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  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Journal of molecular medicine 52 (1974), S. 255-265 
    ISSN: 1432-1440
    Keywords: Tetanus toxin ; Antitoxin ; 125Iodine ; Spinal cord ; Nerves ; Tetanustoxin ; Antitoxin ; 125Jod ; Rückenmark ; Nerven
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Unsere Kenntnis der Pathogenese des Wundstarrkrampfes hat sich durch Anwendung neuer biochemischer und neurophysiologischer Techniken innerhalb der letzten Jahre erheblich erweitert. Radioaktiv markiertes Tetanustoxin wurde innerhalb verschiedener Nerven bis zu den Vorderhörnern des Rückenmarks verfolgt; dort wurde das Toxin z.T. noch auf cellulärer Ebene nachgewiesen. Die Verteilung des Toxins ist zeitabhängig und wird durch Antitoxin beeinflußt. Je weiter der Zeitpunkt der Vergiftung zurückliegt, desto geringer ist der Effekt des Antitoxins auf die Symptomatologie und die spinale Anreicherung des Toxins. Die neurale Wanderung des Toxins wird durch Erregung des toxinhaltigen Nerven gefördert. Neben den motorischen Anteilen sind auch rein sensibel-sensorische und vegetative Nerven zur Weiterleitung des Toxins imstande. Der generalisierte Tetanus kann als eine Sonderform des lokalen Tetanus betrachtet werden. Während bisher das klassische α-motorische System des Rückenmarks im Vordergrund der Untersuchungen stand, weisen neuere Arbeiten auf eine gleichzeitige, vielleicht sogar vorwiegende Enthemmung des γ-motorischen Systems hin. Außerdem werden vegetative Spinalreflexe enthemmt, was auch bei der Therapie bedacht werden sollte. Die Hemmwirkung des Tetanustoxins auf periphere Synapsen weist auf große Ähnlichkeiten mit Botulinumtoxin hin, obwohl die Symptome am vergifteten Tier so verschieden sind. Künftige Untersuchungen werden sich voraussichtlich mit der Wirkungsweise des Toxins auf molekularer und cellulärer Ebene befassen.
    Notes: Summary Due to the use of advanced biochemical and neurophysiological techniques, our knowledge of the pathogenesis of tetanus has considerably improved during the past years. Radio-labelled tetanus toxin has been traced within different nerves up to the anterior horn of the spinal cord where its localization down to the cellular level has been achieved. The distribution of labelled toxin depends on time and is influenced by antitoxin. The longer the duration of poisoning, the smaller the effect of antitoxin on the spinal enrichment of toxin and on the onset of toxic symptoms. The neural ascent of toxin into a spinal cord segment is enhanced by stimulation of the segmental nerves. Not only the motor nerves, but also sensory and vegetative nerves are able to serve as guide-rails for the toxin. The generalized tetanus has been understood as a special kind of local tetanus. For a long time, disinhibition of the alpha motor system was considered to be the characteristic action of tetanus toxin, but recent evidence is in favour of an additional disinhibition of the gamma motor system (perhaps even preceding the alpha disinhibition) and also of the sympathetic spinal reflexes. This finding should have therapeutic implications. The detection of inhibitory effects of tetanus toxin on peripheral cholinergic synapses points again to the close similarity between tetanus toxin and botulinum A toxin. The trends of future research will presumably lead to the elementary processes at the molecular and cellular level which are the basis of the clinical picture of tetanus.
