion of the SMA. Three-dimensionally reconstructed images demonstrated severe stenosis of the SMA, but no sign of bowel ischemia caused by prominent collateral flow from the celiac artery and inferior mesenteric artery (figure 3a). We chose conservative treatment without anticoagulation therapy. The abdominal pain completely disappeared on day 2 and he was discharged on day 4. The patient was symptom free 4

years after discharge with no recurrent symptoms and disease progression. One year after surgery, a thrombosed false lumen completely resolved with ULP on follow up CT (figure 3b). Figure 3 Sakamoto’s type III find more dissection of the SMA. (a) preoperative three-dimensionally reconstructed images showing

severe BCKDHA stenosis of the SMA with ULP, and the collateral flow from the celiac artery and inferior mesenteric artery. (b) postoperative 1 year abdominal enhanced CT scan show a thrombosed false lumen completely resolved without progressive dilation of ULP. Discussion and review of the literature Spontaneous dissection of the SMA is a rare condition and is not associated with aortic dissection. It was first described by Bauerfield in 1947 [19]. In previously reported cases before 1972, the prognosis was very poor [19, 20]. However, the prognosis has improved significantly since 1975 as a result of advancements in surgical techniques and imaging modalities [1–4]. The etiology of the disease has not yet been established, but atherosclerosis, cystic medial necrosis, and fibromuscular dysplasia have been implicated, often associated with untreated hypertension [3]. Solis et al. [21] have hypothesized that dissection usually begins 1.5-3 cm from the orifice of the SMA, thus sparing the origin of the artery. This segment of the SMA corresponds with the exit of the artery from the pancreas and is exposed to shearing force because this area forms the border zone between the fixed retropancreatic portion and the more distal mobile mesenteric portion.