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Biomedical subjects

J Tiedeman

Publications and source records attributed to J Tiedeman.

15 recordsLinked to original sources

Three cell wall mannoproteins facilitate the uptake of iron in Saccharomyces cerevisiae.

Analysis of iron-regulated gene expression in Saccharomyces cerevisiae using cDNA microarrays has identified three putative cell wall proteins that are directly regulated by Aft1p, the major iron-dependent transcription factor in yeast. FIT1, FIT2, and FIT3 (for facilitator of iron transport) were more highly expressed in strains grown in low concentrations of iron and in strains in which AFT1-1(up), a constitutively active allele of AFT1, was expressed. Northern blot analysis confirmed that FIT1, FIT2, and FIT3 mRNA transcript levels were increased 60-230-fold in response to iron deprivation in an Aft1p-dependent manner. Fit1p was localized exclusively to the cell wall by indirect immunofluorescence. Deletion of the FIT genes, individually or in combination, resulted in diminished uptake of iron bound to the siderophores ferrioxamine B and ferrichrome, without diminishing the uptake of ferric iron salts, or the siderophores triacetylfusarinine C and enterobactin. FIT-deletion strains exhibited increased expression of Aft1p target genes as measured by a FET3-lacZ reporter gene or by Arn1p Western blotting, indicating that cells respond to the absence of FIT genes by up-regulating systems of iron uptake. Aft1p activation in FIT-deleted strains occurred when either ferrichrome or ferric salts were used as sources of iron during growth, suggesting that the FIT genes enhance uptake of iron from both sources. Enzymatic digestion of the cell wall resulted in the release of significant amounts of iron from cells, and the relative quantity of iron released was reduced in FIT-deletion strains. Fit1p, Fit2p, and Fit3p may function by increasing the amount of iron associated with the cell wall and periplasmic space.

Amino Acid Sequence↗

Interferon-associated retinopathy.

Interferon alfa is used to treat various systemic disorders and recently has been suggested as a possible treatment for choroidal neovascularization. We report 10 cases of retinal ischemia associated with the use of interferon alfa for various illnesses. The retinal findings include cotton-wool spot formation, capillary nonperfusion, arteriolar occlusion, and hemorrhage. The retinal complications may sometimes be reversible when treatment is stopped. Our findings emphasize the need to have patients who are receiving interferon alfa therapy monitored for these retinal complications, which may rarely be associated with permanent loss of vision secondary to closure of retinal capillaries.

Adult↗

Autologous marrow injection as a substitute for operative grafting of tibial nonunions.

Autologous marrow injection was used to stimulate healing in 20 ununited tibial fractures over a five-year period. The technique was employed in conjunction with cast immobilization in ten cases and intramedullary nail fixation in ten cases. Marrow stimulated a callus formation sufficient to unite eight of the ten nonunions immobilized with casts and all ten of the fractures immobilized by intramedullary nails. Bone-marrow injection was as effective as past open autologous grafting but with considerably fewer disadvantages. The technique provides a promptly renewable and reliable source of osteogenic stem cells with numerous advantages compared with standard open-grafting techniques.

Adolescent↗

Autologous marrow injection for delayed unions of the tibia: a preliminary report.

Over a 3-year period, we have treated 10 delayed unions of the tibia by using percutaneous marrow injection rather than standard operative bone grafting. Nine of the 10 fractures responded by forming callus in the area where the marrow was injected. This relatively simple technique avoided potential problems associated with operative grafting methods that have been standard for at least 50 years. Most importantly, it encourages early treatment of fractures when healing problems are anticipated or are becoming evident.

Adult↗

Optics of the eye with air or silicone oil.

Replacement of intraocular contents with gas or silicone oil changes the optical characteristics of the eye. This affects the surgeon's view of the fundus and the patient's vision. Gullstrand's schematic eye was used to calculate the refractive properties of eyes with air or silicone oil in the vitreous cavity or anterior chamber in phakia, aphakia, and pseudophakia. The article gives a general solution of the optical characteristics of the eye with any substance filling the eye or the vitreous cavity. Criteria are shown for selection of appropriate corneal contact lenses for visualization of the fundus during and after vitreous surgery.

Air↗

Sutureless scleral buckle for retinal detachment with thin sclera.

Retinal detachment surgery can be hazardous in the presence of thin sclera, with increased risk of inadvertent perforation. We designed polymethylmethacrylate belt loops that can be fixed to the sclera with cyanoacrylate tissue adhesive, allowing 360 degrees scleral buckling to be performed without sutures. We report the successful use of this technique in a three-year-old girl with a rhegmatogenous retinal detachment and blue sclerae.

Child, Preschool↗

Effect of silicone oil viscosity on emulsification.