    Type of Medium: Electronic Resource
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  • 2
    Electronic Resource
    Electronic Resource
    Springer
    Medical microbiology and immunology 160 (1974), S. 47-51 
    ISSN: 1432-1831
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract A technique using antibody-coated tubes allows the radioimmunological determination of tetanus antibodies in a simple and rapid way. The procedure is based on the competition for125I-tetanus toxin between the insolubilized antibodies and the antibodies present in the unknown sample. When antibodies and125I labeled tetanus toxin are incubated in the antibody-coated polyethylene vessel the detection limit is about 0.016 IU/ml. When tetanus toxin is preincubated together with its antibody in uncoated vessels before the mixture is transferred to antibody-coated vessels, the sensitivity can be raised about tenfold. The method is especially useful for screening multiple samples.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Palo Alto, Calif. : Annual Reviews
    Annual Review of Pharmacology 14 (1974), S. 1-9 
    ISSN: 0362-1642
    Source: Annual Reviews Electronic Back Volume Collection 1932-2001ff
    Topics: Medicine , Chemistry and Pharmacology
    Type of Medium: Electronic Resource
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  • 4
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 269 (1971), S. 101-111 
    ISSN: 1432-1912
    Keywords: Kininogens ; Kallikreins ; Bradykinin ; Hageman Factor
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary Sephadex G 200 chromatography of non-contacted human or bovine plasma reveals one peak of kininogen (LMW kininogen) which serves as substrate for both trypsin and contact kallikrein (= prekallikrein activated by Hageman Factor.) 2. Under special conditions (faster flow rate, protection with diisopropyl fluorophosphate and hexadimethrine bromide), a small kininogen fraction of higher molecular weight (HMW) occasionally preceded the LMW substrate. It appeared increased when the plasma was hemolytic whether contacted or not. 3. Native human plasma was subjected to DEAE sephadex chromatography using stepwise elution starting with relatively high salt concentration. The second peak called HMW-kininogen emerged together with the abrupt increase in ionic strength and contained 2.2 to 4.8 times less kinin than did the first. Both kininogens yielded kinin with purified contact kallikrein. 4. By analytical gel filtration of different HMW-kininogen preparations, molecular weights of about 100,000, 200,000 and 500,000 were estimated. We conclude that HMW-kininogen is not represented by a distinct, individual molecule. It may be a polymer of the low molecular weight kininogen or an aggregate of it with other plasma constituents.
    Type of Medium: Electronic Resource
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  • 5
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 273 (1972), S. 313-330 
    ISSN: 1432-1912
    Keywords: Snake Venom ; Phospholipase A ; Potentiation ; Iodine Labelling ; Pharmacokinetics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In order to obtain better insight into the potentiation of the toxicity of phospholipase A by crotapotin, we studied the distribution and elimination of these substances and of their combination. Blood Plasma Concentration. Iodine-labelled phospholipase A leaves the bloodstream of mice and rabbits very quickly after i.v. application. Simultaneous injection of crotapotin speeds the elimination of the enzyme. After subcutaneous application in mice the plasma concentration of phospholipase A depends on the quantity of enzyme injected. It is higher when the enzyme is complexed with crotapotin before injection. The plasma concentration of phospholipase A fails, however, to be proportional to the toxicity of the complex after subcutaneous application. Crotapotin leaves the blood of mice also very quickly after i.v. application. Organ Distribution. After i.v. application in mice, phospholipase A is heavily enriched in the liver. By simultaneous application of crotapotin, the enzyme is partially diverted to the kidneys. Only a small percentage of injected enzyme is found in the brain. This percentage is just significantly raised by simultaneous application of crotapotin. The diaphragm contains about the twofold amount of phospholipase A per wet weight as compared with other samples of skeletal musculature. With crotapotin, there is a slight increase of the radioactivity in all muscles investigated, with different degrees of significance. Crotapotin is enriched in mouse kidneys after i.v. application. Renal Elimination. The renal elimination of the acidic crotapotin is higher than that of the basic phospholipase A. In this respect, the latter resembles the basic polypeptide Trasylol®. Doses of phospholipase A above 0.25 mg/kg cause intravital hemolysis. The hemolysis is prevented if a small amount of crotapotin is applied simultaneously. Our findings show that the combination with crotapotin distinctly alters the pharmacokinetic behaviour of Crotalus terrificus phospholipase A. However, our data do not explain the tremendous increase of phospholipase A toxicity caused by the non-toxic crotapotin.
    Type of Medium: Electronic Resource
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  • 6
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 276 (1973), S. 327-340 
    ISSN: 1432-1912
    Keywords: Tetanus Toxin ; Pharmacokinetics ; Central Nervous System ; Iodine Labelling ; Receptors
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary In order to understand the symptomatology of generalized tetanus from the pharmacokinetics of the toxin, 125I-labelled toxin was injected i.v. in rats without and with antitoxin. 1. After a few hours latency, brain stem and spinal cord concentrate radioactive material up to the third day. The decline of radioactivity is very slow, semilogarithmic, and can be followed up to the 24th day after injection. In contrast, forebrain and cerebellum do not bind measurable radioactivity. Less than 1% of the radioactivity injected is found in the CNS. 2. The symptoms of tetanus start some time after the bulk of labelled toxin has been taken up by the CNS. They cease before all radioactivity has left it. 3. Antitoxin, given simultaneously, prevents the onset of symptoms and the uptake of radioactivity by the CNS. When given 10 h after labelled toxin, it nearly abolishes the fixation and still prevents the onset of symptoms. When given 48 h after toxin, it is nearly ineffective in both respects. Antitoxin first delays, then enhances the elimination of labelled toxin from the blood. 4. Labelled antitoxin is not enriched in the CNS. 5. The uptake of radioactivity into various parts of spinal cord corresponds well to their relative content in grey matter. 6. The pharmacokinetic behaviour of 125I-toxoid resembles that of toxin. However, in order to get measurable fixation to the CNS at least 50 times higher amounts are to be applied. It is concluded that the barrier between blood and CNS is practically impermeable to tetanus toxin. The results can be harmonized best with the assumption that generalized tetanus is nothing else than a multiple local tetanus.
