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1.
BMC Biol ; 20(1): 104, 2022 05 13.
Article in English | MEDLINE | ID: mdl-35550087

ABSTRACT

BACKGROUND: Lifelong production of the many types of mature blood cells from less differentiated progenitors is a hierarchically ordered process that spans multiple cell divisions. The nature and timing of the molecular events required to integrate the environmental signals, transcription factor activity, epigenetic modifications, and changes in gene expression involved are thus complex and still poorly understood. To address this gap, we generated comprehensive reference epigenomes of 8 phenotypically defined subsets of normal human cord blood. RESULTS: We describe a striking contraction of H3K27me3 density in differentiated myelo-erythroid cells that resembles a punctate pattern previously ascribed to pluripotent embryonic stem cells. Phenotypically distinct progenitor cell types display a nearly identical repressive H3K27me3 signature characterized by large organized chromatin K27-modification domains that are retained by mature lymphoid cells but lost in terminally differentiated monocytes and erythroblasts. We demonstrate that inhibition of polycomb group members predicted to control large organized chromatin K27-modification domains influences lymphoid and myeloid fate decisions of primary neonatal hematopoietic progenitors in vitro. We further show that a majority of active enhancers appear in early progenitors, a subset of which are DNA hypermethylated and become hypomethylated and induced during terminal differentiation. CONCLUSION: Primitive human hematopoietic cells display a unique repressive H3K27me3 signature that is retained by mature lymphoid cells but is lost in monocytes and erythroblasts. Intervention data implicate that control of this chromatin state change is a requisite part of the process whereby normal human hematopoietic progenitor cells make lymphoid and myeloid fate decisions.


Subject(s)
Histones , Pluripotent Stem Cells , Cell Differentiation , Chromatin/genetics , Chromatin/metabolism , Hematopoietic Stem Cells/metabolism , Histones/genetics , Humans , Infant, Newborn , Pluripotent Stem Cells/metabolism
2.
Genes Immun ; 16(7): 452-61, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26226011

ABSTRACT

Crohn's disease (CD) is a polygenic immune-mediated disease characterized by gastrointestinal inflammation. Mice deficient in the hematopoietic-restricted SH2 domain-containing inositolpolyphosphate 5'-phosphatase (SHIP) develop spontaneous CD-like ileal inflammation. Intriguingly, SHIP mRNA is not upregulated in biopsies from patients with ileal CD despite immune cell infiltration, but SHIP's role in human CD remains unknown. We analyzed SHIP mRNA expression and activity in biopsies and peripheral blood mononuclear cells (PBMCs) from control and treatment-naive subjects with ileal CD, and demonstrated that SHIP mRNA and activity were lower in hematopoietic cells in ileal biopsies and PBMCs from subjects with CD. In all tissues from our patient cohort and in PBMCs from a second healthy control cohort, subjects homozygous for the autophagy-related 16-like protein (ATG16L1) CD-associated gene variant (rs2241880), had low SHIP mRNA expression and activity. SHIP protein expression increased during autophagy and SHIP upregulation was dependent on ATG16L1 and/or autophagy, as well as the ATG16L1 CD-associated gene variant. Finally, homozygosity for the ATG16L1 risk variant and low SHIP mRNA expression is inversely related to increased (LPS+ATP)-induced IL-1Ɵ production by PBMCs in our cohorts and was regulated by increased transcription of ILIB. These data suggest a novel mechanism by which the ATG16L1 CD-associated gene variant may predispose people to develop intestinal inflammation.


Subject(s)
Carrier Proteins/genetics , Crohn Disease/genetics , Phosphoric Monoester Hydrolases/genetics , Adult , Animals , Autophagy-Related Proteins , Carrier Proteins/metabolism , Case-Control Studies , Crohn Disease/enzymology , Crohn Disease/metabolism , Female , Gene Expression , Genetic Association Studies , Genetic Predisposition to Disease , Humans , Inositol Polyphosphate 5-Phosphatases , Male , Mice , Phosphoric Monoester Hydrolases/blood , Phosphoric Monoester Hydrolases/metabolism , Polymorphism, Single Nucleotide , RNA, Messenger/genetics , RNA, Messenger/metabolism , src Homology Domains
3.
AJNR Am J Neuroradiol ; 44(4): 381-389, 2023 04.
Article in English | MEDLINE | ID: mdl-36927759

