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Biomedical subjects

K Tiedemann

Publications and source records attributed to K Tiedemann.

At least 55 records · Page 3Linked to original sources
PubMed1984

Experience with high dose multiagent chemotherapy and autologous bone marrow rescue in the treatment of twenty-two children with advanced tumours.

Intensive chemotherapy followed by infusion of cryopreserved autologous bone marrow (ABMR) was used in the treatment of 22 children with advanced tumours. In nine this was their initial therapy; in eight it was used after partial or complete remission had been achieved with standard therapy; and in five, after relapse had occurred. Recovery of marrow function occurred in 20 patients with a mean time of 13.2 and 18.2 days to recovery of neutrophils (greater than 0.5 X 10(9)/l) in newly diagnosed and previously treated patients respectively. Platelet count recovery to greater than 50 X 10(9)/l occurred in a mean time of 13.4 days in newly diagnosed and 20.4 days in previously treated patients. Control of extensive local tumour was obtained in three of three evaluable patients with abdominal non-Hodgkin's lymphoma (NHL). Metastatic bony and marrow disease was controlled in two of two patients with retinoblastoma. In Ewing's sarcoma, temporary control of widespread metastatic disease occurred in one patient. In the other, eradication of extensive local mass disease at the primary site had been achieved. Poor response to treatment has been seen in seven of eight patients with Stage III or IV rhabdomyosarcoma, three patients with neuroblastoma and four of five patients with recurrent disease. Apart from the anticipated bone marrow toxicity, the major complications were severe mucositis, anaphylaxis following bone marrow infusion and haemorrhagic cystitis. The presence of herpes simplex infection appeared to aggravate mucosal complication.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1984

Clinicopathological characteristics of acute lymphoblastic leukemia with the 4;11 chromosome translocation.

Analysis of the bone marrow karyotype in 109 consecutive untreated patients with acute lymphoblastic leukemia (ALL) by the G-banding technique revealed the presence of a translocation between specific sites on the long arms of chromosomes 4 and 11, [t(4;11) (q21;q23)] in 3 adults and 2 children. Splenomegaly was present in all patients, marked leukocytosis in 4, and retinal hemorrhages in the absence of significant mucocutaneous bleeding in 3. Complete remission defined by conventional morphological criteria was achieved with combination chemotherapy in all instances, but the duration of remission was brief in 3. Three patients were studied in relapse, and clonal evolution was found to have occurred in 2. Analysis of our data in conjunction with other published reports suggests this specific karyotypic abnormality characterizes a small subgroup of ALL in which there is a strong association with recognized clinical and laboratory indices of poor prognosis, in particular its frequent occurrence in children under the age of 2.5 yr. There is a propensity to undergo clonal evolution, and the possibility exists that such a development is associated with poor prognosis.

Adolescent↗
PubMed1983

The pig mesonephros. I. Enzyme histochemical observations on the segmentation of the nephron.

Cryostat sections from the mesonephros of various pig embryos with a crown-rump-length of between 17 and 95 mm were used for light microscopical assays of acid hydrolases (acid phosphatase, beta-D-N-acetylglucosaminidase, beta-D-glucuronidase), oxidoreductases (succinic dehydrogenase, NADH- and NADPH-tetrazolium reductase) and adenosine triphosphatases (Mg2+- and Na+--K+-ATPase). Our main intention was to distinguish more accurately between the different parts of the pig's nephron, which is exceedingly long and coiled. The proximal tubule, that exhibits a high activity for acid phosphatase but none in beta-D-glucuronidase incubations, shows no subsegmentation apart from a stronger reaction of its initial segment that was apparent in three of our assays. In the distal tubule, a preattachment convolution, an attachment zone, and a postattachment coil can be discriminated by a synopsis of all histiograms. The beginning of the collecting tubule is situated in the middle of the organ and not at its dorsal face as was previously believed. Up to three different segments can be discriminated in the collecting tubule. The distal and the collecting tubule harbor on ouabain-sensitive Na+--K+-ATPase activity which decreases considerably towards the Wolffian duct. The enzymatic maturation of the mesonephric pig nephron is almost completed in 17 mm embryos.

Adenosine Triphosphatases↗
PubMed1983

The pig mesonephros. II. The proximal tubule: SEM, TEM and freeze-fracture images.

