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E Koch

Publications and source records attributed to E Koch.

At least 73 records · Page 4Linked to original sources
PubMed1991

Failure of MR imaging to detect reflex sympathetic dystrophy of the extremities.

Reflex sympathetic dystrophy of the extremities is a disease with a wide spectrum of clinical manifestations. It is characterized by pain, hyperthermia, and cutaneous changes and has been linked to an abnormality of regional blood flow. The disease is associated with previous injury or trauma including surgery, but also has been found in association with myocardial infarctions and tumors. The final diagnosis can be made only on the basis of the clinical course, which is characterized either by regression without sequel or the appearance of aponeurotic and tendinous retractions including bony sclerosis in the affected region occurring over many months to years. The literature and our own results show that MR imaging has high sensitivity for diagnosing transient osteoporosis of the hip, which is generally thought to be a form of reflex sympathetic dystrophy. Therefore we investigated the usefulness of MR imaging for diagnosing sympathetic dystrophy of the extremities. Twenty-five patients underwent T1- and T2-weighted MR imaging of the affected body region. They were selected on the basis of the initial clinical findings and positive findings on scintigraphy, which is known to be a sensitive, but not very specific, imaging method for sympathetic dystrophy. The final diagnosis was established on the basis of the clinical course in 17 of the 25 patients. In 10 of these, findings on MR images were completely normal, in six the MR images showed only nonspecific soft-tissue changes or bone marrow sclerosis, and in one patient they showed changes in bone marrow signal. Of the remaining eight patients without a final diagnosis of sympathetic dystrophy, MR showed soft-tissue or bone marrow alterations in six. MR imaging appears to be of little value in establishing the diagnosis of sympathetic dystrophy, but it may improve diagnostic specificity when used in conjunction with scintigraphy.

Adult↗
PubMed1991

The intron enhancer of the immunoglobulin kappa gene activates c-myc but does not induce the Burkitt-specific promoter shift.

In Burkitt's lymphoma cells the c-myc gene locus is consistently fused to the constant region of one of the immunoglobulin genes by chromosomal translocation. The translocated c-myc gene is transcriptionally activated and preferentially transcribed from the P1 promoter whenever the exon-intron structure of c-myc remains intact. In order to define elements involved in this promoter shift we have cloned the translocated c-myc allele from Burkitt's lymphoma cell line BL60, which is characterized by several point mutations. The mutated c-myc allele of BL60 was stably introduced into baby hamster kidney and Burkitt's lymphoma cells. S1 nuclease and RNAase protection mapping experiments demonstrated that the mutated c-myc allele was expressed at a low level and with a normal promoter usage (P2 greater than P1) in Burkitt's lymphoma and baby hamster kidney cells. Furthermore, we have studied the expression of a construct consisting of the mutated c-myc allele, part of the bvr1 (Burkitt's variant rearranging region 1) locus, the human immunoglobulin kappa constant region, and the kappa intron enhancer after stable transfection into Burkitt's lymphoma cells. Although c-myc expression was about fivefold increased, the transcripts still initiated predominantly at promoter P2. This indicates that 5 kb of the constant kappa light-chain locus including the kappa intron enhancer is not sufficient to induce the Burkitt's lymphoma-specific promoter shift.

Animals↗
PubMed1990

Reduction in popliteal lymph node graft-versus-host reactivity by homologous and heterologous pregnancy serum.

The popliteal lymph node assay was used to investigate the effect of pregnancy on graft-versus-host reactivity (GvHR) of mouse spleen cells. After local injection of splenocytes from primiparous syngeneically pregnant (by BALB/cJ males) or allogeneically pregnant (by CBA/Ca males) mice no differences in lymph node weight gain were observed in F1 recipients (CBA/Ca x BALB/cJ) when compared to injections of cells from age-matched non-pregnant BALB/cJ mice. However, lymphocytes of pregnant BALB/cJ females which had previously been pregnant between 4 and 6 times by CBA/Ca males induced a significantly lower GvHR compared to cells of matched non-pregnant multiparous mice. These results suggested an inhibitory effect of gestation on cells possibly primed towards paternal antigens by multiple pregnancies. To test this hypothesis, virgin BALB/cJ mice were actively immunized with lymphocytes of male CBA/Ca mice. Before injection into F1 recipients, spleen cells of immunized animals were incubated for 1 h at 37 degrees C in heat-inactivated serum of primiparous pregnant or virgin non-pregnant mice. Pre-incubation in pregnancy serum had no effect on unprimed cells, but GvHR of cells derived from immunized donors was significantly depressed in female recipients. In male animals this effect was only irregularly observed. Inhibition of GvHR was also observed with serum from pregnant but not non-pregnant pigs. Depression of cellular immune response was observed as early as days 4-9 post-coitum (p.c.) with mouse serum and days 16-19 p.c. with pig serum. These results indicate that pregnancy serum contains factor(s) which modulates the GvHR of primed lymphocytes in both a species- and an antigen-non-specific manner while reactivity of naive spleen cells is not changed.

