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1.
Artigo em Inglês | MEDLINE | ID: mdl-32954967

RESUMO

Lactococcus lactis has been reported unable to directly incorporate mononucleotides but instead requires their external dephosphorylation by nucleotidases to the corresponding nucleosides prior to their incorporation. Although Lactobacillus gasseri PA-3 (PA-3), a strain of lactic acid bacteria, has been found to incorporate purine mononucleotides such as adenosine 5'-monophosphate (AMP), it remains unclear whether these bacteria directly incorporate these mononucleotides or incorporate them after dephosphorylation to the corresponding nucleosides. This study evaluated whether PA-3 incorporated radioactively-labeled mononucleotides in the presence or absence of the 5'-nucleotidase inhibitor α,ß-methylene ADP (APCP). PA-3 took up 14C-AMP in the presence of APCP, as well as incorporating 32P-AMP. Furthermore, radioactivity was detected in the RNA/DNA of bacterial cells cultured in the presence of 32P-AMP. Taken together, these findings indicated that PA-3 incorporated purine mononucleotides directly rather than after their dephosphorylation to purine nucleosides and that PA-3 utilizes these purine mononucleotides in the synthesis of RNA and DNA. Although additional studies are required to identify purine mononucleotide transporters in PA-3, this study is the first to show that some lactic acid bacteria directly incorporate purine mononucleotides and use them for growth.


Assuntos
Lactobacillus gasseri , Monofosfato de Adenosina/metabolismo , Lactobacillus gasseri/metabolismo , Nucleotidases/metabolismo , Nucleosídeos de Purina/metabolismo
2.
Nucleosides Nucleotides Nucleic Acids ; 39(10-12): 1458-1464, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33231138

RESUMO

Dietary purine restrictions are recommended for patients with hyperuricemia and gout. While measuring the purine contents of various foods in our laboratory using high-performance liquid chromatography (HPLC), we observed and reported changes in purine composition. In this study, we measured the total purine content and free purine of raw anchovies as well as after fermentation, using two methods by HPLC. Method 1 involved acid hydrolysis of all purines, such as nucleic acids and nucleotides, to form four corresponding purine bases. Method 2, which is a non-hydrolysis method, is used to measure the amount of free purines (nucleotide, nucleoside, purine base). As a result of method 1, after fermentation, adenine-related and hypoxanthine-related purines and the total purine levels decreased significantly. Regardless of being raw or fermented, each anchovy contained mainly hypoxanthine- and guanine-related purines. Among the hypoxanthine-related purines, the results of method 2 revealed that the raw anchovies contained a lot of inosine monophosphate (IMP), while after fermentation contained more inosine. In guanine-related and adenine-related purines, those nucleotides decreased by fermentation and nucleosides and bases increased. Measurements of free purines revealed that those reductions after fermentation observed in method 1 were derived from decreased nucleotides. These results indicate that purines are affected by the fermentation bacteria and period.


Assuntos
Cromatografia Líquida de Alta Pressão , Peixes , Análise de Alimentos , Nucleosídeos de Purina/análise , Nucleotídeos de Purina/análise , Espectrofotometria Ultravioleta , Animais , Fermentação , Alimentos Marinhos/análise
3.
Nucleosides Nucleotides Nucleic Acids ; 39(10-12): 1440-1448, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32397874

RESUMO

Although most lactic acid bacteria do not directly incorporate purine nucleotides, the strain Lactobacillus gasseri PA-3 was found to incorporate purine mononucleotides. To determine whether the direct uptake of purine mononucleotides is dependent on the species or strain of lactic acid bacteria, incorporation of purine mononucleotides was assessed in L. gasseri, Lactcoccus lactis sbsp. lactis, Streptococcus thermophilus and other species of lactic acid bacteria. Each bacterial strain was incubated with 32P-AMP or 14C-adenosine and the incorporation of each purine was evaluated by measuring their radioactivity. All investigated strains of L. gasseri incorporated 32P-AMP, whereas strains of S. thermophilus and most strains of L. lactis did not. Incorporation of 32P-AMP into strains of Pediococcus was dependent on the strain or species of that genus of bacteria. All investigated strains, except for one strain of L. gasseri, incorporated 14C-adenosine, with S. thermophilus, L. lactis and Pediococcus generally displaying greater incorporation of 14C-adenosine than L. gasseri. Although most lactic acid bacteria such as S. thermophiles and L. lactis do not incorporate purine mononucleotides, some species such as L. gasseri directly incorporate purine mononucleotides. These findings indicate that the preferential incorporation of purine mononucleotides or nucleosides by lactic acid bacteria is dependent on the species or strain.


