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Biomedical subjects

G Grabner

Publications and source records attributed to G Grabner.

At least 91 records · Page 5Linked to original sources

[Clinical aspects, diagnosis and therapy of ocular Chlamydia infection].

As reported in the recent literature, eye infections caused by Chlamydia trachomatis are increasing in number. Modern laboratory techniques were used in this study to scan a total of 114 patients with unilateral follicular conjunctivitis for these organisms. The authors describe the clinical picture, course, and results of therapy in a total of 6 (5.3%) young patients with chlamydial infections diagnosed by scraping and cell culture.

Administration, Topical↗

[The Shepard radial keratotomy method].

Over the last few years American surgeons have modified the technique of radial keratotomy in different ways. D. Shepard, of Santa Maria, California, has performed more than 1800 to these operations. Forty-three of the patients, on most of whom surgery was performed in both eyes, were studied from one week to 42.5 months postoperatively by an independent observer. The preoperative evaluation, the technique of surgery, which is performed on an outpatient basis, the complications and postoperative management, the final visual results, and refraction are discussed in detail. The overwhelming majority of the patients expressed great satisfaction with the visual outcome of the surgery in spite of undercorrection and overcorrection, long-term topical treatment, glare at night, and diurnal variations of visual acuity.

Adult↗

[Human corneal fibroblasts and a human conjunctival cell line (Chang) produce a thymocyte-activating factor (TAF) in vitro].

A variety of distinct cells such as fibroblasts, epidermal cells, glioblastoma cells and corneal epithelial cells have been shown to produce Interleukin 1-like thymocyte-activating factors. Under in vitro conditions these cytokines influence a multiplicity of different cell types, including lymphocytes, fibroblasts, PMN and hepatocytes. In the present study human corneal fibroblasts, as well as the human epitheloid conjunctival Chang cell line were found to produce thymocyte-activating factors (TAF). The molecular weight of the corneal fibroblasts-TAF was found in the 670 kD region, with minor peaks of activity at 30, 17 and 4 kD. TAF from the Chang-cell line eluted at 15-25 kD. Chromatofocusing revealed the pI of the fibroblast-TAF to be at 6.7 and 5.2 and the pI of the conjunctival cells to be at 7.0, 5.3 and 5.0. The latter cells produced prostaglandin E2 upon stimulation. The immunomodulating properties of these cytokines make an important in vivo role in the pathogenesis of inflammatory corneal and conjunctival diseases probable.

Biological Products↗

[Corneal epithelial cells and human conjunctival cell line (Chang) produce an interleukin 3-like factor].

Tissue mast cells play a central role in the pathogenesis of allergic eye diseases. In the study reported here the authors investigated whether human corneal epithelial cells and a human epitheloid conjunctival cell line (Chang) can produce an interleukin 3 (IL 3)-like mast cell-activating factor. The activity was detected at a m.w. of 15 and 30 kD, the isoelectric points were located at a pH of 7.85, 7.15 and 6.75. The authors believe that this cytokine, which is produced by epithelial cells of the cornea and conjunctiva, might play an important role in the pathogenesis of allergic ocular diseases.

Cell Line↗

Suppression of secondary herpes simplex uveitis by cyclosporine.

The authors studied the effect of an immunosuppressive agent, cyclosporine (CyA), on experimental secondary herpes simplex (HS) uveitis. Secondary HS uveitis was induced in a rabbit eye that had recovered from primary HS uveitis by challenging it with an intravitreal injection of herpes simplex virus (HSV) antigen. Daily intramuscular injections of CyA (25 mg/kg body weight) for 7 days prior to the intravitreal challenge with HSV antigen significantly suppressed the induction of secondary HS uveitis, but daily injections of CyA after the challenge with HSV antigen was ineffective. Intravitreal injections of CyA (5 mg) 7 days and 3 days prior to the HSV challenge were less effective, but the combined treatment with seven daily intramuscular CyA and two intravitreal CyA injections prior to the HSV challenge was most effective in the prevention of the uveitis. The daily intramuscular treatment with CyA resulted in a marked reduction of cell-mediated immunity while leaving the level of circulating HSV specific antibody high. No reactivation of latent HSV was detected in trigeminal and superior cervical ganglia of CyA-treated rabbits.

