The examples of chemical genetics studies using
\r\n\toxygen-free atmosphere. Biochar has been used for many years as a soil amendment and in general soil applications. Nonetheless, biochar is far more than a mere soil amendment. In this review, we report all the applications of biochar including environmental remediation, energy storage, composites, and catalyst production. In this book, we intend to collect contributions from worldwide experts in the field of biochar production and utilization providing a general overview of the recent uses of biochar in material science, thus presenting this cheap and waste-derived material as a high value-added carbonaceous source. Furthermore, we are aiming to give readers a handy and effective tool to easily understand how this field is interesting and diverse. It is a goal that this book could be easily used by any reader with a strong scientific background ranging from scientific company advisors to academic members. Nonetheless, students enrolled in scientific undergraduate and graduate programs could be consulted to this text for any further and deeper investigation. In the end, we intend to propose a very high scientific content book that could represent the reference text for any consideration and future study about biochar for the next years.
",isbn:"978-1-80356-252-0",printIsbn:"978-1-80356-251-3",pdfIsbn:"978-1-80356-253-7",doi:null,price:0,priceEur:0,priceUsd:0,slug:null,numberOfPages:0,isOpenForSubmission:!1,isSalesforceBook:!1,isNomenclature:!1,hash:"af29d12de2a10f46f574776213120e9e",bookSignature:"Dr. Mattia Bartoli, Dr. Mauro Giorcelli and Prof. Alberto Tagliaferro",publishedDate:null,coverURL:"https://cdn.intechopen.com/books/images_new/11537.jpg",keywords:"Energy Storage, Battery, Environmental Remediation, Catalysis, Reactors, Fast Pyrolysis, Slow Pyrolysis, Microwave Pyrolysis, Porosity, Raman, Monolith, Hard Carbon",numberOfDownloads:106,numberOfWosCitations:0,numberOfCrossrefCitations:0,numberOfDimensionsCitations:0,numberOfTotalCitations:0,isAvailableForWebshopOrdering:!0,dateEndFirstStepPublish:"February 10th 2022",dateEndSecondStepPublish:"April 13th 2022",dateEndThirdStepPublish:"June 12th 2022",dateEndFourthStepPublish:"August 31st 2022",dateEndFifthStepPublish:"October 30th 2022",dateConfirmationOfParticipation:null,remainingDaysToSecondStep:"3 months",secondStepPassed:!0,areRegistrationsClosed:!0,currentStepOfPublishingProcess:4,editedByType:null,kuFlag:!1,biosketch:"A cutting-edge researcher in waste-to-value technologies for application in drop-in fuels, green chemicals, and material science. Dr. Bartoli is a member of the Italian Chemical Society, American Chemical Society, and American Carbon Society.",coeditorOneBiosketch:null,coeditorTwoBiosketch:null,coeditorThreeBiosketch:null,coeditorFourBiosketch:null,coeditorFiveBiosketch:null,editors:[{id:"188999",title:"Dr.",name:"Mattia",middleName:null,surname:"Bartoli",slug:"mattia-bartoli",fullName:"Mattia Bartoli",profilePictureURL:"https://mts.intechopen.com/storage/users/188999/images/system/188999.png",biography:"Dr. Mattia Bartoli has always performed at the highest levels throughout his education and training, as proved by research outputs with several published peer-reviewed papers in top international journals. After obtaining his Ph.D., Dr. Bartoli moved to the Biorefinery Conversion Network, University of Alberta, Canada, where he contributed to developing new materials and new technologies. In 2018, he joined the Carbon Group, Polytechnic University of Turin, Italy, where he studied both the production and use of carbon from thermochemical conversion of waste streams for material science applications. Since 2021, Dr. Bartoli has been working on CO2 electrochemical and thermochemical conversion at the Center for Sustainable Future Technologies (CSFT@POLITO). 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He is a carbon materials specialist, with more than fifteen years of experience in the field. He has published more than eighty articles in international journals. His main expertise is low-cost carbon materials derived from recycled materials, in particular carbon materials derived from biomasses (biochar). He recently published a book dedicated to innovative biochar applications. 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Natural products which have structural diversity isolated from microorganisms, plants, and animals are useful sources in the field of drug development [1]. Structurally, new natural products might show novel activities such as antimicrobial, antiviral, and antitumor activities. These natural products also provide useful information for medicinal chemistry, and allow the development of new synthetic compounds as novel medicines. For example, eribulin, a semi-synthetic derivative of halichondrin B, has been approved as an anti-cancer drug [2, 3, 4]. Therefore, the screening and identification of new small molecules open new avenues for drug development. There are two major ways to identify bioactive small molecules: phenotypic screening and target-based screening. Phenotypic screening is based on cytotoxicity [5, 6, 7], cell cycle arrest [8], immune-suppression [9], and morphological changes [10] of drug-treated cells, fungi, and bacteria. Target-based screening is performed based on measurable readouts such as enzymatic activity inhibition [11] or drug-protein interaction [12]. These approaches have identified useful small molecules and medicines.
\nTarget identification (Target ID) of small molecules is also quite important in order to develop safe and useful drugs [13]. Thalidomide, a cautionary example, was used as a sedative a half-century ago before it was found to be teratogenic and to cause multiple birth defects [14]. However, thalidomide is also used in the treatment of Hansen’s disease, myeloma [14], and so on. In addition, immunomodulatory drugs derived from thalidomide have been developed as a new class of anti-cancer drugs and novel medicines for treating ribosomopathies such as 5q-syndrome [15]. Recently, cereblon, a substrate receptor of the CRL4 E3 ubiquitin ligase, has been identified as a primary target of thalidomide teratogenic [16] and anti-cancer [15] activity. These lines of research provide useful information that cereblon may pose a risk of teratogenic activity and simultaneously serve as an attractive molecular target for immunomodulatory drug development. To identify the relevant target molecules and target pathways, indirect and direct approaches have been used [13]. The indirect approaches include phenotypic analysis and large-scale analysis such as proteomic and genome-wide analyses. Some specific changes in cell morphology, cell cycle arrest, and other phenotypes provide us useful information for predicting targets of the drugs. Based on this property, Morphobase, an encyclopedic database of the morphological changes that occur in drug-treated cells, has been constructed and applied to drug target discovery [17]. Large-scale analyses such as proteomics, metabolomics, and transcriptome analysis of drug-treated cells have been performed to predict the target pathways of bioactive small molecules [18]. Genome-wide genetic studies are also frequently used for drug target ID. For example, synthetic lethal/sick genetic interaction analyses [19, 20], genome-wide overexpression screening [21], and haploinsufficiency-chemical sensitive assays [22] have been used to analyze the mode of action of various drugs. On the other hand, direct approaches, such as affinity probe approaches and genetic analyses, are quite useful to identify the direct target molecules of drugs. By using affinity probe approaches, the targets of thalidomide [16] and FK506 [23] have been identified. Genetic analysis is another powerful method of identifying not only drug targets [24, 25, 26, 27, 28, 29] but also the signaling pathway affected by a drug. Genetic studies using model organisms such as yeast have contributed to identification of the target molecules of bioactive compounds.
\nThe identification of new bioactive small molecules and elucidation of their target molecules/signaling pathways are important not only for developing medicines but also for basic science. Such compounds are a useful tool for understanding the fundamental protein functions in cells. Well-known examples are famous immunosuppressants such as FK506, cyclosporine, and rapamycin. These compounds inhibit immunophilin and T-cell activation through different mechanisms [30]. Studies of these compounds have revealed their detailed immunoreaction mechanisms [30]. Mitotic inhibitors are another example. Mitotic spindle formation and chromosome segregation are fast processes that are completed within approximately 1 hour. Therefore, by taking advantage of rapid pharmacological intervention, studies using microtubule inhibitors (αβ-tubulin inhibitors [31, 32, 33] or γ-tubulin inhibitor [12]), mitotic kinesins (Eg5 [34, 35]), and mitotic kinase inhibitors (aurora kinases [36, 37], Cdk1 [38], Plk1 [39, 40], Mps1 [41, 42]) highlighted useful information regarding the temporal regulation of mitotic spindle architecture and faithful chromosome segregation. These findings could in turn contribute to further drug development. Therefore, target ID of newly found useful bioactive compounds is quite an important process in both basic science and medicine development.
