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Biomedical subjects

T Iwahara

Publications and source records attributed to T Iwahara.

At least 19 recordsLinked to original sources

Fractionation of polyclonal antibodies to fragments of a neuroreceptor using three increasingly chaotropic solvents.

We have developed specific antibodies against fragments of anaplastic lymphoma kinase (ALK) in order to develop tools for characterizing the expression and biological function of this orphan receptor. The first fragment consisted of residues 280 to 480 of the murine extracellular domain, was expressed in Escherichia coli (E. coli), purified in the presence of urea from the pellet of mechanically lysed cells and injected into rabbits as an unfolded protein in urea. The second fragment consisted of residues 1519 to 1619 of the murine sequence, corresponding to the C-terminal side of the kinase domain. It was expressed in E. coli as a soluble glutathione-S-transferase fusion protein, purified from the supernatant of broken cells and injected into rabbits as a folded protein. Both antisera were purified using antigen affinity chromatography, with the polyclonal antibodies eluted stepwise using three different buffers, 0.1 M glycine, pH 2.9, followed by 7 M urea, pH 4, followed by 6 M guanidine-HCl (GdnHCl), pH 4. Antisera prepared against either antigen contained antibodies that eluted in each of the three pools, indicating that solvents more chaotropic than acid were required to elute antibody populations that were tightly bound to the antigen column. All three antibody pools were reactive towards their respective antigens upon Western blot analysis. Purified polyclonal antibodies (pAbs) to both fragments also recognized the full-length protein expressed in Chinese hamster ovary cells. In every case, the pAbs eluting in GdnHCl were the most sensitive for detecting full-length ALK.

Anaplastic Lymphoma Kinase↗

Quantification of cosmesis for patients affected by adolescent idiopathic scoliosis.

The aim of this study was to quantify cosmesis for patients affected by adolescent idiopathic scoliosis. Eight nonmedical judges were asked to examine photographs of 40 patients with adolescent idiopathic scoliosis, and to score the cosmesis of their backs without any information. Various parameters were measured from radiographs, Moiré topographies, and physical measurements of patients, and these were compared with the cosmetic scores of the judges. The judges' scoring proved to be reliable. The cosmetic scores showed a significant correlation with the Cobb angle, hump severity, asymmetry of the waist line, circumference of the chest, and obesity. Multivariate analysis produced equations to calculate the cosmetic score for the back. This equation is thought to have a useful clinical application.

Adolescent↗

Three cases of spinal cord tumor originating from the second cervical nerve root.

Determination of the level of spinal cord tumors that develop around the foramen magnum or high cervical region can be difficult, because the symptoms of such tumors are quite variable. The surgical approach to use in such cases remains controversial. We describe here three cases of spinal cord tumor originating from the second cervical nerve root. Initial symptoms included occipital pain, glove-type numbness, and paresthesia of the upper extremities. In all three cases, myelopathic signs preceded radicular signs. It was possible to resect the tumors almost completely by using a posterior approach with microsurgical technique. Several reports have concerned the best surgical approach for high cervical spinal cord tumors. However, by using our method, tumors originating from the C2 root could be exposed without destroying the facet joints, because the nerve root runs dorsal to the lateral facet joints. We therefore recommend resecting these tumors except when they involve the vertebral artery and facet joints.

Adult↗

Molecular characterization of ALK, a receptor tyrosine kinase expressed specifically in the nervous system.

The 2;5 chromosomal translocation is frequently associated with anaplastic large cell lymphomas (ALCLs). The translocation creates a fusion gene consisting of the alk (anaplastic lymphoma kinase) gene and the nucelophosmin (npm) gene: the 3' half of alk derived from chromosome 2 is fused to the 5' portion of npm from chromosome 5. A recent study shows that the product of the npm-alk fusion gene is oncogenic. To help understand how the npm-alk oncogene transform cells, it is important to investigate the normal biological function of the alk gene product, ALK. Here, we show molecular cloning of cDNAs for both the human and mouse ALK proteins. The deduced amino acid sequences reveal that ALK is a novel receptor protein-tyrosine kinase having a putative transmembrane domain and an extracellular domain. These sequences are absent in the product of the transforming npm-alk gene. ALK shows the greatest sequence similarity to LTK (leukocyte tyrosine kinase) whose biological function is presently unknown. RNA blot hybridization analysis of various tissues reveals that the alk mRNA is dominantly detected in the brain and spinal cord. Immunoblotting with anti-ALK antibody shows that ALK is highly expressed in the neonatal brain. Furthermore, RNA in situ hybridization analysis shows that the alk mRNA is dominantly expressed in neurons in specific regions of the nervous system such as the thalamus, mid-brain, olfactory bulb, and ganglia of embryonic and neonatal mice. These data suggest that ALK plays an important role(s) in the development of the brain and exerts its effects on specific neurons in the nervous system.

