Establishing a Health Information Technology for the Vaccination of National Institutes of Health Staff

Introduction

Healthcare organizations faced unique operational challenges during the COVID-19 pandemic. Assuring the safety of both patients and healthcare workers in hospitals has been the primary focus during the COVID-19 pandemic.

Methods

The NIH Vaccine Program (VP) with the Vaccine Management System (VMS) was created based on the commitment of NIH leadership, program leadership, the development team, and the program team; defining Key Performance Indicators (KPIs) of the VP and the VMS; and the NIH Clinical Center's (NIH CC) interdisciplinary approach to deploying the VMS.

Results

This article discusses the NIH business requirements of the VP and VMS, the target KPIs of the VP and the VMS, and the NIH CC interdisciplinary approach to deploying an organizational VMS for vaccinating the NIH workforce. The use of the DCRI Spiral-Agile Software Development Life Cycle enabled the development of a system with stakeholder involvement that could quickly adapt to changing requirements meeting the defined KPIs for the program and system. The assessment of the defined KPIs through a survey and comments from the survey support that the VP and VMS were successful.

Conclusion

A comprehensive program to maintain a healthy workforce includes asymptomatic COVID testing, symptomatic COVID testing, contact tracing, vaccinations, and policy-driven education. The need to develop systems during the pandemic resulted in changes to build software quickly with the input of many more users and stakeholders then typical in a decreased amount of time.

Unveiling the silent threat among us: leveraging health information technology in the search for asymptomatic COVID 19 healthcare workers

Assuring the safety of both patients and healthcare workers (HCWs) in hospitals has been the primary focus of every healthcare organization during the COVID 19 pandemic. This article discusses the NIH Clinical Center's interdisciplinary approach to deploying an organizational Asymptomatic Staff Testing System.

synaptotagmin mutants reveal essential functions for the C2B domain in Ca2+-triggered fusion and recycling of synaptic vesicles in vivo

Synaptotagmin has been proposed to function as a Ca(2+) sensor that regulates synaptic vesicle exocytosis, whereas the soluble N-ethylmaleimide-sensitive factor attachment protein receptor (SNARE) complex is thought to form the core of a conserved membrane fusion machine. Little is known concerning the functional relationships between synaptotagmin and SNAREs. Here we report that synaptotagmin can facilitate SNARE complex formation in vitro and that synaptotagmin mutations disrupt SNARE complex formation in vivo. Synaptotagmin oligomers efficiently bind SNARE complexes, whereas Ca(2+) acting via synaptotagmin triggers cross-linking of SNARE complexes into dimers. Mutations in Drosophila that delete the C2B domain of synaptotagmin disrupt clathrin AP-2 binding and endocytosis. In contrast, a mutation that blocks Ca(2+)-triggered conformational changes in C2B and diminishes Ca(2+)-triggered synaptotagmin oligomerization results in a postdocking defect in neurotransmitter release and a decrease in SNARE assembly in vivo. These data suggest that Ca(2+)-driven oligomerization via the C2B domain of synaptotagmin may trigger synaptic vesicle fusion via the assembly and clustering of SNARE complexes.

Blood barriers of the insect

The blood-brain barrier (BBB) ensures brain function in vertebrates and insects by maintaining ionic integrity of the neuronal bathing fluid. Without this barrier, paralysis and death ensue. The structural analogs of the BBB are occlusive (pleated-sheet) septate and tight junctions between perineurial cells, glia and perineurial cells, and possibly between glia. Immature Diptera have such septate junctions (without tight junctions) while both junctional types are found in the imago. Genetic and molecular biology of these junctions are discussed, namely tight (occludin) and pleated-sheet septate (neurexin IV). A temporal succession of blood barriers form in immature Diptera. The first barrier forms in the peripheral nervous system where pleated-sheet septate junctions bond cells of the nascent (embryonic) chordotonal organs in early neurogenesis. At the end of embryonic life, the central nervous system is fully vested with a blood-brain barrier. A blood-eye barrier arises in early pupal life. Future prospects in blood-barrier research are discussed.

Temperature-sensitive paralytic mutations demonstrate that synaptic exocytosis requires SNARE complex assembly and disassembly

The neuronal SNARE complex is formed via the interaction of synaptobrevin with syntaxin and SNAP-25. Purified SNARE proteins assemble spontaneously, while disassembly requires the ATPase NSF. Cycles of assembly and disassembly have been proposed to drive lipid bilayer fusion. However, this hypothesis remains to be tested in vivo. We have isolated a Drosophila temperature-sensitive paralytic mutation in syntaxin that rapidly blocks synaptic transmission at nonpermissive temperatures. This paralytic mutation specifically and selectively decreases binding to synaptobrevin and abolishes assembly of the 7S SNARE complex. Temperature-sensitive paralytic mutations in NSF (comatose) also block synaptic transmission, but over a much slower time course and with the accumulation of syntaxin and SNARE complexes on synaptic vesicles. These results provide in vivo evidence that cycles of assembly and disassembly of SNARE complexes drive membrane trafficking at synapses.

