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1.
Cereb Cortex ; 30(2): 767-777, 2020 03 21.
Article in English | MEDLINE | ID: mdl-31298696

ABSTRACT

It is well established that motor impairment often occurs alongside healthy aging, leading to problems with fine motor skills and coordination. Although previously thought to be caused by neuronal death accumulating across the lifespan, it is now believed that the source of this impairment instead stems from more subtle changes in neural connectivity. The dendritic spine is a prime target for exploration of this problem because it is the postsynaptic partner of most excitatory synapses received by the pyramidal neuron, a cortical cell that carries much of the information processing load in the cerebral cortex. We repeatedly imaged the same dendrites in young adult and aged mouse motor cortex over the course of 1 month to look for differences in the baseline state of the dendritic spine population. These experiments reveal increased dendritic spine density, without obvious changes in spine clustering, occurring at the aged dendrite. Additionally, aged dendrites exhibit elevated spine turnover and stabilization alongside decreased long-term spine survival. These results suggest that at baseline the aged motor cortex may exist in a perpetual state of relative instability and attempts at compensation. This phenotype of aging may provide clues for future targets of aging-related motor impairment remediation.


Subject(s)
Aging/physiology , Dendritic Spines/physiology , Motor Cortex/cytology , Motor Cortex/physiology , Pyramidal Cells/cytology , Pyramidal Cells/physiology , Animals , Female , Male , Mice, Transgenic
2.
Trends Plant Sci ; 15(12): 684-92, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20970368

ABSTRACT

Climate change is altering the availability of resources and the conditions that are crucial to plant performance. One way plants will respond to these changes is through environmentally induced shifts in phenotype (phenotypic plasticity). Understanding plastic responses is crucial for predicting and managing the effects of climate change on native species as well as crop plants. Here, we provide a toolbox with definitions of key theoretical elements and a synthesis of the current understanding of the molecular and genetic mechanisms underlying plasticity relevant to climate change. By bringing ecological, evolutionary, physiological and molecular perspectives together, we hope to provide clear directives for future research and stimulate cross-disciplinary dialogue on the relevance of phenotypic plasticity under climate change.


Subject(s)
Climate Change , Plant Physiological Phenomena , Adaptation, Physiological , Flowers/physiology , Plants/genetics , Seeds/physiology
3.
Cancer Epidemiol Biomarkers Prev ; 5(9): 749-51, 1996 Sep.
Article in English | MEDLINE | ID: mdl-8877067

ABSTRACT

Five-year average annual age-adjusted cancer incidence rates for Alaska Natives (Eskimos, Indians, and Aleuts) for the most recent period (1989-1993) are compared to rates of 20 years earlier. Rates for all cancers combined increased 28 and 25% in men and women, respectively, during the 25-year interval. Increases were seen in men in cancers of the lung, prostate, and colon and in women for cancers of the lung, breast, and corpus uteri. Rates are also compared to data from the the National Cancer Institute's Surveillance, Epidemiology, and End Results (SEER) program for United States whites. Rates for all cancers combined in Alaska Native women are now similar to those of United States whites, whereas rates in Alaska Native men are lower than the United States, but only 10% lower. Significant site-specific differences previously reported between Alaska Natives and United States whites persist.


Subject(s)
Indians, North American/statistics & numerical data , Inuit/statistics & numerical data , Neoplasms/epidemiology , Alaska/epidemiology , Asian People , Breast Neoplasms/epidemiology , Colonic Neoplasms/epidemiology , Female , Humans , Incidence , Lung Neoplasms/epidemiology , Male , Prostatic Neoplasms/epidemiology , SEER Program , Sex Factors , United States/epidemiology , Uterine Neoplasms/epidemiology , White People
4.
Nurs Manage ; 27(1): 42-5; quiz 46, 1996 Jan.
Article in English | MEDLINE | ID: mdl-8552355

ABSTRACT

A study describes the perception of unit nurse managers (head nurses/nurse executives) as to what constituted their role functions, activities and responsibilities. Four major components were used to clarify this description: administration, clinical practice, education and research.


