Clinical Efficacy of Low Carbohydrate Diet (LCD) For Detail Analysis of Daily Meal and Blood Glucose

Background: Background: Regarding nutritional therapy for obesity and diabetes, low carbohydrate diet (LCD) has been effective. Case presentation: The case is 61-year-old male with obesity and type 2 diabetes mellitus (T2DM). He has been an athlete for long, and exercised much in hot climate during Mar-Sept, 2021. He often drank much amount of oral rehydration solution (ORS) and sports drink solution (SDS). In late Sept, he felt strong fatigue, weight loss, thirsty, and visited a clinic. He was diagnosed to have severe T2DM with HbA1c 14.0%. Results: He started to take super-LCD and to take pictures of all meals every day. He can continue them perfectly and HbA1c decreased to 10.7% in October and 7.8% in November. He has checked pre-prandial and post-prandial blood glucose, ranging almost 120-200 mg/dL due to LCD continuation. Daily carbohydrate intake amounts were checked, which were 87g, 137g, 81g and 136g. Discussion and Conclusion: His intake of ORS and SDS seemed to be adequate judging from their difference. The clinical course was successful, that was probably due to satisfactory lifestyle, continuing LCD and recording diet method, accumulating picture data of all meal, calculating carbohydrate and calorie intake every day. This case become a significant reference

Exacerbation of Diabetic Control by Large Amount of Sports Drink in Baseball Athlete with Detail Investigation

Authors have continued clinical practice and research of low carbohydrate diet (LCD). The case is 62-year-old men with obesity and type 2 diabetes mellitus (T2DM). For social/sport history, he worked as an administration manager of a large hospital and has been baseball player during 15-62 years old. Regarding medical history, he was on LCD with 96kg and HbA1c 6.0% in 2020. He participated many ballgames March-September 2021. He took oral rehydration solution (ORS) (Pokari Sweat, Otsuka Pharmaceutical) 1000ml/day during Mar-June in rather mild climate, and sports drink solution (SDS) (Body Mainte, Otsuka Pharmaceutical) 2000-3000ml/day during Jul-Sept in severe hot weather. He developed thirsty, polydipsia, polyuria, and fatigue and weight loss in Sept and HbA1c was 14.0%. Treatments started immediately by super-LCD, in which taken food in three meals a day was completely taken pictures by recording diet method. The analyzed carbohydrate amount was 40-90g per day, and LCD meal was effective. Just after LCD was started, blood glucose was normalized soon. HbA1c values were decreased to 10.3% in October and 7.8% in November. Consequently, this case had successful and satisfactory clinical improvement by LCD. Some discussion was described concerning LCD, hydration, ORS, SDS, adequate relationship with sports and so on

Optical evidence for heavy charge carriers in FeGe

The optical spectrum of the cubic helimagnetic metal FeGe has been investigated in the frequency range from 0.01 - 3.1 eV for different temperatures from 30 K to 296 K. The optical conductivity shows the evolution of a low energy (0.22 eV) interband transition and the development of a narrow free carrier response with a strong energy and temperature dependence. The frequency dependent effective mass and scattering rate derived from the optical data indicate the formation of dressed quasi-particles with a mass renormalization factor of 12. Similar to FeSi the spectral weight in FeGe is not recovered over a broad frequency range, an effect usually attributed to the influence of the on-site Coulomb interaction.Comment: 5 pages, 5 figure

Thermal and Dynamical Properties of the Two-band Hubbard Model Compared with FeSi

We study the two-band Hubbard model introduced by Fu and Doniach as a model for FeSi which is suggested to be a Kondo insulator. Using the self-consistent second-order perturbation theory combined with the local approximation which becomes exact in the limit of infinite dimensions, we calculate the specific heat, the spin susceptibility and the dynamical conductivity and point out that the reduction of the energy gap due to correlation is not significant in contrast to the previous calculation. It is also demonstrated that the gap at low temperatures in the optical conductivity is filled up at a rather low temperature than the gap size, which is consistent with the experiment.Comment: 6 pages, LaTeX, 7 PS figures included, uses RevTe

