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Biomedical subjects

H Jaksche

Publications and source records attributed to H Jaksche.

At least 37 records · Page 2Linked to original sources

Biochemical characterization of binding of multiple HIV-1 Rev monomeric proteins to the Rev responsive element.

Recombinant HIV-1 Rev protein was overexpressed in Escherichia coli using translational coupling to the beta-glucuronidase gene and demonstrated to interact with high affinity and specificity with the Rev responsive element (RRE). A complex Rev-dependent binding pattern was observed using the gel shift assay which could be simplified to one or two primary bands in the presence of stoichiometric concentrations of RRE. Competition of these bands with a series of homopolymer RNA species demonstrated that Rev is essentially a poly-G binding protein, although poly-I was also shown to compete for specific RRE binding. The stoichiometry of the Rev-dependent gel shift complexes was determined using 125I-labeled Rev. The stable, lowest mobility complex was determined to possess a ratio of between 7 and 8 Rev molecules per RRE containing RNA fragment while the two fastest migrating complexes contained ratios of one and two Rev molecules per RRE, respectively. Using the Hill equation as a model for cooperative interactions, a Hill coefficient of n(app) = 2 was obtained from fitting of direct nitrocellulose filter binding assays, reflecting cooperatively bound Rev molecules on the RRE under equilibrium binding conditions. An increase in ionic strength from 0.0 to 0.3 M NaCl reduced cooperative Rev binding to the RRE, but specificity of Rev for the RRE relative to antisense RNA was increased 100,000-fold. At molar ratios of Rev to RRE above 2, Rev dissociated from the RRE with a T1/2 of approximately 20-25 min.(ABSTRACT TRUNCATED AT 250 WORDS)

Base Sequence↗

Eukaryotic initiation factor 5A is a cellular target of the human immunodeficiency virus type 1 Rev activation domain mediating trans-activation.

Expression of human immunodeficiency virus type 1 (HIV-1) structural proteins requires the presence of the viral trans-activator protein Rev. Rev is localized in the nucleus and binds specifically to the Rev response element (RRE) sequence in viral RNA. Furthermore, the interaction of the Rev activation domain with a cellular cofactor is essential for Rev function in vivo. Using cross-linking experiments and Biospecific Interaction Analysis (BIA) we identify eukaryotic initiation factor 5A (eIF-5A) as a cellular factor binding specifically to the HIV-1 Rev activation domain. Indirect immunofluorescence studies demonstrate that a significant fraction of eIF-5A localizes to the nucleus. We also provide evidence that Rev transactivation is functionally mediated by eIF-5A in Xenopus oocytes. Furthermore, we are able to block Rev function in mammalian cells by antisense inhibition of eIF-5A gene expression. Thus, regulation of HIV-1 gene expression by Rev involves the targeting of RRE-containing RNA to components of the cellular translation initiation complex.

Amino Acid Sequence↗

Polyclonal anti-idiotypic antibodies mimicking the small cell lung carcinoma antigen cluster-5A interact with a panel of antibodies and induce specific immune response in animals.

Polyclonal anti-idiotypic antibodies (ab2) were generated by immunising goats with the murine IgG2a monoclonal antibody SWA20 which recognises the SCLC antigen cluster-5A, a tumour-associated sialoglycoprotein. Ab2 was shown to bind specifically to antibody SWA20, but not to isotype matched control antibodies. Pre-incubation with ab2 completely inhibited target cell binding of antibody SWA20 and of four other antibodies to cluster-5A antigen, while no effect was seen with antibodies to cluster-1 and cluster-w4 antigen. By these criteria the ab2 population consists of antibodies resembling in their reactivity pattern the cluster-5A antigen. Ab2 was used for immunisation of rabbits and two strains of mice; control animals received PBS or nonspecific goat IgG. Anti-anti-idiotype sera (ab3) were analysed in a series of radioimmunoassays for reactivity with goat IgG and reactivity with ab2. After blocking the nonspecific anti-goat response, ab3 could be shown to bind specifically to ab2 idiotype. As examined by an indirect cell ELISA with fixed cells, two out of six ab3 sera showed significantly higher binding ratios to antigen-positive SW2 cells as compared to antigen negative control cells. These findings indicate that the goat anti-SWA20 idiotype antibodies functionally represent the SCLC antigen cluster-5A and therefore may have potential for modulating the anti-tumour response through idiotypic network interactions.

