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D Devine

Publications and source records attributed to D Devine.

21 records · Page 2Linked to original sources

Antibodies as specific renin inhibitors: studies with polyclonal and monoclonal antibodies and Fab fragments.

The use of antirenin antibody and Fab may provide a more specific physiologic tool and potential therapeutic agent than the existing pharmacologic inhibitors. The antibody combining site, by virtue of its larger size than organic compounds, has the capacity for a larger number of intramolecular contacts with its ligands, thus allowing increased selectivity and affinity. Renin-specific Fab obtained through immunization with purified dog renal renin has been studied. Fab had no effect on blood pressure in the sodium replete conscious dog but induced systemic hypotensive responses in the sodium deplete animal or during acute renovascular hypertension. These responses were accompanied with complete suppression of plasma renin and angiotensin II levels. The vasodepressor responses of Fab were comparable to the converting enzyme inhibitor, teprotide. However, the latter induced a greater renal vasodilator effect. Since antibodies and their fragments derived from immune sera are limited in their application to physiologic study with respect to lack of homogeneity, reproducibility and limitation of quantity, we obtained monoclonal antibodies to purified human renal renin. Fusion HR3 yielded 14 renin-antibody secreting clones. Six clones have been isolated and characterized. Isotypes include IgG1 and IgM. Kd's range from 6 X 10(-9) to 7.5 X 10(-10)M renin concentration. Five clones produce antibodies with antienzymatic activity. IC50's of these antibodies range from 1 X 10(-6) to 6 X 10(-8)M. All antibodies are renin-specific and do not bind several nonrenin enzymes and proteins examined. They are also highly species specific, i.e., do not crossreact with mouse, dog, bovine or rat renins but recognize hog renin. These catalytic-site directed antibodies may be highly potent and specific tools for physiologic studies in subhuman primates and man.

Animals↗

Noninvasive measurement of cardiac pressures by induced ventricular wall resonance: preliminary results in the dog.

Experiments in the excised dog heart and in live dogs are presented wherein a method of induced right ventricular wall resonance has been utlized to estimate the pressure in the right ventricle of the heart. Externally induced cardiac wall vibrations produced low frequency signals which, when subjected to spectrum analysis and coherent signal processing, permitted close approximation of static pressures and wave forms in the right ventricle at normal and hypertensive levels.

Animals↗

Endocrine levels at the start of treatment are associated with subsequent psychological adjustment in cancer patients with metastatic disease.

OBJECTIVE: This study examined the association between hormonal profiles at the start of cancer treatment and subsequent psychological symptomatology. METHODS: Twenty-seven patients with metastatic renal cell carcinoma and 18 patients with metastatic melanoma completed three assessments during the course of treatment: at the start of treatment (baseline), at the end of treatment (3 weeks after baseline), and at a follow-up appointment 1 month later. Cortisol, norepinephrine, and epinephrine levels were measured at baseline using 15-hour urine samples. At each assessment, patients completed the Impact of Event Scale (IES) and the Brief Symptom Inventory (BSI). RESULTS: Patients reported moderate levels of distress throughout treatment as measured by the IES and BSI. Norepinephrine levels at the start of treatment were positively associated with IES total scores at the end of treatment and at follow-up, and cortisol levels were positively associated with IES total scores at follow-up after adjusting for baseline IES and overall distress scores. Norepinephrine levels were also positively associated with depression scores at follow-up, and cortisol levels were positively associated with depression scores at the end of treatment and at follow-up after adjusting for baseline depression and overall distress scores. CONCLUSIONS: Hormonal profiles at the start of cancer treatment are associated with subsequent psychological adjustment.

Adult↗