\nCompound | \nApproach | \nFinding | \nRef. | \n
---|---|---|---|
Benomyl | \nPathway analysis | \nIdentification of Mad1, Mad2, Mad3 as mitotic spindle checkpoint proteins by using benomyl sensitive mutants | \n[31] | \n
Benomyl | \nPathway analysis | \nIdentification of Bub1, Bub2, Bub3 as mitotic spindle checkpoint proteins by using benomyl sensitive mutants | \n[32] | \n
Reveromycin A | \nTarget ID | \nIdentification of | \n[27] | \n
Curvularol | \nTarget ID | \nIdentification of | \n[28] | \n
Rapamycin | \nTarget ID | \nIdentification of | \n[29] | \n
Eudistomin C | \nTarget ID | \nIdentification of | \n[50] | \n
Splitomicin | \nScreening | \nIdentification of splitomicin as a NAD+-dependent histone deacetylase inhibitor | \n[51] | \n
The examples of chemical genetics studies using
\n | Mammalian cell line (HeLa) | \nBudding yeast (BY4741) | \n
---|---|---|
Cycloheximide (μM) | \n0.2 | \n270 | \n
Digitonin (μM) | \n0.4 | \n1.9 | \n
Fluphenazine (μM) | \n13 | \n51 | \n
Latrunculin A (nM) | \n0.2 | \n>240 | \n
4-Nitroquinoline 1-oxide (μM) | \n0.1 | \n7.1 | \n
Rapamycin (nM) | \n>300 | \n7.1 | \n
Staurosporine (μM) | \n0.1 | \n15.1 | \n
Tunicamycin (μM) | \n1.8 | \n>120 | \n
The IC50 values of compounds against HeLa cells and
HeLa cells (3 × 103 cells/well in 96 well plate) and BY4741 cells (3.8 × 105 cells/well in 96 well plate) were treated with various concentrations of compounds for 48 and 8 h, respectively. Cell viabilities were determined by WST-8 (Dojindo, Kumamoto, Japan) and IC50 values were calculated.
The work flow of the construction of multidrug-sensitive strains. (A) The parental strain, BY4741, possesses high genetic manipulation availability, but shows high drug resistance. (B) 12geneΔ0HSR, created by disruption of the drug efflux system and introduction of the
In this review, we discuss the construction of two multidrug-sensitive yeast strains, 12geneΔHSR [48] and 12geneΔHSR-iERG [49], which are available for genetic analysis. We also discuss the application of these strains in drug screening and target ID [50].
\nWe constructed a multidrug-sensitive yeast strain by disrupting 12 ABC transporter-related genes and suppressing the
\n | Transformation efficiency (Cfu/μg) | \nMating efficiency (%) | \nSporulation efficiency (%) | \n
---|---|---|---|
BY4741 | \n9.6 × 105 ± 2.2 × 105 | \n17.7 ± 7.5 | \n21.9 ± 6.8 | \n
55.0 ± 51.3 | \n4.8 ± 1.7 | \n9.4 ± 4.7 | \n|
12geneΔ0 | \n1.2 × 105 ± 2.0 × 104 | \n15.7 ± 5.3 | \n5.0 ± 2.9 | \n
12geneΔ0HSR | \nN.D. | \nN.D. | \n28.8 ± 4.6 | \n
12geneΔ0HSR-iERG6 (under glucose condition) | \n7.0 ± 8.2 | \n6.4 ± 2.2 | \n0.0 ± 0.0 | \n
12geneΔ0HSR-iERG6 (under galactose condition) | \n3.0 × 104 ± 2.4 × 104 | \nN.D. | \n10.7 ± 3.0 | \n
Comparison of the efficiencies of transformation, mating and sporulation between BY4741,
Drugs to which resistance was conferred by ABC transporters, ergosterol or both systems (indicated by underlining), respectively.
In general,
\n | Number of broth | \nNumber of hit broth | \nHit ratio (%) | \n
---|---|---|---|
Fungus | \n2664 | \n149 | \n5.6 | \n
Actinomycetes | \n5617 | \n289 | \n5.1 | \n
Total | \n8281 | \n438 | \n5.3 | \n
Hit ratio of screening of mitochondrial inhibitor using quadruplex mutant, BY25929.
\n | Number of broth | \nNumber of hit broth | \nHit ratio (%) | \n
---|---|---|---|
Fungus | \n3144 | \n270 | \n8.6 | \n
Actinomycetes | \n3067 | \n253 | \n8.2 | \n
Total | \n6211 | \n523 | \n8.4 | \n
Hit ratio of screening of mitochondrial inhibitor using 12geneΔ0HSR-iERG6.
To identify the mitochondrial inhibitors, we used the difference in cell growth between the glucose medium and the glycerol medium. Yeast can use glycerol as a respiratory substance after the conversion to dihydroxyacetone phosphate via glycerol-3-phosphate by cytosolic and mitochondrial enzymes, GUT1p and GUT2p, respectively. Therefore, yeast could grow even in the presence of a mitochondrial inhibitor in glucose medium because of anaerobic respiration, but not in glycerol medium in which one of the metabolites in glycolysis, dihydroxyacetone phosphate, could not be produced. Therefore, we compared the growth inhibition induced by microbial broth samples on glucose medium (1% yeast extract, 2% polypeptone, 2% glucose, 1.5% agar) with that on glycerol medium (1% yeast extract, 2% polypeptone, 3% glycerol, 1.5% agar), and chose the broth which inhibited yeast growth on glycerol medium but not on glucose medium [55]. Growth inhibition activities of microbial broth samples were evaluated using the paper disc method on agar plates inoculated with recombinant
To determine whether it is possible to isolate the novel compounds or not, we selected the microbial broths which were detected using 12geneΔ0HSR-iERG6 but not using the quadruplex mutant. We found a total of 46 broths (fungus origin: 16 broths; actinomycetes origin: 30 broths) which inhibited the growth of 12geneΔ0HSR-iERG6 specifically. Among these broths, we selected two fungus broths for further purification of active metabolites, and isolated 4,6′-anhydrooxysporidinone (
Structure of 4,6′-anhydrooxysporidinone (
Because the usefulness of our strains was confirmed, we next performed the preliminary screening of compounds that show readthrough activities. Readthrough compounds allow the translational machinery to skip nonsense mutations encoding premature termination codons (PTCs) and could become medicines for hereditary diseases caused by PTCs (Figure 4). To date, many small molecules have been developed as readthrough drug candidates. Several forms of aminoglycoside antibiotics, such as gentamicin (
Nonsense mutation as a premature termination codon (PTC) and readthrough compounds. (A) mRNAs containing no PTC are translated into full-length and functional proteins. (B) In the case of mRNAs containing PTC, translation stops at PTC and non-functional truncated proteins are synthesized. (C) In the presence of readthrough compounds, even mRNAs containing PTC are translated into full-length and functional proteins.
Structure of readthrough compounds. Gentamicin (
To discover novel readthrough compounds, we constructed yeast strains for the screening of readthrough compounds using 12geneΔ0HSR.
The color of 12geneΔ0HSR
Next, we initiated a high-throughput screening of the readthrough compounds based on the halo assay using chemical library. This screening is underway, but already several hit compounds have been found, including rapamycin (
Compounds showing readthrough activities in our screening. Rapamycin (
Since our strains show multidrug sensitivity without a decrease in genetic availability, they should also be useful for performing target ID for drugs and the mechanism evaluation of compounds, especially those which are only available in limited amounts, such as natural products. Here we show an example of target ID [50]. Eudistomin C (EudiC, Figure 8), a natural product isolated from the Caribbean tunicate
Chemical structure of eudistomin C (EudiC).
The work flow of the identification of RPS14A as a target of EudiC.
Collectively, our target ID studies of EudiC suggested the mode of action of EudiC cytotoxicity and indicated that our sensitive strains would be quite useful for performing drug target IDs in a relatively short period.
\nIn the field of chemical biology, several model organisms, including yeast, worms, flies, and mice, have been used. Yeast is one of the most-used model organisms due to its ease of handling and its genetic availability, but its drug resistance is sometimes an obstacle to investigation. To overcome this problem, we constructed two multidrug-sensitive yeast strains, 12geneΔ0HSR and 12geneΔ0HSR-iERG6. These strains not only show a broad spectrum of drug sensitivities against compounds for which resistance is shown by both ABC transporters and ergosterol without influencing transformation, mating, or sporulation efficiency, but they are also useful for drug screening. Indeed, we performed a screening of antifungal compounds and protein translation regulators which skip stop codons and found some promising candidates. Using 12geneΔ0HSR-iERG6, we succeeded in improving the hit rate of drug screening from microbial broth. The screening of microbial broth which inhibits the growth of 12geneΔ0HSR-iERG6 but not of the quadruplex mutant identified novel compounds suggested that our multidrug-sensitive strain-based screening using previously tested chemical sources in yeast screening could identify new bioactive compounds. Furthermore, as our screening system for readthrough compounds, genetically modified multidrug-sensitive strains can be applied for several types of screening such as a yeast 2-hybrid system-based protein-protein interaction modulators screening. Recently, a yeast 3-hybrid system has been applied for drug-protein interaction analysis [78]. In this study, the
Recently, it has been reported that RNAseq combined with Crisper/Cas9-based genome-editing technologies is useful for target ID in mammalian cells [25]. Identification of the drug target using our multidrug-sensitive strains and confirmation of the identified mutation in mammalian cells by Crisper/Cas9-based genome editing will reveal the mechanisms of drugs in more detail. Our multidrug-sensitive strains have the potential to facilitate chemical genetic studies and contribute to the development of medicines in the future.
\nPsoriasis is a chronic inflammatory skin disease that progresses with remission and exacerbations [1, 2]. It constitutes an important percentage, approximately 6–8% of patients who apply to dermatology clinics [3]. Due to its high prevalence and chronic course, it is important to diagnose it early and clearly to manage patient appropriately and avoid functional losses as much as possible. In addition, in some situations that should be intervened swiftly such as erythrodermic psoriasis or generalized pustular psoriasis; the sooner we diagnose, the better we take control of disease setting.
