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1.
RSC Adv ; 11(40): 24487-24499, 2021 Jul 13.
Article in English | MEDLINE | ID: mdl-35481036

ABSTRACT

Selectivity in tumor targeting is one of the major issues in cancer treatment. Therefore, surface functionalization of drug delivery systems with active moieties, able to selectively target tumors, has become a worldwide-recognized strategy. The CD44 receptor is largely used as a biomarker, being overexpressed in several tumors, and consequently as a target thanks to the identification of the CD44 binding peptide. Here we implemented the CD44 binding peptide logic onto an oil core-polymer multilayer shell, taking into account and optimizing all relevant features of drug delivery systems, such as small size (down to 100 nm), narrow size distribution, drug loading capability, antifouling and biodegradability. Besides promoting active targeting, the oil core-based system enables the delivery of natural and synthetic therapeutic compounds. Biological tests, using curcumin as a bioactive compound and fluorescent tag, demonstrated that CD44 binding peptide-functionalized nanocapsules selectively accumulate and internalize in cancer cells, compared to the control, thanks to ligand-receptor binding.

2.
BMC Biotechnol ; 17(1): 4, 2017 01 14.
Article in English | MEDLINE | ID: mdl-28088197

ABSTRACT

BACKGROUND: Initially known as the reproductive hormone, relaxin was shown to possess other therapeutically useful properties that include extracellular matrix remodeling, anti-inflammatory, anti-ischemic and angiogenic effects. All these findings make relaxin a potential drug for diverse medical applications. Its precursor, pro-relaxin, is an 18 kDa protein, that shows activity in in vitro assays. Since extraction of relaxin from animal tissues raises several issues, prokaryotes and eukaryotes were both used as expression systems for recombinant relaxin production. Most productive results were obtained when using Escherichia coli as a host for human relaxin expression. However, in such host, relaxin precipitated in the form of inclusion bodies and, therefore, required several expensive recovery steps as cell lysis, refolding and reduction. RESULTS: To overcome the issues related to prokaryotic expression here we report the production and purification of secreted human pro-relaxin H2 by using the methylotrophic yeast Pichia pastoris as expression host. The methanol inducible promoter AOX1 was used to drive expression of the native and histidine tagged forms of pro-relaxin H2 in dual phase fed-batch experiments on the 22 L scale. Both protein forms presented the correct structure, as determined by mass spectrometry and western blotting analyses, and demonstrated to be biologically active in immune enzymatic assays. The presence of the tag allowed to simplify pro-relaxin purification obtaining higher purity. CONCLUSIONS: This work presents a strategy for microbial production of recombinant human pro-relaxin H2 in Pichia pastoris that allowed the obtainment of biologically active pro-hormone, with a final concentration in the fermentation broth ranging between 10 and 14 mg/L of product, as determined by densitometric analyses.


Subject(s)
Pichia/genetics , Pichia/metabolism , Protein Engineering/methods , Relaxin/chemistry , Relaxin/metabolism , Humans , Recombinant Proteins/biosynthesis , Recombinant Proteins/chemistry , Relaxin/genetics
3.
Methods Enzymol ; 580: 471-99, 2016.
Article in English | MEDLINE | ID: mdl-27586346

ABSTRACT

De novo design has proven a powerful methodology for understanding protein folding and function, and for mimicking or even bettering the properties of natural proteins. Extensive progress has been made in the design of helical bundles, simple structural motifs that can be nowadays designed with a high degree of precision. Among helical bundles, the four-helix bundle is widespread in nature, and is involved in numerous and fundamental processes. Representative examples are the carboxylate bridged diiron proteins, which perform a variety of different functions, ranging from reversible dioxygen binding to catalysis of dioxygen-dependent reactions, including epoxidation, desaturation, monohydroxylation, and radical formation. The "Due Ferri" (two-irons; DF) family of proteins is the result of a de novo design approach, aimed to reproduce in minimal four-helix bundle models the properties of the more complex natural diiron proteins, and to address how the amino acid sequence modulates their functions. The results so far obtained point out that asymmetric metal environments are essential to reprogram functions, and to achieve the specificity and selectivity of the natural enzymes. Here, we describe a design method that allows constructing asymmetric four-helix bundles through the covalent heterodimerization of two different α-helical harpins. In particular, starting from the homodimeric DF3 structure, we developed a protocol for covalently linking the two α2 monomers by using the Cu(I) catalyzed azide-alkyne cycloaddition. The protocol was then generalized, in order to include the construction of several linkers, in different protein positions. Our method is fast, low cost, and in principle can be applied to any couple of peptides/proteins we desire to link.


