An alignment of LSU-encoded rDNA intron sequences revealed high s

An alignment of LSU-encoded rDNA intron sequences revealed high similarity of these sequences allowing FDA approved Drug Library their phylogenetic analysis. The 798 group I intron phylogeny was largely congruent with a phylogeny

of the internal transcribed spacer region, indicating that the insertion of the intron most likely occurred in the common ancestor of the genera Trebouxia and Asterochloris. The intron was vertically inherited in some taxa, but lost in others. The high-sequence similarity of this intron to one found in Chlorella angustoellipsoidea suggests that the 798 intron was either present in the common ancestor of Trebouxiophyceae, or that its present distribution results from more recent horizontal transfers, followed by vertical inheritance and loss. Analysis of another group I intron shared by these photobionts at small subunit position 1512 supports the hypothesis of repeated lateral transfers of this intron among some taxa, but loss among others. Our data confirm that Idasanutlin the history of group I introns is characterized by repeated horizontal transfers, and suggests

that some of these introns have ancient origins within Chlorophyta. “
“Large-scale DNA molecular studies require reliable and efficient tools for DNA extractions. However, for some plant species and brown algae, isolation of high-quality DNA is difficult. We developed a novel method for isolating high-quality DNA from the polysaccharide-rich

and polyphenol-rich brown algae based on a commercial kit and protocol (Qiagen) by optimizing the lysis step and including a chloroform/isoamyl alcohol supplementary purification step. DNAs from 24 brown algal species extracted using the original and the modified Qiagen protocol were compared for yield, quality, and effectiveness in PCR amplification. There was no significant difference in the yields between protocols. However, a statistically significant increase in DNA purity was obtained with the modified protocol, for which the A260/A280 and A260/A230 absorbance ratios averaged 1.66 ± 0.05 and 1.31 ± 0.01, respectively, heptaminol compared to 1.37 ± 0.04 and 0.52 ± 0.04 with the original protocol. DNAs extracted by the modified procedure were more successfully amplified by PCR (nuclear, mitochondrial, and chloroplastic regions) than DNAs extracted using the original commercial kit and protocol. Importantly, the modified protocol can be applied in a high-throughput (e.g., 96-well plate) format, allowing a higher efficiency for downstream molecular analysis. In addition, improved DNA quality could increase its stability for long-term storage. “
“It is generally accepted that ultraviolet (UV) radiation can have adverse affects on phototrophic organisms, independent of ozone depletion. The red intertidal seaweed Pyropia cinnamomea W.A. Nelson (previously Porphyra cinnamomea Sutherland et al.

The frequency of interactions, the regularity of outcomes and the

The frequency of interactions, the regularity of outcomes and the linearity of hierarchies all vary widely between and within species. In some species, there are well-defined dominance hierarchies in both sexes and subordinate individuals seldom win encounters with competitors of higher rank, as in baboons or spotted hyenas (Silk, 1993; East & Hofer, 2010). In others, an individual’s rank depends on location: for example, in red deer, the relative dominance of females is affected by whether or not they are within their usual range (Thouless & Guinness, 1986). Finally, in a few species, there is no regular pattern in the

outcome of aggressive interactions between adult female group members. For example, selleckchem lionesses commonly threaten pride-mates

feeding on the same kill, but individuals are seldom displaced from their feeding sites and there are no marked differences in the frequency with which individuals give and receive threats (Packer, Pusey & Eberly, 2001). Similarly, in Kalahari meerkats, foraging females usually respect each other’s access to feeding sites and seldom contest access to feeding sites, though the most dominant female in each group occasionally displaces subordinates (Kutsukake & Clutton-Brock, 2006a). The reasons for variation in the consistency of dominance relationships between females are uncertain. Contrasts in the regularity and stability of hierarchies have been most extensively studied in primates (Rowell, 1974; Bernstein, 1981) where Erlotinib in vivo it has been suggested that the presence of strong linear hierarchies in females is associated with reliance on foods that are distributed in patches of high value and with intense direct competition between group members for resources (Wrangham, 1980; Sterck, Watts & van Schaik, 1997). Some intraspecific comparisons support this suggestion. For example, in one population of savannah baboons

where resources were concentrated, competitive interactions were common, dominance relationships were well developed and affected rates of food intake of while, in a second population where resources were widely dispersed, competitive interactions were less frequent and dominance relations were inconsistent and coalitions did not occur (Barton & Whiten, 1993; Barton, Byrne & Whiten, 1996). However, the quantitative comparisons of hierarchies across samples of populations, which would be needed to test this prediction, are not yet available (Clutton-Brock & Janson, 2012). It is also unclear whether there is any consistent association between food distribution and hierarchical behaviour at the species level (Clutton-Brock & Janson, 2012).

