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1.
Int J Radiat Biol ; 95(3): 321-328, 2019 03.
Article in English | MEDLINE | ID: mdl-30496019

ABSTRACT

PURPOSE: Cancer risks for Nagasaki survivors once appeared to be lower than for Hiroshima survivors. The possibility that this was due to overestimation of the doses for the Nagasaki survivors was tested by measuring biological doses of Nagasaki survivors and comparing them with DS02R1 individual doses as previously done for Hiroshima survivors. MATERIALS AND METHODS: The electron spin resonance (ESR) method and cytogenetic method were used to estimate radiation doses for 24 Nagasaki survivors, and the results were compared to calculated DS02R1 doses. RESULTS: Six factory workers and 10 other survivors showed ESR or cytogenetically estimated doses that were in reasonably good agreement with their DS02R1 doses, while one factory worker was found to have an ESR dose estimate of nearly one half of the DS02R1 dose to the eye lens (a proxy organ for teeth). A few outliers were also observed. CONCLUSIONS: Although apparently lower cancer risks were observed in the past for Nagasaki survivors when compared to Hiroshima survivors, the present results do not indicate the existence of a trend that DS02R1 doses are overestimated when compared with biologically estimated tooth or cytogenetic doses. This observation is in line with the recent disappearance of the city difference in cancer risks.


Subject(s)
Cytogenetic Analysis , Dental Enamel/metabolism , Dental Enamel/radiation effects , Nuclear Weapons , Radiometry/methods , Survivors , Dose-Response Relationship, Radiation , Electron Spin Resonance Spectroscopy , Humans , Occupational Exposure/analysis
2.
J Hum Genet ; 63(11): 1181-1184, 2018 Nov.
Article in English | MEDLINE | ID: mdl-30089811

ABSTRACT

This study was designed to learn if asymptomatic heterozygotes with mutations in a DNA repair gene are at an increased risk for cancer. To examine this, we focused on carriers of an XPA founder mutation because the frequency of xeroderma pigmentosum (XP) patients is much greater among Japanese than Caucasians, more than half of Japanese XP patients are affected at the XPA gene, and the majority of XP-A patients carry the same founder mutation in the XPA gene. Here we show that the frequency of XPA heterozygote was 14/1698 (0.8%) in cancer-free controls, and the corresponding frequency in patients with nonmelanocytic skin cancer that developed in sun-exposed areas was 11/440 (2.5%, OR = 3.08, p = 0.0097) for basal cell carcinoma, and 3/272 (1.1%, OR = 1.34, p = 0.72) for squamous cell carcinoma. These results suggest a moderately elevated risk for skin cancer among XPA heterozygotes.


Subject(s)
Adenocarcinoma/genetics , Asian People/genetics , Carcinoma, Squamous Cell/genetics , Founder Effect , Heterozygote , Mutation , Skin Neoplasms/genetics , Xeroderma Pigmentosum Group A Protein/genetics , Aged , Female , Humans , Japan , Male , Middle Aged
3.
Environ Microbiol Rep ; 10(2): 210-216, 2018 04.
Article in English | MEDLINE | ID: mdl-29393586

ABSTRACT

Paenibacillus larvae is the causative agent of American foulbrood (AFB), the most destructive disease of the honey bee brood. In this study, we investigated the population structure and antimicrobial susceptibility of Japanese P. larvae using 100 isolates isolated between 1993 and 2017 in 17 prefectures. Using repetitive-element PCR and multilocus sequence typing, isolates from diverse origins were classified into six genotypes, including the novel genotype ERIC II-ST24. Among these genotypes, ERIC I-ST15 is the most common in Japan, while ERIC II-ST10 isolates were found to be increasing during the 2010s. Regardless of genotype or origin, all isolates were susceptible to the major antimicrobials used in the control of AFB, including mirosamicin and tylosin, which were approved for the prevention of AFB in Japan in 1999 and 2017 respectively. Despite nearly 20 years of use, mirosamicin is still effective against Japanese P. larvae in vitro; however, the development of AFB in honey bee colonies may not always be suppressed by this drug. The case information collected in this study provides insight into the conditions under which prophylactic medicine may not exert sufficient preventive effects in vivo.


