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Biomedical subjects

A Simmons

Publications and source records attributed to A Simmons.

At least 127 records · Page 7Linked to original sources
PubMed1995

Dual energy X-ray absorptiometry normal reference range use within the UK and the effect of different normal ranges on the assessment of bone density.

The number of different normal ranges used on dual energy X-ray absorptiometry (DEXA) machines in the United Kingdom was determined by means of a postal questionnaire. Both femoral neck and posteroanterior spine L2-L4 regions were considered. It was clear from this survey that a variety of normal ranges were in use for all manufacturers of DEXA systems. The effects of four normal ranges supplied by Norland for use within the UK on the stratification of over 1000 consecutive patients into different grades of bone mineral density (BMD) and Z-score were examined. The main outcomes measure the number of patients with BMD less than 80% of mean age-matched BMD and Z-score less than -1.5 over the femoral neck and spine for each normal range. The percentage of patients for each normal range with BMD less than 80% of mean for the femoral neck were 24.6%, 7.4%, 17.5% and 11.1% and for the spine 12.1%, 7.4%, 16.5% and 14.4%, respectively. For the femoral neck, 21.2%, 5.0%, 12.9% and 12.1% of patients had Z-scores of less than -1.5, for the spine this was 7.9%, 8.1%, 14.2% and 13.6% of patients. These differences between ranges are large enough to influence patient management--patients may be diagnosed as osteoporotic using one range and normal using another. The relationship between hip and spine measurements was also studied as some therapeutic agents do not affect BMD equally at all anatomical sites. The number of patients with a lower hip than spine BMD grade varied from 12.3% to 34.4%, and with a lower hip than spine Z-score from 14.0% to 43.4%. Choice of normal range thus has a critical effect on the categorization of osteoporotic patients using DEXA. The wide variety of normal ranges indicates that there are likely to be differences in patient management throughout the country. This will be an increasing problem due to the ability of NHS purchasers to switch contracts from one provider to another.

Absorptiometry, Photon↗
PubMed1994

Upregulation of class I major histocompatibility complex gene expression in primary sensory neurons, satellite cells, and Schwann cells of mice in response to acute but not latent herpes simplex virus infection in vivo.

Major histocompatibility complex (MHC) deficiency is typical of almost all resident cells in normal neural tissue. However, CD8+ T cells, which recognize antigenic peptides in the context of class I MHC molecules, are known to mediate clearance of herpes simplex virus (HSV) from spinal ganglia of experimentally infected mice, leading to the hypothesis that class I expression in the peripheral nervous system must be upregulated in response to HSV infection. In addressing this hypothesis it is shown, in BALB/c (H-2d) mice, that normally deficient class I transcripts transiently accumulate in peripheral nerve Schwann cells, ganglionic satellite cells, and primary sensory neurons, indicating that in each of these cell types class I expression is regulated at the transcriptional level in vivo. Furthermore, for 3-4 wk after infection, H-2Kd/Dd antigens are expressed by satellite and Schwann cells but not neurons, suggesting additional posttranscriptional regulation of class I synthesis in neurons. Alternatively, the class I RNAs induced in neurons may not be derived from classical class I genes. Factors regulating H-2 class I expression emanate from within infected ganglia, probably from infected neurons themselves. However, induction of class I molecules was not maintained during latency, when viral gene expression in neurons is restricted to a single region within the virus repeats. These data have implications for the long-term survival of cells in HSV-infected neural tissue.

Acute Disease↗
PubMed1994

Identification of novel herpes simplex virus replicative intermediates by field inversion gel electrophoresis: implications for viral DNA amplification strategies.

Many facets of herpes simplex virus (HSV) DNA replication are not understood and advances in our knowledge depend on accurate characterization of high-molecular-weight replicative intermediates. In the present work, we have used a refinement of field-inversion gel electrophoresis (FIGE) to analyze infected-cell DNA. Infected Vero cells were encapsulated and manipulated in agarose microbeads, allowing intact replicative intermediates to be recovered easily from the wells of FIGE gels after electrophoretic removal of 152-kb linear viral genomes. Digestion of replicative intermediates with SpeI, which cuts the viral genome once, generated two novel DNA fragments (186 and 118 kb), in addition to the expected unit-length fragment (152 kb) predicted to arise from head to tail concatemers generated by rolling-circle replication. The SpeI fragments are the products of previously unidentified concatemers containing a head to tail arrangement of different HSV isomers, with respect to the orientation of the long segment of the viral genome. Such concatemers were prominent at an early stage of DNA synthesis when replicating DNA appeared still to be in a circular configuration, raising the possibility that isomerization of the viral genome is intimately linked to the initial round of DNA replication. Moreover, high-molecular-weight replicative intermediates were flanked exclusively by the long segment of the viral genome, indicating a unique initiation/termination or cleavage/packaging mechanism during HSV DNA replication and viral maturation.

