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Biomedical subjects

K Kawakatsu

Publications and source records attributed to K Kawakatsu.

At least 19 recordsLinked to original sources

Effect of ozagrel (OKY-046), a thromboxane synthetase inhibitor, on theophylline pharmacokinetics in asthmatic patients.

The effect of ozagrel (OKY-046), a selective thromboxane A2 synthetase inhibitor, on theophylline disposition was studied in 12 asthmatic patients. Ozagrel was administered at a dose of 200 mg twice daily for 24 weeks to 4 outpatients receiving oral theophylline medication. Blood samples were drawn from each patient visiting the hospital at one to four-week intervals. There were no clinical significant changes between the time course profiles of serum theophylline concentration during the treatment and those after the cessation of ozagrel dosing. In addition, another 8 hospitalized patients received a single intravenous infusion of aminophylline (200 mg as theophylline) before and after ozagrel treatment of 200 mg twice daily for 7 days. No statistical significant alteration in elimination half-life, total body clearance or volume of distribution of theophylline was observed by the administration of ozagrel. These results suggest that ozagrel does not inhibit the metabolism of theophylline despite having an imidazole ring in its chemical structure.

Acrylates

Separation and determination of theophylline from paraxanthine in human serum by reversed-phase high-performance liquid chromatography.

A sensitive and highly specific method for the determination of theophylline in serum by high-performance liquid chromatography (HPLC) has been developed. Theophylline was completely separated from paraxanthine, a major metabolite of caffeine which has been known to interfere with most isocratic reversed-phase HPLC methods, with a mixture of acetonitrile/tetrahydrofuran/acetate buffer (10 mM, pH 5.0; 5:1:94, v/v %) as the mobile phase using a C18 bonded reversed-phase column. Neither the other xanthine and uric acid derivatives nor numerous drugs tested were found to interfere. The proposed method was applied to therapeutic monitoring utilizing its excellent precision, reproducibility and high specificity for theophylline.

Aged

Effects of enoxacin, ofloxacin and norfloxacin on theophylline disposition in humans.

The effect of three new fluoroquinolones on theophylline kinetics and the urinary excretion of metabolites was studied in 5 healthy subjects (3 male, 2 female). All subjects received serial, single i.v. infusions of theophylline (aminophylline, 250 mg) over 60 min after 200 mg doses of a quinolone (enoxacin, ofloxacin, norfloxacin) every 8 h for 3 consecutive days, the quinolone being administered up to the day following theophylline administration. Pretreatment with ofloxacin and norfloxacin did not influence theophylline disposition, but theophylline clearance fell from 0.054 to 0.027 l.h-1.kg-1 in the presence of enoxacin, without a change in the apparent volume of distribution. Enoxacin, too, was the sole compound to increase the urinary excretion of theophylline (33.2 vs 43.9 mg, before vs after treatment), and significantly to decrease the excretion of 3-methylxanthine (3-MX), 1-methyluric acid (1-MU) and 1,3-dimethyluric acid (1,3-DMU) in 24-h urine samples (from 19.8 to 7.16 mg, from 28.3 to 10.3 mg and from 68.8 to 49.5 mg, respectively). The effect of the quinolones on hepatic drug metabolizing enzyme activity was investigated in each subject using the ratios of 6-hydroxycortisol to total 17-hydroxycorticosteroids and to free cortisol in 24-h urines as an index of the hepatic P-450-dependent enzyme system. No significant difference in ratio was observed between control and other treatments. It is concluded that the theophylline-enoxacin interaction was largely due to inhibition of a metabolic system other than the common hepatic P-450 system.

17-Hydroxycorticosteroids

Metastasis of adenoid cystic carcinoma of the mandible to the Gasserian ganglion.

A case of adenoid cystic carcinoma of the mandible in a 47-year-old woman metastasized to the Gasserian ganglion probably through the perineural space of the inferior alveolar nerve. The patient was treated by irradiation after excision of the tumor from the ganglion. She is currently an outpatient in the oral and maxillofacial surgery department; two years and seven months after the first examination, there is no sign of recurrence or metastasis of adenoid cystic carcinoma.

Carcinoma, Adenoid Cystic

1-naphthyl acetate esterases in fluids and tissues of jaw cysts.

The activity and electrophoretic mobility of 1-naphthyl acetate esterases in cystic fluids and cystic tissues of ameloblastomas, follicular and apical cysts were examined. The cystic fluids showed lower activities than sera but had very similar patterns on the electrophoretogram. The activity levels of the three kinds of cystic fluids were not statistically significantly different. The fluid esterases may have originated from serum but they were not produced by the cystic lining tissue. Ameloblastoma tissues showed the highest activity per wet weight and per mg protein of the three kinds of cyst lesions (P less than 0.05). On the electrophoretogram, the esterase-I activity constituted 41% of the total activity in ameloblastomas, whereas in follicular cysts and apical cysts the esterase-I activity constituted 32% and 24% of the total activity, respectively.

Ameloblastoma

Hyperdynamic beta-adrenergic circulatory state. A case report.

A 22-year-old Japanese male with hyperdynamic beta-adrenergic circulatr without premedication. An abnormal electrocardiographic pattern was observed during the dental treatment, which was analyzed from the standpoint of beta-adrenergic receptors and drugs. During treatment, local anesthetics without adrenergic beta-stimulant would be desirable but premedication with beta blocker may be enough even when anesthetic agents with beta-stimulators are used. Furthermore, premedication with minor tranquilizers is also effective.

Adult

Congenital fibromyxoma: report of case.

We have reported the clinical behavior and histochemical patterns of a congenital fibromyxoma in the soft tissues. The tumor was excised without difficulty; one year postoperatively, no recurrence was seen by clinical and radiographic examinations. There were no findings to suggest that the myxoma is a true neoplasm derived from the so-called myxoblast.

Fibroma

Fibrinolytic activity in cystic lesions of jaw bones.

The fibrinolytic activity in the tissues of cystic lesions of jaw bones was investigated by the semiquantitative method of Astrup. The specimens examined were ameloblastoma (9 cases), follicular cyst (8 cases) and radicular cyst (14 cases). High fibrinolytic activity was observed in ameloblastoma, while in radicular cyst the activity was variable. It is suggested that in radicular cyst inflammatory episodes play an important role in activating local fibrinolysis, while in ameloblastoma the tissue itself has a great capacity to induce locally activated plasmin.

Ameloblastoma

Effect of human serum plus streptokinase on spontaneous pulmonary metastases of Vx2 carcinomas transplanted in the maxillary sinus of the rabbit.

The effect of fibrinolysis induced by human serum plus streptokinase on the spontaneous pulmonary metastases of Vx2 carcinomas transplanted in the maxillary sinus of the rabbit was investigated. Human serum plus streptokinase could well induce fibrinolysis in the tumor-bearing rabbits. Induced fibrinolysis significantly promoted the spontaneous pulmonary metastases of Vx2 carcinomas.

Animals

Analysis of 102 lesions diagnosed as "palatal tumor" in a spot diagnosis.

The present report analyzes 102 pathologic conditions of the palate which had been diagnosed as "palatal tumor" in a spot diagnosis at Osaka University Dental Hospital over an 8-year period. Tumors of minor salivary glands were the most frequent (51 cases, 50%). Tumors of non-salivary gland origin numbered 22 cases (21.6%), and inflammatory and cystic lesions totalled 29 cases (28.4%). The specificity of the tumors and the tumorous lesions in the palate are discussed.

Adenocarcinoma