PubMed Health⌕ Search

Biomedical subjects

F Hartmann

Publications and source records attributed to F Hartmann.

At least 163 records · Page 9Linked to original sources

Characterization of isolated epithelial cells from rat small intestine.

Intestinal mucosal cells from the rat have been isolated by a new technique involving intravascular perfusion of an intestinal segment with collagenase. Detached cells were flushed from the intestinal lumen with a second perfusion circuit containing an oxygenated buffered solution with 1% bovine serum. Sequential collection of cells at intervals during the period of perfusion revealed that villus-tip cells are recovered first (after 15 min of collagenase perfusion), followed by midvillus (after 25 min) and lower villus cells (after 35 min). The isolated cells were judged intact and viable by the criteria of trypan blue dye exclusion, ultrastructural appearance, and metabolic activity. They were characterized as villus-tip, midvillus, and lower villus-crypt cells by their alkaline phosphatase and sucrase activity, glycoprotein formation, and [3H]thymidine incorporation. Microsomal monooxygenase activity was four to five times greater in villus-tip than in lower villus cells, whereas heme oxygenase exhibited a reverse gradient. The isolated cells synthesized heme and bilirubin under cell culture conditions.

Alkaline Phosphatase↗

Metabolism of heme and bilirubin in rat and human small intestinal mucosa.

Formation of heme, bilirubin, and bilirubin conjugates has been examined in mucosal cells isolated from the rat upper small intestine. Intact, viable cells were prepared by enzymatic dissociation using a combined vascular and luminal perfusion and incubated with an isotopically labeled precursor, delta-amino-[2,3-3H]levulinic acid. Labeled heme and bile pigment were formed with kinetics similar to those exhibited by hepatocytes. Moreover, the newly formed bilirubin was converted rapidly to both mono- and diglucuronide conjugates. In addition, cell-free extracts of small intestinal mucosa from rats or humans exhibited a bilirubin-UDP-glucuronyl transferase activity that was qualitatively similar to that present in liver. The data suggest that the small intestinal mucosa normally contributes to bilirubin metabolism.

Aminolevulinic Acid↗

[Anabolic therapy in metastatic breast cancer].

The medical records of 66 women treated with metenolone for metastasized breast carcinomas were analysed. In 26 patients a remission developed with a mean duration of 8.2 (3-29) months. Patients whose treatment started in the first year after the menopause as well as patients with a beneficial effect of a therapeutic ovariectomy in the past were more often improved by metenolone than average. Metenolone had a better effect against osseous metastases than against visceral metastases. In most cases the treatment was well tolerated. In four patients, however, the treatment had to be interrupted because of cholestasis, pulmonary embolism and hypercalcaemia.

Adult↗

[Renal hypertension in aortic stenosis].

Report of the clinical, biochemical, hemodynamic and x-ray data of a girl, 16 years of age, who had a narrowing of the abdominal aorta (diaphragmatic type). The stenosis was proximal to the renal arteries and was associated with unobtainable arterial pressure in the lower extremities and with hypertension in the arms. Although mechanical factors seemed to play the primary role in the production of hypertension, a further important factor inducing hypertension was the activation of the renin-angiotensin-aldosteron-system caused by reduced renal circulation.

Adolescent↗

[What role does secondary hyperaldosteronism play in decompensated liver cirrhosis?].

In 29 untreated resting patients with cirrhosis of the liver and ascites plasma aldosterone levels were determined. The determinations were performed with a radioimmunoassay using highly specific antibodies without chromatography. Seven aldosterone values were decreased, 18 were normal and only four were increased. The median of the values was 107 pg/ml and differed not from that of healthy persons. In 20 other patients, in which application of diuretics had already been started, 14 plasma aldosterone levels were increased. The median was 332 pg/ml und thus far above the normal range. Secondary aldosteronism in connection with decompensated cirrhosis of the liver arises mainly under therapy with diuretics.

Aldosterone↗

[The deformation behavior of human lumbar intervertebral discs subjected to long term axial dynamic compressive forces (author's transl)].

49 specimens were studied in 67 axial compression tests; the duration test varied between 2 and 6 hours. All discs showed marked creep; after a big decrease in the first minutes the rate of creep decreases still slightly. Additional the results reveal a decreasing axial deformability with time. In the beginning of a test quickly the viscoelastic behavior alters to such a steady state that the disc behaves more like an elastic body. Loss of mass normally observed after compression tests is due to loss of liquid, but liquid absorption during mechanical load is possible too. The long term biochmechanical behavior is reproducible very well; a second experiment done with the same disc yields nearly the same results.

Adolescent↗

[Computer-based measurements of bladder cancer urothelial cells by high-resolution microscopic-cytophotometric system (author's transl)].

