ヤクシン

According to the dermatological literature in Japan, the drug eruptions in the aged (over 60 years old) are recently incresing. It is explained by the recent increase of population in the aged and of medication for them. Clinical manifestations of drug eruption occured in the aged are reported as photosensitivity (21.0%), lichenoid erption (15.5%), macropapular (13.6%), erythema mutiforme (8.1%), erythroderm a (5.2%), bullous eruptions (4.9%), fixed eruptions (4.9%), TEN (4.5%), urticaria (3.2%), and MCOS (1.9%). Photosensitivity and lichenoid erption are the two of the most common in the aged. The causative drugs of two forms include antibiotics (especially new quinolon), anti-hypertensive drugs and vasodilators, nonsteroidal inflammatory drugs, and anticancer drugs

Frequency analysis of electroencephalogram recorded from a bottlenose dolphin (Tursiops truncatus) with a novel method during transportation by truck

In order to obtain information regarding the correlation between an electroencephalogram (EEG) and the state of a dolphin, we developed a noninvasive recording method of EEG of a bottlenose dolphin (Tursiops truncatus) and an extraction method of true-EEG (EEG) from recorded-EEG (R-EEG) based on a human EEG recording method, and then carried out frequency analysis during transportation by truck. The frequency detected in the EEG of dolphin during apparent awakening was divided conveniently into three bands (5–15, 15–25, and 25–40 Hz) based on spectrum profiles. Analyses of the relationship between power ratio and movement of the dolphin revealed that the power ratio of dolphin in a situation when it was being quiet was evenly distributed among the three bands. These results suggested that the EEG of a dolphin could be detected accurately by this method, and that the frequency analysis of the detected EEG seemed to provide useful information for understanding the central nerve activity of these animals

Frequent p53 Accumulation in the Chronically Sun-Exposed Epidermis and Clonal Expansion of p53 Mutant Cells in the Epidermis Adjacent to Basal Cell Carcinoma

p53 expression was studied immunohistochemically to identify a precursor lesion of basal cell carcinoma (BCC) in the epidermis adjacent to BCC. With two different anti-p53 antibodies of CM1 and DO7, p53 expression was frequently detected in the epidermis adjacent to BCCs arising on the face and in the normal epidermis with usual sun exposure. In the epidermis adjacent to BCC, stained cells were occasionally clustered in a small area, but no cluster was found in the normal epidermis with usual sun exposure. The expression was less frequent in the normal epidermis with rare sun exposure. Ten cases of normal skin with usual sun exposure, showing CM1 staining in the epidermis, were screened for p53 gene mutations with polymerase chain reaction-single- strand conformation polymorphism analysis using DNAs obtained from the epidermis. No mutation was detected in exons 2 to 10 of the p53 gene in these 10 cases. The epidermis flanking three BCCs that was stained with CM1, on the other hand, carried a missense mutation of C to G transversIon at a dipyrimidine site of codon 249. This alteration replaced arginine with threonine. The mutation of codon 249 was not detected in the three BCCs. Our results first suggest that ultraviolet light irradiating the skin in a daily life induces p53 accumulation in the epidermis and secondly that the frequent clonal expansion of p53 mutant cells occurs in the epidermis adjacent to BCCs. This clonal expansion of mutant p53 may provide a molecular basis for high risk of developing subsequent new skin cancers in patients with BCC

Clinical effect of sulbactam/ampicillin on community-acquired pneumonia with positive Streptococcus pneumoniae urinary antigen test

We investigated the efficacy of intravenous penicillin (sulbactam/ampicillin: SBT/ABPC) in adult patients with positive Streptococcus pneumoniae urinary antigen test requiring hospitalization. We administered 3g of SBT/ABPC intravenously in the morning and evening for 7-14 days to 32 adult community-acquired pneumonia patients with positive Binax NOW(R) S. pneumoniae urinary antigen. Clinical efficacy, bacteriological efficacy, and side effects of these patients were prospectively examined. We observed clinical efficacy in a total of 28 of 32 patients (87.5%); 24 of 26 moderate patients (92.3%), and four of six severe patients (66.7%). Side effects were drug eruption, increased GOT, increased AMY, and decreased WBC, observed in one patient each; however, all were mild. SBT/ABPC is extremely useful in patients with positive S. pneumoniae urinary antigen test requiring hospitalizatio

Association between ImmunoCard Mycoplasma test and particle agglutination (PA) method in Mycoplasma pneumonia diagnosis

We examined the association between ImmunoCard Mycoplasma test and particle agglutination (PA) method in Mycoplasma pneumonia diagnosis. Subjects were 105 pneumonia patients who were positive for ImmunoCard Mycoplasma test at initial consultation and followed up by PA method using paired sera. The coincidence rates of positive cases of ImmunoCard Mycoplasma test and positive cases of PA method were examined by generation. The results showed that the coincidence rate was 87.5% in aged less than 19 years, 48.8% in aged 20-39 years, 36.4% in aged 40-59 years, 21.1% in aged 60-79 years, and 25.0% in aged 80 or greater, for a total of 44.8% (47 of 105 patients). The results suggested that a positive result for ImmunoCard Mycoplasma test may be due to acute infection in patients aged 19 years or less; however, 50% or more of patients aged 20 years or greater were false positive, which may reflect the presence of past infection

