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Biomedical subjects

N S Datta

Publications and source records attributed to N S Datta.

15 recordsLinked to original sources

Cloning and expression of human deoxycytidine kinase cDNA.

Deoxycytidine (dCyd) kinase is required for the phosphorylation of several deoxyribonucleosides and certain nucleoside analogs widely employed as antiviral and chemotherapeutic agents. Detailed analysis of this enzyme has been limited, however, by its low abundance and instability. Using oligonucleotides based on primary amino acid sequence derived from purified dCyd kinase, we have screened T-lymphoblast cDNA libraries and identified a cDNA sequence that encodes a 30.5-kDa protein corresponding to the subunit molecular mass of the purified protein. Expression of the cDNA in Escherichia coli results in a 40-fold increase in dCyd kinase activity over control levels. In dCyd kinase-deficient murine L cells, transfection with dCyd kinase cDNA in a mammalian expression vector produces a 400-fold increase over control in dCyd phosphorylating activity. The expressed enzyme has an apparent Km of 1.0 microM for dCyd and is also capable of phosphorylating dAdo and dGuo. Northern blot analysis reveals a single 2.8-kilobase mRNA expressed in T lymphoblasts at 5- to 10-fold higher levels than in B lymphoblasts, and decreased dCyd kinase mRNA levels are present in T-lymphoblast cell lines resistant to arabinofuranosylcytosine and dideoxycytidine. These findings document that this cDNA encodes the T-lymphoblast dCyd kinase responsible for the phosphorylation of dAdo and dGuo as well as dCyd and arabinofuranosylcytosine.

Amino Acid Sequence

Emphysematous cystitis presenting with subcutaneous emphysema.

A case is reported of subcutaneous emphysema of the neck in association with emphysematous cystitis and uncontrolled diabetes. Problems in its management are discussed. Anatomic pathway for the spread of the gas from the bladder to the subcutaneous tissues of the neck and the back is speculated.

Aged

Corpus cavernography prior to insertion of penile prostheses.

Our experience with corpus cavernography prior to the insertion of a penile prosthesis is presented. We suggest that this investigative procedure should be used as a routine to determine the patency of the "corporal tubes," particularly in patients in whom corporal fibrosis is a possibility, such as a previous episode of priapism.

Adult

Complication from Plastibell circumcision ring.

We describe the cases of 4 neonates with retained Plastibell rings and discuss the potential seriousness of this problem. Removal of the rings was accomplished by use of wire cutters. Local wound care resulted in perfect healing in 3 and slight scarring with ventral curvature in 1. None of these patients required skin grafting.

Circumcision, Male

Division of spermatic vessels in orchiopexy: radionuclide evidence of preservation of testicular circulation.

Satisfactory intrascrotal position of the testicles was achieved by dividing the spermatic vessels, leaving the vas deferens intact, in 3 patients with undescended testes. A postoperative scrotal scan provided objective means of evaluating the adequacy of testicular circulation. To determine the efficacy of various procedures for orchiopexy for undescended testes we suggest that postoperative evaluation include radionuclide imaging of the scrotum.

Adolescent

Megalophallus in sickle cell disease.

A case of megalophallus in sickle cell disease with repeated episodes of priapism is reported. A possible cause of penile hypertrophy with preservation of potency is discussed. Corpus cavernography was helpful in the diagnostic evaluation.

Adult

Radionuclide imaging in intrascrotal lesions.

Twenty-three patients with a variety of intrascrotal lesions were studied by means of imaging after the intravenous injection of sodium pertechnetate Tc 99m. The features of the radionuclide image correlated well with the clinical course or findings at surgical exploration or both. The conditions in which this technique was helpful in diagnosis included testicular torsion, acute inflammatory lesions, abscess, and hematoma.

Abscess