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1.
J Comp Pathol ; 173: 30-40, 2019 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-31812171

RESUMEN

The aim of this study was to investigate the expression of tumour endothelial marker 8 (TEM8) in canine mammary gland tumours (MGTs) by immunohistochemistry and to evaluate the association between tumour cell TEM8 expression and tumour histological features, histological grades and expression of luminal and basal/myoepithelial cell markers. TEM8 expression was detected in >60 % of neoplastic epithelial cells in all simple adenomas (n = 25), simple carcinomas (n = 43) and invasive micropapillary carcinomas (n = 5) studied. Six of the 18 solid carcinomas studied showed TEM8 expression in >60% of carcinoma cells present in solid structures and in 12 of the 18 solid carcinomas, <30% of the luminal structure-forming carcinoma cells showed TEM8 expression. TEM8 expression in the neoplastic cells was not associated with histological malignancy in canine MGTs. TEM8+ tumour cells frequently showed the luminal-like phenotype cytokeratin (CK)19+/p63-/α-smooth muscle actin (SMA)-, while most TEM8- tumour cells exhibited the basal-like phenotype CK19-/p63+/αSMA-. These findings indicate that TEM8 may be involved in maintaining the characteristics of luminal cells in canine MGTs and that TEM8 would be useful in identifying the type of neoplastic epithelial cell in MGTs.


Asunto(s)
Adenocarcinoma/veterinaria , Adenoma/veterinaria , Enfermedades de los Perros/patología , Neoplasias Mamarias Animales/patología , Receptores de Péptidos/biosíntesis , Animales , Biomarcadores de Tumor/análisis , Enfermedades de los Perros/metabolismo , Perros , Femenino , Neoplasias Mamarias Animales/metabolismo , Receptores de Péptidos/análisis
2.
J Infect Chemother ; 24(2): 117-122, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29107650

RESUMEN

Streptococcal toxic shock syndrome (STSS) is a severe invasive infection characterized by the sudden onset of shock, multiorgan failure, and high mortality. Although STSS is mainly caused by Streptococcus pyogenes, group G streptococcus identified as S. dysgalactiae subsp. equisimilis (SDSE) causing STSS has also been reported; however, no study has analyzed >100 isolates of SDSE causing STSS. Therefore, we characterized the emm genotype of 173 SDSE isolates obtained from STSS patients in Japan during 2014-2016 and performed antimicrobial susceptibility testing using the broth microdilution method and emm gene typing. The predominant emm genotype was found to be stG6792, followed by stG485, stG245, stG10, stG6, and stG2078. These six genotypes constituted more than 75% of the STSS isolates. The proportion of each emm genotype in STSS isolates correlated with that in invasive isolates previously reported. We found that 16.2% of the isolates showed clindamycin resistance. The proportion of clindamycin-resistant SDSE isolates was significantly higher than that of S. pyogenes isolates. Thus, while treating STSS caused by SDSE, it is necessary to consider the possibility of clindamycin resistance and to ensure judicious use of the drug.


Asunto(s)
Farmacorresistencia Bacteriana , Choque Séptico/microbiología , Infecciones Estreptocócicas/microbiología , Streptococcus pyogenes , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Antibacterianos/uso terapéutico , Antígenos Bacterianos/genética , Proteínas de la Membrana Bacteriana Externa/genética , Proteínas Portadoras/genética , Clindamicina/uso terapéutico , Femenino , Técnicas de Genotipaje , Humanos , Japón/epidemiología , Masculino , Pruebas de Sensibilidad Microbiana , Persona de Mediana Edad , Choque Séptico/tratamiento farmacológico , Choque Séptico/epidemiología , Infecciones Estreptocócicas/tratamiento farmacológico , Infecciones Estreptocócicas/epidemiología , Streptococcus pyogenes/clasificación , Streptococcus pyogenes/efectos de los fármacos , Streptococcus pyogenes/genética , Streptococcus pyogenes/aislamiento & purificación
3.
Clin Neuroradiol ; 26(2): 229-33, 2016 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26170221

RESUMEN

We report a case of leiomyosarcoma of the thoracic spine. Primary leiomyosarcoma is a malignant connective tissue tumor originating from smooth muscle cells. Leiomyosarcoma frequently occurs in the uterus, retroperitoneal space, gastrointestinal tract, and deep soft tissues; primary leiomyosarcoma of the bone is rare. The MR imaging including intravoxel incoherent motion (IVIM) imaging findings of the current case indicated a low diffusion coefficient and high blood flow, which were in concurrence with high cell density on histology and increased vascularity by angiography. Although some benign tumors such as osteoblastoma and giant cell tumor would show similar findings on IVIM imaging, these additional imaging features may narrow the differential diagnosis of spinal tumors.


