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Biomedical subjects

R Muller

Publications and source records attributed to R Muller.

At least 19 recordsLinked to original sources

Effect of diet on biting, oviposition, and survival of Aedes aegypti (Diptera: Culicidae).

The effect of adult diet on host biting, sugar probing and water probing patterns, oviposition behavior, and survival of Aedes aegypti (L.) from Charters Towers, Australia, were tested in the laboratory. The 7 diets were as follows: (1) starvation, (2) water, (3) 10% sugar, (4) blood, (5) blood with water supplement, (6) blood with 10% sugar supplement, and (7) blood with 3% sugar supplement. Biting, probing, oviposition, and survival observations were made every 6 h (0600-0800 hours, 1200-1400 hours, 1800-2000 hours, 2400-0200 hours). Biting frequency on the blood with 3% sugar diet (0.26 feeds per mosquito per 6 h) and the blood with 10% sugar diet (0.23 feeds per mosquito per 6 h) was significantly less than on blood (0.51 feeds per mosquito per 6 h) and 10% sugar (0.40 feeds per mosquito per 6 h) alone. Biting frequency was not significantly different between blood with water (0.47 feeds per mosquito per 6 h) and blood alone (0.51 feeds per mosquito per 6 h). Biting and oviposition occurred throughout the day, peaking between 1800 and 2000 hours and between 2000 and 2400 hours, respectively. Biting frequency with a 3% sugar supplement decreased after the 1st oviposition cycle on day 6 compared with unsupplemented biting. The presence of sugar delayed or inhibited oviposition. Females with access to blood with water bit and oviposited concurrently on days 4-6, 8-9, and 11, indicating a 3-d gonotrophic cycle. Survival on blood alone was not significantly lower than survival on sugar and water supplemented diets. Behavior of the Charters Towers strain proved to be significantly influenced by diet, and biting occurred opportunistically without regard for previously observed crepuscular or diurnal rhythms. The biting frequencies observed were the highest yet recorded for this species, which indicates that the vectorial capacity of the Australian Ae. aegypti may be underestimated severely.

Aedes

Determinants of dengue 2 infection among residents of Charters Towers, Queensland, Australia.

Dengue fever is caused by one of the four serotypes of the dengue virus and is transmitted by the urban mosquito Aedes aegypti. In 1993, the city of Charters Towers in the tropical north of Australia experienced an epidemic caused by the dengue 2 virus. A cross-sectional sample of 1,000 people was assessed for determinants of recent symptomatic dengue infection. After exclusion of people with prior exposure to dengue 2, a study group of 797 persons, including 196 patients with recent infection, were evaluated. Stepwise logistic regression analysis identified four determinants of infection: the presence of a case of dengue fever within two residential blocks (odds ratio (OR) = 3.61, 95% confidence interval (CI) 2.56-5.10), house screening (OR = 0.60, 95% CI 0.40-0.89), the presence of a water tank within two residential blocks (OR = 1.51, 95% CI 1.02-2.22), and the use of knockdown insecticide (OR = 1.75, 95% CI 1.22-2.51). Classification and Regression Tree analysis identified a group of 152 individuals in whom the prevalence of dengue infection was 50%. These people lived within two blocks of a suspected dengue fever case, did not have house screening, and used knockdown sprays. If dengue had not occurred within two residential blocks, there were no additional factors that significantly influenced the prevalence of dengue fever. Control of dengue epidemics should involve attempts to geographically contain the spread of infection, use of house screening, and the removal of mosquito breeding sites such as water tanks.

Adult

Multiple host-feeding and biting persistence of Aedes aegypti.

The effects of host activity, host defensive behaviour and biting persistence on multiple host-feeding by Aedes aegypti (L.) were investigated, in laboratory conditions, on human volunteers. In four different settings, four or five volunteer hosts displayed inactive, mildly active, mildly defensive and highly defensive behaviour. Into each of the four trials, each with 20 replicates, a single mosquito was released for a period of 10 min. In all settings, the median number of hosts sought per mosquito was constant, regardless of host activity and host defensive behaviour. Host defensive behaviour was thus not seen to exert a selective pressure on mosquitoes to abandon their hosts. No relationship was found between biting persistence and the number of hosts sought, indicating that biting persistence does not affect disease transmission. As one of the female hosts was consistently and significantly less attractive to host-seeking mosquitoes than any other volunteer in all four settings, it seems that some individuals are significantly less at risk from mosquito-borne pathogens than others.

Aedes

T1 effects of a bolus-injectable superparamagnetic iron oxide, SH U 555 A: dependence on field strength and plasma concentration--preliminary clinical experience with dynamic T1-weighted MR imaging.

