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1.
Int J Immunogenet ; 38(4): 287-93, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21382177

ABSTRACT

Systemic juvenile idiopathic arthritis (s-JIA) is a rare inflammatory disease classified as a subtype of chronic childhood arthritis, manifested by spiking fever, erythematous skin rash, pericarditis and hepatosplenomegaly. The genetic background underlying s-JIA remains poorly defined. To detect copy number variations, we performed single nucleotide polymorphism (SNP) array analysis in 50 patients with s-JIA. We found a 13-kb intragenic deletion of CASP10 in one patient. RT-PCR of the mRNA extracted from the patient's lymphoblastoid cells revealed that CASP10 mRNA was truncated. Sequencing the mRNA revealed that this deletion resulted in a frame shift with an early stop codon. CASP10 is known as a causative gene for autoimmune lymphoproliferative syndrome (ALPS) type IIa, another childhood syndrome of lymphadenopathy and splenomegaly associated with autoimmune haemolytic anaemia and thrombocytopenia. TCR αƟ(+) CD4/CD8 double-negative T cells in the peripheral blood as a diagnostic marker of ALPS were not high in this patient and lymphocyte apoptosis induced by anti-Fas antibody was normal, denying ALPS in the patient. The father and a sister of the patient showing no symptoms of ALPS or s-JIA, also had the same deletion. Furthermore, we found no other mutations of CASP10 in the other 49 s-JIA patients. These data suggest that the pathogenic significance of CASP10 mutations should be carefully evaluated in s-JIA or even ALPS type IIa in further studies.


Subject(s)
Arthritis, Juvenile/genetics , Caspase 10/genetics , Exons/genetics , Sequence Deletion/genetics , Arthritis, Juvenile/immunology , Arthritis, Juvenile/metabolism , Base Sequence , Caspase 8/genetics , Child , Chromosomes, Human, Pair 2 , Female , Gene Order , Genome-Wide Association Study , Humans , Molecular Sequence Data , Pedigree , Polymorphism, Single Nucleotide/genetics , Sequence Alignment , T-Lymphocyte Subsets/immunology , T-Lymphocyte Subsets/metabolism
2.
Clin Nephrol ; 66(3): 160-5, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16995337

ABSTRACT

AIMS: Mixed connective tissue disease (MCTD) has overlapping clinical features with systemic lupus erythematosus (SLE). Renal biopsy is necessary for all children with SLE to evaluate the prognosis, because they are at a quite high risk of developing renal complications. Furthermore, lupus nephritis and hypocomplementemia usually precede the appearance of clinical manifestations. Immune complex-mediated nephritis is one of the major complications of MCTD. Juvenile MCTD is known to be associated with a higher risk of nephritis than adult MCTD. However, it is uncertain whether all children with MCTD should be subjected to a renal biopsy, and whether most of those with hypocomplementemia present nephropathy, as in patients with SLE. We examined the histopathological characteristics of juvenile MCTD nephritis, the importance of renal biopsy and the implications of hypocomplementemia in our patients and reported cases of MCTD. MATERIAL AND METHODS: We performed renal biopsy in 11 children with MCTD and found 6 patients with glomerulonephritis. In addition, we studied the frequency and the characteristics of glomerulonephritis in 71 cases of juvenile MCTD (our 11 patients and 60 reported cases). We also analyzed the relationship between hypocomplementemia and pathological features in 41 cases of MCTD nephritis (23 adults, 18 children). RESULTS: 6 of our 11 patients had glomerulonephritis, but of them four had no abnormality in urinalysis at the time of biopsy. In 5 patients renal biopsy showed normal findings. Review of 71 cases of juvenile MCTD showed that of them 28% presented latent asymptomatic nephritis at the time of biopsy. Membranous nephropathy (MN) and mesangial proliferative glomerulonephritis (MPG) were common in MCTD. Interestingly, hypocomplementemia was more frequently observed in patients with MN or mixed form of MN and MPG (MPG/MN) than simple MPG based on our review of 41 cases (p < 0.01). CONCLUSION: A more aggressive indication of renal biopsy should be considered in children with MCTD because of the high incidence of non-clinical nephritis. The hypocomplementemia observed in patients with MCTD suggests the high frequency of glomerulonephritis, including membranous lesions.


