1
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Ito M, Tanuma N, Kotani Y, Murai K, Kondo A, Sumiyoshi M, Shima H, Matsuda S, Watanabe T. Oncogenic K-Ras G12V cannot overcome proliferation failure caused by loss of Ppp6c in mouse embryonic fibroblasts. FEBS Open Bio 2024; 14:545-554. [PMID: 38318686 PMCID: PMC10988750 DOI: 10.1002/2211-5463.13775] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2023] [Revised: 12/11/2023] [Accepted: 01/22/2024] [Indexed: 02/07/2024] Open
Abstract
Protein phosphatase 6 is a Ser/Thr protein phosphatase and its catalytic subunit is Ppp6c. Ppp6c is thought to be indispensable for proper growth of normal cells. On the other hand, loss of Ppp6c accelerates growth of oncogenic Ras-expressing cells. Although it has been studied in multiple contexts, the role(s) of Ppp6c in cell proliferation remains controversial. It is unclear how oncogenic K-Ras overcomes cell proliferation failure induced by Ppp6c deficiency; therefore, in this study, we attempted to shed light on how oncogenic K-Ras modulates tumor cell growth. Contrary to our expectations, loss of Ppp6c decreased proliferation, anchorage-independent growth in soft agar, and tumor formation of oncogenic Ras-expressing mouse embryonic fibroblasts (MEFs). These findings show that oncogenic K-RasG12V cannot overcome proliferation failure caused by loss of Ppp6c in MEFs.
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Affiliation(s)
- Mai Ito
- Department of Biological Science, Graduate School of Humanities and SciencesNara Women's UniversityJapan
| | - Nobuhiro Tanuma
- Division of Cancer ChemotherapyMiyagi Cancer Center Research InstituteNatoriJapan
| | - Yui Kotani
- Department of Biological Science, Graduate School of Humanities and SciencesNara Women's UniversityJapan
| | - Kokoro Murai
- Department of Biological Science, Graduate School of Humanities and SciencesNara Women's UniversityJapan
| | - Ayumi Kondo
- Department of Biological Science, Graduate School of Humanities and SciencesNara Women's UniversityJapan
| | - Mami Sumiyoshi
- Department of Cell Signaling, Institute of Biomedical ScienceKansai Medical UniversityHirakataJapan
| | - Hiroshi Shima
- Division of Cancer ChemotherapyMiyagi Cancer Center Research InstituteNatoriJapan
| | - Satoshi Matsuda
- Department of Cell Signaling, Institute of Biomedical ScienceKansai Medical UniversityHirakataJapan
| | - Toshio Watanabe
- Department of Biological Science, Graduate School of Humanities and SciencesNara Women's UniversityJapan
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2
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Kotani Y, Sumiyoshi M, Sasada M, Watanabe T, Matsuda S. Arf1 facilitates mast cell proliferation via the mTORC1 pathway. Sci Rep 2022; 12:22297. [PMID: 36566324 PMCID: PMC9789986 DOI: 10.1038/s41598-022-26925-1] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Accepted: 12/21/2022] [Indexed: 12/25/2022] Open
Abstract
Mast cells are one of major players in allergic responses. Mast cell activation via the high affinity IgE receptor (FcεRI) causes degranulation and release of de novo synthesized proinflammatory cytokines in a process that involves vesicle trafficking. Considering that the GTPase ADP-ribosylation factor 1 (Arf1) orchestrates and maintains membrane traffic and organelle structure, it seems likely that Arf1 contributes to mast cell activation. Actually, it has been reported that pharmaceutical blockade of the Arf1 pathway suppresses cytokine secretion and mast cell degranulation. However, physiological roles of Arf1 in mast cells remain elusive. Here, by using a genetic approach, we demonstrate that Arf1 is required for optimal mTORC1 activation upon IL-3 and facilitates mast cell proliferation. On the other hand, contrary to our expectation, Arf1-deficiency had little impact on FcεRI-induced degranulation nor cytokine secretion. Our findings reveal an unexpected role of Arf1 in mast cell expansion and its potential as a therapeutic target in the mast cell proliferative disorders.
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Affiliation(s)
- Yui Kotani
- grid.410783.90000 0001 2172 5041Department of Cell Signaling, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010 Japan ,grid.174568.90000 0001 0059 3836Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women’s University, Nara, 630-8506 Japan
| | - Mami Sumiyoshi
- grid.410783.90000 0001 2172 5041Department of Cell Signaling, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010 Japan
| | - Megumi Sasada
- grid.174568.90000 0001 0059 3836Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women’s University, Nara, 630-8506 Japan
| | - Toshio Watanabe
- grid.174568.90000 0001 0059 3836Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women’s University, Nara, 630-8506 Japan
| | - Satoshi Matsuda
- grid.410783.90000 0001 2172 5041Department of Cell Signaling, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010 Japan
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3
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Inoue K, Shiozaki M, Sasaki S, Sasaki Y, Tamura H, Fukuda K, Kubota N, Hiki M, Funamizu T, Sumiyoshi M, Minamino T. Determination of physiological cardiac myosin-binging protein levels (cMyc) in healthy populations. Eur Heart J 2021. [DOI: 10.1093/eurheartj/ehab724.1394] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Cardiac myosin–binding protein C (cMyC) is a cardiac-restricted protein that has more abundant, rapid release and clearance kinetics than cardiac troponin. The current ESC guideline suggests the cMyC may provide value as an alternative to cardiac troponin. The 99th percentile value is universally endorsed as the reference cut off to aid in the diagnosis of acute myocardial infarction (AMI), however, none of the report of healthy population of cMyC.
Purpose
The aim of this study was to evaluate the distribution of cMyC values in healthy subjects.
Methods
We used two cohorts in this retrospective study. 1) Healthy subjects; a total of 500 subjects (250 men and 250 women) who had annual health examinations in 2012 in the area of Kamigoto, a suburb of Nagasaki city in Southern Japan were enrolled. All participants showed none of abnormal findings including cell blood counts, chemical analysis, liver function tests, general urine tests, occult blood tests of stool, barium swallow, mammography for women, abdominal ultrasound sonography, and electrocardiogram. All blood samples were obtained in a fasting state in the morning. 2) Chest pain subjects; we collected samples from 250 subjects including 50 with non-ST elevation myocardial infarction visited admitted to a university hospital for measurement of high-sensitivity troponin T and coronary artery assessment by coronary angiography. We measured cMyC level in both cohorts by HISCL™-800 system (Sysmex corporation, Japan). The assay has a limit of detection of 0.5 ng/L and a lower limit of quantification of 1.3 ng/L.
Result
In healthy subjects, median age (IQR) was 44 (20, 82) in men and 50 (23, 91) in women. The 99th percentile of cMyC was 27.3 ng/L, which was around one-third lower than that in previous report (87 ng/L). In chest pain subjects, the concentrations of cMyC at presentation were significantly higher in those with versus without AMI (median, 66 ng/L versus 10 ng/L, P<0.001). Discriminatory power for AMI, as quantified by the area under the receiver-operating characteristic curve (AUC), was comparable for cMyC (AUC, 0.85 (95% CI 0.79–0.91) and hs-cTnT (AUC, 0.81 (95% CI 0.76–0.88)).
Conclusion
We defined the normal range of cMyC in healthy Japanese subjects. The level of cMyC at presentation provides discriminatory power comparable to hs-cTnT in the diagnosis of AMI. To determine the physiological value of a biomarker may be necessary to evaluate enough information about their health status.
Funding Acknowledgement
Type of funding sources: Public grant(s) – National budget only. Main funding source(s): Grant-in-Aid for Scientific Research
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Affiliation(s)
- K Inoue
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Shiozaki
- Tokyo Metropolitan Tama Medical Center, Cardiology, Tokyo, Japan
| | - S Sasaki
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - Y Sasaki
- Sysmex R&D Center Europe GmbH, Hamburg, Germany
| | - H Tamura
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - K Fukuda
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - N Kubota
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Hiki
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - T Funamizu
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Sumiyoshi
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - T Minamino
- Juntendo University School of Medicine, Tokyo, Japan
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4
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Sumiyoshi M, Kotani Y, Ikuta Y, Suzue K, Ozawa M, Katakai T, Yamada T, Abe T, Bando K, Koyasu S, Kanaho Y, Watanabe T, Matsuda S. Arf1 and Arf6 Synergistically Maintain Survival of T Cells during Activation. J Immunol 2020; 206:366-375. [PMID: 33310872 DOI: 10.4049/jimmunol.2000971] [Citation(s) in RCA: 10] [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: 08/24/2020] [Accepted: 11/12/2020] [Indexed: 12/25/2022]
Abstract
ADP-ribosylation factor (Arf) family consisting of six family members, Arf1-Arf6, belongs to Ras superfamily and orchestrates vesicle trafficking under the control of guanine nucleotide exchange factors (GEFs) and GTPase-activating proteins. It is well established that brefeldin A, a potent inhibitor of ArfGEFs, blocks cytokine secretion from activated T cells, suggesting that the Arf pathway plays important roles in T cell functions. In this study, because Arf1 and Arf6 are the best-characterized members among Arf family, we established T lineage-specific Arf1-deficient, Arf6-deficient, and Arf1/6 double-deficient mice to understand physiological roles of the Arf pathway in the immune system. Contrary to our expectation, Arf deficiency had little or no impact on cytokine secretion from the activated T cells. In contrast, the lack of both Arf1 and Arf6, but neither Arf1 nor Arf6 deficiency alone, rendered naive T cells susceptible to apoptosis upon TCR stimulation because of imbalanced expression of Bcl-2 family members. We further demonstrate that Arf1/6 deficiency in T cells alleviates autoimmune diseases like colitis and experimental autoimmune encephalomyelitis, whereas Ab response under Th2-polarizing conditions is seemingly normal. Our findings reveal an unexpected role for the Arf pathway in the survival of T cells during TCR-induced activation and its potential as a therapeutic target in the autoimmune diseases.
