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Biomedical subjects

S Kodama

Publications and source records attributed to S Kodama.

At least 91 records · Page 5Linked to original sources

[A study on the incidence of cerebral palsy among twins in Himeji City].

Twin delivery is associated with an increased risk of cerebral palsy. (CP). We studied the incidence of CP in twins compared with singletons born from 1989 to 1994 at the district of Himeji Central Public Health Center. The incidence of CP was 1.9% in twin: 12.7 times as high as that in singletons (0.15%), and was particularly high in monozygotic twins. Since circulatory changes specific for twin pregnancies may cause brain damage, careful obstetric management is recommended for monozygotic twins.

Cerebral Palsy↗

[A study on the clinical features of cerebral palsy in twins].

We have studied the clinical features and neurological sequelae in 39 cases of cerebral palsy resulting from 30 twin births. Twenty-four births (80%) occurred before 37 weeks of gestation Among 30 twin pairs, co-twin with intrauterine death in 7 pairs, both patients showed neurological sequelae in 9 pairs and one of the twins developed cerebral palsy in 14 pairs. In 34 of the 39 cases, abnormal findings were revealed by MRI and/or CT. Periventricular leukomalacia was observed in 19 cases (55.9%), comprising 79.2% of the 24 preterm babies. The clinical features and MRI findings were variable among the term cases. These findings suggest that the pathogenesis of cerebral palsy is different between preterm and term cases.

Brain↗

Effect of low-dose preirradiation on induction of the HSP70B-LacZ fusion gene in human cells treated with heat shock.

We examined the effects of X irradiation on activation of the promoter of the human HSP70B gene, which is activated only after heat shock. The HSP70B promoter was ligated to the bacterial beta-galactosidase (beta-gal) gene, and the reporter plasmid was transfected into NCI-H1299 carcinoma cells. The expression of the reporter gene was determined by an immunological assay using an anti-beta-gal monoclonal antibody. There was no expression of beta-gal protein in the control cells, and neither 2 cGy nor 6 Gy of X rays activated the HSP70B promoter. Heat-shock treatment at 43 degrees C for 2 h induced beta-gal expression, and this level was increased significantly by irradiation with 2 cGy of X rays 5 h before heat-shock treatment. This stimulative effect was not observed when cells were pretreated with 10 or 50 cGy of X rays. Furthermore, irradiation of cells with 6 Gy of X rays before or immediately after heat-shock treatment did not affect the level of beta-gal expression. In situ staining of beta-gal-positive cells using X-gal as substrate revealed that low-dose irradiation did not increase the overall level of induction of beta-gal but increased the number of cells capable of inducing beta-gal in response to heat shock. Since preirradiation with 2 cGy of X rays did not alter either the constitutive level or the induced level of HSP72, another member of the HSP70 family, the effect of low-dose irradiation may not be obvious if the promoter is already active. Thus these results indicate that pretreatment with low doses of ionizing radiation may enhance the susceptibility of cells to various stresses, which would then facilitate the activation of gene transcription in response to a subsequent insult.

Cell Survival↗

Laparoscopic management of rudimentary horn pregnancy. A case report.

BACKGROUND: Rudimentary uterine horn pregnancy is a very rare condition. Removal of a rudimentary horn is required as soon as a pregnancy is confirmed because most pregnancies in a rudimentary uterine horn rupture in the first or second trimester. CASE: A 22-year-old woman was admitted to our hospital because an ectopic pregnancy was suggested by ultrasonographic examination at another hospital. A rudimentary uterine horn pregnancy was suspected from transvaginal ultrasonography. The patient was treated with laparoscopic surgery at 7 weeks of gestation. The pregnant rudimentary horn was removed laparoscopically by use of an automatic stapling device. The postoperative course was uneventful. CONCLUSION: This is the first report of laparoscopic resection of a pregnant rudimentary uterine horn. Laparoscopic management of such a pregnancy may reduce operating time and peritoneal damage.

Abortion, Induced↗

In situ detection of chromosome bridge formation and delayed reproductive death in normal human embryonic cells surviving X irradiation.

