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Biomedical subjects

C H Yu

Publications and source records attributed to C H Yu.

71 records · Page 4Linked to original sources

Congenital nephrotic syndrome with microcephaly: report of a case.

Congenital nephrotic syndrome is an uncommon disease with variable etiology, course and prognosis; its association with microcephaly is even more unusual. A case is reported here of congenital nephrotic syndrome because of focal glomerulosclerosis in a three-month-old female infant with microcephaly since birth. There were no known renal diseases nor hereditary disorders in her family. The serologic tests for syphilis, toxoplasmosis, rubella, and cytomegalovirus infections were negative. Magnetic resonance imaging of the brain showed diffuse atrophic change of the cerebral hemispheres and brain stem with a remarkable increase of extracerebral space. The infant died at the age of four months without any clinical cause other than congenital nephrotic syndrome. These findings, including congenital nephrotic syndrome and microcephaly accompanied by various other clinical symptoms, have been described as a clinical entity with an autosomal recessive mode of inheritance.

Atrophy↗

L-asparaginase-related pancreatic pseudocyst: report of a case.

Pancreatitis following the administration of L-asparaginase (L-asp) has been well documented. However, the progression of such pancreatitis to pseudocyst formation in some patients has been rarely reported. The few reported cases have been teenagers, with the exception of one adult. All pseudocysts required surgical management. This report documents a pancreatic pseudocyst in a seven-year-old girl with acute lymphoblastic leukemia whose treatment regimen included L-asp. The pseudocyst was managed medically with nasogastric decompression, intravenous hyperalimentation, and antibiotics. The pseudocyst resolved spontaneously in one month without complication.

Acute Disease↗

One-step RNA polymerase chain reaction for detection of hepatitis C virus RNA.

Although detection of hepatitis C virus RNA with polymerase chain reaction has become the standard for diagnosis, extensive application has been thwarted by polymerase chain reaction's labor intensiveness, risk of false-positive results through contamination and time required for individual assays. To minimize these limitations, we developed and validated a one-step hepatitis C virus RNA polymerase chain reaction assay. The one-step method was compared with traditional hepatitis C virus RNA polymerase chain reaction using primers from the highly conserved 5' untranslated region of the hepatitis C virus genome. Variables studied in the one-step method included the source and quantity of reverse transcriptase (RTase), the concentration of MgCl2 and the duration of reverse transcription and complementary DNA amplification cycles. Optimal conditions for the one-step method were obtained with 25 U of reverse transcriptase and 2 mmol/L MgCl2. The one-step method substantially reduced the time required for analysis. The sensitivity of the one-step method was comparable to that of traditional hepatitis C virus RNA polymerase chain reaction using serially diluted RNA extracted from the serum of a hepatitis C virus-infected patient. The specificity of the one-step method was confirmed on Southern-blot hybridization. The results exhibited 100% concordance with results of traditional hepatitis C virus RNA polymerase chain reaction in 50 serum samples, including those of positive and negative controls. In addition, 100% concordance was observed between the two methods' results when sera containing low levels of hepatitis C virus RNA were used.(ABSTRACT TRUNCATED AT 250 WORDS)

Base Sequence↗

Up-regulation of intercellular adhesion molecule 1 transcription by hepatitis B virus X protein.

Intercellular adhesion molecule 1 (ICAM-1), a counter-receptor for lymphocyte function-associated antigen 1 on T cells, is critically important to a wide variety of adhesion-dependent leukocyte functions, including antigen presentation and target cell lysis. ICAM-1 expression by hepatocytes is increased in areas of inflammation and necrosis during chronic hepatitis B. Whether induction of ICAM-1 is due to the effect of inflammatory cytokines or involves a direct effect of the hepatitis B virus (HBV) remains unknown. In the present study, transfection of the HBV genome into human hepatoma cell lines resulted in enhanced expression of ICAM-1 protein and RNA in the absence of inflammation. Results of subgenomic transfections indicated that the HBV X protein (pX) induced ICAM-1 expression. Nuclear run-on assays showed that pX induced the ICAM-1 gene by increasing its rate of transcription. Although both pX and interferon gamma induced transcription of ICAM-1, addition of interferon gamma to cells expressing pX did not show an additive or synergistic effect. These results indicate that pX can directly regulate expression of ICAM-1 and may participate in the immunopathogenesis of HBV infection.

