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Biomedical subjects

S Hansen

Publications and source records attributed to S Hansen.

At least 73 records · Page 4Linked to original sources

The homologue of mannose-binding lectin in the carp family Cyprinidae is expressed at high level in spleen, and the deduced primary structure predicts affinity for galactose.

Mannose-binding lectin (MBL) participates in the innate immune system as an activator of the complement system and as an opsonin after binding to certain carbohydrate structures on microorganisms. We isolated and characterized cDNA transcripts encoding an MBL homologue from three members of the carp family Cyprinidae, the zebrafish Danio rerio, the goldfish Carassius auratus, and the carp Cyprinus carpio. The carp and zebrafish transcripts contain two polyadenylation sites and RT-PCR on mRNA from carp tissues revealed the carp transcript to be most prominently expressed in the spleen. The deduced mature proteins contain 228 or 233 amino acids with a short N-terminal segment containing a single conserved cysteine expected to form interchain disulfide bridges, a collagen domain interrupted by four amino acids between two glycine residues, a neck region predicted to form an alpha-helical coiled-coil structure, and a C-terminal carbohydrate recognition domain (CRD). Several of the structurally important residues in the CRD are conserved, but the residues known to interact with the calcium ion and hydroxyl groups of the carbohydrate ligand are different. The amino acid motif EPN, important for mannose specificity, was QPD in the Cyprinidae homologue, suggesting specificity for galactose instead. The identity between the deduced amino acid sequences is more than 90% between the carp and the goldfish and 68% and 65% between these two species, respectively, and the zebrafish. The identity with bird and mammalian MBLs ranges from 28 to 33%.

Amino Acid Sequence↗

Sagittal alignment in lumbosacral fusion: relations between radiological parameters and pain.

The objective of this study was to conduct a radiological analysis of posture before and after lumbosacral fusion to evaluate the influence of spinal alignment on the occurrence and pattern of post surgical pain. The study included 81 patients, of whom 51 had a history of previous low back surgery. We excluded patients with suspected or confirmed nonunion. In the fusion group, the 27 patients who were pain free after the procedure were compared to the 54 patients with residual pain. Thirty patients had pain only or primarily when they were standing immobile, 18 when they were sitting immobile, and six in both positions. Measurements were done on full-length lateral radiographs of the spine, with the patient standing according to Duval Beaupère criteria. The subgroup with postfusion pain was characterized at baseline by a more vertical sacrum with less sacral tilt (ST) (P < 0.0062) and more pelvic tilt (PT) (P < 0.0160). PT at last follow-up (PT fu) correlated with the presence of postfusion pain (NP: P = 0.0003). In the patients with postfusion pain, PT was almost twice the normal value. ST at last follow-up (ST fu) in the standing position was also correlated with the presence of postfusion pain (P < 0.0001) indicating that the sacrum remained abnormally vertical in the subjects with postfusion pain. Using logistic regression, the only prognostic factor for residual pain at last follow-up was ST fu. Both at pre-operative evaluation and at last follow-up, patients with pain in the standing position or in both the standing and sitting positions were characterized at pre-operative status by a more vertical sacrum with less sacral tilt. The results of this study indicate that, achieving a strong fusion should not be the only goal. Appropriate position of the fused vertebrae is also of paramount importance to minimize muscle work during posture maintenance. The main risk is failing to correct or to causing excessive pelvic retroversion with a vertical sacrum leading to a sagittal alignment that replicates the sitting position. This situation is often accompanied by loss of lumbar lordosis and adversely affects stiff or degenerative hips.

Adult↗

Electron microscopy study of tubular crystals (BiS)1+delta(NbS2)n

Big crystals (mm-sized) with anomalous tubular morphology were synthesised in the Bi-Nb-S system. Their structural study by electron microscopy and related techniques revealed that they can be described as misfit layer structures, a type of composite modulated structures. The misfit monolayer approximately BiNbS3 and bilayer approximately BiNb2S5 phases appear as well in the preparation but with lamellar morphology as it is typical for these kind of compounds. They consist of periodical intergrowth of pseudotetragonal layers BiS (Q) with pseudohexagonal layers NbS2 (H). approximately BiNbS3 has a stacking sequence ...Q,H,Q,H,... and approximately BiNb2S5 has a stacking sequence ...Q,H,H,Q,H,H,... Backscattered electron imaging, wavelength dispersive X-ray spectroscopy and transmission electron microscopy of transversal cross-sections of single tubular crystals showed that these crystals present a strong compositional and inter-laminar stacking disorder along the tube radius. This disorder is suggested to be the cause for the original wrapping of the layers that gives rise to the tubes. Besides the disordered areas, some ordered slabs have been found with stacking sequences corresponding to binary 3R-NbS2 (approximately 6 A), approximately BiNb2S5 (approximately 17.4 A) (which dominate in the crystal) and to a new related phase approximately BiNb4S9 with a stacking sequence ...Q,H,H,H,H,Q,H,H,H,H,... and a periodicity of approximately 29.2 A.

