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Hagiwara Y, Goto T, Ohnishi S, Miyamoto D, Ikeyama Y, Matsunami K, Hasegawa K. Airway management in the pediatric emergency department in Japan: A multicenter prospective observational study. Acute Med Surg 2022; 9:e798. [PMID: 36203851 PMCID: PMC9525619 DOI: 10.1002/ams2.798] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 09/14/2022] [Indexed: 11/09/2022] Open
Abstract
Aim Tracheal intubation is a vital resuscitation procedure in the pediatric emergency department (ED). Despite its importance, little is known about the current status of emergency airway management in Japan. In this context, we aimed to investigate the airway management characteristics-particularly the location, patient, and provider factors-in the pediatric ED. Methods We conducted a multicenter, prospective study of five pediatric EDs in Japan from October 2018 to June 2020. The study included all children (aged ≤18 years) who underwent intubation at the pre-ED or ED setting by physicians and those who were transferred from the ED to the operation room (OR) or pediatric intensive care unit (PICU) for intubation. We described the airway management characteristics according to the location, patient, and provider factors. Results Of 231 children, 9 (4%) were transferred to the OR or PICU for airway management. Among the remaining 222 children, 45 were intubated at the pre-ED setting and 177 were intubated in the ED. The overall first-attempt success rate was 72%, with the rate varying by location, patient, and provider factors-for example, 68% at the pre-ED setting, 67% for children <2 years, 56% for children with airway-related anatomical anomalies, and 61% with intubation by a resident physician. Intubation-related adverse events were observed in 17%, most of which were hypoxemia (14%). Conclusions Based on data from a multicenter prospective study, the overall first-attempt intubation success rate in pediatric EDs in Japan was 72%, with large variations by location, patient, and provider factors.
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Affiliation(s)
- Yusuke Hagiwara
- Department of Pediatric Emergency and Critical Care MedicineTokyo Metropolitan Children's Medical CenterTokyoJapan
| | - Tadahiro Goto
- Department of Clinical Epidemiology and Health Economics, School of Public HealthThe University of TokyoTokyoJapan
| | - Shima Ohnishi
- Division of Emergency and Transport ServicesNational Center for Child Health and DevelopmentTokyoJapan
| | - Daisuke Miyamoto
- Department of Pediatric Emergency MedicineSaitama Children's Medical CenterSaitamaJapan
| | - Yuki Ikeyama
- Department of Pediatric Emergency MedicineAichi Children's Health and Medical CenterObu‐shi, AichiJapan
| | - Kunihiro Matsunami
- Department of PediatricsGifu Prefectural General Medical CenterGifuJapan
| | - Kohei Hasegawa
- Department of Emergency Medicine, Massachusetts General HospitalHarvard Medical SchoolBostonMA
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Mizutani Y, Nagai M, Iwata H, Matsunami K, Seishima M. Epidermal Nevus Syndrome Associated with Dwarfism and Atopic Dermatitis. Children (Basel) 2021; 8:children8080697. [PMID: 34438587 PMCID: PMC8394286 DOI: 10.3390/children8080697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/04/2021] [Revised: 08/06/2021] [Accepted: 08/11/2021] [Indexed: 11/16/2022]
Abstract
Epidermal nevus syndrome (ENS) is a congenital disorder characterized by widespread linear epidermal lesions consisting of epidermal nevus and extracutaneous involvements, especially of the central nervous system and skeletal system. Garcia-Hafner-Happle syndrome, also known as fibroblast growth factor receptor 3 (FGFR3)-ENS, is characterized by a systematized keratinocytic EN of soft and velvety type with neurological abnormalities such as seizures, intellectual impairment, and cortical atrophy. We present a case of a 9-year-old Japanese boy afflicted with Garcia-Hafner-Happle syndrome associated with dwarfism and atopic dermatitis. We show the results of physical examination, DNA analysis, and imaging studies and discuss the mutation underlying the child's disorder.
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Affiliation(s)
- Yuki Mizutani
- Department of Dermatology, Gifu Prefectural General Medical Center, Gifu 500-8717, Japan;
- Correspondence: ; Tel.:+81-246-1111
| | - Miki Nagai
- Department of Dermatology, Gifu Prefectural General Medical Center, Gifu 500-8717, Japan;
| | - Hitoshi Iwata
- Department of Pathology, Gifu Prefectural General Medical Center, Gifu 500-8717, Japan;
| | - Kunihiro Matsunami
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu 500-8717, Japan;
| | - Mariko Seishima
- Department of Dermatology, Gifu University Graduate School of Medicine, Gifu 501-1194, Japan;
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Yamazaki K, Matsunami K, Kushima R, Shimizu M. Granulomatous Variant of Food Protein-Induced Allergic Proctocolitis. JPGN Rep 2021; 2:e062. [PMID: 37207061 PMCID: PMC10191586 DOI: 10.1097/pg9.0000000000000062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/06/2021] [Accepted: 02/08/2021] [Indexed: 05/21/2023]
Affiliation(s)
- Kenji Yamazaki
- From the Department of Gastroenterology, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Kunihiro Matsunami
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Ryoji Kushima
- Department of Clinical Laboratory Medicine and Diagnostic Pathology, Shiga University of Medical Science, Otsu, Japan
| | - Masahito Shimizu
- Department of Gastroenterology, Gifu University School of Medicine, Gifu, Japan
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Miwa Y, Kawamoto N, Hirata K, Matsunami K, Imamura A. Erythema multiforme minor during sublingual immunotherapy. Pediatr Int 2021; 63:348-349. [PMID: 33650188 DOI: 10.1111/ped.14424] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2020] [Revised: 07/02/2020] [Accepted: 07/28/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Yuki Miwa
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Norio Kawamoto
- Department of Pediatrics, Graduate School of Medicine, Gifu University, Gifu, Japan
| | - Kazuhiro Hirata
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Kunihiro Matsunami
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Atsushi Imamura
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
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Ishiwa S, Kamei K, Tanase-Nakao K, Shibata S, Matsunami K, Takeuchi I, Sato M, Ishikura K, Narumi S. A girl with MIRAGE syndrome who developed steroid-resistant nephrotic syndrome: a case report. BMC Nephrol 2020; 21:340. [PMID: 32787808 PMCID: PMC7424677 DOI: 10.1186/s12882-020-02011-4] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2020] [Accepted: 08/05/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND MIRAGE syndrome is a recently discovered rare genetic disease characterized by myelodysplasia (M), infection (I), growth restriction (R), adrenal hypoplasia (A), genital phenotypes (G), and enteropathy (E), caused by a gain-of-function mutation in the SAMD9 gene. We encountered a girl with molecularly-confirmed MIRAGE syndrome who developed steroid-resistant nephrotic syndrome. CASE PRESENTATION She was born at 33 weeks gestational age with a birth weight of 1064 g. She showed growth failure, mild developmental delays, intractable enteropathy and recurrent pneumonia. She was diagnosed as MIRAGE syndrome by whole exome sequencing and a novel SAMD9 variant (c.4615 T > A, p.Leu1539Ile) was identified at age four. Biopsied skin fibroblast cells showed changes in the endosome system that are characteristic of MIRAGE syndrome, supporting the genetic diagnosis. Proteinuria was noted at age one, following nephrotic syndrome at age five. A renal biopsy showed focal segmental glomerulosclerosis (FSGS) with immune deposits. Steroid treatment was ineffective. Because we speculated that her nephrosis was a result of genetic FSGS, we decided not to introduce immunosuppressive agents and instead started enalapril to reduce proteinuria. Although her proteinuria persisted, her renal function was normal at age eight. CONCLUSIONS This is the first detailed report of a MIRAGE syndrome patient with nephrotic syndrome. Because patients with MIRAGE syndrome have structural abnormalities in the endosomal system, we speculate that dysfunction of endocytosis in podocytes might be a possible mechanism for proteinuria.