In diagnosis of psoriasis, usually clinical observation is enough; however, in doubtful cases, histopathological examination is required as gold standard technique. However, it requires an invasive procedure and needs time for pathological preparation. With dermoscopy, we can mostly distinguish psoriasis from other resembling diseases in clinic noninvasively. Despite it not being gold standard, easily applicable and noninvasive properties of dermoscopy make it a helpful diagnostic tool and reduce the need of performing biopsies.
Plaque psoriasis is the most common clinical subtype of psoriasis with 90% of all cases [4]. It is characterized by erythematous, well-defined, and usually indurated plaques greater than 1 cm in size with white-silvery scales on them (Figure 1). They can vary in size and may coalesce. Especially rapidly progressing lesions can be seen in annular configuration (Figure 2) [4, 5]. Removal of psoriatic scales may cause pinpoint bleedings, which is called Auspitz sign. Psoriatic plaques are mostly located in the scalp, trunk, lumbosacral area, and extensor surfaces of extremities (Figure 3) [6].
Erythematous, well-defined indurated plaque with white scales.
Erythematous, annular plaques with white scales.
Psoriatic plaques located on the trunk and extensor surfaces of the arms.
Dermoscopic examination of a psoriasis plaque should be done in three categories: background, vessels, and scales. Examination should be done with minimal pressure to visualize vessels better and with immersion oil if possible.
In dermoscopic examination of plaque psoriasis with handheld dermoscope, we usually see regularly distributed dotted vessels in a reddish-pinkish background and white scales (Figure 4) [7]. In some cases, background can be grayish-white due to highly hyperkeratotic scales (Figure 5).
Regularly distributed dotted vessels on reddish background with patchy distributed white scales. Note dot blood hemorrhages (red circle). Anatomical localization: Upper extremity (×10).
Background color can barely be seen due to diffuse thick white scales. Dotted vessels can be seen in the center. Note dot blood hemorrhages (red circle). Anatomical localization: Elbow (×10).
Apart from regular distribution, vessels can be distributed scattered, in clusters, in rings, and patchy (Figure 6a). In higher magnifications (with videodermoscopy), these dotted vessels can be seen as bushy capillaries, globules, radial capillaries, globular rings, hairpin capillaries, and comma vessels in descending order [8] (Figure 6b). Rarely dot blood hemorrhages can be seen in vessel locations (Figure 5). Scales can be distributed diffuse, patchy, central, or peripheral in descending order; however, white color is key point for scales [8, 9].
a: Vessel distribution patterns (regular, scattered, in clusters, in rings, patchy, respectively). b: Vessels subtypes can be seen in higher magnifications (bushy, globular, radial, globular ring, hairpin, and comma vessels, respectively).
Differential diagnosis of plaque psoriasis should be done with skin diseases, which are characterized by erythematous plaques with scales such as dermatitis, tinea corporis, pityriasis rosea, pityriasis rubra pilaris, lichen planus, and non-pigmented squamous cell carcinoma in situ.
In dermoscopic examination of dermatitis, we usually see patchy or scattered distributed dotted vessels with yellow globules (corresponding to sero-crusts) [10]. Background can be erythematous or not depending on lesions phase (acute or chronic). Hemorrhagic crusts can be seen as well secondary to traumatization (Figure 7).
Yellow globules, dot blood hemorrhages, and hemorrhagic crusts, patchy distributed dotted vessels (red circle). Background is slightly pinkish. Anatomical localization: Lower extremity (×20).
In dermoscopic examination of tinea corporis, we usually see peripherally located dotted vessels and rough white scales (Figure 8). In contrast with psoriasis, dotted vessels are not regularly distributed and not uniform. In addition, scales are only located peripherally, tend to peel outward, and shaped in moth-eaten pattern [11].
Peripherally located dotted vessels and white scales. Note the moth-eaten pattern (red circle). Anatomical localization: Trunk (×10).
Pityriasis rubra pilaris shows dotted and more frequently linear vessels, perifollicular yellow-orange halos, follicular plugs with central hair on them (Figure 9). Scales can be yellowish or whitish. Background is usually dark or yellowish red [7, 12].
Dotted vessels regularly distributed on pinkish background. Note the follicular plugs and central hairs (red circles). Anatomical localization: Elbow (×20).
Squamous cell carcinoma in situ and psoriasis can be challenging especially in solitary plaques. Dermoscopic clues for non-pigmented squamous cell carcinoma in situ are dotted or glomerular vessels in clusters in the center and arranged in lines at the periphery with yellowish white scales (Figure 10) [13, 14].
Glomerular vessels in the center, white scales. Note the linear arrangement of dotted vessels at the periphery (red circles) and actinic keratosis area at top left. Anatomical localization: Forearm (×20).
Dermoscopic features of plaque psoriasis and its differentials are summarized in Table 1.
Background | Vessel types | Vessel arrangement | Scales | Additional features | |
---|---|---|---|---|---|
Reddish-pinkish Whitish (due to hyperkeratotic scales) | Dotted | Regular | Whitish-grayish | ||
Skin colored-pinkish | Dotted | Scattered/patchy | Yellowish | Irregularly distributed dot blood hemorrhages due to traumatization | |
Reddish | Dotted | Peripheral | White and rough; peripheral; moth-eaten pattern; tend to peel outwards | ||
Dark red/yellowish red | Linear and/or dotted | Scattered | Yellowish-whitish; follicular | Perifollicular yellow-orange halos, follicular plugs, central hair | |
Pinkish | Glomerular or dotted | Regularly in center, may organize in lines at the periphery | Yellowish white scales | Peripheral actinic keratosis areas may help (white and wide follicular openings, rosettes) |
Dermoscopic features of plaque psoriasis and its differentials.
Guttate psoriasis, a psoriasis variant that is more common in pediatric population and young adults. Distinctly from other variants, we know that guttate psoriasis is selectively triggered by beta hemolytic streptococcal infections [15]. It is characterized by erythematous, well-defined flat papules/plaques lower than 1 cm in size with white-silvery scales on them. Lesions mostly located in the trunk and extremities (Figure 11a and b).
a: Slightly erythematous flat papules/plaques with white scales on them in an adolescent. Trunk localization. b: Slightly erythematous flat papules/plaques with white scales on them in an adolescent. Extremity localization.
Dermoscopic features of guttate psoriasis are very similar with plaque psoriasis, which is characterized by regularly distributed dotted vessels in a reddish background and white scales on them (Figure 12). Due to guttate psoriasis’ smaller lesion sizes (lower than 1 cm in diameter), findings may be insignificant when compared with plaque psoriasis (Figure 13).
Regularly distributed dotted vessels in reddish background. White scales. Anatomical localization: Upper extremity (×10).
Regularly distributed dotted vessels on pinkish background. Scales are white, thin, and patchy. Anatomical localization: Upper extremity (×10).
Differential diagnosis of guttate psoriasis should be done with skin diseases, which are characterized by erythematous papules/small plaques with scales. Pityriasis rosea, lichen planus, nummular dermatitis, secondary syphilis, tinea corporis, pityriasis lichenoides chronica, and disseminated eruptive porokeratosis may count as differential. (Dermatitis and tinea corporis will not be mentioned because they were discussed above.)
Dermoscopic examination of pityriasis rosea shows irregular distributed dotted vessels and peripheral thin white scale (Figure 14) [10]. Scales tend to peel outward as in tinea corporis. But note the white scale is not rough and vessels are not in the same distribution with scales. Background is generally skin-colored or slightly pinkish.
Patchy distributed dotted vessels and peripheral thin white scale. The configuration of the scales named “collarette sign.” anatomical localization: Back (×10).
In dermoscopic examination of lichen planus, key point is detecting Wichkam striaes, which cannot be seen macroscopically sometimes. In fair-skinned patients, dotted and linear vessels around Wickham striae make these structures more visible (Figure 15); however, in dark-skinned patients, absence of peripheral vascular structures around Wichkam striaes may lead to misdiagnosis [16].
Reticular arranged white lines (Wickham striae). Note the dotted vessels around Wickham striae in this fair-skinned patient. Anatomical localization: Lower extremity (×10).
In dermoscopic examination of secondary syphilis, yellowish-orange background and absence of vascular structures are key points (Figure 16) [17]. Scales may be present, however, thinner and smaller when compared with psoriatic scales.
Yellowish-orange structureless area with thin white scales. Note the absence of vascular structures. Anatomical localization: Back (×10).
In dermoscopic examination of pityriasis lichenoides chronica, we usually see orange-yellowish structureless areas and focally distributed dotted or linear vessels (Figure 17) [18].
Yellowish-orange structureless areas with thin white scales. Note the focal dotted vessel areas (red circles). Anatomical localization: Hand dorsum (×10).
In dermoscopic examination of porokeratosis, key clue is peripheral double lines resembling railways (Figure 18). This feature is called “cornoid lamella” [19].
