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Rosen GJ, O'Bryant EL, Swender D, Wade J. Fiber Type Composition of the Muscle Responsible for Throat Fan Extension in Green Anole Lizards. BRAIN, BEHAVIOR AND EVOLUTION 2004; 64:34-41. [PMID: 15051965 DOI: 10.1159/000077541] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/12/2003] [Accepted: 12/01/2003] [Indexed: 11/19/2022]
Abstract
Throat fan (dewlap) extension is sexually dimorphic in green anole lizards (Anolis carolinensis). Males have larger dewlaps which they display more frequently than females. Correlated with the behavior, sexual dimorphisms occur in the skeletal, muscular and neural structures responsible for dewlap extension in green anoles. We used histochemical techniques to stain for myosin ATPase and succinate dehydrogenase (SDH) to determine whether sex differences also exist in fiber type composition of the ceratohyoideus, the muscle that extends the dewlap. Based on the staining pattern for the two enzymes, four fiber types were identified: fast-oxidative-glycolytic (FOG), fast-glycolytic (FG), slow-oxidative (SO), and tonic. In the ceratohyoideus of both sexes, the predominate fiber types were FOG (approximately 43%) and FG (approximately 34%). Also in both males and females, the FOG and FG fibers had approximately twice the cross-sectional area of the SO and tonic fibers. No sex differences occurred in the percentages of FOG and FG fibers. However, males had a greater percentage of tonic fibers than females, whereas females had a greater percentage of SO fibers than males. The high proportion of FOG fibers in the anole ceratohyoideus makes it similar to other relatively fatigue-resistant muscles used in movements of moderate speed and duration. Although the precise role of tonic fibers in dewlap extension is not known, the greater percentage of these fibers in the male ceratohyoideus might be required to stabilize or maintain extension of the large dewlap apparatus in males.
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Sorror M, Maris M, Sandmaier B, Jain-Stuart M, Storer B, Hegenbart U, McSweeney P, Chauncey T, Bruno B, Wade J, Agura E, Pulsipher M, Leis J, Little MT, Niederwieser D, Blume K, Storb R, Maloney D. Treatment of patients (pts) with chemotherapy-refractory chronic lymphocytic leukemia (CLL) with nonmyeloablative (NM) conditioning and hematopoietic cell transplantation (HCT) from HLA-matched related (MRD) or unrelated donors (URD). Biol Blood Marrow Transplant 2004. [DOI: 10.1016/j.bbmt.2003.12.107] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Chen CS, Boeckh M, Seidel K, Clark JG, Kansu E, Madtes DK, Wagner JL, Witherspoon RP, Anasetti C, Appelbaum FR, Bensinger WI, Deeg HJ, Martin PJ, Sanders JE, Storb R, Storek J, Wade J, Siadak M, Flowers MED, Sullivan KM. Incidence, risk factors, and mortality from pneumonia developing late after hematopoietic stem cell transplantation. Bone Marrow Transplant 2003; 32:515-22. [PMID: 12942099 DOI: 10.1038/sj.bmt.1704162] [Citation(s) in RCA: 80] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The incidence, etiology, outcome, and risk factors for developing pneumonia late after hematopoietic stem cell transplantation (SCT) were investigated in 1359 patients transplanted in Seattle. A total of 341 patients (25% of the cohort) developed at least one pneumonic episode. No microbial or tissue diagnosis (ie clinical pneumonia) was established in 197 patients (58% of first pneumonia cases). Among the remaining 144 patients, established etiologies included 33 viral (10%), 31 bacterial (9%), 25 idiopathic pneumonia syndrome (IPS, 7%), 20 multiple organisms (6%), 19 fungal (6%), and 16 Pneumocystis carinii pneumonia (PCP) (5%). The overall cumulative incidence of first pneumonia at 4 years after discharge home was 31%. The cumulative incidences of pneumonia according to donor type at 1 and 4 years after discharge home were 13 and 18% (autologous/syngeneic), 22 and 34% (HLA-matched related), and 26 and 39% (mismatched related/unrelated), respectively. Multivariate analysis of factors associated with development of late pneumonia after allografting were increasing patient age (RR 0.5 for <20 years, 1.2 for >40 years, P=0.009), donor HLA-mismatch (RR 1.6 for unrelated/mismatched related, P=0.01), and chronic graft-versus-host disease (GVHD; RR 1.5, P=0.007). Our data suggest that extension of PCP prophylaxis may be beneficial in high-risk autograft recipients. Further study of long-term anti-infective prophylaxis based on patient risk factors after SCT appear warranted.
