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1.
Annu Int Conf IEEE Eng Med Biol Soc ; 2015: 1299-302, 2015 Aug.
Article in English | MEDLINE | ID: mdl-26736506

ABSTRACT

We investigated the uptake of anti-restenosis agent in vascular smooth muscle cells with heating observing the fluorescence intensity of Oregon green labeled paclitaxel in vitro. The heating temperature to porcine aortic smooth muscle cells was varied from 40 to 60°C in 5 s in order to simulate laser-mediated short-duration heating balloon. The cells were contacted with the agent from 1 to 30 min in 37°C after the heating. We measured the agent uptake characteristics on agent concentration and duration in 37°C as a reference. The uptake of the agent in the cells increased with increasing of both the concentration around the cells and contact duration in the case of 37°C. When the cells were heated with 40°C in 5 s and then contacted with the agent in 30 minutes, the uptake of the agent in the cells significantly increased. The uptake of the agent with 50°C or 60°C in 5 s did not show any increasing. We prospected that 40°C heating to the smooth muscle cells would promote the agent uptake ability of the cells because of homeostasis of the cells.


Subject(s)
Myocytes, Smooth Muscle , Animals , Aorta , Constriction, Pathologic , Hot Temperature , Muscle, Smooth, Vascular , Swine
2.
Article in English | MEDLINE | ID: mdl-23459031

ABSTRACT

Juxtaglomerular neurons represent one of the largest cellular populations in the mammalian olfactory bulb yet their role for signal processing remains unclear. We used two-photon imaging and electrophysiological recordings to clarify the in vivo properties of these cells and their functional organization in the juxtaglomerular space. Juxtaglomerular neurons coded for many perceptual characteristics of the olfactory stimulus such as (1) identity of the odorant, (2) odorant concentration, (3) odorant onset, and (4) offset. The odor-responsive neurons clustered within a narrow area surrounding the glomerulus with the same odorant specificity, with ~80% of responding cells located ≤20 µm from the glomerular border. This stereotypic spatial pattern of activated cells persisted at different odorant concentrations and was found for neurons both activated and inhibited by the odorant. Our data identify a principal glomerulus with a narrow shell of juxtaglomerular neurons as a basic odor coding unit in the glomerular layer and underline the important role of intraglomerular circuitry.


Subject(s)
Nerve Net/cytology , Nerve Net/physiology , Odorants , Olfactory Bulb/cytology , Olfactory Bulb/physiology , Olfactory Receptor Neurons/physiology , Animals , Female , Male , Mice , Mice, Inbred C57BL , Neurons/physiology
3.
Eur J Neurosci ; 29(5): 1027-34, 2009 Mar.
Article in English | MEDLINE | ID: mdl-19291227

ABSTRACT

We compared the concentration dependence of the ability of rats to identify odorants with the calcium signals in the nerve terminals of the olfactory receptor neurons. Although identification performance decreased with concentrations both above and below the training stimuli it remained well above random at all concentrations tested (between 0.0006% and 35% of saturated vapor). In contrast, the calcium signals in the same awake animals were much smaller than their maximum values at odorant concentrations <1% of saturated vapor. In addition, maps of activated glomeruli changed dramatically as odorant concentration was reduced. Thus perceptual stability exists in the face of dramatic changes in both the amplitude and the maps of the input to the olfactory bulb. The data for the concentration dependence of the response of the most sensitive glomeruli for each of five odorants was fitted with a Michaelis-Menten (Hill) equation. The fitted curves were extrapolated to odorant concentrations several orders of magnitude lower the smallest observed signals and suggest that the calcium response at low odorant concentrations is > 1000 times smaller than the response at saturating odorant concentrations. We speculate that only a few spikes in olfactory sensory neurons may be sufficient for correct odorant identification.


Subject(s)
Action Potentials/physiology , Brain Mapping , Discrimination, Psychological/physiology , Odorants , Olfactory Bulb/cytology , Olfactory Receptor Neurons/physiology , Action Potentials/drug effects , Animals , Calcium Signaling/drug effects , Calcium Signaling/physiology , Conditioning, Operant/drug effects , Conditioning, Operant/physiology , Dose-Response Relationship, Drug , Male , Models, Neurological , Olfactory Bulb/physiology , Olfactory Receptor Neurons/drug effects , Rats , Rats, Long-Evans , Reinforcement, Psychology , Restraint, Physical/methods , Smell/drug effects , Smell/physiology , Wakefulness
4.
Cereb Cortex ; 15(10): 1497-509, 2005 Oct.
Article in English | MEDLINE | ID: mdl-15659656

