(C) 2014 Elsevier
Ireland Ltd. All rights reserved.”
“Purpose To determine the risk of iatrogenic damage to the extensor tendons and sensory nerves under a bridge plate along the second versus third metacarpal. Methods Using 6 paired Adriamycin (left right) cadaver forearms wrists and via a volar approach, we created a distal radius fracture with metaphyseal comminution. We then applied a dorsal distraction plate to either the second or third metacarpal. We next performed dorsal dissection of the hand and wrist over the zone of injury to determine the position of the plate relative to the extensor tendons and sensory nerves. Results The bridge plate on the third metacarpal entrapped tendons of the first and third compartment in all 6 specimens. When the plate was
applied to the second metacarpal there were no cases of tendon entrapment. There were no instances of nerve entrapment in plating to either the second or third metacarpal. Conclusions BTK inhibitor Distraction plating has been proposed for use in the second and third metacarpals for unstable comminuted distal radius fractures. We recommend formal exposure of the extensor tendons over the zone of injury when applying a distraction bridge plate to the third metacarpal. Clinical relevance Plating to the second metacarpal decreases the risk of entrapment of extensor tendons compared with plating to the third metacarpal. Copyright (C) 2015 BYL719 by the American Society for Surgery of the Hand. All rights reserved.”
“Purpose To establish whether NSC80467, a novel fused naphthquinone imidazolium, has a similar spectrum of activity to the well-characterized “survivin suppressant” YM155 and to extend mechanistic studies for this structural class of agent.\n\nMethods NSC80467 and YM155 were analyzed in parallel using assays measuring viability, survivin suppression, inhibition of DNA/RNA/protein synthesis and the cellular response to DNA damage.\n\nResults GI(50) values generated for
both compounds in the NCI-60 screen yielded a correlation coefficient of 0.748, suggesting significant concordance. Both agents were also shown to inhibit protein expression of survivin [BIRC5]. COMPARE analysis identified DNA damaging agents chromomycin A3 and bisantrene HCl and one DNA-directed inhibitor of transcription, actinomycin D, as correlating with the activity of NSC80467 and YM155. Furthermore, both agents were shown to preferentially inhibit DNA, over RNA and protein synthesis. Thus, the ability of NSC80467 and YM155 to induce a DNA damage response was examined further. Treatment of PC3 cells with either agent resulted in dose-dependent induction of gamma H2AX and pKAP1, two markers of DNA damage. The concentrations of agent required to stimulate gamma H2AX were considerably lower than those required to inhibit survivin, implicating DNA damage as an initiating event.