Activities of creatine kinase isoenzymes in single skeletal muscle fibres of trained and untrained rats

Biochemical changes in the creatine kinase isoenzyme compositions in single muscle fibres of different types in rats were induced by endurance running training. Single muscle fibres were dissected from the soleus and extensor digitorum longus muscles of Wistarstrain male rats trained on a motor-driven treadmill for 16 weeks. Each fibre was typed histochemically (SO, slow-twitch oxidative; FOG, fast-twitch oxidative glycolytic; FG, fast-twitch glycolytic), and the activities of total creatine kinase and its four isoenzymes (CK-MM, -MB,-BB, and mitochondrial creatine kinase) were measured. The endurance training did not affect the total creatine kinase activity, but resulted in significantly increased activities of CK-MB and CK-BB in SO and FOG fibres, and the mitochondrial enzyme activity in FOG and FG fibres. Endurance training induced biochemical changes in the isoenzyme compositions, specifically in FOG fibres. These results suggest that changes in creatine kinase isoenzymes with endurance training reflect changes in the energy metabolism in the different muscle fibres, supporting the hypothesis that the different isoenzymes play different roles in energy transduction.     

Role of the spleen in immunosuppression of gastric cancer: predominance of suppressor precursor and suppressor inducer T cells in the recirculating spleen cells.

In order to analyse the role of the spleen on immunosuppression of gastric cancer, T cell phenotypes in the spleen cells (SC) were investigated by two colour fluorescence flow cytometry, with reference to their suppressor cell activity. Suppressor T cell phenotypes of CD4+2H4+ cells (suppressor/inducer T cells) and CD8+CD11+ (suppressor T cells) were distributed predominantly in SCs from patients with gastric cancer, while they were distributed scarcely in those with liver cirrhosis. Moreover, CD4+2H4+ cells and CD8+CD11+ cells were found predominantly in SCs and splenic vein lymphocytes (SVL) respectively. Among SCs, a significantly higher proportion of CD4+2H4+ cells was found in the recirculating SCs, but fewer were found in the residual SCs. Higher activity of Concanavalin-A induced suppressor cells was found in the former and that of spontaneously activated suppressor cells was found in the latter. These results suggest the suppressor precursor and suppressor/inducer T cells might distribute predominantly in the cells recirculating from the spleen, and that suppressor cells might be matured during the migration from the spleen.     

A combination therapy with mitomycin c, etoposide, doxifluridine and medroxyprogesterone acetate as second line therapy for advanced breast cancer refractory to combination chemotherapy of cyclophosphamide, doxorubicin and 5 fluorouracil

Thirty-two patients with advanced breast cancer refractory to combination chemotherapy with cyclophosphamide (CPA), doxorubicin (ADR) and 5-fluorouracil (5-FU) (CAF) were treated with the combination of mitomycin C, etoposide, doxifluridine and medroxyprogesterone acetate as second line therapy. Observed responses included 6 patients (18.7%) with complete response (CR) and 7 (21.9%) with partial response (PR). Two (50%) out of 4 patients who had bone pain due to bone metastasis noted pain relief. CR or PR were obtained in 4 out of 12 patients who had not responded to the previous CAF therapy. While grade III myelosuppression was observed in 3 patients, other adverse effects were minimal. It is suggested that this combination therapy may be recommended for advanced breast cancer patients as a second therapy.     

Development of the inpatient attitudes towards the patient role scale

Aim: The purpose of this study was to develop a reliable, valid scale that can measure inpatients' tendencies and level of effort in dealing with their role of patient. Methods: The question items were developed from interviews and a review of the literature. After examining the content validity, a pretest and pilot study were conducted. Then, the 27 item Inpatient Attitudes Towards the Patient Role Scale was created. A self‐administered questionnaire survey with 399 inpatients was conducted in order to examine the reliability and validity of this scale. Results: Two‐hundred‐and‐sixteen patients completed and returned the questionnaire (54.1% response rate). The respondents were aged between 20 years and ≥80 years (median: 60s); 60% were male and 39% were female. Based on a factor analysis, the following four common factors were extracted from 21 out of the 27 original items: “patient adherence”, “consideration”, “self‐expression”, and “mental attitude”. The evidence from an examination of the construct validity and stability suggests that the scale has good reliability and promising validity. Older adult patients tended to make more effort than younger patients. The patients who believed that it would take them a certain amount of time to recover and those who trusted the healthcare staff tended to make more effort. Conclusion: A reliable and valid scale to measure inpatient attitudes towards the patient role was developed. This scale might provide useful information for nursing practice.     

