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Biomedical subjects

Hiromi Tokura

Publications and source records attributed to Hiromi Tokura.

At least 19 recordsLinked to original sources

Altered expression profiles of clock genes hPer1 and hPer2 in peripheral blood mononuclear cells of cancer patients undergoing surgery.

Patients undergoing surgery often develop symptoms of circadian rhythm disorders such as insomnia or delirium. However, the effect of surgery on the biological clock remains unknown. The present study examines the expression of clock genes in peripheral blood mononuclear cells (PBMCs) and measures plasma hormone concentrations in patients with esophageal cancer and early gastric cancer who underwent surgery. Six blood samples per day were collected from 9 patients with esophageal cancer before and after esophagectomy and from 9 patients with early gastric cancer before and after laparoscopy-assisted distal gastrectomy (LADG). The expression profiles of hPer1 and hPer2 mRNAs in PBMCs were determined by real-time RT-PCR. Plasma melatonin and cortisol concentrations were measured by radioimmunoassay. Plasma melatonin levels decreased in both groups throughout the day and plasma cortisol levels changed after surgery. The acrophase of clock gene expression was altered after surgery as follows: hPer1, from 6:19+/-1:50 to 13:59+/-0:59 (p=0.0003) and from 7:47+/-1:27 to 12:33+/-1:30 (p=0.0043) and hPer2, from 5:01+/-2:59 to 19:30+/-2:15 (p<0.0001) and from 6:49+/-1:59 to 13:39+/-3:06 (p=0.0171) in patients with esophageal and early gastric cancer, respectively. The post-operative phase change of hPer2 was more prominent after esophagectomy than after LADG. Our results suggest that surgical stress affects the peripheral clock as well as endogenous hormones in humans.

Cell Cycle Proteins↗

Influences of diurnal bright or dim light exposure on urine volume in humans.

We investigated with eight healthy females if 8 hr diurnal (0700 to 1500 h) bright rather than dim light (5,000 vs. 80 lx) influenced urine volume. Environmental illuminance was made identical at all other times besides 07:00 to 15:00 h. The participants spent time at strictly regulated schedules in a bioclimatic chamber (26 degrees C, relative humidity 60%) for 57 h. Blood was drawn (2 ml) just before lunch in order to calculate Creatinine clearance (Ccr). Urine volume was significantly higher during wakefulness and the 8-h sleep period with bright rather than dim light. Ccr was significantly higher after bright light. The results were discussed in terms of suppression of the sympathetic nerve system under the influence of diurnal bright light exposure. We also discussed these in terms of physiological polymorphisms.

Adult↗

Effects of pressure exerted on the skin by elastic cord on the core temperature, body weight loss and salivary secretion rate at 35 degrees C.

Effects of pressure exerted on the skin by elastic cord on the core temperature, body weight loss and salivary secretion rate were studied under conditions of ambient temperature of 35 degrees C and a relative humidity of 60%. Twelve healthy females, aged 18-23 years, served as subjects. The subjects entered a bioclimatic chamber and rested quietly in a chair for 80 min. Then, skin pressure was exerted by applying elastic cord (8.5 mm wide) to six different skin areas, such as axilla, under-bust, waist, inguines, thighs and ankles. The values of skin pressure by elastic cord ranged from 11.9 to 33.3 g/cm(2). In the control experiment, wrapping with an elastic cord was loosely performed without any skin pressure. Rectal and skin temperatures, body weight loss by sweating and salivary secretion rate were measured throughout the 160 min experimental period. Core temperature increased more significantly under pressure exerted on the skin. Body weight loss by mainly sweating and salivary secretion rate were significantly suppressed under pressure exerted on the skin. We discussed the physiological mechanisms in terms of suppression of central nervous activity as to why significant increase of core temperatures, inhibition of body weight loss mainly by sweating and of salivary secretion rate occurred, and furthermore practical significance of these findings for impairment of digestion, swallowing, vocalizing, defense against disease bacteria and sport activity.

