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1.
Allergy ; 60(12): 1537-41, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16266387

ABSTRACT

BACKGROUND: Lifestyle changes over the last 30 years are the most likely explanation for the increase in allergic disease over this period. AIM: This study tests the hypothesis that the consumption of fast food is related to the prevalence of asthma and allergy. METHODS: As part of the International Study of Asthma and Allergies in Childhood (ISAAC) a cross-sectional prevalence study of 1321 children (mean age = 11.4 years, range: 10.1-12.5) was conducted in Hastings, New Zealand. Using standard questions we collected data on the prevalence of asthma and asthma symptoms, as well as food frequency data. Skin prick tests were performed to common environmental allergens and exercise-induced bronchial hyperresponsiveness (BHR) was assessed according to a standard protocol. Body mass index (BMI) was calculated as weight/height2 (kg/m2) and classified into overweight and obese according to a standard international definition. RESULTS: After adjusting for lifestyle factors, including other diet and BMI variables, compared with children who never ate hamburgers, we found an independent risk of hamburger consumption on having a history of wheeze [consumption less than once a week (OR = 1.44, 95% CI: 1.06-1.96) and 1+ times a week (OR = 1.65, 95% CI: 1.07-2.52)] and on current wheeze [consumption less than once a week (OR = 1.17, 95% CI: 0.80-1.70) and 1+ times a week (OR = 1.81, 95% CI: 1.10-2.98)]. Takeaway consumption 1+ times a week was marginally significantly related to BHR (OR = 2.41, 95% CI: 0.99-5.91). There was no effect on atopy. CONCLUSIONS: Frequent consumption of hamburgers showed a dose-dependent association with asthma symptoms, and frequent takeaway consumption showed a similar association with BHR.


Subject(s)
Asthma/epidemiology , Asthma/etiology , Beverages/adverse effects , Diet/adverse effects , Meat Products/adverse effects , Adult , Animals , Bronchial Hyperreactivity/epidemiology , Bronchial Hyperreactivity/etiology , Cattle , Child , Cross-Sectional Studies , Female , Humans , Male , Prevalence , Respiratory Sounds/etiology , Risk Factors , Skin Tests
2.
Leukemia ; 19(4): 513-23, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15703780

ABSTRACT

We have previously shown that chronic lymphocytic leukemia (CLL) B cells secrete vascular endothelial growth factor (VEGF) in vitro, have constitutively active VEGF receptors R1 and R2, and respond to exogenous VEGF by specifically upregulating Mcl-1 and XIAP in association with decreased cell death. We found that epigallocatechin (EGCG) decreases VEGF receptor phosphorylation and induces apoptosis in CLL B cells. The mechanism(s) by which VEGF receptor activation increases Mcl-1 and XIAP and promotes survival remains unknown. To further define the signaling pathway mediating VEGF induction of antiapoptotic proteins in CLL B-cells, we investigated downstream effects of VEGF-VEGF receptor binding on the STAT signaling pathway. We find that CLL B cells abundantly express cytoplasmic serine phosphorylated (p)-STAT-1 and p-STAT-3, VEGF-R1/2 are physically associated with p-STAT-1 and p-STAT-3, and p-STAT-3 (but not p-STAT-1) is found in the CLL nucleus. VEGF receptor ligation selectively induces activation and perinuclear translocation of STAT 3 through receptor-mediated endocytosis. The inhibition of VEGF receptor activation with either tyrosine kinase inhibitors or VEGF neutralizing antibodies inhibit VEGF receptor phosphorylation, decrease p-STAT-3 (serine 727), Mcl-1, and induces cell death in CLL B cells. Thus, a VEGF-VEGF receptor pathway in CLL B cells can be linked to activation of STAT proteins that are able to enhance their apoptotic resistance.


Subject(s)
Apoptosis , DNA-Binding Proteins/metabolism , Leukemia, Lymphocytic, Chronic, B-Cell/metabolism , Trans-Activators/metabolism , Vascular Endothelial Growth Factor Receptor-1/metabolism , Vascular Endothelial Growth Factor Receptor-2/metabolism , Autocrine Communication , B-Lymphocytes/cytology , B-Lymphocytes/metabolism , Cell Membrane/metabolism , Cell Nucleus/metabolism , Humans , Leukemia, Lymphocytic, Chronic, B-Cell/pathology , Phosphorylation , Receptor Protein-Tyrosine Kinases/metabolism , STAT1 Transcription Factor , STAT3 Transcription Factor , Serine/metabolism , Tumor Cells, Cultured , Vascular Endothelial Growth Factor A/pharmacology
3.
Thorax ; 60(1): 7-12, 2005 Jan.
Article in English | MEDLINE | ID: mdl-15618575

