Use of a jugular vein graft in a modified Blalock-Taussig procedure in dogs

OBJECTIVE: To determine whether autologous jugular veins provide functional grafts with high 30-day patency rates in an experimental model of systemic-to-pulmonary shunting performed with a modified Blalock-Taussig procedure. ANIMALS: 15 healthy Beagles. PROCEDURE: A segment of the left jugular vein was implanted between the left subclavian and pulmonary arteries. Echocardiograms were obtained prior to surgery, at day 4 to 7, and at day 30 after surgery. Selective angiograms were performed immediately after surgery and on day 30. Oximetric shunt calculations were made via terminal angiography prior to euthanasia. Gross and histologic evaluations of the grafts were conducted. RESULTS: Grafts were patent in 12 of 15 dogs 30 days after surgery as assessed via auscultation, color Doppler ultrasonography, angiography, and histologic examination. Echocardiographic analysis revealed compensatory eccentric left ventricular hypertrophy. Mean pulmonary-to-systemic flow ratio was 1.5:1. Histologic evidence of endothelialization of the anastomotic sites and vein graft arterialization was detectable at 30 days. CONCLUSIONS AND CLINICAL RELEVANCE: Autologous jugular vein grafts were effectively used to create a systemic-to-pulmonary shunt by use of a modified Blalock-Taussig procedure. High patency, ready accessibility, low cost, and theoretical adaptative remodeling during patient growth make autologous jugular vein grafts a valuable alternative to synthetic materials.     

Ecogeochemical investigation,Kola peninsula: Sulphur and trace element content in snow

The Central Kola Expedition and the Geological Surveys of Norway and Finland have undertaken a multi-media investigation of eight catchments situated in Russia (Zapoljarniy, Monchegorsk, Kirovsk, Kurka), Norway (Skjellbekken) and Finland (Kirakka, Naruska, Pallas) to determine the environmental impact of local industrial pollution. Results of analysis of snow samples collected in March/April 1994 are presented for both filtered meltwater and filter residues. Many heavy metals (As, Cd, Co, Cr, Cu, Mo, Ni, Pb, V and Zn), as well as S, Al and Fe, are unusually enriched in both phases in the Russian catchments, primarily in Monchegorsk and/or Zapoljamiy. Typically, some elements are found mostly in the meltwater phase (e.g. Na, S, Sr, Zn), others in the filter residues (e.g. Cr, Fe, Mo, Ni). Cu and Ni are well correlated, both in meltwater and in filter residue, and the ratio of Cu to Ni can be useful in identifying pollution sources. Snow is a well-suited medium for fingerprinting environmental pollution sources. Estimates of deposition from snow meltwater only, will be seriously underestimated for many elements.     

comparison of sulphur and heavy metal contents and their regional distribution in humus and moss samples from the vicinity of Nikel and Zapoljarnij,Kola Peninsula,Russia

Terrestrial moss and humus (the O-horizon) are often used separately for determining and monitoring airborne heavy metal pollution. Here, we directly compare the results of analyses of moss and humus samples taken at a density of one site per 300 km² in a 12 000 km² area (45 samples) around the nickel smelter in Nikel, the nickel ore roasting plant in Zapoljarnij, both in Russia, and the iron ore mine and mill near Kirkenes in Norway. The samples were air dried, digested in conc. HNO₃ and analysed for more than 30 elements by ICP-MS and ICP-AES at the laboratory of the Geological Survey of Finland (GTK). For most elements, observed levels and variations are considerably greater in soil than in moss. The main contaminants, Ni and Cu, reach equally high median levels in the moss and soil, but maximum values are far higher in soil. Both media show comparable regional distribution patterns for the heavy metals, but not for sulphur. Cu and Ni can be used to delineate the limits of contamination in the survey area. Both media show the same picture, with a generally very steep gradient from east to west and background levels being reached 30–50 km from the nickel smelter. When moss is used, Cu/Ni, Cu/S and Ni/S ratios can be used to separate input from the smelting and roasting proccesses in Russia. Both media are well suited to use separately to detect airborne pollution in this heavily contaminated area. The moss data are generally easier to interpret, but moss is not available at the most polluted sites. Levels for many elements other than Cu and Ni are close to the detection levels in moss samples, but not in humus samples. Information gathered from both media thus complement each other in a regional multi-element survey.     