Small white scales on yellowish-brown background. Note the railway-like “cornoid lamella” at the periphery (red arrows). Anatomical localization: Hand dorsum (×10).
Dermoscopic features of guttate psoriasis and its differentials are summarized in Table 2.
Background | Vessel types | Vessel arrangement | Scales | Additional features | |
---|---|---|---|---|---|
Reddish-pinkish | Dotted | Regular | Whitish-grayish, thin and small | ||
Pinkish | Dotted (vascularization is not dominant) | Patchy | White, thin, peripheral and tend to peel outwards “collarette sign” | ||
Pinkish, violaceus | Dotted or absent | Aroud Wickham striae | Whitish, patchy distributed, thin and small | ||
Yellowish-orange | Absent | White and thin | |||
Pinkish, yellowish-orange | Dotted or linear | Focal | White, patchy, thin | ||
Yellowish-brown | Unsignificant | White, small | Peripheral railway like double lines called “cornoid lamella” |
Dermoscopic features of guttate psoriasis and its differentials.
Inverse psoriasis is another clinical variant of psoriasis, which involves flexural areas such as axillary, inguinal, and inframammary [20]. The prevalence of inverse psoriasis is not clear and varies in 3–36% because of diagnostic challenges [21]. And also it is controversial that if genital involvement is a part of inverse psoriasis; however, we include genital involvement under this topic for convenience of expression.
Inverse psoriasis is typically present with well-defined erythematous plaques located in flexural areas (Figure 19a and b). It can present with or without typical psoriasis plaques. In contrast with plaque and guttate psoriasis, scales are insignificant or absent.
a: Erythematous plaque located in inframammary fold. b: Erythematous papules and plaques located in axillary fold. Note peripheral lesions have mild white scales.
Genital involvement shares similar clinical features with inverse psoriasis such as well-defined erythematous papules and plaques (Figure 20). However, occlusion in the genital areas is not as much as flexural areas, scales could be more visible in the genitals.
Coalesced erythematous papules located in the glans penis and penile dorsum.
Dermoscopic features of inverse psoriasis are characterized by regularly distributed dotted vessels on reddish background (Figure 21). In contrast with other variants, scales are absent. Absence of scales enhances visualization of vascular structures. Consequently, dermoscopic differential diagnosis of flexural dermatosis mainly leans on evaluation of vascular structures.
Regularly distributed dotted vessels on pinkish background. Anatomical localization: Inframammary (×10).
Differential diagnosis of inverse psoriasis should be done with skin diseases, which present with erythematous patches/plaques in flexural and genital areas. Mechanical intertrigo, seborrheic dermatitis, lichen planus inversus, and fungal/bacterial infections may count as differential. Because no clear dermoscopic features have been defined for mechanical intertrigo and flexural infections, we will discuss dermoscopic features of seborrheic dermatitis and lichen planus inversus under this topic.
The main dermoscopic features of seborrheic dermatitis of flexural areas are irregularly distributed linear, blurry vessels [22]. As we mentioned before, we do not see classical yellowish scales of seborrheic dermatitis in flexuras.
When we review the literature so far, there are only three reports about dermoscopic features of lichen planus inversus. In all of these reports, dermoscopic features of only pigmented variant of lichen planus inversus were evaluated and defined as diffuse brown patches containing multiple granular gray-brown dots [23, 24, 25]. In our clinical practice, we see non-pigmented lichen planus inversus more than pigmented subtype. According to our dermoscopic experience, Wickham striae, which is seen in lichen planus inversus, tends to be in “starry sky” or “radial streaming” pattern rather than reticular pattern. Background is usually pinkish or violaceous. Dotted vessels usually encircle Wickham striae (Figure 22).
Wickham striae in “radial streaming” pattern (red circle) and “starry sky” pattern (blue circle). Dotted vessels surround Wickham striae in a patchy arrangement. Anatomical localization: Intermammary (×10).
Dermoscopic features of inverse psoriasis and its differentials are summarized in Table 3.
Background | Vessel types | Vessel arrangement | Additional features | |
---|---|---|---|---|
Reddish-pinkish | Dotted | Regular | ||
Pinkish | Linear, blurry vessels | Irregular | ||
Pinkish, violaceus | Dotted or absent | Aroud Wickham striae | According to our dermoscopic experience, Wickham striae, which is seen in lichen planus inversus, tends to be in “starry sky” or “radial streaming” pattern |
Dermoscopic features of inverse psoriasis and its differentials.
Pustular psoriasis is a rare clinical variant of psoriasis, which is characterized by sterile pustules on an erythematous skin (Figure 23). It could be either local or generalized [26]. In generalized pustular psoriasis, concomitant fever, malaise, dehydration may also be present [27].
Small pustules and lake of pus on erythematous background.
Dermoscopic features of pustular psoriasis are characterized by regularly distributed dotted vessels with milky globules (corresponding to sterile pustules) on reddish background (Figure 24) [28]. Attention should be paid on non-follicular localization of pustules. Typical vascular structures are seen. Nonspecific yellow crust may be seen. Dermoscopic features are same in both localized and generalized subtypes.
Milky globules and regularly distributed dotted and bushy vessels on reddish background in pustular psoriasis. Anatomical localization: Trunk (×10).
Dermoscopic differential diagnosis of pustular psoriasis should be done with acute generalized exanthematous pustulosis (AGEP). In life-threatening clinical conditions such as generalized pustular eruptions, rapid and right diagnosis is essential, and dermoscope is very helpful at that point. In both pustular psoriasis and AGEP, pustules are sterile, disseminated, may coalesce, and be non-follicular. Thereby, we cannot distinguish these two situations by their clinical view only. In dermoscopic examination of both pustular psoriasis and AGEP, non-follicular milky globules on reddish background are seen [28]. Discriminately, in pustular psoriasis we see regularly distributed dotted vessels (Figure 24). In dermoscopic examination of AGEP, background is usually pinkish and vascular structures are absent (Figure 25) [29].
Milky globules on reddish background. Globules are non-follicular (red circle). Note the absence of vessels. Anatomical localization: Trunk (×10).
Erythroderma is a life-threatening condition, which is defined as desquamation and erythema of more than 90% of body surface area [30]. Erythrodermic variant of psoriasis (Figure 26) generally occurs due to poor control of disease, withdrawal of anti-psoriatic treatments, triggering drug intake, underlying systemic infections or conditions [31]. Clinical clues for erythrodermic psoriasis diagnosis are known history of psoriasis, psoriatic nail changes, presence of psoriatic arthritis. However, if none of the mentioned features is present, dermoscopy could be a game-changer.
Dermoscopic features of erythrodermic psoriasis are the same as other psoriasis variants. Regularly distributed dotted vessels on a reddish background, and patchy white scales are seen (Figure 27) [32].
Desquamation and erythema of all body surfaces.
Regularly distributed dotted vessels and white scales. Anatomical localization: Lower extremity (×20).
Yellow globules, patchy distributed dotted vessels. Background is slightly pinkish. Tiny white scales are also present. Tiny white scales correspond to desquamation areas. Anatomical localization: Trunk (×10).
Linear, serpiginous, and dotted vessels on pinkish background. Tiny white scales correspond to desquamation areas. Anatomical localization: Trunk (×10).
Dermoscopic differential diagnosis of erythrodermic psoriasis includes dermatosis that can present with erythroderma such as atopic dermatitis, mycosis fungoides, and pityriasis rubra pilaris (Pityriasis rubra pilaris will not be mentioned because it was discussed above.)
Dermoscopic examination of atopic dermatitis shows typical dermatitis features. Yellowish globules (corresponding to sero-crusts) and patchy distributed dotted vessels on a pinkish background are demonstrative (Figure 28) [32].
Dermoscopic features of erythrodermic mycosis fungoides are a combination of linear and dotted vessels on a pale pinkish background (Figure 29) [32]. Some short linear vessels may be curved and named as “spermatozoon-like” vessels.
Dermoscopic features of erythrodermic psoriasis and its differentials are summarized in Table 4.
Background | Vessel types | Vessel arrangement | Scales | Additional features | |
---|---|---|---|---|---|
Reddish | Dotted | Regular | White, scattered-patchy scales | ||
Pinkish | Dotted | Patchy | Yellowish sero-crusts | ||
Pinkish (pale) | Linear and dotted | Scattered | Whitish scales can present. | . |
Dermoscopic features of erythrodermic psoriasis and its differentials.
Psoriasis is a common skin disease with different clinical presentations. Generally, clinical evaluation is enough for diagnosis, though dermoscope is a helpful and noninvasive examination technique that enhances true diagnosis ratio. Knowing psoriasis’ and its differentials’ dermoscopic features may reduce requirement for histopathological examination and also makes rapid diagnosis possible in life-threatening conditions such as erythroderma. Note that regularly distributed dotted vessels on a reddish background are the most important clues for any variant of psoriasis. In doubtful cases, histopathological examination should be done for verifying the diagnosis as a gold standard technique.
All photos used in this chapter were taken by Dr. Ece Gokyayla with iPhone (XS) and dermatoscope (DermLite, DL4 model, 3Gen, USA) connected to an iPhone (XS) via adapter (DermLite Connection Kit MagnetiConnect). Immersion oil was not used.
