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Biomedical subjects

L T Chen

Publications and source records attributed to L T Chen.

At least 73 records · Page 4Linked to original sources

Ultrastructural studies on splenic microcirculation of the rat.

In an attempt to establish or supplement the three dimensional features of splenic microvasculature vascular corrosion casts and freeze-cracked tissue blocks of the rat spleen were studied by electron microscopy (SEM & TEM) with special reference on the filtration mechanism of blood cells (RBCs) in the spleen. Both open and closed circulation were observed. TEM investigation showed that macrophages were often found to be located outside the abluminal surface and between two venous sinus branches. Some of them occasionally extend their filopodia and emerge through intercellular slits (IES) out to the luminal surface of the venous sinus. In many cases discontinuity of the junctional complex of the endothelial cells is occasionally identified; this may behave as a detour to prolong RBC passage through the reticular space, thus facilitating their contact with phagocytic cells. SEM observation on vascular corrosion casts have provided clear evidence of direct arteriovenous connection in the rat spleen. Observation on the freeze-cracked tissue block showed a consistent evidence that the macrophages occasionally extend their filopodia and emerge through IES out to the luminal surface of the venous sinus. It indicated that a great majority of the RBCs passing through meshwork of the reticular space of the red pulp, i.e., open circulation would be detected by the macrophages dwelling in the reticular space. The RBCs passing through the fast component. i.e., closed circulation were also subjected to detection and phagocytosis either by macrophages dwelling in the reticular space while their passage through the discontinuity of the junctional complex to the reticular space or by macrophages emerging through IES while their passage along the venous sinus wall. Ultrastructural studies provide an evidence that the spleen performs it filtration function by a multifiltration mechanism.

Animals↗

The effect of endotoxin on 1,2-dimethylhydrazine-induced colonic tumors in rats.

The effect of endotoxin on colon tumors was studied in male Sprague-Dawley rats. Colon tumors were induced in weanling rats by the administration of 20 weekly subcutaneous injections of 1,2-dimethylhydrazine (DMH). When colon tumors were detected by colonoscopy in 80% of the rats around week 24 after DMH injection, the animals were divided randomly into two groups. One group served as the control. The other group received six endotoxin (Escherichia coli) treatments every fifth day. The first dose was 50 micrograms/100 g (intraperitoneally); the remaining doses were 100 micrograms/100 g (subcutaneously). Rats were killed 2 weeks after the last endotoxin injection. Endotoxin treatments resulted in larger colon tumors. The median tumor size was 71 mm2 for endotoxin-treated and 31 mm2 for untreated rats (P less than 0.02). Endotoxin treatments also resulted in a significantly higher incidence (P less than 0.05) of ulcer development in the small intestine, that is 47% in the endotoxin-treated versus 23% in the untreated rats. After a single subcutaneous injection of endotoxin (100 micrograms/100 g), the colon mucosal reduced glutathione (GSH) level was raised by 21% at 16 hours, reached a peak on day 2, then decreased to baseline by day 4. The increased GSH level in the colon mucosa was maintained up to the third endotoxin injection. By the fifth injection, no increase in the GSH level was observed. These results suggest that the growth of colon tumors in rats induced by DMH could be enhanced by endotoxin treatments. The enhanced tumor growth may be due to an increase in the colon GSH level and/or other mediators released by macrophages as a result of endotoxin treatments.

1,2-Dimethylhydrazine↗

Effect of DL-buthionine-S,R-sulfoximine on 1,2-dimethyl-hydrazine-induced colonic tumors in rats.

The effect of DL-buthionine-S,R-sulfoximine (BSO), a specific inhibitor of glutathione biosynthesis, on colon tumor development was studied in rats. Weanling male Sprague-Dawley rats were randomly assigned to one of three groups following a week of adaptation. Group 1 rats received BSO (4.5 mM) daily in the drinking water one week before 1,2-dimethylhydrazine (DMH) injections and continued to receive BSO daily until sacrificed; group 2 rats received BSO (4.5 mM) after the last DMH injection, and continued to receive BSO daily until sacrificed; group 3 rats did not receive BSO. All experimental rats received 20 weekly subcutaneous injections of DMH (20 mg/kg body wt.) for colon tumor induction. The tumor incidence was lower in group 1 (54%) than in group 2 (97%) or group 3 (96%). The median tumor size is significantly smaller in group 1 (11 mm2) than group 3 (46 mm2). The group 2 had the largest median tumor size (65 mm2).

1,2-Dimethylhydrazine↗

Gastrointestinal tract involvement in hepatocellular carcinoma: clinical, radiological and endoscopic studies.

