Synthesis and antitumor activity of Pt(II) complexes containing 2,3-diaminopropanol isomers.
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Biomedical subjects
Publications and source records attributed to S Motoyama.
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Systematical determination of renin activity (PRA) and aldosterone concentration (PA) in blood of normal and hypertensive pregnant women was done. At the same time, reactive change of PRA and PA to NaCl loading was studied, and the authors gained the following conclusions: 1) In normal pregnant women a significant increase was observed respectively in PRA and PA in comparison with those observed in non-pregnant status (PRA: P less than 0.05, PA: P less than 0.02). A peak (11.85 ng/ml/hr) was formed in PRA at the 32nd week of pregnancy, while in PA an increase lasted until the start of labour, attaining a level of 563.3 pg/ml (mean value). 2) PRA and PA in toxemia of pregnancy were obviously lower in comparison with normal pregnancy in the corresponding period. Analysis by the two dimensional cordinate system in which PA value was represented by axis of abscissas and PRA value by axis of ordinate disclosed that hypertensive toxemia of pregnancy tended to be distributed among patients with low PRA while non-hypertensive toxemia of pregnancy was distributed among patients with low PA. 3) In non-pregnant women and those in the first trimester, no noticeable change was displayed by NaCl load either in PRA or in PA, but the reactivity became obvious along with advancement of pregnancy and a high reactivity was shown by pregnant women who were positive in the so-called roll-over test. Also when women whose blood pressure rose to 140/90 mmHg or above after NaCl loading were classified as those positive in NaCl loading test, all the normal pregnant women were negative, but among the patients with hypertensive pregnancy, a positive reaction was represented in half of them in spite of the treatment. The above signifies that the PRA and PA were different in their behaviors in the third trimester, and in the value of PA, participation of aldosterone deriving from fetus was suggested. Analysis of PRA and PA by the two dimensional cordinate system and analysis of the behavioral reaction in NaCl loading test were supposed to be clinically useful for classification of the clinico-pathological types of toxemia of pregnancy.
Angiosarcoma of the vagina is an extremely rare neoplasm and is characterized by frequent recurrence and early metastatic spread. Although previous reports emphasized the poor prognosis of this disease, effective treatment strategies have not been adequately stated. We report a case of angiosarcoma of the vagina, in which the diagnosis was made 9 years after intrapelvic irradiation, and recombinant interleukin-2 (rIL-2) therapy could be effective to suppress the development of distant metastasis. We recommend rIL-2 therapy in combination with irradiation as a palliative therapeutic option for vaginal angiosarcoma when the tumor is inoperable or the patient refuses to undergo surgery. Although vaginal angiosarcoma is an extremely rare condition, its possibility should be borne in mind when finding a vaginal mass in a previously irradiated patient.
To review clinical outcomes and therapeutic varieties, we were invited to submit data from the patients who were treated for uterine sarcomas in Japan from 1990 to 2003. Uterine sarcomas were defined as leiomyosarcoma (LMS), endometrial stromal sarcoma (ESS), and carcinosarcoma (CS). Of a total of 97 patients, 36 (37.1%) were diagnosed with LMS of the uterine corpus, 15 (15.5%) with ESS, 46 (47.4%) with CS. Median age at diagnosis was 59 (21-85) years. Clinical stages based on FIGO were 41 (42.3%) with stage I disease, 6 (6.2%) with staged II, 34 (35.1%) with stage III, and 16 (16.5%) with stage IV. The median follow-up period for all patients was 13 (1-108) months and median disease-free period was 9 (0-96) months. The 1-year survival rate and disease-free survival (DFS) rate were calculated in patients with all sarcomas (overall survival [OAS], 61.3%; DFS, 46.6%). Statistical analysis showed that younger age (less than 50 years), early stage (stages I and II), and surgical procedure (extended hysterectomy [EH] and radical hysterectomy [RH]) were associated with significantly better OAS. Histologic types did not affect the survival period. In conclusion, aggressive surgery including EH or RH at the time of initial operation offers the possibility of prolonged survival.
The present study was conducted to elucidate the molecular mechanism underlying the transient increase in circulating squamous cell carcinoma antigen (SCC Ag) levels in response to CIS-diamminedichloroplatinum (CDDP) infusion using an in vitro model. The uterine cervical squamous carcinoma CaSki cells were cultured for 72 h after 3 h exposure to 5.0 microg/ml CDDP. The effects of CDDP exposure on the proliferative activity and apoptosis in cultured CaSki cells were determined by bromodeoxyuridine (BrdU) uptake and cell counting and by the TUNEL assay, respectively. SCC Ag levels in cultured CaSki cells and culture media were determined with the use of SCC-RIA kit. The expression of SCC Ag-1 mRNA and SCC Ag-2 mRNA in cultured CaSki cells was assessed using semiquantitative RT-PCR with Southern blot analysis. The number of BrdU-positive CaSki cells significantly decreased 6 h after exposure to CDDP, whereas the apoptosis-positive rate of cultured CaSki cells significantly increased 12 h after the CDDP exposure. The number of cultured CaSki cells significantly decreased 72 h after the CDDP exposure. The total SCC Ag protein levels in both cultured CaSki cells and the culture media after the 3-hour CDDP exposure increased in a time-dependent manner during the subsequent incubation for 48 h. Semiquantitative RT-PCR revealed that the expression levels of both SCC Ag-1 and SCC Ag-2 mRNA increased (1.7- and 2.7-fold, respectively) 12 h after the exposure to CDDP relative to those before the subsequent cultures. Exposure of uterine cervical squamous carcinoma CaSki cells to CDDP resulted in a transient increase in SCC Ag protein and mRNA expression in those cells during the initial 12 h after the exposure, being associated with decreased proliferative activity and increased apoptosis of those cells.