ABSTRACT

Neurons of similar frequency preference are arranged in isofrequency bands (IFBs) across the primary auditory cortex (AI) of many mammals. Across the AI of the cat, one of the most frequently studied species for auditory anatomy and function, we demonstrate IFB-like responses using optical imaging of intrinsic signals (OIS). Optically defined activations were extensively elongated along the dorsoventral axis of AI (the ratio of the major and minor axes was approximately 2:1), and systematically shifted as a function of stimulus frequency. The elongation of this IFB-like zone was more conspicuous at higher frequencies. In the ventral sector of the imaged field, the IFB-like zones of activation evoked at different pure tone frequencies tended to overlap extensively. Electrophysiological recording from loci within the optically defined zones of activation revealed matched responses to the frequencies used for optical imaging at 65% of these loci. The dorsoventral orientation of these zones of activation was also closely matched with the orientation of tangentially spreading intrinsic axon terminals, as revealed anatomically. The visualization of IFB-like architecture and tonotopic organization by OIS provides a basic framework for investigating the relationships of different spectral channels and between multiple acoustic parameters at a neuronal population level.


Subject(s)
Auditory Cortex/physiology , Signal Transduction/physiology , Acoustic Stimulation , Animals , Brain Mapping , Cats , Data Interpretation, Statistical , Electrophysiology , Female , Image Processing, Computer-Assisted , Kinetics , Male , Neural Pathways/physiology , Pressure , Presynaptic Terminals/physiology
5.
J Neurosci Methods ; 124(1): 83-92, 2003 Mar 30.
Article in English | MEDLINE | ID: mdl-12648767

ABSTRACT

Mapping of the activity of brain by optical intrinsic signal imaging (OISI) provides a two-dimensional activation pattern of visual cortical areas at a resolution of a few hundred microns. However, integration of the intrinsic signal over depth results in loss of finer information about functional organization across the depth. Here, we report the first successful implementation of optical coherence tomography (OCT) at around 30 microm depth resolution to investigate cortical functions of a cat brain in vivo. This technique, named functional OCT (fOCT) provided visually evoked changes in the OCT signal. The fOCT signal shows stimulus specificity that correlates well with that of the intrinsic signals and provides depth resolved layer specific functional information.


Subject(s)
Evoked Potentials, Visual/physiology , Image Enhancement/instrumentation , Microscopy, Interference/instrumentation , Neurons/physiology , Tomography/instrumentation , Visual Cortex/physiology , Animals , Brain Mapping/methods , Cats , Feasibility Studies , Fiber Optic Technology/instrumentation , Image Enhancement/methods , Imaging, Three-Dimensional/methods , Microscopy, Interference/methods , Reproducibility of Results , Scattering, Radiation , Sensitivity and Specificity , Tomography/methods
6.
Int Arch Allergy Immunol ; 122(4): 270-8, 2000 Aug.
Article in English | MEDLINE | ID: mdl-10971118

ABSTRACT

BACKGROUND: Eosinophils are found in the nasal lavage fluid (NLF) and nasal biopsies of patients with allergic rhinitis after a nasal antigen challenge, and associated not only with a late-phase allergic reaction (LPR) but also an early phase allergic reaction (EPR). Numerous studies have been carried out to clarify the participation of eosinophils in LPR or airway hyperresponsiveness. However, there has been no published report describing in detail the role of eosinophils during EPR. To better understand the involvement of eosinophils in EPR, we studied the effects of repeated antigen challenges on nasal airway responsiveness and eosinophilic inflammation in EPR using a guinea pig rhinitis model. METHODS: Nasal airway responsiveness was measured as the nasal airway resistance (NAR) after nasal antigen provocation. Eosinophilic inflammation during EPR was assessed by nasal lavage and histopathological examination using two groups of animals: those in group 1 were subjected to a sensitization pretreatment only, and those in group 2 were subjected to a pretreatment of sensitization followed by repeated nasal challenges. RESULTS: Repeated antigen challenges induced nasal hyperresponsiveness as indicated by a decrease in the antigen provocation dose and a significant increase in NAR. Furthermore, significant increases in eosinophil counts, eosinophil peroxidase (EPO) activity and protein content in NLF during EPR were observed following antigen provocation in group 2. There were significant correlations between the levels of these parameters, and albumin was the most prevalent of the proteins in NLF. Histopathological examination showed that the degree of eosinophil infiltration into the lamina propria of the nasal mucosa of the animals in group 2 was significantly and apparently higher than in group 1. Particularly, epithelial disruption and mucosal edema were significantly elevated after antigen provocation in group 2. CONCLUSIONS: These results suggest that chronic eosinophil accumulation is induced by repeated antigen challenges in the nasal tissue, and that once antigen provocation occurs, eosinophils in the tissue are activated and responsible for the amplification of EPR such as vascular permeability and mucosal edema.


