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Biomedical subjects

Y Imai

Publications and source records attributed to Y Imai.

At least 235 records · Page 13Linked to original sources
PubMed2000

[Cerebral oxygenation during non-blood prime cardiopulmonary bypass in congenital heart surgery].

To analyze oxygen delivery to the brain and cerebral cellular oxygenation during non-blood prime and blood prime cardiopulmonary bypass (CPB), 22 patients undergoing cardiac surgery with CPB were studied by near infrared spectroscopy (NIRS) monitor (NIRO 500, Hamamatsu Photonics). NIRS can assess continuously cytochrome oxidase (Cyt.aa 3) which is the terminal enzyme of the intramitochondrial respiratory chain. Patients were grouped according to conditions of CPB management: one group underwent repair with non-blood prime (group A, n = 12); the second group underwent with blood prime (group B, n = 10). Body weights ranged from 5.5 kg to 58 kg in group A, and 2.9 kg to 16 kg respectively. CPB was maintained at flow rates between 100 to 150 ml/kg/min. and the acid-base management strategy was alpha stat in all patients. No neurological complication was observed. NIRS date were expressed as changes from baseline where cannulation was prepared. The lowest value of Cyt.aa 3 was -2.7 +/- 0.7 mumol/l in the group A, and -3.9 +/- 1.0 mumol/l in the group B. From the standpoint of changes in Cyt.aa 3, non-blood prime cases we studied were speculated to be within a safety limit. In order to define the definite safety limits, however, further studies including the reduction velocity of Cyt.aa 3 signal as well as the absolute value of the lowest Cyt.aa 3 concentration are required.

Brain↗
PubMed2000

[Percutaneous tumor ablation therapy for the advanced stage of HCC].

We have performed percutaneous tumor ablation (PTA) including percutaneous ethanol injection therapy (PEIT) for 90% of the patients with hepatocellular carcinoma. Until December 1998, the 793 patients received PTA, 5 years survival rate reached 39.8%. Excluding the patients with Child C whose hepatic function were extremely low, 5 years survival rate reached to the level of 41.2%. Since 5 years survival rate in stage IV-A reached 24.4%, the patients of stage IV-A may be considered to have an indication for PTA. We have confirmed the effectiveness of the local treatment including radiotherapy for advanced hepatocellular carcinoma with portal vein invasion. We are attempting to perform PTA for the extra-hepatic lesions that had no indication of other treatment. However the indication of PTA is limited by the presence of diffuse nodules, exacerbation of the hepatic function, or tumor invasion to portal vein, bile duct, inferior vena cava.

Carcinoma, Hepatocellular↗
PubMed2000

Migration of dermal cells expressing a macrophage C-type lectin during the sensitization phase of delayed-type hypersensitivity.

Dermal cells expressing a macrophage C-type lectin (mMGL) were previously suggested to migrate to regional lymph nodes during the sensitization phase of delayed-type hypersensitivity (DTH). The migration seemed to be induced by the solvent used to dissolve the antigen, and the DTH response was significantly enhanced by the migration. In this study, immunohistochemical analysis of skin after epicutaneous application of one of such solvents, a mixture of acetone and dibutylphthalate (AD), revealed a transient decrease in the number of mMGL-positive cells in the dermis. A similar decrease in this cell population was also observed in an ex vivo assay with skin explants excised from AD-treated sites. Conditioned medium from organ culture of AD-treated skin induced a similar decrease of mMGL-positive cells in untreated dermis, indicating the involvement of soluble factors. mMGL-positive cells seemed to represent a unique subpopulation of F4/80-positive dermal cells.

Acetone↗
PubMed2000

[Heparin monitoring during cardiopulmonary bypass in congenital heart surgery].