    Type of Medium: Electronic Resource
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  • 7
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 280 (1973), S. 177-182 
    ISSN: 1432-1912
    Keywords: Tetanus Toxin ; Iodine Labeling ; Spinal Cord ; Histoautoradiography
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 125I-labeled tetanus toxin was injected intravenously and intramuscularly in rats. Specific localisation within the spinal cord was obtained by histoautoradiography. 1. In generalized tetanus grain density was maximal in the ventral grey matter of spinal cord. The grains were closely correlated to the motoneurons and their neuropil. Other areas showed background activity only. 2. In local tetanus the injected side was labeled selectively. High grain density regularly covered a distinct group of motoneurons and their neuropil. 3. There is some evidence for intracellular accumulation of the toxin since the maximum of grain density was found over the perikarya whilst the nucleus corresponded to a minimum. 4. Cells yielding high grain density were less intensively stained with toluidine blue than neighbouring unlabeled cells. It is concluded from these experiments that tetanus toxin develops its action within or around selected motoneurons and that it induces morphological alterations there.
    Type of Medium: Electronic Resource
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  • 8
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 267 (1970), S. 1-19 
    ISSN: 1432-1912
    Keywords: Tetanus Toxin-Labelled Protein ; Spinal Cord ; Pharmaco-kinetics ; Radioimmunassay ; Tetanustoxin ; Markierte Proteine ; Rückenmark ; Phar-makokinetik ; Radioimmunassay
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. The preparation and properties of125I-labelled tetanus toxin are described. 2. After intravenous injection there is a short phase when the labelled toxin is rapidly removed from the blood plasma. This initial period is followed by a slow second phase of decay which has a longer duration. The first phase in very pronounced in rabbits, but not in rats. Unlabelled toxin is removed equally fast from rabbit plasma, as has been revealed by measuring the immunological reactivity (so-called “junction test”) and toxicity. 3. Thirty minutes after i.v. administration torabbits about 2/3 of the radioactive label are found in the liver. The highest concentration is attained in the spleen. 24 hours later, the bulk of the label has been excreted in the urine and faeces, which indicates catabolism of the toxin. In therat, the concentration in the liver is much less prominent, and the excretion of the label is slower. In both species, the central nervous system does not accumulate more than just measurable quantities of the label, even if the animals are given large toxic doses. 4. After injection into the left gastrocnemius muscle of the rat, the labelled tetanus toxin is absorbed very slowly from the site of administration. It is taken up by the corresponding N. ischiadicus and the lumbar region of the spinal cord. The injection of toxin into the anterior leg leads to concentration of radioactivity in the cervical area of the medulla. The arrival of the label in the spinal cord coincides approximately with the appearance of local tetanus. Sectioning of the N. ischiadicus prevents the appearance of the local tetanus of the lower extremity. The enrichment of the toxin in the lumbar cord is prevented in operated, but not in sham-operated rats. 5. When the spinal cord was subdivided into four sectors, the label was found to be greatly concentrated in the ipsilateral ventral sector of the segment corresponding with the injected extremity. This indicates transport into the ventral roots. 6. 131I-labelled tetanus antitoxin also disappears very slowly from the rat gastrocnemius. In contrast to labelled tetanus toxin, however, it is not concentrated in the spinal cord.
