Your browser doesn't support javascript.
loading
Show: 20 | 50 | 100
Results 1 - 20 de 22
Filter
Add more filters










Publication year range
1.
Nature ; 595(7866): 223-226, 2021 07.
Article in English | MEDLINE | ID: mdl-34234332

ABSTRACT

Neutron-star mergers were recently confirmed as sites of rapid-neutron-capture (r-process) nucleosynthesis1-3. However, in Galactic chemical evolution models, neutron-star mergers alone cannot reproduce the observed element abundance patterns of extremely metal-poor stars, which indicates the existence of other sites of r-process nucleosynthesis4-6. These sites may be investigated by studying the element abundance patterns of chemically primitive stars in the halo of the Milky Way, because these objects retain the nucleosynthetic signatures of the earliest generation of stars7-13. Here we report the element abundance pattern of the extremely metal-poor star SMSS J200322.54-114203.3. We observe a large enhancement in r-process elements, with very low overall metallicity. The element abundance pattern is well matched by the yields of a single 25-solar-mass magnetorotational hypernova. Such a hypernova could produce not only the r-process elements, but also light elements during stellar evolution, and iron-peak elements during explosive nuclear burning. Hypernovae are often associated with long-duration γ-ray bursts in the nearby Universe8. This connection indicates that similar explosions of fast-spinning strongly magnetized stars occurred during the earliest epochs of star formation in our Galaxy.

2.
Clin Microbiol Infect ; 25(10): 1277-1285, 2019 Oct.
Article in English | MEDLINE | ID: mdl-31059795

ABSTRACT

OBJECTIVES: Sample preparation for high-throughput sequencing (HTS) includes treatment with various laboratory components, potentially carrying viral nucleic acids, the extent of which has not been thoroughly investigated. Our aim was to systematically examine a diverse repertoire of laboratory components used to prepare samples for HTS in order to identify contaminating viral sequences. METHODS: A total of 322 samples of mainly human origin were analysed using eight protocols, applying a wide variety of laboratory components. Several samples (60% of human specimens) were processed using different protocols. In total, 712 sequencing libraries were investigated for viral sequence contamination. RESULTS: Among sequences showing similarity to viruses, 493 were significantly associated with the use of laboratory components. Each of these viral sequences had sporadic appearance, only being identified in a subset of the samples treated with the linked laboratory component, and some were not identified in the non-template control samples. Remarkably, more than 65% of all viral sequences identified were within viral clusters linked to the use of laboratory components. CONCLUSIONS: We show that high prevalence of contaminating viral sequences can be expected in HTS-based virome data and provide an extensive list of novel contaminating viral sequences that can be used for evaluation of viral findings in future virome and metagenome studies. Moreover, we show that detection can be problematic due to stochastic appearance and limited non-template controls. Although the exact origin of these viral sequences requires further research, our results support laboratory-component-linked viral sequence contamination of both biological and synthetic origin.


Subject(s)
High-Throughput Nucleotide Sequencing/methods , Metagenomics/methods , Specimen Handling/methods , Viruses/isolation & purification , Humans , Viruses/genetics
3.
Annu Int Conf IEEE Eng Med Biol Soc ; 2018: 2202-2205, 2018 Jul.
Article in English | MEDLINE | ID: mdl-30440842

ABSTRACT

Alternating current stimulation (ACS) provides a versatile tool for modulating brain activity and presents a promising strategy for the treatment of neurological disorders like Parkinson's disease or epilepsy. Stimulation of neural tissue at low-frequency however poses new challenges on conventional electrode materials which support limited charge transfer in the desired frequency range, from less than 0.1 Hz to several tens of Hz. In our study we address this challenge by investigating the charge transfer properties of PEDOT/PSS coatings for low-frequency applications, focusing on the impact of the polymer bulk. PEDOT films of various thicknesses were exposed to low-frequency as well as DC stimulation textbfin vitro and compared to Pt and IrOx electrodes as controls. The charge injection performance of the metallic substrates could be substantially improved already by a thin PEDOT coating. Additionally a linear dependency between charge injection and polymer thickness suggests that PEDOT coatings are promising as materials for future ACS applications.


