Neoteny in lymphocytes: Rag1 and Rag2 expression in germinal center B cells

The products of the Rag1 and Rag2 genes drive genomic V(D)J rearrangements that assemble functional immunoglobulin and T cell antigen receptor genes. Expression of the Rag genes has been thought to be limited to developmentally immature lymphocyte populations that in normal adult animals are primarily restricted to the bone marrow and thymus. Abundant RAG1 and RAG2 protein and messenger RNA was detected in the activated B cells that populate murine splenic and Peyer's patch germinal centers. Germinal center B cells thus share fundamental characteristics of immature lymphocytes, raising the possibility that antigen-dependent secondary V(D)J rearrangements modify the peripheral antibody repertoire.

Mass detection in digitized mammograms using two independent computer-assisted diagnosis schemes

OBJECTIVE

Using two independent computer-assisted diagnosis (CAD) schemes, we investigated the potential to improve the sensitivity of mass detection by applying a logical "or" operation and to improve the specificity using a logical "and" operation.

MATERIALS AND METHODS

Two independent mass detectors, one with Gaussian bandpass filtering and multilayer topographic feature analysis and the other with a five-stage search for a single suspicious region, were applied to a large image database that included 428 digitized mammograms with 220 verified masses. The performance of the two schemes and a combination of them in the form of either logical "or" or logical "and" operations were compared.

RESULTS

In this preliminary study, a multilayer topographic feature analysis CAD scheme (CAD-1) achieved a sensitivity of 96% and had a false-positive detection rate of 0.79 per image. A five-stage search method scheme (CAD-2) achieved a sensitivity of 94% and had a false-positive detection rate of 1.69 per image. With an "or" operation, the combined results yielded 100% sensitivity with a false-positive detection rate of 2.07 per image. A logical "and" operation produced a reduction of the false-positive detection rate to 0.4 per image, but sensitivity also decreased to 90%.

CONCLUSION

Similar to an independent double-reading approach and depending upon the relevant clinical question, sensitivity or specificity can be improved by combining the results of several independent CAD schemes.

On the reporting of mass contrast in CAD research

As research efforts for developing computer-aided diagnosis (CAD) schemes of digitized mammograms increase and interscheme results are compared, the desire to establish an acceptable consistent reporting protocol of the distribution of abnormal characteristic is becoming an issue. "Mass contrast" is very important and frequently reported in current CAD studies. In this report, 100 verified mass regions were analyzed systemically using 6 different definitions of "mass contrast." Measured variability in mass contrast was demonstrated by the distribution shift in this group masses. The need for universally accepted and largely standardized descriptors of objects of interest is clearly demonstrated.

Alternative pathways for the selection of antigen-specific peripheral T cells

In the thymus, maturing lymphocytes receive activation signals mediated by the T-cell antigen receptor (TCR) that either promote clonal survival (positive selection) or induce apoptosis (negative selection). This balance between life and death is mirrored by the sensitivity of cortical thymocytes to apoptotic death induced by antibodies against the CD3 component of the TCR signal-transduction complex, bacterial superantigens that bind to the TCR beta-chain, and corticosteroids. In contrast, mature peripheral T cells are positively activated by anti-CD3 antibody or superantigens and are resistant to steroid-induced death. Here we show that in splenic germinal centres, T cells regain thymocyte-like sensitivity to TCR- and steroid-induced apoptosis and undergo antigen-driven positive and negative selection. T-cell responses elsewhere in the spleen are unaccompanied by programmed cell death. Our observations define a new differentiation pathway for peripheral T cells and suggest that germinal centres induce a lymphocyte phenotype necessary for the maintenance of self-tolerance.

Adaptive computer-aided diagnosis scheme of digitized mammograms

RATIONALE AND OBJECTIVES

We investigated an adaptive rule-based computer-aided diagnosis (CAD) scheme for digitized mammograms that can be optimized by using an image difficulty index as determined from global measures of image characteristics.