Subject(s)
Anti-Bacterial Agents/pharmacology , Bees/microbiology , Paenibacillus larvae/drug effects , Paenibacillus larvae/isolation & purification , Animals , Genetic Variation , Genotype , Japan , Multilocus Sequence Typing , Paenibacillus larvae/classification , Paenibacillus larvae/genetics , Polymerase Chain Reaction , United States
4.
Radiat Res ; 188(4): 412-418, 2017 10.
Article in English | MEDLINE | ID: mdl-28800285

ABSTRACT

Retrospective estimation of the doses received by atomic bomb (A-bomb) survivors by cytogenetic methods has been hindered by two factors: One is that the photon energies released from the bomb were widely distributed, and since the aberration yield varies depending on the energy, the use of monoenergetic 60Co gamma radiation to construct a calibration curve may bias the estimate. The second problem is the increasing proportion of newly formed lymphocytes entering into the lymphocyte pool with increasing time intervals since the exposures. These new cells are derived from irradiated precursor/stem cells whose radiosensitivity may differ from that of blood lymphocytes. To overcome these problems, radiation doses to tooth enamel were estimated using the electron spin resonance (ESR; or EPR, electron paramagnetic resonance) method and compared with the cytogenetically estimated doses from the same survivors. The ESR method is only weakly dependent on the photon energy and independent of the years elapsed since an exposure. Both ESR and cytogenetic doses were estimated from 107 survivors. The latter estimates were made by assuming that although a part of the cells examined could be lymphoid stem or precursor cells at the time of exposure, all the cells had the same radiosensitivity as blood lymphocytes, and that the A-bomb gamma-ray spectrum was the same as that of the 60Co gamma rays. Subsequently, ESR and cytogenetic endpoints were used to estimate the kerma doses using individual DS02R1 information on shielding conditions. The results showed that the two sets of kerma doses were in close agreement, indicating that perhaps no correction is needed in estimating atomic bomb gamma-ray doses from the cytogenetically estimated 60Co gamma-ray equivalent doses. The present results will make it possible to directly compare cytogenetic doses with the physically estimated doses of the survivors, which would pave the way for testing whether or not there are any systematic trends or factors affecting physically estimated doses.


Subject(s)
Cytogenetic Analysis , Gamma Rays/adverse effects , Hematopoietic Stem Cells/radiation effects , Nuclear Weapons , Photons/adverse effects , Radiation Dosage , Survivors , Child , Cobalt Radioisotopes/adverse effects , Dental Enamel/metabolism , Dental Enamel/radiation effects , Hematopoietic Stem Cells/metabolism , Humans , Radiometry
5.
J Vet Med Sci ; 78(7): 1195-9, 2016 Aug 01.
Article in English | MEDLINE | ID: mdl-27020320

ABSTRACT

American foulbrood is the most destructive honeybee bacterial disease. The etiological agent, Paenibacillus larvae, has been classified into four genotypes by a repetitive-element PCR (ERIC I-IV) and 21 sequence types by multilocus sequence typing (ST1-21). In this study, we genotyped Japanese P. larvae isolates for the first time and revealed the presence of three genotypes (ERIC I-ST2, ERIC I-ST15 and ERIC II-ST10) in the western region of Aichi prefecture. ERIC I-ST15 and ERIC II-ST10 are globally distributed types, whereas the ERIC I-ST2 isolate was the first isolate of this genotype identified outside the native range of the European honeybee. The ERIC I and II isolates differed in phenotypes including cell morphology, and these may be useful for predicting ERIC types.


Subject(s)
Bees/microbiology , Paenibacillus larvae/isolation & purification , Animals , Genotype , Japan , Larva/microbiology , Paenibacillus larvae/classification , Paenibacillus larvae/genetics
6.
Org Lett ; 18(5): 924-7, 2016 Mar 04.
Article in English | MEDLINE | ID: mdl-26910789

ABSTRACT

The self-assembly of tris(phenylisoxazolyl)benzene 1b with photochemically addressable azobenzene moieties produced toroidal nanostructures, the formation and dissociation of which were reversibly regulated upon photoirradiation. 1b displayed a mesogenic behavior. In the solution, the stacked assemblies along with their C3 axes were formed. In the mesophase, two molecules of 1b most likely adopted the antiparallel arrangement to stabilize the columnar organization. This assembling behavior most likely triggered the development of the supramolecular toroidal nanostructures.

