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1.
J Biol Chem ; 299(8): 105052, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37454739

RESUMO

Chronic obstructive pulmonary disease (COPD), which includes emphysema and chronic bronchitis, is now the third cause of death worldwide, and COVID-19 infection has been reported as an exacerbation factor of them. In this study, we report that the intratracheal administration of the keratan sulfate-based disaccharide L4 mitigates the symptoms of elastase-induced emphysema in a mouse model. To know the molecular mechanisms, we performed a functional analysis of a C-type lectin receptor, langerin, a molecule that binds L4. Using mouse BMDCs (bone marrow-derived dendritic cells) as langerin-expressing cells, we observed the downregulation of IL-6 and TNFa and the upregulation of IL-10 after incubation with L4. We also identified CapG (a macrophage-capping protein) as a possible molecule that binds langerin by immunoprecipitation combined with a mass spectrometry analysis. We identified a portion of the CapG that was localized in the nucleus and binds to the promoter region of IL-6 and the TNFa gene in BMDCs, suggesting that CapG suppresses the gene expression of IL-6 and TNFa as an inhibitory transcriptional factor. To examine the effects of L4 in vivo, we also generated langerin-knockout mice by means of genome editing technology. In an emphysema mouse model, the administration of L4 did not mitigate the symptoms of emphysema as well as the inflammatory state of the lung in the langerin-knockout mice. These data suggest that the anti-inflammatory effect of L4 through the langerin-CapG axis represents a potential therapeutic target for the treatment of emphysema and COPD.


Assuntos
Dissacarídeos , Doença Pulmonar Obstrutiva Crônica , Enfisema Pulmonar , Animais , Camundongos , Dissacarídeos/farmacologia , Modelos Animais de Doenças , Interleucina-6/genética , Sulfato de Queratano/farmacologia , Camundongos Endogâmicos C57BL , Camundongos Knockout , Doença Pulmonar Obstrutiva Crônica/tratamento farmacológico , Doença Pulmonar Obstrutiva Crônica/metabolismo , Enfisema Pulmonar/tratamento farmacológico , Enfisema Pulmonar/genética , Enfisema Pulmonar/induzido quimicamente , Lectinas Tipo C/metabolismo
2.
Bioorg Med Chem ; 81: 117191, 2023 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-36822013

RESUMO

Chondroitin sulfate (CS), a linear acidic polysaccharide, exhibits numerous biological activities that are dependent on sulfation patterns. CS oligosaccharides comprise repeating disaccharide units with different (hetero)-type sulfation patterns and are common in nature. We herein report the synthesis of the following biotinylated CS tetrasaccharides: CS-AD [ßGalNAc4S(1-4)ßGlcA(1-3)ßGalNAc6S(1-4)ßGlcA2S] and CS-DA [ßGalNAc6S(1-4)ßGlcA2S(1-3)ßGalNAc4S(1-4)ßGlcA], in a stereo-controlled manner. We also demonstrated that the CS-d-specific monoclonal antibody MO-225 bound more strongly to CS-DA than to CS-DD or -AD.


Assuntos
Sulfatos de Condroitina , Dissacarídeos , Sequência de Carboidratos , Oligossacarídeos , Anticorpos Monoclonais
3.
Org Biomol Chem ; 20(43): 8489-8500, 2022 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-36268609

RESUMO

Matriglycan, a polysaccharide that is a pivotal part of the core M3 O-mannosyl glycan composed of the repeating disaccharide -3Xylα1-3GlcAß1-, interacts with laminin to stabilize muscle tissue. We herein report the synthesis of matriglycan-repeating hexasaccharides equipped with an alkyne linker to form glycoconjugates. The key step in the formation of an α-linked xylosyl glycoside was resolved by solvent-specific separation from an anomeric mixture. Successful glycan elongation was regio- and stereoselectively performed to obtain (-3Xylα1-3GlcAß1)3-O(C2H4O)3CH2CCH and the biotin conjugate. We also investigated interactions between matriglycan hexasaccharides and laminin-G-like domains 4 and 5 of laminin-α2 using saturation transfer difference-NMR. The dissociation constant obtained from bio-layer interferometry was estimated to be 7.5 × 10-8 M. These results indicate that a chemical approach may be applied to the reconstruction of muscle tissue.


