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A new liquid, intravenous immunoglobulin product (IGIV 10%) highly purified by a state-of-the-art process.

BACKGROUND AND OBJECTIVES: The ultimate goal was to generate an industrial-scale process suitable to produce a high-yield, safe and stable immunoglobulin G (IgG) preparation for intravenous administration, which is ready to use for customer convenience. This new liquid 10% IgG preparation (IGIV 10%) was compared to Gammagard SD, a licenced lyophilized immunoglobulin in biochemical and preclinical testing. MATERIALS AND METHODS: The new process, which includes three dedicated virus clearance steps, is a streamlined combination of the currently applied and well-established manufacturing procedures. The biochemical characterization is done by standard methods focusing on purity, integrity and functionality of the preparation. Efficacy is demonstrated in vivo by mouse protection testing and in vitro by opsonization and protein A affinity chromatography. Pharmacokinetics in rats is evaluated after a single intravenous dose. The anaphylactoid potential is determined in rats and in guinea pigs, while thrombogenicity is assessed in a rabbit model. The influence of the products on vital functions is tested on dogs, while acute toxicity studies are carried out on mice and rats. RESULTS: The biochemical characterization data demonstrate the high purity of monomeric IgG in the product. The mouse protection test showed that the protective activity against systemic bacterial infections of IGIV 10% is at least as good as the reference Gammagard SD. This result is supported by the broad spectrum of antibodies in high titres against bacteria and viruses and the high functional integrity of the IgG molecule (> or = 90% functionally intact IgG) in IGIV 10%. The opsonic activity of all IGIV 10% lots is similar to the one of the reference Gammagard SD. In safety and thrombogenicity studies, no adverse effects of IGIV 10% were observed. Pharmacokinetic studies showed no statistically significant differences between the two products. In the acute toxicity animal studies, IGIV 10% compared favourably to the reference Gammagard SD. CONCLUSIONS: The new manufacturing process enables the production of a highly purified IgG preparation for intravenous administration. The product has an IgG subclass distribution similar to plasma and contains a broad spectrum of functionally intact antibodies. Preclinical studies demonstrate that the liquid IGIV 10% combines excellent qualities of efficacy, safety and tolerability.

Animals↗

Influence of signal duration on the masking-level difference.

The effect of signal duration on the 500-Hz masking-level difference was studied in 4 subjects using an adaptive, two-interval, forced-choice method. SoNo, S pi No, and SoN pi thresholds for 13 signal durations between 2 and 100 ms were established in continuous broadband noise (36.2 dB pressure-spectrum level). The signals were synthesized and gated digitally with 1-ms rise-fall times. The SoNo threshold integration functions diverged from the S pi No or the SoN pi threshold integration functions as the signal duration was reduced from 100 ms to 6-10 ms. As the signal duration was reduced below 6-10 ms, however, the threshold integration functions for SoNo, S pi No, and SoN pi converged. The relationships among the threshold integration functions were reflected in the SoNo-S pi No and the SoNo-SoN pi masking-level differences that increased as the signal duration was reduced from 100 to 6-10 ms and then decreased as the signal duration was reduced below 6-10 ms.

Acoustic Stimulation↗

The effects of socioeconomic status on hand size and strength, vestibular function, visuomotor integration, and praxis in preschool children.

