5-aminocoumarans: dual inhibitors of lipid peroxidation and dopamine release with protective effects against central nervous system trauma and ischemia

A series of 2,3-dihydro-5-benzofuranamines (5-aminocoumarans) were developed for the treatment of traumatic and ischemic central nervous system (CNS) injury. Compounds within this class were extremely effective inhibitors of lipid peroxidation in vitro and antagonized excitatory behavior coupled with peroxidative injury induced by spinal intrathecal injection of FeCl2 (mouse-FeCl2-it assay) in vivo. Selected compounds were tested for antagonistic activity on methamphetamine (MAP)-induced hypermotility resulting from dopamine release in the mouse brain. Among the compounds synthesized, compound 26n (2,3-dihydro-2,4,6,7-tetramethyl-2-[(4-phenyl-1-piperidinyl) methyl]-5-benzofuranamine) exhibited potent effects in these assays (inhibition of lipid peroxidation, IC50 = 0.07 microM; mouse-FeCl2-it assay, ID50 = 10.4 mg/ kg, po; MAP-induced hypermotility, 98% inhibition, 10 mg/kg, ip). The S-(+)-form of compound 26n dihydrochloride (TAK-218), which has 30 times more potent antagonistic activity on MAP-induced hypermotility than the R-(-)-form, improved more significantly the survival rate in the cerebral ischemia model (rat, 1-3 mg/kg, ip) during the period of 1-14 days after ischemia and decreased functional disorders in the traumatic brain injury model (rat, 0.1-1 mg/kg, ip) 3-14 days after injury. These results imply a role for dopamine in deterioration of CNS function after ischemic and traumatic injury. TAK-218 is a promising compound for the treatment of stroke and CNS trauma and is now under clinical investigation.

Omental delivery of prostaglandin E1 effectively increases portal venous blood flow in 66%-hepatectomized rats

Changes in portal venous blood flow (PVF) and systemic arterial blood pressure (SAP) were examined following prostaglandin E1 (PGE) application to the greater omentum and femoral vein in 66%-hepatectomized rats. PVF increased when PGE was administered to the omentum and femoral vein at 7.5 micrograms/kg per min for 2 min. The magnitude of PVF response due to both administrations was dose-dependent, but the duration of the PVF response in the omental application was longer than that in the femoral administration. SAP was unchanged after omental application, while femoral administration reduced SAP concomitant with an increase in PVF. These results suggest that, in this hepatectomized model, the omentum is a better site for PGE administration than the vein, and that omental PGE delivery is also effective for enhancing PVF without inducing any changes in SAP.

Value of the maternal interleukin 6 level for determination of histologic chorioamnionitis in preterm delivery

The present study examined whether maternal serum cytokine levels are useful for the diagnosis of histologic chorioamnionitis. The blood samples of 29 women who delivered preterm between 22 and 34 weeks of gestation were collected at delivery, and placentas were histopathologically examined for chorioamnionitis. The interleukin (IL) 6 titer was higher in 18 mothers with histologic chorioamnionitis (median 12.0 pg/ml, range 4.9-63.5 pg/ml) than that in 11 mothers without histologic chorioamnionitis (median 3.5 pg/ml, range 1.7-14.9 pg/ml; p < 0.0001). The C-reactive protein (CRP) titer also differed significantly between these two groups (chorioamnionitis group: median 5.2 mg/dl, range 0.1-12.3 mg/dl; no chorioamnionitis group: median 0.2 mg/dl, range 0.1-0.5 mg/dl; p = 0.0001). The IL-6 titer showed better clinical diagnostic indices and a higher odds ratio (9.78, 95% confidence interval 1.50-63.82) than did CRP (3.26, 95% confidence interval 1.22-8.67). The levels of IL-8, monocyte chemotactic and activating factor, and soluble IL-6 receptor did not differ between the two groups. These data suggest that the level of maternal serum IL-6 is more useful than other markers, including CRP, for the identification of women at risk of impending preterm labor with histologic chorioamnionitis.

