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Kondo A, Tamate M, Nishihara Y, Watanabe Y. Hybrid Train-The-Trainer course for the Fundamental Use of Surgical Energy certificates improves self-confidence in knowledge of surgical energy and develops teaching skills: a feasibility study. Surg Endosc 2024; 38:368-376. [PMID: 37798531 DOI: 10.1007/s00464-023-10422-1] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 08/31/2023] [Indexed: 10/07/2023]
Abstract
BACKGROUND Several well-trained expert instructors who completed the "Train-The-Trainer (TTT)" course are required to disseminate the safe use of surgical energy devices, which can be learned through the Fundamental Use of Surgical Energy (FUSE) program. This study aimed to explore whether the hybrid FUSE TTT course is feasible and effective, which can improve teaching skills of surgical energy. METHODS The hybrid TTT course, which was designed to train FUSE-certified personnel as instructors, comprised three virtual sessions spread over 5 h in total and a 1-day in-person training, followed by a 100-min FUSE electrosurgery hands-on workshop in practice as an instructor. The participants reported on self-confidence regarding knowledge of various energy devices or adverse events before, immediately after, and 6 months after the course. Participants and experienced FUSE instructors assessed the trainees' presentation skills at the beginning of the in-person training and after the hands-on workshop. The primary outcomes were the feasibility and completion rate of the entire course. RESULTS Seventeen participants completed the entire couse; most (94%) were satisfied with the course. Self-confidence in knowledge about various contents improved significantly: the fundamentals of electrosurgery (post, p < 0.001; 6 months, p = 0.01), mechanism and prevention of adverse events (post, p = 0.001; 6 months, p = 0.04), monopolar instruments (post, p = 0.002; 6 months, p = 0.01), bipolar instruments (post, p = 0.01; 6 months, p = 0.06), and integration with other medical devices (post, p = 0.006; 6 months, p = 0.02). The presentation skill index scores of self- and peer assessments improved after the in-person training (self-assessment [pre 44 vs. post 56, p < 0.001], peer assessment [pre 39 vs. post 68, p < 0.001]). CONCLUSIONS The hybrid TTT course can provide FUSE-certified personnel with an improved self-confidence concerning knowledge of surgical energy and improve their presentation skills with midterm retention. This can help build trainees' self-confidence as instructors.
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Affiliation(s)
- Akihiro Kondo
- Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Takamatsu, Kagawa, Japan
| | - Masato Tamate
- Department of Obstetrics and Gynecology, Sapporo Medical University Hospital, Sapporo, Hokkaido, Japan
| | - Yuichi Nishihara
- Department of Surgery, Sassa General Hospital, Nishitokyo, Tokyo, Japan
| | - Yusuke Watanabe
- Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Kita 14 Nishi 7, Kita-ku, Sapporo, Hokkaido, 060-8638, Japan.
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Saqib Z, Bai X, Nishihara Y, Lu J, De Palma G, Bercik P, Collins S. A266 DIET-BASED THERAPIES FOR INTESTINAL DYSFUNCTION INDUCED BY CLOSTRIDIOIDES DIFFICILE INFECTION. J Can Assoc Gastroenterol 2023. [PMCID: PMC9991333 DOI: 10.1093/jcag/gwac036.266] [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: 03/09/2023] Open
Abstract
Background Chronic gut dysfunction occurs in up to 25% of patients following antibiotic-treated C. difficile infection (CDI). We developed a humanized mouse model in which germ free mice colonized with microbiota from patients with severe constipation post-CDI developed slow colonic transit, as a result of damage to the Interstitial Cells of Cajal (ICC) network by pro-inflammatory macrophages. Colonic transit, immune activation and the ICC network normalized after fecal microbiota transplantation using samples from healthy mice, as well after treatment with psyllium fiber. Here we explored the long-term effects of psyllium and evaluated the therapeutic potential of pectin and quercetin in this model. Purpose 1) To investigate the time course of the beneficial effect of psyllium on colonic motility. 2) To explore possible therapeutic properties of flavonoids and pectin. Method Germ-free mice were colonized with microbiota from the post-CDI (PCDI) patient or healthy controls (HC). After 3 weeks, the mice were fed for 4-5 weeks with a control diet or diets with 15% psyllium (PSY), 10% pectin (PCT) or 0.05% quercetin (QCT). To evaluate time course of PSY on motility, control diet was administered for 3-weeks following PSY treatment. The bead expulsion test was used to assess colonic motility. Stool samples were collected for microbial profiling, and short and branched-chain fatty acids (SCFA/BCFA) analysis. Macrophages morphology and counts, and ICC network structure were evaluated by immunohistochemistry. Result(s) Compared to HC microbiota, colonization with post-CDI microbiota induced slow colonic transit in recipient mice, and this was normalized by PSY (n=13; p=0.02). The benefit of PSY was transient as colonic transit slowed following discontinuation of PSY (p=0.001). The changes in colonic transit were paralleled by switch in macrophages phenotype and damage to the ICC network. Additionally, discontinuation of PSY resulted in a return of microbial diversity (p< 0.001), SCFA/BCFA levels (acetic and propionic acid/ iso-butyric and valeric acid) and specific bacterial species abundances, to values seen in untreated mice colonized with post-CDI microbiota. Microbial analysis predicted potential pathways involved in macrophage polarization, including the synthesis of SCFA/BCFA, degradation of inositol and production of acetylglucosamine. PCT also normalized slow intestinal transit in mice colonized with post-CDI microbiota (p=0.003), restored phenotype of infiltrating macrophages, and improved the structural integrity of the ICC network. In contrast, QCT failed to improve gut dysfunction in PCDI mice. Conclusion(s) Our results suggest that the beneficial effects of psyllium in this model are transient. Dietary pectin, but not quercetin, may also serve as a novel treatment strategy to restore colonic motility and immune homeostasis in humans with severe constipation post-CDI. Please acknowledge all funding agencies by checking the applicable boxes below Other Please indicate your source of funding; W. Garfield Weston Foundation Disclosure of Interest None Declared
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Nishihara Y, Zarwa S, Bai X, De Palma G, Collins S, Bercik P. A62 IDENTIFICATION OF SPECIFIC COLONIC DEEP MUSCLE LAYER MACROPHAGES SUBSETS BY THE CD64 (FCΓRI) MARKER. J Can Assoc Gastroenterol 2023. [PMCID: PMC9991297 DOI: 10.1093/jcag/gwac036.062] [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: 03/09/2023] Open
Abstract