We investigated delayed reproductive death and chromosome bridge formation in mitotic cells in colonies of normal human embryonic cells which survived exposure to 6 Gy of X rays. Eighteen primary clones each derived from control and irradiated cultures were isolated and secondary colonies were grown up. Six of the primary clones surviving the irradiation showed significantly lower cloning efficiencies than the control clones (P < 0.001), while the rest of the surviving clones showed a cloning efficiency similar to those of the control clones. The average cloning efficiency of control and surviving clones was 16.4 and 7.2%, respectively. Reduced cloning efficiencies were also observed in the tertiary colony formation, indicating that the persistent decrease in cloning efficiency was inherited over 40 generations after X irradiation in normal human cells. Five of nine primary clones surviving the irradiation also frequently contained multiple giant cells in the colonies, while this was a rare event in the progeny of control clones. Furthermore, we analyzed in situ chromosome segregation in anaphase cells appearing during the formation of the secondary colonies. A significantly higher frequency of chromosome bridge formation was found in four of the surviving clones which received 6 Gy (P < 0.001), and the frequency of micronuclei was also increased in the surviving clones. These results provide evidence that genetic instability is induced in normal human embryonic cells by low-LET radiation, and that misrejoining of the broken chromosome ends is increased in the progeny of cells surviving X irradiation.

Cell Death↗

[The comparative study of LUMIWARD immunoassay system and CAP RAST system for determination of specific IgE antibody against mite in infantile atopic dermatitis].

We determined the levels of specific IgE antibody against mite in 91 infants with atopic dermatitis by CAP RAST system and LUMIWARD immunoassay system, and observed them for about two years. The correlation between CAP RAST and LUMIWARD was weak. The cut off point was set up at 0.06 IU/ml, most of the patients who had asthma attack or whose atopic dermatitis were poorly controlled during two years judged to be positive. In conclusion, the determination of low levels of specific IgE antibody against mite in infants with atopic dermatitis was reliable to prediction of allergy.

Animals↗

Suppressive effect of low-dose preirradiation on genetic instability induced by X rays in normal human embryonic cells.

The effect of low-dose preirradiation on the susceptibility of cells to radiation was examined in normal human embryonic cells exposed to X rays. Cells became significantly resistant after low-dose preirradiation when cells were irradiated with 2 cGy of X rays 5 h before exposure to 6 Gy of X rays. We found that the frequency of giant cells in the colonies surviving 6 Gy, which was the marker for genetic instability, was slightly lower compared to cells without low-dose preirradiation. The cloning efficiencies of cells surviving 6 Gy of X rays were consistently lower than those of the control cells during the successive transfer; they were increased slightly by low-dose preirradiation, although the increase was not significant. As genetic instability is not expressed uniformly among the progeny, the effect of low-dose preirradiation was examined in individual colonies surviving 6 Gy of X rays with or without preirradiation. Genetic instability, as judged by chromosome bridge formation in anaphase in each growing colony, was reduced significantly by preirradiation (P < 0.001, Wilcoxon test), and only 39% of the colonies receiving preirradiation showed instability compared to 61% of those surviving 6 Gy of X rays alone. These results suggest that low-dose preirradiation causes an increase in the amount of DNA damage that is repaired, which potentially causes genetic instability among the progeny of surviving cells.

Adaptation, Physiological↗

[Incidence of cerebral palsy in Himeji City 1983-1992].

We investigated the incidence of cerebral palsy (CP) in Himeji City with a total population of about 470,000. In 1983-87 the total number of CP patients and the incidence of CP per 1,000 live births were 40 and 1.4, respectively. In 1988-92, the figures were 51 and 2.0. Periventricular leukomalacia was indicated in MRI in 11 out of 40 cases (27.5%) in 1983-87, and in 25 out of 51 (49.0%) in 1988-92. These results suggest that the increase in the incidence of CP mainly depends on changes of medical care for neonates.

Birth Weight↗

Expansion of intermediate T cell receptor cells expressing interleukin-2 receptor alpha- beta+, CD8alpha+ beta+, and lymphocyte function-associated antigen-1+ in the liver in association with intrahepatic islet xenograft rejection from rat to mouse: prevention of rejection with anti-interleukin-2 receptor beta monoclonal antibody treatment.

