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Biomedical subjects

C M Collins

Publications and source records attributed to C M Collins.

At least 37 records · Page 2Linked to original sources
PubMed2001

Toxin levels in serum correlate with the development of staphylococcal scalded skin syndrome in a murine model.

Staphylococcal scalded skin syndrome (SSSS) is an exfoliative dermatitis that results from infection with exfoliative toxin-producing Staphylococcus aureus. SSSS is seen primarily in infants and children. Here we ask if there is a specific maturation process that protects healthy adults from this syndrome. For these studies, an active recombinant exfoliative toxin A (rETA) was used in a neonatal mouse model. A time course generated on the susceptibility to the toxin as a function of mouse age indicated that BALB/c mice developed the characteristic symptoms of SSSS until day 7 of life. Between day 7 and day 8 of life there was a dramatic decrease in susceptibility, such that mice at day 9 of life were resistant to the effects of the toxin. This time course corresponds approximately to the time needed for maturation of the adaptive immune response, and SSSS in adults is often identified with immunocompromised states. Therefore, mice deficient in this response were examined. Adult mice thymectomized at birth and adult SCID mice did not develop the symptoms of SSSS after injection with the toxin, indicating that the adaptive immune response is not responsible for the lack of susceptibility observed in the older mice. SSSS in adults is also associated with renal disorders, suggesting that levels of toxin in serum are important in the development of the disease. rETA was not cleared as efficiently from the serum of 1-day-old mice compared to clearance from 10-day-old mice. Ten-day-old mice were given repeated injections of toxin so that the maximal level of toxin was maintained for a sustained period of time, and exfoliation occurred in these mice. Thus, whereas the adaptive immune response is not needed for protection of adult mice from SSSS, efficient clearance of the toxin from the bloodstream is a critical factor.

Aging↗
PubMed2000

Assessing risk communication effectiveness: perspectives of agency practitioners.

A study conducted by the Agency for Toxic Substances and Disease Registry (ATSDR), a US public health agency, evaluated ATSDR's risk communication process, specifically the roles and responsibilities, planning, implementation, and coordination of activities in response to illegal indoor spraying of methyl parathion, a hazardous pesticide, in Pascagoula, MS. Interviews of staff members involved in the intervention were conducted and an analysis revealed strengths and areas in need of improvement in the design and implementation of risk communication strategies. Key recommendations included developing a clear strategy for planning and conducting communication activities; determining staff roles and responsibilities for coordination; and developing clear and consistent health messages, a dissemination strategy, and training in the delivery and evaluation of messages, effects, and outcomes.

Air Pollutants↗
PubMed2000

Characterization of the Gyrodactylus salaris Malmberg, 1957 (Platyhelminthes: Monogenea) ribosomal intergenic spacer (IGS) DNA.

The intergenic spacer of the ribosomal RNA gene array from the monogenean Gyrodactylus salaris was isolated using PCR amplification. PCR products were cloned and sequenced. Three different fragments of 0.63, 1.0 and 2.62 kb, were consistently obtained. These showed homology at the 5' and 3' termini but differed in their overall size and intervening sequence. The 5' end showed homology to various 28S ribosomal RNA gene sequences, suggesting that this represented the 3' terminus of the G. salaris 28S ribosomal RNA gene. A number of features common to other eukaryotic intergenic spacers were found in the longest sequence, including A + T rich sequences, palindromic sequences and tandemly repeated elements. Two regions of 23 bp sequences arranged in non-identical tandem repeats were identified. There were 9 repeats in both regions, separated by 81 bp of non-repetitive sequence. The repeat units from the two regions shared some similarity at their 3' ends. The G. salaris intergenic spacer sequence was examined for sequence motifs involved in the transcription of the ribosomal RNA genes in other species. Several regions with homology to transcription start sites were identified.

Amino Acid Sequence↗
PubMed2000

Focal myositis - a new presentation.

This article is a case report and review of literature of a very rare condition, not previously written in general surgical literature, including a new presentation

Adult↗
PubMed2000

Structural similarities and differences in Staphylococcus aureus exfoliative toxins A and B as revealed by their crystal structures.

