Partial deficiency of hypoxanthine-guanine phosphoribosyltransferase with reduced affinity for PP-ribose-P in four related males with gout

Summary A family is described in which four affected males, spanning two generations, have hyperuricemia and gout accompanied by hematuria but are without severe neurologic involvement. The affected males were found to have markedly reduced levels of erythrocytic hypoxanthine-guanine phosphoribosyltransferase (HGPRT) activity; these were 5–12% with hypoxanthine and 0.5–3% with guanine as compared to controls. Erythrocytic adenine phosphoribosyltransferase (APRT) was approximately three-fold elevated in the affected individuals.The residual HGPRT activity in affected males enabled characterization of some of the properties of this mutation. The apparent Michaelis constants (km) for both hypoxanthine and guanine were essentially unchanged, whereas the km for PP-ribose-P was approximately 10–20-fold elevated for all four affected males. The enzyme was more sensitive to product inhibition by IMP and GMP than controls, and exhibited greater thermal lability at 65°C than found with control lysates.     

Influence of carbachol and isoproterenol on myoelectrical activity of the uterus, vagina, and duodenum in the conscious domestic hen

The influence of intravenous infusion (20 min) of carbachol (CAR) and isoproterenol (IPN) on myoelectrical activity of the uterus, vagina, and duodenum was studied in 6 conscious and unrestrained hens. IPN infusions (1.5, 7.5, and 15 micrograms/hen/min) were performed before oviposition, and CAR infusions (0.5, 1.5, and 5 micrograms/hen/min) were administered after oviposition. CAR infusions resulted in a significant stimulation of myoelectrical activity of the vagina (1.5 and 5 micrograms/min) and the duodenum (5 micrograms/min), and in a significant increase (45 +/- 6%) in heart rate (HR), as compared to control values. These effects were blocked by previous i.v. injections of atropine (0.4 mg/hen). IPN infusions induced a significant inhibition of myoelectrical activity of the middle (7.5 and 15 micrograms/min) and caudal (all doses) uterine segments, of the vagina (7.5 and 15 micrograms/min), and of the duodenum (15 micrograms/min), and a significant tachycardia (39 +/- 14%) as compared to control values. The inhibitory effects of IPN on all organs studied and the stimulatory action on HR were suppressed by propranolol (0.24 mg/hen). The sensitivity of the vagina to both drugs argues for a more active participation of this oviductal part in the mechanism of oviposition.     

Care of the diabetic child in the community.

Brief admission of the new diabetic child and of a parent to an enlightened hospital for stabilisation, preliminary education, and familiarisation with hospital and community staff is well worth while. The greater the demand for constant control of the highest quality, the greater the need for a close understanding of the psychosocial factors concerned and for clinical skill. The nature of the home and the family relationships should in theory be available from the child''s general practitioner at the time of the first referral since he has so much information about the whole family. With the virtual disappearance, however, of mutual consultation in the patient''s home in many places, the opportunity for oral communication has declined, and availability on the telephone is not always easy. The busy general practitioner (far less an unknown physician from a deputising service without access to the records) has little time to write a comprehensive letter. In practice a relatively small hospital-based mobile team of specially experienced sisters who are keen to communicate in the home, the GP''s surgery, and the school makes a major contribution to the diabetic care of a young population vulnerable to major handicap in what should be the prime of life. Their cost effectiveness may be difficult to prove but it is not at all in doubt--especially when the sisters as in this area deal in the community with a wider range of chronic illnesses and handicaps in children.     

The Differential Susceptibility of Vetch (Vicia spp.) to Orobanche aegyptiaca: Anatomical Studies

Vetches (Vicia spp .) are important forage legumes in the MiddleEast and Mediterranean regions. Most vetches are highly susceptibleto the root holoparasites Orobanche aegyptiaca and O. crenata,suffering severe quality and yield losses. However, purple vetch(V. atropurpurea) has shown good resistance to Orobanche. Microscopicstudies were performed to reveal anatomical differences of host-parasiteinteractions between susceptible and resistant vetch. SusceptibleV. sativa‘Yovel’ and resistant V. atropupurea‘Popany’were grown in association with O. aegyptiaca seeds, on glassmicrofibre sheets in a polyethylene-bag system. Whole root observationsusing stereoscopic microscopy detected necrotic lesions surroundingthe attachments of Orobanche radicles on resistant vetch roots.Hand-cut sections examined under the light microscope revealedthat in both susceptible and resistant vetch genotypes the Orobancheseeds germinated, attached and penetrated the host root epidermisand cortex. A reddish-brown secretion was observed in the apoplastat the interface between the parasite haustorium and the hosttissues, including the cell walls of the resistant vetch xylemvessels. Fixed and embedded sections observed under the lightmicroscope showed that in the susceptible genotype the parasitehaustorium penetrated through the endodermis into the host vascularcylinder, successfully forming a continuum with host vascularvessels. However, in the resistant genotype, the parasite haustoriumwas blocked at the root endodermis layer. The blockage was coupledwith secretion of unidentified material, thus preventing theparasite from establishing. These findings indicate that mechanicaland possibly chemical barriers are responsible for the hostdefence mechanism(s) conferring resistance of V. atropurpureato O. aegyptiaca. Copyright 2000 Annals of Botany Company Broomrape, Vicia atropurpurea, Vicia sativa, parasitic plants, plant resistance, tissue sections.     

Surgical treatment of nasal obstruction secondary to craniofacial fibrous dysplasia

Craniofacial fibrous dysplasia, a skeletal disorder most often affecting the mandible or maxilla, can cause a variety of complications. Nasal obstruction secondary to this unusual disorder presents a diagnostic and therapeutic challenge. The nasal obstruction in this case is due to expansion of fibrous lesions in adjacent bones as well as direct involvement of the turbinates with fibrous dysplasia. We describe the surgical correction of nasal obstruction in this unique setting and present a brief update of this intriguing disorder.     

PARATI – a dynamic model for radiological assessments in urban areas

The structure and mathematical model of PARATI, a detailed computer programme developed for the assessment of the radiological consequences of an accidental contamination of urban areas, is described with respect to the scenarios used for the estimation of exposure fields in a village or town, the models for the initial and secondary contamination with the radionuclide ¹³⁷Cs, the concepts for calculating the resulting radiation exposures and the changes with time of the contamination and radiation fields. Kerma rates at various locations in tropical urban areas are given, and the contribution of different contaminated surfaces to these rates after dry or wet deposition are discussed. Received: 12 April 1996 / Accepted in revised form: 30 August 1996