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Biomedical subjects

C R Kennedy

Publications and source records attributed to C R Kennedy.

At least 109 records · Page 6Linked to original sources

Diversity patterns in helminth communities in common gulls, Larus canus.

The parameters of species richness, abundance and diversity of the intestinal helminth infracommunities of a sample of 269 Common gulls, Larus canus, were examined over one season at Agdenes, Norway. The communities developed rapidly in unfledged gulls and the diversity parameters were of similar magnitude in immature and adult birds. All parameters were low in the early part of the season, reached maxima in June or July and fluctuated erratically or declined thereafter. Comparison of summary parameters with those from other species of gulls indicated that helminth community diversity in Common gulls is fairly typical of gulls in general. in gulls as a group, helminth communities show common features of high species richness, low abundance, few or no core species and a number of species that occur rarely and in low numbers. Expectations of particularly high parasite community diversity were not fully realised because species lists and diversity of the component community are not a very good basis for predicting diversity at the infracommunity level.

Animals↗

Patterns in helminth communities in freshwater fish in Great Britain: alternative strategies for colonization.

Examples of the apparently stochastic nature of freshwater fish helminth communities illustrating the erratic and unpredictable occurrence and distribution of many species are provided for six species of fish from several localities throughout Britain. By focussing on parasite colonization strategies two categories of helminths are recognized: autogenic species which mature in fish and allogenic species which mature in vertebrates other than fish and have a greater colonization potential and ability. Three groups of fish are distinguished: salmonids, in which helminth communities are generally dominated by autogenic species which are also responsible for most of the similarity within and between localities; cyprinids, in which they are dominated by allogenic species which are also responsible for most of the similarity within and between localities; and anguillids, whose helminth communities exhibit intermediate features with neither category consistently dominating nor providing a clear pattern of similarity. Recognition and appreciation of the different colonization strategies of autogenic and allogenic helminths in respect of host vagility and ability to cross land or sea barriers and break down habitat isolation, and their period of residence in a locality, whether transient or permanent, provides an understanding of, and explanation for, the observed patchy spatial distribution of many helminths. Comparison with other parts of the world indicates that colonization is a major determinant of helminth community structure.

Animals↗

A comparison of interferon levels with leukocyte (2'-5') oligoadenylate synthetase activity as markers of viral encephalopathies.

The activity of (2'-5') oligoadenylate synthetase in peripheral blood mononuclear leukocytes (PMLs) was compared with serum and cerebrospinal fluid (CSF) levels of interferon in 26 patients with acute encephalopathies including 19 with viral encephalitis. Elevated activity of (2'-5') oligoadenylate synthetase was found in 2 patients with viral encephalitis, one patient with a virus-associated encephalopathy, and one patient with intracerebral hemorrhage. High activity was also found in PMLs from 1 of 16 asymptomatic patients 6-8 months after recovery from their encephalopathies. Significant titers of interferon were detected in 8 patients with viral encephalitis and no patients with other diagnoses. Combined measurement of interferon in CSF and serum appears both more sensitive and more specific than assay of (2'-5') oligoadenylate synthetase in PMLs as a diagnostic aid in viral encephalitis.

2',5'-Oligoadenylate Synthetase↗

Eosinophilia of the cerebrospinal fluid: late reaction to a silastic shunt.

The differential diagnosis of CSF eosinophilia consists primarily of infection, infestation or malignancy. This report describes an eight-year-old patient with a ventriculoperitoneal shunt who presented with a two-year history of episodic headache and vomiting and persistent tenderness of the skin overlying the bulb of the shunt. Ventricular CSF showed persisting eosinophilia, but there was no evidence of infection or malignancy. All abnormalities resolved promptly after the shunt was replaced.

Child↗

C reactive protein concentrations in cystic fibrosis.

Serum concentrations of C reactive protein were measured in a cross sectional study of 36 patients with cystic fibrosis and correlated with clinical and radiological assessments. C reactive protein concentration was highly correlated with the Shwachman clinical evaluation score, forced vital capacity as a percentage of the predicted value, and the Chrispin-Norman x ray score. C reactive protein may be a useful objective index of severity of disease in patients with cystic fibrosis.

Adolescent↗

The pathogenesis of virus-associated encephalopathies: a prospective study of immunological mechanisms.