Two studies determined a fibrosis progression rate by calculating

Two studies determined a fibrosis progression rate by calculating the ratio of fibrosis stage to the estimated duration

of infection.[13, 20] This method assumes that fibrosis progression occurs linearly over time. Using this approach, one study showed no association between IL28B genotype and fibrosis progression,[13] while the other suggested that the IL28B rs 809917 GG genotype was associated with a slower rate of fibrosis progression, particularly in patients with non-1 HCV genotype.[20] In this analysis, when fibrosis progression was assessed using a stringent definition of a 2-point worsening in Ishak score between paired biopsies, we found no association between IL28B genotype with fibrosis progression after controlling for click here baseline

platelet count, alkaline phosphatase, and hepatic steatosis. This result strongly suggests no association between IL28B genotype and fibrosis progression. A significant finding of this analysis was the observation that HALT-C subjects with IL28B genotype CC, who received no treatment beyond the 24 week lead-in period, had twice the rate of adverse outcomes when compared to subjects with IL28B genotype non-CC. This finding was present even after controlling for baseline factors associated with a poor outcome. selleck We speculate that prior nonresponders with the IL28B CC genotype may have had a worse outcome than nonresponders with IL28B non-CC genotypes due to a more vigorous immune response that was insufficient to result in viral clearance,

but sufficient to cause greater liver cell injury as evidenced by greater hepatic necroinflammation and serum ALT levels. Two other studies have noted an association of greater necroinflammation and higher serum ALT levels in patients with IL28B genotype CC, but neither examined its relationship to clinical outcomes.[20, 21] It is also possible that other recently identified IL28B variants that are in linkage disequilibrium with IL28B CC genotype may account for the differences.[22, 23] An apparent paradox in this study was that the higher indices of inflammation observed in subjects with IL28B genotype CC were Resveratrol associated with more severe clinical outcomes, but not with fibrosis progression. We offer several possible explanations. First, the duration between the paired biopsies (median 4 years) may not adequately capture the rate of fibrosis progression with a small sample size and slow fibrosis progression, resulting in type II error. Second, fibrosis progression, although important, might not be the only cause of adverse clinical outcomes in patients with CHC. Indeed, natural history studies have reported that a majority of patients with cirrhosis maintain stable liver disease without clinical decompensation for many years, suggesting that other factors likely contribute to the development of clinical events.

,4 the technique of ERCP was described in detail in 1970 by Japan

,4 the technique of ERCP was described in detail in 1970 by Japanese endoscopists working with the Olympus and Machida companies.5 By 1974, independent groups in Germany and Japan had this website described endoscopic sphincterotomy as a treatment for bile duct stones.6,7 Five years later, Soehendra and Reynders-Frederix8 described the use of endoscopic biliary stents for the management of biliary obstruction. Although fiberoptic colonoscopes were available in 1970, the procedure was thought to be technically difficult in a similar way to ERCP. Because of this, the widespread acceptance of colonoscopy

was relatively slow despite the introduction of endoscopic polypectomy and the demonstration of superior diagnostic results when compared to barium enema studies.9 The next major development occurred in 1983 when Welch Allyn Inc. inserted an image sensor or charge-coupled device into the distal tip of an endoscope.10 Light is still transmitted down the H 89 in vitro endoscope through a fiberoptic bundle but the light falling on the charge-coupled device is converted into an array of electrical charges that are reconstructed on a video monitor. As solid-state sensors can only produce black and white images, modifications were required to reproduce the image in color. This was achieved by either the rapid sequential use of the primary colors, red, green

and blue, at the light source or by color-chip imaging where the solid-state sensor has colored microfilters bonded to its surface. By 1990, video endoscopy had largely replaced fiberoptic endoscopy, as the video image facilitated teaching and could be shared by other endoscopy staff. More recent developments include advances in EUS and the evolution of capsule endoscopy. Although the former was first described in 1976,11 EUS has had slow acceptance by gastroenterologists and even slower acceptance by non-gastroenterologists. Atezolizumab order Reasons for this include