BACKGROUND: The precise mechanisms involved in islet xenograft rejection remain unknown. The purpose of the present study was to determine cellular mechanisms responsible for islet xenograft rejection in the liver to facilitate finding a procedure for prevention of immune rejection. METHODS: Hepatic mononuclear cells (MNC) as well as splenocytes, peripheral blood MNC, and thymocytes from streptozotocin-induced diabetic mice (BALB/c) rejecting the intrahepatic rat (Lewis) islet xenografts were isolated and examined by two-color FACS analysis. RESULTS: The characteristic finding of the hepatic MNC from the mice rejecting islet xenografts compared with mice receiving isografts was a significant increase in the yield as well as in the percentage of the cells expressing CD3+ interleukin-2 receptor (IL-2R) alpha- beta+, CD3+ CD8alpha+ beta+, and T cell receptor (TCR) alphabeta+ lymphocyte function-associated antigen-1+. The expression of CD3 and TCR alphabeta of these T cells was found to be of intermediate intensity (TCR(int) cells). The expansion of these TCR(int) cells occurred predominantly in the liver. There was no significant difference in the cells expressing CD3+ IL-2R alpha+, CD3+ CD4+, CD3+ TCRgammadelta+, CD3- IL-2Rbeta+ (natural killer cells), and B220+ (B cells). In vivo administration of anti-IL-2Rbeta monoclonal antibody directed to the expanded cells produced a prevention of rejection. CONCLUSIONS: These findings suggest that islet xenograft rejection in the liver from rat to mouse is an event for which the TCR(int) cells are responsible.

Animals↗

Purification, cDNA cloning, and characterization of a new serpin with megakaryocyte maturation activity.

A new member of the serine protease inhibitor (serpin) superfamily with megakaryocyte maturation activity was purified, and its cDNA was cloned and characterized. The predicted amino acid sequence consisting of 380 residues was unique and was 38% identical to the serpin plasminogen activator inhibitor type 2 (PAI-2). The recombinant factor expressed in Chinese hamster ovary cells showed species-specific activity on the induction of megakaryocyte maturation in vitro. When injected into mice, the factor indeed elicited an increase in the number of platelets in plasma. The sequence alignment indicated that the factor possessed a lysine residue at the P1 position, suggesting that it might function as an inhibitor of Lys-specific proteases. Although we could not show any inhibitory activities toward several known Lys-specific proteases, we detected the activity toward protease activity present in the culture supernatant of COLO 201 cells. These results suggested that the protein might influence the maturation of megakaryocytes via action as a serpin.

Amino Acid Sequence↗

Molecular cloning of a novel trypsin-like serine protease (neurosin) preferentially expressed in brain.

A cDNA encoding a precursor for a novel serine protease (neurosin) was cloned from a cDNA library prepared from a human colon adenocarcinoma cell line, COLO 201. The sequence consisted of 155 bp 5' non-coding region and a 732 bp open reading frame which was followed by a 551 bp 3' non-coding region. The predicted protein consists of 244 amino acids which is possibly processed to an active enzyme of 223 amino acids that shows some similarity (< 30%) to other members of serine protease family. As found in other trypsin-like proteases, the enzyme contains the catalytic triad which is characterized as the essential amino acid residues for the activity. Northern blot analyses of the mRNA showed the strongest expression in brain followed by a lower but significant one in spleen. A construct of cDNA encoding chimeric protein that carries pro-sequence of trypsin II and putative mature neurosin starting from Leu22 was transfected to COS-1 cells. Successful production of the active neurosin was shown after treating the supernatant of the culture of the transfectants with enterokinase.

Adenocarcinoma↗

Extended lifespan and immortalization of human fibroblasts induced by X-ray irradiation.

The induction of immortalization of human fibroblasts by carcinogens is a very rare process. Hybrids between immortal cells and normal fibroblasts senesce, indicating that immortal cells must lose one or more senescence genes for immortalization. To examine the possible involvement of multiple gene alterations in extended lifespan or immortalization of normal human fibroblasts, normal human fibroblasts (WHE-7 cells) and skin fibroblasts (MDAH 087 cells) derived from a Li-Fraumeni syndrome patient with a mutated p53 allele were periodically irradiated with x rays. All six unirradiated control MDAH 087 cell cultures ceased growing by 37 population doublings (PD) and senesced. In contrast, one of six MDAH 087 cultures irradiated one to three times with x rays (2 or 4 Gy at 2 Gy/min) grew continuously for over 450 PD, indicating that the cells were immortal. All 12 WHE-7 cell cultures that were irradiated under the same conditions and all 20 unirradiated control WHE-7 cultures did not become immortal. Single-stranded DNA conformation analysis and DNA sequencing revealed that no additional mutations were induced by x-ray irradiation in exons 2-10 of the p53 gene of the immortal cells (LCS-4X2 cells) and that loss of the wild-type p53 gene was necessary but not sufficient for immortalization. Karyotypic analysis and chromosome painting analysis demonstrated that a high percentage (more than 98%) of LCS-4X2 cells had lost chromosome 6. Irradiation of WHE-7 cells nine times with x rays (2 Gy at 2 Gy/min) extended the cells' lifespans but did not immortalize them. These cells (X9 cells) exhibited a nonrandom karyotypic alteration, monosomy 6, that was confirmed by loss of heterozygosity for a polymorphic dinucleotide repeat sequence on chromosome 6. DNA analysis showed that X9 cells had no mutations in exons 2-10 of the p53 gene. DNA fingerprint analysis with a multi-locus probe detected DNA rearrangements in LCS-4X2 cells and X9 cells, indicating that both cells could have mutations at a gene or genes other than the p53 gene. The results are consistent with our previous findings that cells with a mutation in one gene involved in cellular senescence (i.e., the p53 gene in Li-Fraumeni fibroblasts) are prone to immortalization. Furthermore, we conclude that immortalization of normal human fibroblasts is a multistep process involving loss or inactivation of multiple genes, such as p53 and a gene on chromosome 6. Loss of a gene on chromosome 6 without p53 alterations extends cellular lifespan without immortalizing the cells.

