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Biomedical subjects

M Braun

Publications and source records attributed to M Braun.

At least 163 records · Page 9Linked to original sources
PubMed1997

Anatomic study of the distal supraorbital nerve.

This investigation was designed to extend our present knowledge of the supraorbital n. (SO n.) distal to the supraorbital notch. It is based on 40 dissected hemi-faces and the position of the notch and the periosteal and frontalis cutaneous branches of the SO n. were studied. The notch was 33.05 mm from the midline on the right side and 30.70 mm on the left. The periosteal branch arises from the lateral frontalis cutaneous branch. Its ascends in an oblique direction laterally and ends in two terminal branches. The frontalis cutaneous branch, after a very short trunk, divides into two branches, medial and lateral. The medial or deep branch enters the corrugator supercilii m. between its fibers. Most frequently, it passes under the inferior fasciculus and superficial to the middle and superior ones. Leaving the corrugator m., it ascends medially into the frontalis m., supplying the median cutaneous frontalis region. The lateral or superficial branch crosses superficial to the corrugator supercilii m. to penetrate the frontalis m. in an ascending and lateral direction, supplying the lateral frontalis region. The two branches enter the frontalis m., displaying a zigzag pattern in order to adapt its length during expressive movements. They cross the frontalis region together with the SO a. and two veins supplying the nerve and the frontalis m. These anatomic data may explain some of the complications after surgery for ptosis and blepharospasm.

Aged↗
PubMed1997

Gravitropism in tip-growing cells.

Unicellular tip-growing cells are excellent experimental systems in which to study gravitropism because cell extension, gravity sensing and the gravity response are all confined to the apical dome. Thus various approaches can be used to determine the distinct steps of the short gravitropic signal-transduction chain, which lacks a signal-transmission phase between the gravity-sensing cells and the competent responding target cells. Single-cell systems readily allow in-vivo observation of cellular processes during gravistimulation at 1 g, centrifugation, clinostatting and in microgravity, as well as permitting fluorescence labeling. Such diverse studies have revealed fascinating information on the mechanism of gravitropic tip growth, especially on the important role of the cytoskeleton in the positioning of the statoliths and in organizing and adjusting the Spitzenkorper. A hypothesis explaining the negative and positive gravitropism of Chara rhizoids and Chara protonemata has been put forward, which emphasizes the role of the actin cytoskeleton in the process of gravitropic tip-growth. Differences in the gravitropic responses of single-cell systems, however, reflect a diversity of gravitropic mechanisms, and represent an example of parallel evolution.

Bryopsida↗
PubMed1997

Analysis of the human CD21 transcription unit reveals differential splicing of exon 11 in mature transcripts and excludes alternative splicing as the mechanism causing solubilization of CD21.

CD21 is found in a soluble form at low levels in normal human sera and at elevated levels in sera from patients with EBV-associated diseases and B-CLL. Ablation of complement, injection of recombinant soluble CD21 and knock-out of CD21 in mice by gene targeting interfere with T-cell-dependent immune responses, suggesting that in vivo-generated soluble CD21 may exert immunoregulatory functions. Soluble CD21 has a molecular weight of 130,000/135,000, which is equivalent to the entire extracellular domain. Soluble forms of membrane-anchored molecules may be generated by proteolytic cleavage of the extracellular portion or by the exclusion of the hydrophobic transmembrane region via alternative splicing. To delineate whether alternative splicing of CD21 mRNA creates transcripts encoding for the soluble form of CD21 we analyzed by PCR CD21 expression in PBLs, spleen, tonsils, bone marrow and in various cell lines. We found that all CD21 mRNA species contained the transmembrane exons, thus excluding alternative splicing as a factor contributing to the serum pool of soluble CD21. Differential splicing of the CD21 transcription unit has also been suggested for exon 11. Within the CD21 gene exons 3, 7 and 11 have a high degree of homology. However, we found in malignant human cell lines and primary lymphocytes from blood, bone marrow, tonsils and spleen that exon 11, but not exon 3 or 7, is subject to alternative splicing. We cloned and sequenced the intron preceding exon 11 and found that the surrounding splice sites match consensus splice sites. In conclusion, we show that human CD21 exon 11 is alternatively spliced in malignant cell lines of lymphoid origin and in purified lymphocytes from blood, tonsils, bone marrow and spleen. We found that both exon 11 lacking and exon 11 containing transcripts are always coexpressed and the ratio of the two forms is > 1. Moreover, we exclude the possibility that alternative splicing of the transmembrane region is the mechanism leading to soluble CD21.