Subject(s)
Attitude of Health Personnel , Job Description , Nurse Administrators/psychology , Nursing, Supervisory , Adult , Female , Humans , Leadership , Male , Middle Aged , Role , Surveys and Questionnaires
5.
Microbiology (Reading) ; 141 ( Pt 1): 63-70, 1995 Jan.
Article in English | MEDLINE | ID: mdl-7894721

ABSTRACT

The effect of dilution rate on the instability kinetics of Escherichia coli RV308(pHSG415) during glucose-limited continuous culture is examined. Two nonlinear models are fitted to the data, both of which characterize the plasmid-host system in terms of the rate parameters R (for the plasmid segregation rate) and d mu (for the specific growth rate difference between plasmid-free and plasmid-bearing single cells). In the first model, both R and d mu have constant values with respect to time. In the second, either R or d mu is represented as a time-dependent function. Although both models fit the data equally well, it is demonstrated that the constant rate parameter model gives results which appear to be misleading. A comparison is also made among some of the many plasmid instability models (both mass-balance and segregated) which have appeared in the literature. It is found that all of these give identical trajectories and differ only in the definitions of the rate parameters used.


Subject(s)
Escherichia coli/growth & development , Escherichia coli/genetics , Models, Theoretical , Plasmids , R Factors , Cell Division , Kinetics , Time Factors
6.
J Urol ; 152(5 Pt 2): 1817-9, 1994 Nov.
Article in English | MEDLINE | ID: mdl-7523727

ABSTRACT

To evaluate the patterns of use of radical prostatectomy for the treatment of prostate cancer in the United States, the American College of Surgeons Commission on Cancer in association with the American Cancer Society and American Urological Association surveyed 484 institutions concerning 2,122 patients treated in 1990. The results revealed that 93% of the patients were younger than 75 years when treated. Pretreatment prostate specific antigen level was greater than 4.0 ng./ml. in 85.4% of the patients. Surgical-pathological evaluation showed that 57.5% of the patients treated had American Joint Committee on Cancer pathological stages O, I and II corresponding to American Urological Association stages A1 to B2. Positive pathological findings, for example microscopic tumor extension or invasion, were associated with elevated prostate specific antigen levels at followup. The mortality rate associated with the operation was 0.7%. Impotence following treatment was observed in 56.6% of the patients who were potent preoperatively and complete incontinence was reported in 3.6% of the patients who were previously continent. The data may provide benchmarks by which further trends in prostate cancer treatment may be compared.


Subject(s)
Prostatectomy/statistics & numerical data , Prostatic Neoplasms/surgery , Age Factors , Aged , Aged, 80 and over , Erectile Dysfunction/etiology , Follow-Up Studies , General Surgery , Humans , Male , Middle Aged , Neoplasm Staging , Prostate-Specific Antigen/blood , Prostatectomy/adverse effects , Prostatic Neoplasms/pathology , Registries , Societies, Medical , Survival Rate , Treatment Outcome , United States , Urinary Incontinence/etiology
7.
J Nurs Adm ; 24(3): 55-62, 1994 Mar.
Article in English | MEDLINE | ID: mdl-8133328

ABSTRACT

Most published research on the role of the nurse executive has occurred in the private sector. The authors expand our knowledge by reporting nurse executive practice in the public sector, specifically the Department of Veterans Affairs.


Subject(s)
Nurse Administrators , Public Sector , Social Responsibility , Adult , Female , Humans , Male , Middle Aged , Nurse Administrators/statistics & numerical data , Nurses, Male/statistics & numerical data , Nursing, Supervisory/statistics & numerical data , Public Sector/statistics & numerical data , United States , United States Department of Veterans Affairs
10.
Crit Care Med ; 21(3): 328-38, 1993 Mar.
Article in English | MEDLINE | ID: mdl-8440100

ABSTRACT

OBJECTIVE: To determine whether continuous modes of renal replacement therapy result in improved cardiovascular stability compared with standard daily intermittent treatment in critically ill patients. DESIGN: Prospective, randomized controlled trial. SETTING: Intensive care unit in a quaternary referral center for liver failure/transplantation. PATIENTS: Thirty-two consecutive, critically ill, mechanically ventilated patients with combined acute hepatic and renal failure. INTERVENTIONS: Patients were randomized to treatment with either intermittent machine hemofiltration or continuous modes of renal replacement therapy; continuous arteriovenous hemofiltration (CAVH) or arteriovenous hemofiltration with dialysis (CAVHD), provided intracranial pressure was controlled. MEASUREMENTS AND MAIN RESULTS: Cardiac output, tissue oxygen delivery (DO2), and uptake were assessed during 32 treatments with intermittent machine hemofiltration (4 hrs) and during the first 5 hrs of 25 continuous treatments (CAVH and CAVHD). During the first hour of treatment, there was a reduction in cardiac index of 15 +/- 2% during intermittent machine hemofiltration compared with no significant change during the continuous modes of treatment (CAVH/CAVHD) (3 +/- 3%; p < .05). This reduction in cardiac output during intermittent machine hemofiltration was associated with a maximum reduction in mean arterial pressure from 82 +/- 2 to 66 +/- 2 mm Hg (p < .001), a reduction in pulmonary artery occlusion pressure of 27 +/- 4%, tissue DO2 of 15 +/- 3%, and tissue oxygen uptake of 12 +/- 5%, with no significant change in systemic vascular resistance and an increase in pulmonary vascular resistance of 50 +/- 12%. In addition, there was a maximum increase in intracranial pressure of 45 +/- 5% during the first hour of intermittent machine hemofiltration. There were no significant changes during the same time period during the continuous modes of renal replacement therapy. CONCLUSIONS: In critically ill patients, in whom DO2 is impaired, the use of continuous forms of renal replacement therapy is preferred for its improved cardiovascular tolerance compared with daily intermittent machine treatments.


