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1.
ACS Polym Au ; 3(1): 59-69, 2023 Feb 08.
Article in English | MEDLINE | ID: mdl-36785836

ABSTRACT

Indacenodithiophene (IDT) copolymers are a class of conjugated polymers that have limited long-range order and high hole mobilities, which makes them promising candidates for use in deformable electronic devices. Key to their high hole mobilities is the coplanar monomer repeat units within the backbone. Poly(indacenodithiophene-benzothiadiazole) (PIDTC16-BT) and poly(indacenodithiophene-thiapyrollodione) (PIDTC16-TPDC1) are two IDT copolymers with planar backbones, but they are brittle at low molecular weight and have unsuitably high elastic moduli. Substitution of the hexadecane (C16) side chains of the IDT monomer with isocane (C20) side chains was performed to generate a new BT-containing IDT copolymer: PIDTC20-BT. Substitution of the methyl (C1) side chain on the TPD monomer for an octyl (C8) and 6-ethylundecane (C13B) afford two new TPD-containing IDT copolymers named PIDTC16-TPDC8 and PIDTC16-TPDC13B, respectively. Both PIDTC16-TPDC8 and PIDTC16-TPDC13B are relatively well deformable, have a low yield strain, and display significantly reduced elastic moduli. These mechanical properties manifest themselves because the lengthened side chains extending from the TPD-monomer inhibit precise intermolecular ordering. In PIDTC16-BT, PIDTC20-BT and PIDTC16-TPDC1 side chain ordering can occur because the side chains are only present on the IDT subunit, but this results in brittle thin films. In contrast, PIDTC16-TPDC8 and PIDTC16-TPDC13B have disordered side chains, which seems to lead to low hole mobilities. These results suggest that disrupting the interdigitation in IDT copolymers through comonomer side chain extension leads to more ductile thin films with lower elastic moduli, but decreased hole mobility because of altered local order in the respective thin films. Our work, thus, highlights the trade-off between molecular packing structure for deformable electronic materials and provides guidance for designing new conjugated polymers for stretchable electronics.

2.
Science ; 367(6481)2020 02 28.
Article in English | MEDLINE | ID: mdl-32054693

ABSTRACT

The outer Solar System object (486958) Arrokoth (provisional designation 2014 MU69) has been largely undisturbed since its formation. We studied its surface composition using data collected by the New Horizons spacecraft. Methanol ice is present along with organic material, which may have formed through irradiation of simple molecules. Water ice was not detected. This composition indicates hydrogenation of carbon monoxide-rich ice and/or energetic processing of methane condensed on water ice grains in the cold, outer edge of the early Solar System. There are only small regional variations in color and spectra across the surface, which suggests that Arrokoth formed from a homogeneous or well-mixed reservoir of solids. Microwave thermal emission from the winter night side is consistent with a mean brightness temperature of 29 ± 5 kelvin.

3.
Spine (Phila Pa 1976) ; 25(9): 1157-70, 2000 May 01.
Article in English | MEDLINE | ID: mdl-10788862

ABSTRACT

STUDY DESIGN: A retrospective review of all the surgically managed spinal fractures at the University of Missouri Medical Center during the 41/2-year period from January 1989 to July 1993 was performed. Of the 51 surgically managed patients, 46 were instrumented by short-segment technique (attachment of one level above the fracture to one level below the fracture). The other 5 patients in this consecutive series had multiple trauma. These patients were included in the review because this was a consecutive series. However, they were grouped separately because they were instrumented by long-segment technique because of their multiple organ system injuries. OBJECTIVES: The choice of the anterior or posterior approach for short-segment instrumentation was based on the Load-Sharing Classification published in a 1994 issue of Spine. The purpose of this review was to demonstrate that grading comminution by use of the Load-Sharing Classification for approach selection and the choice of patients with isolated fractures who are cooperative with spinal bracing for 4 months provide the keys to successful short-segment treatment of isolated spinal fractures. SUMMARY OF BACKGROUND DATA: The current literature implies that the use of pedicle screws for short-segment instrumentation of spinal fracture is dangerous and inappropriate because of the high screw fracture rate. METHODS: Charts, operative notes, preoperative and postoperative radiographs, computed tomography scans, and follow-up records of all patients were reviewed carefully from the time of surgery until final follow-up assessment. The Load-Sharing Classification had been used prospectively for all patients before their surgery to determine the approach for short-segment instrumentation. Denis' Pain Scale and Work Scales were obtained during follow-up evaluation for all patients. RESULTS: All patients were observed over 40 months except for 1 patient who died of unrelated causes after 35 months. The mean follow-up period was 66 months (51/2 years). No patient was lost to follow-up evaluation. Prospective application of the Load-Sharing Classification to the patients' injury and restriction of the short-segment approach to cooperative patients with isolated spinal fractures (excluding multisystem trauma patients) allowed 45 of 46 patients instrumented by the short-segment technique to proceed to successful healing in virtual anatomic alignment. CONCLUSIONS: The Load-Sharing Classification is a straightforward way to describe the amount of bony comminution in a spinal fracture. When applied to patients with isolated spine fractures who are cooperative with 3 to 4 months of spinal bracing, it can help the surgeon select short-segment pedicle-screw-based fixation using the posterior approach for less comminuted injuries and the anterior approach for those more comminuted. The choice of which fracture-dislocations should be strut grafted anteriorly and which need only posterior short-segment pedicle-screw-based instrumentation also can be made using the Load-Sharing Classification.


