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Biomedical subjects

I R MacKay

Publications and source records attributed to I R MacKay.

At least 19 recordsLinked to original sources

The use of Munsell colour charts in nipple-areola tattooing.

Tattooing is an excellent, simple and quick option in nipple-areola reconstruction. Colour mismatch is one of the commonest problems with this procedure. Use of Munsell colour charts allows the premixing of common colours for different patient populations using pigments from various manufacturers. There are significant correlations between nipple colour and Fitzpatrick skin type and between nipple colour and parity. Three nipple-areola colours were more common than others and were found in 50% of patients; these can be premixed ready for use. Adjustment of premixed colours for individual patients can be performed prior to tattooing, speeding up the procedure. Accurate recording of colours also facilitates audit.

Color↗

Category restructuring during second-language speech acquisition.

This study examined the production of English /b/ and the perception of short-lag English /b d g/ tokens by four groups of bilinguals who differed according to their age of arrival (AOA) in Canada from Italy and amount of self-reported native language (L1) use. A clear difference emerged between early bilinguals (mean AOA= 8 years) and late bilinguals (mean AOA= 20 years). The late bilinguals showed a stronger L1 influence than the early bilinguals did on both the production and perception of English stops. In experiment 2, the late bilinguals produced a larger percentage of prevoiced English /b/ tokens than early bilinguals and native English (NE) speakers did. In experiment 3, the late bilinguals misidentified short-lag English /b d g/ tokens as /p t k/ more often than the early bilinguals and NE speakers did. Experiment 4 revealed that the frequencies with which the bilinguals prevoiced /b d g/ in Italian and English were correlated. The observed differences between the early and late bilinguals were attributed to differences in the quantity and quality of English phonetic input they had received, not to a greater likelihood by the early than late bilinguals to establish new phonetic categories for English /b d g/.

Adult↗

Q-switched ruby laser in the treatment of labial melanotic macules.

BACKGROUND AND OBJECTIVE: The term, labial melanotic macule, refers to a benign entity. The Q-switched ruby laser (QSRL) has been used to treat such lesions but the numbers are small with relatively short follow-up. STUDY DESIGN/MATERIALS AND METHODS: Eight patients were treated with single pulses of the QSRL (694 nm, 20 nsec pulse duration, and 5 mm spot size) at 6.5 J/cm(2). Patients were followed-up for a maximum of 24 months to assess for recurrence. RESULTS: Five patients cleared with a single pulse of the QSRL, while three required a second treatment session. There were no side-effects reported. At follow-up, there was no recurrence of pigment. CONCLUSIONS: Treatment of labial melanotic macules with the QSRL produces excellent cosmetic results. No new pigment was detected at follow-up.

Adult↗

Autoreactive cytotoxic T cells in mice are induced by immunization with a conserved mitochondrial enzyme in Freund's complete adjuvant.

Standard methods to generate autoimmune reactions in mice, by immunization with antigens emulsified with adjuvants, stimulate strong helper (CD4) T-cell and antibody responses but are not reported to induce cytolytic CD8 T cells. The aim of this study was to assess whether specific autoreactive CD8 T cells could be readily generated after immunization with a 'weak' autoantigen in adjuvant. Mice were immunized intraperitoneally three times with the E3 subunit of the mitochondrial 2-oxoacid dehydrogenase enzyme complexes (dihydrolipoamide dehydrogenase) emulsified with Freund's complete adjuvant. Splenic and lymph node lymphocytes were harvested after 14 days for in vitro functional studies. T lymphocytes were tested for proliferative responses and cytotoxicity against antigen-loaded isogeneic target cells. An autoreactive cytolytic T lymphocyte (CTL) response was detectable only after the in vitro restimulation of lymphocytes with E3 antigen-loaded syngeneic splenocytes. These CTL were identified as H-2-restricted CD8+ T cells. A proliferative response to E3 was demonstrable against antigen-pulsed syngeneic splenocytes. Immunized mice also generated strong antibody responses to E3. Liver histology showed portal infiltrates interpreted as a response of the liver to a non-specific immunological stimulus. It is concluded that autoreactive cytolytic T cells can be generated experimentally upon appropriate stimulation of the immune system, and can be identified in vitro upon release from the controlling mechanisms that are likely to regulate them in vivo.

Animals↗

Phagotopes derived by antibody screening of phage-displayed random peptide libraries vary in immunoreactivity: studies using an exemplary monoclonal antibody, CII-C1, to type II collagen.

