Perceptual and semantic sources of category-specific effects: event-related potentials during picture and word categorization

In two experiments the effect of object category on event-related potentials (ERPs) was assessed while subjects performed superordinate categorizations with pictures and words referring to objects from natural (e.g., animal) and artifactual (e.g., tool) categories. First, a category probe was shown that was presented as name in Experiment 1 and as picture in Experiment 2. Thereafter, the target stimulus was displayed. In both experiments, analyses of the ERPs to the targets revealed effects of category at about 160 msec after target onset in the pictorial modality, which can be attributed to category-specific differences in perceptual processing. Later, between about 300-500 msec, natural and artifactual categories elicited similar ERP effects across target and category modalities. These findings suggest that perceptual as well as semantic sources contribute to category-specific effects. They support the view that semantic knowledge associated with different categories is represented in multiple subsystems that are similarly accessed by pictures and words.

[Significance of hydrostatic valves in therapy of chronic hydrocephalus]

Earlier design changes in hydrocephalus valves focusing on reducing overdrainage failed. Since the middle of the 1990s, hydrostatic valve constructions have been available which are claimed to solve this problem. The objective of this study was to evaluate the efficiency of these constructions. Clinical status and ventricular size were evaluated in 45 patients with chronic hydrocephalus before and 1, 6, and 26 weeks after operation. In 35 of these, a Miethke dual-switch valve was implanted (treatment group 1), and the others received a combination of a programmable Codman-Hakim valve and a Miethke shunt assistant as the hydrostatic element of the configuration (treatment group 2). A third group (n = 6) had already been shunted but suffered from overdrainage symptoms which could not be overcome by conservative measures. In these cases, the only operative treatment was the implantation of a Miethke shunt assistant adjunctively to the existing valve. In groups 1 and 2, there was a significant permanent improvement in the clinical state in nearly 80% of cases and a moderate permanent improvement in about 10%. Mild clinical and radiological signs of overdrainage occurred in three patients during the first postoperative week but resolved without further operative measures within the next 5 weeks. Typically, the ventricular width was not or only marginally reduced in these 45 patients. In the patients treated for symptoms of overdrainage (group 3), complaints resolved within the first week after implantation of the shunt assistant. The study indicates that gravitational shunts may be very effective in preventing overdrainage in chronic hydrocephalus, and therefore these constructions could represent the gold standard in the treatment of chronic hydrocephalus.

Structural basis for substrate specificity differences of horse liver alcohol dehydrogenase isozymes

A structure determination in combination with a kinetic study of the steroid converting isozyme of horse liver alcohol dehydrogenase, SS-ADH, is presented. Kinetic parameters for the substrates, 5beta-androstane-3beta,17beta-ol, 5beta-androstane-17beta-ol-3-one, ethanol, and various secondary alcohols and the corresponding ketones are compared for the SS- and EE-isozymes which differ by nine amino acid substitutions and one deletion. Differences in substrate specificity and stereoselectivity are explained on the basis of individual kinetic rate constants for the underlying ordered bi-bi mechanism. SS-ADH was crystallized in complex with 3alpha,7alpha,12alpha-trihydroxy-5beta-cholan -24-acid (cholic acid) and NAD(+), but microspectrophotometric analysis of single crystals proved it to be a mixed complex containing 60-70% NAD(+) and 30-40% NADH. The crystals belong to the space group P2(1) with cell dimensions a = 55.0 A, b = 73.2 A, c = 92.5 A, and beta = 102.5 degrees. A 98% complete data set to 1.54-A resolution was collected at 100 K using synchrotron radiation. The structure was solved by the molecular replacement method utilizing EE-ADH as the search model. The major structural difference between the isozymes is a widening of the substrate channel. The largest shifts in C(alpha) carbon positions (about 5 A) are observed in the loop region, in which a deletion of Asp115 is found in the SS isozyme. SS-ADH easily accommodates cholic acid, whereas steroid substrates of similar bulkiness would not fit into the EE-ADH substrate site. In the ternary complex with NAD(+)/NADH, we find that the carboxyl group of cholic acid ligates to the active site zinc ion, which probably contributes to the strong binding in the ternary NAD(+) complex.

Identification of somatosensory pathways by focal-cooling-induced changes of somatosensory evoked potentials and EEG-activity--an experimental study

OBJECT

Function-preserving neurosurgery requires methods to identify functionally important CNS-areas intraoperatively. We investigated whether a combination of focal cerebro-cortical cooling and monitoring of somatosensory evoked potentials (SEP) is suited for this task, i.e. whether it is able to outline structures belonging to the somatosensory pathway.