ABSTRACT

BACKGROUND AND PURPOSE: Stent-assisted coiling may improve angiographic results of endovascular treatment of unruptured intracranial aneurysms compared with coiling alone, but this has never been shown in a randomized trial. MATERIALS AND METHODS: The Stenting in the Treatment of Aneurysm Trial was an investigator-led, parallel, randomized (1:1) trial conducted in 4 university hospitals. Patients with intracranial aneurysms at risk of recurrence, defined as large aneurysms (≥10 mm), postcoiling recurrent aneurysms, or small aneurysms with a wide neck (≥4 mm), were randomly allocated to stent-assisted coiling or coiling alone. The composite primary efficacy outcome was "treatment failure," defined as initial failure to treat the aneurysm; aneurysm rupture or retreatment during follow-up; death or dependency (mRS > 2); or an angiographic residual aneurysm adjudicated by an independent core laboratory at 12 months. The primary hypothesis (revised for slow accrual) was that stent-assisted coiling would decrease treatment failures from 33% to 15%, requiring 200 patients. Primary analyses were intent to treat. RESULTS: Of 205 patients recruited between 2011 and 2021, ninety-four were allocated to stent-assisted coiling and 111 to coiling alone. The primary outcome, ascertainable in 203 patients, was reached in 28/93 patients allocated to stent-assisted coiling (30.1%; 95% CI, 21.2%-40.6%) compared with 30/110 (27.3%; 95% CI, 19.4%-36.7%) allocated to coiling alone (relative risk = 1.10; 95% CI, 0.7-1.7; P = .66). Poor clinical outcomes (mRS >2) occurred in 8/94 patients allocated to stent-assisted coiling (8.5%; 95% CI, 4.0%-16.6%) compared with 6/111 (5.4%; 95% CI, 2.2%-11.9%) allocated to coiling alone (relative risk = 1.6; 95% CI, 0.6%-4.4%; P = .38). CONCLUSIONS: The STAT trial did not show stent-assisted coiling to be superior to coiling alone for wide-neck, large, or recurrent unruptured aneurysms.


Subject(s)
Embolization, Therapeutic , Endovascular Procedures , Intracranial Aneurysm , Humans , Treatment Outcome , Intracranial Aneurysm/diagnostic imaging , Intracranial Aneurysm/therapy , Cerebral Angiography , Endovascular Procedures/methods , Embolization, Therapeutic/methods , Stents/adverse effects , Retrospective Studies
4.
AJNR Am J Neuroradiol ; 43(10): 1424-1430, 2022 10.
Article in English | MEDLINE | ID: mdl-36137656

ABSTRACT

BACKGROUND AND PURPOSE: The quality of leptomeningeal collaterals may influence the speed of infarct progression in acute stroke. Our main objective was to evaluate the association of leptomeningeal collateral score and its interaction with time with ischemic changes on CT in patients with acute stroke. MATERIALS AND METHODS: Adult patients with acute stroke symptoms and anterior circulation large-vessel occlusion on CTA from 2015 to 2019 were included. Routinely performed NCCT and multiphase CTA were reviewed to assess ASPECTS and the leptomeningeal collateral score. We built multivariate regression models to assess the association between leptomeningeal collateral score and its interaction with time and ASPECTS. Performance measures to predict poor ASPECTS at different time thresholds (identified with receiver operating characteristic curve analysis) were estimated in a subgroup of patients with poor leptomeningeal collateral scores. RESULTS: Leptomeningeal collateral scores 0-1 were associated with lower ASPECTS, and the model with dichotomized and trichotomized leptomeningeal collateral score showed a significant multiplicative interaction between time and the leptomeningeal collateral score. The negative predictive value for poor ASPECTS was >0.9 for at least the first 3 hours from stroke onset to imaging, and the positive predictive value was <0.5 for every time threshold tested in the subgroup of patients with leptomeningeal collateral scores 0-3. CONCLUSIONS: Poor (0-1) leptomeningeal collateral scores were associated with lower ASPECTS, and an increase in time has a multiplicative interaction with the leptomeningeal collateral score on ASPECTS.


Subject(s)
Brain Ischemia , Stroke , Humans , Retrospective Studies , Brain Ischemia/diagnostic imaging , Brain Ischemia/complications , Cerebral Angiography/methods , Stroke/diagnostic imaging , Stroke/complications , Predictive Value of Tests , Collateral Circulation , Computed Tomography Angiography
5.
J Exp Med ; 187(6): 823-33, 1998 Mar 16.
Article in English | MEDLINE | ID: mdl-9500785

