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Biomedical subjects

Y Hashimoto

Publications and source records attributed to Y Hashimoto.

At least 181 records · Page 10Linked to original sources

Production of a monoclonal antibody (59.4) against canine lymphocyte surface antigen and its immunohistochemical application.

A monoclonal antibody was produced by immunizing BALB/c mice with freshly prepared canine thymocytes and peripheral blood leukocytes. The antibody, designated 59.4, was of the IgG1 subclass type and mainly reacted with lymphocytes. In single-color flow cytometric analysis, lymphocytes from the peripheral blood, thymus and spleen were graded into three categories according to their fluorescence intensity labeling by antibody 59.4: weakly, moderately and intensely positive cells. Two-color analysis revealed that a major population of CD8-positive cells were intensely labeled by antibody 59.4, but less than 50% of CD4-positive cells were moderately reacted with antibody 59.4. Immunohistochemically, thymocytes in the medulla showed moderately intense immunoreactivity to 59.4, but most lymphocytes in the cortex were negative in reaction. Immunostaining using antibody 59.4 demonstrated characteristic aggregations of 59.4-positive lymphocytes in the reticulum cell-free region of the thymic medulla. In the spleen, scattered lymphocytes in the outer layer of the marginal zone and in the red pulp were intensely labeled by antibody 59.4, while lymphocytes gathering in the mantle zone and periarterial lymphatic sheath (PALS) were moderately stained. Antibody 59.4 appears to recognize an antigen which is expressed by a more-differentiated T cell-lineage but not by immature T cells in the thymic cortex.

Animals

An evaluation of neuromuscular reversal with edrophonium in a patient with malathion intoxication.

We evaluated the neuromuscular reversal with edrophonium using peripheral nerve stimulator and recorder in a patient with malathion intoxication. Edrophonium 10 mg i.v. caused an increase in single twitch tension by 76% of the control during the recovery phase from an acute cholinergic crisis 16 days after ingestion of malathion solution. The present study indicated that edrophonium test seems to be a reliable monitoring in evaluating neuromuscular reversal in the patient with acute malathion insecticide poisoning.

Adult

Neuromuscular blocking actions of the aminoglycoside antibiotics sisomicin and micronomicin in the rabbit.

The neuromuscular blocking actions of sisomicin sulfate (SISO), micronomicin sulfate (MCR) and d-tubocurarine (dTc) were studied in 20 rabbits anesthetized with halothane. The i.v. administration of SISO 20-40 mg/kg, MCR 40-80 mg/kg or dTc 0.1-0.3 mg/kg resulted in dose-dependent decreases in twitch tension. The ED50s for SISO, MCR and dTc were 23.5, 58.2 and 0.2 mg/kg, respectively. SISO- and MCR-induced neuromuscular blockade was partially antagonized by neostigmine or by calcium.

Aminoglycosides

Three-dimensional analysis of multiple wear vectors in retrieved acetabular cups.

The wear of polyethylene acetabular components is an important issue in total hip arthroplasty. The amount of wear has been measured in many studies, but few have addressed other mechanical aspects of wear in vivo. We used the shadowgraph method to measure the wear vectors in 104 retrieved acetabular cups that had been made by a single manufacturer, and we identified more than one wear vector in thirty-one cups (30 per cent). We hypothesized that the most likely explanation of multiple wear vectors was loosening of the acetabular implant with a change in the orientation of the implant in the pelvis. To test this hypothesis, we estimated the extent of motion of the cup in situ on the basis of differences in angles measured from serial radiographs of sixteen hips. We then used linear transformation of the three-dimensional vectors to compare the wear directions measured in the retrieved implants with the wear directions predicted from the radiographs. The change in wear direction predicted on the basis of in vivo motion of the cup never corresponded to the actual difference between wear vectors in the retrieved implants. Our results suggest that multiple wear vectors may be commonly found in retrieved implants, but loosening of the acetabular cup does not account for the multiple vectors. Additional observations suggest that impingement between the edge of the acetabular cup and the femoral component may be associated with multiple wear vectors. These results have implications for the investigation of the general mechanisms of wear in vivo and suggest that clinical or wear-testing scenarios that assume a single direction of wear may underestimate the over-all amount of volumetric wear.

Equipment Failure Analysis

Fatality due to severe Salmonella enteritis associated with acute renal failure and septicemia.