Subject(s)
Lumbar Vertebrae/injuries , Spinal Fractures/surgery , Spinal Fusion/instrumentation , Thoracic Vertebrae/injuries , Adolescent , Adult , Aged , Bone Screws , Female , Follow-Up Studies , Humans , Intervertebral Disc Displacement/diagnostic imaging , Intervertebral Disc Displacement/surgery , Lumbar Vertebrae/diagnostic imaging , Lumbar Vertebrae/surgery , Male , Middle Aged , Radiography , Retrospective Studies , Spinal Fractures/diagnostic imaging , Thoracic Vertebrae/diagnostic imaging , Thoracic Vertebrae/surgery , Weight-Bearing
5.
Chest ; 111(3): 619-22, 1997 Mar.
Article in English | MEDLINE | ID: mdl-9118697

ABSTRACT

In a retrospective review of 7 years of Walter Reed Army Medical Center fiberoptic bronchoscopy records, 154 patients with biopsy specimen proved (122) and clinically diagnosed (32) sarcoidosis were identified. Endobronchial mucosal appearance was normal in only 70 (45%). Abnormal mucosal findings included erythema (29 patients), nodules (13), plaques (13), and cobblestoning (29). Fifty-nine patients were evaluated with endobronchial biopsies (EBBX), and non-necrotizing granulomata diagnostic of sarcoidosis were found in 42 (71%). The diagnostic yield from endobronchial biopsies was similar regardless of the type of mucosal abnormality. EBBX specimens were diagnostic in 85% of black patients and 38% of white patients (p = 0.00081), but diagnostic yield did not correlate with patient's sex, symptoms, radiographic stage of disease, or extent of physiologic abnormalities. Four patients with normal-appearing bronchial mucosa underwent EBBX, and sarcoidosis was diagnosed in two. Transbronchial lung biopsy (TBBX) specimens were diagnostic of sarcoidosis in 61 of 82 (74%) black and 28 of 56 (50%) white patients (p = 0.0038). We conclude that the bronchial mucosa appears abnormal in the majority (55%) of patients with sarcoidosis. EBBX specimens will diagnose sarcoidosis in a high percentage of such patients and should be performed routinely. EBBX may be preferable to TBBX because of its greater safety profile. In our patients, the yield of both EBBX and TBBX was significantly greater in African-Americans than white Americans.


Subject(s)
Black People , Bronchi/pathology , Sarcoidosis, Pulmonary/ethnology , White People , Adolescent , Adult , Aged , Biopsy/methods , Bronchoscopy , Female , Humans , Lung/pathology , Male , Middle Aged , Retrospective Studies , Sarcoidosis, Pulmonary/pathology
6.
J Acquir Immune Defic Syndr Hum Retrovirol ; 11(4): 351-64, 1996 Apr 01.
Article in English | MEDLINE | ID: mdl-8601221

