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Biomedical subjects

D Brodie

Publications and source records attributed to D Brodie.

11 recordsLinked to original sources

LICOS, a primordial costimulatory ligand?

In mammals, the classical B7 molecules expressed on antigen-presenting cells, B7-1 (CD80) and B7-2 (CD86), bind the structurally related glycoproteins CD28 and CTLA-4 (CD152), generating costimulatory signals that regulate the activation state of T cells. A recently identified human CD28-like protein, ICOS, also induces costimulatory signals in T cells when crosslinked with antibodies, but it is unclear whether ICOS is part of a B7-mediated regulatory pathway of previously unsuspected complexity, or whether it functions independently and in parallel. Here, we report that, rather than binding B7-1 or B7-2, ICOS binds a new B7-related molecule of previously unknown function that we call LICOS (for ligand of ICOS). At 37 degrees C, LICOS binds only to ICOS but, at lower, non-physiological temperatures, it also binds weakly to CD28 and CTLA-4. Sequence comparisons suggest that LICOS is the homologue of a molecule expressed by avian macrophages and of a murine protein whose expression is induced in non-lymphoid organs by tumour necrosis factor alpha (TNFalpha). Our results define the components of a distinct and novel costimulatory pathway and raise the possibility that LICOS, rather than B7-1 or B7-2, is the contemporary homologue of a primordial vertebrate costimulatory ligand.

Amino Acid Sequence↗

Cerebral microembolism in acute myocardial infarction.

BACKGROUND AND PURPOSE: This study was undertaken to determine the frequency of cerebral microemboli (high-intensity transient signals; HITS) detected by transcranial Doppler (TCD) in patients with acute myocardial infarction (AMI) and to relate them to the various putative risk factors and clinical embolic events. METHODS: We investigated 112 consecutive patients within 72 hours of admission to an acute coronary care unit using TCD to monitor for cerebral microemboli. Twelve patients were excluded because of failure of ultrasound insonation. All patients had 2-dimensional echocardiograms within the study period. RESULTS: HITS were detected in 17% of patients, with significantly higher frequency in patients with reduced (<65%) left ventricular (LV) ejection fraction (P=0. 019), akinetic LV segments (P=0.002), and LV thrombus (P=0.015). A marginally significant (P=0.059) increase of HITS was found in patients with anterior AMI. Stroke was significantly more frequent in patients with cerebral microemboli (P=0.01). CONCLUSIONS: HITS were detected in 17% of patients in spite of adequate antithrombotic therapy and were increased in patients with reduced LV function, akinetic myocardial segments, and LV thrombus. They were present in all 3 patients with stroke and may represent a predictor of clinical embolic events.

Aged↗

Body composition measurement: a review of hydrodensitometry, anthropometry, and impedance methods.

Human body composition is an expression of genetic and nutritional factors. It can change as a consequence of exogenous influences such as training, disease, or diet and is therefore of particular interest to nutrition professionals. Two of the main methods of estimating body composition in this review (hydrodensitometry and anthropometry) have been in use for decades, but the third method (bioelectrical impedance) is more recent. The procedure, theoretical basis, assumptions, standard error of estimates, and comparisons with other techniques are presented for each of the three methods. References to general and specific populations are presented that illustrate regression equations for different ages, ethnic groups, and gender. The advantages and disadvantages of the three methods are reviewed with reference made to the alternative compartment models. Other methods (DEXA, infrared interactance) are briefly reviewed.

Anthropometry↗

Neurological disease in a defined population: the results of a pilot study in two general practices.

A pilot study was set up to ascertain incident neurological disorders occurring in 25,000 people attending two general-practice surgeries for a period of 1 year. To achieve completeness of ascertainment and diagnostic validity poses considerable logistical and theoretical difficulties, and these are discussed. The commonest disorders (incidence in parentheses) were headaches (210/100,000), back syndromes (319/100,000), acute cerebrovascular disease (128/100,000), and migraine (64/100,000), with non-specific symptoms the most common problem overall (514/100,000). The incidence of Parkinson's disease was 26/100,000 and that of epilepsy 23/100,000. The pilot study will form the basis for a more comprehensive linkage scheme between the National Hospital for Neurology and Neurosurgery in London and surrounding general practices with a total base population of 100,000.

Brain↗

Health promotion at work.