Background Although intestinal muscle layer macrophages have been suggested to play an important role in the colonic transit by interacting with the myenteric plexus neurons, they have not been fully characterized. CD64 (FcγRI) is one of the most generally used markers for intestinal macrophages, but several studies suggested existence of a subpopulation of macrophages that lack CD64. In addition, the muscle layer macrophage subsets currently identified are considered to be same in the small intestine and colon, although this has not been formally tested. Purpose In this study, we aim to identify and characterize the subsets of muscle layer macrophages by CD64 marker. We hypothesize that colon specific CD64-macrophages have a different role from CD64+ conventional macrophages. Method The muscle layers of small intestine (ileum) and colon were separated from SPF mice and cells from each muscle layer were analyzed by flow cytometry and fluorescent staining. The muscle layer macrophages were gated withCD45+, F4/80+, CD11b+ and Ly6c-, and analyzed with CD64 and MHCⅡmarkers by flow cytometry. In additional experiments, fluorescent staining with CD64 and F4/80 was assessed in whole-mount tissue of the separated muscle layer. Result(s) Within the macrophage population from the colon muscle layer, we found not only CD64+ cells, a conventional marker of macrophage, but also CD64- cell population (CD45+, F4/80+, CD11b+, Ly6c-). However, in the small intestine, this CD64- cell population was barely detectable. In addition, colonic CD64+ cells had mostly high expression of MHCⅡ marker, while CD64- cells had low expression of MHCⅡ. A similar pattern was found when we examined intestinal and colonic tissues by immunofluorescent staining. Conclusion(s) We identified a colon-specific CD64- subset of macrophage in muscle layer. Additional experiments are needed to characterize their immunomodulatory properties. Please acknowledge all funding agencies by checking the applicable boxes below None Disclosure of Interest None Declared CLIINICAL PRACTICE
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Affiliation(s)
- Y Nishihara
- Medicine, McMaster University, Hamilton, Canada
| | - S Zarwa
- Medicine, McMaster University, Hamilton, Canada
| | - X Bai
- Medicine, Kyushu University, Fuukoka, Japan
| | - G De Palma
- Medicine, McMaster University, Hamilton, Canada
| | - S Collins
- Medicine, McMaster University, Hamilton, Canada
| | - P Bercik
- Medicine, McMaster University, Hamilton, Canada
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Kondo A, Nishihara Y, Sato M, Bilgic E, Watanabe Y. Impact of the fundamental use of surgical energy certification on surgeons' behavior and awareness of safe use of energy devices: a cross-sectional survey research. Surg Endosc 2023; 37:241-247. [PMID: 35922605 DOI: 10.1007/s00464-022-09468-4] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2022] [Accepted: 07/10/2022] [Indexed: 01/18/2023]
Abstract
BACKGROUND The Fundamental Use of Surgical Energy (FUSE) program was established to educate surgeons and trainees to promote awareness and behaviors for the safe use of surgical energy devices. Despite its implementation, the impact of FUSE certification on surgeons' behavior and safety awareness regarding practice of energy devices remains unclear. This study aimed to identify the perceived impact of FUSE certification on surgeons' behavior and awareness regarding the safe use of surgical energy devices. METHODS We performed a descriptive cross-sectional survey study, using non probabilistic purposive sampling, and distributed 22-item web-based questionnaires among all 59 FUSE-certified surgeons in Japan, excluding operating room nurses and medical students. The questionnaire items covered demographics, surgical techniques using various energy devices, changes in behavior and safety awareness, communication with colleagues about surgical energy devices, and educational activities related to energy devices. RESULTS Fifty-seven participants completed the questionnaire (response rate 96.6%). Most surgeons (91.3%) could apply material learned from the FUSE program in practice, especially material related to monopolar electrosurgery. Fifty-six surgeons (98.3%) reported increased awareness of surgical safety, and 35 (61.5%) reported increased communication with operating room personnel about the safe use of energy devices. Moreover, 56 participants (98.3%) indicated a need for systematic education in surgical energy, with participants recommending fellows (94.7% of participants specified that fellows should participate in further education), residents (75.4%), and attending surgeons (63.2%) as the target recipients of this training. Conclusions After FUSE certification, not only did surgeons' knowledge increase, but their energy-related surgical techniques in practice also improved. Furthermore, FUSE-certified surgeons felt that they were more aware of surgical-energy safety and were dedicated to its promotion.
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Affiliation(s)
- Akihiro Kondo
- Department of Gastroenterological Surgery, Faculty of Medicine, Kagawa University, Takamatsu, Japan
| | - Yuichi Nishihara
- Department of Surgery, Sassa General Hospital, Nishitokyo, Japan
| | - Miho Sato
- Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan
| | - Elif Bilgic
- Department of Experimental Surgery, McGill University, Montreal, Canada.,Department of Pediatrics, McMaster University, Hamilton, Canada
| | - Yusuke Watanabe
- Clinical Research and Medical Innovation Center, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan. .,Center for Medical Device Development, Institute of Health Science Innovation for Medical Care, Hokkaido University Hospital, Sapporo, Japan. .,Department of Gastroenterological Surgery II, Faculty of Medicine, Hokkaido University, Kita 14 Nishi 7 Kita-ku, Sapporo, 060-8638, Japan.
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Nishihara Y, Asami M, Shimada T, Kawaguchi Y, Omoto K. Comorbid rectus abdominis diastasis is a risk factor for recurrence of umbilical hernia in Japanese patients. Asian J Endosc Surg 2021; 14:368-372. [PMID: 33084230 DOI: 10.1111/ases.12868] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Revised: 08/14/2020] [Accepted: 08/31/2020] [Indexed: 12/16/2022]
Abstract
INTRODUCTION Rectus abdominis diastasis (RAD) is characterized by thinning and widening of the linea alba and laxity of the ventral abdominal muscle. RAD, when coexistent with umbilical hernia, is considered a risk factor for hernia recurrence. We investigated the impact of comorbid RAD in patients with umbilical hernia who had undergone hernia repair. METHODS We enrolled 30 patients who had undergone umbilical hernia repair using either a laparoscopic or anterior approach between April 2006 and May 2018. We diagnosed RAD according to preoperative CT. The outcomes of patients with umbilical hernia, the RAD group, and the non-RAD group were compared, especially in terms of recurrence. RESULTS Twenty-five patients (83%) presented with RAD, including three patients (12%) with postoperative recurrence who were allocated to the RAD group. The median BMI in the RAD group was 27.2 kg/m2 . In the RAD group, a prosthesis mesh was used in 12 patients (48%), and nonabsorbable suture material was used in four patients (16%). There was no statistically significant difference between the two groups in terms of age, hernial orifice diameter, surgical technique, or operative time. CONCLUSION The rate of comorbid umbilical hernia in Japanese patients with RAD was high, as was the recurrence rate of umbilical hernia. We strongly recommend preoperative detection of RAD. We also recommend mesh-based repair of the midline and nonabsorbable suture material to decrease the recurrence rate, irrespective of hernia size.