ABSTRACT

In 1987, exploratory clinical studies were initiated to determine whether the development of AIDS in HIV-infected individuals might be delayed or prevented by immunization with an inactivated HIV preparation. Preclinical studies had shown the preparation to be safe and immunogenic. Twenty-three patients with biopsy-confirmed persistent generalized lymphadenopathy (CDC III) and two with asymptomatic HIV infection and CD4 lymphocyte counts between 135 and 769/mm3 were studied, of whom eight (32%) had additional HIV-related symptoms. Over a 3-year period, they received a median of eight open-label inoculations of 100 micrograms of inactivated gp 120-depleted HIV-1 Immunogen in incomplete Freund's adjuvant (IFA). Clinical, general laboratory, immunologic, and virologic parameters were followed for up to 6 years. No serious treatment-related adverse experiences were reported, nor was accelerated HIV disease progression seen. Twelve patients developed a delayed-type hypersensitivity response (HIV-DTH) to the immunogen and nine showed fourfold or greater increases in anti-p24 antibody titers. In the follow-up period, 10 of the 25 patients developed AIDS and one with Kaposi's sarcoma (KS) at baseline progressed. Of the 12 patients who became HIV-DTH-responsive, one developed an opportunistic infection (OI), occurring approximately 5 years from study onset, and subsequently died. One additional HIV-DTH responder developed KS. Of the 13 patients who remained HIV-DTH-nonresponsive, nine (69%) progressed to AIDS and seven of these have died. Differences were also observed in terms of HIV-DNA copy number, CD4 percentages, and anti-p24 antibody patterns between the HIV-DTH-responsive and -nonresponsive groups, suggesting a more favorable clinical course in the former. HIV-1 Immunogen in IFA appears to be safe and immunogenic. Further studies are indicated to determine clinical efficacy of the HIV Immunogen as well as the significance of the apparent correlation between HIV-DTH responsivity and a more favorable clinical course.


Subject(s)
AIDS Vaccines/therapeutic use , HIV Infections/therapy , HIV-1/immunology , Immunotherapy, Active , AIDS Vaccines/administration & dosage , Adult , CD4 Lymphocyte Count , DNA, Viral/blood , Disease Progression , Follow-Up Studies , HIV Antibodies/blood , HIV Core Protein p24/blood , HIV Envelope Protein gp120 , HIV Infections/immunology , HIV Infections/virology , HIV-1/isolation & purification , Humans , Hypersensitivity, Delayed , Intradermal Tests , Male , Middle Aged , Vaccines, Inactivated/administration & dosage , Vaccines, Inactivated/therapeutic use
7.
Cytometry ; 22(3): 200-10, 1995 Sep 15.
Article in English | MEDLINE | ID: mdl-8556951

ABSTRACT

The Ortho CytoronAbsolute is a flow cytometer designed to provide direct absolute counts of lymphocytes and their subsets from a single instrument. This study was designed to determine the performance of four geographically separated CytoronAbsolute instruments using 24-h-old, shipped, whole blood samples and to compare the results obtained on the CytoronAbsolute to those obtained using combinations of hematology instruments and other flow cytometers. The absolute count feature of the CytoronAbsolutes located at the four sites were cross calibrated and gave across-site coefficients of variation (CVs) of <4.0% for absolute count and 8.2% for absolute lymphocyte count. The calibration was stable for at least 2 months. Absolute lymphocyte counts and lymphocyte percentage immunophenotypes were determined on blood from 50 healthy human immunodeficiency virus (HIV)-seronegative donors. There were no significant site-to-site differences (each P > .05) in CD3+/CD4+ absolute lymphocyte counts determined on the CytoronAbsolute. In contrast, there was a significant site-to-site difference (P < .001) between sites 2 and 3 and sites 3 and 4 in the absolute CD3+/CD4+ lymphocyte counts determined via the conventional method of combining a flow cytometry-derived percentage with a hematology instrument-derived lymphocyte count. There was no significant difference (P = .388) in CD3+/CD4+ lymphocyte percent determinations between the CytoronAbsolute and the FACScan or Profile II flow cytometers used in this study. These results demonstrate that different operators can cross calibrate CytoronAbsolutes for absolute CD3+/CD4+ lymphocyte subset determinations, even over large geographic distances.