PURPOSE: To investigate the field strength dependency of relaxivity values with SH U 555 A, concentration-dependent T1 effects, and findings at dynamic T1-weighted magnetic resonance (MR) imaging in patients with focal liver lesions. MATERIALS AND METHODS: Longitudinal relaxivity (r1) with SH U 555 A was measured in human plasma (0.02-300.00 MHz), and transverse relaxivity (r2) was measured at 10, 20, and 40 MHz. Second, a dilution series in human plasma was used at 1-T, T1-weighted, spin-echo or fast low-angle shot (FLASH) imaging. In 22 patients with focal liver lesions, imaging with the latter sequence was performed with a dose of SH U 555 A of 10 mumol Fe/kg. RESULTS: The r1 of SH U 555 A decreased with increasing field strength, but was higher at high field strengths than r1 values for gadolinium chelates. Enhancement calculations for different iron concentrations in human plasma demonstrated positive enhancement at concentrations less than 700 mumol Fe/L. Enhancement increased with the degree of T1 weighting and was highest for the FLASH sequence with the shortest TE (+81.4% with 300 mumol Fe/L). Enhancement was positive in the liver for at least 30 seconds and in the spleen for at least 480 seconds. CONCLUSION: Signal intensity changes at dynamic T1-weighted MR imaging after bolus injection of SH U 555 A can be explained by dynamic changes in iron-plasma concentration.

Contrast Media

Urinary levels of tissue kallikrein in black and Indian hypertensives and their implications for therapy.

It is accepted that blacks differ from white and Indian hypertensives in their response to hypotensive agents. Black hypertensives in the USA have lower urinary tissue kallikrein (TK) excretion levels than white hypertensives. It has been suggested that blacks respond better to thiazide diuretics than to beta-blockers because thiazides increase TK excretion whereas beta-blockers decrease it. This study compares the excretion of urinary TK in black and Indian hypertensive and normotensive subjects. Urinary TK levels were measured with the selective, synthetic peptic substrate with the sequence of H-D-Val-Leu-Arg-pNA. Ten hypertensive patients on placebo therapy and 10 normotensive black and Indian subjects provided 3 samples at weeks 0, 2 and 4 for the determination of urinary TK. The results were analysed and analysis of variance was used to compare the two racial groups. There were no significant differences in urinary TK values of the three biweekly individual samples. Urinary TK values (ng TK/microgram protein) in Indian hypertensives were generally lower than in black hypertensives.

Adult

Mapping of the mutations present in the genome of the Rift Valley fever virus attenuated MP12 strain and their putative role in attenuation.

The MP12 attenuated strain of Rift Valley fever virus was obtained by 12 serial passages of a virulent isolate ZH548 in the presence of 5-fluorouracil (Caplen et al., 1985. Mutagen-directed attenuation of Rift Valley fever virus as a method for vaccine development. J. Gen. Virol., 66, 2271-2277). The comparison of the M segment of the two strains has already been reported by Takehara et al. (Takehara et al., 1989. Identification of mutations in the M RNA of a candidate vaccine strain of Rift Valley fever virus. Virology 169, 452-457). We have completed the comparison and found that altogether a total of nine, 12 and four nucleotides were changed in the L, M and S segments of the two strains, respectively. Three mutations induced amino acid changes in the L protein but none of them was located in the recognized motifs conserved among RNA dependent polymerases. In the S segment, a single change modified an amino acid in the NSs protein and in the M segment, seven of the mutations resulted in amino acid changes in each of the four encoded G1, G2, 14 kDa and 78 kDa proteins. Characterization of the MP12 virus indicated that determinants for attenuation were present in each segment and that they were introduced progressively during the 12 passages in the presence of the mutagen (Saluzzo and Smith, 1990. Use of reassortant viruses to map attenuating and temperature-sensitive mutations of the Rift Valley fever virus MP-12 vaccine. Vaccine 8, 369-375). Passages 4 and 7-9 were found to be essential for introduction of temperature-sensitive lesions and attenuation. In an attempt to correlate some of the mutations with the attenuated or temperature-sensitive phenotypes, we determined by sequencing the passage level at which the different mutations appeared. This work should help to address the question of the role of the viral gene products in Rift Valley fever pathogenesis.

Animals

Plasma lignocaine concentration following nebulization for awake intubation.

