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Biomedical subjects

K Fujieda

Publications and source records attributed to K Fujieda.

At least 127 records · Page 7Linked to original sources

Pituitary-adrenal function in women treated with low doses of prednisone.

In order to assess whether long-term low-dose glucocorticoid administration results in suppression of the hypothalamic-pituitary-adrenal (H-P-A) axis, we examined the response of plasma cortisol to insulin-induced hypoglycemia in 23 women treated with prednisone (5 mg/day) compared with that in 19 untreated women. Basal AM levels of plasma cortisol were unaffected (mean +/- SE, 11.6 +/- 0.9 versus 11.2 +/- 0.7 microgram/dl). The plasma cortisol increment at 609 minutes after insulin-induced hypoglycemia was significantly smaller in the treated group than in the untreated group (6.7 +/- 1.0 versus 11.6 +/- 1.2 microgram/dl, p less than 0.005). Thirteen of 23 women (56.5%) in the steroid-treated group compared to one of 19 (5.3%) in the untreated group, showed a rise in plasma cortisol of less than 6 microgram/dl at 60 minutes. Furthermore, a similar reduction in the increment of plasma cortisol was also found in a subset of 10 women tested both before and during prednisone treatment. These results indicate that the concept that low doses of glucocorticoids are free of suppressive effects on H-P-A function is not justified.

Adult↗

Cortisol, 11-desoxycortisol, and 21-desoxycortisol concentrations in amniotic fluid during normal pregnancy.

Concentrations of unconjugated cortisol, 11-desoxycortisol, and 21-desoxycortisol were measured by radioimmunoassay in amniotic fluid throughout gestation. Cortisol levels rose from a median of 6.5 nanograms per milliliter prior to 20 weeks to 13.9 ng/ml at 28 to 37 weeks. Median levels of 11-desoxycortisol and 21-desoxycortisol were 2.6 ng/ml and 0.21 ng/ml, respectively, and did not change with advancing gestation. These normal values provide a basis for the application of assays of 11-desoxycortisol and 21-desoxycortisol in amniotic fluid in the prenatal diagnosis of congenital adrenal hyperplasia.

17-Hydroxycorticosteroids↗

Aldosterone and corticosterone in amniotic fluid during various stages of pregnancy.

Concentrations of unconjugated aldosterone and corticosterone were measured in amniotic fluid (AF) at different stages of pregnancy. AT 9-20 weeks gestation the mean AF level of aldosterone was 14.4+/0.7 ng/dl, and of corticosterone 82.9 +/- 6.4 ng/dl. Both showed the same pattern during pregnancy, with a rise in AF levels in the last few weeks. At 28-40 weeks gestation the mean AF aldosterone level was 25.5 +/- 2.0 ng/dl and the mean AF corticosterone was 218.3 +/- 26.6 ng/dl.

Aldosterone↗

Assays and dynamics of corticotropin-releasing factor activity in rat hypothalamus.

Features of several assays for corticotropin-releasing factor (CRF) were compared, with reference to sensitivity, precision, specificity and convenience. In general, in vivo assays are less specific, whereas in vitro assays with isolated pituitary cells appear to suffer from vulnerability. Promising approaches for overcoming this difficulty are appearing: one is the cell culture technique and the other is the perfusion of pituitary cell column. However, the findings with vasopressin are again discordant. So far, the in vivo-in vitro assay system appears to be the most satisfactory. In this connection, special emphasis was laid on the CRF assay by out intrapituitary injection technique through the parapharyngeal approach, which has features of both in vivo and in vitro systems. The drawbacks with this assay are its complexity and relatively lower precision. Problems of the use of dexamethasone are discussed from a viewpoint of possible multistage feedback inhibition, as postulated by Yates et al. Several findings on the CRF dynamics were mentioned, in order to exemplify the findings obtained with our assay: it was shown that the two-peaked changes of CRF after ether-laparotomy stress in adult rats were composed of heterogeneous components, as revealed by differential effect of cycloheximide. Pretreatment with cycloheximide similarly abolished the delayed CRF peak that was observed in 2-day-old neonatal rats under stress. These findings suggest an operation of a biochemical denominator in common with both cases.