Differences in hand size and strength, vestibular function, visuomotor integration, and praxis in preschool children as a function of socioeconomic status were investigated. Twenty-two children of lower socioeconomic status, aged 3 to 5 years, were each matched with a child of higher socioeconomic status on the basis of race, sex, hand dominance, age, height, and weight. Measures used were the Developmental Test of Visual-Motor Integration (Beery, 1982), hand size and strength, the Standing Balance subtests of the Southern California Sensory Integration Tests (Ayres, 1972), the Bowman Unilateral Hopping Test (Flannigan, 1987), the Southern California Postrotary Nystagmus Test (Ayres, 1975), the praxis tests of the Sensory Integration and Praxis Tests (SIPT) (Ayres, 1984), and the Bowman Quality of Prone Extension Scale (Etheredge, 1987). Analyses with two separate Hotelling's T2 for correlated samples (Huck, Cormier, & Bounds, 1974) revealed significant differences in hand size and strength as well as praxis, and subsequent post hoc analyses revealed better scores for the higher socioeconomic status group on right hand strength and on the Praxis on Verbal Command subtest of the SIPT. A paired t test also revealed that the higher socioeconomic status group scored better on visuomotor integration. Analysis with Hotelling's T2 revealed no significant differences between the two groups on the vestibular measures. The results of this study suggest that on certain tests used by occupational therapists, children from a higher socioeconomic status group may function at a higher developmental level than those from a lower socioeconomic status group. When interpreting clients' test results, therefore, therapists should consider the possible influence of socioeconomic status.

Child Development↗

Preservation of ischemic myocardial function and integrity with targeted cytoskeleton-specific immunoliposomes.

OBJECTIVES: We sought to demonstrate preservation of myocardial function and integrity after targeted cytoskeleton-specific immunoliposome (CSIL) treatment of globally ischemic Langendorff instrumented hearts and a time response to treatment. BACKGROUND: Cell membrane lesion sealing of hypoxic cardiocytes in culture with CSIL has been reported. METHODS: Langendorff-perfused isolated rat hearts were subjected to global ischemia (25 min). Either CSIL or placebo administration (1-min ischemia) was followed by 30 min of reperfusion. Immunoglobulin G liposomes (IgG-L) or CSIL was also infused at 5, 10, and 20 min of ischemia, reperfused, and then prepared for histochemical staining and electron microscopy. RESULTS: Recovery of left ventricular developed pressure (LVDP) of ischemic hearts treated with CSIL at 1 min of ischemia, assessed at 5 min of reperfusion (98 +/- 14%), was similar to that of sham-operated hearts (100%) but was significantly greater than that of placebo-treated hearts (12 +/- 7%, p = 0.01). The LVDP of hearts treated with CSIL at 5, 10, and 20 min was significantly greater than that with IgG-L at corresponding times (p < 0.03). Histochemical integrity and ultra-structural myocardial integrity were consistent with the functional data. CONCLUSIONS: Preservation of myocardial viability ex vivo was achieved with CSIL therapy. The extent of preservation is proportional to the time of initiation of therapy. Beneficial effects were observed even when CSIL therapy was initiated at 20 min of global ischemia. Therefore, delayed CSIL intervention after the onset of ischemia may augment preservation of myocardial viability during reperfusion therapy.

Animals↗

Maximal functions: Poisson integrals on symmetric spaces.

Let u be a harmonic function on a symmetric space which is the Poisson integral of a function f in L(p), 1 </= p </= infinity. Then u converges restrictedly and admissibly to f almost everywhere. This result is proved by obtaining an appropriate maximal theorem which takes into account the structure of the Poisson kernel.

Journal Article↗

Intraoperative spinal cord monitoring for intramedullary surgery: an essential adjunct.

Intraoperative monitoring of the functional integrity of the spinal cord during removal of intramedullary spinal cord lesions is an aid in intraoperative decision making and a primary tool for the prediction of neurological outcome. Motor evoked potential monitoring has become the neurophysiological monitoring technique of choice for that purpose. In the senior author's experience with over 130 pediatric patients suffering from intramedullary spinal cord tumors, the neurophysiological data of both motor and sensory evoked potentials was utilized in an integrative fashion. Motor evoked potentials, elicited with single transcranial electrical stimuli and recorded directly from the spinal cord with an electrode in the spinal epidural space, reflect the functional integrity of the corticospinal tract. Motor evoked potentials, elicited with a short train of transcranial electrical stimuli and recorded from limb muscles, reflect the functional integrity of the motor system from the cerebral cortex/white matter to beyond the neuromuscular junction. Both epidural and muscle motor evoked potentials correlated closely with postoperative neurological function. Both techniques provide fast, practical and reliable information on the functional integrity of the motor tracts of the spinal cord. No complications attributable to stimulation or recording occurred. Over time both the technique's reliable power of predicting clinical outcome and its practical versatility have altered the surgical approach in that gross total resections are more readily attempted as long as motor evoked potential data indicate the intact functional integrity of the corticospinal tract. This monitoring technique unquestionably had a favorable impact on neurological outcome.

