Search PubMed⌕ Search

Biomedical subjects

J Vogel

Publications and source records attributed to J Vogel.

At least 217 records · Page 12Linked to original sources

[Immunocytochemical detection of the estrogen receptor and lectin binding sites in tumor cell colonies growing in vitro].

Since it became clear that tumor cell colonies growing in soft agar are closely related to embryonic tumor cells, it has been possible to examine, with the aid of immunohistochemical methods, the behavior of estrogen receptors (ER) and lectin binding sites on those tumor components which determine malignant growth. With this aim in mind, 14 breast cancers, four ovarian cancers, and one corpus cancer with ER concentrations known from DCC studies were cultured in a colony assay. Using immunohistochemical techniques it was possible, after preparing permanent cultures, to demonstrate the estrogen receptors and lectin binding sites on the tumor cell colonies cultured in vitro.

Breast↗

Multiple endocrine neoplasia induced by the promiscuous expression of a viral oncogene.

There is increasing evidence for the importance of events that govern and influence the interaction between the transformed cell and its host being ultimately responsible for the establishment of the cancer phenotype. To derive an animal model that will allow us to define some of these phenomena at the molecular level, we have chosen to induce the expression of a viral oncogene in all tissue types, with the hope of identifying sites that are more susceptible to malignant transformation. When the gene for simian virus 40 large tumor antigen (T antigen) was placed under the control of a major histocompatibility complex class I gene enhancer, the resulting transgenic mice not only developed choroid plexus papillomas, as seen with wild-type simian virus 40, but also lymphoid hyperplasia and multiple endocrine neoplasias. The development of lymphoid hyperplasia was preceded by an elevated level of expression of T antigen in these tissues at an early age. Surprisingly, the striking thymic hyperplasia has not been observed to progress toward malignancy. The multiple endocrine neoplasias developed later in life and involved the pancreas, pituitary, thyroid, adrenals, and testes. While not preceded by an elevated level of expression of T antigen, once endocrine tumors appeared they quickly progressed toward malignant growth. Although other tissues also exhibited a basal level of expression of the viral oncogene similar to that detected in endocrine tissues, they rarely developed tumors. This transgenic mouse model seems particularly suitable for a molecular understanding of events responsible for certain tissue types being so much more susceptible to neoplastic conversion, with others being so refractory.

Animals↗

Comparison between tissue antigen analysis and plasma determinations for TPA and CEA in transitional cell carcinomas and in tumorfree urothelium of the urinary bladder.

Plasma determinations for TPA and CEA resulted in a sensitivity of 90% and 19-42%, respectively, for urothelial bladder cancer. By immunohistochemical staining TPA was positive in 100% and CEA in about 80% of the cases. The CEA staining in cancer tissue seemed to correlate with the WHO grade. Because TPA resulted in strong positive staining and high sensitivity in the plasma, contrary to CEA, showing less positive staining and a lower sensitivity, there seemed to be a good correlation between staining and plasma sensitivity for both markers.

Antigens, Neoplasm↗

Multinucleated giant cells in malignant phyllodes tumor of the breast.

A case of malignant phyllodes tumor of the breast with unique multinucleated giant cells is reported. The possible nature of the giant cells is discussed briefly. The existence of such giant cells makes judgement of the tumor difficult, so that diagnosis must also be based on other histological criteria of malignancy.

Breast Neoplasms↗

[Fibrous polyp of the ureter].

Benign tumors in the upper parts of the urinary tract are rare. The clinical symptoms of flank pain and/or macrohematuria often present problems concerning differential diagnosis. As radiological sign the smoothly bound filling defect with possible ureter obstruction is characteristic but not convincing. Therefore the diagnosis can only be made by operation and a simultaneous histological analysis. This report is based on a female patient with symptoms of flank pain and macrohematuria. By operative exploration a fibrous ureteral polyp was found which was then excised through an ureterotomy.

Female↗

Prediction of the metabolic cost of exercise from measurements during recovery.

This study was designed to determine if post exercise recovery measurements could be used to predict oxygen uptake (VO2), minute ventilation (VE) and heart rates (HR) during exercise. VO2, VE and HR were measured in 11 healthy males during the last minute of treadmill running and during standing recovery. Since it is often impractical to collect data during the first 15 s of recovery in the field, the equations which best predicted the observed last-minute exercise values were obtained from enhanced linear least squares regressions of data collected between 15 and 60 s after cessation of exercise. In a separate validation experiment the mean (S.E.) difference between predicted and observed values for VO2, VE, and HR were 0.08 (0.06) L.min-1, 1.0 (5.1) L.min-1, and 2.2 (1.4) beats.min-1, respectively. We conclude that the equations described in this study may be used to estimate the metabolic cost of exercise in situations where it is impossible to make direct measurements.

Adult↗

Accuracy of methods estimating calcium and phosphorus intake in daily diets.

Three different methods of estimating calcium and phosphorus content were compared with the chemical analysis of 20 daily diets taken from general hospital and cafeteria menus, individual food records, and menus designed for research. Comparisons of chemical analyses with estimated values showed an insignificant trend toward underestimation of calcium content; all methods significantly underestimated phosphorus content. On the average, estimates of phosphorus content deviated from actual by approximately 250 mg/day. Diets with a greater proportion of processed, convenience, or restaurant foods deviated by more than 350 mg/day. Our findings suggest that estimates of calcium intake calculated from available food composition tables are within an acceptable range of error; however, phosphorus intake is significantly underestimated by 15% to 25% of the actual level. For accurate calculation of phosphorus content, nutrient composition sources must be updated to reflect present industrial use of phosphate-containing additives.

