Human immunodeficiency virus infection of human-PBL-SCID mice

Severe combined immunodeficient (SCID) mice reconstituted with human peripheral blood leukocytes (hu-PBL-SCID mice) have inducible human immune function and may be useful as a small animal model for acquired immunodeficiency syndrome (AIDS) research. Hu-PBL-SCID mice infected with human immunodeficiency virus-1 (HIV-1) contained virus that was recoverable by culture from the peritoneal cavity, spleen, peripheral blood, and lymph nodes for up to 16 weeks after infection; viral sequences were also detected by in situ hybridization and by amplification with the polymerase chain reaction (PCR). Mice could be infected with multiple strains of HIV-1, including LAV-1/Bru, IIIB, MN, SF2, and SF13. HIV-1 infection affected the concentration of human immunoglobulin and the number of CD4+ T cells in the mice. These results support the use of the hu-PBL-SCID mouse for studies of the pathogenesis and treatment of AIDS.

Effect of tetrahydroaminoacridine on cognition, function and behaviour in Alzheimer's disease

OBJECTIVE

To determine the efficacy of tetrahydroaminoacridine (THA) in Alzheimer's disease.

DESIGN

Randomized, double-blind, multiple crossover trial with three treatment periods, each consisting of 3 weeks of active drug therapy and 3 weeks of placebo administration.

SETTING

Referral-based geriatric practice in a community hospital.

PATIENTS

Thirty-four patients with moderate to severe Alzheimer's disease. Subjects were included if they had stage 3 to 6 disease (as determined by the Reisberg scale) and had not been taking psychotropic drugs for at least 1 month and if informed consent had been obtained from the patients and their next of kin.

INTERVENTIONS

Fifty to 100 mg of THA daily and matched placebo.

RESULTS

Of the initial 34 patients 14 experienced liver toxicity and 3 gastrointestinal side effects during the study; however, all 22 who completed the study were able to tolerate at least the minimum dose. For the 22 patients there was no clinically or statistically significant effect of THA on cognition, functional status or behaviour. The results for individual patients showed no subgroup of THA-responsive patients.

CONCLUSION

THA has no clinically important benefits in Alzheimer's disease and is associated with appreciable toxic effects.

Cytochemical analysis of the notochord in early rhesus monkey embryos

Functional differentiation of the notochord in rhesus monkey embryos at stages 11-12 (25-28 days of gestation) was analyzed by means of ultrastructural cytochemistry. The notochordal cells exhibited well developed Golgi complexes, rough endoplasmic reticulum, mitochondria, and numerous coated vesicles. Large irregular intercellular spaces were common, and some contained fibrils and particulate matter similar to that observed in the perinotochordal space immediately surrounding the notochord. With the glycogen-specific thiocarbohydrazide-silver proteinate technique, solitary particles as well as large aggregates of glycogen were present within the notochordal cells. The center of some aggregates was electron lucent and contained collapsed membranous structures. The results indicate that as early as stage 11 the nonhuman primate notochord exhibits ultrastructural features suggestive of secretory activity and cytological complexity.

Techniques for the determination of left ventricular mass by signal-averaged electrocardiography

The standard ECG correlates poorly with LV mass. The SAECG precisely measures myocardial energy and may allow more exact noninvasive assessment of LV mass. A commercially available system (Corazonix Predictor I) was tested for its ability to reproduce and measure known input energy in square wave and QRS waveforms, using frequency bandwidths different from those used for late potential analysis. A test group of 15 patients was studied to determine optimum filter type and bandwidth for comparison of SAECG energy measurement versus LV mass as determined by echocardiography (Penn conversion) and LV hypertrophy via standard ECG criteria. The best means of energy measurement were maximum and total RMS voltage and the integral of the area under the QRS curve. Optimum correlation with echocardiography was seen with a bidirectional band-pass filter of 5 to 250 Hz applied either to the vector sum of the three orthogonal leads or to the Z lead alone (r values 0.61 to 0.73), which was equal to or superior to standard ECG LV hypertrophy determinants. A second group of 20 patients was studied prospectively to confirm these findings, which yielded similar results.

