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Biomedical subjects

M Akagi

Publications and source records attributed to M Akagi.

At least 235 records · Page 13Linked to original sources
PubMed1981

Solitary ulcer of the rectum: report of a case and review of the literature.

A 13-year-old girl with Prader-Willi syndrome was admitted to our hospital with an 18-month history of anal bleeding and mucus discharge on defecation. Physical examination revealed obesity, hypogonadism, hypotonia and hypomentia. On digital examination, a nodular mass was palpated on the right wall of the ampulla recti, which was suspected to be carcinoma on a barium enema study. Proctoscopic examination revealed a large, irregular ulceration with white slough at the base, surrounded by the nodular and lumpy mucosa. The lesion was excised by the abdomino-anal pull-through method. The resected specimen showed a lesion of large, shallow, irregular ulcer, 5.0 x 2.2 cm in size. Microscopic examination revealed obliterated lamina propria by fibroblasts and muscle fibers derived from the muscularis mucosae, and misplaced cystic dilated glands in the submucosa at the margin of the ulcer. The gross and microscopic appearances are identical to those of "solitary ulcer of the rectum" described by Madigan and others, and similar to those of "colitis cystica profunda" described by Goodall and others. According to these findings, this lesion was diagnosed as solitary ulcer of the rectum. In the present report, the relationship between solitary ulcer of the rectum and colitis cystica profunda was discussed.

Adolescent↗
PubMed1981

Lysosomal enzyme in endotoxin shock.

Lysosomal enzymes are released in the blood stream in various types of shock. The role of the released enzymes in the development of irreversible shock is still controversial. The present study was undertaken to determine the effect of the administration of lysosomal enzymes in normal rats and rats treated with endotoxin. Lysosomal enzymes were prepared from the isologous liver. They were given either intravenously or intraperitoneally to normal rats. No hemodynamic effect was observed. They were also given to the rats that received the lethal dose of endotoxin. No hemodynamic effect was found in this group. The survival time and the time course of the blood pressure to death did not change. The lysosomal enzyme preparation was given to the rats that received various dosages of endotoxin of less than LD190. The mortality rate of the rats that received endotoxin was not modified by the administration of the lysosomal enzyme preparation. These results indicate that lysosomal enzymes released into the blood in endotoxin shock may not contribute significantly to the irreversibility of shock.

Acid Phosphatase↗
PubMed1980

The role of gastric glucagon immunoreactivity in pancreatectomized dogs.

Immunoreactive glucagon (IRG) or glucagon immunoreactivity is known to be increased in the plasma of insulin-deprived pancreatectomized dogs, most of it originating in the stomach. We attempted to clarify the extent to which gastric IRG is involved in glycogenolysis in the liver of insulin-deprived, pancreatectomized dogs. Mongrel dogs underwent total pancreatectomy. IRG levels in portal vein blood increased to 760 +/- 186 pg/ml on the 4th postoperative day while the insulin levels were negligible. On the 4th postoperative day some of the dogs underwent total gastrectomy. IRG levels in the portal vein blood of pancreatectomized dogs decreased from 760 +/- 186 pg/ml to 135 +/- 44 pg/ml one hour after gastrectomy. Glucose containing insulin was then infused into both pancreatectomized and pancreatectomized-gastrectomized grups of dogs. Glycogen synthesis in the liver during glucose and insulin infusion was much the same in both groups. However, glycogen degradation after glucose and insulin infusion was completely suppressed in pancreatectomized dogs without a stomach while pancreatectomized dogs alone showed marked glycogenolysis in the liver. No difference in portal IRI and blood sugar level was found in both groups while a marked difference in portal IRG were observed. These findings indicate that the IRG released from the stomach plays a significant role i glycogen metabolism in pancreatectomized dogs.

Animals↗
PubMed1980

Validity of long-term recordings of electrical activity of the stomach by chronically implanted monopolar suction electrodes in the conscious dog.

