167 results on '"Ryo Hosotani"'
Search Results
152. A CASE OF 'LOCALIZED' TUMOR-BUILDING TYPE PANCREATITIS WHICH WAS DIFFICULT IN DIFFERENCIAL DIAGNOSIS FROM PANCREATIC CANCER
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Yoshiro Taki, Masaaki Shinoda, Gakuji Oshio, Jiro Osawa, Ryo Hosotani, and Tanoshi Yatagai
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Oncology ,medicine.medical_specialty ,business.industry ,Pancreatic cancer ,Internal medicine ,medicine ,Pancreatitis ,medicine.disease ,business - Published
- 1980
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153. Effect of L364718, a new CCK antagonist, on amylase secretion in isolated rat pancreatic acini
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Parimal Chowdhury, Ryo Hosotani, Phillip L. Rayford, and D. McKay
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medicine.medical_specialty ,medicine.drug_class ,Endocrinology, Diabetes and Metabolism ,In Vitro Techniques ,Devazepide ,chemistry.chemical_compound ,Endocrinology ,Internal medicine ,Internal Medicine ,medicine ,Animals ,Secretion ,Amylase ,Receptor ,Pancreas ,Cholecystokinin ,Benzodiazepinones ,Hepatology ,biology ,Chemistry ,Antagonist ,Asperlicin ,Receptor antagonist ,In vitro ,Rats ,Amylases ,biology.protein ,Female - Abstract
We examined the effect of L364718, a new cholecystokinin (CCK) receptor antagonist, on amylase release stimulated by CCK or different secretagogues in isolated rat pancreatic acini. L364718 caused a parallel rightward shift of the dose-response curve of CCK8. Schild plots showed a slope of 1.05 +/- 0.15 and a pA2 value of 10.01 +/- 0.31. L364718 inhibited maximally stimulated amylase release by CCK in a dose-dependent manner, with half maximal inhibition (ID50) at 1.7 nM and complete inhibition at 30 nM. Asperlicin, a prototype compound of L364718, also caused dose-dependent inhibition, but L364718 was approximately 400 times more potent than asperlicin (ID50 = 761 nM). L364718 significantly inhibited amylase release in response to CCK33 and CCK8 but had no effect on amylase release stimulated by other receptor secretagogues or agents by passing receptors. The results indicate that L364718 acts as an extremely potent, competitive, and specific antagonist of CCK's action on pancreatic acini.
- Published
- 1988
154. L-364,718, a new CCK antagonist, inhibits postprandial pancreatic secretion and PP release in dogs
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Phillip L. Rayford, Ryo Hosotani, and Parimal Chowdhury
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medicine.medical_specialty ,Physiology ,medicine.drug_class ,medicine.medical_treatment ,Radioimmunoassay ,Devazepide ,Pancreatic Polypeptide ,Cholecystokinin receptor ,Eating ,Dogs ,Pancreatic Juice ,Internal medicine ,Gastrins ,Insulin Secretion ,medicine ,Pancreatic polypeptide ,Animals ,Insulin ,Pancreas ,Cholecystokinin ,Gastrin ,Benzodiazepinones ,Chemistry ,digestive, oral, and skin physiology ,Gastroenterology ,Receptor antagonist ,Endocrinology ,Postprandial ,hormones, hormone substitutes, and hormone antagonists - Abstract
The effects of L-364,718, a new CCK receptor antagonist, on food-stimulated exocrine pancreatic secretion and plasma levels of PP, insulin, CCK, and gastrin were examined in four conscious dogs with pancreatic fistulas. Intravenous injections of L-364,718 (20 nmol/kg) significantly inhibited pancreatic protein and enzyme responses by food (33% inhibition) but not juice volume output. Both rapid and secondary prolonged postprandial rises of plasma PP were also significantly suppressed by L-364,718 (50% inhibition); however, plasma levels of insulin were not altered. Postprandial levels of gastrin were not affected by L-364,718 administration, whereas 3-hr integrated CCK response was significantly enhanced by L-364,718. This study indicates that L-364,718 inhibits pancreatic protein and enzyme secretion and the release of pancreatic polypeptide stimulated by food in conscious dogs. This inhibition might be due to the selective blockage of receptor binding of circulating CCK molecules. The results suggest that L-364,718 may be useful for the physiological and pathophysiological studies associated with CCK.