7.
PLoS One ; 10(8): e0136041, 2015.
Article in English | MEDLINE | ID: mdl-26295470

ABSTRACT

It is becoming clear that apparently normal somatic cells accumulate mutations. Such accumulations or propagations of mutant cells are thought to be related to certain diseases such as cancer. To better understand the nature of somatic mutations, we developed a mouse model that enables in vivo detection of rare genetically altered cells via GFP positive cells. The mouse model carries a partial duplication of 3' portion of X-chromosomal HPRT gene and a GFP gene at the end of the last exon. In addition, although HPRT gene expression was thought ubiquitous, the expression level was found insufficient in vivo to make the revertant cells detectable by GFP positivity. To overcome the problem, we replaced the natural HPRT-gene promoter with a CAG promoter. In such animals, termed HPRT-dup-GFP mouse, losing one duplicated segment by crossover between the two sister chromatids or within a single molecule of DNA reactivates gene function, producing hybrid HPRT-GFP proteins which, in turn, cause the revertant cells to be detected as GFP-positive cells in various tissues. Frequencies of green mutant cells were measured using fixed and frozen sections (liver and pancreas), fixed whole mount (small intestine), or by means of flow cytometry (unfixed splenocytes). The results showed that the frequencies varied extensively among individuals as well as among tissues. X-ray exposure (3 Gy) increased the frequency moderately (~2 times) in the liver and small intestine. Further, in two animals out of 278 examined, some solid tissues showed too many GFP-positive cells to score (termed extreme jackpot mutation). Present results illustrated a complex nature of somatic mutations occurring in vivo. While the HPRT-dup-GFP mouse may have a potential for detecting tissue-specific environmental mutagens, large inter-individual variations of mutant cell frequency cause the results unstable and hence have to be reduced. This future challenge will likely involve lowering the background mutation frequency, thus reducing inter-individual variation.


Subject(s)
Gene Duplication , Gene Expression/genetics , Green Fluorescent Proteins/genetics , Hypoxanthine Phosphoribosyltransferase/genetics , Mutation , Animals , Exons , Gene Knock-In Techniques , Genes , Intestine, Small/cytology , Liver/cytology , Mice , Mice, Inbred C57BL , Mutation/genetics , Mutation/radiation effects , Pancreas/cytology , Spleen/cytology
8.
Genes Environ ; 37: 13, 2015.
Article in English | MEDLINE | ID: mdl-27350809

ABSTRACT

INTRODUCTION: Progerin, the protein responsible for the Hutchinson-Gilford Progeria Syndrome (HGPS), is a partially deleted form of nuclear lamin A, and its expression has been suggested as a cause for dysfunctional nuclear membrane and premature senescence. To examine the role of nuclear envelop architecture in regulating cellular aging and DNA repair, we used ionizing radiation to increase the number of DNA double strand breaks (DSBs) in normal and HGPS cells, and analyzed possible relationship between unrepaired DSBs and cellular aging. RESULTS: We found that HGPS cells are normal in repairing a major fraction of radiation-induced double strand breaks (M-DSBs)but abnormal to show increased amount of residual unrepaired DSBs (R-DSBs). Such unrepaired DSBs were 2.6 times (CI 95 %: 2.2-3.2) higher than that in normal cells one week after the irradiation, and 1.6 times (CI 95 %: 1.3-1.9) higher even one month after the irradiation. These damages tend to increase as the nuclear envelope become abnormal, a characteristic of both HGPS and normal human cells which undergo replicative senescence. The artificial, enforced over-expression of progerin further impaired the repair of M-DSBs, implying lamin A-associated nuclear membrane has an important role for DNA DSB repair. Introduction of telomerase gene function in HGPS cells reversed such aging phenotypes along with upregulation of lamin B1 and downregulation of progerin, which is a hallmark of young cells. CONCLUSION: We suggest that lamin A- or progerin-associated nuclear envelope is involved in cellular aging associated with DNA damage repair.