Subject(s)
Bridged Bicyclo Compounds, Heterocyclic , Polymers , Electrodes
4.
Annu Int Conf IEEE Eng Med Biol Soc ; 2017: 1058-1061, 2017 Jul.
Article in English | MEDLINE | ID: mdl-29060056

ABSTRACT

Nanostructured materials exhibit large electrochemical surface areas and are thus of high interest for neural interfaces where low impedance and high charge transfer characteristics are desired. While progress in nanotechnology successively enabled smaller feature sizes and thus improved electrochemical properties, concerns were raised with respect to the mechanical stability of such nano structures for use in neural applications. In our study we address these concerns by investigating the mechanical and electrochemical stability of nanostructured platinum. Neural probes with nano-Pt were exposed to exaggerated stress tests resembling insertion into neural tissue over 60 mm distance or long-term stimulation over 240 M biphasic current pulses. Thereby only insignificant changes in electrochemical properties and morphological appearance could be observed in response to the test, proving that nanostructured platinum exhibits outstanding stability. With this finding, a major concern in using nanostructured materials for interfacing neural tissue could be eliminated, demonstrating the high potential of nanostructured platinum for neuroprosthetic devices.


Subject(s)
Electrodes , Nanostructures , Platinum
5.
Biomaterials ; 129: 176-187, 2017 06.
Article in English | MEDLINE | ID: mdl-28343004

ABSTRACT

Stable interconnection to neurons in vivo over long time-periods is critical for the success of future advanced neuroelectronic applications. The inevitable foreign body reaction towards implanted materials challenges the stability and an active intervention strategy would be desirable to treat inflammation locally. Here, we investigate whether controlled release of the anti-inflammatory drug Dexamethasone from flexible neural microelectrodes in the rat hippocampus has an impact on probe-tissue integration over 12 weeks of implantation. The drug was stored in a conducting polymer coating (PEDOT/Dex), selectively deposited on the electrode sites of neural probes, and released on weekly basis by applying a cyclic voltammetry signal in three electrode configuration in fully awake animals. Dex-functionalized probes provided stable recordings and impedance characteristics over the entire chronic study. Histological evaluation after 12 weeks of implantation revealed an overall low degree of inflammation around all flexible probes whereas electrodes exposed to active drug release protocols did have neurons closer to the electrode sites compared to controls. The combination of flexible probe technology with anti-inflammatory coatings accordingly offers a promising approach for enabling long-term stable neural interfaces.


Subject(s)
Dexamethasone/pharmacology , Microelectrodes , Neurons/physiology , Action Potentials/drug effects , Animals , Bridged Bicyclo Compounds, Heterocyclic/chemistry , Delayed-Action Preparations/pharmacology , Dielectric Spectroscopy , Drug Liberation , Electrochemical Techniques , Female , Fluorescence , Glial Fibrillary Acidic Protein/metabolism , Microglia/metabolism , Neurons/drug effects , Polymers/chemistry , Rats, Sprague-Dawley
6.
Annu Int Conf IEEE Eng Med Biol Soc ; 2016: 2798-2801, 2016 Aug.
Article in English | MEDLINE | ID: mdl-28268899

