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1.
J Hosp Infect ; 2020 Apr 28.
Artigo em Inglês | MEDLINE | ID: mdl-32360338

RESUMO

BACKGROUND: Invasive fusariosis (IF) is a frequently fatal disease as there are few antifungals to treat it, making the prevention of IF crucial. However, fusarium infections have not been as thoroughly studied as other common pathogenic fungi such as Aspergillus or Candida. AIM: To investigate the epidemiology of IF in patients with haematological diseases in Japan and to elucidate the infectious route of fusarium infection. METHODS: We retrospectively analysed 29 IF cases in patients with haematological diseases from 2009 to 2019 in Japan. To discover the infectious source of IF, we performed an indoor environment survey targeted at indoor air and drain outlets in medical institutions and residences using culture-based and metagenomic methods. Finally, we performed aerosol- and droplet-mediated dispersion studies. FINDINGS: The epidemiological study showed that the primary pathogen of IF was Fusarium solani species complex (FSSC), and the most common species was Fusarium petroliphilum. Most patients were likely to develop IF during hospitalization. A fusarium culture was positive in 26 of 72 drain samples. Few fusarium were detected from air samples; by contrast, 29 of 108 isolates from the drain outlets were identified as fusarium. Furthermore, similar results were obtained in the metagenomic analysis. Interestingly, species belonging to FSSC were isolated from indoor drain outlets, which was similar to those of the IF patients. In the droplet-mediated dispersion study, eight to 17 colonies of fusarium were isolated. CONCLUSION: Our study indicates that causative Fusarium spp. could inhabit drain outlets in hospitals or residences, and droplet-mediated fusarium dispersion is a potential cause of IF.

2.
J Cell Biol ; 101(5 Pt 1): 1724-32, 1985 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-3932365

RESUMO

We have used a monoclonal antibody specific for a hydrocarbon-induced cytochrome P450 to localize, by electron microscopy, the epitope-specific cytochrome P450. The cytochrome was found in the rough and smooth endoplasmic reticulum (ER) and the nuclear envelope of hepatocytes. Significant quantities of cytochrome P450 were not found in Golgi stacks. We also could not find any evidence of Golgi-associated processing of the Asn-linked oligosaccharide chains of two well-characterized ER membrane glycoprotein enzymes (glucosidase II and hexose-6-phosphate dehydrogenase), or of the oligosaccharides attached to the bulk of the glycoproteins of the ER membrane. We conclude that these ER membrane proteins are efficiently retained during a process of highly selective export from this organelle.


Assuntos
Retículo Endoplasmático/metabolismo , Fígado/metabolismo , Proteínas de Membrana/metabolismo , Acetilglucosaminidase/análise , Animais , Concanavalina A/metabolismo , Sistema Enzimático do Citocromo P-450/análise , Retículo Endoplasmático/ultraestrutura , Glucosefosfato Desidrogenase/análise , Complexo de Golgi/metabolismo , Complexo de Golgi/ultraestrutura , Fígado/ultraestrutura , Manosil-Glicoproteína Endo-beta-N-Acetilglucosaminidase , Microscopia Eletrônica , Oligossacarídeos/análise , Ratos , Ratos Endogâmicos , Receptores de Concanavalina A/metabolismo
3.
Int Surg ; 93(4): 226-32, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-19731858

RESUMO

It is an unresolved issue whether various thoracotomies affect clinical outcomes. In addition, a wide variety of technical approaches of video-assisted thoracic surgery depend on the facility. We reviewed 152 consecutive patients with clinical T1N0M0 lung cancer that underwent three types of lobectomy with systematic mediastinal lymphadenectomy in a single institute: 46 conventional thoracotomies (OPEN), 50 anterolateral small thoracotomies mainly using the thoracoscope as a light guide (ASSIST), and 56 minimum thoracotomies in which only a thoracoscope view was used (PURE). Total discharge from the chest drainage tube, length of hospital stay, and post-thoracotomy pain were significantly less in PURE than in OPEN and ASSIST. The results of mediastinal lymphadenectomy were equivalent. The 3-year survival rates were also similar among the three groups. We conclude that good clinical outcomes, especially reduced post-thoracotomy pain, seemed to correlate with the lesser degree of destruction of the chest wall with the identical quality as an acceptable cancer operation in PURE.


