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Biomedical subjects

R Fisher

Publications and source records attributed to R Fisher.

At least 199 records · Page 11Linked to original sources

Analysis of RNA polymerase by trypsin cleavage. Evidence for a specific association between subunits sigma and beta involved in the closed to open complex transition.

We have analyzed subunit interactions of Escherichia coli RNA polymerase by measuring the rate of cleavage of each subunit by trypsin. We have modified a standard sodium dodecyl sulfate gel technique to include sodium tetradecyl sulfate, which results in a large separation of the beta and beta' subunits. A comparison of enzyme lacking the sigma subunit (core) with holoenzyme reveals that the presence of sigma does not alter the cleavage rates of alpha or beta, but it dramatically slows the initial cleavage of beta. Simple addition of purified sigma to core results in reconstitution of holoenzyme as measured both by glycerol gradient sedimentation and protection of beta from trypsin cleavage. However, Mg2+ is required for the beta protection but not for the binding of sigma to core. Although the enzyme reconstituted in the absence of Mg2+ and lacking the sigma-beta association is similar to holoenzyme with respect to promoter binding, it catalyzes the transition from closed to open complexes much more slowly than does enzyme reconstituted in the presence of Mg2+. Thus, the specific association between beta and sigma may be involved in the DNA melting phase of the RNA polymerase-DNA interaction. We have also examined the effects of the polyanion heparin, an RNA polymerase initiation inhibitor, on the rates of trypsin cleavage of holoenzyme subunits. Again, subunits alpha and beta' were unaffected, but heparin increased the cleavage rate of beta such that the rate was indistinguishable from the beta cleavage rate of core enzyme. Since heparin did not cause the release of sigma as measured by glycerol gradient analysis, the inhibitor may simply disrupt the sigma-beta association.

DNA-Directed RNA Polymerases↗

Diurnal changes in circulating myeloid progenitor cells in man.

To examine the diurnal changes in circulating myeloid progenitor cells (CFU-Cs), 15 normal human volunteers were studied. Total and differential peripheral blood leukocyte counts and CFU-C levels, using the in vitro agar culture method, were obtained at 8 AM, 11 AM, 3 PM, and 8 AM the following morning (in nine subjects) or only at 8 AM and 3 PM (in six subjects). On the average, an approximate twofold rise in circulating CFU C levels (per ml of blood) was found at 3 PM as compared to the 8 AM levels (P 0.002), and a smaller rise at 11 AM was found than at 8 AM levels (P 0.03). The ratios of CFU-C per ml of blood to mononuclear cells per ml of blood and neutrophils per ml of blood, respectively, were significantly higher at 3 PM than at 8 AM (p 0.002 and 0.004, respectively). The rise in CFU-C levels is usually significantly higher when compared to that in peripheral leukocyte counts.

Adult↗

The myeloid progenitor cell: a parallel study of subpopulations in human marrow and peripheral blood.

Ten persons who had no evident hematologic disorder or previous history of chemotherapy or irradiation were studied. Parallel in vitro agar cultures from marrow and peripheral blood were grown, colonies and clusters were scored and examined morphologically after 7 and 14 days of incubation. Mean marrow myeloid progenitor cell (CFUc) incidences after 7 and 14 days were 76 +/- 55.4 S.D. and 37.3 +/- 22.0 S.D. per 10(5)ficoll-hypaque interface cells respectively. Most of the colonies on day 7 were neutrophilic (median 86%). Eosinophil colonies made up only a minority (0%-2%) of the total number of colonies. By day 14 a decrease in neutrophil colonies (median 6%) and a rise in eosinophil colonies (median 37%) was observed. Most of the colonies on day 14 were mixed neutrophil-macrophage colonies (median 55%). Parallel studies from blood revealed no colony growth on day 7 except on one occasion. The mean cluster incidence was 1.1 +/- 0.9 S.D. per 10(5) mononuclear cells. Most of these colonies were identified as eosinophilic (median 83%). The relative incidence of various subpopulations of myeloid progenitor cells in marrow and blood is different. Cluster transplantation from peripheral blood cultures strongly suggests the possibility for separate eosinophil progenitor cells. However a possibility of a rare occurrence of bipotent neutrophil-eosinophil colony forming cell can not be completely excluded.

Adult↗

Selected hormone levels in victims of the sudden infant death syndrome.

Hormone levels were measured in victims of the sudden infant death syndrome (SIDS) to look for clues to the cause of death. SIDS victims who had petechiae on their intrathoracic organs had higher blood levels of cortisol than victims without such petechiae (25 vs 9 micrograms/100 ml, P less than .005). This raises the possibility that SIDS victims who had petechiae had a longer period of predeath stress than did victims without petechiae since experimental studies have shown that the circulation must continue for a time after stress begins to produce such petechiae. The low normal level of cortisol (9 micrograms/100 ml) in SIDS victims who did not have petechiae raises the possibility that their circulation stopped rather promptly after the final stress began. Hypoxemia may have been the mechanism of death in many of the SIDS victims with petechiae. These victims had 20% more muscle in their pulmonary arteries than did victims without petechiae (P less than .05). This muscle increase is a presumed marker for chronic hypoventilation which leads to hypoxemia.

Apnea↗

Superiority of adriamycin-containing combination chemotherapy in the treatment of diffuse lymphoma: a Southwest Oncology Group study.

