A motif in the alphabeta T-cell receptor controls positive selection by modulating ERK activity

Positive selection allows thymocytes that recognize an individual's own major histocompatibility complex (self-MHC) molecules to survive and differentiate, whereas negative selection removes overtly self-reactive thymocytes. Although both forms of thymic selection are mediated by the alphabeta T-cell receptor (TCR) and require self-MHC recognition, an important question is whether they are controlled by distinct signalling cascades. We have shown that mutation of an essential motif within the TCR alpha-chain-connecting peptide domain (alpha-CPM) profoundly affects positive but not negative selection. Using transgenic mice expressing a mutant alpha-CPM TCR we examined the contribution of several mitogen-activated protein kinase (MAPK) cascades to thymic selection. Here we show that in thymocytes expressing a mutant alpha-CPM receptor, a positively selecting peptide failed to activate the extracellular signal-regulated kinase (ERK), although other MAPK cascades were induced normally. The defect in ERK activation was associated with impaired recruitment of the activated tyrosine kinases Lck and ZAP-70, phosphorylated forms of the TCR component CD3zeta and the adaptor protein LAT to detergent-insoluble glycolipid-enriched microdomains (DIGs). Therefore, an intact DIG-associated signalosome is essential for sustained ERK activation, which leads to positive selection.

Clinical studies on daily low dose oxytocin in mares at term

The aim of this study was to test whether low dose oxytocin i.v. injection once a day to mares diagnosed as being ready for birth by mammary secretion calcium strip test measurements could be used as a reliable method to induce parturition and/or predict the mare would not foal during the following night if parturition did not occur within 2 h of treatment. Fifty-one near-term Haflinger mares were used and a single injection of 2.5 iu oxytocin was given between 1700 and 1900 h, including 10 mares used as controls which were administered a placebo. Administration of oxytocin resulted in the delivery of a normal foal within 120 min in 95% of mares. Twenty-four out of 38 (63%) treated animals foaled in response to the first oxytocin injection, 9 out of 38 (24%) in response to the second injection and 3 out of 38 (8%) in response to the third treatment. Two out of 38 (5%) treated mares foaled during the night irrespective of treatment whereas 7 out of 10 (70%) control mares foaled during the night. It was concluded that the major advantage of injecting a daily low dose of oxytocin appears to be that such a low dose induces delivery only in mares carrying a mature fetus and which are ready to foal.

Outsourcing to increase service capacity in a New Zealand hospital

Service firms manage variability using both demand-side tactics (levelling customer demand), and supply-side tactics (increasing available capacity). One popular way of increasing available capacity is the outsourcing of non-core services. This article uses a case study to examine the impact of an outsourced non-core service on a hospital's overall service system. Findings show that the outsourced service provides access to more sophisticated technology, increases in-house capacity and saves capital expenditure. However, the outsourcing also increases the scheduling problems that the hospital faces. These problems are largely due to communication delays from the involvement of more than one organisation. These delays decrease the response time available to match changes in demand for the outsourced service. Given the obvious benefits of such outsourcing, the article concludes that management should pay close attention to the communication pathways between organisations, in order to minimise the end effects identified in this study.

Which insemination results in fertilization when several are performed before ovulation?

The aim of the present study was to determine which artificial insemination results in fertilization when mares are inseminated several times before ovulation. Mares in oestrus were inseminated over 62 cycles with fresh semen at 48 h intervals from when a follicle > or =30 mm in diameter was detected until ovulation. The number of inseminations was limited to three. Three fertile stallions were used and a different stallion was used for each artificial insemination. The order of the three stallions was changed for each cycle. Embryos were collected between day 10 and day 12 after ovulation and paternity was checked using DNA typing. When two inseminations were performed per cycle, 14 of 17 embryos were the result of the insemination performed on days 2-4 before ovulation and three embryos were the result of the insemination performed on days 0-2. When three inseminations were performed, 1 of 6, 2 of 6 and 3 of 6 embryos resulted from the inseminations performed 4-6, 2-4 and 0-2 days before ovulation, respectively. Thus, 17 of 23 (74%) oocytes were not fertilized as a result of the insemination performed 0-2 days before ovulation. The mean interval between fertilization and ovulation in the mares from which embryos were recovered and tested (n=23) was 2.6 +/- 1.0 days. These results indicate that spermatozoa can remain viable in the genital tract of mares for at least 2.6 days.

