Gas in the mesenteric veins as a nonfatal complication of diverticulitis: report of a case.

Inflammatory involvement of the inferior mesenteric vein complicating sigmoid diverticulitis resulted in septic thrombophlebitis and the presence of gas within the inferior mesenteric vein. Gas within the mesenteric and portal veins is an infrequent and relatively nonfatal complication of diverticulitis and can be recognized readily on CT scan.

[Multiple sclerosis. A report of a case treated with thymopentin]. / Sclerosi multipla. Presentazione di un caso trattato con timopentina.

The authors analyse the case of a 58-year-old male suffering from substantially "atypical" multiple sclerosis (MS), both in terms of the late onset and because of some characteristics of the course of disease. The patient was treated with a subcutaneous immunomodulator (thymopentin) at a dose of 50 mg/day in 3-monthly cycles with intervals of 2 months between cycles, for a total of 3 cycles. Instrumental (CAT-NMR) and laboratory (immunological) tests were not significant, whereas others provided complex responses that allowed the presence of a demyelinating syndrome to be ascertained, above all due to the positivity of isoelectrofocusing. Treatment with thymopentin, commenced 12 years after the clinical onset of disease and after numerous cycles of cortisone and ACTH therapy, led to a major improvement in clinical conditions, especially of "sthenia" and movement, with consequent recovery of personal autonomy and working capacity which had previously been totally lost. Immunological tests performed at the end of each treatment cycle showed some slight but interesting modifications in parameters relating to DNA and the percentage of HLA antigens bound to lymphocytes. These findings suggest that the patient's immune system was sensitive to treatment with the thymic hormone responsible for the objective clinical improvement. These results appear to open the way to the possible treatment with immunomodulators.

Active transport of polypeptides in rabbit nasal mucosa: possible role in the sampling of potential antigens.

Transepithelial pathways of macromolecule transport have been studied in vitro in rabbit nasal respiratory mucosa, maintained at 27 degrees C. Transepithelial electrical potential difference, short-circuit current and resistance were 3.4 +/- 0.5 mV (submucosa positive), 65.0 +/- 6.7 microA cm-2 and 52.1 +/- 5.6 omega cm-2 respectively (n = 15). These electrical characteristics are those of a leaky epithelium allowing macromolecules to permeate paracellularly. A detailed permeation study of a polypeptide (elcatonin, Mw = 3362) was also undertaken. Elcatonin mucosa-submucosa (Jms) and submucosa-mucosa (Jsm) fluxes were measured by radioimmunoassay. With 10 micrograms/ml elcatonin, Jms was significantly larger than Jsm for the whole 120-min period of observation; net flux showed a maximum in the first 30 min (Jms = 13.6 +/- 1.0 ng cm-2 h-1, Jsm = 1.4 +/- 0.1 ng cm-2 h-1, n = 10). Jms fell towards the value of Jsm if the temperature was reduced to 4 degrees C or if the mucosa was simultaneously treated with 0.1 mM dinitrophenol and 3 mM monoiodoacetate. Jms and Jnet followed saturation kinetics with increasing elcatonin concentrations. Adrenocorticotropic hormone (Mr = 4500) produced a similar pattern to elcatonin. However, Jms and Jsm were not significantly different from each other at any time either for [3H]sucrose (Mw = 342) or for [14C]polyethyleneglycol-4000 (Mw = 4000) when present in the bathing medium at 500 microM concentration. The results show active transport of polypeptides in parallel with passive permeation (possibly through leaky intercellular junctions). Active transport does not appear to be related to nonspecific pinocytosis but to receptor-mediated endocytosis.(ABSTRACT TRUNCATED AT 250 WORDS)

Transepithelial electrophysiological parameters in rabbit respiratory nasal mucosa isolated in vitro.

1. Transepithelial electrical p.d. (Vms), short circuit current (Isc) and transepithelial resistance (Rep) were determined in rabbit nasal mucosa and were compared with the equivalent parameters of human nasal mucosa. 2. Vms was about 1 mV (submucosa positive) in the absence of glucose, but increased continuously in the presence of glucose. Since Isc also increased in parallel and Rep remained constant (about 40 omega cm2), glucose effect was to power pumping. 3. Diffusion potentials raised by reducing luminal Cl- or Na+ or Cl- and Na+ concentrations were also measured and compared with values obtained in trachea and gallbladder. 4. Evidence is produced, with sounder basis than in trachea, that junctional pathways in airway epithelia are lined with fixed positive charges (which make anions more permeable than cations), unlike junctional pathways of the gastrointestinal tract which are lined with fixed negative charges.