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Biomedical subjects

R Boehm

Publications and source records attributed to R Boehm.

29 records · Page 2Linked to original sources

Functional coupling of neonatal rat Sertoli cells and gonocytes in coculture.

Interaction between Sertoli cells and germ cells is likely to be critical for normal development of the testis. We have established and characterized cocultures of neonatal Sertoli cells and gonocytes and have begun to study the physical and functional relationship between these cells in vitro. Cells were isolated from rat pups by sequential enzymatic treatment and cultured in serum-free medium. When plated on Matrigel, Sertoli cells rapidly attach, and gonocytes adhere to the underlying Sertoli cells shortly thereafter. We observed that some of these germ cells develop cytoplasmic processes and elongate during the first day of culture, essentially mimicking their behavior in vivo. Electron microscopic examination of typical cultures revealed the presence of desmosome-like adhesion sites and apparent gap junctions between Sertoli cells and gonocytes. To determine whether Sertoli cells and gonocytes are functionally coupled in the cocultures, we used the glass bead-loading technique of McNeil and Warder to introduce Lucifer yellow (LY), a gap junction-permeant probe, and Rhodamine-dextran (RD), a larger marker excluded by gap junctions, simultaneously into cultures 24 h after plating. Immediate fixation and viewing of cultures with fluorescence microscopy indicated that all bead-loaded cells received both probes. We studied other living cultures 10 min after bead-loading and located RD-negative (i.e. nonbead-loaded) gonocytes that were in obvious contact with RD- and LY-positive bead-loaded Sertoli cells; these gonocytes were scored for the presence or absence of cytoplasmic LY. This analysis revealed that many gonocytes were able to obtain LY from adjacent Sertoli cells, presumably via gap junctions maintained with these cells. In addition, we quantified the percentage of gonocytes that elongated with increasing time in vitro and correlated the morphology of these cells with their ability to acquire LY from adjacent Sertoli cells. Our findings indicate that although the absolute numbers of gonocytes present decreases, more of those remaining elongate as time in vitro increases. We can also conclude from our data that gonocytes with and without processes are equally likely to be coupled with Sertoli cells under these conditions. These observations provide the first demonstration of functional coupling between Sertoli cells and premeiotic germ cells. Together with our morphological observations, they suggest that gap junction-mediated communication between these cells may be involved in stimulating or regulating changes in the gonocyte population during postnatal development of the testis.

Animals↗

Severe multicore disease associated with reaction to anesthesia.

Multicore disease is a nonprogressive myopathy. To our knowledge, in all previous cases, the clinical course has been benign with no deaths attributed to it. We describe a patient who presented as a floppy baby and remained weaker throughout his life than any other patients previously described. Biopsy findings were characteristic of multicore disease. However, at age 21/2 years, our patient developed congestive heart failure that was easily controlled with digitalis and diuretics. Shortly after cardiac catheterization, the patient developed a high, unexplained fever and died 26 hours later despite aggressive attempts at resuscitation. Therefore, patients with multicores in skeletal muscle may have severe weakness and may also have a predisposition to complications subsequent to anesthesia.

Anesthesia↗

Evaluation of appropriateness and interpretation of serum theophylline assays.

A drug utilization review of serum theophylline assays was undertaken to: (1) evaluate the prescribers' usage and interpretation of serum theophylline levels (STLs), and (2) calculate the cost of inappropriate assays. Criteria for appropriate use and interpretation were defined by an audit committee and approved by the chief medical resident. STLs were evaluated on medicine patients for a one-month period. Results of 102 levels ordered showed that 47 percent were inappropriate. The reasons cited most often for inappropriateness were: (1) previously-known STLs with no reason to expect a change in subsequent levels (26 percent); and (2) STLs drawn prior to steady state (12 percent). None of the levels evaluated had a request entered for the sampling time to be recorded. STLs were interpreted with the same degree of accuracy regardless of whether they were ordered appropriately. Results from this study suggest significant cost savings can be realized if physicians' ordering habits are corrected.

California↗

Cervical spine involvement in familial Mediterranean fever.

We report a case of familial Mediterranean fever (FMF) complicated by nephrotic syndrome and renal failure due to amyloidosis. This case is unique in that the severity of joint involvement necessitated bilateral hip replacement and later caused cervical apophyseal joint fusion, the latter being a lesion not previously described in the course of FMF.

Adult↗

Ethotoin in seizures of childhood and adolescence.

Ethotoin is an anticonvulsant that was considered minimally effective when introduced, but due to its apparent lack of side effects, there has been renewed interest in the drug for use in generalized and psychomotor seizures. We have characterized the pharmacokinetics of ethotoin in children and have found nonlinearity. Seizures were controlled in 16 of 17 patients, and there were no side effects reported. Gingival hyperplasia due to previous phenytoin therapy improved in all cases.

Adolescent↗

Influence of prolonged submaximal exercise on the pharmacokinetics of verapamil in humans.

The influence of prolonged submaximal exercise on the pharmacokinetics of verapamil was studied in normal volunteers both after i.v. injections of 0.13 mg/kg body weight as well as after one oral dose of 80 mg of the calcium entry blocker. Each dose was given on a rest day and on an exercise day. On the rest day, the terminal phase half-life (t1/2) of verapamil averaged 161 +/- 23 min after i.v. injection of the drug. The total clearance was 772 +/- 125 ml/min, and the area volume of distribution was 198 +/- 53 L. These parameters were not altered on the exercise day. Neither did exercise have any influence on the pharmacokinetic parameters determined after oral application of verapamil. This study shows that prolonged submaximal exercise has no influence on the pharmacokinetics of verapamil.

Administration, Oral↗

Characteristics of alcohol abusers among incidental primary health clinic attenders in an Israeli development town.

BACKGROUND: The belief that alcoholism is rare among Jews appears to be tenable no longer. High rates of alcohol abuse are being reported in subgroups of the population and in socially disadvantageously placed persons. The main objective of this study was to search for etiologic clues for alcohol abuse in different ethnic groups in a development town in southern Israel. METHODS: A structured questionnaire was answered by 152 randomly selected incidental attenders at a primary health care clinic. Alcohol abuse was determined using the CAGE questionnaire. RESULTS: The rate of present-time alcohol abuse was 17% and 20% among male Indian and non-Indian clinic attenders, respectively, while life-time abuse was 37% and 25%, respectively. These findings were considerably higher than the reported national rates of 2-3%. Differences were found between alcohol abusers in the various ethnic groups. Non-Indian life-time abusers were characterized by more frequent use of medical services, more reported physical and mental symptoms, more use of psychotropic drugs, and higher rates of unemployment. CONCLUSIONS: These differences suggest that the non-Indians may include symptomatic drinkers, while the Indians, we propose, may be alcohol abusers for cultural reasons. The extent of the alcohol abuse problem detected in this survey indicates that a major public health issue may exist in development town populations.

Alcoholism↗