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Biomedical subjects

K Williams

Publications and source records attributed to K Williams.

At least 271 records · Page 15Linked to original sources

Expression of mRNAs encoding subunits of the NMDA receptor in developing rat brain.

Developmental changes in the levels of N-methyl-D-aspartate (NMDA) receptor subunit mRNAs were identified in rat brain using solution hybridization/RNase protection assays. Pronounced increases in the levels of mRNAs encoding NR1 and NR2A were seen in the cerebral cortex, hippocampus, and cerebellum between postnatal days 7 and 20. In cortex and hippocampus, the expression of NR2B mRNA was high in neonatal rats and remained relatively constant over time. In contrast, in cerebellum, the level of NR2B mRNA was highest at postnatal day 1 and declined to undetectable levels by postnatal day 28. NR2C mRNA was not detectable in cerebellum before postnatal day 11, after which it increased to reach adult levels by postnatal day 28. In cortex, the expression of NR2A and NR2B mRNAs corresponds to the previously described developmental profile of NMDA receptor subtypes having low and high affinities for ifenprodil, i.e., a delayed expression of NR2A correlating with the late expression of low-affinity ifenprodil sites. In cortex and hippocampus, the predominant splice variants of NR1 were those without the 5' insert and with or without both 3' inserts. In cerebellum, however, the major NR1 variants were those containing the 5' insert and lacking both 3' inserts. The results show that the expression of NR1 splice variants and NR2 subunits is differentially regulated in various brain regions during development. Changes in subunit expression are likely to underlie some of the changes in the functional and pharmacological properties of NMDA receptors that occur during development.

Aging↗

Phase I evaluation of zalcitabine administered to human immunodeficiency virus-infected children.

The safety, tolerability, and pharmacokinetics of zalcitabine (ddC) in a single oral dose (0.02 mg/kg) was evaluated in 23 mildly symptomatic human immunodeficiency virus-infected children (mean age, 4.2 years). After administration of ddC, blood samples were obtained at 0.5, 1, 1.5, 2, 4, 6, and 8 h for analysis. The drug was well tolerated and no side effects were noted. Plasma ddC levels were determined by ion spray liquid chromatography/tandem mass spectrometry. ddC was rapidly absorbed, with a mean maximum plasma concentration of 9.3 ng/mL (range, 3.2-14.1) attained within a mean of 1 h (range, 0.5-2.0). Mean elimination half-life was 1.4 h (range, 1.0-3.5), mean area under the plasma concentration-time curve was 25 ng.h/mL (range, 11-37), and mean total body clearance was 14.6 mL/min/kg (range, 8.9-30.6). Plasma concentrations were lower and the half-life shorter in these children than in adults given comparable doses, suggesting that ddC may be cleared more rapidly in children than adults.

Adult↗

Estimating blood alcohol from urinary alcohol at autopsy.

Urine alcohol concentration (UAC) and blood alcohol concentration (BAC) measured by gas chromatography were available from 435 medicolegal autopsies. Simple linear regression with BAC as outcome variable and UAC as predictor variable (range, 3-587 mg%) gave the regression equation BAC = -5.6 + 0.811UAC with 95% prediction interval +/- 0.026 square root of [9465804 + (UAC-213.3)2] and 99% prediction interval +/- 0.034 square root of [9465804 + (UAC-213.3)2]. The standard error of the slope was 0.013 and the 95% confidence interval for the slope 0.785-0.837. In practice, a BAC of 80 mg% is predicted with 95% certainty by a UAC of 204 mg% and similarly a BAC of 150% by a UAC of 291 mg%. The prediction interval is too wide to be helpful in the assessment of an individual case fatality. The UAC is useful in corroborating but not in predicting BAC.

Alcoholic Intoxication↗

Diagnosis and treatment of acute myocardial infarction.

Rapid diagnosis and treatment of myocardial infarction are essential for maximizing patient survival. Recent advances in early detection of creatine kinase myocardial band isoforms and other chemical markers, as well as increased use of echocardiography, magnetic resonance imaging, and nuclear imaging, have enhanced the diagnostic capabilities for providers caring for a patient suspected of myocardial infarction. In management of myocardial infarction, the focus continues to be primarily on using thrombolytics, percutaneous transluminal coronary angioplasty, and coronary bypass surgery. In addition, an array of pharmacologic agents aimed at reducing cardiac muscle damage, alleviating reperfusion injuries, and preventing thrombus formation are undergoing clinical trials. These agents may hold promise for the future treatment of myocardial infarction.

Angioplasty, Balloon, Coronary↗

Immortalization and characterization of rat microglial cells.

