Mouse vaginal opening is an apoptosis-dependent process which can be prevented by the overexpression of Bcl2

In the mouse, opening of the vaginal cavity to the skin is a late event, occurring around the fifth week of life; it can be induced in sexually immature mice by beta-estradiol injections. We have generated two lines of transgenic mice expressing the human Bcl2 protein in a variety of tissues. The vaginal cavity of the transgenic females remained permanently closed, a condition completely resistant to beta-estradiol injections; this was accompanied by a considerable distension of the genital tract. Histologic studies of vaginal sections at the time of opening to the skin in normal mice showed, by the TUNEL method which detects nuclei with fragmented DNA characteristic of apoptosis, that this event coincides with extensive apoptosis in the lower part of the vaginal mucosa, a process prevented in the bcl2 transgenic mice, which express Bcl2 in suprabasal epithelial cells and in subepithelial cells of the vaginal mucosa. In contrast, two lines of mice bearing a Bcl2 transgene placed under the control of a K10 keratin promoter, whose expression is restricted to the suprabasal layers of the epidermis, had a normal phenotype. Eyelids' formation and opening of the external ear canals, which also occur after birth in the mouse, were not altered in any of these transgenic lines; histological study of eye and ear sections at the time of these events failed to detect apoptosis. In conclusion, the tissue remodeling required to complete maturation of the mouse female genital tract at the time of puberty is an hormonally triggered apoptosis-dependent process.

Endosonography-guided endoscopic resection of duodenal carcinoid tumor

Endoscopic resection techniques using snare polypectomy with or without submucosal saline injection have also been applied to resect smaller duodenal carcinoid tumors. We report on two patients where endoluminal ultrasound using a small diameter probe was used to visualize the adherence of the carcinoids to the underlying wall layers and the separating effect of subtumoril saline injection. One patient, in whom a clear separation between the tumor and the underlying tissue after saline injection was visualized, underwent successful endoscopic resection. In the other patient no clear separation could be achieved after saline injection and the patient underwent surgical removal of his tumor; both tumors were 1 cm or less in their maximal diameter.

Reliability of ultrasonography and sialography in the diagnosis of Sjögren's syndrome

OBJECTIVE

The purpose of this study was to evaluate quantitatively observer performance with ultrasonography and sialography in the diagnosis of parotid gland involvement of Sjögren's syndrome.

STUDY DESIGN

Sixty-four parotid gland sialograms and 65 ultrasonograms were prepared for observer performance experiments. They included both modalities in 24 Sjögren's syndrome and 19 nonspecific parotitis cases, 21 normal parotid gland sialograms, and 22 normal ultrasonograms in healthy volunteers. The images were randomly sequenced and presented to five observers who were asked to describe several findings and finally to determine the imaging diagnosis by ranking the abnormal features and the diagnosis on a five-point-rating scale. Observer performance was evaluated on the basis of the reliability of findings interpreted and the diagnostic accuracy of each modality from observers' rating scores.

RESULTS

The diagnostic accuracy of sialography was very high, nearly perfect. The diagnostic accuracy of ultrasonography was lower than that of sialography, resulting from the lower incidence of characteristic findings in the disease groups and lower sensitivity on ultrasonography. In the differentiation of Sjögren's syndrome from the normal, however, the diagnostic accuracy of ultrasonography increased to 80% for all cases, and up to nearly 90% in the advanced sialographic stages.

CONCLUSION

Ultrasonography is useful for the diagnosis of Sjögren's syndrome in the advanced stages. Taking the noninvasiveness of this technique into account we recommend first applying ultrasonography to the diagnosis of Sjögren's syndrome and performing sialography when no positive findings are detected on ultrasonography.