Subject(s)
Glomerulonephritis, Membranoproliferative/complications , Mixed Connective Tissue Disease/complications , Adolescent , Child , Child, Preschool , Female , Glomerulonephritis, Membranoproliferative/pathology , Humans , Kidney/pathology , Male , Mixed Connective Tissue Disease/diagnosis , Mixed Connective Tissue Disease/pathology , Mixed Connective Tissue Disease/therapy , Prognosis
3.
Biochim Biophys Acta ; 1466(1-2): 61-70, 2000 Jun 01.
Article in English | MEDLINE | ID: mdl-10825431

ABSTRACT

Although L-3,4-dihydroxyphenylalanine (L-DOPA) is claimed to be a neurotransmitter in the central nervous system (CNS), receptor or transporter molecules for L-DOPA have not been determined. In an attempt to identify a transporter for L-DOPA, we examined whether or not an active and high affinity L-DOPA transport system is expressed in Xenopus laevis oocytes injected with poly A(+) RNA prepared from several tissues. Among the poly A(+) RNAs tested, rabbit intestinal epithelium poly A(+) RNA gave the highest transport activity for L-[(14)C]DOPA in the oocytes. The uptake was approximately five times higher than that of water-injected oocytes, and was partially Na(+)-dependent. L-Tyrosine, L-phenylalanine, L-leucine and L-lysine inhibited this transport activity, whereas D-DOPA, dopamine, glutamate and L-DOPA cyclohexylester, an L-DOPA antagonist did not affect this transport. Coinjection of an antisense cRNA, as well as oligonucleotide complementary to rabbit rBAT (NBAT) cDNA almost completely inhibited the uptake of L-[(14)C]DOPA in the oocytes. On the other hand, an antisense cRNA of rabbit 4F2hc barely affected this L-[(14)C]DOPA uptake activity. rBAT was thus responsible for the L-[(14)C]DOPA uptake activity expressed in X. laevis oocytes injected with poly A(+) RNA from rabbit intestinal epithelium. As rBAT is localized at the target regions of L-DOPA in the CNS, rBAT might be one of the components involved in L-DOPAergic neurotransmission.


Subject(s)
Amino Acid Transport Systems, Basic , Amino Acids/metabolism , Carrier Proteins/metabolism , Levodopa/pharmacokinetics , Membrane Glycoproteins/metabolism , Neurotransmitter Agents/pharmacokinetics , RNA, Messenger/metabolism , Animals , Biological Transport , Carrier Proteins/genetics , Female , Gene Expression , Intestinal Mucosa/metabolism , Intestine, Small/metabolism , Ions , Kinetics , Male , Membrane Glycoproteins/genetics , Microinjections/methods , Oocytes/metabolism , RNA, Messenger/administration & dosage , Rabbits , Rats , Rats, Wistar , Sodium/metabolism , Xenopus laevis
4.
FEBS Lett ; 333(3): 311-4, 1993 Nov 01.
Article in English | MEDLINE | ID: mdl-8224200

ABSTRACT

Cloned mouse delta-subtype opioid receptor (DOR1) was expressed in Xenopus oocytes to study the signal transduction. Opioid delta-agonists evoked a calcium-dependent chloride current in oocytes injected with mRNA derived from DOR1, together with that from the alpha subunit of Gi1. The delta-agonist-induced current was blocked by naltrindol, a delta-specific antagonist. The delta-agonist evoked no or very weak currents in oocytes with the alpha subunit of Gq or G(o). These findings indicate the functional coupling between the opioid delta-receptor and phospholipase C through an activation of Gi.


Subject(s)
Analgesics/pharmacology , Benzeneacetamides , GTP-Binding Proteins/metabolism , Oocytes/physiology , Receptors, Opioid, delta/physiology , Type C Phospholipases/metabolism , Animals , Electric Conductivity/drug effects , Enkephalin, Ala(2)-MePhe(4)-Gly(5)- , Enkephalin, D-Penicillamine (2,5)- , Enkephalin, Leucine/analogs & derivatives , Enkephalin, Leucine/pharmacology , Enkephalins/pharmacology , Enzyme Activation , Female , Gene Expression , Membrane Potentials/drug effects , Mice , Naltrexone/analogs & derivatives , Naltrexone/pharmacology , Narcotic Antagonists/pharmacology , Oocytes/drug effects , Oocytes/metabolism , Pyrrolidines/pharmacology , Receptors, Opioid, delta/biosynthesis , Receptors, Opioid, delta/drug effects , Xenopus laevis
5.
FEBS Lett ; 375(3): 201-5, 1995 Nov 20.
Article in English | MEDLINE | ID: mdl-7498499

ABSTRACT

Glutamate evoked pertussis toxin-sensitive currents in Xenopus oocytes expressing metabotropic glutamate receptor subtype 1 (mGluR1) and exogenous Gi1 alpha. The mGluR1-currents were completely blocked by U-73122, a phospholipase C (PLC) inhibitor and by niflumic acid, a chloride channel blocker. In the oocyte further coinjected with poly(A)+ RNA from the guinea pig cerebellum, the mGluR1-currents were inhibited by U-50488H, an opioid kappa-agonist, and this inhibition was blocked by norbinaltorphimine, an opioid kappa-antagonist. These findings suggest that the mRNA encoding a novel subtype of opioid kappa-receptor which inhibits Gi1-PLC-mediated currents is present in guinea pig cerebellar poly(A)+ fractions.


