[Non-specific immunosuppressive methods and their problems].
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Biomedical subjects
Publications and source records attributed to T Kanoh.
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A total of 19 patients consisted of 10 cases with hypertrophic cardiomyopathy (HCM), 6 with hypertensive heart disease (HHD) and 3 with professional bicycle racers with myocardial hypertrophy, showing giant negative T waves greater than 10 mm in precordial leads (GNT-group) was examined by catheterization, cineangiography and endomyocardial biopsy. Fourteen patients of myocardial hypertrophy consisted of 5 cases with HCM, 4 with HHD and 4 with professional bicycle racers without giant negative T (non-GNT-group) were selected as the control. The average of mid-ventricular wall thickness (Tm = 17.4 +/- 4.6 mm) and that of apical wall thickness (Ta = 18.5 +/- 3.6 mm) obtained from the left ventriculogram in GNT group were significantly greater than those in non-GNT group. The average of the apical hypertrophic index (Ta/Tm = 1.1 +/- 0.3) was also greater than that in non-GNT group. For the evaluation of hypertrophy of the papillary muscles, pattern of the hypertrophy was divided into 2 types by the feature of the left ventriculogram in systolic phase of right anterior oblique view, i.e., normal to moderate (type I) and severe (type II). In GNT group, 79% of patients belonged to the type II, whereas 71% of patients in non-GNT group belonged to type I. Histopathologically, the hypertrophy of heart muscle cells in GNT group was higher grade than in non-GNT group. Disarray of the muscle cells and myocardial fibrosis was not so prominent in GNT group. It was concluded that the mode of hypertrophy in GNT group was characterized by the existence of papillary muscle hypertrophy and had similarity to the hypertrophy of known etiologies such as mechanically overloaded myocardium which suggested to the secondary heart muscle diseases.
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The presence of J chain in human immunocytes containing various immunoglobulin classes has already been reported and in this paper we investigated the presence of J chain in human myeloma cells using light and electron microscopy. Myeloma cells were positive for cytoplasmic J chain in thirteen cases: six of fifteen IgG myeloma, two of seven IgA myeloma, two of nine B-J myeloma and three of three primary macroglobulinaemia. None of the four with benign monoclonal gammopathy was positive for J chain. The ultrastructural localization of J chain in IgG myeloma cells was similar to that of gamma chain, i.e. around the nuclear membrane, in the endoplasmic reticulum (ER) and in the Golgi apparatus. The latter finding is compatible with the presence of J chain in the urine of the same patient. We examined the urine from nine patients with J chain-positive cells and secretion of J chain was confirmed in three patients: two with IgG myeloma and one with B-J myeloma. In noe of twelve in whom the immunocytochemical findings were negative for J chain was there evidence of urinary J chain.
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