Clinicians and computers: friends or foes?

BACKGROUND

Computer-aided learning is accepted by students as a learning resource, but the views of the teaching community are largely unknown.

PURPOSE

To document clinicians' experience with computers and to record their attitudes toward computer usage in clinical practice and student education.

METHODS

Questionnaire mailed out to all clinicians, including interns and residents, fellows, and attending physicians in 3 major teaching hospitals in South Australia, with a total of 646 clinical staff.

RESULTS

Replies were received from 246 staff. Eighty percent of clinicians had at least 2 years of experience with computers and used computers for at least 2 hr each week. Despite this, there was an obvious lack of conviction among clinicians that computer-aided learning was of use in student education and assessment. This may reflect their lack of experience with this medium as an educational tool.

CONCLUSIONS

If computer-aided learning is to make any significant impact on medical student education, it must be carefully and objectively evaluated, and its benefit must be clearly demonstrated to clinical teachers.

Freezing of stallion semen: interactions among cooling treatments, semen extenders and stallions

In the present study, the interactions among stallions, semen extenders and cooling treatments before stallion semen samples were frozen were studied. In Expt 1, the effects of four cooling treatments and three semen extenders were investigated (11 stallions x four split ejaculates), whereas in Expt 2, the effects of two semen extenders, two egg yolk concentrations and two glycerol concentrations were investigated (six stallions x five split ejaculates). Sperm motility after thawing was evaluated. In Expt 1, the extender x cooling treatment interaction was significant. Centrifugation and addition of glycerol at 22 degrees C, followed by filling the straws at 4 degrees C and immediate freezing had detrimental effects in INRA82 + 2% (v/v) egg yolk + 2.5% (v/v) glycerol semen extender and in Gent semen extender compared with the same processes in Kenney + 4% (v/v) egg yolk + 3.6% (v/v) glycerol semen extender. The other cooling treatments, including moderate cooling of semen to 4 degrees C before freezing, resulted in higher sperm motility and had similar effects among treatments. Semen samples from some stallions appeared to withstand freezing more effectively after some cooling treatments than other treatments. Some stallion spermatozoa demonstrated higher motility in Kenney semen extender, whereas other semen samples had the same motility in all extenders. In Expt 2, the stallion x extender interaction was not significant. Increasing the glycerol concentrations from 2.5 to 3.5% (v/v) enhanced sperm motility in semen extenders containing 4% (v/v) egg yolk (INRA82 and Kenney). Increasing the egg yolk concentrations from 2 to 4% (v/v) in extenders containing 3.1-3.6% (v/v) glycerol improved sperm motility in Kenney semen extender only. These experiments demonstrate that there are possible differences in the ability of spermatozoa from different stallions to withstand different cooling treatments, but not necessarily in their tolerance to different semen extenders.

Effect of L-glutamine for freezing equine embryos: evaluation by DAPI staining and transfer of multiple embryos to recipient mares

Day 6.5 equine embryos (n=30) were frozen in a medium containing glycerol (2.5-10.0%) supplemented with 0, 20 or 100 mmol L-glutamine 1(-1). After thawing, the embryos were tested individually, using 4',6'-diamidino-2-phenylindole (DAPI) staining to evaluate cell death. Three embryos (one frozen at each L-glutamine concentration) were transferred together into individual recipient mares. Pregnancy diagnosis was performed at day 12 (age of embryo). Embryos were collected at day 14 (age of embryo) and were identified by PCR amplified microsatellite analysis. Nine of ten recipient mares that received multiple embryos were pregnant: one mare was pregnant with two embryos and the other eight mares were pregnant with one embryo. The pregnancy rate was significantly higher (P < 0.05) for embryos transferred to recipient mares after freezing in media containing 100 mmol L-glutamine l(-1) (6 of 10 pregnancies) than for embryos frozen in media containing either 20 or 0 mmol L-glutamine l(-1) (1 of 10 and 3 of 10 pregnancies, respectively). Furthermore, DAPI staining analysis indicated that the percentage fluorescence was significantly lower (P < 0.05) in embryos frozen in media containing 100 mmol L-glutamine l(-1) (4.6 +/- 2.4, n=10) than in embryos frozen in media containing either 20 or 0 mmol L-glutamine l(-1) (23.0 +/- 31.3 and 10.8 +/- 9.5, n=10, respectively).