ABSTRACT

The three-dimensional structure of the complex between a T cell receptor (TCR) beta chain (mouse Vbeta8.2Jbeta2.1Cbeta1) and the superantigen (SAG) staphylococcal enterotoxin C3 (SEC3) has been recently determined to 3.5 resolution. To evaluate the actual contribution of individual SAG residues to stabilizing the beta-SEC3 complex, as well as to investigate the relationship between the affinity of SAGs for TCR and MHC and their ability to activate T cells, we measured the binding of a set of SEC3 and staphylococcal enterotoxin B (SEB) mutants to soluble recombinant TCR beta chain and to the human MHC class II molecule HLA-DR1. Affinities were determined by sedimentation equilibrium and/or surface plasmon detection, while mitogenic potency was assessed using T cells from rearrangement-deficient TCR transgenic mice. We show that there is a clear and simple relationship between the affinity of SAGs for the TCR and their biological activity: the tighter the binding of a particular mutant of SEC3 or SEB to the TCR beta chain, the greater its ability to stimulate T cells. We also find that there is an interplay between TCR-SAG and SAG-MHC interactions in determining mitogenic potency, such that a small increase in the affinity of a SAG for MHC can overcome a large decrease in the SAG's affinity for the TCR. Finally, we observe that those SEC3 residues that make the greatest energetic contribution to stabilizing the beta-SEC3 complex ("hot spot" residues) are strictly conserved among enterotoxins reactive with mouse Vbeta8.2, thereby providing a basis for understanding why SAGs having other residues at these positions show different Vbeta-binding specificities.


Subject(s)
Enterotoxins/metabolism , HLA-DR1 Antigen/metabolism , Receptors, Antigen, T-Cell, alpha-beta/metabolism , Superantigens/metabolism , Amino Acid Sequence , Animals , Binding Sites , Lymphocyte Activation , Mice , Mice, Transgenic , Molecular Sequence Data , Mutation , T-Lymphocytes/immunology
6.
AJNR Am J Neuroradiol ; 41(1): 29-34, 2020 01.
Article in English | MEDLINE | ID: mdl-31896568

ABSTRACT

BACKGROUND AND PURPOSE: The impact of increased aneurysm packing density on angiographic outcomes has not been studied in a randomized trial. We sought to determine the potential for larger caliber coils to achieve higher packing densities and to improve the angiographic results of embolization of intracranial aneurysms at 1 year. MATERIALS AND METHODS: Does Embolization with Larger Coils Lead to Better Treatment of Aneurysms (DELTA) was an investigator-initiated multicenter prospective, parallel, randomized, controlled clinical trial. Patients had 4- to 12-mm unruptured aneurysms. Treatment allocation to either 15- (experimental) or 10-caliber coils (control group) was randomized 1:1 using a Web-based platform. The primary efficacy outcome was a major recurrence or a residual aneurysm at follow-up angiography at 12 Ā± 2 months adjudicated by an independent core lab blinded to the treatment allocation. Secondary outcomes included indices of treatment success and standard safety outcomes. Recruitment of 564 patients was judged necessary to show a decrease in poor outcomes from 33% to 20% with 15-caliber coils. RESULTS: Funding was interrupted and the trial was stopped after 210 patients were recruited between November 2013 and June 2017. On an intent-to-treat analysis, the primary outcome was reached in 37 patients allocated to 15-caliber coils and 36 patients allocated to 10-caliber coils (OR = 0.931; 95% CI, 0.528-1.644; P = .885). Safety and other clinical outcomes were similar. The 15-caliber coil group had a higher mean packing density (37.0% versus 26.9%, P = .0001). Packing density had no effect on the primary outcome when adjusted for initial angiographic results (OR = 1.001; 95% CI, 0.981-1.022; P = .879). CONCLUSIONS: Coiling of aneurysms randomized to 15-caliber coils achieved higher packing densities compared with 10-caliber coils, but this had no impact on the angiographic outcomes at 1 year, which were primarily driven by aneurysm size and initial angiographic results.


Subject(s)
Blood Vessel Prosthesis , Embolization, Therapeutic/methods , Endovascular Procedures/methods , Intracranial Aneurysm/therapy , Adult , Aged , Embolization, Therapeutic/instrumentation , Endovascular Procedures/instrumentation , Female , Humans , Male , Middle Aged , Prospective Studies , Treatment Outcome
7.
Science ; 266(5192): 1874-8, 1994 Dec 16.
Article in English | MEDLINE | ID: mdl-7997881

ABSTRACT

Superantigens bind to major histocompatibility complex class II molecules on antigen-presenting cells and stimulate T cells. Staphylococcus aureus enterotoxin B (SEB) and toxic shock syndrome toxin-1 (TSST-1) bind to the same region of human lymphocyte antigen (HLA)-DR1 but do not compete with each other, which indicates that they bind to different subsets of DR1 molecules. Here, a mutation in the peptide-binding groove disrupted the SEB and TSST-1 binding sites, which suggests that peptides can influence the interaction with bacterial toxins. In support of this, the expression of the DR1 molecule in various cell types differentially affected the binding of these toxins.