METHODS

In 17 Wistar rats the somatosensory cortex was focally cooled by 20 degrees C below the initial tissue temperature for periods of five minutes. A cryoprobe with a tip diameter of 3 mm was used and tissue temperatures were measured below and at different distances to the cryoprobe. Tibial nerve evoked SEPs and EEG-spectra were recorded continuously.

RESULTS

During cortical cooling the SEP-responses showed a marked delay and amplitude increase of the cortically generated components P13 and N18 and a small latency increase of the subcortically generated wave III. EEG-spectra were depressed mainly in the low frequency range. All cooling effects were reversible and in light- as well as electron-microscopic examinations no tissue damage was found.

CONCLUSIONS

Focal cooling of the cortex induces easily recognizable and reversible changes of the bio-electrical activity without causing any histological damage. Therefore the method seems suitable for identifying eloquent areas. It can be expected that clinical application of the cooling technique in combination with intraoperative electrophysiological monitoring will be helpful to further lower the risk of neurosurgical operations. We propose that cooling mainly interferes with the synaptic transmission within the somatosensory cortex, because the observed amplitude increase can be explained by cold-induced depression of inhibitory cortical activity (disinhibition).

Time course of conscious and unconscious semantic brain activation

Event-related brain potentials (ERPs) were used to investigate the neurophysiological correlates of conscious and unconscious semantic processing. Masked words, which do not enter consciousness, as well as visible words, were shown to modulate the N400 ERP potential to subsequently presented, meaningfully related target words. The N400 is known as an electrophysiological index of semantic processing. However, for unconsciously perceived words semantic brain activation decays fast within 200 ms, but increases with time for consciously perceived words. Thus, conscious and unconscious semantic activation involves similar brain areas, but both forms of processes exhibit distinct, qualitatively different time courses.

The dynamic infusion test in rats

Although the hydrocephalic H-Tx rat is a widely used model, data on the cerebrospinal fluid (CSF) dynamics in hydrocephalic rats are rare or - as the pressure volume index (PVI) - not available. We used hydrocephalic and nonhydrocephalic H-Tx rats, a stock with a high percentage of inherited hydrocephalus, for the evaluation of such data. In addition, a new, simple mathematical algorithm ("dynamic infusion test"), which has not formerly been used in animal experiments, was used as a pathophysiological model of CSF dynamics. Compared with classical methods for evaluation of these data, the dynamic infusion test gives a deeper insight into the relation between ICP and CSF dynamics. It was found that the resistance to outflow (ROF) in hydrocephalic rats was at least twice that in nonhydrocephalic rats. The PVI measured was similar in hydrocephalic and nonhydrocephalic animals, but clearly higher than the values reported in the literature. This may be attributable to the fact that the classically used bolus test, in contrast to the "dynamic infusion test", is representative only for the CSF compartment which is directly exposed to the bolus application.

Transient kinetics of ligand binding and role of the C-terminus in the dUTPase from equine infectious anemia virus

Transient kinetics of the equine infectious anemia virus deoxyuridine 5'-triphosphate nucleotide hydrolase were characterized by monitoring the fluorescence of the protein. Rate constants for the association and dissociation of substrate and inhibitors were determined and found to be consistent with a one-step mechanism for substrate binding. A C-terminal part of the enzyme presumed to be flexible was removed by limited trypsinolysis. As a result, the activity of the dUTPase was completely quenched, but the rate constants and fluorescent signal of the truncated enzyme were affected only to a minor degree. We conclude that the flexible C-terminus is not a prerequisite for substrate binding, but indispensable for catalysis.

Kinetic and spectroscopic characterization of native and metal-substituted beta-lactamase from Aeromonas hydrophila AE036

Two metal ion binding sites are conserved in metallo-beta-lactamase from Aeromonas hydrophila. The ligands of a first zinc ion bound with picomolar dissociation constant were identified by EXAFS spectroscopy as one Cys, two His and one additional N/O donor. Sulfur-to-metal charge transfer bands are observed for all mono- and di-metal species substituted with Cu(II) or Co(II) due to ligation of the single conserved cysteine residue. Binding of a second metal ion results in non-competitive inhibition which might be explained by an alternative kinetic mechanism. A possible partition of metal ions between the two binding sites is discussed.