Asunto(s)
Leiomiosarcoma/diagnóstico por imagen , Imagen por Resonancia Magnética/métodos , Neoplasias de la Columna Vertebral/diagnóstico por imagen , Vértebras Torácicas/diagnóstico por imagen , Diagnóstico Diferencial , Femenino , Humanos , Leiomiosarcoma/patología , Persona de Mediana Edad , Neoplasias de la Columna Vertebral/patología , Vértebras Torácicas/patología
4.
J Oral Rehabil ; 42(2): 83-9, 2015 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-25256380

RESUMEN

Bruxism contributes to the development of temporomandibular disorders as well as causes dental problems. Although it is an important issue in clinical dentistry, no treatment approaches have been proven effective. This study aimed to use electromyogram (EMG) biofeedback (BF) training to improve awake bruxism (AB) and examine its effect on sleep bruxism (SB). Twelve male participants (mean age, 26·8 ± 2·5 years) with subjective symptoms of AB or a diagnosis of SB were randomly divided into BF (n = 7) and control (CO, n = 5) groups to undergo 5-h daytime and night-time EMG measurements for three consecutive weeks. EMG electrodes were placed over the temporalis muscle on the habitual masticatory side. Those in the BF group underwent BF training to remind them of the occurrence of undesirable clenching activity when excessive EMG activity of certain burst duration was generated in week 2. Then, EMGs were recorded at week 3 as the post-BF test. Those in the CO group underwent EMG measurement without any EMG BF training throughout the study period. Although the number of tonic EMG events did not show statistically significant differences among weeks 1-3 in the CO group, events in weeks 2 and 3 decreased significantly compared with those in week 1, both daytime and night-time, in the BF group (P < 0·05, Scheffé's test). This study results suggest that EMG BF to improve AB tonic EMG events can also provide an effective approach to regulate SB tonic EMG events.


Asunto(s)
Biorretroalimentación Psicológica/métodos , Bruxismo/terapia , Electromiografía , Dolor Facial/etiología , Dolor Facial/prevención & control , Músculos Masticadores/fisiopatología , Trastornos de la Articulación Temporomandibular/etiología , Adulto , Bruxismo/complicaciones , Bruxismo/psicología , Humanos , Masculino , Contracción Muscular , Dimensión del Dolor , Trastornos de la Articulación Temporomandibular/prevención & control
7.
Food Chem ; 139(1-4): 458-63, 2013 Aug 15.
Artículo en Inglés | MEDLINE | ID: mdl-23561131

RESUMEN

On the basis of a leishmanicidal assay-guided isolation, two new monoterpene coumarins, minutin A and minutin B, were purified from Micromelum minutum leaves together with four known coumarins, 8,4″-dihydroxy-3″,4″-dihydrocapnolactone-2',3'-diol, 8-hydroxyisocapnolactone-2',3'-diol, 8-hydroxy-3″,4″-dihydrocapnolactone-2',3'-diol, and clauslactone E. Among these compounds, minutin A, minutin B, 8-hydroxyisocapnolactone-2',3'-diol and clauslactone E showed a significant cytotoxic activity against Leishmania major with IC50 values of 26.2, 20.2, 12.1, and 9.8 µM, respectively, while 8,4″-dihydroxy-3″4″-dihydrocapnolactone-2',3'-diol and 8-hydroxy-3″,4″-dihydrocapnolactone-2',3'-diol were not active. However, all these compounds exhibited some inhibitory activity against one or more lung adenocarcinoma (SBC3 and A549) and leukaemia (K562, and K562/ADM) cell lines. Amongst these, clauslactone E, minutin B and 8-hydroxyisocapnolactone-2',3'-diol possessed the strongest cytotoxic activity against SBC3, A549, K562, and K562/ADM cell lines, with IC50 values of 3.7, 10.4, 12.1, and 10.8 µM for clauslactone E; 9.6, 17.5, 8.7 and 6.7 µM for minutin B; 8.8, 10.1, 16.9, and 10.1 µM for 8-hydroxyisocapnolactone-2',3'-diol, respectively.


