UNEXPECTED ECTOPIC BONE FORMATION ON THE DORSUM OF A FOOT AFTER FREE PERONEAL FLAP TRANSFER : A CASE REPORT

We experienced a case in which ectopic bone formation with trabecular structures occurred after free peroneal flap transfer containing periosteum of a fibula onto a soft tissue defect on the dorsum of a foot in a 2-year 9-month-old boy. In this case, ectopic bone formation was detected by radiography 5 months after the operation and the bone was removed because of the restricted dorsiflexion of the ankle. This case suggests that new bone can be formed by the periosteum if it is grafted with its vasculature preserved by microvascular anastomosis

RESULTS OF EATON AND LITTLER'S LIGAMENT RECONSTRUCTION FOR INSTABILITY OF THE FIRST CARPOMETACARPAL JOINT

This study presents the cases of Eaton and Littler's ligament reconstruction for the treatment of instability of lst CM joint resulting from early stage osteoarthritis (Group OA), trauma (Group T), and a part of generalized joint laxity (Group GJL) in 21 joints of 20 cases. Omitting six cases with less than one year follow-up, 15 joints in 14 cases were analyzed. Clinically, hypermobility pain was improved in all joints. However, eight out of 14 patients felt their joints stretched, but still had the normal range of motion. Grip power and pinch power was significantly improved (P＜0.01, P＜0.05). Comparing each group, only Group T revealed a significant difference between preoperative and postoper- ative grip power (P＜0.01). In increase of grip power, Group T were more significantly improved than Group OA (P＜0.01) and Group GJL (P＜0.05). Radiographically, postoper- ative stages of 4 joints in 4 cases out of 8 cases which felt stretched progressed from their preoperative stages. We assumed that the newly reconstructed ligament may be strong enough to maintain the stability of 1st CM joint and ligament reconstruction is most effective in treating post-traumatic instability

RESULTS OF EATON AND LITTLER'S LIGAMENT RECONSTRUCTION FOR INSTABILITY OF THE FIRST CARPOMETACARPAL JOINT

This study presents the cases of Eaton and Littler's ligament reconstruction for the treatment of instability of lst CM joint resulting from early stage osteoarthritis (Group OA), trauma (Group T), and a part of generalized joint laxity (Group GJL) in 21 joints of 20 cases. Omitting six cases with less than one year follow-up, 15 joints in 14 cases were analyzed. Clinically, hypermobility pain was improved in all joints. However, eight out of 14 patients felt their joints stretched, but still had the normal range of motion. Grip power and pinch power was significantly improved (P＜0.01, P＜0.05). Comparing each group, only Group T revealed a significant difference between preoperative and postoper- ative grip power (P＜0.01). In increase of grip power, Group T were more significantly improved than Group OA (P＜0.01) and Group GJL (P＜0.05). Radiographically, postoper- ative stages of 4 joints in 4 cases out of 8 cases which felt stretched progressed from their preoperative stages. We assumed that the newly reconstructed ligament may be strong enough to maintain the stability of 1st CM joint and ligament reconstruction is most effective in treating post-traumatic instability

Functional expression of the eukaryotic proton pump rhodopsin OmR2 in Escherichia coli and its photochemical characterization

Microbial rhodopsins are photoswitchable seven-transmembrane proteins that are widely distributed in three domains of life, archaea, bacteria and eukarya. Rhodopsins allow the transport of protons outwardly across the membrane and are indispensable for light-energy conversion in microorganisms. Archaeal and bacterial proton pump rhodopsins have been characterized using an Escherichia coli expression system because that enables the rapid production of large amounts of recombinant proteins, whereas no success has been reported for eukaryotic rhodopsins. Here, we report a phylogenetically distinct eukaryotic rhodopsin from the dinoflagellate Oxyrrhis marina (O. marina rhodopsin-2, OmR2) that can be expressed in E. coli cells. E. coli cells harboring the OmR2 gene showed an outward proton-pumping activity, indicating its functional expression. Spectroscopic characterization of the purified OmR2 protein revealed several features as follows: (1) an absorption maximum at 533 nm with all-trans retinal chromophore, (2) the possession of the deprotonated counterion (pK(a)=3.0) of the protonated Schiff base and (3) a rapid photocycle through several distinct photointermediates. Those features are similar to those of known eukaryotic proton pump rhodopsins. Our successful characterization of OmR2 expressed in E. coli cells could build a basis for understanding and utilizing eukaryotic rhodopsins

A blue-shifted anion channelrhodopsin from the Colpodellida alga Vitrella brassicaformis

Microbial rhodopsins, a family of photoreceptive membrane proteins containing the chromophore retinal, show a variety of light-dependent molecular functions. Channelrhodopsins work as light-gated ion channels and are widely utilized for optogenetics, which is a method for controlling neural activities by light. Since two cation channelrhodopsins were identified from the chlorophyte alga Chlamydomonas reinhardtii, recent advances in genomic research have revealed a wide variety of channelrhodopsins including anion channelrhodopsins (ACRs), describing their highly diversified molecular properties (e.g., spectral sensitivity, kinetics and ion selectivity). Here, we report two channelrhodopsin-like rhodopsins from the Colpodellida alga Vitrella brassicaformis, which are phylogenetically distinct from the known channelrhodopsins. Spectroscopic and electrophysiological analyses indicated that these rhodopsins are green- and blue-sensitive pigments (lambda(max) = similar to 550 and similar to 440 nm) that exhibit light-dependent ion channeling activities. Detailed electrophysiological analysis revealed that one of them works as a monovalent anion (Cl-, Br- and NO3-) channel and we named it V. brassicaformis anion channelrhodopsin-2, VbACR2. Importantly, the absorption maximum of VbACR2 (similar to 440 nm) is blue-shifted among the known ACRs. Thus, we identified the new blue-shifted ACR, which leads to the expansion of the molecular diversity of ACRs

