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Biomedical subjects

H Takagi

Publications and source records attributed to H Takagi.

At least 1,135 records · Page 63Linked to original sources

Surgical treatment of cavernous hemangioma of the liver.

This report describes our experiences with 12 cases of cavernous hemangioma of the liver. Eight patients were submitted to surgical procedures. Five out of eight underwent liver resections that ranged from simple excision to hepatic lobectomy. Three patients underwent hepatic artery ligation. There were no surgical deaths or any late deaths. Four more asymptomatic patients have been observed for up to 11 years (mean 4.0 years). None of the patients in this group has evidenced intensification of symptoms or any remarkable change of the size of lesions.

Adult↗

Six recent liposarcomas including largest to date.

This report describes six cases of liposarcoma. The primary sites were the retroperitoneum in three cases, the lower extremity in two cases and the jejunal mesenterium in one case. One retroperitoneum case had the heaviest liposarcoma (40 kg) that has been reported in the literature. One patient with thigh liposarcoma who developed three recurrences and underwent hemipelvectomy has been free from the disease for the past 6 1/2 years. Histologically, all three retroperitoneum cases showed well-differentiated liposarcoma and two lower extremity cases had myxoid type liposarcoma.

Adult↗

Aspiny neurons and their local axons in the neostriatum of the rat: a correlated light and electron microscopic study of Golgi-impregnated material.

Three types of neuron with smooth (aspiny) dendrites could be distinguished in the Golgi-impregnated rat neostriatum. Examples of each type of aspiny neuron were found with local axon collaterals within the neostriatum and these were selected for gold- toning and examination in the electron microscope. One type of aspiny neuron had an elongated, usually spindle-shaped, medium-size soma with two, or rarely three, primary dendrites originating from opposite poles of the cell; one example of this type of neuron had two separate axons. The second type of aspiny neuron had a nearly round, medium-size soma with four primary dendrites that branched profusely quite close to the cell body. A third type of aspiny neuron had a very large polygonal-shaped cell body. Afferent axon terminals were found in synaptic contact with the dendrites and cell bodies of all three types of aspiny neuron. Axon collaterals of each type of neuron displayed varicosities which, when examined in the electron microscope, were frequently found to be boutons making synaptic contact. All such synaptic contacts had symmetrical membrane specializations and the most common postsynaptic targets were dendritic shafts, sometimes spine-bearing. Dendritic spines themselves also received synapses from each type of neuron. No axosomatic synapses involving boutons of identified axons were found. One example of a synapse between an axon collateral of an aspiny neuron and one of the same neuron's dendrites (an ' autapse ') was demonstrated by electron microscopy. It is concluded that the synaptic terminals of at least four types of neuron, the three aspiny types described here and the medium-size densely spiny neuron, participate in local circuit interactions in the neostriatum.

Animals↗

Preparation and clinical utility of antihuman lymphocyte microsome gamma-globulin.

To eliminate side effects inherent to the administration of the presently available antilymphocyte serum (ALS), microsomal fractions of lymphocytes have used as the antigen. Antiserum produced using microsomal fraction from mouse thymus cell as the antigen proved to have potent immunosuppressive activity. Subsequently, microsomal fraction from cultured human lymphocytes was used to produce potent immunosuppressive antisera. The antisera thus prepared was found to have a high leucoagglutinin titer. The antihuman lymphocyte microsome gamma-globulin (AHLMG) prepared was administered to 6 patients undergoing renal transplantation from living donors. Severe rejection episodes and serious side effects such as anaphylactoid reaction and thrombocytopenia were nil. This AHLMG which is devoid of side effects yet retains immunosuppressive activity warrants extended purification.

Adolescent↗

Opioid activity of enkephalin analogues containing the kyotorphin-related structure in the N-terminus.

The pharmacological activity of eight analogues of enkephalin containing L-Arg or D-Arg in position 2 were examined. All peptides showed weaker inhibitory effects than those of naturally-occurring enkephalins on the isolated guinea-pig ileal longitudinal muscle and the mouse vas deferens. On the contrary, these eight peptides were more potent than enkephalins in the analgesic test involving intracisternal administration to mice. By the intravenous route, only D- Arg2 -Met5-enkephalin, which induced a most potent analgesia by intracisternal injection, was effective. D- Arg2 -Met5-enkephalin showed a similar binding affinity to that of Met5-enkephalin in the opioid mu-receptor binding assay, but had a lower delta-receptor binding affinity than did Leu5-enkephalin. Administration of thiorphan , an enkephalin dipeptidyl carboxypeptidase inhibitor, did not potentiate the analgesic effect of D- Arg2 -Met5-enkephalin, whereas it dramatically enhanced the effect of D-Ala2-Met5-enkephalin, when both drugs were administered concomitantly into the cisterna magna of mice.

