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Biomedical subjects

Y Koga

Publications and source records attributed to Y Koga.

At least 595 records · Page 33Linked to original sources
PubMed1982

Evaluation of limited resection of the lung for treatment of lung cancer.

The validity and indications of limited resection for lung cancer were studied based on the results of 34 patients with lung cancer who underwent surgery. This method appeared to be an effective technique for the preservation of the cardiopulmonary function after surgery, particularly in elderly patients. The prognosis of those who underwent limited resection for selected cases was not significantly different from that of those treated by lobectomy. Recurrences were seen exclusively in Stage II patients, most of whom had a poorly differentiated type of cell pathology and developed blood vessel involvement. It was concluded from this study that this technique can be feasibly applied to patients with a tumor of less than 3 cm located at the periphery of the lung and with the histologic picture of highly differentiated type.

Aged↗
PubMed1982

Pacemaker implantation in a neonate with congenital complete heart block--a case report.

Reported herein is our experience with pacemaker implantation in a neonate with complete AV block and without other concomitant cardiac anomalies. A male fetus exhibited an intrauterine heart block rate of about 40 beats per minute on the electrocardiogram. An emergency pacemaker implantation was attempted at birth by means of intravenous temporary pacing to relieve signs of congestive heart failure. On the 28th day of life, a myocardial electrode was fixed on the right ventricular wall and the generator was positioned on the left side of the subcutaneous abdominal wall. A technical device was designed by means of packing pacemaker wire in a loop-forming fashion with a silastic sheet and was made in such a way as to adjust with growth of the patient. During the 2 year follow-up period, this technique proved to be effective. Our experience also supports the contention that pacemaker implantation in the newborn is feasible and beneficial in the treatment of congenital complete AV block.

Cardiac Pacing, Artificial↗
PubMed1982

The limit of application of intraaortic balloon pumping (IABP) on canine myocardial infarction.

The limit of application of intraaortic balloon pumping was evaluated in cases of canine myocardial infarction produced by either ligation of the descending coronary artery and of branches in the right coronary artery or establishment of stenosis in the left main coronary artery. The limit of application of intraaortic balloon pumping was confirmed to be as follows: 1) stenosis of seventy-five per cent or more in left main coronary artery, 2) over 45 per cent infarction of the entire left ventricular free wall, 3) endocardial viability ratio of less than 0.65, 4) blood flow of less than 18 ml/min/100 g in the left circumflex coronary artery when the left descending coronary artery was ligated, 5) and less than 0.69 in the ratio of inside blood flow to outside of the left ventricular free wall, as related to regional myocardial blood flow.

Animals↗
PubMed1982

Immunological characterization and structural studies of normal fecal antigen-1 related to carcinoembryonic antigen.

Normal fecal antigen-1 (NFA-1), which is a carcinoembryonic antigen (CEA)-related glycoprotein with a mol. wt of 20,000-30,000, was purified from normal adult feces by immuno-adsorption, gel filtration and ion exchange chromatography. Highly purified NFA-1 was partially cross-reactive with CEA but antigenically unrelated to nonspecific cross-reacting antigen (NCA) which was also cross-reactive with CEA. NFA-1 also had a unique determinant not present in CEA or other related antigens including NCA. In a solid-phase RIA system, the reactivity of NFA-1 with a specific anti-CEA antiserum was much stronger than that of NCA. Although digestion with Pronase E did not affect the antigenicity of NFA-1, reduction and alkylation destroyed its antigenic reactivity. The total amount of carbohydrate in NFA-1 was 13.3%, compared to 52.4% in CEA and 21.6% in NCA. The amino acid composition of NFA-1 was similar to that of CEA. The sequence of the first 10 NH2-terminal amino acids in NFA-1 was Ala-Glu-Pro-Pro-Lys-Pro-Phe-Ile-(Thr)-Ser. This was totally different from that of the first NH2-terminal amino acids of CEA isolated from tumor tissue.

Amino Acid Sequence↗
PubMed1982

Bis(monoacylglycero)phosphate in alkalophilic bacteria.

