Combination chemotherapy-radiotherapy with and without the methanol-extraction residue of Bacillus Calmette-Guerin (MER) in small cell carcinoma of the lung: a prospective randomized trial of the Piedmont Oncology Association

The effect of addition of the nonspecific immunostimulant, MER, to combined treatment with chemotherapy and radiotherapy in small cell carcinoma of the lung was evaluated in a prospective randomized trial involving 102 evaluable patients. Chemotherapy consisted of cyclophosphamide, Adriamycin, vincristine, methotrexate, and CCNU; and radiotherapy was administered to the primary lesion, mediastinum, supraclavicular areas, and whole brain. Of 47 patients administered MER 400 mcg intradermally every six weeks, 12 (26%) attained complete remission with a median survival of 22.9 months. Complete remission was observed in 17 (31%) of 55 patients who received no MER with a median survival of 20.0 months (P greater than 0.05). Survival greater than or equal to 2 years has been observed in five patients who received MER and two patients who did not receive MER. The response rate and duration, survival, and toxicity of the two treatment arms were similar with the exception of cutaneous and occasional systemic reaction to MER. MER as used in this study has not influenced the overall results of a combined modality treatment program for patients with small cell carcinoma of the lung.

A Vibrio cholerae infection in a transient teamster

An illness indistinguishable clinically from classical cholera but caused by a non-cholera vibrio occurred in an over-the-road truck driver. The infecting organism was not finally identified as Vibrio cholera, Smith serotype 113 toxin positive, until 4 weeks after his hospital discharge. Hospital laboratories in most parts of the United States are unlikely to identify Vibrio cholerae in stool cultures unless specifically requested to do so. If one recognizes the chronic cholera carriers have been documented, that small epidemics do occur in unlikely places, and the lack of evidence that toxigenic V. cholerae 01 differs from toxigenic V. cholerae non-01 in these two respects, then the potential for epidemics in the United States is real.

Double-blind comparative clinical trial of pimozide and chlorpromazine in mania. A test of the dopamine hypothesis

Pimozide (PMZ), a relatively specific dopamine (DA) receptor blocking drug, was compared to chlorpromazine (CPZ) in a double-blind, between-patient clinical trial in mania. The trial lasted 14 days. Twenty-three patients who fulfilled Feighner's criteria for mania entered the trial (one patient entering on two separate occasions). Both drugs led to clinical improvement, with a significant effect being noted within 24 hours. According to one of the two rating scales used, initial improvement was greater with chlorpromazine, probably due to its greater sedative effect. By 7 days both drugs were equally effective. Sedative side effects were more frequent in patients on CPZ; extrapyramidal side effects were more frequent with PMZ. The finding that the relatively specific DA receptor blocking drug PMZ was as effective as CPZ in the treatment of mania is consistent with the view that hyperactivity of central DA pathways is involved in the pathogenesis of this condition.

Physiological significance of benzo(alpha)pyrene adsorbed to carbon blacks: elution studies, AHH determinations

Desorption of benzo(alpha)pyrene from commercial carbon blacks by tissue fluids in vitro is compared to arylhydrocarbon hydroxylase induction in mice at three levels of carbon black exposure. Less than 0.005% of the adsorbed benzo(alpha)pyrene content determined by soxhlet extraction in toluene is eluted by human plasma, swine serum, swine lung homogenate and swine lung washings. Statistically significant differences in elution efficiency are observed by the various tissue fluids and carbon blacks. There is no detectable increase in AHH level in mouse lung or liver tissues even at the highest carbon black exposure and consumption rate of 1g/g bdywt/year.

A fluorescent derivative of ribosomal protein S18 which permits direct observation of messenger RNA binding

70 S Escherichia coli ribosomes were reacted with the fluorescent dye N-(iodoacetylaminoethyl)-5-naphthylamine-1-sulfonic acid for 10 min under mild conditions. The resulting ribosomes were fully active. 30 S subunits isolated from these particles were also fully active. They contain approximately 0.7 eq of fluorescent dye. Nearly all of it is attached to protein S18. Competitive reaction with N-ethylmaleimide implies that the fluorescent dye is located at cysteine 10 of the protein. The labeled 30 S particles will recombine with 50 S subunits to form stable 70 S particles. Thus the procedures we have developed allow the large scale preparation of an active fluorescent conjugate of the 70 S ribosome. The fluorescence of the 70 S particles is sensitive to the binding of mRNA, showing both quenching and a shift in emission spectra. Thus it affords a simple way to quantitate mRNA binding directly. In pilot studies without tRNA, the binding constant of the initiation triplet codon adenylyl-(3' leads to 5')-uridylyl-(3' leads to 5')-guanosine to 70 S ribosome was found to be an order of magnitude larger than that of polyuridylic acid.

