Primary liver carcinoma in genetic hemochromatosis reveals a broad histologic spectrum.

Hepatocellular carcinoma (HCC) is a well-known complication of genetic hemochromatosis (GH). However, the frequency of primary liver carcinoma (PLC) with biliary differentiation, such as cholangiocarcinoma (CC) and combined hepatocholangiocarcinoma (CHCC), in GH remains unclear We analyzed the histologic type of 20 PLCs occurring in the background of GH; all patients were homozygotic for the C282Y mutation. Ten were depleted of iron by successive phlebotomies, while the remaining 10 were untreated.

[Immunohistochemical and ultrastructural heterogeneity of gastrointestinal stromal tumors].

Aims And Methods: Digestive stromal tumors are the most frequent undifferentiated mesenchymal tumors. The prognosis of these tumors is difficult to predict and the histogenesis is still subject to controversy. However, the frequent and specific expression of CD117 (c-kit) by these tumors could suggest an origin from interstitial cells of Cajal.

The Zarit Burden Interview: a new short version and screening version.

Purpose: The purpose of the study was to develop a short and a screening version of the Zarit Burden Interview (ZBI) that would be suitable across diagnostic groups of cognitively impaired older adults, and that could be used for cross-sectional, longitudinal, and intervention studies.

Design And Methods: We used data from 413 caregivers of cognitively impaired older adults referred to a memory clinic. We collected information on caregiver burden with the 22-item ZBI, and information about dependence in activities of daily living (ADLs) and the frequency of problem behaviors among care recipients.

Characterization of an IL-2 mimetic with therapeutic potential.

Human interleukin-2 (IL-2) interacts with two types of functional receptors (IL-2R alpha betagamma and IL-2R betagamma) and acts on a broad range of target cells involved in inflammatory reactions and immune responses. IL-2 is also used in different clinical trials aimed at improving the treatment of some cancers and the recovery of CD4 lymphocytes by HIV patients. The therapeutic index of IL-2 is limited by various side effects dominated by the vascular leak syndrome.

Effect of high temperature and feeding level on energy utilization in piglets.

The effect of temperature (23 or 33 degrees C) and feeding level on components of energy balance was studied in seven groups of individually reared Piétrain x (Landrace x Large White) littermate piglets. Within each litter, one pig was reared at 23 degrees C and given a predefined feeding level close to ad libitum (23AL pigs), one was reared at 33 degrees C and also fed close to ad libitum (33AL), and one was reared at 23 degrees C and pair-fed to the 33AL pig (23PF). Piglets of one litter were acclimated during 2 to 4 wk to their experimental temperature in temperature-controlled rooms before being transferred (one per week) to a respiration chamber for measurement of nitrogen and energy balances.

Effect of high temperature on feeding behaviour and heat production in group-housed young pigs.

To assess the acclimation of pigs to heat stress, the effects of high (33 degrees C) or thermoneutral (23 degrees C) constant temperatures on feeding behaviour and components of energy balance were studied in group-housed young pigs. Three groups of five pigs were used at each temperature. After 1 week of adaptation, voluntary feed intake (VFI) and heat production (HP) were recorded for thirteen consecutive days.

Energy utilization of low-protein diets in growing pigs.

Three trials were conducted to measure the effects of reducing the dietary CP content on digestive and metabolic utilization of N and energy in growing pigs. Sixty barrows weighing about 65 kg were used. In Trial 1, four semisynthetic diets with CP content decreasing from 18.

Interleukin-15 expression in cutaneous T-cell lymphoma (mycosis fungoides and Sézary syndrome).

Background: Cytokines are of potential importance in the pathogenesis of cutaneous T-cell mediated disorders, including cutaneous T-cell lymphoma (CTCL).

Objectives: To compare interleukin (IL)-15 expression in certain inflammatory cutaneous diseases, with that in CTCL (mycosis fungoides and Sézary syndrome).

Methods: IL-15 mRNA and protein expression were examined by in situ hybridization and immunohistochemistry, respectively, on formalin-fixed, paraffin-embedded biopsies of normal human skin, atopic dermatitis, psoriasis, parapsoriasis and CTCL.

Energetic efficiency of starch, protein and lipid utilization in growing pigs.

