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1.
J Dairy Sci ; 94(7): 3262-70, 2011 Jul.
Article in English | MEDLINE | ID: mdl-21700010

ABSTRACT

The IL-12-inducing ability of lactic acid bacteria could be a critical index of immunomodulatory activity, especially in promoting T-helper-1 responses and in suppressing T-helper-2-mediated allergic responses. We aimed to develop a simple method for enhancing the IL-12-inducing ability of bacteria. We examined the in vitro effects of strains of lysozyme-modified Lactococcus (ML-LYS), prepared by heat treatment of the Lactococcus strain in the presence of lysozyme, on the ability of mouse macrophage-like J774.1 cells and spleen cells to produce IL-12. An IL-12-inducing ability greater than that of heat-killed bacteria was shown by 41 of 46 ML-LYS strains in J774.1 cells and by all 46 ML-LYS strains in mouse spleen cells. In contrast, bacteria modified by α-lactalbumin, ß-lactoglobulin, or ovalbumin did not enhance IL-12 production in J774.1 cells. Microscopically, ML-LYS showed stronger resistance to lysozyme and macrophage digestion than did heat-killed bacteria or the other modified bacteria. Addition of chitotriose, a lysozyme inhibitor, enhanced IL-12 production by J774.1 cells stimulated with heat-killed bacteria. Therefore, enhancement of resistance to lysozyme may be a key factor in the strong IL-12-inducing ability of ML-LYS. These findings have important implications for the design of dairy products that have an immunomodulatory effect using the modified bacteria.


Subject(s)
Hot Temperature , Interleukin-12/biosynthesis , Lactococcus/enzymology , Macrophages/metabolism , Muramidase/pharmacology , Spleen/cytology , Animals , Female , Lactococcus/classification , Lactococcus/drug effects , Mice , Mice, Inbred BALB C
2.
J Neural Transm (Vienna) ; 114(12): 1553-7, 2007.
Article in English | MEDLINE | ID: mdl-17676428

ABSTRACT

We investigated the alteration of oligodendrocytes in comparison with that of astrocytes and microglia in the mouse striatum after MPTP (1-methyl-4-phenyl-1,2,3,6-tetrahydropridine) treatment under the same conditions using Western blot analysis and Immunohistochemistry. In our Western blot analysis, four administrations of MPTP at 2-h intervals to mice produced the remarkable loss of TH (tyrosine hydroxylase) protein levels in the striatum after 3 and 7 days. In contrast, GFAP (glial fibrillary acidic protein) and Iba-1 protein in the striatum showed a significant increase of GFAP and Iba-1 protein levels 3 and 7 days after MPTP treatment. On the other hand, the levels of CNPase (2', 3'-cyclic nucleotide 3'-phosphodiesterase) protein were decreased significantly in the striatum 3 and 7 days after MPTP treatment. In our immunohistochemical study, a significant decrease in the area of expression of CNPase-positive profiles was observed in the striatum 3 and 7 days after MPTP treatment. These results demonstrate that oligodendrocytes in the striatum are damaged after MPTP treatment. Thus our present findings provide valuable information for the pathogenesis of Parkinson's disease.


Subject(s)
Corpus Striatum/drug effects , Corpus Striatum/pathology , MPTP Poisoning/pathology , Oligodendroglia/drug effects , Oligodendroglia/pathology , 2',3'-Cyclic-Nucleotide Phosphodiesterases/drug effects , 2',3'-Cyclic-Nucleotide Phosphodiesterases/metabolism , Animals , Astrocytes/drug effects , Astrocytes/pathology , Blotting, Western , Calcium-Binding Proteins/drug effects , Calcium-Binding Proteins/metabolism , Corpus Striatum/metabolism , Glial Fibrillary Acidic Protein/drug effects , Glial Fibrillary Acidic Protein/metabolism , Immunohistochemistry , MPTP Poisoning/metabolism , Male , Mice , Mice, Inbred C57BL , Microfilament Proteins , Microglia/drug effects , Microglia/pathology , Oligodendroglia/metabolism , Tyrosine 3-Monooxygenase/drug effects , Tyrosine 3-Monooxygenase/metabolism
3.
J Vet Med A Physiol Pathol Clin Med ; 54(1): 27-9, 2007 Feb.
Article in English | MEDLINE | ID: mdl-17359451

ABSTRACT

Uterine leiomyosarcoma occurring spontaneously in a domestic golden hamster was examined histologically and immunohistochemically. The histological findings for this tumour were similar to those for leiomyosarcomas described in other species. Immunohistochemical examination demonstrated the positivity of neoplastic cells with alpha-smooth muscle actin and desmin. From the results mentioned above, the tumour of this case was revealed to be of smooth muscle origin. To our knowledge, this is the first report of a uterine leiomyosarcoma in domestic golden hamsters.


