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M S Wilder

Publications and source records attributed to M S Wilder.

18 recordsLinked to original sources

Reevaluation of the impact of a stringent low-iodine diet on ablation rates in radioiodine treatment of thyroid carcinoma.

Prior analyses of the impact of stringent, preablative low-iodine diets (LIDs) on ablation in patients with differentiated thyroid cancer postthyroidectomy are dated. We retrospectively reviewed first-time, short-term ablation rates for 44 LID patients and 50 patients following a regular diet (RD) who were verbally instructed to avoid salt, seafood, and multivitamins containing iodine. Patients who had undergone ablation were given between 100 and 200 mCi of 131I, depending on the presence of metastases. We found a 68.2% ablation rate for LID patients, compared to a 62.0% rate for RD patients, a nonsignificant difference (p = 0.53). We observed a dose-response relationship for both patient groups, with higher ablation rates corresponding to higher doses of radioiodine administered. We also measured iodine levels in spot urine samples from 7 matched LID patients and 7 matched RD adherents (healthy volunteers) prediet and postdiet as well as 39 healthy volunteers. LID patients had a lower mean urinary iodine level postdiet (173.9 microg/L; range, 45-1,217 microg/L; standard deviation [SD] = 127.7) than the RD patients (mean, 381.4 microg/L; range, 140-630 microg/L; SD = 196.3) or the 39 normal controls (444.0 microg/L; range, 50-1,690 microg/L; SD = 413.4). Whereas the LID lowered urinary iodine levels by 69.4% from prediet values, the RD reduced urinary iodine by 23.6%. Although differences in the reduction of urinary iodine levels between the LID and the RD were substantial, both groups experienced equivalent outcomes. The level of iodine in the American diet has progressively decreased, and may be much lower now than when prior LID studies were conducted. We suggest that prescribing a refined, less stringent diet that avoids high-iodine-containing foods would offer equivalent outcomes with increased patient convenience.

Carcinoma↗

Susceptibility of HRS/J mice to listeriosis: dynamics of infection.

Congenitally hairless HRS/J homozygous (hr/hr) mice as well as phenotypically normal littermates (hr/+) were found to exhibit unusual susceptibility to infection with Listeria monocytogenes with 50% of the animals dying within a 10-day period (LD50) at an infecting inoculum approaching 200 microorganisms. In marked contrast to the outbred CD-1 strain as well as other Listeria-susceptible mice, HRS/J hosts are virtually incapable of limiting infection with virulent Listeria. The dynamics of infection reveal early uncontrolled bacterial growth within the peritoneal cavity, followed by a sharp increase of bacterial load in the spleen of both HRS/J homozygotes and heterozygous littermates. Spleen indices obtained for mutant mice indicate substantial splenomegaly which parallels the onset of infection in that organ. Assessment of the exudate population within the peritoneal cavity during infection indicates that HRS/J mice produce an early sustained influx of polymorphonuclear leukocytes while exhibiting a diminished macrophage inflammatory response. Additionally, it was shown that the mutant strain expresses significant increases in the total number of recoverable peritoneal leukocytes in response to other phlogistic stimuli.

Animals↗

Susceptibility of HRS/J mice to listeriosis: macrophage activity.

Macrophage functions, including phagocytosis and bactericidal and oxidative activities, were measured in highly susceptible Listeria monocytogenes-sensitive HRS/J homozygous and heterozygous mice. Phagocytic studies with both caseinate-elicited and L. monocytogenes-immune macrophages revealed comparable engulfment of latex particles, zymosan, and bacteria by mononuclear phagocytes obtained from all experimental mouse strains. Elicited macrophages cultivated from mutant hairless and heterozygous littermates exhibited a reduced capacity to control Listeria infection compared with cells derived from CD-1 mice. However, intracellular killing of the microorganisms by immune macrophages was comparable to that observed with the outbred controls. Studies on oxidative metabolic activities associated with the respiratory burst indicate that while intracellular nitroblue tetrazolium reduction was comparable for macrophages cultivated from all mouse strains, the liberation of superoxide anion and chemiluminescence responses were significantly diminished in caseinate-elicited HRS/J cells. Moreover, immune elicited hr/hr and hr/+ macrophages generated oxidative species at levels comparable to that observed with cells derived from resistant animals. Thus, immunologically elicited HRS/J mice are capable of responding to sublethal Listeria infection with heightened antibacterial and oxidative activities.

