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Biomedical subjects

Akio Matsumoto

Publications and source records attributed to Akio Matsumoto.

At least 19 recordsLinked to original sources

Crystal structure of mammalian alpha1,6-fucosyltransferase, FUT8.

Mammalian alpha1,6-fucosyltransferase (FUT8) catalyses the transfer of a fucose residue from a donor substrate, guanosine 5'-diphosphate-beta-L-fucose to the reducing terminal N-acetylglucosamine (GlcNAc) of the core structure of an asparagine-linked oligosaccharide. Alpha1,6-fucosylation, also referred to as core fucosylation, plays an essential role in various pathophysiological events. Our group reported that FUT8 null mice showed severe growth retardation and emphysema-like lung-destruction as a result of the dysfunction of epidermal growth factor and transforming growth factor-beta receptors. To elucidate the molecular basis of FUT8 with respect to pathophysiology, the crystal structure of human FUT8 was determined at 2.6 A resolution. The overall structure of FUT8 was found to consist of three domains: an N-terminal coiled-coil domain, a catalytic domain, and a C-terminal SH3 domain. The catalytic region appears to be similar to GT-B glycosyltransferases rather than GT-A. The C-terminal part of the catalytic domain of FUT8 includes a Rossmann fold with three regions that are conserved in alpha1,6-, alpha1,2-, and protein O-fucosyltransferases. The SH3 domain of FUT8 is similar to other SH3 domain-containing proteins, although the significance of this domain remains to be elucidated. The present findings of FUT8 suggest that the conserved residues in the three conserved regions participate in the Rossmann fold and act as the donor binding site, or in catalysis, thus playing key roles in the fucose-transferring reaction.

Acetylglucosamine↗

Decoding sugar functions by identifying target glycoproteins.

Identification of the glycosyltransferase genes that are involved in the biosynthesis of glycoconjugates has opened up new avenues in glycobiology, the decoding of the function of sugar chains. Specific biosynthesis of branched N-glycan structures by glycosyltransferases functionally modifies target glycoproteins, as observed in the recognition of cancer cells. A mouse model with a specific defect in alpha1-6 fucosylation showed emphysema-like changes of the lung and severe degradation of lung alveoli that derived from the dysregulation of signaling through the transforming growth factor-beta receptor. Functional glycomics and the identification of target proteins will provide a new way to elucidate the nature of disease in the post-genomic era.

Animals↗

Time-related changes in the cross-sectional area of the tibial tunnel after compaction of an autograft bone dowel alongside a hamstring graft.

PURPOSE: Extensive tunnel expansion in hamstring anterior cruciate ligament (ACL) reconstruction can complicate revision surgery. The purpose of this study was to examine our hypothesis that compaction of a bone dowel into the tibial tunnel reduces the cross-sectional area of the tunnel on the day of surgery and limits tunnel expansion to that of the cross-sectional area of the reamer at 4 months and 1 to 2 years. METHODS: A bone dowel averaging 23 mm in length and 7 mm in diameter was harvested from the tibial tunnel in 10 patients undergoing hamstring ACL reconstruction. The tibial tunnel was dilated, and the bone dowel was compacted anterior to the tendon graft. The cross-sectional area of the tibial tunnel was calculated on the day of surgery and at 4 months and 1 to 2 years postoperatively from computed tomography scans. RESULTS: On the day of surgery, the cross-sectional area of the tibial tunnel was 34% smaller than the 50-mm2 cross-sectional area of the 8-mm reamer used to drill the tunnel (P < .001). At 1 to 2 years, the cross-sectional area of the tibial tunnel was smaller than that of the reamer in 6 subjects, was slightly larger (53 to 56 mm2) in 3 subjects, and was substantially larger (80 mm2) in 1 subject. CONCLUSIONS: A surgeon who compacts an autogenous bone dowel into the tibial tunnel alongside a hamstring graft can expect little to no tunnel expansion in 90% of patients at 1 to 2 years. To our knowledge, the limitation of tunnel expansion to that of the cross-sectional area of the reamer has not been shown with other tibial fixation techniques. LEVEL OF EVIDENCE: Level IV, therapeutic case series.

Anatomy, Cross-Sectional↗

A comparison of bone-patellar tendon-bone and bone-hamstring tendon-bone autografts for anterior cruciate ligament reconstruction.

