Biomedical subjects

E Wirostko

Publications and source records attributed to E Wirostko.

30 records · Page 2Linked to original sources

PubMed1988

Chronic intracellular leucocytoclastic bacterial vitritis. A transmission electron microscopic study of the monocytes.

Vitritis, the presence of leucocytes in the acellular ocular vitreous, often accompanies ocular vasculitis (V). Non-cultivatable intracellular mollicutes (M), i.e. cell wall deficient bacteria, readily identified by transmission electron microscopy (TEM), are well known plant vascular pathogens. Recently similar intracellular polymorphonuclear leucocytes (PMNL) and lymphocytes (L) parasitising/destroying and mouse ocular and lethal systemic V producing M-like bacteria were reported to be a common cause of human ocular V. In this TEM restudy of 8 human and 3 mouse VM induced chronic ocular V materials severe nuclear and cytoplasmic alterations associated with generalized cytoskeletal nuclear-anchoring 0.005-0.010 micron particles, 0.01-0.05 micron diameter branching filaments and tubules, and trilaminar membrane bound complex internal structure containing 0.1-1.9 micron spherules, all indistinguishable from VM, were observed within 1-3% of the monocytes in all 11 specimens. The results indicate that VM also parasitise and destroy both human and mouse monocytes. VM induced alterations in monocytes, PMNL, and L are compared, and the monocyte nuclear damage/Rifampin beneficial effect relationship in VM induced ocular V is discussed.

Bacterial Infections↗

PubMed1987

Chronic leucocytoclastic bacterial vitritis. A lymphocyte transmission electron microscopic study.

Ultrastructurally unique and distinctive non-cultivable human and mouse uveitis and vitritis producing bacteria (B) that parasitise, differentiate into both cell walled and cell wall deficient variants within, and destroy polymorphonuclear leucocytes (PMNL) were recently reported to be commonly present in the vitreous of chronic idiopathic vitritis patients. In this transmission electron microscopic restudy of the lymphocytes in 8 human and 3 mouse chronically inflamed ocular specimens, all of which had demonstrated those B within PMNL, in each specimen about 3-15% were larger atypical variants and 0.5-1.0% also harbored those B. The earliest detectable B, the 0.005-0.010 micron spherical elemental particles, had a paranuclear cytoskeletal location, where they produced cytoskeletal lysis and nuclear envelope and chromatin lesions. From that site the elemental particles proliferated, elongated, branched, and enlarged into tightly coiled 0.03-0.05 micron in diameter cell wall deficient tubules and elaborated ultrastructurally distinctive 0.5-0.7 micron cell walled B, eventually replacing the cytoskeleton and destroying the lymphocyte.

Animals↗

PubMed1987

Chronic idiopathic vitritis. Cytopathogenicity of unusual bacteria for vitreous polymorphonuclear leukocytes.

In acute exacerbations of chronic idiopathic vitritis (CIV) non-cultivatable ultrastructurally unusual 0.5-0.7 micron cell walled coccal bacteria (B) are commonly present within phagolysosomes of 3-5% of vitreous polymorphonuclear (PMN) leukocytes. Inoculation of that CIV vitreous into mouse eyelids produces chronic mouse vitritis (CMV) with identical B within CMV PMN leukocyte phagolysosomes. This transmission electron microscopic restudy of all PMN leukocytes in those 8 CIV and 3 CMV specimens demonstrated in all 11 severe cytoskeletal lytic damage associated with pleomorphic 0.1-1.4 micron cell wall deficient B in 1-2% of the cells; both those cell wall deficient and the unusual cell walled B within the same cell in 1-3 cells per specimens; and within the cell walled B complex internal structures resembling the cell wall deficient B. The study results suggest that the morphologically diverse B may be subportions of a single unusual pathogenic B, which parasitizes, undergoes complex morphologic differentiation within, and produces profound cytoskeletal damage to host PMN leukocytes.

Eye Diseases↗

PubMed1987

Crohn's disease. Rifampin treatment of the ocular and gut disease.

Idiopathic Uveitis (IU) may occur as either an isolated ocular disease or with other systemic diseases such as Crohn's Disease (CD). As many as 33% of CD patients demonstrate IU, and frequently their gut and IU course and severity are similar. Rifampin produces remissions of isolated IU, and Rifampin has been used to treat gut CD with varying success. In this investigation 4 CD patients, whose gut but not IU had partially responded to corticosteroids, the addition of Rifampin was associated with improvement in both their CD Activity Index and IU, allowing steroid discontinuation; Rifampin withdrawal was associated with exacerbations of both gut disease and IU; and re-institution of Rifampin was associated with another gut and IU disease remission. Since mouse ocular and systemic inflammatory disease producing non-cultivatable ultrastructurally unusual bacteria are commonly found within isolated chronic IU vitreous polymorphonuclear (PMN) leukocytes, a search for these bacteria in CD eye and gut disease seems justified, as the beneficial results of Rifampin in this study may have been an antimicrobial action on these bacteria.