This study examined health promotion intervention amongst council employees and determined the extent that any changes were subsequently maintained. The results showed that even with modest intervention, beneficial changes were observed in alcohol consumption, diastolic blood pressure, body mass, waist/hips ratio, body fat, aerobic capacity and arm strength. Behavioural measures tended not to change, but this could be a consequence of unfocused questioning or insufficient intensity of the health promotion activities. The sickness and absenteeism rates improved during the intervention and maintenance phases, making a strong case for health promotion from the employer's perspective. A critique of the experimental procedure suggested that the testing venue, the methods of obtaining consent, the continuity of subjects, initial attitudes, the intensity of the intervention and the project delivery were all features that would contribute to a successful outcome.

Absenteeism↗

Restoration to normal body composition by VLCD: a comparison of post obese and lean subjects questions BMI 25 as diet limit.

Body composition was assessed in naturally lean female subjects who never had need to diet. At BMI 21-22 their body weight distribution of 75 per cent FFM and 25 per cent fat was compared with subjects who had dieted below BMI 25 by various conventional self-selected diets; subjects who had dieted to BMI 21-22 by VLCD and subjects who were dieting with VLCD but were still above BMI 25. These body composition studies support values of BMI 22-22 as a better estimate of desirable weight in women than BMI 25. At BMI 21-22 the distribution of body weight between fat and FFM of post VLCD dieters matches that of normal lean women.

Body Composition↗

Rapid weight loss and lean tissue: evidence for comparable body composition and metabolic rate in differing rates of weight loss.

In assessing the desirability of very low calorie diets (VLCD) it is important to assess whether the additional calorie deprivation associated with a VLCD is within the range of physiological adaptation of normal people: specifically that the overweight person will return to normality in terms of body composition and metabolic rate. Comparison of fat free mass (FFM) and resting metabolic rate (RMR) change was made between two groups of dieting female subjects, whose weight loss was 1.9 kg/week (group A) and 1.1 kg/week (group B) over 8 weeks of diet. Body composition studies showed an equivalent FFM/Wt loss of 0.42 and 0.44 in the high and low weight loss groups respectively. As expected from the greater loss of weight, resting metabolic rate fell further in group A, but the RMR/FFM ratio remained the same (group A 21.3; group B 22.1). There is no evidence to suggest that the rate of weight loss achieved by VLCD is associated with any detriment to body composition or metabolic rate.

Basal Metabolism↗

Pyruvate attenuation of hypoxia damage in isolated working guinea-pig heart.

Function and various parameters of myocardial substrate and energy metabolism were measured in preload-controlled isolated working guinea-pig hearts perfused with normoxic (95% O2) and hypoxic (30 to 45% O2) Krebs-Henseleit buffers ([Ca2+] = 1.25 mM). Energy-yielding substrates were glucose, pyruvate, lactate, and fatty acids (acetate, octanoate). Hypoxia typically produced an increase in coronary flow but a fall in cardiac oxygen uptake (MVO2); left ventricular pressure and work parameters as well as myocardial high energy phosphate levels were decreased while the releases of adenosine plus inosine (V (Ado + Ino)) and lactate were increased. Extra pyruvate (1 to 5 mM) as compared to physiologic concentrations of pyruvate (0.2 mM) produced a relative stabilization of left ventricular pressure and work parameters combined with an attenuation of V (Ado + Ino) provided 5 to 10 mM glucose was the cosubstrate. Coinfusion of 2-deoxyglucose, a nondegradable hexose, in presence of excess pyruvate as sole substrate was without effects on residual ventricular pump function. When 1 mM lactate plus 5 mM glucose were the substrates, hypoxic heart function was also depressed, V (Ado + Ino) was relatively increased, and post-hypoxic recovery of pressure parameters was impaired. Similarly, the fatty acid substrates tested seemed to adversely affect cardiac performance during hypoxia. Extra pyruvate in presence of glucose induced a fall in hypoxic myocardial lactate and alpha-glycerophosphate contents while cellular citrate reached millimolar levels. Obviously, utilizable amounts of glucose were required for pyruvate stabilization of the high flow hypoxic heart. The beneficial effects of pyruvate appeared to depend on a functioning glycolysis; other effects seemed to include redox-related changes in energy state and/or purine nucleoside metabolism as well as a possible citrate buffering of intracellular Ca2+ load.

Animals↗