CONCLUSION

(1) the SAECG when appropriately modified serves as a rapid noninvasive assessment of LV mass. (2) These modifications must examine the entire duration and energy spectrum of the surface ECG and not just the region of late potentials. (3) Very low frequencies (below 5 Hz) must be excluded to eliminate the energy present due to DC offset voltage.

A nonerythroid GATA-binding protein is required for function of the human preproendothelin-1 promoter in endothelial cells

Endothelin-1 (ET-1) is a 21-amino-acid peptide synthesized by endothelial cells that has potent vasoconstrictor activity. Human ET-1 is derived from a 212-amino-acid prepropeptide, termed preproendothelin-1 (PPET-1). To identify cis-acting sequences essential for PPET-1 gene transcription, bovine aortic endothelial (BAE) cells were transfected with plasmids containing 5'-flanking sequences of the human PPET-1 gene fused to the human growth hormone gene as a reporter. Deletional analysis of these fusion plasmids showed that the sequence spanning positions -141 to -127 of the human PPET-1 promoter is required for full transcription activity. Introduction of clustered point mutations into this region of the promoter reduced transcription activity. Gel shift analysis, methylation interference, protein-DNA cross-linking, and oligonucleotide competition studies revealed that BAE cell nuclear extract contains a 47-kilodalton DNA-binding protein recognizing the core motif TATC (GATA) located at positions -135 to -132 of the PPET-1 promoter. The size and specificity of this DNA-binding protein resemble GF-1, a previously described transcription factor of erythroid cells that binds to the same core motif. Gel shift analysis indicated that GF-1 and the DNA-binding protein interacting with the PPET-1 promoter have different tissue distributions; the former is restricted to a subset of hematopoietic cells, and the latter is found in various cell types, including BAE, NIH 3T3, and HeLa cells. By using an antiserum to the C-terminal region of GF-1, the two proteins were also found to be antigenically distinct. When a growth hormone fusion plasmid containing the proximal 141 nucleotides of the PPET-1 promoter was transfected into a variety of cell types, these was preferential expression in cells of endothelial origin. We conclude that a nuclear factor with binding specificity for a GATA motif similar to that of the transcriptional activator GF-1 is necessary for the efficient and cell-specific expression of the human PPET-1 gene.

Cyclosporine-induced autoimmunity in rats carrying thymus allografts

An autoimmune syndrome occurs in cyclosporine-treated, lethally irradiated, and marrow-reconstituted rats after cyclosporine is discontinued. This syndrome, referred to as cyclosporine-induced autoimmunity, requires the presence of a thymus. In this report, we demonstrate that the disease will occur in animals transplanted with thymus tissue from an allogeneic donor, incompatible with the recipient at the major histocompatibility complex. T cells generated from these allogeneic thymic chimeras respond in vitro to thymic donor antigens, suggesting that cyclosporine inhibits self-tolerance induction in the thymus. Because disease is more frequent when the tolerizing antigens expressed in the thymus differ from those expressed in the periphery, the possibility that cyclosporine may mediate its effect via the downregulation of self-antigen presented in the thymus is discussed.

Cloning and sequencing of a Bacteroides ruminicola B(1)4 endoglucanase gene

Bacteroides ruminicola B(1)4, a noncellulolytic rumen bacterium, produces an endoglucanase (carboxymethylcellulase [CMCase]) that is excreted into the culture supernatant. Cultures grown on glucose, fructose, maltose, mannose, and cellobiose had high specific activities of CMCase (greater than 3 mmol of reducing sugar per mg of protein per min), but its synthesis was repressed by sucrose. B. rumincola did not grow on either ball-milled or acid-swollen cellulose even though the CMCase could hydrolyze swollen cellulose. The CMCase gene was cloned into Escherichia coli, and its nucleotide sequence contained a single open reading frame coding for a protein of 40,481 daltons. The enzyme was overproduced in E. coli under the control of the tac promoter and purified to homogeneity. The N-terminal sequence, amino acid composition, and molecular weight of the purified enzyme were similar to the values predicted from the open reading frame of the DNA sequence. However, the CMCase present in B. ruminicola was found to have a monomer molecular weight of 88,000 by Western immunoblotting. This discrepancy appeared to have resulted from our having cloned only part of the CMCase gene into E. coli. The amino acid sequence of the CMCase showed homology to sequences of beta-glucanases from Ruminococcus albus and Clostridium thermocellum.