    Type of Medium: Electronic Resource
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  • 9
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 267 (1970), S. 399-420 
    ISSN: 1432-1912
    Keywords: Vascular Permeability ; Haemorrhage ; Basement Membrane ; 125J-Human Albumin ; 51Cr-Erythrocytes ; GefÄ\permeabilitÄt ; HÄmorrhagie ; Basalmembran ; 125J-Humanalbumin ; 51Cr-Erythrocyten
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. Rabbits first received51Cr labelled erythrocytes and then125J-labelled human serum albumin intravenously, followed by the intracutaneous administration of the agents to be tested. The skin areas were excised and evaluated for escape of albumin and red blood cells. Three modes of vascular alteration have been distinguished: a) Increase of permeability for solutes, but not for erythrocytes, as caused by histamine and bradykinin (type I). b) True haemorrhage, as induced by collagenase or the snake venom factor called HR1. No prior increase of albumin permeability has been observed when following the dependence of collagenase action on time or when measuring the ratio between dose and effect, which is linear. Haemorrhage is always accompanied by escape of some additional protein (type II). c) Alterations of a mixed type, as caused by trypsin and chymotrypsin, to a lesser extent by the tenside lysolecithin. Haemorrhage is preceded and accompanied by massive leakage of albumin. For trypsin and chymotrypsin, the dose response ratio is semilogarithmic over a wide range, whereas for lysolecithin it is linear. Hyaluronidase is ineffective in rabbit vessels but enhances the escape of albumin in rats. Histamine release may be relevant as intermediary step since systemic pretreatment with mepyramine is partially preventive. 2. In order to correlate the in vivo findings with biochemical changes, glomerular basement membranes from rats were incubated with the agents mentioned. The release of proteins and peptides was measured by a modification of Folin's method. a) Bradykinin, histamine, and hyaluronidase are ineffective. b) The tenside lysolecithin solubilizes proteins and peptides when applied in high concentrations only. c) Collagenase and HR1 are about equieffective. d) Trypsin and chymotrypsin are about ten times more active than collagenase and HR1. 3. Therefore, haemorrhage and increase of albumin permeability are two clearly distinct phenomena. Our results support the following working hypothesis: Haemorrhage is due to damage of the stabilizing apparatus of the vessel, e.g. basement membranes and surrounding fibrils; the barrier for albumin, however, is to be sought in the endothelial layer of typical capillaries.
    Type of Medium: Electronic Resource
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  • 10
    Electronic Resource
    Electronic Resource
    Springer
    Naunyn-Schmiedeberg's archives of pharmacology 269 (1971), S. 85-100 
    ISSN: 1432-1912
    Keywords: Kininogens ; Kallikreins ; Bradykinin ; Protease Inhibitors ; Hageman Factor
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Summary 1. Prekallikrein, prepared according to Nagasawaet al., has been purified further by agarose gel electrophoresis. It can be activated directly by Hageman factor and by solid phase trypsin. Its specific activity (benzoyl arginine ethyl ester as substrate) was 13.2 μM min−1 mg−1. Gel filtration on a calibrated column of sephadex G 200 revealed a molecular weight of 101,000, which is close to the value reported for casein-activated kallikrein. 2. The contact-activated bovine enzyme was very similar to casein-activated porcine kallikrein. Both enzymes hydrolyzed benzoyl arginine ethyl ester and tosylarginine methyl ester with about the same speed. The sensitivity of the two preparations against trasylol®, soy bean inhibitor, and serum inhibitor was also not different. 3. In contrast to previous assumptions, purified bovine LMW kininogen (MW 50,000) proved to be substrate for contact-activated kallikrein. As with the caseinactivated enzyme, the total bradykinin content of the kininogen could be released. 4. Serum, even when heated previously to 61°C, contains inhibitors against kallikreins activated by contact or casein, as well as against trypsin. Whereas pretreatment according to Diniz and Carvalho (pH about 2; 98°C) renders the serum more susceptible to trypsin, such denaturated substrate is less accessible for both kallikreins. Serum or plasma pretreated according to Horton (pH2; 37°C), yield at least 50% of the kinin activity obtained with trypsin, irrespective of the kallikreins used. 5. When acid-treated (according to Horton) 61°-serum has been incubated first with casein-activated kallikrein, contact-activated enzyme does not release additional kinin activity and vice versa. 6. Plasma which has been rotated exhaustively with glass, nevertheless contains substrate for contact-activated kallikrein. 7. Addition of Hageman factor to Horton's substrate does not increase the kinin yield above that obtained by glass-contact of normal plasma. Addition of prekallikrein, however, increases the kinin yield about threefold. Therefore, neither Hageman factor nor substrate, but the actual amount of active kallikrein limits the kinin yield upon glass activation. 8. Our experiments with serum kallikreins and their substrates can be interpreted without assuming a distinct, contact activated kinin system.
    Type of Medium: Electronic Resource
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