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Affiliation(s)
- Sho Ishiwa
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.,Department of Pediatric Nephrology, Tokyo Women's Medical University, Tokyo, Japan
| | - Koichi Kamei
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.
| | - Kanako Tanase-Nakao
- Department of Molecular Endocrinology, National Research Institute for Child Health and Development, Tokyo, Japan
| | - Shinsuke Shibata
- Electron Microscope Laboratory, Keio University School of Medicine, Tokyo, Japan
| | - Kunihiro Matsunami
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Ichiro Takeuchi
- Center for Pediatric Inflammatory Bowel Disease, Division of Gastroenterology, National Center for Child Health and Development, Tokyo, Japan
| | - Mai Sato
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan
| | - Kenji Ishikura
- Division of Nephrology and Rheumatology, National Center for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan.,Department of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
| | - Satoshi Narumi
- Department of Molecular Endocrinology, National Research Institute for Child Health and Development, Tokyo, Japan
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Akiyama T, Kubota T, Ozono K, Michigami T, Kobayashi D, Takeyari S, Sugiyama Y, Noda M, Harada D, Namba N, Suzuki A, Utoyama M, Kitanaka S, Uematsu M, Mitani Y, Matsunami K, Takishima S, Ogawa E, Kobayashi K. Pyridoxal 5'-phosphate and related metabolites in hypophosphatasia: Effects of enzyme replacement therapy. Mol Genet Metab 2018; 125:174-180. [PMID: 30049651 DOI: 10.1016/j.ymgme.2018.07.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Revised: 07/12/2018] [Accepted: 07/12/2018] [Indexed: 10/28/2022]
Abstract
OBJECTIVE To investigate the utility of serum pyridoxal 5'-phosphate (PLP), pyridoxal (PL), and 4-pyridoxic acid (PA) as a diagnostic marker of hypophosphatasia (HPP) and an indicator of the effect of, and patient compliance with, enzyme replacement therapy (ERT), we measured PLP, PL, and PA concentrations in serum samples from HPP patients with and without ERT. METHODS Blood samples were collected from HPP patients and serum was frozen as soon as possible (mostly within one hour). PLP, PL, and PA concentrations were analyzed using high-performance liquid chromatography with fluorescence detection after pre-column derivatization by semicarbazide. We investigated which metabolites are associated with clinical phenotypes and how these metabolites change with ERT. RESULTS Serum samples from 20 HPP patients were analyzed. The PLP-to-PL ratio and PLP concentration were elevated in all HPP patients. They correlated negatively with serum alkaline phosphatase (ALP) activity and showed higher values in more severe phenotypes (perinatal severe and infantile HPP) compared with other phenotypes. PL concentration was reduced only in perinatal severe HPP. ERT reduced the PLP-to-PL ratio to mildly reduced or low-normal levels and the PLP concentration was reduced to normal or mildly elevated levels. Urine phosphoethanolamine (PEA) concentration did not return to normal levels with ERT in most patients. CONCLUSIONS The serum PLP-to-PL ratio is a better indicator of the effect of ERT for HPP than serum PLP and urine PEA concentrations, and a PLP-to-PL ratio of <4.0 is a good indicator of the effect of, and patient compliance with, ERT.
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Affiliation(s)
- Tomoyuki Akiyama
- Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan.
| | - Takuo Kubota
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Keiichi Ozono
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Toshimi Michigami
- Department of Bone and Mineral Research, Osaka Women's and Children's Hospital, Osaka, Japan
| | - Daisuke Kobayashi
- Department of Food and Chemical Toxicology, School of Pharmaceutical Sciences, Health Sciences University of Hokkaido, Hokkaido, Japan
| | - Shinji Takeyari
- Department of Pediatrics, Osaka University Graduate School of Medicine, Osaka, Japan
| | - Yuichiro Sugiyama
- Department of Pediatrics, Nagoya University Graduate School of Medicine, Aichi, Japan
| | - Masahiro Noda
- Department of Pediatrics, Showa General Hospital, Tokyo, Japan
| | - Daisuke Harada
- Department of Pediatrics, Osaka Hospital, Japan Community Healthcare Organization (JCHO), Osaka, Japan
| | - Noriyuki Namba
- Department of Pediatrics, Osaka Hospital, Japan Community Healthcare Organization (JCHO), Osaka, Japan
| | - Atsushi Suzuki
- Department of Neonatology and Pediatrics, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan
| | - Maiko Utoyama
- Department of Pediatrics, Faculty of Medicine, University of Miyazaki, Miyazaki, Japan
| | - Sachiko Kitanaka
- Department of Pediatrics, Graduate School of Medicine, University of Tokyo, Tokyo, Japan
| | - Mitsugu Uematsu
- Department of Pediatrics, Tohoku University Graduate School of Medicine, Miyagi, Japan
| | - Yusuke Mitani
- Department of Pediatrics, Kanazawa University Hospital, Ishikawa, Japan
| | - Kunihiro Matsunami
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | | | - Erika Ogawa
- Department of Pediatrics and Child Health, Nihon University School of Medicine, Tokyo, Japan
| | - Katsuhiro Kobayashi
- Department of Child Neurology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Okayama, Japan
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Yamamoto N, Asada R, Kawahara R, Hagiya H, Akeda Y, Shanmugakani R, Yoshida H, Yukawa S, Yamamoto K, Takayama Y, Ohnishi H, Taniguchi T, Matsuoka T, Matsunami K, Nishi I, Kase T, Hamada S, Tomono K. Prevalence of, and risk factors for, carriage of carbapenem-resistant Enterobacteriaceae among hospitalized patients in Japan. J Hosp Infect 2017; 97:212-217. [DOI: 10.1016/j.jhin.2017.07.015] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2017] [Accepted: 07/15/2017] [Indexed: 01/22/2023]
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8
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Giang PM, Binh NT, Nhan TTT, Thuy HT, Trang VM, Son PT, Otsuka H, Matsunami K. The First Isolation of 25,26,27-trisnor-3β-acetoxycycloartan-24-oic Acid and the Absolute Configuration of 3R,4R-O-di-caffeoyl Quinic Acid from Artemisia japonica. Chem Nat Compd 2017. [DOI: 10.1007/s10600-017-2088-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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9
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Takanashi T, Golubev NV, Callegari C, Fukuzawa H, Motomura K, Iablonskyi D, Kumagai Y, Mondal S, Tachibana T, Nagaya K, Nishiyama T, Matsunami K, Johnsson P, Piseri P, Sansone G, Dubrouil A, Reduzzi M, Carpeggiani P, Vozzi C, Devetta M, Negro M, Faccialà D, Calegari F, Trabattoni A, Castrovilli MC, Ovcharenko Y, Mudrich M, Stienkemeier F, Coreno M, Alagia M, Schütte B, Berrah N, Plekan O, Finetti P, Spezzani C, Ferrari E, Allaria E, Penco G, Serpico C, De Ninno G, Diviacco B, Di Mitri S, Giannessi L, Jabbari G, Prince KC, Cederbaum LS, Demekhin PV, Kuleff AI, Ueda K. Time-Resolved Measurement of Interatomic Coulombic Decay Induced by Two-Photon Double Excitation of Ne_{2}. Phys Rev Lett 2017; 118:033202. [PMID: 28157370 DOI: 10.1103/physrevlett.118.033202] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2016] [Indexed: 06/06/2023]
Abstract
The hitherto unexplored two-photon doubly excited states [Ne^{*}(2p^{-1}3s)]_{2} were experimentally identified using the seeded, fully coherent, intense extreme ultraviolet free-electron laser FERMI. These states undergo ultrafast interatomic Coulombic decay (ICD), which predominantly produces singly ionized dimers. In order to obtain the rate of ICD, the resulting yield of Ne_{2}^{+} ions was recorded as a function of delay between the extreme ultraviolet pump and UV probe laser pulses. The extracted lifetimes of the long-lived doubly excited states, 390(-130/+450) fs, and of the short-lived ones, less than 150 fs, are in good agreement with ab initio quantum mechanical calculations.
