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Biomedical subjects

H Kojima

Publications and source records attributed to H Kojima.

At least 613 records · Page 34Linked to original sources

New alpha 2-adrenergic blocker (DG-5128) improves insulin secretion and in vivo glucose disposal in NIDDM patients.

Effects of oral administration of DG-5128, a new oral hypoglycemic agent, on glycemic control after a mixed meal and an in vivo glucose disposal were measured in subjects with nonobese non-insulin-dependent diabetes mellitus (NIDDM). Oral administration of DG-5128 significantly (P less than .05) enhanced insulin secretion both 30 and 60 min after a mixed meal (550 kcal), with a concomitant decrease in postprandial plasma glucose levels at 60 and 120 min. Glucose disposal rate between the 2nd and 4th h of a euglycemic insulin clamp, developed through a constant infusion of insulin (0.77 mU X kg-1 X min-1) together with somatostatin (80 ng X kg-1 X min-1), was 2.5-fold higher in a DG-5128-treated group (P less than .01) than in a control group. However, there was no difference between the two groups in either plasma glucose concentration or plasma insulin concentration at either the 2nd or the 4th h. These results indicate that DG-5128 is effective in controlling plasma glucose levels in subjects with NIDDM by stimulation of both insulin secretion and in vivo glucose disposal.

Adrenergic alpha-Antagonists↗

Modification of immune complexes deposited in glomeruli in tissue sections treated with sulfonized gamma-globulin.

The modification of immune complexes (IC) deposited in renal tissues obtained from the patients with membranous nephropathy (MN), membranoproliferative glomerulonephritis (MGPN), systemic lupus erythematosus (SLE), IgA nephropathy, and rabbits with chronic serum sickness was investigated by an immunofluorescent technique. Following treatment with sulfonized gamma-globulin (S-GG), IgG deposited in glomeruli disappeared. However, the deposition of other immunoglobulins, complement and protein A, and the fixation of guinea pig complement were not influenced in spite of the disappearance of IgG deposits. In addition, deposition of antigen was demonstrated following treatment with S-GG in experimental animals. By elution with 0.02 M citrate buffer at pH 3.2, the intensity of these deposits markedly decreased or disappeared completely. The data suggests that the phenomena of IgG-dispersion from IC following the treatment with either S-GG or acid buffer are essentially different. The exact mechanisms of selective IgG-dispersion by the treatment with S-GG are unclear, but an antiglobulin activity (rheumatoid factor or anti-idiotypic antibody) of deposited IC may play an important role.

Animals↗

[An analysis of prognostic examination in cirrhotic portal hypertension and hepatoma].

With an increasing number of patients with advanced liver cirrhosis, the discrepancy between the preoperative examination and results of surgery for bleeding varices is widening. To correct this discrepancy, additional prognostic examinations to Child's criteria and routine hepatic laboratory tests were studied in our 246 cirrhotic patients with esophageal varices. These included wedged hepatic vein pressure, clearance and maximal removal rate of indocyanine green, and hepaplastin test. We performed the endoscope assisted terminal esophagoproximal gastrectomy with the EEA stapler gun with devascularization and splenectomy. No operative death and complications developed when the results of following 4 preoperative examinations were: wedged hepatic vein pressure below 400 mm of saline, peripheral disappearance rate (K) of indocyanine green above 0.04 min-1, maximal removal rate (Rmax) of the dye above 0.3mg/kg/min and hepaplastin test more than 40%. It is necessary for these indicators to be satisfied simultaneously prior to performing this surgery. In addition, these values should be changed a little in their critical limits when these cirrhotic patients also had hepatoma and were candidates for hepatectomy.

Adult↗

[Spontaneous transection of a Raimondi peritoneal catheter--a case report with scanning electron microscopic study of the transected tube].

Spontaneous transection of Raimondi peritoneal catheter is reported. A 6-month-old boy with communicating hydrocephalus had ventriculoperitoneal shunt surgery using Raimondi peritoneal catheter. Six months later, Raimondi catheter was found to be spontaneously transected in a peritoneal cavity. At the age of 5 year-old, the originally installed Raimondi catheter was again transected on the portion of chest wall. Scanning electron microscopic examination of the broken end of spring wire suggested that transection was caused by repetitive exertion of external forces. Mechanisms of transection of this catheter was discussed with review of the literature.

Cerebrospinal Fluid Shunts↗

Interaction of the restriction endonuclease ScaI with its substrates.

The kinetic constants of the site-specific endonuclease, ScaI, for various substrates were determined. We estimated Vmax and Km for octa-, deca-, dodeca-, and hexadecanucleotides and for plasmid pBR322 DNA. Vmax for these substrates were close, but Km were quite different (in decreasing order, octa- greater than deca-, dodeca-, hexadeca- greater than pBR322). The results were discussed with respect to the tertiary structure of substrate.

DNA Restriction Enzymes↗

A new site-specific endonuclease, ScaI, from Streptomyces caespitosus.

A new site-specific endonuclease has been isolated from Streptomyces caespitosus and named ScaI. Based on analysis of sequences around the restriction sites in pBR322 and pBR325, the recognition sequence of ScaI endonuclease was deduced to be a new hexanucleotide 5'-AGTACT-3'. The cleavage site was determined by comparing the ScaI-cleaved product of a primer-extended M13mp18-SCA DNA, which contains an AGTACT sequence, with dideoxy chain terminator ladders of the same DNA. ScaI was found to cleave the recognition sequence between the internal T and A, leaving flush ends to the cleaved fragments.

Base Sequence↗

Phosphorylation of carnitine palmitoyltransferase and activation by glucagon in isolated rat hepatocytes.

Effects of glucagon and forskolin on the phosphorylation and changes of activity of carnitine palmitoyltransferase (CPT) have been studied in isolated rat hepatocytes using anti-CPT immunoglobulin. When the activity was determined in lysed hepatocytes after glucagon or forskolin treatment, it was found to be stimulated 30-80% mainly through increased affinity for palmitoyl-CoA. By SDS electrophoresis of the immunoprecipitates, CPT subunit (Mr 69000) was noted to be phosphorylated 4-5-fold with glucagon (1.2 X 10(-7) M) and forskolin (0.1 mM) over control. These results indicate that hepatic ketogenesis is regulated with glucagon by phosphorylation of CPT through cAMP-dependent protein kinase.

Acyltransferases↗

Synaptic actions of the ventral root afferents on cat hindlimb motoneurons.

Postsynaptic potentials (PSPs) with long latencies were evoked in cat hindlimb motoneurons by stimulation of the distal stump of a cut ventral root. Measurements of their latency and the threshold in the responsible afferent fibers showed that they were produced mainly by the activity of the unmyelinated fibers in the ventral root that enter the spinal cord through the dorsal root. Patterns of PSPs evoked in flexor and extensor motoneurons by ventral root stimulation were similar to those observed in the flexion reflex.

Animals↗