Zona pellucida-sperm binding assay for equine oocytes

The binding of a spermatozoon to the zona pellucida is the first step in fertilization. The number of spermatozoa bound to a zona pellucida may reflect the functional status of both the oocyte and spermatozoa. The aim of the present study was to determine whether the stage of maturation of the equine oocyte affects the capacity of the zona pellucida to bind with spermatozoa. Cumulus-oocyte complexes (COCs) were collected from the ovaries of mares from abattoirs or were obtained in vivo by ultrasound-guided follicular aspiration. Oocytes were inseminated directly after collection or after 30 h of in vitro maturation (IVM) with semen from the same ejaculate. The results indicate that the immature equine oocytes collected from abattoirs and inseminated directly after collection bound fewer spermatozoa than did mature (metaphase I or II) oocytes inseminated after 30 h of IVM. A similar correlation was observed with the oocytes collected in vivo. The mean number of spermatozoa bound by mature oocytes collected from preovulatory follicles and inseminated directly after collection was 324 +/- 29, whereas the mean number of spermatozoa bound by immature oocytes from nonpreovulatory follicles inseminated without maturation was 222 +/- 26 (P < 0.05). This difference was not observed in the oocytes inseminated after maturation. It is postulated that immature equine oocytes bind fewer spermatozoa than do oocytes matured either in vivo or in vitro.

Determination of minimum light treatment required for photostimulation of winter anoestrous mares

Classical photostimulation of winter anoestrous mares consists of a light treatment with 14.5-16.0 h white light (100 lux), starting near the time of the winter solstice and ending around the time of the summer solstice. Cyclicity is obtained typically after about 70 days of treatment. The aim of the present study was to establish the minimum number of days of treatment, the lowest light intensity and the duration of light required per day to advance the onset of ovarian activity in winter anoestrous mares. In Expt 1 it was demonstrated that a 35 day exposure to a photoperiod (14.5 h light: 9.5 h dark, 100 lux) starting at about the winter solstice is sufficient to advance the onset of the breeding season of Pony mares undergoing winter anoestrus. In Expt 2 it was established that a light of only 3 lux intensity inhibits an increase in melatonin concentrations in the evening after the usual time of switching the lights off. In Expt 3, a low light intensity (10 lux) produced with a 25 W white incandescent bulb was sufficient for photostimulation of the mares. In Expts 4 and 5, 1 h light (10 lux) during the photosensitive phase for 35 days advanced the onset of the breeding season in only half of the mares treated.

Progesterone, oestrogen and glucocorticoid receptors in the uterus and mammary glands of mares from mid- to late gestation

