• Title/Summary/Keyword: Somatostatin

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Current Status of the Diagnosis and Management of Pancreatic Neuroendocrine Tumors in Japan

  • Tetsuhide Ito;Masami Miki;Keijiro Ueda;Lingaku Lee;Ken Kawabe;Hisato Igarashi;Nao Fujimori;Kazuhiko Nakamura;Kohei Yasunaga;Robert T. Jensen;Takao Ohtsuka;Yoshihiro Ogawa
    • Journal of Digestive Cancer Research
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    • v.4 no.2
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    • pp.51-57
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    • 2016
  • The epidemiology of pancreatic neuroendocrine neoplasms (PNENs) in Asia has been clarified through epidemiological studies, including one conducted in Japan, and subsequently another in South Korea. As endoscopic ultrasonography (EUS) has become more widely accessible, endoscopic ultrasound-fine needle aspiration (EUS-FNA) has been performed in pancreatic tumors for which the clinical course was only monitored previously. This has enabled accurate diagnosis of pancreatic tumors based on the 2010 WHO classification; as a result, the number of patients with an accurate diagnosis has increased. Although surgery has been the standard therapy for PNENs, new treatment options have become available in Japan for the treatment of advanced or inoperable PNENs; of particular note is the recent introduction of molecular target drugs (such as everolimus and sunitinib) and streptozocin. Treatment for progressive PNENs needs to be selected for each patient with consideration of the performance status, degree of tumor differentiation, tumor mass, and proliferation rate. Somatostatin receptor (SSTR)-2 is expressed in many patients with neuroendocrine tumor. Somatostatin receptor scintigraphy (SRS), which can visualize SSTR-2 expression, has been approved in Japan. The SRS will be a useful diagnostic tool for locating neuroendocrine neoplasms, detecting distant metastasis, and evaluating therapy outcomes. In this manuscript, we review the latest diagnostic methods and treatments for PNENs.

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The Manipulation of Milk Secretion in Lactating Dairy Cows - Review -

  • Rose, M.T.;Obara, Y.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.2
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    • pp.236-243
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    • 2000
  • A number of developments have occurred over recent years that are being used commercially or have the potential to increase the milk yield and consequently the efficiency of dairy cows. Bovine growth hormone is the most widely known of several attempts that have been made to alter the metabolic endocrinology of dairy cows to increase the rate of milk secretion. The factors affecting the milk yield response to growth hormone, growth hormone-releasing factor, thyroxine and placental lactogen as well as to the immuno-neutralization of somatostatin are briefly considered. Secondly, the recent greater understanding of the mechanism by which the milk yield is increased following more frequent milking, which has resulted from the identification and characterization of the feedback inhibitor of lactation (FIL) protein, is reviewed. The identification of this protein provides new avenues of research which may lead to a reduction in the rate of decline in milk yield with advancing lactation or to undiminished milk yields despite a reduction in frequency with which the animals are milked.

Effect of pH on the Formation of Acylated Octreotides by Poly(lactide-co-glycolide)

  • Na, Dong-Hee
    • Journal of Pharmaceutical Investigation
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    • v.40 no.4
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    • pp.251-254
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    • 2010
  • The formation of acylated peptide impurities in poly(lactide-co-glycolide) (PLGA) formulations is one of the major challenges to the development of successful sustained-release product. Octreotide, synthetic analogue of somatostatin, has been identified to be acylated in PLGA microsphere formulations. The purpose of this study was to investigate the pH effect on the formation of acylated octreotides by PLGA. In the incubation with PLGA in 0.1 M phosphate buffer at pH 7.4, approximately 98% of octreotide adsorbed to PLGA through 14 days and 66.3% of acylated octreotides were produced after 42 days, whereas the interaction of octreotide with PLGA was significantly inhibited in the incubation at pH 4, in which the acylated octreotides were observed to be 9.2% after 42 days. In the interaction study at pH 4.1-7.4, the production of acylated octreotides was demonstrated to be dependent on environmental pH. Below pH 5.0, the acylation of octreotide was significantly inhibited. This study indicates that the pH is the major factor for the formation of acylated octreotide in PLGA formulations.

SIRT1 Knockdown Enhances the Differentiation of Human Embryonic Stem Cells into Pancreatic β Cells

  • Seo, Nan-Hee;Song, Hwa-Ryung;Han, Myung-Kwan
    • Development and Reproduction
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    • v.23 no.4
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    • pp.391-399
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    • 2019
  • Nicotinamide is used to maturate pancreatic progenitors from embryonic stem cells (ESCs) into insulin-producing cells (IPCs). It has been known that nicotinamide inhibits the enzymatic activity of SIRT1, an NAD+-dependent deacetylase. Here we show that SIRT1 knockdown enhances the differentiation of human ESCs into IPCs. SIRT1 knockdown enhances the clustering size of IPCs and the expression of pancreatic genes including c-peptide, pancreas/duodenum homeobox protein 1 (PDX1), insulin, somatostatin, glucagon and Nkx6.1 in human ESC-derived IPCs. In addition, We found that IPCs differentiated from SIRT1 knockdowned human ESCs have more zinc compared to those from control human ESCs. Our data suggest that SIRT1 negatively regulates the differentiation of β cells from human ESCs.

