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Biomedical subjects

H Koyano

Publications and source records attributed to H Koyano.

At least 19 recordsLinked to original sources

Complete recovery from intractable bulimia nervosa by the surgical cure of primary hyperparathyroidism.

We document here the first case of bulimia nervosa associated with primary hyperparathyroidism. The binge eating and self-induced vomiting that occurred for more than 10 years disappeared completely after the surgical cure of primary hyperparathyroidism. Depressive and anxiety symptoms also improved dramatically. The possible influence of derangement in calcium metabolism on the neurobiochemical mechanism of bulimia nervosa is discussed.

Adult↗

Acute pancreatitis and parotitis induced by methimazole in a patient with Graves' disease.

A wide variety of adverse effects of methimazole (MMI) have been reported. Here we report a new MMI-induced disorder, acute pancreatitis and parotitis. Three weeks after a woman started MMI treatment for Graves' disease, she developed a high fever, painful parotid swelling and dull pain in the upper abdomen with elevation of the serum levels of salivary and pancreatic enzymes. These abnormalities disappeared soon after the withdrawal of MMI. However, the same abnormalities were rapidly provoked when MMI was reintroduced. Marked increases in the leucocyte count and CRP were also observed during these episodes. The possible mechanisms of MMI-induced pancreatitis/parotitis are discussed.

Acute Disease↗

An electrophysiological study of pterygopalatine ganglion neurons in the rabbit.

A preparation was developed to investigate the synaptic connections of the pterygopalatine ganglion (P.P.G.) neurons of the rabbit. Many neurons received synaptic inputs from more than one preganglionic fiber in the vidian nerve (preganglionic nerve) with a wide range of conduction velocities. It is assumed that P.P.G. neurons integrate synaptic inputs from the higher centers. In some neurons. nicotinic fast excitatory postsynaptic potentials (e.p.s.p.s) were evoked in response to stimulation of one posterior nasal nerve, and also an antidromic action potential occurred in response to stimulation of the other posterior nasal nerve. Fast e.p.s.p.s were recorded from a ganglion neuron in response to the cooling stimulation of the nasal mucosa. These results revealed that the ganglionic reflex are mediated through the nasal afferent fibers exists in the P.P.G. Moreover, the appearance of slow inhibitory postsynaptic potentials (slow i.p.s.p.s) and slow excitatory postsynaptic potentials (slow e.p.s.p.s) in response to repetitive stimuli of the vidian nerve may influence the synaptic transmissions of P.P.G. neurons. The P.P.G. plays a significant role as a complicated key point of signal transmissions from both the periphery and higher centers.

Animals↗

Ca(2+)-induced Ca2+ release and its activation in response to a single action potential in rabbit otic ganglion cells.

1. Ryanodine-sensitive intracellular Ca2+ release activated by Ca2+ entry was studied with fura-2 fluorescence and intracellular voltage recording techniques in rabbit otic ganglion cells. 2. The removal of extracellular Ca2+ reduced sustained, transient or oscillatory rises in intracellular Ca2+ ([Ca2+]i) induced at high extracellular K+ and abolished the [Ca2+]i oscillation in cultured neurones. 3. Ryanodine (10 microM) transiently increased [Ca2+]i and reduced the amplitude and rate of rise of the high-K(+)-induced rise in [Ca2+]i, while caffeine (5 mM) produced a few transient rises in [Ca2+]i in most cultured cells and [Ca2+]i oscillation only in one cell. 4. The two components of the slow after-hyperpolarization (AHP) of an action potential in neurones of freshly isolated ganglia were dependent on extracellular Ca2+ and abolished by Ca2+ channel blockers, Cd2+ or Co2+. 5. The late component of AHP (LAHP), but not the initial component, in 'fresh' neurones increased in area with an increase in the preceding interval, was abolished by ryanodine (10 microM) and intracellularly injected EGTA, and mimicked by intracellular injection of Ca2+. 6. A ryanodine-sensitive Ca(2+)-induced Ca2+ release thus exists, operates in response to an action potential-induced Ca2+ entry and underlies LAHP in rabbit otic ganglion cells.

Action Potentials↗

[99mTc-MIBI scintigraphy for the detection of parathyroid lesions in patients with hyperparathyroidism].

The usefulness of 99mTc-MIBI scintigraphy for the detection of parathyroid lesions was evaluated in 17 patients with hyperparathyroidism. Delayed image was used to evaluate the lesions. Detectability of MIBI for parathyroid lesions was 86% (18/21). The smallest lesion detected was parathyroid hyperplasia weighted 270 mg. Ectopic parathyroid adenoma and bone metastases of parathyroid carcinoma were clearly demonstrated. Detectability of MIBI scintigraphy for the lesions including ectopic and metastatic lesions was the highest among those of ultrasonography, CT and MRI methods. MIBI scintigraphy was thought to be useful for the detection of parathyroid lesions, especially for ectopic and metastatic lesions.

