1
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Denys GA, Burningham K, Dyba J, Allen RC, Stephens JT. Myeloperoxidase-mediated solution demonstrates rapid virucidal properties against the delta variant of SARS-CoV-2. J Hosp Infect 2022; 123:189-190. [PMID: 35218796 PMCID: PMC8864890 DOI: 10.1016/j.jhin.2022.02.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 02/15/2022] [Accepted: 02/15/2022] [Indexed: 11/19/2022]
Affiliation(s)
- G A Denys
- Indiana University School of Medicine, Indianapolis, Indiana, USA.
| | - K Burningham
- Bioscience Laboratories, LLC, Bozeman, Montana, USA
| | - J Dyba
- Bioscience Laboratories, LLC, Bozeman, Montana, USA
| | - R C Allen
- Creighton University School of Medicine, Omaha, Nebraska, USA
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2
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Vines SK, Anderson BJ, Allen RC, Denton RE, Engebretson MJ, Johnson JR, Toledo‐Redondo S, Lee JH, Turner DL, Ergun RE, Strangeway RJ, Russell CT, Wei H, Torbert RB, Fuselier SA, Giles BL, Burch JL. Determining EMIC Wave Vector Properties Through Multi-Point Measurements: The Wave Curl Analysis. J Geophys Res Space Phys 2021; 126:e2020JA028922. [PMID: 33868890 PMCID: PMC8047877 DOI: 10.1029/2020ja028922] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 01/08/2021] [Accepted: 01/19/2021] [Indexed: 06/12/2023]
Abstract
Electromagnetic ion cyclotron (EMIC) waves play important roles in particle loss processes in the magnetosphere. Determining the evolution of EMIC waves as they propagate and how this evolution affects wave-particle interactions requires accurate knowledge of the wave vector, k. We present a technique using the curl of the wave magnetic field to determine k observationally, enabled by the unique configuration and instrumentation of the Magnetospheric MultiScale (MMS) spacecraft. The wave curl analysis is demonstrated for synthetic arbitrary electromagnetic waves with varying properties typical of observed EMIC waves. The method is also applied to an EMIC wave interval observed by MMS on October 28, 2015. The derived wave properties and k from the wave curl analysis for the observed EMIC wave are compared with the Waves in Homogenous, Anisotropic, Multi-component Plasma (WHAMP) wave dispersion solution and with results from other single- and multi-spacecraft techniques. We find good agreement between k from the wave curl analysis, k determined from other observational techniques, and k determined from WHAMP. Additionally, the variation of k due to the time and frequency intervals used in the wave curl analysis is explored. This exploration demonstrates that the method is robust when applied to a wave containing at least 3-4 wave periods and over a rather wide frequency range encompassing the peak wave emission. These results provide confidence that we are able to directly determine the wave vector properties using this multi-spacecraft method implementation, enabling systematic studies of EMIC wave k properties with MMS.
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Affiliation(s)
- S. K. Vines
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - B. J. Anderson
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - R. C. Allen
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - R. E. Denton
- Department of Physics and AstronomyDartmouth CollegeHanoverNHUSA
| | | | - J. R. Johnson
- Department of EngineeringAndrews UniversityBerrien SpringsMIUSA
| | - S. Toledo‐Redondo
- Department of Electromagnetism and ElectronicsUniversity of MurciaMurciaSpain
| | - J. H. Lee
- The Aerospace CorporationEl SegundoCAUSA
| | - D. L. Turner
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - R. E. Ergun
- Laboratory for Atmospheric and Space PhysicsUniversity of Colorado at BoulderBoulderCOUSA
| | - R. J. Strangeway
- Department of Earth, Planetary, and Space SciencesInstitute for Geophysics and Planetary PhysicsUniversity of California at Los AngelesLos AngelesCAUSA
| | - C. T. Russell
- Department of Earth, Planetary, and Space SciencesInstitute for Geophysics and Planetary PhysicsUniversity of California at Los AngelesLos AngelesCAUSA
| | - H. Wei
- Department of Earth, Planetary, and Space SciencesInstitute for Geophysics and Planetary PhysicsUniversity of California at Los AngelesLos AngelesCAUSA
| | - R. B. Torbert
- Space Science CenterUniversity of New HampshireDurhamNHUSA
- Southwest Research InstituteSan AntonioTXUSA
| | - S. A. Fuselier
- Southwest Research InstituteSan AntonioTXUSA
- Department of Physics and AstronomyUniversity of Texas at San AntonioSan AntonioTXUSA
| | - B. L. Giles
- NASA Goddard Space Flight CenterGreenbeltMDUSA
| | - J. L. Burch
- Southwest Research InstituteSan AntonioTXUSA
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Allen RC, Paranicas CP, Bagenal F, Vines SK, Hamilton DC, Allegrini F, Clark G, Delamere PA, Kim TK, Krimigis SM, Mitchell DG, Smith TH, Wilson RJ. Energetic Oxygen and Sulfur Charge States in the Outer Jovian Magnetosphere: Insights From the Cassini Jupiter Flyby. Geophys Res Lett 2019; 46:11709-11717. [PMID: 31894172 PMCID: PMC6919296 DOI: 10.1029/2019gl085185] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2019] [Revised: 10/11/2019] [Accepted: 10/14/2019] [Indexed: 06/10/2023]
Abstract
On 10 January 2001, Cassini briefly entered into the magnetosphere of Jupiter, en route to Saturn. During this excursion into the Jovian magnetosphere, the Cassini Magnetosphere Imaging Instrument/Charge-Energy-Mass Spectrometer detected oxygen and sulfur ions. While Charge-Energy-Mass Spectrometer can distinguish between oxygen and sulfur charge states directly, only 95.9 ± 2.9 keV/e ions were sampled during this interval, allowing for a long time integration of the tenuous outer magnetospheric (~200 RJ) plasma at one energy. For this brief interval for the 95.9 keV/e ions, 96% of oxygen ions were O+, with the other 4% as O2+, while 25% of the energetic sulfur ions were S+, 42% S2+, and 33% S3+. The S2+/O+ flux ratio was observed to be 0.35 (±0.06 Poisson error).
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Affiliation(s)
- R. C. Allen
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - C. P. Paranicas
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - F. Bagenal
- Laboratory for Atmospheric and Space PhysicsUniversity of Colorado BoulderBoulderCOUSA
| | - S. K. Vines
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - D. C. Hamilton
- Department of PhysicsUniversity of MarylandCollege ParkMDUSA
| | - F. Allegrini
- Space Science and Engineering DivisionSouthwest Research InstituteSan AntonioTXUSA
- Department of Physics and AstronomyUniversity of Texas at San AntonioSan AntonioTXUSA
| | - G. Clark
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - P. A. Delamere
- Geophysical InstituteUniversity of Alaska FairbanksFairbanksAKUSA
| | - T. K. Kim
- Space Science and Engineering DivisionSouthwest Research InstituteSan AntonioTXUSA
- Department of Physics and AstronomyUniversity of Texas at San AntonioSan AntonioTXUSA
| | - S. M. Krimigis
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - D. G. Mitchell
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - T. H. Smith
- Applied Physics LaboratoryJohns Hopkins UniversityLaurelMDUSA
| | - R. J. Wilson
- Laboratory for Atmospheric and Space PhysicsUniversity of Colorado BoulderBoulderCOUSA
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4
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Kollmann P, Hill ME, Allen RC, McNutt RL, Brown LE, Barnes NP, Delamere P, Clark G, Andrews GB, Salazar N, Westlake J, Romeo G, Vandegriff J, Kusterer M, Smith D, Nelson K, Jaskulek S, Decker RB, Cheng AF, Krimigis SM, Lisse CM, Mitchell DG, Weaver HA, Elliott HA, Fattig E, Gladstone GR, Valek PW, Weidner S, Kammer J, Bagenal F, Horanyi M, Kaufmann D, Harch A, Olkin CB, Piquette MR, Spencer JR, Young LA, Ennico K, Summers ME, Stern SA. Pluto's Interaction With Energetic Heliospheric Ions. J Geophys Res Space Phys 2019; 124:7413-7424. [PMID: 35860291 PMCID: PMC9285724 DOI: 10.1029/2019ja026830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/12/2019] [Revised: 07/08/2019] [Accepted: 07/10/2019] [Indexed: 06/15/2023]
Abstract
Pluto energies of a few kiloelectron volts and suprathermal ions with tens of kiloelectron volts and above. We measure this population using the Pluto Energetic Particle Spectrometer Science Investigation (PEPSSI) instrument on board the New Horizons spacecraft that flew by Pluto in 2015. Even though the measured ions have gyroradii larger than the size of Pluto and the cross section of its magnetosphere, we find that the boundary of the magnetosphere is depleting the energetic ion intensities by about an order of magnitude close to Pluto. The intensity is increasing exponentially with distance to Pluto and reaches nominal levels of the interplanetary medium at about 190R P distance. Inside the wake of Pluto, we observe oscillations of the ion intensities with a periodicity of about 0.2 hr. We show that these can be quantitatively explained by the electric field of an ultralow-frequency wave and discuss possible physical drivers for such a field. We find no evidence for the presence of plutogenic ions in the considered energy range.
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5
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Sorathia KA, Merkin VG, Ukhorskiy AY, Allen RC, Nykyri K, Wing S. Solar Wind Ion Entry Into the Magnetosphere During Northward IMF. J Geophys Res Space Phys 2019; 124:5461-5481. [PMID: 31598452 PMCID: PMC6774285 DOI: 10.1029/2019ja026728] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 05/20/2019] [Accepted: 05/29/2019] [Indexed: 05/22/2023]
Abstract
Extended periods of northward interplanetary magnetic field (IMF) lead to the formation of a cold, dense plasma sheet due to the entry of solar wind plasma into the magnetosphere. Identifying the paths that the solar wind takes to enter the magnetosphere, and their relative importance has remained elusive. Any theoretical model of entry must satisfy observational constraints, such as the overall entry rate and the dawn-dusk asymmetry observed in the cold, dense plasma sheet. We model, using a combination of global magnetohydrodynamic and test particle simulations, solar wind ion entry into the magnetosphere during northward IMF and compare entry facilitated by the Kelvin-Helmholtz instability to cusp reconnection. For Kelvin-Helmholtz entry we reproduce transport rates inferred from observation and kinetic modeling and find that intravortex reconnection creates buoyant flux tubes, which provides, through interchange instability, a mechanism of filling the central plasma sheet with cold magnetosheath plasma. For cusp entry we show that an intrinsic dawn-dusk asymmetry is created during entry that is the result of alignment of the westward ion drift with the dawnward electric field typically observed during northward IMF. We show that both entry mechanisms provide comparable mass but affect entering plasma differently. The flank-entering plasma is cold and dawn-dusk symmetric, whereas the cusp-entering plasma is accelerated and preferentially deflected toward dawn. The combined effect of these entry mechanisms results in a plasma sheet population that exhibits dawn-dusk asymmetry in the manner that is seen in nature: a two-component (hot and cold) dusk flank and hotter, broadly peaked dawn population.