Echocardiography. Basics for the primary care physician

Echocardiography is commonly performed to assess aortic stenosis, mitral valve prolapse, pericardial effusion and cardiac tamponade, myocardial infarction, endocarditis, and valvular regurgitation. We have found that the more defined and appropriate a request for an echocardiogram is, the better the technician and interpreter can relate observations to the requesting physician. Thus, thorough understanding of the indications and limitations of echocardiography by the primary care physician will result in improved patient care.

Daily intakes of nine nutritional elements: analyzed vs. calculated values

The daily intakes for eight age-sex groups (infants, young children, and male and female teenagers, adults, and older adults) of nine nutritional elements (sodium, potassium, calcium, phosphorus, magnesium, iron, zinc, copper, and manganese) were obtained by laboratory analysis of the Food and Drug Administration's 234 Total Diet Study (TDS) foods and by use of the USDA Nutrient Data Base for Standard Reference. Food substitutions were required for eight TDS foods that had no direct counterparts in the USDA database. When corrections were made for missing values for magnesium, zinc, copper, and manganese in the USDA database, average percent differences between the two methods (USDA-TDS) for the age-sex groups were -2.6 for iron, 0.6 for manganese, 0.9 for zinc, 5 for potassium and phosphorus, 7 for magnesium, 8 for sodium and calcium, and 11.0 for copper. Data in the USDA database (when corrected for missing values) provided estimates of daily intakes of nine nutritional elements that were similar to those obtained by use of data from laboratory analysis in the TDS.

Oligomerization of the bacteriophage lambda S protein in the inner membrane of Escherichia coli

Western blot (immunoblot) analysis of cell extracts from induced bacteriophage lambda lysogens probed with S-protein-specific antibody (raised against an S--beta-galactosidase fusion protein) demonstrated that the bacteriophage lambda S protein begins to appear 10 min after phage induction and is localized to the inner membrane at all times during the lytic cycle. Between 100 and 1,000 molecules of S protein per cell were present at the time of phage-induced lysis. Western blots of chemically cross-linked membranes from induced lysogens showed a ladder of bands at 18, 24, 32, and 42 kilodaltons (the S-protein monomer ran at 8 kilodaltons) that reacted with anti-S-protein antibody. Thus, the S protein appears to reside in the inner membrane as a multimer, and the molecular weights of the cross-linked species are consistent with those of S-protein homopolymers. Sodium dodecyl sulfate-resistant dimers were also detected when S protein was purified by immunoprecipitation.

Fourth branchial pouch sinus: principles of diagnosis and management

The fourth branchial pouch sinus is a congenital anomaly which most frequently manifests itself by recurrent episodes of neck abscess or acute suppurative thyroiditis. This lesion usually becomes symptomatic before the age of 10 years and is more common than has previously been suspected. It has been found on the left side in 93% of the 28 cases reported in the English literature. Barium swallow during periods of quiescence and nasopharyngoscopy have frequently been successful in identifying the presence of these embryological remnants. Definitive therapy consists of total excision of the sinus tract, which can be facilitated by direct endoscopic placement of a Fogarty catheter into the sinus lumen before surgical exploration. The embryological basis for the occurrence of these sinuses is discussed.

