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Fevers are considered an adaptive response by the host to infection. For gregarious animals, however, fever and the associated sickness behaviors may signal a temporary loss of capacity, offering other group members competitive opportunities. We implanted wild vervet monkeys (Chlorocebus pygerythrus) with miniature data loggers to obtain continuous measurements of core body temperature. We detected 128 fevers in 43 monkeys, totaling 776 fever-days over a 6-year period. Fevers were characterized by a persistent elevation in mean and minimum 24-h body temperature of at least 0.5 °C. Corresponding behavioral data indicated that febrile monkeys spent more time resting and less time feeding, consistent with the known sickness behaviors of lethargy and anorexia, respectively. We found no evidence that fevers influenced the time individuals spent socializing with conspecifics, suggesting social transmission of infection within a group is likely. Notably, febrile monkeys were targeted with twice as much aggression from their conspecifics and were six times more likely to become injured compared to afebrile monkeys. Our results suggest that sickness behavior, together with its agonistic consequences, can carry meaningful costs for highly gregarious mammals. The degree to which social factors modulate the welfare of infected animals is an important aspect to consider when attempting to understand the ecological implications of disease.

International audience; The Signature Series Symposium "Cellular Therapies for Orthopaedics and Musculoskeletal Disease Proven and Unproven Therapies-Promise, Facts and Fantasy" was held as a pre-meeting of the 26th International Society for Cellular Therapy (ISCT) annual congress in Montreal, Canada, May 2, 2018. This was the first ISCT program that was entirely dedicated to the advancement of cell-based therapies for musculoskeletal diseases. Cellular therapies in musculoskeletal medicine are a source of great promise and opportunity. They are also the source of public controversy, confusion and misinformation. Patients, clinicians, scientists, industry and government share a commitment to clear communication and responsible development of the field. Therefore, this symposium convened thought leaders from around the world in a forum designed to catalyze communication and collaboration to bring the greatest possible innovation and value to patients with musculoskeletal conditions.

Sexual conflict theory expects females to avoid nonoptimal mating attempts by males. Although female vervet monkeys, Chlorocebus pygerythrus, can resist direct mating attempts, higher-ranking males still have more mating opportunities than lower-ranking ones. We presume that rank-related access reflects maleemale competition that may conflict with female reproductive objectives. We extend an earlier report of codominance in this species to show that powerful females can undermine the restrictions imposed through maleemale competition by improving the dominance rank of preferred male associates. We found that the dominance hierarchies of the sexes were comprehensively interdigitated and that males who had more female spatial associates, and who groomed with well-connected females, were more likely improve their Elo-ratings, which we use as an index of male power. The effects of partner number and integration, which predicted the probability of the initiation of aggression by lower-ranking males, suggest that association with females offered the prospect of protected threat if this likelihood increased. Although female rank and aggression were not directly consequential for males, we argue that female power and influence are intertwined and that both stem from the strength of female reproductive control.

Regenerative medicine (RM) is a popular term for a field of scientific and medical research. There is not one universally accepted definition of RM, but it is generally taken to mean the translation of multidisciplinary biology and engineering science into therapeutic approaches to regenerate, replace, or repair tissues and organs. RM products have the potential to provide treatments for a number of unmet needs but have substantial scientific and regulatory challenges that need to be addressed for this potential to be fully realized. FDA has established formal regulatory definitions for biologics, medical devices, and combination products, as well as human cells and tissues. Regenerative medicine products regulated by FDA are classified on the basis of these definitions, and the classification forms the basis for determining the regulatory requirements to each specific product. FDA regulations are generally written to allow the agency flexibility to accommodate new scientific questions raised by novel and evolving technologies. FDA efforts to facilitate product development in this novel and promising area include working with individual sponsors, interacting with the scientific and industry communities, participating in standards development, and developing policy and guidance. Significance Regenerative medicine is generally taken to mean the translation of multidisciplinary biology and engineering science into therapeutic approaches to regenerate, replace, or repair tissues and organs. This article provides an overview of the efforts of the U.S. Food and Drug Administration (FDA) to facilitate product development in the field commonly known was regenerative medicine. It provides an introduction to the processes by which FDA works with individual sponsors, interacts with the scientific and industry communities, participates in standards development, and develops formal FDA policy and guidance.