Analgesics↗

Noxious stimuli and Met-enkephalin release from nucleus reticularis gigantocellularis.

The nucleus reticularis gigantocellularis of the rat medulla oblongata was perfused in situ, and effects of noxious stimuli on the release of immunoreactive Met-enkephalin were examined. Formalin-induced and thermal but not mechanical stimuli increased the "tonic" release of immunoreactive Met-enkephalin from this nucleus. No "phasic" increase was observed following the three forms of stimulation. A topical application of dibucaine abolished the formalin-induced increase in the release of immunoreactive Met-enkephalin. Therefore, the possibility that persistent noxious stimuli may activate the Met-enkephalin-containing fibers in the nucleus reticularis gigantocellularis has to be given consideration.

Animals↗

Subtotal versus total parathyroidectomy with forearm autograft for secondary hyperparathyroidism in chronic renal failure.

Forty-three patients with chronic renal failure and secondary hyperparathyroidism underwent parathyroidectomy; 20 of the 43 underwent subtotal parathyroidectomy (Group A) and 23 patients underwent total parathyroidectomy and parathyroid autotransplant in the forearm (Group B). Postoperative clinical improvement was similar in both groups. In the immediate postoperative period eight patients in Group A who had severe bone changes and 21 patients in Group B needed supplemental calcium administration. The grafted tissues in all cases functioned well; reimplantation of the cryopreserved parathyroid tissues was unnecessary. One case in each group showed a recurrence. One patient in Group A was submitted to reexploration of the neck with a lateral approach. The other patient in Group B underwent excisions of the transplanted parathyroid tissues on three separate occasions under local anesthesia. The second operation was definitely easier and safer to manage after a total parathyroidectomy with autotransplantation to the forearm.

Adult↗

Suppressive effect of ciramadol on the bradykinin-induced activities of the lamina V-type cells of the rat spinal dorsal horn.

The effects of a new analgesic drug, ciramadol, on single neuronal activities of lamina V-type cells of the spinal dorsal horn were investigated in spinal rats when applied microelectrophoretically to the cells or administered systemically. In the majority of lamina V-type cells examined, ciramadol inhibited the activities induced by intra-arterial injection of bradykinin (painful stimulation) but not those induced by mechanical noxious and innocuous stimuli. These results directly evidence that ciramadol acts on the lamina V-type cells of the spinal dorsal horn to block the bradykinin-induced (nociceptive) activities there.

Amines↗

Hydrolytic deactivation of kyotorphin by the rodent brain homogenates and sera.

A simple analytical assay method for kyotorphin was developed by the use of amino acid analyzer and the deactivation of kyotorphin in biological media was studied with this method. Kyotorphin was hydrolyzed rapidly by enzymes in serum and brain of rat and mouse, but L-tyrosyl-D-arginine was not. The hydrolysis activity was much higher in brain than in serum. The apparent Michaelis' constants, Km, were of the order of 10(-5) for brain and 10(-4) M for serum in both species. The hydrolysis of kyotorphin was strongly inhibited by bestatin (Ki = 0.1 microM). Thus the hydrolysis might be attributed to aminopeptidase(s). A dose of 50 micrograms of bestatin administered intracisternally potentiated the analgesic activity of kyotorphin by 4.8 times or so. Thus kyotorphin seems to be deactivated by bestatin-sensitive aminopeptidase(s) in brain.

Analgesics↗

Studies on an antibiotic, albocycline VII. Minor components of albocycline.

As an approach to the search for new potentially useful macrolide antibiotics, we explored the minor components of albocycline (ALB) from the culture broth of Streptomyces bruneogriseus. Eight minor components were isolated and their structures were confirmed as 1 approximately 8. Unexpectedly, they were not glycosidic compounds but only oxidation or reduction products of ALB. Three or four of them will serve as a useful intermediate to introduce amino sugar moiety into ALB skeleton.

Anti-Bacterial Agents↗

Experimental pain and neuropeptides.

