[Tracheal reconstruction using patch grafts or tube grafts].
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Biomedical subjects
Publications and source records attributed to K Tamura.
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The effects on the thyroid of radiation therapy to the neck and/or chemotherapy were investigated in 54 Hodgkin's and 72 non-Hodgkin's lymphoma patients. These patients had received radiation therapy with doses ranging from 2000 to 4000 rad (median 3600 rad) to the cervical or mantle fields and/or multiple-agent chemotherapy following usual staging procedures. Palpable abnormalities of the thyroid were found in 15 patients. The patients with irradiation to the neck had a higher incidence of hypothyroidism than those patients treated with chemotherapy alone (31/74 vs. 8/52, P less than 0.001 for TSH and 10/74 vs. 1/52, P less than 0.025 for T4). A higher frequency of elevated serum TSH levels and antithyroid antibodies were also observed in patients receiving radiation therapy alone to the neck than in those receiving both radiation therapy and chemotherapy (19/33 vs. 12/41, P less than 0.025 for TSH and 16/33 vs. 7/41, p less than 0.01 for antibodies), suggesting that chemotherapy agents may reduce the thyroid dysfunction induced by irradiation. There was no difference in prevalence of elevated TSH levels following irradiation to the neck between patients in whom lymphangiogram was or was not performed (21/51 vs. 10/23).
The cytoplasmic microfilaments of hepatocytes, especially in the pericanalicular area, were examined in 25 liver biopsy specimens obtained from 15 patients with intrahepatic cholestasis. About 25 days after the onset of jaundice an increase in bile canaliculi dilation was noted, though an increase in amount of microfilaments was less conspicuous in comparison with the next stage. At about 55 days an increase in number was seen around dilated canaliculi. At about 100 days microfilaments decreased in amount and the dilation of canaliculi became less evident, while swollen microvilli protruded into the canaliculi with their microfilaments irregularly arranged. An increase of microfilaments in hepatocytes, particularly in the pericanalicular area, might be a reflection of the secretion of bile.
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A new Salmonella serovar, here names Salmonella itami, was isolated from a traveller suffering from gastroenteritis, who had just returned from Thailand. The isolate belonged to the subgenus I of Salmonella, and the antigenic formula was determined to be 9,12:1,z13:1,2.
Analytical isoelectric focusing in polyacrylamide gel at pH 2.5 to pH 5 was used successfully to detect an acidic protein which can be found in large quantities in the sera of cancer patients but in only small amounts in the sera of healthy persons. The main peak of this acidic protein when obtained from cancer patients revealed a pI of 3.0, while the pI of that obtained from normal subjects was 3.1. The results obtained also demonstrated that qualitative and quantitative differences of such serum acidic proteins discriminate between sera of normal persons and cancer patients. Purification of this acidic protein (pI 3.0) was attempted with cancer ascitic fluids by successive ammonium sulfate precipitation, diethylaminoethyl cellulose column chromatography, Sephadex G-100 gel filtration, and preparative isoelectric focusing. When the purified acidic protein was characterized for physicochemical properties, it was found to have an isoelectric point of 3.0, to have a molecular weight of 50,000, and to contain 31.5% carbohydrate. Its behavior in immunodiffusion and immunoelectrophoresis was indistinguishable from that of normal human alpha 1-acid glycoprotein. However, in gel isoelectric focusing, in molecular weight, and also in carbohydrate content, the acidic protein isolated from cancer ascitic fluid differed from normal alpha 1-acid glycoprotein. Furthermore, this acidic protein was found to suppress both phytohemagglutinin-induced lymphocyte blast formation and mixed-lymphocytes reaction in vitro. The acidic protein, which we called "immunosuppressive acidic protein," and its biological activities were discussed regarding its possible role in the impairment of the immunological surveillance mechanism in the tumor-bearing host.
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Antihypertensive and general pharmacological properties of 1-[2-(1,3-dimethyl-2-butenylidene)hydrazino]phthalazine (budralazine) were studied in comparison with those of hydralazine. Single oral administration of budralazine (4--15 mg/kg) to DOCA/saline hypertensive rats resulted in a dose-related and sustained antihypertensive effect which was 2--3 times less potent than that of hydralazine. However, there were no remarkable differences between both drugs in the hypotensive magnitude after the 4-week treatment of spontaneously hypertensive rats (SHR) with their higher doses. After single oral administration, budralazine was about 8 times less potent than hydralazine in increasing plasma renin activity in normotensive rats. At effective antihypertensive doses, budralazine inhibited spontaneous motor activity (mice), gastrointestinal propulsion (mice), gastric emptying rate (rats), gastric secretion (rats), urine output and urinary electrolyte excretion (rats) as well as carrageenan-induced paw edema formation (rats), which were essentially less potent than those produced by hydralazine. Budralazine at 6 mg/kg i.v. exhibited a slowing of neocortical EEG (cats) and a slight increase in spinal monosynaptic potentials (cats) and inhibited gastrointestinal motility (dogs). The same dose of hydralazine produced an increase in occurrence of the neocortical fast waves, an inhibition of the monosynaptic potentials and the carotid sinus reflex (dogs) and a stimulation of intestinal motility followed by prolonged and marked reduction. Budralazine (10(-5) g/ml) slightly potentiated contractile response of isolated guinea-pig vas deferens to noradrenaline, whereas hydralazine (10(-4) g/ml) inhibited the response. Budralazine (10(-5) g/ml), like hydralazine (10(-4) g/ml), produced a nonspecific antagonism against the contractile response of isolated guinea-pig ileum to various spasmogens, and both drugs (10(-4) g/ml) reduced either spontaneous motility or oxytocin-induced motility in isolated rat uterus.
