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Biomedical subjects

J Vogel

Publications and source records attributed to J Vogel.

At least 235 records · Page 13Linked to original sources

Structure and function of three novel MHC class I antigens derived from a C3H ultraviolet-induced fibrosarcoma.

The UV-induced, C3H fibrosarcoma, 1591, expresses at least three unique MHC class I antigens not found on normal C3H tissue. Here we report the complete DNA sequence of the three novel class I genes encoding these molecules, and describe in detail the recognition of the individual products by tumor-reactive and allospecific CTL. Remarkably, although C3H does not appear to express H-2L locus information, this C3H tumor expresses two distinct antigens, termed A149 and A166, which are extremely homologous to each other and to the H-2Ld antigen from BALB/c. The gene encoding the third novel class I antigen from 1591, A216, is quite homologous to H-2Kk) throughout its 3' end. Since all three of these genes account for polymorphic restriction fragments not found in C3H, it is likely that they were derived by recombination from the endogenous class I genes of C3H. The DNA sequence homology of A149, A166, and H-2Ld is especially significant given the functional conservation observed between the products of these genes. Limited sequence substitutions appear to correlate with some of the discrete serological differences observed between these molecules. In addition, both A149 and A166 crossreact, but to differing extents, with H-2Ld at the level of T cell recognition. Our results are consistent with the view that CTL recognize complex conformational determinants on class I molecules, but extend previous observations by comparing a set of antigens with discrete and overlapping structural and functional differences.

Animals↗

Entry of acetyl-L-carnitine into biosynthetic pathways.

[1-14C]Acetyl-L-carnitine was injected into fed and fasted mice and the time-course of distribution of 14C in various tissues and tissue components was determined. The major product was 14CO2. However, considerable quantities of radioactivity were localized in liver with much smaller quantities in heart, brain, skeletal muscle and kidney. Most of the 14C in liver was located in the fatty acids of phospholipids and triacylglycerols within 10 min after injection. The data demonstrate that the acetyl moiety of acetylcarnitine rapidly enters lipid biosynthetic pools in liver.

Acetates↗

A transcriptional enhancer and an interferon-responsive sequence in major histocompatibility complex class I genes.

The major histocompatibility complex class I antigens play an indispensable role in cell-cell interactions. Perturbation of their expression has been shown to have deleterious physiological consequences, including the escape of transformed cells from immune detection. In an attempt to understand how class I genes are regulated, we dissected the Ld gene to identify potential control regions. By using a test vector containing the simian virus 40 early promoter placed upstream of the bacterial chloramphenicol acetyltransferase (cat) gene, we demonstrated the presence of a transcriptional enhancer within the 5'-flanking region. The sequence is functional in both orientations and has been mapped within 350 base pairs upstream of the Ld transcriptional start site. Although human adenovirus 12 can suppress endogenous class I genes, it cannot down-regulate the activity of the transiently transfected cat gene which has been placed under the control of the Ld enhancer and promoter. Our results suggested that if the human adenovirus 12-induced function regulates the expression of class I genes by a trans mechanism, then its target site must not be within 1.9 kilobases of the 5'-flanking region. Treatment of cells with interferon increases the accumulation of class I transcripts. Expression of the cat gene under the control of the Ld enhancer and promoter also can be up-regulated by interferon. Our study shows that the target sequence required for this enhancement resides, at least in part, within the same 350-base pair segment which contains the transcriptional enhancer.

Adenoviruses, Human↗

Aneurysmal hemorrhage of the kidney caused by angioleiomyoma.

A small angioleiomyoma consisting of proliferating smooth muscle cells and vessels caused macrohematuria in a 52-year-old female patient. The locally ill-defined tumor in the fatty tissue of the renal pelvis immured small arteries and veins as well as an interlobar artery, and caused damage to the vascular walls accompanied by the development of aneurysm, perforation and fistulation into the renal pelvis, by mechanisms open to various pathogenetic interpretations. Preoperative radiological diagnosis yielded a subcapsular hematoma, and showed more intense contrast medium staining of the upper renal pole. Dysontogenetic tumors are most frequently located in the renal cortex and are capable of locally destructive growth. They are usually well defined and of nodular structure. As, in our case, an exact diagnostic assessment of the process was lacking and both the location and growth pattern of the tumor were atypical, an organ-preserving resection was deemed unsuitable and nephrectomy was performed.

Aneurysm↗

Clinical results of immunoscintigraphy in a variety of malignant tumors with special reference to immunohistochemistry.

Radioimmunoscintigraphy was performed in 52 patients with a variety of malignant tumors (colorectal, melanoma, lung, testicular, ovarian, bladder, carcinoid). Respective antibodies or their F(ab')2 fragments against CEA (n = 23), melanoma antigen 225.28 S (n = 18), TPA (n = 4), beta HCG (n = 5) and HMFG2 (n = 2) were selected by immunohistochemistry of the primary tumor. Most patients were suspected of recurrence or of hitherto unknown distant or local metastases. Overall accuracy was 61% (32/52). False negatives amounted to 33% (17/52). Useful additional clinical information-not available by CT, ultrasonics or serum levels of tumor markers-was obtained in 17 out of 52 patients (= 33%). From these results it seems obvious that antibodies used for radioimmunoscintigraphy should be selected on the basis of immunohistochemistry.

