Head and neck contrast-enhanced CT for identification of internal carotid artery stenosis progression on the affected side after treatment for oral squamous cell carcinoma.

OBJECTIVES: To determine the incidence of progressive internal carotid artery (ICA) stenosis by head and neck contrast-enhanced computed tomography (CT) in 82 patients who underwent surgery, chemotherapy, or combination therapy for oral squamous cell carcinoma (OSCC). METHODS: The study included 82 patients who underwent head and neck contrast-enhanced CT after surgery alone or combined surgery and chemotherapy for OSCC at the Department of Oral and Maxillofacial Surgery of Ichikawa General Hospital, Tokyo Dental College, or Tokyo Dental College Oral Cancer Center between December 2002 and March 2010. RESULTS: Comparison with previously obtained head and neck contrast-enhanced CT images revealed progressive arterial stenosis of the ICA in five patients with a mean age of 62.0 years. All five patients were male, and their OSCC sites were the tongue in two, the floor of the mouth in two, and the mandibular gingiva in one. Tumor resection and neck dissection were performed for four patients and tumor resection alone for one patient. Four patients underwent chemotherapy. ICA stenosis occurred on the same side as the tumor in all five patients. CONCLUSIONS: The results of this study suggest that, given the possibility of post-treatment vascular events, attention must be paid to subsequent changes in the ICA over time. The results also indicate the usefulness of head and neck contrast-enhanced CT in identifying such problems.

CH2-units on (poly-)ethylene glycol radially dehydrate cytoplasm of resting skinned skeletal muscle.

Observing the optical cross-section and electron micrographs of mechanically skinned fibres of frog skeletal muscle, we found that ethylene glycols (EGs) of small (mono-, di-, tri- and tetra-EGs; M(r) 62-194) and medium (poly-EGs; M(r) 900 and 3350) molecular weights efficiently dehydrate the fibres to shrink them radially without microscopic inhomogeneity. The medium-sized poly-EGs at 30% weight/weight concentration absorbed almost all the evaporable water from the fibre. Passive tension measurement at near slack sarcomere spacing indicated that this dehydration by EGs did not accompany longitudinal fibre shrinkage. Chemically relevant fully hydric alcohols (glycerol, threitol, ribitol and mannitol; M(r) 92-182) showed no appreciable dehydrating ability on fibres. An intimate correlation was found between fibre dehydration and CH(2)-concentration of the solutions. Viscosity measurements indicated that the hydrodynamic radii of the alcohols were comparable to those of the small EGs. Therefore, hydrodynamic radii are not a primary determinant of the dehydrating ability. Additionally, CH(2)-concentration of EGs but not alcohols was found to correlate intimately with the measured viscosity of the bulk solution of EGs. These results suggested that the interaction between water molecules and CH(2)-units in crowded cytoplasm of skeletal muscle affects cytoplasm as a whole to realize anisotropic fibre shrinkage.

CH2-units on (poly-)ethylene glycol radially dehydrate cytoplasm of resting skinned skeletal muscle.

Observing the optical cross-section and electron micrographs of mechanically skinned fibres of frog skeletal muscle, we found that ethylene glycols (EGs) of small (mono-, di-, tri- and tetra-EGs; M(r) 62-194) and medium (poly-EGs; M(r) 900 and 3350) molecular weights efficiently dehydrate the fibres to shrink them radially without microscopic inhomogeneity. The medium-sized poly-EGs at 30% weight/weight concentration absorbed almost all the evaporable water from the fibre. Passive tension measurement at near slack sarcomere spacing indicated that this dehydration by EGs did not accompany longitudinal fibre shrinkage. Chemically relevant fully hydric alcohols (glycerol, threitol, ribitol and mannitol; M(r) 92-182) showed no appreciable dehydrating ability on fibres. An intimate correlation was found between fibre dehydration and CH(2)-concentration of the solutions. Viscosity measurements indicated that the hydrodynamic radii of the alcohols were comparable to those of the small EGs. Therefore, hydrodynamic radii are not a primary determinant of the dehydrating ability. Additionally, CH(2)-concentration of EGs but not alcohols was found to correlate intimately with the measured viscosity of the bulk solution of EGs. These results suggested that the interaction between water molecules and CH(2)-units in crowded cytoplasm of skeletal muscle affects cytoplasm as a whole to realize anisotropic fibre shrinkage.

Formulation of an ophthalmic lipid emulsion containing an anti-inflammatory steroidal drug, difluprednate.

Preparation of oil-in-water (o/w) type lipid emulsion is one of the approaches to formulate drugs that are poorly water-soluble but can be dissolved in the oil phase of the emulsions. A synthetic glucocorticoid medicine, difluprednate (DFBA), is a water-insoluble compound. We formulated DFBA (0.05%, w/v) ophthalmic lipid emulsion containing 5.0% (w/v) caster oil and 4.0% (w/v) polysorbate 80. The appearance of the emulsion was blue and translucent lipid emulsion, and the median particle size of the lipid emulsion was 104.4 nm. Neither separation nor change in particle size was observed after 6 months at 40 degrees C. Furthermore, when compared with DFBA (0.05%, w/v) ophthalmic suspension, the lipid emulsion showed 5.7-fold higher concentration of DFB that was an active metabolite of DFBA in aqueous humor at 1h after instillation. Ophthalmic lipid emulsion enhances the intraocular penetration of drugs, and it is useful as a delivery system for the ophthalmic preparations of lipophilic drugs.

Protruding masticatory (superfast) myosin heads from staggered thick filaments of dog jaw muscle revealed by X-ray diffraction.

To characterize the structure of jaw muscle fibres expressing masticatory (superfast) myosin, X-ray diffraction patterns of glycerinated fibres of dog masseter were compared with those of dog tibialis anterior in the relaxed state. Meridional reflections of masseter fibres were laterally broad, indicating that myosin filaments are staggered along the filament axis. Compared with tibialis anterior fibres, the peak of the first myosin layer line of masseter fibres was lower in intensity and shifted towards the meridian, while lattice spacings were larger at a similar sarcomere length. These suggest that the myosin heads of masticatory fibres are mobile, and tend to protrude from the filament shaft towards actin filaments. Lowering temperature or treating with N-phenylmaleimide shifted the peak of the first myosin layer line of tibialis anterior fibres towards the meridian and the resulting profile resembled that of masseter fibres. This suggests that the protruding mobile heads in the non-treated masticatory fibres are in the ATP-bound state. The increased population of weakly binding cross-bridges may contribute towards the high specific force of masticatory fibres during contraction. Electron micrographs confirmed the staggered alignment of thick filaments along the filament axis within sarcomeres of masticatory fibres, a feature that may confer efficient force development over a wide range of the sarcomere lengths.