Search PubMed⌕ Search

Biomedical subjects

G Kelly

Publications and source records attributed to G Kelly.

At least 91 records · Page 5Linked to original sources

The molecular progression of plutonium-239-induced rat lung carcinogenesis: Ki-ras expression and activation.

Specific, transforming point mutations of ras and alterations in ras expression have been associated with many neoplastic processes, and their presence may be pivotal in neoplastic transformation. Our objective were to evaluate the molecular and genetic alterations of Ki-ras in preneoplastic foci and neoplasms in the lungs of rats that inhaled 239PuO2 aerosols. Histologically classified pulmonary lesions were evaluated by in vitro nucleic acid amplification, oligonucleotide hybridization, and direct nucleic acid sequencing for activating Ki-ras point mutations. We evaluated ras expression in similar lesions using immunohistochemistry and in situ hybridization. Specific Ki-ras point mutations were present in 46% of the radiation-induced malignant neoplasms. Spontaneous pulmonary neoplasms, which are rare in rats, had similar activating mutations and frequencies (40%). We found similar mutation frequencies in radiation-induced adenomas and foci of alveolar epithelial hyperplasia. No mutations were identified in normal lung tissue. Ras expression in hyperplastic lesions and neoplasms was similar to that observed in normal pulmonary epithelia. These findings suggest that Ki-ras activation, not alterations in expression, is an early lesion associated with many radiation-induced, proliferative pulmonary lesions and that this molecular alteration may be an important component of both radiation-induced and spontaneous pulmonary carcinogenesis in the rat.

Animals↗

Altered production of tumour necrosis factors alpha and beta and interferon gamma by HIV-infected individuals.

In vitro studies shows that recombinant tumour necrosis factor (TNF) alpha and beta, and interferon-gamma (IFN-gamma) can enhance HIV replication, and peripheral blood mononuclear cells (PBMC) infected with HIV in vitro secrete high levels of the same cytokines. As T cells secrete all three mediators, the capacity of T cell activation signals to trigger cytokine production in PBMC from HIV-infected individuals was investigated as such patients may be immunocompromised. We demonstrate that asymptomatic seropositives in CDC group II/III as well as patients who have progressed to CDC group IV of the disease proliferate efficiently to anti-CD3 antibody, recombinant interleukin-2 (rIL-2), phytohaemagglutinin (PHA), PHA plus phorbol 12,13 dibutyrate (PMA) but secrete significantly (P less than 0.05) higher amounts of TNF-alpha, TNF-beta and IFN-gamma compared with controls in response to the same stimulants. We also show a difference between group II/III and group IV patients with the latter secreting more TNF-alpha and IFN-gamma. The kinetics of TNF-alpha and -beta, and IFN-gamma production was stimulus dependent with overall levels varying in time for each stimulus. Furthermore, the kinetics of the response to all three stimulants were altered in seropositives; CDC group II/III and group IV patients secreted higher levels of cytokines over several time points compared to controls. The altered production of these mediators by HIV-infected patients may contribute to disease progression and to the pathogenesis of AIDS.

HIV Infections↗

The effects of twice and four times daily zidovudine on p24 antigenaemia in CDC stage II/III patients.

Reduction of HIV p24 antigenaemia by zidovudine was investigated in 34 HIV antibody-positive, asymptomatic patients in a randomised, double-blind, placebo-controlled trial. Zidovudine was shown to lower p24 antigen levels as effectively when administered twice daily as when administered four times daily. Serum levels of p24 antigen varied little over 18 weeks in patients taking placebo.

Adult↗

Anal human papillomavirus infection: a comparative study of cytology, colposcopy and DNA hybridisation as methods of detection.

