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Biomedical subjects

M Minami

Publications and source records attributed to M Minami.

At least 577 records · Page 32Linked to original sources

The role of class II MHC molecules in the activation of class I-reactive T cell hybridomas.

To examine the role of Ia molecules in T cell responses to allo-class I major histocompatibility antigens, a series of allo-class I-reactive T cell hybridomas was established. Of 134 T cell hybridomas obtained from the fusion of C3H/HeJm or B10.HTT T cells stimulated with C57BL/6 splenocytes, nine T cell hybridomas were reactive to class I antigens and 126 T cell hybridomas were reactive to class II antigens. Six of the nine IL 2-producing T cell hybridomas were further analyzed: five mapped to H-2Kb and the other mapped to H-2Db. Three of these T cell hybridomas, HTB-157.7, HTB-176.10, and HTB-177.2, could react to the EL-4 cell line that expresses H-2Kb and H-2Db class I antigens but lacks class II I-Ab molecules. Furthermore, the activation of these three T cell hybridomas with C57BL/6-derived splenocytes was not blocked by either anti-I-A or anti-L3T4 antibody. In contrast, the other three T cell hybridomas, CB-127.6, CB-221.7, and HTB-102.7, failed to react with EL-4 but reacted with the LB cell line which expresses class I (H-2Kb, H-2Db) and class II (I-Ab) molecules. Although class II molecules were required for activation of the latter clones, there was no apparent I-A allele specificity, suggesting that a relatively nonpolymorphic Ia determinant was involved. The activation of the three latter T cell hybridoma clones with C57BL/6 splenocytes could be blocked completely by either anti-I-A or anti-L3T4 antibody. The data are interpreted in terms of possible T cell receptor models for recognition of class I with nonpolymorphic class II determinants.

Animals↗

The NOD mouse: recessive diabetogenic gene in the major histocompatibility complex.

Examination of the histocompatibility region of the nonobese diabetic (NOD) mouse with antibodies against class II glycoproteins (products of immune response genes of the major histocompatibility complex I-A and I-E), hybrid T-cell clones, and mixed-lymphocyte cultures and analysis of restriction fragment length polymorphisms indicate that the NOD mouse has a unique class II major histocompatibility complex with no expression of surface I-E, no messenger RNA for I-E alpha, and an I-A not recognized by any monoclonal antibodies or hybrid T-cell clones studied. In crosses of NOD mice with control C3H mice, the development of diabetes was dependent on homozygosity for the NOD mouse's unique major histocompatibility region.

Animals↗

Simultaneous reconstruction of bone and skin defects by free fibular graft with a skin flap.

It has been very difficult to accomplish simultaneous reconstruction of a massive defect of the long bone associated with a large skin defect. Yoshimura et al reported a new procedure using a vascularized free fibular transplant with a monitoring flap. This procedure was used in four cases that had resulted in massive bone and skin defects after wide resection of benign and malignant bone tumors occurring in the long bones. Our results using the composite vascularized fibular graft were gratifying.

Adolescent↗

Correlation between clinical results and carpal instabilities in patients after reduction of lunate and perilunar dislocations.

Thirteen patients with lunate and perilunar dislocations were treated in our department in the last five years. Ten out of the thirteen patients were followed more than eight months with an average of two years and two months. Two out of the ten patients followed failed to obtain normal anatomical carpal architecture. These two patients were treated by arthrodesis of the wrist and proximal row carpectomy, respectively. The remaining eight patients, that obtained reduction, were classified into three groups according to existence of gap between the scaphoid and lunate, and incongruity between the lunate and triquetrum. Patients with a gap between the scaphoid and lunate of more than 3 millimetres after reduction of their dislocations had poor clinical results. This suggests significant correlation between clinical results and carpal instabilities.

Adolescent↗

Dynamic CT features of arterioportal shunts in hepatocellular carcinoma.

Dynamic computed tomographic (CT) findings of 42 patients with hepatocellular carcinoma having angiographically proven arterioportal shunt were reviewed. CT findings related to arterioportal shunt were as follows: early enhancement of the portal vein, which showed a time-density curve similar to that of the aorta, markedly prolonged enhancement of the portal vein, dilated, abnormal intrahepatic vessels often accompanied by irregular, transiently enhanced areas, transient high attenuation of lobar or segmental distribution in the lobe contralateral to the main tumor, and transient wedge-shaped enhancement peripheral to the tumor. Dynamic CT usually detected arterioportal shunts involving larger portal veins as represented by any of the first four findings (14 of 17), whereas detection of arterioportal shunts involving smaller portal veins was lower in frequency (8 of 25), but such a shunt could be demonstrated as transient wedge-shaped enhancement peripheral to the tumor.

Arteriovenous Malformations↗

CT of hepatic masses: significance of prolonged and delayed enhancement.