Staphylococcal aureus epidermolytic toxins (ETs) A and B are responsible for the induction of staphylococcal scalded skin syndrome, a disease of neonates and young children. The clinical features of this syndrome vary from localized blisters to severe exfoliation affecting most of the body surface. Comparison of the crystal structures of two subtypes of ETs-rETA (at 2.0 A resolution), rETB (at 2.8 A resolution), and an active site variant of rETA, Ser195Ala at 2.0 A resolution has demonstrated that their overall topology resembles that of a "trypsin-like" serine protease, but with significant differences at the N- and C-termini and loop regions. The details of the catalytic site in both ET structures are very similar to those in glutamate-specific serine proteases, suggesting a common catalytic mechanism. However, the "oxyanion hole," which is part of the catalytic sites of glutamate specific serine proteases, is in the closed or inactive conformation for rETA, yet in the open or active conformation for rETB. The ETs contain a unique amphipathic helix at the N-terminus, and it appears to be involved in optimizing the conformation of the catalytic site residues. Determination of the structure of the rETA catalytic site variant, Ser195Ala, showed no significant perturbation at the active site, establishing that the loss of biological and esterolytic activity can be attributed solely to disruption of the catalytic serine residue. Finally, the crystal structure of ETs, together with biochemical data and mutagenesis studies, strongly confirms the classification of these molecules as "serine proteases" rather than "superantigens."

Amino Acid Sequence↗
PubMed2000

Recombinant Staphylococcus aureus exfoliative toxins are not bacterial superantigens.

Staphylococcal scalded-skin syndrome is an exfoliative dermatitis characterized by the separation of the epidermis at the stratum granulosum. This disruption is mediated by one of two Staphylococcus aureus exotoxins, exfoliative toxins A and B (ETA and ETB). Both ETA and ETB have been reported to be bacterial superantigens. A controversy exists, however, as other data indicate that these exotoxins are not superantigens. Here we demonstrate that recombinant exfoliative toxins produced in Escherichia coli do not act as T-cell mitogens and thus are not bacterial superantigens. These data fit the clinical profile of the disease, which is not associated with the classic symptoms of a superantigen-mediated syndrome.

Animals↗
PubMed2000

Sequence and secondary structure variation in the Gyrodactylus (Platyhelminthes: Monogenea) ribosomal RNA gene array.

Nucleotide sequences were determined for the rRNA internal transcribed spacers 1 and 2 (ITS1 and 2) and the 5' terminus of the large subunit rRNA in selected Gyrodactylus species. Examination of primary sequence variation and secondary structure models in ITS2 and variable region V4 of the small subunit rRNA revealed that structure was largely conserved despite significant variation in sequence. ITS1 sequences were highly variable, and models of structure were unreliable but, despite this, show some resemblance to structures predicted in Digenea. ITS2 models demonstrated binding of the 3' end of 5.8S rRNA to the 5' end of the large subunit rRNA and enabled the termini of these genes to be defined with greater confidence than previously. The structure model shown here may prove useful in future phylogenetic analyses.

Animals↗
PubMed1999

Structural basis for the recognition of superantigen streptococcal pyrogenic exotoxin A (SpeA1) by MHC class II molecules and T-cell receptors.

Streptococcal pyrogenic exotoxin A (SpeA) is a superantigen produced by Streptococcus pyogenes and is associated with severe infections characterized by rash, hypotension, multiorgan failure and a high mortality rate. In this study, an allelic form of this toxin, SpeA1, was crystallized with four molecules in the crystallographic asymmetric unit and its crystal structure was determined at 2.6 A resolution. The crystallographic R-factor was 19.4% (33 497 reflections) for 7031 protein atoms and 88 water molecules. The overall structure of SpeA1 is considerably similar to that of other prototype microbial superantigens, either of staphylococcal or streptococcal origin, but has greatest similarity to staphylococcal enterotoxin C (SEC). Based on structural and mutagenesis data, we have mapped several important residues on the toxin molecule, which are involved in the recognition of major histocompatibility complex (MHC) class II molecules and T-cell receptors. Also, the toxin appears to possess a potential zinc-binding site which may have implications in binding to particular MHC class II molecules. Finally, we propose models for SpeA1-MHC class II and SpeA1-T-cell receptor association and the relevance of this phenomenon to the superantigenic action of this toxin is considered.

