1.Pathogenesis of Influenza and Effects of Herbal Medicines on the Inhibition of Influenza Virus Replication
Kampo Medicine 2012;63(6):363-368
Influenza A virus infection causes acute respiratory syndrome and leads to sometimes lethal diseases includ ing pneumonia. Identifying host factors involved in pathogenesis is important for the prevention and treatment of influenza. Type I interferons (IFNs) are essential to activating antiviral responses against influenza A virus. We show that the viral polymerase complex inhibited IFNβ promoter activation. Moreover, PB 2 inhibited the transcription of endogenous IFNβ gene induced after influenza A virus infection. The viral polymerase is critical for regulating host anti-viral response through binding to IPS-1 and inhibition of IFNβ production.
We also demonstrated that Siva-1 is crucial for apoptosis induction by influenza A virus and is involved in its viral replication. Expression of Siva-1 enhanced apoptosis induction after influenza A virus infection and knockdown of Siva-1 expression strongly inhibited it. Furthermore, the replication of influenza A virus was significantly suppressed by Siva-1 knockdown.
Recently, we examined the inhibitory effects of some herbal medicines on influenza A virus replication. Ex tracts of gingyosan and maoto had inhibitory effects for the replication of influenza A viruses. We analyzed the effect of fractions of these extracts and analyzed the main ingredients with a HPLC system.
2.A Case of Surgical Treatment for Aortic Root Dissection after Full Aortic Root Replacement with Stentless Aortic Valve
Nobuaki Suzuki ; Tadaaki Koyama ; Katsuhiro Hosoyama ; Yoshinori Nakahara ; Yuusuke Tsukioka ; Takuya Miyazaki ; Ken Furuhata ; Tomohiro Iwakura ; Takeyuki Kanemura ; Shigehiko Yoshida
Japanese Journal of Cardiovascular Surgery 2012;41(4):185-187
A 84-year-old woman underwent aortic root replacement with stentless bioprosthesis and coronary artery bypass grafting. Four years later, she presented with dyspnea. Transthoracic echocardiography revealed aortic regurgitation, dilation and dissection of the sinus of Valsalva. A Bentall operation was performed by using prosthetic graft and bioprosthetic valve. Intimal tear caused the aortic wall dissection and aneurysm of the Freestyle valve.