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Affiliation(s)
- K. A. Sorathia
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - V. G. Merkin
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - A. Y. Ukhorskiy
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - R. C. Allen
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - K. Nykyri
- Center for Space and Atmospheric ResearchEmbry‐Riddle Aeronautical UniversityDaytona BeachFLUSA
| | - S. Wing
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
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Vines SK, Allen RC, Anderson BJ, Engebretson MJ, Fuselier SA, Russell CT, Strangeway RJ, Ergun RE, Lindqvist PA, Torbert RB, Burch JL. EMIC Waves in the Outer Magnetosphere: Observations of an Off-Equator Source Region. Geophys Res Lett 2019; 46:5707-5716. [PMID: 31423036 PMCID: PMC6686711 DOI: 10.1029/2019gl082152] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Revised: 04/03/2019] [Accepted: 05/10/2019] [Indexed: 06/10/2023]
Abstract
Electromagnetic ion cyclotron (EMIC) waves at large L shells were observed away from the magnetic equator by the Magnetospheric MultiScale (MMS) mission nearly continuously for over four hours on 28 October 2015. During this event, the wave Poynting vector direction systematically changed from parallel to the magnetic field (toward the equator), to bidirectional, to antiparallel (away from the equator). These changes coincide with the shift in the location of the minimum in the magnetic field in the southern hemisphere from poleward to equatorward of MMS. The local plasma conditions measured with the EMIC waves also suggest that the outer magnetospheric region sampled during this event was generally unstable to EMIC wave growth. Together, these observations indicate that the bidirectionally propagating wave packets were not a result of reflection at high latitudes but that MMS passed through an off-equator EMIC wave source region associated with the local minimum in the magnetic field.
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Affiliation(s)
- S. K. Vines
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - R. C. Allen
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | - B. J. Anderson
- The Johns Hopkins University Applied Physics LaboratoryLaurelMDUSA
| | | | - S. A. Fuselier
- Southwest Research InstituteSan AntonioTXUSA
- Department of Physics and AstronomyUniversity of Texas at San AntonioSan AntonioTXUSA
| | - C. T. Russell
- Department of Earth, Planetary, and Space SciencesUniversity of CaliforniaLos AngelesCAUSA
- Institute for Geophysics and Planetary PhysicsUniversity of CaliforniaLos AngelesCAUSA
| | - R. J. Strangeway
- Department of Earth, Planetary, and Space SciencesUniversity of CaliforniaLos AngelesCAUSA
- Institute for Geophysics and Planetary PhysicsUniversity of CaliforniaLos AngelesCAUSA
| | - R. E. Ergun
- Laboratory for Atmospheric and Space PhysicsUniversity of Colorado at BoulderBoulderCOUSA
| | - P. A. Lindqvist
- Department of Space and Plasma PhysicsRoyal Institute of TechnologyStockholmSweden
| | - R. B. Torbert
- Southwest Research InstituteSan AntonioTXUSA
- Space Science CenterUniversity of New HampshireDurhamNHUSA
| | - J. L. Burch
- Southwest Research InstituteSan AntonioTXUSA
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7
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Alexander A, Marx AN, Reddy SM, Reuben JM, Le-Petross HC, Lane D, Huang ML, Krishnamurthy S, Gong Y, Gombos DS, Patel N, Tung CI, Allen RC, Kandl TJ, Wu J, Liu S, Patel AB, Futreal A, Wistuba I, Layman RM, Valero V, Tripathy D, Ueno NT, Lim B. Abstract OT3-05-04: Phase II study of atezolizumab, cobimetinib, and eribulin in patients with recurrent or metastatic inflammatory breast cancer (IBC). Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-ot3-05-04] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: IBCs that do not completely respond to chemotherapy often have dysregulated immune pathways, and novel therapies are needed to improve outcomes in recurrent/metastatic disease. One-third of IBCs express the atezolizumab target PD-L1, and cobimetinib increases PD-L1 expression; thus, we hypothesize that atezolizumab and cobimetinib may act synergistically in IBC. The FDA-approved agent eribulin is active in IBC and has anti-stem cell activity and can reverse the IBC phenotype of epithelial-to-mesenchymal transition. Hence the use of eribulin as a chemotherapy backbone in combination with other novel agents is well justified.
Trial Design: This single-arm, open-label trial is enrolling patients with recurrent IBC or de novo metastatic IBC that has progressed on at least 1 line of standard chemotherapy. During a 4-week pharmacodynamic window, patients have an upfront biopsy, receive atezolizumab and cobimetinib treatment for 4 weeks, and have a second biopsy. Triple-combination treatment then commences, with standard eribulin dosing. After 4 cycles of eribulin, patients receive maintenance targeted therapy until disease progression or intolerable toxicity.
Eligibility Criteria: Patients with metastatic IBC of any molecular subtype must have measurable disease (per RECIST 1.1) amenable to biopsy. Patients with HER2+ disease must have received both pertuzumab and T-DM1. Patients with treated stable brain metastases are allowed. Patients must have recovered from the acute effects of any prior therapies and have adequate hematologic, organ, and cardiac function. Patients with autoimmune diseases or a history of pneumonitis are ineligible.
Specific Aims: The primary objective is to determine the overall response rate (ORR) of the combination therapy. Secondary objectives include determining the safety and tolerability, clinical benefit rate, response duration, progression-free survival, 2-year overall survival rate and predictive biomarker analyses.
Statistical Methods: The trial will enroll up to 9 patients in its phase I/safety lead-in portion and up to 33 patients total. A Bayesian optimal interval design is used to efficiently determine the maximum tolerated cobimetinib dose in phase I. Patients start cobimetinib at the FDA-approved dose of 60 mg/day with a target toxicity rate is 0.3. Phase II will enroll 24 patients to determine the efficacy of the triple-combination therapy. The historical ORR in metastatic IBC is 10%; our sample size provides 80% power to detect an ORR improvement to 25%.
Accrual: The trial has enrolled 7 patients since its start in August 2017.
Citation Format: Alexander A, Marx AN, Reddy SM, Reuben JM, Le-Petross HC, Lane D, Huang ML, Krishnamurthy S, Gong Y, Gombos DS, Patel N, Tung CI, Allen RC, Kandl TJ, Wu J, Liu S, Patel AB, Futreal A, Wistuba I, Layman RM, Valero V, Tripathy D, Ueno NT, Lim B. Phase II study of atezolizumab, cobimetinib, and eribulin in patients with recurrent or metastatic inflammatory breast cancer (IBC) [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr OT3-05-04.
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Affiliation(s)
- A Alexander
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - AN Marx
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - SM Reddy
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - JM Reuben
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - HC Le-Petross
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - D Lane
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - ML Huang
- University of Texas MD Anderson Cancer Center, Houston, TX
| | | | - Y Gong
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - DS Gombos
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - N Patel
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - CI Tung
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - RC Allen
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - TJ Kandl
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - J Wu
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - S Liu
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - AB Patel
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - A Futreal
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - I Wistuba
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - RM Layman
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - V Valero
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - D Tripathy
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - NT Ueno
- University of Texas MD Anderson Cancer Center, Houston, TX
| | - B Lim
- University of Texas MD Anderson Cancer Center, Houston, TX
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Burch JL, Webster JM, Genestreti KJ, Torbert RB, Giles BL, Fuselier SA, Dorelli JC, Rager AC, Phan TD, Allen RC, Chen L, Wang S, Le Contel O, Russell CT, Strangeway RJ, Ergun RE, Jaynes AN, Lindqvist P, Graham DB, Wilder FD, Hwang K, Goldstein J. Wave Phenomena and Beam-Plasma Interactions at the Magnetopause Reconnection Region. J Geophys Res Space Phys 2018; 123:1118-1133. [PMID: 29938153 PMCID: PMC5993346 DOI: 10.1002/2017ja024789] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/22/2017] [Revised: 12/28/2017] [Accepted: 01/10/2018] [Indexed: 06/08/2023]
Abstract
This paper reports on Magnetospheric Multiscale observations of whistler mode chorus and higher-frequency electrostatic waves near and within a reconnection diffusion region on 23 November 2016. The diffusion region is bounded by crescent-shaped electron distributions and associated dissipation just upstream of the X-line and by magnetic field-aligned currents and electric fields leading to dissipation near the electron stagnation point. Measurements were made southward of the X-line as determined by southward directed ion and electron jets. We show that electrostatic wave generation is due to magnetosheath electron beams formed by the electron jets as they interact with a cold background plasma and more energetic population of magnetospheric electrons. On the magnetosphere side of the X-line the electron beams are accompanied by a strong perpendicular electron temperature anisotropy, which is shown to be the source of an observed rising-tone whistler mode chorus event. We show that the apex of the chorus event and the onset of electrostatic waves coincide with the opening of magnetic field lines at the electron stagnation point.