Assuntos
Carcinoma Pulmonar de Células não Pequenas/cirurgia , Neoplasias Pulmonares/cirurgia , Cirurgia Torácica Vídeoassistida/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Carcinoma Pulmonar de Células não Pequenas/mortalidade , Carcinoma Pulmonar de Células não Pequenas/patologia , Feminino , Humanos , Neoplasias Pulmonares/mortalidade , Neoplasias Pulmonares/patologia , Excisão de Linfonodo , Masculino , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Análise de Sobrevida , Resultado do Tratamento
4.
Appl Radiat Isot ; 66(6-7): 819-22, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18387807

RESUMO

beta-Ray spectra after penetrating absorbing materials of various thicknesses were observed by the use of a scintillation-type beta-ray spectrometer equipped with a flat NE-102 plastic scintillator of 5mm thickness for sources of (60)Co, (90)Sr-(90)Y, (137)Cs, (147)Pm and (204)Tl. Although the spectra changed rapidly with increasing absorber thickness, the average beta-ray energy was kept nearly constant for a wider range. These results are consistent in that the beta-ray absorption curve becomes quasi-linear in a semi-logarithmic plot. Spectra including scattered beta-rays from several materials placed behind the source were also measured for (137)Cs and (204)Tl. It may be concluded that mean energy measurements by the use of beta-ray spectrometer of this kind is useful for the identification of nuclides in radiation protection purposes even in worse source-conditions.

5.
Appl Radiat Isot ; 66(6-7): 909-13, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18378155

RESUMO

Alpha 4pi(beta+gamma) integral counting technique using a 4pibeta-4pigamma detector configuration was adopted for the standardization of (18)F. In this technique, the beta-detector is composed of two thin plastic scintillators sandwiching the source, coupled with a slender photomultiplier tube. The beta-detector part with the source was inserted into a large well-type NaI(Tl) scintillation detector for gamma-ray detection, making a 4pibeta-4pigamma coincidence counting system. In this work, positron particles were detected with high efficiency in the beta-channel and annihilation quanta were also detected with high efficiency in the 4pigamma channel. The very small inefficiency of the 4pi(beta+gamma) integral counter for the beta-plus branch has been confirmed by EGS5 Monte Carlo simulation. The result using this technique agreed within the uncertainties with the result obtained by the conventional 4pibeta-gamma coincidence counting with the efficiency extrapolation technique using the same detector configuration and a conventional 4pibeta-gamma coincidence counter.

6.
Appl Radiat Isot ; 66(6-7): 691-3, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18339552

RESUMO

In order to vary the counting efficiencies in the 4pibeta-gamma coincidence extrapolation technique, a radioactive source was coated directly with varying amounts of an electrical conducting pigment using an ink-jet printer. This method can be used to efficiently prepare the multiple sources needed to generate efficiency extrapolation curves, and was successfully applied to the standardization of a (54)Mn source.

7.
Mol Cell Biol ; 19(9): 6286-96, 1999 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-10454575

RESUMO

Cyclic nucleotide phosphodiesterase (PDE) is an important regulator of the cellular concentrations of the second messengers cyclic AMP (cAMP) and cGMP. Insulin activates the 3B isoform of PDE in adipocytes in a phosphoinositide 3-kinase-dependent manner; however, downstream effectors that mediate signaling to PDE3B remain unknown. Insulin-induced phosphorylation and activation of endogenous or recombinant PDE3B in 3T3-L1 adipocytes have now been shown to be inhibited by a dominant-negative mutant of the serine-threonine kinase Akt, suggesting that Akt is necessary for insulin-induced phosphorylation and activation of PDE3B. Serine-273 of mouse PDE3B is located within a motif (RXRXXS) that is preferentially phosphorylated by Akt. A mutant PDE3B in which serine-273 was replaced by alanine was not phosphorylated either in response to insulin in intact cells or by purified Akt in vitro. In contrast, PDE3B mutants in which alanine was substituted for either serine-296 or serine-421, each of which lies within a sequence (RRXS) preferentially phosphorylated by cAMP-dependent protein kinase, were phosphorylated by Akt in vitro or in response to insulin in intact cells. Moreover, the serine-273 mutant of PDE3B was not activated by insulin when expressed in adipocytes. These results suggest that PDE3B is a physiological substrate of Akt and that Akt-mediated phosphorylation of PDE3B on serine-273 is important for insulin-induced activation of PDE3B.