International audience; Among nonhuman primates, the evolutionary underpinnings of variation in social structure remain debated, with both ancestral relationships and adaptation to current conditions hypothesized to play determining roles. Here we assess whether interspecific variation in higher‐order aspects of female macaque (genus: Macaca ) dominance and grooming social structure show phylogenetic signals, that is, greater similarity among more closely‐related species. We use a social network approach to describe higher‐order characteristics of social structure, based on both direct interactions and secondary pathways that connect group members. We also ask whether network traits covary with each other, with species‐typical social style grades, and/or with sociodemographic characteristics, specifically group size, sex‐ratio, and current living condition (captive vs. free‐living). We assembled 34–38 datasets of female‐female dyadic aggression and allogrooming among captive and free‐living macaques representing 10 species. We calculated dominance (transitivity, certainty), and grooming (centrality coefficient, Newman's modularity, clustering coefficient) network traits as aspects of social structure. Computations of K statistics and randomization tests on multiple phylogenies revealed moderate‐strong phylogenetic signals in dominance traits, but moderate‐weak signals in grooming traits. GLMMs showed that grooming traits did not covary with dominance traits and/or social style grade. Rather, modularity and clustering coefficient, but not centrality coefficient, were strongly predicted by group size and current living condition. Specifically, larger groups showed more modular networks with sparsely‐connected clusters than smaller groups. Further, this effect was independent of variation in living condition, and/or sampling effort. In summary, our results reveal that female dominance networks were more phylogenetically conserved across macaque species than grooming networks, which were more labile to sociodemographic factors. Such findings narrow down the processes that influence interspecific variation in two core aspects of macaque social structure. Future directions should include using phylogeographic approaches, and addressing challenges in examining the effects of socioecological factors on primate social structure.

Zika virus (ZIKV) infection of pregnant women can cause fetal microcephaly and other neurologic defects. We describe the development of a non-human primate model to better understand fetal pathogenesis. To reliably induce fetal infection at defined times, four pregnant rhesus macaques are inoculated intravenously and intraamniotically with ZIKV at gestational day (GD) 41, 50, 64, or 90, corresponding to first and second trimester of gestation. The GD41-inoculated animal, experiencing fetal death 7 days later, has high virus levels in fetal and placental tissues, implicating ZIKV as cause of death. The other three fetuses are carried to near term and euthanized; while none display gross microcephaly, all show ZIKV RNA in many tissues, especially in the brain, which exhibits calcifications and reduced neural precursor cells. Given that this model consistently recapitulates neurologic defects of human congenital Zika syndrome, it is highly relevant to unravel determinants of fetal neuropathogenesis and to explore interventions., Zika virus infection of pregnant women can cause congenital brain defects. Here, Coffey et al. establish a pregnant rhesus macaque model, using intravenous and intraamniotic route of infection, that reliably reproduces fetal neurologic defects of congenital Zika syndrome in humans.

Regulatory authorities require safety and potency testing prior to the release of each production lot of acellular pertussis (aP)-containing vaccines. Currently, the murine histamine sensitization test (HIST) is used to evaluate the presence of residual pertussis toxin in aP containing vaccines. However, the testing requires the use of a significant number of mice and results in unrelieved pain and distress. NICEATM, ICCVAM, their partners in the International Cooperation on Alternative Test Methods, and the International Working Group for Alternatives to HIST organized a workshop to discuss recent developments in alternative assays to the HIST, review data from an international collaborative study on non-animal alternative tests that might replace the HIST, and address the path toward global acceptance of this type of method. Currently, there are three potential alternative methods to HIST. Participants agreed that no single in vitro method was sufficiently developed for harmonized validation studies at this time. It is unlikely that any single in vitro method would be applicable to all aP vaccines without modification, due to differences between vaccines. Workshop participants recommended further optimization of cell-based assays under development. Participants agreed that the next international collaborative studies should commence in 2013 based on discussions during this workshop.

In order to understand the factors that cause and mediate stress in social animals, many studies have examined differences in male physiological stress levels between mating and non-mating seasons, and related these differences to levels of male-male competition. Very few have explicitly tested whether variation in stress levels is related to mating behaviour itself. We provide preliminary evidence of a negative relationship between faecal levels of glucocorticoid metabolites and mounting frequency in free-ranging male rhesus macaques (Macaca mulatta). This finding may help explain the previous observation that male rhesus macaques show no difference in their levels of faecal glucocortocoids between the breeding and non-breeding season, despite the former being associated with elevated levels of aggression. Our study highlights the importance of directly quantifying mating behaviour when investigating the potential impact of reproductive competition and seasonality on stress physiology.