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Affiliation(s)
- T Takanashi
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - N V Golubev
- Theoretische Chemie, Universität Heidelberg, Im Neuenheimer Feld 229, 69120 Heidelberg, Germany
| | - C Callegari
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - H Fukuzawa
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - K Motomura
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - D Iablonskyi
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - Y Kumagai
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - S Mondal
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - T Tachibana
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - K Nagaya
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - T Nishiyama
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - K Matsunami
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - P Johnsson
- Department of Physics, Lund University, P.O. Box 118, 22100 Lund, Sweden
| | - P Piseri
- CIMAINA and Dipartimento di Fisica, Università degli Studi di Milano, Via Celoria 16, 20133 Milano, Italy
| | - G Sansone
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Physikalisches Institut Albert-Ludwigs-Universität, Stefan-Meier-Strasse 19 79104 Freiburg, Germany
| | - A Dubrouil
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - M Reduzzi
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - P Carpeggiani
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - C Vozzi
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - M Devetta
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - M Negro
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - D Faccialà
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
| | - F Calegari
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Center for Free-Electron Laser Science, DESY, Notkestr. 85, 22607 Hamburg, Germany
| | - A Trabattoni
- CNR-IFN, Piazza Leonardo da Vinci 32, 20133 Milano, Italy
- Center for Free-Electron Laser Science, DESY, Notkestr. 85, 22607 Hamburg, Germany
| | | | - Y Ovcharenko
- Institut für Optik und Atomare Physik, Technische Universität Berlin, Hardenbergstrasse 36, 10623 Berlin, Germany
| | - M Mudrich
- Physikalisches Institut, Universität Freiburg, 79104 Freiburg, Germany
| | - F Stienkemeier
- Physikalisches Institut, Universität Freiburg, 79104 Freiburg, Germany
| | - M Coreno
- CNR-ISM, Area Science Park, 34149 Basovizza, Trieste, Italy
| | - M Alagia
- CNR-IOM, Area Science Park, 34149 Basovizza, Trieste, Italy
| | - B Schütte
- Max-Born-Institut, Max-Born-Strasse 2 A, 12489 Berlin, Germany
| | - N Berrah
- Department of Physics, University of Connecticut, 2152 Hillside Road, Storrs, Connecticut 06269, USA
| | - O Plekan
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - P Finetti
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - C Spezzani
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - E Ferrari
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - E Allaria
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - G Penco
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - C Serpico
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - G De Ninno
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
- Laboratory of Quantum Optics, University of Nova Gorica, 5001 Nova Gorica, Slovenia
| | - B Diviacco
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - S Di Mitri
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - L Giannessi
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
| | - G Jabbari
- Theoretische Chemie, Universität Heidelberg, Im Neuenheimer Feld 229, 69120 Heidelberg, Germany
| | - K C Prince
- Elettra-Sincrotrone Trieste, Strada Statale 14 - km 163,5 in AREA Science Park, 34149 Basovizza, Trieste, Italy
- CNR-IOM, Area Science Park, 34149 Basovizza, Trieste, Italy
| | - L S Cederbaum
- Theoretische Chemie, Universität Heidelberg, Im Neuenheimer Feld 229, 69120 Heidelberg, Germany
| | - Ph V Demekhin
- Institut für Physik und CINSaT, Universität Kassel, Heinrich-Plett-Str. 40, 34132 Kassel, Germany
| | - A I Kuleff
- Theoretische Chemie, Universität Heidelberg, Im Neuenheimer Feld 229, 69120 Heidelberg, Germany
| | - K Ueda
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
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10
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Iablonskyi D, Nagaya K, Fukuzawa H, Motomura K, Kumagai Y, Mondal S, Tachibana T, Takanashi T, Nishiyama T, Matsunami K, Johnsson P, Piseri P, Sansone G, Dubrouil A, Reduzzi M, Carpeggiani P, Vozzi C, Devetta M, Negro M, Calegari F, Trabattoni A, Castrovilli MC, Faccialà D, Ovcharenko Y, Möller T, Mudrich M, Stienkemeier F, Coreno M, Alagia M, Schütte B, Berrah N, Kuleff AI, Jabbari G, Callegari C, Plekan O, Finetti P, Spezzani C, Ferrari E, Allaria E, Penco G, Serpico C, De Ninno G, Nikolov I, Diviacco B, Di Mitri S, Giannessi L, Prince KC, Ueda K. Slow Interatomic Coulombic Decay of Multiply Excited Neon Clusters. Phys Rev Lett 2016; 117:276806. [PMID: 28084773 DOI: 10.1103/physrevlett.117.276806] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Indexed: 06/06/2023]
Abstract
Ne clusters (∼5000 atoms) were resonantly excited (2p→3s) by intense free electron laser (FEL) radiation at FERMI. Such multiply excited clusters can decay nonradiatively via energy exchange between at least two neighboring excited atoms. Benefiting from the precise tunability and narrow bandwidth of seeded FEL radiation, specific sites of the Ne clusters were probed. We found that the relaxation of cluster surface atoms proceeds via a sequence of interatomic or intermolecular Coulombic decay (ICD) processes while ICD of bulk atoms is additionally affected by the surrounding excited medium via inelastic electron scattering. For both cases, cluster excitations relax to atomic states prior to ICD, showing that this kind of ICD is rather slow (picosecond range). Controlling the average number of excitations per cluster via the FEL intensity allows a coarse tuning of the ICD rate.
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Affiliation(s)
- D Iablonskyi
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - K Nagaya
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - H Fukuzawa
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - K Motomura
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - Y Kumagai
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - S Mondal
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - T Tachibana
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - T Takanashi
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - T Nishiyama
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - K Matsunami
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - P Johnsson
- Department of Physics, Lund University, 22100 Lund, Sweden
| | - P Piseri
- Dipartimento di Fisica, Università degli Studi di Milano, 20133 Milano, Italy
| | - G Sansone
- CNR-IFN, 20133 Milan, Italy
- Physikalisches Institut, Universität Freiburg, 79104 Freiburg, Germany
| | | | | | | | | | | | | | - F Calegari
- CNR-IFN, 20133 Milan, Italy
- Center for Free-Electron Laser Science, DESY, 22607 Hamburg, Germany
| | - A Trabattoni
- CNR-IFN, 20133 Milan, Italy
- Center for Free-Electron Laser Science, DESY, 22607 Hamburg, Germany
| | | | - D Faccialà
- Dipartimento di Fisica, Politecnico di Milano, 20133 Milan, Italy
| | - Y Ovcharenko
- Institut für Optik und Atomare Physik, TU Berlin, 10623 Berlin, Germany
| | - T Möller
- Institut für Optik und Atomare Physik, TU Berlin, 10623 Berlin, Germany
| | - M Mudrich
- Physikalisches Institut, Universität Freiburg, 79104 Freiburg, Germany
| | - F Stienkemeier
- Physikalisches Institut, Universität Freiburg, 79104 Freiburg, Germany
| | - M Coreno
- CNR-ISM, Area Science Park, 34149 Trieste, Italy
| | - M Alagia
- CNR-IOM, Area Science Park, 34149 Trieste, Italy
| | - B Schütte
- Max-Born-Institut, 12489 Berlin, Germany
| | - N Berrah
- Department of Physics, University of Connecticut, Storrs, Connecticut 06269, USA
| | - A I Kuleff
- Theoretische Chemie, Universität Heidelberg, 69120 Heidelberg, Germany
| | - G Jabbari
- Theoretische Chemie, Universität Heidelberg, 69120 Heidelberg, Germany
| | - C Callegari
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - O Plekan
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - P Finetti
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - C Spezzani
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - E Ferrari
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - E Allaria
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - G Penco
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - C Serpico
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - G De Ninno
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
- Laboratory of Quantum Optics, University of Nova Gorica, 5001 Nova Gorica, Slovenia
| | - I Nikolov
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - B Diviacco
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - S Di Mitri
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - L Giannessi
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - K C Prince
- CNR-IOM, Area Science Park, 34149 Trieste, Italy
- Elettra-Sincrotrone Trieste, Area Science Park, 34149 Trieste, Italy
| | - K Ueda
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
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Nagaya K, Iablonskyi D, Golubev NV, Matsunami K, Fukuzawa H, Motomura K, Nishiyama T, Sakai T, Tachibana T, Mondal S, Wada S, Prince KC, Callegari C, Miron C, Saito N, Yabashi M, Demekhin PV, Cederbaum LS, Kuleff AI, Yao M, Ueda K. Interatomic Coulombic decay cascades in multiply excited neon clusters. Nat Commun 2016; 7:13477. [PMID: 27917867 PMCID: PMC5150215 DOI: 10.1038/ncomms13477] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 10/07/2016] [Indexed: 11/21/2022] Open
Abstract
In high-intensity laser light, matter can be ionized by direct multiphoton absorption even at photon energies below the ionization threshold. However on tuning the laser to the lowest resonant transition, the system becomes multiply excited, and more efficient, indirect ionization pathways become operative. These mechanisms are known as interatomic Coulombic decay (ICD), where one of the species de-excites to its ground state, transferring its energy to ionize another excited species. Here we show that on tuning to a higher resonant transition, a previously unknown type of interatomic Coulombic decay, intra-Rydberg ICD occurs. In it, de-excitation of an atom to a close-lying Rydberg state leads to electron emission from another neighbouring Rydberg atom. Moreover, systems multiply excited to higher Rydberg states will decay by a cascade of such processes, producing even more ions. The intra-Rydberg ICD and cascades are expected to be ubiquitous in weakly-bound systems exposed to high-intensity resonant radiation. Interatomic Coulombic decay (ICD) is a relaxation of an atom in a weakly bound environment by the transfer of excess energy to ionize the neighbouring atom. Here the authors observe intra-Rydberg ICD in neon clusters, which is a decay that involves the ionization of Rydberg atoms in the cluster.