Journal Article↗

Complex regional pain syndrome with selective emotional sudomotor failure.

We report a patient with sympathetically maintained pain following a mild limb injury. Only emotional sudomotor failure was found in the painful limb. Thermoregulatory vasomotor function was intact. However, the patient had other target-specific sympathetic lesions, including thermoregulatory vasomotor failure in a different limb, not associated with pain. We hypothesize that the sympathetic failure preceded the symptoms and that the mild injury may have provoked collateral sprouting of emotional sudomotor fibres, coupling them with somatic sensory fibres to cause continuous pain.

Adolescent↗

Cardiovascular responses to laughter: a pilot project.

The purpose of this study was to determine cardiovascular responses to laughter. The CO(2) rebreathing method was used to determine cardiac output and understand the role of the central and peripheral components of oxygen consumption and its relation to energy expended. Eight college-age subjects participated in this study. During periods of 5 minutes each, while sitting in a comfortable chair, subjects first rested, then viewed a videotape of a well-known comedian, then remained sitting. A repeated-measures analysis of variance was used to analyze the data. During laughter, there were significant increases in stroke volume and cardiac output and significant decreases in arteriovenous oxygen difference and total peripheral resistance. Following laughter, there was a significant decrease in oxygen consumption.

Adult↗

Vascular grading of angiogenesis: prognostic significance in breast cancer.

The study aimed to evaluate the prognostic value of angiogenesis by vascular grading of primary breast tumours, and to evaluate the prognostic impact of adding the vascular grade to the Nottingham Prognostic Index (NPI). The investigation included 836 patients. The median follow-up time was 11 years and 4 months. The microvessels were immunohistochemically stained by antibodies against CD34. Angiogenesis was graded semiquantitatively by subjective scoring into three groups according to the expected number of microvessels in the most vascular tumour area. The vascular grading between observers was moderately reproduced (kappa = 0.59). Vascular grade was significantly associated with axillary node involvement, tumour size, malignancy grade, oestrogen receptor status and histological type. In univariate analyses vascular grade significantly predicted recurrence free survival and overall survival for all patients (P < 0.0001), node-negative patients (P < 0.0001) and node-positive patients (P < 0.0001). Cox multivariate regression analysis showed that vascular grading contributed with independent prognostic value in all patients (P < 0.0001). A prognostic index including the vascular grade had clinical impact for 24% of the patients, who had a shift in prognostic group, as compared to NPI, and implied a better prognostic dissemination. We concluded that the angiogenesis determined by vascular grading has independent prognostic value of clinical relevance for patients with breast cancer.

Adult↗

Comparative effects of laser and radiofrequency energy on joint capsule.

The study compared the effects of laser and monopolar radiofrequency energy on thermal and architectural properties of joint capsular tissue in an in vitro ovine model. Sheep glenohumeral joint capsular specimens were treated with laser (5, 10, 15 W) or radiofrequency energy (55 degrees, 65 degrees, 75 degrees C) (n = six per group). Energy application caused significant tissue shrinkage and decreased surface area in all laser and radiofrequency treatment groups. Tissue thickness significantly increased in all treatment groups except for radiofrequency 55 degrees C. Tissue shrinkage, surface area, and thickness each correlated significantly with the delivered laser energy per tissue area or mean radiofrequency probe temperature. There were no significant differences among laser 10 W, laser 15 W, and radiofrequency 75 degrees C treatment groups for these three architectural parameters. Tissue temperature was elevated significantly in the laser 10 W, laser 15 W, radiofrequency 65 degrees C, and radiofrequency 75 degrees C groups when compared with the control. Tissue temperature changes between the laser 10 W and radiofrequency 75 degrees C groups were similar; however, laser treatment produced a steeper temperature increase accompanying its peak temperature. Despite different mechanisms, laser and radiofrequency energy can achieve similar and predictable tissue modification, which is temperature dependent. Additional in vivo studies must be performed to evaluate the applicability of these techniques to clinical use.