Ultrastructure and blood-nerve barrier of chordotonal organs in the Drosophila embryo

Chordotonal organs of Drosophila embryos have become models for studies of developmental biology and molecular genetics due to their consistent segmental placement and mutability. Our first goal was to find the origin and anatomical correlate of the blood-nerve barrier of this PNS proprioreceptor in wild type embryos. The concept of a blood-nerve barrier for the PNS of the Drosophila embryo is new, and the present data are the first in this regard. A second goal was to reveal the ultrastructure of these four-celled stretch receptors, focusing particularly on the 'core' of this organ: the bipolar neuron enclosed by a scolopale cell. These latter data have resulted in a graphic reconstruction of the chordotonal organ which reveals how the four consistent cells fit together. At Stage 13 we first observed a clearly recognizable scolopale cell with an enclosed neuron. Surprisingly, an operative blood-nerve barrier, comprised of occlusive pleated-sheet septate junctions, exists at this relatively early stage. A blood-brain barrier is not yet functioning in the CNS during this same stage, as the perineurium is not present until Stage 17. Cross-sectional views of a more mature chordotonal organ show that the neuron's inner segment has a 'tongue-in-groove' formation which fits the dendrite into the scolopale cell. Other newly discovered fine structural features are: hemidesmosomes linking individual scolopale rod bundles to the inner dendrite, and a cap cell matrix bonding with the tip of the ciliary dendrite. Functional aspects of these findings are discussed.

First developmental signs of the scolopale (glial) cell and neuron comprising the chordotonal organ in the Drosophila embryo

The chordotonal (scolopidial) organ is a segmental stretch receptor (proprioceptor) and a four-celled organ of the peripheral nervous system of Drosophila. This organ has become a model in studies of embryogenesis involving molecular genetics and developmental biology. We determined how three glial cells and a bipolar neuron (the chordotonal organ) develop and assemble to become a sensitive stretch receptor. Our focus was on the scolopale cell-neuron association which is the core of this organ. The first anatomical appearance of these developing organs appears in Stage 12 embryos: a central fissure forms in the scolopale cell and two intracellular adherence loci redirect the cleft to wall off a cylindrical sector. This portion hollows out and the dendrite of a sensory neuron enters the cavity. Cytoplasmic walls of the cylinder then regress to leave a more prominent lymph space, within which is the cilary portion of the sensory dendrite. A cap (glial) cell then covers and connects the distal portion of the scolopale-neuron pair. Chordotonal organs are formed in about two hours and assembled throughout Stages 13 to 15. We have drawn schematics of these developmental phases with the resultant four-celled organ. Lanthanum tracer in the embryonic hemocoel never gained access to the neuron housed by the scolopale cell. Thus a blood-nerve barrier forms as early as Stage 13 in the peripheral nervous system. Paracellular clefts, sealed by occlusive septate junctions between accessory (glial) cells, are the probable basis for barrier properties.

Analog of vertebrate anionic sites in blood-brain interface of larval Drosophila

The blood-brain barrier ensures brain function in vertebrates and in some invertebrates by maintaining ionic integrity of the extraneuronal bathing fluid. Recent studies have demonstrated that anionic sites on the luminal surface of vascular endothelial cells collaborate with tight junctions to effect this barrier in vertebrates. We characterize these two analogous barrier factors for the first time on Drosophila larva by an electron-dense tracer and cationic gold labeling. Ionic lanthanum entered into but not through the extracellular channels between perineurial cells. Tracer is ultimately excluded from neurons in the ventral ganglion mainly by an extensive series of (pleated sheet) septate junctions between perineurial cells. Continuous junctions, a variant of the septate junction, were not as efficient as the pleated sheet variety in blocking tracer. An anionic domain now is demonstrated in Drosophila central nervous system through the use of cationic colloidal gold in LR White embedment. Anionic domains are specifically stationed in the neural lamella and not noted in the other cell levels of the blood-brain interface. It is proposed that in the central nervous system of the Drosophila larva the array of septate junctions between perineurial cells is the physical barrier, while the anionic domains in neural lamella are a "charge-selective barrier" for cations. All of these results are discussed relative to analogous characteristics of the vertebrate blood-brain barrier.

Fine structure and blood-brain barrier properties of the central nervous system of a dipteran larva

Using scanning and transmission electron microscopy, we studied basic ultrastructure, membrane specializations, and blood-brain barrier properties of the ventral ganglion and abdominal nerves of the last (third) instar larva of a dipteran fly, Delia platura. Both ganglion and nerves are covered with a non-cellular neural lamella. A monolayer of flattened perineurial cells lies beneath the neural lamella. Perineurial cells contain stores of metabolites and nutrients and these cells extensively interdigitate with one another. An extensive extracellular series of channels pervades perineurial cells. Glial cells beneath the perineurium envelope but do not entwine axons. In a minority of cases, adjacent axons in nerve and neuropil appear to be contiguous without glial intervention. Extensive (pleated) septate junctions with triangular septa are present between perineurial cells. Hemidesmosomes, half desmosomes (a first report for invertebrates), and desmosomes were also observed. Although no tight junctions were discovered, an effective blood-brain barrier exists, and tracer (ionic lanthanum) in no case reached neuronal surfaces. Extracellular tracer halted within the extensive septate junctions between perineurial cells. We postulate that in the absence of tight junctions the functional blood-brain barrier is effected by the septate junctions in the central nervous system of the Delia larva.

