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Biomedical subjects

M D Gordon

Publications and source records attributed to M D Gordon.

At least 19 recordsLinked to original sources

Dynamic movements of organelles containing Niemann-Pick C1 protein: NPC1 involvement in late endocytic events.

People homozygous for mutations in the Niemann-Pick type C1 (NPC1) gene have physiological defects, including excess accumulation of intracellular cholesterol and other lipids, that lead to drastic neural and liver degeneration. The NPC1 multipass transmembrane protein is resident in late endosomes and lysosomes, but its functions are unknown. We find that organelles containing functional NPC1-fluorescent protein fusions undergo dramatic movements, some in association with extending strands of endoplasmic reticulum. In NPC1 mutant cells the NPC1-bearing organelles that normally move at high speed between perinuclear regions and the periphery of the cell are largely absent. Pulse-chase experiments with dialkylindocarbocyanine low-density lipoprotein showed that NPC1 organelles function late in the endocytic pathway; NPC1 protein may aid the partitioning of endocytic and lysosomal compartments. The close connection between NPC1 and the drug U18666A, which causes NPC1-like organelle defects, was established by rescuing drug-treated cells with overproduced NPC1. U18666A inhibits outward movements of NPC1 organelles, trapping membranes and cholesterol in perinuclear organelles similar to those in NPC1 mutant cells, even when cells are grown in lipoprotein-depleted serum. We conclude that NPC1 protein promotes the creation and/or movement of particular late endosomes, which rapidly transport materials to and from the cell periphery.

Androstenes↗

Genetic analysis of vein function in the Drosophila embryonic nervous system.

The Drosophila epidermal growth factor receptor (EGFR) may be activated by two ligands expressed in the embryonic nervous system, Spitz and Vein. Previous studies have established Spitz as an essential activator of EGFR signaling in nervous system development. Here, we report the pattern of expression of vein mRNA in the nervous system and characterize the contribution of vein to cell lineage and axonogenesis. The number of midline glia (MG) precursors is reduced in vein mutants before the onset of embryonic apoptosis. In contrast to spitz, mis-expression of vein does not suppress apoptosis in the MG. These data indicate that early midline EGFR signaling, requiring vein and spitz, establishes MG precursor number, whereas later EGFR signals, requiring spitz, suppress apoptosis in the MG. vein mutants show early irregularities during axon tract establishment, which resolve later to variable defasciculation and thinner intersegmental axon tracts. vein and spitz phenotypes act additively in the regulation of MG cell number, but show synergism in a midline neuronal cell number phenotype and in axon tract architecture. vein appears to act downstream of spitz to briefly amplify local EGFR activation.

Animals↗

Intraosseous malignant peripheral nerve sheath tumor in a patient with neurofibromatosis.

Malignant peripheral nerve sheath tumors (MPNSTs) are uncommon sarcomas that almost always arise in soft tissue. They can develop in pre-existing neurofibromas or schwannomas, de novo from peripheral nerves, or following radiation therapy. Primary intraosseous MPNST is rare and has been reported most frequently in the mandible. Of the reported cases involving the long bones, none has been associated with neurofibromatosis type 1 (NF-1). We report a case of MPNST arising in the femur in a patient with NF-1.

Adult↗

New polyazaporphine chemistry for the origin of life.

Molecular orbital spectral predictions suggest that 2,5,7,10,12,15,17,20-octaaza-21H, 23H-porphine has a visible spectral range closely matching that of chlorophyll-a. Since the octaazaporphine is, in its core, a simple derivative of an (HCN)12 oligomer, this fact, together with its spectral properties, would suggest that it occupies a high rank as a primordial porphinic solar energy transducer for photochemistry essential to life's formation. The demonstration that the mass 324 hexahydrooctaazaporphine is formed in protic media by the cyclotetramerization of imidazol-4-aminohydroxonium ion or the derived nitrenium ion, and that a mass 318 species consonant with that of the Huckel aromatic octaazaporphine is observed in the course of these studies, strongly supports the proposed octaazaporphine synthesis in a prebiotic hydrocyanic acid milieu.

Chlorophyll↗

CD99, keratin, and vimentin staining of sex cord-stromal tumors, normal ovary, and testis.

CD99, a marker for MIC-2, reacts with normal Sertoli cells and granulosa cells. We investigated CD99 expression in the development of normal ovary and testis as well as in 25 sex cord-stromal tumors (SCSTs), 7 epithelial neoplasms, and 6 germ cell tumors. Normal Sertoli cells and mature granulosa cells showed 3+ staining with CD99. Pregranulosa cells of primordial follicles were negative. All of the eight Sertoli-Leydig cell tumors were positive with antibody to CD99, with the well-differentiated tumors showing the greatest degree of staining intensity. Reactivity of 2+ to 3+ with CD99 was observed in all of the 11 granulosa cell tumors and in yolk sac components of the germ cell tumors investigated. All of the poorly differentiated carcinomas were negative with CD99. We concluded that CD99 might be a useful marker for SCSTs and that its degree of reactivity correlates with the degree of differentiation in Sertoli-Leydig cell tumors. Additionally, CD99 might aid in distinguishing granulosa cell tumors of the ovary from poorly differentiated carcinomas.

12E7 Antigen↗

Plexiform neurofibromatosis involving the uterine cervix, endometrium, myometrium, and ovary.

BACKGROUND: Neurofibromatosis involving the female genital tract is unusual. The vulva appears to be most frequently affected, with only rare reports of vaginal, cervical, and ovarian involvement in patients with known von Recklinghausen's disease. CASE: We present a case of diffuse neurofibromatosis involving the cervix, endometrium, myometrium, ovarian cortex, and serosa in a patient with uncontrollable pelvic pain, diagnosed initially as endometriosis. No gross pathology was appreciated, and the histologic features of the small lesions were consistent with plexiform neurofibromas. CONCLUSION: The case presented is an example of diffuse involvement of the female genital tract by neurofibromatosis in a patient without a family history of von Recklinghausen's disease and without other clinical manifestations of the disease.

