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Biomedical subjects

C Wedekind

Publications and source records attributed to C Wedekind.

At least 37 records · Page 2Linked to original sources

Nonlinkage of major histocompatibility complex class I and class II loci in bony fishes.

In tetrapods, the functional (classical) class I and class II B loci of the major histocompatibility complex (Mhc) are tightly linked in a single chromosomal region. In an earlier study, we demonstrated that in the zebrafish, Danio rerio, order Cypriniformes, the two classes are present on different chromosomes. Here, we show that the situation is similar in the stickleback, Gasterosteus aculeatus, order Gasterosteiformes, the common guppy, Poecilia reticulata, order Cyprinodontiformes, and the cichlid fish Oreochromis niloticus, order Perciformes. These data, together with unpublished results from other laboratories suggest that in all Euteleostei, the classical class I and class II B loci are in separate linkage groups, and that in at least some of these taxa, the class II loci are in two different groups. Since Euteleostei are at least as numerous as tetrapods, in approximately one-half of jawed vertebrates, the class I and class II regions are not linked.

Animals↗

Comparative use of magnetic resonance imaging and electrophysiologic investigation for the prognosis of head injury.

BACKGROUND: To compare magnetic resonance imaging (MRI) and electrophysiologic investigation as prognostic methods in acute head injury. METHODS: Fifty-seven patients suffering moderate to mild (Glasgow Coma Scale score > 8) or severe (Glasgow Coma Scale score < 8) head injury were included. Both groups were analyzed as a total and separately for outcome as assessed by Glasgow Outcome Score. Two outcome groups were separated (Glasgow Outcome Score 1-3: unfavorable vs. Glasgow Outcome Score 4-5: favorable). MRI scans (T1-, T2-, T2*-sequences; transverse, coronal, and sagittal slices) were obtained 1 to 39 days after trauma (mean, 14 days). Electrophysiologic investigations consisted of median nerve-evoked somatosensory responses to assess corticosubcortical function and brain stem auditory-evoked potentials and brain stem reflexes for brain stem function. Recordings were performed 24 to 72 hours after trauma and repeated every 3 to 5 days. RESULTS: Evaluation of all patients revealed a prognostic significance of MRI lesions within the corpus callosum, the basal ganglia, the hippocampus, the midbrain, and the pons. In the severe head injury subgroup, significance was limited to lesions within the corpus callosum, the basal ganglia, and the midbrain. Among the electrophysiologic findings, dysfunction of the corticosubcortical region as well as of the midbrain were linked to an unfavorable outcome. In severe head injury, prognostic significance was restricted to bilateral corticosubcortical dysfunction. A statistical test for diagnostic convergence of both methods indicated a distinct convergence only for lesions of the midbrain and the pons. CONCLUSION: MRI scans performed early after head injury provide several indicators for unfavorable outcome. Electrophysiologic investigations add to this prognostic evidence. Both methods have comparably high specificity. However, because of the higher density of prognostic information obtained, MRI seems superior to electrophysiologic testing.

Adolescent↗

Working memory constrains human cooperation in the Prisoner's Dilemma.

Many problems in human society reflect the inability of selfish parties to cooperate. The "Iterated Prisoner's Dilemma" has been used widely as a model for the evolution of cooperation in societies. Axelrod's computer tournaments and the extensive simulations of evolution by Nowak and Sigmund and others have shown that natural selection can favor cooperative strategies in the Prisoner's Dilemma. Rigorous empirical tests, however, lag behind the progress made by theorists. Clear predictions differ depending on the players' capacity to remember previous rounds of the game. To test whether humans use the kind of cooperative strategies predicted, we asked students to play the iterated Prisoner's Dilemma game either continuously or interrupted after each round by a secondary memory task (i.e., playing the game "Memory") that constrained the students' working-memory capacity. When playing without interruption, most students used "Pavlovian" strategies, as predicted, for greater memory capacity, and the rest used "generous tit-for-tat" strategies. The proportion of generous tit-for-tat strategies increased when games of Memory interfered with the subjects' working memory, as predicted. Students who continued to use complex Pavlovian strategies were less successful in the Memory game, but more successful in the Prisoner's Dilemma, which indicates a trade-off in memory capacity for the two tasks. Our results suggest that the set of strategies predicted by game theorists approximates human reality.

Biological Evolution↗

MHC-genotype of progeny influenced by parental infection.