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Affiliation(s)
- Mami Sumiyoshi
- Department of Cell Signaling, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010, Japan
| | - Yui Kotani
- Department of Cell Signaling, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010, Japan.,Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara 630-8506, Japan
| | - Yuki Ikuta
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara 630-8506, Japan
| | - Kazutomo Suzue
- Department of Parasitology, Gunma University Graduate School of Medicine, Maebashi, Gunma 371-8511, Japan
| | - Madoka Ozawa
- Department of Immunology, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan
| | - Tomoya Katakai
- Department of Immunology, Niigata University Graduate School of Medical and Dental Sciences, Niigata 951-8510, Japan
| | - Taketo Yamada
- Department of Pathology, Saitama Medical University, Iruma-gun, Saitama 350-0495, Japan
| | - Takaya Abe
- Laboratory for Animal Resources and Genetic Engineering, RIKEN Center for Biosystems Dynamics Research, Kobe, Hyogo 650-0047, Japan
| | - Kana Bando
- Laboratory for Animal Resources and Genetic Engineering, RIKEN Center for Biosystems Dynamics Research, Kobe, Hyogo 650-0047, Japan
| | - Shigeo Koyasu
- Laboratory for Immune Cell Systems, RIKEN Center for Integrative Medical Sciences, Yokohama, Kanagawa 230-0045, Japan; and
| | - Yasunori Kanaho
- Department of Physiological Chemistry, Graduate School of Comprehensive Human Sciences, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki 305-8575, Japan
| | - Toshio Watanabe
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara 630-8506, Japan
| | - Satoshi Matsuda
- Department of Cell Signaling, Institute of Biomedical Science, Kansai Medical University, Hirakata, Osaka 573-1010, Japan;
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Shiozaki M, Inoue K, Suwa S, Lee C, Chiang S, Fukuda K, Hiki M, Kubota N, Tamura H, Fujiwara Y, Miyazaki T, Hirano Y, Sumiyoshi M. One-year outcome of the rule-out group according to the 0-h /1-hour algorithm with suspected myocardial infarction in Asian countries. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.1700] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background/Introduction; A rapid rule-out or rule-in protocol based on the 0-h/1-hour algorithm using high-sensitivity cardiac troponin T (hs-cTnT) is recommended by the European Society of Cardiology (ESC). Around 40–50% were stratified into “rule-out” group, and their 30-days prognosis was excellent. However, the one-year prognosis is uncertain. We aimed to better characterize these patients.
Methods
This study was a prospective, multi-center, observational study of patients with suspected non-ST elevation acute coronary syndrome (NSTE-ACS) admitted to 5 hospitals in Japan and Taiwan from 2014 November to 2018 December, respectively.
All patients underwent a clinical assessment the included medical history, physical examination, 12-lead ECG, standard blood test, chest radiography. Exclusion criteria were ST elevated myocardial infarction, chronic kidney disease (serum creatinine more than 3 mg/dL) and congestive heart failure, arrhythmia, or infection disease. The patients were divided into three groups according to the algorithm; “rule-out”, “observe” and “rule-in”. The final diagnosis was then adjudicated by 2 independent cardiologists using all available information, including coronary angiography, coronary computed tomography, stress electrocardiography and follow-up data. The presence of acute myocardial infarction (AMI) was defined according to the Fourth Universal Definition of Myocardial Infarction. After hospital discharge patients were follow after one-year b telephone or in written form. Major adverse cardiovascular events (including death myocardial infarction, coronary artery bypass grafting, percutaneous coronary intervention (PCI)) were recorded by establishing contact with the patient and the family physicians. The primary prognosis end point was all-cause mortality.
Results
Of the 1,187 patients were analyzed after exclusion. The prevalence rate of AMI was 16.1%. According to the algorithm, 42% (n=493) of patients were assigned to “rule-out” group and had no AMI nor death. The most common final adjudicated diagnoses were atypical chest pain (80%), gallstone attack (3%) and vasospastic angina pectoris (2%). All patients with unstable angina (4.7%) underwent PCI.
Conclusion(s)
Our findings suggest that the “rule-out” group patients according to ESC 0-h/1-hour algorithm provides very high safety and efficacy for the triage toward AMI.
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- M Shiozaki
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - K Inoue
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - S Suwa
- Juntendo University Shizuoka Hospital, Cardiology, Izunokuni, Japan
| | - C.C Lee
- National Taiwan University Hospital, Emergency Medicine, Taipei, Taiwan
| | - S.J Chiang
- Taipei City Hospital, Cardiology, Taipei, Taiwan
| | - K Fukuda
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - M Hiki
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - N Kubota
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - H Tamura
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - Y Fujiwara
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
| | - T Miyazaki
- Juntendo University Urayasu Hospital, Cardiology, Chiba, Japan
| | - Y Hirano
- Juntendo University Urayasu Hospital, Emergency and Critical Care Medicine, Chiba, Japan
| | - M Sumiyoshi
- Juntendo University Nerima Hospital, Cardiology, Tokyo, Japan
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6
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Shiozaki M, Inoue K, Suwa S, Lee CC, Chiang SJ, Shimizu M, Fukuda K, Hiki M, Kubota N, Tamura H, Fujiwara Y, Sumiyoshi M, Daida H. P2677A combination of HEART score and a 0-hour/1-hour algorithm for early and safe triage tool for patients in observe zone. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0995] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The European Society Cardiology guidelines recommend that a 0-hour/1-hour (0–1hr) algorithm using high sensitivity cardiac troponin T (hs-cTnT) improves the early triage of patients with suspected non-ST elevation acute coronary syndrome (NSTE-ACS). However, diagnostic uncertainty remains in the 25–30% of patients assigned to “observe” group.
Purpose
To establish a step wise risk score system using HEART score and 0-hour/1-hour algorithm to identify the low risk group from observation group.
Methods
This study was a prospective, multi-center, observational study of patients with suspected NSTE-ACS admitted to five hospitals in Japan and Taiwan from 2014 to 2018, respectively. We applied the algorithm and calculated HEART score simultaneously. Patients were divided into three groups according to the algorithm: hs-cTnT below 12 ng/L and delta 1 hour below 3 ng/L were the “rule out” group; hs-cTnT at least 52 ng/L or delta 1 hour at least 5 ng/L were in the “rule in” group; the remaining patients were classified as the “observe” group. All patients underwent a clinical assessment the included medical history, physical examination, 12-lead ECG, continuous ECG monitoring, pulse oximetry, standard blood test, chest radiography, cardiac and abdominal ultrasonography. Patients presenting with congestive heart failure, terminal kidney disease on hemodialysis state, arrhythmia, or infection disease (which causes to increase troponin level) were excluded. Thirty-day MACE was defined as acute myocardial infarction, unstable angina (UA), or death.
Results
Of the 1,332 patients enrolled, 933 patients were analyzed after exclusion. NSTE-ACS was the final diagnosis for 122 (13.1%) patients and none of death. The HEART score less than 4 points in observation groups identified as very low risk with a negative predictive value (NPV) of 98.1% (95% confidential interval (CI); 90.1%-100%) and sensitivity of 98.0% (95% CI; 89.6%-100%). There were only one patient (0.5%) with AMI. In case of the HEART score less than 5 points, it could also identify as very low risk with a NPV of 96.7% (95% CI; 90.8%-99.3%%) and sensitivity of 94.1% (95% CI; 83.8%-98.8%). There were only three patients (1.2%) with AMI.
Conclusion
A combination of HEART score and the 0-hour/1-hour algorithm strategy rapidly identified the patient in observation group of 30-day MACE including UA where nor further cardiac testing would be needed.
Acknowledgement/Funding
JSPS KAKENHI Grant Number JP18K09554
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Affiliation(s)
- M Shiozaki
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - K Inoue
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - S Suwa
- Juntendo University Shizuoka Hospital, Cardiology, Shizuoka, Japan
| | - C C Lee
- National Taiwan University Hospital, Emergency Medicine, Taipei, Taiwan
| | | | - M Shimizu
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - K Fukuda
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Hiki
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - N Kubota
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - H Tamura
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - Y Fujiwara
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Sumiyoshi
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - H Daida
- Juntendo University School of Medicine, Tokyo, Japan
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7
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Shiozaki M, Inoue K, Suwa S, Lee CC, Chiang SJ, Shimizu M, Fukuda K, Hiki M, Kubota N, Tamura H, Fujiwara Y, Sumiyoshi M, Daida H. P2676Prospective validation of the 2015 ESC 0-hour/1-hour algorithm using high-sensitivity cardiac troponin T in Asian countries. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0994] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Abstract
Background/Introduction
Implementation of the 2015 ESC 0-hour/1-hour algorithm using high-sensitivity troponin (hs-cTn) T in Asian countries presents a challenge for clinical practice.
Purpose
We aimed to prospectively validate the 0-hour/1-hour algorithm in Asian countries.
Methods
We conducted a prospective, multi-center, international cohort already utilizing 0-hour/1-hour algorithm using hs-cTnT for evaluation of patients with suspected of non-ST elevation acute coronary syndrome (NSTE-ACS). All patients underwent a clinical assessment the included medical history, physical examination, 12-lead ECG, continuous ECG monitoring, pulse oximetry, standard blood test, chest radiography, cardiac and abdominal ultrasonography. Patients presenting with congestive heart failure, terminal kidney disease on hemodialysis state, arrhythmia, or infection disease (which cause to increase troponin level) were excluded. Patients were divided into three groups according to the algorithm: hs-cTnT below 12 ng/L and delta 1 hour below 3 ng/L were the “rule out” group; hs-cTnT at least 52 ng/L or delta 1 hour at least 5 ng/L were in the “rule in” group; the remaining patients were classified as the “observational” group. The final diagnosis was then adjudicated by 2 independent cardiologists using all available information, including coronary angiography, coronary computed tomography, stress electrocardiography and follow-up data. The presence of acute myocardial infarction (AMI) was defined according to the Fourth Universal Definition of Myocardial Infarction.
Results
Of the 1,332 patients enrolled in 2014 to 2018, 933 patients were analyzed after exclusion. AMI was the final diagnosis for 122 (13.1%) patients. The algorithm ruled out AMI in 401 patients with a negative predictive value and sensitivity of 100% (95% confidential interval [CI], 98.6%-100%) and 100% (95% CI, 94.0%-100%), respectively, in the rule-out group. None of the patients were diagnosed with AMI. Among the 211 patients classified into the rule-in group, 90 were diagnosed as having AMI. The positive predictive value and specificity were 43.1% (95% CI, 36.2%-50.2%) and 78.3% (95% CI, 74.5%-81.7%), respectively. The median length of hospital stay was 159 min (142–180) in rule out group.
