Okayama University Medical School

Using the granuloma pouch technique of SELYE, effect of modification in local histamine on the inflammatory tissue reactions was examined in rats. The increase in the weight of pouch wall and histological inflammatory changes were distinctly inhibited in either case of histamine depletion by sinomenine and of desensitization to histamine by repeated injections of histamine. In rats injected with aminoguanidine, the skin and local histamine contents increased in similar degree as those in rats receiving histamine injection, but the inflammatory tissue reactions were severer than in the control. The total histamine of the pouch wall during inflammation reached the maximum four days after the injection of croton oil and decreased thereaftcr. The prcliferative processes indicating the recovery of injured tissues in later stages of the inflammation were the most vigorous in rats treated with histamine and this was in contrast to the extreme weakness of this tendency in animals in which the local histamine had been depleted. These observations not only suggests the fairly close relationship of histamine to carly reaction of inflammation but also indicates the role of histamine in its recovery processes.

We have recently operated on 56 cases of claw hand and described the method of tendon transfer in Hansen's disease which occupied the majority of the cases, and several problems have been discussed from our experiences.

By our method of bone marrow culture and peripheral leucocyte culture, the differentiation of leukemia from other diseases is simplified. By this method the acute form of leukemia can be differentiated from the chronic form, and the classification of leukemia by the leucocyte series becomes easy and exact. It is believed that this method is clinically quite useful.

First of all, we investigated the origin, the construction and distribution of the bronchial arteries and veins in adult rabbits, and then observed various changes of the blood vessels in experimental cavities and caseous foci and also studied the effects of streptomycin and isoniazide on the blood vessels of the cavity wall. The summary findings of the present experiments are described in the following. 1) In ten out of the fifteen rabbits emloyed, the bronchial artery originates from the right supreme intercostal artery; in three cases, in addition to this origin, it originates also from the left supreme intercostal artery; and in another case from the intercostal thoracic artery; while in the remaining one from the arc of the aorta. 2) The bronchial veins are divided into the extra-pulmonary and the intra-pulmonary veins. The former arises from the submucous blood vessels located in the proximal part of the third bronchus, and running along with the bronchial artery, finally empties into the superior Vena cava; while the latter, originating from the submucous capillaries in the distal part of the third bronchus, and after anastomosing with one another in the capsule of the bronchus, is communicated with the pulmonary veins. 3) In the caseous foci, although blood vessels are obliterated, capillaries are newly formed around the main trunks of the pulmonary artery and vein as well as around their residual branches. 4) These caseous foci are supplied with arterial blood from the bronchial arteries, the blood vessels in the bronchial wall, and the newlyformed vessels of pulmonary arterial origin. 5) The capillaries in the cavity wall are classified into three types according to their origins; namely, Type I, those regenerating from fine branches of the pulmonary vessels; Type Ⅱ, those regenerating from the main trunk of the pulmonary vessels; and Type Ⅲ, those regenerating from the bronchial artery situated in the orifice of the drainage bronchus. 6) The tuberculous cavities only in the orifice of the drainage bronchus receive an abundant supply of arterial blood directly from the bronchial artery, but those in other regions receive a scanty blood supply indirectly from the anastomoses between the bronchial artery, its sister vessels and the pulmonary artery. 7) The regeneration of blood vessels in tuberculous foci has been confirmed to occur not only in the bronchial artery and its sister blood vessels but also in the pulmonary artery and vein as well. 8) The constructions of blood vessels in the cavities treated with streptomycin or isoniazide present no significant difference from those of the control. 9) The regeneration of blood vessels and hyperemia in the cavity wall of the cases treated with streptomycin present no significant difference from those observed in the control, but the cases treated with isoniazide show marked hyperemia, newly-formed vessels, and occasional bleedings.

The two rare cases with a high fever and anemia as the chief complaints were confirmed to be acute basophilic leukemia on the basis of the following findings, namely, 1) Numerous basophiloblasts and immature basophilocytes were found in the peripheral blood and bone marrow picture, but there were few neutrophils. 2) By the culture of bone marrow in cover-slips the growth type to acute leukemia, these basophilocytes appearing in the growth zone were clearly distinguishable from neutrophils, eosinophils or monocytes by the modus of their movement and cellular structure. 3) In vitro fluid medium culture revealed that blasts decreased in number along with lapse of time whereas immature and mature basophilocytes increased in inverse proportion. Having encountered these two rare cases of acute basophilic leukemia and being able to autopsy one of them, the authors report their case findings and confirm the distinction of basophiloblasts. Judging from these findings, the authors are of the opinion that some modification seems to be in the offering as regard the Naegeli's myeloblast theory.

