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Featured researches published by Atsuhiro Kurooka.


Blood Pressure | 1998

Tissue Angiotensin II Concentration in the Heart and Kidneys in Transgenic Tsukuba Hypertensive Mice

Tatsuya Kai; Seijiro Shimada; Atsuhiro Kurooka; Toshihiko Takenaka; Kinji Ishikawa

Tsukuba hypertensive mice (THM) are transgenic mice carrying both human renin and angiotensinogen genes, and possessing an overexpressing human renin-angiotensin system. The aim of this study is to evaluate the angiotensin II concentration in the heart and kidney in THM. Twenty-week-old male THM and control C57BL/6 mice (C57) were used. Each group consisted of 3 mice. For each mouse, systolic blood pressure, heart to body weight ratio, renal glomerular sclerosis index and angiotensin II concentration in the heart and kidney were measured. Systolic blood pressure of THM was about 40 mmHg higher than that of C57. Heart to body weight ratio and renal glomerular sclerosis index were significantly higher in THM than those in C57. The angiotensin II concentration in THM was about 4 times higher in the heart and about 5 times higher in the kidney compared with that in C57. These results suggest that accelerated tissue angiotensin II production, significant cardiac hypertrophy and renal glomerular sclerosis all occur because of hypertension.


Clinical and Experimental Hypertension | 1998

Significant role of the increase in renin-angiotensin system in cardiac hypertrophy and renal glomerular sclerosis in double transgenic tsukuba hypertensive mice carrying both human renin and angiotensinogen genes.

Tatsuya Kai; Hirofumi Kino; Keiichi Sugimura; Seijiro Shimada; Atsuhiro Kurooka; Kan-Ichiro Akamatsu; Toshihiko Takenaka; Akiyoshi Fukamizu; Kazuo Murakami; Kinji Ishikawa; Ryo Katori

Tsukuba hypertensive mice (THM) are a hypertensive model prepared by mating a transgenic mice with human renin gene and a transgenic mice with human angiotensinogen gene. In the present study, we examined effects of renin-angiotensin system (RAS) on cardiac hypertrophy and renal disorders using Tsukuba hypertensive mice. While THM showed an increase of about 30 mmHg in systolic pressure compared to C57BL/6 mice employed as normal control animals, the increase in blood pressure was not observed in the mice to which either gene was transferred. Urinary volume, water intake volume, urinary albumin excretion, heart to body weight ratio and renal glomerular sclerosis index increased significantly in THM, but none of these parameters showed a significant difference from the C57 mice when they were examined in mice to which either of the genes was transferred. In contrast, when lisinopril was administered to THM, all the parameters decreased significantly without lowering the systolic pressure. From these findings, it was demonstrated that RAS was playing a significant role in cardiac hypertrophy and renal disorders of THM and that lisinopril had inhibitory effects on cardiac hypertrophy and renal glomerular sclerosis by inhibiting RAS.


Journal of Hypertension | 1998

Tissue-localized angiotensin II enhances cardiac and renal disorders in Tsukuba hypertensive mice.

Tatsuya Kai; Seijiro Shimada; Keiichi Sugimura; Atsuhiro Kurooka; Toshihiko Takenaka; Akiyoshi Fukamizu; Kazuo Murakami; Kinji Ishikawa

Objective To evaluate the relation of tissue-localized angiotensin II (Ang II) concentration with cardiac hypertrophy and glomerulosclerosis in Tsukuba hypertensive mice (THM) carrying both human renin and angiotensinogen genes. Design Thirty THM aged 12 weeks were distributed equally to a lisinopril dosage group, a hydralazine dosage group, and an untreated group. Ten age-matched C57BL/6 mice were used as normal controls. Administration was performed for 8 weeks from 12 weeks of age. All mice were euthanized at 20 week of age, and the heart-to-body weight ratio, the renal glomerulosclerosis score, tissue Ang II concentration and tissue catecholamine concentration were measured. Results In the untreated group, a significant increase in every examination item was found as compared with that in C57BL/6 mice. In the lisinopril group, the observed value of every item was significantly lower than that in the untreated group. In the hydralazine group, tissue Ang II and catecholamine concentrations and the heart-to-body weight ratio were not different from those in the untreated group. Although the glomerulosclerosis score in the hydralazine group was significantly less than that in the untreated group, this was significantly higher than that in the lisinopril group. Conclusion Tissue Ang II concentration is more important than hypertension in causing cardiac hypertrophy, and both tissue Ang II level and hypertension are important in causing glomerulosclerosis in THM.


Blood Pressure | 1998

Enhanced angiotensin II stimulates renal disorders in transgenic Tsukuba hypertensive mice.

Tatsuya Kai; Keiichi Sugimura; Seijiro Shimada; Atsuhiro Kurooka; Toshihiko Takenaka; Kinji Ishikawa

Tsukuba hypertensive mice (THMs) are transgenic mice carrying human renin-angiotensin system (RAS) genes. The aim of this study is to evaluate whether renal disorders are present in THMs. Twenty-week-old THMs and C57BL/6 mice (C57s) were used for this study. Each group consisted of 8 mice. Systolic blood pressure, urinary volume, water intake and urinary albumin excretion were measured in each mouse. Each mouse was then euthanized, and the renal glomerulosclerosis index and glomerular size were measured. Systolic blood pressure of THMs was about 40 mmHg higher than that of C57s. Urinary volume, water intake and urinary albumin excretion were significantly higher in THMs than in C57s. The renal glomerulosclerosis index and glomerular size were also significantly higher in THMs than in C57s. These results suggested that an enhanced renin-angiotensin system, including its hypertensive effects, stimulates albuminuria, renal glomerulosclerosis and glomerular hypertrophy in THMs.