Gastrointestinal tract involvement with hepatocellular carcinoma was observed in 8 out of 396 patients (2%) during the course of the disease. Histological involvement was confirmed in 6 cases. All 8 patients were men. The most common clinical presentation was frank gastrointestinal bleeding, which became evident in all cases. Esophageal varices were not seen in any patient. The sites of involvement were the stomach (3), duodenum (4), and jejunum (1). The median time between the diagnosis of primary tumors and gastrointestinal tract involvement was 4.5 months (range: 0 to 12 months). Hematogenous spread was presumed to have occurred in two patients with diffuse-type hepatocellular carcinoma, one of whom had main portal vein thrombosis. Direct invasion by contiguous neoplasm was the major mode of gastrointestinal tract involvement. This complication is more likely to develop in patients with large, subcapsular, massive type hepatocellular carcinoma treated by transcatheter arterial embolization and/or intra-arterial chemotherapy. The median survival after the diagnosis of gastrointestinal involvement was 1 month (2 weeks-4 months).

Adult↗

The growing teratoma syndrome. A case of primary mediastinal nonseminomatous germ cell tumor treated with chemotherapy and radiotherapy.

A 21-year-old man presenting with a mediastinal mass was diagnosed as having primary mediastinal mixed nonseminomatous GCT by incisional biopsy and elevated serum concentrations of AFP and beta-HCG. After four courses of PVB chemotherapy followed by 4,000 rads of radiotherapy, the AFP level declined markedly, but the mediastinal mass further enlarged and underwent cystic change. Pathologic examination of the resected tumor only showed immature teratoma. The serum AFP level returned to normal and remained so three months after the operation. This experience suggests that in patients with nonseminomatous GCT treated with combination chemotherapy, measurements of tumor volume alone do not provide information regarding the tumor's response. Early recognition of the "growing teratoma syndrome" will allow for surgical salvage.

Adult↗

Evaluation of urease test, gram stain, culture, and histology in the detection of Campylobacter pylori.

To evaluate the commonly available tests for detection of Campylobacter pylori infection in the human stomach, we prospectively performed endoscopy and biopsy from the antrum of the stomach in 121 consecutive patients. Four tests, including the urease test, Gram stain, culture, and the hematoxylin and eosin (H & E) stain were used to detect the presence of C. pylori. A C. pylori positive was defined by a positive culture or positive results in two of the other three tests. The sensitivity of the urease test, Gram stain, culture, and H & E stain was 95%, 95%, 71%, and 97%, respectively, and the specificity of those tests was 96%, 100%, 100%, and 73%, respectively. For diagnosis, theoretically, all four tests should be performed from the biopsy specimens. In our experience, the culture was less sensitive, and the H & E stain was less specific, while the urease test and Gram stain were more rapid and had high sensitivity and specificity in the detection of C. pylori infection.

Adolescent↗

Central nervous system infection after endoscopic injection sclerotherapy.

Central nervous system (CNS) infection is a rare complication of endoscopic injection sclerotherapy (EIS) for esophageal varices. We report two patients, one of whom developed a solitary brain abscess, and the other, acute meningitis, after EIS. They presented with high fever initially, and then with changes in mental status. In the case of the solitary brain abscess, the CSF revealed evidence of infection, and CT scan disclosed a brain abscess in the left temporo-parieto-occipital region. This patient received EIS six times and developed the CNS complication 4 wk after the last EIS. There was no growth in either the CSF or the abscess cultures in this case. The other patient with acute meningitis, which developed on the second day after the second session of EIS, had a positive CSF culture of Klebsiella pneumoniae. Both of these patients died despite antibiotic treatment, and craniotomy with drainage in the patient with a brain abscess.

Acute Disease↗

Low dose total body irradiation: a potent anti-retroviral agent in vivo.

Immunosuppression characterizes many human diseases including leukemia and AIDS. Friend virus (FV)-induced murine leukemia is a useful model for studying both malignancy and immunosuppression. In a previous series of experiments, we have demonstrated that untreated FV-infected mice died within 40 days post-infection, whereas infected mice given 150 cGy total body irradiation (TBI) on days 5 and 12 exhibited long-term survival. In this report, we show that no leukemic cells or type C virus particles are found in the spleens of mice treated with TBI. In addition, both NK activity as well as bone marrow cell's proliferative responses to PHA and Con A were fully restored. This treatment produces long term control of FV-induced murine leukemia, and thus might have relevance for the treatment of a number of immunosuppressive diseases including AIDS.

Animals↗

Occult prostate adenocarcinoma with pulmonary metastasis: diagnosis by fine needle aspiration biopsy of the lung and immunohistochemistry.