Animals↗

Generation of oxygen species and virulence of Listeria monocytogenes.

Listeria monocytogenes strains differing in virulence were examined for production of oxygen species. Virulent strains A4413 and JH-H exhibited maximal generation of hydrogen peroxide and superoxide, whereas the avirulent strain 9037-7R was least active. The virulence was confirmed by the in vitro assessment of the intracellular fate of the microorganisms in resident macrophages.

Hydrogen Peroxide↗

Relationships between oxidative metabolism, macrophage activation, and antilisterial activity.

Previous reports from this laboratory have revealed that macrophages obtained from 7-day Listeria-immune mice elicited 15 h before harvest with heat-killed homologous microorganisms were able to kill Listeria monocytogenes while resident or elicited cells were not [14, 16]. In the present study, experiments were conducted to determine if phagocytosis-associated oxidative metabolic activity participates in the enhanced destruction of Listeria by activated macrophages. Investigations into production of oxygen radicals by zymosan-stimulated macrophages revealed that Listeria-immune antigen-elicited (LIAE) cells produced significantly more superoxide and hydrogen peroxide than did resident, thioglycolate, or Listeria antigen-elicited macrophages. Additionally, the percentage of nitroblue tetrazolium (NBT) dye positive cells following exposure to zymosan was maximal in the immune-elicited population. Utilizing a luminol-dependent assay, a short-term chemiluminescent (CL) burst was noted in phagocytizing macrophages. This response was greatest in the LIAE population that exhibited a tenfold increase in peak chemiluminescence over other cell types. Prolonged in vitro culture of these cells diminishes their capacity to generate oxygen radicals. Additionally, LIAE macrophages cultured in excess of 38 h exhibited a significant decrease in zymosan-stimulated hydrogen peroxide release while the decline in superoxide generation was minimal. A substantial diminution in the Listeria-stimulated CL response was also noted during this time period. However, phagocytosis of Listeria by LIAE cells failed to induce the level of oxygen metabolites seen when zymosan was used as the particulate stimulant. In addition, scavengers of oxygen radicals were found to be relatively ineffective in reducing the killing of L monocytogenes by immunologically activated macrophages in culture. It therefore appears that toxic oxygen species do not play a major role in the heightened killing of Listeria by activated macrophages.

Animals↗

Time course of antilisterial activity by immunologically activated murine peritoneal macrophages.

Murine peritoneal macrophages were rapidly rendered listericidal after exposure to lymphokine-rich supernatants (LRSs) derived from antigen-pulsed Listeria monocytogenes-immune spleen cells. A 6-h incubation period with LRSs was sufficient to induce microbicidal activity in resident macrophages. In vitro induction of macrophage listericidal activity by constant exposure to LRSs persisted for 18 h, after which time spleen cell factors were no longer capable of modifying intracellular inactivation of Listeria. Results obtained by utilizing a short assay indicated that the killing kinetics is extremely rapid, with large numbers of bacteria destroyed during the first 15 min of infection. Intracellular killing at this time appeared to be greatly dependent upon the stage of growth from which the microorganisms were harvested. Induction of bactericidal macrophages by infection of mice with a sublethal dose of virulent Listeria cells and subsequent intraperitoneal elicitation with heat-killed homologous bacteria was similarly a transient event. Macrophages harvested 18 h after antigenic challenge displayed dramatic antibacterial activity during the first 22 h in culture. After 22 h, activity was lost, and stasis was observed during the ensuing 23 h. At 68 h, macrophages were devoid of antilisterial action. Activity, however, could be recalled after incubation with LRSs.

Animals↗

Fate of Listeria monocytogenes in murine peritoneal macrophage subpopulations.

