MONITORING PATIENTS TREATED WITH INTERFERONS AND ANTI-TNF BIOLOGICALS Klaus Bendtzen BioMonitor ApS, and Institute for Inflammation Research IIR ; , Rigshospitalet, Copenhagen, Denmark Using recombinant technology, one can now produce protein drugs which are almost identical with naturally occurring human proteins, including antibodies Abs ; . Many have assumed that these drugs may be administered with little or no risk of triggering specific T- and or B-lymphocyte reactivities, because patients according to immunological dogma are tolerant towards their own and clotrimazole. Antibiotics at such concentrations as 25 and ful supply of adults for use in the experi50 ppm had any effect upon the oxygen ments. The Calanus were obtained during the first week of July 1959 from one day's consumption of the organisms. Although to.w using a #00 net towed in about 70 ft neither pair showed any apparent effect of water in Cape Cod Bay. The catches of upon the oxygen consumption of the animals animals were diluted and maintained in at 25 ppm, the bottles with the dihydrostreppair showed a several surface water at a temperature ranging be- tomycin-tetracycline tween 4" and 8C. At this temperature the per cent decrease at 50 ppm. Therefore pair animals survived very well for up to 6 the dihydrostreptomycin-chloromycetin was used at the 25 ppm concentration. The weeks. efficacy of this concentration was checked In the case of the Daplania, the experiby running control bottles from time to ments were carried out in the same medium time, the results of which consistently in which the animals were grown. Before setting up an experiment, a portion of the showed negligible oxygen consumption by culture water was siphoned off from the the bacteria present. The general procedure used in handling culture containers, filtered once through a Calanus was similar to that used in the exmedium paper filter to remove any large periments with Daphnia, except that the particles, and aerated for about half an hour to achieve an initial oxygen concentration bacteriological determinations were not near saturation, Antibiotics were added be- done. The Calanus were kept in surface fore the experiment was begun to keep the water and the experiments were carried out bacterial population small. The types and using this same water after it had been concentrations of antibiotics used were dc- filtered and allowed to equilibrate with the termined by the following method. Using atmosphere. Titrations showed that it was the nutrient agar medium as described in nearly saturated as it came out of the storStandard Methods for the Examination of age containers, The same pair of antibiotics Water and Sewage, APHA and AWWA was used in the experiments with Calanus, 1946 ; , a plate count was obtained to debut the concentration was lowered to lo-15 termine the initial number of bacteria in ppm. This was done because of the genthe culture water. From the results of Oppenheimer's 1955 ; experiments, the 5 erally small number of bacteria in sea water, and because of data in an unpublished most effective antibiotics were chosen, with manuscript of Conover, Marshall, and Orr the exception of penicillin which Marshall 1959 ; showing that the feeding rate of and Orr 1957 ; showed to have an effect on the Winkler titration, These 5 were Calanus is inhibited by high concentrations dihydrostreptomycin, chloromycetin, neo- of chloromycetin. In each set of experiments, the initial mycin, cathomycin, and tetracycline. Various concentrations of each antibiotic singly oxygen concentration was determined on a and of the possible pairs were added to duplicate bottle, while the final concentrasample bottles of the culture water and the tions were determined on the experimental bottles were put into a water bath at room bottles themselves. The titrations were done temperature for the period of the experiusing the standard Winkler technique and ment, usually 4 hrs. At the end of this 0.005 N sodium thiosulfate. The amount of period, plate counts were obtained again oxygen consumed during the experiment is from each bottle. Two pairs of antibiotics expressed in pl hr animal. Since control showed no growth after a 4-hr period: di- bottles showed the bacterial respiration to hydrostreptomycin-chloromycetin and dihybc very small, and quite variable, the rcdrostreptomycin-tetracycline, at concentrasuits were not corrected for bacterial respitions of 25 ppm or higher. Using these two ration. pairs, Daphnia were then introduced into The animals to bc used in an experiment the experiment to determine whether the were selected from the storage containers.
I From the Department ofPsychology, Texas A&M University, Station, TX. 2 Supported in part by Thompson Medical Company.
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