Biomedical subjects
M Ishiyama
Publications and source records attributed to M Ishiyama.
Urinary N-acetyl-beta-D-glucosaminidase (NAG) activity in patients with Graves' disease, subacute thyroiditis, and silent thyroiditis: a longitudinal study.
Urinary N-acetyl-beta-D-glucosaminidase (NAG) activity was measured longitudinally in 12 patients with Graves' disease, 5 patients with subacute thyroiditis, and 1 patient with silent thyroiditis, and compared with that of 36 normal controls. The patients with Graves' disease and subacute thyroiditis were treated with anti-thyroid drug (methimazole or propylthiouracil) and prednisolone, respectively. On the other hand, no treatment was given to the patient with silent thyroiditis. Since two patients with Graves' disease clearly showed transient deterioration of the thyroid function during the treatment period, data from these two patients were separately investigated. Urinary levels of NAG in the remaining ten patients with Graves' disease before, 1, 3, 6 and 12 months after the treatment were 15.59 +/- 7.93 (SD), 8.96 +/- 6.82, 4.39 +/- 2.33, 3.46 +/- 2.24, and 3.63 +/- 2.38 U/g.creatinine (g.Cr.), respectively. Those obtained before, 1 and 3 months after the treatment were significantly higher than those of the controls (2.85 +/- 1.12 U/g.Cr.). Free thyroid hormone levels became normal or low 3 months after the treatment. The two Graves' patients mentioned above showed a transient increase in urinary NAG with concomitant changes in free thyroid hormone levels. Urinary NAG levels in the patients with subacute thyroiditis before, 2, 4, and 6 weeks after the treatment were 16.56 +/- 10.97, 6.76 +/- 2.79, 3.14 +/- 0.48 and 3.70 +/- 1.44 U/g.Cr., respectively. Those obtained before and 2 weeks after the treatment were significantly higher than those of the controls. Free thyroid hormones were normal 2 weeks after therapy. Urinary NAG in the patient with silent thyroiditis was 9.60 U/g.Cr. on the first visit and gradually decreased.(ABSTRACT TRUNCATED AT 250 WORDS)
A case of extraadrenal pheochromocytoma with papillary thyroid carcinoma.
A 63-year-old housewife with a history of partial thyroidectomy was referred to our hospital because of a neck mass and abdominal tumor. Aspiration biopsy of the neck tumor revealed the recurrence of papillary thyroid carcinoma. Magnetic resonance imaging (MRI) of the abdomen and urinary and plasma catecholamine levels indicated that the tumor beside the abdominal aorta was an extraadrenal pheochromocytoma. Two tumors were excised and histologic studies confirmed the diagnosis. So far two cases of extraadrenal pheochromocytoma with papillary thyroid carcinoma have been reported. The present case indicates that the presence of papillary thyroid carcinoma should be considered in patients with extraadrenal pheochromocytoma.
Microstructural features of dipnoan tooth enamel.
Tooth plates of extant lungfishes were examined by contact microradiography, light microscopy and TEM, to elucidate the nature and origin of the hypermineralized surface layer. TEM indicated that the matrix of this layer consisted of organic filamentous material, and no collagen fibres were seen in the matrix. The matrix appeared to be secreted by oral epithelial cells of the inner fold surrounding the surface of the tooth plate, and deposited in the area between the cell membrane and basal lamina-like structure of these epithelial cells. Therefore, it is suggested that the hypermineralized surface layer of lungfish plates is enamel of ectodermal origin.
The fine structure and formation of hypermineralized petrodentine in the tooth plate of extant lungfish (Lepidosiren paradoxa and protopterus sp.).
Histological features of the tooth plate of lungfish were investigated by light and electron microscopy and contact microradiography with primary reference to the fine structure and formation of petrodentine, one of the principal constituents of the tooth plates. Petrodentine is a highly mineralized tissue noticeably analogous to that of enameloid, and is deposited intermittently in a proximal direction by the sole participation of mesenchymal petroblasts. The petroblasts appear very likely to have prominent biphasic functions of secreting the petrodentine matrix and of eliminating the matrix by resorption. The petrodentine thus may be capable of attaining hypermineralization with the participation mesenchymal cells alone. Mineral crystals constituting the petrodentine are large, hexagonal or similar but irregularly shaped columns. Initially these crystals appeared extremely thin, with curled ones frequently noted. The petrodentine of lungfish tooth plates is considered to be structurally distinct from the pleromin (Kosmin) of holocephalian tooth plates because of the difference between their constituent crystals.
Studies on the distribution of mineral elements in the tooth of zinc-deficient rats.
Elemental analysis of plaque-like black deposits noted on the surface of teeth in zinc-deficient rats at necropsy was performed. Rats deficient in zinc show signs of abnormality in iron metabolism and increase or accumulation of iron in plasma and tissues. This study was designed, therefore, to examine the plasma and salivary levels of iron and other elements and to determine the distribution of mineral elements in the dental substances of zinc-deficient rats by contact microradiography, electron probe microanalysis (EPMA) and X-ray fluorescent element mapping spectrometry (XEMS) on ground sections of teeth. Rat tooth specimens were analyzed also for zinc, iron, copper and manganese using colorimetry and Inductively Coupled Plasma, ICP. EPMA and XEMS analyses revealed the presence of iron on the enamel surface of maxillary molars teeth of zinc-deficient rats. However, no such deposition was seen on those of controls. The zinc-deficient rats showed higher iron concentration in mixed saliva and in plasma, compared with the controls. Thus, the sign of abnormality in iron metabolism noted in the oral cavity of zinc-deficient rats was investigated by EPMA and XEMS analyses, with discussion on the origin of supradental iron deposits.