Twenty-four-hour changes in gastric electrical activity were recorded in conscious dogs by means of chronically implanted monopolar suction electrodes. The electrical activity consisted of an initial potential followed by a second potential with various amplitude and duration depending upon the time after feeding. Amplitude of the second potential was well correlated to magnitude of each contraction. Characteristics of the electrical activity were qualitatively similar to those obtained with the intracellular microelectrode technique. 24-hour changes in cycles of electrical activity were divided into four phases; the first phase (lasting for 2--4 hours after feeding) characterized by a significant decrease in the cycle, the second phase (until 6--8 hours after feeding) in which the cycle gradually increased, the third phase (10--16 hours after feeding), and the last phase (lasting to the next meal), showing a marked variation in the cycle. These changes occurred irrespectively at the time of feeding and were consistent day after day as long as the animals were held on a constant feeding schedule. The recording method was suitable for recording gastric electrical activity which would provide more precise informations occurring in the intracellular electrical activity of the stomach in a long period of time under a physiological condition.

Action Potentials↗
PubMed1980

The physicochemical nature and biological function of extrapancreatic immunoreactive glucagon.

The physicochemical nature and biological function of extrapancreatic immunoreactive glucagon in the plasma of totally pancreatectomized dogs were studied. The experimental animals were divided into two groups. Group A received only total pancreatectomy while group B had total pancreatectomy plus total gastrectomy. The blood was taken from both groups of dogs and glucagon was extracted using acid alcohol. The amount of IRG contained in the plasma extract was measured and the glycogenolytic activity of the plasma extract was studied using a rat-liver perfusion. The plasma extract from group A showed almost the same glycogenolytic activity as a commercial beef-pork glucagon but the plasma extract from group B manifested no glycogenolytic activity. The plasma from both groups were fractionated using column chromatography and their physicochemical nature was compared. The IRG in the plasma from group A was fractionated into 3 types, molecular weight 9000, 7000 and 3500, while the IRG in the plasma from group B was found to be of M.W. 9000 and 7000. These results lead to the following conclusions: 1) Extrapancreatic IRG in the plasma is fractionated into three types. 2) The glycogenolytic activity of extrapancreatic IRG is assumed to depend on the IRG fraction of molecular weight 3500. 3) Most of the extrapancreatic IRG fraction of M.W. 3500 originates in the stomach.

Animals↗
PubMed1980

Histochemical observations of polyglucose synthesized by enzyme activities in human gastric carcinoma.

Polyglucose particles histochemically synthesized from glucose 1-phosphate by phosphorylase and branching glycosyltransferase were observed in the gastric carcinoma cells, in intestinal metaplastic epithelium of the gastric mucosa and in fetal epithelium of the fetal gastric mucosa by light and electron microscopical studies. Light microscopical observations resembled those in previous reports. As for the electron microscopical observations, in gastric carcinoma cells, the polyglucaose synthesizing area were expansively widened by a deposition of synthesized polyglucose particles. Three patterns of their intracellular distribution, (Focal type, scattered type and singly deposited type) were observed. Besides, two types of polyglucose particle were synthesized. One type appeared as monoparticles which were relatively similar in size and the other type appeared as rosette-like structures which varied in size. Larger polyglucose particles which resembled the polyglucose particle synthesized in the fetal epithelium were observed among them. In the intestinal metaplastic epithelium, polyglucose particles which were similar in size were synthesized in narrow focal areas of the cytoplasmic matrix. The distribution, shape and size of polyglucose particles synthesized in the carcinoma cells were irregular as compared with those in the intestinal metaplastic elpithelium. It seems that these irregularities were due to the influence of enzymne deviation caused by carcinoma.

1,4-alpha-Glucan Branching Enzyme↗
PubMed1980

alpha-Guanidinoglutaric acid in cobalt-induced epileptogenic cerebral cortex of cats.

Guanidino compounds in the cobalt-induced epileptogenic cerebral cortex of cats were fluorometrically analysed by a JASCO G-520 guanidino compounds analyser, and an unknown high peak was observed in the chromatogram that was identical to the peak of authentic alpha-guanidinoglutaric acid. In another experiment, the substance was extracted from the cobalt focus tissue, converted into dimethylpyrimidyl derivative-butylester, and analysed by a GC/MS technique. The mass spectrum of the substance was identical to the dimethylpyrimidyl derivative of alpha-guanidinoglutaric acid butylester (M+ = 365).

