[A case of severe disopyramide poisoning, treated successfully by haemodialysis].
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Biomedical subjects
Publications and source records attributed to M Katoh.
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Cinoxacin was administered to 30 outpatients with chronic complicated urinary tract infection for 57.3 days (average) and the following results were obtained. Clinical efficacy based on decrease of pyuria were "excellent" in 44.8%, "good" in 31.0%, "fair" in 24.1%, and "poor" in 0%; and, overall effectiveness rate reached 75.9%. As for side effect, diarrhea and nausea were observed in 2 and 1 patients, respectively. GOT and GPT elevation was also seen in one case. Cinoxacin long term therapy seems to be effective and useful to chronic complicated urinary tract infections.
Twenty infectious episodes were caused mainly by Gram-negative rods in 16 patients with a disorder of the hemopoietic tissue. The ages of the patients ranged between 20 and 76 years. Cefotaxime (CTX) was used alone in 9 infectious episodes (group I) and in combination with other antibiotics in the remaining 11 infectious episodes (group II). The following results were obtained. A good response to CTX was noted. The clinical and bacteriological success rates were 100% and 83% in group I, and 82% and 100% in group II, respectively. Bleeding was not clinically found during and after treatment of any infectious episodes with CTX. No change in PT and aPTT was noted during CTX treatment, either. CTX was thus evaluated to be an effective and safe cephem antibiotic in the treatment of infectious episodes secondary to a disorder of the hemopoietic tissue, which is usually accompanied by a marked hemorrhagic tendency.
Prolactin receptors present in the particulate fraction of lactating pig mammary gland were solubilized by 7.5mM-3-[(3-cholamidopropyl)dimethylammonio]-1-propane-su lph onic acid (Chaps) and purified by affinity chromatography on prolactin coupled to Affi-Gel 10. Nearly 30% of the particulate receptors were solubilized by the detergent and over a 1000-fold purification from homogenates was achieved. A water-soluble fraction rich in receptors was observed during the preparation of membranes, although this fraction has not yet been purified. Prolactin binding to the receptors was a time-dependent, reversible and saturable reaction in particulate, Chaps-solubilized and purified receptors. In all forms, receptors showed the same specificity to peptide hormones. Prolactin and human growth hormone bound to the same receptors, whereas bovine growth hormone, follicle-stimulating hormone, luteinizing hormone, thyroid-stimulating hormone and insulin failed to bind. After solubilization, the dissociation constant (Kd) for prolactin was decreased 5-fold from 9.8 X 10(-11) M in the particulate receptors to 1.8 X 10(-11) M in solubilized and purified receptors, being due principally to an increase in the association rate constant from 1.0 X 10(9)M-1 X h-1 to (3.9-4.6) X 10(9)M-1 X h-1, respectively, with the dissociation rate constant remaining unchanged at (1.1-1.3) X 10(-2)h-1. Isoelectric focusing of the prolactin-receptor complex revealed two peaks, one at a pI of 5.5-5.6 and the other at 5.2-5.3. Microsomal receptors were covalently cross-linked to 125I-labelled ovine prolactin with ethylene glycol bis(succinimidyl succinate) and analysed by sodium dodecyl sulphate/polyacrylamide-gel electrophoresis. Autoradiography of the gel revealed a major subunit of Mr 28 000-35 000 and a minor one of Mr 67 000-69 000. Anti-(prolactin receptor) antibodies raised against rabbit mammary gland prolactin receptors were equally effective in inhibiting prolactin binding to particulate, solubilized and affinity-purified receptors, suggesting that purified prolactin receptors have a structure indistinguishable immunologically from particulate receptors and rabbit mammary gland prolactin receptors. The present demonstration shows that particulate prolactin receptors from a domestic animal can be solubilized and purified without losing the original properties of high affinity and binding specificity for hormones.
A cadmium-binding substance with a molecular weight even lower than that of metallothionein was demonstrated on Sephadex G-75 gel filtration chromatography of the soluble fractions from newborn human and adult rat liver homogenates and adult human hemolysate which were mixed with CdCl2 in vitro. This substance was purified from rat liver extracts by gel filtration and ion-exchange column chromatography and characterized by 6 M guanidine X HCl thin-layer gel filtration chromatography and N-terminal and total amino acid analyses. The results showed that the isolated low-molecular-weight cadmium-binding substance was a cadmium-reduced glutathione complex, whose molecular weight was found to be approximately 1400 by Sephadex G-15 gel filtration.