Subject(s)
CD4 Lymphocyte Count/methods , Flow Cytometry/instrumentation , Calibration , Evaluation Studies as Topic , Humans , Reproducibility of Results , Tissue Donors
8.
J Bone Joint Surg Am ; 77(4): 572-7, 1995 Apr.
Article in English | MEDLINE | ID: mdl-7713974

ABSTRACT

We studied the results of prolonged intravenous therapy with antibiotics through a central venous silicone-elastomer catheter that had been peripherally inserted in thirty-five orthopaedic patients. The catheters remained in place for an average of twenty-nine days (range, five to seventy-four days). The 20-gauge (one-millimeter-diameter) catheters used in our study were smaller in diameter than the triple-lumen catheters or the double-lumen Hickman catheters used in previous studies. The catheters in our study were left indwelling for as long as, or for longer than, those in other studies. Our patients had no serious complications related to the insertion or use of the catheter. However, three (8 per cent) of thirty-eight inserted catheters failed mechanically and had to be removed. Two additional catheters (5 per cent) were removed because the lumen became plugged. One catheter in each of these groups was not replaced, because a catheter was no longer necessary. We believe that the problems with the catheters were related to the small diameter of the tubing that was used in our series. Use of the small-diameter catheter reduces the risk of cardiac tamponade and other complications associated with catheters that have larger diameters, and small-diameter catheters can remain indwelling for a long time. The peripheral route of insertion eliminates the risk of pneumothorax associated with the subclavian route of placement and allows for greater ease of insertion. In addition, the use of catheters made of silicone elastomer reduces the risk of thrombosis and infection, which are associated with catheters made of polyethylene.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Anti-Bacterial Agents/administration & dosage , Catheterization, Central Venous/instrumentation , Silicone Elastomers , Adult , Aged , Aged, 80 and over , Arthritis, Infectious/therapy , Catheterization, Central Venous/methods , Catheters, Indwelling , Child , Female , Humans , Male , Middle Aged , Osteomyelitis/therapy , Retrospective Studies , Soft Tissue Infections/therapy
9.
Blood ; 85(8): 2091-7, 1995 Apr 15.
Article in English | MEDLINE | ID: mdl-7718880

ABSTRACT

Transfusions purportedly induce dysfunction of cell-mediated immunity in sickle cell anemia (SCA). We studied hematologic and lymphocytic indices in 173 human immunodeficiency virus (HIV)-negative subjects with SCA and 131 black controls. Children aged 1 to 7 years with SCA had leukocyte counts and percentages of granulocytes, monocytes, natural killer cells, and T-cell markers (CD2+CD11b+, CD4+CD26+, CD4+CD29+) that were significantly higher than those for control children. Percent total lymphocytes was decreased for this age group, but the total number of lymphocytes and T and B cell counts were similar to controls. Platelets were not increased. Adolescents (aged 8 to 17 years) and adults (aged > or = 18 years) with SCA had increased total leukocytes and monocytes and lymphocytes counts that remained level instead of decreasing, as did comparably aged controls. Lymphocyte subsets typically increased in count, but their percentage remained similar to children. The exception was CD56+ cell counts, which were increased in adolescents and adults. No lymphocytic subset change suggested impaired cellular immunity, and none could be related to transfusion. Prophylactically transfused patients had higher granulocyte counts, but these may arise from the complications of SCA itself.


Subject(s)
Anemia, Sickle Cell/blood , Blood Transfusion , Immunophenotyping , Leukocytosis/etiology , Lymphocyte Subsets , Adolescent , Adult , Age Factors , Anemia, Sickle Cell/complications , Anemia, Sickle Cell/immunology , Antigens, CD/analysis , Child , Child, Preschool , Cohort Studies , Female , HIV Seronegativity , Humans , Immunocompetence , Infant , Lymphocyte Count , Male , Prospective Studies
10.
Cytometry ; 22(1): 48-59, 1995 Mar 15.
Article in English | MEDLINE | ID: mdl-7587734

ABSTRACT

We describe a method to obtain results for immune status monitoring that uses a three-test panel, comprised of isotype control and 2 specific Mab tests (CD4/CD8/CD3 and CD16/CD19/CD3), in conjunction with a flow cytometer that directly measures absolute counts. Automated software is used for lineage-specific gating of three-color immunofluorescence to determine lymphocyte and lymphocyte subset counts. The autogating function of this software is shown to yield equivalent results to manual analysis by an expert user, and to be effective when as few as 25 target cells are present. The software is also shown to perform automatic quality control checks of the sample preparation, reagent, and automated analysis. We demonstrate that the sum of T (CD3+), B (CD19+), and natural killer (NK, CD16 + CD3-) cells, as a determination of all lymphocytes, correlates well with lymphocytes measured using a light scatter differential. Moreover, T + B + NK lymphocyte count is shown to be less error-prone than lymphocyte count from light scatter differential, and to minimize errors that arise from between-technician variation in sample preparation. Our data suggest that the new approach that we describe could offer an alternative to the traditional two-stage methods for measuring absolute counts of lymphocyte subsets for immune status monitoring. As such this method could reduce, through objective automated analysis, testing cost and complexity, without sacrificing the quality of results.