Animals↗

[Syndrome of the flaccid eyelid (floppy eyelid syndrome].

Three patients with increasing swelling of the lateral half of the upper lid associated with chronic papillary conjunctivitis which did not respond to therapy were observed. The history, clinical findings, keratinized epithelial cells in the scrapings and the therapeutic success with a protective shield over night suggested the diagnosis of floppy eyelid syndrome.

Chronic Disease↗

Changes of the corneal endothelium following intracapsular cataract extraction with implantation of semiflexible anterior chamber lenses. I. Results of the early post-operative period.

A consecutive group of 103 patients with senile cataract underwent intracapsular cataract extraction and implantation of a semiflexible anterior chamber lens. After 6 month of follow-up, there was an average decrease of 20% +/- 15% in central corneal endothelial cell density and an average vertical disparity of 32% +/- 20% between central and superior endothelial areas. The endothelial cell loss was not correlated with pre-operative cell density. There was a positive correlation between age and cell loss and between age and vertical disparity. Findings in eyes with cornea guttata did not differ significantly from those without guttata. Anterior vitrectomy did not increase endothelial cell loss significantly. Maintenance of a deep anterior chamber by pre-operative oculopression or by instillation of Na-hyaluranate had no significantly different effect on the corneal endothelial cell loss.

Adult↗

[Computer-assisted diagnosis and its application in pancreatic diseases].

The medical expert system CADIAC-2 based on fuzzy logic supports diagnostic decisions in the field of internal medicine. A medical knowledge base contains nosological descriptions of diseases. Given patient data, diagnostic decisions are made on the basis of the medical knowledge stored. Reasonings for the established diagnoses or diagnostic hypotheses are presented as well as plans for further examinations on the patient. Unexplained symptoms, signs or test results are also indicated. The usefulness of CADIAC-2 is demonstrated in a case study involving 38 patients with various pancreating diseases.

Diagnosis, Computer-Assisted↗

[In vitro evaluation of the chemosensitivity of malignant gastrointestinal tumors by stem cell assay].

The Human Tumor Stem Cell Assay, originally described by Hamburger and Salmon, was shown to be a useful in-vitro technique for predicting response or lack of response in individual patients' tumors. In the present study 34 GI-tumors were assayed for evaluation of in-vitro growth characteristics and sensitivity-patterns to standard chemotherapeutic drugs as well as to recombinant interferon alpha-2(rIF). Sufficient growth for evaluation of anticancer drug activity (greater than 30 colonies/control plate) was obtained in 56% of specimens: 2/9 colorectal, 0/3 stomach, 0/3 pancreatic tumors and 1/4 hepatomas revealed a 50% (or more) decrease of TCFUs, that was considered the minimum for in-vitro efficacy. Our results suggest a very limited overall activity of rIF in gastrointestinal malignancies. Only 1 pancreatic cancer (of 18 evaluable specimens) showed a significant decrease of colony formation (70%), when 100 U of interferon/ml were added to the culture system.

Antineoplastic Agents↗

[The corneal endothelium--morphology, function and clinical importance].

The corneal endothelium consists of a single layer of flat, hexagonal cells covering the posterior surface of the cornea. It has prominent functions in the maintenance of corneal integrity and transparency. These cells produce Descemet's membrane, dehydrate the corneal stroma, have a barrier function against the aqueous humour and possess active glucose transport mechanisms. Cell density, as well as variation in size and morphology, can be examined by specular microscopy. Pump function and permeability are determined by pachymetry and fluorophotometry. These methods permit early diagnosis of any damage of the corneal endothelium.

Cornea↗

The effect of timolol on the concentrations of albumin and IgG in the aqueous humor of the human eye.