OBJECTIVE: To compare anal cytology, colposcopy and DNA hybridisation as methods of detecting anal HPV infection. SUBJECTS AND DESIGN: Patients attending: (1) a genitourinary medicine (GUM) clinic with ano-genital warts; (2) a surgical out-patient department with anal fissure or haemorrhoids were examined for evidence of anal HPV infection. RESULTS: Considering GUM clinic attenders, 17% (38/225) and 40% (90/225) had perianal or anal canal warts respectively. Colposcopic examination revealed anal acetowhite lesions without warts in 28% (63/225). Cytological evidence of HPV infection was found in 98%, 83%, and 90% of patients with anal canal warts, perianal warts and acetowhite lesions respectively. Anal intraepithelial neoplasia (AIN) was documented in 22% of patients with anal canal warts compared with 6% with perianal warts (p less than 0.01). HPV DNA was detected from the anal brushings of 71%, 50%, 32%, and 29% of patients with anal canal warts, perianal warts, acetowhite lesions and a normal anal examination respectively. HPV type 6/11 was detected in the majority of HPV positive samples. Considering surgical out-patient attenders with no history or signs of anal warts, 25% showed cytological evidence of anal HPV infection and HPV DNA was detected from anal brushings in 3% (2/71). CONCLUSION: Anal examination with the colposcope is a useful method for detecting subclinical HPV infection. Anal cytology may prove helpful for detecting AIN, however, since koilocytosis was rarely seen, the specificity of the cytological criteria for anal HPV infection in the absence of AIN is uncertain. DNA analysis of anal brushings proved only moderately sensitive.

Adult↗

Expression of transforming growth factor alpha in plutonium-239-induced lung neoplasms in dogs: investigations of autocrine mechanisms of growth.

We have previously shown that 47% of radiation-induced lung neoplasms in dogs exhibit increased expression of epidermal growth factor receptor (EGFR). In this study, we investigated the expression of transforming growth factor alpha (TGF-alpha), a ligand for EGFR, to determine if an autocrine mechanism for growth stimulation was present in these tumors. As determined by immunohistochemistry, 59% (26/44) of the lung neoplasms examined had increased expression of TGF-alpha. Expression of TGF-alpha was not related to the etiology of the tumor, e.g., spontaneous or plutonium-induced; however, it was related to the phenotype of the tumor. Statistical analysis of the correlation of EGFR and TGF-alpha expression within the same tumor did not show a positive association; however, specific phenotypes did have statistically significant expression of EGFR or TGF-alpha, suggesting that overexpression of either the ligand or its receptor conferred a growth advantage to the neoplasm. Twenty-seven percent (32/117) of radiation-induced proliferative epithelial foci expressed TGF-alpha, and a portion of those foci (8/32) expressed both EGFR and TGF-alpha. This supports the hypothesis that these foci represent preneoplastic lesions, and suggests that those foci exhibiting increased expression of the growth factor or its receptor are at greater risk for progressing to neoplasia.

Administration, Inhalation↗

A procedure for making simultaneous determinations of the relative levels of gene transcripts in tissues or cells.

In this paper, we describe a method for making simultaneous determinations of the relative levels of selected resident gene transcripts in biological samples. The procedure consists of immobilizing a battery of cloned genes on a nitrocellulose or nylon filter and hybridizing the filter with radiolabeled cDNA synthesized from mRNA extracted from tissue or cell lines. The intensity of the autoradiographic signals obtained from the various genes on the filter is interpreted to be roughly proportional to the relative numbers of transcripts of the genes present in the original mRNA population. The reliability of the method was established by detecting the expression of c-N-ras and c-myc in human promyelocytic HL-60 cells, which are known to express these two oncogenes. The accuracy of the technique was further established by using a conventional method to hybridize filter-bound, cytoplasmic RNA with labeled probes synthesized from plasmid inserts of genes identified by the screening procedure. The utility of the procedure was demonstrated by our ability to simultaneously examine the relative levels of expression of 21 oncogenes in a radiation-induced canine lung carcinoma.

Animals↗

Serum concentrations of prilocaine following retrobulbar block.

Retrobulbar block for eye surgery is associated with adverse reactions. We performed retrobulbar block in 10 patients using prilocaine (Citanest) and found mean (SD) peak serum concentrations of 851 (165.6) ng ml-1 (range 540-1100 mg ml-1). Peak serum concentrations occurred 3-7 min after the end of administration of the block, and in all cases were less than those associated with toxicity.

Aged↗

Response of serum p24 antigen and antibody to p24 antigen in patients with AIDS and AIDS-related complex treated with zidovudine.

