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Biomedical subjects

K Grossmann

Publications and source records attributed to K Grossmann.

At least 19 recordsLinked to original sources

Phenotype and hormonal status of transgenic tobacco plants overexpressing the rolA gene of Agrobacterium rhizogenes T-DNA.

The rolA gene of the TL-DNA of Agrobacterium rhizogenes Ri-plasmid plays a major role in establishing the hairy root syndrome in transgenic plants. Transgenic tobacco plants (Nicotiana tabacum L.) expressing constitutively the rolA gene under the transcriptional control of the 35S RNA promoter show pronounced phenotypical alterations. P35S-rolA transgenic tobacco plants are characterized by stunted growth, dark green wrinkled leaves with an altered length-to-width ratio, condensed influorescences, retarded onset of flowering, a reduced number of flowers and shortened styles. To investigate whether the pleiotropic alterations of growth and development are linked to an altered hormonal status we have compared the immunoreactive content of indole-3-acetic acid, cytokinins, abscisic acid, gibberellin and the ethylene precursor 1-aminocyclopropane-1-carboxylic acid (ACC) of seedlings and different tissues of P35S-rolA transgenic plants, transgenic plants expressing the rolA gene under control of its own phloem-specific promoter and wild-type plants. Multiple tissue-specific alterations of phytohormone concentrations are the consequence of rolA gene activity. Changes of phytohormonal content can explain part of the rolA-induced phenotypic alterations. Most strikingly, in young and fully developed leaves of rolA and P35S-rolA transgenic clones a 40-60% reduction of immunoreactive gibberellin A1 was found, as compared to wild-type leaves. Treatment of wild-type tobacco plants with inhibitors of gibberellin biosynthesis phenotypic alterations similar to those of rolA transgenic plants. This suggests that the reduction of gibberellic acid content is indirectly but causally involved in rolA-induced alterations of stem elongation and planar leaf blade growth.

Abscisic Acid

Beta-oxidation of 1-[14C]-17-[131I]-iodo-heptadecanoic acid following intracoronary injection in humans results in similar release of both tracers.

Radioiodine labelled 17-iodo-heptadecanoic acid (IHA) is used for non-invasive study of myocardial metabolism in coronary heart disease and cardiomyopathy. Yet in the interpretation of in vivo myocardial tracer kinetics, it is controversial whether the intracellular degradation of IHA or the removal of iodide across cellular membranes is the rate-limiting step in iodide release from the myocardium. In five patients undergoing coronary sinus catheterization, a mixture of about 40 kBq of [123I] NaI was injected into the left coronary artery. During the following 15-min period, frequent blood samples were taken from the aorta and the coronary sinus. In the aqueous phase of the venous blood, 14CO2 and inorganic 131I appeared nearly in parallel, with a peak time of 4-5 min. Moreover, as shown by the AV difference, there was no significant back diffusion of IHA and no significant non-specific deiodination detectable over the period of observation. There was myocardial retention of inorganic iodide (123I) injected into the left coronary artery. The data strongly support the premise that lipid turnover through beta-oxidation is the rate-limiting step in the externally measured release of iodide after IHA injection, provided that recirculating inorganic radioactive iodide is corrected for. In addition, 15 volunteers were studied using [11C]palmitic acid and [123I]IHA using PET and dynamic planar camera scintigraphy with iodide correction. There was no significant difference between the mean values of the elimination half-times, and also no significant correlation between half-times of both fatty acids for single individuals.

Carbon Radioisotopes

The plant oncogene rolC is responsible for the release of cytokinins from glucoside conjugates.

The rolC gene of Agrobacterium rhizogenes, which drastically affects growth and development of transgenic plants, codes for a cytokinin-beta-glucosidase. Indeed, rolC protein expressed in Escherichia coli as a fusion protein hydrolyses cytokinin glucosides, thus liberating free cytokinins. Furthermore, beta-glucosidase activity present in E. coli extracts expressing the rolC protein was inhibited by affinity-purified antibodies specific for the rolC protein. Finally, rolC proteins expressed in transgenic plants were shown to be responsible for cytokinin-beta-glucosidase activity. Morphological and phytohormonal analysis, performed on transgenic plants that are somatic mosaics for the expression of the rolC gene, extend and confirm our interpretation that the developmental, physiological and morphological alterations caused by rolC expression in transgenic plants are primarily due to a modification of the cytokinin balance. These observations shed new light on the control of growth and differentiation in plants by growth factors.