The ultrastructure of the proximal tubule of mature mesonephric nephrons was studied in perfusion-fixed pig embryos of the 41st gestational day. Despite its 8-12 mm long course, the proximal tubule possesses no cytologically different subsegments except its very last cells at the abrupt transition into the distal tubule. The first brush-bordered proximal tubule cells stand considerably within Bowman's capsule, abuting its attenuated cells. In SEM specimens, the average luminal cell diameters are 8 X 13 micron. The cells are 6-11 micron in height with overlying microvilli 2-4 micron long. Lateral faces of perfectly disjoined cells exhibit plate-like interdigitating processes projecting more than 5 micron deep into the neighboring cells. The basal cell face is completely covered with microvilli. The TEM pictures reveal an endocytic apparatus largely matching its metanephric counterpart. Mitochondria account for 23% of the cytoplasm and together with the many basolateral cell membranes indicate a high capacity for energy-dependent transport processes. Small basal lipid droplets represent a species peculiarity. Freeze-fracture specimens show an electrocoupling of the cells by gap junctions. The tight junction, with only 1-2 strands, characterizes a "leaky" epithelium. In most features, this tissue is as mature as its metanephric counterpart.

Animals↗
PubMed1982

The technique of heart plastination.

Plastinated hearts are natural specimens, preserved in a firm or flexible state, which thus can be grasped in the hand. They are fixed in a dilated state. Their tissue water and lipids are replaced by polymerized synthetic resins or elastomers. The final specimens show doubly injected coronary vessels, opened atria and ventricles, thus exhibiting all finer external and internal details. The procedure described consists of the removal of the heart; intermediate storage facilities; dilatation with water under hydrostatic pressure; color injection of the coronary vessels; fixation; dehydration in acetone under hydrostatic pressure; forced impregnation in a vacuum chamber; and hardening with aftercare. Technical variations and pitfalls are discussed, as well as the required equipment.

Animals↗
PubMed1982

The bovine allantoic and amniotic epithelia. SEM and TEM studies.

The ectodermal and endodermal coverings of the allanto-amniotic membrane in cattle fetuses of various gestational ages have been studied by scanning and transmission electron microscopy. We have observed that the allantoic and amniotic epithelia have rather similar cells which are rich in filaments but poor in organelles. Neither epithelium reflects its different origin nor the differences in the composition of the two fetal fluids. Maturation changes occur in the pattern of the various surface specializations until midterm. Coral-like luminal outgrowths, which also contain organelles, were observed in both epithelia, whereas microplicae had formed only on fully differentiated amniotic cells. Interspersed smooth-surface cells in the allantoic epithelium that differ also in nuclear shape, glycocalyx, and mitochondria are regarded as a second cell type. Besides fluid-filled blisters and cornified pustules, the most typical feature of the amniotic epithelium is a rather regular lateral cell interdigitation with tongue-like lamellae of even thickness. Micropinocytotic vesicles are more frequent than in the allantois. Both epithelia possess similar tight junctions; no morphological or histochemical indications of an active sodium transport were evidenced.

Allantois↗
PubMed1981

The mature mesonephric nephron of the rabbit embryo. II. TEM-studies.

Transmission electron micrographs of the mesonephric nephron in 18 day rabbit embryos reveal major cytological structures reappearing in the nephron of the definitive rabbit kidney. The initial segment of the proximal tubule resembles (despite quite different cell proportions) the cell picture of the metanephric S2-segment. The changes occurring at the end of the terminal proximal segment, the decrease in cell size, flattening of the nuclei, shortening of the brush border and reduction of Golgi profiles and endocytotic organelles largely parallel those between S2 and S3. The type of increased basolateral cell face of the proximal and distal tubule cells shows only quantitative differences to their metanephric counterparts. The distal tubule, which cannot be further subdivided (except the macula densa-region) exhibits varying degrees of cell interdigitations with vertically arranged and partially arching lateral ridges. This tubule matches closely the metanephric medullary straight part of the distal tubule, so that the sequence of the first mesonephric nephron segments is similar to the metanephric ones with the exception that the thin limb of Henle is absent. The large macula densa-region is characterized by its cell height and distended infranuclear spaces. The principal cells of the collecting tubule, with a few basal infoldings and intense short lateral interlockings resemble metanephric cells of the outer medullary collecting duct. The mitochondria-rich intercalated cells occur in dark and light contrasting forms and are more frequent than was evident from our SEM-study. The homogenous cell population of the Wolffian duct is characterized by large glycogen deposits and comparatively smooth cell faces.

