Biomedical subjects

M Fukayama

Publications and source records attributed to M Fukayama.

At least 127 records · Page 7Linked to original sources

PubMed1991

[Bacterial meningitis in the elderly with neurosurgical procedures].

Bacterial meningitis is one of complications in the elderly with neurosurgical procedures. In an attempt to find the clinical features of this complication we analyzed 10 cases, which were found in 30 cases of the bacterial meningitis in Tokyo Metropolitan Geriatric Hospital from 1972 to 1989. The patients were 4 males and 6 females, 52-86 years old (the mean, 69). While 2 Enterococcus species were isolated after craniotomy, Staphylococci were common pathogens (4 S. aureus, 4 S. epidermidis and 1 P. aeruginosa) in patients with shunt infection. Most of these patients lacked typical manifestations of meningitis except the fever. Symptoms occurred long after surgery with little abnormality in the data of serum and cerebrospinal fluid. However, blood cultures were positive in 75% of the cases. Removal of the infected catheter was effective in the cases of shunt infection.

Aged↗

PubMed1991

Adherence of cell surface mutants of Candida albicans to buccal epithelial cells and analyses of the cell surface proteins of the mutants.

Strains of Candida albicans, selected on the basis of their reduced agglutination with a polyclonal anti-Candida antiserum, were tested for their adherence to human buccal epithelial cells (BEC). Of four strains, one (A9V2) had reduced binding to BEC in vitro. Adherence of wild type (wt) yeast cells (A9), as measured by the percentage of BEC with adhering Candida cells, was 73.4% +/- 3.8% compared with 49.3% +/- 3.1% for A9V2 (P less than 0.01). From yeast cells of A9 and A9V2, whole-cell extracts and dithiothreitol-, Zymolyase-, or beta-mercaptoethanol-solubilized cell extracts were compared by sodium dodecyl sulfate-polyacrylamide gel electrophoresis and Western blotting (immunoblotting). From dithiothreitol-solubilized cell extracts, proteins with molecular masses of 55 to 60, 80 to 84, 115, and 165 kDa were observed from wt (A9) cells but were highly reduced in amount or absent from A9V2 cells. Western blot profiles of Zymolyase-solubilized extracts from both A9 and A9V2 were similar in appearance, while 55-, 80- to 84-, 115-, and 165-kDa proteins were observed only in A9 cells extracted with beta-mercaptoethanol. Strain A9V4, also selected by reduced agglutination but which adhered as well as strain A9, lacked the 80- to 84-kDa and 115-kDa proteins but otherwise was similar to strain A9. These results indicate that the 55- to 60- and 165-kDa proteins may be related to an adhesin function in C. albicans. The differences observed in the protein profiles of the wt adhering strain and its derived nonadhering mutant are similar to those described for another matched pair of C. albicans strains.

Antigens, Fungal↗

PubMed1990

Atypical endocrine granules in atypical endocrine tumor (AET) of the lung. An immunoelectron microscopic study.

Highly dense granules are a hallmark for recognizing atypical endocrine tumor (AET) of the lung. We report a case of AET with many atypical neurosecretory-type granules: moderately dense granules (mean size 373.7 nm) and "target" granules with a central dense core (425.1 nm), both apparently larger than the highly dense granules (223.3 nm). Immunoelectron microscopical studies demonstrated that all three types of granule were positive for gastrin-releasing peptide (GRP), human chorionic gonadotropin alpha-subunit (hCG alpha), calcitonin or serotonin. Although the size profiles of positive granules were similar for calcitonin and hCG alpha, they were different from those of GRP or serotonin granules. The presence of atypical granules and the different size profiles of hormonal products in AET indicate that caution is required in ultrastructural evaluation of granules in lung carcinomas.

Adenocarcinoma↗

PubMed1990

Brain-associated small-cell lung cancer antigen (BASCA) is expressed in developing lung: an immunohistochemical and immunoelectron microscopic study.

