Effect on insulin production sorting and secretion by major histocompatibility complex class II gene expression in the pancreatic beta-cell of transgenic mice

Expression of major histocompatibility complex (MHC) class II protein in islet beta-cells of transgenic mice causes severe diabetes without an attendant autoimmune component. Little is known of the aberrant beta-cell function and site of biological lesions responsible for the diabetic state. Therefore, changes in (pro)insulin production, processing, sorting, storage, and secretion were evaluated using the in vitro perfused pancreas from male hyperglycemic BALB/cBYJ Tg (O pinsproA alpha d pinsproA beta d) mice and a RIA capable of detecting mouse insulin or proinsulin with quantitative equivalency. Results were compared to control pancreases from normal BALB/cBYJ mice. Extractable pancreatic insulin plus proinsulin content in the transgenics was 4% of normal. Normal pancreases responded characteristically with a diphasic insulin release during 30-min stimulation by glucose, a response that was enhanced by subsequent forskolin. In contrast, hormone release from transgenic pancreases was undetectable; based on the sensitivity of the immunoassay, fractional secretion of the residual pancreatic hormone content from the transgenic pancreases was less than 25% of normal. Proinsulin or insulin constitutive release was also not detected in the absence or presence of glucose-containing stimuli even when experiments were extended to 3 h. In contrast, fractional secretion in response to nonglucose stimuli (carbachol-leucine and arginine-leucine) was greater than normal from the transgenic diabetic pancreases. Responses to glucose stimuli did not normalize even after 90 min in the absence of glucose. In other experiments, pancreases were stimulated with carbachol/leucine/forskolin for 90 min, and the proportion of proinsulin to insulin released by the regulated pathway was determined after Sep-Pak and HPLC separation of combined eluates. Proinsulin was undetectable (and, therefore, accounted for less than 10% of the total hormone secretion). It is concluded from the observations of hyperglycemia, low pancreatic insulin content, and impaired release that insulin production in the pancreas of the MHC diabetic transgenic is severely depressed. The limited insulin production and chronic hyperglycemia do not (as speculated) cause missorting to a constitutive pathway or impaired conversion of proinsulin to insulin, since a proportionately increased proinsulin release does not occur. Although the response of the secretory process to glucose-containing stimuli is almost completely destroyed, fractional secretion in response to nonglucose stimuli is enhanced. The possible contribution of hyperglycemia-induced beta-cell desensitization or specific lesions in the glucose recognition signals induced by MHC expression are discussed. Results suggest that expression of MHC class II protein causes highly specific beta-cell lesions which, in themselves, could be a contributing factor in human insulin-dependent diabetes.

Custom selection of support surfaces for wheelchairs and beds: one size does not fit all

Support surfaces aid in preventing pressure sores and trauma, correct posture, and provide patient comfort. Knowing how to custom select a support surface is vital for meeting the patient's protective, postural, and pain-prevention needs.

The peripheral myelin protein gene PMP-22 is contained within the Charcot-Marie-Tooth disease type 1A duplication

Charcot-Marie-Tooth disease (CMT1) is the most common form of inherited peripheral neuropathy. Although the disease is genetically heterogeneous, it has been demonstrated that the gene defect is the most frequent type (CMT1A) is the result of a partial duplication of band 17p11.2. Recent studies suggested that the peripheral hypomyelination syndrome in the trembler (Tr) mouse, a possible animal model for CMT1 disease, is associated with a point mutation in the peripheral myelin protein-22 gene (pmp-22). Expression of pmp-22 is particularly high in Schwann cells, and the protein is found in peripheral myelin. We now report that the human PMP-22 gene is contained within the CMT1A duplication. We therefore, suggest that increased dosage of the PMP-22 gene may be the cause of CMT1A neuropathy.

Response of potatoes (Solanum tuberosum cv. Russet Burbank) to band-placed and broadcast high cadmium phosphorus fertiliser on heavily cropped krasnozems in north-western Tasmania

Four field experiments were conducted to examine the yield response and cadmium (Cd) concentration of potatoes (Solanum tuberosum L. cv. Russet Burbank) grown with banded or broadcast phosphorus (P) fertiliser at rates up to 240 kg P/ha. The Cd content of the triple superphosphate (TSP) was 151 mg/kg. All 4 sites were on intensively cropped, high P-fixing krasnozem soils in north-western Tasmania, with concentrations of Colwell-extractable P ranging from 112 to 210 mg/kg. All sites showed economic yield responses to banded P, but broadcast P was much less effective except at the site where the response to banded P was least. Yield responses came mostly through increased tuber number, but at 1 site the tubers were also bigger. There was no effect of P on tuber size distribution or specific gravity. Increasing rates of banded TSP increased tuber Cd concentrations by 50-300% at the 3 sites where they were measured; broadcast TSP had little effect. Tubers from the site with pH 6.0 had much higher Cd concentrations than those from the sites with pH 6.5 and 6.6. Petiole Cd concentrations were about 5 times greater than tuber concentrations.