9.
Org Biomol Chem ; 11(25): 4164-70, 2013 Jul 07.
Article in English | MEDLINE | ID: mdl-23629847

ABSTRACT

Photochromic tris(phenylisoxazolyl)benzene 1 and bispyridine derivatives 2a­e were mixed in a certain ratio to generate stable gels in benzyl alcohol, 4-methoxybenzyl alcohol, and aniline. Supramolecular assembly of 1 in solution was confirmed by 1H NMR study. The Tgel value was saturated in a 2 : 3 ratio of 1 and 2c. The intermolecular hydrogen bonds OH···N and salt bridge O(−)···H(­)N(+) between 1 and 2c coexisted evidently, and these hydrogen bonds contributed to the stabilization of the gel networks. The lengths of alkyl chains of 2a­e governed the stabilities of the gels. The gel formations were driven by the morphological transition of 1 before and after the addition of 2a­e. Mixtures of 1 and 2a­e led to the well developed fibrillar networks, generating a lot of voids that are responsible for immobilizing solvent molecules. When the benzyl alcohol gel was irradiated at 360 nm, the gel turned to the sol. The sol was reversed to the gel by warming. This gel-to-sol phase transition was completely reversible.

10.
J Cell Sci ; 125(Pt 22): 5280-7, 2012 Nov 15.
Article in English | MEDLINE | ID: mdl-22899723

ABSTRACT

After an exposure to ionising radiation, cells can quickly repair damage to their genomes; however, a few unrepairable DNA double-strand breaks (DSBs) emerge in the nucleus in a prolonged culture and perpetuate as long as the culture continues. These DSBs may be retained forever in cells such as non-dividing ageing tissues, which are resistant to apoptosis. We show that such unrepairable DSBs, which had been advocated by the classical target theory as the 'radiation hit', could account for permanent growth arrest and premature senescence. The unrepairable DSBs build up with repeated irradiation, which accounts for an accumulated dose. Because these DSBs tend to be paired, we propose that the untethered and 'torn-off' molecular structures at the broken ends of the DNA result in an alteration of chromatin structure, which protects the ends of the DNA from genomic catastrophe. Such biochemical responses are important for cell survival but may cause gradual tissue malfunction, which could lead to the late effects of radiation exposure. Thus, understanding the biology of unrepairable damage will provide new insights into the long-term effects of radiation.


Subject(s)
Cell Lineage/radiation effects , DNA Breaks, Double-Stranded/radiation effects , Fibroblasts/cytology , Fibroblasts/radiation effects , Radiation, Ionizing , Ataxia Telangiectasia Mutated Proteins , Cell Cycle Proteins/metabolism , Cell Nucleus/metabolism , Cell Nucleus/radiation effects , Cell Survival/radiation effects , Cellular Senescence/radiation effects , DNA Repair/radiation effects , DNA-Binding Proteins/metabolism , Diploidy , Dose-Response Relationship, Radiation , Enzyme Activation/radiation effects , Fibroblasts/metabolism , Humans , Phenotype , Protein Serine-Threonine Kinases/metabolism , Tumor Suppressor Proteins/metabolism , Ubiquitination/radiation effects
11.
Radiat Prot Dosimetry ; 149(1): 79-83, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22267275

ABSTRACT

The electron paramagnetic resonance (EPR, or electron spin resonance) method was used to measure CO2⁻· radicals recorded in tooth enamel by exposure to atomic-bomb gamma rays. The EPR-estimated doses (i.e. 6°Co gamma-ray equivalent dose) were generally in good correlation with cytogenetic data of the same survivors, whereas plots of EPR-estimated dose or cytogenetically estimated dose against DS02 doses turned out to scatter more widely. Because those survivors whose EPR doses were higher (or lower) than DS02 doses tended to show also higher (or lower) responses for cytogenetic responses, the apparent variation appears primarily due to problems in individual DS02 doses rather than the measurement errors associated with the EPR or cytogenetic technique. A part of the enamel samples were also used for evaluation of neutron doses by measuring 4¹Ca/4°Ca ratios using the accelerator mass spectrometry technique. The results for the measured ratios were on average ~85 % of the calculated ratios by DS02 (but within the 95 % confidence bounds of the simulated results), which lends support to DS02-derived neutron doses to the survivors.


