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Biomedical subjects

H Ito

Publications and source records attributed to H Ito.

At least 595 records · Page 33Linked to original sources
PubMed1999

Retinal projections and retinal ganglion cell distribution patterns in a sturgeon (Acipenser transmontanus), a non-teleost actinopterygian fish.

Retinal projections in a sturgeon were studied by injecting biocytin or HRP into the optic nerve. The target areas are the preoptic area, thalamus, area pretectalis, nucleus of posterior commissure, optic tectum, and nuclei of the accessory optic tract. Furthermore, a few labeled fibers and terminals were found in a ventrolateral area of the caudal telencephalon. All retinal projections are bilateral, although contralateral projections were more heavily labeled. Retrogradely labeled neurons were found in the ventral thalamus bilaterally. Retinal projections in sturgeons are similar to those of other non-teleost actinopterygians and chondrichthyans (sharks), in terms of the targets and extent of bilateral projections. Distribution patterns of ganglion cells in the retina were examined in Nissl-stained retinal whole mount preparations. The highest density areas were found in the temporal and nasal retinas, and a dense band of ganglion cells was observed along the horizontal axis between the nasal and temporal areas of highest density. The density of ganglion cells in the dorsal retina is the lowest. The total number of ganglion cells was estimated to be about 5 x 10(4) in a retina. The existence of a low density area in the dorsal retina suggests reduced visual acuity in the ventral visual field.

Animals↗
PubMed1999

Tectal fiber connections in a non-teleost actinopterygian fish, the sturgeon Acipenser.

Tectal fiber connections were studied in members of an early branch of the actinopterygian lineage, the sturgeons Acipenser transmontanus and A. schrenkii, by means of biocytin, HRP, biotinylated dextran amine, and DiI tract tracing methods. The aim of this study is to elucidate the visual pathway via the optic tectum to the thalamus as a part of a series of studies on the visual pathways in sturgeons. After biocytin or biotinylated dextran amine injections to the optic tectum terminals are found bilaterally in the medial and lateral portions of both the dorsal thalamus and ventral thalamus. Ipsilateral projections are much more abundant. Tectal recipient areas in the thalamus overlap in part with the retinal recipient areas. After HRP or DiI injections to the dorsal or ventral thalamus, tectal neurons projecting to the thalamus were labeled in the ipsilateral or bilateral stratum periventriculare. Dendritic morphology of tectothalamic neurons suggests that they receive direct retinal input. These results suggest that visual information passes through the tectum to the thalamic areas which also receive direct retinal projections. In this regard, the visual system of Acipenser resembles that of chondrichthyans (sharks). Other fiber connections of the tectum are also described, which have not previously been studied by tracer methods in a sturgeon.

Animals↗
PubMed1999

Visual thalamotelencephalic pathways in the sturgeon Acipenser, a non-teleost actinopterygian fish.

Terrestrial vertebrates (amphibians, reptiles, birds, and mammals) possess two visual systems, the geniculate and extrageniculate pathways to the telencephalon. In cartilaginous fishes (e.g. sharks) both retinal and tectal neurons project to neurons in the thalamus, which themselves project to a single area in the telencephalon. The condition in ray-finned fishes (Actinopterygii) is ambiguous. In many teleosts there is a well developed extrageniculate pathway but no obvious geniculate system. This study reports on the thalamotelencephalic projections of a sturgeon, a non-teleost ray-finned fish. Several tract tracing methods (e.g., HRP, WGA-HRP, biocytin, BDA, DiI) were employed in conjunction with normal techniques for identifying neural structures (e.g., Nissl, Golgi). After injections of tracer into retinal and tectal recipient areas of the thalamus, labeled terminals were observed in the ventrolateral region of the caudal telencephalon, an area referred to as the thalamic projection area. After injections of tracer into the telencephalon, populations of retrogradely filled neurons were located in both the dorsal and ventral thalamus. These data demonstrate that thalamic neurons in both retinal and tectal pathways project directly to the telencephalon. These results support the view that two visual pathways are a primitive feature of vertebrate brain organization. These results are also consistent with the hypothesis that the ancestor of Acipenser and Teleostei (Actinopteri) acquired a novel visual pathway to the telencephalon through the ventral portion of the thalamus.