Bis(monoacylglycero)phosphate (BMP) was found in an alkalophilic bacterium, Bacillus sp. A-007. This lipid comprised 4% of the phospholipid of this organism. The very low rate and extent of triphenylmethylation of BMP indicated that the two fatty acid residues occupied the C-1 and C-3' positions of the two glycerol moieties. The stereochemical configuration of the backbone of BMP was identified as sn-glycero-3-phosphoryl-1'-sn-glycerol by sn-glycerol 3-phosphate dehydrogenase analysis after acetic acid hydrolysis and mild alkaline methanolysis. This configuration was the same as that of phosphatidylglycerol, but differed from that of BMP from mammalian cells. Finally, the structure of BMP in Bacillus sp. A-007 was concluded to be 1-acyl-sn-glycero-3-phosphoryl-1' (3'-acyl)-sn-glycerol. The fatty acids of BMP were those common in Bacillus species. The fatty acid composition of BMP was very similar to that of the major lipids in this organism. The fatty acid distribution between the C-1 and C-3' positions of BMP was determined by a newly developed method which included successive steps of acetic acid hydrolysis, chemical acylation and phospholipase A2 treatment. Fatty acids with longer chain length were concentrated in the C-1 position, and the shorter fatty acids were the major ones esterified at the C-3' position.

Bacillus↗
PubMed1982

Suppressive effect by cooperation of splenic and peritoneal adherent cells on generation of cytotoxic T lymphocytes.

When spleen cells primed in vivo against allogeneic lymphoid cells were used as responder cells in secondary mixed lymphocyte cultures, a high degree of cytotoxicity was generated even in the absence of splenic adherent cells. However, removal of adherent cells from such primed responder spleen cells reduced the cytotoxicity to some extent. On the other hand, when these responder cells were transferred into the peritoneal cavity of irradiated syngeneic mice together with antigenic cells, unseparated responder cells generated a lower degree of cytotoxicity than did adherent cell-depleted responder cells. In an in vitro system, peritoneal adherent cells also suppressed the generation of cytotoxic T lymphocytes by unseparated responders; however they augmented the cytotoxic T lymphocyte generation by adherent cell-depleted responders. These adherent cell populations with augmenting activity became inhibitory when they coexisted. The mechanism of this inhibitory action remains unclear.

Animals↗
PubMed1982

Asymmetric ventricular hypertrophy in patients with essential hypertension.

We attempted to clarify the pathogenesis of asymmetric ventricular hypertrophy in hypertensive patients, especially regarding sympathetic nervous system and renin-angiotensin system. Subjects were divided in 3 groups by echocardiographic findings; 1) 15 patients with non-hypertrophy (NH), 2) 14 patients with symmetric hypertrophy (SH), and 3) 10 patients with asymmetric hypertrophy (ASH). Subjects with ASH showed following features. Age (53.7 +/- 1.6 yr) was older than NH (43.7 +/- 1.4 yr) but not different from SH (49.7 +/- 2.3 yr). Mean arterial pressure (119.0 +/- 3.9 mmHg) was higher than NH (107.5 +/- 1.4 mmHg) but not different from SH (122.4 +/- 2.8 mmHg). End-diastolic and end-systolic dimensions were smaller and ejection fraction was larger than those of NH and SH. Cardiac index (3.90 +/- 0.37 L/min/M2) was largest among 3 groups. UNE (19.5 +/- 2.5 micrograms/day) was lower than SH (31.2 +/- 2.5 micrograms/day). PRA (0.44 +/- 0.16 ng/ml/h) was lower than SH (1.53 +/- 0.20 ng/ml/h) and NH (1.62 +/- 0.28 ng/ml/h). Ejection fraction was correlated with UNE (r = 0.835) and PRA (r = 0.736). We suggest that the heart of hypertensives with ASH is in hyperdynamic state due to the hyperresponsiveness to sympathetic stimuli, although they have a decrease of sympathetic nervous activity, and the renin-volume axis may have no important role on the pathogenesis of ASH.

Adult↗
PubMed1982

Chronopsies assess the within-day variability of blood pressure and pulse.

Blood pressure and pulse were monitored throughout 24 hours in 13 middle-aged men using a sphygmomanometer with an automatically inflatable cuff. These volunteers were in part mistakenly believed to have a "mildly elevated blood pressure" (in the light of a conventional non-chronobiologic approach, involving time-unspecified spot checks of blood pressure). Within about 24 hours, blood pressures and pulse varied remarkably: the coefficient of variation extended from 6.9 to 14.9% for systolic blood pressure (SBP), from 8.5 to 15.4% for diastolic blood pressure (DBP) and from 8.0 to 17.9% for pulse. By applying the single cosinor method (involving the least-squares fit of a 24-hour cosine curve), statistically significant circadian rhythms were observed in SBP, DBP, and pulse in all but 2 cases. In most cases, the timing of peak values was estimated to be in the evening for all 3 variables. Circadian rhythmicity accounted for up to 46, 30, and 42% of the total variability of SBP, DBP, and pulse, respectively. This marked circadian rhythmic variability is an important aspect of cardiovascular function.