Examination of exfoliated urothelial cells present in the urine has been shown to be diagnostic by many researchers, but cytology is not yet widely accepted for routine diagnostic purposes. Cytology is highly efficient in the primary diagnosis of high grade transitional carcinoma (grade II-III) but of limited value in the diagnosis of benign papilloma and low grade tumors. The sensitivity of cytology would be increased by improving the techniques of collecting cells out of urine, using highly sensitive staining techniques and by objective cytologic measuring methods. Using a computer-based cytophotometric microscope, the cytologic analysis of 26 patients with bladder tumors are represented. There is evidence that a computerized measuring system is able to detect bladder tumors with a high accuracy.

Carcinoma, Transitional Cell↗

Clinical application of corticoids.

Corticoids given therapeutically may interrupt the loop on feedback mechanism by which plasma cortisol levels are controlled. This was demonstrated when corticoids were applied to the skin in the treatment of dermatoses and when taken by mouth the patients with polyarthritis. In rats, Endomethasone root fillings has similar effect. Corticoids applied to the gingiva or instilled into periodontal pockets did not lower group mean plasma cortisol levels but individual patients did show suppression of cortisol secretion. It is concluded that all corticoids, no matter how applied, will have this effect, although present analytical methods may be too insensitive to detect the smaller changes.

Administration, Topical↗

[Comparative determination of transcortin, total cortisol and free cortisol in the plasma of mothers, newborn and non-pregnant women (author's transl)].

We determined plasma transcortin, total cortisol and free cortisol in mothers, new borns and nonpregnant women. The blood samples were drawn immediately upon delivery. The mothers had significantly higher levels of total cortisol as well as free cortisol and transcortin when compared to non-pregnant women. The new borns had higher levels of total cortisol and free cortisol but unchanged levels of transcortin in comparison to normal subjects. Significant differences were also found with respect to total protein and albumin in all groups.

Blood↗

[Extended ACTH rapid test for differentiation of primary and secondary adrenal insufficiency].

In 30 resting normal persons, 5 ambulant normal persons and 3 patients with disorders of the pituitary-adrenal-system before and 30 minutes after intravenous injection of 0,25 mg synthetic adrenocorticotrophin (tetracosactid, Synacthen) plasma cortisol and aldosterone levels were evaluated. The evaluation of the corticoids was continued over 240 minutes in intervals of 30 minutes. The basal cortisol and aldosterone levels of the resting normal persons and ambulant persons ordinarily doubled 30 minutes after ACTH application. The plasma cortisol level of a steroid-treated patient with lupus erythematodes disseminatus rose subnormally but his aldosterone level increased normally. 2 patients with untreated hypopituitarism had subnormal plasma cortisol and normal aldosterone responses after ACTH administration. In contrast with patients with primary adrenal insufficiency, whose plasma aldosterone levels fail to rise, patients with secondary adrenal insufficiency had normal corticotrophin-stimulated aldosterone increments. Thus the extended ACTH test can be useful in differential diagnosis of primary and secondary adrenal insufficiency.

Addison Disease↗

[Plasmacortisol level in patients suffering from glaucoma].

the plasmacortisol-levels of 27 patients suffering from glaucoma were compared with those of 156 healthy persons. There was no difference between the two groups compared. In addition, a diurnal inversion of the plasmacortisol-level in patients suffering from glaucoma as reported in the literature was not found.

Circadian Rhythm↗

Circadian plasma cortisol levels during topical use of desoximetasone and triamcinolone acetonide in man.

The effect of topical use of desoximetasone (Topisolon ointment) and triamcinolone acetonide (Volon A cream) for 3 to 4 days on circadian plasma cortisol levels was studied in 22 hospitalized patients (mean age 61 years) for Topisolon, and in ten patients (mean age 59 years) for Volon A. The differences in cortisol levels (RIA) were examined by the frequency distribution analysis of Daeves and Beckel (1958). The need to analyze the features of the distribution curves was clearly demonstrated in preference to simple averaging statistics which rely upon the arithmetic mean as the main parameter. The results suggest two distinct groups of morning plasma cortisol levels - one at a low level of 5.6 X 1.85 +/- 1 and one at a high level of 15.4 X 1.56 +/- 1 microgram/100 ml. The evening level was uniform 6.5 X 2.13 +/- 1 microgram/100 ml. Topisolon depressed the plasma cortisol levels in all groups. Volon A seemed to reduce only the morning high level group to lower values. In addition, Topisolon altered the proportions of patients with high and low plasma cortisol levels, while Volon A had little effect. The different responses of the plasma cortisol levels may imply different kinetics of cutaneous penetration and cutaneous metabolism of the two synthetic corticosteroids.

Administration, Topical↗