Progesterone, oestrogen and glucocorticoid receptor concentrations in the uterus and mammary glands of pregnant mares during mid- to late gestation (from day 150 of gestation to term) were measured by binding assays to investigate the hormonal mechanisms involved in pregnancy maintenance and lactation. Uterine progesterone receptor concentrations did not increase significantly with increasing gestational age (from 67.8 +/- 13.7 to 126.1 +/- 48.7fmol mg(-1) protein), whereas oestrogen receptor concentrations were significantly higher in pregnant mares (271.7 +/- 28.9 fmol mg(-1) protein) than in non-pregnant control mares (54.9 +/- 8.1 fmol mg(-1) protein; P < 0.05). There was no correlation between progesterone and oestrogen receptor concentrations, and plasma progesterone and oestrone sulphate concentrations, respectively. In contrast, mammary gland progesterone and oestrogen receptor concentrations decreased significantly with gestational age (from 139.7 +/- 34.6 to 66.7 +/- 22.0 fmol mg(-1) protein and 225.2 +/- 13.3 to 87.6 +/- 14.4 fmol mg(-1) protein, respectively; P < 0.05). The dissociation constant (Kd value) of 16alpha-ethyl-21-hydroxy-19-nor-4-pregnene-3,20-dione (ORG2058) for progesterone receptors was 22 nmol l(-1). 5alpha-pregnane-3,20-dione (5alpha-DHP) had a high affinity for progesterone receptors, which was similar to that of progesterone, whereas other equine progestagens and 11-[4-(dimethylamino)phenyl]-17-hydroxy-17(1-propynyl)estra-4,9-diene-3-one (RU486) did not bind to progesterone receptors. Oestradiol bound the oestrogen receptors with a Kd value of 0.9 nmol l(-1), which was 10 times more potent than that of 3-hydroxy-1,3,5(10),7-oestratetraen-17-one (equilin). The concentration of glucocorticoid receptors (Kd value = 1.3 nmol l(-1)) was constant between the tissues and reproductive stages. In the present study, striking differences were observed between progesterone receptor expression in the uterus and the mammary glands during pregnancy, probably due to tissue-specific variations in 5alpha-DHP activity. This finding indicates that 5alpha-DHP has an important physiological role in equine gestation.

Preservation of stallion sperm quality by native phosphocaseinate: a direct or indirect effect?

Milk-based diluents are generally considered efficient for survival of stallion spermatozoa in vitro. However, milk is a complex and variable medium and native phosphocaseinate is a milk component that is more efficient for preservation of sperm motility and fertility, although the mechanisms involved in this protection have not yet been elucidated. The aim of the present study was to characterize the interactions between native phosphocaseinate and equine spermatozoa. No binding between sperm membranes and native phosphocaseinate was observed using indirect immunofluorescent staining or electron microscopy and native phosphocaseinate showed no indirect protective effect on spermatozoa after incubation in two distinct storage chambers separated by a dialysis membrane. In addition, the intracellular Ca2+ concentrations in spermatozoa did not alter after incubation in native phosphocaseinate. The favourable influence of the native micelle structure of the casein was observed only for spermatozoa stored at 15 degrees C. In conclusion, the results of the present study indicate that native phosphocaseinate has a direct protective effect on equine spermatozoa, without any evidence of binding to sperm membranes.

Effect of time during transport of excised mare ovaries on oocyte recovery rate and quality after in vitro maturation

In the mare only a limited number of oocytes can be successfully collected in vivo, so that when large numbers of oocytes are needed for experimentation, ovaries harvested from slaughtered mares must be used. The resulting temperature changes and time intervals mandated by handling and transport of ovaries from the slaughterhouse to the laboratory adversely affect the rate of oocyte recovery and their quality after IVF and maturation. We chose to study the effect of temperature and time in transit of excised ovaries by evaluating rate of oocyte recovery, nuclear maturation stage reached before, and cleavage rate reached after IVF, following short (1.5 to 4 h) and long (6 to 8 h) storage. Temperatures in the storage container decreased from 37-C to 32 degrees and 27.5 degrees C during the short and long interval, respectively. The cumulus-oocytes complexes (COCs) were classified as having a compact cumulus, completely or partially surrounding the oocyte (compact); those having only a corona radiata surrounding the oocyte (corona); those having a completely or partially expanded cumulus, showing a cellular or sparsely cellular, gelatinous cloud around the oocyte (expanded); and those that were completely denuded of both cumulus and corona cells (denuded). All COCs, except the denuded ones, which were discarded, were matured in vitro for 30 h at 38.5 degrees C in 5% CO2. The recovery rate of oocytes was significantly higher after long vs short storage (48 vs 35%; P < 0.01), but the distribution of the collected COCs into the 4 classes was not affected by the storage time. After in vitro maturation nuclear maturity was not affected by the storage time, but oocytes with intact cytoplasmic membranes were more frequently found after short than after long storage (54 vs 34%; P = 0.07), and fully matured oocytes were more often seen with intact membrane (P < 0.01). Moreover, oocytes with intact membranes in metaphase II (MII) were associated with short storage intervals and the corona COC class, while damaged membranes and incomplete maturation were associated with the long storage and the compact COC class.

