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Basic morphometry of the pituitary gland in aged patients with cachexia was performed. In 10 control specimens, growth hormone(GH) cells accounted for 42.9 +/- 3.4% of the total, compared with 33.8 +/- 7.0%(p < or = 0.01) in patients with severe cachexia senilis. ACTH cells accounted for 16.0 +/- 7.4% in the control group and 14.1 +/- 9.0% in the senile cachexia group(p > or = 0.1). The mean pituitary weight was 0.60 g in control cases and 0.46 g in cases of extreme cachexia(p < or = 0.01). In the hypophyses of patients with senile cachexia, atrophy of GH cells and increase of the fibrous stroma were also prominent. The ratio of the summarized value for total GH cells in cachexia senilis patients and controls was 1:2.2. The difference was regarded as sufficiently large to be a causative factor in the establishment of cachexia senilis.

We report a case of fracture of the hamate hook presenting as median nerve palsy and discuss the etiology of this rarely seen complication. We consider that the median nerve palsy in this case was due to direct nerve compression within the carpal tunnel caused by a displaced fractured hook fragment.

Study Design: This study analyzed in vitro experiments of ectopic firing evoked by mechanical compression or hypoxia of canine lumbar dorsal roots with dorsal root ganglia using an in vitro model., Objectives: The results were correlated to understand the pathophysiology of radiculopathy, which manifests abnormal sensation and pain., Summary of Background Data: It has been speculated that blood flow in the nerve root and mechanical compression play major roles in the production of radiculopathy symptoms. However, no precise experimental studies have been conducted on the relationship between these factors and the development of ectopic firing., Methods: Canine lumbar dorsal roots with dorsal root ganglia were immersed in an oxygenated artificial cerebrospinal fluid, and activity of the nerve root was recorded using bipolar platinum electrodes. Using this model, the effects of quantitative mechanical compression and hypoxia on the ectopic firing were analyzed., Results: When compression was applied, mechanical thresholds for eliciting firing were much lower in dorsal root ganglia than in dorsal roots, and the firing lasted for a longer period in dorsal root ganglia. Under hypoxia, dorsal root ganglia showed firing, and their thresholds from mechanical stimuli decreased significantly. In dorsal roots, impulse propagation was not affected, whereas firing was seen under the hypoxic condition., Conclusion: Dorsal root ganglia are highly sensitive to mechanical compression and hypoxia and closely related to abnormal sensations and pain in radiculopathy.

Identification of tumor suppressor gene loci in rodent cell culture systems has relied upon the use of somatic cell hybridization studies. Although normal rodent fibroblasts are capable of suppressing the tumorigenicity of a variety of tumor cells, the lack of complementation in tumor cell x tumor cell hybrids has left the possibility that a single tumor suppressor gene may be responsible for tumor suppression in a particular rodent cell culture system. Using this same approach, we found no evidence for complementation resulting in suppression of the transformed phenotype when three viral oncogene-transformed Syrian hamster embryo (SHE) cell lines and one spontaneously transformed baby hamster kidney (BHK) cell line were fused to benzo[a]pyrene-transformed SHE cells (BP6T-M3). However, v-src oncogene-transformed cell line (srcT) x BP6T-M3 hybrids did demonstrate limited suppression of the transformed phenotype, suggesting at least two complementing tumor suppressor genes in this system. We were able to confirm and extend this finding using another experimental approach with preneoplastic hamster cell lines that are immortal in culture but nontumorigenic in nude mice. We propose that fusion of these preneoplastic cells to various tumor cells may reveal tumor suppressor genes not evident in the tumor cell x tumor cell complementation studies. Subclones of two nontumorigenic, immortal hamster cell lines, 10W and DES4, displayed differing abilities to suppress BP6T-M3 cells in somatic cell hybrids, as quantitated by the ability of the hybrid cells to form colonies in soft agar. With a panel of preneoplastic hamster cell x BP6T-M3 hybrids, a distinct pattern of suppression or expression of the transformed phenotype was observed. Marked differences in this pattern were seen when the same 10W and DES4 subclones were fused to other hamster fibrosarcoma cell lines, indicating different tumor suppressing activities of multiple tumor suppressor genes. Analysis of this data suggests that as few as three or as many as six different tumor suppressor genes may be active in the Syrian hamster embryo cell culture system. Thus, this system may provide a useful model for identifying and studying the effects and regulation of a number of different tumor suppressor genes for fibrosarcomas.

