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Biomedical subjects

H Mitsuhashi

Publications and source records attributed to H Mitsuhashi.

At least 91 records · Page 5Linked to original sources

Canine digitalis arrhythmia as a model for detecting Na-channel blocking antiarrhythmic drugs: a comparative study using other canine arrhythmia models and the new antiarrhythmic drugs, propafenone, tocainide, and SUN 1165.

Antiarrhythmic effects of three new drugs, propafenone, tocainide, and SUN 1165, were examined using three canine ventricular arrhythmia models, i.e., digitalis, adrenaline and two-stage coronary ligation arrhythmias. The effects of procainamide, disopyramide, lidocaine, and phenytoin, class 1 antiarrhythmic drugs, on digitalis arrhythmia were also examined. The minimum effective plasma concentrations of all these drugs for each arrhythmia model were determined for a quantitative comparison. Propafenone and tocainide suppressed all the arrhythmias, while SUN 1165 suppressed digitalis and coronary ligation arrhythmias. The minimum effective plasma concentrations of propafenone for digitalis, adrenaline, 24-h coronary ligation, and 48-h coronary ligation arrhythmias were 1.8 +/- 0.7, 0.58 +/- 0.20, 3.5 +/- 0.3, and 3.6 +/- 0.9 micrograms/ml, respectively, and those of tocainide were 6.2 +/- 2.1, 23.7 +/- 9.0, 11.4 +/- 0.5, and 8.6 +/- 2.9 micrograms/ml, respectively (mean +/- standard deviation, n = 6-7). The minimum effective concentrations of SUN 1165 for digitalis, 24-h coronary ligation, and 48-h coronary ligation arrhythmias were 0.92 +/- 0.19, 2.5 +/- 0.4, and 1.2 +/- 0.4 micrograms/ml. The minimum effective concentrations for digitalis arrhythmias were 1.7 +/- 0.4 micrograms/ml for disopyramide, 10.1 +/- 2.4 micrograms/ml for procainamide, 3.5 +/- 1.6 micrograms/ml for lidocaine, and 11.3 +/- 3.0 micrograms/ml for phenytoin. Digitalis arrhythmia seems to be a useful model for detecting class 1 drugs, as it was suppressed by all the class 1 Na-channel blocking antiarrhythmic drugs, while class 2 beta adrenergic blockers and class 4 Ca-channel blockers had no effect. Also, not all the class 1 drugs suppressed coronary ligation and adrenaline arrhythmias.

Animals↗

[Dynamic CT scan in cerebral infarction].

Forty-two dynamic CT studies were performed on 27 patients with cerebral infarction (11 to 75 years of age), and perfusion patterns of low density areas on plain CT were evaluated. The initial studies were performed 1.5 hours to 60 days after acute onset. In 14 patients, repeat studies were carried out to know how the perfusion pattern changes with time. All scannings were done on the level which includes anterior horns and trigones of lateral ventricle, thalamus, and internal capsules. CT scanners used were SIEMENS SOMATOM 2 and GE CT/T 8800. Procedures were as follows: 65% amidotrizomeglumin (1 ml/kg) was injected over 5 seconds through 18G needle placed in a antecubital vein. Injection of the contrast media was started with initiation of the second scanning. Totally 8 and 10 serial scans were performed, in SOMATOM 2 and CT/T 8800 respectively. Perfusion pattern is evaluated by comparing two time-density curves obtained from low density area on plain CT and the same region of contralateral side. The following results were obtained. The perfusion pattern in the low density area on plain CT varies among patients at any periods after onset, ranging from absent perfusion pattern to hyperfusion pattern. No consistent perfusion pattern was obtained at any given time after onset. Repeat dynamic CT revealed that the perfusion pattern in the low density area changed with time variously. The perfusion pattern or change of perfusion pattern did not correlate with outcome of the patient.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[Clinical evaluation of serum CEA levels in uterine cervix cancer].

Serum CEA levels were measured in the blood of 98 patients with uterine cervix cancer before, during, and after treatment to investigate the relationship among the CEA level, the extent of the disease, and recovery. The CEA level rose as the disease progressed. Although there was no significant difference in the survival rates of patients with various CEA levels, those who returned to normal levels after treatment recuperated better. There was not clear evidence that CEA levels are clinically significant. However, it can be concluded that CEA levels at pre- and post-treatment times are helpful in the early detection of disease, prognosis, and in predicting recurrence or metastasis.

Carcinoembryonic Antigen↗

Marine sterols. XII. Glaucasterol, a novel C27 sterol with a unique side chain, from the soft coral Sarcophyton glaucum.

A minor C27 sterol, glaucasterol, was isolated from the soft coral Sarcophyton glaucum. Based on the spectroscopic evidence and the correlation to cholestanol and 26-nor-27-homocholestanol, its structure was proposed to be 24 epsilon,25 epsilon-24,26-cyclocholesta-5,22E-dien-3 eta-ol (1), the first example of a natural C27 sterol having a cyclopropane ring in the side chain.

Animals↗

Marine sterols. XIII. Isolation and synthesis of 1 beta,3 beta,5,6 beta-tetrahydroxy-5 alpha-androstan-17-one from the soft coral Sarcophyton glaucum.

A new polyhydroxysterol 1 beta,3 beta,5,6 beta-tetrahydroxy-5 alpha-androstn-17-one (1) was isolated from the soft coral Sarcophyton glaucum. The structure of 1 was deduced from comparison of the spectral data with those of known 1 beta,3 beta,5 alpha,6 beta-tetrahydroxysterols and confirmed by the synthesis starting from 1 beta,3 beta-dihydroxy-5,16-pregnadien-20-one (6a).

Androstanols↗

Marine sterols. VIII. Isolation and structure of sarcosterol, a new sterol with a delta17(20)-double bond from the soft coral Sarcophyton glaucum.

The sterol mixture of the southern Japan's soft coral, Sarcophyton glaucum, was found to contain 11 sterols including a novel sterol, 23,24 xi-dimethylcholesta-5,22-dien-3 beta-ol and a new diunsaturated C29 sterol. 22,23-Dihydrobrassicasterol and gorgosterol were the major components in free- and esterified sterols respectively. Brassicasterol was found in S. glaucum, in contrast to the ubiquity of 24-epibrassicasterol in the marine invertebrates in the northern districts. The new sterol (sarcosterol) was isolated; its structure as 23 xi, 24 xi-dimethylcholesta-5, 17(20)-trans-dien-3 beta-ol was based on spectra evidence and comparison with cholesta-5, 17(20)-trans-dien-3 beta-ol.

Animals↗

Marine sterols. IX. Occurrence of 24 xi-methylcholestane-1 beta, 3 beta, 5 alpha, 6 beta, 25-pentol 25-monoacetate in the soft coral, Sarcophyton glaucum.

The southern Japan's soft coral, Sarcophyton glaucum, was found to contain several polyhydroxylates steroids. One of the minor components was isolated and its structure was established as 24 xi-methylcholestane-1 beta, 3 beta, 5 alpha, 6 beta, 25-pentol 25-monoacetate from spectral evidence and from comparison with a reference compound, 5 alpha-spirostan-1 beta, 3 beta, 5 alpha, 6 beta-tetrol, which was synthesized from ruscogenin. A mixture of 1 beta, 3 beta, 5 alpha, 6 beta-tetra hydroxy C27- and C28-sterols was also isolated.

Animals↗