Effects of glutamine, proline, histidine and betaine on post-thaw motility of stallion spermatozoa

The supplementation of the freezing diluent with 3 amino acids (glutamine, proline and histidine) and 1 amino acid-related compound (betaine) in preserving stallion spermatozoa diluted in INRA82 extender containing 2.5% (v/v) glycerol and 2% (v/v) egg yolk (control extender) during freezing and thawing was studied at 0, 40, 80, 120 and 160 mM in 20 split ejaculates (10 stallions x 2 ejaculates; Experiment 1). Glutamine and proline were studied at 0, 10, 20, 30, 40, 50, 60, 70 and 80 mM in 20 split ejaculates (10 stallions x 2 ejaculates; Experiment 2). In each experiment, spermatozoa were evaluated after thawing by computer automated sperm analyzer. The percentage of motile spermatozoa (faster than 30 microns/sec) was assessed. In addition, the velocity of the average path (VAP), the straight line velocity (VSL), the curvilinear velocity (VCL) and the amplitude of the lateral head displacement (ALH) were also measured. In Experiment 1, only glutamine (40 mM) significantly improved sperm motility (56.0% +/- 3.0 vs 49.7% +/- 1.6; P < 0.05) compared with the control extender, while velocities were unaffected at concentrations of 40 to 120 mM. However, at 160 mM, a significant decrease in motility and velocity was observed for all amino acids. In Experiment 2, motility in glutamine (range 41.1% +/- 3.8%; 42.4% +/- 3.6) and proline (43.0% +/- 3.7; 45.6% +/- 3.8) extenders compared with the control (34.7% +/- 1.6) was improved significantly (P < 0.05). Sperm velocity was improved at concentrations higher than 40 mM glutamine and 50 mM proline.

Analysis of MHC class II genes in the susceptibility to lupus in New Zealand mice

Hybrids of New Zealand Black (NZB) and New Zealand White (NZW) mice spontaneously develop a disease similar to human systemic lupus erythematosus. MHC and non-MHC genes contribute to disease susceptibility in this murine model. Multiple studies have shown that the NZW H2z locus is strongly associated with the development of lupus-like disease in these mice. The susceptibility gene(s) within H2z is not known, but different lines of evidence have pointed to class II MHC genes, either H2-E or H2-A (Ez or Az in NZW). Recent studies from our laboratory showed that Ez does not supplant H2z in the contribution to lupus-like disease. In the present work we generated C57BL/10 (B10) mice transgenic for Aaz and Abz genes (designated B10.Az mice) and used a (B10.Az x NZB)F1 x NZB backcross to assess the contributions of Az genes to disease. A subset of backcross mice produced high levels of IgG autoantibodies and developed severe nephritis. However, no autoimmune phenotype was linked to the Az transgenes. Surprisingly, in the same backcross mice, inheritance of H2b from the nonautoimmune B10 strain was strongly linked with both autoantibody production and nephritis. Taken together with our previous Ez studies, the present work calls into question the importance of class II MHC genes for lupus susceptibility in this model and provides new insight into the role of MHC in lupus-like autoimmunity.

Computer-aided learning: an overvalued educational resource?

AIM

The aim of this study was to evaluate the place of computer-aided learning in a basic science course in the undergraduate medical curriculum at the University of Adelaide.

METHODS

A software program was written which would allow students to study the anatomy and physiology of the liver and biliary tree in three different styles. Identical content was produced, matched for each style (problem-based, didactic and free text response) and students randomly allocated to one of four groups (three computer and one control). Students were tested before and after access to the program.

RESULTS

Ninety second-year students completed the study. Those students who had access to the material in the problem-based and free text response styles did no better in the post-study test than the controls, whilst the group who had studied the didactically presented computer material performed significantly better than the other three groups. All three computer groups accessed the material on a similar number of occasions, but the group who had access to the free text entry program spent significantly less time on computer study.

