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Biomedical subjects

C D Moyes

Publications and source records attributed to C D Moyes.

At least 55 records · Page 3Linked to original sources

Injuries to child cyclists in the Bay of Plenty.

Over five years 415 children attended the accident and emergency department at Whakatane Hospital for injuries sustained while riding pedal cycles, four of whom died and 17% required admission to hospital. Twenty-eight percent of riders were less than eight years old, although it is known that children are not safe on roads up to this age. Forty-five children were passengers, mostly under five years of age and suffering from lower limb injuries from catching feet in wheel spokes. BMX bicycle riders were overrepresented among the injured. All deaths and permanent incapacity were a result of brain damage and could probably have been prevented by the use of approved safety helmets. There is a clear need for communities to address these safety issues.

Accidents↗

Very low dose hepatitis B vaccination in the newborn: anamnestic response to booster at four years.

Seventy-eight children who had received three very low doses (1 or 2 microg) of Merck, Sharp and Dohme (MSD) plasma-derived vaccine (PDV) in early infancy were followed to approximately four years of age. Of the 70 who had responded to the initial course of vaccine with measurable anti-HBs, levels had fallen to below 10 mlU/ml in 38% of subjects given 1 microg doses and in 17% of those who had been given 2 microg doses. None of the children were positive for anti-HBc. Two weeks after 2 microg dose of MSD recombinant DNA (rDNA) vaccine all subjects had more than 10 mlU/ml of anti-HBs, with 90% exceeding 1,000 mlU/ml. A response to hepatitis B vaccine in infancy is followed by an effective immunological memory for several years, even if anti-HBs falls to low levels. The rDNA hepatitis B vaccine (MSD) in 2 microg doses is an effective booster following a primary course of plasma derived vaccine.

Child, Preschool↗

Fuel selection in rufous hummingbirds: ecological implications of metabolic biochemistry.

Hummingbirds in flight display the highest rates of aerobic metabolism known among vertebrates. Their flight muscles possess sufficient maximal activities of hexokinase and carnitine palmitoyltransferase to allow the exclusive use of either glucose or long-chain fatty acids as metabolic fuels during flight. Respiratory quotients (RQ = VCO2/VO2) indicate that fatty acid oxidation serves as the primary energy source in fasted resting birds, while subsequent foraging occurs with a rapid shift towards the use of carbohydrate as the metabolic fuel. We suggest that hummingbirds building up fat deposits in preparation for migration behave as carbohydrate maximizers (or fat minimizers) with respect to the metabolic fuels selected to power foraging flight.

Animals↗

Mitochondrial and peroxisomal fatty acid oxidation in elasmobranchs.

In heart and red muscle of dogfish (Squalus acanthias), the maximal activities of the fatty acid catabolizing enzyme carnitine palmitoyltransferase (CPT) are less than 5% the rate in the same tissues of teleosts (carp, Cyprinus carpio; trout, Salmo gairdneri). CPT activities in these tissues of hagfish (Eptatretus stouti) are approximately 10% the rate in teleosts. However, the maximal activities of the beta-oxidation enzyme beta-hydroxyacyl-CoA dehydrogenase (HOAD) in dogfish red muscle and heart are similar to these tissues in the other species. This paradox prompted a more detailed study on the capacity of mitochondria from dogfish cardiac and red skeletal muscles to utilize fatty acids, possibly by a CPT-independent pathway. Free fatty acids were not oxidized by mitochondria from red muscle (hexanoate, octanoate, decanoate, and palmitate) or from heart (octanoate, palmitate). Neither hyposmotic incubation nor addition of 5 mM ATP could stimulate oxidation of octanoate or palmitate in either preparation, suggesting that these tissues have little capacity to oxidize fatty acids by a carnitine-independent pathway. Palmitoyl carnitine oxidation was detectable at very low rates in these mitochondria only with hyposmotic incubation. Octanoyl carnitine was oxidized at greater rates than palmitoyl carnitine, 10% the rate of pyruvate in both tissues, suggesting that medium-chain fatty acids could be physiologically relevant fuels in elasmobranchs if available to heart and red muscle. One potential source of medium-chain fatty acids is hepatic peroxisomal beta-oxidation, which occurs in dogfish liver at maximal activities similar to carp and trout liver. However, based on relative rates of oxidation, it is likely that dogfish heart and red muscle metabolism are fueled primarily by carbohydrate and ketone bodies.

