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Biomedical subjects

K Kurihara

Publications and source records attributed to K Kurihara.

At least 181 records · Page 10Linked to original sources

A case of homicidal choking mistaken for suicide.

This report presents an autopsy case of the homicidal choking of an adult, who died as a result of tissue paper being thrust into his mouth. An in-patient (a 29-year-old Japanese man) at a mental hospital was choked to death by another male in-patient, his roommate, who thrust a large amount of tissue paper into his mouth after rendering him slightly unconscious by cervical compression. At the time of discovery, this mental patient was believed to have committed suicide by inserting tissue paper into his own mouth. Autopsy findings and re-investigation of the case revealed that the subject had been murdered. This is a very rare case of choking used as a method of homicide.

Adult↗

[Inversion of chromosome 16 observed in acute myeloblastic leukemia (M2) with biphenotypic surface markers lacking monocytosis and eosinophilia].

Inversion of chromosome 16 was found in a 73-year-old female with acute myeloblastic leukemia (FAB:M2). Complete remission was achieved by combined chemotherapy (DNR, Ara-C, 6-MP, Prednisolone), but she relapsed 6 months later without CNS involvement and died of respiratory failure presumably due to cerebrovascular accident during remission reinduction chemotherapy. Biphenotypic surface markers (CD2+ and CD13+) were observed on relapse. Eosinophilia was not observed throughout. Our patient and the other reported case suggest that biphenotypism and the lack of eosinophilia and monocytosis in inv (16) leukemia may be correlated with a poor prognosis.

Aged↗

Convulsions in senescence-accelerated mice (SAM-R/1/Eis).

Senescence-accelerated mice (SAM) are one of the animal models used for studying senescence, which consist of several substrains such as SAM-R/1, R/2, P/1, P/2. SAM-R/1/Eis maintained in Eisai Tsukuba Research Laboratories, Ibaraki, Japan, was originally introduced as a substrain of a normal control SAM-R/1 from Kyoto University, Japan. We have noted signs of convulsions in SAM-R/1/Eis mice during routine animal care, particularly while changing cages. We identified the clinical signs and determined the concentrations of glucose and immunoreactive insulin in plasma of SAM-R/1/Eis mice. There were no differences in the male:female ratios of mice showing prodrome only, grand mal, or no-signs. The ages at which prodrome and grand mal were first noted peaked between 20 and 25 weeks. Concentrations of glucose and immunoreactive insulin in plasma did not indicate the mice were in insulin hypoglycemia, which is one cause of convulsions. AKR strain mice, some of which originated with the SAM strain are known to become convulsive by repeated "throwing" stimulations. Conversely, in SAM-R/1/Eis, throwing stimuli are not needed to cause convulsive signs. Thus it is likely that in SAM-R/1/Eis mice the signs are triggered by repeating mild environmental changes, such as changing cages. The results of this study show that SAM-R/1/Eis is neither a normal control strain, nor an original SAM-R/1 strain. But it is possible that SAM-R/1/Eis is another useful animal model for studying spontaneous convulsion.

Aging↗

Serological and biochemical studies on En(a-) human erythrocytes in a Japanese family.

The propositus erythrocytes with phenotype En(a-), which was found in the first example of a Japanese family, reacted with anti-N serum weaker than the ordinary phenotype N erythrocytes. When the erythrocyte membranes of the propositus were subjected to SDS-PAGE, no glycophorin A was observed on the gel by PAS staining, whereas glycophorin B band was observed. The S and the s antigens of the propositus erythrocytes were appeared to be normal. These results suggested that N activity of the propositus erythrocytes may be derived from glycophorin B components on the erythrocyte membranes. The amounts of bound sialic acid of the erythrocyte membranes were significantly lower in the En(a-) erythrocytes than the ordinary OMN erythrocytes. Neither the OMN nor the En(a-) erythrocytes showed the agglutinability to Arachis hypogaea lectin. The number of lectin receptor sites on the En(a-) erythrocyte membranes was significantly lower than on the OMN erythrocyte membranes for Limulus polyphemus, Triticum vurgaris and Bauhinia purpurea lectins. These results provide further support for the contention that En(a-) cells lack the glycophorin A as major erythrocytes sialoglycoprotein on the membranes.

