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1.
Biosci Biotechnol Biochem ; 84(8): 1714-1723, 2020 Aug.
Article in English | MEDLINE | ID: mdl-32448088

ABSTRACT

In sake brewing, the steamed rice is used in 2 ways, added to sake-mash and making rice-koji. Rice-koji is made from the steamed rice by using koji starter, and its quality is an important determinant of the aroma/taste of sake. The sake rice Koshitanrei (KOS) was developed in Niigata Prefecture by crossing 2 sake rice varieties, Gohyakumangoku and Yamadanishiki. Recently, we reported the characteristic components/metabolites in sake made from KOS by conducting metabolome analysis using UPLC-QTOF-MS. In this study, to investigate the effect of koji starter and sake rice cultivars on the sake metabolites, we performed small-scale sake-making tests using the above 3 rice cultivars and 3 koji starters. Finally, we demonstrated that some of the characteristic components/metabolites of sake from KOS are affected by the koji starter. Thus, in addition to rice cultivar, koji starter plays an important role for establishment/maintenance of the quality of the final product.


Subject(s)
Alcoholic Beverages/analysis , Fermented Foods/analysis , Metabolome , Oryza/chemistry , Aspergillus oryzae/metabolism , Chromatography, High Pressure Liquid , Complex Mixtures/chemistry , Factor Analysis, Statistical , Fermentation , Humans , Oryza/classification , Saccharomyces cerevisiae/metabolism , Spectrometry, Mass, Matrix-Assisted Laser Desorption-Ionization
3.
Biosci Biotechnol Biochem ; 83(8): 1570-1582, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31021711

ABSTRACT

In sake brewing, the steamed rice is used in two ways, added to sake-mash (as kake-mai) and making koji. The rice is an important determinant for the quality of sake, as the metabolites in sake affect its taste/aroma. The sake rice Koshitanrei (KOS) was developed in Niigata Prefecture by genetically crossing two sake rice, Gohyakumangoku and Yamadanishiki. However, the metabolites in sake from KOS have not been analyzed. Here, to investigate the characteristic metabolites in sake from KOS, we performed two types of small-scale sake-fermentation tests changing only the rice used for kake-mai or total rice (both kake-mai and koji) by these three rice cultivars and examined the effect of KOS on sake metabolites by the metabolome analysis method using UPLC-QTOF-MS. We identified the peaks/metabolites, whose intensity in sake from KOS was higher/lower than those from the other cultivars. The brewing properties of KOS were partially characterized by this analysis.


Subject(s)
Alcoholic Beverages , Oryza/metabolism , Crosses, Genetic , Fermentation , Genes, Plant , Japan , Metabolomics , Odorants , Oryza/genetics , Taste
4.
J Sci Food Agric ; 99(4): 1926-1937, 2019 Mar 15.
Article in English | MEDLINE | ID: mdl-30270444

ABSTRACT

BACKGROUND: Koshu, a hybrid of Vitis vinifera L. and V. davidii Foex, is the most popular indigenous cultivar for wine production in Japan. However, little is known about the potential aroma compounds it contains and how environmental factors affect these. In this study, we obtained comprehensive profiles of the volatile (both glycosidically bound and free) and phenolic compounds that occur in koshu berries, and compared these with similar profiles for V. vinifera cv. chardonnay. We then compared the response of these two cultivars to bunch shading and the ripening-related phytohormone abscisic acid (ABA). RESULTS: Koshu berries contained significantly higher concentrations of phenolic compounds, such as hydroxycinnamic acid derivatives, and some volatile phenols, such as 4-vinyl guaiacol and eugenol, than chardonnay berries, which are thought to contribute to the characteristics of koshu wine. In addition, koshu berries had a distinctly different terpenoid composition from chardonnay berries. Shading reduced the concentration of norisoprenoid in both cultivars, as well as several phenolic compounds, particularly their volatile derivatives in koshu berries. The exogenous application of ABA induced ripening and increased the concentrations of lipid derivatives, such as hexanol, octanol, 1-nonanol, and 1-octen-3-ol. Multivariate and discriminant analyses showed that the potential aroma and flavor compounds in the berries could be discriminated clearly based on cultivar and environmental cues, such as light exposure. CONCLUSION: The unique secondary metabolite profiles of koshu and their different responses to environmental factors could be valuable for developing various types of koshu wines and new cultivars with improved quality and cultural characteristics. © 2018 Society of Chemical Industry.


