Hematopoietic effects and clinical uses of granulocyte-macrophage colony-stimulating factor and PIXY321

We tested the influence of in vivo volume resuscitation on intrinsic contractile properties of left ventricular (LV) preparations of endotoxemic guinea pigs. Escherichia coli endotoxin (LPS)-injected animals were divided into nonresuscitated and resuscitated groups. Volume resuscitation improved cardiac output and stroke volume, increased arterial pH and body temperature, and decreased mortality. In isovolumetric LV preparations isolated 4 h after LPS injection, LV systolic pressures (in mmHg) preparations isolated 4 h after LPS injection, LV systolic pressures (in mmHg) of LPS with (42 +/- 3) and without (42 +/- 2) fluid resuscitation were consistently less than control values (70 +/- 3). LV end-diastolic pressure-volume (compliance) decreased in LPS-nonresuscitated hearts, while LV compliance of LPS-resuscitated hearts was similar to control. Thus, intravascular volume expansion selectively improved LV diastolic compliance of LPS hearts without affecting LV systolic function. These findings suggest that LV systolic and diastolic dysfunctions associated with endotoxemia and Gram-negative sepsis may involve separate pathogenic mechanisms.     

Establishment of a hereditary nonpolyposis colorectal cancer registry

INTRODUCTION: Hereditary nonpolyposis colorectal cancer (HNPCC) is an autosomal dominant condition characterized by early age of onset colorectal cancer, right-sided predominance, excess of synchronous and metachronous colonic neoplasms, and extracolonic cancers. The purpose of this study is to report clinical characteristics of HNPCC families in our registry. METHODS: This is a retrospective review of medical records of patients with a significant history of colorectal cancer and interviews with their families. RESULTS: Three hundred one people with cancer in 40 HNPCC families were identified. In 284 of 301 (94 percent) people, 363 cancers were identified. Colorectal cancer only was identified in 182 people (64 percent) and, in conjunction with extracolonic tumors, in another 31 people (11 percent). Extracolonic cancer alone was noted in 71 people (25 percent). Median age at diagnosis of colorectal cancer was 48 (range, 17-92) years. In patients with documented pathology, right-sided tumors predominated (55 percent), synchronous and metachronous tumors were noted in 53 percent, and synchronous of metachronous adenomas were documented in 51 percent of people. Generational anticipation was also noted. CONCLUSION: This study demonstrates and confirms characteristics that have been described in HNPCC. Namely, early age of onset of colorectal cancer, right-sided predominance, multiple synchronous and metachronous neoplasms, increased extracolonic cancers, and generational anticipation.     

The modification of hemoglobin by citrate

Citrate, when activated by a water-soluble carbodiimide, covalently modifies hemoglobin. At pH values near neutrality, complete modification of the N-terminal valine residues of alpha- and beta-globin chains can be accomplished with a high degree of specificity. These groups react at a much more rapid rate than a slower reacting set of functional groups. Modification of hemoglobin with citrate alters the oxygen affinity of the protein. Although the p50 is not changed, the cooperative nature of oxygen binding is greatly decreased. Hemoglobin S modified with citrate is more soluble than unmodified hemoglobin S. The time taken for deoxygenated hemoglobin S to come out of solution in concentrated phosphate solutions is increased by citrate modification.     

Sliding conjunctival flap for the treatment of primary pterygium

BACKGROUND: The major problems after pterygium removal are recurrence and complications of the therapy. The authors investigated a simple surgical treatment without adjunctive therapy for primary pterygium. METHODS: Patients eligible to be included in the study were identified from a pterygium treatment log. They represent consecutive cases over a 6 1/2-year period, all of whom had been treated by one surgeon using a superior, sliding, conjunctival flap to cover the pterygium defect. An attempt was made to obtain follow-up of at least 1 year for each patient. RESULTS: Two hundred fifty-eight eyes in 236 patients were included in the study. Two hundred twenty-two eyes (86%) were able to be followed by either record review or re-examination. Seven pterygia (3.2%) recurred, all identified by record review, with no recurrences identified by re-examination. Recurrences were more likely after early postoperative flap retraction (5 of 7 recurrences) and recurrence occurred at a mean interval of 4.3 months (range, 1.5-11 months) after surgery. Symptomatically, the patients were comfortable, and the cosmetic result was good. CONCLUSION: This study indicates that this simple surgical procedure for the treatment of primary pterygium should be evaluated further by controlled clinical trials.     

Dendritic cell-based immunotherapy of prostate cancer

The protective effect of catechins, major components of green tea, was studied in cultured human umbilical vein endothelial cells exposed to toxicity induced by linoleic acid hydroperoxide (LOOH). In the case where cells were incubated in medium containing both LOOH and catechins, (+)-catechin (C) was effective in suppressing of LOOH-induced cytotoxicity, but (-)-epicatechin (EC), (-)-epigallocatechin (EGC), (-)-epicatechin gallate (ECG), and (-)-epigallocatechin gallate (EGCG) had no effect. EGCG monoglucoside (EGCG-G1) and EGCG diglucoside (EGCG-G2), apophilic derivatives of EGCG, show a protective effect on LOOH-induced cytotoxicity when present at the time of treatment with LOOH. On the other hand, when cells were incubated with catechins for 24 h before treatment with LOOH there was no protection against the oxidative damage by LOOH. Furthermore, the interaction between catechins and alpha-tocopherol was examined under these culture conditions. C showed a synergistic effect with alpha-tocopherol in protecting against LOOH-induced damage. These results suggest that catechins interact with LOOH present in the medium or near the surface of membranes, but not with LOOH incorporated into cellular membranes and that catechins are able to interact with alpha-tocopherol to provide synergistic protection against the cytotoxicity of LOOH.     

Cytochemical assay for differential respiratory activity in roots and root hairs

The study of the underground parts of plants is often difficult, and as a result roots are often treated as homogeneous physiological entities with respect to root respiration. In this study we demonstrate a partitioning of respiration within root tissues using nitro blue tetrazolium staining and an incident light optical system that permits detailed observations of intact roots. The assay is rapid and easy to perform, and reveals that respiratory activity in roots is not uniform in space and time. The results show that root hairs in particular may be regions of enhanced respiratory activity in some species or in certain developmental or physiological states. This fact has important implications for the role of root hairs in the overall respiratory budget of roots and the energetics of nutrient assimilation. The results suggest that root respiration studies should consider differential respiratory activities of root cell types within roots.