Some morphological aspects of the synaptonemal complex in higher plants

The synaptonemal complex is illustrated in electron micrographs from pollen mother cells (p.m.cs) of the following plants: Fritillaria lanceolata, Allium fistulosum, Tulbaghia violacea, Luzula purpurea, Phaedranassa viridiflora and the tulip cultivar Keiserkroon. The possibility that the lateral elements in synaptonemal complexes of plants are tubiform structures is discussed in relation to their fine structure and in the light of a deformity seen in them. An assessment of the evidence suggesting that both lateral and central elements in the complex are ribonucleoprotein structures is made. The effect of brief water treatment on the chromatin and synaptonemal complex at zygotene in p.m.cs of the Phaedranassa is discussed, particularly with reference to two precisely oriented axial strands then seen running between the lateral elements. Examination of stages of premeiotic interphase and early leptotene in p.m.cs of the Fritillaria, revealed that the axial cores laid down at leptotene are formed first in heterochromatic regions, which in this species are locked in chromocentres that persist until pachytene. Further, at leptotene the chromatin in these parts was singularly more decondensed (diffuse) than at any other period, including the premeiotic interphase, subsequent stages of meiosis and mitotic cycle in meristems. It is suggested that the diffuse state of the chromatin in chromocentres at the onset of leptotene, allows the necessary freedom of movement required to promote homologous pairing of the heterochromatic segments. Evidence of such a movement was indicated by a change in position of the nucleoli, which moved from a more central position at early premeiotic interphase to a peripheral one at the onset of leptotene, when they are seen adpressed to the nuclear envelope.

Conditioned narcotic withdrawal in humans

Subjective and physiological manifestations of the narcotic withdrawal syndrome were produced as a conditioned response. Withdrawal reactions precipitated by the narcotic antagonist naloxone in methadone-dependent volunteers were the unconditioned response. These data support clinical anecdotes of withdrawal symptoms occurring in former addicts when they return to their drug-related environment.

The nucleolus at prophase of meiosis in three plants: an ultrastructural study

The nucleolus and nucleolar organizing region have been studied with the electron microscope in respect of (a) the fine structure of the nucleolar organizer during zygotene in pollen mother cells ofPhaedranassa viridiflora, as compared with that seen in interphase nuclei of ovary wall and tapetum of this plant; (b) in relation to premature dissolution of the nucleolus at zygotene in pollen mother cells of an F1 hybrid ofLilium aureliensis×Lilium henryiand the hybrid lily ‘Formobel’; (c) in respect of pseudonucleoli found in association with the nucleolus in pollen mother cells of all three plants. In the pollen mother cells of thePhaedranassa, as distinct from a simple arrangement of intranucleolar chromatin observed in the nucleoli in interphase nuclei of tapetum and ovary wall, the organizer is shown to consist of rounded electron-opaque filamentous aggregations about 40-50 nm in diameter, joined by a fine filament seemingly as in a string of beads, and, toward the periphery of the nucleolus, arranged equidistant from each other in columns originating from the organizing chromosomes. Within the core of the nucleolus the aggregations, though still joined, were widely dispersed and contained within lacunae. Axial cores were closely aligned with the organizer, but the completion of the synaptonemal complex in the organizing region was apparently delayed. The premature dissolution of the nucleoli in the pollen mother cells of the two lilies led to a displacement of their characteristic zones: the peripheral particulate zones were dispersed and the weakly staining organizing region became external to therelicnucleolar cores. The relegated organizing regions, fringed lightly at the sides by chromatin, invariably contained 1-2 rounded areas comprised of fine filaments with an electron opacity equivalent to that of the coarser fibrils in the chromatin of the organizing chromosomes to which they were seen to be joined. These rounded skeins are tentatively assumed to represent the withdrawn organizers. No synaptonemal complexes or relics of its components were observed in the organizing regions. Round bodies (pseudonucleoli) with a maximum observed incidence of 2 per nucleus inPhaedranassaand 1 per nucleus in the lilies were frequently seen. They were either totally enclosed within the nucleolus, as was usually the rule in the former, or partly engulfed by it as in the latter. They were composed of filaments about 25 nm wide and their diameter ranged between 0.6-2.5 μm. Their close association with the nucleolus and confinement to meiosis, suggests that they are formed on the nucleolar chromosomes at loci close to the nucleolar organizer, which may be metabolically active only at prophase of meiosis. Various aspects concerning the nucleolar organizing region and organizer are discussed in the light of the present observations.

The synaptinemal complex in Rhoeo spathacea

The synaptinemal complex in meiocytes of Rhoeo spathacea is described. Unpaired zygotene chromosomes do not exhibit well defined axial cores under the ordinary fixations of electron microscopy and appear diffuse. However, the axial core is defined by ethanolic phosphotungstic acid (PTA) although it does not respond to uranyl-EDTA-lead. Thus the core appears to contain histone but not RNA and presents a condition which is modified later in pairing when lateral elements of the synaptinemal complex respond positively to both tests. The total number of attachments of synaptinemal complexes to the nuclear envelope was determined in several nuclei from serial sections. Eleven of the twelve possible attachments were found in one nucleus. It thus seems certain that all must be so attached. In the same manner all chromosomes can be seen to have an attachment to a chromocentre. Chromocentres are often very large and compound in that two kinds of heterochromatin can be distinguished. These states of chromatin within the chromocentre are considered to be a function of the degree of condensation. Segments of synaptinemal complexes are distributed randomly through sections of pachytene nuclei and long uncoiled segments of complexes are frequently found in or near the centres of median nuclear sections. Synaptinemal complexes are also found in chromocentres. Our findings suggest that on completion of pairing, which begins distally, homologous chromosomes in Rhoeo are paired throughout their entire lengths, rather than in small terminal segments only.

