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Biomedical subjects

M Braun

Publications and source records attributed to M Braun.

At least 289 records · Page 16Linked to original sources

H-2 specific inotropic effect of alloimmune lymphoid cells on mouse isolated atria.

Alloimmunized lymphoid cells exert inotropic effects on isolated mouse atria. We here show that, when thymocytes were assayed on spontaneously beating isolated atria, a negative inotropic effect always appeared. When lymph node or spleen cells were assayed, they led to a biphasic effect: negative or positive inotropic effect, depending on the number of immunizations. Non-immunized lymphoid cells never exerted inotropic effects. Supernatants of alloimmunized cells cocultivated with pieces of atria from the immunizing strain exerted pharmacological effects on atria that mimicked those of whole cells. Inhibitors of lipoxygenase(s) and cyclooxygenase of arachidonic acid metabolism, inhibited the positive and negative inotropic effects, respectively. The specificity of the negative and positive inotropic effects, both in their induction and expression, was linked to the major histocompatibility complex. When T and B cells were purified from lymphoid tissues we found that they were responsible for the negative and positive inotropic effects on atria, respectively. Additionally, supernatants of T cells cultured with alloextracts triggered negative inotropic effects, but those from B cells were inactivated.

Animals↗

Retention of immune complexes by murine lymph node or spleen follicular dendritic cells. Role of antibody isotype.

Using monoclonal anti-trinitrophenyl (TNP) antibodies complexed to TNP-myoglobin-coated gold particles, we analysed at the ultrastructural level the retention by follicular dendritic cells (FDC) of immune complexes containing various antibody isotypes. Gold-labelled immune complexes were injected subcutaneously or intravenously into naive mice and, after 24 h, germinal centres of draining lymph nodes or spleen were examined by electron microscopy. FDC generally retained complexes containing IgG2a and IgG2b better than those formed with IgG1 or IgG3. IgM was rarely retained. FDC isolated from lymph nodes or spleens were incubated in vitro with gold-labelled complexes in a serum-free medium. IgG2a and IgG2b complexes were also retained in vitro in large quantities by FDC; IgG1 and IgG3 complexes were retained in smaller quantities or in highly variable quantities compared with IgG2; IgM complexes were rarely seen on FDC. There was no difference between FDC isolated from lymph nodes or from spleen with respect to the Ig isotypes required for Fc-mediated retention of immune complexes.

Animals↗

Insulin secretion stimulated by allogeneic lymphocytes in an inbred strain of mice.

Effects of intraperitoneal injection of allogeneic lymphocytes on insulin secretion were studied in incubated pancreas slices from BALB/c mice. Injection of allogeneic lymphocytes from C57BL/6J (H2b) mice increased insulin secretion, both in basal and 11-mM glucose-stimulated conditions. This effect was only present when at least 5 X 10(6) or 1 X 10(6) cells were injected (in basal and stimulated conditions, respectively). Glucose-induced insulin secretion (3.3-27.5 mM) was significantly increased in pancreata from mice injected with allogeneic lymphocytes. No effect was observed when glucose was not included in the incubation medium. Intraperitoneal injection of Dextran 70 produced no change in glucose-elicited insulin secretion. There were no differences in glucagon and somatostatin (SRIF) secretion obtained from pancreas of mice injected with allogeneic or syngeneic lymphocytes. Injection of allogeneic cells increases insulin secretion (basal and both phases of 11 mM glucose-stimulated secretion). Puromycin significantly inhibited the second phase of insulin secretion. These results suggest that: Injection of allogeneic lymphocytes raises both basal and glucose-stimulated insulin secretion. This effect seems to be connected with the major histocompatibility complex, and to be related to the number of allogeneic cells injected. Injection of allogeneic lymphocytes seems to sensitize the beta cell response to glucose stimulus. Neither glucagon nor SRIF secretion are altered by alloantigen injection. The stimulatory effect of allogeneic lymphocytes is related, at least in part, to insulin synthesis.

Animals↗

[Influence of follicular dendritic cells on the survival of lymphocytes in vitro].