ABSTRACT

BACKGROUND: There has been a concurrent increase in the prevalence of obesity and asthma in recent years in New Zealand and other countries. METHODS: Two cross sectional surveys performed in 1989 and 2000 were used to test this association in children of mean age 11.7 years. Body mass index (BMI) was calculated as weight/height2 (kg/m2) and obesity and overweight defined according to an international standard. Standard questions were used to measure the prevalence of asthma symptoms. RESULTS: Significant increases in the prevalence of reported symptoms and disease between 1989 and 2000 were not explained by a concurrent increase in the prevalence of obesity. In 2000, multivariate analysis showed that increasing BMI standard deviation score was significantly associated with current wheeze (p=0.002), inhaled steroid use (p=0.004), and the use of any medication (p=0.001). None of the associations was significantly different for boys or girls. CONCLUSION: There is some evidence for an association of obesity with asthma symptoms and treatment but this does not explain the increasing prevalence of this disease.


Subject(s)
Asthma/epidemiology , Obesity/epidemiology , Body Mass Index , Child , Comorbidity , Cross-Sectional Studies , Female , Humans , Male , Multivariate Analysis , New Zealand/epidemiology , Prevalence , Surveys and Questionnaires
4.
Leukemia ; 16(5): 911-9, 2002 May.
Article in English | MEDLINE | ID: mdl-11986954

ABSTRACT

Initial work has shown that clonal B cells from B-chronic lymphocytic leukemia (B-CLL) are able to synthesize pro-angiogenic molecules. In this study, our goal was to study the spectrum of angiogenic factors and receptors expressed in the CLL B cell. We used ELISA assays to determine the levels of basic fibroblast growth factors (bFGF), vascular endothelial growth factor (VEGF), endostatin, interferon-alpha (IFN-alpha) and thrombospondin-1 (TSP-1) secreted into culture medium by purified CLL B cells. These data demonstrated that CLL B cells spontaneously secrete a variety of pro- and anti-angiogenic factors, including bFGF (23.9 pg/ml +/- 7.9; mean +/- s.e.m.), VEGF (12.5 pg/ml +/- 2.3) and TSP-1 (1.9 ng/ml +/- 0.3). Out of these three factors, CLL B cells consistently secreted bFGF and TSP-1, while VEGF was expressed in approximately two-thirds of CLL patients. Of interest, hypoxic conditions dramatically upregulated VEGF expression at both the mRNA and protein levels. We also employed ribonuclease protection assays to assay CLL B cell expression of a variety of other angiogenesis-related molecules. These analyses revealed that CLL B cells consistently express mRNA for VEGF receptor 1 (VEGFR1), thrombin receptor, endoglin, and angiopoietin. Further analysis of VEGFR expression by RT-PCR revealed that CLL B cells expressed both VEGFR1 mRNA and VEGFR2 mRNA. In summary, these data collectively indicate that CLL B cells express both pro- and anti-angiogenic molecules and several vascular factor receptors. Because of the co-expression of angiogenic molecules and receptors for some of these molecules, these data suggest that the biology of the leukemic cells may also be directly impacted by angiogenic factors as a result of autocrine pathways of stimulation.


Subject(s)
Angiogenesis Inhibitors/biosynthesis , B-Lymphocytes/metabolism , Growth Substances/biosynthesis , Leukemia, Lymphocytic, Chronic, B-Cell/metabolism , Antigens, CD , Autocrine Communication , B-Lymphocytes/pathology , Clone Cells/metabolism , Clone Cells/pathology , Cohort Studies , Collagen/analysis , Collagen/metabolism , Endoglin , Endostatins , Endothelial Growth Factors/analysis , Endothelial Growth Factors/metabolism , Fibroblast Growth Factor 2/analysis , Fibroblast Growth Factor 2/metabolism , Germ-Line Mutation , Humans , Interferon-alpha/analysis , Interferon-alpha/metabolism , Leukemia, Lymphocytic, Chronic, B-Cell/pathology , Lymphokines/analysis , Lymphokines/metabolism , Peptide Fragments/analysis , Peptide Fragments/metabolism , Proto-Oncogene Proteins/genetics , RNA, Messenger/metabolism , Receptor Protein-Tyrosine Kinases/genetics , Receptors, Cell Surface , Receptors, Growth Factor/biosynthesis , Receptors, Growth Factor/genetics , Receptors, Thrombin/genetics , Receptors, Vascular Endothelial Growth Factor , Thrombospondin 1/analysis , Thrombospondin 1/metabolism , Tumor Cells, Cultured , Vascular Cell Adhesion Molecule-1/genetics , Vascular Endothelial Growth Factor A , Vascular Endothelial Growth Factor Receptor-1 , Vascular Endothelial Growth Factors
5.
Blood ; 98(1): 23-8, 2001 Jul 01.
Article in English | MEDLINE | ID: mdl-11418458