To identify the main causes of repeated arthroscopic surgery of the knee joint and to find out the points of therapeutic approaches, we evaluated 139 patients who underwent arthroscopic meniscectomy in our department and in affiliated hospitals between 1983 and 1987. Two or more arthroscopic surgeries were needed in 9 knees of 8 patients (6.5%). In 5 knees with no known injuries, the primary reason for repeated surgery was horizontal tears of remnant meniscus after partial resection of lateral discoid meniscus. The most appropriate initial treatment for lateral discoid menisci in cases without tear should be observation of the clinical course with minimal treatment using diagnostic arthroscopy.

The control of cellular senescence by specific human chromosomes was examined in interspecies cell hybrids between diploid human fibroblasts and an immortal, Syrian hamster cell line. Most such hybrids exhibited a limited life span comparable to that of the human fibroblasts, indicating that cellular senescence is dominant in these hybrids. Karyotypic analyses of the hybrid clones that did not senesce revealed that all these clones had lost both copies of human chromosome 1, whereas all other human chromosomes were observed in at least some of the immortal hybrids. The application of selective pressure for retention of human chromosome 1 to the cell hybrids resulted in an increased percentage of hybrids that senesced. Further, the introduction of a single copy of human chromosome 1 to the hamster cells by microcell fusion caused typical signs of cellular senescence. Transfer of chromosome 11 had no effect on the growth of the cells. These findings indicate that human chromosome 1 may participate in the control of cellular senescence and further support a genetic basis for cellular senescence.

Using BrdU labelling-acridine orange fluorescence staining and the expression of PGK-1 isozymes, we attempted to clarify the pattern of X chromosome inactivation in bone marrow cells from adult female mice heterozygous for Searle's X-autosome translocation. The asynchronously replicating X chromosome was always the morphologically normal one, and neither of the translocated X chromosomes showed allocyclic behavior. Unexpectedly, a substantial proportion of the allocyclic X chromosome apparently finished replication earlier than any other chromosomes of the cell. This early replicating allocyclic X chromosomes was judged to be as genetically inactive as the late replicating one, since the Pgk-1b allele on the normal X was never expressed in bone marrow cells. Study of karyotypically normal females and females carrying Cattanach's insertion showed that the early replicating X chromosome is not just a feature of the Searle's translocation in the adult bone marrow cells and may be either paternal or maternal in origin. This type of allocyclic X chromosome deserves attention in assessing X chromosome inactivation in female somatic cells.

Previous studies on early female mouse embryos revealed the presence of two kinds of inactive X chromosomes, one replicating late and the other early in the DNA synthetic period. The X chromosome that replicates early is of special interest because of its paternal origin, preferential occurrence in trophectoderm and primitive endoderm derivatives, and programmed shift to the late replicator. This study by BrdU labeling and acridine orange fluorescence staining was undertaken to examine whether the inactive X chromosome behaves in a similar manner in other laboratory mammals. In rat embryos the paternal X chromosome was found to show the same behavior in extraembryonic tissues. Early replicating chromosomes were also found in the extraembryonic regions of Chinese hamster and rabbit embryos, although their parental origin could not be determined due to the absent of X chromosome polymorphism in these species. Probably the early replicating X chromosome occurs commonly in mammals. Its functional significance is unknown.

The allocyclic X chromosome in early female mouse embryos undergoes DNA replication either late or early in the S phase. Earlier studies indicated that the early-replicating X chromosome is restricted to the trophectoderm and primitive endoderm cell lineages in which the allocyclic X is almost exclusively paternal in origin. There has been, however, no compelling evidence for the genetic inactivity of the early-replicating X chromosome and a shift from early to late replication or vice versa. The present study employing a combination of 3H-thymidine autoradiography and BrdU labeling-acridine orange fluorescence staining in day-6 female mouse embryos found that the early-replicating X chromosome can change directly into a late-replicating one. The activity state of the early-replicating X chromosome was examined by electrophoretic determination of the X linked enzyme, phosphoglycerate kinase (PGK-1), in tissues isolated from 6.0-day and day-8.5 Pgk-1a/Pgk-1b embryos. Only the maternally derived Pgk-1 allele was expressed in the proximal endoderm and extraembryonic ectoderm of 6.0-day and the chorion of 8.5-day embryos. Thus, the early-replicating, paternally derived X chromosome found in about 70%-80% of the cells in these tissues seems to be repressed like the late-replicating one.

We have made a detailed study of the X-chromosome replication pattern during the period when X-inactivation is occurring in the mouse embryo. Our observations show unequivocal regionalization of the embryo with respect to the temporal X-chromosome. The switch from isocyclic to allocyclic replication occurs in the embryonic ectoderm at approximately 6 days of development and is random with respect to parental origin of the X-chromosome. In the extra-embryonic tissues, however, the switch to allocyclic replication has apparently occurred prior to 5.3 days of development and almost exclusively involves the paternally-derived X-chromosome. Since these findings are consistent with results obtained in biochemical studies of X-chromosome activity in female embryos, we conclude that there is a close temporal relationship between the cytogenetic and biochemical manifestations of the X-inactivation process. In addition, we have observed a pattern of early paternal X-chromosome replication, transitory in some cases, that is unique to extra-embryonic tissues. These results suggest that there may be some differences in the mechanism by which X-inactivation occurs in the extra-embryonic tissues as compared with the embryonic ectoderm.