Antibody screening of phage-displayed random peptide libraries to identify mimotopes of conformational epitopes is promising. However, because interpretations can be difficult, an exemplary system has been used in the present study to investigate whether variation in the peptide sequences of selected phagotopes corresponded with variation in immunoreactivity. The phagotopes, derived using a well-characterized monoclonal antibody, CII-C1, to a known conformational epitope on type II collagen, C1, were tested by direct and inhibition ELISA for reactivity with CII-C1. A multiple sequence alignment algorithm, PILEUP, was used to sort the peptides expressed by the phagotopes into clusters. A model was prepared of the C1 epitope on type II collagen. The 12 selected phagotopes reacted with CII-C1 by both direct ELISA (titres from < 100-11 200) and inhibition ELISA (20-100% inhibition); the reactivity varied according to the peptide sequence and assay format. The differences in reactivity between the phagotopes were mostly in accord with the alignment, by PILEUP, of the peptide sequences. The finding that the phagotopes functionally mimicked the C1 epitope on collagen was validated in that amino acids RRL at the amino terminal of many of the peptides were topographically demonstrable on the model of the C1 epitope. Notably, one phagotope that expressed the widely divergent peptide C-IAPKRHNSA-C also mimicked the C1 epitope, as judged by reactivity in each of the assays used: these included cross-inhibition of CII-C1 reactivity with each of the other phagotopes and inhibition by a synthetic peptide corresponding to that expressed by the most frequently selected phagotope, RRLPFGSQM. Thus, it has been demonstrated that multiple phage-displayed peptides can mimic the same epitope and that observed immunoreactivity of selected phagotopes with the selecting mAb can depend on the primary sequence of the expressed peptide and also on the assay format used.

Amino Acid Sequence↗

Native Italian speakers' perception and production of English vowels.

This study examined the production and perception of English vowels by highly experienced native Italian speakers of English. The subjects were selected on the basis of the age at which they arrived in Canada and began to learn English, and how much they continued to use Italian. Vowel production accuracy was assessed through an intelligibility test in which native English-speaking listeners attempted to identify vowels spoken by the native Italian subjects. Vowel perception was assessed using a categorial discrimination test. The later in life the native Italian subjects began to learn English, the less accurately they produced and perceived English vowels. Neither of two groups of early Italian/English bilinguals differed significantly from native speakers of English either for production or perception. This finding is consistent with the hypothesis of the speech learning model [Flege, in Speech Perception and Linguistic Experience: Theoretical and Methodological Issues (York, Timonium, MD, 1995)] that early bilinguals establish new categories for vowels found in the second language (L2). The significant correlation observed to exist between the measures of L2 vowel production and perception is consistent with another hypothesis of the speech learning model, viz., that the accuracy with which L2 vowels are produced is limited by how accurately they are perceived.

Adolescent↗

Antibodies to pancreatic islet cell antigens in diabetes seen in Southern India with particular reference to fibrocalculous pancreatic diabetes.

Fibrocalculous pancreatic diabetes (FCPD) is a type of diabetes secondary to tropical chronic non-alcoholic pancreatitis. Little is known about the aetiopathogenesis of FCPD. We studied glutamic acid decarboxylase antibodies (GAD-Ab) and islet cell antibodies (ICA) in patients with FCPD and compared the results with Type 1 (insulin dependent) diabetes mellitus, Type 2 (non-insulin-dependent) diabetes mellitus and non-diabetic subjects in Southern India. The prevalence of GAD-Ab was 7.0% (95% Confidence Interval (CI) 1.9-17.2) in FCPD, 47.5% (CI 31.4-64.0) in Type 1 (p < 0.001 compared to FCPD), 5.6% (CI 1.5-13.9) in Type 2 (non-significant (NS) compared to FCPD) and 0% in controls. The prevalence of ICA was 6.3% (CI 1.2-17.4) in FCPD, 53.8% (CI 37.1-70.0) in Type 1 (p < 0.001 compared to FCPD), 9.9% (CI 4.0-19.4) in Type 2 (NS compared to FCPD) and 4.7% (CI 0.4-16.1) in controls. The data suggest that in FCPD, the frequency of auto-antibodies is low and its aetiology is probably not linked to autoimmunity in the majority of the patients.

Adult↗

Islet cell antibodies and antibodies against glutamic acid decarboxylase in newly diagnosed adult-onset diabetes mellitus.