In a previous series of in vitro fertilization experiments with mice we found non-random combination of major histocompatibility complex (MHC) haplotypes in the very early embryos. Our results suggested that two selection mechanisms were operating: (i) the eggs selected specific sperm; and (ii) the second meiotic division in the eggs was influenced by the type of sperm that entered the egg. Furthermore, the proportion of MHC-heterozygous embryos varied over time, suggesting that non-random fertilization was dependent on an external factor that changed over time. As a higher frequency of heterozygous individuals correlated with an uncontrolled epidemic by MHV (mouse hepatitis virus), we suggested that MHV-infection might have influenced the outcome of fertilization. Here, we present an experiment that tests this hypothesis. We infected randomly chosen mice with MHV and sham-infected control mice five days before pairing. We recovered the two-cell embryos from the oviduct, cultured them until the blastocyst stage, and determined the genotype of each resulting blastocyst by polymerase chain reaction. We found the pattern that we expected from our previous experiments: virus-infected mice produced more MHC-heterozygous embryos than sham-infected ones. This suggests that parents are able to promote specific combinations of MHC-haplotypes during fertilization according to the presence or absence of a viral infection.

Animals↗

Delayed hearing loss after microvascular decompression of the trigeminal nerve.

OBJECTIVE: The development of sudden postoperative hearing loss as a complication of microvascular decompression (MVD) operations in the cerebellopontine angle has already been reported. A sudden hearing loss of vascular origin may also occur hours or days after such operations, but even in such cases an improvement of hearing over the following weeks is possible. Here we report on a gradual deterioration of hearing over a period of two weeks after MVD which has not been described in the literature up to now. CLINICAL PRESENTATION: A MVD operation was performed twice on a 36 year old patient with trigeminal neuralgia. After the second operation the patient developed a slight hearing impairment 3 days postoperatively which increased over a period of two weeks and ended up with total deafness. The course of intra-operative brainstem auditory evoked potentials and postoperative audiograms is documented. CONCLUSION: Because of gradual development of the delayed hearing loss, we conclude that postoperative tissue scarring may be the underlying pathology.

Adult↗

Evidence for strategic egg production in a hermaphroditic cestode.

The cestode Schistocephalus solidus is a simultaneous hermaphrodite that grows in 2 intermediate hosts and reproduces rapidly within a few days in the gut of a bird. Reproduction takes place by self- or cross-fertilization. Here, it was tested whether egg production differs between S. solidus that reproduce alone and those that are allowed to reproduce in pairs. Egg production in an in vitro system was found to depend on the cestodes' social situation. When kept alone, larger cestodes produced larger eggs. This was not so when kept in pairs--the difference between these 2 reproductive modes being highly significant in this respect. Further experiments revealed that, within the first 3 days, these hermaphrodites produced a larger total egg mass when kept alone than when kept in pairs. This was also reflected by the energy contents of the cestodes after this time-span: selfers had used up more energy than paired worms. Furthermore, S. solidus appeared to adjust its investment per egg depending on whether the offspring will be the result of self- or cross-fertilization. Selfers produced larger numbers of eggs, but these eggs were smaller and contained even smaller embryos per given egg size than eggs of potentially outbreeding cestodes. Selfed eggs reached lower hatching rates. Although this is to be expected from inbreeding depression it may also be an effect of the reduced maternal investment per egg. The observed phenotypic plasticity in the reproduction of S. solidus is discussed within 4 evolutionary frameworks: local mate competition adjusted for hermaphrodites, the hermaphrodite's dilemma, bet-hedging, and sib-competition.

Analysis of Variance↗

Nasal muscle F-wave for peri- and intraoperative diagnosis of facial nerve function.

A new method for recording F-waves from facial muscles in order to assess the function of the intracranial and intracanalicular portion of the facial nerve peri- and intraoperatively has been developed: Direct (M) and F-responses were obtained from the nasal muscle after stimulation of the zygomatic branch of the facial nerve of healthy volunteers. We examined a number of patients with likely or obvious dysfunction of the facial nerve, mostly suffering from cerebellopontine angle (CPA) tumors. F-wave findings were compared to blink reflex and transcranial magnetoelectric evoked potential recordings, the latter obtained from the nasal muscle. The F-wave turned out to be a sensitive parameter for the diagnosis of facial nerve dysfunction. The feasibility of intraoperative nasal muscle F-wave recording and its prognostic value are demonstrated. The nasal muscle F-wave is considered to be a valid parameter for the diagnosis of clinically imperceptible facial nerve lesions, especially of its intracranial portion.

Brain Diseases↗

Body odour preferences in men and women: do they aim for specific MHC combinations or simply heterozygosity?

