Statewide trauma systems: the bottom line.
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Hospitalization↗
Biomedical subjects
R B Low
Publications and source records attributed to R B Low.
Serum type III procollagen N-terminal peptide in coal miners.
Health surveillance of workers exposed to fibrogenic agents ideally should identify individuals at risk or detect pulmonary fibrosis in preclinical stages. We investigated serum procollagen type III N-terminal peptide (PIIIP) in several groups of active miners and in a nondust-exposed control group. The purpose of this study was to determine the applicability of PIIIP as an early noninvasive marker of pulmonary fibrosis in workers exposed to coal mine dust. PIIIP levels were significantly elevated in miners without radiological signs of coal workers pneumoconiosis (CWP) as compared with the nonexposed controls. However, in coal miners with CWP beyond ILO classification 1/0, PIIIP levels were not significantly different from nondust-exposed controls. Trend analysis within the miners group indicated a decrease in PIIIP levels with progression of the fibrosis. Our data suggest that detection of early lung fibrosis by measuring serum PIIIP values may be more sensitive than radiological diagnosis of CWP. However, follow-up of the control miners with respect to serum PIIIP and chest radiography is essential to validate PIIIP as a biological marker for CWP.
Adult↗
Effects of kaolinite on amino acid transport and incorporation into protein by rabbit pulmonary alveolar macrophages.
A study was made of the effects of kaolinite, an aluminum silicate found in cigarette smoke and in alveolar macrophages of cigarette smokers, on the in vitro function of rabbit alveolar macrophages. Macrophages lavaged by standard procedures were incubated as adherent monolayers in the presence or absence of kaolinite, and amino acid incorporation into protein and transport subsequently measured. In the presence of dialyzed serum, kaolinite slightly inhibited incorporation into protein during the first 2 to 3 hr of incubation, after which incorporation ceased and a large percentage of newly synthesized protein was released (50% effect at approximately 0.5 mg/ml kaolinite). A dual-isotope experiment indicated that any change in the synthesis of protein which may have occurred was not selective for any protein or group of proteins. Kaolinite also stimulated noncompetitive amino acid accumulation after 2 to 3 hr in the presence of serum. The effects of kaolinite were immediate when incubations were conducted in the absence of serum. Control experiments showed all of the effects of the aluminum silicate to be on the cells and not on the incubation medium. These results suggest that kaolinite is cytotoxic and exerts its effects by a mechanism similar to that proposed for magnesium silicates and silica, in which the naked silicate is immediately cytotoxic, but if coated with serum protein must first be uncoated by lysozomal enzymes before destroying the cells.
Amino Acids↗