Amino Acid Sequence↗
PubMed1999

Identification of UreR binding sites in the Enterobacteriaceae plasmid-encoded and Proteus mirabilis urease gene operons.

The closely related Proteus mirabilis and Enterobacterlaceae plasmid-encoded urease genes are positively regulated by the AraC-like transcriptional activator UreR. In the presence of the effector molecule urea, UreR promotes transcription of ureD, the initial gene in the urease operon, and increases transcription of the divergently transcribed ureR. Here, we identify UreR-specific binding sites in the ureRp-ureDp intergenic regions. Recombinant UreR (rUreR) was expressed and purified, and gel shift and DNase I protection assays were performed with this protein. These analyses indicated that there are two distinct rUreR binding sites in both the plasmid-encoded and P. mirabilis ureRp-ureDp intergenic regions. A consensus binding site of TA/GT/CA/TT/GC/TTA/TT/AATTG was predicted from the DNase I protection assays. Although rUreR bound to the specific DNA binding site in both the presence and the absence of urea, the dissociation rate constant k-1 of the rUreR-DNA complex interaction was measurably different when urea was present. In the absence of urea, the dissociation of the protein-DNA complexes, for both ureRp and ureDp, was complete at the earliest time point, and it was not possible to determine a rate. In the presence of urea, dissociation was measurable with a k-1 for the rUreR-ureRp interaction of 1.2 +/- 0.2 x 10(-2) s-1 and a k-1 for the rUreR-ureDp interaction of 2.6 +/- 0.1 x 10(-3) s-1. This corresponds to a half-life of the ureRp-rUreR interaction of 58 s, and a half-life of the ureDp-rUreR interaction of 4 min 26 s. A model describing a potential role for urea in the activation of these promoters is proposed.

Bacterial Proteins↗
PubMed1998

SAR and B1 field distributions in a heterogeneous human head model within a birdcage coil. Specific energy absorption rate.

Calculations of radiofrequency magnetic (B1) field and specific energy absorption rate (SAR) distributions in a sphere of tissue and a multi-tissue human head model in a 12-element birdcage coil are presented. The coil model is driven in linear and quadrature modes at 63, 175, 200, and 300 MHz. Plots of B1 field magnitude and SAR distributions, average SAR, maximum local SAR, and measures of B1 field homogeneity and signal-to-noise ratio are given. SAR levels for arbitrary pulse sequences can be estimated from the calculated data. Maximum local SAR levels are lower at lower frequencies, in quadrature rather than in linear coils, and in linear fields oriented posterior-to-anterior rather than left-to-right in the head. It should be possible to perform many experiments in the head at frequencies up to 300 MHz without exceeding standard limits for local or average SAR levels.

Color↗
PubMed1998

A birdcage coil tuned by RF shielding for application at 9.4 T.

The design and performance of an inductively fed low-pass birdcage radiofrequency (RF) coil for applications at 9.4 T are described where tuning is accomplished by mechanically moving a concentric RF shield about the longitudinal axis of an RF coil. Moving the shield about the RF coil effectively changes the mutual inductance of the system, providing a mechanism for adjusting the resonant frequency. RF shield tuning eliminates adjustable capacitors on the legs of the RF coil, eliminates current imbalances and field distortions, and results in improved B1 field homogeneity and high quality (Q) factors. RF shield tuning and inductive matching provide an isolated resonance structure which is both physically and electrically unattached. Experimental analysis of shield position on both B1 field homogeneity and resonant frequency is provided. Computer simulations of B1 field homogeneity as a function of shield position and shield diameter are also presented. Magnetic resonance microimaging substantiates the usefulness of this design.

Animals↗
PubMed1998

A numerical study of radiofrequency deposition in a spherical phantom using surface coils.