Ultrastructure of the ocellar visual system in normal and mutant Drosophila melanogaster

Between the two compound eyes on the vertex on the adult head are the three simple eyes, ocelli. Transmission and scanning electron microscopy were used to investigate the corneal lenses, ocellar photoreceptors, and axonal projections in normal and mutant Drosophila melanogaster. In wild type flies, the cornea consists of about 45 lamellae. It has corneal nipples distally and is underlaid with a monolayer of corneagenous cells. Retinula cells have open rhabdomeres of about 2 microns (diameter) x 7 microns (length). Rhabdomeres extend to the distal extent of the cell and do not have caps. Microvilli have a rodlet within. Retinula cells are joined by belt desmosomes on the lateral borders. Eye color pigment granules are housed within the retinula cells of normal flies, not in accessory cells. The granules do not migrate in response to light. No screening pigment granules exist in the white mutant. Each ocellus has about 80 retinula cells whose axons project to corresponding ganglia from which 4 giant afferent interneurons (per ganglion) project to the brain. receptor terminals are invested with capitate projections from glia. Receptors synapse onto dyads of follower cells, usually interneuron processes, at sites of T shaped presynaptic ribbons. These "T bars" are surrounded by indistinct flattened vesicles. Interneurons make feed back synapses onto receptor terminals at T bars clustered with distinct round vesicles. Three mutants with abnormal ocelli were investigated. The none mutant has unusual compound eye and ocellar corneas. The compound eye is devoid of differentiated photoreceptors but some axons from undifferentiated cells from synapses. No receptors were found in the ocelli of none. The oc mutant has no ocelli, although sometimes an ocellar cornea like that of none is seen; the compound eye is normal. The rdo mutant is also specific to ocelli with smaller ocelli having half the wild type allotment of receptor cells; the number of giant afferents is unaffected. Mutants best known for their compound eye defects were examined. The norpA mutant loses its ocellar rhabdomeres with age but has normal feed forward and feed back synapses. This normal synaptology prevails despite the electrophysiological defects in norpA ocelli reported earlier. The rdgABS12 mutant has poorly formed ocellar receptors which show some degeneration with age but synapses survive. The trp. rdgBKS222 and rgdAPC47 mutants are essentially normal with respect to structure and survival of ocellar receptors and synapses.

Cardiovascular reactivity and interpersonal influence: active coping in a social context

Previous studies have demonstrated that effortful attempts to secure positive outcomes or avoid negative outcomes produce significant increases in systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR). Although these effects of active coping on cardiovascular reactivity are central in current psychosomatic theories, virtually all of the research to date has used impersonal, asocial tasks. Our two studies examined the cardiovascular effects of effortful attempts to influence other people. In Study 1, male subjects attempting to influence the opinions of their discussion partner to improve their own chances of winning money displayed significantly greater SBP, DBP, and HR reactivity. In Study 2, we obtained similar effects on SBP and DBP reactivity in men and women, while both preparing an influence attempt and making that attempt. Furthermore, reactivity levels were larger as the magnitude of incentive for successful persuasion increased. Implications of this interpersonal equivalent of active coping for the development of cardiovascular disease are discussed.

Photoreceptor maintenance and degeneration in the norpA (no receptor potential-A) mutant of Drosophila melanogaster

The norpA (no receptor potential) mutant of Drosophila melanogaster has a visual transduction deficit. This study determines whether lack of function leads to structural repercussions in photoreceptor cells of the compound eye and their synapses. For this purpose, we examined thin sections and freeze fracture replicas of norpA using transmission electron microscopy. Ultrastructurally, retinula cells in the compound eye and all aspects of the first optic neuropil (lamina ganglionaris) are essentially normal in newly emerged flies. However, as expected, intraretinular pigment granules fail to show their light elicited aggregation; further, the P face particle density is somewhat lower than in wild type. We confirm that there are unusual membrane specializations on the plasmalemma of the retinula cell dubbed "zippers." Zippers appear to increase with age and can cause a distorted geometry of ommatidia. Only a few retinula cells ultimately degenerate in norpA, and the proportion may not differ from that of wild type. Despite the absence of the receptor potential in norpA, many aspects of the turnover of rhabdomeric membrane appear to be as in wild type.

Enteral nutritional support management in a university teaching hospital: team vs nonteam

Current hospital cost containment pressures have prompted a critical evaluation of whether nutritional support teams render more clinically effective and efficient patient care than nonteam management. To address this question with regard to enteral feeding, 102 consecutive hospitalized patients who required enteral nutritional support (ENS) by tube feeding during a 3 1/2-month period were prospectively studied. Fifty patients were managed by a nutritional support team; the other 52 were managed by their primary physicians. Choice of enteral formula, formula modifications, frequency of laboratory tests, and amounts of energy and protein received were recorded daily. In addition, each patient was monitored for pulmonary, mechanical, gastrointestinal, and metabolic abnormalities. Team-managed (T) and nonteam-managed (NT) patients received ENS for 632 and 398 days, respectively. The average time period for ENS was significantly longer in the team-managed patients (12.6 +/- 12.1 days vs 7.7 +/- 6.2 days, p less than 0.01). Significantly more of the team patients attained 1.2 X basal energy expenditure (BEE) (37 vs 26, p less than 0.05). Total number of abnormalities in each group was similar (T = 398, NT = 390); however, the abnormalities per day were significantly lower in the team group (T = 0.63 vs NT = 0.98, p less than 0.01). Mechanical (T = 0.05 vs NT = 0.11, p less than 0.01), gastrointestinal (T = 0.99 vs NT = 0.14, p less than 0.05), and metabolic (T = 0.49 vs NT = 0.72, p less than 0.01) abnormalities per day all were significantly lower in the team-managed patients.(ABSTRACT TRUNCATED AT 250 WORDS)