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Wade J, Rolando N, Philpott-Howard J, Wendon J. Timing and aetiology of bacterial infections in a liver intensive care unit. J Hosp Infect 2003; 53:144-6. [PMID: 12586576 DOI: 10.1053/jhin.2002.1363] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/14/2023]
Abstract
We undertook a prospective study of 887 consecutive adult patients admitted over an 11 year period to a liver intensive care unit. One or more bacterial infections occurred in 335 (37.8%) patients. Gram-positive cocci predominated. In relation to the date of admission these infections occurred in a statistically significant sequence. Streptococci infections were earliest (median time to infection two days), followed by Staphylococcus aureus (three days), coagulase-negative staphylococci (six days) and enterococci (eight days). Escherichia coli infections occurred earlier than those due to klebsiella-enterobacter (two vs seven days; P = 0.0001) and, overall, Enterobacteriaceae earlier than non-fermentative Gram-negatives (four vs. eight days; P = 0.0081). This study contributes to the management of high-dependency patients by confirming statistically the timing and sequence of infecting bacteria in patients with acute liver failure.
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O'Bryant EL, Wade J. Development of a sexually dimorphic neuromuscular system involved in green anole courtship behavior. BRAIN, BEHAVIOR AND EVOLUTION 2002; 58:362-9. [PMID: 12016355 DOI: 10.1159/000057577] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
During courtship and aggression, adult male green anoles (Anolis carolinensis) extend a large red throat fan called a dewlap. Adult females have a very small dewlap; they rarely use it during agonistic encounters and never during courtship. The motoneurons, nerve, muscle fibers, neuromuscular junctions, and cartilage pieces responsible for dewlap extension are all larger in adult males than females, parallel to the behavioral dimorphisms. However, the general developmental pattern of these structures, and when they become sexually dimorphic, was largely unknown. In the present study, we examined the length of the 2nd ceratobranchial cartilages (which unfold the dewlap), muscle fiber size, nerve cross-sectional area, and motoneuron soma size, as well as measures of body size (snout-vent length and body weight) at post-hatching days 1, 30, 60, 75, and 90. All measures other than motoneuron soma size increased over time. However, only cartilage length and muscle fiber size became sexually dimorphic in the first three months after hatching. The cartilage was greater in males than females by d60, and muscle fiber size differentiated by d75. The results indicate that peripheral structures involved in dewlap extension differentiate prior to those in the brain and thus, because males and females in this age range are identical in size, dewlap (cartilage) size could be a relatively specific factor contributing to the sexual differentiation of the rest of the neuromuscular system.
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Kamoshita A, Wade J, Ali L, Pathan S, Zhang J, Sarkarung S, Nguyen T. Mapping QTLs for root morphology of a rice population adapted to rainfed lowland conditions. TAG. THEORETICAL AND APPLIED GENETICS. THEORETISCHE UND ANGEWANDTE GENETIK 2002; 104:880-893. [PMID: 12582650 DOI: 10.1007/s00122-001-0837-5] [Citation(s) in RCA: 50] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/19/2001] [Accepted: 08/09/2001] [Indexed: 05/22/2023]
Abstract
In the rainfed lowlands, rice ( Oryza sativa L.) develops roots under anaerobic soil conditions with ponded water, prior to exposure to water stress and aerobic soil conditions that arise later in the season. Constitutive root system development in anaerobic soil conditions has been reported to have a positive effect on subsequent expression of adaptive root traits and water extraction during progressive water stress in aerobic soil conditions. We examined quantitative trait loci (QTLs) for constitutive root morphology traits using a mapping population derived from a cross between two rice lines which were well-adapted to rainfed lowland conditions. The effects of phenotyping environment and genetic background on QTLs identification were examined by comparing the experimental data with published results from four other populations. One hundred and eighty-four recombinant inbred lines (RILs) from a lowland indica cross (IR58821/IR52561) were grown under anaerobic conditions in two experiments. Seven traits, categorized into three groups (shoot biomass, deep root morphology, root thickness) were measured during the tillering stage. Though parental lines showed consistent differences in shoot biomass and root morphology traits across the two seasons, genotype-by-environment interaction (GxE) and QTL-by-environment interaction were significant among the progeny. Two, twelve, and eight QTLs for shoot biomass, deep root morphology, and root thickness, respectively, were identified, with LOD scores ranging from 2.0 to 12.8. Phenotypic variation explained by a single QTL ranged from 6% to 30%. Only two QTLs for deep root morphology, in RG256-RG151 in chromosome 2 and in PC75M3-PC11M4 in chromosome 4, were identified in both experiments. Comparison of positions of QTLs across five mapping populations (the current population plus populations from four other studies) revealed that these two QTLs for deep root morphology were only identified in populations that were phenotyped under anaerobic conditions. Fourteen and nine chromosome regions overlapped across different populations as putative QTLs for deep root morphology and root thickness, respectively. PC41M2-PC173M5 in chromosome 2 was identified as an interval that had QTLs for deep root morphology in four mapping populations. The PC75M3-PC11M4 interval in chromosome 4 was identified as a QTL for root thickness in three mapping populations with phenotypic variation explained by a single QTL consistently as large as 20-30%. Three QTLs for deep root morphology were found only in japonica/indica populations but not in IR58821/IR52561. The results identifying chromosome regions that had putative QTLs for deep root morphology and root thickness over different mapping populations indicate potential for marker-assisted selection for these traits.