Animals↗

Effects of ursodeoxycholic acid on splanchnic and systemic hemodynamics. A double-blind, cross-over, placebo-controlled study in healthy volunteers.

BACKGROUND: Recently, the beneficial effects of ursodeoxycholic acid (UDCA) on the portal hypertensive state have been demonstrated in patients with primary biliary cirrhosis. However, it is not known whether UDCA has direct or indirect effects on the vascular smooth muscles in humans, thereby leading to a change in splanchnic or systemic hemodynamics. AIMS: We therefore evaluated the hemodynamic effects of UDCA as to its established effect on gallbladder motility under fasting and postprandial conditions in healthy volunteers. METHODS: In a double-blind, cross-over study of 20 healthy volunteers, placebo or UDCA (750 mg/d) were randomly administered over 4 weeks with an interim 4-week washout period. Portal blood flow, cardiac output and gallbladder motility were measured using echo-Doppler and b-mode sonography before and after placebo and verum, respectively. ECG, blood pressure, heart rate and blood chemistry were also measured. RESULTS: UDCA did not significantly change fasting portal flow or meal-induced portal hyperemia. Both fasting and postprandial gallbladder volumes increased (26.5 +/- 6.0 vs. 40.7 +/- 13.8 ml, p < 0.05, and 11.2 +/- 6.2 vs. 14.8 +/- 6.7 ml, p < 0.05). Diastolic blood pressure decreased under UDCA (71.2 +/- 8.7 vs. 66.5 +/- 6.5 mm Hg, p < 0.05). Serum levels of chloride and gamma-glutamyltransferase decreased slightly, while alkaline phosphatase increased. CONCLUSIONS: UDCA affected systemic but not portal hemodynamics. The increase in gallbladder volume is obviously mediated by factors that do not influence the splanchnic vascular bed.

Adult↗

The prognostic value of angiogenesis by Chalkley counting in a confirmatory study design on 836 breast cancer patients.

This study addresses the prognostic value of estimating angiogenesis by Chalkley counting in breast cancer. A population-based group consisting of 836 patients with operated primary, unilateral invasive breast carcinomas was included from a predefined region and period of time. The median follow-up time was 11 years and 4 months. The microvessels were immunohistochemically stained by antibodies against CD34. The Chalkley count was obtained by a 25-point grid within three, subjectively selected, vascular tumor areas of highest microvessel density. The Chalkley count was analyzed in three categories using predefined Chalkley cutoff points at five and seven. There were significant correlations between high Chalkley counts and axillary lymph node metastasis, large tumor size, high histological malignancy grade, and histological type. A high Chalkley count showed lower probabilities of recurrence-free survival (P < 0.0001) and overall survival (P < 0.0001). In the Cox multivariate analysis, the hazard ratio (and 95% confidence interval) showed that the increased risk to die were: 1.55 (1.19-2.03) with Chalkley counts between 5 and 7; 2.26 (1.72-2.98) with counts > or =7 compared with counts < or =5; and 1.46 (1.14-1.87) with counts > or =7 compared with counts between 5-7. The study confirmed that estimation of angiogenesis by Chalkley counting had independent prognostic value in breast cancer patients. The Chalkley count could be useful to stratify node-negative patients for adjuvant treatment.

Adenocarcinoma↗

Alcohol responsiveness, hyperreactivity, and motor restlessness in an animal model for attention-deficit hyperactivity disorder.

