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D W Miller

Publications and source records attributed to D W Miller.

At least 91 records · Page 5Linked to original sources

Ligand binding to proteins: the binding landscape model.

Models of ligand binding are often based on four assumptions: (1) steric fit: that binding is determined mainly by shape complementarity; (2) native binding: that ligands mainly bind to native states; (3) locality: that ligands perturb protein structures mainly at the binding site; and (4) continuity: that small changes in ligand or protein structure lead to small changes in binding affinity. Using a generalization of the 2D HP lattice model, we study ligand binding and explore these assumptions. We first validate the model by showing that it reproduces typical binding behaviors. We observe ligand-induced denaturation, ANS and heme-like binding, and "lock-and-key" and "induced-fit" specific binding behaviors characterized by Michaelis-Menten or more cooperative types of binding isotherms. We then explore cases where the model predicts violations of the standard assumptions. For example, very different binding modes can result from two ligands of identical shape. Ligands can sometimes bind highly denatured states more tightly than native states and yet have Michaelis-Menten isotherms. Even low-population binding to denatured states can cause changes in global stability, hydrogen-exchange rates, and thermal B-factors, contrary to expectations, but in agreement with experiments. We conclude that ligand binding, similar to protein folding, may be better described in terms of energy landscapes than in terms of simpler mass-action models.

Hemeproteins↗

Radiochromic film dosimetry for verification of dose distributions delivered with proton-beam radiosurgery.

In this work we studied the feasibility of radiochromic film for dosimetry verification of proton Bragg peak stereotactic radiosurgery with multiple beams. High-sensitivity MD-55 radiochromic film was calibrated for proton beam irradiation and the RIT 113 system was employed for film evaluation. Simulated stereotactic radiosurgery with a special phantom arrangement for film dosimetry was performed, following the same procedure as for a patient undergoing treatment. Five-beam irradiation was developed using a 3D treatment planning system. This plan was then delivered to the phantom in a one-day experiment. Planned and measured composite dose distributions were compared. Spatial accuracy of dose delivery to a region containing a simulated critical structure was evaluated for a single portal. Radiochromic film dosimetry validated the prescribed dose delivery within +/- 5%, one standard deviation, by comparing calculated doses with measured values. The alignment of apertures and boluses, as well as the alignment of the phantom with respect to the isocentre, was confirmed. Spatial accuracy of the method would have been able to detect possible misalignments greater than +/- 2 mm. We have demonstrated how radiochromic film dosimetry can be used to measure complex dose distributions in an irradiated phantom, thus enabling us to verify planned dose delivery of proton Bragg peak stereotactic radiosurgery with multiple beams. We assume that the dosimetric agreement between planned and measured dose distributions for the reported simulations will apply to patient treatments.

Calibration↗

On the synthesis and secretion of rat seminiferous tubule proteins in vivo after ischemia and germ cell loss.

This study was undertaken to determine whether alterations in Sertoli cell protein synthesis and secretion were important precursors to germ cell loss after ischemic insult to the testis. Ischemia was induced by a 1-h, 720 degrees spermatic cord torsion, and this was shown to cause a loss of germ cells over a 15-day period. Seminiferous tubules were perifused in vivo with [35S]methionine. Lumen fluid (LF) was collected by in vivo micropuncture, and seminiferous tubule extract (TE) was collected after tubule homogenization and centrifugation. Electrophoresis of proteins in these fluids followed by autoradiography of radiolabeled proteins allowed examination of synthesized, i.e., TE, and secreted, i.e., LF proteins. No consistent changes were detected in synthesized or secreted proteins prior to the major loss of germ cells; thus, major changes in the capacity of Sertoli cells for protein assembly and transport are not a preliminary feature of post-ischemia germ cell loss. Changes in specific protein synthesis and secretion were also modest in this in vivo environment after germ cell loss. Overall protein synthesis appeared reduced as loss of germ cells progressed, but one protein whose amino acid sequence confirmed identity with a testis-specific stress protein (hst70) was up-regulated after ischemia and germ cell loss.

Amino Acid Sequence↗

Stimulation of LH secretion in sheep by central administration of corticotrophin-releasing hormone.