Hyperleptinemia in chronic renal failure

To investigate the mechanism(s) of degradation of leptin, the protein product of ob (obese) gene, we measured serum leptin levels in 70 patients with chronic renal failure (CRF). The median of serum leptin concentrations of 36 male and 34 female patients with CRF were 7.3 ng/ml ranging from 0.5 to 39.0 ng/ml and 34.9 ng/ml from 1.1 to 76.1 ng/ml, respectively, while those of 29 male and 29 female healthy subjects were 5.8 ng/ml ranging from 0.5 to 37.7 ng/ml and 12.0 ng/ml from 2.0 to 45.2 ng/ml, respectively. The difference in male and female serum leptin concentrations between CRF group and the normal counterpart was statistically significant (p<0.005 and p<0.05, respectively). However, there was no significant correlation, either between serum creatinine or BUN, and serum leptin concentrations. These findings suggest that leptin is degraded and/or filtered in renal tissue.

Transvaginal power Doppler angiography of the fetal brain

Using transvaginal B-mode sonography combined with power Doppler flow mapping on a total of 65 fetuses between 12 and 30 weeks of gestation, fetal intracerebral arteries and veins and blood flow were demonstrated in the coronal and sagittal planes. Clear images of the fetal brain and intracerebral vascular flow were obtained in 36 of the 65 cases. Bilateral vertebral arteries, the basilar artery and posterior cerebral arteries were imaged in the coronal plane at 12 weeks of gestation. Bilateral carotid and middle cerebral arteries were also depicted in the coronal plane at 13 weeks of gestation. The middle cerebral arteries and their branches were depicted via the anterior fontanelle in the coronal plane at 20 weeks of gestation. The anterior cerebral artery and its branches were demonstrated in the sagittal plane at 26 weeks of gestation. The fetal cerebral venous systems of the superior sagittal sinus, internal cerebral vein, vein of Galen and straight sinus were clearly imaged in the mid-sagittal plane. Although we encountered several problems with this new technology of transvaginal power Doppler sonography, we were able to demonstrate its potential to assess fetal intracranial blood flow during pregnancy.

Colocalization of immunoglobulin binding factor and prostate specific antigen in human prostate gland

Immunoglobulin binding factor (IgBF) produced in the prostate is a useful marker for the diagnosis of prostatic tumor. IgBF was localized in the majority of epithelial cells of benign prostatic hypertrophy by an immunohistochemical technique. Prostate specific antigen (PSA), a known marker for prostatic cancer, was localized to all epithelial cells. Double immunolabeling of IgBF and PSA using fluorescent methods revealed that all epithelial cells producing IgBF were also immunopositive for PSA and some cells were positive only for PSA. The present findings suggest that the prostatic glands consist of two types of epithelial cells, one producing both IgBF and PSA and the other producing PSA alone.

Indocyanine green disappearance enhanced by prostaglandin E1 in patients with hepatic resection

Indocyanine green (ICG) is a reliable indicator reflecting hepatocyte function and hepatic blood flow. Prostaglandin E1 (PGE) has been indicated to increase hepatic blood flow and protect the hepatocyte. The purpose of this study is to investigate whether PGE influences the ICG disappearance rate in patients with hepatic resection. Eleven patients with hepatic resection were divided into two groups according to the presence of liver cirrhosis (LC, n = 4) and chronic hepatitis (CH, n = 7). ICG 0.1 mg/kg was given as an intravenous bolus into the cubital vein 5 min after PGE administration, then the disappearance rate of ICG (ICG-K) was determined by a finger monitoring method. PGE administration increased ICG-K in the LC and CH groups with normal liver function, and the ICG-K response was dose dependent when the dosage of PGE ranged from 0.01 to 0.05 microg/kg/min. When ICG-K relative to the ICG-K of the control was defined as the ICG-K ratio, the daily course of the ratio in the LC group was higher than in the CH group. PGE increases the ICG-K of patients with normal liver function before and after hepatic resection, and this is evident in the case of liver cirrhosis.