The authors declare no conflict of interest and no funding source.
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His studies in robotics lead him not only to a PhD degree but also inspired him to co-found and build the International Journal of Advanced Robotic Systems - world's first Open Access journal in the field of robotics.",institutionString:null,institution:{name:"TU Wien",country:{name:"Austria"}}},{id:"441",title:"Ph.D.",name:"Jaekyu",middleName:null,surname:"Park",slug:"jaekyu-park",fullName:"Jaekyu Park",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/441/images/1881_n.jpg",biography:null,institutionString:null,institution:{name:"LG Corporation (South Korea)",country:{name:"Korea, South"}}},{id:"465",title:"Dr.",name:"Christian",middleName:null,surname:"Martens",slug:"christian-martens",fullName:"Christian Martens",position:null,profilePictureURL:"//cdnintech.com/web/frontend/www/assets/author.svg",biography:null,institutionString:null,institution:{name:"Rheinmetall (Germany)",country:{name:"Germany"}}},{id:"479",title:"Dr.",name:"Valentina",middleName:null,surname:"Colla",slug:"valentina-colla",fullName:"Valentina Colla",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/479/images/358_n.jpg",biography:null,institutionString:null,institution:{name:"Sant'Anna School of Advanced Studies",country:{name:"Italy"}}},{id:"494",title:"PhD",name:"Loris",middleName:null,surname:"Nanni",slug:"loris-nanni",fullName:"Loris Nanni",position:null,profilePictureURL:"https://mts.intechopen.com/storage/users/494/images/system/494.jpg",biography:"Loris Nanni received his Master Degree cum laude on June-2002 from the University of Bologna, and the April 26th 2006 he received his Ph.D. in Computer Engineering at DEIS, University of Bologna. 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The performance of these filters will be compared exploitation the applied mathematics parameter Peak Signal-to-Noise Ratio (PSNR).",book:{id:"6144",slug:"high-resolution-neuroimaging-basic-physical-principles-and-clinical-applications",title:"High-Resolution Neuroimaging",fullTitle:"High-Resolution Neuroimaging - Basic Physical Principles and Clinical Applications"},signatures:"Hanafy M. Ali",authors:[{id:"213318",title:"Dr.",name:"Hanafy",middleName:"M.",surname:"Ali",slug:"hanafy-ali",fullName:"Hanafy Ali"}]},{id:"46296",doi:"10.5772/57398",title:"Physiological Role of Amyloid Beta in Neural Cells: The Cellular Trophic Activity",slug:"physiological-role-of-amyloid-beta-in-neural-cells-the-cellular-trophic-activity",totalDownloads:5921,totalCrossrefCites:19,totalDimensionsCites:32,abstract:null,book:{id:"3846",slug:"neurochemistry",title:"Neurochemistry",fullTitle:"Neurochemistry"},signatures:"M. del C. Cárdenas-Aguayo, M. del C. Silva-Lucero, M. Cortes-Ortiz,\nB. Jiménez-Ramos, L. 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Luna-Muñoz and M.A.\nMeraz-Ríos",authors:[{id:"42225",title:"Dr.",name:"Jose",middleName:null,surname:"Luna-Muñoz",slug:"jose-luna-munoz",fullName:"Jose Luna-Muñoz"},{id:"114746",title:"Dr.",name:"Marco",middleName:null,surname:"Meraz-Ríos",slug:"marco-meraz-rios",fullName:"Marco Meraz-Ríos"},{id:"169616",title:"Dr.",name:"Maria del Carmen",middleName:null,surname:"Cardenas-Aguayo",slug:"maria-del-carmen-cardenas-aguayo",fullName:"Maria del Carmen Cardenas-Aguayo"},{id:"169857",title:"Dr.",name:"Maria del Carmen",middleName:null,surname:"Silva-Lucero",slug:"maria-del-carmen-silva-lucero",fullName:"Maria del Carmen Silva-Lucero"},{id:"169858",title:"Dr.",name:"Maribel",middleName:null,surname:"Cortes-Ortiz",slug:"maribel-cortes-ortiz",fullName:"Maribel Cortes-Ortiz"},{id:"169859",title:"Dr.",name:"Berenice",middleName:null,surname:"Jimenez-Ramos",slug:"berenice-jimenez-ramos",fullName:"Berenice Jimenez-Ramos"},{id:"169860",title:"Dr.",name:"Laura",middleName:null,surname:"Gomez-Virgilio",slug:"laura-gomez-virgilio",fullName:"Laura Gomez-Virgilio"},{id:"169861",title:"Dr.",name:"Gerardo",middleName:null,surname:"Ramirez-Rodriguez",slug:"gerardo-ramirez-rodriguez",fullName:"Gerardo Ramirez-Rodriguez"},{id:"169862",title:"Dr.",name:"Eduardo",middleName:null,surname:"Vera-Arroyo",slug:"eduardo-vera-arroyo",fullName:"Eduardo Vera-Arroyo"},{id:"169863",title:"Dr.",name:"Rosana Sofia",middleName:null,surname:"Fiorentino-Perez",slug:"rosana-sofia-fiorentino-perez",fullName:"Rosana Sofia Fiorentino-Perez"},{id:"169864",title:"Dr.",name:"Ubaldo",middleName:null,surname:"Garcia",slug:"ubaldo-garcia",fullName:"Ubaldo Garcia"}]},{id:"41589",doi:"10.5772/50323",title:"The Role of the Amygdala in Anxiety Disorders",slug:"the-role-of-the-amygdala-in-anxiety-disorders",totalDownloads:9720,totalCrossrefCites:4,totalDimensionsCites:28,abstract:null,book:{id:"2599",slug:"the-amygdala-a-discrete-multitasking-manager",title:"The Amygdala",fullTitle:"The Amygdala - A Discrete Multitasking Manager"},signatures:"Gina L. Forster, Andrew M. Novick, Jamie L. Scholl and Michael J. Watt",authors:[{id:"145620",title:"Dr.",name:"Gina",middleName:null,surname:"Forster",slug:"gina-forster",fullName:"Gina Forster"},{id:"146553",title:"BSc.",name:"Andrew",middleName:null,surname:"Novick",slug:"andrew-novick",fullName:"Andrew Novick"},{id:"146554",title:"MSc.",name:"Jamie",middleName:null,surname:"Scholl",slug:"jamie-scholl",fullName:"Jamie Scholl"},{id:"146555",title:"Dr.",name:"Michael",middleName:null,surname:"Watt",slug:"michael-watt",fullName:"Michael Watt"}]},{id:"26258",doi:"10.5772/28300",title:"Excitotoxicity and Oxidative Stress in Acute Ischemic Stroke",slug:"excitotoxicity-and-oxidative-stress-in-acute-ischemic-stroke",totalDownloads:7187,totalCrossrefCites:6,totalDimensionsCites:26,abstract:null,book:{id:"931",slug:"acute-ischemic-stroke",title:"Acute Ischemic Stroke",fullTitle:"Acute Ischemic Stroke"},signatures:"Ramón Rama Bretón and Julio César García Rodríguez",authors:[{id:"73430",title:"Prof.",name:"Ramon",middleName:null,surname:"Rama",slug:"ramon-rama",fullName:"Ramon Rama"},{id:"124643",title:"Prof.",name:"Julio Cesar",middleName:null,surname:"García",slug:"julio-cesar-garcia",fullName:"Julio Cesar García"}]},{id:"62072",doi:"10.5772/intechopen.78695",title:"Brain-Computer Interface and Motor Imagery Training: The Role of Visual Feedback and Embodiment",slug:"brain-computer-interface-and-motor-imagery-training-the-role-of-visual-feedback-and-embodiment",totalDownloads:1456,totalCrossrefCites:13,totalDimensionsCites:24,abstract:"Controlling a brain-computer interface (BCI) is a difficult task that requires extensive training. Particularly in the case of motor imagery BCIs, users may need several training sessions before they learn how to generate desired brain activity and reach an acceptable performance. A typical training protocol for such BCIs includes execution of a motor imagery task by the user, followed by presentation of an extending bar or a moving object on a computer screen. In this chapter, we discuss the importance of a visual feedback that resembles human actions, the effect of human factors such as confidence and motivation, and the role of embodiment in the learning process of a motor imagery task. Our results from a series of experiments in which users BCI-operated a humanlike android robot confirm that realistic visual feedback can induce a sense of embodiment, which promotes a significant learning of the motor imagery task in a short amount of time. We review the impact of humanlike visual feedback in optimized modulation of brain activity by the BCI users.",book:{id:"6610",slug:"evolving-bci-therapy-engaging-brain-state-dynamics",title:"Evolving BCI Therapy",fullTitle:"Evolving BCI Therapy - Engaging Brain State Dynamics"},signatures:"Maryam Alimardani, Shuichi Nishio and Hiroshi Ishiguro",authors:[{id:"11981",title:"Prof.",name:"Hiroshi",middleName:null,surname:"Ishiguro",slug:"hiroshi-ishiguro",fullName:"Hiroshi Ishiguro"},{id:"231131",title:"Dr.",name:"Maryam",middleName:null,surname:"Alimardani",slug:"maryam-alimardani",fullName:"Maryam Alimardani"},{id:"231134",title:"Dr.",name:"Shuichi",middleName:null,surname:"Nishio",slug:"shuichi-nishio",fullName:"Shuichi Nishio"}]}],mostDownloadedChaptersLast30Days:[{id:"29764",title:"Underlying Causes of Paresthesia",slug:"underlying-causes-of-paresthesia",totalDownloads:192987,totalCrossrefCites:3,totalDimensionsCites:7,abstract:null,book:{id:"1069",slug:"paresthesia",title:"Paresthesia",fullTitle:"Paresthesia"},signatures:"Mahdi Sharif-Alhoseini, Vafa Rahimi-Movaghar and Alexander R. Vaccaro",authors:[{id:"91165",title:"Prof.",name:"Vafa",middleName:null,surname:"Rahimi-Movaghar",slug:"vafa-rahimi-movaghar",fullName:"Vafa Rahimi-Movaghar"}]},{id:"63258",title:"Anatomy and Function of the Hypothalamus",slug:"anatomy-and-function-of-the-hypothalamus",totalDownloads:4596,totalCrossrefCites:6,totalDimensionsCites:12,abstract:"The hypothalamus is a small but important area of the brain formed by various nucleus and nervous fibers. Through its neuronal connections, it is involved in many complex functions of the organism such as vegetative system control, homeostasis of the organism, thermoregulation, and also in adjusting the emotional behavior. The