| 1. |
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| 2. |
- Andreasson, Björn, et al.
(author)
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The measurement of venous haematocrit in patients with polycythaemia vera.
- 1999
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In: Journal of internal medicine. - : Wiley. - 0954-6820 .- 1365-2796. ; 246:3, s. 293-7
-
Journal article (peer-reviewed)abstract
- OBJECTIVE: In clinical practice, patients with polycythaemia vera (PV) are monitored by measurement of venous packed cell volume (PCV). However, whereas treatment recommendations are still based upon studies in which the results were obtained with the centrifuged microhaematocrit, currently in most instances automated blood cell counters are used to calculate PCV. In a group of patients with polycythaemia we therefore compared the results obtained by the microhaematocrit method with PCV calculated by haematology analysers. DESIGN: The study was carried out on a prospective basis. Duplicate venous blood samples were collected. The centrifuged microhaemotocrit was obtained by using an IEC Micro-MB Centrifuge. Depending on different routine methods used in the participating hospitals, the blood cell counter PCV was calculated using Coulter STKS, Bayer Technicon H2 or H3. SETTING: Patients were included from four Swedish university hospitals: Akademiska (Uppsala), Huddinge and Karolinska (Stockholm) and Sahlgrenska (Göteborg). SUBJECTS: Seventy-four patients with PV and 10 patients with secondary polycythaemia were included and a total of 150 duplicate blood samples were analysed from these subjects. RESULTS: In the 150 measurements the mean blood cell counter calculated PCV was 0.448 +/- 0.037; the mean for centrifuged microhaematocrit was 0.467 +/- 0. 037 and the difference between means was highly significant (P = 6.8 x 10-25). The means for centrifuged haematocrit and calculated PCV differed significantly in the groups of PV patients treated with phlebotomy only, hydroxyurea or radiophosphorous (P < 0.0001, respectively). In PV patients treated with alpha-interferon and in patients with secondary polycythaemia the difference in means did not reach statistical significance (P = 0.07 and P = 0.13, respectively). The groups of patients with MCV <80 fL and >/=80 fL both presented significant differences between means for calculated PCV and centrifuged haematocrit. CONCLUSIONS: If PV patients are monitored with blood cell counter calculated PCV it appears that the therapeutic goal should be to maintain the calculated PCV below 0.43, provided the local differences in calculated PCV and centrifuged haematocrit are of the same magnitude as in this study.
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| 3. |
- Astermark, Jan, et al.
(author)
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Low recurrence rate after deep calf-vein thrombosis with 6 weeks of oral anticoagulation
- 1998
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In: Journal of Internal Medicine. - : Wiley. - 1365-2796 .- 0954-6820. ; 244:1, s. 79-82
-
Journal article (peer-reviewed)abstract
- OBJECTIVES: To evaluate the recurrence rate after deep calf-vein thrombosis treated with 6 weeks of oral anticoagulation. DESIGN AND SUBJECTS: A 2 year follow-up of 126 consecutive patients admitted to the Department of Internal Medicine with venographically verified deep calf-vein thrombosis. RESULTS: One hundred and twenty-six patients were treated with warfarin for 6 weeks, 18 of them having had a previous episode of venous thrombosis (DVT). Eleven patients (8.7%) suffered a recurrent thromboembolic episode within 2 years, four of which were within the first 3 months. Eight of those without a history of DVT had a recurrence (7.4%). Three of these were activated protein C (APC)-resistant, one was protein C-deficient and one had malignant melanoma. Eight patients (6.3%) reported minor haemorrhagic complications, but no major bleeding was seen. CONCLUSION: Our data support the use of a 6 week regimen of secondary oral prophylaxis after a first episode of deep calf-vein thrombosis in patients without a permanent risk factor. Whether individuals with inherited thrombophilia require prolonged treatment remains to be evaluated.
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| 4. |
- Berntorp, Erik, et al.