Thirty-two patients, including 29 children, presenting with acute unexplained encephalopathies were studied prospectively for evidence of virus infection, immunodeficiency, and immunologic involvement in the pathogenesis of their illnesses. Twenty-five of these patients had a clinical diagnosis of encephalitis. Twenty-two of these 25 had laboratory evidence of active virus infection, the majority with viruses usually associated with self-limiting illness outside the central nervous system. In patients with encephalitis, immune competence, as reflected by T-cell numbers and subsets in peripheral blood, in vitro interferon production, natural killer activity, and specific antiviral antibody production, was normal. Transudation of albumin into the cerebrospinal fluid (CSF), a measure of blood-brain barrier breakdown, was seen in 40% of patients. Intrathecal antibody synthesis was suggested by an elevated IgG index in 9/20 CSF/serum pairs but was confirmed by an elevated specific IgG ratio in only 3. The serum IgG1 and IgG3 subclass levels were significantly elevated at the time of the illness and remained elevated 8 months later; IgG2 and IgG4 levels were normal. IgE levels were elevated in 50% of patients. Serum levels of IgM antibodies against Escherichia coli measured 8 months after the neurological illness were also significantly higher in encephalitis patients than in age-matched healthy controls. Human myelin basic protein did not induce proliferation in peripheral blood lymphocytes in any patient. We conclude that most encephalopathies associated with viral infections are not due to an underlying generalized immunodeficiency, and probably result from an inappropriately vigorous immune response.

Adolescent↗

Differences in biological characteristics of two strains of the cestode Hymenolepis diminuta.

Biological characteristics of infectivity, growth rate and fecundity of Hymenolepis diminuta isolated from wild Rattus rattus in Japan were compared with parasites of Texas origin maintained for several generations in this and many other laboratories in laboratory bred Rattus norvegicus. The timing of development and maturation was similar in parasites from both sources, but the mean parasite dry weight was less and the mean egg production lower in Japanese parasites in both single and multiple infections. The differences persisted over 10 weeks in single infections, and were unaffected by rat strain. In all experiments there was much greater variation and heterogeneity in the biological characteristics of the Japanese parasites. It was concluded that the Texas parasites were better adapted to R. norvegicus and in the course of adaptation had become more homogeneous, and that the difference between the parasite strains had a complex genetic basis. Some Japanese parasites of the early isolated generations failed to produce normal eggs, but the proportion of these decreased in later generations. However, selected individual Japanese parasites whose egg production was equal to that of parasites of Texas origin did not produce offspring of larger mean size or higher mean fecundity, and heterogeneity of these characteristics was maintained. In the intermediate host, the mean number of cysticercoids of the Japanese isolate per beetle was higher than that of the Texas strain in Tribolium confusum but lower in Tenebrio molitor. The greater heterogeneity exhibited by Japanese parasites and the genetic basis of the strain difference are discussed with particular reference to geographical isolation, differences in definitive hosts and co-evolution of wild and laboratory host and parasite populations.

Animals↗

Co-existence of congeneric species of acanthocephala: Acanthocephalus lucii and A. anguillae in eels Anguilla anguilla in Ireland.

A population of eels Anguilla anguilla from Lough Derg, R. Shannon, Ireland, harbouring infections of both Acanthocephalus lucii and A. anguillae was studied over three years. Both parasite species had the same intermediate host and eels appeared to be the only definitive host for A. anguillae. Throughout the whole period, A. lucii was the dominant parasite, was over-dispersed throughout the eel population and most frequently occurred as a single species infection. A. anguillae was far less common, its dispersion was close to random at most times and it almost invariably occurred as a mixed species infection. The proportions of the two species remained fairly constant over the period. Despite some indication of site selection in the intestine, the distribution of both species overlapped considerably and there was no evidence of competitive displacement of one species by the other or of resource partitioning in space. The life-histories of both species were similar: they infected eels, bred and were lost from fish at the same time of year and there was no indication of resource partitioning in time. Congeneric species of acanthocephalans can thus co-exist in apparently stable equilibrium in fish as predicted and without any evidence of interactions, but it is still considered that exploitation competition between the species may be occurring in eels.

Acanthocephala↗

Clinical predictors of outcome in encephalitis.

Twenty five patients with encephalitis were studied prospectively, and their clinical and virological features compared with outcome. Among 22 patients with laboratory confirmation of virus infection, evidence of direct effect on the central nervous system by the virus occurred significantly more often both in those with a monophasic illness compared with those with a biphasic illness, and in those with focal neurological signs localising in the cerebral hemispheres compared with those without such signs. Young age at presentation, low score on the Glasgow coma scale, disruption of oculocephalic responses, and laboratory evidence of virus infection within the central nervous system were significantly associated with poor outcome. Computed tomography results, concentrations of creatine phosphokinase BB isoenzyme in cerebrospinal fluid, and procoagulant activity in cerebrospinal fluid were not predictive of outcome.

Adolescent↗

A major role for viruses in acute childhood encephalopathy.

29 children and 3 adults with acute depression of conscious level or acute onset of focal neurological signs were studied prospectively. 3 were found to have a non-infectious cause for their illness. The presence of interferon or specific antibodies in the serum and/or cerebrospinal fluid provided evidence of active virus infection in 25 of the remaining 29 patients. There was laboratory evidence that a virus had invaded the central nervous system in 11 patients. Early investigation gave the highest diagnostic yield. Since several common viruses were identified, it appears that the nature of the illness is due more to the host response than to the nature of the infective agent.