Subject(s)
Dental Enamel/radiation effects , Electron Spin Resonance Spectroscopy , Gamma Rays , Mass Spectrometry , Neutrons , Nuclear Weapons , Radiometry , Survivors , Chromosome Aberrations , Humans , Particle Accelerators
12.
Biochem Biophys Res Commun ; 412(1): 132-5, 2011 Aug 19.
Article in English | MEDLINE | ID: mdl-21819971

ABSTRACT

Circadian Clock genes are associated with the estrous cycle in female animals. Treatment with Per2 and Clock siRNAs decreased the number of granulosa cells and LHr expression in follicle-stimulating hormone FSH-treated granulosa cells. Per2 siRNA treatment did not stimulate the production of estradiol and expression of P450arom, whereas Clock siRNA treatment inhibited the production of estradiol and expression of P450arom mRNA. Per2 and Clock siRNA treatment increased and unchanged, respectively, progesterone production in FSH-treated granulosa cells. Similarly, expression of StAR mRNA was increased by Per2 siRNA and unchanged by Clock siRNA. Our data provide a new insight that Per2 and Clock have different action on ovarian granulosa cell functions.


Subject(s)
Circadian Clocks/genetics , Estradiol/biosynthesis , Granulosa Cells/metabolism , Period Circadian Proteins/metabolism , Receptors, LH/genetics , Transcription, Genetic , Animals , Aromatase/genetics , CLOCK Proteins/genetics , CLOCK Proteins/metabolism , Cattle , Cell Proliferation , Estradiol/genetics , Female , Follicle Stimulating Hormone/pharmacology , Granulosa Cells/drug effects , Period Circadian Proteins/genetics , RNA, Small Interfering/genetics
13.
J Radiat Res ; 52(5): 600-8, 2011.
Article in English | MEDLINE | ID: mdl-21768749

ABSTRACT

The atomic bombs in Hiroshima and Nagasaki led to two different types of radiation exposure; one was direct and brief and the other was indirect and persistent. The latter (so-called exposure to residual radiation) resulted from the presence of neutron activation products in the soil, or from fission products present in the fallout. Compared with the doses from direct exposures, estimations of individual doses from residual radiation have been much more complicated, and estimates vary widely among researchers. The present report bases its conclusions on radiation doses recorded in tooth enamel from survivors in Hiroshima. Those survivors were present at distances of about 3 km or greater from the hypocenter at the time of the explosion, and have DS02 estimated doses (direct exposure doses) of less than 5 mGy (and are regarded as control subjects). Individual doses were estimated by measuring CO(2)(-) radicals in tooth enamel with the electron spin resonance (ESR; or electron paramagnetic resonance, EPR) method. The results from 56 molars donated by 49 survivors provided estimated doses which vary from -200 mGy to 500 mGy, and the median dose was 17 mGy (25% and 75% quartiles are -54 mGy and 137 mGy, respectively) for the buccal parts and 13 mGy (25% and 75% quartiles: -49 mGy and 87 mGy, respectively) for the lingual parts of the molars. Three molars had ESR-estimated doses of 300 to 400 mGy for both the buccal and lingual parts, which indicates possible exposures to excess doses of penetrating radiation, although the origin of such radiation remains to be determined. The results did not support claims that a large fraction of distally-exposed survivors received large doses (e.g. 1 Gy) of external penetrating radiation resulting from residual radiation.


Subject(s)
Dental Enamel/radiation effects , Nuclear Weapons/history , Chromosome Aberrations/radiation effects , Electron Spin Resonance Spectroscopy , Environmental Exposure/history , History, 20th Century , Humans , Japan , Neutron Activation Analysis , Radiation Dosage
14.
Mutat Res ; 721(1): 101-7, 2011 Mar 18.
Article in English | MEDLINE | ID: mdl-21215816

ABSTRACT

We have generated a new mutation assay system using HT1080 human fibrosarcoma cells, which consists of a combination of tetracycline-operator dependent GFP gene (TetO-EGFP) and tetracycline repressor (TetR) genes, where the expression of GFP gene is under strict control of TetR protein, and the TetR gene is located within the endogenous HPRT gene. In this system, any inactivating mutation at the TetR gene or large deletions including the gene itself results in high expression of GFP gene (>200-fold increase) in the cells, which can be readily scored not only by a flow cytometer but also under a fluorescent microscope. With this new cell line, we show that the spontaneous mutation rate at the TetR locus was 2.8-3.4×10(-6)/cell division, slightly lower than the rate at the endogenous HPRT gene of HT1080 cells, and has a dose response to X rays as a mutagen. We also isolated variant clones with elevated spontaneous mutation rate (i.e., genetically unstable cells) following X irradiation. Spontaneous GFP-positive mutants were predominantly base-change mutations at the TetR gene while those obtained after X irradiation often contained large deletions which spanned up to 6Mb. The results indicate that the bacterial TetR/TetO regulatory units work extremely well as a mutation detection system in human cells, and any part of the human genome may be tested for mutation sensitivity following targeted insertion of the TetR gene in a stably expressing gene.


