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Biomedical subjects

H Okabe

Publications and source records attributed to H Okabe.

At least 415 records · Page 23Linked to original sources
PubMed1989

[Rastelli's procedure].

In 1969, Rastelli conceived a new technique to repair of transposition of the great arteries in the presence of ventricular septal defect and severe pulmonary stenosis (TGA III), based on the redirection of ventricular outflows. An intracardiac tunnel connected the left ventricle to the aorta and an external valved conduit established continuity between the right ventricle and the pulmonary artery. TGA III and truncus arteriosus are underwent a Rastelli operation. The present report is an analysis of indication, operative technique, early and late results with this procedure. Early deaths were related to unfavourable anatomy, conduit compression and sepsis. Residual VSD and postoperative infection were the main factors contributing to the late deaths. A current Re-Rastelli operation for the problems of extracardiac valved conduit is a good result.

Humans↗
PubMed1988

Effects of serum from human subjects of various ages on proliferation of human lung and skin fibroblasts.

We carried out a study to determine whether serum from old human subjects inhibited cell proliferation. The results showed that serum from old subjects of either sex did not greatly inhibit the proliferation of human fetal lung fibroblast TIG-1 cells, even when serum from subjects in their 80s was used. The same results were obtained when the effects of serum on cell proliferation were examined up to a serum concentration of 50%. It was also found that serum from old subjects did not inhibit proliferation of human skin fibroblasts from a young adult to any greater degree than serum from young adult subjects, and that serum from young adult subjects did not stimulate proliferation of skin fibroblasts from an elderly donor to any greater degree than serum from old subjects.

Adolescent↗
PubMed1988

Long-term follow-up of 2529 patients with gastric and duodenal ulcer: survival rate and causes of death.

We investigated 2529 patients with peptic ulcer diagnosed from 1963 to 1975 to determine the prognosis relative to life span and causes of death. During the follow-up period of 9-23 yr, 486 patients (19.2%) died, 2025 (80.1%) were alive, and the fate of 18 (0.7%) was unknown. No significant differences were found between these numbers and the numbers expected from the sex- and age-matched general population at 1-20 yr after the initial diagnosis for patients with gastric ulcer, duodenal ulcer, or both gastric and duodenal ulcer, or for all ulcer groups combined. The survival rate for the surgically treated patients did not differ from the expected survival rate. The number of deaths from peptic ulcer (observed/expected = 18/5.47) was statistically high and the number from cerebrovascular disease was significantly low. Our results show that for patients with a peptic ulcer, the prognosis relative to life span is as good as that of the general population and surgery has little influence on the prognosis.

Adolescent↗
PubMed1988

Enhancement of non-polar lipid transfer reaction through stabilization of substrate lipid particles with apolipoproteins.

Transfer of lipids was studied between human plasma low density lipoproteins (LDL) and triolein particles coated with an egg phosphatidylcholine monolayer, with diameter of 27 +/- 4 nm. The lipid particles were unstable and seemed to aggregate to LDL when incubated with LDL either in the presence or the absence of bovine serum albumin. Human apolipoproteins A-I, A-II, C-II, C-III, and E stabilized the lipid particles and completely prevented this process. Cholesterol rapidly appeared in the lipid particles to reach homogeneous distribution among the phospholipid surfaces of LDL and the lipid particles regardless of whether apolipoproteins were present or absent. Cholesteryl ester spontaneously appeared in the lipid particles to some extent in the absence of the apolipoproteins, and human plasma lipid transfer protein enhanced this reaction only to a very limited extend. When the lipid particles were stabilized with the apolipoproteins, spontaneous cholesteryl ester transfer was minimized and the lipid transfer protein catalyzed the transfer of cholesteryl ester markedly. There was no specific difference among the apolipoproteins in stabilizing the particles and enhancing the transfer reaction. Reciprocal decrease in volume of triglyceride was observed at the same time in the lipid particles until the relative content of cholesteryl ester in the cores of LDL was the same as in the lipid particles. The kinetics of the cholesteryl ester and triglyceride transfer was consistent with the model that the reaction is bidirectional in equilibrium and takes both non-polar lipids as substrate in a single pool.

Apolipoproteins↗
PubMed1988

Modulation of cholesterol microenvironment with apolipoproteins induced by the presence of cholesteryl ester in lipid microemulsion.

