Helping street kids cope with AIDS.
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Biomedical subjects
Publications and source records attributed to M Margolis.
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The EA hy926 cell line is a continuous, clonable, human cell line that displays a number of features characteristic of vascular endothelial cells (Edgell et al., 1983). Here we report that when EA hy926 cells (EA cells) are plated on an extracellular matrix material [Matrigel], they undergo a process of morphological re-organization leading to the formation of a complex network of cord or tubelike structures. These events seem to resemble, in some respects, an in vitro process of angiogenesis. The morphological re-arrangement occurs within a 12-16 hr period and seems to require expression of new messenger RNA and protein, since it is completely blocked when actinomycin D or cycloheximide are present at the time the cells are plated on Matrigel. This is not due to overt toxicity of the drugs, since exposure of cells to actinomycin D at 2 hr or more after plating on Matrigel has little effect on the formation of the tubelike structures. The process of Matrigel-induced tube formation also apparently involves a G-protein mediated signal. Treatment of the EA cells with pertussis toxin completely blocks the process and causes the ADP-ribosylation of a 42 kD protein that is recognized by an antibody to Gi-alpha subunits. In contrast, concentrations of pertussis toxin sufficient to block tube formation have only modest effects on the adhesion or motility of EA cells on purified matrix components such as laminin or collagen IV. The process of Matrigel-induced tube formation also involves integrins since monoclonal antibodies to integrin alpha 6 or beta 1 subunits can completely block the process. The concentrations of anti-integrin antibodies needed to block tube formation are much lower than those required to block cell adhesion on purified matrix components and are sufficient to occupy less than 10% of the alpha 6 or beta 1 subunits available at the cell surface. These results suggest that integrins may be involved in this potential model of angiogenesis in processes beyond their usual role in cell adhesion. Based on these results, it seems likely that the EA hy 926 cell line will prove to be a useful model for in vitro study of angiogenic processes.
The nuclear DNA of human breast carcinoma cells was studied by image analysis using archival paraffin-blocked tissues from two groups of patients with breast cancers. One group had survived greater than 10 years (N = 20) and the other less than 3 years (N = 26) after the initial diagnosis. Cellular preparations were made from pepsin-digested deparaffinated sections. The nuclear DNA was stained with Feulgen stain and measured by a computerized image analysis system. The data show that in addition to nodal status the pattern of DNA histograms obtained from image analysis can provide powerful prognostic information in breast carcinoma. The prognostic value of DNA histogram patterns may be independent of nodal status.
The records of 20 patients with pathologically diagnosed mediastinal large-cell lymphoma with sclerosis, a recently documented but uncommon subtype of mediastinal non-Hodgkin's lymphoma, were retrospectively reviewed to determine the clinical and radiologic features of the condition at the time of presentation. The disease was staged according to the Ann Arbor classification: 15 patients presented in clinical stage I or II and 5 in clinical stage III or IV. The patients, 6 women and 14 men, ranged in age from 15 to 63 years (mean = 31 years). Chest pain (experienced by 10 patients), dyspnea (by 9) and cough (by 7) were the most common clinical features. Obstruction of the superior vena cava occurred in seven patients. The mediastinal masses were large (the mean diameter was 10.8 cm) and located anteriorly (prevascularly). They contained low-attenuation areas and were often associated with other sites of mediastinal adenopathy. The initial pathologic diagnosis was incorrect for eight patients (40%). Mediastinal large-cell lymphoma can be added to the differential diagnosis of a large anterior mediastinal mass with obstruction of the superior vena cava.
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A case of mother-adolescent son incest is reviewed. The son was treated in psychoanalytic psychotherapy for nine years and seen in a follow-up study five years later. The incest is understood as a compromise formation in which most aspects of the positive oedipus are repressed, while limited direct or defensively altered expression of oedipal and preoedipal impulses are allowed. Superego development is considered as being complete, although the superego is pathologically malformed and is responsible for the patient's pervasive feelings of guilt and his extensive need for punishment for his incestuous behavior. These findings contradict the views of those who understand mother-son incest as representing only direct expression of positive oedipal wishes made possible by a weak, deficient superego.