Adolescent↗

Time sense for short intervals during the follicular and luteal phases of the menstrual cycle in humans.

The present study investigated if the time sense (using short intervals) was influenced by the phase of the menstrual cycle. Fourteen women (age: 21.8+/-1.3 years, height: 158.1+/-4.6 cm, body weight: 50.9+/-3.2 kg, mean+/-S.D.) were examined. Their menstrual phase was checked by the participants themselves prior to the study, by measuring oral temperatures after waking but while still in bed over the course of 1-2 months. Participants entered a climatic chamber (26 degrees C, 60% RH, 200 lx) at 09:00 h during either the follicular or luteal phase, and sat quietly on a sofa for 4 h before performing the time sense tests. These used intervals ranging from 1 to 60 s, and consisted of time estimation and time production. In the time estimation test, the participant was required to estimate the interval between two signals provided by buzzers; 10 random intervals were given. For the time production test, the participant was required to produce the interval displayed on a screen by pushing the space key of a computer twice; 10 random intervals were given. The order of testing during the follicular and luteal phases, and of performing the time estimation and time production tests, was counterbalanced. The results indicate that the time sense ran significantly faster during the luteal phases. The findings are discussed in terms of a higher load error between the actual core temperature and its thermoregulatory set-point during the luteal phase of the menstrual cycle.

Adult↗

Seasonal variation in amount of unabsorbed dietary carbohydrate from the intestine after breakfast in Japanese subjects.

We previously showed that daytime dim-light exposure has a negative effect on the efficiency of dietary carbohydrate absorption in the evening, whereas evening-time dim-light exposure has a beneficial effect. These results suggest that seasonal changes in the environmental light may affect gastrointestinal activity, and that there might, therefore, be seasonal variation in the efficiency of dietary carbohydrate absorption from the intestine. In order to prove this hypothesis, we measured the amount of dietary carbohydrate unabsorbed from the intestine after a breakfast in healthy female Japanese subjects during the four seasons of the year. We estimated the amount of unabsorbed dietary carbohydrate by the breath hydrogen test, which measures the amount of hydrogen in exhaled air. A 6 g solution of lactosucrose, an indigestible trisaccharide, was used for comparison. Two groups of subjects, 12 subjects in Osaka and 14 subjects in Nagano, were studied in the winter (January to February), spring (April to May), summer (July to August), and autumn (October to November) of 2004. We found the following results: (1) In no season were there any significant differences between the two subgroups in the orocecal transit time of the breakfast and the lactosucrose solution. Nor were there any significant differences in the amount of unabsorbed dietary carbohydrate from the breakfast. (2) Using the pooled data of the total of 26 subjects, there was no significant seasonal variation in the orocecal transit time of the breakfast or the lactosucrose solution. (3) There was a significant seasonal variation in the amount of unabsorbed dietary carbohydrate from the breakfast. (4) The amount of unabsorbed dietary carbohydrate from the breakfast was largest in winter and smallest in autumn. Results in spring and in summer were similar and intermediate between those in winter and autumn. Post hoc multiple comparison tests showed that the amount of unabsorbed dietary carbohydrate in winter was significantly larger than in autumn. (5) In winter, the average ratio of the amount of unabsorbed dietary carbohydrate to the total amount of carbohydrate in the breakfast was about 12%; in autumn it was about 6%. These results clearly show that there is seasonal variation in the efficiency of intestinal dietary carbohydrate absorption among young female Japanese subjects.

Adult↗

Effect of dim and bright light exposure on some immunological parameters measured under thermal neutral conditions.

