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Biomedical subjects

R Anderson

Publications and source records attributed to R Anderson.

At least 487 records · Page 27Linked to original sources

The contribution of informal care to the management of stroke.

This paper looks at the contribution made by family carers and self-help groups to coping with chronic illness. Data from a longitudinal community study of stroke patients and their informal carers are used to identify the main sources of help and support used by stroke patients. Formal services contribute particularly for help with bathing and other self-care tasks but most help comes from the patient's family, specifically whoever is living at home with the stroke patient. Voluntary services and self-help groups reach only a small proportion of patients and their families, but there is a relatively high level of unmet demand for support groups.

Aged↗

Diagnosis of occupational dermatitis by general practitioners and employment medical advisors: a pilot study.

This pilot study examined how closely general practitioners and employment medical advisors agreed when jointly investigating occupational dermatitis. The criterion for admitting a patient to the study was dermatitis on one or both hands. This presented most commonly among men aged 41-60 years and women aged 21-40 years. There was some reluctance among general practitioners to take part in the study, probably owing to the medico-legal problems associated with this condition. General practitioners and employment medical advisors were equally likely to attribute a case of dermatitis to occupational factors if the patient was employed in industry; but if the patient was in nonindustrial employment, general practitioners were more likely to consider the possibility of an occupational origin than employment medical advisors. These differences suggest that before initiating a wider study more information is required concerning the trigger mechanisms for dermatitis on the hands in order to reduce the diagnostic variability.

Adult↗

Evidence for linkage of Charcot-Marie-Tooth neuropathy (CMT1) to apolipoprotein A2 (Apo-A2).

We studied 169 members of 15 families with Charcot-Marie-Tooth neuropathy (CMT1) showing male-to-male transmission and slow motor-nerve conduction velocities. Four of these families were informative for linkage to apolipoprotein A2 on chromosome 1 (1q21-23) with an overall lod score of 2.45 at theta = .001. There was no statistical evidence of genetic heterogeneity.

Apolipoprotein A-II↗

Neutrophil lysosomal degradation of human CRP: CRP-derived peptides modulate neutrophil function.

Hydrolysis of human C-reactive protein (CRP) at pH 4.5 and pH 7.4 with neutrophil-derived lysosomal enzymes yielded 10% trichloroacetic acid soluble peptides (Mr less than 14,000). These peptides inhibited neutrophil superoxide production, chemotaxis, degranulation and phagocytosis at 2 micrograms/ml. This inhibition was not observed with native CRP or intermediate peptides (Mr greater than 14,000). CRP peptides (Mr less than 14,000) also caused a dose-related inhibition of Quin-2 fluorescence indicating interference with intracellular calcium movements during cell activation. These results point to a potential regulatory role for CRP-derived degradation products on neutrophils during inflammation.

C-Reactive Protein↗

Investigation of the effects of oral administration of ascorbate on the functional activity of serum alpha-1-protease inhibitor and oxidant release by blood phagocytes from cigarette smokers in a placebo-controlled, doubleblind, crossover trial.

The effects of oral administration of ascorbate (3 grams daily for 14 days) on the elastase inhibitory capacity (EIC) of serum alpha-1-protease inhibitor (API) and on the profile of leukoattractant (FMLP) activated luminol-enhanced chemiluminescence (LECL) responses of blood from 29 cigarette smokers were investigated in a placebo-controlled, doubleblind crossover trial. Relative to non-smokers the EIC's of serum API from cigarette smokers showed no detectable functional inactivation. However the blood LECL responses were significantly greater in smokers than in non-smokers (p less than 0.005). Serum EIC activity remained unchanged during the administration of ascorbate to cigarette smokers. However the early-occurring extracellular LECL responses of FMLP-activated blood from cigarette smokers declined significantly during intake of ascorbate by the 29 cigarette smokers. These inhibitory effects of ascorbate on the extracellular LECL responses were highly significant (p less than 0.005) in smokers (15/29) with elevated (1 X SD higher than the mean value for non-smokers) extracellular LECL responses, whilst the corresponding values in smokers with normal LECL responses remained unchanged during ascorbate administration. These results show that measurement of serum EIC capacity in the setting of normal API levels is of no value in the detection of smokers at high-risk for the development of smoking-related diseases or in the measurement of the potential protective activity of anti-oxidant supplementation. However, measurement of FMLP-activated LECL responses of whole blood may be useful in achieving these objectives.

Administration, Oral↗

An evaluation of the contribution of membrane lipids to protection against ultraviolet radiation.

