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Biomedical subjects

C D Leonard

Publications and source records attributed to C D Leonard.

At least 19 recordsLinked to original sources

Cytokine mRNA expression and serum cortisol evaluation during murine lung inflammation induced by Mycobacterium tuberculosis.

A model system was characterized for investigating the potential role of cortisol in MTB induced immunopathology. Serum cortisol levels were evaluated in two mouse strains; C57BL/6 mice develop lung granulomas following acute Mycobacterium tuberculosis infection while A/J mice are deficient in this process. Serum cortisol levels were examined post infection, as well as immunoregulatory mRNA expression in the lung, measured using bioluminescent RT-PCR techniques. Prior to infection, the A/J mice constitutively maintain nearly 75&percent; higher serum cortisol than C57BL/6 mice. Both A/J and C57BL/6 mice exhibited approximately 30&percent; reduction in relative serum cortisol following infection. At no time did serum cortisol levels in the A/J fall below constitutive levels in the non-infected C57BL/6. The overall elevated cortisol in the A/J may affect pulmonary immunoresponsiveness; A/J mice exhibited earlier induction of IL-10 and TNF-alpha than C57BL/6 mice, with a relative lack of IL-2 during late infection. Conversely, the C57BL/6 mice demonstrated higher IL-12(p40) and IL-2 messages at the latter stages of disease than the A/J mice. Both mice demonstrated high IFN-&gama; mRNA. The high constitutive serum cortisol in the A/J mice may therefore contribute to establishment of an environment counter-productive to initiation of protective Th1 cell and granulomatous responses.

Animals↗

Decrease in circulating immune complexes during hemodialysis.

Raji cell radioimmunoassay and Clq solid phase radioimmunoassay were used to determine serially circulating immune complexes in a patient with rapidly progressive glomerulonephritis who was receiving hemodialysis therapy. Initiation of hemodialysis was associated with a significant decrease in detectable immune complexes which, in turn, was associated with improvement and stabilization of renal function. We suggest that hemodialysis may remove immune complexes from the circulation and that it could be of therapeutic benefit in selected patients with presumed immune complex-mediated glomerulonephritis.

Adolescent↗

Parenteral essential amino acids in acute renal failure.

Parenteral 1.75 per cent L-essential amino acids in 47 per cent dextrose (Group I 11 patients) or 47 per cent dextrose (Group II, 9 patients) were administered to patients with severe acute renal failure in a single blind-controlled study. Survival rates (55 per cent in Group I and 56 per cent in Group II) and duration of renal failure were similar in the two groups. Rate of daily rise in blood urea nitrogen was significantly reduced during intravenous nutrition in Group I but not in Group II. Serious complications of intravenous nutrition did not occur. Since improved nitrogen metabolism is demonstrated, further trials of essential amino acid therapy in acute renal failure are indicated.

Acute Kidney Injury↗