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Biomedical subjects

F Wesenberg

Publications and source records attributed to F Wesenberg.

At least 37 records · Page 2Linked to original sources

Central venous catheter with subcutaneous injection port (Port-A-Cath): clinical experience with children.

Long-term intermittent venous access was established in 26 children by means of a central venous catheter (CVC) with a subcutaneous injection port (Port-A-Cath) (PAC). As of December, 1985, PACs had been in place for 20-750 days (cumulative 10,890 days) with 647 entries into the system. The PACs were used for blood sampling and administration of chemotherapy, antibiotics, fluids, total parenteral nutrition (TPN), and blood products. One patient with sever neutropenia (absolute neutrophil granulocyte count [ANC] less than 0.1 x 10(9)/L) at the time of the PAC implant developed an infection around the port after 2 days, with subsequent septicemia (Bacillus cereus) necessitating removal of the PAC. Otherwise, no definite PAC-related infections occurred, including 258 days of neutropenia (ANC less than 0.5 x 10(9)/L). Two PACs were found occluded with greyish deposits of fat and organic material after long-term (45 and 61 days) continuous TPN and were removed. Malposition of catheter, extravasation, thrombosis, and other potential technical or psychological complications were not observed. The children continued normal activities, and the easy venous access decreased emotional stress during treatment. Local doctors were trained to use the PACs, with which they administered maintenance chemotherapy. We conclude that the use of PACs in children is safe, even in the first year of life, and has many advantages when compared with other CVCs currently in use. Strict indications, meticulous implantation technique, and adequate handling are, however, mandatory.

Adolescent↗

Methotrexate infusions in poor prognosis acute lymphoblastic leukemia: II. High-dose methotrexate (HDM) in acute lymphoblastic leukemia in childhood: a pilot study from April 1981.

The pilot study using HDM in all cases of ALL in childhood had been run for 4 1/2 years as of September 1985. Fourteen (23%) of all 62 diagnosed cases of ALL had WBC above 50 X 10(9)/L, all 14 achieved CR. Three of them were below one year of age, two also had WBC above 400 X 10(9)/L, the third infant had B-cell-leukemia. The remaining 11 children received our new HDM protocol (Fig. 1), one of them had relapsed (BM) as of September 1985.

Child↗

Effect of cadmium on the immune response in rats.

Adult male inbred Wistar rats were given a subtoxic dose of cadmium (25 ppm) orally for 4 weeks prior to and during immunization with sheep erythrocytes (E). The control group received tap water during the experimental period. No difference in the antibody response to E was found between the two groups. Mononuclear peripheral blood cells from experimental and control rats were stimulated with concanavalin A (Con A). The experimental rats had received 25 ppm Cd in the drinking water from weaning until sacrifice at 15 weeks of age. There was no difference in [3H]thymidine incorporation between the cells of the experimental group and those of the control group. Addition of Cd at very low concentrations to the cultures significantly depressed the [3H]thymidine incorporation of the cells from both groups of rats. Thus, a subtoxic dose of Cd apparently had no effect on the in vivo immune response in rats.

Animals↗

A simplified method for the preparation of EAC14.

Sheep erythrocytes (E), sensitized with unheated rabbit antiserum containing IgG antibodies (EA), bound human C4 when heat-inactivated serum was used as the source of complement (EAC). The EA were not agglutinated by antiserum to rabbit C3 and were not lysed in the presence of C4-deficient guinea pig serum. The EAC were agglutinated by antiserum to human C4, lysed by the addition of C4-deficient serum and were reactive in immune adherence. They were not agglutinated by antiserum to human C3. Accordingly, the cells could be designated as EAC14. They were stable and could be stored at 4 degrees C for at least 1 week without haemolysis occurring, and with no loss of reactivity in immune adherence test. E sensitized in the presence of EDTA or with heat-inactivated rabbit serum did not bind C4.

Animals↗

Fragments and subclasses of IgG in eluates of human malignant tissues.