Antibodies, Monoclonal↗

TUR-prostatitis. Histological and immunohistochemical observations on a special type of granulomatous prostatitis.

On discussion of etiology and clinical significance of nonspecific granulomatous prostatitis versus specific forms, most recently in particular, nodular-histiocytic, granulomatous patterns have been described, which were found mainly after electrosurgical transurethral resection for prostatic hyperplasia. In our own studies, the different developmental stages of this type of granulomatous prostatitis were examined. In the initial stage, there is a superficial thermonecrosis with carbonizations, which, sometimes over a period of several months, is resorbed by a cell-rich granulation tissue and finally ends in a fibre-rich, sclerosed cicatrization. With iron stainings, in almost all cases characteristic carbonization inclusions can be detected. The differential diagnosis of centrally caseating tuberculosis and rheumatoid nodules is considered. Immunohistochemical analyses have shown that with increasing glandular destruction in the course of the purulent-granulomatous and sclerosing form of inflammation, the epithelial reaction to prostate specific antigen markers decreases. The diagnosis of the so-called TUR-caused granulomatous prostatitis is of clinical significance because, in this case, any nonspecific therapeutic management will be superfluous. On the other hand, the granulomatous, carbonized processes can be removed by so-called cold biopsies, and thus the cause of the chronic inflammatory process can be eliminated very soon.

Antigens↗

Effect of meptazinol on drug absorption and gastric emptying.

The rate of paracetamol absorption after oral administration was used as an indirect estimate of the rate of gastric emptying in 24 patients before minor surgery. Patients who received 10 mg morphine or 100 mg meptazinol i.m. had significantly delayed absorption as shown by a lower peak concentration and a delayed time to peak. The mean AUC at 90 min was 1,590, 642 and 159 micrograms min ml-1 after saline, morphine and meptazinol respectively. Meptazinol delayed paracetamol absorption more than morphine.

Acetaminophen↗

Comparison between cell kinetical and immunohistochemical studies on carcinoma and atypia/dysplasia of urinary bladder mucosa.

Results of cell kinetic analyses on transurethrally obtained material from urinary bladder are compared with parallel immunohistochemical tests on carcinoembryonic antigen (CEA) and tissue polypeptide antigen (TPA), performed on the same material. Labelling index increases from 1.4% in slight to 20% in marked urothelial atypia. CEA reaction in slight atypia is slight or moderate, slight, moderate or distinct in atypia, and moderate to distinct in carcinoma in situ. TPA always shows moderate to distinct reactions. Cell kinetically, urothelial carcinomas yield similar gradations. They were positive for CEA in 70% and for TPA in 100%. In GO and GI carcinomas, negative and slightly positive reactions predominate, poorly differentiated lesions yield predominantly distinct reactions. In all grades, TPA ranges from slight to distinctly positive. As in cell kinetic analyses, there is a relationship between differentiation grade and stage for CEA expression. This does not apply for TPA. The results permit us to draw conclusions on the different biological and histogenetical behavior of urothelial carcinomas. There are undoubtedly differences in the behavior of papillary-exophytical and solid invasive carcinomas in terms of both cell kinetics and immunohistochemistry.

Autoradiography↗

[Value of computer tomographic determination of spleen size for the elucidation of splenic involvement within the framework of primary lymph node neoplasms].

The splenic index was determined in 155 persons, without evidence of splenic disease, in order to obtain a simple measure of splenic size. Subsequently 36 patients with malignant lymphomas and who then had their spleens removed were examined by CT. A comparison of the CT and pathological-anatomical findings showed that it is a valuable non-invasive method for diagnosing splenic involvement, having a specificity of 86%, sensitivity of 77% and accuracy of 83%.

Adolescent↗

[Whipple's disease: an important differential diagnosis in polyarthritis and fever].

Whipple's disease is frequently recognised only after numerous diagnostic sidetracks. As demonstrated by four patients polyarthritis and fever are characteristic early symptoms for many years. Early consideration of this differential diagnosis and subsequent small intestinal biopsy permit early diagnosis of the disease. Intermittent or long-term antibiotic treatment successfully removes intestinal marasmus and its accompanying symptoms.

Adult↗

[Accuracy in the diagnosis of renal masses. Computed tomography, sonography, urography, angiography].

One hundred and twelve renal masses, whose histology was confirmed at operation, as well as renal vein thrombosis and renal infiltration, were examined by urography, sonography, CT and angiography. In general the results showed good agreement. For the diagnosis of the type of tumour, its size, infiltration into the renal capsule, demonstration of regional lymph node metastases and infiltration into neighbouring organs and for the diagnosis of liver metastases, CT was superior to the other methods.

Abscess↗

Flow-cytophotometric studies in renal carcinoma.

In 36 patients with renal carcinoma ploidy and cell cycle analysis of the tumour tissues by flow cytophotometry were performed. Considering the tumour stages pT, pN, and M no relationship between stage and DNA distribution could be established. With reference to the histological grading, grade I tumours showed only euploid DNA distributions, whereas grade II and III carcinomas exhibited both euploid and aneuploid DNA patterns. Whether ploidy analysis is correlated with the prognosis of the tumour disease remains to be determined.

Adenocarcinoma↗