Adolescent↗

Functional network integration of embryonic stem cell-derived astrocytes in hippocampal slice cultures.

Embryonic stem (ES) cells provide attractive prospects for neural transplantation. So far, grafting strategies in the CNS have focused mainly on neuronal replacement. Employing a slice culture model, we found that ES cell-derived glial precursors (ESGPs) possess a remarkable capacity to integrate into the host glial network. Following deposition on the surface of hippocampal slices, ESGPs actively migrate into the recipient tissue and establish extensive cell-cell contacts with recipient glia. Gap junction-mediated coupling between donor and host astrocytes permits widespread delivery of dye from single donor cells. During maturation, engrafted donor cells display morphological, immunochemical and electrophysiological properties that are characteristic of differentiating native glia. Our findings provide the first evidence of functional integration of grafted astrocytes, and depict glial network integration as a potential route for widespread transcellular delivery of small molecules to the CNS.

Animals↗

Face-integrated Fukui function: understanding wettability anisotropy of molecular crystals from density functional theory.

Wettability is one of the anisotropic surface properties of molecular crystals that exhibit the structural variance of chemical moieties on various growth faces. The divergence in liquid-solid interactions at different faces is thought to be related to the inherent responding capacity or sensitivity of a solid surface to the perturbation in electronic structures and atomic positions as a result of the contact by a liquid. Since the Fukui function, according to density functional theory (DFT), is a local function for describing such sensitivity to the structural perturbation and is directly related to local softness, it has been proposed and tested to use an integrated Fukui function over a crystallographic plane for describing the anisotropy of solid-liquid interactions. It is found that the contact angle of a polar solvent, such as water, on a crystal surface shows an intimate connection to the integrated Fukui functions of the surface, illustrating an extension of Pearson's HSAB (hard and soft acids and bases) to crystal systems. The concept of face-integrated Fukui function and the approach to apply the HSAB with the DFT-based concepts may provide a powerful means for describing anisotropic properties, including wettability of organic crystals.

Anisotropy↗

A-to-I pre-mRNA editing in Drosophila is primarily involved in adult nervous system function and integrity.

Specific A-to-I RNA editing, like that seen in mammals, has been reported for several Drosophila ion channel genes. Drosophila possesses a candidate editing enzyme, dADAR. Here, we describe dADAR deletion mutants that lack ADAR activity in extracts. Correspondingly, all known Drosophila site-specific RNA editing (25 sites in three ion channel transcripts) is abolished. Adults lacking dADAR are morphologically wild-type but exhibit extreme behavioral deficits including temperature-sensitive paralysis, locomotor uncoordination, and tremors which increase in severity with age. Neurodegeneration accompanies the increase in phenotypic severity. Surprisingly, dADAR mutants are not short-lived. Thus, A-to-I editing of pre-mRNAs in Drosophila acts predominantly through nervous system targets to affect adult nervous system function, integrity, and behavior.

Adenosine Deaminase↗

Integrity of lateral and feedbackward connections in visual processing in children with pervasive developmental disorder.

Enhanced visual detail processing in subjects with pervasive developmental disorder (PDD) has been related to impairments in feature integration. The functional integrity of two types of neuronal connections involved in visual feature integration, namely horizontal and feedbackward connections, were tested. Sixteen children with PDD and 17 age- and IQ-matched control children (mean age 13.3 years) were included. In a texture segregation task the difference in ERP response to homogeneous and checkered visual stimuli was determined. Additionally, in a contour integration task subjects had to point out a contour consisting of colinearly aligned Gabor signals in backgrounds increasing in noise. Children with PDD showed a normal performance on the contour integration task, suggesting that neurons in the primary visual cortex of children with PDD can effectively integrate the activity of local detectors that process different aspects of the same object information by making use of long-range lateral connections. The amplitude of ERP activity related to texture segregation was also not different between the PDD and control groups, indicating functional visual feedback mechanisms between V1 and higher order areas in subjects with PDD. However, a difference in latency of texture-segmentation related activity between the groups was noted. This effect did not reach significance, which could be due to the small N of the study. Therefore, the data need replication in a study with larger samples before more definitive conclusions can be drawn.