Asunto(s)
Antineoplásicos Fitogénicos/farmacología , Antiprotozoarios/farmacología , Cumarinas/farmacología , Citotoxinas/farmacología , Hojas de la Planta/química , Rutaceae/química , Antineoplásicos Fitogénicos/química , Antineoplásicos Fitogénicos/aislamiento & purificación , Antiprotozoarios/química , Antiprotozoarios/aislamiento & purificación , Línea Celular Tumoral , Proliferación Celular/efectos de los fármacos , Cumarinas/química , Cumarinas/aislamiento & purificación , Citotoxinas/química , Citotoxinas/aislamiento & purificación , Humanos , Leishmania major/efectos de los fármacos , Estructura Molecular , Neoplasias/fisiopatología
8.
J Bone Joint Surg Br ; 93(9): 1194-200, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21911530

RESUMEN

We retrospectively reviewed 40 hips in 36 patients who had undergone acetabular reconstruction using a titanium Kerboull-type acetabular reinforcement device with bone allografts between May 2001 and April 2006. Impacted bone allografts were used for the management of American Academy of Orthopaedic Surgeons Type II defects in 17 hips, and bulk bone allografts together with impacted allografts were used for the management of Type III defects in 23 hips. A total of five hips showed radiological failure at a mean follow-up of 6.7 years (4.5 to 9.3), two of which were infected. The mean pre-operative Merle d'Aubigné score was 10 (5 to 15) vs 13.6 (9 to 18) at the latest follow-up. The Kaplan-Meier survival rate at ten years, calculated using radiological failure or revision of the acetabular component for any reason as the endpoint, was 87% (95% confidence interval 76.3 to 97.7). A separate experimental analysis of the mechanical properties of the device and the load-displacement properties of bone grafts showed that a structurally hard allograft resected from femoral heads of patients with osteoarthritis should be preferentially used in any type of defect. If impacted bone allografts were used, a bone graft thickness of < 25 mm was acceptable in Type II defects. This clinical study indicates that revision total hip replacement using the Kerboull-type acetabular reinforcement device with bone allografts yielded satisfactory mid-term results.


Asunto(s)
Acetábulo/cirugía , Artroplastia de Reemplazo de Cadera , Trasplante Óseo/métodos , Prótesis de Cadera/normas , Anciano , Artroplastia de Reemplazo de Cadera/instrumentación , Artroplastia de Reemplazo de Cadera/métodos , Análisis de Falla de Equipo , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Falla de Prótesis , Reoperación/instrumentación , Reoperación/métodos , Estudios Retrospectivos , Resultado del Tratamiento
9.
Osteoporos Int ; 21(5): 733-9, 2010 May.
Artículo en Inglés | MEDLINE | ID: mdl-19543845

RESUMEN

UNLABELLED: Unipedal standing time was shorter and bone mineral density was lower in Japanese women aged 50 years and over with low-energy distal radius fractures resulting from falls than those in age-matched community-dwelling Japanese women without distal radius fractures. INTRODUCTION: The aim of this study was to compare unipedal standing time and bone mineral density (BMD) of women >or=50 years of age with distal radius fractures with those of age-matched women without fractures. METHODS: Fracture group was 54 Japanese women with low-energy distal radius fractures resulting from fall. Non-fracture group was 52 community-dwelling Japanese women without fractures. Unipedal standing time and BMD were measured. RESULTS: There were no significant differences in age and body mass index between the two groups. The percentage of women with unipedal standing time <15 s was 44.4% in the fracture group and 13.5% in the non-fracture group, while the respective frequencies for >120 s were 20.4% and 50.0%. The T-score of BMD was significantly lower in the fracture than non-fracture group. Logistic regression analysis identified unipedal standing time <15 s and T-score <70% as significant factors associated with distal radius fractures. Notably, T-score <70% was significant in subjects <65 years, and unipedal standing time <15 s was significant in those >or=65 years. CONCLUSION: Unipedal standing time was shorter and BMD was lower in women >or=50 years of age with distal radius fractures than those in age-matched women without fractures.