RATIONALE: Attention-deficit hyperactivity disorder and related pervasive developmental disorders constitute risk factors for adult alcohol abuse and antisocial behaviours, including violent offending. OBJECTIVES: The present study assessed alcohol responsiveness and hyperemotionality in neonatally 6-OHDA-treated rats, which provides an animal model for attention-deficit hyperactivity disorder. METHOD: Male Wistar rats were given intracerebroventricular 6-OHDA (100 microg/5 microl) or vehicle (saline-ascorbic acid) on postnatal day 3. In adulthood, we measured motor activity, defensive behaviours and ethanol responsiveness. RESULTS: 6-OHDA resulted in depletions of brain catecholamine levels. The experimental animals were markedly hyperactive, showed increases in active defensive behaviours (fleeing) and decreases in passive defensive responses (freezing) in response to an sudden auditory signal. In tests for reactivity to the experimenter (i.e. defensiveness to innocuous stimuli), 6-OHDA rats were hyperreactive in comparison to controls. With regard to home cage 6% ethanol and water consumption, there were no differences between experimental and control rats. However, 6-OHDA rats displayed a remarkable resistance to the motor-impairing effect of alcohol (0.5-1.0 g/kg, IP). A similar hyposensitivity to the motor-suppressive effect of diazepam (5.0 mg/kg, IP) was also found. CONCLUSIONS: The present results show that adult rats exposed to 6-OHDA as neonates are motorically restless, unusually prone to respond defensively to innocuous stimuli, and considerably less sensitive to the intoxicating effects of ethanol and diazepam.

Alcohol Drinking↗

The crystal structure of rubisco from Alcaligenes eutrophus reveals a novel central eight-stranded beta-barrel formed by beta-strands from four subunits.

Ribulose-1,5-bisphosphate carboxylase/oxygenase (rubisco) is involved in photosynthesis where it catalyzes the initial step in the fixation of carbon dioxide. The enzyme also catalyzes a competing oxygenation reaction leading to loss of fixed carbon dioxide, thus reducing the net efficiency of photosynthesis significantly. Rubisco has therefore been studied extensively, and a challenging goal is the engineering of a more photosynthetically efficient enzyme. Hexadecameric rubiscos fall in two distinct groups, "green-like" and "red-like". The ability to discriminate between CO2 and O2 as substrates varies significantly, and some algae have red-like rubisco with even higher specificity for CO2 than the plant enzyme. The structure of unactivated rubisco from Alcaligenes eutrophus has been determined to 2.7 A resolution by molecular replacement and refined to R and Rfree values of 26.6 and 32.2 %, respectively. The overall fold of the protein is very similar to the rubisco structures solved previously for green-like hexadecameric enzymes, except for the extended C-terminal domains of the small subunits which together form an eight-stranded beta-barrel which sits as a plug in the entrance to the central solvent channel in the molecule. The present structure is the first which has been solved for a red-like rubisco and is likely to represent a fold which is common for this group. The small subunits in general are believed to have a stabilizing effect, and the new quaternary structure in the oligomer of the present structure is likely to contribute even more to this stabilization of the assembled rubisco protein.

Alcaligenes↗

Purification, crystallization and preliminary X-ray studies of two isoforms of Rubisco from Alcaligenes eutrophus.

Two different isoforms of ribulose-1,5-bisphosphate carboxylase/oxygenase (Rubisco) from Alcaligenes eutrophus have been purified and crystallized. Both isoforms crystallize in space group P43212. Crystals of isoform I (unit-cell dimensions a = 112.0 and c = 402.7 A) diffract to 2.7 A, whereas isoform II (unit-cell dimensions a = 111.8 and c = 400.0 A) presently diffract to 3.2 A, using synchrotron radiation in both cases.

Alcaligenes↗

Anatomic basis of minimal anterior extraperitoneal approach to the lumbar spine.

Anterior lumbar spine approaches may be indicated for fusion in degenerative lumbar spine disorders or to fill discal and bone gaps after fracture reduction. We present an anterior extraperitoneal approach applicable to any discal and vertebral levels from T12 to S1. The anatomic study, based on 25 cadavers, highlights retroperitoneal dissection principles for easy kidney and duodenopancreatic mobilisation and direct left anterior access to the entire lumbar spine. We established a precise description of the lumbar veins and the anastomoses between the left renal vein and hemiazygos system, in order to define different topographic and anatomic factors related to safe and easily reproducible approaches for cage or graft implementation. Independent of the level and previous intraperitoneal surgery, lumbar spine access with this approach safeguards the kidney, ureter, spleen, hypogastric plexus and duodenopancreatic system. Regarding operating time, blood-loss and possibilities for freshening and grafting, this technique seems an effective counterbalance to the difficulties and complex technology of endoscopic approaches. The clinical study includes our first 42 cases in traumatic and degenerative lesions. Avoiding the neurologic or hemorrhagic risk inherent in classical posterior lumbar interbody fusion (PLIF) techniques, it can be considered as a reasonable and valid alternative. This technique could be used in the near future for mini invasive discal prosthesis insertion.

Cadaver↗