Subject(s)
Oocytes/physiology , Pertussis Toxin , Receptors, Metabotropic Glutamate/physiology , Receptors, Opioid, kappa/agonists , Virulence Factors, Bordetella/pharmacology , 3,4-Dichloro-N-methyl-N-(2-(1-pyrrolidinyl)-cyclohexyl)-benzeneacetamide, (trans)-Isomer , Analgesics/pharmacology , Animals , Cell Membrane/drug effects , Cell Membrane/physiology , Cerebellum/metabolism , Estrenes/pharmacology , Female , Glutamic Acid/pharmacology , Guinea Pigs , Kinetics , Macromolecular Substances , Membrane Potentials/drug effects , Oocytes/drug effects , Patch-Clamp Techniques , Phosphodiesterase Inhibitors/pharmacology , Pyrrolidines/pharmacology , Pyrrolidinones/pharmacology , Receptors, Metabotropic Glutamate/biosynthesis , Receptors, Metabotropic Glutamate/drug effects , Receptors, Opioid, kappa/antagonists & inhibitors , Recombinant Proteins/biosynthesis , Recombinant Proteins/drug effects , Recombinant Proteins/metabolism , Xenopus laevis
6.
J Immunol Methods ; 109(2): 157-60, 1988 May 09.
Article in English | MEDLINE | ID: mdl-3283245

ABSTRACT

Microcalorimetry was applied to measure phagocytosis by human peripheral blood neutrophils and monocytes. Heat production was 9.1 +/- 2.6 microW by 1 X 10(6) unstimulated neutrophils and increased to 28.4 +/- 3.2 microW in association with phagocytosis. The increase in heat production was directly proportional to the number of Saccharomyces cerevisiae particles phagocytosed as well as to the concentration of opsonizing serum. No heat increase was observed in the absence of phagocytosis. An increase in heat production by monocytes was also observed in association with phagocytosis, but it was much less obvious than that by neutrophils. Heat production can thus be used as a quantitative measure of phagocytosis.


Subject(s)
Hot Temperature , Phagocytosis , Calorimetry , Humans , Neutrophils/immunology , Reference Values , Saccharomyces cerevisiae/immunology
7.
Neuroscience ; 67(1): 95-106, 1995 Jul.
Article in English | MEDLINE | ID: mdl-7477914

ABSTRACT

We have proposed that L-3,4-dihydroxyphenylalanine (L-DOPA) is a neurotransmitter in the central nervous system [Y. Misu et al. (1995) Adv. Pharmac. 32, 427-459]. L-DOPA as a probable neurotransmitter for the primary baroreceptor afferents tonically functions to mediate cardiodepressor control in the nucleus tractus solitarii and also tonically functions to mediate cardiopressor control in the rostral ventrolateral medulla of rats. We further attempted to clarify whether a transmitter-like L-DOPA system is altered in these areas of adult spontaneously hypertensive rats. By microdialysis in the left nucleus tractus solitarii area, the basal L-DOPA release was lower in spontaneously hypertensive rats than that in Wistar-Kyoto rats. This release was partially reduced by tetrodotoxin (1 microM) to the same absolute levels in the two strains. Tonic neuronal L-DOPA release is impaired in this nucleus of spontaneously hypertensive rats. This impairment is not secondarily due to decrease in formation or increase in decarboxylation of L-DOPA, since tyrosine hydroxylase activity was increased in spontaneously hypertensive rats, compared to Wistar-Kyoto rats, while no difference of L-aromatic amino acid decarboxylase activity was seen in the caudal dorsomedial medulla including the nucleus. L-DOPA (10-300 ng) microinjected into the nucleus produced dose-dependent hypotension and bradycardia. A maximum depressor response of spontaneously hypertensive rats to L-DOPA at higher doses was slightly greater than that of Wistar-Kyoto rats. On the other hand, in the left rostral ventrolateral medulla, the basal L-DOPA release was higher in spontaneously hypertensive rats than that in Wistar-Kyoto rats. This release was also partially reduced by tetrodotoxin to the same absolute levels in the two strains. Tonic neuronal L-DOPA release is enhanced in spontaneously hypertensive rats. This enhancement seems to include partially a decrease in decarboxylation of L-DOPA, since L-aromatic amino acid decarboxylase activity was decreased in spontaneously hypertensive rats compared to Wistar-Kyoto rats, while no difference in tyrosine hydroxylase activity was seen. L-DOPA (10-600 ng) produced dose-dependent hypertension and tachycardia. Importantly, a pressor response of spontaneously hypertensive rats to L-DOPA at lower doses was slightly greater than that of Wistar-Kyoto rats. L-DOPA seems to play a transmitter-like role in blood pressure regulation at levels of the nucleus tractus solitarii and rostral ventrolateral medulla in rats.(ABSTRACT TRUNCATED AT 400 WORDS)


