Biomedical subjects
M Furusawa
Publications and source records attributed to M Furusawa.
High-performance liquid chromatographic determination of branched-chain alpha-keto acids in serum using immobilized leucine dehydrogenase as post-column reactor.
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A post-column immobilized leucine dehydrogenase reactor for determination of branched chain amino acids by high-performance liquid chromatography with fluorescence detection.
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A post-column co-immobilized galactose oxidase/peroxidase reactor for fluorometric detection of saccharides in a liquid chromatographic system.
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The policy of surgery for small carcinoid tumors of the rectum.
In this report, we discuss the current policy of surgery for small carcinoid tumors of the rectum, with reference to our own cases and also to those reported in the literature. Ten cases of rectal carcinoid tumors were surgically treated at the National Kyushu Cancer Center over a period of sixteen years and three months. The tumors ranged in size from 0.2 to 1.0 cm, with an average of 0.5 cm, and all were confined to the submucosa. The lesions were treated by local excision in eight patients and by low anterior resection in the other two cases, where transanal or transsacral excision was considered difficult. No lymph node involvement was found in these two cases. All patients are alive and well without recurrence, after an average follow-up time of three years and six months. According to the literature, the incidence of metastasis from rectal carcinoid tumors smaller than 1 cm is very low, ranging between 1.7 to 3.4 per cent, and it therefore seems that most such lesions can be treated by local excision alone. If, however, any muscle invasion or lymphatic vessel invasion is demonstrated, then radical surgery is recommended.
[Effect of uracil on the both reactions, 5-fluorouracil degradation into 2-fluoro-beta-alanine and 5-fluorouracil splitting from tegafur in human tumor].
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[Development of a cancer of the large bowel following radiotherapy for cancer of the uterine cervix].
Eight patients with a colorectal cancer, following radiotherapy for a cervical cancer have been analyzed. A total of 9 lesions in the large bowel were found. Four were located in the rectum. The average interval between radiation and the diagnosis of a second tumor was 9 years and 6 months. Four patients had had a post-irradiation interval of more than 10 years. In 7 resected specimens, histologic alterations were seen, such as atrophy or the erosion of the mucosal layer around the tumor. Radiotherapy may have contributed to the development of the colorectal cancer in some of these patients. Thus, attention should be paid to monitoring patients who have received radiotherapy for a cervical cancer, since the development of a colorectal cancer after pelvic radiotherapy may occur.
[Experimental studies on the sealing properties of various kinds of root canal sealers in vitro (Part 3)].
In previous studies (Shikwa Gakuho 80: 473-485, 1471-1486, 1980), the authors have reported on sealing properties in vitro. But the recent development of many new sealers makes necessary a detailed reexamination at this time. The experimental materials were as follows; Zinc oxide eugenol sealer......Canals Calcium hydroxide eugenol sealer......CRCS, Dentalis KEZ Calcium hydroxide guaiacol sealer......FR Hydroxyapatite sealer......Finapec APC, Apatite root sealer TYPE III The experimental procedure employing a glass tube and the dye-penetration method was similar to the one used in previous studies. Results of the investigation; 1. Degrees of dye penetration were classified into 3 types i) Immediate penetration through the zone between the material and the glass tube within 2 days.--Apatite root sealer TYPE III, Dentalis KEZ ii) Little penetration within 12 hours but gradual penetration to the deep zone thereafter.--CRCS, Canals iii) Slight penetration within 7 days and then gradual penetration 1/5 of the way through the zone between the material and the glass tube.--Finapec APC 2. Dye penetrated through the material in the case of apatite root sealer TYPE III and FR.
[Histopathological studies of periodontal tissue reactions to perforations in the furcation of dogs' teeth treated with cyanoacrylate cement (FH Cement)].
In the previous study (Shikwa Gakuho, 85: 413-451, 1985.), Morinaga reported on the histopathology of furcation perforations treated with ethyl cyanoacrylate and showed that, because of its properties, this material cannot be expected to effect a permanent blockade. It did not, however, irritate the wound. The purpose of this study is to investigate the effects of a new cyanoacrylate cement (FH Cement) when applied to furcation perforations. Subjects were 25 mandibular and maxilla premolars and molars obtained from 3 adult dogs. The method used in the study was as follows. After administration of pentobarbital-sodium general anesthesia, the pulp chamber was opened by means of a high-speed air turbine fitted with a diamond point. According to usual procedures, the pulp was removed, and the main root canal was filled. Next the floor of the pulp chamber was deliberately perforated by means of a 1mm round bur that had been previously sterilized in advance pouring a physiological sodium chloride solution at the same time. The perforated areas were then washed with a same solution, wiped, and dried with aseptic cotton pellets. They were then stuffed with cyanoacrylate cement. The cavity was lined with gutta-percha temporary stopping, and the remainder of the cavity was filled with silver amalgam. At periods of 1, 2, 4, 8 and 12 weeks after the operation, the animals were sacrificed by means of electricity under general anesthesia. The jaw bones were removed, fixed, decalcified, and embedded in celloidin. Longitudinal sections were stained with hematoxylin-eosin. Results 1. Periodontal tissues around perforated sites were healed by means of scar tissue, though suppuration occurred in a few cases. 2. Hard tissue was appended to the teeth in a small number of cases. 3. Repair of the alveolar bone was observed in the damaged site in about half of all cases. From the result mentioned above, cyanoacrylate cement (FH Cement) was seemed to did not close the site perforation for it self, but was not a stimulant to wound, in case of appropriate blockade.
Improved high-performance liquid chromatographic method with fluorimetric detection for the determination of glycerol using an immobilized enzyme column reactor.