Health complaints related to pesticide stored at a public health clinic

Employees at a health center in Georgia were concerned that symptoms experienced by some employees were related to pesticide exposure at the center. Malathion and DDT, used for mosquito control from 1969 to 1981, had been stored and handled at the center's first floor. We surveyed 117 (91%) of 129 employees to determine whether reported symptoms were associated with pesticide exposure. We performed environmental sampling for pesticides. We analyzed serum samples for 17 chlorinated pesticides, and urine samples for malathion. We found that 37% of the participants had reported a diagnosis of sinusitis and 24% of bronchitis since working at the health center. Frequently reported symptoms were eye irritation (44%) and headache (68%). DDT and malathion were found at levels of 2.4 and 11%, respectively, in bulk samples from the loading dock of the building. Multivariate analysis of responses to the questionnaire showed that the perception of odors, inadequate air flow, and length of employment were significantly associated with the employees' health complaints. Pesticide concentrations in employees' serum and urine samples were not associated with any health complaint. The health complaints reported by the employees at the health center were precipitated by both environmental and psychological factors. The epidemiology and laboratory components of this study highlight the importance of obtaining biological measurements in episodes of perceived environmental exposure.

Executive control is disturbed in schizophrenia: evidence from event-related potentials in a Go/NoGo task

BACKGROUND

Schizophrenic patients suffer from cognitive and attentional deficits, particularly from failure of executive control functions.

METHODS

This study investigated the cortical organization of executive control in schizophrenic patients and healthy control subjects using event-related potentials (ERPs). Event-related potentials were collected while subjects performed an auditory Go/NoGo task that required response inhibition. To exclude stimulus discriminability and early stimulus processing to confound results, stimuli were adjusted to the subject's individual discrimination ability and were presented in a simple and a difficult version.

RESULTS

Schizophrenic patients performed similar to control subjects in the Go condition but worse than control subjects in the NoGo condition that required response inhibition. Event-related potentials revealed the neurophysiological substrate of this dysfunction. In the Go conditions, both healthy control subjects and schizophrenic patients showed the same voltage pattern. In the NoGo condition, control subjects and patients showed similar cortical activation only during early processing (N2 time window). However, in later stages of processing (P3 time window), healthy subjects showed left lateralization of ERPs over frontal areas while schizophrenic patients did not.

CONCLUSIONS

We conclude that schizophrenic patients exhibit deficient processing in a neuronal network, including left frontal areas, that is involved in later stages of executive control function.

Electrophysiological correlates of direct versus indirect semantic priming in normal volunteers

The N400 component of event related potentials (ERP) was studied in 27 right-handed healthy subjects in a speeded lexical decision task. The semantic distance between primes (always words) and targets (50% words, 50% non-words) was systematically varied. Prime-target relations included directly related words (hen-egg), indirectly related words (lemon-sweet), and non-related words (sofa-wing). ERPs were recorded from 20 scalp electrodes positioned according to the international 10-20 system. The N400 reflected semantic distance with the most negative and latest N400 peak in the non-related condition, the least negative and earliest N400 peak in the direct condition and the peak in the indirect condition in-between. Hence, N400 priming effect in the indirect condition was obtained in the absence of strong sentential constraints and even though the mediating word was physically not present.

Tracking the time course of object categorization using event-related potentials

Object categorization processes were investigated by measuring event-related potentials while subjects categorized objects at the superordinate (e.g. animal), basic (e.g. dog) and subordinate (e.g. beagle) levels of abstraction. An enhanced negative deflection (N1) was found at posterior recording sites for subordinate level categorizations compared with basic level categorizations and was interpreted as a marker of increased visual analysis. In contrast, superordinate level categorizations produced a larger frontal negativity relative to basic level categorizations and were interpreted as an indicator of increased semantic processing. These results suggest a neurophysiological basis for the separate cognitive processes responsible for subordinate and superordinate object categorizations.

