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Biomedical subjects

T Gordon

Publications and source records attributed to T Gordon.

At least 127 records · Page 7Linked to original sources
PubMed1992

Definition of a discontinuous immunodominant epitope at the NH2 terminus of the La/SS-B ribonucleoprotein autoantigen.

High-titer IgG autoantibodies to the La/SS-B ribonucleoprotein (RNP) are a hallmark of patients with primary Sjogren's syndrome. Anti-La/SS-B-positive human sera bind to multiple epitopes on recombinant La/SS-B, although the initial response is against an immunodominant epitope within the first 107 NH2-terminal amino acids (aa). Sequence analysis has identified a striking homology between aa 88-101 in this NH2-terminal region of La/SS-B and a feline retroviral gag polypeptide suggesting the anti-La/SS-B response may be initiated by cross-reactivity with an exogenous agent. In the present study, detailed mapping of this NH2-terminal epitope, using recombinant La/SS-B purified from the expression of overlapping DNA fragments spanning aa 1-107, has shown that this immunodominant epitope is a complex conformational or discontinuous epitope dependent upon both aa 12-28 and 82-99 for expression, even though these regions share no homology with each other. This requirement questions the significance of the homology between La/SS-B and a retroviral gag polypeptide in the generation of the B cell response to La/SS-B and is in accord with the general concept that B cells recognize conformational epitopes on antigens rather than small linear peptide sequences. The finding also reinforces the notion that native autoantigen could be the initiator of the autoimmune response.

Autoantibodies↗
PubMed1992

Molecular cloning and preliminary characterization of a novel cytoplasmic antigen recognized by myasthenia gravis sera.

A cDNA clone was isolated by screening of a lambda gt11 endothelial expression library with serum from a patient with myasthenia gravis (MG). Rabbit antisera raised against the recombinant protein and human MG sera reactive with the clone immunoblotted an M(r) integral of 250,000 polypeptide (gravin) present in endothelial cells and several adherent cells. Gravin was not detected in platelets, leukocytes, U937, or human erythroleukemic (HEL) cell lines, but was expressed in HEL cells after induction with phorbol myristate acetate. Northern blot analysis showed two transcripts of approximately 6.7 and 8.4 kb in endothelial cells but not U937 or HEL cells. Indirect immunofluorescence of permeabilized cells revealed a trabecular network of gravin staining with a distinct linear component. Antibodies to gravin, were present in sera from 22:72 (31%) of MG patients. In contrast 0:50 normal sera and 1:72 sera from patients with other autoimmune diseases contained antigravin antibodies. Gravin is not likely to be a nonerythroid spectrin, talin, myosin, or actin-binding protein based on the lack of reactivity of antigravin with these polypeptides in immunoblots. The nucleotide sequence of the immunoreactive clone indicated that it encodes a highly acidic polypeptide fragment that contains the carboxyl terminus of the protein. Neither amino acid nor nucleotide sequences were present in Genbank, EMBL, or Swissprot databases as of March, 1992. These data indicate that gravin is an inducible, cell type-specific cytoplasmic protein and that auto-antibodies to gravin may be highly specific for MG.

Amino Acid Sequence↗
PubMed1992

Incidence and cost of hospital admissions secondary to drug interactions involving theophylline.

OBJECTIVE: To determine the incidence and cost of hospital admissions for theophylline toxicity, which occurred as a result of the concurrent use of one of the following medications: cimetidine, erythromycin, or ciprofloxacin. DESIGN: Retrospective chart review (18 months, between June 1989 and November 1990). SETTING: A Department of Veterans Affairs Medical Center. PARTICIPANTS: All patients who were receiving theophylline chronically (913 patients) and also had a prescription for cimetidine (124 patients with 140 treatment courses), erythromycin (66 patients with 93 treatment courses), or ciprofloxacin (39 patients with 59 treatment courses) dispensed. INTERVENTIONS: Each patient's medical record was reviewed to identify hospital admissions within 30 days following the dispensing of the interacting drug. MAIN OUTCOME MEASURES: Admissions were considered to be related to theophylline toxicity if appropriate signs and symptoms were present and the theophylline concentration was above 20 micrograms/mL or had increased significantly from the concentration obtained prior to introduction of the interacting drug. RESULTS: One patient who received cimetidine and one who received ciprofloxacin were admitted for theophylline toxicity (2 of 292 potential interactions, 0.81 percent). Admissions were for 16 and 13 days, respectively, and total costs for the two admissions were $12,864.22 or $44.00, respectively, per potential interaction. The entire admission was not for theophylline toxicity; it appeared that iatrogenic factors contributed to the duration. CONCLUSIONS: The incidence of hospital admissions secondary to theophylline drug interactions with cimetidine, ciprofloxacin, or erythromycin is low, but the admissions represent considerable expense, even when distributed among all patients at risk for the interactions.