Assuntos
Laminina , Polissacarídeos , Laminina/química , Laminina/metabolismo , Glicosilação
4.
Biosci Biotechnol Biochem ; 86(7): 811-818, 2022 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-35425970

RESUMO

Glycosaminoglycans (GAGs) are found in various tissues and are involved in many physiological functions. Since the rhesus monkey (Macaca mulatta) is the most widely used nonhuman primate in biomedical research, an understanding of the compositions of GAGs in their tissues is important. The aim of this study was to determine the content and sulfation pattern of disaccharides contained in several tissues of the rhesus monkey. The chondroitin sulfate (CS)/dermatan sulfate (DS) hybrid chain was extracted from several tissues of female and male rhesus monkeys. Compositional analysis was performed after digestion with chondroitinases ABC and ACI to reveal the sulfation pattern of the CS/DS hybrid chain. This study revealed that the major CS/DS disaccharide units present in the tissues were A and C types. The E and iE types were specifically distributed not only in the tracheal tissue but also in gastrointestinal tissues.


Assuntos
Sulfatos de Condroitina , Dermatan Sulfato , Animais , Dissacarídeos , Feminino , Glicosaminoglicanos , Macaca mulatta , Masculino
5.
Nat Chem Biol ; 15(7): 699-709, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31061498

RESUMO

Chondroitin sulfate (CS) and heparan sulfate (HS) are glycosaminoglycans that both bind the receptor-type protein tyrosine phosphatase PTPRσ, affecting axonal regeneration. CS inhibits axonal growth, while HS promotes it. Here, we have prepared a library of HS octasaccharides and, together with synthetic CS oligomers, we found that PTPRσ preferentially interacts with CS-E-a rare sulfation pattern in natural CS-and most HS oligomers bearing sulfate and sulfamate groups. Consequently, short and long stretches of natural CS and HS, respectively, bind to PTPRσ. CS activates PTPRσ, which dephosphorylates cortactin-herein identified as a new PTPRσ substrate-and disrupts autophagy flux at the autophagosome-lysosome fusion step. Such disruption is required and sufficient for dystrophic endball formation and inhibition of axonal regeneration. Therefore, sulfation patterns determine the length of the glycosaminoglycan segment that bind to PTPRσ and define the fate of axonal regeneration through a mechanism involving PTPRσ, cortactin and autophagy.


Assuntos
Autofagia/efeitos dos fármacos , Sulfatos de Condroitina/farmacologia , Cortactina/metabolismo , Heparitina Sulfato/farmacologia , Regeneração Nervosa/efeitos dos fármacos , Proteínas Tirosina Fosfatases Classe 5 Semelhantes a Receptores/metabolismo , Animais , Sulfatos de Condroitina/química , Heparitina Sulfato/química , Humanos , Camundongos
6.
J Org Chem ; 85(20): 12935-12946, 2020 10 16.
Artigo em Inglês | MEDLINE | ID: mdl-32930586

RESUMO

We herein successfully synthesized two pivotal structures of O-mannosyl glycan: (1) the matriglycan-repeating tetrasaccharide Xylα1-3GlcAß1-3Xylα1-3GlcAß and (2) the link between matriglycan and a part of tandem ribitol phosphate, Xylα1-3GlcAß1-4Xylß1-4Rbo, in a regio- and stereocontrolled manner. The disaccharide unit with the α-linkage of xylose was obtained by adopting the conformational fixation of the xylopyranoside ring and a specific solvation system of diastereoselective solubility.

7.
J Infect Chemother ; 26(4): 331-334, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31711831

RESUMO

OBJECTIVE: The Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) score is a diagnostic tool for necrotizing soft tissue infection (NSTI), which is validated and is considered to have high diagnostic value. However, some experts criticize LRINEC score for consisting of laboratory test results only. METHODS: In this single-center retrospective study, we created a new scoring system (NSTI assessment score; NAS), which also incorporated vital signs as another diagnostic tool for NSTI using cases from our hospital and also evaluated diagnostic accuracy of LRINEC score. We identified NSTI predictors by comparing 24 NSTI patients and 80 non NSTI patients using uni- and multivariate logistic regression analysis, and created NAS based on odds ratio of variables which are statistically significant in the multivariate model. RESULTS: We identified mean arterial pressure, C-reactive protein, hemoglobin, serum creatinine, and glucose as a predictor for NSTI. The maximum value of NAS was 11 points with the cut-off value of 6. Sensitivity, specificity, positive predictive value, and negative predictive value of the NAS for diagnosis of NSTI were 87.5%, 91.3%, 75.0%, and 96.1%, respectively. Area under the receiver operating characteristic curve was 0.926 (0.851-1.00) for the NAS and 0.903 (0.833-0.973) for the LRINEC score, and they were not statistically different (p = 0.167). CONCLUSION: The NAS has high diagnostic accuracy in predicting NSTI, and is comparable with the LRINEC score. The NAS needs to be validated in other cohorts in the future.