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Affiliation(s)
- Yuichi Nishihara
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Toyko, Japan
| | - Momoko Asami
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Toyko, Japan
| | - Takehiro Shimada
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Toyko, Japan
| | - Yoshiki Kawaguchi
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Toyko, Japan
| | - Kenichiro Omoto
- Emergency and Critical Care, National Hospital Organization, Tokyo Medical Center, Toyko, Japan
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Affiliation(s)
- Satoshi Kinoshita
- Department of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
- Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan
| | - Yuichi Nishihara
- Department of Surgery, National Hospital Organization Tokyo Medical Center, Tokyo, Japan
| | - Hideki Mori
- Department of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
- Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan
| | - Toshihiro Nishizawa
- Department of Gastroenterology and Hepatology, Keio University School of Medicine, Tokyo, Japan
- Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, Tokyo, Japan
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Tominaga E, Fukatsu K, Nishihara Y, Murakoshi S, Ri M, Watanabe T, Noguchi M, Yamada N, Ohnawa M, Yasuhara H. SUN-P068: Ionization of Magnesium Occurs in Small Intestinal Lumen without Gastric Acid inflow in Mice. Clin Nutr 2017. [DOI: 10.1016/s0261-5614(17)30559-9] [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: 11/29/2022]
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Omoto K, Nishihara Y, Kawaguchi Y, Urakami H, Seki S, Ohishi T, Isobe Y, Matsumoto S. Laparoscopic orchidopexy with transabdominal preperitoneal hernia repair in an adult. Asian J Endosc Surg 2017; 10:325-327. [PMID: 28233437 DOI: 10.1111/ases.12366] [Citation(s) in RCA: 3] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2016] [Revised: 01/09/2017] [Accepted: 01/18/2017] [Indexed: 11/30/2022]
Abstract
We report an adult who underwent laparoscopic orchidopexy and transabdominal preperitoneal hernia repair. The patient was a 53-year-old man who was referred to our hospital for a bulge and pain in his left inguinal area. An abdominal CT scan revealed that the greater omentum was incarcerated in a left inguinal hernia. The patient underwent emergency laparoscopic surgery immediately. After reduction, he was diagnosed with bilateral cryptorchidism and inguinal hernia. After adequate mobilization, pneumoperitoneum was discontinued, and orchidopexy was performed with the Lichtenstein tension-free hernioplasty. One month later, the patient underwent elective laparoscopic orchidopexy with transabdominal preperitoneal hernia repair on his right side. The patient's postoperative course has been uneventful, with no evidence of hernia recurrence to date. This procedure is safe and may be an option for adult patients who desire testis preservation. This may be the first report of laparoscopic hernia repair with orchidopexy.
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Affiliation(s)
- Kenichiro Omoto
- Departments of Emergency and Critical Care, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Yuichi Nishihara
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Yoshiki Kawaguchi
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Hidejiro Urakami
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Shiko Seki
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Takashi Ohishi
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Yoh Isobe
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Sumio Matsumoto
- Departments of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
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Nishihara Y, Isobe Y, Kitagawa Y. Validation of newly developed physical laparoscopy simulator in transabdominal preperitoneal (TAPP) inguinal hernia repair. Surg Endosc 2017; 31:5429-5435. [PMID: 28593409 DOI: 10.1007/s00464-017-5614-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [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: 11/13/2016] [Accepted: 05/16/2017] [Indexed: 11/25/2022]
Abstract
BACKGROUND A realistic simulator for transabdominal preperitoneal (TAPP) inguinal hernia repair would enhance surgeons' training experience before they enter the operating theater. The purpose of this study was to create a novel physical simulator for TAPP inguinal hernia repair and obtain surgeons' opinions regarding its efficacy. METHODS Our novel TAPP inguinal hernia repair simulator consists of a physical laparoscopy simulator and a handmade organ replica model. The physical laparoscopy simulator was created by three-dimensional (3D) printing technology, and it represents the trunk of the human body and the bendability of the abdominal wall under pneumoperitoneal pressure. The organ replica model was manually created by assembling materials. The TAPP inguinal hernia repair simulator allows for the performance of all procedures required in TAPP inguinal hernia repair. Fifteen general surgeons performed TAPP inguinal hernia repair using our simulator. Their opinions were scored on a 5-point Likert scale. RESULTS All participants strongly agreed that the 3D-printed physical simulator and organ replica model were highly useful for TAPP inguinal hernia repair training (median, 5 points) and TAPP inguinal hernia repair education (median, 5 points). They felt that the simulator would be effective for TAPP inguinal hernia repair training before entering the operating theater. All surgeons considered that this simulator should be introduced in the residency curriculum. CONCLUSIONS We successfully created a physical simulator for TAPP inguinal hernia repair training using 3D printing technology and a handmade organ replica model created with inexpensive, readily accessible materials. Preoperative TAPP inguinal hernia repair training using this simulator and organ replica model may be of benefit in the training of all surgeons. All general surgeons involved in the present study felt that this simulator and organ replica model should be used in their residency curriculum.
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Affiliation(s)
- Yuichi Nishihara
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.
| | - Yoh Isobe
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan
| | - Yuko Kitagawa
- Department of Surgery, Keio University School of Medicine, Tokyo, 160-8582, Japan
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Mori N, Nishihara Y, Tayama H, Higuchi A, Aoki Y. Peripherally inserted central catheter-related bloodstream infection caused by Kocuria marina in an elderly man. Infection 2017; 45:683-686. [PMID: 28102479 DOI: 10.1007/s15010-017-0980-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2016] [Accepted: 01/07/2017] [Indexed: 12/26/2022]
Abstract
BACKGROUND Kocuria species are Gram-positive, aerobic cocci, and members of the Micrcoccaceae family that are known to be opportunistic pathogens. Although there have been sporadic reports of infections caused by Kocuria species, little is known regarding their human pathogenicity and clinical characteristics. CASE REPORT We herein report a case of a peripherally inserted central catheter (PICC)-related bloodstream infection caused by Kocuria marina in a 90-year-old Japanese with multiple cancer. The patient, who was admitted due to adhesive intestinal obstruction, suddenly developed sepsis on day 29 following admission. Three sets of blood cultures and a culture of the PICC tip revealed the growth of Gram-positive cocci arranged in clusters. The patient improved quickly after treatment with an antimicrobial agent and catheter removal. The organism was identified as Kocuria varians using the MicroScan Walkaway system and K. varians/Kocuria rosea with a 99.7% probability using an API Staph system. However, 16S rRNA gene sequencing analysis identified the pathogen as K. marina. CONCLUSION Although K. marina is a rare pathogen, physicians should consider it in case of catheter-related infections in patients with serious underlying conditions. As commercial identification systems can misidentify species within the Kocuria genus, the use of genomic methods such as 16S rRNA sequencing and matrix-assisted laser desorption/ionization time-of-flight mass spectrometry may be useful for the precise identification of Kocuria to the species level.
