RESUMEN
Toxoplasmosis, an infection caused by Toxoplasma (T.) gondii Apicomplexa protozoan, is widespread in humans and other animal species, having already been reported in many countries and different climates. In Pakistan, no data is available on this aspect among food animals. This study was undertaken to determine the seroprevalence of T. gondii infection in sheep and goats. A total of 200 serum samples from sheep and goats, were collected from urban area of Rahim Yar Khan (Punjab), Pakistan and tested for Toxoplasmosis with a commercial latex agglutination kit (Eiken Chemical Co., Ltd. Japan). The overall seroprevalence of Toxoplasmosis was 19%. Goats had a significantly higher (p < 0.01) prevalence (25.4%) as compared to the sheep (11.2%); and higher (p < 0.01) in the female (24%) than in the males (19%) for both species. In the present study the male (both in sheep and goat) are found less seropositive T. gondii (OR = 0.23; 99% C.I. = 0.01, 1.81) as compared to female sheep and goat. The prevalence was significantly higher (p < 0.01) in adult sheep than younger animals. Among both the sheep and goats the group from 1-1.5 years are highly seropositive (OR = 1.75; 99% C.I. = 0.47, 6.51) as compared to the group less than one year of age followed by the 2-2.5 years age group (OR = 1.63; 99% C.I. = 0.50, 5.74) whereas group with more than 3 years of age least seropositive.
Asunto(s)
Enfermedades de las Cabras/epidemiología , Enfermedades de las Cabras/parasitología , Enfermedades de las Ovejas/epidemiología , Enfermedades de las Ovejas/parasitología , Toxoplasma , Toxoplasmosis Animal/epidemiología , Factores de Edad , Pruebas de Aglutinación/veterinaria , Animales , Femenino , Cabras , Masculino , Pakistán/epidemiología , Estudios Seroepidemiológicos , OvinosRESUMEN
Four different goat breeds (Pak-Angora, Dera Din Panah, Naachi and Teddy) of Pakistan were selected to investigate polymorphism in the prion protein gene (PrP gene) responsible for scrapie disease resistance in goats. Initially, genotyping of 187 animals of these four breeds by restriction fragment length polymorphism (RFLP) was done to see the genotype for codon 136 and 154. All the animals were monomorphic with a genotype of AARR except one animal of Teddy breed having the genotype of AARH. Sequencing of PrP gene of twenty animals representing these four goat breeds revealed two genotypes PPSSSS and PPSSPS with haplotypes PSS and PSP of PrP gene at the codon numbers 42, 138, and 240. All four breeds showed both wild type monomorphic sequence and mutant polymorphic sequences of these codons. The mutants of 42 and 138 codons translate the same amino acids as with the wild type sequences, while the mutant of codon 240 is responsible for a different amino acid translation i.e., serine to proline. In short, this study provides preliminary information about alleles and genotypes of PrP gene in four goat breeds of Pakistan.
Asunto(s)
Enfermedades de las Cabras/genética , Cabras/genética , Polimorfismo de Nucleótido Simple , Priones/genética , Scrapie/genética , Animales , Frecuencia de los Genes , Predisposición Genética a la Enfermedad , Genotipo , Mutación Missense , Pakistán , Mutación Puntual , Polimorfismo de Longitud del Fragmento de RestricciónRESUMEN
The present paper describes the field evaluation of local gametocyte vaccine and its comparative efficacy with commercial anticoccidial vaccine, LivaCox, used in breeder and broiler flocks in Pakistan. Humoral immune response in vaccinated and control chickens was monitored by enzyme-linked immunosorbent assay. Results demonstrated significantly elevated antibody titres in vaccinated groups as compared to control groups conducted both in Laboratory and field experiments. Significantly (P < 0.01) higher antibody titres in local gametocyte-vaccinated group as compared to LivaCox-vaccinated chickens were recorded. Splenic cell migration inhibition assay was used to detect the cell-mediated immune (CMI) response, and results were expressed in terms of per cent migration index. Lower per cent migration index in LivaCox-vaccinated chickens indicated the higher CMI response, as compared to local gametocyte-vaccinated chickens, although the difference was statistically non-significant (P > 0.05). Results of the challenge studies in laboratory experiments revealed significantly higher (P < 0.05) oocyst count in LivaCox-vaccinated group as compared to local gametocyte-vaccinated chickens.Maximum protection (75%) against mixed species of genus Eimeria was recorded in chickens vaccinated with gametocyte vaccines as compared to LivaCox-vaccinated group. The mean body weight gains in chickens vaccinated with local gametocyte vaccine were significantly better (P < 0.05) than in chickens vaccinated with LivaCox vaccine, both in laboratory and field experiments. Majority of the chickens (70-72%) in control group demonstrated severe lesions (3.0-4.0), while 20-26% chickens showed moderate lesions (2.0). On the other hand, local gametocyte- and LivaCox-immunized chickens developed 78% and 85% mild to moderated lesions (1.0-2.0), respectively. Results of the present study provide a probable explanation for cross-protection induced by Eimeria tenella gametocyte vaccines against other species of genus Eimeria.