Subject(s)
Biogenic Monoamines/physiology , Hypertension/physiopathology , Levodopa/physiology , Medulla Oblongata/physiopathology , Solitary Nucleus/physiopathology , Animals , Aromatic-L-Amino-Acid Decarboxylases/metabolism , Blood Pressure/drug effects , Blood Pressure/physiology , Dopamine/metabolism , Dose-Response Relationship, Drug , Glutamic Acid/pharmacology , Heart Rate/drug effects , Heart Rate/physiology , Levodopa/metabolism , Levodopa/pharmacology , Male , Medulla Oblongata/anatomy & histology , Medulla Oblongata/enzymology , Microdialysis , Microinjections , Rats , Rats, Inbred SHR , Rats, Inbred WKY , Solitary Nucleus/anatomy & histology , Solitary Nucleus/enzymology , Tyrosine 3-Monooxygenase/metabolism
8.
Neuroscience ; 92(1): 123-35, 1999.
Article in English | MEDLINE | ID: mdl-10392836

ABSTRACT

We have proposed that L-3,4-dihydroxyphenylalanine (L-DOPA) is a neurotransmitter in the central nervous system [Misu Y. et al. (1996) Prog. Neurobiol. 49, 415-454]. Herein, we attempt to clarify whether lesions in the posterior hypothalamic nucleus decrease the tissue content of L-DOPA in the rostral ventrolateral medulla. We also attempt to clarify whether or not endogenous L-DOPA is evoked by electrical stimulation of the posterior hypothalamic nucleus. It is possible that evoked L-DOPA functions as a transmitter candidate to activate pressor sites of the rostral ventrolateral medulla in anesthetized rats. Electrolytic lesions were made in the bilateral posterior hypothalamic nucleus by a monopolar direct current of 2 mA for 10 s, 10 days before measurements. The effect of the lesions was to selectively decrease the tissue content of L-DOPA by one-half in the right rostral ventrolateral medulla. Decreases in the amounts of dopamine, noradrenaline or adrenaline were not observed. Decreases were also not evident in the right caudal ventrolateral medulla. During microdialysis of the right rostral ventrolateral medulla, extracellular basal levels of L-DOPA and three types of catecholamine were consistently detectable by high-performance liquid chromatography with electrochemical detection. Tetrodotoxin (1 microM) perfused into the right rostral ventrolateral medulla gradually decreased basal levels of L-DOPA by 25%; it decreased basal levels of noradrenaline and adrenaline by 25-30% and dopamine levels by 40%. Intensive electrical stimulation of the ipsilateral posterior hypothalamic nucleus (50 Hz, 0.3 mA, 0.1 ms duration, twice for 5 min at an interval of 5 min) selectively caused the release of L-DOPA in a repetitive and constant manner. The stimulation was accompanied by hypertension and tachycardia. However, catecholamines were not released. Tetrodotoxin suppressed the release of L-DOPA, but partially inhibited hypertension with only a slight inhibition of tachycardia evoked by stimulation of the posterior hypothalamic nucleus. L-DOPA methyl ester, a competitive L-DOPA antagonist, was bilaterally microinjected into pressor sites of the rostral ventrolateral medulla at 1.5 microg x 2 and 3 microg x 2. The antagonist dose-dependently and consistently antagonized pressor and tachycardiac responses to mild transient stimulation of the unilateral posterior hypothalamic nucleus (33 Hz, 0.2 mA, 0.1 ms duration, for 10 s). In addition, the antagonist alone (3 microg x 2) elicited hypotension and bradycardia. These results show that an L-DOPAergic relay may project from the posterior hypothalamic nucleus directly to pressor sites of the rostral ventrolateral medulla and/or indirectly to certain neurons near pressor sites in microcircuits of the same region. When released, L-DOPA appears to function tonically to activate pressor sites; it also appears to be involved in the maintenance and regulation of blood pressure and heart rate.


Subject(s)
Cardiovascular Physiological Phenomena , Hypothalamus, Posterior/physiology , Levodopa/physiology , Medulla Oblongata/physiology , Animals , Blood Pressure/physiology , Catecholamines/metabolism , Electric Stimulation , Heart Rate/drug effects , Heart Rate/physiology , Levodopa/analogs & derivatives , Levodopa/metabolism , Levodopa/pharmacology , Male , Medulla Oblongata/metabolism , Microdialysis , Rats , Rats, Wistar , Tetrodotoxin/pharmacology
9.
Neuroscience ; 92(1): 137-49, 1999.
Article in English | MEDLINE | ID: mdl-10392837