Animals↗
PubMed1999

Fiber connections of the inferior lobe in a percomorph teleost, Thamnaconus (Navodon) modestus.

Afferent and efferent fiber connections of the lobus inferior (LI) were studied in a percomorph teleost, Thamnaconus (Navodon) modestus. The LI of Thamnaconus is composed of the nucleus diffusus lobi inferioris (NDLI), the nucleus recessus lateralis pars lateralis et medialis (NRLl and NRLm), and the nucleus centralis lobi inferioris pars anterior et posterior (NCa and NCp). The NDLI receives projections from the secondary gustatory nucleus, preglomerular tertiary gustatory nucleus, corpus glomerulosum, dorsal region of the area dorsalis telencephali pars medialis (dDm), and area dorsalis telencephali pars lateralis. Different subdivisions of the dorsal telencephalon project to discrete regions of the NDLI. The NDLI projects to the corpus mamillare, NRLl, NCa, and NCp. Thus the NDLI could be regarded as an intrahypothalamic relay nucleus. The NCa receives projections from the NDLI and projects to the preglomerular tertiary gustatory nucleus, secondary gustatory nucleus, nucleus lateralis valvulae, and NRLl. The NCa appears to be primarily an extrahypothalamic projection nucleus. The NCp receives projections from the NDLI. Efferent connections of the NCp remain to be studied. The NRLl receives projections from the NDLI, and projects to the nucleus ruber (NR) of Goldstein [1905] and the preglomerular tertiary gustatory nucleus. Dense projections of the NR to the stratum opticum and stratum fibrosum et griseum superficiale of the optic tectum are demonstrated. The NRLm receives projections from the medial part of the dDm. Efferent connections of the NRLm remain unclear. The LI as a whole receives projections from the locus coeruleus and nucleus raphe superior. These results suggest that the LI receives gustatory and/or general visceral information from the secondary and tertiary gustatory nuclei, visual and somatosensory inputs from the corpus glomerulosum. Inputs from the dorsal telencephalic subdivisions could be of various modalities (e.g. visual, acousticolateral, gustatory and/or general visceral). The present study also suggests that information processed in the LI is transmitted to the optic tectum via the NR, to the corpus mamillare, to the secondary and tertiary gustatory nuclei, and to the cerebellum via the nucleus lateralis valvulae.

Animals↗
PubMed1999

Sonic motor nucleus and its connections with octaval and lateral line nuclei of the medulla in a rockfish, Sebastiscus marmoratus.

The sonic motor nucleus and its fiber connections were examined in a rockfish, Sebastiscus marmoratus by means of tracer methods using horseradish peroxidase (HRP), biocytin, and carbocyanine dye (DiI). Sebastiscus has a swimbladder and a pair of extrinsic sonic/drumming muscles. The sonic muscle is ipsilaterally innervated by the occipital nerve which is composed of two ventral roots arising from the sonic motor nucleus. The sonic motor neurons are distributed in the most ventral part of the ventral column from the caudal medulla to the rostral spinal cord, and form a ventrally located columnar nucleus. Each neuron in this nucleus possesses a long thick dendrite and several short dendrites. The long dendrite extends dorsolaterally and branches in the lateral funiculus, whereas the short dendrites branch around their cell bodies. After biocytin injections into the sonic motor nucleus, two groups of premotor neurons were retrogradely labeled bilaterally, one in the dorsomedial portion of the descending octaval nucleus (DO) and the other in the medial zone of the reticular formation (RF) in the medulla. The DO premotor neurons were multipolar with several dendrites branching near the cell bodies, and the RF premotor neurons were bipolar. One of the two dendrites of the RF premotor neurons extends laterally into the ventral portion of the DO, and the other dendrite extends into the ventromedial area in the medulla. In the ventromedial dendritic field of the RF premotor neurons, descending fibers arising from the optic tectum (TO) and torus semicircularis (TS) traverse in the tractus tectobulbaris and terminate bilaterally. After DiI insertion into the ventromedial dendritic field, retrogradely labeled neurons were found bilaterally in the TS and TO. The majority of tectal neurons were located in the stratum griseum centrale. These neurons had two short basal dendrites branching in the cell layer and a long apical dendrite extending to the stratum fibrosum et griseum superficiale and stratum opticum. The toral neurons were bipolar and were distributed throughout the TS. Furthermore, biocytin injections into the medial nucleus of the lateral line system revealed that the nucleus projects bilaterally to the RF premotor neurons. These results show that premotor neurons for the sonic motor nucleus are located in the dorsomedial portion of the DO and the medial zone of the RF in the medulla. It is suggested that the sonic motor nucleus receives auditory input via the DO premotor neurons and input from RF premotor neurons which receive lateral line input via the medial nucleus, vestibular input through the lateral dendrite extending into the ventral portion of the DO, and information from the TO and TS via the tractus tectobulbaris.

