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Biomedical subjects

S Page

Publications and source records attributed to S Page.

At least 19 recordsLinked to original sources

Developmentally regulated expression of three slow isoforms of myosin heavy chain: diversity among the first fibers to form in avian muscle.

At least three slow myosin heavy chain (MHC) isoforms were expressed in skeletal muscles of the developing chicken hindlimb, and differential expression of these slow MHC isoforms produced distinct fiber types from the outset of skeletal muscle myogenesis. Immunohistochemistry with isoform-specific monoclonal antibodies demonstrated differences in MHC content among the fibers of the dorsal and ventral premuscle masses and distinctions among fibers before splitting of the premuscle masses into individual muscles (Hamburger and Hamilton Stage 25). Immunoblot analyses by sodium dodecyl sulfate-polyacrylamide gel electrophoresis of myosin extracted from the hindlimb demonstrated the presence throughout development of different mobility classes of MHCs with epitopes associated with slow MHC isoforms. Immunopeptide mapping showed that one of the MHCs expressed in the embryonic limb was the same slow MHC isoform, slow MHC1 (SMHC1), that is expressed in adult slow muscles. SMHC1 was expressed in the dorsal and ventral premuscle masses, embryonic, fetal, and some neonatal and adult hindlimb muscles. In the embryo and fetus SMHC1 was expressed in future fast, as well as future slow muscles, whereas in the adult only the slow muscles retained expression of SMHC1. Those embryonic muscles destined in the adult to contain slow fibers or mixed fast/slow fibers not only expressed SMHC1, but also an additional slow MHC not previously described, designated as slow MHC3 (SMHC3). Slow MHC3 was shown by immunopeptide mapping to contain a slow MHC epitope (reactive with mAb S58) and to be structurally similar to a MHC expressed in the atria of the adult chicken heart. SMHC3 was designated as a slow MHC isoform because (i) it was expressed only in those muscles destined to be of the slow type in the adult, (ii) it was expressed only in primary fibers of muscles that subsequently are of the slow type, and (iii) it had an epitope demonstrated to be present on other slow, but not fast, isoforms of avian MHC. This study demonstrates that a difference in phenotype between fibers is established very early in the chicken embryo and is based on the fiber type-specific expression of three slow MHC isoforms.

Animals

The nature of the proteins lost from isolated rat skeletal muscle during experimental damage.

Sodium dodecyl sulfate-polyacrylamide gel analysis of the incubation media surrounding isolated rat soleus muscles has been used to determine the nature of the proteins lost from skeletal muscle during damage. Following various forms of experimental trauma only selected proteins are lost to the medium when compared to the protein composition of the muscle cytosol. The proteins released do not appear to be released in a size dependent manner and their release is partly inhibited by an absence of calcium in the extracellular medium. alpha-Tocopherol entirely prevents the release of cytosolic enzymes induced by intracellular calcium overload.

2,4-Dinitrophenol

The eosinophilia-myalgia syndrome: the Los Alamos Conference.

On June 12 and 13, 1990 the Los Alamos National Laboratory in cooperation with the New Mexico Department of Health and Environment, the Centers for Disease Control (CDC), the Food and Drug Administration (FDA), and the National Institute of Arthritis and Musculoskeletal and Skin Diseases of the National Institutes of Health (NIH) hosted a conference on the eosinophilia-myalgia syndrome. Fifty presentations covered a variety of important issues which are summarized herein.

Centers for Disease Control and Prevention, U.S.

A cytosolic protein activator of cardiac sarcolemmal phosphoinositide phospholipase C.

Ca2+ dependent polyphosphoinositide phospholipase C (PLC) activity in cardiac sarcolemma hydrolyzed both endogenous and exogenous phosphatidylinositol 4-phosphate (PIP) and phosphatidylinositol 4,5-bisphosphate (PIP2) with an associated increase in inositol bisphosphate (IP2). Dialyzed cytosol and certain fractions of cytosol isolated by anion exchange or gel filtration chromatography activated sarcolemmal PLC activity by approx. 100%. The PLC activator eluted with an apparent molecular weight of 160 Kdal on a Sephacryl 300 column and was destroyed by heat or trypsin treatment. Exogenous 3H-PIP2 was not hydrolyzed by cytosolic fractions containing sarcolemmal PLC activator. These studies demonstrate that the polyphosphoinositide PLC in cardiac sarcolemma is regulated by a cytosolic protein.

Animals

Isoforms of creatine kinase: MM in the study of skeletal muscle damage.