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Affiliation(s)
- J. L. Burch
- Southwest Research InstituteSan AntonioTXUSA
| | - J. M. Webster
- Department of Physics and AstronomyRice UniversityHoustonTXUSA
| | | | - R. B. Torbert
- Southwest Research InstituteSan AntonioTXUSA
- Department of PhysicsUniversity of New HampshireDurhamNHUSA
| | - B. L. Giles
- NASA, Goddard Space Flight CenterGreenbeltMDUSA
| | | | | | - A. C. Rager
- NASA, Goddard Space Flight CenterGreenbeltMDUSA
- Department of PhysicsCatholic University of AmericaWashingtonDCUSA
| | - T. D. Phan
- Space Sciences LaboratoryUniversity of CaliforniaBerkeleyCAUSA
| | - R. C. Allen
- Applied Physics LaboratoryThe Johns Hopkins UniversityLaurelMDUSA
| | - L.‐J. Chen
- Department of AstronomyUniversity of MarylandCollege ParkMDUSA
| | - S. Wang
- Department of AstronomyUniversity of MarylandCollege ParkMDUSA
| | - O. Le Contel
- Laboratoire de Physique des PlasmasCNRS, Ecole Polytechnique, UPMC University Paris 06, Université Paris‐Sud, Observatoire de ParisParisFrance
| | - C. T. Russell
- Earth and Planetary SciencesUniversity of CaliforniaLos AngelesCAUSA
| | - R. J. Strangeway
- Earth and Planetary SciencesUniversity of CaliforniaLos AngelesCAUSA
| | - R. E. Ergun
- LASPUniversity of Colorado BoulderBoulderCOUSA
| | - A. N. Jaynes
- Department of Physics and AstronomyUniversity of IowaIowa CityIAUSA
| | | | | | | | - K.‐J. Hwang
- Southwest Research InstituteSan AntonioTXUSA
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Arias-Sánchez FI, Allen RC, Hall AR. Effects of prior exposure to antibiotics on bacterial adaptation to phages. J Evol Biol 2017; 31:277-286. [PMID: 29218855 DOI: 10.1111/jeb.13220] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2017] [Accepted: 11/30/2017] [Indexed: 11/27/2022]
Abstract
Understanding adaptation to complex environments requires information about how exposure to one selection pressure affects adaptation to others. For bacteria, antibiotics and viral parasites (phages) are two of the most common selection pressures and are both relevant for treatment of bacterial infections: increasing antibiotic resistance is generating significant interest in using phages in addition or as an alternative to antibiotics. However, we lack knowledge of how exposure to antibiotics affects bacterial responses to phages. Specifically, it is unclear how the negative effects of antibiotics on bacterial population growth combine with any possible mutagenic effects or physiological responses to influence adaptation to other stressors such as phages, and how this net effect varies with antibiotic concentration. Here, we experimentally addressed the effect of pre-exposure to a wide range of antibiotic concentrations on bacterial responses to phages. Across 10 antibiotics, we found a strong association between their effects on bacterial population size and subsequent population growth in the presence of phages (which in these conditions indicates phage-resistance evolution). We detected some evidence of mutagenesis among populations treated with fluoroquinolones and β-lactams at sublethal doses, but these effects were small and not consistent across phage treatments. These results show that, although stressors such as antibiotics can boost adaptation to other stressors at low concentrations, these effects are weak compared to the effect of reduced population growth at inhibitory concentrations, which in our experiments strongly reduced the likelihood of subsequent phage-resistance evolution.
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Affiliation(s)
| | - R C Allen
- Institute of Integrative Biology, ETH Zürich, Zürich, Switzerland
| | - A R Hall
- Institute of Integrative Biology, ETH Zürich, Zürich, Switzerland
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Saporta S, Borlongan C, Moore J, Mejia-Millan E, Jones SL, Bonness P, Randall TS, Allen RC, Freeman TB, Sanberg PR. Microcarrier Enhanced Survival of Human and Rat Fetal Ventral Mesencephalon Cells Implanted in the Rat Striatum. Cell Transplant 2017; 6:579-84. [PMID: 9440867 DOI: 10.1177/096368979700600608] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The transplantation of tissue containing dopamine-producing cells into the mammalian central nervous system is an emerging treatment for Parkinson's disease, despite relatively poor survival of implanted tissue. Recent evidence has suggested that Cytodex microcarriers enhance the survival of dopaminergic rat chromaffin cells transplanted into the rat striatum in the absence of immunosuppression. The current study was undertaken to evaluate the survival of rat and human fetal ventral mesencephalic neurons (VM) implanted alone or after attachment to microcarriers in the striatum of rats without immunosuppression. Rat fetal VM neurons demonstrated enhanced survival in the rat striatum when transplanted on microcarriers, compared to their transplantation alone during the 3-mo period examined in the present study. Transplants of human fetal VM neurons on microcarriers also survived remarkably well in the rat striatum without systemic immunosuppression. In contrast, human fetal VM cells transplanted alone into the rat striatum did not survive without systemic immunosuppression. There was no evidence of TH fiber sprouting in the vicinity of any transplant site. These data indicated that Cytodex microcarriers provide enhanced survival of both rat allograft and human xenograft fetal mesencephalic cells in the rat striatum without the necessity of systemic immunosuppression, perhaps by inducing a unique neuron–glia environment.
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Affiliation(s)
- S Saporta
- Department of Anatomy, University of South Florida College of Medicine, Tampa 33612-4799, USA
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Lim SC, Munro JE, Allen RC, Curtis N, Akikusa JD. Risk of latent tuberculosis in at-risk children with rheumatic diseases. Pediatr Rheumatol Online J 2011. [PMCID: PMC3194578 DOI: 10.1186/1546-0096-9-s1-p218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Hosseini A, Lattanzio FA, Williams PB, Tibbs D, Samudre SS, Allen RC. Chronic topical administration of WIN-55-212-2 maintains a reduction in IOP in a rat glaucoma model without adverse effects. Exp Eye Res 2005; 82:753-9. [PMID: 16289049 DOI: 10.1016/j.exer.2005.09.017] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2005] [Accepted: 09/22/2005] [Indexed: 11/25/2022]
Abstract
Glaucoma, one of the leading causes of blindness, is associated with high intraocular pressure (IOP) as a risk factor. The aim of this study was to examine both local and systemic effects of chronic topical administration of the synthetic CB1/CB2 agonist, WIN-55-212-2 and its potential to sustain ocular hypotension. WIN-55-212-2 (0.5%) or Tocrisolve, the vehicle, was administered topically three times daily to rats with surgically created glaucoma for 4 weeks, followed by a 1-week washout period. IOP, blood pressure and heart rate were measured weekly along with confocal microscopy and slit lamp biomicroscopy to detect ocular toxicity. IOP decreased rapidly by up to 47% in the WIN-55-212-2 treated group from 14.1+/-0.7 to 6.6+/-0.2 mmHg. The decrease was maintained during the treatment period. After the washout period, IOP (12.3+/-0.2 mmHg) was not different from baseline. In the contralateral eye, IOP showed a downward trend. Tocrisolve alone had no effect on IOP. No changes in blood pressure, heart rate or indicators of ocular toxicity were noted within either group. Topical application of WIN-55-212-2 significantly deceased IOP for duration of treatment. The decrease was sustained without the development of tolerance. Following cessation of therapy, IOP rapidly returned to baseline. No significant cardiovascular effects or ocular toxicity were noted during chronic topical therapy with either drug or vehicle.
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Affiliation(s)
- A Hosseini
- Department of Physiological Sciences, Eastern Virginia Medical School, Thomas R. Lee Center for Ocular Pharmacology, Norfolk, VA 23507, USA.
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Lattanzio FA, Sheppard JD, Allen RC, Baynham S, Samuel P, Samudre S. Do injections of 5-fluorouracil after trabeculectomy have toxic effects on the anterior segment? J Ocul Pharmacol Ther 2005; 21:223-35. [PMID: 15969640 DOI: 10.1089/jop.2005.21.223] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To discourage fibrosis of the filtering bleb, 5 fluorouracil (5-FU) may be injected after trabeculectomy. 5-FU is an antimetabolite that also can damage extraocular tissues at concentrations as low as 0.5%. This study ascertained whether repeated injection of 5-FU has toxic effects on intraocular structures. METHODS After unilateral trabeculectomy in anesthetized New Zealand rabbits, 5-FU (5.0 mg/0.1 mL) was injected at the trabeculectomy site every 5 days for 15 days. Evaluation included slit-lamp examination, confocal microscopy, and intraocular pressure (IOP). After sacrifice, aqueous humor (AH) was drawn and eyes excised for scanning electron microscopy (SEM) and light microscopy. RESULTS The 5-FU injection not decrease IOP beyond trabeculectomy alone. Bleb height remained constant, thickness increased, and vascularity decreased. No changes in cornea or anterior segment were observed. No inflammation was observed in the bleb or surrounding tissues by slit-lamp or histologic examination. Protein in AH increased from 0.6 +/- 0.5 microg/mL at baseline to 19.8 +/- 4.4 microg/mL after trabeculectomy but only to 0.9 +/- 0.6 microg/mL after trabeculectomy plus 5-FU. Both in vivo confocal microscopy and SEM revealed deleterious effects on corneal epithelial and endothelial cells with a minor shift toward smaller cells. CONCLUSIONS In this study 5-FU did not provoke an intraocular inflammatory response and had minimal effect on extraocular structures. Changes in corneal epithelium and endothelium detectable by confocal microscopy suggest a small toxic effect. These in vivo measurements by confocal microscopy were confirmed by SEM. Repeated administration did not cause additional cumulative toxic effects in the anterior segment. Therefore, multiple injections of 5- FU into the filtering bleb pose minimal risk to intraocular structures.
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Affiliation(s)
- F A Lattanzio
- Thomas R. Lee Center for Ocular Pharmacology, Eastern Virginia Medical School, Norfolk, VA 23501, USA.
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Allen RC, Russell SR, Streb LM, Alsheikheh A, Stone EM. Phenotypic heterogeneity associated with a novel mutation (Gly112Glu) in the Norrie disease protein. Eye (Lond) 2005; 20:234-41. [PMID: 15776010 DOI: 10.1038/sj.eye.6701840] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
PURPOSE To determine the molecular pathology and clinical severity of two pedigrees with a history of early retinal detachment and peripheral retinal vascular abnormalities. DESIGN Longitudinal cohort study. METHODS A longitudinal clinical study and DNA analysis was performed on 49 family members of two pedigrees. RESULTS Nine individuals were found to be hemizygous for a mutation at codon 112 (Gly112Glu) of the Norrie disease protein (NDP) in one pedigree. Significant phenotypic heterogeneity was found. The proband presented with a unilateral subtotal retinal detachment at the age of 3 years, and subsequently developed a slowly progressive tractional retinal detachment involving the macula in the contralateral eye at the age of 4 years. One individual had only mild peripheral retinal pigmentary changes with normal vision at the age of 79 years. The remaining seven individuals had varying degrees of peripheral retinal vascular abnormalities and anterior segment findings. Seven affected members of a second pedigree affected by a previously reported mutation, Arg74Cys, also demonstrated wide ocular phenotypic variation. CONCLUSION A novel mutation (Gly112Glu), which represents the most carboxy located, NDP mutation reported, results in significant phenotypic heterogeneity. These data support the contention that the spectrum of ocular disease severity associated with these NDP mutations is broad. Use of terms that characterize this entity by phenotypic appearance, such as familial exudative vitreoretinopathy, do not adequately communicate the potential spectrum of severity of this disorder to affected or carrier family members.
