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Biomedical subjects

T Okabe

Publications and source records attributed to T Okabe.

At least 127 records · Page 7Linked to original sources

[Pathogenesis of androgen insensitivity syndrome].

Androgen plays an important role in male sexual differentiation and the defect of androgen action mainly due to androgen receptor abnormality causes androgen insensitivity syndrome (AIS). The number of the reports of AR gene mutations is AIS reaches more than 250, including structural mutations such as gene deletion and single base mutations. The intriguing characteristics of the single amino acid substitutions by single base mutations are that they tend to occur in restricted areas and on restricted bases, and that the same mutation sometimes shows phenotypic variation even among the family members. In addition, in some AIS cases, neither androgen binding abnormality nor AR gene mutation is detected. In these cases, other factors which take part in transcriptional activation by AR might be affected.

Androgen-Insensitivity Syndrome↗

[Twelve cases of systemic lupus erythematosus in boys].

We compared clinical findings in 12 cases of systemic lupus erythematosus (SLE) in boys with those in 49 cases in girls. The age at which SLE developed in boys was consistent with that of infantile SLE and there was no age specificity. Momy cases in boys were diagnosed earlier as compared with cases in girls. Symptoms of infantile SLE, such as fever, arthalgia, butterfly rash, and urinary abnormalities, did not differ between boys and girls. However, a higher percentage of boys (58.3%) had central nervous system complications at onset than did girls (30.6%). Platelet counts tended to be higher in boys than in girls, a finding that suggests SLE tends to be more severe in boys than in girls. The incidence in the appiarance of LE cells, anti-Sm antibodies and immune complexes was higher in boys than in girls. Type IV or V renal pathologic changes (World Health Organization Histologic Classification) were present in 70% of boys. Our findings suggest that SLE in boys is more severe than that in girls and is more likely to be associated with central nervous system complications and severe renal complications.

Adolescent↗

Expression of a neutrophil chemotactic protein LECT2 in human hepatocytes revealed by immunochemical studies using polyclonal and monoclonal antibodies to a recombinant LECT2.

A recombinant human neutrophil chemotactic protein LECT2 (rhLECT2) was purified as a 16-kDa protein from the culture fluids of stable transfectants derived from CHO cells (clone C1D8-1) and L929 cells (clone L2E4-1). The N-terminal amino acid sequence of the protein secreted by both clones were homologous to the previously described bovine LECT2. We produced polyclonal and monoclonal antibodies against rhLECT2 and investigated secretion of LECT2 protein in six human hepatoma cell lines, which express LECT2 mRNA, and in hepatocytes of normal human livers by a sandwich enzyme-linked immunosorbent assay and by immunostaining using the antibodies, respectively. We revealed that five of six hepatoma cell lines secreted LECT2 into culture fluids at concentrations of 30-135 ng/mg. We also demonstrated that the cytoplasm of human hepatocytes was diffusely stained, although periportal hepatocytes tended to be weakly and granularly stained by immunostaining. These results indicated that the novel protein was expressed in hepatocytes and suggested an important role of LECT2 in the cells in addition to the activation of neutrophils.

Animals↗

Pax-5 is identical to EBB-1/KLP and binds to the VpreB and lambda5 promoters as well as the KI and KII sites upstream of the Jkappa genes.

During B cell differentiation, the pre-B cell stage plays a significant role in immunoglobulin gene rearrangement in the context of the allelic exclusion and kappa chain gene rearrangement. We previously reported that the early B cell-specific binding protein (EBB)-1 transcription factor binds to the promoters of two pre-B cell-specific genes, VpreB and lambda5, and regulates their pre-B cell-specific expression. Here, we demonstrate that EBB-1 binds to the KI and KII sites in the upstream of Jkappa region, which are crucial for kappa chain gene rearrangement. Gene transfer and gel-shift assays demonstrate that EBB-1 is identical to Pax-5 and binds to promoters of VpreB and lambda5 as well as the KI and KII sites. Our results suggest that Pax-5 plays an important role in the coordinate regulation of several immunoglobulin gene family members that are crucial in B cell development.