Assuntos
Monofosfato de Adenosina/metabolismo , Adenosina/metabolismo , Bactérias/metabolismo , Ácido Láctico/biossíntese , Transporte Biológico , Especificidade da Espécie
4.
Phytopathology ; 110(1): 146-152, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31559902

RESUMO

Cucumber green mottle mosaic virus (CGMMV), a member of the genus Tobamovirus, is a major threat to economically important cucurbit crops worldwide. An attenuated strain (SH33b) derived from a severe strain (SH) of CGMMV caused a reduction in the viral RNA accumulation and the attenuation of symptoms, and it has been successfully used to protect muskmelon plants against severe strains in Japan. In this study, we compared GFP-induced silencing suppression by the 129K protein and the methyltransferase domain plus intervening region (MTIR) of the 129K protein between the SH and SH33b strains, respectively. As a result, silencing suppression activity (SSA) in the GFP-silenced plants was inhibited efficiently by the MTIR and 129K protein of SH strain, and it coincided with drastically reduced accumulation of GFP-specific small interfering RNAs (siRNAs) but not by that of SH33b strain. Furthermore, analyses of siRNA binding capability (SBC) by the MTIR of 129K protein and 129K protein using electrophoretic mobility shift assay revealed that SBC was found with the MTIR and 129K protein of SH but not with that of SH33b, suggesting that a single amino acid mutation (E to G) in the MTIR is responsible for impaired SSA and SBC of SH33b. These data suggest that a single amino acid substitution in the intervening region of 129K protein of CGMMV resulted in attenuated symptoms by affecting RNA silencing suppression.


Assuntos
Substituição de Aminoácidos , Cucurbitaceae , Doenças das Plantas , Tobamovirus , Substituição de Aminoácidos/genética , Cucurbitaceae/virologia , Japão , Doenças das Plantas/virologia , Tobamovirus/genética , Tobamovirus/patogenicidade
5.
Artigo em Inglês | MEDLINE | ID: mdl-29750589

RESUMO

In this study, we investigated the alterations in the purine composition of swordfish prepared using a traditional Japanese processing method of soaking in sake lees. These alterations are the byproducts of the yeast fermentation of rice-koji and are renowned for enhancing the umami nature of food. Using a conventional assay method for hydrolyzing all of the purines into four bases and our developed method for simultaneously analyzing purines, we observed the alterations in four purine bases in the soaked sake lees and swordfish. The findings showed that the total purine content, and hypoxanthine-related and guanine-related purines in swordfish decreased after soaking in sake lees. We also analyzed the free purine composition and showed that the ratio of IMP in swordfish was decreased by soaking, while that of inosine in sake lees was increased by soaking swordfish in it.


Assuntos
Ciprinodontiformes , Manipulação de Alimentos , Purinas/análise , Vinho , Animais , Fermentação , Análise de Alimentos , Guanina/análise , Humanos , Hipoxantina/análise , Inosina/análise
6.
Artigo em Inglês | MEDLINE | ID: mdl-29652211

RESUMO

Ribonucleotide flavor enhancers such as inosine monophosphate (IMP) and guanosine monophosphate (GMP) provide umami taste, similarly to glutamine. Japanese cuisine frequently uses soup stocks containing these nucleotides to enhance umami. We quantified 18 types of purines (nucleotides, nucleosides, and purine bases) in three soup stocks (chicken, consommé, and dried bonito soup). IMP was the most abundant purine in all umami soup stocks, followed by hypoxanthine, inosine, and GMP. The IMP content of dried bonito soup was the highest of the three soup stocks. We also evaluated the effects of these purines on extracellular and intracellular purine metabolism in HepG2 cells after adding each umami soup stock to the cells. An increase in inosine and hypoxanthine was evident 1 h and 4 h after soup stock addition, and a low amount of xanthine and guanosine was observed in the extracellular medium. The addition of chicken soup stock resulted in increased intracellular and extracellular levels of uric acid and guanosine. Purine metabolism may be affected by ingredients present in soups.