Subject(s)
Bacterial Toxins , Enterotoxins/metabolism , HLA-DR1 Antigen/metabolism , Staphylococcus aureus , Superantigens/metabolism , T-Lymphocytes/immunology , Animals , Antigen Presentation , Binding Sites , Binding, Competitive , Cell Line , Enterotoxins/chemistry , HLA-DR1 Antigen/chemistry , HLA-DR1 Antigen/genetics , HeLa Cells , Humans , Hybridomas , Mice , Mutation , Protein Structure, Secondary , Superantigens/chemistry
8.
J R Soc Interface ; 16(150): 20180641, 2019 01 31.
Article in English | MEDLINE | ID: mdl-30958156

ABSTRACT

A gliding bird's ability to stabilize its flight path is as critical as its ability to produce sufficient lift. In flight, birds often morph the shape of their wings, but the consequences of avian wing morphing on flight stability are not well understood. Here, we investigate how morphing the gull elbow joint in gliding flight affects their static pitch stability. First, we combined observations of freely gliding gulls and measurements from gull wing cadavers to identify the wing configurations used during gliding flight. These measurements revealed that, as wind speed and gusts increased, gulls flexed their elbows to adopt wing shapes characterized by increased spanwise camber. To determine the static pitch stability characteristics of these wing shapes, we prepared gull wings over the anatomical elbow range and measured the developed pitching moments in a wind tunnel. Wings prepared with extended elbow angles had low spanwise camber and high passive stability, meaning that mild perturbations could be negated without active control. Wings with flexed elbow angles had increased spanwise camber and reduced static pitch stability. Collectively, these results demonstrate that gliding gulls can transition across a broad range of static pitch stability characteristics using the motion of a single joint angle.


Subject(s)
Charadriiformes , Flight, Animal/physiology , Models, Biological , Wings, Animal , Animals , Charadriiformes/anatomy & histology , Charadriiformes/physiology , Wings, Animal/anatomy & histology , Wings, Animal/physiology
9.
Int J Stroke ; 13(9): 949-984, 2018 12.
Article in English | MEDLINE | ID: mdl-30021503

ABSTRACT

The 2018 update of the Canadian Stroke Best Practice Recommendations for Acute Stroke Management, 6th edition, is a comprehensive summary of current evidence-based recommendations, appropriate for use by healthcare providers and system planners caring for persons with very recent symptoms of acute stroke or transient ischemic attack. The recommendations are intended for use by a interdisciplinary team of clinicians across a wide range of settings and highlight key elements involved in prehospital and Emergency Department care, acute treatments for ischemic stroke, and acute inpatient care. The most notable changes included in this 6th edition are the renaming of the module and its integration of the formerly separate modules on prehospital and emergency care and acute inpatient stroke care. The new module, Acute Stroke Management: Prehospital, Emergency Department, and Acute Inpatient Stroke Care is now a single, comprehensive module addressing the most important aspects of acute stroke care delivery. Other notable changes include the removal of two sections related to the emergency management of intracerebral hemorrhage and subarachnoid hemorrhage. These topics are covered in a new, dedicated module, to be released later this year. The most significant recommendation updates are for neuroimaging; the extension of the time window for endovascular thrombectomy treatment out to 24 h; considerations for treating a highly selected group of people with stroke of unknown time of onset; and recommendations for dual antiplatelet therapy for a limited duration after acute minor ischemic stroke and transient ischemic attack. This module also emphasizes the need for increased public and healthcare provider's recognition of the signs of stroke and immediate actions to take; the important expanding role of paramedics and all emergency medical services personnel; arriving at a stroke-enabled Emergency Department without delay; and launching local healthcare institution code stroke protocols. Revisions have also been made to the recommendations for the triage and assessment of risk of recurrent stroke after transient ischemic attack/minor stroke and suggested urgency levels for investigations and initiation of management strategies. The goal of this updated guideline is to optimize stroke care across Canada, by reducing practice variations and reducing the gap between current knowledge and clinical practice.


Subject(s)
Emergency Medical Services/legislation & jurisprudence , Emergency Service, Hospital/legislation & jurisprudence , Ischemic Attack, Transient/therapy , Stroke/therapy , Canada , Critical Care/legislation & jurisprudence , Delivery of Health Care/legislation & jurisprudence , Hospitalization/legislation & jurisprudence , Humans , Inpatients , Stroke/diagnosis
10.
Phys Rev E Stat Nonlin Soft Matter Phys ; 73(6 Pt 2): 066304, 2006 Jun.
Article in English | MEDLINE | ID: mdl-16906973

ABSTRACT

We focus on an estimate of the decay exponent (m) in the initial period of decay of homogeneous isotropic turbulence at low Taylor microscale Reynolds number R lambda (approximately equal to 20-50). Lattice Boltzmann simulations in a periodic box of 256(3) points are performed and compared with measurements in grid turbulence at similar R lambda. Good agreement is found between measured and calculated energy spectra. The exponent m is estimated in three different ways: from the decay of the turbulent kinetic energy, the decay of the mean energy dissipation rate, and the rate of growth of the Taylor microscale. Although all estimates are close, as prescribed by theory, that from the Taylor microscale has the largest variability. It is then suggested that the virtual origin for the decay rate be determined from the Taylor microscale, but the actual value of m be estimated from the decay rate of the kinetic energy. The dependence of m on R lambda(0) (the value of R lambda at the beginning of the simulation) is also analyzed, using the present data as well as data from the literature. The results confirmed that m approaches 1, as R lambda(0) increases.

