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Biomedical subjects

H Ishihara

Publications and source records attributed to H Ishihara.

At least 505 records · Page 28Linked to original sources

[Surgical reconstruction for subclavian arterial obstruction at its origin].

The authors, having experienced 17 cases of subclavian arterial obstruction at its origin in Montpellier, France and in Japan, performed direct anastomosis between the divided end of the proximal subclavian artery and the ipsilateral common carotid artery (transposition technique) in 12 cases. Our series of 17 patients ranging in age from 30 to 73 years who were evaluated for variety of symptoms: 8 had subclavian steal syndrome; 12 had claudication of upper extremity; 1 had visual disturbance; 3 had vertigo; and 1 had ear throbbing. Twelve patients were treated surgically with division of the proximal subclavian artery and its anastomosis to the common carotid artery by means of supraclavicular cervicotomy. One was treated with carotid subclavian bypass grafting, and 4 were placed aorto-carotid-subclavian bypass grafting with median sternotomy because of the proximal occlusive lesions at the origins of common carotid and subclavian artery due to aortitis syndrome. All the patients were relieved from the symptoms which had been existed in pre-operative stage. The transposition technique is simple, effective and few complications.

Adult↗

Antibodies against synthetic carboxy-terminal peptides distinguish H-ras and K-ras oncogene products p21.

Synthetic peptides corresponding to the carboxy-terminal region of H-ras, K-ras, and N-ras oncogene product p21 proteins are used to obtain antibodies specific to each ras oncogene product. The synthetic peptides of 32 amino acids are immunogenic in rabbits without being coupled to carriers. Specific antibodies are purified by absorption of the antisera with the other peptides coupled to CH-Sepharose 4B, and antibodies reacting with all three peptides are obtained by affinity chromatography. These findings imply that antibodies specific to each peptide recognize the variable carboxy-terminal region while antibodies reacting with all three peptides recognize the constant region of the carboxy-terminal amino acid sequence of p21 proteins. The affinity-purified antibodies against H-ras and K-ras peptides are shown to react specifically with c-H-ras and v-K-ras p21 proteins expressed in E. coli and eukaryotic cells, respectively. These antibodies may be useful tools to study the functional roles of p21 carboxy-terminal domain and to detect differential expression of the family of ras oncogenes in cancerous tissues. The affinity-purified anti-N-ras peptide antibody, however, fails to react with N-ras p21 in spite of its positive reactivity with the N-ras peptide.

Amino Acid Sequence↗

Comparative structural study of the N-linked oligosaccharides of human normal and pathological immunoglobulin G.

The structures of oligosaccharides of normal and pathological immunoglobulin G (IgG) are reported. Asparagine-linked neutral oligosaccharides were released by N-oligosaccharide glycopeptidase (almond) digestion. The reducing ends of the oligosaccharide chains thus obtained were aminated with a fluorescent reagent, 2-aminopyridine, and the mixture of pyridylamino derivatives of the oligosaccharides was separated by reverse-phase high-performance liquid chromatography. It was possible to separate 15 out of the 16 kinds of oligosaccharides that have been suggested to exist in normal human IgG. High-resolution proton nuclear magnetic resonance spectroscopy was used along with chemical methods to determine the structures of the separated oligosaccharides. It has been shown that in normal IgG a biantennary complex-type oligosaccharide with a fucose residue (formula; see text) is predominant and four kinds of oligosaccharides, which are biantennary with bisecting N-acetylglucosamine and without fucose residues, exist only in a very small quantity. The results obtained for normal IgG were compared with those obtained for three myeloma IgG proteins. It has been found that the most abundant species that exist in the pathological proteins analyzed in the present work lack one or two galactose residues at the nonreducing terminal. We show that the fractions of fucose-containing oligosaccharides are markedly decreased in the heavy-chain disease protein Per. It is of particular interest that in this paraprotein the major component is a biantennary complex-type oligosaccharide that lacks a fucose residue and an oligosaccharide with the structure (Formula: see text) exists as one of the most abundant components.