Assuntos
Alimentos , Purinas/análise , Purinas/metabolismo , Animais , Cromatografia Líquida de Alta Pressão/métodos , Ingredientes de Alimentos/análise , Guanosina/metabolismo , Células Hep G2 , Humanos , Hipoxantina/metabolismo , Inosina/metabolismo , Ácido Úrico/metabolismo , Xantina/metabolismo
7.
Nucleosides Nucleotides Nucleic Acids ; 35(10-12): 559-565, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27906613

RESUMO

Although uricase-knockout (Uox KO) mice are reported to develop uric acid (UA) nephropathy, those that mature without severe nephropathy could be useful for research into purine metabolism in humans. In this study, we measured the urinary excretion of creatinine, UA, allantoin, and 8-hydroxy-2'-deoxyguanosine (8-OHdG) collected from Uox KO mice housed in metabolic cages. UA and allantoin were determined using liquid chromatography-mass spectrometry and creatinine and 8-OHdG were measured with a commercial kit. Uox KO mice excreted significantly higher levels of UA than wild-type mice (C57BL/6), while the excretion of allantoin was significantly lower. Urinary allantoin was detected in Uox KO mice despite a lack of uricase, which is the same as in humans. In contrast to the elevated levels of UA, the daily excretion of 8-OHdG, an oxidative stress marker, was lower in Uox KO mice. UA is thought to act as an anti-oxidizing agent in humans; thus, these results show that Uox KO mice are potential animal models for research into human purine metabolism.


Assuntos
Alantoína/urina , Desoxiguanosina/análogos & derivados , Urato Oxidase/genética , Ácido Úrico/urina , 8-Hidroxi-2'-Desoxiguanosina , Animais , Desoxiguanosina/urina , Feminino , Masculino , Camundongos da Linhagem 129 , Camundongos Endogâmicos C57BL , Camundongos Knockout , Urato Oxidase/metabolismo
8.
Nucleosides Nucleotides Nucleic Acids ; 35(10-12): 663-669, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27906617

RESUMO

Using Caco-2 cells and our previously developed high-performance liquid chromatography method for quantification of purine bases, nucleosides, and nucleotides, we evaluated cellular purine transport and uptake. The analytes were separated using YMC-Triart C18 column with gradient elution. We used Caco-2 cells as intestinal model cells and monitored purine transport across a monolayer for 2 h. The degree of change of purine concentrations in the permeate was very slight; however, it was possible to simultaneously determine these parameters for all purines because of our method's high sensitivity. In the present study, the purine bases (adenine, guanine, hypoxanthine, and xanthine) showed a relatively high permeability as compared with the nucleosides (adenosine, guanosine, inosine, and xanthosine). Increased concentration of metabolites in the permeate was also observed following the addition of purines. In a cell uptake assay, both the cell culture medium (extracellular) and the cells extracted from Caco-2 with acetonitrile:water (7:3) (intracellular) were measured. The additional nucleoside did not increase significantly within the cells. On the other hand, we observed that nucleotide, such as ATP, increased in the cell in a time-dependent manner following the addition of nucleoside. The additional nucleosides were considered to be rather recycled via the salvage pathway than metabolized to purine bases and/or uric acid in the cell. Such differences might have affected the increase in the serum uric acid levels depending on purine form.


Assuntos
Adenosina/metabolismo , Guanosina/metabolismo , Adenosina/isolamento & purificação , Transporte Biológico , Células CACO-2 , Cromatografia Líquida de Alta Pressão , Guanosina/isolamento & purificação , Humanos
9.
Nucleosides Nucleotides Nucleic Acids ; 35(10-12): 670-676, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-27906630

RESUMO

It is well accepted that frequent and heavy intake of purine-rich foods causes elevation of serum uric acid levels, which is a risk factor of hyperuricemia. Reducing intestinal absorption of dietary purines may attenuate the elevation of serum uric acid levels and exacerbation of hyperuricemia. This reduction may be achieved by the ingestion of lactic acid bacteria that take up purines in the intestine. In this study, we investigated the degree of uptake and utilization of purines of three lactobacilli strains. Among them, Lactobacillus gasseri PA-3 (PA-3) showed the greatest incorporation of 14C-adenine. PA-3 also incorporated 14C-adenosine and 14C-AMP. Additionally, using defined growth medium, PA-3 demonstrated greater proliferation in the presence of these purines than in their absence. Although further investigation is required, ingestion of PA-3 may lower serum uric acid levels by reducing intestinal absorption of purines in humans.