Immunohistochemical characterization of mesothelioma in 6 large felids

Mesothelioma has been reported frequently in large felids. These neoplasms present a diagnostic challenge given their highly variable morphology that mimics carcinomas or sarcomas at different locations. Our goal was to characterize mesotheliomas morphologically and immunohistochemically to determine if a panel of antibodies could be used to more accurately support the diagnosis of these neoplasms in large felids. Mesotheliomas from 6 large felids, including 4 clouded leopards, 1 Bengal tiger, and 1 cheetah, were immunohistochemically labeled for vimentin, E-cadherin, pancytokeratin, Wilms tumor 1 (WT1), MUC-1, and calretinin. The mesotheliomas of the 4 clouded leopards and the tiger were of the epithelial subtype; the mesothelioma from the cheetah was biphasic. All 6 mesotheliomas had strong immunohistochemical labeling for vimentin, E-cadherin, and pancytokeratin. All cases had cytoplasmic labeling for WT1, and 2 also had nuclear labeling. The 3 mesotheliomas with distinct papillary fronds were weakly positive for MUC-1. These and one other epithelial mesothelioma were also positive for calretinin. Our study demonstrates that the morphologic and immunohistochemical phenotypes of mesothelioma that have been identified in humans and domestic species can occur in large felids, and a panel of pancytokeratin, vimentin, WT1, and calretinin can be utilized to support the diagnosis of these neoplasms.     

Adjuvant medical therapy provides no therapeutic benefit in the treatment of dogs with low‐grade mast cell tumours and early nodal metastasis undergoing surgery

Lymph node (LN) metastasis is a negative prognostic factor in dogs with cutaneous mast cell tumours (cMCTs). While elective lymphadenectomy of metastatic LNs improves outcome, the benefit of adjuvant medical therapy in dogs with early metastatic (HN2) LNs is debated. The aim of this retrospective multicentre study was to evaluate the therapeutic benefit of adjuvant medical therapy following surgical removal of the primary low‐grade cMCT (Patnaik grade 1‐2 and Kiupel low‐grade) and lymphadenectomy of HN2 LNs by analysing survival rates and patterns of recurrence. Seventy‐three dogs were included: 42 received adjuvant medical treatment (chemotherapy and/or kinase inhibitors), and 31 did not. The median follow‐up time for medically treated dogs was 619 days: two experienced local recurrence, three nodal relapse and four distant relapse. For dogs undergoing surgery only, the median follow‐up time was 545 days. None of them experienced local recurrence, nodal, or distant relapse. Time to progression was significantly shorter in dogs receiving adjuvant medical treatment (P = .021). A similar tendency was observed for overall survival (P = .056). The current study shows that dogs with low‐grade cMCTs, that undergo surgical excision of the primary tumour and elective lymphadenectomy of the HN2 regional LN harbour a good prognosis. The use of adjuvant medical treatment in these dogs does not seem to provide any benefit in terms of progression and survival.     

Outcomes of dogs with grade 3 mast cell tumors: 43 cases (1997-2007)

This study reports the outcomes of dogs with grade 3 mast cell tumors (MCTs). Clinical and histopathological data were available for 43 dogs. Median progression-free survival (PFS) and overall survival (OS) were 133 and 257 days, respectively. Tumor size, lymph node (LN) status, and mitotic index (MI) significantly influenced PFS in univariate analysis. Tumor size and LN status remained significant in the multivariate analysis. Lymph node status, local tumor control, LN treatment, and MI significantly influenced OS in univariate analysis but only LN status remained significant in multivariate analysis. These results confirm that locoregional control improves outcomes in patients with grade 3 MCTs.     

Disruption of the CFTR gene produces a model of cystic fibrosis in newborn pigs

Almost two decades after CFTR was identified as the gene responsible for cystic fibrosis (CF), we still lack answers to many questions about the pathogenesis of the disease, and it remains incurable. Mice with a disrupted CFTR gene have greatly facilitated CF studies, but the mutant mice do not develop the characteristic manifestations of human CF, including abnormalities of the pancreas, lung, intestine, liver, and other organs. Because pigs share many anatomical and physiological features with humans, we generated pigs with a targeted disruption of both CFTR alleles. Newborn pigs lacking CFTR exhibited defective chloride transport and developed meconium ileus, exocrine pancreatic destruction, and focal biliary cirrhosis, replicating abnormalities seen in newborn humans with CF. The pig model may provide opportunities to address persistent questions about CF pathogenesis and accelerate discovery of strategies for prevention and treatment.