Asparagine↗

Vasodilating effects of human and rat calcitonin gene-related peptides in isolated porcine coronary arteries.

Human and rat alpha-calcitonin gene-related peptides (CGRPs) caused relaxation of porcine coronary arterial strips precontracted by 10(-5) M of prostaglandin (PG) F2 alpha at low concentrations. pD2 values for human and rat CGRPs in endothelium-preserved strips were 8.41 +/- 0.03 (n = 5) and 8.49 +/- 0.03 (n = 5), respectively. The same concentrations of CGRPs relaxed the endothelium-depleted preparations. CGRPs were much more potent and had steeper concentration-response curves than isoproterenol, nitroglycerin (GTN), isobutylmethylxanthine (IBMX), verapamil and nifedipine. Like isoproterenol, GTN and IBMX, but in contrast to the calcium antagonists, the relaxing potencies of human and rat CGRPs were greatly reduced in the strips precontracted by 50 mM of KCl. The relaxation caused by human CGRP was not affected by treatment with propranolol (10(-6) M) or cimetidine (10(-5) M). Human CGRP (1.6 X 10(-8) M) caused a significant (about 2-fold) elevation of the content of cyclic AMP in coronary tissue but did not cause any change in the content of cyclic GMP. CGRP-like immunoreactive fibers were found to be localized in the adventitia but not in the media or intima of the coronary artery. These results indicate a direct and endothelium-independent potent relaxant action of CGRP in coronary vessels. This relaxation could be caused by a mechanism not shared by calcium antagonists but associated with the rise in cyclic AMP.

Animals↗

Congenital central alveolar hypoventilation (Ondine's curse): a case report and review of the literature.

Congenital central alveolar hypoventilation (C-CAH), so called Ondine's curse, is known to be quite a rare neuropathology that has been reported in only 23 cases to date. C-CAH was diagnosed in a 2-year-5-month-old infant. In the treatment of C-CAH, we implanted a right unilateral diaphragm pacemaker in the infant and his respiratory status was remarkably improved after diaphragm pacing. Twenty-three reported cases of this disorder are reviewed in the literature.

Child, Preschool↗

Transvenous mitral commissurotomy examined with transesophageal echocardiography.

Transvenous mitral commissurotomy (TMC) was conducted with transesophageal echocardiography (TEE) in two patients with mitral stenosis. It was possible to see clearly not only the intracardiac structures to be examined by TMC, such as the right and left atria, interatrial septum, and mitral valve, but also the instruments used in TMC, such as the catheter, guidewire, and balloon. It was possible to determine the positional relation between the intracardiac structures and instruments. We could observe all procedures other than Brockenbrough's procedure by both TEE and fluoroscopy at the same time. Although safety and reliability cannot be confirmed from just the two present cases, TEE appears to be applicable to TMC.

Aged↗

Clinical application of arrhythmia analyzer in ICU.

A microcomputer system (NEC Sanei Ins. Company Ltd.) has been developed for the continuous monitoring and storage and retrieval of data from serial ECG tracings in each ICU patient. Eight hundred and forty patients were monitored using the system. Diagnosis of ventricular arrhythmias and ST-segment change was highly accurate. However, the false positive diagnosis was sometimes generated by artifact. Diagnosis of supraventricular arrhythmias or rhythmic abnormalities were less accurate compared with that of ventricular arrhythmias. Application of microcomputer system in the space limited ICU is of benefit to identify and evaluate ECG gracings in time saving way. However, further version-up is needed to promote the accuracy of the diagnosis.

Adolescent↗

Structural analysis of N-linked oligosaccharides by a combination of glycopeptidase, exoglycosidases, and high-performance liquid chromatography.