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Brockstein B, Samuels B, Humerickhouse R, Arietta R, Fishkin P, Wade J, Sosman J, Vokes EE. Phase II studies of bryostatin-1 in patients with advanced sarcoma and advanced head and neck cancer. Invest New Drugs 2002; 19:249-54. [PMID: 11561683 DOI: 10.1023/a:1010628903248] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
BACKGROUND Bryostatin 1 is a marine derived macrolactone with antineoplastic activity modulated through protein kinase C, and with good activity in in vitro and in vivo models. There are few drugs that offer palliation for metastatic soft-tissue sarcoma and head and neck cancer, and drugs with new mechanisms of action warrant detailed disease specific study. PATIENTS AND METHODS Two phase II studies for patients with incurable soft tissue sarcoma (12), or head and neck cancer (12) were conducted. Patients were treated with bryostatin, 120 mg/m2/72 hours every 2 weeks for 3 cycles prior to re-evaluation. Most patients had received prior chemotherapy. RESULTS No patients had objective responses to therapy. Six patients had brief periods of disease stabilization. Toxicity was generally mild, with myalgia being prominent (n=8). Hyponatremia, not previously described, occurred in 5 patients. The mechanism of this toxicity was unclear. CONCLUSIONS Bryosytatin 1 given as a single agent for advanced adult soft tissue sarcoma and head and neck cancer is inactive. Myalgia and hyponatremia were the predominant toxicities.
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Rosen G, O'Bryant E, Matthews J, Zacharewski T, Wade J. Distribution of androgen receptor mRNA expression and immunoreactivity in the brain of the green anole lizard. J Neuroendocrinol 2002; 14:19-28. [PMID: 11903809 DOI: 10.1046/j.0007-1331.2001.00735.x] [Citation(s) in RCA: 54] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Male courtship and copulation are androgen dependent in the green anole lizard, and female receptivity can be facilitated by testosterone. However, only a few, and relatively large, regions in the brain have been implicated in the control of these behaviours. In situ hybridization and immunohistochemistry were therefore used to determine in detail where androgens are likely to act in the brains of breeding males and females. A 697-bp fragment of the anole androgen receptor (AR) was cloned from total RNA isolated from the kidney, which contains the highly androgen-sensitive renal sex segment. The cloned fragment spanned part of the C, the entire D, and part of the E domains, and shared a high degree of similarity with the AR of various species. 35S-labelled antisense and sense probes were generated from the 697-bp fragment for use in in situ hybridization, and the AR antibody PG-21 was used for immunohistochemistry. Both sexes consistently had AR mRNA expression and immunoreactivity in areas associated with vertebrate reproductive behaviours and in motor areas of the brainstem. Interestingly, the PG-21 antibody produced labelling in both the nucleus and cytoplasm, including neuronal processes. The distribution of mRNA and immunoreactivity were comparable in males and females, and the amount of labelling was generally similar, although slightly greater in females. The expression pattern of AR in this species supports the idea that distribution is highly conserved among vertebrates, but that it probably does not dictate behavioural differences between the sexes in anoles.
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Lovern MB, Wade J. Maternal plasma and egg yolk testosterone concentrations during embryonic development in green anoles (Anolis carolinensis). Gen Comp Endocrinol 2001; 124:226-35. [PMID: 11703087 DOI: 10.1006/gcen.2001.7704] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Sex steroids of presumably maternal origin have been found in avian, crocodilian, and chelonian egg yolks, and they can affect offspring morphology and behavior. The present study reports testosterone (T) levels to which embryos are potentially exposed in the green anole (Anolis carolinensis), a lizard with genotypic sex determination. We documented plasma and yolk T concentrations in adult females, in their developing follicles and eggs, and in freshly oviposited and incubating eggs. Plasma T was higher in reproductively active than in reproductively inactive females. Within reproductively active females, those with a single, large yolking follicle had higher plasma T than those that had one or more shelling, oviductal eggs. Individual females contributed different amounts of T to their yolks, but within females, more mature follicles or eggs consistently had higher yolk T concentrations than did less mature follicles or eggs. Similar to previous research, yolk T concentrations at oviposition were higher in male eggs than in female eggs. However, T levels during incubation did not differ by embryo sex, but rather increased in both male and female eggs. These results suggest that T plays a role in the reproductive physiology of females and potentially in the phenotypic development of their offspring. Furthermore, whereas the yolk T increase observed during follicular maturation is clearly a maternal influence, it remains unclear whether that observed during egg development (i.e., postfertilization) results from a lack of T uptake by the embryo as yolk is absorbed, from embryonic production of T that diffuses into the yolk, or from some combination of these processes. Because lizard embryos are comparatively well developed at oviposition, the assumption that yolk steroids are strictly of maternal origin may require modification, and the possibility that embryos are modulating their own steroid environment needs to be explored.
