Biomedical subjects
Publications and source records attributed to M Itoh.
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A case of cervical canal stenosis accompanied by congenital cervical fusion and extracerebral occlusive disease of the verebral artery was reported. A 39-year-old male was admitted to our hospital on June 5, 1976, because of his shoulder strain, motor weakness and numbness of his left hand, and gait disturbance for a couple of months. Neurological examination disclosed spastic paraparesis with positive pyramidal signs in the four extremities which was greater on the left side, and the superficial and deep sensations were diminished below C-4 dermatomes bilaterally. Spinal tap revealed crystal clear fluid under an initial pressure equivalent to 120 mm of water with a protein content of 20 mg/dl. Plain X-P and laminogram of the cervical spine showed congenital fusion of C 2-3, cervical canal stenosis and cervical spondylosis. Posterior spurring of C 3-4 was demonstrated only on the laminogram. Myelogram showed incomplete myelographic block at the site of C 3-4-5. The left retrograde brachial angiogram disclosed occlusion of the vertebral artery at the site of C3-4. where the proxymal vertebral artery anastomosed with the well developed muscular branch of the vertebral artery, taking a tortuous course at the leve of the transverse foramen of the atlas, and were opacified the distal vertebral artery and basilar artery. Each collateral flow extending from the deep cervical artery and ascending cervical artery anastomosed with the proxymal and distal portion of the occluded vertebral artery. In spite of conservative treatment for two weeks, the cord compression syndromes rather deteriorated. Posterior decompression, that is, C 2-7 laminectomy and C 3-4 partial facetectomy were performed for relieving the symptoms. The postoperative course was uneventfull and there was progressive improvement of the sensory, motor and gait disturbance. The relationship betwen the cervical canal stenosis and cervical spondylosis and their clinco-radiological problem were discussed. The close embryological relationship was very suggestive of the pathogenesis between the cervical bony lesion and congenital cervical fusion and the occlusive vascular lesion of the vertebral artery.
The effect of radiotherapy on peripheral blood lymphocytes (PBL) of lung cancer and the effect of BCG cell-wall skeleton (BCG-CWS) on recovery of impaired PBL were examined. A remarkable depression of the absolute number of E- or EAC-rosette cells and of the response of PBL to mitogens were observed immediately after radiotherapy, and these continued for several months. With BCG-CWS immunotherapy, the response of PBL to phytohemagglutinin recovered rapidly, compared with non-vaccinated patients. The response of PBL to pokeweed mitogen seemed to give similar results. These results suggested that BCG-CWS injection to the patient receiving radiotherapy was effective for recovery of T-cell response.
Absorption, excretion, distribution and metabolism of pepleomycin sulfate (NK631) were investigated in rats after intravenous administration of 3H-NK631 by whole-body autoradiography, CM-Sephadex column chromatography and high performance liquid chromatography. The highest radioactivity was found in kidney, followed by cartilage, blood, lung, esophagus, adrenal gland and skin at 0.5 hour after the administration and little radioactivity was observed in central nerve system. The NK631 and deamide NK631 were identified as major (90%) and minor metabolites in the 24-hour urine.
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In order to apply the intensity-matching technique to polyhydroxysteroids in biological fluids, the doublet of [M]+ and [M+3]+ was prepared in the process of derivatization by use of a mixture of trimethylsilylimidazole (TSIM) and TSIM-d3 and was used for mass fragmentography. The molar ratio of TSIM and TSIM-d3 was defined by the reciprocal of the number of hydroxyl groups in steroids. This technique may be useful in identifying low levels of the endogenous polyhydroxysteroids of interest in biological fluids.
A phenolic trimethylsilyl (TMS) group was selectively exchanged for a dimethylalkylsilyl (DMAS) group on a gas chromatographic column by use of sandwich injection technique with DMAS-imidazole, and a TMS ether derivative of a phenolic steroid was converted into a DMAS ether or a mixed TMS and DMAS ether derivative with over 95% recovery. The selective exchange reaction seemed to be caused by the difference in lability between the ethereal TMS linkages to phenolic and alcoholic hydroxyl groups. This selectivity was found to be useful for discriminating gas chromatographically between the phenolic and alcoholic hydroxyl groups in steroids.
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Differences in methylene unit values were used for the determination of the hydroxyl group number of a steroid by means of gas chromatography. This index is defined as the difference in the methylene unit value between trimethylsilyl and other dimethylalkylsilyl (DMAS) ether derivatives of hydroxylated steroids, namely dimethylethylsilyl (DMES) and dimethyl-n-propylsilyl (DMPS) ethers. The reactivities of DMES and DMPS imidazoles as silylating agents were nearly equal to that of TMS-I. Mass spectra of these derivatives were characterized by the molecular ion cluster, [M]+., [M-15]+ and [M-29]+ (or [M-43]+). The molecular ion cluster of these derivatives is most useful for estimating the molecular weight. Therefore, these DMAS ethers provide valuable information for structural elucidation of hydroxylated steroids by gas chromatography electron impact mass spectrometry.
There are two types of RFC in lymphoid cells of normal unimmunized chicks, which form rosettes with QRBC. They might be separable subpopulations of lymphoid cells in reference to the thymus dependency. Ontogenetic developments of both of the RFCs suggest the presence of their interrelations in the maturation process of the lymphoid system in chicks. The nature of the receptor site for QRBC and the source or origin of RFCs are discussed.
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