Assuntos
Regras de Decisão Clínica , Fasciite Necrosante/diagnóstico , Infecções dos Tecidos Moles/diagnóstico , Sinais Vitais/fisiologia , Idoso , Estudos de Casos e Controles , Fasciite Necrosante/sangue , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Valor Preditivo dos Testes , Estudos Retrospectivos , Medição de Risco , Infecções dos Tecidos Moles/sangue
8.
Glycoconj J ; 36(2): 127-139, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30680582

RESUMO

Glycosaminoglycans (GAG) from the velvet antlers of Sika deer (Cervus nippon) at the different growing stages (Fukurozuno, Anshi, and Santajo) of bred and wild deer were isolated and their concentrations and sulfation patterns were analyzed. GAG were digested with chondroitinase ABC, ACI, heparinase-I and -III, and keratanase-II into the corresponding repeating disaccharides of chondroitin sulfate (CS), dermatan sulfate (DS), hyaluronan, heparan sulfate (HS), and keratan sulfate. Cartilaginous tissues contained CS-DS at high concentrations with an almost equal ratio of 4- and 6-sulfates, while 4-sulfate-type CS-DS predominantly occupied ossified tissues, but at low concentrations. High O- and N-sulfation degrees of HS correspond to high ossification. Dynamic quantitative changes in CS-DS and compositional changes in CS-DS and HS were closely associated with the mineralization of deer antlers.


Assuntos
Chifres de Veado/química , Glicosaminoglicanos/análise , Animais , Chifres de Veado/crescimento & desenvolvimento , Chifres de Veado/metabolismo , Cervos , Glicosaminoglicanos/metabolismo , Masculino
9.
Bioorg Med Chem ; 26(5): 1016-1025, 2018 03 01.
Artigo em Inglês | MEDLINE | ID: mdl-29402610

RESUMO

We synthesized the biotinylated chondroitin sulfate tetrasaccharides CS-CC [-3)ßGalNAc6S(1-4)ßGlcA(1-]2 and CS-DD [-3)ßGalNAc6S(1-4)ßGlcA2S(1-]2 which possess sulfate groups at O-6 of GalNAc and an additional sulfate group at O-2 of GlcA, respectively. We also analyzed interactions among CS-CC and CS-DD and the antibodies 2H6 and LY111, both of which are known to bind with CS-A, while CS-DD was shown for the first time to bind with both antibodies.


Assuntos
Anticorpos Monoclonais/imunologia , Sulfatos de Condroitina/química , Oligossacarídeos/química , Biotinilação , Sequência de Carboidratos , Sulfatos de Condroitina/síntese química , Sulfatos de Condroitina/imunologia , Ensaio de Imunoadsorção Enzimática
10.
Biochem Biophys Res Commun ; 487(3): 678-683, 2017 06 03.
Artigo em Inglês | MEDLINE | ID: mdl-28450116

RESUMO

Chondroitin sulfate (CS) is a class of sulfated glycosaminoglycan (GAG) chains that consist of repeating disaccharide unit composed of glucuronic acid (GlcA) and N-acetylgalactosamine (GalNAc). CS chains are found throughout the pericellular and extracellular spaces and contribute to the formation of functional microenvironments for numerous biological events. However, their structure-function relations remain to be fully characterized. Here, a fucosylated CS (FCS) was isolated from the body wall of the sea cucumber Apostichopus japonicus. Its promotional effects on neurite outgrowth were assessed by using isolated polysaccharides and the chemically synthesized FCS trisaccharide ß-D-GalNAc(4,6-O-disulfate) (1-4)[α-l-fucose (2,4-O-disulfate) (1-3)]-ß-D-GlcA. FCS polysaccharides contained the E-type disaccharide unit GlcA-GalNAc(4,6-O-disulfate) as a CS major backbone structure and carried distinct sulfated fucose branches. Despite their relatively lower abundance of E unit, FCS polysaccharides exhibited neurite outgrowth-promoting activity comparable to squid cartilage-derived CS-E polysaccharides, which are characterized by their predominant E units, suggesting potential roles of the fucose branch in neurite outgrowth. Indeed, the chemically synthesized FCS trisaccharide was as effective as CS-E tetrasaccharide in stimulating neurite elongation in vitro. In conclusion, FCS trisaccharide units with 2,4-O-disulfated fucose branches may provide new insights into understanding the structure-function relations of CS chains.


