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Biomedical subjects

M H Snow

Publications and source records attributed to M H Snow.

At least 37 records · Page 2Linked to original sources

A technique for accurate use of CD4+ cell counts.

Despite uncertainty over their reliability, CD4+ cell counts are used extensively in both clinical and research settings to document progression in HIV infection. We examined, therefore, whether the performance of a simple statistical test would facilitate greater accuracy in the use of this marker. CD4+ cell count data were collected from a cohort of deceased (N = 60) and living HIV-positive gay men (N = 100). Pearson's product moment correlation coefficients were calculated for each individual in order to examine the association between CD4+ counts and time since diagnosis. Correlations of 0.7 or greater were obtained in approximately 50 percent of cases in each cohort. For these individuals, CD4+ cell counts were deemed to be a reliable indicator of rate of progression. The results suggest that the proposed technique ensures greater precision in the use of CD4+ cell counts and that the technique cna be used in individuals with either complete (deceased patients) or partial (living patients) CD4+ data.

CD4 Lymphocyte Count↗

Giant cell arteritis--A cause of pyrexia of unknown origin.

Giant cell arteritis may present atypically with symptoms of malaise, anorexia, weight loss and fever that could lead to diagnostic difficulties. We describe two cases which the prominent initial feature was protracted pyrexia. Clinicians should seriously consider temporal artery biopsy in such cases.

Aged↗

Satellite cell response in rat soleus muscle undergoing hypertrophy due to surgical ablation of synergists.

Although the role of satellite cells has been confirmed during skeletal muscle growth and regeneration, their involvement during work-induced muscle growth remains uncertain. In this study, chronically overloaded rat soleus muscles were ultrastructurally monitored following surgical ablation of synergists to examine cytological adaptations of satellite cells and myofibers. The left soleus muscle of 20 female Sprague-Dawley rats (7 weeks of age) was induced to hypertrophy by excising the contralateral plantaris and gastrocnemius muscles under pentobarbital anesthesia. Right limbs were sham-operated and served as controls. On days 3, 7, 14, 21, and 30 after surgery, the soleus muscles were removed and processed for electron microscopy. Two morphologically distinct phases were noted in the surgically overloaded muscles. The first stage (week 1) was characterized by a significant increase in the number of satellite cells, and by more than half of the experimental muscle fibers displaying myofibrillar disruptions, mitochondrial alterations and glycogen pooling. The second phase (weeks 2-4) featured mostly normal, although larger appearing muscle fibers, with the satellite cell frequency remaining slightly elevated. These findings suggest that muscle fiber structural abnormalities, rather than an increase in muscle activity, may play a more significant role in the early activation of satellite cells during compensatory hypertrophy, whereas activation of satellite cells during the later stages may be in response to increased levels of muscle activity.

Animals↗

Primordial germ cells in the mouse embryo during gastrulation.

With the aid of a whole-mount technique, we have detected a small cluster of alkaline phosphatase (ALP)-positive cells in whole mounts of mid-primitive-streak-stage embryos, 7-7 1/4 days post coitum (dpc). Within the cluster, about 8 cells contain a small cytoplasmic spot, intensely stained for ALP activity and possibly associated with an active Golgi complex. The cluster lies just posterior to the definitive primitive streak in the extraembryonic mesoderm, separated from the embryo by the amniotic fold. Towards the end of gastrulation, the number of cells containing the ALP-positive spot rises to between 50 and 80. Thereafter the number of cells in the extraembryonic cluster declines, and similar cells start to be seen in the mesoderm of the primitive streak and then in the endoderm. At 8 dpc, about 125 ALP-stained cells are found, mainly in the hindgut endoderm and also at the base of the allantois, their appearance and location at this stage agreeing closely with previous reports on primordial germ cells (PGCs). Embryos from which the cluster area has been removed at the 7-day stage are devoid of PGCs after culture for 48 h, whereas the excised tissue is rich in PGCs. We argue that the cells in the cluster are indeed primordial germ cells, at a stage significantly earlier than any reported previously. This would indicate that the PGC lineage in the mouse is set aside at least as early as 7 dpc, possibly as one of the first 'mesodermal' cell types to emerge, and that its differentiation, as expressed by ALP activity, is gradual.

Alkaline Phosphatase↗

Early development in the mouse: would it be affected by microgravity?

Gravity has been identified as a morphogenetic signal in Amphibian and bird embryonic development so it is plausible that it might be such in mammals as well. Since early mammalian development shows some apparently significant differences to these other groups, a brief summary of mouse embryogenesis will be given identifying events in which polarity is an important feature and consequently, in which gravity may be a causative factor. These include compaction and polarization during cleavage, establishment of the radial axis, the embryonic-abembryonic axis, the dorso-ventral axis, and the anterior-posterior axis, implantation, and the later rotation of the embryo. The experimental data on these morphogenetic steps will be discussed and an assessment of the possible involvement of gravity will be made.

