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Introduction: High-dose melphalan (HDMel) is the most common conditioning chemotherapy regimen for autologous stem cell transplantation (SCT) in patients affected by multiple myeloma (MM). No consensus exists for the emetogenicity or prophylaxis of chemotherapy-induced nausea and vomiting (CINV) in this regimen., Methods: Data on the incidence and efficacy/safety of CINV prophylaxis among patients affected by MM undergoing autologous SCT with the HDMel regimen was extracted from electronic databases and analyzed., Results: Eleven studies involving multiple CINV prophylaxis regimens were identified and included. No consensus on HDMel emetogenicity was reached, but most studies summarized the emetogenicity as moderate-high risk. An aprepitant-based three-drug regimen (aprepitant + serotonin receptor antagonist (5HT3RA) + dexamethasone) showed better efficacy than a two-drug regimen (5HT3RA + dexamethasone) for CINV prevention without increasing the frequency in adverse events., Conclusions: The aprepitant-based three-drug regimen should be the regimen of choice for CINV prophylaxis for MM patients undergoing autologous SCT with HDMel conditioning.

Purpose: Studies in humans and primates suggest that early visual experience may influence eye growth and refractive development later in life. In this study, we asked whether experimentally-induced myopia in 1-week-old chicks influences the responsiveness to form deprivation at a later age (4 weeks old)., Methods: A group of White Leghorn chicks ("twice deprived," N = 12) were monocularly deprived of form vision with white translucent diffusers at 3 days of age for 4 days. The diffusers were then removed, and the chicks were allowed 3 weeks of normal vision to age 27 days before being deprived again for 4 days. Another group of chicks ("once deprived," N = 9) were monocularly deprived of form vision at age 27 days for 4 days. Refractive errors, corneal curvatures, and axial ocular dimensions were measured by retinoscopy, infrared videokeratometry, and A-scan ultrasonography, respectively. Measurements were performed daily during the periods of deprivation and at approximately 3-day intervals in between treatments and after the final treatment period., Results: The magnitude of the form-deprivation myopia induced by 4 days of deprivation at 27 days of age was significantly smaller than that induced by the same treatment at 3 days of age (-4.1 vs. -9.8 D; paired t-test, p < 0.01). This difference in induced myopia reflects optical scaling with increasing eye size because the deprivation-induced changes in vitreous chamber depth were not significantly different for the two deprivation periods (0.37 vs. 0.35 mm, paired t-test, p = 0.65). The induction of myopia at the younger age did not affect the susceptibility to form-deprivation myopia at the older age; there was no difference in the response to form deprivation at the older age between the once-deprived and twice-deprived groups (-3.5 vs. -4.1 D; unpaired t-test, p = 0.50). There was also a significant correlation between the amount of axial elongation induced in individual eyes during the first and second periods of deprivation (r = 0.631, p < 0.05)., Conclusions: The induction of form-deprivation myopia at a young age does not affect the response to form deprivation at a later age. The significant correlation between the axial elongation induced in individual eyes over the two successive periods of deprivation suggests individual differences, possibly genetic in origin, in the susceptibility to form-deprivation myopia in chicks.

Using antibodies raised against synthetic peptides of heterotrimeric GTP binding proteins, we demonstrate the presence of G alpha s, G alpha i1,2, G alpha i3, G alpha o2, and G beta subunits in pituitary cells. Pretreatment of pituitary cells with cholera toxin diminished the immunoreactivity of G alpha s and this decrease was kinetically coupled to the rate of G alpha s ADP-ribosylation. ADP-ribosylation by islet activating protein (IAP or Bordetella pertussis toxin) of G alpha i and G alpha o enhanced their immunoreactivities to antibodies raised against synthetic decapeptides that correspond to the G alpha carboxyl termini. Such enhancement was not observed when antibodies directed against the NH2-termini were used. These findings are consistent with the fact that ADP-ribosylation by IAP occurs on the cysteine located in the carboxyl terminal part of G alpha i and G alpha o. These observations mean that the kinetics and extent of Gi and Go ADP-ribosylation by IAP in whole pituitary cells and membrane preparations can be followed. It could be that ADP-ribosylation causes conformational changes in G alpha i and G alpha o. Indeed, we observed that ADP-ribosylated G alpha i was more sensitive to trypsin proteolysis and that the ADP-ribosylation rates of G alpha i and G alpha o in whole cells were comparable to the rate of loss of coupling between inhibitory neurohormone receptors and adenylyl cyclase.