Adult↗

PubMed1986

Transmission of chronic idiopathic vitritis in mice by inoculation of human vitreous containing leucocyte phagolysosomal bacteria-like bodies.

Vitreous humour from chronic idiopathic vitritis (CIV) patients containing 0.5-0.7 micron diameter bacteria-like bodies (BLB) in polymorphonuclear leucocytes was inoculated into the eyelids of 100 mice. 200 control mice received either eye-bank vitreous or saline. After 12 months, 53 mice that received CIV vitreous, but none of the controls, had clinical signs of ocular inflammation (p less than 0.05); 15 of the mice that received CIV vitreous and none of the controls had histological evidence of chronic deep ocular inflammation, including vitritis (p less than 0.05); 95 CIV-vitreous-inoculated and 38 control mice were dead (p less than 0.05); and 3/3 of the CIV-vitreous group, compared with 0/3 controls, that were killed for histological assessment had phagolysosomal BLB identical to those in the CIV-vitreous inocula. The findings indicate that the BLB are pathogenic for mice.

Animals↗

PubMed1986

Chronic idiopathic vitritis. Ultrastructural properties of bacteria-like bodies within vitreous leukocyte phagolysosomes.

In chronic idiopathic vitritis (CIV) corticosteroid treatment failures, vitrectomy is beneficial. Searching for vitreous microbial agents, 14 vitrectomy specimens from 11 corticosteroid-failing CIV patients were inoculated into numerous in vitro cultural systems; Gram's-, Giemsa-, periodic acid-Schiff- (PAS), and Dieterle-stained centrifuged sediment smears were studied with the light microscope; and the sediment was examined electron microscopically. None of the specimens demonstrated in vitro growth. However, by light microscopy the smears of ten specimens from 8 of the 11 patients demonstrated, in a background of predominantly mononuclear leukocytes, a few polymorphonuclear leukocytes with minute cytoplasmic Gram's variable coccal bodies. By electron microscopy those ten specimens showed morphologically similar 0.5-0.7-micron, thick-walled, coccal-shaped, bacteria-like bodies and 0.03-micron electron-dense spheric particles within polymorphonuclear leukocyte phagolysosomes. The results suggest that CIV vitreous, sterile by contemporary laboratory technics, commonly demonstrates these phagolysosomal bacteria-like bodies. Innovative attempts should be made to cultivate these bacteria-like bodies. Animal pathogenicity studies, using these vitreous specimens as inocula, have been conducted. The results of that investigation will be the subject of another report.

Adolescent↗

PubMed1978

Cellular aspects of conjunctival inflammation induced by the synergistic action of histamine and prostaglandins.

Histamine or prostaglandin (PG) E1 or E2 administered to rabbits topically alone in high doses produced conjunctival vasodilation associated with little or no edema while their mixture at lower concentrations produced conjunctival vasodilation associated with profound edema. Sections of tissues treated with the mixture of histamine and PGE1 or PGE2 showed widespread epithelial and subepithelial inflammatory cellular infiltration. Conjunctival smears from eyes treated with the histamine/PG mixture contained small lymphocytes and polymorphonuclear leukocytes, including eosinophilic and occasionally basophilic cells. Differential staining of the polymorphs demonstrated both eosinophils and pseudoeosinophils. Histological examination of the conjunctival smears and sections of the lids obtained from eyes treated with either histamine or PGE1 or PGE2 alone did not show any detectable increase of inflammatory cells when compared to normal controls. The clinical and histological results indicate that the synergistic effect of histamine with PGs of the E-type in the conjunctiva produces an inflammatory response similar to that seen in various clinical forms of human allergic conjunctivitis. Such a response could not be produced by histamine or PGE1 or PGE2 alone even at much higher doses than in the mixture. The data indicate that an interplay of several different mediators may be crucial in the conjunctival response in allergy.

Alprostadil↗

PubMed1976

Induction of chronic lethal Australia antigen hepatitis in mice.

Clinically, idiopathic uveitis may be associated with chronic active hepatitis B. In searching for a possible cause of the uveitis in 6 patients having concurrent chronic iridocyclitis and chronic active hepatitis with serum Australia antigen (AA), the aqueous humor from each patient was analyzed for AA, passed through 220-mmu filters and inoculated directly into the livers of mice. The animals were observed for spontaneous mortality for 12 months, at which time the remaining animals were sacrificed. The livers of all animals were examined for hepatitis and AA. Although the aqueous humor from only 1 patient was found to contain AA, all six aqueous specimens produced a lethal viral hepatitis-like disease with liver AA. The results suggest that the six positive aqueous specimens contained a viral infection agent, which may have been the core of the Dane particle, and that the mouse is suitable for the laboratory investigation of Type B hepatitis by the technique described.

Animals↗

PubMed1970