Decreased tuftsin concentrations in patients who have undergone splenectomy.

Serum tuftsin concentrations were measured, using a radioimmunoassay developed in Israel, in normal subjects and in patients who had undergone splenectomy. Concentrations in those who had undergone traumatic and elective splenectomy were much lower. The tuftsin concentration in 38 patients with Hodgkin''s disease who had undergone splenectomy during staging laparotomy was not significantly different from the mean concentration in other patients who had had elective splenectomy. In four patients who underwent splenectomy for non-malignant haematological disorders measurements made before and after operation showed that tuftsin concentrations fell significantly in the days after operation. The increased susceptibility to overwhelming infections of patients with Hodgkin''s disease and others who have undergone splenectomy may be related to the low tuftsin concentrations. As pre-splenectomy tuftsin concentrations in patients with Hodgkin''s disease were normal, the practice of performing staging laparotomy and splenectomy in patients with Hodgkin''s disease should perhaps be reconsidered.     

Changes in immune status in patients undergoing splenectomy for the staging of Hodgkin's disease.

The immune status of 17 patients with Hodgkin''s disease was studied before and after splenectomy (undertaken in staging laparotomy) and during chemotherapy or after radiotherapy. The findings were compared with those in 19 patients not selected for splenectomy. Serum IgA and IgM levels became significantly lower after treatment in the splenectomy group. Cell-mediated immunity was depressed mainly in patients receiving quadruple cytotoxic chemotherapy. Neutrophil function was normal or enhanced and was unchanged after splenectomy and treatment despite changes in neutrophil counts. Three patients who underwent splenectomy suffered fatal septicaemia. These results suggest that humoral immunity is depressed by treatment in patients who have undergon splenectomy, and the benefits of early accurate staging must be weighed against the likelihood of infective complications.     

La laparotomie dans la maladie de Hodgkin: signification de l'atteinte de la rate.

We retrospectively reviewed 224 cases of Hodgkin''s disease, in 120 of which staging laparotomy was performed. The surgical findings in cases of clinical stage I or II disease with supradiaphragmatic presentation or clinical stage III disease did not influence the treatment plans. Of the 64 patients with positive results of laparotomy (splenic or lymph node involvement or both) 51 had splenic involvement; their 5-year survival rate, 57%, was similar to that of the patients with clinical or pathological stage III disease - 58% and 54% respectively. At laparotomy 11 patients with pathological stage III disease were found to have isolated splenic involvement; their 5-year survival rate, 64%, was not appreciably different from that of the patients with clinical stage II disease, 70%; both groups were treated with radiotherapy only. From this study we can conclude that splenic involvement in Hodgkin''s disease has no deleterious effect on survival and that splenic irradiation seems to be as effective as splenectomy in controlling the disease.     

Juvenile malignant lymphomas. 1. Hodgkin's lymphoma

From 1970 to 1978 22 children with Hodgkin's lymphomas at the age of 4-15 years were treated at the university children's hospital of Jena. There were 16 patients with the first appearance of the disease and 6 with relapses. The stage classification was carried out after the Ann-Arbor-classification. A "staging" operation with laparotomy and splenectomy was performed in 17 children. The histological material was classified after the Rye-modification of the Lukes-Butler-classification. The clinical staging showed 8 patients in stage I, 7 in stage II, 6 in stage III and one child was in stage IV. The therapy consisted of a telecobalt irradiation extended field irradiation, total nodular and local irradiation) with a focal dose of 4500 rad and a chemotherapy (6 cycles COPP). The life-table-analysis for those patients who were primarily treated in Jena showed a complete five-year-remission rate of 92 per cent. The five-year-survival-rate for all patients (with the first appearance of the disease and with relapses) amounts to 77 per cent. After splenectomy we observed two overwhelmingly progressing aetiologically not clear infections and a pneumococcal meningitis.     

Radiotherapy in the treatment of Hodgkin's disease.

