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Anterior segment fluorescein angiography with a retinal fundus camera.

We use a technique for anterior segment fluorescein angiography that employs an unmodified retinal fundus camera. Examples of conjunctival, corneal, iris, anterior chamber angle, and posterior chamber fluorescein angiograms are illustrated. The advantages of this method include rapid-sequence exposures, high resolution and contrast for small vessel detail, time/frame recordings, and the dual capability of retinal and anterior segment fluorangiography with use of the same camera.

Cornea↗

Mean circulation time of fluorescein in retinal vascular segments.

Mean circulation time (MCT) of sodium fluorescein in retinal vascular segments was determined in healthy human volunteers, using the dye dilution technique. The fluorescein dilution curves were recorded with a two-point fluorophotometer. Average MCT was 3.9 seconds. The accuracy of the method was determined from repeated measurements in owl monkeys and human volunteers. No significant linear correlation was found between the MCT and the cross section of the vessels feeding and those draining the segment. The application of this technique to clinical work is discussed, and is illustrated by three clinical cases.

Adult↗

Fluorescein angiography in pigmented iris tumors.

Three pigmented iris tumors were studied with fluorescein angiography. Two malignant melanomas leaked dye very early in the arterial phase, while blockage of fluorescence was noted in one melanocytoma. The angiographic appearance of these three lesions was consistent with that, which would be anticipated, based on knowledge of similar lesions in the fundus of the eye. We recommend that fluorescein angiography be performed for all pigmented iris tumors as part of the diagnostic evaluation.

Adult↗

Fluorescein angiography of the optic disc. A longitudinal follow-up study.

A comparison of two or more disc fluorescein angiograms performed on separate occasions was done on 60 eyes of normal subjects and patients with ocular hypertension, primary open-angle glaucoma, and low-tension glaucoma. Clinically stable patients did not show any change in their disc angiographic filling patterns. Eyes that developed new visual-field defects with increased disc cupping and pallor correspondingly showed new absolute filling defects or areas of hypofluorescence. In those with established field defects, however, further changes in the visual field occurred without obvious changes in the disc fluorescein filling defect. Surgical lowering of intraocular pressure with or without decrease in disc cupping and pallor did not result in visible improvement of the disc angiographic pattern. Thus, the development of new visual-field defects is associated with changes of the circulation of the optic disc.

Adult↗

Increased fluorescein filling defects in the wall of the optic disc cup in glaucoma.

One hundred seventy-one optic disc fluorescein angiograms of glaucomatous, ocular hypertensive, and normal patients were studied for the occurrence of areas of hypofluorescence or absolute filling defects in the rim, wall, and floor of the optic cup using disc stereo photographs compared with the fluorescein angiogram. The frequencies of involvement of the rim, wall, and floor of the cup by filling defects were determined. The wall of the cup has a greater percentage of filling defects in subjects with glaucoma than in ocular hypertensive or in normal subjects. The floor of the cup has more filling defects in normal subjects than in those with glaucoma. The involvement of the wall of the cup increases with the degree of visual-field loss in glaucoma. We suggest that, in glaucoma, the effect of ocular pressure is greater on the wall of the cup than on the floor of the cup.

Fluorescein Angiography↗

Color photography vs fluorescein angiography in the detection of diabetic retinopathy in the diabetes control and complications trial. The Diabetes Control and Complications Trial Research Group.

During eligibility screening for the Diabetes Control and Complications Trial, we compared stereoscopic color fundus photography and stereoscopic fluorescein angiography in the detection of diabetic retinopathy in 320 patients (mean age, 24 years [SD, eight years]) with insulin-dependent diabetes (mean duration, 7.0 years [SD, 4.0 years]) and no or mild diabetic retinopathy. Of 153 patients classified as having no retinopathy according to color photographs of seven standard 30 degrees fields of both eyes, 21% of the patients had evidence of retinopathy (mostly one or two microaneurysms in one eye) on review of fluorescein angiograms, including two standard 30 degrees fields in each eye. Of those patients with no retinopathy detected on angiograms, 19% had retinopathy on review of color photographs. When used in conjunction with color photography, angiography allows a modest increase in sensitivity to the earliest signs of retinopathy, a gain potentially useful in some research applications, although not of demonstrated value in patient management.

Adolescent↗

New stroboscopic light source for intraoperative retinal fluorescein angiography.

We tested a new stroboscopic light source for intraoperative fluorescein angiography. A pulsed xenon light source and narrow-band interference filters are coupled to a 20-gauge endoilluminator and a 35-mm camera mounted on a surgical microscope. The system was tested with good success in a patient undergoing penetrating keratoplasty. An 18- to 22-microJ flash of 2 milliseconds' duration is achieved, which is well below the safety threshold level. This new stroboscopic light source provides a flash of sufficient light intensity to perform high-resolution, high-contrast fluorescein angiography during operations for the removal of opacified media.

