Microglial reaction in some CNS nuclei following nerves transection in BALB/c and interferon-gamma gene knockout mice

The present study was aimed to ascertain if the endogenous IFN-gamma is necessary for induction of microglial reaction associated with the CNS neurons after neurectomy of the vagus and hypoglossal nerves in IFN-gamma gene knockout mice and BALB/c mice serving as controls. Vigorous microglial reaction as detected by Mac-1 antibody was elicited in the brainstem nuclei in both strains of mice. Increased Mac-1 immunoreactivity in microglia was detected as early as 1 day post-operation in the ipsilateral dorsal nucleus of vagus, nucleus ambiguus and the hypoglossal nucleus; a similar feature was observed in the nucleus tractus solitarius bilaterally. Mac-1 immunoreactivity in reactive microglia appeared to increase with survival intervals and was comparable throughout in both strains of mice. It is therefore concluded that endogenous IFN-gamma is not responsible for upregulation of complement type 3 receptor immunomolecules in reactive microglia following nerves sectioning.

Induction of microglial reaction and expression of nitric oxide synthase I in the nucleus dorsalis and red nucleus following lower thoracic spinal cord hemisection

In the present study, immunohistochemical stainings for OX-6, OX-42, nitric oxide synthase I and II as well as nitrotyrosine were used to investigate possible correlation among microglial reactivity, nitric oxide synthase upregulation, peroxynitrite involvement and neuronal death in the nucleus dorsalis and red nucleus following lower thoracic spinal cord hemisection. Significant neuronal loss was found in the ipsilateral nucleus dorsalis and contralateral red nucleus after cord hemisection. A distinctive microglial reaction for OX-42 could be observed from one to four weeks post axotomy in the ipsilateral nucleus dorsalis; by contrast, it was observed on both sides of the red nucleus from one to three weeks following cord hemisection. The activated microglial cells showed some degree of hypertrophy. From the microglial immunoreactivity as well as their appearance, it was speculated that microglial activation might be beneficial or protective to the axotomized neurons. In normal and sham-operated rats, neurons of the nucleus dorsalis were not nitric oxide synthase I reactive. Three weeks after cord hemisection, neurons in the ipsilateral nucleus dorsalis below the lesion showed strong immunoreactivity. Neurons in the red nucleus that normally displayed weak nitric oxide synthase I immunoreactivity showed an increase on both sides of the nucleus. These results suggested that nitric oxide synthase I expression in the nucleus dorsalis following axotomy was synthesized de novo and might act as a neurotoxic agent. However, the bilateral increase in expression of nitric oxide synthase I in the red nucleus after lower thoracic cord hemisection was due to up-regulation of the constitutive enzyme and might have some neuroprotective function. Our results also suggested that peroxynitrite played no or little role in the neurodegeneration in the nucleus dorsalis and red nucleus following axotomy.

Prehension in man revisited: lesson from the monkey (Macaca fascicularis)

The manus in human is capable of performing intricate movements. To determine whether human dexterity is the result of neuromuscular co-ordination arising from a rich cortical network or due to biomechanical adaptation, the multitendoned extrinsic flexor muscles and intrinsic flexor musculature of the hand were examined in nine human cadavers and compared to those in three macaque monkeys. The flexor pollicis longus was present in all the upper limbs of the human cadavers and absent in all the upper limbs of the monkeys. An accesory origin of the flexor pollicis longus was seen in the upper limb of an Indian cadaver. The opponens pollicis which is possibly the most important intrinsic muscle of the hand was observed to be present in the manus of both human and monkey. Although the macaque monkey lacks a flexor pollicis longus, its digital dexterity has been reported to be equal to man. In this context, it would appear that neural output is the more important factor in prehensile activities.

Induction of major histocompatibility class II antigen on microglial cells in postnatal and adult rats following intraperitoneal injections of lipopolysaccharide

Microglial cells, notably the ramified form, were induced to express major histocompatibility complex (MHC) class II antigen in postnatal and adult rats given intraperitoneal injections of lipopolysaccharide (LPS). The immunoreactive microglia which occurred in cell colonies or clusters were detected immunohistochemically with the monoclonal antibody OX-6. Some of the widely distributed MHC II positive cells were round or amoeboidic located preferentially in the perivascular area. In view of the widespread occurrence of microglial cells showing OX-6 immunoreactivity which is negligible in normal animals, it is suggested that the effect of LPS on microglia in vivo is a widespread phenomenon and is independent of age. It is suggested that the endotoxin not only triggers off the immunological potentiality of these cells but also elicits the entry of some mononuclear cells into the brain parenchyma.

Is seminal prostatic acid phosphatase a reliable marker for male infertility?

