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  • 1
    ISSN: 1420-908X
    Keywords: Endothelium ; Tissue factor ; Lipopoly-saccharide ; Tumour necrosis factor ; Interleukin-1
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Endothelial expression of tissue factor (TF), a potent procoagulant molecule, is increased in response to inflammatory mediators such as lipopolysaccharide (LPS), tumour necrosis factor (TNF) and interleukin-1 (IL-1). We have examined the effects of three antiinflammatory agents and a polyclonal anti-human IL-1α antibody on the human endothelial TF response toE. coli 0111:B4 LPS and recombinant TNFα (rTNFα) in vitro. In contrast to the expected inhibitory effect, dexamethasone, pentoxyfilline and iloprost failed to block TF expression when administered simultaneously or 30 minutes prior to stimulation with either LPS or rTNFα. Inhibition of procoagulant activity was demonstrated with the anti-IL-1α antibody, suggesting that endothelial derived IL-1α is partially responsible for the TF response to the agonists employed. The failure of the antiinflammatory agents to inhibit endothelial TF expression highlights the possibility that therapeutic agents that modulate the circulating monocyte response to LPS and TNFα may not ameliorate the endothelial dysfunction that is also induced by these inflammatory mediators.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1076
    Keywords: BCG infection ; Severe combined immunodeficiency ; Omenn syndrome ; Bone marrow transplantation ; Hypertrophic non-obstructive cardiomyopathy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report successful bone marrow transplantation (BMT) in two patients with severe combined immunodeficiency (SCID), who had developed BCG infection following neonatal vaccination. Patient 1 had Omenn Syndrome, associated with hypertrophic nonobstructive cardiomyopathy. Patient 2 had SCID due to adenosine deaminase deficiency. This communication demonstrates that with appropriate anti-mycobacterial cover, immunological reconstitution together with full recovery from BCG infection can be achieved by BMT. As demonstrated by persistant negative Mantoux tests, specific cell-mediated immunity to BCG was not acquired following BMT. We suggest that these children may continue to be at risk from mycobacterial infection.
    Type of Medium: Electronic Resource
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