Adolescent↗

Bacteriophage P22-mediated specialized transduction in Salmonella typhimurium: identification of different types of specialized transducing particles.

The temperate bacteriophage P22 mediates both generalized and specialized transduction in Salmonella typhimurium. Specialized transduction by phage P22 is different from, and less restricted than, the well characterized specialized transduction by phage lambda, due to differences in the phage DNA packaging mechanism. Phage lysates produced by induction of lysogenic strains contain very high frequencies of supQ newD- and proA,B-specialized transducing particles (10(-2)/PFU and 10(-3)/PFU, respectively), most of which are produced by independent aberrant excision events of various types. In a model, 12 different modes of transduction mechanisms were characterized by: (i) the structure of the specialized transducing genomes after injection into a new host cell, i.e., linear or circular, and (ii) the requirements for the transduction process, i.e., host recombination functions, phage integration functions, or presence of a prophage. By using different recipient strains and phage helper strains, it was possible to show that most specialized transducing particles (ca. 99%) contain linear genomes that cannot circularize upon injection into a new host cell and that require the presence of an integrated prophage as a site for a recombinational event to give rise to a transductant. Only 0.1% of all specialized transducing particles were shown to transduce by integration, suggesting that transducing genomes containing terminally redundant ends represent only a minor fraction of all transducing particles that are produced. However, it should be pointed out that the frequency (approximately 10(-5)/PFU) of these specialized transducing genomes that can circularize upon injection into a new host cell is as high as or even higher than the frequency of specialized transducing particles of phage lambda. The remaining approximately 1% of all specialized transducing particles can transduce by any one of the other mechanisms described.

Adsorption↗

Selection for loss of p53 function in T-cell lymphomagenesis is alleviated by Moloney murine leukemia virus infection in myc transgenic mice.

Thymic lymphomas induced by Moloney murine leukemia virus (MMLV) have provided many examples of oncogene activation, but the role of tumor suppressor pathways in these tumors is less clear. These tumors display little evidence of loss of heterozygosity, and MMLV is only weakly synergistic with the Trp53 null genotype, suggesting that viral lymphomagenesis involves mechanisms which do not require mutational loss of Trp53 function. To explore this relationship in greater depth, we infected CD2-myc transgenic mice with MMLV and examined the role of Trp53 in the genesis of these tumors. Most (19 of 27) of the tumors from MMLV-infected, CD2-myc Trp53(+/-) mice retained the wild-type Trp53 allele in vivo while tumors of uninfected CD2-myc Trp53(+/-) mice invariably showed allele loss from a significant fraction of primary tumor cells. The functional integrity of the Trp53 gene in these tumors was indicated by ongoing allele loss or selection for mutational stabilization during in vitro propagation and by the radiosensitivity of selected Trp53(+/-) tumor cell lines. An inverse correlation was noted between retention of the wild-type Trp53 allele and expression of p19(ARF), providing further evidence of negative-feedback control of the latter by p53. However, expression of p19(ARF) does not appear to be counterselected in the absence of p53, and its integrity in Trp53(+/-) tumors was indicated by its transcriptional upregulation on Trp53 wild-type allele loss in vitro in selected tumor cell lines. The role of MMLV was investigated further by analysis of proviral insertion sites in tumors of CD2-myc transgenic mice sorted for Trp53 genotype. A proportion of tumors showed insertions at Runx2, an oncogene which has been shown to collaborate independently with CD2-myc and with the Trp53 null genotype, and at a novel common integration site (ptl-1) on chromosome 8. Genotypic analysis of the panel of tumors suggested that neither of these integrations is functionally redundant with loss of p53, but it appears that the combination of the MMLV oncogenic program with the CD2-myc oncogene relegates p53 loss to a late step in tumor progression or in vitro culture. While the means by which these tumors preempt the p53 tumor suppressor response remains to be established, this study provides further evidence that irreversible inactivation of this pathway is not a prerequisite for tumor development in vivo.