This study assesses the effects of ambient light conditions, under a thermoneutral environment, on selected immunological parameters of 7 healthy young women (aged 19 to 22 yrs). Subjects entered the bioclimatic chamber at 11: 00 h, controlled at 26 degrees C and 60% relative humidity, a "neutral climate". They lead a well-regulated life in the climatic chamber (pre-condition) while exposed to dim (200 lux) or, on the next day, bright (5000 lux) light between 06 : 00 to 12 : 00 h. Just before the end of each period of light exposure, a blood sample was taken for later immunological assay of white blood cell count (WBC), phagocytosis, interferon-gamma (IFN-gamma), interleukin-4 (IL-4), CD69 T cells (CD69), CD4+CD25+ T cells (CD4+CD25+), and transforming growth factor-beta 1 (TGF-beta1). The results, when compared with the pre-condition, were as follows: 1) CD69 and IFN-gamma increased during normal conditions without thermal stress under dim light; 2) WBC increased and IL-4 decreased under bright light; 3) as shown by the highly significant decrease of TGF-beta1, the immune system was activated under bright light; 4) phagocytosis tended to increase under bright light exposure; 5) CD69 and IFN-gamma were significantly higher, and CD4+CD25+ tended to decrease under bright light; 6) phagocytosis tended to be lower and TGF-beta1 significantly higher under dim light, indicating a decline of immune system function. Taken together, this preliminary single time-point sampling study infers that some parameters are activated (CD69) while others are attenuated (phagocytosis, TGF-beta1) according to the environmental light intensity, dim vs. bright, in women adhering to a standardized routine in the absence of thermal stress. These findings are discussed in terms of inhibition of the sympathetic and excitation of the parasympathetic nervous system under the influence of life-style regularity and daytime bright light exposure.

Adult↗

Circadian rhythm of acute phase proteins under the influence of bright/dim light during the daytime.

We investigated the influence of two different light intensities, dim (100 lx) and bright (5000 lx), during the daytime on the circadian rhythms of selected acute phase proteins of C-reactive protein (CRP), alpha1-acid glycoprotein (AGP), alpha1-antichymotrypsin (ACT), transfferin (TF), alpha2-macroglobulin (alpha2-m), haptoglobin (HP), and ceruloplasmin (CP). Serum samples were collected from 7 healthy volunteers at 4 h intervals during two separate single 24 h spans during which they were exposed to the respective light intensity conditions. A circadian rhythm was detected only in ACT concentration in the bright light condition. The concentration of ACT, a positive acute phase protein (APP), increased (significantly significant differences in the ACT concentration were detected at 14:00 and 22:00 h) and AGP showed a tendency to be higher under the daytime bright compared to dim light conditions. There were no significant differences between the time point means under daytime dim and bright light conditions for alpha2-M, AGP, Tf, Cp, or Hp. The findings suggest that some, but not all, APP may be influenced by the environmental light intensity.

Acute-Phase Proteins↗

How does light intensity influence evening dressing behavior in the cold?

Core temperature (tympanic and rectal temperatures) is lowered for several hours under diurnal bright light exposure and its evening fall is inhibited under evening bright light exposure. Melatonin may be involved in the behavior of these core temperatures. Diurnal bright light exposure for several hours may make dressing behavior and thermal sensibility in the evening cold slower and dull, compared with diurnal dim light exposure. On the contrary, evening bright light exposure for several hours may make the dressing behavior and thermal sensibility in the evening cold quicker and sharper, compared with evening dim light exposure. The underlying physiological mechanisms for these findings are that the thermoregulatory set-point would be reduced more markedly in the evening under the influence of higher elevation of melatonin under the diurnal bright light exposure, and its evening decline would be inhibited by suppression of the nocturnal rise of melatonin under evening bright light exposure.

Adult↗

Comparison of carbohydrate digestion between Japanese and Polish healthy subjects.

We have revealed that light environment affects digestion and absorption of dietary carbohydrates in the gastrointestinal tract. This experimental result supposes that the efficiency of carbohydrate absorption may differ among people who live in different latitudes, such as Japanese and Polish people, at the same calendar season. In order to prove this hypothesis, we have been comparing the efficiency of carbohydrate absorption using the breath hydrogen test in Japan and Poland. Here, we report the comparison of the result obtained in the summer of 2004 as the following; (1) Orocecal transit time (OCTT) for indigestible trisaccharide of Japanese subjects was significantly longer than that in Poland (p = 0.043). (2) On the ingestion of minestrone, the amount of unabsorbed carbohydrate of Japanese subjects (which was estimated as trisaccharide equivalent) was significantly larger than that of Polish subjects (p = 0.006).