(author)
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Centraliserad vård grundläggande i vårdprogram för blödarsjuka
- 1999
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In: Läkartidningen. - 0023-7205. ; 96:15, s. 1849-1852
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Journal article (peer-reviewed)abstract
- Haemophilia is a rare and potentially life-threatening disease. In Sweden, with a population of approximately 8.5 million, about 350 people suffer from the more severe forms of haemophilia or von Willebrand disease. Meticulous management is important if the patients are to be spared chronic disability and serious treatment complications. The disease is lifelong and affects psychosocial aspects of life among patients and their families. With the help of a grant from the Swedish Board of Halth and Welfare, a care programme has been designed to guarantee Swedish haemophiliacs comparable and optimal care. The programme has been drawn up by representatives of the three haemophilia centres in Sweden (at University Hospital, Malmo, Sahlgrenska University Hospital, Gothenburg, and Karolinska Hospital, Stockholm) in co-operation with the World Federation of National Haemophilia Organisations. To ensure optimal individual application of the programme, individualised management strategies and patient information leaflets have been prepared.
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| 5. |
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| 6. |
- Boman, J, et al.
(author)
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High prevalence of Chlamydia pneumoniae DNA in peripheral blood mononuclear cells in patients with cardiovascular disease and in middle-aged blood donors.
- 1998
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In: Journal of Infectious Diseases. - 0022-1899 .- 1537-6613. ; 178:1
-
Journal article (peer-reviewed)abstract
- Nested polymerase chain reaction (nPCR) demonstrated the presence of Chlamydia pneumoniae-specific DNA in peripheral blood mononuclear cells (PBMC). PBMC samples were obtained from 103 consecutive patients (62 male, 41 female) aged 22-85 years (mean, 64) admitted for coronary angiography because of suspected coronary heart disease and from 52 blood donors (43 male, 9 female) aged 40-64 years (mean, 49). Of the 101 evaluable patients, 60 (59%) were identified by nPCR assay as C. pneumoniae DNA carriers; C. pneumoniae-specific microimmunofluorescence (MIF) serology confirmed exposure to the bacterium in 57 (95%) of the 60 nPCR-positive patients. Among the 52 blood donors, the nPCR assay identified 24 (46%) C. pneumoniae DNA carriers, all of whom were positive by C. pneumoniae-specific serology. Thirty-two patients (32%) and 23 blood donors (44%) were MIF antibody-positive but repeatedly nPCR-negative; Bartonella henselae- or Bartonella quintana-specific antibodies were not detected among any of these subjects. In this study, C. pneumoniae DNA was common in PBMC of patients with coronary heart disease and in middle-aged blood donors.
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| 7. |
- Bozdayi, M., et al.
(author)
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Effects of heparin coating of cardiopulmonary bypass circuits on in vitro oxygen free radical production during coronary bypass surgery
- 1996
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In: Artificial Organs. - 0160-564X .- 1525-1594. ; 20:9, s. 1008-1016
-
Journal article (peer-reviewed)abstract
- During cardiopulmonary bypass (CPB) oxygen free radicals (OFR) are formed, which can mediate reactions damaging tissue components. Blood contact with artificial surfaces during CPB leads to an activation of leukocytes, which are one of the sources of the OFR. Heparin coating of the CPB circuit reduces granulocyte activation. In the present study, the heparin-coated circuits with noncoated cardiotomy reservoirs (Group HC) were compared with noncoated, otherwise similar CPB sets (Group C). In each group, 8 patients were operated on for coronary revascularization. The release of granulocyte granule proteins myeloperoxidase (MPO) and lactoferrin (LF) was evaluated. Production of OFR in the whole blood and in the granulocyte suspension were measured by chemiluminescence (CL). In both groups the whole blood CL declined during CPB. The whole blood CL induced by serum-opsonized zymosan, when enhanced by luminol, was significantly lower in Group HC at 45 min after CPB start (68 +/- 6% of initial values in Group HC vs. 87 +/- 6% in Group C, mean +/- SEM) and 30 min after protaminization (54 +/- 6% of initial values in Group HC vs. 72 +/- 6% in Group C, mean +/- SEM), and CL was significantly higher in Group HC at CPB end (83 +/- 5% of initial values in Group HC vs. 67 +/- 5% in Group C, mean +/- SEM) when enhanced by lucigenin. CL of isolated granulocytes showed no significant differences between the groups. Release of MPO at CPB end and of LF 45 min after start of CPB and at CPB end were significantly lower in the heparin-coated CPB circuits.
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| 8. |
- Brönmark, Christer, et al.