Asunto(s)
Fracturas Osteoporóticas/etiología , Equilibrio Postural/fisiología , Fracturas del Radio/etiología , Accidentes por Caídas , Adulto , Anciano , Antropometría , Densidad Ósea/fisiología , Métodos Epidemiológicos , Femenino , Humanos , Persona de Mediana Edad , Osteoporosis Posmenopáusica/complicaciones , Osteoporosis Posmenopáusica/fisiopatología , Fracturas Osteoporóticas/fisiopatología , Fracturas del Radio/fisiopatología , Factores de Tiempo
10.
Ultramicroscopy ; 109(5): 568-73, 2009 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-19136213

RESUMEN

It is expected that the three-dimensional atom probe (3DAP) will be used as a tool to visualize the atomic scale of hydrogen atoms in steel is expected, due to its high spatial resolution and very low detection limit. In this paper, the first 3DAP analysis of titanium hydride precipitates in metal titanium is reported in terms of the quantitative detection of hydrogen. FIB fabrication techniques using the lift-out method have enabled the production of needle tips of hydride precipitates, of several tens of microns in size, within a titanium matrix. The hydrogen concentration estimated from 3DAP analysis was slightly smaller than that of the hydride phase predicted from the phase diagram. We discuss the origin of the difference between the experimental and predicted values and the performance of 3DAP for the quantitative detection of hydrogen.

11.
Transplant Proc ; 40(8): 2773-5, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18929858

RESUMEN

BACKGROUND: The gene knockout technique is important in xenotransplantation research. Herein we have described the molecular cloning of two genes that are candidates to overcome the poor rate of homologous recombination. METHODS: Candidate cDNA fragments were amplified by polymerase chain reaction (PCR) with the corresponding primer sets deduced from a multiple alignment analysis of other mammalian genes from a cDNA library prepared from pig spleen tissue. To obtain the full-length cDNA, a 5'- and 3'-RACE PCR experiments was performed. RESULTS: We successfully isolated the cDNA sequences of two pig genes--BLM, a Bloom's syndrome-related gene, and UBL-1/SUMO-1--which are closely related to homologous recombination events. As a result, we verified the sequences of pig BLM and pig UBL-1/SUMO-1. The nucleic acid and amino acid coding sequence homologies of pig BLM gene with the corresponding human gene were 87.3% and 82.9%, respectively. The nucleic acid and amino acid coding sequence homologies of the pig UBL-1/SUMO-1 gene with the human gene were 96.4% and 100%, respectively. CONCLUSION: Current research into homologous recombination provides the possibility for improvement of gene knockout efficiency by regulating the gene expression profiles of recombination-related genes. Transient interference with the expression of pig UBL-1/SUMO-1 and BLM is expected to improve gene targeting. The results of the present study provided important information to design siRNA knockdown vectors. They were also useful for ex ante evaluation of expression profiles of these genes in primary cultures of somatic cells, which may enhance the production of gene knockout pigs.


Asunto(s)
ADN Helicasas/genética , Proteína SUMO-1/genética , Porcinos/genética , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Síndrome de Bloom/genética , ADN Complementario/química , ADN Complementario/genética , Humanos , Datos de Secuencia Molecular , RecQ Helicasas , Recombinación Genética
12.
Transplant Proc ; 40(8): 2776-8, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18929859

RESUMEN

BACKGROUND: The low rate of homologous recombination in somatic cells is considered to be an urgent issue. Therefore, we molecularly cloned three genes that relate to efficient homologous recombination. METHODS: Polymerase chain reaction (PCR) was performed to isolate candidate cDNA fragments from a pig spleen cDNA library with the corresponding primer sets deduced from multiple alignment analysis of other mammalian genes. A 5'- and 3'-RACE PCR experiment was performed to determine the complete cDNA sequences. RESULTS: The complete cDNA sequences of the pig RAD51, RAD52, and RAD54 genes, which are closely related to homologous recombination events, were identified using molecular cloning technique. The cDNA sequences of three genes were successfully isolated by PCR-based methods. As a result, we determined the sequences of pig RAD51 (1663 bp, 339 aa), RAD52 (1884 bp, 406 aa), and RAD54 (2884 bp, 747 aa). The nucleic acid sequence homologies of the pig RAD51, RAD52, and RAD54 genes compared with the corresponding human genes were 92.9%, 77.3%, and 90.0%; the corresponding amino acid sequence homologies were 98.8%, 71.1%, and 95.0%, respectively. CONCLUSION: The knockout of alpha-1,3-galactosyltransferase in pigs resulted in a drastic reduction in xenoantigenicity. However, other xenoantigens, in particular, the non-Gal antigens, also need to be down-regulated. Gene transfer to alter expression levels of these recombination-related molecules and/or ex ante evaluation of expression profiles of these genes in primary cultures of somatic cells constitute a new approach to enhancing homologous recombination events during the production of gene knockout pigs.


