Expression of the major glycoprotein G of human respiratory syncytial virus from recombinant vaccinia virus vectors

The major glycoprotein, G, of human respiratory syncytial (RS) virus is a Mr 84,000-90,000 species that has about 60% of its mass contributed by carbohydrate, most of which is in the form of O-linked oligosaccharides. The G protein contains neither a hydrophobic N-terminal signal sequence nor a hydrophobic C-terminal anchor region. Instead, its amino acid sequence reveals only one region with significant hydrophobic character, which is between residues 38 and 66. In order to study the synthesis, processing, and functions of this unusual viral glycoprotein, full-length cDNA copies of the G protein mRNA were inserted into the DNA genome of vaccinia virus (VV) in a position that was adjacent to a strong VV promoter and within the VV gene for thymidine kinase (TK). The resulting TK- recombinant viruses were selected, plaque-purified, and characterized by Southern blot analysis of restriction enzyme digests of the viral DNA. Recombinant RNA transcripts that contained both G-specific and VV-specific sequences accumulated in cells infected with recombinant viruses having the G protein gene in the positive orientation. The translation product of these transcripts in infected cells was a Mr 84,000-90,000 glycoprotein that was indistinguishable from authentic RS virus G protein. It could be detected in cell lysates after metabolic labeling with [3H]glucosamine and was immunoprecipitated by anti-RS-virus antiserum. Immunofluorescence studies showed that the G protein accumulated intracellularly with the perinuclear distribution that is characteristic of newly synthesized glycoproteins. Furthermore, the protein was also clearly detectable on the surface of recombinant-infected cells, showing that it was transported to and inserted into the plasma membrane.

Osmolality of enteral formulas for maternal phenylketonuria

Osmolalities of individual products and composite diets used in the treatment of maternal phenylketonuria were measured. Mathematical equations were developed which predict osmolality. Quantitative information on osmolalities of enteral formulas for women with maternal phenylketonuria may help clinicians plan diets to avoid the risk of gastrointestinal disturbances and to increase acceptability.

The reproducibility of acute lymphoblastic leukemia phenotype determinations: evaluation of monoclonal antibody and conventional hematopoietic markers

Peripheral blood and/or bone marrow lymphoblasts from 25 patients with acute lymphoblastic leukemia (ALL) were tested with a panel of monoclonal antibodies (MoAbs) and conventional hematopoietic markers by three different laboratories. The results were analysed to evaluate the reproducibility of ALL phenotype determinations. Specimens were transported between laboratories by 24-h courier service and were classified on the basis of indirect immunofluorescence MoAb reactivities as follows: B-lineage ALL (BA-1+T-MCS-2-); T-lineage ALL (T+BA-1-MCS-2-); myeloid antigen ALL (MCS-2+BA-1-CALLA-T-) and unclassified ALL (BA-1-MCS-2-CALLA-T-). Conventional marker studies for surface immunoglobulin (sIg), cytoplasmic immunoglobulin (cIg), sheep erythrocyte rosette formation (E) and nuclear terminal deoxynucleotidyl transferase (TdT) were also performed. In the cases with sufficient marker data to permit classification, 90% (18/20) were identically classified by different laboratories and this concordance was statistically significant (p less than 0.05). The agreement between laboratories for individual MoAb and conventional marker analyses was statistically significant (p less than 0.05) for all markers with the exception of BA-2, cIg and TdT determinations. Six of 7 discordant BA-2 cases represented BA-2+ evaluations which had subsequent BA-2- results following specimen transportation. These findings suggest instability of the BA-2 antigen to transport conditions. A similar pattern of positive to negative evaluations following transportation was observed in 5/5 discordant results involving other MoAbs. Disagreement between laboratories for cIg and TdT determinations implies that the detection of cytoplasmic or nuclear antigens may be more prone to subjective interpretation than cell surface antigen marker analyses. Our findings suggest that immunofluorescence marker studies employing MoAbs to cell surface antigens are in general highly reproducible. Our results also indicate that specimen storage conditions and the cellular location of target antigens are important variables which may affect the reproducibility of ALL phenotype determinations.

Attributional style in depression: A meta-analytic review

In this article we report meta-analyses of the relation of attributional styles to depression. In 104 studies involving nearly 15,000 subjects, several attributional patterns had reliable associations with depression scores. For negative events, attributions to internal, stable, and global causes had a reliable and significant association with depression. Studies in which the attribution factors of ability and luck were measured also showed a reliable association with depression. For positive events, attributions to external, unstable, and specific causes were associated with depression. Ability and luck attribution factors for positive events were also associated with depression. The relations for positive events, however, were weaker than the corresponding ones for negative events. In general, these patterns of relations were independent of a number of potential mediators suggested by authors in this literature, including the type of subject studied (psychiatric vs. college student), the type of event about which the attribution is made (real vs. simulated), the depression measure used, or the publication status of the research report. These conclusions are compared with those of other reviews. Implications for attributional models of depression are discussed.