In order to investigate the effect of cholesteryl ester (CE) accumulation in plasma lipoprotein on its metabolism, change of the cholesterol (CHOL) microenvironment was studied by using a lipid microemulsion model system (J. Biol. Chem. 258, 10073-10082, 1983 and 260, 16375-16382, 1985) in the presence of CE and apolipoproteins. Solubility of CHOL in the triolein (TG) core of the emulsion was limited (0.4 weight percent), so that most of the CHOL in the emulsion was found to be associated with the phosphatidylcholine (PC) surface membrane. CE was associated almost exclusively with the TG core without any significant effect on the partitioning of cholesterol between the core and the surface. However, membrane-associated CHOL seems to be present in the TG core adjacent to the surface membrane in the microemulsion without CE, and it is likely to be shifted into the membrane by the presence of CE in the core according to the compositional analysis. Binding parameters of apolipoproteins (apo) A-I, A-II, C-III1, and E were not significantly different among the emulsions with and without CHOL and/or CE at CHOL/PC ratios up to 0.17 (w/w). Susceptibility of CHOL to cholesterol oxidase was observed as an enzymatic probe for CHOL microenvironment. In the absence of apolipoproteins, CHOL reacted similarly to the enzyme regardless of its shift by CE. When apolipoproteins bound to the emulsion containing only CHOL, the rate of CHOL oxidation was decreased by 40% with apoE but not with the others.(ABSTRACT TRUNCATED AT 250 WORDS)

Apolipoproteins↗
PubMed1988

Education in gastroenterology at a Japanese hospital. Medical and surgical aspects.

Admission to a standard 6-year university course in medicine is very competitive in Japan. Medical practice is dominated economically by a national health service and epidemiologically by diseases of the upper gastrointestinal tract. Gastric cancer is very common, although diseases familiar to Western society are increasing. A detailed examination of the educational program in gastroenterology at the Kitasato University Hospital, one of the newer private teaching hospitals in Japan, reflects the cultural and environmental differences from an American experience. A residency system on the American model has been developed at this hospital. The extensive training in gastroenterological diagnostic techniques, including contrast radiography and endoscopy, is most striking. The ability to describe pathological abnormalities with precision is given great emphasis. Subspecialty training in medical or surgical gastroenterology is not standardized and is oriented primarily toward research and the development of expertise in a limited academic area.

Fellowships and Scholarships↗
PubMed1988

Mucus glycoprotein and mucosal protection.

For assessing the participation of mucus glycoproteins in the cytoprotective process, mucus glycoprotein content in the rat gastric mucosa was measured after treatment with 70% ethanol with or without prostaglandin (PG) E derivatives or 20% ethanol pretreatment. Oral administration of two synthetic PGE derivatives did not cause any significant changes in mucus glycoprotein content. Seventy percent ethanol administration caused marked reduction in mucus glycoprotein content (about 50% of control) as well as severe gastric mucosal damage. Treatment with two PGE derivatives (10-100 micrograms/kg) prior to 70% ethanol administration markedly inhibited the gross mucosal lesion, whereas the glycoprotein content under these conditions was significantly less than that in the untreated control group (ranging from 67-88% of control). Pretreatment with 20% ethanol markedly inhibited the gross mucosal damage caused by 70% ethanol dosing but the inhibition in the reduction of mucus glycoprotein content was restricted to about 80% of the untreated controls. In summary, cytoprotection induced by PG was not accompanied by entire conservation of intramucosal mucus glycoprotein in the gastric mucosa.

Alprostadil↗
PubMed1988

Further studies on the resolution of human mercapt- and nonmercaptalbumin and on human serum albumin in the elderly by high-performance liquid chromatography.

High-performance liquid chromatographic (HPLC) analysis of human serum albumin (HSA) on Asahipak GS-520 showed at least two peaks, the principal component corresponding to human mercaptalbumin (HMA) and the secondary one to nonmercaptalbumin (HNA). HPLC analysis of HSA on Asahipak ES-520 N showed three peaks, the principal component corresponding to HMA, the secondary one to HNA having mixed disulfide with cysteine or glutathione and the tertiary one to HNA oxidized higher than mixed disulfide. Two kinds of rapid HPLC for the resolution of HSA into HMA and HNA were developed by the present authors. Using these HPLC, the present authors found a significant decrease in the fraction of HMA in the elderly.

Aged↗
PubMed1988

Difference of immunohistochemical reactions in epithelial cells of adenolymphoma.