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Affiliation(s)
- Nobuaki Mori
- Department of General Internal Medicine, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.
| | - Yuichi Nishihara
- Department of Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan
| | - Hideki Tayama
- Department of Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan
| | - Akiko Higuchi
- Department of Clinical Laboratory, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan
| | - Yasuko Aoki
- Department of General Internal Medicine, National Hospital Organization Tokyo Medical Center, 2-5-1 Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan
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Nishihara Y, Kawaguchi Y, Urakami H, Seki S, Ohishi T, Isobe Y, Matsumoto S. Gastric volvulus with a large bochdalek hernia in an adult successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair: A case study. Asian J Endosc Surg 2016; 9:318-321. [PMID: 27456780 DOI: 10.1111/ases.12309] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2016] [Revised: 06/07/2016] [Accepted: 06/12/2016] [Indexed: 11/28/2022]
Abstract
We report a case of gastric volvulus with a large Bochdalek hernia successfully treated with emergency endoscopic reduction followed by elective laparoscopic mesh repair. The patient was a 71-year-old woman with no history of trauma. She was referred to our hospital because of nausea and vomiting after eating. Thoracic and abdominal CT showed gastric volvulus and a large Bochdalek hernia. The patient underwent emergency endoscopic reduction and elective laparoscopic surgery. The defect (10 × 12 cm) was reinforced with a Dual Mesh (expanded polytetrafluoroethylene) and fixed to the diaphragm with nonabsorbable sutures. The postoperative course was uneventful, and no complications or recurrence was found at the 2-year follow-up. The endoscopic reduction and elective laparoscopic procedure was performed successfully and resulted in significant clinical improvement in this case.
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Affiliation(s)
- Yuichi Nishihara
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan.
| | - Yoshiki Kawaguchi
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Hidejiro Urakami
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Shiko Seki
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Takashi Ohishi
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Yoh Isobe
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
| | - Sumio Matsumoto
- Department of Surgery, National Hospital Organization, Tokyo Medical Center, Tokyo, Japan
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Tominaga E, Fukatsu K, Nishihara Y, Murakoshi S, Ri M, Watanabe T, Noguchi M, Yamada N, Ohnawa M, Yasuhara H. SUN-P055: Magnesium Oxide (MGO) Maintains Laxative Effects in Mice Treated with Proton Pump Inhibitor or H2 Blocker. Clin Nutr 2016. [DOI: 10.1016/s0261-5614(16)30398-3] [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: 11/28/2022]
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Abstract
AbstractA new contact type linear image sensor, which has 8.5 inches in length and 300 dot/inch, has been developed. By using a thin film transistor (TFT) array as a switching device, it requires only one IC chip compared with 20 ICs in conventional sensor.The new sensor integrates a-Si:H photodiode (PD) array, a-Si:H TFT array, multiplex circuits and an analog multiplexer on a single substrate. The TFT has an inverted staggered structure and amorphous silicon nitride (SiNx) is used as a gate insulator. The PD has a Cr/a-Si:H/ITQ sandwich structure and each PD is completely isolated by photolithography. In the multiplex circuits, a ground line is inserted between each signal line to reduce a capacitive coupling between them.A new custom LSI has also been developed. It has 64-ch input terminals to detect small signal with amplification and 41-ch output terminals to control the gates of TFT array. The sensor with the new LSI has achieved 2MHz clock frequency operation and proved to be used as a high speed device.
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Okunishi J, Miura T, Yagi T, Nagahara H, Tsujitani K, Matsuse H, Nishihara Y, Seto M, Ikeda M. P14.13 In vitro and in vivo evaluations of a novel alcohol-based hand rub, MR09B13. J Hosp Infect 2010. [DOI: 10.1016/s0195-6701(10)60163-6] [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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Mintcheva N, Mitewa M, Enchev V, Nishihara Y. New Stable Complexes of Au(III) with Biuret: X-ray Structure of cis-[Au(Biu)Br2]PPh4 and Ab Initio Investigation of cis-[Au(Biu)X2]−. J COORD CHEM 2010. [DOI: 10.1080/0095897031000069049] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- N. Mintcheva
- a Institute of Catalysis , Bulgarian Academy of Sciences , Sofia, 1113, Bulgaria
| | - M. Mitewa
- b Department of Chemistry , University of Sofia , 1, J. Bourchier av., Sofia, 1164, Bulgaria
| | - V. Enchev
- c Institute of Organic Chemistry , Bulgarian Academy of Sciences , Sofia, 1113, Bulgaria
| | - Y. Nishihara
- d Chemical Resources Laboratory , Tokyo Institute of Technology , 4259 Nagatsuta, Midori-ku, Yokohama, 226-8503, Japan
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Funakoshi K, Higo Y, Nishihara Y. High-pressure two-dimensional angle-dispersive x-ray diffraction measurement system using a Kawai-type multianvil press at SPring-8. ACTA ACUST UNITED AC 2010. [DOI: 10.1088/1742-6596/215/1/012027] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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17
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Kawanaka H, Yokoyama M, Noguchi A, Bando H, Nishihara Y. Itinerant electron magnetism in CaRu(1-x)Mn(x)O(3) (0 ≤ x ≤ 0.5). J Phys Condens Matter 2009; 21:296002. [PMID: 21828541 DOI: 10.1088/0953-8984/21/29/296002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
The effect of Mn substitution in paramagnetic metal CaRuO(3) was studied by magnetization and neutron diffraction measurements. Development of ferromagnetic order is observed for x≥0.2 in CaRu(1-x)Mn(x)O(3). For the sample with x = 0.4, the Curie temperature of ∼160 K is obtained from the Arrott plot and the ratio of effective moment and saturation moment P(eff)/M(0) is estimated to be ∼4.8. We further found that the magnetization is significantly suppressed with decreasing temperature T below ∼90 K. In the neutron diffraction experiment at T = 15 K, we observed the evolution of a magnetic Bragg peak originating from the G-type antiferromagnetic order as well as the ferromagnetic one. This strongly suggests that both ferromagnetic and antiferromagnetic states are coexistent with each other at low temperatures. In the M(T)(0)(2) against T(2) plot (here, M(T)(0) is a spontaneous magnetization estimated from the Arrott plot), M(T)(0)(2) linearly increases with decreasing T(2) in the ferromagnetic region between ∼90 and 160 K. The ferromagnetic properties of the CaRu(1-x)Mn(x)O(3) system (x≤0.5) are well explained in terms of spin fluctuation theory based on the itinerant electron model rather than the localized spin model.