A 66-year-old man was hospitalized for abdominal pain and diarrhea of more than 10 times a day. He had been under regular medication with prednisolone for rheumatoid arthritis. On admission, laboratory data and clinical examination indicated inflammation, dehydration, acute renal failure with a high level of serum musculogenic enzyme (creatine kinase), and ileus. Salmonella enteritidis was isolated from his fecal and blood samples. The patient died within 24 hours after admission, and autopsy showed hemorrhagic necrotic enteritis localized to the ileum. Enterocolitis due to Salmonella enteritidis, which is usually an acute self-limited gastrointestinal illness, may occasionally be a serious and lethal disease.

Acute Kidney Injury

Spontaneous dissection associated with proximal vertebral artery anomaly.

A 47-year-old man was admitted because of acute lateral medullary syndrome with severe posterior cervical pain. Cerebral angiography was performed three hours after the onset, which demonstrated that two arteries branched separately from the right subclavian artery, ran upward and formed a single right vertebral artery (VA). One of the two arteries showed both stenosis and luminal dilatation. We thought the structure of these arteries was proximal vertebral artery anomaly and diagnosed him as having dissection of the vertebral artery. We consider that the proximal vertebral anomaly may be a risk for spontaneous VA dissection.

Acute Disease

Venous hemangioma. An immunohistochemical and ultrastructural study.

We present a case of (arterio) venous hemangioma of 15 years' duration, which arose in a 43-year-old Japanese man on his right infraorbital area. Elastic stain and electron microscopy did not show any evidence for arterial components. Some thick-walled vessels showed mucin deposition and wide intercellular spaces between smooth muscle cells. Several glomoid cells were encountered among these cells. Although the histogenesis of (arterio) venous hemangioma is controversial, the presence of glomoid cells and the mucin deposition, which is occasionally detected in glomus tumors, suggest the relation of this tumor to the Suquet-Hoyer canal.

Actins

Helicobacter pylori inhibits the secretory activity of gastric parietal cells in patients with chronic gastritis. An ultrastructural study.

BACKGROUND: Previous in vitro studies suggested that Helicobacter pylori may inhibit the acid secretion of gastric parietal cells. The aim of this study was to investigate ultrastructurally the influence of H. pylori infection on the gastric parietal cell function in vivo. METHODS: This study comprised 28 patients with chronic gastritis. Biopsy specimens were taken from the gastric body in all cases and examined by electron microscopy. Gastric parietal cells were counted in each ultrathin section and classified into secretory and non-secretory types. The pH of the gastric juice was also measured in all patients. RESULTS: The number of parietal cells in the secretory phase was significantly lower in H. pylori-infected (n = 16) patients than in those (n = 12) without H. pylori infection. The intragastric pH was significantly higher in patients with H. pylori-associated gastritis than in those without H. pylori infection. Parietal cells in secretory phase tended to decrease in proportion to the activity of the gastric mucosal inflammation. CONCLUSIONS: The results of this investigation suggests that H. pylori-associated gastritis is related to a decreased secretory activity of the gastric parietal cells.

Biopsy

[Effect of intravenous injection of lidocaine HCl on evoked otoacoustic emissions in tinnitus case].

This study was performed to examine the influence of lidocaine HCl on evoked otoacoustic emissions (EOAE) in tinnitus case. EOAE were recorded before and after intravenous injection of lidocaine HCl in 19 patients with unilateral tinnitus. EOAE amplitudes were significantly increased after injection of lidocaine HCl for 10 minutes. Between the effective group and the non-effective group of lidocaine HCl for tinnitus, significant differences were recognized after injection of lidocaine HCl for 10 minutes. These results suggested that lidocaine HCl stimulated cochlear mechanics. Significant differences were not recognized at any time between the group of hearing loss with unknown origin, the group of Meniere's disease and the group of tinnitus without hearing loss.

Acoustic Stimulation

[A brief overview of apoptosis].

Apoptosis is a form of cell death responsible for development and homeostasis of living bodies. This article summarizes the recent advent of apoptosis research in view of the induction factors molecular mechanism of the induction and relation to various diseases including cancer.

Apoptosis

Plasma (1-->3)-beta-D-glucan assay and immunohistochemical staining of (1-->3)-beta-D-glucan in the fungal cell walls using a novel horseshoe crab protein (T-GBP) that specifically binds to (1-->3)-beta-D-glucan.

