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Biomedical subjects

H M Cooper

Publications and source records attributed to H M Cooper.

At least 37 records · Page 2Linked to original sources
PubMed2000

Outpatient ophthalmic plastic surgery: outcomes and patient satisfaction using initial postoperative telephone call follow-up.

PURPOSE: To evaluate the safety and efficacy of using a telephone call within 24 hours as the initial follow-up after outpatient ophthalmic plastic surgery, deferring the first postoperative visit 4 to 7 days. METHODS: We prospectively evaluated clinical outcomes, including complications and patient satisfaction, after 469 outpatient eyelid, lacrimal and anterior orbital procedures. Patient satisfaction was assessed with a 13-item questionnaire. RESULTS: Response to the questionnaire was 282 of 469 (60%) patients. Essentially, all patients responding to the questionnaire who received a telephone call believed that it was helpful and their questions and concerned were adequately addressed. Only 4 of 274 (1%) patients without a planned 24-hour visit indicated that they would have preferred being seen in the office. Complications of a minor nature were noted in 12 of 469 (3%) patients, none of which adversely affected clinical outcomes. CONCLUSION: We conclude that a telephone call on the initial postoperative day, deferring the first visit 4 to 7 days, is a safe, cost-effective strategy with high patient acceptance for most types of eyelid and lacrimal surgery, as well as some types of orbital surgery.

Ambulatory Surgical Procedures↗
PubMed1999

Spectral tuning of a circadian photopigment in a subterranean 'blind' mammal (Spalax ehrenbergi).

The atrophied subcutaneous eyes of Spalax ehrenbergi (the blind mole rat) express a long wavelength sensitive (LWS) cone opsin. Our data provide strong evidence that this photopigment is spectrally tuned to enhance photon capture in the red light environment of the eye. Furthermore, novel mechanisms appear partially responsible for this sensory fine-tuning. These data support the hypothesis that the LWS opsin of Spalax acts as a functional photopigment and that it is not a 'residue' of the pre-subterranean visual system. As the eye of Spalax has only one known function, the entrainment of circadian rhythms to environmental light, the LWS photopigment is implicated in this task. These results, together with our recent findings that rod and cone photopigments are not required for murine photoentrainment, suggest that multiple photopigments (classical and novel) mediate the effects of light on the mammalian circadian system.

Amino Acid Sequence↗
PubMed1999

Transgenic ablation of rod photoreceptors alters the circadian phenotype of mice.

The impact of photoreceptor loss on the circadian system was examined by utilizing a transgenic mouse model (rdta) in which rod photoreceptors were specifically ablated. These mice were able to phase-shift their circadian locomotor behaviour in response to light, but features of this circadian behaviour were markedly altered. The amplitude of circadian responses to light were approximately 2.5 greater, the circadian period (tau) was reduced (c. 20 min) and the total duration of activity (alpha) was increased (c. 50 min) when compared to wild type (+/+) and rd/rd mice (retinal degeneration, mice which also lack rod photoreceptors) of the same genetic background. The pattern of Fos expression in the suprachiasmatic nuclei (the site of the primary circadian clock in mammals) was indistinguishable between +/+ and rdta mice. However, Fos expression in the retina suggested that rod loss in rdta mice resulted in a functional reorganization of the retina and the constitutive activation of a population of retinal ganglion cells. Although it has been known for several years that the entraining photoreceptors of mammals are ocular, and that rod photoreceptors are not required for light regulation of the clock, these are the first data to show that features of the circadian phenotype (amplitude of the phase response curve, alpha, tau) can be influenced by photoreceptor ablation. These data support the hypothesis that the circadian phenotype of mammals is the product of an interaction between the suprachiasmatic nuclei and the retina. Thus, mammals which show an altered circadian behaviour can no longer be assumed to have defects associated only with specific clock genes; genes that affect photoreceptor survival may also modify circadian behaviour.

Animals↗
PubMed1999

The Deleted in Colorectal Cancer netrin guidance system: a molecular strategy for neuronal navigation.

1. Neuronal migration is one of the principal events in laying out the architectural plan of the embryonic central nervous system (CNS). In addition, the correct navigation of axonal growth cones to their specific targets is essential for the establishment of the intricate network of axon projections found within the mature CNS. 2. The Deleted in Colorectal Cancer (DCC) guidance receptor, together with its ligands, the netrins, is now emerging as a major navigational system driving both neuronal and axonal migrations. Members of the netrin family of secreted guidance cues are also likely to be ligands for a second DCC-like receptor, neogenin. 3. The present paper reviews the current understanding of DCC-netrin-dependent axon pathfinding within the embryonic spinal cord and suggests novel modes of action for both DCC and neogenin.