Expression of brain-associated small-cell lung cancer antigen (BASCA) in developing lung and in lung tumors was investigated immunohistochemically and immunoelectron microscopically with monoclonal antibodies recognizing different epitopes of BASCA. In fetal lung, epithelial and mesenchymal cells had different spatial and temporal expression patterns, in contrast to the consistent pattern in neural cells. The cell membranes of epithelial cells of the proximal bronchial tubes were diffusely positive at the pseudoglandular stage. Ciliated cells lost immunoreactivity shortly after their emergence, but non-ciliated cells, including endocrine cells, lost it at the alveolar stage. The immunoreactivity in mesenchymal cells was reduced in the proximal airway, but positivity remained in the distal lung later during the postnatal period. All endocrine tumors of the lung, defined by diffuse synaptophysin immunoreactivity, expressed BASCA, but some non-endocrine carcinomas which also lacked densely cored granules ultrastructurally, showed BASCA positivity. The temporal and spatial pattern of BASCA expression in the developing lung suggests that BASCA plays an active role in lung morphogenesis. BASCA may be expressed as an oncofetal substance in some non-endocrine carcinomas of the lung.

Adult↗

PubMed1990

Scanning electron microscopic observations of microcanals and continuous zones of interglobular dentin in human deciduous incisal dentin.

Scanning electron microscopic (SEM) observation of the coronal dentin of deciduous incisors revealed microcanals and continuous zones of interglobular dentin (CID) in the labio-lingual central portion of dentin beneath the incisal edge. The microcanals, which were clearly larger than dentinal tubules, extended from the incisal edge to the vicinity of the pulp cavity. They were located essentially in the labio-lingual central portion of the dentin and were arranged linearly in the mesio-distal direction. Inside the microcanals, collagen fiber bundles were arranged almost in parallel with the canal long axis: spherical bodies 1.0-2.5 microns in size made up of assemblies of regular parallelpipedal crystals and granulated crystals were also seen. In some instances, bacteria had invaded incisal dentin that had been exposed by attrition. The CID were made up of interglobular dentin aligned with the long axis of the tooth. As was true in the case of the microcanals, several zones were arranged irregularly in the mesio-distal direction, generally in the labio-lingual central portion of the coronal dentin. The CID were confined to about half the width of the incisal edge dentin on the incisal edge side and did not appear in the vicinity of the pulp cavity. Within the interglobular dentin itself, which was surrounded by calcospherites, were longitudinal collagen fibers connected with dentinal tubule walls inside calcified dentin and collagen bundles forming a network with those fibers. Spherical bodies 1.0-1.5 microns in size were observed attached to the surfaces of the bundles or distributed among these fibers. In some instances, the microcanals penetrated the CID.

Child↗

PubMed1990

Human chorionic gonadotropin alpha-subunit in endocrine cells of fibrotic and neoplastic lung. Its mode of localization and the size profile of granules.

To investigate the nature of various endocrine cells immunoreactive for human chorionic gonadotropin (hCG alpha) in the lung, immunoelectron microscopic study was performed on fibrotic adult lungs and endocrine neoplasms of the lung. The mode of localization of hCG alpha and the size profile of hCG alpha granules were different among endocrine cells under various proliferative conditions. The population of hCG alpha granules in the grouped type of endocrine cells was more variable with a shift to smaller size (mean area: 1.395 x 10(-2) microns 2, mean maximum diameter: 149.8 nm), than that in solitary ones (1.493 x 10(-2) microns 2, 155.4 nm). Tumorlet endocrine cells had larger hCG alpha granules (1.800 x 10(-2) microns 2, 171.3 nm) without change of SD of size parameters. In carcinoid tumors, the size profile of hCG alpha granules was considerably different from that in the three types described above. Moreover, hCG alpha granules were significantly smaller in size in carcinoid tumors without lymph node metastasis (2.295 x 10(-2) microns 2, 189.8 nm) than those in malignant carcinoid tumors with metastasis (3.368 x 10(-2) microns 2, 230.5 nm). The population of hCG alpha granules in atypical endocrine tumor was the parallel shift to a larger scale (6.251 x 10(-2) microns 2, 307.5 nm) from that of malignant carcinoids and the distribution pattern was different from that in benign carcinoids. In small cell carcinoma of the lung, hCG alpha immunoreaction was preferentially present in perinuclear space and dilated rough endoplasmic reticulum. The mode of localization of hCG alpha and the size profile of hCG alpha granules, representing specific features of intracellular processing of hCG alpha, may be closely related with some qualitative changes in the neoplastic process of pulmonary endocrine cells.

