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Biomedical subjects

A Takano

Publications and source records attributed to A Takano.

At least 55 records · Page 3Linked to original sources
PubMed1998

[Intraoperative local infusion chemotherapy (ILIC) for gastric cancer].

In order to provide a high dose of cis-diammine dichloro platinum (CDDP) into the regional lymph nodes and surrounding organs during operation, "intraoperative local infusion chemotherapy (ILIC)" was devised and has been applied to advanced gastric cancer patients. The aims of this method are 1) to reduce the possibility of metastasis by affecting the cancer cells before flowing out; 2) to administer drugs to the cancer cells which evade surgical resection; 3) to administer drugs to the lymphatic flow; and 4) to reduce the systemic side effects. After the laparotomy, the part of the stomach for gastrectomy was isolated from the blood supply, applying clamps to the proximal and distal parts of the stomach and hemostats to feeding blood vessels. Through a feeding artery to the tumor, 50 mg of CDDP was injected. Twenty-four patients underwent ILIC from June 1986 to December 1993. The 5-year survival rate was significantly better in the ILIC group compared to the control group which was selected by the matched pair method. The newly devised ILIC chemotherapy is a promising way to improve the prognosis of advanced gastric cancer patients. A randomized prospective study should be undertaken.

Animals↗
PubMed1997

Expression of Fas antigen is not associated with apoptosis in human myopathies.

To determine whether the Fas-Fas-ligand mediated apoptosis occurs in the pathologic process of human muscle diseases, we examined the expression of Fas antigen, Fas-ligand messenger RNA, and chromosomal DNA fragmentation in the muscle cells of patients with a variety of human muscle disorders. The present study demonstrated that the Fas antigen of a whole molecule was expressed on the muscle fibers of patients with muscle wasting diseases. However, the apoptotic process did not occur in the muscle cells, and there was no evidence of Fas-ligand synthesis in the diseased muscle tissue. Our data suggest that the expression of Fas antigen on fibers in diseased muscle is related to unknown biological functions other than "apoptosis" in the process of muscle fiber injury.

Adult↗
PubMed1997

[Oligosaccharide abnormalities and expansion of the CTG repeat of MT-PK gene in patients with myotonic dystrophy].

Myotonic dystrophy is a hereditary disorder with multisystem abnormalities associated with expansion of the CTG repeat within the 3' non-coding region of the myotonin protein kinase. CTG repeat length has been shown to correlate with the clinical symptoms and age at onset of the disease. Plasma membrane has been considered to be one of the affected organ in MyD. The oligosaccharide abnormalities of the erythrocyte membrane, skeletal muscle membrane as well as immunoglobulin G were detected in patients with MyD. The characteristic oligosaccharide moiety of these membranes and proteins was a decrease of galactose contents and an increase of exposed N-acetylglucosamine at the non-reducing end of oligosaccharides. The degree of oligosaccharide abnormalities of the skeletal muscle from MyD patients was correlated well with the CTG expansion of MT-PK.

Acetylglucosamine↗
PubMed1996

Induction of a novel cytochrome P450 (CYP93 family) by methyl jasmonate in soybean suspension-cultured cells.

We isolated a cDNA encoding a novel cytochrome P450 (CYP93A1) from soybean suspension-cultured cells that had been treated with methyl jasmonate (MeJA). The amino acid sequence of the gene product had 30-40% identity with those of other plant P450s. The protein contained the heme-binding domain which is highly conserved among plant P450s. Transcription of the cytochrome P450 gene in soybean cells was induced by 30 microM MeJA even in the presence of cycloheximide, and reached maximum level 6 h after MeJA treatment. This is the first report of a plant cytochrome P450 gene whose transcription is induced by MeJA even without protein synthesis.

Acetates↗
PubMed1996

Trends in the incidence of female breast and cervical cancers in Miyagi Prefecture, Japan, 1959-1987.