Bacterial Proteins

Percutaneous transluminal angioplasty (PTA) of supra-aortic arteries especially the internal carotid artery.

We present our experience with 105 patients in whom percutaneous transluminal angioplasty was performed in 112 stenosed or occluded supra-aortic arteries. Symptoms of cerebrovascular and/or vertebrobasilar insufficiency were present in 104 of the 105 patients. The angioplasty was successful in 35 stenoses of the internal carotid artery, 2 stenoses of the common carotid artery, 1 stenosis of the external carotid artery, 15 stenoses of the vertebral artery, 3 stenoses of the innominate artery and 44 stenoses of the subclavian artery. There were only 4 minor-complications (2 haematomas, 1 transient ischemic attack, 1 small thrombus of the internal carotid artery which was detected by 111-indium platelet scintigraphy and treated by thrombendarterectomy before the appearance of neurological symptoms). All patients were symptom free after angioplasty. During the observations period of 3 to 109 months (average 58 months) there were only two cases with re-stenosis after subclavian angioplasty. The results of more than 700 personal and international published percutaneous transluminal angioplasties of supra-aortic arteries are presented. The results suggest that angioplasty of supra-aortic arteries is an effective method. On strict definition of the indications, the complication rate for angioplasty of the supra-aortic arteries is not likely to be higher than that for operative treatment.

Adult

Semi-quantitative analysis of SPECT with the iodinated fatty acid 15-(ortho-123I-phenyl)-pentadecanoic acid.

15-(ortho-123I-phenyl)-pentadecanoic acid (oPPA) in contrast to the para-isomer pPPA has a prolonged retention in the normal human myocardium. Following qualitative evaluation, a semi-quantitative analysis of oPPA-SPECT is presented in 52 patients (41 with coronary artery disease (CAD) and 11 normals). Data were compared to the results of coronary angiography (CAD patients). Up to 220 MBq 123I-labelled oPPA were injected intravenously after overnight fasting and bicycle exercise. Four minutes later SPECT acquisition (180 degrees technique) was started. In 15 patients a second dose of oPPA was injected 2.5 h later and the study was repeated under rest conditions. Compared to our qualitative analysis the semi-quantitative approach revealed a lower sensitivity of 76% for the detection of CAD (global, stenoses greater than 50%) (specificity was not analysed because the normal patients served as the control group for the calculation of normal values). Because the sensitivity does not exceed that of 201Tl-SPECT or MIBI-SPECT, oPPA is not recommended for the detection of CAD, but it may serve for the evaluation of myocardial viability in ischaemic regions.

Adult

[Long-term results of PTA of degenerative supra-aortic arterial changes].

We present our experience with 129 patients in whom PTA was performed in 135 stenosed or occluded supra-aortic arteries. Angioplasty was successful in 44 stenoses of the carotid artery, 19 stenoses of the vertebral artery, 5 stenosis of the innominate artery, 53 stenoses of the subclavian artery and 4 occlusions of the subclavian artery. There were only 4 minor-complications (2 haematomas, 1 TIA, 1 small thrombus of the internal carotid artery which was detected by 111-indium platelet scintigraphy) and 1 major-complication (permanent hemiparesis). During the observations period of 1 to 116 months (average 61 m) there were only two cases with re-stenosis after subclavian angioplasty. The results suggest that angioplasty of supra-aortic arteries is an effective method.

Angioplasty, Balloon

[Use of light reflex rheography in diagnosis of chronic venous diseases].

The light reflexion rheography is described as non-invasive investigation method for the venous system. The basic principle of the method and its applications are explained as well as its evaluation and the peculiarities which are to be taken into consideration thereby are discussed in detail. The comprising evaluation of the haemodynamic changes in chronic diseases of the veins is particularly elucidated by the method with regard to an improvable chronic venous insufficiency and to the differentiation between epifascial and subfascial pathological changes on the venous system. The method is suitable for the differentiation of the possible forms of therapy as well as for the examination of the result of the treatment. By means of this method a judgment of the efficacy of preparations for vein diseases is not possible. At the earliest the technique is comparable with the bloody measurement of the venous pressure-phlebodynamometry. Its smaller exactness should be compensated by triple measurement. The possibilities of errors as well as the advantages of the method and its areas of application preferred are discussed in detail. The light reflexion rheography is nowadays together with the ultrasound Doppler diagnostics a technique of diagnostics which should be present in every phlebologic practice.

