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Biomedical subjects

Y Ebihara

Publications and source records attributed to Y Ebihara.

At least 163 records · Page 9Linked to original sources

Microcirculatory disturbances of oral mucosa and periodontal disease in patients with liver cirrhosis.

This study showed: (1) The bone score in cirrhotic patients was significantly lower than that in the control group. (2) In liver cirrhosis, capillaries were decreased in number and they were dilated compared to that in the control. In particular, the capillaries in cirrhotic patients with ascites or oesophageal varices were dilated compared to those without. (3) Blood flow of the mucogingival junction was significantly decreased in patients with liver cirrhosis in comparison with the control group. These results suggest that microcirculatory disturbances of oral mucosa are important in the progress of periodontal disease in patients with liver cirrhosis.

Female↗

[Specific cytoplasmic crystalline inclusions in multiple myeloma with amyloidosis].

It is widely known that multiple myeloma is sometimes followed by amyloidosis. It is also not particularly rare that inclusions exist in myeloma cells. However, there has been no previous report of a case of myeloma with both inclusions and amyloidosis. A 60-year-old female initially complained of a tendency to bleed, which was caused by fibrinolysis. Amyloid deposition in bone marrow stroma and the gastric submucosa was recognized, in addition to crystalline inclusion in the cytoplasm of myeloma cells. An immunoelectron microscopic study demonstrated the amyloid fibrils and the crystals to react positively to anti-lambda serum. No crystals were found in macrophages, and no relationship was recognized between lysosomes and crystalline inclusions in the cytoplasm of myeloma cells. This case had disturbed transportation or secretion of the lambda type L chain and it was considered that crystals derived from the lambda type L chain were formed in the cytoplasm of myeloma cells.

Amyloidosis↗

[Two cases of ruptured aneurysm of sinus of Valsalva into right atrium (Konno's type IV)].

Experience with surgery for ruptured aneurysm of sinus of Valsalva into right atrium (Konno's type IV) in two cases was reported. The first case is a 39-year-old male developing into congestive heart failure for 5 days after the onset that was suspected of "rupture's attack". In the second case of 33-year-old male the course was slow progressing and the onset could not be identified. Mitral valve prolapse was suspected previously because of his syncope attack and infectious endocarditis. Closure of the ruptured noncoronary sinus of Valsalva with mattress suture was undertaken on both cases through the right atrium. Cardiac murmur was disappeared postoperatively on the both cases, and MR was denied in the later case. Postoperative courses were uneventful.

Adult↗

Giant cell pneumonia in Letterer-Siwe disease.

An 8 month-old girl suffered from Letter-Siwe disease since one week after birth. During the chemotherapy, giant cell pneumonia caused by measles virus infection developed and led rapidly to her death. Histopathologically, alveolar spaces were lined by multi-nucleated giant cells with intranuclear and intracytoplasmic eosinophilic inclusion bodies. Electronmicroscopical examination of the lung revealed intranuclear inclusion bodies full of rod-shaped structures characteristic to paramyxoviruses, and irregular electron-dense materials compatible with nucleocapsid protein antigens in the cytoplasm. Additionally these giant cells were observed in the salivary glands, thyroid gland, thymus and lymph nodes. The measles virus antigen was detected immunohistochemically in these giant cells in the lungs and other organs. The specific antibody of measles virus is helpful to study the pathogenesis of giant cell pneumonia.

Female↗

Platelet dysfunction and alteration of prostaglandin metabolism after chronic alcohol consumption.

