Biomedical subjects
Publications and source records attributed to J C He.
Toll-like receptors (TLRs) recognize both exogenous microbial components and endogenous molecules to promote immune activation. Both immune and nonimmune renal cells express TLRs, which are involved in the pathogenesis of a number of kidney diseases, including pyelonephritis, Leptospira nephritis, immune-complex glomerulonephritis, ischemic/reperfusion injury, and rejection of kidney transplant.
The wave-front aberration of the human eye was measured for eight subjects using a spatially resolved refractometer (a psychophysical ray-tracing test). The eyes were undilated and presented with accommodative stimuli varying from 0 to -6 diopters. Monochromatic wave-front aberrations tend to increase with increasing levels of accommodation, although there are substantial individual variations in the actual change in the wave-front aberration. While spherical aberration always decreased with increasing accommodation, it did not change from positive to negative for every observer. The direction and amount of change in fourth order aberrations varied between observers. Aberrations with orders higher than fourth are at a minimum near the resting state of accommodation. The accommodation induced change in wavefront aberration was not strongly related to the total amount of aberration in the eight eyes studied.
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Protanomaly is a common, X-linked abnormality of color vision. Like people with normal color vision, protanomalous observers are trichromatic, but their ability to discriminate colors in the red-green part of the spectrum is reduced because the photopigments that mediate discrimination in this range are abnormally similar. Whereas normal subjects have pigments whose wavelengths of peak sensitivity differ by about 30 nm, the peak wavelengths for protanomalous observers are thought to differ by only a few nanometers. We found, however, that although this difference occurred in some protanomalous subjects, others had pigments whose peak wavelengths were identical. Genetic and psychophysical results from the latter class indicated that limited red-green discrimination can be achieved with pigments that have the same peak wavelength sensitivity and that differ only in optical density. A single amino acid substitution was correlated with trichromacy in these subjects, suggesting that differences in pigment sequence may regulate the optical density of the cone.
We measured the directionality of the cones with both a psychophysical (Stiles-Crawford I) technique and an optical technique. The two sets of measurements were made in the same subjects, with stimuli as similar as possible used. The two types of measurements gave similar estimates of the location in the pupil toward which the cones were optimally aligned. However, the two measurements gave quite dissimilar estimates of the width of the directional sensitivity. On average, optical measurements were half as broad as psychophysical measurements in the fovea, but there were substantial individual differences. At 2-deg retinal eccentricity the difference between techniques was even more marked.
OBJECTIVE: To determine the pressure required for the initial medial tear, and for propagtion of dissections, within the media of isolated pressurized porcine thoracic aorta, and to determine whether these vary with tear depth. DESIGN: India ink-stained saline was injected into the media of 48 fresh porcine descending thoracic aorta that were distended with 130 mmHg pressure. The fluid was infused into the media through a 25 gauge needle connected to a constant infusion pump, and the pressure at the entrance to the needle was monitored with a Cobe pressure transducer. The two lumens were not connected. Blebs were made at different depths and measured at the end of the experiment with a Starrett gauge. Seven casts were made in pressurized aortas and nine in nonpressurized ones to determine the shape of the blebs by injecting different volumes of mercox casting material into the media by hand. RESULTS: Mean tearing pressure, expressed as the transmural pressure between the bleb and the true lumen (which was at 130 mmHg) was 547 mmHg (range 208 to 995). Mean propagation pressure was 54 mmHg (range 25 to 93). The ratio of the two pressures was 10.1 (range 5.2 to 21.7). None of these pressures was correlated with tear depth. Casts showed that the leading edge was sharp in all directions. Small blebs were roughly spherical, and large ones were cylindrical with roughly hemispherical ends between the cylinder and the sharp leading edge. CONCLUSIONS: Dissections can propagate at pressures that could be reached under physiological and certainly pathological conditions. The initial tear requires pressures that are too high to create biologically except with trauma. The leading edge of the dissection appears to be very sharp and likely explains why the dissection propagates at relatively low pressures. Tear depth does not affect the results.
Deutan observers are a heterogeneous group, varying nearly continuously from deuteranomalous trichromats with fine chromatic discrimination in the red/green range to deuteranopes who have none. We sought to relate chromatic discriminative ability among deutans measured psychophysically (phenotypes) to observers' separation between long-wave visual pigments inferred from visual pigment genes (genotypes). If middle-wave pigment genes are assumed not to be expressed in these deutan observers there is a clear relation between phenotype and genotype.
Reflectometric measurements provide an objective assessment of the directionality of the photoreceptors in the human retina. Measurements are obtained by imaging the distribution at the pupil plane of light reflected off the human fundus in a bleached condition. We propose that scattering as well as waveguides must be included in a model of the intensity distribution at the pupil plane. For scattering, the cone-photoreceptor array is treated as a random rough surface, characterized by the correlation length T (related to the distance between scatterers, i.e., mean cone spacing) and the roughness standard deviation sigma (assuming random length variations of the cone outer-segment lengths that produce random phase differences). For realistic values of T and sigma we can use the Kirchhoff approximation for computing the scattering distribution. The scattered component of the distribution can be fitted to a Gaussian function whose width depends only on T and lambda. Actual measurements vary with experimental conditions (exposure time, retinal eccentricity, and lambda) in a manner consistent with the scattering model. However, photoreceptor directionality must be included in the model to explain the actual location of the peak of the intensity distribution in the pupil plane and the total angular spread of light.