Eighty-seven untreated patients with localised Hodgkin''s disease seen from 1969 to 1975 were treated by megavoltage radiotherapy. All were followed for at least 33 months. Thirty-three patients were staged clinically and 54 underwent more extensive investigation by lapaortomy and splenectomy. The projected five-year disease-free survival figures for patients staged surgically were 100% for the 17 with stage IA disease, 70% for the 19 with stage IIA disease, and 73% for the 15 with stage IIIA disease. These results were consistently better than those obtained in clinically staged patients. Five patients died, one of them without evidence of Hodgkin''s disease. As irradiation seems to produce excellent disease-free survival in most patients who are staged accurately at diagnosis, caution should be exercised in the routine use of adjuvant chemotherapy until the full risks of such treatment are clear. Combined modality therapy may be appropriate for patients with unfavourable features at presentation.     

Portal hypertension complicating myelofibrosis: reversal following splenectomy.

Portal hypertension occurs in approximately 10% of patients with myelofibrosis. Increased portal blood flow secondary to splenomegaly has been proposed to explain its development. In a 60-year-old woman with proven myelofibrosis of 10 years'' duration and gross splenomegaly, portal hypertension developed with esophageal varices and ascites. There was no demonstrable obstruction to portal blood flow. Following splenectomy the ascites and esophageal varices disappeared. Despite the presence of splenic myeloid metaplasia, splenectomy did not impair the patient''s hematologic status. Portal hypertension complicating myelofibrosis has a poor prognosis, so careful attention should be given to its detection. Splenectomy may be preferable to portal-systemic shunting in the management of this complication.     

Acceleration of cell growth and ester formation by ultrasonic wave irradiation

The effects of ultrasonic wave irradiation on cell growth and the formation of ethanol and other volatile components in the fermentation process were investigated. The fermentation periods were reduced to 50–64% in wine, beer, and sake made from saccharified rice solution when weak ultrasonic waves were irradiated at 30 mW/cm²; the total intensity was 590 mW. YEPD medium fermented by a combination of optimal thermal trajectory control and continuous ultrasonic irradiation yielded a concentration of isoamylacetate about 2.5 times greater than the maximum concentration under isothermal conditions (20°C). Irradiation had virtually no effect when the dissolved carbon dioxide concentration (DCO₂) was maintained at a level lower than the experimental value of Bunsen's CO₂ absorption coefficient. Therefore, it is suggested that irradiation accelerates the formation of ethanol and other components mainly by decreasing DCO₂.     

Human γD-crystallin aggregation induced by ultraviolet C irradiation is suppressed by resveratrol

Human γD-crystallin, a 173-residue protein, is a major protein component of the human eye lens and associated with the development of juvenile and mature-onset cataracts. The study reported here is aimed at examining the effects of resveratrol on human γD-crystallin aggregation and/or precipitation triggered by ultraviolet-C (UV-C) light. Our turbidity, electron microscopy (TEM), and SDS–PAGE results showed that, under UV-C irradiation, resveratrol was able to suppress the formation of human γD-crystallin aggregates and the observed aggregation inhibition was dependent upon the concentration of resveratrol added. Through the use of Ellman reagent, the concentration of sulfhydryl group was observed to decrease upon prolonged UV-C irradiation. Also, there existed a positive correlation between the content of sulfhydryl group in human γD-crystallin and the concentration of resveratrol. Furthermore, we propose that resveratrol's free radical scavenging ability is likely to be correlated with its mechanism of action in inhibiting human γD-crystallin aggregation induced by UV-C irradiation. We believe this work may aid in the development of potential therapeutics for cataract.     