The major histocompatibility complex (MHC) is an immunologically important group of genes that appears to be under natural as well as sexual selection. Several hypotheses suggest that certain MHC-allele combinations (usually heterozygous ones) are superior under selective pressure by pathogens. This could influence mate choice in a way that preferences function to create MHC-heterozygous offspring, or that they function to create specific allele combinations that are beneficial under the current environmental conditions through their complementary or epistatic effects. To test these hypotheses, we asked 121 men and women to score the odours of six T-shirts, worn by two women and four men. Their scorings of pleasantness correlated negatively with the degree of MHC similarity between smeller and T-shirt-wearer in men and women who were not using the contraceptive pill (but not in Pill-users). Depending on the T-shirt-wearer, the amount of variance in the scorings of odour pleasantness that was explained by the degree of MHC similarity (r2) varied between nearly 0 and 23%. There was no apparent effect of gender in this correlation: the highest r2 was actually reached with one of the male odours sniffed by male smellers. Men and women who were reminded of their own mate/ex-mate when sniffing a T-shirt had significantly fewer MHC-alleles in common with this T-shirt-wearer than expected by chance. This suggests that the MHC or linked genes influence human mate choice. We found no significant effect when we tested for an influence of the MHC on odour preferences after the degree of similarity between T-shirt-wearer and smeller was statistically controlled for. This suggests that in our study populations the MHC influences body odour preferences mainly, if not exclusively, by the degree of similarity or dissimilarity. The observed preferences would increase heterozygosity in the progeny. They do not seem to aim for more specific MHC combinations.

Adult↗

The infectivity, growth, and virulence of the cestode Schistocephalus solidus in its first intermediate host, the copepod Macrocyclops albidus.

In an experiment to study the infectivity, growth and virulence of Schistocephalus solidus in their first intermediate host, copepods of the species Macrocyclops albidus were kept singly and exposed to up to 9 coracidia. Eleven or 14 days post-infection (p.i.) the presence and growth of the cestode larvae relative to survival, growth and reproduction of their host was determined. As expected, the probability of a copepod becoming infected increased with increasing numbers of parasites administered. However, the chances of a single coracidium establishing in a copepod also increased with increasing numbers of coracidia administered, which indicates that the parasites profit from a dilution effect of the host's defence. Copepod size or developmental stage had no significant effect on the infection, but 14 days p.i., constraining effects of copepod size on the growth of the parasites were apparent. Moreover, procercoids in multiple infections grew smaller and developed their cercomer at a smaller size than those in single infections. No significant effect of the parasite on host mortality was found within the observation period. However, growth between the 5th copepodid stage and adult stage was negatively affected by infection. An infection with S. solidus was also strongly linked with host reproduction: infected females were more likely to bear an egg sac at the end of the experiment than non-infected ones. These egg sacs, however, contained fewer eggs.

Analysis of Variance↗

Receptive properties of primary afferent fibres from rabbit pleura, in vitro.

We investigated the physiological properties of mediastinal pleural primary afferent units by recording single nerve fibre activity from the phrenic nerve in an in vitro preparation of rabbit tissue. A total of 41 units with conduction velocities in the group III and IV range were examined for their responsiveness to mechanical, thermal and chemical stimuli. Most receptive fields were adjacent to the phrenic nerve-pericardiacophrenic artery complex. The thresholds to punctate mechanical stimulation (von Frey hairs) were widely scattered around a median of 5.4 mN; all fibres showed slowly adapting responses to mechanical stimulation. Heat sensitivity was observed in 7/41 units (17%), while 17/41 (41%) of the fibres exhibited a spurious transient excitation to strong and rapid cooling. Chemosensitivity was scarce with respect to capsaicin (7/33 (21%) of the units responding) but more common to CO2-saturated synthetic interstitial fluid (pH 6.1, 5/16 (31%) responding). The most effective stimulus was a mixture of bradykinin, serotonin, histamine and prostaglandin E2 ('inflammatory soup') which evoked stimulus responses in 27/33 (82%) of the afferent fibres challenged. Sensitization to mechanical stimuli occurred in 5/41 (12%) of the units, following the application of heat or inflammatory mediators. The rabbit pleura appears as a tissue mainly innervated by multimodal mechano- and chemosensitive afferent units.

Afferent Pathways↗

[Practical and therapeutical management of enuresis].

The often occurring problem of the enuresis rises diagnostical and therapeutical questions for the pediatrician. People like to assume psychological reasons for this problem, however, there is no proof for the importance of any psychological factors. A genetic disposition of the maturity delay has to be differentiated from the neurogenic enuresis. Different practical treatments with high success exist.

Child, Preschool↗

[Diagnosis and management of urinary tract infections in childhood].

The children at greatest risk for kidney damage are infants and young children with febrile urinary tract infection in whom effective treatment is delayed, those with gross vesico-urethral reflux, and those with anatomic or neurogenic urinary tract obstruction. Evaluation and management of pediatric patients with urinary tract infections are summarized.