Caudal epidural anesthesia during intracavitary brachytherapy for cervical cancer

It has been suggested that pain control during intracavitary brachytherapy for cervical cancer is insufficient in most hospitals in Japan. Our hospital began using caudal epidural anesthesia during high-dose-rate (HDR) intracavitary brachytherapy in 2011. The purpose of the present study was to retrospectively investigate the effects of caudal epidural anesthesia during HDR intracavitary brachytherapy for cervical cancer patients. Caudal epidural anesthesia for 34 cervical cancer patients was performed during HDR intracavitary brachytherapy between October 2011 and August 2013. We used the patients'' self-reported Numeric Rating Scale (NRS) score at the first session of HDR intracavitary brachytherapy as a subjective evaluation of pain. We compared NRS scores of the patients with anesthesia with those of 30 patients who underwent HDR intracavitary brachytherapy without sacral epidural anesthesia at our hospital between May 2010 and August 2011. Caudal epidural anesthesia succeeded in 33 patients (97%), and the NRS score was recorded in 30 patients. The mean NRS score of the anesthesia group was 5.17 ± 2.97, significantly lower than that of the control group''s 6.80 ± 2.59 (P = 0.035). The caudal epidural block resulted in no side-effects. Caudal epidural anesthesia is an effective and safe anesthesia option during HDR intracavitary brachytherapy for cervical cancer.     

Implanted hair follicle stem cells form Schwann cells that support repair of severed peripheral nerves

The hair follicle bulge area is an abundant, easily accessible source of actively growing, pluripotent adult stem cells. Nestin, a protein marker for neural stem cells, also is expressed in follicle stem cells and their immediate, differentiated progeny. The fluorescent protein GFP, whose expression is driven by the nestin regulatory element in transgenic mice, served to mark the follicle cell fate. The pluripotent nestin-driven GFP stem cells are positive for the stem cell marker CD34 but negative for keratinocyte marker keratin 15, suggesting their relatively undifferentiated state. These cells can differentiate into neurons, glia, keratinocytes, smooth muscle cells, and melanocytes in vitro. In vivo studies show the nestin-driven GFP hair follicle stem cells can differentiate into blood vessels and neural tissue after transplantation to the subcutis of nude mice. Equivalent hair follicle stem cells derived from transgenic mice with beta-actin-driven GFP implanted into the gap region of a severed sciatic nerve greatly enhance the rate of nerve regeneration and the restoration of nerve function. The follicle cells transdifferentiate largely into Schwann cells, which are known to support neuron regrowth. Function of the rejoined sciatic nerve was measured by contraction of the gastrocnemius muscle upon electrical stimulation. After severing the tibial nerve and subsequent transplantation of hair follicle stem cells, walking print length and intermediate toe spread significantly recovered, indicating that the transplanted mice recovered the ability to walk normally. These results suggest that hair follicle stem cells provide an important, accessible, autologous source of adult stem cells for regenerative medicine.     

Particle radiotherapy for prostate cancer

Recent advances in external beam radiotherapy have allowed us to deliver higher doses to the tumors while decreasing doses to the surrounding tissues. Dose escalation using high‐precision radiotherapy has improved the treatment outcomes of prostate cancer. Intensity‐modulated radiation therapy has been widely used throughout the world as the most advanced form of photon radiotherapy. In contrast, particle radiotherapy has also been under development, and has been used as an effective and non‐invasive radiation modality for prostate and other cancers. Among the particles used in such treatments, protons and carbon ions have the physical advantage that the dose can be focused on the tumor with only minimal exposure of the surrounding normal tissues. Furthermore, carbon ions also have radiobiological advantages that include higher killing effects on intrinsic radio‐resistant tumors, hypoxic tumor cells and tumor cells in the G0 or S phase. However, the degree of clinical benefit derived from these theoretical advantages in the treatment of prostate cancer has not been adequately determined. The present article reviews the available literature on the use of particle radiotherapy for prostate cancer as well as the literature on the physical and radiobiological properties of this treatment, and discusses the role and the relative merits of particle radiotherapy compared with current photon‐based radiotherapy, with a focus on proton beam therapy and carbon ion radiotherapy.     