Carcinoid Tumor↗

PubMed1990

A novel diagnostic method of Pneumocystis carinii. In situ hybridization of ribosomal ribonucleic acid with biotinylated oligonucleotide probes.

The reactivity and specificity of the in situ hybridization of ribosomal RNA in the diagnosis of Pneumocystis carinii were investigated. Three complementary oligonucleotide probes, 22 and 25 nucleotides long, corresponding to the species specific regions of 5S and 18S ribosomal RNA of Pneumocystis carinii were synthesized and labeled with biotinylated dUPT at the 3' termini. In situ hybridization was performed on formalin-fixed paraffin-embedded human lung tissues using the mixture of these probes and detected with the avidin-biotin peroxidase complex method. The reactions were positive in all 12 cases of Pneumocystis carinii pneumonia, but in none of the infections with other pathogenic agents, including virus (6 cases), mycobacteria (4 cases), protozoa (4 cases) and fungi (8 cases). The reactivity and specificity of this method was comparable with that of immunohistochemistry using a monoclonal anti-human Pneumocystis carinii antibody. Because the specificity of in situ hybridization is based on nucleotide sequences of ribosomal RNAs, that are constant among species, contrary to morphology of protista or expression of antigens, it should complement conventional staining and immunohistochemical methods, and provide a useful tool for the diagnosis of Pneumocystis carinii.

Antibodies, Monoclonal↗

PubMed1990

Human chorionic gonadotropin in the thymus. An immunocytochemical study on discordant expression of subunits.

To demonstrate discordant expression of human chorionic gonadotropin (hCG) subunits in the human thymus and thymic tumors, immunocytochemical studies were performed with immunoelectron microscopy. In the fetus, hCG beta-positive cells were identified in excess of hCG alpha-positive cells (hCG alpha: 1.38 +/- 0.18/mm2, hCG beta: 4.50 +/- 1.13/mm2). They were usually different populations in serial sections. There were 0.18 +/- 0.03/mm2 synchronously positive cells using the double immunostaining method, comprising approximately 3% of the total positive cells. The immunoreactive material for both subunits was present at the rough endoplasmic reticulum (RER), perinuclear space, and vesicular structures with protruding microvilli in the lumens. hCG alpha was expressed preferentially in the endocrine tumors of the thymus and non-germ-cell tumor, with rare positivity for beta-subunits of glycoprotein hormones. The hCG alpha-immunoreactive material also was present in the granules as well as in RER of the neoplastic cells. In four teratomas of the thymus, hCG alpha-positivity only was present in endocrinelike cells. The subunit profile of hCG was unbalanced in the thymus and isolated hCG alpha-expression in the fetal thymus may represent the endocrine cell with a primitive storage mechanism. The discordant expression of hCG subunits may be common in nontrophoblastic tissues.

Adult↗

PubMed1990

[Clinicopathological study of miliary tuberculosis in patients with hematologic disease].