[A case of retroperitoneal schwannoma considered to be of celiac plexus origin (vagus nerve)].
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Mechanisms of hypoglycemic activity of ganoderan B: a glycan of Ganoderma lucidum fruit bodies.
Ganoderan B increased the plasma insulin level in normal and glucose-loaded mice but elicited no effect on insulin binding to isolated adipocytes. Administration of ganoderan B elicited significant increases of the activities of hepatic glucokinase, phosphofructokinase and glucose-6-phosphate dehydrogenase, decreased the hepatic glucose-6-phosphate and glycogen synthetase activities and did not affect the activities of hexokinase and glycogen phosphorylase. Ganoderan B reduced the glycogen content in the liver but had no influence on total cholesterol and triglyceride levels in the plasma and liver.
The structure and development of the collar enameloid in two teleost fishes, Halichoeres poecilopterus and Pagrus major.
Histologically the outer layer of the collar enameloid obviously differs from the inner layer, and it has a degree of mineralization nearly as high as the cap enameloid which has the highest. In the stage of matrix formation, the organic matrix of the collar enameloid contains a number of collagen fibers, and odontoblasts display features suggesting that these cells actively synthesized and secreted collagen. A number of cell processes, matrix vesicles and some cell debris which were probably derived from the odontoblasts were observed in the organic matrix of the collar enameloid. We consider that the majority of the organic matrix in collar enameloid originates from the odontoblasts. In the stage of maturation, collagen fibers were not observed in the outer layer of the collar enameloid in demineralized specimens. In the IDE cells during this stage, the complex infoldings of cell membranes developed in the distal portion, and several lysosomal granules and irregular-shaped granules containing many tubular structures, were observed in the distal cytoplasm. In the ODE cells, abundant labyrinthine canals appeared in the cytoplasm, and capillary vessels were found close to the outer surface of the ODE cells. We assume that the higher mineralized outer layer of the collar enameloid is made possible by the absorptive and transport functions of the epithelial cells during the stage of maturation. It is considered that the collar enameloid in this study was initially produced by the odontoblasts and then reconstructed by the epithelial cells, so that the collar enameloid differs from true enamel.
Enamel structure in odontocete whales.
With regard to the enamel structure of mammals, a large number of studies have been reported in the past. Of them, however, the enamel structure of odontocetes has not yet been sufficiently elucidated. The author therefore observed the enamel structure of 11 species in 7 families of living odontocetes. A clear prism structure in the enamel is noted in delphinids and Pontoporia blainvillei. Neophocaena phocaenoides has a very simple-structured prism, but even this structure is obvious only in the deep layer of the enamel, disappearing gradually from the mid layer to surface layer. The prism pattern of delphinids differs significantly depending on the site of the enamel; that of Pontoporia shows as a whole pattern 1. On the other hand, the enamel of Physeter catodon, Berardius bairdi, Phocoena phocoena, Phocoenoides dalli and Delphinapterus leucus is prismless. The enamel of Physeter and Phocoena shows pseudoprisms; that of Phocoenoides contains enamel tubuli. The enamel of Berardius and Delphinapterus is 3 to 8 micron thick, which is extremely thin for mammalian enamel. No enamel was noted in Monodon monoceros teeth. The enamel structure of living odontocetes is thus very variable. Several characteristic structures having been present during the evolutionary course of this tissue are still present in some of them. As the results of comparative histologic study, it is considered that the variable enamel structure of living odontocetes is a secondary phenomenon produced during the degenerative history of the enamel.
[Pathophysiology and prognosis of acute pancreatitis--early and late prognostic signs].
The purpose of this study is to elucidate the pathophysiology of the acute pancreatitis and set up the criteria for assessing the severity of this disease. One hundred and fifty seven cases of acute pancreatitis were treated at the First Surgical Department of Tokyo University Hospital and its affiliated hospitals. They consisted of 24 severe cases, 76 moderate cases, and 57 mild cases according to our classification. In early stage ten parameters, namely, abnormalities of white cell count, platelet count, hematocrit, lactic acid dehydrogenase, blood urea nitrogen, serum calcium, base excess, PaCO2 and fasting blood glucose and age within 24 hours after admission and X-ray CT scan within 48 hours as early prognostic signs, enabled us to predict severe, moderate, or mild pancreatitis. More than 4 weeks later than the onset of acute pancreatitis, X-ray CT scan, white blood cell count, elevation of serum FDP level, endotoxemia and fall of plasma opsonic index served as good indicators to evaluate the severity of abdominal sepsis. In experimental pancreatitis, CH50 and opsonic index were remarkably decreased at 6 and 12 hours after induction of acute pancreatitis. As the above results, determination of early prognostic signs immediately after onset and late prognostic signs 3-4 weeks after onset is very important to evaluate and manage the acute pancreatitis patients.
[Clinical features and management of endotoxemia].
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Relationship between hepatic hemodynamics and biliary pressure in dogs: its significance in clinical shock following biliary decompression.
The changes in the hepatic hemodynamics were promptly reflected in the biliary pressure in dogs. Both wedged hepatic venous pressure and portal venous pressure increased in response to the elevated biliary pressure, and conversely decreased following rapid biliary decompression, suggesting that the changes in the biliary pressure might affect the hepatic hemodynamics post-sinusoidally. It was supposed that too rapid biliary decompression might trigger the following consequences; 1) decrease in sinusoidal pressure, 2) increase in sinusoidal inflow, and 3) extravasation of intravascular fluid in the perivascular space. When these were not sufficiently compensated, they could trigger shock in the jaundiced patients.
[Microbiological studies on the combination effect of rifampicin and nalidixic acid (author's transl)].
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Inhibition of the synthesis of macromolecules in Escherichia coli by nitrofuran derivatives. 3. Nifurpirinol.
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