The tubulin-colchicine (1:1) complex was shown to be able to polymerize in vitro under the buffer conditions of microtubule assembly from pure native tubulin. The physical characteristics of this peculiar polymer have been investigated under a variety of conditions and compared with those of microtubules. Polymerization consisted of the nucleation followed by the growth process, was characterized by a critical concentration, and exhibited divalent ion, temperature, and pH dependences very similar to those of microtubules, Guanosine 5'-triphosphate (GTP) or 5' -guanylyl methylene-diphosphate (GMPPCP) was required for polymerization, and guanosine 5'-diphosphate (GDP) was a potent inhibitor. GTP hydrolysis was totally disconnected from the polymerization process and occurred as well under nonpolymerizing conditions. The results are discussed in view of the different types of protein-protein interactions exhibited by tubulin and of the possible relationship between the conformation of the GTP site and the interaction areas.

Certain tumour cells contain activated ras genes that code for 21 000 dalton proteins (p21). These proteins associate with the inner face of the plasma membrane and bind guanine nucleotides specifically. In order to determine whether p21s have functions similar to other GTP binding proteins, we investigated the regulation, by guanine nucleotides, of adenylate cyclase (AC) activity in membrane preparations isolated from fibroblasts (C127) transformed by a temperature sensitive mutant of Kirsten sarcoma virus (Ts 371). The degree of AC stimulation by GMP P(NH)P increased when these cells were shifted from the permissive temperature (33 degrees C) to the non-permissive temperature (39 degrees C). This effect was more pronounced at low Mg++ and low GMP P(NH)P concentrations. AC stimulation remained unchanged in rat fibroblasts infected with a temperature sensitive mutant of Rous Sarcoma virus. AC activity was depressed in C127 cells infected with wild type KiMSV. Our data illustrate the feasibility of correlating alterations in the AC system with ras gene expression and using such experimental approaches to elucidate the physiological functions of the p21 proteins.

A simplified method is described for the assay of cortisol in human plasma. It is based upon tryptic hydrolysis of cortisol binding proteins in the plasma followed by radioimmunoassay. Only 1 microliter of plasma is used, no extraction of the hormone is necessary and most of the procedure is amenable to automatization. The sensitivity of the method is 10 pg, the coefficient of variation is 8.7% intrassay and 11.5% in different assays. The accuracy and the specificity were also verified. Comparison of this simplified technique with a standard method (extraction by methylene chloride and radiocompetition with corticosteroid binding globulin) gave a correlation coefficient (r) of 0.964.

In dispersed rat Leydig cells, colchicine was found to stimulate basal cAMP production and testosterone secretion in a dose and time-dependent manner, but to a lesser extent than LH. However, these drugs are unable to stimulate adenylate cyclase activity in plasma membranes isolated from these cells. The amount of testosterone secreted at 150 min under the influence of colchicine and LH added simultaneously was not different from the amount produced during stimulation by LH alone. It is only after exposure of the cells for 1 hr to colchicine that the accumulation of cAMP in response to LH was inhibited; furthermore, both intracellular and medium testosterone accumulation in response to the hormone were reduced. Similar effects were observed with two other alkaloids, vinblastine and podophyllotoxin. The three drugs also inhibited the stimulation of testosterone secretion by 8-Br-cAMP or choleratoxin. These studies suggest that the state of microtubule polymerization and/or tubulin can influence the process of steroidogenesis in rat Leydig cells.

