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Biomedical subjects

T Kanno

Publications and source records attributed to T Kanno.

At least 379 records · Page 21Linked to original sources

Dose-dependency in spatial dynamics of [Ca2+]c in pancreatic acinar cells.

Spatial dynamics of cytosolic concentration of Ca2+, [Ca2+]c, in stimulus-secretion coupling of rat pancreatic acinar cell was monitored by a digital image analysing technique using Fura-2. When freshly isolated acini were stimulated with lower concentrations of CCK-8 (5-30 pM), [Ca2+]c increase began at the region beneath the basolateral membrane and the [Ca2+]c increase depended on the presence of extracellular Ca2+ ([Ca2+]o). CCK-8 at higher concentrations (100 pM and 1 nM), however, caused [Ca2+]c increase even in the absence of [Ca2+]o. Low concentrations of G-protein activator, NaF (10 mM or lower), caused [Ca2+]o-dependent increase in [Ca2+]c, whereas higher concentrations of NaF (15 mM or higher) increased [Ca2+]c in the absence of [Ca2+]o. These results are compatible with the view that G-protein activated by a physiological concentration of secretagogue accelerates Ca2+ entry. This process is in contrast to the process of Ca2+ release from intracellular stores, which can be predominant when pharmacological or toxic concentration of the secretagogue was applied.

Animals↗

Ossifying fibroma in the sylvian fissure: case report.

A rare case of an ossifying fibroma that developed in the sylvian fissure is reported here. During surgery, branches of the middle cerebral artery were encased in osseous tumor. The encased branches were divided and reanastomosed after the mass was removed. Postoperative angiograms demonstrated patency of the anastomosed arteries and a postoperative magnetic resonance imaging scan revealed no infarction distal to the arterial anastomoses. The authors recommend division and anastomosis of the encased arteries rather than partial removal of tumor from around the encased arteries, resulting in residual tumor being left behind.

Adult↗

Potassium transport across basolateral membrane of acinar cells in the perfused rat pancreas.

Efflux and influx of K+ across the basolateral membrane of acinar cells were continuously computed from the change in K+ concentration in the perfusate collected from the portal vein of the isolated perfused rat pancreas. Continuous stimulation with different concentrations of COOH-terminal octapeptide of cholecystokinin (CCK-8) caused characteristic patterns of K+ flux and fluid secretion as follows: 1) stimulation with 10 pM CCK-8 induced a gradual and small increase in K+ influx and sustained fluid secretion; 2) stimulation with 100 pM CCK-8 caused an initial transient K+ efflux followed by a secondary slow K+ influx and sustained fluid secretion; 3) stimulation with 1 nM CCK-8 also induced an initial transient K+ efflux followed by a secondary slow K+ influx, whereas there was only a slight transient increase in fluid secretion. Ouabain abolished the CCK-8-induced K+ influx, but furosemide had little, if any, effect on the CCK-8-induced K+ flux and fluid secretion. Complete replacement of Cl- with equimolar NO3- had little effect on the CCK-8-induced K+ influx. These results suggest that CCK-8 activates not only passive K+ transport but also an ouabain sensitive Na(+)-K+ pump and that the furosemide-sensitive Na(+)-K(+)-2Cl- symport may not play a significant role in CCK-8-induced K+ transport.

Animals↗

Influences of lung mechanoreceptors and carotid chemoreceptors on the response of respiratory muscle activity to tracheal occlusion.

We examined the responses of respiratory muscle electromyograms (EMGs) from internal (IIC) and external intercostal (EIC) muscles and diaphragm (DIAP) to three successive occluded breaths in anesthetized spontaneously breathing rabbits. Both inspiratory and expiratory muscle EMGs progressively increased in the course of tracheal occlusion. An increase in these muscle EMGs was still observed after release of tracheal occlusion, but those effects were short-lasting. In a separate series of experiments, for assessment of possible reflex effects involved, the responses of slowly adapting pulmonary stretch receptor (SAR), rapidly adapting pulmonary stretch receptor (RAR), and carotid chemoreceptor activities to tracheal occlusion lasting for three respiratory efforts were also examined. The inspiratory discharge of SARs decreased but the expiratory discharge of SARs increased during tracheal occlusion. Although carotid chemoreceptors increased their activity in the latency of 3-6s after the onset of tracheal occlusion, the activity of RARs was greatly reduced throughout the period of tracheal occlusion. A transient increase in both carotid chemoreceptors and RARs was still observed after release of tracheal occlusion. These results suggest that alterations of inspiratory and expiratory muscle EMGs produced by tracheal occlusion would appear to be mediated by the afferent inputs from lung mechanoreceptors and carotid chemoreceptors.

