PubMed Health⌕ Search

Biomedical subjects

T Inokuchi

Publications and source records attributed to T Inokuchi.

At least 37 records · Page 2Linked to original sources
PubMed1990

Osteoradionecrosis of sphenoid and temporal bones in a patient with maxillary sinus carcinoma: a case report.

A case of radionecrosis of sphenoid and temporal bones is reported. The patient received a combination of surgery, radiotherapy, and chemotherapy for his left maxillary sinus carcinoma. After the combined therapy, necrosis accompanying inflammation developed in the maxillary and temporal regions. Excision of the necrotic tissues was done, and the left ascending ramus of the mandible was resected because of persistent tumor mass at the left infratemporal fossa. Although the excision wound of the maxilla healed by epithelialization, an area of nonvital bone remained exposed in the temporal region, where progressive osteonecrosis with infection led to breakdown of the skin. The necrotic bones of the zygomatic arch and the sphenotemporal sutural region became visible through the skin defect, and computerized tomography scan revealed bone necrosis involving the inferolateral area and the base of the skull. Excision of the necrotic bone and reconstruction with sternocleidomastoid myocutaneous flap were performed.

Carcinoma, Squamous Cell↗
PubMed1990

Computed tomography in the evaluation of postoperative maxillary cysts.

Twenty-two cases (34 sides) of postoperative maxillary cysts evaluated with axial and coronal computed tomograms were reviewed. Precise characteristics pertaining to the extent of maxillary sinus involvement, loculation, presence of septae, bony perforation, and associated cystic projection or extension into adjacent structures were determined. Of the 34 sides, 13 cysts involved the sinus completely. Twelve were multilocular. Thirteen exhibited incomplete septae. Perforations were most frequent in the anterolateral and medial bony walls (28 and 27, respectively); however, the 14 posterolateral wall perforations showed a higher percentage of cystic projection into adjacent structures. Ethmoid extension was seen on two sides, orbital extension on one. Nine sides showed tooth roots communicating with the cyst. The routine use of computed tomography in the evaluation of this type of cyst is proposed.

Adult↗
PubMed1990

Distribution of tyrosine hydroxylase (TH)-like, neuropeptide Y (NPY)-like immunoreactive and acetylcholinesterase (AChE)-positive nerve fibers in the prostate gland of the monkey (Macacus fuscatus).

Nerve fibers containing immunoreactivities for tyrosine hydroxylase (TH) and neuropeptide Y (NPY), and exhibiting acetylcholinesterase (AChE) reactivity were examined by means of histochemical and immunohistochemical methods in the caudal lobe of the prostate in the monkey, Macacus fuscatus. TH-like immunoreactive nerve fibers were distributed abundantly in the interstitium where smooth muscle fiber bundles were rich and scarcely in the paraurethral region where they were rare. NPY-like immunoreactive nerve fibers, less abundant than TH-like immunoreactive nerve fibers, were observed not only in the interstitium but also around the prostatic acini. AChE-positive nerve fibers were much denser around the acini than in the interstitium. Both the NPY-like immunoreactive and the AChE-positive nerve fibers showed an intimate spatial association with the epithelium of the acini. Judging from the distribution pattern of these nerve fibers, the following assumption is possible. Secretion of the prostatic gland as well as the outflow of the prostatic fluid into the urethra induced by contraction of the smooth muscle cells in the interstitium may be controlled by sympathetic adrenergic nerves, while cellular secretion of the acinar epithelium is regulated by parasympathetic cholinergic nerves. The NPY-like immunoreactive nerve fibers around the acini may be non-noradrenergic; they may regulate the cellular secretion by acting on the cholinergic nerves as well as by having a direct effect on the acinar secretory cells.

Acetylcholinesterase↗
PubMed1989

Stimulation of prostaglandin synthesis by cholecystokinin in primary culture cells of bovine gallbladder muscle.

Primary culture cells derived from bovine gallbladder muscles synthesize PGE2 as a major cyclooxygenase product with a trace amount of 6-keto-PGF1 alpha-like material. The synthesis of PGE2 and total cyclooxygenase products was enhanced in response to cholecystokinin (CCK). In the presence of indomethacin the synthesis of PG was inhibited and the release of arachidonic acid (AA) in response to CCK was enhanced. These data suggest that CCK may stimulate the release of AA, probably by activating phospholipase A2/C, from membrane phospholipids in the gallbladder muscle.