Seven cases of miliary tuberculosis in patients with hematologic disease were analyzed clinicopathologically. Mean age of the patients was 65 years, and the hematologic diseases were CML, AML, ALL, MDS and malignant lymphoma. Diabetes mellitus was present as a complication in three patients. Miliary tuberculosis was found in 5 cases during the first admission to our hospital owing to hematologic problems. In 4 of 6 cases, fever had started more than two months before admission, consequently, the tuberculosis probably began about that time. After admission, chemotherapy was administered in 5 cases, and steroid in 6 cases for hematologic disease. The mean total quantity of steroid administered was 2,134 mg of prednisolone and average treatment duration was 69 days. The chest roentgenographic shadow was so atypical that miliary tuberculosis was suspected in only one case. The initial chest roentgenogram showed hilar and mediastinal lymph node swelling as well as the shadow of pulmonary tuberculosis in two cases. It was thought that the hilar and mediastinal lymph node swelling could be explained by primary complex, although the patients were of advanced age, or by "secondary complex" reported by Terplan, K in 1940. The diagnosis of tuberculosis was made in two patients before their death by smear of aspirated fluid of cervical lymph node and by bone marrow cell block in one patients, and by pathological examination of mediastinal lymph node biopsy in the other patients. Tubercles were found from bone marrow cell block in 2 out of 5 patients and from bone marrow biopsy in 1 out of 3 patients, but the positive results were reported in 2 patients following death. Smears of sputum, gastric juice, urine, spinal fluid and pleural effusion were negative in all cases. One patient diagnosed as miliary tuberculosis also had pneumocystis carinii pneumonia. This case was treated with antituberculosis drugs for 20 days without improvement. Another patient diagnosed as miliary tuberculosis improved under treatment with antituberculosis drugs, but died of cytomegalovirus pneumonia. Autopsy in 5 cases revealed non-reactive miliary tuberculosis, and pulmonary hemorrhage probably due to DIC was present as a complication in two cases. In these cases, severe immunosuppression, which is a major precipitating factor of miliary tuberculosis, is thought to be induced by hematologic disease itself, chemotherapy, steroid or other underlying disease such as diabetes mellitus. Miliary tuberculosis in such compromised host is cryptic and progresses rapidly. Consequently, early diagnosis is very important. Retrospectively, the unexplained pyrexia was most important to suspect tuberculosis.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

PubMed1989

Incorporation of human chorionic gonadotropin alpha-subunit into different types of granule in stomach endocrine cells. An immunoelectron microscopic study.

In order to demonstrate the ultrastructural localization of the alpha-subunit of human chorionic gonadotropin (hCG) in the stomach mucosa, an immunoelectron microscopic study was performed using formalin-fixed specimens. In pyloric glands, alpha hCG-positive granules were irregular in outline, with a mean area and maximum diameter of 2,857 x 10(4) nm2 and 218.4 nm, respectively. In fundic glands, the granules had a smoother outline and were larger in both area and maximum diameter (3,943 x 10(4) nm2, 246.8 nm) than those of pyloric glands (p less than 0.001). In the atrophic fundic glands of non-antral gastritis, the alpha hCG granules showed a difference in shape; more elliptical granules appeared to be increased, as indicated by the higher value of the axial ratio (1,452) and lower value of D (1,862) (log10 area alpha D.log10 perimeter) compared with those in pyloric (1,231, 1,968) and fundic glands (1,148, 1,979) (p less than 0.001). The alpha-subunit of hCG is thus incorporated into different types of endocrine cell in pyloric and fundic glands, and the granule morphology appears to differ in hyperplastic alpha hCG cells of non-antral gastritis.

Adult↗

PubMed1989

[Immunological responses in the aged with bacterial infection].

The effect of bacterial infection on immunologic parameters was investigated in the elderly, with special reference to natural killer (NK) cells. The parameters studied were percentage of lymphocyte subsets, interleukin-2 concentration and NK cytotoxicity. In the bacterial infection group (n = 15), there were several changes in the immunological parameters when compared with the healthy aged control group (n = 42): decreased in the lymphocyte number, decreased percentage of CD4+ cells resulting a lower CD4+/CD8+ ratio, diminished NK activity without a change in the percentage of NKH-1+ cells, and increased CD25+ cells which consisted mainly of CD25+ NKH-1+ cells. These changes recovered in all patients examined (n = 7) following resolution of the infection. Decreased NK activity, although transient, may be related to be susceptible to infection or to be prolonged course of infectious diseases in the elderly.