Animals↗
PubMed1980

Anti-inflammatory activity of a proteolytic enzyme, Prozime-10.

Prozime-10 (P-10), a proteolytic enzyme extracted from cultured broth of Aspergillus melleus, was injected intravenously into rats in dosages of 1--10 mg/kg and was found to alleviate carrageenin edema. Thermal denaturation diminished not only the proteolytic activity but also the antiedematous effect. Carrageenin-induced granuloma pouches in rats were reduced by P-10 in a dose-dependent manner (1--5 mg/kg). With P=10 (5 mg/kg i.v.), adjuvant arthritis was inhibited by 62% in the primary phase and by 57% in the secondary phase. Serum concentration of immunoprecipitable P-10 reached 100 mg/l within 30 min after the intraduodenal administration of P-10 (200 mg/kg) and was concomitant with a 3-fold increase in the blood esterolytic activity. When P-10 was injected (5 mg/kg i.v.) into rats, the plasma corticosterone level increased to a maximum of 4 times the preinjection level. These observations indicate that: (a) P-10 can be absorbed from the gut in sufficient quantities to bring about anti-inflammatory activity, and (b) the anti-inflammatory activity of P-10 can be related, in part, to the ability of P-10 to affect the release of glucocorticoids.

Adrenalectomy↗
PubMed1979

Inhibition of human leukocyte migration in agar by 3-M potassium chloride extracts of stomach, colon, and lung cancers.

Inhibition of leukocyte migration in agarose-agar was used as a probe for tumor-associated antigen in 3-M KCl solubilized extracts of gastric, colon, and lung cancers from humans. Twelve of 40 (30%) leukocyte preparations from gastric cancer patients, 10 of 21 (48%) from colon cancer patients, and 7 of 14 (50%) from lung cancer patients were inhibited by their respective histologically homologus cancer extract. However, among 75 preparations from various cancer patients, leukocytes from only 2 gastric cancer patients were inhibited by paired normal gastric tissue extracts. Only 2 of 68 preparations from normal individuals and none of 67 preparations from patients with nonmalignant diseases, such as gastric peptic ulcer, gastritis, colon polyposis, colitis, pulmonary tuberculosis, chronic bronchitis, and sarcoidosis, were inhibited by cancer extracts. These findings suggest the presence in KCl extracts of gastric cancer of presumed tumor-associated antigen(s) that is antigenically distinct from that of either colon or lung cancer.

Agar↗
PubMed1979

Postoperative evaluation of the exocrine function of the pancreas after pancreaticoduodenectomy.

The exocrine function of the residual pancreas of eight patients who underwent pancreaticoduodenectomy was studied with the 131I-triolein absorption test and by 75Se-selenomethionine scintiscanning. In six patients, a pancreaticojejunostomy was performed, while in the other two patients, the pancreatic duct of the residual pancreas was ligated. The fecal 131I-triolein excretory rate in the duct ligation group was more than 50 per cent, while, in all but one patient in the duct anastomosis group, it was less than 10 per cent. Pancreatic scintiscanning in the duct ligation group was negative before and after operation. All of the patients with anastomosis of the duct had an image of the pancreas before operation. However, postoperatively, scintiscanning of the pancreas was negative in two patients and became negative late in the postoperative period in four others without any decline of fat absorption. The cause for this postoperative change in scintiscanning of the pancreas and the discrepancy of this finding with that obtained with the 131I-triolein absorption test remains to be studied.

Duodenum↗
PubMed1979

Anti-allergic properties of a new histamine antagonist, 4-(p-chlorobenzyl)-2- [N-methyl-perhydroazepinyl-(4)]-1-(2H)-phthalazinone hydrochloride (azelastine).