MOLECULAR ASSOCIATION OF HEMOCYANIN PRODUCED BY X-RAYS AS OBSERVED IN THE ULTRACENTRIFUGE

1. When normal, monodisperse hemocyanin (60.5S) from Limulus Rolyphemus was irradiated in neutral buffer with x-rays, several new, more rapidly sedimenting ultracentrifugal components (86S, 107S, 122S) were produced, with a corresponding loss in the amount of the unaffected protein. The amount of the effect was roughly proportional to the amount of irradiation. 2. The new resolvable components apparently represented an association of the primary particles into aggregates of 2, 3, and 4 primary particles respectively. 3. The proportional amount of hemocyanin affected decreased almost to the vanishing point as the concentration of the protein was raised to high levels. 4. The absolute effect, i.e. the total number of particles affected in a given volume, increased with the concentration of hemocyanin, at least for concentrations below 15 per cent. 5. The presence of 33 per cent horse serum during irradiation inhibited the effect on the hemocyanin almost completely, with hemocyanin concentrations of both 0.8 and 14 per cent. 6. The presence of 2.8 per cent egg albumin during irradiation lowered the effect by about 70 per cent in the case of dilute preparations (0.8 per cent hemocyanin), but by only about 25 per cent in the case of 14 per cent solutions. 7. A lowering of the solution''s oxygen tension during irradiation enhanced the effect, almost doubling it in some cases. 8. The probable theoretical significance of these and other observations are discussed in the text.     

Booster irradiation to the spleen following total body irradiation. A new immunosuppressive approach for allogeneic bone marrow transplantation

Graft rejection presents a major obstacle for transplantation of T cell-depleted bone marrow in HLA-mismatched patients. In a primate model, after conditioning exactly as for leukemia patients, it was shown that over 99% of the residual host clonable T cells are concentrated in the spleen on day 5 after completion of cytoreduction. We have now corroborated these findings in a mouse model. After 9-Gy total body irradiation (TBI), the total number of Thy-1.2+ cells in the spleen reaches a peak between days 3 and 4 after TBI. The T cell population is composed of both L3T4 (helper) and Lyt-2 (suppressor) T cells, the former being the major subpopulation. Specific booster irradiation to the spleen (5 Gy twice) on days 2 and 4 after TBI greatly enhances production of donor-type chimera after transplantation of T cell-depleted allogeneic bone marrow. Similar enhancement can be achieved by splenectomy on day 3 or 4 after TBI but not if splenectomy is performed 1 day before TBI or 1 day after TBI, strengthening the hypothesis that, after lethal TBI in mice, the remaining host T cells migrate from the periphery to the spleen. These results suggest that a delayed booster irradiation to the spleen may be beneficial as an additional immunosuppressive agent in the conditioning of leukemia patients, in order to reduce the incidence of bone marrow allograft rejection.     

Autoimmune hemolytic anemia terminating seven years later in Hodgkin's disease

A 64-year-old woman was treated during 7½ years for an isolated AIHA by transfusions, prednisone and splenectomy. The autoantibody was a warm-type IgG with anti-e specificity. At autopsy, generalized Hodgkin''s disease of mixed cellularity was found. Only 11 similar cases of hemolytic anemia preceding the development of Hodgkin''s disease have been reported in the literature. This association suggests a possible underlying defect in the immune system of the host.     

Postsplenectomy sepsis due to influenzal viremia and pneumococcemia.

A 31-year-old man, who had undergone splenectomy 18 months previously because of hereditary spherocytosis, suddenly became ill, with fever, vomiting, epigastric pain and shock, and died 10 hours after the onset of his symptoms. Autopsy showed influenzal viremia, pneumococcemia and bilateral adrenal hemorrhage. The rapid course of the patient''s illness emphasizes the serious risk of sepsis for individuals who have had a splenectomy. Anti-influenza immunization in such patients should be considered.     