Subject(s)
Acute Kidney Injury/therapy , Critical Illness , Hemodynamics , Hemofiltration , Liver Failure, Acute/therapy , Renal Dialysis , Acute Kidney Injury/blood , Acute Kidney Injury/complications , Acute Kidney Injury/physiopathology , Adult , Aged , Cardiac Output , Female , Heart Rate , Humans , Intracranial Pressure , Liver Failure, Acute/blood , Liver Failure, Acute/complications , Liver Failure, Acute/physiopathology , Male , Middle Aged , Oxygen/blood , Prospective Studies , Vascular Resistance
11.
Biochem J ; 268(1): 147-52, 1990 May 15.
Article in English | MEDLINE | ID: mdl-2344354

ABSTRACT

1. The effects of cyclosporin A on the increase in matrix PPi and consequent swelling of energized liver mitochondria incubated with 1 mM-butyrate, 30 microM-bongkrekic acid or 0.1-35 microM-Ca2+ [Halestrap (1989) Biochim. Biophys. Acta 973, 355-382] were studied. 2. Cyclosporin (1 microM) had no significant effect on the swelling induced by butyrate, bongkrekic acid or Ca2+ at concentrations of less than 0.3 microM. 3. At higher [Ca2+] (greater than 0.3 microM), swelling became progressively inhibited by cyclosporin, although the increase in matrix PPi was slightly greater in the presence than in the absence of cyclosporin. 4. Titration with cyclosporin indicated that there are 128 pmol of relevant cyclosporin-binding sites per mg of mitochondrial protein, with a Ki of about 5 nM. 5. The decrease in light-scattering by hepatocytes induced by butyrate [Davidson & Halestrap (1988) Biochem. J. 254, 379-384] was unaffected by cyclosporin, whereas that induced by vasopressin was inhibited by 20-30% without a significant change in cellular PPi content. 6. It is suggested that there are two mechanisms for the increase in mitochondrial volume induced by Ca2+: a PPi-mediated mechanism that is insensitive to cyclosporin and an additional Ca2(+)-mediated effect that is inhibited by cyclosporin. The nature of these pathways and their inter-relationship is discussed in the following paper [Halestrap & Davidson (1990) Biochem. J. 268, 153-160].


Subject(s)
Butyrates/pharmacology , Calcium/pharmacology , Cyclosporins/pharmacology , Mitochondria, Liver/physiology , Mitochondrial Swelling/drug effects , Animals , Bongkrekic Acid/pharmacology , Butyric Acid , Light , Mitochondria, Liver/drug effects , Phenylephrine/pharmacology , Phosphates/metabolism , Rats , Scattering, Radiation , Vasopressins/pharmacology
12.
Biochem J ; 268(1): 153-60, 1990 May 15.
Article in English | MEDLINE | ID: mdl-2160810

