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Seldom if ever have parasitological insights been found in the great works of literature. Important observations on the transmammary transmission o f hookworm, however, may be found in a literary manuscript recently discovered in a Parisian archive. The concept of transmammary transmission is now well established, and while canine hookworm species are generally considered incapable of reaching maturity in man, they may well be capable of producing transient patent infections in neonates. The manuscript, to judge by its literary style, is clearly a fragment written by Marcel Proust (1871-1922) for his great seven-part masterpiece A la Recherche du Temps Perdu (Remembrance of Things Past) and perhaps it will appear in future editions. The manuscript was discovered by Professor C.A.M. Bell, who has kindly provided the following translation.

Four C(2')-substituted 2'-deoxyadenosines were examined as substrates for human erythrocytic adenosine deaminase and for formation of intracellular nucleotide analogs in human erythrocytes, lymphocytes and murine Sarcoma 180 cells: 9-(2'-deoxy-2'-fluoro-beta-D-ribofuranosyl)adenine, 9-(2'-deoxy-2'-fluoro-beta-D-arabinofuranosyl)adenine, 9-(2'-azido-2'-deoxy-beta-D-ribofuranosyl)adenine (2'-N3-riboA) and 9-(2-azido-2'-deoxy-beta-D-arabinofuranosyl)adenine. All four adenosine analogs were substrates of human erythrocytic adenosine deaminase, but the corresponding inosine analogs (synthesized by the adenosine deaminase reaction) were highly resistant to cleavage by human erythrocytic purine nucleoside phosphorylase. Only 9-(2'-deoxy-2'-fluoro-beta-D-ribofuranosyl)hypoxanthine underwent very slow phosphorolysis, and no inhibition of inosine phosphorolysis was detected when a 30 microM concentration of any studied inosine analog was added to a reaction mixture containing 30 microM inosine (the Km concentration). Kinetic parameters were determined for the deamination of the adenosine analogs. The greatest affinity for adenosine deaminase was found with 2'-N3-ribo A (Ki = 2 microM), but the reaction velocity was highest with the F-substituted analogs. All four adenosine analogs formed triphosphate nucleotides after incubation with human erythrocytes, murine Sarcoma 180 cells, or human lymphocytes (tested only with the F analogs) in the presence of deoxycoformycin.

A 47-year-old group A, Rh1Rh1 woman treated with intravenous ampicillin for chronic pyelonephritis received two units of blood and also received oral cephalexin. Three months after the transfusions she was noted to have allo-anti-E and anti-c, and a 2+ positive direct antiglobulin test. Anti-E and anti-c could be eluted from her cells, yet neither antigen could be demonstrated on the patient's circulating red blood cells. Also present in the serum and in the eluate was anti-ampicillin antibody. Studies of the patient's red blood cell eluates using ampicillin-treated R1R1 and untreated R2R2 cells demonstrated anti-E complexed with anti-ampicillin in a drug-related example of the Matuhasi-Ogata phenomenon. Artificially created mixtures of anti-E and drug antibody could reproduce the effect in vitro. No effect of cephalexin could be demonstrated. The variability of the Matuhasi-Ogata phenomenon is discussed with regard to the sequence of antibody attachment, and the possible relationship to cephalexin is discussed. Drug antibodies may be involved in the Matuhasi-Ogata phenomenon in cases where another red blood cell antibody cannot be shown to be present.

The increase in teen-age pregnancy creates a growing population of young mothers unable to care adequately for themselves or their children. Responding to budget cuts in Utah, the authors report on a program that combines the resources of an agency and a university program to teach mothers child care and self-sufficiency, promotes the healthy development of their children, and gives field training to social work students.

Eluates from the red blood cells (and sera whenever free autoantibody was present) of 150 individuals with positive direct antiglobulin tests, have been studied for antibody specificity. Of 87 patients with AIHA, 64 had autoantibodies reacting with all red cell samples including Rhnu11. Of these 64 anti-d1 autoantibodies, two were, and 32 contained, auto-anti-Wrb. Of 33 patients being treated with alphamethyldopa, who had developed positive direct antiglobulin tests, 23 had anti-d1 autoantibodies four of which contained auto-anti-Wrb. Of 30 haematologically normal donors with positive direct antiglobulin tests, 23 had anti-d1 autoantibodies, two of which were, and six of which contained, auto-anti-Wrb. The full specificities of autoantibodies, other than anti-Wrb and anti-d1, in the 150 patients are described, as are the natures of the protein red cell coatings that caused the positive direct antiglobulin tests. The presence of free serum autoantibody as a correlate of the three clinical conditions is reported. Several observations on auto-anti-Wrb are documented. The antibody can cause gross red cell destruction in vivo, but can be benign on other occasions; it occurs with approximately the same frequency in AIHA patients and "normal" donors with positive direct antiglobulin tests, but in fewer patients with alphamethydopa induced positive direct antiglobulin tests; it does not activate complement in vivo; and finally it may eventually provide a clue to the aetiology of AIHA.

The turnover of total [(32)P]phospholipids in Escherichia coli B is shown to be inversely related to the osmolarity of the medium and a reflection of the rates of turnover of the major phospholipid classes, phosphatidylglycerol and phosphatidylethanolamine. External osmolarity also affects the phosphatidylglycerol content of the culture. These results suggest that alterations in the metabolism of membrane phospholipids may be part of the process of adaptation to the external osmotic environment.

Polyamines are required for rapid phospholipid turnover in Escherichia coli growing in media of low osmolarity.

Escherichia coli MA-159 is deficient in agmatine ureohydrolase. After addition of exogenous arginine, the cellular putrescine content declines immediately and exponentially; however, the spermidine content remains normal for 3 h. The growth rate of such cultures, measured turbidometrically, slows gradually over many hours. Putrescine-depleted cultures grow especially slowly in media of low osmolarity, whereas nondepleted cultures grow at similar and rapid rates in media of either normal or low osmolarity. External osmolarity also affects the ability of various exogenous polyamines to stimulate growth of putrescine-depleted cultures. In medium of normal osmolarity, putrescine and spermidine both allow sustained rapid growth for many hours. In low osmolarity medium, putrescine allows sustained rapid growth, whereas cultures containing spermidine grow more slowly; this result cannot be explained by conversion of putrescine to spermidine, for cultures grown with exogenous putrescine contain smaller spermidine pools than do cultures grown with exogenous spermidine. Spermine greatly stimulates growth in medium of normal osmolarity; however, in medium of low osmolarity, spermine is much less effective and can block the action of putrescine. Several other polyamines have been studied in this system. These results confirm and expand previous reports that polyamines are necessary for growth of E. coli and suggest that putrescine may have a specific function during growth in media of low osmolarity.