Acute Disease↗

The effect of breast-feeding on proliferation by infant lymphocytes in vitro.

The effect of breast-feeding on the development of lymphocyte responsiveness in infants has been studied. Peripheral blood mononuclear cells from 15 breast- and 15 bottle-fed infants were obtained sequentially between 6 days and 9 months of age. A number of agents were used to stimulate the cells in vitro and the resulting proliferative responses were compared between the two feeding groups. A hanging drop microculture system using serum-free medium, enabled spontaneous proliferation and proliferative responses to several stimuli (T and B cell mitogens, allogeneic lymphocytes, and antigen) to be studied at a range of cell concentrations and days of culture. Significant age-related differences were found between the responses of cells from the two feeding groups. Spontaneous proliferation and proliferative responses to the T cell mitogen phytohaemagglutinin and the antigen tetanus toxoid were significantly greater in the breast-fed group at the two earliest ages studied (6 days and 6 wk). Responses to mitogens which predominantly affect B cells, such as pokeweed mitogen and Staphylococcus aureus (Cowan), were similar in both feeding groups at this age. In contrast, from 3 to 9 months of age, responses of cells from bottle-fed infants were significantly greater to all stimuli than responses from breast-fed infants. One possible explanation for the higher level of proliferation by cells from newborn breast-fed infants, is that these infants may absorb the cell-growth factors and lymphokines known to be present in human colostrum and milk. These factors may stimulate T cells and/or their precursors in vivo.(ABSTRACT TRUNCATED AT 250 WORDS)

Breast Feeding↗

In-vivo immune responses of breast- and bottle-fed infants to tetanus toxoid antigen and to normal gut flora.

The effects of breast- and bottle-feeding on serum immunoglobulin levels and specific antibody responses have been examined in 30 infants on five occasions from 6 days until 9 months of age. No significant differences were found on any sample occasion between the two feeding groups in total immunoglobulin levels of G, M and A classes or in class-specific antibody responses to tetanus toxoid vaccine. This suggests that the capacity of the two groups to make serum antibodies develops similarly. Concentrations of antibodies to commensal Escherichia coli 'O' lipopolysaccharide antigens, however, were significantly greater in the bottle-fed group, and it is suggested that this difference is due to an increase in the exposure of the systemic immune system to these gut antigens in the bottle-fed infants. There are several possible explanations for this increased exposure and the resulting effects on the infants' immune system. These experiments also illustrate a possible role of breast milk in stimulating the immune system.

Antibodies, Bacterial↗

Localized bacterial infection in a distributed model for tissue inflammation.

Phagocyte motility and chemotaxis are included in a distributed mathematical model for the inflammatory response to bacterial invasion of tissue. Both uniform and non-uniform steady state solutions may occur for the model equations governing bacteria and phagocyte densities in a macroscopic tissue region. The non-uniform states appear to be more dangerous because they allow large bacteria densities concentrated in local foci, and in some cases greater total bacteria and phagocyte populations. Using a linear stability analysis, it is shown that a phagocyte chemotactic response smaller than a critical value can lead to a non-uniform state, while a chemotactic response greater than this critical value stabilizes the uniform state. This result is the opposite of that found for the role of chemotaxis in aggregation of slimemold amoebae because, in the inflammatory response, the chemotactic population serves as an inhibitor rather than an activator. We speculate that these non-uniform steady states could be related to the localized cell aggregation seen in chronic granulomatous inflammation. The formation of non-uniform states is not necessarily a consequence of defective phagocyte chemotaxis, however. Rather, certain values of the kinetic parameters can yield values for the critical chemotactic response which are greater than the normal response. Numerical computations of the transient inflammatory response to bacterial challenge are presented, using parameter values estimated from the experimental literature wherever possible.

Animals↗

Habitat specificity of the acanthocephalan Acanthocephalus clavula (Dujardin, 1845) in eels Anguilla anguilla (L).

The habitat specificity of the acanthocephalan Acanthocephalus clavula in the alimentary tract of eels was studied in natural infections and in fish maintained experimentally under different regimes. The parasite exhibited a preference for a particular region (55 to 65%) of the alimentary canal which did not differ in different species of host, but habitat specificity was not very precise as there was considerable variation between individual hosts and A. calvula was capable of surviving and maturing in all regions of the intestine. The mean position of males was slightly anterior to that of females, and the over-all sex ratio was in favour of females. At high levels of infection the range of the parasites was extended and the means position was significantly more anterior when compared to single worm infections. The parasite remains in the same site throughout the course of an infection: there was no posterior migration and gravid females occurred in the same proportion in all regions of the intestine. The mean position of the parasite did not change when the host was starved, or maintained in 100% sea water or with reduced aeration or at high temperature. The results were compared with the habitat specificity exhibited by other species of freshwater fish acanthocephalans, and it was concluded that A. clavula was as adaptable and hardy as its present host, the eel.

Acanthocephala↗