Subject(s)
Leiomyosarcoma/pathology , Leiomyosarcoma/veterinary , Mesocricetus , Rodent Diseases/pathology , Uterine Neoplasms/veterinary , Animals , Cricetinae , Fatal Outcome , Female , Immunohistochemistry/veterinary , Uterine Neoplasms/pathology
4.
J Appl Microbiol ; 92(1): 41-6, 2002.
Article in English | MEDLINE | ID: mdl-11849326

ABSTRACT

AIMS: The aim of this study is to clarify the effect of Tween 80 on bile tolerance of lactococci. METHODS AND RESULTS: Four out of the six strains of lactococci could grow in broth containing 0.3% bile in the presence of 1% Tween 80, but grew slightly or not at all in the absence of Tween 80. Growing with Tween 80 altered the fatty acid composition of all three strains tested, but it is not clear which fatty acid influences bile tolerance. Material that absorbed light at 260 nm leaked from the cells tested with bile, but the leakage was decreased by addition of 1% Tween 80. Coincidentally, the decrease in the cell count by exposure to bile was suppressed by addition of Tween 80. CONCLUSIONS: Tween 80 enhances bile tolerance of some strains of lactococci. SIGNIFICANCE AND IMPACT OF THE STUDY: It is clarified that Tween 80 in the broth contributes to the bile tolerance of lactococci by reducing the cellular leakage caused by bile.


Subject(s)
Bile , Lactococcus/drug effects , Polysorbates/pharmacology , Surface-Active Agents/pharmacology , Cell Membrane Permeability/drug effects , Culture Media , Fatty Acids/analysis , Lactococcus/chemistry , Lactococcus/physiology
5.
J Dairy Sci ; 85(12): 3182-8, 2002 Dec.
Article in English | MEDLINE | ID: mdl-12512591

ABSTRACT

Elevated serum cholesterol in humans is generally a risk factor correlated with the development of coronary heart disease. It has been reported that a culture of Lactobacillus acidophilus actively taking up cholesterol from a laboratory medium would function in vivo to exert a hypocholesterolemic effect. In the present study, seven strains of the genus Lactococcus were examined for their ability to remove cholesterol from laboratory media during growth. All strains of lactococci tested could remove cholesterol from media without degrading cholesterol. The amount of cholesterol removed was strain specific. Among them, Lc. Lactis subsp. lactis biovar diacetylactis N7 could remove as much cholesterol as L. acidophilus ATCC 43121, which had a beneficial influence on serum cholesterol levels in pigs. The manner of cholesterol removal by strain N7 corresponded to the manner of its growth. The growth of strain N7 (growth yield and growth efficiency) was enhanced. The fatty acid composition of the cells of strain N7 was altered by removing cholesterol from the media. The ability to remove cholesterol was also observed in the heat-killed cells of strain N7. However, the amount of cholesterol removed by the cells during growth was significantly higher than that removed by the heat-killed cells. Thus, strain N7 has the ability to remove cholesterol from media independently of whether cells are viable. These results indicate that administration of strain N7 in vivo may well be promising on the hypocholesterolemic effect.


Subject(s)
Cholesterol/metabolism , Culture Media/metabolism , Lactococcus lactis/metabolism , Cholesterol/pharmacology , Culture Media/analysis , Fatty Acids/analysis , Hot Temperature , Lactobacillus acidophilus/metabolism , Lactococcus lactis/chemistry , Lactococcus lactis/growth & development
6.
Pediatr Int ; 43(5): 465-8, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11737706