Assuntos
3',5'-AMP Cíclico Fosfodiesterases/metabolismo , Insulina/farmacologia , Proteínas Serina-Treonina Quinases/metabolismo , Proteínas Proto-Oncogênicas , 3',5'-AMP Cíclico Fosfodiesterases/genética , Células 3T3 , Sequência de Aminoácidos , Animais , Células CHO , Cricetinae , AMP Cíclico/metabolismo , Nucleotídeo Cíclico Fosfodiesterase do Tipo 3 , Ativação Enzimática , Isoenzimas , Camundongos , Dados de Sequência Molecular , Fosfatidilinositol 3-Quinases/metabolismo , Fosforilação , Mutação Puntual , Proteína Quinase C/metabolismo , Proteínas Serina-Treonina Quinases/genética , Proteínas Proto-Oncogênicas c-akt , Ratos , Proteínas Recombinantes/genética , Proteínas Recombinantes/metabolismo , Homologia de Sequência de Aminoácidos
8.
Mol Cell Biol ; 18(7): 3708-17, 1998 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-9632753

RESUMO

A wide variety of biological activities including the major metabolic actions of insulin is regulated by phosphatidylinositol (PI) 3-kinase. However, the downstream effectors of the various signaling pathways that emanate from PI 3-kinase remain unclear. Akt (protein kinase B), a serine-threonine kinase with a pleckstrin homology domain, is thought to be one such downstream effector. A mutant Akt (Akt-AA) in which the phosphorylation sites (Thr308 and Ser473) targeted by growth factors are replaced by alanine has now been shown to lack protein kinase activity and, when overexpressed in CHO cells or 3T3-L1 adipocytes with the use of an adenovirus vector, to inhibit insulin-induced activation of endogenous Akt. Akt-AA thus acts in a dominant negative manner in intact cells. Insulin-stimulated protein synthesis, which is sensitive to wortmannin, a pharmacological inhibitor of PI 3-kinase, was abolished by overexpression of Akt-AA without an effect on amino acid transport into the cells, suggesting that Akt is required for insulin-stimulated protein synthesis. Insulin activation of p70 S6 kinase was inhibited by approximately 75% in CHO cells and approximately 30% in 3T3-L1 adipocytes, whereas insulin-induced activation of endogenous Akt was inhibited by 80 to 95%, by expression of Akt-AA. Thus, Akt activity appears to be required, at least in part, for insulin stimulation of p70 S6 kinase. However, insulin-stimulated glucose uptake in both CHO cells and 3T3-L1 adipocytes was not affected by overexpression of Akt-AA, suggesting that Akt is not required for this effect of insulin. These data indicate that Akt acts as a downstream effector in some, but not all, of the signaling pathways downstream of PI 3-kinase.


Assuntos
Glucose/metabolismo , Insulina/farmacologia , Proteínas Musculares , Biossíntese de Proteínas , Proteínas Serina-Treonina Quinases/metabolismo , Proteínas Proto-Oncogênicas/metabolismo , Células 3T3 , Alanina/genética , Sequência de Aminoácidos , Animais , Transporte Biológico , Células CHO , Cricetinae , Ativação Enzimática , Transportador de Glucose Tipo 4 , Camundongos , Dados de Sequência Molecular , Proteínas de Transporte de Monossacarídeos/metabolismo , Mutagênese Sítio-Dirigida , Proteínas Serina-Treonina Quinases/genética , Proteínas Proto-Oncogênicas/genética , Proteínas Proto-Oncogênicas c-akt , Ratos , Proteínas Quinases S6 Ribossômicas/metabolismo , Serina/genética , Treonina/genética
9.
Mol Cell Biol ; 18(12): 6971-82, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-9819385