CONCLUSIONS

If computer materials are to be provided as a learning resource for the basic medical sciences, provision must be made for the style of teaching of the course and the style of learning of the students attending that course.

T cell receptor (TCR) antagonism without a negative signal: evidence from T cell hybridomas expressing two independent TCRs

Antagonist peptides inhibit T cell responses by an unknown mechanism. By coexpressing two independent T cell receptors (TCRs) on a single T cell hybridoma, we addressed the question of whether antagonist ligands induce a dominant-negative signal that inhibits the function of a second, independent TCR. The two receptors, Valpha2Vbeta5 and Valpha2Vbeta10, restricted by H-2Kb and specific for the octameric peptides SIINFEKL and SSIEFARL, respectively, were coexpressed on the same cell. Agonist stimulation demonstrated that the two receptors behaved independently with regard to antigen-induced TCR downregulation and intracellular biochemical signaling. The exposure of one TCR (Valpha2Vbeta5) to antagonist peptides could not inhibit a second independent TCR (Valpha2Vbeta10) from responding to its antigen. Thus, our data clearly demonstrate that these antagonist ligands do not generate a dominant-negative signal which affects the responsiveness of the entire cell. In addition, a kinetic analysis showed that even 12 h after engagement with their cognate antigen and 10 h after reaching a steady-state of TCR internalization, T cells were fully inhibited by the addition of antagonist peptides. The window of susceptibility to antagonist ligands correlated exactly with the time required for the responding T cells to commit to interleukin 2 production. The data support a model where antagonist ligands can competitively inhibit antigenic peptides from productively engaging the TCR. This competitive inhibition is effective during the entire commitment period, where sustained TCR engagement is essential for full T cell activation.

The extracellular domain of the zeta-chain is essential for TCR function

The zeta-chain homodimer is a key component in the TCR complex and exerts its function through its cytoplasmic immunoreceptor-tyrosine activation motif (1). The zeta-chain extracellular (EC) domain is highly conserved; however, its functional and structural contributions to the TCR signaling have not been elucidated. We show that the EC domain of the zeta homodimer is essential for TCR surface expression. To gain a more detailed structural and functional information about the zeta-chain EC domain, we applied a cysteine scanning mutagenesis to conserved amino acids of the short domain. The results showed that the interchain disulfide bridge can be displaced by seven or eight amino acids along the EC domain. The TCR signaling efficacy was dramatically reduced during peptide/MHC engagement in the zeta mutants containing the displaced disulfide bond. These signaling defective zeta mutants produced an unconventional early tyrosine phosphorylation pattern. While the tyrosine phosphorylated forms of zeta (p21 and p23) could be observed during Ag stimulation, downstream signaling events such as the generation of phospho-p36, higher m.w. forms of phospho-zeta, and phospho-zeta/ZAP-70 complexes were impaired. Together these results suggest an important function of the phylogenetically conserved zeta-EC domain.

cDNA cloning, in vitro expression, and biochemical characterization of cholinesterase 1 and cholinesterase 2 from amphioxus--comparison with cholinesterase 1 and cholinesterase 2 produced in vivo

We have isolated cDNAs coding for the complete amino acid sequences of cholinesterase 1 (ChE1) and cholinesterase 2 (ChE2) from amphioxus. Both ChE transcripts have the characteristics of H-type catalytic subunits, which are inserted in the membrane via an ethanolamine-glycan-phosphatidylinositol anchor. The members of the catalytic triad of ChEs, the three pairs of cysteine residues involved in intrachain disulfide bonding, a cysteine near the carboxy terminal of both sequences, which could mediate interchain disulfide bonding, and 11 of the 14 aromatic amino acids that line the catalytic gorge of AChE are conserved. A remarkable difference between the two enzymes is in the region of the acyl-binding pocket, which plays an important role in determining substrate specificity in cholinesterases. ChE2 contains a sequence that resembles the acyl pocket of invertebrate ChE, while the acyl-binding site of ChE1 is novel. There are also differences between the two enzymes in the peripheral anionic site, which mediates inhibition by certain ligands. In vitro expression in COS-7 cells demonstrates that ChE2 hydrolyzes acetylthiocholine almost exclusively, while ChE1 hydrolyzes both acetylthiocholine and butyrylthiocholine. Both enzymes are inhibited comparably by BW284c51, but ChE1 is considerably more resistant to inhibition by propidium, ethopropazine, and eserine than is ChE2. Velocity sedimentation indicates that ChE1 and ChE2 are present as amphiphilic and nonamphiphilic G2 forms in vivo and in vitro. Another molecular form, which sediments at 17 S, is also present in vivo. Nondenaturing gel electrophoresis in conjunction with digestion by phosphatidylinositol-specific phospholipase C demonstrates that the vast majority of ChE1 and ChE2 is present as ethanolamine-glycan-phosphatidylinositol-anchored G2 forms in vivo. ChE1 also possesses an ethanolamine-glycan-phosphatidylinositol-anchor in vitro; however, ChE2 produced in vitro could not be detected on nondenaturing gels.