Adaptive thermogenesis in Brandt's vole (Lasiopodomys brandti) during cold and warm acclimation

Brandt's voles (Lasiopodomys brandti) exposed to cold (5±1 °C) or warm (23±1 °C) showed some physiological and biochemical variations which might be important in adaptation to their environments. Cold acclimation induced increases in resting metabolic rate (RMR) and the serum triiodothyronine (T₃) level, the state-4 respiration of liver and muscle mitochondria were activated after 7 days when animals exposed to cold, and the activity of cytochrome c oxidase (COX) of liver and muscle mitochondria tended to rise with cold exposure. RMR and T₃ level decreased during warm acclimation. The state-4 respiration of liver mitochondria declined after 3 days and muscle after 7 days when animals exposed to warm, and the activities of COX of liver and muscle mitochondria tended to decrease with warm acclimation. The cold activation of liver and muscle mitochondrial respiration (regulated by T₃) was one of the cytological mechanisms of elevating RMR. Both state-4 respiration and COX activity of brown adipose tissue (BAT) mitochondria increased significantly during cold acclimation and decreased markedly after acclimated to warm. The uncoupling protein 1 (UCP1) contents in BAT increased after exposure to cold and decreased after warm acclimation. Nonshivering thermogenesis (NST) plays an important role in the process of thermoregulation under cold acclimation for Brandt's voles. Changes in thermogenesis is a important way to cold adaptation for Brandt's voles in natural environments.     

Periphyton growth and diatom community structure in a cooling water pond

Periphyton (Aufwuchs) accumulation was measured on artificial substrates in a pond in central Finland which receives warm cooling-water effluent from a power plant. The growth of periphyton was generally more rapid on the substrates during the first two weeks of colonization near the inflow of the warm water effluent than in the middle of the pond. The maximum accumulation of periphyton was in spring and autumn (dry weight maximum at warm effluent was in spring 3.5 mg DW cm⁻²,2.65 mg AFDW cm⁻²; chlorophyll a maximum 3.96 μg cm⁻² was found in autumn at pond-middle station). During mid-winter months the growth was strongly limited by solar radiation, but the growth was also slow at both stations in the summer months, when the power plant was out of operation. The periphyton accumulation rate was fastest near the water surface and decreased rapidly with increasing depth. A total of 167 diatom species were found in periphyton samples. However, most species were rare; many of the dominants were common to both plankton and periphyton. Species similarity analyses (Jaccard's similarity) between 10 different diatom communities (including periphyton from 9 different types of substrates and phytoplankton) indicated low similarity index values although differences between communities were not significant.     

Curative Radiotherapy in Hodgkin's Disease: Significance of Haematogenous Dissemination Established by Examination of Peripheral Blood and Spleen

Studies of peripheral blood leucocyte concentrates in patients with Hodgkin''s disease showed two types of cells believed to be typical for the disease in a number of patients. Involvement of the spleen as diagnosed after splenectomy and histological examination showed a close correlation with the presence of these characteristic cells in the peripheral blood. This is believed to be an argument for haematogenous spread or a multicentric origin of the disease in these cases. The results of attempted curative high-voltage radiotherapy with total node irradiation in 24 patients seem to support this concept. On the basis of the Rye classification of clinical stages the results of radiotherapy are not predictable. Six patients in stage II and seven in stage III were in remission, one in each of stages II and IV, and six in stage III had recurrences of the disease within one year. A division into localized or disseminated forms of the disease based on the investigations of blood and spleen showed all localized cases in remission; of the disseminated cases one reached a remission and all others had recurrences. In three patients the therapy could not be completed. These preliminary treatment results are believed to support the idea of a special role of the spleen in the dissemination of the disease. A new classification of clinical stages in Hodgkin''s disease is proposed.     

Evaluation of a vertical flat-plate photobioreactor for outdoor biomass production and carbon dioxide bio-fixation: effects of reactor dimensions, irradiation and cell concentration on the biomass productivity and irradiation utilization efficiency

Outdoor culture of the thermophilic cyanobacterium Synechocystis aquatilis SI-2 with a vertical flat-plate photobioreactor (VFPP) was studied during the period of January to August of 1999 in the northern region of Japan (Kamaishi, Iwate, 39 degrees N, 142 degrees E). The aim of this study was to investigate the CO2 fixation ability of the VFPP device under various irradiation conditions. An average biomass productivity of over 30 g m(-2) day(-1), which corresponds to a CO2 fixation rate of 50 g m(-2) day(-1), was achieved during this period with a 192-l scale culture. The effects on biomass productivity of the light path, height of the reactor, cell concentration and irradiation were also investigated. Variation of the optimal cell concentration to achieve the highest productivity for outdoor operation is discussed. A cell concentration of 1-2 g l(-1) was found to be most suitable for the irradiation range of 1-12 MJ m(-2) day(-1) under the experimental conditions used.     