Isoforms of creatine kinase (CK) MM have been analysed in plasma from normal subjects and patients with muscular dystrophy using isoelectric focusing techniques. Most plasma samples analysed contained three isoforms of CK-MM of isoelectric points 7.26 (MMI), 6.85 (MMII) and 6.45 (MMIII) although in some plasma samples two additional isoforms of isoelectric points 7.12 and 6.65 were seen. Patients with muscular dystrophy were found to have a generally higher proportion of CK-MMI in their plasma than normal subjects and this was relatively unaffected by large variations in the total creatine kinase activity. By comparison eccentric exercise in normal subjects was found to result in a large increase in total plasma CK activity which then declined to normal over a period of approximately 6 days. CK-MMI was found to increase initially followed by CK-MMII and CK-MMIII. Analysis of the isoforms in biopsy samples of human muscle revealed the presence of two of the bands found in plasma (CK-MMI and MMII) and a third muscle specific isoform, while incubation of muscle homogenates in plasma induced the formation of CK-MMIII and the two isoforms of pI 7.12 and 6.65. It is concluded that analyses of CK-MM isoforms in human plasma can provide useful information on the extent and relative time course following an episode of muscle damage but that in patients with muscular dystrophy the large variations in plasma CK activity are not reflected in the proportion of CK found in each isoform.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Receptor-controlled calcium discharge in frog heart cells.

A brief account is given of previous work concerned with the effects which ATP (P2-'purinergic') and alpha-adrenaline receptors have on the activity of the sarcoplasmic reticulum (SR) in frog heart atrial cells. More recent experiments made with single atrial trabeculae are also described which suggest, among other things, that ATP and alpha-adrenaline receptors both facilitate the process by which an action potential induces SR calcium discharge in atrial heart cells. The facilitatory effect involved is considerable; at high (greater than or equal to 2 microM) ATP doses, SR calcium discharge seems to be increased about 14-fold and, quite possibly, more than this. Results obtained with different levels of [Ca2+]o during ATP action suggest that the process of calcium-induced calcium release plays little part in the facilitatory process. Its putative mechanism is briefly discussed.

Adenosine Triphosphate

Immune induction of major histocompatibility complex antigens on a human thyroid cell line (SGHTL-34).

Expression of major histocompatibility complex antigens by epithelial cells may play a role in the aetiology of autoimmune disorders. We have studied the effect of gamma-interferon on SGHTL-34, a human thyroid cell line which constitutively expresses class I but not class II antigens. gamma-Interferon induced the expression of class II and increased the expression of class I molecules (assessed by flow cytofluorimetry) in a dose-dependent manner. Thyrotrophin or phytohaemagglutinin had no effect on either class I or class II expression. However, a supernatant from phytohaemagglutinin-stimulated peripheral blood mononuclear cells, containing 6400 U gamma-interferon/ml, was an effective inducer of both class I and class II antigens. These data clarify earlier studies using primary thyroid cultures, which are contaminated with cells of the immune system.

Cell Line

Binding of plasma proteins to Candida species in vitro.

The ability of purified human albumin, fibrinogen and transferrin to bind to Candida species was measured by immunofluorescence. The proteins all bound with high avidity to germ-tubes formed by Candida albicans, but did not bind to blastospores of C. albicans or other pathogenic Candida species, not even to parent blastospores bearing germ-tubes. The extent of binding of the proteins to C. albicans germ-tubes varied between growth media and from germ-tube to germ-tube. Strains of C. albicans that did not form germ-tubes were incapable of binding any of the proteins. There was evidence that purified fibrinogen bound to germ-tubes with higher avidity than albumin and transferrin. When germ-tubes were treated with whole human plasma or serum, indirect immunofluorescence revealed that proteins were bound all over the surface of C. albicans blastospore-germ-tube units, indicating behaviour different from that seen with the purified proteins tested alone or in mixtures. C. albicans cells grown in the presence of azole antifungal agents bound purified plasma proteins in the same way as cells untreated with the drugs. The results of this study suggest that binding of host proteins to the surface of C. albicans may not be a property related directly to virulence of the fungus in vivo.

Antifungal Agents

Gender role nonconformity and perception of mental illness.

The hypothesis that clinicians' perceptions of psychological maladjustment are related to the deviation of symptoms from prevailing gender role stereotypes was explored. Case history descriptions were sent to a random sample of practicing psychologists. These clinicians viewed female patients with "masculine" symptoms (e.g., alcoholism or antisocial behavior) as more psychologically disturbed than males with the same symptoms; they also perceived male patients with "feminine" symptoms (e.g., depression and anxiety) as more psychologically disturbed than their female counterparts. Significant main effects for psychologists' sex were found for both the perceived usefulness of drug treatment and prognostic outlook ratings.

Adjustment Disorders

Skin blood flow measurement with xenon-133 to predict healing of lower extremity amputations.