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Affiliation(s)
- R C Allen
- Molecular Ophthalmology Laboratory, Center for Macular Degeneration, The University of Iowa Carver School of Medicine, Iowa City, IA 52242, USA
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Doudet DJ, Cornfeldt ML, Honey CR, Schweikert AW, Allen RC. PET imaging of implanted human retinal pigment epithelial cells in the MPTP-induced primate model of Parkinson's disease. Exp Neurol 2004; 189:361-8. [PMID: 15380486 DOI: 10.1016/j.expneurol.2004.06.009] [Citation(s) in RCA: 41] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2004] [Revised: 06/04/2004] [Accepted: 06/07/2004] [Indexed: 11/18/2022]
Abstract
Human retinal pigment epithelial (hRPE) cells produce L-dopa, are easily harvested and expanded in culture, and, attached to microcarriers, can survive in the brain without immunosuppression. Studies in rats, primates, and parkinsonian patients have demonstrated that striatally implanted hRPE cells attached to gelatin microcarriers (RPE-GM) are able to improve parkinsonian symptoms and are well tolerated for extended periods. In moderately to severely impaired monkeys with bilateral 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine hydrochloride (MPTP)-induced parkinsonism receiving a unilateral RPE-GM implant in the putamen, there was a 39% improvement in clinical scores over the first 2 months post-implant. Positron emission tomography (PET) with [18F]fluoro-L-dopa (FDOPA) showed increased accumulation in the implanted putamen and a concomitant decrease in [11C]raclopride binding in the same area, suggesting increased dopamine release compared to the contralateral putamen. We report the first in vivo visualization of hRPE cells and their effects, implicating a dopaminergic mechanism of action.
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Affiliation(s)
- D J Doudet
- Pacific Parkinson Research Centre, Department of Medicine/Neurology, University of British Columbia, Vancouver, BC, Canada V6T 2B5.
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Jaramillo JS, Allen RC. 54 CLINICAL OPHTHALMIC CHARACTERIZATION OF PTOSIS AND TREATMENT OUTCOMES IN HISPANIC NEW MEXICANS WITH OCULOPHARYNGEAL MUSCULAR DYSTROPHY. J Investig Med 2004. [DOI: 10.1136/jim-52-suppl1-607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Watts RL, Raiser CD, Stover NP, Cornfeldt ML, Schweikert AW, Allen RC, Subramanian T, Doudet D, Honey CR, Bakay RAE. Stereotaxic intrastriatal implantation of human retinal pigment epithelial (hRPE) cells attached to gelatin microcarriers: a potential new cell therapy for Parkinson's disease. J Neural Transm Suppl 2003:215-27. [PMID: 12946059 DOI: 10.1007/978-3-7091-0643-3_14] [Citation(s) in RCA: 64] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Human retinal pigment epithelial (hRPE) cells are dopaminergic support cells in the neural retina. Stereotaxic intrastriatal implantation of hRPE cells attached to gelatin microcarriers (Spheramine) in rodent and non-human primate models of Parkinson's disease (PD) produces long term amelioration of motor and behavioral deficits, with histological and PET evidence of cell survival without immunosuppression. Long-term safety in cynomologous monkeys has also been demonstrated. Six H&Y stage III/IV PD patients were enrolled in a one-year, open-label, single center study to evaluate the safety and efficacy of Spheramine (approximately 325,000 cells) implanted in the most affected post-commissural putamen. All patients tolerated the implantation of Spheramine well and demonstrated improvement. At 6, 9, and 12 months post-operatively, the mean UPDRS-Motor score "off", the primary outcome measure, improved 33%, (n = 6), 42% (n = 6), and 48% (n = 3), respectively. No "off-state" dyskinesias have been observed. Based on these preliminary results, Spheramine appears to show promise in treating late stage PD patients.
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Affiliation(s)
- R L Watts
- Department of Neurology, Emory University, Atlanta, GA, USA
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18
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Akikusa JD, Allen RC. Reducing the impact of rheumatic diseases in childhood. Best Pract Res Clin Rheumatol 2002; 16:333-45. [PMID: 12387803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/26/2023]
Abstract
Reducing the impact of rheumatic diseases in childhood is the fundamental objective of every member of the multi-disciplinary team involved in the care of affected children and families. The means by which this objective may be achieved are broad and include the implementation of a range of non-pharmacological therapies to address the effects of rheumatic diseases on the physical development of the child. In addition, the treating team must be aware of the psychosocial impact that these diseases may have and the ways in which this may be minimized. This chapter is devoted to an examination of some of the non-pharmacological issues that arise in the management of the commonest rheumatic disease found in children, juvenile idiopathic arthritis (JIA). Aspects of physical rehabilitation, schooling, medication compliance, pain management and family dynamics are discussed, as are interventions to reduce the impact of this disease and its sequelae, utilizing, where possible, evidence-based principles from the literature. Although specific issues applicable to children with arthritis will be discussed, the broad principles of much of what follows applies to all of the rheumatic diseases in childhood.
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Affiliation(s)
- J D Akikusa
- Rheumatology and General Practice, Royal Children's Hospital, Flemington Rd, Parkville, Melbourne 3052, Australia
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Ahmad QR, Allen RC, Andersen TC, Anglin JD, Barton JC, Beier EW, Bercovitch M, Bigu J, Biller SD, Black RA, Blevis I, Boardman RJ, Boger J, Bonvin E, Boulay MG, Bowler MG, Bowles TJ, Brice SJ, Browne MC, Bullard TV, Bühler G, Cameron J, Chan YD, Chen HH, Chen M, Chen X, Cleveland BT, Clifford ETH, Cowan JHM, Cowen DF, Cox GA, Dai X, Dalnoki-Veress F, Davidson WF, Doe PJ, Doucas G, Dragowsky MR, Duba CA, Duncan FA, Dunford M, Dunmore JA, Earle ED, Elliott SR, Evans HC, Ewan GT, Farine J, Fergani H, Ferraris AP, Ford RJ, Formaggio JA, Fowler MM, Frame K, Frank ED, Frati W, Gagnon N, Germani JV, Gil S, Graham K, Grant DR, Hahn RL, Hallin AL, Hallman ED, Hamer AS, Hamian AA, Handler WB, Haq RU, Hargrove CK, Harvey PJ, Hazama R, Heeger KM, Heintzelman WJ, Heise J, Helmer RL, Hepburn JD, Heron H, Hewett J, Hime A, Howe M, Hykawy JG, Isaac MCP, Jagam P, Jelley NA, Jillings C, Jonkmans G, Kazkaz K, Keener PT, Klein JR, Knox AB, Komar RJ, Kouzes R, Kutter T, Kyba CCM, Law J, Lawson IT, Lay M, Lee HW, Lesko KT, Leslie JR, Levine I, Locke W, Luoma S, Lyon J, Majerus S, Mak HB, Maneira J, Manor J, Marino AD, McCauley N, McDonald AB, McDonald DS, McFarlane K, McGregor G, Meijer Drees R, Mifflin C, Miller GG, Milton G, Moffat BA, Moorhead M, Nally CW, Neubauer MS, Newcomer FM, Ng HS, Noble AJ, Norman EB, Novikov VM, O'Neill M, Okada CE, Ollerhead RW, Omori M, Orrell JL, Oser SM, Poon AWP, Radcliffe TJ, Roberge A, Robertson BC, Robertson RGH, Rosendahl SSE, Rowley JK, Rusu VL, Saettler E, Schaffer KK, Schwendener MH, Schülke A, Seifert H, Shatkay M, Simpson JJ, Sims CJ, Sinclair D, Skensved P, Smith AR, Smith MWE, Spreitzer T, Starinsky N, Steiger TD, Stokstad RG, Stonehill LC, Storey RS, Sur B, Tafirout R, Tagg N, Tanner NW, Taplin RK, Thorman M, Thornewell PM, Trent PT, Tserkovnyak YI, Van Berg R, Van de Water RG, Virtue CJ, Waltham CE, Wang JX, Wark DL, West N, Wilhelmy JB, Wilkerson JF, Wilson JR, Wittich P, Wouters JM, Yeh M. Measurement of day and night neutrino energy spectra at SNO and constraints on neutrino mixing parameters. Phys Rev Lett 2002; 89:011302. [PMID: 12097026 DOI: 10.1103/physrevlett.89.011302] [Citation(s) in RCA: 66] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2002] [Indexed: 05/23/2023]
Abstract
The Sudbury Neutrino Observatory (SNO) has measured day and night solar neutrino energy spectra and rates. For charged current events, assuming an undistorted 8B spectrum, the night minus day rate is 14.0%+/-6.3%(+1.5%)(-1.4%) of the average rate. If the total flux of active neutrinos is additionally constrained to have no asymmetry, the nu(e) asymmetry is found to be 7.0%+/-4.9%(+1.3%)(-1.2%). A global solar neutrino analysis in terms of matter-enhanced oscillations of two active flavors strongly favors the large mixing angle solution.
