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Biomedical subjects

J Smith

Publications and source records attributed to J Smith.

At least 1,261 records · Page 70Linked to original sources

Prostaglandin production and cellular aging.

Prostaglandin (PG) production by human embryo lung fibroblasts (HELF) is stimulated by a number of effectors including angiotensin, thrombin, bradykinin and ascorbic acid. The types of prostaglandins produced are to a degree effector-dependent. For example, angiotensin stimulates mainly PGE2 synthesis, thrombin stimulates production of both PGE2 and prostacyclin while bradykinin and ascorbic acid stimulate production of PGE2, PGF2 alpha, prostacyclin and thromboxane A2. Upon senescence in culture, prostacyclin (PGI2) production by HELF drops dramatically in response to ascorbic or arachidonic acids. An overall drop in prostaglandin synthesis is observed with bradykinin stimulation. Prostaglandin production is also related to senescence in human skin fibroblasts (HSF). These cells produce predominantly PGI2. Prostacyclin production in response to bradykinin drops in HSF as they are obtained from individuals of increasing chronologic age. Thus our results indicate changes in prostaglandin production upon senescence, a dependency of these changes on the given stimulus and a correlation between in vivo and in culture aging with respect to prostaglandin production.

6-Ketoprostaglandin F1 alpha↗

Energy malabsorption: measurement and nutritional consequences.

Fecal energy (FE) loss was measured using bomb calorimetry in 30 patients; 14 had a history of malabsorption, while 16 had no history of intestinal dysfunction. Average digestibility (and range) of energy and FE loss were 73% (48 to 91%) and 493 kcal/day (177 to 927 kcal/day) in the group with malabsorption, compared to 96% (89 to 99%) and 74 kcal/day (8 to 146 kcal/day) in the group without malabsorption, respectively. Metabolizable energy supplied by the diet (intake kcal -- (fecal kcal + urinary kcal) was below the calculated daily energy requirement in five of seven patients with malabsorption; in three of these five subjects the combination of decreased energy intake and increased FE loss produced negative energy balance, while in the remaining two patients malabsorption alone caused negative energy balance. Inadequate metabolizable energy in these five patients was associated with weight loss and protein-energy malnutrition. The usual clinical laboratory tests applied to the study of malabsorption, including fecal fat, fecal nitrogen, and stool weight, were poor predictors of FE loss. These tests were also of limited value in assessing the effects of dietary modification on energy malabsorption. Contrastingly, bomb calorimetry provided a simple and accurate alternative in quantitatively assessing FE loss in the patient with malabsorption.

Calorimetry↗

Bursa formation an synovial chondrometaplasia associated with osteochondromas.

Two adult patients who had synovial chondromatosis occurring within bursae formed around osteochondromas are described. In spite of marked cellular atypia of the cartilage cells, the clinical course was unremarkable, pointing out the discrepancy between histologic changes and subsequent behavior in this condition. Histologic features, in addition, are not always helpful in distinguishing primary from secondary chondrometaplasia.

Adult↗

Nursing management of diabetes insipidus.

Diabetes insipidus is seen most frequently in neurosurgical patients. The transient form is more common and usually subsides prior to discharge. Permanent DI is seen in patients with extensive damage in the hypothalamic area. Treatment of either form of DI is usually with a preparation of vasopressin. Nursing assessements and interventions are crucial to a successful outcome in patients with this disorder. Health teaching for patients with permanent DI is an integral part of the nursing responsibility.

Adult↗

Radial nerve conduction in patients with carpal tunnel syndrome.

Orthodromic sensory nerve conduction was studied in the distal segment of the superficial radial nerve in 50 cases of carpal tunnel syndrome in 41 patients. In patients aged 50 years or less, the mean conduction velocity was 48.6 m/s (SD +/- 4.8), and the mean amplitude of the sensory action potential was 9.7 microV (SD +/- 4.0). For patients aged over 50 years, the corresponding values were 46.4 m/s (SD +/- 5.5) and 7.5 microV (SD + 3.5). It is important to demonstrate normal radial nerve conduction in patients with carpal tunnel syndrome in order to exclude peripheral neuropathy or cervical radiculopathy. Spread of activity from the radial nerve may be mistaken for a median nerve potential.