Animals↗

[Intra- and postoperative effect of various plasma substitutes on blood rheology and conjunctival oxygen partial pressure in microsurgical intervertebral disk operations].

In a prospective, randomized, controlled, parallel group study the effect of different infusion solutions (HES 200/0.5 10%, dextran 40 10% and electrolyte solution) during and after intervertebral disc microsurgery on blood fluidity and conjunctival partial oxygen pressure was measured. At the beginning of the operation all patients showed a reduction in conjunctival oxygen pressure - independent of the infusion solution. Both fluidity of blood and oxygen partial pressure changed according to the plasma substitute used. Thus after the administration of medium molecular weight hydroxyethyl starch an improvement in the fluidity of blood with a consecutive significant increase in the conjunctival oxygen pressure could be observed, whereas there was no increase after the administration of electrolyte solution and only a slight one (according to tendency) after infusion of dextran.

Adult↗

Primary spinal medulloblastomas?

Two cases with spinal medulloblastoma are presented in which even modern neuroradiological methods (computed tomography - CT - and nuclear magnetic resonance imaging - NMR -) did not demonstrate intracranial lesions. These cases should be considered to be primary spinal medulloblastomas, even if until now the existence of real primary spinal medulloblastomas has been doubted.

Adolescent↗

Indications for extra-intracranial bypass surgery. New orientation after the Toronto Bypass Study based on angiographic and non-invasive ultrasound flow measurements.

UNLABELLED: Angiographic and flow measurement results in 18 cases, who underwent extra-intracranial bypass surgery, are presented. The method was the Mavis ultrasound technique. MAIN RESULT: Patients with unilateral internal carotid artery (ICA) occlusion and additional contralateral ICA stenosis or occlusion had a permanent cerebral blood flow (CBF) increase as a consequence of the anastomosis. On the contrary, patients without contralateral flow impairment or with good spontaneous extra-intracranial anastomosis did not have a real CBF improvement but only a temporary flow increase on the anastomotic side with comparable flow decrease in the contralateral ICA. The so-called Toronto Bypass Study was designed to evaluate the effectiveness of extra-intracranial bypass surgery for stroke prevention but it did not prove its effectiveness in this regard. Intentionally it did not put or answer the question of possible haemodynamic benefit for special subgroups of patients with cerebrovascular occlusive disease. Our results suggest such a haemodynamic benefit, and in consequence an indication for bypass treatment may be given in cases with ICA occlusion and additional contralateral flow impairment and without sufficient spontaneous collateralization. The question of a stroke preventing effect in this special subgroup should be answered by another controlled study. But this will be almost impossible to realize because--as a consequence of the Toronto study--at least in our country almost no further patients are transferred to the neurosurgeon for possible bypass surgery.

Arterial Occlusive Diseases↗

On the difficulties encountered when establishing the correct diagnosis of disturbances in the pupillary reflexes.

It is always difficult to interpret abnormalities in pupillary reflexes when a patient who has suffered injuries to the upper part of the face is unconscious. Nevertheless, thorough examination of pupillary reflexes can provide vital information about possible damage to the central nervous system. Decisions about treatment of and prognosis for patients with multiple injuries can be made more accurately when the status of the nerves supplying the eye are taken into account. Anatomical and physiological relationships of pupillary reflexes and oculomotor reactions in a patient with multiple injuries are discussed.

Adult↗

[Aneurysms as a rare cause of chronic subdural hematomas].

Chronic subdural haematomas are nowadays usually diagnosed via computed tomography. Followups are also by this method. It is therefore inevitable that aneurysms or other vascular malformations are overlooked as rare but important causes of such haematomas. If anamnesis, findings and course are atypical, it is recommended to attempt additional angiographic clarification at least in such cases.

