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Biomedical subjects

W Luboldt

Publications and source records attributed to W Luboldt.

At least 55 records · Page 3Linked to original sources
PubMed1990

Further characterization of the EAI factor induced by alloimmunization for treatment of recurrent abortion.

In order to remove the EAI "blocking" activity, EA inhibition positive sera from patients with recurrent abortions were absorbed after alloimmunization with paternal lymphocytes by the lymphoblastoid cell line (LCL) of the husband. To avoid non-specific binding via the Fc-receptor, the cells were first fixed with 0.05% glutaraldehyde. Absorption was performed for 3 h at 4 degrees C. For subsequent elution, the cells were incubated with 0.1 M glycine-HCl, pH 2.3, for 30 min at 4 degrees C. After each step, EAI assay was carried out to determine the "blocking" activity in the supernatants. Furthermore, 10% SDS-PAGE and immunoblotting with goat antihuman IgG of the whole serum and the supernatants were performed. The results obtained give evidence that the EAI "blocking" activity can be absorbed by and eluted from the LCL of the immunizing husband, and is due to an IgG antibody directed against an antigen present on the LCL. Further absorption experiments with trophoblast cells will show whether this antigen is also displayed by the trophoblast.

Abortion, Habitual↗
PubMed1990

[Comparison of 3 types of cell separators].

The aim of the present investigation was to compare the efficiency of three commercially available cell separators with respect to thrombocyte yields. In addition, advantages and disadvantages of the different cell separator types were studied. There was no difference in the total number of platelets harvested by the different cell separators. In contrast the thrombocyte count of packages from the V 50 device was significantly lower as compared with the others (p = 0.05). We conclude that the cell separators tested are comparable with respect to the efficiency of processing platelet concentrates. However, the larger amount of plasma of the V 50 might be a disadvantage in some circumstances. The AS 104 has advantages in the handling and the duration of cell separation. In addition it offers technical improvements such as control of the ACD flow by a separate adjustable pump and a hemolysis detector.

Blood Transfusion↗
PubMed1990

[Experiences with transfusion of CMV tested blood preparations after bone marrow transplantation].

Cytomegalovirus infections are frequent and often life-threatening in bone marrow transplant recipients. Among 112 of our patients after bone marrow transplantation (BMT), 28 developed clinical symptoms or laboratory test results of CMV infection, and 15 of them died. In our experience blood cell substitution with products from CMV negative blood donors does not completely prevent CMV infections. Other factors like disturbances of immunoreconstitution after BMT are relevant in promoting the development of CMV disease.

Antibodies, Viral↗
PubMed1990

[Erythrocyte substitution and isoagglutinin titer following ABO-incompatible bone marrow transplantation].

About 2 or 3 weeks after transplantation, even ABO-Incompatible bone marrow shows a successful graft. Haemopoiesis is not always free of problems. Suppression of erythropoiesis is caused by persistently incompatible agglutinins. Patient's well-being is limited by longer periods of low levels of haemoglobin concentration. Long-lasting need for transfusions is related to the well-known risk of infections. A procedure to eliminate the residual titers of alloantibodies should be discussed in time with the staff of the transfusion department.

ABO Blood-Group System↗
PubMed1989

[Deep freezing of blood with special reference to autologous blood donation].

The preoperative collection of a patient's blood for later retransfusion during operation is the only way to avoid the risks of immunization and infection by homologous blood. If larger volumes of blood are needed the storage of the red cells by deep freezing techniques (liquid Nitrogen) ist very helpful. To get such a deposit of autologous blood, especially from patients with rare antigens or antibodies against public antigens, depends upon some criterias. The patient must be in sufficiently good condition for undergoing several phlebotomies in shorter intervals than a normal donor. The equipment of freezing and thawing may be more expensive and finally autologous transfusion programmes require more planning and time than ordinary blood donation. Therefore the combination of such a programme with preservation by freezing will be reserved for certain centres, even in the near future.

Blood Preservation↗
PubMed1987

Relative and absolute numbers of human lymphocyte subpopulations. A comparison of immunofluorescence microscopy and flow cytometric methodologies with special reference to precision and reference values.

Lymphocyte subpopulations were determined in blood samples from blood donors (40 women and 45 men) using immunofluorescence microscopy and flow cytometric methodologies. The study demonstrates the value of both methods for the enumeration of lymphocyte subpopulations. The advantages of employing an automated flow cytometer system are better precision and speed. The automated systems require a large initial technical and financial burden and are therefore probably destined to be reserved for the larger laboratory. There is a need for an adequate lymphocyte standard which shows little variation between aliquots and can be used for interlaboratory comparisons.