Targeted integration of DNA using mutant lox sites in embryonic stem cells

Site-directed DNA integration has been achieved by using a pair of mutant lox sites, a right element (RE) mutant lox site and a left element (LE) mutant lox site [Albertet al. (1995)Plant J., 7, 649-659], in mouse embryonic stem (ES) cells. We established ES cell lines carrying a single copy of the wild-type lox Por LE mutant lox site as a target and examined the frequency of site-specific integration of a targeting vector carrying a loxP or RE mutant lox site induced by Cre transient expression. Since our targeting vector contains a complete neo gene, random integrants can form colonies as in the case of a gene targeting event through homologous recombination. With our system, the frequency of site-specific integration via the mutant lox sites reached a maximum of 16%. In contrast, the wild-type loxP sites yielded very low frequencies (<0.5%) of site-specific integration events. This mutatedloxsystem will be useful for 'knock-in' integration of DNA in ES cells.

Cytotoxic glycosides from Albizia julibrissin

During the course of a study of leguminous plants, cytotoxicity was demonstrated by the crude saponin fraction of Albizia julibrissin. Following chromatographic purification, the structures of three novel saponins, julibrosides I-III (1-3), inclusive of a cytotoxic principle, were elucidated. A comparison of the cytotoxicity of julibrosides (1-3) and their prosapogenins (4-15) prepared by alkaline hydrolysis clearly indicated that both an alpha-L-arabinofuranosyl-(1-->4)-[beta-D-glucopyranosyl-(1-->3)]-alpha- L-rhamnopyranosyl-(1-->2)-beta-D-glucopyranosyl ester unit and a monoterpene-quinovopyranosyl moiety are crucial substituents for cytotoxicity among this class of compounds. The hydroxy group at C-16 of aglycon may play an important role in mediating cytotoxicity, and the N-acetyl-glucosamine moiety at C-3 seems to enhance activity because 3 showed the strongest cytotoxicity.

[Surgical treatment of aortic valve regurgitation due to nonpenetrating trauma of the chest--a case report and review of the literature in Japan]

A case report and a literature review of the patients in Japan who underwent surgical treatment of an aortic valve regurgitation due to nonpenetrating chest trauma are presented. A 70-year-old man was admitted to our hospital with multiple trauma, including fracture of sternum, caused by traffic accident. After treatment of respiratory and circulatory failure, he was found to have aortic regurgitation and subsequent congestive heart failure. The aortic valve replacement was performed and his postoperative course was good. The tear of aortic valve was detected in the noncoronary cusp, and the size of the tear was 4 mm. The aortic valve was not recognized the findings of inflammatory or rheumatic changes. Before this case, 15 cases were operated in Japan with the diagnosis of traumatic aortic regurgitation. We reviewed them in the table.

Effects of self washout structure on the antithrombogenicity and the hemolytic properties of a centrifugal pump

Antithrombogenicity in an initial type (N1) of a centrifugal pump (CP) developed in our institute is provided by the central balancing hole of an impeller. A new CP (N2) was modified to obtain better antithrombogenicity, in which the balancing hole was widened to improve self washout flow velocity (Vsf), and an edge of the thrust bearing was rounded off to minimize flow separation. Effects of the modifications were assessed in vitro and in vivo studies. The Vsf of the N1 and the N2 evaluated by a Doppler velocimeter were 12.8 and 22.1 cm/s, respectively. Flow around the thrust bearing, which was visualized by a light cutting method, confirmed less flow stagnation in the N2. The hemolytic indices of the N1 and the N2 were 0.023 and 0.008 mg/dl, respectively. In vivo antithrombogenicity and the hemolytic properties of the N2 and the N1 were investigated without anticoagulation therapy in 3 goats. In each goat the N2 was driven for 1 week and exchanged for the N1, which was driven for the same period. Red thrombi at the thrust bearing were found in 2 N1s, and 2 small thrombi were on the impeller of another N1, whereas a thrombus of less than 1 mm3 at the TB was noted in 1 N2. Plasma free hemoglobin was not increased in either CP. These results indicate that the N2 has better antithrombogenicity and hemolytic properties than the N1.

