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Biomedical subjects

H Wachter

Publications and source records attributed to H Wachter.

At least 415 records · Page 23Linked to original sources

Pteridines as a new marker to detect human T cells activated by allogeneic or modified self major histocompatibility complex (MHC) determinants.

Evidence is presented that activation of T cells by allogeneic or modified autologous cells leads to the specific production of two distinct molecular compounds of the PT class. One of these two PT has previously been identified as neopterin. The structure of the other is still under investigation. This conclusion was based on the following findings: a) In vitro both PT were produced by T cells proliferating in response to HLA incompatible allogeneic or to autologous EB-virus-transformed or TNP-haptenized cells. b) In vitro stimulation of T cells with mitogenic lectins or protein antigens, of macrophages with zymosan-complement, of B cells with PWM or EB-virus, and of NK effector cells with tumor targets failed to induce comparable release of these PT. c) In vivo increased amounts of both PT were excreted via the urine during allograft rejection and viral infections. It thus appears that the production of these PT is primarily a feature of activated T cells involved in the control of self integrity.

Adult↗

Significance of urinary neopterine in gynecological oncology: follow-up of patients with ovarian cancer.

In patients with genital cancer (N = 108) significantly higher mean neopterine levels were found than in a healthy control group. Prior to therapy elevated neopterine levels were seen in 60% of the patients with cancer of the genitals varying between 90% (ovarian cancer) and 54% (cervical cancer). Nine patients with ovarian cancer (stages IIb-IV) were followed for a period of 16 months to date. All patients had elevated neopterine values prior to therapy. When the urinary neopterine excretion remained increased over the period of observation, progression of the tumor occurred within a few months. In patients with complete or partial remission of the tumor, the neopterine excretion dropped to normal values. Thus, we feel that neopterine sampling may be helpful in the follow-up of patients with ovarian cancer, as tumor progression is indicated very early, before clinicoroentgenological findings are present.

Adult↗

Determination of neopterine in human urine by reversed-phase high-performance liquid chromatography.

Since the analysis of urinary neopterine is important in diagnosing malignancy, a method has been developed for its rapid and sensitive separation and quantitation using high-performance liquid chromatography (HPLC) on reversed phase. Eluted neopterine is monitored by fluorescence at a excitation wavelength of 353 nm and measured at 438 nm. Separation was optimized by elution with 15 mmol/l potassium phosphate (pH 6.4) at a flow-rate of 0.8 ml/min. Urinary neopterine was related to creatinine with the aim of reducing variations due to fluctuating urinary concentrations. The proposed method has good performance characteristics and is not influenced by the presence of reduced neopterine in urine. Using this HPLC method, urinary neopterine related to creatinine was determined for 148 healthy male adults (mean neopterine/creatinine 113 mumol/mol), 146 healthy female adults (mean neopterine/creatinine 140 mumol/mol) 60 healthy children (mean neopterine/creatinine 163 mumol/mol). The neopterine levels for four healthy individuals were measured daily over a period of one month.

Adolescent↗

Urinary neopterine in the assessment of lymphoid and myeloid neoplasia, and neopterine levels in haemolytic anaemia and benign monoclonal gammopathy.

The urinary neopterine levels were measured by HPLC in 417 normal subjects and in 216 patients with haematological diseases. All patients with active malignancies (multiple myeloma, polycythaemia vera. Hodgkin's lymphoma, non-Hodgkin's lymphoma, chronic myelocytic and chronic lymphocytic leukaemia) showed highly elevated mean and median values compared to the control groups. Those of patients with multiple myeloma stage I were only raised to near the upper limit of healthy subjects. Of 123 patients with active disease 105 (85%) were above the upper limit. In contrast, the mean and median values of 56 patients with neoplasias in remission (Hodgkin's and non-Hodgkin's lymphoma, acute leukemia and multiple myeloma) were not different from those of healthy subjects, and only 7 (12.5%) of these patients had levels above the upper limit. In patients with non-malignant diseases (haemolytic anaemia and benign monoclonal paraproteinaemia) the mean and median values were not raised. In patients with non-Hodgkin's lymphoma and with chronic lymphocytic leukemia, the neopterine levels corresponded with the tumor stage. The present data suggest tht neopterine assay may supplement laboratory measurements in haematological diseases, providing helpful information.

Adolescent↗

Urinary neopterine excretion in patient with genital cancer.

Urinary neopterine values in 96 healthy women were compared with those in a group of 63 patients with cancer of the genitals who had not yet undergone treatment. Significantly higher median neopterine levels were found in the patients with carcinoma (p less than 0.001). In the 63 cancer patients who had not yet been treated, the diagnosis was made correctly in 65% of the cases by monitoring neopterine levels. In the follow-up of 72 patients with cancer of the genitals in 74% the neopterine values corresponded with the clinico-roentgenological findings. In 22%, false positive neopterine values (no recurrence of the tumor), and in 4% false negative values (recurrence, or progression of the carcinoma) were observed. These results confirm previous reports concerning the significance of pteridine excretion in patients with cancer. However, more investigations have to be performed to establish the value of neopterine sampling in monitoring patients with malignant tumors.

Adult↗

Pteridines in the assessment of neoplasia.

