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Biomedical subjects

M L Lee

Publications and source records attributed to M L Lee.

At least 163 records · Page 9Linked to original sources

Differential response of cultured adult cardiac muscle cells to a tumor promotor: analysis of myofibrillar organization.

Cultured adult rat ventricular cardiac muscle cells were exposed to varying concentrations of 12-0-tetradecanoyl-phorbol-13 acetate (TPA) for two weeks. A considerable number of cardiac myocytes exposed to a medium with less than 200 ng/ml TPA were rich in myofibrils. The rest of the myocytes lacked organized myofibrils; the terminal parts of these myofibrils were transformed into cord-like structures largely consisting of dense Z-band materials. Some of these aberrant myofibrils contained short normal myofibrillar segments, with sarcomeres. A number of myocytes exposed to 200-250 ng/ml TPA contained myofibrils, which terminated in cord-like structures. The Z-band materials appeared as amorphous dense matrices and some sarcomeres were replaced completely or partially by leptomeres; the myocytes contained autophagosomes. The other myocytes did not contain myofibrils when exposed to the above higher concentrations of TPA. The patches of Z-band materials and structures containing Z-band materials attached to thin filaments on either side were scattered throughout the sarcoplasm of the cells, which were packed with myofilaments and 10 nm microfilaments. Some of these myocytes assumed a spindle shape and contained myofilaments, 10 nm microfilaments and leptomeres. Some of the myocytes, treated with TPA for 1-7 days and then allowed to recover in control medium for 7 days, contained various stages of myofibrillar organization, which did not differ significantly from those of the myofibril-containing cells exposed continuously to TPA as discussed above. The rest of the myocytes during the recovery period in control medium did not contain myofibrils. Rough endoplasmic reticulum and Golgi bodies in TPA-treated myocytes were found to be highly developed as compared to the controls. It is evident from these studies that the responsiveness of cardiac myocytes to TPA not only differs from that of skeletal muscle cells studied by others, but also varies within a population of cardiac myocytes.

Animals↗

Value of a run-in period in a drug trial during pregnancy.

The Vaginal Infections and Prematurity (VIP) Study included a clinical trial of the efficacy of erythromycin in preventing adverse pregnancy outcomes. A prerandomization run-in period was part of the trial design. During this period, women were given 1 week's supply of placebo pills to test their compliance. Those who met certain criteria for compliance, were otherwise still eligible, and agreed to participate were then randomized to receive erythromycin or placebo for a maximum of 10 weeks. During 2 years of the VIP Study, 1476 (71%) of 2071 women who began the run-in period were randomized. Women at least 30 years of age, those not smoking during pregnancy or shortly before pregnancy, and those still working outside the home at the time of enrollment were more likely than other women to be randomized after the run-in. Calculations of relative efficiency, based on a standard sample-size formula, suggest that the VIP run-in procedure not only eliminated potentially noncompliant women before randomization but also increased the power of the trial. Similar calculations which incorporated costs suggest that the run-in also resulted in lower costs, compared to a trial with equivalent power but no run-in period.

Adult↗

Effect of amiodarone on the expression of myosin isoforms and cellular growth of cardiac muscle cells in culture.

The effect of amiodarone on the expression of myosin isoforms and the growth of neonatal rat cardiac muscle cells in culture was studied by native gel electrophoresis, assays of DNA and protein synthesis, and electron microscopy. Cardiac myocytes exposed to amiodarone in the absence of triiodothyronine (T3) showed predominant V1. When cardiac myocytes were exposed to amiodarone in the presence of T3, they expressed prevalent isomyosin V3, or both V3 and V1 equally. Supraphysiological concentration of T3 counteracted the effect of amiodarone on myocytes, showing the expression of predominant isomyosin V1. Amiodarone has inhibitory effects on DNA synthesis and differentiation of cardiac myocytes. Myocytes treated with amiodarone showed maximum labeling index with 11% labeled cells after day 1. Subsequently, the labeling indexes declined and on the third day ceased, as opposed to the control culture, which attained a peak in labeling index with 60% labeled myocytes on the third day. The labeling indexes declined, showing 11% labeled myocytes at the terminal time point. Myocytes treated with amiodarone lost most of the well-organized myofibrils and other organelles, and instead contained sparse, scattered segments of myofibrils, free myofilaments, many mitochondria with disrupted cristae, and autophagic vacuoles. The results demonstrated that amiodarone has a direct influence on the expression of isomyosin by cardiac myocytes. Furthermore, this drug has inhibitory and degrading effects on the growth and differentiation of cardiac myocytes.

