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Biomedical subjects

G Ortega

Publications and source records attributed to G Ortega.

At least 109 records · Page 6Linked to original sources

Clinical and microbiologic consequences of amikacin use during a 42-month period.

In June 1980, 23% of our Pseudomonas aeruginosa isolates and 53% of our Serratia species were resistant to gentamicin and tobramycin. During a 3 1/2-year period of almost exclusive amikacin usage, we noted a fall in overall resistance of gram-negative organisms to tobramycin and gentamicin from 18.8% and 19.3% to 15.2% and 16.2%, respectively. This fall in resistance was most notable for Escherichia coli, Proteus mirabilis, and Serratia species. During this period there was no increase in amikacin resistance. Age, hospitalization, prior antibiotic therapy, and Foley catheter use were predisposing factors in acquiring amikacin-resistant organisms. Amikacin-resistant gram-negative bacilli were usually sensitive to newer penicillins or cephalosporins.

Age Factors↗

The murine IL 2 receptor. I. Monoclonal antibodies that define distinct functional epitopes on activated T cells and react with activated B cells.

The properties of three distinct rat monoclonal antibodies, designated 3C7, 7D4, and 2E4, to the murine IL 2 receptor have been compared in binding, biochemical, and functional assays. 3C7 appears to define an epitope near or identical to the IL 2-binding site of the receptor, because 3C7 inhibited the binding of radiolabeled IL 2 to CTL-L cells and because unlabeled IL 2 inhibited the binding of FITC-3C7 to CTL-L cells. 7D4 and 2E4 had no effect on IL 2 binding. Competitive antibody-binding studies confirmed that the epitope seen by 3C7 was distinct from the epitope(s) seen by 7D4 and 2E4. Sequential immunoprecipitation studies demonstrated that all three antibodies were reactive with the same molecular species, and that each precipitated identical components of 20,000 to 25,000 daltons, 50,000 to 60,000 daltons, and 100,000 to 120,000 daltons from the surface of CTL-L. FACS studies demonstrated a quantitatively and qualitatively identical cell distribution for the antigen defined by each antibody. They failed to stain more than 95% of resting lymphocytes, but were strongly reactive with Con A T blasts and substantially less reactive with LPS B blasts. Unlabeled IL 2 was also able to inhibit the binding of FITC-3C7 to LPS B cell blasts, suggesting the presence of IL 2-binding sites on activated B cells. Each antibody inhibited IL 2-driven proliferation of HT2 or CTL-L cells. 3C7 and 7D4 were more potent inhibitors of proliferation than was 2E4, and the combined use of 3C7 and 7D4 resulted in greater levels of inhibition of proliferation than that shown from the use of either antibody alone. Collectively, the results support the hypothesis that these antibodies detect two distinct functional regions of the IL 2 receptor.

Animals↗

The murine IL 2 receptor. II. Monoclonal anti-IL 2 receptor antibodies as specific inhibitors of T cell function in vitro.

We assessed the dependency of a variety of immune responses for IL 2 in vitro by using anti-IL 2 receptor monoclonal antibodies as specific inhibitors of IL 2 function. The generation of allogeneic cytotoxic T lymphocyte (CTL) responses and maximal thymocyte proliferation to phytohemagglutinin (PHA) and IL 1 was readily susceptible to inhibition by these antibodies. Furthermore, the IL 2 receptor-positive, IL 2-responsive cell in the CTL cultures expressed killer cell activity. A greater variability in susceptibility to anti-IL 2 receptor antibody inhibition was noted for proliferation of T cells to concanavalin A, PHA, or allogeneic cells. Under certain conditions, however, each of these responses was almost completely inhibited. In most instances, the failure to block a response could be accounted for by either high levels of endogenous IL 2 production or high density of cell surface IL 2 receptors, which represent two known variables that influence the level of inhibition by these antibodies. Analysis of IL 2 receptor expression by mitogen-stimulated T cells suggested that accessory cells may play a role in the optimal expression of the IL 2 receptor. These experiments demonstrate that IL 2 is the predominant growth factor by which T lymphocytes proliferate, but do not exclude the possibility of an IL 2-independent pathway for growth.

Animals↗

Sibship with 17-ketosteroid reductase (17-KSR) deficiency and hypothyroidism. Lack of linkage of histocompatibility leucocyte antigen and 17-KSR loci.