Amino Acid Sequence↗

The action of prostaglandin E2 and triamcinolone acetonide on the firing activity of lumbar nerve roots.

Sciatica, due to lumbar disc herniation, is understood electrophysiogically to be an ectopic firing originating from a nerve root. The recent concept of chemical radiculitis implies the involvement, not only of mechanical compression, but also of chemical mediators which contribute to the generation of ectopic firing. The present study demonstrates that prostaglandin E2, a chemical mediator of inflammation, provoked the ectopic firing of nerve roots in a canine in vitro model which indicates that it may play a part in the irritation of nerve roots. In contrast, triamcinolone acetonide suppressed the firing induced by prostaglandin suggesting that steroids may be effective in the treatment of root symptoms.

Action Potentials↗

The effects of mechanical compression and hypoxia on nerve root and dorsal root ganglia. An analysis of ectopic firing using an in vitro model.

STUDY DESIGN: This study analyzed in vitro experiments of ectopic firing evoked by mechanical compression or hypoxia of canine lumbar dorsal roots with dorsal root ganglia using an in vitro model. OBJECTIVES: The results were correlated to understand the pathophysiology of radiculopathy, which manifests abnormal sensation and pain. SUMMARY OF BACKGROUND DATA: It has been speculated that blood flow in the nerve root and mechanical compression play major roles in the production of radiculopathy symptoms. However, no precise experimental studies have been conducted on the relationship between these factors and the development of ectopic firing. METHODS: Canine lumbar dorsal roots with dorsal root ganglia were immersed in an oxygenated artificial cerebrospinal fluid, and activity of the nerve root was recorded using bipolar platinum electrodes. Using this model, the effects of quantitative mechanical compression and hypoxia on the ectopic firing were analyzed. RESULTS: When compression was applied, mechanical thresholds for eliciting firing were much lower in dorsal root ganglia than in dorsal roots, and the firing lasted for a longer period in dorsal root ganglia. Under hypoxia, dorsal root ganglia showed firing, and their thresholds from mechanical stimuli decreased significantly. In dorsal roots, impulse propagation was not affected, whereas firing was seen under the hypoxic condition. CONCLUSION: Dorsal root ganglia are highly sensitive to mechanical compression and hypoxia and closely related to abnormal sensations and pain in radiculopathy.

Action Potentials↗

Characterization of the transforming activity of p80, a hyperphosphorylated protein in a Ki-1 lymphoma cell line with chromosomal translocation t(2;5).

We have molecularly cloned a cDNA encoding a protein uniquely expressed and hyperphosphorylated at tyrosine residues in a Ki-1 lymphoma cell that contained chromosomal translocation t(2;5). The encoded protein p80 was shown to be generated by fusion of a protein-tyrosine kinase and a nucleolar protein B23/nucleophosmin (NPM). The coding sequence of this cDNA turned out to be virtually identical to that of the fusion cDNA for NPM-anaplastic lymphoma kinase (ALK) previously cloned from the transcript of the gene at the breakpoint of the same translocation. Overexpression of p80 in NIH 3T3 cells induced neoplastic transformation, suggesting that the p80 kinase is aberrantly activated. The normal form of p80 was predicted to be a receptor-type tyrosine kinase on the basis of its sequence similarity to the insulin receptor family of kinases. However, an immunofluorescence study using COS cells revealed that p80 was localized to the cytoplasm. Thus, subcellular translocation and activation of the tyrosine kinase presumably by its structural alteration would cause the malignant transformation. We also showed that a mutant p80 lacking the NPM portion was unable to transform NIH 3T3 cells. Thus, the NPM sequence is essential for the transforming activity, suggesting that the chromosomal translocation is responsible for the oncogenesis. Finally, Shc and insulin receptor substrate 1 (IRS-1) were tyrosine-phosphorylated and bound to p80 in p80-transformed cells. However, mutants of p80 that were defective for binding to and phosphorylation of Shc and insulin receptor substrate 1 could transform NIH 3T3 cells. Association of these mutants with GRB2 was still observed, suggesting that interaction of p80 with GRB2 but not with Shc or IRS-1 was relevant for cell transformation.

3T3 Cells↗

Clinical and epidemiologic investigations of nosocomial pulmonary infections caused by methicillin-resistant Staphylococcus aureus.