Effect of chronic renal failure on heart. Role of secondary hyperparathyroidism

This study examined the effects of chronic renal failure in rats with and without parathyroid glands on myocardial energy production, transfer and utilization as well as on cardiac index. Chronic renal failure was produced by 7/8 nephrectomy in rats weighing between 240 and 350 g with intact parathyroid glands (CRF-control) and in parathyroidectomized (CRF-PTX) rats maintained normocalcemic. The data were compared to results obtained in intact rats and in normocalcemic parathyroidectomized rats with normal renal function. There were significant (p less than 0.01) decrements in myocardial content of ATP and creatine phosphate, mitochondrial oxygen consumption, and in the activity of both mitochondrial and myofibrillar creatine phosphokinase in CRF-control rats as compared to normal animals. The myocardial calcium content and the 45Ca uptake in CRF-control rats were significantly (p less than 0.01) higher than in normal rats. In CRF-PTX animals, the myocardial content of ATP, mitochondrial oxygen consumption, 45Ca uptake and calcium content were normal, but PTX did not normalize the activity of mitochondrial and myofibrillar creatine phosphokinase. Parathyroidectomy in rats with normal renal function was associated with a significant reduction in the activity of creatine phosphokinase of myocardial mitochondria and myofibrils. There was a significant (p less than 0.01) decrease in cardiac index in CRF-control rats as compared to normal animals, and cardiac index did not return to normal in CRF-PTX rats.(ABSTRACT TRUNCATED AT 250 WORDS)

Correct sequence for the major nucleocapsid protein mRNA of respiratory syncytial virus

A nucleotide sequence for the mRNA of the major nucleocapsid (N) protein gene of respiratory syncytial virus was reported previously (N. Elango and S. Venkatesen, 1983, Nucleic Acids Res. 11, 5941-5951). However, we have been unable to confirm part of this sequence as N mRNA-specific and suggest that the published sequence represents that of an aberrant chimeric transcript. Here we present an alternative sequence for the N mRNA and provide data supporting its authenticity. The corrected N mRNA sequence contains 1197 rather than 1427 nucleotides exclusive of poly(A), and encodes a protein of 391 rather than 467 amino acids. The calculated molecular weight for the 391-amino acid protein described by the sequence presented here is 42,600, in agreement with the molecular weight of 42,000 determined for the RS viral N protein by gel electrophoresis. In addition, we present sequence data from dicistronic RNAs that span the junction between the 1B protein and N cistrons, and the junction between the N and phosphoprotein (P) cistrons.

Judgments of natural and anomalous trajectories in the presence and absence of motion

Recent studies have shown that many people demonstrate erroneous beliefs about motion when asked to predict the trajectories of objects. The present experiments examine whether people can select as correct natural trajectories over anomalous ones when presented with the actual on-going event (motion condition) or static representations of the event (no-motion condition). McCloskey's curved tube problem was used as the event. Results indicate that adults benefit from the motion information in these stimuli, choosing the correct path more often in the motion condition. Men performed better than women in both conditions; this gender effect could not be attributed to formal instruction in physics. Only in the no-motion condition did any men prefer a path which reflected an impetus model of motion. Some women chose a curvilinear path in the motion condition, and in the no-motion condition the curvilinear path was their most often selected alternative. Fifth-grade children demonstrated no effect for gender and their path preferences resembled those of adult males. Children's responses failed to demonstrate a preference for those curvilinear paths which reflect an impetus-based approach to the problem. Adults' performance in the no-motion condition was not enhanced by instructions to employ mental imagery of the event.

Prognosis of subjects in the Framingham Study with rheumatic heart disease

One hundred thirteen of the original Framingham Heart Study cohort, aged 30 to 62 years, were identified as having valvular heart disease of presumed rheumatic etiology. All of these subjects, and a sample of age- and sex-matched controls, were accounted for during 34 years between 1950 and 1984. Although subjects with rheumatic heart disease had significantly higher mortality and serious morbidity than did those in the control group, 36 of the 113 (31.9%) rheumatic heart disease subjects survived at the end of this period as compared with 52.7% of the control subjects.