This project was undertaken to determine whether there is any correlation between sperm counts and motility and the level of prostatic acid phosphatase (PAcP). Fifty-six patients were studied in this series-those with normospermia (Group A,n = 19); mild oligospermia (Group B,n = 18) and very severe oligospermia (Group C,n = 19). Each group was further subdivided into 2 groups-those who were 25-35 years old and those 36 years old and above. The results in this age group are discussed and it was found that individuals with very severe oligospermia (sperm counts 1-20x10(5)/mL) showed a positive correlation (p = 0.009) in the age group 36 years and above. The results have to be treated with caution since a statistically significant result was only displayed in one group, ie, individuals over the age of 35 years and very low sperm counts.

Risperidone-induced neuroleptic malignant syndrome

OBJECTIVE

To describe a patient with neuroleptic malignant syndrome (NMS) induced by risperidone, an atypical antipsychotic, and to review the available literature related to risperidone-associated NMS.

DATA SOURCE

Case report information was obtained from the resident physician and medical records. MEDLINE and Index Medicus were searched to obtain literature published between 1960 and 1995.

DATA SYNTHESIS

We report an adolescent boy who developed NMS after treatment with risperidone. Risperidone therapy was started after unsuccessful treatment and development of extrapyramidal adverse effects with haloperidol. The patient demonstrated the classic tetrad of fever, generalized skeletal muscle rigidity, altered mental status, and autonomic dysfunction. Risperidone was discontinued and the patient recovered after a prolonged hospital course with supportive management.

CONCLUSIONS

Clinicians are cautioned about the possibility of NMS with risperidone.

Complex niches favour rational species

On the whole living things evolve from simpler to more complex forms, though not undirectionally. The evolution of more complex species makes the environment more complex and also makes the evolution of even more complex species possible and more selectable. With the evolution of sentients, species can be classified according to their degree of rationality. A more rational species is one whose behaviour (i.e. of its individual members) is controlled (relatively) more by the reward-penalty system than by the automatic, inflexible, programmed responses. In two reasonable simple models, it is shown that a more complex environment favours the evolution of more rational species. This result partly explains the dramatic speed of evolution based mainly on random mutation and natural selection, a speed doubted by creationists.

A study of the structure and functions of the submandibular ganglion

The submandibular ganglion (SMG) of both the rat and monkey is composed of a collection of small ganglia distributed mainly at the hilum of the submandibular gland. Ultrastructurally, its constituent neurons have a prominent nucleus and numerous randomly distributed cytoplasmic organelles. In the rat SMG a variable number of its neurons are immunoreactivities for [Met5]enkephalin-Arg6-Gly7-Leu8, neuropeptide Y (NPY), substance P (SP), tyrosine hydroxylase (TH) and vasoactive intestinal polypeptide (VIP). In the monkey, however, the SMG neurons only react for NPY and SP. Following sectioning of the lingual nerve, SMG neurons of both the rat and monkey showed structural alterations; a marked change was also observed in the immunoreactivities of the rat neurons. There were signs of recovery in the structural features and immunoreactivities in the SMG neurons in animals with longer survival periods of up to 2 months. This suggests that the changes in the neurons after denervation are acute but reversible in nature. After fluorogold injections into the submandibular and sublingual glands of the rat, a variable number of neurons in the superior salivatory nucleus (SSN), superior cervical ganglion (SCG) and trigeminal ganglion (TG) were labelled. A hypothetical model depicting the possible interactions between the parasympathetic SMG and the preganglionic nucleus, that is, the SSN, as well as the sympathetic SCG and the sensory TG is presented. It is proposed that the SMG functions as a relay as well as a modulatory centre for salivatory activity.

GATA factor activity is required for the trophoblast-specific transcriptional regulation of the mouse placental lactogen I gene

The molecular determinants governing tissue-specific gene expression in the placenta are at present only poorly defined, particularly with respect to the regulation of specific hormone genes whose products are vital to embryonic development and the maintenance of a nurturing maternal environment. In continuing our analysis of the trophoblast-specific expression of the mouse placental lactogen I gene, we now demonstrate that the transcription factors GATA-2 and GATA-3 regulate the activity of this gene promoter. These factors are expressed in placental trophoblast cells, with peak levels of the GATA-2, GATA-3 and placental lactogen I mRNAs each accumulating at midgestation. Analysis of a region of the placental lactogen I gene promoter, previously shown to be sufficient for directing trophoblast-specific transcription, revealed the presence of three consensus binding sites for GATA-2 or GATA-3. Both GATA-2 and GATA-3 bind to these sites in vitro and mutation of these sites results in a significant decrease in promoter activity as assayed by transient transfection into the choriocarcinoma-derived cell line Rcho-1, which expresses endogenous GATA-2 and GATA-3. Furthermore, overexpression of GATA factors in Rcho-1 cells stimulates transcription from a co-transfected placental lactogen I gene promoter. Most significantly, expression of GATA-2 or GATA-3 was found to induce transcription from this promoter in transfected non-trophoblast (fibroblast) cells. These data indicate that GATA factors are both limiting and required transcriptional regulatory molecules in placental trophoblasts, and that the tissue specificity of the placental lactogen I gene is determined, at least in part, by GATA-2 and/or GATA-3.