Bone Neoplasms↗

Successful treatment by surgical removal of bone metastasis producing PTH: new approach to the management of metastatic parathyroid carcinoma.

A 62-year-old woman had primary hyperparathyroidism due to parathyroid carcinoma. In spite of surgical removal of the enlarged parathyroid gland, intractable hypercalcemia persisted. 99mTc-methoxyisobutylisonitrile scanning revealed bone metastatic lesions, although conventional 201T1-chloride scanning failed to demonstrate those lesions. Octreotide inhibited parathyroid hormone (PTH) secretion, although various means such as bisphosphonates, calcitonin and hydration were effective to reduce serum calcium level to some extent but failed to reduce PTH secretion at all. The CT-guided transcutaneous tumor marking facilitated the subsequent orthopedic surgery for successful removal of the metastatic focus of PTH secretion from the iliac bone.

Bone Neoplasms↗

Identification of the prostacyclin receptor by use of [15-3H1]19-(3-azidophenyl)-20-norisocarbacyclin, an irreversible specific photoaffinity probe.

The prostaglandin I (PGI2) receptor of mouse mastocytoma P-815 cells was characterized by photo-affinity labeling with the stable PGI2 analogue [15-3H1]-19-(3-azidophenyl)-20-norisocarbacyclin ([3H] APNIC) used as a potential photoaffinity probe for the receptor. [3H]APNIC bound to the mastocytoma membrane with high affinity and in a saturable manner. Scatchard plot analysis indicated a single binding site with a Kd of 4.7 nM and a Bmax of 0.58 pmol/mg protein. The binding of [3H]APNIC was dose dependently inhibited by APNIC and iloprost, another stable PGI2 agonist, and to a much lesser extent by PGE2. The binding of the radioligand showed sensitivity to the guanine nucleotide guanosine 5'-O-(3-thio-triphosphate) (GTP gamma S). Photolysis of [3H]APNIC-prelabeled membranes resulted in incorporation of radiolabel into a protein of approximately 43 kDa. Photolabeling was inhibited by PGI2 agonists and other prostaglandins with specificity for the PGI2 receptor and was modulated by GTP gamma S. A protein of approximately 45 kDa was also labeled by [3H]APNIC in the membrane of porcine platelets, membranes that are known to be abundant in PGI2 receptors. These results demonstrate that [3H]APNIC specifically labels a protein that may represent the PGI2 receptor and that this radioprobe will be a useful reagent for further characterization and purification of the PGI2 receptor.

Affinity Labels↗

Fiber-optic transmission catheter for regional venous oxygen saturation and blood flow.

We have developed a method for monitoring regional venous oxygen saturation. The key feature of this system is the use of highly flexible polymer fiber optics, and this flexibility allowed the production of a new fiber-optic transmission catheter. The space between the "face-to-face" positioned fiber-optic tips forms a remote catheter-based transmission cell. Our method applies Twersky's theory, in which absorption and scattering can be treated independently. Fresh rabbit blood was pumped through a disk oxygenator in which gas exchange occurred and passed the catheter. Simultaneous results obtained by the catheter and a cuvette oximeter were excellent (r = 0.99, SD = 1.1%). Oxygen saturation measured by this catheter was independent of vessel wall artifacts, blood pH, and flow velocity. Another application of this method is measurement of blood flow by the dye- (indocyanine green) dilution technique. The results of flow measurements by the catheter appeared to be satisfactory (r = 0.99, SD = 1.7%). This study concludes that our method is effective for monitoring the balance between regional oxygen supply and demand.

Animals↗

Response of cytosolic calcium to anoxia and cyanide in cultured glomus cells of newborn rabbit carotid body.

Microscopic fluorometry was used to examine the effects of anoxia and cyanide (CN-) on cytosolic calcium [Ca2+]i of cultured carotid body (CB) glomus cells from newborn rabbits. Applications of high K+ and veratridine (VRT), a sodium channel activator, induced rapid and marked increases in [Ca2+]i. These effects were inhibited by D600 a calcium channel blocker. [Ca2+]i changes induced by VRT were also blocked by tetrodotoxin (TTX). Glomus cells exhibited a slow increase in [Ca2+]i in response to anoxia and CN-, and a slight decrease during hyperoxia. The effects of anoxia and CN- were blocked by D600 but not by TTX. We conclude that these stimuli induce calcium entry into glomus cells via voltage-dependent Ca2+ channels. Voltage-dependent Na+ channels were not involved.

Animals↗

Veratridine stimulation of sodium influx in carotid body cells from newborn rabbits in primary culture.