Cell Adhesion Molecules↗

Direct detection of circulating hepatitis C virus RNA using probes from the 5' untranslated region.

Diagnostic testing for hepatitis C virus (HCV) infection currently is based on the presence of anti-HCV antibodies or a positive HCV RNA polymerase chain reaction (PCR) test. Although HCV RNA PCR is a sensitive and specific technique, widespread application is limited. Moreover, HCV RNA PCR is subject to false-positive reactions through contamination and is inherently difficult to standardize and quantitate. To overcome limitations of HCV RNA PCR, we produced both cDNA and riboprobes from a 241 nucleotide sequence of the 5' untranslated region of the HCV genome for slot hybridization. Hybridization was absent using normal human serum, horse serum, or hepatic cellular RNA from noninfected liver. Hybridization occurred predominantly with positive-stranded HCV RNA and was abolished by pretreatment with RNase A. Slot hybridization was performed on serum samples from 60 patients with chronic HCV infection and a positive HCV RNA PCR and 20 patients with liver diseases unrelated to HCV who had a negative HCV RNA PCR. Slot hybridization with cDNA and riboprobes showed concordance with HCV RNA PCR of 95 and 98.3%, respectively. There were no false-positive reactions in controls. The sensitivity of riboprobe hybridization was comparable to that of one stage HCV RNA PCR using 5' untranslated region primers. Riboprobe hybridization with the HCV H strain standard was positive in the dilution corresponding to 10(-6) chimpanzee infectious doses50/ml. The density of the hybridization signals correlated significantly with the mass of an RNA standard extracted from the liver of a patient with HCV infection. The relative quantities of HCV RNA in the sera of selected patients varied and were not correlated with the duration of disease or the histopathological stage. The highest relative quantities were associated with concurrent immunosuppression. We conclude that slot hybridization is a sensitive, specific alternative to HCV RNA PCR that can be directly quantitated using appropriate HCV RNA standards.

Base Sequence↗

Motion recovery in light-attenuating media from image-shading variations.

One of the requirements for providing some autonomy in the operation of robotic vehicles is an accurate knowledge of position, orientation, and motion relative to nearby objects and the environment. Passive-vision sensing provides a useful tool for extracting such information from the images of the scene. Some applications, including the operation of undersea vehicles, involve working under artificial lighting in an attenuating medium. The extraction of motion, position, and orientation information requires models of image brightness that incorporate the effects that are due to the illumination attenuation and the illumination variation resulting from the motion of the light source. We investigate the problem of motion recovery from image-shading variations for a configuration common in many undersea applications. On the basis of the image model developed earlier [J. Opt. Soc. Am. A 8, 217 (1991)], we show that the motion of a vehicle can be determined in closed form by using three Lambertian planar surfaces as optical beacons.

Computer Simulation↗

Structural analysis of neural circuits using the theory of directed graphs.

A new approach to analysis of structural properties of biological neural circuits is proposed based on their representation in the form of abstract structures called directed graphs. To exemplify this methodology, structural properties of a biological neural network and randomly wired circuits (RC) were compared. The analyzed biological circuit (BC) represented a sample of 39 neural nuclei which are responsible for the control of the cardiovascular function in higher vertebrates. Initially, direct connections of both circuits were stored in a square matrix format. Then, standard algorithms derived from the theory of directed graphs were applied to analyze the pathways of the circuits according to their length (in number of synapses), degree of connectedness, and structural strength. Thus, the BC was characterized by the presence of short, reciprocal, and unidirectional pathways which presented a high degree of heterogeneity in their strengths. This heterogeneity was mainly due to the existence of a small cluster of reciprocally connected neural nuclei in the circuit that have access, through short pathways, to most of the network. On the other hand, RCs were characterized by the presence of long and mainly reciprocal pathways which showed lower and absolute homogeneous strengths. Through this study the proposed methodology was demonstrated to be a simple and efficient way to store, analyze, and compare basic neuroanatomical information.

Animals↗

[Internal fixation of fractured ribs with Kirschner wires for serious traumatic chest instability].

Internal fixation of fractured ribs with kirschner wires was done in 14 patients with serious traumatic chest wall instability. Four of these patients had fracture of prothorax ribs, and 10 fracture of lateral thorax ribs. This method can not only stabilize the chest wall but also reduce the fractured ribs. It is an ideal treatment for serious traumatic chest wall instability. In this paper, operative opportunity, indication and the main technical points of surgery are discussed.

