The Tohoku journal of experimental medicine
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Tohoku J. Exp. Med. · Mar 1999
ReviewPathophysiologic significance of host reactions in human cancer tissue: desmoplasia and tumor immunity.
Invasive growth of malignant cells, particularly carcinoma cells, induces host reaction within and around tumor tissue. Representatives of them are desmoplasia, angiogenesis and immune reactions. Desmoplasia, a process of fibrosis, is induced by activation of fibroblasts with increased production of matrix proteins and matrix degrading enzymes. ⋯ T-cells were co-localized with these cells. Clinicopathologic analysis confirmed that CD8+ T-cells distributed within cancer cell nest (intraepithelial) have the most significant impact on the patients' survival in colorectal cancer. These data suggest that various host reactions take place in the stroma of cancer tissue, which modulate the biologic behavior of cancer.
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Tohoku J. Exp. Med. · Feb 1999
Age-related bone loss: relationship between age and regional bone mineral density.
We assessed the changes in regional bone mineral density according to age and examined the relationship between various regional bone mineral densities. The study was conducted in 985 Japanese women divided into < 50-years group (n = 435) and > or = 50 years group (n = 550). The total body bone mineral density and that of the head, arm, leg, thoracic (T)-spine, lumbar (L)-spine, ribs, and pelvis were measured using dual energy x-ray absorptiometry. ⋯ In the < 50-years group, the correlation between bone mineral density of the pelvis and that of L-spine and T-spine was the highest, followed by that between the pelvis and the leg. On the other hand, in the > or = 50-years group, the correlation between bone mineral density of the pelvis and that of the leg was the highest, but not the L-spine or T-spine. Since spine measurements are affected by vertebral deformity and/or aortic calcification, our findings suggest the pelvis may be a useful region for screening measurements of bone mineral density, especially in older women.
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Tohoku J. Exp. Med. · Dec 1997
Case Reports Clinical TrialCapnometry as a tool to unmask silent pulmonary embolism.
Because pulmonary embolism is often silent, simple clinical procedures are desirable to identify patients with a low to intermediate probability of pulmonary embolism. Among 19,467 patients managed under general anesthesia, we had one bile tract surgery case and three neurosurgical cases whose silent pulmonary embolism was initially suggested by an increase in the arterial to end-tidal CO2 gradient (from 17 to 27 mmHg) after general anesthesia was induced or their trachea was intubated. ⋯ Our initial diagnosis was confirmed by scintigraphy and/or angiography done immediately after the operations. Because capnometry has been shown to be applicable to non-intubated, spontaneously breathing patients, we suggest that measuring the gradient may serve as an additional method for unmasking silent pulmonary embolism in patients at risk or with disturbed consciousness, whether they are scheduled for operations or not.
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Tohoku J. Exp. Med. · Oct 1997
Transrectal ultrasonic planimetry of the prostate in relation to age and lower urinary tract symptoms among elderly men in Japan.
The aim of the present study is to correlate transrectal ultrasonic planimetric parameters of the prostate in relation to age and urinary symptoms as evaluated by the American Urological Association (AUA) symptom index score for benign prostatic hyperplasia (BPH). In 647 examinees on a mass screening program for prostatic diseases using transrectal sonography (TRS) in Japan, prostatic volume, transition zone volume, transition zone index (transition zone volume/prostatic volume) and presumed circle area ratio (PCAR) were determined using transrectal ultrasonic planimetry and compared with age and AUA symptom score. Increase in age, prostatic volume, transition zone volume and PCAR were significantly correlated with AUA symptom score. ⋯ In particular, PCAR was the only significant determinants of symptom score in men with an intermediately enlarged prostate (20-30 ml in volume). The most significant difference in AUA symptom score was found between subgroups divided by PCAR with a cutoff point of 0.8. Among the planimetric parameters obtained by TRS, PCAR was the most powerful for evaluating BPH in terms of the severity of lower urinary tract symptoms.
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Tohoku J. Exp. Med. · Aug 1997
Gene expression of MASH-1, MATH-1, neuroD and NSCL-2, basic helix-loop-helix proteins, during neural differentiation in P19 embryonal carcinoma cells.
We examined the gene expression of MASH-1, MATH-1, neuroD and NSCL-2 during neural differentiation of P19 embryonal carcinoma cells using reverse transcription-polymerase chain reaction and high performance liquid chromatography. These proteins are members of basic helix-loop-helix transcription factor family and their expressions are reported to be transient and restricted in the nervous system during early neurogenesis. ⋯ RA-treatment increased MATH-1 mRNA slightly. mRNA of MAP2, a neural differentiation marker, were increased by RA-treatment and the increases reached to the plateau at day 5. The results indicate that the gene expression of MASH-1, MATH-1, neuroD and NSCL-2 during neural differentiation in P19 cells is transient and the order is similar to that in the mouse embryo nervous system as previously reported.