Indium leucocyte imaging in true pyrexia of unknown origin

A patient with pyrexia of unknown origin (PUO) was investigated for a focal infection using autologous indium-labelled leucocytes. Only one site of increased activity was observed; this was asymptomatic and subsequently proved to be an infected nasal sinus. This case highlights the necessity, in PUO investigations, of carrying out whole-body imaging rather than just investigating the areas with presenting symptoms.

Control of spontaneous and deoxycorticosterone-salt hypertension and polyuria by nitrendipine pellets

Weekly subcutaneous implantation of 25-mg nitrendipine pellets prevented onset of both spontaneous and deoxycorticosterone-salt hypertension in rats. Discontinuance of implantation led to reappearance of hypertension after about 2 weeks in the former and led to rising though still normotensive pressures after about 3 weeks in the latter. A new implant caused blood pressures in both to drop within a day or two to normotensive levels in the case of spontaneously hypertensive rats. Nitrendipine prevented cardiac hypertrophy in steroid hypertensive rats, but not in spontaneous hypertensives. A nitrendipine pellet given 1 day before or a 30 mg/kg injection given 1 h prior to the administration of a water, Na+, and K+ load, prevented the diabetes insipidus-like syndrome resulting from deoxycorticosterone-salt treatment, and lowered sodium but not potassium excretion. Nitrendipine did not affect steroid-induced hypernatremia and hypokalemia.

Decreased aldosterone receptor affinity in aortic cells from the Fischer 344 rat

The Fischer 344 rat strain represents a uniform population that is immune to salt induced hypertension and resistant to mineralocorticoid hypertension. We have compared aldosterone binding in aortic cells cultured from salt-resistant Fischer 344 rats to that from salt-sensitive Wistar-Kyoto controls for aldosterone binding. Aortic smooth muscle cells of both strains contain two classes of aldosterone binding sites: corticoid receptor I with high affinity and low capacity and corticoid receptor II with low affinity and high capacity. The corticoid receptor I of Fischer 344 rats has a significantly (P less than 0.001) lower affinity than that of age and sex-matched Wistar-Kyoto controls, but the binding capacity was the same. There was no difference between the strains in the affinity or binding capacity of corticoid receptor II. These results indicate that mineralocorticoid binding may be important in susceptibility and resistance to hypertension and support the contention that mineralocorticoids regulate blood pressure in part by direct action on vascular smooth muscle cells.

Immune response to porin in cattle immunized with whole cell, outer membrane, and outer membrane protein antigens of Brucella abortus combined with trehalose dimycolate and muramyl dipeptide adjuvants

The immune response of cattle to nonliving vaccines derived from Brucella abortus rough strain 45/20 was studied. Vaccines contained trehalose dimycolate and a derivative of muramyl dipeptide. N-acetylmuramyl-L-alpha-aminobutyryl-D-isoglutamine. A factorial experiment was designed to test the effects of type of antigen, quantity of antigen, and quantity of mineral oil on the immune response to porin. Muramyl dipeptide was kept constant at 5 mg per dose, and 1 part of trehalose dimycolate was incorporated for two parts of dry matter. Over a 10-week period, blastogenesis responses to porin were largest in cattle immunized with outer membranes; the highest antibody titers to the porin-lipopolysaccharide complex were achieved by immunization with detergent-extracted outer membrane proteins. There was no advantage in the use of 25, rather than 5, mg of any of the antigens, but antibody responses were improved by increasing the quantity of oil from 0.6 to 1.8 ml per dose. In other animals, blastogenesis and antibody responses were sustained at high levels longer than 3 months after two vaccinations with outer membrane proteins. Intradermal injection of porin evoked inflammatory reactions histologically consistent with delayed-type hypersensitivity. Cross-reactions in cases of delayed-type hypersensitivity occurred with porin derived from a smooth strain of B. abortus but were less extensive than in the blastogenesis test. The magnitude of the delayed-type hypersensitivity and blastogenesis responses induced by vaccination exceeded those observed after natural or experimental infections. No ill effects were observed after vaccination. These findings provide a basis for the use of trehalose dimycolate and muramyl dipeptide adjuvants in evaluating nonviable vaccines for bovine brucellosis.

Influenza surveillance in the Pacific Northwest 1976-1980

Between June 1976 and June 1980 active year-round surveillance for influenza was carried out in Seattle in order to establish an early warning system. This report compares yield by different community groups and age. Waves of influenza virus infection appearing in three successive springs were followed in each instance by epidemics with the same subtype virus(es) in the following winter. These included two co-circulating A/H3N2 variants (A/Victoria/75 and A/Texas/77) in spring 1977 and winter 1977-1978, A/H1N1 (A/USSR) in spring 1978 and H1N1 (A/Brazil) winter 1978-1979, and type B influenza in spring 1979 and winter 1979-1980. Despite intensive surveillance through the summer and fall, the first isolate was not obtained until early December each year. Young adults (18-30) were as good sources for influenza viruses as children (less than 18).