Humans

[Possibilities and limits of pharmacotherapy of chronic venous insufficiency].

The conservative therapy of the chronic venous insufficiency is always carried out with etiopathogenetic orientation and according to the stages of disease. Of the medicamentous therapy oedema-protective and vein-tonicising drugs, oral anticoagulants and non-steroidal antiphlogistics are discussed. Furthermore, the alternative and supplementary prescription of physiotherapy and movement cure depending on findings is dealt with.

Anti-Inflammatory Agents, Non-Steroidal

[Expert assessment of chronic venous insufficiency].

In the expertise of a chronic venous insufficiency kind and stage of the venous disease must be proved as objectively as possible. The diagnostic demands in the individual step programmes serve for the exact assessment of the remaining part of efficiency. The criteria of valuation are summarized, in which case we also deal with several possibilities of combination with other vascular diseases. The expert opinion of an accident is discussed. References to the inability to work, rating of nursing money, increased material benefit in impairments of health and to the acknowledgement of an identity card for injured persons supplement the statements.

Disability Evaluation

[Comparison of plethysmography findings before and following varicose vein surgery].

In the chronic venous insufficiency on the basis of a primary varicosis the occlusion plethysmography of the veins is a suitable remedy in the positioning trial before and after a combined phlebectomy to determine the capacity of the venous part of the circulation on the lower extremity. In altogether 160 patients the functional capacity of the venous valves with the initial inclination to swelling St as well as the capacity of the venous vascular system on the calf and the ankle were established by the determination of the maximal venous capacity Vmax. It could be proved that particularly in stage III of the chronic venous insufficiency the haemodynamically most effective efficacy can be achieved by an operation of the varices.

Female

Tracer kinetics of 15-(ortho-123/131I-phenyl)-pentadecanoic acid (oPPA) and 15-(para-123/131I-phenyl)-pentadecanoic acid (pPPA) in animals and man.

The human myocardium retains oPPA as opposed to pPPA. Therefore turnover of oPPA was compared with that of pPPA in rat hearts and in man, the latter by using substrates double-labeled with 123/131I and 14C. Moreover, substrate binding to coenzyme-A was tested in vitro. In rats, oPPA remained mainly in the pool of free fatty acids, as opposed to pPPA, which was metabolized by mitochondrial beta-oxidation. Binding to coenzyme-A at maximum was 62% for oPPA, 81% for pPPA and 90% for palmitic acid. In man, after i.v. and intracoronary injection of double-labeled oPPA, the two radionuclides reappeared together in venous blood and in coronary sinus respectively, in an unchanged ratio but at a significantly lower rate than with pPPA. It can be concluded that oPPA is bound to coenzyme-A and is retained in the cytosolic lipid pool, while pPPA is metabolized by mitochondrial beta-oxidation. A dual-tracer application of oPPA and pPPA has the potential of being a specific probe for the function of the carnitine shuttle.

Animals

[Computer analysis of peripheral pulse curves].

The methodical fundaments as well as the technical solutions for a technique of the computerized analysis of non-invasively registered peripheral arterial pulse curves are demonstrated. Hereby a quantitative analysis of the pulse curves using new and significant evaluation parameters is performed as well as a reference to the probability diagnosis for the total estimation of the pulse curve is given. The technique is realised in form of a mobile microcomputer measuring place and allows an automatic registration, evaluation documentation and recording of rheograms and pulse oscillograms, respectively immediately at the patient's bed and is suited for a broad application in the angiological preliminary and special diagnostics.

Computers

Percutaneous transluminal angioplasty (dilatation) of carotid, vertebral, and innominate artery stenoses.

Over a period of 5 years, 51 stenoses of brachiocephalic arteries were successfully dilated, and one subclavian occlusion recanalized in 42 patients. Among 24 patients there were 21 stenoses of the internal carotid artery, two stenoses of the common carotid artery, two stenoses of the innominate artery, five stenoses at the origin of the vertebral artery, and four stenoses of the subclavian artery. There were 17 patients who had stenoses of the subclavian artery. In 12 cases several arteries were affected. In 9 patients multiple (2-3) stenoses in these supraaortic arteries were dilated. In 4 cases bilateral dilatation of internal carotid arteries was performed. There were transient, minor complications in 2 patients.

Aged