Subject(s)
Metalloproteins/chemistry , Nonheme Iron Proteins/chemistry , Protein Engineering/methods , Structure-Activity Relationship , Amino Acid Sequence/genetics , Circular Dichroism , Metalloproteins/metabolism , Models, Molecular , Nonheme Iron Proteins/chemical synthesis , Nonheme Iron Proteins/genetics , Protein Conformation, alpha-Helical , Protein Folding
4.
Food Chem Toxicol ; 45(8): 1537-44, 2007 Aug.
Article in English | MEDLINE | ID: mdl-17524542

ABSTRACT

Gardenia yellow powders A, B and C, containing geniposide at 0.284%, 0.938% and 2.783%, respectively, were administered orally to male and female SD rats as 3% feed admixtures for 13-weeks to evaluate any potential toxicity. Mean geniposide intake values were 5.72, 18.9 and 56.3mg/kg/day in groups receiving these feed admixtures, respectively. All animals survived the duration of the study. The following findings were evident in the gardenia yellow C group: chromatouria, slightly increased plasma total bilirubin, blackish brown discoloration of the kidneys and liver, brown pigments in the proximal tubular epithelium of the kidneys. Slightly increased plasma total bilirubin was considered to be due to interference of metabolite of geniposide with the system of measurement and not to be a toxic effect since there were no related changes in histopathology of the liver or in any blood chemistry parameters. Other findings were limited to pigmentations or discolorations attributable to metabolites of geniposide. No treatment-related effects were evident on body weight, food consumption, ophthalmology, hematology or organ weights in any group. Therefore, it was concluded that 3-month ingestion of the gardenia yellow powder containing geniposide at 2.783% (approximately 60 mg/kg/day as geniposide intake) does not cause any severe toxic effects.


Subject(s)
Food Coloring Agents/toxicity , Gardenia/toxicity , Iridoids/toxicity , Plant Extracts/toxicity , Pyrans/toxicity , Administration, Oral , Animals , Blood Chemical Analysis , Body Weight/drug effects , Eating/drug effects , Female , Histocytochemistry , Male , Rats , Rats, Sprague-Dawley , Statistics, Nonparametric , Survival Analysis
5.
Biosci Biotechnol Biochem ; 65(8): 1889-92, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11577737

ABSTRACT

The transglycosylation of p-nitrophenyl-beta-D-cellotrioside to cellotetraose catalyzed by endo-1,4-beta-glucanase (cellulase, EC 3.2.1.4) from a psychrotrophic yeast, Rhodotorula glutinis KUJ 2731, was increased by addition of a miscible organic solvent in the reaction mixture. Among various organic solvents tested, acetone was most effective. The transglycosylation activity increased with an increase in acetone concentrations, while hydrolysis activity was suppressed. The transglycosylation preferably occurred at acidic pH with the optimum pH at 2 in 10 mM Gly-HCl buffer. The optimum temperature of transglycosylation was found to be 50 degrees C in the presence of 40% acetone.


Subject(s)
Cellulase/metabolism , Rhodotorula/enzymology , Carbohydrate Sequence , Carboxymethylcellulose Sodium/metabolism , Culture Media , Glycosylation , Hydrolysis , Molecular Sequence Data , Solvents , Temperature
6.
Jpn Circ J ; 65(10): 867-73, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11665790

