Monthly plasmapheresis for systemic lupus erythematosus with diffuse proliferative glomerulonephritis: a pilot study

Twelve patients with systemic lupus erythematosus and biopsy-proved diffuse proliferative glomerulonephritis were randomly allocated to a control group (to continue receiving conventional therapy only) or to a plasmapheresis group (to receive conventional therapy along with one 4-I plasma exchange a month). The six patients treated with plasmapheresis had better preservation of renal function, reduced disease activity, fewer admissions to hospital and less need for steroid and immunosuppressive therapy than the six control patients. The patients treated with plasmapheresis also showed evidence of reduced immunologic activity and had no side effects attributable to the plasma exchange. These results suggest that monthly plasma exchange should be assessed in a controlled randomized trial as a possible therapeutic adjunct in patients with systemic lupus erythematosus and diffuse proliferative glomerulonephritis.     

Monitoring for the development of antimicrobial resistance during the use of olaquindox as a feed additive on commercial pig farms

Since 1982, when olaquindox was introduced as a pig-feed additive in the UK, about 12 commercial farms in Suffolk have been monitored annually to check for the possible emergence of resistance to olaquindox and chloramphenicol among the coliform flora of the pigs and their environment. In spite of the sampling variability and the impossibility of controlling the use of feed additives and management on the farms, the overall results obtained were consistent and, it is suggested, the method is widely applicable. A steady, albeit low, increasing incidence and level of resistance to olaquindox was recorded (1982-1984) on farms using it and, to a lesser degree, on neighbouring farms that did not. No significant increase in the level of chloramphenicol resistance was observed. Genetical studies on a selection of olaquindox-resistant isolates suggested that the genes determining resistance were likely to be borne on the chromosome.     

Enzymes of urate synthesis and catabolism in the Gecarcinid land crab Gecarcoidea natalis

This study investigated the sites of urate synthesis and catabolism in the gecarcinid land crab Gecarcoidea natalis by assaying spongy connective tissue, midgut gland, muscle and gill for xanthine oxidoreductase, the last enzyme involved in urate synthesis, and uricase and urease, the first and last enzymes involved in urate catabolism. The spongy connective tissue and midgut gland of the G. natalis contained activities of xanthine oxidoreductase and were considered to be sites of urate synthesis. The midgut gland had a high activity of xanthine oxidoreductase [(58.87±4.6 (SE) nmol urate produced g^-1 wet wt. tissue min^-1], 2.7 times the xanthine oxidoreductase activity contained within the spongy connective tissue, and was thought to be the main site of urate synthesis. Xanthine dehydrogenase (EC 1.1.1.204) was the only form of xanthine oxidoreductase detected within the tissues. Its presence means that the cost of synthesising urate de novo is relatively small (between 1 and 3 ATP). Uricase (EC 1.7.3.3) and urease (EC 3.5.1.5) activities were present in the tissues of G. natalis. Spongy connective tissue contained the highest activities of uricase [48.44±4.29 (SE) nmol urate consumed g^-1 wet wt. tissue min^-1] while the highest activities of urease [365.31±37.21 (SE) nmol urate consumed g^-1 wet wt tissue min^-1] were contained within the gills. From this evidence it is clear that G. natalis possesses the uricolytic pathway and hence the ability to catabolise urate, and urate catabolism is begun at the site of urate storage, the spongy connective tissue, and is completed at the gills. As the gills are the site of ammonia excretion in this species the ammonia produced from the catabolism of urate is probably excreted. The urate deposits within the body of G. natalis may be involved in temporary storage of nitrogenous wastes.     

Relative nephrotoxicity of cephalosporin antibiotics in an animal model

An animal model is described in which mild transitory renal impairment is induced with glycerol and the nephrotoxic effects of cephalosporin antibiotics and furosemide studied. Cephaloridine and cephalothin were found to produce extensive acute tubular necrosis in rats when given in subnephrotoxic doses in combination with furosemide; this damage occurred at serum antibiotic levels not much higher than those obtained in clinical practice. No significant renal damage was found with cephalexin or Cephapirin given in equivalent dosage. It is suggested that the cephalosporin antibiotics should be used with caution in the presence of even minor transient renal impairment and particularly if furosemide is being given concurrently.     

Host-guest chemistry: combinatorial receptors.

A combinatorial approach to receptor design provides an expedient method to discover the most effective host-guest complexes from within a library. Recent advances focus on generation of larger libraries, facile detection, combinatorial catalysis and the formation of dynamic receptor libraries.     

Foraging energetics of arctic cormorants and the evolution of diving birds

Efficient body insulation is assumed to have enabled birds and mammals to colonize polar aquatic ecosystems. We challenge this concept by comparing the bioenergetics of cormorants ( Phalacrocorax carbo ) living in temperate and arctic conditions. We show that although these birds have limited insulation, they maintain high body temperature (42.3 °C) when diving in cold water (1–10 °C). Their energy demand at these times is extremely high (up to 60 W kg⁻¹). Free-living cormorants wintering in Greenland (water temperature −1 °C) profoundly alter their foraging activity, thus minimizing time spent in water and the associated high thermoregulatory costs. They then meet their daily food demand within a single intense dive bout (lasting 9 min on average). Their substantial energy requirements are balanced by the highest predatory efficiency so far recorded for aquatic predators. We postulate that similar behavioural patterns allowed early diving birds (Cretaceous) to colonize cold coastal areas before they evolved efficient insulation.