Asunto(s)
Anticuerpos Antiprotozoarios/sangre , Coccidiosis/veterinaria , Eimeria tenella/inmunología , Enfermedades de las Aves de Corral/prevención & control , Vacunas Antiprotozoos/administración & dosificación , Animales , Pollos , Coccidiosis/inmunología , Coccidiosis/parasitología , Coccidiosis/prevención & control , Pakistán , Enfermedades de las Aves de Corral/inmunología , Enfermedades de las Aves de Corral/parasitología , Vacunas Antiprotozoos/inmunología , Vacunación/veterinariaRESUMEN
Plasma and tissue concentrations of total, (+)- and (-)-gossypol were determined in broilers fed cottonseed meals (CSM) from eight oil mills (five expander solvent, two expeller, and one direct solvent). Free gossypol in the meals ranged from 0.033 to 0.180%, and total gossypol ranged from 0.974 to 1.459%. The (+)-enantiomer of gossypol varied from 53.8 to 61.3% of total gossypol. Eight CSM diets containing 28% CSM and a soybean meal control diet were fed to 162 1-d-old male broiler chicks during a 3-wk starter period. Concentrations of free gossypol in the CSM diets ranged from 92 to 504 microg/g, and total gossypol ranged from 2,626 to 4,085 microg/g. All diets were formulated with the same concentrations of digestible lysine and methionine and were fed ad libitum. At 21 d of age, there were no significant differences in body weights, feed conversions, or mortality of birds fed the CSM diets when compared to birds fed the soybean meal diet. Concentrations of (+)- and (-)-gossypol in plasma, liver, kidney, and muscle increased linearly as the level of free gossypol increased in the diets. Liver had the highest concentration of total gossypol (71.4 to 313.6 microg/g DM) followed by kidney (9.2 to 36.3 microg/g DM), plasma (3.0 to 14.6 microg/mL), and muscle (2.1 to 9.8 microg/g DM). The proportion of (-)-gossypol was higher in plasma (26.7%) and kidney (25.6%) than in muscle (19.1%) and liver (16.0%). Performance data from this study indicate CSM can be used successfully in chick starter diets at levels up to 28% when diets are formulated on a digestible amino acid basis.
Asunto(s)
Alimentación Animal , Pollos/metabolismo , Aceite de Semillas de Algodón , Gosipol/análisis , Animales , Gosipol/sangre , Gosipol/química , Riñón/química , Hígado/química , Masculino , Músculos/química , Análisis de Regresión , Estereoisomerismo , Distribución TisularRESUMEN
This experiment was designed to evaluate the use of expander cottonseed meal (CSM) in broiler diets formulated on a digestible amino acid basis and to determine the tissue distribution of gossypol enantiomers and their relationship to gossypol consumption. Gossypol is an antinutritional polyphenolic pigment found in cottonseed. A total of 800 1-d-old broilers (Arbor Acres) was randomly divided into 40 groups of 20 birds each and placed in a broiler house with wood shavings litter. The CSM was included in starter and grower diets at 0, 7, 14, 21, and 28% of the diet. Diets were formulated to have similar levels of digestible methionine and lysine as the 0% CSM control diet. At 21 d of age, five birds per pen were randomly selected for the determination of gossypol enantiomers in plasma, liver, heart, and breast muscle. Tissues were again collected at 42 d of age. Results of this experiment indicated that at 21 d of age cumulative body weight and feed-to-BW ratios of birds fed CSM diets were not significantly different from the control. By 35 d of age, feed-to-BW ratios of experimental birds fed the 28% CSM diet were significantly greater than the control birds, and by 42 d, BW were lower than those of the control group. Tissue concentrations of total, (+) and (-) gossypol increased linearly as the level of CSM increased. At 42 d, liver had the most gossypol with a ratio of 87% (+) gossypol to 13% (-) gossypol. Plasma contained 73% (+) gossypol and 27% (-) gossypol. Heart contained 45% (+) gossypol and 55% (-) gossypol. Breast muscle had the least gossypol. Results of this experiment indicated that expander solvent CSM could be fed to broilers at up to 21% of the total diet if amino acid digestibility was considered.
