ココマデ ヨクナル コドモ ノ ジンエン ネフローゼ

Recent progress and success for the treatment of IgA nephropathy and frequently relapsing and steroid-dependent nephrotic syndrome have been observed. Treatment with prednisolone, immunosuppressive agents, anti-platelet drugs, and anti-coagulation early in the course of disease suppresses urinary protein excretion and reduces immunologic renal injury, and thereby prevents progression to renal failure in children with severe IgA nephropathy. This suggests that urinary screening of school children is important to detect children with severe IgA nephropathy. On the other hand, treatment with ciclosporin, calcineurin inhibitor, in children with steroid-dependent nephrotic syndrome induces complete remission and reduces frequency of recurrence. In addition, administration of ciclosporin reduces steroid-induced side effects including osteoporosis and short stature. In conclusion, these progresses of treatments have improved outcome and quality of lives of children with severe IgA nephropathy or steroid-dependent nephrotic syndrome

An operator-theoretical treatment of the Maskawa-Nakajima equation in the massless abelian gluon model

The Maskawa-Nakajima equation has attracted considerable interest in elementary particle physics. From the viewpoint of operator theory, we study the Maskawa-Nakajima equation in the massless abelian gluon model. We first show that there is a nonzero solution to the Maskawa-Nakajima equation when the parameter $\lambda$ satisfies $\lambda>2$. Moreover, we show that the solution is infinitely differentiable and strictly decreasing. We thus conclude that the massless abelian gluon model generates the nonzero quark mass spontaneously and exhibits the spontaneous chiral symmetry breaking when $\lambda>2$. We next show that there is a unique solution $0$ to the Maskawa-Nakajima equation when $0<\lambda<1$, from which we conclude that each quark remains massless and that the model realizes the chiral symmetry when $0<\lambda<1$.Comment: 10 page

β1-integrins and glomerular injury

The renal glomerulus is composed of three types of glomerular cells (mesangial cell (MC), endothelial cell and podocyte) and extracellular matrix (ECM) consisting of the glomerular basement membrane (GBM) and mesangial matrix. It constitutes a highly specialized microcirculation in which the permeability characteristics of the capillary wall allow its unique filtration function. The proliferation of MCs, an increase of mesangial lECM and detachment podocyte from GBM are key biological features of progressive glomerulonephritis (GN), leading to glomerular scarring and dysfunction. Thus, the study of the molecular and cellular mechanisms responsible for pathological glomerular alterations may help to elucidate the pathogenesis of progressive glomerular diseases. A growing body of evidence indicates that β1integrinfamily (β1 integrins), that mainly mediates cell adhesion to ECM, controls cell behaviors such as cell migration, proliferation, apoptosis and ECM assembly. In addition, a correlation between glomerular expression of β1 integrins and their ligand ECM components is observed in various human and experimental GN, suggesting that altered β1 integrins-mediated cell behaviors may contribute to the progression of GN. It is now becoming apparent that the expression of glomerular β1 integrins is not only critical for maintaining the glomerular capillary permeability but it modulates cell signaling pathways regulating the cell phenotypes involved in the progression of glomerular diseases

A highly efficient sublimation purification system using baffles with orifices

Here we report a highly efficient sublimation purification system using baffles with orifices in the sublimation tube. It is clearly demonstrated that the purity of materials is increased largely by introducing some pieces of baffles with orifices in the high-temperature region (sublimation region), which was confirmed by comparing the melting point (T-m) and the high-performance liquid chromatography (HPLC) purity with those of purified one by a conventional system. The driving voltages of electroluminescence (EL) devices were also compared and showed the same tendency with the T-m and HPLC purity data. Not only the purity but also the effective yield of purified materials was also increased by introducing baffles in low-temperature region. Some expected mechanisms of improving the purification efficiency by introducing baffles were also discussed.ArticleOrganic Electronics. 11(5):794-800 (2010)journal articl

B/TI multilayer reactive igniter for micro solid rocket array thruster

MEMS 2007, Kobe, Japan, 21-25 January 200

Identifying dynamical systems with bifurcations from noisy partial observation

Dynamical systems are used to model a variety of phenomena in which the bifurcation structure is a fundamental characteristic. Here we propose a statistical machine-learning approach to derive lowdimensional models that automatically integrate information in noisy time-series data from partial observations. The method is tested using artificial data generated from two cell-cycle control system models that exhibit different bifurcations, and the learned systems are shown to robustly inherit the bifurcation structure.Comment: 16 pages, 6 figure

