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Books > Medicine > Other branches of medicine > Pathology > Medical microbiology & virology
Research in diabetes has accelerated in two areas, both of which
are being reviewed in CTMI. The first is the use of a variety of
animal models; the second is basic research in human investigation,
islet cell antigens, and mapping of genes as sociated with
susceptibility to disease. Dr. Thomas Dyrberg accepted editorial
responsibility for this volume, which covers the first area. A
second book, to be published later in the year, is edited by Drs.
Brekkeskov and Hansen (CTMI 164, see page VI for contents).
Although the contributors to both volumes represent the
international scientific community, the editors are from the
Hagedorn Research Laboratory in Denmark. Work at this institute and
the Steno Memorial Hospital has been dedicated to research in
diabetes for decades, and the insti tutions were appointed WHO
Collaborating Centres for Re search and Training on the
Pathogenesis of Diabetes Mellitus in 1983. It is worth noting that
while addressing the hypothesis of the role of class II major
histocompatibility glycoproteins in autoimmune diabetes
(insulin-dependent diabetes, IDDM) a number of investigators
established animal models in which class II molecules were
expressed under the control of the rat insulin promoter. While
generating interesting information on 100M, the finding of
immunologic tolerance in such transgenic mice has attracted the
attention of several basic immunologic laboratories for quite
different reasons. Thus, we are reminded again of the Pasteur
dictum that "chance favors the prepared mind. " Michael B. A.
Oldstone, M. D."
The ADG held its first International Symposium at Churchill
College, Cambridge, in July 1979. The second symposium was also
held at Churchill College on 30-31 July, 1981, and this, the third,
took place at the same college on 30-31 July, . 1983. The meeting
was structured in a format which we hoped would appeal to the full
range of our membership. The philosophy of the ADG is that medical
microbiologists, veterinarians, toxicologists and dental
bacteriologists have much to learn from each other and can best be
achieved by bringing these various disciplines together frequently
and in informal surroundings. Again the symposium was very
generously sponsored by May and Baker Limited who met all costs of
the meeting and entertained us splendidly. David Jackson and Donald
Bedford were re sponsible for coordinating with the ADG on behalf
of May and Baker and, as usual, gave us their full cooperation.
This book contains the full-length papers, followed by the posters
presented at the meeting. This book also serves as a vehicle for
the abstracts of the first meeting of the Society for Intestinal
Microbial Ecology and Disease, SIMED, held in Boston,
Massachusetts. An introduction to this new society by its
President, Sydney M. Finegold, M.D., precedes the abstracts. M.J.
Hill VI CONTENTS Preface v List of contributors VIII Introduction
to the Anaerobe Discussion Group M.J. Hill XI A guinea-pig model
demonstrating synergy between Escherichia coli and Bacteroides
fragilis in infected surgical wounds."
If tumor viruses did not exist in nature they might have been
created by scientists interested in basic mechanisms of develop-
ment, differentiation, and tumorigenesis. In contemporary euka-
ryotic cell biology tumor viruses playa similar role to that which
bacteriophages once had for the molecular biology of prokary- otes.
Tumor viruses provide extremely useful probes for the above
cellular processes since their life cycle is genetically pro-
grammed and can be followed at DNA, RNA, and protein levels. The
experimental systems reviewed in this volume utilize a wide variety
of viruses. A comprehensive introduction to this field has recently
been published in the volumes of Molecular Biology o/Tumor Viruses:
DNA Tumor Viruses, 2nd edition, edited by J. Tooze; and Molecular
Biology o/Thmor Viruses: RNA Tumor Viruses, 2nd edition, edited by
R. Weiss, N. Teich, H. Varmus, and J. Coffm, by Cold Spring Harbor
Laboratories in 1980 and 1982. Polyoma and SV40 viruses (see the
chapter by A. Levine) and adenoviruses (see the chapter by W.
Doerfler) are double- stranded DNA-containing viruses. Polyoma and
SV40 are struc- turally related viruses which contain a genome of
approximately 5 kilo basepairs, while the DNA of adenovirus is
about 7 times more complex. These DNA tumor viruses are understood
at a genetic and molecular level which is comparable to our know-
ledge of A and T4 bacteriophages. Retroviruses, the subject of the
remaining four chapters, con- tain a single-stranded RNA genome of
5-8 kilobases.