Variant translocations of chromosome 22 in Ewing's sarcoma

Relatively few variant translocations have been reported in primary Ewing's sarcomas (ES). We report two new variant translocations, both of which involve chromosomal rearrangements of 22q12. Cytogenetic studies of tumor cells from a 12-year-old girl revealed a variant translocation, t(7;22)(p22;q12), the second example reported of a simple variant of the 22q12 reciprocal translocation in this type of sarcoma. The identity of this rearrangement was confirmed by in situ hybridization. In addition, a complex translocation was identified in a dysmorphic 15-year-old girl, t(4;11;22)(q21;q24;q12). No previous cases of variant translocations in ES have involved band 7p22 or 4q21, and there are no previous reports of an association between congenital abnormalities and unusual karyotype abnormalities in ES. Both variant translocations conserve the junction on the der (22), providing additional cytogenetic evidence that the sequences on chromosome 22 are critical.

A study on the submandibular ganglion of the monkey with special reference to ultrastructural changes after lingual nerve sectioning

This study describes normal light and electron microscopic features of the monkey submandibular ganglion. The intraglandular ganglion is composed of a collection of smaller ganglia distributed mainly at the hilum of the submandibular gland: one or two large ganglia were often found along with the main duct, while the smaller ones were located at the periphery. All ganglion cells were covered by satellite cells. Ultrastructurally, the ganglion cells showed the usual features of autonomic neurons, being round to oval with a prominent nucleus and nucleolus. Their cytoplasm contained numerous randomly distributed organelles. Occasional ganglion cells showed darkened dendrites. The majority of the synapses observed were of the axo-dendritic type, although the axo-somatic type was not uncommon. In the latter, the axon terminals were sometimes seen to deeply invaginate the soma of the ganglion cells forming synaptic contacts. Non-synaptic desmosome-like junctional complexes were common between the ganglion cells. Following the severance of the lingual nerve, the ganglion showed structural alterations beginning 1 day after the operation. The earliest sign of change was the increase in the number of macrophages surrounding the ganglion. Three and five days after the lingual nerve sectioning, the number of darkened dendrites considerably increased. Associated with this change were neuronal nuclei displaying irregular outlines. Other changes involved the disintegration of the preganglionic fibres and their axon terminals. The latter were observed to be engulfed by the infiltrated macrophages and Schwann cells. By 7 days after the preganglionic parasympathectomy, the ganglion cells resumed normal features, suggesting the acute and reversible nature of the transneuronal degeneration of the monkey submandibular ganglion cells. This is further supported by the absence of cell death during the period examined.

A qualitative and quantitative study of substance P immuno-cytochemistry of the trigeminal ganglion in the monkey

The immunoreactivity of substance P(SP) in the monkey trigeminal ganglion was examined and the distribution of immunoreactive cells determined. The monkey trigeminal ganglion is composed of clusters of sensory cells arranged in cords parallel to the long axis of the nerve fibres. The cells have prominent nuclei and are surrounded by satellite cells. Abundant organelles are randomly distributed throughout the cytoplasm. A striking feature of the ganglion was the presence of some axon-like prolifes containing mainly dense-cored vesicles and some agranular vesicles. Between 16 and 32% of the ganglion cells displayed SP-immunoreactivity. Most of the SP-IR cells were unipolar, small to medium-sized ganglion cells and they had no specific pattern of distribution. The staining of the SP-IR cells varied considerably, ranging from weak or moderate to heavy staining, although the majority of them were moderately stained. Immuno-electron microscopy showed that the SP-IR products were distributed throughout the soma of ganglion cells and not associated with any particular organelles or inclusions. The reaction products were also found in both myelinated and unmyelinated fibres between the ganglion cells. Another remarkable feature of the trigeminal ganglion was the occurrence of some SP-IR nerve fibres forming a rich "glomerular" network of pericellular arborizations around some of the SP-negative cells. Ultrastructural study showed the presence of some SP-IR nerve terminals in close approximation to some SP-negative cells, but there were no synaptic contacts. The relative frequency of the SP-IR pericellular arborizations paralleled the frequency of all the SP-IR cells.(ABSTRACT TRUNCATED AT 250 WORDS)

Trophoblast-specific transcription from the mouse placental lactogen-I gene promoter

We have isolated the gene encoding mouse placental lactogen-I and characterized the promoter region of this gene by transient and stable transfection. Promoter sequences extending 274 basepairs (bp) up-stream from the start site of transcription contain all of the elements necessary for maximal expression upon transient transfection into the rat choriocarcinoma Rcho-1 cell line; these Rcho-1 cultures contain both proliferative trophoblast stem cells and terminally differentiated trophoblast giant cells. In stably transfected cell lines, expression from this promoter increases as the percentage of differentiated cells in the culture increases. In contrast to these results in trophoblast cells, the 274-bp promoter as well as a promoter region extending 2700 bp up-stream of the transcriptional start site are unable to drive transcription in a variety of other cell types. Mutational and protein binding analyses indicate that two AP-1 sites are required for maximal expression in Rcho-1 cells, and that the composition of the AP-1 transcription factor may vary as differentiation in the cell culture increases. In addition to these two AP-1 sites, at least one other element appears to be critical for promoter activity in trophoblast cells.