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Affiliation(s)
- H Kawanaka
- National Institute of Advanced Industrial Science and Technology, Tsukuba, Ibaraki 305-8568, Japan
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18
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Chockalingam SP, Sarangi S, Bhat SV, Oka K, Nishihara Y. A new behaviour of ac losses in superconducting Bi(2)Sr(2)CaCu(2)O(8) single crystals. J Phys Condens Matter 2009; 21:045704. [PMID: 21715822 DOI: 10.1088/0953-8984/21/4/045704] [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] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A new ac loss behaviour is observed in the superconducting state of Bi(2)Sr(2)CaCu(2)O(8) single crystals using a novel technique of measuring dissipation at radio frequencies. It is found that the ac loss in the superconducting state is larger than that in the normal state. This counter-intuitive result is explained in terms of the cumulative effect of repetitive decoupling of intrinsic Josephson junctions in the crystals and analysed in the framework of Ambegaokar-Baratoff theory. The ac losses are studied as a function of temperature, rf amplitude and magnetic field applied at different orientations. A peak in ac losses is observed in the superconducting state along the temperature scale. The amplitude of the peak decreases and shifts towards lower temperature with increasing field and also when the field orientation with respect to the c axis of the crystal changes from the perpendicular to parallel direction. The origin of the peak and its behaviour are discussed in the context of coupling energy of Josephson junctions present in the sample. In the presence of a magnetic field another peak in ac losses arises at temperatures close to T(c), which is associated with the Lorentz-force-driven motion of vortices.
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Affiliation(s)
- S P Chockalingam
- Department of Physics, Indian Institute of Science, Bangalore 560012, India
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19
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Kageshima M, Nishihara Y, Hirata Y, Inoue T, Naitoh Y, Sugawara Y, Tokuyama M, Oppenheim I, Nishiyama H. Viscoelasticity and Dynamics of Single Biopolymer Chain Measured with Magnetically Modulated Atomic Force Microscopy. ACTA ACUST UNITED AC 2008. [DOI: 10.1063/1.2897846] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
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20
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Aishima S, Kuroda Y, Nishihara Y, Taguchi K, Taketomi A, Maehara Y, Tsuneyoshi M. Gastric mucin phenotype defines tumour progression and prognosis of intrahepatic cholangiocarcinoma: gastric foveolar type is associated with aggressive tumour behaviour. Histopathology 2006; 49:35-44. [PMID: 16842244 DOI: 10.1111/j.1365-2559.2006.02414.x] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.6] [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: 01/07/2023]
Abstract
AIMS To identify the role of mucus core protein (MUC) in intrahepatic cholangiocarcinoma (ICC). METHODS AND RESULTS We examined the expression profile of MUC2, MUC5AC and MUC6 by immunohistochemical staining in 100 ICCs and compared the clinicopathological factors and the immunohistochemical results. The expression frequency was: MUC2, 9%; MUC5AC, 40%; and MUC6, 21%. According to the gastric mucin expression profile, ICCs were classified into the following groups: null type (n = 43), gastric foveolar type (n = 36), pyloric gland type (n = 11) and gastric combined type (n = 10). Half of the gastric foveolar type and the gastric combined type were located in the hilar region, but the other types were predominant at the periphery (P = 0.0004). Well-differentiated components were more often detected in the gastric combined type and the pyloric gland type (P = 0.0281). The gastric foveolar type was associated with a higher incidence of lymph node metastasis (P < 0.0001). The pyloric gland type was associated with better survival and the gastric foveolar type was associated with worse survival. The gastric mucin phenotype was an independent prognostic factor by multivariate survival analysis. CONCLUSION The gastric foveolar type of ICC was more often associated with aggressive tumour development, whereas the pyloric gland type exhibited less aggressive behaviour.
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Affiliation(s)
- S Aishima
- Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
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21
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Aiura Y, Hase I, Bando H, Yagi-Watanabe K, Ozawa K, Iwase T, Nishihara Y, Shiino O, Oshima M, Kubota M, Ono K. Ta 5d band symmetry of 1T-TaS1.2Se0.8 in the commensurate charge-density-wave phase. Phys Rev Lett 2003; 91:256404. [PMID: 14754133 DOI: 10.1103/physrevlett.91.256404] [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] [Subscribe] [Scholar Register] [Received: 09/01/2003] [Indexed: 05/24/2023]
Abstract
We present a detailed angle-resolved photoemission study on the layered transition-metal dichalcogenide 1T-TaS1.2Se0.8 in the commensurate charge-density-wave (CDW) phase. A drastic reduction in the spectral weight along the high symmetry line GammaM, particularly around the point M, is observed when s-polarized light was used. This implies that the initial state must be symmetric with respect to a mirror plane perpendicular to the line GammaK, which is consistent with conventional band calculations in the absence of the CDW. We conclude that there is only a limited amount of modification of the electronic structure of 1T-TaS1.2Se0.8 in the commensurate CDW phase due to the CDW-related potential.
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Affiliation(s)
- Y Aiura
- National Institute of Advanced Industrial Science and Technology, Tsukuba, Ibaraki 305-8568, Japan.
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Kanaoka E, Takahashi K, Yoshikawa T, Jizomoto H, Nishihara Y, Hirano K. A novel and simple type of liposome carrier for recombinant interleukin-2. J Pharm Pharmacol 2001; 53:295-302. [PMID: 11291744 DOI: 10.1211/0022357011775523] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The strong interaction between recombinant interleukin-2 (IL-2) and liposome was characterized and its possible application to drug-delivery control considered. The liposomes were prepared with egg phosphatidylcholine, distearoyl-phosphatidylglycerol (DSPG), dipalmitoyl-phosphatidylcholine, dipalmitoyl-phosphatidylglycerol or distearoyl-phosphatidylcholine (DSPC). Small and hydrophobic liposomes were selected, which were composed of saturated and long-fatty-acid-chain phospholipids. When the composition and the mixture ratio of IL-2 and the liposomewere optimized, morethan 95% ofthe lyophilized IL-2 (Imunace, 350000 JRU) was adsorbed consistently onto the DSPC-DSPG liposome (molar ratio, 10:1; 25 micromol mL(-1); 30 nm in size). Merely mixing IL-2 lyophilized with liposome suspension is convenient pharmaceutically. After intravenous administration to mice, liposomal IL-2 was eliminated half as slowly from the systemic circulation as free IL-2, with more than 13 and 18 times more IL-2 being delivered to the liver and spleen, respectively. After subcutaneous administration of liposomal IL-2 to mice, the mean residence time of IL-2 in the systemic circulation was 8 times that of free IL-2. These results show that IL-2 consistently adsorbs onto the surface of liposomes after optimization of its composition and mixing ratio. Intravenous and subcutaneous administration to mice demonstrates the gradual release of IL-2. Further trials are warranted using these liposomes.
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Affiliation(s)
- E Kanaoka
- Formulation Research & Development Laboratories, Shionogi & Co Ltd. Osaka, Japan.
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25
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26
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Nishihara Y, Tsujii E, Yamagishi Y, Sakamoto K, Tsurumi Y, Furukawa S, Ohtsu R, Kino T, Hino M, Yamashita M, Hashimoto S. FR198248, a new anti-influenza agent isolated from Apsergillus terreus No 13830. I. Taxomony, fermentation, isolation, physico-chemical properties and biological activities. J Antibiot (Tokyo) 2001; 54:136-43. [PMID: 11302485 DOI: 10.7164/antibiotics.54.136] [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: 11/21/2022]
Abstract
A novel anti-influenza agent, FR198248, was isolated from the cultured broth of a fungal strain No.13830. The strain was identified as Aspergillus terreus from morphological characteristics. FR198248, a new type of hydroxyl benzaldehyde compound, showed antiinfluenza virus activity in Madin-Darby canine kidney (MDCK) cells in vitro. The mode of action of FR198248 against influenza virus A could be ascribed to an inhibitory effect on the stage of virus adsorption. Furthermore, FR198248 possessed potent in vivo anti-influenza activity in a murine model of respiratory tract infection.
