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S Tokunaka

Publications and source records attributed to S Tokunaka.

67 records · Page 4Linked to original sources

Two cases of ectopic ureter opening into the ejaculatory duct: double vas deferens revisited.

We report 2 rare cases of single ectopic ureter simulating double vas deferens. Clinical, radiographic and macroscopic signs at operation indicated a single ectopic ureter opening into the seminal tract. However, histological examination of the surgical specimen revealed that the lumen of the supposed ureter was lined in part by columnar epithelium, although chiefly by transitional epithelium. The wall of the ureter contained 3 well defined muscular coats in case 1 but only 1 layer was distinguishable in case 2. Histological composition of the structure removed from the cranial site resembled that of the epididymis. A review of the literature revealed a few comparable cases. Analysis of these cases suggests that double vas deferens and a single ectopic ureteral opening into the seminal tract are such that their differentiation may only have semantic significance. We speculate that these 2 diseases are included as 1 entity, only to be distinguished by the difference of ureterization of the ureteral bud.

Adult↗

Single ectopic ureter.

We report on 17 female and 4 male patients with single ectopic ureters, 9 of whom also had vaginal ectopic ureters. The clinicopathological features and surgical management are presented, with particular emphasis on the associated renal dysplasia and the complete excision of the ectopic ureteral stump. Although single ureteral ectopia with drainage to the vagina is rare in the English literature the condition is common in Japan.

Adolescent↗

Taxol induces microtubule-rough endoplasmic reticulum complexes and microtubule-bundles in cultured chondroblasts.

Taxol induces a vast increase in the number of microtubules (MTs) in functional chondroblasts. The drug also induces a marked change in MT distribution. In control cultures, anti-tubulin stains long, fine, sinuous filaments radiating from a perinuclear center. In taxol-treated cells, anti-tubulin stains stubby, straight, chevron-like structures that assume a striking antipodal distribution. Such MT-bundles are relatively stable: they persist for over 48 h after removal of taxol, and even for 16-24 h in Colcemid. Many of these supernumerary MTs bind to, and align on, the cytoplasmic face of the rough endoplasmic reticulum (RER). In binding, the MTs displace the numerous ribosomes that normally stud the surface of the cisternae of the RER. The bound MTs form a remarkably uniform layer with center-to-center spacings of 40 nm. The attached parallel arrays of MTs achieve lengths of over 10 microns. These bound MTs not only dislodge ribosomes from the RER surface, but they also zip together adjacent ER complexes, forming tiers of two to eight cisternae. Numerous cytoplasmic bundles of hexagonally-ordered MTs are also induced. When closely aligned, the MTs assume a crystalline configuration with a six-fold symmetry, a central MT being surrounded by six equidistant MTs. A single cell can have over 100 MT-bundles and the number of MTs per bundles varies from 2-30. The forces aggregating cytoplasmic MT-bundles probably differ from those that bind MTs to the RER. Taxol also fragments the prominent Golgi complex that characterizes actively secreting chondroblasts. No obvious morphologic relationship has yet been detected between these induced MTs and other organelles such as intermediate-sized filaments, microfilaments, mitochondria, Golgi cisternae, or secretory vesicles.

Alkaloids↗

Quantal and proliferative cell cycles: how lineages generate cell diversity and maintain fidelity.

There are no known differences between the mechanisms that generate diverse differentiation programs in a mosaic embryo such as Caenorhabdites elegans or in a regulative embryo such as a chick. Transit through an invariant sequence of compartments in a lineage is obligatory for a given precursor cell 1) to inherit its differentiation program from its mother, and 2) to transmit to its daughters, by way of a predetermined binary decision, a new differentiation program. The inheritability of a differentiation program must be encoded in a structural molecule. We postulate that during an S period of a quantal cell cycle, chromosomal structures are so altered that a network of genes that could not be transcribed in the mother becomes available for transcription in the daughters. We do not view as a likely possibility the traditional notion that cell-cell or cell-matrix interactions instruct or commit blank, naive cells to transform into cells with unique differentiation programs. From this perspective, we have initiated experiments to determine the minimal rounds of DNA synthesis, following fertilization, that are required to generate founder cells for several major lineages in the chick. Somewhere between the 15th and 18th generations after fertilization erythrogenic hematocytoblasts that are cytokeratin-positive and vimentin- and hemoglobin-negative undergo a quantal cell cycle. Their daughters are cytokeratin-negative and vimentin- and hemoglobin-positive. DNA synthesis, but not cytokinesis, is an obligatory requirement for this switch in differentiation programs. Essentially similar findings are presented for cells in the cardiogenic, neurogenic, melanogenic, and endothelial lineages. There is no evidence that cell-cell or cell-matrix interactions are required for this diversification. Such interactions, however, may be required for the large number of proliferative cell cycles within particular compartments of particular lineages that are characteristic of all growing or expanding systems. With respect to classical "CFU cells" it is of interest that definitive white blood cells have not yet been identified in these cultures. Lastly, the high ratio of primitive red blood cells to non-red blood cells in the first 40 hours of culture is consistent with the notion that the majority of all cells present in the blastodisc at these early stages are in fact already committed to a unipotent erythrogenic lineage [5, 18, 23, 44, 45]. The issue of changing ratios of cells within compartments of a lineage, as well as of cells in different lineages, is much neglected in consideration of (a) normal embryogenesis, (b) cell-renewal in mature organisms and, particularly,