Assuntos
Sulfatos de Condroitina/administração & dosagem , Neuritos/efeitos dos fármacos , Neuritos/fisiologia , Neurogênese/efeitos dos fármacos , Neurogênese/fisiologia , Pepinos-do-Mar/metabolismo , Animais , Células Cultivadas , Sulfatos de Condroitina/química , Relação Dose-Resposta a Droga , Fucose/química , Camundongos , Neuritos/ultraestrutura , Trissacarídeos/administração & dosagem , Trissacarídeos/química
11.
Am J Emerg Med ; 35(8): 1106-1110, 2017 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28291703

RESUMO

PURPOSE: To find factors that predict the requirement of packed red blood cells (pRBC) transfusion in patients with blunt trauma on arrival at the hospital. METHODS: We conducted blood tests in trauma patients whose trauma severity was suspected as being 3 and over in the Abbreviated Injury Scale. Patients were divided into the blood transfusion (BT) and control groups according to the requirement of pRBC transfusion within 24h after arrival. RESULTS: We analyzed 347 patients (BT group, n=14; control group, n=333). On univariate analysis, there were significant differences in Glasgow Coma Scale (GCS), rate of positive FAST (focused assessment with sonography for trauma) finding, hematocrit, international normalized ratio of prothrombin time, activated partial thromboplastin time, fibrinogen (Fib), and level of fibrin degradation products (FDP). On multivariable analysis, positive FAST finding, GCS, Fib, and FDP influenced the requirement of pRBC transfusion. In the area under the receiver operating characteristic curve analysis, Fib and FDP were markers that predicted the requirement of pRBC transfusion. The FDP/Fib ratio had a better correlation with the requirement of pRBC transfusion than FDP or Fib. CONCLUSIONS: The FDP/Fib ratio can be easily measured and may be a predictor of the need for pRBC transfusion.


Assuntos
Transfusão de Eritrócitos , Produtos de Degradação da Fibrina e do Fibrinogênio/uso terapêutico , Fibrinogênio/metabolismo , Ferimentos não Penetrantes/terapia , Idoso , Biomarcadores/metabolismo , Transfusão de Eritrócitos/métodos , Feminino , Produtos de Degradação da Fibrina e do Fibrinogênio/metabolismo , Escala de Coma de Glasgow , Humanos , Escala de Gravidade do Ferimento , Japão/epidemiologia , Masculino , Pessoa de Meia-Idade , Tempo de Tromboplastina Parcial , Valor Preditivo dos Testes , Estudos Prospectivos , Curva ROC , Centros de Traumatologia , Ferimentos não Penetrantes/metabolismo , Ferimentos não Penetrantes/fisiopatologia
12.
Beilstein J Org Chem ; 13: 919-924, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28684973

RESUMO

The total synthesis of TMG-chitotriomycin using an automated electrochemical synthesizer for the assembly of carbohydrate building blocks is demonstrated. We have successfully prepared a precursor of TMG-chitotriomycin, which is a structurally-pure tetrasaccharide with typical protecting groups, through the methodology of automated electrochemical solution-phase synthesis developed by us. The synthesis of structurally well-defined TMG-chitotriomycin has been accomplished in 10-steps from a disaccharide building block.