As a part of an ongoing prospective controlled trial, the Southwest Oncology Group compared the results of treatment of advanced non-Hodgkin's lymphoma with two CHOP regimens (cyclophosphamide, adriamycin, vincristine and prednisone with either low-dose bleomycin or BCG by scarification) to a COP regimen (cyclophosphamide, vincristine and prednisone) with low-dose bleomycin (COP-Bleo). The study design emphasized histopathology review and systematic restaging to define complete remission (CR). Confirmed rates of CR for 443 evaluable patients were 59% for 286 patients receiving the CHOP regimens and 59% for 157 patients receiving COP-Bleo. Rates of CR were higher for patients with nodular lymphoma (69%) compared to those with diffuse lymphoma (54%) (p = 0.005). For patients with nodular lymphoma there was no difference in CR rates according to treatment. For patients with diffuse lymphomas the CR rate was higher with the CHOP programs (58%) than with COP-Bleo (44%) (p = 0.10). Overall duration of CR and survival was significantly longer for patients with nodular lymphoma compared to diffuse lymphoma (p less than 0.01). At this time, remission duration and survival were similar regardless of induction regimen used in patients with nodular lymphoma. However, in patients with diffuse lymphoma, the duration of CR and overall survival were improved by treatment with the CHOP regimens compared to COP-Bleo (p = 0.02). Thus, in this controlled study we have demonstrated that initial combination chemotherapy employing the CHOP regimen was a superior remission induction therapy for patients with diffuse lymphoma.

Antineoplastic Agents↗

Mast cells in severely T-cell depleted rats and the response to infestation with Nippostrongylus brasiliensis.

The effect of severe T-cell depletion on mucosal mast cells of the small intestine and on connective tissue mast cells has been studied in adult thymectomized, irradiated, bone marrow reconstituted (B) rats. Under normal conditions, intestinal mucosal mast cell numbers do not differ significantly between B rats, normal age matched rats and non-thymectomized irradiated controls. Connective tissue mast cells are significantly fewer in the tongues of B rats than in normal rats, but the difference is atributable to an effect of irradiation. Infestation with Nippostrongylus brasiliensis produced approximately equal increases in mucosal mast cells in non-thymectomized irradiation controls and in normal rats. In B rats there was no increase in mucosal mast cells following infestation. B rats failed to expel the parasites normally. Failure of mast cell proliferation was not due to the effects of the persisting worm burden. Antihelminthic treatment at the time of worm expulsion by normal rats did not reveal a hitherto masked mast cell response in B rats. Nippostrongylus infestation did not reveal evidence of thymus-dependency of connective tissue mast cells. As in athymic nude mice, mucosal mast cells in the rat have been shown to be T-cell dependent during the proliferation that follows infestation with an intestinal nematode parasite.

Animals↗

Two-year mortality in 760 patients transported by helicopter direct from the road accident scene.

Of 760 direct admissions to a specialized trauma center, 173 (22.7%) victims of motor vehicle accidents died. Excluding patients dead on arrival, the mortality rate was 14.5%. Autopsy reports were reviewed and showed that the major cause of death was head injury (49.7%). Uncontrollable hemorrhage from massive trauma was the next most common problem and usually proved fatal in the first 24 hours after admission. The incidence of sepsis and renal failure increased with prolongation of CCRU stay. Following admission, respiratory failure was not a common cause of death (3%). Because of direct helicopter rather than ambulance transport from the scene of the motor vehicle accident, earlier attention was paid to diagnosis of trauma and treatment of respiratory insufficiency with mechanical ventilation. Because of the early initiation of therapy, there was rapid restoration of circulating volume and tissue perfusion. This may account for the low mortality.

Accidents, Traffic↗

Combination chemotherapy for mycosis fungoides: a Southwest Oncology Group study.

Between 1972 and 1977, the Southwest Oncology Group studied the following three chemotherapy programs for the treatment of patients with advanced forms of mycosis fungoides: (a) cyclophosphamide, adriamycin, vincristine, and prednisone (CHOP) (seven patients); (b) adriamycin, vincristine, and prednisone (HOP) (five patients); and (c) cyclophosphamide, vincristine, prednisone, and bleomycin (COP plus bleomycin) (12 patients). Among the 24 evaluable patients there was an overall objective response rate of 95% with seven (29%) achieving a complete remission. With the adriamycin-containing chemotherapy, five (42%) of 12 patients achieved a complete remission compared to two (17%) of 12 patients treated with COP plus bleomycin. The median duration of remission (partial plus complete) was longer with the COP plus bleomycin combination (median, 47 weeks) than with the adriamycin-containing combinations (median, 22 weeks; P = 0.03). The median survival for all 24 evaluable patients was 95 weeks and was similar regardless of remission-induction therapy. In summary, combination chemotherapy proved to be effective palliative therapy for advanced mycosis fungoides.

Adult↗

Thyrotoxicosis: relations between clinical state and biochemical changes during carbimazole treatment.

The relation between clinical and biochemical changes in thyrotoxicosis were studied in 12 patients with Graves's disease who were being treated with carbimazole. Clinical assessment (using the Crooks-Wayne index) was combined with the measurement of free thyroxine and triiodothyronine indices (FT4I and FT3I) and the assessment of two tissue markers of thyroid hormone action--sex-hormone-binding globulin (SHBG) levels and the thyrotrophin responses to TRH. In general the FT4I and FT3I fell rapidly once treatment was started, and returned to normal in one to four weeks, followed shortly by SHBG levels. The thyrotrophin response returned at this time in two patients, who still had borderline high levels of FT3I and SHBG. The clinical score fell more slowly and variably and was less closely related to any of the biochemical indices than these were to each other. During the early phase of treatment with antithyroid drug the clinical evaluation may be an unreliable indicator of persisting thyroid hormone excess, and when the patient seems clinically but not biochemically thyrotoxic the symptoms should be treated on their own merits with beta-blocking drugs and not with increased doses of antithyroid drugs.

Adult↗