Hepatic masses showing higher density than that of liver after 3 min (prolonged enhancement) and/or having prominent enhancement after the arterial-dominant phase (delayed enhancement) of dynamic CT (bolus enhancement followed by serial scans) were reviewed. Prolonged enhancement was noted in any hepatic masses, but mainly in cavernous hemangioma and capsule of hepatocellular carcinoma, whereas delayed enhancement occurred in capsule of hepatocellular carcinoma and occasionally in metastatic tumor. The volume of arterial and portal blood supply, turnover rate of blood, extent of the interstitial space, and diffusion rate between the vascular and interstitial space, as well as dose and speed of contrast agent administered, seemed to be important factors in such contrast enhancement. Prolonged enhancement and delayed enhancement are nonspecific but still are of some value in the differentiation of hepatic masses on dynamic CT.

Biliary Tract Neoplasms↗

Decreased monoamine oxidase activity in stroke-prone spontaneously hypertensive rat kidneys.

The present study was undertaken to measure kidney monoamine oxidase activity (MAO) isolated from three different rat groups: Wistar Kyoto rats (WKY), stroke-free cases of stroke-prone spontaneously hypertensive rats (SHRSP-control) and SHRSP-stroke cases (SHRSP-stroke). The SHRSP group was found to have less kidney MAO than the WKY group. Conversely, plasma norepinephrine concentration of SHRSP group was significantly higher than that of the WKY group (Jpn. Heart J., 25, 833-835, 1985). These findings suggest that the increased blood pressure in SHRSP may be related to increased plasma norepinephrine concentration caused by a decrease in degradation enzyme, MAO. An attempt was also made to determine the effects of clorgyline and deprenyl. No significant difference in MAO was observed between the kidneys isolated from the WKY, SHRSP-control and SHRSP-stroke groups. However, the inhibition curve of clorgyline reached a plateau after producing 33% inhibition of MAO. It was assumed that rat kidney mitochondrial MAO consists of 33% MAO-A type and 67% MAO-B type.

Animals↗

[The function of the sympathetic nervous system determined by humoral factors in the maintenance hemodialysis patients].

Dialysis-induced hypovolemia in renal patients might accompany with decreased sympathetic tone and decreased baroreflex sensitivity. Present study was undertaken to elucidate the sympathetic nervous activity in terms of biogenic amines [plasma norepinephrine (NE), epinephrine (E) concentrations, dopamine-beta-hydroxylase activity (DBH) and plasma serotonin (5-HT) concentration] in 17 patients with chronic renal failure in whom renal hemodialysis were continuously performed. During pre-dialysis period, in these hemodialysis patients, heart rate, systolic blood pressure and plasma 5-HT were significantly elevated as compared with those on sex and age-matched controls; plasma NE and plasma DBH were not changed in these hemodialysis patients as compared with those in controls. After hemodialysis, increased plasma NE and increased DBH were observed in parallel with the significant weight loss. Mean blood pressure did not change after dialysis. Dialysis produced an increasing tendency of heart rate. Dialysis also produced a significant decrease in plasma 5-HT. Hemodialysis-induced weight loss was approximately 2 kg body weight after 5 hours dialysis; these patients were done 3 times dialysis during one week. However, hypotension and dizziness were not demonstrated under this condition. Present study revealed that long term maintenance hemodialysis produced increased sympathetic nervous system activity; the assumed explanation would be relevant to the simultaneous recovery of baroreflex sensitivity and sympathetic tone, because of the long-term continuous hemodialysis.

Adult↗

Effects of hydralazine on adrenal and cardiac sympathetic nerve activity in anesthetized rats.

The present study was carried out to elucidate whether there is a correlation between hydralazine-induced tachycardia and the increase in cardiac sympathetic nerve activity in buffer nerve-intact and debuffered rats. Hydralazine (1 mg/kg, i.v.) produced a significant decrease in mean arterial blood pressure immediately after injection in both buffer nerve-intact rats and debuffered rats. A few min after hydralazine administration, increases in cardiac sympathetic nerve activity and heart rate were observed in both rat groups. Moreover, after hydralazine injection, adrenal sympathetic nerve activity increased in the debuffered rat group. These results suggest that hydralazine-induced tachycardia is not only reflexly induced, but that it is also mediated via direct excitation of the central nervous system in rats.

Animals↗

Effect of morphine on the adrenal sympathetic reflex elicited by mechanical stimulation of the skin in rats.

The effect of morphine on the cutaneo-adrenal nerve reflex was studied in rats anesthetized with urethane-chloralose. Morphine (1 mg/kg, i.v.) significantly depressed the reflex increase in adrenal nerve activity induced by noxious lower chest pinching. Morphine (10 mg/kg, i.v.) significantly inhibited the reflex decrease in adrenal nerve activity induced by innocuous lower chest and hindlimb brushing, as well as the response induced by noxious lower chest pinching. Reversal by naloxone of the morphine-induced depression of the cutaneo-adrenal nerve reflexes indicates that the opioid receptor is associated with these effects of morphine.

Adrenal Glands↗

The effect of clonidine on adrenal sympathetic nerve responses to mechanical, noxious and innocuous stimulation of the skin in rats.