Animals↗
PubMed1990

Arabidopsis is susceptible to infection by a downy mildew fungus.

A population of Arabidopsis thaliana growing locally in a suburb of Zürich called Weiningen was observed to be infected with downy mildew. Plants were collected and the progress of infection was investigated in artificial inoculations in the laboratory. The plants proved to be highly susceptible, and pronounced intercellular mycelial growth, haustoria formation, conidiophore production, and sporulation of the causal organism Peronospora parasitica were all observed. The formation of oogonia, antheridia, and oospores also occurred. In contrast, Arabidopsis strain RLD was resistant to infection and none of the above structures was formed. The fungus was localized very soon after penetration of RLD leaf cells, which responded with a typical hypersensitive reaction. The differential interaction of an isolate of P. parasitica with two strains of Arabidopsis opens up the possibility of cloning resistance determinants from a host that is very amenable to genetic and molecular analysis.

Arabidopsis↗
PubMed1990

Percutaneous transtracheal jet ventilation: an important airway adjunct.

Situations wherein patients cannot be ventilated or intubated rarely occur. When they do, however, death is imminent unless rapid and accurate actions are taken to restore adequate gas exchange. Under these circumstances, percutaneous transtracheal high-pressure jet ventilation (TTJV) through an intravenous catheter is life saving. The authors report two recent cases where TTJV was employed to regain control over obstructed upper airways. Discussion of the cases and the therapeutic modality follows. The summary includes a call for the immediate availability of TTJV at all anesthetizing locations.

Adult↗
PubMed1989

AANA Journal course: advanced scientific concepts: update for nurse anesthetists--anesthesia for patients on anticholinesterase and antiepileptic drugs.

Patients with neurologic diseases who require surgery may present the anesthetist with special challenges related to their pharmacotherapy. It is well established that such therapy may alter these patients' otherwise normal response to anesthesia. There are many classes of drugs utilized and this AANA Journal course addresses the pharmacokinetic, pharmacodynamic, and anesthetic implications of anticholinesterase and antiepileptic drugs.

Anesthesia↗
PubMed1987

Truncation does not abrogate transcriptional downregulation of the c-myc gene by sodium butyrate in Burkitt's lymphoma cells.

We have examined the effect of sodium butyrate, a potent inducer of differentiation in various cell systems, on the steady state RNA level and transcriptional activity of the c-myc gene in Burkitt's lymphoma cells. Following sodium butyrate treatment a rapid decrease of c-myc RNA was observed in all Burkitt's lymphoma cell lines studied, irrespective of the type of translocation, the location of the breakpoint relative to c-myc or of the association with EBV. Since cellular genes induced by interferon are suspected to play a role in c-myc regulation we have studied transcription of the 2-5A synthetase gene in sodium butyrate-treated Burkitt's lymphoma cells. Transcriptional activity and steady state mRNA levels of the 2-5A synthetase gene were induced by sodium butyrate. The time course of induction excluded, however, that the decrease of c-myc RNA is caused by induction of the 2-5A synthetase/RNase L endonuclease system. The reduction of c-myc RNA is caused, at least in part, by a reduced transcription rate, as shown by nuclear run-on analysis. The fact that sodium butyrate is capable of downregulating a truncated c-myc gene indicates that an important target site of transcriptional regulation is located outside the region encompassing the upstream regulatory sequences, the dual promoters and the leader region.

2',5'-Oligoadenylate Synthetase↗
PubMed1987

In vitro assay of packaging protein gp3 of Salmonella phage P22.

The packaging proteins, gp2 and gp3, of Salmonella phage P22 were separated by DEAE-sephacel column chromatography. The activity of both proteins was measured by complementation in an in vitro phage packaging assay. For the first time gp3 activity was demonstrated in vitro. The majority of the gp3 activity could be separated from gp2. While gp2 was stable during chromatography and storage, gp3 was very unstable. However, it was stable when stored as a crude extract. The ratio and interaction of these two proteins critical for phage maturation are still uncertain.

Chromatography↗
PubMed1986

Randomised trial of compliance with screening for colorectal cancer.