To study the effects of chronic alcohol consumption on platelet functions, the rate of arachidonate-induced platelet aggregation, the production of malondialdehyde in platelets, and plasma levels of prostaglandin endoperoxide metabolites were examined in 88 chronic alcoholics and 24 healthy controls. The rate of platelet aggregation and the production of malondialdehyde in platelets were greater in chronic alcoholics both on admission and 1 week after. However, these alterations returned to the level of healthy controls within 4 weeks of abstinence from alcohol and were independent of the number of circulating platelets. Furthermore, on admission, plasma levels of thromboxane B2 were significantly increased in chronic alcoholics when compared with those of healthy controls (400.8 +/- 36.5 versus 241.7 +/- 28.9 pg/ml plasma; p less than 0.025) and were also significantly correlated with malondialdehyde production in washed platelet debris (r = 0.6049; p less than 0.001). In contrast, plasma levels of 6-keto prostaglandin F1 alpha and prostaglandin E were not altered after chronic alcohol consumption. As a result, the ratio of 6-keto prostaglandin F1 alpha to thromboxane B2 was markedly decreased in chronic alcoholics (0.31 +/- 0.03 versus 0.62 +/- 0.13; p less than 0.001). These results strongly suggest that the imbalance in prostaglandin endoperoxide metabolites is produced by chronic alcohol ingestion. Moreover, a significant correlation was observed between platelet aggregation rate and malondialdehyde production during platelet aggregation (r = 0.559; p less than 0.005). Thus, we conclude that chronic alcohol consumption alters platelet thromboxane metabolism, which is likely associated with the increased ability of platelets to aggregate.

Adult↗

Distribution of cadmium, copper and zinc in the liver of spot salamander, Ambystoma maculatum and their binding to metallothionein.

Cadmium (Cd) was injected intramuscularly into male spot salamanders, Ambystoma maculatum. Concentrations and contents of Cd, zinc (Zn), copper (Cu), iron, magnesium and calcium in the livers of control and Cd-injected animals were determined simultaneously. A low molecular weight Cd, Cu, Zn-binding protein present in the hepatic supernatant prepared from control and Cd-injected animals was characterized as metallothionein (MT) from several properties characteristic of MT. MT induced and present in the liver supernatants of spot salamanders consisted of a single isoform.

Ambystoma↗

Mesothelioma. Histological and electron microscopic study of human cases.

Four cases of mesothelioma were studied histologically and electron microscopically. One of them showed a pure epithelial type of the peritoneal origin, characterised by a tremendous production of hyaluronic acid. The other three tumors originated from the pleura revealed a histology of biphasic type mesothelioma, which showed an admixed tubular and fibrous pattern and consisted of small-sized cells with slight atypia. However, in some places of these tumors they showed considerable atypical features appearing like an anaplastic or squamoid carcinoma and/or spindle cell sarcoma. Hyaluronic acid was histologically demonstrated in the cytoplasmic vacuoles as well as in the luminal space surrounded by the tumor cells. Electron microscopically, varied numbers of microvilli and desmosome-like attachments were found on the surface of the tumor cells. Mitochondria were small and round. Well-developed rERs tended to encircle mitochondria and to dilate forming cisternae. Various amounts of microfilaments were found in the cytoplasm. The tumor cells which were rich in the latter two components, dilated rERs and microfilaments, resembled fibroblasts. Some tumor cells had phagosomes including dense and fine granules similar to ferritin, suggesting their phagocytotic activity. The hyaline matrix, common to the biphasic type tumor which was largely composed of dense collagenous tissues, was demonstrated to contain hyaluronic acid by histochemistry, and it was suggested that some secretory substances of the tumor cell may participate in composing the hyaline matrix to some extent.

Adult↗

Origin of eye movements induced by high frequency rotation of the head.

Perception of stability of the visual world and control of ocular fixation and tracking are altered in subjects submitted to high frequency vibration. Studies of the eye movements induced in man by passively rotating the head sinusoidally around a vertical axis show that beyond 8 Hz, the amplitude of the eye movements increases and reaches 2.5 times the amplitude of head movement at 30 hz. The high amplitude eye oscillation may, at least in part, explain the perception of visual world instability and the decrease of visuo-oculomotor system performance in man submitted to high frequency vibration. Two interpretations of this phenomenon have been proposed (9). High amplitude eye movements induced at high frequency may be due to either a non-linearity of the vestibulo-ocular reflex (VOR) or mechanical resonance oscillations of the orbital apparatus. To test these hypotheses, baboons were trained to fixate visual targets. Each animal's head was rigidly attached to a rotating frame through a block of dental cement bolted to the skull. Head rotation was produced by a servo-controlled vibrator. Rotations in the frequency range 1 to 20 Hz were successively applied with the animal in darkness or fixating a stationary target. The results showed that gain curves obtained with baboons are similar to those obtained with man. Paralysis of the muscles of one eye by injection of lidocaine disclosed a behavioral asymmetry of the two eyes at low frequency. The paralysed eye showed no movement below 8 Hz, while the normal eye behaved as in the normal situation. Beyond 8 Hz, the gain of the treated eye increased gradually so that beyond 12 Hz, the two eyes responded.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Potentiation of halothane hepatotoxicity by chronic ethanol administration in rat: an animal model of halothane hepatitis.

