Forty patients (20 male and 20 female) diagnosed with bipolar disorder voluntarily participated in this study. For each patient, questionnaire and computerized objective data, obtained from involved doctors, nurses, psychologists, prosecutors, and the hospital information system, were collected after receiving the patients'written consent. When a patient's answers diverged greatly from computerized data (i.e., onset age, history of criminal prosecution and re-hospitalization), computerized data were given priority. Immediately after the authors collected the questionnaires, any personal identifying information was replaced by random numbers to prevent bias and protect privacy. Statistical analysis was performed using SPSS version 20.0 for MS Windows. Comparative items on questionnaires were evaluated by paired t test and chi square test. Male patients were found to have a higher recidivism rate than female patients (P<0.05). Female patients reported more trauma history (P<0.05), bipolar type II diagnoses (P<0.05), and suicide attempts (P<0.01) than male patients. There was no statistically significant difference between male and female patients for Intelligence Quotient (IQ) or for 13 of the Minnesota Multiphasic Personality Inventory (MMPI) subscales.
Age of Onset ; Bias (Epidemiology) ; Bipolar Disorder ; Criminals ; Diagnosis ; Female ; Hospital Information Systems ; Hospitals, Psychiatric* ; Humans ; Intelligence ; Male ; MMPI ; Privacy ; Psychology ; Suicide

Pancreatic cancer is one of the most lethal and aggressive cancers in the world. However, no effective treatment is currently available for pancreatic cancer. The objective of this study was to determine the anti-pancreatic cancer effect of α-mangostin (αM) and γ-mangostin (γM) extracted from the pericarp of Garcinia mangostana L.. Both αM and γM reduced the viability of pancreatic cancer cells MIA PaCa-2 and PANC-1 in a dose-dependent manner. These compounds induced apoptosis by increasing c-PARP and c-Caspase 3 levels. They also induced autophagy by increasing levels of microtubule-associated protein 1A/1B light chain 3B (LC3II) in both cell lines while decreasing sequestosome 1 (p62) in MIA PaCa-2. Both αM and γM induced autophagy through increasing phosphorylation levels of AMP-activated protein kinase (p-AMPK) and p38-mitogen activated protein kinase (p-p38) while decreasing phosphorylation level of mammalian target of rapamycin complex 1 (p-mTOR). Of various microRNAs (miRNA), miR-18a was found to be a putative regulatory miRNA for autophagy induced by αM or γM. In combination with gemcitabine, a compound frequently used in pancreatic cancer treatment, αM and γM showed synergistic anti-cancer effects in MIA PaCa-2. Collectively, these results suggest that αM and γM can induce apoptosis and autophagy in pancreatic cancer cells and that their anti-cancer effect is likely to be associated with miR-18a. In conclusion, αM and γM might be used as a potential new therapy for pancreatic cancer.
AMP-Activated Protein Kinases ; Apoptosis ; Autophagy* ; Cell Line* ; Garcinia mangostana ; MicroRNAs ; Pancreatic Neoplasms* ; Phosphorylation ; Protein Kinases ; Sirolimus

This study investigated the cytotoxic effects and mechanism of action of asiatic acid in pancreatic cancer cell lines. First, we confirmed the cell viability of MIA PaCa-2 and PANC-1 cells after asiatic acid administration for 48 and 72 h. The viability of MIA PaCa-2 and PANC-1 cells decreased in a dose-dependent manner following asiatic acid administration. To investigate the underlying mechanism, we performed a terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assay, annexin V assay, and western blotting. Asiatic acid induced apoptosis and autophagy through activation of AMP-activated protein kinase (AMPK) and inhibition of mammalian target of rapamycin (mTOR) in MIA PaCa-2 cells. Finally, the expression of miR-17 and miR-21, known as oncogenes in pancreatic cancer, was decreased by asiatic acid. These results indicate that asiatic acid has potential as a new therapeutic agent against pancreatic cancer.
AMP-Activated Protein Kinases ; Annexin A5 ; Apoptosis ; Autophagy ; Blotting, Western ; Cell Line ; Cell Survival ; DNA Nucleotidylexotransferase ; MicroRNAs ; Oncogenes ; Pancreatic Neoplasms ; Sirolimus