Adolescent↗
PubMed1986

Homogeneity of HLA-DQ,DR phenotypes in lymphocyte subsets of normal individuals.

The study was performed to evaluate the association of HLA-DQ and DR antigens with the composition of peripheral blood lymphocytes. B cells, T cells, and T subsets were enumerated in 200 normal individuals by indirect immunofluorescence microscopy using the monoclonal antibodies OKT3, OKT4, OKT8, and OKIa1. Results were related to the HLA-DQ,DR phenotypes of the investigated population. No significant correlation between any of the lymphocyte subsets and of the HLA-DQ,DR antigens was found.

Antibodies, Monoclonal↗
PubMed1984

Laminar air flow versus barrier nursing in marrow transplant recipients.

Forty-eight patients with acute leukaemia in relapse (n = 14), acute leukaemia in complete remission (n = 19), chronic myeloid leukaemia (n = 8) or severe aplastic anaemia (n = 7) received a marrow transplant. The first 26 patients were nursed in laminar-air-flow plastic isolators while the next 22 patients were treated in barrier nursing rooms. Gnotobiotic parameters and morbidity in the 2 groups are compared. Good decontamination of the gastro-intestinal tract was obtained using either of the 2 isolation techniques. The incidence of bacterial and mycotic infections, as well as the supportive care required by the patients was almost equal in both groups. Our results also suggest that the incidence of graft versus host disease may decrease with efficient decontamination of the patients.

Anemia, Aplastic↗
PubMed1983

IgG and IgA heavy chain allotypes in Type 1 diabetes.

IgG and IgA heavy chain allotypes were determined in the sera of 483 Caucasian Type 1 diabetes patients and 503 Caucasian healthy controls. There was no significant difference between patients and controls neither on the level of Gm phenotype frequencies nor on the level of Gm three-locus and two-locus haplotype frequencies. A selective IgA deficiency was found in 14 patients (2.9%) but in none of the control individuals (P less than 10(-4].

Diabetes Mellitus↗
PubMed1983

Plasma exchanges in frequently recurrent hemolytic-uremic syndrome in a child.

22 plasma exchanges (PE) were carried out on a 9 year old boy with frequently recurrent hemolytic-uremic syndrome (HUS) and persistently low plasma factor which normally stimulates vascular prostacyclin (PGI2) release. The factor was partially restored after PE but declined within 2-4 weeks. No major recurrence of HUS occurred, but "minor" attacks recurred despite PE. It is likely that a genetic predisposition is responsible for the recurrences of HUS, but the ultimate relationship between recurrent HUS and persistent plasma deficiency for PGI2-release remains to be defined.

Epoprostenol↗
PubMed1982

[Bone marrow transplantation for aplastic anaemia and acute leukaemia (author's transl)].

Twenty-six bone marrow transplantations were performed at the West Germany Tumour Centre at Essen between December 1975 and December 1981. Three patients had aplastic anaemia, 23 acute leukaemia. Of the leukaemia patients 13 had a recurrence and ten were in full remission at the time of the transplantation. Two of the patients with a recurrence received deep-frozen autologous marrow from the remission phase. One patient with aplastic anaemia had an identical twin as donour, while all other patients received allogeneic marrow from histocompatible family members. Eleven patients are still alive, all three of those with aplastic anaemia, one of those with leukaemia in a recurrence, and seven of those with acute leukaemia in full remission. Two of the survivors have a chronic graft-host reaction, but the others are symptom-free, after an observation period of up to four years. Main causes of death were leukemic recurrence (6), infection (5), and graft-host reaction (2). It would seem that at present bone marrow transplantation offers the best chance of a cure for severe aplastic anaemic and acute leukaemia in adults, but only if transplantation is undertaken early and not in the end-stage of the disease.

Acute Disease↗
PubMed1980

[Measurement of serum ferritin in blood donors with reference to donation intervals].

Serum ferritin shows a high correlation to the storage iron in the reticuloendothelial cells of the bone marrow. Therefore it is a reliable test to watch over the body iron stores of blood donors. Measurements were made on 284 donors (171 male, 113 female) with a donation interval of 12 weeks without iron therapy and on 59 subjects (20 male, 39 female) with a donation interval of 6 weeks receiving 100 mg Fe2+/day. In the immunoradiometric determination of serum ferritin all groups showed a steady decrease of the values to a subnormal but not yet anemic level. Women could bear the short-donation intervals with oral iron supplementation better than the longer intervals without the iron therapy. Men did not show any significant differences in the ferritin values. In times of increased demand for blood or before planned autologous transfusions, the donation intervals can be shortened, if an oral iron supplementation is guaranteed. Female donors should get iron at each phlebotomy.

Anemia, Hypochromic↗