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Wade J, Petheram B, Cain R. Voice recognition and aphasia: can computers understand aphasic speech? Disabil Rehabil 2001; 23:604-13. [PMID: 11697458 DOI: 10.1080/09638280110044932] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
PURPOSE This preliminary investigation of the use of voice recognition software by people with aphasia presents a new method of training the software, which allows the aphasic user to by-pass the linguistically demanding standard training. It examines how accurately voice recognition software performed with aphasic speech and language as compared to that of control subjects. METHOD Five non-impaired controls and six participants with aphasia used a vocabulary of 50 words and 24 phrases to train the software over a maximum of five sessions. For the people with aphasia baseline assessments provided a profile of speech and language impairment. Measures of software accuracy were taken for all subjects at baseline and after four subsequent training sessions, for both single word and phrase level dictation. RESULTS Word level production resulted in similar accuracy levels for both groups. Phrase level production showed greater accuracy levels than single word level production for both aphasics and controls, but participants with greater speech difficulties had lower software accuracy scores. CONCLUSIONS Training the software on a specific vocabulary allows people to access it whose speech and language difficulties would otherwise have prevented them. Findings are discussed in relation to use of the software as a dictation tool and as an input device to therapy software.
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Abstract
Zebra finches have emerged as an outstanding model system for the investigation of the mechanisms regulating brain and behavior. Their song system has proven especially useful, as the function of discrete anatomical regions have been identified, and striking parallels exist between the morphology of these regions and the level of their function in males and females. That is, the structures are substantially more developed in males, who sing, compared to females, who do not. These parallels extend from higher (telencephalic) centers to the brainstem motor nucleus that innervates the muscles of the vocal organ. Other dimorphic aspects of reproduction in the zebra finch, such as copulatory behaviors and sexual partner preference, however, are not associated with known sex differences in anatomy. In many species, sex differences in neural and peripheral structures and behavior are regulated by secretions from the gonads, which of course are sexually dimorphic themselves. In birds, sex differences at all of these levels (gonad, brain, and behavior) can be mediated by steroid hormones. However, it is not entirely clear that gonadal secretions normally participate at all of the levels. This paper reviews the evidence relating to the role of gonadal steroids in the sexual differentiation of reproductive behaviors and the central and peripheral structures known to regulate them in zebra finches, with a focus on estradiol, which has been most extensively studied in the masculinization of song system morphology and function.
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Millikan R, Baez L, Banerjee T, Wade J, Edwards K, Winn R, Smith TL, Logothetis C. Randomized phase 2 trial of ketoconazole and ketoconazole/doxorubicin in androgen independent prostate cancer. Urol Oncol 2001; 6:111-115. [PMID: 11344001 DOI: 10.1016/s1078-1439(00)00123-x] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Eighty-nine patients with progressive prostate cancer despite suppression of testosterone and withdrawal of anti-androgens were studied. This was a relatively advanced population, with 63 of 89 having either osseous metastases (mets) beyond the axial skeleton or visceral mets. Patients were randomly assigned to receive either ketoconazole alone, or ketoconazole with weekly doxorubicin. All patients received replacement hydrocortisone. The primary endpoints were response and survival. Based on PSA reduction criteria (>/= 80% maintained for at least 8 weeks), 14 of 45 patients (31%) in the single-agent ketoconazole arm responded. Sixteen of 44 patients (36%) in the combination ketoconazole/doxorubicin arm responded. There were no important differences between the two treatments in any outcome measure. The median overall survival for all patients was 12.5 months; median time to progression was 3.3 months. Toxicity was significant with both regimens, and more severe in the doxorubicin arm. Fully 20% of patients in each arm discontinued therapy due to intolerable side effects.Each of these regimens is toxic, and produced responses in fewer than half of treated patients. Although the observed median survival does compare favorably with reports from similar cohorts treated in the community, the potential benefit is only modest. In our view, neither of these regimens is sufficiently promising to justify phase 3 evaluation.