Animals↗

Dose effects of cholecystokinin and acetylcholine on phosphorus compounds and secretory responses in isolated perfused pancreas of rat.

Phosphorus nuclear magnetic resonance (31P NMR) spectroscopy was used to study energy supply for protein secretion in the isolated perfused rat pancreas. Stimulation with cholecystokinin (CCK-8) increased fluid secretion and protein output. With 10pM of CCK-8, the tissue contents of ATP, inorganic phosphate (Pi), and creatine phosphate (PCr) remained unchanged. With 100pM of CCK-8, which induced the maximum response in fluid secretion and protein output, Pi increased slightly, ATP and PCr remained almost unchanged. A high dose of CCK-8 (1 nM) suppressed the fluid and protein secretory rates, decreased ATP, and increased Pi significantly, but PCr showed a tendency of increase. Significant changes in ATP and Pi occurred on withdrawal of CCK-8 (1 nM), suggesting activation of ATP hydrolysis for recovery from secretory suppression. During stimulation with 0.1, 0.3, and 3.0 microM of acetylcholine, the similar dose-dependent response was observed in the secretion and the phosphorus metabolism. The present study demonstrated that cytosolic energy metabolism for secretory responses in the pancreas is low and the Lohmann reaction showed less contribution than in the salivary gland. The findings suggest that the energy supply for protein secretion may be cytosolic diffusion of ATP and that the Lohmann reaction system may contribute to synthesis and storing of secretory protein at resting state.

Acetylcholine↗

The reflex bradycardia during brain ischemia in the rabbit.

We examined the responses of whole aortic nerve activity, aortic baroreceptor activity, heart rate (HR), and arterial pressure (AP) to brain ischemia sustained for approximately 30 s in anesthetized spontaneously breathing rabbits. The minimum values of HR observed during brain ischemia were 76 +/- 11 beats/min (mean +/- S.E., n = 14) before sectioning the bilateral aortic nerve (BAN), and 161 +/- 12 beats/min after sectioning the left aortic nerve (LAN), and 225 +/- 11 beats/min after sectioning the LAN and right aortic nerve (RAN). Averages for reflex fall in HR during BAN, LAN, and RAN activation were 140 +/- 9, 78 +/- 7, and 62 +/- 7 beats/min, respectively, by subtracting the HR fall responses to brain ischemia in the absence of aortic baroreceptor afferents from their control values. The heights of the integrated whole left and right aortic nerve activities in systole slightly increased during brain ischemia, whereas the brain ischemia remarkably increased those activities during the diastolic phases. The brain ischemia induced a hysteresis in the mean AP-aortic barorecept or activity relationship. These results suggest that the total activity of aortic nerve fibers would determine the bradycardia evoked by brain ischemia and that the difference between the relative contributions of LAN and RAN on the brain ischemia-induced reflex bradycardia would reflect the total impulse frequency of aortic myelinated and non-myelinated fibers.

Animals↗

[Evaluation of serum myoglobin level in patients with muscular disorder and renal failure].

Since myoglobin is a low molecular weight proteins and most serum myoglobin is usually excreted into the urine, but serum myoglobin is elevated in patients with renal failure. This elevation hampers diagnosis of muscular damage in patients with renal failure. We studied the influence of renal function on serum myoglobin level and estimated corrected myoglobin levels. We first examined the correlation of serum myoglobin level with levels of serum creatinine and serum beta 2 microglobulin in patients without muscular damage. Creatinine level was more highly correlated with serum myoglobin level than with beta 2 microglobulin level. Measured myoglobin level was corrected using the regression line obtained from the correlation between levels of myoglobin and creatinine, and the corrected myoglobin levels thus obtained were within a reasonable range. The influence of renal failure was compensated for by this correction. We then measured myoglobin level and creatine kinase activity in patients with various heart muscle or skeletal muscle diseases, with or without renal failure, and compared measured myoglobin levels with the corrected ones. In these patients, myoglobin level changed faster than such muscle enzymes as creatine kinase. Thereafter, we found that the stage and degree of muscular damage could be estimated from both corrected myoglobin level and creatine kinase activity, even in patients with renal failure. In conclusion, corrected serum myoglobin level might be a useful diagnostic marker of muscle damage even in patients with renal failure.

Creatine Kinase↗

[Renal-sparing procedures in the management of renal arteriovenous fistula].