Aged↗

Fluorescein angiography in nonischemic optic disc edema.

OBJECTIVE: To determine whether nonischemic optic disc edema is associated with significant delay in fluorescein angiographic optic disc filling. METHODS: Fluorescein angiograms from 16 patients with acute papillitis, five with papilledema, and one with optic disc edema from orbital cavernous hemangioma were compared with those of age-matched controls. Early views of the optic disc were evaluated for onset of central retinal artery dye filling and both onset and completion of choroidal and prelaminar optic disc dye filling. Data were compared with our previously published figures for patients with nonarteritic anterior ischemic optic neuropathy (NAION) and a new group of patients aged 46 years and younger with NAION (NAIONy). Subgroup analysis was performed on data from patients with papillitis. RESULTS: Mean onset or completion of filling was not significantly delayed compared with controls for the central retinal artery, choroid, or prelaminar optic disc in patients with nonischemic optic disc edema, including the subgroup of patients with papillitis. In comparison, significant delay had been detected for onset and filling of prelaminar disc in typical NAION; similar significant delay was noted in this study for patients with NAIONy. No patients with nonischemic optic disc edema (including those with papillitis) demonstrated delay of disc filling by at least 5 seconds, while this feature was detected in 76% of patients with typical NAION and 62% of those with NAIONy. CONCLUSIONS: Optic disc filling delay is common in typical NAION and NAIONy; it is not a feature of nonischemic optic disc edema. This characteristic may aid in the differentiation of NAION from papillitis.

Acute Disease↗

Fluoresceinated lectins as probe for cell surface changes associated with lymphocyte transformation.

Lectins are plant-derived proteins with specific affinities for simple or complex sugars and are potentially useful tools for investigation of the carbohydrate structure of the cell surface. A panel of fluoresceinated lectins was used to study the cell surface changes associated with lymphocyte transformation. The major determinants detected on peripheral blood lymphocytes were alpha D-mannose, beta-D-galactose and N-acetyl-glucosamine. Phytohemagglutinin transformation was associated with increased binding of lectins specific for N-acetyl-galactosamine, MOLT-4, a T-lymphoblast cell line in continuous culture, was associated with increased binding of lectins specific for N-acetyl-galactosamine and L-fucose. Application of fluoresceinated lectins may be a useful tool in the classification of lymphoid cells.

Carbohydrate Metabolism↗

Rigid, conjugated, fluoresceinated thymidine triphosphates: syntheses and polymerase mediated incorporation into DNA analogues.

Syntheses of a unique set of energy transfer dye labeled nucleoside triphosphates, compounds 1-3, are described. Attempts to prepare these compounds were only successful if the triphosphorylation reaction was performed before coupling the dye to the nucleobase, and not the other way around. Compounds were prepared as both the 2'-deoxy (a) and 2',3'-dideoxy- (b) forms. They feature progressively longer rigid conjugated linkers connecting the nucleobase and the hydroxyxanthone moiety. UV spectra of the parent nucleosides 12-14 show that as the length of the linker increases so does the absorption of the donor in the 320-330 nm region, but with relatively little red-shift of the maxima. Fluorescence spectra of the same compounds show that radiation in the 320-330 nm region results in predominant emission from the fluorescein. When the linker is irradiated at 320 nm, the only significant emission observed corresponds to the hydroxyxanthone part of the molecules at 520 nm; this corresponds to an effective Stokes' shift of 200 nm. As the absorption at 320-330 nm by the linker increases with length, so does the intensity of the fluorescein emission. A gel assay was used to gauge relative incorporation efficiencies of compounds 1-3, dTTP, ddTTP, and 6-TAMRA-ddTTP. Throughout, the thermostable polymerase TaqFS was used, as it is the one most widely applied in high throughput DNA sequencing. This assay showed that only compounds 3 were incorporated efficiently; these have the longest linkers. Of these, the 2'-deoxy nucleoside 3 a was incorporated and did not prevent the polymerase from extending the chain further. The 2',3'-dideoxy nucleoside 3 b was incorporated only about 430 times less efficiently than ddTTP under the same conditions, and caused chain termination. The implications of these studies on modified sequencing protocols are discussed.

DNA↗

Single-step procedure for labeling DNA strand breaks with fluorescein- or BODIPY-conjugated deoxynucleotides: detection of apoptosis and bromodeoxyuridine incorporation.

