Macromolecular conjugates of dextran and diethylenetriaminepentaacetic acid (DTPA), aimed to complex gadolinium, were synthesized to obtain contrast agents for nuclear magnetic resonance imaging with good paramagnetic properties and long intravascular persistence. These conjugates were prepared from dextran 40 (Mn = 38 kg/mol and Mw = 43 kg/mol), which was first carboxymethylated. Then amines were introduced by reacting ethylenediamine with dextran carboxylic acid groups in the presence of 2-ethoxy-1-(ethoxycarbonyl)-1,2-dihydroquinoline. DTPA was then covalently linked to aminated dextran by using three different coupling procedures (DTPA bisanhydride, dicyclohexylcarbodiimide/N-hydroxysuccinimide, and isobutyl chloroformate). The different final products were compared in terms of DTPA contents, molecular masses, and sizes, and it was proved that the last synthesis step led to a small fraction of cross-linked chains as Mn was between 128 and 166 kg/mol and Mw between 332 and 371 kg/mol. In spite of this partial cross-linking which theoretically decreases the complexation capacity of the dextran-linked DTPA molecules, the Gd(3+)-complexed conjugates exhibited relaxivities at 20 MHz/mol of gadolinium-2.5 times as great as that of free GdDTPA2-.

Contrast Media↗

PubMedDate not supplied

Polymeric conjugates of Gd(3+)-diethylenetriaminepentaacetic acid and dextran. 2. Influence of spacer arm length and conjugate molecular mass on the paramagnetic properties and some biological parameters.

Macromolecular conjugates of dextran 40 (Mn = 38 kg/mol, Mw = 43 kg/mol) and diethylenetriaminepentaacetic acid (DTPA), capable of complexing Gd3+, were synthesized in order to obtain contrast agents for nuclear magnetic resonance imaging, with long intravascular persistence. As already reported, relaxivity of these macromolecular complexes was greater than that of molecular complexes (2-2.5 times). On the other hand, as relaxivity of paramagnetic agents partially depends on their rotation speed, the influence of the length of the spacer arm inserted between DTPA and dextran was investigated. Various conjugates with spacer arms comprised of methylenic chains (-(CH2)n-) with varying lengths (2 < or = n < or = 6) were prepared. The result was that, whatever the distance between DTPA and dextran, all of the Gd(3+)-complexed polymeric conjugates with similar DTPA content (0.6-0.8 mmol/g) exhibited, at 20 MHz, about the same relaxivity values. On the other hand, in the same way, no significant effect of the molecular masses (Mn between 166 and 224 kg/mol and Mw between 332 and 865 kg/mol) of the polymeric conjugates on relaxivity were observed. Toxicity studies carried out on mice, showed very similar LD50 values whatever the spacer arm and molecular mass of the macromolecular conjugates. Finally the urinary excretion studied on rats (after 4 h) and on rabbits (after 24 h) was relatively low (15-20% of the administered dose), and, as expected, the lower values were obtained with the higher molecular mass conjugates.

Animals↗

PubMedDate not supplied

Capacity of purified Lyt-2+ T cells to mount primary proliferative and cytotoxic responses to Ia- tumour cells.

Allogeneic gene products of the major histocompatibility complex, the HLA complex in man and the H-2 complex in mice, induce T lymphocytes to exert powerful mixed lymphocyte reactions (MLR) and cell-mediated lympholysis (CML). In mice, the subset of T cells carrying the L3T4 surface antigen but lacking the Lyt-2 antigen responds predominantly to H-2 class II (Ia) differences whereas the L3T4- Lyt-2+ subset reacts to class I (K/D) differences. For primary responses the stimulus for MLR and CML appears to be controlled by Ia+ cells of the macrophage/dendritic cell lineages, for both L3T4+ and Lyt-2+ cells. The finding that Ia+ cells are required for responses involving Lyt-2+ cells has been taken to imply that triggering of these cells is controlled by Ia-restricted L3T4+ cells. Lyt-2+ cells have thus come to be regarded as crippled cells which are heavily dependent on 'help' from other T cells. This well-entrenched view is challenged by evidence presented here that purified Lyt-2+ cells can give high primary responses to certain Ia- tumour cells in vitro.

Animals↗

PubMedDate not supplied

[Doppler ultrasound examination of fetal umbilical arteries of the intra-abdominal segment in normal singleton pregnancies].

BACKGROUND: In the management of high risk pregnancies, blood flow measurements in the umbilical arteries (Aa. umb) have reduced perinatal morbidity and mortality. No consensus has been reached about the optimal location of measurements along the umbilical cord. The present study analyses the blood flow in both umbilical arteries where they pass by the fetal bladder. PATIENTS AND METHODS: In 48 normal pregnancies, Doppler examinations were used to measure the pulsatility indices (PI). From the 20th week of pregnancy onward, the PI were measured once every four weeks in the intraabdominal segments of the right and the left Aa. umb. lateral to the fetal bladder. Measurements were also done in a free loop and at the placental insertion. RESULTS: For all locations, normal ranges were calculated. The PI at all four sites decreased as the pregnancies were approaching term. In the III. trimester, the standard deviations of PI were smaller than in the II. trimester. The PI at the intraabdominal segment of the right and the left umbilical arteries turned out to be similar to each other and exceeded the values measured at the free loop and at the placental insertion respectively. CONCLUSION: The intraabdominal segments of the umbilical arteries were defined as a new location for PI measurements. When adopting a fixed place of measurement, it is likely that the reproducibility of PI measurements will be increased. DISCUSSION: The higher PI at the intraabdominal segment of the umbilical arteries are caused by the more central location compared to the placental insertion.

Blood Flow Velocity↗

PubMedDate not supplied

[Current diagnosis and therapy of undescended testis].

Although the etiology of maldescended testes is multifactorial, dysfunction of hypothalamic-pituitary-gonadal axis should be considered as the most important factor. The hormonal treatment with Gn-RH on its own or followed by hCG can provoke testicular descent and should be applied at 10th month of life. Failure, partial or transient success needs orchidopexy within the first two years of life to prevent infertility. If a concomitant hernia or a true ectopia is encountered, if patients are seen at an adolescent age and if the testes are truly cryptorchid, surgery is the treatment of choice.

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