Exposures to lead-based paint dust in an inner-city high school

In response to concerns about lead-based paint (LBP) in an 85-year old high school, an evaluation was conducted to determine whether a lead exposure hazard existed for adult school staff. Deteriorating LBP was present on walls and ceilings throughout the school. At the time of the evaluation, abatement of LBP had been completed in approximately one-third of the school. One-hundred eighteen wipe samples for lead dust were collected from floors, teachers' desks, and interior window sills. Areas selected for sampling were based on the work location of the 45 participants providing blood for lead analysis. Wipe samples from hands were collected from all participants. The geometric means (GMs) for lead dust loadings on sills in unabated rooms (n = 23) and abated rooms (n = 16) were 342 and 102 micrograms/ft2, respectively. Nine sills in unabated rooms and one sill in an abated room exceeded the Housing and Urban Development (HUD) guidelines (500 micrograms/ft2 lead) for residential housing following abatement activity. GMs for lead loadings on floors in unabated rooms (n = 26) and abated rooms (n = 14) were 136 and 70 micrograms/ft2 lead, respectively. Seventeen floor samples from unabated rooms and 3 samples from abated rooms exceeded HUD guidelines (100 micrograms/ft2 lead). The GM blood lead level (BLL) was 2.2 micrograms/dL (range: 0.6-5.6 micrograms/dL), similar to that of the general U.S. population. Despite peeling LBP and significant lead dust loadings, a hazard from LBP was not found for staff at the school. There were no relationships between surface lead and hand lead, BLL and abatement status of assigned work area, or BLL and hand lead.

Right hemisphere activation during indirect semantic priming: evidence from event-related potentials

Healthy subjects performed a lexical decision task in a semantic priming paradigm while event-related potentials (ERPs) were recorded from 64 channels. Semantic distance between prime and target was varied by including directly, indirectly, and nonrelated word pairs. At centro-parietal electrodes an N400 to nonrelated pairs was elicited bilaterally which was sensitive only to direct, but not to indirect semantic priming. These N400 priming effects were mirrored by the RT data. At inferior fronto-temporal sites directly related words showed ERP priming effects over both hemispheres. However, indirectly related words only elicited ERP priming effects over the right hemisphere. These results support the hypothesis that the right hemisphere semantic system is involved in processing of remote semantic information.

The ependyma in chronic hydrocephalus

H-Tx rats produce congenitally hydrocephalic offspring with varying severity of the condition. We used moderately hydrocephalic rats without evident clinical signs of hydrocephalus and normal controls from the same stock when they were at least 1.5 years old. Macroscopic anatomy was studied by MRI and in fixed brain slices and the ultrastructure of the ependyma, with REM. Apart from markedly stretched areas, where the ependyma was totally destroyed and subependymal structures directly exposed to the CSF, the density of ependymal microvilli and of tufts of cilia was reduced in proportion to the ventricular distension of a given area. A supraependymal "network"--never seen before in acute hydrocephalus--was found, whose purpose is probably to prevent further ventricular enlargement. We conclude that even in arrested hydrocephalus the ependymal sequelae of hydrocephalus are similar to those of the acute stage, illustrating the extremely limited potential for recovery, but the organism seems nevertheless to react with an internal stabilization of the ventricular system.

The time course of brain activations during response inhibition: evidence from event-related potentials in a go/no go task

The cortical organization of executive control was investigated using event-related potentials (ERPs). ERPs were collected while subjects performed a go/no go task that required response inhibition. First, around 260 ms after stimulus onset, an effect of response inhibition on ERPs was observed over inferior prefrontal areas. Generators in these regions were confirmed by source analysis. Later, between 300-600 ms after stimulus onset, a left lateralized fronto-central ERP effect was found which differed in topography from a non-specific effect of task difficulty. Source analysis indicated that generators in anterior cingulate and left premotor areas also contributed to this effect. Orchestrated activation of prefrontal areas and the anterior cingulate subserves executive function whereas relatively late activity of the left premotor cortex is involved in motor control.

[Possibilities and limits of automatic detection of pathologic intracranial pressure waves with FFT]

Owing to the existence of "reserve spaces" varying individually in extent and expressed by the term compliance, space-consumption intracranial processes do not raise the intracranial pressure (ICP) primarily. Only when this compliance has been exhausted may ICP rise dramatically and may rapidly reach dangerously high levels. It has been shown in the past that "anticipatory" initiation of ICP-reducing measures--i.e. very early in the development of increasing mean ICP--may greatly benefit patient outcome. To recognize an imminent ICP crisis, the available compliance needs to be known. The classical method for determining this latter is the bolus test, which, however, has the disadvantage of being discontinuous and associated with the risk of infection. Another, less invasive and continuous, option is the recognition of pathological intracranial pressure waves. However, recognition of such patterns requires specialized knowledge, that is not widely available. Since, however, knowledge of the compliance is of general importance for intensive care, the idea of developing a PC-based automated system for the identification of pathological waves was followed up. During the course of our basic research effort, we investigated the suitability of the fast Fourier transformation (FFT) algorithm for this purpose. We were able to show that while the FFT is theoretically useful for the detection of pathological intracranial waves, its shortcomings in terms of its sensitivity to extraneous signals (noise) (of considerable importance for biological data handling) and errors in correctly estimating the amplitudes of pathological waves (of great importance for clinical evaluation) make FFT appear less than optimally suitable for this purpose.