Air Sacs↗
PubMed1999

Decreased regional cerebral metabolic rate for glucose in systemic lupus erythematosus patients with psychiatric symptoms.

To determine brain functional abnormality in systemic lupus erythematosus (SLE) patients with psychiatric symptoms, we evaluated 12 active SLE patients with or without psychiatric symptoms by means of [18F]2-fluoro-2-deoxy-D-glucose positron emission tomography (PET), magnetic resonance imaging and neuropsychological testing. Patients with psychiatric symptoms showed significantly poorer performance in tests which subserved attentional function. The PET study revealed that the psychiatric patients had significantly decreased regional cerebral metabolic rates for glucose in the prefrontal, inferior parietal and anterior cingulate regions. Prefrontal, inferior parietal and anterior cingulate dysfunction may be related to attentional deficits that are involved in various psychiatric symptoms in SLE. PET is an invaluable tool to reveal such brain functional abnormality seen in SLE patients with psychiatric symptoms.

Adolescent↗
PubMed1999

Intracranial metastasis of Wilms' tumor involving the tectal plate without pulmonary involvement. Case report.

Intracranial metastasis without pulmonary involvement of Wilms' tumor is very rare, and most previously reported metastatic sites have been in the cerebral parenchyma. We experienced a rare case of metastasis of Wilms' tumor in the tectal plate without pulmonary involvement. A 3-month-old boy was admitted to our hospital due to hydrocephalus. After insertion of a ventriculoperitoneal shunt, there were no neurological deficits. Five months after the operation, a mass 5 cm in diameter extending from the tectal plate into the third ventricle was found. A mass 10 cm in diameter within the retroperitoneal space, which occupied the right kidney, was also found. Both tumors were resected and diagnosed histologically as Wilms' tumor. Despite every effort including chemotherapy and radiotherapy, the patient died at 14 months old. The majority of children with hydrocephalus showing thickening of the tectal plate would most likely have tectal glioma; however, this unusual case report reminds us that metastasis of Wilms' tumor can occur in the tectal plate causing hydrocephalus.

Brain Neoplasms↗
PubMed1999

Genetic alterations in pediatric medulloblastomas detected by comparative genomic hybridization.

Children with medulloblastomas show diverse clinical courses even when receiving similar treatments. In this study, comparative genomic hybridization, which allows the detection of losses and gains in DNA copy number along the entire genome, was used to investigate the genetic alterations in 6 cases of medulloblastoma with adequate follow-up periods and similar treatments, and in a medulloblastoma cell line. In the cell line, the number of aberrations was the highest of all samples examined. In 6 clinical samples, frequently altered regions (more than 3 cases) observed in all medulloblastomas were gains of 7q and 17q (4 cases each), and of 2p, 2q and 7p (3 cases each). High-grade amplification was observed at the loci 8q, 17q and 21q, each in a single case. The case with the most favorable outcome 9 years after surgery had the smallest number of chromosomal changes among the cases examined. Our results may indicate that further acquisition of genetic alterations detected by comparative genomic hybridization are associated with unfavorable prognosis in patients with medulloblastomas.

Adolescent↗
PubMed1999

Optic glioma with characteristic bilateral optic atrophy in a 3-year-old girl.