Assuntos
Adenina/metabolismo , Monofosfato de Adenosina/metabolismo , Adenosina/metabolismo , Lactobacillus gasseri/metabolismo , Dieta , Alimentos , Humanos , Absorção Intestinal , Lactobacillus gasseri/crescimento & desenvolvimento
10.
Artigo em Inglês | MEDLINE | ID: mdl-24940702

RESUMO

Purines in food are known to raise serum uric acid levels. We determined the purine content of sweet potato and beef by high-performance liquid chromatography and liquid chromatography-mass spectrometry. The purine content of the samples was 118-1,034 µmol/100 g. The total purine content was also divided into purine bases, nucleosides, nucleotides, and nucleic acids. Our results suggest that differences in total purine content and in the ratio of purine types between vegetables and beef cause a difference in elevation of serum uric acid levels.


Assuntos
Análise de Alimentos/métodos , Espectrometria de Massas , Purinas/análise , Cromatografia Líquida de Alta Pressão , Carne/análise , Purinas/química , Solanum tuberosum/química
11.
Artigo em Inglês | MEDLINE | ID: mdl-24940703

RESUMO

We have extended peak-shift method for measuring purine bases to make it suitable for other purine-related compounds. We optimized the reactions of the purine metabolism enzymes 5'-nucleotidase (EC 3.1.3.5), purine nucleoside phosphorylase (PNP) (EC 2.4.2.1), xanthine oxidase (XO) (EC 1.17.3.2), urate hydroxylase (EC 1.7.3.3), adenosine deaminase (ADA) (EC 3.5.4.4), and guanine deaminase (EC 3.5.4.3) by determining their substrate specificity and reaction kinetics. These enzymes eliminate the five purine base peaks (adenine, guanine, hypoxanthine, xanthine, and uric acid) and four nucleosides (adenosine, guanosine, inosine, and xanthosine). The bases and nucleosides can be identified and accurately quantified by comparing the chromatograms before and after treatment with the enzymes. Elimination of the individual purine compound peaks was complete in a few minutes. However, when there were multiple substrates, such as for XO, and when the metabolites were purine compounds, such as for PNP and ADA, it took longer to eliminate the peaks. The optimum reaction conditions for the peak-shift assay methods were an assay mixture containing the substrate (10 µL, 0.1 mg/mL), the combined enzyme solution (10 µL each, optimum concentration), and 50 mM sodium phosphate (up to 120 µL, pH 7.4). The mixture was incubated for 60 minutes at 37°C. This method should be suitable for determining the purine content of a variety of samples, without interference from impurities.


Assuntos
Ensaios Enzimáticos/métodos , Purinas/metabolismo , Animais , Bovinos , Cromatografia Líquida de Alta Pressão , Cinética , Coelhos , Especificidade por Substrato
12.
Nucleosides Nucleotides Nucleic Acids ; 30(12): 1256-9, 2011 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-22132983

RESUMO

Genetic mutations in the purine salvage enzyme, hypoxanthine-guanine phosphoribosyltransferase (HPRT), are known to cause Lesch-Nyhan syndrome and Kelley-Seegmiller syndrome. In patients, purine metabolism is different from that of normal persons. We have previously developed a method for simultaneously determining the concentration of purine and pyrimidine nucleosides and nucleotides. This system was applied to determine the concentrations of nucleosides and nucleotides in HPRT-deficient cell lines. The amount of inosine 5'-monophosphate (IMP) was different in Lesch-Nyhan syndrome, Kelley-Seegmiller syndrome, and control cell lines. The difference in the amount of IMP confirmed the mutation of the enzyme.


