The frequency of calcifications in vessels and soft tissue was 39% in 184 patients with chronic renal failure. Non-dialyzed patients and dialyzed patients at the start of dialysis treatment had most frequently calcifications of the aorta and larger vessels. Renal transplant recipients, who developed osteonecrosis or spontaneous fractures after transplantation, showed at the time of transplantation a higher frequency of calcifications compared to renal transplant recipients, who did not develop these complications. The frequency of calcifications increased with increasing age not only in the aorta, but also in the other vessels. In nondialyzed patients and in dialyzed patients at the start of dialysis treatment the calcifications were more commonly found in women and in renal transplant recipients in men. In all groups of patients a significant, higher frequency of calcifications was found in patients with radiologic evidence of bone resorption compared to patients without resorptive bone changes. Before and during chronic hemodialysis and following renal transplantation the frequency of calcifications increased. Calcification was most pronounced in the larger vessels in nondialyzed and dialyzed patients and in small vessels in renal transplant recipients. Increase in frequency of calcifications occurred slowly in nondialyzed patients and in renal transplant recipients, whereas an accelerated increase occurred in the first 15 months of the dialysis period in hemodialyzed patients.
Blood lymphocytes from the inbred rat strains AS and BN differ in the magnitude both of their in vitro proliferative response to different mitogens and of their in vivo antibody response to the mitogenic fraction of phytohemagglutinin (PHA). We have examined the segregation of in vitro responsiveness to PHA in (AS × BN)F1× BN backcross rats and have tried to correlate it with other characters that vary in backcross rats. In vitro responsiveness regulated by one or a few loci, is linked to the in vitro responsiveness to B lymphocyte mitogens and the in vivo antibody response to the mitogenic fraction of PHA, but is not linked to the major histocompatibility locus (Ag‐B) nor to the frequency of short‐lived, small Ig‐negative lymphocytes in blood. Lymphocytes from high‐responder rats have a shorter lag period before the onset of DNA synthesis in vitro than low‐responder rats, and possibly also a higher number of in vitro responding cells. To explain our findings, that the same gene og genes regulate in vitro responsiveness to different mitogens and in vivo antibody response to the mitogenic fraction of PHA, we suggest that the gene or genes act in an immunologically unspecific manner on regulation of lymphocyte proliferation in vitro as well as in vivo.
Metacarpal bone mass, bone mineral content in the forearm and bone mineral concentration were measured in 54 renal transplant recipients with a well functioning renal transplant a mean of 67 months after transplantation. Significantly decreased values of metacarpal bone mass, bone mineral content and bone mineral concentration were found. A highly significant correlation between metacarpal bone mass and bone mineral concentration was found in renal transplant recipients, probably indicating that changes in the amount of cortical bone and bone mineral occur simultaneously after renal transplantation.
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