ABSTRACT

Few previous reports have comprehensively screened all the anti-myocardial autoantibodies (AMCA) in relation to other clinical profiles in patients with idiopathic dilated cardiomyopathy (IDC), so the present study used both immunohistochemistry (FITC) and immunoblotting (IB) for screening patients with IDC in order to characterize the clinical significance of AMCA. Sera were collected from 100 patients with IDC and age-matched 100 healthy control subjects (CTL). For FITC, an unfixed frozen section of human myocardium was used for the standard indirect immunofluorescence; for IB, total cardiac homogenates of the same myocardium were blotted to serum at 2 sets of dilution (1:200 and 1:10,000). The positive rates of AMCA detection for each method were as follows (IDC vs CTL); 39% vs 6% for FITC, 38% vs 4% for IB (1:200), and 10% vs 0% for IB (1:10,000). Fifty-nine patients with IDC and 8 CTL were positive for AMCA by either method, and 18 patients with IDC and 2 CTL were positive for AMCA by both methods. IB-positivity at 1:200 was an independent predictor by multiple logistic regression analysis of non-sustained ventricular tachycardias as well as left ventricular end-diastolic diameter and plasma norepinephrine concentration.


Subject(s)
Autoantibodies/analysis , Cardiomyopathy, Dilated/immunology , Myocardium/immunology , Adult , Aged , Aged, 80 and over , Cardiomyopathy, Dilated/etiology , Case-Control Studies , Female , Humans , Immunoblotting , Immunohistochemistry , Japan , Male , Middle Aged , Odds Ratio , Tachycardia, Ventricular/immunology
7.
J Cardiol ; 37(2): 83-90, 2001 Feb.
Article in Japanese | MEDLINE | ID: mdl-11255699

ABSTRACT

BACKGROUND: Disease-specific cost analysis is rarely performed in Japan, but is essential for reform of the healthcare reimbursement system and assessment of procedural fees. METHODS: The actual cost associated with the procedural fee of the percutaneous transluminal coronary angioplasty (PTCA) procedure was estimated by dividing into four categories: labor, disposable materials, expenses, and equipment costs. The special cost associated with PTCA devices such as angioplasty balloon and stent was responsible for the majority of PTCA-related hospitalization costs, but was not included in our survey. The six institutions that participated in the survey belong to the national, Red Cross, and Saiseikai organizations. Time study for labor was omitted, and procedural time was predetermined at 3 hours. RESULTS: The labor cost amounted to yen 65,000 to yen 98,000/procedure. To calculate the cost of disposable materials across all six hospitals, a universal amount of yen 60,000 from a model hospital was used. The expenses ranged from yen 1,000 to yen 39,000, and the expenditure plus capital cost from yen 95,000 to yen 224,000, showing significant differences between the hospitals. The total mean cost was yen 294,000 +/- 55,000, which indicated that every hospital was in deficit. CONCLUSIONS: Compared to Medicare in the United States of America, the procedural fee for Japanese physicians is extremely low, in contrast to the bloated special cost for devices, which causes significant pricing gaps between Japan and USA. The differences in total cost among the hospitals were mainly derived from the cost for angiographic equipment. Our survey did not include any private hospitals, but the PTCA-related procedural fee is less than the actual cost under the current health insurance reimbursement scheme at all hospitals.


Subject(s)
Angioplasty, Balloon, Coronary/economics , Angioplasty, Balloon, Coronary/instrumentation , Costs and Cost Analysis , Disposable Equipment/economics , Humans , Japan
8.
Child Maltreat ; 6(2): 89-102, 2001 May.
Article in English | MEDLINE | ID: mdl-16705785

ABSTRACT

This article addresses child maltreatment intervention and prevention among American Indians and Alaska Natives. The authors argue that history and culture must be included as context and variables for developing and implementing prevention programs in Indian Country. They propose that the public health violence prevention model would benefit from incorporating tenets of the history and culture(s) of diverse groups, in this instance American Indians and Alaska Natives. The authors offer an approach that focuses on population- and individual-level risk and protective factors for child maltreatment intervention and prevention in American Indian/Alaska Native communities. They include suggestions and examples for doing the work in Indian Country.


