Intravitreal tolerance of a new perfluorocarbon vitreous replacement, Multifluor APF-144

OBJECTIVE: To evaluate the intravitreal tolerance of a new perfluorocarbon vitreous replacement, Multifluor APF-144 (perfluorotetramethylcyclohexane). DESIGN: Ten New Zealand albino rabbits (one eye from each) underwent vitrectomy. The vitreous was replaced in five eyes with Multifluor APF-144 and in five eyes with saline (control group). OUTCOME MEASURES: Appearance on indirect ophthalmoscopy, electroretinography recordings before and 2, 4 and 8 weeks after vitrectomy, findings on electron and light microscopy at 8 weeks. RESULTS: Endophthalmitis did not develop in any of the eyes. There was no significant change in electroretinography values for the experimental eyes after vitrectomy. No evidence of retinal toxicity was found on light or electron microscopic examination. CONCLUSIONS: Multifluor APF-144 shows promise as a short-term postoperative retinal tamponading agent.     

Dual recognition of lipid A and DNA by human antibodies encoded by the VH4-21 gene: a possible link between infection and lupus

The VH4-21 (V4-34) gene segment, a member of the VH4 family, is expressed early in B-cell maturation and is utilized by approximately 6% of normal adult B lymphocytes. This prevalence indicates an importance of VH4-21 in the B-cell repertoire. The gene also encodes certain autoantibodies being mandatory for pathological IgM anti-red cell antibodies directed against the I/i antigen, and also capable of encoding anti-DNA antibodies. Recognition of I/i antigen or DNA appears to be via two distinct sites on VH, with I/i binding mediated by sequences in the framework region, and DNA binding correlating with the presence of positively charged amino acids in complementarity-determining region 3. However, these positively charged residues appear to suppress the ability of the framework region to interact with I/i, rendering a single sequence monospecific for I/i or DNA. The IgM anti-DNA antibodies also recognize bacterial lipid A, whereas the anti-I/i antibodies do not, indicating that CDR3 may be involved in binding the negatively charged lipid A. Structural similarities between the DNA backbone and lipid A provide a possible explanation for this cross-reactivity. This dual recognition of bacterial antigen and autoantigen provides a potential link between infection and autoimmunity.     

The significance of gastric helicobacteriosis in the genesis hemorrhage from duodenal peptic ulcer

Based on a comprehensive analysis of findings from examination and surgical treatment of 196 patients with bleeding pyloroduodenal ulcers, it was found out that patients with concurrent helicobacteriosis of the stomach are prone to more unfavourable course of their illness, which fact is evidenced by a greater loss of blood and higher risk for bleeding recurrences. A classification is proposed by the authors, taking advantage of the data from endoscopic, microscopic and immunoenzymatic techniques, with the purpose of providing an assessment of degree of severity of helicobacteriosis of the stomach.     

Tenderness of major muscles from three breed-types of cattle at different times-on-feed

Seventy-five steers (9 to 12 months of age) of Angus (n = 25), Brahman (n = 25) and Brahman × Angus (n = 25) breed-types of known history were fed a high-energy diet and five steers from each breed-type were slaughtered after 0, 56, 112, 168 and 224 days on test. At seven days post mortem, the left side of each carcass was fabricated and eight major primals or subprimals were obtained. Steaks were removed from the shoulder clod, strip loin, tenderloin, top sirloin, knuckle, top round, bottom round and eye of round for Warner-Bratzler shear (WBS) determinations and from the strip loin and bottom round for sensory panel evaluations. Steaks from Angus and Brahman × Angus steers were generally more tender than steaks from Brahman steers. Tenderness of steaks from steers of the three breed-types responded to time-on-feed differently: (a) steaks from Brahman steers improved (P < 0·05) in tenderness with increasing time-on-feed for all muscles except the M. psoas major (tenderloin); (b) with the exception of the M. longissimus muscle (strip loin), the tenderness of steaks from Angus steers did not change (P > 0·05) as time-on-feed increased and (c) for the Brahman × Angus steers, five of the ten muscles studied improved (P < 0·05) in tenderness with increasing time-on-feed. 'Acceptable' tenderness (WBS values of less than 4·5 kg) for most of the muscles was achieved at feeding periods from 112 to 224 days for Brahman, from 0 to 56 days for Angus and from 56 to 168 days for Brahman × Angus.     