Stability of Octreotide Acetate in Aqueous Solutions and PLGA Films

  • Ryu, Ki-Won;Na, Dong-Hee
    • Journal of Pharmaceutical Investigation
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    • v.39 no.5
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    • pp.353-357
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    • 2009
  • As a synthetic analog of the naturally occurring hormone somatostatin, octreotide has been commercially formulated in poly(lactide-co-glycolide) (PLGA) microspheres for the treatment of acromegaly. The purpose of this study was to evaluate stability of octreotide acetate in aqueous solutions at various pH values and PLGA films. Stability-indicating reversed-phase high-performance liquid chromatographic method was developed with good precision and accuracy, and it was applied to the stability studies. In aqueous solutions at pH 2.5-9.0, the degradation of octreotide followed approximately first order kinetics and the most favorable stability was found at pH 4. In PLGA films, the formation of acylated octreotides reached approximately 55% of the released octreotides. Various acylated octreotides was structurally identified by liquid chromatography-mass spectrometric analysis.

Localization of Endocrine Cells in the Gastrointestinal Tract of the Manchurian Chipmunk, Tamias sibiricus barberi

  • Lee, Hyeung-Sik;Ku, Sae-Kwang;Lee, Jae-Hyun
    • Animal cells and systems
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    • v.2 no.3
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    • pp.395-401
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    • 1998
  • The regional distribution and relative frequency of endocrine cells were studied immunohistochemically in the gastrointestinal tract (GIT) of the Manchurian chipmunk, Tamias sibiricus asiaticus. Six kinds of endocrine cells were identified in this study. 5-hydroxytryptamine (5-HT)-immunoreactive cells were detected throughout the GIT. These cells were observed in moderate numbers in the pylorus, duodenum, jejunum, ileum, fundus, colon, and rectum. Somatostatin- and bovine pancreatic polypeptide (BPP)-immunoreactive cells were also identified throughout the GIT. The former were abundant in the pylorus region while the latter were scattered In ileum and colon. Motilin-immunoreactive cells were rarely detected in the small intestine. A few neurotensin-immunoreactive cells were detected in jejunum, ileum and colon. Also, a few substance P-immunoreactive cells were observed to be restricted to duodenum and jejunum.

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Immunohistochemical Studies on the Visceral Ganglion and Right Parietal Ganglion of the African Giant Snail, Achatina fulica (아프리카왕달팽이(Achatina fulica) 내장신경절 및 우체벽신경절에 관한 연구 I. 면역조직화학적 방법)

  • 장남섭;김상원;한종민;이광주;황선종
    • The Korean Journal of Malacology
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    • v.16 no.1_2
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    • pp.1-9
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    • 2000
  • The visceral ganglion and the right parietal ganglion of the African giant snail, Achatina fulica, consists of two hemispheres, each in left and right side, respectively, like a butterfly. The surface of cortex and medulla in the two ganglions are crowded with nerve cells, but nerve fibers form a network at the middle portion. The nerve cells in the cortex and medulla of the visceral ganglion and the right parietal ganglion are classified into the following four classes according to their sizes: giant (above 200 ${\mu}{\textrm}{m}$, in diameter), large (60-70 ${\mu}{\textrm}{m}$, in diameter), middle (30-40 ${\mu}{\textrm}{m}$, in diameter) and small (10-15 ${\mu}{\textrm}{m}$, in diameter) nerve cells, respectively. The giant and large nerve cells are rarely found(20-22 eas. in total) while the middle and small nerve cells are found in large quantities (middle: 400-500 eas., small: 700-800 eas.). In the AB/AY double staining, the giant nerve cell is identified as light yellow cells (LYC), while large and middle none cells as dark green cells (DGC) or yellow green cells (YGC), and small nerve cells as yellow cells (YC) or blue cells (BC), The DGC, which reacts positively to somatostatin immunostain reaction, inhibits the secretion of the growth control hormone. The giant and large nerve cells are identified to do the functions of phagocytosis as well as neurosecretion.

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The Effects of Nokyongsageunhwan Herbal Acupuncture and Oral Administration on the Growth and the Intellectual Development of Rats (녹용사근환약침(鹿茸四斤丸藥鍼) 및 경구투여(經口投與)가 흰쥐의 성장(成長)과 지능발달(知能發達)에 미치는 영향(影響))