Subject(s)
Antigens, Differentiation, T-Lymphocyte , Flow Cytometry/instrumentation , Lymphocyte Count , Software , T-Lymphocyte Subsets , Algorithms , Antibodies, Monoclonal , Antibody Specificity , Autoanalysis , Feasibility Studies , Humans , Light , Scattering, Radiation , Sensitivity and Specificity
11.
Am J Sports Med ; 22(6): 768-73, 1994.
Article in English | MEDLINE | ID: mdl-7856800

ABSTRACT

Although the squat exercise is considered essential for optimal athletic performance, controversy exists regarding the effect on knee stability. The purpose of this prospective study was to determine the effect of squat exercises on in vivo knee joint stability of professional football players. Thirty-two subjects with normal knees participated in a 21-week off-season training program. Subjects performed power squat exercises with barbell loads of 130% to 200% body weight twice weekly. Both knees of each subject were tested by a single examiner with a knee ligament arthrometer before the training program and at 12 and 21 weeks. Passive displacements were recorded at 67, 89, and 133 N with the knee at 30 degrees and 90 degrees of flexion. Active testing was performed with the knee in the same positions. Student's paired t-tests were used to compare pre- and postexercise measures. For all subjects, no significant differences were found between pre- and postexercise results for active and passive tests. Of the 2440 measurements taken, only 8 demonstrated increased excursions greater than 2 mm. This study demonstrates no significant increases in anterior-posterior tibiofemoral translation in athletes using the squat exercise as part of their off-season training program.


Subject(s)
Exercise Therapy , Football/physiology , Knee Joint/physiology , Adult , Humans , Male , Prospective Studies
12.
Blood ; 84(5): 1666-71, 1994 Sep 01.
Article in English | MEDLINE | ID: mdl-7915149

ABSTRACT

Low- and intermediate-purity clotting-factor therapies are believed to accelerate human immunodeficiency virus (HIV) progression in hemophiliacs through adverse immune effects of the other plasma proteins in the preparations. To investigate this postulate, we evaluated data from six clinical centers that observed persons with congenital factor deficiencies at 6-month intervals. The present analysis is based on HIV-infected subjects who received intermediate purity factor VIII or factor IX concentrates, or cryoprecipitate. For long-term outcome, we classified 374 subjects by the type and amount of treatment during our first year of observation, and determined the subsequent rate of progression to a CD4 count less than 200 cells/microL. A second analysis of this group used a repeated-measures, random-effect model that allowed for individual differences in CD4 decline. Finally, we compared short-term rates of change in CD4 count in each treatment interval of 525 subjects with the type and amount of factor therapy received in the same interval. There was no overall or dose-related deleterious effect of any form of treatment on CD4 trend. The CD4 decrease was less when cryoprecipitate was administered alone or combined with concentrate, but not significantly so. Our results counter the assertion that low- and intermediate-purity products accelerate the rate of CD4 decrease in HIV-1-infected hemophiliacs.


Subject(s)
Acquired Immunodeficiency Syndrome/etiology , Blood Coagulation Disorders/complications , Blood Coagulation Disorders/therapy , CD4 Antigens/blood , CD4-Positive T-Lymphocytes/immunology , Factor IX/therapeutic use , Factor VIII/therapeutic use , HIV Seropositivity , Hemophilia A/therapy , Hemophilia B/therapy , Acquired Immunodeficiency Syndrome/epidemiology , Acquired Immunodeficiency Syndrome/immunology , Factor IX/standards , Factor VIII/standards , Follow-Up Studies , HIV-1 , Humans , Survival Analysis , Time Factors
14.
Blood ; 82(4): 1351-7, 1993 Aug 15.
Article in English | MEDLINE | ID: mdl-8353293

