A step forward for the undulation pump total artificial heart

In the University of Tokyo, various types of total artificial heart (TAH) have been studied. Based on the experiences of TAH research, the development of the undulation pump total artifical heart (UPTAH) started in 1994. The undulation pump is a small-size, continuous-flow, displacement-type blood pump, and the UPTAH is a unique implantable total artificial heart that uses the undulation pump. To date, three models of UPTAH have been developed. The first model, UPTAH1, was developed to investigate the possibility of reducing the size of the device so it could be implanted in small adults, such as Japanese patients, in 1994. The second model, UPTAH2, which was the prototype of the animal experimental model, was developed in 1996 to investigate the possibility of survival with the UPTAH. The third model, UPTAH3, which is the present model, was developed in 1998 to enable long-term survival in animal experiments and to investigate the pathophysiology of the UPTAH. From July 1996 to October 1999, 22 implantations of UPTAH2 or UPTAH3 were performed in goats. In spite of the limitation of their small chest cavity, the UPTAH could be implanted into the chest of all goats. Using UPTAH3, survival of 31 days could be obtained. The research and development of UPTAH are ongoing.     

周期性压力下椎间盘细胞中肌动蛋白的变化及其意义

目的探讨在周期性压力下,体外培养的椎间盘细胞中的肌动蛋白的变化及其意义。方法采用10只5～6周龄、体重为25～30kg的猪的椎间盘进行体外细胞的分离和培养,对细胞施加周期性液压,通过对细胞的形态学观察及Western免疫印迹和免疫荧光实验,检测在周期性压力下椎间盘细胞中的肌动蛋白的变化。结果纤维环细胞和髓核细胞经1MPa、1Hz,持续每天3h加压,3d后髓核细胞的存活率大于90%,纤维环细胞的存活率大于85%,加压后的纤维环细胞和髓核细胞体积均缩小,由多角形转变为细长形。Western免疫印迹结果显示,肌动蛋白在纤维环细胞和髓核细胞中的表达均明显减少,以髓核细胞为著。免疫荧光结果显示,肌动蛋白由正常纤维环细胞和髓核细胞内的疏松排列转变为受压细胞内的紧密排列,髓核细胞的体积明显缩小,其中的肌动蛋白在细胞膜周围紧密排列。结论体外培养的单层椎间盘细胞在受力状态下,肌动蛋白的表达减少,细胞的体积缩小,并且肌动蛋白在细胞内重排列。这可能是激发细胞内或细胞表面信号传导的重要机制。     

Comparison between broad-band ultrasound attenuation of the calcaneum and total body bone mineral density in children

We measured broad-band ultrasound attenuation (BUA) in the calcaneum using the prototype Paediatric Contact Ultrasound Bone Analyser (CUBA) and total body bone mineral density (TBBMD) using dual-energy X-ray absorptiometry (DXA) (Hologic QDR-1000W) in 58, 7 17-year-old healthy children and adolescents. Calcaneal BUA was significantly related to TBBMD ( r = 0.74, p < 0.001), and both the calcaneal BUA and TBBMD were significantly correlated with age and body weight. We conclude that calcaneal BUA reflects bone mineral density (BMD) in healthy children and adolescents; however, BMD measured by CUBA appears to be less sensitive than that measured by DXA. Since BUA reflects structural properties of bone, as well as density, it may complement radiological techniques of bone density measurement in the assessment of paediatric conditions associated with fracture risk.