ABSTRACT

Previously, it was reported that patients with multiple myeloma (MM) who have higher baseline levels of blood CD4(+) or CD19(+) cells have longer survival. This article extends the analysis of immune cell levels and survival in a large cohort (N = 504) of patients with MM entered on Eastern Cooperative Oncology Group (ECOG) phase 3 trial (9486). Newly diagnosed patients with MM received 2 cycles of vincristine, bischloroethylnitrosourea, melphalan, cytoxan, prednisone (VBMCP) and were treated on one of 3 randomized arms: VBMCP with either interferon or high-dose cyclophosphamide, or VBMCP alone. Blood immune cell levels were studied at trial entry (baseline), after 2 cycles of chemotherapy, after 2 years of therapy, and at relapse. Baseline CD3(+), CD4(+), CD8(+), CD19(+), and CD4(+) subset cell levels were all positively associated with survival (P =.0087 to P <.0001). A multivariate analysis incorporating CD4(+) and CD19(+) cell levels defined 3 separate groups of patients with MM to survival outcome. Higher CD19(+) blood levels were positively associated with MM-patient survival at entry to the study, at year 2, and at relapse (P <.0001 at all 3 timepoints). Patients with MM had evidence of immune cell reconstitution after 2 years of therapy, but the rate and extent of recovery was greater for CD8(+), which was greater than CD4(+), which was greater than CD19(+). This latter data affirms the positive relationship between the quantitative status of the blood immune system in MM and survival. In addition, the importance of the CD19(+) blood cells to survival is evident throughout the course of MM. Therapeutic efforts to maintain an intact immune system may be crucial in maximizing chemotherapeutic and/or immunotherapy efforts in this disease.


Subject(s)
Immune System/cytology , Multiple Myeloma/mortality , Actuarial Analysis , Antigens, CD19/blood , Antineoplastic Combined Chemotherapy Protocols/administration & dosage , Antineoplastic Combined Chemotherapy Protocols/adverse effects , Blood Cell Count , CD3 Complex/blood , CD4-Positive T-Lymphocytes , CD8-Positive T-Lymphocytes , Follow-Up Studies , Humans , Immunophenotyping , Multiple Myeloma/blood , Multiple Myeloma/diagnosis , Multivariate Analysis , Prognosis , Receptors, IgG/blood , Recurrence , Survival Rate
6.
Br J Haematol ; 112(3): 760-7, 2001 Mar.
Article in English | MEDLINE | ID: mdl-11260081

ABSTRACT

B-chronic lymphocytic leukaemia (CLL) clonal B cells are characterized by resistance to apoptosis. We evaluated clonal B cells and blood T cells for interleukin 4 (IL-4) content as IL-4 is able to increase CLL cell resistance to apoptosis. The content of IL-4 in CD8+ T cells of CLL patients (n = 9) ranged from 37% to 63% of the total CD8+ T cells (mean level of 49% +/- 3.4) compared with a range of 5-10% for control CD8+ T cells. Clonal B cells positive for cytoplasmic IL-4 ranged from 1% to 97% (mean value 57.8 +/- 6.9%). CD8+ T cells and clonal B cells secreted detectable levels of IL-4, but only clonal CLL B cells (n = 4) secreted IL-4 in association with increasing cell numbers. Fludarabine (F-ara-AMP, 0.1-100 micromol/ml) was able to downregulate the IL-4 content of CD8+ T cells, but not clonal B-cell IL-4. Culture supernatant from CLL CD8+ T cells decreased the spontaneous apoptotic rate of clonal B cells that was reversed with anti-IL-4 and soluble IL-4 receptor. These findings show that IL-4 is present in the microenvironment of B-CLL. In addition, use of agents that can interfere with IL-4 presentation to clonal B cells can be effective in increasing clonal B-cell apoptosis.


Subject(s)
Apoptosis , B-Lymphocytes/immunology , CD4-Positive T-Lymphocytes/immunology , Interleukin-4/analysis , Leukemia, Lymphocytic, Chronic, B-Cell/immunology , Vidarabine/analogs & derivatives , Antineoplastic Agents/pharmacology , Apoptosis/drug effects , B-Lymphocytes/drug effects , B-Lymphocytes/pathology , CD4-Positive T-Lymphocytes/drug effects , Cells, Cultured , Humans , Leukemia, Lymphocytic, Chronic, B-Cell/pathology , Vidarabine/pharmacology
7.
Br J Haematol ; 115(4): 854-61, 2001 Dec.
Article in English | MEDLINE | ID: mdl-11843819

