Embryonic origin of preimplantation factor (PIF): biological activity and partial characterization

Preimplantation factor (PIF) is detected in the serum of women shortly after fertilization; its origin, however, has not been established. In this study, the embryonal origin of PIF was investigated and partial characterization of the factor was carried out. Culture media from viable human 2-8-cell stage embryos and mouse 2-cell-blastocyst stage embryos were analysed using the lymphocyte/platelet binding assay (LPBA). The assay was performed by combining culture media with donor O+ type blood-derived lymphocytes/platelets, complement and an antibody against CD2. Increased autorosette formation between lymphocytes and platelets (> 9%) was an indication for the presence of PIF. In addition, the effect of platelet-activating factor (PAF) and chaperonin 10 on PIF activity was determined. Partial purification of PIF was carried out using gel filtration and reverse-phase high purification liquid chromatography (HPLC), followed by mass spectrometry. Culture media of single human viable fertilized oocytes were negative for PIF; however, the 10-fold concentrated medium was positive for PIF. In medium in which five or more mouse embryos were cultured, PIF activity was observed starting at the morula stage and was higher by the blastocyst stage. Addition of PAF or chaperonin 10 to the PIF assay did not elicit a specific effect on PIF activity. Chromatographic data suggest that PIF activity is due to low molecular weight proteins. PIF appears to be a low molecular weight protein which is derived from viable preimplantation embryos. It is different from PAF or chaperonin 10. Its final characterization will be valuable for better understanding of maternal recognition of pregnancy and implantation.     

Adenocarcinoma of the esophagus and gastroesophageal junction

The experimental work discussed here supports the hypothesis that in the pathogenesis of MG the initial and essential steps take place within the thymus. Most if not all thymuses of MG patients contain B cells capable of producing AChR specific autoantibody along with appropriate stroma elements. Hyperplastic thymuses characteristically contain germinal centers with cellular complexes of AChR-producing MC and surrounding interdigitating dendritic cells. In thymomas, the source of the myasthenogenic autoantigen is less obvious. There are data suggesting that thymoma epithelium expresses a protein sharing certain peptide epitopes with the AChR alpha chain, although there is no further molecular similarity. A unique type of 'molecular self-mimicry' cold be involved in the initiation of thymoma-associated MG.     

Myopathy associated with human immunodeficiency virus infection: report of a case

This paper explores nursing's current fascination with defining and exploring the term 'caring'. Fear of caring is proposed as the reason for this fascination. Factors at the root of this fear are identified and an expanded definition of caring (one which arises from the dispelling of such fear) is proposed. This expanded definition is given a new label--loving. For, as this author contends, has not loving always been at the heart of nursing?     

Noradrenergic abnormalities in the genetically epilepsy-prone rat

The genetically epilepsy-prone rat (GEPR) has central nervous system noradrenergic deficits as compared to normal rats. It is possible that these deficits contribute to seizure predisposition because they are exhibited by seizure-naive as well as by seizure-experienced GEPRs. On the basis of pharmacological studies, it is hypothesized that there is an inverse relation between seizure predisposition and levels of noradrenergic activity in brain. Neurochemical studies indicate that deficits exist in areas innervated by both the locus ceruleus and the lateral tegmental noradrenergic systems. These deficits exist in GEPRs without seizure experience and are more pronounced in the severe seizure strain as compared to the moderate seizure strain. We review eight experimental steps undertaken to identify more precisely the anatomical location of noradrenergic determinants of seizure predisposition. These steps illustrate the theoretical bases for the studies and describe the specific experiments completed. Evidence supports the hypothesis that noradrenergic deficits in the superior colliculus and/or ventrally adjacent regions are determinants of seizure predisposition.     

Factors influencing pressurization of the femoral canal during cemented total hip arthroplasty

Successful cement pressurization with total hip arthroplasty depends on the capacity of the cement gun and its ability to pressurize the canal and the integrity of the intramedullary plug and the proximal seal used to contain the cement bolus during pressurization. In the laboratory, the authors measured the volume of cement delivered by two cement guns (from Zimmer, Warsaw, IN, and Howmedica, Rutherford, NJ) in comparison with typical values for the volume of the medullary canal following standard surgical preparation. The two cement guns studied delivered 93 and 138 mL cement, respectively. In comparison, the volume of the intramedullary canal ranged from 35 to 70 mL using a standard femoral prosthesis (Precision Hip System, Howmedica). Peak pressures developed during cement injection using the cement guns were 73.6 +/- 27.1 psi for the Zimmer system and 47.3 +/- 16.9 psi for the Howmedica system. Both devices were able to sustain a minimum pressure of at least 6.5 psi through cementing when used in conjunction with a flexible pressurizing seal. The mechanical performance of five designs of intramedullary plugs was assessed by monitoring plug displacement during cement pressurization in reamed cortical specimens. The performance of each device was judged by its ability to withstand cement pressures of 50 psi without displacement within the medullary canal. On the basis of this test, the probability that these plugs would exceed this criterion when used with the femur was estimated to range from 24 to 94%. Few of the commercially available plugs were able to withstand cement pressures routinely generated using standard cement delivery systems.