We investigated albumin and IgG concentrations in the aqueous humor of 41 patients before intracapsular cataract extraction (primary samples) and at the end of surgery (secondary samples). Albumin and IgG concentrations were determined in all samples by means of a quantitative fluoroimmunoassay. A short-term topical application of timolol in 24 eyes was associated with a significant increase in both proteins in the primary aqueous humor samples compared with 17 control samples (P less than .005). The ratios of albumin to IgG--even when corrected for serum levels--were not significantly different in the two groups. Timolol did not affect the change in these ratios in the secondary aqueous humor samples. Thus, we concluded that these findings were not caused by a breakdown of the blood-aqueous barrier, but rather resulted from reduced aqueous humor flow and undisturbed protein filtration.

Aged↗

[Cornea pseudoguttata].

Cornea pseudoguttata is the term applied to a temporary, completely reversible lesion of the corneal endothelium during inflammations of the anterior segment of the eye. The posterior specular area of the cornea reveals numerous, partially confluent, dark holes of different sizes. At examination with the specular microscope these holes correspond to intra- and intercellular changes in the endothelial mosaic. It appears that the clinical picture of cornea pseudoguttata is caused by both the edema of the endothelial cells and the looseness of the structure of the endothelial layer due to inter- and subcellular accumulations of fluid.

Corneal Dystrophies, Hereditary↗

Characteristics of an epidermal cell thymocyte-activating factor (ETAF) produced by human epidermal cells and a human squamous cell carcinoma cell line.

In this study we show that both cultured normal human epidermal cells (EC) and a human squamous cell carcinoma (SCC) cell line produce a thymocyte-activating factor (ETAF). EC-ETAF and SCC-ETAF both have a Mr of 15,000 and were eluted from chromatofocusing at the same isoelectric points of 7.2, 5.8, and 5.0. Both activities were maintained at alkaline pH and were destroyed at temperatures above 60 degrees C. In addition to stimulating thymocyte proliferation, human ETAF exhibited a variety of other pertinent biologic activities. Although EC-ETAF or SCC-ETAF by themselves exhibited no T-cell growth factor activity, both ETAF preparations enhanced Interleukin 2 production by cultured human peripheral blood lymphocytes when stimulated with polyclonal T-cells stimulants (Concanavalin A and phorbol myristate acetate). Human ETAF also was chemotactic for rabbit polymorphonuclear leukocytes and was directly mitogenic for cultured human dermal fibroblasts. Injection of human ETAF into C3H/HeJ mice, resulted in inducing serum amyloid A (SAA) production by murine hepatocytes. The thymocyte growth-enhancing activity, the fibroblast-stimulating activity, and the SAA-inducing capacity of ETAF all coeluted off AcA54 gel. These biologic as well as biochemical properties of human keratinocyte-derived ETAF are identical with those of human macrophage-derived Interleukin 1. The ability of keratinocytes to release an immunomodulating factor with such diverse consequences may play an important role in normal wound healing and in diseases involving epithelial tissues.

Carcinoma, Squamous Cell↗

A corneal cytokine triggers the in vivo synthesis of serum amyloid A by hepatocytes.

Recently a cytokine released by primary corneal epithelial cell cultures as well as by a rabbit corneal cell line (SIRC), corneal epithelial cell-derived thymocyte-activating factor (CETAF) has been described. The biological and biochemical properties of CETAF are similar to those of epidermal cell-derived factor (ETAF) and macrophage-derived interleukin 1 (IL 1). Like IL 1 or ETAF, SIRC supernatant, as well as partially purified CETAF (both molecular weight pools) significantly enhanced serum amyloid A production by hepatocytes, when injected intraperitoneally into C3H/HeJ mice. Therefore, corneal epithelial cells, by a nonspecific helper factor, CETAF, may exert immunoregulatory functions during chronic corneal inflammation.

Amyloid↗

The effect of K-582, a new antifungal agent, on experimental Candida keratitis.

