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Biomedical subjects

J Handa

Publications and source records attributed to J Handa.

At least 19 recordsLinked to original sources

[Growth of the graft and astrocytic reaction following transplantation of fetal brain to adult rat's brain. Part I: Tissue transplantation into cerebral cortex, lateral ventricle, subarachnoid space and cerebral cortical cavity].

Brain transplantation has been examined as one of the therapeutic methods in the animal models of Alzheimer's disease. Among a lot of problems inherent to therapeutic brain transplantation, we have investigated implanting techniques and methods. Small pieces of fetal basal forebrain tissue containing cholinergic neurons were transplanted into adult rats' cerebral cortex, lateral ventricle, subarachnoid space, and the cerebral cortical cavity which had been made 10 days before transplantation (delayed cavity technique). Two to 3 months after transplantation, growth of the grafts, neurites elongation and astrocytic reaction were observed by Nissl staining, histochemical staining for acetylcholinesterase and immunocytochemical staining for glial fibrillary acidic protein (GFAP). Intracortical grafts were small and surrounded by thick glial scar formation, but there was found a partial lack of glial scar and host-graft neuronal integration was also observed. Both intraventricular and subarachnoid grafts grew relatively well. GFAP-immunoreactive cells had a tendency to gather near the margin of the graft and perivascularly. These facts seemed to suggest that reactive astrocytes were also taking part in support of the homeostasis of environments in the graft tissue. By delayed cavity technique, better growth of the grafts was observed, but dense glial and connective tissue scar tissues developed and prevented the outgrowth of neuronal processes. Nevertheless, hyperinnervation from graft to host cortex was partially noticed. It should be stressed that although the hyperinnervation may be effective for recovery of the host from the central nervous system damages, it may possibly damage the host's neuronal circuits.

Animals

[Growth of the graft and astrocytic reaction following transplantation of fetal brain to adult rat's brain. Part II: Cell suspension transplantation into the subarachnoid space].

Suspensions of basal forebrain cells of fetal rats were transplanted into the subarachnoid space of adult rats through a microsyringe needle which was transcortically inserted to the subarachnoid space. Two to 3 months after the transplantation, growth of the graft, neuritic elongation, neovascularization, and astrocytic reaction were examined by Nissl staining, histochemical staining for acethylcholinesterase and Klüver-Barrera's myelin staining, vascular relief images and immunohistochemical staining for laminin, and immunocytochemical staining for glial fibrillary acidic protein (GFAP). Transplanted fetal neurons survived and grew very well over the brain surface and exhibited facilitated neuritic elongation. Several bundles of myelinated fibers linking the subarachnoid and the subpial grafted cells were noticed, but the myelinated fibers penetrating the intact pia mater were not verified. In the grafted tissue, extracellular matrix was formed and a lot of small vessels and capillaries were noticed. Many GFAP-immunoreactive cells were seen in the graft. They had a tendency to gather perivascularly and near the margin of the graft tissue facing subarachnoid space. The subarachnoid space is thought to be an adequate place for transplanted neuronal and glial cells to grow. The subarachnoid space contains the cerebrospinal fluid and also it contacts with rich pial vessels, so that it seems to be superior to the intraparenchymal area in respects of a supply of oxygen and nutrition and of low tissue pressure. Transplanted tissue may be supposed to work as the exocrine and/or endocrine organ which secretes neurotransmitters and their synthetic enzymes and neurotrophic factors. If this is true, it would imply that the subarachnoid space is considered as a promising site for implantation.

Animals

Effects of congenital hydrocephalus on serotonergic input and barrel cytoarchitecture in the developing somatosensory cortex of rats.

The effects of progressive ventricular dilation on the development of the somatosensory cortex (SmI) were studied in congenital hydrocephalic rats, with regard to early serotonergic innervation and formation of functional cellular columns. In hydrocephalic rats, the time course, immunoreactivity, and patterns of formation and synaptogenesis of serotonin immunoreactive (5-HT-IR) terminal aggregations, which characterize the development of the SmI, were preserved. After disappearance of 5-HT-IR terminals, characteristic barrel cytoarchitecture formed normally at the site where 5-HT-IR terminal aggregations had been present. With the progression of hydrocephalus, the cerebral cortex became extremely thin and its total surface area was greatly increased, while barrels were preserved and their areas did not enlarge. These findings suggest that the basic development and the fundamental cytoarchitecture of the cortex are resistant to adverse effects of hydrocephalus.