Microglial cell lines from rat brain were established by transfer of a temperature sensitive simian virus 40 large tumour antigen by means of a retrovirus. Four weeks after infection, colonies were generated in the presence of neomycin and granulocyte-macrophage colony stimulating factor (GM-CSF), and subsequently subcloned. Both bulk cell lines and clones proliferate actively at 33 degrees C, whereas the rate of division was significantly decreased at 39 degrees C when the large T antigen is non-functional. At 39 degrees C, these cells take on the microglial phenotype as demonstrated by immunoreactivity to ED-1 (an intracellular antigen), OX-42 (complement type 3 receptor), W3/25 (CD4 homologue), OX-6 (MHC class II antigen) and OX-18 (MHC class I antigen). These cells are capable of active phagocytosis and retain these properties for 10-15 passages. Long-term culture of these lines and clones, greater than 15 passages, displayed a gradual down-regulation of all cell surface specific antigens that were not rescued by lipopolysaccharide (LPS), interferon-gamma (gamma-IFN), GM-CSF or colony-stimulating factor-1 (CSF-1). The expression of the SV-40 large T antigen was unaffected. These results demonstrate the feasibility of immortalizing short-term cell lines with the SV-40 large T antigen for their use in the characterization of microglial properties.

Animals↗

[Keratomileusis with a lamellar microkeratome and the excimer laser].

In a combined prospective study with E. Arnott's department, intrastromal excimer keratomileusis on the lenticle stroma was performed in 15 eyes of 15 patients (follow-up 6 months). The primary keratectomy was performed using the lamellar automatic rotating microkeratome, followed by refractive modification by the excimer laser on the excised corneal discs. For the laser ablation, a repetition rate of 10 Hz and a fluence on the corneal plane of 180 mJ/cm2 was used. Following surgery, all treated eyes were subjected to guttae of Maxitrol q.i.d. for 12 weeks. Excimer laser intrastromal keratomileusis effectively combines corneal microsurgery and photoablation. The predictability of the refractive correction is better than with the other surgical keratomileusis techniques.

Adult↗

Hypertension in pregnancy.

Hypertension occurs in 7% to 10% of pregnancies. It is associated with increased risk of maternal and fetal complications. Early diagnosis in the office by careful attention to signs and symptoms could result in adequate management. Delivery provides the only care for this disease process. Recently, low-dose acetylsalicylic acid has been used in high-risk situations to prevent the development of preeclampsia.

Antihypertensive Agents↗

Antagonist properties of polyamines and bis(ethyl)polyamines at N-methyl-D-aspartate receptors.

The polyamine spermine has both stimulatory and inhibitory effects on N-methyl-D-aspartate (NMDA) receptors. At recombinant NMDA receptors, effects of spermine are dependent on the subunit composition of the receptor. In the present work we have used voltage-clamp recording to examine the effects of polyamines and bis(ethyl)polyamines on recombinant NMDA receptors expressed in Xenopus oocytes. The compounds that were studied include several bis(ethyl)polyamines that may be clinically useful as antitumor agents. A number of pentaamines and bis(ethyl)pentaamines were found to act as potent voltage-dependent antagonists at heteromeric NR1A/NR2A and NR1A/NR2B receptors, but not at NR1A/NR2C receptors. Antagonism was more pronounced in oocytes voltage-clamped at -80 mV than at -20 mV. Some polyamine analogs also potentiated responses to glutamate at NR1A/NR2B receptors at membrane potentials of -20 to +40 mV, but this effect required higher concentrations of polyamines than did inhibition seen at hyperpolarized membrane potentials. At NR1A/NR2A receptors the block seen with pentaamines and bis(ethyl)pentaamines, but not with spermine or bis(ethyl)spermine, was maximal at a membrane potential of -100 mV and was relieved at more negative as well as at more positive membrane potentials. This suggests that the mechanism of inhibition of NMDA receptors by pentaamines is different from that of spermine. Pentaamines may permeate the ion channel of NMDA receptors at very hyperpolarized membrane potentials and may be useful for studying the structural properties of NMDA receptor channels.

Animals↗

The effects of time from venepuncture and choice of anticoagulant on mean platelet volume estimations.

The Mean Platelet Volume (MPV) is a readily measured parameter using modern automated cell counters. Despite studies which indicate that MPV may be altered in various disease states, its widespread application has been hindered by its known dependence on factors such as time from venepuncture, choice of anticoagulant and sample storage temperature. In this report we describe the changes in MPV measured on a Technicon H1 analyser with time from sampling using two different anticoagulants under clinical laboratory conditions. Small changes in MPV with time were seen in both anticoagulants. These were statistically significant by Student's paired t-test but, on analysis of variance, were not significant compared with the variation in MPV between individuals. The well-documented effects of time, temperature and anticoagulant on MPV need not interfere with the interpretation of a result from a sample dealt with under similar conditions to those applying in this study.