Subject(s)
Green Fluorescent Proteins/genetics , Mutagenicity Tests/methods , Mutation/radiation effects , Nuclear Proteins/genetics , Transcription Factors/genetics , X-Rays , Cell Line, Tumor , Cells, Cultured , Fibrosarcoma , Gene Deletion , Humans , Polymerase Chain Reaction/methods , Repressor Proteins/genetics , Sensitivity and Specificity , Tetracycline/metabolism
15.
Biol Pharm Bull ; 31(10): 1933-7, 2008 Oct.
Article in English | MEDLINE | ID: mdl-18827358

ABSTRACT

During our isolation of biologically active substances from the spores of Ganoderma lucidum (Reishi Houshi, G. lucidum) guided by the inhibitory activity on HL-60 cell proliferation, NMR spectroscopic and mass spectrometric data indicate the substance contains a mixture of several long chain fatty acids. Hence, in this study, we have examined the inhibitory effects of an ethanolic extract of the spores of G. lucidum as the spore extract, on the proliferation of various human cancer cell lines by comparison with several authentic long chain fatty acids. Of the fatty acids we examined nonadecanoic acid (C19:0) showed the highest inhibitory activity for HL-60 cell proliferation with IC(50) values of 68+/-7 microM followed by heptadecanoic acid (C17:0, 120+/-23 microM), octa- (C18:0, 127+/-4 microM) and hexadecanoic acids (C16:0, 132+/-25 microM), respectively. The corresponding unsaturated fatty acids containing one double bond such as cis-10-nonadecenoic acid (C19:1), cis-9-octadecenoic acid (C18:1), cis-10-heptadecenoic acid (C17:1) and cis-9-hexadecenoic acid (C16:1) were less effective. The ethanolic extract of spores of G. lucidum were shown by annexin-V FITC/PI double staining to induce apoptosis of HL-60 cells in a similar way to cis-10-nonadecenoic acid (C19:1). These unsaturated fatty acids probably inhibit tumor necrosis factor production induced by lipopolysaccharide in a mouse macrophage preparation. Our results suggest the spores of G. lucidum contain 19-carbon fatty acids as one of the components for characteristics of its physiological effects.


Subject(s)
Antibiotics, Antineoplastic/chemistry , Antibiotics, Antineoplastic/pharmacology , Fatty Acids/chemistry , Fatty Acids/pharmacology , Reishi/chemistry , Spores, Fungal/chemistry , Animals , Annexin A5 , Flow Cytometry , Fluorescein-5-isothiocyanate , Fluorescent Dyes , HL-60 Cells , Humans , In Vitro Techniques , Macrophages/drug effects , Mice , Structure-Activity Relationship , Tetrazolium Salts , Thiazoles , Tumor Necrosis Factors/analysis , Tumor Necrosis Factors/biosynthesis
16.
Cerebrovasc Dis ; 24(1): 20-6, 2007.
Article in English | MEDLINE | ID: mdl-17519540