Subject(s)
Flavoring Agents/chemistry , Vitis/chemistry , Abscisic Acid/pharmacology , Fruit/chemistry , Fruit/drug effects , Fruit/growth & development , Odorants/analysis , Phenols/chemistry , Plant Extracts/chemistry , Plant Growth Regulators/pharmacology , Taste , Terpenes/chemistry , Vitis/drug effects , Vitis/growth & development , Wine/analysis
5.
Xenotransplantation ; 23(5): 393-404, 2016 09.
Article in English | MEDLINE | ID: mdl-27422454

ABSTRACT

BACKGROUND: Clinical allogeneic islet transplantation has become an attractive procedure for type 1 diabetes mellitus treatment. However, there is a severe shortage of human donors. Microencapsulated neonatal porcine islet (NPI) xenotransplantation may be an alternative transplantation procedure. Currently, the efficacy of microencapsulated NPI xenotransplantation into the peritoneal cavity is limited because of early non-function resulting from inflammation, which is a serious hindrance to promoting this procedure as a standard therapy. Previously, we have demonstrated that high-mobility group box 1 (HMGB1), a damage-associated molecular pattern (DAMP) molecule, was released from transplanted islets and triggered inflammatory reactions leading to early loss of intrahepatic syngeneic islet grafts in mice. In this study, we hypothesized that the inflammatory reaction in the peritoneal cavity following the transplantation of microencapsulated NPIs is more severe than that of empty capsules. Additionally, we predicted that HMGB1 released from transplanted microencapsulated NPIs triggers further inflammatory reactions in mice. Finally, we hypothesized that microencapsulated NPI xenotransplantation efficacy would be improved by treatment-targeting inflammatory reactions in a mouse model. METHODS: A total of 10 000 empty capsules (alginate-poly-L-ornithine-alginate) or 10 000 IEQ microencapsulated NPIs were transplanted into the peritoneal cavity of streptozotocin-induced diabetic C57BL/6 mice. RESULTS: The numbers of mononuclear cells in the peritoneal cavity following empty capsule or microencapsulated NPI transplantation were 4.8 × 10(6)  ± 0.9 × 10(6) and 13.6 × 10(6)  ± 3.0 × 10(6) , respectively (P < 0.05). Fluorescence-activated cell sorting (FACS) analysis revealed that tumor necrosis factor (TNF)-α-, interleukin (IL)-6-, interferon (IFN)-γ-, and/or IL-12-positive macrophages, neutrophils, and dendritic cells had infiltrated the peritoneal cavity after empty capsules or microencapsulated NPIs administration. IL-6 concentrations in the peritoneal lavage fluids on 7 days after empty capsule or microencapsulated NPI transplantation were 18.5 ± 10.0 and 157.4 ± 46.3 pg/ml, respectively (P < 0.001), while TNF-α concentrations were 4.6 ± 1.4 and 19.8 ± 8.4 pg/ml, respectively (P < 0.01). In addition, HMGB1 concentrations were 37.6 ± 6.6 and 117.4 ± 8.1 ng/ml, respectively (P < 0.0001). In vitro experiments revealed that the total amount of released HMGB1 into the culture medium of empty capsule (200 capsules/dish) and microencapsulated NPI (200 IEQ/dish) after hypoxic culture (1% O2 , 5% CO2 , and 94% N2 ) was 0 and 8.6 ± 2.2 ng, respectively (P < 0.001). FACS analysis revealed that TNF-α- and IL-6-positive macrophages were also observed in the peritoneal cavity following intraperitoneal injection of HMGB1 itself. Anti-TNF-α antibody treatment was associated with slightly prolonged graft survival and improved glucose tolerance 30 days after transplantation, but none of the recipients were remained normoglycemic. CONCLUSIONS: In conclusion, early inflammatory reactions might be therapeutic targets for the prolongation of microencapsulated NPIs graft survival. Thus, treatment-targeting inflammation might improve the efficiency of clinical microencapsulated NPI xenotransplantation.