RESUMO

Phosphoinositide (PI) 3-kinase contributes to a wide variety of biological actions, including insulin stimulation of glucose transport in adipocytes. Both Akt (protein kinase B), a serine-threonine kinase with a pleckstrin homology domain, and atypical isoforms of protein kinase C (PKCzeta and PKClambda) have been implicated as downstream effectors of PI 3-kinase. Endogenous or transfected PKClambda in 3T3-L1 adipocytes or CHO cells has now been shown to be activated by insulin in a manner sensitive to inhibitors of PI 3-kinase (wortmannin and a dominant negative mutant of PI 3-kinase). Overexpression of kinase-deficient mutants of PKClambda (lambdaKD or lambdaDeltaNKD), achieved with the use of adenovirus-mediated gene transfer, resulted in inhibition of insulin activation of PKClambda, indicating that these mutants exert dominant negative effects. Insulin-stimulated glucose uptake and translocation of the glucose transporter GLUT4 to the plasma membrane, but not growth hormone- or hyperosmolarity-induced glucose uptake, were inhibited by lambdaKD or lambdaDeltaNKD in a dose-dependent manner. The maximal inhibition of insulin-induced glucose uptake achieved by the dominant negative mutants of PKClambda was approximately 50 to 60%. These mutants did not inhibit insulin-induced activation of Akt. A PKClambda mutant that lacks the pseudosubstrate domain (lambdaDeltaPD) exhibited markedly increased kinase activity relative to that of the wild-type enzyme, and expression of lambdaDeltaPD in quiescent 3T3-L1 adipocytes resulted in the stimulation of glucose uptake and translocation of GLUT4 but not in the activation of Akt. Furthermore, overexpression of an Akt mutant in which the phosphorylation sites targeted by growth factors are replaced by alanine resulted in inhibition of insulin-induced activation of Akt but not of PKClambda. These results suggest that insulin-elicited signals that pass through PI 3-kinase subsequently diverge into at least two independent pathways, an Akt pathway and a PKClambda pathway, and that the latter pathway contributes, at least in part, to insulin stimulation of glucose uptake in 3T3-L1 adipocytes.


Assuntos
Células 3T3/enzimologia , Adipócitos/enzimologia , Glucose/farmacocinética , Insulina/farmacologia , Proteínas Musculares , Proteína Quinase C/fisiologia , Proteínas Serina-Treonina Quinases , Proteínas Proto-Oncogênicas/fisiologia , Adenoviridae/genética , Androstadienos/farmacologia , Animais , Células COS , Ativação Enzimática/efeitos dos fármacos , Imunofluorescência , Transportador de Glucose Tipo 4 , Isoenzimas , Camundongos , Proteínas de Transporte de Monossacarídeos/metabolismo , Mutação/genética , Fosfatidilinositol 3-Quinases/metabolismo , Proteína Quinase C/genética , Proteínas Proto-Oncogênicas c-akt , Transdução de Sinais/fisiologia , Transfecção/genética , Wortmanina
10.
Biochim Biophys Acta ; 1193(2): 345-52, 1994 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-8054356

RESUMO

The transport of de novo synthesized protoheme into the conventional microsomal fraction and endoplasmic reticulum associated with mitochondria (MAER) was studied by injecting amino[14C]levulinic acid (ALA) into phenobarbital-treated rats to evaluate the role of MAER in the trafficking of heme between mitochondria and endoplasmic reticulum. In mitochondria, the specific radioactivity of the radiolabeled heme reached a maximum level at 4 min after the injection of 14C-ALA. The specific radioactivity in cytosol was about 2-fold lower than that in microsomes, suggesting that the cytosolic pathway of the heme transport from mitochondria to endoplasmic reticulum is not predominant, because the specific radioactivity of heme in cytosol should be higher than that in microsomes if heme is transported mainly through cytosol. MAER showed higher specific radioactivity than the conventional microsomal fraction up to 4 min and thereafter the specific radioactivities in MAER and the conventional microsomal fraction became nearly the same. The extents of decrease in cytochrome P-450 and the radioactivity in microsomes by the treatment with allylisopropylacetamide which destroyed cytochrome P-450 but not cytochrome b5, were essentially the same, suggesting that most of the radiolabeled heme in microsomes was incorporated into cytochrome P-450. These results suggest that MAER is a preferential site for the protoheme transport from mitochondria to endoplasmic reticulum.


Assuntos
Retículo Endoplasmático/metabolismo , Heme/biossíntese , Heme/metabolismo , Mitocôndrias Hepáticas/metabolismo , Animais , Transporte Biológico , Fracionamento Celular , Sistema Enzimático do Citocromo P-450/química , Citosol/metabolismo , Retículo Endoplasmático/enzimologia , Heme/isolamento & purificação , Masculino , Mitocôndrias Hepáticas/enzimologia , Ratos , Ratos Wistar
11.
DNA Res ; 8(4): 123-40, 2001 Aug 31.
Artigo em Inglês | MEDLINE | ID: mdl-11572479