Five cases of renal arteriovenous fistula which were treated by renal-sparing procedures are reported. Transcatheter arterial embolization was performed in three cases of circoid type arteriovenous fistula. Gross hematuria stopped immediately after the treatment in these three cases. Another two patients, whose arteriovenous fistula were aneurysmal type, were treated by ligation of the feeding artery. Although there were no symptoms after the surgery, the follow-up renal arteriography revealed the residue of a small amount of arteriovenous fistula in one of the aneurysmal type cases. We suggest that the renal arteriovenous fistula be classified into circoid type and aneurysmal type in the diagnosis for the appropriate treatment of renal arteriovenous fistula. It is important to select the renal-sparing procedure according to the type of renal arteriovenous fistula.

Adult↗

[Myoglobinuria due to enzyme abnormalities in glycolytic pathway--especially lactate dehydrogenase M subunit deficiency].

Glycolysis is an important energy productive system. Enzyme abnormalities the in glycolytic pathway, which cause myoglobinuria, are deficiencies of phosphofructokinase, phosphoglycerate kinase, phosphoglycerate mutase, and lactate dehydrogenase (LDH). Common symptoms of these enzyme abnormalities are muscle cramp, muscle pain, and rhabdomyolysis after strenuous exercise. Acute renal failure owing to myoglobinuria is the most noteworthy symptom. In daily life, symptoms are rarely observed and prognosis is usually good. Correct and fast diagnosis of such latent symptomatic disorders is important to prevent a turn for the worse of these symptoms. LDH M subunit deficiency was first discovered by urinary discoloration and a discrepancy of laboratory data. Since then, only four cases have been reported in the Japanese population. The response to ischemic forearm work is characteristic (an increase of venous lactate concentration after ischemic work is not observed and a marked increase of venous pyruvate is found). The increase of pyruvate concentration is specific in LDH-M subunit deficiency, and is not observed in other abnormalities of the glycolytic pathway. Glycolysis was markedly retarded in the patient's muscle in the glyceraldehyde 3-phosphate dehydrogenase (GA3PD) step, possibly due to the impaired reoxidation of NADH produced by GA3PD activity. Then, the excess NADH is reoxidized by alpha-glycerophosphate dehydrogenase and triose phosphates are drained to alpha-glycerophosphate and glycerol. Therefore ATP production is significantly impaired and muscle tissue is damaged. A genetical study revealed a deletion of 20 base-pairs in exon 6 in LDH-M subunit deficiency. This mutation results in a frame-shift translation and premature termination.

Adolescent↗

[Screening of symptom poor hereditary disorders in clinical laboratories].

Detection of symptom poor hereditary disorders from laboratory data is one of the targets of the laboratory data analysis system. Symptom poor hereditary disorders include; 1) pharmacogenetic disorders, 2) heterozygous individuals of hereditary disorders, 3) early or symptomless stage of hereditary disorders and 4) primary symptom poor hereditary disorders. The following cases of pseudocholinesterase silent gene variants, lactate dehydrogenase M and H subunit deficiencies, heterozygous individuals of aphosphatasia and Xanthinuria were screened from the laboratory data analysis system for hereditary disorders. The characteristics of the laboratory data, and clinical features of these symptom poor hereditary disorders were described and discussed.

Genetic Diseases, Inborn↗

[A case of pustulotic arthro-osteitis with secondary amyloidosis].

A 63-year-old man with a history of Pustulosis Palmaris et Plantaris since 1960 was suffered from lumbago and anterior chest pain in 1973. Chest X-ray film showed inter-sterno-costo-clavicular ossification. Spondylodiscitis, Syndesmophyte of lumbal spine, Sacro-iliitis were seen by abdominal X-ray film. He was admitted to near hospital with generalized edema and urinary protein (10-20 g/day) in April 1986. Laboratory studies showed hypoproteinemia, positive C-reactive protein, high serum amyloid A protein(240 ng/100 microliters) and negative HL-A B27. He was diagnosed Pustulotic arthro-osteitis and Secondary Amyloidosis by renal biopsy and rectal biopsy in 1987. He was treated with high-dose oral prednisolone(60 mg/day)and dimethyl sulfoxide. After treatment, Edema and Nephrose improved. Increasement of renal function was not observed.

Amyloidosis↗

Studies by pancreatography of ductal changes induced by administration of pancreatic carcinogen in two dogs.

To assess the temporal changes of the pancreatic duct following the administration of N-ethyl-N'-nitro-N-nitrosoguanidine (ENNG) in two dogs, serial pancreatography was performed. They received intraductal administration of a total of 595 and 500 mg ENNG in each one, over the periods of 12 and 13.5 months, respectively. In one dog, sequential changes of the main duct were observed, a small round filling defect developed a circumferential defect and became a severe stenosis associated with proximal dilatation of the duct. While no gross tumors were macroscopically detected at autopsy, continuous lesions with features of hyperplasia, atypical hyperplasia, and cancerous change of duct epithelial cells were microscopically seen. In the other one, a small round filling defect was detected by pancreatography, which was histopathologically hyperplasia of pancreatic duct, rather than cancerous cells. The present dog model for induction of pancreatic duct carcinomas appears useful for elucidating clinico-pathological changes occurring during cancer development.