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Affiliation(s)
- K Nagaya
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan.,RIKEN SPring-8 Center, 679-5148 Hyogo, Japan
| | - D Iablonskyi
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - N V Golubev
- Theoretische Chemie, Physikalisch-Chemisches Institut, Universität Heidelberg, D-69120 Heidelberg, Germany
| | - K Matsunami
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - H Fukuzawa
- RIKEN SPring-8 Center, 679-5148 Hyogo, Japan.,Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - K Motomura
- RIKEN SPring-8 Center, 679-5148 Hyogo, Japan.,Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - T Nishiyama
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - T Sakai
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan
| | - T Tachibana
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - S Mondal
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
| | - S Wada
- RIKEN SPring-8 Center, 679-5148 Hyogo, Japan.,Department of Physical Science, Hiroshima University, 739-8526 Higashi-Hiroshima, Japan
| | - K C Prince
- Elettra-Sincrotrone Trieste, Basovizza, Trieste I-34149, Italy
| | - C Callegari
- Elettra-Sincrotrone Trieste, Basovizza, Trieste I-34149, Italy
| | - C Miron
- Synchrotron SOLEIL, L'Orme des Merisiers, Saint-Aubin, BP 48, FR-91192 Gif-sur-Yvette Cedex, France.,Extreme Light Infrastructure-Nuclear Physics (ELI-NP), 'Horia Hulubei' National Institute for Physics and Nuclear Engineering, RO-077125 Măgurele, Jud. Ilfov, Romania
| | - N Saito
- RIKEN SPring-8 Center, 679-5148 Hyogo, Japan.,National Metrology Institute of Japan, AIST, 305-8568 Tsukuba, Japan
| | - M Yabashi
- RIKEN SPring-8 Center, 679-5148 Hyogo, Japan
| | - Ph V Demekhin
- Theoretische Atom- und Molekülphysik, Institut für Physik und CINSaT, Universität Kassel, D-34132 Kassel, Germany
| | - L S Cederbaum
- Theoretische Chemie, Physikalisch-Chemisches Institut, Universität Heidelberg, D-69120 Heidelberg, Germany
| | - A I Kuleff
- Theoretische Chemie, Physikalisch-Chemisches Institut, Universität Heidelberg, D-69120 Heidelberg, Germany
| | - M Yao
- Department of Physics, Graduate School of Science, Kyoto University, 606-8502 Kyoto, Japan.,Deceased
| | - K Ueda
- RIKEN SPring-8 Center, 679-5148 Hyogo, Japan.,Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, 980-8577 Sendai, Japan
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12
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Panyo J, Matsunami K, Panichayupakaranant P. Bioassay-guided isolation and evaluation of antimicrobial compounds from Ixora megalophylla against some oral pathogens. Pharm Biol 2016; 54:1522-7. [PMID: 26809027 DOI: 10.3109/13880209.2015.1107106] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
Context Ixora megalophylla Chamch. (Rubiaceae) is a new plant species recently found in southern Thailand. Ethyl acetate extracts of its leaves and stems showed antimicrobial activities. Objectives To isolate and identify the antimicrobial compounds from I. megalophylla leaves and stems. Materials and methods The dried leaves (1.7 kg) and stems (3.5 kg) were consecutively extracted with petroleum ether (5 L × 4), ethyl acetate (5 L × 3) and ethanol (5 L × 4) under reflux conditions. The ethyl acetate extract was subjected to an antimicrobial assay guided isolation with Candida albicans and Streptococcus mutans. Compounds 1-10 were identified by (1)H NMR, (13)C NMR and EI-MS. Minimal lethal concentration (MLC) against C. albicans and Streptococcus spp. was determined using a broth microdilution method for 48 and 24 h, respectively. Results and discussion On the basis of the antimicrobial assay guided isolation, 10 known compounds, including vanillic acid (1), syringic acid (2), 4-hydroxy benzaldehyde (3), scopoletin (4), loliolide (5), syringaldehyde (6), sinapaldehyde (7), coniferaldehyde (8), syringaresinol (9) and 2,2'-dithiodipyridine (10), were identified. Compounds 1-5 were purified from the ethyl acetate extract of the leaves, while 6-9 and 10 were from the ethyl acetate and ethanol extracts of the stems, respectively. Among these isolates, 10 showed the strongest antibacterial activities against S. mutans and Streptococcus mitis, with minimum inhibitory concentrations (MICs) of 2-4 μg/mL, and MLC of 4 μg/mL, as well as having a weak antifungal activity against C. albicans (MIC of 125 μg/mL). This is the first report of the antimicrobial activities of 10.
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Affiliation(s)
- J Panyo
- a Department of Pharmacognosy and Pharmaceutical Botany , Prince of Songkla University , Hat-Yai , Songkhla , Thailand
| | - K Matsunami
- b Department of Pharmacognosy, Graduate School of Biomedical Sciences , Hiroshima University , Minamiku , Hiroshima , Japan
| | - P Panichayupakaranant
- a Department of Pharmacognosy and Pharmaceutical Botany , Prince of Songkla University , Hat-Yai , Songkhla , Thailand ;,c Excellent Research Laboratory , Phytomedicine and Pharmaceutical Biotechnology Excellence Center, Faculty of Pharmaceutical Sciences, Prince of Songkla University , Hat-Yai , Songkhla , Thailand
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13
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Nagaya K, Motomura K, Kukk E, Takahashi Y, Yamazaki K, Ohmura S, Fukuzawa H, Wada S, Mondal S, Tachibana T, Ito Y, Koga R, Sakai T, Matsunami K, Nakamura K, Kanno M, Rudenko A, Nicolas C, Liu XJ, Miron C, Zhang Y, Jiang Y, Chen J, Anand M, Kim DE, Tono K, Yabashi M, Yao M, Kono H, Ueda K. Femtosecond charge and molecular dynamics of I-containing organic molecules induced by intense X-ray free-electron laser pulses. Faraday Discuss 2016; 194:537-562. [DOI: 10.1039/c6fd00085a] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
We studied the electronic and nuclear dynamics of I-containing organic molecules induced by intense hard X-ray pulses at the XFEL facility SACLA in Japan. The interaction with the intense XFEL pulse causes absorption of multiple X-ray photons by the iodine atom, which results in the creation of many electronic vacancies (positive charges) via the sequential electronic relaxation in the iodine, followed by intramolecular charge redistribution. In a previous study we investigated the subsequent fragmentation by Coulomb explosion of the simplest I-substituted hydrocarbon, iodomethane (CH3I). We carried out three-dimensional momentum correlation measurements of the atomic ions created via Coulomb explosion of the molecule and found that a classical Coulomb explosion model including charge evolution (CCE-CE model), which accounts for the concerted dynamics of nuclear motion and charge creation/charge redistribution, reproduces well the observed momentum correlation maps of fragment ions emitted after XFEL irradiation. Then we extended the study to 5-iodouracil (C4H3IN2O2, 5-IU), which is a more complex molecule of biological relevance, and confirmed that, in both CH3I and 5-IU, the charge build-up takes about 10 fs, while the charge is redistributed among atoms within only a few fs. We also adopted a self-consistent charge density-functional based tight-binding (SCC-DFTB) method to treat the fragmentations of highly charged 5-IU ions created by XFEL pulses. Our SCC-DFTB modeling reproduces well the experimental and CCE-CE results. We have also investigated the influence of the nuclear dynamics on the charge redistribution (charge transfer) using nonadiabatic quantum-mechanical molecular dynamics (NAQMD) simulation. The time scale of the charge transfer from the iodine atomic site to the uracil ring induced by nuclear motion turned out to be only ∼5 fs, indicating that, besides the molecular Auger decay in which molecular orbitals delocalized over the iodine site and the uracil ring are involved, the nuclear dynamics also play a role for ultrafast charge redistribution. The present study illustrates that the CCE-CE model as well as the SCC-DFTB method can be used for reconstructing the positions of atoms in motion, in combination with the momentum correlation measurement of the atomic ions created via XFEL-induced Coulomb explosion of molecules.
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14
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Ueda R, Saito Y, Ohno K, Maruta K, Matsunami K, Saiki Y, Sokota T, Sugihara S, Nishimura Y, Tamasaki A, Narita A, Imamura A, Maegaki Y. Effect of levetiracetam in acute encephalitis with refractory, repetitive partial seizures during acute and chronic phase. Brain Dev 2015; 37:471-7. [PMID: 25174548 DOI: 10.1016/j.braindev.2014.08.003] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/16/2014] [Revised: 08/05/2014] [Accepted: 08/07/2014] [Indexed: 10/24/2022]
Abstract
AIM To clarify the effect of levetiracetam (LEV) for acute and chronic seizure control in acute encephalitis with refractory, repetitive partial seizures (AERRPS). METHODS We retrospectively reviewed the clinical course of six AERRPS cases treated with LEV, and explored the acute phase termination by withdrawal from barbiturate-induced coma under artificial ventilation, and the reduction in seizure frequency during the chronic phase. LEV was administrated orally or via nasogastric tubes as an add-on agent during acute (n=3; age 8-10 years) and chronic (n=3; age 19-30 years) AERRPS. RESULTS In the acute phase, administration of LEV (50-60 mg/kg/d) in combination with phenobarbital (n=3; peak 57.9-76.1 μg/ml) and potassium bromide (n=2; 30-36 mg/kg/d)) resulted in successful reduction of intravenous barbiturate dosage and withdrawal from artificial ventilation. In the chronic phase, seizure frequency reduced by >75% for 5-18 months with LEV 750-1500 mg/d. CONCLUSION LEV may affect seizure control in AERRPS, particularly during the chronic phase, through its unique action of inhibition of excitatory neurotransmitter release. The regimen of oral barbiturate, potassium bromide and LEV would be worth for trial during the acute phase of AERRPS.