Presence of immunoglobulin binding factor on human sperm surface as sperm coating antigen

The presence of IgBF as a sperm-coating antigen was demonstrated by showing that anti-IgBF antibodies agglutinate and immobilize human sperm and by localizing IgBF on sperm surface by immunofluorescence staining. Several components interacting with sperm immobilizing antibodies, known to be involved in infertility, are sperm-coating antigens. Anti-IgBF antibody in vitro did not block the ability of human sperm to penetrate human zona pellucida and zona-free hamster egg. Anti-IgBF activity of sera obtained from infertile women did not correlate with the titers of anti-sperm antibodies measured by the sperm immobilization test. IgBF is a sperm-coating antigen and may play a role in suppressing antibody production against alloantigenic sperm in the female reproductive tract.

In vivo biological activity of antioxidative aminothiazole derivatives

For the development of novel antioxidants having therapeutic utility, a new series of condensed 4- and 5-aminothiazole derivatives has been synthesized using simple methods. Condensed 4-aminothiazoles were prepared by the reaction of alpha-bromolactams with thioamides in ethanol and 5-aminothiazole derivatives were obtained by the treatment of 3-(acylamino)lactams with a thiating agent such as phosphorous pentasulfide and Lawesson's reagent in pyridine. In vitro assay of the condensed 5-aminothiazole derivatives showed them to be potent inhibitors of lipid peroxidation. In order to evaluate these compounds in an in vivo system, we devised a simple and reproducible method in which the inhibition of characteristic behaviors induced by spinal injection of FeCl2 was expressed numerically. Compounds having strong in vitro activity protected the central nervous system form injury caused by iron-dependent lipid peroxidation. The results suggest that the in vivo assay developed in this study should be useful as a screening method for antioxidants and also that condensed 5-aminothiazole derivatives are promising candidates for the treatment of traumatic and ischemic injury of the central nervous system.

Characteristics of calcium ion influx induced by human follicular fluid in individual human sperm

The mechanism of Ca2+ influx into human spermatozoa was investigated. Human follicular fluid (hFF), which contains progesterone, stimulated an increase in the concentration of intracellular free Ca2+ ([Ca2+]i) as measured by fluorescence spectroscopy using Fura-2/AM. The technique allowed the measurement of [Ca2+]i in individual, motile spermatozoa, by improvement of the previous methods. The role of Ca2+ channels was investigated using selective blocking agents. Neither blockade of L-type channels with verapamil or lanthanum (La3+) nor blockade of N-type channels with omega-conotoxin affected the hFF-stimulated increase in [Ca2+]i. Blockade of T-type channels with either nickel (Ni2+) or amiloride significantly reduced the hFF-stimulated increase in [Ca2+]i and amiloride significantly decreased baseline [Ca2+]i. Incubation of sperm in Na(+)-free medium did not affect [Ca2+]i, indicating that Na+/Ca2+ exchange has no major role in Ca2+ influx. The results suggest that calcium influx induced by hFF occurs via T-type voltage-independent Ca2+ channels. The method described allows accurate measurement of [Ca2+]i in individual, motile human spermatozoa.

Hepatocellular carcinoma associated with precirrhotic primary biliary cirrhosis successfully treated by a right hepatic lobectomy: report of a case

We report herein the case of a 69-year-old woman in whom hepatocellular carcinoma (HCC) arising in the precirrhotic phase of primary biliary cirrhosis (PBC) was successfully managed by a right hepatic lobectomy. The patient, who had never received a blood transfusion, had a 4-year history of asymptomatic PBC of Scheuer's histological classification stage II. Abdominal computed tomography (CT) revealed a mass measuring 4.0 cm in the right hepatic lobe, and a right hepatic lobectomy was performed in consideration of her good liver function and the deep location of the tumor in the right lobe. The patient has remained well without any evidence of recurrent disease for 4 years since her operation. A review of the literature revealed only two cases of successful partial hepatectomy, but none of major hepatectomy. Most of the reported cases had been treated with transcatheter arterial embolization (TAE) and were associated with poor survival. Our experience of this patient indicates the potential value of hepatectomy as an alternative to TAE in selected patients with resectable disease and good hepatic function.

