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Biomedical subjects

W Aherne

Publications and source records attributed to W Aherne.

12 recordsLinked to original sources

Chronopharmacology.

The time of day that drugs are given can have a profound effect upon both their pharmacodynamics, i.e. their effectiveness and toxicity, and their pharmacokinetics, i.e. the way they themselves behave in the body. The chronopharmacokinetics of relatively few drugs have been investigated and are mostly those used for the treatment of cancer. We have shown that the toxicity and chronopharmacokinetics of drugs can be altered by pretreatment with steroids or melatonin.

Adrenal Cortex Hormones

Radioimmunoassay of methotrexate: use of 75Se-labelled methotrexate.

75Se-labelled methotrexate has been used as the radiolabel in a radioimmunoassay for methotrexate and its use compared with that of 3H-methotrexate. The gamma-labelled drug has proved to be extremely reliable and easier to use than 3H-methotrexate. Results obtained with it compare well with those obtained with tritiated drug. There are practical advantages in using a gamma emitter, and it is suggested that the modified radioimmunoassay is invaluable for routine monitoring of methotrexate in patients undergoing chemotherapy with the drug.

Cross Reactions

Macrophage infiltration of breast tumours: a prospective study.

In 50 cases of infiltrating breast cancer investigated in a prospective study the number of macrophages within each tumour was assessed. The macrophages were identified by their cytoplasmic acid phosphatase activity. The number of lymphocytes and plasma cells within the tumours were graded by a scoring technique. Significantly fewer cases with metastases were found among those with high macrophage and plasma cell scores. There was no correlation between lymphoreticular infiltration and the degree of tumour differentiation, but in cases without metastases the lymphoreticular infiltration between tumour cells was nearly always only slight when the macrophage score was low.

Breast Neoplasms

Some morphometric methods for the central nervous system.

It is the quantitative study of the central nervous system to enumerate neurone populations. Since neurones are generally arranged in non-random patterns the conventional method of counting with a square lattice graticule in the ocular of the microscope is severely restricted. Appropriately tailored methods of (a) counting, or (b) estimating the density of a neurone population must therefore be used. Four types of neuronal distribution pattern are discussed and morphometric methods adapted to them are presented, as follows: (1) Where the whole population is circumscribed, as in the anterior horn motor neurones of the cord, direct counting is feasible. Only those cells whose nucleoli are visible should be included; this diminishes the bias in favour of large cells, and if one corrects for the fact that larger neurones have larger nucleoli the bias can be eliminated completely. (2) Where neurones are situated on an "interface", as Purkinje cells are, the length of its profile (in this instance the boundary between the molecular and granular zones) is estimated by superimposing parallel lines on the microscopical image and counting intersections as these lines cross the interface. The number of Purkinje cells in each particular field is counted at the same time. A "linear dinsity" (PL) is then calculated from the formula pl = 2n/pid where n is the quotient of (a) the number of cells counted along (b) an estimated length of profile, and d is the distance between the parallel lines of the graticule. For comparative studies between cerebella of different sizes a correction factor is easily introduced. Those who prefer to work on photomicrographs can use a mapping wheel to measure a length of profile and then proceed as before. (3) Where neurones are organised in a curving band, as in the dentate nucleus, another form of cell density can be established. The microscope is focused on a neurone at random, and the distance from this cell to its nearest neighbour is measured, preferably by means of a screw-micrometer eyepiece. The mean value r of a number of such measurements is substituted in a formula which gives the "areal density" of the neurone population: pa = 1/4r2. This method can be applied to photomicrographs by using a pair of dividers and/or an accurate rule to measure the set of r values. (4) In large collections of neurones, e.g., in the thalamus, three methods are available: (a) the nearest neighbour method; (b) a conventional squared graticule count, and (c) a count of cells intersected by a line probe as in Haug's (1972) technique (fig. 5), or a modified form of Strong's (1966) transect method.

Brain

The characteristics of ferritin from human tissues, serum and blood cells.

1. The properties of ferritin in serum have been compared with those of ferritin from a number of tissues including blood cells. On anion-exchange chromatography with DEAE-Sephadex, the behaviour of human heart ferritin is different from that of liver, kidney or spleen ferritin. Reticulocyte ferritin appears to have similar characteristics to heart ferritin. 2. Serum ferritin from normal subjects and patients with various degrees of iron load, leukaemia or liver disease all have a much lower affinity for the anion-exchange column that any tissue ferritin, suggesting a difference in isoelectric point. The elution point of serum ferritin from patients with acute myeloblastic leukaemia is significantly different from normal. 3. Density gradient centrifugation in sucrose showed that ferritin in leucocyte extracts and partially purified ferritin from the serum of two patients with iron overload behaved as apoferritin rather than the iron-rich protein. 4. The results suggest that ferritin is modified during its entry into the plasma and that even in cases of iron overload the iron content of serum ferritin may be low. The findings are of importance in considering the origin of plasma ferritin, the clearance of ferritin from plasma and its role in iron metabolism.

Animals

The potential cell population doubling time in neuroblastoma and nephroblastoma.

Estimates are presented of the median potential cell population doubling time in five neuroblastomas and six nephroblastomas. The median time in the neuroblastomas was 4·2 days (101 hours) and in the nephroblastomas was 7·8 days (188 hours). Estimates of the duration of metaphase in the two kinds of tumour are also offered, based on the natural mitotic index in six neuroblastomas and five nephroblastomas. The findings are set in the context of a brief review of other studies on the cell population kinetics of human tumours. A more detailed but frankly speculative analysis is made of one nephroblastoma which suggests that cells are produced at the rate of at least 5 per 1000 tumour cells per hour, of which about 3 are lost.

Biopsy

Pathological changes in virus infections of the lower respiratory tract in children.

The pathological changes are described in 22 children with proven or suspected virus infection of the lower respiratory tract. Two main patterns of disease were found: acute bronchiolitis and interstitial pneumonia. Particular viruses were not specifically associated with particular histological changes. The prime importance of the respiratory syncytial virus (RSV) as a cause of disease and death in young infants is again shown. Structural lesions and clinical dysfunction correlate fairly well; in acute bronchiolitis the main lesion is epithelial necrosis when a dense plug is formed in the bronchiolar lumen leading to trapping air and other mechanical interference with ventilation: in interstitial pneumonia there is widespread inflammation and necrosis of lung parenchyma, and severe lesions of the bronchial and bronchiolar mucosa as well. The implications of these structural changes for clinical management are discussed. The possibility of a hypersensitivity reaction in the cot death syndrome is raised, mediated by a serum antibody-antigen-complement reaction.

Adenoviridae