ABSTRACT

After the development of a single-sided fabrication process for intrafascicular parylene C based electrode arrays tests showed that an increase in integration density can only be achieved by a double-side process. The process uses 25 µm thick platinum iridium foil, which is thinned down with the laser and sandwiched between two 10 µm thick parylene C layers. Utilizing a picosecond laser (355 nm Nd:YVO4) it was possible to fabricate 40 µm thick electrodes that can be implanted directly in the nerve without relying on additional support layers like chitosan or silk. The fabricated samples feature three 80 µm diameter electrodes on each side and a large ground electrode that is opened to both sides. Impedance mismatches from front to back side as a result of the fabrication process are compensated by electrochemical deposition of nanostructured platinum. This step makes it possible to bring the impedances of the small electrodes down to the range of just a few kΩ at 1 kHz and illustrate the additionally gained surface due to the picosecond laser ablation on the front side electrodes. The safely injectable charge per pulse was found to be 635.75 µC/cm2 for such coated electrodes. Optical investigations show that this fabrication process offers an alternative to established lithographic processes for thin and flexible electrode arrays in neural implants.


Subject(s)
Electrodes, Implanted , Polymers/chemistry , Xylenes/chemistry , Electric Impedance , Equipment Design , Feasibility Studies , Humans , Iridium/chemistry , Lasers , Microelectrodes , Models, Theoretical , Neurons/physiology , Platinum/chemistry
7.
Nature ; 527(7579): 484-7, 2015 Nov 26.
Article in English | MEDLINE | ID: mdl-26560034

ABSTRACT

The first stars are predicted to have formed within 200 million years after the Big Bang, initiating the cosmic dawn. A true first star has not yet been discovered, although stars with tiny amounts of elements heavier than helium ('metals') have been found in the outer regions ('halo') of the Milky Way. The first stars and their immediate successors should, however, preferentially be found today in the central regions ('bulges') of galaxies, because they formed in the largest over-densities that grew gravitationally with time. The Milky Way bulge underwent a rapid chemical enrichment during the first 1-2 billion years, leading to a dearth of early, metal-poor stars. Here we report observations of extremely metal-poor stars in the Milky Way bulge, including one star with an iron abundance about 10,000 times lower than the solar value without noticeable carbon enhancement. We confirm that most of the metal-poor bulge stars are on tight orbits around the Galactic Centre, rather than being halo stars passing through the bulge, as expected for stars formed at redshifts greater than 15. Their chemical compositions are in general similar to typical halo stars of the same metallicity although intriguing differences exist, including lower abundances of carbon.

8.
Biomaterials ; 67: 346-53, 2015 Oct.
Article in English | MEDLINE | ID: mdl-26232883

ABSTRACT

Micro-sized electrodes are essential for highly sensitive communication at the neural interface with superior spatial resolution. However, such small electrodes inevitably suffer from high electrical impedance and thus high levels of thermal noise deteriorating the signal to noise ratio. In order to overcome this problem, a nanostructured Pt-coating was introduced as add-on functionalization for impedance reduction of small electrodes. In comparison to platinum black deposition, all used chemicals in the deposition process are free from cytotoxic components. The grass-like nanostructure was found to reduce the impedance by almost two orders of magnitude compared to untreated samples which was lower than what could be achieved with conventional electrode coatings like IrOx or PEDOT. The realization of the Pt-grass coating is performed via a simple electrochemical process which can be applied to virtually any possible electrode type and accordingly shows potential as a universal impedance reduction strategy. Elution tests revealed non-toxicity of the Pt-grass and the coating was found to exhibit strong adhesion to the metallized substrate.


Subject(s)
Nanostructures/chemistry , Neurons/physiology , Platinum/chemistry , Cell Line, Tumor , Cell Survival , Electric Impedance , Electrochemical Techniques , Humans , Imides/chemistry , Microelectrodes , Nanostructures/ultrastructure , Optical Imaging
9.
Nature ; 506(7489): 463-6, 2014 Feb 27.
Article in English | MEDLINE | ID: mdl-24509711