Alternative Splicing↗
PubMed1997

Frequency spacing of multiple spontaneous otoacoustic emissions shows relation to critical bands: a large-scale cumulative study.

Multiple spontaneous otoacoustic emissions (SOAEs), recorded in one ear, are not randomly spaced on the frequency scale. Extent and origin of spacing order, however, are not clear. Therefore, the raw data of all human SOAE surveys were pooled, and the intervals of all possible emission pairs in each ear were in total outlined according to size on a distribution diagram (n = 5245, for intervals up to 2/3 octave). Prevalence was increased for intervals between the benchmarks of 1 and 2 critical bands (CB). This CB-2CB range was further characterized by preference of intervals with low-order frequency ratios like 5:4 or 6:5, whereas outside CB 2CB there were no such effects. The results are discussed in the context of current knowledge of the origin of critical bands. Experiments are proposed that test the hypothesis of an influence of the olivocochlear efferents on SOAE spacing.

Data Collection↗
PubMed1997

Optimized differential diagnosis of breast lesions by combined B-mode and color Doppler sonography.

To optimize the sensitivity and specificity of gray-scale imaging and color Doppler in breast tumor diagnosis, alone and in combination, 89 women with palpable breast masses were scanned preoperatively and standard parameters were determined in both modes. Parameters significant for differentiation of benign and malignant tumors identified using univariate analysis were combined and weighted using multivariate analysis (multiple logistic regression). Histologically 59 tumors were malignant and 30 benign. Gray-scale sonography alone achieved a sensitivity of 88% and a specificity of 96% using the parameters of wall structure and posterior acoustic attenuation. Color Doppler achieved a sensitivity of 85% and a specificity of 79% using resistance index and pulsatility index as parameters. Combination of both methods yielded an accurate diagnosis in 84/87 patients (sonographic lesion correlates were absent in two cases), equivalent to a sensitivity of 97% and a specificity of 96%. Thus the individual diagnostic performance of gray-scale imaging and color Doppler sonography in palpable breast disease is further enhanced using multiple logistic regression to combine independently significant parameters.

Adult↗
PubMed1997

[Spiral CT for the detection of coronary artery calcifications and the prognosis of coronary heart disease--a comparison with fluoroscopy and coronary angiography].

PURPOSE: Evaluation of clinical relevance of coronary calcifications detected by helical CT. Evaluation of congruence with fluoroscopy (FS) and coronary angiography. Comparison with studies reporting on application of ultrafast computed tomography. MATERIALS AND METHODS: 40 patients underwent helical CT (2 mm slice thickness, table-feed 3 mm/s). Coronary angiography and FS were performed in usual technique. Stenosis and calcifications were evaluated semiquantitatively. RESULTS: 28 of 28 stenoses > or = 75% were detected via helical CT by evaluation of calcification (FS: 19). One non-detected solitary stenosis was calculated as 40%. FS did not detect 4 cases with 2-vessel and 3-vessel disease each one case with 1-vessel disease, and one case with a main stem stenosis. Sensitivity of helical CT was 97% (FS: 66%). For the evaluation of stenosis III degree (> or = 75%), sensitivity was 100% (FS: 58%), specificity was 77% (FS: 48%). CONCLUSION: Helical CT is more sensitive for haemodynamically relevant stenoses than FS. Helical CT is suitable as a substantial non-invasive diagnostic procedure in coronary heart disease. In certain cases, e.g. if the patient suffers from additional risks, helical CT should be done prior to coronary angiography. Coronary calcifications found incidentally in symptomatic patients at chest CT warrant further cardiological investigation.

Adult↗
PubMed1997

[Corneal lipofuscinosis--clinicopathologic study of 10 patients].

BACKGROUND: Lipofuscin pigments are considered indigestible residues of lysosomal activity associated with aging. We present the clinical and histopathological features of ten patients with corneal lipofuscinosis. PATIENTS AND METHODS: Ten patients (five female, five male, mean age 62 years, range 53 to 77 years) underwent penetrating keratoplasty for vascularized corneal scars. The clinical diagnoses were herpes simplex keratitis (5), zoster keratitis (1), phlyctenular keratitis (1), immunologic graft rejection (2) and corneal injury (1). The mean duration of disease was 6.5 years (range 3 to 11 years). On slit lamp examination both linear and diffuse deposits of yellow pigment were noted in the corneal stroma. All corneal buttons were processed for histopathologic and electron microscopic studies. RESULTS: The areas of yellowish pigmentation in the corneal stroma corresponded histopathologically to clusters of macrophages, keratocytes and occasional giant cells containing PAS-positive granules. The granules measured 1 to 3 micrometers and were also present extracellularly. Results of Gram stain were negative, but the material showed vivid autofluorescence. CONCLUSION: Corneal lipofuscin can be detected at the slit lamp as focal or diffuse yellowish deposits in both the superficial and deep corneal stroma of patients with long-standing keratitis. This is in contrast to corneal iron deposits, which appear as yellowish pigment in the corneal epithelium. The identification of corneal lipofuscin is possible using histochemical and autofluorescent studies. Further studies should address whether corneal lipofuscin predisposes to suture loosening.