DNA, Viral↗
PubMed1994

Sources of intensity nonuniformity in spin echo images at 1.5 T.

This manuscript describes a number of sources of nonuniformity for spin echo images at 1.5 T. Both coil tuning and crosstalk can have significant effects on image nonuniformity. For short repetition times, nonuniformity increases with decreasing TR, possibly due to gradient eddy currents. In sections of RF coils with poor RF uniformity, image nonuniformity varies with both echo time and the number of echoes in a multiecho sequence. For the particular imager used, there are small differences between transverse and sagittal/coronal nonuniformity. The temporal stability of image nonuniformity is very good. The use of uniform oil phantoms is shown to be superior to low pass filtered images for correction of image nonuniformity.

Humans↗
PubMed1994

Colonization pattern of vancomycin-resistant Enterococcus faecium.

BACKGROUND: Vancomycin-resistant Enterococcus faecium is increasingly recognized as a serious problem by hospital epidemiologists. Understanding its colonization patterns may help in designing strategies to control its nosocomial spread in the hospital. METHODS: Twenty patients, selected at random, with vancomycin-resistant E. faecium isolated from cultures of various body sites were studied to determine sites of colonization. For 12 of these patients, cultures of environmental surfaces of their rooms and wards were also obtained. RESULTS: Eighteen patients (90%) had vancomycin-resistant E. faecium grown in stool cultures. In five patients (25%), vancomycin-resistant E. faecium was cultured from other sites: groins (four), popliteal fossae (three), mouth (one), and an open wound site (one). Patients with positive cultures from the groins and popliteal fossae also had growth of vancomycin-resistant E. faecium in cultures of diarrhea soiling those sites. No patients had the organism isolated from their nares. Vancomycin-resistant E. faecium grew in cultures obtained from bedside stand tables, over-bed tables, used linen, and bedside rails. CONCLUSIONS: In the 20 patients studied, colonization of vancomycin-resistant E. faecium was limited chiefly to the enteric tract. Absence of colonization of such a secluded area with poor antibiotic penetrability as the nares is encouraging. In our study, vancomycin-resistant E. faecium was isolated from various environmental surfaces from the rooms and wards of patients with vancomycin-resistant E. faecium in their stools.

Administration, Oral↗
PubMed1994

Improvements to the quality of MRI cluster analysis.

Cluster analysis techniques are gaining widespread use for segmentation of MRI data, especially for volume measurement and 3-D display purposes. This paper describes four improvements to such techniques: (1) The use of intensity simulations to model cluster plots; (2) Correction of image nonuniformity; (3) Anisotropic smoothing of data; and (4) Automatic isolation of tissues of interest. Simulation of cluster plots allows an informed choice of pulse sequence(s) and acquisition parameters to be made. Correction of image nonuniformity and anisotropic smoothing reduce the spread of signal intensity from a single tissue thus producing significantly more compact clusters, whilst the isolation of tissues of interest prevents overlap of clusters from the tissues of interest with those not under consideration. These techniques may be used to improve the results of cluster analysis or traded off, for example to allow lower signal-to-noise images, shorter repetition time images, or fewer images to be used for segmentation.

Cluster Analysis↗
PubMed1994

A method for visualization of MRI partial volume regions--PAIR (PArtial volume sensitised Inversion Recovery imaging).