13.
J Biol Chem ; 290(9): 5438-48, 2015 Feb 27.
Artigo em Inglês | MEDLINE | ID: mdl-25568321

RESUMO

A deficiency in chondroitin N-acetylgalactosaminyltransferase-1 (ChGn-1) was previously shown to reduce the number of chondroitin sulfate (CS) chains, leading to skeletal dysplasias in mice, suggesting that ChGn-1 regulates the number of CS chains for normal cartilage development. Recently, we demonstrated that 2-phosphoxylose phosphatase (XYLP) regulates the number of CS chains by dephosphorylating the Xyl residue in the glycosaminoglycan-protein linkage region of proteoglycans. However, the relationship between ChGn-1 and XYLP in controlling the number of CS chains is not clear. In this study, we for the first time detected a phosphorylated tetrasaccharide linkage structure, GlcUAß1-3Galß1-3Galß1-4Xyl(2-O-phosphate), in ChGn-1(-/-) growth plate cartilage but not in ChGn-2(-/-) or wild-type growth plate cartilage. In contrast, the truncated linkage tetrasaccharide GlcUAß1-3Galß1-3Galß1-4Xyl was detected in wild-type, ChGn-1(-/-), and ChGn-2(-/-) growth plate cartilage. Consistent with the findings, ChGn-1 preferentially transferred N-acetylgalactosamine to the phosphorylated tetrasaccharide linkage in vitro. Moreover, ChGn-1 and XYLP interacted with each other, and ChGn-1-mediated addition of N-acetylgalactosamine was accompanied by rapid XYLP-dependent dephosphorylation during formation of the CS linkage region. Taken together, we conclude that the phosphorylated tetrasaccharide linkage is the preferred substrate for ChGn-1 and that ChGn-1 and XYLP cooperatively regulate the number of CS chains in growth plate cartilage.


Assuntos
Acetilgalactosamina/metabolismo , Sulfatos de Condroitina/metabolismo , N-Acetilgalactosaminiltransferases/metabolismo , Oligossacarídeos/metabolismo , Fosfatos/metabolismo , Animais , Animais Recém-Nascidos , Vias Biossintéticas/genética , Western Blotting , Células COS , Sequência de Carboidratos , Cartilagem/citologia , Cartilagem/embriologia , Cartilagem/metabolismo , Células Cultivadas , Chlorocebus aethiops , Condrócitos/metabolismo , Glicoproteínas/metabolismo , Glicosaminoglicanos/metabolismo , Lâmina de Crescimento/embriologia , Lâmina de Crescimento/metabolismo , Camundongos Endogâmicos C57BL , Camundongos Knockout , Dados de Sequência Molecular , N-Acetilgalactosaminiltransferases/genética , Monoéster Fosfórico Hidrolases/genética , Monoéster Fosfórico Hidrolases/metabolismo , Fosforilação , Especificidade por Substrato , Xilose/metabolismo
14.
Mar Drugs ; 14(10)2016 Oct 21.
Artigo em Inglês | MEDLINE | ID: mdl-27775651

RESUMO

Chondroitin sulfate (CS), a type of glycosaminoglycan (GAG), is a factor involved in the suppression of myogenic differentiation. CS comprises two repeating sugars and has different subtypes depending on the position and number of bonded sulfate groups. However, the effect of each subtype on myogenic differentiation remains unclear. In this study, we spiked cultures of C2C12 myoblasts, cells which are capable of undergoing skeletal muscle differentiation, with one of five types of CS (CS-A, -B, -C, -D, or -E) and induced differentiation over a fixed time. After immunostaining of the formed myotubes with an anti-MHC antibody, we counted the number of nuclei in the myotubes and then calculated the fusion index (FI) as a measure of myotube differentiation. The FI values of all the CS-treated groups were lower than the FI value of the control group, especially the group treated with CS-E, which displayed notable suppression of myotube formation. To confirm that the sugar chain in CS-E is important in the suppression of differentiation, chondroitinase ABC (ChABC), which catabolizes CS, was added to the media. The addition of ChABC led to the degradation of CS-E, and neutralized the suppression of myotube formation by CS-E. Collectively, it can be concluded that the degree of suppression of differentiation depends on the subtype of CS and that CS-E strongly suppresses myogenic differentiation. We conclude that the CS sugar chain has inhibitory action against myoblast cell fusion.