Prevention of spontaneous and glucocorticoid hypertension in rats by nisoldipine

The effect of daily treatment (sometimes interrupted) with the calcium blocker nisoldipine at two different dose levels, one double the other, on the development of spontaneous hypertension in the rat was evaluated. Both doses prevented development of the disorder during daily administration, but when treatment was stopped the same degree of hypertension as in controls quickly developed. Resumption of treatment caused blood pressure to fall to or towards normal again. The higher dose caused a more rapid and greater fall than the lower, and allowed a lesser pressor response when it was discontinued. The drug had no effect on growth, and the only consistent hematological effect was a slight thrombocytosis. Daily treatment at a single dose level slightly reduced normal blood pressure and prevented cortisone hypertension. Serum renin activity was unaffected by nisoldipine but was elevated by cortisone treatment: nisoldipine increased aldosterone levels, but not when cortisone was also given.

Structural, functional and hypertensive effects of 19-oxo-11-deoxycorticosterone acetate (19-oxo-DOCA) in the rat

Mononephrectomized rats were given 1% NaCl solution to drink; half of them received 1 mg/day of 19-oxo-11 deoxycorticosterone acetate (19-oxo-DOCA) in sesame oil subcutaneously and half received only the oil for a period of four weeks. The steroid had no effect upon saline intake, systolic blood pressure, growth or the size of adrenals, hearts or kidneys, although it did produce hypernatremia and hypokalemia. The discrepancy between a demonstrable mineralocorticoid effect without blood pressure elevation awaits elucidation.

Prevention of DOCA-salt hypertension with the calcium blocker nitrendipine

Mononephrectomized female rats on a high sodium intake developed hypertension, hypokalemia, enlarged hearts and kidneys and slight adrenal involution under deoxycorticosterone treatment. Simultaneous administration of nitrendipine (5 mg/kg twice daily) completely prevented hypertension and reduced but did not abolish cardiac enlargement. There was no effect of the calcium slow-channel inhibitor on kidney enlargement, adrenal atrophy or hypokalemia. The ability of the steroid to produce cardiomegaly in the absence of an elevated blood pressure to account for it, tends to confirm the suggestion of other investigators that the steroid may have that effect by a mechanism not involving blood pressure elevation.

Aldosterone binding sites in aortic cell cultures from spontaneously hypertensive rats

Spontaneously hypertensive rats and rats made hypertensive by deoxycorticosterone-salt treatment have in common increased Na+ and K+ permeability and transport in their aortic cells. These changes may be important factors in the development of the hypertensive state and may be mediated by mineralocorticoid binding to intracellular sites in the aorta. Therefore, we examined 3H-aldosterone binding in aortic cell cultures from spontaneously hypertensive rats and normotensive Wistar-Kyoto rats. Vascular corticoid binding sites in the two strains were compared by Scatchard analysis of Kd and Bmax, pH and temperature stability, and subcellular binding. By all of these criteria normotensive rats. These results indicate that the underlying genetic defect in spontaneous hypertension is not an intrinsic cellular defect which alters mineralocorticoid binding in the aorta.

Influenzavirus infections in Seattle families, 1975-1979. I. Study design, methods and the occurrence of infections by time and age

Intensive surveillance of Seattle, Washington, families with school-age children for influenzavirus infections during 1975-1979 encompassed 639 family- and 2732 person-seasons of observation, covering four influenzavirus epidemic seasons: type B (1975-1979), type A/H3N2 (1975-1976 and 1977-1978) and type A/H1N1 (1978-1979). Late spring "herald" waves of infection occurred in 1977 (A/H3N2), 1978 (A/H1N1) and 1979 (type B), the latter presaging an epidemic in 1979-1980. Out-of-season infections, recognized by serology only, included type B and A/H3N2 viruses in each summer and A/H1N1 virus in 1978. In epidemic seasons, infection rates were highest in children aged 5-9 years (A/H3N2) or in teenagers (A/H1N1 and type B). A/H1N1 virus caused the sharpest epidemic, with 31% of the population (but only 2% of adults) infected and 72% of households invaded in 1978-1979. These compare with infection rates of 17-24% overall and 6-13% of adults and the invasion of 38-53% of households observed in the type B and two A/H3N2 epidemics. Extended observation (largely serologic) of a cohort of 1965-1969 Virus Watch families for up to 14 years (including one three-year gap) indicated overall infection rates of 13.7 and 16.4 per 100 person-years with types B and A/H3N2 viruses, respectively, and rates of first and second reinfections of about 3 and 1 per 100 person-years, respectively, with each virus. Close surveillance in 1975-1979 revealed second family episodes of infection with each prevalent virus, 37 with A/H3N2, 15 with type B and 13 with A/H1N1 virus. Risk of infection in these episodes was related more to current hemagglutination-inhibiting titers than to experience (infected or not) in the initial episodes, with 67-100% reinfection when titers were low. Among younger (less than 20 years old) members, related illness was as frequent with reinfection as with initial infection.