The methods of in situ labeling of DNA strand breaks have been used to identify apoptotic cells and/or DNA replicating cells. While discrimination of apoptotic cells is based on the inherent presence of numerous DNA strand breaks in their chromatin, DNA proliferating cells can be discriminated by the selective DNA strand break induction by photolysis (SBIP) methodology at the sites that contain incorporated bromodeoxyuridine (BrdUrd) or iododeoxyuridine (IdUrd). In both instances, DNA strand breaks are labeled with biotin- or digoxygenin-conjugated deoxynucleotides, preferably in the reaction catalyzed by exogenous terminal deoxynucleotidyl transferase; fluorescein tagged avidin (streptavidin) or digoxygenin antibody is used in the second step of the reaction. In the present study, DNA strand break labeling was simplified by using directly labeled deoxynucleotides, in a single-step reaction. Cell fluorescence was measured by flow cytometry as well as by a microscope-based laser scanning multiparameter cytometer. Apoptotic cells in HL-60 cultures treated with camptothecin or in primary cultures of non-Hodgkin's lymphoma cells treated with prednisolone were easily identified utilizing BODIPY-conjugated dUTP (B-dUTP). Apoptotic cells were also recognized using fluorescein-conjugated dUTP or dATP, although the discrimination was more pronounced with B-dUTP. The single-step procedure, requiring fewer centrifugation steps, resulted in less cell loss compared to the two-step cell labeling technique.(ABSTRACT TRUNCATED AT 250 WORDS)

Apoptosis↗

Flow cytometric detection of human immunodeficiency virus type 1 proviral DNA by the polymerase chain reaction incorporating digoxigenin- or fluorescein-labeled dUTP.

Serological assays are routinely used in the laboratory diagnosis of human immunodeficiency virus type-1 (HIV-1) infection, but the polymerase chain reaction (PCR) is ultimately the most sensitive and direct method for establishing definitive diagnosis. As an alternative to the conventional radioactive PCR procedure we have developed and evaluated a pair of rapid nonradioisotopic flow cytometric detection methods. Using heminested PCR we directly incorporated fluorescein-12-dUTP (fluo-dUTP) or digoxigenin-11-dUTP (dig-dUTP) into the PCR-amplicons. The labeled amplicons were hybridized with biotinylated antisense and sense probes, followed by capture of the hybrid DNA using streptavidin-coated beads which were finally analyzed in a flow cytometer by 1) direct detection of the fluorescence intensity of the amplicons incorporating fluo-dUTP and 2) immunodetection of the amplicons incorporating dig-dUTP by anti-digoxigenin IgG labeled with fluorescein isothiocyanate (FITC). Although both assays were functionally comparable with radiolabeled probe in reliably detecting as low as five copies of HIV-1 proviral DNA sequences, the immunodetection of dig-dUTP consistently yielded higher mean channel fluorescence and gave a stable signal over an extended period of 12-14 weeks. In testing a panel of 20 pedigreed PBMC specimens from blood donors with or without HIV-1 infection, the results of both flow cytometric assays were identical with those of the conventional radioactive procedure. Therefore, we conclude that the dig-dUTP incorporation in amplicons, hybridization with a pair of sense-antisense biotinylated probes and immunodetection of hybrids by flow cytometric analyses is the nonisotopic method of choice for PCR-diagnosis of HIV-1 infection.

Base Sequence↗

Capillary zone electrophoresis separation and laser-based detection of both fluorescein thiohydantoin and dimethylaminoazobenzene thiohydantoin derivatives of amino acids.

Capillary zone electrophoresis is employed for the separation and analysis of both fluorescein thiohydantoin and dimethylaminoazobenzene thiohydantoin derivatives of amino acids. Detection of minute amounts of these amino acid derivatives is an important milestone in the development of a high sensitivity protein sequencer. Current detection limits for the fluorescein derivative is on the order of 10(-21) moles whereas detection limits for the dimethylaminoazobenzene derivative is on the order of 10(-16) moles.

Amino Acids↗

Detection of tetracysteine-tagged proteins using a biarsenical fluorescein derivative through dry microplate array gel electrophoresis.

The design of an extended-run 96-well sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) system and the development of protein detection technology based upon fluorescein derivatives that bind to peptide epitope tags, allows the creation of a truly high-throughput analysis of protein expression, where less than 20 min are needed to separate proteins and analyze results. We demonstrate the overall capabilities of such a method combination in a complex cell lysate background, while comparing the specific results obtained using a biarsenical fluorescein-derivative and tetracysteine epitope-tagged proteins with total protein staining using a fluorescent gel stain and with Western blotting where an anti-oligohistidine (His) tag antibody has been employed. When applied on purified target proteins without extraneous protein background, the demonstrated sensitivity of the assay on the extended-run 96-array precast SDS-PAGE system allows detection of quantities of tagged protein as low as 1 pmol per band.

Antibodies↗

Comparison of a fluoresceinated lectin stain with triple staining for evaluating acrosome reactions of dog sperm.