We evaluated the clinical features of 32 patients with pulmonary infections caused by methicillin-resistant Staphylococcus aureus (MRSA). Most of the patients were elderly, postoperative, and had severe underlying diseases. Chest radiograph typically showed bilateral and multilobar involvement. Empyema was not common and no abscess was identified. Mortality rate was 38 percent. We also performed an epidemiologic study of MRSA infections by chromosomal DNA analysis using pulsed-field gel electrophoresis. Thirty-two strains were classified into 20 different types by chromosomal DNA pattern, and 5 epidemic strains were observed. These strains were considered to be transmitted among patients by hospital personnel.

Cross Infection↗

Spinal cord stimulation-induced locomotion in the adult cat.

Epidural and subdural stimulation of the dorsal surface of the spinal cord was found to elicit locomotion in the decerebrate cat in the active and fictive locomotion preparations. Stimulation of the cervical enlargement induced stepping in all four limbs, while stimulation of the lumbosacral enlargement induced hindlimb stepping. Lumbosacral enlargement stimulation induced hindlimb locomotion starting four hours following an acute midthoracic spinal cord transection. The preservation of the overall locomotor pattern and relationships between muscle groups, and of coordination between hindlimbs following transection, suggests that lumbar enlargement stimulation may be activating an intrinsically organized system. These findings suggest a method which may be applied clinically for the induction of limb alternation following epidural stimulation of the spinal cord.

Animals↗

Small caliber catheter drainage for spontaneous pneumothorax.

Excellent results have been reported after small caliber catheters were used for iatrogenic pneumothoraces. However, the value of using such catheters for spontaneous pneumothoraces is not clear. The purpose of this study, therefore, is to examine the efficacy of small caliber catheters in managing spontaneous pneumothoraces. Seventy six episodes of spontaneous pneumothorax were treated using a small caliber catheter (No. 5.5 or 7.0 French) connected to a Heimlich valve. All catheters were inserted by physicians. The treatment was considered successful when there was no air leakage and little or no residual pneumothorax. Before the lungs were fully expanded, four patients had died and one had refused to comply with further treatment. The remaining 71 episodes of pneumothoraces were evaluated for efficacy. The treatment was successful in 60 patients (84.5%) and ineffective in the remaining 11. The conventional large caliber tube was inserted in 10 of the 11 failures, but they were successful in only six. No major complications resulting from catheter insertion occurred, and no catheters became occluded. The catheter was easy to insert, and the scar that remained after removal of the catheter was very small. Not only are small caliber catheters effective for managing spontaneous pneumothoraces, they are the initial treatment of choice.

Catheterization↗

Analysis of spinal cord evoked potential and locomotor function during acute spinal cord compression in cats.

The aim of this study was to investigate whether or not conductive spinal cord evoked potentials and spinal cord function change correspondingly with each other. The relationship between conductive spinal cord evoked potentials and locomotor function during acute spinal cord compression in animals was investigated. In decerebrate cats, controlled locomotion can be induced by electrical stimuli in the mesencephalic locomotor region. Conductive spinal cord evoked potentials were recorded at the L3 level of the spinal cord and stimuli were given at the T4 segment. The locomotor function was evaluated through electromyograms of the hind limbs. By compressing the spinal cord at L1, both the conductive spinal cord evoked potentials and the locomotor function gradually decreased. When the first negative potential amplitude of conductive spinal cord evoked potentials was decreased to half the level found in normal cats, locomotor function was injured irreversibly. These results showed that changes in the conductive spinal cord evoked potentials were related to changes in locomotor function. The 50% level of the first negative potential amplitude was considered to be the critical level at which irreversible spinal cord paralysis occurred in the cats.

Acute Disease↗

Chest roentgenogram classification and clinical parameters in patients with active pulmonary tuberculosis.

The relationship between the clinical parameters and chest film appearance was studied in patients with active pulmonary tuberculosis. Patients with extended disease were often malnourished and had weak tuberculin reaction accompanied by lymphopenia. They excreted a large amount of mycobacterial bacilli and a longer period was required for negative conversion of sputum culture. We confirmed that the criteria for chest roentgenogram classification established by the Japanese Society for Tuberculosis ("Gakkai Classification") is useful in the estimation of the risk of infection and the prognosis of tuberculosis patients.

Adolescent↗

Stimulation-induced setting of postural muscle tone in the decerebrate rat.

These studies demonstrate the presence of pontomedullary areas in the rat brainstem which, when stimulated electrically, serve to set postural muscle tone in the hindlimbs. Low amplitude stimulation of the dorsal tegmental field (DTF) was found to inhibit postural muscle tone and, in some rats, was found to decrease mean arterial pressure. Low amplitude stimulation of the ventral tegmental field (VTF) was found to increase postural muscle tone and, in all cases tested, was found to increase mean arterial pressure.

