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Biomedical subjects

K Meyers

Publications and source records attributed to K Meyers.

At least 55 records · Page 3Linked to original sources

Identification of dense granule specific membrane proteins in bovine platelets that are absent in the Chediak-Higashi syndrome.

Platelets from cattle with the Chediak-Higashi syndrome (CHS) have a platelet dense granule deficiency. One hypothesis for the platelet dense granule deficiency is that the granule is simply not formed in CHS megakaryocytes (MK). Alternative hypotheses include that the granule is assembled in CHS MK but a functional amino-nucleotide-cation storage complex cannot be formed or that the dense granule or its precursor fuses with other granules. This study was undertaken to determine if membrane proteins specific for platelet dense granules can be identified in membranes of other granules in CHS platelets. Platelets were disrupted; a mixed-granule fraction and alpha-granule enriched, mitochondrial-enriched, and dense granule-enriched subfractions were obtained. Membrane proteins in these intact granules were radiolabeled and the granule underwent hypotonic lysis. Membrane proteins were extracted from granule "ghosts", separated, and then visualized by autoradiography. Three major proteins were identified in platelet dense granule membrane subfractions. Two of these proteins could be identified in membrane extracts from the mixed-granule fraction from normal platelets. They could neither be identified in extracts from the mixed granule fraction of CHS platelets nor in membranes from alpha granule-enriched and mitochondrial-enriched subfractions. The absence of dense granule membrane proteins in membranes of other organelles within CHS platelets suggests that fusion of dense granules or its precursor with other granules cannot account for the platelet dense granule deficiency in CHS platelets.

Animals↗

Cellular and extracellular phospholipase A2 activity in zymosan pleurisy in rat.

The pleural exudate from rats treated intrapleurally with zymosan contains phospholipase A2 (PLA2) activity which is Ca2(+)-independent and optimally active at a neutral pH. This PLA2 activity was found in approximately equal amounts in both the cellular and extracellular fractions of the exudate. The Ca2(+)-independency of the PLA2's in the pleural exudate distinguishes them from plasma PLA2's and this suggests that the source of the exudate PLA2's is not plasma. The appearance of PLA2 activity in zymosan-induced pleural exudate correlates temporally with increases in exudate volume and pleural cell number. In all cases, the maximum response was seen 24 hr after zymosan challenge. All parameters of pleurisy and PLA2 activity are similarly sensitive to the steroid dexamethasone which has been hypothesized to act, in part, through the synthesis of PLA2 inhibitory peptides. In its entirety, this information suggests that there is a relationship between pleural PLA2 activity and the appearance of pleural inflammation (exudate volume and cells) and that PLA2 may play an important role in the initiation and propagation of this inflammatory process in rats. Furthermore, the zymosan-induced pleurisy model may serve as a useful model for the identification of PLA2 inhibitors with antiinflammatory activity.

Animals↗

Training gynaecological teaching associates.

The Gynecological Teaching Associate (GTA) instructional method is recognized as excellent by the Association of Professors of Gynecology and Obstetrics Undergraduate Education Committee for the instruction of medical students and doctors in the skills required for performance of women's reproductive health evaluation (obstetric-gynaecological history, breast and pelvic examinations, and PAP smear). The method is used in over 90% of American and Canadian medical schools and thus represents a major allocation of educational resources. This success is to a large extent dependent on the quality of training programmes for the GTAs. This paper provides a description of the training programme for GTAs at the University of Illinois at Chicago which has operated successfully for the last 3 years, resulting in a group of 18 GTAs who train approximately 450 medical students and residents each year. It is hoped that this information will help medical educators and planners to develop and/or maintain their GTA programmes (or equivalent in other countries) in the fiscally difficult times facing institutions of higher learning.

Chicago↗

Mental and physical effects of being a gynecologic teaching associate.

Over 90% of medical schools in the United States and Canada use gynecologic teaching associate (GTA) programs to instruct medical students in breast and pelvic examinations. Concerns about possible deleterious emotional, psychosocial or physical effects of such teaching activities upon the GTAs were evaluated. No sustained deleterious mental or physical effects of working as a GTA were found, supporting the continued use of the GTA instructional methodology.

Faculty, Medical↗

Evaluation of a computerized version of the Diagnostic Interview Schedule.