3-Hydroxyacyl CoA Dehydrogenases↗

Mass vaccination against hepatitis B in preschool children: immunogenicity after three reduced doses.

The immunising effect of three reduced doses of Merck Sharp and Dohme (MSD) H-B Vax plasma derived vaccine delivered at monthly intervals was evaluated in 1225 four year old children. Eighteen children had evidence of previous or current infection with HBV. Of the remaining 1207 children, 1186 (98.3%) had antibody to hepatitis B surface antigen (anti-HBs) when tested by enzyme immunoassay (EIA). Levels of anti-HBs in 96 randomly selected sera were independently quantitated by radioimmunoassay (RIA) and all were positive for anti-HBs, with a geometric mean titre of 1013. There was no significant difference in seroconversion or anti-HBs levels between the groups of children nationwide. In 19 of the 39 centres, seroconversion was 100%. No centre had less than 92% seroconversion. This study confirms that three 2 microgram doses of MSD H-B Vax plasma derived vaccine given intramuscularly (IM) at monthly intervals are highly immunogenic in this paediatric population.

Child, Preschool↗

Liver disease and hepatitis B infection in a large New Zealand family.

This study illustrates the relationship between the hepatitis B virus (HBV) carrier state and primary hepatocellular carcinoma in a large family of Maori (173 members) amongst whom four brothers have died of primary hepatocellular carcinoma. The brothers were from a generation of fourteen siblings, eleven of whom were tested for hepatitis B surface antigen (HBsAg) and all found to be positive. Amongst the offspring of this generation there were 13 HBsAg positives from 28 children (46%) born to female carriers but no HBsAg positives amongst the 28 offspring of male carriers. The study provides further evidence that the morbidity which often follows HBsAg carriage, may be associated with early (perinatal) infection. There was a marked decrease in HBV serologic markers in succeeding generations, from 100% in generation two, to 55% in generation three and 14% in generation four, unrelated to the use of hepatitis B vaccine.

Adult↗

Oxidative properties of carp red and white muscle.

Substrate preferences of isolated mitochondria and maximal enzyme activities were used to assess the oxidative capacities of red muscle (RM) and white muscle (WM) of carp (Cyprinus carpio). A 14-fold higher activity of citrate synthase (CS) in RM reflects the higher mitochondrial density in this tissue. RM mitochondria oxidize pyruvate and fatty acyl carnitines (8:O, 12:O, 16:O) at similarly high rates. WM mitochondria oxidize these fatty acyl carnitines at 35-70% the rate of pyruvate, depending on chain length. WM has only half the carnitine palmitoyl transferase/CS ratio of RM, but similar ratios of beta-hydroxyacyl CoA dehydrogenase/CS. Ketone bodies are poor substrates for mitochondria from both tissues. In both tissues mitochondrial alpha-glycerophosphate oxidation was minimal, and alpha-glycerophosphate dehydrogenase was present at low activities, suggesting the alpha-glycerophosphate shuttle is of minor significance in maintaining cytosolic redox balance in either tissue. The mitochondrial oxidation rates of other substrates relative to pyruvate are as follows: alpha-ketoglutarate 90% (RM and WM); glutamate 45% (WM) and 70% (RM); proline 20% (WM) and 45% (RM). Oxidation of neutral amino acids (serine, glycine, alanine, beta-alanine) was not consistently detectable. These data suggest that RM and WM differ in mitochondrial properties as well as mitochondrial abundance. Whereas RM mitochondria appear to be able to utilize a wide range of metabolic fuels (fatty acids, pyruvate, amino acids but not ketone bodies), WM mitochondria appear to be specialized to use pyruvate.

Animals↗

Low dose hepatitis B vaccination in children: benefit of low dose boosters.