Many techniques have been proposed to help the surgeon select the most distal amputation level that will heal. Skin blood flow measurement with xenon-133 (133Xe) is one of the best documented predictors of amputation healing, but the lowest flow consistent with healing has not been agreed upon. Our early experience with the method is reported. Skin blood flow was measured in 16 patients undergoing 17 lower extremity amputations. Twelve amputations healed (mean skin blood flow 3.69 +/- 2.73 ml/100 g of tissue/min) and five failed (mean skin blood flow 0.80 +/- 0.61 ml/100 g of tissue/min) (P less than 0.05). No amputation healed if the skin blood flow was less than 1.0 ml/100 g of tissue/min. A skin blood flow above 1 ml/100 g of tissue/min, measured with 133Xe, may be a useful guide to the level at which to amputate while minimizing unnecessary proximal amputation, but the method requires further prospective evaluation.

Aged

Portrayal of mental illness in Canadian newspapers.

The present article reports results from a content analysis of 103 newspaper reports taken from eight major Canadian newspapers, and selected at random from the Canadian Newspaper Index. The portrayal of mental illness and mentally ill persons in these reports was compared with that in samples of articles taken from two comparison mental health publications not receiving popular circulation. As compared with these latter publications, the content analysis indicated that the newspapers portrayed mental illness and the mentally ill in a manner which could be described as essentially pejorative, thus seeming to support frequent observations and complaints from the mental health establishment about inadequate or unfair coverage of mental illness in the popular print media. At the same time, the newspaper medium appeared to present more favourable images of nontraditional (example: community-based) mental health practices, than of traditional (example: hospital-based) practices. Implications of such results for the attitudes and beliefs of the general public vis-à-vis mental illness are offered, with special reference to the influence of the print media.

Attitude

Conception of male and female homosexual stereotypes among university undergraduates.

Following the procedure used by Broverman, Broverman, Clarkson, Rosenkrantz, & Vogel (1970), male and female undergraduates described a male homosexual, lesbian, and normal adult in terms of 41 adjective rating scales, each scale having a masculine and a feminine pole. Results indicated that compared to ratings of the normal adult, the male homosexual was viewed unfavorably and was significantly different from "normality" on 27 scales. Ratings of the lesbian were closer to those for the normal adult, although significant differences appeared on 11 scales. Ratings for the lesbian differed significantly from those for the male homosexual on 20 scales. On all but two scales, lesbian ratings were closer to the more favorable pole than were male homosexual ratings. The position seems supported that male gender nonconformity is viewed more seriously than female gender nonconformity.

Female

Analysis of caffeine action in single trabeculae of the frog heart.

Effects of caffeine on contractile tension and on intracellular action and resting potentials were examined in single frog heart trabeculae suspended in a rapid perfusion chamber. Trabeculae from atria responded more readily than those from ventricles and were therefore studied in greater detail. Both the contracture and twitch responses, the one obtained at high (greater than or equal to 10mM), the other at low (less than or equal to 10mM) caffeine concentrations, consisted of a transient tension rise followed by a maintained phase of lower, but still enhanced, tension. The hypothesis was tested that the transient response is due to the release of calcium from the sarcoplasmic reticulum (s.r.) whereas the maintained tension results from enhanced calcium influx through the cell surface. Support for these ideas was obtained by examining the response to step changes of external calcium and caffeine concentrations, applied in various combinations, simultaneously and in sequence. It also emerged tht the effects on twitch tension of calcium derived from (a) s.r. discharge and (b) influx are additive, to a first approximation. A test procedure for monitoring the s.r. store content was evolved to follow the accumulation of s.r. calcium after a preceding depletion. The results obtained, and others, suggest that the s.r. calcium pump can be operative in atrial heart cells and capable, after store depletion, of reabsorbing up to some 40% of calcium activating a twitch, the remainder being, presumably, extruded from the cells.

Action Potentials

Two physiological agents that appear to facilitate calcium discharge from the sarcoplasmic reticulum in frog heart cells: adrenalin an ATP.

The alpha-adrenergic effect of adrenalin and the action of ATP and other nucleotides have been examined in single trabeculae of frog heart by means of procedures developed in the preceding paper (Niedergerke & Page 1981). The results suggest that both adrenalin and ATP are able, in conjunction with the action potential, to facilitate the discharge of calcium from the sarcoplasmic reticulum in at least some of the cardiac cells. As a result, the strength of the twitch is enhanced. As shown previously for the action of caffeine, this calcium discharge was not maintained, declining rapidly, together with the twitch tension, as the sarcoplasmic reticulum calcium store became depleted. Trabeculae from atrium and ventricle differed in their propensity to respond to these two substances. Thus, alpha-adrenergic responses were obtained in some 30% of the atrial, but in none of the ventricular, trabeculae examined. On the other hand, both kinds of trabecula gave ATP responses, but these tended to be weaker and required higher concentrations in ventricle than atrium. The possibility that the two responses are of physiological importance is suggested by the low concentrations (less than or equal to 5 x 10(-7)M) needed to produce large tension increases. A tentative hypothesis is advanced according to which alpha-catecholamine and ATP effects participate in circulatory control by initiating a rapid boost of cardiac pump activity, preparatory to the slower but better maintained beta-catecholamine action.

Action Potentials