METHODS

First, we defined an image "difficulty" index based on image feature measurements in both the spatial and frequency domains. The CAD scheme then segmented the database into three groups. An image database of 428 digitized mammograms with 220 verified masses was randomly divided into two subsets, one for training (rule-setting) and the other for testing the adaptive CAD scheme. Each of the image difficulty groups in the training set was optimized independently to achieve a low false-positive detection rate while maintaining high detection sensitivity. Scheme performance was then evaluated with the test set, and the results were compared with a global rule-based system that was optimized without the adaptive method.

RESULTS

In this preliminary study, a relatively simple adaptive scheme reduced false-positive mass detections compared with the nonadaptive scheme from 0.85 to 0.53 per image. At the same time sensitivity was not significantly changed.

CONCLUSION

This adaptive CAD scheme has distinct advantages in improving CAD scheme performance as long as the training database includes a large number of cases in each image difficulty group with a variety of true-positive abnormalities.

Gamma delta T cell help of B cells is induced by repeated parasitic infection, in the absence of other T cells

BACKGROUND

gamma delta T cells, like alpha beta T cells, are components of all well-studied vertebrate immune systems. Yet, the contribution of gamma delta T cells to immune responses is poorly characterized. In particular, it has not been resolved whether gamma delta cells, independent of any other T cells, can help B cells produce immunoglobulin and form germinal centers, anatomical foci of specialized T cell-B cell collaboration.

RESULTS

TCR beta-/- mice, which lack all T cells except gamma delta T cells, routinely displayed higher levels of antibody than fully T cell-deficient mice. Repeated parasitic infection of TCR beta-/- mice, but not of T cell-deficient mice, increased antibody levels and induced germinal centers that contained B cells and monoclonal gamma delta cells in close juxtaposition. However, antibody specificities were more commonly against self than against the challenging pathogen. gamma delta T cell-B cell help was not induced by repeated inoculation of TCR beta-/- mice with mycobacterial antigens.

CONCLUSIONS

In the absence of any other T cells, gamma delta T cell-B cell collaboration can be significantly enhanced by repeated infection. However, the lack of obvious enrichment for antibodies against the challenging pathogen distinguishes gamma delta T cell help from alpha beta T cell help induced under analogous circumstances. The increased production of generalized antibodies may be particularly relevant to the development of autoimmunity, which commonly occurs in patients suffering from alpha beta T cell deficiencies, such as AIDS.

Long-term survival of solid organ allografts by brief anti-lymphocyte function-associated antigen-1 monoclonal antibody monotherapy

Strategies targeting lymphocyte function-associated antigen-1 (LFA-1, CD11a/CD18) and intercellular adhesion molecule-1 (ICAM-1) have previously been shown to produce long-term survival of solid organ allografts in animals only when both CD11a and ICAM-1 are targeted for a brief (6-7 days) time or when extended (14 weeks) treatment with anti-CD11a monoclonal antibody (mAb) is administered. We show that recipient pretreatment followed by a brief (13 days) treatment course with high-dose anti-CD11a mAb alone produces long-term survival of cardiac allografts in the rigorous, nonprimarily vascularized heart allograft model in mice. This treatment regimen induces specific unresponsiveness in our model. In recipients bearing long-term beating cardiac grafts after treatment with anti-CD11a mAb, there still exists a high frequency of potentially antigen-reactive T cells in isolated peripheral blood lymphocyte fractions. Therefore, clonal deletion does not appear to explain the induction of specific unresponsiveness by treatment with anti-CD11a mAb in this model. These findings support the further investigation of the use of high-dose anti-LFA-1 mAb monotherapy in the pre- and early postoperative period to promote solid organ allograft survival.

Robustness of computerized identification of masses in digitized mammograms. A preliminary assessment

RATIONALE AND OBJECTIVES

The authors assess the robustness of a computer-aided diagnosis (CAD) scheme with five rule-based stages to identify regions suspicious for mass in digitized mammograms.

METHODS

With a database of 428 mammograms, 234 of which had not been analyzed by this scheme before, the authors evaluated the performance robustness of their CAD scheme. The following four issues were investigated to assess the variability of the scheme's performance due to: (1) the maximum permissible number of "masses" detected at each stage; (2) exclusion of selected individual rule-based stages; (3) added image noise; and (4) repeated digitizations of the same image.