Corticotrophin-releasing hormone (CRH) has been proposed as a mediator of the antireproductive effects of stress through an action within the hypothalamus to inhibit GnRH secretion. This hypothesis was tested in sheep by studying the responses to central administration of CRH in both sexes and in both seasons. Sexually mature, Ile-de-France ewes and Romanov rams that had been gonadectomized and implanted with a permanent guide cannula into the third cerebral ventricle were used. Ewes were studied in the presence and absence of exogenous oestradiol plus progesterone, in both the breeding and anoestrous seasons. All rams were treated with testosterone and were studied only during the breeding season. Each observation involved serial samples (every 10 min) of jugular blood for 5 h before (control) and 5 h after an intracerebroventricular (i.c.v.) injection of either saline (vehicle) or 5 nmoles CRH in 20 microliters vehicle. The saline injections did not affect any of the endocrine variables measured; however, CRH always increased cortisol concentrations in jugular plasma. In the absence of treatment with replacement sex steroids, icv injection of CRH had no effect on pulsatile LH secretion in females either during the breeding season or during anoestrus. However, LH pulse frequency and mean LH concentrations increased significantly on every occasion on which animals were treated with sex steroids. Treatment with CRH also increased LH secretion in the testosterone-treated rams. It is concluded that, contrary to the hypothesized role of CRH as an inhibitor of reproductive activity, this neuropeptide stimulates pulsatile LH (and thus GnRH) secretion, at least in this species. The fact that gonadal steroids seem to be obligatory for the expression of this effect suggests that the protocols used in past studies need to be reassessed.

Animals↗

A multinational investigation of the impact of subcutaneous sumatriptan. II: Health-related quality of life.

The aim of this prospective sequential multinational (5 countries) study was to concurrently evaluate the effects of subcutaneous sumatriptan on clinical parameters, health-related quality-of-life (HRQOL) measures, workplace productivity and patient satisfaction. This report presents the HRQOL results. 582 patients (aged 18 to 65 years) with moderate to severe migraine received their customary antimigraine therapy for 12 weeks and then subcutaneous sumatriptan for 24 weeks. The Short Form-36 Health Survey and the Migraine-Specific Quality of Life Questionnaire were completed at a screening visit (base-line), at the end of the 12-week customary therapy phase, and at 12 and 24 weeks of the sumatriptan phase. Scores for most of the Short Form-36 dimensions improved significantly (p < 0.05) after 12 and 24 weeks of sumatriptan therapy compared with 12 weeks of customary therapy, in each country. Similarly, scores on all Migraine-Specific Quality of Life Questionnaire dimensions were significantly (p < 0.05; paired t-test) improved after 12 weeks (in all countries) and 24 weeks (in 4 of 5 countries) of sumatriptan therapy compared with 12 weeks of customary therapy. This study demonstrates that, in 5 countries, treatment of migraine attacks with subcutaneous sumatriptan compared with customary therapy was associated with improvements in HRQOL, as measured by both general health status and disease-specific instruments.

Adolescent↗

A multinational investigation of the impact of subcutaneous sumatriptan. III: Workplace productivity and non-workplace activity.

This report presents the workplace productivity and non-workplace activity results of a multinational study of the effects of subcutaneous sumatriptan 6 mg in the acute treatment of migraine compared with patient's customary therapy. Patients diagnosed with migraine treated their symptoms for 24 weeks with subcutaneous sumatriptan after a 12-week period of treating symptoms with their customary (non-sumatriptan) therapy. Patients used diary cards to record information concerning the effects of migraine on workplace productivity and non-workplace activity time. The average workplace productivity time lost was 23.4 hours per patient during 12 weeks of customary therapy, compared with 7.2 and 5.8 hours per patient during the first and second 12-week periods of sumatriptan therapy, respectively. An average of 9.3 hours of non-workplace activity time was lost per patient during the customary therapy phase, compared with 3.2 and 2.8 hours during the first and second 12-week periods of sumatriptan therapy, respectively. Treatment of migraine with subcutaneous sumatriptan compared with customary therapy was associated with an average gain per patient of approximately 16 hours of workplace productivity time and 6 hours of non-workplace activity time, over a 3-month period.

Adolescent↗

Rare lesions of the posterior fossa with initial retrocochlear auditory and vestibular complaints.

OBJECTIVE: To catalog a series of rare lesions of the posterior fossa that appeared with unusual initial retrocochlear symptoms and signs and to make the reader more aware of these unusual lesions with a view to improving initial assessment and treatment planning. STUDY DESIGN: The study was a retrospective case review of seven patients. SETTING: Multidisciplinary team evaluation in a tertiary hospital referral center. PATIENTS: Patients with unusual lesions of the cerebellopontine angle and posterior fossa with initial retrocochlear symptoms and signs were included. INTERVENTIONS: Diagnostic and therapeutic. MAIN OUTCOME MEASURES: Hearing preservation and balance function. RESULTS: The rare lesions presented include two aneurysms of the anterior inferior cerebellar artery, one giant basilar artery aneurysm, and one each of the following neoplasms: endodermal cyst, choroid plexus papilloma, cavernous angioma, and ependymoma. CONCLUSIONS: A close working relationship among the otolaryngologist, neurotologist, neurosurgeon, and neuroradiologist is necessary to accurately evaluate these unusual cerebellopontine angle lesions and effect the best treatment outcome.