Roxithromycin Specifically Inhibits Development of Collagen Induced Arthritis and Production of Proinflammatory Cytokines by Human T Cells and Macrophages

ABSTRACT. Objective. Roxithromycin (RXM) is a macrolide antibiotic that is effective in treatment of chronic lower respiratory tract diseases including diffuse panbronchiolitis and bronchial asthma. Its mechanism of action apart from its antibacterial action remains unclear. To determine the mechanism of action of RXM, we evaluated the effect of RXM on T cell functions and the inflammatory responses in mice with collagen induced arthritis (CIA). Methods. T cell proliferation, cytokine production by T cells stimulated through CD28, CD26, or PMA with or without anti-CD3 Mab, cytokine production by macrophages stimulated with lipopolysaccharide, and transendothelial migration of T cells were analyzed in the presence or absence of various concentrations of RXM. We evaluated the effect of RXM treatment in collagen induced arthritis in mice. Results. RXM did not affect the production of Th1-type and Th2-type cytokines, whereas it specifically inhibited production of proinflammatory cytokines such as tumor necrosis factor-α and interleukin 6 (IL-6) by T cells and macrophages. RXM inhibited T cell migration. We found that RXM treatment of mice with CIA reduced the severity of arthritis and serum level of IL-6, as well as leukocyte migration into the affected joints and destruction of bones and cartilage. Conclusion. Our findings strongly suggest that RXM may be useful for the therapy of rheumatoid arthritis as well as other inflammatory diseases such as Crohn's disease. (J Rheumatol 2005; 32:1765-74

Correlation Effects on Optical Conductivity of FeSi

Effects of electron correlation in FeSi are studied in terms of the two-band Hubbard model with the density of states obtained from the band calculation. Using the self-consistent second-order perturbation theory combined with the local approximation, the correlation effects are investigated on the density of states and the optical conductivity spectrum, which are found to reproduce the experiments done by Damascelli et al. semiquantitatively. It is also found that the peak at the gap edge shifts to lower energy region by correlation effects, as is seen in the experiments.Comment: 4 pages, 3 figure

Formation Mechanism of Hybridization Gap in Kondo Insulators based on a Realistic Band Model and Application to YbB12_{12}

A new LDA+U band calculation is performed on the Kondo insulator material YbB$_{12}$ and an energy gap of about 0.001Ryd is obtained. Based on this, a simple tight-binding model with 5d$\epsilon$ and 4f $\Gamma_8$ orbitals on Yb atoms and the nearest neighbor $\sigma$-bonds between them is constructed with a good agreement to the above the LDA+U calculation near the gap. The density of states is also calculated and the shape is found to be very asymmetric with respect to the gap. A formation mechanism of the gap is clarified for the first time in a realistic situation with the orbital degeneracies in both conduction bands and the f states. This model can be a useful starting point for incorporating the strong correlation effect, and for understanding all the thermal, thermoelectric, transport and magnetic properties of YbB$_{12}$.Comment: 15 pages, 15 figures, to appear in J. Phys. Soc. Jpn. Vol. 72 No. 5 (2003