In this study a technique which utilized a fluoresceinated lectin and a fluorescent supravital stain was compared with the conventional triple stain technique for evaluating the viability and acrosomal status of dog sperm. Ten semen samples obtained from 6 normal beagle dogs were evaluated after incubation in vitro with canine capacitation medium. Sperm viability and acrosomal status were assessed at 0, 4, and 7 hours of incubation. Both staining techniques were capable of detecting the increase in spontaneous acrosome reactions which occurs during in vitro capacitation of dog sperm. High positive correlations were observed between the fluorescent stain and the triple stain in the mean values for the percentage of viable sperm and for the percentage of acrosome-reacted sperm among the viable sperm (r = 0.91, r = 0.97, respectively). However, the fluorescent staining techniques could be carried out much more rapidly than the triple stain technique, and the slides prepared with fluorescent stain were more easily scored because of the higher intensity and greater consistency of staining. These characteristics make the fluoresceinated lectin and the fluorescent supravital stain superior for evaluating acrosome reactions and viability of dog sperm.

Acrosome↗

Effect of mucin and polymeric gums on uptake of fluorescein esters.

The effect of three biopolymers on the mass transport of fluorescein esters into cultured epithelial cell monolayers was determined. The method involved measurement of the rate of accumulation of fluorescein after extracellular introduction of its relatively nonfluorescent ester derivatives. Calibration of the intracellular fluorescence along with cell enumeration allowed estimation of the molar velocity of uptake on a per cell basis. Fick's law with modified Michaelis-Menten kinetics provided a kinetic description of the sequential transport and cellular metabolism and permitted estimation of the permeability, maximum velocity, Vm, and apparent Michaelis-Menten constant, Km. From the uptake studies, the calculated Vm and Km decreased with increasing chain length of the ester which is consistent with deacylation of the enzyme being the rate limiting step of the enzymatic conversion. The estimated permeabilities of the controls were variable, in part due to the insensitivity of the functional relationship between the estimated parameters. All biopolymers caused a reduction in the calculated permeability, with guar gum and xanthan gum being more effective at a higher concentration than bovine submaxillary mucin. The results support the conclusion that polymers reduce the rate of mass transport through an increase in the resistance of the diffusional boundary layer.

Cells, Cultured↗

Are fluorescein-conjugated androgens appropriate for a histochemical detection of prostatic androgen receptors?

Histochemical fluorescence techniques could be of great value in order to assay androgen receptors (AR), particularly in punch biopsies from human prostatic carcinoma (PCA). Therefore, prostatic tissue was examined for specific binding of fluorescein-labeled 5 alpha-dihydrotestosterone derivatives (FDHT) to AR. Using a 17 beta-fluoresceinated DHT derivative (17-FDHT), variable fluorescence was found in human and rat prostates at high 17-FDHT concentrations. This fluorescence could be blocked by unlabeled DHT in 11 and 73% of human and rat prostatic tissue, respectively. Control studies of receptor and organ specificity were conducted and showed that preheated slices from rat prostates displayed no decrease of fluorescent staining. No difference in fluorescence intensity could be seen between prostates from castrated and uncastrated rats. Unstained tissue slices frequently showed a considerable intensity of autofluorescence. An appreciable amount of fluorescence in both rat liver and spleen was found. From these results and various general methodical problems inherent in fluorescent receptor assays, we conclude that the fluorescence techniques described are inappropriate for demonstration of AR.

Androgens↗

Study of choroidal blood flow by comparison of SLO fluorescein angiography and microspheres.

Choroidal hemodynamics estimated with parameters describing the dye build-up curves obtained with video fluorescein angiography, were compared with a classical regional blood flow measurement: radioactively labelled microspheres. Video fluorescein angiograms (Rodenstock's SLO 101) and microspheres blood flow measurements were made in 13 anaesthetized pigmented rabbits. Ocular perfusion pressures were varied from 60 to 15 mmHg by changing the intraocular pressure. The angiographically derived dye build-up curves were described by means of an exponential model. One of the model parameters is the time constant tau theoretically reflecting local blood refreshment time. Labelled microspheres act as a non-recirculating blood flow indicator, enabling the estimation of regional blood flows. The relation between choroidal blood flow and perfusion pressure is nearly linear, suggesting the passive nature of choroidal vasculature. There is a significant correlation between tau and microspheres flow (R = 0.67, P < 0.01). According to the rheological model the product of blood flow and tau corresponds to the relevant blood volume. Hence, a function for the volume of the choriocapillaris as a function of perfusion pressure was established. The model parameter tau can be interpreted as the local blood refreshment time. Since the parameter tau, unlike microspheres, can be used clinically, tau may be used to retrieve information on choroidal hemodynamics in clinical practice. Information on the spatial distribution of choroidal hemodynamics is also obtained.

Animals↗