Increased VIP and decreased GnRH expression in photorefractory dark-eyed juncos (Junco hyemalis)

Most temperate zone birds show dramatic seasonal cycles in responsiveness to light. In the spring the hypothalamo-pituitary-gonadal axis of photosensitive birds is stimulated by long days. In the late summer birds no longer respond to long days, their gonads regress, and they are said to be photorefractory. After several weeks of refractoriness birds regain photosensitivity. During refractoriness circulating concentrations of luteinizing hormone are low and prolactin levels are high. These fluctuations in peripheral hormones result from changes in the brain rather than in the pituitary and/or the gonads. In the present study we examined seasonal changes in expression of vasoactive-intestinal polypeptide (VIP) and gonadotropin-releasing hormone (GnRH) in the brain of dark-eyed juncos (Junco hyemalis). Birds were photosensitive and exposed to long photoperiod (20:4 LD) for 1 day, 45-60 days, or not at all, or they were photorefractory (housed in 20:4 LD). The results indicate that VIP expression was similar in all photosensitive birds. However, photorefractory birds had significantly higher numbers of VIP-positive neurons in the infundibulum compared to photosensitive birds. The number of GnRH-positive neurons in the preoptic area was significantly lower in photorefractory birds and significantly higher in long-term photostimulated birds. These results indicate that the inverse relationship between circulating prolactin (released by VIP) and luteinizing hormone (released by GnRH) during refractoriness may result from neural changes in VIP and GnRH expression, respectively.

Comparison of maternal serum lipids before and during parturition

OBJECTIVE

To investigate peripartum progesterone metabolism by measuring its lipid precursors.

METHODS

Serum was collected from eight pregnant women not in labor during the third trimester and again during active labor. Samples were analyzed using quantitative spectrophotometric absorbance techniques for apolipoprotein A-1, high-density lipoprotein cholesterol (HDL), and total cholesterol.

RESULTS

Remote from labor, the mean gestational age antepartum was 35.6 weeks; during active labor it was 39.2 weeks. The amount of apolipoprotein A-1 present was 182.0 mg/dL before labor and 156.8 mg/dL during active labor; HDL cholesterol was 59.3 mg/dL before labor and 37.5 mg/dL during active labor, and total cholesterol was 226.6 mg/dL before labor and 144.1 mg/dL during active labor. All differences were significant at P < .05.

CONCLUSION

Maternal serum lipids associated with progesterone metabolism appear to decrease in the peripartum period. Progesterone metabolism and parturition may be correlated with these lipid changes, thus identifying patients about to enter labor.

Reproductive behavior, endocrine state, and the distribution of GnRH-like immunoreactive mast cells in dove brain

Previous studies indicate that there is an increase in the number of detectable mast cells expressing gonadotropin-releasing hormone-like immunoreactivity (GnRH-ir) in the medial habenular region of the brain in ring doves after a period of 2 hr of courtship. In the present experiment the overall distribution of GnRH-ir mast cells in the brain is described, and the influence of behavioral and endocrine state on brain mast cell distribution and detectable mast cell number is explored. Four groups of male birds were studied: (1) paired with a female and displaying courtship behavior, (2) paired with a squab and displaying aggressive behavior, (3) visually isolated from other doves, and (4) long-term castrates housed communally. In all four groups, GnRH-ir mast cells were observed in the following areas: the medial habenula, circumventricular organs, organum vasculosum lamina terminalis and organum subseptale, the pia mater, and blood vessels. Cell counting revealed differences among groups in numbers of habenular mast cells. Courted doves had the most habenular mast cells, followed by doves paired with squabs, and then visually isolated doves, while castrates had the fewest. One-way ANOVA indicates significant differences among groups. All pairwise comparisons show that the courting animals had significantly more detectable mast cells in the habenular area than did visually isolated and castrated groups. These results suggest that the appearance and/or detectability of GnRH-ir mast cells in the habenula is related to the behavioral state and possibly to the endocrine state of the animal and suggest a novel mechanism for interactions among the nervous, endocrine, and immune systems.