Subject(s)
Drug Compounding , Graft Rejection/immunology , Graft Survival/immunology , Islets of Langerhans Transplantation/immunology , Islets of Langerhans/immunology , Transplantation, Heterologous , Animals , Animals, Newborn , Drug Compounding/methods , Heterografts/immunology , Islets of Langerhans Transplantation/methods , Male , Mice, Inbred C57BL , Swine , Transplantation, Heterologous/methods , Tumor Necrosis Factor-alpha/immunology
6.
J Mol Cell Cardiol ; 64: 30-8, 2013 Nov.
Article in English | MEDLINE | ID: mdl-24004468

ABSTRACT

The heart has remarkable capacity to adapt to mechanical load and to dramatically change its phenotype. The mechanism underlying such diverse phenotypic adaptations remains unknown. Since systolic overload induces wall thickening, while diastolic overload induces chamber enlargement, we hypothesized that cardiac phase-sensitive mechanisms govern the adaptation. We inserted a balloon into the left ventricle (LV) of a Langendorff perfused rat heart, and controlled LV volume (LVV) using a high performance servo-pump. We created isolated phasic systolic overload (SO) by isovolumic contraction (peak LV pressure >170mmHg) at unstressed diastolic LVV [end-diastolic pressure (EDP)=0mmHg]. We also created pure phasic diastolic overload (DO) by increasing diastolic LVV until EDP >40mmHg and unloading completely in systole. After 3hours under each condition, the myocardium was analyzed using DNA microarray. Gene expressions under SO and DO conditions were compared against unloaded control condition using gene ontology and pathway analysis (n=4 each). SO upregulated proliferation-related genes, whereas DO upregulated fibrosis-related genes (P<10(-5)). Both SO and DO upregulated genes related functionally to cardiac hypertrophy, although the gene profiles were totally different. Upstream regulators confirmed by Western blot indicated that SO activated extracellular signal-regulated kinase 1/2, c-Jun NH2-terminal kinase, and Ca(2+)/calmodulin-dependent protein kinase II (3.2-, 2.0-, and 4.7-fold versus control, P<0.05, n=5), whereas DO activated p38 (2.9-fold, P<0.01), which was consistent with the downstream gene expressions. In conclusion, pure isolated systolic and diastolic overload permits elucidation of cardiac phase-sensitive gene regulation. The genomic responses indicate that mechanisms governing the cardiac phase-sensitive adaptations are different.


Subject(s)
Gene Expression Regulation , Heart Ventricles/metabolism , Heart/physiology , Myocardium/metabolism , Signal Transduction , Animals , Blood Pressure , Cluster Analysis , Diastole , Gene Expression Profiling , In Vitro Techniques , Male , Models, Biological , Rats , Systole
7.
J Biosci Bioeng ; 134(2): 116-124, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35610162

ABSTRACT

Sake, soy sauce, miso (Japanese bean paste), and beer are made from grains. The characteristics of the grain significantly affect the quality of the final product. Many studies have been performed to evaluate the sake-brewing characteristics of rice. However, current rice analysis methods are time and labor intensive and require large samples. We developed a novel method for predicting the brewing characteristics of sake rice using <1 g of sample. Brown rice extracts were analyzed by ultrahigh-performance liquid chromatography quadrupole time-of-flight mass spectrometry, and mass chromatogram data were used as explanatory variables. The objective variables were the physical and chemical properties of the rice, the enzymatic activity of the rice-koji, the fermentation properties of the sake mash, the standard analytical values of the sake, and the flavor component concentrations in the sake. Prediction models were developed using the orthogonal projections to latent structures method. The prediction performances of the models were verified, and 32 out of the 54 objective variables were used in well-performing models. In conclusion, we developed a method for predicting the rice properties and brewing characteristics from results acquired by analyzing <1 g of brown rice. The method is a powerful tool for breeding new sake rice cultivars for good brewing characteristics in early generations and will improve our understanding of fluctuations in the brewing characteristics of sake rice before each sake brewing season starts.


Subject(s)
Alcoholic Beverages , Fermentation , Oryza , Alcoholic Beverages/analysis , Oryza/chemistry , Saccharomyces cerevisiae/metabolism
8.
Ann Otol Rhinol Laryngol ; 119(7): 490-4, 2010 Jul.
Article in English | MEDLINE | ID: mdl-20734972