Subject(s)
Eosinophils/immunology , Rhinitis, Allergic, Seasonal/immunology , Animals , Disease Models, Animal , Eosinophil Peroxidase , Guinea Pigs , Male , Nasal Lavage Fluid/cytology , Nasal Lavage Fluid/immunology , Nasal Mucosa/pathology , Nasal Provocation Tests , Ovalbumin/administration & dosage , Peroxidases/metabolism , Proteins/metabolism , Rhinitis, Allergic, Seasonal/pathology , Rhinitis, Allergic, Seasonal/physiopathology
7.
J Inorg Biochem ; 82(1-4): 171-80, 2000 Nov.
Article in English | MEDLINE | ID: mdl-11132624

ABSTRACT

Real-time fluorescence analysis revealed that the activity of cytochrome P450scc was related to Ca2+ signals arising from extracellular NADPH, ACTH and ATP stimulation in adrenocortical fasciculata cells. The side-chain cleavage reaction by cytochrome P450scc was measured with 3beta-hydroxy-22,23-bisnor-5-cholenyl ether (cholesterol-resorufin) by observing the distinct increase in fluorescence upon conversion of cholesterol-resorufin to resorufin and pregnenolone. Adrenocorticotropic hormone (ACTH) induced a relatively small stimulation of the P450scc activity. A significant production of resorufin was revealed after stimulation of cell cultures with 100 pM, 1 nM of ACTH for 3 h. On the other hand, extracellular NADPH was found to rapidly and greatly stimulate the resorufin production in intact cells immediately after the addition of 50-500 microM NADPH. The extracellular NADPH stimulation was prevented by the addition of thapsigargin and EGTA which abolished Ca2+ oscillations induced by NADPH. Suramin, a specific antagonist of the P2y type ATP receptor, also completely abolished the NADPH-induced cholesterol-resorufin conversion. These results imply that extracellular NADPH (membrane impermeable) produced Ca2+ oscillations through its binding to ATP receptor thereby stimulating the activity of P450scc. The application of 45-500 microM extracellular ATP to cells did not, however, significantly increase the resorufin production. These three stimulators produced very different types of Ca2+ signals. ACTH induced mainly a series of Ca2+ spikes superimposed on a long-lasting basal Ca2+ elevation. The Ca2+ signals induced by NADPH showed predominantly a series of Ca2+ spikes without elevation of the basal Ca2+ concentration. Only long-lasting Ca2+ elevation was induced by extracellular ATP. The stimulation of cytochrome P450scc may thus be correlated with the different patterns of Ca2+ signals.


Subject(s)
Adenosine Triphosphate/metabolism , Adrenal Cortex/metabolism , Adrenocorticotropic Hormone/metabolism , Calcium/metabolism , Cholesterol Side-Chain Cleavage Enzyme/metabolism , NADP/metabolism , Adrenal Cortex/cytology , Animals , Calcium Signaling/physiology , Cattle , Cholesterol/metabolism , Mitochondria/metabolism , Oxazines/metabolism , Proteolipids/metabolism
8.
J Pharm Biomed Anal ; 15(9-10): 1215-22, 1997 Jun.
Article in English | MEDLINE | ID: mdl-9226546

ABSTRACT

The effects of chlorpromazine on the mobility of cytochrome P-450 and the fluidity of lipid membranes have been investigated in bovine adrenocortical submitochondrial particles (SMP). Rotational diffusion of the cytochrome was measured by observing the decay of absorption anisotropy, ra(t), after photolysis of the heme.CO complex by a vertically polarized laser flash. Analysis of ra(t) was based on a 'rotation-about-membrane-normal' model. The anisotropy decayed within 2 ms to a time independent value r3. The presence of chlorpromazine decreased the mobile population of cytochrome P-450 from 28 to 23%. The rotational relaxation time phi a of the mobile population (approximately 1100 microseconds) was, however, not significantly changed by chlorpromazine. The lipid fluidity was examined by observing time-resolved fluorescence anisotropy, rf(t), of 1,6-diphenyl 1,3,5-hexatriene (DPH). The anisotropy rf(t) decayed within 70 ns to a time independent value r infinity. The motion of DPH was analyzed based on a 'wobbling-in-cone' model. The presence of chlorpromazine decreased the cone angle from 42 degrees to 39 degrees, while the rotational relaxation time phi f (approximately 2 ns) was not significantly changed by the presence of chlorpromazine. These results demonstrate that chlorpromazine decreased the mobility of not only lipids but also membrane proteins.