Distribution of expression of cell adhesion molecules in the mid to late gestational mouse fetus

The control of murine morphogenesis appears to be regulated in part by the expression of the primary cell adhesion molecules, such as the neural cell adhesion molecules (N-CAM). Here we show that the epithelial cell adhesion molecules appear in intestinal epithelium, liver and cartilage, but were absent from intestinal submucosa and neural tissues. N-CAMs on the other hand were present in intestinal submucosa and neural tissues, but absent from intestinal epithelium, liver, and cartilage. Both epithelial cell adhesion molecules and N-CAM were present in intestinal primordium at gestation times (days 12 and 13) when intestinal epithelium and submucosa are not morphologically distinguishable. On day 14 of gestation, when the intestinal epithelium and submucosa are morphologically distinguishable, epithelial cell adhesion molecules are present in intestinal epithelium but not submucosa while N-CAM has the reciprocal pattern of expression. Immunoblots with antibodies to N-CAM revealed two bands of 110-220 and 60 kD which followed specific patterns of expression. As defined by densitometry, the intensity of the larger protein increased from day 12 to 18 in neural tissue groups, but diminished in late gestational intestine and intact fetus and was replaced by a more discrete region of 110-150 kD, suggesting that embryonic to adult conversion of isoform ('E to A conversion') had occurred at this nonneural site.

Chimeric drift in blood cell populations of chimeric rats constructed between congenic strains

Chimeric drift is the shift in the proportion over time of the two cell lineages which comprise a chimera (genetic mosaic). Chimeric drift in blood cell populations is determined by both the probability of proliferation from stem cell pools of one or the other of the cell lineages which constitute the chimera and the effects of life span in circulating blood cells. Previous evidence suggests that while chimeric drift occurs in chimeras between genetically disparate strains, it does not occur when the strains used are closely related. No information is available from chimeras between congenic strains. In the present study, chimeric rats were produced between strains with distinguishable class I major histocompatibility complex haplotypes, PVG-RT1a and PVG (which express the haplotype RT1c). PVG-RT1a-specific monoclonal antibodies were used to establish the mosaic patterns in the cell populations of peripheral blood by fluorescein-activated cell sorting. Mosaic cell lineage of red blood cells, white blood cells, lymphocytes, monocytes and neutrophil populations were analyzed weekly over a period of 6 weeks. The ratio of cells of the PVG-RT1a lineage to cells of the PVG lineage shifted either in favor of PVG-RT1a or PVG in cellular components of peripheral blood. The percentage of PVG-RT1a cells in peripheral blood of chimeras changes by as much as 54, 28, 21, 19 and 23% in red blood cell, white blood cell, lymphocyte, monocyte and neutrophil populations, respectively. The shifts in the percentage of PVG-RT1a cells appears to occur in a cyclic fashion.(ABSTRACT TRUNCATED AT 250 WORDS)

The intraglandular submandibular ganglion of postnatal and adult rats. II. A morphometric and quantitative study

A morphometric study was undertaken on the submandibular ganglion cells in rats of different ages. This showed a direct proportional increase with age in all the variables measured. Mean cross-sectional cell area showed the most dramatic growth, an increase of more than 5-fold between birth and young adulthood. Mean cell diameter and cell perimeter doubled over the same period. The growth of the nucleus, expressed as diameter, was slower when compared with that of the ganglion cells as a whole. The number of intraglandular ganglion cells remained relatively unchanged from birth to young adulthood, ranging from about 3000 to 5000 cells. They were mainly distributed at the hilar region of the submandibular salivary gland, contributing 1/2 to 2/3 of the total ganglion cell population. The second largest cell population was in the intralobular region, which made up about one-third of the population. The least populated region was in the connective tissue of the sublingual salivary gland, which contained only about 5-7% of the total cell number. Cell counts based on the fluorogold labelling method were generally lower than those made after haematoxylin and eosin staining. In the 2-d-old animals, counts of fluorogold-labelled cells were only about half the H & E counts. The discrepancy may be due to the thicker sections used in the fluorogold method, superimposition of cells leading to an underestimation of cell numbers. Nevertheless, the fluorogold labelling method provided rapid and reproducible results. Its main advantage is that the labelled ganglion cells emit a bright yellow fluorescence which is readily identified; the other is the simplicity of the procedure, as labelling of ganglion cells can be achieved by the intraperitoneal route.