Ultrastructure of capitate projections in the optic neuropil of Diptera

Photoreceptor axons in the first optic neuropil of the dipteran flies Musca domestica and Drosophila melanogaster was examined with electron microscopy. The objective was to determine ultrastructure, persistence and glial source of the capitate projections found within these neurons. Capitate projections are simple or compound processes of epithelial glial cells which profusely insert into form-fitting folds of axon terminals of the peripheral retinular cells (R1-6) in the synaptic plexus portion of the first optic neuropil. These neuro-glial junctions may be simple indentations, have a head with a single stalk, or possess a single, circular stalk from which 3 or 4 bulbous (glial) heads are elaborated. Using serial thick sections of Drosophila neuropil for HVEM we were able to observe that the stalks connecting nearly all capitate projections led directly to a glial cell. Thus no disembodied heads were found suspended in axoplasm. Capitate projections appeared to be persistent structures, present in young as well as senescent adults. No evolution of form was found; thus 3 distinct expressions of these glial processes (without transitional forms) are present. From freeze-fracture replicas and serial HVEM sections it was determined that there were approximately 3 capitate projections per micron 2 in Drosophila and Musca, respectively. About 800 capitate projections exist per Musca axon terminal or about 5 times the number of chemical synapses. Cp's were slightly larger in Drosophila than in Musca, although the Musca retinular axon has twice the diameter and length of that of the fruit fly. The evidence was reviewed in light of the likely supportive function of capitate projections on the R1-6 terminals.

Interneuronal and glial-neuronal gap junctions in the lamina ganglionaris of the compound eye of the housefly, Musca domestica

The cell-body layer of the lamina ganglionaris of the housefly, Musca domestica, contains the perikarya of five types of monopolar interneuron (L1-L5) along with their enveloping neuroglia (Strausfeld 1971). We confirm previous reports (Trujillo-Cenóz 1965; Boschek 1971) that monopolar cell bodies in the lamina form three structural classes: Class I, Class II, and midget monopolar cells. Class-I cells (L1 and L2) have large (8-15 microns) often crescent-shaped cell bodies, much perinuclear cytoplasm and deep glial invaginations. Class-II cells (L3 and L4) have smaller perikarya (4-8 microns) with little perinuclear cytoplasm and no glial invaginations. The 'midget' monopolar cell (L5) resides at the base of the cell-body layer and has a cub-shaped cell body. Though embedded within a reticulum of satellite glia, the L1-L4 monopolar perikarya and their immediately proximal neurites frequently oppose each other directly. Typical arthropod (beta-type) gap junctions are routinely observed at these interfaces. These junctions can span up to 0.8 micron with an intercellular space of 2-4 nm. The surrounding nonspecialized interspace is 12-20 nm. Freeze-fracture replicas of monopolar appositions confirm the presence of beta-type gap junctions, i.e., circular plaques (0.15-0.7 micron diam.) of large (10-15 nm) E-face particles. Gap junctions are present between Class I somata and their proximal neurites, between Class I and Class II somata and proximal neurites, and between Class II somata. Intercartridge coupling may exist between such monopolar somata. The cell body and proximal neurite of L5 were not examined. We also find that Class I and Class II somata are extensively linked to their satellite glia via gap junctions. The gap width and nonjunctional interspace between neuron and glia are the same as those found between neurons. The particular arrangement and morphology of lamina monopolar neurons suggest that coupling or low resistance pathways between functionally distinct neurons and between neuron and glia are probably related to the metabolic requirements of the "nuclear" layer and may play a role in wide field signal averaging and light adaptation.

Blue and ultraviolet light induced damage to the Drosophila retina: ultrastructure

Intense ultraviolet (UV) and blue stimulation photolyses rhodopsin through a fluorescent metarhodopsin (M') in the predominant photoreceptor type, R1-6, of the compound eye of white eyed Drosophila melanogaster. We investigated the associated retinal degeneration using High Voltage Electron Microscopy (HVEM). The threshold for UV induced damage was about 19 log quanta/cm2 while for blue, the threshold was about 20. These intensities are toward the upper level of the dynamic range for rhodopsin photolysis. Thus, there is a sensitization for near UV induced degeneration as had been found for photolysis of the visual pigment. Vitamin A deprivation protects against light elicited retinal degeneration, particularly in the UV. Since vitamin A deprivation eliminates the blue absorbing rhodopsin and a UV sensitizing pigment in R1-6, the degeneration is likely mediated through quantal absorption through these photoexcitation pigments. Intense light converts the microvilli of the rhabdomeres (the photopigment containing organelles) into dense strands and the cytoplasm fills with a dense reticulum. Such damage is elicited shortly after stimulation and is permanent. Under most conditions, the second order interneurons are spared. These results are discussed in the context of other animal models of intense light retinal degeneration.

Ultrastructure of the compound eye and first optic neuropile of the photoreceptor mutant oraJK84 of Drosophila

The developmental mutant of Drosophila (oraJK84) is characterized by nonfunctional photoreceptor cells (R1-6), while the R7/R8 cells are normal. A fundamental question is: Does the near absence of photosensitive membranes inhibit development of the R1-6 axons and their synapses at the other end of the cell? The retina and first optic neuropile (lamina ganglionaris) were examined with freeze-fracture technique and high voltage electron microscopy. R1-6 have reduced rhabdomere caps; rhabdomeric microvilli have about 50% of the normal diameter and 20% of the normal length. Affected cells exhibit prominent vacuoles which appear to communicate with some highly convoluted microvillar membranes. Almost no P-face particles (putative rhodopsin molecules) are present in the R1-6 rhabdomeres, and particle densities are lower in R7 than previously reported. Near the rhabdomere caps, microvilli of R1-6 are fairly normal, but at more proximal levels they are greatly diminished in length and changed in orientation, while at still more proximal levels they are lost. R1-6, R7, and R8 axons from each ommatidium are bundled into normal pseudocartridges beneath the basement membrane. No abnormalities are found in the lamina ganglionaris, and all synaptic associations as well as the presumed "virgin" synapses (of R1-6) appear normal. No glial anomalies are present, and R7/R8 axons project through the lamina in the usual fashion. These fine structural findings are correlated with known electrophysiological, biochemical, and behavioral correlates of both sets of photoreceptors (R1-6, and R7/R8).