Adult↗

Primary choriocarcinoma of the uterine cervix: clinical, MRI, and color Doppler ultrasonographic study.

Primary choriocarcinoma of the uterine cervix was diagnosed in a 38-year-old Japanese woman 4 months after a normal vaginal, term delivery. The patient had experienced irregular genital bleeding for several weeks. A cervical polypoid tumor was detected by visual inspection 4 months after delivery. Magnetic resonance imaging (MRI) and color Doppler ultrasonography revealed a hypervascular tumor (6 cm) in the uterine cervix. The patient's urinary level of human chorionic gonadotropin (hCG) was 128,000 IU/L. Histological examination of a biopsy of the cervical tumor showed choriocarcinoma. After completion of 2 courses of chemotherapy, the patient underwent a total abdominal hysterectomy. Histological examination of uterus showed no evidence of choriocarcinoma. At present, the patient is free of disease. MRI and color Doppler ultrasonography were useful for diagnosis by detecting the abundant blood flow and central necrosis of the cervical tumor.

Adult↗

Successful one-stage complete removal of an entire intravenous leiomyomatosis in the heart, vena cava, and uterus.

The patient was a 61-year-old woman who had intravenous leiomyomatosis (IVL) extending into the right ventricle of the heart from the uterus. Tumors in the heart and the inferior vena cava were removed under cardiopulmonary bypass and then after terminating the cardiopulmonary bypass, tumors in the abdominal cavity including uterine leiomyoma were removed. This is the first case of extended IVL in which all tumors were successfully removed at one time. If a tumor is found in the right ventricle in a woman who had or currently has uterine leiomyoma, IVL should be suspected. Complete one-stage removal of tumors can be performed using cardiopulmonary bypass, and the present patient has shown a favorable outcome.

Female↗

Hippocampal volume asymmetry and age at illness onset in males with schizophrenia.

To determine whether there are disturbances of hippocampal volume asymmetry in schizophrenic patients, we obtained contiguous, 1-mm-thick magnetic resonance images in 28 males with chronic schizophrenia and in 28 age-matched healthy males. The schizophrenic patients showed a bilateral reduction in volume of the hippocampal formation (HF; left 7.0%; right 8.7%). This reduction was significantly associated with the severity of disorganization syndrome (P < 0.0005). A significant asymmetry in the HF volume was found in the control subjects (P = 0.006), but not in the patients (P = 0.40). There was a significant positive correlation between the asymmetry index and the patient's age at the onset of schizophrenia (r = 0.46, P = 0.01). Results indicate that a disturbance in the normal asymmetry of the HF may be a characteristic in schizophrenia, particularly in patients with an early onset of the illness.

Adult↗

Multivariate analysis of prognostic factors in patients with ovarian cancer stage I and II.

OBJECTIVE: To evaluate prognostic factors such as surface capsular invasion, rupture of the capsule and intraperitoneal cytology in patients with stage I or II ovarian cancer. METHOD: Multivariate analysis was performed using 11 clinicopathologic prognostic factors obtained from 183 cases of stage I and II ovarian cancer, which had been surgically treated between 1983 and 1993. RESULTS: Significant prognostic factors determined by the Kaplan-Meier method were rupture and invasion of the capsule in stage II ovarian cancer. Multivariate analysis showed that spontaneous rupture of the capsule was the only significant factor, and intrapelvic cytology was an important factor without significance. Although capsular rupture caused by the surgeon showed poor prognosis by the Kaplan-Meier method, no significance was observed for this factor by multivariate analysis. CONCLUSION: Multivariate analysis showed that capsular rupture caused by the surgeon did not affect the prognosis in stage I and II ovarian cancer.

Adenocarcinoma↗