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Rosen GJ, Wade J. Androgen metabolism in the brain of the green anole lizard (Anolis carolinensis): effects of sex and season. Gen Comp Endocrinol 2001; 122:40-7. [PMID: 11352552 DOI: 10.1006/gcen.2001.7616] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Courtship behavior in male green anoles is partly mediated by the 5alpha-reductase enzyme, which converts testosterone (T) to 5alpha-dihydrotestosterone. This study aimed to determine whether the activity of 5alpha-reductase is enhanced in breeding males compared to females and nonbreeding males who do not normally display masculine behaviors. In some cases, aromatase, which converts T to 17beta-estradiol, also was assessed to determine whether the pattern of its activity in anoles is similar to that in other vertebrates. 5alpha-Reductase is greatest in the brainstem, so its activity was determined separately in homogenates of whole brain and brainstems. The following comparisons were done in different assays: (1) breeding males with breeding females, (2) nonbreeding males with nonbreeding females, and (3) breeding males with nonbreeding males. Aromatase activity was greater in breeding males (mean +/- SE, 0.61 +/- 0.06 fmol/min/mg protein) than in breeding females (0.41 +/- 0.08 fmol/min/mg protein). It was also greater in breeding males (0.84 +/- 0.16 fmol/min/mg protein) than in nonbreeding males (0.33 +/- 0.07 fmol/min/mg protein). In contrast, sex or seasonal differences did not exist in 5alpha-reductase activity. The results are consistent with those of other vertebrate species in which male-biased sex dimorphisms and seasonal differences occur in aromatase, but not in 5alpha-reductase activity. The greater levels of aromatase activity in breeding male anoles suggest that this enzyme might mediate male-specific functions. The equivalently high levels of 5alpha-reductase activity in both sexes suggests that, in addition to facilitating male courtship behavior, the enzyme has a basic function common to both sexes.
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Flowers ME, Leisenring W, Beach K, Riddell S, Radich JP, Higano CS, Rowley SD, Chauncey TR, Sanders JE, Anasetti C, Storb R, Wade J, Appelbaum FR, Martin P. Granulocyte colony-stimulating factor given to donors before apheresis does not prevent aplasia in patients treated with donor leukocyte infusion for recurrent chronic myeloid leukemia after bone marrow transplantation. Biol Blood Marrow Transplant 2001; 6:321-6. [PMID: 10905769 DOI: 10.1016/s1083-8791(00)70057-7] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
We conducted 2 sequential studies of donor leukocyte infusion (DLI) in 26 patients with chronic myeloid leukemia in hematologic relapse after unmodified allogeneic bone marrow transplantation. In the first study, cells for DLI were collected from 13 donors who were not treated with granulocyte colony-stimulating factor (G-CSF) (group 1). In the second study, cells were collected from 13 donors who received G-CSF before apheresis (group 2) in an attempt to avoid aplasia after DLI. Patients in group 2 received 550-fold more CD34+ cells than those in group 1. We found no significant difference in the incidence (31% versus 22%), onset time (41 vs. 48 days), or duration (15 vs. 14 days) of cytopenia after DLI in the 2 groups. G-CSF given to donors before collection of cells did not prevent aplasia. These findings support the hypothesis that the pathogenesis of aplasia after DLI is not restricted to the destruction of recipient hematopoietic cells but also involves failure of donor hematopoiesis by undefined mechanisms.
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MESH Headings
- Adolescent
- Adult
- Anemia, Aplastic/etiology
- Anemia, Aplastic/prevention & control
- Biomarkers, Tumor/analysis
- Blood Component Removal
- Blood Donors
- Bone Marrow Transplantation
- Child
- Combined Modality Therapy
- Female
- Fusion Proteins, bcr-abl/blood
- Graft Rejection
- Graft vs Host Disease/etiology
- Granulocyte Colony-Stimulating Factor/administration & dosage
- Granulocyte Colony-Stimulating Factor/therapeutic use
- Hematopoietic Stem Cell Mobilization
- Hematopoietic Stem Cell Transplantation
- Humans
- Interferon-alpha/therapeutic use
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive/blood
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive/therapy
- Leukocyte Transfusion/adverse effects
- Male
- Middle Aged
- Neoplasm Proteins/blood
- Premedication
- Recurrence
- Salvage Therapy
- Treatment Outcome
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Abstract
Previous research in the zebra finch, a socially monogamous pair-bonding species, suggests that the preference for opposite-sex partners may arise in part through the organizing actions of sex steroids. To further investigate this process, zebra finch eggs were injected with 20 microg fadrozole, a potent estrogen synthesis inhibitor, or with the saline vehicle on embryonic day 5. As adults they were given two-choice sexual partner preference tests followed by group aviary tests. Fadrozole females had masculinized beak color and had testes or ovotestes instead of ovaries. Males were not affected by fadrozole; they did not differ from controls on any measure. In contrast, sexual partner preference was substantially masculinized in fadrozole females in the group aviary tests. Untreated males given a choice between fadrozole and untreated females preferred the untreated females, but this was equally the case when they were given a choice between saline-treated and untreated females. These results suggest that males do not specifically avoid females with testes and that male avoidance is unlikely to explain why fadrozole-treated females pair with other females. The present data add to the evidence that actions of gonadal steroids during development contribute to adult sex differences in partner preference in this pair-bonding species. Furthermore, because fadrozole-treated females do not produce audible song, the mechanisms regulating partner preference and song system development are dissociated.
