Ultrastructure of a glomus tumour

The ultrastructure of a glomus tumour is described, and the implications of the findings with regard to the histogenesis of this type of tumour are briefly discussed.

Rheumatoid heart disease with complete heart block

A case of florid rheumatoid heart disease with complete heart block is described, and the histopathology of the atrioventricular conducting tissue is described in detail.

The cellular infiltrate in Hashimoto's disease and focal lymphocytic thyroiditis

The lymphoid cells infiltrating the thyroid in three examples of Hashimoto's disease and three examples of focal lymphocytic thyroiditis have been studied by light and electron microscopy. The cell types found were small lymphocytes, plasma cells and plasmablasts, immunoblasts, and cells morphologically intermediate between immunoblasts and small lymphocytes. The infiltrate was similar in the two conditions studied and resembled the cell response found in other conditions thought to be due to delayed hypersensitivity. It is considered that these similarities support the views that focal lymphocytic thyroiditis is a focal form of Hashimoto's disease and that delayed hypersensitivity is important in the pathogenesis of these conditions.

Dissecting aneurysm of the aorta due to giant cell arteritis

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Observations on the maintenance of Trichomonas vaginalis and Trichomonas foetus; the effects of cortisone and agar on enhancement of severity of subcutaneous lesions in mice

Methods are described for the freezing of trichomonads, suspended in a liverinfusion broth, to – 20 °C and – 70 °C, and storage at these temperatures. After 9 months’ storage at – 70 °C, with dimethyl sulphoxide, six strains of T. vaginalis and three strains of T. foetus were alive; three trichomonas strains frozen earlier were also alive after 13 months. Four of the T. vaginalis strains survived equally well for 6 months at – 70 °C, in the presence of either dimethyl sulphoxide or glycerol.

Although trichomonads may be maintained by subculture in a modified Diamond medium, storage at – 70 °C is more economical and less tedious; – 20 °C is not a satisfactory storage temperature for T. vaginalis or T. foetus, even in the presence of dimethyl sulphoxide or glycerol.

The severity of subcutaneous lesions in mice produced by six freshly isolated strains of T. vaginalis, and two out of three stock culture strains of T. foetus, was enhanced by either the addition of agar to the suspending medium or administration of cortisone to the mice. One strain of T. foetus produced lesions only in the presence of agar, cortisone, on the dose schedule used, being ineffective.

After storage at – 70 °C or cultivation in agar medium for 6 months, the virulence of trichomonads of either species was little affected, and lesions in mice were enhanced by agar in a similar degree to that found originally.

For enhancing the severity of subcutaneous lesions in mice the agar method, involving only one injection, is simpler than the repeated administration of cortisone to infected mice; agar was shown to be more effective than cortisone with small infecting doses of one strain of T. vaginalis quantitatively tested.

The subcutaneous injection of mice with trichomonads suspended in a liver-infusion broth containing 0·06% agar regularly produces lesions of the degree of severity required for the evaluation of compounds for therapeutic activity.

We express our gratitude to Mr S. A. Price for constructive criticism and helpful suggestions during the preparation of the manuscript. Dr S. R. M. Bushby kindly provided details of the dimethyl sulphoxide method and apparatus in use in his laboratory for the low-temperature preservation of tumour cells and trichomonads. For supplying the trichomonas strains we are grateful to Dr L. P. Joyner, Miss M. Moore-Tucker and Mr C. S. Ledwich. We thank Mr W. A. Freeman for advice on the composition of the inoculum medium.

THE RELATION OF EXERCISE TO BUBBLE FORMATION IN ANIMALS DECOMPRESSED TO SEA LEVEL FROM HIGH BAROMETRIC PRESSURES

1. Bullfrogs (Rana catesbiana) and rats have been subjected to high barometric pressures and studied for bubble formation on subsequent decompression to sea level. Pressures varying from 3 to 60 pounds per square inch, in excess of atmospheric pressure, were used. 2. Muscular activity after decompression is necessary for bubble formation in bullfrogs after pressure treatment throughout the above range. Anesthetized frogs remained bubble-free following decompression. Rats compressed at 15 to 45 pounds per square inch likewise did not contain bubbles unless exercised on return to sea level. 3. Bubbles form without voluntary muscular activity in anesthetized rats previously subjected to pressure of 60 pounds per square inch. Small movements involved in breathing and other vital activities are believed sufficient to initiate bubbles in the presence of very high supersaturations of N₂. 4. Bubbles appear (with exercise) in rats previously compressed at 15 pounds per square inch, and in bullfrogs subjected to pressure at levels as low as 3 pounds per square inch above atmospheric pressure. The percentage drop in pressure necessary for bubble formation is less in compressed animals than in those decompressed from sea level to simulated altitudes. 5. The action of exercise on bubble formation in compressed frogs and rats is attributed to mechanical factors associated with muscular activity, combined with the high supersaturation of N₂. CO₂ probably is not greatly involved, since its concentration does not reach supersatuation, as it does at high altitude. 6. Anoxia following decompression from high barometric pressures has no observable facilitating effect on bubble formation.

ADDITIONAL MECHANISMS FOR THE ORIGIN OF BUBBLES IN ANIMALS DECOMPRESSED TO SIMULATED ALTITUDES

1. A heavy ingestion of frothy emulsified fat by rats and bullfrogs does not increase susceptibility to bubble formation when the animals are decompressed 2 to 72 hours later. This indicates that gaseous films (bubble nuclei) initially present do not pass across the intestinal wall with the digested fat, and also that high fat content per se in the lymph and blood does not increase susceptibility to bubble formation. 2. Liquid caprylic acid injected into veins of bullfrogs crystallizes when the frogs are cooled. The crystallization causes bubbles to form without muscular activity on subsequent decompression. Cooling normal bullfrogs to 1–2°C. fails, however, to crystallize any substances occurring naturally in the animals that might act in a similar manner. 3. When bullfrogs are cooled (e.g. to –5° to –10°C.) until ice forms in the blood vessels, and are then warmed and decompressed, bubbles form in the absence of exercise. Crystallization of water in the body thus forms nuclei or even small bubbles that persist. If only one foot is frozen, bubbles originate in the frozen foot. In some cases visible bubbles were observed in thawed feet at sea level (i.e. without decompression). When frog's blood is partly frozen in test tubes or in tied off sections of veins, bubbles will appear on decompression in the absence of mechanical agitation. The practical relation of this phenomenon to flight at high altitude should not be overlooked. 4. Fracturing a leg bone (tibia or femur) in a frog induces bubble formation on subsequent decompression. Bubble nuclei, which persist for ½ to 1 hour, are probably formed as a result of the intense mechanical disturbance when the bone snaps. Fracturing of bone is considerably more effective than crushing muscles for producing bubbles in frogs.