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- 1989
155. ChemInform Abstract: Studies on Peptides. Part 141. Synthesis of a 42-Residue Peptide Corresponding to the Entire Amino Acid Sequence of Porcine GIP (Glucose- Dependent Insulinotropic Polypeptide)
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Haruaki Yajima, Ryo Hosotani, Norihiko Fujii, Hideki Adachi, M. Noguchi, Kenichi Akaji, Mitsuru Aono, Motoyuki Moriga, Takayoshi Tobe, Kazuhiko Mizuta, Kazutomo Inoue, and Mitsuya Sakurai
- Subjects
chemistry.chemical_classification ,Residue (chemistry) ,chemistry ,Biochemistry ,Glucose-dependent insulinotropic polypeptide ,Peptide ,General Medicine ,Peptide sequence - Published
- 1987
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156. Inhibition of CCK or carbachol-stimulated amylase release by nicotine
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Ryo Hosotani, Phillip L. Rayford, and Parimal Chowdhury
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medicine.medical_specialty ,Nicotine ,Carbachol ,Biology ,General Biochemistry, Genetics and Molecular Biology ,Sincalide ,Acinus ,Internal medicine ,medicine ,Animals ,Amylase ,General Pharmacology, Toxicology and Pharmaceutics ,Receptor ,Pancreas ,Dose-Response Relationship, Drug ,Rats, Inbred Strains ,General Medicine ,Rats ,Dose–response relationship ,Endocrinology ,medicine.anatomical_structure ,Mechanism of action ,Toxicity ,Amylases ,biology.protein ,medicine.symptom ,medicine.drug - Abstract
This study was undertaken to investigate the mechanisms of action of nicotine on receptor mediated enzyme secretion in isolated rat pancreatic acini. Acinar cells were isolated from untreated and nicotine treated rats by collagenase digestion and differential centrifugation. Cells from the untreated animals were incubated with either varying concentrations of nicotine (range 10 microM to 30 mM) or with a fixed dose of 10 mM nicotine with varying concentrations of carbachol(10nM to 100 microM). Cells from the nicotine treated animals(16 weeks in drinking water) were incubated with either a fixed dose of CCK-8(10(-10) M) or carbachol(10(-5) M). All incubations were conducted at 37 C for 30 min. Amylase released in the media was measured by spectrophotometry. In pancreatic acinar cells isolated from control rats, amylase release stimulated by carbachol was inhibited by nicotine. Acinar cells isolated from rats treated with nicotine at nicotine concentrations of 1.23 mM also showed significant inhibition of amylase release in response to CCK-8 and carbachol compared to their identical controls. Nicotine induced inhibition curves of amylase release stimulated by carbachol were non-parallel suggesting that the effect of nicotine on acinar cells is regulated by mechanisms other than carbachol receptors. Nicotine may have a direct inhibitory effect on the intracellular mechanisms of pancreatic enzyme secretion. We conclude that the mechanism by which nicotine inhibits pancreatic enzyme secretion is complex.