Metastatic pulmonary nodules were found in a 70-year-old man, who also had osteoblastic bone lesions and symptoms of prostatism. Extensive searching, including a transurethral resection of the prostate, failed to establish the primary site of the malignancy. One of the pulmonary nodules was biopsied using a fine needle aspiration technique, and revealed adenocarcinoma. The tumor cells in this lesion stained positive for prostate specific antigen. The patient was treated with estrogen for prostatic carcinoma and improved.

Adenocarcinoma↗

Incidence of massive rebleeding from nonbleeding visible vessels in benign gastroduodenal lesions and prospective study in assessing the efficacy of endoscopic hemostasis with local ethanol injection for prevention of rebleeding.

Twenty-seven patients presenting with massive upper gastrointestinal bleeding in whom endoscopy revealed nonbleeding visible vessels in benign gastroduodenal lesions were prospectively and nonrandomly allocated to receive endoscopic injection therapy with pure ethanol or conservative treatment. Those who received conservative therapy were used as a control group. The purpose of this study is to evaluate the incidence of massive rebleeding from the nonbleeding visible vessel which was defined by a more rigid criteria and to evaluate the efficacy of endoscopic pure ethanol local injection to prevent rebleeding. Nine out of the 10 (90%) controls had recurrent major bleeding, in contrast to the 2/17 (12%) of those who received hemostatic endoscopy (p less than 0.0002). Pure ethanol local injections also minimized further transfusion requirements (p less than 0.03). The complications of hemostatic endoscopy in this study are negligible. It is concluded that 1) by restrictive definition nonbleeding visible vessels in benign gastroduodenal lesions carry a high potential of recurrent massive bleeding; 2) rebleeding can be safely and effectively prevented by pure ethanol local injection.

Adolescent↗

[Gastroduodenoscopic findings and clinical analysis in patients with dengue fever].

The following is a report of the recent Dengue Fever epidemic in Southern Taiwan. From Sept, 1988 to Nov, 1988, 76 patients were clinically diagnosed with fever, leukopenia, thrombocytopenia and other classical signs and symptoms of Dengue Fever. Among them 26 cases were proven by serology. Analysis and discussion were emphasized on the gastroduodenoscopic findings, histopathologic findings and relationship between upper gastrointestinal tract bleeding and thrombocytes, oral medication and clinical symptoms. 655 patients having undergone endoscopy within the same period were used as a control group. It was concluded that: 1) 58.5% of the Dengue Fever Group disclosed hemorrhagic gastritis in their endoscopic findings and in the control group only 8.9% was noted. 2) Patients with thrombocytes less than 50000/mmc suffered from UGI bleeding at a detection rate of around 48.6%. On the other hand, the detection rate was around 29.7% in those patients with thrombocytes over 50000/mmc. Thus a significant difference was shown (p less than 0.025). 3) The thrombocyte count decreased significantly in patients who had had oral medication before endoscopy compared to those without oral medication. The detection rate of UGI bleeding was 40.6% and 26% respectively (p less than 0.025). 4) Most upper G-I bleeding cases occurred after the 4th day of onset, especially in the group without oral medication. 5) There was no significant relationship between UGI bleeding and symptoms of epigastralgia or cutaneous eruption. 6) In cases of presenting hemorrhagic gastritis and superficial plus hemorrhagic gastritis by endoscopy, the detection rate of UGI bleeding seemed higher but there was no statistical difference.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

Effect of endotoxin on the rat colon glutathione level.

The effect of endotoxin on the colon glutathione level was studied in male rats. Endotoxin (Escherichia coli) from 25 ug to 100 ug/100g body weight was administered intravenously. The Glutathione level was measured 16 hours after endotoxin was given. Results showed that endotoxin significantly enhanced the colon glutathione concentration as measured by 5,5'-dithiobis (2-nitrobenzoic acid). The increase which ranged from 11% to 50% was dose dependent. At an endotoxin dose of 1000 ug/100g body weight, colon glutathione level was found to be enhanced from 2 hours up to 48 hours. In contrast, the duodenum and jejunum glutathione levels were found to be significantly reduced. The increase in the colon glutathione level may have a protective effect against oxidative damage to the colon.

Animals↗

Protective influence of lactoferrin on mice infected with the polycythemia-inducing strain of Friend virus complex.

