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Biomedical subjects

M M Lee

Publications and source records attributed to M M Lee.

At least 145 records · Page 8Linked to original sources
PubMed1984

Effect of heparin bonding on catheter-induced fibrin formation and platelet activation.

Pathologic and experimental evidence indicates that platelet activation and fibrin formation contribute to the pathogenesis of angina pectoris, coronary vasospasm and myocardial infarction. Detection of localized intravascular platelet activation and fibrin formation in vivo by selective blood sampling requires catheters that do not induce coagulation ex vivo. We studied the effect of heparin bonding of catheter surfaces on activation of the coagulation system by cardiovascular catheters. Woven Dacron, polyvinylchloride, and polyurethane catheters were tested and compared with identical catheters with heparin-bonded surfaces in 47 patients undergoing percutaneous cardiac catheterization. Platelet activation was measured by radioimmunoassay of plasma platelet factor 4 (PF4), beta-thromboglobulin (BTG), and thromboxane B2 (TXB2) in blood samples withdrawn through catheters, and fibrin formation was assessed by determination of fibrinopeptide A (FPA) levels. In blood samples collected through conventional catheters, FPA, PF4, BTG, and TXB2 levels were markedly elevated; blood sampling through heparin-bonded catheters had no significant effect on FPA, PF4, BTG, or TXB2 levels. Scanning electron microscopy disclosed extensive platelet aggregates and fibrin strands adherent to the surface of conventional catheters but not to heparin-bonded catheter surfaces. This study demonstrates that (1) collection of blood samples through cardiovascular catheters causes artifactual elevation of FPA, PF4, BTG, and TXB2 levels, and (2) heparin-bonded catheter surfaces effectively prevent catheter-induced platelet alpha-granule release and fibrin formation on catheter surfaces. Heparin-bonded catheters will facilitate investigation of the role of intravascular coagulation in coronary artery disease by eliminating catheter-induced fibrin formation and platelet activation.

Adolescent↗
PubMed1984

Effects of arterial pressure on endothelial transport of macromolecules.

The effects of variations in transmural pressure over a range of 0 to 200 mmHg on transendothelial transport of macromolecules were studied in the canine common carotid artery. The uptake of 125I-albumin per unit artery weight increased with rising pressure. There was no significant difference in albumin permeability per unit luminal surface area between 0 and 100 mmHg, but permeability nearly doubled when pressure was raised to 200 mmHg. The contribution of an increased rate of transendothelial vesicle diffusion, as evaluated from the experimental determination of the ratio of attached-to-free vesicles and theoretical modeling, was found to be negligible. The reduction in transendothelial vesicle diffusion distance due to pressure-induced thinning of the peripheral zone contributes to a 25% increase in permeability. With the use of colloidal Ag and Au of various sizes, vesicle loading of particles with diameters greater than or equal to 15 nm was found to be severely restricted at transmural pressure less than or equal to 100 mmHg, but it was significantly enhanced at 200 mmHg, when particles as large as 25 nm became detectable in endothelial vesicles and subendothelial space. This hypertension-induced increase in macromolecular transport across the endothelium may cause an overloading of the arterial wall with low-density lipoproteins and play a significant role in atherogenesis.

Animals↗
PubMed1984

Evaluation of red blood cell filterability test: influences of pore size, hematocrit level, and flow rate.

To improve understanding of the basic principles of the red blood cell filtration test, we studied the influence of pore size, flow rate, and hematocrit level. Suspensions of washed red blood cells in Ringer's solution with hematocrit values of 5%, 10%, and 15% were pumped at flow rates of 0.42 and 0.82 ml/min through polycarbonate filters with pore sizes of 2.6 +/- 0.2, 4.5 +/- 0.6, and 6.9 +/- 0.8 micron (mean +/- SD). The initial pressure generated at the filter was normalized for pressure reading obtained with cell-free Ringer's solution at the same flow rate and used for the calculation of the relative resistance of one red blood cell in a pore. This measurement was independent of the flow rate and the hematocrit level, but it varied inversely with the pore size: 175.1 +/- 62.5, 5.2 +/- 1.2, and 2.4 +/- 0.8 for the 2.6, 4.5, and 6.9 micron pores, respectively. Plugging of filter pores as evidenced by progressive pressure rise at constant flow was a prominent feature for 2.6 micron filters, but was not significant for 6.9 micron filters. At the flow rates studied, less than 1% of the filtered red blood cells showed morphologic changes or underwent hemolysis. We found that 2.6 micron filters are most sensitive in detecting altered red blood cell filterability induced in vitro and occurring in vivo. These results may help to define an optimum filtration test for clinical investigations.

Adult↗
PubMed1984

Characteristics of I and i antigen receptors on the membrane of erythrocytes in sickle cell anemia.

In this study we employed two approaches in attempts to explain the increased expression of I and i antigens on the membrane surface of SS erythrocytes: immunoelectron microscopy and measurements of antigen-antibody affinity. AA and SS erythrocytes were first reacted with anti-I or anti-i antisera, and then with ferritin-conjugated anti-human IgM. With both antibodies, proportions of cells labeled and ferritin-cluster density on labeled cells were greater for SS erythrocytes at a high level of significance. Studies on the temperature dependence of agglutination by anti-I provided the association constants of agglutination, which were uniformly greater for SS erythrocytes. I and i antigen determinants are carried principally on band 3, the major transmembrane protein of the erythrocyte membrane. Therefore, for SS erythrocytes, the increased I (and i) antigen density and the increased association constant of agglutination by anti-I very likely both reflect the same phenomenon: a relatively greater exposure of I (and i) antigen determinant sites at the membrane surface. Any deviation from normal at the exterior surface of the erythrocyte membrane deserves to be suspect for potential pathogenicity, because this is the cell's region of intimate contact with other elements of the circulation. In addition to enhancing susceptibility of SS erythrocytes to cold agglutinins, an altered exposure of band 3 at the membrane outer surface has the potential for accelerating recognition and removal of SS erythrocytes from the circulation by mononuclear phagocytes.