Animals

Effects of endothelial-cell-derived growth factors on cultured astrocytes.

To clarify the participation of endothelial-cell-derived growth factors (ECDGFs) in astrocytosis, the effects of endothelial-cell-conditioned medium (ECCM) derived either from normotensive rats or spontaneously hypertensive, stroke-prone rats (SHRSPs) on proliferation of C6 cells of an established rat glioma cell line were bioassayed. The ECCM from both strains stimulated proliferation of astrocytes, but the ECCM from SHRSPs showed a higher mitogenic activity for astrocytes than that from normotensive rats. Growth-promoting activity of the ECCM derived from SHRSPs showed an increase that was linear to the conditioning time. These results seem to indicate that endothelial cells produce and release factors that promote the growth of astrocytes. It seems also probable that chronic hypertension causes an increase in production and release of such ECDGFs that correlated with astrocytic proliferation.

Animals

Intramedullary subependymoma with neurofibromatosis--report of two cases.

Two cases of subependymoma in the cervical spinal cord associated with stigmata of neurofibromatosis are reported. Magnetic resonance (MR) imaging showed one tumor with a sharp margin, which was well-demarcated intraoperatively and was totally removed. MR imaging showed the other tumor with an irregular margin, which was partly invasive at operation. Subependymomas are rare in the spinal cord and these are the first reported associations with neurofibromatosis.

Adolescent

[Outcome of patients with primary malignant lymphoma of the brain; relationship to the nucleolar organizer region].

Twelve cases of primary malignant lymphoma of the central nervous system had been treated since April, 1979 to August, 1990. Radiation therapy was completed in ten of them without adjuvant chemotherapy, and the other two patients expired before or during radiation therapy. In spite of good response to the radiation therapy, five of the ten patients died within 2 years. Three cases are alive after more than 5 years, and there has been no recurrence. In eight cases, the number of the argyrophilic proteins of the nucleolar organizer regions (AgNORs) was counted in the formalin-fixed paraffin embedded sections. In those cases with an AgNOR number of 4.0 or higher, prognosis was significantly worse than in the others. AgNOR number may be used as one of the reliable factors in the prognosis of primary malignant lymphoma of the central nervous system.

Adult

[Agenesis of the internal carotid artery--report of a case combined with arachnoid cyst in a child].

A case of agenesis of the internal carotid artery combined with arachnoid cyst is reported. This 11-year-old boy had occasionally complained headache and nausea since he was of 9 years old. He was admitted to our hospital because of an epileptic seizure. Physical and neurological examinations on admission were normal. A CT scan showed a cystic mass in retrocerebellar region. MRI suggested absence of flow void area indicating internal carotid artery in the cavernous sinus on left side. Left common carotid angiogram showed absence of the internal carotid artery. Bilateral A2 segments were supplied by right A1 with tortuous anterior communicating artery. Left middle cerebral artery and left ophthalmic artery were supplied via dilated left posterior communicating artery on left vertebral angiogram. Thin slice, axial target image of the CT revealed absence of the left bony carotid canal. MRI by 3D TOF method confirmed no blood flow in this area. MR angiography provided sufficient information about cervical vessels non-invasively. 123I-IMP SPECT image ascertained no hypoperfusion area in left cerebral hemisphere. Convulsion was controlled with sodium valproate. Association of agenesis of the internal carotid artery and arachnoid cyst could be a coincidence.

Arachnoid Cysts

Diploic meningioma contiguous to a contralateral parasagittal meningioma: CT and MR features.

A patient with a diploic meningioma is presented. Computed tomography (CT) scan revealed an intradiploic tumor which seemed contiguous at a point to a contralateral, recurrent parasagittal meningioma. On CT, density of the diploic meningioma was similar to that of the parasagittal meningioma, but the contrast study showed that the former enhanced much less than the latter. Magnetic resonance (MR) imaging demonstrated that the diploic tumor was heterogeneous and much less enhanced with Gadolinium-DTPA (Gd-DTPA) than the parasagittal meningioma on T1-weighted image, although they were very similar in signal intensities on T2-weighted and proton density-weighted MR images without Gd-DTPA. Reasons for such marked differences in enhancement patterns are discussed.