Heavy water lengthens the period of free-running rhythms in lesioned hamsters bearing SCN grafts

Heavy water (D2O) lengthens the period of free-running circadian rhythms in most organisms. We compared the effect of D2O on free-running locomotor activity rhythms in intact and SCN-lesioned (SCN-X) hamsters that had recovered circadian rhythmicity following implantation of SCN grafts. The animals were housed individually in cages equipped with running wheels, and locomotor activity was monitored using a computer-based data acquisition system. At the end of the behavioral tests, animals were anesthetized and perfused. Brain sections were immunostained for vasoactive intestinal peptide (VIP) and vasopressin (VP) to evaluate the extent of the lesion and the presence of a functional graft. The D2O similarly lengthened the period of free-running activity without affecting amount of activity in both intact and in SCN-X grafted animals. The results indicate that D2O acts directly on the SCN to lengthen the free-running period, and suggest that coupling between pacemakers within the grafted SCN is as efficient as in the intact SCN.

Lithium lengthens the period of circadian rhythms in lesioned hamsters bearing SCN grafts

Lithium lengthens the free-running period of circadian rhythms in a wide variety of organisms. The object of the present study was to examine the effects of lithium treatment on free-running activity rhythms in suprachiasmatic nuclei lesioned (SCN-X) hamsters that had recovered circadian rhythmicity following transplantation of fetal anterior hypothalamic grafts containing the suprachiasmatic nuclei (SCN). The animals were housed individually in cages equipped with running wheels, and locomotor activity was monitored using a computer-based data acquisition system. At the end of the behavioral tests, animals were anesthetized and perfused. Brain sections were immunostained for vasoactive intestinal peptide (VIP) and vasopressin-associated neurophysin (NP) to evaluate the extent of the lesion and the presence of a functional graft. In both intact and in SCN-X grafted animals, lithium lengthened the period of free running activity without affecting the amount of activity or the precision of the rhythm.

Identification of BCR/ABL-negative primitive hematopoietic progenitor cells within chronic myeloid leukemia marrow

Chronic myeloid leukemia (CML) is a malignant disorder of the hematopoietic stem cell. It has been shown that normal stem cells coexist with malignant stem cells in the bone marrow of patients with chronic-phase CML. To characterize the primitive hematopoietic progenitor cells within CML marrow, CD34+DR- and CD34+DR+ cells were isolated using centrifugal elutriation, monoclonal antibody labeling, and flow cytometric cell sorting. Polymerase chain reaction analysis of RNA samples from these CD34+ subpopulations was used to detect the presence of the BCR/ABL translocation characteristic of CML. The CD34+DR+ subpopulation contained BCR/ABL(+) cells in 11 of 12 marrow samples studied, whereas the CD34+DR- subpopulation contained BCR/ABL(+) cells in 6 of 9 CML marrow specimens. These cell populations were assayed for hematopoietic progenitor cells, and individual hematopoietic colonies were analyzed by PCR for their BCR/ABL status. Results from six patients showed that nearly half of the myeloid colonies cloned from CD34+DR- cells were BCR/ABL(+), although the CD34+DR- subpopulation contained significantly fewer BCR/ABL(+) progenitor cells than either low-density bone marrow (LDBM) or the CD34+DR+ fraction. These CD34+ cells were also used to establish stromal cell-free long-term bone marrow cultures to assess the BCR/ABL status of hematopoietic stem cells within these CML marrow populations. After 28 days in culture, three of five cultures initiated with CD34+DR- cells produced BCR/ABL(-) cells. By contrast, only one of eight cultures initiated with CD34+DR+ cells were BCR/ABL(-) after 28 days. These results indicate that the CD34+DR- subpopulation of CML marrow still contains leukemic progenitor cells, although to a lesser extent than either LDBM or CD34+DR+ cells.