A simple, sensitive, and rapid method for the analysis of structures of N-linked carbohydrates is reported. The method involves four steps: preparation of carbohydrate chains from glycopeptides by N-oligosaccharide glycopeptidase digestion; derivatization of the reducing ends of carbohydrate chains with a fluorescent reagent, 2-aminopyridine, by using sodium cyanoborohydride; separation of oligosaccharide derivatives by reverse-phase high-performance liquid chromatography; and structural analysis of oligosaccharides by sequential exoglycosidase digestion. The elution positions of 50 standard oligosaccharide derivatives were determined by HPLC. The structure of an unknown oligosaccharide can be characterized by comparison of its elution position with those of the standard compounds. The method was applied to elucidate the structures of oligosaccharides in the myeloma IgG protein, Yot.

Amidohydrolases↗

The axonal transport of dipeptidyl aminopeptidase II, angiotensin-converting enzyme and other peptidases in rat sciatic nerves.

The axonal transport of four peptidases with different subcellular localizations were examined in rat sciatic nerves by the double ligation technique. At 2 days after ligation, rapid retrograde axonal transport of the activity of dipeptidyl aminopeptidase II (a lysosomal enzyme), angiotensin-converting enzyme and leucyl aminopeptidase (membrane-bound enzymes), was found in the segment distal to the proximal ligation. On the other hand, prolyl endopeptidase (a cytosolic enzyme) showed neither anterograde nor retrograde rapid axonal transport. These results indicate that lysosomal and membrane-bound peptidases are transported retrogradely in rat sciatic nerves.

Animals↗

Chemical composition and immunobiological activities of sodium dodecyl sulphate extracts from the cell envelopes of Actinobacillus actinomycetemcomitans, Bacteroides gingivalis and Fusobacterium nucleatum.

The chemical composition and immunobiological activities in vivo and in vitro of sodium dodecyl sulphate extracts (SDS-SE) derived from periodontopathic bacteria (three strains of Actinobacillus actinomycetemcomitans, two strains of Bacteroides gingivalis, and one strain of Fusobacterium nucleatum) were investigated. The main components of SDS-SE were protein and lipid, with negligible amounts of peptidoglycan and lipopolysaccharide. Immunopotentiating activity was detected in both delayed-type hypersensitivity and antibody formation against the elicitation of a protein antigen with the SDS-SE preparations of A. actinomycetemcomitans ATCC 29524 and B. gingivalis 381 and 1021. On the other hand the SDS-SE of A. actinomycetemcomitans ATCC 29522 enhanced only the induction of a delayed-type hypersensitivity response. All the SDS-SE preparations had mitogenic activity to splenocytes from BALB/c nu/nu, C3H/HeN and C3H/HeJ mice. Migration-stimulating activity for human peripheral blood monocytes was detected especially in the SDS-SE preparations of A. actinomycetemcomitans ATCC 29524 and Y4. All of the SDS-SE samples inhibited [3H]thymidine uptake in human gingival fibroblasts and caused degradation of the cells. The results suggest that the cell membrane components extractable with sodium dodecyl sulphate from periodontopathic bacteria are involved in the pathogenesis of periodontal disease.

Actinobacillus↗

Low molecular weight factors displaying augmenting activity for human antibody production in vitro.