Urinary ACE2 in pediatric IgA nephropathy

Background : Our previous studies demonstrated that the intrarenal renin-angiotensin system (RAS) status was activated in pediatric patients with chronic glomerulonephritis. In the present study, we tested the hypothesis that angiotensin-converting enzyme 2 (ACE2) expression in the kidney is associated with the development of pediatric IgA nephropathy. Methods : We analyzed urinary ACE2 levels and ACE2 expression in the kidney tissues of pediatric patients with IgA nephropathy treated with RAS blockade. Paired tests were used to analyze changes from the first to the second biopsy. Results : Urinary ACE2 levels were significantly decreased after RAS blockade treatment, accompanied by decreased ACE2 expression levels in kidney tissues, urinary protein levels and mesangial hypercellularity scores. Urinary ACE2 levels at the first biopsy were positively correlated with the ACE2 expression levels. Conclusions : These data suggest that urinary ACE2 is associated with ACE2 expression in the diseased kidney, which correlates with the pathogenesis of IgA nephropathy in pediatric patients

Transforming growth factor-β1 stimulates collagen matrix remodeling through increased adhesive and contractive potential by human renal fibroblasts

AbstractRenal tubulointerstitial fibrosis is the common final pathway leading to end-stage renal failure. Tubulointerstitial fibrosis is characterized by fibroblast proliferation and excessive matrix accumulation. Transforming growth factor-β1 (TGF-β1) has been implicated in the development of renal fibrosis accompanied by α-smooth muscle actin (α-SMA) expression in renal fibroblasts. To investigate the molecular and cellular mechanisms involved in tubulointerstitial fibrosis, we examined the effect of TGF-β1 on collagen type I (collagen) gel contraction, an in vitro model of scar collagen remodeling. TGF-β1 enhanced collagen gel contraction by human renal fibroblasts in a dose- and time-dependent manner. Function-blocking anti-α1 or anti-α2 integrin subunit antibodies significantly suppressed TGF-β1-stimulated collagen gel contraction. Scanning electron microscopy showed that TGF-β1 enhanced the formation of the collagen fibrils by cell attachment to collagen via α1β1 and α2β1 integrins. Flow cytometry and cell adhesion analyses revealed that the stimulation of renal fibroblasts with TGF-β1 enhanced cell adhesion to collagen via the increased expression of α1 and α2 integrin subunits within collagen gels. Fibroblast migration to collagen was not up-regulated by TGF-β1. Furthermore, TGF-β1 increased the expression of a putative contractile protein, α-SMA, by human renal fibroblasts in collagen gels. These results suggest that TGF-β1 stimulates fibroblast–collagen matrix remodeling by increasing both integrin-mediated cell attachment to collagen and α-SMA expression, thereby contributing to pathological tubulointerstitial collagen matrix reorganization in renal fibrosis

Vedolizumab for pediatric IBD

Pediatric ulcerative colitis is likely to be more severe than adult ulcerative colitis. Failure to thrive should be considered during therapy. A 10-year-old boy was diagnosed with ulcerative colitis based on his clinical presentation and colonoscopy and biopsy results. The administration of 5-aminosalicylic acid and prednisolone resulted in remission ; however, the symptoms reappeared after the discontinuation of prednisolone. Then, infliximab was administered ; however, the patient was resistant to it and appeared to be dependent on prednisolone. Vedolizumab, a monoclonal antibody against α4β7 integrin, was administered, which resulted in rapid remission. A steady decrease in prednisolone followed, and remission was maintained even after prednisolone discontinuation. Vedolizumab may be effective in pediatric patients with moderate-to-severe refractory ulcerative colitis. Vedolizumab prevents lymphocytes from binding to MAdCAM-1, which is selectively expressed in the gastrointestinal submucosa, leading to the mitigation of the systemic side effects of immunosuppression, such as infections. In Japan, vedolizumab use is not yet approved for use in children, but its effectiveness and safety in children is expected to be investigated in the future

NADPH oxidase and ROS in kidney growth

Ureteric bud branching and nephrogenesis are performed through large-scale proliferation and apoptosis events during renal development. Reactive oxygen species (ROS), produced by NADPH oxidase, may contribute to cell behaviors, including proliferation and apoptosis. We investigated the role of NADPH oxidase expression and ROS production in developing kidneys. Immunohistochemistry revealed that NADPH oxidase components were expressed on epithelial cells in ureteric bud branches, as well as on immature glomerular cells and epithelial cells in nephrogenic zones. ROS production, detected by dihydroethidium assay, was strongly observed in ureteric bud branches and nephrogenic zones, corresponding with NADPH oxidase localization. Organ culture of E14 kidneys revealed that the inhibition of NADPH oxidase significantly reduced the number of ureteric bud branches and tips, consistent with reduced ROS production. This was associated with reduced expression of phosphorylated ERK1/2 and increased expression of cleaved caspase-3. Organ culture of E18 kidneys showed that the inhibition of NADPH oxidase reduced nephrogenic zone size, accompanied by reduced ROS production, fewer proliferating cell nuclear antigen-positive cells, lower p-ERK1/2 expression, and increased expression of cleaved caspase-3. These results demonstrate that ROS produced by NADPH oxidase might play an important role in ureteric bud branching and nephrogenesis by regulating proliferation and apoptosis