An interactive, computerized version of the Diagnostic Interview Schedule (DIS) was completed by 135 randomly selected psychiatric inpatients and evaluated by the patients and their psychiatrists. The results showed that the majority of the patients interacted well with the computer and that the treating psychiatrists found the computer reports generally accurate and helpful. Analysis of the agreement between the computer and the psychiatrists' diagnoses yielded mixed results depending on the method of analysis chosen. The thoroughness, consistency, and broad perspective of the computer interview combined with the insight, creativity, and experience of the well-trained clinician may ultimately provide a method of diagnosis that is superior to either used alone.

Adolescent↗

Diagnosis of storage pool deficiency by determination of diadenosine 5', 5'''-P1,P4-tetraphosphate in whole blood.

Platelets from cat and cattle with Chediak-Higashi disease were found completely devoid of Ap4A as measured by high performance liquid chromatography. Using a very sensitive firefly biolumnescence method 6% of the normal content of Ap4A was, however, found in platelets from sick animals. A content of Ap A of 1.90 +/- 0.11 X 10 M (means +/- SEM, n = 10) was found in whole normal human blood as measured by firefly bioluminescense method in trichloroacetic acid extracts of the blood samples. This concentration corresponds to the contribution from the platelets, thus the contribution of Ap4A from erythrocytes and the "buffy-coat" is negligible. Using the same method an Ap4A contents in platelets of 0.063 and 0.021 nmol/mg of protein compared to the normal content of 0.42 nmol/mg of protein (1) was found in two patients with severe myeloproliferative disorder calculated in this way on basis of platelet counts and on the assumption that 10(11) platelets contain 189 mg of protein (2). Comparison of these figures with parallel HPLC analyses on acid extracts of platelets isolated from the same patient were in agreement. The storage pool deficiency of adenine nucleotides in this disease found by others on basis of release experiments (3) can thus be diagnosed by rapid and simple measurements of Ap4A in whole blood using the advantage of Ap4A being a specific components stored in dense granules.

Adenine Nucleotides↗

Circulating endotoxin-like substance(s) and altered hemostasis in horses with gastrointestinal disorders: an interim report.

Twenty-three horses with clinical signs of gastrointestinal disease were evaluated once or serially during the course of the disease for the presence or absence of circulating endotoxin-like substances (ET+ or ET-) and whether the horses were negative, positive, or very positive for serum fibrin/fibrinogen degradation products (FDP-, FDP+, or FDP++). In addition, platelet count, activated partial thromboplastin time (APTT), and 1-stage prothrombin time (OSPT) were measured. When examined initially, 5 horses were ET-/FDP-, 8 were ET-/FDP+, 7 were ET+/FDP-, 3 were ET+/FDP+, and none was ET+/FDP++. Eight horses were evaluated serially and the following changes were noted: 1 ET-/FDP- horse became ET+/FDP++; 1 ET-/FDP- horse became ET-/FDP+; 1 ET-/FDP- horse became ET+/FDP-; 2 ET-/FDP+ horses became ET+/FDP++; 1 ET+/FDP- horse became ET+/FDP+ (++); and 2 ET+/FDP- horses became ET-/FDP-. At the last examination, 4 horses were ET-/FDP- and all survived; 7 were ET-/FDP+ and only 1 was euthanatized; 5 were ET+/FDP- and only 2 were euthanatized; and 7 were ET+/FDP+ or ++, and 5 horses died or were euthanatized. The relationship between ET and FDP is discussed and a working model of endotoxemia and gastrointestinal disease in the horse is presented.

Animals↗

A muscle disorder of Labrador retrievers characterized by deficiency of type II muscle fibers.

A muscle disorder was detected in 5 Labrador Retrievers. The age of onset was less than 6 months. The clinical signs, which were exaggerated with exercise, cold, or excitement, included abnormal head and neck posture, and a stiff, forced, hopping gait. A marked deficiency of skeletal muscle mass resulted in poor conformation. Both black and yellow Labrador Retrievers were affected, and pedigree studies indicated the disorder may have been inherited as an autosomal recessive trait. Some relief of the clinical signs was afforded by treatment with diazepam. Marked creatinuria and low serum creatine phosphokinase activity were the only consistent, abnormal laboratory findings. Histologic and cytochemical examinations of muscle biopsy specimens revealed a relative predominance of type I and a deficiency of type II skeletal muscle fibers. Electromyographic studies of the affected dogs indicated a myotonic defect.

Animals↗