Subject(s)
Antipsychotic Agents/pharmacology , Chlorpromazine/pharmacology , Cytochrome P-450 Enzyme System/metabolism , Intracellular Membranes/drug effects , Membrane Lipids/metabolism , Phospholipids/metabolism , Adrenal Cortex/drug effects , Adrenal Cortex/metabolism , Animals , Cattle , Diffusion , Intracellular Membranes/metabolism , Kinetics , Mitochondria/drug effects , Mitochondria/metabolism , Rotation
9.
Arerugi ; 44(4): 461-6, 1995 Apr.
Article in Japanese | MEDLINE | ID: mdl-7598639

ABSTRACT

The peptide possessing N-terminal 10 amino acid sequence of Cry j 2 was chemically synthesized and conjugated to KLH-carrier protein. Rabbits were immunized with this haptenized protein and the antibody (N-10 antibody) was obtained. Cross-blot analysis revealed that N-10 antibody recognized the hapten moiety. Purification of Cry j 2 was carried out with monitoring its reactivity with N-10 antibody. The substance reactive to N-10 antibody existed in the DEAE-Sephadex unadsorbed fraction. The substance reactive to N-10 antibody was subjected to CM-Sephadex equilibrated with 10 mM acetate buffer (pH 5.0). In contrast to the previous report on Cry j 2, the substance reactive to N-10 antibody existed in the CM-Sephadex unadsorbed fraction. The CM-Sephadex unadsorbed fraction was concentrated with 80% saturated ammonium sulfate, and applied to a Superdex pg 200 column. The major peak of protein was regarded as the final preparation and was subjected to SDS-PAGE. The substance reactive to N-10 antibody had a MW of 40 kDa under reducing and 37 kDa under non-reducing conditions, respectively. Furthermore, the substance reactive to N-10 antibody showed potent allergenic activity. These data completely agreed with the previous data on Cry j 2 and strongly suggested that the final preparation contained a large amount of Cry j 2. BALB/c mice were immunized intraperitoneally with the final preparation to produce a monoclonal antibody against Cry j 2. Eleven clones reacting to the final preparation were obtained, and the antibodies produced from these clones did not react with purified Cry j 1.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Allergens/immunology , Antibodies, Monoclonal/biosynthesis , Plant Proteins/immunology , Pollen/immunology , Animals , Mice , Mice, Inbred BALB C , Peptide Fragments/immunology , Rabbits , Trees
10.
Arerugi ; 43(11): 1351-4, 1994 Dec.
Article in English | MEDLINE | ID: mdl-7887812

ABSTRACT

We have examined the antigenic relationship between the house dust mite Dermatophagoides farinae and the predacious mite Phytoseiulus persimilis. Immunoblotting analysis demonstrated that there was a very weak antigenic cross-reactivity between these different suborder of mites but that this cross-reactivity was not attributed to D. farinaes major allergen's, Der fI and Der fII. These results suggest that P. persimilis might scarcely provoke allergic symptoms in patients sensitized to house dust mites.


Subject(s)
Antigens/immunology , Mites/immunology , Animals , Cross Reactions , Dust , Immunoblotting
11.
Yakugaku Zasshi ; 114(11): 888-93, 1994 Nov.
Article in Japanese | MEDLINE | ID: mdl-7853150

ABSTRACT

The bacterial endotoxin content in human serum albumin (HSA) products measured by two different Limulus amebocyte lysate (LAL) test methods, colorimetric and kinetic turbidimetric methods, were compared. So far as endotoxin-specific LAL reagents which do not show a false-positive reaction with (1-->3)-beta-D-glucan are used, a definite correlation was found between the results with the two LAL test methods. Endotoxin added to HSA products was recovered in a quantitative manner showing neither inhibition nor enhancement by HSA to the both LAL test methods. Results of the LAL tests showed a significant correlation with that of the rabbit pyrogen test. The correlation was much improved with endotoxin-added HSA. The present results indicate the practical applicability of the LAL test as an alternative method for the rabbit pyrogen test.