Nebulization of lignocaine is a common technique for preparing the airway prior to awake intubation. The aim of the study was to assay the serum levels of lignocaine. Ten ASA I volunteers had 6 mg/kg of 10% lignocaine solution nebulized via facemask. Blood assays for peak levels were performed. Mean peak serum lignocaine level was 0.29 mg/l with a highest measurement of 0.45 mg/l. This peak occurred 30 minutes following commencing nebulization. No subject developed symptoms or signs of lignocaine toxicity. Peak plasma lignocaine levels were an order of magnitude below the accepted toxic threshold of 5 mg/l. This indicates that supplemental doses of lignocaine via the bronchoscope can be given with safety.

Adult

Timed ELISA: an alternative approach to quantitative enzyme-linked immunosorbent assay.

As the uses for ELISA (enzyme-linked immunosorbent assay) increase, so does the need for a quantitative procedure that does not require a spectrophotometer or other expensive equipment. 'Timed ELISA' employs an 'iodine clock' as the final step such that quantitative measurements may be made using a stopwatch. Catalase, coupled to the primary antibody, reduces the concentration of H2O2 available to generate iodine in the clock reaction. Iodine stains the starch component blue, but catalase prolongs the time taken for the change in colour to be observed. After the time delay occurs the transition to full colour development is extremely rapid (< 1 s) at all analyte concentrations, allowing clear definition of the end point. The performance of Timed ELISA is similar to that obtained using a horseradish peroxidase-conjugated system employing the customary spectrophotometric determination.

Biotechnology

Prophylactic application of thyrostatic drugs during excessive iodine exposure in euthyroid patients with thyroid autonomy: a randomized study.

In a prospective, randomized study we examined the influence of prophylactic short-term thyrostatic therapy on thyroid iodine metabolism in patients with euthyroid autonomy undergoing elective coronary angiography. From a total of 1177 patients, 51 fulfilled the criteria of euthyroid autonomy before coronary angiography (negative thyrotropin-releasing hormone test, 10-min uptake of at least 1.2%, 99mTc and no elevation of free thyroxine and free triiodothyronine indices) and were randomized into three groups: group 1 (N = 17) received 20mg/day of thiamazole and group 2 (N = 17) received 900 mg/day of sodium perchlorate; thyrostatic therapy was begun on the day before angiography and continued for 14 days; group 3 (N = 17) served as controls without treatment. Parameters of thyroid function-free thyroxine (FT4) index and free triiodothyronine (FT3) index, thyrotropin (TSH) and delta-TSH urine iodine excretion and 99mTc uptake were determined before and 30 days after coronary angiography. At the end of the study the mean FT4 index and FT3 index were elevated significantly in the control group compared with baseline values, but were still within the normal range. In contrast, the mean FT4 index and FT3 index remained unchanged in the treated groups. Four mild cases of hyperthyroidism were observed at the end of the study: two cases in the control group and one case in each of the treated groups. Thyrotropin suppression, urine iodine excretion and 99mTc uptake differed significantly between the treated groups and the control group. In the treated groups TSH suppression, urine iodine excretion and 99mTC uptake remained unchanged 30 days after coronary angiography compared with baseline values. In the control group the degree of TSH suppression and the level of urine iodine excretion increased (about twofold) significantly after coronary angiography, whereas 99mTc uptake decreased significantly (ca. 50%). In conclusion, short-term prophylactic thyrostatic therapy seems to have a protective effect against iodine excess in patients with euthyroid autonomy. However, mild hyperthyroidism could not be prevented in some cases. Probably a combination therapy of thiamazole and perchlorate would be more effective.

Aged

Relationship of interleukin-1 receptor antagonist to mucosal inflammation in inflammatory bowel disease.

Previous work has suggested that the interleukin-1 (IL-1) receptor antagonist, IL-1ra, may regulate mucosal inflammation in inflammatory bowel disease. The present study assessed the relationship of mucosal IL-1ra levels to histologic severity of inflammation and the related proinflammatory cytokines IL-1 beta and IL-6 in children with inflammatory bowel disease. Colonic biopsy specimens from 29 patients with ulcerative colitis, 27 with Crohn's disease, and 24 noninflammatory control subjects were assayed for IL-1ra, IL-1 beta, and IL-6 by enzyme-linked immunosorbent assay. Histologic activity was graded as none, mild, moderate, or severe. Mucosal IL-1 beta levels, but not IL-1ra levels, were significantly elevated in moderate/severely inflamed biopsies from patients with either ulcerative colitis (p < 0.01) or Crohn's disease (p < 0.001) compared with those with none/mild inflammation. The mucosal molar ratio of IL-1ra/IL-1 beta was significantly lower for moderate/severe inflammation compared with none/mild inflammation for patients with ulcerative colitis (p < 0.05) and Crohn's disease (p < 0.01). The mucosal IL-1ra/IL-1 beta ratio was similar in controls to none/mild inflamed biopsies from subjects with either ulcerative colitis or Crohn's disease. Our observations suggest that increasing mucosal inflammation in inflammatory bowel disease in children is associated with a decrease in the "normal" effective IL-1ra/IL-1 beta ratio in which IL-1ra predominates. The importance of this abnormality to the pathogenesis of inflammatory bowel disease awaits further study.