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Abstract
As the Earth's metallic core segregated from the silicate mantle, some of the moderately siderophile ('iron-loving') elements such as vanadium and chromium are thought to have entered the metal phase, thus causing the observed depletions of these elements in the silicate part of the Earth. In contrast, refractory 'lithophile' elements such as calcium, scandium and the rare-earth elements are known to be present in the same proportions in the silicate portion of the Earth as in the chondritic meteorites-thought to represent primitive planetary material. Hence these lithophile elements apparently did not enter the core. Niobium has always been considered to be lithophile and refractory yet it has been observed to be depleted relative to other elements of the same type in the crust and upper mantle. This observation has been used to infer the existence of hidden niobium-rich reservoirs in the Earth's deep mantle. Here we show, however, that niobium and vanadium partition in virtually identical fashion between liquid metal and liquid silicate at high pressure. Thus, if a significant fraction of the Earth's vanadium entered the core (as is thought), then so has a similar fraction of its niobium, and no hidden reservoir need be sought in the Earth's deep mantle.
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Verma A, Dhawan A, Philpott-Howard J, Rela M, Heaton N, Vergani GM, Wade J. Glycopeptide-resistant Enterococcus faecium infections in paediatric liver transplant recipients: safety and clinical efficacy of quinupristin/dalfopristin. J Antimicrob Chemother 2001; 47:105-8. [PMID: 11152440 DOI: 10.1093/jac/47.1.105] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
We describe our experience of quinupristin/dalfopristin for glycopeptide-resistant Enterococcus faecium (GREF) infections in 19 paediatric liver transplant recipients. The median patient age was 2 years and all were receiving immunosuppressive regimens. Quinupristin/dalfopristin was well tolerated and complete resolution of infection was seen in 74% of patients. Side-effects included reversible elevation of serum alkaline phosphatase, skin rash, itching, diarrhoea and vomiting, but therapy was not withdrawn from any patient. Quinupristin/dalfopristin appears safe and efficacious in critically ill immunocompromised children with renal or hepatic impairment.
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Cunningham S, McColm JR, Wade J, Sedowofia K, McIntosh N, Fleck B. A novel model of retinopathy of prematurity simulating preterm oxygen variability in the rat. Invest Ophthalmol Vis Sci 2000; 41:4275-80. [PMID: 11095626] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/18/2023] Open
Abstract
PURPOSE To examine changes in the retinal vasculature of rat pups after 14 days of minute-by-minute small variations in oxygen. METHODS Arterial oxygen data from a preterm infant who developed severe retinopathy of prematurity (ROP) was translated to equivalent values for the rat. Newborn rat pups were raised for 14 days in a cage in which a computer controlled the atmosphere to mimic the fluctuating oxygen profile (group V). Positive controls (P) of 12-hour cycles of 80% and 21% were run concurrently, as were room air controls (C). All were killed at day 14. RESULTS Groups V and P had significantly larger avascular retinal areas than C [median, interquartile range (IQR) 1.7%, 0-7.9%; 10%, 8.1-13%; 0%, 0-0%, respectively; each group n = 30]. Group P had a higher capillary branch count than C (median, IQR: 310/mm(2); 253-311 mm(2); versus 277/mm(2), 272-364/mm(2), respectively), but this was not significant using a multilevel analysis. Group V had significantly reduced capillary counts compared with C (median, 261/mm(2); IQR, 215-290/mm(2); P < 0.05 multilevel analysis). No neovascularization was seen in any group, though abnormal terminal vessels were seen at the avascular/vascular retina interface in 73% of rats in group P and 21% of rats in group V. In situ hybridization on serial sections demonstrated VEGF in the inner nuclear layer of the retina in P and V, whereas C showed trace levels only. CONCLUSIONS The vaso-obliterative stage of ROP can be induced in rats using clinically relevant oxygen levels.
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Rolando N, Clapperton M, Wade J, Wendon J. Administering granulocyte colony-stimulating factor to acute liver failure patients corrects neutrophil defects. Eur J Gastroenterol Hepatol 2000; 12:1323-8. [PMID: 11192322 DOI: 10.1097/00042737-200012120-00010] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
OBJECTIVES Neutrophil function is defective in acute liver failure (ALF) and the in vitro ability of granulocyte colony-stimulating factor (G-CSF) to reverse these defects has been reported. The effects of administering G-CSF to ALF patients are presented in this study. DESIGN This was a prospective, phase I/II, open label, study. SETTING The liver intensive therapy unit at King's College Hospital, London. PARTICIPANTS Sequential patients admitted with acute liver failure due to acetaminophen overdose. INTERVENTIONS G-CSF was given to four groups (each n = 6) of ALF patients as a daily infusion at 25, 50, 100 or 150 microg/m2. A control group of eight patients did not receive G-CSF. MAIN OUTCOME MEASURES Neutrophil phagocytosis and killing of Staphylococcus aureus and superoxide release before G-CSF administration and at 24 and 96 h thereafter. RESULTS Neutrophils from patients receiving 50, 100 or 150 microg/m2 G-CSF, but not from control patients or those receiving 25 microg/m2, showed significantly increased phagocytosis and killing at 96 h. Doses of 50 or 150 microg/m2 G-CSF resulted in increased superoxide production at 96 h. No patients discontinued treatment as a consequence of side effects related to G-CSF administration. CONCLUSIONS G-CSF administration is a safe and effective means of reversing the neutrophil defects of ALF, and may have a role in the prevention and treatment of infection in these patients. A dose of 50 microg/m2/day is as effective as higher doses and was associated with fewer side effects.