11.
Mol Immunol ; 35(13): 885-93, 1998 Sep.
Article in English | MEDLINE | ID: mdl-9839557

ABSTRACT

HLA-DO is a non-classical MHC class II molecule presumed to play a specialized role in the antigen processing pathway. We have modeled the HLA-DO beta-chain and found its overall structure compatible with the one of DR beta. Functional studies further highlighted the similarity between these beta-chains of the class II family of proteins. Indeed, a mixed heterodimer composed of the DR alpha and a chimeric DO beta-chains presented bacterial superantigens to T cells and was shown to interact with CD4. The implications of such structural conservation for the in vivo functions of HLA-DO are discussed.


Subject(s)
HLA-D Antigens/chemistry , HLA-DR Antigens/chemistry , Histocompatibility Antigens Class II , Amino Acid Sequence , Animals , Antibodies, Monoclonal , Antigen Presentation , Cell Line , Conserved Sequence , Dimerization , HLA-D Antigens/genetics , HLA-DR Antigens/genetics , Humans , Hybridomas/immunology , Mice , Models, Molecular , Molecular Sequence Data , Protein Conformation , Protein Folding , Recombinant Fusion Proteins/chemistry , Recombinant Fusion Proteins/genetics , Recombinant Fusion Proteins/immunology , Sequence Homology, Amino Acid , T-Lymphocytes/immunology , Transfection
12.
J Perinatol ; 35(2): 123-7, 2015 Feb.
Article in English | MEDLINE | ID: mdl-25118721

ABSTRACT

OBJECTIVE: We performed a multicenter study of preterm infants, who were about to undergo patent ductus arteriosus ligation, to determine whether echocardiographic indices of impaired myocardial performance were associated with subsequent development of catecholamine-resistant hypotension following ligation. STUDY DESIGN: A standardized treatment approach for hypotension was followed at each center. Infants were considered to have catecholamine-resistant hypotension if their dopamine infusion was > 15 Āµg kg(-1)min(-1). Echocardiograms and cortisol measurements were obtained between 6 and 14 h after the ligation (prior to the presence of catecholamine-resistant hypotension). RESULT: Forty-five infants were enrolled, 10 received catecholamines (6 were catecholamine-responsive and 4 developed catecholamine-resistant hypotension). Catecholamine-resistant hypotension was not associated with decreased preload, shortening fraction or ventricular output. Infants with catecholamine-resistant hypotension had significantly lower levels of systemic vascular resistance and postoperative cortisol concentration. CONCLUSION: We speculate that low cortisol levels and impaired vascular tone may have a more important role than impaired cardiac performance in post-ligation catecholamine-resistant hypotension.


Subject(s)
Cardiac Surgical Procedures/adverse effects , Dopamine , Ductus Arteriosus, Patent/surgery , Hypotension , Postoperative Complications , Cardiac Surgical Procedures/methods , Cardiotonic Agents/administration & dosage , Cardiotonic Agents/adverse effects , Catecholamines/administration & dosage , Catecholamines/adverse effects , Dobutamine/administration & dosage , Dobutamine/adverse effects , Dopamine/administration & dosage , Dopamine/adverse effects , Drug Resistance , Echocardiography , Female , Humans , Hypotension/diagnosis , Hypotension/drug therapy , Hypotension/etiology , Hypotension/physiopathology , Infant, Newborn , Infant, Premature , Ligation , Male , Postoperative Complications/diagnosis , Postoperative Complications/drug therapy , Postoperative Complications/physiopathology , Treatment Outcome
13.
Eur J Cell Biol ; 42(2): 246-54, 1986 Dec.
Article in English | MEDLINE | ID: mdl-3493136