Animals↗
PubMed1999

Evaluation and classification of pediatric ocular trauma.

PURPOSE: To offer to the pediatric emergency physician consistent and unambiguous terms for the description of pediatric ocular trauma, based upon an adapted version of a standardized classification system. To show the potential effect of this reclassification system in a tertiary care emergency department. METHODS: The authors reviewed a new classification system of ocular trauma and adapted it for use by pediatric emergency physicians. In addition, a retrospective analysis of the records of pediatric patients presenting over a 2-year period to a tertiary emergency department with ocular complaints was performed. The diagnoses related to ocular trauma were reclassified according to the new classification system. RESULTS: Over a 2-year period, 117 pediatric patients were evaluated for ophthalmic complaints. Sixty-seven (57%) of these cases involved an ocular contusion or ruptured globe; however, six disparate diagnoses were given. The cases were reclassified into an adapted, unambiguous, classification system. In some cases, the reclassification altered the indication for immediate ophthalmologic referral. CONCLUSION: There is currently no standardized system of terminology to describe pediatric ocular trauma. This may lead to confusion in communication among the pediatric emergency physician, the pediatrician, and the ophthalmologist. Consistent, unambiguous, terminology will assist in this communication, facilitate the writing of peer-reviewed articles and case reports, and increase the level of accurate documentation in the medical record.

Child↗
PubMed1998

Is there a geniculohypothalamic tract in primates? A comparative immunohistochemical study in the circadian system of strepsirhine and haplorhine species.

In rodents, the circadian rhythm generated by the hypothalamic suprachiasmatic nucleus (SCN) is modulated by two types of phenomena: photic phase-shifts, mediated by the retinohypothalamic pathway and non-photic phase-shifts mediated by the projection of the intergeniculate leaflet (IGL) to the SCN which contains the neuropeptide Y (NPY). In primates, the retinohypothalamic pathway has been well-demonstrated but very little is known about the geniculohypothalamic tract. This prompted us to study NPY immunoreactivity in both the SCN and the IGL in species representative of the three main primate lineages: prosimians (Microcebus), New World monkeys (Callithrix) and Old World monkeys (Macacca). In species studied, we found a region in the pregeniculate nucleus containing both NPY immunopositive cells and substance P immunopositive fibres that we identified as the IGL. During evolution, this structure has moved from a ventral to a dorsomedial position relative to the adjacent dorsal lateral geniculate nucleus. By contrast, NPY-IP fibres in the SCN are dense in prosimians, but are sparse or absent in other primate species. We suggest that either the geniculohypothalamic projection is absent in higher primates as is the case in humans, or is absent in diurnal mammals, or contains a different peptide, or that NPY immunoreactivity varies according to other parameters.

Animals↗
PubMed1998

Retinal projections in mice with inherited retinal degeneration: implications for circadian photoentrainment.

The availability of naturally occurring and transgenic retinal mutants has made the mouse an attractive experimental model to address questions regarding photoentrainment of circadian rhythms. However, very little is known about the retinal cells and the retinal projections to the nuclei of the murine circadian timing system. Furthermore, the effect of inherited retinal degeneration on these projections is not understood. In this report, we have used pseudorabies virus as a neuroanatomical tract tracer in mice to address a series of questions: Which retinal cells mediate circadian responses to light? What is the nature of the retinohypothalamic projection? What is the impact of the inherited retinal disorder, retinal degenerate (rd/rd), on the structures of the photoentrainment pathway? Our results show that a class ofretinal ganglion cell, morphologically similar to the type III ganglion cells of the rat, appears to project to central circadian structures of the mouse. They are few in number and sparsely distributed throughout the retina. The low number and broad distribution of these specialized retinal ganglion cells may be an adaptive mechanism to integrate environmental irradiance without compromising the spatial resolution required for vision. In addition, viral infection of conelike and rodlike photoreceptors and amacrinelike cells suggest that these cells may mediate or contribute to circadian responses to light. Inherited retinal degeneration has no obvious effect on the anatomy of the retinal cells or their projections to the circadian axis. These anatomical findings are consistent with our previous findings showing that aged rd/rd mice are capable of regulating their circadian rhythms by light with unattenuated sensitivity.

Animals↗
PubMed1998

Rest-activity rhythm of the blind mole rat Spalax ehrenbergi under different lighting conditions.