Nutrition support of inborn errors of amino acid metabolism

Programs for nutrition support of patients with phenylketonuria, maternal phenylketonuria, branched chain ketoaciduria and vitamin B-6 non-responsive homocystinuria were written in BASIC. These programs plan diets to fill diet prescriptions using natural foods, available amino acid-free or restricted elemental products, milk or infant proprietary formulae and protein-free fat and carbohydrate sources. Emphasis is placed on satisfying the amino acid and protein prescriptions simultaneously. The final semisynthetic formula is evaluated for vitamins, minerals, renal solute load and renal net acid excretion. Fluid requirement is estimated. The paper describes how the conventional protocols are enhanced by computerization and details the requisite calculations.

Rat luminal cell nuclear area changes correlated with uterine growth responses induced by a low dose infusion or injection of estradiol-17 beta

Rat uterine luminal epithelial cells (LEC) responded differently when exposed to an injection of 1.0 microgram estradiol-17 beta (E2) compared to a continuous infusion of E2 at the rate of 1.0 microgram/24 hours. After injection or beginning infusion, LEC mean nuclear area significantly decreased by 4 h, then increased thereafter. After injection, nuclear area distributions were determined at each time point. The percentage of large nuclei (greater than 40 mu 2) decreased by 4h postinjection and remained a relatively small proportion of the population, while the percentage of nuclei of 20-30 mu 2 areas increased throughout the experiment. During infusion, the percentage of large nuclei decreased by 4h after pump implantation, then increased. Only infusion induced sustained, increased uterine protein content, DNA synthesis and ornithine decarboxylase activity. This study suggests that E2 treatment modality induces differences in nuclear size in target cells as well as in biochemical parameters.

Diagnostic assays in acute pancreatitis. A study of sensitivity and specificity

The sensitivity and specificity of five assays used to diagnose acute pancreatitis were studied: two amylase assays; one lipase; one trypsinogen; and one pancreatic isoamylase. Thirty-nine patients with acute pancreatitis were compared to 127 controls with abdominal pain. Using the upper limit of normal both amylase assays appeared sensitive but somewhat nonspecific (specificities of 88.9% and 86%, respectively). The trypsinogen and pancreatic isoamylase assays were also relatively nonspecific (specificity of 82.8% and 85.1%). Most nonspecific elevations occurred between a one- and twofold elevation of each assay. Lipase, however, maintained excellent specificity (99%) at its upper limit of normal. If the level of best cutoff is used instead (the level that best enhances sensitivity and specificity), the specificities of both amylase assays, as well as the trypsinogen and pancreatic isoamylase assays, exceed 95%. At the best cutoff level, trypsinogen maintains a qualitative advantage in sensitivity over lipase or pancreatic isoamylase (97.4% as compared to 86.5% and 84.6%).

Radiographic changes in humidifier fever

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Adult acute lymphoblastic leukemia phenotypes defined by monoclonal antibodies

Pretreatment peripheral blood and/or bone marrow blasts from 90 adults with acute lymphoblastic leukemia (ALL) were analyzed as part of a prospective treatment protocol study. Specimens were tested by immunofluorescence cytofluorometry for reactivity with the following monoclonal antibodies (MoAbs): BA-1 (B cell antigen); T101, OKT11 (pan-T cell antigens [T]); 3A1 (T cell antigen); MCS-2 (myeloid antigen); J5 common ALL antigen (CALLA); BA4 (Ia antigen [Ia]); BA-2 (lymphohematopoietic antigen). Four major phenotypic groups were identified: B lineage ALL (BA-1+T-) (64%), T lineage ALL (T+BA-1-MCS-2-) (13%), unclassified ALL (BA-1-MCS-2-CALLA-T-) (9%) and myeloid antigen ALL (MCS-2+CALLA-T-) (7%). An additional group of patients, miscellaneous ALL (7%), was comprised of cases with unusual marker profiles. In B lineage ALL, all cases tested were Ia+MCS-2-, and the vast majority were CALLA+ (84%). In T lineage ALL, 42% expressed CALLA or Ia positivity. In unclassified ALL, the predominant phenotype was Ia+BA-2+. In myeloid antigen ALL, two of four tested were 3A1+ and all cases evaluated were BA-1-. Patients with myeloid antigen ALL were older (median age, 66 years) than patients in the other groups. The T lineage ALL group had higher leukocyte counts (median WBCs, 183,000/microL) and an increased incidence of anterior mediastinal mass at presentation. All patients received identical induction therapy. In CALLA+B lineage ALL, 30 of 46 (65%) achieved a complete remission. While the number of patients evaluated was small, 9 of 9 CALLA-B-lineage ALL and only two of six myeloid antigen ALL cases responded with a complete remission. The data suggest that these MoAbs are useful in the characterization of adult ALL.