This study aimed to determine the prevalence of antibodies against glutamic acid decarboxylase (anti-GAD) and islet cell antibodies (ICA) in relation to beta-cell function in adults newly-diagnosed with diabetes mellitus. beta-cell function was assessed in adults aged 25-70 years newly-diagnosed with diabetes mellitus (n = 84) and control subjects (n = 34) using a 1.6 MJ mixed meal test procedure. beta-cell function was evaluated by the true insulin (defined as immunoreactive insulin minus proinsulin) response to the mixed meal test. Subjects were classified on the basis of the area under the true insulin curve (normal 16830-107700 pmol min/I) and the sum of the 30 and 60 min incremental response (normal 285-3295 pmol/I). The prevalence of anti-GAD and ICA was determined using radioimmunoprecipitation and indirect immunofluorescence, respectively. Twelve (14%) of the study cohort were insulin deficient showing little or no true insulin release. Of the insulin deficient individuals, seven (58%) subjects were anti-GAD antibody positive, compared with eleven (15%) of the subjects without insulin deficiency (P < 0.001). Seven (58%) insulin deficient subjects were ICA positive, whereas only two (3%) non-insulin deficient subjects were ICA positive (P < 0.001). Eight (67%) of the insulin deficient individuals had anti-GAD or ICA, compared with twelve (17%) of those who were not insulin deficient (P < 0.001). The positive predictive values for insulin deficiency of anti-GAD and ICA were 39 and 78% respectively. The sensitivity of both antibodies for detecting insulin deficiency was 50%. The specificity for detecting insulin deficiency was 85% for anti-GAD and 97% for ICA. Positivity for both anti-GAD and ICA gave a specificity and positive predictive value for insulin deficiency of 99%, and a sensitivity of 50%. Nearly one in seven adults presenting with diabetes mellitus as a new diagnosis are insulin deficient using our criteria. Loss of beta-cell function in two thirds of individuals who are insulin deficient can be identified by anti-GAD and ICA. Early detection of these immune markers of beta-cell damage creates the potential for immune modulation to limit such damage.

Adult↗

Factors affecting strength of perceived foreign accent in a second language.

This study assessed the relation between non-native subjects' age of learning (AOL) English and the overall degree of perceived foreign accent in their production of English sentences. The 240 native Italian (NI) subjects examined had begun learning English in Canada between the ages of 2 and 23 yr, and had lived in Canada for an average of 32 yr. Native English-speaking listeners used a continuous scale to rate sentences spoken by the NI subjects and by subjects in a native English comparison group. Estimates of the AOL of onset of foreign accents varied across the ten listeners who rated the sentences, ranging from 3.1 to 11.6 yr (M = 7.4). Foreign accents were evident in sentences spoken by many NI subjects who had begun learning English long before what is traditionally considered to be the end of a critical period. Very few NI subjects who began learning English after the age of 15 yr received ratings that fell within the native English range. Principal components analyses of the NI subjects' responses to a language background questionnaire were followed by multiple-regression analyses. AOL accounted for an average of 59% of variance in the foreign accent ratings. Language use factors accounted for an additional 15% of variance. Gender was also found to influence degree of foreign accent.

Adolescent↗

Enzyme inhibitory autoantibodies to pyruvate dehydrogenase complex in primary biliary cirrhosis: applications of a semiautomated assay.

Sera from patients with primary biliary cirrhosis inhibit the activity of the mitochondrial pyruvate dehydrogenase complex. We utilized this effect to develop a simple, miniaturized, semiautomated spectrophotometric assay as a diagnostic aid. The sera studied were from 71 patients with primary biliary cirrhosis and 62 other subjects. The assays included enzyme inhibition, immunofluorescence on HEp-2 cells, enzyme-linked immunosorbent assay using recombinant pyruvate dehydrogenase complex-E2 and immunoblotting on bovine heart mitochondria. With the 71 primary biliary cirrhosis sera, on which M2 antibody was detected by immunofluorescence in 64 (90%), antibodies against pyruvate dehydrogenase complex were detected in 53 (83%) by means of enzyme inhibition, in 57 (89%) by means of enzyme-linked immunosorbent assay and in 60 (94%) by means of immunoblotting. Of the 64 sera positive by immunofluorescence, 60 reacted with pyruvate dehydrogenase complex-E2 on immunoblotting, and the miniaturized enzyme inhibition assay was positive in 53 of these. The enzyme inhibition assay and enzyme-linked immunosorbent assay were calibrated to give a specificity of 100%. At this level, the sensitivities for detection of pyruvate dehydrogenase complex antibody were 83% and 87%, respectively. We found no significant changes in levels of reactivity with the enzyme inhibition assay or enzyme-linked immunosorbent assay according to disease stage. Treatment with cyclosporine was accompanied by a significant decrease in levels of antibody to pyruvate dehydrogenase complex-E2 that matched improved indexes of biochemical liver function.(ABSTRACT TRUNCATED AT 250 WORDS)

Autoantibodies↗

Phonological primitives: electromyographic speech error evidence.