Age of donor influences ability of suprachiasmatic nucleus grafts to restore circadian rhythmicity

Previous studies have shown a high (80-90%) rate of restoration of circadian rhythmicity in suprachiasmatic nucleus (SCN)-lesioned adult hamsters given anterior hypothalamic tissue containing the SCN taken from fetal day 13-15 donors. In the present experiments we explored the influence of age of donor on morphological and functional characteristics of the SCN graft, using tissue taken from animals at postnatal day 1, 3, 5, 7 and 10. Grafts taken from older donors tend to reach a smaller overall final size than those from younger donors, and are more likely to contain isolated, medium sized NP-positive neurons. The rate of restoration of locomotor rhythmicity following transplantation of postnatal day (PN) 1 grafts is as high as that of embryonic grafts. By PN 3, the rate of restoration falls to about 50%, and grafts of PN 7 and 10 do not restore function. As in the case of fetal grafts, there is a strong correlation between the ability of a graft to restore locomotor rhythmicity, and the presence of a cluster of vasoactive intestinal peptide (VIP) and neurophysin (NP) cells characteristic of the intact SCN within the graft. Since the period of neurogenesis for the hamster SCN occurs between day 10.5 and day 13 postfertilization, the results indicate that the SCN can be transplanted successfully well beyond the period of neurogenesis.

Gonadal hormones determine sex differences in timing of incubation by doves

Male and female ring doves express a sexually dimorphic pattern of incubation. The dimorphism is temporal rather than motoric. The male incubates for a block of time in the middle of the day and the female incubates the rest of the time. The present study explored the role of gonadal hormones in the control of the temporal dimorphism. Female-female pairs incubated their eggs, but it could not be predicted which of the partners would be sitting on the nest at any given time. Male-male pairs did not incubate and instead destroyed the nests that were provided and displayed aggressive behavior. Some intact males incubated when paired with gonadectomized males, although the castrates tended to ignore the nest. In contrast, when castrated birds were given heterotypical hormonal replacement therapy, they and their same-sex partners incubated the eggs that had been provided, with the gonadectomized birds sitting at a time appropriate to the hormonal state. The results indicate that gonadal hormones influence not only the expression of incubation behavior, but also its phase and duration.

Operant and Pavlovian contributions to the ontogeny of pecking in ring doves

This series of experiments analyzes the role of learning in the development of pecking in ring dove squab. Experiment 1 showed that there is a high probability that parents will feed squab after a period of separation (Experiment 1). Such feedings may have been essential for producing the previous observation (Graf, Balsam, & Silver, 1985) that pecking develops normally if squab which have been separated from their parents are given a daily 20-min interaction with seed followed by an immediate return to their parents. Experiment 2 showed that exposure to seed followed by experimenter-provided feedings were sufficient for inducing adult pecking levels. Experiment 3 showed that general experience with conspecifics was not necessary for the development of pecking and that maturation alone could not account for the pecking observed in previous experiments. Experiment 4 showed that Pavlovian contingencies consisting of visual exposure to seed followed by feeding was sufficient to induce high levels of pecking. There did not appear to be an additional contribution of an operant contingency present when squab were allowed to both see and peck at seed prior to feedings in Experiment 5. However, squab must actually be given experience in handling and ingesting seeds before adult levels of pecking can be obtained. These results are discussed in terms of the developmental pathways whereby experience leads to adult behavior.

Sexual behavior triggers the appearance of non-neuronal cells containing gonadotropin-releasing hormone-like immunoreactivity

Gonadotropin-releasing hormone (GnRH) regulates the secretion of pituitary gonadotropins and facilitates the display of sexual behavior. We report that in doves, following a brief period of courtship, non-neuronal cells containing GnRH-like immunoreactivity (ir) are seen in the habenula of both male and female doves. These cells appear to be translocated from either the cerebrospinal fluid or from capillaries in the pia or choroid plexus into the parenchyma of the brain. Immunoreactive cells are virtually absent in the habenula in control animals housed alone. The identity of the ir cells that enter the habenula is unknown but they would appear to be of either the macrophage or the mast cell lineage. Both of these blood-derived cells have heterochromatic nuclei and irregular cell surfaces with many filamentous processes, as do the GnRH-ir cells. The vacuolated granules of the ir cells could be indicative of mast cell degranulation or of endocytic vesicles of a phagocytosing cell. These data suggest that there is a population of cells within the habenula that are of similar size and morphology to the GnRH-ir ceils and are metachromatic when stained with toluidine blue. The latter is a property of heparin-containing mast cells. Lineage specific markers that permit a double-label study will be required to determine the exact nature of the GnRH-ir cells. Whatever their lineage, the translocation of non-neuronal cells into the undamaged adult central nervous system has not been described previously, and may provide a means of delivering biologically active substances into specific brain regions.