An immunoperoxidase staining technique was used for detecting alpha one-antichymotrypsin (alpha 1-ACT), alpha one-antitrypsin (alpha 1-AT), lactoferrin and transferrin in routine histological paraffin sections of 30 adenolymphomas, as well as in normal salivary gland tissue. Microscopically, the epithelial, component of adenolymphomas consisted of tall columnar luminal cells and irregularly shaped basal cells. alpha 1-ACT was detected in the luminal layer of epithelium in 27 (90%) of 30 adenolymphomas, while the basal layer was positive in 4 cases (13%). Lactoferrin could be observed in the columnar cells of 21 cases (70%) and was positive in the basal cells of 2 cases (7%). In normal salivary gland tissue, alpha 1-ACT and lactoferrin were observed in the intercalated duct and serous acinar cells. The staining pattern of alpha 1-AT in adenolymphoma was similar to those of alpha 1-ACT and lactoferrin, however, the number of positive cases for alpha 1-AT was fewer than in the alpha 1-ACT and lactoferrin. alpha 1-AT was not found in the normal salivary gland. On the contrary, the localization of transferrin in the epithelial component of adenolymphomas was exclusively different from those of alpha 1-ACT, alpha 1-AT and lactoferrin. Transferrin was found more often in the basal cells than in the tall columnar apical cells. The staining pattern of transferrin in the normal salivary gland was different from alpha 1-ACT and lactoferrin, and transferrin was positive in the cytoplasm of intercalated ducts, serous acinar and myoepithelial cells.(ABSTRACT TRUNCATED AT 250 WORDS)

Adenolymphoma↗
PubMed1988

Changes of rat gastric mucus glycoproteins in cytoprotection: influences of prostaglandin derivatives.

The effects of two synthetic prostaglandin E derivatives on mucus glycoproteins in the stomachs of rats were evaluated. Neither derivative caused change in mucus glycoprotein content in the gastric corpus or antrum, but both increased the biosynthetic activity of mucus glycoproteins in these regions (about 15-30%). Furthermore, the effects of the pretreatment of these derivatives on conserving mucus glycoproteins in ethanol-induced gastric lesions were examined. Treatment with these derivatives 60 min prior to 70% ethanol administration markedly inhibits the decrease in gastric mucus glycoprotein content caused by 70% ethanol. But the glycoprotein content under these pretreatment conditions was significantly less (12-19%) than that in the control group without any drug treatment.

Alprostadil↗
PubMed1988

Clinical study on the serum levels of immunosuppressive acidic protein in patients with adult T-cell leukemia.

Serum levels of immunosuppressive acidic protein (IAP) were measured in patients with adult T-cell leukemia (ATL) in order to clarify its significance in this disease. The mean levels in patients with both acute (854 +/- 404 micrograms/ml) and chronic ATL (439 +/- 103 micrograms/ml) were significantly higher than in sera of healthy controls (367 +/- 104 micrograms/ml). However, mean levels in patients with smoldering ATL, healthy T-cell lymphotropic virus type 1 (HTLV-1) carriers and healthy controls showed no differences. Levels in crisis in chronic and smoldering ATL were similar to those in patients with acute ATL. Serial measurements of serum IAP in a number of patients revealed that the levels reflected each patient's clinical course, suggesting a potential for use in evaluating the effects of chemotherapy.

Deltaretrovirus Infections↗
PubMed1988

Xanthogranuloma of the spermatic cord.

An unusual case of xanthogranuloma of the spermatic cord is described. This benign condition should be included in the differential diagnosis of intrascrotal tumors and simple surgical excision is recommended although we performed high inguinal orchiectomy.

Genital Diseases, Male↗
PubMed1988

Role of calcium in suppression of glucagon release from isolated diabetic rat pancreata.

To investigate the role of extracellular Ca2+ (Ca2+) in suppression of glucagon release in diabetic animals, pancreata were isolated from streptozotocin-diabetic rats and perfused with a 15 mM glucose solution containing one of the following: (1) Ca2+ 2.1 mM and insulin 22 microU/ml, (2) Ca2+ 2.1 mM and insulin 110 microU/ml, (3) Ca2+ 2.1 mM and insulin (-) or (4) Ca2+ 0.2 mM and insulin 110 microU/ml. Although perfusion with 22 microU/ml of insulin did not alter glucagon release, perfusion with 110 microU/ml of insulin in the presence of Ca2+ and glucose significantly reduced the release of glucagon from 1.9 +/- 0.3 ng/min to 1.2 +/- 0.3 ng/min for the first 3 min. The absence of insulin enhanced glucagon release from the baseline level of 1.0 +/- 0.1 ng/min to 1.6 +/- 0.3 ng/min at 11 min and to 1.4 +/- 0.2 ng/min at 21 min. Deprivation of Ca2+ in the perfusate also enhanced glucagon release from the baseline level of 0.8 +/- 0.1 ng/min to 1.2 +/- 0.3 ng/min for the first 4 min. It is concluded that insulin suppresses glucagon release and Ca2+ is needed for the suppression of glucagon release in the presence of both insulin and glucose in streptozotocin-diabetic rat pancreata.

Animals↗