Transient conformational fluctuation of TePixD during a reaction

Knowledge of the dynamical behavior of proteins, and in particular their conformational fluctuations, is essential to understanding the mechanisms underlying their reactions. Here, transient enhancement of the isothermal partial molar compressibility, which is directly related to the conformational fluctuation, during a chemical reaction of a blue light sensor protein from the thermophilic cyanobacterium Thermosynechococcus elongatus BP-1 (TePixD, Tll0078) was investigated in a time-resolved manner. The UV-Vis absorption spectrum of TePixD did not change with the application of high pressure. Conversely, the transient grating signal intensities representing the volume change depended significantly on the pressure. This result implies that the compressibility changes during the reaction. From the pressure dependence of the amplitude, the compressibility change of two short-lived intermediate (I₁ and I₂) states were determined to be +(5.6 ± 0.6) × 10⁻² cm³⋅mol⁻¹⋅MPa⁻¹ for I₁ and +(6.6 ± 0.7)×10⁻² cm³⋅mol⁻¹⋅MPa⁻¹ for I₂. This result showed that the structural fluctuation of intermediates was enhanced during the reaction. To clarify the relationship between the fluctuation and the reaction, the compressibility of multiply excited TePixD was investigated. The isothermal compressibility of I₁ and I₂ intermediates of TePixD showed a monotonic decrease with increasing excitation laser power, and this tendency correlated with the reactivity of the protein. This result indicates that the TePixD decamer cannot react when its structural fluctuation is small. We concluded that the enhanced compressibility is an important factor for triggering the reaction of TePixD. To our knowledge, this is the first report showing enhanced fluctuations of intermediate species during a protein reaction, supporting the importance of fluctuations.Proteins often transfer information through changes in domain–domain (or intermolecular) interactions. Photosensor proteins are an important example. They have light-sensing domains and function by using the light-driven changes in domain–domain interactions (1). The sensor of blue light using FAD (BLUF) domain is a light-sensing module found widely among the bacterial kingdom (2). The BLUF domain initiates its photoreaction by the light excitation of the flavin moiety inside the protein, which changes the domain–domain interaction, causing a quaternary structural change and finally transmitting biological signals (3, 4). It has been an important research topic to elucidate how the initial photochemistry occurring in the vicinity of the chromophore leads to the subsequent large conformation change in other domains, which are generally apart from the chromophore.It may be reasonable to consider that the conformation change in the BLUF domain is the driving force in its subsequent reaction; that is, the change in domain–domain interaction. However, sometimes, clear conformational changes have not been observed for the BLUF domain; its conformation is very similar before and after photo-excitation (5–13). The circular dichroism (CD) spectra of BLUF proteins AppA and PixD from thermophilic cyanobacterium Thermosynechococcus elongatus BP-1 (TePixD) did not change on illumination (5, 13). Similarly, solution NMR studies of AppA and BlrB showed only small chemical shifts on excitation (9, 10). The solution NMR structure of BlrP1 showed a clear change, but this was limited in its C-terminal extension region and not core BLUF (11). Furthermore, the diffusion coefficient (D) of the BLUF domain of YcgF was not changed by photo-excitation (12), although D is sensitive to global conformational changes. These results imply that a minor structural change occurs in the BLUF domain. In such cases, how does the BLUF domain control its interdomain interaction? Recently, a molecular dynamics (MD) simulation on another light-sensing domain, the light-oxygen-voltage (LOV) sensing domain, suggested that fluctuation of the LOV core structure could be a key to understanding the mechanism of information transfer (14–16).Because proteins work at room temperature, they are exposed to thermal fluctuations. The importance of such structural fluctuations for biomolecular reactions has been also pointed out: for example, enzymatic activity (17–20). Experimental detections of such conformation fluctuations using single molecular detection (21) or NMR techniques such as the hydrogen-deuterium (H-D) exchange, relaxation dispersion method, and high-pressure NMR (22–24) have succeeded. However, these techniques could not detect the fluctuation of short-lived transient species. Indeed, single molecule spectroscopy can trace the fluctuation in real time, but it is still rather difficult to detect rapid fluctuations for a short-lived intermediate during a reaction. Therefore, information about the fluctuation of intermediates is thus far limited.A thermodynamic measurement is another way to characterize the fluctuation of proteins. In particular, the partial molar isothermal compressibility [K¯T=−(∂V¯/∂P)T] is essential, because this property is directly linked to the mean-square fluctuations of the protein partial molar volume by 〈(V¯−〈V¯〉)2〉≡〈δV¯2〉=kBTK¯T (25). (Here, <X> means the averaged value of a quantity of X.) Therefore, isothermal compressibility is thought to reflect the structural fluctuation of molecules (26). However, experimental measurement of this parameter of proteins in a dilute solution is quite difficult. Indeed, this quantity has been determined indirectly from the theoretical equation using the adiabatic compressibility of a protein solution, which was determined by the sound velocity in the solution (26–31). Although the relation between volume fluctuations and isothermal compressibility is rigorously correct only with respect to the intrinsic part of the volume compressibility, and not the partial molar volume compressibility (32), we considered that this partial molar volume compressibility is still useful for characterizing the fluctuation of the protein structure including its interacting water molecules. In fact, the relationship between β¯T and the volume fluctuation has been often used to discuss the fluctuation of proteins (17, 26–28), and the strong correlation of β¯T of reactants with the functioning for some enzymes (17, 33, 34) has been reported. These studies show the functional importance of the structural fluctuation represented by β¯T. However, thermodynamic techniques lack time resolution, and it has been impossible to measure the fluctuations of short-lived intermediate species.Recently, we developed a time-resolving method for assessing thermodynamic properties using the pulsed laser induced transient grating (TG) method. Using this method, we thus far succeeded in measuring the enthalpy change (ΔH) (35–38), partial molar volume change (ΔV¯) (12, 35, 37), thermal expansion change (Δα¯th) (12, 37), and heat capacity change (ΔC_p) (36–38) for short-lived species. Therefore, in principle, the partial molar isothermal compressibility change (ΔK¯T) of a short-lived intermediate become observable if we conduct the TG experiment under the high-pressure condition and detect ΔV¯ with varying external pressure.There are several difficulties in applying the traditional high-pressure cell to the TG method to measure thermodynamic parameters quantitatively. The most serious problem is ensuring the quantitative performance of the intensity of TG signals measured under the high-pressure condition. On this point, our group has developed a new high-pressure cell specially designed for TG spectroscopy (39) and overcome this problem. In this paper, by applying this high-pressure TG system to the BLUF protein TePixD, we report the first measurement, to our knowledge, of ΔK¯T of short-lived intermediates to investigate the mechanism underlying signal transmission by BLUF proteins, from the view point of the transient fluctuation.TePixD is a homolog of the BLUF protein PixD, which regulates the phototaxis of cyanobacterium (40) and exists in a thermophilic cyanobacterium Thermocynechococcus elongates BP-1 (Tll0078). TePixD is a relatively small (17 kDa) protein that consists only of the BLUF domain with two extended helices in the C-terminal region. In crystals and solutions, it forms a decamer that consists of two pentameric rings (41). The photochemistry of TePixD is typical among BLUF proteins (42–45); on blue light illumination, the absorption spectrum shifts toward red by about 10 nm within a nanosecond. The absorption spectrum does not change further, and the dark state is recovered with a time constant of ∼5 s at room temperature (40, 43). The spectral red shift was explained by the rearrangement of the hydrogen bond network around the chromophore (6, 46–48). The TG method has revealed the dynamic photoreaction mechanism, which cannot be detected by conventional spectroscopic methods. The TG signal of TePixD (Fig. S1) showed that there are two spectrally silent reaction phases: a partial molar volume expansion with the time constant of ∼40 μs and the diffusion coefficient (D) change with a time constant of ∼4 ms. Furthermore, it was reported that the pentamer and decamer states of TePixD are in equilibrium and that the final photoproduct of the decamer is pentamers generated by its dissociation (13, 49). On the basis of these studies, the reaction scheme has been identified as shown in Fig. 1. Here, I₁ is the intermediate of the spectrally red-shifted species (generated within a nanosecond) and I₂ is the one created on the subsequent volume expansion process of +4 cm³⋅mol⁻¹ (∼40 μs). Furthermore, an experiment of the excitation laser power dependence of its TG signal revealed that the TePixD decamer undergoes the original dissociation reaction when only one monomer in the decamer is excited (50). In this study, we investigated the transient compressibility of the intermediates I₁ and I₂ of the photoreaction of TePixD and found a direct link between their fluctuation and reactivity.Open in a separate windowFig. 1.Schematic illustration of the photoreaction of TePixD. Yellow circles represent the TePixD monomer in the ground state, which constructs the decamer and pentamer states. In the dark state, these two forms are in equilibrium. The excited, spectral red-shifted state of the TePixD monomer is indicated by a red circle. The square represents the I₂ state of the monomer, which is created by the volume expansion process.