Tissue plasminogen activator for treatment of fibrin in endophthalmitis.
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Biomedical subjects
Publications and source records attributed to M D O'Connor.
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Many patients believe that the education they receive about their health and their illnesses is inadequate or lacking. Nurse executives are in a key position to influence their patients' abilities to become more informed and to take greater responsibility for their healthcare decisions. In the article, the authors discuss Massachusetts General Hospital's state-of-the-art consumer health information library, including how the project was planned, organized, and implemented.
We investigated the respiratory and metabolic effects of decreased osmolality, and the potential roles of angiotensin II (ANG II) and the subfornical organ (SFO) in mediating these effects, in conscious Sprague-Dawley (SD) rats. Gastric water loading was induced either by oral gavage or an externalized indwelling stomach tube (20 mL x kg(-1) distilled water at body temperature). Repeated measurements after oral gavage were obtained with and without water loading and with and without ANG II receptor block (saralasin, 1.3 microg x kg(-1) x min(-1) iv). At 15 min after water loading by oral gavage, ventilation (V, 1.14+/-0.08 L x kg(-1) x min(-1)) and tidal volume (10.7+/-0.6 mL x kg(-1)) were transiently higher (P < 0.05), at a time when plasma osmolality was decreased (-8+/-1 mOsm), compared with gavage tube alone (0.95+/-0.08 L x kg(-1) min(-1) and 9.1+/-0.7 mL x kg(-1), respectively). However, water loading via stomach tube did not stimulate V; only during the 60-s period of water infusion did V increase briefly, but this was due to increased respiratory frequency. Dye indicators demonstrated that oral gavage exposes upper airway and esophageal afferents to water, presumably accounting for respiratory stimulation. Lesions of the SFO did not affect respiration or metabolism. A decrease in osmolality, associated with both water loading techniques, caused a sustained increase in oxygen consumption (Vo2 ) and a decrease in the V/Vo2 ratio. ANG II receptor block reduced the Vo2 response and prevented the decrease in V/Vo2 following water loading by oral gavage, but did not affect the transient stimulation of V. Unlike larger mammals, decreased osmolality does not stimulate respiration in the SD rat.
Human Met-ase-1 is a NK cell-specific member of a family of serine proteases (granzymes) that participate in target cell death inflicted by cytotoxic lymphocytes. This granzyme is predicted to cleave to the carboxyl side of long narrow hydrophobic amino acids (such as methionine), but not large, bulky hydrophobic amino acids (such as phenylalanine). To study the key structural features that confer this unusual serine protease specificity, active recombinant human Met-ase-1 was expressed in COS-7 cells. Protease assays of transfected COS-7 cell lysates provided evidence that an activation prohexapeptide normally regulates processing of this granzyme in NK cells. Recombinant human Met-ase-1 cleaved thiobenzylester substrates specifically after methionine, norleucine, or leucine residues in the primary substrate site (P1). Two key residues of human Met-ase-1, Lys179 Met (approximately chymotrypsin CHA192) and Ser201Gly (approximately CHA216), were mutated based upon a model structure derived from the crystal structure of chymotrypsin A. These mutants had reduced activity for substrate containing methionine at P1, but acquired chymase activity for phenylalanine at P1. Lys179 Met and Ser201Gly in the substrate-binding pocket of human Met-ase-1 restrict the preference of this granzyme for long narrow hydrophobic amino acids in the P1. A potential hydrogen-bonding interaction between these two residues on opposing sides of the substrate-binding pocket represents a novel molecular mechanism by which lymphocyte serine proteases might provide greater substrate specificity.
Cytotoxic lymphocytes possess a number of serine proteases (granzymes) usually localized in cytoplasmic granules. To date, the DNA sequences of four human granzymes have been reported. A fifth human granzyme (granzyme 3) has been biochemically purified and its N-terminal amino acid sequence has been reported. This enzyme was described as possessing tryptase activity, cleaving synthetic substrates after arginine or lysine. We recently cloned a rat granzyme tryptase (RNK-Tryp-2), and used this cDNA to screen human cDNA libraries. Isolation of cDNA fragments of a human gene could be overlapped to provide a complete cDNA sequence, which we designated HNK-Tryp-2. The N-terminal amino acid sequence deduced from HNK-Tryp-2 was identical to that reported for granzyme 3. This gene appears to be a single copy gene that is expressed in isolated natural killer cells and T cells as well as in tissues containing these cells.