Conclusion(s)
Our findings suggest that the 0-hour/1-hour algorithm using hs-cTnT provides very high safety and efficacy for the triage toward rapid rule-out to rule-in of AMI.
Acknowledgement/Funding
JSPS KAKENHI Grant Number JP18K09554
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Affiliation(s)
- M Shiozaki
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - K Inoue
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - S Suwa
- Juntendo University Shizuoka Hospital, Cardiology, Shizuoka, Japan
| | - C C Lee
- National Taiwan University Hospital, Emergency Medicine, Taipei, Taiwan
| | | | - M Shimizu
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - K Fukuda
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Hiki
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - N Kubota
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - H Tamura
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - Y Fujiwara
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - M Sumiyoshi
- Juntendo University Nerima Hospital, Tokyo, Japan
| | - H Daida
- Juntendo University School of Medicine, Tokyo, Japan
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Tokano T, Nakazato Y, Shiozawa T, Kimura Y, Odagiri F, Tabuchi H, Hayashi H, Sekita G, Sumiyoshi M, Daida H. 073_16757-H5 Early Recurrence of Atrial Fibrillation Did Not Predict the Long-Term Outcome in Patients Who Underwent Cryoballoon Ablation. JACC Clin Electrophysiol 2017. [DOI: 10.1016/j.jacep.2017.09.116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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9
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Tokano T, Nakazato Y, Shiozawa T, Kimura Y, Odagiri F, Tabuchi H, Hayashi H, Sekita G, Sumiyoshi M, Daida H. 073_16764-Q1 Successful Cryoballoon Ablation in a Case With Paroxysmal Atrial Fibrillation Who Had Unusual Geometry. JACC Clin Electrophysiol 2017. [DOI: 10.1016/j.jacep.2017.09.107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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10
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Tokano T, Nakazato Y, Shiozawa T, Kimura Y, Odagiri F, Tabuchi H, Hayashi H, Sekita G, Sumiyoshi M, Daida H. 073_16767-Q1 An Inappropriate Shock Theray Due to Paroxysmal Atrial Flutter in Case With a Subctanuous Implantable Cardioverter-Defibrillator. JACC Clin Electrophysiol 2017. [DOI: 10.1016/j.jacep.2017.09.137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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11
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Shiozaki M, Inoue K, Ishiura J, Chikata Y, Kimura Y, Fukuda K, Tamura H, Fujiwara Y, Suwa S, Sumiyoshi M, Daida H. P4691The utility of a 0-hour/1-hour algorithm in patients with suspected non-ST elevation myocardial infarction in Japan. Eur Heart J 2017. [DOI: 10.1093/eurheartj/ehx504.p4691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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12
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Ogoh H, Tanuma N, Matsui Y, Hayakawa N, Inagaki A, Sumiyoshi M, Momoi Y, Kishimoto A, Suzuki M, Sasaki N, Ohuchi T, Nomura M, Teruya Y, Yasuda K, Watanabe T, Shima H. The protein phosphatase 6 catalytic subunit (Ppp6c) is indispensable for proper post-implantation embryogenesis. Mech Dev 2016; 139:1-9. [DOI: 10.1016/j.mod.2016.02.001] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2015] [Revised: 01/28/2016] [Accepted: 02/05/2016] [Indexed: 10/22/2022]
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Sumiyoshi M, Masuda N, Tanuma N, Ogoh H, Imai E, Otsuka M, Hayakawa N, Ohno K, Matsui Y, Hara K, Gotoh R, Suzuki M, Rai S, Tanaka H, Matsumura I, Shima H, Watanabe T. Mice doubly-deficient in the Arf GAPs SMAP1 and SMAP2 exhibit embryonic lethality. FEBS Lett 2015; 589:2754-62. [PMID: 26296315 DOI: 10.1016/j.febslet.2015.07.050] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Revised: 07/25/2015] [Accepted: 07/28/2015] [Indexed: 12/24/2022]
Abstract
In mammals, the small Arf GTPase-activating protein (SMAP) subfamily of Arf GTPase-activating proteins consists of closely related members, SMAP1 and SMAP2. These factors reportedly exert distinct functions in membrane trafficking, as manifested by different phenotypes seen in single knockout mice. The present study investigated whether SMAP proteins interact genetically. We report for the first time that simultaneous loss of SMAP1 and SMAP2 promotes apoptosis in the distal region of E7.5 mouse embryos, likely resulting in embryonic lethality. Thus, at least one SMAP gene, either SMAP1 or SMAP2, is required for proper embryogenesis.
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Affiliation(s)
- Mami Sumiyoshi
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Narumi Masuda
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Nobuhiro Tanuma
- Division of Cancer Chemotherapy, Miyagi Cancer Center Research Institute, Miyagi, Japan
| | - Honami Ogoh
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Eri Imai
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Mizuki Otsuka
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Natsuki Hayakawa
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Kinuyo Ohno
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Yasuhisa Matsui
- Cell Resource Center for Biomedical Research, Institute of Development, Aging and Cancer, Tohoku University, Miyagi, Japan
| | - Kanae Hara
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Risa Gotoh
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Mai Suzuki
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan
| | - Shinya Rai
- Department of Hematology and Rheumatology, Kinki University Faculty of Medicine, Osaka, Japan
| | - Hirokazu Tanaka
- Department of Hematology and Rheumatology, Kinki University Faculty of Medicine, Osaka, Japan
| | - Itaru Matsumura
- Department of Hematology and Rheumatology, Kinki University Faculty of Medicine, Osaka, Japan
| | - Hiroshi Shima
- Division of Cancer Chemotherapy, Miyagi Cancer Center Research Institute, Miyagi, Japan
| | - Toshio Watanabe
- Department of Biological Science, Graduate School of Humanities and Sciences, Nara Women's University, Nara, Japan.
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Kwong W, Neilson AL, Hamilton RM, Chiu CC, Stephenson EA, Gross GJ, Soucie L, Kirsh JA, xian-hui Z, Bao-peng T, Jin-xin L, Yu Z, Yan-yi Z, Jiang-hua Z, Hirahara T, Sugawara Y, Suga C, Ako J, Momomura S, Ardashev AV, Zhelyakov EG, Konev AV, Rybachenko MS, Belenkov YN, Bai R, Di Biase L, Santangeli P, Saenz LC, Verma A, Sanchez J, Tondo C, Natale A, Safari F, Hajizadeh S, Mani A, Khoshbaten A, Foadoddini M, Forush SS, Bayat G, Kim SH, Chong D, Ching CK, Liew R, Galalardin, Khin MW, Teo WS, Chong D, Tan BY, Liew R, Ching CK, Teo WS, Sakamoto T, Al Mehairi M, Al Ghamdi SA, Dagriri K, Al Fagih A, Selvaraj R, Ezhumalai B, Satheesh S, Ajit A, Gobu P, Balachander J, Liu XQ, Zhou X, Yang G, Zhong GZ, Shi L, Tian Y, Li YB, Wang AH, Yang XC, Takenaka S, Ozaki H, Nakamura M, Otsuka M, Tsurumi Y, Nolker G, Gutleben KJ, Ritscher G, Sinha AM, Muntean B, Heintze J, Vogt J, Brachmann J, Horstkotte D, Katsuyuki T, Katsuyuki T, McGrew F, Johnson E, Coppess M, Fan I, Li S, Zhiyu L, Zengzhang L, Xianbin L, Yuehui Y, Min L, Shu-long Z, Dong C, Zhi-tao Z, Xian-jing W, Ying-xue D, Shu-Long Z, Dong C, Zhi-Tao Z, Xian-Jing W, Ying-Xue D, Liu P, Guo JH, Zhang Z, Li J, Liu HG, Zhang HC, Zvereva V, Rillig A, Meyerfeldt U, Jung W, Wei L, Qi G, Zhang Q, Xia Y, Doi A, Satomi K, Nakajima I, Makimoto H, Yokoyama T, Yamada Y, Okamura H, Noda T, Aiba T, Shimizu W, Aihara N, Kamakura S, Li Z, Zhao QY, Huang CX, Doi A, Satomi K, Nakajima I, Makimoto H, Yokoyama T, Yamada Y, Okamura H, Noda T, Aiba T, Shimizu W, Aihara N, Kamakura S, Min-Seok C, Jeong-Wook P, Young-Woong H, Sung-Eun P, Jae-Sun U, Yong-Seog O, Woo-Seung S, Ji-Hoon K, Seong-Won J, Man-Young L, Tae-Ho R, Uhm JS, Oh YS, Choi MS, Park JW, Ha YW, Park SE, Jang SW, Shin WS, Kim JH, Lee MY, Rho TH, Nielsen JB, Olesen MS, Tango M, Haunso S, Holst AG, Svendsen JH, Poci D, Thogersen AM, Riahi S, Linde P, Edvardsson N, Khoo CW, Krishnamoorthy S, Dwivedi G, Balakrishnan B, Lim HS, Lip GYH, Khoo CW, Krishnamoorthy S, Dwivedi G, Balakrishnan B, Lim HS, Lip GYH, D'Ascia S, D'ascia C, Marino V, Chiariello M, Santulli G, Music L, Anderson K, Benzaquen BS, Saponieri C, Yassin H, Fridman V, Vasavada BC, Turitto G, El-Sherif N, Saponieri C, Prabhu H, Yassin H, Fridman V, Huang Y, Vasavada BC, Turitto G, El-Sherif N, Ortega MC, Sosa ESH, Ugalde AN, Al Jamil A, Abu Siddique M, Haque KMHSS, Suga C, Hirahara T, Sugawara Y, Ako J, Momomura SI, Mlynarski R, Mlynarska A, Ilczuk G, Mlynarski R, Mlynarska A, Wilczek J, Mlynarska A, Mlynarski R, Wilczek J, Mlynarska A, Mlynarski R, Wilczek J, Sosnowski M, Kohno R, Abe H, Nagatomo T, Oginosawa Y, Minamiguchi H, Otsuji Y, Kohno R, Abe H, Minamiguchi H, Oginosawa Y, Nagatomo T, Otsuji Y, Minamiguchi