ABSTRACT

L-3,4-Dihydroxyphenylalanine (L-DOPA) is probably a transmitter of the primary baroreceptor afferents terminating in the nucleus tractus solitarii; L-DOPA functions tonically to activate depressor sites of the caudal ventrolateral medulla, which receives input from the nucleus tractus solitarii [Misu Y. et al. (1996) Prog. Neurobiol. 49, 415-454]. We have attempted to clarify whether or not L-DOPAergic components within the caudal ventrolateral medulla are involved in baroreflex neurotransmission in anesthetized rats. Electrolytic lesions of the right nucleus tractus solitarii (1 mA d.c. for 10 s, 10 days before measurement) selectively decreased by 45% the tissue content of L-DOPA in the dissected ipsilateral caudal ventrolateral medulla. Electrolytic lesions did not decrease dopamine, norepinephrine and epinephrine levels. During microdialysis of the right caudal ventrolateral medulla, extracellular levels of L-DOPA, norepinephrine, epinephrine and 3,4-dihydroxyphenylacetic acid were consistently detectable using high-performance liquid chromatography with electrochemical detection. However, extracellular dopamine levels were lower than the assay limit. Baroreceptor activation by i.v. phenylephrine selectively evoked L-DOPA without increasing the levels of norepinephrine, epinephrine and 3,4-dihydroxyphenylacetic acid. This L-DOPA release was suppressed by acute lesion in the ipsilateral nucleus tractus solitarii. Intermittent stimulation of the right aortic depressor nerve (20 Hz, 3 V, 0.3 ms duration, for 30 min) repetitively and constantly caused L-DOPA release, hypotension and bradycardia, without increases in levels of norepinephrine, epinephrine and 3,4-dihydroxyphenylacetic acid. Local inhibition of L-DOPA synthesis with alpha-methyl-p-tyrosine (30 microM) infused into the ipsilateral caudal ventrolateral medulla gradually decreased basal levels of L-DOPA and 3,4-dihydroxyphenylacetic acid without decreasing norepinephrine and epinephrine. The inhibition of L-DOPA synthesis interrupted L-DOPA release and decreased by 65% depressor responses elicited by aortic nerve stimulation; however, it produced no effect on bradycardic responses. CoCl2 (119 ng), a mainly presynaptic inhibitory transmission marker, and L-DOPA methyl ester (1 microg), a competitive L-DOPA antagonist, when microinjected into depressor sites of the right caudal ventrolateral medulla, reduced by 60% depressor responses to transient ipsilateral stimulation of the aortic nerve (20 Hz, 3 V, 0.1 ms duration, for 10 s). No changes in bradycardic responses were observed. There may exist an L-DOPAergic relay from the nucleus tractus solitarii to the caudal ventrolateral medulla. L-DOPAergic components in the caudal ventrolateral medulla are involved in baroreflex neurotransmission via a baroreceptor-aortic depressor nerve-nucleus tractus solitarii-caudal ventrolateral medulla relay in the rat.


Subject(s)
Baroreflex/physiology , Levodopa/metabolism , Medulla Oblongata/metabolism , Synaptic Transmission/physiology , Animals , Aorta/innervation , Blood Pressure/drug effects , Blood Pressure/physiology , Catecholamines/metabolism , Cobalt/pharmacology , Heart Rate/drug effects , Heart Rate/physiology , Levodopa/analogs & derivatives , Levodopa/antagonists & inhibitors , Levodopa/pharmacology , Male , Microinjections , Nervous System Physiological Phenomena , Phenylephrine/pharmacology , Pressoreceptors/drug effects , Pressoreceptors/physiology , Rats , Rats, Wistar , Solitary Nucleus/physiology , alpha-Methyltyrosine/pharmacology
10.
Neuroscience ; 104(1): 1-14, 2001.
Article in English | MEDLINE | ID: mdl-11311526

ABSTRACT

We previously proposed that L-3,4-dihydroxyphenylalanine (L-DOPA) is a neurotransmitter in the CNS. Receptor and transporter molecules for L-DOPA, however, have not been determined. In the present study, in order to localize the uptake sites of L-DOPA in the CNS, we performed autoradiographic uptake studies using L-[14C]DOPA and L-[3H]DOPA in the uptake study on rat brain slice preparations, and further analyzed the properties of L-DOPA uptake. Image analysis of the L-[14C]DOPA autoradiogram showed a unique heterogeneous distribution of uptake sites in the brain. The intensity was relatively high in the cerebral cortex, the hypothalamus, the cerebellum and the hippocampus, while the density was moderate or even low in the striatum and the substantia nigra. L-DOPA and phenylalanine, but not dopamine (10mM) were able to almost completely inhibit the uptake of L-[14C]DOPA to basal levels. Microautoradiographic studies using L-[3H]DOPA revealed accumulation of dense grains in the median eminence, the supraoptic nucleus of the hypothalamus, the cerebral cortex (layer I) and the hippocampus. In the cerebellum, grains formed in clusters surrounding the Purkinje cells. This grain accumulation was concluded to be in Bergmann glial cells, since the morphological pattern of grain accumulation was similar to that of the immunoreactivity of the glutamate aspartate transporter, a marker protein for Bergmann glial cells. In the hippocampus, the grain density significantly decreased under Na(+)-free conditions. In addition, grain density also decreased in the absence of Cl(-). In contrast, grains in the choroid plexus and the ependymal cell layer, were not affected by the absence of Na(+). These findings indicated that the uptake of L-DOPA occurs via various types of large neutral amino acid transport mechanisms. It appears that neuronal and/or glial cells, which take up L-DOPA in a Na(+)-dependent manner, exist in the CNS. Our finding further supports the concept that L-DOPA itself may act as a neurotransmitter or neuromodulator.