ABSTRACT

1. Isolated rat liver and heart mitochondria incubated in 150 mM-KSCN or sucrose medium in the presence of respiratory-chain inhibitors showed a large increase in swelling when exposed to 250 microM-Ca2+. Swelling was inhibited by bongkrekic acid and cyclosporin A in both media and by ADP in KSCN medium; the effect of ADP was reversed by carboxyatractyloside. These results demonstrate that this is a suitable technique with which to study the opening of the Ca2(+)-induced non-specific pore of the mitochondrial inner membrane and implicate the adenine nucleotide carrier in this process. 2. Titration of the rate of swelling with increasing concentrations of cyclosporin showed the number of cyclosporin-binding sites (+/- S.E.M.) in liver and heart mitochondria to be respectively 113.7 +/- 5.0 (n = 9) and 124.3 +/- 11.2 (n = 10) pmol/mg of protein, with a Ki of about 5 nM. 3. Liver and heart mitochondrial-matrix fractions were prepared free of membrane and cytosolic contamination and shown to contain cyclosporin-sensitive peptidyl-prolyl cis-trans isomerase (cyclophilin) activity. Titration of isomerase activity with cyclosporin gave values (+/- S.E.M.) of 110.6 +/- 10.1 (n = 5) and 165.4 +/- 15.0 (n = 3) pmol of enzyme/mg of liver and heart mitochondrial protein respectively, with a Ki of 2.5 nM. The similarity of these results to those from the swelling experiments suggest that the isomerase may be involved in the Ca2(+)-induced swelling. 4. The rapid light-scattering change induced in energized heart mitochondria exposed to submicromolar Ca2+ [Halestrap (1987) Biochem. J. 244, 159-164] was inhibited by ADP and bongkrekic acid, the former effect being reversed by carboxyatractyloside. These results suggest an interaction of Ca2+ with the adenine nucleotide carrier when the 'c' conformation. 5. A model is proposed in which mitochondrial peptidyl-prolyl cis-trans isomerase interacts with the adenine nucleotide carrier in the presence of Ca2+ to cause non-specific pore opening. The model also explains the involvement of the adenine nucleotide translocase in the PPi-mediated cyclosporin-insensitive increase in K+ permeability described in the preceding paper [Davidson & Halestrap (1990) Biochem. J. 268, 147-152]. 6. The physiological and pathological implications of the model are discussed in relation to reperfusion injury and cyclosporin toxicity.


Subject(s)
Amino Acid Isomerases/metabolism , Calcium/pharmacology , Cyclosporins/pharmacology , Mitochondria, Heart/physiology , Mitochondria, Liver/physiology , Mitochondrial ADP, ATP Translocases/metabolism , Mitochondrial Swelling/drug effects , Nucleotidyltransferases/metabolism , Adenosine Diphosphate/pharmacology , Amino Acid Isomerases/antagonists & inhibitors , Animals , Bongkrekic Acid/pharmacology , Cell Membrane Permeability , Cyclosporins/metabolism , Kinetics , Light , Mitochondria, Heart/drug effects , Mitochondria, Liver/drug effects , Mitochondrial ADP, ATP Translocases/antagonists & inhibitors , Peptidylprolyl Isomerase , Rats , Scattering, Radiation , Sucrose , Thiocyanates
13.
J Gen Microbiol ; 136(1): 59-64, 1990 Jan.
Article in English | MEDLINE | ID: mdl-2112588

ABSTRACT

A nonlinear technique to calculate parameters for segregational instability and differences in cellular growth-rate for plasmid-bearing micro-organisms growing in batch or continuous culture is presented. This method is compared with an approximate technique based upon linear regression. The accuracy and sensitivity of the results are evaluated by use of simulated data and biological data taken from experiments with Pseudomonas aeruginosa(pGSS15) and Escherichia coli(pHSG415). It is demonstrated that the nonlinear analysis gives results which are significantly more accurate and which show much better agreement with the data. Consequently, the new analysis leads to quite different conclusions with regard to the nature of the instability of the plasmid-bearing strain. This method offers an opportunity to study the genetic and physiological aspects of plasmid instability and so aid the design and optimization of cloning vectors.


Subject(s)
Models, Biological , Plasmids/physiology , Escherichia coli/genetics , Plasmids/genetics , Pseudomonas aeruginosa/genetics , Statistics as Topic
14.
Biochem J ; 258(3): 817-21, 1989 Mar 15.
Article in English | MEDLINE | ID: mdl-2543362

