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Biomedical subjects

L C Yang

Publications and source records attributed to L C Yang.

At least 55 records · Page 3Linked to original sources
PubMed1995

Assessment of antiretroviral therapy by plasma viral load testing: standard and ICD HIV-1 p24 antigen and viral RNA (QC-PCR) assays compared.

To assess the utility of quantitative competitive-polymerase chain reaction (QC-PCR) measurements of plasma human immunodeficiency virus type 1 (HIV-1) RNA and other viral load markers for assessment of antiretroviral therapy, we used archived cryopreserved specimens from a randomized controlled clinical trial of 135 patients (CD4+ T cell count < or = 500/mm3), comparing zidovudine (500 mg/day) versus the nonnucleoside reverse transcriptase inhibitor L-697, 661 (50, 300, or 1,000 mg daily). We evaluated treatment-associated changes in plasma viral load by standard and immune complex-dissociated (ICD) HIV-1 p24 antigen assays, and, in a representative subset of patients (n = 46), by QC-PCR determination of virion-associated HIV-1 RNA. At baseline, HIV-1 RNA was quantifiable by QC-PCR in all patients tested (100%), whereas standard and ICD HIV-1 p24 antigen tests were positive (> or = 30 pg/ml) in 42% and 56%, respectively. All viral load parameters showed significant decreases from baseline within 1 week of initiation of zidovudine, as measured by standard p24 antigen assay, ICD p24 assay, and QC-PCR. At 1 week, patients treated with either 300 or 1,000 mg/day of L-697,661 showed significant decreases from baseline in plasma standard and ICD p24 antigen and QC-PCR-determined HIV-1 RNA levels. Whereas viral load decreases seen with zidovudine were sustained for the duration of treatment, plasma viral markers often returned to pretreatment levels despite ongoing L-697,661 treatment, with evidence of the emergence of drug-resistant virus. Whereas standard p24, ICD p24, and viral RNA levels changed similarly in response to treatment, the superior sensitivity and available dynamic range of plasma viral RNA assays like QC-PCR analysis provide an advantage for clinical monitoring of plasma viral load, allowing tracking of treatment-related changes even in patients with earlier stage disease and lower levels of viral load.

Antiviral Agents↗
PubMed1995

Effects of temperature on somatosensory evoked potentials during open heart surgery.

Somatosensory evoked potentials (SEPs) have been found to be useful for early detection of brain ischemia during hypothermic cardiopulmonary bypass in cardiac surgery. However, the relationship between temperature and latency period remains unclear. We prospectively analyzed SEPs obtained during hypothermic cardiopulmonary bypass in 20 patients who had valvular replacement. We concluded that i) a linear correlation was found between temperature and latency period during cooling and rewarming, ii) no hysteresis effect existed in cooling and rewarming, iii) there was a greater hypothermic effect on the synaptic transmission than on the conduction velocity, and iv) age had also more profound effect on relationship between temperature and latency of SEPs.

Adult↗
PubMed1994

Non-cytolytic CD8 T-cell anti-HIV responses in primary HIV-1 infection.

Acute HIV infection is accompanied by a sharp rise in virus titres that soon fall, but the role of humoral and cellular immunity is not clear in the control of initial virus replication. We have found seven HIV-1 infected subjects who had CD8 T-cell non-cytolytic anti-HIV activity in plasma many months before neutralising antibodies can be detected. We observed an inverse relation between the extent of this CD8 cell response and the level of plasma viraemia in some subjects. These results suggest that a cellular immune response controls viral replication soon after HIV infection.

Antibodies, Viral↗
PubMed1993

High levels of HIV-1 in plasma during all stages of infection determined by competitive PCR.

Quantitative competitive polymerase chain reaction (QC-PCR) methods were used to quantify virion-associated human immunodeficiency virus type-1 (HIV-1) RNA in plasma from 66 patients with Centers for Disease Control stage I to IVC1 infection. HIV-1 RNA, ranging from 100 to nearly 22,000,000 copies per milliliter of plasma (corresponding to 50 to 11,000,000 virions per milliliter), was readily quantified in all subjects, was significantly associated with disease stage and CD4+ T cell counts, and decreased by as much as 235-fold with resolution of primary infection or institution of antiretroviral therapy. Plasma virus levels determined by QC-PCR correlated with, but exceeded by an average of 60,000-fold, virus titers measured by endpoint dilution culture. Quantitation of HIV-1 in plasma by QC-PCR may be useful in assessing the efficacy of antiretroviral agents, especially in early stage disease when conventional viral markers are often negative.

Acquired Immunodeficiency Syndrome↗
PubMed1993

Determination of plasma viral load in HIV-1 infection by quantitative competitive polymerase chain reaction.