Asunto(s)
Aminoácidos/metabolismo , Pollos/crecimiento & desarrollo , Aceite de Semillas de Algodón/administración & dosificación , Gosipol/análisis , Aminoácidos/administración & dosificación , Alimentación Animal , Animales , Pollos/metabolismo , Digestión , Gosipol/farmacocinética , Hígado/química , Hígado/metabolismo , Músculos/química , Músculos/metabolismo , Miocardio/química , Miocardio/metabolismo , Tamaño de los Órganos , Distribución Aleatoria , Semillas , Estereoisomerismo , Distribución Tisular , Aumento de PesoRESUMEN
This study was designed to evaluate the relative toxicity of (+)- and (-)-gossypol enantiomers in 0-3-week-old broilers. Treatments consisted of broiler starter diets formulated with either a glandless, which did not contain gossypol, a commercial glanded [62. 2% (+)-gossypol], or a glanded moco [83.2% (+)-gossypol] crushed cottonseed (CCS) (six replicates/treatment) plus a soybean meal negative control. Glandless cottonseed was mixed with the moco cottonseed (2.4% free gossypol) so that both the commercial glanded and moco glanded cottonseeds contained equivalent concentrations of free gossypol (2.0%). The cottonseed treatments were added at 5 and 10% of the diet. Body weights and feed conversions were determined weekly. Body weights and feed-to-gain ratios of broilers fed 5 and 10% glandless CCS and 5% moco CCS were not significantly different. Broilers receiving 10% commercial glanded CCS weighed significantly less than those subjected to all other treatments. Feed-to-gain ratios were significantly higher for broilers receiving 10% commercial glanded and 10% moco CCS as compared to 5% moco and glandless CCS, 10% glandless CCS, and control. Relative liver weights of birds receiving 10% moco CCS were significantly less than those of birds receiving 10% commercial CCS. The data clearly showed that broilers fed moco CCS containing a relatively high (+)- to (-)-gossypol enantiomer ratio performed better than broilers receiving commercial CCS with a lower (+)- to (-)-gossypol enantiomer ratio.
Asunto(s)
Aceite de Semillas de Algodón/toxicidad , Gosipol/química , Gosipol/toxicidad , Aumento de Peso/efectos de los fármacos , Alimentación Animal , Animales , Pollos , Aceite de Semillas de Algodón/química , Gosipol/farmacocinética , Hígado/efectos de los fármacos , Hígado/metabolismo , Masculino , Tamaño de los Órganos/efectos de los fármacos , EstereoisomerismoRESUMEN
Three experiments evaluated the performance of broilers fed sorghum ergot consisting of sphacelia/sclerotia of Claviceps africana present in tailings removed by conditioning of seed from grain sorghum hybrid seed production fields near Uvalde (Experiments 1 and 2) and Dumas (Experiment 3), Texas. Percentage sphacelia/sclerotia and total alkaloid content, respectively, in sorghum ergot tailings were 8% and 11.3 ppm for Uvalde and 75% and 235 ppm for Dumas. Sorghum ergot and control sorghum diets were based on the NRC (1994) requirements for starting broilers. In Experiment 1, neither growth nor feed efficiency were significantly reduced in male broilers fed sorghum ergot from hatch to 3 wk of age, but liver weights were significantly greater than those in the control. In Experiment 2, straight-run broilers were raised to 6 wk of age in floor pens using a three-phase feeding program. Sorghum ergot significantly reduced gain in 4-wk-old broilers and cumulative body weight at 5 wk. Feed conversion was significantly reduced during all three phases of feeding. In Experiment 3, control sorghum and the 75% ergot tailings were added to corn-soy basal diets at rates of 2.5, 5, and 10% by weight and fed to male broilers from hatch to 3 wk of age. Sorghum ergot did not significantly reduce growth, but, during Weeks 2 and 3, feed-to-gain ratios were higher. Neither type nor concentration of sorghum ergot significantly affected relative liver weights. We did not observe significant mortality or obvious symptoms of ergot toxicity, such as necrotic lesions of the feet or vesicular dermatitis of the comb, in any of the three experiments.
