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Biomedical subjects

J Foerster

Publications and source records attributed to J Foerster.

35 records · Page 2Linked to original sources

[Activity of NK in elderly people].

Optimally healthy elderly persons, selected according to Senior Protocol criteria, aged 60-93 years were characterized by as high level of NK activity as their young adult, 20-35 years old, counterparts. NK activity of the nearly optimally healthy elderly persons of the corresponding age was significantly lower than that of optimally healthy ones. The lowest values of NK activity were noted for the elderly persons suffering from recurring infections of the respiratory tract.

Aged↗

An ELISA procedure to detect anti-double-stranded and anti-single-stranded DNA binding antibodies in connective tissue disorders.

A simple and sensitive enzyme-linked immunosorbent assay (ELISA) is described for the measurement of antibodies to native DNA (double-stranded) and to heat-denatured DNA (single-stranded) in sera of patients with connective tissue disorders. DNA bound to polyvinylchloride plates is incubated with serum samples, and antibodies to both single- and double-stranded DNA are detected by means of goat antihuman IgG alkaline phosphatase conjugate. The binding in individual sera is expressed as binding units per milliliter and refers to the absorbance in relation to the absorbance value obtained with a set of standards. The various parameters of the ELISA assay are described, and the results are compared with results of the Crithidia and Farr DNA antibody assays. Two case reports are discussed.

Adult↗

Intra-aortic balloon counterpulsation: rationale, application and results.

Intra-aortic balloon counterpulsation is an effective means of reducing myocardial ischemia and supporting the failing circulation. Its therapeutic benefits are the direct result of distolic augmentation and systolic unloading, the former increasing myocardial perfusion and the latter enhancing cardiac performance. Indirect effect include diminution of ischemia by decrease in the determinants of myocardial oxygen demand and improved ventricular function secondary to the decreased ischemia. Intra-aortic balloon counterpulsation is indicated in clinical syndromes related to intractable cardiac ischemia, including myocardial infarction shock and severe left ventricular failure, refractory ischemic pains, and ventricular arrhythmias unresponsive to medical management. It is also of importance in other situations associated with low cardiac output. This therapeutic modality has recently been considered for early use in extensive myocardial infarction to limit cardiac damage and avert complications. Recent technical advances have facilitated the ease and safety of application of intra-aorta balloon counterpulsation. Complication are of low frequency but can be serious and employment of the method is predicated upon consideration of both potential benefits and risks.

Acute Disease↗

Transfer of responsiveness to hapten conjugates of poly-L-lysine and of a copolymer of L-glutamic acid and L-lysine to lethally irradiated nonresponder guinea pigs by bone marrow or lymph node and spleen cells from responder guinea pigs.

Hartley guinea pigs genetically unresponsive to hapten-PLL (poly-L-lysine) conjugates were lethally irradiated and given allogeneic bone marrow from Hartley responder animals. Many of the animals died of graft versus host disease before their response to 2,4-dinitrophenyl-PLL (DNP-PLL) could be measured. The immune response of the surviving recipient animals was evaluated by anti-DNP antibody production, development of delayed hypersensitivity to DNP-poly-L-lysine, as well as by lymph node cell stimulation in vitro by this antigen. 12 of 14 recipient animals thus treated made an immune response as measured by 2 of the 3 parameters. Strain 13 guinea pigs, genetically unable to respond immunologically to DNP-PLL and to DNP-GL (2,4-dinitrophenyl-L-glutamic acid L-lysine copolymer) were lethally irradiated and given bone marrow from (2 x 13) F(1) responder animals or strain 13 bone marrow and (2 x 13) F(1) lymph node and spleen cells. A high proportion of the animals survived this procedure; no evidence of graft versus host disease was observed. Three of three strain 13 animals irradiated and, given strain 13 bone marrow and (2 x 13) F(1) lymph node and spleen, and then immunized with DNP-PL, made a specific immune response. 7 of 10 irradiated strain 13 animals given strain 13 bone marrow and (2 x 13) F(1) lymph node and spleen made an immune response to DNP-GL. However, only one of six irradiated strain 13 animals made a vigorous immune response to DNP-GL after reconstitution with (2 x 13) F(1) bone marrow alone. The ability to transfer the immune response to PLL antigens from responder to nonresponder animals demonstrates unequivocally that the defect in the non-responder animals is immunological rather than due to some other type of non-immunological mechanism. The bone marrow contains all the immunological cells necessary for the expression of the PLL gene. However, the finding that (2 x 13) F(1) lymph node and spleen cells were more effective than (2 x 13)F(1) bone marrow cell populations (known to be a rich source of monocyte precursors) suggests that the cells in which the PLL gene function is expressed may be lymphocytes rather than monocytes and macrophages.

Animals↗

A quantitative study of the stimulation of DNA synthesis in lymph node cell cultures by anti-lymphocyte serum, anti-gamma globulin serum, specific antigen, and phytohemagglutinin.

Rabbit anti-guinea pig lymphocyte serum is an efficient stimulus of the synthesis of DNA by guinea pig lymph node cells in vitro. The ability of ALS to stimulate lymphocytes is characterized by its lack of dependence on prior sensitization, the magnitude of the response it elicits, and the stimulation of all sensitive lymph node cells simultaneously within a very narrow range of ALS concentrations. In contrast to this homogeneous response to ALS, the stimulation of lymph node cells by antigen proceeds in graded fashion over a wide range of concentrations, thus reflecting the heterogeneity of the response of sensitized cells to antigen. PHA gives a response which is intermediate between that of ALS and antigen. ALS appears to have specificity for membrane determinants shared by lymphocytes but not found on other tissues. This specificity does not involve cell-bound gamma globulin. The serum activity mediating lymphocyte stimulation as well as cytotoxicity is readily removed by absorption with lymph node cells.

Animals↗

Level of NK cytotoxic activity in the elderly aged more than 80 years.

A group of healthy volunteers aged 60-93 years, was evaluated with respect to their NK activity. These people have been under careful medical observation for 3 years and were selected according to Senieur Protocol criteria. NK activity of each person was checked at least three times at regular 12-month intervals with the chromium release test and twice at the same interval of time with a single cell cytotoxicity assay. NK activity of 60-79-year-old females was in a similar range of values as that of young females (20-35 years) and was lower than that of the males of the corresponding age groups. The females aged 80-88 years revealed the highest NK activity. The chronically ill 80-88-year-old females, on the other hand, were characterized by a marked decrease of NK activity in relation to their age counterparts. NK activity of both the females and males significantly declined at the age of 89-93 years. The significance of NK activity for survival is discussed.

Journal Article↗

Elderly high NK responders are characterized by intensive proliferative response to PHA and Con A and optimal health status.

In this paper we verify a hypothesis emerging from recent immunogerontological studies assuming that an elevated level of NK activity in the elderly may be regarded as a factor compensating for a decreased reactivity of T cells. According to this assumption a high NK activity should be associated with a poor reactivity of T cells. In our study the mitogenic responses of lymphocytes of the elderly and the young high and low NK responders to phytohemagglutinin (PHA) and Concanavalin A (Con A) were measured. A high level of NK activity was not found, as would be expected from the hypothesis, to be associated with a poor reactivity to PHA and Con A. In contrast, the mitogenic response to PHA and Con A was intensive in both the young and old high NK responders while weak proliferative responses to T cell mitogens were characteristic of the young and old low NK responders. Thus, our results do not support the assumption of an association between a high NK activity and a low proliferative response to T cell mitogens in the elderly. We also found that both the elderly and the young high NK responders were characterized by an optimal health status.

Journal Article↗