Mechanisms of confluence-dependent expression of CD26 in colon cancer cell lines

<p>Abstract</p> <p>Background</p> <p>CD26 (dipeptidyl peptidase IV, DPPIV) is a 110 kDa surface glycoprotein expressed in most normal tissues, and is a potential novel therapeutic target for selected cancers. Our work evaluates the mechanism involved in confluence-dependent CD26 expression in colon cancer.</p> <p>Methods</p> <p>Colon adenocarcinoma cells were grown to confluence, and expression of CD26 and transcription factors implicated in its regulation was confirmed by immunofluorescence and Western blotting. Real-time PCR was also performed to evaluate CD26 upregulation at the transcriptional level. The influence of c-Myc on CD26 expression during different growth conditions was further evaluated following transient transfection of a c-Myc-expressing plasmid and a c-Myc specific siRNA.</p> <p>Results</p> <p>We found that the colon cancer cell lines HCT-116 and HCT-15 exhibited a confluence-dependent increase in CD26 mRNA and protein, associated with decreased expression of c-Myc, increased USF-1 and Cdx 2 levels, and unchanged HNF-1α expression. Meanwhile, ectopic expression of c-Myc in both cell lines led to decreased CD26 expression. In contrast, transfection of a siRNA targeted to Cdx2 resulted in decreased CD26 level. Importantly, culturing of cells in serum-depleted media, but not acidic conditions, upregulated CD26. While HIF-1α level also increased when cells were cultured in serum-depleted media, its expression was required but not sufficient for CD26 upregulation.</p> <p>Conclusions</p> <p>CD26 mRNA and protein levels increase in a confluence-dependent manner in colon carcinoma cell lines, with c-Myc acting as a repressor and Cdx2 acting as an enhancer of CD26 expression. The enhanced expression of CD26 in serum-depleted media and a requirement for HIF-1α suggest a role for nutrients or growth factors in the regulation of CD26 protein expression.</p

Evaluation of Two Models for Human Topoisomerase I Interaction with dsDNA and Camptothecin Derivatives

Human topoisomerase I (Top1) relaxes supercoiled DNA during cell division. Camptothecin stabilizes Top1/dsDNA covalent complexes which ultimately results in cell death, and this makes Top1 an anti-cancer target. There are two current models for how camptothecin and derivatives bind to Top1/dsDNA covalent complexes (Staker, et al., 2002, Proc Natl Acad Sci USA 99: 15387–15392; and Laco, et al., 2004, Bioorg Med Chem 12: 5225–5235). The interaction energies between bound camptothecin, and derivatives, and Top1/dsDNA in the two models were calculated. The published structure-activity-relationships for camptothecin and derivatives correlated with the interaction energies for camptothecin and derivatives in the Laco et al. model, however, this was not the case for several camptothecin derivatives in the Stacker et al. model. By defining the binding orientation of camptothecin and derivatives in the Top1/dsDNA active-site these results allow for the rational design of potentially more efficacious camptothecin derivatives

Metabolic determinants of cancer cell sensitivity to glucose limitation and biguanides

As the concentrations of highly consumed nutrients, particularly glucose, are generally lower in tumours than in normal tissues1,2, cancer cells must adapt their metabolism to the tumour microenvironment. A better understanding of these adaptations might reveal cancer cell liabilities that can be exploited for therapeutic benefit. Here, we developed a continuous flow culture apparatus (Nutrostat) for maintaining proliferating cells in low nutrient media for long periods of time and used it to undertake competitive proliferation assays on a pooled collection of barcoded cancer cell lines cultured in low glucose conditions. Sensitivity to low glucose varies amongst cell lines, and an RNAi screen pinpointed mitochondrial oxidative phosphorylation (OXPHOS) as the major pathway required for optimal proliferation in low glucose. We found that cell lines most sensitive to low glucose are defective in the upregulation of OXPHOS normally caused by glucose limitation as a result of either mtDNA mutations in Complex I genes or impaired glucose utilization. These defects predict sensitivity to biguanides, anti-diabetic drugs that inhibit OXPHOS3,4, when cancer cells are grown in low glucose or as tumour xenografts. Remarkably, the biguanide sensitivity of cancer cells with mtDNA mutations was reversed by ectopic expression of yeast NDI1, a ubiquinone oxidoreductase that allows bypass of Complex I function5. Thus, we conclude that mtDNA mutations and impaired glucose utilization are potential biomarkers for identifying tumours with increased sensitivity to OXPHOS inhibitors