Noxious stimulus-induced changes in substance P (SP) release in the dorsal horn of the spinal cord and met-enkephalin release in the brain stem were investigated. For this purpose, a specially devised push-pull cannula system was used. Noxious stimuli were applied to the skin of the hind paw of rabbits and the lumbar dorsal horn was perfused using a push-pull cannula. Substance P concentration in the perfusate was assayed by radioimmunoassay. Noxious mechanical stimuli, but not thermal stimuli, increased the release of immunoreactive substance P (iSP). Innocuous stimuli did not affect the release of these peptides. Systemic administration of an analgesic dose of morphine (1 mg/kg) did not inhibit the iSP release induced by noxious stimuli. This suggests that morphine analgesia may not be mediated by a blocking action on SP release from the primary afferent terminals at the dorsal horn. The nucleus reticularis gigantocellularis (NRGC) of rat medulla oblongata was perfused in situ and the effects of noxious stimuli on the release of immunoreactive met-enkephalin were examined. Formalin and thermal stimuli, but not mechanical stimuli, increased the "tonic" release of immunoreactive met-enkephalin from NRGC. No "phasic" increase was observed following the three forms of stimulation. Topical application of dibucaine abolished the formalin-induced increase in the release of met-enkephalin. Therefore, the possibility that persistent noxious stimuli may activate the met-enkephalin-containing fibers in the NRGC must be given consideration.

Animals↗

Distribution, origin, and fine structures of cholecystokinin-8-like immunoreactive terminals in the nucleus ventromedialis hypothalami of the rat.

The distribution, origin, and fine structures of cholecystokinin-8-like immunoreactive ( CCKI ) fibers in the nucleus ventromedialis hypothalami (vm) of the rat were examined using immunohistochemistry. CCKI fibers were moderately concentrated in the ventrolateral part of the vm, decreasing in number dorsomedially. However, no CCKI cells were seen in the vm even in colchicine-treated rats. In addition, the destruction of the lateral part of the nucleus parabrachialis dorsalis (pbd) where numerous CCKI cells were seen resulted in a marked decrease in CCKI fibers in the vm on the operated side. Electron microscopic observations revealed that CCKI terminals make synaptic contact with soma, spine, and the proximal segment of the dendrite. The neurons making synaptic contact with the CCKI fibers had moderately electron-lucent cytoplasm. These findings suggest that the CCKI fibers in the vm originate from CCKI cells in the lateral part of the pbd and directly influence the vm neurons.

Animals↗

[Diagnosis and surgical treatment of renal hyperparathyroidism].

Forty-three patients with chronic renal failure and secondary hyperparathyroidism underwent parathyroid surgery. The first 20 patients were submitted to subtotal parathyroidectomy, and the last 23 patients underwent total parathyroidectomy and parathyroid autotransplantation in the forearm. Non-invasive image diagnosis, CT, ultrasonography and scintigraphy are valuable for 1) making a definite diagnosis of secondary hyperparathyroidism, 2) locating the tumor 3) determining the effectiveness of treatment, and 4) differentially diagnosing thyroid tumors. For surgical treatment, we recommend total parathyroidectomy and autotransplantation in the forearm because the second operation for recurrence may be done more safely and easily than after subtotal parathyroidectomy.

Adult↗

Partial characterization of the extracellular keratinase from Microsporum canis.

The extracellular keratinase of Microsporum canis released peptides from alpha-type fibrous protein and the membranous fraction isolated from human stratum corneum. Inhibition of the enzyme by phenylmethyl-sulfonylfluoride and its weak inhibition by N-ethylmaleimide and etheneglycol tetra-acetic acid indicated that it is probably a serine proteinase.

Egtazic Acid↗

[The mechanism of intracranial pressure-reducing effect of mannitol].

The effect of mannitol to decrease the raised ICP is well documented and mannitol is now widely used in clinical practice. However, its mechanism of lowering ICP still remains controversial, especially under the condition of vasogenic edema. The objective of this study is to reexamine and delineate the mechanism of ICP reducing effect of mannitol, using quantitative vasogenic edema model, specific gravimetric technique to measure the brain water content, and the method to estimate the CSF dynamics without disturbing the physiological condition of intracranial compartments in cats. Quantitative increase of water content of the white matter was produced by the infusion of 0.5 ml of normal saline though stereotaxically inserted 25-G needle into the left frontal white matter. In control group, cats were sacrificed and water content of the gray and white matter of each coronary sliced brain was measured by specific gravimetric technique. In the mannitol group, 20% of mannitol (2 g/kg) was administrated via femoral vein within 3 minutes. The maximum reduction of ICP was achieved at the average of 30 minutes. At this time, the cats were sacrificed and the water content of brain was measured in the same way as in the control group. PVI, Ro, If (Marmarou) were calculated before and after mannitol administration. In parameter group, BP, ICP, CVP, serum osmotic pressure and osmolarity were measured without terminating the experiment. The changes of water content of the gray and white matter before and after mannitol administration in the area of infusion edema were 80.7% to 80.8% and 76.8% to 77.1% respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