Animals↗

Iatrogenic paraplegia caused by surgicel used for hemostasis during a thoracotomy: report of a case.

A 46-year-old Japanese woman underwent a right lower lobectomy through a posterolateral incision made in the fifth intercostal space under general and epidural anesthesia on January 23, 1995. During the procedure, oxidized regenerated cellulose (Surgicel) was used to prevent postoperative rebleeding from the dorsal branch of the fifth intercostal artery. The following day it became evident that complete paraplegia had developed below the Th5 level, the cause of which was revealed by an emergency laminectomy, performed within 20 h after the thoracotomy, to be the Surgical treatment. By 50 days after the operation the patient had begun to show improvement, and was able to move her lower extremities against gravity. Her condition is continuing to improve.

Cellulose, Oxidized↗

Chronic infantile neurological cutaneous articular syndrome in a patient from Japan.

A case of chronic infantile neurological cutaneous articular (CINCA) syndrome in a Japanese girl, started at the age of 13 days with episodes of fever, rash followed by swollen joint, hepatosplenomegaly, generalized lymphadenopathy and chronic central nervous system involvement, is reported. Some of the findings suggest that this syndrome may be the result of an intrauterine infection. This is the first case of CINCA syndrome in a Japanese girl.

Age of Onset↗

Tensile strength of soldered gold alloy joints.

STATEMENT OF PROBLEM: Little information is available about the mechanical properties of soldered gold alloys after they have undergone various heat treatments. PURPOSE: This study investigated the influence of heat treating on the strength properties of soldered joints of two gold alloys (NC Type IV and Sofard), which can be age-hardened at intraoral temperature. MATERIAL AND METHODS: Dumbbell-shaped specimens were cast with each gold alloy and were cut at the center of the connecting bar for soldering. The two halves of the casting were then soldered with two different gold-based solders (Maingold and Degulor). Three different heat treatments were performed on the soldered gold alloy assemblies: solution heat treatment (ST) at 700 degrees C for 5 minutes (treatment A); aging at 37 degrees C for 7 days after ST (treatment B); and aging at 250 degrees C (Sofard) or 400 degrees C (NC type IV) for 15 minutes after ST (treatment C). The tensile strength, elongation and microhardness were evaluated after each heat treatment. RESULTS: The hardness values of Sofard significantly (p < 0.05) increased during aging at 37 degrees C (treatment B) and produced adequate strengths of the soldered joints, especially with the harder solder (645.7 MPa: Degulor [222 VHN] vs. 493.3 MPa: Maingold [165 VHN]). CONCLUSIONS: The results of this study indicated the possibility of strengthening soldered joints in the oral environment, thus eliminating the necessity for any additional hardening heat treatment.

Analysis of Variance↗

In vitro cytotoxicity of amalgams made with binary Hg-In liquid alloys.

OBJECTIVE: Mercury vapor release from amalgams during setting significantly decreases when the amalgams are prepared with binary Hg-In liquid alloys. The objective of this study was to compare the cytotoxicity of amalgams made with experimental Hg-In alloys with that of amalgam without In and a commercial In-containing amalgam. METHODS: Amalgam specimens were prepared by triturating a high-Cu alloy powder (Tytin, Kerr) with pure Hg or Hg-In liquid alloy containing 5, 20 or 50% In and also by triturating an In-containing high-copper alloy powder (Indiloy, Shofu) with pure Hg. After the specimens were aged for 2 wk, a cylindrical specimen of each amalgam was immersed consecutively in cell culture medium for 0-8, 8-48 and 48-72 h. The cytotoxicity of the extracts was determined by placing them in contact with Balb/c 3T3 mouse fibroblasts for 24 h, after which the succinic dehydrogenase (SDH) activity was measured and expressed as a percentage of the Teflon negative controls. The results were statistically compared using ANOVA and Tukey's test (alpha = 0.05). The concentration of elements released into the extracts was determined by atomic absorption spectrophotometry and evaluated by Kruskal-Wallis and nonparametric multiple comparisons. RESULTS: For the 0-8 h and 8-48 h intervals, the 20% In amalgam was significantly (p < 0.05) less toxic than the other amalgams, and not different from the Teflon control. Results for the other amalgams were only slightly depressed compared to the Teflon control. For the 48-72 h interval, all amalgams were essentially no different from the control. Copper was the element dominantly released into the medium from all the amalgams tested. SIGNIFICANCE: For amalgam tested after aging, alloying indium to mercury did not deleteriously affect the cytotoxicity of the resultant amalgam compared to the amalgam without indium.