A highly sensitive enzyme-linked immunosorbent assay specific to (1-->3)-beta-D-glucans (GBP-ELISA) has been developed using a novel (1-->3)-beta-D-glucan-binding protein (T-GBP), which was purified from the amebocyte lysate of the Japanese horseshoe crab, Tachypleus tridentatus. This method allowed quantitation of the glucans in a concentration range of 0.1-1,000 ng/ml, regardless of linear and branched structures, and was applied to determine the amounts of (1-->3)-beta-D-glucan in human and animal plasmas for diagnosis of fungemia. High levels of plasma glucan contents in clinical samples were found to be correlated closely with the severity of fungal infection. T-GBP was successfully utilized for indirect immunofluorescence staining of (1-->3)-beta-D-glucan in Candida albicans cell walls.

Animals

Postmortem diffusion of tracheal lidocaine into heart blood following intubation for cardiopulmonary resuscitation.

This study investigated the postmortem diffusion of tracheal lidocaine into the blood after intubation in three individuals whose heart beat was not restored by cardiopulmonary resuscitation. The results are compared with those obtained in animal experiments using rabbits. The first human subject was a 3.5-month-old female baby who died of sudden infant death syndrome. She was autopsied approximately 20 h after death. A toxicological examination revealed the presence of 0.349 mg/L and 0.102 mg/L of lidocaine in the blood in the left and right ventricles of the heart, respectively. No lidocaine was detected in the cerebrum, liver, or right femoral muscle. The second subject was a 44-year-old man who died of brain swelling due to head injuries, and was autopsied approximately 20 h after death. Lidocaine concentrations in the hili of the left and right lungs were 10.9 mg/kg and 2.65 mg/kg, respectively, and 1.02 mg/L and 0.209 mg/L in the blood in the left and right ventricles of the heart, respectively. The right femoral vein blood contained only a trace amount of lidocaine; no lidocaine was detected in the cerebrum, liver, or right femoral muscle of this subject. The third subject was a 38-year-old man who died of bleeding due to a stab wound to the left thigh, and was autopsied approximately 20 h after death. Lidocaine concentrations were 1.41 mg/kg and 1.37 mg/kg in the hili of the left and right lungs, respectively, and 0.642 mg/L and 0.746 mg/L in the blood in the thoracic aorta and superior vena cava, respectively. No lidocaine was detected in the right femoral vein blood, cerebrum, liver or right femoral muscle. In the animal experiments, rabbits carcasses were left in the supine position at an ambient temperature following application of 1 mg/kg lidocaine hydrochloride into the trachea just above the bifurcation. Lidocaine concentrations of 0.550-4.03 mg/L and 3.05-7.30 mg/L were detected in the heart blood, one and three days after the lidocaine treatment, respectively; neither the cerebrum nor right femoral muscle contained detectable amounts of lidocaine. The pH values of body fluids and tissues of the human and animal corpses were below 7.0. This study has demonstrated that following intubation, tracheal lidocaine diffuses into surrounding fluids and tissues, and that this is attributable to postmortem acidosis. We suggest that, in subjects who underwent cardiopulmonary resuscitation with intra-tracheal intubation, heart blood and femoral vein blood should be analyzed for lidocaine. In addition, the pattern of distribution of lidocaine in the surrounding tissues may provide some information on the state of victims during cardiopulmonary resuscitation.

Adult

A monoclonal antibody, 169.1, against canine leukocyte surface antigen identifies cytoskeletal components in epithelial cells and peripheral neurons.

Monoclonal antibodies were produced by immunizing BALB/c mice with freshly prepared canine thymocytes and peripheral blood leukocytes. Flow cytometric analysis of canine peripheral blood leukocytes showed that an antibody, designated 169.1, recognized about 60% of non-lymphoid cells, but reacted with less than 3% of lymphocytes. Immunohistochemistry using frozen sections showed that several types of epithelial cells such as epithelial reticulum cells in the thymus and ductal system in the parotid gland exhibited an intense positive reaction to antibody 169.1. Moreover, the ellipsoidal sheath in the spleen and non-myelinated nerve fibers in the peripheral nervous system had selectively positive reactions; in the latter, filamentous structures were visible under a light microscope. In contrast to the data from the flow cytometric analysis, no leukocytes on sections reacted with 169.1. Immunoblot assay revealed that 169.1 recognized antigens with molecular weights of 48 and 52 kDa under reducing conditions. These findings characterize 169.1 as an antibody against a cytoskeletal protein rich in epithelial cells and neurons.

