Human parvovirus B19-induced acute glomerulonephritis: a case report.

Human parvovirus B19 (HPV B19) infection is well known as a cause of erythema infectiosum in children. Acute glomerulonephritis due to HPVB19 infection is rarely observed in adults. Here, we present the case of a 45-year-old female who showed acute glomerulonephritis induced by HPVB19 infection with various autoantibodies. She had proteinuria (175 mg/g creatinine) and hematuria (20-29 erythrocytes per high-power field) in a urinalysis, and various autoantibodies such as antinuclear antibodies, proteinase-3-antineutrophil cytoplasmic antibodies (PR3-ANCA), antiglomerular basement membrane (GBM) antibodies, and anticardiolipin antibodies in a blood examination. A renal biopsy showed that endocapillary proliferative glomerulonephritis comprised of mononuclear cell infiltration. By using immunofluorescence microscopy, IgG, IgA, IgM, C3, C4, and C1q deposits were detected mainly in glomerular capillaries. Electron-dense deposits were detected in the subendothelial area and mesangial area by using electron microscopy. All symptoms and abnormal laboratory data were self-improved. Our patient's case may provide a clue to the etiology of ANCA-associated vasculitis or lupus nephritis.

Serum TNF-related and weak inducer of apoptosis levels in septic shock patients.

Capillary permeability is a tightly regulated feature of microcirculation in all organ beds. In sepsis, this feature is fundamentally altered. We have previously reported elevated levels of angiopoietin-2 in patients with septic shock, and have investigated tumor necrosis factor (TNF)-related and weak inducer of apoptosis (TWEAK), which mediates both angiogenesis and inflammation, in those patients. Enzyme-linked immunoassay was used to measure serum TWEAK levels in 20 patients with septic shock, all of whom were treated by direct hemoperfusion with a polymyxin B-immobilized fiber column (DHP-PMX), and in 20 non-septic controls. The TWEAK levels were higher in patients with septic shock (192.8 ± 230.5 pg/mL) than in controls (84.1 ± 28.7 pg/mL, P = 0.043). Between 11 survivors and 10 non-survivors, there was no significant difference in the serum TWEAK levels before the DHP-PMX therapy. During DHP-PMX therapy, however, the serum TWEAK levels were significantly increased in non-survivors (142.2 ± 88.1 pg/mL to 399.0 ± 307.1 pg/mL, P = 0.022). There was a significant correlation between the serum TWEAK levels and white blood cell counts (r = 0.393, P < 0.001), platelet counts (r = 0.418, P < 0.001), or serum CRP levels (r = 0.259, P = 0.029), but there was no correlation between the serum TWEAK levels and blood pressure. The serum TWEAK levels were also correlated with the ratio of angiopoietin-2 to -1 (r = 0.464, P < 0.001). TWEAK may be a suitable marker of disease severity and mortality in septic patients, and TWEAK levels may be associated with vascular permeability via angiopoietin balance.

Time-course analysis of pica in rats using an automatic feeding monitoring system.

INTRODUCTION: We have reported that pica, kaolin ingestion behavior, correlates with nausea and vomiting in rats and the amount of kaolin intake is related to the severity of symptoms. However, the time course of the behavior is still unclear, because kaolin intake has been measured 24h after administration of an emetic stimulus. It is quite difficult and troublesome to determine kaolin intake manually at short time intervals without affecting the animal's behavior. In the present study, we investigated the time course of radiation or chemotherapeutic agent-induced pica in rats using an automatic feeding monitoring system (FDM700SW). METHODS: Rats received total body X-ray irradiation (4 Gy), or i.p. administration of cisplatin (6 mg/kg) or cyclophosphamide (120 mg/kg) with or without pretreatment of 5-HT(3) receptor antagonist, granisetron (0.1mg/kg, i.p.), then their kaolin and food intake were monitored hourly for 24h after the emetic stimuli. RESULTS: Total body irradiation and i.p. injection of cisplatin or cyclophosphamide induced pica within 3h of the administration and the pica persisted for 12, 8 and 16 h after the emetic stimuli, respectively. Granisetron delayed the latency and inhibited the amount of kaolin intake. X-ray and chemotherapeutic agents induced anorexia in all rats, but anorexia was not recovered by pretreatment with granisetron. DISCUSSION: These results suggested that both the latency and the duration of pica are similar to the clinical evidence of radiation or chemotherapy-induced nausea and vomiting in human patients and this monitoring system is useful to evaluate the emetogenic potential of drugs and other medical intervention in preclinical studies.

2-(4-Chloro-benzo-yl)-3,6-dimethoxy-naphthalene.