Asian People↗

[Right-sided patent ductus arteriosus with a right aortic arch and right descending aorta].

We experienced an extremely rare anomaly, i.e. right-sided persistent ductus arteriosus with a right aortic arch and right descending aorta. Reviewing the literature, we found only two cases clinically reported in Japan as far as we know. The diagnosis was established by angiography and MRI. We treated the patient successfully through right thoracotomy.

Aorta, Thoracic↗

[Basic research into the measurement of eosinophil cationic protein (ECP) in blood samples].

Eosinophil cationic protein (ECP), which is one of the eosinophil granule proteins, can now be measured with a radioimmunoassay kit. However, the level of ECP in blood samples is affected by the method of treatment of the samples. We investigated the effect on ECP level of a variety of treatment methods to establish the fundamental condition for the measurement of ECP level in blood samples. ECP levels in serum or heparin plasma increased time-dependently until 2 hr. This increase was considered to be due to active in vitro release of ECP from eosinophils. Serum ECP level at 1 hr was temperature-dependent, being higher at 37 degrees C than at 25 degrees C. On the other hand, ECP level in EDTA plasma did not change significantly during a 3 hr period, and this level of ECP was considered to be that which had been released into the blood in vivo. ECP levels were always in the order of serum greater than heparin plasma greater than EDTA plasma. Though there was a positive correlation between serum ECP level and peripheral blood eosinophil count, the degree of correlation was not strong (r = 0.46, 6, 0.05 greater than p less than 0.01). This suggests that the serum level of ECP, or the "releasibility" of ECP from eosinophils, may reflect the activation of eosinophils.

Blood Proteins↗

Liposomes having high sensitivity to odorants.

The conditions to increase the sensitivities of liposomes to odorants were examined. The results obtained are as follows. (1) The minimum concentration of amyl acetate to induce the membrane potential changes (threshold) in phosphatidylcholine (PC) liposomes was about 10(-4) M and addition of 10 or 20% phosphatidylserine (PS) lowered the threshold to about 10(-9) M, which was lower than the thresholds for amyl acetate in the turtle and frog olfactory systems. (2) Similar to amyl acetate, addition of PS to PC greatly lowered the threshold for beta-ionone. On the other hand, addition of PS to PC in certain ratio increased the threshold for citral, suggesting that addition of PS to PC does not always increase the responses to all odorants. (3) The membrane fluidity change of the liposomes in response to odorants occurred at similar concentration region where the membrane potential changes occurred. The presence of CaCl2 in external solution much greatly increased both the magnitude of the membrane potential changes and the membrane fluidity changes of the PC-PS liposomes in response to amyl acetate than the presence of NaCl and MgCl2. These results suggest that the membrane fluidity change is related to generation of the membrane potential change. (4) It was estimated that adsorption of less than a few molecules of amyl acetate on single liposome elicits detectable changes in the membrane potential and the membrane fluidity.

Benzothiazoles↗

Canine taste nerve responses to monosodium glutamate and disodium guanylate: differentiation between umami and salt components with amiloride.

It has been argued whether the 'umami substances' such as monosodium glutamate (MSG) and disodium 5'-guanylate (GMP) stimulate the salt receptor or the unique receptor to the umami substances. We examined effects of amiloride, which inhibited the canine chorda tympani nerve responses to salts such as NaCl, KCl and NH4Cl, in a competitive manner, on the nerve responses to the umami substances and differentiated between the umami and salt components. Amiloride shifted the dose-response curves for MSG to a higher concentration region, suggesting that amiloride inhibits the response to MSG in a competitive manner. The response to GMP alone and that induced by synergism between relatively low concentrations of MSG and GMP were not inhibited by amiloride. These results suggested that the response to MSG alone is the salt response and the response to GMP alone or that induced by the synergism is the umami response. The presence of MSG shifted the dose-response curves for GMP to a lower concentration region, suggesting that MSG increases the affinity of GMP to umami receptors. The present results favor the conclusion that GMP acts as an agonist and MSG acts as a modulator for the umami receptor in the dog. The synergism can be explained by an allosteric model where the umami receptor is assumed to have two binding sites, one for GMP and another for MSG.

Amiloride↗

Canine taste nerve responses to umami substances.