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- 1989
157. Effect of natural peptide YY on blood flow and exocrine secretion of pancreas in dogs
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Takayoshi Tobe, Haruaki Yajima, Ryo Hosotani, Kazuhiko Tatemoto, and Kazutomo Inoue
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Male ,medicine.medical_specialty ,Physiology ,Peptide ,Secretin ,Gastrointestinal Hormones ,Bolus (medicine) ,Dogs ,Pancreatic Juice ,Internal medicine ,medicine ,Animals ,Peptide YY ,Pancreas ,chemistry.chemical_classification ,Chemistry ,Gastroenterology ,Blood flow ,Laser Doppler velocimetry ,Endocrinology ,medicine.anatomical_structure ,Regional Blood Flow ,Pancreatic juice ,Female ,Peptides - Abstract
Little is known regarding the mechanism by which peptide YY exerts an inhibitory effect on exocrine pancreatic secretion. The purpose of this study is to determine if peptide YY affects pancreatic blood flow with simultaneous measurement of exocrine pancreatic secretion in dogs. Pancreatic blood flow was measured by a laser Doppler flowmeter which allows continuous measurement of tissue blood flow. Natural peptide YY (0.1, 0.5, 1 microgram/kg) was infused intravenously as a bolus under background infusion of secretin (1 unit/kg/hr) in combination with cholecystokinin-octapeptide (0.1 microgram/kg/hr). Peptide YY caused a reduction of pancreatic blood flow in a dose-dependent manner as well as inhibition of pancreatic protein output, attaining the maximal reduction (28 +/- 4%) and inhibition (45 +/- 9%) at a dose of 1 microgram/kg, respectively. Simultaneous and continuous observation on tissue blood flow and exocrine secretion of the pancreas revealed that there was a highly significant correlation between the percent reduction of pancreatic blood flow and that of volume of pancreatic juice in response to peptide YY (r = 0.849, P less than 0.001). This study provides evidence that the mechanism of peptide YY-induced inhibition of exocrine pancreatic secretion is mediated, at least partly, through the decreased pancreatic blood flow.
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- 1988
158. Synthetic neuromedin C stimulates exocrine pancreatic secretion in dogs and rats
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Kazutomo Inoue, Takashi Suzuki, Takayoshi Tobe, Ryo Hosotani, Haruaki Yajima, Masafumi Kogire, Makoto Otsuki, and Phillip L. Rayford
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Male ,medicine.medical_specialty ,Neurokinin B ,Endocrinology, Diabetes and Metabolism ,Neuropeptide ,Biology ,digestive system ,chemistry.chemical_compound ,Endocrinology ,Dogs ,Internal medicine ,Gastrin-releasing peptide ,Gastrins ,Internal Medicine ,medicine ,Animals ,Secretion ,Amino Acid Sequence ,Pancreas ,Gastrin ,Cholecystokinin ,Hepatology ,Neuropeptides ,Bombesin ,Neuromedin B ,Peptide Fragments ,Rats ,medicine.anatomical_structure ,chemistry ,Gastrin-Releasing Peptide ,Amylases ,Female ,Peptides ,hormones, hormone substitutes, and hormone antagonists - Abstract
We have examined the effect of neuromedin C on exocrine pancreatic secretion both in vivo and in vitro, and compared its bioactivity with those of related peptides. In anesthetized dogs, neuromedin C caused a dose-dependent initial reduction of pancreatic blood flow and an increase in secretin-stimulated exocrine pancreatic secretion, and had almost the same potency as gastrin-releasing peptide (GRP) in decreasing pancreatic blood flow. A potent stimulatory effect on exocrine pancreatic secretion was found in conscious dogs accompanied by a significant elevation in the circulating cholecystokinin (CCK) levels. In isolated rat pancreatic acini, amylase was released dose-dependently in response to neuromedin C. This study demonstrates that neuromedin C (a smaller molecular form of GRP) possesses potent bioactivity on exocrine pancreas and suggests that two factors may be involved in the mechanism by which this peptide effects exocrine secretion, namely; direct stimulation on acinar cells and stimulation of CCK release.