It was examined whether or not 22Na+ influx into cultured cells of the carotid body (CB) from newborn rabbits might be stimulated by veratridine (VRT), using superior cervical ganglion (SCG) cells as a standard, showing the VRT-stimulating effects on 22Na+ influx. In a CB glomus cell-rich culture, VRT induced a 22Na+ influx increase, as seen in a SCG neuronal cell-rich culture, which was entirely inhibited by tetrodotoxin (TTX). In contrast, in a CB non-glomus cell culture as well as in a SCG non-neuronal cell culture, the VRT-stimulating effect was not seen. This indicates that the VRT-stimulating effect found in the CB glomus cell-rich culture was evoked from only glomus cells. It is concluded that glomus cells have TTX-sensitive voltage-dependent sodium channels, which might be indirectly involved in the chemotransduction mechanism in the CB.

Animals↗

Metabolism of leukotriene D4 by rat peritoneal mast cells.

Metabolism of sulfidopeptide leukotrienes, leukotrienes (LT) C4 and D4 by rat peritoneal mast cells was studied. Rat peritoneal mast cells converted LTD4 to LTE4 but not LTC4 to LTD4. The LTD4-metabolizing activity was equally distributed on the cell surface and inside cells, but not released to the extracellular milieu even when a considerable portion of histamine and the secretory granule enzymes were released. Among various enzyme inhibitors examined, o-phenanthroline, a metal chelator, and dithiothreitol significantly suppressed the LTD4-metabolizing activity of mast cell. These results would suggest that some metalloenzyme located on the cell surface is involved in the conversion of LTD4 to LTE4 by rat peritoneal mast cells.

Animals↗

Effect of vitamin K3 on macrophage functions and intracellular calcium.

1. The effect of vitamin(vit) K3 on guinea-pig macrophage functions was studied. 2. Vit K3 inhibited macrophage locomotion, phagocytosis and lysosomal enzyme release. 3. Vit K3 inhibited the rise in the intracellular free calcium level induced by stimuli at the concentration at which vit K3 suppressed functions. 4. These results suggest that vit K3 inhibits macrophage functions through the interference with the mobilization of intracellular calcium.

Animals↗

Autoradiographic demonstration of the distribution of vagal afferent nerve fibers in the epiglottis of the rabbit.

After injection of [3H]leucine into the nodose ganglion of a rabbit autoradiographic examination of the distribution of vagal afferent fibers in the epiglottal wall revealed many nerve bundles of labeled afferent fibers present in the submucosal plexus between the cartilage tissue and the mucosa. The labeled afferent fibers, most of which were myelinated (while a few were unmyelinated), descended towards the mucosa, and then appeared to demyelinate at the subepithelial layer of the mucosa. The labeled afferent fibers entered the mucosal epithelium, terminated as free endings in the intercellular space among the epithelial cells, and extended near the mucosal surface. Grains were also observed near the taste buds in the epithelium, which suggests that some vagal afferent fibers innervated the epiglottal taste buds.

Animals↗

Autoradiographic study on the distribution of vagal afferent nerve fibers in the gastroduodenal wall of the rabbit.

Following unilateral supranodose vagotomy which eliminated vagal efferent fibers, [3H]leucine was injected into the ipsilateral no-dose ganglion of the rabbit, which was allowed to survive for 10 days. Autoradiographic examination of the distribution of vagal afferent fibers in the gastroduodenal wall revealed many nerve bundles of labeled afferent fibers present in the subserous plexus between the serosa and the muscle coat, where they branched and descended into the muscle coat. Some of the fibers appeared to interact with some myenteric neurons and muscle fibers in a manner suggesting that the afferent fibers may make synaptic contact with the enteric neurons and innervate or attach to the muscle fibers. Furthermore, the afferent fibers were observed in the submucosal plexus between the muscle coat and the muscularis mucosae. In the mucosa the afferent nerve branched in filaments containing one or several afferent fibers extending from the muscularis mucosae through the mucous lamina propria and to the mucous membrane composed of epithelial cells. It was speculated that the afferent fibers terminated as free endings near the mucous membrane.

Afferent Pathways↗

Axonal transport of radiolabeled materials in afferent fibers of rabbit vagus nerve following supranodose vagotomy.

[3H]leucine was injected into the nodose ganglion of the rabbit following ipsilateral supranodose vagotomy to eliminate the vagal efferent fibers. Labeled materials were transported in afferent fibers of the vagus nerve at fast transport rates of 12 cm/day and slow transport of 3-5 cm/day. In particular, axoplasm protein occupied about 40% of the highly labeled component of the slow transport, and the rate of this component was 1.8-2.5 cm/day. It was assumed that the highly labeled component was transported to the diaphragm region within at least 8 days and to the gastrointestinal region within 10 days.

Afferent Pathways↗