Granzymes are a family of granule serine proteases found specifically in the cytotoxic granules of cytotoxic T lymphocytes and natural killer cells. Granzymes have features that are strongly conserved including: consensus sequences at their N-termini and around the three catalytic residues, activation from zymogenic forms, and conserved disulphide bridges. However, there is good genetic evidence to suggest that three distinct subfamilies of granzymes have coevolved. These subfamilies are most strikingly depicted by their distinct chromosomal loci and gene organization, dividing the granzyme family into subfamilies of the following: tryptases (human chromosome 5); chymotrypsin-like proteases (human chromosome 14); and a Metase amongst a cluster of elastase-like proteases (human chromosome 19). Modeling and mutational analysis has revealed that each subfamily of granzymes displays special sequence and structural features and a proteolytic specificity determined by subtle modifications to substrate binding pocket residues. It now remains of great interest to determine whether these subfamilies also possess distinct biological functions. Granzyme B has been shown to play an important role in lymphocyte-mediated target cell apoptosis and the tryptase, granzyme A, has been demonstrated to regulate the clearance of some pox virus infections. The future creation of other granzyme gene knockout mice should elucidate whether other chymotrypsin-like granzymes (C-H) also contribute to target cell apoptosis and whether the third subfamily member, natural killer cell-specific Metase, has a distinct biological function.
Met-ase-1 is a 30 000 Mr serine protease (granzyme) that was first isolated in the cytolytic granules of rat CD3(-) large granular lymphocytes. We screened a mouse genomic library with rat Met-ase-1 cDNA, and obtained bacteriophage clones that contained the mouse Met-ase-1 gene. The mouse Met-ase-1 gene comprises five exons spanning approximately 5.2 kilobases (kb) and exhibits a similar structural organization to its rat homologue and a family of neutrophil elastase-like serine proteases. Mouse Met-ase-1 mRNA was only detected in total cellular and poly A mRNA of mouse CD3(-) GM1(+) large granular lymphocytes derived from splenocytes stimulated with IL-2 and the mouse NK1.1(+) cell line 4 - 16. Spleen T-cell populations generated by Concanavalin A stimulation and a number of mouse pre-NK and T cell lines did not express mouse Met-ase-1 mRNA. The 5' flanking region of the mouse Met-ase-1 gene also shares considerable regions of identity with the 5' flanking region of the rat Met-ase-1 gene. A 3.3 kb segment of 5' sequence flanking the mouse Met-ase-1 gene was inserted upstream of the chloramphenicol acetyltransferase reporter gene and this construct transiently transfected into a variety of mouse and rat large granular lymphocyte leukemia and T-cell lines. The transcriptional activity of the mouse Met-ase-1 5' flanking region was significant in the RNK-16 large granular lymphocyte leukemia, strongest in the 4 - 16 mouse NK1.1(+) cell line, and weak in several mouse pre-NK cell lines. Reverse transcriptase polymerase chain reaction of mouse large granular lymphocyte mRNA was used to derive the full-length coding sequence for mouse Met-ase-1. The predicted hexapropeptide of mouse Met-ase-1 (Asn-6 to Gln-1), was deleted by polymerase chain reaction mutagenesis to enable expression of active mouse Met-ase-1 in mammalian COS-7 cells. Northern blot analysis and protease assays of transfected COS cell lysates against a panel of thiobenzyl ester substrates formally demonstrated that the mouse Met-ase-1 gene encodes a serine proteinase that hydrolyzes substrates containing a long narrow hydrophobic amino acids like methionine, norleucine, and leucine in the P1.