Speech error data have been used to argue for the psychological reality of distinctive features and phonemes as well as the hierarchical ordering levels of processing for speech production. The models of production that have emerged from analysis of these data are nearly unanimous in characterizing (implicitly or explicitly) the motor output level as entirely governed by prior selection and processing of larger units, especially the phoneme. This study reports on the laboratory elicitation of sublexical speech errors by means of tongue twisters. Simultaneous audio and electromyographic recordings were analyzed. Where possible, single-motor unit discrimination was carried out to preclude the possibility of signal contamination by activation of adjacent musculature. The results indicate that traditional methods of data collection on which most speech error corpora are based are inadequate. Production models based on these corpora are not supported by the electromyographic data and must accordingly be revised.

Attention↗

Molecular analysis of the RNA and protein components recognized by anti-La(SS-B) autoantibodies.

The aim of this study was to determine whether sera with autoantibodies to the La(SS-B) nuclear antigen react with the same or different sets of cellular or viral ribonucleoproteins (RNPs) and whether patients with anti-La(SS-B) comprised a homogeneous group with respect to phenotypic and serological markers. The 34 anti-La(SS-B) sera studied were detected in the course of screening 2,000 sera referred from patients with suspected or defined multisystem autoimmune disease. Analysis of the molecular components of the small nuclear (sn) RNPs isolated from immune complexes developed in vitro between the IgG fractions of the anti-La(SS-B) sera and cell lines selected for their content of viral and cellular (non-viral) RNA showed that all 34 anti-La(SS-B) sera reacted with the same group of cellular RNAs and with two viral RNAs encoded by Epstein-Barr virus. The La(SS-B) RNPs contained one major 50,000 dalton antigenic polypeptide that resolved into 5-6 heterogeneously charged isospecies on two-dimensional immunoblots. In addition to anti-La(SS-B) reactivity, all 34 sera were shown to contain anti-Ro(SS-A) activity by counterimmunoelectrophoresis (CIEP); however, with three exceptions, the antigenic Ro(SS-A) polypeptide was not detectable by immunoblotting. The homogeneity of this group with anti-La(SS-B) was indicated by the findings that of the 34 cases 31 (88%) had hypergammaglobulinaemia, 33 (97%) had rheumatoid factor and 27 (of 30 tested, 90%) were HLA-B8. Thus all anti-La(SS-B) sera react with the same set of RNAs associated with an antigenic 50,000 dalton nucleoprotein, and the presence of anti-La(SS-B) autoantibodies identified a homogeneous group of patients with the serological and phenotypic features of primary Sjögren's syndrome.

Antibodies, Antinuclear↗

Colony formation by T-lymphocytes infiltrating human tumours.

Cell suspensions from 10 breast cancers and 4 melanomas were cultured in soft Agar with phytohaemagglutinin-stimulated lymphocyte-conditioned medium (PHA-LCM). Between 3 and 10 days, some of the plated cells formed colonies of greater than 20 cells indentifiable as T-lymphocytes by morphology, cytochemical staining and capacity to form rosettes with sheep erythrocytes. The frequency of colony-forming T-lymphocytes was 0-32 per 2 X 10(5) viable cells plated, and correlated with the degree of lymphocytic infiltration within the tumour. This cloning procedure appeared to select for a subpopulation of T-cells which is well represented within primary tumours. It should prove useful for investigating lymphocyte tumour relationships in vivo.

Breast Neoplasms↗

The survival of patients with malignant melanoma receiving BCG with or without chemotherapy.

The effects of treatment by immunotherapy and chemoimmunotherapy were assessed in 31 non-randomized patients with melanoma; 16 received only BCG and 15 BCG and chemotherapy. For advanced cases, the times of survival for the two treatment groups did not differ significantly, nor did there appear to be any improvement in survival over that recorded for the natural course of the disease. The pretreatment immune status as judged by hyporeactivity or normal reactivity to skin tests for delayed type hypersensitivity did not appear to influence survival. This study, together with other reports, does not support the use of immunotherapy in advanced melanoma. Immunotherapy for early melanoma is still to be assessed.

BCG Vaccine↗

Tenseness in vowels: an ultrasonic study.

Ultrasonic imaging was used to measure the distance from the external neck wall to the anterior pharyngeal wall (APW). Measurements were made in the centre of the vocalic segment of 50 CVC syllables. 5 'tense' and 5 'lax' vowels of Standard American English were used. The APW was shown to position itself according to a combination of tongue height, frontness and 'tenseness' of the vowel, and coarticulation effects of neighbouring consonants. Tense vowels showed APW advancement compared to lax vowels having similar tongue height and frontness. Coarticulation effects depend on voicing and place of articulation. The ultrasonic equipment used is described briefly. Implications for distinctive feature theory are mentioned.

Humans↗