Adult↗

Epithelial neoplasms of the ovary. An update on current concepts.

New concepts concerning the histologic features of peritoneal implants in serous tumors of low malignant potential and their proposed impact on prognosis are discussed. Endometrioid tumors of low malignant potential, transitional cell carcinoma, and psammocarcinoma are also reviewed.

Adenofibroma↗

New developments in sex cord-stromal and germ cell tumors of the ovary.

This article examines unusual and recently described neoplasms such as variants of Sertoli-Leydig cell tumors, monodermal teratomas, and small cell carcinoma, both the hypercalcemic and pulmonic types. Additionally, clues to assist in differentiating metastatic from primary tumors of the ovary are discussed.

Carcinoid Tumor↗

Subtle clues to the diagnosis of the herpesvirus by light microscopy. Herpetic syringitis.

Among the numerous infections to which AIDS patients are susceptible, those caused by herpesvirus (simplex and varicella/zoster) are among the most common. Because herpetic infections may be the first manifestations of AIDS and often are associated with poor prognosis, rapid and accurate diagnosis of them is imperative. Herpesvirus infection may be diagnosed histopathologically by the presence of ballooned, acantholytic, and multinucleated keratinocytes; intranuclear eosinophilic viral inclusions; steel gray color of affected keratinocytic cytoplasm and nuclei, chromatin margination, and necrotic acantholytic keratinocytes in older lesions. These changes are often limited to the epidermis, but there may frequently be involvement of epithelia of follicles (herpetic folliculitis) and sebaceous glands as well. Similar changes, although seldom noted, may be present in eccrine ducts and glands (herpetic syringitis). Recognition of subtle histologic clues concerning the secretory and ductal components of sweat glands in an unusual case of herpes infection facilitated rapid diagnosis in an AIDS patient, allowing appropriate treatment.

AIDS-Related Opportunistic Infections↗

FNA of extraskeletal myxoid chondrosarcoma: cytomorphologic, EM, and X-ray microanalysis features.

Extraskeletal myxoid chondrosarcoma, an unusual soft tissue lesion which preferentially affects the extremities, is a prime candidate for "pathologist performed" fine-needle aspirates (FNA) because it preferentially affects the extremities [Enzinger and Shiraki, Hum Pathol 1972;3:421-435] and is usually an accessible lesion. Cytomorphologically, the neoplasm consists of clusters of fairly uniform cells, lacking cartilaginous differentiation, with a metachromatic matrix when stained with Diff-Quik (DQ). While subtle, this neoplasm has distinct features and must be distinguished for other neoplasms in the differential diagnosis because patient evaluation, prognosis, and therapy will vary greatly. We present a case characteristic of this tumor in which FNA derived material was subjected to light microscopy, X-ray microanalysis, and immunohistochemical studies; each modality provided data essential to the correct diagnosis.

Aged↗

A detailed study of radiation dose and radiographic technique during chest radiography.

The radiation dose to a series of patients referred for chest radiography has been monitored using thermoluminescent dosimetry. The postero-anterior projection was employed throughout the study. Measurements were made in two rooms of the same general hospital. Each room was equipped with automatic exposure control of the air ionisation chamber type. The effect of this equipment on patient exposure was investigated and compared with manual exposure control. In all cases the tube potential (kVp) was selected by the radiographer but tube current (mA) was determined by the generator. Anterior and posterior radiation doses were measured using sachets of lithium fluoride. For each group of patients the anterior exit dose, and therefore all of the radiation dose, was lower when automatic control was used. The standard deviation on the anterior patient dose was lower under automatic control, which resulted in fewer films needing to be repeated due to incorrect film density. Film densities were also investigated using a densitometer, to provide a further comparison between the two types of exposure control.

Adult↗

Helping general practitioners to keep up with the literature: evaluation of an RCGP initiative.

The recent Report of The Medical Information Review Panel suggested that locally-produced abstracting bulletins are likely to be of great value in promoting continuing education; most notably by helping GPs to 'keep up with the literature'. The Report identified Current Medical Abstracts for Practitioners ( CMAP ), a publication produced by the S.E. Scotland Faculty of the Royal College of General Practitioners ( RCGP ), as an example of the kind of bulletin it had in mind. It further suggested that the role and effectiveness of this publication should be investigated. A survey of the readership of CMAP was therefore carried out. It was found that CMAP is regularly read by only 28% of those to whom it is sent (free of charge). More particularly, CMAP is read predominantly by those GPs who are already conscientious users of medical literature: they use the bulletin as a complement and supplement to their other professional reading. Those GPs who devote little time to journal reading, in general, tend to ignore CMAP . They do not seek to use it as a substitute for more extensive reading of medical journals. It therefore appears that CMAP does little to overcome the problem of GPs who do not keep up with the literature, and it is unlikely that similar publications will be initiated in other areas. Indeed, publication of CMAP may be ceased, at least in its present form.

Abstracting and Indexing↗

Sturge-Weber syndrome.

Encephalotrigeminal angiomatosis (Sturge-Weber syndrome) is described with a typical case history.

Angiomatosis↗

Esophageal intramural pseudodiverticulosis.

A 66-year-old man presented with severe chronic dysphagia and weight loss. A barium esophagogram revealed a proximal esophageal stricture and multiple pseudodiverticula. After death from aspiration pneumonia, a postmortem examination revealed extensive esophageal pseudodiverticulosis. Clinical presentation, pathogenesis, diagnosis, and management of this unusual disorder are reviewed.

Aged↗