Makoto Motoyoshi

University Hospital Medical Information Network, Edo, Tōkyō, Japan

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Publications (3)7.16 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: In acute pancreatitis, pancreatic phospholipase A(2) (PLA2) in the circulating blood hydrolyzes phospholipids contained in plasma lipoproteins, liberating eicosanoid precursors that are subsequently converted to various eicosanoids. The pathophysiological significance of eicosanoid synthesis via this pathway is unknown. The aim of this study was to clarify the role of thromboxane A(2) (TXA(2)) synthesis by circulating pancreatic PLA(2) in the pathogenesis of the systemic complications of acute pancreatitis. Guinea pigs were divided into two groups: a control group and an ozagrel group, which received intravenous administration of ozagrel, a selective TXA(2) synthetase inhibitor. Pancreatic PLA(2) was infused intravenously in both groups for 30 min, and systemic changes during the infusion were examined. In the control group, there was an increase in plasma thromboxane B(2) (TXB(2)) concentration, a decrease in mean arterial pressure and heart rate, a decrease in arterial base excess (BE), bicarbonate concentration (HCO(3) (-)), and pH, a decrease in platelet count and plasma fibrinogen concentration, and a shortened prothrombin time during the infusion of pancreatic PLA(2). In the ozagrel-treated group, changes in plasma TXB(2) concentration, BE, HCO(3) (-), and platelet count were significantly inhibited. TXA(2) synthesis by circulating pancreatic PLA(2) contributes to metabolic acidosis and thrombocytopenia during acute pancreatitis.
    Journal of Gastroenterology 12/2006; 41(11):1094-8. · 3.79 Impact Factor
  • Surgery 04/2006; 139(3):448-50. · 3.37 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Acute pancreatitis causes various systemic complicationssuch as shock, renal failure, respiratory failure, disseminated intravascular coagulation, and eventually,multiple organ dysfunction syndrome. These systemic complications are responsible for the highmortality rates of acute pancreatitis. Thus, an understandingof their pathogenesis is imperative to reducethe mortality of acute pancreatitis.
    International Journal of Gastrointestinal Cancer 02/2001; 29(2):69-76.

Publication Stats

6 Citations
7.16 Total Impact Points


  • 2006
    • University Hospital Medical Information Network
      Edo, Tōkyō, Japan
  • 2001–2006
    • The University of Tokyo
      • • Department of Surgical Sciences
      • • Division of Surgery
      Tokyo, Tokyo-to, Japan