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Biomedical subjects

H J Hansen

Publications and source records attributed to H J Hansen.

At least 19 recordsLinked to original sources

The influence of environmental salinity, temperature, ionizing irradiation and yellow or silver stage on lipid metabolism in the gills of the european eel (Anguilla anguilla).

1. The influence of temperature on the incorporation of [32P]phosphate and [14C]acetate into gill lipids in vivo depends also on environmental salinity. 2. Ionizing irradiation (1000 r) results in a relatively enhanced incorporation of [32P]phosphate into phosphatidyl choline and of [14C]acetate into triglycerides and wax esters in vivo. 3. When gill tissue is removed from the animal and incubated in vitro, a pronounced dependence of lipid metabolism on previous environmental salinity is not observed.

Acclimatization

Calcification in a pineal tumour studied by transmission electron microscopy, electron diffraction and x-ray microanalysis.

The calcification in a totally calcified pineal tumour was studied. Transmission electron microscopy indicated that the tumour was a pinealoma. The type of calcification was investigated by bright-field and dark-field transmission electron microscopy in addition to electron diffraction and electron-induced x-ray fluorescence. The calcified material consisted predominantly of amorphous calcium phosphate. The type of calcification differs from the normal calcification present in pineal acervuli which consists of crystalline hydroxypatite.

Brain Neoplasms

The coexistence of acute myeloblastic leukemia and diffuse histiocytic lymphoma in the same patient as demonstrated by multiparameter analysis.

Measurement of cellular DNA content by flow cytometry demonstrated presence of two distinct aneuploid neoplasms in a patient who developed acute myeloblastic leukemia (AML) 4 mo after diagnosis of a diffuse histiocytic lymphoma (DHL). A lymph node aspirate contained peroxidase-negative, "null," hyperdiploid (2.6C) DHL cells, while the bone marrow (BM) contained 84% primitive peroxidase-positive tetraploid AML cells (4.0C). Minor populations of hyperdiploid HDL and normal diploid cells could be detected by flow-cytometry in the BM, and all three populations were also seen in the peripheral blood.

Adult

The effect in vitro of ionizing irradiation and small rises in temperature on the uptake and release of labelled lipids by the human erythrocyte membrane.

1. The effect of X-irradiation (50 000 rad) and an increase in temperature from 37 to 42 degrees C on the synthesis, uptake and release of labelled lipids by erythrocytes was studied in plasma incubations in vitro. 2. Both irradiation and a rise in temperature resulted in an inhanced synthesis of [32P]phosphatidic acid in the erythrocytes. 3. The uptake by the erythrocytes of 14C- and 3H-labelled cholesterol, [14C, 32P]phosphatidylethanolamine and [14C, 32P]phosphatidylcholine from plasma lipoproteins was increased by a rise in temperature but not by irradiation. These labelled lipids were apparently taken up in the ratio in which they were found in plasma. They were not released from the erythrocytes in the same manner.

Cholesterol

Evaluation of carcinoembryonic antigen as a plasma monitor for human breast carcinoma.

Plasma CEA levels have been determined in 92 normal women and 768 women with benign or malignant breast diseases. Only one of 92 normal women had a CEA level above 5 ng/ml. Of 253 women with benign breast diseases (gross cystic disease, adenofibroma, fibrosis, etc.) only one had a CEA level above 5 ng/ml. Ninety-four percent of the above two groups of women had CEA levels below 3 ng/ml. Of 164 women operated upon for Columbia Clinical Classification Stage A or B breast carcinoma, preoperative CEA levels were above 5 ng/ml in seven (4%). Patients with a preoperative CEA level above 3 ng/ml seemed to have an increased incidence of tumor recurrence. Elevated CEA levels (greater than 10 ng/ml) in our postmastectomy population of 288 patients have correlated with development of metastases in 14 of 46 subjects. Of 216 patients under treatment for metastatic breast carcinoma, CEA levels above 10 ng/ml have been detected in 15 percent of patients with soft tissue metastases, 38% of patients with visceral metastases and 50% of patients with osseous metastases. Of metastatic breast carcinoma patients with CEA levels above 10 ng/ml serial measurements have correlated with the patients response to therapy, progressively increasing in treatment failures and decreasing in treatment responders.

