Biomedical subjects

A Israelsson

Publications and source records attributed to A Israelsson.

12 recordsLinked to original sources

PubMed2006

Biomarker selection for detection of occult tumour cells in lymph nodes of colorectal cancer patients using real-time quantitative RT-PCR.

Accurate identification of lymph node involvement is critical for successful treatment of patients with colorectal carcinoma (CRC). Real-time quantitative RT-PCR with a specific probe and RNA copy standard for biomarker mRNA has proven very powerful for detection of disseminated tumour cells. Which properties of biomarker mRNAs are important for identification of disseminated CRC cells? Seven biomarker candidates, CEA, CEACAM1-S/L, CEACAM6, CEACAM7-1/2, MUC2, MMP7 and CK20, were compared in a test-set of lymph nodes from 51 CRC patients (Dukes' A-D) and 10 controls. Normal colon epithelial cells, primary tumours, and different immune cells were also analysed. The biomarkers were ranked according to: (1) detection of haematoxylin/eosin positive nodes, (2) detection of Dukes' A and B patients, who developed metastases during a 54 months follow-up period and (3) identification of patients with Dukes' C and D tumours using the highest value of control nodes as cutoff. The following properties appear to be of importance; (a) no expression in immune cells, (b) relatively high and constant expression in tumour tissue irrespective of Dukes' stage and (c) no or weak downregulation in tumours compared to normal tissue. CEA fulfilled these criteria best, followed by CK20 and MUC2.

Aged↗

PubMed2000

The importance of osmolality for intermittent catheterization of the urethra.

OBJECTIVES: The urethral trauma after catheterization with intermittent catheters was studied histologically using unconscious rabbits. SETTING: The study was performed at Astra Hässle, Mölndal, Sweden. MATERIALS AND METHODS: Fifteen rabbits were randomized into five groups (three rabbits in each group), one control group and four groups catheterized with four different LoFric catheters (Astra Tech, Mölndal, Sweden): (1) control (not catheterized); (2) salt coated (i.e. high osmolality catheters) with drainage eyes; (3) without salt (i.e. low osmolality catheters) and with eyes; (4) with salt coating but without drainage eyes; and (5) without neither salt coating nor drainage eyes. The urethral injuries were evaluated using a four graded histological scale. RESULTS: The results showed that salt coated LoFric catheters gave less urethral trauma than LoFric catheters without salt. This was also supported by the significantly lower removal friction measured during withdrawal of the high osmolality catheters. No significant differences either in removal friction or in urethral trauma could be observed between LoFric catheters with or without drainage eyes. CONCLUSION: It may be concluded that osmolality is one important factor (there might be others, like e.g. water binding ability) when comparing different hydrophilic catheters, in regards to removal friction and urethral trauma. Furthermore it is suggested that there is no difference in urethral trauma between catheters with eyes or without eyes. To minimize the risk of urethral trauma, high osmolality catheters are recommended, especially when the catheterization times are a few minutes or more.

Animals↗

PubMed1992

Identification of three new genes and estimation of the size of the carcinoembryonic antigen family.

Using carcinoembryonic antigen (CEA) subgroup-specific degenerate PCR primers, we have identified three new CEA gene family member L/N exons (CGM9, CGM10, and CGM11) and all previously reported L/N exons of the CEA subgroup (CEA, BGP, NCA, CGM1, CGM2, CGM6, CGM7, and CGM8). This suggests that the CEA subgroup contains 11 genes. CGM9, CGM10, and CGM11 seem to be pseudogenes. A deletion of an asparagine in CGM9 results in loss of a glycosylation site, which is conserved throughout the CEA gene family. We have previously suggested the number of genes in the pregnancy-specific glycoprotein (PSG) subgroup to be 11, which together with this study indicates that the CEA gene family contains 22 genes in all. Parsimony analysis of the CEA subgroup interrelationships suggests that CGM7 occupies the most primitive position within the CEA subgroup, being a sister group to the rest. CEA, BGP, NCA, and CGM1 form a fairly well-supported group within the CEA subgroup.

Amino Acid Sequence↗

PubMed1987

Incidence of infectious symptoms after radiation therapy for breast cancer. Long-term effects.

The incidence of symptoms generally associated with infectious disease was assessed by a questionnaire sent out to 519 disease-free breast cancer patients 7 to 12 years after primary treatment. All patients were treated in the context of a randomized trial where pre- and postoperative radiation (45 Gy) was evaluated versus surgery only. The results indicate a significantly higher morbidity among patients treated with preoperative irradiation compared with those irradiated postoperative (p less than 0.05). This increased morbidity mainly seemed to be caused by symptoms usually associated with respiratory tract infection (p less than 0.05). Although statistically not significant the preoperatively irradiated patients also had a higher morbidity than those treated with surgery alone. There was no difference between postoperatively irradiated patients and patients treated with surgery only. A significantly higher integral dose (absorbed energy within the body) of the pre- compared with the postoperative group (p less than 0.025) is associated with the differences in morbidity between the two irradiated groups. An explanation for the increased morbidity seems to be that the volume of lung tissue, encompassed within the full-dose target volume, is the crucial factor. This volume was considerable in the preoperatively treated patients but kept at a minimum in the postoperative group.

Adult↗

PubMed1984

Subtraction of Compton-scattered photons in single-photon emission computerized tomography.