Electronic probe measurements of cervico-vaginal mucus for detection of ovulation in dairy cows: sanitation, clinical observations and microflora

An electronic vaginal probe with a sanitizing carrier unit has been designed to measure changes in the electrical resistance of cervico-vaginal mucus in the cow. Over 400 cows and heifers have been probed during the period prior to breeding. When 33 heifers and cows were probed 2-3X per day for 30 days, mild irritation of the vaginal mucosa developed during the luteal phase. In all other studies no grossly detectable lesions or other complications resulting from probing were observed either in experimental herds or in farmer herds where breeding tests were conducted. Fertility of probed cows was equal to cows inseminated when estrus was detected visually. Weekly culture of microorganisms from cervico-vaginal mucus collected from three cows probed 3X per week for 22 days resulted in no detectable change in the population of microorganisms. The number of isolates each successive week was 11, 8, 8 and 5, respectively. The sanitary procedures followed appeared to prevent introduction of organisms of any consequence, as judged by the decreasing number of isolates during the probing sequence.

Mycoplasma bovigenitalium in the upper genital tract of bulls: spontaneous and induced infections

Mycoplasma bovigenitalium, was isolated from vesicular gland secretions of a large proportion of clinically normal pubescent bulls. Infections established at this site in 1 to 2 year old bulls sometimes persisted for over a year, induced a local immune response, and were associated in some animals with unacceptably low motility of sperm following freezing of semen for artificial insemination. Inoculation of as few as 1000 cfu directly into the vesicular gland sufficed to establish infection but the naturally occurring syndrome could not be successfully reproduced by this method. Intratracheal injection of the organism produced infection of the upper genital tract in one of two bulls. The ELISA test was more sensitive than the IHA test in detection of antibodies to M. bovigenitalium in serum or vesicular secretions, but its usefulness was limited by extensive cross reactions with other Mycoplasma species.

Influence of dosage, consciousness, and nifedipine on the acute pressor response to intraperitoneally administered cadmium

The acute pressor effect of intraperitoneally administered cadmium was explored over the dose range 0.015-2 mg/kg in both pentobarbital-anesthetized and conscious rats. The former first respondent at 0.031 mg/kg, and successive doublings of that dosage increased the highest pressures attained in a stepwise fashion until a dosage of 0.25 mg/kg, the maximally effective quantity, was reached. Arterial pressure did not rise in conscious rats until a dose of 1 mg/kg, which gave the maximum response within the range examined. Heart-rate changes with Cd were slight, and rarely significant at a given dosage, but pentobarbital invariably caused tachycardia. Anesthetized rats thus gave a graded response, while conscious animals reacted in an all-or-none fashion. The increased pressor responsiveness of rats under pentobarbital can not be ascribed to its cardiac parasympatholytic effects, since sensitivity was not conferred upon conscious rats when pretreated with atropine at a dose producing even greater tachycardia than that caused by pentobarbital. Nifedipine, which blocks calcium entry into smooth muscle cells, prevented the pressor response to cadmium when given as pretreatment and terminated an ongoing response when give intercurrently. Possible mechanisms to account for the observed behavior are considered.

Similarities and differences between effects of testosterone and 19-nortestosterone in rats, with particular reference to hypertensogenic potency

Both 19-nordeoxycorticosterone and 19-norprogesterone are potent hypertensogens. This particularly interesting in the latter case, since the parent steroid is antimineralocorticoid and antihypertensive. The present experiment compared the ability of testosterone and 19-nortestosterone to cause hypertension in rats. Both steriods caused adrenal atrophy, nephromegaly, relative hypoproteinemia and increased hematocrit, but only testosterone provoked saline polydipsia, hypernatremia, hypertension, cardiomegaly and vascular lesions. It is evident that demethylation of testosterone at C10 completely destroys any effect on sodium metabolism or blood pressure, but leaves certain other pathophysiologic responses, including extreme adrenal atrophy, unimpaired. The hypertensogenic effect of testosterone has been attributed to its inhibitory effect on adrenal structure and function, the latter characterized by an induced enzymatic defect leading to increased secretion of deoxycorticosterone. This raises the intriguing question of whether, despite the comparable involution of the adrenal cortex, there are significant differences in adrenocortical enzymatic changes initiated by the respective androgens, which could account for their quiet different blood pressure effects.