To study the role of follicular dendritic cells (FDC) in germinal centers, we tried to keep them alive in vitro by culturing entire lymphoid follicles. Ultrastructural studies of those cultures in different conditions of culture technique, medium and temperature have been made. In any considered conditions living FDC were not found in the cultures after the 7th day. But during that period, only lymphocytes in close contact with the cytoplasmic processes of FDC survived. FDC seem thus to exert a positive action on lymphocyte survival in vitro. Moreover, FDC and lymphocytes appeared associated in situ in clusters similar to those obtained after isolation of FDC (Lilet-Leclercq et al., J. Immunol. Meth., 1984, 59, 235).

Cell Survival↗

Magnetic resonance imaging of the opto-chiasmatic region. Report on 276 cases.

A total of 276 lesions in the sellar and parasellar region were studied with magnetic resonance imaging using two different magnets of 0.15 and 0.5 T, respectively. Examination in the sagittal plane is recommended. T1 weighted images will give anatomic details, T2 weighted images the tissue characteristics. No marked differences with regard to diagnostic results were noted with the two different magnets, although the signals appeared to be more intense when using a 0.5 T magnet.

Adult↗

Immune response to foot-and-mouth disease virus in a murine experimental model: effective thymus-independent primary and secondary reaction.

The immune response against foot-and-mouth disease virus (FMDV) was studied in a murine model. In untreated control mice, the inoculation of 10,000 suckling mouse 50% lethal doses of Ol Campos FMDV i.p. was followed by a burst of viraemia that disappeared in less than 4 days, i.e. when the neutralizing antibodies (NAb) reached titres above one neutralizing unit. In mice treated with cyclophosphamide, the curves of viraemia and NAb were significantly delayed. Nu/nu mice injected with FMDV had curves of viraemia and NAb identical to those of their nu/t littermates. We then studied the secondary (memory) immune reaction in the same model. In order to investigate which preimmunized cells participate in the elimination of actively replicating FMDV, mice were irradiated, then infected with FMDV, and 24 hr later repopulated with cells obtained from either donor mice that had been previously immunized by infection with live virus, or non-infected controls. The transfer of control (non-immunized) lymphoid cells was unable to eliminate the viraemia in recipient animals at times significantly different from those observed with irradiated recipients receiving no cells, while repopulation of recipients with 10(8) immune lymphoid cells (obtained from pooled thymus, blood, peritoneal exudate, spleen and lymph nodes of preinfected donor mice) led to undetectable titres of viraemia at Day 5 post-infection (p.i.). High doses of thymus cells were totally inactive, while a few as 10(7) donor spleen cells were able to abort viraemia at 6 days p.i. When enriched preparations of B or T spleen cells were adoptively transferred, only B cells were able to abort viraemia in irradiated recipients. It is concluded that, in the murine model of FMDV infection, B cells are mainly responsible for primary response and short-term immunological memory. In both cases the protective immune reaction is T-independent.

Animals↗

[Tumefactive biliary sludge. Ultrasonic aspects].

Twenty two patients presenting a typical sonographic pattern of tumefactive biliary sludge are studied. In all cases was observed a polypoid mobile, rounded mass, without acoustic shadow. The lesion stayed in the gallbladder in 15 cases and in distended main bile duct in 3 others. There was a double localisation in 4 cases. Seven verified cases proved to be constituted of very thick biliary sludge.

Adult↗

Investigation of the hyaluronic acid-copper complex by N.M.R. spectroscopy.

Analysis of the 13C and 1H relaxation data of the hyaluronic acid-copper complex indicates a binding site involving the carboxyl group and O-1 of the D-glucuronic acid moiety. The paramagnetic relaxation of Cu2+ is discussed within the framework of the Solomon-Bloembergen formalism and it is shown that various atoms experience, in addition to the dipolar paramagnetic relaxation, a strong scalar relaxation contribution. E.s.r. spectra have also been obtained in order to determine the binding constants, and measurements at 69 K gave the g-values of the complex.