Aged↗
PubMed1997

[High altitude retinopathy after Himalayan ascent].

BACKGROUND: Visual disturbances after high altitude exposure were first reported in 1969. Later, the term "High Altitude Retinal Hemorrhage-HARH" has been used for the ensuing retinal hemorrhages and vascular engorgement. CASE REPORT: A 31-year-old Caucasian male presented to our outpatient department 1 week after climbing Mt. Gosainthan in the Himalayas. He had spent 25 days without oxygen supply above 5000 meters, with a maximum of 8046 meters. He now complained of glare and decreased vision in twilight. Visual acuity was 20/25 OD and 20/20 OS. Ophthalmoscopy revealed intraretinal hemorrhages and tortuosity of dilated arterioles and venoles. After 6 weeks of gradual improvement, visual acuity was 20/20 OD and 20/16 OS with normal visual fields. DISCUSSION: The hypoxia at high altitude causes increased retinal blood flow and blood volume possibly via autoregulatory mechanisms. Furthermore, retinal venous pressure can be increased by extreme physical exertion and Valsalva maneuvers during mountain climbing. A hypoxic retinal capillary bed exposed to increased retinal venous pressure predisposes to intraretinal hemorrhage. Retinal changes include marked increase of retinal vessel diameter with tortuosity of arterioles and venoles and hyperemia or edema of the optic disc. The intra- or preretinal hemorrhages often spare the macular area. These patients do not experience debilitating symptoms unless vitreous hemorrhage occurs. This may be potentially hazardous when the patient is still in the high mountains. Clinically, all these retinal changes are reversible within weeks. To prevent high altitude retinopathy, ascending slowly and use of supplemental oxygen is recommended.

Adult↗
PubMed1997

Image segmentation by a deformable contour model incorporating region analysis.

Deformable contour models are useful tools for image segmentation. However, many fields depend mainly on local edge-based image features to guide the convergence of the contour. This makes the models sensitive to noise and the initial estimate. Our model incorporates region-based image features to improve its convergence and to reduce its dependence on initial estimation. Computational efficiency is achieved by an optimization strategy, modified from the greedy algorithm of Williams and Shah. The model allows a simultaneous optimization of multiple contours, making it useful for a large variety of segmentation problems.

Algorithms↗
PubMed1997

Automatic detection of the mid-sagittal plane in 3-D brain images.

This article presents a detailed description of an algorithm for the automatic detection of the mid-sagittal plane in three-dimensional (3-D) brain images. The algorithm seeks the plane with respect to which the image exhibits maximum symmetry. For a given plane, symmetry is measured by the cross-correlation between the image sections lying on either side. The search for the plane of maximum symmetry is performed by using a multiresolution approach which substantially decreases computational time. The choice of the starting plane was found to be an important issue in optimization. A method for selecting the initial plane is presented. The algorithm has been tested on brain images from various imaging modalities in both humans and animals. Results were evaluated by visual inspection by neuroradiologists and were judged to be consistently correct.

Algorithms↗
PubMed1997

Regulation of tumor necrosis factor alpha- and interleukin-1-beta-induced induced adhesion molecule expression in human vascular smooth muscle cells by cAMP.

This study investigates the hypothesis that the elevation of intracellular cAMP may affect cytokine-induced expression of adhesion molecules on human vascular smooth muscle cells. In cultured human smooth muscle cells from coronary arteries and saphenous veins, tumor necrosis factor-alpha (TNF-alpha) and interleukin-1 beta (IL-1 beta) induced the expression of intercellular adhesion molecule (ICAM-1) and vascular cell adhesion molecule (VCAM-1), whereas interferon-gamma (INF-gamma) selectively stimulated the expression of ICAM-1. Adenylyl cyclase was stimulated either by the stable prostacyclin mimetic cicaprost or by forskolin. Adhesion molecules were detected by a cell surface enzyme immunoassay and the respective mRNA by reverse transcriptase polymerase chain reaction (rt-PCR). Cicaprost as well as forskolin significantly inhibited TNF-alpha- and IL-1 beta-induced cell surface expression of ICAM-1 and VCAM-1. Semiquantitative rt-PCR measurements showed a marked decrease of TNF-alpha- and IL-1 beta-induced mRNA levels of both adhesion molecules after preincubation with cicaprost. The stability of TNF-alpha-induced ICAM-1 and VCAM-1 expression at mRNA and protein level was not altered by cicaprost. The IFN-gamma-induced increase of cell surface expression of ICAM-1 and the respective mRNA levels, however, were not significantly altered by elevation of intracellular cAMP. Basal and stimulated cAMP levels, measured by radioimmunoassay, did not differ in TNF-alpha- and IFN gamma-treated cells. The present results demonstrate that the expression of adhesion molecules on human smooth muscle cells induced by cytokines is differentially modulated by activation of adenylyl cyclase.