Asunto(s)
Alimentación Animal/microbiología , Pollos/fisiología , Alcaloides de Claviceps/toxicidad , Animales , Peso Corporal , Crecimiento , Hígado/efectos de los fármacos , Hígado/crecimiento & desarrollo , MasculinoRESUMEN
Minimal-access treatment for ureteropelvic junction (UPJ) obstruction is becoming increasingly complex. Is there still a place for the simple procedure of balloon dilatation? To examine the symptomatic and renographic results of patients at least 6 months after balloon disruption of an obstructed UPJ, we carried out a prospective audit of outcome as judged by DTPA renograms and clinical follow-up. The procedure has been performed on a total of 21 renal units (20 patients) with follow-up of 6 to 30 months (mean 22 months). Of these, 18 (86%) were asymptomatic at 3 months, although this success rate dropped to 17 (81%) by 6 months. Renographic split function improved in 11 renal units, and excretion improve in 14. Perioperative complications were few and associated with stent insertion. Three of the patients in whom the procedure failed went on to nephrectomy (14%); all had poor renal function (split <20%) at presentation. Although the quoted success rates are lower for endoluminal balloon rupture of stenosis treatment than open pyeloplasty, the former technique has significantly less morbidity. Our nephrectomy rate reflects our less than ideal early patient selection, and our balloon dilation technique is not recommended as a salvage procedure for patients in whom nephrectomy is inevitable. The learning curve is quick to climb, and this is a fundamentally simple procedure with medium-term results that remain encouraging.
Asunto(s)
Cateterismo , Obstrucción Ureteral/terapia , Adulto , Anciano , Cateterismo/instrumentación , Cateterismo/normas , Estudios de Seguimiento , Humanos , Quelantes del Hierro , Persona de Mediana Edad , Procedimientos Quirúrgicos Mínimamente Invasivos , Ácido Pentético , Estudios Prospectivos , Recurrencia , Seguridad , Resultado del Tratamiento , Obstrucción Ureteral/diagnóstico por imagen , UrografíaRESUMEN
The reported studies were designed to examine relationships between whole-brain histamine receptors (H1) and food intake in male Sprague-Dawley rats. Three different experiments were conducted. In each experiment, control rats were fed normal protein (25 g casein/100 g food) and normal metabolizable energy (16.21 kJ/100 g food) diets. Feeding low protein diets (1 g casein/100 g food) elevated central H1 receptor concentrations (P < 0.0027) and reduced voluntary food intake (P < 0.007) compared with normal diets. Feeding low energy diets lowered H1 receptor concentrations (P < 0.0089) and increased voluntary food intake (P < 0.0012). Low quality protein diets also affected the central nervous histaminergic system. Whole-brain H1 receptor concentrations were significantly higher for rats fed low quality protein (25 g gelatin/100 g food) compared with rats fed casein (P < 0.0001). Rats fed medium quality protein (25 g wheat gluten/100 g food) or low quality protein ate significantly less food (P < 0.0001). In all experiments, dietary manipulation affected central histamine receptors. Elevated concentrations of H1 receptors were associated with a decrease in food intake whereas lowered concentrations of H1 receptors were associated with an increase in food intake (P < 0.001). The results of these experiments support the hypothesis that central histamine H1 receptor concentrations in male rats are inversely correlated with voluntary food intake and affected by dietary composition.