Asunto(s)
Adenosina Trifosfatasas/genética , Recombinasa Rad51/genética , Proteína Recombinante y Reparadora de ADN Rad52/genética , Adenosina Trifosfatasas/química , Secuencia de Aminoácidos , Animales , Animales Modificados Genéticamente , ADN Complementario/química , ADN Complementario/genética , Eliminación de Gen , Datos de Secuencia Molecular , Recombinasa Rad51/química , Proteína Recombinante y Reparadora de ADN Rad52/química , Recombinación Genética , Porcinos
14.
J Bone Joint Surg Br ; 88(12): 1656-8, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17159183

RESUMEN

Despite extensive experience with prosthetic replacement for the reconstruction of limbs following juxta-articular resection of tumours, there are few reports of prosthetic replacement of the distal radius. We present two cases of massive bone defects of the distal radius in which alumina ceramic prosthetic replacements were used. We evaluated the patients more than ten years after the procedure. Both patients had degenerative changes to the wrist. This, however, was not associated with pain or decreased function, and both had returned to their previous occupation after surgery. When a patient has a massive defect of the distal radius, reconstruction using a ceramic prosthesis is a reasonable alternative to using autograft. This method of treatment results in little pain, a moderate range of movement and satisfactory function.


Asunto(s)
Neoplasias Óseas/cirugía , Tumor Óseo de Células Gigantes/cirugía , Prótesis e Implantes , Radio (Anatomía)/cirugía , Óxido de Aluminio , Neoplasias Óseas/diagnóstico por imagen , Cerámica , Estudios de Seguimiento , Tumor Óseo de Células Gigantes/diagnóstico por imagen , Humanos , Masculino , Persona de Mediana Edad , Radiografía , Articulación de la Muñeca/cirugía
15.
J Asian Nat Prod Res ; 8(8): 747-51, 2006 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-17145665

RESUMEN

A new megastigmane diglycoside, inamoside 6'-O-L-alpha-arabinofuranoside (cuneatoside), was isolated from the leaves and branches of Erythroxylum cuneatum together with seven known compounds, (+)-catechin, quercetin 3-O-alpha-L-rhamnoside, apocynol B, (6S,9R)-roseoside, vomifoliol 9-O-alpha-L-arabinofuranosyl (1-->6)-beta-D-glucopyranoside, inamoside, and citroside A The structural elucidations were based on analyses of physical and spectroscopic data.


Asunto(s)
Erythroxylaceae/química , Glicósidos/química , Norisoprenoides/química , Componentes Aéreos de las Plantas/química , Plantas Medicinales/química , Cromatografía Líquida de Alta Presión , Glicósidos/aislamiento & purificación , Estructura Molecular , Norisoprenoides/aislamiento & purificación , Tailandia
16.
Vet Pathol ; 41(6): 687-91, 2004 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-15557078

RESUMEN

A 7-year-old Holstein cow developed a large cystic mass in the region between the atlantoaxis and larynx. The mass extended to the synovium in the atlanto-occipital joint. Many villous projections were present on the inner surface of the tumor tissue, and irregular clefts were formed in the inside. Two cell types, epithelioid-like synovioblasts and spindle cells, were present. Immunohistochemical analysis showed that the cells stained positively for cytokeratin (AE1/AE3) and vimentin. Both cells had similar fine structures ultra-structurally. Vacuoles present in the cytoplasm were full of an acid mucous substance. The tumor was diagnosed as a well-differentiated biphasic synovial sarcoma. This is the first report of a rare case of synovial sarcoma, from the viewpoint of its origin.


Asunto(s)
Articulación Atlantooccipital/patología , Enfermedades de los Bovinos/patología , Sarcoma Sinovial/veterinaria , Animales , Articulación Atlantooccipital/ultraestructura , Bovinos , Femenino , Artropatías/patología , Artropatías/veterinaria , Embarazo , Sarcoma Sinovial/patología , Sarcoma Sinovial/ultraestructura
17.
Parasitology ; 128(Pt 2): 123-9, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15029999

RESUMEN

Sera from swine, rabbit, and dog, that had never been exposed to Toxoplasma gondii, demonstrated significant killing of T. gondii tachyzoites in vitro, while cat serum did not. Swine and rabbit sera contained natural IgM antibody against the tachyzoites, and the classical complement pathway was activated by the binding of natural IgM antibody to the tachyzoites, leading to lysis. Anti-T. gondii antibodies, induced in swine or cat infected with T. gondii, had no killing effect by themselves but killed the tachyzoites in the presence of swine complement. However, the anti-T. gondii antibodies of swine or cat demonstrated a very low killing effect in the presence of cat complement. This suggests that T. gondii tachyzoites have an evasion mechanism to prevent lysis which is specific for cat complement.