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Valet P, Grujic D, Wade J, Ito M, Zingaretti MC, Soloveva V, Ross SR, Graves RA, Cinti S, Lafontan M, Lowell BB. Expression of human alpha 2-adrenergic receptors in adipose tissue of beta 3-adrenergic receptor-deficient mice promotes diet-induced obesity. J Biol Chem 2000; 275:34797-802. [PMID: 10948198 DOI: 10.1074/jbc.m005210200] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Catecholamines play an important role in controlling white adipose tissue function and development. beta- and alpha 2-adrenergic receptors (ARs) couple positively and negatively, respectively, to adenylyl cyclase and are co-expressed in human adipocytes. Previous studies have demonstrated increased adipocyte alpha 2/beta-AR balance in obesity, and it has been proposed that increased alpha 2-ARs in adipose tissue with or without decreased beta-ARs may contribute mechanistically to the development of increased fat mass. To critically test this hypothesis, adipocyte alpha 2/beta-AR balance was genetically manipulated in mice. Human alpha 2A-ARs were transgenically expressed in the adipose tissue of mice that were either homozygous (-/-) or heterozygous (+/-) for a disrupted beta 3-AR allele. Mice expressing alpha 2-ARs in fat, in the absence of beta 3-ARs (beta 3-AR -/- background), developed high fat diet-induced obesity. Strikingly, this effect was due entirely to adipocyte hyperplasia and required the presence of alpha2-ARs, the absence of beta 3-ARs, and a high fat diet. Of note, obese alpha 2-transgenic beta 3 -/- mice failed to develop insulin resistance, which may reflect the fact that expanded fat mass was due to adipocyte hyperplasia and not adipocyte hypertrophy. In summary, we have demonstrated that increased alpha 2/beta-AR balance in adipocytes promotes obesity by stimulating adipocyte hyperplasia. This study also demonstrates one way in which two genes (alpha 2 and beta 3-AR) and diet interact to influence fat mass.
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Wade J, Buhlman L. Lateralization and effects of adult androgen in a sexually dimorphic neuromuscular system controlling song in zebra finches. J Comp Neurol 2000; 426:154-64. [PMID: 10980490] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
Unlike many other sexually dimorphic systems, gonadal secretions do not explain sex differences in the morphology of the telencephalic song control nuclei of zebra finches. It is important to understand whether a novel mechanism for controlling structure is restricted to the forebrain regions specialized for song, and whether other areas respond more typically to gonadal steroids. Therefore, the effects of sex and adult androgen manipulation on the neuromuscular end of the song control system (tracheosyringeal portion of the hypoglossal nucleus, nXIIts, and the syrinx, or vocal organ) were investigated. Because lesion and axotomy experiments indicate a right-side bias in the functional control of song, asymmetry in the motor nucleus and in the ventralis and dorsalis syrinx muscles was also tested. Male-biased dimorphisms existed in the volume of nXIIts, and in syrinx mass and size of muscle fibers, but not in motoneuron number or size. Asymmetries favoring the right side were detected in nXIIts volume and motoneuron number in males, as well as in ventralis and dorsalis fiber size in both sexes. Hormone manipulations had no effect on nXIIts size, neuron size, or number. Testosterone treatment of adult females increased all of the syringeal measures, but the only effect of flutamide in males was to decrease syrinx weight. Thus, male-biased sexual dimorphisms and right side dominance in both nXIIts and the syrinx may facilitate singing behavior. Adult androgen exposure can induce partial masculinization of the syrinx, but other factors must be important in mediating the sex differences in both that structure and the volume of nXIIts.
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Wade J. Sexual dimorphisms in the brainstem of the green anole lizard. BRAIN, BEHAVIOR AND EVOLUTION 2000; 52:46-54. [PMID: 9667808 DOI: 10.1159/000006551] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Male green anoles (Anolis carolinensis) court females by extending a bright red throat fan, called a dewlap. The dewlap is larger in males than in females who do not display the structure in the context of courtship. The ceratohyoid muscle and second ceratobranchial cartilage which control dewlap extension are significantly larger in male than in female anoles. Neurons innervating the ceratohyoid muscle were retrogradely labeled by injecting the muscle with fast blue and were found to be located in the vagal portion of nucleus ambiguus (Amb X), as well as in the region containing the glossopharyngeal portion of nucleus ambiguus (Amb IX) and the ventral portion of the motor nucleus of the facial nerve (nVIImv). Cells in both areas were larger in males than in females. These parallels between structure and function provide the opportunity to study mechanisms of sexual differentiation of brain and behavior.
