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Biomedical subjects

P A Olsen

Publications and source records attributed to P A Olsen.

14 recordsLinked to original sources

Implications of cell cycle progression on functional sequence correction by short single-stranded DNA oligonucleotides.

Oligonucleotide-based sequence alteration in living cells is a substantial methodological challenge in gene therapy. Here, we demonstrate that using corrective single-stranded oligonucleotides (ssODN), high and reproducible sequence correction rates can be obtained. CHO cell lines with chromosomally integrated multiple copy EGFP reporter genes routinely show rates of 4.5% targeted sequence correction after transfection with ssODN. We demonstrate that the cell cycle influences the rates of targeted sequence correction in vivo, with a peak in the early S phase during ssODN exposure. After cell division, the altered genomic sequence is predominantly passed to one daughter cell, indicating that targeted sequence alteration occurs after the replication fork has passed over the targeted site. Although high initial correction rates can be obtained by this method, we show that a majority of the corrected cells arrest in the G2/M cell cycle phase, although 1-2% of the corrected cells form viable colonies. The G2/M arrest observed after targeted sequence correction can be partially released by caffeine, pentoxifylline or Go6976 exposure. Despite substantial remaining challenges, targeted sequence alteration based on ssODN increasingly promises to become a powerful tool for functional gene alterations.

Animals↗

Branched oligonucleotides induce in vivo gene conversion of a mutated EGFP reporter.

Branched oligonucleotides (b-oligonucleotides) based on a novel branching monomer were used for site-specific sequence alteration in vivo. With a stable integrated mutated enhanced green fluorescent protein (EGFP) template in Chinese hamster ovary cells, up to 0.1% EGFP-positive cells were counted after transfection with b-oligonucleotides. The presence of EGFP protein in converted cells was demonstrated by anti-EGFP immunocytochemistry. Genomic sequencing of converted cells showed in 40% of the analysed clones the corrected wild-type codon, while 9.3% of the sequences showed a corrected wild-type sequence and an additional collateral mutation. Despite the stable corrected genomic locus, converted cells entered selective apoptosis after 3-6 days. The cell line Irs-1 that is deficient in the homologous recombination pathway showed a reduced frequency of b-oligonucleotide-induced site-specific sequence conversion. The reduced conversion rates in the mutant cell line could be partly rescued by complementation with XRCC2 cDNA.

Amino Acid Sequence↗

High dose spinal anaesthesia with glucose free 0.5% bupivacaine 25 and 30 mg.

The purpose of this study was to investigate if a more intense and/or prolonged blockade could be obtained safely when a high-dose intrathecal plain bupivacaine was given. Thirty patients for elective surgery were included. Two groups of 15 patients, received 25 or 30 mg 0.5% bupivacaine (plain). The sensory and motor blockade was determined. Heart rate and respiratory frequency was monitored continuously, arterial blood pressure every 5 minutes. Peak expiratory flow (PEF) was performed before, and 45 min after the spinal injection. In group 25 mg the maximal spread of analgesia was to T3.7 +/- 0.9 (mean +/- s.e.mean) after 45 minutes, in group 30 mg T3.1 +/- 0.4 also after 45 min (NS). The maximal extent of analgesia was retained for a significantly longer period and the initial decline in extent of analgesia was significantly slower in the 30 mg group. No significant difference as to duration of motor blockade was found. Peak expiratory flow diminished significantly 45 min after the spinal injection in both groups, but no significant difference was found between the groups. The total duration of analgesia did not differ significantly between the groups. A significantly longer duration of maximal cephalad spread, and a slower initial regression, was found in the 30 mg group. No severe uncontrolled haemodynamic or respiratory side effects occurred.

Adult↗

Fracture stage 4 of the lateral talar dome treated arthroscopically using Biofix for fixation.

A stage-4 osteochondral fracture of the anterolateral part of the talar dome in a 42-year-old sports-active woman was treated arthroscopically using biodegradable fixation [polyglycolic acid/(Biofix)]. She returned to the previous sport after 3 months without any complaints and, 15 months later, she is still without any symptoms from the ankle joint. A computed tomography scan after 15 months showed normal conditions. The technique is described, and arthroscopic surgery is proposed in the treatment of osteochondral lesions of the anterior part of the talar dome.

Adult↗

Spinal analgesia with hyperbaric 0.5% bupivacaine: effects of different patient positions.

A prospective randomised study of the effect when the patient remained sitting for 2, 10, 15, 20 or 25 min, was evaluated in 50 patients (10 in each group) given a spinal anesthesia, with 4 ml 0.5% bupivacaine in 8% glucose (hyperbaric). The first period of sitting was followed by a second period in the horizontal supine position; this period ended when there was the same level of pin-prick analgesia for 5 min. The patient was then placed in the Trendelenburg position until maximum spread was achieved. There was no difference in the spread of analgesia between the five groups at the end of each of the three periods. Between the five groups, there was no difference as to the duration of time from placing the patient in the supine horizontal position until maximum spread of analgesia (mean +/- s.e. mean 12 +/- 2-13 +/- 2 min) in this position, and from the start of the Trendelenburg position until maximum spread (mean +/- s.e. mean 7.5 +/- 1.2-9.5 +/- 1.7 min). All patients except one in the 25-min group had complete motor blockade of the lower limbs.

Adolescent↗

Injuries in children associated with trampolinelike air cushions.

During a 7-month period, we registered 112 children who had been injured in an amusement park. Despite the large number of other playground apparatuses, 78 injuries were associated with jumping on three giant air cushion trampolinelike apparatuses. Moreover, the air cushions caused a significantly larger number of severe and moderate injuries than did other apparatuses (p less than 0.01). Thirty-one percent of the injuries were fractures or growth plate lesions. Seventy percent of the children explained that they had either been pushed or had lost their balance because of the constantly changing rhythm of the canvas. We therefore warn against this trampolinelike apparatus.

Adolescent↗