Animals↗

Hypercalcaemia in association with enteric fever.

We report 2 cases of hypercalcaemia and hypercalciuria, with detectable levels of parathyroid hormone, which appeared to be precipitated by enteric fever. Extensive investigation of one case, including ultrasound, isotope scanning, angiography, computed tomographic scanning and surgical exploration, failed to detect a parathyroid adenoma. In both cases biochemical and hormonal abnormalities resolved several months after recovery of enteric fever. The mechanism of the proposed association is unexplained but it should be considered in any patient with hypercalcaemia and detectable parathyroid hormone levels, who is suffering from or has recently recovered from enteric fever. If such a patient is well, a period of several month's observation is recommended. We believe these two cases to be the first such reports of hypercalcaemia in association with enteric fever.

Adolescent↗

Yersinia pseudotuberculosis infection as a cause of reactive arthritis as seen in a genitourinary clinic: case report.

Patients are often referred to the genitourinary clinic for screening for urethral infections after a clinical diagnosis of Reiter's syndrome or reactive arthritis. We report a case of reactive polyarthritis in which serological evidence of Yersinia pseudotuberculosis infection was found in the absence of the other common precipitating organisms, such as Chlamydia spp, Klebsiella spp, Shigella spp, Campylobacter spp, or Yersinia enterocolitica.

Adult↗

Frequency of bifurcated muscle fibers in hypertrophic rat soleus muscle.

The total number of bifurcated and nonbifurcated fibers were counted in rat soleus muscles induced to hypertrophy by surgical ablation of the gastrocnemius and plantaris muscles. Sham-operated and normal soleus muscles served as controls. Every muscle fiber within the entire muscle was individually examined and counted with the aid of a dissecting microscope following a 10-12 hour nitric acid digestion of the connective tissue. The results show that the total number of muscle fibers in the hypertrophic soleus did not differ significantly from the control. The frequency of bifurcated fibers observed in the control muscles was significantly greater than has been previously reported, and their frequency in the hypertrophic muscles, although slightly increased, was not significantly different from control values. These data confirm that fiber hypertrophy is not accompanied by hyperplasia, and they further suggest that bifurcated fibers probably play an insignificant role during muscle adaptation to hypertrophy due to their very low frequency.

Animals↗

Cinemicrographic study of the cell movement in the primitive-streak-stage mouse embryo.

Migration of the mesoderm cells in the primitive-streak-stage mouse embryo was directly studied by cinemicrography using whole embryo culture and Nomarski differential interference contrast optics. Relative transparency and small size of the early mouse embryos enabled direct observation of the individual cells and their cell processes. Seven-day-old mouse embryos were isolated and cultured in a small chamber in a medium consisting of 50% rat serum and 50% Dulbecco's modified minimum essential medium. The mesoderm cells move away from the primitive streak in both anterior and antimesometrial (distal) directions at a mean velocity of 46 micron h-1. They extend cell processes and constantly change cell shape. They do not translocate extensively as isolated single cells, but usually maintain attachment to other mesoderm cells. They show frequent cell division preceded by rounding up of the cell bodies, and accompanied by vigorous blebbing before and after cytokinesis. This study shows that it is possible to examine the motility of embryonic cells inside the mammalian embryo by direct observation if the embryo is small and transparent enough for the use of the Nomarski optics.

Animals↗

Sarcoidosis of the tongue--a case report.

A case of sarcoidosis, unusual in that it was confined to the tongue, is reported in a 50 year-old female. The condition resolved after 1 year of steroid therapy and excision of fibrous tethering bands. Intra-oral sarcoidosis should be considered in the differential diagnosis of lingual swelling and induration.

Female↗

A quantitative ultrastructural analysis of satellite cells in denervated fast and slow muscles of the mouse.

Mononucleated cells located between the external lamina and sarcolemma of denervated muscle fibers within the extensor digitorum longus (EDL) and soleus muscles of adult mice were quantified and examined ultrastructurally from 3 to 65 days after ligating and removing a section of the sciatic nerve. During the first 2 weeks postdenervation, mononucleated cells in denervated muscles were morphologically indistinguishable from satellite cells observed in control muscles. With time, however, many of these satellite-like cells appeared more active as evidenced by a decrease in their nucleocytoplasmic ratio and an increase in their mean percentage of euchromatin material. The number of satellite cells (expressed as a ratio of satellite cell nuclei to satellite cell nuclei plus myonuclei) did not increase significantly until 30 days postdenervation, at which time the mean percentage for the soleus muscle had risen from a control value of 4.1-8.5%, and for the EDL from 1.2-4.1%. Small-diameter, presumably regenerating, myofibers were occasionally observed but only after 30 days denervation. The ultrastructural evidence plus comparisons of euchromatin distributions between myonuclei and satellite cell nuclei support the concept that an increase in the number of satellite-like cells during denervation is more likely due to satellite cell proliferation than to the formation of mononucleated fragments utilizing preexisting myonuclei.

Animals↗