We report a case of optic glioma with bilateral optic atrophy. A 3-year-old girl presented with vomiting and left hemiparesis. She had hypothalamic dysfunction, right ptosis, right monocular nystagmus, left facial palsy, left hemiparesis, and left pes adductus. Neuroimaging studies showed obstructive hydrocephalus with a large suprasellar calcified tumor with a ring-like enhancement mimicking craniopharyngioma. Visual-evoked potentials showed delayed latency of N75 in the right occipital lead. The tumor, a pilocytic astrocytoma in the right optic tract and chiasma, was partially removed via a right frontotemporal craniotomy. The right optic nerve had shrunk to half the normal diameter and became twisted downwardly. Intracranial pressure (ICP) increased to 40 cm H2O. The fundus had bilateral optic atrophy without disc swelling. To our knowledge, this is the first report of a lamina/dot sign of the optic disc in a small child with a brain tumor and a normal neuroretinal fiber layer. These ocular findings may result from possible interruption of the axonal flow caused by the tumor and not increased ICP.

Child, Preschool↗
PubMed1999

Removal and inactivation of hepatitis B virus from contaminated pooled plasma in a large-scale manufacturing process for factor VIII and human serum albumin.

BACKGROUND AND OBJECTIVES: The Japanese Red Cross Society recalled one lot of monoclonal-antibody-purified factor VIII (F VIII) and two lots of human serum albumin (HSA) 5 months after preparation of the final products, because of a procedural error that led to contamination by a unit of plasma positive for hepatitis B surface antigen (HBsAg). We evaluated the effectiveness of virus inactivation/removal in a large-scale process for manufacturing F VIII and HSA. MATERIALS AND METHODS: HBV DNA in the retained samples in process was measured by the polymerase chain reaction (PCR). The kinetics of virus inactivation by solvent-detergent (S/D) treatment was examined using model viruses. We also did a look-back survey of the patients who received corresponding products. RESULTS: Contaminated hepatitis B virus (HBV) DNA became undetectable beyond fraction S IV-I in the albumin process and immunoaffinity chromatography in the F VIII process, respectively. The model viruses were inactivated within 5 s by S/D treatment. There is no evidence that patients were infected by HBV after transfusion of these products. CONCLUSION: We conclude that virus inactivation/removal was effectively achieved in a large-scale manufacturing process for F VIII and HSA.

Factor VIII↗
PubMed1999

Apoptosis and overexpression of bax protein and bax mRNA in smooth muscle cells within intimal hyperplasia of human radial arteries : analysis with arteriovenous fistulas used for hemodialysis.

There is a type of arteriosclerosis with remodeling of middle-size arteries in which intimal hyperplasia of smooth muscle cells (SMCs) plays the main role, and there are few macrophages, T lymphocytes, and foam cells. It is unknown whether apoptosis and the expression of Bax, an inducer of apoptosis, are increased according to the progression of this type of human arteriosclerosis, which is different from so-called atherosclerosis. Bax heterodimerizes with Bcl-2, an inhibitor of apoptosis, and the ratio of Bax to Bcl-2 determines cellular apoptosis or survival. Thus, we investigated apoptosis and the expressions of Bax, bax mRNA, and Bcl-2 in human arteriovenous (AV) fistulas used for hemodialysis, a representative of arteriosclerosis of the aforementioned type. The material was 20 radial arteries obtained from 20 patients with chronic renal failure undergoing AV shunt surgery. SMCs, macrophages, and T lymphocytes were immunohistochemically identified at the light microscopic (LM) level. Apoptosis was detected by in situ terminal deoxynucleotidyl transferase (TdT)-mediated digoxigenin-dUTP nick end labeling (TUNEL) at both the LM and electron microscopic (EM) level. Cell proliferating activity was estimated by proliferating cell nuclear antigen (PCNA). Bax and Bcl-2 were detected by immunohistochemistry and Western blot analysis. Expression of bax mRNA was detected by in situ hybridization. LM TUNEL-positive cells in both the intima and media were significantly increased according to the percent stenosis of the vessels. EM analysis revealed that ultrastructures of apoptotic SMCs were seen in both synthetic and contractile phenotypes. Their frequency of occurrence in the intima and media were greater in those vessels with >50% stenosis than in those with <50% stenosis (5.2+/-0.7% versus 1.0+/-0.3% in the intima and 2. 1+/-0.5% versus 0.2+/-0.1% in the media). The proportion of apoptotic SMCs with ruptured plasma membranes was greater than that of apoptotic SMCs with intact membranes in the intima of the former (4.1+/-0.6% versus 1.1+/-0.1%). Only those SMCs with apoptotic ultrastructures had TUNEL-positive nuclei with moderate or marked accumulation of immunogold particles at the EM level. However, ultrastructures of oncosis (primary necrosis) were not observed. Immunohistochemical analyses showed significant positive correlations between percent stenosis of vessels and the percentage of either PCNA-positive intimal cells or Bax-positive areas in the intima and media. Bcl-2-positive cells were not observed in the intima but mainly in the outer media. The percentage of Bcl-2-positive medial cells was definitely decreased at an early stage after formation of the AV fistula but did not change according to the duration of hemodialysis or the progression of arteriosclerosis. Western blot analysis of Bax or Bcl-2 and in situ hybridization of bax mRNA confirmed the immunohistochemical data. Thus, regulation of cellularity in intimal hyperplasia of SMCs in human arteriosclerosis with remodeling is mediated by proliferation and apoptosis but not oncosis. The apoptosis is probably induced by an increase in the Bax to Bcl-2 ratio.

