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Biomedical subjects

J A Magner

Publications and source records attributed to J A Magner.

42 records · Page 3Linked to original sources

Reversible growth hormone deficiency and delayed puberty triggered by a stressful experience in a young adult.

Growth retardation and delayed puberty developed in a young man after emotional trauma at age 12 years, three months. He had an eating disorder, was profoundly malnourished for several months, and then resumed eating spontaneously. Deficient secretion of growth hormone was documented during multiple arginine-insulin tolerance tests, and gonadotropin levels were low. These hormonal deficits persisted for many years in spite of good nutrition and lack of abuse, a course inconsistent with psychosocial dwarfism or effects of malnutrition per se. Later the patient spontaneously achieved normal height and secondary sexual characteristics. Apparently, psychic trauma induced a deranged hormonal state that persisted for several years.

Child↗

Carbohydrate processing of thyrotropin differs from that of free alpha-subunit and total glycoproteins in microsomal subfractions of mouse pituitary tumor.

We have determined the structures of high mannose (Man) oligosaccharide units of TSH, free alpha-subunit, and non-TSH-related total glycoproteins (TP) within microsomal subfractions of mouse thyrotropic tumor. Tumor minces were incubated with D-[2-3H]Man, homogenized, and subfractionated into rough endoplasmic reticulum (RER) as well as proximal and distal smooth endoplasmic reticulum/Golgi apparatus. TSH subunits and TP were precipitated from these fractions, and high Man units released by endoglycosidase H were analyzed by paper chromatography. Glc3Man9GlcNAc2 (Glc = glucose; GlcNAc = N-acetylglucosamine) was not detected in TSH subunit precursors in any fraction, but was detected in TP. Glc1Man9GlcNAc2 accumulated in TSH with chase, but only small amounts were detected in free alpha-subunit and TP. Trimming of Man9GlcNAc2 to Man8GlcNAc2 began in RER before 1 h for all species, but the rate of Man trimming was rapid for free alpha-subunit, moderate for TSH, and slow for TP. Man8GlcNAc2 was a rate-limiting step in processing for all species in the RER. Man5GlcNAc2 was a second major rate-limiting step in processing of free alpha-subunits only and accumulated in distal smooth endoplasmic reticulum/Golgi apparatus. Other studies in progress suggest that a function of the thyrotroph is to modulate the structure of TSH oligosaccharide units during biosynthesis to achieve mature hormone with physiologically appropriate metabolic clearance and intrinsic biological activity. The present study supports this notion, since we found that the qualitative nature and kinetics of processing differ for oligosaccharide units of TSH, free alpha-subunit and TP within the microsomes.

Animals↗

Thyroid-stimulating hormone subunit processing and combination in microsomal subfractions of mouse pituitary tumor.

Mouse pituitary thyrotropic tumor minces were labeled with [35S]methionine and fractionated into rough microsomes, intermediate, and low density smooth microsomes. Thyroid-stimulating hormone subunits were mainly in rough microsomes after a 10-min pulse, but with increasing chase times the proportion in smooth microsomes increased. In rough microsomes, small amounts of an alpha subunit precursor of Mr = 11,000 and larger amounts of an alpha form of Mr = 18,000 were rapidly processed to a form of Mr = 21,000, while small amounts of a beta-subunit precursor of M r = 11,000 were processed to a form of Mr = 18,000. Most of the Mr = 18,000 and Mr = 21,000 subunit forms were converted by endoglycosidase H to forms of Mr = 11,000 to 12,000. Small amounts of endoglycosidase H-resistant forms appeared in low density smooth microsomes after a 30-min chase. Subunit combination was not detected at 10 min; combination was first detected at 20 min and increased progressively to a maximum of 61% of beta in the low density smooth microsomes at 60 min of chase. Although alpha of Mr = 11,000 and 18,000, and beta of Mr - 11,000, were not detected in thyroid-stimulating hormone, both endoglycosidase H-sensitive and -resistant alpha subunit of Mr = 21,000 and beta subunit of Mr = 18,000 were found combined. Thus, the rough endoplasmic reticulum (ER) contains only small amounts of nonglycosylated subunits (Mr = 11,000). The major subunit precursors contain one high mannose oligosaccharide (Mr = 18,000), with a second unit being added onto alpha in the rough ER. Combination of alpha (Mr = 21,000) with beta (Mr = 18,000) begins in the rough ER but occurs predominantly in the smooth ER/Golgi. Oligosaccharides of both combined and uncombined subunits are processed from high mannose to complex forms predominantly in the smooth ER/Golgi.

Animals↗

Improved control of non-insulin-dependent diabetes mellitus by combined halofenate and chlorpropamide therapy.

Combined halofenate-chlorpropamide was evaluated for the treatment of NIDDM. Four subjects treated with 500 mg/day chlorpropamide were given 500-1000 mg halofenate daily for 48 wk or longer. Fasting plasma glucose fell from 210 +/- 16 (+/- SEM) (11.67 +/- 0.89 mM) to 107 +/- 10 mg/dl (+/- SEM) (5.94 +/- 0.55 mM), P less than 0.005. Twelve additional subjects were entered into a 16-wk double-blind study testing chlorpropamide plus either placebo or halofenate. In the halofenate group, the mean fasting glucose fell from 227 +/- 27 (+/- SEM) (12.61 +/- 1.50 mM) and reached 107 +/- 19 mg/dl (+/- SEM) (5.94 +/- 1.06 mM) during the fourth month, whereas the placebo groups showed a decrease from 242 +/- 22 (+/- SEM) to 208 +/- 29 mg/dl (+/- SEM) (P less than 0.005). In addition, halofenate reduced the height of postprandial glycemic excursions by lowering fasting plasma glucose. When halofenate was used as the only therapy, reduction in fasting plasma glucose was small [179 +/- 12 reduced to 142 +/- 8 mg/dl (+/- SEM); 9.94 +/- 0.67 mM and 7.89 +/- 0.44 mM], P less than 0.05.

Blood Glucose↗