Adenocarcinoma↗

[Present situations and problems of sampling and transportation].

Quality control of laboratory testings has been markedly improved. However, the importance of preanalytical quality control seems to have been poorly recognized by most medical staff members. In order to improve the present preanalytical situation, a round table discussion on sampling and transportation was held together by doctors, nurses and laboratory staff to know the present situation and to recognize the current problems. It was stressed that better communication among medical staffs and also between medical staff and patients are essential to obtain more precise data.

Humans↗

[Present situation in preanalytical sample care--from the results of a questionnaire survey in Fukushima Prefecture].

A questionnaire on the preanalytical problems including blood sampling, sample care and transportation was sent to members of the Fukushima Association of Medical Technologists in 118 hospitals. Answers were received from 88 institutions. In more than 90% of the hospitals, blood sampling and transportation of specimens were carried out by nurses. Bleeding from the hospitalized patients was routinely performed early in the morning starting as early as at 5 AM in 40%, at 6 AM in 42% and at 7 AM in 7% of the hospitals. After bleeding, samples for blood cell counting and coagulation studies were transported immediately to the laboratories in 27% and 42% of the institutions respectively. However, blood samples for biochemical analyses and urine samples were stored at room temperature, and the average time until the start of analysis was suggested to be 3 to 4 hours. In the course of this survey and discussion, the importance of preanalytical quality control was better recognized by laboratory staff. Better communication among laboratory staff, nurse, and doctor will improve the preanalytical quality control.

Blood Specimen Collection↗

[Antitumor effect of direct intra-tumor administration of OK-432 on malignant glioma: basic and clinical observations].

In this study, we tried to examine the efficacy of a cytotoxic factor which is induced by periodic, repeated local administration of OK-432 into the tumor cavity of malignant glioma patients. OK-432 was administered intratumorally via a tube to 4 malignant glioma patients on Days 1, 3, 5, 7 and 12 in doses of 0.5 KE, 1 KE, 2 KE, and 3 KE, respectively. Cerebrospinal fluid (CSF) was collected several times during the 24-hour period beginning immediately after the administration on Day 12. The CSF was added to the culture medium of rat glioma cells (GA-1 and C-6) in order to observe the cytotoxic effect morphologically. The clinical efficacy in the patients was evaluated from the changes in tumor size observed by CT. CSF collected from the tumor cavity of 3 patients was bloody. By adding this bloody CSF, a significant morphological cytotoxic effect was observed on both the GA-1 and C-6 glioma cells in culture. The level of cytotoxicity was higher with the bloody fluid collected at 4 to 24 hours after the final administration than with the bloody fluid collected immediately after the final administration. The cytotoxic effect of this fluid was stronger than that of rabbit TNF (tumor necrosis factor) serum induced with P. acnes and LPS.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

[Advances of diagnosis and clinical assessments for pancreatic disorders. Remarks].

In spite of the marked advances of laboratory medicine, diagnostic parameters or tools for the pancreatic disorders were now in obscure. However, advances of immunochemical procedures, especially advances of monoclonal antibodies and high performances of immunoassay techniques make it possible to reveal the chemico-pathological status of pancreatic disorders. Moreover, advances of ultrasonic echography and ultrasonically guided biopsy more than make up for the defects of biochemical and immunochemical information. In this symposium, these advances of diagnosis for pancreatic disorders will be studied and discussed.

Clinical Laboratory Techniques↗

Molecular characterization of genetic mutation in human lactate dehydrogenase-A (M) deficiency.

Human lactate dehydrogenase-A mutant gene was isolated from the genomic DNA library of a patient deficient in LDH-A (Muscle) subunit. The nucleotide sequences of seven protein-coding exons were determined and a deletion of 20 base-pairs in exon 6 was found. This mutation results in a frame-shift translation and premature termination. The predicted incomplete LDH-A (M) subunit containing only 259 instead of 331 amino acids appears to be degraded rapidly, since no protein was detected immunologically (Maekawa et al., Am J Hum Genet 39:232-238, 1986). In addition, three synonymous (silent) substitutions, A to C, T to C, and G to A, were observed at codons 115, 160 and 172, respectively, in this LDH-A mutant gene.

Amino Acid Sequence↗