Retinopathy of prematurity: a prospective study. Review at six months

A cohort of infants of birthweight < or = 1700 g studied prospectively for retinopathy of prematurity (ROP) has been reviewed at 6 months corrected age and the findings related to the neonatal data. The overall incidence of strabismus was 6.4% (30/468), rising from 3.1% (7/229) without ROP to 29.2% (7/24) with stage 3. Strabismus and fusional ability were significantly related to presence and severity of ROP, and abnormal neonatal cranial ultrasound findings. Binocular visual acuity was measured in 340 infants between 20 and 40 weeks corrected age. Eight were subnormal, all due to neurological problems. For the remainder, despite falling within the normal range, there was a significant trend (p < 0.001) for lower acuities with increasing ROP severity. Cycloplegic refraction on 387 infants revealed, with increasing ROP severity: 1, a significant trend towards myopia; 2, increased magnitude of astigmatism; 3, alteration of the astigmatic axis; 4, increased incidence of anisometropia. For the first three categories there was an insignificant trend between no ROP and stage 2, reaching significance only between stage 2 and 3. The predominant axis of astigmatism in infants without ROP was between 60 degrees and 120 degrees, but with ROP there was a significant trend away from this direction.

Fractal geometry of mosaic pattern demonstrates liver regeneration is a self-similar process

Partial hepatectomy causes compensatory, nonneoplastic growth and regeneration in mammalian liver. Compensatory liver growth can be used to examine aspects of patterns of cell division in regenerating tissue. Chimeric animals provide markers of cell lineage which are independent of growth and can be used to follow cell division patterns. Previous experimental evidence suggests that compensatory liver growth is uniform, without focal centers of proliferation. In this study we have extended that observation to include genes important in regeneration and cell cycle control in order to establish that nascent growth centers are not present in regenerating liver. There is a uniform spatial distribution of expression of these genes which is not related to mosaic pattern in the chimeras. While these genes may help regulate hepatocyte proliferation they do not appear to regulate patch pattern in the chimeras. With this information confirming uniform growth it was possible to use fractal analysis to test various hypothesized patterns of regenerative growth in the liver. The results of this analysis indicate that mosaic pattern does not change substantially during the regenerative process. Patch area and perimeter (the area occupied by or perimeter around cells of like lineage) increase during compensatory liver growth in chimeric rats without alteration of the geometric complexity of patch boundaries (boundaries around cells of like lineage). These tissue findings are consistent with previously reported computer models of growth in which repetitive application of simple decisions assuming uniform growth created complex mosaic patterns. They support the notion that an iterating (repeating), self-similar (a pattern in which parts are representative of, but not identical to the whole) cell division program is sufficient for the regeneration of liver tissue following partial hepatectomy. Iterating, self-similar cell division programs are important because they suggest a way in which complex patterns (or morphogenesis) can be efficiently created from a small amount of stored information.

Natural history of retinopathy of prematurity: a prospective study

The natural history of retinopathy of prematurity (ROP) has been studied prospectively in 572 infants < or = 1,700 g birthweight using a protocol designed specifically to investigate the subtle features of this condition. Acute ROP developed in 50.9%. All ROP stages 1 and 2 underwent complete resolution and of the 27 (4.7%) infants with stage 3/4 disease, cicatricial sequelae developed in six. Incidence and severity increased with decreasing birthweight and gestational age. Onset was not confined to the temporal retina but exhibited a predilection to start first in the nasal retina of the most immature neonate. The vertical retinal regions were relatively spared. Retinal arteriolar tortuosity developed around three months postnatally and was related to ROP severity but not its presence. The age at onset and rate of progression of retinopathy were largely determined by the stage of development but were also modified by systemic and local factors. The relevance of these findings to ROP screening is discussed.

Light and retinopathy of prematurity: does retinal location offer a clue?

Nursery illumination has been implicated in the pathogenesis of retinopathy of prematurity (ROP), although the results of recent studies are conflicting. The data base for this article is a prospective ROP study on 607 infants of birth weight less than or equal to 1700 g including 35 larger siblings from multiple births when 1 infant fulfilled the birth weight criteria. Retinopathy commences preferentially in the nasal retina of the most immature neonate and is less likely to develop, or its onset is delayed, in the superior and inferior regions. These findings cannot be fully accounted for by regional vascular and neuroanatomical variations. Radiometric and physiological evidence suggests that the very immature neonate, most at risk of developing severe ROP, receives the greatest retinal irradiance. Furthermore, ROP commences in the areas of the retina receiving the highest light dose, and its onset is either retarded or inhibited in the darker retinal regions. Further studies are required to determine whether early exposure to light is a factor in the development of ROP. If a causal relationship is proven, here at least is one modality that can easily and immediately be controlled.