Fifty eight children aged 5-12 years (mean 9.3 years) who had received three x 2 micrograms of Merck Sharp and Dohme (MSD) H-B-Vax intramuscularly at time 0, 1, 6 months were given a further 2 micrograms dose 12 months after dose 3 and tested for immune response two weeks later. Fifty seven of 58 children were positive for antibody to hepatitis B surface antigen (anti-HBs) when tested by radioimmunoassay. In 56 of the 57, the response was anamnestic in nature. The geometric mean titre of anti-HBs rose from 106 IU/L before, to 15,759 IU/L after the booster dose. The latter figure was greater than that obtained in 20 adults given three x 20 micrograms of the same vaccine and also greater than that reported in children given three x 10 micrograms of MSD H-B-Vax. This study demonstrates that 8 micrograms of H-B-Vax given as four doses is at least as immunogenic in children as 30 micrograms of the same vaccine given as recommended and that the low dose strategy is appropriate for this expensive vaccine.

Adult↗

Antibody responses to recombinant, yeast-derived hepatitis B vaccine in teenage New Zealand children.

Three groups of healthy teenage New Zealand children were given 2.5 micrograms, 5 micrograms and 10 micrograms, which is the currently recommended dose, of Merck Sharp and Dohme recombinant yeast-derived hepatitis B vaccine at time 0, 1 and 6 months and tested for antibody responses to vaccine and for other hepatitis B virus markers. Seroconversion rates exceeded 98% in all three groups. Geometric mean titres (GMT) of the anti-HBs increased with higher doses. There was no significant differences in GMT between the sexes. Under the conditions of this study, 2.5 micrograms doses of this vaccine induced an excellent antibody response in children 12-14 years of age.

Adolescent↗

Temperature effects on pH of mitochondria isolated from carp red muscle.

Mitochondria isolated from red muscle of carp (Cyprinus carpio) were used to investigate the effects of temperature and extramitochondrial pH (pHe) on the mitochondrial pH gradient and respiratory properties. Mitochondria from animals acclimated to 10 degrees C were isolated and incubated in KCl-based media with 0.2 mM lauroylcarnitine (C-12) as substrate. Maximal respiratory control ratios (RCR = state 3/state 4) were 16-18 between pH 6.7 and 7.4 at 10 degrees C; RCR values were 9-12 between pH 6.5 and 7.1 at 30 degrees C. Changes in RCR values were due primarily to changes in the state 3 rate (in the presence of ADP). Mitochondrial pH was determined by measuring 5,5-[2-14C]dimethyloxazolidine-2,4-dione distribution, using [14C]sucrose as an extramatrical marker. The pH gradient was inversely related to pHe. At any particular pHe, the mitochondrial pH gradient decreased with increasing temperature. However, if pHe was varied in the same manner that intracellular pH changes with temperature in vivo, the pH gradient was maintained constant at approximately 0.4 U at 10, 20, and 30 degrees C. These data suggest that carp red muscle mitochondria defend an appropriate mitochondrial pH gradient with temperature-induced changes in intracellular pH.

Animals↗

Very-low-dose hepatitis B vaccine in newborn infants: an economic option for control in endemic areas.

Three 1 microgram or 2 micrograms doses of Merck, Sharp and Dohme plasma vaccine were given to 119 infants of mothers negative for antibody to hepatitis B surface antigen (anti-HBs). Anti-HBs antibodies developed in 25/29 (86%) infants given 1 microgram and in 86/90 (96%) given 2 micrograms doses. Levels of anti-HBs achieved by three 2 micrograms doses were similar to those that have been reported for conventional 10 micrograms doses. Similar levels were recorded from infants of anti-HBs-positive mothers, which suggests that maternal antibody does not interfere with the infant's immune response to low doses of vaccine. Three 2 micrograms doses of vaccine in infancy produce satisfactory immunogenicity and make possible economic control of hepatitis B in endemic areas.

Carrier State↗

A seroepidemiological study of the prevalence of hepatitis B infections in a hyperendemic New Zealand community.