(author)
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Decoupling of cascading trophic interactions in a freshwater, benthic food chain
- 1996
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In: Oecologia. - Heidelberg, Germany : Springer Berlin/Heidelberg. - 0029-8549 .- 1432-1939. ; 108:3, s. 534-541
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Journal article (peer-reviewed)abstract
- Food chain theory provides explicit predictions for equilibrium biomasses among trophic levels in food chains of different lengths. Empirical studies on freshwater benthic food chains have typically been performed on chains with up to three levels and in field experiments with limited spatial and temporal scale. Here we use a ‘’natural snapshot experiment” approach to study equilibrium biomass and abundance among trophic levels in natural ponds differing only with respect to fish assemblage structure. Forty-four ponds were surveyed for their density and biomass of fish, snails and periphyton. Ponds were divided into three categories based on fish assemblage: ponds with no fish (two trophic levels), ponds with molluscivorous fish (three trophic levels), ponds with molluscivorous fish (three trophic levels) and ponds that also had piscivorous fish (four trophic levels). Ponds without fish had a high density and biomass of snails and a low biomass of periphyton, whereas snails with molluscivorous fish. In the presence of piscivores, molluscivore populations consisted of low numbers of large individuals. Snail assemblages in piscivore ponds were characterised by relatively high densities of small-bodied detritivorous species and periphyton biomass was not significantly different from ponds with three trophic levels. Thus, predictions from classic food chain theory were upheld in ponds with up to three trophic levels. In ponds with four trophic levels, however, there was a decoupling of the trophic cascade at the piscivore-molluscivore level. Gape-limited piscivory, predation on snails by molluscivores that have reached an absolute size refuge from predation, and changes in food preferences of the dominant snails are suggested to explain the observed patterns.
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| 9. |
- Carlsson, Annelie, et al.
(author)
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Prevalence of IgA-antiendomysium and IgA-antigliadin autoantibodies at diagnosis of insulin-dependent diabetes mellitus in Swedish children and adolescents
- 1999
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In: Pediatrics. - : American Academy of Pediatrics (AAP). - 1098-4275 .- 0031-4005. ; 103:6 I, s. 1248-1252
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Journal article (peer-reviewed)abstract
- Objective. This study was conducted to investigate the prevalence of celiac disease (CD) in children and adolescents at diagnosis of insulin- dependent diabetes mellitus (IDDM) before insulin treatment was started. Material and Methods. At diagnosis of IDDM, and before treatment was started, 115 children and adolescents were screened for IgA-antiendomysium (EMA) and IgA-antigliadin antibodies (AGA). Those found to be EMA-positive and/or AGA- positive were investigated further with intestinal biopsy. Results. Of the 115 patients, 2 had known CD at diagnosis of IDDM; of the remainder of patients, 6% (7/113) were found to be EMA-positive and 9% (10/113) were found to have AGA levels above normal. Of the 6 patients who underwent biopsy, 5 manifested villous atrophy. In addition, 2 patients with high EMA and AGA antibody titers refused biopsy, and 4 patients with low EMA and/or AGA titers were found to have normal titers at control before biopsy decision. Conclusion. Because the prevalence of CD at diagnosis of IDDM would seem to be 6% to 8%, screening for CD seems to be justified among patients with newly diagnosed IDDM.
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| 10. |
- Dever, Thomas E, et al.
(author)
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Modulation of tRNA(iMet), eIF-2, and eIF-2B expression shows that GCN4 translation is inversely coupled to the level of eIF-2.GTP.Met-tRNA(iMet) ternary complexes
- 1995
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In: Molecular and Cellular Biology. - : American Society for Microbiology. - 0270-7306 .- 1098-5549. ; 15:11, s. 6351-6363
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Journal article (peer-reviewed)abstract
- To understand how phosphorylation of eukaryotic translation initiation factor (eIF)-2 alpha in Saccharomyces cerevisiae stimulates GCN4 mRNA translation while at the same time inhibiting general translation initiation, we examined the effects of altering the gene dosage of initiator tRNA(Met), eIF-2, and the guanine nucleotide exchange factor for eIF-2, eIF-2B. Overexpression of all three subunits of eIF-2 or all five subunits of eIF-2B suppressed the effects of eIF-2 alpha hyperphosphorylation on both GCN4-specific and general translation initiation. Consistent with eIF-2 functioning in translation as part of a ternary complex composed of eIF-2, GTP, and Met-tRNA(iMet), reduced gene dosage of initiator tRNA(Met) mimicked phosphorylation of eIF-2 alpha and stimulated GCN4 translation. In addition, overexpression of a combination of eIF-2 and tRNA(iMet) suppressed the growth-inhibitory effects of eIF-2 hyperphosphorylation more effectively than an increase in the level of either component of the ternary complex alone. These results provide in vivo evidence that phosphorylation of eIF-2 alpha reduces the activities of both eIF-2 and eIF-2B and that the eIF-2.GTP. Met-tRNA(iMet) ternary complex is the principal component limiting translation in cells when eIF-2 alpha is phosphorylated on serine 51. Analysis of eIF-2 alpha phosphorylation in the eIF-2-overexpressing strain also provides in vivo evidence that phosphorylated eIF-2 acts as a competitive inhibitor of eIF-2B rather than forming an excessively stable inactive complex. Finally, our results demonstrate that the concentration of eIF-2-GTP. Met-tRNA(iMet) ternary complexes is the cardinal parameter determining the site of reinitiation on GCN4 mRNA and support the idea that reinitiation at GCN4 is inversely related to the concentration of ternary complexes in the cell.