Subject(s)
Child Abuse/ethnology , Child Health Services/organization & administration , Culture , Health Services, Indigenous/organization & administration , Indians, North American/psychology , Inuit/psychology , Preventive Health Services/organization & administration , Alaska/epidemiology , Child , Child Abuse/prevention & control , Child Abuse/statistics & numerical data , Child Health Services/history , Health Services, Indigenous/history , History, 20th Century , Humans , Preventive Health Services/history , United States/epidemiology
9.
Shokuhin Eiseigaku Zasshi ; 42(5): 298-303, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11775354

ABSTRACT

HPLC analysis revealed that eight subsidiary colors existed in commercial Food Green No. 3 (fast green FCF, FD & C Green No. 3). Among them, four subsidiary colors C, F, G, and H were isolated by using preparative HPLC and their structures were determined by MS and NMR. They were the disodium salt of 2-[[4-[N-ethyl-N-(3- sulfophenylmethyl)amino]phenyl][4-[N-ethyl-N-(4- sulfophenylmethyl)amino]phenyl]methylio]-4-hydroxybenzenesulfonic acid (abbreviated as m,p-G-3), the sodium salt of 2-[[(4-N-ethylamino)phenyl][4-[N-ethyl-N-(3- sulfophenylmethyl)amino]-phenyl]methylio]-4-hydroxybenzenesulfonic acid [abbreviated as HSBA-(EA) (m-EBASA)], the sodium salt of 2-[[(4-N-diethylamino)phenyl][4-[N-ethyl-N-(3- sulfophenylmethyl)amino]phenyl]-methylio]-4-hydroxybenzenesulfonic acid [abbreviated as HSBA-(di-EA) (m-EBASA)], and the sodium salt of 2-[[4-[N-ethyl-N-(phenylmethyl)amino]phenyl][4-[N-ethyl-N-(3- sulfophenylmethyl)-amino]phenyl]methylio]-4-hydroxybenzenesulfonic acid [abbreviated as HSBA-(EBA)(m-EBASA)], respectively. HSBA-(di-EA) (m-EBASA) was a subsidiary color newly found in commercial Food Green No. 3.


Subject(s)
Food Coloring Agents/chemistry , Food Coloring Agents/isolation & purification , Lissamine Green Dyes/chemistry , Chromatography, High Pressure Liquid , Coal Tar , Food Coloring Agents/analysis , Lissamine Green Dyes/analysis , Magnetic Resonance Spectroscopy , Mass Spectrometry
10.
Epilepsy Res ; 42(2-3): 183-9, 2000 Dec.
Article in English | MEDLINE | ID: mdl-11074190

ABSTRACT

Developmental changes of transport of drugs into the brain play an important role in ontogenetic neuropharmacology. Two convulsant drugs with different mechanisms of action (glutamate and bicuculline methiodide) were chosen to demonstrate these changes in developing rats. High dose of glutamate (4 g/kg i.p.) induced both minimal (predominantly clonic) and generalized tonic-clonic seizures in rat pups 7, 12, and 18 days old. In contrast, seizures were only exceptionally observed in 25 and 90 days old animals. Bicuculline methiodide was administered in a dose of 2 or 20 mg/kg i.p. The first sign of bicuculline methiodide action in all age groups was represented by automatisms, a symptomatology never seen after bicuculline hydrochloride administration. Minimal seizures were induced in 12-day-old and in a few 18-day-old and adult rats. Generalized seizures were common after the higher dose of bicuculline methiodide in 7- and 12-day-old rat pups, seldom in 18-day-old ones and never seen in 25-day-old and adult animals. Both glutamate and bicuculline methiodide enter the brain in immature rats but the mechanisms are probably different - glutamate is transported actively through the blood-brain barrier whereas no similar system is known for bicuculline methiodide.


Subject(s)
Bicuculline/analogs & derivatives , Convulsants/adverse effects , Glutamic Acid/adverse effects , Seizures/chemically induced , Age Factors , Animals , Animals, Newborn , Bicuculline/adverse effects , Male , Rats , Rats, Wistar
12.
J Agric Food Chem ; 48(2): 245-52, 2000 Feb.
Article in English | MEDLINE | ID: mdl-10691623

ABSTRACT

The thermal dependency and stability of enzymes producing reducing sugar (RS) were examined in bran, the exterior 13% part (outer endosperm), and the remaining inner endosperm of rice grains. RS-producing enzymes in the inner endosperm showed a higher optimum temperature than those in other parts of the rice grain. Diethylaminoethyl-Sephacel chromatography of crude extracts revealed two peaks of RS-producing activity with different optimum temperatures (60 and 37 degrees C) in all three parts. alpha-Glucosidase (EC 3.2.1.20) and alpha-amylase (EC 3.2.1.1) isoform G were thought to be major components of the RS-producing activities with high and low optimum temperatures, respectively. The peak with a high optimum temperature was a more abundant component in the inner endosperm, compared with other parts of the rice grain. Thus, different parts of rice were found to have distinct enzyme sets having different thermal dependency and to be involved in starch degradation to various sugars.