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Affiliation(s)
- Q R Ahmad
- Center for Experimental Nuclear Physics and Astrophysics, and Department of Physics, University of Washington, Seattle, Washington 98195, USA
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20
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Ahmad QR, Allen RC, Andersen TC, D Anglin J, Barton JC, Beier EW, Bercovitch M, Bigu J, Biller SD, Black RA, Blevis I, Boardman RJ, Boger J, Bonvin E, Boulay MG, Bowler MG, Bowles TJ, Brice SJ, Browne MC, Bullard TV, Bühler G, Cameron J, Chan YD, Chen HH, Chen M, Chen X, Cleveland BT, Clifford ETH, Cowan JHM, Cowen DF, Cox GA, Dai X, Dalnoki-Veress F, Davidson WF, Doe PJ, Doucas G, Dragowsky MR, Duba CA, Duncan FA, Dunford M, Dunmore JA, Earle ED, Elliott SR, Evans HC, Ewan GT, Farine J, Fergani H, Ferraris AP, Ford RJ, Formaggio JA, Fowler MM, Frame K, Frank ED, Frati W, Gagnon N, Germani JV, Gil S, Graham K, Grant DR, Hahn RL, Hallin AL, Hallman ED, Hamer AS, Hamian AA, Handler WB, Haq RU, Hargrove CK, Harvey PJ, Hazama R, Heeger KM, Heintzelman WJ, Heise J, Helmer RL, Hepburn JD, Heron H, Hewett J, Hime A, Howe M, Hykawy JG, Isaac MCP, Jagam P, Jelley NA, Jillings C, Jonkmans G, Kazkaz K, Keener PT, Klein JR, Knox AB, Komar RJ, Kouzes R, Kutter T, Kyba CCM, Law J, Lawson IT, Lay M, Lee HW, Lesko KT, Leslie JR, Levine I, Locke W, Luoma S, Lyon J, Majerus S, Mak HB, Maneira J, Manor J, Marino AD, McCauley N, McDonald AB, McDonald DS, McFarlane K, McGregor G, Meijer Drees R, Mifflin C, Miller GG, Milton G, Moffat BA, Moorhead M, Nally CW, Neubauer MS, Newcomer FM, Ng HS, Noble AJ, Norman EB, Novikov VM, O'Neill M, Okada CE, Ollerhead RW, Omori M, Orrell JL, Oser SM, Poon AWP, Radcliffe TJ, Roberge A, Robertson BC, Robertson RGH, Rosendahl SSE, Rowley JK, Rusu VL, Saettler E, Schaffer KK, Schwendener MH, Schülke A, Seifert H, Shatkay M, Simpson JJ, Sims CJ, Sinclair D, Skensved P, Smith AR, Smith MWE, Spreitzer T, Starinsky N, Steiger TD, Stokstad RG, Stonehill LC, Storey RS, Sur B, Tafirout R, Tagg N, Tanner NW, Taplin RK, Thorman M, Thornewell PM, Trent PT, Tserkovnyak YI, Van Berg R, Van de Water RG, Virtue CJ, Waltham CE, Wang JX, Wark DL, West N, Wilhelmy JB, Wilkerson JF, Wilson JR, Wittich P, Wouters JM, Yeh M. Direct evidence for neutrino flavor transformation from neutral-current interactions in the Sudbury Neutrino Observatory. Phys Rev Lett 2002; 89:011301. [PMID: 12097025 DOI: 10.1103/physrevlett.89.011301] [Citation(s) in RCA: 170] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2002] [Indexed: 05/23/2023]
Abstract
Observations of neutral-current nu interactions on deuterium in the Sudbury Neutrino Observatory are reported. Using the neutral current (NC), elastic scattering, and charged current reactions and assuming the standard 8B shape, the nu(e) component of the 8B solar flux is phis(e) = 1.76(+0.05)(-0.05)(stat)(+0.09)(-0.09)(syst) x 10(6) cm(-2) s(-1) for a kinetic energy threshold of 5 MeV. The non-nu(e) component is phi(mu)(tau) = 3.41(+0.45)(-0.45)(stat)(+0.48)(-0.45)(syst) x 10(6) cm(-2) s(-1), 5.3sigma greater than zero, providing strong evidence for solar nu(e) flavor transformation. The total flux measured with the NC reaction is phi(NC) = 5.09(+0.44)(-0.43)(stat)(+0.46)(-0.43)(syst) x 10(6) cm(-2) s(-1), consistent with solar models.
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Affiliation(s)
- Q R Ahmad
- Center for Experimental Nuclear Physics and Astrophysics, and Department of Physics, University of Washington, Seattle, Washington 98195, USA
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Affiliation(s)
- R C Allen
- Cleveland Clinic Florida-Naples, 34119, USA.
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Allen RC, Webster AR, Sui R, Brown J, Taylor CM, Stone EM. Molecular characterization and ophthalmic investigation of a large family with type 2A Von Hippel-Lindau Disease. Arch Ophthalmol 2001; 119:1659-65. [PMID: 11709017 DOI: 10.1001/archopht.119.11.1659] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND Von Hippel-Lindau (VHL) disease is a dominantly inherited cancer syndrome. Since the identification of the VHL gene, at least 3 clinical-genetic subtypes of the disease have been recognized. OBJECTIVES To identify the specific abnormality in the VHL gene and to correlate it with the prevalence and severity of ocular involvement in a large family with VHL disease. METHODS A longitudinal clinical study and DNA analysis of 24 family members. RESULTS All 14 affected family members exhibited a thymine-to-cysteine change at nucleotide 505 (T505C) in exon 1 of the VHL gene, consistent with the clinical diagnosis of VHL disease subtype 2A. Two asymptomatic gene carriers were also identified. Seventy-five percent (12/16) of the gene carriers had 1 or more ocular angiomas. The mean number of ocular angiomas per gene carrier was 3.3. Six eyes had optic disc angioma. Five gene carriers (31%) had lost vision because of angiomatosis. Cerebellar hemangioblastomas were present in 4 patients (25%) and pheochromocytomas in 11 (69%). No patient was found to have a renal cell carcinoma. CONCLUSIONS The family shows a low susceptibility to renal carcinoma consistent with the clinical diagnosis of VHL disease type 2A. The prevalence and severity of ocular angiomatosis in this subtype do not significantly differ from those of the other more common subtypes of VHL. Recognition of the VHL disease 2A phenotype suggests the presence of a specific mutation (T505C) in the VHL gene. Confirmation of this genotype increases the clinician's ability to provide favorable prognostic information to affected family members.
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Affiliation(s)
- R C Allen
- Department of Ophthalmology and Visual Sciences, The University of Iowa Hospitals and Clinics, 200 Hawkins Dr, Iowa City, IA 52242, USA
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Abstract
A novel circumcision technique using the Plastibell as a template is described. This technique is fast and ensures excellent cosmesis compared with the standard sleeve circumcision. It is easy to perform and allows the urologist to achieve consistently excellent cosmetic results. We describe the technique in detail.
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Affiliation(s)
- A C Peterson
- Department of Surgery, Urology Service, Madigan Army Medical Center, Tacoma, Washington, USA. 98431-1100, USA
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Ahmad QR, Allen RC, Andersen TC, Anglin JD, Bühler G, Barton JC, Beier EW, Bercovitch M, Bigu J, Biller S, Black RA, Blevis I, Boardman RJ, Boger J, Bonvin E, Boulay MG, Bowler MG, Bowles TJ, Brice SJ, Browne MC, Bullard TV, Burritt TH, Cameron K, Cameron J, Chan YD, Chen M, Chen HH, Chen X, Chon MC, Cleveland BT, Clifford ET, Cowan JH, Cowen DF, Cox GA, Dai Y, Dai X, Dalnoki-Veress F, Davidson WF, Doe PJ, Doucas G, Dragowsky MR, Duba CA, Duncan FA, Dunmore J, Earle ED, Elliott SR, Evans HC, Ewan GT, Farine J, Fergani H, Ferraris AP, Ford RJ, Fowler MM, Frame K, Frank ED, Frati W, Germani JV, Gil S, Goldschmidt A, Grant DR, Hahn RL, Hallin AL, Hallman ED, Hamer A, Hamian AA, Haq RU, Hargrove CK, Harvey PJ, Hazama R, Heaton R, Heeger KM, Heintzelman WJ, Heise J, Helmer RL, Hepburn JD, Heron H, Hewett J, Hime A, Howe M, Hykawy JG, Isaac MC, Jagam P, Jelley NA, Jillings C, Jonkmans G, Karn J, Keener PT, Kirch K, Klein JR, Knox AB, Komar RJ, Kouzes R, Kutter T, Kyba CC, Law J, Lawson IT, Lay M, Lee HW, Lesko KT, Leslie JR, Levine I, Locke W, Lowry MM, Luoma S, Lyon J, Majerus S, Mak HB, Marino AD, McCauley N, McDonald AB, McDonald DS, McFarlane K, McGregor G, McLatchie W, Meijer Drees R, Mes H, Mifflin C, Miller GG, Milton G, Moffat BA, Moorhead M, Nally CW, Neubauer MS, Newcomer FM, Ng HS, Noble AJ, Norman EB, Novikov VM, O'Neill M, Okada CE, Ollerhead RW, Omori M, Orrell JL, Oser SM, Poon AW, Radcliffe TJ, Roberge A, Robertson BC, Robertson RG, Rowley JK, Rusu VL, Saettler E, Schaffer KK, Schuelke A, Schwendener MH, Seifert H, Shatkay M, Simpson JJ, Sinclair D, Skensved P, Smith AR, Smith MW, Starinsky N, Steiger TD, Stokstad RG, Storey RS, Sur B, Tafirout R, Tagg N, Tanner NW, Taplin RK, Thorman M, Thornewell P, Trent PT, Tserkovnyak YI, Van Berg R, Van de Water RG, Virtue CJ, Waltham CE, Wang JX, Wark DL, West N, Wilhelmy JB, Wilkerson JF, Wilson J, Wittich P, Wouters JM, Yeh M. Measurement of the rate of nu(e) + d --> p + p + e(-) interactions produced by (8)B solar neutrinos at the Sudbury Neutrino Observatory. Phys Rev Lett 2001; 87:071301. [PMID: 11497878 DOI: 10.1103/physrevlett.87.071301] [Citation(s) in RCA: 169] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/18/2001] [Indexed: 05/23/2023]
Abstract
Solar neutrinos from (8)B decay have been detected at the Sudbury Neutrino Observatory via the charged current (CC) reaction on deuterium and the elastic scattering (ES) of electrons. The flux of nu(e)'s is measured by the CC reaction rate to be straight phi(CC)(nu(e)) = 1.75 +/- 0.07(stat)(+0.12)(-0.11)(syst) +/- 0.05(theor) x 10(6) cm(-2) s(-1). Comparison of straight phi(CC)(nu(e)) to the Super-Kamiokande Collaboration's precision value of the flux inferred from the ES reaction yields a 3.3 sigma difference, assuming the systematic uncertainties are normally distributed, providing evidence of an active non- nu(e) component in the solar flux. The total flux of active 8B neutrinos is determined to be 5.44+/-0.99 x 10(6) cm(-2) s(-1).