1-Methyl-3-isobutylxanthine↗
PubMed1997

Aldose reductase gene expression is increased in diabetic nephropathy.

Aldose reductase gene expression is increased in insulin-dependent diabetes mellitus (IDDM) with nephropathy. Epidemiology studies in patients with IDDM and noninsulin-dependent diabetes mellitus (NIDDM) are consistent with the hypothesis that a genetic factor(s) influences the risk for kidney disease of diabetes mellitus (KDDM). Aldose reductase (AR), the rate-limiting enzyme in the polyol pathway, is a potential candidate gene product. The present study explored the hypothesis that AR gene expression is increased in peripheral blood mononuclear cells obtained from patients with KDDM. We studied four groups of volunteers: group I, normal subjects; group II, IDDM without nephropathy; group III, IDDM with kidney disease; and group IV, nondiabetics with kidney disease. AR messenger ribonucleic acid was measured by a ribonuclease protection assay. The results are expressed as the mean and 95% confidence interval (CI) of the AR/beta-actin messenger ribonucleic acid molar ratios (AR/beta-actin R). Among diabetics, the AR/beta-actin R was higher in group III (0.088; CI, 0.068-0.108) than in group I (0.045; CI, 0.033-0.057; P < 0.01). There were no significant differences in age, hemoglobin A1c, or duration of diabetes between groups II and III (P = NS). The AR/beta-actin R in group III was also higher than that in group II (0.045; CI, 0.030-0.060; P < 0.01) or group IV (0.019; CI, 0.011-0.027; P < 0.001). In contrast, among nondiabetics, AR/beta-actin R values were 2-fold lower in group IV than in group I (P < 0.01). The results of this study are consistent with the hypothesis that the degree of AR gene expression modulates the risk of KDDM.

Actins↗
PubMed1997

Displacement of statoliths in Chara rhizoids during horizontal rotation on clinostats.

The basipetal movement of statoliths in Chara rhizoids, similar to that during parabolic flights of TEXUS rockets occurs also during rotation on clinostats. Within 15 min on fast-rotating clinostat, the distance between the center of the statolith complex and the cell vertex increases for 60% of that in positively gravitropic downward growing rhizoids. Cytochalasin D experiments confirm that the movement of statoliths is actin-dependent and the actin filaments exert basipetal forces on statoliths in gravity field. The clinostat and/or cytochalasin experiments confirm the suggestion that on earth the position of statoliths depends on the balance of the gravitational force and the counteracting force mediated by actin filaments. The statolith center keeps a stable position during about 30 min on a fast-rotating clinostat, i.e. it is then in a new dynamically stable state. This new state is achieved 15 min after the basipetal acting filament-mediated force has been disturbed by clinostatting. Further experiments on the fast-rotating clinostat show that this new position brings about a reorganization of actin filaments which makes the process of acropetal transport of statoliths possible. The amplitude of particle oscillatory movement decreases as the rotational speed of the clinostat increases. This explains the differences of the results obtained from the experiments on fast-rotating and slow-rotating clinostats. It should be kept in mind that rhizoids are unicellular. The fast-rotating clinostat is suitable for simulation of conditions without gravity when a rhizoid is on the axis of rotation. The interaction of statoliths and actin filaments at zero gravity can be studied by means of such a clinostat.

Actin Cytoskeleton↗
PubMed1996

Fixation procedure for transmission electron microscopy of Chara rhizoids under microgravity in a Spacelab (IML-2).