H, Abe H, Kohno R, Oginosawa Y, Otsuji Y, Ekinci S, Yesil M, Bayata S, Vurgun VK, Arikan E, Postaci N, Xiaoqing R, Jielin P, Shu Z, Liang M, Fangzheng W, Takahashi K, Tokano T, Nakazato Y, Doi S, Shiozawa T, Konishi H, Hiki M, Kato Y, Komatsu S, Takahashi S, Kubota N, Tamura H, Suwa S, Ohki M, Katsumata T, Kizu K, Bito F, Sumiyoshi M, Juntendo HD, Yamada Y, Okamura H, Nakajima I, Doi A, Makimoto H, Yukoyama T, Noda T, Satomi K, Aiba T, Shimizu W, Aihara N, Kamakura S, Perna F, Leo M, Leccisotti L, Casella M, Pelargonio G, Lago M, Bencardino G, Narducci ML, Russo E, Santangeli P, Giordano A, Bellocci F, Song T, Yang J, Huang C, Zhang J, Huang C, Wu P, Yang J, Song T, Chen Y, Fan X, Wang T, Wang X, Tang Y, Wu P, Huang CX, Zhang J, Fan XR, Chen YJ, Li XW, Yang J, Song T, Chiu CC, Buescher T, Obias-Manno D, Yoo CJ, Huh J, Ortega MC, Nakanishi H, Hirata A, Wada M, Kashiwase K, Okada M, Ueda Y, Su D, Niu XL, Song AQ, Kohno R, Abe H, Minamiguchi H, Oginosawa Y, Nagatomo T, Otsuji Y, Fujii S, Yambe Y, Shiiba K, Sakakibara M, Takenaka S, Watanabe A, Wada T, Koide Y, Ikeda M, Toda H, Hashimoto K, Terasaka R, Nakahama M, Wada T, Watanabe A, Koide Y, Ikeda M, Toda H, Hashimoto K, Terasaka R, Nakahama M, Okada Y, Mizuno H, Ide H, Ueno T, Kogaki S, Ozono K, Nanto S, Statescu C, Bercea R, Sascau RA, Georgescu CA, Ortega MC, Athanas E, Ortega MC, Athanas E, Mironov NY, Bakalov SA, Jarova EA, Rodionova ES, Mironova NA, Kim J, Ahn MS, Han DC, Choo JTL, Chen CK, Tan TH, Ong KK, Kam R, Curnis A, Bontempi L, Coppola G, Cerini M, Vassanelli F, Lipari A, Gennaro F, Pagnoni C, Ashofair N, Cas LD, Gourineni V, Wong KL, Davoudi R, Hamid N, Chong D, Yew TB, Liew R, Keong CC, Siong TW, Fuke E, Shimizu H, Kimura S, Hao K, Watanabe R, Seo JB, Chung WY, Kim SH, Kim MA, Zo ZH, Krishinan S, Skuratova NA, Belyaeva LM, Bae MH, Lee JH, Lee HS, Yang DH, Park HS, Cho Y, Chae SC, Jun JE, Rychkova LV, Dolgikh VV, Zurbanova LV, Zurbanov AV, Aleksanyan A, Matevosyan A, Podosyan G, Zelveian P, Aleksanyan A, Podosyan G, Matevosyan A, Zelveian P, Choi HO, Nam GB, Kim YR, Kim KH, Kim SH, Choi KJ, Kim YH, Pakpahan HAP, Wei D, Qizhu T, Xiaofei Y, Kai G, Siting F, Ji H, Sato A, Tanabe Y, Hayashi Y, Yoshida T, Ito E, Chinushi M, Hasegawa K, Yagihara N, Iijima K, Izumi D, Watanabe H, Furushima H, Aizawa Y, Dong YX, Dong YX, Burnett JC, Chen HH, Sandberg S, Zhang Y, Chen PS, Cha YM, Mlynarski R, Mlynarska A, Wilczek J, Sosnowski M, Zhou XH, Tang BP, Li JX, Zhang Y, Li YD, Zhang JH, Arsenos P, Gatzoulis K, Gialernios T, Dilaveris P, Sideris S, Archontakis S, Tsiachris D, Christodoulos S, Feng Z, Baogui S, Li L, Ming L, Bai R, Di Biase L, Mohanty P, Hesselson AB, De Ruvo E, Gallagher PL, Minati M, Natale LCA, Tomassoni GF, Gan T, Tang B, Xu G, Li J, Zhang Y, Zhou X, Zhang Y, Hosoda J, Ishikawa T, Matsushita K, Matsumoto K, Kimura Y, Miyamoto M, Sugano T, Ishigami T, Uchino K, Kimura K, Umemura S, Nakajima I, Noda T, Shimizu W, Yokoyama T, Makimoto H, Doi A, Yamada Y, Okamura H, Satomi K, Aiba T, Aihara N, Kamakura S, Nakajima I, Noda T, Shimizu W, Kurita T, Yokoyama T, Makimoto H, Doi A, Yamada Y, Okamura H, Satomi K, Aiba T, Aihara N, Kamakura S, Wang T, Huang CX, Wang T, Huang CX, Ruan L, Zhang C, Cai S, Bai R, Liu N, Ruan Y, Quan X, Kang JK, Kim NY, Park SH, Lee JH, Park HS, Cho Y, Chae SC, Jun JE, Park WH, Sapelnikov OV, Latypov RS, Grishin IR, Mareev YV, Saidova MA, Akchurin RS, Arsenos P, Gatzoulis K, Manis G, Dilaveris P, Archontakis S, Tsiachris D, Mytas D, Papafanis T, Papavasileiou MV, Stefanadis C, Ren LN, Fang XH, Wang YQ, Qi GX, Zeng QX, Zheng ZT, Zhong JQ, Wang YL, Liu HZ, Liu DL, Meng XL, Li JS, Zhang Y, Liu HZ, Zhong JQ, Zeng QX, Liu DL, Meng XL, Li JS, Su GY, Wang J, Zhang Y, Liu HZ, Zhong JQ, Zeng QX, Wang YL, Liu DL, Meng XL, Li JS, Su GY, Zhang Y, Li JS, Zhong JQ, Zeng QX, Liu HZ, Su GY, Zhang Y, Li JS, Zhong JQ, Zeng QX, Liu HZ, Meng XL, Liu DL, Su GY, Zhang Y, Li JS, Zhong JQ, Zeng QX, Liu HZ, Meng XL, Liu DL, Su GY, Zhang Y, Nicolson WB, Kundu S, Tyagi N, Meatcher PDS, Yusuf S, Jeilan M, Stafford PJ, Sandilands AJ, Loke I, Ng GA, Nicolson WB, Kundu S, Tyagi N, Meatcher PDS, Yusuf S, Jeilan M, Stafford PJ, Sandilands AJ, Loke I, Ng GA, Solak Y, Gul EE, Atalay H, Abdulhalikov T, Kayrak M, Turk S, Kang JK, Kim NY, Park SH, Lee JH, Park HS, Cho Y, Chae SC, Jun JE, Park WH, Belyaeva LM, Skuratova NA, Pogodina AV, Dolgikh VV, Valjavskaja OV, Zurbanov AV, Chen YX, Luo NS, Wang JF, Zhang S, Ishimaru S, Miyakawa M, Kakinoki R, Tadokoro M, Kitani S, Sugaya T, Nishimura K, Igarashi T, Okabayashi H, Furuya J, Igarashi Y, Igarashi K, Su T, Winlaw D, Chard R, Nicholson I, Sholler G, Lau K, Sun Q, Cheng KP, Cheng R, Hua W, Pu JL, Zhang S, Lim CP, Chan LL, Teo LW, Kwok BWK, Sim DKL, Ching CK, Lim CP, Chan LL, Teo LW, Kwok BWK, Sim DKL, Ching CK, Curnis A, Bontempi L, Cerini M, Lipari A, Vassanelli F, Pagnoni C, Ashofair N, Moneghini D, Cestari R, Cas LD, Al Fagih A, Al Shurafa H, Al Ghamdi S, Dagriri K, Al Khadra A, Iijima K, Chinushi M, Hasegawa K, Yagihara N, Sato A, Izumi D, Watanabe H, Furushima H, Aizawa Y, Furushima H, Chinushi M, Iijima K, Izumi D, Hasegawa K, Yagihara N, Watanabe H, Sato A, Aizawa Y, Agacdiken A, Yalug I, Vural A, Celikyurt U, Ural D, Aker T, Agacdiken A, Yalug I, Vural A, Celikyurt U, Ural D, Aker T, Heintze J, Schloss E, Auricchio A, Zeng C, Sterns L, Farooqi F, Kamdar R, Adhya S, Bayne S, Jackson T, Pollock L, Sterns L, Gall N, Murgatroyd F, Guo Y, Wang Y, Yang T, Zhu P, Liu H, Zhao Y, Zhang L, Gao W, Gao M. Poster presentation. Europace 2011. [DOI: 10.1093/europace/euq492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Esaki T, Osada H, Nakao Y, Yamamoto T, Maeda M, Miyazaki T, Sumiyoshi M, Mori K. Surgical management for glossopharyngeal neuralgia associated with cardiac syncope: two case reports. Br J Neurosurg 2009; 21:599-602. [PMID: 18071988 DOI: 10.1080/02688690701627138] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Nakazato Y, Sasaki A, Yamashita H, Kawano Y, Iida Y, Mineda Y, Nakazato K, Yasuda M, Tokano T, Sumiyoshi M, Nakata Y, Daida H. P-027 Clinical efficacy of oral bepridil for persistent atrial fibrillation. Europace 2003. [DOI: 10.1016/eupace/4.supplement_2.b73-a] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Y. Nakazato
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - A. Sasaki
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - H. Yamashita
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Y. Kawano
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Y. Iida
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Y. Mineda
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - K. Nakazato
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - M. Yasuda
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - T. Tokano
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - M. Sumiyoshi
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - Y. Nakata
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
| | - H. Daida
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
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Shibutani M, Mitsumori K, Satoh S, Hiratsuka H, Satoh M, Sumiyoshi M, Nishijima M, Katsuki Y, Suzuki J, Nakagawa J, Akagi T, Imazawa T, Ando M. Relationship between toxicity and cadmium accumulation in rats given low amounts of cadmium chloride or cadmium-polluted rice for 22 months. J Toxicol Sci 2001; 26:337-58. [PMID: 11871130 DOI: 10.2131/jts.26.337] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [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: 11/02/2022]
Abstract
To clarify toxic effects of long-term oral administration of low dose cadmium (Cd) on the liver and kidney, six groups of female Sprague-Dawley rats were fed a diet containing Cd-polluted rice or CdCl2 at concentrations up to 40 ppm, and killed after 12, 18, and 22 months. With toxicological parameters, including histopathology, there was no evidence of Cd-related hepato-renal toxicity, despite a slight decrease of mean corpuscular volume and mean corpuscular hemoglobin of red blood cells with 40 ppm CdCl2. Dose-dependent accumulation of Cd was observed in the liver and kidneys with peak levels of 130 +/- 42 micrograms/g and 120 +/- 20 micrograms/g, respectively, at 18 months in animals treated with 40 ppm CdCl2. A dose-dependent increase in urinary Cd levels became evident with time. Induction of metallothionein (MT) was also observed in the liver and kidney with a high correlation to the corresponding Cd levels. In the proximal renal tubular epithelia of 40 ppm CdCl2-treated rats at 22 months, prominent accumulation of Cd was observed in secondary lysosomes associated with MT deposits in their exocytotic residual bodies. The results demonstrated that, in contrast to the case with high-dose Cd-administration, renal toxicity is not induced by long-term oral administration of low amounts of Cd, although tissue accumulation does occur. Possible protective mechanisms may be operating.