The mole rat is a solitary, subterranean and photoperiodic rodent. We investigated its rest activity behavior under several lighting conditions, complemented our observations with light-induced c-fos expression, and compared the activity behavior of two chromosomal forms (2n = 58 and 60). The 26 mole rats had a clear overall preference for activity in the light or dark period, but prolonged recordings in five individuals showed that the initial preference was not stable in the nocturnal animals, they became diurnal. A 6-h advance of the light-dark (LD) cycle induced a shift of activity and the previous LD preference was reestablished. The large daily variability of activity onset did not allow this study to determine whether the animals were entrained to the LD cycle upon release into constant darkness (DD) or whether activity had been masked by light. The period of the motor activity rhythm in DD free ran in more than 50% of the animals. No differences in activity were observed between the two karyotypes. Immunohistochemistry for c-fos expression in the nucleus suprachiasmaticus at different circadian times showed that c-fos was induced only in animals exposed to a 1-h light pulse during the subjective night, but not during the subjective day or in control animals in the absence of a light pulse. The large intra- and inter-individual variability in daily motor activity both in LD and in DD suggest only a weak photic entrainment of the circadian clock to light of approximately 100 lux, and possibly a weak regulation of behavior by the circadian clock.

Animals↗
PubMed1997

The expression patterns of guidance receptors, DCC and Neogenin, are spatially and temporally distinct throughout mouse embryogenesis.

To gain a better understanding of the role of DCC and Neogenin in neural and nonneural tissues during vertebrate development we have carried out in situ hybridization studies to determine their expression patterns throughout the mid to late stages of mouse embryogenesis. This analysis revealed striking contrasts in both the spatial and temporal expression patterns of these closely related molecules. While DCC mRNA expression was predominantly restricted to the developing central nervous system (CNS), Neogenin mRNA was detected in a broad spectrum of embryonic tissues. Outside the CNS, Neogenin expression was observed mainly in mesodermal derivatives such as organ primordia and cartilage condensations of many developing embryonic structures. Within the CNS, initiation of DCC expression correlated with the onset of neurogenesis and was maintained at high levels in all regions of the developing CNS actively undergoing neurogenesis. By E18.5, DCC expression was detected only in structures such as the olfactory bulb, the hippocampus, and the cerebellum, that are known to sustain active neurogenesis well into postnatal life. In contrast, Neogenin expression was weak in the early developing CNS but broadened and intensified as neurogenesis proceeded. In summary, these observations indicate that Neogenin is the predominant member of this subfamily in mesodermal tissues, while DCC and Neogenin may play complementary roles in the generation of the fully functional CNS.

Animals↗
PubMed1997

Mouse Neogenin, a DCC-like molecule, has four splice variants and is expressed widely in the adult mouse and during embryogenesis.

Neogenin is a member of the N-CAM family of cell adhesion molecules and is closely related to the DCC tumor suppressor gene product. Recently, it has been demonstrated that the DCC/Neogenin subfamily plays a key role in axonal guidance within the embryonic nervous system, however little is known about the function of DCC or Neogenin in non-neuronal tissues in vertebrates. To gain an understanding of Neogenin function outside of the nervous system we have cloned and sequenced the mouse homologue of Neogenin. We describe three alternatively spliced exons within the extracellular domain of Neogenin and a fourth alternatively spliced exon within the cytoplasmic domain. We further demonstrate that three of these alternatively spliced exons are developmentally regulated. Analysis of Neogenin mRNA expression showed that two distinct Neogenin transcripts are expressed at significant levels in a broad spectrum of adult mouse tissues and throughout the mid to late stages of embryogenesis. In situ hybridization studies on day 15.5 mouse embryos revealed that Neogenin is expressed widely throughout the developing mouse embryo, in both neuronal and non-neuronal tissues. These observations suggests that Neogenin may play an integral role in regulating differentiation programmes and/or cell migration events within many embryonic and adult tissues.

Alternative Splicing↗
PubMed1997

Neuropeptidergic organization of the suprachiasmatic nucleus in the blind mole rat (Spalax ehrenbergi).