Acute Disease↗

Human cooperation in the simultaneous and the alternating Prisoner's Dilemma: Pavlov versus Generous Tit-for-Tat.

The iterated Prisoner's Dilemma has become the paradigm for the evolution of cooperation among egoists. Since Axelrod's classic computer tournaments and Nowak and Sigmund's extensive simulations of evolution, we know that natural selection can favor cooperative strategies in the Prisoner's Dilemma. According to recent developments of theory the last champion strategy of "win--stay, lose--shift" ("Pavlov") is the winner only if the players act simultaneously. In the more natural situation of players alternating the roles of donor and recipient a strategy of "Generous Tit-for-Tat" wins computer simulations of short-term memory strategies. We show here by experiments with humans that cooperation dominated in both the simultaneous and the alternating Prisoner's Dilemma. Subjects were consistent in their strategies: 30% adopted a Generous Tit-for-Tat-like strategy, whereas 70% used a Pavlovian strategy in both the alternating and the simultaneous game. As predicted for unconditional strategies, Pavlovian players appeared to be more successful in the simultaneous game whereas Generous Tit-for-Tat-like players achieved higher payoffs in the alternating game. However, the Pavlovian players were smarter than predicted: they suffered less from defectors and exploited cooperators more readily. Humans appear to cooperate either with a Generous Tit-for-Tat-like strategy or with a strategy that appreciates Pavlov's advantages but minimizes its handicaps.

Journal Article↗

Non-random fertilization in mice correlates with the MHC and something else.

One evolutionary explanation for the success of sexual reproduction assumes that sex is an advantage in the coevolutionary arms race between pathogens and hosts. Accordingly, an important criterion in mate choice and maternal selection thereafter could be the allelic specificity at polymorphic loci involved in parasite-host interactions, e.g. the MHC (major histocompatibility complex). The MHC has been found to influence mate choice and selective abortions in mice and humans. However, it could also influence the fertilization process itself, i.e. (i) the oocyte's choice for the fertilizing sperm, and (ii) the outcome of the second meiotic division after the sperm has entered the egg. We tested both hypotheses in an in vitro fertilization experiment with two inbred mouse strains congenic for their MHC. The genotypes of the resulting blastocysts were determined by polymerase chain reaction. We found nonrandom MHC combinations in the blastocysts which may result from both possible choice mechanisms. The outcome changed significantly over time, indicating that a choice for MHC combinations during fertilization may be influenced by one or several external factors.

Animals↗

A case of delayed loss of facial nerve function after acoustic neuroma surgery.

We report on the uncommon delay of facial palsy in the course of a patient who underwent surgery for a left sided acoustic neuroma. Facial nerve function was preserved without clinical or electrophysiological deficit during the immediate postoperative phase and then lost almost totally over two days. This began on the seventh postoperative day. Recovery became visible under hypervolemic hemodilution and glucocorticoids a few days later and was complete after three months. Vasospasm in combination with neural edema might account for this uncommon delay of postoperative facial nerve deterioration.

Blinking↗

F-wave recordings from nasal muscle for intraoperative monitoring of facial nerve function.

The generation of the F-wave in muscle after peripheral motor nerve stimulation depends upon the functional integrity of the entire motoaxon between its axon hillock and the motor endplates. Cerebellopontine angle (CPA) surgery bears the risk of damaging the facial nerve in its root exit zone; functional degradation should therefore be reflected by changes of the nasal muscle F-wave. Constant current pulses supraliminal for direct (M) muscular responses were applied subcutaneously to the zygomatic branch of the facial nerve ipsilateral to the operated side, EEG needle electrodes were placed in the nasal muscle and referred to glabella for recording of myoelectric activity. Anesthesia was achieved by application of fentanyl, midazolame and N2O and low doses of short acting muscular relaxants; the above-mentioned narcotics did not influence F-wave recordings, whereas the administration of muscle relax ants was often deleterious to F-wave monitoring. 22 patients with different tumors in the CPA, the cerebellum or the vicinity of the brainstem were subject to this monitoring procedure up to now. F-wave monitoring was effective in 12/22 cases. In 7/12 patients the signal was stable without any resulting dysfunction postoperatively. In 3/12 cases changes in amplitude and/or latency were observed indicating a subsequent facial palsy of a moderate degree. In 2 cases the F-wave was lost-these suffered from a facial paralysis afterwards. As an illustrative case the course of one of these is pointed out. In 10/22 procedures F-wave monitoring was ineffective due to the prolonged administration of muscle relaxants. The F-wave appears to be a valid tool for intraoperative prognosis of postoperative facial nerve function in CPA surgery. The borderlines of F-wave changes indicating damage to neural function by surgical manipulation are to be defined next.

Adult↗