Unitary activity was recorded from 17 bulbar reticular neurons, which fired rhythmically during mastication, in unanesthetized, spontaneously respiring cats during sleep and wakefulness. All these neurons showed the highest mean firing rate during food ingestion, and none of them showed any tonic discharge during active sleep. The results are discussed in terms of a functional differentiation of bulbar reticular inhibitory neurons projecting to jaw-closer motoneurons in relation to phasic inhibition during mastication and tonic inhibition during active sleep of jaw-closer motoneurons.
We sought to identify those cells involved in the generation of atonia of the masseter muscles during active sleep. A neuronal population was examined in the medullary reticular formation which has been shown to project monosynaptically to trigeminal motoneurons and provide inhibitory input to them. These neurons exhibited a pattern of state-dependent discharge which was characterized by a tonic increase in firing frequency which paralleled the tonic decrease in somatomotor reflex activity (within the trigeminal system) in the continuum of wakefulness to quiet (NREM) sleep to active sleep. This population of cells discharged at extremely high rates during active sleep, especially during periods of rapid eye movements, when postsynaptic inhibitory control of motoneurons is most prominent. We therefore suggest that these medullary units are the inhibitory neurons which are responsible for the postsynaptic inhibition of trigeminal motoneurons during active sleep.
Prolactin (PRL) receptors have been purified by affinity chromatography using a lactogenic hormone (human growth hormone, hGH) coupled to Affigel-10. The mean binding capacity of 3 separate purifications was 1.18 +/- 0.26 nmoles prolactin per mg protein, representing a 836-fold purification over crude microsomes and 4000-5000-fold over mammary gland homogenates and 16% purity. The receptor was characterized by HPLC using a TSK-SW-4000 and 3000 column connected in series and eluted in 0.1 M borate buffer containing 0.2 M NaCl and 0.1% Triton. A single peak of [125I]hGH binding activity with a retention time of 45.2 min (22.6 ml), representing an apparent molecular weight of 133000, was observed. A single peak of activity was also observed following polyacrylamide gel electrophoresis of the purified receptor in 0.1% Triton coincident with the Coomassie-stained protein band. Antibodies to the partially purified receptor preparations were prepared in sheep, goats and guinea pigs. Antisera to the prolactin receptor prepared in all three species were capable of inhibiting the binding of 125I-labeled ovine prolactin to receptors from rabbit mammary glands. Significant inhibition of binding was observed at antisera dilution of 1:10 000 with the sheep antiserum being the most potent (half-maximal inhibition (IM50) = 1:5700). All three antisera were able to inhibit PRL binding completely, but failed to affect labeled insulin or hCG binding and had very little effect on bGH binding. The specificity of the sheep antiserum was tested in rabbit mammary glands, ovary, adrenal, pig mammary glands and 8 rat tissues which contain PRL receptors. The antiserum was able to inhibit the binding of labeled PRL in all tissues, with the inhibition curves for the rat tissues being non-parallel when compared to rabbit mammary gland, suggesting a homology but not a complete identity between PRl receptors in various tissues and animal species. These studies demonstrate that prolactin receptors can be purified from rabbit mammary tissue and that antisera can be produced in several species. In addition, the binding studies suggest that in the various tissues the receptor molecule is more or less exposed to interaction with the antisera, or that the receptor protein differs somewhat between species.
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Eleven patients with invasive bladder cancer were treated with combination chemotherapy consisting of bleomycin (5 mg, i.m., day 1-7), vincristine (1 mg/sq.m.i.v., day 8) and methotrexate (200-300 mg/sq.m.i.v. day 8). Chemotherapy was started about 4 weeks following total cystectomy and repeated every 2 or 3 weeks at least for one year. Five of the patients were free of disease at the mean follow-up time of 35.6 months, ranging from 21 to 50 month. The 3-year survival rate was 54.5%. Bone marrow suppression (36%), nausea and vomiting (55%) were observed, but they were not serious and well tolerated. These results suggest that this regimen could be used safely as an adjuvant chemotherapy following total cystectomy for patients with invasive bladder cancer. Further evaluation will be necessary.