ABSTRACT

1. The pyrophosphatase activity in cytosolic and mitochondrial fractions of rat liver was 1.7 and 0.26 units/mg of protein respectively when assayed at 37 degrees C in the presence of physiological [Mg2+] (0.3 mM). 2. Approx. 80% of the mitochondrial pyrophosphatase was inaccessible to extramitochondrial PPi, of which 40% represented soluble matrix enzyme (0.38 unit/mg of matrix protein). 3. Ca2+ inhibited the soluble matrix enzyme; the effective K0.5 for inhibition increased as [Mg2+], an essential cofactor of the enzyme, increased. Measured values were 0.39, 1.15, 3.7, 8.3 and 12.5 microM at 0.04 mM-, 0.1 mM-, 0.3 mM-, 0.6 mM- and 1 mM-Mg2+ respectively. 4. The data were analysed by a kinetic model similar to that for yeast pyrophosphatase, which assumes the substrate to be MgPPi (Km 5 microM) with Mg2+ also activating at an additional site (K0.5 23 microM). Ca2+ inhibits through the formation of CaPPi, a strong competitive inhibitor (Ki 0.067 microM). 5. Heart mitochondria also contain a soluble matrix pyrophosphatase of similar activity to that of liver mitochondria and with the same sensitivity to [Ca2+]. 6. The data provide an explanation for the increase in mitochondrial PPi, mediated by Ca2+, which is responsible for the increase in matrix volume induced by gluconeogenic hormones [Davidson & Halestrap (1988) Biochem. J. 254, 379-384].


Subject(s)
Calcium/physiology , Mitochondria/enzymology , Pyrophosphatases/antagonists & inhibitors , Animals , Calcium/pharmacology , Cytosol/enzymology , Kinetics , Magnesium/pharmacology , Mitochondria, Heart/drug effects , Mitochondria, Heart/enzymology , Mitochondria, Liver/drug effects , Mitochondria, Liver/enzymology , Rats
15.
Biochem J ; 254(2): 379-84, 1988 Sep 01.
Article in English | MEDLINE | ID: mdl-2845949

ABSTRACT

1. The effects of a variety of hormones on the PPi content and light-scattering of isolated rat liver cells was studied. 2. The basal PPi content was about 130 pmol/mg of cell protein, and increased after hormone addition, in parallel with a decrease in light-scattering which we have observed previously [Quinlan, Thomas, Armston & Halestrap (1983) Biochem. J. 214, 395-404]. 3. The mean increases in PPi content with the agonists shown (as pmol/mg of protein) were: 0.1 microM-glucagon, 25; 20 microM-phenylephrine, 30; 25 nM-vasopressin, 127; glucagon + phenylephrine, 115; glucagon + vasopressin, 382; 100 microM-ADP, 50; 15 microM-A23187, 72; 1 mM-butyrate, 80. 4. In the absence of extracellular Ca2+, vasopressin had little effect on either the PPi content or the light-scattering of hepatocytes. 5. The magnitude of the increase in PPi content correlated with that of the decrease in light-scattering irrespective of the stimulating agent, provided that the PPi did not exceed 300 pmol/mg of protein. Above this value little additional change in light-scattering was observed. 6. Subcellular fractionation showed that over 90% of the cellular PPi was intramitochondrial in both control and stimulated cells. 7. The data support the conclusions of previous experiments using isolated liver mitochondria [Davidson & Halestrap (1987) Biochem. J. 246, 715-723] that hormones increase the mitochondrial matrix volume through a Ca2+-induced rise in matrix [PPi]. 8. It is further proposed that this increase in mitochondrial [PPi] allows entry of ADP into the mitochondria in exchange for PPi and is therefore responsible for the increase in total mitochondrial adenine nucleotides observed after hormone treatment.


Subject(s)
Butyrates/pharmacology , Calcimycin/pharmacology , Diphosphates/metabolism , Hormones/pharmacology , Mitochondria, Liver/metabolism , Animals , Butyric Acid , Calcium/pharmacology , Intracellular Fluid/drug effects , Intracellular Fluid/metabolism , Light , Male , Mitochondria, Liver/drug effects , Phenylephrine/pharmacology , Rats , Rats, Inbred Strains , Scattering, Radiation , Vasopressins/pharmacology
16.
Biochem J ; 246(3): 715-23, 1987 Sep 15.
Article in English | MEDLINE | ID: mdl-2825649