Targeted single-cell gene induction by optimizing the dually regulated CRE/loxP system by a newly defined heat-shock promoter and the steroid hormone in Arabidopsis thaliana

Multicellular organisms rely on intercellular communication systems to organize their cellular functions. In studies focusing on intercellular communication, the key experimental techniques include the generation of chimeric tissue using transgenic DNA recombination systems represented by the CRE/loxP system. If an experimental system enables the induction of chimeras at highly targeted cell(s), it will facilitate the reproducibility and precision of experiments. However, multiple technical limitations have made this challenging. The stochastic nature of DNA recombination events, especially, hampers reproducible generation of intended chimeric patterns. Infrared laser-evoked gene operator (IR-LEGO), a microscopic system that irradiates targeted cells using an IR laser, can induce heat shock-mediated expression of transgenes, for example, CRE recombinase gene, in the cells. In this study, we developed a method that induces CRE/loxP recombination in the target cell(s) of plant roots and leaves in a highly specific manner. We combined IR-LEGO, an improved heat-shock-specific promoter, and dexamethasone-dependent regulation of CRE. The optimal IR-laser power and irradiation duration were estimated via exhaustive irradiation trials and subsequent statistical modeling. Under optimized conditions, CRE/loxP recombination was efficiently induced without cellular damage. We also found that the induction efficiency varied among tissue types and cellular sizes. The developed method offers an experimental system to generate a precisely designed chimeric tissue, and thus, will be useful for analyzing intercellular communication at high resolution in roots and leaves

Overcoming minimal residual disease using intensified conditioning with medium-dose etoposide, cyclophosphamide and total body irradiation in allogeneic stem cell transplantation for Philadelphia chromosome-positive acute lymphoblastic leukemia in adults

BACKGROUND AIMS: An intensified conditioning regimen incorporating medium-dose etoposide (VP16) is an option for patients with acute lymphoblastic leukemia (ALL). However, the prognostic impacts of the addition of VP16 to cyclophosphamide (CY) and total body irradiation (TBI) in patients with Philadelphia chromosome-positive (Ph+) ALL with regard to minimal residual disease (MRD) status have not been elucidated. METHODS: The authors retrospectively compared the outcomes of patients with Ph+ ALL who underwent allogeneic transplantation following VP16/CY/TBI (n = 101) and CY/TBI (n = 563). RESULTS: At 4 years, the VP16/CY/TBI group exhibited significantly better disease-free survival (DFS) (72.6% versus 61.7%, P = 0.027) and relapse rate (11.5% versus 21.1%, P = 0.020) and similar non-relapse mortality (16.0% versus 17.2%, P = 0.70). In subgroup analyses, the beneficial effects of the addition of VP16 on DFS were more evident in patients with positive MRD status (71.2% versus 48.4% at 4 years, P = 0.022) than those with negative MRD status (72.8% versus 66.7% at 4 years, P = 0.24). Although MRD positivity was significantly associated with worse DFS in patients who received CY/TBI (48.4% versus 66.7%, P < 0.001), this was not the case in those who received VP16/CY/TBI (71.2% versus 72.8%, P = 0.86). CONCLUSIONS: This study demonstrated the benefits of the addition of VP16 in Ph+ ALL patients, especially those with positive MRD status. VP16/CY/TBI could be a potential strategy to overcome the survival risk of MRD positivity

Personalized prediction of overall survival in patients with AML in non‐complete remission undergoing allo‐HCT

Allogenic hematopoietic stem cell transplantation (allo-HCT) is the standard treatment for acute myeloid leukemia (AML) in non-complete remission (non-CR); however, the prognosis is inconsistent. This study aimed to develop and validate nomograms and a web application to predict the overall survival (OS) of patients with non-CR AML undergoing allo-HCT (cord blood transplantation [CBT], bone marrow transplantation [BMT], and peripheral blood stem cell transplantation [PBSCT]). Data from 3052 patients were analyzed to construct and validate the prognostic models. The common significant prognostic factors among patients undergoing allo-HCT were age, performance status, percentage of peripheral blasts, cytogenetic risk, chemotherapy response, and number of transplantations. The conditioning regimen was a significant prognostic factor only in patients undergoing CBT. Compared with cyclophosphamide/total body irradiation, a conditioning regimen of ≥3 drugs, including fludarabine, with CBT exhibited the lowest hazard ratio for mortality (0.384; 95% CI, 0.266-0.554; p < 0.0001). A conditioning regimen of ≥3 drugs with CBT also showed the best leukemia-free survival among all conditioning regimens. Based on the results of the multivariable analysis, we developed prognostic models showing adequate calibration and discrimination (the c-indices for CBT, BMT, and PBSCT were 0.648, 0.600, and 0.658, respectively). Our prognostic models can help in assessing individual risks and designing future clinical studies. Furthermore, our study indicates the effectiveness of multi-drug conditioning regimens in patients undergoing CBT