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Biomedical subjects

M Baker

Publications and source records attributed to M Baker.

At least 235 records · Page 13Linked to original sources
PubMed1986

Deoxycytidine stimulates the in vitro growth of normal CFU-GM and reverses the negative regulatory effects of acidic isoferritin and prostaglandin E1.

We have examined the effect of supraphysiologic concentrations of the naturally occurring nucleoside deoxycytidine (dCyd) on the in vitro growth of normal (CFU-GM) and leukemic (L-CFU) myeloid progenitor cells. Bone marrow samples obtained from 34 consecutive patients undergoing routine diagnostic bone marrow aspirations for nonmalignant hematologic disorders exhibited nearly a twofold increment in CFU-GM when continuously cultured in the presence of 10(-4) mol/L dCyd. Higher dCyd concentrations were associated with a smaller degree of enhancement of colony formation. In contrast, the growth of leukemic blast progenitors obtained from patients with acute nonlymphocytic leukemia were not enhanced by any of the dCyd concentrations tested. Coadministration of 10(-3) mol/L tetrahydrouridine (THU), a cytidine deaminase inhibitor, failed to alter the relative inability of dCyd to enhance L-CFU colony growth. The stimulatory effect of dCyd on normal CFU-GM was not mediated by the adherent mononuclear cell population of the marrow, nor was it restricted to the subpopulation of CFU-GM in S phase at the time of initial exposure. Moreover, treatment of normal bone marrow cells with dCyd at concentrations ranging from 10(-6) to 5 X 10(-3) mol/L for 24 hours had only a minor effect on the fraction of CFU-GM in S phase. Coadministration of 10(-4) mol/L dCyd was able to reverse the inhibitory effects of several putative regulators of normal myelopoiesis, including leukemia inhibitory activity (LIA), acidic isoferritins (AIF), and prostaglandin E1 (PGE1). Leukemic myeloblasts exposed to 10(-4) mol/L dCyd exhibited substantial expansion of intracellular pools of dCyd triphosphate (dCTP), demonstrating that inability to metabolize dCyd could not be solely responsible for the absence of growth potentiation in these cells. These studies suggest that supraphysiologic concentrations of dCyd may confer a selective in vitro growth advantage upon normal v leukemic myeloid progenitor cells, and may free the former from the inhibitory effects of several potential negative regulators of myelopoiesis.

Alprostadil↗
PubMed1985

Thermic effect of feeding carbohydrate, fat, protein and mixed meal in lean and obese subjects.

The thermic effect of 1.67 MJ (400 kcal) of carbohydrate (glucose), fat, protein and mixed meal were examined in 11 lean and 11 obese subjects by indirect calorimetry. The changes in metabolic rate in response over 90 min period (30-120 min after the meal) to the different meals were compared with that seen after a similar volume of low calorie drink. The thermic effects of glucose and protein were not significantly different between lean and obese subjects. Obese subjects showed very little increase in metabolic rate following ingestion of fat (-0.9 +/- 2.0%, mean +/- SEM) and this was significantly different from that seen in lean subjects (14.4 +/- 3.4%). The thermogenic response to mixed meal was also significantly lower in obese subjects when expressed as percentage change (12.9 +/- 2.3% compared to 25.0 +/- 4.8%). There was no evidence for delay in gastric emptying times for glucose and fatty meal in the six obese subjects in whom these were measured. We conclude that obese subjects show a reduced thermogenic response to fat.

Adult↗
PubMed1985

Primary writing tremor and myoclonic writer's cramp.

Four patients with primary writing tremor had a focal, task-specific tremor that responded to anticholinergic drugs. Physiologic features included EMG activity alternating in antagonist muscles, 5- to 20-microV cerebral potentials evoked by stretch of pronator teres, and no C-reflexes. Another patient had myoclonic jerks of the forearm on attempts to write ("myoclonic writer's cramp") that also responded to anticholinergic drugs; EMG activity appeared synchronously or alternating in antagonist muscles. These disorders have features of dystonia and enlarge the spectrum of writer's cramp.

Adult↗
PubMed1984

Microbubbles have intracardiac velocities similar to those of red blood cells.

The slope of an individual contrast trajectory on M-mode echocardiography represents the projection of the intracardiac velocity vector of a microbubble in the direction of the sound beam. Doppler echocardiography measures this projection of red blood cell velocity. To ascertain whether microbubbles have similar intracardiac velocities to those of red blood cells, 11 subjects were studied during intravenous injections of 5% dextrose solution. The flow across the tricuspid and pulmonary valves was examined. Microbubble velocity was measured by M-mode contrast slope analysis and simultaneously by Doppler technique. Results from both methods were correlated with red blood cell velocity measured by Doppler recording at the same time in the cardiac cycle, shortly before appearance of contrast medium (3 to 8 beats before the corresponding contrast velocity measurements). In all subjects, 10 sets of three velocities each (M-mode slope and Doppler data before and during contrast injection) were obtained for each valve. Visual inspection of the Doppler tracings showed similar velocity profiles before and during contrast appearance; the signal intensity was greater with contrast. Quantitatively, microbubble velocity assessed by M-mode trajectory slopes correlated well with the Doppler-derived velocity of red blood cells (r = 0.98, p less than 0.001, slope of the regression line = 0.99, standard error of the estimate = 7 cm/s). Doppler velocities measured with and without contrast medium showed a similar correlation (r = 0.99, p less than 0.001, slope of regression = 1.01, standard error of the estimate = 6 cm/s). In individual subjects, the correlation coefficient between microbubble and red blood cell velocities ranged form 0.978 to 0.998.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1983

Numerical and functional deficiency of suppressor T cells precedes development of atopic eczema.