In an open study of the treatment of patients with AIDS-related complex (ARC) and AIDS with zidovudine, we evaluated the response of serum p24 antigen (p24Ag) and antibody to p24Ag (anti-p24) levels. Before treatment, serum from 49 out of 73 (67%) patients was p24Ag-positive, and of these patients 42 received zidovudine 800-1200 mg daily for greater than 4 weeks and had a baseline mean serum level of p24Ag of 119 pg/ml (s.e. 15.7). On zidovudine there was a reduction of p24Ag to 21.12% (s.e. 4.76) of pretreatment values at 3 months; however, there was a subsequent trend for levels after 6 months to increase to greater than 50% of pretreatment levels at 12 months. Serum levels of anti-p24 were measured in 26 patients. Of 16 patients whose serum contained p24Ag and 10 whose serum did not, four and nine, respectively, had detectable levels of anti-p24. There was no significant change in the serum anti-p24 with zidovudine therapy.

AIDS-Related Complex↗

The peripolar cell: a distinctive cell type in the mammalian glomerulus. Morphological evidence from a study of sheep.

We used scanning electron microscopy to study the glomerular peripolar cell in the kidneys of seven sheep. Peripolar cells were present in a variable proportion (3.6-100%) of glomeruli. Although on average two peripolar cells were present at each vascular pole, up to ten were seen on occasion. They were more often related to the afferent than to the efferent arteriole. Mapping the relative position of each cell failed to reveal any zonal distribution in the renal cortex. Scanning electron microscopy showed that they were globular in shape and had a bossellated surface. We showed by examination of cells which had been broken open that this appearance was due to the presence of cytoplasmic granules that produced bulging of the cell membrane. We suggest that scanning electron microscopy is a suitable method for studying this cell in the mammalian kidney.

Animals↗

Cell-line-dependent inhibition of phenotypic expression of preneoplastic and neoplastic tracheal epithelial cells by normal tracheal cells in denuded tracheal transplants.

The inhibitory role of normal cells on the expression of neoplastic or preneoplastic cells was investigated using repopulated, heterotopic tracheal transplants. Denuded tracheal transplants were repopulated with a constant number of cells composed of different ratios of normal and neoplastic or preneoplastic rat tracheal epithelial (RTE) cells. Tracheas were harvested at 2 and 6 weeks after implantation, and examined histologically and in cell culture for the presence of the abnormal cells. Two neoplastic cell lines showed marked differences in the number and extent of squamous cell carcinomas which developed in tracheas repopulated at equivalent ratios of RTE: neoplastic cells. One preneoplastic cell line was almost completely inhibited in proliferative and phenotypic expression by normal cells, in contrast to a marked lack of suppression by normal cells of a second preneoplastic cell line. The extent of squamous metaplasia present, or the presence of invasive squamous cell carcinoma, was dependent upon the cell line instilled, suggesting that the cell lines represent different stages in the progression toward neoplasia. The lack of inhibition of some tumorigenic or preneoplastic cells by normal cells in this study is in conflict with previously published reports which indicate that the presence of greater than 10(4) normal cells are capable of inhibiting neoplastic expression in this model. Based on these studies, it appears that the nature of the neoplastic or preneoplastic cell is critical in determining whether inhibition by normal cells can occur.

Animals↗

Human papillomavirus type 48.

The cloning and partial characterization of the genome of human papillomavirus (HPV) type 48 is presented. Hybridization and short DNA sequence analyses permitted the alignment of the genome to the HPV genetic map.

Carcinoma, Squamous Cell↗

Airway complications in the head injured.

Fifty head-injured patients who had tracheostomy were followed during rehabilitation by video fiberoptic laryngoscopy examination. Complications of aspiration (23/50), airway stenosis (13/50), and phonation dysfunction (16/24) were followed. Spontaneous resolution of aspiration may require a prolonged course. A majority of patients (37/50) had improvement and could be decannulated. Prognostic factors correlated to eventual decannulation included age, level on the Glasgow Coma Outcome Scale, and type of head injury. Those with poor neurologic improvement and glottic incompetence (13/50) are poor candidates for decannulation. Significant airway stenosis can involve both laryngeal and tracheal sites. Neurologic dysfunction may complicate the decannulation process after airway anatomy has been restored by surgery. Dysphonia resulting from intubation, peripheral laryngeal and nerve injury, or central laryngeal movement dysfunction are common. Preventive maintenance with ongoing evaluation can avoid airway crises such as aspiration pneumonia, hemoptysis, and innominate artery.

Adolescent↗

Efficacy of light support pantyhose.