A series of near-diploid embryonal carcinoma-like hybrid cells were obtained from polyethylene glycol mediated cell fusion between murine embryonal carcinoma cells (PSA-6TG1 or OTF9-63) having one X chromosome and thymocytes or bone marrow cells from female mice carrying Cattanach's or Searle's translocation. Prior to fusion with EC cells the somatic cells are presumed to contain only one active X chromosome. Following hybrid formation, the chronology of X chromosome replication and the expression of X-linked gene Pgk-1 indicated that all X chromosomes contributed by both parents were active in these hybrids. Experiments were performed to rule out the possibility that the hybrids were formed by fusion of EC cells with rare somatic cells in which both X chromosomes were active. Taken together the data indicate that within four days of fusion there is reactivation of the entire inactive X chromosome.

By means of a cytological method involving BrdU incorporation and acridine orange fluorescence staining in combination with embryo manipulation, we studied X-chromosome activity in female preimplantation mouse embryos with special reference to the correlation between X-chromosome inactivation and cell differentiation. There was no sign of asynchronous replication between the two X chromosomes from the one-cell to intermediate blastocyst stage. The allocyclic X chromosome, first detected in late blastocysts, was paternal in origin, mostly replicating early in the S phase and limited to the trophectoderm. Subsequent X-chromosome inactivation occurring in the primary endoderm was also characterized by the involvement of the paternal X and early replication. Both X chromosomes continued to replicate synchronously in the embryonic ectoderm or epiblast at this stage. It was evident that overt cell differentiation preceded the appearance of the asynchronously replicating X chromosome in the trophectoderm and primary endoderm. This finding seems to support the view that cell differentiation is an important correlate of X-chromosome inactivation.

It has been shown previously that normal Syrian hamster embryo cells are neoplastically transformed by transfection with two cooperating oncogenes, v-myc plus v-Ha-ras. Karyotypic analyses of the cells from the tumors revealed a nonrandom chromosome change, monosomy of chromosome 15. In order to clarify the role of chromosome loss in these tumor cells with defined oncogene alterations, molecular and cytogenetic studies were performed on hybrids between normal Syrian hamster embryo cells and ras/myc tumor cells. Following fusion of the tumor cells with the normal cells which are not immortal, the majority of the cell hybrids senesced after less than or equal to 20 population doublings indicating that immortality was recessive. Some of the hybrids escaped senescence and grew indefinitely. These immortal hybrid cells retained the expected numbers of chromosome 15 indicating that escape from senescence did not involve loss of this chromosome. The tumorigenicity and anchorage-independent growth of the nonsenescent hybrids were still suppressed significantly. In these suppressed hybrid cells, RNAs complementary to the v-Ha-ras and v-myc oncogenes were expressed. Furthermore, radioimmune precipitation with a monoclonal antibody to p21ras of [35S]methionine-labeled cell extracts followed by polyacrylamide gel electrophoresis/sodium dodecyl sulfate electrophoresis showed that the suppressed hybrid cells contained high levels of the mutated ras protein. These results indicate that tumorigenicity is suppressed in the hybrids even though the oncogenes are expressed. When the hybrid cells were passaged, anchorage-independent variants appeared in the cultures. At this time, morphological changes occurred in the cultures and the cells were tumorigenic. Karyotypic analyses of the transformed segregants versus the parental hybrid cells revealed a nonrandom loss of one copy of chromosome 15 in the transformed segregants. No other nonrandom chromosome change was observed. These results suggest that the loss of chromosome 15 results in the loss of a cellular tumor suppressor gene which effects a phenotypic change necessary for expression of neoplastic transformation. In addition, the cellular factors responsible for the senescence of the hybrids may provide another mechanism involved in suppressing tumorigenicity.

Lymphomas occurred in 3 of 16 Japanese patients with ataxia telangiectasia (AT) and Wiskott-Aldrich syndrome (WAS). The patients had a persistently reactivated Epstein-Barr virus (EBV) infection with a remarkable decrease in virus-specific cellular immunity. In these patients, the B lymphocytes were more sensitive to EBV-induced events and to cellular proto-oncogene activation than seen in the healthy counterparts. This immunologic and genetic background was considered to explain the massive lymphoproliferation in these primary immunodeficiency disorders.