Subject(s)
Carbohydrate Metabolism , Oryza/enzymology , Taste , Temperature , alpha-Amylases/metabolism , alpha-Glucosidases/metabolism
13.
J Biosci Bioeng ; 89(6): 615-6, 2000.
Article in English | MEDLINE | ID: mdl-16232809

ABSTRACT

The possibility of using commercially available infusate solutions as a culture medium for hepatocytes was investigated in primary monolayer cultures of rat hepatocytes. The addition of Ca2+ to the infusate medium was necessary for hepatocytes to express their albumin secreting ability. The infusate medium supplemented with hormones (10(-7) M insulin and 10(-7) M dexamethasone) and Ca2+ (72.5 mg/l) allowed hepatocytes to produce albumin of an amount comparable to that produced in Williams' E medium. The activity of released lactate dehydrogenase (LDH) was kept at a low level throughout the cultivation in the infusate medium.

14.
Planta ; 209(3): 282-9, 1999 Sep.
Article in English | MEDLINE | ID: mdl-10502094

ABSTRACT

The composition of seed storage proteins is regulated by sulfur and nitrogen supplies. Under conditions of a low sulfur-to-nitrogen ratio, accumulation of the beta-subunit of beta-conglycinin, a sulfur-poor seed storage protein of soybean (Glycine max [L.] Merr.), is elevated, whereas that of glycinin, a sulfur-rich storage protein, is reduced. Using transgenic Arabidopsis thaliana [L.] Heynh., it was found that the promoter from the gene encoding the beta-subunit of beta-conglycinin up-regulates gene expression under sulfur deficiency and down-regulates gene expression under nitrogen deficiency. To obtain an insight into the metabolic control of this regulation, the concentrations of metabolites related to the sulfur assimilation pathway were determined. Among the metabolites, O-acetyl-l-serine (OAS), one of the precursors of cysteine biosynthesis, accumulated to higher levels under low-sulfur and high-nitrogen conditions in siliques of transgenic A. thaliana. The pattern of OAS accumulation in response to various levels of sulfur and nitrogen was similar to that of gene expression driven by the beta-subunit promoter. Elevated levels of OAS accumulation were also observed in soybean cotyledons cultured under sulfur deficiency. Moreover, OAS applied to in-vitro cultures of immature soybean cotyledons under normal sulfate conditions resulted in a high accumulation of the beta-subunit mRNA and protein, whereas the accumulation of glycinin was reduced. These changes were very similar to the responses observed under conditions of sulfur deficiency. Our results suggest that the level of free OAS mediates sulfur- and nitrogen-regulation of soybean seed storage-protein composition.


Subject(s)
Gene Expression Regulation, Plant , Globulins/genetics , Glycine max/genetics , Nitrogen/metabolism , Serine/analogs & derivatives , Soybean Proteins , Sulfur/metabolism , Antigens, Plant , Arabidopsis , Cotyledon , Plants, Genetically Modified , RNA, Messenger , Seed Storage Proteins , Seeds , Serine/metabolism , Serine/physiology
15.
Angiology ; 50(6): 515-8, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10378829

ABSTRACT

The authors treated a patient with the previously unreported occurrence of brachiocephalic vein and superior vena cava thrombosis in association with a distantly located cancer. A 71-year-old woman presented with swelling over the right side of the neck and abdominal distension. Physical examination revealed a huge mass, and computed tomography demonstrated thrombosis of the brachiocephalic vein and superior vena cava accompanied by jugular vein dilatation. No coagulation disorder was demonstrable. After anticoagulation and thrombolysis, hysterectomy was performed; microscopic examination of the specimen revealed uterine carcinosarcoma. Even though local tumor obstruction is a much more common cause of neck vein thrombosis, a distant occult cancer can present as this form of Trousseau's syndrome. In patients with otherwise unexplained neck vein thrombosis, examination not only of the head and neck but also of the abdomen and pelvis should be pursued.