Neither triazolam nor activity phase advance circadian locomotor activity in SCN-lesioned hamsters bearing fetal SCN transplants

Both triazolam (Tz) and exercise can phase advance free-running locomotor activity rhythms in intact hamsters. Furthermore, Tz increases activity at the time of injection, and this appears to be the mechanism whereby Tz produces phase shifts. This study tested the phase-shifting effect of Tz in SCN-lesioned (SCN-X) hamsters that had regained circadian rhythms of locomotor activity after transplantation of fetal SCN into the third ventricle. The results indicate that in both groups, increases in locomotor activity are seen at the time of Tz injection, and most intact animals, but no grafted animals show a phase advance in response to Tz administration. Given that hamsters bearing SCN grafts have limited neural connections between the host brain and transplanted SCN tissue, the results suggest that a site outside the SCN, with afferents to these nuclei, mediates the phase-shifting effect of Tz and of exercise.

Tracing SCN graft efferents with Dil

The suprachiasmatic nuclei (SCN) regulate circadian rhythmicity in many biological and behavioral responses. Hamsters are made permanently arrhythmic by bilateral destruction of the SCN. Circadian locomotor rhythmicity is restored by fetal tissue transplants placed in the 3rd ventricle (3V). If intact animals are implanted with fetal SCN grafts, they maintain locomotor activity rhythms when the host SCN are subsequently destroyed. The mechanism(s) whereby the SCN (either grafted or in situ) regulate locomotor rhythmicity is not known. Evidence from other graft models point to the possibility of efferents to appropriate targets in the host. In the present study, efferent connections of transplanted fetal SCN were examined using the carbocyanine dye, Dil. Intact or SCN-lesioned animals were sacrificed 7 or 40 days after receiving fetal SCN grafts into 3V. Dil crystals were placed on the grafts in fixed brains which were then incubated for 3-6 weeks before sectioning. Sections bearing Dil-labelled efferents from the graft were photographed and then stained for immunoreactive VIP and NP cells to locate donor SCN. Although labelled efferents were observed in a majority of the grafts, most were confined to the limits of the graft. The few labelled efferents that entered the host tissue when the graft seemed to merge with the host did not extend very far regardless of whether the graft contained immunohistochemical evidence for donor SCN or not. The observation of limited graft-host connectivity suggests either that a limited number of efferents is sufficient to support circadian locomotor rhythmicity, or that the mechanism mediating restoration of function entails a diffusible substance.

Circadian locomotor rhythms, but not photoperiodic responses, survive surgical isolation of the SCN in hamsters

Surgical isolation of the suprachiasmatic nuclei (SCN) within a hypothalamic island is reported to produce loss of circadian rhythmicity. The results have been interpreted to indicate that SCN efferents are necessary for the expression of circadian rhythms. It is not clear, however, whether the loss of circadian rhythms in behavioral responses following SCN isolation is attributable to transection of efferents, to loss of cells within the island, or to gliosis produced by the knife cut. To explore this issue, we examined locomotor activity and gonadal state of male golden hamsters housed in constant darkness (DD, with a dim red light for maintenance) for at least 10 weeks following isolation of the SCN from the rest of the brain by cuts by means of a Halasz wire microknife. Brain sections were immunocytochemically stained for the peptides vasoactive intestinal polypeptide (VIP), vasopressin (VP) or neurophysin II (NP II), and neuropeptide Y (NPY) to localize the SCN and to assess its viability, and for glial fibrillary acidic protein (GFAP) to delimit the border of the knife cut. Experimental animals with VIP and VP/NP II immunoreactivity in the SCN within the island retained free-running locomotor rhythms following transection of SCN efferents. Animals with cuts that failed to sever SCN efferents, and sham-operated animals (in which the Halasz knife was lowered but not rotated), also maintained circadian rhythmicity. Hamsters sustaining severe damage to the SCN showed disrupted locomotor activity. In those hamsters that retained circadian locomotor rhythmicity following SCN isolation, gonads failed to regress in DD, demonstrating the absence of an appropriate photoperiodic response. The results suggest a multiplicity of SCN coupling mechanisms in the control of circadian rhythms.