hypothalamus is involved in different daily activities like eating or drinking, in the control of the body’s temperature and energy maintenance, and in the process of memorizing. It also modulates the endocrine system through its connections with the pituitary gland. Precise anatomical description along with a correct characterization of the component structures is essential for understanding its functions.",book:{id:"6331",slug:"hypothalamus-in-health-and-diseases",title:"Hypothalamus in Health and Diseases",fullTitle:"Hypothalamus in Health and Diseases"},signatures:"Miana Gabriela Pop, Carmen Crivii and Iulian Opincariu",authors:null},{id:"57103",title:"GABA and Glutamate: Their Transmitter Role in the CNS and Pancreatic Islets",slug:"gaba-and-glutamate-their-transmitter-role-in-the-cns-and-pancreatic-islets",totalDownloads:3523,totalCrossrefCites:3,totalDimensionsCites:9,abstract:"Glutamate and gamma-aminobutyric acid (GABA) are the major neurotransmitters in the mammalian brain. Inhibitory GABA and excitatory glutamate work together to control many processes, including the brain’s overall level of excitation. The contributions of GABA and glutamate in extra-neuronal signaling are by far less widely recognized. In this chapter, we first discuss the role of both neurotransmitters during development, emphasizing the importance of the shift from excitatory to inhibitory GABAergic neurotransmission. The second part summarizes the biosynthesis and role of GABA and glutamate in neurotransmission in the mature brain, and major neurological disorders associated with glutamate and GABA receptors and GABA release mechanisms. The final part focuses on extra-neuronal glutamatergic and GABAergic signaling in pancreatic islets of Langerhans, and possible associations with type 1 diabetes mellitus.",book:{id:"6237",slug:"gaba-and-glutamate-new-developments-in-neurotransmission-research",title:"GABA And Glutamate",fullTitle:"GABA And Glutamate - New Developments In Neurotransmission Research"},signatures:"Christiane S. Hampe, Hiroshi Mitoma and Mario Manto",authors:[{id:"210220",title:"Prof.",name:"Christiane",middleName:null,surname:"Hampe",slug:"christiane-hampe",fullName:"Christiane Hampe"},{id:"210485",title:"Prof.",name:"Mario",middleName:null,surname:"Manto",slug:"mario-manto",fullName:"Mario Manto"},{id:"210486",title:"Prof.",name:"Hiroshi",middleName:null,surname:"Mitoma",slug:"hiroshi-mitoma",fullName:"Hiroshi Mitoma"}]},{id:"35802",title:"Cross-Cultural/Linguistic Differences in the Prevalence of Developmental Dyslexia and the Hypothesis of Granularity and Transparency",slug:"cross-cultural-linguistic-differences-in-the-prevalence-of-developmental-dyslexia-and-the-hypothesis",totalDownloads:3609,totalCrossrefCites:2,totalDimensionsCites:7,abstract:null,book:{id:"673",slug:"dyslexia-a-comprehensive-and-international-approach",title:"Dyslexia",fullTitle:"Dyslexia - A Comprehensive and International Approach"},signatures:"Taeko N. Wydell",authors:[{id:"87489",title:"Prof.",name:"Taeko",middleName:"N.",surname:"Wydell",slug:"taeko-wydell",fullName:"Taeko Wydell"}]},{id:"58597",title:"Testosterone and Erectile Function: A Review of Evidence from Basic Research",slug:"testosterone-and-erectile-function-a-review-of-evidence-from-basic-research",totalDownloads:1349,totalCrossrefCites:2,totalDimensionsCites:2,abstract:"Androgens are essential for male physical activity and normal erectile function. Hence, age-related testosterone deficiency, known as late-onset hypogonadism (LOH), is considered a risk factor for erectile dysfunction (ED). This chapter summarizes relevant basic research reports examining the effects of testosterone on erectile function. Testosterone affects several organs and is especially active on the erectile tissue. The mechanism of testosterone deficiency effects on erectile function and the results of testosterone replacement therapy (TRT) have been well studied. Testosterone affects nitric oxide (NO) production and phosphodiesterase type 5 (PDE-5) expression in the corpus cavernosum through molecular pathways, preserves smooth muscle contractility by regulating both contraction and relaxation, and maintains the structure of the corpus cavernosum. Interestingly, testosterone deficiency has relationship to neurological diseases, which leads to ED. Testosterone replacement therapy is widely used to treat patients with testosterone deficiency; however, this treatment might also induce some problems. Basic research suggests that PDE-5 inhibitors, L-citrulline, and/or resveratrol therapy might be effective therapeutic options for testosterone deficiency-induced ED. Future research should confirm these findings through more specific experiments using molecular tools and may shed more light on endocrine-related ED and its possible treatments.",book:{id:"5994",slug:"sex-hormones-in-neurodegenerative-processes-and-diseases",title:"Sex Hormones in Neurodegenerative Processes and Diseases",fullTitle:"Sex Hormones in Neurodegenerative Processes and Diseases"},signatures:"Tomoya Kataoka and Kazunori Kimura",authors:[{id:"219042",title:"Ph.D.",name:"Tomoya",middleName:null,surname:"Kataoka",slug:"tomoya-kataoka",fullName:"Tomoya Kataoka"},{id:"229066",title:"Prof.",name:"Kazunori",middleName:null,surname:"Kimura",slug:"kazunori-kimura",fullName:"Kazunori Kimura"}]}],onlineFirstChaptersFilter:{topicId:"18",limit:6,offset:0},onlineFirstChaptersCollection:[{id:"82319",title:"Traumatic Optic Neuropathy",slug:"traumatic-optic-neuropathy",totalDownloads:3,totalDimensionsCites:0,doi:"10.5772/intechopen.104731",abstract:"Traumatic optic neuropathy (TON) is a specific neurological sequence of traumatic brain injury (TBI). It has a different mechanism than other most neurologic complications of head trauma and its consequences can be devastating. The damage can be from direct penetrating trauma or bone fracture injuring the optic nerve directly or secondary to indirect blunt trauma (usually causing traction). The diagnosis of TON is based on the clinical history and examination findings indicative of optic neuropathy, especially the presence of defective pupillary light response. TON can cause only mild vision loss but, in some cases, severe vision loss is present. Imaging findings can support the diagnosis, and provide information on the mechanism as well as treatment options. The treatment options include observation alone, systemic steroids, erythropoietin, surgical decompression of the optic canal, or combination. The evidence base for these various treatment options is controversial and each treatment has its side effects and risks. Poor prognostic factors include poor visual acuity at presentation, loss of consciousness, no improvement in vision in the first 48 hours, and evidence of optic canal fractures on neuroimaging.",book:{id:"11367",title:"Traumatic Brain Injury",coverURL:"https://cdn.intechopen.com/books/images_new/11367.jpg"},signatures:"Ainat Klein and Wahbi Wahbi"},{id:"82203",title:"Resting-State Brain Network Analysis Methods and Applications",slug:"resting-state-brain-network-analysis-methods-and-applications",totalDownloads:22,totalDimensionsCites:0,doi:"10.5772/intechopen.104827",abstract:"Resting-state fMRI has been widely applied in clinical research. Brain networks constructed by functional connectivity can reveal alterations related to disease and treatment. One of the major concerns of brain network application under clinical situations is how to analyze groups of data to find the potential biomarkers that can aid in diagnosis. In this paper, we briefly review common methods to construct brain networks from resting-state fMRI data, including different ways of the node definition and edge calculation. We focus on using a brain atlas to define nodes and estimate edges by static and dynamic functional connectivity. The directed connectivity method is also mentioned. We then discuss the challenges and pitfalls when analyzing groups of brain networks, including functional connectivity alterations, graph theory attributes analysis, and network-based statistics. Finally, we review the clinical application of resting-state fMRI in neurorehabilitation of spinal cord injury patients and stroke patients, the research on the mechanism and early diagnosis of neurodegenerative diseases, such as multiple system atrophy, as well as the research on brain functional network alteration of glioma patients.",book:{id:"11742",title:"Neurophysiology",coverURL:"https://cdn.intechopen.com/books/images_new/11742.jpg"},signatures:"Yunxiang Ge and Weibei Dou"},{id:"82099",title:"Recent Advances in the Development of Biofluid-Based Prognostic Biomarkers of Diffuse Axonal Injury",slug:"recent-advances-in-the-development-of-biofluid-based-prognostic-biomarkers-of-diffuse-axonal-injury",totalDownloads:13,totalDimensionsCites:0,doi:"10.5772/intechopen.104933",abstract:"Even though head injury is a silent pandemic of the century producing immense social and economic impact, predictive models have not been established to develop strategies promoting the development of reliable diagnostic tools and effective therapeutics capable