The development of an AIDS Awareness Package for schools

The Eastern Health and Social Services Board (EHSSB) in Belfast, developed an AIDS Strategy in autumn 1986. One part of that Strategy highlighted the need for health education and health promotion, with school children as a priority group. The development of an AIDS Awareness Package for Schools by a multidisciplinary team from Health and Education sectors is described. The importance of a joint approach to the project is highlighted, and the various steps taken to gain support and acceptance for the package are outlined. The necessity for training in the use of the AIDS Awareness Package and the future use and development of the material is discussed.

p-nitrophenyl-beta-D-xyloside modulates proteoglycan synthesis and secretory differentiation in mouse mammary epithelial cell cultures

Primary cultures of mouse mammary epithelial cells synthesize significant quantities of chondroitin and heparan sulfate proteoglycans (16). Long term treatment of such cultures with p-nitrophenyl-beta-D-xylopyranoside leads to a 10-20 fold increase in the synthesis and secretion of free chondroitin sulfate glycosaminoglycan (GAG) chains and assembly of a cell-associated matrix that is relatively enriched in heparan sulfate proteoglycan. This modulation of cell-synthesized proteoglycans leads to significant changes in cell morphology and cellular differentiation. Notably cells cultured on plastic culture dishes change from being flattened to cuboidal. The synthesis of the milk proteins alpha 1, and beta-casein is also increased as is the formation of fat droplets and fat droplet membrane components. Promotion of differentiation increases with increasing xyloside concentration in the range 0-1.5 mM, but there may be a block in secretion at higher xyloside concentrations. While the detailed mechanisms remain to be elucidated, we conclude that the composition of proteoglycans incorporated into the matrix (and possibly the glycosaminoglycans secreted into the medium), may play a significant role in maintaining the phenotypic characteristics of terminally differentiated mammary epithelial cells.

Cell-to-cell heterogeneity in the expression of carbohydrate-based epitopes of a mucin-type glycoprotein on the surface of human mammary carcinoma cells

A large, O-linked glycoprotein, termed PAS-O, is a major differentiation antigen on the surface of normal lactating breast epithelia and is also found on the surface of many mammary tumors and mammary carcinoma cell lines. A characteristic feature of populations of tumor cells that express PAS-O is the cell-to-cell heterogeneity with respect to the presence or absence of the molecule. In this study, we used the human mammary carcinoma line 734B and a set of six monoclonal antibodies reactive with PAS-O to study the basis of this heterogeneity. Extensive Western blot analysis of antibody binding to PAS-O in milk fat globule membranes and in skim milk revealed that the antibodies all recognized different epitopes of PAS-O. Moreover, the epitopes were destroyed by periodic acid oxidation, demonstrating their oligosaccharide basis. All six monoclonal antibodies stained the 734B cells heterogeneously. In addition, five clones derived from the parent 734B population also exhibited heterogeneity in the expression of each of the epitopes. An analysis of staining of the 734B clones revealed that, in some cases, certain cells within the cloned population stained with one monoclonal antibody but not with another antibody. Significantly, though, when the 734B cells were treated with neuraminidase prior to antibody staining, most of the heterogeneity was eliminated, and all but one of the monoclonal antibodies stained 90-100% of the cells. This increase in cell staining was matched by an increase in PAS-O staining on Western blots. We conclude that heterogeneity in PAS-O expression on 734B cells is due partly to masking of epitopes by sialic acid and a variation (on a cell-to-cell basis) in the extent of PAS-O sialylation.

Regulation of differentiation and polarized secretion in mammary epithelial cells maintained in culture: extracellular matrix and membrane polarity influences

Several previous studies have demonstrated that mammary epithelial cells from pregnant mice retain their differentiated characteristics and their secretory potential in culture only when maintained on stromal collagen gels floated in the culture medium. The cellular basis for these culture requirements was investigated by the monitoring of milk protein synthesis and polarized secretion from the mouse mammary epithelial cell line, COMMA-1-D. Experiments were directed towards gaining an understanding of the possible roles of cell-extracellular matrix interactions and the requirements for meeting polarity needs of the epithelium. When cells are cultured on floating collagen gels they assemble a basal lamina-like structure composed of laminin, collagen (IV), and heparan sulfate proteoglycan at the interface of the cells with the stromal collagen. To assess the role of these components, an exogenous basement membrane containing these molecules was generated using the mouse endodermal cell line, PFHR-9. This matrix was isolated as a thin sheet attached to the culture dish, and mammary cells were then plated onto it. It was found that cultures on attached PFHR-9 matrices expressed slightly higher levels of beta-casein than did cells on plastic tissue culture dishes, and also accumulated a large number of fat droplets. However, the level of beta-casein was approximately fourfold lower than that in cultures on floating collagen gels. Moreover, the beta-casein made in cells on attached matrices was not secreted but was instead rapidly degraded intracellularly. If, however, the PFHR-9 matrices with attached cells were floated in the culture medium, beta-casein expression became equivalent to that in cells cultured on floating stromal collagen gels, and the casein was also secreted into the medium. The possibility that floatation of the cultures was necessary to allow access to the basolateral surface of cells was tested by culturing cells on nitrocellulose filters in Millicell (Millipore Corp., Bedford, MA) chambers. These chambers permit the monolayers to interact with the medium and its complement of hormones and growth factors through the basal cell surface. Significantly, under these conditions alpha 1-, alpha 2-, and beta-casein synthesis was equivalent to that in cells on floating gels and matrices, and, additionally, the caseins were actively secreted. Similar results were obtained independently of whether or not the filters were coated with matrices.(ABSTRACT TRUNCATED AT 400 WORDS)