RESUMO

The complete genomic sequence of an aerobic thermoacidophilic crenarchaeon, Sulfolobus tokodaii strain7 which optimally grows at 80 degrees C, at low pH, and under aerobic conditions, has been determined by the whole genome shotgun method with slight modifications. The genomic size was 2,694,756 bp long and the G + C content was 32.8%. The following RNA-coding genes were identified: a single 16S-23S rRNA cluster, one 5S rRNA gene and 46 tRNA genes (including 24 intron-containing tRNA genes). The repetitive sequences identified were SR-type repetitive sequences, long dispersed-type repetitive sequences and Tn-like repetitive elements. The genome contained 2826 potential protein-coding regions (open reading frames, ORFs). By similarity search against public databases, 911 (32.2%) ORFs were related to functional assigned genes, 921 (32.6%) were related to conserved ORFs of unknown function, 145 (5.1%) contained some motifs, and remaining 849 (30.0%) did not show any significant similarity to the registered sequences. The ORFs with functional assignments included the candidate genes involved in sulfide metabolism, the TCA cycle and the respiratory chain. Sequence comparison provided evidence suggesting the integration of plasmid, rearrangement of genomic structure, and duplication of genomic regions that may be responsible for the larger genomic size of the S. tokodaii strain7 genome. The genome contained eukaryote-type genes which were not identified in other archaea and lacked the CCA sequence in the tRNA genes. The result suggests that this strain is closer to eukaryotes among the archaea strains so far sequenced. The data presented in this paper are also available on the internet homepage (http://www.bio.nite.go.jp/E-home/genome_list-e.html/).


Assuntos
Genoma Arqueal , Sulfolobus/genética , Proteínas Arqueais/genética , Sequência de Bases , Mapeamento Cromossômico , Cromossomos de Archaea/genética , Códon/genética , Sequência Conservada , DNA Arqueal/genética , Transporte de Elétrons/genética , Duplicação Gênica , Dados de Sequência Molecular , Fases de Leitura Aberta , Plasmídeos/genética , RNA Arqueal/genética , Sulfetos/metabolismo , Sulfolobus/metabolismo
12.
DNA Res ; 5(2): 55-76, 1998 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-9679194

RESUMO

The complete sequence of the genome of a hyper-thermophilic archaebacterium, Pyrococcus horikoshii OT3, has been determined by assembling the sequences of the physical map-based contigs of fosmid clones and of long polymerase chain reaction (PCR) products which were used for gap-filling. The entire length of the genome was 1,738,505 bp. The authenticity of the entire genome sequence was supported by restriction analysis of long PCR products, which were directly amplified from the genomic DNA. As the potential protein-coding regions, a total of 2061 open reading frames (ORFs) were assigned, and by similarity search against public databases, 406 (19.7%) were related to genes with putative function and 453 (22.0%) to the sequences registered but with unknown function. The remaining 1202 ORFs (58.3%) did not show any significant similarity to the sequences in the databases. Sequence comparison among the assigned ORFs in the genome provided evidence that a considerable number of ORFs were generated by sequence duplication. By similarity search, 11 ORFs were assumed to contain the intein elements. The RNA genes identified were a single 16S-23S rRNA operon, two 5S rRNA genes and 46 tRNA genes including two with the intron structure. All the assigned ORFs and RNA coding regions occupied 91.25% of the whole genome. The data presented in this paper are available on the internet at http:@www.nite.go.jp.


Assuntos
Genes Arqueais , Genoma , Pyrococcus/genética , Cromossomos de Archaea , Códon , DNA Arqueal/genética , DNA Arqueal/isolamento & purificação , Vetores Genéticos , Biblioteca Genômica , Dados de Sequência Molecular , Fases de Leitura Aberta , Reação em Cadeia da Polimerase , RNA Arqueal/genética , RNA de Transferência/genética , Mapeamento por Restrição , Análise de Sequência de DNA , Óperon de RNAr/genética
13.
DNA Res ; 6(2): 83-101, 145-52, 1999 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-10382966

RESUMO

The complete sequence of the genome of an aerobic hyper-thermophilic crenarchaeon, Aeropyrum pernix K1, which optimally grows at 95 degrees C, has been determined by the whole genome shotgun method with some modifications. The entire length of the genome was 1,669,695 bp. The authenticity of the entire sequence was supported by restriction analysis of long PCR products, which were directly amplified from the genomic DNA. As the potential protein-coding regions, a total of 2,694 open reading frames (ORFs) were assigned. By similarity search against public databases, 633 (23.5%) of the ORFs were related to genes with putative function and 523 (19.4%) to the sequences registered but with unknown function. All the genes in the TCA cycle except for that of alpha-ketoglutarate dehydrogenase were included, and instead of the alpha-ketoglutarate dehydrogenase gene, the genes coding for the two subunits of 2-oxoacid:ferredoxin oxidoreductase were identified. The remaining 1,538 ORFs (57.1%) did not show any significant similarity to the sequences in the databases. Sequence comparison among the assigned ORFs suggested that a considerable member of ORFs were generated by sequence duplication. The RNA genes identified were a single 16S-23S rRNA operon, two 5S rRNA genes and 47 tRNA genes including 14 genes with intron structures. All the assigned ORFs and RNA coding regions occupied 89.12% of the whole genome. The data presented in this paper are available on the internet homepage (http://www.mild.nite.go.jp).