Human gene therapy holds great promise for the cure of many genetic
diseases. In order to achieve such a cure there are two
requirements. First, the affected gene must be cloned, its se
quence determined and its regulation adequately characterized.
Second, a suitable vector for the delivery of a good copy of the
affected gene must be available. For a vector to be of use several
attributes are highly desirable: these include ability to carry the
intact gene (although this may be either the genomic or the cDNA
form) in a stable form, ability to introduce the gene into the
desired cell type, ability to express the introduced gene in an
appropriately regulated manner for an extended period of time, and
a lack of toxicity for the recipient. Also of concern is the
frequency of cell transformation and, in some cases, the ability to
introduce the gene into nondividing stem cells. Sev eral animal
viruses have been tested as potential vectors, but none has proven
to have all the desired properties described above. For example,
retroviruses are difficult to propagate in sufficient titers, do
not integrate into nondividing cells, and are of concern because of
their oncogenic properties in some hosts and because they integrate
at many sites in the genome and, thus, are potentially insertional
mutagens. Additionally, genes introduced by retroviral vectors are
frequently expressed for relatively short periods of time. A second
virus used as a vector in model systems has been adenovirus (Ad)."
We are most gratified by the response to the initiation of this
series of volumes presenting recent developments and new concepts
in microbial ecology. Favorable reactions have been expressed in
both oral and written communication, and Ad vances in Microbial
Ecology thus seems to be providing a worthwhile outlet in a rapidly
growing field of microbiology and environmental sciences. The
growing importance of microbial ecology is evident in many ways.
Uni versity personnel are expanding their programs and increasing
the number of research topics and publications. Substantial numbers
of industrial scientists have likewise entered this field as they
consider the microbial transformation of chemicals in waters and
soils and the effects of synthetic compounds on natural microbial
communities. Agricultural, medical, dental, and veterinary
practitioners and scientists have also been increasing their
activity in microbial ecology because of the importance of the
discipline to their own professions. In addition, govern mental
agencies have expanded regulatory and research activities concerned
with microbial ecology owing to the importance of information and
regulations fo cused on the interactions between microorganisms in
nature and particular en vironmental stresses."
Blastomycosis remains the most enigmatic of human mycotic
infections. The enigmas encompass the natural habitat of the
etiologic agent, extent of exposure and subclinical infections in
endemic areas, distribution of en demic foci throughout the world,
inconsistency of serologic evaluation of infected patients, and
varying response of such patients to standard treat ment regimens.
In spite of diligent investigations by many competent
investigators, we still do not know the ecological niche inhabited
by the etiologic agent. We have many tantalizing clues but no
definite answers. Nor do we know the extent of the endemic areas in
the world for this disease. Skin testing, so useful in defining the
distribution of histoplasmosis and coccidioidomycosis, has been of
no value in mapping endemic areas for blastomycosis. Even the
serologic evaluation of known cases of the disease has been too
erratic in results to be useful as a diagnostic or prognostic
procedure. The enigmas of blastomycosis go straight to the disease
itself. There is an extensive literature on the debate concerning
the presence and extent of subclinical infections. Case report
series demonstrate that such transient infections do occur but,
unlike other mycoses, the extent to which this phe nomenon is
common in the general population still cannot be assessed. Even the
diagnosis of established disease is a major clinical problem.
The complement system is a group of proteins which plays a major
role in the processing and removal of microorganisms and tissue
breakdown products from the circulation and extracellular spaces.
The system is activated by a wide range of targets, and activation
leads to the production of opsonins, chemotaxis of granulocytes,
cell lysis and other biological activities. Inappropriate
overactivation of the system contributes to inflammatory tissue
damage in the host, while inadequate activation leads to
accumulation of immune complexes and other debris in the
circulation, and susceptibility to infection. The biology and
biochemistry of the system is now adequately understood, and
attempts can be made to manipulate the activation and activities of
the system for potential therapeutic purposes. The reviews in this
volume summarise what is known of the ways in which the complement
system can be activated, by interaction with antibodies,
microorganisms, cell debris, and complex carbohydrates and how the
activities and activation of the system have been modified,
accidentally or by design, in vitro or in vivo by drugs, venoms,
particulate carbohydrates, specific antibodies, synthetic peptides
and other reagents.