Thrombocytopenia after autologous bone marrow transplantation in in acute lymphatic leukemia]

There is reported about the treatment of refractory thrombocytopenia in a 9 years old boy following the autologous bone marrow transplantation for acute lymphoblastic leukaemia. The megakaryocytes were found diminished in the bone marrow smears. Controls of the thrombocyte count and the kinetics with radioactively labeled platelets of a donor spoke in favour of immunothrombocytopenia. Threatening bleeding complications challenged the use of all treatment possibilities. The irradiation of the spleen was without any success. After the splenectomy the thrombocyte count increased slowly, but after a remarkable lag phase, however. A diminished reproduction capacity of the bone marrow graft for special cell sorts has to be taken into account in such cases. The usual cytodynamics after splenectomy cannot be expected at all.     

The effect of weather on the concentration of pollen within sugar-beet seed crops

The concentration of pollen in the air within diploid open-pollinated sugar-beet seed crops at Broom's Barn Experimental Station increased between 05.00 and 09.00 G.M.T. as relative humidity became less than 90%, was greatest between 09.00 and 11.00, when relative humidity was c. 75%, and gradually decreased towards evening. The average pollen concentration during 24 h periods ranged from 170 to 12400/m³ being greatest on fine, windy, dry days after periods of cooler weather. Rain during the morning washed pollen out of the air and damaged developing anthers, but rain in the late afternoon following a sunny morning seemed hardly to affect the pollen catch, while rain at night sometimes caused an immediate temporary increase in pollen concentration. Most pollen was released between 27 June and 31 July in all years (1965-7); more in the first than in the second half of July. 1965 was cool and damp, 1967 warm and dry, 1966 warm and dry early, and cool and wet late. The total pollen catch in 1965 was 83% and in 1966 31% of that in 1967 but the percentage germination of seed harvested in the 3 years was similar. The total pollen catch on a trap 230 m east of the 1965 crop was c. 1% of the catch within the crop on days with gusty westerly winds and the catch on a trap c. 46 cm above the 1966 crop averaged 78.6% of that at the level of most flowers.     

Patterns in the formation of structural-functional types of chromosome sets in the bone marrow in intact and experimental rats]

The bone marrow formation of three structure-functional types of chromosome combinations was studied on intact rats at diverse age periods and experimental models of splenectomy, aseptic inflammation, hypoxic state, hemorrhage, and irradiation. As a result, a dependence was revealed of their formation intensity upon the ontogenesis stage as well as upon the nature and power of the experimental factor affecting the organism.     

Comparison of the effects of irradiation and splenectomy on Babesia rodhaini infection in mice

Comparison of the effects of irradiation and splenectomy on Babesia rodhaini infection in mice. International journal for Parasitology 3: 773–781. Babesia rodhaini infection was compared in irradiated, splenectomized and control mice. Although irradiation reduced the weight of the spleen by as much as 95 per cent, this reduction in size did not result in parasitaemia levels comparable to those seen in splenectomized mice, which were consistently higher. Parasitaemias were similar in irradiated and control mice, but the mean survival time in control mice was longer than that of irradiated or splenectomized mice, which were comparable. Splenectomy generally resulted in higher parasitaemias than those seen in non-splenectomized mice.

Since B. rodhaini has a predeliction for invading reticulocytes, the apparent failure of irradiated mice to develop parasitaemias comparable to those of splenectomized mice, may have been due to the selective destruction of these immature red cells by irradiation.