Assuntos
Archaea/genética , DNA Arqueal/genética , Genoma , Archaea/metabolismo , Sequência de Bases , Dados de Sequência Molecular , Fases de Leitura Aberta , Oxigênio/metabolismo , Reação em Cadeia da Polimerase , RNA Arqueal/genética , Sequências Repetitivas de Ácido Nucleico , Mapeamento por Restrição
14.
Neuropharmacology ; 24(6): 567-70, 1985 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-2410807

RESUMO

The effects of locally applied opioids on the release of immunoreactive Substance P (iSP), induced by mechanical stimuli, from the dorsal horn of the rabbit in situ, were investigated. Morphine and met-enkephalin (met-enk), but not dynorphin A (1-17) (DYN), in a concentration of 10 microM, significantly inhibited the evoked release. These inhibitory effects of morphine and met-enkephalin were antagonized by the local application of naloxone (10 microM) to the dorsal horn. These results suggest that the inhibition of the release of Substance P induced by noxious mechanical stimuli may be mediated by mu and delta, but not by kappa opioid receptors.


Assuntos
Células do Corno Anterior/efeitos dos fármacos , Dinorfinas/farmacologia , Encefalina Metionina/farmacologia , Morfina/farmacologia , Neurônios Motores/efeitos dos fármacos , Substância P/metabolismo , Animais , Estado de Descerebração , Masculino , Neurônios/efeitos dos fármacos , Estimulação Física , Coelhos
15.
Am J Cardiol ; 78(2): 175-81, 1996 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-8712139

RESUMO

We investigated myocardial ischemia and old myocardial infarction noninvasively using signal-averaged electrocardiographic late potentials (LPs) in patients with Kawasaki disease. Patients were divided into 4 groups: a noncoronary artery lesion group (n=136), a coronary artery lesion group (without myocardial ischemia and an old myocardial infarction; n=33), an ischemia group (n=16), and an old myocardial infarction group (n=13). Grouping was based on exercise thallium-201 myocardial scintigraphy, thallium-201 myocardial scintigraphy, exercise electrocardiography, coronary angiography, left ventriculography, and echocardiography. Signal-averaged electrocardiograms were recorded using a high-resolution system. Values of filtered QRS duration (f-QRSd), root-mean-square voltage, and duration of low-amplitude signal were judged using our own body surface area-related criteria (n=205) to determine positive rates of LPs and sensitivities and specificities to ischemia and infarction. These data were also interpreted using published criteria for adults and compared with those interpreted by our criteria. Positive rates by our criteria were 0% in the noncoronary artery lesion group, 9.1% in the coronary lesion group, 56.3% in the ischemia group, and 69.2% in the old myocardial infarction group. However, using the criteria for adults, these values were 0%, 3.0%, 25%, and 46.2%, respectively. Sensitivities to ischemia and infarction using our criteria were significantly higher (56.3% and 69.2%) than those using the criteria for adults (p < 0.05). Moreover, specificities to ischemia and infarction were very high (93.4% and 93.5%, respectively) using our criteria, and there were no significant differences from specificities using the criteria for adults. Also, we examined the reproducibility of values of LPs and LP parameters. The values of filtered QRS duration showed a high reproducibility in both LP-positive and -negative groups, followed by low-amplitude signal and then root-mean-square voltage. The results of LP presence or absence showed 100% reproducibility for both the LP-positive and -negative groups, supporting the utility of LPs for clinical applications. Thus, LPs provide useful information in a noninvasive manner for clarifying ischemia and infarction in patients with Kawasaki disease.