The electromagnetic fields induced by a surface coil in a spherical phantom, having a wide range of electrical properties, is studied using numerical methods of calculation. The specific absorption rate (SAR), radiofrequency magnetic field (B1), magnetic field energy within the phantom (EB), and the volume-averaged SAR ( ) are calculated at 10, 63, and 200 MHz. They are analyzed with respect to dielectric constant, wavelength, and skin depth effects, which become increasingly important in high field magnetic resonance imaging (MRI) where safety and field homogeneity issues need further study. Particular attention is given to solutions representing neural tissue at each frequency. In general, the data at high field strengths have local maxima, with a quasi-harmonic behavior, when the following two resonant conditions are satisfied: 1) skin depth becomes comparable to, or larger than, the sample diameter Ds; and 2) Ds is near an integral multiple of the wavelength. These are also the solutions with maximum EB values and the least homogeneous B1. Samples undergoing resonance at 200 MHz are shown to have important off-axis B1 maxima (affecting field homogeneity) and large values. Some non-resonating 200-MHz phantoms, including simulations consistent with neural tissue, contain larger SAR maxima than the resonating samples, posing safety concerns in high field imaging of biologic tissue.

Computer Simulation↗
PubMed1998

The management of solitary trichoepithelioma versus basal cell carcinoma.

Currently, all lesions diagnosed clinically as basal cell carcinoma (BCC) are treated by the excision of the lesion with 3-4 mm margins followed by histopathological examination to assess clearance and confirm the diagnosis. We present the findings of surgical incisional and excisional biopsy of three young patients diagnosed on clinical examination as having BCC, who were found on histological examination to have trichoepithelioma. Whilst it may be possible to distinguish the features of trichoepithelioma in incisional biopsy specimens on morphological grounds alone it is often difficult, and immunohistochemical staining, to delineate the features of the basement membrane, provides useful additional information in the histological diagnosis. As trichoepithelioma is more common in the young it should be considered in the differential diagnosis in young patients presenting with BCC-like lesions of the periocular tissues. This subgroup of patients should have incisional biopsy carried out, and if the diagnosis of trichoepithelioma is confirmed the lesion may be excised with a small margin of healthy tissue, thereby facilitating surgical repair.

Adult↗
PubMed1998

Ensuring data quality in the pharmaceutical industry.

Education and training play a considerable part in efforts to enhance data quality in healthcare. How do other fields work toward data consistency? The author describes how professionals in the pharmaceutical industry manage their data.

Clinical Trials as Topic↗
PubMed1997

A method to create an optimum current distribution and homogeneous B1 field for elliptical birdcage coils.

For a birdcage coil with elliptical cross-section, a sinusoidal current pattern does not provide a homogeneous B1 field. A simple theory was developed to create an optimized current distribution for elliptical birdcage coils. This optimized current pattern can create a perfectly homogeneous B1 field inside any elliptical shape. To verify the theory, a 16-element high-pass elliptical birdcage coil was built inside a circular RF shield. The current was optimized by using the inductance characteristics of the coil components to calculate the end-ring capacitances. The B1 field was theoretically calculated and experimentally mapped for the optimized elliptical bird-cage coil and a nonoptimized coil. The results demonstrate that by optimizing the current distribution, a very homogeneous B1 field is produced. This method can be directly applied in design and construction of elliptical birdcage coils for imaging of the naturally occurring elliptical cross-sectional geometries in the human body.

Computer Simulation↗
PubMed1997

Bone-membrane interface in aseptic loosening of total joint arthroplasties.

In 19 patients who underwent revision arthroplasty for aseptic loosening of total joint arthroplasty, specimens were taken at the time of operation to include the bone-membrane interface. In 16 (84%) of the specimens, sufficient visualization of the interface was possible to allow histologic interpretation. In 13 of these cases, there was prominent evidence of classic bone remodeling with osteoclast-mediated resorption and active new bone formation. These results suggest that the osteolysis in aseptic loosening is mediated through osteoclastic bone resorption and that the bone found in such areas is extremely active. The findings help to explain the efficacy of impacted morselized bone-graft in the treatment of bone lysis in aseptic loosening.

Aged↗