ABSTRACT

Patients with hemophilia A without human immunodeficiency virus type 1 (HIV-1) infection have lower CD4+ counts and CD4+/CD8+ ratios than controls. This is usually interpreted as a therapy-induced immunodeficiency. Our data re-examine the effect of therapy on peripheral blood mononuclear cell immunophenotypic subpopulations in all congenital clotting disorders. Since late 1985 we have prospectively observed HIV-1 uninfected persons with all types and severity of disorder. Controls were household members without clotting disorders or HIV-1 infection. Analyses of immunophenotype and treatment included a longitudinal random effects model. Compared with controls, age-adjusted CD4+ counts were significantly lower in treated patients (P < .0001) and in patients with all types of clotting disorders who were seldom or never treated (P = .0005). Significantly lower values among both treated and untreated clotting disorder subjects (P < .05) were likewise found for total lymphocytes, several other T-cell subsets, and the CD4+/CD8+ ratio. For most indexes, including the CD4+ count and CD4+/CD8+ ratio, the type of clotting deficiency was not a significant variable. Comparing persons who had no or minimal therapy with those having the most showed increases in CD8+ (P = .0017) and CD20+ CD21- counts (P = .0255), and a lower CD20+ CD21+/CD20+ ratio (P = .0106) in the latter. Controls and persons with clotting disorders differ in CD4+ count. Among those with clotting factor disorders, there is no difference attributable to type of clotting disorder or factor therapy. Large amounts of treatment increased CD8+ and CD20+ CD21- counts, but were not associated with a change in CD4+ count.


Subject(s)
Blood Coagulation Disorders/congenital , Blood Coagulation Factors/therapeutic use , HIV Seropositivity/immunology , HIV-1/immunology , Immunologic Deficiency Syndromes/therapy , Lymphocyte Subsets/physiology , Antigens, CD/analysis , Blood Coagulation Disorders/immunology , Blood Coagulation Disorders/therapy , Humans , Immunologic Deficiency Syndromes/immunology , Male
15.
Cancer Immunol Immunother ; 37(1): 15-25, 1993 Jul.
Article in English | MEDLINE | ID: mdl-8513449

ABSTRACT

To study in vivo activated cytolytic T cells, CD8+ T cells clones were isolated from a melanoma patient (HLA A2, A11) treated with active specific immunotherapy for 5 years. CD8+ T lymphocytes, purified by fluorescence-activated cell sorting, were cloned directly from the peripheral blood without antigen-presenting cells in the presence of irradiated autologous melanoma cells and recombinant interleukin-2 (IL-2) and IL-4. These conditions were inhibitory to de novo in vitro immunization. Of the 28 cytolytic CD8+ T cell clones, 21 lysed the autologous melanoma cell line (M7) but not the autologous lymphoblastoid cell line (LCL-7) nor the two melanoma cell line, M1 (HLA A28) and M2 (HLA A28, A31), used to immunize the patient. The remaining 7 clones were also melanoma-specific, although their reactivities were broader, lysing several melanoma cell lines but not HLA-matched lymphoblastoid cells. Eight clones from the first group, ostensibly self-MHC-restricted, were expanded for further analysis. All expressed cluster determinants characteristic of mature, activated T cells, but not those of thymocytes, naive T cells, B cells or natural killer (NK) cells. They also expressed CD13, a myeloid marker. Of the 8 clones, 3 expressed both CD4 and CD8, but dual expression was not correlated with specificity of lysis. Two CD8+ and 2 CD4+ CD8+ clones were specific for the autologous melanoma cells, the other 4 were also reactive against other HLA-A2-positive melanomas. Cytotoxicity for both singly and doubly positive clones was restricted by HLA class I but not class II antigens. Analysis of the RNA expression of the T cell receptor (TCR) V alpha and V beta gene segments revealed heterogeneous usage by the A2-restricted clones and, perhaps, also by the broadly melanoma-specific clones. Apparent TCR-restricted usage was noted for the self-MHC-restricted clones; 2 of the 4 expressed the V alpha 17/V beta 7 dimer. Since the T cell clones were derived from separate precursors of circulating cytotoxic T lymphocytes (CTL), the V alpha 17/V beta 7 TCR was well represented in the peripheral blood lymphocytes of this patient. In summary, we show that melanoma cells presented their own antigens to stimulate the proliferation of melanoma-reactive CD8+ CTL. CTL with a range of melanoma specificities and different TCR alpha beta dimers were encountered in this patient, perhaps as a result of hyperimmunization.(ABSTRACT TRUNCATED AT 400 WORDS)