[Circadian variation in blood pressure in elderly hypertensive patients]

We studied circadian variation in blood pressure in elderly patients with hypertension, using three criteria for "non-dipper". Ambulatory blood pressure monitoring was done in 107 elderly outpatients whose average 24-hour systolic blood pressure was greater than 140 mmHg. Daytime was distinguished from nighttime by the level of physical activity as measured with an activity sensor and a questionnaire. The three criteria for "non-dipper" were as follows: 1. A nocturnal decline in systolic blood pressure that was less than 10% of the daytime average blood pressure. 2. A nocturnal decline in systolic blood pressure that was less than 10 mmHg. 3. A nighttime average systolic blood pressure that was greater than the daytime average systolic blood pressure. The nocturnal decrease in blood pressure was smaller in older patients than in younger patients. In patients over 80 years old, it was 6.0 mmHg (p < 0.05, as compared with patients aged 60-69 and with patients aged 70-79). The percentages of patients classified as "non-dippers" according to the criteria listed above were 53.3%, 37.4%, and 15.9%, respectively. Older patients were more likely than younger patients to be classified as "non-dippers". When defined according to criterion # 1, "non-dippers" made up 83.3% of those over 80 years old. These results was consistent with a continuous age-related decline in neuroendocrine regulation involving both peripheral and central nervous system.

Suppression of hepatic portal blood flow caused by carbon dioxide pneumoperitoneum can be restored after dopamine administration in pigs

Portal venous blood flow (PVF), hepatic arterial blood flow (HAF) and systemic arterial pressure (SAP) were examined after dopamine (DA) injection into the jugular vein under carbon dioxide pneumoperitoneum in pigs. When intraabdominal pressure (IAP) was increased by 12 mmHg, PVF and HAF were reduced, but SAP was unchanged. When IAP was kept at 12 mmHg, the injection of DA at 10 micrograms/kg/min for 2 min produced an increase in PVF without causing any change in HAF or SAP. The response in PVF was dose-dependent. When IAP was increased to 16 mmHg, PVF response was diminished, and no change in HAF or SAP was seen at the same dose of DA. These observations suggest that DA is effective in increasing PVF under enhanced IAP conditions, but such circulatory improvement due to the agent would be prominent when IAP is below 12 mmHg.

Effect of IL-1 in amniotic fluid on the fetal keratinocyte

IL-1 alpha is predominantly increased in amniotic fluid of the patients with premature rupture of the membrane (PROM). In the present study we examined the effect of IL-1 on the fetal keratinocytes, one of the main tissue exposed to the increased IL-1. Exposure of IL-1 at over 0.1 pg/ml IL-1 significantly (p < 0.01) inhibited proliferation of the keratinocytes in low calcium keratinocyte growth medium obtained from the umbilical cord. Immunohistochemical analysis using antibodies to various cytokeratins revealed that the umbilical cord keratinocytes is more similar to the mucosal epithelium than the skin epithelium. These results suggest that IL-1 alpha increased in amniotic fluid in the PROM cases leads the immature proliferating mucosal epithelium to maturate for protection of the fetus against environment.