The taste responses to the "umami substances" such as monosodium glutamate (MSG), guanosine 5'-monophosphate (GMP) and inosine 5'-monophosphate (IMP) were recorded from the canine chorda tympani nerve. A large synergism was observed between MSG and the nucleotides in most mongrel dogs (type A dog). The extent of the synergism between MSG and the nucleotides was much larger than that observed in any other animal examined except for humans. No synergism was observed between the nucleotide (GMP) and stimuli other than MSG, such as NaCl, HCl, sucrose, quinine, and glycine. It was concluded that the dog is a suitable experimental animal for studies on the responses to umami substances. In order to differentiate umami and salt components in the responses to umami substances, effects of amiloride on the responses were examined. Amiloride inhibited the response to MSG, but did not inhibit the response to GMP alone or those induced by synergism between GMP and MSG. The present results favor a conclusion that GMP acts as an agonist and MSG acts as a modulator for the umami receptor in the dog. The synergism can be explained by an allosteric model where the umami receptor is assumed to have two binding sites, one for GMP and another for MSG.

Amiloride↗

Rat taste nerve responses to salts carrying cations of large molecular size; are the taste responses to the salts induced by cation transport across apical membranes of taste cells?

1. The responses of rat chorda tympani nerve to various salts carrying cations of large molecular size which have small permeability were measured. 2. Salts carrying polyvalent cations such as Fe3+ or La3+ elicited much larger responses than NaCl or KCl. 3. Ammonium chloride derivatives having methyl or ethyl groups and salts carrying other organic cations of large molecular size elicited the responses comparable to that induced by NH4Cl or NaCl. 4. It was suggested that the taste responses to the salts carrying the cations of large molecular size are induced not by the cation transport but by adsorption of the cations on the membranes.

Animals↗

Differential ion dependence of frog olfactory responses to various odorants.

1. Dependence of the fron olfactory bulbar responses on NaCl concentration greatly varied from odorant to odorant. The responses to odorants such as 1-carvone and isoamyl acetate were essentially unchanged by removal of NaCl, while those to odorant such as citral and beta-ionone were greatly decreased by removal of NaCl. 2. The NaCl requirement for the responses to certain odorants was greatly decreased by an increase in pH or temperature of the stimulating solution. 3. It was concluded that changes in ion permeability at the apical membranes of olfactory cells including olfactory ciliary membranes are not involved in generation of the in vivo olfactory responses to certain odorants.

Animals↗

Sensitivity and transduction mechanisms of responses to general odorants in turtle vomeronasal system.

(a) The responses of the vomeronasal organ to general odorants in the turtle, Geoclemys reevesii, were measured by recording the accessory olfactory bulbar responses. The threshold concentrations of the vomeronasal responses to various odorants were similar to those in main olfactory bulbar responses, indicating that vomeronasal cells lacking cilia and olfactory cells having many cilia have similar sensitivities to general odorants. (b) The vomeronasal epithelium was perfused with 100 mM NaCl solution and the salt-free solution and the effects of NaCl on the vomeronasal responses to various odorants were examined. There was no essential difference between the concentration-response curves for n-amyl acetate and menthone dissolved in 100 mM NaCl solution and those dissolved in the salt-free solution in the whole concentration range examined. The ratios of the magnitudes of vomeronasal responses in the salt-free solution to those in 100 mM NaCl solution were between 1.01 and 1.10 for seven odorants tested. (c) The magnitudes of responses to the odorants were unchanged by changes in NaCl concentrations. The replacement of Na+ with organic cations such as choline+, Bis-Tris propane2+, and N-acetyl-D-glucosamine+ did not affect the magnitudes of the responses to the odorants. The Na channel blocker amiloride also did not affect the responses. (d) The vomeronasal responses were practically unchanged by changes in CaCl2 concentration. The Ca channel blockers diltiazem and verapamil did not affect the responses. (e) The replacement of Cl- with SO4(2-) did not affect the magnitudes of the vomeronasal responses. (f) The present results suggest that ion transport across the apical membranes of vomeronasal receptor cells does not contribute to the responses to odorants in the turtle.

Amiloride↗

Primary gastric T-cell lymphoma with manifold histologic appearances.