A randomised trial of compliance with screening for colorectal cancer by means of the haemoccult test was conducted in Farnborough and Basingstoke districts. In each of the 14 participating practices (41 general practitioners) 25 852 men and women aged between 40 and 70 years were randomly allocated by household to one of six groups. The group determined the method of invitation to screening: a letter and the test were sent to the patient, or a letter with an appointment to attend the surgery was sent, or during a routine consultation the general practitioner invited patients to participate, and some patients received an educational booklet about bowel disorders and screening. Of the 17 824 people who were offered screening, 7545 (42%) complied. Compliance was significantly affected by the method of invitation, but not by whether an educational booklet was received, and was highest (57%) in the group that was offered the haemoccult test during a routine consultation (the "opportunistic" approach). In this group the compliance rate achieved by individual general practitioners ranged from 26% to 82%. Compliance was significantly higher in Farnborough, in the older (55-70) age group, in women, and in households in which two or more people were offered screening. The higher compliance in Farnborough may be explained by the higher proportion of older people and by the higher proportion of people living in households of two or more in the population that was offered screening. The fact that the screening programme in Farnborough was offered to the whole community and that the researcher may have acted as a facilitator were probably also important. One per cent of the patients screened had a positive test, and 24 (38%) of the 63 patients who were positive and were investigated in hospital had neoplastic disease. The yield was 1.2 cancers and 1.2 benign adenomas (1 cm or larger in size) per 1000 people screened. This low yield is likely to be a consequence of the relatively young age group screened.

Adult↗
PubMed1985

Prospects and limitations of the rosette inhibition test to detect activity of early pregnancy factor in the pig.

After preincubation of lymphocytes in serum of non-pregnant pigs and using a standard anti-pig-lymphocyte serum the upper limit of the 99.9% confidence interval of rosette inhibition titres (RIT) for pig serum was calculated to be 11.4 and all titres greater than 12 were defined as a proof of early pregnancy factor (EPF)-activity. The reproducibility of the RITs with serum samples of pregnant pigs was considered satisfactory (interassay coefficient of variation 23.8%), whereas their reproducibility was considered good with sera taken from non-pregnant animals (interassay coefficient of variation 6.5%). Problems of the test were particularly evident due to the absence of increased RITs after previous incubation of lymphocytes in serum of pregnant pigs. Therefore, all EPF-negative samples were reanalyzed up to two times; pregnancy was then correctly diagnosed for 88.7% of sows. There were 8.6% false positive results (N = 70) and 12.2% false negative results (N = 205). During the first half of pregnancy RITs displayed periodic fluctuations which resembled the physiological cycle interval of the pig. Between Weeks 5 and 9 of pregnancy greater numbers of EPF-negative sows were detected. Subsequently, a continuous increase of mean RITs occurred, which then declined gradually from Day 80 of pregnancy. Similar changes were observed for progesterone values in the dialysed serum samples. However, highest progesterone concentrations always followed elevated RITs with a delay of 1.5-4 days. A subthreshold cyclicity of ovarian and luteal function probably persists despite pregnancy.

Animals↗
PubMed1985

Detection of activity similar to that of early pregnancy factor after mating sows with a vasectomized boar.

Incubation of normal pig lymphocytes in serum samples collected from 10 sows immediately before, and at daily intervals after mating with a vasectomized boar significantly elevated the rosette inhibition titre (RIT) of a standard antilymphocyte serum in 6 animals on the first but not on the 2nd and 3rd day after copulation. Infusion of seminal plasma without mating into 5 sows induced an obvious, but not statistically significant, transient rise of titres in 3 pigs. Neither sodium chloride infusion (N = 5), nor sham copulation with diverted penis (N = 5) influenced serum RITs. Porcine seminal plasma showed an inherent rosette-inhibiting property. A depression of rosette formation was evident in a concentration-dependent fashion up to a dilution of 1 in 320. Similarly, preincubation of lymphocytes in serial dilutions of seminal plasma in a non-pregnancy serum sample led to an amplification of the rosette inhibiting capacity of the antilymphocyte serum. Non-specific activation of the eggs to release a signal which induces the production of early pregnancy factor (EPF) or the resorption of seminal plasma components into the blood circulation are considered as possible explanations for the EPF-like activity after mating with a vasectomized boar.

Animals↗
PubMed1985

Establishment of pregnancy and its immunological implications in the pig.

The consideration of the fetus as a semi-allograft by virtue of its paternally inherited histocompatibility antigens is generally accepted. Many hypotheses have been put forward to explain the immunological acceptance of the conceptus by the maternal immune system, but no single theory has proved to be adequate. Most studies so far have been carried out with laboratory rodents and men but corresponding investigations of farm animals and especially the pig are limited. Because striking differences exist between various species, e.g. with respect to the type of placentation, litter size, gestation time and hormone production, the relevance of studies in rodents and men for other species has to be established. This review examines, in the context of available information from other mammalian systems, whether the pig conceptus expresses and presents antigens to the maternal immune system, to what extent the sow recognizes and responds to these antigens, and, in the event of recognition, the mechanisms by which the conceptus avoids and exploits the consequences of histoincompatibility.

Animals↗