Spatiotemporal changes in Ha-ras p21 expression through the hepatocyte cell cycle during liver regeneration

The protein product of the ras oncogene, Ha-ras (p21), is thought to be an important regulator of cell growth. The cytoplasmic relocalization of p21 in the cell during the cell cycle suggests a transient signaling role for this protein in association with its signal transduction function. Because of the importance of this role we examined spatial patterns in vivo of p21 expression at the protein and mRNA levels in hepatocytes during compensatory growth in rat liver following partial hepatectomy. A low level of p21 was immunolocalized on the cytoplasmic membrane of nonregenerating hepatocytes. The level of hepatic p21 increased significantly and without spatial restriction within the liver from 36 to 60 hr after partial hepatectomy (PH). p21 was localized in the cytoplasm of dividing hepatocytes and on the hepatic cytoplasmic membrane. The elevated p21 level decreased and was found mainly on hepatocyte plasma membranes by 96 hr after PH. Immunogold electron microscopy showed p21 localized over mitochondrial membranes and nuclei in nondividing regenerating hepatocytes. Approximately 50% of nonregenerating hepatocytes show nuclear localization of p21. This percentage changes with time following PH. The decrease in nuclear localization was accompanied with an increase in the low number of hepatocytes which demonstrated cytoplasmic localization in nondividing hepatocytes in regenerating liver. Flow cytometric analysis revealed a significant increase of p21 at 36 hr after PH which was 12 hr after the initial induction of ras mRNA. ras mRNA level increased 1.5-fold at 24 hr after PH and a maximum twofold induction was observed at 48 hr. Cell-cycle analysis of regenerating hepatocytes indicated a synchronized first peak of cell division 36-40 hr after PH. Dual parameter flow cytometry revealed that the level of p21 in hepatocytes in S phase and G2/M phase of the cell cycle was significantly higher than that in G0/G1 phase during regeneration. These findings suggest that p21 is important for the progression of regenerating hepatocytes to S phase and then to G2/M phase.

The intraglandular submandibular ganglion of postnatal and adult rats. I. A light and electron microscope study

The structure of the intraglandular submandibular ganglion is described in both postnatal and adult rats. The ganglion is localised mainly at the hilum where the majority of the cell bodies are observed. Ganglia are also present in the intralobular septa of both the submandibular and the sublingual glands. Often they are found along the main salivary ducts with the larger ganglia being encapsulated by connective tissue. On electron microscopy, the submandibular ganglion cells show the usual features of autonomic neurons. The cells contain a prominent round nucleus. Numerous short processes project from the soma together with a few long dendrites. The organelles are randomly distributed throughout the soma. Most of the synapses observed were on the short processes with occasional axosomatic synapses. Nonsynaptic desmosome-like contacts are a common feature among the ganglion cells. Especially noteworthy are contacts made by the dendrites which deeply invaginate the soma of an adjacent nerve cell. The ganglion cells of the postnatal and adult submandibular ganglia show minor differences. Ultrastructurally, the postnatal cells show signs of immaturity such as abundant free ribosomes, well developed Golgi complexes and disorganised rough endoplasmic reticulum. Mitotic satellite cells were observed associated with the postnatal ganglion cells. The study has confirmed that all the submandibular ganglion cells show a positive reaction for acetylcholinesterase. Enzyme activity is localised in the cisternae of rough endoplasmic reticulum, the Golgi complex, plasma membrane and nuclear envelope.

The paradox of the adventurous young and the cautious old: natural selection vs. rational calculation

Younger people are more adventurous and less willing to reduce the risk to life. This seems to be fitness reducing since the gene cannot be passed on if one dies before leaving offsprings. However, due to the cumulative nature of knowledge and the complementarity of learning and adventurousness, it is shown in a simple model that it enhances fitness. Nevertheless, the higher willingness of the old to pay to reduce the risk to life may also be due to the rational calculation of expected utility maximization. A positive real rate of interest makes accumulation of wealth desirable and hence may make the dollar value of life increase dramatically until a fairly old age. Even if the lifetime earnings of everyone are the same and everyone can lend and borrow at the same rate of interest, the old may be willing to pay much more to reduce the risk to life.