Assuntos
Diferenciação Celular/efeitos dos fármacos , Sulfatos de Condroitina/farmacologia , Mioblastos/efeitos dos fármacos , Animais , Fusão Celular , Linhagem Celular , Condroitina ABC Liase/antagonistas & inibidores , Sulfatos de Condroitina/química , Relação Dose-Resposta a Droga , Imuno-Histoquímica , Camundongos , Desenvolvimento Muscular/efeitos dos fármacos , Fibras Musculares Esqueléticas/efeitos dos fármacos
15.
J Biol Chem ; 289(22): 15231-43, 2014 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-24753252

RESUMO

Degradation of heparan sulfate (HS) in the extracellular matrix by heparanase is linked to the processes of tumor invasion and metastasis. Thus, a heparanase inhibitor can be a potential anticancer drug. Because HS with unsubstituted glucosamine residues accumulates in heparanase-expressing breast cancer cells, we assumed that these HS structures are resistant to heparanase and can therefore be utilized as a heparanase inhibitor. As expected, chemically synthetic HS-tetrasaccharides containing unsubstituted glucosamine residues, GlcAß1-4GlcNH3 (+)(6-O-sulfate)α1-4GlcAß1-4GlcNH3 (+)(6-O-sulfate), inhibited heparanase activity and suppressed invasion of breast cancer cells in vitro. Bifunctional NDST-1 (N-deacetylase/N-sulfotransferase-1) catalyzes the modification of N-acetylglucosamine residues within HS chains, and the balance of N-deacetylase and N-sulfotransferase activities of NDST-1 is thought to be a determinant of the generation of unsubstituted glucosamine. We also report here that EXTL3 (exostosin-like 3) controls N-sulfotransferase activity of NDST-1 by forming a complex with NDST-1 and contributes to generation of unsubstituted glucosamine residues.


Assuntos
Neoplasias da Mama/metabolismo , Glucosamina/metabolismo , Glucuronidase/metabolismo , Proteoglicanas de Heparan Sulfato/metabolismo , Sulfotransferases/metabolismo , Animais , Neoplasias da Mama/patologia , Neoplasias da Mama/secundário , Feminino , Fibroblastos/citologia , Glucuronidase/antagonistas & inibidores , Glicosaminoglicanos/metabolismo , Proteoglicanas de Heparan Sulfato/biossíntese , Humanos , Células MCF-7 , Camundongos , N-Acetilglucosaminiltransferases/metabolismo , Invasividade Neoplásica
16.
Chaos ; 25(6): 063103, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-26117097

RESUMO

We introduce a true orbit generation method enabling exact simulations of dynamical systems defined by arbitrary-dimensional piecewise linear fractional maps, including piecewise linear maps, with rational coefficients. This method can generate sufficiently long true orbits which reproduce typical behaviors (inherent behaviors) of these systems, by properly selecting algebraic numbers in accordance with the dimension of the target system, and involving only integer arithmetic. By applying our method to three dynamical systems-that is, the baker's transformation, the map associated with a modified Jacobi-Perron algorithm, and an open flow system-we demonstrate that it can reproduce their typical behaviors that have been very difficult to reproduce with conventional simulation methods. In particular, for the first two maps, we show that we can generate true orbits displaying the same statistical properties as typical orbits, by estimating the marginal densities of their invariant measures. For the open flow system, we show that an obtained true orbit correctly converges to the stable period-1 orbit, which is inherently possessed by the system.

17.
Nihon Ronen Igakkai Zasshi ; 52(4): 411-4, 2015.
Artigo em Japonês | MEDLINE | ID: mdl-26700781

RESUMO

A 79-year-old man with a history of gastrectomy with Billroth II reconstruction 27 years previously was admitted to our hospital due to recurrent pneumonia. Because he had dysphagia and had frequently developed pneumonia over the course of a year, enteral nutrition via nasogastric tube was initiated approximately six months before admission. The clinical and computed tomography findings showed that the cause of pneumonia was aspiration of tube feeding nutrients due to gastroesophageal reflux. To prevent gastroesophageal reflux, he was continuously kept in a 30-degree or greater reclining position. However, gastroesophageal reflux was seen at an injection rate of 50 ml/h or greater. After we inserted a nasogastric-jejunal feeding tube guided by endoscopy, gastroesophageal reflux, dumping syndrome and diarrhea were not seen up to an injection rate of 300 ml/h. Endoscopically guided nasogastric-jejunal feeding tube placement is a simple method and may be useful for patients with aspiration pneumonia due to postgastrectomy. Moreover, long-term postgastrectomy patients appear to tolerate the postopyloric injection of enteral nutrition. Because the number of elderly patients who have dysphagia with postgastrectomy is increasing, these findings provide a basis for treatment in elderly medical settings.