Primary hormonal therapy of advanced breast cancer with megestrol acetate: predictive value of estrogen receptor and progesterone receptor levels

Estrogen (ER) and progesterone receptor (PR) levels in human breast cancer have been shown to have value in predicting response to a variety of hormonal therapies. However, the relationships between steroid receptor levels and tumor response and survival in patients treated with progestational agents for primary hormonal therapy have not been clearly defined. Forty-three advanced breast cancer patients, whose tumors had been assayed for ER and PR were treated with megestrol acetate as initial hormonal therapy. Twenty-five patients had ER and PR levels greater than 10 femtomole/mg cytosol protein, and the median ER and PR levels for the entire group were 114 fmol/mg and 100 fmol/mg, respectively. The overall response rate (complete and partial) was 46%, with a median duration of response of 66 weeks. Seventy percent of patients whose ER and PR were greater than 10 fmol/mg responded: Step-wise discriminant analysis showed that ER and PR were significantly related to response and that PR was the best predictor of response (P = .0034). Similarly, both ER and PR were significantly related to survival (P = .0001 for PR and P = .021 for ER). These data indicate that megestrol acetate is effective primary hormonal therapy in advanced breast cancer patients, and that ER and PR levels were significantly related to response and to survival duration. PR proved to be the best predictor of response in this group of patients.

Megestrol acetate used as primary hormonal therapy in stage D prostatic cancer

The majority of patients with advanced prostatic cancer respond either to castration or estrogen therapy. In an attempt to identify an alternative hormonal therapy, 25 symptomatic stage D prostate cancer patients were treated with megestrol acetate as initial hormonal therapy. Thirty-three patients were evaluable for response as defined by the National Prostatic Cancer Project criteria. Partial remission was observed in 11 patients and stable disease in 5, with an overall response rate of 70%. The projected median duration of response and survival were 10 and 20 months, respectively. Weight gain was common, but only two patients showed evidence of fluid retention. Gynecomastia, thromboembolic episodes, and gastrointestinal side effects were not observed in this group of patients, though two patients had increased pain shortly after therapy was initiated. Thus, in advanced prostatic cancer, megestrol acetate is effective primary therapy with minimal side effects.

Judgments of natural and anomalous trajectories in the presence and absence of motion

Recent studies have shown that many people demonstrate erroneous beliefs about motion when asked to predict the trajectories of objects. The present experiments examine whether people can select as correct natural trajectories over anomalous ones when presented with the actual on-going event (motion condition) or static representations of the event (no-motion condition). McCloskey's curved tube problem was used as the event. Results indicate that adults benefit from the motion information in these stimuli, choosing the correct path more often in the motion condition. Men performed better than women in both conditions; this gender effect could not be attributed to formal instruction in physics. Only in the no-motion condition did any men prefer a path which reflected an impetus model of motion. Some women chose a curvilinear path in the motion condition, and in the no-motion condition the curvilinear path was their most often selected alternative. Fifth-grade children demonstrated no effect for gender and their path preferences resembled those of adult males. Children's responses failed to demonstrate a preference for those curvilinear paths which reflect an impetus-based approach to the problem. Adults' performance in the no-motion condition was not enhanced by instructions to employ mental imagery of the event.

Mucin histochemistry of cystitis glandularis and primary adenocarcinoma of the urinary bladder

We describe the histochemical properties of mucin in three cases of cystitis glandularis affecting the urinary bladder. Of particular importance is the positive staining reaction that was obtained with the periodate borohydride/potassium hydroxide/PAS (PB/KOH/PAS) technique, indicating the presence of O-acetylated sialic acids. This reaction has been regarded as unique to the epithelial mucins in the normal terminal ileum and large intestine. Therefore, cystitis glandularis represents a true mucous metaplasia of large intestinal type. A case of primary adenovillous carcinoma of the bladder associated with cystitis glandularis also produced O-acetylated sialomucin, whereas a primary adenocarcinoma of urachal origin did not. The demonstration of O-acetylated sialic acid producing glandular epithelium in the bladder cannot be assumed to represent a metastasis from a colorectal cancer. The PB/KOH/PAS staining technique may provide a means of distinguishing between primary adenovillous and primary urachal carcinoma of the bladder.