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Affiliation(s)
- M Shibutani
- Division of Pathology, National Institute of Health Sciences, 1-18-1 Kamiyoga, Setagaya-ku, Tokyo 158-8501, Japan
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Sumiyoshi M, Nakata Y. [Atrial fibrillation and flutter]. Nihon Rinsho 2001; 59 Suppl 8:799-803. [PMID: 11808310] [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] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University, Izunagaoka Hospital
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Takeuchi T, Sumiyoshi M, Kitayama M, Hirayama N, Fujita A, Hata F. Origin of Ca2+ necessary for carbachol-induced contraction in longitudinal muscle of the proximal colon of rats. Jpn J Pharmacol 2001; 87:309-17. [PMID: 11829150 DOI: 10.1254/jjp.87.309] [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] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
The origin of Ca2+ necessary for carbachol (CCh)-induced contraction of longitudinal muscle of the proximal colon of rats was studied. CCh induced contraction of the muscle consisting of two phases, phasic and tonic phases, with a concomitant biphasic increase in [Ca2+]i. After removal of Ca2+ from the bathing solution of the colonic segments, CCh-induced contraction was rapidly inhibited; there was almost complete inhibition 1 min after the removal. Nicardipine, a blocker of voltage-dependent calcium channel, also significantly inhibited CCh-induced contraction. On the other hand, treatment of the colonic segments with thapsigargin, an inhibitor of sarcoplasmic reticulum (SR) Ca2+-ATPase, did not significantly affect the contraction except causing a slight decrease in the rate of contraction. These results suggest that Ca> entering through voltage-dependent calcium channels, but not released from SR, is essential for CCh-induced contraction of longitudinal muscle of the proximal colon of rats. This strict dependency of the CCh-induced contraction on extracellular Ca2+ was discussed in relation to the results obtained in the fundus of rats.
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Affiliation(s)
- T Takeuchi
- Department of Veterinary Pharmacology, Graduate School of Agriculture and Life Sciences, Osaka Prefecture University, Sakai, Japan.
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Yasuda M, Nakazato Y, Yamashita H, Sekita G, Kawano Y, Mineda Y, Nakazato K, Tokano T, Sumiyoshi M, Nakata Y. ST segment elevation in the right precordial leads following administration of class Ic antiarrhythmic drugs. Heart 2001; 85:E3. [PMID: 11119481 PMCID: PMC1729593 DOI: 10.1136/heart.85.1.e3] [Citation(s) in RCA: 8] [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: 11/04/2022] Open
Abstract
Electrocardiographic changes were evaluated retrospectively in five patients without previous episodes of syncope or ventricular fibrillation who developed abnormal ST segment elevation mimicking the Brugada syndrome in leads V1-V3 after the administration of class Ic antiarrhythmic drugs. Pilsicainide (four patients) or flecainide (one patient) were administered orally for the treatment of symptomatic paroxysmal atrial fibrillation or premature atrial contractions. The QRS duration, QTc, and JT intervals on 12 lead surface ECG before administration of these drugs were all within normal range. After administration of the drugs, coved-type ST segment elevation in the right precordial leads was observed with mild QRS prolongation, but there were no apparent changes in JT intervals. No serious arrhythmias were observed during the follow up periods. Since ST segment elevation with mild QRS prolongation was observed with both pilsicainide and flecainide, strong sodium channel blocking effects in the depolarisation may have been the main factors responsible for the ECG changes. As the relation between ST segment elevation and the incidence of serious arrhythmias has not yet been sufficiently clarified, electrocardiographic changes should be closely monitored whenever class Ic drugs are given.
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Affiliation(s)
- M Yasuda
- Division of Cardiology, Department of Internal Medicine, Juntendo University School of Medicine, 2-1-1, Hongo, Bunkyo-ward, Tokyo 113-8421, Tokyo, Japan.
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Shibutani M, Mitsumori K, Niho N, Satoh S, Hiratsuka H, Satoh M, Sumiyoshi M, Nishijima M, Katsuki Y, Suzuki J, Nakagawa J, Ando M. Assessment of renal toxicity by analysis of regeneration of tubular epithelium in rats given low-dose cadmium chloride or cadmium-polluted rice for 22 months. Arch Toxicol 2000; 74:571-7. [PMID: 11201662 DOI: 10.1007/s002040000180] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.7] [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: 11/26/2022]
Abstract
To determine whether low-dose oral administration of cadmium (Cd) induces renal toxicity, six groups of female Sprague-Dawley rats were fed a diet containing low amounts of CdCl2 or Cd-polluted rice at concentrations up to 40 ppm, and were killed after 12, 18, and 22 months (experiment 1). In addition to the determination of cortical Cd levels and histopathological assessment of kidneys, labeling indices (LIs) for proliferating cell nuclear antigen (PCNA) in the renal cortical tubular epithelium of Cd-treated rats were determined as a measure of regenerative activity. For comparison, the kidneys of rats given diets containing small to large amounts of CdCl2 up to 600 ppm for 4 months were similarly examined (experiment 2). Animals in experiment 1 demonstrated spontaneous chronic nephropathy and fluctuation in the tubular PCNA LI, but these findings were not correlated with renal Cd levels at 22 months. PCNA LI on the other hand, appeared to be linked to the severity of chronic nephropathy. In experiment 2, levels of CdCl2 of 200 ppm or more clearly induced degeneration and apoptosis of proximal tubules with high correlations between renal Cd levels, PCNA LI, and the severity of tubular degeneration. The results demonstrated that, in contrast to high-dose Cd administration, treatment with 40 ppm or less for 22 months did not influence tubular regeneration as a component of nonspecific chronic nephropathy, suggesting that long-term oral administration of low levels of Cd does not injure renal tubules in female rats.
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Affiliation(s)
- M Shibutani
- Division of Pathology, National Institute of Health Sciences, Tokyo, Japan.
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Sumiyoshi M, Nakata Y, Mineda Y, Tokano T, Yasuda M, Nakazato Y, Yamaguchi H. Does an early increase in heart rate during tilting predict the results of passive tilt testing? Pacing Clin Electrophysiol 2000; 23:2046-51. [PMID: 11202245 DOI: 10.1111/j.1540-8159.2000.tb00774.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.5] [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: 11/28/2022]
Abstract
Head-up tilt testing is a useful but time-consuming procedure. If we could accurately predict the tilt testing results; we would be able to substantially shorten the duration of tilt protocol. To clarify the hypothesis that an early increase in heart rate (HR) during tilting can predict the passive tilt results in our protocol (80-degree angle for 30 minutes), we studied 115 consecutive patients (72 men, 43 women, mean age 46 +/- 19 years) who were clinically diagnosed with neurally mediated syncope. Twenty-nine (25%) patients had a positive tilt test (P group), whereas 86 (75%) patients had a negative test (N group). The early HR increase was defined as the maximum HR during the first 5 minutes of tilting minus the resting HR before tilting. The early HR increase was significantly higher in the P group (23.8 +/- 9.5 beats/min) than in the N group (17.5 +/- 8.2 beats/min, P = 0.0008), but it was negatively correlated with the tilt duration to positive response (r = -0.52, P = 0.0032) and the patient age in the entire study population (r = 0.62, P < 0.0001). Results of multiple regression analysis indicated that age, tilt result, and tilt duration were independently associated with the early HR increase. As a result, an early HR increase > or = 18 beats/min, the best apparent cut-off point obtained in our study, was a sensitive (100%) marker for prediction of a positive response at < or = 15 minutes of tilting, but it showed a low specificity (61%). In conclusion, an early HR increase during 80-degree tilting may be only predictive for a positive result < or = 15 minutes because it depends on the tilt duration to a positive response and patient age.
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Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University School of Medicine, Tokyo
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24
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Abstract
INTRODUCTION Circadian patterns have been demonstrated for several cardiovascular catastrophes. Chronobiologic factors play a role in the emergence of vasovagal syncope (VVS); however, diurnal variation of syncopal episodes in VVS has not been reported previously. METHODS AND RESULTS We assessed daily distribution of the time of syncopal episodes in VVS. Time of syncope could be determined in 80 episodes in 54 patients (32 men and 22 women; mean age 37 years, range 12 to 67). Patients who were prescribed beta blockers or vasodilators, and who had syncopes related to alcohol intake, were excluded from the study. Head-up tilt testing was performed in 53 patients. The distribution of the episodes of VVS in 3-hour intervals differed significantly from uniform occurrence (P < 0.0001), with a peak frequency between 6 A.M. and noon (67.5% of total episodes). In patients who had experienced the initial syncope in the morning, most (78%) of the next syncopal episodes also occurred in the morning. There was no significant correlation between the time of last syncopes and tilt testing results. CONCLUSION We demonstrated a prominent circadian variation in the frequency of VVS, with a peak in the morning. Recognition of the daily distribution of VVS is useful for patient education and therapeutic strategy.