Female

[Ca++ antagonist and acute brain ischemia: effects of nilvadipine and nicardipine on middle cerebral artery occlusion in rats].

Effects of calcium antagonists, Nicardipine and Nilvadipine, on neurologic deficits and size of infarct were studied in the rat middle cerebral artery (MCA) occlusion model. Each drug was administered immediately after induction of ischemia, and neurologic grade was evaluated 1 to 24 hours after MCA occlusion. At 24 hours post-occlusion, size of the infarct was compared with that of the control group. In addition, evolution of cerebral infarction was studied at 6 hours and 12 hours post-occlusion by magnetic resonance imaging (MRI). In the Nilvadipine-treated group, neurologic deficits improved more rapidly and the size of infarct was significantly smaller than in the Nicardipine-treated group. MRI showed a progressive extension of cortical infarct in the untreated rat, whereas the infarct size remained unchanged in the Nilvadipine-treated rat. These results suggest the potential therapeutic usefulness of calcium antagonist for acute cerebral ischemia.

Acute Disease

Studies of variant palatal rugae in normal and corticosteroid-treated mouse embryos.

Fourteen- and 15-day mouse embryos treated with triamcinolone on day 11 of gestation were examined for the presence of variant rugae. Nontreated mouse embryos served as controls. Variant rugae found were classified into five types. All five types of variations (bifurcation, division, supernumerary, shortness and cross) were observed in triamcinolone-treated embryos, and shortness was most frequently seen. Supernumerary, bifurcation and division were ranked next, following by cross. Variant, rugae, except the cross, were also observed in non-treated embryos in low frequencies, but more than one-half of them were the bifurcation of the second ruga. Divided rugae ranked next, and supernumerary and shortness were found occasionally. Except for the bifurcated and supernumerary rugae, the greater part of the variant rugae were found in the fifth and fourth ruga in the triamcinolone-treated groups and in the fifth ruga in the nontreated groups. As the incidence of variant rugae in the triamcinolone-treated embryos was significantly higher than that in the nontreated, it was regarded as one of the changes induced by the corticoid. Based on the characteristic features of the rugal region, it is speculated that the formation of variant rugae is associated with the disturbance of normal epithelial-mesenchymal interaction which may be controlled by the nerve fibers appearing at the time of rugal formation. The relationship between the increased appearance of variant rugae and the failure of palatal shelf elevation was examined, but no direct evidence was obtained.

Abnormalities, Drug-Induced

Mechanism of mutism following the transcallosal approach to the ventricles.

Transient mutism has been known as a common manifestation following callosotomy for medically intractable epilepsy, but its cause has not been clearly elucidated. In this paper, we report three cases of mutism following a transcallosal approach to tumours in the lateral and third ventricles and retrospectively analyze the surgical, neurological and radiological features which may suggest the cause of this type of mutism. Mutism may be a result of division of the corpus callosum. Suppression of the limbic system caused by lesions in the anterior cingulate gyrus, septum pellucidum, and fornix may have been of importance in at least two of these three cases. Impairments of the supplementary motor cortex, thalamus and basal ganglia may also be factors reducing speech production. The mechanism of such transient mutism seems to be a complex of two or more of these factors, and their combinations may be different from one case to the other.

Adult

Primary carcinoma of the choroid plexus in the lateral ventricle.

Primary carcinomas of the choroid plexus are rare and occur more frequently in children than in adults. They have been posing a problem in their differential diagnosis from benign papilloma of the choroid plexus, ependymoma, and metastatic tumors of extracranial origin. A case of a 31-year-old woman with primary carcinoma of the choroid plexus in the trigone is reported. Electron microscopic and immunohistochemical studies are helpful, but not decisive yet, to reach the diagnosis. The literature is reviewed.

Adult

Reactivity to vasoactive agents of canine basilar arteries exposed to experimental subarachnoid hemorrhage.