ABSTRACT

Recent reports suggest that the expression of germline (GL) Ig variable region heavy-chain genes (VH) is a negative prognostic factor for B-cell chronic lymphocytic leukaemia (B-CLL) patients and that CLL B-cell CD38 expression may be a surrogate marker of Ig VH gene status. Currently, however, the usefulness of this surrogate marker is controversial. Therefore, our goal was to study the ability of CD38 to act as a surrogate marker for Ig VH somatic mutation (SM), and to identify differences in overall survival (OS), progression-free survival (PFS) and response in B-CLL patients based on these two markers. We first assessed the relationship between CD38 expression and Ig VH status on 131 B-CLL patients, including 66 patients enrolled in three North Central Cancer Treatment Group Trials. Although the mean percentages of CD38+ clonal B cells were significantly higher for patients classified as GL versus SM, CD38 was not a reliable marker for clonal B-cell SM. Overall, GL patients exhibited significantly shorter OS and PFS times than SM patients. Despite the inability of clonal B-cell CD38 expression to predict Ig VH mutation status, patients with < or =30% CD38+ cells did have shorter PFS and OS times than did CLL patients with < 30% CD38+ cells. Thus, the relationship between CD38 expression and Ig VH mutation status in B-CLL is not straightforward. Nevertheless, analysis in a co-operative group clinical trial setting suggests that both B-cell markers alone or in combination may have clinical usefulness. These data strongly encourage the study of these biological markers as they relate to disease heterogeneity in B-CLL.


Subject(s)
Antigens, CD , Antigens, Differentiation/analysis , B-Lymphocytes/immunology , Genes, Immunoglobulin , Leukemia, Lymphocytic, Chronic, B-Cell/immunology , NAD+ Nucleosidase/analysis , ADP-ribosyl Cyclase , ADP-ribosyl Cyclase 1 , Biomarkers/analysis , Disease Progression , Disease-Free Survival , Genetic Markers , Humans , Leukemia, Lymphocytic, Chronic, B-Cell/genetics , Membrane Glycoproteins , Proportional Hazards Models , Risk , Somatic Hypermutation, Immunoglobulin , Statistics, Nonparametric , Survival Rate
8.
Leuk Lymphoma ; 33(1-2): 127-33, 1999 Mar.
Article in English | MEDLINE | ID: mdl-10194129

ABSTRACT

Previous investigations have demonstrated that an expanding circulating T cell population is able to modulate the malignant clone in multiple myeloma. More recently, an expansion of T cell subsets exhibiting a restricted T cell repertoire has been detected in some MM patients. To further elucidate if a selected T cell expansion occurs in MM, we studied the T cell receptor (TCR) variable (V) region expression from a cohort of previously diagnosed and treated MM patients (N=37). The latter was done by assessing the reactivity of a panel of monoclonal antibodies specific for different V region families (alpha or beta) in combination with anti-CD4 or anti-CD8, for purified blood T cells from MM patients. TCR V region usage in MM patients was compared to blood T cells from age matched (N=13) control individuals. The multivariate analysis of variance did not uncover a difference for distribution of TCR V region usage between the normal controls and the MM cohort. However, there were individual MM patients who had expanded T cells with specific TCR V region expression when compared to the control group. Several MM patients had multiple, expanded CD4 and/or CD8 subsets based on TCR V region expression. The majority of MM patients had expanded T cell subsets that constituted less than 10% of the total blood T cell pool. However, a few MM patients (N=3) had larger percentages (range 34-84%) of these expanded T cell subsets within their blood T (CD3+) cells. The stage of disease and treatment status (currently on or off therapy) did not associate with the pattern of restricted T cell repertoire. Finally, a smaller cohort of newly diagnosed, untreated MM patients (N=13) also demonstrated an expanded T cell repertoire. However, these patients had more CD4 than CD8 cell subsets involved in the altered V region expression in several Vbeta families. Thus, these results add to the evidence that this malignant B cell disorder whether newly diagnosed or of longer duration, may be accompanied by an altered T cell repertoire characterized in part by expanded T cell clones.


Subject(s)
CD4-Positive T-Lymphocytes/immunology , CD8-Positive T-Lymphocytes/immunology , Multiple Myeloma/immunology , Receptors, Antigen, T-Cell/immunology , Cell Lineage/immunology , Clone Cells/immunology , Cohort Studies , Flow Cytometry , Humans , Receptors, Antigen, T-Cell, alpha-beta/immunology , T-Lymphocyte Subsets/immunology
9.
J Immunol Methods ; 212(1): 41-8, 1998 Mar 01.
Article in English | MEDLINE | ID: mdl-9671151