The partial volume effect has a crucial influence on MRI in terms of the choice of slice thickness and slice orientation for diagnostic purposes, volume measurement, and quantification of tissue characteristics such as relaxation times, proton density, and magnetisation transfer contrast. It is, therefore, important to be able to assess the distribution and magnitude of partial volume voxels for an arbitrary slice thickness, slice orientation, and region of anatomy or pathology. There is currently no easy means of achieving this. We propose a novel inversion recovery based method for visualising regions of anatomy or pathology suffering from the partial volume effect, which we have termed PAIR (PArtial volume sensitised Inversion Recovery imaging). This method allows an informed trade off to be made between the partial volume effect and signal-to-noise ratio or imaging time. It also allows appropriate choice of imaging plane to reduce the partial volume effect, and facilitates choice of regions of interest for quantification purposes.

Brain↗
PubMed1994

Quantitative analysis of herpes simplex virus DNA and transcriptional activity in ganglia of mice latently infected with wild-type and thymidine kinase-deficient viral strains.

The relationship between herpes simplex virus (HSV) DNA replication and establishment of latent infection was examined using an experimental model that makes use of the segmental sensory innervation of mouse flanks (T7 to T12). Ganglia from consecutive thoracic segments of C57BL/10 mice latently infected with a virulent strain of HSV-1 (SC16) were compared with respect to (i) HSV DNA levels, (ii) latency-associated transcripts (LATs) and (iii) numbers of LAT+ neurons. In concordance with previous results, two patterns of virus persistence were detected distinguished by either a low (10 to 23) or high (approx. 200) number of viral genomes/LAT+ neuron. The high copy pattern was associated, anatomically, with ganglia directly innervating inoculated skin (T7/8). Paradoxically, the highest number of LAT+ neurons and the highest concentrations of LATs were detected in spinal segments (e.g. T10) containing the lowest number of viral genomes, implying that most of the latent SC16 DNA detected at T7 and T8 was transcriptionally repressed. When neuronal amplification of HSV DNA during the establishment phase was prevented by infecting mice with a viral thymidine kinase deletion mutant (TKDM21), the high copy pattern was eliminated and each LAT+ neuron contained, on average, 22 TKDM21 genomes. We conclude that input (i.e. unamplified) and progeny (i.e. amplified) DNA sequences persist in the peripheral nervous systems of mice infected with SC16. Structurally, latent TKDM21 DNA lacked free genomic termini, consistent with persistence of input DNA in an integrated or circular episomal configuration.

Animals↗
PubMed1994

Two novel human serine/threonine kinases with homologies to the cell cycle regulating Xenopus MO15, and NIMA kinases: cloning and characterization of their expression pattern.

Using polymerase chain reaction (PCR)-based methods, we have isolated cDNA clones of two new members of serine/threonine kinases, STK1 and STK2, from a cDNA library constructed from the BT-20 human breast cancer cell line. STK1 is transcribed as a 1.4 kilobase (kb) mRNA encoding for a protein of 346 amino acids. Based on amino acid sequence analysis, STK1 is 86% identical to the Xenopus p40mo15, a cdc2-related serine/threonine kinase recently found to be the activating kinase for p34cdc2 and p33cdk2. Thus, STK1 is most likely the human homologue of MO15. An alternatively spliced STK1 message expressed variably in cell lines and in primary carcinomas generates a predicted 58 amino acid protein that lacks the kinase domain. STK2 is transcribed into a 4.0 kb mRNA encoding for an 841 residue protein which exhibits 50% identity in the kinase domain with the mouse nek1 gene product, the relative of the fungal G2-M regulator, nimA. STK1 and STK2 display a variable pattern of expression among a series of primary carcinomas as well as cancer cell lines. Both STK1 and STK2 were expressed at the highest levels in the heart but were also detected in all other organs tested. In embryonal tissues, lower levels of expression were noted. Using cell cycle inhibitors, we have shown that both STK1 and STK2 mRNA levels remain relatively invariant through the cell cycle. Chromosomal assignment has localized STK1 on chromosome 2pcen-2p15, a region implicated in hereditary non-polyposis colorectal carcinoma, and STK2 on chromosome 3p21.1, a region frequently showing chromosomal alterations in renal cells carcinomas.

Amino Acid Sequence↗
PubMed1993

Atrial natriuretic factor and arginine vasopressin production in tumor cell lines from patients with lung cancer and their relationship to serum sodium.