Acute inhibition of DNA synthesis in hamster buccal pouch epithelium exposed to indirect acting carcinogens

Inhibition of DNA synthesis was observed and quantitated in hamster buccal pouch epithelium exposed in vivo and in vitro to indirect acting carcinogens. Topical application of a 0.5% solution of the potent hamster buccal pouch carcinogen 7,12-dimethylbenz[a]-anthracene (DMBA) acutely inhibited epithelial DNA synthesis by 40-65%, as indicated by a decrease in [3H]thymidine incorporation over a period of 24 h. When applied twice at a concentration of 2%, N-methyl-N-benzylnitrosamine (MBN), another potent buccal pouch carcinogen, inhibited epithelial DNA synthesis by 76% within a period of 4 h. A similar acute inhibitory effect on DNA synthesis was observed when explants of buccal pouch mucosa, exhibiting continuous cell replication, were exposed in vitro in the presence of MBN or DMBA for periods up to 12 and 24 h, respectively. The inhibitory effect of DMBA was greater than that of other polycyclic aromatic hydrocarbons of lesser carcinogenic potency in this tissue. This study demonstrates that the metabolic activation of indirect acting carcinogens leading to acute cytotoxicity and inhibition of DNA synthesis occurs rapidly in hamster buccal pouch mucosa exposed to these agents in vitro as well as in vivo. The experimental imposition of an acute inhibitory pressure, applied as demonstrated in this report, may enable the detection of precancerous cells which have acquired the property of resistance to this cytotoxic effect in the course of carcinogenesis. In principle, the in vitro approach, coupled with autoradiography, may be useful in identifying microscopic foci of resistant preneoplastic cells in samples of human oral mucosa. 24R01 34160

Comparison of epidermal patch size in X-chromosome-linked mosaic and dizygotic chimeric mice

Mosaic animals can be made by aggregating embryonic tissues of distinguishable strains or they will occur spontaneously in eutherian mammals as a result of X-chromosome inactivation. Tissues of mosaic animals comprise aggregates of cells of similar lineage called 'patches'. The patch size of isolated epidermis from chimeras and X-chromosome-linked mosaics was compared in a quantitative fashion. Patch size was determined in the isolated epidermis of skin from aggregation chimeras between BALB/c and C3H/He strains of mice variant at the Gpi-1 locus and from the skin of X-chromosome-linked mosaic female BALB/c x C3H/He a mice heterozygous at the Pgk-1 locus. Patch size in this isolated tissue was not significantly different in these two types of mosaic animals. The results suggest that mechanisms in patch formation are primarily mechanical, dependent on cell division patterns.

Are severe acute retinopathy of prematurity and severe periventricular leucomalacia both ischaemic insults?

Over a period of 20 months six preterm infants have been seen who developed severe acute retinopathy of prematurity (ROP) and who also had ultrasound evidence of extensive cerebral parenchymal changes compatible with severe periventricular leucomalacia. Only one of these infants had a birthweight of less than 1000 g, and their gestational ages ranged from 27 to 30 weeks. The association between these two important complications of preterm birth has led us to postulate that an episode of hypoperfusion of the cerebral circulation sufficient to result in cerebral ischaemia could also reduce an already compromised ocular blood flow and further exacerbate retinal ischaemia, thereby increasing the severity of ROP.

Epidemiology of retinopathy of prematurity

The incidence and severity of retinopathy of prematurity (ROP) were studied prospectively in a geographically defined area of the East Midlands. Over 23 months, 505 infants weighing 1700 g or less at birth to mothers resident in this area were studied. Acute ROP developed in 248 (49.1%) and there was a significant association between short gestation and low birthweight and greater severity. Most acute ROP underwent complete resolution; only stage 3/4 disease did not and cicatricial sequelae subsequently developed in 5 infants, 23.8% of this group. No infant was blind because of ROP. Black infants had shorter gestations yet were less likely to have any stage of ROP. Although Asians were not smaller than their caucasian counterparts, severe (stage 3/4) ROP was more likely (14.1% vs 2.7% for caucasians); this difference was largely due to their better survival. Since 505 of the available 547 infants in this geographically defined area were examined, it was possible to calculate the incidence of acute and cicatricial ROP on a community population basis. There are dangers in attempting to deduce the incidence of acute ROP from infrequent eye examinations, and in comparing community and hospital-based reports.

Retinopathy of prematurity in the United Kingdom

Retinopathy of prematurity (ROP) continues to be a problem for some preterm infants who survive the neonatal period. We review changes which have occurred in the premature infant population and methods of ophthalmological examination since the last survey of ROP in the United Kingdom was conducted between 1951 and 1953. We have analysed data from a retrospective study, and from our current prospective survey of ROP in the East Midlands, to determine the age at onset of acute ROP. The results show that the ophthalmoscopically visible signs of ROP develop over a narrow postmenstrual age range suggesting that acute ROP occurs only after the retina and/or its vasculature have reached a certain stage of development.