ABSTRACT

BACKGROUND: To determine the underlying conditions that affect the degree of calcification of carotid arterial plaques, measured quantitatively using multidetector row computed tomography (MDCT), and to study the association of carotid calcification with clinical symptomatology. METHODS: We measured the calcification volume of stenotic lesions at the carotid bifurcation using MDCT in 84 consecutive patients who were scheduled to undergo carotid revascularization. These results were compared with the clinical and radiological characteristics of the patients. RESULTS: On MDCT, calcification in the carotid plaques was present in 78 patients (93%). Compared to the other patients, patients in the highest quartile of calcification volume (quartile 4) had higher serum creatinine levels (p < 0.001) and tended to have fewer symptomatic ischemic events in the territory of the affected carotid artery in the preceding 6 months (29 vs. 49%, p = 0.099); in particular, there were fewer transient symptoms (5 vs. 27%, p = 0.032) and symptoms possibly occurring due to local embolism (14 vs. 37%, p = 0.045). On ultrasound, plaque ulceration was less prevalent in patients in quartile 4 than in the remaining patients (5 vs. 29%, p = 0.026), although the severity of carotid stenosis was similar among all the quartiles. CONCLUSIONS: Renal dysfunction was associated with enhanced carotid plaque calcification. Patients with severe carotid calcification were found to have a low risk of recent ischemic stroke, presumably due, in part, to a lower prevalence of emboligenic carotid ulceration. MDCT was valuable for the quantitative evaluation of carotid calcification.


Subject(s)
Calcinosis/diagnostic imaging , Carotid Stenosis/diagnostic imaging , Tomography, X-Ray Computed , Aged , Aged, 80 and over , Angiography, Digital Subtraction , Brain Ischemia/etiology , Calcinosis/complications , Calcinosis/etiology , Carotid Stenosis/complications , Carotid Stenosis/etiology , Female , Humans , Kidney Failure, Chronic/complications , Male , Middle Aged , Risk Assessment , Risk Factors , Severity of Illness Index , Ultrasonography, Doppler, Duplex
17.
Eur J Cancer ; 43(6): 1092-100, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17350822

ABSTRACT

Association of gene alterations and prognosis has not fully been elucidated in hepatocellular carcinoma (HCC). To clarify the relationship between p53 and hMSH2 mutations and prognosis, we analysed these mutations in 83 HCC cases and assessed their association with various clinicopathological factors. The 3-year disease-free survival (DFS) or overall survival (OS) rates in HCC patients with p53 mutation and p53 wild/hMSH2 mutation significantly decreased compared with those without these mutations (14.3% and 37.5% versus 67.5% for DFS; 35.7% and 50.0% versus 96.4% for OS, respectively). In the multivariate analysis, categories by p53 and hMSH2 mutation status, and liver cirrhosis demonstrated statistical significances for DFS and OS. Moreover, the frequency of patients with p53 and/or hMSH2 mutations in intrahepatic metastasis (75.0%) was significantly higher than that in multicentric occurrence (14.3%). Thus, p53 and hMSH2 mutations will be useful for identifying subsets of HCC patients with poor prognosis.


Subject(s)
Carcinoma, Hepatocellular/genetics , Genes, p53 , Liver Neoplasms/genetics , MutS Homolog 2 Protein/genetics , Mutation/genetics , Aged , Analysis of Variance , Carcinoma, Hepatocellular/mortality , Disease-Free Survival , Exons/genetics , Female , Humans , Liver Neoplasms/mortality , Male , Middle Aged , Neoplasm Recurrence, Local/genetics , Oligonucleotide Array Sequence Analysis , Polymorphism, Single-Stranded Conformational , Prognosis
18.
Mutat Res ; 601(1-2): 171-8, 2006 Oct 10.
Article in English | MEDLINE | ID: mdl-16905156

ABSTRACT

Individuals who are homozygotes for mutations in DNA repair genes are at high risk for cancer. It is not well documented, however, if the heterozygous carriers of the mutation are also predisposed to cancer. To address the issue, xeroderma pigmentosum (XP) in Japan is an interesting candidate because of three major reasons: XP is an autosomal recessive disorder with an enormously elevated risk of skin cancer, the frequency of XP patients is higher in Japan than in other parts of the world, and more than half of Japanese XP patients are homozygous for the same founder mutation in the XPA gene. We screened archival blood samples from Japanese individuals who resided in Hiroshima or Nagasaki. A simple PCR-RFLP method was developed that is highly specific for detection of XPA heterozygotes carrying the founder mutation. We identified nine XPA heterozygotes among 1,020 individuals screened for a prevalence of 0.88%. This rate, if representative, implies that there are about 1 million carriers of the XPA founder mutation in the Japanese population. Thus, investigation of their cancer risk may be warranted.