ABSTRACT

Lymphocytes are notoriously difficult to transfect. The favoured technique, electroporation, has three major disadvantages: it is highly disruptive, causing large scale cell death; it is inefficient; quiescent primary lymphocytes are refractory to electroporation unless they have been partially activated. We have investigated the cellular import of the third helix of the Antennapedia homeodomain protein (pAntp) as an alternative method for introducing peptides into primary lymphocytes and lymphoid cell lines. The pAntp peptide is taken up rapidly into the cytoplasm and nucleus of the cells where it is retained for at least 48 h. The system displays none of the disadvantages of electroporation; no toxicity of the pAntp peptide was detected at the concentrations tested and the process was efficient with up to 95% of lymphocytes importing the pAntp peptide. Finally, quiescent primary lymphocytes were as efficient as activated primary lymphocytes and a lymphoid cell line at importing the pAntp peptide. This demonstrates that the pAntp peptide delivery system has major advantages over electroporation as a method of delivering molecules to lymphocytes and a lymphoid cell line.


Subject(s)
B-Lymphocytes/metabolism , Hematopoietic Stem Cells/metabolism , Homeodomain Proteins/metabolism , Nuclear Proteins , T-Lymphocytes/metabolism , Transcription Factors , Amino Acid Sequence , Antennapedia Homeodomain Protein , B-Lymphocytes/cytology , Biological Transport , Cells, Cultured , Electroporation , Hematopoietic Stem Cells/cytology , Humans , Lymphocyte Activation , Molecular Sequence Data , Peptide Fragments/metabolism , T-Lymphocytes/cytology , Transfection/methods
10.
Curr Biol ; 8(3): 135-44, 1998 Jan 29.
Article in English | MEDLINE | ID: mdl-9443913

ABSTRACT

BACKGROUND: The budding yeast Saccharomyces cerevisiae uses two mitogenactivated protein (MAP) kinase cascades, the Hog1p and the Mpk1p pathways, to signal responses to hypertonic and hypotonic stress, respectively. Mammalian cells and the fission yeast Schizosaccharomyces pombe have functional homologues of Hog1p - p38/RK/CSBP and Sty1 - which, unlike Hog1p, also mediate other responses. We have investigated the involvement of S. pombe MAP kinase pathways in signalling a newly described response to osmotic stress - that of vacuole fusion and fission. RESULTS: When S. pombe is placed into water, its vacuoles rapidly fuse into larger structures enclosing a greater proportion of the cell's volume. Under some conditions, its vacuoles can slowly fragment in response to salt. Fission requires the Sty1 pathway and also Pmk1, the homologue of S. cerevisiae Mpk1p. Fusion requires Pmk1, Ypt7 - the homologue of a protein involved in S. cerevisiae vacuole fusion - and part of the Sty1 pathway, although Sty1 phosphorylation is unaffected by hypotonic conditions. CONCLUSIONS: Vacuole fusion and fission appear to be homeostatic mechanisms that restore the concentration of the cytosol. Vacuole fusion, like stimulated secretion in higher eukaryotes, is a rapid and specific process of membrane fusion in response to an external stimulus. The Sty1 pathway, in addition to its role in responding to hypertonic stress, is required at a basal level for the expression of factors required to respond to hypotonic stress - a mechanism that may allow the cell to use a common pathway for different responses.


Subject(s)
Calcium-Calmodulin-Dependent Protein Kinases/physiology , Fungal Proteins/physiology , Hypertonic Solutions/pharmacology , Hypotonic Solutions/pharmacology , Membrane Fusion/physiology , Mitogen-Activated Protein Kinases , Protein Kinases/physiology , Saccharomyces cerevisiae Proteins , Schizosaccharomyces pombe Proteins , Schizosaccharomyces/physiology , Signal Transduction/physiology , Vacuoles/physiology , rab GTP-Binding Proteins , Amino Acid Sequence , Animals , Dogs , GTP-Binding Proteins/physiology , Homeostasis , Intracellular Fluid/chemistry , Membrane Fusion/drug effects , Molecular Sequence Data , Osmotic Pressure , Saccharomyces cerevisiae/physiology , Schizosaccharomyces/drug effects , Schizosaccharomyces/enzymology , Sequence Alignment , Sequence Homology, Amino Acid , Signal Transduction/drug effects , Vacuoles/drug effects
11.
Br J Haematol ; 100(3): 459-63, 1998 Mar.
Article in English | MEDLINE | ID: mdl-9504626