The prevalence of hepatitis B surface antigen (HBsAg) and its antibody (anti-HBs) were studied in 93% of the population of the New Zealand township of Kawerau. Sera were collected from 7901 subjects over six months old, and 3318 (42%) had markers of hepatitis B virus (HBV) infections. Five hundred and nineteen (6.6%) were positive for HBsAg and 485 (96.4%) of 503 retested were confirmed as chronic carriers. HBsAg prevalence was 5.4% in the 0-4 years age group but only 1 of 66 children under one year old was positive suggesting that later cross infection, rather than perinatal transmission was the major factor responsible for the high pre-school carrier rate. Total HBV marker prevalence increased dramatically in early school years and peak marker prevalence was 67.7% in the 15-19 year age group. Prevalence of HBsAg was more than four times higher in non-europeans than in Europeans (Caucasians). Other factors significantly associated with hepatitis B virus marker prevalence in children were: number of years spent in Kawerau, which was associated with anti-HBs prevalence; and size of household, which was associated with HBsAg prevalence. Number of siblings was not a significant risk factor over and above the effect of size of household. Factors associated with marker prevalence in adults were: number of years spent in Kawerau, which was associated with anti-HBs; birth in the Northern half of the North Island, which was associated with both HBsAg and anti-HBs; size of household, which was more strongly associated with HBsAg prevalence; and amateur tattoos, which were associated with anti-HBs prevalence but not with HBsAg prevalence.

Adolescent↗

Hepatitis B markers in 14-15 year olds in Bay of Plenty.

Fourteen-fifteen year olds throughout the eastern Bay of Plenty were tested for hepatitis B surface antigen (HBsAg) and antibody (anti-Hbs). Overall 44.7% showed evidence of infection with hepatitis B, and 9.2% were HBsAg positive, rates being higher in Maoris and in males. Maori rates were very similar through most of the region, with greater variation amongst Europeans. However, the infection rates are very high in all groups and areas, confirming that hepatitis B is highly endemic throughout.

Adolescent↗

Osmotic effects on amino acid oxidation in skate liver mitochondria.

The mechanism responsible for the osmotic sensitivity of sarcosine oxidation by liver mitochondria from the little skate, Raja erinacea Mitchill, is examined. Assay medium tonicity, rather than a solute effect (urea or trimethylamine oxide), is probably responsible for the inverse relationship between osmolarity and the rate of oxidation of sarcosine by these mitochondria. Sarcosine oxidation proceeds through the flavin-linked sarcosine oxidase with the resultant glycine catabolized in the NAD-linked glycine cleavage system. The tonicity-sensitive component of the sarcosine oxidative pathway is not the glycine cleavage system. Sarcosine oxidation in the presence of rotenone is sensitive to medium tonicity. Oxidation of serine, which is also catabolized through the glycine cleavage system, is not as sensitive to tonicity as is sarcosine oxidation. Mitochondrial volume changes also appear to affect the transport of glycine. Although sarcosine does not appear to share the glycine transporter, it is possible that sarcosine transport is similarly sensitive to medium tonicity. The effects of osmolarity on the oxidation of dimethylglycine appear to support this hypothesis. Tonicity effects on sarcosine oxidase cannot yet be eliminated.

Amino Acids↗

Prevalence of hepatitis B infections in a multiracial New Zealand community.

Plans to control hepatitis B virus (HBV) infections in a high risk mixed race community, included the need for prevalence studies of HBV markers. Accordingly 7901 subjects, 93% of the population of Kawerau, where European and non-European children are present in almost equal numbers, were tested for hepatitis B surface antigen (HBsAg) and antibody to HBsAg (anti-HBs). Positive HBsAg sera were titred and tested for hepatitis B e antigen (HBeAg). Highest rates for HBsAg and anti-HBs combined, were found in the 15-19 year old age groups; 61.6% in Europeans and 74.5% in non-Europeans. HBsAg prevalence was 4.2% and 18.2% respectively in the same groups. Ninety-six point four percent of 503 HBsAg positives followed up were confirmed as carriers. Infectivity as shown by HBeAg prevalence and HBsAg titre was highest in 0-10 year olds and declined with age. Prevalences were low in children aged less than one year old, suggesting that perinatal transmission was not a major factor in childhood carriage. Therefore attempts to control acquisition of carriage by vaccinating only those children of HBeAg positive mothers are unlikely to be successful.

Adolescent↗