Asunto(s)
Gatos/inmunología , Perros/inmunología , Inmunoglobulina M/inmunología , Conejos/inmunología , Porcinos/inmunología , Toxoplasma/inmunología , Toxoplasmosis Animal/inmunología , Animales , Anticuerpos Antiprotozoarios/inmunología , Actividad Bactericida de la Sangre/inmunología , Gatos/parasitología , Quelantes/farmacología , Complemento C1q/inmunología , Vía Clásica del Complemento/inmunología , Perros/parasitología , Ácido Egtácico/farmacología , Pruebas de Neutralización/veterinaria , Conejos/parasitología , Organismos Libres de Patógenos Específicos , Porcinos/parasitología , Toxoplasma/crecimiento & desarrollo
18.
Aliment Pharmacol Ther ; 16(10): 1811-7, 2002 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-12269976

RESUMEN

AIM: To investigate the inhibitory effects on gastric acid secretion of three proton pump inhibitors, omeprazole, lansoprazole and rabeprazole, using a three-way crossover design in healthy Helicobacter pylori-negative,S-mephenytoin 4'-hydroxylase (CYP2C19) homo- and hetero-extensive metabolizers. METHODS: Eight healthy Japanese male volunteers were enrolled. After the administration of rabeprazole (10 mg/day), lansoprazole (30 mg/day) or omeprazole (20 mg/day), intragastric pH monitoring was commenced from 24 h before the first proton pump inhibitor dose, and continued for days 1-3 after proton pump inhibitor administration. The pH electrode was used for 48 h and changed just before pH monitoring on day 2. RESULTS: For the administration of 10 mg/day rabeprazole, the mean ratios of the 24-h pH > or = 3 holding time were 5.7 +/- 1.1%,13.6 +/- 2.2%, 35.3 +/- 2.7% and 62.8 +/- 3.1% for the pre-treatment day and days 1, 2 and 3, respectively. The same ratios for lansoprazole (30 mg/day) were 5.7 +/- 0.7%, 7.4 +/- 1.5%, 13.6 +/- 3.4% and 26.6 +/- 4.9%; the same ratios for 20 mg/day omeprazole were 5.9 +/- 0.9%, 6.1 +/- 1.2%, 11.4 +/- 2.8% and 16.4 +/- 4.6%. The mean ratio of the 24-h pH > or = 3 holding time of days 1-3 increased significantly compared to the pre-treatment day (P < 0.01) with the administration of rabeprazole and lansoprazole. The magnitude of inhibition of gastric acid secretion after rabeprazole administration was stronger than that after lansoprazole. A significant elevation of the mean ratio of the 24-h pH > or = 3 holding time was demonstrated on days 2 and 3 with omeprazole (P < 0.01). CONCLUSIONS: In H. pylori-negative CYP2C19 extensive metabolizers, rabeprazole (10 mg/day) shows a faster onset of rising intragastric pH and a stronger inhibition of gastric acid secretion than do lansoprazole (30 mg/day) or omeprazole (20 mg/day).


Asunto(s)
Antiulcerosos/farmacología , Hidrocarburo de Aril Hidroxilasas/genética , Ácido Gástrico/metabolismo , Oxigenasas de Función Mixta/genética , Omeprazol/análogos & derivados , Inhibidores de la Bomba de Protones , 2-Piridinilmetilsulfinilbencimidazoles , Adulto , Bencimidazoles/farmacología , Ritmo Circadiano , Estudios Cruzados , Citocromo P-450 CYP2C19 , Determinación de la Acidez Gástrica , Genotipo , Humanos , Concentración de Iones de Hidrógeno/efectos de los fármacos , Lansoprazol , Masculino , Persona de Mediana Edad , Omeprazol/farmacología , Rabeprazol
19.
Prosthet Orthot Int ; 26(1): 44-9, 2002 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-12043925

