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Biomedical subjects

E S Lyon

Publications and source records attributed to E S Lyon.

At least 37 records · Page 2Linked to original sources

Arylamine N-methyltransferase. Methylation of the indole ring.

Arylamine N-methyltransferase catalyzes the novel methylation of the ring nitrogen of tryptamine and pyrrole as well as a number of other arylamines including aniline and its derivatives. S-Adenosyl-L-methionine serves as donor. Tyramine, indole, benzylamine, and desmethylimipramine were inactive as methyl group acceptors. The enzyme was purified from rabbit liver to electrophoretic homogeneity and was characterized as a protein monomer of 27,000 daltons with a pI of 4.8. The kinetic mechanism appears to be rapid equilibrium random Bi-Bi.

Amino Acids↗

Reassessment of circle tube nephrostomy in advanced pelvic malignancy.

The dilemma created for and presented to the urologist by the combination of a patient with increasing uremia from advanced pelvic malignancy and a referring physician frustrated by the situation is solved best by individual decisions appropriate for each case. Urinary diversion should be reserved for the occasional circumstance when reasonable life expectancy approaches 6 months or more. Drainage by circle tube nephrostomy provides minimal trouble for patient and physician, while providing excellent relief from the obstructive uropathy. In this series of 20 patients the average survival was 5.3 months. An attempt to assess the quality of life after diversion by circle tube nephrostomy is made.

Adult↗

Transurethral ureteroscopy in men using juvenile cystoscopy equipment.

The inadequacies of current procedures to yield exact diagnostic information on the last portion of the ureter in men and the urologists' frequent frustration when manipulations are attempted in the lower ureter have prompted exploration of a direct endoscopic approach to diagnosis and treatment in the terminal ureter. In the last 3 years we have become accustomed to accomplishing ureteroscopy in women on a routine basis to discover and to treat with amazing ease ureteral tumors, calculi, obstructions and so forth. Ureteroscopy in men now has been practiced sufficiently to convince us that it also should join the urologists' armamentarium of diagnostic and therapeutic procedures. Herein is described the equipment and the technique to endoscope the lower ureter.

Cystoscopes↗

Regulation, purification, and properties of xanthine dehydrogenase in Neurospora crassa.

Xanthine dehydrogenase (EC 1.2.1.37) is the first enzyme in the degradative pathway by which fungi convert purines to ammonia. In vivo, the activity is induced 6-fold by growth in uric acid. Hypoxanthine, xanthine, adenine, or guanine also induce enzyme activity but to a lesser degree. Immunoelectrophoresis using monospecific antibodies prepared against Neurospora crassa xanthine dehydrogenase shows that the induced increase in enzyme activity results from increased numbers of xanthine dehydrogenase molecules, presumably arising from de novo enzyme synthesis. Xanthine dehydrogenase has been purified to homogeneity by conventional methods followed by immunoabsorption to monospecific antibodies coupled to Sepharose 6B. Electrophoresis of purified xanthine dehydrogenase reveals a single protein band which also exhibits enzyme activity. The average specific activity of purified enzyme is 140 nmol of isoxanthopterine produced/min/mg. Xanthine dehydrogenase activity is substrate-inhibited by xanthine (0.14 mM), hypoxanthine (0.3 mM), and pterine (10 micron), is only slightly affected by metal binding agents such as KCN (6 mM), but is strongly inhibited by sulfhydryl reagents such as p-hydroxymercuribenzoate (2 micron). The molecular weight of xanthine dehydrogenase is 357,000 as calculated from a sedimentation coefficient of 11.8 S and a Stokes radius of 6.37 nm. Sodium dodecyl sulfate-gel electrophoresis of the enzyme reveals a single protein band having a molecular weight of 155,000. So the xanthine dehydrogenase protein appears to be a dimer. In contrast to xanthine dehydrogenases from animal sources which typically possess as prosthetic groups 2 FAD molecules, 2 molybdenum atoms, 8 atoms of iron, and 8 acid-labile sulfides, the Neurospora enzyme contains 2 FAD molecules, 1 molybdenum atom, 12 atoms of iron, and 14 eq of labile sulfide/molecule. The absorption spectrum of the enzyme shows maxima between 400 and 500 nm typical of a non-heme iron-containing flavoprotein.

Enzyme Induction↗

Transurethral ureteroscopy in women: a ready addition to the urological armamentarium.

Ureteroscopy via the transurethral route and limited to the terminal ureter in women lends itself to inclusion in the urological armamentarium. The technique requires no equipment other than routine urological instruments and makes endoscopic inspection, biopsy and resection within the distal ureter possible. The procedure is done with the patient under anesthesia, following urethral dilation to 32F. With the aid of a small caliber cystoscope, 20F or smaller, straight Jewett sounds can be passed into the urethra alongside the cystoscope and directed under cystoscopic control into the ureteral orifice. The orifice is then dilated gently, using 12, 14 and, if necessary, 16F sounds. One of the standard pediatric cystoscopes can then be introduced easily into the orifice. Currently, the technique is being used routinely in women with transitional cell carcinoma involving the ureteral orifice or intramural ureter. In 1 patient a tumor arising from within the lower ureter was resected successfully using a pediatric resectoscope.

Carcinoma, Transitional Cell↗

Glomiform and fibrillar cytoplasmic inclusions.

Glomiform inclusions, also called tubular arrays in endoplasmic reticulum, are found in the epithelial cells of glandular tissues of a patient with systemic lupus erythematosus, a patient with Reye's syndrome, and a dog. Their three dimensional structure is interpreted as a skein of contorted tubules of endoplasmic reticulum. Fibrillar inclusions found in the pancreatic acinar cells of two patients are believed to represent altered zymogen granules.

Adult↗

Leiomyosarcoma of the inferior vena cava.

The thirty-second case of leiomyosarcoma of the inferior vena cava and the twelfth resectable patient in the series is presented. A review of the literature demonstrates a marked female preponderance (5 to 1). The most common presenting symptom is right abdominal pain and a palpable mass. The different surgical problems generated by the involved segment of the cava are discussed. Noteworthy is the high incidence of Budd-Chiari syndrome owing to hepatic vein obstruction with involvement of the upper third of the cava in the postmortem cases. An argument is developed for debulking the tumor for palliation when it is not completely removable.

Humans↗

Echinococcal disease of the kidney.

A case of hydatid disease of the kidney is presented. The parasitology, diagnostic evaluation and surgical treatment for the entity are discussed.

Aged↗

Primary carcinoid tumor of the urethra.

The first reported case of a carcinoid tumor of the urinary tract is presented. Because of rapid local recurrence and distant spread early radical surgery is recommended. Several methods of palliation of the carcinoid syndrome-surgical, pharmacologic and chemotherapeutic-are discussed.

Humans↗

Matrix calculi.

Matrix calculi are an uncommon form of urinary tract concretion. They must be considered in the differential diagnosis of a radiolucent mass within the renal collecting system or ureter. The clinical and radiographic features of three cases are presented and the literature of matrix calculi is reviewed.

Bacteriuria↗

Further experience with circle tube nephroureterostomy urinary diversion.

Circle tube nephroureterostomy as an alternative method of urinary diversion has now been used in 80 patients, representing a wide variety of clinical problems. The technique offers several advantages over nephrostomy or intubated ureterostomy. Additional extensive experience with the procedure has substantiated the initially favorable impressions.

Follow-Up Studies↗