Altered biodistribution of gallium-67 in a patient with aluminum toxicity treated with desferoxamine

Markedly altered biodistribution of [67Ga]citrate was observed in a 66-yr-old hemodialysis patient imaged at 48 hr postinjection. A review of the patient's hospital records revealed toxic serum levels of aluminum, treated with the chelating agent desferoxamine. Based on what is known about the biologic interactions between gallium, aluminum, transferrin, and desferoxamine, we believe that both toxic serum aluminum levels and desferoxamine therapy may cause altered biodistribution on [67Ga]citrate scintigraphy.

Triple-phase bone image abnormalities in Lyme arthritis

Arthritis is a frequent manifestation of Lyme disease. Limited triple-phase Tc-99m MDP bone imaging of the wrists and hands with delayed whole-body images was performed in a patient with Lyme arthritis. This demonstrated abnormal joint uptake in the wrists and hands in all three phases, with increased activity seen in other affected joints on delayed whole-body images. These findings are nonspecific and have been previously described in a variety of rheumatologic conditions, but not in Lyme disease. Lyme disease should be considered in the differential diagnosis of articular and periarticular bone scan abnormalities.

Family-planning clinics and educational programmes--a rural experience

Although family-planning clinics are numerous and well-accepted in most Australian capital cities, such clinics have been difficult to establish in some Victorian rural towns. One such clinic was established at a rural base hospital in a Victorian town in 1984. The history of the clinic's development and its mode of operation are discussed. The profiles of 157 consecutive new patients who attended the clinic are presented. Comparisons are made with the patient profiles from a Melbourne family-planning clinic. The clinic also provides a separate weekly educational programme. The effect of the educational service in attracting patients to the clinic also was evaluated. Over all, it was concluded that the successful establishment of this clinic has been a result of the appointment of female medical and nursing staff members, the support of the local base hospital, an active media campaign and the development of a separate and concurrent educational programme that was conducted by clinic staff members. It is recommended that these factors be considered in the future development of such clinics in rural areas.

Electrochemical Behavior of Bis[pentane-2,4-dithionato(1-)]iron(II), Fe(sacsac)2, and Dicarbonylbis[pentane-2,4-dithionato(1-)]iron(II), Fe(sacsac)2(CO)2

The redox behaviours of Fe(sacsac)2 and Fe( sacsac )2(CO)2 in chloroform are reported ( sacsac - = C5H7S2- = dithioacetylacetonate anion = pentane-2,4-dithionate anion). Fe( sacsac )2 is reversibly reduced to [Fe( sacsac )2]-, but no other redox processes are observed within the solvent limits. Fe( sacsac )2(CO)2 undergoes a reversible one-electron reduction followed by rapid loss of carbon monoxide to generate [Fe( sacsac )2]-. The oxidation of Fe( sacsac )2(CO)2 results in the oxidation of a dithioacetylacetonate ligand to the 3,5-dimethyl-1,2-dithiolium cation and the formation of a previously uncharacterized complex believed to be [Fe( sacsac )(CO)2]+. The putative [Fe( sacsac )(CO)2]+ product of the oxidation also undergoes a reversible one-electron oxidation at a potential more positive than that of [Fe( sacsac )2]0/-1.

The influence of plantation forestry on the pH and aluminium concentration of upland welsh streams: a re-examination

Previous studies relating forest presence to stream acidity and aluminium concentration were based on small numbers of catchments, often precluding the elimination of confounding influences on stream chemistry, such as geology or soil type. Spatial patterns in aluminium and pH data from 113 Welsh catchments of contrasting land use were therefore analysed in three different ranges of acid sensitivity (< 10, 10-15, 15-25 mg CaCO(3) litre(-1) total hardness). In each range, pH declined and aluminium increased significantly with increasing percentage forest cover. There was no evidence that the relationships reflected a spurious effect of forest location. Where aluminium concentrations were elevated under forest in a sub-set of 13 streams, aluminium was present predominantly in the labile form, most toxic to fish. Regressions of pH and aluminium on percentage forest cover provide a useful method of assessing the amount of forest in Welsh catchments which might give rise to given chemical conditions (e.g. pH <6, Al > 80 microg litre(-1)), though some difficulties are likely in accurately specifying the conditions desirable for fish or other biota.