ABSTRACT

OBJECTIVES: We described the characteristics of congenital cholesteatoma in Japanese patients and assessed whether the staging system is useful for predicting the rate of residual disease, the need for reexploration, and surgical outcomes. METHODS: We performed a retrospective chart analysis of 23 consecutive patients with congenital cholesteatoma. RESULTS: The proportion of cases with anterior-superior quadrant involvement was significantly lower in the Asian group than in Western patients. The total residual rate was 26%, and there was a positive association between stage and residual rate, ranging from 0% in stage I and II to 44% in stage IV. Canal wall-up tympanomastoidectomy was the most frequent procedure (57%), and 61% had reexploration. CONCLUSIONS: Congenital cholesteatoma in Asia is less likely to involve the anterior-superior quadrant than in Western patients. The 4-stage system was useful for predicting residual rates, even in patients in whom anterior-superior quadrant involvement was less common. Postoperative hearing was significantly related to the stages. A routine second-look procedure may be unnecessary in the early stages, whereas reexploration would be better performed in advanced stages. Endoscopy might reduce residual disease and the need for reexploration in the near future.


Subject(s)
Cholesteatoma, Middle Ear/congenital , Adolescent , Adult , Child , Child, Preschool , Cholesteatoma, Middle Ear/pathology , Disease Progression , Female , Humans , Male , Neoplasm Staging , Reoperation , Retrospective Studies , Young Adult
10.
Arthritis Res Ther ; 18: 159, 2016 07 19.
Article in English | MEDLINE | ID: mdl-27435242

ABSTRACT

BACKGROUND: According to EULAR recommendations, biologic DMARDs (bDMARDs) such as tumor necrosis factor inhibitor, tocilizumab (TCZ), and abatacept (ABT) are in parallel when prescribing to rheumatoid arthritis (RA) patients who have shown insufficient response to conventional synthetic DMARDs. However, most prediction studies of therapeutic response to bDMARDs using gene expression profiles were focused on a single bDMARD, and consideration of the results from the perspective of RA pathophysiology was insufficient. The aim of this study was to identify the specific molecular biological features predicting the therapeutic outcomes of three bDMARDs (infliximab [IFX], TCZ, and ABT) by studying blood gene expression signatures of patients before biologic treatment in a unified test platform. METHODS: RA patients who responded inadequately to methotrexate and were later commenced on any one of IFX (n = 140), TCZ (n = 38), or ABT (n = 31) as their first biologic between May 2007 and November 2011 were enrolled. Whole-blood gene expression data were obtained before biologic administration. Patients were categorized into remission (REM) and nonremission (NON-REM) groups according to CDAI at 6 months of biologic therapy. We employed Gene Set Enrichment Analysis (GSEA) to identify functional gene sets differentially expressed between these two groups for each biologic. Then, we compiled "signature scores" for these gene sets, and the prediction performances were assessed. RESULTS: GSEA showed that inflammasome genes were significantly upregulated with IFX in the NON-REM group compared with the REM group. With TCZ in the REM group, B-cell-specifically expressed genes were upregulated. RNA elongation, apoptosis-related, and NK-cell-specifically expressed genes were upregulated with ABT in the NON-REM group. Logistic regression analyses showed that "signature scores" of inflammasomes, B-cell-specifically expressed, and NK-cell-specifically expressed genes were significant, independently predictive factors for treatment outcome with IFX, TCZ, and ABT, respectively. The AUCs of ROC curves of these signature scores were 0.637, 0.796, and 0.768 for IFX, TCZ, and ABT, respectively. CONCLUSIONS: We have identified original gene expression predictive signatures uniquely underlying the therapeutic effects of IFX, TCZ, and ABT. This is, to our knowledge, the first attempt to predict therapeutic effects of three drugs concomitantly using a unified gene expression test platform.


Subject(s)
Antirheumatic Agents/therapeutic use , Arthritis, Rheumatoid/drug therapy , Arthritis, Rheumatoid/genetics , Transcriptome , Abatacept/therapeutic use , Adult , Aged , Antibodies, Monoclonal, Humanized/therapeutic use , Area Under Curve , Biomarkers/analysis , Female , Gene Expression Profiling , Humans , Infliximab/therapeutic use , Male , Middle Aged , Oligonucleotide Array Sequence Analysis , Polymerase Chain Reaction , ROC Curve , Retrospective Studies , Sensitivity and Specificity , Treatment Outcome
11.
PLoS One ; 8(6): e67642, 2013.
Article in English | MEDLINE | ID: mdl-23840758