ABSTRACT

The element abundance ratios of four low-mass stars with extremely low metallicities (abundances of elements heavier than helium) indicate that the gas out of which the stars formed was enriched in each case by at most a few--and potentially only one--low-energy supernova. Such supernovae yield large quantities of light elements such as carbon but very little iron. The dominance of low-energy supernovae seems surprising, because it had been expected that the first stars were extremely massive, and that they disintegrated in pair-instability explosions that would rapidly enrich galaxies in iron. What has remained unclear is the yield of iron from the first supernovae, because hitherto no star has been unambiguously interpreted as encapsulating the yield of a single supernova. Here we report the optical spectrum of SMSS J031300.36-670839.3, which shows no evidence of iron (with an upper limit of 10(-7.1) times solar abundance). Based on a comparison of its abundance pattern with those of models, we conclude that the star was seeded with material from a single supernova with an original mass about 60 times that of the Sun (and that the supernova left behind a black hole). Taken together with the four previously mentioned low-metallicity stars, we conclude that low-energy supernovae were common in the early Universe, and that such supernovae yielded light-element enrichment with insignificant iron. Reduced stellar feedback both chemically and mechanically from low-energy supernovae would have enabled first-generation stars to form over an extended period. We speculate that such stars may perhaps have had an important role in the epoch of cosmic reionization and the chemical evolution of early galaxies.

10.
Biomed Mater ; 4(4): 045009, 2009 Aug.
Article in English | MEDLINE | ID: mdl-19636110

ABSTRACT

Electrodes coated with the conducting polymer poly(3,4-ethylene dioxythiophene) (PEDOT) possess attractive electrochemical properties for stimulation or recording in the nervous system. Biomolecules, added as counter ions in electropolymerization, could further improve the biomaterial properties, eliminating the need for surfactant counter ions in the process. Such PEDOT/biomolecular composites, using heparin or hyaluronic acid, have previously been investigated electrochemically. In the present study, their biocompatibility is evaluated. An agarose overlay assay using L929 fibroblasts, and elution and direct contact tests on human neuroblastoma SH-SY5Y cells are applied to investigate cytotoxicity in vitro. PEDOT:heparin was further evaluated in vivo through polymer-coated implants in rodent cortex. No cytotoxic response was seen to any of the PEDOT materials tested. The examination of cortical tissue exposed to polymer-coated implants showed extensive glial scarring irrespective of implant material (Pt:polymer or Pt). However, quantification of immunological response, through distance measurements from implant site to closest neuron and counting of ED1+ cell density around implant, was comparable to those of platinum controls. These results indicate that PEDOT:heparin surfaces were non-cytotoxic and show no marked difference in immunological response in cortical tissue compared to pure platinum controls.


Subject(s)
Biocompatible Materials/chemistry , Bridged Bicyclo Compounds, Heterocyclic/chemistry , Neurons/physiology , Polymers/chemistry , Biocompatible Materials/metabolism , Bridged Bicyclo Compounds, Heterocyclic/metabolism , Cerebral Cortex/metabolism , Electrodes , Humans , Nervous System/metabolism , Neurons/metabolism , Platinum/metabolism , Polymers/metabolism , Prostheses and Implants , Surface-Active Agents/metabolism
11.
NMR Biomed ; 19(5): 617-26, 2006 Aug.
Article in English | MEDLINE | ID: mdl-16927392

ABSTRACT

Quantification of MRS spectra is a challenging problem when a large baseline is present along with a low signal to noise ratio. This work investigates a robust fitting technique that yields accurate peak areas under these conditions. Using simulated long echo time (1)H MRS spectra with low signal to noise ratio and a large baseline component, both the accuracy and reliability of the fit in the frequency domain were greatly improved by reducing the number of fitted parameters and making full use of all the known information concerning the Voigt lineshape. Using an appropriate first order approximation to a popular approximation of the Voigt lineshape, a significant improvement in the estimate of the area of a known spectral peak was obtained with a corresponding reduction in the residual. Furthermore, this improved parameter choice resulted in a large reduction in the number of iterations of the least-squares fitting routine. On the other hand, making use of the known centre frequency differences of the component resonances gave negligible improvement. A wavelet filter was used to remove the baseline component. In addition to performing a Monte Carlo study, these fitting techniques were also applied to a set of 10 spectra acquired from healthy human volunteers. Again, the same reduced parameter model gave the lowest value for chi(2) in each case.