BACKGROUND: Most of the previous comparative studies between patellar tendon and hamstring tendon anterior cruciate ligament grafts compared grafts of different constructs fixed with different methods. PURPOSE: To compare patellar tendon and hamstring tendon grafts with the same fixation method used to reconstruct the anterior cruciate ligament. STUDY DESIGN: Randomized controlled trial; Level of evidence, 1. METHODS: During the reconstructive procedure, the hamstring tendon graft was prepared as a bone-hamstring-bone graft; both bone-patellar tendon-bone and bone-hamstring-bone grafts were fixed with interference screws. Eighty consecutive patients who underwent anterior cruciate ligament reconstruction were randomly assigned to either bone-patellar tendon-bone or bone-hamstring-bone groups. Follow-up examinations were performed for at least 5 years postoperatively. Seventy-two of the 80 patients (37 patients in the bone-patellar tendon-bone group and 35 in the bone-hamstring-bone group) were evaluated, with a mean follow-up period of 87.0 and 80.8 months, respectively. Follow-up examinations were performed using the International Knee Documentation Committee knee ligament standard and subjective knee forms. RESULTS: The mean KT-1000 arthrometer evaluation results showed no significant difference between the bone-patellar tendon-bone and bone-hamstring-bone groups (1.2 +/- 2.1 mm and 1.7 +/- 1.4 mm, respectively; P = .24). However, symptoms related to graft harvest (anterior kneeling pain) were more frequently observed in the bone-patellar tendon-bone group, and unsatisfactory results were correlated with severe kneeling pain in 3 patients from this group (P = .0056). Significant hamstring muscle weakness without complaint of functional deficit was found in the bone-hamstring-bone group (P = .0045). CONCLUSION: Bone-hamstring-bone grafts were shown to reduce the risk of problems at the graft harvest site compared to bone-patellar tendon-bone grafts, with comparable results in the remaining clinical parameters tested.

Adolescent↗

Mechanical evaluation of a soft tissue interference screw with a small diameter: significance of graft/bone tunnel cross-sectional area ratio.

The purpose of this study is to evaluate the mechanical properties of a graft fixation using a small diameter soft tissue interference screw and analyze the factors affecting the fixation strength. Forty porcine knees were used. A bone tunnel, either 4.5 mm (n=40) or 5.0 mm (n=40) in diameter, was created in the bone block obtained from the proximal tibia or the distal femur. A patella-patellar tendon specimen with varied width was harvested, and the distal end of the patellar tendon was fixed within the bone tunnel using a small diameter soft tissue interference screw (4 x 15 mm). Then, the patella-patellar tendon-bone block complex was loaded until failure occurred and the maximum load was measured. As potential influential factors on the fixation strength, the insertion torque, bone mineral density of the bone block, and graft/tunnel cross-sectional area ratio (GTR) of each specimen were calculated. A significant correlation between the maximum failure load and the insertion torque was demonstrated. The quadratic regression analysis showed a statistically significant correlation between the failure load and the GTR. Optimal GTR for achieving high fixation strength was approximately 80%. When used in appropriate conditions, the mean failure load was 177 N for the 4.5 mm screw and 180 N for the 5 mm screw. The use of a small diameter interference screw for the fixation of a tendon graft to a bone is clinically feasible. Our research showed that the selection of appropriate fitting conditions is an important factor for optimizing the properties of the fixation.

Anatomy, Cross-Sectional↗

Protein S-nitrosylation: purview and parameters.

S-nitrosylation, the covalent attachment of a nitrogen monoxide group to the thiol side chain of cysteine, has emerged as an important mechanism for dynamic, post-translational regulation of most or all main classes of protein. S-nitrosylation thereby conveys a large part of the ubiquitous influence of nitric oxide (NO) on cellular signal transduction, and provides a mechanism for redox-based physiological regulation.

Amino Acid Sequence↗

Cardioprotective effects of erythropoietin in the reperfused ischemic heart: a potential role for cardiac fibroblasts.

Erythropoietin has recently been shown to have effects beyond hematopoiesis such as prevention of neuronal and cardiac apoptosis secondary to ischemia. In this study, we evaluated the in vivo protective potential of erythropoietin in the reperfused rabbit heart following ventricular ischemia. We show that "preconditioning" with erythropoietin activates cell survival pathways in myocardial tissue in vivo and adult rabbit cardiac fibroblasts in vitro. These pathways, activated by erythropoietin in both whole hearts and cardiac fibroblasts, are also activated acutely by ischemia/reperfusion injury. Moreover, in vivo studies indicate that erythropoietin treatment either prior to or during ischemia significantly enhances cardiac function and recovery, including left ventricular contractility, following myocardial ischemia/reperfusion. Our data indicate that a contributing in vivo cellular mechanism of this protection is mitigation of myocardial cell apoptosis. This results in decreased infarct size as evidenced by area at risk studies following in vivo ischemia/reperfusion injury, translating into more viable myocardium and less ventricular dysfunction. Therefore, erythropoietin treatment may offer novel protection against ischemic heart disease and may act, at least in part, by direct action on cardiac fibroblasts and myocytes to alter survival and ventricular remodeling.

Animals↗

Revision anterior cruciate ligament reconstruction using the regenerated semitendinosus tendon: analysis of ultrastructure of the regenerated tendon.

In this report, we present a case of a college skier who sustained a rerupture of the reconstructed anterior cruciate ligament (ACL) 8 months after surgery in which an autogenous semitendinosus tendon graft was used. At the revision surgery, the harvested semitendinosus tendon appeared to be regrown. Thus the regenerated tendon was reharvested, and in combination with the gracilis tendon, was used as a graft. The electron microscopic examination revealed a difference in fibril diameter between the regenerated tissue and the normal tendon. Although the regenerated semitendinosus tendon could be reharvested, the feasibility of its use for revision surgery is still to be determined.

Adult↗