Glial membrane specializations and the compartmentalization of the lamina ganglionaris of the housefly compound eye

Membrane specializations in the lamina ganglionaris of the housefly are investigated using conventional thin-section EM, freeze-fracture replication and the diffusion of colloidal lanthanum. All glial cells in the lamina are coupled by gap junctions. Desmosomes also link all glia except the epithelial glia. Extensive glia-glial and glia-neuronal septate junctions are present in the pseudocartridge zone and nuclear layer. Septate junctions in the nuclear layer intermingle with bands of interglial and glia-neuronal tight junctions. Tight junctions are also found between satellite and epithelial glia at the border of the nuclear and plexiform layers, between adjacent epithelial glial cells in the plexiform layer, between epithelial and marginal glia at the proximal boundary of the optic neuropil, between marginal glial cells, and between marginal glia and axons. Colloidal lanthanum, introduced through an incision in the cornea, penetrates the retina but is occluded from the neuropil by septate junctions in the pseudocartridge zone. The disposition of tight and septate junctions is described in relation to the compartmentalization of the lamina. Two major compartments are delineated. The first represents the nuclear layer and contains the cell bodies of second-order visual neurons (monopolar neurons). The second compartment constitutes the plexiform layer of the lamina. Within the plexiform layer, each optic cartridge is partitioned into a separate subcompartment. Also, tracheoles and axons of long visual fibres are isolated from the optic cartridges by glial tight junctions. Morphological evidence for compartmentalization is correlated with previously established electrical properties of the insect lamina ganglionaris.

The fine structure of neuroglia in the lamina ganglionaris of the housefly, Musca domestica L

Six morphologically distinct glial cell layers are described in the housefly lamina ganglionaris, a region previously thought to be composed of only three. 1. The external glial layer abuts the basement membrane of the retina. The cells of this layer have a highly involuted surface membrane and an abundance of ribosomes and rough endoplasmic reticulum (ER) throughout their cytoplasm. They envelop the traversing photoreceptor and mechanoreceptor axons as well as the large tracheoblast cells of the fenestrated layer. They are referred to as the fenestrated layer glia. 2. The second glial layer is composed of large, horizontally elongated cells with large elongate nuclei. They contain large membrane-bounded vacuoles and extensive arrays of parallel-running microtubules and smooth ER. These glia invest the photoreceptor axons through much of the multiple chiasmatic (pseudocartridge) region and are thus designated as the pseudocartridge glia. 3-4. Satellite glia comprise the third and fourth glial layers. Thin cytoplasmic processes of these multipolar glia intervene between the tightly packed monopolar neuron somata and the photoreceptor axons of the nuclear layer. The satellite glia are distinguished into two sub-groups: distal and proximal. The distal satellite glia are exclusively responsible for the large glial invaginations of the type I monopolar cell bodies. Multilaminated processes of the proximal layer of satellite glia surround the photoreceptor axons and the neurite neck of the monopolar neurons prior to their entry into the plexiform layer. The proximal satellite glia also contain prominent lipid deposits. 5. Epithelial glia are columnar cells that occupy the plexiform layer. They envelop the optic cartridges of the neuropil and are the substrate for two characteristic glial-neuronal invaginations; i.e. the capitate projection and the 'gnarl'. The cytoplasm of the epithelial glia is electron dense and contains numerous stacked arrays of infolded membrane. 6. Marginal glia form the proximal boundary of the optic neuropil. They invest the axons entering or leaving through the base of the lamina ganglionaris. Marginal glia contain large numbers of parallel microtubules and numerous polyribosomes. Fine structural evidence is presented relevant to the role of these six glial layers in the maintenance of ionic and metabolic homeostasis across the retina-lamina barrier.

Synaptic vesicle activity in stimulated and unstimulated photoreceptor axons in the housefly. A freeze-fracture study

Light-stimulated and unstimulated photoreceptor (retinular) axon terminals in the lamina ganglionaris (first optic neuropil) of the housefly are examined using freeze-fracture replication. The presence of numerous, cross-fractured capitate projections permits unmistakable identification of the retinular axon terminal membrane. Regardless of the conditions of illumination, the protoplasmic face (P-face) of the terminal membrane contains numerous bowtie-shaped particle clusters (active zones) which resemble the en face form and disposition of the presynaptic ribbon found in thin sections. Estimates from freeze-fractured material indicate that each retinular axon possesses at least 175 such active zones. In eyes fixed during illumination, active zones are surrounded by many membrane dimples indicative of vesicle fusion sites. Such synaptic vesicle sites are seldom encountered in terminals which are dark-adapted and fixed in the dark. Results from light-adapted eyes placed in the dark following the onset of fixation suggest that endocytosis may occur in the extrasynaptic regions of this inhibitory synapse. P-face particles are uniformly distributed throughout the extrasynaptic regions of unstimulated terminals. Particle density increases in areas peripheral to the active zones in stimulated eyes, particularly within the regions presumed to be undergoing active endocytosis. These structural findings are discussed in the context of the Heuser-Reese model of vesicle exocytosis and recycling.