the relatively high cost of equipment, the necessity for prolonged training and debate as to whether EUS provides useful additional information when compared to CT or MRI. However, the diagnostic role of EUS has now been firmly established with good results from fine-needle aspiration and cytological evaluation.12 Endoscopy using a swallowed capsule was first reported in 2000 by an Israeli company, Given Imaging.13 A complementary metal oxide silicon sensor uses much less power but provides an image quality that is similar to those of charge-coupled devices. Other innovative features include white-light-emitting diode illumination and miniaturisation of a video transmitter using UHF-band radio-telemetry to aerials strapped around the waist. Thus far, the capsule has been widely used for small bowel endoscopy but there are several other potential applications. These and other milestones in the evolution of endoscopy are summarized in Table 1. The gastrointestinal tract is a long tube that measures approximately 9 m in length from mouth to anus.

, Waltham, MA) and utilizing a label-free approach Two independe

, Waltham, MA) and utilizing a label-free approach. Two independent replicate MS analyses were carried out per sample. Data are represented as the mean ± standard error of mean (SEM) and were analyzed for statistical significance using one-way analysis of variance, selleck chemicals llc followed by Newman-Keuls’

test as a post-hoc test. A P value of <0.05 was considered as significant. We have created a TG mouse in a B6/CBA background with hepatocyte-specific expression of human AEG-1 by using the mouse ALB promoter/enhancer element to drive AEG-1 expression. This particular strain of mouse was chosen because it is very sensitive to hepatocarcinogenesis induced by DEN.11 The human AEG-1 has a C-terminal HA-tag. The expression of AEG-1 in the liver of Alb/AEG-1 mice was confirmed by western blotting www.selleckchem.com/products/BI-2536.html analysis

using anti-HA antibody (Ab) (Fig. 1A). Two founder lines were characterized, initially revealing no significant differences. We therefore pursued further characterization employing one founder line. Male WT and Alb/AEG-1 littermates were given a single IP injection of DEN (10 μg/g) at 14 days of age and were monitored every 4 weeks, starting at 20 weeks. At 28 weeks of age, only 2 of 11 WT animals showed a few very small nodules in the liver, whereas all of the 17 Alb/AEG-1 mice livers harbored numerous nodules of different sizes (arrows in Fig. 1B,C). There was a significant increase in liver-to-body-weight ratio in Alb/AEG-1 mice, when compared to that in WT (Fig. 1D). Histological analysis of the livers of WT mice showed

a few dysplatic, hyperchromatic nuclei (arrow in Fig. 2A), indicating that, with time, HCC would eventually develop. In Alb/AEG-1 mice, a marked increase in dysplastic, hyperchromatic nuclei was observed both in the nodules as well as in the adjacent healthy liver (arrows in Fig. 2B,C). The most striking feature was observed in the hepatic nodules of Alb/AEG-1 mice, showing profound steatotic phenotypes with large lipid droplets in the hepatocytes (Fig. 2C). A moderate level of steatosis was also observed Mirabegron in the adjacent healthy liver in Alb/AEG-1 mice. There was a significant increase in hepatic enzymes in the sera of Alb/AEG-1 mice versus the sera of WT mice (Supporting Fig. 1). At 32 weeks of age, the WT mice developed hepatic nodules; however, the nodules that developed in Alb/AEG-1 mice were markedly larger (Supporting Fig. 2). These findings indicate that AEG-1 significantly accelerated the hepatocarcinogenic process in DEN-treated animals. The WT and Alb/AEG-1 mice were followed for 1 year without any DEN treatment. Although AEG-1-induced steatosis was profoundly evident, overt nodular HCC did not develop at this time point.