Electrostatic effects in the kinetics of coenzyme binding to isozymes of alcohol dehydrogenase from horse liver

The kinetic mechanism for the binding of NAD+ and NADH to the EE and SS isozymes of alcohol dehydrogenase (LADH) was studied between pH 7 and pH 10 by monitoring the quenching of tryptophan fluorescence. A consistent interpretation of all data was only possible by introducing a two-step binding mechanism. The first binding step is related to docking of the adenosine part of the coenzymes and the subsequent isomerization to the binding of the nicotinamide part. At high NADH concentrations an additional slow isomerization was identified as a conformational transition of the protein. A pH dependence for NADH binding is observed which is restricted to changes in the binding kinetics of the adenosine moiety going from pH 7 to pH 10, a tendency which is similar also for NAD+. This is attributed to pH-dependent variations in electrostatic attractions acting as a steering force of the docking process. The nicotinamide docking of NADH is equally fast for both isozymes and pH-independent over the measured range, whereas this docking equilibrium for NAD+ is pH-dependent for EE- and SS-LADH alike and the rate of association comparable. Presumably, a GluEE-366-LysSS substitution results in a stronger binding and faster association of both oxidized and reduced cofactor to the SS isozyme. A structural proof is presented for coenzyme-competitive binding of a sulfate ion, resulting in electrostatic shielding.

1-Hydroxypyrene levels in coal-handling workers at a coke oven

An environmental and medical survey was conducted at the coal-handling area of a coke oven, where workers came in contact with coal-tar sludge. The purpose of the study was to determine if skin contact with coal-tar sludge was an important route of exposure to pyrene because workers were observed to have substantial contact with the sludge. Environmental monitoring revealed minimal airborne exposure to pyrene, a byproduct of the coke distillation process; only one personal breathing zone sample detected pyrene, and at least of 0.001 mg/m3. However, the mean preshift urinary 1-hydroxypyrene concentration was 1.00 mumol/mol creatinine (range, 0.16 to 2.96 mumol/mol creatinine) and the mean postshift level was 1.7 mumol/mol creatinine (range, 0.24 to 4.85 mumol/mol creatinine) (P < 0.01). These levels probably reflect absorption as a result of skin exposure.

[Incidence of postmyelography syndrome and postmyelography complaints after lumbar puncture with the Sprotte pencil-like needle in comparison with the Quincke needle]

PURPOSE

Myelography in combination with a postmyelography CT is an important presurgical examination because of its excellent visualisation of the disc, the bone and the contrast-filled dura. Side effects after myelography can be observed in up to 50% of patients. The pathophysiological mechanism is thought to be increased cerebrospinal fluid leakage at the puncture site. Since the introduction by Sprotte in 1979 of the pencil-point needle, a modification of Whitacre's needle, fewer complaints after lumbar puncture have been reported. The aim of the study was to examine the influence of two types of needle points and the temperature (37 degrees C vs 21 degrees C) of the contrast medium (CM; iotrolan, Isovist) on the incidence of side effects of lumbar puncture for myelography.

MATERIAL AND METHODS

In a prospective randomized trial the incidence of complaints after lumbar puncture with intrathecal CM application was evaluated by the use of a 21-G pencil-point needle as modified by Sprotte compared to our usual 22-G needle with a Quincke bevel. Some 412 patients (201 female, 211 male; mean age 54.05 +/- 7.4 years) were investigated. Directly after examination and 1. 3 and 5 days later the patients were questioned about complaints (headache, neck stiffness nausea, vomiting, buzzing in the ear and dizziness). The results were tested by the chi square test.

RESULTS

A significantly lower incidence of complaints was seen after lumbar puncture with the pencil-point needle/Quincke needle (headache: 6.3%/18.9%, P < 0.0001; headache lasting 3 days: 0.5%/7.8%, P < 0.0001; headache lasting 5 days: 0%/2.4%, P = 0.0305; nausea: 0%/4.9%, P = 0.0009; vomiting: 0%/3.4%, P = 0.0009; dizziness: 0%/3.4%, P = 0.0074; neck stiffness: 0%/3.4%, P = 0.0074). The temperature of the CM had no influence on the complaints. No influence was seen on the quality of the myelogram. No relation to sex and age was found.

CONCLUSION

Complaints after lumbar puncture and myelography are caused by the cerebrospinal fluid leakage at the puncture site. The incidence of side effects related to this leakage can be reduced by using a pencil-point needle. The temperature of the CM has no influence on the complaints.