Binding Sites↗

Cell-mediated reactivity against human and Trypanosoma cruzi antigens according to clinical status in Chagas' disease patients.

The presence of cellular reactivity against homologous tissues and subcellular fractions of Trypanosoma cruzi was investigated in Chagas' disease patients (CDP). CDP were grouped in asymptomatic (CDP-1) and with probable (CDP-2) and overt (CDP-3) cardiomyopathy. Healthy and non-Chagasic cardiomyopathic subjects were studied as controls. Lymphoproliferative reactions against heart tissue extracts were detected in 42% of 72 CDP studied, with similar prevalence of positive reactions in all groups, and correlated with reactivity to both liver and kidney homologous tissues (P less than 0.001). These results confirm the existence of cellular immune reactivity against tissues in CDP, and indicate the lack of organ specificity of this reaction as well as the absence of relation with the clinical state of patients. Cellular reactivity to subcellular fractions of T. cruzi showed a definite pattern according to the clinical status of CDP. Although prevalence of T. cruzi stimulation appeared similar in all groups (70% in CDP-1, 82% in CDP-2 and 75% in CDP-3), CDP-3 showed a significantly higher reactivity to flagellar (69%) and cytosol (63%) fractions than CDP-1 (38 and 27%, respectively). These findings suggest a variable modulation of immune response according to the clinical state of T. cruzi infected subjects.

Adolescent↗

[Immune response to Trypanosoma cruzi. An approach to the pathogenesis of Chagas' disease].

A very large number of people in both Americas are infected with T. cruzi. Nevertheless, only a relatively small percentage of them present clinical and pathological symptoms ascribable to this infection. The different immune reactions in Chagas' disease (American Trypanosomiasis) are reviewed and discussed here, both in their protective capacity and in their probable role in the pathogenesis of Chagas' disease clinical manifestations. Antibody responses are always present in infected subjects, and several types of specific antibodies have been demonstrated; their titers are high, more so in the acute phase of the disease. Their protective capacity in vivo has been demonstrated by several groups. T cell mediated immune responses (CMIR) have also been demonstrated in patients and experimental animals, but their presence is inconsistent and their level is generally low. Nevertheless, thymus dependent immune reactions are important in anti-T. cruzi protection, as shown by experiments in T deficient animals and also by some observations in immunodepressed patients. Antibody-dependent cell mediated cytotoxicity (ADCC) and natural killer (NK) cell activity directed against T. cruzi have also been proven in vitro, but their role in vivo is still unknown. There is no doubt that the immune system is able to recognize T. cruzi antigens and to protect the host against massive infection, but the immune response is not able to eliminate all the parasites, so that chronic infection ensues: this failure in "curing" the infection may be due to the above mentioned low level of CMIR and/or to escape mechanisms evolved by the parasite. The presence of immune reactions directed against self antigens in Chagas' disease patients and in experimental models of chronic Chagas' disease is also reviewed. These reactions may be due either to self antigens released by injured cells (and would then only be an epiphenomenon), or to cross-reacting antigens common to T. cruzi and normal components of the host; in fact, several cross-reactions have been proven between T. cruzi and laminin, nerve tissue antigens, etc. This would point to the possibility that autoimmune reactions play an important role in the pathogenesis of Chagas' disease clinical symptoms.(ABSTRACT TRUNCATED AT 400 WORDS)

Animals↗

Differential Ia antigen expression by autologous human erythroid and B lymphoblastoid cell lines.