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| 11. |
- Eker, C, et al.
(author)
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Clinical spectral characterisation of colonic mucosal lesions using autofluorescence and delta aminolevulinic acid sensitisation
- 1999
-
In: Gut. - : BMJ. - 1468-3288 .- 0017-5749. ; 44:4, s. 511-518
-
Journal article (peer-reviewed)abstract
- Background and aims-Laser induced fluorescence (LIF) from colonic mucosa was measured in vivo with and without delta aminolevulinic acid (ALA) in an attempt to differentiate between neoplasia and non-neoplasia in real time during colonoscopy. Methods-Spectra from 32 adenomas, 68 normal sites, and 14 hyperplastic polyps in 41 patients were obtained with a point monitoring system. Twenty one of the patients had been given a low dose of ALA as a photosensitiser before the examination. Light of 337, 405, or 436 nm wavelength was used as excitation. Stepwise multivariate Linear regression analysis was performed. Results-With 337 nm excitation, 100% sensitivity and 96% specificity was obtained between normal mucosa and adenomas. Seventy seven per cent of the hyperplastic polyps were classified as non-neoplastic. When exciting with 405 and 436 nm, the possibility of distinguishing different types of tissue was considerably better in the ALA patients than in the non-ALA patients. Conclusions-The in vivo point measurements imply that a good discrimination between normal tissue and adenomatous polyps can be obtained using the LIF technique. Excitation at 337 nm and at 405 nm or 436 nm using ALA gives good results. LIF also shows potential for distinguishing adenomatous from hyperplastic polyps. The number of detection wavelengths could be reduced if chosen properly.
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| 12. |
- El-Khoury, Antoine E, et al.
(author)
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Moderate exercise at energy balance does not affect 24-h leucine oxidation or nitrogen retention in healthy men
- 1997
-
In: American Journal of Physiology. - 0002-9513 .- 2163-5773. ; 273:2, s. E394-E407
-
Journal article (peer-reviewed)abstract
- Short-term metabolic experiments have revealed that physical exercise increases the oxidation of leucine, which has been interpreted to indicate an increased requirement for dietary protein in physically active subjects. Because it may be inaccurate to extrapolate measurements of amino acid oxidation made over a few hours to the entire day, we have carried out a continuous 24-h intravenous [1-13C]leucine/[15N]urea tracer study in eight healthy adult men. Their diet supplied 1 g protein.kg-1.day-1, and exercise (mean maximal O2 consumption 46%) was for 90 min during the 12-h fast and 12-h fed periods of the day. Subjects were adapted to the diet and exercise regimen for 6 days. Then, on day 7, they were dressed in the University of Uppsala energy metabolic unit's direct calorimeter suit, were connected to an open-hood indirect calorimeter, and received the tracers. Exercise increased leucine oxidation by approximately 50 and 30% over preexercise rates for fast and fed periods, respectively. This increase amounted to approximately 4-7% of daily leucine oxidation. Subjects remained in body leucine equilibrium (balance -4.6 +/- 10.5 mg.kg-1.day-1; -3.6 +/- 8.3% of intake; P = not significant from zero balance). Therefore, moderate exercise did not cause a significant deterioration in leucine homeostasis at a protein intake of 1 g.kg-1.day-1. These findings underscore the importance of carrying out precise, continuous, 24-h measurements of whole body leucine kinetics; this model should be of value in studies concerning the quantitative interactions among physical exercise, energy/protein metabolism, and diet in humans.
