MEDICAL PROBLEMS OF AMPUTEES

The initial trauma of a major amputation and the medical disorders secondary to it are being studied at the Biomechanics Laboratory. Problems that arise from amputation and from the replacement of the limb by a prosthetic device are complex but interrelated, and approaches to study on basic, applied and clinical levels must be integrated.Three studies carried on at the Biomechanics Laboratory are described in this paper.In the field of amputation operations, it is believed that certain osteoplastic and myoplastic techniques, along with protection for nerve stumps and measures to provide optimum circulatory conditions, may restore biological and mechanical function to a greater degree than is possible with present procedures.From studies of the expenditure of energy during locomotion with and without assistive devices and during therapeutic exercise, it was found that crutch-walking is metabolically much more costly in energy for the amputee than walking with the suction-socket prosthesis; through these studies, it will be possible to define criteria for maximum work loads for disabled persons.In dermatological studies, although there are still unsolved problems, successful methods of treatment have been developed for certain bacterial and fungus infections, contact dermatitides and disorders resulting from edema.     

COMPARISON OF HEAVY METALS IN AQUATIC PLANTS ON CHARITY ISLAND,SAGINAW BAY,LAKE HURON,U.S.A., WITH PLANTS ALONG THE SHORELINE OF SAGINAW BAY

The concentrations of 15 heavy metals in aquatic plants on Charity Island was compared to those in plants on the shoreline of Saginaw Bay, Lake Huron, U.S.A. Heavy metal concentrations were measured by neutron activation analysis. Charity Island was found to have significantly higher levels of nine of fifteen metals investigated. This indicates that distance from known pollution source was not the only factor affecting the heavy metal accumulation of the aquatic plants.     

Oral contraceptives and fatal subarachnoid haemorrhage.

A case-control study was conducted of the deaths from subarachnoid haemorrhage (SAH) in women aged 15-44 in England and Wales in 1976. There was a small excess of oral contraceptive use by the women who died from SAH compared with their generally healthy practice-matched controls; this was not, however, statistically significant. Out of 134 women who died from SAH, 34 had a history of hypertension compared with only six of their controls. Renal disease and pre-eclamptic toxaemia were more commonly associated with hypertension in the dead women than in controls. No change in the annual mortality from SAH has been observed in the past 20 years such as might have been expected if the risks were high. Although current or past use of oral contraceptives may have increased the blood pressure and risk of SAH in a few women, the most important factor in determining this risk was hypertension. SAH should thus probably not be regarded as serious cause for concern in healthy non-hypertensive women using oral contraceptives.     

Metabolic depletion inhibits the uptake of nontransferrin-bound iron by K562 cells

The effect of metabolic inhibitors on nontransferrin bound iron transport by K562 cells was investigated. Incubation with 1 microM rotenone, 10 microM antimycin, or 0.5 mM 2,4-dinitrophenol effectively reduced ATP levels by approximately 50%. Both the rate and extent of Fe+3 uptake were impaired in ATP-depleted cells, which display a reduced Vmax for uptake. K562 cell ferrireductase activity was also lowered by metabolic inhibitors, suggesting that the apparent energy requirements for transport reside in the reduction of Fe+3 to Fe+2. However, ATP depletion was found to inhibit the rate and extent of Fe+2 uptake as well. Thus, the transbilayer passage of Fe+2 and/or Fe+3 appears to be an energy-requiring process. These features possibly reflect properties of the transport mechanism associated with a recently identified K562 cell transport protein, called SFT for "Stimulator of Fe Transport," since exogenous expression of its activity is also affected by ATP depletion.     

Comparison of partial denaturation maps with the known sequence of simian virus 40 and phi X174 replicative form DNA.

Electron microscope partial denaturation maps of two viral DNAs, simian virus 40 and φX174 replicative form, have been obtained. A simple computer program has been developed to predict denaturation maps from any given DNA sequence, based on the percentage of A · T base-pairs along the molecule. Maps constructed from the SV40 DNA and φX174 replicative form DNA base sequence show a good correlation with the experimental maps. The results show that the regions of a DNA molecule that denature first are, in fact, those regions with the highest content of adenine and thymine base-pairs.     

Cytoplasmic and transmembrane domain deletions of Na,K-ATPase beta-subunit. Effects on subunit assembly and intracellular transport.

cDNAs encoding Na,K-ATPase beta-subunits containing deletions in the cytoplasmic domain or in the single membrane-spanning domain of the molecule were constructed and expressed in mouse L cells to determine the effect(s) of deletions in these domains on alpha/beta-subunit assembly and intracellular targeting. Avian beta-subunits lacking some or all of the cytoplasmic domain (endodomain) assemble with the endogenous mouse alpha-subunit and are correctly transported to the plasma membrane. Mutants containing deletions in the transmembrane domain were constructed by fusing portions of cDNAs encoding the amino-terminal one-third of human beta-subunit deletion mutants with avian beta-subunit cDNA encoding the carboxyl two-thirds of the molecule. A deletion of 3 amino acids in transmembrane domain resulted in correct alpha/beta-subunit assembly and localization to the plasma membrane. In contrast, deletions of 5 or more amino acids in the transmembrane domain prevented expression of the beta-subunit at the cell surface and resulted in the accumulation of these molecules in the ER. In spite of these targeting differences, all beta-subunit mutants capable of membrane insertion were also able to assemble with the alpha-subunit. These results suggest that the specificity for alpha/beta assembly resides in the ectodomains of the subunits.