Characterization of vesicles containing insulin-responsive intracellular glucose transporters isolated from 3T3-L1 adipocytes by an improved procedure

Our previously described immunoadsorption method for the isolation of vesicles containing the insulin-responsive intracellular glucose transporters from 3T3-L1 adipocytes has been improved in two ways. First, the minimal number of g minutes required to sediment the plasma membranes from the cell homogenate has been determined and, as a result, the supernatant used for immunoadsorption in the new procedure contained twice as much of the intracellular transporters. Second, the immunoadsorption has been performed with affinity-purified antibodies directed against the carboxy terminal peptide of the transporter, rather than against the entire protein. 10(7) cells (10 mg protein) yielded about 12 micrograms of vesicular protein and 11 micrograms of vesicular phospholipid. The transporter constituted 3% of the protein in the vesicles; this amount equates to approx. eight copies of the transporter per 50 nm vesicle. The polypeptide composition of the vesicles was determined by gel electrophoresis and protein staining. Major components, other than the glucose transporter, are polypeptides of Mr 270,000, 245,000, 165,000 and 115,000. The vesicles contained several phosphoproteins; the major ones have a Mr of 245,000, 190,000, 115,000 and 25,000. Insulin treatment of adipocytes did not significantly change the phosphoprotein composition of the vesicles. The vesicles were not enriched in the Golgi marker enzyme, galactosyltransferase. The cellular content of the marker for the trans-Golgi reticulum, sialyltransferase, was too low to detect.

Ribosomal protein S14 is encoded by a pair of highly conserved, adjacent genes on the X chromosome of Drosophila melanogaster

We describe a Drosophila DNA clone of tandemly duplicated genes encoding an amino acid sequence nearly identical to human ribosomal protein S14 and yeast rp59. Despite their remarkably similar exons, the locations and sizes of introns differ radically among the Drosophila, human, and yeast (Saccharomyces cerevisiae) ribosomal protein genes. Transcripts of both Drosophila RPS14 genes were detected in embryonic and adult tissues and are the same length as mammalian S14 message. Drosophila RPS14 was mapped to region 7C5-9 on the X chromosome. This interval also encodes a previously characterized Minute locus, M(1)7C.

Highlights of contemporary research on host immune responses to ticks

Host immune responses to ticks have been known since the early part of this century. This research has emanated from throughout the world with the most detailed studies originating from Australia and the United States. A review of all the studies to date indicates a diverse tick species list consisting primarily of Ixodid ticks, but a few Argasid species have been examined. Typically, research on this topic during the first half of this century has utilized the bovine host, whereas research over the past 20 years has concentrated on the rodent host. The emphasis of this research has been to define host resistance in terms of behavioral and physiological changes in the host, accompanied by changes in the feeding and reproductive potential of the ticks. The primary objective of this research is to develop an innovative tick control strategy that will allow greater and safer control than that afforded by acaricides. This paper highlights the study of host immune responses to ticks over the century to date. However, owing to the great growth in the fields of immunology and molecular biology, the greatest gains have been made from 1970 to 1985. Therefore, the emphasis of this review is on research reported during the last 15 years.