Subject(s)
Magnetic Resonance Spectroscopy/methods , Models, Theoretical , Signal Processing, Computer-Assisted , Computer Simulation , Humans , Image Enhancement , Mathematics , Monte Carlo Method
12.
Acta Otolaryngol ; 126(9): 952-7, 2006 Sep.
Article in English | MEDLINE | ID: mdl-16864493

ABSTRACT

CONCLUSIONS: The intracellular bacterium Chlamydophila pneumoniae (Cp) was infrequently found in nasopharynx and lacking in biopsies from the middle turbinate in chronic rhinosinusitis (CRS) patients. Compared with healthy controls, patients suffering from CRS had significantly higher and more prevalent antibody titers to Cp. However, an association between CRS and Cp could not be established. OBJECTIVES: To study the prevalence of Cp in CRS patients and in healthy controls to determine if an association exists between Cp and CRS. MATERIALS AND METHODS: PCR against Cp was run on middle turbinate biopsies and on throat and nasopharyngeal swabs from 25 CRS patients and from 10 healthy controls. Serum samples were tested for Cp-specific antibodies by the microimmunofluorescence method. Patients that tested positive for Cp or had high antibody titers were treated with antibiotics. RESULTS: Cp was found in nasopharyngeal samples from two patients but from none of the controls. Neither patients nor controls had Cp in biopsies from the middle turbinate. Antibody titers against Cp were significantly higher and more prevalent in patients than in controls. Seventeen patients were treated with antibiotics but only four of them recovered from sinusitis symptoms during the 2-year follow-up.


Subject(s)
Chlamydophila pneumoniae/isolation & purification , Sinusitis/microbiology , Adult , Aged , Anti-Bacterial Agents/therapeutic use , Antibodies/analysis , Azithromycin/therapeutic use , Case-Control Studies , Chlamydophila pneumoniae/genetics , Chlamydophila pneumoniae/immunology , Chronic Disease , DNA, Bacterial/isolation & purification , Doxycycline/therapeutic use , Female , Humans , Immunoglobulins/immunology , Male , Middle Aged , Nasal Mucosa/microbiology , Nasopharynx/microbiology , Sinusitis/drug therapy , Turbinates/microbiology
13.
Respir Med ; 100(11): 2018-28, 2006 Nov.
Article in English | MEDLINE | ID: mdl-16580832

ABSTRACT

Nasal polyposis is a poorly understood chronic inflammatory disease often associated with asthma. As nasal polyps and asthma both are associated with massive eosinophil infiltration, they may share a common pathophysiological mechanism. Many genetic and autoimmune diseases may result from altered expression or function of cell adhesion molecules such as desmosomes. A transmission electron microscopical study was carried out on tissue from 15 patients suffering from nasal polyps, to investigate if there are changes in desmosomes in nasal polyps from asthmatic and/or allergic patients versus non-asthmatic versus non-allergic patients. In allergic patients the damage to columnar cells was more extensive than in non-allergic patients. Massive infiltration of eosinophils was observed in epithelium and connective tissue in all groups. No significant difference in thickness of the basal lamina was found between any of the groups. All patients had dilated capillaries in the connective tissue. The intercellular space between the epithelial cells was smallest in the asthmatic non-allergic group. The relative length of columnar cell or basal cell desmosomes was reduced in patients with asthma or allergy, compared to non-allergic, non-asthmatic patients. Hence, there appears to be a weakness in the desmosomes in asthmatics and allergics. Epithelial shedding may play an important role in the pathophysiological process of a multifactorial disease such as asthma.