Animals↗
PubMed1981

The mature mesonephric nephron of the rabbit embryo. III. Freeze-fracture studies.

In freeze-fracture replicas of the entire cross-fractured mesonephros of 18 day rabbit embryos the basolateral and luminal cell faces of the different nephron segments were studied and compared with their metanephric counterparts. In the proximal tubule, the shallow zonula occludens exhibited only 1-2 strands and resembled the corresponding metanephric zonula, a very "leaky" type which was found with a considerable paracellular flow component in sites of isotonic reabsorption. Gap junctions were restricted to the proximal tubule and were seen more frequently in its terminal segment. The distal tubule harboured two types of tight junctions. The most common type, a band of 5-8 closely parallel strands, matched the zonula occludens of the metanephric straight distal tubule. The observed particle density of the basolateral membrane (2,500 +/- 306). In addition, the collecting tubule exhibited a zonula occludens of the "tight" variety similar to that which occurred in the metanephric collecting duct. Rod-shaped particles of the luminal membrane were mainly concentrated in some of the intercalated cells but also had developed on principal cells, and occasionally, in the distal tubule. The Wolffian duct, with a deep "tight" zonula occludens, had an obviously rather inactive epithelium with no conspicuous transport-linked membrane specializations.

Animals↗
PubMed1981

Plasma vasoactive intestinal polypeptide and other regulatory peptides in children with neurogenic tumours.

Plasma regulatory peptide levels were studied in a group of 21 children with neurogenic tumours and in 22 control children. Plasma vasoactive intestinal polypeptide (VIP) levels were significantly higher in children with neurogenic tumours than in normal children or those with other tumours (p less than 0.05). There was no significant difference between the groups in plasma levels of gastrin, pancreatic glucagon or pancreatic polypeptide. The plasma VIP level may thus be a helpful diagnostic marker for neurogenic tumours in children.

Adolescent↗
PubMed1981

Intractable diarrhoea in a patient with vasoactive intestinal peptide-secreting neuroblastoma. Attempted control by somatostatin.

A 1 1/2 year old child developed profuse watery diarrhoea, shown to be due to excessive plasma vasoactive intestinal peptide (VIP) levels, whilst on treatment for metastatic neuroblastoma. Because it was unresponsive to alternative treatment, an attempt was made to control the diarrhoea with a somatostatin infusion. The attempt failed despite the fact that serum VIP levels were substantially reduced. Possible reasons for failure are discussed and the importance of plasma VIP as a marker for maturation in neuroblastoma emphasised.

Diarrhea↗
PubMed1980

Prophylactic co-trimoxazole and lactobacilli preparation in neutropenic patients.

A randomized study of intestinal decontamination was undertaken in 68 children with leukemia and solid tumours. Framycetin, colymycin, nystatin, and metronidazole were given in 35 neutropenic episodes in 33 children, while co-trimoxazole and lactobacilli preparation were administered in 35 episodes in 35 children. The diseases, severity of neutropenia, and incidence of infection at entry into study were comparable in the two groups. There was no significant difference in the incidence of infections developing during the phase of neutropenia. The median and range of time required to recover from neutropenia were also not different. Co-trimoxazole and lactobacilli were significantly better tolerated, there being no nausea and vomiting, no refusal to take medication, no dose reduction or change to an alternative regimen. We conclude that co-trimoxazole and lactobacilli preparation improve quality of life during a neutropenic episode and have the additional advantage of being relatively inexpensive.

Agranulocytosis↗
PubMed1980

The mature mesonephric nephron of the rabbit embryo. I. SEM-studies.