ABSTRACT

BACKGROUND: To evaluate the effects of an increase in glucose infusion rate of 2 mg/kg per min from the basal infusion rate on the prevention of hypoglycemia in very low-birthweight (VLBW) infants, following indomethacin therapy for patent ductus arteriosus (PDA). METHODS: Forty VLBW infants with PDA were given indomethacin 0.2 mg/kg intravenously up to three doses. In 15 of the 40 infants (supplemented group: between April 1995 and March 1996) the glucose infusion rate was increased in 2 mg/kg per min increments from the basal rate just before the initial indomethacin administration, compared with 25 historical control infants who received a fixed glucose infusion rate during the first 12 h after the initial dose. We evaluated the changes in blood glucose levels and glucose infusion rates in both groups. RESULTS: In the control group 11 of 25 (44%) infants had a blood glucose value below 40 mg/dL between 12 and 60 h (mean 32.7 h). In contrast only two out of 15 infants in the supplemented group reached the glucose level below 40 mg/dL between 72 and 96 h but both two were light-for-dates infants (defined as birthweight below the 10th percentile for gestational age on the standard intrauterine growth curve). Blood glucose values in the supplemented group were significantly higher than those in the control group between 12 and 96 h. However, glucose infusion rates were similar before and between 72 and 96 h. CONCLUSIONS: This retrospective study shows that an increase in glucose infusion rate of 2 mg/kg per min, in addition to the pre-existing stable maintenance glucose intake, might prevent against the occurrence of unexpected hypoglycemia in VLBW infants following indomethacin therapy.


Subject(s)
Ductus Arteriosus, Patent/drug therapy , Glucose/administration & dosage , Hypoglycemia/prevention & control , Indomethacin/adverse effects , Infant, Very Low Birth Weight , Blood Glucose , Female , Gestational Age , Glucose/therapeutic use , Humans , Hypoglycemia/chemically induced , Indomethacin/therapeutic use , Infant, Newborn , Infant, Very Low Birth Weight/metabolism , Infusions, Intravenous , Male , Pregnancy , Retrospective Studies
7.
Gene ; 281(1-2): 115-22, 2001 Dec 27.
Article in English | MEDLINE | ID: mdl-11750133

ABSTRACT

A Staphylococcus warneri strain M, newly isolated from processed seafood (smoked Watasenia scintillans), produced an extracellular protease. The protease, designated to as m-PROM (the mature form of PROM), selectively cleaved the carbonyl side of glutamic acid residues in beta-casein. Sequence of N-terminal 27 amino acids of m-PROM, RANVILPNNDRHQINDTTLGHYAPVTF, was found to be similar to those of other glutamyl endopeptidases, V8 protease (Staphylococcus aureus strain V8) and SPase (S. aureus ATCC 12600). To determine the complete primary structure and precursor of PROM, its gene (proM) was cloned and sequenced. The gene proM was found to encode for a protein of 316 amino acids. The amino acid residues from 64 to 90 completely coincided with the N-terminal 27 amino acids of the m-PROM, suggesting that the N-terminal 63 amino acids region of p-PROM (the precursor form of PROM) might be processed posttranslationally. Moreover, the whole amino acid sequence deduced from the primary structure of proM shows significant similarity to those of other glutamyl endopeptidases, V8 protease and SPase. These results suggested that PROM belongs to the glutamyl endopeptidase class. PROM, however, differs from V8 and SPase proteases in the processing site and the C-terminal region.


Subject(s)
Serine Endopeptidases/genetics , Staphylococcus/genetics , Amino Acid Sequence , Base Sequence , Cloning, Molecular , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , Electrophoresis, Polyacrylamide Gel , Enzyme Precursors/genetics , Enzyme Precursors/metabolism , Molecular Sequence Data , Protein Processing, Post-Translational , Sequence Alignment , Sequence Analysis, DNA , Sequence Analysis, Protein , Sequence Homology, Amino Acid , Serine Endopeptidases/isolation & purification , Serine Endopeptidases/metabolism , Staphylococcus/enzymology , Substrate Specificity
8.
Biosci Biotechnol Biochem ; 65(8): 1886-8, 2001 Aug.
Article in English | MEDLINE | ID: mdl-11577736

ABSTRACT

Hydroxy isothiocyanates, especially 2-(4-hydroxyphenyl)ethyl isothiocyanate (hITC), were examined for antimicrobial synergism with several antibiotics against Escherichia coli and Staphylococcus aureus, using a multiwell plate system. hITC had antibacterial synergism, specifically with aminoglycoside antibiotics. The synergism was observed in synthetic medium (M9 minimal medium) or soybean casein digest broth, but not in nutrient broth. Synergism was seen in the presence of certain sugars such as glucose, fructose, and maltose in the medium.