Subject(s)
Biological Products/chemistry , Endotoxins/analysis , Limulus Test , Serum Albumin/chemistry , Animals , Drug Contamination , Fever/chemically induced , Humans , Quality Control , Rabbits
12.
Clin Exp Allergy ; 23(9): 777-84, 1993 Sep.
Article in English | MEDLINE | ID: mdl-10779309

ABSTRACT

A serine protease from mite faecal extract, Dermatophagoides farinae, was purified using DEAE-Sephacel anion exchange chromatography and Superdex 75 pg gel chromatography. The molecular weight of this protease was 34 kD on SDS-PAGE under reducing conditions. The optimal pH and temperature of the protease were 8.0 and 47 degrees C, respectively. In addition, this protease cleaved arginyl or lysyl residue containing substrates selectively and was only inhibited by aprotinin, FUT-175, and soy bean trypsin inhibitor and not by chymostatin, E-64 and iodoacetic acid. These results show that our purified serine protease belongs to the trypsin-type. Purified trypsin-like protease was shown to be allergenic by enzyme-linked immunosorbent assay. Antigenicity of trypsin-like protease was completely different from those of Der f I and Der f II. Both, 20 N-terminal amino acid sequence and amino acid compositions of the purified protease were very similar to those of Der f III. Good similarities were found between trypsin-like protease and Der f III concerning physicochemical properties such as molecular weight on SDS-PAGE and ammonium sulphate solubility. Summarizing the above data, it can be concluded that a trypsin-like protease from mite faecal extract is actually the Der f III allergen and that it may be involved in the digestive process of the mite as it was found not in mite body but in mite faeces.


Subject(s)
Allergens/isolation & purification , Mites/enzymology , Serine Endopeptidases/isolation & purification , Adolescent , Adult , Aged , Allergens/chemistry , Allergens/immunology , Amino Acid Sequence , Amino Acids/analysis , Animals , Antigens, Plant , Aprotinin/pharmacology , Arthropod Proteins , Benzamidines , Chromatography, Gel , Chromatography, Ion Exchange , Digestive System/enzymology , Enzyme-Linked Immunosorbent Assay , Feces/enzymology , Female , Guanidines/pharmacology , Humans , Hydrogen-Ion Concentration , Male , Middle Aged , Molecular Sequence Data , Molecular Weight , Sequence Alignment , Sequence Homology, Amino Acid , Serine Endopeptidases/immunology , Serine Proteinase Inhibitors/pharmacology , Substrate Specificity , Temperature , Trypsin Inhibitors/pharmacology
13.
Anal Biochem ; 204(2): 398-404, 1992 Aug 01.
Article in English | MEDLINE | ID: mdl-1443541

ABSTRACT

A novel apparatus called a quartz chemical analyzer (QCA) has been developed using a quartz crystal resonator. This apparatus measures sample viscosity changes based on resonant frequency changes of the quartz crystal. The apparatus was used to determine bacterial endotoxin concentrations by monitoring the gelation reaction of Limulus amebocyte lysate. The QCA determined endotoxin concentrations with good accuracy and reproducibility in the range of 0.001-3 EU/ml for endotoxin standard (JP XII). For endotoxin determination in human whole blood and plasma samples, the inhibitory reaction was eliminated by pretreatment of a fourfold dilution at 60 degrees C and incubation for 30 min. There are many advantages of the QCA method compared with the turbidimetric and chromogenic methods. For example, QCA can measure sample viscosity changes with high sensitivity and accuracy because QCA detects minor resonant frequency changes and the frequency data give a numerical value for easy quantitation. QCA can examine turbid samples, and the required quantities of samples and reagents are small, since the quartz crystal detects sample viscosity changes directly. The endotoxin determination time may be shortened by raising the reaction temperature, and QCA can detect other types of coagulation reactions.


