Local heat in the treatment of sporotrichosis

Summary After making some considerations concerning the therapeutic methods used in the treatment of sporotrichosis, the case of a 45 years old woman with numerous tumor-like dermoepidermic lesions with lymphangitic dissemination of sporotrichosis of the left leg is presented. Treatment by immersing the affected limb in a waterbath at 45° C for 30 minutes 4 times daily was performed. After the third day of treatment the lesions began to improve, and the number of colonies in the cultures decreased. After the 21th day of treatment cultures from the lesions were consistently negative. After 8 weeks of treatment the patient was discharged and a year later there have been no recurrences. The effect of temperature on this organism and the distribution of lesions in patients in the tropics are discussed.

---

Resumen Después de hacer algunas consideraciones sobre los procedimientos terapéuticos utilizados en la esporotricosis, se presenta un caso de esporotricosis, con gran número de lesiones tumorales dermoepidérmicas y diseminación linfática, localizada en la pierna izquierda de una mujer de 45 años de edad.El tratamiento de esta paciente por medio de inmersión del miembro afectado en un baño de agua a 45° C durante 30 minutos 4 veces al día, determinó que desde el tercer día comenzaron a mejorar las lesiones y a disminuir el número de colonias en los cultivos tomados de las mismas. A partir del 21° día de tratamiento los cultivos sembrados con material de las lesiones fueron siempre negativos. Se consideró terminado el tratamiento al cabo de 8 semanas. Un año más tarde no se había presentado recidiva.Se hacen algunas consideraciones sobre los mecanismos de acción de los yoduros y el calor en la esporotricosis y del calor en otras enfermedades cutáneas producidas por protozoarios o por virus. Se señala el hecho de que en zonas tropicales como Centro América no se conocen casos de esporotricosis visceral u ósea.

     

Errors in heat flux measurements due to the thermal resistance of heat flux disks

Questions have been raised regarding the effect of the thermal resistance of heat flux transducers (HFTs) on the thermal flux from the skin. A model capable of simulating a large range of "tissue" insulation (variable-R model) was used to study the effect of the underlying tissue insulation on the relative error in heat flux due to the thermal resistance of the HFTs. The data show that the deviation from the true value of heat flux increases as the insulation of the underlying tissue decreases (r = 0.99, P less than 0.001). The underestimation of the heat flux through the skin measured by an HFT is minimal when the device is used on vasoconstricted skin in cool subjects (3-13% error) but becomes important when used during vasodilation in warm subjects (29-35% error) and even more important on metallic-skin mannequins (greater than 60% error).     

Characterization of the heat shock response in cultured sugarcane cells : I. Physiology of the heat shock response and heat shock protein synthesis

Effect of heat shock on the growth of cultured sugarcane cells (Saccharum officinarum L.) was measured. Heat shock (HS) treatment at 36 to 38°C (2 hours) induced the development of maximum thermotolerance to otherwise nonpermissive heat stress at 54°C (7 minutes). Optimum thermotolerance was observed 8 hours after heat shock. Development of thermotolerance was initiated by treatments as short as 30 minutes at 36°C. Temperatures below 36°C or above 40°C failed to induce maximum thermotolerance. In vivo labeling revealed that HS at 32 to 34°C induced several high molecular mass heat shock proteins (HSPs). A complex of 18 kilodalton HSPs required at least 36°C treatment for induction. The majority of the HSPs began to accumulate within 10 minutes, whereas the synthesis of low molecular mass peptides in the 18 kilodalton range became evident 30 minutes after initiation of HS. HS above 38°C resulted in progressively decreased HSP synthesis with inhibition first observed for HSPs larger than 50 kilodaltons. Analysis of two-dimensional gels revealed a complex pattern of label incorporation including the synthesis of four major HSPs in the 18 kilodalton range and continued synthesis of constitutive proteins during HS.     

Regulation of heat shock protein 70 synthesis by heat shock in the preimplantation murine embryo

Induced thermotolerance in murine embryos occurs at the 8-cell stage when embryos are maintained in vitro but not until the blastocyst stage if development proceeds in vivo. Present results indicate that ability of embryos to undergo induced thermotolerance is not limited by heat shock protein 70 (HSP70) synthesis. Exposure of 8-cell embryos to 40 degrees C enhanced synthesis of 2 constitutive HSP70 proteins (HSC70 and HSC72) and induced another protein, HSP68; exposure of 43 degrees C was required to induce similar responses in expanded blastocysts. Unlike induced thermotolerance, increased synthesis of HSP70 molecules did not depend on whether embryos were cultured or developed in vivo. Thus, other biochemical mechanisms in addition to HSP70 confer thermotolerance in the preimplantation-stage murine embryo. The observation that the temperature threshold for induction of HSP70 synthesis increased from the 8-cell to the blastocyst stage is indicative of these other biochemical processes.     

Elevation of the heat resistance of Salmonella typhimurium by sublethal heat shock

The survival of Salmonella typhimurium after a standard heat challenge at 55°C for 25 min increased by several orders of magnitude when cells grown at 37°C were pre-incubated at 42°, 45° or 48°C before heating at the higher temperature. Heat resistance increased rapidly after the temperature shift, reaching near maximum levels within 30 min. Elevated heat resistance persisted for at least 10 h. Preincubation of cells at 48°C for 30 min increased their resistance to subsequent heating at 50°, 52°, 55°, 57° or 59°C. Survival curves of resistant cells were curvilinear. Estimated times for a '7D' inactivation increased by 2.6- to 20-fold compared with cells not pre-incubated before heat challenge.     

Elevation of the heat resistance of Salmonella typhimurium by sublethal heat shock

The survival of Salmonella typhimurium after a standard heat challenge at 55 degrees C for 25 min increased by several orders of magnitude when cells grown at 37 degrees C were pre-incubated at 42 degrees, 45 degrees or 48 degrees C before heating at the higher temperature. Heat resistance increased rapidly after the temperature shift, reaching near maximum levels within 30 min. Elevated heat resistance persisted for at least 10 h. Pre-incubation of cells at 48 degrees C for 30 min increased their resistance to subsequent heating at 50 degrees, 52 degrees, 55 degrees, 57 degrees or 59 degrees C. Survival curves of resistant cells were curvilinear. Estimated times for a '7D' inactivation increased by 2.6- to 20-fold compared with cells not pre-incubated before heat challenge.     

Interaction of the Neurospora crassa heat shock factor with the heat shock element during heat shock and different developmental stages

The interaction of the heat shock factor (HSF) with the heat shock element (HSE) was determined by a non-radioactive electrophoretic mobility shift assay, in order to analyze HSF regulation in Neurospora crassa. HSF binds to HSE under normal, non-stress conditions and is thus constitutively trimerized. Upon heat shock, the HSF-HSE complex shows a retarded mobility. This was also observed in Saccharomyces cerevisiae, where this mobility shift was shown to be due to HSF phosphorylation [Sorger and Pelham (1988) Cell 54, 855-864]. In N. crassa, HSE-dependent electrophoretic mobility shift is temperature- and time-dependent. Under normal growth conditions, the HSF is located in the cytoplasm as well as in the nucleus. In germinating conidia the HSF shows a retarded mobility typical for heat shock even at normal growth temperatures. No HSF-dependent mobility shift was detectable in aerial hyphae.