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| 13. |
- Eriksson, Peder G, et al.
(author)
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An experimental study on effects of submersed macrophytes on nitrification and denitrification in ammonium-rich aquatic systems
- 1999
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In: Limnology and Oceanography. - Waco, United States : American Society of Limnology and Oceanography, Inc.. - 0024-3590 .- 1939-5590. ; 44:8, s. 1993-1999
-
Journal article (peer-reviewed)abstract
- We have examined the role of microbial communities on the surface of submersed macrophytes and in the underlying sediment for nitrification and denitrification in light and dark in NH(4)(+)-enriched microcosm systems using isotope pairing and dilution techniques. Potamogeton pectinatus L. and intact sediment cores were collected in a shallow reservoir receiving treated municipal wastewater and containing dense submersed vegetation. Chambers containing P. pectinatus shoots, sediment, or both P. pectinatus shoots and sediment were exposed to 6 h of darkness, 6 h of light, and 6 h of darkness. (14)NH(4)(+) and (15)NO(3)(-) were added at ambient concentrations of 15 and 5 mg N liter(-1), respectively. NH(4)(+) was primarily nitrified in the epiphytic microbial communities, and NO; was denitrified in the underlying sediment. In chambers containing macrophytes, there was a net production of O(2) and NO(3)(-) in light and a net consumption in dark, and nitrification was higher in light than in dark. In chambers with only sediment, there was always a net consumption of NO(3)(-), and nitrification was similar in light and dark. The results show that submersed macrophytes can be important for the N metabolism in NH(4)(+)-rich freshwaters (e.g., wastewater treatment systems) by stimulating nitrification through providing surfaces for attached nitrifying bacteria and possibly also through diurnal changes in the water chemistry.
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| 14. |
- Eriksson, Peder G., et al.
(author)
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Functional differences in epiphytic microbial communities in nutrient-rich freshwater ecosystems : An assay of denitrifying capacity
- 1996
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In: Freshwater Biology. - Chichester, United Kingdom : Wiley-Blackwell. - 0046-5070 .- 1365-2427. ; 36:3, s. 555-562
-
Journal article (peer-reviewed)abstract
- 1. The denitrifying capacity of epiphyton was used to evaluate differences in the function of epiphytic microbial communities on submersed macrophytes in nutrient-rich freshwater ecosystems. The denitrifying capacity of epiphyton on Patamogeton perfoliatus shoots of different age and with different epiphytic abundances from a eutrophic lake was investigated in laboratory microcosms in the Light and dark. Additionally, differences between epiphyton on shoots of Potamogeton pectinatus grown under different in Situ nutrient and hydraulic conditions were investigated by examining their denitrifying capacity. 2. Denitrification was registered in well-developed epiphytic layers on both mature and senescent shoots in the dark, with activities 3- to 10-fold higher in the epiphytic communities of senescent shoots. No activity was detected on young shoots with sparse epiphyton or on shoots from which loosely attached epiphyton had been removed. Denitrification never occurred during illumination. 3. Even though the epiphytic abundance was similar in magnitude, the denitrifying capacity of epiphyton adapted to high nutrient loadings was about a hundred times higher than that of epiphyton adapted to lower nutrient levels. Additionally, epiphytic abundance and denitrifying capacity were higher at sites less exposed to wave turbulence or water currents, than at sites with more water turbulence. 4. The results illustrate how the hydraulic and nutrient conditions of the surrounding water affect both the quantity and function of epiphytic microbial communities in nutrient-rich freshwater ecosystems.
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| 15. |
- Eriksson, Peder G., et al.
