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Biomedical subjects

S Homma

Publications and source records attributed to S Homma.

At least 325 records · Page 18Linked to original sources

Usefulness of oral dipyridamole suspension for stress thallium imaging without exercise in the detection of coronary artery disease.

Stress thallium imaging with intravenous dipyridamole permits assessment of coronary artery disease (CAD) without the need for exercise. However, intravenous dipyridamole is available in the United States only on an experimental basis. To study the use of oral dipyridamole as a clinically available alternative to intravenous dipyridamole for this purpose, 100 patients underwent thallium imaging with oral dipyridamole. Each patient received 300 mg of pulverized tablets in a 30-ml suspension. Maximal increase in mean heart rate and decrease in mean blood pressure occurred 30 minutes after ingestion. At 45 minutes, 2 mCi of thallium was given intravenously and serial imaging was begun within 7 minutes. The serum dipyridamole level (mean +/- standard deviation) 45 minutes after 300 mg was administered orally (3.7 +/- 2.2 micrograms/ml) was similar to that 5 minutes after 0.56 mg/kg was given intravenously (4.6 +/- 1.3 micrograms/ml). Fifty-five patients had some adverse effects between 15 and 75 minutes after oral ingestion, including nausea, headache, dizziness, chest pain (25 patients) and electrocardiographic changes (14 patients). Intravenous aminophylline was used to resolve these adverse effects in 21 patients. There were no severe arrhythmias, myocardial infarctions or deaths. Of the 43 patients with angiographically documented CAD, 39 had an initial perfusion defect that redistributed on the delayed images. When the results in patients who had undergone catheterization were analyzed by individual segment, the presence of thallium redistribution was associated with normal or hypokinetic contrast left ventriculographic wall motion of that segment, whereas the presence of a persistent defect was associated with akinesia or dyskinesia (Fisher's standardized Z = 9.14).(ABSTRACT TRUNCATED AT 250 WORDS)

Administration, Oral↗

Conduction velocity of action potentials measured from unidimensional latency-topography in human and frog skeletal muscle fibers.

Conduction of an action potential along skeletal muscle fibers was graphically displayed by unidimensional latency-topography, UDLT. Since the slopes of the equipotential line were linear and the width of the line was constant, it was possible to calculate conduction velocity from the slope. To determine conduction direction of the muscle action potential elicited by electric stimulation applied directly to the muscle, surface recording electrodes were placed on a two-dimensional plane over a human muscle. Thus a bi-dimensional topography was obtained. Then, twelve or sixteen surface electrodes were placed linearly along the longitudinal direction of the action potential conduction which was disclosed by the bi-dimensional topography. Thus conduction velocity of muscle action potential in man, calculated from the slope, was for m. brachioradialis, 3.9 +/- 0.4 m/s; for m. biceps brachii, 3.6 +/- 0.2 m/s; for m. sternocleidomastoideus, 3.6 +/- 0.4 m/s. By using a tungsten microelectrode to stimulate the motor axons, a convex-like equipotential line of an action potential in UDLT was obtained from human muscle fibers. Since a similar pattern of UDLT was obtained from experiments on isolated frog muscles, in which the muscle action potential was elicited by stimulating the motor axon, it was assumed that the maximum of the curve corresponds to the end-plate region, and that the slopes on both sides indicate bi-directional conduction of the action potential.

Action Potentials↗

Changes in the tocopherol and unsaturated fatty acid constituents of spices after pasteurization with superheated steam.

The following five spices were pasteurized with superheated steam, as given in parentheses: origanum (1 kg/cm2, 132 degrees C, 3.5 sec), laurel (0.5 kg/cm2, 118 degrees C, 3.5 sec), turmeric (2 kg/cm2, 160 degrees C, 5 sec), coriander (1 kg/cm2, 140 degrees C, 5 sec), and aniseed (1 kg/cm2, 140 degrees C 5 sec). The detected tocopherols and other constituents were as follows: origanum (alpha-, beta-, gamma-, delta-), laurel (alpha-, beta-), turmeric (so little that no comparison could be made), coriander (almost no tocopherols), and aniseed (alpha-, beta-, delta-). The tocopherols and unsaturated fatty acid constituents of origanum, laurel, aniseed and coriander underwent little change after pasteurization with superheated steam, indicating stability, which may be due to the synergistic effect of tocopherols and phenolic compounds present in these spices.