An epidemiologically rare case of Vibrio vulnificus infection that occurred in October in an inland city of Japan

　A 68-year-old man with alcohol addiction, who lived in the suburbs of Tsuyama, an inland city located in northeast Okayama prefecture, was transported to the emergency unit of the Tsuyama Central Hospital in a state of cardiopulmonary arrest (CPA). Despite rigorous systemic investigation and treatment, the patient died 2 hours after arrival. After his death, Vibrio vulnificus was isolated from his blood culture. 　Vibrio vulnificus causes fatal infection in humans, usually only in areas located close to the sea where appropriate temperature and suitable salt concentration for its growth are available. Therefore, its occurrence is epidemiologically restricted ; in Japan, the western coastal areas, especially in summers, are reported to be the high-risk regions. This is a rare case because it occurred in a city approximately 50 kilometers from both the Sea of Japan and the Pacific coast of Okayama, and at the end of October in 2011. Economic development and distribution systems have made it possible to transport various food products from coastal areas or abroad to any place in a short time, such that these infections can potentially develop in areas other than expected. We should be aware of the increasing risk of Vibrio vulnificus infection during any season and at any place, especially in patients with abnormal liver function

Effects of Biliverdin Administration on Acute Lung Injury Induced by Hemorrhagic Shock and Resuscitation in Rats

Hemorrhagic shock and resuscitation induces pulmonary inflammation that leads to acute lung injury. Biliverdin, a metabolite of heme catabolism, has been shown to have potent cytoprotective, anti-inflammatory, and anti-oxidant effects. This study aimed to examine the effects of intravenous biliverdin administration on lung injury induced by hemorrhagic shock and resuscitation in rats. Biliverdin or vehicle was administered to the rats 1 h before sham or hemorrhagic shock-inducing surgery. The sham-operated rats underwent all surgical procedures except bleeding. To induce hemorrhagic shock, rats were bled to achieve a mean arterial pressure of 30 mmHg that was maintained for 60 min, followed by resuscitation with shed blood. Histopathological changes in the lungs were evaluated by histopathological scoring analysis. Inflammatory gene expression was determined by Northern blot analysis, and oxidative DNA damage was assessed by measuring 8-hydroxy-2' deoxyguanosine levels in the lungs. Hemorrhagic shock and resuscitation resulted in prominent histopathological damage, including congestion, edema, cellular infiltration, and hemorrhage. Biliverdin administration prior to hemorrhagic shock and resuscitation significantly ameliorated these lung injuries as judged by histopathological improvement. After hemorrhagic shock and resuscitation, inflammatory gene expression of tumor necrosis factor-alpha and inducible nitric oxide synthase were increased by 18- and 8-fold, respectively. Inflammatory gene expression significantly decreased when biliverdin was administered prior to hemorrhagic shock and resuscitation. Moreover, after hemorrhagic shock and resuscitation, lung 8-hydroxy-2' deoxyguanosine levels in mitochondrial DNA expressed in the pulmonary interstitium increased by 1.5-fold. Biliverdin administration prior to hemorrhagic shock and resuscitation decreased mitochondrial 8-hydroxy-2' deoxyguanosine levels to almost the same level as that in the control animals. We also confirmed that biliverdin administration after hemorrhagic shock and resuscitation had protective effects on lung injury. Our findings suggest that biliverdin has a protective role, at least in part, against hemorrhagic shock and resuscitation-induced lung injury through anti-inflammatory and anti-oxidant mechanisms

インポテンスを主訴とする134例の脳幹機能の検討

インポテンスを訴える患者134例に視運動性眼振検査, 視標追跡試験, 重心動揺試験, アドレナリン負荷書字試験による脳幹機能検査を施行した.43%の患者に脳幹機能障害を認めたが, 脳幹機能障害を有する群と正常群の間には基礎疾患として精神病, 糖尿病を認めたが, 勃起機能検査などとの相関は認められなかった.脳幹機能障害がインポテンスの原因であるか否かについて検討し, 脳幹機能障害はインポテンスの一つの原因であり, 脳幹機能障害に対する直接の治療が有効であると結論したTo determine the cause of brain-stem dysfunction for impotence, we studied the brain-stem function in 134 patients complaining of impotence and compared the results with their clinical records, erectile function tests, a papaverine test, dynamic cavernography and measurement of the penile brachial index. We found brain-stem dysfunction in 43% of the patients with impotence. Brain-stem dysfunctions tended to show characteristic differences in underlying disease and erectile dysfunction. We discuss the testing and direct treatment of the brain-stem dysfunction, and postulate it to be one cause of the impotence