of improving the prognosis. Diffuse axonal injury (DAI) is a type of traumatic brain injury (TBI) that results from a blunt injury to the brain. Discovering biomarkers for DAI have been a matter of debate and research. A number of studies have reported biomarkers that are correlated with severity of TBI but no conclusive and reproducible clinical evidence regarding the same has been put forward till now. Additionally, many DAI biomarkers have limitations so that they cannot be generalized for universal applications. The properties of these biomarkers should be extensively researched along with the development of novel biomarkers to aid important clinical decisions for the benefit of the society. This chapter summarizes the existing biofluid-based biomarkers, critically examines their limitations and highlights the possibilities of a few novel biomolecules as prognostic biomarkers of DAI.",book:{id:"11367",title:"Traumatic Brain Injury",coverURL:"https://cdn.intechopen.com/books/images_new/11367.jpg"},signatures:"Vinu V. Gopal, Rinku Raj Mullasseril and Goutam Chandra"},{id:"81998",title:"Understanding the Neuropathophysiology of Psychiatry Disorder Using Transcranial Magnetic Stimulation",slug:"understanding-the-neuropathophysiology-of-psychiatry-disorder-using-transcranial-magnetic-stimulatio",totalDownloads:5,totalDimensionsCites:0,doi:"10.5772/intechopen.103748",abstract:"Transcranial magnetic stimulation (TMS) is a safe and non-invasive tool that allows researchers to probe and modulate intracortical circuits. The most important aspect of TMS is its ability to directly stimulate the cortical neurons, generating action potentials, without much effect on intervening tissue. This property can be leveraged to provide insight into the pathophysiology of various neuropsychiatric disorders. Using multiple patterns of stimulations (single, paired, or repetitive), different neurophysiological parameters can be elicited. Various TMS protocol helps in understanding the neurobiological basis of disorder and specific behaviors by allowing direct probing of the cortical areas and their interconnected networks. While single-pulse TMS can provide insight into the excitability and integrity of the corticospinal tract, paired-pulse TMS (ppTMS) can provide further insight into cortico-cortical connections and repetitive TMS (rTMS) into cortical mapping and modulating plasticity.",book:{id:"11742",title:"Neurophysiology",coverURL:"https://cdn.intechopen.com/books/images_new/11742.jpg"},signatures:"Jitender Jakhar, Manish Sarkar and Nand Kumar"},{id:"81646",title:"Cortical Plasticity under Ketamine: From Synapse to Map",slug:"cortical-plasticity-under-ketamine-from-synapse-to-map",totalDownloads:17,totalDimensionsCites:0,doi:"10.5772/intechopen.104787",abstract:"Sensory systems need to process signals in a highly dynamic way to efficiently respond to variations in the animal’s environment. For instance, several studies showed that the visual system is subject to neuroplasticity since the neurons’ firing changes according to stimulus properties. This dynamic information processing might be supported by a network reorganization. Since antidepressants influence neurotransmission, they can be used to explore synaptic plasticity sustaining cortical map reorganization. To this goal, we investigated in the primary visual cortex (V1 of mouse and cat), the impact of ketamine on neuroplasticity through changes in neuronal orientation selectivity and the functional connectivity between V1 cells, using cross correlation analyses. We found that ketamine affects cortical orientation selectivity and alters the functional connectivity within an assembly. These data clearly highlight the role of the antidepressant drugs in inducing or modeling short-term plasticity in V1 which suggests that cortical processing is optimized and adapted to the properties of the stimulus.",book:{id:"11374",title:"Sensory Nervous System - Computational Neuroimaging Investigations of Topographical Organization in Human Sensory Cortex",coverURL:"https://cdn.intechopen.com/books/images_new/11374.jpg"},signatures:"Ouelhazi Afef, Rudy Lussiez and Molotchnikoff Stephane"},{id:"81582",title:"The Role of Cognitive Reserve in Executive Functioning and Its Relationship to Cognitive Decline and Dementia",slug:"the-role-of-cognitive-reserve-in-executive-functioning-and-its-relationship-to-cognitive-decline-and",totalDownloads:30,totalDimensionsCites:0,doi:"10.5772/intechopen.104646",abstract:"In this chapter, we explore how cognitive reserve is implicated in coping with the negative consequences of brain pathology and age-related cognitive decline. Individual differences in cognitive performance are based on different brain mechanisms (neural reserve and neural compensation), and reflect, among others, the effect of education, occupational attainment, leisure activities, and social involvement. These cognitive reserve proxies have been extensively associated with efficient executive functioning. We discuss and focus particularly on the compensation mechanisms related to the frontal lobe and its protective role, in maintaining cognitive performance in old age or even mitigating the clinical expression of dementia.",book:{id:"11742",title:"Neurophysiology",coverURL:"https://cdn.intechopen.com/books/images_new/11742.jpg"},signatures:"Gabriela Álvares-Pereira, Carolina Maruta and Maria Vânia Silva-Nunes"}],onlineFirstChaptersTotal:13},preDownload:{success:null,errors:{}},subscriptionForm:{success:null,errors:{}},aboutIntechopen:{},privacyPolicy:{},peerReviewing:{},howOpenAccessPublishingWithIntechopenWorks:{},sponsorshipBooks:{sponsorshipBooks:[],offset:0,limit:8,total:null},allSeries:{pteSeriesList:[{id:"14",title:"Artificial Intelligence",numberOfPublishedBooks:9,numberOfPublishedChapters:90,numberOfOpenTopics:6,numberOfUpcomingTopics:0,issn:"2633-1403",doi:"10.5772/intechopen.79920",isOpenForSubmission:!0},{id:"7",title:"Biomedical Engineering",numberOfPublishedBooks:12,numberOfPublishedChapters:104,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2631-5343",doi:"10.5772/intechopen.71985",isOpenForSubmission:!0}],lsSeriesList:[{id:"11",title:"Biochemistry",numberOfPublishedBooks:32,numberOfPublishedChapters:320,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2632-0983",doi:"10.5772/intechopen.72877",isOpenForSubmission:!0},{id:"25",title:"Environmental Sciences",numberOfPublishedBooks:1,numberOfPublishedChapters:13,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2754-6713",doi:"10.5772/intechopen.100362",isOpenForSubmission:!0},{id:"10",title:"Physiology",numberOfPublishedBooks:11,numberOfPublishedChapters:141,numberOfOpenTopics:4,numberOfUpcomingTopics:0,issn:"2631-8261",doi:"10.5772/intechopen.72796",isOpenForSubmission:!0}],hsSeriesList:[{id:"3",title:"Dentistry",numberOfPublishedBooks:8,numberOfPublishedChapters:133,numberOfOpenTopics:2,numberOfUpcomingTopics:0,issn:"2631-6218",doi:"10.5772/intechopen.71199",isOpenForSubmission:!0},{id:"6",title:"Infectious Diseases",numberOfPublishedBooks:13,numberOfPublishedChapters:114,numberOfOpenTopics:3,numberOfUpcomingTopics:1,issn:"2631-6188",doi:"10.5772/intechopen.71852",isOpenForSubmission:!0},{id:"13",title:"Veterinary Medicine and Science",numberOfPublishedBooks:11,numberOfPublishedChapters:107,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2632-0517",doi:"10.5772/intechopen.73681",isOpenForSubmission:!0}],sshSeriesList:[{id:"22",title:"Business, Management and Economics",numberOfPublishedBooks:1,numberOfPublishedChapters:19,numberOfOpenTopics:3,numberOfUpcomingTopics:0,issn:"2753-894X",doi:"10.5772/intechopen.100359",isOpenForSubmission:!0},{id:"23",title:"Education and Human Development",numberOfPublishedBooks:0,numberOfPublishedChapters:7,numberOfOpenTopics:1,numberOfUpcomingTopics:1,issn:null,doi:"10.5772/intechopen.100360",isOpenForSubmission:!0},{id:"24",title:"Sustainable Development",numberOfPublishedBooks:0,numberOfPublishedChapters:17,numberOfOpenTopics:5,numberOfUpcomingTopics:0,issn:null,doi:"10.5772/intechopen.100361",isOpenForSubmission:!0}],testimonialsList:[{id:"6",text:"It is great to work with the IntechOpen to produce a worthwhile collection of research that also becomes a great educational resource and guide for future research endeavors.",author:{id:"259298",name:"Edward",surname:"Narayan",institutionString:null,profilePictureURL:"https://mts.intechopen.com/storage/users/259298/images/system/259298.jpeg",slug:"edward-narayan",institution:{id:"3",name:"University of Queensland",country:{id:null,name:"Australia"}}}},{id:"13",text:"The collaboration with and support of the technical staff of IntechOpen is fantastic. The whole process of submitting an article and editing of the submitted article goes extremely smooth and fast, the number of reads and downloads of chapters is high, and the contributions are also frequently cited.",author:{id:"55578",name:"Antonio",surname:"Jurado-Navas",institutionString:null,profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0030O00002bRisIQAS/Profile_Picture_1626166543950",slug:"antonio-jurado-navas",institution:{id:"720",name:"University of