Clinical and Experimental Pharmacology and Physiology | 1999

Renin-angiotensin system stimulates cardiac and renal disorders in Tsukuba hypertensive mice.

Tatsuya Kai; Keiichi Sugimura; Seijiro Shimada; Atsuhiro Kurooka; Kinji Ishikawa

1. The role of the renin–angiotensin system (RAS) in cardiac hypertrophy and nephropathy was examined in Tsukuba hypertensive mice (THM) carrying both human renin and angiotensinogen genes.


Clinical and Experimental Hypertension | 1999

α1-Adrenergic Stimulation Induced Hypertrophy in Protein Kinase C Down-Regulated Cultured Cardiac Myocytes

Hirokazu Kondo; Masatsugu Horiuchi; Junkichi Hama; Atsuhiro Kurooka; Seijiro Shimada; Kouji Kamoi; Yoshihiro Yamamoto; Masato Watanabe; Hiroyoshi Hidaka; Ryo Katori; Kinji Ishikawa

To examine whether protein kinase C (PKC) activation is essential for the induction of cardiac myocyte hypertrophy caused by alpha1-adrenergic stimulation, we investigated the hypertrophic effect of phenylephrine in PKC down-regulated and non-treated cultured cardiac myocytes obtained from neonatal Sprague-Dawley rat ventricles. The treatment with 10 nmol/L 12-tetra decanoylphorbol-13-acetate (TPA) for more than 2 hours decreased PKC activity by approximately 80% without marked hypertrophy. Phenylephrine increased [14C] phenylalanine (Phe) incorporation in both TPA non-treated and treated cells, 1.54- and 1.71-fold as large as control, respectively. The cell surface area also enlarged in both groups, 1.67- and 1.74-fold, respectively. Thus, phenylephrine induced the similar grade hypertrophy in cultured cardiac myocytes even when PKC was down-regulated. These results suggest that conventional PKC activation may not be essential for mediating myocyte hypertrophy by alpha1-adrenergic stimulation.


Angiology | 2004

Efficacy of Coronary Angioplasty Following Conventional Coronary Thrombolysis in Patients with Acute Myocardial Infarction

Takahiro Hayashi; Mitsugu Taniguchi; Akio Kimura; Masaru Miyataka; Atsuhiro Kurooka; Takaaki Taniwa; Takashi Kiyoshima; Masayoshi Matsuura; Norihiro Takeda; Hajime Nakamura; Ken Kanamasa; Kinji Ishikawa

The efficacy of combined thrombolysis and angioplasty for the purpose of coronary reperfusion after acute myocardial infarction has been controversial. The present study was conducted, therefore, to evaluate the effects of angioplasty following administration of conventional thrombolytic agents on the long-term prognosis of acute myocardial infarction patients. A total of 409 patients admitted to the hospital within 12 hours of the onset of infarction between January 1990 and May 2001 were studied retrospectively. These included 151 patients treated with thrombolysis alone (group T), 73 patients treated with angioplasty alone (group A), and 35 patients treated with angioplasty after thrombolysis (group T&A). Group T&A had shorter intervals from onset to initial treatment than group A (3.0 hours vs 6.3 hours, p<0.01), a higher reperfusion success rate than group T (91.4% vs 74.8%, p<0.01), and more improved left ventricular wall motion than group A. One-year cardiac mortality rates tended to be higher in group T, which had a higher rate of unsuccessful reperfusion than groups T&A or A (8.1% vs 3.4% vs 3.5%). The frequencies of hemorrhagic complications were similar among the 3 groups. From these findings, we conclude that thrombolytic therapy with subsequent angioplasty is an effective strategy for achieving cardiac reperfusion following acute myocardial infarction.


Nephrology | 2000

Effect of lisinopril on deposition of iron in renal tissue in Tsukuba hypertensive mice carrying human renin‐angiotensin system genes

Tatsuya Kai; Keiichi Sugimura; Hirofumi Kino; Toshihiko Takenaka; Seijiro Shimada; Atsuhiro Kurooka; Kinji Ishikawa

Tsukuba hypertensive mice (THM) are transgenic mice that carry both human renin and angiotensinogen genes and overexpress the human renin‐angiotensin system (RAS). In the present study, the effect of lisinopril on deposition of macromolecular iron in renal tissue in THM was evaluated. Twelve‐week‐old male THM were divided into the following groups: lisinopril dosage group (ACEI group), hydralazine dosage group (hydralazine group), and a no‐drug group (control group). Age‐matched male C57BL/6 mice (wild group) were used as normal controls. Each mouse was treated with a drug for 8 weeks. All mice were euthanised at 20 weeks of age, and their kidneys were fixed and stained with Berlin‐blue. Systolic blood pressure was significantly higher in the control group than in the wild group, and it decreased significantly to similar levels in the ACEI group and the hydralazine group. Iron deposition was observed in proximal renal tubules in the control group and the hydralazine group, but iron deposition was not observed in the ACEI group or the wild group. The results of the study suggest that the RAS plays an important role in the deposition of iron in the proximal renal tubules in THM, and that lisinopril prevents this deposition.


American Heart Journal | 2005

Plaque erosion in the culprit lesion is prone to develop a smaller myocardial infarction size compared with plaque rupture

Takahiro Hayashi; Takashi Kiyoshima; Masayoshi Matsuura; Masafumi Ueno; Naoya Kobayashi; Hiroshi Yabushita; Atsuhiro Kurooka; Mitsugu Taniguchi; Masaru Miyataka; Akio Kimura; Kinji Ishikawa


Circulation | 2007

Fever Associated With Acute Aortic Dissection

Seijiro Shimada; Hajime Nakamura; Atsuhiro Kurooka; Norio Nishioka; Keiichi Sugimura; Hikaru Ino; Shunichi Miyazaki; Junkichi Hama

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