Assuntos
Eletrocardiografia/métodos , Sistema de Condução Cardíaco/fisiopatologia , Síndrome de Linfonodos Mucocutâneos/complicações , Isquemia Miocárdica/diagnóstico , Isquemia Miocárdica/fisiopatologia , Processamento de Sinais Assistido por Computador , Potenciais de Ação , Adolescente , Superfície Corporal , Criança , Pré-Escolar , Estudos de Avaliação como Assunto , Feminino , Humanos , Lactente , Masculino , Síndrome de Linfonodos Mucocutâneos/fisiopatologia , Infarto do Miocárdio/diagnóstico , Isquemia Miocárdica/complicações , Valor Preditivo dos Testes , Sensibilidade e Especificidade
16.
APMIS ; 107(4): 401-3, 1999 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-10230694

RESUMO

We report the first case of intraosseous epithelioid malignant peripheral nerve sheath tumor (MPNST) occurring in the phalanx. The patient was a 50-year-old Japanese man with an intramedullary lytic lesion of the proximal phalanx. Microscopically, the tumor was composed of epithelioid cells or polygonal cells, forming large cell nests with central necrosis. Most tumor cells were diffusely and strongly immunopositive for S-100 protein and vimentin, and negative for cytokeratin, epithelial membrane antigen, carcinoembryonic antigen, alpha-smooth muscle actin, and HMB-45. Laminin-positive material was discontinuously demonstrated between the individual tumor cells. Electron microscopy showed prominent external lamina. Our case indicated that laminin is useful for differentiating epithelioid MPNST from metastatic carcinoma and malignant melanoma.


Assuntos
Neoplasias Ósseas/patologia , Carcinoma/patologia , Dedos , Neoplasias de Bainha Neural/patologia , Diagnóstico Diferencial , Humanos , Imuno-Histoquímica , Laminina/análise , Masculino , Melanoma/patologia , Pessoa de Meia-Idade
17.
Int J Epidemiol ; 27(6): 984-8, 1998 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-10024192

RESUMO

BACKGROUND: Although smoking cessation is strongly associated with subsequent weight gain, it is not clear whether the initial gain in weight after smoking cessation remains over time. METHOD: Cross-sectional analyses were made, using data from periodic health examinations for workers, on the relationship between body mass index (BMI) and the length of smoking cessation. In addition, linear regression coefficients of BMI on the length of cessation were estimated according to alcohol intake and sport activity, to examine the modifying effect of these factors on the weight of former smokers. RESULTS: Means of BMI were 23.1 kg/m2, 23.3 kg/m2, 23.6 kg/m2 for light/medium smokers, heavy smokers and never smokers, respectively. Among former smokers who had smoked > or = 25 cigarettes a day, odds ratio (OR) of BMI >25 kg/m2 were 1.88 (95% confidence interval [CI] : 1.05-3.35), 1.32 (95% CI : 0.74-2.34), 0.66 (95% CI: 0.33-1.31) for those with 2-4 years, 5-7 years, and 8-10 years of smoking cessation, respectively. The corresponding OR among those who previously consumed <25 cigarettes a day were 1.06 (95% CI: 0.58-1.94), 1.00 (95% CI: 0.58-1.71), and 1.49 (95% CI: 0.95-2.32). CONCLUSIONS: The results suggest that although heavy smokers may experience large weight gain and weigh more than never smokers in the few years after smoking cessation, they thereafter lose weight to the never smoker level, while light and moderate smokers gain weight up to the never smoker level without any excess after smoking cessation.


Assuntos
Índice de Massa Corporal , Abandono do Hábito de Fumar , Aumento de Peso/fisiologia , Adulto , Idoso , Consumo de Bebidas Alcoólicas/epidemiologia , Intervalos de Confiança , Estudos Transversais , Seguimentos , Humanos , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Razão de Chances , Prevalência , Estudos Retrospectivos , Fumar/epidemiologia , Abandono do Hábito de Fumar/estatística & dados numéricos
18.
J Am Geriatr Soc ; 46(5): 583-9, 1998 May.
Artigo em Inglês | MEDLINE | ID: mdl-9588371