Human erythroid precursors express Ia antigens that have serology, function, molecular nature, and genetic regulation that are largely unknown. To approach these issues, Ia+ and Ia- subclones of the HEL human erythroleukemia cell line (HEL-DR+ and HEL-DR-, respectively) and an autologous B lymphoblastoid line (B line) were isolated. These erythroid and lymphoid lines were compared with respect to their binding of monoclonal HLA-D subregion-specific antibodies, the ability to trigger in vitro alloproliferation, expression of class II molecules, and transcription of class II-related genes. Unlike the DP+/DQ+/DR+ B lines, HEL-DR+ differentially expressed DP and DR, but not DQ specificities. Also unlike the autologous B line, HEL-DR+ appeared to be unable to trigger primary or secondary allogeneic T cell proliferation, despite the presence of responder monocytes in these cultures and irrespective of lymphokine addition. HEL-DR+ expression of bona fide class II molecules similar to B line DR heterodimers was verified by two-dimensional gel electrophoresis of material immunoprecipitated from 125I-labeled cells. Northern blot analysis of cytoplasmic RNA from these lines indicated that differential class II gene transcription could readily explain the distinct, lineage-related Ia phenotypes of HEL-DR+ and B line. In addition, the lack of invariant chain and class II transcripts in HEL-DR- implied that expression of these unlinked genes in HEL cells is co-regulated.

Antigen-Antibody Reactions↗

Fingertip amputation: review of 100 digits.

Evaluation of the functional results and complications of 100 fingertip amputations revealed no difference between the two most commonly used repairs; 52 injuries were treated by primary closure with residual viable skin flaps and 27 by split-thickness skin grafting. No decline in unfavourable functional results was found when patients evaluated 6 weeks after injury were compared to patients evaluated 42 weeks after injury, suggesting that delaying the patient's return to full activity by prolonging rehabilitation is unlikely to yield much improvement. Shortening the nerves in proximal amputations closed by residual flaps did not decrease nerve irritation. Resection of bone produced a mobile amputation-stump tip. While the mean time off work or return to full activity following skin grafting was 6 days less than it was after primary closure, the difference was not significant.

Absenteeism↗

Immunoreactive trypsin in the adult respiratory distress syndrome.

With the purpose of studying the role of proteinases in the development of ARDS, plasma levels of immunoreactive trypsin (IRT) and amylase were measured in 43 intensive care patients at risk of developing ARDS (22 polytrauma, seven abdominal surgery, four burns, two DIC and eight pancreatitis). Twenty four of these 43 patients developed ARDS and 31 presented abnormal IRT values (above 70 micrograms/L). Twenty-one of these 31 patients had ARDS; a significant correlation thus appeared between ARDS and abnormal IRT values. In nine patients, IRT values were higher than 800 micrograms/L and remained high for 3 to 4 days. A statistically significant correlation also appeared between abnormal IRT and septic phenomena: 20 patients with high IRT values presented septic problems. When IRT values were high, amylase values were often also abnormal: 12 of 23 patients with high IRT had abnormal amylase levels (the eight patients with documented pancreatitis were excluded); no other clinical signs or symptoms of pancreatitis were present in these patients. IRT could be one of the mediators of ARDS in septic patients. It is not clear that the pancreas is the origin of IRT in all cases.

Abdomen↗

Estrogen receptor status and adjuvant polychemotherapy or antiestrogen therapy in patients with high-risk breast cancer.

This pilot study includes 115 consecutive patients admitted in the period from 1978 to 1981. Patients eligible for this study were at high risk according to the TNM classification with stages pT1-pT3 and pN+, MO. Primary therapy included modified radical mastectomy and axillary-node clearance, one or more ipsilateral nodes being involved in routine histology. All tumors were assayed for estrogen and progesterone receptors. According to the result of the estrogen receptor assay, estrogen-receptor-positive patients were treated with Tamoxifen 30 mg/day for a period of 2 years. Estrogen-receptor-negative patients were treated with cytoxan, methotrexate, and 5-fluorouracil or adriblastin, cytoxan. After a median observation time of 36 months, overall there have been 31 recurrences: 9 = 17.3% in the estrogen-receptor-positive group and 22 = 34.9% in the estrogen-receptor-negative group. The analysis of different subgroups showed no significant differences, either in relation to axillary lymph-node status or in relation to menopausal status in the endocrine-treated compared with the polychemotherapy group. This result suggests, especially in the subgroup of patients with involvement of one to three axillary nodes, that estrogen-receptor-positive and estrogen-receptor-negative patients should be considered as separate groups when adjuvant therapy is indicated. Possibly hormone-receptor-positive patients may benefit from endocrine therapy and do not need polychemotherapy.

Adult↗