[A study on the quantitative evaluation method of human alertness and its application]

This article presents an alertness evaluation method being analyzed by the authors, and discusses its application. With the aim of quantifying the physiological activity of the living body, the alpha-attenuation test (AAT) for evaluation of alertness was assessed. AAT is a method of quantitatively determining alertness level from alpha-wave power spectra during eye closure and opening. 1. The potential for quantification of diurnal change of alertness by the use of the AAT is suggested. Also rated, are a performance evaluation method based on reaction time and target tracking error and a subjective feeling evaluation method using an analog scale on a computer display. Using these methods of evaluation, measurements were made in 9 healthy men and women at 2-hour intervals over the period from 09: 30 to 19: 30. The findings are summarized as follows: 1) Alertness lowered from 13: 30 to 15: 30, as rated by diurnal change determined by the AAT 2) The performance test and subjective feeling scoring revealed decreased target tracing ability and extended reaction time from 13: 30 to 15: 30, accompanied by reduced performance, increased sleepiness, and failure to achieve accurate, quick action. 2. The relation between the quality of rest and the alpha-attenuation coefficient (AAC), the quantitative index of the AAT, was rated. There were some statistical significances between the quality of rest and the AAC. These results suggest that the AAC is found applicable to the quantitative assessment of diurnal changes of physiological activity, and that the AAC is reflected in the quality of rest.

Genetic variation in the VP7 gene of human rotavirus serotype 3 (G3 type) isolated in China and Japan

Sequence analysis of the VP7 gene was performed on twenty-one human isolates of serotype 3 related-rotavirus in China and Japan. The five Chinese isolates were found to be not similar to the 16 Japanese isolates and to SA11 (simian rotavirus). The Chinese isolates, especially CHW2 and CH-32, were different from the major serotype 3 human isolates. AU-1 and 02/92 which previously showed a wider spacing between RNA segments 10 and 11 by RNA polyacrylamide gel electrophoretic analysis, were more closely related to each other and could be differentiated from the other Chinese and Japanese isolates. For these reasons, serotype 3 viruses were considered to be intraserotypically more heterologous than serotype 1, 2 and 4 viruses.

Meiotic abnormalities of c-mos knockout mouse oocytes: activation after first meiosis or entrance into third meiotic metaphase

In Xenopus oocytes, Mos activates the mitogen-activated protein kinase (MAPK) signal transduction cascade and regulates meiosis. In mammalian oocytes, however, the functions of Mos are still unclear. In the present study, we used c-mos knockout mouse oocytes and examined the roles of Mos in mouse oocyte maturation and fertilization, including whether Mos controls MAPK and maturation promoting factor (MPF) activity. The kinetics of germinal vesicle breakdown (GVBD) and the first polar body emission were similar in wild-type, heterozygous mutant, and homozygous mutant mice. Activities of MPF were also not significantly different among the three genotypes until the first polar body emission. In contrast, MAPK activity in c-mos knockout oocytes did not significantly fluctuate throughout maturation, and the oocytes had abnormal diffused spindles and loosely condensed chromosomes, although a clear increase in MAPK activities was observed after GVBD in wild-type and heterozygous mutant oocytes that had normal spindles and chromosomes. After the first polar body emission, 38% of c-mos knockout oocytes formed a pronucleus instead of undergoing second meiosis, indicating the crucial role of Mos in MPF reactivation after first meiosis. When oocytes that reached second metaphase were fertilized or stimulated by ethanol, many c-mos knockout oocytes emitted a second polar body and progressed into third meiotic metaphase instead of interphase, although all fertilized or activated oocytes in the heterozygote progressed to interphase, indicating that Mos deletion leads to compensatory factors that might not be degraded after fertilization or parthenogenetic activation. These results suggest that Mos is located upstream of MAPK in mouse oocytes as in Xenopus oocytes but is independent of MPF activity, and that Mos/MAPK is not necessary go GVBD and first polar body emission. Our results also suggest that Mos plays a crucial role in normal spindle and chromosome morphology and the reactivation of MPF after first meiosis.