Subject(s)
Central Nervous System/metabolism , Levodopa/metabolism , Neurons/metabolism , Neurotransmitter Agents/metabolism , Sodium/metabolism , Animals , Autoradiography , Carbon Radioisotopes/pharmacokinetics , Central Nervous System/cytology , Central Nervous System/drug effects , Immunohistochemistry , Levodopa/pharmacokinetics , Male , Neuroglia/drug effects , Neuroglia/metabolism , Neurons/drug effects , Neurotransmitter Agents/pharmacokinetics , Rats , Rats, Wistar , Tritium/pharmacokinetics
11.
J Nucl Med ; 20(1): 36-8, 1979 Jan.
Article in English | MEDLINE | ID: mdl-107291

ABSTRACT

A patient evaluated for heart failure was found by routine radionuclide angiography to have a large internal iliac arteriovenous fistula of presumed postoperative origin. The value of radionuclide angiography is described with a review of the literature on such unusual cases.


Subject(s)
Arteriovenous Fistula/diagnostic imaging , Iliac Artery/diagnostic imaging , Iliac Vein/diagnostic imaging , Angiography , Erythrocytes , Female , Humans , Middle Aged , Pentetic Acid , Phytic Acid , Radionuclide Imaging , Technetium , Whole-Body Counting
12.
Brain Res Mol Brain Res ; 32(1): 166-70, 1995 Aug.
Article in English | MEDLINE | ID: mdl-7494457

ABSTRACT

In the Xenopus oocytes expressing mu- or kappa-opioid receptors, agonist-induced currents were observed only when the oocyte was coinjected with Gi1 alpha RNA and pretreated with K-252a, a potent inhibitor of protein kinases. The evoked currents were abolished by intracellular injection of EGTA or inositol 1,4,5-trisphosphate and the current-voltage relationship revealed that they are mediated through typical calcium-dependent chloride channels. These findings suggest that the mu- and kappa-receptors mediate phospholipase C activation through Gi1 alpha, and that these receptor mechanisms including downstream signalings might be inhibited by phosphorylation in vivo in the Xenopus oocyte.


Subject(s)
Benzeneacetamides , GTP-Binding Proteins/genetics , Oocytes/enzymology , Receptors, Opioid, kappa/physiology , Receptors, Opioid, mu/physiology , Type C Phospholipases/metabolism , Animals , Enkephalin, Ala(2)-MePhe(4)-Gly(5)- , Enkephalins/pharmacology , Enzyme Activation , Female , Naltrexone/analogs & derivatives , Naltrexone/pharmacology , Pyrrolidines/pharmacology , Receptors, Opioid, kappa/drug effects , Receptors, Opioid, mu/drug effects , Xenopus laevis
13.
Bone Marrow Transplant ; 31(2): 137-40, 2003 Jan.
Article in English | MEDLINE | ID: mdl-12621497

ABSTRACT

Chediak-Higashi Syndrome (CHS) is a hereditary multiorgan disease associated with a lymphoproliferative disorder termed 'accelerated phase' (AP). As AP is often life-threatening, hematopoietic stem cell transplantation has been proposed as the only curative treatment for CHS. Here, we report a 1-year-old Japanese boy with CHS who received an HLA-matched unrelated BMT at the AP stage, which resulted in split chimerism. We evaluated the chimerism status of isolated leukocytes and found that only a limited population of T and NK cells was of donor origin and the majority of these and other hematopoietic cells was of host origin. Clinical outcome was successful, and the patient is currently alive and well, free of AP and serious infections more than 18 months after BMT.


Subject(s)
Bone Marrow Transplantation/immunology , Chediak-Higashi Syndrome/therapy , Transplantation Chimera/immunology , Transplantation, Homologous/immunology , Anemia/etiology , Chediak-Higashi Syndrome/diagnosis , Humans , Infant , Magnetic Resonance Imaging , Male , Splenomegaly/etiology , Thrombocytopenia/etiology , Treatment Outcome
14.
Neuroreport ; 5(15): 1985-8, 1994 Oct 03.
Article in English | MEDLINE | ID: mdl-7841391

ABSTRACT

In Xenopus oocytes injected with RNA coding for the delta-opioid receptor a small chloride current was evoked by [D-Ala2,Ser5]leucine-enkephaline-Thr6 (DSLET), a delta 2-opioid agonist. The evoked currents were rapidly reduced upon repeated challenges of DSLET. When Gil alpha RNA was co-injected into the oocyte, the evoked currents were increased 3.8-fold and became constant after at least three repeated challenges. In oocytes injected with RNAs coding for delta-receptor and Gil alpha, pretreatment with K-252a, a potent inhibitor of protein kinases, further potentiated the delta-receptor-mediated current responses, compared with those without the inhibitor. These results suggest that signalling involving the delta-opioid receptor is inactivated through in vivo phosphorylation in the Xenopus oocyte.