Die Naturwissenschaften; Edward Arnold Co.; Research in Veterinary
Science; Ltd.; Farm Mechanization and Buildings; Springer Verlag;
The Ciba Foundation Ltd.; Journal of Agricultural Science; Journal
of The Institute of Biology; The Lancet; The Reproduction and
Fertility; Lea and Febiger; Physiological Society (G. B.); The
Royal Masson et Cie, Paris; MacMillan Publishing Society;
University of Chicago Press; Uni- Co., Inc.; National Academy of
Science, versity of Rhodesia; Verhandlungen der U.S.; National
Research Council of Canada; Deutschen Gesellschaft fur
KreislautJorsch- Nature, London; North Holland Publishing ung;
Waverly Press; and W. B. Saunders. Co.; Oxford University Press;
Pergamon Press; Physiology and Behavior; Poultry D. L. INGRAM
Science Association; Reinhold Publishing L. E. MOUNT Contents
Preface Chapter 1 The Thermal Eml'ironment 1 Hot, Thermally
Neutral, and Cold Environments 1 Development of Climatic Physiology
3 Physical Principles Chapter 2 Heat Exchange between Animal and
Environment 5 Metabolic Heat and Its Dissipation 5 Body Temperature
6 Poikilotherm and Homeotherm 7 Heat Flow 8 Sensible Heat Transfer
9 Evaporative Heat Transfer 16 Calorimetry 21 Chapter 3 Metabolic
Rate, Thermal Insolation, and the Assessment of Environment 24
Metabolic Rate and Heat Loss at High Temperatures 24 Thermal
Conductance and Insulation 27 Evaporative Heat Loss 31 The
Assessment of Thermal Environment 34 Responses of Different Species
to High Temperatures 37 Physiological Mechanisms Chapter 4
Evaporative Heat Loss 39 Evaporative Loss from the Respiratory
Tract 39 ix x Contents Conservation of Water Loss from the
Respiratory 40 Tract in a Hot Dry Climate
The time seems ripe for a critical compendium of that segment of
the biological universe we call viruses. Virology, as a science,
having passed only recently through its descriptive phase of naming
and num bering, has probably reached that stage at which relatively
few new truly new-viruses will be discovered. Triggered by the
intellectual probes and techniques of molecular biology, genetics,
biochemical cytology, and high resolution microscopy and
spectroscopy, the field has experienced a genuine information
explosion. Few serious attempts have been made to chronicle these
events. This comprehensive series, which will comprise some 6000
pages in a total of about 18 volumes, represents a commitment by a
large group of active investigators to analyze, digest, and
expostulate on the great mass of data relating to viruses, much of
which is now amorphous and disjointed, and scattered throughout a
wide literature. In this way, we hope to place the entire field in
perspective, and to develop an invalua ble reference and sourcebook
for researchers and students at all levels. This series is designed
as a continuum that can be entered anywhere, but which also
provides a logical progression of developing facts and integrated
concepts."
A sample of the most exciting developments in the cloning,
manipulation, expression and application of genetically-engineered
monoclonal antibodies. This rapidly-evolving field has witnessed
the PCR combinatorial cloning of vast immunological diversity, in
vitro mutagenesis of MAbs, MAbs created by transgenic animals,
novel expression systems in plants, animals and lower systems, as
well as a rich variety of genetically modified MAbs as potential
therapeutic agents. Leading scientists from academia and industry
present their own findings as well as short reviews of these
research areas.
Once again the Current Topics in Microbiology and Immunology series
presents a volume with up-to-date review articles on oncogenes. The
well-known authority and editor of previous volumes in the series,
Dr. Vogt, has accepted five contributions which critically evaluate
recent research in the field.