Effects of temperature on Escherichia coli overproducing beta-lactamase or human epidermal growth factor

The effects of temperature on strains of Escherichia coli which overproduce and excrete either beta-lactamase or human epidermal growth factor were investigated. E. coli RB791 cells containing plasmid pKN which has the tac promoter upstream of the gene for beta-lactamase were grown and induced with isopropyl-beta-D-thiogalactopyranoside in batch culture at 37, 30, 25, and 20 degrees C. The lower temperature greatly reduced the formation of periplasmic beta-lactamase inclusion bodies, increased significantly the total amount of beta-lactamase activity, and increased the purity of extracellular beta-lactamase from approximately 45 to 90%. Chemostat operation at 37 and 30 degrees C was difficult due to poor cell reproduction and beta-lactamase production. However, at 20 degrees C, continuous production and excretion of beta-lactamase were obtained for greater than 450 h (29 generations). When the same strain carried plasmid pCU encoding human epidermal growth factor, significant cell lysis was observed after induction at 31 and 37 degrees C, whereas little cell lysis was observed at 21 and 25 degrees C. Both total soluble and total human epidermal growth factor increased with decreasing temperature. These results indicate that some of the problems of instability of strains producing high levels of plasmid-encoded proteins can be mitigated by growth at lower temperatures. Further, lower temperatures can increase for at least some secreted proteins both total plasmid-encoded protein formed and the fraction that is soluble.

Exercise-induced alterations of signal-averaged electrocardiograms in marathon runners

Late potentials have been shown to predict malignant ventricular arrhythmias and sudden cardiac death. To determine whether prolonged, strenuous activity is associated with the development of ventricular late potentials, signal-averaged electrocardiography was performed on 30 marathon runners before, immediately after, and during a recovery period at least 1 week after they had a 26.2-mile race. The filtered QRS duration decreased immediately after the marathon to 94.4 +/- 10.0 msec from baseline values of 97.3 +/- 10.1 msec (p less than 0.005). Root mean square energy in the terminal 40 msec of the QRS complex increased immediately after the race from 60.4 +/- 35.6 uV to 71.0 +/- 41.7 uV (P less than 0.5). The duration of signals less than 40 uV in the terminal QRS were not appreciably altered. At the 1-week follow-up study, all parameters closely approximated the baseline values. No runner had a late potential after running the race. The one runner with a late potential at baseline had normal parameters immediately after the race. We conclude that signal-averaged ECG parameters are improved after a marathon is run, and the risk of an arrhythmic sudden death in adult runners without organic heart disease would seem to be low.

Ultrastructural defects in the apical neural folds in mutant embryos with spina bifida

Ultrastructural pathology in the apical neural folds was analyzed by means of tannic acid (TA) and ruthenium red (RR) cytochemistry in abnormal (vl/vl) mutant mouse embryos ranging in age from 17-35 somites. At lumbosacral levels of the spinal cord where closure fails to occur, as well as at more cranial levels where closure occurs but results in dorsal midline abnormalities, normal deposition of TA-positive and RR-positive material occurred in the space that develops between the overlying surface ectoderm (SE) and neuroepithelium (NE). However, in lumbosacral regions, pleomorphic excrescences projected abnormally from the apices of the transitional zone cells between SE and NE cells of the open neural folds. These abnormal projections consisted of enlarged cytoplasmic blebs, as well as entire cells. The cells were not necrotic nor did they show evidence of incipient degeneration. However, it is possible that they represent aberrant putative neural crest cells, as indicated by their location in the transitional zone and by the filopodia and lamellipodia projecting from their luminal surfaces.

Immunofluorescent analysis of fibronectin and laminin distribution in the vl mutant mouse

The distribution of fibronectin and laminin was determined in the basement membrane surrounding the caudal neural tube and at the site of initial apposition of the caudal neural folds by means of indirect immunofluorescence histochemistry on 9.0- to 10.5-day mouse embryos fixed in Carnoy's solution and serially sectioned in paraffin. At early phases of development of normal (+/+) and abnormal (vl/vl) embryos the dorsolateral neural basement membrane overlying putative neural crest cells caudal to the hindlimb shows a patchy fibronectin reaction, with laminin virtually absent. In older embryos, both components are present but are discontinuous overlying the neural crest. The results suggest that since discontinuities occur in the basement membrane of abnormal as well as normal embryos, the neutral crest cells are not prevented from emigrating from the abnormal neural tube; thus the faulty neural fold fusion that characterizes vl/vl embryos does not appear to be due to a suppression of emigration by the basement membrane. The results also demonstrate the advantages and reliability of embedding in paraffin for analysis of serially sectioned pathological material by means of indirect immunofluorescence, provided that normal controls and abnormals are processed simultaneously.