Subject(s)
Brachiocephalic Veins/pathology , Carcinosarcoma/complications , Paraneoplastic Syndromes/etiology , Uterine Neoplasms/complications , Vena Cava, Superior/pathology , Venous Thrombosis/etiology , Aged , Brachiocephalic Veins/diagnostic imaging , Carcinosarcoma/diagnosis , Dilatation, Pathologic/diagnostic imaging , Female , Humans , Jugular Veins/diagnostic imaging , Jugular Veins/pathology , Paraneoplastic Syndromes/diagnostic imaging , Syndrome , Tomography, X-Ray Computed , Uterine Neoplasms/diagnosis , Vena Cava, Superior/diagnostic imaging , Venous Thrombosis/diagnostic imaging
16.
Am J Hum Genet ; 64(6): 1719-27, 1999 Jun.
Article in English | MEDLINE | ID: mdl-10330360

ABSTRACT

The practicality and moral value of community review of human genetic research has become a focus of debate. Examples from two Native American communities are used to address four aspects of that debate: (1) the value of community review in larger, geographically dispersed populations; (2) the identification of culturally specific risks; (3) the potential conflict between individual and group assessments of research-related risks; and (4) the confusion of social categories with biological categories. Our experiences working with these two communities suggest that: (1) successful community review may require the involvement of private social units (e.g., families); (2) culturally specific implications of genetic research may be identifiable only by community members and are of valid concern in their moral universes; (3) community concerns can be incorporated into existing review mechanisms without necessarily giving communities the power to veto research proposals; and (4) the conflation of social and biological categories presents recruitment problems for genetic studies. These conclusions argue for the use of community review to identify and minimize research-related risks posed by genetic studies. Community review also can assist in facilitating participant recruitment and retention, as well as in developing partnerships between researchers and communities.


Subject(s)
Genetic Variation , Peer Review , Research , Evaluation Studies as Topic , Humans , Risk
17.
Food Addit Contam ; 16(12): 501-7, 1999 Dec.
Article in English | MEDLINE | ID: mdl-10789372

ABSTRACT

A magenta subsidiary colour was isolated from commercial Food Blue No. 1 (B-1; Brilliant Blue FCF). The absorption maximum for this subsidiary colour at 580 nm is outside of the range of 614-628 nm found for other subsidiary colours and m,m-B-1. On the basis of MS and NMR analyses, the structure of the subsidiary colour was elucidated as the disodium salt of 2-[[4-[N-ethyl-N-(3-sulphophenylmethyl)amino]phenyl][4-oxo- 2,5-cyclohexadienylidene]methyl]benzenesulphonic acid. HPLC analyses revealed that 24 batches of commercial Food Blue No. 1 (three manufacturers) contain 0.1-0.8% (average: 0.5%) of the magenta subsidiary colour.


Subject(s)
Benzenesulfonates/chemistry , Trityl Compounds/analysis , Humans , Magnetic Resonance Spectroscopy , Mass Spectrometry , Spectrophotometry, Atomic , Trityl Compounds/chemistry , Trityl Compounds/isolation & purification
18.
J Cardiol ; 32(5): 315-21, 1998 Nov.
Article in Japanese | MEDLINE | ID: mdl-9864688

ABSTRACT

The cost of in-hospital percutaneous transluminal coronary angioplasty (PTCA) has risen since the introduction of the coronary stent. Increased attention is now being given to the PTCA charges in Japan and a multicenter study is necessary with regard to in-hospital charges. To clarify the differences in in-hospital charges for PTCA with and without coronary stent [Stent Group and plain old balloon angioplasty (POBA) Group, respectively], we studied the PTCA charges of 352 patients in 6 hospitals. Age, male gender and extent of coronary artery disease were not different. The ratio of acute myocardial infarction ranged from 16% to 64% and that of coronary stenting ranged from 24% to 65% (p < 0.001). In-hospital charge ranged from 1.4 +/- 0.8 to 2.2 +/- 1.0 million yen (p < 0.0001). The procedural charge accounted for 53% to 75% of the in-hospital charge (p < 0.01). The in-hospital charge ranged from 1.6 +/- 0.7 to 3.3 +/- 1.6 million yen in the Stent Group, higher than the charge of 1.1 +/- 0.8 to 1.9 +/- 0.7 million yen in the POBA Group (p < 0.0001). There was a statistical difference in the number of balloon catheters used (1.1 +/- 0.4 to 2.1 +/- 0.9, p < 0.005) but not in the mean number of stents used (1.1 +/- 0.3 to 1.4 +/- 0.7). The procedural charge of the institutes with higher stenting rate (> 45%) seemed to be lower than that of the institutes with lower stenting rate (p < 0.02). In conclusion, there are large variation between institutions in PTCA charges, and in-hospital charges increased with the use of stents on introduction of the Diagnosis Related Group used in the United States. We should charge separately for coronary stenting and POBA. Despite any initial increase in the in-hospital charge for coronary stenting compared to POBA, successful stent implantation will result in a superior saving in procedural charges.