The present volume contains 17 lectures of the 41 st Mosbach
Colloquium of the Gesellschaft fiir Biologische Chemie, held from
April 5-7, 1990 on the topic "The Molecular Basis of Bacterial
Metabolism". From the beginning it was not the intention of the
organizers to present a comprehensive account, but rather to select
new, exciting progress on sometimes exotic reactions of
specifically bacterial, mainly anaerobic metabolism. Members of our
society had contributed to this progress to an extent that greatly
stimulated the scientific exchange with international colleagues
during the days in Mosbach. The editors hope that this stimulation
will be conveyed to the readers of the articles, which reach from
the biochemistry of methanogenesis, via anaerobic radical
reactions, metal biochemistry in hydrogen and nitrogen metabolism,
conversions of light - and redox energy, to the regulation of
metabolic adaptation, and the attempts to bioengineer novel
pathways for the degradation of xenobiotica. We believe that the
book represents a highly progressive field of over lapping
disciplines, comprising microbiology and molecular genetics,
chemistry of biomimetic interest, and biophysics, and that it gives
insight into the impact modern technologies have on microbiological
research today. The colloquium was generously supported by the
Deutsche Forschungsgemeinschaft, the Paul-Martini-Stiftung, and the
Fonds fiir Biologische Chemie. A. Trebst, G. Schafer, and D.
Oesterhelt were a great help in preparing the program and we wish
to thank them for their advice.
An integrated retrovirus effectively becomes part of the cellular
genome, but with the difference that the virus to a large extent
retains control over its own expression through nontranslated
sequences in the long terminal repeat (L TR). Some retroviruses
also code for nonstructural proteins that further regulate proviral
expression. Integration changes the cell genome; it adds viral
genes, and in the case of transducing retroviruses also adds
cell-derived oncogenes that have been incorporated into the viral
genome. Integration can also have consequences for cellular genes.
The transcriptional signals in a provirus can activate expression
of neighboring cellular genes; the integration even can disrupt and
thus inactivate cellular genes. These effects of retroviral genomes
take place in cis; they are referred to as insertional mutagenesis
and are the subject of this volume. Almost 10 years have passed
since W. Hayward, S. Astrin, and their colleagues found that in B
cell lymphomas of chickens, induced by avian leukosis virus,
transcription of the cellular proto-oncogene myc was upregulated
through the integration of a complete or partial provirus in its
vicinity. This landmark discovery suggested a mechanism by which
retro viruses that do not carry cellular oncogenes in their genome
("nonacute retroviruses") can cause cancer. It contributed the
first evidence for the carcinogen potential of oncogenes that are
not part of a viral genome."
Important progress in the elucidation of the mechanisms influencing
bacterial pathogenicity has recently been made through the
introduction of modem genetic techniques. Molecular cloning allows
the isolation of genes for pheno- types that epidemiological
surveys have suggested play an important role in pathogenesis. The
structural analysis of determinants for pathogenic traits can lead
to the identifica- tion not only of the primary sequence but also
of the possi- ble secondary and tertiary structures for important
viru- lence factors such as toxins and adhesins. From these data,
the prediction of antigenic domains suitable for the devel- opment
of new vaccines appears to be feasible. The regula- tion of
virulence determinants by endogenous and exoge- nous factors can be
more clearly understood through the functional analysis of the
cloned virulence genes. This volume surveys representative
virulence properties of gram-positive and gram-negative bacteria to
which the genetic approach has been successfully applied. The exam-
ples described here include important bacterial toxins (e.g.,
diphtheria toxin, cholera toxin, toxic shock syndrome toxin,
hemolysins), adhesion structures from E. coli and Neisseria
gonorrhoeae, and factors supporting iron uptake, serum resistance,
and invasiveness in a variety of bacteria. Both the present state
and the possible futural develop- ments of these systems are
described.
Rapid progress in molecular biology, genetic engineering, and basic
research in immunology has opened up new possibilities for
application to diagnostic procedures and to clinical research. In a
short period a new era of diagnosis dawned, covering nearly all
fields of microbiology, immunology, and food technology. In
consequence of this rapid development, scientists of many
disciplines are involved studying infections of humans, animals,
and plants or working in technical microbiology. The application of
the newest findings of basic research to diagnostic work and to
clinical research covers nearly all fields of microbiology and
immunology. Moreover, it underlines the close relationship between
diagnosis, therapy, and epidemiology. An outstanding example of
these connections is given by the recent development of hepatitis B
vaccine. The discovery and identification of a non cultivable agent
by physicochemical and immunological methods were the heralds of a
new era in the prevention of infectious diseases. This book
provides an up-to-date, comprehensive review of developments and
future aspects in various fields. I am convinced that the authors
have succeeded in furnishing a large variety of new ideas and
possibilities. K.-O. HABERMEHL Contents Time Realities in the
Evaluation of Vaccines for Safety and Efficacy The Evaluation of
Vaccines M. R. HILLEMAN . . . . ."