Adult↗

The expression of multidrug resistance-associated protein (MRP) in pancreatic adenocarcinoma cell lines.

The presence of P-glycoprotein (P-gp) and multiple drug resistance-associated protein (MRP) was examined in four human pancreatic adenocarcinoma cell lines (PANC-1, BxPC-3, AsPC-1, and Capan-1). Cellular accumulation of rhodamine 123 and [3H]vincristine were used to determine functional activity of P-gp and MRP, respectively. None of the cells showed any evidence of P-gp in the rhodamine 123 cellular accumulation assays. In contrast, PANC-1, BxPC-3 and AsPC-1 did display an increased accumulation of [3H]vincristine following treatment with either cyclosporin A or verapamil. Western blot analysis confirmed the expression of MRP, and little, if any, measurable P-gp in the cell lysates. These studies suggest that intrinsic drug resistance in pancreatic duct cancer may be due in part to the presence of MRP.

ATP-Binding Cassette Transporters↗

Microwave distillation-solid phase adsorbent trapping device for the determination of off-flavors, geosmin and methylisoborneol, in catfish tissue below their rejection levels.

Described is a rapid microwave-mediated steam distillation device for determining two predominant off-flavor compounds, geosmin and methylisoborneol, in catfish tissue. A microwave on-time of 10 min is needed to efficiently remove these off-flavor compounds from the sample matrix and trap them on a solid phase adsorbent. A minimal amount of organic solvent is used to elute the trapped compounds. The extract is then analyzed by gas chromatography with ion trap detection in the selective ion storage mode. Detection limits in the sub-parts-per-billion range are obtained with this method.

Animals↗

A method for radiographic evaluation of pedicle screw violation of the vertebral endplate. Technique.

STUDY DESIGN: This study evaluated the utility of intraoperative radiographs for minimizing the risk of pedicle screw tip violation of the superior vertebral endplate. OBJECTIVES: An intraoperative radiographic technique is demonstrated that ensures that a screw has not penetrated the intervertebral disk. SUMMARY OF BACKGROUND DATA: Although methods to avoid penetration of the medial pedicle cortex and the anterior body cortex have been described, no study has discussed screw penetration of the superior endplate and disc. METHODS: Pedicle screws were inserted into 11 cadaveric lumbar spines, randomly, with the tip interior to the endplate, at the endplate, and through the endplate. Radiographs were evaluated to measure the penetration, if any, of the screws. Spine segments were dissected and evaluated anatomically. The anatomic and radiographic results were then compared. RESULTS: The overall error rate for radiographs was 22/312 (7%). Oblique radiographs gave a much higher error rate. CONCLUSIONS: A true lateral or anteroposterior radiographic view of the vertebra provides a high degree of certainty that the screw has not crossed the endplate when a "safe zone" of 3 mm remains superior to the screw tip. Intraoperative radiography can reduce concern about violation of the superior vertebral endplate.

Adult↗

Tendon repair by laser welding: a histologic and biomechanical comparison and suture repair with CO2 and argon lasers.

BACKGROUND AND OBJECTIVE: The purpose of this study was to determine whether welding of tendinous tissue is possible with the application of thermal lasers. STUDY DESIGN MATERIALS AND METHODS: After sharp transection of a unilateral achilles tendon, 40 male outbred Spraque Dawley rats were divided equally between four treatment groups. Ten animals underwent repair using the modified Kessler suture technique. The remaining animals underwent application of laser after the tendon edges were reapproximated and held in place with a vascular clamp. CO2 and Nd:YAG lasers were applied using 25% human albumin as a solder. Fluorescein dye was added to albumin and used as solder for the Argon laser. Biomechanical and histologic testing were performed immediately and 14 days postoperatively. RESULTS: Argon and CO2 lasers successfully fused the tendon ends together. However, immediately postoperative, the resultant tissue weld was tenuous and conventional tensile strength testing was not possible. At 14 days postoperatively, all modes of tendon repair resulted in tensile failure at consistently lower levels of tension than those required for the normal uninjured tendons. The ultimate tensile strength for the suture-repaired, CO2 laser welded, and Argon laser welded tendons were 74%, 59%, and 64% of the strength of the control tendons respectively. No statistically significant difference was found in the tensile strength among the three repair groups. Histologic evaluation at 14 days revealed the greatest degree of inflammatory response in those tendons repaired with the Argon laser. Those tendons repaired with suture demonstrated the least amount of inflammatory change. CONCLUSION: Our study demonstrates that welding of a tendon is possible with the application of laser energy. However, we were unable to produce a weld sufficient to withstand significant tensile loads in the immediate postoperative period.

