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Biomedical subjects

W H Sutherland

Publications and source records attributed to W H Sutherland.

At least 91 records · Page 5Linked to original sources

The macrophage electrophoretic mobility (MEM) test--an investigation of its value as a routine laboratory test in the detection of malignant disease.

A previous study of the MOD-MEM test showed promising results. We have attempted to repeat the study using a blind coded series of 210 blood samples from normal subjects and patients with either benign or malignant disease. Using standard criteria the false negative rate for cancer patients averaged 43% and the false positive rate for non-cancer patients averaged 34%. The results indicate that the test at the present time, under routine laboratory conditions, is not reliably reproducible and does not have the ability to effectively discriminate between benign and malignant disease. It is suggested that blind coded studies be used more frequently in assessment of tests with cancer detection potential.

Antigens↗

Lecithin: cholesterol acyl transferase activity in the serum of rats fed saturated and unsaturated fats.

Groups of rats were fed diets containing either butter, beef, fat or safflower oil. After 20 or 70 days of feeding, blood was taken from the animals in a postabsorptive state. Serum lipid levels and lecithin: cholesterol acyl transferase activity were measured. Feeding the different fats did not alter serum total cholesterol levels but free cholesterol and triglycerides were significantly lower in the safflower oil-fed group. Net cholesterol esterification in vitro was also significantly depressed in the safflower oil-fed group and this was shown to be due to the inability of the lipoprotein substrate to support the reaction rather than because of low LCAT enzyme activity.

Acyltransferases↗

Blood lipids and lipoproteins in a rural New Zealand population.

Plasma cholesterol and triglycerides have been measured in 1202 residents of Milton, a rural town in New Zealand. Cholesterol and triglyceride concentrations in the serum lipoprotein classes of a random subgroup of the population are also reported. Mean plasma triglycerides and very low density lipoprotein (VLDL) cholesterol and triglyceride concentrations were higher for men, but mean high density lipoprotein (HDL) cholesterol concentration was higher in women. Urban-rural differences in plasma cholesterol are suggested since mean plasma cholesterol concentration in men reached a maximum in the 50-59 decade in the rural town (Milton) but the maximum for a nearby urban community was in the 40-49 decade. An evaluation of hyperlipidaemia by using arbitrary cut-off values for plasma cholesterol and triglyceride concentrations showed a prevalence of hypertriglyceridaemia in men, resulting in approximately three times as many men as women in some of the categories of hyperlipidaemia. Further, 26% of the 35-59 age group in the population had lipid risk factors for coronary heart disease.

Adolescent↗

The clinical assessment of cancer tests: a statistical approach to the prediction of "false positive" rates from controls.

As the sensitivity of the new in vitro cancer detection techniques increases, a larger number of "false positive" results can be expected from control populations apparently free from malignant disease at the time of the test. An attempt is made to predict the number of unexplained positives, together with the expected age and sex distribution, using published cancer registration statistics. The predicted numbers are compared with the observed numbers of unexplained positives in two clinical trials of the MEM test.

Adult↗

Modification of nicotinic acid and prostaglandin E1 antilipolytic action in vitro.

In epididymal adipose tissue from rats, human serum antagonizes inhibition of basal lipolysis by nicotinic acid in vitro. Under similar conditions caffeine-stimulated lipolysis was unaffected by the presence of human serum. Very low density (VLDL), low density (LDL) and high density (HDL) lipoproteins were all found to antagonize the action of nicotinic acid on basal lipolysis. VLDL also antagonized prostaglandin E1 (PGE1)-inhibition of basal lipolysis in vitro. The fat cell membrane was suggested as the site at which human serum lipoproteins antagonize nicotinic acid or PGE1 antilipolytic action on basal lipolysis in vitro.

Adipose Tissue↗

Clinical assessment of the MOD-MEM cancer test in controls with non-malignant diseases.

A control series of 105 patients in hospital with non-malignant diseases was used in a limited clinical assessment of the MOD-MEM test. Twenty-seven positive results could be explained on the basis of destruction of nervous parenchyma, tissue necrosis, tuberculosis, malignant disease, etc. The remaining 13 unexplained positives showed a sex and age distribution in agreement with that predicted from cancer registration statistics if the MOD-MEM test detects cancer about 16 years before the clinical appearance of the disease.

Evaluation Studies as Topic↗

Stability of a linear accelerator with "achromatic" electron beam bending.

Third-generation accelerators with 270 deg. "achromatic" electron-beam bending should combine construction with improved stability. Two-year performance records are presented to show that flatness has remained within +/-1 per cent with the first production model of the Radiation Dynamics "Dynaray-4" accelerator installed in Cardiff.

Electrons↗

Evaluation and development of the macrophage electrophoretic mobility (MEM) test for malignant disease.

A preliminary announcement of a new in vitro blood test for cancer by Field and Caspary appeared in the Lancet of 26 December 1970. The test depends on sensitization of the patient's lymphocytes to a common antigen apparently present in human tumours. We now offer independent confirmation of these findings, together with methods for improving the test towards its future clinical use.

Animals↗