Subject(s)
Endotoxins/blood , Limulus Test/instrumentation , Antithrombin III/pharmacology , Gels , Heparin/pharmacology , Humans , Immunoglobulins/analysis , Quartz , Serum Albumin/analysis , Temperature , Viscosity
14.
Yakugaku Zasshi ; 112(8): 551-6, 1992 Aug.
Article in Japanese | MEDLINE | ID: mdl-1432603

ABSTRACT

We applied the limulus amebocyte lysate (LAL) test to the detection of bacterial endotoxins in therapeutic human plasma protein fraction (PPF) and compared the LAL-test with the rabbit pyrogen test. Two endotoxin-specific LAL-reagents were used for the colorimetric method and turbidimetric kinetic method. The amounts of added endotoxin to the PPF were correctly estimated by either method. The results of four independent assays for the 53 samples of PPF corresponded well with each other (correlation coefficient: 0.851-0.959, regression coefficient: 0.898-1.151). The amounts of endotoxin in the PPF estimated by the LAL-test significantly correlated with the rise of body temperature in rabbits (correlation coefficient: 0.547-0.642, and 0.911-0.934 for the endotoxin added samples). These results suggest that the LAL-test could be used as an alternative method for the rabbit pyrogen test to PPF.


Subject(s)
Blood Proteins/analysis , Endotoxins/analysis , Limulus Test , Animals , Biological Assay , Drug Contamination , Humans , Pyrogens/analysis , Rabbits
15.
Arerugi ; 41(6): 704-7, 1992 Jun.
Article in English | MEDLINE | ID: mdl-1444822

ABSTRACT

A trypsin-like protease was purified from mite (Dermatophagoides farinae) fecal extract. In SDS-PAGE, the mite trypsin-like protease showed a single band at 34 kD. The purified trypsin-like protease possessed potent allergenic activity. Both the twenty N-terminal amino acid sequence and the amino acid composition of the purified protease were very similar to those of Der f III. These data strongly suggest that the trypsin-like protease in the mite is a Der f III allergen.


Subject(s)
Allergens/immunology , Antigens/immunology , Mites/enzymology , Trypsin/immunology , Allergens/isolation & purification , Amino Acid Sequence , Animals , Antigens, Dermatophagoides , Mites/immunology , Molecular Sequence Data , Trypsin/isolation & purification
16.
Biosens Bioelectron ; 6(4): 353-8, 1991.
Article in English | MEDLINE | ID: mdl-1909147

ABSTRACT

A quartz crystal viscosity sensor was applied to a coagulation reaction monitoring system. The system consists of 16 oscillating circuits, a channel selector, a frequency counter, a temperature controller and a microcomputer. The system is named the Quartz Chemical Analyzer (QCA). AT-cut quartz crystals (9 MHz) were used as viscosity detectors and were attached to a cell in order to expose only one side of the quartz plate. The system was applied to the detection of the blood coagulation factors VIII (F VIII) and IX (F IX). The activity of these factors was assayed by a single-stage method. A linear relationship was obtained in a double-logarithmic diagram of concentration versus coagulation time with respect to F VIII and F IX in the range 0.05-0.4 unit cm-3 and 0.025-0.2 unit cm-3, respectively.


Subject(s)
Biosensing Techniques , Blood Coagulation , Factor IX/analysis , Factor VIII/analysis , Humans , Microchemistry , Monitoring, Physiologic/methods
17.
Jpn J Exp Med ; 56(4): 155-61, 1986 Aug.
Article in English | MEDLINE | ID: mdl-3820733

ABSTRACT

The rapid decline of tetanus mortality in recent years, from 2.84 to 0.02 per 10(5) population during the period of 1947-1982 was largely due to the decrease in neonatal tetanus mortality which declined from 36.1 to 0 per 10(5) live birth during the same period (1947-1979). The incidence of neonatal tetanus was inversely related to the percent of babies born in medical institutions. Vaccination against tetanus contributed to the rapid decline of tetanus mortality in the 0 to 9 years old group excluding the neonates, but not necessarily in the other age groups. There was a conspicuous decline in case fatality from about 50-40% during 1940-1970 to 20% and 10% in the periods from 1971-1980 and 1981-1982, respectively. This is attributed to the recent trend of treating tetanus patients in intensive care units where even the most extremely moribund patients have come to be successfully treated in the past few decades. The causes of death of tetanus patients changed from about 1975. Respiratory insufficiency with or without pulmonary infection was predominant in the period from 1961-1974. Unexpected complications, i.e. perforation of esophageal fistula, bleeding from gastrointestinal ulcers, myocardial infarction, respiratory insufficiency due to hyalinosis of alveolar septae associated with prolonged artificial respiration etc. were the major causes of death in the years 1975-1985.


Subject(s)
Tetanus/mortality , Adult , Aging , Analysis of Variance , Female , Humans , Infant, Newborn , Japan , Male , Respiration, Artificial/adverse effects , Tetanus/epidemiology , Tetanus/physiopathology
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