Anticoagulants↗

An acidic amino acid in the N-methyl-D-aspartate receptor that is important for spermine stimulation.

The polyamine spermine has multiple effects on N-methyl-D-aspartate (NMDA) receptors, including "glycine-independent" stimulation, which is seen in the presence of saturating concentrations of glycine; "glycine-dependent" stimulation, which is due to an increase in the affinity of the receptor for glycine; and voltage-dependent block. These effects may involve three separate polyamine binding sites on the receptor. To identify amino acid residues that are important for spermine binding, we used site-directed mutagenesis to alter amino acids in and around a region of the NR1 subunit of the NMDA receptor that shows homology with PotD, a polyamine binding protein from Escherichia coli. Mutated subunits, expressed in heteromeric and homomeric NMDA receptors, were studied by voltage-clamp recording in Xenopus oocytes. Mutation of two acidic residues (E339-E342) to neutral amino acids reduced or abolished glycine-independent stimulation by spermine without affecting glycine-dependent stimulation or voltage-dependent block by spermine. Mutation of these residues also had modest effects on sensitivity to protons and to ifenprodil but did not alter sensitivity to glutamate and glycine or to voltage-dependent block by Mg2+. Residue E342 in NR1 appears to be critical for glycine-independent spermine stimulation. Mutations at equivalent positions in NR2A(E352Q) or NR2B(E353Q) had no effect on sensitivity to spermine, pH, or ifenprodil. Residue E342 in NR1 may form part of a discrete spermine binding site on the NMDA receptor or be involved in the mechanism of modulation by polyamines. This residue may also be involved in modulation by protons and ifenprodil.

Amino Acid Sequence↗

The NADH dehydrogenase subunit 7 gene is interrupted by four group II introns in the wheat mitochondrial genome.

We have characterized a wheat mitochondrial gene, designated nad7, capable of encoding a 394-amino acid subunit of the respiratory chain NADH dehydrogenase complex. It contains four introns possessing group II features and their positions differ from those in both the liverwort mitochondrial nad7 pseudogene and the nuclear gene encoding the homologous 49 kDa subunit of complex I in Neurospora. The derived amino acid sequence of the wheat nad7 gene is strongly conserved relative to its nuclear or organellar counterparts in other organisms. C-to-U type RNA editing, which is observed at 32 positions within the coding region of wheat nad7 transcripts, strengthens protein sequence similarity. RNA editing is also predicted to improve base-pairing within the domain V/VI regions of all four introns.

Amino Acid Sequence↗

Activation of adult human derived microglia by myelin phagocytosis in vitro.

The present study was designed to determine the extent to which cultured glial cells phagocytose normal central nervous system (CNS) myelin and CNS myelin opsonized with serum or purified antibody against myelin basic protein (MBP). Glial cells studied were mixed cultures (consisting of astrocytes, microglia, and oligodendrocytes) and enriched microglia established from adult human brain specimens and enriched astrocytes from fetal human brain. A human monocytic cell line, THP-1, was included as a control. Uptake of 125I-labelled myelin was followed over a 24 hr time period. An assay of oxidative burst (30 min) and cytokine bioassays measuring IL-1, IL-6, and tumor necrosis factor (TNF) production (6-48 hr) were used to investigate short- and long-term activation of phagocytosing cells. Maximum myelin uptake by phagocytosing glial cells occurred within 12-24 hr following myelin incubation. Opsonization of myelin prior to the phagocytosis assay resulted in greater myelin uptake by mixed glial cell cultures, microglia, and THP-1 cells over that of nontreated myelin. The magnitude of myelin phagocytosis by astrocytes was considerably lower than microglia and THP-1, and was not affected by myelin opsonization. Within 30 min of myelin phagocytosis, microglia and THP-1 cells underwent oxidative burst; opsonization of myelin by purified anti-MBP IgG and heat-inactivated serum enhanced the microglial oxidative burst activity. Production of IL-1, TNF, and most markedly IL-6 by microglia was increased following 12-24 hr of myelin ingestion. Our data demonstrate that myelin phagocytosis by adult human-derived microglia occurs in vitro, is augmented when myelin is opsonized, and results in the activation of microglia as assessed by oxidative burst and cytokine production.