The phosphorylation state of CD3gamma influences T cell responsiveness and controls T cell receptor cycling

The T cell receptor (TCR) is internalized following activation of protein kinase C (PKC) via a leucine (Leu)-based motif in CD3gamma. Some studies have indicated that the TCR is recycled back to the cell surface following PKC-mediated internalization. The functional state of recycled TCR and the mechanisms involved in the sorting events following PKC-induced internalization are not known. In this study, we demonstrated that following PKC-induced internalization, the TCR is recycled back to the cell surface in a functional state. TCR recycling was dependent on dephosphorylation of CD3gamma, probably mediated by the serine/threonine protein phosphatase-2A, but independent on microtubules or actin polymerization. Furthermore, in contrast to ligand-mediated TCR sorting, recycling of the TCR was independent of the tyrosine phosphatase CD45 and the Src tyrosine kinases p56(Lck) and p59(Fyn). Studies of mutated TCR and chimeric CD4-CD3gamma molecules demonstrated that CD3gamma did not contain a recycling signal in itself. In contrast, the only sorting information in CD3gamma was the Leu-based motif that mediated lysosomal sorting of chimeric CD4-CD3gamma molecules. Finally, we found a correlation between the phosphorylation state of CD3gamma and T cell responsiveness. Based on these observations a physiological role of CD3gamma and TCR cycling is proposed.

Positive selection through a motif in the alphabeta T cell receptor

The two lineages of T cells, alphabeta and gammadelta, differ in their developmental requirements: only alphabeta T cells require major histocompatibility complex recognition, a process known as positive selection. The alphabeta T cell receptor (TCR), but not its gammadelta counterpart, contains a motif within the alpha-chain connecting peptide domain (alpha-CPM) that has been conserved over the last 500 million years. In transgenic mice expressing an alphabeta TCR lacking the alpha-CPM, thymocytes were blocked in positive selection but could undergo negative selection. Thus, the alpha-CPM seems to participate in the generation of signals required for positive selection.

Computers in medical education 3: A possible tool for the assessment of clinical competence?

BACKGROUND

Computers and other forms of information technology are increasingly used in medical education. We undertook a study to evaluate the place of the computer in the assessment of clinical skills of junior medical students.

METHODS

The history taking and physical examination skills of 136 third-year students were assessed in a series of structured and observed clinical stations and compared to their performance in similar computer-based problems.

RESULTS

Students scored equally on the computer-based tasks and in the observed stations, but the weaker students who failed one or another component of the examination were more likely to pass at a clinical station and fail the computer task.

CONCLUSIONS

This study has shown that computer-based clinical simulations can be constructed to supplement conventional assessment processes in clinical medicine and may have a role in increasing their reliability.

Evaluation of a computer based package on electrocardiography

BACKGROUND

Opportunities for interactive learning in electrocardiography are limited--particularly at postgraduate level. In medical education, increasing use is being made of the electronic medium and various materials have been developed to improve clinicians' skills.

AIMS

To test and evaluate the learning of electrocardiography among health professionals.