Assuntos
Hipoxantina Fosforribosiltransferase/deficiência , Purinas/metabolismo , Pirimidinas/metabolismo , Linhagem Celular , Cromatografia Líquida , Humanos , Hipoxantina Fosforribosiltransferase/metabolismo , Espectrometria de Massas
13.
Cancer Gene Ther ; 18(8): 571-8, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21660062

RESUMO

Replication-competent retrovirus (RCR) vectors have been shown to achieve significantly enhanced tumor transduction efficiency and therapeutic efficacy in various cancer models. In the present study, we investigated RCR vector-mediated prodrug activator gene therapy for the treatment of malignant mesothelioma, a highly aggressive tumor with poor prognosis. RCR-GFP vector expressing the green fluorescent protein marker gene successfully infected and efficiently replicated in human malignant mesothelioma cell lines, as compared with non-malignant mesothelial cells in vitro. In mice with pre-established subcutaneous tumor xenografts, RCR-GFP vector showed robust spread throughout entire tumor masses after intratumoral administration. Next, RCR-cytosine deaminase (RCR-CD), expressing the yeast CD prodrug activator gene, showed efficient transmission of the prodrug activator gene associated with replicative spread of the virus, resulting in efficient killing of malignant mesothelioma cells in a prodrug 5-fluorocytosine (5FC)-dose dependent manner in vitro. After a single intratumoral injection of RCR-CD followed by intraperitoneal administration of 5FC, RCR vector-mediated prodrug activator gene therapy achieved significant inhibition of subcutaneous tumor growth, and significantly prolonged survival in the disseminated peritoneal model of malignant mesothelioma. These data indicate the potential utility of RCR vector-mediated prodrug activator gene therapy in the treatment of malignant mesothelioma.


Assuntos
Terapia Genética/métodos , Mesotelioma/terapia , Mesotelioma/virologia , Terapia Viral Oncolítica/métodos , Retroviridae/genética , Adulto , Animais , Linhagem Celular Tumoral , Citosina Desaminase/genética , Citosina Desaminase/metabolismo , Modelos Animais de Doenças , Feminino , Flucitosina/administração & dosagem , Flucitosina/farmacocinética , Humanos , Masculino , Mesotelioma/genética , Mesotelioma/metabolismo , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Nus , Pró-Fármacos/administração & dosagem , Pró-Fármacos/farmacocinética , Retroviridae/fisiologia , Análise de Sobrevida , Transdução Genética , Replicação Viral
14.
Nucleosides Nucleotides Nucleic Acids ; 29(4-6): 518-21, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20544547

RESUMO

Purine is a general term for purine nucleotides, nucleosides, bases, and nucleic acid. The amount of purine nucleotides, nucleosides, and bases in purine-rich cauliflower was determined with the use of LC-MS and HPLC, and the ratio of these molecules were compared with in raw and in heated condition. Total purine content of raw and heated cauliflower was 42.6 and 43.2 mg/100 g, respectively. Nucleotide content was increased from 0.02 to 50.8 micromol/100 g, and nucleoside content was decreased from 12.4 to 7.7 micromol/100 g, by heating.


Assuntos
Brassica/química , Purinas/química , Cromatografia Líquida de Alta Pressão , Cromatografia Líquida , Espectrometria de Massas
15.
Kyobu Geka ; 60(10): 871-8, 2007 Sep.
Artigo em Japonês | MEDLINE | ID: mdl-17877003

RESUMO

OBJECTIVES: We evaluated the efficacy of perioperative administration of steroid and erythromycin in surgery for lung cancer complicated with interstitial pneumonia (IP) to prevent postoperative acute exacerbation. PATIENTS AND METHODS: We operated on 21 lung cancer patients with IP for 10 years. The patients were given 400 mg of erythromycin over 1 week before surgery and re-administered on the 1st operative day. The patients were also given 125 mg of methylprednisolone intravenously just before operation and continued until the 2nd operative day. RESULTS: Lobectomy was performed in 16, segmentectomy or partial resection in 2 each, and completion pneumonectomy in 1. Three patients developed acute exacerbation of IP, but it occurred after the re-operation due to postoperative complications in 2. We experienced no operative death within 30 days, however, 2 died during the hospital stay due to multiple organ failure and sepsis. Seven of 21 patients had postoperative complications; air leakage over 1 week in 4, arrhythmia in 3, and atelectasis, postoperative bleeding, and pneumonia in 1 each, the morbidity rate was 33%. CONCLUSIONS: We conclude that the administration of steroid and erythromycin in surgery for lung cancer with IP was suspected the usefulness to prevent a postoperative acute exacerbation of IP.


