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Biomedical subjects

J B Hanson

Publications and source records attributed to J B Hanson.

At least 19 recordsLinked to original sources

Classification of otitis media and surgical principles.

Otitis media is an important disease of children and adults and is caused by multiple interrelated factors, including infection, eustachian tube dysfunction, allergy, and barotrauma. This article includes a pertinent review of the literature regarding otitis media. The pathogenesis, classification, and treatment of otitis media in children and adults are also reviewed in this article. Additionally, therapy is discussed with emphasis on the surgical options appropriate at each stage.

Adult↗

A standard of comparison for acute surgical necrotizing enterocolitis.

We reviewed 187 cases of documented neonatal necrotizing enterocolitis (NEC) from 1976 to 1988. Of these patients, 111 infants underwent celiotomy for acute surgical complications. The following protocol of operative indications was employed: pneumoperitoneum, localized mass, abdominal wall erythema, portal venous air, and clinical deterioration, singly or in any combination. Clinical deterioration was defined as falling platelet count, rising or falling white blood cell count, left shift in the myeloid series, persistently or progressively low pH, and increasing frequency of apnea or bradycardia. Overall mortality was 15% (28 of 187). For the patients who underwent celiotomy, all had histologic confirmation of NEC. Ninety-five had localized disease, and 16 had diffuse disease. All of the former had resection and diverting enterostomy with 85 (89.5%) surviving; none with diffuse disease survived, P less than 0.0001. Forty-one infants with NEC weighed less than 1,000 g; 25 underwent surgery and 15 (60%) survived. Fifty-one of the 159 surviving neonates (32%) developed intestinal strictures. All neonates with strictures have had resection and successful reconstruction of their gastrointestinal tract. These indications and surgical principles resulted in a high degree of diagnostic accuracy and a low degree of surgical mortality.

Clostridium↗

Necrotizing tracheobronchitis. An ischemic lesion.

Neonates with necrotizing tracheobronchitis present a diverse clinical spectrum from asymptomatic disease to severe airway obstruction. A retrospective clinicopathologic study of 206 neonatal autopsy reports spanning a three-year period yielded 122 cases of necrotizing tracheobronchitis with an incidence of 59%. All study patients received treatment prior to the development of high-frequency ventilator jet, oscillator, or interruption. The site and submucosal depth of airway involvement was variable. The most commonly affected anatomic site was the middle or thoracic trachea (56%). The common cause identified was severe ischemia to the airway mucosa and submucosa, occurring with profound birth asphyxia and/or shock. The presence of ischemia supports the concept that decreased tracheoperfusion may be an important factor in the development of tracheobronchial abnormalities.

Apgar Score↗

Controls on na influx in corn roots.

We have investigated the effects of hyperpolarization and depolarization, and the presence of K(+) and/or Ca(2+), on (22)Na(+) influx into corn (Zea mays L.) root segments. In freshly excised root tissue which is injured, Na(+) influx is unaffected by hyperpolarization with fusicoccin, or depolarization with uncoupler (protonophore), or by addition of K(+). However, added Ca(2+) suppresses Na(+) influx by 60%. In washed tissue which has recovered, Na(+) influx is doubled over that of freshly excised tissue, and the influx is increased by fusicoccin and suppressed by uncoupler. This energy-linked component of Na(+) influx is completely eliminated by low concentrations of K(+), leaving the same level and kind of Na(+) influx seen in freshly excised roots. The K(+)-sensitive energy linkage appears to be by the carrier for active K(+) influx. Calcium is equally inhibitory to Na(+) influx in washed as in fresh tissue. Other divalent cations are only slightly less effective. Net Na(+) uptake was about 25% of (22)Na(+) influx, but proportionately the response to K(+) and Ca(2+) was about the same.The constancy of K(+)-insensitive Na(+) influx under conditions known to hyperpolarize and depolarize suggests that if Na(+) transport is by means of a voltage-sensitive channel, the rise or fall of channel resistance must be proportional to the rise or fall in potential difference. The alternative is a passive electroneutral exchange of (22)Na(+) for endogenous Na(+). The data suggest that an inwardly directed Na(+) current is largely offset by an efflux current, giving both a small net uptake and isotopic exchange.

