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鶏卵アレルギーの小児における腸内細菌叢の乱れ 对鸡蛋过敏的儿童肠道菌群紊乱
Pub Date : 2023-01-01 DOI: 10.5361/jkmu.74.13
Mitsuru Yamagishi, Shohei Akagawa, Shoji Tsuji, Kazunari Kaneko
腸内細菌叢はヒトの腸管内で一定のバランスを保ちながら共生する細菌集団であり,その代謝産物はヒトの健康に影響を与える.腸内細菌叢の乱れ(dysbiosis)は生涯においてさまざまな疾患の発症に関与している.アレルギー疾患患者の腸内細菌叢についてもdysbiosisを呈しているとする報告は多数あるが,その特徴やアレルギー疾患の発症機序に関してコンセンサスはない.
肠道细菌群是在人的肠道内维持一定平衡共生的细菌集团,其代谢产物会影响人的健康。肠道细菌群紊乱(dysbiosis)与人一生中各种疾病的发病有关。有很多报告称,过敏性疾病患者的肠道菌群也呈现出dysbiosis,但就其特征和过敏性疾病的发病机制尚未达成共识。
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引用次数: 0
Detection of human coronavirus RNA in surgical smoke generated by surgical devices 手术器械产生的手术烟雾中人冠状病毒RNA的检测
Pub Date : 2023-01-01 DOI: 10.5361/jkmu.74.7
Takuya Yokoe
多くの外科医は電気メスや超音波メス等のエネルギーデバイスを使用する.これらの機器が生体組織を熱分解することで発生する煤煙はサージカルスモークと呼ばれ,この中には発癌性物質,患者由来の細菌・悪性細胞・ウイルスなどの有害物質が含まれていることが,数多くの研究で指摘されている.2019年にパンデミックになった新型コロナウイルス感染症(COVID-19)では,患者の呼吸器・糞便・血清中にウイルスRNAが存在することが示されている.そして,患者から生じたサージカルスモークによってウイルスが手術スタッフへ感染する可能性が指摘されているが,そのリスクや予防方法を評価する情報は不十分であった.そこで,筆者らはモデル実験でサージカルスモーク中のヒトコロナウイルスRNAの存在と感染力を検証し,サージカルマスクでウイルス感染リスクを低減できる可能性を評価した.本モデルでは,切開対象からサージカルスモーク中にウイルスRNAの1/106~1/105が移行した.サージカルスモーク中のウイルスは培養細胞プラークアッセイでは直接の感染性は証明できなかったが,培養上清にはウイルスRNAが自然減衰以上に保持され,特に電気メスに比べ超音波メスによるサージカルスモークは感染性がより高い可能性が示唆された.また,サージカルマスクはサージカルスモーク中のウイルスRNAの量を99.80%以上減少させることができた.この研究により,コロナウイルス感染患者のサージカルスモーク中には,感染性のあるウイルスが存在し,サージカルマスクの着用は,その感染に対する予防策となる可能性が示された.
许多外科医生使用能量装置,例如电手术刀和超声波手术刀。这些机器热分解生物组织所产生的煤烟被称为煤烟,其中含有致癌物质和来自患者的细菌、恶性细胞、病毒等有害物质。很多研究都指出了这一点。2019年流行的新型冠状病毒感染(COVID-19)显示,患者的呼吸器官、粪便和血清中存在病毒RNA。并且,患者产生的沙刺烟雾有可能将病毒传染给手术人员,但评估其风险和预防方法的信息并不充分。因此,笔者等人通过模型实验验证了微波烟雾中单核病毒RNA的存在和感染力,并评价了微波烟雾降低病毒感染风险的可能性。在本模型中,1/106 ~ 1/105的病毒RNA从切开对象转移到沙加烟雾中。萨西卡尔烟雾中的病毒在培养细胞菌斑中不能证明直接的感染性,但是在培养上清中病毒RNA保持在自然衰减以上,特别是,与电手术刀相比,超声波手术刀的thericasmos的感染性可能更高。另外,沙氏口罩可将沙氏烟雾中的病毒RNA的量减少99.80%以上。该研究表明,冠状病毒感染患者的沙眼烟雾中存在具有传染性的病毒,佩戴沙眼口罩可能是预防感染的措施。
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引用次数: 0
New insights into a Potential therapeutic agent for Postmenopausal Osteoporosis: Focus on the novel Effects of Unkeito 对绝经后骨质疏松症潜在治疗剂的新认识:聚焦于Unkeito的新作用
Pub Date : 2023-01-01 DOI: 10.5361/jkmu.74.1
Ke Fang, Yuki Murakami, Seiji Kanda, Takaki Shimono, Anh Tuan Dang, Mitsuaki Ono, Toshimasa Nishiyama