Tissue tropism and temporal expression of Rous sarcoma virus in embryonic avian limb in ovo

Embryonic avian tissue is resistant to the transforming potential of Rous sarcoma virus (RSV) in ovo. Analysis of the pattern of host-viral interactions in the first semester of chick development has demonstrated that RSV is first expressed in a limited population of muscle precursor cells and proceeds to spread throughout the developing dorsal and ventral limb musculature. The number of non-muscle cells participating in the infection is initially low but gradually increases as development continues. The data show that RSV infection in ovo is both compatible with the process of differentiation and the maintenance of the differentiated state of the limb. The kinetics of viral spreading and competence for transformation are developmentally regulated in the embryo. The contrasting properties of embryonic cells in ovo as compared with those of the adult provide an opportunity for evaluating host related regulatory factors that are of significance to the expression of viral transforming function.

Objective evaluation of clinical performance and correlation with knowledge

In certifying competence of anesthesiologists who have finished residency training, knowledge and judgment are evaluated objectively using written and oral examinations. Clinical motor skills, however, are not routinely assessed by objective techniques. This implicitly assumes that knowledge and judgment correlate with performance of motor skills. This study was designed to evaluate whether performance of a particular motor skill correlates with performance on a knowledge test related to that skill. To do this, we developed a criterion-referenced Spinal Anesthesia Skill Test and a knowledge test using multiple-choice questions related to spinal anesthesia. Both the skill and knowledge tests were administered to 44 residents at various levels of training at five major anesthesia teaching programs. Scores on the skill test were significantly higher than in the knowledge test, suggesting that proficiency in this essential motor skill is achieved earlier in training. There was no correlation between scores on the skill test and knowledge test. There were institution-linked differences in the scores on the skill test, suggesting that teaching of motor skills is not uniform. The advantages of developing criteria of performance of motor skills is discussed.

Radiosensitisation of cells in vitro with misonidazole: dependence on endogenous sulphydryl

The radiosensitisation conferred upon hypoxic mammalian cells by misonidazole can be reduced by the addition of exogenous sulphydryl compounds and enhanced by the diminution of endogenous non-protein sulphydryl compounds (NPSH). A similar enhancement of the effect of misonidazole has been demonstrated in bacteria which are genetically low in NPSH. In the experiments reported here, the radiosensitising ability of various concentrations of misonidazole on anoxic populations of a single strain of mammalian cells, containing different amounts of NPSH, has been measured. At misonidazole concentrations of 3mM and less, about twice as much misonidazole was required to confer the same degree of radiosensitisation on the cells which contained a high concentration of NPSH as was needed for cells which contained half the amount of NPSH. At these concentrations, misonidazole did not deplete endogenous NPSH. 5mM misonidazole conferred the same enhancement of sensitivity in both high- and low-NPSH-containing cells. The oxygen enhancement ratio, and extrapolation number of the survival curves, for cells irradiated without misonidazole were not affected by the variation in NPSH.

A comparison for use in radiotherapy of neutron beams generated with 16 and 42 MeV deuterons on beryllium

The physical and radiobiological properties of two neutron beams have been compared. The beams were generated by deuterons of 16 MeV at Hammersmith Hospital and 42 MeV at Harwell, in both cases falling on a Be/Cu target. The dose-rate and depth-dose characteristics at the higher energy were found to be superior to those at the lower energy. Collimation and shielding at the higher energy are facilitated by the greater degree of forward-peaking and by the fact that a higher dose-rate allows longer collimators to be used. Attenuation in iron was found to be similar at the two energies. The radiobiological properties of the two neutron beams are very similar. There is a difference of about 20 per cent in RBE for effects on mammalian tissues for doses between 300 and 2,000 rad of neutrons. The OER and the sparing effect of two large fractions are the same for the two beams.

Independence of the radiobiological oxygen constant, K, and the respiration rate of mammalian cells

The radiosensitivity, and the radiobiological oxygen-constant K for mouse Ehrlich ascites cells depend on the pre-irradiation growth conditions. Measurements of the oxygen-consumption rate of cells grown by different methods have been made to ascertain whether the differences in radiobiological properties could be associated with different rates of respiration. Inhibition of respiration by sodium amytal had no significant effect on either the radiosensitivity or the estimate of K.