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Reactions of corn root tissue to calcium.

Washing corn (Zea mays L.) root tissue in water causes loss of about one-third of the exchangeable Ca(2+) over the first 10 to 15 minutes. Upon transfer to K(+)-containing solutions, the tissue shows a short period of rapid K(+) influx which subsequently declines. Addition of 0.1 millimolar Ca(2+) decreases the initial rapid K(+) influx, but increases the sustained rate of K(+) and Cl(-) uptake. It was confirmed (Elzam and Hodges 1967 Plant Physiol 42: 1483-1488) that 0.1 millimolar Ca(2+) is more effective than higher concentrations for the initial inhibition, and that Mg(2+) will substitute.The inhibition arises from a mild shock affect of restoring Ca(2+). With 0.1 millimolar Ca(2+) net H(+) efflux is blocked for 10 to 15 minutes and the cells are depolarized by about 30 millivolts. However, 1 millimolar Ca(2+) rapidly produces increased K(+) influx and blocks net H(+) efflux for only a few minutes; blockage is preceded by a brief net H(+) influx which may restore and increase ion transport by reactivating the plasmalemma H(+)-ATPase.Stimulation of electrogenic H(+)-pumping with fusicoccin eliminates the shock responses and minimizes Ca(2+) effects on K(+) influx. Fusicoccin also strongly decreases Ca(2+) influx, but has no effect on Ca(2+) efflux. Ice temperatures and high pH decreased Ca(2+) efflux, but uncoupler and chlorpromazine did not.It is suggested that the inhibitory and promotive actions of Ca(2+) are manifested through decreases or increases in the protonmotive force.

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Mechanisms of citrate transport and exchange in corn mitochondria.

Previous work (Birnberg, Jayroe, Hanson 1982 Plant Physiol 70: 511-516) demonstrated that corn mitochondria (Zea mays L.) can accumulate citrate by a malate- and phosphate-independent proton symporter. This uptake and symport of other ions were investigated. Passive swelling experiments indicated that corn mitochondria can accumulate several other anions by proton symport, but only isocitrate is taken up nearly as effectively as citrate. At the optimal pH (4.5), active uptake of carrier-free [(14)C]citrate in 50 micromolar mersalyl is inhibited by fourteen anions, but only the I(50) (the concentration of inhibitor required to reduce uptake of carrier-free [(14)C]citrate by 50%) values of citrate (0.08 millimolar) and d-and l-isocitrate (0.5 millimolar) are less than 4 millimolar. Isocitrate is a competitive inhibitor of citrate uptake and [(14)C]isocitrate is accumulated with a K(m) similar similar to its I(50). Valinomycin reduces net active citrate accumulation at pH 7.5, consistent with the relatively low V(max) for citrate uptake. At pH 4.5, mersalyl reduces the rate of citrate uptake without changing the affinity of the carrier for citrate. Thus, the corn mitochondria have a high-affinity, mersalyl-insensitive carrier selective for citrate that also transports isocitrate.The pH optimum for oxidation of both endogenous substrates and citrate is approximately pH 6.8, but citrate oxidation is low at all pH values and is poorly coupled to ATP synthesis. Under active conditions only, at pH 7.0, malate/citrate exchange occurs with 4 millimolar malate being sufficient to remove about half the matrix citrate. Therefore, in vivo both citrate uptake by proton symport and efflux by malate/citrate exchange should occur, with the net direction of citrate movement determined by the cytoplasmic pH, and citrate and malate concentrations; in most cases, net efflux is likely to be favored.

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ATP-Dependent Calcium Transport in Plasmalemma Preparations from Soybean Hypocotyls : EFFECT OF HORMONE TREATMENTS.

A plasmalemma-enriched membrane preparation from etiolated soybean (Glycine max L., cv. Wayne) hypocotyls possesses an active ATP-dependent calcium pump which leads to calcium accumulation when assayed by the methods of Gross and Marmé (1978, Proc Natl Acad Sci USA 75: 1232-1236). Two-hour treatment of segments from the elongating zone of the hypocotyl with growth-promoting concentrations of indoleacetic acid gives up to 100 percent increase in the calcium transport activity. Conversely, similar pretreatment with zeatin or other cytokinins is inhibitory. In the meristematic and maturing zones of the hypocotyl, zeatin has the opposite effect of promoting calcium transport activity. One facet of cell-growth regulation may lie with hormonally mediated changes in efflux pumping of calcium.