Aged↗

PubMed1989

Intracellular topography of glycine-extended pro-gastrin-processing intermediates in human antral mucosa: an electron-microscopic immunocytochemical study.

To identify and characterize the subcellular topography of glycine-extended pro-gastrin-processing intermediates (G-Gly) in human antral mucosa, we performed an electron microscopic immunocytochemical study using region-specific antisera generated against the synthetic peptide, Tyr-Gly-Trp-Met-Asp-Phe-Gly (GL7), and C-terminal-specific anti-gastrin antisera. As has been previously reported, G-cells contained both electron-dense and electron-lucent granules, with a range of intermediate forms. Gastrin immunoreactivity was demonstrated in almost all granules of each type, whereas anti-GL7 antisera immunostained chiefly electron-dense granules. The relative ratio of GL7/gastrin granules varied among different cells but was approximately 1:10 on average. Other cytoplasmic organelles were devoid of specific labeling for GL7 or gastrin. As we have assumed that G-Gly serves as the immediate precursor for each molecular form of gastrin, electron-dense granules with high labeling for GL7 are regarded as the principal site for conversion of G-Gly to gastrin. This speculation supports many previous reports that electron-dense granules are immature and that the granules become less electron-dense with maturation.

Adult↗

PubMed1989

Human chorionic gonadotropin alpha-subunit in rectal carcinoids. Its mode of presence and the change of granule morphology.

To investigate the nature of endocrine cells immunoreactive for human chorionic gonadotropin alpha-subunit (hCG alpha), rectal carcinoid tumors were studied with immunohistochemistry and immunoelectron microscopy. There were two types of rectal carcinoids: Type A (n = 5) was diffusely argyrophilic and immunoreactive for serotonin with many hCG alpha-positive cells (16.7%-91.1%). Type B (n = 5) was dispersedly argyrophilic and contained, at most, 5% positive cells for pancreatic polypeptide (PP) with hCG alpha cells in 1.4% to 9.7%. By double immunostaining, 55.0% to 89.7% of hCG alpha cells were synchronously immunoreactive for serotonin in Type A and 3.2% to 11.8% of hCG alpha cells showed PP-positivity in Type B. HCG alpha-positive granules had a constant relationship between perimeter (P) and area (A), log10 A approximately D log10 P, in each case (n = 5). The inverse correlation was found between the value of D and the frequency of hCG alpha in the tumor or in the neoplastic cells (P less than 0.05). HCG alpha may represent the quantitative difference of rectal carcinoids and its expression may have some relation with granule morphology in neoplastic endocrine cells of the rectum.

Carcinoid Tumor↗

PubMed1989

X-radiation-induced differentiation of xenotransplanted human undifferentiated rhabdomyosarcoma.

A serially xenotransplantable strain of undifferentiated embryonal rhabdomyosarcoma originating from the nasal cavity of a 42-year-old woman has been established in our laboratory. After radiotherapy for the tumor donor, distinct rhabdomyoblastic differentiation of the undifferentiated sarcoma cells appeared in the primary lesion, and it is a reasonable assumption that X-irradiation has a certain potentiality to induce morphologic differentiation of tumor cells. To study this possibility, tissue fragments of undifferentiated embryonal rhabdomyosarcoma that had grown to more than 10 mm after being transplanted to nude mice were selectively irradiated in situ. The degree of rhabdomyoblastic differentiation according to radiation dose was evaluated by light and electron microscopy and by immunostainability for myoglobin, creatine phosphokinase-MM, and desmin. Distinct morphologic differentiation of undifferentiated sarcoma cells could be induced by repeated X-irradiations at several-week intervals.

Adult↗

PubMed1988

A case of multiple carcinoid tumors of the rectum with extraglandular endocrine cell proliferation.