The blind mole rat, Spalax, is a subterranean rodent with atrophied, subcutaneous eyes. Whereas most of the visual system is highly degenerated, the retino-hypothalamic pathway in this species has remained intact. Although Spalax is considered to be visually blind, circadian locomotor rhythms are entrained by the light/dark cycle. In the present study we used anterograde tracing techniques to demonstrate retinal afferents to the suprachiasmatic nucleus (SCN) and immunohistochemistry to examine the distribution of neuropeptides that are known to be involved in the regulation or expression of circadian rhythmicity. Based on the localization of retinal afferents and neuropeptides, the SCN can be divided into two subdivisions. The ventral region, which receives retinal afferents, also contains vasoactive intestinal polypeptide (VIP)-containing neurons, and fibers that are immunopositive to neuropeptide Y (NPY) and serotonin (5-HT). The dorsal region contains vasopressinergic neurons, but this latter cell population is extremely sparse compared to that described in other rodents. The dorsal region is also characterized by numerous VIP-immunoreactive fibers. The presence of NPY and 5-HT fibers suggests that the SCN receives afferent projections from the intergeniculate leaflet and from the raphe nuclei, respectively. These neuroanatomical results, together with previous studies of behavior, visual tract tracing, and immediate early gene expression, confirm that an endogenous clock and the capacity for light entrainment of circadian rhythms are conserved in the blind mole rat.

Animals↗
PubMed1996

Spontaneous regression and successful laser prophylaxis in progressive outer retinal necrosis syndrome.

PURPOSE: To describe a case of progressive outer retinal necrosis syndrome that regressed spontaneously after discontinuation of all systemic antiviral medications with macular sparing after prophylactic laser photocoagulation of the posterior pole. METHODS: Prophylactic laser photocoagulation surrounding the posterior pole was performed in an attempt to spare the macula from detachment in a patient with progressive outer retinal necrosis. RESULTS: Progressive outer retinal necrosis regressed spontaneously without systemic antiviral medications. The posterior pole within the area of photocoagulation remained attached. CONCLUSIONS: Prophylactic laser treatment surrounding the posterior pole rather than peripheral retina may allow more time for formation of firm chorioretinal adhesions and protect the macula from detachment.

Acquired Immunodeficiency Syndrome↗
PubMed1996

Unusual pattern of retinogeniculate projections in the controversial primate Tarsius.

Studies of simian and prosimian primates have demonstrated a remarkable interspecific constancy in the pattern of innervation of the magnocellular and parvocellular layers of the dorsal lateral geniculate nucleus (dLGN) by retinal afferents. The characteristic organization of this nucleus in primates, as well as its apparent phylogenetic stability, have led to the proposal that the distinct laminar arrangement of the dLGN is one of the diagnostic characters that define the Order Primates. Here, we describe the distribution of retinal afferents to the dLGN of Tarsius, the single contemporary member of an ancient lineage of primates. In this genus, the more superficial layer of the dLGN receives projections from the ipsilateral eye, a unique situation among the members of the Order Primates. This observation adds support to the proposal that Tarsius does not share a more recent common ancestry with simians as compared with lemuriform and lorisiform primates.

Animals↗
PubMed1995

Cloning of the mouse homologue of the deleted in colorectal cancer gene (mDCC) and its expression in the developing mouse embryo.

Loss of DCC gene expression has now been demonstrated in a wide variety of metastatic cancers. Here we present the nucleotide sequence and predicted amino acid sequence of mouse DCC. Mouse and human DCC share 96% identity at the amino acid level. Analysis of DCC mRNA expression throughout the mid and late stages of gestation in the mouse, demonstrated that DCC mRNA is expressed at significantly higher levels in the developing mouse embryo than in any adult tissue. In addition, we show that an embryo-specific, alternatively spliced, form of DCC is expressed in day 9.5 through day 18.5 embryos. The expression of both alternatively spliced forms of DCC is developmentally regulated such that the embryonic form of DCC predominates in day 9.5 and 10.5 embryos. In the later stage embryos the expression of this alternatively spliced form of DCC is down-regulated with respect to that of the adult form. Whole-mount in situ hybridization of day 11.5 mouse embryos revealed that DCC mRNA is expressed at high levels in the developing brain and the neural tube. However, no DCC mRNA could be detected in any other embryonic tissue at this stage of development. These observations suggest that during embryogenesis DCC may play a pivotal role in the development of the central nervous system.

Alternative Splicing↗
PubMed1994

Photic induction of Fos immunoreactivity in the suprachiasmatic nuclei of the blind mole rat (Spalax ehrenbergi).

Exposure to light during the dark phase entrains c-fos expression in cells of the suprachiasmatic nuclei in the blind mole rat (Spalax ehrenbergi). Labeled cells are mainly located in the ventral region of the nucleus where retinal afferents terminate. Despite severe atrophy of the eye and regression of thalamic and tectal structures, the retinal pathways and central mechanisms involved in photoperiodic perception and circadian regulation appear to be similar to those in other rodents.

Animals↗
PubMed1994

Visual system of the fossorial mole-lemmings, Ellobius talpinus and Ellobius lutescens.