Time course of peptidergic expression in fetal suprachiasmatic nucleus transplanted into adult hamster

The time course of peptidergic expression in fetal suprachiasmatic nucleus (SCN) grafted into the third ventricle of adult hamsters was compared to SCN in situ in age-matched animals. Specifically, vasoactive intestinal polypeptide- (VIP), vasopressin- (VP) and neuropeptide Y- (NPY) like immunoreactivity in SCN was examined after transplantation into adult hosts on embryonic day 15 (E15) and in age-matched control SCN tissue. The results indicate that the grafted SCN expresses VIP by day 7-10, VP by day 10-16, and NPY by day 19-25 after transplantation. The SCN in situ expresses VIP by E14, VP by postnatal day 1 (P1), and NPY by P7. The transplantation procedure seems to produce a developmental regression or delay of a few days in detectable peptidergic expression in the SCN. The developmental delay seen in tissue implanted into the third ventricle is substantially less than that previously reported in SCN tissue implanted into the anterior chamber of the eye. The delay in peptidergic expression in transplanted SCN tissue may account, in part, for the delay in restoration of circadian locomotor rhythmicity following transplantation of SCN into lesioned adult hosts.

Dispersed cell suspensions of fetal SCN restore circadian rhythmicity in SCN-lesioned adult hamsters

Overt circadian rhythms are permanently disrupted following lesions of the suprachiasmatic nucleus (SCN) in hamsters. It has previously been demonstrated that whole tissue grafts which include the fetal SCN restore circadian locomotor rhythms to hamsters previously made arrhythmic by SCN lesions. In the present study, we ask whether the intrinsic peptidergic organization of the SCN is a prerequisite for functional recovery of circadian rhythms of locomotor activity. To this end, dispersed cell suspensions of [3H]thymidine-labelled fetal anterior hypothalamic tissue which contains the SCN, were injected stereotaxically into the brain of adult hamsters. Dispersed cell suspensions restored free-running locomotor rhythms, but not entrainment or gonadal regression. The period of the restored free-running rhythms following injections of SCN cell suspensions was shorter than 24 h, in contrast to intact hamsters and SCN-lesioned hamsters whose rhythms are restored by whole tissue grafts. In animals with restored rhythms, a majority of [3H]thymidine-labelled cells were located within nuclei of the midline thalamus and zona incerta. In a few individuals, donor cells were also deposited along the injection tract as far ventrally as the medial hypothalamus. Restoration of free-running locomotor rhythmicity was correlated with the presence of small numbers of isolated VIP cells along with small plexuses of VIP fibers. In animals which did not recover locomotor rhythmicity, grafts were identical in location and size to those in recovered hamsters, but did not contain peptidergic cells characteristic of the SCN. The results suggest that structural integrity of the fetal SCN is not necessary for restoration of rhythmicity after grafting.

Adrenal failure and the primary antiphospholipid syndrome

We describe a 32-year-old woman with the primary antiphospholipid syndrome given anticoagulation therapy for a second pulmonary embolus. During this therapy, she developed bilateral adrenal hemorrhage and adrenal insufficiency. We discuss the potential association between adrenal failure and the primary antiphospholipid syndrome, and briefly review anticoagulant induced adrenal hemorrhage.

Vasoactive intestinal polypeptide-like immunoreactivity during reproduction in doves: influence of experience and number of offspring

To assess the possibility that vasoactive intestinal polypeptide (VIP) plays a role in naturally occurring changes in prolactin secretion in ring doves, we used immunohistochemical techniques to measure VIP-like immunoreactivity in the brain as a function of stage of the reproductive cycle. Differences between parental and nonparental birds in VIP profiles were detected in the ventral portion of the infundibular region. More specifically, there is an increase in cell size and staining intensity in the ventral infundibulum of breeding birds compared to simultaneously processed tissue taken from control animals. In both sexes, an increase in size of VIP-like immunoreactive cells is detectable during courtship and early incubation, anticipating the increase in plasma prolactin levels. VIP cell size remains elevated from about Incubation Day 14 to Brooding Day 14, and a steady decrease is observed during the remaining posthatching period, as squab begin to feed independently. Compared to parents rearing one squab, those with two young have a prolonged interval of increased infundibular VIP immunoreactivity. Furthermore, doves with no previous experience of a breeding cycle exhibit prolonged VIP-like immunoreactivity compared to experienced parents, paralleling previously described differences between these groups in parental behavior.