Aged↗
PubMed1991

Properties of implanted electrodes for functional electrical stimulation.

Implanted wire electrodes are increasingly being used for the functional electrical stimulation of muscles in partially paralysed patients, yet many of their basic characteristics are poorly understood. In this study we investigated the selectivity, recruitment characteristics and range of control of several types of electrode in triceps surae and plantaris muscles of anaesthetized cats. We found that nerve cuffs are more efficient and selective (i.e., cause less stimulus spread to surrounding muscles) than intramuscular electrodes. Bipolar intramuscular stimulation was more efficient and selective than monopolar stimulation, but only if the nerve entry point was between the electrodes. Monopolar electrodes are efficient and selective if located close to the nerve entry point, but their performance declines with distance from it. Nonetheless, for a variety of reasons monopolar stimulation provides the best compromise in many current applications. Short duration pulses offer the best efficiency (least charge per pulse to elicit force) but high peak currents, increasing the risk of electrode corrosion and tissue damage. Electrode size has little effect on recruitment and should therefore be maximised because this minimises current density.

Action Potentials↗
PubMed1991

Airway oedema and obstruction in guinea pigs exposed to inhaled endotoxin.

Protein extravasation and airway conductance (SGaw) were examined in awake guinea pigs exposed to inhaled endotoxin or saline for three hours. A significant increase in protein extravasation (as estimated by the leakage of protein bound Evans blue dye) was seen in the conducting airways of endotoxin exposed animals compared with saline exposed animals. Mean dye extravasation was significantly increased by one to threefold in the mainstem and hilar bronchi of endotoxin exposed animals. These changes in extravasation were accompanied by decrements in pulmonary function and by an influx of polymorphonuclear leucocytes into the airway wall. The SGaw decreased significantly by 60-90 minutes into exposure to endotoxin and had decreased by 22% and 34% at the end of exposure in the low and high dose endotoxin groups, respectively. Similar findings were obtained in animals exposed to cotton dust. Contrary to studies suggesting that platelet activating factor (PAF) is involved in the systemic and peripheral lung effects of endotoxin, pretreatment with the PAF antagonist WEB2086 did not prevent the conducting airway injury produced by inhaled endotoxin.

Aerosols↗
PubMed1991

Comparison of force and EMG measures in normal and reinnervated tibialis anterior muscles of the rat.

The relationship between motor unit force and the recorded voltage produced by activated muscle unit fibres (electromyogram, EMG) was examined in normal and reinnervated rat tibialis anterior muscles. The number, cross-sectional area, and radial distance from the recording electrode of muscle fibres in a given unit, obtained directly from a sample of glycogen-depleted motor units, were analysed in relation to the magnitude of the EMG signal produced by that unit. EMG peak to peak amplitude and area varied as approximately the square root of twitch force in both normal and reinnervated units. Furthermore, the EMG amplitude increased approximately as the total cross-sectional area of the motor unit (number of muscle fibres x the average cross-sectional area of the fibres) and inversely with approximately the square root of the distance of fibres from the recording electrodes on the surface of the muscle.

Animals↗
PubMed1991

Force-interval relation in normal and cardiomyopathic hamster atria.

The purpose of this study was to determine how cardiomyopathy affects the beat-to-beat regulation of contractile force in cardiac muscle. Isometric force produced by left atria from 80- to 85-day-old normal and cardiomyopathic (CM) hamsters was measured in vitro at 29 degrees C in 2.5 and 6.0 mM Ca2+. During steady-state stimulation at 1 Hz, single test stimuli were interpolated at varying test intervals (0.3-600 s). The force-interval curves were fitted with an equation using five parameters to define the curve and were compared under different conditions; the recovery of force after long rest intervals was fitted with a single exponential curve. Results showed that the force-interval curves were similar in normal and CM atria except that force was depressed at all intervals in 2.5 mM external Ca2+ concentration ([Ca2+]e) and that the parameter U(0), reflecting force produced at short test intervals, tended to be lower in CM muscles. At high [Ca2+]e (6.0 mM) the force-interval curves were similar, but recovery of steady-state force after long test intervals was much slower in CM atria (tau = 77.3 +/- 8.5 s, n = 11) than in normal atria (tau = 30.5 +/- 3.9 s, n = 11). Recovery was also slower at 2.5 mM [Ca2+]e. These findings suggest that, on a beat-to-beat basis, there is less Ca2+ available in intracellular compartments in the CM heart.