Subject(s)
Chloride Channels/metabolism , Oocytes/metabolism , Protein Kinase Inhibitors , Receptors, Opioid, delta/metabolism , Analgesics/pharmacology , Animals , Carbazoles/pharmacology , Chloride Channels/drug effects , Enkephalin, Leucine/analogs & derivatives , Enkephalin, Leucine/pharmacology , GTP-Binding Proteins/metabolism , Indole Alkaloids , Mice , Oocytes/drug effects , Phosphorylation , Protein Kinase C/antagonists & inhibitors , RNA, Messenger/metabolism , RNA, Messenger/pharmacology , Receptors, Opioid, delta/drug effects , Receptors, Opioid, delta/genetics , Signal Transduction/drug effects , Xenopus laevis
15.
Arch Surg ; 120(7): 833-6, 1985 Jul.
Article in English | MEDLINE | ID: mdl-2990382

ABSTRACT

Sclerotherapy for esophageal varices was performed on six patients for a total of 16 injections. The sclerosant contained 5% ethanolamine oleate and technetium Tc 99m sodium pertechnetate solution at the volume ratio of 9:1. At each injection session 5 to 20 mL of this solution was injected into one varix. The distribution of the injected material was observed by a scintillation camera. Systemic dissemination of the sclerosant through the portal vein was demonstrated in five procedures, in which the injections were correctly intravenous. In three dogs 4 mL of 5% ethanolamine oleate made from oleic acids labeled with iodine 131 was injected into the gastric coronary vein. Most of the substance injected was washed out within five minutes, and systemic dissemination became evident.


Subject(s)
Esophageal and Gastric Varices/therapy , Oleic Acids/metabolism , Sclerosing Solutions , Adult , Aged , Animals , Dogs , Esophageal and Gastric Varices/diagnostic imaging , Esophageal and Gastric Varices/metabolism , Female , Humans , Male , Middle Aged , Oleic Acids/therapeutic use , Radionuclide Imaging , Sodium Pertechnetate Tc 99m
16.
Hypertens Res ; 18(4): 267-77, 1995 Dec.
Article in English | MEDLINE | ID: mdl-8747304

ABSTRACT

Recent findings have enhanced our understanding of the roles played by the L-DOPA system in the baroreceptor reflex and in blood pressure regulation in the lower brainstem. L-DOPA is probably a neurotransmitter of primary baroreceptor afferents terminating in depressor sites of the nucleus tractus solitarii (NTS). It also seems to be a neurotransmitter in depressor sites of the caudal ventrolateral medulla (CVLM) and in pressor sites of the rostral ventrolateral medulla (RVLM) of normotensive Wistar rats. We have explored whether or not presynaptic and postsynaptic functions of the L-DOPA system in these areas are altered to maintain hypertension in adult spontaneously hypertensive rats, as compared with age-matched Wistar Kyoto rats. In this review article, we survey the roles of the L-DOPA system in the baroreceptor reflex and in blood pressure regulation in the rat lower brainstem.


Subject(s)
Brain Stem/physiology , Hypertension/physiopathology , Levodopa/physiology , Rats, Inbred SHR/physiology , Animals , Baroreflex/physiology , Blood Pressure/physiology , Rats , Rats, Inbred WKY
17.
Brain Res ; 629(2): 310-4, 1993 Dec 03.
Article in English | MEDLINE | ID: mdl-7906602

ABSTRACT

By microdialysis in the rostral ventrolateral medulla (RVLM) of anesthetized rats, the spontaneous L-3,4-dihydroxyphenylalanine (DOPA) release was partially Ca(2+)-dependent and tetrodotoxin-sensitive and was markedly reduced by alpha-methyl-p-tyrosine (alpha-MPT; 200 mg/kg, i.p.). K+ (50 mM) Ca(2+)-dependently evoked L-DOPA. By microinjections into unilateral RVLM, L-DOPA (30-300 ng) produced dose-dependent hypertension and tachycardia similarly in rats untreated, treated with i.p. 3-hydroxybenzylhydrazine, a central DOPA decarboxylase inhibitor, or with i.v.t. 6-hydroxydopamine. These responses were antagonized by L-DOPA methyl ester (1.5 micrograms), a competitive L-DOPA antagonist. D-DOPA, dopamine, noradrenaline or adrenaline (300 ng) produced no effect. Furthermore, L-DOPA methyl ester alone microinjected into bilateral RVLM (2 micrograms x 2) produced prolonged hypotension and bradycardia, which were abolished by alpha-MPT. These data suggest that L-DOPA is relevant to modulation of sympathetic activity in the rat RVLM.