The first guidance on Good Cell Culture Practice (GCCP) dates back to 2005. This document expands this to include aspects of quality assurance for in vitro cell culture focusing on the increasingly diverse cell types and culture formats used in research, product development, testing and manufacture of biotechnology products and cell-based medicines. It provides a set of basic principles of best practice that can be used in training new personnel, reviewing and improving local procedures, and helping to assure standard practices and conditions for the comparison of data between laboratories and experimentation performed at different times. This includes recommendations for the documentation and reporting of culture conditions. It is intended as guidance to facilitate the generation of reliable data from cell culture systems, and is not intended to conflict with local or higher level legislation or regulatory requirements. It may not be possible to meet all recommendations in this guidance for practical, legal or other reasons. However, when it is necessary to divert from the principles of GCCP, the risk of decreasing the quality of work and the safety of laboratory staff should be addressed and any conclusions or alternative approaches justified. This workshop report is considered a first step toward a revised GCCP 2.0.

Reconciliation is the most extensively studied conflict resolution mechanism in animal societies. However, despite the extensive literature on this topic, behaviors considered to represent postconflict affiliation have not been consistent across studies of reconciliation. Critically, reconciliation is usually defined as postconflict contact affiliation, e.g., grooming, and the importance of including interopponent distance regulation is often neglected. Moreover, to date, no study has simultaneously investigated different behavioral forms of reconciliation. We tested in two groups of wild Barbary macaques (Macaca sylvanus) the relative importance of postconflict close proximity and grooming in the mediation of two important costs of aggression: damage to the opponent’s social relationship and elevated postconflict anxiety. We provide evidence that close-proximity approaches function to resolve conflicts: Close-proximity approaches reduced the victim’s postconflict anxiety and were predicted by the quality of the social relationship with the opponent. Moreover, postconflict grooming alone, although predicted by the quality of the opponent’s social relationship, did not influence the victim’s elevated postconflict anxiety. Our results suggest that interopponent distance regulation plays an important role in reconciling the costs of aggression in Barbary macaques. We advocate that further efforts should be made to test which behaviors play a role in conflict resolution in different species. This is important because even closely related species may differ in the function of behaviors that superficially appear to be rather similar. Moreover, the choice of behaviors used to study conflict resolution determines the frequency with which reconciliation is observed and can thus bias comparisons across species.

The majority of studies investigating conflict management in animal societies have focused on the role of reconciliation in mediating the costs of aggression. The function of bystander affiliation (i.e. the selective attraction between an opponent and a bystander in the minutes immediately following aggression) is less well understood. We examined, in wild Barbary macaques, four potential functions of bystander affiliation with the victim of aggression: (1) bystander-initiated affiliation to reduce the victim's postconflict (PC) anxiety (i.e. ‘consolation’), (2) victim-initiated affiliation (i.e. ‘solicited consolation’), (3) victim- and bystander-initiated affiliation to avert redirected aggression (i.e. self-protection), and (4) bystander-initiated affiliation to exploit grooming from the victim. We found partial support for the consolation function as bystander-initiated affiliation occurred more frequently between high-quality social partners but had no effect on the victim's PC anxiety. In support of the solicited-consolation function, victim-initiated affiliation occurred more frequently between high-quality social partners and also caused a reduction in the victim's PC anxiety. These findings suggest that solicited consolation may substitute for the stress alleviation role of reconciliation. We found no support for a self-protective function as neither the bystander's nor the victim's risk of receiving PC aggression was reduced following bystander affiliation with the victim. Finally, bystanders received significantly more PC grooming than victims, suggesting that grooming exploitation of the victim may drive the bystander's PC behaviour. Our results indicate that bystander affiliation has different functions and benefits for the victim of aggression and the bystander, and highlights the importance of considering which individual initiates this behaviour.