Using dioleoylphosphatidylcholine liposomes incorporating various fatty acids and neutral lipids, we have examined the ability of such lipids to provide protection of Escherichia coli and vesicular stomatitis virus (VSV) against the lethal effect of ultraviolet (254 nm) radiation. While the presence of varying amounts of saturated (palmitic) or polyunsaturated (arachidonic) fatty acids or the lipid antioxidant, alpha-tocopherol, had little effect on killing by ultraviolet radiation, considerable radioprotection was observed with beta-carotene, retinal and vitamin K-1 at final concentrations of 1 mg/ml. In another approach, vesicular stomatitis virus grown under conditions in which its envelope fatty acid composition was substantially modified, showed little change in its sensitivity to inactivation by ultraviolet radiation. The results provide strong evidence for a radioprotective role of certain, relatively rare natural lipid components with conjugated polyene systems, but not of the more ubiquitous and abundant membrane fatty acids.

Carotenoids↗

Role of superoxide in radiation-killing of Escherichia coli and in thymine release from thymidine.

The role of superoxide and hydroxyl radicals in gamma-radiation-killing of Escherichia coli K12 was studied in aerated suspensions supplemented with formate, phosphate, superoxide dismutase, catalase and saturated with nitrous oxide. Nitrous oxide, which converts e-aq to .OH, caused decreased radiosensitivity. On the other hand, formate, which results in conversion of .OH to .O2-, resulted in an increased radiosensitivity. The results implicated .O2- as a major cause of radiation-mediated cell-killing. The addition of the enzymes, superoxide dismutase or catalase to the E. coli suspensions prior to and during irradiation had no effect on cell survival, indicating that the biologically significant site of generation and action of .O2- is an intracellular one. Further studies were undertaken to examine the role of superoxide in DNA damage. The release of thymine from the DNA base, thymidine was studied as a result of gamma-irradiation and of chemically generated superoxide (using KO2 in dimethyl sulfoxide). Thymine was identified by HPLC and mass spectrometry. C-13 NMR analysis of the reaction mixture of thymidine with KO2 in dimethyl sulfoxide provided evidence for attack of .O2 at the ribosyl Cl' atom.

Catalase↗

Antinuclear antibody, lupus anticoagulant, and anticardiolipin antibody in women with idiopathic habitual abortion. A controlled, prospective study of forty-four women.

In a controlled, prospective study of 44 consecutive women with idiopathic habitual abortion, only 5% had symptoms of rheumatic disease. Patients did not differ from control subjects in the frequency of positive results on tests for antinuclear antibody or anti-double-stranded DNA. Levels of C3 and C4 were higher in the habitual aborters. No patients had anti-Ro. The antiphospholipid antibody results were analyzed using 2 methods: the frequency of antiphospholipid antibodies was 9% by lupus anticoagulant using the Russell viper venom time (95% confidence interval 22-2.5) and 11% by anticardiolipin antibody assay (95% confidence interval 25-3.7), which was not significantly different from that in control subjects. However, the mean levels in the aborters (although within the normal range) were significantly higher than those in control subjects for anti-double-stranded DNA (P = 0.004), lupus anticoagulant (by Russell viper venom time; P = 0.05), and anticardiolipin antibody (P = 0.0007), when examined by multiple linear regression analysis corrected for age and concurrent pregnancy. Of the 3 patients with antiphospholipid antibodies and subsequent successful pregnancies, only 1 was treated with prednisone and aspirin. We conclude that, in the majority of women, subclinical lupus, anti-Ro, the lupus anticoagulant, and anticardiolipin antibodies are not associated with idiopathic habitual abortion.

Abortion, Habitual↗

The role of protease-dependent cell membrane fusion in persistent and lytic infections of murine hepatitis virus.

We have defined three categories of cultured cell lines on the basis of their permissiveness (susceptibility to initial infection) to mouse hepatitis virus (MHV). Fully permissive L-2 cells gave rise to 100-1000-fold higher numbers of infectious centers than did semi-permissive LM, LM-K or C-1300 cells, whereas non-permissive Vero or C-6 cells were refractory to MHV infection. On an infected cell basis, there was no deficiency on the part of semi-permissive cell lines to replicate total viral RNA, viral polypeptides or progeny virions. Two of the semi-permissive cell lines (LM and LM-K) supported persistent MHV infection, while a third (C-1300) succumbed to lytic infection. LM and LM-K cells, but not C-1300 cells showed resistance to MHV-induced membrane fusion, even when placed in contact with fusion-active MHV-infected L-2 cells. The ability of a given cell to undergo fusion did not correlate with membrane lipid characteristics (unsaturated fatty acid and sterol content) which contribute to membrane "fluidity". In order to more closely study the parameters of MHV-induced cell fusion, membranes were prepared from MHV-infected L-2 cells and monitored for their fusogenic potential with permissive L-2 cells, semi-permissive LM cells and non-permissive vero cells. Fusion was only observed with the permissive L-2 cells, and only when exogenous protease (trypsin or chymotrypsin) was added. When the membranes were prepared from 35S-methionine-labeled MHV-infected L-2 cells and subjected to protease treatment, the radiolabeled 180,000 dalton form of the E2-glycoprotein underwent proteolytic cleavage to yield a major product of approximately 90,000 daltons. Both trypsin and chymotrypsin were effective in this proteolytic cleavage and in activating membrane fusion. In a normally permissive, fusogenic infection of MHV in L-2 cells, the protease inhibitors TPCK and ZPCK, but not TLCK, were found to inhibit cell fusion. In MHV-infected L-2 cells, E2 was found almost exclusively as the 180,000 dalton form but turned over rapidly as shown by pulse-chase studies. TPCK and ZPCK but not TLCK inhibited turnover. The results suggest that L-2 cells contain a protease which cleaves at aromatic amino acids such as phenylalanine, and that this protease cleaves the 180,000 dalton form of the E2 to peptide fragments, one or more of which may activate cell fusion.