Cloning of a Thermomonospora fusca xylanase gene and its expression in Escherichia coli and Streptomyces lividans

Thermomonospora fusca chromosomal DNA was partially digested with EcoRI to obtain 4- to 14-kilobase fragments, which were used to construct a library of recombinant phage by ligation with EcoRI arms of lambda gtWES. lambda B. A recombinant phage coding for xylanase activity which contained a 14-kilobase insert was identified. The xylanase gene was localized to a 2.1-kilobase SalI fragment of the EcoRI insert by subcloning onto pBR322 and derivatives of pBR322 that can also replicate in Streptomyces lividans. The xylanase activity produced by S. lividans transformants was 10- to 20-fold higher than that produced by Escherichia coli transformants but only one-fourth the level produced by induced T. fusca. A 30-kilodalton peptide with activity against both Remazol brilliant blue xylan and xylan was produced in S. lividans transformants that carried the 2.1-kilobase SalI fragment of T. fusca DNA and was not produced by control transformants. T. fusca cultures were found to contain a xylanase of a similar size that was induced by growth on xylan or Solka Floc. Antiserum directed against supernatant proteins isolated from a Solka Floc-grown T. fusca culture inhibited the xylanase activity of S. lividans transformants. The cloned T. fusca xylanase gene was expressed at about the same level in S. lividans grown in minimal medium containing either glucose, cellobiose, or xylan. The xylanase bound to and hydrolyzed insoluble xylan. The cloned xylanase appeared to be the same as the major protein in xylan-induced T. fusca culture supernatants, which also contained at least three additional minor proteins with xylanase activity and having apparent molecular masses of 43, 23, and 20 kilodaltons.

Nutritional elements in U.S. diets: results from the Total Diet Study, 1982 to 1986

Through the Food and Drug Administration's Total Diet Study, the levels of 11 nutritional elements (sodium, potassium, calcium, phosphorus, magnesium, iron, zinc, copper, manganese, selenium, and iodine) in the diets of eight age-sex groups were determined for the 4 years between 1982 and 1986. The 234 Total Diet Study foods, which are representative of the U.S. food supply, were purchased, prepared for consumption, and analyzed for the elements four times each year. The results were combined with national food consumption data to estimate intakes for 6- to 11-month-old infants, 2-year-old children, 14- to 16-year-old boys and girls, 25- to 30-year-old men and women, and 60- to 65-year-old men and women. Six elements (calcium, magnesium, iron, zinc, copper, and manganese) were low (less than 80% of the Recommended Dietary Allowance or below the low end of the Estimated Safe and Adequate Daily Dietary Intake range) for three or more of the age-sex groups. Six elements were of concern for teenage girls and adult women, five for older women, three for 2-year-old children, two for teenage boys and older men, and only one for infants and adult men. Sodium levels (which did not include discretionary salt) were elevated for 2-year-old children and teenage boys, and iodine was elevated for all age-sex groups. A significant trend was noted only for iodine, the intake of which decreased during the 4-year period.(ABSTRACT TRUNCATED AT 250 WORDS)

Noninvasive assessment of myocardial dysfunction in patients with chronic aortic regurgitation

Chronic aortic regurgitation may have minimal symptoms until severe myocardial dysfunction is apparent. Multiple preoperative indicators of postoperative prognosis have been sought. It appears that an elevated left ventricular end systolic dimension on echocardiography or elevated end systolic volume on radionuclide ventriculography in combination with depressed LV function and substantially increased calculated systolic wall stress may present an indicator for aortic valve replacement. Response of ejection fraction to stress may not be as reproducible, but when combined with a depressed resting ejection fraction may also be an indicator for aortic valve replacement. Even patients with severely depressed left ventricular ejection fraction may improve with surgery; however, the risks of a poor postoperative outcome is substantial increased. Appropriate management of a patient with chronic aortic regurgitation requires monitoring of multiple parameters during the patient's clinical course for optimal timing of valve replacement surgery.