An immunocytochemical study of the cytogenesis of pancreatic endocrine cells in the lizard, Anolis carolinensis

The differentiation of the pancreatic endocrine cells in the lizard Anolis carolinensis following oviposition was examined. Immediately postoviposition (PO) there was no apparent differentiation of epithelioid cells into endocrine or exocrine components. Individual subpopulations of the endocrine-like cells, which could not be identified during the early PO period on the basis of either their tinctorial properties at the light-microscopic level or their granule morphologies at the electron-microscopic level, exhibited specific hormonal localization by peroxidase-antiperoxidase complex immunocytochemistry. All four hormones searched for, insulin, glucagon, somatostatin, and pancreatic polypeptide (PP), were present in epithelioid cells shortly after oviposition. However, the immunostained secretory granules in the early PO period were smaller than those of the adult. Secretory granule morphologies that are typical of the adult were acquired at different times during development. Delta granules were observed first and were followed by alpha granules, and beta granules which appeared shortly before birth. The secretory granules of the PP-containing F cells could not be readily placed within this maturation sequence. Mosaic cells (containing more than one hormone) were not seen. Levels of immunoreactive insulin and glucagon in the pancreas increased several fold from day 10 to day 28 PO, but the attainment of adult beta-granule morphologies did not appear to be directly related to insulin itself. The results show that cytodifferentiation of the anolian endocrine pancreas occurs postoviposition and that immunocytochemical methods can be used to follow an organelle sequence during development. These findings suggest that subcellular organelles undergo structural remodeling during maturation which, at least in the case of secretory granules, may have functional significance.

Inhibition of DOC-salt and adrenal-regeneration hypertension with the calcium blocker nifedipine

When nifedipine was given to rats at a dosage of 0.3 mg/kg, the blood pressure fell and heart rates rose slightly in normotensive controls, but both changes were more marked in rats with DOC-salt hypertension, the magnitude of the drop in mm Hg being progressively greater as hypertension evolved. Tachycardia also tended to increase, but became somewhat erratic once hypertension was established. Both changes were relatively constant and equivalent when expressed as a percentage of the initial value. Nifedipine given by minipump at a dosage of 8 mg/ml proved able to prevent or modulate, adrenal-regeneration hypertension, but not DOC-salt hypertension. However, in the latter, when the pumps were discontinued and a 1 mg/kg/day injection schedule was substituted, blood pressure fell in nifedipine-treated and rose in untreated rats. The latter dosage had a greater effect on blood pressure and heart rate of normotensive rats than 0.3 mg/kg.

Mineralocorticoid and hypertensive effects of 19-nor-progesterone

The mineralocorticoid potency of 19-nor-progesterone was evaluated by both its effect on electrolyte excretion in adrenalectomized animals and its ability to cause hypertension and electrolyte changes in mononephrectomized, salt-loaded rats. The mineralocorticoid activity, measured using an adrenalectomized rat bioassay, indicated that 19-nor-progesterone was 2.5% as potent as aldosterone but did not antagonize the effect of aldosterone when both were administered. In mononephrectomized rats, the daily administration of 1 mg/day quickly caused an enhanced consumption of 1% saline and induced severe hypertension within 3-4 weeks. Some severely hypertensive animals had marked anemia, but other did not; as a group they were found to have hypernatremia and hypokalemia. Hypertensive animals were found during life to display a relative hypothermia and, at necropsy, to have heart and kidney enlargement with severe and extensive vascular lesions in both organs, but not adrenal hypertrophy. It is concluded that 19-nor-progesterone has the characteristics of a potent mineralocorticoid and, as such, is capable of causing hypertension. It is not yet clear why this should be accompanied by hypothermia.

Four hormones in the pancreas of the lizard, Anolis carolinensis

The electron microscopic localization of insulin, glucagon, somatostatin, and pancreatic polypeptide (PP) in the pancreas of the iguanid lizard, Anolis carolinensis was studied by the unlabeled antibody peroxidase-antiperoxidase immunocytochemical technique. Insulin, glucagon, and somatostatin were localized absolutely to those cells previously identified on the basis of the characteristics of their secretory granules as being beta cells, alpha cells, and D cells, respectively. The secretory granule cores of the PP-containing cells appeared to be ellipsoidal with a semi-major axis of 450 nm and a semi-minor axis of 365 nm. This previously unidentified cell type is named the F cell, in keeping with the localization of PP to the original F cell of the canine pancreas. Without immunocytochemical staining, the qualitative ultrastructural characteristics of the F cell secretory granules were inadequate to permit identification of the F cell, especially with regard to the D cell.