Trends in the incidence of female breast and cervical cancers were examined, using the cancer registry data in Miyagi Prefecture, Japan, during 1959-1987. The age-standardized incidence rate of breast cancer has been increasing, while that of cervical cancer has been decreasing. Age-period-cohort models were applied to clarify the trends in incidence. For breast cancer incidence, the age-period model adequately represented the data, and demonstrated that the risk of developing breast cancer has been increasing in recent time periods. The effect of cohort on breast cancer incidence was insignificant and the full model containing age, period and cohort showed irregularities in the cohort effect. For cervical cancer incidence, the effect of period was significant, while the effect of cohort was marginal. The full model containing age, period and cohort showed that cervical cancer risk has been decreasing in recent time periods and younger birth cohorts. Using published reports, we investigated the trends in the prevalence of various risk factors and compared them with the trends in the incidence at both sites. It is suggested that the effects of period and cohort might be related to the changes in the prevalence of these risk factors as well as to improvements of the diagnostic procedures.

Adult↗
PubMed1996

[A case of X-linked bulbar and spinal muscular atrophy with impaired neuromuscular transmission].

A 43-year-old man suffered from weakness of the upper limbs and easy fatigability. Low frequency (3 Hz) repetitive nerve stimulation (RNS) showed a marked waning with a maximum decrement of 20% of M wave amplitude. This remarkable waning was partially reduced by an administration of 60 mg bromopyridostigmine. High frequency RNS (30 Hz), however, did not induced waxing. Tensilon test and anti-AchR antibody were negative. The CAG repeat in androgen receptor gene was abnormally expanded ((CAG)n = 47), which confirmed a diagnosis of X-linked bulbar and spinal muscular atrophy. (BSMA). In some ALS patients, impaired neuromuscular transmission has been reported. The impaired neuromuscular transmission in ALS occurs in cases with rapidly progressive muscle wasting, suggesting that this abnormality is related to rapidly degenerating motor nerve endings. However, impaired neuromuscular transmission as seen in this patient has not been well documented in BSMA.

Adult↗
PubMed1995

The evaluation of screening for gastric cancer in Miyagi Prefecture, Japan: a population-based case-control study.

Although a screening program for gastric cancer, using barium X-ray examination, has been carried out widely in Japan for the past 3 decades, there is insufficient evidence to confirm its effectiveness in terms of reducing mortality. To evaluate the effectiveness of the screening, a population-based case-control study was carried out in Miyagi Prefecture, Japan. Case subjects, who had died from gastric cancer (198) and control subjects matched in age, sex and residence (577) were selected from among members of the National Health Insurance. Their screening histories during 5 years before the cases were diagnosed were surveyed on the basis of records of the regional cancer registry and the cancer-detection center. The odds ratio (OR) of death from gastric cancer for the persons who participated in the screening at least once during 5 years was 0.41. For those who participated only once during 5 years the OR was 0.43, and for those whose last participation was 5 years earlier it was 0.30. Our data suggest that screening for gastric cancer at 5-year intervals might reduce mortality by 60%, and that the effect might remain for at least 5 years.

Adult↗
PubMed1995

[Immunohistochemical studies on pathogenetic features of diffuse fasciitis].

Three cases of diffuse fasciitis were reported: case 1, a 24-year-old female, case 2, an 18-year-old male and case 3, a 61-year-old male. Their prominent features were reduced extensibility of the muscle and/or fascia. Skin was taut and bound underneath in cases 1 and 3, and focal edema was noted in the left forearm of case 2. Firmness of the muscle and/or fascia was dominantly seen in four extremities in case 1, proximal limbs in case 2 and in the trunk and proximal limbs in case 3. Muscle weakness was not seen in case 1, slight in the limbs of case 2 and moderate in the proximal limbs of case 3. Transient eosinophilia was observed in case 1. IgG was elevated in all 3 cases and IgM in cases 1 and 3. Antinuclear antibody was positive in case 1 and 2, and anti-ENA antibody in case 3. Remarkable thickening of the fascia and perivascular mononuclear cell infiltration in the fascia were main pathological features in all three cases. Inflammatory alteration of the muscle was modest and limited to the perifascicular and epimysial sites underneath the fascia. In these 3 cases, a diagnosis of Shulman syndrome or diffuse fasciitis with eosinophilia was made, although eosinophils were scarce in the fascia or muscle tissue. All 3 cases well responded to the oral prednisolone. Mononuclear cells clustered mainly in the perivascular sites, comprising mostly T cells, helper T cells, and partly B cells. These findings suggest that helper T cell mediated immune mechanism may play a pathogenetic role in this disease.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1995

[Abnormalities of N-linked oligosaccharide moieties of glycoproteins in patients with myotonic dystrophy].

