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      • TIP49b, a Regulator of Activating Transcription Factor 2 Response to Stress and DNA Damage

        Cho, Ssang-Goo,Anindita Bhoumik,Ze'ev Ronai 이화여자대학교 세포신호전달연구센터 2002 고사리 세포신호전달 심포지움 Vol. No.4

        Activating transcription factor-2(ATF2/CRE-BP1) is a member of the ATF-CREB family of transcription factors, which has been implicated in growth control, cell cycle progression, differentiation and transformation. Upon exposure to stress or DNA damage, JNK/p38 kinases phosphorylate T-69 and T-71, alleviating intrinsic inhibition and rendering ATF2 transcriptionally active. As a leucine zipper transcription factor, ATF2 binds an 8-bp response element(CRE/URE; 5-TGACGTCA-3; 61), as a homodimer or as a heterodimer with other members of the ATF family, as well as the Jun/Fos family of transcription factors. Although ATF-2 has been implicated in the transcriptional control of various stress-responsive genes, including c-jun, interferon-b, TGFb, and TNFa, our understanding of the biological functions of ATF2 is limited. A yeast two-hybrid screen identified TBP-interacting protein 49b(TIP49b), a component of the INO80 chromatin-remodeling complex, as a novel ATF2-interacting protein. TIP49b's association with ATF2 is phosphorylation dependent and requires amino acids 150 to 248 of ATF2(ATF2^(150-248)), which are implicated in intramolecular inhibition of ATF2 transcriptional activities. Forced expression of TIP49b efficiently attenuated ATF2 transcriptional activities under normal growth conditions as well as after UV treatment, ionizing irradiation, or activation of p38kinase, all of which induced ATF2 phosphorylation and increased TIP49b-ATF2 association. Constitutive expression of ATF2^(150-248) peptide outcompeted TIP49b interaction with ATF2 and alleviated the suppression of ATF2 transcriptional activities. Expression of ATF2^(150-248) in fibroblasts or melanoma but not in ATF2-null cells caused a profound G2M arrest and increased degree of apoptosis following irradiation. The interaction between ATF2 and TIP49b constitutes a novel mechanism that serves to limit ATF2 transcriptional activities and highlights the central role of ATF2 in the control of the cell cycle and apoptosis in response to stress and DNA damage.

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        Complication Pattern of Sacral Primary Tumor Resection: A Study on the Risk Factors of Surgical Site Infection and Bowel or Bladder Dysfunction and Their Associations with Length of Hospital Stay

        Koch Kristof,Varga Peter Pal,Ronai Marton,Klemencsics Istvan,Szoverfi Zsolt,Lazary Aron 대한척추외과학회 2023 Asian Spine Journal Vol.17 No.5

        Study Design: Retrospective open cohort study.Purpose: The current study aimed to explore the pattern of complications after primary sacral tumor resection, to investigate the possible effect of several perioperative parameters on the development of complications, and to identify which complications are associated with the length of hospital stay (LOS).Overview of Literature: Primary sacral tumor (pST) resection is associated with a high complication rate. However, the number of studies on these complications and their effect on LOS is limited.Methods: The clinical data of 140 patients with pST surgeries and 106 subsequent patients with local recurrence surgeries in four subgroups (index surgery, local recurrence surgery, malignant, and benign tumor) were prospectively collected and analyzed. The prognostic value of several perioperative factors on the development of surgical site infection (SSI), bowel and bladder dysfunction (BBD), and LOS was investigated using the logistic and linear regression models.Results: The overall complication rates were 61.2% after index surgeries and 50.9% after local recurrence surgeries. The most frequent complications were SSI, vegetative dysfunction, urinary tract infections, and neurological deterioration. Age >55 years, malignant tumors, and red blood cell transfusion had a predictive effect on the development of SSI in the logistic model (<i>p</i><0.01, <i>R<sup>2</sup></i>=0.43). Bilateral S2 or S3 resection commonly caused postoperative BBD (chi-square test=62.5, degrees of freedom=4, <i>p</i><0.001). In the multiple linear regression model, wound dehiscence, BBD, systemic and urinary tract infection, cerebrospinal fluid leak, and neurologic deterioration were associated with a significantly long LOS (<i>p</i><0.01, <i>R<sup>2</sup></i>=0.62).Conclusions: Surgical resection of pSTs has a high complication rate. Its common complications are SSI and BBD, both of which can have a significant influence on global therapeutic outcome. Malignant tumor diagnosis, old age, and red blood cell transfusion can remarkably increase the risk of SSI. Further, the development of BBD is significantly associated with the number of resected sacral nerve roots. By decreasing perioperative complications, LOS can decrease significantly.

      • PKCε Promotes Oncogenic Functions of ATF2 in the Nucleus while Blocking Its Apoptotic Function at Mitochondria

        Lau, E.,Kluger, H.,Varsano, T.,Lee, K.,Scheffler, I.,Rimm, David L.,Ideker, T.,Ronai, Ze'ev A. Cell Press ; MIT Press 2012 Cell Vol.148 No.3

        The transcription factor ATF2 elicits oncogenic activities in melanoma and tumor suppressor activities in nonmalignant skin cancer. Here, we identify that ATF2 tumor suppressor function is determined by its ability to localize at the mitochondria, where it alters membrane permeability following genotoxic stress. The ability of ATF2 to reach the mitochondria is determined by PKCε, which directs ATF2 nuclear localization. Genotoxic stress attenuates PKCε effect on ATF2; enables ATF2 nuclear export and localization at the mitochondria, where it perturbs the HK1-VDAC1 complex; increases mitochondrial permeability; and promotes apoptosis. Significantly, high levels of PKCε, as seen in melanoma cells, block ATF2 nuclear export and function at the mitochondria, thereby attenuating apoptosis following exposure to genotoxic stress. In melanoma tumor samples, high PKCε levels associate with poor prognosis. Overall, our findings provide the framework for understanding how subcellular localization enables ATF2 oncogenic or tumor suppressor functions.

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