Asunto(s)
Sistema Nervioso Central/efectos de los fármacos , Proteínas en la Dieta/administración & dosificación , Proteínas en la Dieta/farmacología , Ingestión de Alimentos/efectos de los fármacos , Receptores Histamínicos H1/efectos de los fármacos , Animales , Peso Corporal/efectos de los fármacos , Ingestión de Energía , Masculino , Ratas , Ratas Sprague-DawleyRESUMEN
The histaminergic system (histamine and its H1-receptor) of the central nervous system has been implicated in control of food intake. The reported studies were designed to examine the effects of food restriction and very low (1%) protein diets on central nervous system H1-receptors in male and female rats. In a series of experiments, groups of rats were freely fed a 25% protein diet, a 1% protein diet, or fed the 25% protein diet at 4 g/100 g body weight for 14-20 d. When freely fed 25% protein diets, females had higher whole-brain H1-receptor binding than males on d 1 (female 122.36 +/- 4.53 and male 65.78 +/- 3.82 pmol/g protein; P < 0.001). Changing diets affected central H1-receptor binding in both males and females (P < 0.003). When rats were fed both restricted levels of food and 1% protein diets, the receptor binding of males increased by d 5 whereas that of females decreased by d 5 (P < 0.001). When fed 1% protein diets, females had decreased H1-receptor binding (98.4 +/- 2.38 pmol/g protein) and that in males increased to 119.81 +/- 5.09 pmol/g protein. After 15 d, females had eaten significantly more food than males: females 166 +/- 4.9 g, males 124 +/- 1.9 g (P< 0.0007). Males had a significantly greater weight loss than females: males -28.8 +/- 2.6 g, females -17.08 +/- 0.97 g (P < 0.0007). When fed restricted diets, females had decreased H1-receptor binding (93.81 +/- 5.58 pmol/g) whereas binding in males increased to 111.27 +/- 8.55 pmol/g. Preliminary saturation binding studies indicated that restricted food intake lowered receptor density (females consuming 25% protein: 715 +/- 30 pmol/g protein; female restricted: 467 +/- 28 pmol/g protein, P < 0.05), while 1% protein increased receptor sensitivity, i.e., lowered KD (males consuming 25% protein: 15.3 +/- 1.8 nmol; males fed low protein: 2.8 +/- 0.27 nmol). This study suggests that dietary manipulation affects central H1-receptor binding in a gender-specific manner, thereby modulating central histaminergic activity during food or protein deficit.
Asunto(s)
Encéfalo/efectos de los fármacos , Encéfalo/metabolismo , Proteínas en la Dieta/administración & dosificación , Proteínas en la Dieta/farmacología , Receptores Histamínicos H1/efectos de los fármacos , Animales , Ingestión de Alimentos/efectos de los fármacos , Femenino , Masculino , Ratas , Factores SexualesRESUMEN
Carotenoid and retinol concentrations were determined in chicks hatched from carotenoid-enriched eggs while being fed a carotenoid free starter diet. Single Comb White Leghorn (SCWL) hatching eggs were obtained from breeder hens fed diets enriched with either 0.2% beta-carotene, canthaxanthin, lutein, or basal control. Twenty-five day-old chicks hatched from each treatment group were placed in a battery and fed a carotenoid-free basal diet. At 1, 4, 7, 10, and 13 d, five chicks per treatment were randomly selected, and blood serum, liver, and unabsorbed yolk sac were collected for carotenoid and retinol analysis. There were no significant differences in retinol concentrations in the serum, liver, and unabsorbed yolk sac of the chickens. Only small amounts of beta-carotene were detected in the chick tissues. Concentration of all three carotenoids and retinol were greater in the liver and unabsorbed yolk sac than in serum. In the serum and liver, respective carotenoid concentrations decreased and retinol concentration increased with increasing age, whereas respective carotenoid and retinol concentrations in the unabsorbed yolk sac increased over time. It may be concluded that yolk sac carotenoids are not absorbed well, as unabsorbed yolk sac concentrations increased over time, and that carotenoid in serum and liver decrease linearly with increasing age.