Effect of timing of cerebral ultrasonography on the prediction of later neurodevelopmental outcome in high-risk preterm infants

To determine the predictive value of cranial ultrasonographic examination in high-risk preterm infants at different postnatal ages, we scanned 110 infants less than or equal to 32 weeks gestational age at 1, 2, 3, and 6 weeks postnatal ages and at 40 weeks postconceptional age (PCA). Cranial abnormalities detected by ultrasonography at each postnatal age of examination were classified as minor (periventricular superolateral echogenicity with or without intraventricular hemorrhage, grades 1 to 3) or major (cystic periventricular leukomalacia with or without intraventricular hemorrhage, grade 4) and correlated with neurodevelopmental outcome determined by 1 year of age. Major abnormalities detected by ultrasonography were present in four infants at 1 week, four at 2 weeks, eight at 3 weeks, and 11 infants at 6 weeks and 40 weeks PCA, respectively. Nineteen infants (17%) had moderate to severe functional handicaps defined as cerebral palsy, cognitive or visual deficit, or deafness. The positive and negative predictive values of ultrasound examinations, with regard to later neurodevelopmental outcome, improved with increasing postnatal age at examination and was best at 40 weeks PCA. Negative results of ultrasound study at 40 weeks PCA most correctly predicted satisfactory outcome. Although only 58% of moderately to severely handicapped infants were correctly identified by ultrasound examination at 40 weeks PCA, all infants with major ultrasonographic abnormalities at 40 weeks PCA had moderate or severe handicap. Our data demonstrate that the timing of cerebral ultrasonography is important in the prediction of later neurodevelopmental outcome in high-risk preterm infants.

Evidence for regurgitation by Amblyomma americanum

Western blot analysis of Amblyomma americanum-derived midgut extracts using tick-resistant rabbit and guinea pig antisera demonstrated several unique polypeptides ranging from 7 to 355 kDa. These polypeptides were not observed in similar blots of salivary gland extracts or serum from the respective host animals. The data from this study suggest that female A. americanum ticks regurgitate gut material during feeding. Such a finding explains the ability of immunization with gut-derived preparations to induce immunity and may help to understand the mechanism of transmission of several tick-borne pathogens that have been only clearly demonstrated to infect the gut of ticks.

Characterization of tick antigens inducing host immune resistance. II. Description of rabbit-acquired immunity to Amblyomma americanum ticks and identification of potential tick antigens by Western blot analysis

Feeding by adult Amblyomma americanum ticks induced a level of immunity in rabbits to subsequent tick feeding that resulted in a significant decrease in tick feeding success and fecundity. Histological analysis of tick feeding sites in hosts expressing resistance revealed a predominant eosinophil response, with weak basophil and neutrophil infiltrates. While the basophil was never the dominant granulocyte at the tick feeding sites in resistant hosts, this cell exhibited the greatest increase in density (tenfold) over levels observed in hosts experiencing their first infestation; eosinophils and neutrophils exhibited increases of five- and twofold, respectively. Serum from animals that expressed resistance was tested for the presence of anti-tick antibodies to tick-derived salivary gland substances (SGA) by Western blotting. Western blot analysis of female-derived SGA compared to male-derived SGA, using the Avidin/Biotin technique, resulted in the identification of approximately 25 proteins from the female preparation, but only seven from the male. The use of 125I labeled protein-A as the probe for anti-tick antibody in Western blot analysis resulted in fewer recognized proteins. Serum from rabbits immunized with A. americanum-derived SGA emulsified with complete (CFA) Freund's adjuvant recognized most of the proteins identified by active serum, whereas serum from animals immunized with SGA in incomplete (IFA) Freund's adjuvant did not. Furthermore, both sera recognized a multiplicity of proteins from extracts of larval A. americanum Dermacentor variabilis and Boophilus microplus ticks, suggesting the presence of common antigens between these distantly related ticks. The results from this study demonstrate that rabbits acquire a strong immunity to A. americanum ticks characterized by the production of antibody. Furthermore, ticks secrete a number of substances into rabbits during feeding, as seen by Western blot analysis but only three may be crucial to the induction of host immunity; proteins at 41, 40 and 39 kDa. The purified anti-tick antibody will be used for subsequent isolation and characterization of crucial antigens.

