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Biomedical subjects

M Ireland

Publications and source records attributed to M Ireland.

At least 19 recordsLinked to original sources

Platyspondylic lethal osteochondrodysplasia: Shiraz type with radiological-pathological correlation.

We report two cases of a platyspondylic lethal osteochondrodysplasia in siblings. The condition affects predominantly the metaphyses of the axial skeleton associated with limb shortening and mild platyspondyly. The radiological and pathological features correlate very closely with Sedaghatian's lethal metaphyseal chondrodysplasia, which has previously been described only in Iranian Nationals. Both the radiological and pathological appearances will be described, together with a discussion of the differential diagnosis, the genetical implications and a review of literature.

Female

Functional characterization of insulin and IGF-I receptors in chicken lens epithelial and fiber cells.

Insulin and insulin-like growth factor I (IGF-I) play a role in lens cell growth and development. The binding of these hormones to their respective receptors with its concomitant signal transduction is an important step in these cellular processes. Hormone binding to adult chicken lens insulin and IGF-I receptors, partially purified from epithelial and fiber cells, was studied to examine this activity in lens. The associated stimulation of receptor-mediated tyrosine kinase by the hormones was also studied. At an insulin concentration of 0.02 nM, specific binding was similar for epithelial and fiber receptor preparations (Epi = 0.23 +/- 0.03 fmol, Fib = 0.19 +/- 0.02 fmol). Displacement studies revealed that there was also no difference between epithelial and fiber receptor preparations in the concentration of insulin necessary for half maximal displacement of specific [125I]-insulin binding (IC50: Epi = 0.32 nM +/- 0.07 nM, Fib = 0.31 nM +/- 0.05 nM). Comparison of IGF-I (0.02 nM) binding to receptor preparations from epithelial and fiber cells demonstrated that specific binding was similar in the two preparations (Epi = 0.50 +/- 0.05 fmol, Fib = 0.42 +/- 0.05 fmol). Also, there was no difference in the concentration of IGF-I necessary for half maximal displacement of specific [125I]-IGF-I binding (IC50 = Epi: 0.27 +/- 0.05 nM, Fib: 0.28 +/- 0.04 nM). The ability of IGF-I to displace bound [125I]-insulin was also examined. The IC50 for IGF-I binding to the insulin receptors isolated from epithelial and fiber cells was 37.4 +/- 2.4 nM, and 35.4 +/- 2.8 nM, respectively.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals

Variability in classification of consultations by content-based descriptors.

OBJECTIVE: To determine the reliability with which general practitioners use content-based descriptors of consultations. Our hypothesis was that there would be considerable variety in the opinion of general practitioners on the classification of consultations by descriptors. DESIGN: General practitioners in Newcastle, New South Wales, assessed videotaped consultations and the written consultation records by 12 general practitioners. SETTING: The medical faculty of the University of Newcastle and the general practitioners' own homes and offices. PARTICIPANTS: Twelve general practitioner participants were selected from consultation tapes recorded in 1983 by the Primary Care Research Group at the University of Newcastle. Thirty-nine observer general practitioners were randomly selected from a list of general practitioners practising in the Newcastle area maintained by the Hunter Postgraduate Medical Institute. Those whose videotapes had been selected were excluded. RESULTS: There were high levels of variation between assessments made from the original records and from viewing the tapes. Doctors varied greatly in their use of the descriptors. This variation included estimation of the duration of consultations and of the individual components of the consultation (history, physical examination, problems dealt with). No systematic relationships were found between any characteristics of the doctors and their ratings of consultations. CONCLUSIONS: There is potential for enormous variation in the use of content-based descriptors currently available in Australia. Observer general practitioners tended to underestimate the content of the consultations and overestimate the duration. It would be inappropriate to use the general practitioner patient record for audit of the content or difficulty of a consultation.

Adult

A family of lens fiber cell specific proteins.

A family of related polypeptides of molecular weights 97 kd, 93 kd, 64 kd, 62 kd, 51 kd and 49 kd is unique to chick lens fiber cells, and is not found in the epithelial cells. Cross-reacting proteins were also detected in bovine and human lenses. This family of membrane-associated proteins is cytoskeletal in nature and localized to the beaded-chain filaments.