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- 1987
159. Effect of synthetic neuromedin C, a decapeptide of gastrin-releasing peptide (GRP [18-27]), on blood flow and exocrine secretion of the pancreas in dogs
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Takayoshi Tobe, Haruaki Yajima, Ryo Hosotani, Kazutomo Inoue, and Nobutaka Fujii
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Male ,medicine.medical_specialty ,Neuropeptide ,Peptide ,Blood Pressure ,General Biochemistry, Genetics and Molecular Biology ,Dogs ,In vivo ,Internal medicine ,Gastrin-releasing peptide ,medicine ,Animals ,Amino Acid Sequence ,General Pharmacology, Toxicology and Pharmaceutics ,Pancreas ,Ultrasonography ,chemistry.chemical_classification ,biology ,Dose-Response Relationship, Drug ,Fissipedia ,Biological activity ,General Medicine ,biology.organism_classification ,Peptide Fragments ,medicine.anatomical_structure ,Endocrinology ,chemistry ,Gastrin-Releasing Peptide ,Regional Blood Flow ,Pancreatic juice ,Bombesin ,Female ,Peptides ,Oligopeptides - Abstract
Neuromedin C, the smaller molecular form of gastrin releasing peptide (GRP [18–27]), has been recently identified from canine intestinal muscle and porcine spinal cord. This study was conducted to determine if this newly identified peptide retains biological activity on canine pancreas in vivo. Intravenous injection of graded doses of synthetic Neuromedin C caused a marked increase of systematic blood pressure and initial reduction of pancreatic blood flow in eleven anesthetized dogs, as measured by Laser Doppler Flowmetry. Flow volume and protein output of pancreatic juice were also increased by Neuromedin C in a dose-related manner in six dogs. These results suggest that this peptide is one of the biologically active forms of mammalian bombesin-like peptides and may possess physiological significance as a novel neuropeptide.
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- 1985
160. Total small bowel resection inhibited bombesin-stimulated release of cholecystokinin and pancreatic polypeptide in anesthetized cats
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Parimal Chowdhury, Masaaki Ami, Kazutomo Inoue, Ryo Hosotani, Danny McKay, and Phillip L. Rayford
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medicine.medical_specialty ,Radioimmunoassay ,Stimulation ,Pancreatic Polypeptide ,complex mixtures ,digestive system ,chemistry.chemical_compound ,Internal medicine ,Gastrins ,Intestine, Small ,medicine ,Pancreatic polypeptide ,Animals ,Anesthesia ,Gastrin ,Cholecystokinin ,CATS ,Total Small Bowel Resection ,digestive, oral, and skin physiology ,Osmolar Concentration ,Bombesin ,Endocrinology ,chemistry ,Cats ,Surgery ,hormones, hormone substitutes, and hormone antagonists - Abstract
In anesthetized cats, immunoreactive cholecystokinin (CCK), pancreatic polypeptide (PP), and gastrin were released in response to bombesin both before and after small bowel resection. Total small bowel resection significantly decreased bombesin-stimulated release of cholecystokinin and pancreatic polypeptide without affecting the release of gastrin. Integrated analysis showed that CCK, pancreatic polypeptide, and gastrin were released in significant quantities after small bowel resection. The results show that total small bowel resection caused significant inhibition of bombesin-stimulated release of cholecystokinin and pancreatic polypeptide; in contrast, gastrin release remained unaffected. The data further indicate that extra bowel sources of cholecystokinin exist in cats and the release of CCK from those sources occurred following bombesin stimulation.
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- 1989
161. Comparative Studies on Microcirculation of the Pancreas in Anesthetized and Conscious Dogs
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Ryuichiro Doi, Masafumi Kogire, Takayoshi Tobe, Shoichiro Sumi, Mitsutoshi Yun, Takashi Suzuki, Tamotsu Kawano, Ryo Hosotani, Haruaki Yajima, and Kazutomo Inoue
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Pancreatic blood flow ,Pathology ,medicine.medical_specialty ,medicine.anatomical_structure ,business.industry ,Vasoactive intestinal peptide ,medicine ,Conscious State ,Blood flow ,Anastomosis ,Pancreas ,business ,Microcirculation - Abstract
The physiology of pancreatic blood flow has been poorly understood because of the difficulty in measuring it since there is an abundance of anastomoses between the branches of the vessels supplying blood flow to the pancreas. Furthermore, very little information is available regarding the physiology of pancreatic blood flow in the conscious state.