Asunto(s)
Carotenoides/análisis , Pollos/metabolismo , Hígado/química , Vitamina A/análisis , Saco Vitelino/química , Análisis de Varianza , Animales , Cantaxantina/farmacología , Carotenoides/sangre , Carotenoides/metabolismo , Pollos/crecimiento & desarrollo , Pollos/fisiología , Dieta/veterinaria , Modelos Lineales , Luteína/farmacología , Factores de Tiempo , Vitamina A/sangre , Vitamina A/metabolismo , beta Caroteno/farmacologíaRESUMEN
The study was designed to assess neonatal immunity of chicks hatched from breeders fed diets supplemented with beta-carotene, canthaxanthin, lutein, or vitamin E. Broiler breeder birds were fed experimental diets consisting of control, 0.04% beta-carotene, 0.04% canthaxanthin, 0.04% lutein, 0.03% alpha-tocopherol acetate, or 0.04% beta-carotene plus 0.03% alpha-tocopherol acetate. Three weeks after initiation of experimental feeding, birds were vaccinated against Newcastle disease virus. Chicks hatched from the eggs of these breeders were used to determine the neonatal immune responses. There were no significant differences in weight gain and antibody titers of 3-wk-old chicks. 3H-Thymidine uptake by bursal lymphocytes when stimulated with tetrahydrofuran was significantly higher for the chicks hatched from breeders fed diets supplemented with vitamin E, or vitamin E plus beta-carotene, than in controls. 3H-Thymidine uptake by splenic lymphocytes when stimulated with concanavalin A and phorbol 12-myristate 13 acetate was significantly higher for the chicks hatched from breeders fed diets supplemented with vitamin E or beta-carotene alone, or vitamin E plus beta-carotene, than for the control chicks. Chicks hatched from hens supplemented with vitamin E had significantly higher antibody titers at 1 and 7 d of age than chicks from the control group. Vitamin E supplementation of breeder birds increased the immune response of their progeny.
Asunto(s)
Animales Recién Nacidos/inmunología , Antioxidantes/farmacología , Cantaxantina/farmacología , Pollos/inmunología , Luteína/farmacología , Vitamina E/farmacología , beta Caroteno/farmacología , Animales , Animales Recién Nacidos/metabolismo , Anticuerpos Antivirales/análisis , Anticuerpos Antivirales/inmunología , Anticuerpos Antivirales/metabolismo , Carcinógenos/farmacología , División Celular/fisiología , Células Cultivadas , Pollos/crecimiento & desarrollo , Pollos/metabolismo , Concanavalina A/farmacología , Dieta/veterinaria , Femenino , Furanos/farmacología , Lectinas/farmacología , Linfocitos/citología , Linfocitos/metabolismo , Masculino , Intercambio Materno-Fetal/inmunología , Intercambio Materno-Fetal/fisiología , Virus de la Enfermedad de Newcastle/inmunología , Embarazo , Acetato de Tetradecanoilforbol/farmacología , Timidina/metabolismo , Tritio , Aumento de Peso/fisiologíaRESUMEN
Forty Single Comb White Leghorn (SCWL) hens and 8 SCWL cocks were randomly divided into four treatment groups. Each group was fed a diet containing .02% beta-carotene, canthaxanthin, lutein, or basal control. After 20 d of feeding, eggs were collected daily from each experimental group for incubation. Two different hatches were set and chicks from each hatch were used for one of two different experiments. In both experiments, 24 chicks per treatment were vaccinated against Newcastle disease virus at 1 d of age and raised for 5 wk on a basal diet. In the second experiment, birds were revaccinated at 3 wk of age. In both experiments, at the end of 5 wk birds were killed and bursa of Fabricius, liver, and spleen were collected. For both experiments, there were no differences in antibody titers, weight gain, feed conversion ratio, and relative bursa weights of chicks. However in the second experiment, birds hatched from breeders fed lutein had significantly lower relative liver weights than chicks of the other treatments, whereas birds hatched from the breeders fed beta-carotene and canthaxanthin had significantly lower spleen weights than the control. These experiments suggest that carotenoids may not be effective in increasing neonatal immune response when they supplement practical breeder diets.