Assuntos
Anti-Inflamatórios/administração & dosagem , Eritromicina/administração & dosagem , Doenças Pulmonares Intersticiais/tratamento farmacológico , Neoplasias Pulmonares/cirurgia , Metilprednisolona/administração & dosagem , Complicações Pós-Operatórias/prevenção & controle , Idoso , Quimioterapia Combinada , Feminino , Humanos , Doenças Pulmonares Intersticiais/complicações , Masculino , Pessoa de Meia-Idade , Assistência Perioperatória , Pneumonectomia
16.
Plant Cell Physiol ; 41(12): 1321-6, 2000 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-11134417

RESUMO

Cytoplasmic acidification in suspension-cultured plant cells has been characterized as a common intracellular response of some kinds of plant cells to elicitors. Expression of various defense genes in these cells has been increased by the cytoplasmic acidification itself without treatment by elicitors. It is not evident, however, whether or not cells with acidified cytoplasm actually exhibit resistance to the pathogen because of the lack of an adequate infection system between cultured plant cells and some pathogens. Using barley coleoptiles rather than suspension-cultured cells, we demonstrated both detection of cellular pH decline and increased resistance to Blumeria graminis. The cytoplasmic pH of barley coleoptile cells floated on 1 mM citrate buffer (CB), pH 4.0, became 0.5 unit lower than that of cells floated on 1 mM CB, pH 8.0, within 30 min after treatment. The penetration efficiency of B. graminis into the coleoptile was decreased in a pH-dependent manner; that is, when the coleoptiles were floated on 1 mM CB, pH 8.0, the penetration efficiency of the fungi was about 80%. In contrast, when the coleoptiles were floated on acidic buffers, the penetration efficiency decreased in parallel the decline of pH and the penetration efficiency reached 0% when coleoptiles were floated on 1 mM CB, pH 4.0. Morphogenesis of appressoria on the coleoptiles floating on CB was not influenced. The lowered penetration efficiency at lower pH was partially cancelled when the barley coleoptiles were irradiated with UV for 5 min prior to B. graminis inoculation. These findings suggest that the decline in cytoplasmic pH in barley coleoptile cells increases resistance to the pathogenic fungus B. graminis.


Assuntos
Hordeum/metabolismo , Concentração de Íons de Hidrogênio , Citoplasma/metabolismo , Fungos/patogenicidade , Hordeum/química , Hordeum/microbiologia
17.
Surg Today ; 29(7): 675-8, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10452252

RESUMO

The case of a 41-year-old man who developed an aneurysm in his aberrant left subclavian artery is described. The patient had a right aortic arch. After a successful aortosubclavian artery bypass, symptoms due to brain ischemia disappeared. This is a very rare disease that is sometimes associated with an aortic anomaly, therefore the optimal therapeutic procedure need to be carefully selected, including the operative indications and approach.


Assuntos
Aorta Torácica/anormalidades , Aneurisma da Aorta Torácica/cirurgia , Artéria Subclávia/anormalidades , Adulto , Aorta Torácica/cirurgia , Aneurisma da Aorta Torácica/patologia , Implante de Prótese Vascular , Isquemia Encefálica/etiologia , Humanos , Masculino , Artéria Subclávia/cirurgia
18.
Kyobu Geka ; 52(7): 563-8, 1999 Jul.
Artigo em Japonês | MEDLINE | ID: mdl-10402786

RESUMO

We described three cases of poststernotomy mediastinitis caused by MRSA. The first case 74-year-old woman who had undergone emergent CABG was treated by continuous closed irrigation and consecutive omental transfer. She was suffered from multiple organ failure and died. The other two cases 50-year-old woman and 66-year-old man after double valves replacement and total aortic arch replacement were managed successfully with simultaneous combination of surgical debridement and placement of omental flap. It was seemed that early aggressive surgical procedures before deterioration of general conditions associated with improvement of mortality. Additionally, it was considered that to avoid residual dead space in presternum as well as in mediastinum was essential to decrease the morbidity and hospital stay, especially in case of MRSA infection.