In the title compound, C(19)H(15)ClO(3), the inter-planar angle between the naphthalene and benzene ring systems is 62.67 (6)°. The carbonyl group is twisted from both ring planes, with torsion angles of -44.9 (2)° with respect to the naphthalene ring and -26.7 (2)° with respect to the phenyl-ene ring. There is an inter-molecular hydrogen bond between an H atom of one meth-oxy group and the O atom of the second meth-oxy group, forming chains along the ac diagonal.

2,7-Bis(4-acetyl-phen-oxy)naphthalene.

The title compound, C(26)H(20)O(4), has an asymmetrical conformation at 193 K. The 4-acetyl-phenyl groups are twisted away from the the naphthalene ring system, with one benzene ring turned towards the 1-position of the naphthalene ring and the other benzene ring turned towards the 6-position. The inter-planar angles between the mean planes of the benzene rings and the naphthalene ring system are 68.71 (6) and 74.01 (6)°. The structure displays C-H⋯O hydrogen bonding and π-π stacking inter-actions [centroid-centroid and interplanar distances are 3.5938 (9) and 3.517 Å, respectively].

[Gemtuzumab ozogamicin and targeted cancer therapy].

Recently, anti-cancer antibodies have been launched in Japan and also immunoconjugates with a cytotoxic compound or a radioisotope have been launched in the USA. Gemtuzumab ozogamicin is a conjugate of anti-CD33 antibody and a cytotoxic calicheamicin derivative. After binding the CD33-positive leukemia cells, gemtuzumab ozogamicin is internalized and releases the calicheamicin derivative. The calichemicin derivative breaks DNA and kills the cells. Gemtuzumab ozogamicin was effective and well tolerated in clinical trials in patients with acute myeloid leukemia (AML) in relapse. It was approved in 2000 by the FDA, and Wyeth K.K. has submitted it as an anti-tumor drug for CD33 positive AML. Two kinds of immunoconjugates, anti-CD20 antibodies with radioisotopes, recently have been launched in the USA for CD20-positive non-Hodgkin's lymphoma. These conjugates showed efficacy in patients who are refractory to the conventional chemotherapies. Targeted therapy with the immunoconjugate that can deliver cytotoxic compounds to specific cells is promising for use in oncology.

Effects of oral stimulation with fats on the cephalic phase of pancreatic enzyme secretion in esophagostomized rats.

Recent studies suggest that there is a chemical perception of dietary fat in the oral cavity. A much greater response in the cephalic phase of pancreatic secretion is obtained by palatable taste stimuli. To examine the perception of dietary fat in the oral cavity, we determined whether or not oral stimulation with fat alters the cephalic phase of pancreatic enzyme secretion. A cannula was inserted into the common bile duct of rats to collect bile-pancreatic juice, and the animals were esophagostomized to prevent stimulation of the gastrointestinal tract with the test substances. The cephalic phase of pancreatic enzyme secretion was enhanced by oral stimulation with the long chain fatty acids, oleic acid, linoleic acid and linolenic acid, but was unaffected by the middle chain fatty acid, caprylic acid, and long chain fatty acid derivatives, methyl oleate and methyl linoleate. This selectivity is consistent with our previous findings that, in a short term two-bottle preference test, rats prefer long chain fatty acids to triglycerides, middle chain fatty acids or long chain fatty acid derivatives. These results suggest that long chain fatty acids trigger chemical reception in the oral cavity, and the length of the fatty acid chain and the presence or absence of carboxylate groups are related to recognition of fat.

Integration of orosensory and postingestive stimuli for the control of excessive fat intake in mice.

OBJECTIVES: Long-term preferences for, and reinforcement effects of, undigested fat substitutes were investigated by means of a two-bottle choice test and the conditioned place preference (CPP) test. METHODS: We tested intact corn oil and sorbitol fatty acid esters, which have been developed as non-digestible fat substitutes with low energy (1.5 kcal/g). RESULTS: Palatability of the sorbitol fatty acid esters was similar to corn oil over 30 min in the short-term two-bottle choice test in mice. However, mice did not continue to eat the fat substitute in the long-term two-bottle choice test, which included postprandial feedback effects. Moreover, sorbitol fatty acid ester did not act as a reinforcer in the CPP test. Mice with 0.1 mL of corn oil placed into their stomachs just before conditioning showed reinforcing effects on taking sorbitol fatty acid ester in the CPP test. However, intragastric administration of corn oil alone without stimulation of the oral cavity did not show any such reinforcing effects against corn oil. CONCLUSIONS: These results suggest that the postingestible effects of corn oil are involved in long-term preference and reinforcing effects.