Patients with lung cancer (n = 263) were studied to determine the relationship among ectopic production of atrial natriuretic factors (ANF) and arginine vasopressin (AVP), serum sodium, and patient outcome. Of 133, 21 (16%) patients with small cell lung cancer (SCLC) had hyponatremia (serum sodium, < 130 mmol/liter), compared to none of 130 (0%) patients with non-small cell lung cancer (P < 0.0001). Patients with extensive-stage SCLC and hyponatremia had shorter survival than patients with extensive stage SCLC and normal serum sodium values (P = 0.012). Of the 11 hyponatremic patients with SCLC and tumor cell lines available for study, 9 produced ANF mRNA, 7 of 11 produced AVP mRNA, and 5 of 11 produced both ANF mRNA and AVP mRNA. All 11 cell lines produced either ANF mRNA and ANF peptide or AVP mRNA and AVP peptide, or both. The quantity of AVP peptide in the tumor cell lines was more closely associated with hyponatremia in the patients (P = 0.0026, r2 = 0.28) than was the production of ANF peptide (P = 0.066, r2 = 0.12), although neither association was strong. All tumor cell lines studied from SCLC patients with hyponatremia produce ANF and/or AVP mRNA and peptides.

Arginine Vasopressin↗
PubMed1993

Intranuclear foci containing low abundance herpes simplex virus latency-associated transcripts visualized by non-isotopic in situ hybridization.

During latent infection of neurons with herpes simplex virus type 1 (HSV-1), several RNA transcripts of varying abundance arise from a single locus within the virus repeats. The functions of latency-associated transcripts (LATs) are unknown and the relationship between the various RNA species requires further clarification. Reported here is a novel approach to the study of HSV transcripts during latency, based on the increasing realization that cellular and viral RNAs are synthesized and processed by macromolecular complexes that occupy discrete compartments within the nucleoplasm of a cell. High resolution non-isotopic in situ hybridization was used to study the intranuclear topology of HSV-1 LATs in primary sensory neurons of latently infected mice and humans. Low abundance (minor) LATs were localized to sharply defined intranuclear foci of 1 to 3 microns in diameter. On average, there were 2.6 to 2.8 foci/LAT+ neuronal profile (5 microns), representing 13 to 14 foci/cell. In contrast to the focal deployment of minor LATs, the more abundant latency-associated RNAs were distributed diffusely throughout the nucleoplasms of latency infected neurons, with prominent sparing of nucleolar regions. These data establish a foundation for studying the synthesis, processing and transport of LATs in vivo. It should now be possible to investigate the nature of those cellular products which associate with HSV-1 encoded LATs in vivo and thereby determine whether minor LATs are associated with previously characterized macromolecular complexes, such as those responsible for processing of pre-messenger RNA.

Animals↗
PubMed1992

Anti-CD8 impairs clearance of herpes simplex virus from the nervous system: implications for the fate of virally infected neurons.

The role of CD8+ T cells in resistance to herpes simplex virus (HSV) was examined. After cutaneous inoculation, HSV spreads to the peripheral nervous system (PNS) where it replicates in ganglionic neurons. In normal mice, replication of virus in the PNS was rapidly terminated and evidence of neuronal destruction, assessed by a quantitative histological assay, was sparse. Clearance of infectious virus was impaired, and a strikingly high proportion of ganglionic neurons was killed, in mice treated with an antibody that depleted them of CD8+ T cells. These results suggest that CD8+ T cells play an important role in maintaining the integrity of the sensory nervous system during primary infection with HSV. Therefore, viral epitopes recognized by CD8+ T cells and restricting class I major histocompatibility complex genes are, in principle, implicated as interacting genetic determinants of neurovirulence.

Animals↗
PubMed1992

Replication of human herpesvirus 6 in epithelial cells in vitro.

Mink lung epithelial (NBL-7) cells were shown to be permissive for human herpesvirus 6 (HHV-6) by four independent methods of analysis: detection of infectious virus, viral antigens, viral DNA sequences, and herpesvirus particles. Infection was serially passaged, with minimal cytopathology, for several months demonstrating for the first time that a cell of epithelial origin can support HHV-6 replication.

Animals↗
PubMed1992

Synchronous appearance of antigen-positive and latently infected neurons in spinal ganglia of mice infected with a virulent strain of herpes simplex virus.