Adult↗

Preferred illuminance self-selected by women under the influence of face cooling.

The aim of the study was to investigate the illuminance selected in the morning by subjects whose face was cooled and whose tympanic temperature has been lowered by 0.15-0.25 degrees C. The hypothesis tested was that a difference between the actual core temperature and its set point (load error) will influence the preferred illuminance. Specifically, it was hypothesised that a greater load error would lead to the choice of a higher light intensity because this would suppress the melatonin secretion more effectively and thus accelerate the morning rise of core temperature. Seven females served as participants. They were required to rise in the morning 3 h after their minimum rectal temperature, as judged from measurements of rectal temperature made during sleep. The subjects sat 1.5 m away from a lighting box and every 15 min were instructed to choose the level of illuminance (light intensity) they preferred by manipulating a lever in the control box. This procedure was performed twice, in the face-cooling and no-face-cooling condition. The major finding was that a higher light intensity was preferred when the face was cooled down by 0.15-0.25 degrees C, suggesting that an increased load error between actual core temperature and its set point may play a behavioural role in the selection of preferred illuminance.

Adult↗

Effect of post-prandial posture on orocecal transit time and digestion of milk lactose in humans.

We examined the effect of post-prandial body posture on orocecal transit time and absorption of milk lactose using the breath hydrogen test. In this experiment, subjects ingested a cup of commercially available milk to which we had added a small amount of lactosucrose (an indigestible trisaccharide), and then they lay on their backs or sat on a chair for the first 4 hr (from 08:00 to 12:00). After four hours lying or sitting, they remained sedentary on a sofa for the second six hr (from 12:00 to 18:00). Participants' end alveolar breath samples were collected every 15 min from 08:00 to 12:30, then every 30 min from 13:00 to 18:00. The experiment was conducted on two consecutive days using a randomized, crossover study design. Examination showed that the orocecal transit time of the oligosaccharides (lactosucrose and milk lactose) under the post-prandial supine condition was significantly longer than that under the sitting condition. In addition, the amount of breath hydrogen excretion under the supine condition was significantly lower than under the sitting condition, indicating that the unabsorbed milk lactose moved into cecum under the supine condition is smaller than that under the sitting condition. These findings provide evidence that postprandial supine posture works more beneficially to digest and absorb milk lactose when compared to the sitting posture.

Adolescent↗

A preliminary study on influence of negative air ions generated from pajamas on core body temperature and salivary IgA during night sleep.

OBJECTIVES: This study was conducted to examine whether negative air ions generated from pajamas would influence the rectal temperature and the immune system during night sleep. MATERIALS AND METHODS: Nine females (aged 18-23 years) served as participants. They slept during the night in their homes, wearing the pajamas with generation of negative air ions (1260 ions/cm3) and with normal standard (520 ions/cm3). The sequence of wearing the pajamas was: first, standard pajamas; second, pajamas with negative air ions; and third, standard pajamas again, each being worn for three consecutive days. RESULTS: Rectal temperature in the pajamas with negative air ions tended to fall more significantly during the night-time (p = 0.068). Salivary IgA tended to be higher on waking when wearing pajamas with negative air ions (p = 0.094) and its effect continued even after standard pajamas were worn again during last three days. CONCLUSION: These results suggest that the rectal temperature could possibly be more reduced and the elevation of salivary IgA more marked if the pajamas with negative air ions are worn during nocturnal sleep.

Adolescent↗

Temporal variability of preferred lighting conditions self-selected by women.