Animals

Comparison of pulsed Doppler and thermodilution methods for measuring cardiac output in critically ill patients.

We obtained 145 consecutive cardiac output measurements in 38 critically ill patients, using the invasive thermodilution and the noninvasive pulsed Doppler methods. The mean thermodilution cardiac output (TDCO) was 5.7 +/- 1.87 L/min and the mean pulsed Doppler cardiac output (PDCO) was 5.16 +/- 1.66 L/min. The mean difference between the two measurements was 0.51 L/min with an SD greater than 1.6 L/min, reflecting the scattering of results. The overall correlation coefficient was .58. The intercepts were large and the regression equation some way from the line of equal values (TDCO = 2.28 + 0.66 PDCO). When the results were analyzed according to diagnosis or by group experience, there were some differences in the bias of the estimate; however, the SD of the difference between methods was greater than one liter/min in all groups. Thus, the pulsed Doppler method failed to estimate accurately TDCO in critically ill patients.

Cardiac Output

A cytoskeletal protein unique to lens fiber cell differentiation.

A chick lens urea-soluble polypeptide of estimated mol. wt. 49 000 daltons is unique to fiber cell differentiation and is a component of the beaded-chain filaments of the chick cytoskeleton. Antigenically related proteins are also present in the human and bovine lens. There is no similarity between this protein and actin as determined by immunological analysis and two-dimensional gel electrophoresis.

Animals

Evidence for a calcium activated protease specific for lens intermediate filaments.

The calcium mediated loss of intermediate filament protein from lens cytoskeletal preparations was examined by soft laser scanning densitometry of polyacrylamide gels. The time course of proteolysis by the lens Ca++ activated proteinase and inhibition by EGTA or PMSF and leupeptin were also determined. Proteolytic breakdown products were identified on electroblots with specific antiserum to vimentin.

Animals

Phosphorylation of chick lens proteins.

Phosphorylated proteins of the chick lens were identified following incubation of lenses in a medium containing 32P and subsequent analysis by gel electrophoresis. The acidic variant of the vimentin and both subunits of fodrin were phosphorylated, as were the 95 Kd and 49 Kd proteins associated with the beaded-chain filaments. Neither crystallins nor the main intrinsic membrane proteins were phosphorylated. Several low molecular weight phosphoproteins of the epithelial cell were not present in the fiber cells.

Actins

Lens actin: purification and localization.

Actin was purified from the chick lens using DEAE-52 column chromatography followed by hydroxylapatite chromatography. The antibody produced against the purified actin cross-reacted specifically with lens actin from other species in addition to smooth and skeletal muscle actin and labelled the stress bundles of cultured fibroblasts. Actin was localized, using immunological methods, primarily to the plasma membrane of the epithelial and fiber cells of the chick and human lens. Actin filaments were also identified by HMM S-1 labeling in bovine cortical fiber cells. Using this procedure, the actin filaments were found throughout the fiber cell but were mainly concentrated near the plasma membrane and in cell processes. They formed a population distinct from the beaded filaments. The initial DEAE-52 column chromatography was also useful in the initial purification of lens fiber cell intermediate filament protein and two species of beta-crystallins.

Actins

Calmodulin binds to chick lens gap junction protein in a calcium-independent manner.

A biochemically active conjugate of calmodulin and tetramethylrhodamine isothiocyanate (CaM-RITC) was synthesized. When incubated with sections of chick lens, this conjugate bound to the surface membranes of lens fiber cells in the presence of absence of calcium. Incubation of lens sections with antibodies to gap junction protein of lens completely blocked the binding of the conjugate to cell membranes, whereas serum from nonimmunized animals or antibodies to others lens proteins reduced the binding only slightly. By means of a gel overlay procedure, 125I-labeled calmodulin was found to bind to the gap junction protein of lens, also in a calcium-independent manner. These results support the concept that calmodulin may interact with and regulate gap junctions in living cells.

Animals