Ultrastructural pathology of the compound eye and optic neuropiles of the retinal degeneration mutant (w rdg BKS222) Drosophila melanogaster

The compound eye and the two most distal optic neuropils (lamina ganglionaris and medulla externa) of the Drosophila mutant w rdg BKS222 were examined with transmission electron microscopes at conventional (60 kV) and high (0.8-1 MV) voltages. Eye tissue was sampled in the newly emerged and at 3, 7, and 21 days following eclosion. This mutant is known to show a light-induced degeneration of the peripheral retinular cells (R1-6); the spectral sensitivity is altered and the threshold is increased reflecting the function of the central cells (R7, 8) which do not degenerate. A totally normal appearing visual system (peripheral retina and optic neuropiles) was found in newly emerged adults. After 3 days the somata of some of the peripheral retinal cells are affected and all of their axons show degeneration. At one week the R1-6 pathology is well advanced in both somal and axonal regions. In affected cells the cytoplasm is more or less uniformly electron dense and contains liposomes, lysosome-like bodies, myeloid figures and vacuoles suggesting autophagy. Such cytoplasm (noted at 3 and 7 days post-eclosion) exhibits an electron dense reticulum and degenerate mitochondria. Microvilli become more electron dense. Retinular axon terminals are electron opaque and lack synaptic vesicles with few if any presynaptic structures. Mitochondrial remains are barely recognizable. Transsynaptic degeneration was not found. After 3 weeks, the structure of R1-6 in the peripheral retina (somata and rhabdomeres) is greatly reduced or lost while R7 and R8 and higher order neurons are not affected. The debris from cell bodies and axon terminals or R1-6 seems diminished, so that some phagocytosis probably takes place along with gliosis in the lamina.

The perineurium of the adult housefly: ultrastructure and permeability to lanthanum

The ultrastructure of the perineurial cells of Musca overlying the first optic neuropile was examined by transmission electron microscopy. These cells are somewhat similar to those of other insects but cytoplasmic flanges seem to be absent, and mitochondria are relatively large and sinuous. The intercellular channel system on the lateral border of the cells is relatively spacious and highly meandering. Perineurial cells are joined by septate, gap, and tight junctions, hemidesmosomes, and desmosomes. Tight and septate junctions bond perineurial cells and glial cells. These data are evaluated on the basis of tracer studies with lanthanum. This material penetrates the extracellular space between perineurium and underlying glial and nerve cells, between epithelial glial cells and retinular axon terminals (capitate projections), and between the alpha-beta fiber pair in the optic cartridge (gnarls). If no damage occurs to the perineurial cells during tissue preparation, this passage of lanthanum to neuronal surfaces indicates that the blood brain barrier is incomplete in this restricted area. Supportive evidence for such permeance is based on electrophysiological data, considerations of membrane specializations in the optic neuropile, and Na+/K+ ratios of dipteran hemolymph.

Lanthanum and freeze fracture studies on the retinular cell junction in the compound eye of the housefly

The retinular (R) cell junction between adjacent photoreceptor cells in the house-fly ommatidium was characterized by freeze fracture, thin section and tracer (lanthanum) studies. Focal tight junctions occur between cells, and some P face ridge-E face groove correspondences are present in this intramembranal area. When colloidal lanthanum was introduced into the extracellular space (ECS) of the peripheral retina of the housefly, this electron-dense tracer moved from the ECS (extra-ommatidial space), through the R-cell junctions and belt desmosomes, into the ommatidial cavity (OC = intrarhabdomal space) of each ommatidium. In the OC, lanthanum outlined a meshwork structure that pervaded this space. The evidence of this tracer movement suggests that there may be ionic continuity between the "traditional" ECS and the fluid bathing the individual rhabdomeres. The volume of the OC is calculated and we suggest that this space is part of the ECS. The functional implications of this postulate are considered in the light of: (1) the different functions of the peripheral and central cells; (2) the dissimilarity of rhabdomal membrane surface facing the OC compared to the "unmodified" plasma membrane of the photoreceptor cell facing the extra-ommatidial cavity; (3) the permeability properties of the R cell junction; and (4) the total ECS containing an ion store capable of sustaining current for the generator potential.

Membrane specializations in the first optic neuropil of the housefly, Musca domestica L. II. Junctions between glial cells

Membrane specializations between the three types of glial cells in the first optic neuropil (lamina ganglionaris) of the housefly were determined from thin sections and freeze-fracture replicas. Three strata of glia cells are present in the lamina. A relatively thin layer of satellite glia covers the distal (perikaryal) rind of the lamina and these cells wrap retinular axons that enter the lamina. The central synaptic fields of the lamina neurons are enclosed by epithelial glia, while the proximal surface of the lamina is capped by marginal glial cells. Satellite glia bond to each other via desmosomes, septate and gap junctions. Freeze-fracture replicas show gap junctions as aggregations of E face particles and P face pits on the intramembranous surfaces. Parallel rows of P face particles are indicative of septate junctions. Angulated, intersecting, P face particle ridges are arranged in circumferential bands around retinular axons at the glia-axon interface. Thin section correlates of these junctions are presented. Epithelial glia are characterized by elaborate series of parallel membranes which appear to be suspended in the cytoplasm but may be the invaginated plasma membranes of a neighbouring glial cell. An intermembranous cleft of 40-50 A is noted and this area has an appreciable electron density which give the appearance of a gap junction. When cleaved, these membranes show plaques of particles on the P face. The marginal glial cells are relatively large and are joined by a newly discovered junction which is characterized (from freeze-fracture data) by numerous, undulating, uninterrupted, parallel P face ridges which sometimes become circular and form enclosures. In thin section, electron-dense material fills the membrane appositional areas and in tangential sections faint diffuse parallel striae are seen. This specialized cell contact may be a variant of a continuous junction although, based on fracture replicas, there are obvious similarities to tight junctions. These membranes specializations are related, in the three dimensions of the optic cartridges, to functions in a possible blood-eye barrier system.