Assuntos
Nutrição Enteral , Gastrectomia/efeitos adversos , Pneumonia Aspirativa/etiologia , Idoso , Transtornos de Deglutição/etiologia , Endoscopia Gastrointestinal , Humanos , Masculino
18.
Biosci Biotechnol Biochem ; 78(1): 29-37, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25036480

RESUMO

We synthesized four types of keratan and keratan sulfate repeating disaccharides containing non-sulfate, Galß1-4GlcNAcß, and three types of sulfates, Gal6Sß1-4GlcNAcß, Galß1-4GlcNAc6Sß, and Gal6Sß1-4GlcNAc6Sß in an efficient and stereo-controlled manner. These disaccharides were conjugated with biotin via a hydrophilic linker at the reducing terminal.


Assuntos
Biotinilação , Dissacarídeos/química , Dissacarídeos/síntese química , Sulfato de Queratano/química , Técnicas de Química Sintética , Interações Hidrofóbicas e Hidrofílicas
19.
Int J Biol Macromol ; 261(Pt 1): 129680, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38281521

RESUMO

Chondroitin sulfate (CS) + dermatan sulfate (DS) and hyaluronan (HA) concentrations and the sulfation patterns of CS-DS in the cartilaginous tissues and alimentary canals of Honshu Sika deer, Hokkaido Sika deer, and cattle were investigated in the present study. CS + DS concentrations were high in cartilaginous tissues, namely, the trachea and scapular cartilage region (5- 12 g*), and low in the alimentary canal (~0.3 g*). HA concentrations were low in cartilaginous tissues and the alimentary canal (~0.2 g*). All tissues mainly contained A-type [HexAGalNAc(4-sulfate)] and C-type [HexAGalNAc(6-sulfate)] CS + DS. The ratios of A-type/C-type CS + DS were 1.2- 3.1 and 0.9- 16.4 in cartilaginous tissues and the alimentary canal, respectively. CS + DS predominantly comprised ß-D-GlcA and α-L-IdoA in cartilaginous tissues and the alimentary canal, respectively. The alimentary canal characteristically contained up to 14 % highly sulfated E-type [HexAGalNAc(4,6-disulfate)] and D-type [HexA(2-sulfate)GalNAc(6-sulfate)] CS + DS. The specific distributions of CS and DS were immunohistochemically confirmed using CS + DS-specific antibodies. Although the omasum of cattle is more likely to have higher concentrations of CS + DS and HA, no significant species differences were observed in the concentrations or sulfation patterns of CS + DS among species for Honshu Sika deer, Hokkaido Sika deer, and cattle. (*per 100 g of defatted dry tissue).


Assuntos
Sulfatos de Condroitina , Cervos , Bovinos , Animais , Sulfatos de Condroitina/análise , Dermatan Sulfato , Ácido Hialurônico , Sulfatos
20.
Mar Drugs ; 11(12): 5024-35, 2013 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-24335526

RESUMO

Chondroitin sulfate (CS) has been suggested to be involved in bone formation and mineralization processes. A previous study showed that squid-derived CS (sqCS) has osteoblastogenesis ability in cooperation with bone morphogenetic protein (BMP)-4 in vitro. However, in vivo, osteogenic potential has not been verified. In this study, we created a critical-sized bone defect in the rat calvaria and implanted sqCS-loaded gelatin hydrogel sponges (Gel) into the defect with or without BMP-4 (CS/BMP/Gel and CS/Gel, respectively). At 15 weeks, bone repair rate of CS/Gel-treated defects and CS/BMP/Gel-treated defects were 47.2% and 51.1%, respectively, whereas empty defects and defects with untreated sponges showed significantly less bone ingrowth. The intensity of von Kossa staining of the regenerated bone was less than that of the original one. Mineral apposition rates at 9 to 10 weeks were not significantly different between all treatment groups. Although bone repair was not completed, sqCS stimulated bone regeneration without BMP-4 and without external mesenchymal cells or preosteoblasts. Therefore, sqCS is a promising substance for promotion of osteogenesis.


Assuntos
Regeneração Óssea/fisiologia , Sulfatos de Condroitina/metabolismo , Decapodiformes/metabolismo , Osteogênese/fisiologia , Crânio/metabolismo , Crânio/fisiologia , Animais , Proteína Morfogenética Óssea 4/metabolismo , Gelatina/metabolismo , Hidrogel de Polietilenoglicol-Dimetacrilato/metabolismo , Masculino , Células-Tronco Mesenquimais/metabolismo , Células-Tronco Mesenquimais/fisiologia , Ratos , Ratos Wistar
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