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Biomedical subjects

L Eriksson

Publications and source records attributed to L Eriksson.

At least 235 records · Page 13Linked to original sources

Neuropeptide Y innervation of the hippocampal region in the rat and monkey brain.

Using antibodies to neuropeptide Y (NPY) in combination with immunohistochemical techniques we have studied the distribution of cell bodies and nerve terminals containing NPY immunoreactivity (-i) in the hippocampal region of rats and monkeys (cynomolgus). In colchicine-pretreated rats a large number of NPY-positive cells are present in all areas of the hippocampal region. The NPY-i cells range in size from small (diameter across soma: 10-15 micron) to large (approximately 20 micron). Most of the NPY-i cells are situated in the hilus, in the subgranular zone of the area dentata, and in the stratum oriens of Ammon's horn. A majority of these are polymorphic cells but cells of different morphology are present in these layers as well. These include small spheroid cells and dentate pyramidal basket cells that are distinct from the polymorphic cells in the subgranular zone. The subicular complex (e.g., the subiculum, pre-, and parasubiculum) and the entorhinal area contain fewer NPY-i cells than the rest of the hippocampal region. In the dorsal parts of the pre- and parasubiculum numerous small cells are scattered throughout all layers, while in the entorhinal area the NPY-stained cells are situated primarily in the deep layers (V and VI). In the ventral part of the lateral entorhinal area large multipolar and bitufted cells are found in layers II-VI. In the untreated monkey brain NPY-positive cells are found in the hilus of the area dentata and in the deep (IV through VI) layers of both the medial and lateral entorhinal area. Fewer NPY-stained cells are present in the subicular complex and in the entorhinal area. In the monkey as well as in the rat, NPY-stained cells are present in the angular bundle and in the alveus. A dense network of NPY-i fibers innervates the entire hippocampal region in both the rat and the monkey. The hippocampal NPY-i preterminal processes are present primarily in stratum moleculare of Ammon's horn and in the outer one-third of this layer in the area dentata. The NPY-positive innervation of the dentate molecular layer is far more prominent in the monkey than in the rat brain. Numerous NPY-stained fibers are scattered in other areas as well. In all retrohippocampal structures, and in particular the entorhinal area, the NPY-i fibers form a massive network that innervates all layers to about the same extent, with the exception of the molecular layer, which is more densely innervated than the other layers.

Animals↗

The preparation of 11C-labelled fluoromethane for the study of regional cerebral blood flow using positron emission tomography.

Fluoromethane, previously labelled with 18F and used as a tracer in the measurement of regional cerebral blood flow, was 11C-labelled by the reaction of 11C-methyl iodide with tetraethylammonium fluoride. Sufficient quantities of radiotracer were prepared with a minimum amount of handling from 15 min target irradiations in the 14N(p, alpha)11C reaction. Total synthesis time was 25 min from end-of-bombardment, allowing serial blood flow measurements 30 min apart. The use of 11C-fluoromethane as a cerebral blood flow tracer in positron emission tomography is discussed.

Adult↗

The risk of damage to facial nerve, superficial temporal vessels, disk, and articular surfaces during arthroscopic examination of the temporomandibular joint.

The risk of complications occurring during arthroscopic examination of the temporomandibular joint is not well documented. We therefore performed arthroscopic examinations of the upper compartment of the temporomandibular joint of fresh cadavers and during subsequent dissection studied possible damage to the facial nerve, superficial temporal vessels, disk, and articular surfaces. Damage to the facial nerve was not seen in any joint. The distance between the puncture site and any branch of this nerve was 3 mm or more in all but one of the specimens. The puncture site was repeatedly located immediately adjacent to the superficial temporal vessels, but damage to these vessels was not seen in any case. Scratch marks on the articular surfaces resulting from intra-articular manipulations with the instrument were seen in more than half of the joints. It was concluded that the risk of damage to the facial nerve or the superficial temporal vessels during arthroscopy of the temporomandibular joint is small. There is, however, a risk of damage to the articular surfaces. The frequency of this type of injury can probably be reduced in patients by sufficiently distending the joint before the instrument is inserted.

Aged↗

Deterioration of temporary silicone implant in the temporomandibular joint: a clinical and arthroscopic follow-up study.

Dacron-reinforced silicone material was used as a temporary disk replacement implant in twenty-seven consecutive patients who underwent diskectomy. Symptoms and the status of the implants were recorded when the implants were removed 1 to 19 months postoperatively (median, 4 months). At the time of removal of the implants, eleven patients showed mechanical dysfunction, which was associated with pain in four patients. All but one of the implants showed wearing facets, and fifteen implants were cracked or perforated. Arthroscopic examination was performed when the implant was removed in the last six patients. This revealed that the extension of the joint compartment corresponded well to the dimension of the implant. Arthroscopy also disclosed that initially even and shiny articular surfaces remained so, articular surfaces in joints with fibrous ankylosis became shiny but uneven, and arthrotic articular surfaces showed no changes. It was concluded that disk-replacement implants can prevent postoperative ingrowth of fibrous tissue and development of intra-articular adhesions and that the implant has the capacity to protect the articular surfaces as long as the material is intact. Since more than half of the implants were cracked or perforated, an implant material with mechanical properties superior to those of Dacron-reinforced silicone would be preferable.

