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Biomedical subjects

J Cohen

Publications and source records attributed to J Cohen.

At least 1,009 records · Page 56Linked to original sources

[Psychosocial problems and needs of cancer patients].

A Swedish-American epidemiological study of the psychosocial problems and needs of cancer patients have shown that the personal needs of such individuals are frequently ignored. The Swedish patients requested psychological support more often than the Americans, who instead reported a need for financial assistance. Swedish patients were very rarely offered psychiatric or psychological counselling, while many Americans felt that they had received good support from physicians and other medical personnel. Fourteen per cent of the Swedes and 2.7 per cent of the American patients had no-one to whom to turn for help. The article gives concrete recommendations for better psychosocial care of cancer patients.

Counseling↗

Human embryo research: ethics and recent progress.

This review evaluates recent developments in the application as well as legalization of human embryo research. A number of European countries, including the United Kingdom and Spain, have recently enacted comprehensive legislation to regulate embryo research. Research reviewed here was conducted either with the aim to alleviate certain medical conditions or to improve the low success rates of assisted reproductive technology. Research was usually conducted on embryos that were considered unfit for immediate transfer or unsuitable for cryopreservation. Research projects were aimed at 1) studying the metabolism of the embryo, 2) promoting embryonic viability, 3) assisting fertilization in patients with fertilization disorders, and 4) determining gene disorders in embryos from couples at risk for transmitting genetic disease.

Embryo, Mammalian↗

Breast cancer screening in a general practice.

No one diagnostic method is adequate in isolation. Until a specific non invasive test for detection of breast carcinoma is available, it is important that the family doctor maintains a high index of clinical suspicion when regularly performing breast examinations, encourages screening mammography to confirm or detect disease and refers for needle aspiration-excision biopsy earlier rather than later. A combination of these measures and a regular review by the family general practitioner will result in earlier detection of breast carcinoma with an improved prognosis for the patient.

Biopsy↗

Expression of a ciliate gene in Escherichia coli using a suppressor tRNA to read the UAA and UAG glutamine codons.

Most ciliates use a particular genetic code where the standard stop codons UAA and UAG encode glutamine. Ciliate genes cannot therefore be expressed in heterologous systems such as Escherichia coli. To overcome this problem, we worked out a system of inducible suppression to permit efficient readthrough of UAAs and UAGs: a strong UAA tRNA suppressor that inserts glutamic acid was cloned downstream from a tac promoter whose efficiency was reduced by a transcription terminator. This system proved to be operational (1) to suppress UAG mutations by wobble pairing in an E. coli lacI-lacZ gene fusion and (2) to read through at least eight UAA glutamine codons in a Paramecium alpha-tubulin gene, as detected by Western blotting and colony hybridization. This work opens the way for cloning Ciliate genes from expression libraries and for expressing particular sequences without extended in vitro mutagenesis. A similar approach can be envisaged for expression of genes from Mycoplasma, mitochondria or other genomes that use non-standard genetic codes.

Animals↗

Antisense-mediated inhibition of BCL2 protooncogene expression and leukemic cell growth and survival: comparisons of phosphodiester and phosphorothioate oligodeoxynucleotides.

Antisense oligodeoxynucleotides specific for sequences in mRNAs from the B-cell lymphoma/leukemia-2 (BCL2) gene were used to inhibit the growth in culture of a human leukemia cell line, 697. Normal phosphodiester (PO) and nuclease-resistant phosphorothioate (PS) oligodeoxynucleotides were compared with regard to specificity, potency, and kinetics. Both PO and PS antisense BCL2 oligodeoxynucleotides were specific inhibitors of cellular proliferation, since sense versions of these synthetic DNAs were inactive at similar concentrations. Specificity was further confirmed by quantitative immunofluorescence studies, showing that PO and PS antisense BCL2 oligodeoxynucleotides (when used at appropriate concentrations) reduced levels of BCL2 protein without influencing expression of HLA-DR and other control antigens. The onset of inhibition by PO oligodeoxynucleotides was faster, with reductions in cell numbers occurring within 1 day of addition to cultures, in contrast to phosphorothioates, which were ineffective until 3-4 days. Phosphorothioates were more potent that phosphodiesters, however, with half-maximal inhibition of leukemic cell growth occurring at concentrations 5-10 times lower. As expected from previous studies demonstrating the importance of BCL2 for regulating lymphoid cell survival, BCL2 antisense oligodeoxynucleotides also led to 697 leukemic cell death through sequence-specific mechanisms, with reductions in cellular viability generally lagging the inhibitory effects on cellular growth by about 2 days. Taken together, these data indicate that PO and PS oligodeoxynucleotides targeted against the human BCL2 protooncogene can be sequence-specific inhibitors of leukemic cell growth and survival.

Cell Division↗

A prospective study of hyperparathyroidism in individuals exposed to radiation in childhood.