Requirement for host Fc receptors and IgG antibodies in host immune responses against Rhipicephalus appendiculatus

Guinea pigs sensitized by prior feeding of larval Rhipicephalus appendiculatus ticks expressed complete immunity to challenge feeding resulting in 100% tick rejection. Passive transfer of 1 ml of serum from animals expressing resistance into naive animals conferred recipients with significant protection (88% tick rejection). Successful transfer of resistance was blocked by pretreatment of recipients with rabbit IgG but not sheep IgG1. Passive transfer of IgG1 or IgG2 purified from tick-sensitized guinea pig serum by ion-exchange chromatography failed to confer resistance to naive guinea pigs. Furthermore, IgG1 from guinea pigs expressing resistance obtained from serum by passage through a heavy chain specific rabbit anti-guinea pig IgG1 column failed to confer resistance to naive guinea pigs, as did the eluate. These results suggest that both IgG subclasses are needed for the expression of resistance, or IgG1 in conjunction with IgE.

Western blot analysis of Amblyomma americanum-derived stage-specific and shared antigens using serum from guinea pigs expressing resistance

Serum from guinea pigs expressing resistance to larval, nymphal and adult Amblyomma americanum ticks was used in Western blot analyses to identify potential antigens from egg, larval and nymphal, and female salivary gland extract preparations. The results demonstrate multiple antigens unique to each life stage, as well as several shared proteins between the three life stages. However, it appears as if two particular proteins of 25 and 38 kDa may be more important than others, based upon their prevalence and intensity of recognition in this assay relative to other polypeptides.

Changing attitudes of neonatologists toward ventilator support

Two identical questionnaires were completed by neonatologists in Southern California, one in 1979 and the other in 1985. All questions addressed only the issue of ventilator support. Respondents were asked to assume both parents wished ventilator support withheld or discontinued. In 1985, despite parents' wishes, neonatologists were more willing to start and continue ventilator support in smaller and less mature infants than in 1979. In 1985, but not 1979, respondents frequently would use ventilator support significantly more than they thought they should. Additionally, in both 1979 and 1985 it was more difficult for respondents to withhold ventilator support in infants with acquired versus congenital problems.

Ectoenzymes control adenosine modulation of immunoisolated cholinergic synapses

One of the most important inhibitory modulators of synaptic transmission in mammalian brain is adenosine. At some cholinergic terminals, adenosine is known to inhibit further release of acetylcholine. It is unclear whether adenosine is released directly at the synapse or whether ATP is co-released with transmitter and hydrolysed to adenosine in the synaptic cleft. Methods used in the past for isolating nerve terminals have not yielded homogeneous preparations, making it impossible to determine whether sufficient ATP or adenosine is released at specific synapses for inhibition of transmitter release to occur. Immunoaffinity purification techniques have recently permitted the preparation of homogeneous populations of cholinergic nerve terminals, which release ATP upon stimulation. We now report that in immunoisolated cholinergic nerve terminals from the striatum synaptic ectophosphohydrolases convert this ATP to adenosine, which inhibits further acetylcholine release, but this inhibitory effect is not seen in cortical cholinergic terminals lacking the complete ectophosphohydrolase pathway. Therefore the differing adenosine-mediated modulation in different brain areas is controlled by the presence and activity of synaptic ectophosphohydrolases.

ATP release from affinity-purified rat cholinergic nerve terminals

Cholinergic nerve terminals were affinity purified from rat caudate nucleus. On stimulation with both 22.6 mM KCl and 50 microM veratridine, ATP was released in a Ca2+-dependent manner. The molar ratio of released acetylcholine to ATP (9:1) was closer to that found in isolated cholinergic vesicles (7:1) than whole terminals (3:1). Extracellular [14C]ATP was rapidly metabolized by these terminals to adenosine and inosine via ectonucleotidases. The terminals had a saturable, high-affinity uptake mechanism for adenosine (Km = 16.6 microM). Veratridine stimulation also caused the Ca2+-dependent release of nucleosides in a dipyridamole-sensitive manner. Both theophylline treatment and inhibition of extracellular ATP breakdown resulted in increased ATP and nucleoside release. Extracellular adenosine was shown to inhibit acetylcholine release, probably via the A1 receptor. The role of extracellular purines at the cholinergic nerve terminal is discussed.