1.New anatomical insight into the muscular structure of the anal canal: revealing Treitz muscle as a directional shift of the internal anal sphincter
Satoru MURO ; Kumiko YAMAGUCHI ; Naoko INOSHITA ; Yasuo NAKAJIMA ; Danyo Jennifer EDINAM ; Akimoto NIMURA ; Keiichi AKITA
Annals of Coloproctology 2025;41(6):501-509
Purpose:
Understanding the muscular structure of the anal canal is crucial for the diagnosis and treatment of anorectal diseases. Treitz muscle is a vital yet poorly understood component. It supports the anal venous plexus and contributes to anal cushion formation. However, its anatomical details remain unclear, and various theories suggest different origins for its muscle bundles, which affects our understanding of the pathophysiology of hemorrhoids. In this study, we sought to clarify the origin and localization of Treitz muscle to provide an anatomical foundation for understanding anal function.
Methods:
In this descriptive cadaveric study of 11 cadavers, we performed macroscopic examinations and immunohistological analyses on tissues from the anterior, lateral, and posterior walls of the anal canal. The origin and localization of Treitz muscle were qualitatively evaluated.
Results:
Treitz muscle is a smooth muscle formed by a directional change in the muscle bundles of the internal anal sphincter, running longitudinally along its surface. A shift in the direction of muscle bundles originating from the internal anal sphincter, giving rise to Treitz muscle, was frequently observed in the anterolateral wall of the anal canal.
Conclusion
In summary, Treitz muscle, a smooth muscle extending from the internal anal sphincter, is considered part of the muscularis propria. Its directional shift was localized to the anterolateral wall, indicating that Treitz muscle is not uniformly distributed around the anal canal. This site-specific localization may influence the risk of hemorrhoids or cancer invasion depending on its anatomical position.
2.Activities to Learn The Importance of Advance Care Planning from The Perspective of Emergency Medicine
Nobuyuki UCHIDA ; Yoko SHIMAMURA ; Akiko NAKAMURA ; Tetsuya HOSHINO ; Toru MARUHASHI ; Toshihiro NAKAJIMA ; Keiichi YAMADA ; Shouichi SAITOU ; Akira SUNOHARA
An Official Journal of the Japan Primary Care Association 2020;43(2):70-72
3.Innate immune response of bovine mammary epithelial cells to Mycoplasma bovis
Satoshi GONDAIRA ; Hidetoshi HIGUCHI ; Hidetomo IWANO ; Koji NISHI ; Takanori NEBU ; Keiichi NAKAJIMA ; Hajime NAGAHATA
Journal of Veterinary Science 2018;19(1):79-87
Mycoplasma spp. are contagious bacteria, and mycoplasmal mastitis is a serious productivity problem on dairy farms. Bovine mammary epithelial cells (bMECs) have an important role in the elimination of pathogens, but the effect of Mycoplasma bovis on bMECs has not been fully described. To elucidate the immune response against intramammary infection by M. bovis, we undertook microarray analysis to examine and profile mRNA expression in bMECs after stimulation with M. bovis. We also compared the effects of M. bovis, Staphylococcus aureus, and Escherichia coli on immune-related mRNA expression in bMECs. Transcriptome analysis indicated a significant decrease in the level of mRNA-encoding lysine-specific demethylase 4D, suggesting that the immune response is suppressed by a decrease in histone demethylase activity. Interleukin (IL)-1β, IL-6, tumor necrosis factor alpha, toll-like receptor (TLR) 2, and TLR4 mRNA expression levels were significantly increased in bMECs stimulated with heat-killed M. bovis, but the expression levels were lower than those following stimulation by heat-killed S. aureus or E. coli. Our results suggest that M. bovis weakly affects mRNA expression in bMECs compared to the effects of E. coli or S. aureus. Moreover, live M. bovis may induce suppression of the immune response in bMECs.
Agriculture
;
Bacteria
;
Cytokines
;
Efficiency
;
Epithelial Cells
;
Escherichia coli
;
Female
;
Gene Expression Profiling
;
Histones
;
Immunity, Innate
;
Interleukin-6
;
Interleukins
;
Mastitis
;
Microarray Analysis
;
Mycoplasma bovis
;
Mycoplasma
;
RNA, Messenger
;
Staphylococcus aureus
;
Toll-Like Receptors
;
Tumor Necrosis Factor-alpha
4.CONCERNING THE INFLUENCE OF WEARING BITE UP ORAL APPLIANCE ON REACTION TIME OF THE EXERCISE
KAZUNORI NAKAJIMA ; TOMOTAKA TAKEDA ; SHINTARO KAWAMURA ; KEIICHI ISHIGAMI
Japanese Journal of Physical Fitness and Sports Medicine 2006;55(Supplement):S237-S240
It is thought that for some sports so called the “agility” accomplishes the key role from the viewpoint of the improvement of the performance and the injury prevention. Therefore we examined the influence of bite up with the oral appliances on the agility.Tested sporting event were cervical retroflexed force. EVA mouthguard and resin splint were used for the oral appliances. Reaction time was measured as a response to stimulated light by the activating time of the masseter muscle and activating time of the main muscle.It is found the reaction time of neck muscles movement tends to be shortened by wearing of the oral appliances.These results were seemed to be based on decrease of a free way space by the bite up with the oral appliances resulted in shortening the reaction time of the masseter and the stabilized occlusion.(141 words)


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