Thirteen patients with advanced testicular tumors (seminoma 2, non-seminoma 11) were treated with combination chemotherapy involving BLM, vinca alkaloid and CDDP (BVP) as induction therapy and followed with CPM, VCR and CDDP as maintenance therapy. BVP and COP administration was repeated every 3 and 4 to 8 weeks for 1 year, if there were no serious side effects. The overall response rate (CR + PR) was 92% with a 69% CR rate. At a mean follow-up of 30 months (7-52 month range), 54% of the patients were alive with no evidence of disease. Bulky metastases, failure to respond to prior chemotherapy and teratomatous metastases were considered to be poor prognostic factors. The toxicity of BVP was similar to that reported for CDDP, except that allergic reaction occurred in 3 patients after several courses of treatment. Two of the 3 went into anaphylactic shock.
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Urinary amikacin concentration was determined in 9 patients with severely unilateral ureteral obstruction. Serum levels were within the normal range. The average concentration of amikacin in the urine from obstructed urinary tract was 118.9 mcg/ml 6 hours after 100 mg amikacin iv infusion. Urine concentration from the normal kidney was 155.9 mcg/ml at the first 2 hours after intravenous infusion, 98.8 at the second 2 hours 83.3 at the third 2 hours. Urinary amikacin excretion from severely obstructed urinary tract was about one third of the total excretion from a normal system. In summary, the urinary level in severely obstructed urinary tract after iv infusion of 100 mg amikacin may be enough prophylactically. But at the onset of infection in severely obstructed urinary tract, the administration of at least 200 mg amikacin intravenously is required.
The diagastric nerve reflex response to stimulation of the upper lip was studied in urethan-anesthetized rabbits paralysed with pancuronium bromide. Rhythmic bursts of masticatory activity were evoked in the nerve by repetitive electrical stimulation of the motor cortex. The amplitude and latency of the reflex responses during fictive mastication were compared with preceding control values. When stimuli close to threshold were given, the largest and earliest responses occurred during the digastric burst. When intense stimuli were employed, the largest responses were out of phase with the burst, although the latency was still shortest when the motoneurons were rhythmically active. Since the pattern is essentially the same as that seen during normal mastication, we conclude that the cyclical modulation of reflex amplitude and latency is not the result of sensory feedback generated by the movements themselves but is instead governed by the central motor program.
To investigate the mechanism of the selective surge of FSH during the period of ovulation induced by human chorionic gonadotrophin (hCG) in dioestrous rats, inhibin activity in ovarian vein plasma was determined at varying time-intervals after treatment with hCG using the primary monolayer culture system of anterior pituitary cells. Inhibin activity in ovarian vein plasma had already decreased 6 h after injection of hCG, when concentrations of FSH in the plasma were still low in three of four animals. Inhibin activity further decreased 12-18 h after hCG, when a selective surge of FSH occurred. Inhibin activity increased to the level before hCG treatment 24 h after the treatment, when ovulation was completed and the FSH surge terminated. These results suggest that the selective surge of FSH occurs as a consequence of the decrease in inhibin secretion from the ovary, which is perhaps due to the ovulation dose of hCG altering the functional activity of the granulosa cells in the large Graafian follicles.
Ten patients with Stage I non-seminomatous germ cell testicular tumors underwent orchiectomy and combination chemotherapy with bleomycin, vincristine and methotrexate with CF rescue (BOM) as an induction therapy followed by cyclophosphamide, vincristine and methotrexate as a maintenance therapy (COM). The results were as follows: BOM seemed to be effective as a further treatment for Stage I non-seminomatous germ cell testicular tumor patients. All 10 patients are alive and disease-free for a period from 1 year and 6 months to 5 years and 3 months (mean: 3 years and 9 months). The chemotherapy should be continued at least for a year, since relapse occurred in 2 of 4 patients who received only induction therapy. However, they completely responded to other chemotherapy regimens (BVP and BOAM ). BOM and COM therapy were scarcely toxic and no serious side effects were recognized. From the above results, it was considered that combination chemotherapy (BOM and COM) can be an alternative treatment to the conventional retroperitoneal node dissection and radiation therapy for Stage I non-seminomatous germ cell tumors.
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