Cerebral Angiography↗

Intracarotid infusion of ACNU and BCNU as adjuvant therapy of malignant gliomas. Clinical aspects and critical considerations.

Thirty patients with malignant gliomas were treated by operation, radiotherapy and additional intracarotid infusions of ACNU and BCNU. Positive results were obtained in the treatment of oligodendrogliomas and astrocytomas grade III and IV. On the contrary, the results in cases of glioblastoma multiforme were disappointing: neither survival time nor quality of life had been significantly improved. The protective effect of phenobarbitone against systemic toxicity by ACNU was not always confirmed in this study. Based on literature reports and our own experience the indications, technical aspects, unexpected complications and results of this therapeutic approach are discussed.

Astrocytoma↗

Anti-idiotype immunization of cancer patients: modulation of the immune response.

Thirty patients with advanced colorectal carcinoma (CRC) were treated with alum-precipitated polyclonal goat anti-idiotypic antibodies (Ab2) to monoclonal anti-CRC antibody CO17-1A (Ab1) in doses between 0.5 and 4 mg per injection. All patients developed anti-anti-idiotypic antibodies (Ab3) with binding specificities on the surfaces of cultured tumor cells similar to the specificity of Ab1. Furthermore, the Ab3 competed with Ab1 for binding to CRC cells. Fractions of Ab3-containing sera obtained after elution of the serum immunoglobulins from CRC cells bound to purified tumor antigen and inhibited binding of Ab2 to Ab1. The Ab3, therefore, may share idiotopes with Ab1. Six patients showed partial clinical remission and seven patients showed arrest of metastases following immunotherapy. Four of the thirteen patients with measurable clinical responses had received Ab2 alone, whereas 9 patients had also received chemotherapy.

Antibodies, Anti-Idiotypic↗

Burr hole third ventriculo-cisternostomy. An unpopular but effective procedure for treatment of certain forms of occlusive hydrocephalus.

79 cases of obstructive hydrocephalus treated between 1972 and 1983 by burr hole third ventriculo-cisternostomy have been analysed together with the published literature. There were 80% good results in non-tumoral aqueduct stenosis and in hydrocephalus caused by pineal, posterior third ventricle or basal ganglia tumours. The results in hydrocephalus caused by dysrhapic malformations or following meningitis as well as in cases which previously had been treated by shunting procedure were unsatisfactory. Such cases therefore should be excluded from third ventriculo-cisternostomy. In the first mentioned cases the patency of the basal cisterns should be verified beforehand by CSF scintigraphy. Only cases with open cisterns should be selected for third ventriculo-cisternostomy. If these selection guidelines are followed good results can be expected in approximately 90%. Judging from the literature and from our own material the mortality rate is below 1% and the rate of transient neurological deficits about 5%. These complications seem to be avoidable by improved technique. The alternative methods used in the treatment of obstructive hydrocephalus, viz: ventriculo-cardiac or ventriculo-peritoneal shunting, have an overall complication rate higher than 50%. This comparison leads us to recommend third ventriculo-cisternostomy as the treatment of choice for properly selected cases of obstructive hydrocephalus.

Basal Ganglia Diseases↗

[Familial aneurysms. 4 carotid artery aneurysms in a family with 10 members].

Familiar intracranial aneurysms are known, but rare. 4 cases among 10 family members (3 siblings and one son of one of the aneurysm patients) are quite exceptional. Each aneurysm was located at the internal carotid artery near the origin of the a. communicans posterior. The report illustrates also the changes of aneurysm surgery techniques during the last three decades.

Adult↗

Clinical experience with nimodipine in the prophylaxis of neurological deficits after subarachnoid hemorrhage.