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Affiliation(s)
- Q R Ahmad
- Center for Experimental Nuclear Physics and Astrophysics, and Department of Physics, University of Washington, Seattle, Washington 98195, USA
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Abstract
We report a case of traumatic phacocele in a 42-year-old patient with a history of congenital glaucoma and bilateral goniotomies as an infant. Her left eye had little vision and poorly controlled intraocular pressure but was comfortable until her presentation after blunt trauma. Phacocele or subconjunctival dislocation of the crystalline lens is a rare consequence of blunt trauma, particularly in a patient whose only previous ocular surgery was goniotomy more than 40 years ago.
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Affiliation(s)
- R C Allen
- Department of Ophthalmology and Visual Sciences, The University of Iowa Hospitals and Clinics, Iowa City, Iowa 52242, USA
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26
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Taylor F, Haddad PA, Kinasewitz G, Chang A, Peer G, Allen RC. Luminescence studies of the phagocyte response to endotoxin infusion into normal human subjects: multiple discriminant analysis of luminescence response and correlation with phagocyte morphologic changes and release of elastase. J Endotoxin Res 2001; 6:3-15. [PMID: 11061027 DOI: 10.1177/09680519000060010201] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A blood luminescence system (BLS) was employed to analyze blood phagocyte function in response to infusion of endotoxin (4 ng Escherichia coli lipopolysaccharide (LPS)/kg body weight) into 7 healthy human subjects. The subjects were closely monitored clinically, and extensive chemical, hematological and coagulation measurements were taken during the pretreatment, early (symptomatic, 1-8 h post-LPS), and late (asymptomatic, 12-48 h post-LPS) phases of acute inflammation. BLS assessment included measurement of basal and PMA-stimulated phagocyte oxidase and myeloperoxidase (MPO) activities, and also included measurement of circulating (COR) and PAF-primed maximum (MOR) opsonin receptor-dependent phagocytic activities. Basal oxidase activity peaked at T + 1 h and showed an additional peak at T + 24 h post-LPS. The COR activity also peaked at 1-2 h, but remained elevated through T + 24 h post-LPS, while the basal MPO activity peaked only once at T + 1 h. We concluded that while MPO evidence of phagocyte respiratory activation returned to baseline by T + 4 h, COR evidence of receptor expression (receptor alert) remained elevated through T + 24 h. During this early (0-8 h) period, elastase/alpha 1AT complex concentration peaked at T + 3-4 h and again at T + 8 h. Peak numbers of circulating polarized and vacuolated phagocytes also appeared at T + 3 h and 7 h. We concluded that there was biochemical and morphological evidence of continuing phagocyte activity beyond T + 4 h to T + 8 h, and that this corresponded with the period during which the subjects were symptomatic. In addition, the appearance of a second peak of basal oxidase activity at T + 24 h, multiple discriminant analyses of all the luminescence data, and the sustained elevation of lactate suggested that there was a later second stage (T + 12 h to 48 h) of the human response to endotoxin, during which time the subjects were asymptomatic.
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Affiliation(s)
- F Taylor
- Cardiovascular Biology Research, Oklahoma Medical Research Foundation, Oklahoma City 73104, USA.
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Merrill GA, Bretthauer R, Wright-Hicks J, Allen RC. Effects of inhibitors on chicken polymorphonuclear leukocyte oxygenation activity measured by use of selective chemiluminigenic substrates. Comp Med 2001; 51:16-21. [PMID: 11926296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
Chicken heterophil polymorphonuclear leukocytes (CPMNLs) have NADPH oxidase activity, but lack myeloperoxidase (MPO). Stimulation of CPMNLs by phorbol 12-myristate 13-acetate or chicken opsonified zymosan results in luminol-dependent chemiluminescence (CL) activity, which is small relative to that of human peroxidase-positive neutrophils (HPMNLs), as well as lucigenin-dependent CL, comparable to HPMNL responses. Inhibitors were used to investigate and characterize the CL activity of CPMNLs. Inhibition constants were calculated, using Dixon inhibition analysis, or were reported as the concentration producing 50% inhibition of the magnitude of CL responses. Azide and cyanide are effective inhibitors of luminol CL in HPMNLs, although these peroxidase inhibitors do not inhibit either luminol or lucigenin CL of CPMNLs. Since these agents also inhibit eosinophil peroxidase, lack of inhibition of CPMNL CL indicates that the small percentages of peroxidase-positive eosinophils in CPMNL preparations are not responsible for the luminol CL observed. Iodoacetate and fluoride, pre-oxidase and pre-peroxidase inhibitors of glycolytic metabolism, effectively inhibit lucigenin and luminol CL activities in CPMNLs. Superoxide dismutase competitively inhibits lucigenin and luminol CL in CPMNLs, but catalase is an ineffective inhibitor. Although luminol is efficiently dioxygenated by a MPO-dependent mechanism in HPMNL, use of peroxidase-deficient CPMNLs indicates that this substrate does not exclusively measure peroxidase activity.
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Affiliation(s)
- G A Merrill
- Department of Clinical Investigation, Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas 78247-6315, USA
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28
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Taylor FB, Haddad PA, Hack E, Chang AC, Peer GT, Morrissey JH, Li A, Allen RC, Wada H, Kinasewitz GT. Two-stage response to endotoxin infusion into normal human subjects: Correlation of blood phagocyte luminescence with clinical and laboratory markers of the inflammatory, hemostatic response. Crit Care Med 2001; 29:326-34. [PMID: 11269245 DOI: 10.1097/00003246-200102000-00020] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- F B Taylor
- Oklahoma Medical Research Foundation, Okalohoma City, USA
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29
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Abstract
STUDY DESIGN One-dimensional polyacrylamide gel electrophoresis was used to study serum esterase enzymatic activity in three groups of patients and one group of normal volunteers. OBJECTIVES To determine whether there is a statistically significant correlation between variations of serum pseudocholinesterase and the perception of pain in patients with chronic spinal pain. SUMMARY OF BACKGROUND DATA Changes in levels of cholinesterase in the extracellular space of the brain and in the cerebral spinal fluid have been found to be associated in animal pain experimentation. METHODS Ninety-three surgical patients with chronic spinal pain, six surgical control subjects operated for conditions not associated with pain, 21 normal control volunteers, and nine disabled patients receiving monetary benefits were studied. The patients were analyzed for a period of time by rating the perception of their pain with a visual assessment score at the time venous blood was drawn. Serum samples were prepared, serum pseudocholinesterase was monitored, separated, and quantified according to Allen et al.5 Paired sample t tests were used to statistically evaluate the data. RESULTS A trend of correlation was noted between preoperative serum pseudocholinesterase levels and visual assessment score: serum pseudocholinesterase levels increased as visual assessment score increased. The mean preoperative serum pseudocholinesterase level of chronic spinal pain patients (1313; SE = 26), which was significantly higher than the mean levels of the normal control volunteers (941; SE = 24; P<0.001) and that of surgical control subjects (1018; SE = 63; P <0.01), decreased significantly with anesthesia (P<0.005). The mean preoperative serum pseudocholinesterase level of the surgical controls, however, remained unchanged with anesthesia. A correlation demonstrated between visual assessment score and serum pseudocholinesterase in chronic spinal pain patients was not observed in six of nine patients receiving disability payments for more than a year. CONCLUSIONS Measurements of quantitative alterations of serum pseudocholinesterase levels may be useful in the treatment of patients with chronic spinal pain.
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Affiliation(s)
- B M Cameron
- Saint Luke's Episcopal Hospital, Center for Orthopaedic Research and Education, Houston, Texas 77225-0269, USA
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Affiliation(s)
- R C Allen
- Department of Pathology and Laboratory Medicine, School of Medicine, Emory University, Atlanta, Georgia 30335, USA
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31
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Lefkowitz DL, Roberts E, Grattendick K, Schwab C, Stuart R, Lincoln J, Allen RC, Moguilevsky N, Bollen A, Lefkowitz SS. The endothelium and cytokine secretion: the role of peroxidases as immunoregulators. Cell Immunol 2000; 202:23-30. [PMID: 10873303 DOI: 10.1006/cimm.2000.1638] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The endothelium is frequently exposed to many proinflammatory mediators. The present study was done to determine the effects of human recombinant myeloperoxidase (MPO) and porcine eosinophil peroxidase (EPO) on certain endothelial cell (HUVEC) functions. The following areas were evaluated: (1) production of reactive oxygen intermediates (ROI), (2) cytokine secretion, and (3) regulation of mRNA cytokine transcripts. Both MPO and EPO induced the production of ROI, but an enzymatically inactive form of MPO (iMPO) was the most effective. Enzymatically inactive MPO, but not MPO, induced the secretion of interleukins 6 and 8 and granulocyte-monocyte colony-stimulating factor. A ribonuclease protection assay indicated that both iMPO and MPO upregulated mRNA cytokine transcripts; however, the former was markedly more effective. The simultaneous addition of EPO and iMPO resulted in a decrease in cytokine-specific mRNA. These data indicate a major role for peroxidases in the regulation of inflammation.
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Affiliation(s)
- D L Lefkowitz
- Department of Biological Sciences, Texas Tech University, Lubbock, Texas, 79409, USA
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32
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Mathers WD, Nelson SE, Lane JL, Wilson ME, Allen RC, Folberg R. Confirmation of confocal microscopy diagnosis of Acanthamoeba keratitis using polymerase chain reaction analysis. Arch Ophthalmol 2000; 118:178-83. [PMID: 10676782 DOI: 10.1001/archopht.118.2.178] [Citation(s) in RCA: 105] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
BACKGROUND Acanthamoeba keratitis has commonly been identified with in vivo confocal microscopy and confirmed with histologic examination of an epithelial biopsy specimen. OBJECTIVE To determine if Acanthamoeba keratitis can be verified using polymerase chain reaction (PCR) of epithelial biopsy specimens. METHODS Epithelial specimens from patients with suspected Acanthamoeba keratitis by confocal microscopy were tested for Acanthamoeba with PCR of Acanthamoeba ribosomal DNA. RESULTS Twenty-four of 31 patients with evidence of Acanthamoeba keratitis were positive for Acanthamoeba on PCR analysis using 3 sets of primers. In 22 cases, the sequence obtained closely matched Acanthamoeba castellanii. CONCLUSIONS This study demonstrates that PCR analysis of epithelial biopsy specimens can provide definitive verification of the confocal microscopic and histologic identification of Acanthamoeba organisms associated with keratitis. Acanthamoeba keratitis is probably quite common, especially in contact lens wearers, although more than half of the patients in this study did not wear contact lenses.
