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Biomedical subjects

W Manson

Publications and source records attributed to W Manson.

12 recordsLinked to original sources
PubMed1999

Immune response capacity after human splenic autotransplantation: restoration of response to individual pneumococcal vaccine subtypes.

OBJECTIVE: To evaluate features of general immune function, in particular the restoration of the humoral immune response to pneumococcal capsular polysaccharides, in humans undergoing a spleen autotransplantation after splenectomy because of trauma. SUMMARY BACKGROUND DATA: After splenectomy, patients have an increased risk of overwhelming infection or sepsis involving encapsulated bacteria such as pneumococci. The value of human spleen autotransplantation after splenectomy because of trauma has long been questioned. Mononuclear phagocyte system function appeared to be similar to that in splenectomized persons. The presence of specific antipneumococcal antibodies would allow other parts of the mononuclear phagocyte system, such as those in the liver, to phagocytose opsonized bacteria. METHODS: Ten consecutive patients undergoing splenectomy followed by autotransplantation were compared with the next 14 consecutive patients undergoing splenectomy alone. After a minimum of 6 months, the patients were vaccinated with 23-valent pneumococcal vaccine. Blood samples were taken at the time of vaccination and after 3 and 6 weeks for antipneumococcal capsular polysaccharides IgM and IgG enzyme-linked immunosorbent assay against types 3, 4, 6, 9, 14, and 23. Splenic regrowth was evaluated by scintigraphy. RESULTS: Surprisingly, several of the nonautotransplanted patients showed scintigraphic activity, indicating the presence of either accessory spleens or traumatic seeding (splenosis). Significant antibody titer increases (more than twofold) were found for both IgM and IgG in the autotransplanted patients. Splenectomized-only patients showed no significant increase in Ig levels in patients without splenic regrowth and partial improvement in patients with splenosis/accessory spleens. CONCLUSIONS: Considering this significant antipneumococcal antibody increase, spleen autotransplants can be expected to permit an adequate humoral response to pneumococcal infections and presumably also to other TI-2 antigens, and to protect against overwhelming postsplenectomy infection or sepsis.

Adolescent↗
PubMed1978

Acute cold exposure and the metabolism of glucose and some of its precursors in the liver of the fed and fasted sheep.

Measurements of total body oxygen consumption, visceral and hepatic blood flow, oxygen consumption, exchanges of amino acids, lactate, pyruvate and glucose were made on sheep fed 3--6 h or 21 h before the experiment and exposed for 3 h to a neutral environment (15 degrees C) or a cold environment (0.5 to 4 degrees C with clipped coat and wind speed 2 m.s-1). Recent feeding significantly increasedd the total oxygen consumption and the oxygen consumption of the viscera and liver. No general release of amino acids from the viscera or uptake by the liver after feeding was detected although the arterial plasma concentration of essential amino acids did increase significantly after feeding. The plasma concentration of most non-essential amino acids also increased except that of glycine, which decreased significantly. Cold exposure increased the total oxygen consumption and reduced the respiratory quotient significantly. Release of amino acids from the viscera was stimulated by cold exposure. There was a variable increase in the hepatic uptake of lactate and alanine when the sheep were fasted and cold-exposed. The liver's glucose output doubled and the blood (arterial) glucose concentration significantly increased in the cold.

Amino Acids↗
PubMed1977

Bovine alpha s0 casein; a phosphorylated homologue of alpha s1 casein.

After consideration of its electrophoretic behaviour, amino acid composition and phosphate content, bovine alpha s0 casein has been shown to differ from alpha s1 casein only in respect of its phosphate content. The presence in alpha s0 casein of one phosphate residue more than occurs in alpha s1 casein was confirmed by comparative degradative studies performed on both proteins. From these it was concluded that alpha s0 casein may be considered as being alpha s1 casein which has been modified by phosphorylation of the seryl residue located at position 41.

Amino Acid Sequence↗
PubMed1975

Acute cold exposure and the metabolism of blood glucose, lactate and pyruvate, and plasma amino acids in the hind leg of the fed and fasted young ox.

1. Young steers were fed either 3-4 or 20 h before exposure to a thermoneutral or a moderately cold environment. Measurements were made of total oxygen consumption (total V 0-2), respiratory quotient (rq), blood packed cell volume (PCV), and hind-leg blood flow (leg Q) and oxygen uptake (leg VO-2). The arteriovenous differences in whole blood glucose, lactate and pyruvate, and individual amino acid and urea concentrations across the leg were also measured. Net exchange and fractional uptake of these metabolites by the leg were calculated from these results. 2. Cold exposure doubled total VO-2, significantly decreased RQ and significantly increased PCV. Leg Q and leg VO-2 increased 3- to 5-fold and 4- to 13-fold respectively in both feeding groups. Arterial blood glucose increased slightly but significantly in both 20 h- and 3 h-fed steers. There was a substantial increase in mean net leg uptake of glucose in both feeding groups. This was much greater in the 20 h-fed group because of the significant increase in fractional uptake occurring only in this group. Cold did not significantly affect arterial blood lactate or pyruvate levels, but the net leg output of lactate found in both feeding groups in thermoneutrality was increased in the 20 h-fed steers, and reversed to a net uptake in the 3 h-fed animals. Cold caused a small but significant decrease in the total plasma amino acid level in the 20 h-fed but not in the 3 h-fed group; individual amino acid levels or leg uptakes were not affected. 3. Feeding before the experiment caused a significant increase in RQ. Leg Q, leg uptake of glucose and leg output of lactate increased after feeding in the thermoneutral environment only. Arterial pyruvate increased significantly, but net leg output was not significantly affected by feeding. Arterial plasma concentration of several individual, but not of total amino acids, increased significantly in both environments, and the net output of many individual amino acids in the 20 h-fed steers was decreased or reversed to a net uptake in the 3 h-fed group in thermoneutrality only. 4. The results suggest that blood glucose could be a significant fuel for oxidation in shivering skeletal muscle in young steers, and that output of amino acids from skeletal muscle could not contribute significantly to this increased glucose supply by hepatic gluconeogenesis.

Acclimatization↗
PubMed1974

Sweat proteins.

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Animals↗