To determine the effects of childhood irradiation on the parathyroid glands, a cohort of 4297 patients who received radiation to the tonsils before the age of 16 years has been followed-up prospectively. Among the 2923 patients who were located and provided information, 32 patients developed clinical hyperparathyroidism. The incidence of clinical hyperparathyroidism was 18.7 per 100,000 person-years below the age of 40 years and 171 per 100,000 person-years in the age range of 40 to 60 years. This represents a 2.9-fold (95% confidence interval, 1.6 to 4.3) and 2.5-fold (95% confidence interval, 1.1 to 3.9) increase in the incidence of hyperparathyroidism compared with that among the general population. In addition, 31% of the patients who developed hyperparathyroidism also developed thyroid cancer, which is higher than the 11.2% prevalence of thyroid cancer in the patients who received radiation therapy who did not develop parathyroid tumors. Patients with a history of head and neck irradiation should have their parathyroid glands evaluated on a regular basis.

Adult↗

States of aggregation and phase transformations in mixtures of phosphatidylcholine and octyl glucoside.

The result of mixing varying concentrations of the nonionic detergent octyl glucoside (OG) with small unilamellar vesicles (SUV) of egg phosphatidylcholine (PC) made by sonication depends on the ratio between OG and PC in the mixed aggregates. When this molar ratio (Re) is lower than 1.4, the detergent partitions between the PC vesicles and the aqueous medium with a partition coefficient of K = 0.033 mM-1. As a consequence of introduction of OG into the bilayers, the vesicles grow in size. The resultant vesicles have a mean diameter that is an increasing function of Re and is independent of the total PC concentration. Experiments in which the vesicles were loaded with high molecular weight dextran prior to being exposed to OG suggest that the mechanism responsible for the size growth involves lipid transfer rather than fusion. Mixtures with Re values within the range of 1.4-3.2 separate into two macroscopic phases: The lower phase is clear but very viscous. It contains constant OG and PC concentrations and is characterized by an Re value of 3.2, independent of the composition of the whole dispersion. The upper phase contains vesicles of varying concentrations of OG and PC, but a constant Re of 1.4. When the saturating level of 1.4 OG molecules per PC molecule is approached, the concentration of OG monomers in the aqueous medium reaches the value of 16.6 +/- 0.3 mM, which is the apparent cmc of OG in the lipid-containing medium. OG-PC mixed micelles contain at least 3.2 OG molecules per PC molecule. The mixed micelles present at Re = 3.2 apparently have the shape of oblate ellipsoids with a minor axis of about 2 nm and two major axes of about 25 nm. The surface area of the mixed micelles at this point is just sufficient for them to undergo conversion into the smallest possible spherical vesicles of a radius of 12 nm. At Re values above 3.2, the major axis of the mixed micelles becomes smaller as Re increases, while at values of Re below 3.2 the micelles would have been expected to grow very rapidly with decreasing Re. This may explain the partial vesicle closure occurring below Re = 3.2.

Detergents↗

[Clinical forms of genital endometriosis (excluding sterility)].

Genital endometriosis is divided into: (1) uterine endometriosis (adenomyosis) and (2) external endometriosis which may be intraperitoneal (ovaries, Fallopian tubes, peritoneum) or extraperitoneal (cervix, vagina, rectovaginal septum, vulva, perineum and inguinal ligament). Each of these forms of endometriosis has its own symptoms which depend on its location.

Endometriosis↗

The effect of prolonged incubations and heat denaturation on melphalan-induced DNA cross-links as measured by the ethidium bromide fluorescence assay.

Th ethidium bromide fluorescence assay detects DNA interstrand crosslinks following heat denaturation of DNA on the basis of a 20-25 fold enhancement of ethidium bromide fluorescence in the presence of double stranded DNA. This assay has been utilized to detect DNA cross-links produced by melphalan in lymphocytes from chronic lymphocytic leukemia patients. The percentage of DNA cross-links (C) in these cells did not vary linearly with the concentration of melphalan, possibly as a result of DNA fragmentation during a 16 h lysis to degrade RNA. In order to investigate this, DNA was exposed to melphalan and then the Ct was determined immediately after maximal DNA cross-link formation or after a 16 h incubation. The additional incubation period did not alter the linear relationship between Ct and melphalan concentration. Further, the DNA cross-links produced by melphalan does not appear to be heat labile since varying the heat denaturation period from 5 to 15 min had no effect on Ct. These results suggest that this assay can accurately quantitate the percentage of DNA cross-links produced by melphalan and that the curvilinear relationship between Ct and melphalan concentration in malignant human lymphocytes is not due to the ethidium bromide fluorescence assay.

Animals↗

Improved methods for the preparation of high molecular weight DNA from large and small scale cultures of filamentous fungi.

Improved methods are described for the isolation of pure, high molecular weight DNA from small and large scale cultures of filamentous fungi. The methods depend on the extraction of DNA under conditions which prevent nuclease activity and contamination by carbohydrate. The small scale method depends on enzymatic digestion of the wall whereas the large scale method uses partial damage followed by autolysis. High yields of DNA are obtained by both methods and the DNA is suitable for restriction analysis. Southern Blotting, RFLP analysis, dot blotting and the production of gene libraries. The small scale method can be used for the simultaneous analysis of multiple cultures.

Aspergillus↗