Myotonic dystrophy (MyD) is an inheritant disease which results from an abnormal expansion of trinucleotide repeat of myotonin protein kinase. MyD has been considered as one of membrane diseases as several functional disturbances were detected on the plasma membranes in patients with MyD. We reported here that some proteins and tissues in patients with MyD took only incomplete processing of N-glycans. The characteristic feature of the oligosaccharide moieties was so unique that N-glycans of glycoproteins such as immunoglobulin G, proteins on the erythrocyte membrane and the insulin receptor revealed reduced content of N-acetylneuraminic acid and galactose. In other words, these glycoproteins in patients with MyD had N-linked oligosaccharides which terminated with N-acetyglucosamine at the non-reducing ends. These specific defect of glycosylation may indicate the disturbances of the sarcoplasmic reticulum or the Golgi apparatus and be one of the factors which construct the membrane disorder observed in patients with MyD.

Glycoproteins↗
PubMed1994

[Systematic diagnosis and treatment method for temporomandibular disorders--new chart for primary diagnosis and treatment].

In this study, the classification of temporomandibular disorders of Japanese Society for Temporomandibular Joint was subdivided into ten types for the purpose of connecting directly with treatment, then a new chart for primary diagnosis and treatment were expressed. Ten types, i.e. type I (masticatory muscle disorders), type II (micro traumatic synovitis), type IIIc- (disk disorders except internal derangement; open lock, eminense click and crepitus), type IIIc+ (internal derangement; disc anterior displacement with reduction), type III L (internal derangement; disc anterior displacement without reduction, type IVo (osteoarthrosis with no TMJ symptoms), type IVp (osteoarthrosis with TMJ pain and no disc disorders), type IVc- (osteoarthrosis with crepitus, eminense click and open lock), type IVc+ (osteoarthrosis with internal derangement; disc anterior displacement with reduction), type IV L (osteoarthrosis with internal derangement; disc anterior displacement without reduction) 605 patients who visited our clinic from January 1994 to June 1994 were classified by the new chart for primary diagnosis; type I: 37 cases, type II: 142 cases, type IIIc-:56 cases, type III c+: 215 cases, type III L: 82 cases, type IVo: 8 cases, type IVp: 11 cases, type IVc-: 10 cases, type IV+: 19 cases, type IVL: 25 cases.

Clinical Protocols↗
PubMed1993

Oculomotor nerve palsy due to intraneural hemorrhage in idiopathic thrombocytopenic purpura: a case report.

We report a 52-year-old man with idiopathic thrombocytopenic purpura accompanying acute oculomotor nerve palsy. At autopsy, intraneural hemorrhage was found in the cavernous portion of the oculomotor nerve. Intraneural bleeding as well as extraneural compression by hematoma formation should be considered as a cause of neuropathies occurring in patients with aggravated thrombocytopenia.

Acute Kidney Injury↗
PubMed1993

[A case of idiopathic thrombocytopenic purpura associated with eosinophilic pneumonia with unusual shadows].

A 31-year-old woman who had been diagnosed as having idiopathic thrombocytopenic purpura at her first delivery (July, 1991) was admitted to our hospital on 17 July, 1992 for dry cough and abnormal chest shadow. Chest CT showed a hemisphere-like shadow in the left upper lung field. The TBLB specimen showed a mild eosinophilic pneumonia. When the patient was observed without medications, a ring-like shadow appeared newly in the right middle field and the both shadows became gradually wider and lighter. Cases of eosinophilic pneumonia showing such shadows are considered to be very rare and interesting.

Adult↗
PubMed1992

Leukoaraiosis in relation to prognosis for patients with lacunar infarction.