Animals↗

L-dopa-induced air-stepping in decerebrate developing rats.

Developing rats were anesthetized and a precollicular brainstem transection performed. Administration of L-3,4-dihydroxyphenylalanine (L-DOPA, 100 mg/kg, s.c.) induced locomotion in groups of animals 0-3, 6-8, 14-16 and 20-22 days of age. At early stages in development (0-3 days), continuous, long-lasting air-stepping was induced consisting of 4-limb walking with stronger alternation in the forelimbs compared to the hindlimbs. At 6-8 days of age, continuous air-stepping was characterized by better agreement between forelimb and hindlimb step cycles. By 14-16 days of age, the hindlimbs showed stronger and faster stepping than the forelimbs. The first evidence of consistent galloping was observed in this age group. In some cases, the forelimbs were held extended and only the hindlimbs walked or galloped. At 20-22 days, walking and galloping became episodic and the hindlimbs typically galloped while the forelimbs alternated. Each age group was tested for overground locomotion. Only in the 20-22 day group was weight-bearing overground stepping observed. At earlier ages, limb alternation was evident but of insufficient strength to lift the body off the ground. In general, the duration of the effect of the same dose of L-DOPA decreased with age. Animals in each group which received a mid-thoracic spinal cord transection showed forelimb alternation but not hindlimb stepping. These results indicate that L-DOPA induces stepping by activating brainstem and/or spinal centers via an as yet unknown mechanism. The pattern of the development of gait (forelimb to hindlimb gradient) at various ages was similar to that observed in intact developing rats.

Aging↗

A case of recurrent extraforaminal lateral lumbar disc herniation occurring at the same level and on the opposite side.

We reported the only known case of recurrent extraforaminal lumbar disc herniation occurring at the same level but on the opposite side. In performing lumbar disc puncture for discography, when an extraforaminal bulge is seen on CT scan, we recommend puncture through the side opposite the bulge to prevent new herniation even if the symptoms are located on the side of the puncture.

Humans↗

Control of locomotion in vitro: II. Chemical stimulation.

Previous studies have described the presence of alternating activity induced in left and right ventral roots of the neonate rat in vitro brainstem-spinal cord preparation, following application of certain neuroactive substances to the bathing solution. The present findings show the presence of chemically induced, adult-like coordinated airstepping demonstrated by electromyographic recordings in the hindlimb-attached in vitro brainstem-spinal cord preparation. Analysis of muscular activity demonstrated alternation between antagonists of one limb and between agonists of different limbs, as well as a proximodistal delay in agonists active at different joints of the same limb. Neuroactive agents were applied independently to either the brainstem or spinal cord bath. The substances surveyed in the present studies included some of those used previously, as well as additional compounds: bicuculline and picrotoxin (gamma-aminobutyric acid-ergic antagonists), N-methyl-D-aspartic acid (excitatory amino acid agonist), substance P, acetylcholine, carbachol (cholinergic agonist), and serotonin. Application of these substances to the brainstem bath produced rhythmic airstepping. Application of dopamine, aspartate, glutamate, and N-methyl-D-aspartic acid to the spinal cord bath also produced rhythmic airstepping, while application of acetylcholine produced tonic, long-lasting co-contractions. These findings reveal the presence of several neurochemical systems in the central nervous system that can be activated at birth to induce coordinated airstepping in the neonate rat in vitro brainstem-spinal cord preparation.

Acetylcholine↗

Locomotion induced by spinal cord stimulation in the neonate rat in vitro.

The present studies employed the neonate rat brain stem-spinal cord preparation to determine whether electrical stimulation of the lumbosacral enlargement (LE) of the spinal cord itself can be used to elicit locomotion, and whether or not such stimulation persists in inducing locomotion following midthoracic spinal cord transection or hindlimb deafferentation. Results suggest that (1) stimulation of the dorsal columns or ventral funiculus of the LE is effective in inducing airstepping in the neonatal rat brain stem-spinal cord limb-attached preparation; (2) central disconnection by midthoracic spinal cord transection does not alter LE-stimulation-induced airstepping and may lead to an increase in stepping frequency if suprathreshold stimulation is used; and (3) dorsal root section also leads to an increase in the frequency of suprathreshold LE-stimulation-induced locomotion, but there is not further increase in frequency if a spinal cord transection is performed in addition to dorsal rhizotomy.

Afferent Pathways↗