A rare case of malignant T-cell lymphoma with manifold histologic appearances was described. The lymphoma occurred in the stomach of a 50-year-old Japanese male. Grossly, the lymphoma exhibited a deeply ulcerated mass. Histologically, in addition to diffuse infiltrate of large lymphoid cells with deeply indented nuclei, there were many epithelioid cell granulomas, remarkable tissue eosinophilia and stromal fibrosis, mimicking inflammatory disease. Immunohistochemical studies and a gene analysis demonstrated the T-cell phenotype.

Biomarkers, Tumor↗

Primary malignant lymphoma of the rectum with diagnostic problems. Report of two cases with an analysis of gene rearrangement.

We present two similar cases of rectal B-cell lymphoma with diagnostic problems. Grossly, both tumors appeared as a well demarcated polypoid mass with eroded mucosa. In spite of their histologic resemblance to reactive lymphoid hyperplasia, including the presence of lymph follicles, fibrosis and polyclonal plasma cells, both cases were diagnosed as malignant lymphoma of low-grade malignancy because of the full-thickness involvement of the rectum with diffusely infiltrated small or medium-sized lymphoid cells showing rare mitoses. In one case, clonal proliferation of differentiated B cells was demonstrated by analysis of gene rearrangement. Therapeutic problems related to low-grade malignant lymphoma in the rectum are also discussed.

Adult↗

Differential temperature dependence of taste nerve responses to various taste stimuli in dogs and rats.

The temperature dependence of the canine and rat chorda tympani nerve responses to various taste stimuli was examined. The temperature dependence greatly varied with species of stimuli. In the dog, the tonic responses to fructose, sucrose, acetic acid, and guanosine 5'-monophosphate (GMP) and the response induced by the synergism between monosodium glutamate (MSG) and GMP showed peaks at approximately 30 degrees C, whereas those to NaCl, NH4Cl, and MSG showed peaks between 10 and 20 degrees C. In the rat, the tonic response to NH4Cl increased with an increase in temperature up to 45 degrees C, whereas the responses to other stimuli examined showed peaks at approximately 30 degrees C. The responses to glycine, sucrose, and quinine showed sharp temperature dependence, and the responses to acids (HCl and acetic acid) and salts (NaCl and KCl) showed relatively flat dependence. The effects of the temperature change on dose-response curves for fructose, NH4Cl, and GMP were examined using dogs. The temperature change did not practically affect the thresholds for these stimuli and affected the magnitude of the responses to higher concentrations of stimuli. The origins of the temperature dependence were discussed in terms of taste receptor mechanisms.

Acetates↗

Extracellular ATP stimulates interleukin-dependent cultured mast cells and eosinophils through calcium mobilization.

We examined the effect of ATP and related nucleotides on the changes in intracellular calcium ([Ca2+]i) in murine bone marrow-derived mast cells (BMMC) and human cord blood-derived eosinophils (EO) cultured in the presence of interleukins. ATP, ADP and AMP released a substantial amount of histamine and leukotriene C4 from BMMC, and EO showed locomotive activity in response to ATP, ADP and GTP. These reactions were accompanied with an increase in [Ca2+]i in BMMC and in EO. The rise in [Ca2+]i in BMMC induced by ATP or antigen at optimal concentrations was inclined to be persisting. On the other hand, these nucleotides induced a rapid and transient rise in [Ca2+]i in EO. Purified human peripheral EO also exhibited locomotive activity and an increase in [Ca2+]i in response to ATP. These results indicate that extracellular ATP activates interleukin-dependent cultured mast cells and EO through Ca2+ mobilization, and suggest that ATP, which is known to be released from activated platelets or autonomic nerves, may stimulate in vivo counterparts of these cultured inflammatory cells.

Adenosine Triphosphate↗

Two cases of adult T-cell leukemia associated with acute pancreatitis due to hypercalcemia.

We report two cases of adult T-cell leukemia associated with acute pancreatitis and hypercalcemia. After sudden onset of epigastralgia, acute pancreatitis and hypercalcemia were found in both patients. There were no diseases that could explain the acute pancreatitis except for hypercalcemia probably due to adult T-cell leukemia. Thus we considered that hypercalcemia due to adult T-cell leukemia had led to acute pancreatitis. This is the first report of such a complication in adult T-cell leukemia.

Adult↗