骨粗鬆症は特に閉経後の女性に多い骨の疾患である.これまで骨粗鬆症の治療薬は骨量の増加効果に主眼をおいて開発されているが,治療のエンドポイントである骨折リスクの軽減には骨量と骨質を改善し,骨代謝バランスを正常にする有効性の高い治療薬の開発が重要である.近年,様々な漢方製剤の骨維持の有効性が臨床では示されているが,その作用機序については明らかにされていない.本研究では,閉経後の更年期障害の治療で汎用される漢方製剤の中で,温経湯(UKT)に着目し,破骨細胞分化誘導因子であるRANKL刺激による破骨細胞分化への影響を調べ,UKTの作用メカニズムについて明らかにした.我々がスクリーニングした様々な漢方製剤の中で,UKTが最も強い破骨細胞分化阻害効果を示した.UKTは破骨細胞の初期分化に不可欠な転写因子NFATc1を阻害した.またNFATc1の上流シグナルであるNF-κBの核移行を阻害した一方で,NFATc1を阻害するBlimp1-Bcl6シグナルを活性化し,破骨細胞の分化成熟を抑制することを明らかにした.さらに我々は活性型Caspase-3によって,UKTが単核破骨細胞のアポトーシスを誘導することを示した.本研究はUKTがBlimp1-Bcl6およびNF-κBシグナル伝達経路を介して,RANKL誘導による破骨細胞分化を抑制し,単核破骨細胞の細胞死を誘導することを初めて明らかにした研究であり,UKTが閉経後骨粗鬆症の効果的な治療薬となりうる可能性を示した.本稿では,我々の研究成果について概説する.
骨质疏松症是绝经后女性最常见的骨骼疾病。迄今为止,骨质疏松症的治疗药物主要着眼于增加骨量的效果而开发,但为了减轻骨折风险,治疗的终点是改善骨量和骨质,开发能使骨代谢平衡正常的有效性高的治疗药物是很重要的。近年来,各种中医制剂对维持骨骼的有效性在临床中得到了证明,但其作用机制尚不明确。本研究着眼于温经汤(UKT),在普遍用于治疗绝经后更年期障碍的中药制剂中,调查破骨细胞分化诱导因子RANKL刺激对破骨细胞分化的影响。阐明了UKT的作用机制。在我们筛选的各种汉方制剂中,UKT的破骨细胞分化抑制效果最强。UKT抑制了破骨细胞初期分化不可或缺的转录因子NFATc1。另外,该研究结果表明,一方面抑制NFATc1的上游信号NF-κB的核转移,另一方面激活抑制NFATc1的Blimp1-Bcl6信号,抑制破骨细胞的分化成熟。此外,我们还展示了UKT通过活性型casses -3诱导单核破骨细胞凋亡。本研究首次发现UKT通过Blimp1-Bcl6及NF-κB信号通路,抑制RANKL诱导的破骨细胞分化,诱导单核破骨细胞的细胞死亡。研究显示,UKT有可能成为绝经后骨质疏松症的有效治疗药物。本文概述我们的研究成果。
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引用次数: 0
H-RASV12 導入癌細胞のSmad依存性癌化シグナルはリンカー部リン酸化を阻害すると細胞増殖抑制シグナルに回帰する H-RASV12导入癌细胞的Smad依赖性癌变信号在抑制链接器部磷酸化时回归到细胞增殖抑制信号
Pub Date : 2008-12-30 DOI: 10.5361/JKMU1956.60.2-4_185
剛 関本
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引用次数: 0
ヒト脂肪組織由来幹細胞の分離と脂肪・骨・軟骨への分化 从人体脂肪组织分离出干细胞并分化成脂肪、骨、软骨
Pub Date : 2007-01-31 DOI: 10.5361/JKMU1956.59.2-4_169
覚道 奈津子, 健司 鈴木, 哲史 櫛田, 健司 楠本
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引用次数: 0
Transient Alpha-helical Structure during Folding of Src SH3 Domain at Subzero Temperatures 低温下Src - SH3结构域折叠过程中的瞬时α -螺旋结构
Pub Date : 2006-12-30 DOI: 10.5361/JKMU1956.58.2-4_163
Zhi-jie Qin, S. Vyas, A. Fink, Jinsong Li, H. Kihara
Substantial questions remain about the process of protein folding, including whether transient intermediates exist with significantly different secondary structure than the final fold. The src SH3 domain is a highly beta-rich structure with five betastrands. We report here a far-UV circular dichroism investigation of the refolding of His-tagged Src SH3 at subzero temperatures. We observed a transient a-helix-rich intermediate, indicating that the early stages of protein folding can involve the formation of intermediates with very different structures from the final conformation.