Malaga",country:{id:null,name:"Spain"}}}}]},series:{item:{id:"11",title:"Biochemistry",doi:"10.5772/intechopen.72877",issn:"2632-0983",scope:"Biochemistry, the study of chemical transformations occurring within living organisms, impacts all areas of life sciences, from molecular crystallography and genetics to ecology, medicine, and population biology. Biochemistry examines macromolecules - proteins, nucleic acids, carbohydrates, and lipids – and their building blocks, structures, functions, and interactions. Much of biochemistry is devoted to enzymes, proteins that catalyze chemical reactions, enzyme structures, mechanisms of action and their roles within cells. Biochemistry also studies small signaling molecules, coenzymes, inhibitors, vitamins, and hormones, which play roles in life processes. Biochemical experimentation, besides coopting classical chemistry methods, e.g., chromatography, adopted new techniques, e.g., X-ray diffraction, electron microscopy, NMR, radioisotopes, and developed sophisticated microbial genetic tools, e.g., auxotroph mutants and their revertants, fermentation, etc. More recently, biochemistry embraced the ‘big data’ omics systems. Initial biochemical studies have been exclusively analytic: dissecting, purifying, and examining individual components of a biological system; in the apt words of Efraim Racker (1913 –1991), “Don’t waste clean thinking on dirty enzymes.” Today, however, biochemistry is becoming more agglomerative and comprehensive, setting out to integrate and describe entirely particular biological systems. The ‘big data’ metabolomics can define the complement of small molecules, e.g., in a soil or biofilm sample; proteomics can distinguish all the comprising proteins, e.g., serum; metagenomics can identify all the genes in a complex environment, e.g., the bovine rumen. This Biochemistry Series will address the current research on biomolecules and the emerging trends with great promise.",coverUrl:"https://cdn.intechopen.com/series/covers/11.jpg",latestPublicationDate:"July 5th, 2022",hasOnlineFirst:!0,numberOfPublishedBooks:32,editor:{id:"31610",title:"Dr.",name:"Miroslav",middleName:null,surname:"Blumenberg",slug:"miroslav-blumenberg",fullName:"Miroslav Blumenberg",profilePictureURL:"https://mts.intechopen.com/storage/users/31610/images/system/31610.jpg",biography:"Miroslav Blumenberg, Ph.D., was born in Subotica and received his BSc in Belgrade, Yugoslavia. He completed his Ph.D. at MIT in Organic Chemistry; he followed up his Ph.D. with two postdoctoral study periods at Stanford University. Since 1983, he has been a faculty member of the RO Perelman Department of Dermatology, NYU School of Medicine, where he is codirector of a training grant in cutaneous biology. Dr. Blumenberg’s research is focused on the epidermis, expression of keratin genes, transcription profiling, keratinocyte differentiation, inflammatory diseases and cancers, and most recently the effects of the microbiome on the skin. He has published more than 100 peer-reviewed research articles and graduated numerous Ph.D. and postdoctoral students.",institutionString:null,institution:{name:"New York University Langone Medical Center",institutionURL:null,country:{name:"United States of America"}}},editorTwo:null,editorThree:null},subseries:{paginationCount:4,paginationItems:[{id:"14",title:"Cell and Molecular Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/14.jpg",isOpenForSubmission:!0,editor:{id:"165627",title:"Dr.",name:"Rosa María",middleName:null,surname:"Martínez-Espinosa",slug:"rosa-maria-martinez-espinosa",fullName:"Rosa María Martínez-Espinosa",profilePictureURL:"https://mts.intechopen.com/storage/users/165627/images/system/165627.jpeg",biography:"Dr. Rosa María Martínez-Espinosa has been a Spanish Full Professor since 2020 (Biochemistry and Molecular Biology) and is currently Vice-President of International Relations and Cooperation development and leader of the research group 'Applied Biochemistry” (University of Alicante, Spain). Other positions she has held at the university include Vice-Dean of Master Programs, Vice-Dean of the Degree in Biology and Vice-Dean for Mobility and Enterprise and Engagement at the Faculty of Science (University of Alicante). She received her Bachelor in Biology in 1998 (University of Alicante) and her PhD in 2003 (Biochemistry, University of Alicante). She undertook post-doctoral research at the University of East Anglia (Norwich, U.K. 2004-2005; 2007-2008).\nHer multidisciplinary research focuses on investigating archaea and their potential applications in biotechnology. She has an H-index of 21. She has authored one patent and has published more than 70 indexed papers and around 60 book chapters.\nShe has contributed to more than 150 national and international meetings during the last 15 years. Her research interests include archaea metabolism, enzymes purification and characterization, gene regulation, carotenoids and bioplastics production, antioxidant\ncompounds, waste water treatments, and brines bioremediation.\nRosa María’s other roles include editorial board member for several journals related\nto biochemistry, reviewer for more than 60 journals (biochemistry, molecular biology, biotechnology, chemistry and microbiology) and president of several organizing committees in international meetings related to the N-cycle or respiratory processes.",institutionString:null,institution:{name:"University of Alicante",institutionURL:null,country:{name:"Spain"}}},editorTwo:null,editorThree:null},{id:"15",title:"Chemical Biology",coverUrl:"https://cdn.intechopen.com/series_topics/covers/15.jpg",isOpenForSubmission:!0,editor:{id:"441442",title:"Dr.",name:"Şükrü",middleName:null,surname:"Beydemir",slug:"sukru-beydemir",fullName:"Şükrü Beydemir",profilePictureURL:"https://s3.us-east-1.amazonaws.com/intech-files/0033Y00003GsUoIQAV/Profile_Picture_1634557147521",biography:"Dr. Şükrü Beydemir obtained a BSc in Chemistry in 1995 from Yüzüncü Yıl University, MSc in Biochemistry in 1998, and PhD in Biochemistry in 2002 from Atatürk University, Turkey. He performed post-doctoral studies at Max-Planck Institute, Germany, and University of Florence, Italy in addition to making several scientific visits abroad. He currently works as a Full Professor of Biochemistry in the Faculty of Pharmacy, Anadolu University, Turkey. Dr. Beydemir has published over a hundred scientific papers spanning protein biochemistry, enzymology and medicinal chemistry, reviews, book chapters and presented several conferences to scientists worldwide. He has received numerous publication awards from various international scientific councils. He serves in the Editorial Board of several international journals. 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He is a member of the Turkish Biochemical Society, American Chemical Society, and German Genetics society. Dr. Ekinci published around ninety scientific papers, reviews and book chapters, and presented several conferences to scientists. He has received numerous publication awards from several scientific councils. 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He worked on the structure-function relationships of glycoconjugates and his main project was the investigations on the biological roles of the de-N-glycosylation enzymes (Endo-N-acetyl-β-D-glucosaminidase and peptide-N4-(N-acetyl-β-glucosaminyl) asparagine amidase). From 2002 he contributes to the understanding of the Blood-brain barrier functioning using proteomics approaches. He has published more than 70 papers. 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Since then, he has been working as an Adjunct Professor in the same Department at the University of Pavia. His research activity during the first years was primarily focused on the purification and structural characterization of enzymes from animal and plant sources. During this period, Prof. Iadarola familiarized himself with the conventional techniques used in column chromatography, spectrophotometry, manual Edman degradation, and electrophoresis). Since 1995, he has been working on: i) the determination in biological fluids (serum, urine, bronchoalveolar lavage, sputum) of proteolytic activities involved in the degradation processes of connective tissue matrix, and ii) on the identification of biological markers of lung diseases. 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She gained considerable experience in developing and validating new methodologies whose applications allowed her to determine both the amount of biomarkers (Desmosine and Isodesmosine) in the urine of patients affected by COPD, and the activity of proteolytic enzymes (HNE, Cathepsin G, Pseudomonas aeruginosa elastase) in the sputa of these patients. Simona Viglio was also involved in research dealing with the supplementation of amino acids in patients with brain injury and chronic heart failure. She is presently engaged in the development of 2-DE and LC-MS techniques for the study of proteomics in biological fluids. The aim of this research is the identification of potential biomarkers of lung diseases. 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