With the purpose to elucidate morphologically the site where fat synthesis takes place in the cell, electron-microscopic observation has been conducted on the interscapular brown fat tissue of mice at various periods of carbohydrate introduction after starvation. By starving mice, the depot lipids in the brown fat have been discharged almost completely, and the carbohydrate introduction has caused the biosynthesis of lipids from carbohydrtates in the same tissue. Observations on the tissues proved that the lipogenesis in the brown fat tissue cells takes place in the ground substance keeping the intimate correlation with the endoplasmic reticulum but not in the mitochondria.

The ascitic monocytes and subcutaneous cells and tissues of sensitized animals have been observed after exposing to antigen for the purpose of revealing the disintegration processes of the cells related with inflammation and it has been proved that the permeability of the cell membrane increases markedly resulting in the swelling of the cells at the moment when the cells come in contact with antigen. The localization of the antigen in the Arthus' phenomenon will be the results of the gelatination of the inter-cellular tissues and the swelling of cells. And it is indicated that the cell death accompanied by an allergic inflammation is caused by the increased permeability of the cell membrane which will result in the activation of the intra-cellular enzymes followed by the acute disintegration of the molecular structure of the cell and release of the so-called inflammatory substances.

Homogenous grafting of the ovary to patients of ovarian dysfunction all proved to be effective, but the degree of the effectiveness and the time of appearance of effect of the grafting were not fixed. Moreover, there was no relationship between the effectiveness of grafting and the type of blood. If the various conditions at the time of grafting are taken into· consideration as above mentioned, this operation utilizing as it does the ovary usually discarded at operation may be expected to bring about quite a satisfactory therapeutic result.

The grafting itself can be successful only when the type of blood between the recipient and the donor of the ovary meets the requirements for blood transfusion. In the case of success in the grafting, a marked activity of the grafted ovary can be observed about two months afterward by the vaginal smear method, but no cyclic phenomenon can be recognized nor biphasic picture suggestive of the progesterone activity in the basal body temperature.

1. In application of ACTH on seven cases, we obtained dramatic effects on all of them this summer (1957). 2. We believe that the mechamism of ACTH actions are responsible to the diminution of inflammatory reactions in the brain. 3. We are now conducting a series of experiments with the use of animals, the results of which will be reported later.

By prepariug over 100 thin slices from 77 cases of urinary calculi mainly consisted of vesical calculi and immersing them in various solvents, the solubility of these calculi has been examined by polarization microscopy from the standpoints of the composition and structure of urinary calculi. (1) MgNH4P04·6H20 (struvite) has been found to be most soluble and it is the best example in the dissolution of urinary calculi; and as for the solvents, Versene proved to be the best solvent. (2) The alkaline pH seems to have an intimate relationship with the dissolution of uric acid calculi. (3) Calcium oxalate proved to be insoluble in any solvent. In addition, no difference in its stability against solvents could be recognized in its monohydrate or dihydrate: (4) Cystine dissolved in the 10% Versene solution. (5) Amorphous-like substance apparently was dissolved slightly in 0.5% urease solution at 37°C, however, it is not possible to dissolve this substance completely, From these results calcium oxalate and amorphous-like substance seem to be the most difficult substances to dissolve, and therefore, the bearing they have on the dissolution of urinary calculi seems to most significant. In the present stage where little is known of real etiologic factors concerning the formation of urinary calculi, in the clinical application of the dissolution of stones further studies need to be carried on, but from the very nature of construction of urinary calculi, the local dissolution methods seem to be rather difficult at present, and rather somatic dissolution in connection with prophylaxis against recurrent stones seems to be the direction in which future studies need to be carried out.

The process of hemoglobin sythesis in erythroid cells have been traced mainly by observing cells under the light of 4,060 Å. To scrutinize the theory of hemoglobin synthesis in the nucleus of erythroblasts, several cytochemical and morphological observations were also carried out. The conclusions derived from them are as follows: 1 The absorption at 4,060 Å of the cell, which indicates the location of heme, appeared in the nucleus as early as in the develpmental stage of basophilic erythroblasts. The absorption of hcme in cytoplasm likewise appeared in this stage showing nearly the same intensity of the absorption. The absorption picture of heme in the nucleus, which is coincidental with that of interchromatin, increased along with the progess of maturation as well as in the cytoplasm. The absorption in the nucleus disappeared at the orthochromatic stage where the picture of interchromatin disappeared, while the intensity of absorption in the cytoplasm continued to increase till the stage of reticulocyte. 2 The pseudoperoxidase reaction of hemoglobin, the appearance of acidophlic protein and masked lipids detectable in the location of hemoglobin gave an exactly identical picture with that of the absorption of heme in the nucleus as well as in the cytoplasm. 3 Permeability test performed by supravital staining with Nile blue revealed that the nucleus of erythroblasts from the basophilic to the orthorchromatic stages has increased its permeability being stained selectively as in the case of dead cells. 4 The mitochondria and the endoplasmic reticulum proved to be retained well in the entire course of hemoglobin synthesis, even after the denucleation, the reticulocyte stage. From these observations the authors believe that the hemoglobin syntheis will take place in the cytoplasm throughout the life cycle of erythroid cells, pointing out that the absorption picturebf heme appearing in the nucleus will be in all likelihood due to the infusion of the hemoglobin from the cytoplasm.