Animals↗

Prey transport in "palatine-erecting" elapid snakes.

Cobras and mambas are members of a group of elapid snakes supposedly united by the morphology and inferred behavior of their palatine bone during prey transport (palatine erectors). The palatine erectors investigated (Dendroaspis polylepis, Naja pallida, Ophiophagus hannah, Aspidelaps scutatus, A. lubricus) show differences in the morphology of their feeding apparatus that do not affect the overall behavior of the system. We delineated the structures directly involved in producing palatine erection during prey transport. Palatine erection can be achieved by a colubroid muscle contraction pattern acting on a palato-pterygoid bar with a movable palato-pterygoid joint and a palatine that is stabilized against the snout. The palatine characters originally proposed to cause palatine erection are not required to produce the behavior and actually impede it in Naja pallida. Palatine-erecting elapids share a fundamental design of the palato-maxillary apparatus with all higher snakes. A set of plesiomorphic core characters is functionally integrated to function in prey transport using the pterygoid walk. Variant characters are either part of a structural periphery unrelated to the core structures that define function or patterns of variation are subordinate character sets operating within functional thresholds of a single system.

Animals↗

Impact of polysol, a newly developed preservation solution, on cold storage of steatotic rat livers.

Chronic shortage of donor organs has led to acceptance of steatotic livers as grafts, although there is a higher risk of primary graft dysfunction. We herein report the beneficial impact of Polysol, a newly developed preservation solution, on cold storage of steatotic rat livers. Dietary hepatic steatosis was induced in Wistar rats by 2-day fasting and subsequent 3-day re-feeding with a fat-free, carbohydrate-rich diet. Fatty livers were retrieved, flushed and then stored at 4 degrees C for 24 hours with either HTK or Polysol. Functional integrity of the grafts was evaluated by isolated reperfusion with oxygenated Krebs-Henseleit buffer at 37 degrees C for 45 minutes in both groups. Polysol preservation resulted in significant reductions of not only parenchymal (AST (IU/L); 6728+/-824 in HTK vs. 3107+/-718 in Polysol; P < 0.001) but also mitochondrial (GLDH (IU/L); 3189+/-773 vs. 1282+/-365; P < 0.01) enzyme release throughout reperfusion. Moreover, PVP (16.9+/-2.7 vs. 7.8+/-1.5 mmHg; P < 0.05), hepatic O2 consumption (0.291+/-0.047 vs. 1.056+/-0.053 micromol/g liver/min; P < 0.001), tissue ATP content (0.695+/-0.086 vs. 1.340+/-0.157 micromol/g dry-liver; P < 0.005), bile production (0.79+/-0.11 vs. 4.08+/-0.66 microL/g liver/45-min; P < 0.001), malondialdehyde into the perfusate (1.922+/-0.198 vs. 0.573+/-0.094 nmol/L; P < 0.0001) and wet/dry-weight ratio of the liver tissues (5.20+/-0.31 vs. 3.85+/-0.15; P < 0.005) were all better preserved by Polysol. In line with these benefits, electron microscopy revealed that Polysol preservation substantially suppressed deleterious mitochondrial alterations in steatotic livers. In conclusion, cold storage using Polysol resulted in significantly better integrity and function of steatotic livers. Polysol, therefore, may be a new alternative especially for "marginal" organs.

Animals↗

DL-2-Oxo-3-(2-mercaptoethyl)-5-phenylimidazolidine. A sulfhydryl metabolite of levamisole that interacts with microtubules.