Mathematical models are increasingly used to predict the response of an animal to a changing nutrient supply. The objective of this experiment was to provide data that can be used in model development or evaluation and concerns the energetic efficiency with which nutrients are used for protein and lipid deposition. A basal diet (D1), limiting in lysine supply, was fed at 1.

Modelling heat production and energy balance in group-housed growing pigs exposed to low or high ambient temperatures.

The effects of ambient temperature (T; 12-29 degrees C), body weight (BW; 30-90 kg) and metabolisable energy intake (ME) on components of energy balance were studied in seven groups of Piétrain x Large White barrows kept in a respiratory chamber. In Expt 1 (groups 1, 2 and 3), T varied in a cyclic way from 22 degrees C to 12 degrees C and then from 12 degrees C to 22 degrees C with three or four consecutive days at each of 22, 19, 16, 14 and 12 degrees C. Similarly, in Expt 2 (groups 4, 5 and 6), T varied from 19 to 29 degrees C and then from 29 to 19 degrees C with three or four consecutive days at each of 19, 22, 25, 27 and 29 degrees C.

IL-2-induced activation-induced cell death is inhibited in IL-15 transgenic mice.

A transgenic (Tg) mouse expressing human IL-15 was generated to define the role of IL-15 in the normal immune response. Overexpression of IL-15 resulted in an increase of NK, CD44(hi)CD8 memory T cells, and gammadelta T cells. Additionally, we observed the emergence of a novel type of NK-T cells with CD8alphaalpha' expression.

Chromosomal numerical aberrations are frequent in oesophageal and gastric adenocarcinomas: a study using in-situ hybridization.

Aims: (i) To investigate and compare the numerical aberrations of chromosomes 7, 8, 11, 17 and Y in a series of 60 adenocarcinomas of the oesophagus, gastric cardia and gastric antrum; and (ii) to specify the sequence of chromosomal aberrations occurring during the neoplastic progression of Barrett's oesophagus.

Methods And Results: Chromosomal in-situ hybridization was performed on deparaffinized tissue sections from 20 Barrett's adenocarcinomas, 20 adenocarcinomas of the cardia and 20 adenocarcinomas of the antrum, with centromeric alpha satellite DNA probes specific for chromosomes 7, 8, 11, 17 and Y, labelled with digoxigenin. Signals were detected by immunoperoxidase staining.

The effect of dietary fibre on energy utilisation and partitioning of heat production over pregnancy in sows.

A low (L) and high-fibre (H) diet were fed to six multiparous sows during gestation in a 2 x 2 repeated Latin square design. A single meal per day was given that provided 37.2 MJ digestible energy/d.

Hepatocellular carcinoma occurring in nonfibrotic liver: epidemiologic and histopathologic analysis of 80 French cases.

Hepatocellular carcinoma (HCC) occurring in nonfibrotic liver represents a rare, ill-defined subgroup of HCC without cirrhosis in which mechanisms of hepatocarcinogenesis remain unclear. The aim of our study was to assess epidemiological factors and detailed histopathologic changes in the nontumoral liver of patients developing such tumors. Of 330 HCCs resected in our institution between 1985 and 1998, we retrospectively analyzed 80 cases (53 men, 27 women; mean age, 51 +/- 16 years) in which the nontumoral liver showed no (n = 28) or minimal (n = 52) portal fibrosis without any septal fibrosis.

Subunit structure of the high and low affinity human interleukin-15 receptors.

Radio-iodinated cytokines and monoclonal antibodies directed at the IL-2R beta- and gamma-chains were used to analyze the structure of the cell-surface IL-15 and IL-2 receptors expressed by the human lymphoma cell clone YT-2C2. YT-2C2 cells are IL-2R alpha negative and express IL-2R gamma (15,000 molecules/cell) in excess of IL-2R beta (11,000 molecules/cell). Accordingly, they display a number of beta/gamma complexes of intermediate affinity for IL-2 and IL-15 which is equivalent to the number of beta-chains.

The molecular basis of hypertension.