Condiments↗

Effects of nerve growth factor on differentiation of muscle spindles following nerve lesion in neonatal rats.

Central synaptic function of Group Ia sensory fibers has been shown to be enhanced by daily applications of NGF in neonatal rats. In the periphery, Group Ia sensory fibers are known to trigger the differentiation of muscle spindles. In the present study we examined, in neonatal rats, whether daily NGF treatment affects the number or structure of spindles formed in muscle whose nerve has been crushed. The results show that 25-35 d after nerve crush, de novo supernumerary spindles were formed by treatment with NGF in the temporarily denervated muscle. The number of spindles in the corresponding muscle on the contralateral, intact side was not affected by NGF treatment. Following nerve crush alone, the mean number of spindles in the muscle was not significantly different from the normal value. It is suggested that treatment of neonatal rats with NGF may facilitate the outgrowth of excessive peripheral collaterals of regenerating Group Ia sensory fibers, which, in turn, contributes to the formation of de novo spindles as a result of interaction with myotubes.

Animals↗

Effects of nerve growth factor on the survival and synaptic function of Ia sensory neurons axotomized in neonatal rats.

Sensory neurons with small diameters (A delta and C cells) are known to be responsive to exogenous NGF even at postnatal stages. We have examined whether large Group Ia sensory neurons (A alpha cells) arising from muscle spindles are also responsive to NGF in neonatal rats. For this purpose, monosynaptic excitatory postsynaptic potentials (EPSPs) were evoked in spinal motoneurons by Group Ia muscle afferent volleys. When a muscle nerve was crushed on the day after birth, the monosynaptic EPSPs elicited by afferent volleys from the muscle were depressed within several weeks. This synaptic depression was partially reversed by daily treatment with NGF. NGF treatment also enhanced the EPSPs evoked by stimulation of intact muscle nerves, but this effect was less marked than that on the EPSPs produced by stimulation of the previously crushed muscle nerve. Exogenous NGF was effective for the EPSPs when the treatment began on the day after birth but not when the treatment began 4 d after birth. Following crush of a muscle nerve on the day after birth, about 45% of the sensory neurons derived from the muscle were lost. The cell death of small sensory neurons was prevented by daily treatment with NGF, whereas the NGF treatment was ineffective in preventing the cell death of large sensory neurons. The results indicate that Group Ia sensory neurons are responsive to NGF during early postnatal life.

Animals↗

The antagonistic effects of naloxone on acupuncture inhibition of the vibration-induced grasp reflex in man.

It is known that the vibration-induced grasp reflex (VGR) is inhibited by the insertion of needles into the acupuncture points. Effects of intravenous administration of naloxone on acupuncture inhibition of the VGR were studied in human subjects to determine if acupuncture inhibition of the VGR might be mediated by endogenous opioids. Acupuncture inhibition of the VGR was partly reversed by the administration of naloxone. The VGR is mediated by a polysynaptic pathway through which the acupuncture inhibition that is reversed by naloxone is considered to occur. We conclude that the facilitatory influence of interneurons on motoneurons in the VGR was reduced by endogenous opioids to inhibit the VGR.

Acupuncture Therapy↗

Effects of bath-applied excitatory amino acids and their analogs on spinal interneurons of the lamprey.