Potency testing of most human and veterinary rabies vaccines requires vaccination of mice followed by a challenge test using an intracerebral injection of live rabies virus. NICEATM, ICCVAM, and their international partners organized a workshop to review the availability and validation status of alternative methods that might reduce, refine, or replace the use of animals for rabies vaccine potency testing, and to identify research and development efforts to further advance alternative methods. Workshop participants agreed that general anesthesia should be used for intracerebral virus injections and that humane endpoints should be used routinely as the basis for euthanizing animals when conducting the mouse rabies challenge test. Workshop participants recommended as a near-term priority replacement of the mouse challenge with a test validated to ensure potency, such as the mouse antibody serum neutralization test for adjuvanted veterinary rabies vaccines for which an international collaborative study was recently completed. The workshop recommended that an in vitro antigen quantification test should be a high priority for product-specific validation of human and non-adjuvanted veterinary rabies vaccines. Finally, workshop participants recommended greater international cooperation to expedite development, validation, regulatory acceptance, and implementation of alternative test methods for rabies vaccine potency testing.

The ‘integrated hypothesis’ predicts that reconciliation (the post-conflict friendly interaction between former opponents observed in various group-living species) functions to reduce anxiety and the risk of aggression from the former opponent or a bystander in the aftermath of a conflict. It also predicts that relationship quality between opponents affects the occurrence of reconciliation and modulates the anxious response of the opponents after a conflict. Because of the asymmetric nature of aggressive interactions, the cost of aggression is likely to differ between the victim and the aggressor. The aim of this study was to test the predictions of the ‘integrated hypothesis’ independently for the victim and the aggressor of a conflict. We collected data on two wild groups of Barbary macaques. This study represents, to our knowledge, the first systematic test of the integrated hypothesis on wild, non-provisioned animals. Victims of aggression were at a greater risk of receiving aggression from the former opponent or a bystander after a conflict and showed elevated anxiety. We found no such costs for the aggressor. Reconciliation reduced anxiety in the victim but did not reduce their risk of receiving aggression. Finally, relationship quality affected the occurrence of reconciliation but did not modulate post-conflict anxiety. The results of our study show that the costs of aggression are asymmetrically distributed between the victim and the aggressor. Such differences are likely to lead to different social tactics used by the victim and the aggressor in the aftermath of a conflict.

Vaccines contribute to improved animal and human health and welfare by preventing diseases and deaths from infectious diseases. However, testing necessary to ensure vaccine effectiveness and safety can involve large numbers of animals and significant pain and distress. NICEATM and ICCVAM recently convened an international workshop to review the state of the science of available alternative methods and approaches that can further reduce, refine, and replace the use of animals for human and veterinary vaccine potency and safety testing, and to identify research, development, and validation efforts necessary to further advance new and improved alternative methods. Workshop participants identified human and veterinary vaccines that should have the highest priority for future efforts. Prioritization criteria included testing that involves significant pain and distress, large numbers of animals, and pathogens that are dangerous to people and animals. Participants noted that in vitro antigen quantification assays have replaced animals for potency testing for some killed vaccines, and recommended that this approach be expanded to other vaccines. Recommendations to support more humane animal use included development and use of humane endpoints for all challenge tests, development of serologic assays to replace challenge tests, and development of in vitro toxin neutralization tests (TNT) to replace in vivo TNTs. Workshop participants recommended several approaches that might further reduce the number of animals required for specific potency tests. Participants also recommended priority vaccines for which alternative safety testing methods should be pursed and that would have the greatest impact on avoiding pain and distress and reducing animal numbers. Finally, workshop participants recommended enhanced international harmonization and cooperation efforts and closer collaborations between human and veterinary researchers to expedite progress. Implementation of the workshop recommendations is expected to advance new methods for vaccine testing that will reduce animal use, benefit animal welfare, and ensure continued and improved protection of human and animal health.

NICEATM and ICCVAM convened an international workshop to review the state of the science of human and veterinary vaccine potency and safety testing methods, and to identify opportunities to advance new and improved methods that can further reduce, refine, and replace animal use. This report addresses methods and strategies identified by workshop participants for replacement of animals used for potency testing of human vaccines. Vaccines considered to have the highest priority for future efforts were (1) vaccines for which antigen quantification methods are already developed but not validated, (2) vaccines/components that require the largest number of animals, (3) vaccines that require an in vivo challenge test, and (4) vaccines with in vivo tests that are highly variable and cause a significant number of invalid tests. Vaccine potency tests identified as the highest priorities for replacement were those for diphtheria and tetanus, pertussis (whole cell and acellular), rabies, anthrax, polio vaccine (inactivated) and complex combination vaccines based on DT or DTwP/aP. Research into understanding the precise mechanism of protection afforded by vaccines and the identification of clinically relevant immunological markers are needed to facilitate the successful implementation of in vitro testing alternatives. This report also identifies several priority human vaccines and associated research objectives that are necessary to successfully implement in vitro vaccine potency testing alternatives.