More than 50 million Americans display blood pressures outside the safe physiological range. Unfortunately for most individuals, the molecular basis of hypertension is unknown, in part because pathological elevations of blood pressure are the result of abnormal expression of multiple genes. This review identifies a number of important blood pressure regulatory genes including their loci in the human, mouse, and rat genome.

A genetic model defines the importance of the atrial natriuretic peptide receptor (guanylyl cyclase-A) in the regulation of kidney function.

Disruption of the atrial natriuretic peptide (ANP) receptor [guanylyl cyclase-A (GC-A)] gene yields mice with a salt-resistant form of hypertension, raising fundamental questions on the role of ANP in acute regulation of the kidney. Here, we show that water intake, food consumption, stool weight, urine volume, and sodium excretion are not significantly different between wild-type and GC-A null mice on standard rodent chow (0.7% NaCl) or a high-salt diet (8% NaCl).

Systematic implementation of an advance directive program in nursing homes: a randomized controlled trial.

Context: Although advance directives are commonly used in the community, little is known about the effects of their systematic implementation.

Objectives: To examine the effect of systematically implementing an advance directive in nursing homes on patient and family satisfaction with involvement in decision making and on health care costs.

Design: Randomized controlled trial conducted June 1, 1994, to August 31, 1998.

The first alpha helix of interleukin (IL)-2 folds as a homotetramer, acts as an agonist of the IL-2 receptor beta chain, and induces lymphokine-activated killer cells.

Interleukin (IL)-2 interacts with two types of functional receptors (IL-2Ralphabetagamma and IL-2Rbetagamma) and acts on a broad range of target cells involved in inflammatory reactions and immune responses. For the first time, we show that a chemically synthesized fragment of the IL-2 sequence can fold into a molecule mimicking the quaternary structure of a hemopoietin. Indeed, peptide p1-30 (containing amino acids 1-30, covering the entire alpha helix A of IL-2) spontaneously folds into an alpha-helical homotetramer and stimulates the growth of T cell lines expressing human IL-2Rbeta, whereas shorter versions of the peptide lack helical structure and are inactive.

[A comparison between group-average and individual evoked potential analysis].

Purpose: Event-related potentials (ERPs) studies in human subjects have shown inter-individual response variations, probably linked to anatomical and functional brain disparities. The present study was conducted to compare the results obtained by a standard grand-average method and a single subject analysis of VEPs to faces.

Material And Method: Fifty-eight channel ERPs (analysis time: 1,024 ms) were recorded in 13 normal volunteers during gender or familiarity judgements on unknown and known faces, as well as on a control task using meaningless patterns.

Natural splicing of exon 2 of human interleukin-15 receptor alpha-chain mRNA results in a shortened form with a distinct pattern of expression.

We report the existence of eight different interleukin-15 receptor alpha-chain (IL-15Ralpha) transcripts resulting from exon-splicing mechanisms within the IL-15Ralpha gene. Two main classes of transcripts can be distinguished that do or do not (Delta2 isoforms) contain the exon 2-coding sequence. Both classes were expressed in numerous cell lines and tissues (including peripheral blood lymphocytes) at comparable levels and could be transcribed in COS-7 cells, and the proteins were expressed at the cell surface.

PET study of the human foveal fixation system.

Positron emission tomography (PET) was used to investigate the functional anatomy of the foveal fixation system in 10 subjects scanned under three different conditions: at rest (REST), during the fixation of a central point (FIX), and while fixating the same foveal target during the presentation of peripheral visual distractors (DIS). Compared with the REST condition, both FIX and DIS tasks activated a common set of cortical areas. First, in addition to the involvement of the occipital visual cortex, both the frontal eye field (FEF) and the intraparietal sulcus (IPS) were bilaterally activated.

Characterization of UDP-glucuronosyltransferases active on steroid hormones.

In recent years, the enzymes which are involved in the formation of DHT in steroid target tissues have been well investigated, however, enzymes responsible for the catabolism and elimination of steroids in these tissues, in particular the uridine diphospho-glucuronosyltransferase (UGT) family of enzymes, have received much less attention. We have recently demonstrated that human and monkey are unique in having high plasma levels of C19 steroid glucuronides. These circulating conjugates have been proposed to reflect the peripheral conversion of adrenal and gonadal C19 steroids to potent androgens, especially DHT.