The Hepcon/HMS system automatically provides the activated clotting time and a whole blood heparin concentration. It also provides the adequate protamine dose by titration of protamine to heparin. 45 patients undergoing congenital heart surgery with cardiopulmonary bypass (CPB) were studied by the Hepcon/HMS device. We measured the heparin dose response before heparin administration, and the ration between the dose of protamine (ml) which was necessary for heparin neutralization at the termination of CPB and the dose of total heparin (ml) in each patient. The value of heparin dose response ranged 120-390 (mean 228) IU/kg. The ratio between protamine dose and heparin dose varied 0.11-0.99 (mean 0.55). There was a statistically significant correlation between the duration of CPB and this ratio (r = -0.51, n = 45, p = 0.0005). From the standpoint of variances in the value of heparin dose response, conventional way of the heparin administration according to the patient's body weight alone may cause inadequacy of anticoagulation during CPB. A dose of protamine determined by Hepcon device that is smaller than a conventional dose of protamine prevents inadvertent overdose and, therefore, can reduce the adverse effects excessive protamine has.

Adolescent↗
PubMed2000

Enamel wear of modified porcelains.

PURPOSE: To evaluate the wear of three different modified ceramics along with a conventional porcelain and the wear of opposing enamel at initial wear cycle on a two-body and a three-body wear simulation. MATERIALS AND METHODS: Modified ceramics used in this study included a low fusing/low crystal porcelain (Finesse), a high fusing/low crystal porcelain (Softspar), and a heat-pressable ceramic (IPS Empress). A conventional porcelain (Ceramco II) was used as the control material. Hemispherical shaped ceramic styli (1/8 inch in diameter) made of respective materials were fabricated according to the manufacturers' directions. Proximal surfaces of non-carious human molars were ground flat within the enamel with a silicon carbide paper to 600 grit with copious irrigation. They were perpendicularly opposed to each other with or without intermediate material as a food bolus and subjected to in vitro wear test by a UAB wear simulator. A 75.6 N load was applied vertically onto the surface at 1.2 Hz. The surface was duplicated after respective wear cycles. Seven specimens were tested for each group of both simulations. RESULTS: The enamel wear loss when opposing the modified ceramics was less than the Ceramco II control which exhibited the greatest values. The IPS Empress material showed the least amount of wear among them. Statistically significant differences were seen between the IPS Empress and the Ceramco II for every cycle interval evaluated (ANOVA, P < 0.05). Although the enamel wear loss when opposing the IPS Empress was significantly less (ANOVA, P < 0.05) than the others until 20,000 wear cycles, no significant differences were found among the modified ceramics at the end of 50,000 wear cycles. The concentric wear patterns were already prominent at 5,000 wear cycles on two-body wear, however, the wear facet of the three-body wear was smaller (the wear depth of 0-5 microm) than the two-body wear test, as it was quite similar to the one of the two-body wear test at 100 wear cycles. On the other hand, although no statistically significant differences were found among the three modified ceramics and between the conventional porcelain and the modified ceramics at every wear cycle, the high values of the Finesse since 10,000 wear cycles were probably due to the mechanical properties of this porcelain. Moreover, on the surface of the ceramic styli at the end of 50,000 wear cycles, the glaze layer on the contact area had not yet worn off.

Aluminum Silicates↗
PubMed1999

Neuronal adhesion molecule telencephalin induces rapid cell spreading of microglia.

Telencephalin (TLCN) is a neuronal surface glycoprotein whose expression is restricted to the telencephalon, the most rostral segment of the brain. TLCN binds to lymphocyte function-associated antigen-1 (LFA-1) integrin. In the central nervous system, LFA-1 is selectively and constitutively expressed by microglia, suggesting that TLCN/LFA-1 binding may mediate cell-cell interactions between telencephalic neurons and microglia. In the present study, we investigated the effects of recombinant TLCN protein on the morphology of microglia. TLCN induced an intensive spreading of lamellipodia, causing a rapid change in microglial morphology. In contrast, TLCN induced no significant change in morphology of neuroblastoma and fibroblasts. Furthermore, the TLCN-induced spreading of microglia was accompanied by a clustering of LFA-1 on cell surface membrane. These results provide evidence that TLCN binding to the surface of microglia transduces signals into microglia that mediate or accelerate cell spreading and LFA-1 redistribution, implying that neuronal TLCN may control the state and/or function of microglia in both physiological and pathological conditions.