Anti-allergic properties of 4-(p-chlorobenzyl)-2 [N-methyl-perhydroazepinyl-(4)]-1-(2H)-phthalazinone hydrochloride (azelastine, A-5610) were investigated focusing the most attention on its decongestive effect. Intravenous injection of azelastine into anesthetized dogs with doses more than 0.1 mg/kg prevented the changes in nasal impedance provoked by histamine sprayed into the nasal cavity. When azelastine was given orally, the minimum effective dose to abolish the impedance reduction due to histamine was 2 mg/kg, in the case of cleamastine the same dose was required. Histamine release from the rat mesentery pieces by the condensation product of N-methyl-homoanisylamine formaldehyde (compound 48/80) (0.005%) was inhibited almost completely by pretreatment with azelastine at the concentrations of 10(-4) to 10(-3) g/ml, and in those concentrations azelastine alone released histamine scarcely. When 5 mg/kg of azelastine was given i.v. to rabbits, the characteristic changes in EEG -- a high-voltage low-frequency pattern -- persisted more than 1 h, but not the least inhibition in arousal response was noted. With the dose of 0.5 mg/kg, diphenhydramine impaired arousal response and slow waves with high amplitude dominantly appeared in EEG.

Administration, Oral↗
PubMed1978

Evaluation of fibergastroscopic biopsy in the diagnosis of gastric cancer: a study of 339 cases.

Three hundred and sixty-five biopsies under direct vision, using a fibergastroscope, were performed on 339 patients with gastric cancer from 1966 to 1975. Diagnostic accuracy improved with an increased in the number of biopsy specimens and reached 100% when 6 or more biopsy specimens were obtained. Positive specimens were obtained with 48.5% of the biopsied tissue from the center of the lesion (A), 52.2% from the inner margin of the lesion (B1), 19.6% from the outer margin of the lesion (B2), and 1.6% from the area around the lesion (C). The combined result of the biopsies from A and B1 was highly positive in 49 out of 51 cases (96.1%). Diagnostic accuracy of the early cancer reached 96.9%. This was significantly higher than that of advanced cancer (80.3%). False negative biopsies were found in 51 (16.3%) of the 313 patients who were gastrectomized and diagnosed by histological examinations. Twenty-three of the 27 patients, who were diagnosed as benign either by x-ray or endoscopic examination, and 4 of the 5 patients who were diagnosed as benign under both examinations, were found to have positive results by biopsy. Positive biopsy examination was particularly helpful with patients showing on inconclusive or benign diagnosis by x-ray and/or endoscopic examinations.

Biopsy↗
PubMed1977

Cutaneous mycosis caused by Paecilomyces lilacinus.

A 20-year-old woman had erythematous scaly plaques persistent for 15 years on the left cheek. Cultures from scales and biopsy specimens on Sabouraud's glucose agar repeatedly yielded floccose lilac colonies, and those on a Czapek's solution agar plate developed deep purplish red pigment, which is characteristic of Paecilomyces lilacinus. The PAS stain of the tissue section showed ovoid, divergent, or club-shaped fungal elements among the inflammatory cells or in giant cells. Two months after the patient and a control subject were inoculated with the isolates, P lilacinus could be reisolated from the patient only. Oral administration of griseofulvin significantly reduced erythema and papules. This is the first report, to our knowledge, of deep cutaneous mycosis caused by P lilacinus.

Adult↗
PubMed1976

Effects of diphenhydramine, naphazoline and m-amino-alpha(1-aminoethyl)benzyl alcohol dihydrochloride on the nasal mucosa determined by impedance method: a simple method for evaluation of nasal decongestant.

A simple, new method was devised for evaluating nasal decongestants. In anesthetized dogs, two needle electrodes were inserted bilaterally into the superficial mucosa of the nasal wings. An impedance plethysmorgraphy provided with a DC output was used to measure impedance between the two electrodes. When 1% histamine solution was sprayed into a nostril focusing on the inside mucosa of a nasal wing, impedance decreased markedly and thereafter recovered to a control level within 1-1.5 h. Comparable responses were obtained when the same solution was sprayed into the opposite nostril. The drugs to be tested were administered intravenously or topically between these two histamine application. Intravenous administrations of diphenhydramine (0.5 mg/kg) and m-amino-alpha)1-aminoethyl) benzyl alcohol dihydrochloride (0.1 mg/kg) inhibited the histamine effect completely. Pretreatment with naphazoline administered topically also inhibited impedance changes cause by histamine application. Local appliations of acetycholine (10%) and bradykinin (0.1%) did not change nasal impedance significantly in any instances.

Acetylcholine↗