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Affiliation(s)
- W D Mathers
- Department of Ophthalmology, University of Iowa, Iowa City, USA
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33
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Lincoln JA, Lefkowitz DL, Grattendick KJ, Lefkowitz SS, Allen RC. Enzymatically inactive eosinophil peroxidase inhibits proinflammatory cytokine transcription and secretion by macrophages. Cell Immunol 1999; 196:23-33. [PMID: 10486152 DOI: 10.1006/cimm.1999.1533] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
The present investigators have reported previously that macrophages (Mphi) can bind either myeloperoxidase (MPO) or eosinophil peroxidase (EPO) resulting in enhanced cytotoxicity to Candida albicans. Since MPO was shown to be immunomodulatory, the present study was initiated to determine whether either EPO or partially fragmented EPO (fgEPO) also modulated cytokine secretion. Murine peritoneal Mφ simultaneously stimulated with fgEPO and one of the following, (1) LPS, (2) mannosylated bovine serum albumin (mBSA), (3) interferon-gamma (IFN-gamma), or (4) Poly I:C, demonstrated both dose- and time-dependent decreases in TNF-alpha and IL-6 and a dose-dependent decrease in IFN-alpha/beta. The mRNA levels of Mphi exposed to fgEPO and mBSA demonstrated that fgEPO modulated Mphi cytokine function by decreasing TNF-alpha and IL-6 mRNA transcripts without altering transcription of TGF-beta or GM-CSF. These results demonstrate a possible interaction between the Mphi and eosinophil that could result in reduction of inflammation.
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Affiliation(s)
- J A Lincoln
- Department of Biological Sciences, Texas Tech University, Lubbock, Texas 79409, USA
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34
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Brown GE, Silver GM, Reiff J, Allen RC, Fink MP. Polymorphonuclear neutrophil chemiluminescence in whole blood from blunt trauma patients with multiple injuries. J Trauma 1999; 46:297-305. [PMID: 10029037 DOI: 10.1097/00005373-199902000-00017] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND Studies using isolated polymorphonuclear neutrophils (PMNs) indicate that trauma is associated with altered function of PMNs. Because isolation of PMNs can itself alter the function of these cells, we examined the relationships among measures of injury severity and several indices of PMN function using whole blood samples from trauma patients. METHODS Whole blood samples were obtained from 12 blunt trauma patients with multiple injuries in the intensive care unit of a Level I trauma center within 24 hours of admission and from 11 healthy volunteers. Samples were assayed for PMN chemiluminescence (CL) in response to a complement receptor 3 (CR3)-dependent agonist and for CD11b (CR3) expression. Common clinical parameters were correlated with CL and CR3 expression. RESULTS The CL ratio (i.e., unprimed/primed CL) was significantly correlated with initial base deficit (BD), Injury Severity Score (ISS), CR3 expression, units of packed red blood cells transfused during the interval before blood sampling, and length of intensive care unit stay (survivors only). In contrast, BD did not correlate with units of red blood cells transfused or length of stay. Similarly, ISS did not correlate with length of stay. CONCLUSION Significant correlations were observed between CL ratios and CR3 expression, ISS, initial BD, length of stay, and units of blood given. These data suggest that measuring CL produced by PMNs in whole blood is a potentially useful way to assess injury severity. Whereas the initial BD and ISS are indicators of how badly injured a patient is at the time of entry into a trauma center, the CL ratio may be a more useful indicator of both injury severity and prognosis.
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Affiliation(s)
- G E Brown
- Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA
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35
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Witko-Sarsat V, Halbwachs-Mecarelli L, Sermet-Gaudelus I, Bessou G, Lenoir G, Allen RC, Descamps-Latscha B. Priming of blood neutrophils in children with cystic fibrosis: correlation between functional and phenotypic expression of opsonin receptors before and after platelet-activating factor priming. J Infect Dis 1999; 179:151-62. [PMID: 9841834 DOI: 10.1086/314532] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
Blood phagocyte opsonin receptor CR1 (CD35) and CR3 (CD11b) functions were examined in cystic fibrosis (CF) patients with endobronchial Staphylococcus aureus or Pseudomonas aeruginosa chronic infection, CF patients without infection, heterozygous, non-CF patients with chronic pulmonary infection, and healthy controls. Circulating and platelet-activating factor (PAF)-primed phagocyte luminol luminescence responses to complement-opsonized zymosan were increased in both groups of infected CF and non-CF children relative to uninfected CF children and healthy control children and adults. The ratio between circulating and PAF-primed phagocyte responses was significantly elevated in all children with CF, and in these, the ratio could serve as an indicator of response to antibiotic treatment. The ratios of circulating and PAF-primed phenotypic expression for CR1, CR3, and FcgammaRIII (CD16), but not FcgammaRII (CD32), correlated with the functional ratios. Phagocyte opsonin receptor response capacity might be used for evaluation of inflammation and infection in CF patients.
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Affiliation(s)
- V Witko-Sarsat
- INSERM U90, HOPITAL nECKER, 161 RUE DE Sévres, 75015 Paris, France.
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36
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Abstract
A case of reflex sympathetic dystrophy is presented in a 12-year-old girl with comorbid conversion disorder. Her identical twin also had a conversion disorder. This is the first reported case of coexistence of reflex sympathetic dystrophy and conversion disorder. It is important for clinicians to be aware that these conditions may coexist since the presentation of symptoms differ, even though there are shared features of treatment.
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Affiliation(s)
- S Jaworowski
- Department of Psychiatry, Travancore Centre, Royal Children's Hospital, Melbourne, Australia
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37
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Pitrak DL, Mullane KM, Bilek ML, Stevens P, Allen RC. Impaired phagocyte oxidative capacity in patients with human immunodeficiency virus infection. J Lab Clin Med 1998; 132:284-93. [PMID: 9794699 DOI: 10.1016/s0022-2143(98)90041-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
Bacterial infections that may be related to impaired phagocyte function often develop in patients infected with human immunodeficiency virus (HIV). We examined the oxidative capacity of circulating phagocytes in 78 HIV+ patients and 31 control subjects by measuring chemiluminescence with a whole blood assay. Phagocytes were stimulated with zymosan opsonized with human complement (hC-OPZ) or immunoglobulin (hI-OPZ) with or without exogenous primers. Patients with CD4+ < 500/microL showed reduced whole blood chemiluminescence at maximal opsonin receptor (MOR) activity after priming in response to hC-OPZ relative to control subjects, and the difference was significant for patients with CD4+ < 100/microL. Patients had lower absolute phagocyte counts; however, the chemiluminescence activity calculated per phagocyte count was significantly depressed in advanced HIV infection, indicating the impairment of phagocytic cell function and a reduction in number. Data were similar when hI-OPZ was used as a stimulus. The chemiluminescence of unprimed phagocytes at circulating opsonin receptor (COR) activity relative to maximally primed phagocytes (COR/MOR ratio) was significantly higher for HIV+ patients as compared with control subjects and indicates a defect in phagocyte priming. Alternatively, the phagocytes do not increase chemiluminescence with priming because they have already been primed or activated in vivo. In late-stage disease, decreased opsonin receptor-dependent respiratory burst activity contributes to the risk of secondary bacterial infections.
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Affiliation(s)
- D L Pitrak
- Department of Medicine, University of Illinois College of Medicine at Chicago and West Side Veterans Administration Medical Center, USA
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38
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Budowle B, Allen RC. Analysis of amplified fragment-length polymorphisms (VNTR/STR loci) for human identity testing. Methods Mol Biol 1998; 98:155-71. [PMID: 9664561 DOI: 10.1385/0-89603-443-7:155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- B Budowle
- Forensic Science Research and Training Center, FBI Academy, Quantico, VA, USA
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39
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Stevens G, Long B, Hamann JM, Allen RC. Erbium:YAG laser-assisted cataract surgery. Ophthalmic Surg Lasers 1998; 29:185-9. [PMID: 9547771] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
BACKGROUND AND OBJECTIVE To assess the safety and efficacy of erbium:YAG laser-assisted cataract removal. PATIENTS AND METHODS A total of 15 patients underwent cataractous lens removal. All the patients had a visual acuity of 20/50 or worse secondary to senile cataract. The endothelial cell count was calculated preoperatively and at 6 weeks postoperatively. A 2.94-micron-wavelength erbium: YAG laser with a zirconium-fluoride fiber optic and silica tip was used to fracture and emulsify the nucleus. The erbium:YAG laser was chosen due to its high absorption in water, a primary component of a cataractous lens. RESULTS The postoperative visual acuity was 20/30 or better in all the eyes that were treated with surgery. The endothelial cell loss at 3 months was 0% to 10%. No laser-related complications were noted. A conversion to an ultrasound surgical technique was utilized in six cases. Vitreous loss occurred in one case due to the posterior extension of an anterior capsulotomy tear. CONCLUSION This study demonstrated the ability of an erbium:YAG laser system to safely and effectively emulsify the lens nucleus. Laser-assisted cataract surgery is a promising new clinical procedure.
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Affiliation(s)
- G Stevens
- Virginia Commonwealth University, Department of Ophthalmology, Richmond 23262, USA
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40
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Gelderman MP, Stuart R, Vigerust D, Fuhrmann S, Lefkowitz DL, Allen RC, Lefkowitz SS, Graham S. Perpetuation of inflammation associated with experimental arthritis: the role of macrophage activation by neutrophilic myeloperoxidase. Mediators Inflamm 1998; 7:381-9. [PMID: 9927230 PMCID: PMC1781873 DOI: 10.1080/09629359890758] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Rheumatoid arthritis (RA) is characterized by an abnormal cellular and cytokine infiltration of inflamed joints. This study addresses a previously unrecognized interaction between neutrophilic-myeloperoxidase (MPO) and macrophages (Mphi) which could explain the perpetuation of inflammation associated with RA. A monoarticular arthritis was induced in female Lewis rats by injection of streptococcal cell wall extracts (PG-APS). After swelling and erythema subsided, joints were re-injected with one of the following: porcine MPO or partially inactivated MPO (iMPO). Injection with either MPO or iMPO induced a 'flare' of experimental RA. Blocking the Mphi-mannose receptor by mannans, ablated exacerbation of disease. These results indicate that MPO or iMPO can play a pivotal role in the perpetuation but not initiation of this RA model.