Animals↗
PubMed1999

Rat primary cultured microglia express glial cell line-derived neurotrophic factor receptors.

The neurotrophic effect of glial cell line-derived neurotrophic factor (GDNF) has been well documented in both the central and peripheral nervous systems. From the histological findings, target cells of GDNF have been considered to be neurons. In the present study, the expression of GDNF receptors, ret and GFRalpha-1, was demonstrated in rat primary cultured microglia by reverse transcription-polymerase chain reaction and the protein-level expression of Ret was also confirmed by Western-blotting analyses. Moreover, GDNF stimulated the phosphorylation of MAP kinase (ERK1/2) in the cells. These results suggest that GDNF regulates not only neuronal survival and maturation but also certain functions of microglia in the brain.

Animals↗
PubMed1999

The CED-4-homologous protein FLASH is involved in Fas-mediated activation of caspase-8 during apoptosis.

Fas is a cell-surface receptor molecule that relays apoptotic (cell death) signals into cells. When Fas is activated by binding of its ligand, the proteolytic protein caspase-8 is recruited to a signalling complex known as DISC by binding to a Fas-associated adapter protein. A large new protein, FLASH, has now been identified by cloning of its complementary DNA. This protein contains a motif with oligomerizing activity whose sequence is similar to that of the Caenorhabditis elegans protein CED-4, and another domain (DRD domain) that interacts with a death-effector domain in caspase-8 or in the adapter protein. Stimulated Fas binds FLASH, so FLASH is probably a component of the DISC signalling complex. Transient expression of FLASH activates caspase-8, whereas overexpression of a truncated form of FLASH containing only one of its DRD or CED-4-like domains does not allow activation of caspase-8 and Fas-mediated apoptosis to occur. Overexpression of full-length FLASH blocks the anti-apoptotic effect of the adenovirus protein E1B19K. FLASH is therefore necessary for the activation of caspase-8 in Fas-mediated apoptosis.

Adaptor Proteins, Signal Transducing↗
PubMed1999

Isosmotic modulation of Ca2+-regulated exocytosis in guinea-pig antral mucous cells: role of cell volume.

1. Exocytotic events and changes of cell volume in mucous cells from guinea-pig antrum were examined by video-enhanced optical microscopy. 2. Acetylcholine (ACh) evoked exocytotic events following cell shrinkage, the frequency and extent of which depended on the ACh concentration. ACh actions were mimicked by ionomycin and thapsigargin, and inhibited by Ca2+-free solution and Ca2+ channel blockers (Ni2+, Cd2+ and nifedipine). Application of 100 microM W-7, a calmodulin inhibitor, also inhibited the ACh-induced exocytotic events. These results indicate that ACh actions are mediated by intracellular Ca2+ concentration ([Ca2+]i) in antral mucous cells. 3. The effects of ion channel blockers on exocytotic events and cell shrinkage evoked by ACh were examined. Inhibition of KCl release (quinine, Ba2+, NPPB or KCl solution) suppressed both the exocytotic events and cell shrinkage evoked by ACh. 4. Bumetanide (inhibition of NaCl entry) or Cl--free solution (increasing Cl- release and inhibition of NaCl entry) evoked exocytotic events following cell shrinkage in unstimulated antral mucous cells and caused further cell shrinkage and increases in the frequency of exocytotic events in ACh-stimulated cells. However, Cl--free solution did not evoke exocytotic events in unstimulated cells in the absence of extracellular Ca2+, although cell shrinkage occurred. 5. To examine the effects of cell volume on ACh-evoked exocytosis, the cell volume was altered by increasing the extracellular K+ concentration. The results showed that cell shrinkage increases the frequency of ACh-evoked exocytotic events and cell swelling decreases them. 6. Osmotic shrinkage or swelling caused the frequency of ACh-evoked exocytotic events to increase. This suggests that the effects of cell volume on ACh-evoked exocytosis under anisosmotic conditions may not be the same as those under isosmotic conditions. 7. In antral mucous cells, Ca2+-regulated exocytosis is modulated by cell shrinkage under isosmotic conditions.