Comparison of M. longissimus dorsi pigment concentration from implanted and control Angus and Limousin bulls and steers

M. longissimus dorsi total pigment concentration, visual color score and 24-h pH values were evaluated in a 2(3) factorial design that included bulls versus steers, Zeranol implants versus control and Angus versus Limousin comparisons. Bulls had greater total pigment concentration than steers (3.25 versus 2·90 mg/g; P < 0·01) and darker colored lean (P < 0·01). Twenty-four hour pH values did not differ between bulls and steers. Zeranol implanting and breed had no effect on total pigment concentration or visual color score; however, Limousin had higher (P < 0·05) 24-h pH values than Angus. The initial slaughter group (N = 10; average age = 256 days) had 34% less total pigment than the final slaughter group (N = 48; average age = 458 days). The correlation between visual color score and total pigment concentration was -0·65. These results indicate that the darker colored lean from bulls is due in part to an increase in pigment concentration.     

Mutation analysis of the MEN1 gene in multiple endocrine neoplasia type 1, familial acromegaly and familial isolated hyperparathyroidism

Multiple endocrine neoplasia type 1 (MEN 1) is an autosomal dominant disease characterized by neoplasia of the parathyroid glands, the endocrine pancreas, and the anterior pituitary gland. In addition, families with isolated endocrine neoplasia, notably familial isolated hyperparathyroidism (FIHP) and familial acromegaly, have also been reported. However, whether these families constitute MEN 1 variants or separate entities remains speculative as the genetic bases for these diseases are unclear. The gene for MEN 1 has recently been cloned and characterized. Using single strand conformation analysis (SSCA) and sequencing, we performed mutation analysis in: a) a total of 55 MEN 1 families from 7 countries, b) 13 isolated MEN 1 cases without family history of the disease, c) 8 acromegaly families, and d) 4 FIHP families. Mutations were identified in 27 MEN 1 families and 9 isolated cases. The 22 different mutations spread across most of the 9 translated exons and included frameshift (11), nonsense (6), splice (2), missense mutations (2), and in-frame deletions (1). Among the 19 Finnish MEN 1 probands, a 1466del12 mutation was identified in 6 families with identical 11q13 haplotypes and in 2 isolated cases indicating a common founder. One frameshift mutation caused by 359del4 (GTCT) was found in 1 isolated case and 4 kindreds of different origin and haplotypes; this mutation therefore represents a common "warm" spot in the MEN1 gene. By analyzing the DNA of the parents of an isolated case one mutation was confirmed to be de novo. No mutation was found in any of the acromegaly and small FIHP families, suggesting that genetic defects other than the MEN1 gene might be involved and that additional such families need to be analyzed.     

Effect of brain edema on the recurrence pattern of malignant gliomas

PURPOSE: To assess the influence of initial preoperative brain edema in malignant gliomas on regrowth patterns. SUBJECTS AND METHODS: 79 patients with histologically verified supratentorial malignant glioma were prospectively studied by magnetic resonance imaging (MRI) before and every 2-3 months after surgery. The median follow-up time was 11 months. We correlated the configuration of the initial vasogenic edema on T2-weighted images with tumor regrowth patterns on contrast-enhanced T1-weighted images. RESULTS: 35/47 tumor regrowths (75%) imitated the initial edema configuration, while 11/47 occurred within the initial tumor bed; in one case tumor recurrence was multilocal. CONCLUSION: In glioblastoma, tumor regrowth patterns correlate positively with the configuration of the initial vasogenic brain edema. The initial, "presurgical" peritumoral edema should thus be considered when planning further treatment.