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Affiliation(s)
- Riyo Ueda
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Yoshiaki Saito
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Koyo Ohno
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Kanako Maruta
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Kunihiro Matsunami
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Yusuke Saiki
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Tatsuyuki Sokota
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Susumu Sugihara
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Yoko Nishimura
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Akiko Tamasaki
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Aya Narita
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan
| | - Atsushi Imamura
- Department of Pediatrics, Gifu Prefectural General Medical Center, Gifu, Japan
| | - Yoshihiro Maegaki
- Division of Child Neurology, Institute of Neurological Sciences, Faculty of Medicine, Tottori Univesity, Yonago, Japan.
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16
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Tada H, Kawashiri MA, Takata M, Matsunami K, Imamura A, Matsuyama M, Sawada H, Nunoi H, Konno T, Hayashi K, Nohara A, Inazu A, Kobayashi J, Mabuchi H, Yamagishi M. Infantile Cases of Sitosterolaemia with Novel Mutations in the ABCG5 Gene: Extreme Hypercholesterolaemia is Exacerbated by Breastfeeding. JIMD Rep 2015; 21:115-22. [PMID: 25665839 DOI: 10.1007/8904_2014_404] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2014] [Revised: 11/25/2014] [Accepted: 12/23/2014] [Indexed: 12/13/2022] Open
Abstract
Few data exists regarding the clinical impact of breastfeeding in infantile sitosterolaemic cases. We report four Japanese infantile cases of sitosterolaemia, an extremely rare inherited disease characterised by increased serum levels of plant sitosterol, presenting with severe hypercholesterolaemia and systemic xanthomas exacerbated by breastfeeding. In these four cases, genetic analyses were performed for low-density lipoprotein (LDL) receptor, proprotein convertase subtilisin/kexin type 9 (PCSK9), LDL receptor adaptor protein 1 and ATP-binding cassette (ABC) subfamily G member 5 and 8 (ABCG5 and ABCG8) genes. We assessed their clinical manifestations, including responsiveness to a variety of treatments, especially to weaning from breastfeeding and use of ezetimibe. Two pairs of mutations in the ABCG5 gene in each case, including two novel mutations (c.130C>T or p.Ser44Ala and c.1813_1817delCTTTT or p.Pro558GlufsX14) and two known mutations (c.1306G>A or p.Arg389His and c.1336C>T or p.Arg446X), were identified. Significant reductions in cholesterol levels were obtained by means of weaning from breastfeeding alone. Substantial reductions in sitosterol levels, without any apparent side effects, were observed with ezetimibe. In conclusion, we have identified infantile Japanese sitosterolaemic subjects with extreme hypercholesterolaemia exacerbated by breastfeeding. Their unique response to weaning from breastfeeding, as well as to use of ezetimibe, could provide insights into the metabolic basis of sterols in humans.
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Affiliation(s)
- Hayato Tada
- Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine, Kanazawa, Japan,
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17
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Masuda A, Asano F, Tsuzuku A, Sobajima T, Murakami A, Matsuno Y, Hirata K, Matsunami K, Imamura A. Postobstructive pulmonary edema that developed immediately after the removal of an endobronchial foreign body. Intern Med 2015; 54:497-502. [PMID: 25758077 DOI: 10.2169/internalmedicine.54.3027] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
The patient was a 5-year-old boy who was transported to our hospital for a paroxysmal cough, disturbance of consciousness, tonic-clonic convulsions and labored breathing. The patient's respiratory failure persisted after the convulsions remitted, and the presence of an endobronchial foreign body was suspected based on the findings of chest CT performed the following day. A peanut was subsequently removed from the right main bronchus using a bronchoscope with tracheal intubation and bag valve mask ventilation. Immediately after removal, the patient rapidly developed exacerbated hypoxemia, and a reduction in right lung lucency was noted on chest radiography. He was therefore diagnosed with type II postobstructive pulmonary edema, and his condition improved within a short period of time.
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Affiliation(s)
- Atsunori Masuda
- Department of Pulmonary Medicine, Gifu Prefectural General Medical Center, Japan
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18
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Ichigo S, Takagi H, Matsunami K, Murase T, Ikeda T, Imai A. A large ovarian leiomyoma discovered incidentally in a 76-year-old woman: case report. EUR J GYNAECOL ONCOL 2015; 36:203-205. [PMID: 26050361] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
BACKGROUND Ovarian leiomyoma is very rare type of ovarian tumor. This benign tumor is seen in the pediatric age group to premenopausal women. CASE A 76-year-old woman had a huge leiomyoma (19 x 11 x 10 cm) of the right ovary. The preoperative diagnosis was difficult to distinguish from a broad ligament leiomyoma or ovarian cancer. CONCLUSIONS Although theses tumors are benign, its extreme rarity led us to report an additional and rather unusual case of ovarian leiomyoma, and to focus some attention on this type of tumor.
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Imai A, Ichigo S, Matsunami K, Takagi H. Premenstrual syndrome: management and pathophysiology. CLIN EXP OBSTET GYN 2015; 42:123-128. [PMID: 26054102] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Premenstrual syndrome (PMS) is triggered by hormonal events ensuing after ovulation. The symptoms can begin in the early, mid, or late luteal phase and are not associated with defined concentrations of any specific gonadal or non-gonadal hormone. Women with PMS experience affective or somatic symptoms that cause severe dysfunction in social or occupational realms. Although evidence for a hormonal abnormality has not been established, the symptoms of the premenopausal disorders are related to the production of progesterone by the ovary. The progesterone metabolites may bind to a neurosteroid-binding site on the membrane of the neurotransmitters. Thus, ovulation suppression is an area of focus for diagnostic and treatment options. Many treatment studies have focused on suppression of ovulation with gonadotropin-releasing hormone analogs (GnRHa), high doses of transdermal estrogen, and bilateral oophorectomy all have positive evidence as treatment options for prevention of PMS. However, because of these limitations and their substantial intensive care, these do not appear to be appropriate methods for conventional treatment of PMS. Serotonergic antidepressants, selective serotonin reuptake inhibitors, are well-established, highly effective, and first-line pharmacologic therapy.
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Imai A, Matsunami K, Takagi H, Ichigo S. Levonorgestrel-releasing intrauterine device used for dysmenorrhea: five-year literature review. CLIN EXP OBSTET GYN 2014. [DOI: 10.12891/ceog17042014] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
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Imai A, Matsunami K, Takagi H, Ichigo S. Levonorgestrel-releasing intrauterine device used for dysmenorrhea: five-year literature review. CLIN EXP OBSTET GYN 2014; 41:495-498. [PMID: 25864246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Intrauterine devices (IUDs) provide highly effective, long-term, safe, reversible contraception, and are the most widely used reversible contraceptive method worldwide. The levonorgestrel-releasing IUD (LNG-IUD), originally designed for long-term contraceptives, is now recognized to provide non-contraceptive health benefits. These include severe dysmenorrhea and/or heavy menstrual bleeding associated with uterine myoma, endometriosis, and adenomyosis. This report aims to review the last five-year literature on the efficacy and safety of the LNG-IUD in women with dysmenorrhea. Dysmenorrhea has been reported to decrease in all women. LNG-IUD seems to be superior over copper-releasing IUD for improving dysmenorrhea. The LNG-IUD is beneficial for symptom recurrence and endometriotic cyst recurrence after conservative surgery for patients with severe pain related to endometriosis. There is also evidence to support its role in menstrual problems of severely obese adolescent females. Expulsion, one of the important factors for IUD acceptability, is rare but more common in women with distorted uterine cavity. In the treatment of dysmenorrhea, the LNG-IUD is equal or superior to treat with systemic progestins or oral contraceptives even in adolescent or menopausal women.
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Fukuzawa H, Son SK, Motomura K, Mondal S, Nagaya K, Wada S, Liu XJ, Feifel R, Tachibana T, Ito Y, Kimura M, Sakai T, Matsunami K, Hayashita H, Kajikawa J, Johnsson P, Siano M, Kukk E, Rudek B, Erk B, Foucar L, Robert E, Miron C, Tono K, Inubushi Y, Hatsui T, Yabashi M, Yao M, Santra R, Ueda K. Deep inner-shell multiphoton ionization by intense x-ray free-electron laser pulses. Phys Rev Lett 2013; 110:173005. [PMID: 23679721 DOI: 10.1103/physrevlett.110.173005] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/23/2012] [Revised: 02/04/2013] [Indexed: 05/11/2023]
Abstract
We have investigated multiphoton multiple ionization dynamics of xenon atoms using a new x-ray free-electron laser facility, SPring-8 Angstrom Compact free electron LAser (SACLA) in Japan, and identified that Xe(n+) with n up to 26 is produced at a photon energy of 5.5 keV. The observed high charge states (n≥24) are produced via five-photon absorption, evidencing the occurrence of multiphoton absorption involving deep inner shells. A newly developed theoretical model, which shows good agreement with the experiment, elucidates the complex pathways of sequential electronic decay cascades accessible in heavy atoms. The present study of heavy-atom ionization dynamics in high-intensity hard-x-ray pulses makes a step forward towards molecular structure determination with x-ray free-electron lasers.
