PMID- 30106666 OWN - NLM STAT- MEDLINE DCOM- 20200330 LR - 20200330 IS - 1557-9042 (Electronic) IS - 0897-7151 (Linking) VI - 36 IP - 2 DP - 2019 Jan 15 TI - Expression of Autophagy Signaling Molecules in the Outer Membranes of Chronic Subdural Hematomas. PG - 403-407 LID - 10.1089/neu.2018.5626 [doi] AB - Chronic subdural hematoma (CSDH) is fundamentally treatable, although it sometimes recurs. We observed, however, several cases of spontaneous resolution of CSDH outer membranes, even in a trabecular type of CSDH, after a trepanation surgical procedure. In this study, we examined the expression of molecules of the autophagy signaling pathway in CSDH outer membranes. Eight patients whose outer membranes were obtained successfully during trepanation were included in this study. By Western blot analysis, we examined the expression of mammalian target of rapamycin (mTOR); GbetaL; UNC-51-like kinase-1 (ULK1); Beclin-1; autophagy-related genes (Atg) 3, 5, 7, 12, 13, and 16L1beta,alpha; the autophagy marker Light Chain3A/B (LC3A/B); and beta-actin, which constitute the autophagy signaling pathway. The expression levels of Beclin-1, Atg12, and LC3A/B were also examined by immunohistochemistry. Almost all of these molecules could be detected in all samples. Beclin-1, Atg12, and LC3A/B were found to be localized in the endothelial cells of vessels and fibroblasts in CSDH. We detected molecules of the autophagy signaling pathway in CSDH outer membranes. Autophagy contributes to the tissue homeostatic process, maintaining cellular integrity by clearing debris. Our data suggest that autophagy might play an important role in the spontaneous resolution of CSDH. Therefore, these molecules may be novel therapeutic targets for the treatment of those with CSDH. FAU - Osuka, Koji AU - Osuka K AD - 1 Department of Neurological Surgery, Aichi Medical University Aichi, Japan. FAU - Watanabe, Yasuo AU - Watanabe Y AD - 2 High Technology Research Center, Pharmacology, Showa Pharmaceutical University, Tokyo, Japan. FAU - Usuda, Nobuteru AU - Usuda N AD - 3 Department of Anatomy II, Fujita Health University School of Medicine, Aichi, Japan. FAU - Aoyama, Masahiro AU - Aoyama M AD - 1 Department of Neurological Surgery, Aichi Medical University Aichi, Japan. FAU - Takeuchi, Mikinobu AU - Takeuchi M AD - 1 Department of Neurological Surgery, Aichi Medical University Aichi, Japan. FAU - Takayasu, Masakazu AU - Takayasu M AD - 1 Department of Neurological Surgery, Aichi Medical University Aichi, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180814 PL - United States TA - J Neurotrauma JT - Journal of neurotrauma JID - 8811626 SB - IM MH - Aged MH - Aged, 80 and over MH - Autophagy/*physiology MH - Female MH - Hematoma, Subdural, Chronic/*metabolism MH - Humans MH - Male MH - Remission, Spontaneous MH - Signal Transduction/physiology MH - Trephining OTO - NOTNLM OT - autophagy OT - chronic subdural hematoma OT - spontaneous resolution EDAT- 2018/08/15 06:00 MHDA- 2020/03/31 06:00 CRDT- 2018/08/15 06:00 PHST- 2018/08/15 06:00 [pubmed] PHST- 2020/03/31 06:00 [medline] PHST- 2018/08/15 06:00 [entrez] AID - 10.1089/neu.2018.5626 [doi] PST - ppublish SO - J Neurotrauma. 2019 Jan 15;36(2):403-407. doi: 10.1089/neu.2018.5626. Epub 2018 Aug 14.