Subject(s)
CD8 Antigens/immunology , Immunotherapy, Active , Melanoma/immunology , T-Lymphocytes, Cytotoxic/immunology , Adult , Antigens, CD/analysis , Base Sequence , Cell Separation , Clone Cells , Cytotoxicity, Immunologic , DNA, Neoplasm/analysis , DNA, Neoplasm/chemistry , Female , Flow Cytometry , Histocompatibility Antigens Class I/analysis , Histocompatibility Antigens Class II/analysis , Humans , Immunophenotyping , Melanoma/therapy , Molecular Sequence Data , Receptors, Antigen, T-Cell, alpha-beta/genetics , Tumor Cells, Cultured , Vaccines, Synthetic/therapeutic use
16.
J Vet Intern Med ; 7(3): 169-76, 1993.
Article in English | MEDLINE | ID: mdl-8331611

ABSTRACT

Plasma cell myelomas in horses have been reported infrequently. Data from 10 cases, 9 from the literature and 1 new case, are used to characterize the disease in the horse. Hot-blooded horses (7/10), specifically Quarter Horses (4/10), were most often affected. Median age at diagnosis was 11 years (range, 3 mo-22 yr) and both male (5) and female horses (5) were represented equally. Clinical findings included weight loss (6/8), anorexia (4/8), fever (4/8), limb edema (4/8), pneumonia (3/8), rear leg paresis/ataxia (3/8), epistaxis (3/8), palpable lymphadenopathy (2/8), and bone pain (2/8). Anemia (8/8) was present routinely, and in three horses, RBCs were macrocytic. Leukopenia (2/8), thrombocytopenia (2/8), and circulating plasma cells (3/8) were variable findings. Except for abnormal protein concentrations and hyponatremia (3), abnormal results from serum biochemical analysis including hypocholesterolemia (1), hypercalcemia (1), and azotemia (1) were reported infrequently. Hyperproteinemia (8/9), hypoalbuminemia (7/9), and hyperglobulinemia (8/9) were characteristic but not invariable findings. Monoclonal proteins (7/7) were detected in the alpha 2, beta, or gamma region by serum electrophoresis. The paraprotein's heavy chain, determined in four horses, was a subclass of IgG. Three horses had decreased concentrations of normal immunoglobulins. Variable proteinuria (trace to 4+) was detected by routine urinalysis in four of six horses. Bence Jones proteinuria was detected in one of five horses (heat precipitation) and monoclonal proteins were detected in two of three electrophoresed urine samples. Three of the horses had lytic bone lesions detected radiographically. Bone marrow aspirates were diagnostic in two of five horses.(ABSTRACT TRUNCATED AT 250 WORDS)


Subject(s)
Bone Marrow Diseases/veterinary , Horse Diseases/diagnosis , Multiple Myeloma/veterinary , Animals , Blood Chemical Analysis/veterinary , Bone Marrow Diseases/diagnosis , Bone Marrow Diseases/pathology , Female , Horse Diseases/blood , Horse Diseases/pathology , Horses , Male , Multiple Myeloma/blood , Multiple Myeloma/diagnosis , Multiple Myeloma/pathology
17.
Eur J Immunol ; 23(1): 179-85, 1993 Jan.
Article in English | MEDLINE | ID: mdl-8419169

ABSTRACT

Jacalin is a plant lectin known to specifically induce the proliferation of CD4+ T lymphocytes in human. We demonstrate here that jacalin completely blocks human immunodeficiency virus type 1 (HIV-1) in vitro infection of lymphoid cells. Jacalin does not bind the viral envelope glycoprotein gp120. Besides other T cell surface molecules, it interacts with CD4, the high-affinity receptor to HIV. Binding of jacalin to CD4 does not prevent gp120-CD4 interaction and does not inhibit virus binding and syncytia formation. The anti-HIV effect of the native lectin can be reproduced by its separated alpha-subunits. More importantly, we have defined in the alpha-chain of jacalin a 14-amino acid sequence which shows high similarities with a peptide of the second conserved domain of gp120. A synthetic peptide corresponding to this similar stretch also exerts a potent anti-HIV effect. This peptide is not mitogenic for peripheral blood mononuclear cells and does not inhibit anti-CD3-induced lymphocyte proliferation. These results make jacalin alpha chain-derived peptide a potentially valuable therapeutic agent for acquired immunodeficiency syndrome.