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Affiliation(s)
- Y Nishihara
- Fermentation Development Laboratories, Fujisawa Pharmaceutical Co., Ltd., Aichi, Japan.
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27
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Nishihara Y, Takase S, Tsujii E, Hatanaka H, Hashimoto S. New Anti-influenza Agents, FR198248 and Its Derivatives. II. Characterization of FR198248, Its Related Compounds and Some Derivatives. J Antibiot (Tokyo) 2001; 54:297-303. [PMID: 11372786 DOI: 10.7164/antibiotics.54.297] [Citation(s) in RCA: 11] [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] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
We isolated FR198248 from the cultured broth of Aspergillus terreus No. 13830 as a new anti-influenza agents. The structure of FR198248 was elucidated by several spectroscopic experiments as a novel tetrahydroxybenzaldehyde compound. Furthermore, we described the characteristics of FR198248, its related compounds and some derivatives.
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Affiliation(s)
- Y Nishihara
- Fermentation Development Laboratories, Fujisawa Pharmaceutical Co, Ltd, Aichi, Japan.
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Nishihara Y, Tsujii E, Takase S, Tsurumi Y, Kino T, Hino M, Yamashita M, Hashimoto S. FR191512, a novel anti-influenza agent isolated from a fungus strain No.17415. I. Taxonomy, fermentation, isolation, physico-chemical properties and structure elucidation. J Antibiot (Tokyo) 2000; 53:1333-40. [PMID: 11217797 DOI: 10.7164/antibiotics.53.1333] [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] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
In the course of our screening for anti-influenza agents of microbial origin, FR191512 was isolated from the cultured broth of fungus strain No. 17415 as colorless powder. The structure of FR191512 was determined by several spectroscopic experiments as a novel polyphenolic compound. This compound showed potent antiviral activity against influenza A virus.
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Affiliation(s)
- Y Nishihara
- Fermentation Development Laboratories, Fujisawa Pharmaceutical Co, Ltd, Aichi, Japan
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Nishihara Y, Tsujii E, Yamagishi Y, Kino T, Hino M, Yamashita M, Hashimoto S. FR191512, a novel anti-influenza agent isolated from a fungus strain No.17415. II. Biological properties. J Antibiot (Tokyo) 2000; 53:1341-5. [PMID: 11217798 DOI: 10.7164/antibiotics.53.1341] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
FR191512, a novel polyphenolic compound, inhibited the infectivity of influenza A virus in Madin-Darby canine kidney (MDCK) cells in vitro. Furthermore, FR191512 showed good in vivo anti-influenza activity in a mouse model of intranasal infection with influenza A virus. The cytotoxic activity of FR191512 against MDCK cells was very weak.
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Affiliation(s)
- Y Nishihara
- Fermentation Development Laboratories, Fujisawa Pharmaceutical Co, Ltd, Nishikasugai-gun, Aichi, Japan
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Mori A, Kawashima J, Shimada T, Suguro M, Hirabayashi K, Nishihara Y. Non-Sonogashira-type palladium-catalyzed coupling reactions of terminal alkynes assisted by silver(I) oxide or tetrabutylammonium fluoride. Org Lett 2000; 2:2935-7. [PMID: 10986076 DOI: 10.1021/ol0061586] [Citation(s) in RCA: 119] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Palladium-catalyzed reaction of aryl and alkenyl halides with terminal alkynes in the presence of silver(I) oxide as an activator furnishes various arylated or alkenylated alkynes in good to excellent yields. The similar coupling reaction is also found to proceed using tetrabutylammonium fluoride (TBAF) or tetrabutylammonium hydroxide (TBAOH) as an activator.
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Affiliation(s)
- A Mori
- Chemical Resources Laboratory, Tokyo Institute of Technology, Nagatsuta, Yokohama 226-8503, Japan.
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31
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Miyase T, Sano M, Nakai H, Muraoka M, Nakazawa M, Suzuki M, Yoshino K, Nishihara Y, Tanai J. Antioxidants from Lespedeza homoloba. (I). Phytochemistry 1999; 52:303-310. [PMID: 10513403 DOI: 10.1016/s0031-9422(99)00195-8] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
The stems of Lespedeza homoloba yielded eight new and three known phenolic compounds. Their structures have been elucidated on the basis of their spectral data. These compounds had strong antioxidative activity against lipid peroxidation in the rat brain homogenate test. 3,9-Dihydroxypterocarp-6a-en and lespedezol A2 showed significant antiallergic activity in allergic (type I) mice.
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Affiliation(s)
- T Miyase
- School of Pharmaceutical Sciences, University of Shizuoka, Japan.
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Abstract
A novel method was developed for the determination of the entrapped volume of liposomes. The obtained values of the entrapped volume by our "dilution method" agreed very well with those of the conventional "quenching method." The dilution method also offered the great advantages of simple procedure and high reproducibility. The principle and validity of our method are discussed.
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Affiliation(s)
- K Kawakami
- Formulation R & D Laboratories, Shionogi & Co., Ltd., 12-4 Sagisu 5-chome, Fukushima-ku, Osaka, 553-0002, Japan.
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Kawakami K, Nishihara Y, Hirano K. Compositional Homogeneity of Liposomal Membranes Investigated by Capillary Electrophoresis. J Colloid Interface Sci 1998; 206:177-180. [PMID: 9761641 DOI: 10.1006/jcis.1998.5713] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Capillary electrophoresis has been demonstrated to be a new powerful tool for investigating the compositional homogeneity of liposomal membranes composed of phospholipids and guest molecules. In the case of charged components distributed heterogeneously on membranes, electropherograms show several distinguishable peaks even with monodisperse size distributions of liposomes because each liposomal particle carries a different amount of charge. The heterogeneity of noncharged components, when the lipids and the guest components have significantly different molar absorptivities at two different wavelengths, can also be judged from the signal ratio observed at the two wavelengths using a photodiode array detector. This new method can be used for the quality control of liposomal products. Copyright 1998 Academic Press.
