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Biomedical subjects

M A McCabe

Publications and source records attributed to M A McCabe.

22 records · Page 2Linked to original sources

Effects of injected iron and siderophores on infections in normal and immune mice.

The fate of virulent and avirulent strains of Salmonella typhimurium in untreated and iron-injected mice and in transferrin-containing media demonstrated a direct relationship between bacterial virulence and the ability of bacteria to acquire transferrin-bound iron. Effects of injected iron on the development of infections with virulent and avirulent bacterial strains were determined in normal and immune mice by determinations of bacterial numbers in tissue homogenates and the mortality of infected animals. Results showed that infected and iron-injected mice died much more rapidly and frequently from overwhelming infections than infected and saline-injected mice. The infection-promoting effect of iron varied with the degree of bacterial virulence; the more virulent the bacteria, the more helpful was iron for the development of lethal infections. Siderophores promoted lethal infections in mice infected with virulent but not with avirulent bacteria. Experiments with vaccinated animals showed that iron exerted a deleterious effect on acquired immunity. Immune mice infected with virulent bacteria and injected with iron developed lethal infections as rapidly and nearly as frequently as similarly treated normal mice. Siderophores did not promote the development of lethal infections in immune mice. The effectiveness of iron, but not of siderophores, to promote bacterial infections in vaccinated mice revealed that acquired immunity is dependent upon the activity of an iron-neutralizable antibacterial system.

Animals↗

Neurodevelopmental side effects of bone marrow transplantation: two case illustrations of identical twins.

PURPOSE: Bone marrow transplantation (BMT), particularly preparative regimens, may have a significant impact on the developing nervous system. However, the effects of various BMT regimens on children's growth and development have been poorly documented to date. Twins serve as ideal subjects to study the impact of medical treatment, since they control for nonmedical (genetic and environmental) influences upon neurodevelopmental outcome. PATIENTS AND METHODS: Two cases of monozygotic twins are presented to illustrate the impact of BMT regimens. Growth data and neurocognitive testing are presented for each patient (affected twin) in relation to his/her syngeneic BMT donor and case control (control twin). RESULTS: These two cases illustrate the growth retardation that has been reported after BMT. However, changes in growth trends across twins appear to have begun after diagnosis, rather than after BMT per se. Comparisons of cognitive test results within these twin pairs illustrate learning problems in the affected twins. However, there was also evidence of learning anomalies in the unaffected twins. CONCLUSIONS: Results underscore the importance of longitudinal assessment in order to identify the side effects of BMT regimens for children. Differences across the two cases highlight important research questions regarding variables associated with patients, disease, and treatment (e.g., age at the time of BMT, previous neurotoxic treatments, underlying disease) and emphasize the importance of controls in this line of research.

Bone Marrow Transplantation↗

Survivors of medulloblastoma: implications for program planning.

A growing literature documents the deleterious effects of radiation therapy in children treated for malignant brain tumors. However, the clinical relevance of previous research has been limited by reliance on global IQ and achievement test scores. The present study of a sample of long-term survivors of medulloblastoma examined their cognitive and socioemotional functioning in depth with standardized psychologic measures. Participants' levels of intellectual functioning ranged from moderately mentally retarded to low average, with marked scatter across individual skills. Thirty-nine percent of participants had formal learning disabilities, with achievement substantially below their learning potential. In terms of specific areas of deficit, almost one half the patients tested (47%) showed considerable impairment in perceptual-motor coordination, fine-motor dexterity, attention and concentration, sequencing, and memory, particularly visual memory. More than one half of the sample (54%) was also described as displaying severe impairment in terms of maladaptive behaviors. Results are discussed in terms of the implications for special education, everyday skills, and psychosocial program development.

Adolescent↗

Aspergillus and lung transplantation.

BACKGROUND: Aspergillus infection is a known complication of transplantation. METHODS: We describe our experience with 37 patients who received lung transplants over 2 years at Loyola University Medical Center. All patients who had evidence of aspergillus on culture of clinical specimens or had biopsies with hyphal forms consistent with aspergillus were categorized according to the clinical manifestations. Important risk factors were analyzed in comparison with other lung transplant recipients during the same period. RESULTS: The incidence of invasive aspergillosis was high (16%). No patient with disseminated disease survived. Locally invasive disease responded well to treatment with amphotericin B and itraconazole. CONCLUSIONS: Lung transplantation patients may have a higher incidence of aspergillosis as compared with other transplantation groups. Prophylactic measures need to be explored.

Adult↗