  • Kang, Ki-weon;Koh, Hyung-kyun;Lee, Yun-ho
    • Journal of Acupuncture Research
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    • v.20 no.6
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    • pp.45-62
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    • 2003
  • Objective: This study was designed to investigate effects of Nokyongsageunhwan and Nokyongsageunhwan aquapuncuture on body weight, body length, intellectual development Methods: We observed body weight, body length, intellectual development after feeding Nokyongsageunhwan and Nokyongsageunhwan aquapuncuture for thirty three days, and mRNA expressions of GHRF, Somatostatin, IGF-1, NPY were analyzed by RT-PCR method. Results: The results were summarized as follows. 1. Body length was significantly increased in Nokyongsageunhwan herbal acupuncture group compared to normal group and normal saline injection group on 4th week, 2. Lower part of hind leg length was significantly increased in Nokyongsageunhwan oral administration group compared to normal group on 3rd week, and it was significantly increased in Nokyongsageunhwan herbal acupuncture group and Nokyongsageunhwan oral administration group compared to that of normal group on 4th week. 3. As results of observing memory aquisition using Morris water maze system, there was significantly difference in Nokyongsageunhwan oral administration group compared to that of normal group on 4th week. 4. As results of observing retention using Morris water maze system, staying time was significantly increased in Nokyongsageunhwan herbal acupuncture group compared to that of normal group. 5. The somatostatin mRNA expression in the hypothalamus was significantly decreased in Nokyongsageunhwan oral administration group compared to that of normal group. 6. The IGF-1 mRNA expression in the hypothalamus is significantly increased in Nokyongsageunhwan herbal acupuncture group and Nokyongsageunhwan oral administration group compared to that of normal group. 7. The NPY mRNA expression in the hypothalamus was significantly increased in Nokyongsageunhwan oral administration group compared to that of normal group, and it was increased in Nokyongsageunhwan herbal acupuncture group compared to that of normal group, but there was no significant difference. Conclusions: According to the above results, it appears that Nokyongsageunhwan oral administration and Nokyongsageunhwan herbal acupuncture on acupoint GB34 and GB39 showed effects on the growth and the intellectual development of rats.

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A Case of Mediastinal Pancreatic Pseudocyst (종격동 췌장 가성낭종 1예)

  • Maeng, Ho-Young;Jung, Jae-Hae;Lee, Sang-Won;Park, Moo-Seok;Chung, Jae-Ho;Kim, Do-Hoon;Park, Seung-Woo;Choi, Byoung-Wook;Kim, Se-Kyu;Chang, Joon;Kim, Sung-Kyu;Kim, Young-Sam
    • Tuberculosis and Respiratory Diseases
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    • v.52 no.3
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    • pp.271-277
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    • 2002
  • Background: A pancreatic pseudocyst is one of various complications occurring in acute or chronic pancreatitis. It is usually located in the retroperitoneal space near the pancreas. However, other unusual locations are also possible. Jones initially described the mediastinal pseudocyst in 1940. Since then, fewer than 50 cases have been reported. A diagnosis of a mediastinal pseudocyst is accomplished by imaging studies revealing the cystic nature of the mass with evidences of acute or chronic pancreatitis. There is some controversy regarding the appropriate management of mediastinal pseudocyst because of the high mortality and morbidity after surgical management. Here we report a case of a mediastinal pancreatic pseudocyst found in a patient with asymptomatic alcohol-related pancreatitis complicated by the development of a mediastinal pseudocyst, which quickly resolved after endoscopic retrograde pancreatic and biliary drainage and subcutaneous injection of a somatostatin analog(octreotide acetate) without any complications.

Immunocytochemical Study on the Enteroendocrine Cells in the Gastrointestinal Tracts of the Korean Snakes (한국산 뱀목 위장관 점막이 장내분비세포에 대한 면역세포화학적 연구)

  • 진원주;조운복;최월봉
    • The Korean Journal of Zoology
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    • v.33 no.3
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    • pp.276-296
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    • 1990
  • This study attempts to investigate several enteroendocrine cells in the gastrointestinal epithelia of the Korean snakes (Dinodon rufozonatum rufozonotum Rhabdophis tigrina tigrina, Enhydris rufodorsata, Agkistrodon blomhoffii brevicaudus, Agkistrodon saxatilis, Agkistodon calginosus). For a light-microscopical examination of immunocytochemistry, the paraffin sections (5 $\mu$ m) of tissue specimens taken from the various parts of the gastrointestinal tract were stained immunocytochemically by PAP procedure with 10 antisera. The frequency of enteroendocrine cells per unit area (mm$^2$) of each mucosa were counted and the shapes of the cells were observed. In Dinodon rufozonatum rufozonatum, Rhobdophis tigrina tigrina, Enhydris rufodorsata, Agkistrodon saxatilis and Agkistrodon caliginosus, cholecystokinin (CCK)-8, gastrin, pancreatic polypeptide (PP) and serotonin cells were observed. But the freuqency of these immunoreactive cells differ trom each portion of gastrointestinal tracts of all species, respectively. In Agkistrodon blomhoffii brevicaudus, CCK-8, gastrin and serotonin cells were observed. CCK-8 and serotonin cells were found in whole gastrointestinal tracts and gastrin cells were observed in pylorus and mucosa of small intestine. The frequency of these cells was different from each portion. The shapes of CCK-8, gastrin, PP and serotonin cells were pyramidal or oval and closed type in stomach. A large number of these cells were spindle in shape and open type in small intestine and anterior pant of large intestine, whereas some cells were closed type. In posterior part of large intestine and rectum, these cells were oval in shape and closed type.

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