Eluates of 13 malignant tumours were prepared at 56 degrees C using the continuous flow technique. By using immunodiffusion techniques, 50--80 per cent of the IgG detected was found to be of the IgG1 subclass. The ratio of Ig/kappa to Ig/lambda was similar in eluates and in the corresponding extracts, and this ratio was similar to that obtained using pooled human serum. This indicates a normal distribution of IgG subclasses in the eluates. Besides whole IgG, the eluates and corresponding extracts contained fragments of IgG. This was revealed by using sodium dodecyl sulphate electrophoresis (SDS-PAGE). However, since parts of the IgG associated with human malignant tumours can be non-specifically bound, and since fragments of IgG was found in extracts and eluates of normal tissues, although to a lesser degree than in those of malignant tissue, no conclusive evidence was obtained that the malignant tissue could degrade Ig. SDS-PAGE of extracts and eluates of malignant tissues showed 2--3 constant bands not detected in isolated IgG or in extracts and eluates of most of the normal tissues. These bands were not identified.

Fibrosarcoma↗

IgG and other proteins associated with human carcinomas and cancer-free tissue from the same organs.

Eluates of different were prepared at 56 degrees C using a continuous flow technique. More IgG and other serum proteins were found in liver from patients with non-malignant diseases than in liver tissue from healthy control individuals. Cancer-free liver tissue from patients with carcinomas was similar to that of patients with non-malignant diseases, but liver metastases contained twice the amount of IgG. No differences were found between non-perfused carcinomas of the kidney and cancer-free renal tissue, whereas more IgG was present in perfused carcinomas of the kidney than in cancer-free renal tissue. Most eluates of the malignant tissues and of the cancer-free renal tissue showed a reduced ratio of albumin IgG compared to that of serum or extracts, indicating a binding of IgG to antigens and/or receptors.

Blood Proteins↗

Tissue reactivity of IgG eluted from human carcinomas.

Mixed haemagglutination with tissue sections was used to study the tissue reactivity of IgG eluted from human carcinomas. IgG eluted from 21 of 29 tumours, bound to the autologous tissue. The binding was mediated through the Fab-portion, and the bound IgG had an intact Fc-portion. Most eluted IgG bound to the autologous tissue, but binding was also seen to other carcinomas of the same type as well as to other types. In addition, the IgG bound to several cancer-free tissues. Accordingly, the eluates of the 21 tumours contained IgG with a broad tissue reactivity. The eluates of a) the remaining 8 tumours, b)normal tissue, and c) liver tissue from patients with non-malignant diseases, contained IgG which did not bind to any tissue. The IgG associated with these tissues was probably non-specifically bound or bound to receptors in vivo.

Hemagglutination Tests↗

Characterization of heat eluates of human malignant tissues.

Eluates of 13 malignant and 17 normal tissues were prepared at 56 degrees C using the continuous flow technique. Albumin was detected in all the eluates. IgG, IgA, C3 or haptoglobin were detected in most of the malignant and some of the normal tissues. Carcinoembryonic antigen, beta 2-microglobulin, alpha 1-antitrypsin or alpha 1-antichymotrypsin were detected in some of the eluates of the malignant tissues only. IgM, IgD, C1q, C4, Cl-INH, alpha 1-macroglobulin, beta 2-lipoprotein, fibrinogen and alpha 1-foetoprotein were not detected in any of the eluates. The ratio of the concentration of albumin to the concentration of IgG was similar in extracts and eluates of all the normal tissue and in 3 of the malignant tissues indicating non-specific binding of IgG.

Blood Proteins↗

Non-specifically bound IgG and Fc gamma receptors in human malignant tissues.

Similar amounts of non-specifically bound IgG were found in the eluates of the same tissues both after the Fc gamma receptor activity (FcRA) had been abolished by disrupting the tissue and when FcRA was intact. This indicates that the non-specifically bound IgG is either not attached to the FcR, or that only the free FcR were abolished. No FcRA was detected in the supernatant of the tissue from which the FcRA was abolished, thus indicating that the FcRA was destroyed.

Female↗

A study of Sézary cells in peripheral blood and skin lesions.

A patient with Sézary syndrome is presented. By phase contrast and scanning electron microscopy Sézary cells were demonstrated in peripheral blood and in skin tissue. Investigation of atypical mononuclear cells seen in the peripheral blood showed that these cells lack receptors for sheep erythrocytes. C3 and Fcgamma. Similarly, an examination of dermal mononuclear cell infiltrates showed that most of the cells lack receptors for sheep erythrocytes, C3 and Fcgamma.

Aged↗