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Adenine nucleotide content of corn roots as affected by injury and subsequent washing.

The adenine nucleotide content of the 2-centimeter segments excised from tray-grown corn (Zea mays L., WF9 x Mo17) roots declines for the first hour after excision. Concomitant with the loss of adenine nucleotides is a decline in respiration and a leakage of K(+). With continued washing, these parameters partially or completely recover and increased phosphate influx develops. Increasing the wound effect by cutting 0.5-centimeter segments gives a more rapid and pronounced degradation of adenine nucleotides and slower recovery. Conversely, the mild injury caused by submerging intact roots induces less degradation and produces greater net adenine nucleotide synthesis during recovery; adding auxin to the washing medium produces a similar result. With all treatments, there is stabilization of energy charge at about 0.85.Brief submersion or rubbing of intact roots, as well as recutting washed and recovered root segments, will initiate the transient loss of adenine nucleotides but will not induce increased phosphate influx.It is suggested that the loss in adenine nucleotides may reflect homeostasis in energy charge via catabolism arising from membrane permeability changes.

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Calcium influx into corn roots as a result of cold shock.

Corn roots or washed corn root tissue exposed to cold shock absorb 20 to 24% more (45)Ca(2+) into a nonexchangeable phase than control roots. Addition to fusicoccin largely prevents this additional calcium influx. The results are discussed in relation to injury-induced changes in membrane permeability of root cell membranes.

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Citrate transport in corn mitochondria.

Citrate uptake by corn mitochondria (Zea mays L. B73 x Mol9) was investigated by osmotic swelling and [(14)C]citrate accumulation. Uptake driven by passive influx, ammonium gradients, and respiration was followed. There was no requirement for phosphate and/or malate to secure citrate uptake, although under some conditions these additives were promotive. Inhibition of the phosphate and dicarboxylate carriers did not eliminate citrate uptake. Citrate(in)/malate(out) exchange occurs, but at a rate too slow to account for observed citrate uptake, and depletion of endogenous malate only reduced citrate uptake by 38%. It was concluded that citrate can be rapidly accumulated by a mechanism other than by exchange for dicarboxylates. The effect of uncoupler on respiration-driven [(14)C]citrate accumulation, and studies of passive swelling using ionophores and uncouplers indicated that the major avenue of citrate uptake is by H(+)/citrate co-transport with a pH optimum near 4.5. The in vivo role of this mechanism is not yet understood.

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Action of protein synthesis inhibitors in blocking electrogenic h efflux from corn roots.

The block in the electrogenic H(+) efflux produced by protein synthesis inhibitors in corn root tissue can be released or by-passed by addition of fusicoccin or nigericin. The inhibition also lowers cell potential, and the release repolarizes. Associated with the inhibition of H(+) efflux is inhibition of K(+) influx and the growth of the root tip; fusicoccin partially relieves these inhibitions, but nigericin does not. The inhibition of H(+) efflux which arises from blocking the proton channel of the ATPase by oligomycin or N,N'-dicyclohexylcarbodiimide can also be partially relieved by fusicoccin, but not by nigericin; the inhibition produced by diethylstilbestrol is not relieved by fusicoccin.The results are discussed in terms of the presumed mode of action of fusicoccin on the plasmalemma ATPase. Inhibition of protein synthesis appears to inactivate the proton channel of the ATPase, possibly as the indirect result of disrupted metabolism. Fusicoccin reactivates or bypasses the blocked channel.

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Mechanisms of passive potassium influx in corn mitochondria.

Corn mitochondria in 100 millimolar KCl show accelerated passive swelling upon addition of uncoupler. This unusual response has been compared with swelling produced by valinomycin, tripropyltin, and nigericin. It is concluded that the driving force for swelling lies with the chloride gradient and a high P(Cl):P(K) ratio, the chloride influx creating a negative membrane potential. The action of uncoupler is to facilitate K(+) influx via the endogenous H(+)/K(+) antiporter. The antiporter is active over the pH range 6 to 8, is not sensitive to Mg(2+) concentration, and is not inactivated by aging. It is not clear why corn mitochondria show this exceptional activity of the H(+)/K(+) antiporter in K(+) influx. It is speculated that during isolation the antiporter may be exposed or activated, and that it contributes to cyclic K(+) transport and high State 4 respiration rates.