Peritoneal macrophages derived from CD-1 and C57BL/6 mice were separated into distinct groups based on their buoyant densities on discontinuous gradients of Percoll and assayed for antibacterial activity against Listeria monocytogenes. Subpopulations of peritoneal macrophages derived from Listeria-immune mice present a wide variation in their ability to control intracellular infection. Distinct subsets were found which exhibited bacteriostatic and listericidal activity. The fractionation procedure yielded a population of peroxidase-positive macrophages which were devoid of antilisterial action. Subpopulations of resident and elicited macrophages were also functionally heterogeneous in their ability to restrict intracellular growth of bacterial. In some experiments, subclasses were examined for secretion of plasminogen activator and phagocytosis of latex particles. These activities varied considerably with the status of activation of the macrophages, but failed to correlate with antimicrobial activity within given subpopulations.

Animals↗

Fate of Listeria monocytogenes in resident and activated macrophages.

A sensitive and highly reproducible assay was utilized to study in vitro interactions of Listeria monocytogenes with resident and activated macrophages. The technique is not compromised by extracellular events and can readily differentiate between the efficiency of ingestion and the postphagocytic fate of bacteria. Heat-labile factors in human or homologous serum markedly enhanced the phagocytosis of Listeria without noticeably affecting the intracellular fate of the microorganisms. The behavior of Listeria within macrophages cultivated from C57BL/6 and BALB/c mouse strains corresponded to previous reports of in vivo growth patterns in inbred mice. Thioglycolate- or caseinate-elicited macrophages, although highly phagocytic, were unable to prevent the proliferation of Listeria. A bactericidal macrophage population was derived from from C57BL/6 mice which had been immunized intraperitoneally with a sublethal dose of L. monocytogenes and subsequently boosted with heat-killed homologous organisms. Elicitation of immune animals produced an increase in the percentage of peroxidase-positive macrophages, but this activity could not be correlated with restriction of intracellular bacterial growth.

Animals↗

Anticomplementary activity of tuberculin: relationship to platelet aggregation and lytic response.

Experiments were performed to examine the interaction of tuberculin with platelets and complement. Hemolytic complement titrations show that tuberculin consumes complement in human, rabbit, and guinea pig serum. Evidence in support of classical pathway activation was provided by observation of C1 consumption and failure to detect significant conversion of alternative pathway factor B to B by immunoelectrophoresis. Platelets in plasma from guinea pigs deficient in the fourth component of complement were not affected by tuberculin. However, studies on platelet aggregation in plasma chelated with ethyleneglycolbis(beta-aminoethyl ether)-N,N-tetraacetic acid indicated that tuberculin may initiate sluggish activation of the alternative pathway. That the reaction between tuberculin and platelets is a lytic one was evidenced by observing the release of the cytoplasmic enzyme lactic dehydrogenase and efflux of rubidium-86. Studies with C6-deficient rabbits indicated that platelet release of exogenously supplied tritiated serotonin is caused by platelet lysis.

Animals↗

Fate of listeria monocytogenes in normal rabbit serum.

Viability of Listeria monocytogenes suspended in either normal rabbit serum or listericidal factor is significantly reduced before cell lysis. In normal serum Listeria populations are initially reduced by clumping of viable bacteria, and the cells within these clumps are morphologically altered and killed by the listericidal factor in serum. This clumping is complement independent and does not occur after suspension in purified listericidal factor. In electron micrographs, densely stained amorphous material was seen surrounding clumped cells suspended in serum. Initial damage to Listeria suspended in either serum or listericidal factor appears to be confined to plasma and mesosomal membranes. The mesosomes are rapidly disorganized, and the plasma membrane becomes crenated and separates from the cell wall. Subsequently, the fibrillar organization of the nuclear region disrupts, and the cytoplasm increases in granularity. Studies utilizing Listeria protoplasts provided evidence in support of the plasma membrane as the site of listericidal action. Cell death may be related to loss in enzyme function after crenation of the plasma membrane and mesosomal dissolution.

Animals↗

Interaction of virulent and avirulent Listeria monocytogenes with cultured mouse peritoneal macrophages.