Subject(s)
Anti-Bacterial Agents/pharmacology , Escherichia coli/drug effects , Isothiocyanates/pharmacology , Staphylococcus aureus/drug effects , Sulfhydryl Reagents/pharmacology , Aminoglycosides , Carrier Proteins/antagonists & inhibitors , Drug Synergism , Escherichia coli/growth & development , Microbial Sensitivity Tests , Staphylococcus aureus/growth & development
9.
Ann N Y Acad Sci ; 934: 345-52, 2001 May.
Article in English | MEDLINE | ID: mdl-11460646

ABSTRACT

In the present study, film cooling characteristics by the jets through various easy-to-make straight holes and slots have been investigated. In this experiment, seven kinds of injection geometries were used. They were circular, rectangular, elliptic and oval holes and slots, respectively.

10.
J Biol Chem ; 276(30): 28134-9, 2001 Jul 27.
Article in English | MEDLINE | ID: mdl-11371565

ABSTRACT

The present study demonstrated that the 38-kDa protein, instead of rho-crystallin (36 kDa), is expressed taxon specifically in the lens of Japanese tree frog (Hyla japonica). The 38-kDa protein was distinguished from rho-crystallin expressed in the lenses of bullfrog (Rana catesbeiana) and European common frog (Rana temporaria) immunochemically. Although the N terminus of the 38-kDa protein was blocked, the analyses of partial amino acid sequences showed that the protein was zeta-crystallin. Analysis of cDNA sequence encoding zeta-crystallin of the tree frog lens demonstrated that the deduced protein consisted of 329 amino acids including initial methionine and having 62.2 and 62.9% identity with zeta-crystallin of camel and guinea pig lenses, respectively. The molecular mass of the deduced structure was calculated to be 35,564 Da. zeta-Crystallin of the tree frog lens exhibited the intrinsic enzymatic activity of quinone reductase (EC, NADPH:quinone oxidoreductase). The crystallin specifically catalyzed the reduction of 9,10-phenanthrenequinone (Km, 42 microm) using NADPH (Km, 60 microm) as a cofactor. The enzymatic activity was inhibited by dicumarol, anti-coagulant drug, with IC50 of 4 microm. On gel filtration chromatography, the crystallin was recovered as 150-kDa molecular mass complex, indicating that the crystallin was homotetramer consisting of 38-kDa subunits. The crystallin gene was expressed specifically in the lens. These results show that taxon-specific crystallins such as zeta- and rho-crystallins may be available for the biochemical discrimination of Hyla- and Rana groups among frogs.


Subject(s)
Crystallins/biosynthesis , Crystallins/chemistry , Lens, Crystalline/metabolism , Amino Acid Sequence , Animals , Base Sequence , Blotting, Northern , Blotting, Southern , Blotting, Western , Bufonidae , Camelus , Chromatography, Gel , DNA, Complementary/metabolism , Electrophoresis, Polyacrylamide Gel , Guinea Pigs , Immunohistochemistry , Kinetics , Methionine/chemistry , Molecular Sequence Data , NAD(P)H Dehydrogenase (Quinone)/metabolism , NADP/metabolism , Protein Structure, Tertiary , RNA, Messenger/metabolism , Species Specificity , Substrate Specificity , Tissue Distribution
11.
Pediatr Int ; 43(1): 8-11, 2001 Feb.
Article in English | MEDLINE | ID: mdl-11207991

ABSTRACT

BACKGROUND: The purpose of the present study was to evaluate the effect of intravenous albumin administration on the serum total and unbound bilirubin values in term non-hemolytic hyperbilirubinemic neonates during intensive phototherapy. METHODS: Fifty-eight infants (gestational age 39.4 +/- 1.4 weeks; birth weight 3,245 +/- 435 g) were given phototherapy with similar light energy. Twenty infants (control group) received only phototherapy, while 38 others (albumin-treated group) were also given human albumin at 1 g/kg bodyweight, i.v., during the first 2 h of phototherapy. RESULTS: When comparing changes in total and unbound bilirubin values 0, 2, 6 and 24 h after entering the study between the albumin-treated group and the control group, there was a significant reduction in the serum unbound bilirubin values at the end of albumin treatment and at 6 and 24 h. However, there was no significant reduction in total serum bilirubin values during the study period. In the albumin-treated group, the mean serum unbound bilirubin reduction from the baseline level at the end of albumin treatment and at 6 and 24 h was 0.40 +/- 0.19, 0.41 +/- 0.20 and 0.43 +/- 0.20 microg/dL, respectively. CONCLUSIONS: The results suggest that albumin priming may be effective for an immediate reduction in serum unbound bilirubin values, the fraction that is potentially neurotoxic.