The authors

thank the Cellular and Molecular Morphology C

The authors

thank the Cellular and Molecular Morphology Core of the Texas Medical Center Digestive Diseases Center (NIDDK-P30-DK056338) and Pamela Parsons for help with immunohistochemistry, the Clinical Pathology Laboratory of Texas Children Hospital for liver function tests, and Dr. Juan Marini (BCM) for help with submandibular bleeding. Additional Supporting Information may be found in the online version of this article. “
“Interleukin (IL)-20 is a proinflammatory cytokine of the IL-10 family and involved in rheumatoid arthritis, atherosclerosis, stroke, and osteoporosis. However, the pathophysiological ABT-199 supplier roles of IL-20 in liver injury have not been extensively studied. We explored the involvement of IL-20 in liver injury and the therapeutic potential of IL-20 antagonists for treating liver fibrosis. Compared with normal liver tissue from healthy individuals, the amount of IL-20 was much higher in hepatocytes and hepatic stellate cells in liver biopsies from patients with fibrosis, cirrhosis, and hepatocellular carcinoma. Carbon tetrachloride (CCl4) treatment induced IL-20 that further up-regulated the expression of transforming growth factor (TGF)-β1 and p21WAF1 and resulted in cell cycle arrest in the Clone-9 rat hepatocyte cell line.

IL-20 activated quiescent rat hepatic stellate cells (HSCs) and NVP-LDE225 price up-regulated TGF-β1 expression. IL-20 also increased TGF-β1, tumor necrosis factor (TNF)-α, and type I collagen (Col-I) expression, and promoted the proliferation and migration of activated HSCs. Serum IL-20 was significantly elevated in mice with short-term and long-term CCl4-induced liver injury. In mice with short-term liver injury, anti-IL-20 monoclonal antibody (7E) and anti-IL-20 receptor (IL-20R1) monoclonal antibody (51D) attenuated hepatocyte damage caused by CCl4, TGF-β1, and chemokine production. In mice with long-term liver injury, 7E and 51D inhibited CCl4-induced cell damage, TGF-β1 production, liver fibrosis, HSC activation, and extracellular matrix accumulation, which

was caused by the reduced expression of tissue inhibitors of metalloproteinases O-methylated flavonoid as well as increased metalloproteinase expression and Col-I production. IL-20R1-deficient mice were protected from short-term and long-term liver injury. Conclusion: We identified a pivotal role of IL-20 in liver injury and showed that 7E and 51D may be therapeutic for liver fibrosis. (Hepatology 2014;60:1003–1014) “
“We tested the hypothesis that the pathogenesis of alcoholic liver injury is mediated by epigenetic changes in regulatory genes that result from the induction of aberrant methionine metabolism by ethanol feeding. Five-month-old cystathionine beta synthase heterozygous and wild-type C57BL/6J littermate mice were fed liquid control or ethanol diets by intragastric infusion for 4 weeks.

9% response rate) Twenty-eight thousand two hundred sixty-one (1

9% response rate). Twenty-eight thousand two hundred sixty-one (17.4%) reported “severe headache” in the preceding year (23.5% of females and 10.6% of males), 11.8% met International Classification of Headache Disorders-2 criteria for migraine (17.3% of females and 5.7% of males), 4.6% met criteria for PM (5.3% of females and 3.9% of males), and 1.0% were categorized with other severe headache (0.9% of females and 1.0% of males). Sex differences were observed in the prevalence of migraine and PM, but not for other severe headache. Adjusted female to male prevalence ratios ranged from 1.48 to 3.25 across the lifetime

for migraine and from 1.22 to 1.53 for PM. Sex differences were also observed in associated symptomology, aura, H 89 mouse headache-related disability, healthcare resource utilization, and diagnosis for migraine and PM. Despite higher rates of migraine diagnosis by a healthcare professional, females with migraine were less likely than males to be using

preventive pharmacologic treatment for headache. In this large, US population Endocrinology antagonist sample, both migraine and PM were more common among females, but a sex difference was not observed in the prevalence of other severe headache. The sex difference in migraine and PM held true across age and for most other sociodemographic variables with the exception of race for PM. Females with migraine and PM had higher rates of most migraine symptoms, aura, greater associated impairment, and higher healthcare resource utilization than males. Corresponding sex differences were not observed among individuals with other severe headache on the majority of these comparisons. Results suggest that PM is part of the migraine spectrum whereas other severe headache types are not. Results also substantiate existing literature on sex differences in primary headaches and extend results to

additional headache types and related factors. With few exceptions, it is well established that the majority of primary headache disorders have a higher prevalence in females than males. A review of global population estimates of primary headache subtypes of 107 studies from 6 continents reported prevalence of 42% for tension-type headache, 11% for migraine, and 3% chronic daily headache (3%).[1] Although the report found differences in the Thiamine-diphosphate kinase prevalence of headache across continents, all three of these headache types were more prevalent among females compared to males on every continent. Female to male sex prevalence ratios (PRs) are most dramatic in migraine and chronic daily headache but also exist in tension-type headache. In fact, the only primary headache types that have not demonstrated a female preponderance are the trigeminal autonomic cephalalgias. The majority of these headache types are more common in men, especially cluster headache, which has female to male sex prevalence estimates ranging from 1 : 3.5 to 1 : 7.