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Affiliation(s)
- H Fukuzawa
- Institute of Multidisciplinary Research for Advanced Materials, Tohoku University, Sendai 980-8577, Japan
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Tsutahara K, Okumi M, Kakuta Y, Abe T, Yazawa K, Miyagawa S, Matsunami K, Otsuka H, Kaimori J, Takahara S, Nonomura N. The blocking of CXCR3 and CCR5 suppresses the infiltration of T lymphocytes in rat renal ischemia reperfusion. Nephrol Dial Transplant 2012; 27:3799-806. [DOI: 10.1093/ndt/gfs360] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
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Matsunami K, Takagi H, Ichigo S, Murase T, Ikeda T, Imai A. Peptide YY producing strumal carcinoid tumor of the ovary. EUR J GYNAECOL ONCOL 2011; 32:201-202. [PMID: 21614915] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND Primary ovarian carcinoid tumor is uncommon and represents less than 0.1% of ovarian malignancies. The strumal carcinoid may be complicated by carcinoid syndrome induced by peptide YY (PYY). CASE REPORT We describe a 45-year-old woman with a bilateral ovarian tumor diagnosed through periodical gynecological examination. She presented with severe constipation. Right ovarian cyst laparoscopically resected was diagnosed as a strumal carcinoid tumor; the left one was mature cystic teratoma. No metastatic findings were seen macroscopically on the ovarian surface and pelvic peritoneum. Constipation was drastically improved by resecting the tumor. The carcinoid tumor cells were positive for tumor-producing PYY by mRNA analysis. CONCLUSION It is important to be aware of this entity in the pathological diagnosis of ovarian tumors, in the presence of any clinical indicator of carcinoid tumor/syndrome, as it carries a markedly better prognosis and clinical outcome in comparison with most other malignant ovarian tumors.
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Affiliation(s)
- K Matsunami
- Department of Obstetrics and Gynecology, Matsunami General Hospital, Gifu, Japan
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Takagi H, Matsunami K, Ichigo S, Imai A. Novel [corrected] medical management of primary bladder endometriosis with dienogest: a case report. CLIN EXP OBSTET GYN 2011; 38:184-185. [PMID: 21793288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Because of its low incidence, medical treatment of has not yet been well established although surgical excision is generally considered effective. We report the first case of primary bladder endometriosis successfully managed with a novel progestin dienogest. CASE A 39-year-old woman, nulligravida, presented with lower urinary tract symptoms, especially during menstruation. Cystoscopy, with subsequent cold cup biopsy, revealed a solitary submucosal mass (2 x 2 cm) in the bladder on the posterior wall; histopathology revealed the diagnosis of extraperitoneal endometriosis. MRI and laparoscopy confirmed no peritoneal endometriosis implants or adenomyosis. She was treated with oral 2 mg/day dienogest for six months. The measurable lesion exhibited a remarkable reduction in its size, accompanied with immediate relief of the lesion-related symptoms. At one year after medication cessation, she is well and symptom-free. CONCLUSION Dienogest may be a novel conservative alternative for bladder endometriosis, in particular for women who wish to avoid surgical intervention.
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Affiliation(s)
- H Takagi
- Department of Obstetrics and Gynecology, Matsunami General Hospital, Gifu, Japan
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Takagi H, Matsunami K, Imai A. Uterovaginal duplication with blind hemivagina and ipsilateral renal agenesis: review of unusual presentation. J OBSTET GYNAECOL 2010; 30:350-3. [PMID: 20455715 DOI: 10.3109/01443611003763416] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Congenital abnormalities of the Müllerian duct system can result in various urogenital anomalies, including uterus didelphys with blind hemivagina and ipsilateral renal agenesis (Herlyn-Werner-Wunderlich syndrome). It usually presents after the menarche with progressive pelvic pain during periods secondary to haematocolpos. However, rarely presentation is unusual with consequent diagnostic delay. This paper attempts to review the medical literature for rare presentations that make diagnosis and treatment difficult, including our cases. Clinicians must be aware of the importance of this rare congenital anomaly of the female genital tract, especially many years after the menarche. This condition should be considered to prevent misdiagnosis or suboptimal treatment.
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Affiliation(s)
- H Takagi
- Department of Obstetrics and Gynaecology, Matsunami General Hospital, Japan
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Hiei K, Takagi H, Matsunami K, Imai A. Ovarian torsion; early diagnosis by MRI to prevent irreversible damage. CLIN EXP OBSTET GYN 2010; 37:233-234. [PMID: 21077534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND Early diagnosis of ovarian torsion can help prevent irreversible damage to the adnexal structures in women desiring to maintain fertility. CASE The patient was transferred by ambulance for a six-hour history of severe lower abdominal pain. Magnetic resonance imaging (MRI) revealed bilateral enlarged ovaries measuring 5 x 6 cm (right) and 4 x 5 cm (left) with a right twisted and thickened peduncle. Ultrasonography failed to detect the peduncle changes. At surgery, the right adnexa was twisted 180 degrees in a clockwise direction with no findings suggestive of gangrenous change, hemorrhagic infarction or ischemic change. Detorsion of the twisted ovary was performed. CONCLUSION Detection of tube torsion at MRI may be useful in the preoperative evaluation for surgical detorsion of twisted adnexa encountered in enlarged ovaries.
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Affiliation(s)
- K Hiei
- Department of Obstetrics and Gynecology, Gifu University School of Medicine, Yanagido, Gifu, Japan
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Takagi H, Miura S, Matsunami K, Ikeda T, Imai A. Cervical cancer metastasis to the scalp: case report and literature review. EUR J GYNAECOL ONCOL 2010; 31:217-218. [PMID: 20527246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/29/2023]
Abstract
BACKGROUND Distant metastasis in carcinoma of the uterine cervix is a rare manifestation, with scalp metastasis being an exceptional event. CASE We describe a 48-year-old woman with Stage IIb, squamous cell carcinoma of the cervix who was initially treated with radical hysterectomy and lymphadenectomy followed by concurrent chemoradiotherapy. The patient presented eight months later with swelling over the top of the scalp. The scalp was involved in the disease as the sole anatomic site of distant metastasis. CONCLUSION A search of the literature revealed only seven cases of such distant metastatic involvement of the scalp from cervical cancer. More frequent reports and better understanding on these rare events may give new insight to clear strategies to prevent scalp metastases.
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Affiliation(s)
- H Takagi
- Department of Obstetrics and Gynecology, Institute for Endocrine-Related Cancer, Matsunami General Hospital, Kasamatsu, Gifu, Japan
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Mizuno T, Takagi H, Matsunami K, Imai A. Sequential methotrexate treatment with and estrogen and progestin in a retained adhesive placenta. CLIN EXP OBSTET GYN 2010; 37:331-332. [PMID: 21355472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
BACKGROUND Hysterectomy is the definite and recommended treatment of a retained adhesive placenta. CASE A 33-year-old woman at 38 weeks plus one day of gestation had a cesarean delivery due to previous history of myomectomy. On ultrasound placental retention was noted thus curettage was attempted two weeks postpartum but it induced moderate fresh bleeding. A contrast-enhanced computed tomography scan depicted the multiple vessels within the intrauterine mass and the absence of deep myometrial invasion. The patient received four doses of 50 mg of methotrexate intramuscularly every other day, alternating with four doses of 15 mg of folic acid. An attempt to evacuate the necrotic tissue along with withdrawal bleeding was successful after three courses of sequential conjugated estrogen (0.25 mg)-progestin (5 mg) therapy. CONCLUSION The use of estrogen and progestogen together with methotrexate in combination may be simple and potentially effective for placenta accreta and placenta increta.
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Affiliation(s)
- T Mizuno
- Department of Obstetrics and Gynecology, Gifu University School of Medicine, Yanagido, Gifu, Japan
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Furui T, Imai A, Takagi A, Tamaya T, Takagi H, Matsunami K, Shiraki S. Differential efficacy of gonadotropin-releasing hormone (GnRH) agonist treatment on pedunculated and degenerated myomas: a retrospective study of 630 women. J OBSTET GYNAECOL 2009; 20:504-6. [PMID: 15512637 DOI: 10.1080/014436100434703] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
This study was designed to compare the anatomical location of myomas (submucous, intramural, subserous, or cervical), whether pedunculated or non-pedunculated if degenerated or undegenerated and relating these findings to myoma volume reduction in women treated with gonadotropin-releasing hormone agonist (GnRHa). Our retrospective study group included 630 patients with symptoms attributed to fibroids. They were treated with a single GnRH agonist for 20 weeks and the size of the myoma was monitored by magnetic resonance imaging and/or ultrasonographic scan. During a 20 week-treatment, submucous, intramural, or subserous fibroids showed an overall reduction of 63% (P<0.01) with little variation between these types. No reduction in size was seen in cases of pedunculated, degenerated, or cervical myomas. These data suggest that GnRH agonist therapy might be used primarily for non-pedunculated and undegenerated myomas.