Subject(s)
Asthma/pathology , Nasal Polyps/ultrastructure , Adult , Aged , Asthma/complications , Basement Membrane/ultrastructure , Connective Tissue/ultrastructure , Desmosomes/ultrastructure , Eosinophils/ultrastructure , Epithelial Cells/ultrastructure , Female , Humans , Male , Microscopy, Electron , Middle Aged , Nasal Polyps/complications
14.
Proc Natl Acad Sci U S A ; 97(15): 8219-24, 2000 Jul 18.
Article in English | MEDLINE | ID: mdl-10890905

ABSTRACT

Two-dimensional infrared spectra of peptides are introduced that are the direct analogues of two- and three-pulse multiple quantum NMR. Phase matching and heterodyning are used to isolate the phase and amplitudes of the electric fields of vibrational photon echoes as a function of multiple pulse delays. Structural information is made available on the time scale of a few picoseconds. Line narrowed spectra of acyl-proline-NH(2) and cross peaks implying the coupling between its amide-I modes are obtained, as are the phases of the various contributions to the signals. Solvent-sensitive structural differences are seen for the dipeptide. The methods show great promise to measure structure changes in biology on a wide range of time scales.


Subject(s)
Peptides/chemistry , Acetamides/analysis , Photons , Spectrophotometry, Infrared/methods
16.
Insect Biochem Mol Biol ; 26(8-9): 945-54, 1996.
Article in English | MEDLINE | ID: mdl-9014339

ABSTRACT

We describe a transposable element, called Bmmar1, from the genome of the silkworm moth, Bombyx mori. This element has features of the Tc1-mariner superfamily of transposable elements. Bmmar1 was first detected as a fragment in the 5' region of the larval serum protein (BmLSP) gene. Six genomic clones characterized each differed from a consensus sequence by 3-5 insertions and deletions, as well as an average of 2.3% in nucleotide sequence. The genome contains approximately 2400 copies of Bmmar1. Maximum parsimony phylogenetic analysis of the relationship of Bmmar1 and other members of the Tc1-mariner superfamily, based on their encoded transposase amino acid sequences, indicates that it represents a basal lineage of the mariner family. In particular Bmmar1 encodes a D,D37D motif thought to be the catalytic domain of mariner transposases. Bmmar1 considerably increases the known diversity of this widespread family of transposons. A new naming system is proposed for members of the family.


Subject(s)
Bombyx/genetics , DNA Transposable Elements , Genes, Insect , Amino Acid Sequence , Animals , Base Sequence , Consensus Sequence , DNA , Evolution, Molecular , Gene Dosage , Molecular Sequence Data , Phylogeny , Sequence Homology, Amino Acid , Sequence Homology, Nucleic Acid
17.
Surgery ; 111(2): 234-6, 1992 Feb.
Article in English | MEDLINE | ID: mdl-1736395

ABSTRACT

Two months after receiving a cadaveric renal allograft, a 36-year-old woman received a parathyroid allograft from a living unrelated donor, who was haploidentical to the renal donor. Her preoperative 24-hour urinary excretion of calcium was 0.18 gm/24 hrs, and after operation it decreased to 0.004 gm/24 hrs, (normal, less than 0.20 gm/24 hrs). The C-terminal parathyroid hormone level increased from 155 pg/ml (normal, 275 to 675 pg/ml) to 327 pg/ml after operation. The N-terminal parathyroid hormone level in her grafted arm has varied between 2.5 to 10 times the level in her nongrafted arm. Thirteen years later, both allografts are functioning normally. To our knowledge, this is the longest functioning parathyroid allograft.