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Proton efflux from corn roots induced by tripropyltin.

Tripropyltin restores medium acidification by washed corn root tissue in which electrogenic H(+) efflux has been blocked by ATPase inhibitors or injury. However, the restored H(+) efflux is not electrogenic and will not drive K(+) influx, and, by itself, tripropyltin is inhibitory to K(+) influx. Tripropyltin elicits a 5-fold increase in endogenous chloride efflux, and Cl(-)/OH(-) exchange can, thus, account for the observed acidification of the medium. This explanation cannot be applied equally to the acidification produced by the K(+)/H(+) exchanging ionophore nigericin.

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Effect of ATPase inhibitors on cell potential and k influx in corn roots.

Experiments were performed to determine the effect of plasmalemma ATPase inhibitors on cell potentials (Psi) and K(+) ((86)Rb) influx of corn root tissue over a wide range of K(+) activity. N,N'Dicyclohexylcarbodiimide (DCCD), oligomycin, and diethylstilbestrol (DES) pretreatment greatly reduced active K(+) influx and depolarized Psi at low, but not at high, K(+) activity (K degrees ). More comprehensive studies with DCCD and anoxia showed nearly complete inhibition of the active component of K(+) influx over a wide range of K degrees , with no effect on the apparent permeability constant. DCCD had no effect on the electrogenic component of the cell potential (Psi(p)) above 0.2 millimolar K degrees . Net proton efflux was rapidly reduced 80 to 90% by DCCD. Since tissue ATP content and respiration were only slightly affected by the DCCD-pretreatment, the inhibitions of active K(+) influx and Psi(p) at low K degrees can be attributed to inhibition of the plasmalemma ATPase.It is concluded that by DCCD treatment, the energy-linked electrogenic system at high K degrees is separated from the energy-linked K(+) influx system at low K degrees . The results are analyzed in terms of electrical analogue models of the membrane. The presence of two, algebraically additive electrogenic components is indicated; one is better modeled as a current source (system I) and one as a voltage source (system II). No K(+) stimulation of system II is required to produce the observed K degrees dependence of Psi(p).

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Mathematical analysis of the dependence of cell potential on external potassium in corn roots.

The K(+) dependence of normal (psi) and diffusion (psi(D)) potentials in corn roots [Zea mays L., hybrid (A619 x Oh43) x A632] was determined experimentally and analyzed with respect to the parameter xi [defined as exp (F psi/RT)]. In the presence of 10 micromolar carbonyl cyanide p-trifluoromethoxyphenylhydrazone (FCCP), psi behaved as expected of a diffusion potential. Based upon the assumptions (a) that FCCP did not change any term of the Goldman-Hodgkin-Katz equation, and (b) that total potential was functionally the algebraic sum of psi(D) and psi(P) (the deviation from psi(D) due to an electrogenic system), psi(P) was found to be a complex function of external potassium and to have a minimum value of 0.69 millimolar K ion activity outside the cell. Analysis of psi allowed us to develop an equation which predicts a complicated K(+) dependence of psi such as that found by Mertz and Higinbotham (Membrane Transport in Plants and Plant Organelles. Springer-Verlag 1974).

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Comparison of the responses of corn root tissue to fusicoccin and washing.

A comparison has been made of the effects of fusicoccin with those of washing on segments of corn (Zea mays L.) root tissue. Both fusicoccin and washing caused increases in K(+)((86)Rb) influx, net H(+) efflux, and electrogenic cell membrane potential, but with no effect on respiration rate. The similarity was most evident with fresh tissue during the initial phases of washing, prior to the developmental changes which augment the anion and general solute transport rates of the tissue. After the development of enhanced transport capacity the proportional response to fusicoccin was much diminished. It is suggested that the fusicoccin-like response to washing may be a manifestation of recovery from injury.

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