Adult↗

Connection, a microcomputer program for storing and analyzing structural properties of neural circuits.

The application of a microcomputer-based system (the Connection system) designed to deal with neuroanatomical information commonly analyzed by researchers and involved in the study of structural properties of neural circuits is presented. This system can be employed at first as a readily-accessible database containing physiological and anatomical data from nuclei of the central nervous system which define a network with up to 45 elements and their subdivisions and connections. Once the database from a specific network is built and stored in a file, routines of this system can be used to classify the nuclei in term of their afferents and efferents and also to display all possible pathways linking any pair of nuclei and their respective length (number of synapses). The role of such a system as an auxiliary tool in neuroanatomical and electrophysiological research is discussed by presenting the results obtained from the analysis of the neural circuits involved in cardiovascular function control in higher vertebrates.

Algorithms↗

Structural characterization of the neural circuit responsible for control of cardiovascular functions in higher vertebrates.

A comparison of structural properties of a biological neural system responsible for cardiovascular function control in higher vertebrates with randomly connected networks was pursued using matrix representations of those circuits. The biological circuit was characterized by the presence of some heavily connected nuclei in contrast to the random networks that had equally distributed connections between their elements. This property of the analysed biological circuit was shown to account for a high logarithmic correlation found between two indexes defined to represent pointwise features of the nuclei and their global contribution to the whole network. The first index is obtained by the product of the number of inputs and of outputs of a nucleus and was called power index (PI). The second one, called occurrence index (OI), defines how many times a specific nucleus is crossed when all possible pathways joining two nuclei of the circuit are obtained. This PI-OI correlation was clearly dependent on the pathway length distribution (expressed in number of synapses), and was maximal considering pathways with a low number of synapses. When randomly connected circuits were analysed lower correlation was found between the same two indexes and only for much longer pathways. Therefore, it is proposed that the analysis of the PI-OI correlation can be useful to quantify structural differences between biological neural circuits as distinguished from randomly connected networks and also between neural systems at different levels of phylogenetic and ontogenetic development.

Animals↗

[Determination of flecainide concentration in blood plasma by HPLC and pharmacokinetic parameters in volunteers].

A high performance liquid chromatographic method (ultraviolet detection) for the determination of flecainide concentration in human plasma was reported. Flurazepam (dalmadorm) was used as the internal standard. A mixture of methanol and deionized water containing ion paired reagent served as the mobile phase. The regression equation of flecainide was: y = 0.0017x + 0.0131, r = 0.9975. The extraction recoveries exceeded 94%, and the coefficients of variation (both within the same day and in different days) were less than 5%. The pharmacokinetic parameters in Chinese volunteers after taking flecainide were: Ka = 0.908h-1, T1/2 = 8.131h, peats time = 3.487h, AUC = 441.8ng.h/ml. The mean plasma concentration of flecainide in cases responded well to this drug was 423.6 +/- 227.4ng/ml.

Adult↗

Morphological changes in spinal motor neurons giving rise to long-term regenerated sciatic nerve axons.

Morphological properties of rat spinal motor neurons were examined 14-16 months following unilateral sciatic nerve crush and compared to the properties observed in neurons contralateral to injury and in cord segments from age-matched control rats. Regenerated and control motor neurons were identified by retrograde labelling with HRP applied to sciatic nerves distal to the site of crush or at a comparable location in control nerves. Many of the experimental motor neurons were enlarged and had thickened dendritic processess compared to the finer dendrites seen in control cells. Mean cell area ipsilateral to the crush lesions was larger than mean control cell area (P-value less than 0.001) despite representation of all control cell areas in the regenerated population. These data suggest that persistent or continued morphological abnormalities occur in mammalian motor neurons following simple sciatic crush injury when examined at extended times beyond the period of axonal regeneration and clinical recovery.

Animals↗

The transphosphatidylation activity of phospholipase D.

Transphosphatidylation activity is a characteristic and remarkable property of phospholipase D (PLD) and has been studied in plants and mammalian tissues. This reaction is often used to confirm the properties and/or abnormalities of PLD activity. The mechanism for activating PLD transphosphatidylation seems multiple. Although significant changes of transphosphatidylation activity have been found in some pathological animal models, the biological significance of PLD transphosphatidylation remains largely unknown.

Animals↗