Enrollment criteria included the following: 26 to 73 (median: 55)

Enrollment criteria included the following: 26 to 73 (median: 55) years of age; baseline serum HCV-RNA quantified by RT-PCR between 3.9 and 7.4 log copies/ml; and infection with HCV genotype 1 (n = 68) or 2 (n = 71). All patients (98 males and 41 females) were treated with pegylated Saracatinib mw (PEG)-IFN alpha-2a alone, or PEG-IFN alpha-2a or PEG-IFN alpha-2b in combination with ribavirin. A negative result for serum HCV-RNA on RT-PCRat the assessment

point was defined as sustained virological response (SVR). Serum BTR, BCAA and Tyr were determined both at baseline and at the assessment point. Of 139 patients, 121 underwent liver biopsy before starting therapy, and the tissue specimens obtained were graded according to the Histology Activity Index (HAI) of Knodell et al. Specimens see more were also divided into four groups from stages 1 to 4 based on Desmet’s fibrosis scores. Of 139 patients, 51 consented to genetic investigation for polymorphisms in the interleukin (IL)-28B gene at rs8099917. Results: Serum BTR tended to decrease and serum Tyr tended to increase with grade or stage. Additionally,

49 of 68 CHC patients infected with genotype 1 and 66 of 71 CHC patients infected with genotype 2 showed SVR. In SVR patients, serum BTR was significantly. Conclusion: This study showed that, if HCV was eradicated from the liver in CHC patients infected with genotypes 1 and 2, BTR increased with reductions in serum Tyr levels. Key Word(s): 1. chronic hepatitis

C; 2. BTR Presenting Author: WON SOHN Additional Authors: YONG HAN PAIK, DONG HYUN SINN, GEUM YOUN GWAK, MOON SEOK CHOI, JOON HYEOK LEE, KWANG CHEOL KOH, SEUNG WOON PAIK, BYUNG CHUL YOO Corresponding Author: WON SOHN Affiliations: Samsung Medical Center, Samsung Medical Center, Samsung Medical Center, Samsung Medical Center, Samsung Medical Center, Samsung Medical Center, Samsung Medical Center, Samsung Medical Center Objective: Recent studies have shown that antiviral therapy may reduce the recurrence of hepatocellular carcinoma (HCC) in patients with hepatitis B virus (HBV). This study was aimed to investigate the effect of virologic response to BCKDHA anti-viral therapy on the recurrence after curative resection in patients with HBV-related HCC. Methods: Between January 2008 and December 2010, a total of 72 antiviral therapy naïve patients underwent curative resection for HBV-related HCC (single nodule; <5 cm in diameter, or multi-nodule; number ≤3 and diameter <3 cm). All patients were treated with antiviral therapy within 1 month after resection (entecavir, 58; clevudine, 11; lamivudine, 3 patients). We assessed the risk factors for recurrence of HCC after curative resection. Complete virologic response to anti-viral therapy was defined as undetectable HBV DNA (9 IU/mL). Results: The median follow-up duration was 41.7 months.

3) This may be attributable to starvation-induced elevation in k

3). This may be attributable to starvation-induced elevation in ketone bodies, because they are known to be produced in the mitochondrial matrix of hepatocytes

and have been shown to induce https://www.selleckchem.com/products/FK-506-(Tacrolimus).html mitochondrial ROS and dysfunction.30 Elevation of ketone bodies (acetoacetate) has been associated with decreased GSH levels in diabetic patients as well as in vitro cell-culture models.31 Because GSH is a potent ROS scavenger, reduction in GSH levels is important in causing mitochondrial dysfunction. Mitochondrial impairment was dramatically worsened in CD1d−/− and Jα18−/− than WT mice upon APAP challenge, which likely contributes to increased susceptibility of CD1d−/− mice to AILI (Figs. 3B and 8D). Increased ketone body production in NKT cell-deficient mice suggests an underlying role of NKT cells in metabolism. Several lines of evidence support a link between NKT cells and metabolism. Patients with abetalipoproteinemia, a rare Mendelian disorder characterized by a lack of functional microsomal triglyceride transfer protein, also exhibits reduced number of NKT cells and impaired functionality of these cells.32 In murine models of obesity (ob/ob mice), NKT cells are decreased in number.33 Upon adoptive transfer of NKT to ob/ob mice, a significant reduction in liver steatosis was observed, coinciding with