Human Met-ase-1 is a member of a family of cytotoxic lymphocyte serine proteases (granzymes), but is expressed specifically in CD3- large granular lymphocytes with natural killer cell activity. We have devised a polymerase chain reaction strategy to delete the predicted hexapropeptide of human Met-ase-1 (Ser-6 to Gln-1), to enable its expression and activation in mammalian COS cells. In addition, using peptide immunization we have derived a unique and specific monoclonal antibody detecting human Met-ase-1. Western blot analysis and protease assays of transfected COS cell lysates against a panel of thiobenzyl ester substrates formally demonstrated that the human Met-ase-1 gene encodes a serine proteinase that specifically hydrolyzes substrates containing a methionine (Met-) side chain at P1. The expression of active human Met-ase-1 and the generation of a specific anti-human Met-ase-1 monoclonal antibody will now enable a detailed structure/function analysis of key amino acids that confer this unusual serine protease specificity.
Succinyl-CoA synthetase has an (alpha beta)2 subunit structure and shows half-of-the-sites reactivity with respect to the formation of the phosphohistidyl residues that acts as a catalytic intermediate. Adenosine 5'-O-(3-thio)triphosphate has been found to be a substrate, but the overall maximum velocity is 3 orders of magnitude lower than that seen with ATP. Moreover, steps of the reaction involving thiophosphoryl transfer are much slower than the corresponding phosphoryl transfers. These properties of adenosine 5'-O-(3-thio)triphosphate as a substrate have been exploited to test the concept of alternating sites catalytic cooperativity proposed earlier as a rationale for the subunit structure of succinyl-CoA synthetase. As predicted by this model for catalysis, the rate of discharge of thiophosphate from the enzyme in the presence of succinate and CoA is stimulated by ATP. Neither of two nonhydrolyzable analogs of ATP has an equivalent effect. The results indicate that the transfer of the thiophosphoryl group from the enzyme to succinate at one active site is not favored until the neighboring active site is phosphorylated by ATP, with accompanying reciprocal changes in the conformations of the two halves of the enzyme molecule.
The size and polydispersity of insulin granules isolated from rat pancreatic islets by centrifugation on a linear iso-osmotic gradient (300 mosM) have been characterized by quasi-elastic light scattering and photon correlation spectroscopy. The separation of granules by the linear gradient technique was compared directly to isolation on discontinuous gradients of hypertonic sucrose (300-1950 mosM) and the greater efficiency of separation assessed by parallel measurements of protein, insulin, cytochrome oxidase and beta-glucuronidase. Granules isolated from pancreatic beta-cells had a mean particle diameter of 342 nm, buoyant density of 1.104, hydrated mass of 23 femtograms and maximal insulin content of 8-9.6 . 10(5) molecules per granule.
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Succinyl-coenzyme A synthetase [succinate:CoA ligase (ADP-forming), EC 6.2.1.5] of Escherichia coli in an alpha 2 beta 2 tetramer. A histidyl residue in the alpha subunit is phosphorylated as a catalytic intermediate. It has been suggested [Bild, G. S., Janson, C. & Boyer, P. D. (1980) J. Biol. Chem. 255, 8109--8115] that the mechanism of action of this enzyme involves intersubunit cooperativity in which attachment of substrates at one of the two active sites promotes catalytic events at the other. This scheme would require that the two active sites, although otherwise equivalent, should act alternately. We have prepared a hybrid enzyme species that contains one 35S-labeled alpha subunit (dephosphorylated), one nonradioactive alpha subunit (phosphorylated), and two beta subunits per tetrameric molecule. With the aid of a selective chromatographic procedure for the isolation of peptides that contain phosphohistidyl residues, we have shown that each of the alpha subunits undergoes phosphorylation when the hybrid enzyme is exposed briefly to substrates. This result demonstrates that the two active sites are capable of alternate activity and lends support to the concept of alternating sites cooperativity. The half-of-the-sites phosphorylation that occurs with this enzyme is not a consequence of permanent asymmetry or other lack of equivalence of the two alpha subunits.