Adult↗

Activation of a novel serine/threonine kinase that phosphorylates c-Fos upon stimulation of T and B lymphocytes via antigen and cytokine receptors.

Ligation of Ag receptors in T and B lymphocytes initiates signal transduction cascades which alter the expression of genes that regulate cellular proliferation and differentiation. The transmission of signals from the membrane to the nucleus is mediated principally through the action of protein tyrosine and serine/threonine kinases. We have identified and characterized a novel serine/threonine kinase that phosphorylated the proto-oncogene product, c-Fos, and is termed Fos kinase. Fos kinase was rapidly activated after ligation of the CD3 and CD2 receptors in Jurkat and normal human T lymphocytes and in response to IL-6 and anti-IgM in the human B cell lines AF10 and Ramos, respectively. The phorbol ester, PMA, was also a potent inducer of Fos kinase activity in all of the above populations, suggesting that PKC plays a role in the regulation of this enzyme. Fos kinase phosphorylates c-Fos at a site near the C-terminus, as well as a peptide derived from this region (residues 359-370, RKGSSSNEPSSD), and Fos peptide competitively inhibited c-Fos phosphorylation. Fos kinase was shown to be distinct from other identified serine/threonine kinases, including protein kinase A, protein kinase C, casein kinase II, MAP kinases, p70S6K and p90RSK. Fos kinase was purified by anion exchange chromatography and exhibited an apparent M(r) = 65,000 and isoelectric point = 6.1. Fos kinase may play a role in transcriptional regulation through its capacity to phosphorylate c-Fos at a site required for expression of the transcriptional transrepressive activity of this molecule. Moreover, its rapid activation suggests it may have a wider role within signal transduction cascades in lymphocytes.

Amino Acid Sequence↗

Self peptides isolated from MHC glycoproteins of non-obese diabetic mice.

The non-obese diabetic (NOD) mouse spontaneously develops an insulin-dependent diabetes mellitus that resembles human type I diabetes. This disease can be transferred by purified T cells or cloned T cell lines, implicating an autoimmune T cell attack on the pancreatic beta cells of the islets of Langerhans. As all T cell responses involve recognition of peptides bound to MHC molecules displayed at the cell surface, we have examined self peptides binding to the MHC molecules on spleen cells of the NOD mouse. Peptides eluted from the MHC class I molecule Kd have sequences that conform to known motifs for peptides binding this molecule in other strains of mice. The NOD mouse expresses the unique MHC class II molecule I-Ag7. Peptides eluted from I-Ag7 have sequences that implicate an acidic residue in the C terminus of the peptide as important for binding. The role of this residue in binding has been confirmed by direct peptide-binding analysis. This C-terminal acidic amino acid may interact with an arginine residue in the MHC class II alpha-chain that is exposed when beta-chain residue 57 is mutated to serine, or to the unique beta-chain residue histidine 56. These data may provide valuable insights into the nature of autoantigenic peptides presented by NOD mouse MHC molecules by defining the nature of I-Ag7-peptide binding.

Amino Acid Sequence↗

Oligodendrocyte lysis by CD4+ T cells independent of tumor necrosis factor.

The capacity of human CD4+ T cells to lyse heterologous human oligodendrocytes in an 18-hour chromium 51-release assay was compared to that of systemic blood-derived macrophages and central nervous system-derived microglia. CD4+ T cells, activated with either phytohemagglutinin, anti-CD3 antibody, or antigen (myelin basic protein), could induce lysis of the oligodendrocytes whereas macrophages and microglia, activated with interferon-gamma and lipopolysaccharide, could not. The CD4+ T-cell effect was not inhibited with an anti-tumor necrosis factor-alpha-neutralizing antibody. Both the CD4+ T cells and the macrophages could induce lysis of tumor necrosis factor-sensitive rodent cell lines, Wehi 164, and L929; these effects were inhibited with anti-tumor necrosis factor antibody. Pretreatment of the CD4+ T cells with cyclosporine or mitomycin C did not inhibit oligodendrocyte lysis. These results indicate that at least in vitro, CD4+ T cells can induce a form of oligodendrocyte injury that is not reproduced by macrophages or microglia or by tumor necrosis factor. The non-major histocompatibility complex (MHC)-restricted injury of oligodendrocytes induced by both myelin antigen-reactive and mitogen-stimulated T cells may provide a basis whereby cytotoxic CD4+ T cells could interact with a target cell that does not express MHC class II molecules. Our results suggest that immune-mediated oligodendrocyte/myelin injury, as is postulated to occur in the disease multiple sclerosis, may involve multiple effector mechanisms.

Adult↗