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- 1988
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162. Pancreatic secretion and the release of cholecystokinin after a meal in dogs with and without exclusion of pancreatic juice
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Masafumi Kogire, J. C. Thompson, Takayoshi Tobe, Huang Ys, Kazutomo Inoue, and Ryo Hosotani
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Male ,medicine.medical_specialty ,digestive system ,Pancreatic secretion ,Dogs ,Pancreatic Juice ,Internal medicine ,medicine ,Animals ,Secretion ,Pancreas ,Cholecystokinin ,Meal ,Chemistry ,digestive, oral, and skin physiology ,Gastroenterology ,Plasma levels ,Bicarbonates ,Endocrinology ,Postprandial ,Food ,Pancreatic juice ,Female ,Pancreatic enzymes ,hormones, hormone substitutes, and hormone antagonists - Abstract
Pancreatic secretion and plasma levels of cholecystokinin-33/39 (CCK) were measured for 5 h after a meal in dogs with and without exclusion of pancreatic juice. Significant and prolonged increases in pancreatic secretion and plasma CCK levels were observed irrespective of pancreatic juice exclusion. The integrated responses of pancreatic protein output (2.6 +/- 0.6 g/300 min), plasma CCK (1.3 +/- 0.5 nmol.l-1 .300 min) with exclusion of pancreatic juice showed no significant differences from those without exclusion (2.8 +/- 0.3 g/300 min and 1.3 +/- 0.3 nmol.l-1.300 min for protein output and CCK, respectively). These results suggest that the CCK-mediated feedback mechanism of pancreatic enzyme secretion does not work, at least not in the postprandial state in dogs.
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- 1989
163. Studies on peptides. CXXXIII. Synthesis and biological activity of galanin, a novel porcine intestinal polypeptide
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Nobutaka Fujii, Susumu Funakoshi, Viktor Mutt, Kazutomo Inoue, Tomio Segawa, Takayoshi Tobe, Mitsuya Sakurai, Kazuhiko Takemoto, Ryo Hosotani, Atsuko Inoue, Kenichi Akaji, Haruaki Yajima, Shiroh Futaki, and Shinichi Katakura
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Swine ,Neuropeptide ,Ileum ,Peptide ,Galanin ,In Vitro Techniques ,Gastrointestinal Hormones ,chemistry.chemical_compound ,Succinimide ,Drug Discovery ,medicine ,Trifluoroacetic acid ,Animals ,chemistry.chemical_classification ,Oligopeptide ,Biological activity ,Muscle, Smooth ,General Chemistry ,General Medicine ,Rats ,medicine.anatomical_structure ,Biochemistry ,chemistry ,Peptides ,Muscle Contraction - Abstract
A new porcine gastrointestinal 29-residue peptide, galanin, was synthesized in a satisfactory yield by assembling seven peptide fragments followed by deprotection with 1 M trifluoromethane-sulfonic acid-thioanisole in trifluoroacetic acid. Nin-Mesitylenesulfonyltryptophan was employed to suppress indole alkylation during Na-deprotection. β-Cycloheptylaspartate was employed to suppress base-catalyzed succinimide formation. The synthetic peptide exhibited a powerful contractile activity on rat ileum, but not on guinea pig ileum and caused sustained hyperglycemia in dogs.