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Affiliation(s)
- K Kawakami
- Formulation Research & Development Laboratories, Shionogi & Company, Ltd., 12-4 Sagisu 5-chome, Osaka, Fukushima-ku, 553-0002, Japan
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Yoshida-Minami I, Suzuki A, Kawabata K, Okamoto A, Nishihara Y, Minami T, Nagashima S, Morisaki I, Ooshima T. Alveolar bone loss in rats infected with a strain of Prevotella intermedia and Fusobacterium nucleatum isolated from a child with prepubertal periodontitis. J Periodontol 1997; 68:12-7. [PMID: 9029446 DOI: 10.1902/jop.1997.68.1.12] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Prevotella intermedia and fusobacterium nucleatum are associated with various forms of periodontal disease. The purpose of the present study was to infect the clinical isolates of these periodontopathic bacteria and to induce a significant loss of alveolar bone in specific pathogen-free (SPF) rats in the absence of ligatures. P. intermedia YKD8 and F. nucleatum YKZ5 were isolated from a prepubertal periodontitis patient, while P. gingivalis MWB13 was from a patient with juvenile periodontitis. At first, SPF Sprague-Dawley rats (70 days of age, male) were infected with A. viscosus Ny1R and subsequently superinfected with P. gingivalis MWB13, P. intermedia YKD8, or F. nucleatum YKZ5, respectively. The control group was infected with A. viscosus Ny1R alone. All rats were killed and periodontal bone levels were assessed morphometrically 135 days after the first infection with A. viscosus. P. intermedia YKD8 was recovered frequently from rats, with serum antibody levels remaining highly elevated throughout the experiment. Significant loss of alveolar bone was found in rats infected with P. intermedia YKD8, the virulence of which was equivalent to that of P. gingivalis MWB13. F. nucleatum YKZ5 also induced alveolar bone loss, but not significantly when compared with rats infected with A. viscosus Ny1R alone.
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Affiliation(s)
- I Yoshida-Minami
- Clinical Division of Dentistry for the Disabled, Osaka University Dental Hospital, Japan
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Abstract
This study examined the association of scores for ego strength with the scores on a measure of alexithymia and with depressive symptoms in two samples of 260 college students and 92 psychiatric outpatients. In both samples, scores on alexithymia were significantly correlated with those for depressive symptoms; however, correlations became nonsignificant when scores for ego strength were controlled for. The results suggest that the association between alexithymia scores and depressive symptoms is decreased by lower scores for ego strength.
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Bianconi A, Saini NL, Rossetti T, Lanzara A, Perali A, Missori M, Oyanagi H, Yamaguchi H, Nishihara Y, Ha DH. Stripe structure in the CuO2 plane of perovskite superconductors. Phys Rev B Condens Matter 1996; 54:12018-12021. [PMID: 9985057 DOI: 10.1103/physrevb.54.12018] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Fukunishi I, Kaji N, Nakagawa T, Nakamura H, Kikuchi M, Takubo M, Nishihara Y. An investigation of the psychometric properties of the 26 item Toronto Alexithymia Scale in a Japanese culture. Psychol Rep 1996; 79:555-62. [PMID: 8909083 DOI: 10.2466/pr0.1996.79.2.555] [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] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
We investigated the psychometric properties of the Japanese version of the 26 item Toronto Alexithymia Scale in a Japanese culture, testing a sample of 1,008. The validity and reliability of this Japanese version were suggested by significant correlations with the Beth Israel Hospital Psychosomatic Questionnaire and estimates to test-retest and internal consistency. These results suggest that this version may be suitable for Japanese populations. Although alexithymia scores were correlated negatively with increasing age, the result, based on the large sample, seems to be of minimal significance.
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Zou Z, Horiuchi H, Oka K, Nishihara Y. Synthesis, structure and properties of Ba 2Cu 3Cl 2O 4. Acta Crystallogr A 1996. [DOI: 10.1107/s0108767396079020] [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: 11/10/2022] Open
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Rozenberg MJ, Inoue IH, Makino H, Iga F, Nishihara Y. Low frequency spectroscopy of the correlated metallic system CaxSr1 -xVO3. Phys Rev Lett 1996; 76:4781-4784. [PMID: 10061379 DOI: 10.1103/physrevlett.76.4781] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Inoue IH, Makino H, Aiura Y, Hase I, Maeno Y, Haruyama Y, Nishizaki S, Fujita T, Nishihara Y. Spectral weight redistribution in Ca1−x Sr x VO3 and Sr2RuO4. ACTA ACUST UNITED AC 1996. [DOI: 10.1007/bf02570336] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Rastogi A, Sudershan YS, Bhat SV, Grover AK, Yamaguchi Y, Oka K, Nishihara Y. Nonresonant microwave absorption study of intrinsic Josephson coupling in Bi2Sr2CaCu2O8 single crystals. Phys Rev B Condens Matter 1996; 53:9366-9370. [PMID: 9982440 DOI: 10.1103/physrevb.53.9366] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Haruyama Y, Kodaira S, Aiura Y, Bando H, Nishihara Y, Maruyama T, Sakisaka Y, Kato H. Angle-resolved photoemission study of SrTiO3 (100) and (110) surfaces. Phys Rev B Condens Matter 1996; 53:8032-8035. [PMID: 9982260 DOI: 10.1103/physrevb.53.8032] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Nakashima H, Ichiyama K, Inazawa K, Ito M, Hayashi H, Nishihara Y, Tsujii E, Kino T. FR901724, a novel anti-human immunodeficiency virus (HIV) peptide produced by Streptomyces, shows synergistic antiviral activities with HIV protease inhibitor and 2',3'-dideoxynucleosides. Biol Pharm Bull 1996; 19:405-12. [PMID: 8924910 DOI: 10.1248/bpb.19.405] [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: 02/03/2023]
Abstract
A novel tricyclic 21-amino-acid peptide, FR901724, was isolated from the cultured broth of Streptomyces sp. No. 73264. This peptide appears to possess potent anti-human immunodeficiency virus (HIV) activity in vitro and might represent a lead to a new class of anti-HIV agents; it qualifies as an HIV-cell fusion inhibitor because of its weak inhibition of virus-cell binding and strong inhibition of syncytium formation. From the time-of-addition experiments, the mode of action of FR901724 was found to definitely differ from that of KNI-272, a peptide mimetic allophenylnorstatine-derivative HIV protease inhibitor. FR901724 appears to interact with a stage of the virus replicative cycle that may well correspond to virus-cell fusion. We also found that FR901724 was synergistic or had a strong tendency toward synergism when combined with other antiviral drugs, such as KNI-272, AZT, ddI and dextran sulfate.