Depolarizations, conductance increases and time courses of the responses to bath application of glutamate, aspartate, DL-homocysteate, N-methyl-DL-aspartate (NMDLA), quisqualate and kainate were determined in interneurons of the isolated spinal cord of the lamprey, one of the most primitive vertebrates. Conductance increases produced by these excitants in perfusate containing tetrodotoxin (0.5 microgram/ml), 4-aminopyridine (1 mM) and without Ca2+ were very small in comparison with those produced by glycine or GABA. NMDLA-induced depolarizations were associated with conductance decreases and rhythmic oscillations in membrane potentials in this perfusate. Quisqualate was strongest among these amino acids in producing depolarizations and conductance increases. Responses induced by analogs were slower than those produced by glutamate and aspartate. Phylogenetic distribution of N-methyl-D-aspartate receptors on neurons and muscles is discussed.

Amino Acids↗

Inhibitory effect of acupuncture on the vibration-induced finger flexion reflex in man.

Experiments were performed on 12 young and healthy subjects. The palmar side of the index finger was vibrated with a triangular wave form at randomly changed inter-stimulus intervals. This vibratory stimulation elicited a flexion movement of the index finger, which was depressed by acupuncture at 'Wai-Kuan.' It was generally observed that the depressive effect developed slowly and lasted for a long time. The depressive effect of acupuncture on this reflex was analyzed using a cross-correlation between the vibratory stimuli and motor unit spikes recorded from the flexor digitorum communis muscle. Cross-correlograms revealed two types of reflex responses. One of them showed a peak of time-locked spikes to the vibratory stimuli at a latency of 25 msec, which indicates monosynaptic activity of the motoneuron, and also showed time-unlocked spikes distributed in both sides of the peak, which implies polysynaptic activity. This type of response was frequently observed and was supposed to be elicited by the proprioceptive tonic vibration reflex. The other revealed no peaks, which indicates that only time-unlocked spikes to the stimuli are generated, and that these spikes are evoked via polysynaptic pathway. This type of response was supposed to be elicited by so-called exteroceptive vibration-induced finger flexion reflex. Since both types of reflex responses, i.e., mono- and polysynaptic ones, were equally depressed during acupuncture, it was concluded that the excitability of the motoneuron, a common output of this reflex, is lowered by acupuncture.

Acupuncture Therapy↗

Nerve growth factor enhances central synaptic function of Ia sensory neurons.

Daily treatment of neonatal rats with nerve growth factor (NGF) significantly enhanced monosynaptic excitatory postsynaptic potentials (EPSPs) evoked in spinal motoneurons by muscle afferent volleys. A few weeks after crush of a muscle nerve, the EPSPs elicited by afferent volleys from the muscle nerve were markedly depressed. This synaptic depression could be partly prevented by daily application of NGF. It is concluded that central synaptic function of Ia sensory neurons is responsive to exogenous NGF in postnatal animals.

Animals↗

Effects of calcium on the vasopressin-sensitive cAMP metabolism in medullary tubules.

The modulatory effect of Ca on [Arg8]vasopressin-dependent (AVP) cAMP metabolism was studied in medullary collecting tubules (MCT) and medullary ascending limbs (MAL) microdissected from rat kidney. In MCT segments incubated in vitro with AVP, the accumulation of cAMP was enhanced (delta +59%) when Ca was omitted from the incubation medium compared with a medium with 2 mM of ionized calcium (Ca2+). Ionophore A23187 caused a decrease in AVP-stimulated cAMP accumulation in MCT in the presence of 2 mM Ca2+ but not in a Ca2+-free medium. Diltiazem and verapamil enhanced the AVP-stimulated cAMP accumulation in MCT; PTH had no detectable effect. A23187 caused a dose-dependent inhibition of cAMP accumulation stimulated by AVP with forskolin in both MCT and in MAL. However, in MAL the A23187 concentration needed for half-maximum inhibition (6.3 X 10(-6) M) was higher than for MCT (3.9 X 10(-7) M). The maximum inhibition in MAL (-65%) was less than in MCT (-97%). In the presence of 3-isobutyl-1-methylxanthine, AVP-stimulated cAMP accumulation was inhibited by A23187 in MCT (-45%) but not in MAL. Naproxen or ibuprofen did not relieve the inhibitory action of A23187 in MCT. Added Ca2+ inhibited the AVP-stimulated adenylate cyclase in MCT and MAL (half-maximum approximately equal to 5 X 10(-4) M Ca2+) and stimulated cAMP phosphodiesterase (cAMP-PDIE) in both MCT and in MAL (half-maximum approximately equal to 9 X 10(-5) M Ca2+). Incubation of MCT and MAL with A23187 decreased (-50%) the content of ATP. Results suggest that increased influx of extracellular Ca2+ inhibits the AVP-stimulated cAMP accumulation in MCT and to a much lesser degree in MAL. Deceased cAMP accumulation in MCT is probably due to both stimulation of cAMP-PDIE and the inhibition of adenylate cyclase, whereas in MAL it is due to stimulation of cAMP-PDIE. The results suggest that Ca2+ influx exhibits a negative modulatory effect on AVP-dependent cAMP metabolism mainly in MCT.