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Rolando N, Wade J, Davalos M, Wendon J, Philpott-Howard J, Williams R. The systemic inflammatory response syndrome in acute liver failure. Hepatology 2000; 32:734-9. [PMID: 11003617 DOI: 10.1053/jhep.2000.17687] [Citation(s) in RCA: 481] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
The systemic inflammatory response syndrome (SIRS) in acute liver failure (ALF), in which infection is common, has not been studied. In this study, SIRS components were recorded on admission and during episodes of infection, in 887 ALF patients admitted to a single center during an 11-year period. Overall, 504 (56.8%) patients manifested a SIRS during their illness, with a maximum of 1, 2, and 3 concurrent SIRS components in 166, 238, and 100 patients, respectively. In 353 (39.8%) patients who did not become infected, a SIRS on admission was associated with a more critical illness, subsequent worsening of encephalopathy, and death. Infected patients more often developed a SIRS and one of greater magnitude. The magnitude of the SIRS in 273 patients with bacterial infection correlated with mortality, being 16.7%, 28.4%, 41.2%, and 64.7% in patients with 0, 1, 2, and 3 maximum concurrent SIRS components, respectively. Similar correlations with mortality were seen for SIRS associated with fungal infection, bacteremia, and bacterial chest infection. Fifty-nine percent of patients with severe sepsis died, as did 98% of those with septic shock. A significant association was found between progressive encephalopathy and infection. Infected patients with progressive encephalopathy manifested more SIRS components than other infected patients. For patients with a SIRS, the proportions of infected and noninfected patients manifesting worsening encephalopathy were similar. In ALF, the SIRS, whether or not precipitated by infection, appears to be implicated in the progression of encephalopathy, reducing the chances of transplantation and conferring a poorer prognosis.
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Rolando N, Clapperton M, Wade J, Panetsos G, Mufti G, Williams R. Granulocyte colony-stimulating factor improves function of neutrophils from patients with acute liver failure. Eur J Gastroenterol Hepatol 2000; 12:1135-40. [PMID: 11057460 DOI: 10.1097/00042737-200012100-00011] [Citation(s) in RCA: 34] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To evaluate the in vitro effects of granulocyte colony-stimulating factor (G-CSF) on function of neutrophils in acute liver failure (ALF). METHODS Neutrophil functions (superoxide and hydrogen peroxide production; phagocytosis and killing; complement receptor expression) were determined simultaneously in 23 patients with ALF due to paracetamol overdose and compared with 23 healthy control subjects. RESULTS Phagocytosis was reduced in neutrophils from ALF patients compared to controls (P< 0.005) and was significantly increased by incubation with 1,000 or 5,000 IU/ ml G-CSF (P< 0.05). This correlated with increased expression of CD11b (r= 0.93) and CD18 (r= 0.98) after incubation with 5,000 IU/ml G-CSF (P< 0.05). Killing was reduced in ALF neutrophils compared to controls (P< 0.005) and was similarly restored by G-CSF (P< 0.005). An increase in killing correlated with increases in production of superoxide (r = 0.96) and hydrogen peroxide (r= 0.97) by ALF neutrophils after incubation with 1,000 and 5,000 IU/ml of G-CSF when formylmethionylleucylphenylalanine (fMLP) was the stimulant. G-CSF at 5,000 IU/ml increased the production of hydrogen peroxide (P< 0.01) when zymosan was the stimulant. CONCLUSIONS G-CSF improves the neutrophil dysfunction of ALF.
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Wade J. Sexual dimorphisms in avian and reptilian courtship: two systems that do not play by mammalian rules. BRAIN, BEHAVIOR AND EVOLUTION 2000; 54:15-27. [PMID: 10516401 DOI: 10.1159/000006608] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Sexual dimorphisms in the central nervous system exist in numerous vertebrate species, and in many cases these structural differences between males and females parallel differences in the display of reproductive behaviors. Often both the behavioral and anatomical differences are controlled by exposure to gonadal steroid hormones, either during ontogeny or in adulthood. This article reviews some of the evidence supporting the hypothesis that in mammals, testosterone or its metabolites regulate the structure and function of neural and muscle systems involved in the control of masculine sexual behaviors. It then describes data suggesting that the mechanisms regulating sexually dimorphic courtship systems in zebra finches and green anole lizards are not completely parallel to the mammalian systems. Finally, some directions for future study are suggested, with the hope that they will stimulate thought about the nature of comparisons made across vertebrate models when investigators are attempting to determine both which morphological sex differences are important to the control of the reproductive behaviors, and which mechanisms regulating both structure and function are widely employed or are unique.
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