Almost 30 years ago RITOSSA described a new puffing pattern in
salivary gland chromosomes of Drosophila following heat shock. This
was the first description of a heat shock response. For years,
development in this field remained modest and it took another
decade before the relevant gene products-the heat shock proteins
(hsp's)-were made visible by TISSIERES and co-workers.
Subsequently, progress advanced more rapidly and we can now state
that studies on the heat shock response have contributed much to
our understanding of various principles in molecular and cellular
biology such as control of gene expression and regulation of
protein translocation. More recently, the study of hsp's has
converged with immunology. There are several reasons for this: The
chaperone function of certain hsp's makes them particularly apt for
central functions of immunity, including antigen presentation and
immunoglobulin synthesis. Furthermore, an effective immune response
is often caused or followed by stress situations as they arise
during trauma, inflammation, transformation, infection, or
autoimmune disease. Due to their abundance during stress, hsp's can
provide prominent antigens in many of these situations. This volume
contains 11 chapters written by well-known experts dealing with
various facets of the fascinating liaison between hsp's and
immunity. The particular relation of hsp's to the immune system may
be best illustrated by their intimate association with the major
histocompatibility gene complex. Still, as discussed by GONTHER,
the relevance of this fact to our understanding of hsp functions in
immunity remaif)s speculative.
Pioneering work on hepatitis B virus and hepatitis delta virus, and
the discovery of hepatitis B-like virus in animals during the
1970's has been followed, over the past ten years, by an explosion
of interest in how these viruses replicate, maintain chronic
infections, and cause liver disease and hepatocellular carcinoma.
The purpose of this book is two-fold. First, the authors of each
chapter provide a summary of their specialty that will not only
serve as an introduction, but will also provide the newcomer to
hepatitis B virology with up-to-date information and insights into
the goals and accomplishments of each area of investigation.
Second, since the diversification of interests and increased
specialization of hepadnaviruses researchers has reached a level
where it is no longer possible for any one individual to read all
the primary literature, this book will help to refocus interest on
what is, after all, the major objective: to understand and
ultimately treat or prevent chronic liver disease and liver cancer.
Accordingly, chapters are included which span a range of interests,
from the management of hepatitis B patients to new approaches to
antiviral therapy, from the role of hepadnavirus gene expression in
DNA replication to the role of ribozymes in the delta virus life
cycle, from liver cancer in naturally infected woodchucks to liver
disease in HBV transgenic mice to the use of hepatitis virus
vectors to treat inherited enzyme deficiencies.
A puzzling epidemiological problem was the driving force behind the
discovery of human adenoviruses by Wallace Rowe and his colleagues
30 years ago. The de velopment of a plaque assay for poliomyelitis
virus in 1953 led us to the threshold of quantitative virology, and
in the same year the double-helical structure of DNA was discovered
and became a cornerstone of mo lecular biology. The potential of
adenoviruses as research tools in the molecular and cellular
biology of eukaryotic cells was recognized as early as the late
1950s and early 1960s by several investigators. Structural and
biochemical stu dies dominated the early years. In 1962, some of
the adenoviruses were the first human viruses shown to be oncogenic
in experimental animals. Thus adenovirology offered the
investigator the entire gamut of host cell interactions, productive
and abortive, as well as trans formed and tumor cell systems. The
possibilities that adenoviruses afforded for the study of the
molecular biology and genetics of eukaryotic cells were fully rea
lized in the late 1960s and the 1970s."