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Affiliation(s)
- M P Gelderman
- National Institutes of Health, Bethesda, MD 20931, USA
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41
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Brown GE, Reiff J, Allen RC, Silver GM, Fink MP. Maintenance and down-regulation of primed neutrophil chemiluminescence activity in human whole blood. J Leukoc Biol 1997; 62:837-44. [PMID: 9400825 DOI: 10.1002/jlb.62.6.837] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
Priming of polymorphonuclear neutrophils (PMN) in whole blood (by tumor necrosis factor alpha and interleukin-8 for enhancement of luminol-dependent chemiluminescence induced by human complement-opsonized zymosan) was stable for 120 min. In contrast, priming of isolated PMN in plasma-free suspension for responses to opsonized zymosan, formyl-methionyl-leucyl-phenylalanine, and phorbol myristate acetate was markedly less stable. Decay of priming was not due to irreversible inactivation of the terminal CL production machinery because PMN could be reprimed by platelet-activating factor or leukotriene B4. The tumor necrosis factor-alpha-primed state of isolated PMN was stabilized by host plasma in a concentration-dependent fashion. We conclude that PMN priming results in a dynamic state that is reversible. Our findings suggest the existence of blood-borne components that may act to stabilize or modify PMN priming.
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Affiliation(s)
- G E Brown
- Department of Surgery, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, USA
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Lumsden AB, MacDonald MJ, Isiklar H, Martin LG, Kikeri D, Harker LA, Allen RC. Central venous stenosis in the hemodialysis patient: incidence and efficacy of endovascular treatment. Cardiovasc Surg 1997; 5:504-9. [PMID: 9464608 DOI: 10.1016/s0967-2109(97)00043-4] [Citation(s) in RCA: 115] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Central venous stenosis occurs as a complication of central venous catheterization and significantly complicates delivery of dialysis through arteriovenous grafts in the ipsilateral upper limb. This report includes two separate studies. Functioning expanded polytetrafluorethylene grafts have been prospectively evaluated using duplex scanning and angiography performed in all patients with stenoses > 50%. From this, it has been prospectively established that the incidence of unsuspected central venous stenoses in patients with functioning grafts is 29%. In the second part of the report, the authors' experience in the treatment of 25 central venous stenoses with percutaneous angioplasty and stent placement has been retrospectively reviewed. Initial technical success rate was 88%. Primary patency was 84% at 1 month, 42% at 6 months, and 17% at 1 year. Mean primary patency was 5.7 months. Stents were placed in five patients. Prevention of central venous stenosis by avoiding subclavian catheterization is optimal. Balloon angioplasty provides short-term patency, but it is the only option in most cases. The role for endovascular stent placement remains to be defined but early results are not optimistic.
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Affiliation(s)
- A B Lumsden
- Department of Surgery, Emory University School of Medicine and the Veterans Affairs Medical Center, Atlanta, Georgia, USA
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Martin GH, Allen RC, Noel BL, Talkington CM, Garrett WV, Smith BL, Pearl GJ, Thompson JE. Carotid endarterectomy in patients less than 50 years old. J Vasc Surg 1997; 26:447-54; discussion 454-5. [PMID: 9308590 DOI: 10.1016/s0741-5214(97)70037-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
PURPOSE The purpose of this study was to compare the results of carotid endarterectomy (CEA) in a young population with premature atherosclerosis with the results of an older control group, examining perioperative morbidity and mortality data, recurrent stenosis and symptoms, late stroke, and survival data. METHODS We retrospectively studied 26 patients less than 50 years old (mean, 43.2 +/- 3.8 years) and 30 patients greater than 55 years old (mean, 69.1 +/- 7.4 years) who underwent CEA during the same time period. Data were obtained regarding demographics, atherosclerotic risk factors, indication for CEA, perioperative complications, recurrent stenosis and symptoms, late stroke, and survival. RESULTS Smoking was more prevalent among young patients who underwent CEA (92% vs 70%; p = 0.036). Young patients were also more likely to be symptomatic at presentation (92% vs 57%; p = 0.003). The perioperative mortality rate (0% vs 0%) and neurologic morbidity rate (0% vs 3%; p = 1.000) were low for the study patients. During a mean follow-up of 67 +/- 42.7 months, there was no significant difference in survival rate (5-year survival rate, 93% vs 81%; p = 0.373), rate of late ipsilateral (4% vs 3%) and contralateral (4% vs 3%) stroke, restenosis and occlusion (26.9% vs 14.3%), recurrent symptoms (22% vs 17%), reoperation (11.5% vs 5.7%), or contralateral disease (17% vs 23%) development that required surgery for the study or the control cohorts. CONCLUSIONS Our data show that there is a high incidence of smoking and symptomatic presentation among young patients in whom carotid occlusive disease develops. CEA may be performed in young patients with low perioperative morbidity and mortality rates. Recurrent disease, late stroke, and survival rates are not significantly different than for older patients. Follow-up with serial duplex ultrasound and reoperation for symptomatic and high-grade asymptomatic restenosis may decrease the risk of late stroke.
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Affiliation(s)
- G H Martin
- Department of General Surgery, Baylor University Medical Center, USA
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Affiliation(s)
- R C Allen
- Division of Vascular Surgery, Stanford University Medical Center, California, USA
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Sanberg PR, Othberg AI, Borlongan CV, Saporta S, Anton A, Freeman TB, Cahill DW, Allen RC, Cameron DF. Transplantation of testis-derived Sertoli cells into the mammalian brain. Transplant Proc 1997; 29:1926-8. [PMID: 9193458 DOI: 10.1016/s0041-1345(97)00164-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- P R Sanberg
- Division of Neurological Surgery, University of South Florida College of Medicine, Tampa 33612, USA
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Abstract
PURPOSE To review the anatomic factors crucial to successful endoluminal abdominal aortic aneurysm (AAA) repair and propose an ideal endograft design for AAA exclusion. METHODS AND RESULTS The anatomic features of critical importance to endovascular AAA exclusion comprise remote arterial access, proximal and distal fixation sites, AAA morphology, and arterial wall pathology. When designing an aortic endograft, the major components to consider are stent selection, graft material, and the delivery system. The ideal endograft design must be sufficiently versatile to treat a broad range of patients. To meet this requirement, the endograft should display a high degree of dimensional adaptability. A modular bifurcated endograft design permits intraoperative customization to tailor the device to each patient's anatomy and pathology. CONCLUSIONS The modular stent-graft concept addresses many of the important factors in the evolution toward an ideal aortic endograft. Extensive testing will be needed to determine if the bifurcated stent-graft described here is the optimal design for effective AAA exclusion.
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Affiliation(s)
- R C Allen
- Division of Vascular Surgery, Stanford University Medical Center, CA 94305, USA
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Allen RC, Stevens PR, Price TH, Chatta GS, Dale DC. In vivo effects of recombinant human granulocyte colony-stimulating factor on neutrophil oxidative functions in normal human volunteers. J Infect Dis 1997; 175:1184-92. [PMID: 9129083 DOI: 10.1086/595866] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
The effect of daily in vivo granulocyte colony-stimulating factor (G-CSF) treatment on neutrophil function was studied over a 14-day period using a luminescence system for differential measurement of oxidase and myeloperoxidase (MPO) dioxygenation activities in whole blood. Opsonin receptor-mediated phagocyte functions were also measured with this system. G-CSF produced a dose-dependent neutrophil leukocytosis and a proportional increase in oxidase activity per volume of blood. The oxidase activity per neutrophil remained relatively constant throughout the test period. However, both chemical- and opsonin-stimulated MPO oxygenation activities per neutrophil were greatly increased by treatment with maxima correlating temporally to initial G-CSF exposure during the early mitotic phase of neutrophil development. The possibility that peroxynitrite contributes to this maximum luminol-dependent activity was tested, but neither superoxide dismutase, a competitive inhibitor of peroxynitrite production, nor N-methyl-L-arginine, an inhibitor of nitric oxide synthase, exerted a significant inhibitory effect.
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Affiliation(s)
- R C Allen
- Department of Medicine, University of Washington, and Puget Sound Blood Center, Seattle, USA
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Lefkowitz DL, Lincoln JA, Howard KR, Stuart R, Lefkowitz SS, Allen RC. Macrophage-mediated candidacidal activity is augmented by exposure to eosinophil peroxidase: a paradigm for eosinophil-macrophage interaction. Inflammation 1997; 21:159-72. [PMID: 9187960 DOI: 10.1023/a:1027366119901] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Various disease states are associated with eosinophilia and the release of eosinophil peroxidase (EPO) into the microenvironment. The present study targets the effects of low levels of EPO on macrophage (M phi) phagocytosis and intracellular killing of Candida albicans as well as M phi oxidative activity measured as the luminescence product of luminol dioxygenation. Resident murine peritoneal M phi were exposed to various concentrations of EPO. Chemiluminescence data indicate that nanomolar concentrations of EPO markedly enhanced the dioxygenation activity (respiratory burst) of M phi. In other studies, the exposure of M phi to 0.17 microM EPO for 10 min. enhanced M phi-mediated candidacidal activity 10 fold. The above data indicate that EPO enhances certain M phi functions. Also the results illustrate a previously un-recognized interaction between eosinophils and M phi and implicate yet another possible role for EPO in host defenses against disease.
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Affiliation(s)
- D L Lefkowitz
- Department of Biological Sciences, Texas Tech University, Lubbock 79409, USA
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Sanberg PR, Saporta S, Borlongan CV, Othberg AI, Allen RC, Cameron DF. Article Commentary: The Testis-Derived Cultured Sertoli Cell as a Natural Fas-L Secreting Cell for Immunosuppressive Cellular Therapy. Cell Transplant 1997; 6:191-3. [PMID: 9142451 DOI: 10.1177/096368979700600213] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- P R Sanberg
- Department of Surgery, University of South Florida, College of Medicine, Tampa 33613, USA
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Sanberg PR, Saporta S, Borlongan CV, Othberg AI, Allen RC, Cameron DF. The testis-derived cultured Sertoli cell as a natural Fas-L secreting cell for immunosuppressive cellular therapy. Cell Transplant 1997. [PMID: 9142451 DOI: 10.1016/s0963-6897(96)00257-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Affiliation(s)
- P R Sanberg
- Department of Surgery, University of South Florida, College of Medicine, Tampa 33613, USA
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