Acetylcholine↗
PubMed1999

Expressed-sequence-tag approach to identify differentially expressed genes following peripheral nerve axotomy.

Gene expression profiles in the rat hypoglossal nucleus after axotomy were demonstrated using expressed-sequence-tag (EST) approach. To demonstrate the gene-expression profiles after axotomy, nerve-transected hypoglossal nuclei were dissected and collected from about 1000 rats, with which a cDNA library was constructed. More than 750 clones were sub-cloned and sequenced from the library. The clones which hit frequently are likely to be associated with mitochondrial respiratory chain, cytoskeletal protein and protein synthesis. One hundred three clones from among the sequenced clones were further processed for histological screening using unilateral-hypoglossal nerve-transected brain sections by in situ hybridization histochemistry. In situ hybridization study revealed that 26% of clones examined showed upregulated expression of mRNA in response to axotomy. They included genes encoding proteins associated with glucose, lipid and protein metabolism, cytoskeleton, neurotransmission and immune reaction. The present EST analysis may have an advantage in targeting genes which are associated with nerve injury with a good efficacy, as compared with other methods such as differential display and subtraction.

Animals↗
PubMed1999

Expression of the SART-1 tumor rejection antigen in breast cancer.

We investigated in breast cancers the expression of the SART-1 gene encoding tumor rejection antigens. SART-1 mRNA was expressed in all of the samples tested. The SART-1(800) antigen was detectable in 20 of 50 (40%) breast cancer tissues and all breast cancer cell lines tested, but not in normal breast tissues. The SART-1(800)+ breast cancer cells transfected with HLA-A2601 or HLA-A2402 cDNA were recognized by the HLA-A26-restricted and SART-1-specific cytotoxic T lymphocytes (CTLs) or the HLA-A24-restricted and SART-1-specific CTLs, respectively. Among the 20 SART-1(800)+ tumors, 9 or 8 tumors expressed estrogen receptor or progesterone receptor, respectively. Therefore, the patients with HLA-A26 or -A24 haplotype might be appropriate candidates for specific immunotherapy with the SART-1 peptides independently or in combination with hormone therapy.

Antigens, Neoplasm↗
PubMed1999

Intravascular ultrasound imaging before and after balloon angioplasty for pulmonary artery stenosis.

Previous reports regarding intravascular ultrasound (IVUS) imaging of the pulmonary arteries in children and its application to balloon pulmonary angioplasty are limited. This study was designed to compare findings of IVUS imaging and those of angiography of the pulmonary artery before and after the balloon angioplasty procedure. Thirty patients had significant pulmonary artery stenosis and underwent balloon angioplasty. In all, of 34 branch pulmonary arteries were dilated. All patients underwent both angiography and IVUS imaging at the time of balloon angioplasty. The mean age at balloon angioplasty was 5.7 +/- 4.0 yr. One echo-dense layer on IVUS was detected in 9% of the 34 stenotic vessels, and a two- or three-layered vascular wall pattern in 91%. The thickness of intima-medial layer (inner and middle layers) was greater than normal in 91% of stenotic vessels. After balloon angioplasty, intimal flaps and aneurysm were observed at 29 and 28 locations, respectively. Of these locations, the intimal flaps were detected by angiography in 44% and by IVUS in 100%; the aneurysm was detected by angiography in 61% and by IVUS in 93%. Media rupture was observed at 26 locations, and the change was detected only by IVUS. The present study suggests that intimal and medial changes in the pulmonary artery can be detected more precisely by IVUS than by angiography.

Angioplasty, Balloon↗