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Biomedical subjects

K Yutani

Publications and source records attributed to K Yutani.

123 records · Page 7Linked to original sources

Role of calcium ions in the thermostability of thermolysin and Bacillus subtilis var. amylosacchariticus neutral protease.

The stabilizing effect of calcium ions on thermolysin and Bacillus subtilis var. amylosacchariticus neutral protease has been investigated. Calcium and zinc ions were removed from the proteases by gel filtration over Sephadex G-25 equilibrated with metal chelating agents. Using these enzymes with different metal content, heat inactivation kinetics were studied at various temperatures. Removal of calcium ions caused a sharp decrease in thermostability and diminished the values of the activation enthalpy (deltaH*) and entropy (deltaS*) for heat inactivation. There was little difference in stability between thermolysin containing 0.3 g-atom/mol and B. subtilis neutral protease containing 1.4 g-atoms/mol. Calcium binding isotherms of the proteases were obtained by equilibrium gel chromatography with various concentrations of free calcium ions. Thermolysin had four independent calcium binding sites with an identical intrinsic binding constant (K) of 2.0 X 10(4) M-1. B. subtilis neutral protease had four independent sites. The K value for three sites was 1.1 X 10(5) M-1 and the binding constant for the other site was 1.5 X 10(3) M-1. There was little difference in total free energy change for calcium binding between these proteases. From these results it is concluded that the stabilizing effect of calcium on these enzymes is almost equal, and the extra thermal stability of thermolysin is likely to come from its polypeptide chain structure.

Bacillus subtilis↗

Comparison of FDG-PET with MIBI-SPECT in the detection of breast cancer and axillary lymph node metastasis.

PURPOSE: The purpose of this work was to compare [18F]2-deoxy-2-fluoro-D-glucose (FDG) PET and 99mTc-methoxyisobutylisonitrile (MIBI) SPECT in the detection of breast cancer and axillary lymph node metastasis in the same patients. METHOD: FDG-PET and MIBI-SPECT were performed within 3 days for 40 women (age range 25-86 years old) with suspected breast cancer, in whom biopsies and/or mastectomies were performed. Both images were visually assessed, and the count ratio between tumor and normal tissue (T/N ratio) was calculated. RESULTS: Thirty-eight patients had breast cancer, and the remaining two had benign breast lesions. The sensitivities of FDG-PET and MIBI-SPECT were 78.9 and 76.3% for breast cancer and 50.0 and 37.5% for axillary lymph node metastasis, respectively. The T/N ratio of breast cancer was significantly higher in FDG-PET (6.01 +/- 3.08 mean +/- SD) than that in MIBI-SPECT (3.48 +/- 1.21) (p = 0.01). Nonmalignant diffuse uptake of FDG in the breasts and the accumulation of MIBI in heart and liver occasionally obscured tumor uptake. CONCLUSION: These results indicate that MIBI-SPECT is comparable with FDG-PET in detecting breast cancer. Neither FDG-PET nor MIBI-SPECT is sufficiently sensitive to rule out axillary lymph node metastasis.

Adult↗

Evaluation of lung cancer by 99mTc-tetrofosmin SPECT: comparison with [18F]FDG-PET.

PURPOSE: The purpose of this study was to clarify the validity of (99m)Tc-tetrofosmin SPECT (TF-SPECT) in the evaluation of lung cancer in comparison with [18F]fluorodeoxyglucose ([18F]FDG-PET). METHOD: Twenty-one patients with biopsy-proven non-small cell lung cancer were examined by both TF-SPECT (early and delayed images) and FDG-PET within a week of each study. Lung cancers were analyzed visually and semiquantitatively using the ratio of lesion to background counts (L/B ratio). Mediastinal lymph node metastases were analyzed only visually. RESULTS: Both early and delayed TF images could detect 18 of 21 lung cancers on visual analysis (85.7%), whereas FDG-PET could detect all the lesions (100%). The L/B ratio of TF-SPECT was significantly higher in delayed than in early images (1.79 +/- 0.55 vs. 1.56 +/- 0.40; p < 0.001). However, the L/B ratio of FDG-PET was 8.85 +/- 3.05, significantly higher than those of both TF images (p < 0.0001). In the assessment of mediastinal involvement, TF-SPECT was 40.0% sensitive, 100% specific, and 71.4% accurate, whereas FDG-PET was 80.0% sensitive, 81.8% specific, and 81.0% accurate. CONCLUSION: Although the detection sensitivity was far better than expected, TF-SPECT is not considered to be an alternative to FDG-PET in the evaluation of malignant pulmonary lesions because of its significantly low L/B ratio. TF-SPECT has poor sensitivity for mediastinal lymph node metastases and is useless for staging patients with lung cancer.

Evaluation Studies as Topic↗