The results of a multicenter, double-blind clinical trial indicate that the use of light support pantyhose significantly reduced the incidence of aches, swelling and fatigue in the lower legs of healthy women. A trend toward reduced foot and leg circumference was noted; however, it did not correlate significantly with subjective symptomatology.

Bandages↗

Clinical nurse specialist role development: quantifying actual practice over three years.

A task force of five clinical nurse specialists (CNSs) developed a data collection instrument to document CNS weekly work activities in 30-minute segments. This CNS group collected data for 2-week periods quarterly from June 1984 to May 1987. These data showed that: (1) greater than 50% of work time was allocated to clinical practice and consultation; (2) the proportion of time spent on activities in each role component varied with the number of years of experience in the CNS role; and (3) variations in amount of time spent in role categories were evident among practice specialties. The project demonstrated that it is possible to document CNS practice conveniently. The project has also enhanced the professional development of the CNS group and has set the stage for implementing peer review.

Academic Medical Centers↗

Detection of polycyclic aromatic hydrocarbon-DNA adducts in white blood cells of foundry workers.

Iron foundry workers, exposed to high levels of polycyclic aromatic hydrocarbons (PAHs), silica, and metal fumes and dusts, are at elevated risk of lung cancer. Benzo(a)pyrene and a number of structurally related PAHs are metabolically activated to diol epoxides (e.g., 7 beta,8 alpha-dihydroxy-9 alpha,10 alpha-epoxy-7,8,9,10-tetrahydrobenzo(a) pyrene) which are mutagenic, carcinogenic in experimental animals, and form covalent adducts with DNA. The levels of these adducts were measured in an enzyme-linked immunosorbent assay using a polyclonal anti-benzo(a)pyrene diol epoxide-I-DNA antibody which cross-reacts with DNA modified by diol epoxides of structurally related PAHs. DNA was analyzed from peripheral blood cells of 35 Finnish foundry workers and 10 controls. Workers were classified as having low (less than 0.05 micrograms/m3), medium (0.05-0.2 micrograms/m3), or high (greater than 0.2 micrograms/m3) exposure to benzo(a)pyrene (as an indicator of PAH). When adjustment was made for cigarette smoking and time since vacation, benzo(a)pyrene exposure was significantly related to adduct levels (P = 0.0001). Each of the three exposure groups had significantly elevated adduct levels compared to controls. Among the exposed workers, the low group differed significantly from the high and medium categories. This study supports the usefulness of monitoring adduct formation in a population occupationally exposed to carcinogens.

7,8-Dihydro-7,8-dihydroxybenzo(a)pyrene 9,10-oxide↗

Transpulmonary pressure and phrenic activity in early inspiration.

The direct impact of changes in end-tidal transpulmonary pressure (P'L) on phrenic (Phr) activity has been investigated in 6 cats anaesthetized with pentobarbital or ketamine. Rapid changes in P'L were accomplished by step-like changes in tracheal pressure (Ptr), i.e., from Ptr = -12, -6, +6 and +9 cmH2O to Ptr = 0, and reversely. Phr activity was determined 0.2 and 0.4 s after the onset of Phr activity. This analysis was carried out for a few breaths immediately preceding and following the Ptr change, and the results for Ptr = 0 were used as a reference. Oppositely directed steps in Ptr, e.g., from Ptr = 0 to Ptr = +6 and, reversely, from Ptr = +6 to Ptr = 0, caused equal but opposite changes in Phr activity. Phr activity decreased with increasing P'L, and this decrease amounted to 15% and 12% for each cmH2O increase in P'L at 0.2 and 0.4 s respectively. These results imply that changes in P'L especially affect Phr activity early in inspiration. The results also show that Phr activity in the initial phase of inspiration strongly depends on P'L. Inhibition of inspiration facilitatory neurons by slowly adapting stretch receptors may be the kernel of the underlying mechanism of our findings.

Animals↗

Paradoxical sleep deprivation applied two days after end of training retards learning.

Sprague-Dawley rats (N = 98) were trained in a 2-way shuttle shock avoidance task (50 trials/day for two consecutive days) and then subjected to a paradoxical sleep deprivation (PSD) regime beginning at least 24 hours after the last training session. Results from the various PSD groups indicated that a vulnerable PS window exists from 48-72 hours after the end of the last training session. PSD during this time period produced severe retention deficits. These results suggest the existence of a very long term posttraining PS involvement in the learning/memory process.

Animals↗