Adult↗

The frequency of 6-thioguanine-resistant human peripheral blood lymphocytes as determined by flow cytometry and by clonal propagation.

Human peripheral blood lymphocytes were selected for 6-thioguanine resistance in short-term cultures. Resistant cells, defined as cells capable of incorporating tritiated thymidine under the selective conditions, were flow-cytometrically differentiated with respect to their DNA content. This was carried out by sorting at two stages of the cell cycle, before and after mid-S-stage, yielding frequencies of resistant cells in the range of 10(-4) and 10(-5), respectively. Observed frequencies for cells from the whole cell cycle spectrum and for cells cultured according to the long-term protocol, the clonal assay, were in the range of 10(-4) and 10(-5), respectively. Our interpretation of these results is that the over-representation of tritiated thymidine-labelled cells occurring before mid-S-stage after short-term culture reflects less resistant cells or phenocopies which are probably eliminated during long-term culture with the clonal assay, hence leading to a decreased frequency of 6-thioguanine-resistant cells. We conclude, therefore, that short-term culture in combination with flow cytometric sorting after mid-S-stage in the cell cycle can be used as an alternative to the clonal assay for the determination of fully 6-thioguanine-resistant human peripheral lymphocytes.

Cell Cycle↗

Measurement of pulmonary density by means of X-ray computerized tomography. Relation to pulmonary mechanics in normal subjects.

We examined the relationship between pulmonary density, measured with computerized tomography, and pulmonary mechanics (static pulmonary volume; pulmonary resistance) in 39 normal subjects (20 nonsmokers and 19 smokers). Pulmonary density decreased with increasing static elastic recoil pressure, and smokers consistently showed higher pulmonary density than nonsmokers. Pulmonary density, measured at full inspiration, correlated inversely with total lung capacity. Pulmonary density showed a ventrodorsal gradient, which was greater at low elastic recoil pressure than at high recoil pressure. The study shows that pulmonary density is related to the mechanical properties of the lung in normal subjects. Increased pulmonary density appears to be a sensitive indicator of pulmonary damage induced by smoking. Further studies of the relationship between pulmonary density and pulmonary mechanics in disease seem warranted.

Aged↗

Positron emission tomography with 11C-methionine of intracranial tumours compared with histology of multiple biopsies.

Thirty-eight patients with suspected supratentorial gliomas have been investigated with positron emission tomography (PET) using 11C-methionine and computed tomography (CT) before and after intravenous injection of contrast medium. Every examination was performed with the head fixed in a plastic helmet and a baseplate to guarantee that the slices were corresponding in the different examinations and from time to time. After the examinations multiple stereotactic biopsies were performed with the biopsy instrument mounted on the baseplate. Accumulation of methionine was compared with normal brain in 32 cases of tumours and ordinary or decreased accumulation in 4 cases of tumours. In 22 cases with increased accumulation of methionine the extension of the tumour judged by PET corresponded with that of histology. In 5 cases tumour cells were found outside the area with pathologic methionine uptake. In 5 patients there were areas with increased methionine accumulation where no tumour cells were found. In 24 cases PET using methionine was more accurate than CT.

Biopsy↗

Regional cerebral blood flow determined with single photon emission computed tomography and positron emission tomography. A comparative study.

The regional uptake of 99Tcm-labelled HMPAO has been measured with single photon emission computed tomography (SPECT). The potential value of 99Tcm-HMPAO as a flow tracer was evaluated. The uptake of 99Tcm-HMPAO as a function of time indicated that the tracer was trapped in the brain. The uptake images were compared with results from quantitative regional cerebral blood flow (rCBF) measurements using positron emission tomography (PET) and with 11C-fluoromethane used as a tracer. There was a strong correlation between the uptake of 99Tcm-HMPAO and rCBF. The conclusion was that the uptake of 99Tcm-HMPAO was dependent on rCBF.

Cerebrovascular Circulation↗

Intracellular neurofibrillary tangle-like aggregations. A constantly present amyloid alteration in the aging choroid plexus.