Autologous blood was injected into the cisterna magna of mongrel dogs twice with an interval of 48 hours. They were killed 3 days, 1 week, or 4 weeks after the first injection of blood, and helical strips of the basilar artery were prepared. Contractions induced by 5-hydroxytryptamine, noradrenaline, prostaglandin F2 alpha, and oxyhemoglobin were significantly potentiated. Relaxations caused by nicotine, K+, arachidonic acid, and prostaglandin I2 were suppressed, but the relaxant response to calcium ionophore A23187 and substance P did not change significantly. These results suggest that contractions mediated via activation of alpha, 5-hydroxytryptamine, and prostaglandin F2 alpha receptors are potentiated, and relaxations caused by stimulation of vasodilator nerves and by endogenous and exogenous prostaglandin I2 are attenuated in dog basilar arteries exposed to subarachnoid clot. On the other hand, certain relaxations possibly mediated by endothelium-derived relaxing factor do not appear to be significantly influenced.

Animals

Effects of the calcium antagonist nilvadipine on focal cerebral ischemia in spontaneously hypertensive rats.

We studied the efficacy of preischemic and postischemic systemic treatment with a new calcium antagonist nilvadipine in a permanent focal cerebral ischemia model of spontaneously hypertensive rats. Rats that underwent microsurgical middle cerebral artery occlusion were blindly assigned to a single intraperitoneal injection of nilvadipine (0.32 mg/kg) or the same amount of polyethylene glycol either 15 minutes before, immediately after, 1 hour after, or 3 hours after occlusion of the left middle cerebral artery. Neurologic conditions of rats were closely examined, and rats were killed 24 hours later. Removed brains were sliced coronally, stained with triphenyltetrazolium chloride, and the size of infarct was determined. Although no neurologic improvements were observed in the treated rats, the area of infarcts was significantly reduced in the groups treated before, immediately after, and 1 hour after occlusion of the middle cerebral artery. Treatment started 3 hours after occlusion was ineffective.

Animals

Nilvadipine, a new calcium channel blocker, reduces ischemic brain injury in rats.

The effects of nilvadipine, a dihydropyridine type calcium channel blocker, on cerebral infarction induced by focal brain ischemia was studied in rats. The area of infarction was measured 24 hr after occlusion of the middle cerebral artery (MCA) in spontaneously hypertensive rats using triphenyltetrazolium chloride. Nilvadipine, given immediately after MCA occlusion, reduced the area of infarction significantly at doses of 0.32 mg/kg (i.p.) and 3.2, 10 and 32 mg/kg (p.o.). Nicardipine suppressed the area of infarction at a dose of 32 mg/kg (p.o.). The results suggest that nilvadipine is effective against ischemic brain injury.

Animals

Intraoperative monitoring of somatosensory evoked potentials in patients with cerebral aneurysm--correlation between central conduction time and postoperative neurological status.

Somatosensory evoked potentials (SEPs) were monitored during 55 aneurysm procedures in 49 patients to investigate the relationship between central conduction time (CCT) and neurological status in the immediate postoperative period. Significant CCT prolongation was observed in 15 cases. The postoperative neurological status deteriorated in nine of the 15 cases, compared with three of 40 cases without appreciable CCT changes. This difference was significant at p less than 0.05. The CCT prolongation was ascribable to temporary vascular occlusion in half of the cases. Intraoperative SEP monitoring is useful in predicting neurological morbidities in the immediate postoperative period in patients with cerebral aneurysm.

Adult

[Pulmonary edema caused by cardiac ischemic attacks in cases with or without minimal myocardial infarction].

We report cases of angina pectoris or minimal acute myocardial infarction accompanied by pulmonary edema, which were retrospectively studied with regard to their clinical characteristics, prognosis and treatment. Sixteen patients, 5 males and 11 females with a mean age of 72.6 years, admitted to the Cardiovascular Center of Sendai between January 1986 and June 1989, were studied. Ten had previous myocardial infarction. Hypertension, chronic renal failure and diabetes mellitus were found in 10, 7 and 7 patients, respectively. Electrocardiograms during cardiac ischemic attacks showed ST elevation in 8 and ST depression in the other 8 patients. Coronary arteriography which was performed in 6 patients revealed three-vessel disease in 5, and two-vessel disease in one. Mechanical ventilation was indicative of 7, and intraaortic balloon counterpulsation in 2 patients. Coronary artery bypass graft surgery was performed for 3 patients. All patients recovered from pulmonary edema and were discharged. During the mean 15-month-follow-up period, 8 patients died. The causes of death were sudden cardiac death in 3, acute myocardial infarction in one, congestive heart failure in one, post-surgical death in one, and non-cardiac death in 2.

Aged