A technique for scatter correction in single photon emission computerized tomography (SPECT) is described. The method is based on "deconvolution" of scattered events from the measured profile data. The function defining the scatter distribution was determined from measurements with a line source in circular and rectangular water phantoms. The accuracy of the method was tested on a simple phantom simulating a SPECT investigation of the liver. The indicated ratio of the activity concentration in a photon-deficient area, 60 mm diameter in the "liver", relative to its surroundings, was 0.28/1 without scatter correction and 0.01/1 with the correction.

Liver↗

PubMed1983

Non-uniformity induced artifacts in single-photon emission computed tomography.

Changes of gamma camera uniformity due to choice of flood source configuration and camera head orientation, and influence of these changes on the reconstructed image, have been analysed using phantom measurements. The transfer of defects in the projection data to the reconstructed image has also been investigated using computer simulations. The results indicate that the use of gamma cameras for emission computed tomography will impose higher demands on gamma camera uniformity than conventional scintigraphy.

Models, Biological↗

PubMed1982

Incidence of hypothyroidism occurring long after iodine-131 therapy for hyperthyroidism.

We have studied the long-term incidence of hypothyroidism in 4,473 formerly hyperthyroid patients given I-131 therapy between 1951 and 1975. The mean age at the first I-131 treatment was 56 yr. Six percent developed hypothyroidism within one year of therapy, and 72% within 26 yr. Prior antithyroid medication did not affect the incidence of hypothyroidism. Patients cured with one dose of I-131 had a lower cumulative long-term incidence of hypothyroidism than those requiring more than one dose.

Adolescent↗

PubMed1981

Cure rate after 131I therapy for hyperthyroidism.

The cure rate of hyperthyroidism after 131I therapy was analysed in 4 473 patients, aged between 14 and 91 years, treated between 1951 and 1975. Despite unchanged treatment principles, the cumulative incidence of cure increased for each 5-year period. Within the first 4 months 34 per cent of the patients with diffuse thyroid glands treated during 1951-1955 were cured, as compared with 59 per cent of those treated 1971-1975, i.e. an increment by a factor of 1.7. The corresponding figures for patients with nodular thyroid glands were 23 and 54 per cent, respectively, or a factor of 2.3.

Adolescent↗

PubMed1980

Malignant thyroid tumors after iodine-131 therapy: a retrospective cohort study.

We studied the incidence of malignant thyroid tumors after 131I therapy in 2727 patients with hyperthyroidism and in 273 euthyroid patients with cardiac disease. The patients were all adults, with a mean age of 57 years. The 131I therapy was given between 1951 and 1965. The mean follow-up period was 13 years for the hyperthyroid patients (15 years for the 85 per cent surviving for more than five years) and six years for the cardiac patients (12 years for the 41 per cent surviving for more than five years). The incidence of malignant thyroid tumors was based on a search of the Swedish Cancer Registry for the occurrence of such tumors in any of the 3000 patients. At present there is no increased incidence of malignant thyroid tumors after 131I therapy (four cases observed versus 3.2 cases expected).

Female↗

PubMed1978

A method for determining bone mineral content using Fourier image reconstruction and dual source technique.

The basic principles of a quantitative tomographic technique for bone mineral determination are considered. The bone mineral content could be evaluated from a single reconstruction using projection data from two different energies. Beam hardening effects and photon counting statistics are studied by computer simulation and found to be the limiting factors in precision and accuracy.

Bone and Bones↗

PubMed1977

Electron therapy of intraorbital tumors.

The authors describe a modification of a previously reported method of treating intraorbital tumors using multiple electron beams. An adjustable metal shield is inserted in the electron tube to protect the lens. The three-dimensional dose distribution was determined by film measurements and the film density measured with an RFA-1 densitometer on line with a computer. The density values were stored in a three-dimensional matrix. Different planes in the matrix can be selected for isodose plotting.

Electrons↗

PubMedDate not supplied

Evolution of the carcinoembryonic antigen family. structures of CGM9, CGM11 and pregnancy-specific glycoprotein promoters.

Earlier studies have demonstrated that the genes of the human carcinoembryonic antigen (CEA) family can be divided into three subgroups, the CEA subgroup (n = 12), the pregnancy-specific glycoprotein (PSG) subgroup (n = 11), and a third subgroup (n = 6). To further characterize the CEA gene family, we have determined the genomic structures of CGM9 and CGM11, analyzed the promoter regions of all eleven PSGs, studied the CGM15-PSG13 intergenic region and the evolutionary relationships beween the CEA family genes. CGM9, a typical CEA subgroup member, was a pseudogene with the exon structure [5'UTR-L-L/N-TM-Cyt-3'UTR]. CGM11 contained a mixture of exons derived from CEA and PSG subgroup genes. The formula of the CGM11 pseudogene was [5'UTR-L-L/N-C-3'UTR]. Thus both genes lacked the IgC2-like domains typically found in CEA subfamily members. The upstream promoter regions of all eleven PSGs were characterized. All PSG promoters lacked the classical TATA and CCAAT elements, but had putative PEA3 box(es), CACCC box(es), a RARE box, and poly (dG-dT) repeats of different lengths. Five PSGs also had an SP1 site. The complete 10-kb intergenic region between CGM15 and PSG13 was sequenced. Clusters of different types of repetitive sequences were seen. The time of divergence of the CEA and PSG subfamilies was estimated to be 107.7 +/- 17.1 million years, or at about the time of human-rodent divergence. Models for the evolution of CEA and PSG and the third family subgroup genes are proposed.

Amino Acid Sequence↗