BACKGROUND AND PURPOSE: Close relations between leukoaraiosis detected by computed tomography or magnetic resonance imaging and stroke, particularly lacunar infarction, have been reported. We studied whether leukoaraiosis is related to long-term prognosis for patients with lacunar infarction. METHODS: We examined monthly 215 patients with lacunar infarction after their first stroke. They comprised 95 patients with leukoaraiosis disclosed by computed tomography on admission (58 men and 37 women; mean age, 71.3 +/- 9.0 years) and 120 patients without leukoaraiosis (81 men and 39 women; mean age, 65.5 +/- 8.9 years). These patients had no previous history of either stroke or obvious dementia before their index stroke. We compared the prognosis with and without leukoaraiosis based on analysis of recurrent stroke, survival, and the prevalence of dementia and rate of dependence in activities of daily living. RESULTS: Life table analysis revealed that the recurrent stroke rate was significantly higher in the patients with leukoaraiosis than in those without it (p = 0.004). The prevalence of dementia and rate of dependence in activities of daily living both 1 month after the index stroke and at the end of the follow-up period were significantly higher in the patients with leukoaraiosis (all parameters, P less than 0.001). Their survival rate was significantly lower than in those not suffering from leukoaraiosis (p = 0.012). Significant differences in these comparisons were also observed after matching for age and sex. CONCLUSIONS: The presence of leukoaraiosis as identified by computed tomography indicates a poor prognosis for patients with lacunar infarction.

Activities of Daily Living↗
PubMed1992

Electrical stimulation-evoked release of endogenous taurine from slices of the hippocampus, cerebral cortex and cerebellum of the rat.

Release of endogenous taurine by electrical stimulation of slices of the hippocampus, cerebral cortex, cerebellum and medulla oblongata of the rat was studied and compared with that of alanine and/or gamma-aminobutyric acid (GABA). Electrical stimulation caused a calcium-dependent release of taurine from slices of the hippocampus, cerebral cortex and cerebellum but not from slices of the medulla oblongata. The stimulus-evoked release of taurine in the hippocampus was rapid in onset and declined to baseline fast, which was essentially similar to the time course pattern of the stimulus-evoked release of GABA. In addition, there were distinct regional differences in the relative amounts of taurine released. Electrical stimulation did not release alanine from any regions examined. These results support the hypothesis that taurine plays a neurotransmitter role in the hippocampus, cerebral cortex and cerebellum of the rat.

Alanine↗
PubMed1992

Risk of leukemia among participants of gastric mass screening survey in Japan: a population-based, case-control study.

To assess the risks of leukemia for individuals participating in a gastric mass screening program using barium photofluorographic examination in Japan, a population-based, case-control study was carried out. The histories of participation in the last 10 years of 79 leukemia cases diagnosed between 1978 and 1985 and twofold controls matched for sex, age (+/- 5 years), and residence were investigated using the records of the gastric mass screening program. The odds ratio of any type of leukemia for those participating at least once in the last 10 years was 1.09 (95% confidence interval, 0.61-1.96) and that of myeloid type was 0.88 (95% confidence interval, 0.38-2.27). Even when the histories of the preceding 5 years were ignored, no significant excess risks were found among patients with any type and myeloid type of leukemia. These results suggest that there is insufficient evidence to support the positive association between the incidence of leukemia and participation in gastric mass screening. The limitations and implications of this analysis are discussed.

Adult↗
PubMed1990

[A basal cell carcinoma of the esophagus--a case report].

Reported is the case of a 58-year-old male who visited our hospital with the chief complaint of anorexia. Diagnosed as having an esophageal cancer, a subtotal esophagectomy was performed including the dissection of the tumor. According to the surgical findings, the tumor was not exposed to the tunica externa and no lymph node metastasis or infiltration to the pleura or a metastasis to the lung or liver was note. On histopathological examination a basal cell carcinoma of esophagus was determined but no squamous epithelium was seen. The carcinoma was the muscular propria, and neither infiltration into the epithelium nor invasion into the vessels was noted. The postoperative progress appeared good, however seven months later the patient died from multiple hepatic metastasis.

Basal Cell Carcinoma↗