Monitoring of exposure to benomyl in nursery workers

We compared urinary levels of the metabolite methyl-5-hydroxy-2-benzimidazole carbamate (5-HBC) among nursery workers exposed to the fungicide benomyl (specifically Benlate 50 DF [DuPont, Wilmington, DE]) and workers not exposed to benomyl. Environmental exposures were quantitated from gloves, body patches, and air samples collected with area and personal monitors. The median concentration of 5-HBC in the urine of benomyl-exposed workers was 23.8 mumol of 5-HBC per mole of creatinine. No 5-HBC was detected in the reference group. Industrial hygiene results and biological monitoring findings indicate that use of Benlate 50 DF in the ornamental industry can lead to absorption of the active ingredient, benomyl. Weighing, mixing, and application activities involved the highest exposures. Dermal contact appeared to be the primary route of exposure.

[Lumbar facet syndrome. Recommendation for staging before and after intra-articular injection treatment]

INTRODUCTION

Lumbar facet joint syndrome is normally based on spondylarthrosis. One of the most common methods of treating it is intra-articular injection of local anaesthetics and cortisone. In this prospective study our goal was to have an objective grading scale to assess the severity of lumbar facet syndrome before and after injection.

METHODS

Thirty-two patients were treated by CT-guided intra-articular injections of 0.3 ml bupivacaine and 0.8 ml methylprednisolone. Five different parameters were scored in each patient: (1) finger-ground distance; (2) Schober index (10 cm distance along lumbar spine, difference in cm after flexion of lumbar spine); (3) rotation of lumbar spine; (4) lumbago; (5) pseudoradicular pain. The last two parameters were evaluated by a visual analog score (VAS) with zero for no pain and 10 for worst possible pain. Each parameter was evaluated with one, two or three points. After adding the points, we graded the severity of lumbar facet joint syndrome.

RESULTS

Finger-ground distances improved statistically (P<0.05). Schober index and rotation of lumbar spine were not significant. VAS concerning lumbago and pseudoraducular pain were also statistically significant (P<0.001). Thirteen patients remained in the same grade, 18 patients improved by one grade and 1 patient by two grades.

DISCUSSION

The grading system presented for assessing lumbar facet joint syndrome is a good parameter to evaluate the severity of the disease and follow-up after injection of local anaesthetics and cortisone. Although they showed no statistical significance, Schober index and rotation of lumbar spine are necessary to evaluate facet syndrome.

Outbreak of brucellosis at a United States pork packing plant

In 1992, the North Carolina Department of Environment, Health, and Natural Resources received 18 case reports of brucellosis from a county health department. All patients had potential exposure to the kill floor of one pork processing plant. A subsequent National Institute for Occupational Safety and Health health hazard evaluation surveyed 154 (99%) of 156 kill floor workers of this plant and found that 30 (19%) had evidence of recent (or persistent) brucellosis. These data show that significant exposure to Brucella is occurring among packing plant workers in North Carolina and suggest that some of the approximately 38,000 production workers in pork processing plants in the United States are at risk of contracting swine brucellosis. Additional measures may need to be taken to prevent occupational exposure to Brucella.

Acute hydrocephalus as a late complication of hemispherectomy

Two cases of acute hydrocephalus 34 and 27 years after hemispherectomy are presented. Both were examined by intracranial pressure recordings and treated with shunting procedures. The recordings gave evidence of raised baseline values of intracranial pressure and showed pathological B-wave activity in over 80% of the recording time. The problem of free communication between the different compartments after hemispherectomy and different surgical approaches to solve the problem are discussed. Open surgery is not advocated.

[Environment and environmental medicine--an analysis of the population's need for advice]

Over a period of 6 months all inquiries related to environmental issues and environmental human health problems were recorded by the city administration (city phone, n = 71), the public health office (n = 123) and by pharmacies (n = 94). There was an institutional difference in the spectrum of the questions. Waste problems predominated at the city phone, questions related to nutrition at the pharmacies. More questions were raised by women, questioners were younger than the average population. The questions were based on own experience and on media reports to about the same extent. A relation to health complaints was presumed in 30% of the city phone calls, to about 50% at the pharmacies. Quality of the consultation was assessed by the advisors themselves.