(author)
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Nitrogen removal in a wastewater reservoir : The importance of denitrification by epiphytic biofilms on submersed vegetation
- 1997
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In: Journal of Environmental Quality. - Madison, United States : American Society of Agronomy. - 0047-2425 .- 1537-2537. ; 26:3, s. 905-910
-
Journal article (peer-reviewed)abstract
- The aim of this study was to examine the importance of epiphytic denitrifying bacteria on submersed vegetation in removing N from a shallow nutrient-enriched freshwater ecosystem. The investigation was conducted during the summer of 1994 in a surface now reservoir receiving municipal tertiary-treated wastewater. The submersed vegetation in the reservoir was dominated by Potamogeton pectinatus L. and filamentous green algae (FGA). The N loading was 2300 mg N h(-1) m(-2) and the N removal, calculated as the mean difference between influent and effluent N, was 190 mg N h(-1) m(-2) (8%). The majority of influent N consisted of NH4+, but the main part of the N removal was due to the removal of NO3- whereas no net retention of NH4+ was found. Mean total soluble solids and BOD7 retention was 69 and 38%, respectively, Denitrification measurements were conducted in darkness at in situ temperature in microcosms with P. pectinatus, FGA, or infect sediment cores. Epiphytic denitrification ranged between 0.21 to 7.0 mg N h(-1) m(-2) reservoir surface area depending on the abundance of the submersed vegetation (5-140 g DW m(-2)). Sediment denitrification was 4.7 mg N h(-1) m-L reservoir surface area. The mean assimilative N uptake of the submersed vegetation and epiphyton was 3.4 and 1.6 mg N h(-1) m(-2) reservoir surface area, respectively. Measured N removal rates through plant uptake and denitrification could only account for a minor part of the N removal observed by mass balance. However, microcosm denitrification measurements underestimate actual denitrification. Thus, the major part of the N removal was most likely due to denitrification. In conclusion, this study indicates that denitrification in epiphytic microbial communities on submersed vegetation can be of significant importance for the N removal in nutrient-enriched freshwater ecosystems.
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| 16. |
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| 17. |
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| 18. |
- Hankamer, B, et al.
(author)
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Isolation and biochemical characterisation of monomeric and dimeric photosystem II complexes from spinach and their relevance to the organisation of photosystem II in vivo
- 1997
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In: European Journal of Biochemistry. - 0014-2956 .- 1432-1033. ; 243:1-2, s. 422-429
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Journal article (peer-reviewed)abstract
- Membranes enriched in photosystem II were isolated from spinach and further solubilised using n-octyl beta-D-glucopyranoside (OctGlc) and n-dodecyl beta-D-maltoside (DodGlc(2)). The OctGlc preparation had high rates of oxygen evolution and when subjected to size-exclusion HPLC and sucrose density gradient centrifugation, in the presence of DodGlc(2), separated into dimeric (430 kDa), monomeric (236 kDa) photosystem II cores and a fraction containing photosystem II light-harvesting complex (Lhcb) proteins. The dimeric core fraction was more stable, contained higher levels of chlorophyll, beta-carotene and plastoquinone per photosystem II reaction centre and had a higher oxygen-evolving activity than the monomeric cores. Their subunit composition was similar (CP43, CP47, D1, D2, cytochrome b 559 and several lower-molecular-mass components) except that the level of 33-kDa extrinsic protein was lower in the monomeric fraction. Direct solubilisation of photosystem-II-enriched membranes with DodGlc(2), followed by sucrose density gradient centrifugation, yielded a super complex (700 kDa) containing the dimeric form of the photosystem II core and Lhcb proteins: Lhcb1, Lhcb2, Lhcb4 (CP29), and Lhcb5 (CP26). Like the dimeric and monomeric photosystem II core complexes, the photosystem II-LHCII complex had lost the 23-kDa and 17-kDa extrinsic proteins, but maintained the 33-kDa protein and the ability to evolve oxygen. It is suggested, with a proposed model, that the isolated photosystem II-LHCII super complex represents an in vivo organisation that can sometimes form a lattice in granal membranes of the type detected by freeze-etch electron microscopy [Seibert, M., DeWit, M. & Staehelin, L. A. (1987) J. Cell Biol. 105, 2257-2265].
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| 19. |
- Hou, M, et al.
(author)
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Multiple quinine-dependent antibodies in a patient with episodic thrombocytopenia, neutropenia, lymphocytopenia, and granulomatous hepatitis.