Achilles Tendon↗

Use of rhodamine 123 to examine the functional activity of P-glycoprotein in primary cultured brain microvessel endothelial cell monolayers.

The fluorescent dye, rhodamine 123, was used to evaluate the functional activity of the P-glycoprotein (P-gp) efflux transport system in primary cultured bovine brain microvessel endothelial cell (BBMEC) monolayers. Rhodamine 123 accumulation was increased significantly in BBMEC monolayers treated with the P-gp modifying agent, cyclosporin A (CSA). Rhodamine 123 accumulation was also increased by other P-gp modifying agents. The rank effectiveness of these agents in increasing rhodamine 123 accumulation in BBMEC monolayers was CSA = dipyridamole > verapamil = quinidine. The maximal increase in rhodamine 123 accumulation in CSA treated. BBMEC monolayers was approximately 3 fold greater than in control monolayers and was qualitatively similar to that observed with 3H-vincristine. Comparison of functional activity with the biochemical expression of P-gp in BBMEC monolayers and in an established tumor cell line that over-expresses P-gp indicate that functional activity may be a more descriptive measure of the importance of this drug efflux system than protein expression. Furthermore, these studies suggest that accumulation of rhodamine 123 in BBMEC monolayers can be used to quantitatively examine P-gp activity in the blood-brain barrier.

ATP Binding Cassette Transporter, Subfamily B, Mem↗

Effects of MK-801 on spontaneous and amphetamine-stimulated dopamine release in striatum measured with in vivo microdialysis in awake rats.

In vivo microdialysis was used to examine the effects of the noncompetitive NMDA receptor antagonist dizocilpine maleate (MK-801) on basal and d-amphetamine (AMPH)-induced release of dopamine (DA) in the striatum of freely moving rats. MK-801 [0.2 or 0.5 mg/kg, intraperitoneally (IP)] significantly increased spontaneous DA release in the striatum, whereas treatment with vehicle elicited no change in this variable. These data suggest that endogenous NMDA receptor activation exerts a tonic inhibitory influence upon striatal DA efflux. Systemic administration of AMPH (2.0 mg/ kg, IP) produced an 18-fold increase in extracellular DA; this effect was potentiated to 33-fold by pretreatment with 0.5 mg/kg MK-801. Pretreatment with 0.2 mg/kg MK-801 did not alter AMPH-induced DA release in striatum. Intrastriatal application, via the microdialysis probe, of 10 microM AMPH increased striatal DA efflux by 19-fold, but this local effect of AMPH was not altered by the MK-801 pretreatment. Thus, MK-801 increased DA efflux in response to systemic but not local AMPH, suggesting that a mechanism requiring the involvement of basal ganglia circuitry underlies this effect. It is hypothesized that NMDA receptor blockade indirectly activates the nigrostriatal DA system by opposing activation of inhibitory striatonigral GABAergic projection neurons.

Amphetamine↗

kQ factors for ionization chamber dosimetry in clinical proton beams.

We discuss a formalism for clinical proton beam dosimetry based on the use of ionization chamber absorbed dose-to-water calibration and beam quality correction factors. A quantity kQ, the beam quality correction factor, is defined which corrects the absorbed dose-to-water calibration factor ND,w in a reference beam of quality Q0 to that in a user's beam of quality Q1. This study of proton beam quality correction factors used 60Co (kQ gamma) and proton (kQp) reference beams. The kQ gamma factors were measured using combined water calorimetry and ionometry for PTW and Capintec-Farmer-type ionization chambers, and were computed from standard dosimetry protocols. Agreement between measured and calculated kQ gamma values for both chambers was found within 1.2% in the plateau region for a monoenergetic 250-MeV beam and within 1.8% at the spread-out Bragg peak for a 155-MeV range-modulated beam. Comparison of absorbed doses to water determined in the range-modulated 155-MeV beam was performed with the PTW chamber using three calibration methods: Ngas calibration (AAPM Report 16), ND,w,gamma calibration in a 60Co beam in conjunction with a kQ gamma factor, and ND,w,p calibration in a proton beam in conjunction with a kQp factor. Absorbed doses to water obtained with the three methods agreed within 2% when ionization chamber dosimetry data were analyzed using the proton W-value for air from the AAPM Report 16 and the ICRU 49 proton stopping powers. The use of the proton-calibrated reference ionization chamber, in conjunction with the beam quality correction factor kQp, significantly reduced the systematic uncertainty of the absorbed dose determination.

Biophysical Phenomena↗