Diagnostic value of magnetic resonance imaging for malignant tumors in the oral and maxillofacial region

The purpose of this study was to clarify the diagnostic value of magnetic resonance imaging for malignant tumors in the oral and maxillofacial region. Computed tomography and magnetic resonance images of 25 patients with malignant tumors of the oral and maxillofacial region were evaluated. Computed tomography scans were performed with intravenous contrast enhancement. A 0.2-Tesla (Hitachi Medical Corp., Tokyo, Japan) permanent magnetic resonance unit was used to obtain T1-, T2-, and proton-density-weighted images with spin-echo pulse sequences. Gadolinium-diethylene-triamine-pentaacetic acid was administered in 11 cases. Severe artifacts influencing image interpretation were observed in 10 (40%) cases on computed tomography but only in 5 (20%) cases on magnetic resonance imaging. There was no difference in the detectability of bone invasion between images from the two systems. Contrast enhancement with gadolinium-diethylene-triamine-pentaacetic acid provided additional useful information in only 3 of 11 cases compared with nonenhanced magnetic resonance images. Malignant tumors showed a higher signal intensity than that of muscle on T2-weighted images in all cases and on proton-density-weighted images in 23 (92%) cases. On T1-weighted images, an intermediate signal intensity similar to that of muscle was seen in 16 (64%) cases and a hyperintense signal in 9 (36%) cases. There was poor correlation between signal intensity and pathologic diagnosis of the tumors. These results suggest that in cases with severe artifacts that disturb the interpretation of the images on computed tomography, magnetic resonance examinations are preferable for defining the exact extent of the primary lesion.

Comparison of mutagenic activity of bile between Chilean and Japanese female patients having cholelithiasis

The mutagenic activity of bile was compared between Chilean and Japanese female patients having cholelithiasis by the Ames assay using Salmonella typhimurium tester strain TA98 in the presence of S9 mix with blue rayon adsorption technique. A reason for conducting the present investigation is that Chile and Japan have the highest mortality rates for the gallbladder cancer (GBC) in the world. Of 24 bile samples collected in Chile, 20 (83.3%) samples showed mutagenicity. In the case of Japanese bile, 21 (80.8%) of 26 and 5 (19.2%) of 26 cases were mutagenic in samples from high- and low-risk areas for GBC, respectively. Therefore, both the Chilean and the Japanese samples collected in high-risk areas showed higher mutagenic rates than the Japanese ones in a low-risk area, with a statistical significance (p < 0.001), chi-square test). The average number of revertant colonies were 128 +/- 92 (mean +/- SD), 62 +/- 14 and 66 +/- 13, respectively, when the blue rayon extracts of 200 microliters bile were applied to the Ames test. Thus, Chilean bile had a tendency to show a higher mutagenic activity than Japanese.

Determination of the prognostic significance of unscheduled cyclin A overexpression in patients with esophageal squamous cell carcinoma

The expression of cyclin A protein was retrospectively investigated in 124 patients with human esophageal squamous cell carcinoma with immunohistochemical techniques using antibody to cyclin A protein (BF683). Of 124 tumors, 49 (39.5%) exhibited positive staining in cancer cells with this antibody. Staining was observed predominantly but not exclusively in the nucleus. A significantly higher degree of association of immunoreactivity with this antibody was detected for advanced types of tumors (stages I, II, III, and IV) than for early tumors (stage 0; P < 0.05). Patients with cyclin A immunopositivity had a significantly poorer survival rate than did other patients (P < 0.01). These findings provide the first evidence for frequent and unscheduled overexpression of cyclin A protein in human esophageal cancer and suggest the possibility that alteration of cyclin A overexpression is associated with tumor progression and patient prognosis for esophageal cancers.

