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Neural Regulation01:37

Neural Regulation

Digestion begins with a cephalic phase that prepares the digestive system to receive food. When our brain processes visual or olfactory information about food, it triggers impulses in the cranial nerves innervating the salivary glands and stomach to prepare for food.

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Repression of Multiple Myeloma Cell Growth In Vivo by Single-wall Carbon Nanotube (SWCNT)-delivered MALAT1 Antisense Oligos
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[A neuron specific enolase-producing multiple myeloma].

Junko Jimbo1, Kazuya Sato, Katsuya Ikuta

  • 1Division of Gastroenterology and Hematology/Oncology, Department of Medicine, Asahikawa Medical College.

[Rinsho Ketsueki] the Japanese Journal of Clinical Hematology
|November 11, 2006
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Summary

This study reports a rare case of IgG-lambda multiple myeloma presenting as a chest-wall plasmacytoma. The myeloma cells produced neuron-specific enolase (NSE), which normalized after treatment.

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Area of Science:

  • Oncology
  • Hematology
  • Biochemistry

Background:

  • Multiple myeloma is a plasma cell malignancy.
  • Extramedullary plasmacytomas can occur in various locations.
  • Neuron-specific enolase (NSE) is a biomarker typically associated with neuroendocrine tumors.

Observation:

  • A 53-year-old woman presented with chest-wall pain, a chest-wall mass, pleural effusion, anemia, hypercalcemia, and elevated IgG levels.
  • Diagnostic workup revealed IgG-lambda monoclonal protein and elevated NSE.
  • Biopsy confirmed atypical plasma cell proliferation consistent with multiple myeloma and chest-wall plasmacytoma.

Findings:

  • Atypical plasma cells stained positive for cytoplasmic CD38 and IgG-lambda.
  • Immunostaining demonstrated diffuse NSE expression within the myeloma cells, suggesting NSE production by these malignant cells.
  • Treatment with chemotherapy and radiotherapy led to tumor regression and normalization of IgG and NSE levels.

Implications:

  • This case adds to the limited literature on NSE-producing multiple myeloma.
  • Elevated NSE may serve as a potential biomarker for myeloma activity in specific cases.
  • The findings highlight the diverse clinical presentations of multiple myeloma and the potential for unusual biomarker expression.