RESUMEN
Cytomegalovirus (CMV) reactivation and disease remains an important clinical problem for patients after allogeneic stem cell transplantation. Impaired cellular immune control of viral replication is responsible for viral reactivation, and transfer of CMV-specific T cells from transplant donors can be effective in providing protection. Recent reports have indicated that the frequency of CMV-specific CD8(+) T cells in the peripheral blood of healthy donors is surprisingly high. Here we demonstrate that by using a combination of human leucocyte antigen (HLA) Class I-peptide tetramers and magnetic selection it is possible to select CMV-specific T cells from CMV antibody-positive individuals to high purity. Reliable purification of CMV-specific T cells up to 99.8% of CD8(+) cells was possible within hours, even when starting with a precursor frequency of < 0.1% of peripheral blood CD8(+) T cells. CMV-specific T cells remained functional after the selection process. This novel form of antigen-specific T-cell selection should facilitate the selection of T cells for cellular immunotherapy to treat or prevent CMV disease after transplantation. In addition, this technique could potentially be applied to many antigens including against other infective agents and tumour-specific antigens.
Asunto(s)
Linfocitos T CD8-positivos/inmunología , Infecciones por Citomegalovirus/inmunología , Citomegalovirus/inmunología , Antígenos HLA/inmunología , Traslado Adoptivo , Anticuerpos Antivirales/sangre , Antígenos Virales/inmunología , Humanos , Epítopos Inmunodominantes/inmunología , Separación Inmunomagnética/métodos , Interferón gamma/biosíntesis , Fragmentos de Péptidos/inmunologíaRESUMEN
The pressure-induced gelation of concentrated skimmed milk and milk-sugar mixtures was studied to discover the main components responsible for gelation. The major protein component responsible for gelation is micellar casein. Gelation occurs at similar pressures to casein micelle disintegration in dilute milk, and both can be prevented by inclusion of excess calcium chloride. Transmission electron micrographs show that the protein network is formed from particles with diameters approximately an order of magnitude smaller than those of intact casein micelles. Gelation occurs on decompression and is found to be baroreversible. Concentrations of sugar up to 30% reduce the critical concentration of casein required for gelation, but higher sugar concentrations inhibit gelation. A mechanism of gelation based on the aggregation of casein submicelles formed by pressure-induced disintegration of casein micelles is proposed. Observations on the effect of sucrose on gelation are discussed in terms of the influence of sugars on the solvent quality in aqueous casein systems.
Asunto(s)
Caseínas/química , Proteínas de la Leche/química , Presión , Caseínas/análisis , Geles , Micelas , Microscopía Electrónica , Proteínas de la Leche/análisis , Reología , Solventes , Sacarosa , Factores de Tiempo , Proteína de Suero de LecheRESUMEN
Splenectomized patients are at risk of overwhelming infection and are advised to take life-long prophylactic oral penicillin. Compliance studies have not been published for adults in this situation. We used a standard biological assay to detect penicillin in the urine of 58 splenectomized patients. 24 (42%) patients had evidence of penicillin in their urine. Patients' sex, age, years from splenectomy and underlying diagnosis were not important factors in identifying good or poor compliance. Since 58% of patients did not take their penicillin on the day studied, we need to consider alternative strategies of antibiotic use and patient education.
Asunto(s)
Control de Infecciones/métodos , Penicilinas/uso terapéutico , Cuidados Posoperatorios/métodos , Esplenectomía/métodos , Adulto , Profilaxis Antibiótica/métodos , Bioensayo , Femenino , Humanos , Masculino , Cooperación del Paciente , Penicilinas/orina , EmbarazoRESUMEN
The 2H spin-lattice relaxation times T1Z and T1Q of the -ND+3 group in polycrystalline L-alanine were measured over the temperature ranges 250-425 K and 300-425, respectively. The relaxation data were fitted to analytical expressions for three-fold reorientation, giving a correlation time tau(c) = 1.5 x 10(-14) s exp(40.2 kJ mol-1/RT), which is in good agreement with the results of a limited lineshape study. T 1Z values derived from numerical simulations, taking into consideration geometrical distortion of the -ND+3 group and experimental imperfections, are compared with values given by an analytical expression for three-fold jumps and with the experimental results. The extraction of average site quadrupolar coupling constants is discussed.