Subject(s)
Albumins/therapeutic use , Bilirubin/blood , Jaundice, Neonatal/therapy , Phototherapy , Albumins/pharmacology , Humans , Infant, Newborn , Infusions, Intravenous , Jaundice, Neonatal/blood , Phototherapy/methods , Reference Values , Retrospective Studies , Treatment Outcome
13.
Biosci Biotechnol Biochem ; 65(12): 2682-9, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11826964

ABSTRACT

The structural gene of streptolysin O was cloned from Streptococcus pyogenes strain Sa and S. equisimilis H46A, and the nucleotide sequences were compared with those of strain Richards. To obtain the minimal active fragment of the toxin and to elucidate structure-function relationships in hemolytic function, streptolysin O mutants deleted in N- and C-terminal regions were constructed. Internal amino acid residues were also replaced by introduction of point mutations. Analyses of these mutants showed that considerable activity was retained even after deletion of the N-terminal 107 residues, but genetic removal of the ultimate C-terminal residue resulted in a marked decrease in hemolytic function. By removal in succession, hemolytic activity declined exponentially, and only 0.002% of the activity remained after deletion of the C-terminal four residues. Nucleotide replacement experiments indicated pivotal roles of I202, V217, D324-L325, V339, and H469 residues in hemolysis.


Subject(s)
Hemolysin Proteins/metabolism , Oxygen/metabolism , Point Mutation , Streptococcus pyogenes/metabolism , Streptolysins/metabolism , Amino Acid Sequence , Animals , Bacterial Proteins , Base Sequence , DNA Primers , Genes, Bacterial , Molecular Sequence Data , Plasmids , Sheep , Streptococcus pyogenes/genetics , Streptolysins/chemistry , Streptolysins/genetics
15.
Enantiomer ; 5(5): 521-4, 2000.
Article in English | MEDLINE | ID: mdl-11143816

ABSTRACT

Amination of aryl trifluoromethyl ketones with ammonium formate readily gave racemic 2,2,2-trifluoro-1-arylethylamines in good yields. Resolution of 2,2,2-trifluoro-1-phenylethylamine was carried out with the Pseudomonas fluorescens lipase via enantioselective alcoholysis of its chloroacetamide.

16.
J Biosci Bioeng ; 90(3): 332-4, 2000.
Article in English | MEDLINE | ID: mdl-16232865

ABSTRACT

Lipase M from Mucor javanicus, one of nine commercially available hydrolytic enzymes, showed good enantioselectivity (E=50) for racemic ketoprofen trifluoroethyl ester in phosphate buffer (pH 7.0) containing 30% acetone. Lipase M immobilized on Toyonite 200-A showed the best selectivity (E=55) and reactivity. Moreover, the lipase could be recycled at least 5 times.

17.
Pediatr Int ; 41(5): 525-8, 1999 Oct.
Article in English | MEDLINE | ID: mdl-10530066

ABSTRACT

PURPOSE: To evaluate the effects of indomethacin on blood glucose values in premature infants with patent ductus arteriosus (PDA). METHODS: Twenty-five very low birthweight infants with PDA were given 0.2 mg/kg, i.v., indomethacin for up to three doses. We examined the relationship between blood glucose values and glucose infusion rate before and after indomethacin therapy. RESULTS: There was a significant reduction in blood glucose values between 12 and 96 h following i.v. indomethacin therapy. Eleven of 25 infants (44%) had blood glucose values below 40 mg/dL between 12 and 60 h (mean 32.7 h) after the initial dose. Although the glucose infusion rate during the first 12 h was constant (3.56 +/- 0.98 mg/kg per min), the blood glucose values decreased from 96 +/- 32 mg/dL at the starting point to 75 +/- 29 mg/dL at 12 h (P < 0.05). The maximum blood glucose reduction was 51.6 +/- 34.7 mg/dL and the maximum blood glucose reduction rate was 50.4 +/- 20.2%. CONCLUSIONS: The results suggest that blood glucose values should be measured at least every 6 h for 72 h until they stabilize in order to prevent unexpected hypoglycemia.