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Kinetic patterns of glucose-stimulated insulin secretion from the in vitro perfused pancreas were used to test different types of secretion models of similar complexity. A storage-limited, two-compartment model, modified slightly from that previously, was compared with signal-limited models incorporating delta or feedback characteristics. Mathematical relationships for all models were fixed by single-step, dose-response experiments and models were compared in a series of glucose test patterns including steps, step restimulations, staircases, pulses, ramps, and ramp restimulations. The work quantifies previously unreported characteristics of hypersensitivity and low-glucose rest/restimulation behavior in the pancreas. All models simulated staircase and ramp experiments. The two-compartment model contains an inherent hypersensitivity factor required for repeated pulse-type experiments. However, the kinetics of hypersensitivity were too rapid to be simulated in all types of pulse and ramp/pulse experiments by the restricted refilling characteristics as written into this model. The signal-limited, delta-feedback model did not inherently produce potentiation, but required add-on modification that then more closely simulated some pulse and ramp/pulse experiments. This model simulated experimental negative spikes, whereas the storage-limited model would require additional complexity to do so. These and other results suggest that both storage- and signal-limited models, although currently insufficient, could be elaborated to simulate available data. Therefore, a choice between the two to describe the underlying physiological mechanism of multiphasic insulin secretion is premature. The alternate possibility that the secretion mechanism may be reflected by a combination of the two models is presented.
Laser light-scattering techniques have been used to study the effects of polyanions on the time-dependent interaction of (i) polystyrene particles and (ii) insulin-containing granules isolated from pancreatic islets. New evidence of a major effect of polyanions on secretory granule aggregation is presented. The possible importance of intracellular polyanions in restricting the aggregation and hence fusion of secretory granules, especially in the presence of Ca2+, is discussed.
Glucose and other metabolizable sugars which elicit insulin release from the beta-cell of the pancreatic islet induce repetitive oscillations in the beta-cell transmembrane potential. Upon each phasic depolarization are superimposed rapid fluctuations in potentials, i.e. 'action potentials' or 'spikes' which occur as bursts of electrical activity; the duration and frequency of each burst is a function of glucose concentration. These established electrophysiological features of glucose-islet cell interaction are described in detail together with a consideration of their possible molecular and ionic basis. Based on these observations, a dynamic mathematical computer model of the beta-cell membrane electrical behaviour is presented which utilizes the Goldman equation extended to include divalent ions. The model illustrates how the ionic mechanisms deduced from experimental observations can account for the electrical patterns produced by the beta-cells in the presence of D-glucose; it also allows systematic changes to be made in a number of state variables in order to assess their relative importance and possible contribution to the integrated processes actually observed. Finally, distinction is made between aspects of the model which are well supported by experimental results and those areas which require further analysis.
Kinetics of (45)Ca efflux and insulin release were studied in collagenase-isolated rat islets during 2-h perifusions with calcium-depleted (0.05 mM) bicarbonate-phosphate buffer containing 2.2 mM glucose. Addition of glucose (16.7 mM) suppressed (45)Ca efflux by 30%. Removal of glucose caused an "off response" of insulin release. The perifusion of a normal concentration of Ca (2.3 mM) greatly stimulated (45)Ca efflux, indicating Ca <--> (45)Ca exchange. When Ca and glucose were superimposed, the effects on (45)Ca efflux and insulin release depended upon the order of presentation of the stimuli: when Ca was added to an ongoing 16.7-mM glucose perifusion, biphasic patterns of (45)Ca and insulin release were seen; when glucose was superimposed on a Ca perifusion, an inhibition of the Ca-stimulated (45)Ca efflux occurred, and a reduced but clearly biphasic insulin response was seen. The subsequent insulin off response after with-drawal of the glucose was also reduced. Mathematical "peeling" of (45)Ca efflux curves from unstimulated islets suggests that there are at least two, and probably three, different intracellular Ca compartments (not including the extracellular sucrose space). At the beginning of perifusion, these three compartments (I, II, III) contain 25, 56, and 19% of the intracellular (45)Ca, and their rates of efflux are 6.7, 1.2, and 0.1%/min, respectively. Glucose appears to suppress efflux from the largest compartment (II); Ca appears to exchange with (45)Ca from a more inert compartment (III). The relationship between insulin and (45)Ca release is not stoichiometric.
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