Biomedical subjects
Publications and source records attributed to T Shinbo.
A case of non-Hodgkin's lymphoma associated with eosinophilia is reported. The lymphoma was of the diffuse, large-cell type and was of B-cell origin. The number of eosinophils decreased with combination chemotherapy, along with a reduction in the size of the lymph nodes. Eosinophilia reappeared with the regrowth of lymphoma. The relationship between B-cell lymphoma and eosinophilia is discussed.
Multidisciplinary treatment for advanced esophageal carcinoma, which is not resectable in many cases, has become an important subject to study. We have reported the effectiveness of thermotherapy in treatment of esophageal carcinoma by basic experiments using three cell strains of human esophageal carcinoma designated as SGF-3,4,5. Based on the results of the basic experiments, we have performed thermotherapy combined with radiotherapy, chemotherapy and immunotherapy on cases of advanced esophageal carcinoma since October 1985. As for the basic experiment, proliferation of SGF-3 was inhibited at more than 40 degrees C, SGF-4 at more than 41 degrees C and SGF-5 at more than 42 degrees C. We did not observe the recovery of the growth of SGF-3 after heating at 41 degrees C for 72 hours and 42 degrees C for more than 24 hours. And the growth of SGF-4 after heating at 42 degrees C for more than 48 hours did not recover either. No recovery of the growth of SGF-5 after heating at 42 degrees C for 72 hours was noted. Based on the data, combined therapy was performed in 12 patients with advanced esophageal carcinoma. The evaluation of the local response to the combined thermotherapy revealed CR in five cases, PR in five and NC in two.
With the progress in surgical technique, remarkable improvement has been noted in the treatment of bile duct carcinoma. However, in the cholangiocarcinoma at porta hepatis or in the progressive carcinoma, many cases have been reported, for which radical surgery is not achievable. In recent years, discussion has been concentrated on the necessity of multidisciplinary treatment for the bile duct carcinoma, but fundamental research has not been done enough. In the present paper, the process for obtaining CHGS strain implantable to the nude mouse derived from a human cholangiocarcinoma as achieved in our department was discussed, and its biological characteristics-above all, the sensitivity to carcinostatic agents and to radiation-were evaluated. The doubling time of CHGS strain is 6.2 days, and nude mice showed stable proliferation with 100% viability. Histologically, it was tubular adenocarcinoma similar to the primary tumor. It has high mucin producing ability, and necrosis hardly occurs. The search for DNA ploidy by flow cytometry revealed the presence of two types of cells: The cells of diploid pattern and aneuploid pattern. In the tests to determine the sensitivity of CHGS strains to carcinostatic in MMC, ADR, 5-FU and CDDP groups, and to radiation according to the Battele Columbus Laboratories Protocol, the regression of tumor was observed in MMC, ADR, CDDP groups. Particularly, in MMC group, some of the tumors had disappeared. Recurrence was also noted in this case, but the survival, was still recognized nearly four years after the operation through the postoperative auxiliary therapy. This was regarded as the case, where the sensitivity test using the nude mouse implantable tumor strain was reflected well in clinical application.
Chromatographic packings for optical resolution of underivatized racemic amino acids were prepared by dynamic coating of a chiral crown ether on reversed-phase packings, and their characteristics were examined. Almost all the amino acids commonly found in proteins were finely separated into their enantiomers when a dilute aqueous solution of perchloric acid was used as the eluent. The enantiomers forming more stable complexes with the chiral crown ether were eluted after those forming less stable complexes. The retention and resolution of racemic amino acids depended on the eluent, the column temperature and the amount of crown ether coated. The separation coefficients, alpha, increased with decreasing column temperature and/or with increasing amount of crown ether coated.
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Data from 26 patients in acute renal failure biopsy have been analysed to define the highest risk factors and to evaluated the reversibility of renal functions. The overall mortality rate was 38 per cent. The mortality (69%) in postsurgical and traumatic cases was significantly higher than that (8%) in cases of obstetrical and medical origin. Survivors and nonsurvivors did not differ in time of initiation of dialysis. There was an increased incidence of gastrointestinal hemorrhage in those who died. A serious underlying disease, infection and gastrointestinal hemorrhage were mainly responsible for deaths. Five of the 16 survivors were left with renal failure and two of them required chronic hemodialysis.
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Azathioprine was withdrawn from five recipients after renal transplantation because of hepatic damage. In three out of five cases, clinical courses were uneventful for more than 1 year after withdrawal (Group A). In the other two cases, rejection episodes occurred 3 and 5 months after withdrawal (Group B). Differences in histocompatibility, the interval between the operation and withdrawal, and the maintenance dosis of prednisolone were not practically striking in either group, but rejection episodes occurred early in group B. We evaluated the results and considered the mechanisms of tolerance after withdrawal of azathioprine because of hepatic damage in renal allograft recipients.
A 29-year-old male patient with IgA nephropathy developed scleritis and myasthenia gravis during the follow-up period. No lymphocytic infiltration or atrophy in muscle fibers was observed in muscle biopsy specimens. However, an immunofluorescent study on the same specimens showed deposits of immunoglobulin A in muscular vessels. The development of scleritis and myasthenia gravis in a patient with IgA nephropathy suggests a common immunologic basis for these disorders.
The Department of Transplantation, Tokai University School of Medicine was opened in April 1975. There were 286 patients treated by regular hemodialysis and 30 transplantation patients in the five year period from 1975 to 1980 in our Department. The total number of patients treated by regular hemodialysis alive in June 30, 1980 was 244 (85.3%). In the regular hemodialysis group, the peak age was 30-39 years. The youngest patient was nine years old and the oldest was 85 years old. The male : female ratio of chronic renal failure patients treated by regular hemodialysis was 67 : 33%. The actual five-year survival rate for patients treated by regular hemodialysis was 82%. The most prominent cause of chronic renal failure was glomerulonephritis (86.6%). The major cause of death in regular dialysis patients was gastrointestinal hemorrhage (22.6%). We had 81 cases of acute renal failure and 20 (24.7%) of these patients were treated by hemodialysis. Six cases with no acute or chronic renal failure were treated by hemodialysis.
1. An unsaturated fatty acid auxotroph of Escherichia coli accumulated a high content of saturated fatty acids in its membrane when it was cultured under osmotically stabilized conditions. The physicochemical properties of the phospholipid extracts and of the membrane fraction from the cells were investigated by means of proton magnetic resonance, infrared spectroscopy and differential scanning calorimetry. 2. Physicochemical studies indicate that the phospholipid bilayers in the membranes exhibit at least two phase transitions, a minor one at approx. 19 degrees C and a major one at approx. 43 degrees C. Between the two temperatures, gel and liquid crystalline domains co-exist. Moreover, even in the gel state, phospholipids seem to segregated into domains containing different proportions of unsaturated fatty acids. 3. The Arrhenius plot of beta-galactoside transport rates is biphasic. The inflection point is at 22 degrees C. This means that the appearance of the fluid region in the bilayer at approx. 19 degrees C is important in the activation of membrane transport.
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