A case of multiple carcinoid tumors of the rectum with numerous proliferations of extraglandular endocrine cells is reported. The patient was 52-year-old man with five polypoid lesions in the rectum. The resected rectum contained five macroscopic carcinoid tumors, 36 microcarcinoids, and innumerous extraglandular endocrine cell proliferations. Endocrine cell microproliferations, in their early stage consisting of one to 15 micronests, were mainly located within the bundles of muscularis mucosae, having no contact with mucosal glandular structures. All of the immunohistochemically examined proliferations of extraglandular endocrine cells contained S-100 protein-positive dendritic cells, and some endocrine cells coexisted with submucosal ganglion cells. In contrast, there was no increase in intraglandular endocrine cells. The origin of rectal carcinoid tumor may be the extraglandular endocrine cells, a distinct compartment of mucosal endocrine cells of the rectum.

Carcinoid Tumor↗

PubMed1988

Coronary arteritis and aortoarteritis in the elderly males. A report of two autopsy cases with review of the literature.

Two elderly males died suddenly of acute myocardial infarction. Autopsy disclosed extensive and severe coronary arteritis, associated with aortitis. In most of all of the epicardial coronary arteries, fibrous thickening of the adventitia was remarkable and muscle layers of the media were nearly destroyed by infiltration of lymphocytes and plasma cells. The aorta showed adventitial thickening with destruction of the elastic layers of the outer media. In the literature, similar extensive coronary arteritis has been reported in five cases of Takayasu's arteritis. All cases, including ours, were elderly or middle-aged males who died suddenly of myocardial infarction without the antemortem detection of the underlying arteritis. These aspects differ from the typical Takayasu's arteritis and we suggest that these cases are considered as a separate entity.

Aorta↗

PubMed1988

Pulmonary and pleural thymoma. Diagnostic application of lymphocyte markers to the thymoma of unusual site.

Two cases of the thymoma of the unusual sites were examined immunohistochemically. The one was intrapulmonary, and the other was diffuse pleural tumors. The infiltrating lymphocytes were T-cells showing OKT 6 positivity and nuclear immunoreactivity for terminal deoxynucleotidyl transferase (TdT) in the intrapulmonary tumor, like lymphocytes in the mediastinal thymoma of predominantly lymphocytic or mixed types. Although lymphocytes were dispersed in the pleural tumor, there were some TdT(+) OKT 6(-) lymphocytes and the similar finding was observed in the thymoma of predominantly epithelial type. In lung carcinomas and pleural mesotheliomas, there were no TdT(+) OKT 6(+/-) lymphocytes. Immunohistochemical studies using lymphocyte markers may be an useful tool for the diagnosis of the thymoma of ectopic site or unusual presentation.

Aged↗

PubMed1988

So-called sclerosing hemangioma of the lung. An immunohistochemical, histochemical and ultrastructural study.

Sclerosing hemangioma of the lung (SHL) was investigated immunohistochemically, histochemically and ultrastructurally with reference to cellular components associated with the histologic pattern: cuboidal cells in the papillary type, round cells in the solid type, flat cells in the hemorrhagic type and stromal cells in the sclerotic type. Immunohistochemically, cuboidal cells were positive for CEA, cytokeratin and EMA, whereas other cells were positive for EMA and vimentin. Immunoreactive factor-VIII-related antigen was confined to endothelial cells. Histochemically, cuboidal cells displayed alkaline phosphatase activity, but round cells showed ATPase activity. However, in spite of these different histochemical and immunohistochemical properties, morphological continuity was clearly revealed in immunostained sections; direct connection of spaces lined by cuboidal and flat cells, direct contact between cuboidal and stromal cells, and EMA expression of round cells associated with luminal structures were evident. Ultrastructurally, cuboidal cells were like alveolar cells. Flat and stromal cells showed microvillous protrusions and a discontinuous basement membrane, but some cells contained lamellar bodies. Solid cellular sheets consisted of various cells intermediate between cuboidal and flat or stromal cells. Direct apposition among these cells was evident. This morphological continuum confirms that each of these cell types are components of SHL as a whole. SHL may thus be merely sclerotic hemorrhagic alveolar cell tumor.

Adenosine Triphosphatases↗