Purified iron-saturated human lactoferrin (LF) was assessed in vivo for effects on the survival rates of C57BL X DBA/2 f1 (hereafter called BD2F1) (Fv-2sr) mice and titers of spleen focus-forming viruses (SFFV) in BD2F1 and DBA/2 (Fv-2ss) mice inoculated with the polycythemia-inducing strain of the Friend virus complex (FVC-P). LF prolonged the survival rates and decreased the titers of SFFV in mice given FVC-P. Titers of SFFV, assayed 14 days after administration of FVC-P, were measured by the spleen focus-forming unit assay in secondary mouse recipients. Decreases in titers of SFFV were apparent when LF was given in vivo as a single bolus dose of 200 micrograms within 2 h of the Friend virus complex (FVC), or as a total dosage of 200 micrograms given on days 1, 2, 4, 7, 9, and 11 after FVC-P, and to a lesser degree when LF was given as a total dosage of 200 micrograms on days 3, 4, 7, 9, and 11 after FVC-P. No decreases in titers of SFFV were detected when LF was given up to 3 days before or more than 3 days after FVC-P. LF did not appear to be directly inactivating the viruses as it did not inactivate the SFFV or the Friend murine leukemia helper virus in vitro. The results suggest that the protective effect of LF in vivo is probably due to an action on cells responding to the FVC or to an action on cells which influence the cells responding to the FVC or which influence the virus. It has been shown elsewhere that LF decreases the percentage of marrow and spleen hematopoietic progenitor cells that are in DNA synthesis in vivo and this may be the means by which the protective effect of LF is mediated in mice given the FVC.

Animals↗

Effects of purified iron-saturated human lactoferrin on spleen morphology in mice infected with Friend virus complex.

The present report describes effects of lactoferrin treatment on the development of erythroleukemia in the spleen of mice infected with Friend virus complex (FVC). Lactoferrin (LF) treatment was carried out in mice for up to 2 weeks at a total dose of 200 micrograms per mouse. The treatment was started at Days 7 and 14 prior to viral infection and Days 0, 1, 3, 7, and 11 after viral infection. Spleens were analyzed 14 days after viral infection. In mice whose treatment was initiated at Days 0 and 1, few leukemic cells were present in the spleen. Most of them appeared in clumps in the red pulp. No leukemic cells were seen in the white pulp. The white pulp was greatly enlarged. In mice whose treatment was initiated at Day 3, leukemic cells began to spread out in the red pulp and encroached upon the white pulp. The white pulp was enlarged and clearly visible. In mice whose treatment was initiated at Days 7 and 11, many leukemic cells were present in the red pulp. The white pulp was infiltrated by leukemic cells and became less discernible. The morphologic features of the spleen in mice whose treatment was initiated at Day 7 or 14 prior to viral infection were similar to those of untreated groups. Leukemic cells not only filled most of the cordal space in the red pulp but also invaded the white pulp. Many leukemic cells were seen in venous sinuses. When infected mice responded to LF treatment, the general architecture of the red pulp remained intact and the white pulp was enlarged but not infiltrated by leukemic cells.

Animals↗

Increased bone marrow blood flow in rabbits with acute hemolytic anemia.

The bone marrow blood flow in the femur of the rabbit with acute hemolytic anemia was measured by the radioactive microsphere method. Acute hemolytic anemia was induced by a single intraperitoneal injection of phenylhydrazine. An increase in the bone marrow blood flow was detected three days after the induction of anemia and continued for about one week. The bone marrow blood flow of the anemic rabbit (66 ml/min/100 g marrow) was about three times that of the control (20 ml/min/100 g marrow). The increased blood flow to the bone marrow appeared to be correlated to the increased erythropoietic activity.

Acute Disease↗

Endotoxin-induced hyperthermia in pregnant golden hamsters.

The degree of elevation and the duration of induced fever following endotoxin treatment of pregnant golden hamsters were examined. A radiothermistor was surgically implanted in the abdomen of each animal on day 6 of pregnancy. The animals were intravenously treated with a bolus injection of saline or endotoxin (1, 10, 20, or 200 micrograms/kg) on the morning of day 8 of gestation. Abdominal temperatures were monitored at 15-minute intervals on days 8 and 9 and at 1-hour intervals on days 10 through 14 of gestation. The mean temperature of the saline-treated control animals was 37.2 degrees C with a range from 36.5 to 38.2 degrees C. The total number of viable fetuses, and the mean fetal weight of the 1-microgram/kg group were not significantly different from those of the saline controls, although a statistically significant monophasic temperature elevation did occur between 3 and 9 hr post-treatment. Three of seven females that received 10 micrograms/kg had viable litters and exhibited a monophasic fever. The remaining four animals exhibited a biphasic fever and total resorption of all implanted fetuses. The first phase began 2.5 hr post-treatment and lasted for 3-6 hr. The second phase began 12-15 hr post-treatment and lasted for 15 to 25 hr. All animals receiving 20 or 200 micrograms/kg demonstrated similar multiple temperature elevations. Treatment of animals with greater than 20 micrograms/kg resulted in total resorption of all implanted fetuses and maternal weight loss. Nonpregnant females treated with 20 micrograms/kg of endotoxin exhibited a biphasic temperature elevation; thus the second phase of the fever response can not be attributed to embryo death and resorption.

Animals↗