Distribution of vasoactive intestinal peptide-like and neurophysin-like immunoreactive neurons and acetylcholinesterase staining in the ring dove hypothalamus with emphasis on the question of an avian suprachiasmatic nucleus

Two nuclei, termed here the medial hypothalamic nucleus and the lateral hypothalamic retinorecipient nucleus, are possible homologs of the mammalian suprachiasmatic nucleus. As the mammalian suprachiasmatic nucleus is characterized by a dense concentration of vasoactive intestinal peptide (VIP)- and neurophysin (NP)-immunoreactive neurons and an absence of acetylcholinesterase (AChE) staining, we decided to examine these factors in the ring dove hypothalamus. Neither the medial hypothalamic nucleus nor the lateral hypothalamic retinorecipient nucleus contained either VIP- or NP-like immunoreactive neurons. The lateral hypothalamic retinorecipient nucleus stained darkly for AChE. Although there was some overlap in the distribution of VIP- and NP-like immunoreactive neurons, a clustering of both types into a well defined nucleus was not observed. Therefore, an avian homolog to the mammalian suprachiasmatic nucleus must differ in its chemoarchitecture from that of mammalian species described to date.

A feasibility study of intensive CAF as outpatient adjuvant therapy for stage II breast cancer in a cooperative group: CALGB 8443

In preparation for a national Phase III study of dose and dose intensity in the treatment of node-positive, Stage II adenocarcinoma of the female breast, CALGB instituted a pilot study of intensive intravenous outpatient CAF (cyclophosphamide, Adriamycin, 5-fluorouracil) for four months. This study was designed to give full doses of drugs without dose reduction for hematologic toxicity. In order to evaluate the feasibility of physician and patient compliance with a potentially toxic therapy, a multi-institution pilot study was performed. This protocol demonstrated that a cooperative group could deliver toxic drug doses to outpatients with a median of 98% of cyclophosphamide, 97% of Adriamycin (doxorubicin), and 91% of 5-fluorouracil administered on schedule. Major side effects, as expected, were leukopenia, nausea, and vomiting. Disease-free survival is at least equivalent to that observed in previous studies.

Retinal projections in quail (Coturnix coturnix)

The trajectory of retinal projections and the location of retinorecipient nuclei in the quail brain was examined after application of horseradish peroxidase (HRP) either to the cut end of the optic nerve or following intraocular injection of HRP. Retinal projections to the hypothalamus, dorsalateral anterior thalamus (rostralateral part, magnocellular part, and lateral part), lateral anterior thalamus, lateroventral geniculate nucleus, lateral geniculate intercalated nuclei (rostral and caudal parts), ventrolateral thalamus, superficial synencephalic nucleus, external nucleus, tectal gray, diffuse pretectal area, pretectal optic area, ectomammillary nucleus, and optic tectum were revealed. Retinal projections observed in quail were compared with results obtained in other avian species and considered in relation to possible anatomic pathways underlying photoperiodism and circadian rhythms.

Retinohypothalamic projections and the suprachiasmatic nucleus in birds

Although many investigators have examined retinal projections in birds, there is uncertainty as to the location and identity of a retinorecipient nucleus in the hypothalamus of Aves. A direct retinohypothalamic projection to the medial hypothalamic suprachiasmatic nucleus in mammals is believed to play a role in the entrainment of circadian rhythms. A direct retinohypothalamic projection could subserve a similar function in birds. In the present experiment, horseradish peroxidase, injected intravitreously or applied to the cut optic nerve, consistently labeled a retinorecipient nucleus in the lateral hypothalamus in ringdoves, budgerigars, quails, starlings, and song sparrows, while a significant retinal input to a medial hypothalamic nucleus was absent in these species. These results are interpreted in the light of reports of two retinorecipient nuclei, one in the medial and the other in the lateral hypothalamus, in several classes of vertebrates.