- 1997
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In: Blood. - 0006-4971. ; 90:12, s. 4806-11
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Journal article (peer-reviewed)abstract
- A 58-year-old man experienced episodes of fever, vomiting, and diarrhea over a 2-year period. The laboratory evaluation during these attacks consistently disclosed thrombocytopenia, leukopenia, and elevated liver enzymes. A liver biopsy performed at one of these attacks showed a typical picture of granulomatous hepatitis. In retrospect, all episodes seemed to be associated with the ingestion of quinine. Indeed, such a correlation was established by a challenge with quinine. By using flow cytometry, quinine-dependent IgG antibodies to platelets were detected in the patient serum. By a two-color flow cytometric assay, the patient serum was also found to hold quinine-dependent antibodies specific for neutrophils, T lymphocytes, and B lymphocytes. Moreover, serum absorbed with neutrophils in the presence of quinine continued to react with platelets, T lymphocytes, and B lymphocytes; serum that was absorbed with mononuclear cells continued to react with neutrophils and platelets. These experiments indicated that the antigen targets were different on platelets, neutrophils, and lymphocytes. Further, the patient serum in the presence of quinine immunoprecipitated surface-labeled platelet proteins with electrophoretic mobilities closely resembling those of glycoprotein (GP) Ib/IX and GPIIb/IIIa. By a modified monoclonal antibody-specific immobilization of platelet antigens assay, the patient serum in the presence of quinine reacted with platelet GPIb/IX and GPIIb/IIIa. Also, the patient serum in the presence of quinine immunoprecipitated an uncharacterized 15-kD double-band from surface-labeled granulocyte proteins. We conclude that our patient's thrombocytopenia, neutropenia, and lymphocytopenia were caused by quinine-dependent antibodies and that these antibodies recognized cell lineage-specific epitopes.
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| 20. |
- Kim, S J, et al.
(author)
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Distinct "assisted" and "spontaneous" mechanisms for the insertion of polytopic chlorophyll-binding proteins into the thylakoid membrane
- 1999
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In: Journal of Biological Chemistry. - 0021-9258 .- 1083-351X. ; 274:8, s. 4715-4721
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Journal article (peer-reviewed)abstract
- The biogenesis of several bacterial polytopic membrane proteins has been shown to require signal recognition particle (SRP) and protein transport machinery, and one such protein, the major light-harvesting chlorophyll-binding protein (LHCP) exhibits these requirements in chloroplasts. In this report we have used in vitro insertion assays to analyze four additional members of the chlorophyll-alb-binding protein family. We show that two members, Lhca1 and Lhcb5, display an absolute requirement for stroma, nucleoside triphosphates, and protein transport apparatus, indicating an "assisted" pathway that probably resembles that of LHCP. Two other members, however, namely an early light-inducible protein 2 (Elip2) and photosystem II subunit S (PsbS), can insert efficiently in the complete absence of SRP, SecA activity, nucleoside triphosphates, or a functional Sec system. The data suggest a possibly spontaneous insertion mechanism that, to date, has been characterized only for simple single-span proteins. Of the membrane proteins whose insertion into thylakoids has been analyzed, five have now been shown to insert by a SRP/Sec-independent mechanism, suggesting that this is a mainstream form of targeting pathway. We also show that PsbS and Elip2 molecules are capable of following either "unassisted" or assisted pathways, and we discuss the implications for the mechanism and role of SRP in chloroplasts.
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| 21. |
- Magnusson, Stefan, et al.
(author)
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Biotinylated platelets have an impaired response to agonists as evidenced by in vitro platelet aggregation tests.
- 1998
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In: Thrombosis research. - 0049-3848. ; 89:2, s. 53-8
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Journal article (peer-reviewed)abstract
- Biotinylation of platelets, using a water soluble biotin analogue which reacts with primary amines, has been proposed to be a reliable technique for study of in vivo survival of platelets and their subpopulations. The information about the influence of this technique on platelet function has been limited. In the present work we studied the effect of in vitro biotinylation on platelet function and activation. Washed human platelets, at a concentration of 1 x 10(9)/L, were biotinylated with five different concentrations of sulfo-NHS-biotin or NHS-LC-biotin, ranging from 0 to 5 mM. The degree of platelet activation during and after biotinylation was monitored by measuring the externalization of P-selectin, and the platelet function was evaluated by aggregometry. It was observed that biotinylated platelets, in a dose dependent manner, displayed an impaired aggregation response. A slight increase in platelet membrane P-selectin occurred during the labelling procedure.
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| 22. |
- Magnusson, Stefan, et al.