The effect of clonidine on the reflex responses of the adrenal sympathetic nerve to mechanical stimulation of the lower chest skin was studied in anesthetized CNS intact and spinalized rats. Clonidine (3-120 micrograms/kg i.v.) administration resulted in a dose-related decrease in spontaneous adrenal efferent nerve activity in both CNS intact and spinalized rats. In CNS intact rats, noxious pinching caused a reflex increase in adrenal nerve activity while innocuous brushing caused a reflex decrease. In both cases, clonidine reduced the reflex response in a dose-dependent manner. In spinalized rats, both noxious and innocuous stimulation caused reflex increases in adrenal nerve activity, and clonidine produced a similar dose-dependent decrease in these responses as seen in CNS intact animals. The similar dose-response relationships for adrenal nerve tone or reflex response in CNS intact and spinalized animals suggest, although not conclusively, that at least some of clonidine's effect in CNS intact animals may be mediated at the spinal level.

Adrenal Medulla↗

[The effect of clonidine and guanfacine on blood pressure].

Imidazoline derivatives, clonidine and guanfacine, were reviewed with respect to their effect on blood pressure. Excitation of the central alpha-adrenoceptors induced by clonidine or guanfacine produced a simultaneous decrease in peripheral sympathetic tone, hypotension and bradycardia. Both ponto-medullary regions and the hypothalamus are important action sites for these two drugs. With respect to the effects of clonidine or guanfacine on central alpha-adrenoceptors, two possibilities were investigated. First, we presumed that the excitation of central alpha-adrenoceptors induced by these two drugs appears to be located at postsynaptic sites. Thus, the alpha 2-subtype was considered. Secondarily, stimulation of the central presynaptic alpha 2 receptor produced by clonidine or guanfacine could not be excluded completely. It has been reported that after abrupt cessation of guanfacine, a withdrawal syndrome infrequently occurs which is moderate as compared with that caused by the abrupt cessation of clonidine. In comparison with clonidine, the characteristics of guanfacine pharmacokinetics, including its large volume of distribution, long biological half life and long duration of action, appear to be associated with the infrequent occurrence of withdrawal syndrome after guanfacine cessation.

Animals↗

[Effect of ketanserin on blood pressure in rats].

Ketanserin, a selective serotonergic (5-HT2) antagonist, also has affinity for alpha 1-adrenoceptors. It is not clear whether the hypotensive mechanism of ketanserin is due to its antagonistic action to 5-HT2 receptor or to its affinity for alpha 1 adrenoceptors. The hypotensive mechanism of ketanserin was studied in both stroke-prone spontaneously hypertensive rats (SHRSP) and Wistar Kyoto rats (WKY). Anesthetized rats were used (alpha-chloralose + urethane, i.p.). Up to 3 ml of blood was drawn from each rat for analysis. Plasma norepinephrine (NE) was determined by radioenzymatic assay. Plasma serotonin (5-HT) was determined by HPLC-ECD. Adrenal nerve discharges were counted by a digital pulse counter. Ketanserin (0.5 mg/kg, 5.0 mg/kg, i.v.) produced a dose-dependent reduction of mean arterial pressure (MAP) in both SHRSP and WKY. MAP of SHRSP decreased significantly as compared with WKY. Both plasma NE and 5-HT showed a tendency to increase during ketanserin administration (5.0 mg/kg, i.v.). Ketanserin significantly antagonized the BP response induced by exogenously injected 5-HT (30 micrograms/kg) and NE (10 micrograms/kg). Adrenal nerve activity was reduced in parallel with the decrease in BP and HR. These findings suggest that ketanserin produced a decrease in BP via both peripheral and central action in rats.

Adrenal Glands↗

Palm temperature monitoring during exercise in patients with heart disease.

The quantitative use of palm temperature changes during a fixed-load treadmill exercise was evaluated in normal subjects and patients with various degrees of cardiac disability. Treadmill exercise revealed different temperature patterns between subject groups. Normal subjects showed an initial transient decrease to a plateau phase, followed by a prompt return to the control level after cessation of exercise. Cardiac patients with severe disabilities showed a progressive decrease during and even after exercise, and the return to the control level was delayed. Patients with less severe cardiac disabilities showed an intermediate pattern. A significant correlation was observed between the temperature pattern and the plasma catecholamine concentration. The simultaneous measurement of forearm and hand blood flow, and palm temperature during a supine ergometer exercise showed that the temperature change reflected the blood flow changes. In conclusion, palm temperature monitoring during treadmill exercise is a simple and useful method for assessment of the vasoconstrictor response to exercise and, therefore, the pattern of temperature changes indicates indirectly the exercise capacity in heart disease.

Blood Pressure↗

Direct blood pressure monitoring in patients with pheochromocytoma.

In patients with pheochromocytoma, blood pressure was monitored continuously for 2 days using direct measurement techniques. Systolic blood pressure sometimes increased to more than 300 mmHg. These sudden elevations of blood pressure were associated with increased levels of plasma catecholamines. Pre-operative prazosin and propranolol therapy lowered mean systolic and diastolic blood pressure throughout the 2 day observation periods and was associated with decreased hematocrit levels. However, these agents did not prevent the rapid elevation of blood pressure.

Adult↗