Intracellular neurofibrillary tangles is one of the most characteristic findings in Alzheimer's disease and senile dementia of Alzheimer type. In the present paper the authors show that intracellular accumulation of paired helical filaments is also a constant finding in the epithelial cells of the choroid plexus of aging persons. Like the neurofibrillary tangles, the fibrils of the choroid plexus show staining properties typical of amyloid. The nature of the fibrils could not be clarified by electron microscopy or by immunohistochemistry with the use of antisera to gamma-trace or to amyloid fibril proteins of AA and prealbumin type. Amyloid protein AP, found in all amyloid substances except for neurofibrillary tangles and amyloid of senile plaques in the brain, was not demonstrated in the inclusions of the choroid plexus.

Adult↗

Direct and indirect flow cytometric enumeration of 6-thioguanine-resistant human peripheral blood lymphocytes.

Methods based on flow cytometry and sorting, autoradiography, and cloning were used to evaluate the potential for the enumeration of 6-thioguanine-resistant human peripheral blood lymphocytes assumed to be deficient with respect to the enzyme hypoxanthine-guanine-phosphoribosyl-transferase. Flow cytometric sorting of proliferating cells in the late S- and the G2-stages by means of DNA content, as measured by propidium iodide fluorescence, enabled an enrichment of variant cells to about 99%. The main source of false events was contaminating doublets of G0/G1 cells appearing in the sorting region. Doublet discrimination measured as the difference between pulse height and area (Ortho-50) accomplished no further improvement. A combination of propidium iodide fluorescence and bromodeoxyuridine incorporation, measured by fluorescent anti-bromodeoxyuridine-DNA antibodies, allowed flow cytometric enrichment to about 99.99% of variant cells. By sorting of 3H-thymidine-labeled cell nuclei from the late S- and the G2-phases and subsequent autoradiographic evaluation, partly resistant variants could be discriminated; variant frequencies of the same magnitude as for the cell cloning methods were obtained.

Antibodies, Monoclonal↗

11C-2-deoxy-D-glucose: synthesis and preliminary comparison with 11C-D-glucose as a tracer for cerebral energy metabolism in PET studies.

11C-2-Deoxy-D-glucose has been prepared by the reaction of 11C-hydrogen cyanide with a stable precursor, 1-deoxy-2,3:4,5-di-O-isopropylidine-1-iodo-D-arabitol, thereby avoiding the synthesis of starting material immediately prior to labeling. Fast, efficient, and reproducible solvent change from dimethyl sulfoxide to ether by flash chromatography enabled the use of diisobutylaluminium hydride in the reduction of the intermediate nitrile. Hydrolysis of the imine-aluminum complex with sulfuric acid, removal of the isopropylidine protecting groups with formic acid, and HPLC purification with an Aminex HPX-87P column yielded 11C-2-deoxy-D-glucose in an aqueous solution, sterile, pyrogen-free, and ready for use in human studies. The radiochemical yield was approximately 20% after a synthesis time of 50 min. The 11C-2-deoxy-D-glucose thus obtained is presently being compared with photosynthetically prepared 11C-D-glucose in PET studies of cerebral metabolism. A preliminary report of the regional cerebral metabolic rate of glucose obtained with the two tracers in a healthy subject with visual stimulation is presented.

Brain↗

Preparation of 11C-labelled Raclopride, a new potent dopamine receptor antagonist: preliminary PET studies of cerebral dopamine receptors in the monkey.

A new dopamine receptor antagonist, Raclopride (S-(-)-3,5-dichloro-N-[(1-ethyl-2-pyrrolidinyl)]methyl-2-hydroxy- 6-methoxybenzamide, FLA 870) (1), has been labelled using [11C]ethyl iodide for alkylation of the nitrogen of the pyrrolidine ring in the corresponding secondary amine (5). The synthesis of 5 and an efficient method for the preparation of [11C]ethyl iodide are described. The 11C-labelled FLA 870 (1) was purified by HPLC and then used in positron emission tomography to visualize the dopamine receptor-rich areas of the monkey brain. The images obtained show selective accumulation of FLA 870 in striatum and a 10-fold separation between the binding to caudate vs cerebellum.

Animals↗

Imaging of [11C]-labelled Ro 15-1788 binding to benzodiazepine receptors in the human brain by positron emission tomography.