(author)
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Soluble saccharides block the inhibition of agonist-induced human platelet aggregation observed after in vitro incubation of human platelet-rich plasma with porcine aortic endothelial cells.
- 1998
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In: Transplant international : official journal of the European Society for Organ Transplantation. - 0934-0874. ; 11:5, s. 345-52
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Journal article (peer-reviewed)abstract
- Platelet aggregation is a prominent feature in the hyperacute process of vascularized allografts and xenografts. In a study of extracorporeal connection of pig kidneys to the blood circulation of human volunteers, we observed in one case considerable destruction of human platelets in the pig kidney without signs of hyperacute rejection or microthrombi formation. In the present study, we have investigated the agonist-induced aggregation of human platelets in mixtures with porcine aortic endothelial cells (PAEC). In vitro incubation of human platelet-rich plasma (PRP) with PAEC inhibited platelet aggregation induced by ADP, collagen and arachidonic acid in a time-dependent manner and partially inhibited adrenalin-induced aggregation. Aggregation of the human platelets could not be induced by high concentrations of ADP (20 microM) to overcome the inhibition capacity of the PAEC. The PAEC inhibiting effect could be transferred by the supernatants of PAEC/PRP and PAEC/PPP incubation mixtures. Preincubation of the PAEC with aspirin, but not with NG-methyl-L-Arg, reduced the aggregation inhibitory effect. Control experiments mixing human umbilical vein endothelial cells (HUVEC) and human PRP or mixing porcine PRP and PAEC did not elicit any inhibition of ADP-induced platelet aggregation. The aggregation inhibition effect could partially be blocked by preincubation of PRP with soluble Gal alpha 1-3Gal, Gal alpha 1-3 beta 1-4GlcNAc, lactose, galactose, and glucose, but not by lactosamine, galactosamine, or glucosamine. The Gal alpha 1-3Gal disaccharide was most effective in blocking aggregation inhibition, and to a similar extent as its ability to block the human anti-pig lymphocytotoxicity reaction. In conclusion, the data indicate that PAEC, upon stimulation by human anti-pig xenoantibodies in a nondynamic system, inhibits agonist-induced human platelet aggregation, and that this effect is probably at least partially caused by prostacyclin released from the PAEC.
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| 23. |
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| 24. |
- Naredi, Silvana, 1953, et al.
(author)
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Vasogenic edema and brain trauma.
- 1999
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In: Intensive Care Medicine. - 0342-4642 .- 1432-1238. ; 25, s. 244-245
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Research review (peer-reviewed)
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| 25. |
- Panula, Harri E., et al.
(author)
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Elevated levels of synovial fluid PLA2, stromelysin (MMP-3) and TIMP in early osteoarthrosis after tibial valgus osteotomy in young beagle dogs
- 1998
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In: Acta Orthopaedica Scandinavica. - 0001-6470. ; 69:2, s. 152-158
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Journal article (peer-reviewed)abstract
- We determined the concentration of markers in cartilage and synovium metabolism in the synovial fluid (SF) of the knee of young beagle dogs with slowly progressive osteoarthrosis. Osteoarthrosis (OA) was induced by a tibial 30°valgus osteotomy to the right hindlimb of 16 dogs. The contralateral knee served as control. The animals were killed 7 (group I) and 18 months (group II) after operation. The levels in SF of chondroitin sulfate (CS), tissue inhibitor of metalloproteinases (TIMP-1), stromelysin (MMP-3), hyaluronan (HA), and the activity of phospholipase A2 enzyme (PLA2) were assayed. The first microscopic signs of cartilage degeneration were observed 7 months postoperatively and the lesions became more severe, including osteophyte formation during the following 11 months. The synovial fluid level of MMP-3 was higher (p = 0.04) at both time-points in the knee joint of the operated hindlimb than in the contralateral joint. On the operated side, 7 months postoperatively, synovial fluid PLA2 activity was higher (p = 0.02) than in the contralateral knee joint, but not 18 months postoperatively. The SF level of TIMP-1 was higher (p = 0.04) in the operated joint than in the contralateral joint 18 months after operation. The molar ratio of MMP-3 to TIMP-1 was higher (p = 0.001) in group II than in group I. The changes observed in the concentration of synovial fluid markers in this slowly progressive canine OA model suggest that activation of an inflammation-related process occurs at an early stage of the OA disease induced by unilateral tibial valgus osteotomy.
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