RESULTS

Enabling the CAD scheme to select a maximum of two suspicious mass regions at any one stage increased sensitivity by as much as 4% (from 93% to 97%), but it increased the false-positive detection rate by as much as 1.2 per image (from 1.7 to 2.9). Eliminating any individual stage decreased sensitivity by as much as 6%, but this reduced the false-positive detection rate by as much as 0.4 per image (from 1.7 to 1.3). The addition of reasonable noise levels decreased sensitivity by as much as 4% without substantially affecting the false-positive detections. Repeated digitizations of selected images demonstrated a scheme sensitivity of 93% +/- 1.8% with more than a 90% overlap of the false-positive regions.

CONCLUSIONS

The results of this preliminary study clearly indicate that this scheme is reasonably robust to the variables investigated here.

T helper cells in murine germinal centers are antigen-specific emigrants that downregulate Thy-1

After immunization, activated splenic T cells proliferate in periarteriolar lymphoid sheaths (PALS) and subsequently migrate to the lymphoid follicle where they enter nascent germinal centers. Analysis of TCR V(D)J gene rearrangements indicates extensive emigration, frequently involving more than a single white pulp region. These migrants constitute a unique set of T helper cells that express antigen-specific alpha beta TCR, CD3, and CD4, but little or no Thy-1, a differentiation antigen present on the great majority of peripheral murine T lymphocytes. The origin of CD4+ Thy-1 follicular T cells appears to be the Thy+ population in the PALS, as both sets commonly share identical V(D)J rearrangements.

[Extraction of humic acid from drinking water in area with arsenosis in inner Mongolia and Taiwan and comparison of its spectrometry]

In order to study etiology of blackfoot disease in Taiwan and to explore whether it can occur in the area with arsenosis in Inner Mongolia in the future, chemical components of specimens of drinking water from Taiwan and Inner Mongolia were determined and compared with infrared (IR), ultra-violet (UV) spectrometry and fluorescence spectrometry. Humic acid was extracted from the water samples by XAD-7 ion-exchange resin and Sephadex G-25 gel filtration chromatography, respectively, yielding the same results. Studies showed arsenic and humic acid levels in water samples both from Taiwan and Inner Mongolia all were higher, and their fluorescence and UV-spectra were similar, except a small difference in their IR spectra. Their effects on environment are under further studies.

Germinal center formation, immunoglobulin class switching, and autoantibody production driven by "non alpha/beta" T cells

The production of class-switched antibodies, particularly immunoglobulin (Ig) G1 and IgE, occurs efficiently in T cell receptor (TCR) alpha-/- mice that are congenitally devoid of alpha/beta T cells. This finding runs counter to a wealth of data indicating that IgG1 and IgE synthesis are largely dependent on the collaboration between B and alpha/beta T cells. Furthermore, many of the antibodies synthesized in TCR alpha-/- mice are reactive to a similar spectrum of self-antigens as that targeted by autoantibodies characterizing human systemic lupus erythematosus (SLE). SLE, too, is most commonly regarded as an alpha/beta T cell-mediated condition. To distinguish whether the development of autoantibodies in TCR alpha-/- mice is due to an intrinsic de-regulation of B cells, or to a heretofore poorly characterized collaboration between B and "non-alpha/beta T" cells, the phenotype has been reconstituted by transfer of various populations of B and non-alpha/beta T cells including cloned gamma/delta T cells derived from TCR alpha-/- mice, to severe combined immunodeficient (SCID) mice. The results establish that the reproducible production of IgG1 (including autoantibodies) is a product of non-alpha/beta T cell help that can be provided by gamma/delta T cells. This type of B-T collaboration sustains the production of germinal centers, lymphoid follicles that ordinarily are anatomical signatures of alpha/beta T-B cell collaboration. Thus, non-alpha/beta T cell help may drive Ig synthesis and autoreactivity under various circumstances, especially in cases of alpha/beta T cell immunodeficiency.

Computerized identification of suspicious regions for masses in digitized mammograms

RATIONALE AND OBJECTIVES

A simple and effective computerized detection scheme was developed to identify suspicious mass regions in digitized mammograms.