The location of breakpoints within the breakpoint cluster region (bcr) of chromosome 22 in chronic myeloid leukemia

Rearrangement of the breakpoint cluster region (bcr) was demonstrated by Southern blot analysis in the DNA in each of 68 patients with Ph chromosome-positive CML and in 3 of 7 patients with apparent Ph chromosome-negative CML. In contrast, no bcr rearrangement could be found in DNA from 17 normal individuals and 28 patients with various hematologic disorders other than CML or ALL. An analysis of the location of the breakpoints within the bcr indicated that 3' breakpoints were significantly more common in patients in blast crisis or accelerated phase disease compared to those with chronic phase disease. Patients with chronic phase disease and 3' breakpoints had shorter average disease duration than that for chronic phase patients with 5' breakpoints, although the difference between these two groups of patients was not statistically significant. For patients who had progressed to accelerated disease or blast crisis, a statistically significant difference in chronic phase disease duration could be demonstrated between 11 patients with 3' breakpoints (average chronic phase 30.2 months) and 15 patients with 5' breakpoints (average chronic phase 50.6 months). For 8 patients studied in both chronic phase and accelerated or blast crisis, the location of the breakpoint did not change. We suggest that the bcr-abl fusion protein associated with a 3' breakpoint could result in more rapid progression to acute disease, and this may account for differences in the relative frequency of 3' and 5' breakpoints at different disease stages. Although more studies are required, identifying CML patients with a higher propensity for early blast transformation may eventually prove to be of some clinical value.

Coexpression of opsin- and VIP-like-immunoreactivity in CSF-contacting neurons of the avian brain

Cerebrospinal fluid-contacting (CSF) cells in both the septal and the tuberal areas in the brain of the ring dove are labeled by RET-P1, a monoclonal antibody to opsin that reacts with inner and outer segment membranes of rod photoreceptors in a variety of vertebrates. Immunoblot analysis of proteins from diverse brain regions, however, revealed bands of anti-RET-P1 immunoreactivity that did not correspond to opsin. Binding of RET-P1 to opsin-containing membranes, was not inhibited by membranes rich in muscarinic and beta-adrenergic receptor proteins (red blood cells, heart, lung) taken from doves. RET-P1-immunoreactive CSF-contacting cells emit a dendritic process that penetrates the ependyma and ends in a knob-like terminal suspended in the ventricle. These cells also possess other processes that penetrate more or less deeply into the neuropil. Additionally, a band of labeled fibers occurs in the external layer of the median eminence. A double-label technique demonstrated that RET-P1-positive cells coexpress VIP-like immunoreactivity. VIP-positive cells in other brain areas are not RET-P1-positive.

Clonal immunoglobulin gene rearrangements in chronic lymphocytic leukemia: a correlative study

Forty-two patients with chronic lymphocytic leukemia (CLL) were studied for immunoglobulin gene and T-cell receptor gene rearrangements. Immunoglobulin heavy chain gene rearrangements were demonstrable in 41 cases. One rearrangement of the T-cell receptor beta chain gene was detected. Quantification of the relative intensities of germline and rearranged DNA bands suggests that a significant component of the lymphocytosis may be due to cell populations other than the malignant clonal population, particularly in earlier stages of the disease. A direct relationship was found between severity of disease and the relative amount of clonal immunoglobulin heavy chain gene rearrangement. Preliminary data for 12 patients followed sequentially indicated that clinical deteriorations or improvements are reflected in an increase or decrease, respectively, in the proportion of cells with rearranged immunoglobulin genes. Change in the relative proportion of cells with germline versus rearranged genes may provide an additional useful criterion for staging CLL, for more precisely defining the abnormal lymphocyte population, and for monitoring progression of the disease and efficacy of treatment.

Treatment of early chronic lymphocytic leukemia: intermittent chlorambucil versus observation

The effect of early therapy on the course of chronic lymphocytic leukemia (CLL) has not been established. Fifty-nine patients with indolent Rai stage I and II CLL were randomized to receive intermittent chlorambucil once a month or to receive no treatment. The two groups were comparable in entry characteristics. At 5 years from randomization there was no significant difference in survival between the two groups although the proportion of patients exhibiting active disease 5 years after randomization is 70 per cent in the untreated group and 55 per cent in the treated group. In this study, early treatment of CLL with intermittent chlorambucil did not result in a survival advantage for patients with indolent stage I and II CLL.