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Affiliation(s)
- Y Mineda
- Department of Cardiology, Juntendo University Izunagaoka Hospital, Shizuoka, Japan
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25
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Han LK, Sumiyoshi M, Takeda T, Chihara H, Nishikiori T, Tsujita T, Kimura Y, Okuda H. Inhibitory effects of chondroitin sulfate prepared from salmon nasal cartilage on fat storage in mice fed a high-fat diet. Int J Obes (Lond) 2000; 24:1131-8. [PMID: 11033981 DOI: 10.1038/sj.ijo.0801378] [Citation(s) in RCA: 27] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE Chondroitin sulfate is an acidic polymer consisting of repeating D-glucuronic acid and D-N-acetylgalactosamine units, and the N-acetylgalactosamine is substituted with the sulfate at either the 4' or 6' position, with approximately one sulfate being present per disaccharide unit. The present study assessed the effects of chondroitin sulfate on the activity of pancreatic lipase and lipid uptake into brush border membrane vesicles of the rat small intestine in vitro, and on the degree of fat storage induced in mice by the oral administration of a high-fat diet for 8 weeks. DESIGN AND MEASUREMENTS Experiments were carried out to clarify whether or not chondroitin sulfate inhibited pancreatic lipase activity in assay systems using triolein emulsified with phosphatidylcholine or gum arabic. In addition, the effects of chondroitin sulfate on lipid absorption by brush border membrane vesicles were examined. Moreover, mice were fed a high-fat diet and treated with chondroitin sulfate for 8 weeks. RESULTS Chondroitin sulfate dose-dependently inhibited the pancreatic lipase activity in an assay system using triolein emulsified with phosphatidylcholine. In addition, chondroitin sulfate inhibited the palmitic acid uptake into the brush border membrane vesicles of the rat jejunum. Chondroitin sulfate caused the reduction of body weight and parametrial adipose tissue weight, and prevention of fatty liver and hyperlipidemia in mice fed a high-fat diet. CONCLUSION The reduction of fat storage and the antihyperlipidemic action of chondroitin sulfate might be due to the inhibition of small intestinal absorption of dietary fat through the inhibition of pancreatic lipase activity and fatty acid uptake through brush border membrane.
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Affiliation(s)
- L K Han
- Second Department of Medical Biochemistry, School of Medicine, Ehime University, Osen-gun, Japan
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26
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Abstract
A 45-year-old woman presented severe right lower abdominal pain. Transabdominal sonography demonstrated bilateral adnexal cystic masses. At surgery, these cystic masses were bilateral simple hydrosalpinges with torsion of the right side. She had previously had tubal ligation. When we encounter an adnexal torsion, we should consider tubal torsion when there is a history of tubal ligation.
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Affiliation(s)
- S Ikeda
- Department of Obstetrics and Gynecology, Kagoshima Medical Association Hospital, Kagoshima, Japan
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27
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Mineda Y, Sumiyoshi M, Nakazato Y, Nakata Y, Yamaguchi H. [Methodology of 80 degrees head-up tilt testing with and without low dose isoproterenol provocation in Japanese patients with neurally mediated syncope]. J Cardiol 2000; 35:363-71. [PMID: 10834180] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
The usefulness of 80 degrees head-up tilt testing with and without low dose isoproterenol provocation was evaluated for the diagnosis of neurally mediated syncope (NMS) in Japanese. Head-up tilt testing was performed in 114 consecutive patients with clinical diagnoses of NMS (68 men, 46 women, mean age 46 +/- 21 years), and 57 times in 36 healthy volunteers (26 men, 10 women, mean age 31 +/- 8 years) who had no history of syncope or presyncope. Head-up tilt testing used an 80 degrees angle for 30 minutes (passive tilt), and if the passive tilt resulted in negative response, isoproterenol was infused at 0.01-0.02 microgram/kg/min and the tilt repeated for 10 minutes (isoproterenol tilt). A positive response was defined as the development of syncope or a presyncopal state associated with hypotension, bradycardia or cardiac arrest. The sensitivities of passive tilt testing for a positive response after 5-, 10-, 15-, 20-, 25- and 30-minute tilting were 1%, 9%, 14%, 19%, 24%, and 28%, respectively, and specificities after 5-, 10-, 15-, 20-, 25- and 30-minute tilting were 100%, 95%, 91%, 88%, 86%, and 84%, respectively. The sensitivities of isoproterenol tilt testing with 0.01 and 0.02 microgram/kg/min were increased to 37% and 48%, respectively. This improvement was statistically significant between the passive tilt and isoproterenol tilt testing with a dose of 0.02 microgram/kg/min (p < 0.01). However, specificities were comparable with those of the passive tilt testing (84% and 82%, respectively). In conclusion, 80 degrees passive tilt testing for 30 minutes showed a low sensitivity (28%) but acceptable specificity (84%). Low-dose isoproterenol provocation was useful for improving sensitivity (48%) while maintaining a comparable specificity (82%).
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Affiliation(s)
- Y Mineda
- Department of Cardiology, Juntendo University Izunagaoka Hospital, Shizuoka
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28
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Suzuki H, Sumiyoshi M, Kawai S, Takagi A, Wada A, Nakazato Y, Daida H, Sakurai H, Yamaguchi H. Arrhythmogenic right ventricular cardiomyopathy with an initial manifestation of severe left ventricular impairment and normal contraction of the right ventricle. Jpn Circ J 2000; 64:209-13. [PMID: 10732854 DOI: 10.1253/jcj.64.209] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
A case of arrhythmogenic right ventricular cardiomyopathy (ARVC) with an initial manifestation of severe impairment of the left ventricle (LV) and normal contraction of the right ventricle (RV) is presented. A 43-year-old man was admitted to hospital because of congestive heart failure following a common cold. The LV function was diffusely and severely hypokinetic. Coronary arteriogram revealed normal vessels. An endomyocardial biopsy specimen obtained from the RV septum revealed mild infiltration of lymphocytes with focal myocytes necrosis and so healing myocarditis was suspected. The specimen did not include any fatty replacement of myocytes. Since then, the patient suffered from recurrent congestive heart failure as well as nonsustained ventricular tachycardia and required frequent hospitalization. Progressive impairment, dilation, and thinning of both ventricles were observed on serial echocardiographic examinations. Although the RV gradually enlarged and became impaired, severe dilatation and impairment of the LV has always been predominant in the patient's clinical course. After medical follow-up for 10 years, he died suddenly of ventricular fibrillation and pump failure. The autopsy revealed extensive fibrofatty replacement of myocytes in both the ventricles, extending from the outer layer to the inner layer of myocardium in the RV and to the middle layer in the LV. These features were compatible with arrhythmogenic right ventricular cardiomyopathy or perimyocarditis, although only the rightsided bundle of the interventricular septum was completely replaced by fatty tissue, which can not be explained as a sequel of perimyocarditis. Moreover, apoptosis was present in the myocyte nuclei of the myocardial layers bordering the area of fatty replacement. Therefore, myocarditis may have triggered or accelerated the process of apoptosis leading to ARVC.
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Affiliation(s)
- H Suzuki
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan.
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29
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Abstract
The fatty acid alcohol ester-synthesizing activity of lipoprotein lipase (LPL) was characterized using bovine milk LPL. Synthesizing activities were determined in an aqueous medium using oleic acid or trioleylglycerol as the acyl donor and equimolar amounts of long-chain alcohols as the acyl acceptor. When oleic acid and hexadecanol emulsified with gum arabic were incubated with LPL, palmityl oleate was synthesized, in a time- and dose-dependent manner. Apo-very low density lipoprotein (apoVLDL) stimulated LPL-catalyzed palmityl oleate synthesis. The apparent equilibrium ratio of fatty acid alcohol ester/oleic acid was estimated using a high concentration of LPL and a long (20 h) incubation period. The equilibrium ratio was affected by the incubation pH and the alcohol chain length. When the incubation pH was below pH 7.0 and long chain fatty acyl alcohols were used as substrates, the fatty acid alcohol ester/free fatty acid equilibrium ratio favored ester formation, with an apparent equilibrium ratio of fatty acid alcohol ester/fatty acid of about 0.9/0.1. The equilibrium ratio decreased sharply at alkaline pH (above pH 8.0). The ratio also decreased when fatty alcohols with acyl chains shorter than dodecanol were used. When a trioleoylglycerol/fatty acyl alcohol emulsion was incubated with LPL, fatty acid alcohol esters were synthesized in a dose- and time-dependent fashion. Fatty acid alcohol esters were easily synthesized from trioleoylglycerol when fatty alcohols with acyl chains longer than dodecanol were used, but synthesis was decreased with fatty alcohols with acyl chain lengths shorter than decanol, and little synthesizing activity was detected with shorter-chain fatty alcohols such as butanol or ethanol.
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Affiliation(s)
- T Tsujita
- Central Research Laboratory School of Medicine, Ehime University, Shigenobu, Onsen-gun, Ehime, 791-0295, Japan.
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30
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Abstract
The synthesis/hydrolysis of wax esters was studied in an aqueous solution using purified rat pancreatic lipase, porcine pancreatic carboxylester lipase, and Pseudomonas fluorescens lipase. The equilibrium between wax ester synthesis and hydrolysis favored ester formation at neutral pH. The synthesizing activities were measured using free fatty acid or triacylglycerol as the acyl donor and an equimolar amount of long-chain alcohol as the acyl acceptor. When oleic acid and hexadecanol emulsified with gum arabic were incubated with these lipases, wax ester was synthesized, in a dose- and time-dependent manner, and the apparent equilibrium ratio of palmityl oleate/free oleic acid was about 0.9/0.1. These lipases catalyzed the hydrolysis of palmityl oleate emulsified with gum arabic, and the apparent equilibrium ratio of palmityl oleate/free oleic acid was also about 0.9/0.1. The apparent equilibrium ratio of wax ester/free fatty acid catalyzed by lipase depended on incubation pH and fatty alcohol chain length. When equimolar amounts of trioleoylglycerol and fatty acyl alcohol were incubated with pancreatic lipase, carboxylester lipase, or P. fluorescens lipase, wax esters were synthesized dose-dependently. These results suggest that lipases can catalyze the synthesis of wax esters from free fatty acids or through degradation of triacylglycerol in an aqueous medium.
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Affiliation(s)
- T Tsujita
- Central Research Laboratory, School of Medicine, Ehime University, Onsen-gun, Japan.