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Affiliation(s)
- H Nakashima
- Department of Microbiology, Yamanashi Medical University, Japan
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Morikawa K, Mizokawa T, Kobayashi K, Fujimori A, Eisaki H, Uchida S, Iga F, Nishihara Y. Spectral weight transfer and mass renormalization in Mott-Hubbard systems SrVO3 and CaVO3: Influence of long-range Coulomb interaction. Phys Rev B Condens Matter 1995; 52:13711-13714. [PMID: 9980570 DOI: 10.1103/physrevb.52.13711] [Citation(s) in RCA: 55] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Iga F, Grover AK, Yamaguchi Y, Nishihara Y, Goyal N, Bhat SV. Irreversibility line and the hierarchy of weak links in Bi2Sr2CaCu2O8+ Delta. Phys Rev B Condens Matter 1995; 51:8521-8528. [PMID: 9977467 DOI: 10.1103/physrevb.51.8521] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2023]
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Inoue IH, Hase I, Aiura Y, Fujimori A, Haruyama Y, Maruyama T, Nishihara Y. Systematic development of the spectral function in the 3d1 Mott-Hubbard system Ca1-xSrxVO3. Phys Rev Lett 1995; 74:2539-2542. [PMID: 10057953 DOI: 10.1103/physrevlett.74.2539] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
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Abstract
The content of alkaline phosphatase isozymes in various brain regions was determined by monoclonal immunocatalytic assays. The levels of the isozymes in human brain tissues were low compared with those in other human tissues, liver, kidney, bone, intestine and placenta. Plexus chorioideus in the brain, however, was found to express significant amounts of alkaline phosphatase activity. The purified isozyme from human plexus chorioideus demonstrated a single 70 kDa protein band on SDS-polyacrylamide gel which coincides with that of tissue-unspecific alkaline phosphatase from human liver. The isozyme expressed in the plexus was confirmed to be the tissue-unspecific alkaline phosphatase isozyme with regard to its reactivity with monoclonal antibodies specific for liver alkaline phosphatase, heat stability, and the inhibition by amino acids. This finding adds new dimensions to the functional role this isozyme may play.
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Affiliation(s)
- Y Nishihara
- Department of Pharmaceutics, Gifu Pharmaceutical University, Japan
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Sakaeda T, Takahashi K, Nishihara Y, Hirano K. O/W lipid emulsions for parenteral drug delivery. I. Pharmacokinetics of the oil particles and incorporated sudan II. Biol Pharm Bull 1994; 17:1490-5. [PMID: 7703970 DOI: 10.1248/bpb.17.1490] [Citation(s) in RCA: 18] [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: 01/26/2023]
Abstract
The potential usefulness of oil in water (O/W) lipid emulsions as parenteral drug delivery system for lipophilic drugs was examined in tumor-bearing rats. A model lipophilic drug, sudan II (PCoct = 226000), was formulated in five lipid emulsions consisting of soybean oil and various surfactants. Compared with HCO-60 micellar and plasma solutions of sudan II, the blood concentration of sudan II was markedly elevated by administration as a lipid emulsion. However, the distribution of sudan II to the liver, lungs, spleen, and adipose tissue was not altered, and that to the brain, heart, kidneys, muscle, and tumor was slightly decreased. To understand these results, pharmacokinetic analysis was performed using a newly derived compartmental model, and moreover, the organ distribution clearance was analyzed. It was suggested that the oil particles deliver the incorporated drug selectively to the liver, lungs, and spleen, and the speed of delivery could be surpressed by using HCO-60. However, in the case of sudan II, its rapid release from the oil particles after i.v. injection prevented a drastic alteration in the distribution of sudan II. The simulation studies suggested that a considerable decrease in the release rate or an increase in partition coefficient (experimentally more than 10(8) would be required for delivery.
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Affiliation(s)
- T Sakaeda
- Shionogi Research Laboratories, Shionogi & Co., Ltd., Osaka, Japan
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Abstract
In vitro and in vivo antibacterial activities of FK037, a new parenteral cephalosporin, were compared with those of cefpirome, ceftazidime and flomoxef. The advantages of in vitro activity of FK037 were as follows: (1) a broad-spectrum antibacterial activity, (2) the most potent activity (MIC90: 25 micrograms/ml) of the cephalosporins tested against highly methicillin-resistant Staphylococcus aureus (H-MRSA), (3) a strong activity against Enterobacter spp. and Citrobacter freundii resistant to the third-generation cephalosporins tested. The MICs of FK037 for 90% of the clinical isolates tested (MIC90s) were 0.012 microgram/ml for Streptococcus pyogenes, 0.05 microgram/ml for Escherichia coli, 0.1 microgram/ml for Streptococcus pneumoniae, 0.2 microgram/ml for Haemophilus influenzae and Proteus mirabilis, 0.39 microgram/ml for Klebsiella pneumoniae, 1.56 micrograms/ml for methicillin-sensitive S. aureus, Proteus vulgaris and Enterobacter aerogenes, 3.13 micrograms/ml for Staphylococcus epidermidis and Moraxella catarrhalis, 6.25 micrograms/ml for C. freundii, 12.5 micrograms/ml for low-level methicillin-resistant S. aureus (L-MRSA), Enterobacter cloacae and Pseudomonas aeruginosa, and 25 micrograms/ml for H-MRSA and Serratia marcescens. FK037 was similar in potency to cefpirome against strains except MRSA, and was superior to ceftazidime and flomoxef against strains except P. vulgaris and/or M. catarrhalis. The increase in MICs of FK037 against 2 L-MRSA strains (2- or 4-fold) was smaller than that of cefpirome and flomoxef (16- to 64-fold) after the third serial culture in the presence of each drug. FK037 was highly bactericidal against S. aureus, E. coli, K. pneumoniae and P. aeruginosa at the MIC or higher. FK037 had a potent protective activity against murine experimental systemic infections due to a wide variety of bacteria. Its protective activity was the strongest among the cephalosporins tested against H-MRSA and Acinetobacter calcoaceticus. Against the other strains, FK037 was as effective as cefpirome and similar or superior to flomoxef and ceftazidime though it was inferior to ceftazidime against P. aeruginosa. Transmission electron microscopic studies revealed that FK037 inhibited septum formation and induced thick cross walls and bacteriolysis at the division sites in MRSA after 4 h incubation.
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Affiliation(s)
- T Nishino
- Department of Microbiology, Kyoto Pharmaceutical University, Japan
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Iwata M, Nishihara Y, Watanabe Y, Miyahara M, Saeki K. Differences in the effects of two hexachlorobiphenyls on superoxide generation by polymorphonuclear leucocytes stimulated by N-formyl-methionyl-leucyl-phenylalanine and phorbol myristate acetate. Occup Environ Med 1994; 51:271-4. [PMID: 8199671 PMCID: PMC1127960 DOI: 10.1136/oem.51.4.271] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The effects of hexachlorobiphenyls (HCBs) on superoxide (O2-) generation by guinea pig polymorphonuclear leucocytes were examined. 2,3,6,2',3',6'-HCB by itself had only a weak inductive effect on O2- generation. This compound, however, enhanced O2- generation stimulated by N-formyl-methionyl-leucyl-phenylalanine (FMLP) about twofold, but not the generation induced by phorbol myristate acetate (PMA). On the other hand, 3,4,5,3',4',5'-HCB suppressed O2- generation stimulated by both FMLP and PMA. The inhibitory potency of this compound was far greater with PMA (ID50, 5 microM) than with FMLP (ID50, 40 microM).
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Affiliation(s)
- M Iwata
- Department of Pharmacology, Okayama University Medical School, Japan
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