Emulsification of intravitreal silicone oil has been observed as a late complication after its use as a retinal tamponade. We compared the emulsification potential of silicone oil of different viscosities (100 centistokes [cs], 1000 cs, and 12,500 cs) and molecular composition in an in vitro model using a commercial detergent (benzalkonium chloride) and physiologic surface-active agents (human serum and lysed red blood cells). We found that silicone oils that have low-molecular-weight contents emulsify more readily than those that do not. Moreover, the extent and susceptibility to emulsification increases with decreasing viscosity or with an increase in the proportion of low-molecular-weight constituents. Hence, higher-molecular-weight (viscosity) oils or removal of low-molecular-weight components from medical grade fluid may lessen the emulsification observed clinically.

Emulsions↗

Choroideremia associated with a subretinal neovascular membrane. Case report.

Choroideremia is a sex-linked chorioretinal degenerative disease, with affected male patients developing diffuse chorioretinal atrophy and female carriers, in most instances, showing only pigmentary changes with normal vision. Visual acuity in male patients has been reported to be unaffected until late in the course of the disease, only after the visual fields are greatly reduced. This is a case report of a 14-year-old boy with choroideremia who had decreased visual acuity secondary to a subretinal neovascular membrane in the macula of his right eye. This is the first report of choroidal neovascularization associated with this disease.

Adolescent↗

Ultrasonic examination of the silicone-filled eye: theoretical and practical considerations.

As the use of silicone oil in the treatment of complex retinal detachment becomes more frequent, an accurate assessment of ocular structures in these eyes by ultrasonic imaging is increasingly important. Because of the ultrasonic properties of silicone oil, the interpretation of ultrasound images of the silicone-filled eye is difficult. We have developed a mathematical model of ultrasound propagation in the eye. Using a computer simulation with graphic output, we have been able to make calculations concerning the interpretation and limitations of ultrasound examination in patients with intraocular silicone oil.

Computers↗

Idiopathic recurrent branch retinal arterial occlusion.

Recurrent multiple branch retinal arterial occlusions of unknown cause occurred in nine apparently healthy individuals. With the exception of three patients who developed associated auditory symptoms, none developed other signs or symptoms of systemic vascular disease. Ophthalmoscopic and fluorescein angiographic findings suggested focal arteritis and arteriolitis as the cause of the obstructions. Most patients retained good visual acuity.

Adult↗

Expansion of long-acting gas bubbles for intraocular use. Principles and practice.

Expansion of long-acting gas bubbles used in vitreoretinal surgery may lead to increased intraocular pressure and central retinal artery occlusion. To further understand the principles controlling the expansion of long-acting gases, we compared the expansion of perfluoropropane gas bubbles with that of sulfur hexafluoride gas bubbles in an in vitro model, as well as in rabbits. We found that perfluoropropane bubbles expand more rapidly and to a greater extent than do sulfur hexafluoride bubbles in the first 24 hours. The early rate of expansion of a long-acting gas is largely dependent on convection of the surrounding fluid and is independent of the type of long-acting gas. Early postoperative monitoring of intraocular pressure is, therefore, equally important when using any long-acting gas.

Animals↗

Controlled aspiration of subretinal fluid in the diagnosis of carcinoma metastatic to the choroid.

Carcinoma metastatic to the choroid was diagnosed in three patients by cytopathologic examination of subretinal fluid. The specimen was obtained using a scleral depressor modified to allow controlled aspiration of subretinal fluid through a sharp, angled, 30-gauge needle. This new method provides a useful tool for accurate diagnosis of carcinoma metastatic to the choroid in cases where the diagnosis is in question.

Adenocarcinoma↗

Intraocular tamponade and surface tension.

Surface tension is an important property of substances used as intraocular tamponades. The physical properties of currently available intraocular tamponades (gases, silicone oil and Healon) are compared with emphasis on surface tension. The gas/water interface surface tension is the greatest and therefore is the most effective in closing retinal breaks (70 erg/cm2). This is followed by silicone oil/water interface surface tension (50 erg/cm2). Healon is a 1% solution of water and therefore has no surface tension. Practical and theoretical considerations of various tamponades are described. Some properties of an ideal tamponade are suggested.

Gases↗

Hemeralopia in an older adult.

An elderly male was referred for evaluation of hemeralopia when cataract extraction did not alleviate his symptom of difficulty seeing in bright illumination. Visual acuity was 20/40 OU. Funduscopic examination revealed marked arteriolar attenuation, disc pallor, and retinal pigment epithelial changes. Visual fields demonstrated relative paracentral scotomata. An ERG was consistent with widespread photoreceptor degeneration. A diagnosis of visual paraneoplastic syndrome was made and an extensive systemic evaluation revealed a squamous cell carcinoma of the lung. The presentation and evaluation of acquired photoreceptor dysfunction in adulthood is discussed.

Aged↗