The construction of this volume has been guided by two personal
convictions. Experience in the field of experimental chemotherapy,
both in the pharmaceutical industry and academia, has convinced us
that recent quantum technological advances in biochemistry,
molecular biology, and immunology will permit and, indeed,
necessitate an increasingly greater use of rational drug
development in the future than has been the custom up to now. In
Part l, therefore, we asked our contributors to provide detailed
reviews covering the biology of the malaria parasites and their
relation with their hosts, the experimental procedures including
culture techniques that are necessary to take a drug from primary
screening to clinical trial, and an account of antimalarial drug
resistance. Our second conviction is that many research workers are
all too loath to learn from the lessons of the past. For this
reason we asked the contributors to Part 2 of this volume to review
very thoroughly the widely scattered but voluminous literature on
those few chemical groups that have provided the antimalarial drugs
in clinical use at the present time. Much can be learned from the
history of their development and the problems that have arisen with
them in man. Some indeed may still have much to offer if they can
be deployed in better ways than they are at present. This question
has been taken up by several authors.
Understanding neutralization is particularly relevant to an
appreciation of the interaction between a virus and its
antibody-synthesizing host since it is likely that viruses and the
antibody system have evolved in response to reciprocally imposed
selective pressures. Neutralization of viruses which only infect
non-antibody-synthesizing hosts, while of considerable interest
from of points of view is de facto without any such evolutionary
signifi a number cance. In this second category are viruses of
plants, invertebrates, vertebrates below fish in the evolutionary
scale which do not synthesize antibody and most bacteria. Viruses
of organisms parasitic on or commensal with antibody synthesizing
vertebrates, such as enteric bacteria, protozoa or metazoan
parasites, will be in contac, with antibody at some stage of their
existence, and arthropod-borne viruses which have a higher
vertebrate as second host are obviously bona fide members of the
first category. There is an urgent need to understand the
principles by which antibodies inactivate virus infectivity since,
at present, we are unable to rationally construct effective
vaccines against new agents like the human immuno deficiency
viruses or to improve existing vaccines. The intention of this
volume is to comprehensively review neutralization and where
possible to construct a unifying theory which can be tested by
experimentation."
Named for the enlarged, inclusion-bearing cells characteristic of
infection by these viruses, cytomegaloviruses present a significant
challenge to both microbiologist and immunologist. Although most
primary infections in humans are subclinical, cytomegalovirus can
be associated with a wide spectrum of disease, particularly when
infection occurs in the immuno compromised individual or as a
result of congenital or perinatal infection. Although reinfection
with cytomegalovirus has been demonstrated, most recurrent and
persistent infections result from the reactivation of latent virus.
Cytomegaloviruses, like other members of the Herpesviridae family,
have the capacity to establish latency after a primary infection
but the mechanisms for establishing the nonreplicating but
reactivat able state have not been defined. The factors responsible
for the spectrum of manifestations of cytomegalovirus infection are
largely undetermined but host immunological function, route of
infection, and size of inoculum all contribute to the extent and
severity of disease. Cytomegaloviruses have the largest genomes in
the herpes virus family, approximately 240 kilo base pairs,
providing a potential coding capacity for more than 200 proteins of
which less than one-fourth have been mapped and described. There
are many similarities to other herpes viruses in genome structure
and gene expression; for example, three temporal classes of genes
can be identified as rx (immediate-early), f3 (early), and y (late)
products. The first five chapters of this volume review and
describe recent developments in understanding the trans cription
and regulation of these gene classes.
The humoral response of the immune system to a foreign antigen
usually requires the recognition of two antigenic determinants. The
one, called the carrier, is recognized by T-Iymphocytes, the other,
called the hapten, by B-Iympho cytes. As a consequence, T - and
B-Iymphocytes proliferate, B-Iymphocytes produce hapten-specific
antibodies, and the system develops memory to the antigens. It was
long thought that antigens would form a bridge to mediate the
cooperation of T - and B-Iymphocytes. However, it now appears that
antigens are broken down to fragments which then act as carrier
determinants for T -lymphocytes. The cells which originally process
antigen are called an tigen-presenting cells. They have phagocytic
properties. They can take up and degrade antigens, in the case of
pro teins to peptides. The peptides of protein antigens reappear on
the surface of the antigen-presenting cells, where they must become
associated with membrane proteins encoded by genes of the major
histocompatibility complex (MHC) in order to be recognized by
T-Iymphocytes. To activate helper T-Iym phocytes which cooperate in
antibody responses, MHC class II molecules have to be expressed on
the surface of the antigen-presenting cells. Once T -lymphocytes
have be come activated, they are ready to cooperate with B cells."
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