The interaction between smooth and rough Listeria monocytogenes and mouse peritoneal macrophages in culture was investigated. Initially, antibiotics were deleted from the culture medium, and no attempt other than the removal of unphagocytized bacteria by extensive washings was made to control extracellular growth. Under these conditions the monolayers were rapidly destroyed within an 8-h period, and this was associated with increases in the intracellular population of both strains. Extracellular viability counts revealed that washings failed to reduce the bacteria in the medium to less than 10% of the original inoculum. Continuous phagocytosis of Listeria which grew logarithmically in the maintenance media appears to account for the observed changes in the number of intracellular bacteria. The data also indicate that it is primarily the free bacteria in the culture medium which are responsible for the cytotoxic effects. In other experiments streptomycin-penicillin solutions were added to the maintenance media after an initial period of phagocytosis. In the presence of antibiotics, the total number of macrophages per field remained relatively constant, and no morphological alterations in the leukocyte cultures were observable. Extensive intracellular multiplication of either strain was not evident in fixed and stained cover slips. Viable intracellular counts reveal that after 24 h there is almost total killing of the rough variant, whereas the smooth strain tended towards complete survival.

Animals↗

Cytotoxicity of rabbit blood for Listeria monocytogenes.

Our studies reveal that normal rabbit blood contains a potent bactericidin active against Listeria monocytogenes. The factor is present in greatest amounts in fresh undiluted serum but is absent in platelet extracts. A correlation was observed between the virulence of Listeria strains and their relative ability to survive in serum. The bactericidal titers obtained for plasma and plasma serum indicate that clotting must occur for optimum expression of antilisterial activity. The lethal action is not elevated after immunization with viable Listeria nor does it appear to depend on heat-labile components of complement. The active factor was removed from serum by filtration through a cellulose asbestos filter pad and further purified by carboxymethyl cellulose chromatography. Iron significantly diminishes serum lethality and completely abolishes the action of the purified component. The listericidal factor resembles beta-lysin but may be a distinct part of a multiple system of similar bactericidins.

Animals↗

Mechanisms of pathogenesis in Listeria monocytogenes infection. II. Characterization of listeriosis in the CD-1 mouse and survey of biochemical lesions.

Several physiological and biochemical changes which occur in CD-1 pathogen-free mice during the course of infection with Listeria monocytogenes strain A4413 have been examined. Mice injected with 10(4) to 10(6) organisms by the intraperitoneal route displayed a significant depression in weight gain. In contrast, at 24 hr after infection an increment in total liver weight averaging 0.1 g was observed. The ratios of liver to body weight increased throughout the observation period. As the severity of the infection increased, food intake, as well as total liver protein and nitrogen, showed a corresponding decrease, with the diminution being most evident immediately prior to the death of the animals. Blood urea nitrogen remained relatively constant for 24 hr and then increased continuously as the infection progressed to the acute stage. Total liver lipid increased until the death of the animals. At 72 hr postinfection, a significant decrease in oxidative phosphorylation was observed. Xanthine dehydrogenase activity increased, with maximal values obtained 72 hr after infection. Uric acid levels remained constant for 24 hr, diminished at 48 hr, and then increased until the death of the animals. After 24 hr, uricase activity showed a slight increase. This activity returned to within normal ranges at 48 hr and decreased as the infection progressed to the acute stage at 72 hr. The results support the hypothesis that at least a part of the cause of death is a derangement in hepatic purine and carbohydrate metabolism. The data are also consistent with the possibility of changes in iron transport in the infected mice.

Animals↗

Mechanisms of pathogenesis in Listeria monocytogenes infection. 3. Carbohydrate metabolism.

Several enzymes and metabolites concerned with carbohydrate metabolism were examined in mice infected with Listeria monocytogenes. Liver glycogen and glucose decreased parallel to severity of infection. The concentration of glucose in the blood fell to abnormally low levels with a hypoglycemia being most evident at 72 hr. There was a significant decrease in the activity of hepatic uridine diphosphate glucose-glycogen transglucosylase. This decrease in enzymatic activity correlated with the rate of glycogen depletion. Phosphorylase activity declined in a similar fashion, contraindicating enhanced glycogenolysis as the mechanism responsible for glycogen depletion. Although glucose-6-phosphatase decreased throughout the infection period, it did not appear to be the major metabolic defect causing hypoglycemia in Listeria-infected mice. Further distortion of carbohydrate metabolism was indicated by findings of increased levels of pyruvate and lactate in the blood of infected animals.

Animals↗