Nuclear pores at prophase of meiosis in plants

Nuclear pores have been studied with the electron microscope in thin sections of pollen mother cells at early- to mid-meiotic prophase ( a ) in respect of distribution, ( b ) in relation to fine structure in the pore complex in the following plants: Fritillaria lanceolata, Phaedranassa viridijlora, Tulbaghia violacea , an F 1 hybrid of Allium fisultosum x Allium cepa and the lily var. 'Formobel'. In all plants from leptotene to pachytene, the pores were irregularly spread over the envelope in random clusters of variable size encircled by areas in which they did not occur. Further proof was obtained from the lily for the premise that pores are not formed in regions of the envelope to which the nucleolus is adpressed at leptotene. The fine structure of the pore complex observed supports a model which proposes that annuli are composed of three rings of eight granular subunits. Most pores contained a central granule ranging from 25 to 30 nm in diameter composed of amorphous substance and filaments about 3 nm wide, apparently continuous with filaments of similar dimensions in the symmetrical annular subunits that encircle the orifice at both the nuclear and cytoplasmic sides of the pore. The pore complex and central granule were relatively more stable to osmotic shock than the ribosomal region of the nucleolus. Recent ideas concerning the role of the annulus and central granule in nucleocytoplasmic transfer of ribonucleoprotein and assembly of polyribosomes are discussed.

Fine Structure and Staining Behaviour of Heterochromatic Segments in Two Plants

With the use of the light and electron microscopes, the chromosomes of Fritillaria lanceolata and Scilla sibirica are shown to differ in respect of the heterochromatin they contain. In root meristems of the former, the heterochromatic regions (H-segments) were recognizable at all phases of the mitotic cycle by their slighter opacity to electrons than that of euchromatic parts. This was due both to less tight packing of the chromatin fibrils and lower opacity of the fibrils themselves, even though both had the same diameter, about 3 nm.

In root tips of the Scilla, the heterochromatin was invariably of similar opacity to euchromatin and thus only recognizable at telophase and interphase as large chromocentres. The opacity to electrons in the heterochromatin of the 2 species, was at all times closely paralleled by the staining behaviour seen with the light microscope in sections (0.07-0.5 µm in thickness) stained with toluidine blue.

The disparity in the Fritillaria, as seen in sections with the light microscope, in respect of the stainability of the hetero- and euchromatin, was masked in Feulgen squash preparations of root tips from plants grown at 18-20 °C; at metaphase by the thickness of the chromosomes and at interphase by the density of the chromocentres. When, on the other hand, the plants were grown for 4 days at 2 °C, the masking effect of thickness was circumvented in metaphase chromosomes by differential super-contraction in euchromatin.

The implications of these findings in respect to previous interpretations of the differential reactivity of H-segments to low temperature, as well as the phenomenon of enhanced and reduced fluorescence in these segments with fluorochromes are discussed.

Chromocentres and The Synaptinemal Complex

The 1-4 chromocentres seen in nuclei of Fritillaria lanceolata, which derive from fusion of heterochromatic segments situated proximal to the centromere in all but two of the 24 chromosomes, were studied with the electron microscope in thin sections of pollen mother cells at zygotene and pachytene, in respect of the synaptinemal complex. Prophase stages of meiosis in two plants were also surveyed briefly with the light microscope.

The latter observations revealed that the timing of the separation of heterochromatic segments from chromocentres is genetically controlled. In one plant the segments were still contained in chromocentres at pachytene, whereas in the other they were free at zygotene. At this time they could be identified by a near-surface position in the nucleus and an even condensation concomitant with an absence of chromomeres.

In thin section, the fine structure of the chromocentres in zygotene nuclei was distinctive in that the chromatin fibrils were less condensed and more widely dispersed than those in euchromatic regions. The fibrillar network was also interspersed with ‘clear areas’ or channels. After further chromosome condensation, the condensation of fibrils in the chromocentres became equivalent at pachytene to those in euchromatic regions.

Synaptinemal complexes were seen at zygotene and pachytene both in euchromatic regions and chromocentres. Their presence in the chromocentres signifies that homologous chromosomes must have been closely paired in regions extending from the centromeres to the distal ends of the heterochromatic segments already at telophase of the last pre-meiotic mitosis.

Configurations involving entangled pairs of axial cores, peculiar to zygotene and chromocentres and parts of euchromatic regions proximal to them, are interpreted as resulting from restricted movement.