RESUMEN

In this study, independent ambulation of at least 100 metres with/without a cane was regarded as successful prosthetic rehabilitation. The subjects were classified into two groups according to this criterion at the time of discharge. The successful group attained this performance, the other group failed to reach this level. The successful group included 8 unilateral trans-femoral amputees aged 72.2 +/- 2.1 years who underwent amputation at more than 70 years, and succeeded in walking with a prosthesis. The group which failed included 9 unilateral trans-femoral amputees aged 63.2 +/- 2.1 years who underwent amputation between the ages of 60-65 years, and had great difficulty in walking with a prosthesis. The purpose of this research was to investigate whether or not %VO2max as an indicator of physical fitness is useful in predicting prosthetic rehabilitation outcome after dysvascular amputation by comparing these two groups. Evaluation of physical fitness was conducted before the subjects began prosthetic rehabilitation. Information about each subject before fitting with a prosthesis was collected retrospectively from clinical charts made during admission. The successful group were capable of strenuous exercise, reaching the intensity of 50% VO2max or more. In the group which failed only one reached the intensity of 50% VO2max. The working capacity of 50% VO2max or greater would appear to be a valid initial guideline level of physical fitness at which an amputee can expect to succeed in walking with a prosthesis. Apart from physical fitness, a lesser number of comorbidity, good ability to stand on the remaining leg, and a strong will to walk were found to be important factors contributing to successful prosthetic rehabilitation. This study also showed that age alone was not an important factor.


Asunto(s)
Amputación Quirúrgica/métodos , Amputación Quirúrgica/rehabilitación , Miembros Artificiales , Metabolismo Energético/fisiología , Locomoción/fisiología , Consumo de Oxígeno/fisiología , Aptitud Física , Anciano , Femenino , Fémur/cirugía , Humanos , Masculino , Persona de Mediana Edad , Valor Predictivo de las Pruebas , Probabilidad , Pronóstico , Pruebas de Función Respiratoria , Estudios Retrospectivos , Muestreo , Resultado del Tratamiento
20.
Gut ; 50(6): 786-9, 2002 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-12010879

RESUMEN

BACKGROUND: Production of N-alpha-methyl-histamine (NAMH), a histamine H(3) receptor (H3R) agonist, is reportedly promoted in Helicobacter pylori infected human gastric mucosa. NAMH was suggested to act directly on histamine H(2) receptors (H2Rs) in animals to stimulate acid secretion and to be a H2R agonist. As H2Rs and H3Rs play different roles in gastric acid secretion, it is very important to verify that NAMH is a H2R agonist. AIMS: To determine whether NAMH is a H2R agonist, as well as a H3R agonist. METHODS: We used a Chinese hamster ovary (CHO) cell line expressing human H2Rs (CHO-H2R) and control CHO cells. Expression of human H2Rs was confirmed by tiotidine binding. cAMP production in CHO-H2R and control cells in response to histamine or NAMH was measured. cAMP production in response to 10(-7) M NAMH was also measured in the presence or absence of the H2R antagonist famotidine and the H3R antagonist thioperamide. RESULTS: NAMH dose dependently stimulated cAMP productions in CHO-H2R cells. This production was inhibited by famotidine but not by thioperamide. Control CHO cells were unresponsive to either histamine or NAMH. In addition, the effect of NAMH, in terms of cAMP production in CHO-H2R cells, was more potent than that of histamine-that is, with a lower EC(50) concentration and higher maximal cAMP production. Both NAMH and histamine, but not R-alpha-methyl-histamine, effectively inhibited [(3)H] tiotidine binding to CHO-H2R cells. CONCLUSIONS: NAMH, which is produced in the gastric mucosa by H pylori, is a potent H2R agonist as well as a H3R agonist.


Asunto(s)
Cimetidina/análogos & derivados , Agonistas de los Receptores Histamínicos/farmacología , Antagonistas de los Receptores H2 de la Histamina/farmacología , Metilhistaminas/farmacología , Receptores Histamínicos H2/efectos de los fármacos , Receptores Histamínicos H3/efectos de los fármacos , Animales , Células CHO , Cimetidina/metabolismo , Cricetinae , AMP Cíclico/metabolismo , Famotidina/farmacología , Femenino , Antagonistas de los Receptores Histamínicos/farmacología , Ovario/metabolismo , Piperidinas/farmacología , Receptores Histamínicos H2/metabolismo , Receptores Histamínicos H3/metabolismo
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