Agglutination Tests↗
PubMed1983

Influence of cholesterol content on red cell membrane viscoelasticity and fluidity.

The purpose of this investigation was to correlate the viscoelastic properties and lipid fluidity of the red blood cell membrane to its lipid composition. The viscoelastic properties of human red cells that had been enriched or depleted in cholesterol were determined by the micropipette technique. The lipid fluidity of the outer and inner leaflets of the erythrocyte membrane was concurrently assessed by steady state fluorescence depolarization. The elastic modulus and the viscosity moduli of the erythrocyte membrane showed no significant differences between the cholesterol-modified and the control cells. Cholesterol enrichment decreased the lipid fluidity of the outer membrane leaflet alone, and cholesterol depletion increased the fluidity mainly of the inner leaflet.

Cholesterol↗
PubMed1983

Energy balance in red cell interactions.

Experiments were performed to elucidate the balance of energies involved in the formation of red blood cell (RBC) aggregates and in their disaggregation. In order to achieve a mean stable rouleau formation, the aggregating energy provided by macromolecular binding to the cell membrane must overcome the disaggregation energy of electrostatic repulsion between RBC surfaces and the effects of mechanical shear stress. In a quiescent suspension the net aggregation energy is largely stored in the membrane as a change in strain energy. The alterations in strain energy cause the curvature of the end cells in rouleaux of normal RBCs in Dx 80 to change from concave to convex and back again to concave as [Dx 80] was increased from 1 to 4 to 6 g/dl; computation of net aggregation energy per unit area (gamma) from changes in membrane strain energy yielded values on the order of 10(3) ergs/cm2. The end cells of neuraminidase-treated RBCs remained convex with [Dx 80] above 2 g/dl, and gamma is probably on the order of 10(2) ergs/cm2. The variations in gamma with [Dx 80] and RBC surface charge are similar to variations in reflectometric aggregation index without shear ( RAI0 ), indicating that RAI0 reflects gamma. The difference in gamma between normal and neuraminidase-treated RBCs represents the electrostatic repulsive energy, the magnitude of which varied inversely with dextran molecular size and directly with [Dx]. Moderate shearing in the reflectometer enhanced RBC aggregation by promoting cell-cell encounter, but high shear stresses cause RBC disaggregation. The energy required to disaggregate a unit interacting area of normal RBCs in Dx 80 in a flow channel is on the order of 10(4) ergs/cm2, which is much lower than gamma. These results suggest that the release of the stored membrane strain energy during disaggregation aids in the separation process. The results show that the understanding of RBC aggregation requires the considerations of surface charge, properties of aggregating agents, and the rheology of the cell membrane.

Dextrans↗
PubMed1983

A study of productivity and participation at IADR and AADR annual meetings from 1970 to 1981.

An analysis was conducted of the scientific research productivity and participation in the International Association for Dental Research and the American Association for Dental Research annual meetings between 1970 and 1981. The study was designed to describe the overall level of participation, most productive institutions by year, and percent change in total research productivity of participating institutions and countries from 1970 to 1981. The results indicate that a total of approximately 687 different institutions representing 49 countries participated during the 12-year period. The total number of presentations increased by 77%, while the total number of participating institutions increased by 63%. The top 20 most productive institutions in any given year accounted for between 38 and 51% of all research presented. Of these top 20 participating institutions, approximately 83% were universities. An analysis by year and most productive institutions from 1980 to 1981 is presented.

Congresses as Topic↗
PubMed1983

Role of white blood cells in filtration of blood cell suspensions.

The time-dependent filtration pressure curves of cell suspensions pumped through 5 microns polycarbonate filters at a constant flow rate were analyzed with the aid of a theoretical model developed in an accompanying paper. The cell suspensions contained mixtures of erythrocytes and leukocytes, the concentrations of which were systematically varied. The pressure-time (P-t) curves generally showed multiphasic components. Following the attainment of a quasi-steady state level, the pressure rose first rapidly and then more slowly. The rates of pressure rise in the fast and slow phases were normalized by using the steady state pressure reading (PO) obtained with Ringer solution at the same flow rate, and are designated k1 and k2, respectively. Both k1 and k2 increased with rising concentrations of leukocytes, [WBC], or erythrocytes, [RBC]. [WBC] is 700-1000 times more effective than [RBC] in affecting k1 and k2. k1 is related to the dynamic plugging and unplugging of filter pores, primarily by leukocytes. k2 is attributable to the "permanent" plugging of filter pores, again predominantly by leukocytes. The experimental P-t curves can be fitted with the theoretical model by using appropriate constants for leukocyte plugging. The results indicate that nearly 2/3 of the entering leukocytes cause transient plugging of pores, with an unplugging rate of 4.1 percent/sec/unit pressure rise, and that approximately 2.2 percent of the entering leukocytes are "permanently" lodged. These results underscore the important role of leukocytes in determining the later phase of the P-t curve and support the concept that leukocyte plugging may have pathophysiological significance in causing microvascular occlusion in disease states.

Erythrocytes↗