marked improvement in glucose sensitivity.34 Furthermore, stimulation and expansion of NKT cell populations by means of norepinephrine or glucocerebroside injection has been shown to decrease size and fat accumulation Atezolizumab datasheet in the liver and decrease overall hepatic injury.35 The mechanisms by which NKT cells regulate metabolism during conditions Carnitine dehydrogenase of energy deficit or oversupply remain largely unknown, despite several recent studies on this topic.36, 37 We hypothesize that intrinsic IL-4 production by NKT cells may be critical in maintaining metabolic homeostasis. A recent report suggests that IL-4 activation of signal transducer and activator of transcription 6 in hepatocytes can regulate fatty acid (FA) oxidation by suppression

of peroxisome proliferator-activated receptor alpha.38 It is also reported that IL-4 increases thermogenic gene expression, FA mobilization, and energy expenditure by means of stimulating alternatively activated macrophages.39 Another study demonstrated that IL-4 produced by eosinophils in adipose tissue is important in protecting mice from high-fat-diet–induced obesity.40 It is our plan for future studies to examine the role of endogenous IL-4 production by NKT cells in metabolic regulation, which will require the use of IL-4-reporter mice. In conclusion, our data demonstrate that NKT cells protect mice from AILI because genetic deletion of these cells causes significantly higher ketone body production upon starvation.

[4-7] In successful cases, graft atrophy occurs but in our experi

[4-7] In successful cases, graft atrophy occurs but in our experience complete graft disappearance is rare. Immunosuppressive therapy has numerous side effects, and adherence can also be difficult, especially in certain BIBW2992 molecular weight young patients with psychiatric disorders, for example, in cases of acetaminophen-induced ALF, which remains the main etiology of this disease.[3] However, AOLT is a complex surgical procedure that remains challenging for many surgical teams because it requires partial native liver resection and complicated vascular anastomoses. Moreover, this procedure is usually performed in critically ill, hemodynamically

unstable patients with coagulation disorders. Increased postoperative mortality and morbidity have been reported in many studies.[4-6] Because withdrawal of immunosuppressants, which is the main objective of AOLT, is not always possible even in certain successful cases, the benefit and risk of long-term immunosuppressant withdrawal and a difficult surgical procedure must be considered. The indications for AOLT in ALF include the absence of underlying liver

disease, young age, relative hemodynamic stability, excellent temporary liver graft, and a meticulous surgical technique. AOLT is also an excellent clinical model to study the regeneration of the injured native liver and recent research in this field has shown that regeneration Ipilimumab is well regulated depending on the underlying etiology (acetaminophen toxicity versus others), the histological subtype (diffuse, map-like, or total loss) tuclazepam and the time of hepatectomy.[6] On a molecular level, successful and failed liver regeneration was associated with different microRNA patterns.[8] These new data can help select the subgroup of patients who can benefit from AOLT and the development of biomarkers to predict long-term prognosis. “
“A 49-year-old female with a past history of colonic polyps was evaluated for iron deficiency

anaemia. At oesophagogastroduodenoscopy (OGD), multiple variable sized sessile and pedunculated polyps (Paris Ip + Is) were identified involving the gastric body, antrum and cardia (Figure 1). The duodenum was normal. Examination with endoscopic ultrasound confirmed the polyps to be confined to the mucosal layer. Several of the larger polyps were removed without preinjection by snare cautery using a 25 mm electrosurgical snare (Olympus, SD-210U-25) and forced Coagulation 35W, effect 3 (ERBE ICC 350; Erbe Elektromedizin, Tübingen, Germany) (Figure 2). Histology revealed gastric mucosa with prominent foveolar hyperplasia and focal low-grade dysplasia, however unlike what is typically seen in Menetrier’s disease, parietal cell mass appeared normal.