ABSTRACT

T-helper blood populations are frequently altered in multiple myeloma (MM). We measured the numbers of naive and activated cell subsets in the blood of a cohort of both previously untreated and treated MM patients. Two-colour flow cytometry to detect total CD4+, CD4+, CD4 5RA+ (naive) and CD4+, CD45RO+ (activated) subsets was then used to quantify the T-cell subsets in controls and MM patients. Previously treated MM patients either on or off treatment (n = 105) had significantly reduced (P< 0.0001) total CD4 and naive/activated cells than controls. Previously treated MM patients sampled for naive/activated cells while currently off therapy (n = 45) had no difference in the levels of CD4 and naive/activated cells compared to the currently treated patients (n = 60). However, newly diagnosed patients (n = 58) had a significantly reduced total CD4 (P = 0.023) and activated CD4 (P = 0.004), but not naive CD4 subsets, compared to controls. CD19+ cell levels above 125/microl were positively associated with higher T-helper cell levels. There was a strong positive association for better overall survival for patients with >395 CD4 cells/microl (P = 0.0001). These data indicate that MM patients at diagnosis have altered T-helper subsets, with a selective reduction in activated but not naive cells. Subsequent chemotherapy or the disease process contributes to a further reduction in CD4 cells. Importantly, the association of higher CD19+ cell levels with higher T helper cells indicates that certain myeloma patients can be identified with a more quantitatively intact immune system.


Subject(s)
Antineoplastic Combined Chemotherapy Protocols/therapeutic use , Multiple Myeloma/blood , T-Lymphocyte Subsets/immunology , T-Lymphocytes, Helper-Inducer/immunology , Adult , CD4-Positive T-Lymphocytes/immunology , Cohort Studies , Humans , Middle Aged , Multiple Myeloma/drug therapy , Phenotype , Survival Analysis
12.
Blood ; 90(1): 340-5, 1997 Jul 01.
Article in English | MEDLINE | ID: mdl-9207470

ABSTRACT

Recent analyses of circulating blood B cells in myeloma have generated controversy concerning the exact levels of these cells and whether they may represent circulating clonal tumor B cells. Previous reports suggested that CD19+ B cells are markedly increased in myeloma patients and that this population shares clonotypic rearrangements with the malignant plasma cell. We studied the numbers of CD19+ B cells by flow cytometry in previously untreated newly diagnosed myeloma patients in Eastern Cooperative Oncology Group (ECOG) phase III trial E9486. There were 628 patients who were eligible for the clinical protocol E9486, but of these 521 were also entered on the companion laboratory study (E9487) and had CD19 data. In comparison with normal controls, the myeloma patients exhibited a marked heterogeneity in the number of circulating CD19+ B cells as detected by flow cytometry. Approximately 20% of patients had significantly increased levels of circulating CD19+ B cells. However, the total CD19+ blood population from myeloma was not significantly different from the median of age-matched, normal controls. Analysis of CD19+ blood cells in relationship to circulating clonal cells was done in 13 myeloma patients using a clonotypic, quantitative allele-specific oligonucleotide-polymerase chain reaction (PCR) assay. No correlation was found between the numbers of CD19+ B cells (range, 5% to 51%) and PCR estimates of the number of clonal cells in the peripheral blood (range, .009% to 3.6%). Low CD19+ B-cell level (<125 microL) was associated with clinical stage III (P = .033). A significant relationship exists between higher levels (> or = 125/microL) of CD19 cells and longer overall survival (P < .0001). In addition, high CD19 levels also predicted a clinical response and longer event-free survival. There was a strong inverse association between the level of CD19 values at diagnosis and infections within the first 2 months of diagnosis. Importantly, the number of deaths related to infections was significantly greater in the low versus high CD19 group (P < .0202). Also, CD19 is an independent prognostic factor in addition to plasma cell labeling indices, beta2-microglobulin, hemoglobin, and plasmablastic morphology. Patients with infections were more likely to have low levels of CD19+ cells. In summary, higher CD19+ cell levels are a favorable prognostic sign with no apparent relationship to circulating tumor cells. In addition, this analysis strongly suggests that low peripheral blood levels of CD19+ cells are an adverse prognostic sign in myeloma. The CD19+ cell levels in myeloma patients is an important parameter in the overall assessment of these patients.


Subject(s)
Antigens, CD19 , Antineoplastic Combined Chemotherapy Protocols/therapeutic use , B-Lymphocytes/pathology , Multiple Myeloma/blood , B-Lymphocytes/immunology , Humans , Multiple Myeloma/drug therapy , Multiple Myeloma/physiopathology
14.
Eur J Biochem ; 233(2): 650-8, 1995 Oct 15.
Article in English | MEDLINE | ID: mdl-7588812