Animals↗
PubMed1991

Possible mechanisms underlying differences in force production between normal and cardiomyopathic hamster atria.

The rate of recovery of force after a long rest interval is lower than normal in left atria from 80- to 85-day-old cardiomyopathic (CM) golden Syrian hamsters. To determine whether this difference was due to a reduced amount of Ca2+ available for release with each beat, we manipulated the amount of Ca2+ entering excised atria using the Ca2+ agonist BAY K 8644 and the antagonist nifedipine. We also simulated altered Ca2+ influx in a recent model of cardiac excitation-contraction coupling (V. J. A. Schouten, J. K. Van Deen, P. de Tombe, and A. A. Verveen Biophys. J. 51: 13-26, 1987) by varying the parameter representing Ca2+ influx and observing the effect on the force it predicted. Steady-state force of normal and CM atria was recorded in response to 1-Hz stimulation and recovery of steady-state force was monitored after a 600-s rest interval. Ca2+ fluxes were manipulated by raising external Ca2+ or by the presence and absence of drug. The recovery of force after a 600-s rest interval was digitized and fitted with an exponential function, and the time constant and steady-state force to which the muscle recovered after the pause were compared. Inclusion of the Ca2+ agonist BAY K 8644 (0.25 or 2.0 microM) made the response of CM atria similar to that of normal, while inclusion of the Ca2+ antagonist nifedipine (0.8 microM) made the response of normal atria similar to that of the CM. Similarly, decreasing the simulated Ca2+ influx in the model produced all of the differences observed between normal and CM muscle.(ABSTRACT TRUNCATED AT 250 WORDS)

3-Pyridinecarboxylic acid, 1,4-dihydro-2,6-dimethy↗
PubMed1991

Axotomy-induced changes in rabbit hindlimb nerves and the effects of chronic electrical stimulation.

Chronic electrical stimulation and extracellular recording combined with morphological examination of nerves in this study provided a detailed description of the time course and extent of fiber atrophy when the trophic influence of the target was removed by ligation of axotomized nerves and neural activity was replaced by chronic stimulation. The major findings are that decline in amplitude of compound action potentials (CAPs) and fiber diameters is rapid after axotomy and is not reversed or prevented by chronic electrical stimulation, as would be predicted if neural activity played an essential role in maintaining normal fiber caliber. Chronic stimulation had a small short-term sparing effect in the first month after axotomy but was counterproductive over long periods. Comparison of the time course of the decline in CAP amplitude and reduction of fiber diameters with described alterations in mRNA expression of neurofilament protein indicates that the early atrophy is too rapid to be accounted for by reduced synthesis and transport of neurofilaments. It is more likely to result from modification of axonal proteins after axotomy. Replacement of neural activity with stimulation may reduce the initial atrophy but, over longer periods, exacerbates the atrophy, possibly by affecting the synthesis and transport of cytoskeletal proteins. These studies show that the trophic control of nerve fiber size is mediated primarily by functional contacts with peripheral targets and that neural activity plays a relatively small role. Without functional contacts, nerve fibers decline in diameter to stable but lower values. The atrophy was exacerbated by imposing neural activity on the relatively quiescent axotomized neurons.

Action Potentials↗
PubMed1990

Motor unit numbers and contractile properties after spinal cord injury.

The number of motor units in the thenar muscle group was estimated in 11 patients with cervical spinal cord injuries. The surface electromyogram and twitch force, in response to maximal stimulation of the median nerve was divided by the average surface electromyogram and twitch of single units. The average single unit size was obtained by intramuscular microstimulation of motor nerve branches and by graded whole nerve stimulation, which provided three independent estimates, two based on the electromyogram and one based on force. The motor unit estimates from the patients covered a wide range. Some had essentially normal motor units both in numbers and contractile properties, while others had varying reductions in numbers of units. Those patients who showed a large reduction in motor unit numbers also had greatly enlarged units, which produced an average of up to sixfold the normal force. These enlarged units summed to produce maximal compound action potentials and twitches that were sometimes indistinguishable from normal. Magnetic resonance imaging scans of the cervical spine obtained from some patients provided independent evidence that patients with low motor unit counts had sustained direct injury to the anterior aspect of the spinal cord at the relevant segmental levels. Some patients showed a normal number of motor units long after the injury. No evidence of transneuronal degeneration could be demonstrated in the thenar group in these patients with the current techniques.