Isolation from adult human serum of four insulin-like growth factor (IGF) binding proteins and molecular cloning of one of them that is increased by IGF I administration and in extrapancreatic tumor hypoglycemia

We have isolated four insulin-like growth factor binding proteins (IGFBPs) from adult human serum by insulin-like growth factor (IGF) I affinity chromatography and high performance liquid chromatography. A 36-kDa binding protein (BP), not digestible with N-glycanase, is increased in patients with extrapancreatic tumor hypoglycemia and during IGF I administration in healthy adults. Its 38 NH2-terminal amino acids are identical to those of an IGFBP sequence derived from a human cDNA that cross-hybridizes with the rat IGFBP-2 cDNA. With probes encoding a NH2-terminal, COOH-terminal, and a middle region of this protein we have obtained three cDNA clones from a Hep G2 cDNA library; one encodes human IGFBP-2, and the other two presumably represent unspliced heteronuclear and alternatively spliced mRNA, respectively. A 28-30-kDa IGFBP represents a novel BP species in human serum. Its 30 NH2-terminal amino acids are not homologous to IGFBP-1, -2, or -3. It is not digestible with N-glycanase and does not bind 125I-IGF I. The NH2-terminal sequences of a 42/45- and a 31-kDa IGFBP are identical to that of human IGFBP-3. The 42/45-kDa proteins are two glycosylation variants of BP-3. The 31-kDa protein presumably is a degradation product of BP-3 that lacks the COOH terminus. It is likely that the different IGFBPs modulate auto-/paracrine and endocrine effects of IGFs on growth and metabolism in a different and specific manner.

Primary structure of the putative human oncogene, pim-1

A full-length (6.1-kb) human genomic pim-1 gene, together with its immediate 5'-upstream promoter sequence (Ppim) was isolated and sequenced. The human pim-1 gene shares an overall nucleotide (nt) sequence identity of 53% with the previously reported murine pim-1 gene. It consists of six exons and five introns and contains a protein-coding region that is identical in nt sequence to a full-length human pim-1 cDNA. The gene codes for a predicted Pim-1 protein of 313 amino acids (aa) with an Mr of 35,690 and a pI of 5.7. The deduced aa sequence of the human Pim-1 has 94% identity with the murine Pim-1 whereas the nt sequences of the two genes are 88% identical. All of the conserved aa residues of the mouse pim-1 gene, which are homologous to known protein kinases are conserved in the predicted human protein. The human Ppim region is very G + C-rich (69%) and shares greater than 80% identity with the murine Ppim. The Ppim has no TATA- or CAAT-box sequences but does contain a number of nt sequences similar to the putative binding sites of several presumptive transcription factors.

Molecular, cellular, and functional properties of bone marrow T lymphocyte progenitor clones

The continuous proliferating bone marrow clones C4-77, C4-86, and C4-95 express low levels of Thy-1 and Ly-1 surface antigens, but no detectable surface antigens normally present on thymocytes, peripheral mature T lymphocytes, cells of the B lymphocyte or myeloid lineages. They contain the T cell antigen receptor genes alpha, beta, and the T cell-specific gene gamma in the germline configuration, and they express functional receptors for IL-3 and nonfunctional receptors for IL-2. The C4 clones are able to home and undergo differentiation in the thymus of sublethally irradiated mice and give rise in vivo to phenotypically and functionally mature peripheral T lymphocytes displaying several antigen specificities. In vitro 5-Azacytidine induces the C4 clones to express Lyt-2 and L3T4 T cell differentiation antigens, and renders them amenable to be switched from IL-3 to IL-2 dependence. However, the C4 clones seem incapable of giving rise to B lymphocytes either in vivo or in vitro. They self-renew in vitro in the presence of IL-3 every 12-14 h. We conclude that the C4 clones represent cells at the earliest stage of T cell development, i.e., Pro-T lymphocytes.

The context of T-cell receptor gamma chain genes among wild mouse species

We have examined the context of mouse T-cell receptor gamma (Tcr gamma) chain variable (V gamma) and constant (C gamma) genes among a panel of geographically isolated species of mice. Our Southern hybridization survey with C gamma reveals that essentially three C gamma genes are found among mouse species extending phylogenetically from inbred mice through the feral species Mus pahari. However, a V gamma DNA probe detects three to nine V gamma restriction fragment bands among the same group of mice. These results suggest that certain feral mice such as M. pahari, M. platythrix, and M. shortridgei have amplified numbers of V gamma genes. Studies of individual mice from these particular species indicate the highly amplified V gamma content is not the result of a catastrophic gene duplication or deletion event. We conclude that certain species of mice maintain increased content of V gamma presumably for increased diversity in a T-cell response.