We used a fast psychophysical procedure to determine the wave-front aberrations of the human eye in vivo. We measured the angular deviation of light rays entering the eye at different pupillary locations by aligning an image of a point source entering the pupil at different locations to the image of a fixation cross entering the pupil at a fixed location. We fitted the data to a Zernike series to reconstruct the wave-front aberrations of the pupil. With this technique the repeatability of the measurement of the individual coefficients was 0.019 micron. The standard deviation of the overall wave-height estimation across the pupil is less than 0.3 micron. Since this technique does not require the administration of pharmacological agents to dilate the pupil, we were able to measure the changes in the aberrations of the eye during accommodation. We found that administration of even a mild dilating agent causes a change in the aberration structure of the eye.
Deuteranomalous trichromacy is the most common form of inherited color-vision deficiency. A modern description of its cause is a single abnormality: the normal middle-wave cone photopigment (M) is replaced by a shifted middle-wave pigment (M) that is shared by all deuteranomalous trichromats. This explanation, however, fails to account for the individual differences in color vision observed even within the sub-group of deuteranomals with good chromatic discrimination. An ensemble of color matches is used here to test whether these individual differences reflect differences in the wavelength of peak sensitivity (lambda max) of individual deuteranomals' cone photopigments. The results show variation in both the lambda max and the effective optical density of their cone pigments. The individual differences found in lambda max are in accord with recent molecular biological research that shows individual differences in the genes thought to encode deuteranomalous photopigments.
Cones show a differential sensitivity to light coming from different portions of the pupil, typically being most sensitive to light from the center of the pupil. We measured the directional properties of the cones across the central 6 deg of the retina, using an optical imaging technique. We find that the cones in the center of the fovea have the broadest tuning. The width of the angular tuning changes rapidly from 0 deg to 1 deg retinal eccentricity, with cones at 1 deg being much more narrowly tuned that the cones in the center of the fovea. Directional tuning of the cones remains relatively constant from 1 deg to 3 deg retinal eccentricity. Receptoral disarray contributes minimally to the measured directional properties of the foveal cones, and there is no evidence of asymmetry between horizontal and vertical retinal locations. There are only small differences among the five subjects in the change in angular tuning of the cones with retinal location. We find that at the foveal center the directional tuning of the cones is limited by the diameter of the cone apertures.
Individual differences in abnormal color vision are well known. A fundamental unresolved problem is the great variation in color vision even among those classified as having the same color-vision defect. Several physiological hypotheses have been proposed to account for this variation but little consideration has been given to how (and how much) color matching and discrimination are affected by the posited physiological mechanisms. Advances in molecular genetics have renewed interest in this problem, which is at the foundation of the relation between genotype and phenotype. We report here theoretical Rayleigh ranges (chromatic discrimination) and quantal matches for deuteranomalous trichromats with photopigments in the red/green range that vary in their separation and optical density. The results show there is relatively little loss of discrimination with pigments of normal optical density separated by as little as 2-3 nm. With pigments separated by 4 nm or less, however, optical density can strongly influence discrimination when varied independently in the two types of cone. Moderately lower (or higher) optical density in only one cone-type affects discrimination by altering the shape of the cone's relative spectral sensitivity function. The lack of correlation between Rayleigh-match midpoint and range, which is reported in the literature, may be accounted for by independent variation in pigment separation and optical density.
Individual differences in color matches of normal trichromats are well documented. Recently, variants of the classical Rayleigh match have been measured to explore the cause(s) of these individual differences. Interobserver differences in the wavelength of peak sensitivity of photopigment (lambda max) are of primary interest because they are attributed to an X-chromosome-linked polymorphism. Color-matching equations, however, show the Rayleigh match cannot distinguish between interobserver differences in lambda max and interobserver differences in the optical density of photopigment. Further analysis of color-matching equations reveals that the ratio of two particular Rayleigh-type matches amplifies the effect of individual differences in the lambda max of L cones relative to the effects of optical density and pre-receptoral spectrally selective filtering. The ratio of these two color matches was measured for 17 color-normal males. The range of the results for the 17 observers is too large to be explained by only individual differences in photopigment optical density and pre-receptoral filtering. This implies there are interobserver differences in lambda max. The results are accounted for quantitatively by a small difference (3-5 nm) in the lambda max of the L-cone photopigment. The ratio of two Rayleigh-type matches is a rapid and convenient measurement for assessing the L-cone lambda max in the eye of an individual observer and therefore may be useful for classifying normal trichomats into phenotypic sub-types.
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