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Biomedical subjects

D Schiller

Publications and source records attributed to D Schiller.

31 records · Page 2Linked to original sources

Does CD4 help to maintain the fidelity of T cell receptor specificity?

During antigen presentation, a close association between CD4 and the T cell receptor (TCR) occurs as a result of interacting with the same major histocompatibility complex class II molecule. The potential consequences of such an intimate interaction on TCR specificity was addressed using CD4 loss variants of four different murine T cell hybridomas specific for the immunodominant hen egg lysozyme (HEL) peptide 46-61. While all the CD4+ and CD4- variants tested possessed comparable surface expression of TCR, CD3, CD2 and LFA-1, and responded similarly to immobilized anti-TCR and anti-CD3 monoclonal antibodies, they differed dramatically in their responses to either the naturally processed HEL antigen, synthetic peptide 46-61 or staphylococcal enterotoxin superantigens. While one hybridoma was comparatively unaffected by the loss of CD4, another lost its responsiveness to antigen and peptide completely while retaining reactivity to SE. In contrast, two other hybridomas still responded to antigen but lost reactivity to synthetic peptide and SE. These data could not be readily explained on the basis of affinity or signal transduction requirements alone, and thus suggest that the intimate association of CD4 with the TCR may result in a subtle modulation of its fine specificity for some but not all T cells.

Animals↗

Epidermal Langerhans' cells in elderly patients with decubital ulcers.

Langerhans' cells in the sacral epidermis 8-10 cm from the lesion of elderly patients (mean age 74 years) with decubital ulcers were studied ultrastructurally and compared with the patients' own normal epidermis from the upper leg, with age-matched normal controls, and with young normal controls (mean age 43 years). High percentages of Langerhans' cells (ranging between 30 and 50%) without dendrites were found in patient epidermis from the sacral region near the lesion and similar percentages in normal skin from the patients' upper leg. In both elderly and young controls, Langerhans' cells without dendrites found in the epidermis of the upper leg were fewer, ranging between 13 and 33%. The density of Langerhans' cells in adjacent sites of the same epidermis was non-homogeneous, being in the range of 0.56-1.19% in patient sacral epidermis, 0.69-1.31% in patient normal leg epidermis, 0.63-4.17% in leg epidermis of the elderly controls, and 0.63-3.94% in leg epidermis of the young controls. The majority of the Langerhans' cells in both patients and controls were located near the basal cell layer and in the mid-epidermis. The percentage of Langerhans' cells found in patient sacral epidermis (0.84 +/- 0.08%) and in their leg epidermis (0.87 +/- 0.15%) was significantly lower than in the elderly controls (1.91 +/- 0.30%) and young controls (1.84 +/- 0.24%). The low percentage of Langerhans' cells in the epidermis of patients with decubital ulcers may affect the healing process of the lesions.

Adult↗

The current spectrum of peptic ulcer disease in the older age groups.

Not only has there been a relative increase in the prevalence of peptic ulcer disease (PUD) among America's older age groups, but the characteristics of PUD in these patients differ significantly from those of the general population. Seventy-two consecutive patients 60 years of age or older who underwent operation for PUD between 1984 and 1989 were studied. The unusual features in these patients were 1) 92 per cent required emergency operation, 2) 57 per cent with perforated PUD were female, 3) 85 per cent had duodenal pathology, 4) 28 per cent were currently taking nonsteroidal anti-inflammatory agents, and 5) over one half of all patients had serious postoperative complications. The increasing incidence and associated serious complications of PUD in the elderly population present new challenges to physicians in the diagnosis and treatment of this disease.

Age Factors↗

German M.A.S.H.

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Europe↗

Isolated right ventricular infarction: a diagnostic challenge.

Right ventricular involvement during myocardial infarction of the diaphragmatic and posterior wall of the left ventricle is not an infrequent complication, but isolated right ventricular infarction is rare. We report a case of rupture of the anterior wall of right ventricle and tamponade due to infarction at this site. The lack of characteristic clinical and electrocardiographic findings made the isolated right ventricular infarction a diagnostic challenge.

Cardiac Tamponade↗

Schönlein-Henoch syndrome in patients with familial Mediterranean fever.

Ten episodes of Schönlein-Henoch purpura (SHP) in 8 patients with familial Mediterranean fever (FMF) were observed. Five episodes developed 3-14 days after penicillin injections, suggesting an etiologic association. FMF and SHP have clear clinical similarities, and if the frequency of association of the 2 diseases is indeed high, perhaps a common etiologic factor should be sought. An immune complex mechanism might be the link between these 2 disease entities.

Adolescent↗

[Conjugated bile acids and sulphated glycolithocholic acid in the serum of healthy probands (author's transl)].

Using commercially available radioimmunoassays, bile acids were measured in the serum of 378 healthy probands. The following values were found: conjugated cholic acid 0.36 +/- 0.38 mumol/l (95% percentile 1.28 mumol/l) (CG-radioimmunoassay from Abbot); sum of the various conjugated cholanic acids 2.8 +/- 1.58 mumol/l (95% percentile 5.98 mumol/l) (CBA-radioimmunoassay from Becton-Dickinson); sulphate glycolithocholic acid 0.57 +/- 0.33 mumol/l (95% percentile 1.23 mumol)l) (SLCG-radioimmunoassay from Abbot). The values showed a normal logarithmic distribution. No sex-specific differences were found between similar age groups of the 207 male and the 171 female probands. In 50 probands, serum concentrations were followed over a period of 3 hours after a standardized meal. Conjugated cholic acid showed a 5-fold postprandial increase, compared with the concentrations measured in fasting probands. In 48% this maximum was reached within 60 minutes, in 32% within 2 hours, and in 20% within 3 hours. The concentrations of sulphate glycolithocholic acid were subject to only slight postprandial variations, which did not appear until the second or third hour.

Adult↗