E-selectin binding promotes neutrophil activation in vivo in E-selectin transgenic mice

E-selectin is a membrane protein expressed by endothelial cells activated by cytokines released during the inflammatory process; it plays an important role in neutrophil emigration into inflamed tissues. To further explore in vivo the function of E-selectin, we have generated transgenic mouse line expressing E-selectin under the control of a chicken beta-actin promoter. In these mice, the number of blood neutrophils was reduced, without any other obvious phenotype or tissue damage. These neutrophils, however, displayed two significant changes: first, an alteration in the levels of expression of two membrane receptors involved in neutrophil adhesion to endothelial cells, namely a marked increased in the Mac-1 antigen (CD11b/CD18) and a decrease in the Mel-14 antigen (L-selectin); second, an increased oxidative activity when compared to blood neutrophils of non-transgenic mice, as shown by their capacity to oxidize 2',7'-dichlorofluorescein (DCFH) into a fluorescent compound. These observations indicate that the binding of E-selection with neutrophils bearing its ligands promotes neutrophil activation in vivo.

[Surgical treatment for recrudescent Stanford type A early closing dissection]

Two cases of recrudescent Stanford type A dissection were reported. They had non-opacified false channel on their initial CT and aortography. The first case was 65-year-old woman having a stable blood pressure and no chest pain after admission. However, recrudescent opacified false lumen was found at the mid-ascending aorta about three weeks later. She received ascending aortic replacement on 26th day after onset. The second case was 66-year-old woman having a unstable blood pressure and having periodic chest pain and back pain after admission. CT and angiography performed on the 41th day after onset revealed recrudescent descending aortic dissection and ulcer like projection at mid-ascending aorta. The ulcer like projection increased in size gradually. Ascending aorta replacement was performed on 110th day after onset. Two cases had a good post operative days. Some cases of Stanford type A early closing aortic dissection had recrudescent dissection later, even if they had a stable course after onset. Thus, careful follow up for long term is essential in these cases

Tandem operation of a turbo blood pump (BP-80--type centrifugal pump) to reduce hemolysis

When operating turbo blood pumps in tandem, the strength of shear stress is reduced, but the exposure duration of the stress is increased. The purpose of this experiment was to compare the degree of contribution of these two factors on hemolysis as well as to evaluate the effectiveness of the tandem operation of turbo blood pumps. Tandem operation of two Bio-pumps (BP-80; Medtronics Bio-medicus, Inc., Eden Prairie, Minnesota, U.S.A.) were compared with single operation of a BP-80 in in vitro hemolysis tests in three different driving conditions, that is, pumping heads of 200, 350, and 500 mm Hg under a pump flow rate of 5 L/min. The Allen's hemolytic indexes of the tandem operation at pumping heads of 200, 350, and 500 mm Hg were 0.014, 0.020, and 0.080 mg/dl, respectively. The hemolytic indexes of the single operation at pumping heads of 200, 35, and 500 mm Hg were 0.014, 0.056, and 0.12 mg/dl, respectively. These results indicate that tandem operation is a useful method of reducing hemolysis with the BP-80 under high pumping heads and that the effect on hemolysis of exposure to higher shear stresses may be more serious than that of longer durations of exposure to shear stress in turbo blood pumps.

An intensive chemotherapy of adult T-cell leukemia/lymphoma: CHOP followed by etoposide, vindesine, ranimustine, and mitoxantrone with granulocyte colony-stimulating factor support

SUMMARY

An intensive combination chemotherapy regimen supported by granulocyte colony-stimulating factor (G-CSF) was evaluated in adult T-cell leukemia/lymphoma (ATLL) patients in a multiinstitutional, cooperative study. Vincristine 1 mg/m2 i.v. day 1, Adriamycin 40 mg/m2 i.v. day 1, cyclophosphamide 400 mg/m2 i.v. day 1, prednisolone 40 mg/m2 i.v. days 1 to 3 and 8 to 10, etoposide 35 mg/m2 i.v. days 1 to 8, vindesine 2 mg/m2 i.v. day 8, ranimustine 50 mg/m2 i.v. day 8, mitoxantrone 7 mg/m2 i.v. day 8, and G-CSF 50 mg/m2 s.c. days 9 to 21 were given for 2 to 4 courses every 3 weeks to 83 patients with ATLL. Complete remission (CR) and partial remission (PR) were achieved in 35.8 and 38.3 percent, respectively, of 81 evaluable patients. The median survival of all patients was 8.5 months, with a predicted 3-year survival of 13.5 percent by the Kaplan-Meier method. The median duration of response was 7.6 months (range 0.2-42.7), and 13 patients were alive. Their median survival time was 29.1 months (range 19.2-44.7). In 67.6 percent of courses, white blood cell (WBC) nadirs were < 1.0 x 10(9)/L. Days required for the recovery of WBC from the nadir to > 1.0 x 10(9)/L were <5 days in 71.4 percent of the treatment courses. The G-CSF supported an intensified chemotherapy regimen for ATLL and yielded better response rate and longer survival compared to previous reports in Japan. Because duration of remission is still short, further studies of postremission therapy or other strategies are warranted.