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31
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Hiratsuka H, Satoh SI, Satoh M, Nishijima M, Katsuki Y, Suzuki J, Nakagawa JI, Sumiyoshi M, Shibutani M, Mitsumori K, Tanaka-Kagawa T, Ando M. Tissue distribution of cadmium in rats given minimum amounts of cadmium-polluted rice or cadmium chloride for 8 months. Toxicol Appl Pharmacol 1999; 160:183-91. [PMID: 10527917 DOI: 10.1006/taap.1999.8768] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.8] [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: 11/22/2022]
Abstract
To investigate the relationship between cadmium (Cd) toxicity, intestinal absorption, and its distribution to various tissues in rats treated orally with minimum amounts of Cd, 14 female rats per dose group per time point were given diets consisting of 28% purified diet and 72% ordinary rice containing Cd-polluted rice (0. 02, 0.04, 0.12, or 1.01 ppm of Cd) or CdCl(2) (5.08, 19.8, or 40.0 ppm of Cd) for up to 8 months. At 1, 4, and 8 months after the commencement of Cd treatment, seven rats per group were euthanized for pathological examinations to determine the Cd concentrations in the liver and kidneys and metallothionein (MT) in the liver, kidneys, intestinal mucosa, serum, and urine. One week before each period of 1, 4, and 8 months, the remaining seven rats in each group were administered a single dosage of (109)Cd, a tracer, to match the amounts of the designated Cd doses (about 1.2 to 2400 microg/kg body wt). They were euthanized 5 days later to determine the distribution of Cd to various tissues. No Cd-related toxic changes were observed. The concentrations of Cd in the liver and kidneys at any time point and MT in the liver, kidney, serum, and urine at 4 and 8 months increased dose-dependently, whereas MT in the intestinal mucosa did not alter markedly at any time point. The distribution rates of Cd to the liver increased dose-dependently (40% at lower doses to 60% at higher doses), whereas those to the kidney decreased dose-dependently (20% at lower doses to 10% at higher doses). The Cd retention rates 5 days after (109)Cd administration (amounts of Cd in various tissues/amounts of Cd administered) ranged from 0.2 to 1. 0% at any time point. These results suggest that the distribution of Cd to the liver and kidneys after the oral administration vary depending on the dosage levels of Cd. The difference of the distribution pattern of Cd to the liver and kidney is probably due to the difference in the form of the absorbed Cd, i.e., free ion or Cd-MT complex, although not closely related to the MT in the intestinal mucosa.
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Affiliation(s)
- H Hiratsuka
- Mitsubishi Chemical Safety Institute Ltd., 14 Sunayama, Hasaki, Kashima, Ibaraki, 314-0255, Japan
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32
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Nakazato Y, Nakata Y, Mineta Y, Nakazato K, Yasuda M, Sumiyoshi M, Yamaguchi H. Acute performance of steroid-eluting screw-in leads for atrial free wall pacing. Jpn Circ J 1999; 63:514-6. [PMID: 10462016 DOI: 10.1253/jcj.63.514] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
Abstract
The aim of this study was to clarify the acute performance of steroid-eluting screw-in leads in comparison with that of nonsteroid screw-in leads for atrial free wall pacing. In 114 cases (68 males, 46 females, average age 70 years) with atrial free wall pacing by screw-in leads, pacing thresholds and P-wave amplitudes were compared at the time of implantation and 1 week later between 68 cases of nonsteroid and 46 cases of steroid-eluting screw-in leads. No significant differences were seen between the 2 groups at implantation in either voltage or current thresholds measured at pulse widths of 0.1, 0.3, 0.6, 1.0, 2.0 ms, or P-wave amplitudes. Pulse width thresholds at outputs of 2.5 V and 5.0 V were significantly lower for steroid leads 1 week after implantation (2.5 V: 0.34+/-0.27 ms nonsteroid vs. 0.12+/-0.08 ms steroid, p<0.001; 5.0 V: 0.12+/-0.08 ms nonsteroid vs. 0.06+/-0.02 ms steroid, p<0.01). P-wave amplitudes after 1 week were significantly higher for steroid leads (2.6+/-0.7 mV nonsteroid vs 3.0+/-1.2 mV steroid, p<0.001). Threshold rise, including pacing failure, was observed in 15 (22%) of the non-steroid leads, but in only 1 (2%) of the steroid leads. In conclusion, steroid-eluting screw-in leads suppress the acute rise of pacing thresholds in the right atrial free wall and their acute performance is better than that of non-steroid leads. These results suggest that appropriate low-output atrial pacing is feasible immediately after implantation.
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Affiliation(s)
- Y Nakazato
- Juntendo University School of Medicine, Tokyo, Japan
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33
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Sumiyoshi M, Nakata Y, Mineda Y, Yasuda M, Nakazato Y, Yamaguchi H. Analysis of heart rate variability during head-up tilt testing in a patient with idiopathic postural orthostatic tachycardia syndrome (POTS). Jpn Circ J 1999; 63:496-8. [PMID: 10406593 DOI: 10.1253/jcj.63.496] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
A 16-year-old boy was diagnosed with idiopathic postural orthostatic tachycardia syndrome (POTS) during head-up tilt testing. During a passive tilt, the patient's heart rate (HR) increased by 30 beats/min within 5 min. After 25 min of tilting, his HR further increased to 133 beats/min and he began to complain of lightheadedness and weakness without hypotension. Power spectral analysis of HR variability during the tilt test revealed that the ratio of low and high frequency powers increased with the onset of orthostatic intolerance. Propranolol (10mg every morning) dramatically alleviated his clinical symptoms, and he has been asymptomatic with gaining weight after discontinuing his crowded train commuting.
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Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
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34
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Abstract
An assay for total hormone-sensitive lipase (HSL) in rat fat cells was devised in which fat-associated HSL was solubilized with ether, and triolein or cholesteryloleate was used as substrate. Norepinephrine (NE) caused marked release of glycerol from fat cells but did not activate HSL as estimated using triolein or cholesteryloleate as substrate. Propranolol, a beta-blocker, inhibited NE-induced lipolysis in fat cells without a concomitant reduction in HSL activity. The antilipolytic action of insulin on NE-induced lipolysis could not be explained by a decrease in HSL activity. Neither ACTH-induced lipolysis in fat cells nor its inhibition by insulin was accompanied by matching fluctuations in HSL activity. These results indicate that neither NE and ACTH-induced lipolysis in fat cells, nor the antilipolytic actions of propranolol and insulin, involve fluctuations in HSL activity.
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Affiliation(s)
- C Morimoto
- 2nd Department of Medical Biochemistry, Faculty of Science, Ehime University, Matsuyama, Ehime, 790-8577, Japan
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35
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Abstract
We report a case of runaway pacemaker with a ventricular pacing rate of 190 beats/min. The runaway occurred when the accelerometer became stuck due to the magnet application during VVIR pacing. Runaways in modern pacemakers are particularly rare, but they do still occur. The best solution for this phenomenon is generator replacement.
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Affiliation(s)
- Y Nakazato
- Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan.
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36
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Sumiyoshi M, Mineda Y, Kojima S, Suwa S, Nakata Y. Poor reproducibility of false-positive tilt testing results in healthy volunteers. Jpn Heart J 1999; 40:71-8. [PMID: 10370399 DOI: 10.1536/jhj.40.71] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Positive responses to head-up tilt testing occur in healthy subjects. However, the reproducibility of "false-positive" tilt testing results has not been clarified. To study the reproducibility of "false-positive" responses, we prospectively performed 2 tilt tests separated by 1 to 10 (mean 3.2) weeks in 20 healthy males aged 23 to 40 years (mean 30 years). The baseline tilt test (80 degrees for 30 minutes) ended positive in 4 (20%) subjects on the initial test and 2 (10%) on the second test with only 1 (5%) who had consecutive positive responses. No additional positive responses were noted during the isoproterenol (0.01 microgram/kg/min)-tilt test for 10 minutes. We demonstrated that a false-positive response occurred in 5 (25%) of 20 young males who underwent 2 tilt tests, however, only 1 (5%) subject had consecutive positive responses. Poor reproducibility may be characteristic of false-positive responses in head-up tilt testing.
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Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University Izunagaoka Hospital, Shizuoka, Japan
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37
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Abstract
The results of head-up tilt testing were compared between 24 patients with situational syncope and 44 age-matched patients with typical vasovagal syncope. Patients with situational syncope showed poor positive responses, especially in the passive tilt results (8.3% vs. 39%, p = 0.0078).
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Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
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38
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Tsujita T, Sumida M, Sumiyoshi M, Kameda K, Okuda H. Alkaline lipase from brain: is it the same enzyme as pancreatic lipase from pancreas? Arch Biochem Biophys 1998; 352:44-50. [PMID: 9521811 DOI: 10.1006/abbi.1998.0573] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
A new alkaline lipase was detected in rat brain and its properties were compared with those of the well-characterized pancreatic lipase and pancreatic lipase-related protein 2. The activity of the alkaline lipase was determined using trioleoylglycerol emulsion at pH 8.0. Subcellular fractions were prepared from brain homogenates by differential centrifugation. Lipase activities of the cytosolic fraction (the supernatant obtained by differential centrifugation of 100,000g) were stimulated by addition of colipase and bile salts and inhibited by addition of an antibody against rat pancreatic lipase. The partially purified enzyme had an isoelectric point of pH 6.8, which was identical to that found for rat pancreatic lipase. The enzyme had interfacial activation and dependence on colipase in the presence of bile salts. The enzyme had no measurable phospholipase A activity. The band produced by the enzyme on SDS-polyacrylamide gel electrophoresis was identical to that of the rat pancreatic lipase when detected by immunoblotting analysis using an antibody against pancreatic lipase. These results show that pancreatic lipase such as alkaline lipase is in rat brain.