3T3 Cells↗

Aluminum ions in analysis of released fluoride from glass ionomers.

OBJECTIVES: Aluminum ions interfere with fluoride determination when an ion-selective electrode (ISE) method is used. This study examined the effect of the presence of aluminum ions on the determination of fluoride ions released from glass ionomers. METHODS: Disk-shaped specimens of five different commercial glass ionomers were immersed in deionized distilled water at 37 degrees C for one day or up to seven weeks. The amounts of released aluminum were determined by atomic absorption spectrophotometry, whereas the released fluoride was quantitated using a fluoride ISE with TISAB plus two different decomplexing agents for aluminum (CDTA or sodium citrate-potassium nitrate) or TISAB only. RESULTS: Released amounts of aluminum and fluoride ions were found to be significantly different among the five different glass ionomers tested. Based on preliminary examination of the effect of the amount of aluminum ions on the measured value of fluoride, it was found at the end of one day for some of the glass ionomers that the fluoride concentrations measured without decomplexing agents were significantly lower than those measured with decomplexing agents, depending on the amounts of aluminum in the solution. However, since all the glass ionomers tested leached out most the aluminum ions by seven days, the measured fluoride concentrations were not affected by a small amount of released aluminum from the glass ionomers immersed longer than seven days. CONCLUSIONS: When fluoride release from the glass ionomer is determined using ISE, care must be taken with the experimental design and analytical procedures to eliminate the interference by aluminum ions.

Aluminum↗

Oculopharyngeal muscular dystrophy in Japan.

Oculopharyngeal muscular dystrophy (OPMD) in the European population has been frequently diagnosed, but except for one black family, the occurrence in other ethnic groups is uncertain. We identified two unrelated OPMD Japanese families, including 34 affected individuals. Major clinical manifestations were bilateral ptosis and dysphagia starting after age 40. Histologic studies of limb muscles revealed mild myogenic changes, occasional rimmed vacuoles, and small angulated fibers. By contrast, cricopharyngeal muscle showed a marked loss of fibers and massive proliferation of connective tissue. Intranuclear tubulofilamentous inclusions (ITFI) of 8.5 nm outer diameter were observed in 2-5% of the nuclei in four different biopsied muscles. One patient with recurrent aspirations underwent successful cricopharyngeal myotomy. Aerodynamic examination was useful to evaluate velopharyngeal closure function. Our investigations revealed that OPMD is a geographically widespread disorder, and ITFI may be the specific morphologic hallmark.

Biopsy↗

Dissolution mechanism of diclofenac sodium from wax matrix granules.

Dissolution behavior of diclofenac sodium (DS) from wax matrix granules (WMGs) prepared using a twin-screw compounding extruder is closely related to swelling ability and solubility of the rate-controlling agent employed. A swellable and soluble (hydroxypropyl)-cellulose (HPC-SL) generates both an expansion of pores inside WMGs and a structural change observed as cracking on the surface of WMGs. These changes are confirmed by mercury porosimetry. Release of DS was increased with an increase in the amount of HPC-SL in WMGs, but only 35% of DS was released from WMGs containing 73% (w/w) NaCl at the 24 h point of the dissolution. Further, no cracking was observed on the surface of NaCl-containing WMGs. A linear relationship between mean dissolution time (MDT) of DS for WMGs containing different types of HPC (HPC-SL, -M, and -H) and swelling abilities suggests that release of DS could be directly controlled by swelling of HPCs. In addition to this result, an application of the exponential model (Mt/M infinity = kt(n)) introduced by Ritger and Peppas (J. Controlled Release 1987, 5, 23-36) to DS release indicates that case II release plays a critical role in HPC-SL-containing WMGs and Fickian release is predominant in NaCl-containing WMGs since the values of n of WMGs containing 73% (w/w) NaCl and 40% (w/w) HPC-SL are 0.41 and 0.71, respectively. These results suggest that proper selection of rate-controlling agents based on their physicochemical properties (such as swelling ability and solubility) is important in designing WMGs with desired dissolution profiles.