Aged

Immunoperoxidase detection of carcinoembryonic antigen: an overview.

The advent of immunoperoxidase histochemistry techniques has allowed the more convenient visualization by light microscopy of antigenic cellular constituents. Application of the unlabeled and labeled antibody enzyme methods to the localization of carcinoembryonic antigen in conventionally prepared tissue specimens has revealed the feasibility of using immunoperoxidase techniques in routine diagnostic pathology. The methods involved are well defined and once antibody specificity and antigen stability are determined, they are adaptable to the identification of other immunological markers that may appear in malignant tissue specimens.

Antibody Specificity

Comparative evaluation of carcinoembryonic antigen and gross cystic disease fluid protein as plasma markers for human breast carcinoma.

A comparative evaluation of carcinoembryonic antigen (CEA) and gross cystic disease fluid protein (GCDFP) as plasma markers for human breast carcinoma has been performed. Both assays appear to be useful in patients with metastatic breast carcinoma. Of 216 patients under treatment for metastatic disease, 111 (51%) had abnormal plasma levels of CEA and/or GCDFP. Abnormal plasma levels of CEA were present in 73 patients whereas abnormal GCDFP levels were present in 67. Twenty-nine patients had increased plasma levels of both markers simultaneously, 44 patients had increased CEA levels only and 38 patients had increased GCDFP levels only. Thus, of the 111 patients with elevated levels of either CEA or GCDFP, the two markers varied independently of each other in 74%. Utilizing both assays, abnormal plasma levels were present in 79% of patients with osseous metastasis, 53% of patients with visceral metastasis and 26% with soft tissue metastasis. Both assays, when performed serially in patients treated for metastatic breast carcinoma, were found to have utility in monitoring responsiveness; and increasing CEA or GCDFP plasma level indicated disease progression and a decreasing plasma level indicated regression.

Aged

Congenital hepatic fibrosis.

Congenital Hepatic fibrosis is an uncommon disease, which is autosomal recessive. Two forms of the disease are distinguished: a rare one becoming manifest in the neonatal period with signs of progressive renal failure secondary to polycystic kidneys, in such cases the liver fibrosis is usually asymptomatic, and the diagnosis is therefore often first established post mortem. In the other more usual form the patients present during infancy with bleeding from rupture of esophageal varices caused by portal hypertension. One case is reported, and the history of his two brothers are referred to. In our case a portacaval anastomosis was performed and the patient is asymptomatic with no signs of encephalopathy. His two brothers died, one of bleeding from esophageal varices, the other of hemolytic anemia. In both cases the diagnosis was first made post mortem.

Adult

Splanchnic blood flow in patients with abdominal angina before and after arterial reconstruction. A proposal for a diagnostic test.

The diagnostic value of determining the splanchnic blood flow (SBF) and oxygen uptake before and after a test meal in patients suspected of abdominal angina was investigated in 15 patients with unexplained abdominal pain. Six patients with typical abdominal angina and occlusive lesions of two or three splanchnic arteries were investigated before and after successful arterial reconstruction. Five patients with less severe arterial lesions were classified as suspected of abdominal angina and four patients with eventual normal arteriography served as controls. No significant difference was found in fasting SBF between the three groups. Postprandial SBF rose in the controls and in the abdominal angina suspected group, but not in the patients with abdominal angina. After arterial reconstruction fasting SBF was higher than before and postprandial SBF rose to the level of the controls. No difference in oxygen uptake before or after test meal was seen in any of the groups or after arterial reconstruction.

Abdomen

Affinity in radioimmunoassay of antibody cross-reactive with carcinoembryonic antigen (CEA) and colon carcinoma antigen-III (CCA-III).