Animals↗

Ascorbate and cysteine-mediated selective neutralisation of extracellular oxidants during N-formyl peptide activation of human phagocytes.

The effects of sodium ascorbate and cysteine (2.5 X 10(-5) M-2.5 X 10(-4) M) on the intensity and profile of luminol-enhanced chemiluminescence, superoxide generation, extracellular myeloperoxidase (MPO) activity and auto-iodination were measured in purified human polymorphonuclear leukocytes activated by the leukoattractant FMLP in vitro. Chemiluminescence studies were also performed using a whole-blood method. Cysteine (10(-4) M-2.5 X 10(-4) M) and ascorbate (2.5 X 10(-5) M-2.5 X 10(-4) M) caused significant inhibition of the early extracellular peak of FMLP-activated chemiluminescence and increased the intensity of the later occurring intracellular peak in both PMNL and blood. At the same concentrations both agents scavenged superoxide released by FMLP-activated PMNL, inhibited oxidant generation by extracellular MPO and decreased FMLP-induced auto-oxidation of PMNL. Administration of a single 1 gram oral dose of ascorbate to adult human volunteers was associated with significant reduction and enhancement respectively of the extracellular and intracellular luminol-enhanced chemiluminescence responses of FMLP-activated blood. These results show that the water soluble anti-oxidants cysteine and especially ascorbate selectively neutralise the reactivity of harmful reactive oxidants released by phagocytes, whilst the intracellular generation of antimicrobial oxidants remains intact.

Adult↗

The treatment of musculoskeletal disorders by a Mexican bonesetter (sobador).

Joint and muscle pain and dysfunction are treated by massage by a practitioner in Ciudad Juárez, Chihuahua, Mexico. It has not hitherto been noted that this type of practitioner also treats with joint mobilization and manipulation. During nine months of field observations, patients were examined clinically before treatment in an effort to establish baseline measures of pain and stiffness as well as to confirm the diagnostic conclusions of the sobador. The nature of massage, mobilization and manipulation was then identified. Immediate post-treatment evaluations of range of motion together with patient reports of pain levels provided crude measures of effectiveness. The sobador is found to meet medical standards of practice for safety, efficacy, and cost containment.

Adolescent↗

An in-vitro comparison of the intraphagocytic bioactivity of erythromycin and roxithromycin.

The binding to human polymorphonuclear leucocytes and the intracellular bioactivity of the macrolide antibiotics erythromycin and roxithromycin on Legionella micdadei, Listeria monocytogenes and Staphylococcus aureus were investigated in vitro by the combination of a fluorochrome microassay and a radioassay. Polymorphs with intact or absent membrane-associated oxidative metabolism were used to investigate the interactions which may occur between the intrinsic oxygen-dependent antimicrobial systems of human polymorphs and the test antibiotics, in the elimination of intracellular microbial pathogens. Elimination of O2-dependent antimicrobial systems with retention of phagocytic activity was achieved by using polymorphs from children with chronic granulomatous disease NaF-pulsed normal polymorphs. Both antimicrobial agents were actively concentrated by polymorphs. Erythromycin was concentrated ten-fold and roxithromycin approximately thirty-fold above extra cellular levels. Both agents possessed intracellular bacteriostatic activity for all three test microbial pathogens. Depletion of polymorph O2-dependent intrinsic antimicrobial systems interfered with the intracellular bioactivity of both antibiotics. This emphasizes the importance of interactions between cell-associated antibiotics and phagocyte antimicrobial systems in the elimination of intracellular microbial pathogens. Like erythromycin, roxithromycin is concentrated by human phagocytes and is bioactive intracellularly.

Bacteria↗