METHODS

This method identifies a maximum of five suspicious mass regions per image and was tested with a database of 510 images, including 162 verified masses. It includes a series of five rule-based processes that select one region with each of the following characteristics: 1) a global minimum of optical density in a smoothed image; 2) a local minimum of optical density in the original image; 3) a local minimum of optical density in a filtered image; 4) a small "mass" of low contrast; and 5) a small "mass" of high contrast.

RESULTS

This multi-stage process achieved a sensitivity of 95% while limiting false-positive detection rates to below an average of two per image.

CONCLUSION

Because this method limits the initial number of suspicious mass regions while retaining high sensitivity, it may be applicable to clinically usable computer-aided diagnosis schemes.

Digital mammography: mixed feature neural network with spectral entropy decision for detection of microcalcifications

A computationally efficient mixed feature based neural network (MFNN) is proposed for the detection of microcalcification clusters (MCCs) in digitized mammograms. The MFNN employs features computed in both the spatial and spectral domain and uses spectral entropy as a decision parameter. Backpropagation with Kalman filtering (KF) is employed to allow more efficient network training as required for evaluation of different features, input images, and related error analysis. A previously reported, wavelet-based image-enhancement method is also employed to enhance microcalcification clusters for improved detection. The relative performance of the MFNN for both the raw and enhanced images is evaluated using a common image database of 30 digitized mammograms, with 20 images containing 21 biopsy proven MCCs and ten normal cases. The computed sensitivity (true positive (TP) detection rate) was 90.1% with an average low false positive (FP) detection of 0.71 MCCs/image for the enhanced images using a modified k-fold validation error estimation technique. The corresponding computed sensitivity for the raw images was reduced to 81.4% and with 0.59 FP's MCCs/image. A relative comparison to an earlier neural network (NN) design, using only spatially related features, suggests the importance of the addition of spectral domain features when the raw image data is analyzed.

[Effects of SL-probiotic preparation on the body weight and phagocytosis of white mice]

Effects of SL-probiotic preparation on the body weight and the phagocytic functions in white mice were studied. Bioassay of its toxicity showed SL-P was non-toxic. Body weight of the treated mice increased significantly as compared with that of controls 10 days after treatment with SL-probiotic preparation. Phagocytic activity, acid phosphatase activity, lysozyme activity of the peritoneal macrophages of the tested mice were enhanced significantly as compared with those of normal controls. The same results were obtained with respect to serum lysozyme activity. These observations showed that SL-probiotic preparation could activate macrophage function in mice and hence enhancement of non-specific immunity.

Computerized detection of masses from digitized mammograms: comparison of single-image segmentation and bilateral-image subtraction

RATIONALE AND OBJECTIVES

Two methods--single-image segmentation and bilateral-image subtraction--have been used commonly as the first stage in computer-aided detection (CAD) schemes to detect masses on digitized mammograms. In the current study, we investigated and compared the advantages and disadvantages of the two methods in achieving a high sensitivity for mass detection.

METHODS

Two CAD schemes were tested. One used Gaussian filtering based on single-image segmentation, and the other used bilateral-image subtraction based on left-right image pairs to identify suspicious mass regions. A clinical database that contained 152 verified mass cases was used to compare the two approaches.

RESULTS

The single-image segmentation method yielded 100% sensitivity and had a somewhat higher number of initial suspicious regions. The bilateral-image subtraction method missed several true-positive regions at the initial phase. Each approach achieved more than 90% sensitivity at a false-positive rate of approximately 0.8 per image.

CONCLUSION

Optimal initial image segmentation schemes may depend on the complete detection and classification method used. Single-image segmentation methods may perform comparably with bilateral-image segmentation schemes, and these techniques appear to be more versatile and easily adaptable to future clinical CAD applications.

