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Biomedical subjects

Y Mutoh

Publications and source records attributed to Y Mutoh.

At least 55 records · Page 3Linked to original sources

Effects of bicarbonate ingestion on the respiratory compensation threshold and maximal exercise performance.

Six males performed cycle ergometer exercise on two occasions in random order. Each exercise was preceded by a 2-h period in which matched capsules were administered orally, containing either starch (C) or NaHCO3 (E) in a dose of a 0.2 g.kg-1 body wt; pre-exercise blood pH and [HCO3-] were 7.34 +/- 0.01 and 23.7 +/- 0.5 mM (mean +/- S.E.) for the C study, and 7.41 +/- 0.01 and 28.6 +/- 1.3 mM for the E study (p less than 0.001 and p less than 0.01, respectively). Exercise was continuous and maintained for 10 min at 40% of maximal oxygen uptake (40% VO2max), followed by 15 min at 12 W above the respiratory compensation threshold ([+RCT]) which was determined by the increase of the ventilatory equivalent for carbon dioxide (VE.VCO2(-1)), and for as long as possible at 95% VO2max. Endurance time at 95% VO2max was significantly longer in E than in C (2.98 +/- 0.64 min vs. 2.00 +/- 0.44 min, p less than 0.05). The rate of increase in arterialized venous lactate (LA) was higher in E than in C from rest to exercise at [+RCT], while there was no significant difference in the hydrogen ions ([H+]). Consequently, [H+].LA-1 (nM.mM-1) was significantly lower in E than in C. The change of VE.VCO2(-1) was shifted downward in E compared to C during exercise with the lowest value being observed at the same exercise stage. These results suggest that the respiratory responses to exercise are not affected by the higher level of [HCO3-] induced by NaHCO3 ingestion, and appear to reflect the net change of plasma [HCO3-] or [H+]. Also, induced metabolic acidosis has little effect on [H+] appearance in blood.

Acid-Base Equilibrium↗

Characteristics of leg extensor muscle in a world champion masters jumper. A case study.

To examine the characteristics of a world champion masters jumper (aged 71 yr), a study was undertaken which included a muscle biopsy and measurement of mechanical force production. Comparisons were made to biopsy data obtained from the literature and to force data on 7 active males (63-81 yrs). Cross-sectional areas of vastus lateralis muscle of the jumper's dominant thigh were 3.43 (type I), 3.32 (type IIA) and 2.34 (type IIB) microns 2 X 10(3). This is smaller than what is reported from sedentary young and old. The torque-time curve of maximal isometric knee extension indicates that the jumper had the highest value per body weight from the onset to the peak (3.48 Nm/kg; 58.2% higher than age-matched controls). These results suggest that the daily training of the jumper has a specific effect on the rate of force production despite his relatively small muscle fiber areas.

Aged↗

Delayed appearance of blood lactate with reduced frequency breathing during exercise.

The purpose of the present study was to investigate the blood lactate (LA-) responses to hypoventilation induced by reduced frequency breathing (RFB) during recovery from exercise. Five male subject performed 16 4 min cycling bouts alternating with 16 min rest periods. Exercise intensities were chosen at power outputs corresponding to 30% VO2max at 2 mMLA-, VO2 at 4 mMLA-, and 90% VO2max in each subject. Breathing frequency was voluntarily controlled starting 10 s before each 3rd min of exercise and maintained throughout the rest of the exercise period. Four different breathing patterns at each exercise intensity were used: normal breathing (NB), breathing every 4 s, breathing every 8 s, and maximal RFB. Except for the NB trials, subjects held their breath at functional residual capacity during each breathing interval. The concentration difference of LA- between the 3rd min sample and the 4th min sample was defined as the lactate change during exercise (delta LA-ex), and that between the 4th min sample and the sample at the 3rd min after the end of the exercise as the lactate change during recovery (delta LA-rec). An ANOVA showed significant (p less than 0.05) differences in breathing procedures only in delta LA-rec. delta LA-rec seemed to increase as compared to NB only at VO2 at 4 mMLA- and 90% VO2max, while delta LA-ex remained unchanged as compared to NB in spite of reduced VA. These results might indicate that RFB inhibited lactate removal from working muscles during exercise.

Adult↗

Effects of reduced frequency breathing on arterial hypoxemia during exercise.

It is uncertain that exercise with reduced frequency breathing (RFB) results in arterial hypoxemia. This study was designed to investigate whether RFB during exercise creates a true hypoxic condition in arterial blood by examining arterial oxygen saturation (SaO2) directly. Six subjects performed ten 30 s periods of exercise on a Monark bicycle ergometer at a work rate of 210 W alternating with 30 s rest intervals. The breath was controlled to use 1 s each for inspiration and expiration, and two trials with different breathing patterns were used; a continuous breathing (CB) trial and an RFB trial consisting of four seconds of breath-holding at functional residual capacity (FRC). Alveolar oxygen pressure during exercise showed a slight but significant (p less than 0.05) reduction with RFB as compared to CB. However, a marked increase in alveolar-arterial pressure difference for oxygen (A-aDO2) (p less than 0.05) with RFB over CB resulted in a marked (p less than 0.05) reduction in arterial oxygen pressure. Consequently, SaO2 fell as low as 88.8% on average. Additional examination of RFB with breath-holding at total lung capacity showed no increases in A-aDO2 in spite of the same amount of hypoventilation as compared with that at FRC. These results indicate that RFB during exercise can result in arterial hypoxemia if RFB is performed with breath-holding at FRC, this mechanism being closely related to the mechanical responses due to lung volume restriction.

