Immune suppression therapy in aplastic anemia: influencing factors on response and survival

Calpains are intracellular cysteine proteases activated in a Ca(2+)-dependent manner. Previously, we found that the differentiation of K562 cells induced by 4 beta-phorbol 12-myristate 13-acetate treatment is accompanied by an increase in m-calpain levels and, at the same time, m-calpain becomes localized on the inside of plasma membranes, coated pits, and coated vesicles [Nakamura, M., Mori, M., Morishita, Y., Mori, S. & Kawashima, S. (1992) Exp. Cell Res. 200, 513-522]. We also reported that mu-calpain plays an essential role in morphological changes and membrane fusion of erythrocytes through the degradation of spectrin, a lining protein [Hayashi, M., Saito, Y. & Kawashima, S. (1992) Biochim. Biophys. Res. Commun. 182, 939-946]. Thus, calpains are implicated in endocytosis and/or exocytosis, processes stimulated by Ca2+ and involving intracellular membrane fusion. In this study, we report the biochemical characterization of calpains as components of purified coated vesicles from bovine brain. It was found by Western-blot analysis and chemical cross-linking of proteins that calpains are bound to the membranes of coated vesicles, and not to the coats. The binding of m-calpain to vesicles is Ca(2+)-dependent, while that of mu-calpain is less dependent on the presence of Ca2+. We also identified substrate proteins for calpains in coated vesicles. Upon activation of endogenous calpains, component proteins of coated vesicles such as the clathrin light chain, tubulins, and adaptins, but not the clathrin heavy chain, are highly sensitive to calpain digestion. In the case of exogenously added calpains, low concentrations degraded the same protein components. The degradation pattern differs slightly between added mu-calpain and m-calpain. These results strongly suggest that calpains are involved in the formation of coated vesicles and/or vesicle fusion to endosomes.     

Exposures to patient and personnel in computed axial tomography

Distribution of radiation exposure circumcranially for patients undergoing brain scanning with EMI computed tomographic equipment was measured using thermoluminescent dosimeters. The exposures are found to lie in the range of 1-5 R depending on position relative to tube motion. The maximum exposure of 5 R in CT scanning lies between the estimated exposure of 1.2 R for skull radiography and approximately 10 R for angiographic examination. Measured exposures are reported corresponding to locations of the patients' eyes, thyroid, chest and gonads, and at various locations in the vicinity of the unit.     

Outcome of percutaneous intervention in iliac artery stents

PURPOSE: To assess the safety and efficacy of secondary procedures in iliac artery stents. MATERIALS AND METHODS: Thirty-four patients (36 limbs) underwent one or more interventional procedures in iliac artery stents to treat restenosis (n = 30) or occlusion (n = 6). All patients were followed up by means of clinical and angiographic examination. Primary and secondary patency were assessed with angiography, duplex ultrasound, or both. Primary patency was determined after one interventional procedure, and secondary patency was determined at the end of the study (mean +/- standard deviation, 20.1 months +/- 17.5; range, 1-58 months). RESULTS: Immediate angiographic success was achieved in all cases. Four complications were observed. The primary and secondary cumulative patency rates were 77.5% +/- 7.6 and 94% +/- 4.1 at 6 months, 73% +/- 8.4 and 89.3% +/- 6 at 12 months, and 51.4% +/- 10.9 and 78.8% +/- 8.8 at 2 years. At the end of the study, 80% of the arteries were still nominally patent. CONCLUSION: Restenosis and chronic occlusion in iliac artery stents can be treated with percutaneous interventional procedures; however, stenosis can still recur.     

Circulating intercellular adhesion molecule 1 (ICAM-1), E-selectin and vascular cell adhesion molecule 1 (VCAM-1) in head and neck cancer

The sera from patients with nasopharyngeal carcinoma (n = 30), oral carcinoma (n = 22) and laryngeal carcinoma (n = 22) was extracted before treatment. The concentration of circulating intercellular adhesion molecule 1 (ICAM-1), E-selectin and vascular cell adhesion molecule 1 (VCAM-1) was measured by enzyme-linked immunoassay and compared with those from normal subjects (n = 20). The concentration of circulating ICAM-1, E-selectin and VCAM-1 was significantly increased in nasopharyngeal carcinoma. Correspondingly, VCAM-1 and E-selectin were significantly increased in laryngeal carcinoma, whereas only E-selectin was elevated in oral carcinoma. The concentrations of these adhesion molecules did not significantly differ with respect to the early and late stages of these carcinomas. Elevated levels of soluble adhesion molecules in the sera of cancer patients at three different head and neck regions, although appearing to be implicated in these tumour formations, may be unrelated to tumour progression.     

Vascular determinants of univentricular support

The dynamic coupling between cardiac pump performance and vascular arterial-venous capacitive and resistive properties was examined analytically and experimentally to determine the feasibility of maintaining systemic and pulmonary circulation, devoid of the right heart. Analysis of the cardiovascular system (excluding neurohumoral factors), used a mathematical representation of the major determinants involved in cardiac output and demonstrated that change in pump flow output has reciprocal effects on the venous and arterial pressures. Independent of the pump's performance characteristics, cardiac output reserve was restricted, reaching a critical plateau (50% of normal) because of the rapidly depleting pulmonary venous pressure, concurrent with the translocation of the venous stressed volume to the arterial side of the circulation. Animal experiments aided by computer modeling confirmed that near normal flow can be sustained by actively mobilizing or augmenting blood volume, or by reducing selectively the unstressed volume and venous pooling. A single blood pump, in a form of a mechanical substitute, or the biologic left heart acting alone, can support the entire circulation. The right heart is not essential for normal pulmonary circulation, but serves to maintain low systemic venous pressure and a relatively high left heart flow reserve state. Peripheral vascular parameters, i.e., stressed volume and venous capacitance, serve a vital role in preserving the mechanical self regulation of cardiac output.     

Contamination of purified prostate-specific antigen preparations by kallikrein hK2

This paper ascertained the contamination by hK2 of two types of PSA preparation, that of Sensabaugh and Blake (J. Urol., 144: 1523, 1990) and that of Deperthes et al (J. Androl., 17: 659, 1996). In the first procedure, the free forms of hK2 co-migrated with PSA during the CM-Sephadex and the Sephacryl S-200 steps. By contrast, in the second procedure a very high proportion of hK2 was separated from PSA. In two different Sensabaugh and Blake procedures, the hK2 contamination per microg. of PSA was found to be respectively 0.3 and 1.0 ng. We conclude that hK2 is a quantitatively minor contaminant of some PSA preparations. That contamination is probably of little consequence for PSA standardization but it could lead to erroneous conclusions in enzymatic studies of PSA.     

Nutrient intake of elite sailors during a solitary long-distance offshore race

The purpose of the present study was to determine the nutritional intake of 11 skippers during the four stages of a solitary long-distance offshore race. Body weight significantly decreased during the race (-1.31 +/- 0.32 kg, range 3.5 to 0.1 kg, p <.01). Total daily energy intake was 18.53 +/- 0.71 MJ x day-1 during the race, and it correlated negatively with the rate duration of each leg. Energy intake during the race was 19% greater than that determined for a subgroup of 5 sailors during a control period 2 months after the race. Nutrient intake expressed as percentage calories of total energy was estimated at 50%, 35%, and 15% for carbohydrate, fat, and protein, respectively. Voluntary fluid intake decreased with increasing race duration (p<.001). Despite high energy intakes, sailors lost body weight during the solitary offshore race. It was not possible to conclude that this change in body weight was related to fluid loss and/or a discrepancy between energy intake and energy expenditure.