ABSTRACT

Dorsal root ganglia were removed from adult bullfrogs and incubated with [3H]fucose for intervals from 15 min to 1 h, followed by fixation. Some ganglia were post-incubated in the absence of [3H]fucose for up to 17 h. In additional in vivo experiments, young frogs were injected with [3H]fucose, and killed 30 min or 1 h later, and then ganglia were removed and fixed. Electron microscope radioautographs of the ganglia revealed an intense radioautographic reaction over the nuclei of Schwann and satellite cells as early as 5 min after initial exposure to [3H]fucose. At time intervals up to 2 h after initial exposure to [3H]fucose, the silver grains were evenly distributed over both the periphery and internal regions of the nucleus, while at 18 h they were localized to the cell periphery. In occasional cells, the perinuclear space was expanded in some areas and was the site of reaction. In young rats, injected with [3H]galactose and killed 15 min to 5 h later, electron microscope radioautographs revealed heavy reaction over the nuclei of duodenal villous and crypt columnar cells, in which the grains were evenly distributed over both the peripheral and internal regions. In mitotic cells, grains appeared to be associated with the condensed chromatin of forming chromosomes. These results provide strong evidence that glycoproteins exist in the nuclei of the above cell types and that they are actively renewed. The rapid appearance of nuclear reaction after initial exposure to [3H]fucose or [3H]galactose indicates that either these sugars are added to glycoproteins within the nucleus itself or that they migrate rapidly to this site after having been glycosylated elsewhere.


Subject(s)
Cell Nucleus/metabolism , Glycoproteins/metabolism , Animals , Autoradiography , Fucose/metabolism , Galactose/metabolism , Ganglia, Spinal/cytology , Ganglia, Spinal/metabolism , Golgi Apparatus/metabolism , Intestinal Mucosa/metabolism , Rana catesbeiana , Rats , Schwann Cells/metabolism , Time Factors
14.
Am J Med ; 61(4): 459-64, 1976 Oct.
Article in English | MEDLINE | ID: mdl-1086057

ABSTRACT

Idiopathic portal hypertension is reported in five cases including one case of chronic arsenical intake and one case of chronic industrial vinyl chloride exposure. In all five cases the patients presented with gastrointestinal bleeding as the chief complaint. Physical examination was within normal limits except for splenomegaly in all. Results of liver function tests were normal, except for the relative clearance of sulfobromophtalein. A surgical liver biopsy specimen was obtained in all cases and showed moderate degrees of portal fibrosis, but no cirrhosis. Combined umbilicoportal, hepatic vein and superior mesenteric artery catheterization was performed in all cases. Hepatoportographies showed distortion of the intrahepatic portal venous system and cut-off of small portal venules. Porto-hepatic gradients ranged from 14.0 to 20.5 mm Hg. The portal hypertension was both sinusoidal and presinusoidal in nature but mainly presinusoidal. Hepatic extraction of indocyanine green and of albumin microaggregates was normal, thereby suggesting normal functional portal blood supply to the liver. The patients with arsenical or vinyl chloride exposure could not be differentiated from the other three patients with idiopathic portal hypertension. These results suggest that idiopathic portal hypertension may be related to domestic or industrial exposure to other hepatotoxins.


Subject(s)
Hypertension, Portal/etiology , Adult , Arsenicals/adverse effects , Female , Gastrointestinal Hemorrhage/complications , Hemodynamics , Humans , Hypertension, Portal/diagnostic imaging , Hypertension, Portal/surgery , Male , Middle Aged , Radiography , Vinyl Chloride/adverse effects
15.
Neuropharmacology ; 26(9): 1359-65, 1987 Sep.
Article in English | MEDLINE | ID: mdl-2444901

ABSTRACT

The effects of the inhibitors of calmodulin penfluridol, chlorprothixene and haloperidol on fast axonal transport, the content of adenosine triphosphate and creatine phosphate and the density of axonal microtubules, were measured in spinal nerves of the bullfrog in vitro. These drugs inhibited the fast orthograde transport of [3H]leucine-labelled proteins: 35 microM penfluridol, 70 microM cis-chlorprothixene, and 200 microM haloperidol were needed to produce and approximately 50% inhibition of transport, and the order of potency was, therefore, penfluridol greater than cis-chlorprothixene greater than haloperidol; the trans isomer of chlorprothixene was as effective as the cis isomer-of chlorprothixene in inhibiting fast axonal transport. None of these drugs significantly reduced the density of microtubules in unmyelinated axons of nerves, incubated as for a transport experiment. Exposure to the concentration of these drugs which inhibited transport did not reduce significantly the content of adenosine triphosphate of the nerves, except for a 22% reduction by trans-chlorprothixene, and they had no significant effect on the content of creatine phosphate except for a 27% reduction by penfluridol and a 20% reduction by trans-chlorprothixene. The inhibition of axonal transport by these drugs can therefore not be explained either by an interference with oxidative metabolism or by disruption of microtubules. The order of potency of penfluridol, chlorprothixene and haloperidol as inhibitors of fast axonal transport parallels their known order of potency as antagonists of calmodulin; inhibition of axonal transport may therefore be related to inhibition of the function of calmodulin by these drugs.