Animals↗

Morphologic study of primary nonreflux megaureters with particular emphasis on the role of ureteral sheath and ureteral dysplasia.

Morphologic study by both light and electron microscopy was done in 21 cases of primary nonreflux megaureter. Cases were divided into 2 groups depending on the level of narrowed segment and extension of ureteral dilatation. In group 1 (18 cases) the narrowed segment was entirely intra-or juxtavesical and ureteral dilatation extended its whole length cranial to it, whereas in group 2 (3 cases) the narrowed segment was extravesical and relatively long, and was often associated with dysmorphism of adjoining kidney and pelvis. Morphology of the 2 groups differed distinctively. In group 1 there was both gross and morphologic evidence suggestive of extensively developed ureteral sheaths. They were implicated as contributing etiologically to the genesis of obstruction at the level of narrowed segment where hitherto documented muscular derangements were also found. In group 2, the genesis of ureteral dilatation appears to rest primarily in the dilated ureteral wall rather than in the normal-appearing narrow segment in that there was morphologic evidence suggestive of dysplasia or arrest in he muscular development of the dilated ureteral wall. Some clinical relevance of the heterogenous morphology of the 2 groups was discussed.

Adult↗

Histopathology of the nonrefluxing megaloureter: a clue to its pathogenesis.

We examined 23 nonrefluxing megaloureters histopathologically. In 18 ureters (group 1) the major anomalies were seen only in the ureterovesical junction, where the condition was characterized by more than well developed muscularity of the ureteral sheaths beside hitherto documented structural anomalies in the intravesical narrowed segment of the ureter. However, the ultrastructure of individual muscle cells was normal in the ureterovesical junction and the dilated portion. In the other 5 ureters (group 2) maldeveloped muscle cells scattered in large amounts of connective tissue were seen in the dilated portion, while in the nondilated narrow segment muscle structure was almost normal by light and electron microscopy. It was conjectured that the pathogenesis of megaloureter in group 2 resides not so much in the ureterovesical junction but more in the dilated ureteral wall, where the lack of actin filaments was documented. In group 1 ureteral sheaths were incriminated to have an additional role in the genesis of ureteral obstruction at the ureterovesical junction.

Actins↗

Morphological study of the ureterocele: a possible clue to its embryogenesis as evidenced by a locally arrested myogenesis.

The wall of a ureterocele and the proximal ureter involved were investigated with light and electron microscopy. Emphasis in our study was on the muscular structure. In most cases, that is in patients with single or duplex, or simple or ectopic ureteroceles, muscle bundles were hardly developed in the dome of the ureterocele but were well developed in the proximal ureter, with and without dilatation. In the dome of the ureterocele muscle cells were much smaller than those in the proximal ureter. Thick and thin myofilaments were demonstrated in muscle cells in the proximal ureter but thick myofilaments were absent in the dome of the ureterocele. These findings may suggest that a ureterocele is a segmental embryonal arrest of the most distal portion of the ureter.

Humans↗

Paraureteral diverticula: clinical experience with 17 cases with associated renal dysmorphism.

We report our experience with 17 cases of paraureteral diverticula seen in the last 12 years. These 17 cases represent a particular group of patients with ureteral reflux in that they often had ureteral obstruction too. Early operative intervention is recommended. There is a trend towards renal dysmorphism and dysplasia as the position of the ureteral orifice laterlizes in the diverticulum. A paraureteral diverticulum was considered to be the developmental extravesical expansion of the terminal ureteral end by virtue of the caudally positioned ureteral bud in the wolffian duct.

Adult↗

Two infantile cases of primary megaloureter with uncommon pathological findings: ultrastructural study and its clinical implication.

We report 2 cases of primary megaloureter, which might shed an unconventional insight into the etiology of this controversial issue. On histological studies, using light and electron microscopy, the dilated segment was characterized by sparse muscular development with an unrecognized amount of thick myofilaments and interstitial fibrosis, while the distal few centimeters of the narrowed segment maintained relatively normal muscular and interstitial features. The etiological and clinical implication of these findings in the management of primary megaloureter is discussed.

Child, Preschool↗