ABSTRACT

Myocardial mitochondrial DNA (mtDNA) copy number decreases in heart failure. In post-myocardial infarction mice, increasing mtDNA copy number by overexpressing mitochondrial transcription factor attenuates mtDNA deficiency and ameliorates pathological remodeling thereby markedly improving survival. However, the functional significance of increased mtDNA copy number in hypertensive heart disease remains unknown. We addressed this question using transgenic mice that overexpress Twinkle helicase (Twinkle; Tg), the mtDNA helicase, and examined whether Twinkle overexpression protects the heart from left ventricular (LV) remodeling and failure after pressure overload created by transverse aortic constriction (TAC). Twinkle overexpression increased mtDNA copy number by 2.2 ± 0.1-fold. Heart weight, LV diastolic volume and wall thickness were comparable between Tg and wild type littermates (WT) at 28 days after TAC operation. LV end-diastolic pressure increased in WT after TAC (8.6 ± 2.8 mmHg), and this increase was attenuated in Tg (4.6 ± 2.6 mmHg). Impaired LV fractional shortening after TAC operation was also suppressed in Tg, as measured by echocardiography (WT: 16.2 ± 7.2% vs Tg: 20.7 ± 6.2%). These LV functional improvements were accompanied by a decrease in interstitial fibrosis (WT: 10.6 ± 1.1% vs Tg: 3.0 ± 0.6%). In in vitro studies, overexpressing Twinkle using an adenovirus vector in cultured cardiac fibroblasts significantly suppressed mRNA of collagen 1a, collagen 3a and connective tissue growth factor, and angiotensin II-induced transforming growth factor ß1 expression. The findings suggest that Twinkle overexpression prevents LV function deterioration. In conclusion, Twinkle overexpression increases mtDNA copy number and ameliorates the progression of LV fibrosis and heart failure in a mouse pressure overload model. Increasing mtDNA copy number by Twinkle overexpression could be a novel therapeutic strategy for hypertensive heart disease.


Subject(s)
DNA Helicases/genetics , Fibrosis/pathology , Gene Expression/genetics , Heart Failure/pathology , Mitochondrial Proteins/genetics , Animals , Aorta/pathology , Constriction , DNA Copy Number Variations/genetics , Disease Models, Animal , Disease Progression , Echocardiography/methods , Fibrosis/genetics , Heart , Heart Failure/genetics , Hypertrophy, Left Ventricular/genetics , Hypertrophy, Left Ventricular/pathology , Male , Mice , Mice, Transgenic/genetics , Pressure , Ventricular Function, Left/genetics , Ventricular Remodeling/genetics
12.
Auris Nasus Larynx ; 39(5): 527-30, 2012 Oct.
Article in English | MEDLINE | ID: mdl-22062399

ABSTRACT

A case of a spontaneous retropharyngeal hematoma in a patient on chronic hemodialysis is described. A 75-year-old man presented with a 5-day history of throat discomfort and neck swelling. He had been on hemodialysis for chronic renal failure with secondary hyperparathyroidism. Examination showed a massively enlarged neck and bruising on his left neck and anterior chest. Flexible nasopharyngoscopy revealed bluish bulging of the posterior pharyngeal wall, and CT showed widening of prevertebral soft tissue. Hemodialysis reduced the swelling of the posterior pharyngeal wall, and conservative management including steroids and antibiotics was adequate for managing the airway and hematoma. Retropharyngeal swelling of this patient seemed to be derived not only from the hematoma itself, but also from the lymphatic and venous congestion. Follow-up CT and MRI indicated that the enlarged left parathyroid was the bleeding source. To the best of our knowledge, this is the second report of a retropharyngeal hematoma from parathyroid hyperplasia in a chronic hemodialysis patient. Physicians should be aware that rare parathyroid hemorrhage in chronic hemodialysis patients could lead to airway obstruction by retropharyngeal swelling.


Subject(s)
Hematoma/complications , Hemorrhage/complications , Hyperplasia/complications , Kidney Failure, Chronic/complications , Parathyroid Diseases/complications , Pharyngeal Diseases/complications , Aged , Hematoma/diagnostic imaging , Hemorrhage/diagnostic imaging , Humans , Hyperparathyroidism, Secondary , Hyperplasia/diagnostic imaging , Magnetic Resonance Imaging , Male , Parathyroid Diseases/diagnostic imaging , Parathyroid Glands/diagnostic imaging , Parathyroid Glands/pathology , Pharyngeal Diseases/diagnostic imaging , Renal Dialysis , Tomography, X-Ray Computed
13.
Mitochondrion ; 12(4): 449-58, 2012 Jul.
Article in English | MEDLINE | ID: mdl-22709542