ABSTRACT

Site-directed mutagenesis of the horseradish peroxidase isoenzyme C (HRP C) gene has been undertaken in order to provide two recombinant enzymes where alanine replaces either Phe142 or Phe143 ([F142A]HRP C and [F143A]HRP C, respectively). These heme enzymes have been characterised in solution using proton NMR spectroscopy for both the high-spin resting and low-spin cyanide-ligated states. Comparison of their NMR spectra with those recorded for wild-type plant HRP C indicates that both the protein fold and the structure of the heme pocket are maintained. The structural integrity of the aromatic donor molecule binding site is altered as a result of the substitution of Phe142 by Ala, but not by the corresponding substitution at Phe143. This is evident from analysis of perturbations to the chemical shift and linewidth parameters of the proton resonances of two Phe side chains, Phe A and Phe B, that participate in this site. The resting and cyanide-ligated states of [F142A]HRP C bind the aromatic donor molecule, benzhydroxamic acid, three to four times more weakly than the analogous states of wild-type plant HRP C. A titration of cyanide-ligated [F142A]HRP C with benzhydroxamic acid, monitored by NMR spectroscopy, further reveals that the dynamics of complex formation are considerably altered, in that only one of the two possible benzhydroxamic acid binding modes established for the cyanide-ligated wild-type enzyme is significantly populated. Although the assignment of Phe A and Phe B cannot be made to either Phe142 or Phe143, the results confirm that Phe142 is an important, although indirect, determinant of aromatic donor molecular binding and dynamics. The role of phenylalanine side chains in the binding of aromatic donor molecules by heme peroxidases is discussed in the light of these observations and a recent structural model for HRP C.


Subject(s)
Horseradish Peroxidase/chemistry , Isoenzymes/chemistry , Alanine , Base Sequence , Binding Sites , Magnetic Resonance Spectroscopy , Molecular Sequence Data , Mutagenesis, Site-Directed , Mutation , Phenylalanine , Solutions , Structure-Activity Relationship
16.
Gene ; 94(2): 303-4, 1990 Oct 15.
Article in English | MEDLINE | ID: mdl-2258061

ABSTRACT

An AluI-equivalent interspersed repetitive element showing 75% homology to a published consensus sequence, which is present at a level of 3 x 10(5) copies per hamster genome [Haynes et al., Mol. Cell. Biol. 1 (1981) 573-583], has been cloned into plasmid pUC8 as a tandem copy which can be readily excised, self-ligated and labelled for use as a hybridisation probe. This probe successfully detects integrated hamster sequences in the DNA of transfected human cells [Arrand et al., Proc. Natl. Acad. Sci. USA 86 (1989) 6997-7001], whereas repetitive hamster DNA isolated as a C0t = 1 (fast reannealing) fraction fails to do so. Hamster DNA-containing clones in genomic libraries derived from hamster/human hybrids are also easily detected with this probe, thus facilitating the isolation of hamster genes which complement human gene defects.


Subject(s)
Repetitive Sequences, Nucleic Acid/genetics , Animals , Base Sequence , Cricetinae , Molecular Sequence Data , Transfection
17.
Blood ; 75(10): 2024-9, 1990 May 15.
Article in English | MEDLINE | ID: mdl-2140062

ABSTRACT

Approximately 2% to 3% of circulating human T cells co-express CD4 and CD8 (CD4+, CD8+) T-cell antigens. These CD4+, CD8+ cells may be immature precursors that function to replenish functional T-cell subsets. We detected a very high level of CD4+, CD8+ cells in the peripheral blood lymphocytes of a healthy white male, ranging from 21% to 36%. The morphology of his peripheral blood lymphocytes was normal, and he has maintained an elevated level of CD4+, CD8+ cells without clinical disease over a 19-month observation period. The CD4+, CD8+ cells did not possess thymocyte membrane antigen (CD6), nor did they have increased Tac (CD25) antigen. His intact, purified blood T cells had a normal proliferative response to phytohemagglutinin and interleukin-2 (IL-2), provided help for B-cell proliferation at control levels and exposure to IL-2 resulted in generation of cytotoxic cells. However, the purified blood CD4+, CD8+ cells were deficient in these latter functions except for help in B-cell function. Despite defective function, the isolated CD4+, CD8+ cells co-expressed CD2 and CD3. Prolonged in vitro culture of CD4+, CD8+ cells was possible in the presence of recombinant IL-2. The cultured CD4+, CD8+ cells retained the double antigens (CD4 and CD8) throughout a 4-week period. It is likely these cells are less mature than CD4+, CD8- or CD4-, CD8+ T cells as the CD4+, CD8+ have less in vitro function than the former cells, but it is not yet clear if they mature into either CD4+, CD8-, or CD4-, CD8+ cells. Finally, the presence of an expanded, hypofunctioning CD4+, CD8+ cell population in a normal adult male is apparently compatible with excellent clinical health.