Subject(s)
Axonal Transport/drug effects , Calmodulin/antagonists & inhibitors , Chlorprothixene/pharmacology , Haloperidol/pharmacology , Penfluridol/pharmacology , Piperidines/pharmacology , Adenosine Triphosphate/metabolism , Animals , Axons/ultrastructure , Biomechanical Phenomena , In Vitro Techniques , Microtubules/ultrastructure , Phosphocreatine/metabolism , Rana catesbeiana , Spinal Nerves/metabolism , Spinal Nerves/ultrastructure , Time Factors
16.
Neuropharmacology ; 28(2): 175-81, 1989 Feb.
Article in English | MEDLINE | ID: mdl-2469989

ABSTRACT

The present study attempted to clarify the mechanism(s) by which local anesthetics inhibit fast axonal transport. Spinal nerves of the bullfrog were incubated with local anesthetics under conditions known to inhibit transport and the effects of these exposures to local anesthetics on the content of adenosine triphosphate and creatine phosphate in nerves and on the density of microtubules in unmyelinated axons were examined. Lidocaine, at concentrations of 14 or 20 mM, did not reduce significantly the content of adenosine triphosphate (although significant reductions in creatine phosphate were observed); the density of microtubules was also not affected by 14 mM lidocaine. Some mechanism other than inhibition of oxidative metabolism or disruption of microtubules must therefore be responsible for the inhibition of fast axonal transport by 14 mM lidocaine. Significant reductions in the content of adenosine triphosphate were observed with 1 or 2 mM tetracaine and with 0.5 or 1 mM dibucaine (this latter concentration of dibucaine also reduced the content of creatine phosphate); however, comparison with the effects of 2,4-dinitrophenol indicated that these inhibitions of oxidative metabolism were insufficient to inhibit transport in the case of 0.5 mM dibucaine or could at best only partly explain the inhibition of transport in the other cases. Since the density of microtubules was not affected by 1 mM tetracaine and was not sufficiently reduced by 0.5 mM dibucaine to inhibit transport, some other effect must again largely contribute to or be solely responsible for the inhibition of fast axonal transport by these concentrations of dibucaine and tetracaine.


Subject(s)
Anesthetics, Local/pharmacology , Axonal Transport/drug effects , Sciatic Nerve/physiology , Spinal Nerves/physiology , Adenosine Triphosphate/metabolism , Animals , Dibucaine/pharmacology , Ganglia, Spinal/drug effects , Ganglia, Spinal/physiology , In Vitro Techniques , Lidocaine/pharmacology , Phosphocreatine/metabolism , Rana catesbeiana , Reference Values , Sciatic Nerve/drug effects , Spinal Nerves/drug effects , Tetracaine/pharmacology
17.
Neuropharmacology ; 31(3): 229-34, 1992 Mar.
Article in English | MEDLINE | ID: mdl-1630591

ABSTRACT

The present study examined the inhibition of synaptosomal uptake of 45calcium by racemic trimipramine and nortrimipramine and by enantiomers of trimipramine. Trimipramine, nortrimipramine, (+)-trimipramine and (-)-trimipramine inhibited the net K(+)-induced uptake of 45calcium with IC50 values of 31, 39, 17 and 95 microM, respectively. No significant difference could be detected between the parent compound trimipramine and the metabolite nortrimipramine; however, the levorotatory isomer had an IC50 value significantly larger than the dextrorotatory isomer. At normal therapeutic doses, a 25-40% inhibition of net K(+)-induced uptake of 45calcium, could be expected with trimipramine or 30-50% inhibition for trimipramine and nortrimipramine combined; these data, therefore, do not exclude the possibility that inhibition of voltage-dependent calcium channels could contribute to the therapeutic effect of trimipramine. The order of potency of stereoisomers of trimipramine, for inhibition of calcium channels, was the same as their reported order of potency in the clinic; this parallelism adds support to the possible involvement of blockade of calcium channels in the antidepressant effect. With respect to uptake of 45calcium induced by the Na(+)-Ca2+ exchange process, all drugs inhibited this mechanism with a similar potency (IC50 74-91 microM); the drugs are not expected to have a significant effect on this exchange process, at therapeutic antidepressant doses.