Calcium, Dietary↗

[Metastases of a medullary carcinoma of the thyroid (follicular variant). Diagnosis and therapy using radioiodine].

Six years after surgery and radioiodine treatment of a medullary thyroid carcinoma a woman patient developed pulmonary metastases with radioiodine uptake. These were treated with 11.7 GBq (twice 150 mCi) 131I. Retrospective immunohistochemistry of the primary tumour revealed a mixed medullary and follicular pattern. Since it is likely that in patients having such follicular variants of medullary thyroid carcinoma the metastases are of a similar pattern, immunohistochemistry should aim at identifying follicular structure, followed by initiation of whole body scintigraphy and radioiodine treatment if appropriate.

Adult↗

[Scintigraphic detection of malignancies with radioactively labelled tumor antibodies. Clinical results based on immunohistochemical research].

69 patients with different tumors (colorectal, melanoma, testicle, ovary, bladder, carcinoid, lungs) were investigated by radioimmunoscintigraphy. The corresponding antibodies or their F(ab')2 fragments against CEA (n = 30), melanoma antigen (n = 25), TPA (n = 6), beta-HCG (n = 5), HMFG-2 (n = 2) and CEA/CA 19-9 (n = 1) were selected on the basis of immunohistochemical investigations of the primary tumors. The precision was 62%, and the number of false-negative findings was 32%. Additional clinical information (detection or exclusion of a suspected recurrence) could be obtained in 22 patients. From these results, it can be concluded that the corresponding tumor antibodies should be selected on the basis of immunohistochemical investigations of the primary tumor before performing radioimmunoscintigraphy to screen for recurrences or metastases.

Antibodies, Monoclonal↗

[Aspergillosis following liver transplantation as a hospital infection].

In the first four weeks after a liver transplantation, there was an invasive aspergillosis with a lethal course in three out of five patients who were treated postoperatively in the same room. The clinical symptoms were very different. One patient was asymptomatic, and the diagnosis could only be made by autopsy. In another patient, pulmonary symptoms, and in the third patient, cerebral symptoms were the most prominent. In the two latter patients, the infection was demonstrated in the sputum and by bronchoalveolar lavage. The disease course was fulminant in all patients, and therapy was without success. Owing to this high incidence, mycological investigations were carried out on the ward. A flower bench in the hall beside the ward was probably the main focus of distribution. To avoid such nosocomial infections, foci of aspergillus distribution should if possible be removed from the surroundings of patients with weakened immune resistance.

Adult↗

Experimental strategies for modification of histocompatibility antigens in tumor cells.

Cancer may be thought of as an immunological disorder that arises because certain 'transformed' cells, endowed with the propensity to divide, have learned to evade detection by the immune system. The prospect of intervention by 'immunotherapy' depends very much on our ability to either [1] render cancer cells more recognizable to the immune system, or [2] potentiate the immune system towards a more effective recognition of cancer cells. There is now direct evidence that suppression of the major histocompatibility complex class I antigens, a family of cell-surface glycoproteins required for the presentation of cancer cells to the immune system, is directly responsible for the ability of tumor cells to escape immune surveillance. It has been shown that cancer cells can be made immunogenic either by the expression of an exogenous class I gene introduced by DNA-mediated gene transfer, or by the derepression of endogenous class I genes with interferon; these cells are efficiently rejected by the immune system. Even more interesting is the finding that the immune system can be potentiated to reject tumors by immunization with homologous tumor cells that have been manipulated to express normal levels of class I antigens. Since increasing numbers of human tumors have been found to have greatly reduced levels of class I antigens, these findings suggest a direct route to immunotherapy that involves debulking of the tumor mass, raising the level of class I antigens in a small number of explanted tumor cells, and re-immunizing the host.

Animals↗

[Results and complications of CT-guided puncture biopsies with a wide-lumen puncture needle].

The results obtained in 187 CT-guided biopsies using a wide lumen needle are described. Biopsies in the thorax, abdomen, retroperitoneum and in the pelvis have been evaluated. A retrospective analysis of the material has shown an accuracy of 97.8% and sensitivity of 95.8%. The total complication rate was 8%. Amongst 120 biopsies in the thorax, 6.6% developed a pneumothorax. Therapeutic drainage was carried out in fifteen patients.

Abdomen↗

[MR tomography in lymphatic and leukemic bone marrow infiltrations. A comparison with scintigraphy and conventional x-ray diagnosis].

MR is the only noninvasive procedure that can demonstrate changes in the medullary space. If it is combined with bone marrow scintigraphy and conventional x-ray film diagnostics, it can yield a comprehensive diagnosis of bone marrow infiltrations in the regions of the pelvis, thighs and lumbar vertebral column in leukaemia or malignant lymphomas. The T1 relaxation times of the malignant infiltrations are enhanced compared with normal fatty marrow. MR tomography of the bone marrow is particularly suitable for determining the therapy or follow-up control of a malignant systemic disease.

Bone Marrow↗