Adult↗
PubMed1982

Immunochemical differences among carcinoembryonic antigen in tumor tissues and related antigens in meconium and adult feces.

We have isolated carcinoembryonic antigen (CEA)-related antigens from meconium and compared them with those in adult feces. Two CEA-related antigens were detected in meconium [nonspecific cross-reacting antigen 2 (NCA-2) and meconium nonspecific cross-reacting antigen] while four CEA-related antigens were found in adult feces [normal fecal antigen 1, normal fecal antigen 2 (NFA-2), normal fecal cross-reacting antigen, and fecal nonspecific cross-reacting antigen, respectively]. By conventional anti-CEA antisera, NCA-2 in meconium, NFA-2 in adult feces, and CEA in tumor tissues were indistinguishable from each other, but they could be distinguished by specific antibody preparations against a determinant unique to CEA (CEA-distinctive determinant) or to NFA-2 (NFA-2-distinctive determinant). Neither the CEA-distinctive determinant nor the NFA-2-distinctive determinant was detected on the NCA-2 molecule. No antigenic determinants unique to NCA-2 have been detected with the anti-NCA-2 antisera which we have prepared thus far. The molecular weight of purified NCA-2 was estimated to be 150,000 to 170,000 as compared to 160,000 to 170,000 for NFA-2 and 170,000 to 180,000 for CEA. NCA-2 had amino acid and carbohydrate compositions similar to those of CEA and NFA-2. All NFA-2 preparations and about one-half of the CEA preparations were sensitive to Pronase E digestion, which released two antigen fragments from these molecules, but NCA-2-preparations were resistant to such digestion.

Amino Acids↗
PubMed1982

[Diastolic murmur in non-obstructive hypertrophic cardiomyopathy].

Diastolic murmur (DM) in patients with non-obstructive hypertrophic cardiomyopathy (non-obst HCM) was studied regarding incidence, phonocardiographic disposition, mechanism, and also clinical characteristics of patients with DM. The results were as follows: 1) DM was recorded in 17 of 115 patients with non-obst HCM (15%), and was classified into three types of a mid-diastolic murmur, presystolic murmur, presystolic murmur and these combination. Mid-diastolic murmur showed low-pitched character mimicking a flow rumble around apical area in most patients. On the other hand, a presystolic murmur was relatively medium-pitched and spindle-shaped over the 4th left sternal border. Additionally, there were 7 patients of mitral opening sound coincided with the "O" point of the apex cardiogram, and 3 patients of an undefined sound or vibration during atrial contraction. 2) Impaired left ventricular (LV) compliance by pressure-volume analysis and decreased diastolic descent rate (DDR) in the mitral echocardiogram observed in patients with DM suggested that mechanism of these DM is mainly attributed to the disturbance of LV filling. Furthermore, mitral regurgitation was detected by LV angiography in a half of patients, indicating that DM might be partially related to increased mitral flow. 3) Clinically, DM was more common in younger patients of familiar occurrence and death, and with impaired physical work capacity. Therefore, auscultatory or phonocardiographic assessment of DM was clinically useful in the evaluation of patients with non-obst HCM.

Adult↗
PubMed1982

[Immunological analysis of immunopotentiators in spontaneously hypertensive rats with T-cell depression (author's transl)].

A strain of spontaneously hypertensive rats (SHR) had a selective depression of T-cell functions associated with an early appearance of natural thymocytotoxic autoantibody and a deficiency of thymic hormone. In this paper, the ability of immunopotentiators (IPs) to restore immune functions and to induce antitumor resistance in the T-cell depressed SHR is investigated. In addition, the effect of IPs on activities of natural killer (NK) cells and macrophages is also studied. The results indicate that administration of SPG or Lysozyme enhanced T-cell functions as detected by the rosette formation test and blastogenic responses to PHA. None of the IPs used promoted NK cell activity but Lysozyme and PS-K rather suppressed. In contrast, all IPs used had a effect on activation of macrophages and especially PS-K showed strong activating effect. Following survival and tumor rejection in SHR transplanted with a syngeneic tumor after treatment with the IPs, treatment with SPG produced significant prolongation of survival days but the remaining two IPs had no effect. We propose that the SHR is a suitable animal for quantitative evaluation of the IPs in inducing T-cell mediated immunity an antitumor immune responses.

Adjuvants, Immunologic↗