Tyrosine metabolism of toxohormone-treated mice and acatalasemic patient was not disturbed. These facts do not concur with the report of Zannoni and Bert who stated that catalase was an essential factor for the oxidation of p-hydroxyphenylpyruvic acid.

In the observations of the pelvic nerves both in the reconstruction model of the pelvis of newborn and that of the extripated specimen after OKABAYASHI's hysterectomy as well as in the observations of pelvic nerves at autopsy, it has been verified that the vesical nerves are extensively extirpated and severed by the radical extensive hysterectomy for cancer of the uterus. Moreover, the micturitional functions after the disruption of communication with the center of micturition in the spinal cord seem to be undertaken by lower peripheral reflex arches located in the vesical wall and in the periurethral region. Therefore, for the recovery of postoperative urinary disturbances, systemic findings as well as findings on the vesical wall seem to be quite important.

In our country it has been believed that there is no histoplasmosis here in Japan. However, from the above clinical signs, radiological characteristics, laboratory tests, pathological and mycological examinations, and experimental findings, we believe this is the first case of histoplasmosis in Japan.

1. Quantitative examinations were made on the effect of benadryl and neoantergan on the histamine release in vitro from chopped skin of dogs and in vivo from rat skin. For estimation of the in vitro histamine release by biological method, a chemical procedure for separating the diffused-out histamine from mixed antihistamines was carried out. 2. Both antihistamines caused a fairly marked release of histamine from chopped skin tissues in comparatively higher concentrations. This action was synergistic with histamine-releasing effect of sinomenine and anaphylatoxin. 3. In lower concentrations, however, both antihistamines inhibited the in vitro histamine-releasing effect of sinomenine and anaphylatoxin. 4. Administration of a comparatively large amount of benadryl markedly depleted the skin histamine of a rat in vivo but smaller amount clearly suppressed the histamine depletion by subsequently administered sinomenine. 5. Based on the evidence of such dual action of antihistamines, some considerations were made on the site of action of these agents.

An outbreak of encephalomeningomyelitis in Ehime·Syuso area from April to June 1956 was clinico-virologically investigated with the materials obtained from 28 hospitalized cases and their healthy visiting relatives. The major rise in polio type I antibody titer and the positive isolation of 4 strains of type I indicate the epidemy in this area to be the polio type 1. Three undeterminable cytopathogenic agents were concomitantly obtained in the HeLa cultures. The style of this episode was duly compared with the documents already reported.

The evaluations of the basal metabolism before the operation, at the completion, and at the follow-up examinations, have been conducted on the patients with cervical carcinoma, all under the age of 50 years, and operated on in the Clinics of Obstetrics and Gynecology, Okayama University Medical School and the following results are obtained: 1. The basal metabolism of the patients with cervical carcinoma of either stage I or stage II as compared with that of the normal women is more accelerated; while the basal metabolism of the cervical carcinoma of stage II. is more augmented than that of the cervical carcinoma stage I. 2. The basal metabolism at the completion of operation is markedly lower than that before the operation. 3. In those who received the autotransplantation of the ovary concomitantly with operation, the basal metabolism once increases at the 4th month after the operation and after that it maintains a low stable state. 4. The basal metabolism of those who received the operative castration continues increasing up to the 8th month after the operation and thereafter it returns to a rather balanced state. 5. From the aspects of the fluctuations of the basal metabolism, it has been recognized that the autotransplantation as compared with the castration exerts less influences on the somatic system and for a shorter period of time, and also the endocrine system of the former returns to the balanced condition earlier.

1. Adversive movements were induced by electrical stimulation and metrazol injection on area 4c of the cerebral cortex. 2. The adversive movement from area 4c does not pass through the thalamus, nucleus caudatus, nucleus lenticularis or superior collicuIus, but through direct efferent pathways in the internal capsule. 3. The adversive movement from area 4c passes through the pyramidal tract.

1. The rates of histamine release from the liver, skin and muscle by four kinds of histamine-releasing substances, sinomenine, compound 48/80, tween 20 and polyvinylpyrrolidone (PVP), were compared by intravenous injection in dogs, each in a dosage to cause a fall of approximately 80 per cent in the arterial blood pressure. 2. By compound 48/80, the rates were especially marked from the liver and muscle and only slight from the skin, while those by sinomenine, tween 20 and PVP were largest from the skin, followed by those from the liver and muscle, in that order. The rate of histamine release from the skin by PVP was characteristic in that it was far larger than that by other releasers. 3. On direct application of the drug solutions to the excised tissues of the liver and skin the rates of release of histamine differed only slightly by the tissue in any of these releasers 4. Some considerations were given on the reason for the different ratios by the organ of in vivo histamine release though as yet no definite conclusion could be drawn.