RESUMO

OBJECTIVE: To examine the relationship between intellectual dysfunctioning and mortality in a community-residing older population. DESIGN: Of the 1473 randomly selected people aged 65 years and older living in Settsu, Osaka Prefecture, in October 1992, 1405 were contacted. Data for assessment of intellectual dysfunctioning were obtained from 1383 people (98.4%), who constituted the study cohort. Follow-up for 42 months was completed for 1300 subjects (94.0%; 1117 living, 183 deceased). MEASURES: Data on general health status, history of health management, psychosocial conditions, and intellectual dysfunctioning were collected by means of interviews during home visits at the time of enrollment. Intellectual dysfunctioning was determined with the assessment instrument developed by the Social Survey Division of the Office of Population Censuses (OPCS) in Great Britain. RESULTS: The Kaplan-Meier analysis indicated that the estimated survival rates for men and women decreased with a decline in intellectual function in two age groups: 65 to 74 and 75 years and older. For both sexes, the log rank test showed that the curves among the four groups based on intellectual dysfunctioning (intact, mild, moderate, and severe) achieved statistical significance for the age group of 75 years and older. For both age groups and each of the levels of intellectual dysfunctioning, the estimated survival rate for men was lower than that for women. Application of the Cox proportional hazards model resulted in unadjusted hazard ratios of mild, moderate, and severe intellectual dysfunctioning for mortality of 1.68, 2.44, and 5.37, respectively. Multivariate analysis on the other hand, yielded adjusted hazard ratios of mild, moderate, and severe intellectual dysfunctioning of 1.19, 1.12, and 1.74, respectively, leaving severe dysfunctioning as the only statistically significant factor associated with mortality. Other factors such as sex, age, general health status, history of management, and psychosocial conditions were controlled. CONCLUSION: Intellectual dysfunctioning, as measured by an assessment instrument developed by OPCS, represents an increased risk factor for mortality among community-residing older people.


Assuntos
Transtornos Cognitivos , Mortalidade , Atividades Cotidianas , Idoso , Transtornos Cognitivos/diagnóstico , Estudos de Coortes , Feminino , Seguimentos , Comportamentos Relacionados com a Saúde , Nível de Saúde , Humanos , Japão/epidemiologia , Masculino , Análise Multivariada , Modelos de Riscos Proporcionais , Fatores de Risco
19.
J Biochem ; 92(2): 547-57, 1982 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-6813321

RESUMO

Rat liver microsomal fraction generates 14CO2 from [1(-14)C]glucose 6-phosphate in the presence of NADP+ and a detergent. The activity is mediated through an enzyme system consisting of hexose-6-phosphate dehydrogenase and 6-phosphogluconate dehydrogenase inherent to the microsomes, with the latter enzyme reaction being a rate-determining step. Both enzymes of the system in microsomes are extremely resistant to trypsin digestion, thereby distinguishing them from the corresponding cytosol enzymes. A stoichiometric relationship was obtained between the generations of NADPH and 14CO2 (2: 1 on a molar basis), indicating that the observed generation of NADPH in microsomes could entirely be accounted for by the action of the enzyme system. A method was devised to measure NADP(H) inside or outside the microsomal vesicles, and it was found that a considerable amount of the cofactor was present within the vesicles. Subfractionation of various intracellular fractions on sucrose density gradients confirmed the close association of NADP(H) with liver microsomes. It is suggested that both enzymes of the system function to generate the reduced form of NADP+ in the luminal space of the endoplasmic reticulum, where NADP(H) and glucose 6-phosphate are available.


Assuntos
Desidrogenases de Carboidrato/metabolismo , Microssomos Hepáticos/enzimologia , NADP/metabolismo , Fosfogluconato Desidrogenase/metabolismo , Animais , Dióxido de Carbono/metabolismo , Centrifugação com Gradiente de Concentração , Hidrólise , Técnicas In Vitro , Cinética , Masculino , Microssomos Hepáticos/ultraestrutura , NADP/análise , Ratos , Ratos Endogâmicos
20.
J Biochem ; 84(6): 1567-72, 1978 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-739003

RESUMO

The effects of various treatments in vivo on the intracellular contents of the Golgi apparatus and microsomes (endoplasmic reticulum) in rat liver were studied. Partial hepatectomy increased the content of Golgi apparatus. Laparotmy also increased the content of Golgi apparatus, but to a lesser extent than partial hepatectomy. In contrast, the content of microsomes remained unchanged by these treatments. On the other hand, the plasma seromucoid content was markedly increased by laparotomy, but unchanged by partial hepatectomy. Papain administration also caused an increase in the content of Golgi apparatus. The contents of both organelles were increased by the injection of phenobarbital. These results indicate that the control mechanisms of proliferation of Golgi apparatus are different from those of endoplasmic reticulum. These findings are discussed in relation to the functions of the Golgi apparatus, and it is suggested that the major function of the organelle at a given time is determined by the major metabolic demands at that time.


Assuntos
Complexo de Golgi/metabolismo , Fígado/metabolismo , Animais , Galactosiltransferases/metabolismo , Complexo de Golgi/efeitos dos fármacos , Laparotomia , Fígado/efeitos dos fármacos , Regeneração Hepática , Masculino , Microssomos Hepáticos/efeitos dos fármacos , Microssomos Hepáticos/metabolismo , Papaína/farmacologia , Fenobarbital/farmacologia , Proteínas/metabolismo , Ratos
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