Animals↗
PubMed1989

Maternal brown fat metabolism returns to control level by four weeks postweaning in rats.

We studied body composition, white and brown adipose tissue cellularity, lipoprotein lipase activity and metabolic enzyme activity in three groups of rats: nonpregnant controls, lactating dams and nonlactating dams (i.e., dams not permitted to suckle their young). Nine to 11 rats in each group were killed on d 12 postpartum (study d 34) and on d 40 postpartum (study d 62). During lactation, brown fat citrate synthase, beta-hydroxyacylCoA dehydrogenase (HOAD) and lipoprotein lipase activities were significantly lower in the lactating than in the nonlactating dams or virgin controls. Although the nonlactating dams had their pups removed within 24 h after delivery, by d 12 postpartum citrate synthase and HOAD activities were significantly lower than those of nonpregnant controls. By the end of the study there were no differences among the three groups except in the case of HOAD. HOAD activity in the lactation group was significantly lower than in the nonlactation group. White fat cell number in the parametrial depot was significantly increased in the nonlactation groups by d 12 postpartum. In the lactation group, increased white fat cell number in this depot was detectable at d 40 postpartum, when carcass fat stores and fat cells had been repleted. These results demonstrate that both lactating and nonlactating dams undergo cellular hyperplasia, at least in the parametrial depot. This may predispose them to obesity. Also, decreased brown fat metabolism in the nonlactating dams may be contributing to their significantly greater carcass fat content at d 12 postpartum.

3-Hydroxyacyl CoA Dehydrogenases↗
PubMed1989

Ultrastructure of the hypophyseal portal vessel in mature rats--SEM and TEM observations.

After chemical digestion of the isolated specimen of the hypophysis of the rat, external surface of the hypophyseal portal vessel in the mature rat was investigated with scanning electron microscope (SEM). The portal vessel lacked smooth muscle fibers, it was accompanied by many pericytes with highly ramifying processes along its whole course. Transmission electron microscopic (TEM) study revealed that the endothelium of this vessel has many fenestrations and channels. These findings suggest that the hypophyseal portal vessel in the mature rat is a capillary sinus with pericytes rather than a vein as suggested previously.

Animals↗
PubMed1989

Scanning electron microscopic study of periendothelial cells of the rat cerebral vessels revealed by a combined method of corrosion casting and KOH digestion.

A combined method of corrosion casting and KOH digestion was used for the scanning electron microscopic (SEM) observation of the external walls of the blood vessels running on the surface and in the parenchyma of the rat cerebral cortex. The plastic resin which was preliminarily injected into the cerebral vessels reinforced the preservation of the vessel walls during the chemical digestion. Using the present method, the walls of blood vessels running on the surface and in the parenchyma of the cerebral cortex were clearly seen with SEM. The arterioles showed a rich arrangement of smooth muscle cells embracing the external surface of the endothelia, and the venules had sparse, flat smooth muscle cells. The capillaries were surrounded by many pericytes which were extremely similar to those seen in the other organs of the animals. There were observed two different kinds of pericyte. One type of the pericytes in the present specimens extended very long cytoplasmic processes parallel to the long axis of the capillaries. Another type of the pericytes had relatively short, broad and flat cytoplasmic processes radiated to embrace the capillary walls. The former was frequently seen in the capillaries on brain surface and in the parenchyma, whereas the latter was relatively rare. The availability of the present method was also discussed in comparison with the previous descriptions.

Animals↗
PubMed1988

Buccal hemangioma with phleboliths. Report of two cases.

Two cases of buccal hemangioma with phleboliths were reported. Angiography, angioxerography, and computerized tomography were carried out before the procedures were planned. One patient was treated by means of surgical excision of the tumor after ligation of the left external carotid artery. The second patient was treated by means of surgical excision alone. Histologic examinations suggested that the thrombi in the blood vessels of hemangiomas might become the core of the phleboliths. Analysis of the phleboliths by means of x-ray diffraction and infrared spectrometry confirmed calcium phosphate and calcium carbonate as the main components of the phleboliths.

Adolescent↗
PubMed1988

Altered basal C-peptide/insulin molar ratios in obese patients with fatty liver.

