Solitary plasmacytoma of bone--a rare disorder with an unusual evolution.

Solitary plasmacytoma of bone--a rare disorder with an unusual evolution. A 40 year old woman presented with a spinal epidural tumour, which on histology was shown to be a plasmacytoma. At that time she had no evidence of multiple myeloma. Ten months later, she developed a second isolated plasmacytoma in the spleen, for which she underwent splenectomy. Two years after her initial presentation she had another recurrence in the liver, followed by a full-blown picture of multiple myeloma. The myeloma was progressive and resistant to all forms of chemotherapy. She finally died of a massive gastrointestinal haemorrhage. The clinical features, natural evolution and management of solitary plasmacytomas are discussed. Journal ISSN: 0032-5473 Issue: 69-808 (1993) Pages: 153-4

Studies on the antihypertensive action of L-tryptophan.
Studies on the antihypertensive action of L-tryptophan. The administration of L-tryptophan to spontaneously hypertensive rats caused a dose-related decrease in blood pressure. Maximal reductions occurred 2 hr postinjection. This effect could be attenuated by 1) coadministration of valine, an amino acid that competes with tryptophan for brain uptake; 2) pretreatment with metergoline, a serotonin receptor antagonist; and 3) pretreatment with parachlorophenylalanine, which inactivates tryptophan hydroxylase. In contrast, the effect of tryptophan on blood pressure could be enhanced by pretreatment with fluoxetine, a drug which blocks serotonin reuptake into presynaptic terminals. Taken together, these results indicate that tryptophan injection lowers blood pressure by a mechanism involving increased tryptophan uptake into brain, followed by enhanced conversion of the amino acid to serotonin (not tryptamine) and, ultimately, increased release of serotonin by brain neurons. The data thus support the notion that serotonergic neurons in the rat brain function in circuits that lower blood pressure. Journal ISSN: 0022-3565 Issue: 221-2 (1982) Pages: 329-33

Differential effects of fluoxetine and zimelidine on the uptake of 5-hydroxytryptamine and tryptamine by cortical slices and on responses of cortical neurones to stimulation of the nucleus raphe medianus.
Differential effects of fluoxetine and zimelidine on the uptake of 5-hydroxytryptamine and tryptamine by cortical slices and on responses of cortical neurones to stimulation of the nucleus raphe medianus. Intravenous administration of fluoxetine inhibited the uptake of tryptamine and 5-hydroxytryptamine by cortical slices. In contrast, zimelidine inhibited the uptake of 4-hydroxytryptamine only. In vivo, inhibitory and excitatory response of cortical neurones to stimulation of raphe medianus were potentiated by fluoxetine whereas only excitatory responses were enhanced by zimelidine. The results are consistent with the suggestion that the inhibitory effects of raphe stimulation are mediated by tryptamine and the excitatory responses by 5-hydroxytryptamine. Journal ISSN: 0014-2999 Issue: 81-4 (1982) Pages: 681-5

Intraperitoneal high-dose cisplatin and etoposide with systemic thiosulfate protection in second-line treatment of advanced ovarian cancer.
Intraperitoneal high-dose cisplatin and etoposide with systemic thiosulfate protection in second-line treatment of advanced ovarian cancer. Several randomized trials of various malignancies treated with cisplatin indicate a dose-response relationship with higher MST and longer survival achieved with high-dose compared to standard dose cisplatin regimens. Thirty-five patients with stages II-IV ovarian cancer with refractory cancer at second look or recurrent disease were treated second line with intraperitoneal (ip) combination chemotherapy of high-dose cisplatin (100-200 mg/m2) plus etoposide (350 mg/m2) in 1-6 cycles. Sodium thiosulfate was given as an intravenous antidote to cisplatin. A WBC nadir < 2.0 x 10(9)/liter was registered in 39 courses and a platelet nadir < 50 x 10(9)/liter in 3 courses. Severe nephrotoxicity was observed in 2 patients. Nonhematologic and nonrenal toxicity was mild except for vomiting and nausea and alopecia. No severe neurotoxicity was observed. A total of 127 courses were administered. Total median administered dose was 960 mg and 49 mg/m2/week. Treatment was changed in 5 (14%) patients due to severe nausea and vomiting, in 4 (11%) patients due to PAC problems, and in 2 (6%) patients due to nephrotoxicity. In 4 (11%) patients the dose was reduced due to hematologic toxicity. No toxic death was recorded. Median survival time from date of diagnosis was 21.8 (mean 37.9) months and the median progression-free survival from start of ip chemotherapy was 13.7 months. For patients with MRD < or = 2 cm the MST was 18.1 months. At the closing point of this study after a median follow-up time of 16.1 (range, 4.6-55.6) months, 7 (20%) patients were alive without evidence of progression, 4 (11%) were alive with cancer, and 23 (66%) were dead of cancer and 1 (3%) was dead of intercurrent disease. Journal ISSN: 0090-8258 Issue: 49-2 (1993) Pages: 166-71

Antiproliferative effects on human peripheral blood mononuclear cells and inhibition of in vitro immunoglobulin synthesis by Podophyllotoxin (CPH86) and by semisynthetic lignan glycosides (CPH82).
Antiproliferative effects on human peripheral blood mononuclear cells and inhibition of in vitro immunoglobulin synthesis by Podophyllotoxin (CPH86) and by semisynthetic lignan glycosides (CPH82). A mixture of natural and semisynthetic (modified) glycosides from Podophyllum emodi (Proresid) has been used for many years in the treatment of rheumatoid arthritis, but its use is hampered by gastrointestinal side effects. Highly purified podophyllotoxin (CPH86) and a preparation containing two semisynthetic podophyllotoxin glycosides (CPH82) are currently being tested in clinical trials. In this study these drugs were shown to inhibit in vitro [3H]-thymidine uptake of human peripheral blood mononuclear cells stimulated by the mitogens concanavalin A, phytohemagglutinin and pokeweed mitogen. Complete inhibition was observed with CPH86 in concentrations > or = 20 ng/ml and with CPH82 in concentrations > or = 1 microgram/ml. In vitro production of IgG, IgM and IgA by PWM-stimulated cells cultured for 7 days was unaffected by 10 ng/ml CPH86 and 100 ng/ml CPH82, but was strongly inhibited by concentrations of CPH86 at > or = 20 ng/ml and CPH82 at > or = 1 microgram/ml. In conclusion, both CPH86 and CPH82 inhibit mitogen induced lymphocyte proliferation and immunoglobulin synthesis and the results may be of help in determining optimal dose levels if related to treatment effects. Journal ISSN: 0392-856X Issue: 11-2 (1993 Mar-Apr) Pages: 179-82

Comments

[ginko]

Another interesting article. I look forward to reading these blogs, they always intrigue and interest me. I am very glad to being a part of this site. Thanks for keeping us informed and God Bless!

[hoodia]

I have read the article basis of the rare disorder of bones.I like post very much as it contain informative knowledge.I know that Antiproliferative effects on human peripheral blood mononuclear cells and inhibition of in vitro immunoglobulin synthesis by Podophyllotoxin (CPH86) and by semisynthetic lignan glycosides (CPH82).I want to know more complications regarding this rare disorder.