Several antisera raised against purified carcinoembryonic antigen (CEA) were evaluated for their content of antibody cross-reactive with colon carcinoma antigen-III (CCA-III). All antisera gave a reaction of partial identity between CEA and CCA-III and demonstrated a high titer in CEA radioimmunoassay (RIA). Between 50 and 70% of the CEA RIA activity was removed, however, by absorption with soluble CCA-III or adsorption onto CCA-III-containing immunoadsorbents. Immunoadsorbent retained antibody gave a line of complete identity between CEA and CCA-III. Purified CCA-III (2 mug) only partially depressed CEA binding by this common site antibody, whereas nanogram quantities of CCA-III inhibited the reaction between specific CCA-III antibody and radioiodinated CCA-III. In addition, low levels of CEA were equally effective in depressing CEA binding by the common site or CEA-specific antibody. The higher affinity in RIA of the common site antibody for CEA over CCA-III suggests that the common determinant expressed on CEA is stereochemically different from that on CCA-III. The results further demonstrate that interference by plasma CCA-III is not a significant factor in the measurement of CEA by RIA.

Adenocarcinoma

Localization of GW-39 human tumors in hamsters by affinity-purified antibody to carcinoembryonic antigen.

With the paired-labeled antibody technique, the in vivo localization of radioiodinate, affinity-purified antibody to carcinoembryonic antigen (CEA) was studied in GW-39, a xenografted, CEA-producing tumor model. When compared to the whole immunoglobulin G fraction, a 4-fold greater tumor accumulation of radioantibody was obtained with affinity-purified specific CEA antibody. The degree of increased tumor localization of affinity-purified antibody was similar to its improved immunoreactivity as observed in radioimmunoassay and binding to CEA immunoadsorbent. Affinity-purified antibody cross-reactive with CEA and colon carcinoma antigen III was as equally effective in tumor localization as was specific CEA antibody prepared similarly. It thus appears that affinity-purified CEA radioantibody will provide a superior tumor-imaging agent for clinical use.

Animals

On porcine toxoplasmosis in Sweden.

An outbreak of fatal toxoplasmosis in piglets, probably of congenital origin is described. Although this is the first known manifest case of porcine toxoplasmosis in Sweden it is concluded that it is based on a well established latent infection of the pig population in the area concerned. Of a random sample of clinically healthy slaughtered pigs from the area 40.3 per cent were positive in Sabin-Feldman dye-test.

Acute Disease

Embolization to the superior mesenteric artery. Arteriography and embolectomy in four cases.

Four patients were operated upon for embolization to the superior mesenteric artery. Preoperative arteriography was performed in all cases. Two patients who had had symptoms prior to operation for six and eight days respectively died postoperatively. One patient died 2 1/2 months after the operation from her underlying heart disease, while one patient was discharged with intact bowel function. The value of preoperative arteriography and the principles for surgical treatment are discussed.

Aged

Occlusive mesenteric infarction. A retrospective study of 83 cases.

Acute mesenteric infarction was diagnosed clinically or post mortem in 83 patients over a 10 years period in 4 surgical departments. The present study is concerned with 56 of these patients who suffered occlusive disease of the mesenteric vessels and on whom sufficient data were available. Of these 17, patients had presented at least one symptom of chronic intestinal ischemia before the fatal exacerbation. Of 42 patients treated surgically 14 had operations with curative intend and 3 patients, all with venous thrombosis, survived after small bowel resection. Only 19 percent of the patients who underwent surgery were treated within 24 hours after onset of symptoms. Early diagnosis promptly followed by surgery might save some patients. A radical improvement of survival rate can however no be expected for the acute cases. More attention should be paid to the syndrome of abdominal angina, as elective arterial reconstruction in patients with chronic intestinal ischemia carries a low mortality and renders satisfactory results.

Acute Disease

Acute mesenteric infarction caused by small vessel disease.

A case of acute mesenteric infarction caused by small vessel disease is reported. The patient recovered after 2 operations by which extensive bowel-resections were performed. The resected bowel showed intimal hyperplasia and atherosclerosis of the small mesenteric arteries. Since also thrombocytosis and increased platelet aggregation was demonstrated the main cause of thrombosis however is supposed to be hypercoagulability.

Acute Disease