OBJECTIVES: To better characterize viral load profiles through the course of HIV-1 disease and in response to treatment, and to further evaluate quantitative competitive polymerase chain reaction for measurement of viral load, we extended our comparative evaluation of this and other viral load measurements to a total of 118 patients, representing all stages of HIV-1 disease. DESIGN: For cross-sectional analysis across the spectrum of HIV-1 disease, plasma viral load was evaluated in 112 HIV-1-infected patients by quantitative competitive polymerase chain reaction analysis, plasma p24 antigen assay, plasma immune complex-dissociated p24 antigen assay and an endpoint dilution viral culture. Longitudinal specimens from six additional patients were analyzed, extending from the time of presentation with symptomatic acute HIV-1 infection through up to more than 2 years of follow-up. Longitudinal specimens were also studied for three patients over the period of initiation of zidovudine treatment, for 6 weeks of treatment and following temporary withdrawal of the treatment. METHODS: All measurement techniques were assessed in replicate aliquots of plasma. RESULTS: Quantitative competitive polymerase chain reaction was the most sensitive measure of viral load, and was best correlated with CD4+ T-cell counts. In longitudinally studied patients, this technique also allowed measurement of plasma virus levels throughout the period of follow-up, even when culture and p24 assays became negative following resolution of acute HIV-1 infection. The quantitative competitive polymerase chain reaction was also able to detect rapid and substantial changes in viral load associated with initiation and temporary withdrawal of antiviral treatment. CONCLUSIONS: The quantitative competitive polymerase chain reaction is promising as a sensitive and accurate method for measuring plasma viral load in HIV-1-infected patients, and is useful for following changes in viral load over the natural history of infection and following treatment intervention. The technique is particularly useful for patients with > 200 x 10(6) CD4+ T cells/l, in whom other viral markers are typically negative.

Biomarkers↗
PubMed1993

Comparison of P6 acupoint injection with 50% glucose in water and intravenous droperidol for prevention of vomiting after gynecological laparoscopy.

Postoperative vomiting causes patients distress and delays discharge after outpatient surgery. Although P6 electroacupuncture is recognized as having an antiemetic effect, its inconvenient instrumentation may limit its clinical applicability. The purpose of this study was to explore a simple and effective alternative method for control of postoperative vomiting in outpatient surgery. We prospectively compared the effect of P6 acupoint injection with 0.2 ml 50% glucose in water (G/W) and intravenous injection of 20 micrograms/kg droperidol for prevention of vomiting in 120 consecutive outpatients undergoing gynecological laparoscopy with general anesthesia. Patients were randomly allocated to receive P6 acupoint injection, i.v. droperidol, or nothing as control group. Both P6 acupoint injection and i.v. droperidol 20 micrograms/kg were found to have a significant antiemetic effect when compared with the control group. We conclude that P6 acupoint injection with 50% G/W is a simple and effective method for reducing the incidence of postoperative emesis in outpatient surgery.

Acupuncture Points↗
PubMed1990

Pulmonary artery involvement in aorto-arteritis. An analysis of DSA.

Angiographic features of the pulmonary artery were studied in 24 patients with aortoarteritis (Takayasu's arteritis) by digital subtraction angiography. The pulmonary artery involvement was found in nine cases (37.5%). The right side was involved in eight and the left side in five cases. The right pulmonary artery was involved in two cases, the lobar artery in six, the segmental artery in six, and subsegmental as well as peripheral branches in four. The angiographic features were stenosis and/or occlusion as were the changes of the systemic arteries in aorto-arteritis. The aorta and its main branches were involved in all nine patients, but the severity of pulmonary vascular changes was not always related to the systemic vascular changes. Bronchial angiography demonstrated enlarged and tortuous bronchial arteries in four cases. Lung ECT revealed abnormalities in four cases.

Adolescent↗
PubMed1989

[Laparoscopy in the diagnosis of polycystic ovarian syndrome].

From March 1980 through June 1986, 93 patients clinically diagnosed as having polycystic ovarian syndrome (PCOS) were subject to laparoscopic examinations and laparoscopic ovarian biopsy. After statistical analysis of the results of the study, two improved diagnostic criteria for PCOS were suggested and compared with those proposed by Wortsman, et al and Stein-Leventhal. We think that the two improved diagnostic criteria are more suitable to the clinical practice and increase the diagnostic rate of PCOS to be 85% and 74% respectively. No operative complications such as intraabdominal hemorrhage, mechanical or electric injuries or infection was observed. The accuracy and criteria of laparoscopic diagnosis of PCOS are discussed.

Adolescent↗
PubMed1984

Developmentally regulated expression of the interferon system during Syrian hamster embryogenesis.

Expression of interferon (IFN) during embryogenesis of the Syrian hamster has been characterized with respect to (1) the antiviral activity to IFN; (2) the activity of the IFN-induced enzyme, 2',5'-oligo A synthetase; (3) the subpopulation of IFN producing cells, and (4) the molecular structure of the elaborated IFN. These components of the IFN system were examined in cell cultures derived from embryos excised at 8-13 days of gestation and determined as a function of both in utero gestation and in vitro passaging. The antiviral responsiveness of nine-day gestation cultures (9 dgc) was 1/4-1/6 of that of 13 dgc, but in vitro passaging increased the responsiveness as did in vivo development. IFN enhancement of the synthetase level in 9 dgc was only minimal when compared with that in 13 dgc. However, the 9 dgc contained an unusually high basal level of the enzyme. During in vivo development and in vitro passaging, the basal levels of the enzymes progressively declined while the IFN-induced levels progressively increased. IFN production in embryo cells following induction by Newcastle disease virus differs substantially, depending on the gestational age of the cells. Using an agarose-overlay "zone of protection" assay, 8 dgc were found to contain 10-12 times the number of cells producing zones of protection than 13 dgc. Passaging of 9 dgc cells reduced the number of zones to the level of the 13 dgc, but had no effect on 13 dgc. Chromatographic analysis of IFN produced by 9 dgc and 13 dgc revealed the presence of an additional, unique species of "embryonic" IFN in 9 dgc which was not observed in IFN from 13 dgc. These observations suggest that the expression of various components of the IFN system are under developmental control during embryogenesis.

2',5'-Oligoadenylate Synthetase↗