We studied the effect of guanyl nucleotides, divalent cations and luteinizing hormone (LH) on the regulation of adenylate cyclase (AC) in partially purified plasma membranes obtained from isolated interstitial cells of the rat testis. AC was activated to different degrees by guanosine triphosphate (GTP) and GMP-P(NH)P; the latter was about 10 times more active than the former. Enzyme activation by GTP was biphasic; the nucleotide was rapidly hydrolysed by membrane preparation. Activation by GMP-P(NH)P was hysteretic, requiring about 20-30 min to reach steady state; this lag-time was not dependent on nucleotide concentration. GDP beta S did not stimulate AC activity. Delayed addition of GDP beta S to a GMP-P(NH)P-stimulated enzyme at 17 min resulted in a drop of AC activity although the activity 40 min later was higher than that obtained by mixing both nucleotides at the time the reaction was initiated. This result was incompatible with the formation of a truly irreversible, active form of the enzyme in the presence of GMP-P(NH)P. The effect of LH on AC depended on guanine nucleotides and Mg2+. LH and GMP-P(NH)P acted synergically. Dose-response curves showed that apparent LH affinity was not modified by the presence of GMP-P(NH)P. LH accelerated the slow rate of activation of GMP-P(NH)P. The stimulation of AC by LH was closely dependent on Mg2+ concentrations; LH diminished the apparent Mg2+ requirement. Plasma membranes from rat testicular interstitial cells are an excellent model for the study of AC regulation by LH.

Inhibin-like activity as well as estradiol-17 beta and progesterone content were assayed in human follicular fluid obtained at different stages of the periovulatory period. Between the start of the midcycle estrogen surge in plasma and the subsequent gonadotrophin peak, follicular fluid was found to contain similar levels of estradiol-17 beta and progesterone (8.2 pmol/microliter) and to induce a marked (44%) inhibition of gonadotrophin-releasing hormone-stimulated release of FSH. The midcycle gonadotrophin peak was characterized by a drop in estradiol-17 beta levels and a tripling in progesterone levels, whereas inhibin-like activity fell to almost half the previous value.

To understand more closely the structural requirements of the LH molecule necessary to stimulate adenylate cyclase, we studied the modulation of this enzyme in partially purified plasma membranes prepared from isolated interstitial cells of rat testis submitted to oLH and to some oLH derivatives and natural analogues. The role of Mg2+ was also investigated in relation to the structural modifications of oLH. Some new facts appeared in this study: 1. Methyl oLH, which exhibited the same ability as native oLH to stimulate cAMP accumulation and steroidogenesis in isolated cells, cannot induce the same level of maximal stimulation of adenylate cyclase as native oLH in plasma membranes. This phenomenon is related to the Mg2+ concentration, and the differences between maximal activation induced by methyl oLH and oLH were more apparent at a free Mg2+ concentration of 3.3 mmol/l than at lower concentrations. The maximal activity (in terms of native oLH) of other alkyl derivatives, such as ethyl or isopropyl oLH, on the contrary, was similar in isolated plasma membranes and in intact cells suggesting that the differential behaviour of the membranes specifically concerns the methyl derivative. 2. Guanidyl oLH and guanidyl porcine LH, which were able to induce cAMP accumulation in intact cells, did not exhibit any stimulating activity in plasma membranes. 3. Among the natural analogues, hCG and pLH are distinguished by a lower maximal activity (by comparison with oLH) particularly at high Mg2+ concentration. This work shows that changes in the LH structure have an impact not only on the parameters of the adenylate cyclase complex but also on the transduction of the hormone signal and its modulation by Mg2+.

We have shown previously [Saltarelli, D., & Pantaloni, D. (1982) Biochemistry 21, 2996-3006] that the tubulin-colchicine complex is able to polymerize in vitro into peculiar "curly" polymers, under the solution conditions permitting polymerization of unliganded tubulin into microtubules. Here it is further demonstrated that unliganded tubulin can be incorporated into these "curly" polymers. The partial critical concentration of tubulin-colchicine is decreased upon incorporation of unliganded tubulin into the copolymer. GTP hydrolysis occurs on unliganded tubulin upon incorporation in the copolymer. Tubulin-podophyllotoxin does not copolymerize with tubulin-colchicine to form a large polymer but interacts with it, preventing tubulin-colchicine polymerization. The data have been analyzed within a model of random copolymerization of unliganded tubulin and tubulin-colchicine into "curly" polymers. A corollary is that unliganded tubulin is virtually able to self-assemble into curly polymers with a critical concentration 10-fold higher than the critical concentration found for microtubule assembly. Consequently, these peculiar tubulin homopolymers cannot be observed except as transients at high concentrations, or when microtubule assembly is inhibited. Kinetic measurements of the T-TC copolymerization process and associated GTP hydrolysis at different T/TC ratios provide supplementary information about some privileged interactions between tubulin and tubulin-colchicine molecules. A comprehensive phase diagram of the various possible polymers formed in the presence of tubulin and tubulin-colchicine is presented.