In situ studies of the primary immune response to (4-hydroxy-3-nitrophenyl)acetyl. IV. Affinity-dependent, antigen-driven B cell apoptosis in germinal centers as a mechanism for maintaining self-tolerance

Germinal centers (GCs) are the sites of antigen-driven V(D)J gene hypermutation and selection necessary for the generation of high affinity memory B lymphocytes. Despite the antigen dependence of this reaction, injection of soluble antigen during an established primary immune response induces massive apoptotic death in GC B cells, but not in clonally related populations of nonfollicular B lymphoblasts and plasmacytes. Cell death in GCs occurs predominantly among light zone centrocytes, is antigen specific, and peaks within 4-8 h after injection. Antigen-induced programmed death does not involve cellular interactions mediated by CD40 ligand (CD40L) or Fas; disruption of GCs by antibody specific for CD40L was not driven by apoptosis and C57BL/6.lpr mice, though unable to express the Fas death trigger, remained fully susceptible to soluble antigen. Single injections of antigen did not significantly decrease GC numbers or average size, but repeated injections during an 18-h period resulted in fewer and substantially smaller GCs. As cell loss appeared most extensive in the light zone, decreased GC cellularity after prolonged exposure to soluble antigen implies that the Ig- centroblasts of the dark zone may require replenishment from light zone cells that have survived antigenic selection. GC cell death is avidity-dependent; oligovalent antigen induced relatively little apoptosis and GC B cells that survived long exposures to multivalent antigen expressed atypical VDJ rearrangements unlikely to encode high affinity antibody. Antigen-induced apoptotic death in GCs may represent a mechanism for the peripheral deletion of autoreactive B cell mutants much as the combinatorial repertoire of immature B lymphocytes is censored in the bone marrow.

Computerized detection of masses in digitized mammograms using single-image segmentation and a multilayer topographic feature analysis

RATIONALE AND OBJECTIVES

We developed and evaluated a computer-aided detection (CAD) scheme for masses in digitized mammograms.

METHODS

A multistep CAD scheme was developed and tested. The method uses a technique of single-image segmentation with Gaussian bandpass filtering to yield a high sensitivity for mass detection. A rule-based multilayer topographic feature analysis method is then used to classify suspected regions. A set of 260 cases, including 162 verified masses, was divided into two subsets; one set was used to set the rule-based classification and one was used to test the performance of the scheme.

RESULTS

In a preliminary clinical study, the implemented detection scheme yielded 98% sensitivity with a false-positive detection rate of less than one false-positive region per image.

CONCLUSION

Single-image segmentation methods seem to have high sensitivity in selecting true-positive mass regions in the first stage of a CAD scheme. A multilayer topographic image feature analysis method in the second stage of a CAD scheme has the potential to significantly reduce the false-positive detection rate.

Therapeutic potentiation of the immune system by costimulatory Schiff-base-forming drugs

Immune responses are orchestrated by CD4 T lymphocytes, which receive a cognitive signal when clonally distributed receptors are occupied by major histocompatibility complex (MHC) class II-bound peptides on antigen-presenting cells (APCs). The APCs provide costimulatory signals, through macromolecules such as CD80, that regulate outcomes in terms of T-cell activation or anergy. We have studied essential complementary chemical events in the form of Schiff base formation between carbonyls and amines that are constitutively expressed on presenting cell and T-cell surfaces and provide a new target for manipulation of immune responses. Here we show that small Schiff base-forming molecules can substitute for the physiological donor of carbonyl groups and provide a costimulatory signal to CD4 Th-cells through a mechanism that activates clofilium-sensitive K+ and Na+ transport. One such molecule, tucaresol, enhances CD4 Th-cell responses, selectively favouring a Th1-type profile of cytokine production. In vivo tucaresol potently enhances CD4 Th-cell priming and CD8 cytotoxic T-cell priming to viral antigens, and has substantial therapeutic activity in murine models of disease.

Computer-aided detection of clustered microcalcifications in digitized mammograms

RATIONALE AND OBJECTIVES

We investigated a computer-aided detection (CAD) scheme for clustered microcalcifications in digitized mammograms.

METHODS

A multistage CAD scheme was developed and tested. To increase sensitivity, the scheme uses a Gaussian band-pass filter and nonlinear threshold. A multistage local minimum searching routine and a multilayer topographic feature analysis are used to reduce the false-positive detection rate. One hundred ten digitized mammograms were used in this preliminary test, with 55 images containing one or two verified microcalcification clusters.

RESULTS

The CAD scheme achieved 100% sensitivity and had an average false-positive detection rate of 0.18 per image.

CONCLUSION

The CAD scheme performs as well as many published schemes and has some unique advantages to further improve detection sensitivity and specificity of future CAD schemes.