DL-2-Oxo-3-(2-mercaptoethyl)-5-phenylimidazolidine (OMPI) a sulfhydryl metabolite of levamisole, unlike the parent compound, is shown to interfere with the morphological and functional integrity of microtubules in cultured cells at high concentrations (1.6-10(-4) M). Lower concentrations do not affect the cell morphology, viability or growth rate in any appreciable way. Both levamisole and OMPI, at low concentrations (10(-5)-10(-6) m), markedly enhance the antimicrotubular effect of mercaptoethanol. High concentrations of OMPI (+/- 10(-4) M) inhibit the self-assembly of microtubules in a cell free system. Low concentrations (+/- 10(-6) M) markedly enhance the polymerization rate of tubulin. Levamisole has no effect on tubulin polymerization. The effects of OMPI on microtubules in cells and in the polymerization system can be reversed by reduced glutathione, cysteine and dithiothreitol. The data indicate that OMPI interacts in a biphasic manner with microtubule formation probably through interaction with critical SH-groups on the tubulin molecule. It seems of interest to further investigate the hypothesis that the immunomodulating properties of levamisole are at least partially due to the formation of its metabolite (OMPI) which could enhance microtubule integrity and function in leukocytes.

Cells, Cultured↗

Dendritic attenuation of synaptic potentials and currents: the role of passive membrane properties.

The dendritic trees of neurons are structurally and functionally complex integrative units receiving thousands of synaptic inputs that have excitatory and inhibitory, fast and slow, and electrical and biochemical effects. The pattern of activation of these synaptic inputs determines if the neuron will fire an action potential at any given point in time and how it will respond to similar inputs in the future. Two critical factors affect the integrative function of dendrites: the distribution of voltage-gated ion channels in the dendritic tree and the passive electrical properties, or 'electrotonic structure', upon which these active channels are superimposed. The authors review recent data from patch-clamp recordings that provide new estimates of the passive membrane properties of hippocampal neurons, and show, with examples, how these properties affect the shaping and attenuation of synaptic potentials as they propagate in the dendrites, as well as how they affect the measurement of current from synapses located in the dendrites. Voltage-gated channels might influence the measurement of 'passive' membrane properties and, reciprocally, passive membrane properties might affect the activation of voltage-gated channels in dendrites.

Animals↗

Neural xenotransplantation: reconstruction of neuronal circuitry across species barriers.

Selective replacement of degenerated neurons in the adult brain with allogeneic fetal neuroblasts is a promising therapeutic modality for human neurodegenerative diseases, but is confounded with practical and potential ethical problems. To evaluate the potential of xenogeneic donors as a cell source for neural transplantation, we have critically examined the available experimental evidence in animal models pertaining to the survival, integration and function of xenogeneic fetal neuroblasts in the host brain. A statistical meta-analysis across multiple studies revealed that immunologically-related transplantation parameters (immunosuppression and donor-host phylogenetic distance) were the main determinants of neural xenograft survival. The immunological basis for xenograft rejection is reviewed in the context of novel immunoprotection strategies designed to enhance xenograft survival. Furthermore, the evidence for behavioral recovery based on anatomical and functional integration of neural xenografts in the host brain is examined with an awareness of developmental considerations. It is concluded that neural xenotransplantation offers a unique opportunity for effective neuronal replacement with significant potential for clinical use.

Animals↗

New approaches for exploring anatomical and functional connectivity in the human brain.

Information processing in the primate brain is based on the complementary principles of modular and distributed information processing. The former emphasizes the specialization of functions within different brain areas. The latter emphasizes the massively parallel nature of brain networks and the fact that function also emerges from the flow of information between brain areas. The localization of function to specific brain areas ("functional segregation") is the commonest approach to investigating function; however, an emerging, complementary approach ("functional integration") describes function in terms of the information flow across networks of areas. Here, we highlight recent advances in neuroimaging methodology that have made it possible to investigate the anatomical architecture of networks in the living human brain with diffusion tensor imaging (DTI). We also highlight recent thinking on the ways in which functional imaging can be used to characterize information transmission across networks in the human brain (functional and effective connectivity).

Animals↗