Comparison of mucosal microvasculature between the proximal and distal human colon

The microcirculation of the human colon with special reference to the differences in microvascular architecture between the proximal and distal colon was studied by scanning electron microscopy with vascular corrosion casting technique. The subsurface capillary networks of the ascending colon were honeycomb-like and multi-layered, with an average number of capillary layers per capillary loop of 3.28 +/- 1.10 (mean +/- SD). Whereas, those of the sigmoid colon were almost single-layered, and the average number of capillary layers was 1.19 +/- 0.39. In the cross-section of vascular casts of both parts of the colon, the ascending capillaries originating from the submucosal arterioles ascended into the mucosal layer and joined into the subsurface capillary networks, which drained into the collecting venules near the surface. The mean diameter of the collecting venules of the ascending and the sigmoid colon was 29.3 +/- 6.41 microns and 19.48 +/- 2.23 microns, respectively. From these findings, it is speculated that the multi-layered capillary networks of the proximal colon are closely related to the greater water absorption and electrolyte transport activities compared to those of the distal colon.

Electron microscopic study of the morphological changes of gastric mucous cell induced by Helicobacter pylori in human gastric ulcers

Specimens from 8 cases of human gastric ulcers infected with H. pylori, 3 cases of gastric ulcers without H. pylori infection and mucosal specimens infected with H. pylori from 3 cases of early gastric cancers obtained at surgery were studied by transmission electron microscopy. In the surrounding epithelium of the ulcer, when present, the bacteria were preferentially located at the luminal side of the apical junctional complexes. This was accompanied by dome-like bulging of the apical cytoplasm, but the epithelial continuity was maintained. A consistent finding was the apocrine-like release of the apical cytoplasm into the lumen. In addition, there were cells with marked apical protrusions and cells with dissolution of mucous granules. Degenerative changes, such as cellular edema, vacuole formation and disruption of cell membrane were also observed. The cells which had shed their apical mucous area appeared to degenerate causing massive cell exfoliation and formation of denuded lamina propria. Similar changes of the surface mucous cells were observed in the mucosal specimens infected with H. pylori obtained from early gastric cancers, but such cell pathology was scarce in samples of the gastric ulcers without H. pylori infection. In some ulcers infected with H. pylori, the bacteria were also observed on the surface of the regenerating epithelial cells at the ulcer base. These findings suggest that H. pylori infection is an important factor in the development of gastric ulcers and in the prevention or delay in ulcer healing.

[Epidemiology of rotavirus infection in five different locations in the Asian area]

Between 1991 and 1994, serotypes and electropherotypes were determined for clinical specimens of group A human rotavirus (HRV) rotavirus collected from five different locations in the Asia, Saitama, Shizuoka, Taichung, Hong Kong, and Beijing. HRVs were detected through the year in Taichung and Hong Kong. The peaks of each rotavirus season were in January in Hong Kong, in March in Taichung, and in February and March in Saitama and Shizouka. We set one study year as that from July to next June. Serotype G1 was the most prevalent strain in the five different settings. Most of serotype G3 strains were identified in the study year 1991. Serotype G2 was the most predominant in Shizuoka and Taichung in the year 1993. Electropherotypes indicated the possible G types except in six cases of an unusual variant type whereas the serotype was G2 and the electropherotype was the "long" type. Five of the 502 cases and three of the 622 cases were identified as group C HRV by PAGE in Saitama and Shizouka respectively. In 216 samples in Taichung, no group C HRV strain was detected.