The benzodiazepine antagonist Ro 15-1788 was labelled with [11C] and examined for possible use as ligand for PET scan studies on benzodiazepine receptors in the brain of cynomolgus monkeys and human subjects. [11C] Ro 15-1788 allowed the in vivo visualization of benzodiazepine receptor binding in cerebral and cerebellar cortical areas as well as in basal brain nuclei in PET scan images. [11C] Ro 15-1788 exhibited a high ratio of specific benzodiazepine receptor binding (cerebral cortex) to non-specific binding (pons) and the kinetics of binding should be satisfactory for quantitative clinical PET scan studies using [11C]. The in vivo binding of [11C] Ro 15-1788 in the cerebral cortex of cynomolgus monkeys and healthy human subjects was reduced by approximately 90% within 10 min after the intravenous injection of a high dose of unlabelled Ro 15-1788 (0.5 mg/kg i.v.). Different areas of the healthy human brain showed an approximately 10-fold variation in maximal [11C] Ro 15-1788 binding that corresponded to the previously known distribution of benzodiazepine receptors in these regions. The highest degree of binding was obtained in the medial occipital cerebral cortex followed by frontal cortex, cerebellum, thalamus, striatum and pons. Two psychiatric patients with anxiety syndromes who had been treated for a long time with high doses of benzodiazepines had roughly the same degree of maximal [11C] Ro 15-1788 binding in brain regions as the healthy subjects but the rate of decline of [11C] Ro 15-1788 in the brain was higher. This indicates that there is measurable competition between [11C] Ro 15-1788 binding and clinical benzodiazepine concentrations in the body fluids of psychiatric patients. The results demonstrate that [11C] Ro 15-1788 should be a valuable tool for quantitative analyses of benzodiazepine receptor characteristics and receptor occupancy in the brain of patients with neuropsychiatric disorders.

Adult↗

Diskectomy of the temporomandibular joint: a double-contrast arthrotomographic follow-up study.

The manner in which temporomandibular joint soft-tissue structures remodel following diskectomy has been assessed by double-contrast arthrotomography. Pre- and postoperative arthrograms were compared in ten joints. The intra-articular soft-tissue cover of the bony components was frequently thicker 1 to 3 years after the operation. The most pronounced thickening was observed in the mandibular fossa, whereas a thinner cover was found on the condyle and the tubercle. Development of a thick soft-tissue cover on the articulating surfaces indicates that the temporomandibular joint has a capacity articulating surfaces indicates that the temporomandibular joint has a capacity for functional adaptation following diskectomy. This may be an essential factor for a favorable postoperative result.

Adult↗

The correlation of temporomandibular joint sounds with joint morphology in fifty-five autopsy specimens.

Joint sounds from 55 fresh temporomandibular joint autopsy specimens were correlated with the macroscopic examination of joint morphology. Fifty-eight per cent of the joints were silent. Two thirds of these showed normal superior disc positions and remodeled articular surfaces, whereas one third exhibited anterior disc displacement. Twenty per cent of the joints elicited clicking and showed anterior disc displacement. Twenty-two per cent of the joints elicited crepitation and exhibited mostly arthrosis of the articular surfaces and perforation of the discs. Our results confirm previous statements that clicking and crepitation may be looked upon as signs of abnormal joint morphology, clicking indicating anterior disc displacement and crepitation usually indicating arthrosis. Absence of sound alone, however, should not be accepted as an indication of a normal joint.

Adult↗

Long-term evaluation of meniscectomy of the temporomandibular joint.

Meniscectomy for treatment of pain and dysfunction of the temporomandibular joint is a controversial operation because of the possible late complications of limitation of movement and pain. Therefore, the long-term results of this operation were clinically and radiologically investigated in a sample of 15 patients that had had meniscectomies performed during the period from 1947-1960 (mean follow up, 29 years). On clinical examination, all patients were free of pain, none had subjectively experienced dysfunction, and all but one could open their mouths more than 39 mm. Two thirds of the operated joints were crepitant. Radiologically all joints showed structural hard-tissue changes, mainly the presence of osteophytes and flattening of the condyle and tubercle. Absence of joint space was seen in half of the joints. The results indicate that meniscectomy relieves joint pain and eliminates subjectively perceived dysfunction in the long term despite the presence of clinical and radiologic signs of degenerative joint disease; however, as the condition of many patients who have temporomandibular joint disorders improves over time without surgery, there is a need for a controlled study on the value of meniscectomy.

Adult↗

Temporomandibular joint sounds in patients with disc displacement.

Temporomandibular joint sounds have been viewed as signs of different pathological changes. However, the correlation between joint sounds on the one hand and function and morphology of the joint on the other, are not well documented. We have therefore presurgically recorded sound from 35 operated joints with disc displacement and have studied arthrographically and during surgery the position, function and configuration of the disc as well as arthrotic changes. 12 joints were silent, 12 elicited reciprocal clicking, 3 single clicking, and 8 crepitation. Joints with reciprocal clicking consistently showed disc displacement with reduction and silent and crepitating joints showed disc displacement without reduction. All joints with reciprocal clicking as well as most silent joints demonstrated non-arthrotic articular surfaces, whereas crepitation was recorded in both arthrotic and non-arthrotic joints. Our results implied that crepitation is a rather unreliable sign of arthrosis. Reciprocal clicking can be considered as an accurate sign of reduction of anteriorly displaced discs. However, neither the degree of displacement nor the degree of deformation of the disc could be disclosed by analysis of the sound. This information can only be obtained by further examination, such as arthrotomography.

Adolescent↗