A special fixation device and fixation procedure have been developed to investigate for the first time the ultrastructure of gravity-sensing, unicellular Chara rhizoids grown for 30 h under microgravity (MG) conditions during the IML-2 mission. The fixation unit allowed culture, fixation and storage of Chara rhizoids in the same chamber without transferring the samples. The procedure was easy and safe to perform and required a minimum of crew time. Rhizoids fixated with glutaraldehyde in space and further processed for electron microscopy on ground showed that the fixation was of high quality and corresponded to the fixation quality of rhizoids in the ground controls. Thus, the equipment accomplished the manifold problems related to the physical effects of MG. The polarity of the rhizoids was maintained in MG. Well-preserved organelles and microtubules showed no obvious difference in ultrastructure or distribution after 30-h growth in MG compared to ground controls. The statoliths were more randomly distributed, however, only up to 50 microns basal to the tip. Thus, changing the gravity conditions does to disturb the cellular organisation of the rhizoids enabling the tip-growing cells to follow their genetic program in development and growth also under MG.

Cell Culture Techniques↗
PubMed1996

A late Neanderthal associated with Upper Palaeolithic artefacts.

The French site of Arcy-sur-Cure is a key locality in documenting the Middle-Upper Palaeolithic transition in Europe. Reliable attribution of the fragmentary hominid fossils associated with its early Upper Palaeolithic Châtelperronian industry has not been possible. Here we report the first conclusive identification of one of these fossils as Neanderthal on the basis of newly discovered derived features of the bony labyrinth. Dated at about thirty-four thousand years (34 kyr) ago, the fossil is representative of the youngest known Neanderthal populations, and its archaeological context indicates that these hominids used a rich bone industry as well as personal ornaments. The evidence supports the hypothesis of a long term coexistence with technocultural interactions between the first modern humans and the last Neanderthals in Europe. However, the complete absence of the derived Neanderthal traits in labyrinths of modern Upper Palaeolithic specimens from western Europe argues against phylogenetic continuity between the two populations in this region.

Animals↗
PubMed1996

[Isolated invasive sphenoid aspergillosis].

Isolated aspergillosis of the sphenoid sinus is a difficult diagnosis because the often misleading clinical manifestations of this rare disease develop late. We report a case of invasive aspergillosis uniquely involving the sphenoid sinus revealed by clinical features suggesting pseudotumor of the pituitary in an immunocompetent man. A 71-year-old man presented sudden onset palsy of the abductor nerve of the left eye. Neuroimaging suggested a pseudotumor of the pituitary. Sphenoid sinusitis was discovered at surgery. The diagnosis of aspergillosis was provided by the histology examination of the sphenoid mucosa. Despite medical treatment with itraconazol alone then in combination with amphotericine B, the infectious process progressed to the pituitary, the cavernous sinus, the upper orbital fissue and the optic canal. Cure was finally achieved after a second surgical procedure to drain and aerate the sphenoid sinus. Aspergillosis of the sphenoid sinus is usually discovered due to neurological signs such as a cavernous sinus syndrome, pseudotumor of the pituitary or the orbit. Diagnosis is often made intraoperatively or at histology examination. Invasive forms almost always are seen in immunosuppressed subjects. In our case, the patient was immunocompetent and had no past history of sinusitis. The invasive sphenoid aspergillosis invaded bone tissue, the cavernous sinus and the meninges.

Aged↗
PubMed1996

Anomalous gravitropic response of Chara rhizoids during enhanced accelerations.

Centrifugal accelerations of 50-250 g were applied to rhizoids of Chara globularis Thuill. at stimulation angles (alpha) of 5-90 degrees between the acceleration vector and the rhizoid axis. After the start of centrifugation, the statoliths were pressed asymmetrically onto the centrifugal flank of the apical cell wall. In contrast to the well-known bending (by bowing) under 1 g, the rhizoids responded in two distinct phases. Following an initial phase of sharp bending (by bulging), which is similar to the negatively gravitropic response of Chara protonemata, rhizoids stopped bending and, in the second phase, grew straight in directions clearly deviating from the direction of acceleration. These response angles (beta) between the axis of the bent part of the rhizoid and the acceleration vector were strictly correlated with the g-level of acceleration. The higher the acceleration the greater was beta. Except for the sharp bending, the shape and growth rate of the centrifuged rhizoids were not different from those of gravistimulated control rhizoids at 1 g. These results indicate that gravitropic bending of rhizoids during enhanced accelerations (5 degrees < or = alpha < or = 90 degrees) is caused not only by subapical differential flank growth, as it is the case at 1 g, but also by also by the centripetal displacement of the growth centre as was recently discussed for the negative gravitropism of Chara protonemata. A hypothesis for cytoskeletally mediated polar growth is presented based on data from positive gravitropic bending of Chara rhizoids at 1 g and from the anomalous gravitropic bending of rhizoids compared with the negatively gravitropic bending of Chara protonemata. The data obtained are also relevant to a general understanding of graviperception in higher-plant organs.

Acceleration↗