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Biomedical subjects

M Makuuchi

Publications and source records attributed to M Makuuchi.

542 records · Page 31Linked to original sources

Suppression of cytokine production by thromboxane A2 inhibitor in liver ischemia.

BACKGROUND/AIMS: The possible involvement of a thromboxane (TX) A2 inhibitor, sodium ogzarel (SO) was investigated in the regulation of tumor necrosis factor (TNF) alpha and interleukin (IL)1-alpha in liver ischemia and reperfusion (I/R) injury. METHODOLOGY: Rat livers were subjected to 90 min of total hepatic ischemia. Five minutes before the ischemia insult, 10 mg/kg of SO was administered intravenously (SO group); control animals received normal saline solution (NS group). Plasma levels of aspartate aminotransferase (AST), hyaluronic acid (HA), TNF-alpha, IL-1 alpha and three plastanoids, 6-keto prostaglandin (PG) F1 alpha, PGE2 and TXB2, were measured before ischemia insult and 5, 60 and 120 min after reperfusion. Parts of the left lateral lobe were taken for measurement of adenosine nucleotides and histological examination. The cumulative survival rates for the first 10 days after I/R injury were examined for each group. SO was administered at various doses (0.3-30 mg/kg) and TXB2, TNF-alpha and IL-1 alpha were measured. RESULTS: Significant differences were recognized between the plasma AST, HA, TXB2, TNF-alpha, IL-1 alpha and energy charge levels, the degree of liver necrosis and survival rates of the two groups. Dose-dependent inhibition by SO of the production of TXB2, TNF-alpha and IL-1 alpha was observed. CONCLUSIONS: Regulation of TNF-alpha and IL-1 alpha by SO is possibly associated with the hepatoprotective effect of SO.

6-Ketoprostaglandin F1 alpha↗

Characteristics and treatment of mucin-producing tumor of the pancreas.

BACKGROUND/AIMS: There has been no thorough clinicopathological analysis of a large number of cases with mucin-producing tumor of the pancreas. The aim of this study was to investigate the clinicopathological features of and therapeutic strategy for this ailment. METHODOLOGY: Two hundred and fifty-nine cases of mucin-producing tumor of the pancreas were analyzed clinicopathologically. RESULTS: Mucin-producing tumor of the pancreas was found in 177 males and 82 females (M:F=2.2:1). The mean age was 65.5 years. Jaundice, diabetes mellitus and a past history of pancreatitis were found in 15-19% of the cases. The tumor was most frequently (62%) found in the head of the pancreas. Pathologically, hyperplasia or adenoma was found in 58 cases, and adenocarcinoma in 160 cases. Five-year survival rate by the Kaplan-Meier method was 82.6% in all of the cases, and the post-operative survival curve was much better in cases with this type of carcinoma than in cases with ordinary pancreatic duct cell carcinoma (5-year survival rate: 17.3%). Organ-function preserving procedures, such as duodenum preserving subtotal resection of the head of the pancreas or spleen preserving distal pancreatectomy, might be recommended for this disease without infiltration. CONCLUSIONS: Mucin-producing tumor has unique clinicopathological characteristics, such as the dilated main pancreatic duct or branches, dilatation of the orifice of the papilla of Vater, or a good prognosis. Organ-function preserving procedures should be recommended in some cases with this ailment.

Adenocarcinoma, Mucinous↗