Three-dimensional organization of lymphatics in the dog stomach: a scanning electron microscopic study of corrosion casts

The three-dimensional organization of the lymphatics in the dog stomach was studied by scanning electron microscopy of corrosion casts, which were made by direct parenchymal injection of low-viscosity Mercox-resin into the mucosa and the muscular layers. Although the organization of lymphatics in the stomach has been studied by a variety of methods, the origin of the lymphatics and their connection in each layer has not been clearly defined. In this study, using dog stomach because of its structural similarity to the human stomach, we defined the lymphatic structure in all gastric layers, with lymphatics absent in the upper two-thirds of the lamina propria mucosae. They were first encountered at the deepest level of the lamina propria, immediately above the lamina muscularis mucosae. These lymphatics were composed of single-layered irregular meshes. Slender lymphatics arising from this network passed through the lamina muscular is mucosae and drained into the lymphatic plexus, which was composed of thicker lymphatics at the uppermost layer of the submucosa. Lymphatic valves were frequently seen in this plexus. From this plexus, slender connecting lymphatics with valves extended straight downward without lateral communications and drained into the lymphatic plexus at the deepest layer of the submucosa. This latter plexus, composed of large-caliber lymphatics, issued flattened lymphatics which formed a three-dimensional network in the muscular layer. The subserosal lymphatics were composed of thick lymphatics with tortuous courses and drained into the efferent lymphatics.

Supramolecular cationic tetraruthenated porphyrin induces single-strand breaks and 8-oxo-7,8-dihydro-2'-deoxyguanosine formation in DNA in the presence of light

The aim of this investigation is the evaluation of DNA interaction of with tetraruthenated porphyrin (TRP) and of DNA damage in the presence of light. Direct-fluorescence and electronic absorption measurements after incubation of DNA with TRP indicate strong binding between pBR322 DNA or calf thymus DNA with the modified porphyrin. Exposure of pBR322 DNA to TRP (up to 3 microM) and light leads to single-strand break formation as determined by the conversion of the supercoiled form (form I) of the plasmid into the nicked circular form (form II). Oxidative DNA base damage was evaluated by the detection of 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodGuo) after irradiation of calf thymus DNA in the presence of the TRP. The data demonstrated a dose and time dependence with each type of DNA damage. These data indicate (1) a specificity of the binding mode and (2) type I and II photoinduced mechanisms leading to strand scission activity and 8-oxodGuo formation. Accordingly, singlet molecular oxygen formation, after TRP excitation, was confirmed by near-infrared emission. From these investigations a potential application of TRP in photodynamic therapy is proposed.

[A case of schistosomiasis suspected by circumoval precipitin test and diagnosed by rectal biopsy]

A forty-year-old female from Brazil was admitted to Teikyo Hospital because of easy fatigability, fullness of the abdomen and left hyochondralgia. She was anxious about Schistosoma mansoni infection, because three of her relatives died of the infection. Physical examinations revealed a tenderness at the left hypochondrium. Laboratory data showed no abnormal finding. No egg of S. mansoni was found in the stool. A circumoval precipitin test (COPT) with the serum showed a deposite around the egg. Enzyme-linked immunosorbent assay (ELISA) revealed the presence of antibody against S. mansoni in the serum. A colonoscopy showed no abnormal finding macroscopically. The rectal biopsy showed the existence of mild procitis. The diagnosis was made by finding the characteristic lateral-spined eggs in the biopsy specimens from the rectum. Treatment of 3 g of prazicantel per day for three days was started. She complained of mild nausea at the first dosing. A month later, another three-day-treatment was given. In the case where there are no eggs found in the stool, COPT and ELISA are usefull in detecting the disease, and colonoscopy is recommended in diagnosing the disease.