It has long been shown that the social environment of individuals can have strong effects on health, well-being, and longevity in a wide range of species. Several recent studies found that an individual’s number of affiliative partners positively relates to its probability of survival. Here, we build on these previous results to test how both affiliation and aggression networks predict Barbary macaque (Macaca sylvanus) survival in a “natural experiment.” Thirty out of 47 wild Barbary macaques, living in 2 groups, died during an exceptionally cold winter in the Middle Atlas Mountains, Morocco. We analyzed the affiliation and aggression networks of both groups in the 6 months before the occurrences of these deaths, to assess which aspects of their social relationships enhanced individual survivorship. Using only the affiliation network, we found that network clustering was highly predictive of individual survival probability. Using only the aggression network, we found that individual survival probability increased with a higher number of aggression partners and lower clustering coefficient. Interestingly, when both affiliation and aggression networks were considered together, only parameters from the aggression network were included into the best model predicting individual survival. Aggressive relationships might serve to stabilize affiliative social relationships, thereby positively impacting on individual survival during times of extreme weather conditions. Overall, our findings support the view that aggressive social interactions are extremely important for individual well-being and fitness.

The field of regenerative medicine encompasses a breathtaking array of interdisciplinary scientific approaches with the promise of delivering future therapies to meet current unmet medical needs for patients. Increasingly more of these innovative products are being translated into human clinical trials in the United States, and general familiarity of the FDA is important to efficiently navigate the process. The basics of FDA history, organization, and processes are described herein for those new to clinical translation, with more detailed content added regarding approval pathways, regulations, guidances, and select special topics of relevance to regenerative medicine. In addition to the cumulative experience of previous products, the FDA regulatory approach to medical products evaluation includes an ongoing assessment of how the science of those products informs regulatory policy. FDA engages in ongoing dialogue with the scientific community and product sponsors to continue to develop science-based regulatory review policies that are robust and predictable in order to meet the needs of the challenging array of products that are on the horizon.

We report here self-suckling in four wild female Barbary macaques (Macaca sylvanus), living in two troops (i.e. ‘‘Flat face’’ and ‘‘Large’’ troop) in the middle-Atlas Mountains, Morocco. The four females lost their infants due to predation or for unknown causes. Self-suckling was observed before and after the infants died in the four females living in the ‘‘Flat face’’ troop. When the infants were still alive, self-suckling was of short duration and it was probably a method to improve milk flow when the infant switched from one nipple to the other. After the infants died, self-suckling lasted significantly longer and the females were apparently drinking their own milk. Self-suckling was never observed among the four lactating females in the ‘‘Large’’ troop (including one monkey who lost her infant) and it could thus represent a cultural difference. Moreover, self-suckling after the death of an infant may be explained by the energetic and immunological benefits that a monkey may gain from drinking their own milk. Finally, selfsuckling may have a stress-releasing effect on the mothers who have lost their infants.

The US Food and Drug Administration (FDA) is responsible for the regulatory oversight of a wide range of products, including cell-based products regulated by the Office of Tissues and Advanced Therapies (OTAT) in the Center for Biologics Evaluation and Research. This chapter focuses on several key issues relevant to the development of cell-based products, including early and late phase considerations for chemistry, manufacturing, and controls; pharmacology/toxicology; and clinical testing. This chapter introduces the following topics: the regulatory process, sponsor meetings with OTAT, the requirements for submitting an investigational new drug application (IND), and FDA review of an original IND submission. Also discussed are combination products, tissue-engineered/regenerative medicine products, medical devices, special regulatory considerations such as clinical research involving children, responsibilities of sponsors and investigators, and the use of standards. Knowledge and consideration of the topics discussed in this chapter may aid in the development of cell-based product.

