Time-dependent induction of protective anti-influenza immune responses in human peripheral blood lymphocyte/SCID mice.

The human (hu) PBL/SCID mouse model has the potential to provide a powerful tool for the study of human immune function. However, at peak engraftment (4-8 wk postinjection), recovered human T cells are largely unresponsive to foreign Ag and have converted to an activated/memory-type phenotype. Here we show that this conversion is not a prerequisite for engraftment because at early stages (2 wk) a substantial fraction of human T cells detected in SCID peripheral blood retains the unactivated/naive phenotype of donor PBL. This early stage is also associated with a TCR repertoire in both the CD4 and CD8 subsets that is similar to that in the donor. Importantly, we show that strong HLA class I allele- and peptide-specific cytotoxic T lymphocyte as well as humoral responses can be generated in this model when human cells encounter Ag (infection with influenza A) at early, but not late, stages in engraftment. This early human response was also functional, as partial protection against influenza-induced pathology and death in SCIDs was observed. Taken together, these results demonstrate that the huPBL/SCID model can support the generation of potent and specific CTL and humoral responses provided that Ag is introduced early, presumably before the time-dependent generalized xenoactivation of engrafted human cells.

[The intravenous 15N metabolism test in assessing the effect of parenteral feeding on protein synthesis]. / Intravenöser 15N-Verwertungstest zur Erfassung des Einflusses parenteraler Nahrungszufuhr auf die Proteinsynthese.

It is possible to investigate the influence of parenteral applicated L-amino acids on protein metabolism of whole organism by the help of 15N-tracer technique in this paper described. We can determine the utilization of nitrogen parenteral applicated quantitatively. On the basis of graphical methods the protein synthesis rate can be calculated. We get this from mathematical models, based on 3-pool-model. The calculation bases on 15N-elimination in urine after intravenous infusion of 15N labeled amino acids solution during the time of 24 h (endproduct method). We describe 3 graphical methods, using the so-called values of plateau of cumulative 15N-excess amount (96 h) (plateau method A) or 15N abundance after 24 h (plateau method B) and the slope of the curve of 15N excess, amount at 24 h ('slope' method). By the help of these methods the therapeutical nutritive conceptions can be evaluated.

[Physiotherapeutic early mobilization of patients with myocardial infarct]. / Physiotherapeutische Frühmobilisation des Myokardinfarkt-Patienten

It is reported on the experiences of the programme of the physiotherapeutic treatment of the patients with myocardial infarction in the phase of hospitalisation, which was used in our clinic in 128 patients since 1972. Under careful control the period of mobilisation could be shortened without larger endangering for the patient and a new temporary step scheme could be given as guiding principle, the use of which, however, always needs the individual adaptation by physician and physiotherapist. The physiological and psycho-social advantages of an early mobilisation are clear.