Subject(s)
Angioplasty, Balloon, Coronary/economics , Fees and Charges/trends , Stents/economics , Aged , Cost-Benefit Analysis , Female , Hospital Charges , Hospitalization/economics , Humans , Japan , Male , Middle Aged
19.
Nihon Kokyuki Gakkai Zasshi ; 36(9): 798-802, 1998 Sep.
Article in Japanese | MEDLINE | ID: mdl-9866984

ABSTRACT

A 71-year-old man was referred to us with diplopia, left peripheral facial nerve dysfunction, ataxic gait and dysesthesia of the extremities. Neurological examination revealed mild reduction of sensation to pinprick and light touch in the left dominant lower leg. His standing position was wide based, and he showed Romberg's sign. The patient also presented signs of left peripheral facial, bilateral abducent, and left oculomotor nerve dysfunction. Serum levels of CEA, CA 19-9, and proGRP were high. 67Gallium scintigraphy showed an accumulation of radioactivity at the hilum of the right lung, and the findings of bronchofiberscopy were compatible with the diagnosis of small cell lung cancer. Because the symptoms gradually worsened to the point that the patient could not move by himself, chemotherapy and radiotherapy were initiated 3 months after the onset of symptoms. While under chemotherapy, symptoms of neuropathy subsided and the patient was able to walk with the aid of a walking stick. Although all symptoms were indicative of carcinomatous neuropathy, no antineuronal antibodies were detected in the patient's serum by immunohistochemical techniques. However, because the lung cancer deteriorated gradually despite therapy, the patient died of respiratory failure. At autopsy, tumor metastases were found in the pericardium, left lung, both adrenal glands, right hilum lymph nodes, and mediasternal lymph nodes. No microscopic signs of metastases were found in the frontal, parietal, temporal, or occipital lobes, or in the basal ganglia, thalamus, midbrain, pons, cerebellar vermis and hemispheres, or upper medulla. Histopathologically, there was no degeneration of neuronal cell bodies in cerebellar or cervical dorsal root ganglia; however, almost total loss of myelinated fibers or variegated demyelination of myelinated fibers was observed in the anterior, lateral and posterior funiculus at both cervical segments of the spinal cord. The number of myelinated fibers was smaller in the 5th and 6th cervical left ventral roots. The reason why the patient's symptoms subsided during chemotherapy was probably a suppression of antineuronal antigen by chemotherapy and the repair of myelinated fibers.


Subject(s)
Carcinoma, Small Cell/complications , Lung Neoplasms/complications , Movement Disorders/etiology , Paraneoplastic Syndromes , Peripheral Nervous System Diseases/etiology , Sensation Disorders/etiology , Aged , Humans , Lung Neoplasms/drug therapy , Male , Peripheral Nervous System Diseases/drug therapy
20.
Plant Cell Physiol ; 39(8): 895-7, 1998 Aug.
Article in English | MEDLINE | ID: mdl-9787465

ABSTRACT

Evidence is reported for the presence of the mRNAs of thioredoxin h, oryzacystatin-I, and actin in the rice phloem sap collected by the insect laser method. As the sieve element, the core component of the phloem, is enucleated, these macromolecules are probably transported from the companion cells.


Subject(s)
Actins/genetics , Cystatins/genetics , Oryza/genetics , RNA, Messenger , RNA, Plant , Thioredoxins/genetics , Thioredoxin h
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