Subject(s)
Levodopa/metabolism , Medulla Oblongata/physiology , Sympathetic Nervous System/physiology , Animals , Aromatic Amino Acid Decarboxylase Inhibitors , Blood Pressure/drug effects , Chromatography, High Pressure Liquid , Dose-Response Relationship, Drug , Electrochemistry , Heart Rate/drug effects , Hydrazines/pharmacology , Levodopa/antagonists & inhibitors , Levodopa/pharmacology , Medulla Oblongata/metabolism , Methyltyrosines/pharmacology , Microdialysis , Microinjections , Oxidopamine/pharmacology , Rats , Rats, Wistar , Sympathetic Nervous System/metabolism , Tyrosine 3-Monooxygenase/antagonists & inhibitors , alpha-Methyltyrosine
18.
Brain Res ; 617(1): 167-70, 1993 Jul 16.
Article in English | MEDLINE | ID: mdl-8104083

ABSTRACT

L-DOPA (10-1000 microM) concentration-dependently released glutamate (Glu) from superfused rat striatal slices. D-DOPA and dopamine (300 microM) produced no effects. The L-DOPA-induced release of Glu was not affected by 3-hydroxybenzylhydrazine (20 microM), an L-aromatic amino acid decarboxylase inhibitor. L-DOPA methyl ester (200 microM), a selective L-DOPA antagonist, antagonized the effect of L-DOPA in a competitive manner. Ca2+ deprivation and tetrodotoxin decreased L-DOPA (300 microM)-induced release of Glu. These findings indicate that L-DOPA induces a transmitter-like release of Glu via activation of a recognition site for itself.


Subject(s)
Calcium/physiology , Corpus Striatum/drug effects , Glutamates/metabolism , Levodopa/pharmacology , Tetrodotoxin/pharmacology , Animals , Corpus Striatum/metabolism , Glutamic Acid , In Vitro Techniques , Male , Rats , Rats, Wistar
19.
Eur J Pharmacol ; 424(3): 199-202, 2001 Jul 27.
Article in English | MEDLINE | ID: mdl-11672563

ABSTRACT

We investigated whether stress induces the release of L-3,4-dihydroxyphenylalanine (DOPA) and dopamine from the nucleus accumbens in conscious rats and characterized the stress-induced response. Electrical foot-shock stress induced both DOPA and dopamine release, measured by microdialysis, from the nucleus accumbens in freely moving rats. Pretreatment of rats with mecamylamine completely blocked stress-induced DOPA release, but only partially blocked dopamine release. Diazepam did not affect the foot-shock-induced release of DOPA, while the same dose of diazepam partially blocked the stress-induced release of dopamine. These findings suggest a tonic function of central nicotinic receptors in stress-induced DOPA release from the nucleus accumbens in conscious rats.


Subject(s)
Levodopa/metabolism , Nucleus Accumbens/metabolism , Receptors, Nicotinic/physiology , Stress, Physiological/physiopathology , Animals , Anticonvulsants/pharmacology , Behavior, Animal/drug effects , Diazepam/pharmacology , Dopamine/metabolism , Electroshock , Foot , Male , Mecamylamine/pharmacology , Microdialysis , Motor Activity/drug effects , Movement , Nicotinic Antagonists/pharmacology , Nucleus Accumbens/drug effects , Rats , Rats, Sprague-Dawley , Receptors, Nicotinic/drug effects
20.
Eur J Pharmacol ; 222(1): 75-80, 1992 Nov 03.
Article in English | MEDLINE | ID: mdl-1361443

ABSTRACT

Microdialysis and high performance liquid chromatography with an electrochemical detector were applied to compare the characteristics of nicotine-evoked release of endogenous 3,4-dihydroxyphenylalanine (DOPA) from striata of conscious rats and those of the release of dopamine (DA). Dialysates were collected every 20 min 3-8 h after the start of perfusion. Nicotine was perfused for 20 min through a probe. (+/-)-Nicotine (100-300 microM) constantly and repeatedly released DOPA and DA over a similar time course in a dose-dependent manner. The ratio of the DOPA and DA release evoked was approximately 1:3. The (+/-)-nicotine (200 microM)-induced DOPA release was mecamylamine (500 microM)-sensitive, tetrodotoxin (100 nM)-sensitive and Ca2+ (removal plus 12.5 mM Mg2+ addition)-dependent. The (+)-isomer produced no DOPA release. These characteristics of DOPA release were almost the same as those of DA release. Furthermore, mecamylamine alone inhibited the basal release of DOPA but not of DA. Nicotine released stereoselectively endogenous DOPA via nicotinic acetylcholine receptors from striata of freely moving rats in a manner similar to transmitter DA. These acetylcholine receptors function tonically for the release of DOPA. These findings are further support for our proposal that DOPA is an endogenous neuroactive substance.


Subject(s)
Corpus Striatum/metabolism , Dihydroxyphenylalanine/metabolism , Neurotransmitter Agents/metabolism , Nicotine/pharmacology , Animals , Calcium/physiology , Chromatography, High Pressure Liquid , Corpus Striatum/drug effects , Dialysis , Dopamine/metabolism , Male , Mecamylamine/pharmacology , Rats , Rats, Sprague-Dawley , Tetrodotoxin/pharmacology
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