A family with nine children, three with male pseudohermaphroditism due to testicular deficiency of 17-ketosteroid reductase activity (17-KSR) and four with congenital hypothyroidism is presented. The three subjects with 17-KSR deficiency were raised as females until puberty, at which time they assumed a male gender role. Only one developed gynecomastia. Laparotomy on one of the three patients revealed normal epididymi and vas deferens with absence of Mullerian structures. Testicular biopsy in all three showed Leydig cell hyperplasia, hyalinization of the tubular basement membrane, normal Sertoli cells and maturational arrest at the spermatogonial stage. The endocrine profile in peripheral blood revealed markedly increased plasma androstenedione concentrations but normal testosterone, dihydrotestosterone, progesterone, 17-hydroxyprogesterone, and dehydroepiandrosterone. The levels of estradiol and estrone and of LH and FSH were elevated. Genital skin fibroblasts from the three patients exhibited normal dihydrotestosterone-binding activity and 5 alpha-reductase activity. Congenital hypothyroidism affected one of the three siblings with male pseudohermaphroditism. All four hypothyroid patients had thyroid enlargement and significant titers of circulating antithyroglobulin but not antithyroid microsomal antibodies. Neither the locus for the 17-KSR enzyme nor that for congenital hypothyroidism were linked to the histocompatibility leucocyte antigen complex in this sibship. Transmission of the trait for both congenital hypothyroidism and 17-KSR deficiency appeared to be autosomal recessive.

17-Hydroxysteroid Dehydrogenases↗

Femoral intraarterial digital angiography: an outpatient procedure.

Selective intraarterial digital angiography was performed in 50 patients with known or suspected peripheral vascular disease. Excellent anatomic detail was provided by low-volume injection of 80 mgl/ml contrast medium. The procedure was performed with a 20- to 21-gauge needle or short 3 French catheter as an outpatient procedure. No complications were observed. Thirty-five patients underwent subsequent surgical repair of abnormalities demonstrated by this direct intraarterial technique.

Adult↗

Bacteremic group G streptococcal pneumonia.

Bacteremic group G streptococcal pneumonia occurred in a patient with premyelogenous leukemia and porphyria cutanea tarda. Group G streptococci have been recognized as a cause of endocarditis, septic arthritis, puerperal sepsis, and cellulitis. The organism has not previously been implicated as a pneumonic pathogen in adults. Group G streptococcal infection may be more common than previously reported, and is likely to cause infection in patients with underlying malignancy.

Amikacin↗

Physiological aspects of circulating immune complexes in the normal population.

Circulating immune complexes (CIC) have been investigated in 100 normal subjects; the RIA-Raji and the C1q-BA conventional methods, as well as a new solid phase microassay utilizing purified C1q and the systematic search of cryoprecipitates were employed. CIC serum levels did not differ in regards to sex; in relation to age, values for C1q-BA were identical in subjects from 0 to 60 years and also in those beyond age 60; the differences encountered by RIA-Raji or by the C1q-SP microassay in these two main groups were not statistically significant. Cryoprecipitates were present in 100% of the 68 examined subjects. Immunoglobulins (G, A and M), anti-nucleic acid (DNA and Poly A) and CIC (by the three methods) were present in the cryoprecipitates while lymphocytotoxins, rheumatoid factor and C3 were undetectable; protein content of the cryoprecipitates increased significantly with age, reaching a normal superior limit of 0.52 mg/ml beyond age 30. These findings further support the role played by CIC in normal immune response and may help in the understanding of the physiopathology of clinical conditions associated with immune complexes.

Adolescent↗

[Ataxia-telangiectasia with immunodeficiency and malignant lymphoma. Report of two cases (author's transl)].

Two patients with the clinical diagnosis of ataxia-telangectasia are reported. Both had a mixed partial immunodeficiency characterized by selective absence or deficiency of IgA and anergy to cutaneous antigens. During the course of their disease both patients developed a poorly differentiated lymphocytic lymphoma of intraabdominal location. One of the patients died from infectious complications after receiving the first course of chemotherapy, while the second one remains alive under treatment. The high incidence of lymphoreticular neoplasms in early life in these patients with a genetically deficient immune system is commented upon along with the fact that, in spite of that, the pathogenesis of the syndrome remains unknown.

Ataxia Telangiectasia↗