Biological processes which might explain the association of pteridine excretion with proliferation are still unknown. Difficulties in the analysis and the determination of naturally occurring pteridines are described. The best quantitative estimations were achieved when measurement of non-reduced forms was attempted. The performance characteristics of such a method for neopterin by high performance liquid chromatography on reversed phase are given. Enhanced proliferation and dedifferentiation in cell cultures and organisms is paralleled by excretion of unconjugated pteridines into the medium or urine. Urinary neopterin in healthy subjects and in patients with benign diseases was only significantly raised in patients with viral diseases. However, an elevation of urinary neopterin occurred in a wide variety of malignant diseases. In haematologic neoplasias correlations of neopterin values to clinical features, to tumour staging, and to laboratory data were apparent. The clinical utility of neopterin measurement was also demonstrated in patients with gynaecologic tumors, particularly in patients with ovarian carcinoma. In both homogeneous patient groups the neopterin assay may provide an additional aid for prognosis and for monitoring therapy. Comparison of the neopterin assay with already established tumor marker substances at least revealed no inferiority in sensitivity. The present results justify extensive investigations in order to evaluate further the clinical applicability of the neopterin assay.

Adolescent↗

[Pteridine secretion as a marker for the proliferation of alloantigen-induced lymphocytes (author's transl)].

Pteridine levels from supernatants of mixed lymphocyte cultures and from urinary samples of allogeneic kidney transplant recipients were measured by high-pressure liquid chromatography. Marked proliferation of alloreactive lymphocytes was paralleled by an increased release of pteridines. In human allograft recipients rejection episodes were preceded at least 1-2 days by increased urinary neopterin levels. Thus, the urinary neopterin estimation is useful in the early detection of immunological rejections.

Cells, Cultured↗

Urinary neopterine as marker for haematological neoplasias.

Urinary neopterine levels were studied in 79 normal subjects and in 112 patients with haematological neoplasias. The mean values in 79 patients with active disease were significantly raised compared to the control group. Results obtained in 79 patients with active disease indicate that 91% had neopterine levels higher than the mean value of 79 normal individuals +3 SD. There is only a little overlap between the range of neopterine levels in cancer patients and the range in healthy subjects. No significant difference was found between the mean urinary neopterine levels of 33 patients with non-Hodgkin's or with Hodgkin's lymphoma in remission and the healthy group. Only 15% of these patients had elevated neopterine levels. The mean urinary neopterine levels correlated well with the tumor stage in patients with chronic lymphocytic leukaemia and with non-Hodgkin's disease. In patients with chronic leukaemia those without hepatosplenomegaly excreted significantly more neopterine than controls, and patients with hepatosplenomegaly significantly more than those without hepatosplenomegaly. It is concluded that urinary neopterine levels are of value for following the progression of haematological neoplasias.

Adolescent↗

Quantitation of urinary uric acid by reversed-phase liquid chromatography.

The proposed isocratic liquid-chromatographic method for uric acid has good performance characteristics. Results by this procedure and by an enzymic method for uric acid correlated well (r = 0.986). Our method is inexpensive, rapid, and considerably simpler than other techniques for determining uric acid in urine.

Chromatography, High Pressure Liquid↗

[Determination of creatinine in urine by high performance liquid chromatography (HPLC) (author's transl)].

A simple, specific method is described for the determination of creatinine in urine by HPLC. A C18-reversed-phase column is used for the separation. Detection is with a spectral UV-absorption photometer at 235 nm. The results for the precision and the accuracy meet the guidelines of the statistical quality control. Comparative investigations using the method by Lim et al. ((1978), J. Chromatogr. 67, 182-187) matched well with a coefficient of reference of 0.994. The specificity of the method was confirmed by the UV-absorption spectrum of creatinine isolated by HPLC. In addition, 28 urinary constituents were tested for possible interference.

Chromatography, High Pressure Liquid↗

[Increased urinary excretion of neopterin in patients with malignant tumors and with virus diseases (author's transl)].

Heightened urinary concentrations of neopterin were detected in patients with malignant tumors. The levels of neopterin were quantified by high performance liquid chromatography. The normal range for male individuals was 280 +/- 1,7 ng neopterin/mg creatinin, for women 340 +/- 116 ng neopterin/mg creatinin. The values found in patients with malignant tumors were 1370 +/- 495 ng neopterin/mg creatinin and in patients with virus diseases 1637 +/- 696 ng neopterin/mg creatinin.

Biopterins↗

Partial 7q trisomy.

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Chromosomes, Human, 6-12 and X↗

[The value of various investigations of amniotic fluid in the estimation of fetal maturity (author's transl)].

The amniotic fluid lecithin-spingomyelin (L/S) ratio, creatinine and uric acid concentrations, percentage of organe-stained fat cells and the foam test by Clements and coworkers have been compared in 82 samples of amniotic fluid from 66 patients. The specimens were obtained by transabdominal amniocentesis or amniotomy between the 24th and the 42nd week of pregnancy. The determination of the L/S ratio and the foam test seem to be reliable methods of estimating pulmonary surfactant and, hence, of predicting the respiratory distress syndrome (RDS) in the newborn infant. There was no RDS with an L/S ratio greater than 1.6 to 1.8. Positive foam tests also seem to be a valuable indicator of pulmonary maturity, no cases of RDS being found. However, false negative foam tests are not rare. The amniotic fluid concentration of creatinine correlated well with gestational age and birth weight. The determination of uric acid in the amniotic fluid is an unreliable test of fetal maturity on account of the large scatter. The percentage of orange-stained cells did not rise above 10% before the 39th week of pregnancy in most cases.

Amniotic Fluid↗