Subject(s)
Calcium/metabolism , Cerebral Cortex/metabolism , Neuromuscular Depolarizing Agents/pharmacology , Sodium/metabolism , Synaptosomes/metabolism , Trimipramine/pharmacology , Animals , Calcium Radioisotopes , Cerebral Cortex/drug effects , In Vitro Techniques , Ion Exchange , Male , Rats , Rats, Inbred Strains , Stereoisomerism , Synaptosomes/drug effects
18.
J Neuroimmunol ; 102(2): 131-6, 2000 Jan 24.
Article in English | MEDLINE | ID: mdl-10636481

ABSTRACT

We found that human fetal astrocytes (HFA) are able to support superantigen (SAG) staphylococcal enterotoxin B (SEB) and toxic shock syndrome toxin-1 (TSST-1)-induced activation of immediately ex vivo allogenic human CD4 T cells. Using radiolabelled toxins, we demonstrate that both SEB and TSST-1 bind with high affinity to MHC class II antigen expressing astrocytes; binding is displaceable with excess cold toxin. Competition experiments further indicate that TSST-1 and SEB at least partially compete with each other for binding to astrocytes suggesting they bind to the same HLA-DR region on these cells. Our study supports the hypothesis that SAG would be capable of stimulating immune responses within the human CNS and contribute to persistence or recurrence of inflammatory responses within this compartment.


Subject(s)
Antigen-Presenting Cells/immunology , Astrocytes/immunology , Bacterial Toxins , Superantigens/immunology , Astrocytes/metabolism , Binding, Competitive , CD4-Positive T-Lymphocytes/physiology , Cells, Cultured , Enterotoxins/metabolism , Enterotoxins/physiology , Humans , Lymphocyte Activation , Superantigens/metabolism , T-Lymphocytes/immunology
19.
Neuroscience ; 8(2): 351-62, 1983.
Article in English | MEDLINE | ID: mdl-6188994

ABSTRACT

Previous in vitro studies have established that Co2+-containing or Ca2+-free media interfere with the initiation of the fast axonal transport of proteins. The present study has used light- and electron-microscope radioautography to compare the distribution of [3H]fucose-labelled glycoproteins in neuronal cell bodies of control dorsal root ganglia and ganglia incubated for 16-17 h in Ca2+-free medium or in medium containing 0.18 mM Co2+. The radioautographic reaction in control cell bodies was diffusely scattered throughout the cytoplasm; grain counts revealed that 22% of the reaction was associated with elements of the Golgi apparatus and 78% was over other organelles and the remainder of the cytoplasm. In most experimental cell bodies, 78% of the silver grains were clustered over elements of the Golgi complex whereas other organelles and the remainder of the cytoplasm were comparatively much less labelled; structural alterations of the Golgi apparatus were also produced by the modified media. In parallel studies where the radioactivity in nerve trunks and ganglia was measured by liquid scintillation counting, it was found that the Ca2+-free medium and the Co2+-containing medium both reduced by approximately 80% the quantity of [3H]fucose-labelled glycoproteins which were carried by the fast axonal transport system; they did so without interfering with the incorporation of [3H]fucose into glycoproteins. The results indicate that in the presence of Co2+ or in the absence of Ca2+ the proteins which are destined for fast axonal transport accumulate at the Golgi apparatus of neuronal cell bodies. These results thus suggest that Ca2+ is required for proteins to leave the Golgi region in transit to the fast axonal transport system.


Subject(s)
Axonal Transport , Calcium/metabolism , Cobalt/pharmacology , Fucose/metabolism , Ganglia, Spinal/metabolism , Glycoproteins/metabolism , Animals , Autoradiography , Axonal Transport/drug effects , Microscopy, Electron , Neurons/metabolism , Rana catesbeiana
20.
J Histochem Cytochem ; 49(3): 285-92, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11181731

ABSTRACT

Amelogenins represent the major component of the organic matrix of enamel, and consist of several intact and degraded forms. A precise knowledge of their respective distributions throughout the enamel layer could provide some insight into their functions. To date, no antibody exists that can selectively detect the secretory forms of amelogenin. In this study we used the chicken egg yolk system to generate an antibody to recombinant mouse amelogenin. Immunoblots of whole homogenates from rat incisor enamel organs and enamel showed that the resulting antibody (M179y) recognized proteins corresponding to the five known secretory forms of rat amelogenin. Immunogold cytochemistry demonstrated that reactivity was restricted to ameloblasts and enamel. Secretory forms of amelogenin persisted in significant amounts throughout the enamel layer. The density of labeling was highest over the surface portion of the enamel layer, but enamel growth sites in this region showed a localized paucity of gold particles. Immunoreactivity was lowest over the mid-portion of the layer and increased moderately near the dentino-enamel junction. These results indicate that intact forms of amelogenin probably have a more complex distribution in the enamel layer than was heretofore suspected.


Subject(s)
Antibodies , Dental Enamel Proteins/metabolism , Egg Proteins , Incisor/metabolism , Amelogenin , Animals , Antibodies/isolation & purification , Chickens , Dental Enamel Proteins/immunology , Egg Proteins/isolation & purification , Immunoblotting , Immunohistochemistry , Male , Mice , Rats , Rats, Wistar , Recombinant Proteins/immunology
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