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Biomedical subjects

F McConnell

Publications and source records attributed to F McConnell.

9 recordsLinked to original sources

Activation of dense human tonsilar B cells. Induction of c-myc gene expression via two distinct signal transduction pathways.

Antibodies to surface Ig or to the B cell marker CD20 trigger resting human B cells in similar yet distinct ways. Either antibody induces five-fold increases in the expression of the protooncogene, c-myc, as detected with semi-quantitative Northern blot assays. The induction of c-myc mRNA by anti-IgM or anti-CD20 is blocked by inhibitors of protein kinase C (PKC) such as staurosporine and by pretreatment of B cells with phorbol esters to reduce cellular PKC levels. This suggests that PKC is involved in the pathways stimulated by both anti-IgM and anti-CD20. However, anti-CD20, unlike anti-IgM, does not activate significant increases in inositol triphosphate or intracellular-free calcium. Further, anti-CD20-triggered elevation of c-myc mRNA is inhibited by pertussis and cholera toxins, whereas the pathway initiated by anti-IgM if anything is stimulated by pertussis toxin and unchanged by cholera toxin. Further differences in the nature of these two signals were seen when the expression of adhesion/recognition molecules were examined. Anti-IgM consistently induces increased expression of the adhesion molecules CD54 (I-CAM-1) and B7/BB-1 on B cells, but anti-CD20 does not. Yet both anti-CD20 and anti-IgM increase class II MHC, CD18 (LFA-1 beta-chain) and LFA-3 levels. These data suggest that the way in which B cells are activated may influence their surface phenotype and possibly subsequent migration or cell-cell interactions.

Antibodies, Anti-Idiotypic

Auditory responses of infants.

Forty infants, aged three through 12 months, participated in a study designed to differentiate the auditory response characteristics of normally developing infants in the age ranges three to five months, six to eight months, and nine to 12 months. Their selection was based on a determination of normal development upon pediatric examination and from the results of the Denver Developmental Screening Test. The results confirmed that a predictable developmental pattern as a function of age in the first year of life is observable despite the wide variability that may occur in a given child. Increased knowledge of these developmental milestones in normal-hearing infants should add to more effective programs of early identification and management of hearing-impaired children.

Child Development

Symposium on sensorineural hearing loss in children: early detection and intervention. The rationale for early identification and intervention.

The normal hearing child utilizes auditory data to trigger his innate propensity for language learning and begins to use these stored auditory images long before he says his first word. The auditory modality appears to provide the input from which he abstracts and regularizes the rule of grammar both from outside sources and in an auditory feedback arrangement from his own utterances. The development of expressive language appears to occur rapidly once the first word is said, and by age three he appears to be using all the basic structures of speech. The child with severe hearing impairment, on the other hand, deprived of auditory input, either does not develop speech or may with some training develop very limited speech. Since most hearing impaired children can benefit from amplification, hearing aids can provide a means to maximize the auditory channel. Many such children, however, do not receive hearing aids until three to four years of age, and so have already been deprived of these key years in language development. They have already missed the critical periods in language learning and thus are apt to remain severely depressed in language skills at best. The results of one study reported in this discussion appear to substantiate the observation that a good program of early intervention, including effective parent training and early use of hearing aids to exploit auditory potential, can help hearing impaired children to generate spontaneous spoken language more comparable to that used by their normal hearing peers in both type and level of utterance. Although this language may be more immature or less syntactically and morphologically correct than that of their normal hearing peers, it compares in syntactical structure much more favorably than does the language of hearing impaired children who have not received such special help until about two years later. The study further demonstrates the importance of early intervention and illustrates the positive effects of a good early management program on the language and resulting educational achievement of hearing impaired children.

Child

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History, 20th Century