关于蛋白质折叠的过程仍然存在大量的问题,包括是否存在与最终折叠有显著不同的二级结构的瞬时中间体。src SH3结构域是一个富含β的结构,具有5个β链。我们在此报告了远紫外圆二色性研究在零下温度下his标记的Src SH3的再折叠。我们观察到一个短暂的富含a-螺旋的中间体,表明蛋白质折叠的早期阶段可能涉及到与最终构象结构非常不同的中间体的形成。
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引用次数: 9
Motor Functions of the Posterior Parietal Cortex in Monkeys 猴子后顶叶皮层的运动功能
Pub Date : 2006-12-30 DOI: 10.5361/JKMU1956.58.2-4_153
K. Nakao, R. Matsuzaki, Yusaku Amaya, S. Kyuhou, H. Gemba
Recently we recorded readiness potentials for self-paced movements of various body parts in the posterior parietal cortex (PPC) as well as in the motor cortex. To study involvement of the PPC in muscle force control, we analyzed readiness potentials recorded by electrodes implanted in many cortical areas in two monkeys performing self-paced hand movements to lift a lever either with or without additional load. Readiness potentials in the PPC increased in amplitude as required muscle force in hand movements increased as well as in the premotor, motor and somatosensory cortices. Further, we investigated in which body part the PPC activates muscles and how easily. Electromyograms induced in muscles in various body parts after cortical stimulation in three monkeys were analyzed. Stimulation of areas 5 and 7 produced a somatotopic pattern in muscle activities, as in the motor cortex. Stimulus intensity in area 5 for inducing muscle activity was slightly higher than that in the motor cortex, while much higher stimulus intensity was required in area 7. Taken together, preparative muscle force control was found in the PPC, which could activate muscles in various body parts, similar to the motor cortex but with a higher threshold. These suggest that the PPC plays important roles in motor functions.
最近,我们在后顶叶皮层(PPC)和运动皮层中记录了身体各部位自定节奏运动的准备电位。为了研究PPC在肌肉力量控制中的作用,我们分析了两只猴子在有或没有额外负荷的情况下进行自定节奏的手举杠杆运动时,在许多皮质区域植入电极所记录的准备电位。随着手部运动所需肌肉力的增加以及前运动、运动和体感觉皮层的增加,PPC的准备电位振幅也随之增加。此外,我们还研究了PPC在身体的哪个部位激活肌肉以及激活肌肉的难易程度。分析了皮质刺激后3只猴子身体各部位肌肉的肌电图。刺激第5区和第7区在肌肉活动中产生了一种躯体化模式,就像在运动皮层中一样。诱导肌肉活动的5区刺激强度略高于运动皮层,而7区则需要更高的刺激强度。综上所述,在PPC中发现了预备肌力控制,它可以激活身体各个部位的肌肉,类似于运动皮层,但阈值更高。提示PPC在运动功能中起重要作用。
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引用次数: 1
Additive Effects of Estrogenic Activity by the Combination of E2 and Pesticides E2与农药复合对雌激素活性的加性效应
Pub Date : 2005-12-30 DOI: 10.5361/JKMU1956.57.2-4_165
M. Kojima, M. Manabe, S. Kanda, K. Fukunaga, M. Nakamura, M. Tuji, Toshimasa Nishiyama
The E-CALUX assay has been established to measure the estrogenic activity of agents such as exogenous endocrine disrupting chemicals. The method utilizes human ovarian carcinoma cells, and is able to evaluate estrogenic activity as a reporter gene assay by using estrogen receptors (ERs) expressed endogenously. However, we have no information about the subtypes of ERs that ovarian carcinoma cells express. Therefore we detected the expression of both ER-a and ER0 by RTPCR, and determined the ratio of ER-a to ER0 to be 5.7:1 using semi-quantitative real-time PCR. Further, the protein expression of each ER subtype was detected using immunocytochemistry. These results suggest that estrogenic activity detected with the E-CALUX assay is mainly ER-a dominant and the additive estrogenic activity was observed when cells were stimulated with the combination of 17 0 -estradiol (E2) and pesticides (pyriproxyfen, thiabendazole (TBZ) and o-phenylphenol (OPP)), respectively.