Animals

Hemin-induced erythroid differentiation of human myeloleukemia K562 cell line and its modification by bioresponse modifiers.

We have found that protoporphyrin IX, which had been regarded as inactive, induces erythroid differentiation. The differentiation-inducing activities of various hemin-related compounds, including hematoporphyrin IX, mesoporphyrin IX, deuteroporphyrin IX and protoporphyrin IX dimethyl ester, suggested certain structural requirements for the activity: 1) the iron moiety of hemin is not essential, and 2) the propionic acid side chains of hemin play an important role. In addition, we have examined the influence of some bioactive factors on hemin/protoporphyrin IX-induced differentiation of K562 cell line. Retinoids and tubulin-disruptors dose-dependently enhanced hemin/protoporphyrin IX-induced differentiation of K562 cells, though they did not themselves induce differentiation. Retinoid antagonists suppressed hemin-induced differentiation. The effects of hemin and/or retinoids on the mRNA expressions of oncogenes (c-myc and c-myb) and retinoic acid receptor genes (rar alpha and rar beta) of K562 cells were analyzed. We also examined the possible involvement of peripheral-type benzodiazepine receptor (PBR) in hemin/protoporphyrin IX-induced differentiation of K562 cells by the use of its ligands. Diazepam itself was revealed to possess differentiation-inducing activity on K562 cells. The PBR-specific ligands modified hemin-induced differentiation. These results suggest a requirement for retinoids (or retinoid-like cofactors) for hemin/protoporphyrin IX-induced differentiation of K562 cells and the involvement of PBR in erythroid differentiation of K562 cell line.

Animals

[A case of pleural metastasis of invasive thymoma with pulmonary metastasis responding to chemotherapy with cyclophosphamide and prednisolone].

The patient, a 48-year old male, was seen with hoarseness in December 1990. A chest radiograph and chest CT scan showed an anterior mediastinal mass. Median sternotomy revealed epithelial thymoma with involved partial lung and pericardium. After surgery, he received external radiation to the mediastinum. One year later he was given another 40 Gy external radiation in the cervical and mediastinal recurrence region. In May 1994, a chest CT scan revealed an extrapleural and bilateral lung mass. Histological examination revealed recurrent epithelial thymoma in the left cervical muscle biopsy, so treatment with cyclophosphamide and prednisolone were begun. A dose of 100 mg/body/day of cyclophosphamide and a dose of 10 mg/body/day of prednisolone were administered every 2 week. Complete remission was induced with four cycles of this treatment of cyclophosphamide and prednisolone. The chemotherapy was thus continued for 20 cycles in 14 months. This chemotherapy with cyclophosphamide and prednisolone appeared to be useful and safe for recurrent thymoma at the outpatient clinic level.

Antineoplastic Combined Chemotherapy Protocols

Single-photon emission CT findings in acute Japanese encephalitis.

PURPOSE: To determine the usefulness of single-photon emission CT (SPECT) in the diagnosis of acute Japanese encephalitis (JE). METHODS: We examined 10 patients (six men and four women; mean age, 69 years) with viral encephalitis. We divided the cases into two groups: the JE group (n = 4) and the non-JE group (n = 6; two with herpes simplex encephalitis and four with encephalitis of unknown origin). All cases were investigated with 99mTc-hexamethylpropyleneamine oxime (HMPAO) SPECT within 15 days after the onset of symptoms. Two patients in the JE group were also examinated by SPECT at a later stage. In all cases MR imaging was performed after the SPECT study. RESULTS: In the acute stage, all patients in the JE group showed a marked increase of HMPAO uptake that matched the hyperintense area observed on MR images in the thalami and putamina bilaterally. Follow-up SPECT studies of two patients with JE revealed a decrease of HMPAO deposition in the areas of high uptake. None of the patients in the non-JE group had an increased accumulation of HMPAO in the thalami or the putamina. CONCLUSIONS: SPECT is helpful in differentiating JE from herpes simplex encephalitis and other types of encephalitis. SPECT may be useful as a diagnostic tool in the early stages of JE.

Acute Disease