Adrenocorticotropic Hormone↗

[Analysis of dynamics of corticotropin-releasing factor (CRF) activity in the rat hypothalamus under stress].

Obviously, the analysis of dynamic changes in the hypothalamic activity of corticotropin-releasing factor (CRF) is essential for understanding of the central regulatory mechanism of ACTH secretion. However, the significance of the changes in CRF activity will be extremely lessened if the effect of CRF per se be modified at the pituitary level. In fact, Yates et al. (1971) reported that the CRF effect was potentiated by the presence of vasopressin. Therefore, in this study we attempted first to determine if vasopressin does potentiate the CRF action. Next, we analyzed some aspects of CRF dynamics in the rat hypothalamus under prolonged stress. (1) Potentiation of CRF action by vasopressin. This possibility was examined by the following approaches: i) Adrenocortical responses to various mild stressors (exposure to sound, i.p. injection of saline solution, tail cut) were greater in dehydrated rats than in normal controls. ii) Similarly, the adrenocortical response to intravenous injection of stalk-median eminence extract (SME) through the tail vein under Nembutal anesthesia was larger in the dehydrated rat than in control. iii) Prior to SME administration, vasopressin in a subthreshold dose was injected intravenously to assay rats pretreated with chlorpromazine (CPZ)-morphine (M)-Nembutal (Nb). The adrenocortical response to SME, injected into the carotid artery 1 min later, was found significantly to increase due to prior administration of vasopressin. iv) However, no potentiating effect of vasopressin was observed when SME and vasopressin (4 mU) were placed stimultaneously into the anterior pituitary tissue by the intrapituitary injection technique. v) In addition, no potentiating effect was observed in vitro incubation experiments under varying incubation conditions. Thus, it was shown that vasopressin has some potentiating effect on the stress response in vivo, but the effect is not at the pituitary level. (II) Analysis of dynamic changes in hypothalamic CRF activity. CRF activity was estimated by the intrapituitary injection method of Hiroshige, the plasma ACTH and corticosterone levels being followed simultaneously. Plasma ACTH was determined by radioimmunoassay partly with RCC-RIA Kit, and partly with ACTH antisera (kindly supplied by Dr. W.F. Ganong) by the method of Berson and Yalow. i) In intact normal rats, the response pattern of hypothalamic CRF activity under etherlaparotomy stress was characteristically biphasic, i.e., composed of rapid and slow phases, while the plasma ACTH and corticosterone showed a sustained high level over a 2 hr of observation period.

Adrenocorticotropic Hormone↗

Renal tubular acidosis and skeletal demineralization in patients on long-term anticonvulsant therapy.

Three children ranging from seven to 12 years of age from unrelated families were given long-term anticonvulsant therapy including acetazolamide (Diamox). These children had rickets and renal tubular acidosis. Investigations have suggested (1) secondary hyperparathyroidism due to hypocalcemia of rickets and (2) prolonged acetazolamide therapy were responsible for acidosis as a result of reduction of bicarbonate reabsorption in the kidney. A clear-cut recovery from acidosis and rickets was seen in two patients following medication with high doses of vitamin D, an oral supplement of phosphorus, and discontinuance of acetazolamide therapy.

Acetazolamide↗

[Diurnal variations and the effect of cold exposure on the tissue histamine content in the rat (author's transl)].

Diurnal variations and the effect of cold exposure on histamine content in the liver, pinna and interscapular brown adipose tissue were investigated in the rat. A significant circadian rhythm of the histamine content was observed in the pinna and liver. In these tissues the content showed the peak at 5:00 a.m. and was maintained at low levels during the daytime. No significant variation was seen in the histamine content of brown adipose tissue. Acute cold exposure at -10 degrees C for 60 min caused an increase in the histamine content of the liver, while in the other two tissues the content was not affected by the cold exposure. Chronic cold exposure at 5 degrees C for 2 weeks caused a marked increase in the histamine content in brown adipose tissue and a moderate increase in the liver, while the content decreased in the pinna.

Adipose Tissue, Brown↗