Soluble Fc gamma R (sFc gamma R): detection in biological fluids and production of a murine recombinant sFc gamma R biologically active in vitro and in vivo.

Soluble forms of receptors for the Fc portion of IgG (sFc gamma R) were detected in biological fluids from mice and humans. In mouse bearing tumors, circulating amounts of sFc gamma R increased concurrently with tumor growth. Tumors secreting IgG2a, IgG2b or IgG3 led to a 5- to 10-fold increase in serum sFc gamma R levels whereas tumors secreting IgG1, IgGA or other types of tumors (non Ig B cell tumors, T cell lymphoma and a melanoma) increased 2- to 3-fold the levels of circulating sFc gamma R. In the human, sFc gamma R were also detected in whole unstimulated saliva. Levels of sFc gamma RII and of sFc gamma RIII were variable and did not seem to depend on the dental status of the individuals. Finally, a murine recombinant sFc gamma R (rsFc gamma R) composed of the two extracellular domains of Fc gamma RII was produced by culture of transfected L cells in bioreactors. The purified rsFc gamma R was found to inhibit antibody production in vitro in anti-SRBC responses and by cultures of small B cells stimulated by anti-IgM antibodies in the presence of IL-4 and IL-5. Moreover, the i.p. injection of this material into adult mice immunized with SRBC led to a decrease of IgG antibody production by splenocytes, as measured by a hemolytic plaque assay, and in serum, as measured by antigen-specific ELISA.

[Ultrasonic cleaning with iodized polyvidone: apropos of a case]. / Détersion ultrasonique à la polyvidone iodée: à propos d'un cas.

Satisfactory results in case of Rapidly Progressive Periodontitis were obtained utilizing ultrasonic cleansing (Odontoson) with polyvidone (Betadine). Radiographic evidence of bone repair was noted in several clinical sites.

[Brucella endocarditis caused by reinfection of an aortic Starr valve. Apropos of a case with a favorable development after valvular replacement]. / Endocardite brucellienne par réinfestation sur valve de Starr aortique. A propos d'un cas d'évolution favorable après remplacement valvulaire.

We report the case of a 36-year old male patient who was admitted for subacute endocarditis on an aortic prosthetic valve implanted 14 years previously for endocarditic valve regurgitation; no pathogen had been isolated at that time. Nine blood cultures were positive for Brucella abortus. The conventional antibiotic therapy did not prevent the formation of an abscess below the aortic annulus. A third antibiotic combination (quinolone and rifampicin) resulted in pyrexia prior to surgery. An atrioventricular block initially noted raised the problem of an associated myocarditis. The risk of Brucella infection existed before the first operation, and five serological tests were positive for that organism between the two episodes, which makes reinfection highly probable. This is the third case of Brucella endocarditis on a prosthetic valve. Its originality lies in its mechanism.

Myocardial emission tomography with thallium-201. Value of multiple and orthogonal sections in the study of the myocardial infarction.

The usefulness of transverse, sagittal, and frontal tomographic images was assessed in the study of the myocardium labelled with thallium-201. In a series of 20 patients with myocardial infarcts in various locations documented by clinical, electrocardiographical, and biochemical data in 15 cases and uncertain diagnosis in 5 cases, the sections reconstructed from 32 views obtained with a rotating scintillation camera were compared to the conventional views. Quantitatively, the mean myocardium-to-background activity ratio improved significantly from 1.60 to 2.57 (p less than 0.001); qualitatively, the presence, site, and size of the defect were more easily determined on the sections and generally showed a sharp contrast to the normal tissue; transverse sections enabled us to explore the anterior infarcts, but sagittal or frontal views were required for inferior locations. The tomographic exploration was normal in only patient whose diagnosis was uncertain. These results suggest that three-dimensional emission tomography can improve both detection and quantification of the myocardial infarct.

Myocardial imaging in dogs with thallium-201 and the ionophore grisorixin.

The effect of grisorixin, a monocarboxylic ionophore, upon the myocardium-to-background ratio in thallium-201 scintigrams has been studied in 20 dogs. Three sequences of injection and two doses of the ionophore have been used. A significant improvement was obtained when grisorixin was injected 10 min before thallium-201 and at a submaximal dose; the myocardium-to-background ratio was at least twice that of the controls during the first 20 min following the tracer injection.

Transverse CAT of the myocardium with 201 T1.

A new computerized axial tomographic (CAT) scanner (J&P Tomoscanner) which enables the transverse section viewing of any organ labelled by one of the monophotonic gamma-ray emitting racers commonly used in Nuclear Medicine, has been recently commercialized. Its abilities in visualising the 201 T1 labelled myocardium are evaluated with normal hearts and patients with documented infarctions. Positive results have been obtained, allowing an interesting approach to the estimation of the anatomical extent of necrosis.

[Wolff-Parkinson-White syndrome caused by association of atrio-hisian fibers and Mahaim's fibers. Comparison between the electrophysiology and histology]. / Syndrome de Wolff-Parkinson-White par association de fibres atrio-hissiennes et de fibres de Mahaïm. Confrontation entre l'électrophysiologie et l'histologie

A child of six who had had several losses of consciousness died suddenly during a spell of tachycardia. The EKG showed at times a type B Wolff-Parkinson-White syndrome, at times a Lown-Ganong-Levine syndrome. Intracavitary electrophysiological explorations had been carried out. The interest of this case lies in the comparison between these electrophysiological explorations and the histological examination of the normal and accessory conduction pathways. The short PR interval, which did not lengthen under the effect of premature atrial stimulation, was accounted for by the presence of atrio-His bundle tracts. The intermittent delta wave was due to Hissio-ventricular Mahaim fibres. These two accessory conduction pathways are considered as abnormal.