Adolescent

Abdominal compartment syndrome.

Abdominal compartment syndrome is still a controversial entity. We report on a patient who developed the classical hemodynamic, respiratory, and renal changes of abdominal compartment syndrome after surgical intervention for blunt abdominal trauma. A decompressive laparotomy improved the situation dramatically.

Abdominal Injuries

The L protein of Rift Valley fever virus can rescue viral ribonucleoproteins and transcribe synthetic genome-like RNA molecules.

Overlapping cDNAs representing the complete L segment of Rift Valley fever virus were assembled, and the L protein was expressed via a recombinant vaccinia virus. The transcriptase activity of the L protein was assayed with two types of templates: natural ribonucleoproteins (RNPs) and artificial genome-like RNAs. RNPs purified in a CsCl gradient did not retain the RNA polymerase function, but the activity was restored when the L cDNA was expressed in mammalian cells via a recombinant vaccinia virus. Indeed, after transfection of transcriptase-depleted RNPs in cells infected with the recombinant vaccinia virus expressing the L protein, the mRNAs coding for the N and NSs proteins and to a lesser extent, those coding for the glycoproteins were synthesized as well as the corresponding proteins. The transcriptase activity of the recombinant L protein was then investigated by using synthetic templates containing the reporter chloramphenicol acetyltransferase gene in the antisense orientation flanked by the 3' and 5' noncoding region of the S genomic segment. Our results indicate that after transfection of the RNA templates, transcription was achieved in cells coexpressing both the L and N proteins. Together, the experiments demonstrate that the two proteins N and L are absolutely required and sufficient to reconstitute the transcriptase activity.

Base Sequence

Characterization of clone 13, a naturally attenuated avirulent isolate of Rift Valley fever virus, which is altered in the small segment.

The 74HB59 strain of Rift Valley fever (RVF) virus, isolated from a human case in the Central African Republic, was shown to be composed of a heterogeneous population of viruses when plaque-purified clones were analyzed for their reactivity with monoclonal antibodies (MAbs) directed against the nucleocapsid (N) protein or the nonstructural (NSs) protein. One of these clones, C13, was of particular interest in that it proved to be avirulent in mice and hamsters, and highly immunogenic. Although C13 showed normal reactivity with a large panel of MAbs directed at the glycoproteins, it failed to react with specific MAbs or polyclonal antibodies directed at the NSs protein and with a specific MAb recognizing the N protein of the Egyptian strains. Consequently, the small RNA segment, which encodes the N and NSs proteins in an ambisense strategy, was sequenced and compared with the existing sequence of the attenuated MP-12 RVF virus strain. We found that the NSs gene contained, in addition to two conservative coding changes, a large internal deletion of 549 nucleotides that removes 69% of the open reading frame but conserves in-frame the N and C termini of the predicted translation product. In addition, the sequence revealed that the N protein of C13 contained a single amino acid change. Clone C13 replicated normally in certain cell types in vitro and in Culex pipiens mosquitoes after intrathoracic inoculation, but established abortive infections in MRC-5 human fibroblasts.

Animals

Molecular cloning and nucleotide sequence of the coat protein gene of a Cuban isolate of potato leafroll virus and its expression in Escherichia coli.

Total RNA from infected Physalis floridana was isolated to generate complementary DNA corresponding to the coat protein (GP) gene of a Cuban isolate of potato leaf roll virus (PLRV). This cDNA was amplified by the polymerase chain reaction (PCR) and cloned into the bacterial expression vectors pEX(1-3) for fusion protein expression in E. coli. The product was detected by antibodies specific for the PLRV CP. The coding sequence of the CP gene was determined, and the predicted length of the CP was 208 amino acids (23 kD). The nucleotide sequences and deduced amino acid sequences were compared with the other PLRV isolates and found to be 97-99.5% identical at both the nucleotide and amino acid sequence level of other isolates. Comparison of the deduced amino acid sequences of the PLRVcub CP revealed considerable homology to other luteoviruses. We believe that the protocol described could be applicable to other plant viruses of low abundance or of cumbersome isolation, since this method is less time consuming than the traditional methods of cloning coat protein genes of plant viruses with known sequences.

Amino Acid Sequence