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Affiliation(s)
- T Furui
- Department of Obstetrics and Gynaecology, Gifu University School of Medicine, Japan.
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Matsunami K, Otsuka H, Xu H, Firdawes S, Yamamoto A, Ishimaru A, Fukuzawa M, Miyagawa S. Molecular cloning of pig Rad51, Rad52, and Rad54 genes, which are involved in homologous recombination machinery. Transplant Proc 2008; 40:2776-8. [PMID: 18929859 DOI: 10.1016/j.transproceed.2008.08.023] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
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.
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Affiliation(s)
- K Matsunami
- Division of Organ Transplantation, Department of Molecular therapeutics, Osaka University Graduate School of Medicine, Osaka, Japan
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Matsunami K, Otsuka H, Xu H, Furidaus S, Ishimaru A, Fukuzawa M, Miyagawa S. Isolation and sequencing of pig Blm and Ubl-1/SUMO-1 genes that relate to the recombination machinery. Transplant Proc 2008; 40:2773-5. [PMID: 18929858 DOI: 10.1016/j.transproceed.2008.08.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
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.
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Affiliation(s)
- K Matsunami
- Division of Organ Transplantation, Department of Molecular therapeutics, Osaka University Graduate School of Medicine, Osaka, Japan
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Xu H, Firdawes S, Yamamoto A, Matsunami K, Ishimaru A, Kondo A, Fukuzawa M, Miyagawa S. Cloning and in vitro antiapoptotic effects of pig FLIPs. Transplant Proc 2008; 40:2779-81. [PMID: 18929860 DOI: 10.1016/j.transproceed.2008.08.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
INTRODUCTION Cellular FLICE-like protein (cFLIP) inhibits death receptor-mediated apoptosis signal transduction, such as that induced by Fas and TNFR. The present study examined the role of antiapoptotic molecules to protect pig cells from human natural killer (NK) cells in vitro, as a model of delayed-type xenograft rejection. METHODS Pig FLIPs were cloned using the TBLASTIN program to search for cDNA fragments of pig FLIPs. The sequence was identified using the dideoxy chain termination method and an ABI PRISM3100 genetic analyzer. The cDNA of pig FLIPs was inserted into the cloning site of the chicken beta-actin promoter (pCXN2). The cDNA was then transfected into pig endothelial cells (PEC), to establish several stable PEC clones containing the cDNA. Expression of the pig FLIP gene was evaluated by reverse-transcriptase polymerase chain reaction, and NK cell-mediated cytolysis assessed, using YT cells (an NK-like cell line). RESULTS The full-length pig FLIP encoding sequence, total 5'-region to 3'-region, was defined for the first time. PEC transfectants with the FLIP showed moderate expression of FLIPs. Transfection of PEC with plasmids encoding FLIPs inhibited NK cell-mediated PEC lysis. While approximately half of parental PEC were injured by the human NK-like YT cells, the injury rate was relatively lower in the transfectants. CONCLUSION Overexpression of the antiapoptotic molecules, pig FLIPs, has the potential for use in protecting graft cells from human NK cells.
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Affiliation(s)
- H Xu
- Division of Organ Transplantation, Department of Molecular Therapeutics, Osaka University Graduate School of Medicine, Osaka, Japan
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Kawashima Y, Lin SY, Kasai A, Takenaka H, Matsunami K, Nochida Y, Hirose H. Drug Release Properties of the Microcapsules of Adriamycin Hydrochloride with Ethylcellulose Prepared by a Phase Separation Technique. Drug Dev Ind Pharm 2008. [DOI: 10.3109/03639048409041400] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Koboyashi C, Matsunami K, Omori T, Nakahata K, Nakatsu S, Xu H, Gao C, Ihara Y, Fukuzawa M, Miyagawa S. Cross-species function of the pig C1 esterase inhibitor. Transplant Proc 2007; 38:3321-2. [PMID: 17175261 DOI: 10.1016/j.transproceed.2006.10.053] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2006] [Indexed: 12/01/2022]
Abstract
BACKGROUND The use of a bioartificial liver with pig cells for the treatment of fulminant hepatic failure will require research on the plasma complement regulatory proteins of the pig, because the liver produces most of the complement components and plasma complement regulatory proteins. In our previous study, the pig C1 esterase inhibitor (C1-INH), which functions as an inhibitor of the complement reaction in the first step of the classical pathway in the fluid phase, was cloned and some relevant features of the molecule were characterized, especially its cross-species regulation, in comparison with human C1-INH. In a further analysis, the species specificity of C1-INH was examined, using pig endothelial cells (PEC) and several types of sera. MATERIALS AND METHODS The cDNA of pig C1-INH was used to produce the membrane type pC1-INH, pC1-INH-PI, and inserted into the cloning site of pCXN2 (chicken beta actin promoter). The pCX/pCl-INH-PI plasmid was then transfected into PEC to establish stable PEC with pCl-INH-PI. The expression of the pCl-INH-PI was evaluated by a FACS analysis, and complement-dependent cell lysis with human, dog, rabbit, and mouse sera was then assessed. RESULTS The transfectant with pig Cl-INH-PI showed a high level of expression on PEC. The PEC transfectants showed an inhibitory effect on complement-dependent PEC lysis. Pig Cl-INH did not show the same suppressive effect for each serum. However, considering the alternative pathway activation of each serum on the pig cell membrane, it can be concluded that pCl-INH has a relatively small species restriction. CONCLUSION Pig Cl-INH, having a similar structure to human Cl-INH, shows a strong complement regulatory function on other species sera.
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Affiliation(s)
- C Koboyashi
- Department of Organ Transplantation, Osaka University Graduate School of Medicine, Osaka, Japan
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Affiliation(s)
- H Takagi
- Department of Obstetrics and Gynaecology, Matsunami General Hospital, Gifu University School of Medicine, Tsukasamachi, Gifu 500-8705, Japan
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Imai A, Takagi H, Matsunami K. Double uterus associated with renal aplasia; magnetic resonance appearance and three-dimensional computed tomographic urogram. Int J Gynaecol Obstet 2005; 87:169-71. [PMID: 15491572 DOI: 10.1016/j.ijgo.2004.05.020] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2004] [Revised: 05/24/2004] [Accepted: 05/28/2004] [Indexed: 11/23/2022]
Affiliation(s)
- A Imai
- Department of Obstetrics and Gynecology, Gifu University School of Medicine, Yanagido, Gifu 501-1194, Japan.
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Takagi H, Matsunami K, Noda K, Furui T, Imai A. Magnetic resonance imaging in the evaluating of double uterus and associated urinary tract anomalies: a report of five cases. J OBSTET GYNAECOL 2003; 23:525-7. [PMID: 12963513 DOI: 10.1080/0144361031000153783] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Uterine anomalies are associated with unilateral renal aplasia. We present the MR features of five cases with 'double' uteri. The anomalies consisted of four cases of uterus didelphys and one of a complete septate uterus. All the cases with uterus didelphys also had a longitudinal vaginal septum. The MR diagnoses were confirmed with hysterosalpingography and with laparoscopy. In one case of didelphic uterus, MR images predicted the (three-dimensional helical) computer tomography (CT)-pyelographic diagnosis of renal aplasia in which the single kidney was normal. The study shows that MR is a valuable tool for the diagnosis of not only uterine anomalies but also associated anomalies in other systems.
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Affiliation(s)
- H Takagi
- Department of Obstetrics and Gynaecology, Matsunami General Hospital, Gifu, Japan
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Takagi H, Matsunami K, Noda K, Furui T, Imai A. Primary fallopian tube carcinoma: a case of successful preoperative evaluation with magnetic resonance imaging. J OBSTET GYNAECOL 2003; 23:455-6. [PMID: 12881107 DOI: 10.1080/0144361031000122778] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- H Takagi
- Department of Obstetrics and Gynecology, Matsunami General Hospital, Gifu, Japan
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Fukuta D, Miyagawa S, Yamada M, Matsunami K, Kurihara T, Shirasu A, Hattori H, Shirakura R. Various forms of DAF (CD55) and C1 esterase inhibitor. Transplant Proc 2003; 35:519-20. [PMID: 12591512 DOI: 10.1016/s0041-1345(02)03828-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- D Fukuta
- Division of Organ Transplantation (E9), Department of Regenerative Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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Matsunami K, Miyagawa S, Fukuta D, Shirakura R. Functional analysis of HSV-gC1 on swine endothelial cells: potential for xenotransplantation. Transplant Proc 2003; 35:538-9. [PMID: 12591522 DOI: 10.1016/s0041-1345(02)03827-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Affiliation(s)
- K Matsunami
- Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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Takahagi Y, Miyagawa S, Murakami H, Matsunami K, Fujimura T, Shigehisa T, Shirakura R. Transgenic pigs expressing both human decay-accelerating factor and N-acetylglucosaminyltransferase III. Transplant Proc 2003; 35:516-7. [PMID: 12591510 DOI: 10.1016/s0041-1345(02)03812-5] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Affiliation(s)
- Y Takahagi
- Animal Engineering Research Institute, Ibaraki, Japan.