Dialyzable low molecular weight antibody-augmenting factors (LMAAF) were found in the culture supernatant of human tonsillar lymphocytes which were not stimulated by antigen and/or mitogen in vitro. Phagocyte-depleted nylon wool-adherent lymphocytes (M-Ny+ cells) were responsible for the release of the LMAAF. Marbrook's culture system was adopted to assay for the LMAAF. The M-Ny+ cells, which were cultured without antigen and/or without mitogen in the reservoir of Marbrook's diffusion culture vessel, released the LMAAF, which diffused across a dialysis membrane and significantly augmented the pokeweed mitogen (PWM)-induced plaque-forming cell (PFC) response of phagocyte-depleted lymphocytes (M-cells) cultured in the inner vessel. Phagocyte-depleted nylon wool-passed lymphocytes (M-Ny- cells) cultured in the reservoir could not augment the PWM-induced PFC response of the M- cells cultured in the inner vessel. The exuded fluid, which was the dialysate of the culture supernatant of the M-Ny+ cells ultrafiltrated with dialysis tubing, also enhanced the PFC response of M- cells cultured in 24-well multi plates. The exuded fluid also augmented the total IgM and IgG production of human tonsillar and peripheral blood lymphocytes measured by enzyme-linked immunosorbent assay (ELISA) systems. Gel filtration chromatography on Sephadex G-25 Superfine column showed that the LMAAF activity was demonstrated in the fractions corresponding to a molecular weight (m.w.) of 362 to 1,355 and a m.w. of 3,560 to 5,700, with a peak activity at about 4,500 dalton. The LMAAF were inactivated by treatment with proteinase K, but not by trypsin, alpha-chymotrypsin, RNase, and DNase, and were stable when treated at 56 C for 60 min. The dialysates of culture supernatants from two out of seven Epstein-Barr virus (EBV)-transformed M-Ny+ cell lines showed LMAAF-like activity. These results indicate that phagocyte-depleted nylon wool-adherent lymphocytes, possibly B cells, release low molecular weight factors displaying augmenting activity for human antibody production in vitro.

Antibody Formation↗

The isopotential body surface atrial maps in healthy children of different age groups.

Isopotential body surface maps during atrial excitation were examined by ten beats addition method of the P waves in 32 healthy children divided into three age groups. The moving pattern of the maxima and the minima, and the distribution of areas of positive and negative potentials in each group were similar to those of adults. Quantitative analysis of the duration and amplitude of the anterior and the left maximum, and the shift time from the former to the latter were done. In children the duration and amplitude of the anterior maximum were always larger than those of the left maximum in contrast to findings in adults where no significant difference was found in their values. The higher amplitude of the anterior maximum was found mainly in the youngest group. These parameters of the P maps were also examined in 12 cases of atrial septal defect (ASD). The amplitude and duration of the anterior maximum were larger than those of healthy children at each age group, although the P wave by the conventional ECG did not reveal signs of right atrial overload. These results suggest that the body surface maps of the P waves are useful diagnostic methods to detect atrial disorders in children.

Aging↗

Calcium-independent phosphorylation of smooth muscle myosin light chain by okadaic acid isolated from black sponge (Halichondria okadai).

Previously, we have shown that okadaic acid (OA), isolated from black sponge (Halichondria okadai) causes contraction even in the absence of Ca++ in the saponin-permealized taenia isolated from guinea pig cecum. In the present study, mechanism of action of OA was examined using native actomyosin extracted from chicken gizzard smooth muscle. In the absence of Ca++, OA (0.1-1 microM) induced superprecipitation and increased the Mg++-adenosine triphosphatase activity. The OA-induced superprecipitation was enhanced by Ca++ at a concentration (greater than 0.1 microM) which did not activate the calmodulin-dependent myosin light chain (MLC) kinase. The effect of OA was not affected by the calmodulin inhibitor, trifluoperazine, at a concentration (100 microM) needed to inhibit the Ca++-induced response, but was inhibited markedly by the nonselective kinase inhibitors, amiloride (1 mM) and K-252a (5 microM). The OA-induced superprecipitation in the absence of Ca++ was accompanied by phosphorylation of the 20 K dalton MLC, which also was enhanced by low concentration of Ca++ (greater than 0.1 microM). OA did not change the phosphatase activity which dephosphorylates the phosphorylated MLC. An activator of Ca++- and phospholipid-dependent protein kinase, 12-O-tetradecanoylphorbol 13-acetate (1 microM), did not modulate superprecipitation or phosphorylation of MLC in the presence and absence of OA. Furthermore, inhibitors of Ca++ and phospholipid-dependent protein kinase, 1-(5-isoquinoline-sulfonyl)-2-methylpiperazine dihydrochloride (400 microM) and polymyxin B (100 micrograms/ml), affected neither superprecipitation nor phosphorylation of MLC induced by OA. With a reconstituted system containing purified myosin and MLC kinase, OA induced only slight phosphorylation of MLC.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