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  • 1
    ISSN: 1432-2307
    Keywords: Angioimmunoblastic lymphadenopathy with dysproteinaemia ; Polymerase chain reaction ; T-cell receptor gene
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The transition between atypical hyperplasia and lymphoma with angioimmunoblastic lymphadenopathy and dysproteinaemia (AILD) was studied in serial lymp node biopsy specimens from five patients using DNA analysis with Southern blot analysis, polymerase chain reaction, chromosomal analysis, and immunophenotyping. The chromosomal analysis showed additional abnormalities as the disease progressed to those present initially, and immunological staining showed a corresponding increase in the numbers of CD4- and Ki67-positive cells. In the first biopsy from each patient a diagnosis of atypical hyperplasia with AILD was made and lymphoma excluding by the finding of only a few atypical lymphoid cells and the preservation of follicles with germinal centres. DNA analysis of lymph nodes at this stage showed either germ lines or oligoclonal rearrangements of the T-cell receptor (TCR) and immunoglobulin heavy chain genes. In the final biopsy, when a diagnosis of lymphoma with AILD was made, either a monoclonal rearrangement of the TCR was observed or one of the rearranged bands had increased in density. These results suggest selective proliferation of a clone of abnormal cells may account for the progression of atypical hyperplasia to lymphoma with AILD.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2013
    Keywords: Sympathetic control ; Maxillary blood flow ; AVA-and tissue blood flow ; Face ; Nose
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Total blood flow and perfusion pressure (PP) of the internal maxillary artery (IMA) were recorded bilaterally during electrical stimulation (8 V, 2 ms) of the right cervical sympathetic nerve at frequencies (f) of 0.3, 0.5, 1.0 and 3.0 Hz in anesthetized, paralyzed and artificially ventilated dogs. Distribution of IMA-FLOW to precapillaries (CAP-FLOW) and arteriovenous anastomoses (AVA-FLOW) was determined by the tracer microspheres technique. During electrical stimulation (ES) IMA-FLOW was affected only unilaterally and decreased in a hyperbola-like fashion with the increase of f, while contralateral IMA-FLOW remained unchanged. Systemic blood pressure as well as PP of both IMA remained unchanged while heart rate was only increased during ES at maximal f. The reduction of IMA-FLOW was mainly due to marked vasoconstrictor responses of the AVAs, which were already attained at low f while significant vasoconstrictor responses of precapillaries occurred at higher f and were less pronounced. The early response of AVAs to increasing sympathetic activation enables IMA-FLOW to be adjusted in a physiological range of sympathetic activities, before CAP-FLOW is substantially reduced. The predominance of AVA-FLOW in blood flow control of the IMA was also supported by the conformity in their hyperbolic relationship with maxillary resistance at rest and during enhanced levels of sympathetic vasoconstrictor activity.
    Type of Medium: Electronic Resource
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