E-CALUX试验已经建立,以测量雌激素的活性剂,如外源性内分泌干扰化学物质。该方法利用人卵巢癌细胞,利用内源性表达的雌激素受体(er)作为报告基因检测来评估雌激素活性。然而,我们没有关于卵巢癌细胞表达的er亚型的信息。因此我们用RTPCR检测ER-a和ER0的表达,用半定量实时PCR测定ER-a与ER0的比值为5.7:1。进一步,利用免疫细胞化学检测各ER亚型的蛋白表达。这些结果表明,E-CALUX法检测到的雌激素活性主要为ER-a显性,当17 0 -雌二醇(E2)和农药(吡丙醚、噻苯达唑(TBZ)和邻苯酚(OPP))联合刺激细胞时,观察到细胞的附加雌激素活性。
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引用次数: 0
Investigation on Pharmacokinetics of Meloxicam in Dialysis Patients 透析患者美洛昔康药动学研究
Pub Date : 2004-12-30 DOI: 10.5361/JKMU1956.56.2-4_169
T. Kajiura, Yasuhiro Isami, K. Katsura, N. Inami, S. Kanazawa, K. Yamada, T. Kitano, Mineo Okamoto, M. Muramatsu, T. Ono, M. Omiya, Y. Tagawa, M. Takaoka, T. Fujii, H. Nakamori, N. Takahashi, M. Fujimoto, N. Tsuda
Considering that dialysis patients are often elderly, the onset risk of gastric mucosa disorder is increased in them. Therefore, the use of a selective cyclooxigenase (COX)-2 inhibitor that is expected to reduce the digestive disorders in the dialysis patients is of great significance. We investigated pharmacokinetics of meloxicam which is a selective COX-2 inhibitor approved in over 100 countries including Japan. Nine renal patients (4 males and 5 females) on hemodialysis were investigated. Single oral administration of meloxicam was conducted after supper the day before dialysis and plasma consentration was determined. The blood was taken at 1 hour, before start of dialysis. The meloxicam concentration was analysed by ultrafiltration. The mean plasma meloxicam concentration (meant-SD) at 1 hour before start of dialysis and at 1, 4 and 48 hours after the start of dialysis were 541±168 ng/ml, 532±153, 512± 161, 42± 72, respectively. The results indicated not significant changes in the plasma concentration at 1 and 4 hours after start of dialysis. Introduction Disorders in motor organs are sometimes caused in patients on long term hemodialysis due to amyloidosis derived from f32 microglobulin. As many of dialysis patients are elderly, they often complain arthritis and other diseases that occur in association with aging. As a result, these patients have to be often treated with nonsteroidal anti-inflammatory drugs (NSAIDs). In this regard, it is important to evaluate the influence of dialysis on the pharmacokinetics of an NSAID to be administered. We have investigated the pharmacokinetic profile of meloxicam in dialysis patients. Meloxicam was approved in December 2000 in Japan as an NSAID with selective COX-2 inhibition. NSAIDs demonstrate anti-inflammatory and analgesic effect by inhibiting prostaglandin through its potent inhibition on COX. The presence of 2 isozymes of COX, namely COX1 and COX-2, was discovered in the beginning of 19901). COX-1 is considered to constructively occur in normal cells and is involved in the maintenance of gastric