Adult↗
PubMed1999

Postoperative outcome of 37 patients with lobar intracerebral hemorrhage related to cerebral amyloid angiopathy.

BACKGROUND AND PURPOSE: Several recent studies have suggested that neurosurgical procedures are not contraindicated in patients with cerebral amyloid angiopathy (CAA). The purpose of this study was to elucidate the clinical factors influencing the outcome of patients with CAA-related intracerebral hemorrhage (ICH) treated surgically. METHODS: A total of 50 neurosurgical procedures (42 intracerebral hematoma evacuations, 4 ventriculoperitoneal shunts, 3 ventricular drainages, and 1 brain biopsy) were performed in 37 patients with CAA-related ICH. To ascertain the clinical factors that may influence their postoperative outcome, their clinical data (demographics, medical history, recurrent lobar hemorrhage, radiographic characteristics, multiple lobar hemorrhage, surgical details, and postoperative hemorrhage) were examined retrospectively and subjected to multivariate analysis. RESULTS: Twenty patients (54%) had a good outcome, and only 4 (11%) died. Parietal hematomas, advanced age (>/=75 years), and intraventricular hemorrhages had significant adverse influence on the postoperative outcome. Clinically significant postoperative hemorrhage requiring evacuation occurred after 2 (5%) of 42 intracerebral hematoma evacuations. Postoperative hemorrhage did not have significant adverse influence on the outcome. CONCLUSIONS: Neurosurgery can be performed relatively safely in patients with CAA-related ICH, and their postoperative outcome is better than that reported previously. Surgical treatment should be considered for such patients aged <75 years without a parietal hematoma and intraventricular hemorrhage.

Age Factors↗
PubMed1999

Effect of intravenous dipyridamole on cerebral blood flow in humans. A PET study.

BACKGROUND AND PURPOSE: Dipyridamole increases the concentration of circulating adenosine, which is a potent vasodilator, by inhibition of uptake of adenosine into the erythrocytes, and hence produces coronary vasodilation. However, the effects of dipyridamole on cerebral circulation is not pronounced. This study investigates the effects of intravenous dipyridamole on cerebral blood flow (CBF) in humans with use of positron emission tomography (PET). METHODS: In each of 13 healthy subjects, CBF was measured using (15)O-labeled water and PET at rest and during hypercapnia, hypocapnia, and dipyridamole stress; corresponding CBF values were then compared. RESULTS: CBF values during dipyridamole stress were significantly lower than those measured at rest. The dipyridamole stress PaCO(2) was also significantly lower than the resting PaCO(2). The change in CBF during dipyridamole stress relative to PaCO(2) closely followed the relationship between CBF and PaCO(2) during hypocapnia. CONCLUSIONS: These results indicate that the observed decrease in CBF during dipyridamole stress was caused by a decrease in PaCO(2) rather than by any direct action of dipyridamole on CBF. The decrease in PaCO(2) during dipyridamole stress was most likely due to hyperventilation, which was a side effect of adenosine. These results support the hypothesis that circulating adenosine is largely prevented from binding to adenosine receptors of cerebral vessels by the blood-brain barrier.