METHODS

A software package, containing a tutorial on electrocardiography and a self-assessment programme of 140 electrocardiograms (ECGs) was constructed. Seventy-two health professionals were recruited into the study and tested before and after the study period. Participants were randomly allocated to one of three groups: control (no study material), tutorial or computer. The tutorial group participated in a series of tutorials and the computer group were provided with a CD-ROM containing study material for them to use in their own time. The results were assessed for statistical significance between all groups using analysis of variance techniques.

RESULTS

Sixty-one individuals completed the study. Each of the three groups was pre and post tested on their knowledge of electrocardiography and their ability to interpret ECGs. The computer group was the only group to achieve a significant increase in performance in their knowledge on electrocardiography and in their ability to interpret ECGs.

CONCLUSIONS

Suitably structured computer programmes are effective in helping clinicians understand electrocardiography and interpret ECGs.

Oocyte competence for in vitro maturation is associated with histone H1 kinase activity and is influenced by estrous cycle stage in the mare

The in vitro maturation rate of equine oocytes remains low, regardless of culture conditions. Our objective was to determine the reasons for failure of equine oocytes to resume meiosis during in vitro maturation and to ascertain the influence of the estrous cycle stage on meiotic competence. In 10 cyclic mares, 7 ultrasound-guided follicular punctures were performed alternately during the follicular phase (group DF; n = 3 punctures), at the end of the follicular phase (group EF; n = 2), and during the luteal phase (group DL; n = 2). We evaluated the competence of the oocytes for in vitro maturation and measured their maturation-promoting factor activity by histone H1 kinase assay. Puncturing once at the end of the follicular phase and once during the luteal phase, or three times during the follicular phase, yielded about 11 cumulus-oocyte complexes per 22 days. The maturation rate was different between the groups, 51% in group EF, 34% in group DL (p < 0.05), and 15% in group DF (p < 0.01), and it increased with an increase in follicular diameter (p < 0.05). After in vitro culture, the H1 kinase activity was lower in oocytes that remained in germinal vesicle or dense chromatin stages than in oocytes that reached metaphase I or metaphase II (p < 0.05). The H1 kinase activity was not different between oocytes in germinal vesicle stage after in vitro maturation and immature oocytes that were not cultured in vitro, and was higher in preovulatory oocytes that reached metaphase II in vivo than in the oocytes that reached metaphase II after in vitro maturation (p < 0.001). This is the first report on kinase activity in the equine oocyte.

Delayed insemination is successful with a new extender for storing fresh equine semen at 15 degrees C under aerobic conditions

Milk-based semen diluents are known to be practical and effective in protecting equine spermatozoa during storage before artificial insemination. Milk is a biological fluid with a complex composition and contains components which are beneficial or harmful to spermatozoa. The aim of this study was to test the fertility of stallion semen after long-term storage using different milk diluents (INRA 82 or Kenney's diluent) vs one diluent chemically defined (INRA 96), which is composed of efficient milk components and optimized for sperm survival and storage temperature. The milk fraction used was that which best maintained spermatozoal survival based on motility measured in previous studies. Four breeding trials were conducted to determine the influence of combination of new diluent and storage conditions on fertility of the stallion. We compared the standard protocol of storing semen in a skim milk diluent (INRA 82 or Kenney's diluent) at 4 degrees C under anaerobic conditions with the experimental protocol which consisted of storing in a chemically defined, milk-free diluent (INRA 96), at 15 degrees C, under aerobic conditions. After 4 breeding trials, in which the semen was stored for 24 h under the 2 protocols, we obtained 57% (n = 178) and 40% (n = 173) of fertility per cycle using the experimental and the standard protocol respectively (p < 0.001). Another breeding trial was conducted to determine the influence of storage time on the fertility of spermatozoa. We have compared the fertility of semen inseminated immediately (68% of fertility per cycle, n = 50) vs the fertility of semen stored under the experimental protocol for 72 h before insemination (48% of fertility per cycle, n = 52). The experimental protocol improved sperm fertility compared to the standard protocol and seems to be a particular alternative for stallions with cold shock sensitive spermatozoa. Storing semen for 72 h under the experimental protocol seems to be useful in the field.