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Biomedical subjects

K Hara

Publications and source records attributed to K Hara.

At least 1,099 records · Page 61Linked to original sources

[Adenocarcinoma adjoining to the gastric antrum and minute carcinoid--a case report].

The simultaneous occurrence of carcinoma and carcinoid in the stomach is rare. Only 5 cases have been reported in the literature so far. Our patient developed double primary neoplasms adjoining the gastric antrum. One was an early ulcerated adenocarcinoma limited to the submucosa, the other a minute carcinoid also within the submucosa. A large amount of 5-HIAA, but a normal amount of histamine, was excreted in the urine. The carcinoid syndrome, however, was absent through clinical course. The patient died of liver metastasis 3.5 months after gastrectomy. Microscopic examination after autopsy disclosed that the metastases consisted of only carcinoid cells.

Adenocarcinoma↗

Evidence for a functional role of the cytoskeleton in determination of the dorsoventral axis in Xenopus laevis eggs.

A normal table of events of the first cleavage period in the fertilized egg (cf. Gerhart, 1980) has been completed (cf. Table I) by studying external and internal features. Through a cytological study of eggs fixed after video time-lapse observation such features can directly be correlated and it has been shown that the first postfertilization wave (PFW) reflects spermaster growth, which causes rearrangements of animal yolk material. This may, in conjunction with the interaction of the spermaster rays with the cortex, define, in time as well as in space, the asymmetric cortical contraction which we suppose to evoke asymmetry in the animal hemisphere by formation of the vitelline wall (Pasteels, 1964) and in the vegetal hemisphere by formation of the Vegetal Dorsalising Centre (Kirschner et al. 1981). Neither prick-activated eggs nor fertilized eggs incubated in vinblastine develop a spermaster. Under these conditions abnormal cytoplasmic segregation may be directed by gravity alone. For normal development the activated egg must in some way, for instance through the sperm centriole, organize microtubule assembly into a monaster. The centriole acts as a microtubule-organizing centre in structuring the egg's cytoskeleton, and through this directs localization of the various yolk components, in time as well as in space. In egg rotation experiments performed under appropriate conditions, the cytoskeleton is disturbed and yolk rearranges under gravity till a new equilibrium is established which determines a new dorsoventral polarity. Such experiments also show that neither the dorsal cytoplasm nor the grey crescent cortex act as the ultimate dorsal determinants, since their localization is unaltered upon rotation, whereas the overall yolk distribution is significantly changed.

Animals↗

[Antibody to 1-24 ACTH and hypofunction of the adrenal cortex in a patient who was unilaterally adrenalectomized for Cushing's syndrome (author's transl)].

We report here on a patient who was unilaterally adrenalectomized for Cushing's syndrome, and who developed antibodies to 1-24 ACTH. A 49-year-old nurse had undergone right adrenalectomy for adrenal adenoma. After surgery, she was treated with 0.5 mg of 1-24 ACTH-Z together with glucocorticoid replacement therapy for 40 days. Thereafter she was given 0.25-0.5 mg of ACTH-Z every other day for 4 months. ACTH-Z was then stopped for a year but glucocorticoid therapy was continued. About one year prior to this admission, 1 mg of ACTH-Z was again initiated 1 to 2 times a week. Glucocorticoid therapy was not withdrawn during the four years after adrenalectomy. She was admitted for the purpose of withdrawal of glucocorticoids. Her serum was found to bind labeled ACTH. This labeled ACTH was competitively displaced from binding by unlabeled hormones. Finally, reaction with specific antihuman Ig demonstrated an antibody of the IgG class. The titer of the antibodies gradually decreased after the discontinuation of ACTH-Z, but it is still present in measurable quantity in her serum. The clinical significance of the circulating anti-ACTH antibody in her serum is discussed.

Adrenal Insufficiency↗