The purpose of this study was to know what quantity and quality of illuminance during the waking period is selected by subjects and to discuss these in terms of circadian rhythm of core temperature. Five females served as subjects. They were instructed to choose the intensity and color temperature of the illumination they preferred every 15 min during wakefulness by adjusting a light box. The illuminance selected rose during the course of the first 5 h and the color temperature rose over the first 2 h that they waked. Both parameters were decreased steadily over the 5 h before retiring. When the chosen illuminances and color temperatures were plotted against core temperatures during these two periods, it was found that both of these parameters were higher for identical core temperature in the morning after rising than in the evening before retiring. This behavior could accelerate the morning rise of core temperature (at the time when the set point is rising) and the fall of core temperature in the evening (at the time when the set point is falling).

Adult↗

Effects of dim or bright-light exposure during the daytime on human gastrointestinal activity.

On the basis of our previous findings that bright-light exposure during the daytime has profound influence on physiological parameters such as melatonin secretion and tympanic temperature in humans, we proposed the hypothesis that bright vs. dim light-exposure during the daytime has a different influence on the activity of the digestive system via the endocrine and/or autonomic nervous system. To examine this hypothesis, we conducted a series of counterbalanced experiments in which subjects stayed the daytime (7:00 to 15:00h) under either a dim (80 lux) or bright (5,000 lux) light condition. We measured gastrointestinal activity using a breath hydrogen (indicative of carbohydrate malabsorption) and an electrogastrography (EGG, indicative of gastric myoelectric activity) test. The results showed the postprandial breath hydrogen excretion during the following nighttime period after daytime exposure to the dim-light condition was significantly higher than under the bright-light condition (p < 0.05). In addition, the spectrum total power of the EGG recorded after taking the evening meal was significantly lower for the dim than bright-light condition (p < 0.05). These results support our hypothesis and indicate that dim-light exposure during the daytime suppresses the digestion of the evening meal, resulting in malabsorption of dietary carbohydrates in it.

Adult↗

Effect of evening exposure to dim or bright light on the digestion of carbohydrate in the supper meal.

In a previous study we found that daytime exposure to bright as compared to dim light exerted a beneficial effect on the digestion of the evening meal. This finding prompted us to examine whether the digestion of the evening meal is also affected by evening light intensity. Subjects lived in light of 200 lux during the daytime (08:00-17:00 h) and took their evening meal at 17:00 h under 20 lux (evening dim-light condition: 17:00-02:00 h) or 2000 lux (evening bright-light condition: 17:00-02:00 h) until retiring at 02:00 h. Assessment of carbohydrate digestion of the evening meal was accomplished by a breath hydrogen test that is indicative of the malabsorption of dietary carbohydrate. Hydrogen excretion in the breath in the evening under the dim-light condition was significantly less than under the bright-light condition (p < 0.05). This finding is the opposite to that obtained in previous experiments in which subjects were exposed to the different intensities of light during the daytime, and indicates that the exposure to dim light in the evening exerts a better effect on carbohydrate digestion in the evening meal than does the exposure to bright light.

Adolescent↗

Sweating and tympanic temperature during warm water immersion compared between Vietnamese and Japanese living in Hanoi.

The present study compared between Japanese and Vietnamese subjects living in Hanoi, the local evaporation rate by sweating and the tympanic temperature during legs immersion in warm water. Seven Vietnamese and seven Japanese (who had lived in Hanoi for 1-2 years) participated in the experiments, which were performed in April, 2001 in Hanoi (Vietnam). It was found that the tympanic temperature at which subjects started to sweat in the forearm was significantly higher in Vietnamese than in Japanese. In addition, the local amount of evaporation was significantly lower in Vietnamese subjects. We discussed the physiological reason for such different thermoregulatory responses in terms of different levels of set-point in the core temperature between Vietnamese and Japanese. It was concluded that the Vietnamese inhabitant commenced the sweating at higher tympanic temperature to identical warm stimuli and had lower sweating rate and higher tympanic temperature during the 40 min immersion of both legs to warm water than the Japanese inhabiting Hanoi for 1-2 years.

Acclimatization↗