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- 1986
164. Neural mechanisms of pancreatic polypeptide release in conscious dogs
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Y. S. Huang, P. L. Rayford, Ryo Hosotani, and Parimal Chowdhury
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medicine.medical_specialty ,Physiology ,Bethanechol ,Deoxyglucose ,Pancreatic Polypeptide ,Devazepide ,chemistry.chemical_compound ,Dogs ,Bethanechol Compounds ,Physiology (medical) ,Internal medicine ,Gastrins ,medicine ,Pancreatic polypeptide ,Animals ,Receptors, Cholinergic ,Receptor ,Neurotransmitter ,Gastrin ,Cholecystokinin ,Benzodiazepinones ,Hepatology ,Activator (genetics) ,Chemistry ,digestive, oral, and skin physiology ,Gastroenterology ,Antagonist ,Vagus Nerve ,Endocrinology ,Receptors, Cholecystokinin ,medicine.drug - Abstract
L364,718, a potent and specific antagonist for peripheral cholecystokinin (CCK) receptors, was used to determine its effect on plasma levels of pancreatic polypeptide (PP) after administration of 2-deoxy-D-glucose (2-DG, a central vagal activator) and of bethanechol (a cholinergic receptor agonist). Six conscious dogs were used in this study. Intravenous injection of 2-DG (75 mg/kg) caused significant increases in plasma levels of PP and gastrin, but there was no significant rise in plasma levels of immunoreactive and bioactive CCK. Intravenous injection of L364,718 (20 nmol/kg) significantly inhibited the PP response stimulated by 2-DG injection by approximately 60% but did not affect gastrin. Plasma levels of PP were increased dose dependently by bethanechol infusion and were not altered significantly by injections of L364,718. The results indicate that L364,718 inhibits PP response stimulated by a central vagal activator (2-DG) but not by cholinergic receptor agonist (bethanechol). This study suggests that CCK might be involved in the neural control of PP release as a neurotransmitter but probably not as a final activator of PP cells in dogs.
- Published
- 1989
165. ChemInform Abstract: SYNTHESIS OF GALANIN, A NEW GASTROINTESTINAL POLYPEPTIDE
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Mitsuya Sakurai, Viktor Mutt, Shiroh Futaki, Kenichi Akaji, Shinichi Katakura, Haruaki Yajima, Atsushi Inoue, Takayoshi Tobe, Susumu Funakoshi, Nobutaka Fujii, Kazuhiko Tatemoto, Ryo Hosotani, Kazutomo Inoue, and T. Segawa
- Subjects
chemistry.chemical_classification ,chemistry.chemical_compound ,medicine.anatomical_structure ,chemistry ,Succinimide ,Biochemistry ,medicine ,Ileum ,Peptide ,General Medicine ,Galanin ,Hormone ,Amino acid - Abstract
A new gastrointestinal polypeptide, galanin, which consists of 29 amino acids, was synthesized using the trifluoromethanesulphonic acid deprotecting procedure: two new amino acid derivatives, Trp(Mts)[Mts =Ni mesitylene-2-sulphonyl] and Asp(OChp)[Chp =β-cycloheptyl], were employed for this synthesis to suppress possible side reactions, i.e., indole-alkylation and succinimide formation respectively; the synthetic peptide exhibited contractile activity in isolated rat ileum and hyperglycemic activity in dogs.
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- 1985
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166. Synthesis of galanin, a new gastrointestinal polypeptide
- Author
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Nobutaka Fujii, Takayoshi Tobe, Ryo Hosotani, Shinichi Katakura, Haruaki Yajima, Viktor Mutt, Shiroh Futaki, Mitsuya Sakurai, Kazuhiko Tatemoto, Atsushi Inoue, Kenichi Akaji, Kazutomo Inoue, T. Segawa, and Susumu Funakoshi
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chemistry.chemical_classification ,Oligopeptide ,Stereochemistry ,Liquid phase ,Peptide ,Ileum ,Amino acid ,chemistry.chemical_compound ,medicine.anatomical_structure ,chemistry ,Biochemistry ,Succinimide ,medicine ,Molecular Medicine ,Galanin - Abstract
A new gastrointestinal polypeptide, galanin, which consists of 29 amino acids, was synthesized using the trifluoromethanesulphonic acid deprotecting procedure: two new amino acid derivatives, Trp(Mts)[Mts =Ni mesitylene-2-sulphonyl] and Asp(OChp)[Chp =β-cycloheptyl], were employed for this synthesis to suppress possible side reactions, i.e., indole-alkylation and succinimide formation respectively; the synthetic peptide exhibited contractile activity in isolated rat ileum and hyperglycemic activity in dogs.