Membrane specializations in the first optic neuropil of the housefly, Musca domestica L. I. Junctions between neurons

Thin section and freeze-fracture replicas of the first optic neuropil (lamina ganglionaris) of the fly Musca were studied to determine the types, extent and location of membrane specializations between neurons. Five junctional types are found, exclusive of chemical synapses. These are gap, tight and septate junctions, close appositions between retinular (R) axons and capitate projections (in which an epithelial glial cell invaginates into an R axon). Junctional types and their cellular associations follow: gap junctions, between lamina (L) interneurons, L1-L2; tight junctions, between L1-L2; L3-L4; L4-epithelial glial cell; and R7-R8. Septate junctions, between L1-L2, L3-L4, L3-beta, L4-beta, alpha-beta, and an unidentified fibre making septate junctions with L1 and L2. Close appositions are found between R axons in the distal portion of the optic cartridges of this neuropil prior to extensive R chemical synapses with L1, L2. These loci (seen in freeze-fracture replicas) have rhomboidal patches of hexagonally arrayed P face particles. Intermembranous clefts between R axons are about 50 A and are invariably electron lucent. These points of near contact between R terminals are probably the sites of low electrical resistance measured by Shaw (1979). Capitate projections are for the first time revealed in freeze fracture surfaces. Here epithelial glia send many, short, mushroom-shaped processes invaginating into R axons forming a tenacious structural bond. All four membrane leaflets (P and E faces of R axon and glial membrane) in the capitate projection possess particles in higher densities than in the surrounding nonspecialized regions. The known, general functions of each membrane specialization were correlated with the functional capacities of those lamina neurons possessing them in an effort to interpret better the integrative capacity of this neuropil. These data provide some fine structural bases for a putative 'blood-brain' barrier between lamina and haemolymph, between lamina and peripheral retina, and possibly between lamina and second optic neuropil.

Effect of dietary egg on serum cholesterol and triglyceride of human males

One hundred fourteen male volunteers (mean age 44.6 years) consumed one whole egg daily in their customary diets for 3 months. Their final serum cholesterol (SCHOL) and triglycerides (STG) levels were compared with their initial levels on customary free choice diets and also with their levels after a 3-month elimination of dietary whole eggs. All subjects had previously confirmed normal serum lipid levels and no history of heart disease. Four-day food records were kept during both experimental dietary periods. A Latin square design allowed analysis for seasonal effects on lipid levels. No significant change in mean SCHOL on either diet was found; there was a seasonal effect on mean STG. Significant linear associations of fat intake and of energy intake were found. There was no significant association of dietary cholesterol intake with either SCHOL or STG.

The large pigment cell of the compound eye of the house fly Musca domestica. Fine structure and cytoarchitectural associations

The fine structure and cellular associations of the large pigment cells (LPC's) of the compound eye of the house fly were studied with high voltage and conventional electron microscopy. Depending on the sector of the compound eye, the facets are either rectangular or hexagonal. The underside of each facet has indentations exactly aligned with those on top into which inserts an angulated sleeve of LPC's. Under the rectangular lens facet 6 or 8 small compact (in cross section) LPC's join four elongate LPC's. Clusters of compact cells alternate in this ring with elongate ones. Compact cells compress together and become quadrangular (in cross section) several microns below their insertion into the lens and form "building block" corners while elongate cells form "side rails" for the rectangular type of distal pseudocone enclosure. Beneath hexagonal facets all LPC's are rather elongate with out corner cells. In both facet types LPC's enclose the pseudocone for a longitudinal distance of 4 mum and then are displaced as bordering cells by a sleeve of two corneal pigment cells (CPC's), each of which encloses half of the proximal pseudocone. For the following 6 mum of longitudinal distance these concentric sleeves of CPC's and LPC's form a double layer around the pseudocone. At about 10 mum below lens base the two sleeves separate; LPC's become attenuated and extend cable-like to the basement membrane and CPC's enclose the proximal pseudocone, Semper cells and distal retinula. The junction between lens and LPC's has critical structural value in that (1) this is the sole anchorage to the lens by the lengthy remainder of the ommatidium, and (2) LPC's enclose the semiliquid pseudocone in the most distal portion of the pseudocone. In addition to vertical support, the LPC's send out numerous lateral processes that make structural contact among themselves, with the corneal pigment cells and the photoreceptor cells. The structural features of this array are discussed relative to possible physiological roles.

Scanning electron microscopy of normal and malignant human urothelium

Scanning electron microscopy (SEM) was used to evaluate and compare normal bladder mucosa to tumor epithelium as well as to normal-appearing mucosa in patients with diagnosed bladder tumor. Bladder urothelium adjacent to tumors exhibits a characteristic pattern of fine structural relief which is distinct from normal uroepithelium. These changes in microcontour may be guides to the identification of early malignancy, and thus the technique will be helpful in deciding how aggressive the treatment of bladder tumor should be.