Studies with replication-defective mutants of herpes simplex virus (HSV) have defined the minimum requirements for establishment of latency, but their behaviour may not reflect the course of events following infection by wild-type HSV, in which ability to express viral genes has not been precluded by a genetic lesion. To address this issue we devised a strategy for studying establishment of latency by a virulent strain of HSV, based on the distinctive molecular characteristics of latently infected neurons. By combining in situ hybridization for detection of latency-associated transcripts with immunohistochemical analysis of viral proteins we demonstrate here that antigen-positive and latently infected neurons appear synchronously in spinal ganglia during the earliest stages of acute ganglionic infection. This is consistent with early divergence of the molecular pathways leading to productive and latent infection, supporting and extending the results obtained with viral mutants.

Animals↗
PubMed1992

Two patterns of persistence of herpes simplex virus DNA sequences in the nervous systems of latently infected mice.

The number of herpes simplex virus (HSV) genome equivalents recovered from latently infected mouse spinal ganglia was compared with the proportion of neurons containing latency-associated transcripts (LATs). Two distinct patterns of HSV persistence were observed, depending on the anatomical location of ganglia with respect to the site of cutaneous inoculation. The location of the bulk of latent viral DNA did not correspond with the highest prevalence of LAT+ neurons. Viral DNA was most abundant in spinal ganglia directly innervating the inoculation site and the amount recovered, which was similar to that found previously in human trigeminal ganglia, suggested that LAT+ neurons each contain hundreds of copies of HSV DNA. In stark contrast, although LAT+ neurons were most abundant in neighbouring ganglia, viral DNA was scarce (approx. 20 copies/LAT+ cell). These data indicate that amplification of HSV DNA sequences is greatest in ganglia previously shown to be associated with viral antigen expression during the productive phase of primary infection.

Animals↗
PubMed1991

Enhancement of the thrombolytic efficacy of prourokinase by lys-plasminogen in a dog model of arterial thrombosis.

Current findings suggest that the efficacy of thrombolytic therapy may be limited by the availability of active forms of plasminogen at the thrombus site. The purpose of this study was to determine if the systemic administration of 0.5 mg kg-1 glu-plasminogen (glu-plg) or 0.5 mg kg-1 lys-plasminogen (lys-plg) could safely increase the efficacy of a single intravenous bolus injection of 50,000 U kg-1 prourokinase (proUK) in a dog model of arterial thrombosis. Thrombolysis was measured by monitoring the continuous decrement of 125I-gamma emissions from a radiolabeled thrombus. Reflow was evaluated by direct visual examination. Forty dogs (mean wt 10.3 +/- 2 kg) were randomly sorted into 4 groups of 10 each. The dogs in each group were given either saline plus saline, saline plus proUK, glu-plg plus proUK, or lys-plg plus proUK 60 minutes after formation of an occlusive arterial thrombus. Ninety minutes after drug administration the dogs receiving saline plus proUK, glu-plg plus proUK, and the lys-plg plus proUK showed greater thrombolysis (41%, 43%, and 66%, respectively) than the control (saline plus saline) group (15%, P less than 0.01). The lys-plg plus proUK treatment caused greater lysis than the saline plus proUK or the glu-plg plus proUK treatment (P less than 0.05). All of the dogs (10/10) receiving lys-plg plus proUK had patent vessels at the end of the 90 minute monitoring period, whereas only 4/10 and 5/10 vessels were patent in the saline plus proUK and glu-plg plus proUK groups, respectively. None of the dogs in the saline plus saline group had patent vessels. No significant changes were observed in the various coagulation parameters tested for any of the 4 treatment groups. The results show that lys-plg can safely increase the thrombolytic efficacy of proUK.

Analysis of Variance↗
PubMed1991

Artificial respiration in the dog by percutaneous, bilateral, phrenic nerve stimulation.

Artificial respiration was produced in 11 anesthetized dogs using trains of short duration stimuli (1 msec with a frequency of 35/sec), applied to needle electrodes placed bilaterally at the base of the neck. The tips of the needles were in close proximity to the phrenic nerves. In all cases, the inspired volume increased with an increase in stimulus intensity. Typically, it required 5 to 10 volts (peak) to produce an inspired volume equal to spontaneous tidal volume. The maximum inspired volumes ranged from 1.27 to 4.31 times the tidal volume.

Animals↗