Immunoregulatory T cells were studied quantitatively and functionally at age 1-2 months in 30 symptom-free infants with family history of atopic disease and in 30 infants with no such history. The infants were followed up for 24-37 months (mean 28.2 months) to see whether clinical atopic disease was expressed. In infants in whom atopic eczema subsequently developed, numbers of T8-positive cells were reduced, the T4/T8 ratio was raised, and functional suppressor activity was lower than normal. These findings indicate that a defect of T-cell regulation precedes clinical atopic disease and is of primary pathogenetic importance.

Antibodies, Monoclonal↗
PubMed1983

Studies on the prevalence and epidemiology of urinary stone disease in men in Leeds.

A postal survey among 2% of men in Leeds showed that the prevalence of urinary stone disease is 3.8%. The prevalence of upper urinary tract and spontaneously passed stones increases progressively from 0.7% in social class 5 to 5.0% in social class 1 but that of bladder stones (0.7% in the group as a whole) is independent of social class. There is an initial peak of upper urinary tract and spontaneously passed stones commencing at age 20 and having a projected prevalence at age 90 of 5.7% and a second peak of bladder stones, commencing about age 50, with a projected prevalence of 1.9%. The prevalence of stone disease increases according to the order: single less than divorced/separated less than married less than widowed men. A family history of stones tends to be higher amongst relatives of stone-formers than amongst the corresponding relatives of control subjects, the male/female ratio being 2:1. The occurrence of urinary stones is significantly associated with that of gallstones, high blood pressure, backache, arthritis and gout but not with that of peptic ulcer, diabetes, thyroid disease or bronchitis.

Adult↗
PubMed1983

The relationship between body weight loss during an induced molt and postmolt egg production, egg weight, and shell quality in caged layers.

Two trials were conducted to determine the relationship between percent body weight loss (% BWL) during an induced molt and postmolt performance. The molt was induced by fasting and photoperiod manipulation. Four groups with 24, 27, 31, or 35% BWL (Trial 1) or 20, 25, 30, or 35% BWL (Trial 2) were utilized in each trial. Performance was evaluated on the basis of 24 weeks of egg production and determinations of egg weight (EW), specific gravity (SG), and shell weight (SW) conducted during Weeks 8 (Trial 2 only), 18, and 24 following the removal of feed. The 27 and 31% BWL groups of Trial 1 and the 30 and 35% BWL groups of Trial 2 produced significantly more eggs per hen housed than the remaining treatments in their respective trial. Differences in SG and SW at the end of the trial were most pronounced in Trial 1 where the 27 and 21% BWL groups exhibited significantly greater SG and SW at Week 24 than did the 24 or 35% BWL groups. No significant differences occurred for SG at Week 24 of Trial 2, but the 35% BWL group exhibited significantly improved SW when compared to the 25% BWL group with the remaining groups intermediate. The EW was greatest for the 31% BWL and least for the 35% BWL group at 24 weeks in Trial 1 but did not differ in Trial 2. It was concluded that a body weight loss of approximately 27 to 31% produced optimum postmolt performance.

Animals↗
PubMed1983

Lactic acidosis in a patient with acute leukemia.

Lactic acidosis is a rare but potentially fatal complication of acute leukemia. The terminal phase of acute leukemia in a 22-year-old woman, heralded by lactic acidosis, is described in order to focus attention on the occurrence of this metabolic disturbance in the absence of overt manifestations of acute leukemia. As reported in other cases, the lactic acidosis in our patient responded poorly to bicarbonate therapy but dramatically to antileukemic chemotherapy. The pathogenesis of the lactic acidosis is unclear but it may be the result of an undefined 'paraneoplastic' metabolic disturbance induced by the leukemic cells.

Acidosis↗
PubMed1983

Radiographic and scintigraphic skeletal imaging in patients with neuroblastoma: concise communication.

Bone scans, bone-marrow scans, and radiographic skeletal surveys have been reviewed in 40 children with neuroblastoma. Bone scans are the most sensitive method for detecting metastases and should be used first. The additional yield from a skeletal survey is very small, so it should be done only if the bone scan is negative and major therapeutic decisions are to be made. Bone-marrow scans provide a sensitive method of identifying metastases, and may help in staging a patient as stage IV when the bone scan is negative.

Bone Marrow↗