High voltage electron microscopy of the optic neuropile of the housefly, Musca domestica

Synaptic cartridges of the first optic neuropile (lamina ganglionaris) of the housefly were examined by high voltage electron microscopy (HVEM). Stereo pairs (from thick, i.e., 0.25 mum, sections viewed at 1,000 kV) provided a three dimensional representation of cartridge neurons and clearly revealed the lateral spread, bifurcation and some functional associations of Type I (L1, L2) monopolar interneurons. Slightly proximal to cartridge neck level, pairs of retinular (R) axons made contact with each other and it appeared that R processes projected through the cleft between the Type I interneurons. No junctional modifications were seen between contiguous R axon terminals. The speculation was made that functional contact might exist between neighboring R axons prior to their extensive synapses with principal first order interneurons. Such alleged coupling between R axons would account for several electrophysiological findings from other laboratories. Modifications in EM technique applicable for HVEM were detailed. The value of obtaining thick serial sections and the use of the HVEM in expediting three dimensional reconstructions of neuropile were demonstrated.

The housefly interfacetal hair: ultrastructure of a presumed mechanoreceptor

The external and internal fine structure of the housefly interfacetal hair and its sensory dendrite was studied with the scanning and transmission (high and low voltage) electron microscopes. The hair shaft contains no dendrites, and is usually situated within a socket on the lens surface. Immediately beneath and directly connected to the base of each hair is a bipolar neuron whose dendrite tip is enveloped in a shealth cell which, in turn, is surrounded by a second sheath cell. Septate junctions are seen between all these cells and contiguous portions of a large pigment cell. At the hair base, the dendrite of the neuron terminates in a tubular body only 1.5 mum in diameter which is filled with about 400 microtubules in highly ordered (in parallel pentagonal and hexagonal) arrays and whose sides are fused to neurofilaments in parallel. Another filament (ca. 70 A diameter) is in the center of each microtubule-neurofilament polygon. Structures proximal to the tubular body are typical for a scolopoid sensillum, i.e., connecting cilium (9 times 2 + 0 microtubules) with rootlet and basal bodies, unmodified dendrite, perikaryon and axon. The axon has not been traced to its synapse. The high degree of internal organization and shortness of the tubular body, as well as its eccentric insertion into the hair shaft lead to the hypothesis that this hair may be a highly sensitive mechanoreceptor. On the basis of their single innervation, these hairs could monitor flight speed from the degree of hair deflection caused by wind in general or particular laminar air currents flowing past the eyes during flight.

Ultrastructure of the compound eye of the diploid female beetle, Xyleborus ferrugineus

The compound eye of female (diploid) Xyleborus ferrugineus beetles was examined with scanning and transmission electron microscopy. The eye is emarginate, and externally consists of roughly 70-100 facets. Each ommatidium is composed of a thickly biconvex lenslet with about 50 electron dense and rare layers. The lens facet overlies a crystalline cone of the acone type which is roughly hourglass-shaped. Pigment cells envelop the entire ommatidium, and pigment granules also are abundant throughout the cytoplasm of the 8 retinular cells. The rhabdomeres of 2 centrally situated photoreceptor cells effectively fuse into a rhabdom that extends from the base of the crystalline cone deeply into the ommatidium. Six distal peripheral retinular cells encircle the 2 central cells, and their rhabdomeres join laterally to form a rhabdomeric ring around the central rhabdom. The rhabdom and rhabdomeric ring are effectively separated by the cytoplasm of the two central retinular cells which contains the usual organelles and an abundance of shielding pigment granules. Eight axons per ommatidium gather in a tracheae-less fascicle before exiting the eye through the fenestrate basement membrane. No tracheation was observed among the retinular cells. Each Semper cell of each observed crystalline cone contained an abundance of virus-like particles near the cell nucleus. The insect is laboratory reared, and the visual system seems very amenable to photoreceptor investigations.

The distal ommatidium of the compound eye of the housefly (Musca domestica): a scanning electron microscope study

The distal aspect of the housefly ommatidium was surveyed by the scanning electron microscope. Attention was directed to the somal eminence of the superior central cell and the lens to large pigment cell junction. The underside of each lens facet exhibits six hexagonally arranged incisures. Into each of these indentations are fitted several large pigment cells. This hexagonal indentation appears to be a tenacious anchorage. Two corneal pigment cells laterally encircle the pseudocone and at their proximal extension they enclose the Semper cells and neck of the retinula. The somal eminence of the superior central cell is about 10 mum from the base of the corneal pigment cell enclosure. Micrographs were used to construct a diagram of the ommatidium above the basement membrane. Suggestions are made as to the functional correlates of the observed ommatidial structures.

Microspectrophotometry of visual pigments

Visual pigments are embedded in the disc membranes of the outer segments of vertebrate rods and cones and in the microvilli of invertebrate visual cells. The pigment molecule in both is a most fascinating aggregate of known (the ubiquitous II-cisisomer of vitamin A1or A2-aldehyde = retinal1or2; Hubbard & Wald, 1952) covalently bonded to the unknown (a protein termed opsin) (Anderson, Hoffman & Hall, 1971). This conjugated molecule is called rhodopsin or dehydrorhodopsin (porphryopsin) when the prosthetic portion is retinall or 2 respectively. So sensitive is this sterically hindered, bent and twisted molecule to light that absorption of one photon can initiate its isomerization to the alltransform. This conformational change is but one (but the best known) of the factors leading to receptor membrane changes ushering in the visual impulse.

Vitamin A deficiency: effect on retinal structure of the moth Manduca sexta

Sphingid moths (Manduca sexta) were reared for several generations on an artificial diet deficient in vitamin A and its precursors. Retinal tissue from depleted moths was removed for histological examination. There was extensive histolysis in the retinal epithelium and underlying nervous and connective tissues. This pathology correlated with severe visual impairment, even though normal growth, metamorphosis, and reproduction occurred. In the adult this pathology could be reversed when the larvae were reared only on tobacco (its usual host) or on the artificial diet supplemented with beta-carotene or vitamin A palmitate.