To elucidate if the presence of fatty liver in obesity influences hepatic insulin extraction under basal conditions, serum immunoreactive insulin (IRI) and C-peptide immunoreactivity (CPR) were measured in 20 obese patients with normal glucose tolerance and in 8 normal subjects. The obese patients were subdivided into two groups matched for age and body weight according to the presence or absence of fatty liver: 8 obese patients without fatty liver (OBN) and 14 with fatty liver (OBF). Basal levels of IRI and CPR were significantly greater in the obese patients than in the normals, but were similar in the two obese groups. In the OBF group, the CPR/IRI molar ratios, a relative measure of hepatic insulin uptake, were significantly lower than in the other two groups, while the ratios of the normal and OBN groups were similar. The CPR/IRI molar ratios in all obese patients correlated well with the degree of fatty liver (r = 0.785, p less than 0.001). These results suggest that hepatic insulin extraction in a subgroup of obese patients is either reduced or indistinguishable from that of non-obese subjects, and that basal CPR/IRI molar ratio may serve as a useful indicator of the presence of fatty liver in simple obesity.

Adult↗
PubMed1988

Scanning electron microscopic observations of the ependymal cell and the subependymal layer of the third brain ventricle in the rat.

This investigation was undertaken to clarify the three dimensional ultrastructure of the subependymal layer in relation with the ependymal cell layer in rat brain using the scanning electron microscope (SEM). The subependymal layer existing below the ependyma of the third ventricle in the brain of mature albino rats was examined with S E M. The hypothalamus freshly excised after median sagittal section was treated by collagenase with or without trypsin for a short while to remove the ependymal cells at the ventricular wall. After the enzymatic pretreatment of the specimen, many ependymal cells were removed and the subependymal layer was partially exposed. Most of the ciliated ependymal cells remaining at the ventricular wall extended long, single basal processes which then penetrated into the subependymal layer. The subependymal layer was composed of a delicate framework of thin processes of glial cells, ependymal cells and, in addition nerve cells. Scattered among the neuropil just beneath the ependymal cell layer, there were relatively small, globular subependymal cells. Occasionally, there were large bundles of unmyelinated nerve fibres in the subependymal layer. The individual nerve fibres distinctly showed many axonal varicosities within the fibres. Intermingled with the nerve fibres, glial processes of various forms were present. The structure of the ependymal cells and the subependymal layer was compared with the findings already reported in the studies using light and transmission electron microscope.

Animals↗
PubMed1987

Plasma fibrinopeptide A levels during insulin-induced plasma glucose falls in diabetics.

Plasma fibrinopeptide A (FPA) concentration, as a measure of thrombin activity, was determined during an insulin tolerance test in 17 non-obese diabetics. FPA was measured by a modification of the Nossel method. Administration of insulin significantly lowered plasma glucose, accompanied by a significant increase in FPA from 0.9 +/- 0.1 ng/ml to 4.3 +/- 1.6 ng/ml (P less than 0.05) as well as a significant increase in circulating levels of epinephrine and growth hormone. The magnitude of the peak in epinephrine levels correlated well with both the rate of decline of plasma glucose and the magnitude of the peak of FPA. In addition, the FPA increment was suppressed by treatment with heparin. These results indicate that insulin-induced hypoglycemia or a rapid fall in plasma glucose is associated with enhanced thrombin generation and fibrin formation, which may be considered as a contributory factor to the development of diabetic microangiopathy through a hypercoagulable state.

Adult↗
PubMed1987

A case of oromandibular-digital hypogenesis syndrome.

The oromandibular-digital hypogenesis syndrome is characterized by failure of development of the intraoral region and the distal extremities. A 12 year old female with an anomaly of the lingual fraenum, hypodontia of the lower incisors and defective fingers and toes was referred to our clinic. The aetiology of the disorder is still obscure. The author has reviewed the literature and discusses the morphological variation of the lingual fraenum.

Abnormalities, Multiple↗
PubMed1986

Scanning and transmission electron microscopic study of the ampullary region of the dog vas deferens, with special reference to epithelial phagocytosis of spermatozoa and latex beads.

The present SEM and TEM study clearly indicated that the epithelial cells of the ampulla vasis deferentis of the dog are capable of performing phagocytosis of degraded spermatozoa and even inert latex beads as in other animals described previously and further supported our working hypothesis that epithelial phagocytosis may be a common event in the vas deferens of mammals, though its precise significance remains to be clarified.

Animals↗