and renal functions. On the other hand, COX2 is induced by inflammatory cells and is involved in the production of prostaglandin that enhances the inflammation and pain2)3). Since conventional NSAIDs inhibit both COX-1 and COX-2, they might cause digestive and renal disorders While they demonstrate anti-inflammatory and analgesic effect. However, selective COX-2 inhibitors such as meloxicam have less influence on COX-1 that is related to gastric and renal functions while it strongly inhibits COX-2 that is involved in inflammation. Accordingly, these drugs are expected to demonstrate strong anti-inflammatory and analgesic effect while their influence on the stomach and kidney is negligible. Considering that dialysis patients are often elderly, the onset risk of gastric mucosa disorder is increased in them. Therefore, the use of a selective COX-2 inhibitor that is expected to reduce the digestive disorders i
考虑到透析患者多为老年人,其发生胃黏膜病变的风险增加。因此,使用一种选择性的环氧化酶(COX)-2抑制剂,有望减少透析患者的消化功能紊乱,具有重要意义。我们研究了美洛昔康的药代动力学,美洛昔康是一种选择性COX-2抑制剂,已在包括日本在内的100多个国家获得批准。对血液透析患者9例(男4例,女5例)进行了调查。透析前一天晚餐后单次口服美洛昔康,测定血浆浓度。在透析开始前1小时采血。用超滤法分析了美洛昔康的浓度。透析开始前1小时及透析开始后1、4、48小时血浆美洛昔康平均浓度(mean - sd)分别为541±168 ng/ml、532±153、512±161、42±72。结果显示透析开始后1和4小时血药浓度无明显变化。由f32微球蛋白引起的淀粉样变性有时会引起长期血液透析患者的运动器官紊乱。由于许多透析患者是老年人,他们经常抱怨关节炎和其他与衰老相关的疾病。因此,这些患者必须经常使用非甾体抗炎药(NSAIDs)进行治疗。在这方面,评估透析对非甾体抗炎药代动力学的影响是很重要的。我们研究了美洛昔康在透析患者中的药代动力学特征。美洛昔康于2000年12月在日本被批准作为选择性抑制COX-2的非甾体抗炎药。非甾体抗炎药通过其对COX的抑制作用抑制前列腺素,从而表现出抗炎和镇痛作用。COX的2种同工酶,即COX- 1和COX-2,在19901年初被发现。COX-1被认为是建设性地发生在正常细胞中,并参与维持胃和肾脏功能。另一方面,COX2由炎症细胞诱导,并参与前列腺素的产生,前列腺素可增强炎症和疼痛。由于传统的非甾体抗炎药同时抑制COX-1和COX-2,在具有抗炎和镇痛作用的同时可能引起消化和肾脏疾病。然而,选择性COX-2抑制剂如美洛昔康对与胃、肾功能相关的COX-1影响较小,而对参与炎症的COX-2有较强的抑制作用。因此,这些药物有望表现出较强的抗炎和镇痛作用,而对胃和肾的影响可以忽略不计。考虑到透析患者多为老年人,其发生胃黏膜病变的风险增加。因此,使用一种选择性的COX-2抑制剂,有望减少透析患者的消化系统紊乱,具有重要意义。对象与方法对9例血液透析肾衰患者(男4例,女5例)进行调查。患者平均年龄为67.9岁(51 ~ 85岁)。透析时间为4小时。血液流速维持在200 ml/min,透析液流速设定为500 ml/mm。透析器采用Kawasumi Laboratory Inc.生产的(KF-10C EVAL膜),其透析面积为1.0 m2。方法透析前一天晚餐后口服美洛昔康10 mg,测定血药浓度。分别于透析开始前1小时、透析开始后1小时、4小时和48小时采血。将采集的血液快速离心,获得的血浆在-20℃保存至分析时间。超滤法测定美洛昔康浓度。代谢产物采用高效液相色谱法进行分析。用2.3 m1/1柠檬酸盐使血浆呈酸性,用二氯甲烷提取。加入内标物提取美洛昔康。提取液用量为0.2 mol/1氢氧化钠。结果单次给予美洛昔康10 mg后,测定血液透析前后各时点血药浓度(表1)。透析开始前1小时、透析开始后1、4、48小时美洛昔康血药浓度(mean±SD)分别为541±168 ng/ ml、532±153、512±161、47±72。采用统计学分析(配对检验两组比较)(图1)。结果显示,透析开始后1小时和4小时的血药浓度与透析开始前1小时的血药浓度相比没有显著变化。48 h后血药浓度显著降低(p<0.001)。
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引用次数: 0
虚血性心疾患が疑われる患者における運動負荷時Heart Rate Recoveryによる死亡予測負荷心エコー図での検討 怀疑缺血性心脏病患者的运动负荷时Heart Rate Recovery的死亡预测负荷超声心动图的讨论
Pub Date : 2004-12-30 DOI: 10.5361/JKMU1956.56.2-4_206
潤子 浅田
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引用次数: 0
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The journal of Kansai Medical University
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