Assuntos
Procedimentos Cirúrgicos Cardíacos , Mediastinite/cirurgia , Resistência a Meticilina , Infecções Estafilocócicas/cirurgia , Idoso , Ponte de Artéria Coronária , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/cirurgia , Esterno/cirurgia
19.
Kyobu Geka ; 52(1): 35-40, 1999 Jan.
Artigo em Japonês | MEDLINE | ID: mdl-10024800

RESUMO

Until December 1997, 699 cases of lung cancer were resected in our institute. Four cases of invasion into the aorta and seven cases of invasion into the superior vena cava were also operated and each vessels were reconstructed. Two pneumonectomies and nine lobectomies were performed. Four cases of squamous cell carcinoma, three of adenocarcinoma, three of large cell carcinoma and one of adenosquamous carcinoma were found on pathological examination. Four cases of N0, four of N2 and two of N3 were also detected on pathological lymph node evaluation. One case was stage IV with metastasis of ipsilateral axillar lymph nodes and the others were stage IIIB. With respect to pathological curability, absolutely noncurative operation was performed in all cases involving the aorta and absolutely noncurative in four and relatively curative three in cases involving the superior vena cava. During resection and reconstruction of the aorta, three cases received temporary blood supplying bypass and one case was underwent temporary clamping. Two cases developed bilateral lower extremity paralysis. During resection and reconstruction of the superior vena cava, one case underwent intraluminal temporary blood supplying bypass, two received sideclamping and four were reconstructed with double artificial grafts for bilateral innominate veins. Two cases who underwent resection of the aorta died within one year and one is alive after nine months of operation. Five cases who underwent resection of the superior vena cava died due to cancer. One case of N0 and relatively curative is alive in free of recurrence after seven years and six months of operation and another case who had brain metastasis resected is alive after two years and two months of pulmonary operation. Careful selection should be made for resection of the aorta because the prognosis is usually poor. In the resection of the superior vena cava, good prognosis is expected in some cases (N0, relatively curative) and quality of life is expected to improve with the prevention of the superior vena cava syndrome. Aggressive resection should be considered for lung cancer invasion into the superior vena cava.


Assuntos
Aorta/cirurgia , Implante de Prótese Vascular , Neoplasias Pulmonares/cirurgia , Procedimentos de Cirurgia Plástica , Veia Cava Superior/cirurgia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Polietilenotereftalatos , Politetrafluoretileno , Prognóstico , Estudos Retrospectivos
20.
Intern Med ; 37(11): 945-9, 1998 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-9868957

RESUMO

A 32-year-old man who had had frequent gouty arthritis over the past 17 years, was admitted for acute renal failure. Acute renal failure was improved rapidly after medication was resumed and the patient was sufficiently hydrated. The hypoxanthine-guanine phosphoribosyltransferase (HPRT) activity in the patient had been reduced to about 30% of the normal control. Therefore we considered that this patient suffered from a partial deficiency of HPRT. A point mutation of HPRT gene 68G (guanine) to T (thymine) was detected. This is a mutation that has not been previously reported. Familial analysis indicated that his mother and sister were heterozygotes.


Assuntos
Injúria Renal Aguda/enzimologia , Hipoxantina Fosforribosiltransferase/deficiência , Injúria Renal Aguda/diagnóstico , Adulto , Alopurinol/uso terapêutico , Artrite Gotosa/complicações , Artrite Gotosa/diagnóstico , Artrite Gotosa/tratamento farmacológico , Artrite Gotosa/enzimologia , DNA/análise , Sondas de DNA/química , Diagnóstico Diferencial , Seguimentos , Supressores da Gota/uso terapêutico , Humanos , Hipoxantina Fosforribosiltransferase/genética , Masculino , Pessoa de Meia-Idade , Núcleo Familiar , Mutação Puntual , Reação em Cadeia da Polimerase Via Transcriptase Reversa
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