Adult↗
PubMed1990

[3H]-nitrendipine binding in normal and cardiomyopathic hamster hearts: modulation by temperature, verapamil and diltiazem.

The characteristics of high affinity dihydropyridine binding sites were compared in normal and cardiomyopathic hamster hearts to probe for possible defects in the calcium channel which could lead to calcium overload and, in turn, to the muscle necrosis characteristic of cardiomyopathy. Kinetic studies of the temperature dependence of [3H]-nitrendipine binding to ventricular homogenates from 60-day-old normal and cardiomyopathic hamsters showed that, in normal hamsters, the rate of dissociation (0.049 +/- 0.006/min at 25 degrees C) was highly temperature-dependent (Q10 = 4.40 +/- 0.69) and that neither the rate nor the temperature dependence was influenced by disease. The rate of association (1.12 +/- 0.11/min/nM at 25 degrees C) was weakly temperature-dependent (Q10 = 1.25 +/- 0.04) and similarly unaffected by disease. The rate of dissociation of [3H]-nitrendipine was increased by verapamil and decreased by diltiazem with little effect on the association rate. Allosteric interactions of diltiazem and verapamil with the dihydropyridine receptor were identical in normal and cardiomyopathic hearts and, together with the normal temperature sensitivity, show that there is no abnormality at the related binding sites for nitrendipine, verapamil and diltiazem in the calcium channel of the cardiomyopathic heart.

Allosteric Regulation↗
PubMed1990

Systemic lupus erythematosus and right recurrent laryngeal nerve palsy.

A 52-year-old woman presenting with systemic lupus erythematosus (SLE) and a right recurrent laryngeal nerve palsy is described. The symptoms and signs resolved within days of initiating steroid therapy. This is the first reported case of recurrent laryngeal nerve palsy associated with SLE in the absence of pulmonary hypertension or laryngeal lupus.

Cranial Nerve Diseases↗
PubMed1990

Smooth muscle contractility and calcium channel density in hibernating and nonhibernating animals.

Hibernating animals consistently survive prolonged periods of cold with body temperatures near the freezing point. Previous studies have suggested that regulation of calcium influx may be a fundamental cellular mechanism for cold tolerance in hibernating species. The present study was undertaken to compare (i) the calcium dependence of contractility and (ii) [3H]nitrendipine binding in homogenates of ileal longitudinal smooth muscle from the nonhibernating guinea pig (Cavia porcellus) and a hibernator, the ground squirrel (Spermophilus richardsonii). The contractility studies indicate that both the activation threshold for calcium and the concentration-response curve were shifted to the right in ground squirrel when compared with guinea pig. The binding site density in ground squirrel muscle was about an order of magnitude less than in guinea pig (Bmax = 10 +/- 2 (n = 12) and 86 +/- 6 fmol/mg protein (n = 5), respectively). These results indicate that ground squirrel tissues are less sensitive to external calcium and clearly have fewer calcium channels than the smooth muscle of the non-hibernator. The results continue to support the hypothesis that cold tolerance in hibernating species involves calcium homeostatic control mechanisms.

Animals↗
PubMed1990

The alpha 1- and alpha 2-adrenoceptor and muscarinic responses of normal and axotomized bullfrog sympathetic ganglia.

When neurones in bullfrog paravertebral sympathetic ganglia are studied by means of the sucrose-gap technique, muscarinic agonists produce a biphasic response (an initial hyperpolarization of ganglionic C cells followed by a depolarization of ganglionic B cells). Activation of ganglionic alpha 2-adrenoceptors promotes hyperpolarization. The present experiments with selective alpha 1- and alpha 2-adrenoceptor agonists and antagonists provided evidence for the existence of hitherto undescribed alpha 1-adrenoceptors, which are responsible for the production of depolarizing responses in these ganglia. Fifteen to twenty-five days after cutting postganglionic axons (axotomy), there was a nonselective depression of both alpha 1- and alpha 2-adrenoceptor mechanisms but little change in muscarinic responses. These results argue against the hypothesis that C cells assume all the properties of B cells after axotomy. Since the alpha-selective agonist phenylephrine failed to depolarize axotomized ganglia, it is unlikely that an alpha 1-adrenoceptor mechanism is prominent in axotomized neurones as it is in some immature adrenergic neurones. The data are consistent with the idea that axotomy selectively affects the properties of certain types of cation channels and raise questions as to the mechanisms involved in regulating the expression and maintenance of specific neurotransmitter responses on ganglionic neurones.

Animals↗