1-Methyl-3-isobutylxanthine↗

Saltatory conduction of peripheral nerve impulse in clioquinol-treated rats.

By using a new method, unidimensional latency-topography, which shows the saltatory conduction pattern of an impulse along peripheral nerve fibers, the internodal length, internodal conduction time and conduction velocity were determined from the L5 ventral and/or dorsal root filaments of clioquinol-treated rats (CTR). The saltatory conduction pattern was preserved in most of the CTR fibers tested, but was not seen in some fibers. A positive correlation was seen between the conduction velocity and the internodal length in the nerve fibers of both the normal rats and CTR. Although there was no difference in the internodal length between normal rats and CTR, conduction velocities determined in CTR fibers were lower than those in normal rat fibers. Myelin length was calculated from the saltatory conduction pattern in the topography to represent the functional length of the saltatory conduction. The functional myelin length of the CTR fiber was shorter than that of normal rats. Shortening of the functional myelin length in CTR is due to the widening of the Ranvier node, which corresponds to the exposure of the Ranvier node, i.e. demyelination. It was concluded that the decrease in conduction velocity in CTR fibers was due to exposure which caused delayed excitation at the Ranvier nodes.

Animals↗

Estimation of the rising phase of EPSP analyzed by computer simulation of the coding process.

Based on data obtained from intracellular recordings of cat alpha-motoneurons in the stretch reflex, the firing process of these motoneurons was computer-simulated. The impulse response EPSP (IR-EPSP) was simulated to correspond to a monosynaptic mass EPSP elicited by a spindle afferent volley, while the returning potential was simulated to correspond to a potential gradient rising toward an augmenting depolarization of the membrane (augmentative EPSP) after motoneuronal spike generation. The IR-EPSPs were generated by input at random intervals and added to each other, linearly, on the returning potential. As soon as the resultant potential attained the critical threshold level, Vth, motoneuron firing occurred. Then IR-EPSPs were again added to the returning potential until another motoneuron firing occurred. This process was repeated continuously, and the time relation between input and output, lag-time distribution (PT(T], was determined Distribution of the bias potential, PV(V), from which the motoneuron spike triggering EPSP started to rise, was also calculated. The relations between PT(T), PV(V) and a waveform of the IR-EPSP were obtained analytically. The relation indicated that the shape of PT(T) corresponds to a time derivative of the rising phase of the IR-EPSP if the PV(V) distribution is uniform. In this study, we investigated the possibility of making the PV(V) distribution uniform.

Animals↗

Relapsing polychondritis. Pathological and immunological findings in an autopsy case.

Relapsing polychondritis (RP) is a disorder of unknown etiology characterized by the destruction of cartilage. A case of RP in a 59-year-old male was autopsied, and systemic inflammation of various cartilages was confirmed. We demonstrated the circulating antibodies to Type II (cartilage) collagen. No antibodies to other collagen types were demonstrated. The presence of granular deposits of immunoglobulins, fibrinogen, and the C3 component of complement at the chondrofibrous junction was also demonstrated. From these findings, this case suggested that the pathogenesis of RP is related to an immune mechanism.

Adult↗