Amiodarone↗

[Development of a scale to measure the self concept of cesarean section mothers].

Recently, the rate of cesarean section in Korea has been increasing. The results of several previous studies in foreign countries on the emotional responses of cesarean section mothers showed that they might experience difficulties in the mother-infant interaction due to fatigue, lack of early mother-infant interaction, disappointments, anger, feelings of loss of control, and other factors. Human behavior is said to be determined by one's self concept, and self concept is influenced by both internal and external environmental factors. A scale to measure the self concept of cesarean section mothers was needed in order to identify those who might have difficulties in the mother-infant interactions in future. The purposes of this study were to develop a measuring scale, and to test its reliability and validity. The process of this study was as follows. A structured interview was done with 50 cesarean section and vaginal delivery mothers to find their state of emotional reaction after giving birth to their babies. Based on the results of the interviews, a 50 items Likert scale was developed. The self concept of 268 cesarean section and vaginal delivery mothers who were hospitalized at six hospital in seoul were measured, during the period between Feb. 1 and April 30. Reviewing the discriminating power of each item by means of crosstabulation, ten items were selected for the final scale. The reliability and validity of this ten item scale were tested by Cronbach's alpha and t-test, using spss pc + package. The results of this study and recommendation are as follows. 1. The ten selected items were as follows. I feel pains in my breast. (-) I have a good appetite now. (+) I feel pains in my flank. (-) I feel fine now. (+) My body seems to have returned to its prepregnant state. (+) Thinking of the delivery process, I feel sorry. (-) I want to hold my baby in my arms. (+) I want to keep my own life, even if I became a mother. (-) I want to delegate the care of the baby to my mother/mother in law. (-) I think baby is my alter ege. (+) 2. The reliability of this scale was tested by Cronbach's alpha, and the coefficient of this scale was .8066. 3. The construct validity of this scale was tested by means of known group methods. The value of self concept for cesarean section mother was significantly lower than for vaginal delivery mothers (t = -5.51, df = 266, p = 0.007).(ABSTRACT TRUNCATED AT 400 WORDS)

Cesarean Section↗

A two-phase linear regression model for biologic half-life data.

In estimating the biologic half-life of an infused drug or biologic agent, one very frequently used model is the biexponential, which reflects a two-compartment physiologic model. The difficulty in using this model is that it is nonlinear in the parameters and requires relatively sophisticated analysis. Furthermore, an interval estimate is not usually reported. We propose the use of a two-phase linear regression approach, which is tantamount to breaking down the model into two straight lines based on the selection of the logarithm of concentration as the ordinate and time as the abscissa. We show how to determine the joint or changeover point for the two lines using a simple iterative procedure, how to select between a one-phase and a two-phase model, and how to provide a simple confidence interval estimate for half-life when it exists. An example using data from a study of Factor VIII pharmacokinetics is given.

Factor VIII↗

[Scrub typhus--one case report].

Scrub typhus (tsutsugamushi disease) is an acute infectious disease caused by Rickettsia tsutsugamushi transmitted through the bite of larvae of certain trombiculid mites. Geographical distribution in Asian-Pacific region is much of the roughly triangular area bounded by Japan, Pakistan and Australia. It is an endemic illness in the Pescadores Islands, but has scarcely been reported in central Taiwan. An eleven-year-old boy was admitted to Changhua Christian Hospital with the chief complaints of fever, lethargy and skin rash for seven days. On physical examination, he was found to have painless eschar, conjunctivitis, meningoencephalitis, pneumonitis, ascites, jaundice, hepatomegaly, liver function impairment and thrombocytopenia. His Proteus OX-K agglutinin titer increased from 1:160 in the acute sera to 1:640 in the convalescent sera. A greater than four-fold rise (greater than 1:640) in antibody titers to Karp, Gilliam, Kato strains of R. tsutsugamushi between acute and convalescent sera were demonstrated by immunofluorescent antibody. The patient was treated with minocycline and chloramphenicol and was completely recovered.