The efficacy and tolerability of the dihydropyridine calcium antagonist nimodipine (BAY e 9736) in the prophylaxis of ischemic neurological deficits after subarachnoid hemorrhage were investigated in 171 patients in an open, prospective, multicenter study. 68 of the patients had to be excluded from the efficacy assessment as they had failed to satisfy important inclusion criteria. The efficacy assessment was based on 104 patients of Hunt and Hess grades I-III. In 86 patients the ruptured aneurysm was clipped before or during the nimodipine therapy, while 18 patients did not undergo surgery owing to failure to detect an aneurysm, continuous deterioration of the clinical condition, or for other reasons. At the end of the nimodipine treatment 74 of the patients (71%) were completely free from symptoms or had only very slight neurological deficits. There were 10 patients (10%) with moderate and 10 with a severe disablement, 4 patients were apallic, and 6 (6%) died during the nimodipine treatment. In 4 patients (3.8%) cerebral vasospasm was the sole cause of severe neurological deficits or death, while in a further 3 patients (2.7%) vasospasm and other serious complications were responsible for poor outcome. 22 of the 171 patients (12.9%) died during or shortly after nimodipine therapy. Rebleeding occurred during nimodipine therapy in 7 of the 143 preoperatively treated cases (4.9%).

Adult↗

Nimodipine treatment of ischemic neurological deficits due to cerebral vasospasm after subarachnoid hemorrhage. Clinical results of a multicenter study.

Intravenous Nimodipine was administered to 109 patients (65 female and 44 male) with either pre- or post-operative progressive neurological deterioration from cerebral vasospasm following subarachnoid hemorrhage from a ruptured aneurysm. In 91 of the patients the efficacy of Nimodipine in relieving ischemic symptoms was assessed and in all of the 109 patients the tolerance was evaluated. The aneurysms were related to following arteries: anterior communicating artery (41%), middle cerebral artery (24%), internal carotid artery (10%), vertebro-basilar arteries (4%) and others (5.5%); 11% of the patients had multiple aneurysms. On 16 of the 91 patients no surgery was performed. On 16% of the remaining 75 patients surgery was performed within 72 hours after the hemorrhage, 57% were operated between day 4 and day 15 and 29% after day 16. The ischemic neurological deficits occurred preoperatively in 67% of the patients and post-operatively in 23%. At the beginning of treatment 84% of the patients were graded III-V according to the Hunt and Hess grading system. Most of the patients received doses of 24-48 mg Nimodipine daily as constant i.v. infusion for 7-10 days. The grade of neurological deficit at the end of the treatment was evaluated according to the Glasgow Outcome Scale. 59 (65%) of the patients showed complete recovery or marked improvement of the ischemic symptoms while 22% remained unchanged and 11% died due to severe vasospasm. Administration of Nimodipine seemed to be more efficient in cases where treatment was started within 24 hours. In the patient group which was treated pre-operatively, recurrent hemorrhage was recorded in 8% of the patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

(-)-Adrenaline-induced, calcium-dependent phosphorylation of proteins in human platelets.

In human platelets, adrenaline stimulated, approximately four-fold, as compared with controls, the phosphorylation of primarily two proteins of apparent molecular weights of 20,000 and 40,000, respectively. Maximum phosphorylation occurred after incubation for 1 min and was inhibited by the addition of either yohimbine, prostaglandin E1, or EGTA. Phosphorylation of the two proteins was accompanied by diacylglycerol formation. The (-)-adrenaline-induced phosphorylation of proteins corresponds to the activation of a calcium-dependent protein kinase partially purified by DEAE-cellulose and Sephadex G150 column chromatography. The enzymatic activity was modulated by addition of (-)-adrenaline and CaCl2, by diolein, and in the presence of membranes or phosphatidylinositol but not phosphatidylethanolamine and phosphatidylcholine. A phospholipid-dependent reaction appears to be involved in the molecular mechanism of action of adrenaline.

Adrenergic alpha-Antagonists↗

[Differential diagnostic problems in the combination of infratentorial chronic epidural hematoma, empty sella syndrome and cerebrospinal rhinorrhea].

The chronic extradural haematoma rarely occurs after a head injury. This is particularly true, if we consider the localization in the posterior fossa. Posttraumatic rhinorrhea follows usually dural tearing after basal fractures of the skull, but in this case the cerebro-spinal fluid leakage was due to an empty sella. The case report shows how some diagnostical difficulties may occur in the daily neurotraumatological practice.

Atrophy↗