ABSTRACT

The overexpression of mitochondrial transcription factor A (TFAM) attenuates the decrease in mtDNA copy number after myocardial infarction, ameliorates pathological hypertrophy, and markedly improves survival. However, non-transgenic strategy to increase mtDNA for the treatment of pathological hypertrophy remains unknown. We produced recombinant human TFAM protein (rhTFAM). rhTFAM rapidly entered into mitochondria of cultured cardiac myocytes. rhTFAM increased mtDNA and abolished the activation of nuclear factor of activated T cells (NFAT), which is well known to activate pathological hypertrophy. rhTFAM attenuated subsequent morphological hypertrophy of myocytes as well. rhTFAM would be an attractive molecule in attenuating cardiac pathological hypertrophy.


Subject(s)
DNA-Binding Proteins/metabolism , Hypertrophy/physiopathology , Mitochondrial Proteins/metabolism , Myocytes, Cardiac/physiology , NFATC Transcription Factors/antagonists & inhibitors , Signal Transduction , Transcription Factors/metabolism , Animals , Cells, Cultured , DNA-Binding Proteins/genetics , Humans , Male , Mice , Mitochondrial Proteins/genetics , Recombinant Proteins/genetics , Recombinant Proteins/metabolism , Transcription Factors/genetics
14.
Langmuir ; 24(17): 9254-9, 2008 Sep 02.
Article in English | MEDLINE | ID: mdl-18680328

ABSTRACT

To prepare cured epoxy resin particles encapsulating a curing agent (diamine), the self-assembly of phase-separated polymer (SaPSeP) method was developed to be applicable to polyaddition reaction of a stoichiometrically imbalanced system. The SaPSeP method was developed by the authors for preparation of micrometer-sized, hollow cross-linked polymer particles by radical polymerization based on the self-assembly of phase-separated polymer at the inner interface of particles. Although a polyaddition reaction, in general, requires that the reactants are in stoichiometric balance for the cure reaction to proceed well, diamine was successfully encapsulated within a cured epoxy resin shell by utilizing the SaPSeP method regardless of stoichiometric imbalance. The results provide further support of the previously proposed SaPSeP mechanism for the formation of hollow particles. Moreover, such diamine capsules can be employed in one-component epoxy adhesives.

15.
Prog Brain Res ; 151: 527-63, 2006.
Article in English | MEDLINE | ID: mdl-16221600

ABSTRACT

It has been tacitly assumed that a long descending motor tract axon consists of a private line connecting the cell of origin to a single muscle, as a motoneuron innervates a single muscle. However, this notion of a long descending motor tract referred to as a private line is no longer tenable, since recent studies have showed that axons of all major long descending motor tracts send their axon collaterals to multiple spinal segments, suggesting that they may exert simultaneous influences on different groups of spinal interneurons and motoneurons of multiple muscles. The long descending motor systems are divided into two groups, the medial and the lateral systems including interneurons and motoneurons. In this chapter, we focus mainly on the medial system (vestibulospinal, reticulospinal and tectospinal systems) in relation to movement control of the neck, describe the intraspinal morphologies of single long descending motor tract axons that are stained with intracellular injection of horseradish peroxidase, and provide evidence that single long motor-tract neurons are implicated in the neural implementation of functional synergies for head movements.


Subject(s)
Axons/physiology , Head Movements/physiology , Motor Cortex/anatomy & histology , Motor Neurons/ultrastructure , Muscle, Skeletal/innervation , Neck Muscles/innervation , Afferent Pathways/anatomy & histology , Afferent Pathways/physiology , Animals , Anterior Horn Cells/physiology , Anterior Horn Cells/ultrastructure , Axons/ultrastructure , Cats , Efferent Pathways/anatomy & histology , Efferent Pathways/physiology , Humans , Interneurons/physiology , Interneurons/ultrastructure , Medulla Oblongata/anatomy & histology , Medulla Oblongata/physiology , Motor Cortex/physiology , Motor Neurons/physiology , Muscle, Skeletal/physiology , Neck , Neck Muscles/physiology , Spinal Cord/cytology , Spinal Cord/physiology , Thorax , Vestibular Nuclei/anatomy & histology , Vestibular Nuclei/physiology
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