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Kusama T, Miyagawa S, Moritan T, Kubo T, Yamada M, Sata H, Fukuta D, Matsunami K, Shirakura R. Downregulation of NK cell-mediated swine endothelial cell lysis by DAF (CD55). Transplant Proc 2003; 35:529-30. [PMID: 12591517 DOI: 10.1016/s0041-1345(02)03834-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- T Kusama
- Division of Organ Transplantation, Department of Regenerative Medicine, Osaka University Graduate School of Medicine, Osaka, Japan
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Miyagawa S, Matsunami K, Yoshitatsu M, Mikata S, Matsuda H, Shirakura R. Attempts to prepare suitable complement regulatory molecules for clinical xenotransplantation. J Card Surg 2001; 16:429-38. [PMID: 11925023 DOI: 10.1111/j.1540-8191.2001.tb00547.x] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
Affiliation(s)
- S Miyagawa
- Department of Regenerative Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
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Miyagawa S, Murakami H, Takahagi Y, Nakai R, Yamada M, Murase A, Koyota S, Koma M, Matsunami K, Fukuta D, Fujimura T, Shigehisa T, Okabe M, Nagashima H, Shirakura R, Taniguchi N. Remodeling of the major pig xenoantigen by N-acetylglucosaminyltransferase III in transgenic pig. J Biol Chem 2001; 276:39310-9. [PMID: 11486004 DOI: 10.1074/jbc.m104359200] [Citation(s) in RCA: 95] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
We have been successful in generating several lines of transgenic mice and pigs that contain the human beta-d-mannoside beta-1,4-N-acetylglucosaminyltransferase III (GnT-III) gene. The overexpression of the GnT-III gene in mice and pigs reduced their antigenicity to human natural antibodies, especially the Galalpha1-3Galbeta1-4GlcNAc-R, as evidenced by immunohistochemical analysis. Endothelial cell studies from the GnT-III transgenic pigs also revealed a significant down-regulation in antigenicity, including Hanganutziu-Deicher antigen, and dramatic reductions in both the complement- and natural killer cell-mediated pig cell lyses. Changes in the enzymatic activities of other glycosyltransferases, such as alpha1,3-galactosyltransferase, GnT-IV, and GnT-V, did not support cross-talk between GnT-III and these enzymes in the transgenic animals. In addition, we demonstrated the effect of GnT-III in down-regulating the xenoantigen of pig heart grafts, using a pig to cynomolgus monkey transplantation model, suggesting that this approach may be useful in clinical xenotransplantation in the future.
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Affiliation(s)
- S Miyagawa
- Department of Regenerative Medicine, Osaka University Graduate School of Medicine, the Genome Information Research Center, Osaka University, Suita, Osaka 565-0871, Japan.
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Matsunami K, Homma S, Han XY, Jiang YF. Generator sources of EEG large waves elicited by mental stress of memory recall or mental calculation. Jpn J Physiol 2001; 51:621-4. [PMID: 11734084 DOI: 10.2170/jjphysiol.51.621] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
Preceding mental sweating response (MSR) during mental stress, small wavelets and large waves are observed on EEG. In the present study, locations of current sources of the large waves were estimated. The results revealed that the current dipole was estimated around the orbits, reflecting activity of the eyelid or eye muscles.
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Affiliation(s)
- K Matsunami
- Science and Technology Promotion Center, Kakamigahara, 509-0108 Japan.
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Matsunami K, Miyagawa S, Nakai R, Murase A, Shirakura R. The possible use of HLA-G1 and G3 in the inhibition of NK cell-mediated swine endothelial cell lysis. Clin Exp Immunol 2001; 126:165-72. [PMID: 11678914 PMCID: PMC1906174 DOI: 10.1046/j.1365-2249.2001.01622.x] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
The splicing isoform of HLA-G that is expressed in xenogeneic cells, and its effect on NK-mediated direct cytotoxicity was examined, using stable Chinese hamster ovary (CHO) cell or swine endothelial cell (SEC) transfectants. cDNAs of HLA-G (G1 and G3) and human beta2-microglobulin were prepared and subcloned into the expression vector, pCXN. The transfected HLA-G1 was easily expressed on SEC, and co-transfection with human beta2-microglobulin led to an enhanced level of HLA-G1 expression, as evidenced by flow cytometry. The expressed HLA-G1 significantly suppressed NK-mediated SEC cell lysis, which is an in vitro delayed-type rejection model of a xenograft. On the other hand, the swine leucocyte antigen (SLA) class I molecules could be up-regulated as the result of the transfection of human beta2-microglobulin, but did not down-regulate human NK-mediated SEC lysis. The HLA-G3 was not expressed on CHO and SEC in contrast to HLA-G1, as the result of the transfection. The gene introduction of HLA-G3 in SEC showed no protective effect from human NK cells. However, indirect evidence demonstrated that HLA-G3 transfection resulted in HLA-E expression, but not itself, when transfected to the human cell line, 721.221, thus providing some insight into its natural function in human cells. The present findings suggest that the expression of HLA-G1 on the cell surface could serve as a new approach to overcoming NK-mediated immunity to xenografts.
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Affiliation(s)
- K Matsunami
- Division of Organ Transplantation, Department of Regenerative Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan
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Aoki M, Matsunami K, y Han X, Yamada H, Muto T, Ito Y. Neck muscle responses to abrupt vertical acceleration in the seated human. Exp Brain Res 2001; 140:20-4. [PMID: 11500794 DOI: 10.1007/s002210100804] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2000] [Accepted: 05/02/2001] [Indexed: 10/27/2022]
Abstract
The control of neck muscle during marked changes in "g" loading must be to protect head-trunk orientation. However, little is known about the organization of reflexes. We therefore investigated the shortest latency in neck muscle evoked by abrupt ascending and descending vertical acceleration with a stroke of 20 cm and peak acceleration 0.4xg in six healthy subjects. The subjects were seated upright and restrained on a chair driven by a hydraulic servo system. Ascent induced small responses in sternocleidomastoid muscles (SCMs) with a latency of 24.0 ms (SE 1.7) from onset of head acceleration, followed by larger responses of 100 ms in duration. In comparison the responses in SCMs evoked by descent were significantly delayed, with greater interindividual variations at 44.1 ms (SE 3.1) and smaller in amplitude than responses in ascent. Latencies were consistent and showed no habituation. In order to eliminate stretch components, we measured the neck responses to vertical acceleration with the head fixed by cervical collar. The latency of the fast response of SCM evoked by ascent was not significantly different from the latency of SCMs without the collar. These results may indicate that the fast responses of SCMs to sudden ascent may be composed of a vestibular-collic reflex for making the neck and head rigid for defense to sudden gravitational change.
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Affiliation(s)
- M Aoki
- Department of Otorhinolaryngology, Gifu University School of Medicine, Tsukasa-machi 40, Gifu 500-8705, Japan.
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Homma S, Matsunami K, Han XY, Deguchi K. Hippocampus in relation to mental sweating response evoked by memory recall and mental calculation: a human electroencephalography study with dipole tracing. Neurosci Lett 2001; 305:1-4. [PMID: 11356293 DOI: 10.1016/s0304-3940(01)01759-1] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Mental-sweating response (MSR) was observed in the palm when the subject was asked to perform a mentally stressful task such as memory recall or mental calculation. About 4 s before the development of MSR, small MSR-related wavelets (MSR wavelets) and large waves were randomly generated on electroencephalograph. After differentiating the two types of waves, we calculated locations of the current dipole of MSR wavelets using the two-dipole model of the SSB/dipole tracing method. The result showed that one current dipole of MSR wavelets was consistently located in the hippocampus while the other dipole was widely dispersed in the cortex during memory recall and mental calculation.
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Affiliation(s)
- S Homma
- Institute of Equilibrium Research, Gifu University School of Medicine, 500-8705, Gifu, Japan
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Abstract
The role of dopamine (DA) on motor cortical pyramidal tract neurons (PTNs) was studied in anesthetized cats with in vivo extracellular recordings in response to transcallosal (TC) and ventrolateral (VL) thalamic stimulations. An antidromic PT potential was evoked to recognize PTNs. In most PTNs, iontophoretic application of DA significantly reduced the spike activity exerted by 20 single-pulse stimulations. Both D(1)-like and D(2)-like receptor antagonists blocked (disinhibited) the effect in a similar way regardless of TC and VL stimulations, suggesting colocalization of two receptors. Except for the presence of jittering, the mean latency was usually fixed and short. These findings indicate that ventral midbrain DA imposes an intense suppression in modulating PTNs response to both callosal and thalamocortical excitatory inputs in motor cortex. Such DAergic suppression could play pivotal role to improve motor and sensorimotor signal integration.
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Affiliation(s)
- K Huda
- Department of Neurophysiology, Institute of Equilibrium Research, Gifu University School of Medicine, Tsukasamachi 40, 500-8705, Gifu, Japan.
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