The luminal surface ultrastructure of the mature mesonephric nephron in 18 day rabbit embryos was studied in order to classify the nephron segments and to compare them with their metanephric counterparts. The proximal tubule has two slightly different segments. Its brush-bordered cells, with lateral ridges and basal microvilli (revealed in disjoined cells) exhibit structural principles similar to those of metanephric cells. The short distal tubule, starting with an abrupt border, cannot be subdivided. Its surface differs from one specimen to the next; the various cellular patterns are regarded as different functional states rather than evidence of a true cellular heterogeneity. Cells with leaf-like meandering borders correspond to similar metanephric cells favoring a paracellular transport mechanism. The collecting tubule shares common features with the metanephric collecting duct in spite of its different origin. Among principal cells, clearly demarcated by marginal microvillous rows and studded with sparse apical microvilli, non-ciliated and strongly bulging intercalated cells occur in small numbers. The latter have exaggerated, sometimes branched microvilli, and occasional microplicae. In the Wolffian duct, which has no metanephric counterpart, the single cilia dominate the picture of a homogeneous cell population. Apical globular protrusions of the tubular epithelia, which have been depicted in almost every paper on the mesonephros, are all fixation artefacts that can only be avoided by properly perfusing the living embryo.

Animals↗
PubMed1980

The pig yolk sac I. Fine structure of the posthaematopoietic organ.

Yolk sacs from pig embryos ranging between 18 mm and 55 mm in length were investigated by scanning electron microscopy (SEM), transmission electron microscopy (TEM), and histochemistry. The organ was no longer present in embryos of 70 mm length. The endoderm proliferates in embryos of about 20 mm length with gland-like endodermal cell columns and finally becomes stratified, representing over 90% of the yolk sac mass. The endodermal cells show a high activity of oxidoreductases and lysosomal enzymes; their luminal surface bears few absorptive specializations. The mesothelium is inert, as judged from its surface ultrastructure, organelle composition and enzyme content. TEM reveals the endodermal cells to be polarized even in stratified areas. They resemble liver parenchymal cells with respect to their basal villi, which are exposed to capillaries with discontinuous or fenestrated endothelium. Giant mitochondria with crystalline inclusions in the mature endodermal cytoplasm are outnumbered by large stacks of the rough ER, which can amount to 60% of the cytoplasm. This conspicuous RER is suspected to be the production site of serum proteins which are discharged into the vascular bed. Close to the time of the organ's regression, an unusual storage of material in terminal buds of the ER was found. Intercellular canaliculi and the endocytic apparatus of the endoderm are thought to serve regression.

Animals↗
PubMed1980

the pig yolk sac II. Analysis of synthesized proteins.

Since previous morphological studies have revealed abundant rough endoplasmic reticulum in the yolk sac endoderm, pig yolk sac explants from 30 day old embryos were incubated for 3-12 h with [3H]-L-leucine in order to study their protein biosynthesis. They were fractionated into a 12,000 X g-pellet, 105,000 X g-pellet, and supernatant. Newly synthesized proteins in these tissue fractions, and proteins discharged into the culture medium, were analysed with the aid of scintillation technique and identified by column chromatography, SDS-polyacrylamide gel electrophoresis with urea, isoelectrofocusing, and 2D-electrophoresis. Most of the radioactivity incorporated into the tissue fractions was regained from the coarse pellet and was located in the molecular weight region between 70,000 and 45,000 daltons, indicating that most of the newly synthesized proteins are membrane bound and include albumin. Albumin, an acid protein of a MW around 80,000 daltons, and many neutral and basic peptides were present in the culture medium. The yolk sac endodermal cells of the pig synthesize less proteins than those of the cat, although the pig cells display much larger amounts of endoplasmic reticulum.

Animals↗
PubMed1980

Synthesis of serum proteins by the posthaematopoietic feline yolk sac.

The feline yolk sac persists even after the end of its haematopoietic phase with prominent ER-cisternae in the endoderm suggesting biosynthetic capacity. Therefore, yolk sac explants from the 54th day and 57th day were incubated with [3H]-L-leucine in order to study its protein biosynthesis. Newly synthesized proteins were discovered in sliced SDS-polyacrylamide gels by the use of scintillation technique and identified by molecular weight determination and isoelectrofocusing, also using stained electropherograms of unlabeled tissue, serum, and marker proteins. The highest radioactive incorporations were found in 69,000--70,000 dalton proteins and interpreted as serum albumin and alpha-fetoprotein. The autoradiography revealed that the cytoplasm of the endoderm is the site of the most active biosynthesis of proteins which were obviously stored in the ER-cisternae for some time. The yolk sac fluid proteins are almost exclusively serum proteins, although in a very low concentration. We regard a large-scale formation of serum proteins in the yolk sac endoderm as the cause of this organ's very late regression in the cat.

Animals↗