Adult↗

Skin fibroblast cultures derived from members of the Baltimore longitudinal study: a new resource for studies of cellular aging.

Approximately 100 human fibroblast-like cell lines derived from the upper arms of members of the Baltimore Longitudinal Study have been deposited in the Aging Cell Bank at the Institute for Medical Research, Camden, N.J. These cell lines were derived from individuals ranging from 29 to 96 years in age. The in vitro lifespan of each culture has been estimated by the distribution of colony sizes. The availability of cell lines of known proliferative potential from donors of various ages should provide an important new resource for cellular aging studies.

Adult↗

Differentiation of autonomic neuron precursors in vitro: cholinergic and adrenergic traits in cultured neural crest cells.

The development of autonomic neuronal precursors was studied in cultures of microsurgically excised quail neural crest grown alone and associated with other young embryonic tissues. Biochemical differentiation in the cultures was followed by measuring their ability to synthesize acetylcholine (ACh) and catecholamines (CA) from radioactive precursors; cytochemical aspects of their differentiation were examined by techniques including electron microscopy, cholinesterase histochemistry, and CA cytofluorescence. Mesencephalic crest, which can make ACh before explantation, always synthesized ACh after 7 d in culture and often, but not invariably, elaborated small quantities of CA as well. Association with 2-d somite and notochord, 2-d heart, or 4-d hindgut, in medium supplemented with horse serum, resulted in the synthesis of increased amounts of both transmitters. ACh-synthesizing activity was lower and the cholinergic-stimulating effects of somite and heart were abolished in the presence of fetal calf serum. Cervicothoracic (trunk) crest, taken from the level where the dorsal mesoderm is still unsegmented, always produced ACh after culture, but CA was detectable only when the cultures were obtained by initially explanting the entire neural primordium. Co-culture of trunk crest with young embryonic tissue increased ACh-synthesizing ability and initiated CA production. Despite their capacity to elaborate neurotransmitter, cultures of either type of neural crest, alone or in association with the above-mentioned tissues, contained very few cells resembling neurons in their phase contrast appearance and none that reacted positively to any of the cytological tests applied. On the other hand, when the sclerotomic moiety of 3-d somite was cultured, trunk neural crest cells that had already migrated into the rudiment in vivo but which had not yet begun to produce detectable amounts of CA underwent rapid differentiation into neurons that synthesized and accumulated large quantities of CA. Stores of CA were detectable cytochemically as early as 24 hr after explantation and the presence of many small, dense core vesicles in neurons and processes was revealed by electron microscopy. ACh-synthesizing activity, demonstrable in freshly dissected sclerotomes, was also present in all of the cultures examined. These results show that (1) during ontogeny, cholinergic traits appear earlier than adrenergic ones in the neuronal precursors contained in the neural crest; (2) some decisive step in the differentiation of the precursor cells of the sympathetic ganglia takes place in vivo within a few hours of the onset of trunk neural crest migration. This coincides with a maturation of the somitic mesenchyme. A similar developmental process does not occur in vitro when 2-d somites and neural crest are associated in histiotypic cultures.

Acetylcholine↗

The effect of plasma exchange on the in vitro monocyte function of patients with immune complex diseases.

In vitro function tests were performed on peripheral blood monocytes isolated from patients with putative immune complex diseases undergoing therapeutic plasma exchange. Bacterial killing by monocytes improved significantly after plasma exchange (pre: 29 +/- 5%; post: 39 +/- 3%). The intracellular content of the acid hydrolase N-acetylglucosaminidase (NAG) after in vitro culture rose significantly following plasma exchange (pre: 48.3 +/- 21 nmol mg protein-1 hr-1; post: 76.6 +/- 30.6), although the amount of NAG released into the supernatant was unchanged. Plasma exchange also resulted in reduced levels of immune complexes (IC) and clinical improvement in most patients. The beneficial effect of plasma exchange in patients with IC diseases may be partly due to removal of IC which are known to influence the functional activity of cells of the mononuclear macrophage series.

Acetylglucosaminidase↗