Biomedical subjects

Keiji Nakashima

Publications and source records attributed to Keiji Nakashima.

3 recordsLinked to original sources

PubMed2005

Renal-tissue damage induced by laparoscopic partial nephrectomy using microwave tissue coagulator.

BACKGROUND AND PURPOSE: The microwave coagulator is a useful instrument that enables surgeons to perform partial nephrectomy without vascular clamping. The extent of postoperative thermal damage in surgically spared renal tissue has not been well examined. The present study was conducted to evaluate the tissue damage caused by microwave coagulation in laparoscopic partial nephrectomy (LPN) for small renal tumors. MATERIALS AND METHODS: Seven cases of LPN with a microwave tissue coagulator were entered in the present study. The median tumor diameter was 1.5 cm, and the median size of the resected specimen was 2.2 cm. Postoperative tissue damage was evaluated by contrast-enhanced CT 1 month after surgery. Surgically spared renal-tissue volume and functioning renal-tissue volume were estimated from the images by NIH Image 1.62 software. RESULTS: Postoperative CT revealed unenhanced renal tissue adjacent to the surgical margin. The median estimated volumes of surgically spared and functioning renal tissue were 96.1% (range 74.3%-99.8%) and 88.4% (range 68.0%-92.7%) of preoperative normal renal tissue, respectively. The percentile volume of functioning to surgically spared renal tissue ranged from 89.9% to 96.0% (median 92.8%). CONCLUSIONS: The microwave coagulator enables us to carry out partial nephrectomy without vascular clamping. Although 96% of normal renal tissue was surgically spared, 4% to 10% of this tissue was nonfunctioning as a result of microwave-induced thermal damage.

Aged↗

PubMed2004

Increased in vitro release of interferon-gamma from ampicillin-stimulated peripheral blood mononuclear cells in Stevens-Johnson syndrome.

Stevens-Johnson syndrome (SJS) was diagnosed in a 39-year-old woman, treated with ampicillin (4000-8000 mg daily), phenytoin (250 mg daily), and furosemide (20-40 mg daily) for 25, 21, and 20 d, respectively, before the appearance of the eruption. The lymphocyte stimulation test with the MTT [3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyl tetrazolium bromide] assay on ampicillin, phenytoin, and furosemide showed a low value of stimulation index, which indicated negative reactivity. An in vitro IFN-gamma release test was conducted on the patient with SJS and on two healthy controls. IFN-gamma release increased by 52% following the in vitro challenge of the patient's peripheral blood mononuclear cells (PBMCs) with 15 microg/ml of ampicillin, but not with phenytoin or furosemide. Neither of the controls experienced increased IFN-gamma release. In the present case, increased in vitro IFN-gamma release was observed on ampicillin-stimulated PBMCs, which may indicate the role of ampicillin as the drug responsible for the induction of SJS, and may imply the role of IFN-gamma in the pathogenesis of SJS.

Adult↗

PubMed2002

[Effects of pesticides on cytokines production by human peripheral blood mononuclear cells--fenitrothion and glyphosate].

In patients with pesticides poisoning, human immune system seems to be damaged. However, the effects of pesticides on human immune system, especially on cytokines production, have not been understood well. We investigated the effects of fenitrothion (MEP), an organophosphorus insecticide, and glyphosate (GLP), a phosphorus containing amino acid-type herbicide, on cytokines production by human peripheral blood mononuclear cells (PBMC). MEP inhibited the proliferative activity of PBMC at ranging from 1 to 500 microM in a concentration-dependent manner, whereas GLP had a slight inhibitory effect even at 1000 microM. The production of IFN-gamma and IL-2 was inhibited by MEP in a concentration-dependent manner, but GLP slightly inhibited their production only at 1000 microM. The production of TNF-alpha and IL-1 beta was not affected by MEP and GLP at the concentrations which significantly inhibited the proliferative activity and T cell-derived cytokine production. MEP inhibited the production of T cell-derived cytokine (IFN-gamma and IL-2), which indicates that MEP might have the potential of immunosuppressive action. On the other hand, GLP might be a pesticide with only a little damage to the immune system, according to the results in cytokines production. These results suggest that pesticides inhibit the immune system differently, and the grasp of immune condition might be useful for the prognostic presumption and the infectious danger of degree in patients with pesticides poisoning.

Cell Division↗