ABSTRACT

1. The matrix pyrophosphate (PPi) content of isolated energized rat liver mitochondria incubated in the presence of ATP, Mg2+, Pi and respiratory substrate was about 100 pmol/mg of protein. 2. After incubation with sub-micromolar [Ca2+], this was increased by as much as 300%. There was a correlation between the effects of Ca2+ on PPi and on the increase in matrix volume reported previously [Halestrap, Quinlan, Whipps & Armston (1986) Biochem. J. 236, 779-787]. Half-maximal effects were seen at 0.3 microM-Ca2+. 3. Coincident with these effects, the total adenine nucleotide content increased in a carboxyatractyloside-sensitive manner. 4. Incubation with 0.2-0.5 mM-butyrate induced similar but smaller effects on mitochondrial swelling and matrix PPi and total adenine nucleotide content. Addition of butyrate after Ca2+, or vice versa, caused Ca2+-induced mitochondrial swelling to stop or reverse, while matrix PPi increased 30-fold. 5. Addition of atractyloside or the omission of ATP from incubations greatly enhanced swelling induced by Ca2+ without increasing matrix PPi. 6. Swelling of mitochondria incubated under de-energized conditions in iso-osmotic KSCN was progressively enhanced by the addition of increasing concentrations of PPi (1-20 mM) or valinomycin. 7. In iso-osmotic potassium pyrophosphate swelling was slow initially, but accelerated with time. This acceleration was inhibited by ADP, whereas carboxyatractyloside induced rapid swelling. Swelling in other iso-osmotic PPi salts showed that the rate of entry decreased in the order NH4+ greater than K+ greater than Na+ greater than Li+, whereas choline, tetramethylammonium and Tris did not enter. It is suggested that the adenine nucleotide translocase transports small univalent cations when PPi is bound and that PPi can also be transported when the transporter is in the conformation induced by carboxyatractyloside. 8. It is concluded that Ca2+ and butyrate cause swelling of energized mitochondria through this effect of PPi on K+ permeability of the mitochondrial inner membrane. 9. Freeze-clamped livers from rats treated with glucagon or phenylephrine show 30-50% increases in tissue PPi. It is proposed that Ca2+-mediated increases in mitochondrial PPi are responsible for the increase in matrix volume and total adenine nucleotide content observed after hormone treatment.


Subject(s)
Adenine Nucleotides/metabolism , Calcium/pharmacology , Diphosphates/metabolism , Mitochondria, Liver/metabolism , Adenosine Triphosphate/pharmacology , Animals , Atractyloside/analogs & derivatives , Atractyloside/pharmacology , Butyrates/pharmacology , Butyric Acid , Female , Light , Mitochondria, Liver/drug effects , Mitochondrial ADP, ATP Translocases/metabolism , Mitochondrial Swelling/drug effects , Rats , Rats, Inbred Strains , Scattering, Radiation
17.
Microb Ecol ; 13(1): 31-45, 1987 Jan.
Article in English | MEDLINE | ID: mdl-24213101

ABSTRACT

Counts of bacterial microcolonies attached to deep-sea sediment particles showed 4-, 8-, 16-, and 32-celled microcolonies to be very rare. This was investigated with a mathematical model in which microcolonies grew from single cells at a constant growth rate (µ), detached from particles at constant rate (λ), and reattached as single cells. Terms for attachment of foreign bacteria (a) and death of single cells (d) were also included. The best method of fitting the model to the microcolony counts was a weighted least-squares approach by whichλ(0.83 hour(-1)) was estimated to be about 20 times greater thanµ(0.038 hour(-1)). This showed that the bacteria were very mobile between sediment particles and this mobility was explained in terms of attachment by reversible sorption. The implications of the results for the frequency of dividing cell method for estimating growth rates of sediment bacteria are discussed. The ratio ofλ andµ was found to be very robust both in terms of the errors associated with the microcolony counts and the range of microcolony sizes used to obtain the solution.

20.
J Clin Pathol ; 29(7): 601-7, 1976 Jul.
Article in English | MEDLINE | ID: mdl-789406

ABSTRACT

The third component of complement (C3) was measured in the urine of 98 patients with a variety of renal diseases. Renal biopsy was performed on 83 of the patients and examined by light, electron, and immunofluorescence microscopy. Urinary C3 was detected in cases of membranous glomerulonephritis, mesangiocapillary glomerulonephritis, rapidly progressive glomerulonephritis, and renal amuloidosis. It was not detected in minimal lesion glomerulonephritis; in cases of proliferative glomerulonephritis it was detected only in those showing histological evidence of a progressive lesion. Concentrations were low or undetectable in cases of non-immunological renal diseases. There was a good correlation between urinary C3 concentrations and the deposition of C3 in glomerular capillary walls, as seen by immunofluorescence microscopy, and there was no correlation with the degree or selectivity of proteinuria. Urinary C3 excretion appears to be an accurate indicator of continuing activity of disease. It is suggested that the presence of C3 in urine is due to complement fixation by immune complexes in glomerular capillary walls, and that urinary C3 estimations have potential applications in the study of glomerulonephritis.


Subject(s)
Complement C3/urine , Complement System Proteins/urine , Glomerulonephritis/immunology , Biopsy , Fluorescent Antibody Technique , Glomerulonephritis/pathology , Glomerulonephritis/urine , Humans , Kidney/pathology
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