- Published
- 1985
- Full Text
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167. Long-term survival after resection of pancreatic cancer: a single-center retrospective analysis.
- Author
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Yamamoto T, Yagi S, Kinoshita H, Sakamoto Y, Okada K, Uryuhara K, Morimoto T, Kaihara S, and Hosotani R
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- Aged, Antigens, Neoplasm blood, CA-19-9 Antigen blood, Chemotherapy, Adjuvant, Chi-Square Distribution, Disease-Free Survival, Female, Humans, Japan, Lymphatic Metastasis, Male, Middle Aged, Multivariate Analysis, Neoplasm Invasiveness, Neoplasm Staging, Neoplasm, Residual, Pancreatic Neoplasms blood, Pancreatic Neoplasms mortality, Pancreatic Neoplasms pathology, Proportional Hazards Models, Retrospective Studies, Risk Factors, Time Factors, Treatment Outcome, Tumor Burden, Pancreatectomy adverse effects, Pancreatectomy mortality, Pancreatic Neoplasms surgery
- Abstract
Aim: To retrospectively analyze factors affecting the long-term survival of patients with pancreatic cancer who underwent pancreatic resection., Methods: From January 2000 to December 2011, 195 patients underwent pancreatic resection in our hospital. The prognostic factors after pancreatic resection were analyzed in all 195 patients. After excluding the censored cases within an observational period, the clinicopathological characteristics of 20 patients who survived ≥ 5 (n = 20) and < 5 (n = 76) years were compared. For this comparison, we analyzed the patients who underwent surgery before June 2008 and were observed for more than 5 years. For statistical analyses, the log-rank test was used to compare the cumulative survival rates, and the χ (2) and Mann-Whitney tests were used to compare the two groups. The Cox-Hazard model was used for a multivariate analysis, and P values less than 0.05 were considered significant. A multivariate analysis was conducted on the factors that were significant in the univariate analysis., Results: The median survival for all patients was 27.1 months, and the 5-year actuarial survival rate was 34.5%. The median observational period was 595 d. With the univariate analysis, the UICC stage was significantly associated with survival time, and the CA19-9 ≤ 200 U/mL, DUPAN-2 ≤ 180 U/mL, tumor size ≤ 20 mm, R0 resection, absence of lymph node metastasis, absence of extrapancreatic neural invasion, and absence of portal invasion were favorable prognostic factors. The multivariate analysis showed that tumor size ≤ 20 mm (HR = 0.40; 95%CI: 0.17-0.83, P = 0.012) and negative surgical margins (R0 resection) (HR = 0.48; 95%CI: 0.30-0.77, P = 0.003) were independent favorable prognostic factors. Among the 96 patients, 20 patients survived for 5 years or more, and 76 patients died within 5 years after operation. Comparison of the 20 5-year survivors with the 76 non-survivors showed that lower concentrations of DUPAN-2 (79.5 vs 312.5 U/mL, P = 0.032), tumor size ≤ 20 mm (35% vs 8%, P = 0.008), R0 resection (95% vs 61%, P = 0.004), and absence of lymph node metastases (60% vs 18%, P = 0.036) were significantly associated with the 5-year survival., Conclusion: Negative surgical margins and a tumor size ≤ 20 mm were independent favorable prognostic factors. Histologically curative resection and early tumor detection are important factors in achieving long-term survival.
- Published
- 2015
- Full Text
- View/download PDF
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