Retinopathy of prematurity: age at onset

The age at which retinopathy of prematurity was first seen was determined in 143 infants. In all, the initial ophthalmological examination was normal. Birth weights varied from 630 to 2700 g and gestational ages from 24.5 to 40.0 weeks. The median postnatal age at which acute retinopathy of prematurity was first seen was 51 and 40 days for those less than 28 and greater than or equal to 28 weeks' gestational age, respectively, and this difference is highly significant. Similar results were obtained when infants were grouped according to birth weight less than 1000 or greater than or equal to 1000 g. Using postmenstrual age as the variable, the first signs of retinopathy of prematurity were seen over a fairly narrow age range and 86% of infants developed retinopathy between 32.5 and 38.5 weeks of age. These findings suggest that the age (but not the occurrence or severity) at which retinopathy of prematurity is first seen is controlled predominantly by stage of development rather than neonatal events.

Chest physiotherapy in acute bronchiolitis

Forty four children with acute bronchiolitis were given twice daily chest physiotherapy in addition to standard supportive measures and were compared with 46 controls who were not given physiotherapy. There was no clinically discernable benefit on the course of their illness.

Epidemiology of diabetes mellitus in Singapore: comparison with other ASEAN countries

Singapore is a tropical island city-state with a population of 2.4178 million consisting of Chinese (76.7%), Malays (14.7%), Indians (6.4%) and other races (2.2%). A diabetic survey of the adult population, aged 15 years and above, carried out in 1975, shows that the prevalence of diabetes is 1.99%; it is higher in males (2.36%) than in females (1.64%). It occurs mainly in the age group 40 years and above (5.08%) and is uncommon in the age group 15-39 years (0.40%). In males, the highest prevalence of diabetes (7.0%) is in the age group 45-49 years while in females the highest prevalence (7.2%) is in the age group 55-59 years. 43.3% of the diabetics are of normal weight while 44.3% are overweight and 12.4% are underweight. 59.6% of the diabetics are newly diagnosed while 40.4% are known diabetics; 64.3% of the newly diagnosed diabetics have no symptoms. The prevalence of diabetes among the Indians (6.07%) is significantly higher than that in Malays (2.43%) and Chinese (1.55%). Indian diabetics have a slightly higher positive family history of diabetes (12.7%) than Malays (10.9%) and Chinese (6.5%). Obesity is commoner in Malay diabetics (64.7%) than in Chinese (41.6%) and Indians (35.7%). The possible factors leading to the significantly higher prevalence of diabetes among the Indians compared to the other ethnic groups in Singapore are discussed. It is suggested that the Indian gene is susceptible to diabetes (diabetic genotype) and increased food consumption, altered lifestyle and greater obesity leads to the expression of diabetes.(ABSTRACT TRUNCATED AT 250 WORDS)

Root growth, secondary root formation and root gravitropism in carotenoid-deficient seedlings of Zea mays L

The effect of ABA on root growth, secondary-root formation and root gravitropism in seedlings of Zea mays was investigated by using Fluridone-treated seedlings and a viviparous mutant, both of which lack carotenoids and ABA. Primary roots of seedlings grown in the presence of Fluridone grew significantly slower than those of control (i.e. untreated) roots. Elongation of Fluridone-treated roots was inhibited significantly by the exogenous application of 1 mM ABA. Exogenous application of 1 micromole and 1 nmole ABA had either no effect or only a slight stimulatory effect on root elongation, depending on the method of application. The absence of ABA in Fluridone-treated plants was not an important factor in secondary-root formation in seedlings less than 9-10 d old. However, ABA may suppress secondary-root formation in older seedlings, since 11-d-old control seedlings had significantly fewer secondary roots than Fluridone-treated seedlings. Roots of Fluridone-treated and control seedlings were graviresponsive. Similar data were obtained for vp-9 mutants of Z. mays, which are phenotypically identical to Fluridone-treated seedlings. These results indicate that ABA is necessary for neither secondary-root formation nor for positive gravitropism by primary roots.

Selective area tuberculosis surveys in Singapore 1978

A random population sample survey in Singapore 1975 revealed that a relatively high proportion of active pulmonary tuberculosis patients remained undiagnosed, mainly in the older age groups. Previous studies disclosed the cause to the lack of symptoms of concern in these patients. A new programme was devised to discover hidden elderly patients by mass chest X-ray screening of population aged 45 years and older living in areas with known high incidence of tuberculosis. The yield of cases was less than expected mainly due to the dislocation and dispersion of population from recent extensive urban re-development in Singapore. Nevertheless the results were comparable to the most productive case finding programme carried out in this department.

Risk factors for lung cancer in Singapore Chinese, a population with high female incidence rates

The high incidence of lung cancer in Chinese females in Singapore, especially among those belonging to the Cantonese dialect group, and the relatively high rates in Chinese males have been studied by means of interviews of cases and controls. A significant dose-response effect of cigarette smoking was found for all male and female groups, but neither smoking nor any other exposure explains the high incidence of lung cancer observed in Cantonese females who exhibit high rates of adenocarcinoma appraently unrelated to smoking. In general, persons with a low consumption of green vegetables were at higher risk for lung cancer. This finding might be due to an increased susceptibility in the presence of a relative deficiency of vitamin A.