Expression of Tn and sialyl-Tn antigens in the neoplastic transformation of uterine cervical epithelial cells

The expression of simple mucin-type carbohydrate antigens, Tn and sialyl-Tn antigens, was evaluated by immunohistochemical staining with monoclonal antibodies in normal squamous epithelium, dysplasia, carcinoma in situ, and invasive squamous cell carcinoma of the uterine cervix. The expression of the Tn antigen detected by HB-Tn1 and B1.1 was found in 17 (20%) and 19 (23%) of the 83 invasive carcinomas, respectively, but was not found in the 36 normal squamous epithelia, 22 severe dysplasias, or 24 carcinomas in situ. The sialyl-Tn antigen was detected by HB-STn1 and TKH-2 in 14 (64%) and 11 (50%) of the 22 severe dysplasias, 13 (54%) and 10 (42%) of the 24 carcinomas in situ and 48 (58%) and 42 (51%) of the 83 invasive carcinomas, respectively, but was completely absent in 36 normal squamous epithelia. Coexpression of the sialyl-Tn antigen was observed in 89% of the cases expressing the Tn antigen. No significant difference was observed between the immunoreactivities of the antigens in the metastatic lymph nodes and primary tumors. No correlation was found between the expression of each antigen and clinical state, histologic type, depth of invasion, parametrial spread, lymphatic and vessel permeation, lymph node metastasis, or 5-year survival rate. The expression of Tn and sialyl-Tn demonstrates a specific change in the neoplastic progression from carcinoma in situ to invasive carcinoma and from normal to dysplasia, respectively, in squamous cell neoplastic lesions of the cervix. Tn and sialyl-Tn antigens may be useful markers for biologic investigation of neoplastic transformation in cervical squamous cell carcinoma.

Power spectral analysis of spontaneous blood pressure and heart rate variability in elderly hypertensives

To examine the influence of hypertension on cardiovascular variability in elderly subjects, we measured spontaneous beat-to-beat blood pressure (BPV) and heart rate variability (HRV) in elderly subjects with or without hypertension at rest and during tilting. The study group consisted of 23 community-dwelling, male elderly subjects (aged 62-75 years) and was divided into two groups, i.e., a hypertensive group (HT group; n = 11) and normotensive group (NT group; n = 12). According to the modeling and decomposing algorithm of an autoregressive process, we estimated the component power of low-frequency (LF; 0.03-0.15 Hz) and high-frequency components (HF; respiratory frequency) of BPV and HRV by power spectral analysis. We also measured plasma norepinephrine (PNE) levels in the two groups at rest and during tilting. In the HT group, we found that the amplitude of LF-BPV was greater (p < 0.05) and its relative change by postural tilting was smaller (p < 0.05) than those in the NT group. We found no significant difference in the amplitude of LF-HRV and HF-HRV between the two groups, and found no significant response of the amplitude of LF-HRV and HF-HRV to postural tilting. We also found no difference in PNE level between the two groups at rest or during tilting. These results suggest that the regulatory function of sympathetic vasomotor activity assessed by power spectral analysis of BPV is altered in hypertensive elderly subjects, although the influence of hypertension on the autonomic control of the heart is less dominant in the elderly.

Exposure of human sperm to low-calcium medium enhances fertilizing ability

This investigation was conducted to evaluate whether exposure of human sperm to low calcium enhances the fertilizing ability. When sperm from normal semen samples were preincubated in low-calcium mBWW medium for 1 h, the percentages of live acrosome-reacted sperm after 4 and 6 h of culture were significantly higher than control (5.0 +/- 0.5 vs. 3.2 +/- 0.3% and 6.0 +/- 0.5 vs. 4.2 +/- 0.3%, p < .05). The penetration rate (%P) and fertility index (FI) in zona-free hamster egg sperm penetration assay significantly increased, compared to control (%P: 66.4 +/- 9.0 vs. 42.7 +/- 8.1%; FI: 1.69 +/- 0.19 vs. 1.34 +/- 0.11; p < .01). When low-calcium treatment was used for human in vitro fertilization and embryo transfer (IVF-ET) for male infertility, the fertilization and pregnancy rates were significantly higher than those in control. The results indicate that preincubation of human sperm in low-calcium medium enhances their fertilizing ability. This method is a simple and useful for preparing sperm from subfertile men for human IVF-ET.