To determine if chronic ethanol administration modifies the effect of halothane on the liver, fourteen male Wistar rats were pair-fed nutritionally adequate liquid diets containing either ethanol (36% of calories) or isocaloric carbohydrate (controls) for 6 weeks. After halothane anesthesia of these animals under different oxygen concentration, the livers were examined light microscopically as well as biochemically. The livers from rats fed ethanol which received halothane at low oxygen concentration showed multifocal or patchy necrosis primarily in the centrilobular regions with parenchymal lipid accumulation, whereas no such lesions were not observed in pair-fed controls. Hepatic necrosis was also seen after halothane anesthesia even at ambient oxygen concentrations, although the degree of necrosis was much milder. Hepatic microsomal cytochrome P450 content was increased by 30% after ethanol but was decreased following halothane anesthesia. These data suggest that halothane is hepatotoxic to liver of rats chronically pretreated with ethanol, especially under hypoxic condition.

Alcoholism↗

Change in ratio of the two hepatic isometallothioneins with development from prenatal to neonatal rats.

Concentrations and contents of essential metals in the livers of prenatal and neonatal rats were determined simultaneously by inductively coupled plasma-atomic emission spectrometry. The concentrations and contents changed with development in a mode characteristic to the respective metals. Changes in the concentrations and contents of zinc and copper were correlated to those bound to metallothionein, the two metals being high in concentration during prenatal and neonatal periods. The relative ratio of the two isoforms of metallothionein changed with development, the form I being predominant in prenatal livers.

Animals↗

Lymphomatoid granulomatosis (Liebow).

An autopsy case with pulmonary lesions analogous to Liebow's lymphomatoid granulomatosis (LYG) and some other unusual pictures were reported. A 29-year-old male who had been diagnosed and treated as Sjögren's syndrome for eleven years because of intermittent swelling of the parotids with diffuse lymphoid cell infiltration and positive serum RA-test, showed several circumscribed densities on the chest X-ray examination which were deemed to be of interlobar pleurisy. On autopsy, the nodular lesions in the lung were composed of angiocentric-angiodestructive lymphoid cell proliferation analogous to LYG. In addition, the present case was characterized by focal glomerulonephritis and splenic trabeculitis which are quite unusual associations in LYG. The relationships of the present case to other similar diseases such as Wegener's granulomatosis, Sjögren's syndrome, primary lymphoma of the lung, etc. were discussed.

Adult↗

Significance of serum gamma glutamyl transpeptidase as a marker of alcoholism.

To study the effect of chronic ethanol administration on the activity of gamma glutamyl transpeptidase (GGTP) in various tissues, female rats were pair-fed liquid diets with 36% of total calories either as ethanol or as isocaloric carbohydrate (controls). Six weeks of ethanol feeding resulted in a significant increase of cytochrome P450 content. Hepatic microsomal GGTP activity was almost doubled after ethanol feeding whether expressed per g of liver or per mg of microsomal protein. Furthermore, intestinal GGTP activity was significantly enhanced after ethanol, whereas there was no change in the enzyme activity in either kidney or pancreas. There was a concomitant elevation of plasma GGTP activity. Phenobarbital administration to rats resulted in an enhancement of GGTP activity in the liver whether given orally or intraperitoneally. In addition, intestinal GGTP activity after oral phenobarbital was also significantly increased, although its activity after intraperitoneal administration was not enhanced. These results suggest that enhanced hepatic and intestinal GGTP activities may contribute, at least in part, to an increased level of serum GGTP frequently seen in chronic alcoholics.

Alcoholism↗