Aged↗
PubMed1999

Characteristics of nonresponders to a patient satisfaction survey at discharge from psychiatric hospitals.

The study compared the demographic and clinical characteristics of patients treated in the 31 psychiatric hospitals in Japan who did and did not return a satisfaction survey at discharge. Of the 471 patients discharged in a one-month period, 364 agreed to participate. A total of 235 turned in completed forms, 91 turned in incomplete forms, and 38 did not return the form. The latter two groups were defined as nonresponders. Nonresponders were significantly older than responders, but no significant differences were found between the two groups in diagnosis and other demographic characteristics. Responders and incomplete responders had significantly higher scores on the Global Assessment of Functioning scale than those who did not return the survey.

Adult↗
PubMed1999

Pharmacogenetic analysis of the effect of angiotensin-converting enzyme inhibitor on restenosis after percutaneous transluminal coronary angioplasty.

Angiotensin-converting enzyme (ACE) inhibitors are reported to prevent neointimal formation after balloon injury in animal models, but in most prospective studies in humans, ACE inhibitors failed to prevent restenosis after percutaneous transluminal coronary angioplasty (PTCA). The ACE genotype assigned by an insertion/deletion (I/D) polymorphism is known to affect the potency of ACE inhibitors in several renal diseases. The authors attempted to clarify whether the effect of ACE inhibitors on restenosis might be modified by the ACE genotype. A total of 126 patients was randomly and prospectively assigned to the control group and the imidapril group. In the imidapril group, patients received 5 mg imidapril daily, starting 1 day before PTCA and continuing for 3 to 6 months. Forty-six control (65 vessels) and 32 imidapril patients (43 vessels) completed the study. The minimal lumen diameter before and after the procedure did not differ significantly among the groups with the three genotypes (II, ID, and DD) in both the control and imidapril groups. Late luminal loss during the follow-up period was not related to the ACE genotype in the control group but was significantly related in the imidapril group (II, 0.63+/- 0.19 mm; ID + DD, 1.12+/-0.14 mm, p<0.05). Furthermore, in the II genotype, imidapril significantly reduced late loss and restenosis rate as defined by most of the frequently used definitions. In conclusion the ACE I/D polymorphism may influence the effect of ACE inhibitors in preventing restenosis after PTCA.

Aged↗
PubMed1999

Clinical significance of increased mobility in the sagittal plane in patients with hallux valgus.

Hallux valgus (HV) deformity is not always accompanied by pain. We compared roentgenograms of 32 feet of people with HV deformity and pain to roentgenograms of 22 feet of people with painless HV deformity. Twenty-three feet without HV deformity or pain were used as controls. Weightbearing and nonweightbearing roentgenograms of the lateral talar-first metatarsal angle showed a statistically significant difference between feet with deformity and pain compared with feet with painless HV, or compared with normal feet. Changes in the angles of HV between weightbearing and nonweight-bearing situations showed significant differences between HV feet and normal feet, whether or not they had pain. In HV patients, increased mobility in the sagittal plane may play a considerable role in the development of pain.

Female↗
PubMed1999

Marked reduction in the minimum inhibitory concentration (MIC) of beta-lactams in methicillin-resistant Staphylococcus aureus produced by epicatechin gallate, an ingredient of green tea (Camellia sinensis).

We found that epicatechin gallate, a constituent of an extract of tea leaves (green tea) markedly lowered the minimum inhibitory concentration (MIC) of oxacillin and other beta-lactams, but not of other antibacterial agents tested, in strains of methicillin-resistant Staphylococcus aureus. The antibacterial action of epicatechin gallate plus oxacillin was a bactericidal one.

Anti-Bacterial Agents↗