Anti-Inflammatory Agents, Non-Steroidal↗

Corrosion of gallium alloys in vivo.

The aim of this work was to study the corrosion of gallium alloys in vivo. Three gallium alloys were tested: GF alloy, Galloy and an experimental GaIn alloy. An amalgam was applied as a control. After ageing for a minimum of two weeks, one disc of each of these alloys was mounted with the polished side up in the buccal surfaces of 17 acrylic dentures. Eight sets of the specimens were retrieved after exposure to the oral cavity for 2-4 months, and another seven were retrieved after 6-9 months. Corrosion of the polished cross-sections of the specimens was studied using scanning electron microscopy (SEM). Only the CuGa2 phase was found to corrode substantially in all three of the alloys investigated, leaving behind holes up to 20 microm deep. This is consistent with the corrosion reported after immersion tests in a solution of 0.1 mol lactic acid and 0.1 mol NaCl for 7 days. Such in vitro tests are also reported to cause distinct corrosion of the Sn phase in the gallium alloys. However, a salient feature of the corrosion in vivo was the lack of detectable dissolution of this phase. Thus, for gallium alloys, the accelerated in vitro immersion method produced results which did not agree with clinical observations. Large variations in the corrosion of the CuGa2 were observed from patient to patient. The amount of corrosion on the Galloy specimens appeared to be less and on a finer scale than on specimens of the two other alloys. The depth of corrosion was thus shallower than for this alloy. This finding indicates that there is room for further improvement of the corrosion resistance by modifying the microstructures. Less overall corrosion was found for the amalgam control than for the gallium alloys.

Journal Article↗

Surface characterization of amalgam made with Hg-In liquid alloy.

When amalgam was triturated with Hg-In liquid alloys instead of pure mercury, the resultant amalgams released a significantly smaller amount of mercury vapor during setting. To understand the mechanisms responsible for the drastic decrease in mercury evaporation from the In-containing amalgam, we used Auger Electron Spectroscopy to examine surface oxide films on amalgams made with Hg-10 wt% In or pure mercury. The surface of the In-containing amalgam was rapidly covered with both indium and tin oxide films. Greater amounts of oxygen were found on the gamma 1 Ag-Hg matrix in the In-containing amalgam than in the amalgam without indium. The rapid formation of the oxide film contributes to a reduction in the mercury release from the In-containing amalgam by forming an effective barrier to evaporation.

Copper↗

Effect of pressure difference on the quality of titanium casting.

In casting titanium using a two-compartment casting machine, Herø et al. (1993) reported that the pressure difference between the melting chamber and the mold chamber affected the soundness of the castings. This study tested the hypothesis that differences in pressure produce castings with various amounts of porosity and different mechanical properties values. Plastic dumbbell-shaped patterns were invested with an alumina-based, phosphate-bonded investment material. Both chambers of the casting machine were evacuated to 6 x 10(-2) torr; the argon pressure difference was then adjusted to either 50, 150, 300, or 450 torr. The porosity of the cast specimens was determined by x-ray radiography and quantitative image analysis. Tensile strength and elongation were measured by means of a universal testing machine at a strain rate of 1.7 x 10(-4)/s. The fractured surfaces were examined by SEM. Changes in Vickers hardness with depth from the cast surface were measured on polished cross-sections of the specimens. Raising the argon pressure difference to 300 and 450 torr caused a significant increase in internal porosity and a resultant decrease in the engineering tensile strength and elongation. The highest tensile strength (approximately 540 MPa), elongation (approximately 10%), bulk hardness (HV50g 209), and lowest porosity level (approximately 0.8%) occurred in the specimens cast at 150 torr. Turbulence of the metal during casting was thought to be responsible for the increase in porosity levels with the increase in argon pressure difference. By choosing an argon pressure difference (around 150 torr) suitable for this geometry, we could produce castings which have adequate mechanical properties and low porosity levels.