Routine potency testing of Leptospira vaccines is mostly conducted using a vaccination-challenge test that involves large numbers of hamsters and unrelieved pain and distress. NICEATM, ICCVAM, and their international partners organized a workshop to review the state of the science of alternative methods that might replace, reduce, and refine the use of animals for veterinary Leptospira vaccine potency testing and to identify ways to advance improved alternative methods. Vaccine manufacturers were encouraged to initiate or continue product-specific validation using in vitro enzyme-linked immunosorbent assays as replacements for potency testing of four common Leptospira serogroups. Participants discussed the potential for eliminating the back-titration procedure in the hamster challenge assay, which could reduce animal use by 50% for each individual potency test. Further animal reduction may also be possible by using cryopreserved Leptospira stock to replace continual passaging through hamsters. Serology assays were identified as a way to further reduce and refine animal use but should be considered only after attempting in vitro assays. Workshop participants encouraged consideration of analgesics and use of earlier humane endpoints when the hamster vaccination-challenge potency assay is used. International harmonization of alternative potency methods was recommended to avoid duplicative potency testing to meet regionally different requirements.

Leaders in the field comment on what they perceive to be the greatest barriers to biomaterial translation.

Social relationships between group members are a key feature of many animal societies. The quality of social relationships has been described by three main components: value, compatibility and security, based on the benefits, tenure and stability of social exchanges. We aimed to analyse whether this three component structure could be used to describe the quality of social relationships in wild Barbary macaques (Macaca sylvanus). Moreover, we examined whether relationship quality was affected by the sex, age and rank differences between social partners, and investigated the asymmetric nature of social relationships. We collected over 1,900 hours of focal data on seven behavioural variables measuring relationship quality, and used principal component analysis to investigate how these variables clustered together. We found that relationship quality in wild Barbary macaques can be described by a three component structure that represents the value, compatibility and security of a relationship. Female-female dyads had more valuable relationships and same-age dyads more compatible relationships than any other dyad. Rank difference had no effect on the quality of a social relationship. Finally, we found a high degree of asymmetry in how members of a dyad exchange social behaviour. We argue that the asymmetry of social relationships should be taken into account when exploring the pattern and function of social behaviour in animal societies.

Publisher Summary This chapter provides a brief historical review of the Food and Drug Administration (FDA) and its organizational structure and discusses topics pertaining to the regulation of regenerative medicine products including possible regulatory pathways for combination products and relevant jurisdictional issues. FDA regulations are contained in the Code of Federal Regulations (CFR). Regulations for drugs, biologics, devices, and tissues, along with related regulations, may be found in various parts of Title 21 of the CFR. Guidance documents are nonbinding publications that describe the FDA's interpretation of policy pertaining to a regulatory issue or set of issues related to the design, production, labeling, promotion, manufacturing, and testing of regulated products, the processing, content, and evaluation, or approval of submissions inspection, and enforcement policies. Guidance documents, which are developed in accordance with Good Guidance Practices found at 21 CFR §10.115, are intended to clarify the FDA's current thinking related to regulatory issues and procedures. The FDA has issued “Guidance for Industry: Eligibility Determination for Donors of Human Cells, Tissues, and Cellular and Tissue-Based Products to assist establishments making donor eligibility determinations with complying with the Donor Eligibility rule (21 CFR 1271 Subpart C).” This guidance also incorporates and finalizes the content of “Guidance for Industry, Preventive Measures to Reduce the Possible Risk of Transmission of Creutzfeldt–Jakob Disease (CJD) and Variant Creutzfeldt–Jakob Disease (vCJD) by Human Cells, Tissues, and Cellular and Tissue-Based Products (HCT/Ps).” The US Public Health Service (PHS) agencies including the FDA, National Institutes of Health (NIH), Centers for Disease Control and Prevention (CDC), and Health Resources and Services Administration (HRSA) have worked together to address the risk of infectious disease transmission, publishing the “PHS Guideline on Infectious Disease Issues in Xenotransplantation.”

To the Editor.— According to Dorland , myelopathy in this case refers to a disease of the spinal cord. The case presented by Dr. Mozar, in addition to marked weakness of the back, arm, and leg muscles, had marked weakness of the neck, dysphagia, and minimal respiratory distress. There was also a loss of reflexes without sensory deficit. These neurologic signs are not typical of a myelopathic process that often includes a sensory level and sphincter disturbance. The spinal fluids showed a persistent elevation of protein content without cells (an albuminocytologic dissociation). The patient apparently responded to treatment with glucocorticoids. These findings are consistent with the GuillaineBarre complex, a polyradiculoneuropathy, that has occurred after a variety of inoculations, including duck embryo rabies vaccine ( Arch Neurol 14:196, 1966).