Asunto(s)
Alimentación Animal , Animales Recién Nacidos/inmunología , Pollos/inmunología , Alimentos Fortificados , Análisis de Varianza , Animales , Animales Recién Nacidos/sangre , Animales Recién Nacidos/crecimiento & desarrollo , Anticuerpos Antivirales/aislamiento & purificación , Peso Corporal , Cantaxantina/sangre , Cantaxantina/metabolismo , Carotenoides/sangre , Carotenoides/metabolismo , Pollos/sangre , Pollos/crecimiento & desarrollo , Cromatografía Líquida de Alta Presión/veterinaria , Femenino , Hígado/metabolismo , Luteína/sangre , Luteína/metabolismo , Masculino , Virus de la Enfermedad de Newcastle/inmunología , Tamaño de los ÓrganosRESUMEN
A patient with carcinoid tumor of the head of pancreas and carcinoid syndrome presented without liver metastasis. The patient had retroperitoneal lymphadenopathy. He had symptoms of flushing, diarrhea and abdominal pain. 5-Hydroxyindoleacetic acid (5-HIAA) was elevated. Absence of liver metastasis was documented not only by the negative computed tomography (CT) scan and liver/spleen scan, but also by autopsy. Except for carcinoid arising from ovary, testis, or bronchi, the other carcinoid tumors rarely cause carcinoid syndrome without liver metastasis. The literature was reviewed, and the findings are presented.
Asunto(s)
Tumor Carcinoide/complicaciones , Síndrome Carcinoide Maligno/etiología , Neoplasias Pancreáticas/complicaciones , Tumor Carcinoide/diagnóstico por imagen , Tumor Carcinoide/patología , Tumor Carcinoide/secundario , Humanos , Neoplasias Hepáticas/secundario , Masculino , Persona de Mediana Edad , Páncreas/diagnóstico por imagen , Páncreas/patología , Neoplasias Pancreáticas/diagnóstico por imagen , Neoplasias Pancreáticas/patología , Tomografía Computarizada por Rayos XRESUMEN
A patient with polycythemia vera (PV) developed chronic myelogenous leukemia (CML) 8 years after his initial presentation with erythrocytosis. The patient received a total of 3.5-7 g of chlorambucil over an approximate period of 5 years. Transformation of PV to CML is very unusual; only three substantiated cases had been reported in literature until 1975, and none has been described since then. All patients received either 32P or chemotherapy for PV treatment, suggesting that irradiation and alkylating agents may have played a role in the transformation to CML.
Asunto(s)
Transformación Celular Neoplásica , Leucemia Mieloide Aguda/patología , Policitemia Vera/patología , Venodisección , Clorambucilo/uso terapéutico , Humanos , Leucemia Mieloide Aguda/sangre , Leucemia Mieloide Aguda/mortalidad , Recuento de Leucocitos , Masculino , Persona de Mediana Edad , Recuento de Plaquetas , Policitemia Vera/sangre , Policitemia Vera/terapia , Bazo/patologíaRESUMEN
1,25-Dihydroxyvitamin D3 (calcitriol) inhibits mitogen-stimulated T cell proliferation by blocking the production of interleukin 2 (IL-2). The present study was initiated to determine the role of monocytes (Mo) in this process. Either Mo or T cells were preincubated with calcitriol for 24 or 48 hr and were thoroughly washed prior to concanavalin A (Con A)-stimulated coculture period. The inhibitory effect of calcitriol was Mo mediated; pretreatment of Mo resulted in inhibition of T cell proliferation, whereas pretreatment of T cells lacked the suppressive effect. Similar results were obtained by using 7- to 20-day-old IL-2-dependent human cultured T cells instead of fresh T cells. Calcitriol did not diminish the IL-1 secretion or intracellular IL-1 production of fresh Mo and actually increased the secretion of 24-hr-old Mo. Furthermore, addition of recombinant IL-1 to Mo-T cell coculture failed to reconstitute proliferative defect. Thus, these experiments clearly demonstrate that the suppression of Con A-driven T cell proliferation by calcitriol is Mo mediated and works by a non-IL-1 mechanism. At least, under these experimental conditions of Con A-driven T cell proliferation in which Mo play an obligatory role, antiproliferative action of calcitriol is Mo dependent.