Ocular regression in subterranean species has been shown to be associated with a number of alterations in the retina and in retinal pathways. In order to examine the consequences of eye reduction, the visual system was studied in two species of the murine genus, Ellobius, a specialized fossorial rodent. The axial length of the eye is only 2.2 mm in E. lutescens and 2.9 mm in E. talpinus. The mean soma size of ganglion cells in Nissl-stained flatmounts is approximately 10 microns in E. lutescens and 12 microns in E. talpinus. The soma size distribution in both species appears unimodal and falls within a range of 6-17 microns in diameter. The topographic distribution of ganglion cells shows a weak centroperipheral gradient, and an area centralis cannot be distinguished. The total number of neurons in the ganglion cell layer in Nissl-stained flat mounts is 12,000 in E. lutescens and 28,500 in E. talpinus and, following injection of retrograde tracers in the superior colliculus, is, respectively, 3,600 and 20,000. Based on the axial length and maximum ganglion cell density, the calculated retinal magnification factor (20-26 microns/degree) and spatial resolution (0.4-0.9 cycles/degree) of these minute eyes are extremely reduced. Retinofugal projections, demonstrated by autoradiography and horseradish peroxidase histochemistry, are similar to those in other rodents. The superior colliculus is well developed and receives a predominantly contralateral projection. Ganglion cells projecting to the contralateral colliculus are distributed over the entire retina, while cells that project ipsilaterally are restricted to the ventrotemporal region. The dorsal lateral geniculate nucleus has clearly defined binocular and monocular segments, including a partial segregation of regions receiving ipsilateral or contralateral retinal innervation. In addition, a localized region of label is observed medial to the geniculate nucleus. The retina also sends a bilateral projection to the suprachiasmatic nucleus; the intergeniculate leaflet; the pretectum; and the medial, lateral, and dorsal terminal nuclei of the accessory optic system. Sparse retinal projections were also seen in the bed nucleus of the stria terminalis, the anterior thalamus, and the inferior colliculus. A substantial retinal projection is observed in the basal telencephalon, including the cortical amygdaloid region, the diagonal band of Broca, the olfactory tubercle, and the piriform cortex. The results suggest that the morphological constraints of reduced eye size are reflected in the retina by a generally homogeneous organization but that central visual projections are not substantially modified as in some more specialized, strictly subterranean rodents.

Animals↗
PubMed1994

The suprachiasmatic nucleus in the sheep: retinal projections and cytoarchitectural organization.

The retinal innervation, cytoarchitectural, and immunohistochemical organization of the suprachiasmatic nucleus (SCN) was studied in the domestic sheep. The SCN is a large elongated nucleus extending rostrocaudally for roughly 3 mm in the hypothalamus. The morphology is unusual in that the rostral part of the nucleus extends out of the main mass of the hypothalamus onto the dorsal aspect of the optic chiasm. Following intraocular injection of wheat-germ agglutinin-horseradish peroxidase or tritiated amino acids, anterograde label is distributed throughout the SCN. Retinal innervation of the SCN is bilaterally symmetric or predominantly ipsilateral. Quantitative image analysis demonstrates that, although the amount of autoradiographic label is greatest in the ventral and central parts of the nucleus, density varies progressively between different regions. In addition to the SCN, retinal fibers are also seen in the medial preoptic area, the anterior and lateral hypothalamic area, the dorsomedial hypothalamus, the retrochiasmatic area, and the basal telencephalon. Whereas the SCN can be identified using several techniques, complete delineation of the nucleus requires combined tract tracing, cytoarchitectural, and histochemical criteria. Compared with the surrounding hypothalamic regions, the SCN contains smaller, more densely packed neurons, and is largely devoid of myelinated fibers. Cell soma sizes are smaller in the ventral SCN than in the dorsal or lateral parts, but an obvious regional transition is lacking. Using Nissl, myelin, acetylcholinesterase, and cytochrome oxidase staining, the SCN can be clearly distinguished in the rostral and medial regions, but is less differentiated toward the caudal pole. Immunohistochemical demonstration of several neuropeptides shows that the neurochemical organization of the sheep SCN is heterogeneous, but that it lacks a distinct compartmental organization. Populations of different neuropeptide-containing cells are found throughout the nucleus, although perikarya positive for vasoactive intestinal polypeptide and fibers labeled for methionine-enkephalin are predominant ventrally; neurophysin-immunoreactive cells are more prominent in the dorsal region and toward the caudal pole. The results suggest that the intrinsic organization of the sheep SCN is characterized by gradual regional transitions between different zones.

Acetylcholinesterase↗