A heat-labile Vero cytotoxin (VT) was detected by the Vero cell assay in the culture supernatants of ten Escherichia coli strains isolated from a variety of clinical sources. The VT titer varied with strains, ranging from 1:8 to 1:2,048. No VT was found to be cytotoxic for Y1 mouse adrenal cells or to induce fluid accumulation in the rabbit or porcine ileal loops. No strains produced a heat-labile enterotoxin as defined by either tissue culture or the standard ileal loop reaction. Three strains originated from piglets with diarrhea were confirmed by the infant mouse reaction to produce a heat-stable enterotoxin. Neutralization studies revealed antigenically the presence of two different forms of VT produced by E. coli strains of animal origin.
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The features of regional wall motion abnormalities of the left ventricle were analysed in 11 patients of congestive cardiomyopathy (CCM) in comparison with 22 patients of progressive muscular dystrophy (DMD) of Duchenne type who showed an abnormal motion of the left ventricle by echocardiography. Real time two-dimensional echocardiographic study demonstrated the following results: I) In CCM, (1) only 2 or less of 11 cases preserved a normal motion in each left ventricular segment, and the depression of wall motion of the left ventricle were thought to be generalized; (2) there were 9 cases with segmental wall motion abnormalities and 3 of them demonstrated ventricular aneurysms, and (3) the localizations of the segmental abnormalities varied in each case, and there was no apparent accumulation to any segments. II) In DMD, (1) all the cases showed depressed motions and 8 of them demonstrated a ventricular aneurysm in the posterior wall of the left ventricle (LVPW), (2) while, there was no case showing ventricular aneurysm in the segments other than LVPW, and about one third of all cases showed normal motion in those segments. From these results, we concluded as follows: 1) Although the depression of a wall motion of the left ventricle was generalized in CCM, this was not always uniform and the segmental abnormalities of a wall motion were frequently observed. The localization of the most severely disturbed segment varied in each case. 2) On the other hand, in DMD, the wall motion was disturbed more frequently and more severely in LVPW than in other ventricular segments.
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For fluorescent staining of microfilaments in cells, heavy meromyosin (HMM) or subfragment-1 (S-1) was labeled with a novel thiol-directed fluorescent dye, N-(7-dimethylamino-4-methylcoumarinyl) maleimide (DACM), instead of the usual dyes, such as fluorescein-isothiocyanate (FITC). DACM-labeled HMM or S-1 gave characteristic fluorescence patterns to a variety of cell types similar to those reported with the use of FITC-labeled HMM or S-1 or with immunofluorescence techniques using anti-actin antibody. The fluorescence of DACM was fairly photoresistant as compared with FITC, so that HMM or S-1 required only 1 mol of the dye per myosin head. Consequently, F-actin need not be used to preserve the actin binding activity of the myosin fragments when labeling with the dye.
The new system of cardiac wall kymography was proposed based on the results with our modified device. The cardiac wall motion kymography taken from a portion of the precordial area was examined for its ability to detect wall motion abnormalities. Furthermore, the 3 dimensional graphic display of the cardiac wall kymogram map was attempted by computer. This new approach looks promising because of the enhanced ability to recognize cardiac wall motion abnormalities in myocardial infarction.
The fine structure of a Z band abnormality which closely resembled that of nemaline body was studied using myocardial biopsies. The abnormality was found in 10 out of 103 examined patients with various cardiac muscle diseases. Ultrastructurally, they were characterized by interwoven textures of fine filaments in a form similar to the nemaline body. However, they differed in two points from the nemaline body: first, most of them were interposed between the sarcomeric arrangement as an intramyofibrillar architecture, and second, two parallel filaments with periodic bridges were demonstrated in this abnormality. In the present study, the interwoven Z band abnormalities occurred regardless of the disease's sort, the patient's age, and the hypertrophic grade in the muscle cell. Meanwhile, some degenerative changes, myofibrillar lysis and mitochondrial degeneration, were frequently detected in the cardiac muscles with the abnormalities. Pathologically, the interwoven form of the Z band abnormality seemed to indicate an unbalance of the compensative mechanism at the cell level.