Subject(s)
Calcium/blood , Kidney Transplantation , Parathyroid Glands/transplantation , Female , Haploidy , Humans , Middle Aged , Postoperative Period , Time Factors , Tissue Donors , Transplantation, Homologous
18.
Transplantation ; 51(4): 762-8, 1991 Apr.
Article in English | MEDLINE | ID: mdl-2014527

ABSTRACT

The antiglobulin crossmatch (AGXM) is a sensitive technique employed by many transplant centers to enhance detection of preformed antibody to donor antigens that may cause hyperacute rejection. However, positive AGXM may detect irrelevant or very low titers of anti-HLA antibody precluding transplantation in suitable recipients. To investigate the significance of a positive AGXM, cadaveric renal transplantation was carried out despite a weakly positive AGXM (defined as cell killing above background but not greater than 20%) in 48 recipients. In an initial group (n = 10), maintained on triple therapy (cyclosporine, azathioprine, and prednisone), accelerated acute rejection occurred in 4 recipients and 3 grafts were lost. A subsequent group (n = 38) was treated with a prophylactic course of OKT3 then triple therapy. There were no episodes of accelerated acute rejection (P less than 0.01) although clinical hyperacute rejection claimed one graft and the incidence of delayed graft function was high (75%). The prophylactic OKT3 group had a reduced incidence of acute rejection (0.5 versus 1.0) per recipient and the onset of first episodes was delayed (mean onset: 13 versus 35 days after transplantation). One year actuarial primary graft survival was 88% in the prophylactic OKT3 group as compared with only 50% in the initial group. The outcome in the positive AGXM group was similar to a concurrent group (n = 32) with a negative AGXM and immediate graft function. On the other hand, the subset of positive AGXM regraft recipients treated with prophylactic OKT3 fared poorly, with a 36% (4/11) incidence of primary nonfunction. In summary, a positive AGXM, as defined in this report, is not a contraindication to primary renal transplantation--in fact, the use of the AGXM will identify recipients that would benefit from prophylactic OKT3.


Subject(s)
Antibodies, Monoclonal/therapeutic use , Coombs Test , Histocompatibility Testing/methods , Kidney Transplantation , Adult , Azathioprine/therapeutic use , Cadaver , Female , Graft Rejection/drug effects , Humans , Male , Middle Aged
20.
Clin Immunol Immunopathol ; 51(2): 157-71, 1989 May.
Article in English | MEDLINE | ID: mdl-2539282

ABSTRACT

The ability to distinguish among rejection, cytomegalovirus (CMV) infection, and cyclosporin toxicity in the symptomatic renal allograft recipient remains one of the major issues in clinical transplantation. The practical application of immunologic monitoring of peripheral blood lymphocytes through the use of fluorescently labeled monoclonal antibodies and single-color flow cytometry has been limited by the inability to demonstrate significant correlations between the levels of specific T-cell subset populations and the cause of impaired renal function. In the present study using two-color analysis, we monitored the expression of interleukin-2 receptor (IL-2R) and HLA-DR antigen on the T-cells of a group of 51 renal cadaveric allograft recipients receiving cyclosporin, azathioprine, and prednisone for an average of 4 months after transplantation. We found that the proportion of CD3+ cells coexpressing IL-2R increased above baseline during 12 out of 14 rejection episodes that took place during the course of the study (P less than 10(-6)). Alternatively, we found that the proportion of cells coexpressing HLA-DR antigen on CD2+ cells increased above baseline during 11 out of 11 CMV infections (P less than 10(-6)). There was no correlation between the level of IL-2R+CD3+ cells and CMV infection or between the level of CD2+DR+ cells and rejection. These relationships showed a high degree of sensitivity and specificity when used to discriminate among possible etiologies for decreased renal function in the symptomatic patient.


Subject(s)
Cytomegalovirus Infections/diagnosis , Graft Rejection , Kidney Transplantation , Adolescent , Adult , Cyclosporins/pharmacology , Diagnosis, Differential , Female , Flow Cytometry , HLA-DR Antigens/analysis , Humans , Male , Middle Aged , Receptors, Interleukin-2/analysis , T-Lymphocytes/classification , Transplantation, Homologous
SELECTION OF CITATIONS
SEARCH DETAIL
...