Subject(s)
HIV Envelope Protein gp120/chemistry , HIV-1/drug effects , Lectins/pharmacology , Peptide Fragments/pharmacology , Plant Lectins , Amino Acid Sequence , Base Sequence , CD4 Antigens/metabolism , Cell Line , Cells, Cultured , HIV Envelope Protein gp120/metabolism , Humans , Molecular Sequence Data , Peptide Fragments/chemistry
18.
Blood ; 80(3): 831-40, 1992 Aug 01.
Article in English | MEDLINE | ID: mdl-1638032

ABSTRACT

Children other than neonates infected with human immunodeficiency virus type 1 (HIV-1) have low rates of progression to acquired immunodeficiency syndrome (AIDS). Through 1989, 5.3% of 95 infected hemophiliacs aged 5 to 13 years developed AIDS, compared with 20.3% of 364 aged greater than or equal to 25 years. We asked whether the HIV-1 impact on peripheral blood mononuclear cell subpopulations differed with age using pairwise comparisons of uninfected and infected male children and adult hemophiliacs. Infected children had lesser reductions of total lymphocytes than adults, but proportionately lower numbers of CD2+, CD4+, CD2+CD26+, and CD4+CD29+ counts. CD4+CD45RA+ cell counts were greater than twofold higher in uninfected and infected children than adults; with infection, the CD4+CD45RA+/CD4+ proportion increased by 1.4-fold in adults, but was unchanged in children. Infected adults had highly significantly increased total CD8+ counts; both age groups had elevated CD8+HLA-DR+ counts. Infected children had significantly higher total B-cell counts than infected adults, with a disproportionately lower number of resting B cells (CD20+CD21+). During 2 years of follow-up, infected children and adults had lymphocyte changes in the same directions and these were proportionately equal. The lower rate of HIV-1 progression in children may be partly associated with differences in lymphocyte populations compared with adults; functional properties of immune cells may be equally or more important.


Subject(s)
Acquired Immunodeficiency Syndrome/etiology , Acquired Immunodeficiency Syndrome/immunology , Blood Coagulation Disorders/therapy , HIV-1 , Lymphocyte Subsets/immunology , Transfusion Reaction , Adolescent , Adult , Age Factors , Antibodies, Monoclonal , Antigens, CD/analysis , Blood Coagulation Disorders/immunology , Child , Child, Preschool , Female , Humans , Male
19.
Cytometry ; 13(4): 445-7, 1992.
Article in English | MEDLINE | ID: mdl-1356085

ABSTRACT

The Sixth Annual Clinical Applications of Cytometry Meeting was held September 11-14, 1991, in Charleston, SC. Attendance reached a record 470. The meeting provides a forum for interactions among investigators who utilize cytometry as a tool in their clinical immunology, cell biology, hematology, and cancer investigations. Clinical laboratory directors and their technical staff find the meeting of practical value because of the presentation of new applications that they can take home to their own laboratories. The emphasis of the meeting is on advances in the application of cytometry to clinical problems. Often, advances result from new dyes or reagents or improved instrumentation. Sometimes they result from advances in biology that make the studies possible. Occasionally a new way of looking at the same data provides a useful answer. In every case, the effort is to provide a reliable, straightforward way to quantitate biologic information in order to provide improved diagnosis or treatment of human disease.


Subject(s)
Flow Cytometry , Acquired Immunodeficiency Syndrome/diagnosis , Antigens, CD/analysis , Cell Separation , Flow Cytometry/methods , Humans , Immunophenotyping , Neoplasms/diagnosis , Neoplasms/immunology , Neoplastic Stem Cells/pathology , Nucleic Acid Hybridization , Ploidies , Software
20.
Cytometry ; 12(5): 473-5, 1991.
Article in English | MEDLINE | ID: mdl-1935462

ABSTRACT

The 5th annual Clinical Applications of Cytometry meeting was held September 12-15, 1990 in charleston, SC. The theme which emerged repeatedly throughout the meeting was the need to take full advantage of the quantitative power of cytometry to provide the most useful clinically relevant diagnostic and prognostic information. Greater quantitative power is based on careful and reproducible standards and quality control. The same principles, albeit with somewhat different approaches, apply to cell surface immunofluorescence analysis, DNA measurements, and image cytometry assessments. Monoclonal antibody probes against oncogenes, others against lymphokines within the Golgi, and a novel fluorogenic substrate designed to quantitate the activity of a mitochondrial enzyme were exciting developments described at the meeting.


Subject(s)
Flow Cytometry/methods , Autoimmune Diseases/diagnosis , Autoimmune Diseases/mortality , Autoimmune Diseases/pathology , DNA/analysis , Humans , Immunohistochemistry , Prognosis
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