Early precursors of site-specific cancers in college men and women

Physical and social characteristics recorded at college physical examination and reported in subsequent questionnaires to alumni in 1962 or 1966 by 50,000 former students from Harvard University and the University of Pennsylvania were reviewed for their relationship to major site-specific cancer occurrence. The records of 1,359 subjects who died with a major site-specific cancer in a 16- to 50-year follow-up period and of 672 subjects who reported such a cancer by mail questionnaire in 1976 or 1977 were compared with those of 8,084 matched classmates who were known to be alive and free of cancer at the time subjects with cancer had died or had been diagnosed. Cigarette smoking, as reported both in student years and years as alumni, predicted increased risk for cancers of the respiratory tract, pancreas, and bladder. Student coffee consumption was associated with elevated risk for leukemia, but it was unrelated to cancers of the pancreas and bladder. Male students with a record of proteinuria at college physical examination experienced increased risk of kidney cancer, and those with a history of tonsillectomy experienced increased risk of prostate cancer. Students who at college entrance reported occasional vague abdominal pain were at elevated risk for pancreatic and colorectal cancers in later years. Increased body weight during college was associated with increased risks of kidney and bladder cancers, whereas for alumni this index was associated only with kidney cancer. Increased weight-for-height during college (but not in 1962 or 1966) predicted increased occurrence of female breast cancer. Jewish students experienced elevated risk for subsequent cancers of the female breast, colon, and combined colorectum. These and other findings are presented as clues deserving further exploration for any etiologic significance that they may hold for the cancer sites studied.

Early precursors of urogenital cancers in former college men

Physical and social characteristics recorded at college physical examination or reported at subsequent alumni questionnaire in 1962 or 1966 by 47,271 male former students from Harvard University and the University of Pennsylvania were reviewed for their relationship to risk for cancers of the kidney, bladder, prostate and testis. The records of 213 subjects who died with 1 of these cancers in a 16-50 year followup period and of 280 subjects who reported such a cancer by mail questionnaire in 1976 or 1977 were compared with those of 1,972 matched classmates who were known to be alive and cancer-free at the time subjects with cancer had died or were diagnosed. Students with a record of proteinuria at college physical examination experienced increased risk of kidney cancer. Higher levels of body weight during college were associated with elevated risks of kidney and bladder cancers; however, increased weight in 1962/1966 related only to kidney cancer. A history of cigarette smoking as reported by questionnaire in 1962/1966 predicted increased occurrence of bladder cancer. Students with a history of tonsillectomy at college entrance experienced increased risk of prostate cancer, and those who reported cancer history in 1 or both parents were at increased risk for testicular cancer. These and other findings are presented as clues deserving further exploration for any etiological significance they may hold for the cancer sites studied.

The use of penile tumescence measures with incarcerated rapists: further validity issues

The use of penile tumescence to categorize and assess the treatment of sex offenders has gained increasing popularity. Recent publications have expanded the use of tumescence measures for the classification of rapists. The majority of studies in the past using mainly subjects seeking treatment or admitting to difficulties in controlling rape urges have shown the technology to be a valuable asset in classification. The present investigation, however, points out the limitations of using this technology in certain populations. The responses of incarcerated rapists and incarcerated nonrape offenders were compared. Analysis of the data indicated that there were no significant differences between the responses of rapists and nonrapists and that the rape index proposed by Abel et al. (1978) did not reliably classify incarcerated rapists. This paper points out the limitations of penile tumescence assessment with certain populations and discusses possible reasons for the failure to discriminate in this investigation.

Predictors of drug-resistant Mycobacterium tuberculosis

Drug susceptibility testing is usually performed when Mycobacterium tuberculosis organisms are recovered from Asian immigrants or from patients whose sputum remains culture positive despite several months of antituberculosis medication. Alcoholism, previous antituberculosis treatment, history of adverse reactions to previous treatment, and patient unreliability have also been suggested as risk factors, but the ability of these factors to predict the presence of drug-resistant organisms has not been assessed. Starting in January 1980, the Washington State Tuberculosis Laboratory began testing every positive M. tuberculosis culture for drug resistance. This enabled us to prospectively evaluate the sensitivity and specificity of 7 risk factors for drug resistance in consecutive patients. From January 1, 1980, through December 31, 1982, cultures from 803 patients were positive for M. tuberculosis; 766 of these (95%) were tested for drug resistance. The incidence of resistance was 13% (101/766). Of the 101 patients with drug-resistant organisms, 61 (60%) were Asian, supporting the need to routinely test Asian immigrants for drug-resistant disease. The ability of the other risk factors to separate the 40 non-Asians (40%) with drug-resistant disease from the group of 513 non-Asians with drug-sensitive organisms was poor. All risk factors were insensitive and had a high false positive rate. These results demonstrate that the presence of drug-resistant disease in non-Asians cannot accurately be predicted. This finding suggests that all cultures of M. tuberculosis should be tested for drug sensitivity, and that in areas where the incidence of drug resistance is sufficiently high, initial treatment should be with 3 drugs until drug susceptibility is known.