Subject(s)
Founder Effect , Heterozygote , Mutation/genetics , Xeroderma Pigmentosum Group A Protein/genetics , Adolescent , Adult , Asian People/genetics , Cohort Studies , Gene Frequency , Genetic Predisposition to Disease/genetics , Humans , Japan , Polymerase Chain Reaction/methods , Xeroderma Pigmentosum/genetics
19.
Ultrasound Med Biol ; 32(5): 659-64, 2006 May.
Article in English | MEDLINE | ID: mdl-16677925

ABSTRACT

Using transcranial color-coded sonography (TCCS), we evaluated the acute changes in the hemodynamics of cerebral hyperperfusion in two cases. The mean flow velocity of the cerebral arteries increased at the onset of clinical symptoms, together with an increase in the regional cerebral blood flow (rCBF). In serial follow-up studies, the flow velocity gradually returned to normal in parallel with the normalization of the rCBF values. TCCS can be useful for evaluation of acute cerebral hyperperfusion.


Subject(s)
Cerebral Arteries/diagnostic imaging , Cerebrovascular Disorders/diagnostic imaging , Acute Disease , Aged , Blood Flow Velocity , Cerebral Arteries/physiopathology , Cerebrovascular Circulation , Cerebrovascular Disorders/diagnosis , Cerebrovascular Disorders/etiology , Endarterectomy, Carotid/adverse effects , Humans , Intracranial Hypertension/diagnosis , Intracranial Hypertension/diagnostic imaging , Magnetic Resonance Imaging , Male , Middle Aged , Tomography, Emission-Computed, Single-Photon , Ultrasonography, Doppler, Color , Ultrasonography, Doppler, Transcranial
20.
Cerebrovasc Dis ; 20(6): 463-9, 2005.
Article in English | MEDLINE | ID: mdl-16230852

ABSTRACT

BACKGROUND: To investigate the utility of superficial temporal artery (STA) duplex ultrasonography (STDU) for evaluating the improvement of the cerebral hemodynamics after extracranial-intracranial (EC-IC) bypass. METHODS: This study included 40 consecutive patients who underwent EC-IC bypass for occlusive disease of cerebral arteries. STDU was performed to measure the flow velocity, pulsatility index, and diameter of the operated STA before and 14 days after EC-IC bypass. Regional cerebral blood flow (rCBF) and acetazolamide (ACZ) reactivity of the ipsilateral middle cerebral artery (MCA) territory were evaluated by quantitative single-photon emission computed tomography with the ACZ challenge test. We investigated the correlation between STA flow velocity/diameter and rCBF/ACZ reactivity in the ipsilateral MCA territory. RESULTS: Mean flow velocity (MFV; 26.3 +/- 8.8 to 55.3 +/- 16.3 cm/s, p < 0.0001) and diameter (1.57 +/- 0.24 to 2.26 +/- 0.29 mm, p < 0.0001) of the STA, and rCBF (29.1 +/- 3.1 to 35.0 +/- 6.4 ml/100 g/min, p < 0.0001) and ACZ reactivity (-0.02 +/- 0.10 to 0.28 +/- 0.21, p < 0.0001) of the MCA territory increased after EC-IC bypass compared with the baseline values. STA MFV was significantly correlated with the rCBF 14 days after EC-IC bypass (R = 0.70, p < 0.0001). A cutoff value of postsurgical STA MFV greater than 48.5 cm/s yielded the highest diagnostic accuracy (sensitivity 86%; specificity, 82%) for rCBF > or = 32 ml/100 g/min after EC-IC bypass. CONCLUSIONS: STDU was available for evaluating postsurgical patency of the bypass flow and the rCBF of the ipsilateral MCA territory. The mean blood flow velocity of the operated STA is a highly sensitive parameter for predicting rCBF in the ipsilateral MCA territory after EC-IC bypass.


Subject(s)
Cerebrovascular Circulation/physiology , Cerebrovascular Disorders/diagnostic imaging , Cerebrovascular Disorders/surgery , Neurosurgical Procedures , Temporal Arteries/diagnostic imaging , Temporal Arteries/surgery , Aged , Cerebral Angiography , Constriction, Pathologic , Female , Humans , Magnetic Resonance Imaging , Male , Middle Aged , Middle Cerebral Artery/diagnostic imaging , Prospective Studies , Tomography, Emission-Computed, Single-Photon , Ultrasonography, Doppler, Duplex
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