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Biomedical subjects

D J Doyle

Publications and source records attributed to D J Doyle.

At least 73 records · Page 4Linked to original sources

Cancer cells release a covalent complex containing disulfide-linked domains from urinary plasminogen activator, neural cell adhesion molecule, and haptoglobin alpha and beta chains.

We have previously reported on the secretion of a family of high Mr plasminogen activators (PAs) by a human lung cancer cell line [Harvey et al. (1991) Biochim. Biophys. Acta 1078, 360-368]. We have now extended these studies to several human cancer cell lines and a human embryonic lung cell line. In the present study with HPL-SK-1 lung cancer, A431 epidermoid cancer, ovarian carcinoma, and embryonic lung cell lines, we show that the 900- and the 660-kDa PAs are disulfide-bonded multiprotein oligomeric complexes. They are functionally and immunologically related to human urinary PA (uPA). Their size and PA activity are not destroyed by strong denaturants such as 8 M urea or 2% sodium dodecyl sulfate (SDS), suggesting that the uPA moiety is covalently associated with the rest of the molecule. It is only under strong denaturing conditions with 1.4 M beta-mercaptoethanol and 2% SDS that the uPA moiety could be released as a 21- to 23-kDa fragment along with two major polypeptide chains of 70 and 40 kDa, respectively. The presence of the uPA active center in the reduced PA660 was demonstrated by [3H]diisopropylphosphorofluoridate labeling and by Western blot using a monoclonal antibody to uPA B chain. N-terminal amino acid sequencing of the 70- and 40-kDa polypeptides, respectively, showed homology to the neural cell adhesion molecule and the beta chain of haptoglobin. A minor fragment of 18 kDa obtained under strong reduction conditions was also sequenced and shown to share homology with the alpha chain of haptoglobin. Western blot analysis of the reduced PAs with monoclonal antibody to the neural cell adhesion molecule and rabbit anti-haptoglobin confirmed the homologies obtained by the sequence data. Further, immobilized monoclonal antibodies to the neural cell adhesion molecule, uPA B chain, and rabbit anti-haptoglobin bound the multiprotein complexes with uPA activity, from A431, ovarian cancer, and embryonic lung cell lines. The bound material, after dissociation, exhibited PA activity that was inhibited by monoclonal antibody to the uPA B chain. These data suggest that in tumor and embryonal cell lines, in addition to proper folding and assembly of proteins by intramolecular disulfide bond formation in the endomembrane compartment, intermolecular disulfide bonds could also occur, producing multiprotein oligomers as in the present case. Formation of such oligomers may have a selective advantage for such cells in the focalization of proteolytic activity through the interaction of the neural cell adhesion molecule domain with the extracellular matrix and in immunosuppression of lymphocytes by the haptoglobin portion of the complex.

Binding Sites↗

Drug packaging.

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Canada↗

A simple method to calculate P50 from a single blood sample.

Hill's equation relating oxygen tension, saturation and P50 is used as the basis for a simple method to calculate P50 from a single blood sample. The effects of errors of measurement in oxygen tension and saturation are considered using the technique of sensitivity analysis. The method is illustrated using data published by Severinghaus.

Blood Gas Analysis↗

Respiratory consultant: a hand-held computer-based system for oxygen therapy and critical care medicine.

The assessment of respiratory system performance may involve issues such as pulmonary gas exchange, respiratory mechanics, oxygen transport and other factors. This paper describes an MS-DOS program called Respiratory Consultant that was designed for use with a hand-held MS-DOS computer, but can also run under Windows 3.1 and Windows 95 if desired. Respiratory Consultant performs a number of computational tasks potentially appropriate to respiratory care in the ICU and elsewhere. These include: predicted arterial oxygen tension from age, interconversion of oxygen tension and saturation, calculation of gas exchange indices and oxygen transport parameters, dead-space estimation, and pulmonary function test interpretation. Respiratory Consultant is freeware that will run easily on most IBM-compatible PCs and may be downloaded from the Internet.

Humans↗

Biophysics of airflow within the airway: a review.

An understanding of the fundamental principles that govern flow through the airway, like anatomy and physiology, is essential for the practising otolaryngologist. Failure to grasp these principles prevents the clinician from understanding why certain things happen clinically and why certain treatments are effective. This review presents the basic concepts of fluid mechanics as applied to the airway, using commonly encountered clinical situations to further illustrate ideas. Since air is a gaseous fluid, a review of the gas laws initiates the reader. Laminar and turbulent flow is discussed as well as the method used to distinguish between the two. Also included is a brief review of the air/liquid interface inside an alveolus, as well as a discussion of airflow through an endotracheal tube.

Airway Obstruction↗

A clinician's experiences on the Internet.

Dr. John Doyle, a Toronto anesthetist, shares some recent experiences on the Internet. He explains how he became involved and how electronic mail and computer resources help in his daily clinical practice. He also explains how he and other clinicians share opinions, expertise and advice through an Internet-based discussion group devoted to his specialty.

Computer Communication Networks↗