Analysis of Variance↗

Protective effect of glycoprotein gC-rich antigen against pseudorabies virus.

A trial vaccine containing pseudorabies virus (PRV) glycoprotein gC as the main component showed excellent protection against virulent virus infection in pigs. Glycoprotein gC-rich antigen was prepared by heparin affinity chromatography from PRV-infected cell lysates. The preparations were mixed with mineral oil adjuvant as a water-in-oil emulsion. Six-week-old pigs were immunized twice at two-week intervals with trial vaccines containing 128,000, 12,800 and 1,280 HA units per dose of gC antigen. They were then challenged with a virulent PRV at day 7 after the final immunization. Neutralizing (NT) antibodies were produced with increase of antibody titers after challenge. Pigs immunized with 128,000 HA units per dose of gC survived and showed no virus shedding during the 2-week experimental period after the challenge. The role of cell-mediated immunity was examined using BALB/c mice, and induction of gC-specific cytotoxic T lymphocytes (CTLs) was detected by 51Cr release assay. From these results with mice, it is inferred that cell-mediated immunity, especially CTL, may play an important role in the effectiveness of our trial vaccine in addition to humoral immunity.

Adjuvants, Immunologic↗

Effect of Pd and In on mercury evaporation from amalgams.

The amount of Hg vapor released from "synthesized" gamma 1 with 1% (wt) Pd was reported to be less than 30% of that from gamma 1 with no Pd. This study tested the hypothesis that Hg evaporation from Pd-containing amalgams decreases with Pd concentration and that In also reduces Hg vapor. Specimens (4 mm dia, 8 mm long) were prepared by triturating Ag-Sn(25%)-Cu(12%) alloy powder containing 0.5-9.0% Pd with pure Hg and by triturating 3% Pd alloy powder with Hg containing 1-5% In (all residual Hg approximately equal to 62%). The total amount (ng/mm2) of Hg vapor released at 37 degrees C from freshly prepared amalgams was measured. Pd (3-9%) in the powder significantly (p < 0.05) decreased Hg vapor release from amalgams during setting. Use of In-containing Hg also reduced Hg vapor release (5% In, p < 0.05). The reduction in the Hg vapor pressure by adding Pd and the rapid oxide film formation on the In-containing amalgam appear to work together to reduce Hg vaporization from these amalgams.

Calorimetry, Differential Scanning↗

Behavior of pure gallium in water and various saline solutions.

This study investigated the chemical stability of pure gallium in water and saline solutions in order to obtain fundamental knowledge about the corrosion mechanism of gallium-based alloys. A pure gallium plate (99.999%) was suspended in 50 mL of deionized water, 0.01%, 0.1% or 1% NaCl solution at 24 +/- 2 degrees C for 1, 7, or 28 days. The amounts of gallium released into the solutions were determined by atomic absorption spectrophotometry. The surfaces of the specimens were examined after immersion by x-ray diffractometry (XRD) and x-ray photoelectron spectroscopy (XPS). In the solutions containing 0.1% or more NaCl, the release of gallium ions into the solution was lowered when compared to deionized water after 28-day immersion. Gallium oxide monohydroxide was found by XRD on the specimens immersed in deionized water after 28-day immersion. XPS indicated the formation of gallium oxide/hydroxide on the specimens immersed in water or 0.01% NaCl solution. The chemical stability of pure solid gallium was strongly affected by the presence of Cl- ions in the aqueous solution.

Dental Alloys↗