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Cloning and sequence analysis of cDNA encoding a precursor for porcine brain natriuretic peptide.
Brain natriuretic peptide (BNP) is a new type of natriuretic peptide recently identified in porcine brain. Since the highest concentration of BNP was found in the cardiac atrium, the cDNA library of porcine cardiac atrium was constructed, and the cDNA clone encoding a BNP precursor was isolated and sequenced. The precursor for porcine BNP (porcine prepro-BNP) is 131 amino acids in length, including a 25 residue putative signal peptide at the N-terminus. Porcine BNP structure is located at the C-terminus of the precursor and is directly followed by a termination codon. Based on structural data recently obtained for gamma-BNP (a main storage form of BNP in the heart), prepro-BNP is processed to 106-residue gamma-BNP by removal of the signal peptide in the heart, and to low molecular weight forms, such as BNP-26 and BNP-32, in the brain.
Surgery for colorectal cancer in elderly patients--a comparison with younger adult patients.
Between 1972 and 1986, 668 patients without familial polyposis coli underwent surgery for colorectal cancer at the National Kyushu Cancer Center. Among these, there were 85 patients aged 75 years and older, and 39 patients aged 39 years and younger. The older patients tended to have a higher frequency of less advanced disease (stage I-III) and the progression of cancer in the older patients appeared to be relatively mild. The operative mortality rate of the older patients was as low as 1.2 per cent, which was almost identical to that of the younger adults (0 per cent), being 16.7 per cent for emergency operations, whereas it was 0 per cent for elective operations. The five-year survival curve of the older patients with curative resections was significantly better than that of those with noncurative resections. There was no significant difference in the cancer-related five-year survival curves between the older and younger patients with curative resections. Surgery for colorectal cancer in elderly patients should therefore not be restricted on the basis of chronological age alone.
Flow enthalpimetric determination of glucose.
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Isolation by monoclonal antibody of intercalated cells of rabbit kidney.
We produced a monoclonal antibody, gamma G6, that reacts only with one cell type in the connecting (CNT) and collecting tubules (CT) of rabbit kidney. The gamma G6 antibody-reactive cells revealed carbonic anhydrase activity, showing one of the characteristics of intercalated (IC) cells. Using immunoelectron microscopy, we demonstrated that IC cells in cortical CT consist of the gamma G6 antibody-reactive and non-reactive cells, whereas all IC cells in medullary CT were reactive with the gamma G6 antibody. We used a cell sorter to enrich this cell type from the isolated kidney cell suspension. When we measured hormone-sensitive adenylate cyclase (ACase) activities of the sorted cells, the presence of parathyroid hormone (PTH) and isoproterenol (ISO) almost doubled ACase activities when compared with the basal values; however, no additive effect of PTH and ISO was observed. They showed no calcitonin-sensitive ACase and negligible arginine vasopressin (AVP)-sensitive ACase. We suggest that the IC cells recognized by the gamma G6 monoclonal antibody possess a receptor(s) for PTH and/or ISO but not for AVP in the CNT and CT, although it remains to be clarified whether the reactivities to PTH and ISO in these cells originate from single or dual cells.
[5-FU concentration in portal blood after oral administration of 1-hexylcarbamoyl-5-fluorouracil (HCFU)].
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hst-1 transforming protein: expression in silkworm cells and characterization as a novel heparin-binding growth factor.
A protein encoded by an hst-1 transforming gene was expressed in silkworm-derived BmN cells and secreted into the culture medium using a recombinant baculovirus vector. The strong affinity for heparin of the secreted protein made it possible to purify the hst-1 protein to homogeneity in a two-step procedure. The purified hst-1 protein has a molecular weight of 18,000 and stimulates both DNA synthesis in NIH3T3 cells and human umbilical vein endothelial cell proliferation. In addition, morphological changes and anchorage-independent growth of NIH3T3 cells are induced by this product. These results show that the hst-1 transforming protein is a novel heparin-binding growth factor as predicted by nucleotide sequence analysis.
[Long-term chemotherapy in patients with stage IV gastric cancer after surgical treatment--a randomized comparative study of FT-207 and UFT].
A prospective randomized and comparative study of FT-207 and UFT was performed for cases of Stage IV gastric cancer involving long-term cancer chemotherapy after surgery. Immediately after the surgery, the subjects were randomly divided into two groups: A group treated by MMC and FT-207: and B group treated by MMC and UFT. From a total of 54 cases, 8 cases were excluded, so that A group consisted of 24 subjects and B group of 22 subjects. There were no differences in background factors between the two groups. In a comparison of all the cases, B group revealed a significantly higher survival rate than A group. These results indicated that the simultaneous use of MMC and UFT was effective as a long-term cancer chemotherapy after surgery for patients with Stage IV gastric cancer.
Mucoepidermoid carcinoma arising from a preexisting cyst of the liver.
A case of mucoepidermoid carcinoma of the liver of a 46-year-old female is described. The resected mass from the left lobe of the liver measured 3 X 3 X 2 cm. The cut surface showed a well demarcated white, round shape, and a cystic formation measuring 1.8 X 1.4 cm was present in the center of the mass. Microscopically, the mass showed high-grade-type mucoepidermoid carcinoma, which consisted of squamous cells, mucus-producing cells, and glandular cells. The cystic wall was lined with apparently benign glandular, mucus-producing cells, squamous metaplastic cells, and tumor cells. The tumor was intimately contiguous with the cyst and gradual transition between tumor cells and cystic lining cells was recognized. It is suggested that the mucoepidermoid carcinoma of the liver in the present case was derived from malignant transformation of a preexisting cyst of the liver.