Adult↗

[Triple primary malignancies (malignant melanoma, laryngeal cancer and hepatoma)].

A 61 year-old male patient, diagnosed to have a malignant melanoma in the left arm in April, 1981, was treated by chemotherapy (gamma-INF and DAVP) and a left axillary lymphadenectomy. In March, 1985, he had complained of hoarseness and an early laryngeal squamous cell carcinoma was found, and was subjected to laser treatment. On May 25, 1986, during his hospitalization for treatment of a multiple metastasis of a malignant melanoma, he suddenly suffered from a gastroduodenal perforation. During an emergency operation, a third cancer, a primary mixed hepatocellular and cholangiocellular carcinoma, was discovered.

Carcinoma, Hepatocellular↗

Determination of the peak power output during maximal brief pedalling bouts.

The purpose of this study was to propose an optimization procedure for determining power output during very brief maximal pedalling exercise. Twenty-six healthy male students (21-28 years) performed anaerobic tests on a Monark bicycle ergometer with maximal effort for less than 10 s at eight different loads ranging from 28.1 to 84.2 Nm in pedalling moment. The maximal pedalling rate was determined from the minimal time required for one rotation of the cycle wheel. Pedalling rate decreased linearly with the load. The relationship between load and pedalling rate was represented by two linear regression equations for each subject; one regression equation was determined from eight pairs of pedalling rates and loads (r less than -0.976) and the other from three pairs (at 28.1, 46.8, 65.5 Nm; r less than -0.969). The two regression coefficients of the respective regression equations were almost identical. Mean +/- S.D. of maximal power output (Pmax) which was determined for each subject based on the two linear regression equations for eight pairs and three pairs of pedalling rates and loads was 930 +/- 187 W (13.4 +/- 1.6 W kgBW-1) and 927 +/- 187 W (13.4 +/- 1.6 W kgBW-1), respectively. There was no statistically significant difference between the values of Pmax which were obtained from each equation. It was concluded that maximal anaerobic power could be simply determined by performing maximal cycling exercise at three different loads.

Anaerobiosis↗

Deepoxidation of 16-membered epoxyenone macrolide antibiotics. I. Microbial deepoxidation and subsequent isomerization of deltamycins A1, A2, A3, A4 (carbomycin A) and X.

Carbomycin A (deltamycin A4) was deepoxidized to carbomycin A P1 by Streptomyces halstedii subsp. deltae (a deltamycins producer), favorably under anaerobic conditions. Carbomycin A P1 was spontaneously converted to geometric isomers designated carbomycins A P2 and A P3. This type of deepoxidation and subsequent isomerization was not limited to carbomycin A, but generally occurrable in other 16-membered epoxyenone macrolide compounds. Many bacteria and actinomycetes were also found to have an ability to deepoxidize deltamycins reductively. The chemical structures of carbomycins A P1, A P2 and A P3 were elucidated as shown in Fig. 3.

Bacteria↗

Deepoxidation of 16-membered epoxyenone macrolide antibiotics. III. In vitro and in vivo evaluation of deepoxidation products of carbomycin A, deltamycin A1, 4"-phenylacetyldeltamycin, angolamycin and rosamicin.

Deepoxidation products P1, P2 and P3 of carbomycin A, deltamycin A1 and 4"-phenylacetyldeltamycin showed high in vitro antibacterial and antimycoplasmal activities which were comparable to those of the respective parent compounds. By contrast, the in vitro antimicrobial potencies of angolamycin P1 and rosamicin P1 were about ten-fold lower than those of the parent macrolides. In mice, the increase in the plasma levels of the epoxyenone macrolides due to deepoxidation was highly significant with the P1, P2 and P3 derivatives of carbomycin A and 4"-phenylacetyldeltamycin, whereas angolamycin P1 gave a moderately-improved plasma level compared with angolamycin.

Animals↗

[Clinical effect of human lymphoblastoid interferon in patients with multiple myeloma].

Five patients with multiple myeloma were treated with human lymphoblastoid interferon (HLBI). HLBI, 3 X 10(6) IU/day, was administered daily for more than two weeks by intramuscular injection. Out of four evaluable patients, a minor response was obtained in 3 patients. In these responders, one patient developed pleural effusion due to the infiltration of myeloma cells during the administration of HLBI, and drug resistance was observed in another patient during the re-administration of HLBI. Therefore, out of six evaluable courses, a minor response was obtained in 3 courses of HLBI treatment. No severe side effects were observed. Thrombocytopenia, general malaise, liver dysfunction and anorexia were the main reasons for discontinuation of HLBI administration. On the basis of the preliminary study, it is concluded that HLBI is worth trying in the management of refractory multiple myeloma.

Anorexia↗

A new instrument for percutaneous muscle biopsies.

A new instrument for percutaneous muscle biopsies is presented. It was tested in biopsies of the vastus lateralis, gastrocnemius, and brachioradialis muscles. With this instrument, percutaneous muscle biopsies were performed noninvasively and simply with procurement of sufficient material (30-40 mg) for satisfactory histological examination.

Biopsy↗