Subject(s)
Cardiovascular Agents/adverse effects , Ductus Arteriosus, Patent/drug therapy , Hypoglycemia/chemically induced , Indomethacin/adverse effects , Infant, Premature , Female , Humans , Infant, Newborn , Infant, Very Low Birth Weight , Male , Retrospective Studies , Statistics, Nonparametric
18.
Biol Pharm Bull ; 22(7): 716-20, 1999 Jul.
Article in English | MEDLINE | ID: mdl-10443469

ABSTRACT

We previously encountered a patient with epilepsy who exhibited rapid elimination of sustained-release valproic acid (VPA) administered at the dose of 2.8 g/d as a sodium salt. The purpose of this study was to clarify the relationship between the VPA elimination rate and the proportion of the dose excreted in urine as its glucuronide conjugate (VPA-G) in epileptic patients. Twenty-four-hour urine was collected from four epileptic patients who had taken VPA orally (age: 16-39 y, weight: 50-63 kg, dose: 1.0-2.8 g/d). VPA and its metabolites were detected by gas chromatography-mass spectrometry. The amounts of VPA, VPA-G, 3-keto VPA, and 3-OH VPA excreted in the 24-h urine were 1.8-13.2, 178-2158, 125-320, and 8.6-18.7 mg (converted into VPA), respectively, and 0.2-0.5, 20.5-88.7, 5.8-18.7, and 0.6-1.0% of the dose administered, respectively. The dose of VPA correlated well with the proportion of the dose excreted in urine as VPA-G in each patient, and the patients administered a high dose excreted a large amount of VPA-G in the urine. Thus, differences in the VPA-G production rate may be one of the major variable factors affecting the elimination of administered VPA. We also present a dynamic model of VPA in the kidney which may explain the VPA elimination phenomena in humans on the basis of the data obtained here regarding the concentrations of VPA and its metabolites in plasma and their urinary excretion levels.


Subject(s)
Anticonvulsants/pharmacokinetics , Epilepsy/metabolism , Glucuronates/metabolism , Kidney/metabolism , Valproic Acid/pharmacokinetics , Adolescent , Adult , Anticonvulsants/blood , Anticonvulsants/metabolism , Anticonvulsants/urine , Humans , Metabolic Clearance Rate , Valproic Acid/blood , Valproic Acid/metabolism , Valproic Acid/urine
19.
Int J Syst Bacteriol ; 49 Pt 1: 163-6, 1999 Jan.
Article in English | MEDLINE | ID: mdl-10028257

ABSTRACT

Lactococcus lactis strains were examined for their ability to produce gamma-aminobutyric acid (GABA). Results showed that strains of L. lactis subsp. lactis were able to produce this acid, whereas L. lactis subsp. cremoris were not. GABA production thus represents another effective characteristic for distinguishing L. lactis subsp. lactis from L. lactis subsp. cremoris.


Subject(s)
Lactococcus lactis/metabolism , gamma-Aminobutyric Acid/biosynthesis , Glutamate Decarboxylase/metabolism
20.
J Perinat Med ; 27(5): 399-403, 1999.
Article in English | MEDLINE | ID: mdl-10642962

ABSTRACT

We describe the case of a patient with a neonatal giant cutaneous hemangioma with high-output cardiac failure and Kasabach-Merritt syndrome and successfully treated with transcutaneous arterial embolization aimed at controlling severe congestive heart failure and consumption coagulopathy. A patient was admitted to the neonatal care unit on the first day of age because of a large hemangioma on his right lateral chest wall and respiratory distress, associated with cardiac failure resulting from arteriovenous shunting. On the second day of age the platelet count decreased to 5.7 x 10(4)/microliter and fibrinogen level was 85 mg/dl. The values of prothrombin time and activated partial thromboplastin time were prolonged. Intravenous predonisone therapy was started immediately, but bleeding tendency was getting worse and the evidence of congestive heart failure persisted. On the third day the patient then underwent embolization of feeding arteries with microcoils. The cardiac failure and thrombocytopenic coagulopathy had improved significantly without complications. We conclude that transcutaneous arterial embolization is an effective and safe treatment in this neonate and should be considered for the treatment of control high-output cardiac failure and coagulopathy in infants with hemangioma and Kasabach-Merritt syndrome.


Subject(s)
Cardiac Output, High/etiology , Embolization, Therapeutic , Hemangioma/therapy , Thoracic Neoplasms/therapy , Fibrinogen/metabolism , Hemangioma/complications , Humans , Infant, Newborn , Male , Platelet Count , Syndrome , Thoracic Neoplasms/complications , Thrombocytopenia/complications
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