Rearrangements of T cell receptor loci can be found only rarely in B lymphoid cells

We have studied the rearrangement status of the T cell receptor genes in 64 B lymphoid cell lines, and we found that, unlike the immunoglobulin heavy chain genes in T lymphocytes, T cell receptor beta and related gamma chain genes are almost always in germ-line configuration in B lymphoid cells. The only exception was a myeloma MOPC511 (IgA, chi) which contained all T cell receptor genes, beta 1, beta 2, gamma 1, gamma 2, gamma 3 and alpha, in rearranged configuration in both homologous chromosomes. This exception supports the concept that all immunoglobulin and T cell receptor genes exploit the same recombinase to build their complete variable regions. Obviously, in MOPC511 cells the regulation, which confers the tissue specificity i.e. T vs. B lymphocytes, has failed.

The lymphoproliferating cells of MRL-lpr/lpr mice are a polyclonal population that bear the T lymphocyte receptor for antigen

Mice bearing the recessive gene lpr develop an age-dependent, massive lymphoproliferation, primarily in the lymph nodes (LN), with associated autoimmunity. LN cells from these mice express T cell receptor protein on the cell surface at 50-70% of normal levels. Normal levels of T cell receptor alpha, beta and gamma mRNA were found in these cells as compared to normal LN cells. Southern blot analysis of MRL-lpr/lpr LN DNA showed rearrangements in 80-90% of the chromosomes at the beta gene loci. The pattern of rearrangement indicated that a polyclonal rather than monoclonal expansion of T cells occurred. These data support a lymphokine-induction model of lymphoproliferation in MRL-lpr mice.

Isolation of mouse N-CAM-related cDNA: detection and cloning using monoclonal antibodies

Clones coding for the mouse neural cell adhesion molecule (N-CAM) were isolated from a cDNA library prepared in the expression vector lambda gt 11 from mRNA extracted from a mouse neuroblastoma cell line. This library was screened with two anti-N-CAM monoclonal antibodies directed against different sites on the molecule and with rabbit anti-N-CAM serum. Two clones were identified with the first monoclonal antibody, three with the second one, none reacted with both. The relevance of these cDNA clones to N-CAM was confirmed by several observations. First, cDNA sequences detected with one monoclonal antibody cross-hybridized with those identified by the other antibody. Second, the different fusion proteins all bound the rabbit serum in addition to one monoclonal antibody. Finally, the probes hybridized to discrete mRNA species of sufficient lengths to code for the very large N-CAM polypeptides in RNA preparations from N-CAM-expressing, but not from N-CAM-negative cells. An additional mRNA species not seen in embryonic brain was expressed in adult mouse brain. Genomic blot experiments indicated that sequences corresponding to one of our probes are present only a few times in the mouse genome.

Ontogeny of the T-cell antigen receptor within the thymus

The expression of T-cell antigen receptors during T-cell ontogeny is an important issue that bears directly on such questions as where T-cell tolerance is acquired, at what stage T cells become susceptible to repertoire selection, and why most thymocytes die within the thymus. The thymus rudiment is colonized during days 11 and 12 of gestation, but it is not until day 19 that significant numbers of functional thymocytes are present. Although much is known about the ontogeny of function- and specificity-associated surface molecules such as Ly2 and MT4 (the murine equivalent of human T4) during this period, the ontogeny of the T-cell antigen receptors remains obscure. We have now addressed this question on three levels: DNA rearrangement, messenger RNA transcription and expression of cell-surface receptor-like proteins. Our results suggest that T-cell receptors are first expressed within the thymus around day 17 of gestation, independently of and probably before the expression of Ly2 and MT4. Furthermore, these data suggest that all major adult thymocyte subpopulations, including the small cortical cells, most of which die within the thymus, express receptors.

Transcriptional termination at the end of the early region of bacteriophages T3 and T7 is not affected by polarity suppressors

Bacterial mutations of known rho genotype (psu-1 through psu-4) were shown to have no effect on transcriptional termination at the termination site at the end of the early region of T3 and T7 DNAs. Transcriptional termination was assayed in these bacterial mutants by comparing the patterns of late protein production produced by T3 and T7 amber I bacteriophage infection. All the rho (psu) mutants tested showed the same pattern of late protein production as the wild-type strain (rho+ or psu+) after T3 or T7 amber I infection. The presence of the mutant rho allele during bacteriophage infection, therefore, did not allow the host RNA polymerase to read through the terminator located at approximately 20% of the T3 and T7 genomes. These results suggest that rho factor may not be involved in reading of the T3 and T7 20% terminators in vivo.