K-582, a new basic peptide antibiotic, was tested in rabbits with experimental Candida keratitis. It was shown that the K-582-treated group showed statistically highly significant therapeutic effects on days 2 and 3, as compared with the control group (day 2: P less than 0.001; day 3: P less than 0.001). The culture study showed that the average number of colonies was 1,573.1 in the controls and 463.3 in the treated group, and the difference was highly significant statistically (P less than 0.001). No ocular or systemic toxic effects were observed with this drug. K-582 is a promising new drug for the treatment of Candida keratitis.

Animals↗

Properties of murine and human epidermal cell-derived thymocyte-activating factor.

Keratinocytes, the predominant cell within the epidermis, perform some macrophage-like functions, such as endocytosis and phagocytosis. We therefore investigated whether keratinocytes may also exert some nonspecific immunoregulatory functions through the secretion of mediators. Tissue cultures of freshly isolated murine and human keratinocytes as well as keratinocyte cell lines secrete a cytokine, epidermal cell-derived thymocyte-activating factor (ETAF), which augments in vitro lymphoproliferative responses. Keratinocyte cell line cells produce increased levels of ETAF activity after exposure to a variety of cell-damaging agents such as silica, endotoxin, phorbol myristate acetate, hydroxyurea, and mechanical disruption. Biochemical studies showed that murine and human ETAF, like interleukin 1 (IL 1), had a molecular weight between 12,000 and 20,000, interacted with hydrophobic phenyl-Sepharose, and was eluted from anion but not cation exchangers. Like IL 1, murine ETAF had a single isoelectric point whereas human ETAF eluted as three peaks of activity (pI 7.2, 5.8, and 5.0). Partially purified ETAF of either species also had the same biological properties of IL 1. That is, ETAF enhanced IL 2 production by T cells in culture, was chemotactic for polymorphonuclear leukocytes, and was directly mitogenic for fibroblasts. When injected into C3H/HeJ mice ETAF induced hepatocyte production of serum amyloid A, an acute phase protein. Furthermore, ETAF, like IL 1, may act as an endogenous pyrogen and induce fever when injected into rabbits. These findings indicate that production of IL 1-like molecules is not confined to cells of the immune system and that ETAF production by keratinocytes may have important implications in would healing, as well in the pathogenesis of inflammatory and neoplastic diseases.

Animals↗

Biologic properties of the thymocyte-activating factor (CETAF) produced by a rabbit corneal cell line (SIRC).

Rabbit corneal epithelial cell cultures produce a cytokine (CETAF) that greatly enhances the proliferation of C3H/HeJ mouse thymocytes. The rabbit corneal cell line SIRC was used to generate CETAF activity in the culture supernatant. CETAF was then partially purified by Sephacryl S-200 gel filtration, where peaks of activity eluted in a molecular weight range of 95,000-55,000 (CETAF I) and 30,000-15,000 (CETAF II). Similar to the epidermal cell-derived thymocyte-activating factor (ETAF), CETAF (I and II) stimulated the growth of a human dermal fibroblast line (CRL 1445) in a dose-dependent manner, but failed to enhance the proliferation of an Interleukin 2 (IL 2)-dependent T-cell line (CT 6). Although CETAF did not exhibit any IL 2 activity, it clearly enhanced the IL 2 production by C3H/HeJ mouse splenocytes stimulated with suboptimal doses of lectins. Crude SIRC supernatants as well as the partially purified CETAF preparations showed a marked inhibition of polymorphonuclear neutrophil migration at high concentrations, but were significantly chemotactic when diluted samples were tested. CETAF release by SIRC cells was increased by stimulation with mitomycin C, phorbolmyristate acetate, hydroxyurea, silica, lipopolysaccaride B, and when the cells were cultured under serum-free conditions. These observations suggest that corneal epithelial cells may not only interact with the immune system in a way similar to keratinocytes, but may also stimulate corneal stromal cell through the production of CETAF.

Animals↗