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Affiliation(s)
- T Tsujita
- School of Medicine, Ehime University, Shigenobu, Ehime, Onsen-gun, 791-02, Japan
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39
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Ikeda S, Sumiyoshi M, Nakae M, Tanaka S, Ijyuin H. Heterotopic pregnancy after in vitro fertilization and embryo transfer. Acta Obstet Gynecol Scand 1998; 77:463-4. [PMID: 9598960] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Affiliation(s)
- S Ikeda
- Department of Obstetrics and Gynecology, Kagoshima Medical Association Hospital, Japan
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40
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Shimamoto T, Nakata Y, Sumiyoshi M, Ogura S, Takaya J, Sakurai H, Yamaguchi H. Transient left bundle branch block induced by left-sided cardiac catheterization in patients without pre-existing conduction abnormalities. Jpn Circ J 1998; 62:146-9. [PMID: 9559437 DOI: 10.1253/jcj.62.146] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
A traumatic left bundle branch block (LBBB) is uncommon in a patient with intact atrioventricular conduction. Three of our patients developed LBBB during a left-sided catheterization. Two patients suffered from angina pectoris and the other had an abdominal aneurysm. Two of them had a history of hypertension. None of the patients had ever shown any conduction abnormalities before the catheterization. The electrocardiogram just before the examination was normal in all 3 patients. LBBB was observed when a catheter was introduced into the left ventricle, and lasted 2--4 min without significant change in heart rates. Examination revealed no significant stenosis proximal to the first septal perforator and normal left ventricular contraction in all patients. One patient developed permanent LBBB 14 months later. Catheter-induced LBBB may occur easily with certain anatomical characteristics of the left bundle branch or the distal His bundle, with or without some concealed damage to the conduction system. It is important to keep this complication in mind and to pay adequate attention to patients' electrocardiograms as well as their angiographical findings, especially in those with pre-existing right bundle branch block.
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Affiliation(s)
- T Shimamoto
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
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41
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Nakazato Y, Nakata Y, Yasuda M, Nakazato K, Sumiyoshi M, Ogura S, Yamaguchi H. Safety and efficacy of oral flecainide acetate in patients with cardiac arrhythmias. Jpn Heart J 1997; 38:379-85. [PMID: 9290572 DOI: 10.1536/ihj.38.379] [Citation(s) in RCA: 9] [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: 02/05/2023]
Abstract
We retrospectively studied the clinical efficacy and safety of oral flecainide in 38 patients with symptomatic arrhythmias. Patients received 100 to 200 mg daily of flecainide for a mean of 25 months (range 8 to 50 months). All patients had normal cardiac function. Paroxysmal atrial fibrillation (PAF) was observed in 29 patients (76%). Other forms of arrhythmia included paroxysmal atrial flutter, seen in 3 patients (8%); premature atrial contraction and ventricular premature contraction, each seen in 2 patients (5%); and supraventricular tachycardia and ventricular tachycardia, each seen in 1 patient (3%). A complete response was obtained in 15 (52%) of 29 patients with PAF and a partial response in 8 patients (27%). The remaining 6 patients (21%) showed no response. A complete response was also obtained in 7 of 9 patients with other forms of arrhythmia. There were no differences in cardiac function and ECG parameters before and after treatment. Flecainide was withdrawn in 4 patients due to the development of electrocardiographic abnormalities. Three of these patients showed an atrial proarrhythmic effect. Abnormal ST elevations in the precordial leads were observed in 1 patient who received 200 mg of flecainide daily. In conclusion, flecainide was effective treatment for supraventricular and ventricular arrhythmias, but attention must be paid to the drug's potential proarrhythmic adverse effects.
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Affiliation(s)
- Y Nakazato
- Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
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Abstract
INTRODUCTION Prolonged asystole during head-up tilt testing has been reported, but the occurrence of paroxysmal AV block appears to be rare. METHODS AND RESULTS A 25-year-old man with no history of syncope underwent head-up tilt testing. After 11 minutes of 80 degrees tilting, he developed syncope with paroxysmal AV block and asystole lasting 10.5 seconds. However, this response was not reproduced during a subsequent tilt test 4 weeks later. Treadmill exercise testing and Holter monitoring showed no abnormalities. Power spectral analysis of heart rate variability revealed a marked increase in sympathetic activity several minutes before the induction of paroxysmal AV block. CONCLUSION We report a case of paroxysmal AV block that occurred during head-up tilt testing but did not recur on a subsequent test in an apparently healthy young man.
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Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University Izunagaoka Hospital, Shizuoka, Japan
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Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan
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Iwama Y, Sumiyoshi M, Tanimoto K, Ogura S, Nakazato Y, Nakata Y, Yamaguchi H. A case of swallowing-induced atrioventricular block after myocardial infarction. Jpn Circ J 1996; 60:710-4. [PMID: 8902591 DOI: 10.1253/jcj.60.710] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
We report a patient with transient atrioventricular (AV) block induced by swallowing. He complained of recurrent dizziness during meals and had suffered from inferior myocardial infarction 1 year before the onset of these symptoms. Radiologic examination showed no apparent esophageal abnormalities. Swallowing a piece of solid food or hot liquid repeatedly provoked advanced AV block. Administration of intravenous atropine sulfate prevented AV block. An electrophysiologic study revealed that this swallowing-induced AV block was an intranodal (A-H) block. We did not implant a cardiac pacemaker because his symptoms were not very serious and could be prevented by eating carefully. The patient has been symptom-free for the past 12 months. The previous myocardial infarction may be related to the appearance of this vagal-related AV block.
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Affiliation(s)
- Y Iwama
- Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
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45
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Inouhe M, Sumiyoshi M, Tohoyama H, Joho M. Resistance to cadmium ions and formation of a cadmium-binding complex in various wild-type yeasts. Plant Cell Physiol 1996; 37:341-346. [PMID: 8673342 DOI: 10.1093/oxfordjournals.pcp.a028951] [Citation(s) in RCA: 19] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/22/2023]
Abstract
The resistance to cadmium ions (Cd-resistance) and possible formation of cadmium-binding complexes were examined in eight different wild-type yeasts. Saccharomyces exiguus, Pichia farinosa, Torulaspora delbrueckii and Schizosaccharomyces octosporus exhibited partial Cd-resistance, as compared to the Cd-resistant strain 301N and the Cu-resistant but Cd-sensitive strain X2180-1B of Saccharomyces cerevisiae. Saccharomyces carlsbergensis, Pichia mogii, Zygosaccharomyces rouxii and Kluyveromyces lactis were all Cd-sensitive. The partially Cd-sensitive species, with the exception of S. exiguus, accumulated Cd2+ ions in the cytoplasmic fraction to varying extents. This fraction from S. octosporus included a Cd-binding complex that contained (gamma EC)nG peptides known as cadystins or phytochelatins, while P. farinosa and T. delbrueckii synthesized Cd-binding proteins that were similar to the Cd-metallothionein produced by S. cerevisiae 301N in terms of molecular weight and amino acid composition. These results suggest that such cytoplasmic molecules play a role in the Cd-tolerance of the above three species of yeast. S. exiguus retained most cadmium in the cell wall fraction and no Cd-binding complex was found in the cytoplasm, an indication of the important role of the cell wall in its Cd-tolerance. Different modes of binding of Cd2+ ions appear to be involved in the Cd-resistance of wild-type yeasts and fungi.
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Affiliation(s)
- M Inouhe
- Department of Biology, Faculty of Science, Ehime University, Matsuyama, Japan
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46
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Nakazato Y, Nakata Y, Yasuda M, Yamagami S, Tokano T, Nakazato K, Sumiyoshi M, Ogura S, Yamaguchi H. Idiopathic ventricular fibrillation initiated by a short-coupled ventricular premature beat. Jpn Heart J 1996; 37:265-9. [PMID: 8676554 DOI: 10.1536/ihj.37.265] [Citation(s) in RCA: 3] [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] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
We report the case of a 38-year-old man who had idiopathic ventricular fibrillation (VF) which initiated by abnormally short-coupled ventricular premature beats. VF was successfully prevented by the combination of pilsicainide, propranolol, and verapamil. In particular, the effects of pilsicainide are assumed to exert an important effect in controlling this arrhythmia. Class Ic drugs may be effective for preventing VF initiated by short-coupled VPBs.
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Affiliation(s)
- Y Nakazato
- Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
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Sumiyoshi M, Nakata Y. [Paroxysmal atrial fibrillation, atrial flutter, and atrial flutter-fibrillation]. Ryoikibetsu Shokogun Shirizu 1996:440-3. [PMID: 9047505] [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] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- M Sumiyoshi
- Department of Cardiology, Juntendo University, Izunagaoka Hospital
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Takeuchi M, Nakajima H, Kichi M, Sumiyoshi M, Hata F. [Cyclic GMP and relaxation of rat colonic smooth muscle]. J Smooth Muscle Res 1995; 31:465-7. [PMID: 8867974] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
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49
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Nakazato Y, Nakata Y, Nakazato K, Tokano T, Yasuda M, Ohno Y, Matsumoto Y, Sumiyoshi M, Ogura S, Yamaguchi H. Gender-related differences on signal-averaged electrocardiograms in healthy subjects. Am J Cardiol 1995; 76:1087-8. [PMID: 7484872 DOI: 10.1016/s0002-9149(99)80308-7] [Citation(s) in RCA: 9] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Affiliation(s)
- Y Nakazato
- Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
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Saito J, Sumiyoshi M, Nakatani H, Ikeda M, Hoshiai H, Noda K. Dysplasia and HPV infection initially detected by DNA analysis in cytomorphologically normal cervical smears. Int J Gynaecol Obstet 1995; 51:43-8. [PMID: 8582517 DOI: 10.1016/0020-7292(95)80007-y] [Citation(s) in RCA: 9] [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] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
OBJECTIVE We examined the relationship between the risk of dysplasia and human papillomavirus (HPV) infection initially detected by DNA analysis in Japanese women with cytomorphologically normal cervical smears. METHOD We applied the polymerase chain reaction method to detect HPV DNA in 800 women and subsequently followed up 49 women positive for HPV DNA. RESULTS HPV 16 or HPV 18 DNA was detected in 53 (6.6%) of 800 women with normal smears (negative). During the follow-up period (23 months), the presence of HPV DNA could not be detected in 41 (83.7%) of 49 women after its initial presence. The remaining eight women had repeated HPV DNA, and four of these eight women had lesions that progressed to mild dysplasia. CONCLUSION The results indicated that some women with cytomorphologically normal smears may have HPV DNA which can be transient, and persistence of HPV types 16 or 18 DNA plays an important role in the pathogenesis of cervical dysplasia.
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Affiliation(s)
- J Saito
- Department of Obstetrics and Gynecology, Kinki University Medical School, Osaka, Japan
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