Subject(s)
Antigens, Differentiation, T-Lymphocyte/immunology , Blood Cells/immunology , CD4 Antigens/immunology , Lymphocytes/cytology , Antigens, Surface/immunology , CD8 Antigens , Cells, Cultured , Humans , Lymphocytes/immunology , Lymphocytes/physiology , Male , Middle Aged , T-Lymphocytes/immunology , T-Lymphocytes/ultrastructure , T-Lymphocytes, Helper-Inducer/immunology , T-Lymphocytes, Regulatory/immunology
18.
Proc Natl Acad Sci U S A ; 86(18): 6997-7001, 1989 Sep.
Article in English | MEDLINE | ID: mdl-2780557

ABSTRACT

A hamster DNA repair gene has been isolated by cosmid rescue after two rounds of transfection of an immortalized xeroderma pigmentosum (XP) complementation group D cell line with neomycin-resistance gene (neo)-tagged normal hamster DNA and selection with G418 and ultraviolet irradiation. The functional length of the sequence has been defined as 11.5 kilobase pairs by measurement of the region of overlap between two hamster DNA-containing cosmids, cloned by selection for the integrated neo gene, that are able to confer an increase in resistance to ultraviolet irradiation on two XP-D cell line but not on an XP-A line. Detailed molecular characterization of the hamster repair gene has revealed no obvious similarities to two human excision repair genes (ERCC1 and ERCC2) that correct repair-defective hamster cells but have no effect on XP cells. Hybridization analyses of normal human and XP cell genomic DNAs and mRNAs, using a cosmid-clone probe from which repeated sequences have been removed, show that homologues are present and expressed in all cases.


Subject(s)
Cloning, Molecular , DNA Repair , Genes , Ultraviolet Rays , Xeroderma Pigmentosum/genetics , Animals , Cells, Cultured , Cosmids , Cricetinae , DNA Damage , Genetic Complementation Test , Humans , Hybrid Cells/radiation effects , Kinetics , Nucleic Acid Hybridization , Restriction Mapping , Transfection
19.
EMBO J ; 7(1): 225-30, 1988 Jan.
Article in English | MEDLINE | ID: mdl-2452082

ABSTRACT

Plasmodium falciparum merozoites are covered with polymorphic proteins that are processed from a 190 kd (p190) precursor protein. These are candidates for an antimalarial vaccine. We cloned and expressed a number of DNA fragments, comprising almost the entire p190 gene of the K1 isolate, in Escherichia coli. Pooled human endemic-area sera and rabbit antibodies raised against p190 protein isolated from K1 parasites react with only a limited number of the recombinant proteins. From these studies we could select two antigenic polypeptides containing conserved amino acid stretches of the otherwise highly polymorphic protein. Rabbits and mice injected with the purified recombinant proteins produce antibodies reacting differentially with various isolates of P. falciparum. We obtained antibodies detecting all isolates tested and a monoclonal antibody specific for isolates containing a K1 type allele of the p190 gene.


Subject(s)
Antigens, Protozoan/analysis , Plasmodium falciparum/immunology , Amino Acid Sequence , Animals , Antibodies, Monoclonal , Antigen-Antibody Complex/analysis , Antigens, Protozoan/genetics , Antigens, Protozoan/immunology , Cloning, Molecular , Epitopes/analysis , Escherichia coli/genetics , Fluorescent Antibody Technique , Humans , Malaria/parasitology , Plasmodium falciparum/isolation & purification , Recombinant Proteins/immunology
20.
EMBO J ; 6(10): 3125-31, 1987 Oct.
Article in English | MEDLINE | ID: mdl-3319581

ABSTRACT

The heritable DNA repair defect in human Xeroderma D cells, which results in failure to incise at u.v. light-induced pyrimidine dimers, has been partially but stably corrected by transfection of immortalised cells with the denV pyrimidine dimer glycosylase gene of bacteriophage T4. Transfectants selected either for a dominant marker on the mammalian vector carrying the prokaryotic gene or for the dominant marker plus resistance to killing by u.v. light, have been shown to express the denV gene to varying degrees. denV expression results in significant phenotypic change in the initially repair-deficient, u.v.-hypersensitive cells. Increased resistance to u.v. light and more rapid recovery of replicative DNA synthesis following u.v. irradiation have been correlated both with improved repair DNA synthesis and with a novel dimer incision capability present in denV transfected Xeroderma cells but not as evident in transfected normal cells. Most of the transfectants contain a single integrated copy of the denV gene; increase in denV copy number does not result in either increased gene expression or enhanced survival to u.v. light. These results show that expression of a heterologous prokaryotic repair gene can partially compensate for the genetic defect in a human Xeroderma D cell.


Subject(s)
DNA Glycosylases , DNA Repair/radiation effects , Escherichia coli/genetics , Genes, Viral , Genes , N-Glycosyl Hydrolases/genetics , T-Phages/genetics , Transfection , Ultraviolet Rays , Xeroderma Pigmentosum/genetics , Cell Line , DNA Replication/radiation effects , Dose-Response Relationship, Radiation , HeLa Cells/metabolism , Humans , Hybrid Cells/metabolism , Kinetics
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