Child↗

Clinical uses of intravenous immunoglobulins.

Immunoglobulins are an important component of host defense against infections. They also play a central role in immune regulation. A wide spectrum of human diseases is associated with decreased or abnormal regulation of immunoglobulin levels. Recently IV preparations of immunoglobulin have become available for clinical studies. There are already substantial data indicating a useful role for IV immunoglobulin in patients with primary hypogammaglobulinemia, neonates predisposed to group B streptococcal infections, individuals with ITP, children with Kawasaki disease, and bone marrow transplant patients predisposed to CMV infections. Promising data have been reported in burn patients and in individuals with CLL; these data require confirmation. Potential areas for future investigation include AIDS, autoimmune disorders, and viral disorders other than CMV.

Bacterial Infections↗

Central nervous system neoplasm in a young man with Martin-Bell syndrome--fra(X)-XLMR.

A 17-year-old retarded male developed unilateral leg weakness with foot drop, pain, and incontinence. Workup disclosed a cauda equina tumor which, on surgical exploration, was demonstrated to merge with the conus medullaris. Pathological examination of the subtotally resected tumor led to a diagnosis of malignant ganglioglioma. Further evaluation of the patient documented marginal macro-orchidism, and chromosome studies showed fragile X. Since some neoplasms are known to be associated with chromosomal deletions and other abnormalities, we suggest that the occurrence of this tumor in this patient indicates a more than coincidental relationship between the two diagnoses.

Adolescent↗

Study of human chromosome V. The effects of thymidine concentration and timing on the expression of uridine-induced constitutive fragile sites.

The induction of fragile sites on human chromosomes has been demonstrated under various conditions that cause thymidylate stress, including exposure to uridine. In this study, we examined common fragile site expression by initially exposing peripheral lymphocytes to uridine, followed by repair of the fragile sites with media containing various concentrations of thymidine. Lymphocytes were cultured in medium 199 with 2 mM uridine. At 0.5, 1, 2, 3, 8, 10, 12, and 18 h before harvest, the uridine medium was removed and replaced by medium containing thymidine at various concentrations. Our results demonstrate that the effect of uridine on chromosome fragility can be reversed by low concentrations of thymidine (2 microM up to 200 microM) and the "rescuing" effect of thymidine can be achieved if the cells were treated prior to 2-3 h before harvest. No repair was found if thymidine was added to culture within 2 h prior to harvesting, suggesting that packing of chromosomes is also an important factor in the expression and repair of fragile sites.

Cells, Cultured↗

Antitumor activity of SRI 62-834, a cyclic ether analog of ET-18-OCH3.

SRI 62-834, an analog of the antitumor agent ET-18-OCH3 in which the oxygen atom at carbon atom 2 has been incorporated into a five-membered heterocycle, has been prepared and evaluated as an antitumor agent. The compound exhibited good cytotoxicity in vitro against a variety of tumor cell lines and was as effective as ET-18-OCH3 given orally in the mouse Meth A sarcoma model. SRI 62-834 was shown to be an inhibitor of platelet-derived growth factor (PDGF), possibly at the receptor level, and platelet-activating factor (PAF) at the receptor level.

Animals↗

Early diagnosis of retinoblastoma based on dysmorphic features and karyotype analysis.

Karyotype analysis of two children with congenital dysmorphic features showed chromosome 13 deletion involving band 13q14. Ophthalmic examination prompted by the karyotype findings resulted in early diagnosis of unilateral multifocal retinoblastoma in each child. Therapy at this early stage of disease allowed preservation of vision in the affected eye in each child.

Abnormalities, Multiple↗